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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 HILLCREST

Waco, TX · CCN 450101 · Rates published

20,095 distinct procedures filed
25 distinct payers
1,249,995 rate rows
2026-02-19 last MRF observed
Data quality

1,213,309 of 1,249,995 rate rows are consumer-grade (97.1%)

36,686 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 22,106
per-diem day rate — not a per-procedure price 5,982
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,820
placeholder amount (≤ $0.02) — excluded from medians 2,208
exceeds 10× this hospital's gross charge — excluded from medians 570
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/741161944_baylor-scott--white-medical-center--hillcrest_standardcharges.csv
Found on page https://www.bswhealth.com/patient-tools/patient-registration-and-billing/estimate-your-cost-care/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 54b7b7f01bb05a5e… · 525,234,679 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) 25 $349,785.12 $2,186,157.00 $1,340,842.96 nat. median
$634,511
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $277,115.54 $583,605.58 $362,292.11 nat. median
$370,174
1.0× median
5834
APR_DRG 		Inpatient Aprdrg 5834: Neonate W Ecmo 1 $321,952.16 $321,952.16 $321,952.16 nat. median
$309,665
1.0× median
74
APR_DRG 		Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 1 $313,195.35 $313,195.35 $313,195.35 nat. median
$187,294
1.7× median
5833
APR_DRG 		Inpatient Aprdrg 5833: Neonate W Ecmo 1 $272,617.25 $272,617.25 $272,617.25 nat. median
$244,017
1.1× median
24
APR_DRG 		Inpatient Aprdrg 0024: Heart &/or Lung Transplant 1 $262,250.08 $262,250.08 $262,250.08 nat. median
$234,738
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $207,454.68 $271,219.70 $239,337.19 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $6,368.00 $367,110.33 $221,713.29 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $6,368.00 $331,654.01 $208,905.59 nat. median
$202,986
1.0× median
5884
APR_DRG 		Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 1 $203,790.43 $203,790.43 $203,790.43 nat. median
$246,434
0.8× median
1614
APR_DRG 		Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 1 $197,894.49 $197,894.49 $197,894.49 nat. median
$207,730
1.0× median
94
APR_DRG 		Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 1 $185,395.98 $185,395.98 $185,395.98 nat. median
$164,834
1.1× median
27801347-807157
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 22 $36,811.44 $245,409.60 $177,921.96 nat. median
$199,395
0.9× median
81200003
CDM 		Hc Std Acq Chg Cadaver Kidney/pancreas 18 $37,966.25 $237,289.09 $174,012.00 nat. median
$150,283
1.2× median
27500234
CDM 		Hc Heartmate 3 Lvad Implant 22 $35,373.45 $235,823.00 $170,971.67 nat. median
$163,468
1.0× median
6304
APR_DRG 		Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 $151,633.67 $151,633.67 $151,633.67 nat. median
$150,721
1.0× median
6094
APR_DRG 		Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 1 $150,289.92 $150,289.92 $150,289.92 nat. median
$162,982
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $6,182.00 $240,591.51 $137,732.88 nat. median
$133,176
1.0× median
81200017
CDM 		Hc Std Acq Chg Cadaver Liver/kidney 18 $29,927.42 $187,046.40 $137,167.36 nat. median
$144,649
0.9× median
5832
APR_DRG 		Inpatient Aprdrg 5832: Neonate W Ecmo 1 $135,838.95 $135,838.95 $135,838.95 nat. median
$156,126
0.9× median
27802052-445170
CDM 		Shell, No Hcpcs, For Lvad Implants Only 22 $28,023.04 $186,820.27 $135,444.70 nat. median
$151,791
0.9× median
114
APR_DRG 		Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 $128,987.98 $128,987.98 $128,987.98 nat. median
$117,173
1.1× median
27802052-778176
CDM 		Shell, No Hcpcs, For Lvad Implants Only 22 $25,830.00 $172,200.00 $124,845.00 nat. median
$139,912
0.9× median
27800187
CDM 		Hc Kit, Heartmate Ii Vad Implant 22 $25,830.00 $172,200.00 $124,845.00 nat. median
$132,707
0.9× median
81200004
CDM 		Hc Std Acq Chg Cadaver Heart 18 $26,482.65 $165,516.57 $121,378.82 nat. median
$121,379
1.0× median
27801850
CDM 		Hc Heartware Hvad Pump 22 $24,855.84 $165,705.60 $120,136.56 nat. median
$134,636
0.9× median
27801347-1196342
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 22 $24,855.84 $165,705.60 $120,136.56 nat. median
$134,636
0.9× median
2004
APR_DRG 		Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders 1 $119,865.35 $119,865.35 $119,865.35 nat. median
$32,636
outlier · 3.7×
5831
APR_DRG 		Inpatient Aprdrg 5831: Neonate W Ecmo 1 $119,608.90 $119,608.90 $119,608.90 nat. median
$145,122
0.8× median
27801347-98612
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 22 $23,911.20 $159,408.00 $115,570.80 nat. median
$129,519
0.9× median
27500176-389049
CDM 		Hc Shell Cardio-defib Other Than Single Or Dual Chamber 22 $23,833.66 $158,891.04 $115,196.00 nat. median
$129,099
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $97,491.32 $127,457.07 $112,474.20 nat. median
$117,303
1.0× median
7
MS_DRG 		Lung Transplant 15 $97,250.47 $127,142.20 $112,196.34 nat. median
$122,708
0.9× median
73
APR_DRG 		Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 1 $110,514.68 $110,514.68 $110,514.68 nat. median
$89,273
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $6,368.00 $198,978.00 $109,667.66 nat. median
