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 HOSPITAL - ANDERSON CAMPUS

Easton, PA · CCN 390326 · Rates published

20,592 distinct procedures filed
15 distinct payers
500,810 rate rows
2026-02-26 last MRF observed
Data quality

499,670 of 500,810 rate rows are consumer-grade (99.8%)

1,140 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 710
per-diem day rate — not a per-procedure price 166
template filing: same amount across many unrelated codes — excluded 101
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 85
exceeds 10× this hospital's gross charge — excluded from medians 78
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.slhn.org/-/media/sluhn/billing/pdf/standard-charges/45-4394739_stlukeshospitalandersoncampus_standardcharges.ashx
Found on page https://www.slhn.org/billpay/patient-billing/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 073de7ca43b70f8c… · 289,133,309 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $442,589.20 $555,248.42 $456,671.45 nat. median
$309,665
1.5× median
18
MS_DRG 		Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $426,596.42 $712,767.96 $439,394.32 nat. median
$370,174
1.2× median
37660
CDM 		Bicol Collagen Sponge 9 $107,740.40 $832,070.11 $315,477.35 nat. median
$0
1
MS_DRG 		Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $276,987.37 $462,557.73 $289,451.80 nat. median
$265,286
1.1× median
71459
CDM 		Heartmate Iii Kit Implant 11 $98,422.13 $760,105.89 $281,015.68 nat. median
$107,957
outlier · 2.6×
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $271,077.51 $340,079.15 $279,702.62 nat. median
$246,434
1.1× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $253,412.42 $317,917.49 $261,475.47 nat. median
$117,173
outlier · 2.2×
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $253,244.56 $317,706.90 $261,302.26 nat. median
$234,738
1.1× median
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $252,068.80 $316,231.85 $260,089.09 nat. median
$244,017
1.1× median
3
MS_DRG 		Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 10 $209,888.35 $396,693.90 $223,531.10 nat. median
$202,986
1.1× median
927
MS_DRG 		Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 10 $211,125.00 $417,686.62 $219,435.96 nat. median
$206,368
1.1× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $193,542.66 $242,808.13 $199,700.77 nat. median
$156,126
1.3× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $188,983.09 $237,087.94 $194,996.13 nat. median
$207,730
0.9× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $188,866.88 $236,942.15 $194,876.21 nat. median
$162,982
1.2× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $188,592.84 $236,598.36 $194,593.47 nat. median
$60,845
outlier · 3.2×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $185,264.27 $232,422.52 $191,158.99 nat. median
$164,834
1.2× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $181,655.93 $227,895.69 $187,435.84 nat. median
$122,924
1.5× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $180,537.56 $226,492.64 $186,281.89 nat. median
$182,736
1.0× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $177,759.21 $223,007.07 $183,415.13 nat. median
$164,279
1.1× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $173,728.34 $217,950.17 $179,256.02 nat. median
$145,122
1.2× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 $168,104.93 $210,895.33 $173,453.67 nat. median
$160,267
1.1× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 $164,743.36 $206,678.09 $169,985.15 nat. median
$150,721
1.1× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $156,284.92 $196,066.59 $161,257.58 nat. median
$151,838
1.1× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $154,700.98 $194,079.47 $159,623.24 nat. median
$145,336
1.1× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $149,929.08 $188,092.89 $154,699.50 nat. median
$58,674
outlier · 2.6×
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 $149,100.52 $187,053.43 $153,844.58 nat. median
$187,294
0.8× median
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $147,977.85 $185,644.99 $152,686.19 nat. median
$119,796
1.3× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $142,377.39 $178,618.95 $146,907.53 nat. median
$105,658
1.4× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 $140,961.31 $176,842.42 $145,446.40 nat. median
$129,535
1.1× median
4
MS_DRG 		Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 10 $137,113.45 $240,498.90 $143,526.15 nat. median
$133,176
1.1× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $137,946.95 $173,060.76 $142,336.12 nat. median
$93,528
1.5× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $134,061.70 $168,186.55 $138,327.26 nat. median
