Price Transparencybeta Hospital negotiated rates

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

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Hospital

Baylor St Lukes Medical Center

Houston, TX · CCN 450193 · Rates published

21,572 distinct procedures filed
81 distinct payers
2,307,611 rate rows
2026-07-31 last MRF observed
Data quality

2,248,614 of 2,307,611 rate rows are consumer-grade (97.4%)

58,997 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 30,467
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 25,294
exceeds 10× this hospital's gross charge — excluded from medians 1,086
per-diem day rate — not a per-procedure price 980
template filing: same amount across many unrelated codes — excluded 646
placeholder amount (≤ $0.02) — excluded from medians 465
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 59
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/bslmc/soho/finance/price-transparency/741161938_chi-st-lukes-health-baylor-st-lukes-medical-center_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/bslmc-price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-08-11
Content fingerprint f6813c71c0eb3cc9… · 256,037,137 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 18 $288,437.00 $1,067,216.90 $677,826.95 nat. median
$311,018
outlier · 2.2×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 18 $280,592.00 $1,038,190.40 $659,391.20 nat. median
$175,480
outlier · 3.8×
5833
APR_DRG 		Neonate With Ecmo 18 $244,238.00 $903,680.60 $573,959.30 nat. median
$250,089
outlier · 2.3×
24
APR_DRG 		Heart And/or Lung Transplant 18 $234,950.00 $869,315.00 $552,132.50 nat. median
$243,231
outlier · 2.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 38 $211,873.83 $956,374.90 $448,782.00 nat. median
$370,165
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 18 $182,576.00 $675,531.20 $429,053.60 nat. median
$254,667
1.7× median
HC27900006
CDM 		Hc Tah 70cc Init Syncardia 23 $100.00 $1,269,198.29 $418,049.50 nat. median
$418,050
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 18 $177,294.00 $655,987.80 $416,640.90 nat. median
$209,486
2.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 18 $166,096.00 $614,555.20 $390,325.60 nat. median
$165,599
outlier · 2.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 39 $106,452.00 $715,521.11 $332,721.76 nat. median
$261,939
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 18 $135,849.00 $502,641.30 $319,245.15 nat. median
$160,171
2.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 $134,645.00 $498,186.50 $316,415.75 nat. median
$168,174
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 39 $133,662.95 $603,339.69 $297,935.00 nat. median
$205,166
1.5× median
HC27900010
CDM 		Hc Vad Heartmate Ii Thor 23 $100.00 $888,747.72 $292,736.40 nat. median
$292,736
1.0× median
5832
APR_DRG 		Neonate With Ecmo 18 $121,698.00 $450,282.60 $285,990.30 nat. median
$169,230
1.7× median
HC27900008
CDM 		Hc Vad Impl Set Heartware Btt 23 $100.00 $814,119.34 $268,155.25 nat. median
$268,155
1.0× median
J2326
HCPCS 		Nusinersen 12 Mg/5 Ml Soln 5 Ml Vial 41 $899.25 $1,023,387.00 $266,080.62 nat. median
$2,353
outlier · 113.1×
018
OTHER 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 12 $237,331.88 $444,215.10 $263,128.82 nat. median
$292,434
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 39 $120,854.04 $545,521.67 $255,036.00 nat. median
$199,832
1.3× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 18 $107,387.00 $397,331.90 $252,359.45 nat. median
$28,828
outlier · 8.8×
5831
APR_DRG 		Neonate With Ecmo 18 $107,158.00 $396,484.60 $251,821.30 nat. median
$154,685
1.6× median
HC62400479
CDM 		Hc G240119 Heartmate 3 Left Ventricular Assist System 21 $100.00 $1,508,003.64 $249,256.80 nat. median
$249,257
1.0× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 18 $99,010.00 $366,337.00 $232,673.50 nat. median
$89,814
outlier · 2.6×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 18 $97,964.00 $362,466.80 $230,215.40 nat. median
$180,995
1.3× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 18 $97,517.00 $360,812.90 $229,164.95 nat. median
$147,847
1.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 18 $97,264.00 $359,876.80 $228,570.40 nat. median
$127,600
1.8× median
HC27900014
CDM 		Hc Heartmate 3 Lvad Impl Kit 23 $100.00 $693,681.68 $228,485.40 nat. median
$228,485
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 18 $96,846.00 $358,330.20 $227,588.10 nat. median
$165,646
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 18 $95,879.00 $354,752.30 $225,315.65 nat. median
$147,677
1.5× median
HC27900009
CDM 		Hc Vad Heartware Btt 23 $100.00 $674,569.15 $222,190.10 nat. median
$222,190
1.0× median
HC27900006
OTHER 		Hc Tah 70cc Init Syncardia 13 $45,756.00 $330,606.00 $220,404.00 nat. median
$242,444
