Price Transparency 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 SCOTT & WHITE MEDICAL CENTER GRAPEVINE

Grapevine, TX · CCN 450563 · Rates published

15,223 distinct procedures filed
22 distinct payers
985,688 rate rows
2026-02-21 last MRF observed
Data quality

981,243 of 985,688 rate rows are consumer-grade (99.5%)

4,445 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
placeholder amount (≤ $0.02) — excluded from medians 2,033
per-diem day rate — not a per-procedure price 1,488
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 626
exceeds 10× this hospital's gross charge — excluded from medians 298
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/751777119_baylor-scott--white-medical-center--grapevine_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 · 2026-05-15
Content fingerprint 52a93a2700fa5fe2… · 418,305,648 bytes · first seen 2026-05-08

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) 22 $389,098.58 $1,535,915.46 $1,013,173.83 nat. median
$634,511
1.6× median
Q2042
HCPCS 		Hc Kymriah-adult (incl Apheresis) 22 $382,184.05 $1,508,621.25 $1,005,747.50 nat. median
$754,974
1.3× median
Q2056
HCPCS 		Hc Carvykti (including Apheresis) 22 $379,429.05 $1,497,746.25 $998,497.50 nat. median
$675,122
1.5× median
Q2055
HCPCS 		Hc Abecma (including Apheresis) 22 $375,760.34 $1,483,264.50 $988,843.00 nat. median
$625,184
1.6× median
Q2054
HCPCS 		Hc Breyanzi Car T 22 $374,569.80 $1,478,565.00 $985,710.00 nat. median
$674,188
1.5× median
Q2053
HCPCS 		Hc Tecartus (including Apheresis) 22 $346,042.91 $1,365,958.87 $910,639.24 nat. median
$620,080
1.5× median
27801844
CDM 		Hc Syncardia Total Artificial Heart System 19 $140,220.00 $590,400.00 $491,508.00 nat. median
$491,508
1.0× median
27801843
CDM 		Hc Kit Artificial Heart Carmat 19 $121,430.52 $511,286.40 $425,645.93 nat. median
$425,646
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $181,686.45 $599,984.79 $390,835.62 nat. median
$265,286
1.5× median
5834
APR_DRG 		Inpatient Aprdrg 5834: Neonate W Ecmo 2 $304,276.06 $310,361.26 $307,318.66 nat. median
$309,665
1.0× median
74
APR_DRG 		Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 2 $296,000.03 $301,919.72 $298,959.88 nat. median
$187,294
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $243,248.80 $803,282.64 $281,656.51 nat. median
$370,174
0.8× median
5833
APR_DRG 		Inpatient Aprdrg 5833: Neonate W Ecmo 2 $257,649.78 $262,802.51 $260,226.15 nat. median
$244,017
1.1× median
24
APR_DRG 		Inpatient Aprdrg 0024: Heart &/or Lung Transplant 2 $247,851.79 $252,808.57 $250,330.18 nat. median
$234,738
1.1× median
27801347-807157
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 19 $58,284.78 $245,409.60 $204,303.49 nat. median
$199,395
1.0× median
5884
APR_DRG 		Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 2 $192,601.75 $196,453.58 $194,527.66 nat. median
$246,434
0.8× median
81200003
CDM 		Hc Std Acq Chg Cadaver Kidney/pancreas 16 $60,113.24 $237,289.09 $189,831.27 nat. median
$150,283
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $6,368.00 $505,295.64 $189,252.73 nat. median
$206,368
0.9× median
1614
APR_DRG 		Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 2 $187,029.51 $190,769.91 $188,899.71 nat. median
$207,730
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $6,368.00 $456,493.08 $184,418.92 nat. median
