|
C1767
|
HCPCS
|
Activa Stimulator Neuro Dbs 37603
|
5,392
|
36
|
$165,112.50
|
$57,789.38
65% off
|
$0.27
|
$411,022.50
|
$65,431.73
|
2026-07-31
|
|
C1882
|
HCPCS
|
Hc Crt-d Cobalt Hf MRI Surescan
|
3,897
|
39
|
$146,591.00
|
$51,306.85
65% off
|
$0.21
|
$282,817.50
|
$53,743.47
|
2026-07-31
|
|
L8614
|
HCPCS
|
Cochlear Nuc Profile Abi54 Sys Z246604
|
2,724
|
28
|
$148,837.50
|
$52,093.13
65% off
|
$81.06
|
$422,100.00
|
$55,249.95
|
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
|
|
C1822
|
HCPCS
|
Charger Pt Senza 2 Rem Ipg2500 Hf10b
|
972
|
24
|
$126,238.00
|
$44,183.30
65% off
|
$721.35
|
$273,000.00
|
$54,729.68
|
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
|
|
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
|
|
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
|
|
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
|
|
C1605
|
HCPCS
|
Hc Aveir Ra & Rv Leadless Device Pkg
|
216
|
24
|
$162,750.00
|
$56,962.50
65% off
|
$15,435.00
|
$252,000.00
|
$57,960.00
|
2026-02-28
|
|
C2624
|
HCPCS
|
Hc Cardiomems Sensor Sjm
|
203
|
41
|
$196,743.00
|
$68,860.05
65% off
|
$100.00
|
$196,743.00
|
$53,120.61
|
2026-07-31
|
|
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
|
|
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
|
|
A9543
|
HCPCS
|
Hc R Y90 Ibritumomab P Tx Dos =< 40mci
|
145
|
59
|
$72,681.00
|
$25,438.35
65% off
|
$19,623.87
|
$184,978.95
|
$58,624.10
|
2026-07-31
|
|
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
|
|
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
|
|
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
|
|
HC27806499
|
CDM
|
Hc Stent Pipeline3
|
108
|
24
|
$137,705.00
|
$48,196.75
65% off
|
$28,918.05
|
$137,705.00
|
$53,704.95
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
78
|
28
|
—
|
—
|
$42,769.50
|
$193,056.73
|
$83,162.90
|
2026-02-28
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
78
|
28
|
—
|
—
|
$39,214.51
|
$177,009.92
|
$76,250.43
|
2026-02-28
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
78
|
28
|
—
|
—
|
$36,396.90
|
$164,291.57
|
$70,771.75
|
2026-02-28
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
78
|
28
|
—
|
—
|
$27,617.61
|
$124,662.79
|
$51,965.00
|
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
|
|
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
|
|
HC62400352
|
CDM
|
Hc G090024 Evaheart2 Lt Vent Assist Sys
|
68
|
21
|
$99,825.00
|
$34,938.75
65% off
|
$100.00
|
$362,364.75
|
$59,895.00
|
2026-02-28
|
|
HC27211509
|
CDM
|
Hc Protek Duo Life Sparc Kit
|
48
|
17
|
$108,719.00
|
$38,051.65
65% off
|
$100.00
|
$108,719.00
|
$59,795.45
|
2026-02-28
|
|
HC27211530
|
CDM
|
Hc Paragonix Sherpa Pak Cts
|
48
|
17
|
$94,780.00
|
$33,173.00
65% off
|
$100.00
|
$94,780.00
|
$52,129.00
|
2026-02-28
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
45
|
29
|
—
|
—
|
$62,646.46
|
$390,562.00
|
$130,513.46
|
2026-02-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
45
|
29
|
—
|
—
|
$60,576.31
|
$273,434.72
|
$126,200.64
|
2026-02-28
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
45
|
29
|
—
|
—
|
$42,021.00
|
$272,056.89
|
$113,008.25
|
2026-02-28
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
45
|
29
|
—
|
—
|
$28,150.38
|
$188,065.00
|
$57,705.00
|
2026-02-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
44
|
28
|
—
|
—
|
$106,452.00
|
$715,521.11
|
$289,337.23
|
2026-02-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
44
|
29
|
—
|
—
|
$64,943.00
|
$334,487.86
|
$141,514.09
|
2026-02-28
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
44
|
29
|
—
|
—
|
$45,358.45
|
$204,742.98
|
$91,265.99
|
2026-02-28
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
