Hospital

Baylor Scott & White McLane Children's Medical Center - Temple

Temple, TX · CCN 450008 · Rates published

12,554 distinct procedures filed

25 distinct payers

1,204,523 rate rows

2026-06-13 last MRF observed

Data quality

1,198,204 of 1,204,523 rate rows are consumer-grade (99.5%)

6,319 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
placeholder amount (≤ $0.02) — excluded from medians	2,448
per-diem day rate — not a per-procedure price	1,556
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	863
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	771
exceeds 10× this hospital's gross charge — excluded from medians	438
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	213
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	27
template filing: same amount across many unrelated codes — excluded	3

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

Source MRF file	https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/741166904_baylor-scott--white-mclane-childrens-medical-center_standardcharges.csv
Found on page	https://www.bswhealth.com/patient-tools/patient-registration-and-billing/estimate-your-cost-care/
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-11-11
Content fingerprint	e03fcf64902d7c08… · 551,097,884 bytes · first seen 2026-11-02

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
Q2054 HCPCS	Hc Breyanzi Car T	24	$446,101.57	$2,230,507.85	$927,730.39	nat. median $637,620 1.5× median
Q2041 HCPCS	Hc Yescarta (including Apheresis)	24	$488,365.72	$2,441,828.62	$877,551.05	nat. median $607,251 1.4× median
Q2053 HCPCS	Hc Tecartus (including Apheresis)	24	$406,736.96	$2,033,684.79	$807,329.49	nat. median $589,091 1.4× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	$356,070.94	$622,609.61	$419,788.90	nat. median $360,195 1.2× median
5834 APR_DRG	Inpatient Aprdrg 5834: Neonate With Ecmo	2	$384,158.39	$411,049.63	$397,604.01	nat. median $309,665 1.3× median
74 APR_DRG	Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant	2	$373,709.63	$399,869.46	$386,789.55	nat. median $171,358 outlier · 2.3×
5833 APR_DRG	Inpatient Aprdrg 5833: Neonate With Ecmo	2	$325,291.20	$348,061.72	$336,676.46	nat. median $244,017 1.4× median
24 APR_DRG	Inpatient Aprdrg 0024: Heart And/or Lung Transplant	2	$312,920.92	$334,825.52	$323,873.22	nat. median $243,231 1.3× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	$231,931.60	$303,220.05	$256,345.46	nat. median $247,805 1.0× median
5884 APR_DRG	Inpatient Aprdrg 5884: Neonate Birth Weight < 1500 Grams With Major Procedure	2	$243,165.95	$260,187.67	$251,676.81	nat. median $249,123 1.0× median
1614 APR_DRG	Inpatient Aprdrg 1614: Implantable Heart Assist Systems	2	$236,130.82	$252,660.08	$244,395.45	nat. median $202,660 1.2× median
94 APR_DRG	Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo)	2	$221,217.40	$236,702.71	$228,960.05	nat. median $165,169 1.4× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	17	$6,764.00	$385,799.21	$224,390.32	nat. median $190,274 1.2× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	17	$6,764.00	$341,679.00	$205,822.95	nat. median $197,664 1.0× median
6304 APR_DRG	Inpatient Aprdrg 6304: Neonate Birth Weight > 2499 Grams With Major Cardiovascul…	2	$180,931.68	$193,596.97	$187,264.33	nat. median $154,211 1.2× median
6094 APR_DRG	Inpatient Aprdrg 6094: Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	$179,328.30	$191,881.36	$185,604.83	nat. median $165,846 1.1× median
81200003 CDM	Hc Std Acq Chg Cadaver Kidney/pancreas	19	$49,356.13	$279,684.74	$184,262.89	nat. median $162,217 1.1× median
27500234 CDM	Hc Heartmate 3 Lvad Implant	22	$1,359.01	$235,823.00	$173,919.46	nat. median $162,128 1.1× median
5832 APR_DRG	Inpatient Aprdrg 5832: Neonate With Ecmo	2	$162,085.18	$173,431.21	$167,758.20	nat. median $159,829 1.0× median
114 APR_DRG	Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…	2	$153,910.49	$164,684.28	$159,297.39	nat. median $122,909 1.3× median
2004 APR_DRG	Inpatient Aprdrg 2004: Cardiac Structural And Valvular Disorders	2	$143,025.23	$153,037.05	$148,031.14	nat. median $28,745 outlier · 5.1×
5831 APR_DRG	Inpatient Aprdrg 5831: Neonate With Ecmo	2	$142,719.22	$152,709.63	$147,714.42	nat. median $148,245 1.0× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	18	$6,566.00	$251,769.56	$146,946.20	nat. median $126,240 1.2× median
73 APR_DRG	Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant	2	$131,867.85	$141,098.66	$136,483.26	nat. median $89,273 1.5× median
5883 APR_DRG	Inpatient Aprdrg 5883: Neonate Birth Weight < 1500 Grams With Major Procedure	2	$130,474.89	$139,608.18	$135,041.54	nat. median $177,531 0.8× median
5882 APR_DRG	Inpatient Aprdrg 5882: Neonate Birth Weight < 1500 Grams With Major Procedure	2	$129,878.55	$138,970.11	$134,424.33	nat. median $145,336 0.9× median
44 APR_DRG	Inpatient Aprdrg 0044: Tracheostomy With Mv >96 Hours With Extensive Procedure	2	$129,542.70	$138,610.75	$134,076.73	nat. median $122,016 1.1× median
8414 APR_DRG	Inpatient Aprdrg 8414: Extensive Third Degree Burns With Skin Graft	2	$128,985.82	$138,014.88	$133,500.35	nat. median $160,390 0.8× median
6314 APR_DRG	Inpatient Aprdrg 6314: Neonate Birth Weight > 2499 Grams With Other Major Proced…	2	$127,697.56	$136,636.44	$132,167.00	nat. median $138,094 1.0× median
8504 APR_DRG	Inpatient Aprdrg 8504: Procedure With Diagnosis Of Rehabilitation, Aftercare Or…	2	$124,333.50	$133,036.90	$128,685.20	nat. median $67,082 1.9× median
81200004 CDM	Hc Std Acq Chg Cadaver Heart	19	$34,427.45	$195,088.86	$128,529.13	nat. median $126,557 1.0× median
5914 APR_DRG	Inpatient Aprdrg 5914: Neonate Birth Weight 500-749 Grams Without Major Procedur…	2	$123,219.74	$131,845.17	$127,532.46	nat. median $165,334 0.8× median
1613 APR_DRG	Inpatient Aprdrg 1613: Implantable Heart Assist Systems	2	$123,074.57	$131,689.84	$127,382.21	nat. median $121,888 1.0× median
27800187 CDM	Hc Kit, Heartmate Ii Vad Implant	22	$1,359.01	$172,200.00	$126,997.50	nat. median $132,379 1.0× median
5881 APR_DRG	Inpatient Aprdrg 5881: Neonate Birth Weight < 1500 Grams With Major Procedure	2	$122,424.12	$130,993.86	$126,708.99	nat. median $122,978 1.0× median
27801850 CDM	Hc Heartware Hvad Pump	22	$1,359.01	$165,705.60	$122,207.88	nat. median $134,636 0.9× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	18	$6,764.00	$210,044.12	$120,860.93	nat. median $97,029 1.2× median
209 MS_DRG	Complex Aortic Arch Procedures	15	$95,130.09	$280,554.79	$120,372.49	nat. median $92,760 1.3× median
7 MS_DRG	Lung Transplant	9	$108,489.96	$141,836.35	$119,909.96	nat. median $117,943 1.0× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	18	$37,904.00	$200,326.51	$117,085.87	nat. median $93,094 1.3× median
14 APR_DRG	Inpatient Aprdrg 0014: Liver Transplant And/or Intestinal Transplant	2	$112,093.72	$119,940.33	$116,017.02	nat. median $137,215 0.8× median
84 APR_DRG	Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant Or T-cell Immunotherapy	2	$111,644.57	$119,459.74	$115,552.15	nat. median $78,187 1.5× median
6814 APR_DRG	Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic, Hematopoietic Or Ot…	2	$109,660.84	$117,337.14	$113,498.99	nat. median $68,030 1.7× median
1604 APR_DRG	Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly	2	$109,599.63	$117,271.65	$113,435.64	nat. median $99,544 1.1× median
93 APR_DRG	Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo)	2	$108,683.64	$116,291.54	$112,487.59	nat. median $79,816 1.4× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	10	$100,855.15	$218,443.00	$111,471.49	nat. median $109,875 1.0× median
2464 APR_DRG	Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency	2	$106,281.10	$113,720.82	$110,000.96	nat. median $20,493 outlier · 5.4×
6034 APR_DRG	Inpatient Aprdrg 6034: Neonate Birth Weight 1000-1249 Grams With Or Without Sign…	2	$105,732.82	$113,134.16	$109,433.49	nat. median $107,562 1.0× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	$77,779.00	$242,482.55	$108,256.46	nat. median $90,525 1.2× median
81200001 CDM	Hc Std Acq Chg Cadaver Kidney	19	$28,986.36	$164,256.04	$108,215.74	nat. median $111,486 1.0× median