$102,358
1.1× median
5883
APR_DRG 		Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure 1 $109,347.27 $109,347.27 $109,347.27 nat. median
$182,736
0.6× median
5882
APR_DRG 		Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure 1 $108,847.50 $108,847.50 $108,847.50 nat. median
$145,336
0.7× median
44
APR_DRG 		Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 $108,566.04 $108,566.04 $108,566.04 nat. median
$105,658
1.0× median
8414
APR_DRG 		Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft 1 $108,099.33 $108,099.33 $108,099.33 nat. median
$160,267
0.7× median
6314
APR_DRG 		Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure 1 $107,019.67 $107,019.67 $107,019.67 nat. median
$122,924
0.9× median
8504
APR_DRG 		Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea… 1 $104,200.35 $104,200.35 $104,200.35 nat. median
$73,845
1.4× median
27802052-389434
CDM 		Shell, No Hcpcs, For Lvad Implants Only 22 $21,549.60 $143,664.00 $104,156.40 nat. median
$116,727
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 15 $6,182.00 $180,397.66 $103,535.59 nat. median
$99,019
1.0× median
5914
APR_DRG 		Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure 1 $103,266.94 $103,266.94 $103,266.94 nat. median
$164,279
0.6× median
1613
APR_DRG 		Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant 1 $103,145.28 $103,145.28 $103,145.28 nat. median
$119,796
0.9× median
5881
APR_DRG 		Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure 1 $102,600.15 $102,600.15 $102,600.15 nat. median
$124,573
0.8× median
81200001
CDM 		Hc Std Acq Chg Cadaver Kidney 18 $22,297.20 $139,357.50 $102,195.50 nat. median
$102,196
1.0× median
27201912-261835
CDM 		Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 18 $22,036.68 $137,729.25 $101,001.45 nat. median
$106,511
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $35,308.00 $122,722.00 $98,299.51 nat. median
$87,411
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $82,295.04 $107,589.94 $94,942.49 nat. median
$108,660
0.9× median

Other procedures at this hospital

Browse this hospital's 20,095 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J9043 HCPCS cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution 44 24 $161,632.27 $96,979.36 40% off $205.63 $121,224.20 $74,350.84 2026-02-19
92973 HCPCS Hc Percut Coronary Thrombectomy 22 16 $82,311.10 $49,386.66 40% off $959.00 $61,733.32 $45,271.11 2026-02-19
38240 HCPCS Hc Hpc Allogenic Transplantation 38 22 $11,975.52 $7,185.31 40% off $1,437.06 $82,491.72 $48,745.11 2026-02-19
0424T HCPCS Hc Insj/rplc Nstim System Sleep Apnea Complete 29 18 $86,663.76 $51,998.26 40% off $5,388.00 $64,997.82 $43,095.74 2026-02-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 15 — — $6,182.00 $240,591.51 $137,732.88 2026-02-19
215 MS_DRG Other Heart Assist System Implant 33 15 — — $6,182.00 $180,397.66 $103,535.59 2026-02-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 16 — — $6,182.00 $179,296.00 $94,530.93 2026-02-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 16 — — $6,182.00 $154,106.35 $83,298.22 2026-02-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 15 — — $6,182.00 $137,256.35 $79,359.37 2026-02-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 16 — — $6,182.00 $144,090.00 $77,830.67 2026-02-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $6,182.00 $142,457.00 $77,069.94 2026-02-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 16 — — $6,182.00 $117,593.00 $70,610.27 2026-02-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 16 — — $6,182.00 $115,390.00 $66,777.01 2026-02-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 15 — — $6,182.00 $126,634.00 $66,754.23 2026-02-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 16 — — $6,182.00 $111,092.82 $65,987.82 2026-02-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 16 — — $6,182.00 $108,638.00 $65,233.50 2026-02-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 16 — — $6,182.00 $108,193.97 $63,193.49 2026-02-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 15 — — $6,182.00 $107,683.86 $62,787.02 2026-02-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 15 — — $6,182.00 $104,855.67 $61,202.13 2026-02-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $6,182.00 $96,889.00 $58,178.35 2026-02-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 15 — — $6,182.00 $99,136.30 $57,997.02 2026-02-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 16 — — $6,182.00 $96,753.16 $57,660.30 2026-02-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 35 16 — — $6,182.00 $93,085.00 $55,894.30 2026-02-19
653 MS_DRG Major Bladder Procedures With Mcc 33 15 — — $6,182.00 $94,918.71 $55,633.46 2026-02-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 15 — — $6,182.00 $94,113.34 $55,182.16 2026-02-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 15 — — $6,182.00 $92,434.47 $54,241.32 2026-02-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 15 — — $6,182.00 $91,865.77 $53,922.62 2026-02-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 16 — — $6,182.00 $91,875.99 $53,733.10 2026-02-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 16 — — $6,182.00 $90,157.00 $52,311.63 2026-02-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 15 — — $6,182.00 $93,421.00 $51,958.02 2026-02-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $6,182.00 $85,878.00 $51,566.92 2026-02-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 15 — — $6,182.00 $86,480.13 $50,904.53 2026-02-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 33 15 — — $6,182.00 $85,763.30 $50,502.81 2026-02-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 15 — — $6,182.00 $85,157.14 $50,163.13 2026-02-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 15 — — $6,182.00 $81,312.44 $48,008.58 2026-02-19