44
|
29
|
—
|
—
|
$34,648.00
|
$205,896.21
|
$91,131.88
|
2026-02-28
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
44
|
29
|
—
|
—
|
$31,459.39
|
$185,546.00
|
$64,690.50
|
2026-02-28
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
44
|
29
|
—
|
—
|
$26,798.04
|
$121,513.00
|
$53,756.00
|
2026-02-28
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
43
|
24
|
—
|
—
|
$1,926.00
|
$192,523.95
|
$59,238.14
|
2026-02-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
42
|
29
|
—
|
—
|
$120,854.04
|
$545,521.67
|
$232,291.98
|
2026-02-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
42
|
29
|
—
|
—
|
$80,034.55
|
$361,267.05
|
$155,704.36
|
2026-02-28
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
39
|
28
|
—
|
—
|
$211,873.83
|
$956,374.90
|
$410,067.00
|
2026-02-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
39
|
28
|
—
|
—
|
$133,662.95
|
$603,339.69
|
$250,618.03
|
2026-02-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
39
|
28
|
—
|
—
|
$74,286.42
|
$335,320.61
|
$139,287.02
|
2026-02-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
39
|
28
|
—
|
—
|
$54,995.33
|
$248,242.77
|
$106,935.35
|
2026-02-28
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
39
|
28
|
—
|
—
|
$48,414.21
|
$218,536.34
|
$94,138.73
|
2026-02-28
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
39
|
28
|
—
|
—
|
$48,387.94
|
$218,417.75
|
$94,087.65
|
2026-02-28
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
39
|
28
|
—
|
—
|
$46,106.46
|
$208,119.41
|
$89,651.44
|
2026-02-28
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
39
|
28
|
—
|
—
|
$44,738.46
|
$201,944.44
|
$86,991.45
|
2026-02-28
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
39
|
28
|
—
|
—
|
$44,297.38
|
$199,953.43
|
$86,133.79
|
2026-02-28
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
39
|
28
|
—
|
—
|
$39,931.20
|
$180,245.00
|
$77,043.00
|
2026-02-28
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
39
|
28
|
—
|
—
|
$38,316.12
|
$172,954.67
|
$74,503.55
|
2026-02-28
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
39
|
28
|
—
|
—
|
$37,195.78
|
$167,897.60
|
$72,325.12
|
2026-02-28
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
39
|
28
|
—
|
—
|
$37,143.79
|
$167,662.92
|
$72,027.00
|
2026-02-28
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
39
|
28
|
—
|
—
|
$38,379.29
|
$173,239.82
|
$71,961.16
|
2026-02-28
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
39
|
28
|
—
|
—
|
$35,348.13
|
$159,557.52
|
$68,732.47
|
2026-02-28
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
39
|
28
|
—
|
—
|
$34,784.61
|
$157,013.84
|
$67,636.73
|
2026-02-28
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
39
|
28
|
—
|
—
|
$34,532.48
|
$155,875.76
|
$67,146.48
|
2026-02-28
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
39
|
28
|
—
|
—
|
$34,300.47
|
$154,828.51
|
$66,695.36
|
2026-02-28
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
39
|
28
|
—
|
—
|
$35,028.35
|
$158,114.06
|
$66,680.00
|
2026-02-28
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
39
|
28
|
—
|
—
|
$35,468.32
|
$160,100.04
|
$66,601.00
|
2026-02-28
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
39
|
28
|
—
|
—
|
$35,191.60
|
$158,850.94
|
$66,457.00
|
2026-02-28
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
39
|
28
|
—
|
—
|
$33,936.53
|
$153,185.70
|
$65,987.69
|
2026-02-28
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
39
|
28
|
—
|
—
|
$34,784.61
|
$157,013.84
|
$65,221.14
|
2026-02-28
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
39
|
28
|
—
|
—
|
$33,127.03
|
$149,531.72
|
$64,413.67
|
2026-02-28
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