Other procedures at this hospital

Browse this hospital's 12,554 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

834	MS_DRG	Acute Leukemia With Mcc	30	18	—	—	$834.00	$99,787.00	$59,174.07	2026-06-13
850	MS_DRG	Acute Leukemia With Other Procedures	27	16	—	—	$73,352.53	$176,976.00	$92,655.83	2026-06-13
245	MS_DRG	Aicd Generator Procedures	33	19	—	—	$31,111.00	$113,086.48	$48,573.12	2026-06-13
14	MS_DRG	Allogeneic Bone Marrow Transplant	10	10	—	—	$100,855.15	$218,443.00	$111,471.49	2026-06-13
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	32	18	—	—	$6,566.00	$121,992.31	$53,199.46	2026-06-13
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	33	19	—	—	$9,711.00	$78,029.77	$45,697.08	2026-06-13
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	30	18	—	—	$58,762.64	$170,479.89	$79,058.83	2026-06-13
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	30	18	—	—	$37,022.75	$104,678.85	$49,139.40	2026-06-13
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	9	9	—	—	$50,997.64	$66,672.71	$56,365.82	2026-06-13
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	9	9	—	—	$46,924.32	$61,347.37	$51,863.72	2026-06-13
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	33	19	—	—	$9,711.00	$97,436.79	$58,799.04	2026-06-13
C1826	HCPCS	C1826, Genrtr Neurstmltr Implntble Incls Clsd Leads & All Implntble Comps With Rec…	70	22	$67,980.00	$40,788.00 40% off	$10,197.00	$67,980.00	$46,736.25	2026-06-13
C1827	HCPCS	C1827, Genrtr Neurstmltr Implntble Nonrechrgble With Implntble Stmltn Lead & Ext P…	39	22	$84,975.00	$50,985.00 40% off	$12,746.25	$67,980.00	$49,285.50	2026-06-13
J9043	HCPCS	Cabazitaxel 10 mg/mL (first Dilution) Intravenous Solution	42	25	$169,808.36	$101,885.02 40% off	$219.50	$127,356.27	$78,111.85	2026-06-13
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	32	19	—	—	$60,830.41	$137,730.81	$81,887.02	2026-06-13
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	1	1	—	—	$77,779.00	$77,779.00	$77,779.00	2026-06-13
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	1	1	—	—	$77,779.00	$77,779.00	$77,779.00	2026-06-13
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	1	1	—	—	$77,779.00	$77,779.00	$77,779.00	2026-06-13
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	1	1	—	—	$77,779.00	$77,779.00	$77,779.00	2026-06-13
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	32	19	—	—	$51,627.39	$119,005.00	$70,663.51	2026-06-13
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	1	1	—	—	$77,779.00	$77,779.00	$77,779.00	2026-06-13
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	1	1	—	—	$77,779.00	$77,779.00	$77,779.00	2026-06-13
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	32	19	—	—	$40,259.94	$89,383.00	$54,326.96	2026-06-13
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	33	19	—	—	$77,779.00	$242,482.55	$108,256.46	2026-06-13
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	33	19	—	—	$56,284.60	$127,008.49	$77,739.77	2026-06-13
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	33	19	—	—	$56,284.60	$162,979.46	$77,739.77	2026-06-13
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	33	19	—	—	$65,317.29	$190,319.10	$86,287.58	2026-06-13
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	33	19	—	—	$46,109.51	$132,182.09	$63,049.69	2026-06-13
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	33	19	—	—	$43,713.35	$97,356.50	$59,590.28	2026-06-13
471	MS_DRG	Cervical Spinal Fusion With Mcc	33	19	—	—	$37,499.00	$87,768.72	$51,449.16	2026-06-13
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	30	18	—	—	$41,769.60	$87,325.21	$52,799.96	2026-06-13
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	17	11	—	—	$356,070.94	$622,609.61	$419,788.90	2026-06-13
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	29	18	—	—	$37,904.00	$163,762.72	$95,974.52	2026-06-13
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	29	18	—	—	$37,904.00	$104,825.52	$61,462.04	2026-06-13
209	MS_DRG	Complex Aortic Arch Procedures	26	15	—	—	$95,130.09	$280,554.79	$120,372.49	2026-06-13
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	31	18	—	—	$6,764.00	$210,044.12	$120,860.93	2026-06-13
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	29	18	—	—	$57,195.22	$121,536.97	$73,992.81	2026-06-13
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	33	19	—	—	$65,046.21	$189,498.67	$85,929.47	2026-06-13
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	33	19	—	—	$47,173.29	$135,401.87	$64,585.50	2026-06-13
231	MS_DRG	Coronary Bypass With Ptca With Mcc	33	19	—	—	$71,472.30	$162,831.95	$93,440.63	2026-06-13
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	33	19	—	—	$52,085.97	$117,359.00	$71,678.12	2026-06-13
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	33	19	—	—	$50,497.29	$145,462.76	$69,384.46	2026-06-13
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	33	19	—	—	$36,741.06	$103,826.19	$49,524.18	2026-06-13
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	32	19	—	—	$37,876.07	$86,842.00	$50,909.76	2026-06-13
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	33	19	—	—	$37,336.00	$82,642.96	$48,466.60	2026-06-13
955	MS_DRG	Craniotomy For Multiple Significant Trauma	33	19	—	—	$9,711.00	$122,347.64	$71,687.96	2026-06-13
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	33	19	—	—	$37,336.00	$104,156.63	$61,035.96	2026-06-13
