Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

St. Luke's Allentown Hospital

Allentown, PA · CCN 390242 · Rates published

20,942 distinct procedures filed
6 distinct payers
233,619 rate rows
2026-02-26 last MRF observed
Data quality

232,450 of 233,619 rate rows are consumer-grade (99.5%)

1,169 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 759
placeholder amount (≤ $0.02) — excluded from medians 261
per-diem day rate — not a per-procedure price 72
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 40
exceeds 10× this hospital's gross charge — excluded from medians 20
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 17
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.slhn.org/-/media/sluhn/billing/pdf/standard-charges/23-1352213_stlukeshospitalallentowncampus_standardcharges.ashx
Found on page https://www.slhn.org/billpay/patient-billing/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-16
Content fingerprint e1559313254602b2… · 286,458,584 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $534,015.54 $669,946.72 $625,283.32 nat. median
$390,362
1.6× median
18
MS_DRG 		Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $395,101.44 $426,709.56 $414,856.51 nat. median
$168,055
outlier · 2.5×
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $327,074.41 $410,329.69 $382,974.20 nat. median
$286,698
1.3× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $305,760.22 $383,590.07 $358,017.23 nat. median
$135,803
outlier · 2.6×
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $305,557.68 $383,335.97 $357,780.08 nat. median
$225,531
1.6× median
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $304,139.04 $381,556.23 $356,118.98 nat. median
$268,208
1.3× median
37660
CDM 		Bicol Collagen Sponge 4 $107,740.40 $832,070.11 $307,621.28 —
71459
CDM 		Heartmate Iii Kit Implant 5 $98,422.13 $760,105.89 $288,653.65 —
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $233,523.06 $292,965.28 $273,434.13 nat. median
$201,678
1.4× median
1
MS_DRG 		Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $256,684.71 $329,137.11 $273,369.22 nat. median
$186,516
1.5× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $228,021.62 $286,063.47 $266,992.45 nat. median
$202,242
1.3× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $227,881.40 $285,887.56 $266,828.26 nat. median
$198,578
1.3× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $227,550.76 $285,472.75 $266,441.11 nat. median
$68,335
outlier · 3.9×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 $223,534.60 $280,434.30 $261,738.56 nat. median
$152,792
1.7× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $219,180.88 $274,972.36 $256,640.75 nat. median
$181,762
1.4× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $217,831.49 $273,279.49 $255,060.74 nat. median
$173,134
1.5× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $214,479.21 $269,073.90 $251,135.52 nat. median
$171,497
1.5× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $209,615.68 $262,972.38 $245,440.77 nat. median
$173,909
1.4× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 3 $202,830.62 $254,460.22 $237,496.10 nat. median
$173,018
1.4× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 $198,774.65 $249,371.82 $232,746.93 nat. median
$187,567
1.2× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $188,568.94 $236,568.29 $220,796.97 nat. median
$168,439
1.3× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $186,657.80 $234,170.68 $218,559.20 nat. median
$152,383
1.4× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $180,900.16 $226,947.46 $211,817.53 nat. median
$63,564
outlier · 3.3×
927
MS_DRG 		Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 3 $195,749.52 $219,301.92 $211,409.48 nat. median
$131,925
1.6× median
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 $179,900.45 $225,693.27 $210,646.96 nat. median
$149,836
1.4× median
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $178,545.86 $223,993.88 $209,060.86 nat. median
$155,539
1.3× median
3
MS_DRG 		Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 3 $194,605.41 $228,164.26 $207,254.76 nat. median
$145,435
1.4× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $171,788.50 $215,516.47 $201,148.61 nat. median
$135,630
1.5× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 $170,079.91 $213,372.96 $199,148.00 nat. median
$136,566
1.5× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $166,442.86 $208,810.12 $194,889.36 nat. median
$117,894
1.7× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $161,755.04 $202,929.03 $189,400.34 nat. median
$120,079
1.6× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $159,992.77 $200,718.19 $187,336.90 nat. median
$130,862
1.4× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 $152,461.62 $191,270.01 $178,518.60 nat. median
$99,483
1.8× median
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 $152,461.62 $191,270.01 $178,518.60 nat. median