0.9× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 18 $93,353.00 $345,406.10 $219,379.55 nat. median
$67,813
outlier · 3.2×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 18 $92,517.00 $342,312.90 $217,414.95 nat. median
$168,361
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems 18 $92,408.00 $341,909.60 $217,158.80 nat. median
$127,938
1.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 18 $91,920.00 $340,104.00 $216,012.00 nat. median
$120,928
1.8× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $137,689.00 $510,619.20 $204,469.52 nat. median
$214,447
1.0× median
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Susp 1 Each Vial 23 $89,209.10 $405,495.87 $198,692.98 nat. median
$69,291
outlier · 2.9×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 18 $84,163.00 $311,403.10 $197,783.05 nat. median
$137,901
1.4× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 18 $83,826.00 $310,156.20 $196,991.10 nat. median
$79,228
outlier · 2.5×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 18 $82,337.00 $304,646.90 $193,491.95 nat. median
$69,072
outlier · 2.8×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 18 $82,291.00 $304,476.70 $193,383.85 nat. median
$101,315
1.9× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 18 $81,603.00 $301,931.10 $191,767.05 nat. median
$80,413
outlier · 2.4×
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 18 $79,799.00 $295,256.30 $187,527.65 nat. median
$20,493
outlier · 9.2×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 18 $79,387.00 $293,731.90 $186,559.45 nat. median
$109,499
1.7× median
64
APR_DRG 		Pancreas Transplant 18 $77,043.00 $285,059.10 $181,051.05 nat. median
$92,994
1.9× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 18 $77,037.00 $285,036.90 $181,036.95 nat. median
$96,420
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 18 $76,806.00 $284,182.20 $180,494.10 nat. median
$156,285
1.2× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 18 $74,664.00 $276,256.80 $175,460.40 nat. median
$89,188
2.0× median
HC81000021
CDM 		Hc Lung Ocs & Surgical Retrieval 29 $100.00 $316,251.00 $169,838.50 nat. median
$152,269
1.1× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 18 $71,785.00 $265,604.50 $168,694.75 nat. median
$82,636
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 21,572 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate With Ecmo 30 18 — — $288,437.00 $1,067,216.90 $677,826.95 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 30 18 — — $280,592.00 $1,038,190.40 $659,391.20 2026-02-28
5833 APR_DRG Neonate With Ecmo 30 18 — — $244,238.00 $903,680.60 $573,959.30 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 30 18 — — $234,950.00 $869,315.00 $552,132.50 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 53 38 — — $211,873.83 $956,374.90 $448,782.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 18 — — $182,576.00 $675,531.20 $429,053.60 2026-02-28
HC27900006 CDM Hc Tah 70cc Init Syncardia 82 23 $760,090.00 $266,031.50 65% off $100.00 $1,269,198.29 $418,049.50 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 30 18 — — $177,294.00 $655,987.80 $416,640.90 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 30 18 — — $166,096.00 $614,555.20 $390,325.60 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 60 39 — — $106,452.00 $715,521.11 $332,721.76 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 30 18 — — $135,849.00 $502,641.30 $319,245.15 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 30 18 — — $134,645.00 $498,186.50 $316,415.75 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 59 39 — — $133,662.95 $603,339.69 $297,935.00 2026-02-28
HC27900010 CDM Hc Vad Heartmate Ii Thor 82 23 $532,248.00 $186,286.80 65% off $100.00 $888,747.72 $292,736.40 2026-02-28
5832 APR_DRG Neonate With Ecmo 30 18 — — $121,698.00 $450,282.60 $285,990.30 2026-02-28
HC27900008 CDM Hc Vad Impl Set Heartware Btt 82 23 $487,555.00 $170,644.25 65% off $100.00 $814,119.34 $268,155.25 2026-02-28
J2326 HCPCS Nusinersen 12 Mg/5 Ml Soln 5 Ml Vial 154 41 $1,023,387.00 $358,185.45 65% off $899.25 $1,023,387.00 $266,080.62 2026-02-28
018 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 12 12 — — $237,331.88 $444,215.10 $263,128.82 2026-07-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 57 39 — — $120,854.04 $545,521.67 $255,036.00 2026-02-28
2004 APR_DRG Cardiac Structural And Valvular Disorders 30 18 — — $107,387.00 $397,331.90 $252,359.45 2026-02-28
5831 APR_DRG Neonate With Ecmo 30 18 — — $107,158.00 $396,484.60 $251,821.30 2026-02-28