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	30	17	—	—	$6,764.00	$385,799.21	$224,390.32	2026-06-13
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	26	15	—	—	$49,173.09	$141,454.76	$61,468.15	2026-06-13
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	33	19	—	—	$52,624.83	$151,902.32	$72,456.07	2026-06-13
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	33	19	—	—	$41,425.27	$118,004.14	$56,286.94	2026-06-13
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	26	17	—	—	$6,764.00	$341,679.00	$205,822.95	2026-06-13
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	32	18	—	—	$6,566.00	$85,280.36	$50,772.11	2026-06-13
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	26	16	—	—	$51,110.65	$96,841.22	$62,043.30	2026-06-13
793	MS_DRG	Full Term Neonate With Major Problems	26	16	—	—	$36,287.34	$69,316.70	$43,774.61	2026-06-13
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	26	17	—	—	$6,764.00	$130,374.37	$73,059.68	2026-06-13
J0223	HCPCS	Givosiran 189 mg/mL Subcutaneous Solution	42	25	$127,848.00	$76,708.80 40% off	$108.90	$95,886.00	$58,810.08	2026-06-13
C9293	HCPCS	Glucarpidase 1,000 Unit Intravenous Solution	41	24	$123,522.00	$74,113.20 40% off	$426.64	$92,641.50	$60,896.35	2026-06-13
Q2054	HCPCS	Hc Breyanzi Car T	39	24	$2,974,010.47	$1,784,406.28 40% off	$446,101.57	$2,230,507.85	$927,730.39	2026-06-13
C2624	HCPCS	Hc Cardiomems Monitoring Device (implant)	99	22	$76,477.50	$45,886.50 40% off	$10,479.00	$61,182.00	$44,356.95	2026-06-13
27800957	CDM	Hc Catheter Set Pump Ventricular Assist Impella	37	22	$84,975.00	$50,985.00 40% off	$1,359.01	$67,980.00	$50,135.25	2026-06-13
93653	CPT	Hc Compreh Electroph Eval Source Of Atrial R	40	25	$82,301.19	$49,380.71 40% off	$12,345.18	$75,406.15	$44,294.82	2026-06-13
93654	CPT	Hc Compreh Electroph Eval With Treatment	40	25	$76,458.55	$45,875.13 40% off	$11,468.78	$75,406.15	$42,052.20	2026-06-13
27800973	CDM	Hc Corevalue Aortic	37	22	$88,500.00	$53,100.00 40% off	$1,359.01	$70,800.00	$52,215.00	2026-06-13
27203217	CDM	Hc Heart Valve Sapien Edwards	37	22	$84,975.00	$50,985.00 40% off	$1,359.01	$67,980.00	$50,135.25	2026-06-13
27500234	CDM	Hc Heartmate 3 Lvad Implant	37	22	$294,778.75	$176,867.25 40% off	$1,359.01	$235,823.00	$173,919.46	2026-06-13
27801850	CDM	Hc Heartware Hvad Pump	37	22	$207,132.00	$124,279.20 40% off	$1,359.01	$165,705.60	$122,207.88	2026-06-13
27800190	CDM	Hc Impella 5.0	37	22	$84,975.00	$50,985.00 40% off	$1,359.01	$67,980.00	$50,135.25	2026-06-13
27801848	CDM	Hc Impella 5.5	37	22	$86,100.00	$51,660.00 40% off	$1,359.01	$68,880.00	$50,799.00	2026-06-13
33270	CPT	Hc Ins/rep Subq Defibrilllator	49	25	$99,435.35	$59,661.21 40% off	$5,388.00	$81,499.55	$47,140.19	2026-06-13
33276	CPT	Hc Insertion Phrenic Nerve Stimulator System	40	25	$86,663.76	$51,998.26 40% off	$32,454.62	$117,001.30	$49,044.28	2026-06-13
0424T	CPT	Hc Insj/rplc Nstim System Sleep Apnea Complete	28	19	$86,663.76	$51,998.26 40% off	$5,388.00	$73,664.20	$47,665.07	2026-06-13
0571T	CPT	Hc Insj/rplcmt Icds W/substernal Electrode	40	25	$88,619.00	$53,171.40 40% off	$7,441.00	$81,499.55	$47,054.13	2026-06-13
27800246	CDM	Hc Kit, Catheter Impella Pump	37	22	$82,850.63	$49,710.38 40% off	$1,359.01	$66,280.50	$48,881.87	2026-06-13
27800187	CDM	Hc Kit, Heartmate Ii Vad Implant	37	22	$215,250.00	$129,150.00 40% off	$1,359.01	$172,200.00	$126,997.50	2026-06-13
27801815	CDM	Hc Mitraclip Delivery System Kit (w/guiding Cath)	37	22	$84,975.00	$50,985.00 40% off	$1,359.01	$67,980.00	$50,135.25	2026-06-13
92973	CPT	Hc Perq Trluml Coronary Mchnl Aspir Thrombectomy	24	18	$82,311.10	$49,386.66 40% off	$2,959.00	$69,964.43	$46,505.78	2026-06-13
37277	CPT	Hc Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl	39	24	$112,934.28	$67,760.57 40% off	$10,564.28	$84,700.71	$53,079.11	2026-06-13
37276	CPT	Hc Revsc Evasc Fpvt St Athrc Uni Sf Les Ea Addl Vsl	28	19	$112,934.28	$67,760.57 40% off	$16,940.14	$95,994.14	$62,678.52	2026-06-13
37278	CPT	Hc Revsc Evsc Fpvt St Athrc Uni Cplx Les Ea Add Vsl	28	19	$112,934.28	$67,760.57 40% off	$16,940.14	$95,994.14	$62,678.52	2026-06-13
C1823	HCPCS	Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads	35	22	$84,975.00	$50,985.00 40% off	$12,746.25	$67,980.00	$50,985.00	2026-06-13
27801855	CDM	Hc Shell Generator, Neurostimulator, Non-recharge With Carotid	37	22	$84,975.00	$50,985.00 40% off	$1,359.01	$67,980.00	$50,135.25	2026-06-13
81200004	CDM	Hc Std Acq Chg Cadaver Heart	27	19	$229,516.31	$137,709.79 40% off	$34,427.45	$195,088.86	$128,529.13	2026-06-13
81200001	CDM	Hc Std Acq Chg Cadaver Kidney	27	19	$193,242.40	$115,945.44 40% off	$28,986.36	$164,256.04	$108,215.74	2026-06-13
81200003	CDM	Hc Std Acq Chg Cadaver Kidney/pancreas	27	19	$329,040.87	$197,424.52 40% off	$49,356.13	$279,684.74	$184,262.89	2026-06-13
81200002	CDM	Hc Std Acq Chg Cadaver Pancreas	27	19	$106,529.28	$63,917.57 40% off	$15,979.39	$90,549.89	$59,656.40	2026-06-13
81100001	CDM	Hc Std Acq Chg Live Donor Kidney	27	19	$128,449.36	$77,069.62 40% off	$19,267.40	$109,181.96	$71,931.64	2026-06-13
Q2053	HCPCS	Hc Tecartus (including Apheresis)	39	24	$2,711,579.72	$1,626,947.83 40% off	$406,736.96	$2,033,684.79	$807,329.49	2026-06-13
Q2041	HCPCS	Hc Yescarta (including Apheresis)	39	24	$3,255,771.50	$1,953,462.90 40% off	$488,365.72	$2,441,828.62	$877,551.05	2026-06-13
