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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

BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE

Temple, TX · CCN 450054 · Rates published

21,270 distinct procedures filed
34 distinct payers
1,490,882 rate rows
2026-02-21 last MRF observed
Data quality

1,457,401 of 1,490,882 rate rows are consumer-grade (97.8%)

33,481 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
template filing: same amount across many unrelated codes — excluded 22,211
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,548
placeholder amount (≤ $0.02) — excluded from medians 2,645
per-diem day rate — not a per-procedure price 1,515
exceeds 10× this hospital's gross charge — excluded from medians 562
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/741166904_baylor-scott--white-pavilion--temple_standardcharges.csv
Found on page https://www.bswhealth.com/patient-tools/patient-registration-and-billing/estimate-your-cost-care/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint e9e57fca7689d3c2… · 53,290,932 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
Q2041
HCPCS 		Hc Yescarta (including Apheresis) 30 $437,231.40 $2,623,388.40 $1,514,278.08 nat. median
$634,511
outlier · 2.4×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $207,420.40 $703,268.29 $391,021.82 nat. median
$370,174
1.1× median
5834
APR_DRG 		Inpatient Aprdrg 5834: Neonate W Ecmo 1 $382,571.77 $382,571.77 $382,571.77 nat. median
$309,665
1.2× median
74
APR_DRG 		Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 1 $372,166.17 $372,166.17 $372,166.17 nat. median
$187,294
2.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $130,000.00 $525,282.46 $327,641.23 nat. median
$265,286
1.2× median
5833
APR_DRG 		Inpatient Aprdrg 5833: Neonate W Ecmo 1 $323,947.71 $323,947.71 $323,947.71 nat. median
$244,017
1.3× median
24
APR_DRG 		Inpatient Aprdrg 0024: Heart &/or Lung Transplant 1 $311,628.52 $311,628.52 $311,628.52 nat. median
$234,738
1.3× median
5884
APR_DRG 		Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 1 $242,161.65 $242,161.65 $242,161.65 nat. median
$246,434
1.0× median
1614
APR_DRG 		Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 1 $235,155.58 $235,155.58 $235,155.58 nat. median
$207,730
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $6,368.00 $442,382.77 $231,239.18 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $6,368.00 $399,656.48 $221,368.67 nat. median
$202,986
1.1× median
94
APR_DRG 		Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 1 $220,303.75 $220,303.75 $220,303.75 nat. median
$164,834
1.3× median
27801347-807157
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 25 $46,014.30 $276,085.80 $199,395.30 nat. median
$199,395
1.0× median
27500234
CDM 		Hc Heartmate 3 Lvad Implant 25 $44,216.81 $265,300.88 $191,606.19 nat. median
$163,468
1.2× median
81200003
CDM 		Hc Std Acq Chg Cadaver Kidney/pancreas 20 $47,457.82 $284,746.91 $180,339.71 nat. median
$150,283
1.2× median
6304
APR_DRG 		Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 $180,184.41 $180,184.41 $180,184.41 nat. median
$150,721
1.2× median
6094
APR_DRG 		Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 1 $178,587.66 $178,587.66 $178,587.66 nat. median
$162,982
1.1× median
5832
APR_DRG 		Inpatient Aprdrg 5832: Neonate W Ecmo 1 $161,415.75 $161,415.75 $161,415.75 nat. median
$156,126
1.0× median
114
APR_DRG 		Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 $153,274.82 $153,274.82 $153,274.82 nat. median
$117,173
1.3× median
27802052-445170
CDM 		Shell, No Hcpcs, For Lvad Implants Only 25 $35,028.80 $210,172.81 $151,791.47 nat. median
$151,791
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $6,182.00 $263,496.24 $147,966.35 nat. median
$133,176
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $60,608.35 $274,596.97 $142,804.17 nat. median
$108,660
1.3× median
2004
APR_DRG 		Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders 1 $142,434.52 $142,434.52 $142,434.52 nat. median
$32,636
outlier · 4.4×
81200017
CDM 		Hc Std Acq Chg Cadaver Liver/kidney 20 $37,409.28 $224,455.68 $142,155.27 nat. median
$144,649
1.0× median
5831
APR_DRG 		Inpatient Aprdrg 5831: Neonate W Ecmo 1 $142,129.78 $142,129.78 $142,129.78 nat. median
$145,122
1.0× median
27800187
CDM 		Hc Kit, Heartmate Ii Vad Implant 25 $32,287.50 $193,725.00 $139,912.50 nat. median
$132,707
1.1× median
27802052-778176
CDM 		Shell, No Hcpcs, For Lvad Implants Only 25 $32,287.50 $193,725.00 $139,912.50 nat. median
$139,912
1.0× median
27801347-1196342
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 25 $31,069.80 $186,418.80 $134,635.80 nat. median
$134,636
1.0× median
27801850
CDM 		Hc Heartware Hvad Pump 25 $31,069.80 $186,418.80 $134,635.80 nat. median
$134,636
1.0× median
73
APR_DRG 		Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 1 $131,323.22 $131,323.22 $131,323.22 nat. median
$89,273
1.5× median
5883
APR_DRG 		Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure 1 $129,936.01 $129,936.01 $129,936.01 nat. median
$182,736
0.7× median
27801347-98612
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 25 $29,889.00 $179,334.00 $129,519.00 nat. median
$129,519
1.0× median
5882
APR_DRG 		Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure 1 $129,342.14 $129,342.14 $129,342.14 nat. median