HC62400479 CDM Hc G240119 Heartmate 3 Left Ventricular Assist System 68 21 $415,428.00 $145,399.80 65% off $100.00 $1,508,003.64 $249,256.80 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 30 18 — — $99,010.00 $366,337.00 $232,673.50 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 18 — — $97,964.00 $362,466.80 $230,215.40 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 18 — — $97,517.00 $360,812.90 $229,164.95 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 18 — — $97,264.00 $359,876.80 $228,570.40 2026-02-28
HC27900014 CDM Hc Heartmate 3 Lvad Impl Kit 82 23 $415,428.00 $145,399.80 65% off $100.00 $693,681.68 $228,485.40 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 30 18 — — $96,846.00 $358,330.20 $227,588.10 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 30 18 — — $95,879.00 $354,752.30 $225,315.65 2026-02-28
HC27900009 CDM Hc Vad Heartware Btt 82 23 $403,982.00 $141,393.70 65% off $100.00 $674,569.15 $222,190.10 2026-02-28
HC27900006 OTHER Hc Tah 70cc Init Syncardia 13 13 $440,808.00 $154,282.80 65% off $45,756.00 $330,606.00 $220,404.00 2026-07-31
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 30 18 — — $93,353.00 $345,406.10 $219,379.55 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 30 18 — — $92,517.00 $342,312.90 $217,414.95 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 30 18 — — $92,408.00 $341,909.60 $217,158.80 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 18 — — $91,920.00 $340,104.00 $216,012.00 2026-02-28
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 25 25 — — $137,689.00 $510,619.20 $204,469.52 2026-07-31
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Susp 1 Each Vial 80 23 $405,495.87 $141,923.56 65% off $89,209.10 $405,495.87 $198,692.98 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 30 18 — — $84,163.00 $311,403.10 $197,783.05 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 30 18 — — $83,826.00 $310,156.20 $196,991.10 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 30 18 — — $82,337.00 $304,646.90 $193,491.95 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 30 18 — — $82,291.00 $304,476.70 $193,383.85 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 30 18 — — $81,603.00 $301,931.10 $191,767.05 2026-02-28
2464 APR_DRG Gastrointestinal Vascular Insufficiency 30 18 — — $79,799.00 $295,256.30 $187,527.65 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 30 18 — — $79,387.00 $293,731.90 $186,559.45 2026-02-28
64 APR_DRG Pancreas Transplant 30 18 — — $77,043.00 $285,059.10 $181,051.05 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 30 18 — — $77,037.00 $285,036.90 $181,036.95 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 30 18 — — $76,806.00 $284,182.20 $180,494.10 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 30 18 — — $74,664.00 $276,256.80 $175,460.40 2026-02-28
HC81000021 CDM Hc Lung Ocs & Surgical Retrieval 84 29 $234,260.00 $81,991.00 65% off $100.00 $316,251.00 $169,838.50 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 18 — — $71,785.00 $265,604.50 $168,694.75 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 57 39 — — $80,034.55 $361,267.05 $168,147.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 18 — — $70,607.00 $261,245.90 $165,926.45 2026-02-28
HC81000019 CDM Hc Heart Ocs & Surgical Retrieval 84 29 $227,900.00 $79,765.00 65% off $100.00 $307,665.00 $165,227.50 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 30 18 — — $70,034.00 $259,125.80 $164,579.90 2026-02-28
HC81000023 CDM Hc Liver Ocs & Surgical Retrieval 84 29 $225,780.00 $79,023.00 65% off $100.00 $304,803.00 $163,690.50 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 58 39 — — $74,286.42 $335,320.61 $161,718.19 2026-02-28
HC81000022 CDM Hc Lung Ocs 84 29 $222,600.00 $77,910.00 65% off $100.00 $300,510.00 $161,385.00 2026-02-28
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 25 — — $101,972.33 $335,000.00 $158,536.00 2026-07-31
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 30 18 — — $67,049.00 $248,081.30 $157,565.15 2026-02-28
HC27900015 CDM Hc Impella 5.5 Lvad 82 23 $284,925.00 $99,723.75 65% off $100.00 $475,767.77 $156,708.75 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 30 18 — — $66,524.00 $246,138.80 $156,331.40 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 30 18 — — $66,427.00 $245,779.90 $156,103.45 2026-02-28
HC81000020 CDM Hc Heart Ocs 84 29 $215,180.00 $75,313.00 65% off $100.00 $290,493.00 $156,005.50 2026-02-28
7 MS_DRG Lung Transplant 59 39 — — $64,943.00 $334,487.86 $155,519.00 2026-02-28
HC81000024 CDM Hc Liver Ocs 84 29 $213,060.00 $74,571.00 65% off $100.00 $287,631.00 $154,468.50 2026-02-28
HC27900010 OTHER Hc Vad Heartmate Ii Thor 13 13 $308,673.00 $108,035.55 65% off $45,756.00 $231,504.75 $154,336.50 2026-07-31
8634 APR_DRG Neonatal Aftercare 30 18 — — $64,649.00 $239,201.30 $151,925.15 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 64 39 — — $62,646.46 $390,562.00 $151,046.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 30 18 — — $64,028.00 $236,903.60 $150,465.80 2026-02-28