$102,636
1.3× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $132,601.15 $166,354.22 $136,820.23 nat. median
$124,573
1.1× median
7
MS_DRG 		Ms-DRG 43.00: Lung Transplant 10 $127,081.71 $213,753.80 $130,783.56 nat. median
$122,708
1.1× median
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $126,359.36 $158,523.61 $130,379.85 nat. median
$89,790
1.5× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $126,359.36 $158,523.61 $130,379.85 nat. median
$93,260
1.4× median
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $126,359.36 $158,523.61 $130,379.85 nat. median
$69,788
1.9× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $124,509.28 $156,202.60 $128,470.90 nat. median
$79,160
1.6× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 1 $126,423.52 $126,423.52 $126,423.52 nat. median
$87,411
1.4× median
14
MS_DRG 		Ms-DRG 43.00: Allogeneic Bone Marrow Transplant 10 $119,017.96 $198,365.41 $123,778.68 nat. median
$117,303
1.1× median
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 $117,734.50 $147,703.32 $121,480.56 nat. median
$118,620
1.0× median
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $114,986.28 $144,255.55 $118,644.90 nat. median
$81,294
1.5× median
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $114,327.02 $143,428.48 $117,964.66 nat. median
$108,996
1.1× median
2
MS_DRG 		Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $112,246.55 $197,470.65 $117,297.65 nat. median
$108,660
1.1× 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
209
MS_DRG 		Ms-DRG 43.00: Complex Aortic Arch Procedures 10 $112,118.27 $245,661.64 $116,603.00 nat. median
$98,017
1.2× median
212
MS_DRG 		Ms-DRG 43.00: Concomitant Aortic And Mitral Valve Procedures 10 $107,729.35 $230,149.83 $112,577.17 nat. median
$102,358
1.1× median
426
MS_DRG 		Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 10 $99,281.43 $254,235.83 $112,456.57 nat. median
$98,905
1.1× median
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $108,882.94 $136,598.64 $112,347.37 nat. median
$76,806
1.5× median
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $108,882.94 $136,598.64 $112,347.37 nat. median
$85,406
1.3× median

Other procedures at this hospital

Browse this hospital's 20,592 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $442,589.20 $555,248.42 $456,671.45 2026-02-26
18 MS_DRG Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 10 — — $426,596.42 $712,767.96 $439,394.32 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
1 MS_DRG Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 16 10 — — $276,987.37 $462,557.73 $289,451.80 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
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $271,077.51 $340,079.15 $279,702.62 2026-02-26
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $253,412.42 $317,917.49 $261,475.47 2026-02-26
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $253,244.56 $317,706.90 $261,302.26 2026-02-26
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $252,068.80 $316,231.85 $260,089.09 2026-02-26
3 MS_DRG Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 18 10 — — $209,888.35 $396,693.90 $223,531.10 2026-02-26
927 MS_DRG Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 18 10 — — $211,125.00 $417,686.62 $219,435.96 2026-02-26
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $193,542.66 $242,808.13 $199,700.77 2026-02-26
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $188,983.09 $237,087.94 $194,996.13 2026-02-26
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $188,866.88 $236,942.15 $194,876.21 2026-02-26
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $188,592.84 $236,598.36 $194,593.47 2026-02-26
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $185,264.27 $232,422.52 $191,158.99 2026-02-26
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $181,655.93 $227,895.69 $187,435.84 2026-02-26
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $180,537.56 $226,492.64 $186,281.89 2026-02-26
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $177,759.21 $223,007.07 $183,415.13 2026-02-26
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $173,728.34 $217,950.17 $179,256.02 2026-02-26
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 6 — — $168,104.93 $210,895.33 $173,453.67 2026-02-26
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $164,743.36 $206,678.09 $169,985.15 2026-02-26
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $156,284.92 $196,066.59 $161,257.58 2026-02-26
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $154,700.98 $194,079.47 $159,623.24 2026-02-26
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $149,929.08 $188,092.89 $154,699.50 2026-02-26