$145,336
0.9× median
27500176-389049
CDM 		Hc Shell Cardio-defib Other Than Single Or Dual Chamber 25 $29,792.07 $178,752.42 $129,098.97 nat. median
$129,099
1.0× median
44
APR_DRG 		Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 $129,007.68 $129,007.68 $129,007.68 nat. median
$105,658
1.2× median
8414
APR_DRG 		Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft 1 $128,453.10 $128,453.10 $128,453.10 nat. median
$160,267
0.8× median
6314
APR_DRG 		Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure 1 $127,170.15 $127,170.15 $127,170.15 nat. median
$122,924
1.0× median
81200004
CDM 		Hc Std Acq Chg Cadaver Heart 20 $33,103.31 $198,619.88 $125,792.60 nat. median
$121,379
1.0× median
8504
APR_DRG 		Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea… 1 $123,819.99 $123,819.99 $123,819.99 nat. median
$73,845
1.7× median
5914
APR_DRG 		Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure 1 $122,710.82 $122,710.82 $122,710.82 nat. median
$164,279
0.7× median
1613
APR_DRG 		Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant 1 $122,566.26 $122,566.26 $122,566.26 nat. median
$119,796
1.0× median
5881
APR_DRG 		Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure 1 $121,918.49 $121,918.49 $121,918.49 nat. median
$124,573
1.0× median
27802052-389434
CDM 		Shell, No Hcpcs, For Lvad Implants Only 25 $26,937.00 $161,622.00 $116,727.00 nat. median
$116,727
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 $43,600.15 $189,830.00 $116,715.07 nat. median
$71,240
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 19 $6,368.00 $203,149.45 $114,613.60 nat. median
$102,358
1.1× median
14
APR_DRG 		Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant 1 $111,630.76 $111,630.76 $111,630.76 nat. median
$129,535
0.9× median
84
APR_DRG 		Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant 1 $111,183.47 $111,183.47 $111,183.47 nat. median
$79,774
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $58,571.70 $202,084.06 $110,714.34 nat. median
$100,136
1.1× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 20 $29,926.05 $189,830.00 $109,878.02 nat. median
$53,171
outlier · 2.1×
6814
APR_DRG 		Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N… 1 $109,207.92 $109,207.92 $109,207.92 nat. median
$73,428
1.5× median

Other procedures at this hospital

Browse this hospital's 21,270 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 Inpatient Aprdrg 5834: Neonate W Ecmo 1 1 — — $382,571.77 $382,571.77 $382,571.77 2026-02-21
74 APR_DRG Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 1 1 — — $372,166.17 $372,166.17 $372,166.17 2026-02-21
5833 APR_DRG Inpatient Aprdrg 5833: Neonate W Ecmo 1 1 — — $323,947.71 $323,947.71 $323,947.71 2026-02-21
24 APR_DRG Inpatient Aprdrg 0024: Heart &/or Lung Transplant 1 1 — — $311,628.52 $311,628.52 $311,628.52 2026-02-21
5884 APR_DRG Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 1 1 — — $242,161.65 $242,161.65 $242,161.65 2026-02-21
1614 APR_DRG Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $235,155.58 $235,155.58 $235,155.58 2026-02-21
94 APR_DRG Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $220,303.75 $220,303.75 $220,303.75 2026-02-21
6304 APR_DRG Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $180,184.41 $180,184.41 $180,184.41 2026-02-21
6094 APR_DRG Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $178,587.66 $178,587.66 $178,587.66 2026-02-21
5832 APR_DRG Inpatient Aprdrg 5832: Neonate W Ecmo 1 1 — — $161,415.75 $161,415.75 $161,415.75 2026-02-21
114 APR_DRG Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $153,274.82 $153,274.82 $153,274.82 2026-02-21
2004 APR_DRG Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders 1 1 — — $142,434.52 $142,434.52 $142,434.52 2026-02-21
5831 APR_DRG Inpatient Aprdrg 5831: Neonate W Ecmo 1 1 — — $142,129.78 $142,129.78 $142,129.78 2026-02-21
73 APR_DRG Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 1 1 — — $131,323.22 $131,323.22 $131,323.22 2026-02-21
5883 APR_DRG Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure 1 1 — — $129,936.01 $129,936.01 $129,936.01 2026-02-21
5882 APR_DRG Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure 1 1 — — $129,342.14 $129,342.14 $129,342.14 2026-02-21
44 APR_DRG Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $129,007.68 $129,007.68 $129,007.68 2026-02-21
8414 APR_DRG Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft 1 1 — — $128,453.10 $128,453.10 $128,453.10 2026-02-21
6314 APR_DRG Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $127,170.15 $127,170.15 $127,170.15 2026-02-21
8504 APR_DRG Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea… 1 1 — — $123,819.99 $123,819.99 $123,819.99 2026-02-21
5914 APR_DRG Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $122,710.82 $122,710.82 $122,710.82 2026-02-21
1613 APR_DRG Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $122,566.26 $122,566.26 $122,566.26 2026-02-21
5881 APR_DRG Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure 1 1 — — $121,918.49 $121,918.49 $121,918.49 2026-02-21
14 APR_DRG Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant 1 1 — — $111,630.76 $111,630.76 $111,630.76 2026-02-21
84 APR_DRG Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant 1 1 — — $111,183.47 $111,183.47 $111,183.47 2026-02-21