$202,986
0.9× median
94
APR_DRG 		Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 2 $175,217.20 $178,721.36 $176,969.28 nat. median
$164,834
1.1× median
27802052-445170
CDM 		Shell, No Hcpcs, For Lvad Implants Only 19 $44,369.81 $186,820.27 $155,527.88 nat. median
$151,791
1.0× median
27500234
CDM 		Hc Heartmate 3 Lvad Implant 19 $44,369.81 $186,820.27 $155,527.88 nat. median
$163,468
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $71,077.42 $234,719.61 $152,898.52 nat. median
$108,660
1.4× median
81200017
CDM 		Hc Std Acq Chg Cadaver Liver/kidney 16 $47,385.09 $187,046.40 $149,637.12 nat. median
$144,649
1.0× median
6304
APR_DRG 		Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 $143,308.54 $146,174.56 $144,741.55 nat. median
$150,721
1.0× median
6094
APR_DRG 		Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 2 $142,038.57 $144,879.20 $143,458.89 nat. median
$162,982
0.9× median
27802052-778176
CDM 		Shell, No Hcpcs, For Lvad Implants Only 19 $40,897.50 $172,200.00 $143,356.50 nat. median
$139,912
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $84,507.04 $201,037.80 $142,772.42 nat. median
$117,303
1.2× median
7
MS_DRG 		Lung Transplant 17 $84,294.18 $200,531.43 $142,412.80 nat. median
$122,708
1.2× median
27801850
CDM 		Hc Heartware Hvad Pump 19 $39,355.08 $165,705.60 $137,949.91 nat. median
$134,636
1.0× median
27801347-1196342
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 19 $39,355.08 $165,705.60 $137,949.91 nat. median
$134,636
1.0× median
27800187
CDM 		Hc Kit, Heartmate Ii Vad Implant 19 $37,859.40 $159,408.00 $132,707.16 nat. median
$132,707
1.0× median
27801347-98612
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 19 $37,859.40 $159,408.00 $132,707.16 nat. median
$129,519
1.0× median
81200004
CDM 		Hc Std Acq Chg Cadaver Heart 16 $41,930.86 $165,516.57 $132,413.26 nat. median
$121,379
1.1× median
27500176-389049
CDM 		Hc Shell Cardio-defib Other Than Single Or Dual Chamber 19 $37,736.62 $158,891.04 $132,276.79 nat. median
$129,099
1.0× median
81200014
CDM 		Hc Heart Lung Acq Cad Mcare 16 $41,876.93 $165,303.66 $132,242.93 nat. median
$132,243
1.0× median
81200013
CDM 		Hc Heart Lung Acq Cad 16 $41,876.93 $165,303.66 $132,242.93 nat. median
$112,000
1.2× median
5832
APR_DRG 		Inpatient Aprdrg 5832: Neonate W Ecmo 2 $128,381.00 $130,948.49 $129,664.74 nat. median
$156,126
0.8× median
114
APR_DRG 		Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 $121,906.17 $124,344.16 $123,125.17 nat. median
$117,173
1.1× median
27801865
CDM 		Hc Evaheart Blood Pump Set Bp310 19 $35,055.00 $147,600.00 $122,877.00 nat. median
$122,877
1.0× median
81200008
CDM 		Hc Liver Acq Cad Mcare 16 $38,735.30 $152,902.50 $122,322.00 nat. median
$100,508
1.2× median
81200007
CDM 		Hc Liver Acq Cad 16 $38,735.30 $152,902.50 $122,322.00 nat. median
$100,508
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $6,182.00 $300,969.00 $120,994.01 nat. median
$133,176
0.9× median
27802052-389434
CDM 		Shell, No Hcpcs, For Lvad Implants Only 19 $34,120.20 $143,664.00 $119,600.28 nat. median
$116,727
1.0× median
81200012
CDM 		Hc Lung Acq Double Cad Mcare 16 $37,505.40 $148,047.63 $118,438.10 nat. median
$98,622
1.2× median
81200011
CDM 		Hc Lung Acq Double Cad 16 $37,505.40 $148,047.63 $118,438.10 nat. median
$98,622