$77,096
outlier · 2.3×
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 $152,461.62 $191,270.01 $178,518.60 nat. median
$96,548
1.8× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 $150,229.36 $188,469.55 $175,904.83 nat. median
$73,618
outlier · 2.4×
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 $142,055.10 $178,214.56 $166,333.52 nat. median
$124,731
1.3× median
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $138,739.17 $174,054.58 $162,450.87 nat. median
$85,835
1.9× median
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $137,943.73 $173,056.67 $161,519.48 nat. median
$114,205
1.4× median
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $131,375.06 $164,815.98 $153,828.17 nat. median
$108,954
1.4× median
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $131,375.06 $164,815.98 $153,828.17 nat. median
$109,992
1.4× median
1604
APR_DRG 		Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 3 $130,896.41 $164,215.49 $153,267.72 nat. median
$106,926
1.4× median
22
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $126,036.34 $158,118.31 $147,577.02 nat. median
$95,481
1.5× median
54
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $119,674.54 $150,137.14 $140,127.94 nat. median
$91,350
1.5× median
43
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $118,461.04 $148,614.75 $138,707.04 nat. median
$85,032
1.6× median
4
MS_DRG 		Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 3 $127,274.84 $143,526.15 $135,547.70 nat. median
$97,418
1.4× median
73
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 $114,418.92 $143,543.72 $133,974.08 nat. median
$81,292
1.6× median
8424
APR_DRG 		Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 3 $113,555.96 $142,461.11 $132,963.64 nat. median
$91,950
1.4× median
21
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $111,396.41 $139,751.86 $130,435.00 nat. median
$77,825
1.7× median
64
APR_DRG 		Apr-DRG 42.00: Pancreas Transplant 3 $111,096.07 $139,375.06 $130,083.33 nat. median
$92,994
1.4× median

Other procedures at this hospital

Browse this hospital's 20,942 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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 3 3 — — $534,015.54 $669,946.72 $625,283.32 2026-02-26
18 MS_DRG Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $395,101.44 $426,709.56 $414,856.51 2026-02-26
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $327,074.41 $410,329.69 $382,974.20 2026-02-26
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $305,760.22 $383,590.07 $358,017.23 2026-02-26
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 3 3 — — $305,557.68 $383,335.97 $357,780.08 2026-02-26
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 3 3 — — $304,139.04 $381,556.23 $356,118.98 2026-02-26
37660 CDM Bicol Collagen Sponge 7 4 $1,122,295.80 $931,505.51 $107,740.40 $832,070.11 $307,621.28 2026-02-26
71459 CDM Heartmate Iii Kit Implant 8 5 $1,025,230.50 $850,941.32 $98,422.13 $760,105.89 $288,653.65 2026-02-26
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 3 3 — — $233,523.06 $292,965.28 $273,434.13 2026-02-26
1 MS_DRG Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 4 3 — — $256,684.71 $329,137.11 $273,369.22 2026-02-26
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 3 3 — — $228,021.62 $286,063.47 $266,992.45 2026-02-26
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $227,881.40 $285,887.56 $266,828.26 2026-02-26
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $227,550.76 $285,472.75 $266,441.11 2026-02-26
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $223,534.60 $280,434.30 $261,738.56 2026-02-26
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $219,180.88 $274,972.36 $256,640.75 2026-02-26
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $217,831.49 $273,279.49 $255,060.74 2026-02-26
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $214,479.21 $269,073.90 $251,135.52 2026-02-26
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 3 3 — — $209,615.68 $262,972.38 $245,440.77 2026-02-26
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 3 3 — — $202,830.62 $254,460.22 $237,496.10 2026-02-26
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 3 — — $198,774.65 $249,371.82 $232,746.93 2026-02-26
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $188,568.94 $236,568.29 $220,796.97 2026-02-26
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $186,657.80 $234,170.68 $218,559.20 2026-02-26
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $180,900.16 $226,947.46 $211,817.53 2026-02-26
927 MS_DRG Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 5 3 — — $195,749.52 $219,301.92 $211,409.48 2026-02-26
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 3 — — $179,900.45 $225,693.27 $210,646.96 2026-02-26
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 3 3 — — $178,545.86 $223,993.88 $209,060.86 2026-02-26