39
|
28
|
—
|
—
|
$32,935.27
|
$148,666.15
|
$64,040.81
|
2026-02-28
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
39
|
28
|
—
|
—
|
$33,590.48
|
$151,623.68
|
$62,982.15
|
2026-02-28
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
39
|
28
|
—
|
—
|
$32,205.72
|
$145,373.02
|
$62,622.23
|
2026-02-28
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
39
|
28
|
—
|
—
|
$31,941.29
|
$144,179.40
|
$62,108.05
|
2026-02-28
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
39
|
28
|
—
|
—
|
$31,941.29
|
$144,179.40
|
$62,108.05
|
2026-02-28
|
|
405
|
MS_DRG
|
Pancreas Liver And Shunt Procedures With Mcc
|
39
|
28
|
—
|
—
|
$31,390.07
|
$141,691.26
|
$61,036.24
|
2026-02-28
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
39
|
28
|
—
|
—
|
$31,203.34
|
$140,848.41
|
$60,673.16
|
2026-02-28
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
39
|
28
|
—
|
—
|
$30,652.12
|
$138,360.24
|
$59,601.34
|
2026-02-28
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
39
|
28
|
—
|
—
|
$31,235.21
|
$140,992.25
|
$59,466.00
|
2026-02-28
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
39
|
28
|
—
|
—
|
$30,783.50
|
$138,953.27
|
$58,839.00
|
2026-02-28
|
|
11
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
39
|
28
|
—
|
—
|
$31,206.70
|
$140,863.55
|
$58,599.00
|
2026-02-28
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
39
|
28
|
—
|
—
|
$29,736.96
|
$134,229.33
|
$57,821.87
|
2026-02-28
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
39
|
28
|
—
|
—
|
$29,522.29
|
$133,260.31
|
$57,404.44
|
2026-02-28
|
|
326
|
MS_DRG
|
Stomach Esophageal And Duodenal Procedures With Mcc
|
39
|
28
|
—
|
—
|
$29,435.07
|
$132,866.63
|
$57,234.86
|
2026-02-28
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
39
|
28
|
—
|
—
|
$29,033.67
|
$131,054.76
|
$56,454.36
|
2026-02-28
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
39
|
28
|
—
|
—
|
$28,900.06
|
$130,451.66
|
$55,912.00
|
2026-02-28
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
39
|
28
|
—
|
—
|
$29,000.69
|
$130,905.88
|
$55,602.00
|
2026-02-28
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
39
|
28
|
—
|
—
|
$28,360.58
|
$128,016.50
|
$55,145.57
|
2026-02-28
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
39
|
28
|
—
|
—
|
$28,195.67
|
$127,272.08
|
$54,824.90
|
2026-02-28
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
39
|
28
|
—
|
—
|
$29,199.71
|
$131,804.24
|
$54,749.46
|
2026-02-28
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
39
|
28
|
—
|
—
|
$27,738.36
|
$125,207.85
|
$53,935.69
|
2026-02-28
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
39
|
28
|
—
|
—
|
$27,622.64
|
$124,685.51
|
$53,710.68
|
2026-02-28
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
39
|
28
|
—
|
—
|
$27,342.55
|
$123,421.22
|
$53,166.07
|
2026-02-28
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
39
|
28
|
—
|
—
|
$26,808.66
|
$121,011.32
|
$52,127.95
|
2026-02-28
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
39
|
28
|
—
|
—
|
$26,715.86
|
$120,592.42
|
$51,947.51
|
2026-02-28
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
39
|
28
|
—
|
—
|
$26,711.95
|
$120,574.74
|
$51,939.89
|
2026-02-28
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
37
|
27
|
—
|
—
|
$61,943.18
|
$279,604.62
|
$116,143.46
|
2026-02-28
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
37
|
27
|
—
|
—
|
$40,548.96
|
$183,033.47
|
$76,029.29
|
2026-02-28
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
37
|
27
|
—
|
—
|
$35,670.70
|
$161,013.55
|
$66,882.56
|
2026-02-28
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
37
|
27
|
—
|
—
|
$29,011.87
|
$130,956.35
|