927 OTHER Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi… 13 13 — — $134,233.30 $368,515.99 $148,823.88 2026-07-31
1611 APR_DRG Implantable Heart Assist Systems 30 18 — — $63,000.00 $233,100.00 $148,050.00 2026-02-28
4404 APR_DRG Kidney Transplant 30 18 — — $62,844.00 $232,522.80 $147,683.40 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 18 — — $62,557.00 $231,460.90 $147,008.95 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 18 — — $62,536.00 $231,383.20 $146,959.60 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Solr 1 Each Vial 86 23 $296,910.22 $103,918.58 65% off $1,238.94 $296,910.22 $145,486.01 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 30 18 — — $60,922.00 $225,411.40 $143,166.70 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 30 18 — — $60,922.00 $225,411.40 $143,166.70 2026-02-28
HC81200014 CDM Hc Heart/lung Donor Organ Prcrmt-imp 82 29 $190,800.00 $66,780.00 65% off $100.00 $257,580.00 $143,100.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 30 18 — — $60,749.00 $224,771.30 $142,760.15 2026-02-28
HC27900008 OTHER Hc Vad Impl Set Heartware Btt 13 13 $282,754.00 $98,963.90 65% off $45,756.00 $212,065.50 $141,377.00 2026-07-31
HC27900016 CDM Hc Impella Rp Flex W/smart Asst Abiomed 82 23 $256,789.00 $89,876.15 65% off $100.00 $428,786.28 $141,233.95 2026-02-28
4414 APR_DRG Major Bladder Procedures 30 18 — — $59,473.00 $220,050.10 $139,761.55 2026-02-28
C2642 HCPCS Dev Gammatile Therapy 10pk Gt-10 1,040 41 $304,500.00 $106,575.00 65% off $77.78 $972,825.00 $137,025.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 30 18 — — $57,868.00 $214,111.60 $135,989.80 2026-02-28
0074 OTHER Allogeneic Bone Marrow Transplant 6 6 — — $130,968.35 $137,516.77 $134,897.40 2026-07-31
0084 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 6 — — $130,968.35 $137,516.77 $134,897.40 2026-07-31
003 OTHER Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi… 18 18 — — $112,179.94 $350,230.16 $134,517.96 2026-07-31
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 30 18 — — $56,660.00 $209,642.00 $133,151.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 30 18 — — $55,703.00 $206,101.10 $130,902.05 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 51 37 — — $61,943.18 $279,604.62 $129,637.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 59 39 — — $60,576.31 $273,434.72 $129,412.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 30 18 — — $54,857.00 $202,970.90 $128,913.95 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 30 18 — — $54,794.00 $202,737.80 $128,765.90 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 30 18 — — $54,551.00 $201,838.70 $128,194.85 2026-02-28
J3398 HCPCS Voretigene Neparvovec-rzyl 1.5 X 10exp11 Vg/0.3 Ml (fnl) Susp 150 Units Vial 154 41 $456,971.02 $159,939.86 65% off $2,019.60 $456,971.02 $127,951.89 2026-02-28
HC81200013 CDM Hc Sng Lung Donor Organ Procure-imp 82 29 $170,058.00 $59,520.30 65% off $100.00 $229,578.30 $127,543.50 2026-02-28
215 MS_DRG Other Heart Assist System Implant 64 39 — — $42,021.00 $272,056.89 $127,495.55 2026-02-28
6904 APR_DRG Acute Leukemia 30 18 — — $54,061.00 $200,025.70 $127,043.35 2026-02-28
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 30 18 — — $53,730.00 $198,801.00 $126,265.50 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 30 18 — — $53,670.00 $198,579.00 $126,124.50 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 36 — — $59,603.56 $269,043.84 $126,071.20 2026-02-28
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $122,274.72 $128,388.46 $125,942.96 2026-07-31
5834 OTHER Neonate With Ecmo 6 6 — — $121,227.70 $127,289.08 $124,864.53 2026-07-31
HC27900007 CDM Hc Pump Abiomed Impella 2.5-2 82 23 $226,802.00 $79,380.70 65% off $100.00 $378,713.98 $124,741.10 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 30 18 — — $52,049.00 $192,581.30 $122,315.15 2026-02-28
HC27900014 OTHER Hc Heartmate 3 Lvad Impl Kit 13 13 $240,924.00 $84,323.40 65% off $45,756.00 $180,693.00 $120,462.00 2026-07-31
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 30 18 — — $50,955.00 $188,533.50 $119,744.25 2026-02-28
HC81200004 CDM Hc Heart/lung Dnr Orgn Prcur 82 29 $159,000.00 $55,650.00 65% off $100.00 $214,650.00 $119,250.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 30 18 — — $50,644.00 $187,382.80 $119,013.40 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 30 18 — — $50,301.00 $186,113.70 $118,207.35 2026-02-28
HC62400480 CDM Hc G240119 Cardiomems Hf System 68 21 $196,743.00 $68,860.05 65% off $100.00 $714,177.09 $118,045.80 2026-02-28
HC27900009 OTHER Hc Vad Heartware Btt 13 13 $234,286.00 $82,000.10 65% off $45,756.00 $175,714.50 $117,143.00 2026-07-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 18 — — $49,809.00 $184,293.30 $117,051.15 2026-02-28