3 MS_DRG Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 4 3 — — $194,605.41 $228,164.26 $207,254.76 2026-02-26
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $171,788.50 $215,516.47 $201,148.61 2026-02-26
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $170,079.91 $213,372.96 $199,148.00 2026-02-26
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 3 3 — — $166,442.86 $208,810.12 $194,889.36 2026-02-26
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $161,755.04 $202,929.03 $189,400.34 2026-02-26
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $159,992.77 $200,718.19 $187,336.90 2026-02-26
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 3 — — $152,461.62 $191,270.01 $178,518.60 2026-02-26
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 3 — — $152,461.62 $191,270.01 $178,518.60 2026-02-26
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 3 — — $152,461.62 $191,270.01 $178,518.60 2026-02-26
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $150,229.36 $188,469.55 $175,904.83 2026-02-26
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $142,055.10 $178,214.56 $166,333.52 2026-02-26
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $138,739.17 $174,054.58 $162,450.87 2026-02-26
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $137,943.73 $173,056.67 $161,519.48 2026-02-26
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 3 3 — — $131,375.06 $164,815.98 $153,828.17 2026-02-26
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 3 3 — — $131,375.06 $164,815.98 $153,828.17 2026-02-26
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $130,896.41 $164,215.49 $153,267.72 2026-02-26
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 3 3 — — $126,036.34 $158,118.31 $147,577.02 2026-02-26
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $119,674.54 $150,137.14 $140,127.94 2026-02-26
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $118,461.04 $148,614.75 $138,707.04 2026-02-26
4 MS_DRG Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 4 3 — — $127,274.84 $143,526.15 $135,547.70 2026-02-26
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 3 — — $114,418.92 $143,543.72 $133,974.08 2026-02-26
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $113,555.96 $142,461.11 $132,963.64 2026-02-26
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 3 3 — — $111,396.41 $139,751.86 $130,435.00 2026-02-26
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 3 3 — — $111,096.07 $139,375.06 $130,083.33 2026-02-26
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $110,952.39 $139,194.80 $129,915.09 2026-02-26
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 3 — — $109,808.99 $137,760.36 $128,576.28 2026-02-26
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 3 — — $109,569.24 $137,459.58 $128,295.55 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
7 MS_DRG Ms-DRG 43.00: Lung Transplant 4 3 — — $119,045.92 $128,569.59 $126,039.96 2026-02-26
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 3 3 — — $104,784.47 $131,456.87 $122,693.02 2026-02-26
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 3 3 — — $104,784.47 $131,456.87 $122,693.02 2026-02-26
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 3 3 — — $103,900.74 $130,348.19 $121,658.26 2026-02-26
J7330 HCPCS Maci Final Product Assembled 1 Membrane 8 5 $533,624.50 $442,908.34 $51,227.95 $154,217.48 $120,599.14 2026-02-26
140985 CDM Dvc Heart Assist Impella 5.5 S2 8 5 $427,500.00 $354,825.00 $41,040.00 $316,948.50 $120,362.62 2026-02-26
14 MS_DRG Ms-DRG 43.00: Allogeneic Bone Marrow Transplant 4 3 — — $110,533.05 $150,869.49 $117,717.70 2026-02-26
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $98,631.27 $123,737.40 $115,488.19 2026-02-26
156876 CDM Valve Tricuspid Evoque 44mm Rplcmnt Sys 8 5 $408,500.00 $339,055.00 $39,216.00 $302,861.90 $115,013.18 2026-02-26
156877 CDM Valve Tricuspid Evoque 48mm Rplcmnt Sys 8 5 $408,500.00 $339,055.00 $39,216.00 $302,861.90 $115,013.18 2026-02-26
156878 CDM Valve Tricuspid Evoque 52mm Rplcmnt Sys 8 5 $408,500.00 $339,055.00 $39,216.00 $302,861.90 $115,013.18 2026-02-26
156879 CDM Valve Tricuspid Evoque 56mm Rplcmnt Sys 8 5 $408,500.00 $339,055.00 $39,216.00 $302,861.90 $115,013.18 2026-02-26
2 MS_DRG Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 3 — — $104,268.23 $197,470.65 $111,045.67 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
209 MS_DRG Ms-DRG 43.00: Complex Aortic Arch Procedures 3 3 — — $104,149.52 $112,481.48 $109,357.00 2026-02-26
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $91,329.48 $114,576.98 $106,938.46 2026-02-26
426 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 3 3 — — $101,432.10 $109,546.67 $106,503.71 2026-02-26
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 3 3 — — $90,489.89 $113,523.68 $105,955.38 2026-02-26
212 MS_DRG Ms-DRG 43.00: Concomitant Aortic And Mitral Valve Procedures 3 3 — — $100,088.94 $108,096.06 $105,093.39 2026-02-26