6814 APR_DRG Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N… 1 1 — — $109,207.92 $109,207.92 $109,207.92 2026-02-21
1604 APR_DRG Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $109,146.98 $109,146.98 $109,146.98 2026-02-21
93 APR_DRG Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $108,234.76 $108,234.76 $108,234.76 2026-02-21
2464 APR_DRG Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency 1 1 — — $105,842.15 $105,842.15 $105,842.15 2026-02-21
6034 APR_DRG Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con… 1 1 — — $105,296.13 $105,296.13 $105,296.13 2026-02-21
64 APR_DRG Inpatient Aprdrg 0064: Pancreas Transplant 1 1 — — $102,186.74 $102,186.74 $102,186.74 2026-02-21
5891 APR_DRG Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $102,178.68 $102,178.68 $102,178.68 2026-02-21
5934 APR_DRG Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $101,872.93 $101,872.93 $101,872.93 2026-02-21
5892 APR_DRG Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $99,032.02 $99,032.02 $99,032.02 2026-02-21
1624 APR_DRG Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $95,212.40 $95,212.40 $95,212.40 2026-02-21
6024 APR_DRG Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $93,649.90 $93,649.90 $93,649.90 2026-02-21
5893 APR_DRG Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $92,889.80 $92,889.80 $92,889.80 2026-02-21
6214 APR_DRG Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly 1 1 — — $88,931.16 $88,931.16 $88,931.16 2026-02-21
72 APR_DRG Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant 1 1 — — $88,234.53 $88,234.53 $88,234.53 2026-02-21
1612 APR_DRG Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $88,106.08 $88,106.08 $88,106.08 2026-02-21
113 APR_DRG Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $87,098.67 $87,098.67 $87,098.67 2026-02-21
8634 APR_DRG Inpatient Aprdrg 8634: Neonatal Aftercare 1 1 — — $85,747.72 $85,747.72 $85,747.72 2026-02-21
6303 APR_DRG Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $84,924.16 $84,924.16 $84,924.16 2026-02-21
1611 APR_DRG Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $83,560.62 $83,560.62 $83,560.62 2026-02-21
4404 APR_DRG Inpatient Aprdrg 4404: Kidney Transplant 1 1 — — $83,354.10 $83,354.10 $83,354.10 2026-02-21
54 APR_DRG Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $82,973.30 $82,973.30 $82,973.30 2026-02-21
43 APR_DRG Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $82,945.09 $82,945.09 $82,945.09 2026-02-21
5913 APR_DRG Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $80,804.84 $80,804.84 $80,804.84 2026-02-21
6804 APR_DRG Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N… 1 1 — — $80,804.84 $80,804.84 $80,804.84 2026-02-21
6084 APR_DRG Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi… 1 1 — — $80,575.65 $80,575.65 $80,575.65 2026-02-21
4414 APR_DRG Inpatient Aprdrg 4414: Major Bladder Procedures 1 1 — — $78,883.19 $78,883.19 $78,883.19 2026-02-21
23 APR_DRG Inpatient Aprdrg 0023: Heart &/or Lung Transplant 1 1 — — $76,754.02 $76,754.02 $76,754.02 2026-02-21
83 APR_DRG Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant 1 1 — — $75,151.72 $75,151.72 $75,151.72 2026-02-21
1784 APR_DRG Inpatient Aprdrg 1784: External Heart Assist Systems 1 1 — — $73,882.88 $73,882.88 $73,882.88 2026-02-21
222 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
223 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
227 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
225 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
238 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
230 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
224 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
237 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
226 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
5933 APR_DRG Inpatient Aprdrg 5933: Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $72,759.61 $72,759.61 $72,759.61 2026-02-21
6114 APR_DRG Inpatient Aprdrg 6114: Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $72,676.00 $72,676.00 $72,676.00 2026-02-21
1674 APR_DRG Inpatient Aprdrg 1674: Other Cardiothoracic & Thoracic Vascular Procedures 1 1 — — $72,354.63 $72,354.63 $72,354.63 2026-02-21
6904 APR_DRG Inpatient Aprdrg 6904: Acute Leukemia 1 1 — — $71,704.85 $71,704.85 $71,704.85 2026-02-21
434 APR_DRG Inpatient Aprdrg 0434: Multiple Sclerosis & Other Demyelinating Diseases 1 1 — — $71,265.62 $71,265.62 $71,265.62 2026-02-21
92 APR_DRG Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $71,185.53 $71,185.53 $71,185.53 2026-02-21
91 APR_DRG Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $69,035.70 $69,035.70 $69,035.70 2026-02-21
6334 APR_DRG Inpatient Aprdrg 6334: Neonate Birthwt >2499g W Major Anomaly 1 1 — — $67,584.52 $67,584.52 $67,584.52 2026-02-21
3034 APR_DRG Inpatient Aprdrg 3034: Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $67,172.48 $67,172.48 $67,172.48 2026-02-21
5912 APR_DRG Inpatient Aprdrg 5912: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $66,717.13 $66,717.13 $66,717.13 2026-02-21
6074 APR_DRG Inpatient Aprdrg 6074: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $66,064.33 $66,064.33 $66,064.33 2026-02-21
63 APR_DRG Inpatient Aprdrg 0063: Pancreas Transplant 1 1 — — $66,037.13 $66,037.13 $66,037.13 2026-02-21
2204 APR_DRG Inpatient Aprdrg 2204: Major Stomach, Esophageal & Duodenal Procedures 1 1 — — $62,953.43 $62,953.43 $62,953.43 2026-02-21