63 APR_DRG Pancreas Transplant 30 18 — — $49,788.00 $184,215.60 $117,001.80 2026-02-28
0024 RC Heart And/or Lung Transplant 6 6 — — $113,390.45 $119,059.97 $116,792.16 2026-07-31
HC81200006 CDM Hc Liver Dnr Orgn Prcr-import 82 29 $154,798.00 $54,179.30 65% off $100.00 $208,977.30 $116,098.50 2026-02-28
HC81200001 CDM Hc Dbl Lung Dnr Orgn Prcr-imp 82 29 $153,707.00 $53,797.45 65% off $100.00 $207,504.45 $115,280.25 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 38 — — $54,995.33 $248,242.77 $114,848.00 2026-02-28
HC27900017 CDM Cath Impella 2.5 005042 718 23 $210,000.00 $73,500.00 65% off $100.00 $718,848.90 $112,500.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 30 18 — — $47,463.00 $175,613.10 $111,538.05 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 50 36 — — $52,539.99 $237,159.65 $110,999.60 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 30 18 — — $47,205.00 $174,658.50 $110,931.75 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 30 18 — — $47,094.00 $174,247.80 $110,670.90 2026-02-28
HC27900011 CDM Hc Pump Abiomed Impella Rt Side 82 23 $200,118.00 $70,041.30 65% off $100.00 $334,157.04 $110,064.90 2026-02-28
1614 OTHER Implantable Heart Assist Systems 6 6 — — $106,350.33 $111,667.85 $109,540.84 2026-07-31
22 APR_DRG Heart And/or Lung Transplant 30 18 — — $46,487.00 $172,001.90 $109,244.45 2026-02-28
234 APR_DRG Spinal Procedures 30 18 — — $46,397.00 $171,668.90 $109,032.95 2026-02-28
HC81200008 CDM Hc Lung Dnr Dbl Orgn Prcr 82 29 $144,986.00 $50,745.10 65% off $100.00 $195,731.10 $108,739.50 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 30 18 — — $46,229.00 $171,047.30 $108,638.15 2026-02-28
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $104,992.28 $110,241.89 $108,142.05 2026-07-31
HC81200003 CDM Hc Heart Dnr Orgn Prcur-imprt 82 29 $143,895.00 $50,363.25 65% off $100.00 $194,258.25 $107,921.25 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 18 — — $45,633.00 $168,842.10 $107,237.55 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 18 — — $45,064.00 $166,736.80 $105,900.40 2026-02-28
62 APR_DRG Pancreas Transplant 30 18 — — $45,033.00 $166,622.10 $105,827.55 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 60 18 — — $44,856.00 $165,967.20 $105,411.60 2026-02-28
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml Soln 20 Ml Vial 80 23 $213,819.43 $74,836.81 65% off $47,040.28 $213,819.43 $104,771.53 2026-02-28
C1825 HCPCS Optimizer Smart Ipg 10-b411-3-xx 216 24 $267,750.00 $93,712.50 65% off $50,715.00 $294,000.00 $104,634.60 2026-02-28
61 APR_DRG Pancreas Transplant 30 18 — — $44,451.00 $164,468.70 $104,459.85 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 30 18 — — $43,682.00 $161,623.40 $102,652.70 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 30 18 — — $43,363.00 $160,443.10 $101,903.05 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 30 18 — — $43,312.00 $160,254.40 $101,783.20 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 30 18 — — $43,285.00 $160,154.50 $101,719.75 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 30 18 — — $43,099.00 $159,466.30 $101,282.65 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 53 38 — — $48,414.21 $218,536.34 $100,862.93 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 53 38 — — $48,387.94 $218,417.75 $100,808.19 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 30 18 — — $42,843.00 $158,519.10 $100,681.05 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 50 36 — — $47,668.99 $215,172.53 $100,634.54 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 30 18 — — $42,808.00 $158,389.60 $100,598.80 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 30 18 — — $42,783.00 $158,297.10 $100,540.05 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 30 18 — — $42,083.00 $155,707.10 $98,895.05 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 30 18 — — $42,072.00 $155,666.40 $98,869.20 2026-02-28
2054 APR_DRG Cardiomyopathy 30 18 — — $41,954.00 $155,229.80 $98,591.90 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 30 18 — — $41,900.00 $155,030.00 $98,465.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 30 18 — — $41,857.00 $154,870.90 $98,363.95 2026-02-28
HC27900001 CDM Hc Pump Abiomed Impella 2.5-1 82 23 $177,021.00 $61,957.35 65% off $100.00 $295,589.67 $97,361.55 2026-02-28
HC27803514 CDM Hc Valve Transcath Pulm 108 24 $249,453.00 $87,308.55 65% off $52,385.13 $249,453.00 $97,286.67 2026-02-28
007 OTHER Lung Transplant 25 25 — — $74,412.70 $400,000.00 $97,060.04 2026-07-31
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $94,206.52 $98,916.85 $97,032.72 2026-07-31
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 18 — — $41,153.00 $152,266.10 $96,709.55 2026-02-28