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 3 3 — — $89,324.00 $112,061.01 $104,590.23 2026-02-26
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $89,093.76 $111,772.17 $104,320.64 2026-02-26
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $88,301.78 $110,778.59 $103,393.30 2026-02-26
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $87,967.68 $110,359.44 $103,002.10 2026-02-26
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $87,542.69 $109,826.28 $102,504.48 2026-02-26
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $86,851.12 $108,958.67 $101,694.71 2026-02-26
5 MS_DRG Ms-DRG 43.00: Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $94,942.66 $135,430.41 $101,113.93 2026-02-26
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 3 3 — — $86,137.04 $108,062.82 $100,858.59 2026-02-26
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 3 3 — — $85,616.84 $107,410.21 $100,249.49 2026-02-26
215 MS_DRG Ms-DRG 43.00: Other Heart Assist System Implant 5 3 — — $91,714.86 $167,011.93 $99,052.05 2026-02-26
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $84,438.83 $105,932.34 $98,870.14 2026-02-26
216 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 5 3 — — $90,124.20 $123,306.80 $97,334.14 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
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 3 — — $80,574.14 $101,083.92 $94,344.95 2026-02-26
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 3 3 — — $80,014.13 $100,381.36 $93,689.22 2026-02-26
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $79,049.91 $99,171.70 $92,560.21 2026-02-26
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $78,811.88 $98,873.08 $92,281.50 2026-02-26
99054 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 29mm 8 5 $323,000.00 $268,090.00 $31,008.00 $239,472.20 $90,940.65 2026-02-26
99051 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 20mm 8 5 $323,000.00 $268,090.00 $31,008.00 $239,472.20 $90,940.65 2026-02-26
99053 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 26mm 8 5 $323,000.00 $268,090.00 $31,008.00 $239,472.20 $90,940.65 2026-02-26
99052 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 23mm 8 5 $323,000.00 $268,090.00 $31,008.00 $239,472.20 $90,940.65 2026-02-26
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 3 3 — — $76,975.18 $96,568.86 $90,130.89 2026-02-26
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $75,701.09 $94,970.45 $88,639.05 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
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 3 3 — — $75,422.38 $94,620.80 $88,312.71 2026-02-26
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $75,399.88 $94,592.57 $88,286.36 2026-02-26
97297 CDM Cath Mitraclip G4 Mcg 8 5 $313,500.00 $260,205.00 $30,096.00 $232,428.90 $88,265.93 2026-02-26
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 3 — — $75,287.36 $94,451.41 $88,154.60 2026-02-26
429 MS_DRG Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 — — $83,064.09 $89,709.22 $87,217.29 2026-02-26
83623 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 20mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
37173 CDM Tavr Sapien Retroflex 3 Dlv Sys 26mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
66190 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 29mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
64375 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 26mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
56918 CDM Tavr Sapien 3 Cmndr Dlv Sys 26mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
87092 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 23mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
87091 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 20mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
64627 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 23mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
56919 CDM Tavr Sapien 3 Cmndr Dlv Sys 29mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
37297 CDM Tavr Sapien 3 Transapical Dlv Sys 26mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
61735 CDM Valve Tavr Sapien 3 Cmndr Dlv Sys 20mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
56945 CDM Tavr Sapien 3 Cmndr Dlv Sys 23mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
37296 CDM Tavr Sapien 3 Transapical Dlv Sys 23mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
37541 CDM Tavr Sapien Xt W/ascendra System 23mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
83624 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 23mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
87093 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 26mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
37543 CDM Tavr Sapien Xt W/ascendra System 29mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