6134 APR_DRG Inpatient Aprdrg 6134: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti… 1 1 — — $62,610.40 $62,610.40 $62,610.40 2026-02-21
4474 APR_DRG Inpatient Aprdrg 4474: Other Kidney, Urinary Tract & Related Procedures 1 1 — — $62,463.82 $62,463.82 $62,463.82 2026-02-21
22 APR_DRG Inpatient Aprdrg 0022: Heart &/or Lung Transplant 1 1 — — $61,658.90 $61,658.90 $61,658.90 2026-02-21
234 APR_DRG Inpatient Aprdrg 0234: Spinal Procedures 1 1 — — $61,538.51 $61,538.51 $61,538.51 2026-02-21
9104 APR_DRG Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma 1 1 — — $61,315.87 $61,315.87 $61,315.87 2026-02-21
112 APR_DRG Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $60,528.07 $60,528.07 $60,528.07 2026-02-21
6023 APR_DRG Inpatient Aprdrg 6023: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $60,525.55 $60,525.55 $60,525.55 2026-02-21
53 APR_DRG Inpatient Aprdrg 0053: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $59,771.00 $59,771.00 $59,771.00 2026-02-21
62 APR_DRG Inpatient Aprdrg 0062: Pancreas Transplant 1 1 — — $59,729.69 $59,729.69 $59,729.69 2026-02-21
9504 APR_DRG Inpatient Aprdrg 9504: Extensive Procedure Unrelated To Principal Diagnosis 1 1 — — $59,495.47 $59,495.47 $59,495.47 2026-02-21
61 APR_DRG Inpatient Aprdrg 0061: Pancreas Transplant 1 1 — — $58,958.52 $58,958.52 $58,958.52 2026-02-21
71 APR_DRG Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant 1 1 — — $57,938.01 $57,938.01 $57,938.01 2026-02-21
13 APR_DRG Inpatient Aprdrg 0013: Liver Transplant &/or Intestinal Transplant 1 1 — — $57,514.89 $57,514.89 $57,514.89 2026-02-21
6093 APR_DRG Inpatient Aprdrg 6093: Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $57,446.89 $57,446.89 $57,446.89 2026-02-21
264 APR_DRG Inpatient Aprdrg 0264: Other Nervous System & Related Procedures 1 1 — — $57,412.13 $57,412.13 $57,412.13 2026-02-21
5932 APR_DRG Inpatient Aprdrg 5932: Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $57,164.31 $57,164.31 $57,164.31 2026-02-21
3033 APR_DRG Inpatient Aprdrg 3033: Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $56,825.31 $56,825.31 $56,825.31 2026-02-21
1824 APR_DRG Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures 1 1 — — $56,779.48 $56,779.48 $56,779.48 2026-02-21
1634 APR_DRG Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Pdx 1 1 — — $56,745.73 $56,745.73 $56,745.73 2026-02-21
7924 APR_DRG Inpatient Aprdrg 7924: Extensive Or Procedures For Other Complications Of Treatm… 1 1 — — $55,816.89 $55,816.89 $55,816.89 2026-02-21
3044 APR_DRG Inpatient Aprdrg 3044: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 1 1 — — $55,803.29 $55,803.29 $55,803.29 2026-02-21
2054 APR_DRG Inpatient Aprdrg 2054: Cardiomyopathy 1 1 — — $55,645.63 $55,645.63 $55,645.63 2026-02-21
6954 APR_DRG Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia 1 1 — — $55,574.10 $55,574.10 $55,574.10 2026-02-21
8413 APR_DRG Inpatient Aprdrg 8413: Extensive 3rd Degree Burns W Skin Graft 1 1 — — $55,517.18 $55,517.18 $55,517.18 2026-02-21
52 APR_DRG Inpatient Aprdrg 0052: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $54,584.32 $54,584.32 $54,584.32 2026-02-21
6514 APR_DRG Inpatient Aprdrg 6514: Other Procedures Of Blood & Blood-forming Organs 1 1 — — $54,401.47 $54,401.47 $54,401.47 2026-02-21
42 APR_DRG Inpatient Aprdrg 0042: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $54,231.72 $54,231.72 $54,231.72 2026-02-21
6144 APR_DRG Inpatient Aprdrg 6144: Neonate Bwt 1500-1999g W Or Without Other Significant Conditi… 1 1 — — $53,662.03 $53,662.03 $53,662.03 2026-02-21
1623 APR_DRG Inpatient Aprdrg 1623: Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $53,570.86 $53,570.86 $53,570.86 2026-02-21
214 APR_DRG Inpatient Aprdrg 0214: Craniotomy Except For Trauma 1 1 — — $53,443.92 $53,443.92 $53,443.92 2026-02-21
2304 APR_DRG Inpatient Aprdrg 2304: Major Small Bowel Procedures 1 1 — — $53,251.00 $53,251.00 $53,251.00 2026-02-21
224 APR_DRG Inpatient Aprdrg 0224: Ventricular Shunt Procedures 1 1 — — $53,040.96 $53,040.96 $53,040.96 2026-02-21
4424 APR_DRG Inpatient Aprdrg 4424: Kidney & Urinary Tract Procedures For Malignancy 1 1 — — $52,750.32 $52,750.32 $52,750.32 2026-02-21
9524 APR_DRG Inpatient Aprdrg 9524: Nonextensive Procedure Unrelated To Principal Diagnosis 1 1 — — $52,426.43 $52,426.43 $52,426.43 2026-02-21
9114 APR_DRG Inpatient Aprdrg 9114: Extensive Abdominal/thoracic Procedures For Mult Signific… 1 1 — — $51,947.41 $51,947.41 $51,947.41 2026-02-21
4403 APR_DRG Inpatient Aprdrg 4403: Kidney Transplant 1 1 — — $51,016.55 $51,016.55 $51,016.55 2026-02-21
3154 APR_DRG Inpatient Aprdrg 3154: Shoulder, Upper Arm & Forearm Procedures Except Joint Rep… 1 1 — — $51,013.03 $51,013.03 $51,013.03 2026-02-21
1694 APR_DRG Inpatient Aprdrg 1694: Major Abdominal Vascular Procedures 1 1 — — $50,839.75 $50,839.75 $50,839.75 2026-02-21
1204 APR_DRG Inpatient Aprdrg 1204: Major Respiratory & Chest Procedures 1 1 — — $50,633.23 $50,633.23 $50,633.23 2026-02-21
4834 APR_DRG Inpatient Aprdrg 4834: Penis, Testes & Scrotal Procedures 1 1 — — $50,440.82 $50,440.82 $50,440.82 2026-02-21
894 APR_DRG Inpatient Aprdrg 0894: Major Cranial/facial Bone Procedures 1 1 — — $49,899.83 $49,899.83 $49,899.83 2026-02-21
9124 APR_DRG Inpatient Aprdrg 9124: Musculoskeletal & Other Procedures For Multiple Significa… 1 1 — — $49,833.85 $49,833.85 $49,833.85 2026-02-21