799 MS_DRG Splenic Procedures With Mcc 33 15 — — $6,182.00 $80,959.98 $47,811.08 2026-02-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 15 — — $6,182.00 $80,944.66 $47,802.48 2026-02-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 15 — — $6,182.00 $79,677.85 $47,092.55 2026-02-19
163 MS_DRG Major Chest Procedures With Mcc 33 15 — — $6,182.00 $87,079.00 $46,907.65 2026-02-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 33 15 — — $6,182.00 $78,186.28 $46,256.69 2026-02-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 15 — — $6,182.00 $76,819.01 $45,490.47 2026-02-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 16 — — $6,182.00 $82,707.00 $45,055.39 2026-02-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 16 — — $6,182.00 $82,707.00 $44,829.03 2026-02-19
901 MS_DRG Wound Debridements For Injuries With Mcc 33 15 — — $6,182.00 $75,438.12 $44,716.63 2026-02-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 33 15 — — $6,182.00 $72,632.07 $43,144.12 2026-02-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 33 15 — — $6,182.00 $76,826.00 $42,583.32 2026-02-19
140 MS_DRG Major Head And Neck Procedures With Mcc 33 15 — — $6,182.00 $72,010.59 $41,910.46 2026-02-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 34 16 — — $6,182.00 $69,873.70 $41,590.61 2026-02-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 15 — — $6,182.00 $69,255.62 $41,251.99 2026-02-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 15 — — $6,182.00 $71,336.32 $41,021.91 2026-02-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 33 15 — — $6,182.00 $67,830.46 $40,453.33 2026-02-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 33 15 — — $6,182.00 $71,993.00 $40,169.04 2026-02-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 33 15 — — $6,182.00 $67,782.78 $40,115.62 2026-02-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 15 — — $6,182.00 $67,183.43 $40,090.73 2026-02-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 33 15 — — $6,182.00 $67,045.52 $40,013.43 2026-02-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 33 15 — — $6,182.00 $65,809.35 $39,320.71 2026-02-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 33 15 — — $6,182.00 $65,559.06 $39,180.43 2026-02-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 15 — — $6,368.00 $367,110.33 $221,713.29 2026-02-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 15 — — $6,368.00 $331,654.01 $208,905.59 2026-02-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 15 — — $6,368.00 $198,978.00 $109,667.66 2026-02-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 16 — — $6,368.00 $129,979.00 $73,052.71 2026-02-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc 33 16 — — $6,368.00 $114,727.00 $64,480.51 2026-02-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 15 — — $6,368.00 $103,355.98 $56,706.62 2026-02-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 33 16 — — $6,368.00 $88,350.00 $49,655.66 2026-02-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 15 — — $6,368.00 $90,990.01 $49,479.22 2026-02-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 15 — — $6,368.00 $77,461.45 $43,309.52 2026-02-19
C1822 HCPCS Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys 115 22 $69,860.00 $41,916.00 40% off $7,124.03 $67,980.00 $41,556.85 2026-02-19
27801926 CDM Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 15 Fr Arterial Cannu… 41 22 $66,280.50 $39,768.30 40% off $7,953.66 $53,024.40 $38,442.69 2026-02-19
27400120 CDM Hc Power Base Unit-vad 41 22 $68,250.00 $40,950.00 40% off $8,190.00 $54,600.00 $39,585.00 2026-02-19
27801347-1340795 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $68,999.70 $41,399.82 40% off $8,279.96 $55,199.76 $40,019.83 2026-02-19
27801347-331887 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $69,105.07 $41,463.04 40% off $8,292.61 $55,284.06 $40,080.94 2026-02-19
27801661 CDM Hc Aortic Valve Evolut Medtronic 41 22 $69,300.00 $41,580.00 40% off $8,316.00 $55,440.00 $40,194.00 2026-02-19
27801347-777976 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $69,300.00 $41,580.00 40% off $8,316.00 $55,440.00 $40,194.00 2026-02-19
27801347-820405 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $69,408.43 $41,645.06 40% off $8,329.01 $55,526.74 $40,256.89 2026-02-19
33270 HCPCS Hc Ins/rep Subq Defibrilllator 39 24 $99,435.35 $59,661.21 40% off $8,360.00 $74,576.51 $45,740.26 2026-02-19
33276 HCPCS Hc Insertion Phrenic Nerve Stimulator System 43 25 $86,663.76 $51,998.26 40% off $8,360.00 $71,297.13 $45,370.90 2026-02-19
C2624 HCPCS Hc Cardiomems Monitoring Device (implant) 67 22 $76,477.50 $45,886.50 40% off $8,383.20 $61,182.00 $43,209.79 2026-02-19