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $68,688.98 $163,407.47 $116,048.23 nat. median
$100,136
1.2× median
2004
APR_DRG 		Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders 2 $113,284.40 $115,549.97 $114,417.18 nat. median
$32,636
outlier · 3.5×
27201912-261835
CDM 		Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 17 $34,891.41 $137,729.25 $114,205.09 nat. median
$106,511
1.1× median

Other procedures at this hospital

Browse this hospital's 15,223 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
             
38240 HCPCS Hc Hpc Allogenic Transplantation 42 22 $43,575.00 $26,145.00 40% off $6,546.00 $103,780.61 $50,135.56 2026-02-21
C1822 HCPCS Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys 70 19 $59,366.93 $35,620.16 40% off $11,279.72 $67,980.00 $42,744.19 2026-02-21
27801925 CDM Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Rapid Deployment… 36 19 $59,482.50 $35,689.50 40% off $11,301.67 $47,586.00 $39,615.35 2026-02-21
27801347-820416 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $59,721.28 $35,832.77 40% off $11,347.04 $47,777.02 $39,774.37 2026-02-21
27801347-212472 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $59,762.58 $35,857.55 40% off $11,354.89 $47,810.06 $39,801.88 2026-02-21
27801347-1004156 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $59,846.19 $35,907.71 40% off $11,370.78 $47,876.95 $39,857.56 2026-02-21
0431T HCPCS Hb Rmvl/rplc Nstim System Sleep Apnea Pls Generator 28 17 $60,271.58 $36,162.95 40% off $6,546.00 $98,421.34 $40,412.10 2026-02-21
27801347-1245429 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $60,315.26 $36,189.16 40% off $11,459.90 $48,252.21 $40,169.96 2026-02-21
27801347-1186553 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $61,182.00 $36,709.20 40% off $11,624.58 $48,945.60 $40,747.21 2026-02-21
27801347-1203071 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $62,351.26 $37,410.76 40% off $11,846.74 $49,881.01 $41,525.94 2026-02-21
27801347-820401 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $64,564.85 $38,738.91 40% off $12,267.32 $51,651.88 $43,000.19 2026-02-21
27801347-459333 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $64,820.00 $38,892.00 40% off $12,315.80 $51,856.00 $43,170.12 2026-02-21
27801347-1855907 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $64,920.90 $38,952.54 40% off $12,334.97 $51,936.72 $43,237.32 2026-02-21
27801927 CDM Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 17 Fr Arterial Cannu… 36 19 $66,280.50 $39,768.30 40% off $12,593.30 $53,024.40 $44,142.81 2026-02-21
27801929 CDM Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 17 Fr Arterial Cannu… 36 19 $66,280.50 $39,768.30 40% off $12,593.30 $53,024.40 $44,142.81 2026-02-21
27802083 CDM Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l… 36 19 $66,280.50 $39,768.30 40% off $12,593.30 $53,024.40 $44,142.81 2026-02-21
27801923 CDM Hc Ecmo Lifesparc Blood Pump Kit With 29 Fr Protekduo Veno-venous Cannula (law5267… 36 19 $66,280.50 $39,768.30 40% off $12,593.30 $53,024.40 $44,142.81 2026-02-21
27801347-264193 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $66,280.50 $39,768.30 40% off $12,593.30 $53,024.40 $44,142.81 2026-02-21
27801924 CDM Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Cannula (law5267… 36 19 $66,280.50 $39,768.30 40% off $12,593.30 $53,024.40 $44,142.81 2026-02-21