37542 CDM Tavr Sapien Xt W/ascendra System 26mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
67096 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 20mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
87094 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 29mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
83625 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 26mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
37172 CDM Tavr Sapien Retroflex 3 Dlv Sys 23mm 8 5 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,928.57 2026-02-26
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 3 3 — — $73,811.59 $92,599.99 $86,426.62 2026-02-26
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 3 3 — — $73,197.05 $91,829.02 $85,707.05 2026-02-26
136402 CDM Stent Tag Thoracic Endoproth 26 X 8mm X 10cm 20fr 8 5 $304,000.00 $252,320.00 $29,184.00 $225,385.60 $85,591.20 2026-02-26
146454 CDM Stent Tag Thoracic Endoproth 37 X 8mm X 15cm 24fr 8 5 $304,000.00 $252,320.00 $29,184.00 $225,385.60 $85,591.20 2026-02-26
122837 CDM Stent Tag Thoracic Endoproth 45 X 8mm X 15cm 26fr 8 5 $304,000.00 $252,320.00 $29,184.00 $225,385.60 $85,591.20 2026-02-26
180373 CDM Stent Tag Thoracic Endoproth 40 X 8mm X 15cm 26fr 8 5 $304,000.00 $252,320.00 $29,184.00 $225,385.60 $85,591.20 2026-02-26
37545 CDM Valve Transcatheter Sapien Xt W/nova Flex System 26mm 7 4 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
37546 CDM Valve Transcatheter Sapien Xt W/nova Flex System 29mm 7 4 $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 7 4 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 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
104117 CDM Valve Trancath Aortic Evolut Fx 29mm 8 5 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $84,253.84 2026-02-26
104116 CDM Valve Trancath Aortic Evolut Fx 26mm 8 5 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $84,253.84 2026-02-26
104115 CDM Valve Trancath Aortic Evolut Fx 23mm 8 5 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $84,253.84 2026-02-26
156602 CDM Valve Trancath Aortic Evfxplus-23 8 5 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $84,253.84 2026-02-26
156603 CDM Valve Trancath Aortic Evfxplus-26 8 5 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $84,253.84 2026-02-26
156604 CDM Valve Trancath Aortic Evfxplus-29 8 5 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $84,253.84 2026-02-26
104118 CDM Valve Trancath Aortic Evolut Fx 34mm 8 5 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $84,253.84 2026-02-26
156605 CDM Valve Trancath Aortic Evfxplus-34 8 5 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $84,253.84 2026-02-26
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 3 3 — — $71,943.73 $90,256.68 $84,239.53 2026-02-26
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $71,755.04 $90,019.96 $84,018.59 2026-02-26
231 MS_DRG Ms-DRG 43.00: Coronary Bypass With Ptca With Mcc 5 3 — — $77,770.82 $105,402.73 $83,992.49 2026-02-26
850 MS_DRG Ms-DRG 43.00: Acute Leukemia With Other Procedures 3 3 — — $79,867.30 $86,256.68 $83,860.66 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
456 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 5 3 — — $77,528.85 $119,497.04 $83,731.16 2026-02-26
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 3 — — $71,126.65 $89,231.61 $83,282.80 2026-02-26
172644 CDM Botulism Immune Globulin Human 100 Mg IV Solr 7 4 $303,117.00 $251,587.11 $29,099.23 $224,730.94 $83,084.37 2026-02-26
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $70,553.66 $88,512.77 $82,611.88 2026-02-26
132810 CDM Pascal Precision Sys W/pascal Imlant-guide Sheath-stabilizer 8 5 $290,700.00 $241,281.00 $27,907.20 $215,524.98 $81,846.58 2026-02-26
132811 CDM Pascal Precision Sys W/pascal Ace Imlant-guide Sheath-stabilizer 8 5 $290,700.00 $241,281.00 $27,907.20 $215,524.98 $81,846.58 2026-02-26
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $69,154.06 $86,756.91 $80,973.08 2026-02-26
77740 CDM System Mitraclip Xtr/ntr W/two Clips 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
54440 CDM System Mitraclip Nt W/three Clips 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
59205 CDM Tavr 31mm Corevalue Transcatheter 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
77579 CDM System Mitraclip Xtr W/three Clips 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
59204 CDM Tavr 23mm Corevalve Transcatheter 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
54438 CDM System Mitraclip Nt W/one Clip 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
54439 CDM System Mitraclip Nt W/two Clips 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
85655 CDM System Mitraclip Xtr W/two Clips 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
39357 CDM Tavr 26mm Corevalue Transcatheter 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
77739 CDM System Mitraclip Xtr/ntr W/one Clip 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