HC81200005 CDM Hc Kidney Dnr Orgn Prcr 82 29 $128,635.00 $45,022.25 65% off $100.00 $173,657.25 $96,476.25 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 30 18 — — $41,016.00 $151,759.20 $96,387.60 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 18 — — $40,888.00 $151,285.60 $96,086.80 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 53 38 — — $46,106.46 $208,119.41 $96,055.11 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 58 39 — — $45,358.45 $204,742.98 $95,756.72 2026-02-28
C1824 HCPCS Hc Ipg Ccm Optimizer 231 39 $229,887.00 $80,460.45 65% off $33,596.90 $273,000.00 $95,550.00 2026-07-31
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 30 18 — — $40,458.00 $149,694.60 $95,076.30 2026-02-28
10 MS_DRG Pancreas Transplant 59 39 — — $34,648.00 $205,896.21 $95,029.02 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 18 — — $40,389.00 $149,439.30 $94,914.15 2026-02-28
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Solr 1 Each Vial 80 23 $193,515.00 $67,730.25 65% off $42,573.30 $193,515.00 $94,822.35 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 30 18 — — $40,294.00 $149,087.80 $94,690.90 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 30 18 — — $40,148.00 $148,547.60 $94,347.80 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 30 18 — — $39,990.00 $147,963.00 $93,976.50 2026-02-28
HC81200009 CDM Hc Lung Dnr Single Orgn Prcrmt 82 29 $125,080.00 $43,778.00 65% off $100.00 $168,858.00 $93,810.00 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 30 18 — — $39,771.00 $147,152.70 $93,461.85 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 53 38 — — $44,738.46 $201,944.44 $93,205.13 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 60 18 — — $39,527.00 $146,249.90 $92,888.45 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 38 — — $44,297.38 $199,953.43 $92,286.20 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 30 18 — — $39,165.00 $144,910.50 $92,037.75 2026-02-28
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 25 25 — — $65,866.54 $275,000.00 $91,585.00 2026-07-31
014 OTHER Allogeneic Bone Marrow Transplant 13 13 — — $82,032.13 $235,683.19 $90,948.67 2026-07-31
HC27900015 OTHER Hc Impella 5.5 Lvad 13 13 $165,240.00 $57,834.00 65% off $45,756.00 $123,930.00 $90,882.00 2026-07-31
4403 APR_DRG Kidney Transplant 30 18 — — $38,464.00 $142,316.80 $90,390.40 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 30 18 — — $38,461.00 $142,305.70 $90,383.35 2026-02-28
HC81000011 OTHER Hc Lung Perfusion Set 5 5 $163,800.00 $57,330.00 65% off $90,090.00 $122,850.00 $90,090.00 2026-07-31
1694 APR_DRG Major Abdominal Vascular Procedures 30 18 — — $38,330.00 $141,821.00 $90,075.50 2026-02-28
006 OTHER Liver Transplant Without Mcc 25 25 — — $30,874.73 $275,000.00 $90,022.97 2026-07-31
1204 APR_DRG Major Respiratory And Chest Procedures 30 18 — — $38,175.00 $141,247.50 $89,711.25 2026-02-28
4834 APR_DRG Penis Testes And Scrotal Procedures 30 18 — — $38,029.00 $140,707.30 $89,368.15 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 106 38 — — $42,769.50 $193,056.73 $89,103.11 2026-02-28
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Soln 10 Ml Vial 234 41 $183,886.51 $64,360.28 65% off $356.57 $329,497.66 $88,964.37 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 30 18 — — $37,622.00 $139,201.40 $88,411.70 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 30 18 — — $37,572.00 $139,016.40 $88,294.20 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 30 18 — — $37,562.00 $138,979.40 $88,270.70 2026-02-28
HC81200002 CDM Hc Heart Dnr Orgn Prcur 82 29 $116,600.00 $40,810.00 65% off $100.00 $157,410.00 $87,450.00 2026-02-28
0023 RC Heart And/or Lung Transplant 6 6 — — $84,735.13 $88,971.89 $87,277.18 2026-07-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 30 18 — — $37,003.00 $136,911.10 $86,957.05 2026-02-28
222 MS_DRG No Active Code Description 15 14 — — $86,864.00 $86,864.00 $86,864.00 2026-02-28
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $84,218.27 $88,429.18 $86,744.82 2026-07-31
5891 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $83,980.16 $88,179.17 $86,499.56 2026-07-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 36 — — $40,748.53 $183,934.34 $86,024.68 2026-02-28
HC27900004 CDM Hc Tandemheart 82 23 $155,648.00 $54,476.80 65% off $100.00 $259,901.04 $85,606.40 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 30 18 — — $36,267.00 $134,187.90 $85,227.45 2026-02-28
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $82,549.57 $86,677.05 $85,026.06 2026-07-31
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 30 18 — — $36,070.00 $133,459.00 $84,764.50 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 30 18 — — $36,008.00 $133,229.60 $84,618.80 2026-02-28
004 OTHER Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosis Except… 18 18 — — $68,030.35 $213,306.34 $84,518.79 2026-07-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 51 37 — — $40,548.96 $183,033.47 $84,476.99 2026-02-28