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	10	—	—	$231,931.60	$303,220.05	$256,345.46	2026-06-13
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	10	10	—	—	$95,236.57	$124,509.28	$105,261.47	2026-06-13
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	32	18	—	—	$6,566.00	$111,263.63	$65,795.13	2026-06-13
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	32	18	—	—	$6,566.00	$89,766.31	$53,393.38	2026-06-13
11	APR_DRG	Inpatient Aprdrg 0011: Liver Transplant And/or Intestinal Transplant	2	2	—	—	$42,694.32	$45,682.95	$44,188.63	2026-06-13
12	APR_DRG	Inpatient Aprdrg 0012: Liver Transplant And/or Intestinal Transplant	2	2	—	—	$44,359.91	$47,465.13	$45,912.52	2026-06-13
13	APR_DRG	Inpatient Aprdrg 0013: Liver Transplant And/or Intestinal Transplant	2	2	—	—	$57,753.42	$61,796.18	$59,774.80	2026-06-13
14	APR_DRG	Inpatient Aprdrg 0014: Liver Transplant And/or Intestinal Transplant	2	2	—	—	$112,093.72	$119,940.33	$116,017.02	2026-06-13
21	APR_DRG	Inpatient Aprdrg 0021: Heart And/or Lung Transplant	2	2	—	—	$47,957.14	$51,314.16	$49,635.65	2026-06-13
22	APR_DRG	Inpatient Aprdrg 0022: Heart And/or Lung Transplant	2	2	—	—	$61,914.61	$66,248.66	$64,081.64	2026-06-13
23	APR_DRG	Inpatient Aprdrg 0023: Heart And/or Lung Transplant	2	2	—	—	$77,072.34	$82,467.43	$79,769.88	2026-06-13
24	APR_DRG	Inpatient Aprdrg 0024: Heart And/or Lung Transplant	2	2	—	—	$312,920.92	$334,825.52	$323,873.22	2026-06-13
41	APR_DRG	Inpatient Aprdrg 0041: Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$44,687.67	$47,815.83	$46,251.75	2026-06-13
42	APR_DRG	Inpatient Aprdrg 0042: Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$54,456.63	$58,268.62	$56,362.62	2026-06-13
43	APR_DRG	Inpatient Aprdrg 0043: Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$83,289.09	$89,119.36	$86,204.23	2026-06-13
44	APR_DRG	Inpatient Aprdrg 0044: Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$129,542.70	$138,610.75	$134,076.73	2026-06-13
51	APR_DRG	Inpatient Aprdrg 0051: Tracheostomy With Mv >96 Hours Without Extensive Procedur…	2	2	—	—	$44,773.66	$47,907.83	$46,340.75	2026-06-13
52	APR_DRG	Inpatient Aprdrg 0052: Tracheostomy With Mv >96 Hours Without Extensive Procedur…	2	2	—	—	$54,810.69	$58,647.46	$56,729.07	2026-06-13
53	APR_DRG	Inpatient Aprdrg 0053: Tracheostomy With Mv >96 Hours Without Extensive Procedur…	2	2	—	—	$60,018.88	$64,220.23	$62,119.56	2026-06-13
54	APR_DRG	Inpatient Aprdrg 0054: Tracheostomy With Mv >96 Hours Without Extensive Procedur…	2	2	—	—	$83,317.41	$89,149.66	$86,233.54	2026-06-13
61	APR_DRG	Inpatient Aprdrg 0061: Pancreas Transplant	2	2	—	—	$59,203.03	$63,347.27	$61,275.15	2026-06-13
62	APR_DRG	Inpatient Aprdrg 0062: Pancreas Transplant	2	2	—	—	$59,977.41	$64,175.85	$62,076.63	2026-06-13
63	APR_DRG	Inpatient Aprdrg 0063: Pancreas Transplant	2	2	—	—	$66,311.00	$70,952.80	$68,631.90	2026-06-13
64	APR_DRG	Inpatient Aprdrg 0064: Pancreas Transplant	2	2	—	—	$102,610.53	$109,793.31	$106,201.92	2026-06-13
71	APR_DRG	Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant	2	2	—	—	$58,178.29	$62,250.79	$60,214.54	2026-06-13
72	APR_DRG	Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant	2	2	—	—	$88,600.46	$94,802.53	$91,701.49	2026-06-13
73	APR_DRG	Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant	2	2	—	—	$131,867.85	$141,098.66	$136,483.26	2026-06-13
74	APR_DRG	Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant	2	2	—	—	$373,709.63	$399,869.46	$386,789.55	2026-06-13
83	APR_DRG	Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant Or T-cell Immunotherapy	2	2	—	—	$75,463.40	$80,745.86	$78,104.63	2026-06-13
84	APR_DRG	Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant Or T-cell Immunotherapy	2	2	—	—	$111,644.57	$119,459.74	$115,552.15	2026-06-13
91	APR_DRG	Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo)	2	2	—	—	$69,322.01	$74,174.58	$71,748.29	2026-06-13
92	APR_DRG	Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo)	2	2	—	—	$71,480.75	$76,484.43	$73,982.59	2026-06-13
93	APR_DRG	Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo)	2	2	—	—	$108,683.64	$116,291.54	$112,487.59	2026-06-13
94	APR_DRG	Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo)	2	2	—	—	$221,217.40	$236,702.71	$228,960.05	2026-06-13
112	APR_DRG	Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…	2	2	—	—	$60,779.10	$65,033.66	$62,906.38	2026-06-13
113	APR_DRG	Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…	2	2	—	—	$87,459.89	$93,582.12	$90,521.01	2026-06-13
114	APR_DRG	Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…	2	2	—	—	$153,910.49	$164,684.28	$159,297.39	2026-06-13
204	APR_DRG	Inpatient Aprdrg 0204: Open Craniotomy For Trauma	2	2	—	—	$45,080.17	$48,235.80	$46,657.99	2026-06-13
214	APR_DRG	Inpatient Aprdrg 0214: Open Craniotomy Except Trauma	2	2	—	—	$53,665.57	$57,422.18	$55,543.88	2026-06-13
224	APR_DRG	Inpatient Aprdrg 0224: Ventricular Shunt Procedures	2	2	—	—	$53,260.93	$56,989.22	$55,125.07	2026-06-13
234	APR_DRG	Inpatient Aprdrg 0234: Spinal Procedures	2	2	—	—	$61,793.73	$66,119.31	$63,956.52	2026-06-13
264	APR_DRG	Inpatient Aprdrg 0264: Other Nervous System And Related Procedures	2	2	—	—	$57,650.24	$61,685.78	$59,668.01	2026-06-13
434	APR_DRG	Inpatient Aprdrg 0434: Multiple Sclerosis, Other Demyelinating Disease And Infla…	2	2	—	—	$71,561.17	$76,570.48	$74,065.82	2026-06-13