$54,397.26
|
2026-02-28
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
26
|
—
|
—
|
$59,603.56
|
$269,043.84
|
$113,826.24
|
2026-02-28
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
36
|
26
|
—
|
—
|
$52,539.99
|
$237,159.65
|
$100,336.77
|
2026-02-28
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
36
|
26
|
—
|
—
|
$47,668.99
|
$215,172.53
|
$91,034.54
|
2026-02-28
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
26
|
—
|
—
|
$40,748.53
|
$183,934.34
|
$77,818.38
|
2026-02-28
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
36
|
26
|
—
|
—
|
$38,523.53
|
$173,890.90
|
$73,569.23
|
2026-02-28
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
36
|
26
|
—
|
—
|
$35,625.98
|
$160,811.69
|
$68,035.72
|
2026-02-28
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
26
|
—
|
—
|
$31,811.58
|
$143,593.94
|
$60,751.29
|
2026-02-28
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
36
|
26
|
—
|
—
|
$31,623.75
|
$142,746.08
|
$60,392.57
|
2026-02-28
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
36
|
26
|
—
|
—
|
$29,832.56
|
$134,660.83
|
$56,971.89
|
2026-02-28
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome Neonate
|
34
|
26
|
—
|
—
|
$34,275.32
|
$154,714.95
|
$60,695.86
|
2026-02-28
|
|
HC27802040
|
OTHER
|
Hc Mitraclip System
|
30
|
15
|
$157,048.50
|
$54,966.97
65% off
|
$38,997.00
|
$119,510.25
|
$56,537.46
|
2026-07-31
|
|
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
|
|
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
|
|
007
|
OTHER
|
Lung Transplant
|
25
|
25
|
—
|
—
|
$74,412.70
|
$400,000.00
|
$97,060.04
|
2026-07-31
|
|
005
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
25
|
25
|
—
|
—
|
$65,866.54
|
$275,000.00
|
$91,585.00
|
2026-07-31
|
|
006
|
OTHER
|
Liver Transplant Without Mcc
|
25
|
25
|
—
|
—
|
$30,874.73
|
$275,000.00
|
$90,022.97
|
2026-07-31
|
|
652
|
OTHER
|
Kidney Transplant
|
25
|
25
|
—
|
—
|
$21,324.03
|
$103,210.00
|
$58,140.00
|
2026-07-31
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
24
|
24
|
—
|
—
|
$24,560.95
|
$103,210.00
|
$56,908.00
|
2026-07-31
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
24
|
24
|
—
|
—
|
$29,744.93
|
$103,210.00
|
$56,908.00
|
2026-07-31
|
|
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
|
|
453
|
OTHER
|
Combined Anterior/posterior Spinal Fusion With Mcc
|
21
|
21
|
—
|
—
|
$3,902.00
|
$173,822.55
|
$65,804.26
|
2026-07-31
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
21
|
21
|
—
|
—
|
$50,001.00
|
$151,732.10
|
$60,871.04
|
2026-07-31
|
|
222
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Acute Myocardial…
|
21
|
21
|
—
|
—
|
$38,523.00
|
$154,191.52
|
$60,386.42
|
2026-07-31
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
21
|
21
|
—
|
—
|
$26,207.00
|
$144,869.37
|
$57,819.52
|
2026-07-31
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
21
|
21
|
—
|
—
|
$2,879.00
|
$143,553.73
|
$55,979.20
|
2026-07-31
|
|
224
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Acute Myocard…
|
21
|
21
|
—
|
—
|
$37,501.00
|
$136,666.98
|
$52,959.94
|
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
|
|
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
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
18
|
18
|
—
|
—
|
$54,351.00
|
$238,109.36
|
$78,800.46
|
2026-07-31
|
|
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
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature/malignancy/infection Or Exte…
|
18
|
18
|
—
|
—
|
$55,585.85
|
$167,802.41
|
$61,929.89
|
2026-07-31
|
|
021
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Of Hemorrhage With Cc
|
18
|
18
|
—
|
—
|
$48,839.38
|
$152,881.43
|
$54,148.01
|
2026-07-31