HC81200004 OTHER Hc Heart/lung Dnr Orgn Prcur 5 5 $153,534.00 $53,736.90 65% off $84,443.70 $115,150.50 $84,443.70 2026-07-31
5833 OTHER Neonate With Ecmo 6 6 — — $81,531.80 $85,608.39 $83,977.75 2026-07-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 59 39 — — $38,379.29 $173,239.82 $83,880.00 2026-02-28
453 MS_DRG No Active Code Description 16 15 — — $63,784.00 $103,861.00 $83,822.50 2026-02-28
1783 APR_DRG External Heart Assist Systems 30 18 — — $35,647.00 $131,893.90 $83,770.45 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 30 18 — — $35,627.00 $131,819.90 $83,723.45 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 30 18 — — $35,496.00 $131,335.20 $83,415.60 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 53 38 — — $39,931.20 $180,245.00 $83,190.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 30 18 — — $35,210.00 $130,277.00 $82,743.50 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 30 18 — — $35,108.00 $129,899.60 $82,503.80 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 30 18 — — $34,775.00 $128,667.50 $81,721.25 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 106 38 — — $39,214.51 $177,009.92 $81,696.89 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 30 18 — — $34,720.00 $128,464.00 $81,592.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 50 36 — — $38,523.53 $173,890.90 $81,327.44 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 18 — — $34,478.00 $127,568.60 $81,023.30 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 30 18 — — $34,381.00 $127,209.70 $80,795.35 2026-02-28
224 MS_DRG No Active Code Description 15 14 — — $80,427.00 $80,427.00 $80,427.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 30 18 — — $34,196.00 $126,525.20 $80,360.60 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 53 38 — — $38,316.12 $172,954.67 $79,825.23 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 30 18 — — $33,847.00 $125,233.90 $79,540.45 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 18 — — $33,617.00 $124,382.90 $78,999.95 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 18 — — $33,553.00 $124,146.10 $78,849.55 2026-02-28
215 OTHER Other Heart Assist System Implant 18 18 — — $54,351.00 $238,109.36 $78,800.46 2026-07-31
12 APR_DRG Liver Transplant And/or Intestinal Transplant 30 18 — — $33,307.00 $123,235.90 $78,271.45 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 30 18 — — $33,293.00 $123,184.10 $78,238.55 2026-02-28
HC62400322 OTHER Hc G140245 Tah 50cc Syncardia 12 12 $141,900.00 $49,665.00 65% off $19,144.00 $141,900.00 $78,045.00 2026-07-31
HC27900005 OTHER Hc Pump Abiomed Impella Cp 13 13 $141,849.00 $49,647.15 65% off $45,756.00 $106,386.75 $78,016.95 2026-07-31
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 30 18 — — $33,191.00 $122,806.70 $77,998.85 2026-02-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 30 18 — — $33,082.00 $122,403.40 $77,742.70 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 30 18 — — $33,075.00 $122,377.50 $77,726.25 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 30 18 — — $33,038.00 $122,240.60 $77,639.30 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 53 38 — — $37,195.78 $167,897.60 $77,491.20 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 38 — — $37,143.79 $167,662.92 $77,382.89 2026-02-28
8414 OTHER Extensive Third Degree Burns With Skin Graft 6 6 — — $74,638.65 $78,370.58 $76,877.81 2026-07-31
0083 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 6 — — $74,493.96 $78,218.66 $76,728.78 2026-07-31
0073 OTHER Allogeneic Bone Marrow Transplant 6 6 — — $74,493.96 $78,218.66 $76,728.78 2026-07-31
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $73,800.12 $77,490.13 $76,014.12 2026-07-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 106 38 — — $36,396.90 $164,291.57 $75,826.88 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 30 18 — — $32,196.00 $119,125.20 $75,660.60 2026-02-28
5892 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $73,362.63 $77,030.76 $75,563.51 2026-07-31
11 APR_DRG Liver Transplant And/or Intestinal Transplant 30 18 — — $32,056.00 $118,607.20 $75,331.60 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 50 36 — — $35,625.98 $160,811.69 $75,210.39 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 58 39 — — $34,784.61 $157,013.84 $75,102.71 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 58 39 — — $34,784.61 $157,013.84 $75,102.71 2026-02-28
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 21 — — $47,761.00 $185,563.47 $74,476.32 2026-07-31
2614 APR_DRG Major Biliary Tract Procedures 30 18 — — $31,685.00 $117,234.50 $74,459.75 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 51 37 — — $35,670.70 $161,013.55 $74,313.95 2026-02-28