504	APR_DRG	Inpatient Aprdrg 0504: Non-bacterial Infections Of Nervous System Except Viral M…	2	2	—	—	$40,982.20	$43,850.97	$42,416.58	2026-06-13
894	APR_DRG	Inpatient Aprdrg 0894: Major Cranial Or Facial Bone Procedures	2	2	—	—	$50,106.78	$53,614.28	$51,860.53	2026-06-13
914	APR_DRG	Inpatient Aprdrg 0914: Other Major Head And Neck Procedures	2	2	—	—	$45,545.00	$48,733.17	$47,139.08	2026-06-13
1204	APR_DRG	Inpatient Aprdrg 1204: Major Respiratory And Chest Procedures	2	2	—	—	$50,843.22	$54,402.27	$52,622.74	2026-06-13
1214	APR_DRG	Inpatient Aprdrg 1214: Other Respiratory And Chest Procedures	2	2	—	—	$47,449.83	$50,771.34	$49,110.58	2026-06-13
1304	APR_DRG	Inpatient Aprdrg 1304: Respiratory System Diagnosis With Ventilator Support > 96…	2	2	—	—	$50,027.88	$53,529.85	$51,778.86	2026-06-13
1603	APR_DRG	Inpatient Aprdrg 1603: Major Cardiothoracic Repair Of Heart Anomaly	2	2	—	—	$46,315.83	$49,557.96	$47,936.90	2026-06-13
1604	APR_DRG	Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly	2	2	—	—	$109,599.63	$117,271.65	$113,435.64	2026-06-13
1611	APR_DRG	Inpatient Aprdrg 1611: Implantable Heart Assist Systems	2	2	—	—	$83,907.17	$89,780.71	$86,843.94	2026-06-13
1612	APR_DRG	Inpatient Aprdrg 1612: Implantable Heart Assist Systems	2	2	—	—	$88,471.48	$94,664.52	$91,568.00	2026-06-13
1613	APR_DRG	Inpatient Aprdrg 1613: Implantable Heart Assist Systems	2	2	—	—	$123,074.57	$131,689.84	$127,382.21	2026-06-13
1614	APR_DRG	Inpatient Aprdrg 1614: Implantable Heart Assist Systems	2	2	—	—	$236,130.82	$252,660.08	$244,395.45	2026-06-13
1623	APR_DRG	Inpatient Aprdrg 1623: Cardiac Valve Procedures With Ami Or Complex Principal Di…	2	2	—	—	$53,793.03	$57,558.56	$55,675.79	2026-06-13
1624	APR_DRG	Inpatient Aprdrg 1624: Cardiac Valve Procedures With Ami Or Complex Principal Di…	2	2	—	—	$95,607.27	$102,299.81	$98,953.54	2026-06-13
1634	APR_DRG	Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Principal…	2	2	—	—	$56,981.07	$60,969.77	$58,975.42	2026-06-13
1654	APR_DRG	Inpatient Aprdrg 1654: Coronary Bypass With Ami Or Complex Principal Diagnosis	2	2	—	—	$49,282.84	$52,732.66	$51,007.75	2026-06-13
1674	APR_DRG	Inpatient Aprdrg 1674: Other Cardiothoracic And Thoracic Vascular Procedures	2	2	—	—	$72,654.70	$77,740.56	$75,197.63	2026-06-13
1694	APR_DRG	Inpatient Aprdrg 1694: Major Abdominal Vascular Procedures	2	2	—	—	$51,050.60	$54,624.16	$52,837.38	2026-06-13
1782	APR_DRG	Inpatient Aprdrg 1782: External Heart Assist Systems	2	2	—	—	$40,748.02	$43,600.40	$42,174.21	2026-06-13
1783	APR_DRG	Inpatient Aprdrg 1783: External Heart Assist Systems	2	2	—	—	$47,477.14	$50,800.56	$49,138.85	2026-06-13
1784	APR_DRG	Inpatient Aprdrg 1784: External Heart Assist Systems	2	2	—	—	$74,189.29	$79,382.57	$76,785.93	2026-06-13
1814	APR_DRG	Inpatient Aprdrg 1814: Lower Extremity Arterial Procedures	2	2	—	—	$44,341.71	$47,445.64	$45,893.68	2026-06-13
1824	APR_DRG	Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures	2	2	—	—	$57,014.96	$61,006.03	$59,010.49	2026-06-13
1833	APR_DRG	Inpatient Aprdrg 1833: Percutaneous Structural Cardiac Procedures	2	2	—	—	$41,827.39	$44,755.32	$43,291.35	2026-06-13
1834	APR_DRG	Inpatient Aprdrg 1834: Percutaneous Structural Cardiac Procedures	2	2	—	—	$42,880.46	$45,882.11	$44,381.29	2026-06-13
2004	APR_DRG	Inpatient Aprdrg 2004: Cardiac Structural And Valvular Disorders	2	2	—	—	$143,025.23	$153,037.05	$148,031.14	2026-06-13
2054	APR_DRG	Inpatient Aprdrg 2054: Cardiomyopathy	2	2	—	—	$55,876.41	$59,787.78	$57,832.10	2026-06-13
2204	APR_DRG	Inpatient Aprdrg 2204: Major Stomach, Esophageal And Duodenal Procedures	2	2	—	—	$63,214.51	$67,639.55	$65,427.03	2026-06-13
2244	APR_DRG	Inpatient Aprdrg 2244: Peritoneal Adhesiolysis	2	2	—	—	$46,241.98	$49,478.94	$47,860.46	2026-06-13
2274	APR_DRG	Inpatient Aprdrg 2274: Hernia Procedures Except Inguinal, Femoral And Umbilical	2	2	—	—	$44,206.15	$47,300.60	$45,753.38	2026-06-13
2304	APR_DRG	Inpatient Aprdrg 2304: Major Small Bowel Procedures	2	2	—	—	$53,471.85	$57,214.90	$55,343.38	2026-06-13
2464	APR_DRG	Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency	2	2	—	—	$106,281.10	$113,720.82	$110,000.96	2026-06-13
2604	APR_DRG	Inpatient Aprdrg 2604: Major Pancreas, Liver And Shunt Procedures	2	2	—	—	$48,039.59	$51,402.38	$49,720.99	2026-06-13
2614	APR_DRG	Inpatient Aprdrg 2614: Major Biliary Tract Procedures	2	2	—	—	$42,200.16	$45,154.19	$43,677.18	2026-06-13
3032	APR_DRG	Inpatient Aprdrg 3032: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$41,400.50	$44,298.55	$42,849.53	2026-06-13
3033	APR_DRG	Inpatient Aprdrg 3033: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$57,060.98	$61,055.28	$59,058.13	2026-06-13
3034	APR_DRG	Inpatient Aprdrg 3034: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$67,451.06	$72,172.67	$69,811.86	2026-06-13
3044	APR_DRG	Inpatient Aprdrg 3044: Dorsal And Lumbar Fusion Procedure Except For Curvature O…	2	2	—	—	$56,034.72	$59,957.17	$57,995.94	2026-06-13
3154	APR_DRG	Inpatient Aprdrg 3154: Shoulder, Upper Arm And Forearm Procedures Except Joint R…	2	2	—	—	$51,224.59	$54,810.33	$53,017.46	2026-06-13
3614	APR_DRG	Inpatient Aprdrg 3614: Skin Graft For Skin And Subcutaneous Tissue Diagnoses	2	2	—	—	$45,791.32	$48,996.73	$47,394.03	2026-06-13