87817 CDM Cath Mitraclip G4 Sgc 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
39358 CDM Tavr 29mm Corevalue Transcatheter 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
77741 CDM System Mitraclip Xtr/ntr W/three Clips 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
78682 CDM System Mitraclip Xtr W/one Clip 8 5 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $80,241.75 2026-02-26
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $68,240.04 $85,610.23 $79,902.84 2026-02-26
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 3 3 — — $67,757.93 $85,005.40 $79,338.33 2026-02-26
C1827 HCPCS Ipg Vivistim Paired Vns Model 1001 8 5 $280,250.00 $232,607.50 $26,904.00 $207,777.35 $78,904.39 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
179359 CDM Graft Endovascular Excluder Tambe 31 X 20 X 160mm 22fr 8 5 $275,500.00 $228,665.00 $26,448.00 $204,255.70 $77,567.02 2026-02-26
179360 CDM Graft Endovascular Excluder Tambe 37 X 20 X160mm 22fr 8 5 $275,500.00 $228,665.00 $26,448.00 $204,255.70 $77,567.02 2026-02-26
20 MS_DRG Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 4 3 — — $72,647.38 $129,753.19 $77,369.46 2026-02-26
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 3 3 — — $65,962.78 $82,753.30 $77,236.37 2026-02-26
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 3 3 — — $65,877.95 $82,646.88 $77,137.05 2026-02-26
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 3 3 — — $65,684.07 $82,403.64 $76,910.03 2026-02-26
219 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 5 3 — — $70,907.93 $98,887.94 $76,580.56 2026-02-26
233 MS_DRG Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 5 3 — — $70,605.69 $95,482.13 $76,254.15 2026-02-26
957 MS_DRG Ms-DRG 43.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 3 — — $70,374.66 $94,962.03 $76,004.63 2026-02-26
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $64,420.36 $80,818.27 $75,430.35 2026-02-26
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $64,348.52 $80,728.14 $75,346.23 2026-02-26
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 3 3 — — $63,845.64 $80,097.25 $74,757.40 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
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 3 3 — — $62,631.27 $78,573.77 $73,335.49 2026-02-26
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 3 3 — — $62,540.39 $78,459.75 $73,229.07 2026-02-26
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 3 3 — — $62,475.47 $78,378.31 $73,153.06 2026-02-26
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $61,738.89 $77,454.24 $72,290.59 2026-02-26
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $61,650.60 $77,343.48 $72,187.21 2026-02-26
928 MS_DRG Ms-DRG 43.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 5 3 — — $66,291.25 $74,314.21 $71,594.55 2026-02-26
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 3 3 — — $60,846.50 $76,334.70 $71,245.69 2026-02-26
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $60,753.89 $76,218.51 $71,137.24 2026-02-26
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $60,670.80 $76,114.27 $71,039.95 2026-02-26
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 3 3 — — $60,491.63 $75,889.49 $70,830.16 2026-02-26
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 3 3 — — $60,378.24 $75,747.24 $70,697.39 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
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $59,950.66 $75,210.82 $70,196.73 2026-02-26
427 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 3 3 — — $66,710.36 $72,047.19 $70,045.88 2026-02-26
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 3 3 — — $59,562.03 $74,723.26 $69,741.68 2026-02-26
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 3 3 — — $59,478.07 $74,617.93 $69,643.37 2026-02-26
19 MS_DRG Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $65,943.36 $71,218.83 $69,240.53 2026-02-26
275 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $65,905.01 $71,177.41 $69,200.26 2026-02-26
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 3 3 — — $59,061.74 $74,095.63 $69,155.89 2026-02-26
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 3 3 — — $58,976.91 $73,989.21 $69,056.57 2026-02-26
870 MS_DRG Ms-DRG 43.00: Septicemia Or Severe Sepsis With Mv >96 Hours 5 3 — — $63,908.97 $79,298.39 $69,021.69 2026-02-26
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 3 3 — — $58,834.10 $73,810.05 $68,889.34 2026-02-26
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $58,709.46 $73,653.68 $68,743.40 2026-02-26
268 MS_DRG Ms-DRG 43.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 5 3 — — $63,599.41 $84,940.76 $68,687.36 2026-02-26
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 3 3 — — $58,563.18 $73,470.17 $68,572.12 2026-02-26
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 3 3 — — $58,088.86 $72,875.11 $68,016.74 2026-02-26