1304 APR_DRG Inpatient Aprdrg 1304: Respiratory System Diagnosis W Ventilator Support 96+ Hou… 1 1 — — $49,821.25 $49,821.25 $49,821.25 2026-02-21
1654 APR_DRG Inpatient Aprdrg 1654: Coronary Bypass W Ami Or Complex Pdx 1 1 — — $49,079.29 $49,079.29 $49,079.29 2026-02-21
5911 APR_DRG Inpatient Aprdrg 5911: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $48,103.61 $48,103.61 $48,103.61 2026-02-21
2604 APR_DRG Inpatient Aprdrg 2604: Major Pancreas, Liver & Shunt Procedures 1 1 — — $47,841.18 $47,841.18 $47,841.18 2026-02-21
21 APR_DRG Inpatient Aprdrg 0021: Heart &/or Lung Transplant 1 1 — — $47,759.07 $47,759.07 $47,759.07 2026-02-21
1783 APR_DRG Inpatient Aprdrg 1783: External Heart Assist Systems 1 1 — — $47,281.06 $47,281.06 $47,281.06 2026-02-21
1214 APR_DRG Inpatient Aprdrg 1214: Other Respiratory & Chest Procedures 1 1 — — $47,253.85 $47,253.85 $47,253.85 2026-02-21
6313 APR_DRG Inpatient Aprdrg 6313: Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $47,081.08 $47,081.08 $47,081.08 2026-02-21
6254 APR_DRG Inpatient Aprdrg 6254: Neonate Bwt 2000-2499g W Other Significant Condition 1 1 — — $46,700.78 $46,700.78 $46,700.78 2026-02-21
6124 APR_DRG Inpatient Aprdrg 6124: Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $46,566.29 $46,566.29 $46,566.29 2026-02-21
1603 APR_DRG Inpatient Aprdrg 1603: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $46,124.54 $46,124.54 $46,124.54 2026-02-21
2244 APR_DRG Inpatient Aprdrg 2244: Peritoneal Adhesiolysis 1 1 — — $46,051.00 $46,051.00 $46,051.00 2026-02-21
6022 APR_DRG Inpatient Aprdrg 6022: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $45,730.14 $45,730.14 $45,730.14 2026-02-21
3614 APR_DRG Inpatient Aprdrg 3614: Skin Graft For Skin & Subcutaneous Tissue Diagnoses 1 1 — — $45,602.20 $45,602.20 $45,602.20 2026-02-21
914 APR_DRG Inpatient Aprdrg 0914: Other Major Head & Neck Procedures 1 1 — — $45,356.89 $45,356.89 $45,356.89 2026-02-21
204 APR_DRG Inpatient Aprdrg 0204: Craniotomy For Trauma 1 1 — — $44,893.98 $44,893.98 $44,893.98 2026-02-21
51 APR_DRG Inpatient Aprdrg 0051: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $44,588.74 $44,588.74 $44,588.74 2026-02-21
41 APR_DRG Inpatient Aprdrg 0041: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $44,503.11 $44,503.11 $44,503.11 2026-02-21
12 APR_DRG Inpatient Aprdrg 0012: Liver Transplant &/or Intestinal Transplant 1 1 — — $44,176.70 $44,176.70 $44,176.70 2026-02-21
1814 APR_DRG Inpatient Aprdrg 1814: Lower Extremity Arterial Procedures 1 1 — — $44,158.57 $44,158.57 $44,158.57 2026-02-21
2274 APR_DRG Inpatient Aprdrg 2274: Hernia Procedures Except Inguinal, Femoral & Umbilical 1 1 — — $44,023.58 $44,023.58 $44,023.58 2026-02-21
6604 APR_DRG Inpatient Aprdrg 6604: Major Hematologic/immunologic Diag Exc Sickle Cell Crisis… 1 1 — — $43,879.01 $43,879.01 $43,879.01 2026-02-21
6234 APR_DRG Inpatient Aprdrg 6234: Neonate Bwt 2000-2499g W Congenital/perinatal Infection 1 1 — — $43,869.94 $43,869.94 $43,869.94 2026-02-21
8424 APR_DRG Inpatient Aprdrg 8424: Burns With Skin Graft Except Extensive 3rd Degree Burns 1 1 — — $43,820.58 $43,820.58 $43,820.58 2026-02-21
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 11 6 — — $35,308.00 $122,722.00 $98,299.51 2026-02-21
459 MS_DRG Spinal Fusion Except Cervical With Mcc 11 6 — — $35,308.00 $91,851.00 $73,572.10 2026-02-21
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 11 6 — — $35,308.00 $84,705.00 $67,848.12 2026-02-21
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 11 6 — — $35,308.00 $63,783.00 $51,089.92 2026-02-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 16 — — $207,420.40 $703,268.29 $391,021.82 2026-02-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 17 — — $48,651.81 $92,182.37 $58,420.76 2026-02-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 18 — — $58,571.70 $202,084.06 $110,714.34 2026-02-21
14 MS_DRG Allogeneic Bone Marrow Transplant 29 18 — — $72,059.90 $222,293.84 $104,714.58 2026-02-21
7 MS_DRG Lung Transplant 30 18 — — $71,878.40 $274,596.97 $104,453.77 2026-02-21
6 MS_DRG Liver Transplant Without Mcc 29 18 — — $26,670.60 $202,084.06 $94,763.79 2026-02-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 19 — — $6,368.00 $442,382.77 $231,239.18 2026-02-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 19 — — $6,368.00 $399,656.48 $221,368.67 2026-02-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 19 — — $6,182.00 $263,496.24 $147,966.35 2026-02-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 36 19 — — $6,368.00 $203,149.45 $114,613.60 2026-02-21
215 MS_DRG Other Heart Assist System Implant 37 19 — — $6,182.00 $197,571.83 $107,759.36 2026-02-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 37 19 — — $6,182.00 $150,323.39 $85,417.44 2026-02-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 19 — — $38,260.75 $129,724.81 $74,032.91 2026-02-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 37 19 — — $6,182.00 $126,634.00 $71,055.34 2026-02-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 19 — — $35,569.60 $120,600.35 $68,989.92 2026-02-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 37 19 — — $6,182.00 $117,935.55 $67,517.13 2026-02-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 36 19 — — $6,368.00 $124,548.13 $65,458.07 2026-02-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 37 19 — — $6,182.00 $114,838.11 $64,562.53 2026-02-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 37 19 — — $6,182.00 $108,574.25 $62,343.31 2026-02-21