4403	APR_DRG	Inpatient Aprdrg 4403: Kidney Transplant	2	2	—	—	$51,228.13	$54,814.12	$53,021.12	2026-06-13
4404	APR_DRG	Inpatient Aprdrg 4404: Kidney Transplant	2	2	—	—	$83,699.79	$89,558.81	$86,629.30	2026-06-13
4414	APR_DRG	Inpatient Aprdrg 4414: Major Bladder Procedures	2	2	—	—	$79,210.34	$84,755.10	$81,982.72	2026-06-13
4424	APR_DRG	Inpatient Aprdrg 4424: Kidney And Urinary Tract Procedures For Malignancy	2	2	—	—	$52,969.09	$56,676.94	$54,823.01	2026-06-13
4474	APR_DRG	Inpatient Aprdrg 4474: Other Kidney, Urinary Tract And Related Procedures	2	2	—	—	$62,722.87	$67,113.50	$64,918.18	2026-06-13
4834	APR_DRG	Inpatient Aprdrg 4834: Penis, Testes And Scrotal Procedures	2	2	—	—	$50,650.01	$54,195.53	$52,422.77	2026-06-13
5831	APR_DRG	Inpatient Aprdrg 5831: Neonate With Ecmo	2	2	—	—	$142,719.22	$152,709.63	$147,714.42	2026-06-13
5832	APR_DRG	Inpatient Aprdrg 5832: Neonate With Ecmo	2	2	—	—	$162,085.18	$173,431.21	$167,758.20	2026-06-13
5833	APR_DRG	Inpatient Aprdrg 5833: Neonate With Ecmo	2	2	—	—	$325,291.20	$348,061.72	$336,676.46	2026-06-13
5834	APR_DRG	Inpatient Aprdrg 5834: Neonate With Ecmo	2	2	—	—	$384,158.39	$411,049.63	$397,604.01	2026-06-13
5881	APR_DRG	Inpatient Aprdrg 5881: Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$122,424.12	$130,993.86	$126,708.99	2026-06-13
5882	APR_DRG	Inpatient Aprdrg 5882: Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$129,878.55	$138,970.11	$134,424.33	2026-06-13
5883	APR_DRG	Inpatient Aprdrg 5883: Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$130,474.89	$139,608.18	$135,041.54	2026-06-13
5884	APR_DRG	Inpatient Aprdrg 5884: Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$243,165.95	$260,187.67	$251,676.81	2026-06-13
5891	APR_DRG	Inpatient Aprdrg 5891: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999…	2	2	—	—	$102,602.44	$109,784.65	$106,193.54	2026-06-13
5892	APR_DRG	Inpatient Aprdrg 5892: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999…	2	2	—	—	$99,442.72	$106,403.76	$102,923.24	2026-06-13
5893	APR_DRG	Inpatient Aprdrg 5893: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999…	2	2	—	—	$93,275.04	$99,804.33	$96,539.68	2026-06-13
5911	APR_DRG	Inpatient Aprdrg 5911: Neonate Birth Weight 500-749 Grams Without Major Procedur…	2	2	—	—	$48,303.11	$51,684.35	$49,993.73	2026-06-13
5912	APR_DRG	Inpatient Aprdrg 5912: Neonate Birth Weight 500-749 Grams Without Major Procedur…	2	2	—	—	$66,993.82	$71,683.42	$69,338.62	2026-06-13
5913	APR_DRG	Inpatient Aprdrg 5913: Neonate Birth Weight 500-749 Grams Without Major Procedur…	2	2	—	—	$81,139.95	$86,819.79	$83,979.87	2026-06-13
5914	APR_DRG	Inpatient Aprdrg 5914: Neonate Birth Weight 500-749 Grams Without Major Procedur…	2	2	—	—	$123,219.74	$131,845.17	$127,532.46	2026-06-13
5932	APR_DRG	Inpatient Aprdrg 5932: Neonate Birth Weight 750-999 Grams Without Major Procedur…	2	2	—	—	$57,401.38	$61,419.50	$59,410.44	2026-06-13
5933	APR_DRG	Inpatient Aprdrg 5933: Neonate Birth Weight 750-999 Grams Without Major Procedur…	2	2	—	—	$73,061.37	$78,175.69	$75,618.53	2026-06-13
5934	APR_DRG	Inpatient Aprdrg 5934: Neonate Birth Weight 750-999 Grams Without Major Procedur…	2	2	—	—	$102,295.42	$109,456.14	$105,875.78	2026-06-13
6022	APR_DRG	Inpatient Aprdrg 6022: Neonate Birth Weight 1000-1249 Grams With Respiratory Dis…	2	2	—	—	$45,919.79	$49,134.20	$47,526.99	2026-06-13
6023	APR_DRG	Inpatient Aprdrg 6023: Neonate Birth Weight 1000-1249 Grams With Respiratory Dis…	2	2	—	—	$60,776.57	$65,030.95	$62,903.76	2026-06-13
6024	APR_DRG	Inpatient Aprdrg 6024: Neonate Birth Weight 1000-1249 Grams With Respiratory Dis…	2	2	—	—	$94,038.28	$100,621.00	$97,329.64	2026-06-13
6033	APR_DRG	Inpatient Aprdrg 6033: Neonate Birth Weight 1000-1249 Grams With Or Without Sign…	2	2	—	—	$40,321.63	$43,144.16	$41,732.90	2026-06-13
6034	APR_DRG	Inpatient Aprdrg 6034: Neonate Birth Weight 1000-1249 Grams With Or Without Sign…	2	2	—	—	$105,732.82	$113,134.16	$109,433.49	2026-06-13
6073	APR_DRG	Inpatient Aprdrg 6073: Neonate Birth Weight 1250-1499 Grams With Respiratory Dis…	2	2	—	—	$42,049.43	$44,992.91	$43,521.17	2026-06-13
6074	APR_DRG	Inpatient Aprdrg 6074: Neonate Birth Weight 1250-1499 Grams With Respiratory Dis…	2	2	—	—	$66,338.31	$70,982.02	$68,660.17	2026-06-13
6084	APR_DRG	Inpatient Aprdrg 6084: Neonate Birth Weight 1250-1499 Grams With Or Without Sign…	2	2	—	—	$80,909.82	$86,573.54	$83,741.68	2026-06-13
6093	APR_DRG	Inpatient Aprdrg 6093: Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$57,685.14	$61,723.12	$59,704.13	2026-06-13
6094	APR_DRG	Inpatient Aprdrg 6094: Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$179,328.30	$191,881.36	$185,604.83	2026-06-13
6114	APR_DRG	Inpatient Aprdrg 6114: Neonate Birth Weight 1500-1999 Grams With Major Anomaly	2	2	—	—	$72,977.40	$78,085.85	$75,531.62	2026-06-13
6124	APR_DRG	Inpatient Aprdrg 6124: Neonate Birth Weight 1500-1999 Grams With Respiratory Dis…	2	2	—	—	$46,759.42	$50,032.59	$48,396.00	2026-06-13
6134	APR_DRG	Inpatient Aprdrg 6134: Neonate Birth Weight 1500-1999 Grams With Congenital Or P…	2	2	—	—	$62,870.06	$67,270.99	$65,070.53	2026-06-13
6144	APR_DRG	Inpatient Aprdrg 6144: Neonate Birth Weight 1500-1999 Grams With Or Without Othe…	2	2	—	—	$53,884.58	$57,656.52	$55,770.55	2026-06-13
6214	APR_DRG	Inpatient Aprdrg 6214: Neonate Birth Weight 2000-2499 Grams With Major Anomaly	2	2	—	—	$89,299.98	$95,551.01	$92,425.49	2026-06-13