27801347-1033551 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $69,893.46 $41,936.08 40% off $8,387.22 $55,914.77 $40,538.21 2026-02-19
27801494 CDM Hc Watchman Laa Closure Device 41 22 $70,040.00 $42,024.00 40% off $8,404.80 $56,032.00 $40,623.20 2026-02-19
27801347-1322565 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $71,209.05 $42,725.43 40% off $8,545.09 $56,967.24 $41,301.25 2026-02-19
27801347-876560 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $73,078.50 $43,847.10 40% off $8,769.42 $58,462.80 $42,385.53 2026-02-19
27801347-181497 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $73,800.00 $44,280.00 40% off $8,856.00 $59,040.00 $42,804.00 2026-02-19
27801347-303311 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $75,075.00 $45,045.00 40% off $9,009.00 $60,060.00 $43,543.50 2026-02-19
62400012-847925 CDM Shell, 624 Rev Code, Fda Investigational Devices 26 17 $76,137.60 $45,682.56 40% off $9,136.51 $57,103.20 $42,256.37 2026-02-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 16 — — $9,144.00 $127,092.93 $73,663.80 2026-02-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 16 — — $9,144.00 $116,265.46 $67,058.89 2026-02-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 34 16 — — $9,144.00 $104,489.59 $60,996.98 2026-02-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 16 — — $9,144.00 $91,962.83 $53,977.02 2026-02-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 16 — — $9,144.00 $76,360.99 $44,954.88 2026-02-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 16 — — $9,144.00 $69,977.56 $41,656.57 2026-02-19
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 34 16 — — $9,144.00 $65,084.00 $38,914.23 2026-02-19
27800246 CDM Hc Kit, Catheter Impella Pump 41 22 $82,850.63 $49,710.38 40% off $9,942.08 $66,280.50 $48,053.37 2026-02-19
27801855-1778845 CDM Hc Shell Generator, Neurostimulator, Non-recharge With Carotid 41 22 $84,975.00 $50,985.00 40% off $10,197.00 $67,980.00 $49,285.50 2026-02-19
27800190 CDM Hc Impella 5.0 41 22 $84,975.00 $50,985.00 40% off $10,197.00 $67,980.00 $49,285.50 2026-02-19
27500176-143739 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 41 22 $84,975.00 $50,985.00 40% off $10,197.00 $67,980.00 $49,285.50 2026-02-19
C1604 HCPCS Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass … 41 22 $84,975.00 $50,985.00 40% off $10,197.00 $67,980.00 $49,285.50 2026-02-19
27801815 CDM Hc Mitraclip Delivery System Kit (w/guiding Cath) 41 22 $84,975.00 $50,985.00 40% off $10,197.00 $67,980.00 $49,285.50 2026-02-19
27801347-104268 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $84,975.00 $50,985.00 40% off $10,197.00 $67,980.00 $49,285.50 2026-02-19
27800957 CDM Hc Catheter Set Pump Ventricular Assist Impella 41 22 $84,975.00 $50,985.00 40% off $10,197.00 $67,980.00 $49,285.50 2026-02-19
27802052-101684 CDM Shell, No Hcpcs, For Lvad Implants Only 41 22 $84,975.00 $50,985.00 40% off $10,197.00 $67,980.00 $49,285.50 2026-02-19
27203217 CDM Hc Heart Valve Sapien Edwards 41 22 $84,975.00 $50,985.00 40% off $10,197.00 $67,980.00 $49,285.50 2026-02-19
27801917-1534761 CDM Shell Generator, Cardiac Contractility Modulation 41 22 $84,975.00 $50,985.00 40% off $10,197.00 $67,980.00 $49,285.50 2026-02-19
C1823 HCPCS Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads 40 22 $84,975.00 $50,985.00 40% off $10,197.00 $67,980.00 $48,648.19 2026-02-19
62400012-1362918 CDM Shell, 624 Rev Code, Fda Investigational Devices 26 17 $84,975.00 $50,985.00 40% off $10,197.00 $63,731.25 $47,161.12 2026-02-19
27801848 CDM Hc Impella 5.5 41 22 $86,100.00 $51,660.00 40% off $10,332.00 $68,880.00 $49,938.00 2026-02-19
27801347-1355910 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $86,100.00 $51,660.00 40% off $10,332.00 $68,880.00 $49,938.00 2026-02-19
27800973 CDM Hc Corevalue Aortic 41 22 $88,500.00 $53,100.00 40% off $10,620.00 $70,800.00 $51,330.00 2026-02-19
27801347-1926393 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $88,560.00 $53,136.00 40% off $10,627.20 $70,848.00 $51,364.80 2026-02-19
27801347-1218340 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $91,020.00 $54,612.00 40% off $10,922.40 $72,816.00 $52,791.60 2026-02-19
27802052-1242630 CDM Shell, No Hcpcs, For Lvad Implants Only 41 22 $100,860.00 $60,516.00 40% off $12,103.20 $80,688.00 $58,498.80 2026-02-19
81200002 CDM Hc Std Acq Chg Cadaver Pancreas 29 18 $102,432.00 $61,459.20 40% off $12,291.84 $76,824.00 $56,337.60 2026-02-19
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 31 18 $115,440.00 $69,264.00 40% off $13,852.80 $86,580.00 $63,492.00 2026-02-19
81100001 CDM Hc Std Acq Chg Live Donor Kidney 29 18 $123,509.00 $74,105.40 40% off $14,821.08 $92,631.75 $67,929.95 2026-02-19
27802052-389434 CDM Shell, No Hcpcs, For Lvad Implants Only 41 22 $179,580.00 $107,748.00 40% off $21,549.60 $143,664.00 $104,156.40 2026-02-19
27201912-261835 CDM Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 29 18 $183,639.00 $110,183.40 40% off $22,036.68 $137,729.25 $101,001.45 2026-02-19
81200001 CDM Hc Std Acq Chg Cadaver Kidney 29 18 $185,810.00 $111,486.00 40% off $22,297.20 $139,357.50 $102,195.50 2026-02-19
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 45 25 $187,807.50 $112,684.50 40% off $22,536.90 $140,855.62 $86,391.45 2026-02-19