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 35 19 — — $30,400.15 $103,073.09 $59,302.89 2026-02-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 37 19 — — $6,182.00 $103,073.09 $59,302.89 2026-02-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 37 19 — — $6,182.00 $100,611.55 $57,942.44 2026-02-21
653 MS_DRG Major Bladder Procedures With Mcc 37 19 — — $6,182.00 $103,955.14 $57,768.49 2026-02-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 37 19 — — $6,182.00 $101,234.40 $57,160.49 2026-02-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 37 19 — — $6,182.00 $95,720.18 $55,239.06 2026-02-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 37 19 — — $6,182.00 $94,713.19 $52,833.32 2026-02-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 35 19 — — $27,539.60 $93,374.27 $52,764.96 2026-02-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 37 19 — — $6,182.00 $93,928.11 $52,414.12 2026-02-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 37 19 — — $6,182.00 $93,264.24 $52,059.60 2026-02-21
799 MS_DRG Splenic Procedures With Mcc 37 19 — — $6,182.00 $88,667.51 $51,341.15 2026-02-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 19 — — $6,368.00 $93,301.54 $50,994.53 2026-02-21
163 MS_DRG Major Chest Procedures With Mcc 37 19 — — $6,182.00 $87,079.00 $49,840.50 2026-02-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 19 — — $6,182.00 $88,650.73 $49,595.99 2026-02-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 37 19 — — $6,182.00 $87,263.32 $48,855.13 2026-02-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 37 19 — — $6,182.00 $89,053.52 $48,684.96 2026-02-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 37 19 — — $6,182.00 $85,629.75 $47,982.82 2026-02-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 37 19 — — $6,182.00 $84,132.32 $47,183.20 2026-02-21
92973 HCPCS Hc Percut Coronary Thrombectomy 28 19 $82,311.10 $49,386.66 40% off $2,579.00 $74,079.99 $46,505.78 2026-02-21
901 MS_DRG Wound Debridements For Injuries With Mcc 37 19 — — $6,182.00 $82,619.96 $46,375.61 2026-02-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 36 19 — — $6,368.00 $79,429.29 $45,925.02 2026-02-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 37 19 — — $6,182.00 $77,588.73 $45,218.07 2026-02-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 37 19 — — $6,182.00 $79,546.77 $44,734.52 2026-02-21
81200003 CDM Hc Std Acq Chg Cadaver Kidney/pancreas 32 20 $316,385.45 $189,831.27 40% off $47,457.82 $284,746.91 $180,339.71 2026-02-21
81200017 CDM Hc Std Acq Chg Cadaver Liver/kidney 32 20 $249,395.20 $149,637.12 40% off $37,409.28 $224,455.68 $142,155.27 2026-02-21
81200004 CDM Hc Std Acq Chg Cadaver Heart 32 20 $220,688.76 $132,413.26 40% off $33,103.31 $198,619.88 $125,792.60 2026-02-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 20 — — $43,600.15 $189,830.00 $116,715.07 2026-02-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 30 20 — — $29,926.05 $189,830.00 $109,878.02 2026-02-21
81200001 CDM Hc Std Acq Chg Cadaver Kidney 32 20 $185,810.00 $111,486.00 40% off $27,871.50 $167,229.00 $105,911.70 2026-02-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 20 — — $33,197.45 $170,846.00 $102,021.73 2026-02-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 20 — — $33,197.45 $170,846.00 $102,021.73 2026-02-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 20 — — $6,182.00 $179,973.71 $101,804.73 2026-02-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 39 20 — — $6,182.00 $158,021.29 $89,671.92 2026-02-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 20 — — $35,308.00 $157,933.64 $87,057.60 2026-02-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 39 20 — — $6,182.00 $145,760.23 $82,895.44 2026-02-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 20 — — $6,182.00 $144,288.90 $82,082.25 2026-02-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 20 — — $9,144.00 $139,192.40 $75,840.03 2026-02-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 37 20 — — $6,368.00 $131,785.42 $75,171.75 2026-02-21
81100001 CDM Hc Std Acq Chg Live Donor Kidney 32 20 $123,509.00 $74,105.40 40% off $18,526.35 $111,158.10 $70,400.13 2026-02-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 20 — — $6,182.00 $120,426.92 $69,615.20 2026-02-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 38 20 — — $9,144.00 $127,334.14 $67,442.08 2026-02-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc 37 20 — — $6,368.00 $115,513.17 $66,178.36 2026-02-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 39 20 — — $6,182.00 $113,915.04 $65,978.50 2026-02-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 38 20 — — $9,144.00 $114,437.18 $65,583.67 2026-02-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 38 20 — — $6,182.00 $115,390.00 $64,801.96 2026-02-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 20 — — $6,182.00 $110,942.55 $63,652.23 2026-02-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 39 20 — — $6,182.00 $109,728.56 $63,640.50 2026-02-21