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $149,100.52 $187,053.43 $153,844.58 2026-02-26
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $147,977.85 $185,644.99 $152,686.19 2026-02-26
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $142,377.39 $178,618.95 $146,907.53 2026-02-26
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $140,961.31 $176,842.42 $145,446.40 2026-02-26
4 MS_DRG Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 18 10 — — $137,113.45 $240,498.90 $143,526.15 2026-02-26
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $137,946.95 $173,060.76 $142,336.12 2026-02-26
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $134,061.70 $168,186.55 $138,327.26 2026-02-26
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $132,601.15 $166,354.22 $136,820.23 2026-02-26
7 MS_DRG Ms-DRG 43.00: Lung Transplant 15 10 — — $127,081.71 $213,753.80 $130,783.56 2026-02-26
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $126,359.36 $158,523.61 $130,379.85 2026-02-26
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $126,359.36 $158,523.61 $130,379.85 2026-02-26
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $126,359.36 $158,523.61 $130,379.85 2026-02-26
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $124,509.28 $156,202.60 $128,470.90 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
14 MS_DRG Ms-DRG 43.00: Allogeneic Bone Marrow Transplant 15 10 — — $119,017.96 $198,365.41 $123,778.68 2026-02-26
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $117,734.50 $147,703.32 $121,480.56 2026-02-26
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $114,986.28 $144,255.55 $118,644.90 2026-02-26
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $114,327.02 $143,428.48 $117,964.66 2026-02-26
2 MS_DRG Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 10 — — $112,246.55 $197,470.65 $117,297.65 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
209 MS_DRG Ms-DRG 43.00: Complex Aortic Arch Procedures 15 10 — — $112,118.27 $245,661.64 $116,603.00 2026-02-26
212 MS_DRG Ms-DRG 43.00: Concomitant Aortic And Mitral Valve Procedures 16 10 — — $107,729.35 $230,149.83 $112,577.17 2026-02-26
426 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 16 10 — — $99,281.43 $254,235.83 $112,456.57 2026-02-26
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $108,882.94 $136,598.64 $112,347.37 2026-02-26
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $108,882.94 $136,598.64 $112,347.37 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
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
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
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $108,486.24 $136,100.96 $111,938.04 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
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $104,458.24 $131,047.65 $107,781.88 2026-02-26
5 MS_DRG Ms-DRG 43.00: Liver Transplant With Mcc Or Intestinal Transplant 15 10 — — $102,166.96 $170,183.36 $106,253.64 2026-02-26
215 MS_DRG Ms-DRG 43.00: Other Heart Assist System Implant 18 10 — — $98,678.12 $264,577.72 $103,304.52 2026-02-26
216 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 18 10 — — $96,958.89 $217,990.08 $103,261.21 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
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $99,185.62 $124,432.90 $102,341.49 2026-02-26
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $98,179.87 $123,171.15 $101,303.74 2026-02-26
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $94,829.78 $118,968.31 $97,847.07 2026-02-26
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $94,114.57 $118,071.04 $97,109.10 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
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $92,324.75 $115,825.62 $95,262.33 2026-02-26
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $92,075.82 $115,513.34 $95,005.48 2026-02-26
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $91,956.74 $115,363.94 $94,882.60 2026-02-26
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $91,009.10 $114,175.09 $93,904.82 2026-02-26
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $90,810.39 $113,925.80 $93,699.79 2026-02-26
429 MS_DRG Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 10 — — $89,327.87 $202,290.38 $93,347.62 2026-02-26
850 MS_DRG Ms-DRG 43.00: Acute Leukemia With Other Procedures 16 10 — — $85,872.60 $192,508.50 $89,736.86 2026-02-26
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 6 6 — — $86,844.80 $108,950.78 $89,608.02 2026-02-26
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 6 6 — — $86,844.80 $108,950.78 $89,608.02 2026-02-26