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $72,043.32 $75,645.49 $74,204.62 2026-07-31
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 18 — — $31,572.00 $116,816.40 $74,194.20 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 53 38 — — $35,468.32 $160,100.04 $73,892.33 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 30 18 — — $31,405.00 $116,198.50 $73,801.75 2026-02-28
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Of Hemorrhage With Mcc 18 18 — — $66,478.88 $199,950.44 $73,704.84 2026-07-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 53 38 — — $35,348.13 $159,557.52 $73,641.93 2026-02-28
0014 OTHER Liver Transplant And/or Intestinal Transplant 6 6 — — $71,496.07 $75,070.87 $73,640.95 2026-07-31
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 60 18 — — $31,282.00 $115,743.40 $73,512.70 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 53 38 — — $35,191.60 $158,850.94 $73,315.82 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 30 18 — — $31,085.00 $115,014.50 $73,049.75 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 53 38 — — $35,028.35 $158,114.06 $72,975.72 2026-02-28
0064 OTHER Pancreas Transplant 6 6 — — $70,608.56 $74,138.99 $72,726.82 2026-07-31
226 MS_DRG No Active Code Description 15 14 — — $72,618.00 $72,618.00 $72,618.00 2026-02-28
HC27900007 OTHER Hc Pump Abiomed Impella 2.5-2 13 13 $131,532.00 $46,036.20 65% off $45,756.00 $98,649.00 $72,342.60 2026-07-31
HC27900002 OTHER Hc Pump Abiomed Impella 5-0 13 13 $131,532.00 $46,036.20 65% off $45,756.00 $98,649.00 $72,342.60 2026-07-31
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 30 18 — — $30,771.00 $113,852.70 $72,311.85 2026-02-28
HC81200006 OTHER Hc Liver Dnr Orgn Prcr-import 5 5 $131,123.00 $45,893.05 65% off $72,117.65 $98,342.25 $72,117.65 2026-07-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 53 38 — — $34,532.48 $155,875.76 $71,942.66 2026-02-28
1782 APR_DRG External Heart Assist Systems 30 18 — — $30,595.00 $113,201.50 $71,898.25 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 30 18 — — $30,543.00 $113,009.10 $71,776.05 2026-02-28
J7355 HCPCS Idose Tr G2-tr 80 23 $146,475.00 $51,266.25 65% off $32,224.50 $146,475.00 $71,772.75 2026-02-28
HC27806580 CDM Hc Pipeline Embol >24mm 108 24 $183,873.00 $64,355.55 65% off $38,613.33 $183,873.00 $71,710.47 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 38 — — $34,300.47 $154,828.51 $71,459.31 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 48 36 — — $34,275.32 $154,714.95 $71,406.90 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 30 18 — — $30,275.00 $112,017.50 $71,146.25 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 18 — — $30,159.00 $111,588.30 $70,873.65 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 53 38 — — $33,936.53 $153,185.70 $70,701.09 2026-02-28
2234 APR_DRG Other Small And Large Bowel Procedures 30 18 — — $29,811.00 $110,300.70 $70,055.85 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 53 38 — — $33,590.48 $151,623.68 $69,980.16 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 30 18 — — $29,628.00 $109,623.60 $69,625.80 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 30 18 — — $29,495.00 $109,131.50 $69,313.25 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 53 38 — — $33,127.03 $149,531.72 $69,014.64 2026-02-28
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 30 18 — — $29,328.00 $108,513.60 $68,920.80 2026-02-28
7234 APR_DRG Viral Illness 30 18 — — $29,288.00 $108,365.60 $68,826.80 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 53 38 — — $32,935.27 $148,666.15 $68,615.15 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 30 18 — — $28,973.00 $107,200.10 $68,086.55 2026-02-28
HC27806579 CDM Hc Pipeline Embol <21mm 108 24 $173,366.00 $60,678.10 65% off $36,406.86 $173,366.00 $67,612.74 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 30 18 — — $28,653.00 $106,016.10 $67,334.55 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 59 39 — — $31,459.39 $185,546.00 $67,288.13 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 30 18 — — $28,596.00 $105,805.20 $67,200.60 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 36 — — $31,811.58 $143,593.94 $67,157.79 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 53 38 — — $32,205.72 $145,373.02 $67,095.24 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 50 36 — — $31,623.75 $142,746.08 $66,761.24 2026-02-28
6614 APR_DRG Coagulation And Platelet Disorders 30 18 — — $28,337.00 $104,846.90 $66,591.95 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 53 38 — — $31,941.29 $144,179.40 $66,544.34 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 53 38 — — $31,941.29 $144,179.40 $66,544.34 2026-02-28
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