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
18
|
18
|
—
|
—
|
$40,630.40
|
$139,207.71
|
$53,370.92
|
2026-07-31
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
18
|
18
|
—
|
—
|
$46,091.45
|
$131,589.23
|
$52,113.18
|
2026-07-31
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
16
|
6
|
—
|
—
|
$288,437.00
|
$1,067,216.90
|
$299,974.48
|
2026-02-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
16
|
6
|
—
|
—
|
$280,592.00
|
$1,038,190.40
|
$291,815.68
|
2026-02-28
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
16
|
6
|
—
|
—
|
$244,238.00
|
$903,680.60
|
$254,007.52
|
2026-02-28
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
16
|
6
|
—
|
—
|
$234,950.00
|
$869,315.00
|
$244,348.00
|
2026-02-28
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$182,576.00
|
$675,531.20
|
$189,879.04
|
2026-02-28
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
16
|
6
|
—
|
—
|
$177,294.00
|
$655,987.80
|
$184,385.76
|
2026-02-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
16
|
6
|
—
|
—
|
$166,096.00
|
$614,555.20
|
$172,739.84
|
2026-02-28
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
16
|
6
|
—
|
—
|
$135,849.00
|
$502,641.30
|
$141,282.96
|
2026-02-28
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$134,645.00
|
$498,186.50
|
$140,030.80
|
2026-02-28
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
16
|
6
|
—
|
—
|
$121,698.00
|
$450,282.60
|
$126,565.92
|
2026-02-28
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
16
|
6
|
—
|
—
|
$107,387.00
|
$397,331.90
|
$111,682.48
|
2026-02-28
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
16
|
6
|
—
|
—
|
$107,158.00
|
$396,484.60
|
$111,444.32
|
2026-02-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
16
|
6
|
—
|
—
|
$99,010.00
|
$366,337.00
|
$102,970.40
|
2026-02-28
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$97,964.00
|
$362,466.80
|
$101,882.56
|
2026-02-28
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$97,517.00
|
$360,812.90
|
$101,417.68
|
2026-02-28
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
16
|
6
|
—
|
—
|
$97,264.00
|
$359,876.80
|
$101,154.56
|
2026-02-28
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
16
|
6
|
—
|
—
|
$96,846.00
|
$358,330.20
|
$100,719.84
|
2026-02-28
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
16
|
6
|
—
|
—
|
$95,879.00
|
$354,752.30
|
$99,714.16
|
2026-02-28
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
16
|
6
|
—
|
—
|
$93,353.00
|
$345,406.10
|
$97,087.12
|
2026-02-28
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
16
|
6
|
—
|
—
|
$92,517.00
|
$342,312.90
|
$96,217.68
|
2026-02-28
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
16
|
6
|
—
|
—
|
$92,408.00
|
$341,909.60
|
$96,104.32
|
2026-02-28
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$91,920.00
|
$340,104.00
|
$95,596.80
|
2026-02-28
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
16
|
6
|
—
|
—
|
$84,163.00
|
$311,403.10
|
$87,529.52
|
2026-02-28
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
16
|
6
|
—
|
—
|
$83,826.00
|
$310,156.20
|
$87,179.04
|
2026-02-28
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
16
|
6
|
—
|
—
|
$82,337.00
|
$304,646.90
|
$85,630.48
|
2026-02-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
16
|
6
|
—
|
—
|
$82,291.00
|
$304,476.70
|
$85,582.64
|
2026-02-28
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
16
|
6
|
—
|
—
|
$81,603.00
|
$301,931.10
|
$84,867.12
|
2026-02-28
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
16
|
6
|
—
|
—
|
$79,799.00
|
$295,256.30
|
$82,990.96
|
2026-02-28
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
16
|
6
|
—
|
—
|
$79,387.00
|