231 MS_DRG Ms-DRG 43.00: Coronary Bypass With Ptca With Mcc 18 10 — — $83,606.58 $165,070.62 $89,041.01 2026-02-26
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 6 — — $86,112.37 $108,031.92 $88,852.29 2026-02-26
456 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 18 10 — — $83,345.04 $183,366.22 $88,762.46 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 2 1 — — $84,553.58 $84,553.58 $84,553.58 2026-02-26
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $81,745.06 $102,552.93 $84,346.02 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
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
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
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
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
20 MS_DRG Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 18 10 — — $78,068.87 $179,068.75 $83,143.35 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
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
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
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
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
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
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
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
219 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 18 10 — — $76,188.76 $173,473.36 $81,141.03 2026-02-26
233 MS_DRG Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 18 10 — — $75,862.10 $151,478.53 $80,793.14 2026-02-26
957 MS_DRG Ms-DRG 43.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 10 — — $75,612.40 $129,365.00 $80,527.21 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
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
459 MS_DRG Spinal Fusion Except Cervical W Mcc 2 1 — — $78,633.74 $78,633.74 $78,633.74 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
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
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
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
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
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
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
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
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
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
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
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
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
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
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $75,693.38 $94,960.81 $78,101.79 2026-02-26
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 6 6 — — $74,997.54 $94,087.85 $77,383.80 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
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 6 6 — — $74,031.25 $92,875.59 $76,386.76 2026-02-26
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $73,840.43 $92,636.20 $76,189.87 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
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
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $73,184.04 $91,812.73 $75,512.60 2026-02-26
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $72,907.14 $91,465.34 $75,226.89 2026-02-26
427 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 16 10 — — $71,651.79 $172,182.11 $74,876.12 2026-02-26
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $72,554.91 $91,023.46 $74,863.46 2026-02-26
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $71,981.74 $90,304.39 $74,272.04 2026-02-26
928 MS_DRG Ms-DRG 43.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 18 10 — — $45,337.94 $118,391.37 $74,180.48 2026-02-26
275 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 10 — — $70,781.33 $175,578.35 $73,966.49 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
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 6 — — $71,389.91 $89,561.92 $73,661.39 2026-02-26
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $70,958.78 $89,021.04 $73,216.54 2026-02-26
870 MS_DRG Ms-DRG 43.00: Septicemia Or Severe Sepsis With Mv >96 Hours 18 10 — — $68,623.88 $123,650.71 $73,084.43 2026-02-26
268 MS_DRG Ms-DRG 43.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 18 10 — — $68,289.29 $124,868.20 $72,728.09 2026-02-26
19 MS_DRG Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 10 — — $70,822.78 $109,387.44 $72,239.24 2026-02-26
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $69,982.45 $87,796.18 $72,209.14 2026-02-26