6234	APR_DRG	Inpatient Aprdrg 6234: Neonate Birth Weight 2000-2499 Grams With Congenital Or P…	2	2	—	—	$44,051.88	$47,135.53	$45,593.71	2026-06-13
6254	APR_DRG	Inpatient Aprdrg 6254: Neonate Birth Weight 2000-2499 Grams With Other Significa…	2	2	—	—	$46,894.46	$50,177.09	$48,535.77	2026-06-13
6303	APR_DRG	Inpatient Aprdrg 6303: Neonate Birth Weight > 2499 Grams With Major Cardiovascul…	2	2	—	—	$85,276.36	$91,245.74	$88,261.05	2026-06-13
6304	APR_DRG	Inpatient Aprdrg 6304: Neonate Birth Weight > 2499 Grams With Major Cardiovascul…	2	2	—	—	$180,931.68	$193,596.97	$187,264.33	2026-06-13
6313	APR_DRG	Inpatient Aprdrg 6313: Neonate Birth Weight > 2499 Grams With Other Major Proced…	2	2	—	—	$47,276.34	$50,585.70	$48,931.02	2026-06-13
6314	APR_DRG	Inpatient Aprdrg 6314: Neonate Birth Weight > 2499 Grams With Other Major Proced…	2	2	—	—	$127,697.56	$136,636.44	$132,167.00	2026-06-13
6334	APR_DRG	Inpatient Aprdrg 6334: Neonate Birth Weight > 2499 Grams With Major Anomaly	2	2	—	—	$67,864.81	$72,615.37	$70,240.09	2026-06-13
6514	APR_DRG	Inpatient Aprdrg 6514: Other Procedures Of Blood And Blood-forming Organs	2	2	—	—	$54,627.09	$58,451.01	$56,539.05	2026-06-13
6604	APR_DRG	Inpatient Aprdrg 6604: Major Hematologic Or Immunologic Diagnoses Except Sickle …	2	2	—	—	$44,060.99	$47,145.28	$45,603.13	2026-06-13
6804	APR_DRG	Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic, Hematopoietic Or Oth…	2	2	—	—	$81,139.95	$86,819.79	$83,979.87	2026-06-13
6814	APR_DRG	Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic, Hematopoietic Or Ot…	2	2	—	—	$109,660.84	$117,337.14	$113,498.99	2026-06-13
6904	APR_DRG	Inpatient Aprdrg 6904: Acute Leukemia	2	2	—	—	$72,002.23	$77,042.41	$74,522.32	2026-06-13
6954	APR_DRG	Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia	2	2	—	—	$55,804.58	$59,710.93	$57,757.76	2026-06-13
7104	APR_DRG	Inpatient Aprdrg 7104: Infectious And Parasitic Diseases Including HIV With O.r.…	2	2	—	—	$40,678.72	$43,526.25	$42,102.49	2026-06-13
7924	APR_DRG	Inpatient Aprdrg 7924: Extensive O.r. Procedures For Other Complications Of Trea…	2	2	—	—	$56,048.38	$59,971.79	$58,010.08	2026-06-13
8413	APR_DRG	Inpatient Aprdrg 8413: Extensive Third Degree Burns With Skin Graft	2	2	—	—	$55,747.43	$59,649.77	$57,698.60	2026-06-13
8414	APR_DRG	Inpatient Aprdrg 8414: Extensive Third Degree Burns With Skin Graft	2	2	—	—	$128,985.82	$138,014.88	$133,500.35	2026-06-13
8424	APR_DRG	Inpatient Aprdrg 8424: Burns With Skin Graft Except Extensive Third Degree Burns	2	2	—	—	$44,002.32	$47,082.50	$45,542.41	2026-06-13
8504	APR_DRG	Inpatient Aprdrg 8504: Procedure With Diagnosis Of Rehabilitation, Aftercare Or …	2	2	—	—	$124,333.50	$133,036.90	$128,685.20	2026-06-13
8634	APR_DRG	Inpatient Aprdrg 8634: Neonatal Aftercare	2	2	—	—	$86,103.34	$92,130.61	$89,116.98	2026-06-13
9104	APR_DRG	Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma	2	2	—	—	$61,570.16	$65,880.10	$63,725.13	2026-06-13
9114	APR_DRG	Inpatient Aprdrg 9114: Extensive Abdominal Or Thoracic Procedures For Multiple S…	2	2	—	—	$52,162.84	$55,814.27	$53,988.55	2026-06-13
9124	APR_DRG	Inpatient Aprdrg 9124: Musculoskeletal And Other Procedures For Multiple Signifi…	2	2	—	—	$50,040.52	$53,543.38	$51,791.95	2026-06-13
9504	APR_DRG	Inpatient Aprdrg 9504: Extensive O.r. Procedure Unrelated To Principal Diagnosis	2	2	—	—	$59,742.21	$63,924.19	$61,833.20	2026-06-13
9514	APR_DRG	Inpatient Aprdrg 9514: Moderately Extensive O.r. Procedure Unrelated To Principa…	2	2	—	—	$41,663.51	$44,579.97	$43,121.74	2026-06-13
9524	APR_DRG	Inpatient Aprdrg 9524: Non-extensive O.r. Procedure Unrelated To Principal Diagn…	2	2	—	—	$52,643.86	$56,328.95	$54,486.40	2026-06-13
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	32	18	—	—	$6,566.00	$96,222.60	$57,094.63	2026-06-13
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	30	17	—	—	$6,566.00	$143,027.01	$85,497.05	2026-06-13
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	10	10	—	—	$40,938.82	$84,625.20	$45,248.18	2026-06-13
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	11	10	—	—	$86,872.91	$113,574.90	$96,017.43	2026-06-13
6	MS_DRG	Liver Transplant Without Mcc	9	9	—	—	$40,411.47	$52,832.68	$44,665.31	2026-06-13
7	MS_DRG	Lung Transplant	9	9	—	—	$108,489.96	$141,836.35	$119,909.96	2026-06-13
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	32	18	—	—	$6,566.00	$106,601.36	$63,083.73	2026-06-13
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	32	18	—	—	$6,566.00	$83,335.48	$49,598.02	2026-06-13
653	MS_DRG	Major Bladder Procedures With Mcc	30	18	—	—	$44,992.49	$94,452.21	$56,983.52	2026-06-13
163	MS_DRG	Major Chest Procedures With Mcc	32	18	—	—	$6,566.00	$88,551.00	$51,438.83	2026-06-13
140	MS_DRG	Major Head And Neck Procedures With Mcc	32	18	—	—	$6,566.00	$77,528.10	$46,190.51	2026-06-13
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	30	18	—	—	$40,029.20	$83,548.14	$50,582.81	2026-06-13
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	29	18	—	—	$37,904.00	$200,326.51	$117,085.87	2026-06-13
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	29	18	—	—	$37,904.00	$131,208.67	$76,907.44	2026-06-13
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	29	18	—	—	$37,904.00	$102,188.11	$59,864.24	2026-06-13
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	29	18	—	—	$37,904.00	$121,447.90	$71,155.36	2026-06-13