$293,731.90
|
$82,562.48
|
2026-02-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
16
|
6
|
—
|
—
|
$77,043.00
|
$285,059.10
|
$80,124.72
|
2026-02-28
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
16
|
6
|
—
|
—
|
$77,037.00
|
$285,036.90
|
$80,118.48
|
2026-02-28
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
16
|
6
|
—
|
—
|
$76,806.00
|
$284,182.20
|
$79,878.24
|
2026-02-28
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
16
|
6
|
—
|
—
|
$74,664.00
|
$276,256.80
|
$77,650.56
|
2026-02-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$71,785.00
|
$265,604.50
|
$74,656.40
|
2026-02-28
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
6
|
—
|
—
|
$70,607.00
|
$261,245.90
|
$73,431.28
|
2026-02-28
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
16
|
6
|
—
|
—
|
$70,034.00
|
$259,125.80
|
$72,835.36
|
2026-02-28
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
16
|
6
|
—
|
—
|
$67,049.00
|
$248,081.30
|
$69,730.96
|
2026-02-28
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
16
|
6
|
—
|
—
|
$66,524.00
|
$246,138.80
|
$69,184.96
|
2026-02-28
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
16
|
6
|
—
|
—
|
$66,427.00
|
$245,779.90
|
$69,084.08
|
2026-02-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
16
|
6
|
—
|
—
|
$64,649.00
|
$239,201.30
|
$67,234.96
|
2026-02-28
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
16
|
6
|
—
|
—
|
$64,028.00
|
$236,903.60
|
$66,589.12
|
2026-02-28
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
16
|
6
|
—
|
—
|
$63,000.00
|
$233,100.00
|
$65,520.00
|
2026-02-28
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
16
|
6
|
—
|
—
|
$62,844.00
|
$232,522.80
|
$65,357.76
|
2026-02-28
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
16
|
6
|
—
|
—
|
$62,557.00
|
$231,460.90
|
$65,059.28
|
2026-02-28
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
16
|
6
|
—
|
—
|
$62,536.00
|
$231,383.20
|
$65,037.44
|
2026-02-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
16
|
6
|
—
|
—
|
$60,922.00
|
$225,411.40
|
$63,358.88
|
2026-02-28
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
16
|
6
|
—
|
—
|
$60,922.00
|
$225,411.40
|
$63,358.88
|
2026-02-28
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
16
|
6
|
—
|
—
|
$60,749.00
|
$224,771.30
|
$63,178.96
|
2026-02-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
16
|
6
|
—
|
—
|
$59,473.00
|
$220,050.10
|
$61,851.92
|
2026-02-28
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
16
|
6
|
—
|
—
|
$57,868.00
|
$214,111.60
|
$60,182.72
|
2026-02-28
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
16
|
6
|
—
|
—
|
$56,660.00
|
$209,642.00
|
$58,926.40
|
2026-02-28
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
16
|
6
|
—
|
—
|
$55,703.00
|
$206,101.10
|
$57,931.12
|
2026-02-28
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
16
|
6
|
—
|
—
|
$54,857.00
|
$202,970.90
|
$57,051.28
|
2026-02-28
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
16
|
6
|
—
|
—
|
$54,794.00
|
$202,737.80
|
$56,985.76
|
2026-02-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
16
|
6
|
—
|
—
|
$54,551.00
|
$201,838.70
|
$56,733.04
|
2026-02-28
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
16
|
6
|
—
|
—
|
$54,061.00
|
$200,025.70
|
$56,223.44
|
2026-02-28
|
|
434
|
APR_DRG
|
Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies
|
16
|
6
|
—
|
—
|
$53,730.00
|
$198,801.00
|
$55,879.20
|
2026-02-28
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
16
|
6
|
—
|
—
|
$53,670.00
|
$198,579.00
|
$55,816.80
|
2026-02-28
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
16
|
6
|
—
|
—
|
$52,049.00
|
$192,581.30
|
$54,130.96
|
2026-02-28