27801928 CDM Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 15 Fr Arterial Cannu… 36 19 $66,280.50 $39,768.30 40% off $12,593.30 $53,024.40 $44,142.81 2026-02-21
C1736 HCPCS Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd 28 17 $67,980.00 $40,788.00 40% off $12,916.20 $50,985.00 $42,276.76 2026-02-21
27801347-1340795 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $68,999.70 $41,399.82 40% off $13,109.94 $55,199.76 $45,953.80 2026-02-21
27801347-331887 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $69,105.07 $41,463.04 40% off $13,129.96 $55,284.06 $46,023.98 2026-02-21
27801347-777976 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $69,300.00 $41,580.00 40% off $13,167.00 $55,440.00 $46,153.80 2026-02-21
27801347-820405 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $69,408.43 $41,645.06 40% off $13,187.60 $55,526.74 $46,226.01 2026-02-21
27801347-1033551 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $69,893.46 $41,936.08 40% off $13,279.76 $55,914.77 $46,549.04 2026-02-21
31100193 CDM Hc Auto Islet Cell Processing 28 17 $70,421.00 $42,252.60 40% off $24.00 $52,815.75 $40,844.18 2026-02-21
27801347-1322565 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $71,209.05 $42,725.43 40% off $13,529.72 $56,967.24 $47,425.23 2026-02-21
0643T HCPCS Hc Transcatheter L Ventr Restoration Device Impltj 27 16 $72,615.83 $43,569.50 40% off $2,380.00 $54,461.87 $39,938.71 2026-02-21
27801347-876560 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $73,078.50 $43,847.10 40% off $13,884.92 $58,462.80 $48,670.28 2026-02-21
27801347-181497 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $73,800.00 $44,280.00 40% off $14,022.00 $59,040.00 $49,150.80 2026-02-21
27801347-303311 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $75,075.00 $45,045.00 40% off $14,264.25 $60,060.00 $49,999.95 2026-02-21
62400012-847925 CDM Shell, 624 Rev Code, Fda Investigational Devices 25 16 $76,137.60 $45,682.56 40% off $14,466.14 $57,103.20 $45,682.56 2026-02-21
C2624 HCPCS Hc Cardiomems Monitoring Device (implant) 36 19 $76,477.50 $45,886.50 40% off $14,530.73 $61,182.00 $50,934.01 2026-02-21
93654 HCPCS Hc Compreh Electroph Eval With Treatment 41 22 $77,593.53 $46,556.12 40% off $14,742.77 $125,472.56 $42,676.44 2026-02-21
27801855-1778845 CDM Hc Shell Generator, Neurostimulator, Non-recharge With Carotid 36 19 $84,975.00 $50,985.00 40% off $16,145.25 $67,980.00 $56,593.35 2026-02-21
27801347-104268 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $84,975.00 $50,985.00 40% off $16,145.25 $67,980.00 $56,593.35 2026-02-21
27801815 CDM Hc Mitraclip Delivery System Kit (w/guiding Cath) 36 19 $84,975.00 $50,985.00 40% off $16,145.25 $67,980.00 $56,593.35 2026-02-21
27800190 CDM Hc Impella 5.0 36 19 $84,975.00 $50,985.00 40% off $16,145.25 $67,980.00 $56,593.35 2026-02-21
C1604 HCPCS Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass … 36 19 $84,975.00 $50,985.00 40% off $16,145.25 $67,980.00 $56,593.35 2026-02-21
27500176-143739 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 36 19 $84,975.00 $50,985.00 40% off $16,145.25 $67,980.00 $56,593.35 2026-02-21
27203217 CDM Hc Heart Valve Sapien Edwards 36 19 $84,975.00 $50,985.00 40% off $16,145.25 $67,980.00 $56,593.35 2026-02-21
C1823 HCPCS Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads 35 19 $84,975.00 $50,985.00 40% off $16,145.25 $67,980.00 $56,593.35 2026-02-21