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	29	18	—	—	$36,896.48	$77,082.77	$45,164.48	2026-06-13
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	32	18	—	—	$6,566.00	$85,025.89	$50,641.89	2026-06-13
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	32	18	—	—	$6,566.00	$70,250.24	$41,805.65	2026-06-13
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	33	19	—	—	$42,953.37	$122,629.32	$58,493.11	2026-06-13
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	32	18	—	—	$6,566.00	$79,845.60	$47,530.56	2026-06-13
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	33	19	—	—	$6,764.00	$86,842.00	$50,968.70	2026-06-13
215	MS_DRG	Other Heart Assist System Implant	32	18	—	—	$6,566.00	$246,800.38	$106,085.70	2026-06-13
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	30	18	—	—	$36,113.30	$75,486.88	$45,809.67	2026-06-13
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	32	18	—	—	$6,566.00	$76,370.26	$45,467.49	2026-06-13
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	30	18	—	—	$45,646.82	$130,781.64	$61,036.29	2026-06-13
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	33	19	—	—	$9,711.00	$76,593.83	$44,844.92	2026-06-13
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	33	19	—	—	$9,711.00	$138,502.88	$81,168.24	2026-06-13
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	32	18	—	—	$6,566.00	$72,416.87	$43,100.07	2026-06-13
10	MS_DRG	Pancreas Transplant	10	10	—	—	$55,799.95	$80,012.77	$67,566.34	2026-06-13
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	30	18	—	—	$47,237.16	$99,434.38	$59,908.07	2026-06-13
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	30	18	—	—	$36,222.68	$79,688.16	$48,084.47	2026-06-13
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	33	19	—	—	$33,589.72	$70,182.99	$41,688.00	2026-06-13
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	32	18	—	—	$6,566.00	$82,679.31	$49,239.78	2026-06-13
791	MS_DRG	Prematurity With Major Problems	26	16	—	—	$35,330.12	$67,600.60	$42,654.86	2026-06-13
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	30	18	—	—	$55,133.18	$116,960.13	$70,195.73	2026-06-13
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	33	19	—	—	$37,122.00	$100,547.51	$58,918.12	2026-06-13
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	30	18	—	—	$59,040.28	$125,632.13	$75,286.21	2026-06-13
C1604	HCPCS	Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass …	36	22	$84,975.00	$50,985.00 40% off	$12,746.25	$67,980.00	$50,560.12	2026-06-13
C1605	HCPCS	Shell C1605, Ptd, Pacemaker, Leadless, Dual Chamber, Rate-responsive, Including …	36	22	$81,576.00	$48,945.60 40% off	$12,236.40	$65,260.80	$48,537.72	2026-06-13
27801917	CDM	Shell Generator, Cardiac Contractility Modulation	37	22	$84,975.00	$50,985.00 40% off	$1,359.01	$67,980.00	$50,135.25	2026-06-13
27802052	CDM	Shell, No Hcpcs, For Lvad Implants Only	197	22	$100,860.00	$60,516.00 40% off	$388.14	$186,820.27	$70,602.00	2026-06-13
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	9	9	—	—	$48,335.33	$63,192.08	$53,423.25	2026-06-13
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	11	10	—	—	$60,864.81	$79,572.73	$67,271.63	2026-06-13
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	29	18	—	—	$34,982.04	$73,078.50	$42,821.04	2026-06-13
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	29	18	—	—	$37,904.00	$96,873.31	$56,775.16	2026-06-13
Q2043	HCPCS	Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension	42	25	$187,807.50	$112,684.50 40% off	$28,171.12	$140,855.62	$87,330.49	2026-06-13
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	32	18	—	—	$6,566.00	$89,086.51	$52,986.90	2026-06-13
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	30	18	—	—	$56,088.86	$119,081.33	$71,440.86	2026-06-13
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	19	—	—	$37,499.00	$152,744.15	$89,741.73	2026-06-13
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	19	—	—	$37,499.00	$108,388.11	$64,124.75	2026-06-13
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	19	—	—	$36,287.34	$75,843.14	$45,148.29	2026-06-13
28	MS_DRG	Spinal Procedures With Mcc	33	19	—	—	$27,500.00	$109,209.68	$64,018.52	2026-06-13
799	MS_DRG	Splenic Procedures With Mcc	30	18	—	—	$39,420.06	$82,319.41	$49,861.55	2026-06-13
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	30	18	—	—	$43,280.96	$90,653.33	$54,753.57	2026-06-13
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	32	18	—	—	$6,566.00	$76,632.00	$45,653.18	2026-06-13
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	32	18	—	—	$6,566.00	$99,136.29	$58,775.87	2026-06-13
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	32	18	—	—	$6,566.00	$251,769.56	$146,946.20	2026-06-13
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	32	19	—	—	$27,798.00	$107,516.72	$63,109.54	2026-06-13
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	32	19	—	—	$27,798.00	$69,661.22	$42,016.06	2026-06-13
31	MS_DRG	Ventricular Shunt Procedures With Mcc	33	19	—	—	$37,336.00	$81,439.67	$47,720.96	2026-06-13
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	33	19	—	—	$9,711.00	$103,596.79	$60,716.40	2026-06-13
901	MS_DRG	Wound Debridements For Injuries With Mcc	32	18	—	—	$6,566.00	$76,279.37	$45,440.01	2026-06-13

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