10 MS_DRG Ms-DRG 43.00: Pancreas Transplant 15 10 — — $46,475.22 $76,926.66 $71,228.39 2026-02-26
955 MS_DRG Ms-DRG 43.00: Craniotomy For Multiple Significant Trauma 18 10 — — $66,840.46 $115,164.15 $71,185.09 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
217 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 18 10 — — $65,302.82 $150,951.61 $69,547.51 2026-02-26
218 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 18 10 — — $65,302.82 $117,070.61 $69,547.51 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
317 MS_DRG Ms-DRG 43.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 10 — — $66,400.29 $154,933.73 $69,388.30 2026-02-26
447 MS_DRG Ms-DRG 43.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 16 10 — — $66,351.95 $162,613.34 $69,337.79 2026-02-26
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $66,779.41 $83,777.83 $68,904.20 2026-02-26
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 6 — — $66,315.28 $83,195.56 $68,425.29 2026-02-26
207 MS_DRG Ms-DRG 43.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 18 10 — — $63,915.18 $110,255.15 $68,069.67 2026-02-26
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $65,516.14 $82,192.99 $67,600.72 2026-02-26
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $65,318.86 $81,945.50 $67,397.17 2026-02-26
573 MS_DRG Ms-DRG 43.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $53,150.16 $112,738.42 $67,018.94 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
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 6 — — $63,796.62 $80,035.78 $65,826.49 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
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
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
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
C1605 HCPCS Capit Aveir Dual Chamber Pacer System 16 10 $237,595.00 $197,203.85 $22,809.12 $176,152.93 $65,077.27 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
266 MS_DRG Ms-DRG 43.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 18 10 — — $60,892.19 $198,502.54 $64,850.19 2026-02-26
969 MS_DRG Ms-DRG 43.00: HIV With Extensive O.r. Procedures With Mcc 18 10 — — $60,822.13 $127,196.51 $64,775.57 2026-02-26
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $62,740.66 $78,711.03 $64,736.93 2026-02-26
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 6 6 — — $62,509.66 $78,421.24 $64,498.59 2026-02-26
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $62,491.01 $78,397.84 $64,479.34 2026-02-26
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $62,397.76 $78,280.84 $64,383.12 2026-02-26
A9543 CPT Hb Y90 Ibritumomab, Rx 24 12 $240,839.00 $199,896.37 $40,942.63 $180,059.95 $64,171.55 2026-02-26
232 MS_DRG Ms-DRG 43.00: Coronary Bypass With Ptca Without Mcc 18 10 — — $60,242.78 $119,402.96 $64,158.56 2026-02-26
28 MS_DRG Ms-DRG 43.00: Spinal Procedures With Mcc 18 10 — — $59,706.89 $112,120.95 $63,587.84 2026-02-26
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $61,174.65 $76,746.40 $63,121.10 2026-02-26
457 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 18 10 — — $59,260.80 $121,925.22 $63,112.75 2026-02-26
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 6 — — $60,665.32 $76,107.42 $62,595.57 2026-02-26
276 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 16 10 — — $59,690.10 $140,623.42 $62,376.15 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
235 MS_DRG Ms-DRG 43.00: Coronary Bypass Without Cardiac Catheterization With Mcc 18 10 — — $58,328.13 $122,471.63 $62,119.46 2026-02-26
820 MS_DRG Ms-DRG 43.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 10 — — $58,290.60 $121,609.97 $62,079.49 2026-02-26
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 6 6 — — $59,626.58 $74,804.27 $61,523.77 2026-02-26
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $59,470.19 $74,608.08 $61,362.41 2026-02-26
16 MS_DRG Ms-DRG 43.00: Autologous Bone Marrow Transplant With Cc/mcc 15 10 — — $58,931.16 $97,874.62 $61,288.41 2026-02-26
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $58,949.39 $73,954.71 $60,825.04 2026-02-26
23 MS_DRG Ms-DRG 43.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 18 10 — — $56,963.19 $109,238.00 $60,665.80 2026-02-26
463 MS_DRG Ms-DRG 43.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 18 10 — — $56,659.22 $101,383.72 $60,342.07 2026-02-26
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $58,474.49 $73,358.93 $60,335.03 2026-02-26
790 MS_DRG Ms-DRG 43.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 9 — — $47,201.29 $98,102.40 $60,248.68 2026-02-26
430 MS_DRG Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 10 — — $57,326.38 $132,679.69 $59,906.07 2026-02-26