27801917-1534761 CDM Shell Generator, Cardiac Contractility Modulation 36 19 $84,975.00 $50,985.00 40% off $16,145.25 $67,980.00 $56,593.35 2026-02-21
27802052-101684 CDM Shell, No Hcpcs, For Lvad Implants Only 36 19 $84,975.00 $50,985.00 40% off $16,145.25 $67,980.00 $56,593.35 2026-02-21
27800957 CDM Hc Catheter Set Pump Ventricular Assist Impella 36 19 $84,975.00 $50,985.00 40% off $16,145.25 $67,980.00 $56,593.35 2026-02-21
62400012-1362918 CDM Shell, 624 Rev Code, Fda Investigational Devices 25 16 $84,975.00 $50,985.00 40% off $16,145.25 $63,731.25 $50,985.00 2026-02-21
62400011 CDM Hc Clinical Trial Ide#g170152 Sapien 3 Transcatheter Heart Valve 25 16 $84,975.00 $50,985.00 40% off $16,145.25 $63,731.25 $50,985.00 2026-02-21
27801347-1355910 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $86,100.00 $51,660.00 40% off $16,359.00 $68,880.00 $57,342.60 2026-02-21
0424T HCPCS Hc Insj/rplc Nstim System Sleep Apnea Complete 28 17 $86,663.76 $51,998.26 40% off $6,546.00 $98,421.34 $53,896.19 2026-02-21
33276 HCPCS Hc Insertion Phrenic Nerve Stimulator System 41 22 $86,663.76 $51,998.26 40% off $11,704.00 $89,696.99 $49,831.66 2026-02-21
0266T HCPCS Hc Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst 41 22 $86,663.76 $51,998.26 40% off $6,546.00 $98,421.34 $46,589.98 2026-02-21
81500015 CDM Hc Pbsc Acquistion US 25 16 $87,750.00 $52,650.00 40% off $16,672.50 $65,812.50 $52,650.00 2026-02-21
81500059 CDM Hc Pbsc Second Acquisition US 25 16 $87,750.00 $52,650.00 40% off $16,672.50 $65,812.50 $52,650.00 2026-02-21
93653 HCPCS Hc Compreh Electroph Eval Source Of Atrial R 41 22 $87,788.83 $52,673.30 40% off $16,163.00 $125,472.56 $45,105.51 2026-02-21
27801347-1926393 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $88,560.00 $53,136.00 40% off $16,826.40 $70,848.00 $58,980.96 2026-02-21
81500022 CDM Hc Related Donor Acquisition 25 16 $88,910.80 $53,346.48 40% off $16,893.05 $66,683.10 $53,346.48 2026-02-21
27801347-1218340 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $91,020.00 $54,612.00 40% off $17,293.80 $72,816.00 $60,619.32 2026-02-21
81200015 CDM Hc Uterus Acq Living Donor 25 16 $91,900.00 $55,140.00 40% off $17,461.00 $68,925.00 $55,140.00 2026-02-21
81200016 CDM Hc Uterus Acq Cadaveric Donor 25 16 $91,900.00 $55,140.00 40% off $17,461.00 $68,925.00 $55,140.00 2026-02-21
33270 HCPCS Hc Ins/rep Subq Defibrilllator 41 22 $93,099.87 $55,859.92 40% off $11,704.00 $69,824.90 $46,549.93 2026-02-21
81500007 CDM Hc Marrow Acquisition Usa 25 16 $97,700.00 $58,620.00 40% off $18,563.00 $73,275.00 $58,620.00 2026-02-21
27801848 CDM Hc Impella 5.5 36 19 $100,860.00 $60,516.00 40% off $19,163.40 $80,688.00 $67,172.76 2026-02-21
27802052-1242630 CDM Shell, No Hcpcs, For Lvad Implants Only 36 19 $100,860.00 $60,516.00 40% off $19,163.40 $80,688.00 $67,172.76 2026-02-21
81200002 CDM Hc Std Acq Chg Cadaver Pancreas 25 16 $102,432.00 $61,459.20 40% off $19,462.08 $76,824.00 $61,459.20 2026-02-21
31100124 CDM Hc Auto Islet Cell Transplant 28 17 $107,245.00 $64,347.00 40% off $24.00 $80,433.75 $62,202.10 2026-02-21
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 29 17 $115,440.00 $69,264.00 40% off $21,933.60 $86,580.00 $72,311.62 2026-02-21
81100001 CDM Hc Std Acq Chg Live Donor Kidney 25 16 $123,509.00 $74,105.40 40% off $23,466.71 $92,631.75 $74,105.40 2026-02-21