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
16
|
6
|
—
|
—
|
$50,955.00
|
$188,533.50
|
$52,993.20
|
2026-02-28
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
16
|
6
|
—
|
—
|
$50,644.00
|
$187,382.80
|
$52,669.76
|
2026-02-28
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
16
|
6
|
—
|
—
|
$50,301.00
|
$186,113.70
|
$52,313.04
|
2026-02-28
|
|
HC27800168
|
OTHER
|
Hc Heart Valve Edwards Sapien
|
15
|
15
|
$159,207.00
|
$55,722.45
65% off
|
$40,120.17
|
$119,405.25
|
$57,314.52
|
2026-07-31
|
|
HC27803481
|
OTHER
|
Hc Heart Valve Mdt Corevalve
|
15
|
15
|
$156,553.00
|
$54,793.55
65% off
|
$39,451.36
|
$117,414.75
|
$56,359.08
|
2026-07-31
|
|
HC27803514
|
OTHER
|
Hc Valve Transcath Pulm
|
15
|
15
|
$144,668.00
|
$50,633.80
65% off
|
$36,456.34
|
$108,501.00
|
$52,080.48
|
2026-07-31
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
HC27900011
|
OTHER
|
Hc Pump Abiomed Impella Rt Side
|
13
|
13
|
$116,057.00
|
$40,619.95
65% off
|
$45,756.00
|
$94,463.00
|
$63,831.35
|
2026-07-31
|
|
HC27900001
|
OTHER
|
Hc Pump Abiomed Impella 2.5-1
|
13
|
13
|
$102,662.00
|
$35,931.70
65% off
|
$45,756.00
|
$94,463.00
|
$61,106.00
|
2026-07-31
|
|
HC27900004
|
OTHER
|
Hc Tandemheart
|
13
|
13
|
$90,267.00
|
$31,593.45
65% off
|
$45,133.50
|
$94,463.00
|
$58,673.55
|
2026-07-31
|
|
HC27900013
|
OTHER
|
Hc Tandemheart Rt Side
|
13
|
13
|
$90,267.00
|
$31,593.45
65% off
|
$45,133.50
|
$94,463.00
|
$58,673.55
|
2026-07-31
|
|
018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
12
|
12
|
—
|
—
|
$237,331.88
|
$444,215.10
|
$263,128.82
|
2026-07-31
|
|
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
|
|
HC62400352
|
OTHER
|
Hc G090024 Evaheart2 Lt Vent Assist Sys
|
12
|
12
|
$99,825.00
|
$34,938.75
65% off
|
$19,144.00
|
$99,825.00
|
$54,903.75
|
2026-07-31
|
|
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
|
|
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
|
|
0024
|
RC
|
Heart And/or Lung Transplant
|
6
|
6
|
—
|
—
|
$113,390.45
|
$119,059.97
|
$116,792.16
|
2026-07-31
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
6
|
6
|
—
|
—
|
$106,350.33
|
$111,667.85
|
$109,540.84
|
2026-07-31
|
|
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
|
|
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
|
|
0023
|
RC
|
Heart And/or Lung Transplant
|
6
|
6
|
—
|
—
|
$84,735.13
|
$88,971.89
|
$87,277.18
|
2026-07-31
|
|
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
|
|
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
|
|
5833
|
OTHER
|
Neonate With Ecmo
|
6
|
6
|
—
|
—
|
$81,531.80
|
$85,608.39
|
$83,977.75
|
2026-07-31
|
|
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
|
|
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
|
|
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
|
|
0014
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
6
|
6
|
—
|
—
|
$71,496.07
|
$75,070.87
|
$73,640.95
|
2026-07-31
|
|
0064
|
OTHER
|
Pancreas Transplant
|
6
|
6
|
—
|
—
|
$70,608.56
|
$74,138.99
|
$72,726.82
|
2026-07-31
|
|
6094
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
6
|
—
|
—
|
$63,912.51
|
$67,108.14
|
$65,829.89
|
2026-07-31
|
|
5832
|
OTHER
|
Neonate With Ecmo
|
6
|
6
|
—
|
—
|
$63,129.05
|
$66,285.50
|
$65,022.92
|
2026-07-31
|
|
0044
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
6
|
—
|
—
|
$62,510.03
|
$65,635.53
|
$64,385.33
|
2026-07-31
|
|
6024
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
6
|
—
|
—
|
$61,537.44
|
$64,614.31
|
$63,383.56
|
2026-07-31
|
|
0022
|
RC
|
Heart And/or Lung Transplant
|
6
|
6
|
—
|
—
|
$60,038.12
|
$63,040.03
|
$61,839.26
|
2026-07-31
|
|
8634
|
OTHER
|
Neonatal Aftercare
|
6
|
6
|
—
|
—
|