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $57,314.51 $71,903.68 $59,138.14 2026-02-26
213 MS_DRG Ms-DRG 43.00: Endovascular Abdominal Aorta With Iliac Branch Procedures 15 10 — — $56,732.25 $104,721.27 $59,001.54 2026-02-26
461 MS_DRG Ms-DRG 43.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 18 10 — — $54,917.26 $122,980.37 $58,486.88 2026-02-26
428 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 16 10 — — $55,894.35 $133,531.06 $58,409.60 2026-02-26
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $56,556.98 $70,953.32 $58,356.50 2026-02-26
834 MS_DRG Ms-DRG 43.00: Acute Leukemia With Mcc 18 10 — — $54,590.61 $131,085.37 $58,139.00 2026-02-26
8 MS_DRG Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant 15 10 — — $55,722.60 $92,508.57 $57,951.50 2026-02-26
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $56,157.41 $70,452.04 $57,944.21 2026-02-26
405 MS_DRG Ms-DRG 43.00: Pancreas, Liver And Shunt Procedures With Mcc 18 10 — — $54,399.11 $121,808.63 $57,935.06 2026-02-26
234 MS_DRG Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 18 10 — — $54,322.15 $99,500.62 $57,853.09 2026-02-26
278 MS_DRG Ms-DRG 43.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 16 10 — — $55,343.61 $91,874.75 $57,834.07 2026-02-26
11 MS_DRG Ms-DRG 43.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 18 10 — — $54,237.26 $105,458.80 $57,762.68 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
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
220 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 18 10 — — $53,040.11 $114,021.33 $56,487.72 2026-02-26
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 6 — — $54,669.59 $68,585.51 $56,409.07 2026-02-26
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 6 6 — — $54,599.29 $68,497.31 $56,336.53 2026-02-26
17 MS_DRG Ms-DRG 43.00: Autologous Bone Marrow Transplant Without Cc/mcc 15 10 — — $54,022.11 $79,860.16 $56,182.99 2026-02-26
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 6 6 — — $54,438.60 $68,295.72 $56,170.73 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
21 MS_DRG Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 18 10 — — $52,655.21 $137,337.88 $56,077.80 2026-02-26
270 MS_DRG Ms-DRG 43.00: Other Major Cardiovascular Procedures With Mcc 18 10 — — $52,482.47 $94,135.77 $55,893.83 2026-02-26
450 MS_DRG Ms-DRG 43.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 16 10 — — $53,008.52 $99,914.80 $55,393.90 2026-02-26
466 MS_DRG Ms-DRG 43.00: Revision Of Hip Or Knee Replacement With Mcc 18 10 — — $51,782.76 $98,109.90 $55,148.64 2026-02-26
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $53,391.25 $66,981.77 $55,090.04 2026-02-26
653 MS_DRG Ms-DRG 43.00: Major Bladder Procedures With Mcc 18 10 — — $51,693.94 $125,581.37 $55,054.05 2026-02-26
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $53,331.71 $66,907.07 $55,028.61 2026-02-26
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 6 6 — — $52,914.92 $66,384.19 $54,598.56 2026-02-26
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 6 — — $51,908.46 $65,121.54 $53,560.07 2026-02-26
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 6 6 — — $51,833.14 $65,027.04 $53,482.35 2026-02-26
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 6 6 — — $51,779.33 $64,959.55 $53,426.85 2026-02-26
221 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 18 10 — — $50,152.32 $94,736.69 $53,412.23 2026-02-26
326 MS_DRG Ms-DRG 43.00: Stomach, Esophageal And Duodenal Procedures With Mcc 18 10 — — $49,631.22 $125,028.56 $52,857.25 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
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $51,168.86 $64,193.67 $52,796.94 2026-02-26
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $51,095.69 $64,101.88 $52,721.44 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
228 MS_DRG Ms-DRG 43.00: Other Cardiothoracic Procedures With Mcc 18 10 — — $49,236.44 $168,147.97 $52,436.81 2026-02-26
853 MS_DRG Ms-DRG 43.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 10 — — $49,149.59 $117,323.27 $52,344.32 2026-02-26
239 MS_DRG Ms-DRG 43.00: Amputation For Circulatory System Disorders Except Upper Limb And … 18 10 — — $48,982.81 $97,274.15 $52,166.69 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
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
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 6 6 — — $50,429.25 $63,265.81 $52,033.81 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
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $50,352.50 $63,169.51 $51,954.60 2026-02-26
576 MS_DRG Ms-DRG 43.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $48,780.49 $105,364.99 $51,951.22 2026-02-26