28 MS_DRG Spinal Procedures With Mcc 38 20 — — $25,893.00 $113,370.52 $62,682.63 2026-02-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 20 — — $31,566.70 $107,028.33 $61,488.89 2026-02-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 20 — — $31,378.05 $106,388.70 $58,963.57 2026-02-21
81200002 CDM Hc Std Acq Chg Cadaver Pancreas 32 20 $102,432.00 $61,459.20 40% off $15,364.80 $92,188.80 $58,386.24 2026-02-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 20 — — $9,144.00 $100,717.85 $57,825.99 2026-02-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 39 20 — — $6,182.00 $99,211.09 $57,660.30 2026-02-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 20 — — $6,182.00 $98,772.86 $57,522.06 2026-02-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 20 — — $28,020.30 $95,817.00 $54,843.28 2026-02-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 38 20 — — $6,182.00 $100,622.74 $54,822.55 2026-02-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 39 20 — — $6,182.00 $93,085.00 $54,258.22 2026-02-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 38 20 — — $6,182.00 $90,157.00 $51,090.78 2026-02-21
471 MS_DRG Cervical Spinal Fusion With Mcc 38 20 — — $26,715.15 $90,578.93 $50,849.82 2026-02-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 37 20 — — $6,368.00 $88,350.00 $50,280.59 2026-02-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 20 — — $6,182.00 $85,878.00 $50,189.31 2026-02-21
245 MS_DRG Aicd Generator Procedures 38 20 — — $26,877.40 $91,129.05 $49,532.28 2026-02-21
62400012-1362918 CDM Shell, 624 Rev Code, Fda Investigational Devices 32 20 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $48,435.75 2026-02-21
0424T HCPCS Hc Insj/rplc Nstim System Sleep Apnea Complete 32 20 $86,663.76 $51,998.26 40% off $5,388.00 $77,997.38 $47,665.07 2026-02-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 38 20 — — $6,182.00 $82,707.00 $47,610.19 2026-02-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 20 — — $23,749.00 $80,522.06 $46,480.16 2026-02-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 38 20 — — $24,597.65 $83,399.45 $46,321.58 2026-02-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 38 20 — — $9,144.00 $83,630.69 $45,937.92 2026-02-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 39 20 — — $6,182.00 $82,707.00 $44,829.03 2026-02-21
62400012-847925 CDM Shell, 624 Rev Code, Fda Investigational Devices 32 20 $76,137.60 $45,682.56 40% off $11,420.64 $68,523.84 $43,398.43 2026-02-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 38 20 — — $23,048.30 $78,146.31 $43,364.68 2026-02-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 35 21 — — $130,000.00 $525,282.46 $327,641.23 2026-02-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 35 21 — — $60,608.35 $274,596.97 $142,804.17 2026-02-21
27201912-261835 CDM Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 35 21 $183,639.00 $110,183.40 40% off $27,545.85 $165,275.10 $101,001.45 2026-02-21
10 MS_DRG Pancreas Transplant 31 21 — — $43,851.50 $151,864.00 $97,857.75 2026-02-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 34 21 — — $25,340.15 $202,084.06 $79,110.57 2026-02-21
652 MS_DRG Kidney Transplant 33 21 — — $16,892.70 $202,084.06 $74,886.85 2026-02-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 34 21 — — $19,098.75 $202,084.06 $73,656.74 2026-02-21
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 37 21 $115,440.00 $69,264.00 40% off $17,316.00 $103,896.00 $63,492.00 2026-02-21
27801347-807157 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $306,762.00 $184,057.20 40% off $46,014.30 $276,085.80 $199,395.30 2026-02-21
27500234 CDM Hc Heartmate 3 Lvad Implant 46 25 $294,778.75 $176,867.25 40% off $44,216.81 $265,300.88 $191,606.19 2026-02-21
27802052-445170 CDM Shell, No Hcpcs, For Lvad Implants Only 46 25 $233,525.34 $140,115.20 40% off $35,028.80 $210,172.81 $151,791.47 2026-02-21
27802052-778176 CDM Shell, No Hcpcs, For Lvad Implants Only 46 25 $215,250.00 $129,150.00 40% off $32,287.50 $193,725.00 $139,912.50 2026-02-21
27800187 CDM Hc Kit, Heartmate Ii Vad Implant 46 25 $215,250.00 $129,150.00 40% off $32,287.50 $193,725.00 $139,912.50 2026-02-21
27801347-1196342 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $207,132.00 $124,279.20 40% off $31,069.80 $186,418.80 $134,635.80 2026-02-21
27801850 CDM Hc Heartware Hvad Pump 46 25 $207,132.00 $124,279.20 40% off $31,069.80 $186,418.80 $134,635.80 2026-02-21
27801347-98612 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $199,260.00 $119,556.00 40% off $29,889.00 $179,334.00 $129,519.00 2026-02-21
27500176-389049 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 46 25 $198,613.80 $119,168.28 40% off $29,792.07 $178,752.42 $129,098.97 2026-02-21
27802052-389434 CDM Shell, No Hcpcs, For Lvad Implants Only 46 25 $179,580.00 $107,748.00 40% off $26,937.00 $161,622.00 $116,727.00 2026-02-21
27802052-1242630 CDM Shell, No Hcpcs, For Lvad Implants Only 46 25 $100,860.00 $60,516.00 40% off $15,129.00 $90,774.00 $65,559.00 2026-02-21
27801347-1218340 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $91,020.00 $54,612.00 40% off $13,653.00 $81,918.00 $59,163.00 2026-02-21
27801347-1926393 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $88,560.00 $53,136.00 40% off $13,284.00 $79,704.00 $57,564.00 2026-02-21
27800973 CDM Hc Corevalue Aortic 46 25 $88,500.00 $53,100.00 40% off $13,275.00 $79,650.00 $57,525.00 2026-02-21