$60,034.71
|
$63,036.45
|
$61,835.75
|
2026-07-31
|
|
3034
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
6
|
—
|
—
|
$58,346.26
|
$61,263.57
|
$60,096.65
|
2026-07-31
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
6
|
—
|
—
|
$57,665.72
|
$60,549.01
|
$59,395.69
|
2026-07-31
|
|
5831
|
OTHER
|
Neonate With Ecmo
|
6
|
6
|
—
|
—
|
$56,815.80
|
$59,656.59
|
$58,520.27
|
2026-07-31
|
|
1624
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
6
|
—
|
—
|
$56,504.39
|
$59,329.61
|
$58,199.52
|
2026-07-31
|
|
5933
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
6
|
—
|
—
|
$54,461.63
|
$57,184.71
|
$56,095.48
|
2026-07-31
|
|
0094
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
6
|
6
|
—
|
—
|
$53,756.02
|
$56,443.82
|
$55,368.70
|
2026-07-31
|
|
6034
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
6
|
6
|
—
|
—
|
$53,650.44
|
$56,332.96
|
$55,259.95
|
2026-07-31
|
|
4404
|
OTHER
|
Kidney Transplant
|
6
|
6
|
—
|
—
|
$50,482.81
|
$53,006.95
|
$51,997.29
|
2026-07-31
|
|
0021
|
OTHER
|
Heart And/or Lung Transplant
|
6
|
6
|
—
|
—
|
$50,396.60
|
$52,916.43
|
$51,908.50
|
2026-07-31
|
|
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
|
|
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
|
|
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
|
|
HC81200013
|
OTHER
|
Hc Sng Lung Donor Organ Procure-imp
|
5
|
5
|
$119,202.00
|
$41,720.70
65% off
|
$65,561.10
|
$89,401.50
|
$65,561.10
|
2026-07-31
|
|
HC81200001
|
OTHER
|
Hc Dbl Lung Dnr Orgn Prcr-imp
|
5
|
5
|
$119,202.00
|
$41,720.70
65% off
|
$65,561.10
|
$89,401.50
|
$65,561.10
|
2026-07-31
|
|
HC81200008
|
OTHER
|
Hc Lung Dnr Dbl Orgn Prcr
|
5
|
5
|
$112,455.00
|
$39,359.25
65% off
|
$61,850.25
|
$84,341.25
|
$61,850.25
|
2026-07-31
|
|
HC81200003
|
OTHER
|
Hc Heart Dnr Orgn Prcur-imprt
|
5
|
5
|
$112,455.00
|
$39,359.25
65% off
|
$61,850.25
|
$84,341.25
|
$61,850.25
|
2026-07-31
|
|
HC81200010
|
OTHER
|
Hc Pancreas Dnr Orgn Prcr Impr
|
5
|
5
|
$112,455.00
|
$39,359.25
65% off
|
$61,850.25
|
$84,341.25
|
$61,850.25
|
2026-07-31
|
|
HC81200014
|
OTHER
|
Hc Heart/lung Donor Organ Prcrmt-imp
|
5
|
5
|
$112,350.00
|
$39,322.50
65% off
|
$61,792.50
|
$84,262.50
|
$61,792.50
|
2026-07-31
|
|
HC81200007
|
OTHER
|
Hc Liver Dnr Orgn Prcrmnt
|
5
|
5
|
$109,269.00
|
$38,244.15
65% off
|
$60,097.95
|
$81,951.75
|
$60,097.95
|
2026-07-31
|
|
HC81200005
|
OTHER
|
Hc Kidney Dnr Orgn Prcr
|
5
|
5
|
$104,799.00
|
$36,679.65
65% off
|
$57,639.45
|
$78,599.25
|
$57,639.45
|
2026-07-31
|
|
HC81200012
|
OTHER
|
Hc Pancreas Donor Organ Prcrmnt
|
5
|
5
|
$99,335.00
|
$34,767.25
65% off
|
$54,634.25
|
$74,501.25
|
$54,634.25
|
2026-07-31
|
|
453
|
MS_DRG
|
No Active Code Description
|
2
|
2
|
—
|
—
|
$63,784.00
|
$103,861.00
|
$83,822.50
|
2026-02-28
|
|
459
|
MS_DRG
|
No Active Code Description
|
2
|
2
|
—
|
—
|
$47,739.00
|
$75,251.00
|
$61,495.00
|
2026-02-28
|
|
454
|
MS_DRG
|
No Active Code Description
|
2
|
2
|
—
|
—
|
$44,025.00
|
$69,101.00
|
$56,563.00
|
2026-02-28
|
|
222
|
MS_DRG
|
No Active Code Description
|
1
|
1
|
—
|
—
|
$86,864.00
|
$86,864.00
|
$86,864.00
|
2026-02-28
|
|
224
|
MS_DRG
|
No Active Code Description
|
1
|
1
|
—
|
—
|
$80,427.00
|
$80,427.00
|
$80,427.00
|
2026-02-28
|
|
226
|
MS_DRG
|
No Active Code Description
|
1
|
1
|
—
|
—
|
$72,618.00
|
$72,618.00
|
$72,618.00
|
2026-02-28
|
|
223
|
MS_DRG
|
No Active Code Description
|
1
|
1
|
—
|
—
|
$59,206.00
|
$59,206.00
|
$59,206.00
|
2026-02-28
|
|
225
|
MS_DRG
|
No Active Code Description
|
1
|
1
|
—
|
—
|
$57,380.00
|
$57,380.00
|
$57,380.00
|
2026-02-28
|
|
227
|
MS_DRG
|
No Active Code Description
|
1
|
1
|
—
|
—
|
$56,960.00
|
$56,960.00
|
$56,960.00
|
2026-02-28
|