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $50,283.63 $63,083.12 $51,883.55 2026-02-26
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 6 6 — — $50,135.14 $62,896.82 $51,730.32 2026-02-26
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 6 6 — — $50,041.16 $62,778.93 $51,633.37 2026-02-26
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $49,686.78 $62,334.35 $51,267.71 2026-02-26
97220 CDM Implant Cranial Peek Custom Xlrg 17 11 $186,790.04 $155,035.73 $17,931.84 $138,486.14 $51,199.15 2026-02-26
471 MS_DRG Ms-DRG 43.00: Cervical Spinal Fusion With Mcc 18 10 — — $48,064.95 $95,283.06 $51,189.18 2026-02-26
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 6 6 — — $49,364.69 $61,930.26 $50,935.37 2026-02-26
837 MS_DRG Ms-DRG 43.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 18 10 — — $47,824.13 $137,722.25 $50,932.70 2026-02-26
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 6 6 — — $49,295.10 $61,842.96 $50,863.57 2026-02-26
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 6 — — $48,950.05 $61,410.08 $50,507.54 2026-02-26
267 MS_DRG Ms-DRG 43.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 18 10 — — $47,394.82 $149,046.88 $50,475.49 2026-02-26
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 6 6 — — $48,879.75 $61,321.88 $50,434.99 2026-02-26
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 6 — — $48,761.38 $61,173.39 $50,312.87 2026-02-26
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $48,658.08 $61,043.79 $50,206.28 2026-02-26
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 6 — — $48,536.85 $60,891.70 $50,081.19 2026-02-26
981 MS_DRG Ms-DRG 43.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 18 10 — — $46,713.84 $108,491.00 $49,750.24 2026-02-26
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 6 6 — — $48,143.73 $60,398.52 $49,675.56 2026-02-26
826 MS_DRG Ms-DRG 43.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 18 10 — — $46,575.65 $99,384.01 $49,603.07 2026-02-26
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $47,996.67 $60,214.03 $49,523.82 2026-02-26
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 6 6 — — $47,687.49 $59,826.14 $49,204.81 2026-02-26
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 6 6 — — $47,299.40 $59,339.26 $48,804.36 2026-02-26
329 MS_DRG Ms-DRG 43.00: Major Small And Large Bowel Procedures With Mcc 18 10 — — $45,773.28 $111,574.62 $48,748.54 2026-02-26
823 MS_DRG Ms-DRG 43.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 10 — — $45,657.81 $88,424.35 $48,625.57 2026-02-26
245 MS_DRG Ms-DRG 43.00: Aicd Generator Procedures 18 10 — — $45,436.72 $92,697.32 $48,390.11 2026-02-26
856 MS_DRG Ms-DRG 43.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 18 10 — — $45,301.52 $102,625.46 $48,246.12 2026-02-26
25 MS_DRG Ms-DRG 43.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 18 10 — — $45,281.77 $108,212.18 $48,225.08 2026-02-26
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 6 — — $46,676.01 $58,557.19 $48,161.14 2026-02-26
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $46,604.27 $58,467.19 $48,087.12 2026-02-26
277 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant Without Mcc 16 10 — — $45,990.41 $102,771.65 $48,059.98 2026-02-26
799 MS_DRG Ms-DRG 43.00: Splenic Procedures With Mcc 18 10 — — $45,106.11 $102,824.19 $48,038.01 2026-02-26
6 MS_DRG Ms-DRG 43.00: Liver Transplant Without Mcc 15 10 — — $46,172.99 $76,537.53 $48,019.91 2026-02-26
650 MS_DRG Ms-DRG 43.00: Kidney Transplant With Hemodialysis With Mcc 13 10 — — $46,808.57 $77,600.51 $47,744.74 2026-02-26
132138 CDM Graft Stent Thoracic Valiant Proximal Freeflo Str 30x30x150mm 17 11 $173,593.50 $144,082.60 $16,664.98 $128,702.22 $47,581.98 2026-02-26
152433 CDM Graft Stent Thoracic Valiant Proximal Freeflo Str 30x26x150mm 17 11 $173,593.50 $144,082.60 $16,664.98 $128,702.22 $47,581.98 2026-02-26
132134 CDM Graft Stent Thoracic Valiant Proximal Freeflo Str 28x28x150mm 17 11 $173,593.50 $144,082.60 $16,664.98 $128,702.22 $47,581.98 2026-02-26
144937 CDM Graft Stent Thoracic Valiant Proximal Freeflo Str 44x40x150mm 17 11 $173,593.50 $144,082.60 $16,664.98 $128,702.22 $47,581.98 2026-02-26
163 MS_DRG Ms-DRG 43.00: Major Chest Procedures With Mcc 18 10 — — $44,641.27 $107,929.31 $47,542.95 2026-02-26
31 MS_DRG Ms-DRG 43.00: Ventricular Shunt Procedures With Mcc 18 10 — — $44,628.43 $94,719.42 $47,529.27 2026-02-26
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 6 6 — — $45,993.79 $57,701.32 $47,457.21 2026-02-26
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 6 — — $45,863.23 $57,537.53 $47,322.51 2026-02-26
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