27500176-389049 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 41 22 $198,613.80 $119,168.28 40% off $23,833.66 $158,891.04 $115,196.00 2026-02-19
27801347-98612 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $199,260.00 $119,556.00 40% off $23,911.20 $159,408.00 $115,570.80 2026-02-19
27801347-1196342 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $207,132.00 $124,279.20 40% off $24,855.84 $165,705.60 $120,136.56 2026-02-19
27801850 CDM Hc Heartware Hvad Pump 41 22 $207,132.00 $124,279.20 40% off $24,855.84 $165,705.60 $120,136.56 2026-02-19
27802052-778176 CDM Shell, No Hcpcs, For Lvad Implants Only 41 22 $215,250.00 $129,150.00 40% off $25,830.00 $172,200.00 $124,845.00 2026-02-19
27800187 CDM Hc Kit, Heartmate Ii Vad Implant 41 22 $215,250.00 $129,150.00 40% off $25,830.00 $172,200.00 $124,845.00 2026-02-19
28 MS_DRG Spinal Procedures With Mcc 34 16 — — $25,893.00 $103,515.65 $60,451.17 2026-02-19
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 16 — — $25,893.00 $66,212.89 $39,546.83 2026-02-19
81200004 CDM Hc Std Acq Chg Cadaver Heart 29 18 $220,688.76 $132,413.26 40% off $26,482.65 $165,516.57 $121,378.82 2026-02-19
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 14 — — $27,211.55 $53,736.94 $40,474.25 2026-02-19
27802052-445170 CDM Shell, No Hcpcs, For Lvad Implants Only 41 22 $233,525.34 $140,115.20 40% off $28,023.04 $186,820.27 $135,444.70 2026-02-19
245 MS_DRG Aicd Generator Procedures 34 16 — — $29,293.00 $83,207.54 $48,352.46 2026-02-19
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 34 16 — — $29,398.18 $64,227.55 $38,635.40 2026-02-19
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 16 — — $29,614.23 $64,731.55 $38,919.32 2026-02-19
81200017 CDM Hc Std Acq Chg Cadaver Liver/kidney 29 18 $249,395.20 $149,637.12 40% off $29,927.42 $187,046.40 $137,167.36 2026-02-19
793 MS_DRG Full Term Neonate With Major Problems 19 14 — — $32,305.92 $61,211.21 $39,107.16 2026-02-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 16 — — $32,452.62 $71,353.35 $42,427.53 2026-02-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 16 — — $33,382.45 $73,522.59 $43,643.16 2026-02-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 15 — — $33,447.41 $66,958.78 $42,083.33 2026-02-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 16 — — $34,508.61 $76,149.85 $45,115.46 2026-02-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 16 — — $34,953.00 $95,817.00 $51,320.58 2026-02-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 16 — — $35,154.00 $97,140.74 $56,878.71 2026-02-19
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 5 — — $35,308.00 $122,722.00 $98,299.51 2026-02-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 16 — — $35,308.00 $144,205.07 $83,253.40 2026-02-19
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 5 — — $35,308.00 $91,851.00 $73,572.10 2026-02-19
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 5 — — $35,308.00 $84,705.00 $67,848.12 2026-02-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 16 — — $35,308.00 $97,724.76 $57,205.99 2026-02-19
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 10 5 — — $35,308.00 $63,783.00 $51,089.92 2026-02-19
471 MS_DRG Cervical Spinal Fusion With Mcc 34 16 — — $35,308.00 $82,705.25 $48,789.10 2026-02-19
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 5 — — $35,308.00 $50,658.00 $40,577.08 2026-02-19
27500234 CDM Hc Heartmate 3 Lvad Implant 41 22 $294,778.75 $176,867.25 40% off $35,373.45 $235,823.00 $170,971.67 2026-02-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 14 — — $35,493.93 $71,297.97 $53,395.95 2026-02-19
27801347-807157 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 41 22 $306,762.00 $184,057.20 40% off $36,811.44 $245,409.60 $177,921.96 2026-02-19
6 MS_DRG Liver Transplant Without Mcc 25 15 — — $37,259.45 $48,711.82 $42,985.64 2026-02-19
81200003 CDM Hc Std Acq Chg Cadaver Kidney/pancreas 29 18 $316,385.45 $189,831.27 40% off $37,966.25 $237,289.09 $174,012.00 2026-02-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 15 — — $38,412.59 $85,257.59 $50,219.41 2026-02-19
6022 APR_DRG Inpatient Aprdrg 6022: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $38,484.06 $38,484.06 $38,484.06 2026-02-19
2244 APR_DRG Inpatient Aprdrg 2244: Peritoneal Adhesiolysis 1 1 — — $38,754.09 $38,754.09 $38,754.09 2026-02-19
1603 APR_DRG Inpatient Aprdrg 1603: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $38,815.97 $38,815.97 $38,815.97 2026-02-19
6124 APR_DRG Inpatient Aprdrg 6124: Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $39,187.73 $39,187.73 $39,187.73 2026-02-19
6254 APR_DRG Inpatient Aprdrg 6254: Neonate Bwt 2000-2499g W Other Significant Condition 1 1 — — $39,300.91 $39,300.91 $39,300.91 2026-02-19
6313 APR_DRG Inpatient Aprdrg 6313: Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $39,620.95 $39,620.95 $39,620.95 2026-02-19
1214 APR_DRG Inpatient Aprdrg 1214: Other Respiratory & Chest Procedures 1 1 — — $39,766.34 $39,766.34 $39,766.34 2026-02-19
1783 APR_DRG Inpatient Aprdrg 1783: External Heart Assist Systems 1 1 — — $39,789.23 $39,789.23 $39,789.23 2026-02-19
21 APR_DRG Inpatient Aprdrg 0021: Heart &/or Lung Transplant 1 1 — — $40,191.51 $40,191.51 $40,191.51 2026-02-19