81100002 CDM Hc Liver Acq Living Mcare 25 16 $131,979.00 $79,187.40 40% off $25,076.01 $98,984.25 $79,187.40 2026-02-21
81100003 CDM Hc Liver Acq Living 25 16 $131,979.00 $79,187.40 40% off $25,076.01 $98,984.25 $79,187.40 2026-02-21
81500021 CDM Hc Unrelated Donor Acquisition US 25 16 $134,837.44 $80,902.46 40% off $25,619.11 $101,128.08 $80,902.46 2026-02-21
J9043 HCPCS cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution 42 22 $161,632.27 $96,979.36 40% off $205.63 $121,224.20 $84,856.94 2026-02-21
81200010 CDM Hc Lung Acq Single Cad Mcare 25 16 $173,400.71 $104,040.43 40% off $32,946.13 $130,050.53 $104,040.43 2026-02-21
81200009 CDM Hc Lung Acq Single Cad 25 16 $173,400.71 $104,040.43 40% off $32,946.13 $130,050.53 $104,040.43 2026-02-21
27802052-389434 CDM Shell, No Hcpcs, For Lvad Implants Only 36 19 $179,580.00 $107,748.00 40% off $34,120.20 $143,664.00 $119,600.28 2026-02-21
27201912-261835 CDM Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 28 17 $183,639.00 $110,183.40 40% off $34,891.41 $137,729.25 $114,205.09 2026-02-21
27801865 CDM Hc Evaheart Blood Pump Set Bp310 36 19 $184,500.00 $110,700.00 40% off $35,055.00 $147,600.00 $122,877.00 2026-02-21
81200001 CDM Hc Std Acq Chg Cadaver Kidney 25 16 $185,810.00 $111,486.00 40% off $35,303.90 $139,357.50 $111,486.00 2026-02-21
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 42 22 $187,807.50 $112,684.50 40% off $35,683.43 $140,855.62 $103,294.12 2026-02-21
81200011 CDM Hc Lung Acq Double Cad 25 16 $197,396.84 $118,438.10 40% off $37,505.40 $148,047.63 $118,438.10 2026-02-21
81200012 CDM Hc Lung Acq Double Cad Mcare 25 16 $197,396.84 $118,438.10 40% off $37,505.40 $148,047.63 $118,438.10 2026-02-21
27500176-389049 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 36 19 $198,613.80 $119,168.28 40% off $37,736.62 $158,891.04 $132,276.79 2026-02-21
27800187 CDM Hc Kit, Heartmate Ii Vad Implant 36 19 $199,260.00 $119,556.00 40% off $37,859.40 $159,408.00 $132,707.16 2026-02-21
27801347-98612 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $199,260.00 $119,556.00 40% off $37,859.40 $159,408.00 $132,707.16 2026-02-21
81200007 CDM Hc Liver Acq Cad 25 16 $203,870.00 $122,322.00 40% off $38,735.30 $152,902.50 $122,322.00 2026-02-21
81200008 CDM Hc Liver Acq Cad Mcare 25 16 $203,870.00 $122,322.00 40% off $38,735.30 $152,902.50 $122,322.00 2026-02-21
27801347-1196342 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $207,132.00 $124,279.20 40% off $39,355.08 $165,705.60 $137,949.91 2026-02-21
27801850 CDM Hc Heartware Hvad Pump 36 19 $207,132.00 $124,279.20 40% off $39,355.08 $165,705.60 $137,949.91 2026-02-21
27802052-778176 CDM Shell, No Hcpcs, For Lvad Implants Only 36 19 $215,250.00 $129,150.00 40% off $40,897.50 $172,200.00 $143,356.50 2026-02-21
81200014 CDM Hc Heart Lung Acq Cad Mcare 25 16 $220,404.88 $132,242.93 40% off $41,876.93 $165,303.66 $132,242.93 2026-02-21
81200013 CDM Hc Heart Lung Acq Cad 25 16 $220,404.88 $132,242.93 40% off $41,876.93 $165,303.66 $132,242.93 2026-02-21
81200004 CDM Hc Std Acq Chg Cadaver Heart 25 16 $220,688.76 $132,413.26 40% off $41,930.86 $165,516.57 $132,413.26 2026-02-21
27500234 CDM Hc Heartmate 3 Lvad Implant 36 19 $233,525.34 $140,115.20 40% off $44,369.81 $186,820.27 $155,527.88 2026-02-21