27801848 CDM Hc Impella 5.5 46 25 $86,100.00 $51,660.00 40% off $12,915.00 $77,490.00 $55,965.00 2026-02-21
27801347-1355910 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $86,100.00 $51,660.00 40% off $12,915.00 $77,490.00 $55,965.00 2026-02-21
27800190 CDM Hc Impella 5.0 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27203217 CDM Hc Heart Valve Sapien Edwards 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27800957 CDM Hc Catheter Set Pump Ventricular Assist Impella 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
C1604 HCPCS Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass … 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27500176-143739 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27801917-1534761 CDM Shell Generator, Cardiac Contractility Modulation 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
C1823 HCPCS Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads 45 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27802052-101684 CDM Shell, No Hcpcs, For Lvad Implants Only 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27801855-1778845 CDM Hc Shell Generator, Neurostimulator, Non-recharge With Carotid 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27801347-104268 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27801815 CDM Hc Mitraclip Delivery System Kit (w/guiding Cath) 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27800246 CDM Hc Kit, Catheter Impella Pump 46 25 $82,850.63 $49,710.38 40% off $12,427.59 $74,565.57 $53,852.91 2026-02-21
27801347-303311 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $75,075.00 $45,045.00 40% off $11,261.25 $67,567.50 $48,798.75 2026-02-21
27801347-181497 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $73,800.00 $44,280.00 40% off $11,070.00 $66,420.00 $47,970.00 2026-02-21
27801347-876560 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $73,078.50 $43,847.10 40% off $10,961.77 $65,770.65 $47,501.03 2026-02-21
C2624 HCPCS Hc Cardiomems Monitoring Device (implant) 78 25 $76,477.50 $45,886.50 40% off $10,479.00 $68,829.75 $47,033.67 2026-02-21
27801347-1322565 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $71,209.05 $42,725.43 40% off $10,681.36 $64,088.14 $46,285.88 2026-02-21
27801494 CDM Hc Watchman Laa Closure Device 46 25 $70,040.00 $42,024.00 40% off $10,506.00 $63,036.00 $45,526.00 2026-02-21
27801347-1033551 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $69,893.46 $41,936.08 40% off $10,484.02 $62,904.11 $45,430.75 2026-02-21
27801347-820405 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $69,408.43 $41,645.06 40% off $10,411.26 $62,467.59 $45,115.48 2026-02-21
27801347-777976 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $69,300.00 $41,580.00 40% off $10,395.00 $62,370.00 $45,045.00 2026-02-21
27801661 CDM Hc Aortic Valve Evolut Medtronic 46 25 $69,300.00 $41,580.00 40% off $10,395.00 $62,370.00 $45,045.00 2026-02-21
27801347-331887 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $69,105.07 $41,463.04 40% off $10,365.76 $62,194.56 $44,918.30 2026-02-21
27801347-1340795 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $68,999.70 $41,399.82 40% off $10,349.95 $62,099.73 $44,849.81 2026-02-21
C1822 HCPCS Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys 130 25 $69,860.00 $41,916.00 40% off $8,905.04 $76,477.50 $44,525.20 2026-02-21
27400120 CDM Hc Power Base Unit-vad 46 25 $68,250.00 $40,950.00 40% off $10,237.50 $61,425.00 $44,362.50 2026-02-21
27801927 CDM Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 17 Fr Arterial Cannu… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27801347-264193 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27801929 CDM Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 17 Fr Arterial Cannu… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27801923 CDM Hc Ecmo Lifesparc Blood Pump Kit With 29 Fr Protekduo Veno-venous Cannula (law5267… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27802083 CDM Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27801924 CDM Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Cannula (law5267… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27801926 CDM Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 15 Fr Arterial Cannu… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27801928 CDM Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 15 Fr Arterial Cannu… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
J9043 HCPCS cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution 52 28 $161,632.27 $96,979.36 40% off $205.63 $145,469.04 $77,017.77 2026-02-21
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 53 29 $187,807.50 $112,684.50 40% off $28,171.12 $169,026.75 $92,589.10 2026-02-21
33276 HCPCS Hc Insertion Phrenic Nerve Stimulator System 51 29 $86,663.76 $51,998.26 40% off $8,360.00 $77,997.38 $47,665.07 2026-02-21
33270 HCPCS Hc Ins/rep Subq Defibrilllator 51 29 $99,435.35 $59,661.21 40% off $8,360.00 $89,491.82 $45,740.26 2026-02-21
93653 HCPCS Hc Compreh Electroph Eval Source Of Atrial R 51 29 $82,301.19 $49,380.71 40% off $12,345.18 $74,071.07 $45,265.65 2026-02-21
Q2041 HCPCS Hc Yescarta (including Apheresis) 50 30 $2,914,876.00 $1,748,925.60 40% off $437,231.40 $2,623,388.40 $1,514,278.08 2026-02-21
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