10 MS_DRG Ms-DRG 43.00: Pancreas Transplant 4 3 — — $57,134.15 $71,624.13 $67,976.61 2026-02-26
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $57,911.42 $72,652.50 $67,808.97 2026-02-26
189332 CDM Hfx Iq Ipg Kit 7 4 $247,000.00 $205,010.00 $23,712.00 $183,125.80 $67,702.70 2026-02-26
C1826 HCPCS Capit Neuro Inceptive Replacemnt Sys 22 5 $237,500.00 $197,125.00 $20,976.00 $190,169.10 $67,599.62 2026-02-26
C1824 HCPCS Optimizer Smart Generator 15 5 $218,500.00 $181,355.00 $20,976.00 $183,125.80 $67,529.80 2026-02-26
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 3 3 — — $57,538.37 $72,184.49 $67,372.16 2026-02-26
955 MS_DRG Ms-DRG 43.00: Craniotomy For Multiple Significant Trauma 5 3 — — $62,258.98 $78,531.79 $67,239.70 2026-02-26
185448 CDM Pump Set Impella Cp 8 5 $237,500.00 $197,125.00 $22,800.00 $176,082.50 $66,868.12 2026-02-26
66257 CDM Pump Set Impella Cp 8 5 $237,500.00 $197,125.00 $22,800.00 $176,082.50 $66,868.12 2026-02-26
C1604 HCPCS Capit Stent Graft Detour System 8 5 $237,500.00 $197,125.00 $22,800.00 $176,082.50 $66,868.12 2026-02-26
149130 CDM Pump Set Impella Cp W/companion Sheath Bundle 8 5 $237,500.00 $197,125.00 $22,800.00 $176,082.50 $66,868.12 2026-02-26
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 3 3 — — $57,070.11 $71,597.04 $66,823.87 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
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 3 3 — — $56,317.94 $70,653.41 $65,943.15 2026-02-26
A9543 HCPCS Hb Y90 Ibritumomab, Rx 9 4 $240,839.00 $199,896.37 $56,824.55 $102,284.19 $65,845.38 2026-02-26
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 3 — — $56,231.39 $70,544.83 $65,841.81 2026-02-26
217 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 5 3 — — $60,836.36 $81,793.06 $65,703.27 2026-02-26
218 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 5 3 — — $60,836.36 $74,063.84 $65,703.27 2026-02-26
C1605 HCPCS Capit Aveir Dual Chamber Pacer System 7 4 $237,595.00 $197,203.85 $22,809.12 $176,152.93 $65,124.79 2026-02-26
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 3 3 — — $55,494.80 $69,620.75 $64,979.33 2026-02-26
317 MS_DRG Ms-DRG 43.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 3 — — $61,851.74 $66,799.88 $64,944.33 2026-02-26
447 MS_DRG Ms-DRG 43.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 3 3 — — $61,807.01 $66,751.57 $64,897.36 2026-02-26
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 3 3 — — $55,337.27 $69,423.12 $64,794.88 2026-02-26
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $55,213.50 $69,267.84 $64,649.95 2026-02-26
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 3 3 — — $54,965.95 $68,957.28 $64,360.10 2026-02-26
207 MS_DRG Ms-DRG 43.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 5 3 — — $59,552.54 $71,489.15 $64,316.74 2026-02-26
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 3 3 — — $54,231.96 $68,036.46 $63,500.67 2026-02-26
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 3 3 — — $54,083.95 $67,850.77 $63,327.36 2026-02-26
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 3 3 — — $54,064.05 $67,825.80 $63,304.05 2026-02-26
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 3 3 — — $53,501.44 $67,119.98 $62,645.29 2026-02-26
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 3 3 — — $53,414.88 $67,011.39 $62,543.94 2026-02-26
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $53,314.48 $66,885.43 $62,426.38 2026-02-26
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $52,872.18 $66,330.55 $61,908.49 2026-02-26
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $52,698.21 $66,112.29 $61,704.78 2026-02-26
C1822 HCPCS Stylet Kit (w/0.016) 50cm Length 43 5 $218,500.00 $181,355.00 $68.40 $253,558.80 $61,631.25 2026-02-26
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 3 3 — — $52,525.96 $65,896.20 $61,503.09 2026-02-26
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $52,374.49 $65,706.18 $61,325.74 2026-02-26
266 MS_DRG Ms-DRG 43.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 5 3 — — $56,755.69 $100,759.26 $61,296.15 2026-02-26
969 MS_DRG Ms-DRG 43.00: HIV With Extensive O.r. Procedures With Mcc 5 3 — — $56,690.88 $70,966.47 $61,226.15 2026-02-26
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 3 3 — — $51,961.62 $65,188.21 $60,842.30 2026-02-26
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 3 3 — — $51,930.46 $65,149.12 $60,805.82 2026-02-26
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $51,872.47 $65,076.37 $60,737.92 2026-02-26
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 3 3 — — $51,809.29 $64,997.10 $60,663.93 2026-02-26
232 MS_DRG Ms-DRG 43.00: Coronary Bypass With Ptca Without Mcc 5 3 — — $56,154.88 $76,082.29 $60,647.27 2026-02-26
573 MS_DRG Ms-DRG 43.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 3 — — $53,150.16 $65,467.58 $60,618.13 2026-02-26
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 3 3 — — $51,600.69 $64,735.40 $60,419.68 2026-02-26