2604 APR_DRG Inpatient Aprdrg 2604: Major Pancreas, Liver & Shunt Procedures 1 1 — — $40,260.60 $40,260.60 $40,260.60 2026-02-19
5911 APR_DRG Inpatient Aprdrg 5911: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $40,481.45 $40,481.45 $40,481.45 2026-02-19
1654 APR_DRG Inpatient Aprdrg 1654: Coronary Bypass W Ami Or Complex Pdx 1 1 — — $41,302.54 $41,302.54 $41,302.54 2026-02-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 15 — — $41,579.43 $54,359.63 $47,969.53 2026-02-19
1304 APR_DRG Inpatient Aprdrg 1304: Respiratory System Diagnosis W Ventilator Support 96+ Hou… 1 1 — — $41,926.93 $41,926.93 $41,926.93 2026-02-19
9124 APR_DRG Inpatient Aprdrg 9124: Musculoskeletal & Other Procedures For Multiple Significa… 1 1 — — $41,937.53 $41,937.53 $41,937.53 2026-02-19
894 APR_DRG Inpatient Aprdrg 0894: Major Cranial/facial Bone Procedures 1 1 — — $41,993.06 $41,993.06 $41,993.06 2026-02-19
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 31 15 — — $42,208.58 $94,113.34 $55,759.75 2026-02-19
4834 APR_DRG Inpatient Aprdrg 4834: Penis, Testes & Scrotal Procedures 1 1 — — $42,448.32 $42,448.32 $42,448.32 2026-02-19
1204 APR_DRG Inpatient Aprdrg 1204: Major Respiratory & Chest Procedures 1 1 — — $42,610.25 $42,610.25 $42,610.25 2026-02-19
1694 APR_DRG Inpatient Aprdrg 1694: Major Abdominal Vascular Procedures 1 1 — — $42,784.05 $42,784.05 $42,784.05 2026-02-19
3154 APR_DRG Inpatient Aprdrg 3154: Shoulder, Upper Arm & Forearm Procedures Except Joint Rep… 1 1 — — $42,929.86 $42,929.86 $42,929.86 2026-02-19
4403 APR_DRG Inpatient Aprdrg 4403: Kidney Transplant 1 1 — — $42,932.83 $42,932.83 $42,932.83 2026-02-19
9114 APR_DRG Inpatient Aprdrg 9114: Extensive Abdominal/thoracic Procedures For Mult Signific… 1 1 — — $43,716.19 $43,716.19 $43,716.19 2026-02-19
9524 APR_DRG Inpatient Aprdrg 9524: Nonextensive Procedure Unrelated To Principal Diagnosis 1 1 — — $44,119.31 $44,119.31 $44,119.31 2026-02-19
4424 APR_DRG Inpatient Aprdrg 4424: Kidney & Urinary Tract Procedures For Malignancy 1 1 — — $44,391.88 $44,391.88 $44,391.88 2026-02-19
224 APR_DRG Inpatient Aprdrg 0224: Ventricular Shunt Procedures 1 1 — — $44,636.46 $44,636.46 $44,636.46 2026-02-19
2304 APR_DRG Inpatient Aprdrg 2304: Major Small Bowel Procedures 1 1 — — $44,813.23 $44,813.23 $44,813.23 2026-02-19
214 APR_DRG Inpatient Aprdrg 0214: Craniotomy Except For Trauma 1 1 — — $44,975.58 $44,975.58 $44,975.58 2026-02-19
1623 APR_DRG Inpatient Aprdrg 1623: Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $45,082.40 $45,082.40 $45,082.40 2026-02-19
6144 APR_DRG Inpatient Aprdrg 6144: Neonate Bwt 1500-1999g W Or Without Other Significant Conditi… 1 1 — — $45,159.12 $45,159.12 $45,159.12 2026-02-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 14 — — $45,255.72 $85,747.68 $54,783.24 2026-02-19
42 APR_DRG Inpatient Aprdrg 0042: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $45,638.55 $45,638.55 $45,638.55 2026-02-19
6514 APR_DRG Inpatient Aprdrg 6514: Other Procedures Of Blood & Blood-forming Organs 1 1 — — $45,781.40 $45,781.40 $45,781.40 2026-02-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 15 — — $45,920.60 $60,035.14 $52,977.87 2026-02-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 15 — — $45,920.60 $60,035.14 $52,977.87 2026-02-19
52 APR_DRG Inpatient Aprdrg 0052: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $45,935.27 $45,935.27 $45,935.27 2026-02-19
8413 APR_DRG Inpatient Aprdrg 8413: Extensive 3rd Degree Burns W Skin Graft 1 1 — — $46,720.32 $46,720.32 $46,720.32 2026-02-19
6954 APR_DRG Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia 1 1 — — $46,768.23 $46,768.23 $46,768.23 2026-02-19
2054 APR_DRG Inpatient Aprdrg 2054: Cardiomyopathy 1 1 — — $46,828.42 $46,828.42 $46,828.42 2026-02-19
3044 APR_DRG Inpatient Aprdrg 3044: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 1 1 — — $46,961.10 $46,961.10 $46,961.10 2026-02-19
7924 APR_DRG Inpatient Aprdrg 7924: Extensive Or Procedures For Other Complications Of Treatm… 1 1 — — $46,972.54 $46,972.54 $46,972.54 2026-02-19
1634 APR_DRG Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Pdx 1 1 — — $47,754.20 $47,754.20 $47,754.20 2026-02-19
1824 APR_DRG Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures 1 1 — — $47,782.60 $47,782.60 $47,782.60 2026-02-19
3033 APR_DRG Inpatient Aprdrg 3033: Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $47,821.18 $47,821.18 $47,821.18 2026-02-19
5932 APR_DRG Inpatient Aprdrg 5932: Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $48,106.46 $48,106.46 $48,106.46 2026-02-19
264 APR_DRG Inpatient Aprdrg 0264: Other Nervous System & Related Procedures 1 1 — — $48,315.01 $48,315.01 $48,315.01 2026-02-19
6093 APR_DRG Inpatient Aprdrg 6093: Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $48,344.26 $48,344.26 $48,344.26 2026-02-19
13 APR_DRG Inpatient Aprdrg 0013: Liver Transplant &/or Intestinal Transplant 1 1 — — $48,401.49 $48,401.49 $48,401.49 2026-02-19
71 APR_DRG Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant 1 1 — — $48,757.56 $48,757.56 $48,757.56 2026-02-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 31 15 — — $49,068.46 $110,117.01 $64,822.02 2026-02-19
61 APR_DRG Inpatient Aprdrg 0061: Pancreas Transplant 1 1 — — $49,616.37 $49,616.37 $49,616.37 2026-02-19