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $51,592.90 $64,725.63 $60,410.56 2026-02-26
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $51,580.78 $64,710.43 $60,396.37 2026-02-26
C2624 HCPCS Impl Cardiomems Hf Sys Pa Sensor And Delivery Sys 15 5 $185,250.00 $153,757.50 $17,784.00 $163,291.87 $60,215.80 2026-02-26
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $51,389.49 $64,470.45 $60,172.39 2026-02-26
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 3 3 — — $51,268.32 $64,318.43 $60,030.51 2026-02-26
457 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 5 3 — — $55,246.33 $88,546.61 $59,666.04 2026-02-26
28 MS_DRG Ms-DRG 43.00: Spinal Procedures With Mcc 4 3 — — $55,659.06 $72,445.46 $59,276.90 2026-02-26
6234 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 3 3 — — $50,400.17 $63,229.30 $59,013.99 2026-02-26
235 MS_DRG Ms-DRG 43.00: Coronary Bypass Without Cardiac Catheterization With Mcc 5 3 — — $54,383.43 $75,284.72 $58,734.10 2026-02-26
820 MS_DRG Ms-DRG 43.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 3 — — $54,348.73 $70,625.76 $58,696.63 2026-02-26
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 3 3 — — $50,058.28 $62,800.38 $58,613.66 2026-02-26
16 MS_DRG Ms-DRG 43.00: Autologous Bone Marrow Transplant With Cc/mcc 4 3 — — $54,941.35 $83,873.45 $58,512.54 2026-02-26
6302 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 3 — — $49,935.37 $62,646.19 $58,469.75 2026-02-26
4402 APR_DRG Apr-DRG 42.00: Kidney Transplant 3 3 — — $49,907.67 $62,611.44 $58,437.31 2026-02-26
276 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 3 3 — — $55,643.53 $60,095.01 $58,425.71 2026-02-26
6123 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 3 3 — — $49,820.25 $62,501.76 $58,334.95 2026-02-26
924 APR_DRG Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 3 3 — — $49,502.59 $62,103.25 $57,963.01 2026-02-26
790 MS_DRG Ms-DRG 43.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 — — $55,067.36 $59,472.75 $57,820.73 2026-02-26
4014 APR_DRG Apr-DRG 42.00: Adrenal Procedures 3 3 — — $49,098.38 $61,596.15 $57,489.71 2026-02-26
5204 APR_DRG Apr-DRG 42.00: Other GYN Procedures For Malignancy 3 3 — — $48,917.48 $61,369.20 $57,277.89 2026-02-26
6133 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 3 3 — — $48,898.44 $61,345.31 $57,255.60 2026-02-26
463 MS_DRG Ms-DRG 43.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 5 3 — — $52,839.38 $65,457.03 $57,066.53 2026-02-26
6113 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $48,706.29 $61,104.25 $57,030.60 2026-02-26
1622 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $48,647.43 $61,030.41 $56,961.69 2026-02-26
4414 APR_DRG Apr-DRG 42.00: Major Bladder Procedures 3 3 — — $48,423.25 $60,749.16 $56,699.19 2026-02-26
23 MS_DRG Ms-DRG 43.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 4 3 — — $53,120.62 $71,623.37 $56,573.46 2026-02-26
1782 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 3 3 — — $48,089.15 $60,330.02 $56,307.99 2026-02-26
6032 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 3 3 — — $48,004.32 $60,223.60 $56,208.67 2026-02-26
430 MS_DRG Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 — — $53,456.64 $57,733.17 $56,129.47 2026-02-26
1833 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 3 3 — — $47,871.03 $60,056.38 $56,052.59 2026-02-26
87770 CDM Protekduo Ls Dl31 Kit 7 4 $204,250.00 $169,527.50 $19,608.00 $151,430.95 $55,984.93 2026-02-26
213 MS_DRG Ms-DRG 43.00: Endovascular Abdominal Aorta With Iliac Branch Procedures 3 3 — — $52,906.95 $57,139.51 $55,552.30 2026-02-26
46610 CDM Restore Sensor System 7 4 $202,350.00 $167,950.50 $19,425.60 $150,022.29 $55,464.14 2026-02-26
8 MS_DRG Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant 4 3 — — $51,972.84 $66,036.50 $55,351.07 2026-02-26
461 MS_DRG Ms-DRG 43.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 5 3 — — $51,227.76 $63,848.98 $55,325.98 2026-02-26
0915T CPT Hb Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 9 4 $201,311.00 $167,088.13 $32,823.36 $149,251.98 $55,038.43 2026-02-26
834 MS_DRG Ms-DRG 43.00: Acute Leukemia With Mcc 5 3 — — $50,925.50 $71,610.47 $54,999.54 2026-02-26
5114 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $46,858.33 $58,785.91 $54,866.82 2026-02-26
405 MS_DRG Ms-DRG 43.00: Pancreas, Liver And Shunt Procedures With Mcc 5 3 — — $50,748.38 $68,945.44 $54,808.25 2026-02-26
428 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 3 3 — — $52,131.72 $56,302.26 $54,738.31 2026-02-26
234 MS_DRG Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 5 3 — — $50,677.14 $65,966.81 $54,731.31 2026-02-26
4401 APR_DRG Apr-DRG 42.00: Kidney Transplant 3 3 — — $46,705.13 $58,593.71 $54,687.43 2026-02-26
189336 CDM Senza Omnia Ipg Kit 7 4 $199,500.00 $165,585.00 $19,152.00 $147,909.30 $54,682.95 2026-02-26
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