9504 APR_DRG Inpatient Aprdrg 9504: Extensive Procedure Unrelated To Principal Diagnosis 1 1 — — $50,068.24 $50,068.24 $50,068.24 2026-02-19
62 APR_DRG Inpatient Aprdrg 0062: Pancreas Transplant 1 1 — — $50,265.35 $50,265.35 $50,265.35 2026-02-19
53 APR_DRG Inpatient Aprdrg 0053: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $50,300.11 $50,300.11 $50,300.11 2026-02-19
6023 APR_DRG Inpatient Aprdrg 6023: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $50,935.10 $50,935.10 $50,935.10 2026-02-19
112 APR_DRG Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $50,937.22 $50,937.22 $50,937.22 2026-02-19
9104 APR_DRG Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma 1 1 — — $51,600.19 $51,600.19 $51,600.19 2026-02-19
234 APR_DRG Inpatient Aprdrg 0234: Spinal Procedures 1 1 — — $51,787.55 $51,787.55 $51,787.55 2026-02-19
22 APR_DRG Inpatient Aprdrg 0022: Heart &/or Lung Transplant 1 1 — — $51,888.86 $51,888.86 $51,888.86 2026-02-19
4474 APR_DRG Inpatient Aprdrg 4474: Other Kidney, Urinary Tract & Related Procedures 1 1 — — $52,566.25 $52,566.25 $52,566.25 2026-02-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 15 — — $52,639.64 $118,448.33 $69,539.74 2026-02-19
6134 APR_DRG Inpatient Aprdrg 6134: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti… 1 1 — — $52,689.60 $52,689.60 $52,689.60 2026-02-19
2204 APR_DRG Inpatient Aprdrg 2204: Major Stomach, Esophageal & Duodenal Procedures 1 1 — — $52,978.27 $52,978.27 $52,978.27 2026-02-19
63 APR_DRG Inpatient Aprdrg 0063: Pancreas Transplant 1 1 — — $55,573.35 $55,573.35 $55,573.35 2026-02-19
6074 APR_DRG Inpatient Aprdrg 6074: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $55,596.24 $55,596.24 $55,596.24 2026-02-19
5912 APR_DRG Inpatient Aprdrg 5912: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $56,145.61 $56,145.61 $56,145.61 2026-02-19
3034 APR_DRG Inpatient Aprdrg 3034: Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $56,528.81 $56,528.81 $56,528.81 2026-02-19
6334 APR_DRG Inpatient Aprdrg 6334: Neonate Birthwt >2499g W Major Anomaly 1 1 — — $56,875.55 $56,875.55 $56,875.55 2026-02-19
91 APR_DRG Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $58,096.79 $58,096.79 $58,096.79 2026-02-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 14 — — $59,725.07 $122,674.97 $91,200.02 2026-02-19
92 APR_DRG Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $59,905.97 $59,905.97 $59,905.97 2026-02-19
434 APR_DRG Inpatient Aprdrg 0434: Multiple Sclerosis & Other Demyelinating Diseases 1 1 — — $59,973.37 $59,973.37 $59,973.37 2026-02-19
10 MS_DRG Pancreas Transplant 25 15 — — $60,058.59 $78,518.71 $69,288.65 2026-02-19
6904 APR_DRG Inpatient Aprdrg 6904: Acute Leukemia 1 1 — — $60,343.01 $60,343.01 $60,343.01 2026-02-19
1674 APR_DRG Inpatient Aprdrg 1674: Other Cardiothoracic & Thoracic Vascular Procedures 1 1 — — $60,889.83 $60,889.83 $60,889.83 2026-02-19
6114 APR_DRG Inpatient Aprdrg 6114: Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $61,160.27 $61,160.27 $61,160.27 2026-02-19
5933 APR_DRG Inpatient Aprdrg 5933: Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $61,230.64 $61,230.64 $61,230.64 2026-02-19
1784 APR_DRG Inpatient Aprdrg 1784: External Heart Assist Systems 1 1 — — $62,175.92 $62,175.92 $62,175.92 2026-02-19
83 APR_DRG Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant 1 1 — — $63,243.71 $63,243.71 $63,243.71 2026-02-19
23 APR_DRG Inpatient Aprdrg 0023: Heart &/or Lung Transplant 1 1 — — $64,592.12 $64,592.12 $64,592.12 2026-02-19
4414 APR_DRG Inpatient Aprdrg 4414: Major Bladder Procedures 1 1 — — $66,383.92 $66,383.92 $66,383.92 2026-02-19
6084 APR_DRG Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi… 1 1 — — $67,808.20 $67,808.20 $67,808.20 2026-02-19
5913 APR_DRG Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $68,001.08 $68,001.08 $68,001.08 2026-02-19
6804 APR_DRG Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N… 1 1 — — $68,001.08 $68,001.08 $68,001.08 2026-02-19
43 APR_DRG Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $69,802.20 $69,802.20 $69,802.20 2026-02-19
54 APR_DRG Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $69,825.94 $69,825.94 $69,825.94 2026-02-19
4404 APR_DRG Inpatient Aprdrg 4404: Kidney Transplant 1 1 — — $70,146.40 $70,146.40 $70,146.40 2026-02-19
1611 APR_DRG Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $70,320.20 $70,320.20 $70,320.20 2026-02-19
6303 APR_DRG Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $71,467.68 $71,467.68 $71,467.68 2026-02-19
8634 APR_DRG Inpatient Aprdrg 8634: Neonatal Aftercare 1 1 — — $72,160.75 $72,160.75 $72,160.75 2026-02-19
230 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
226 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
225 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
224 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
223 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
238 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
227 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
237 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
222 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
113 APR_DRG Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $73,297.63 $73,297.63 $73,297.63 2026-02-19
1612 APR_DRG Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $74,145.42 $74,145.42 $74,145.42 2026-02-19
72 APR_DRG Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant 1 1 — — $74,253.51 $74,253.51 $74,253.51 2026-02-19
6214 APR_DRG Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly 1 1 — — $74,839.76 $74,839.76 $74,839.76 2026-02-19
5893 APR_DRG Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $78,171.14 $78,171.14 $78,171.14 2026-02-19
6024 APR_DRG Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $78,810.80 $78,810.80 $78,810.80 2026-02-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 15 — — $79,592.40 $104,056.59 $91,824.49 2026-02-19
1624 APR_DRG Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $80,125.72 $80,125.72 $80,125.72 2026-02-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 15 — — $82,295.04 $107,589.94 $94,942.49 2026-02-19
5892 APR_DRG Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $83,340.10 $83,340.10 $83,340.10 2026-02-19
5934 APR_DRG Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $85,730.87 $85,730.87 $85,730.87 2026-02-19
5891 APR_DRG Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $85,988.17 $85,988.17 $85,988.17 2026-02-19
64 APR_DRG Inpatient Aprdrg 0064: Pancreas Transplant 1 1 — — $85,994.95 $85,994.95 $85,994.95 2026-02-19
6034 APR_DRG Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con… 1 1 — — $88,611.65 $88,611.65 $88,611.65 2026-02-19
2464 APR_DRG Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency 1 1 — — $89,071.15 $89,071.15 $89,071.15 2026-02-19
93 APR_DRG Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $91,084.65 $91,084.65 $91,084.65 2026-02-19
1604 APR_DRG Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $91,852.32 $91,852.32 $91,852.32 2026-02-19
6814 APR_DRG Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N… 1 1 — — $91,903.61 $91,903.61 $91,903.61 2026-02-19
84 APR_DRG Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant 1 1 — — $93,566.12 $93,566.12 $93,566.12 2026-02-19
14 APR_DRG Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant 1 1 — — $93,942.54 $93,942.54 $93,942.54 2026-02-19
7 MS_DRG Lung Transplant 25 15 — — $97,250.47 $127,142.20 $112,196.34 2026-02-19
14 MS_DRG Allogeneic Bone Marrow Transplant 25 15 — — $97,491.32 $127,457.07 $112,474.20 2026-02-19
5881 APR_DRG Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure 1 1 — — $102,600.15 $102,600.15 $102,600.15 2026-02-19
1613 APR_DRG Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $103,145.28 $103,145.28 $103,145.28 2026-02-19
5914 APR_DRG Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $103,266.94 $103,266.94 $103,266.94 2026-02-19
8504 APR_DRG Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea… 1 1 — — $104,200.35 $104,200.35 $104,200.35 2026-02-19
6314 APR_DRG Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $107,019.67 $107,019.67 $107,019.67 2026-02-19
8414 APR_DRG Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft 1 1 — — $108,099.33 $108,099.33 $108,099.33 2026-02-19
44 APR_DRG Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $108,566.04 $108,566.04 $108,566.04 2026-02-19
5882 APR_DRG Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure 1 1 — — $108,847.50 $108,847.50 $108,847.50 2026-02-19
5883 APR_DRG Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure 1 1 — — $109,347.27 $109,347.27 $109,347.27 2026-02-19
73 APR_DRG Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 1 1 — — $110,514.68 $110,514.68 $110,514.68 2026-02-19
5831 APR_DRG Inpatient Aprdrg 5831: Neonate W Ecmo 1 1 — — $119,608.90 $119,608.90 $119,608.90 2026-02-19
2004 APR_DRG Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders 1 1 — — $119,865.35 $119,865.35 $119,865.35 2026-02-19
114 APR_DRG Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $128,987.98 $128,987.98 $128,987.98 2026-02-19
5832 APR_DRG Inpatient Aprdrg 5832: Neonate W Ecmo 1 1 — — $135,838.95 $135,838.95 $135,838.95 2026-02-19
6094 APR_DRG Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $150,289.92 $150,289.92 $150,289.92 2026-02-19
6304 APR_DRG Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $151,633.67 $151,633.67 $151,633.67 2026-02-19
94 APR_DRG Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $185,395.98 $185,395.98 $185,395.98 2026-02-19
1614 APR_DRG Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $197,894.49 $197,894.49 $197,894.49 2026-02-19
5884 APR_DRG Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 1 1 — — $203,790.43 $203,790.43 $203,790.43 2026-02-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 15 — — $207,454.68 $271,219.70 $239,337.19 2026-02-19
24 APR_DRG Inpatient Aprdrg 0024: Heart &/or Lung Transplant 1 1 — — $262,250.08 $262,250.08 $262,250.08 2026-02-19
5833 APR_DRG Inpatient Aprdrg 5833: Neonate W Ecmo 1 1 — — $272,617.25 $272,617.25 $272,617.25 2026-02-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 12 — — $277,115.54 $583,605.58 $362,292.11 2026-02-19
74 APR_DRG Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 1 1 — — $313,195.35 $313,195.35 $313,195.35 2026-02-19
5834 APR_DRG Inpatient Aprdrg 5834: Neonate W Ecmo 1 1 — — $321,952.16 $321,952.16 $321,952.16 2026-02-19
Q2041 HCPCS Hc Yescarta (including Apheresis) 43 25 $2,914,876.00 $1,748,925.60 40% off $349,785.12 $2,186,157.00 $1,340,842.96 2026-02-19
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