27802052-445170 CDM Shell, No Hcpcs, For Lvad Implants Only 36 19 $233,525.34 $140,115.20 40% off $44,369.81 $186,820.27 $155,527.88 2026-02-21
81200017 CDM Hc Std Acq Chg Cadaver Liver/kidney 25 16 $249,395.20 $149,637.12 40% off $47,385.09 $187,046.40 $149,637.12 2026-02-21
27801347-807157 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 36 19 $306,762.00 $184,057.20 40% off $58,284.78 $245,409.60 $204,303.49 2026-02-21
81200003 CDM Hc Std Acq Chg Cadaver Kidney/pancreas 25 16 $316,385.45 $189,831.27 40% off $60,113.24 $237,289.09 $189,831.27 2026-02-21
27801843 CDM Hc Kit Artificial Heart Carmat 36 19 $639,108.00 $383,464.80 40% off $121,430.52 $511,286.40 $425,645.93 2026-02-21
27801844 CDM Hc Syncardia Total Artificial Heart System 36 19 $738,000.00 $442,800.00 40% off $140,220.00 $590,400.00 $491,508.00 2026-02-21
Q2053 HCPCS Hc Tecartus (including Apheresis) 41 22 $1,821,278.49 $1,092,767.09 40% off $346,042.91 $1,365,958.87 $910,639.24 2026-02-21
Q2054 HCPCS Hc Breyanzi Car T 41 22 $1,971,420.00 $1,182,852.00 40% off $374,569.80 $1,478,565.00 $985,710.00 2026-02-21
Q2055 HCPCS Hc Abecma (including Apheresis) 41 22 $1,977,686.00 $1,186,611.60 40% off $375,760.34 $1,483,264.50 $988,843.00 2026-02-21
Q2056 HCPCS Hc Carvykti (including Apheresis) 41 22 $1,996,995.00 $1,198,197.00 40% off $379,429.05 $1,497,746.25 $998,497.50 2026-02-21
Q2042 HCPCS Hc Kymriah-adult (incl Apheresis) 41 22 $2,011,495.00 $1,206,897.00 40% off $382,184.05 $1,508,621.25 $1,005,747.50 2026-02-21
Q2041 HCPCS Hc Yescarta (including Apheresis) 41 22 $2,047,887.28 $1,228,732.37 40% off $389,098.58 $1,535,915.46 $1,013,173.83 2026-02-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 18 — — $181,686.45 $599,984.79 $390,835.62 2026-02-21
5834 APR_DRG Inpatient Aprdrg 5834: Neonate W Ecmo 2 2 — — $304,276.06 $310,361.26 $307,318.66 2026-02-21
74 APR_DRG Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 2 2 — — $296,000.03 $301,919.72 $298,959.88 2026-02-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 14 — — $243,248.80 $803,282.64 $281,656.51 2026-02-21
5833 APR_DRG Inpatient Aprdrg 5833: Neonate W Ecmo 2 2 — — $257,649.78 $262,802.51 $260,226.15 2026-02-21
24 APR_DRG Inpatient Aprdrg 0024: Heart &/or Lung Transplant 2 2 — — $247,851.79 $252,808.57 $250,330.18 2026-02-21
5884 APR_DRG Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 2 2 — — $192,601.75 $196,453.58 $194,527.66 2026-02-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 17 — — $6,368.00 $505,295.64 $189,252.73 2026-02-21
1614 APR_DRG Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 2 2 — — $187,029.51 $190,769.91 $188,899.71 2026-02-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 17 — — $6,368.00 $456,493.08 $184,418.92 2026-02-21
94 APR_DRG Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $175,217.20 $178,721.36 $176,969.28 2026-02-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 18 — — $71,077.42 $234,719.61 $152,898.52 2026-02-21
6304 APR_DRG Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 2 — — $143,308.54 $146,174.56 $144,741.55 2026-02-21
6094 APR_DRG Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 2 2 — — $142,038.57 $144,879.20 $143,458.89 2026-02-21
14 MS_DRG Allogeneic Bone Marrow Transplant 24 17 — — $84,507.04 $201,037.80 $142,772.42 2026-02-21
7 MS_DRG Lung Transplant 26 17 — — $84,294.18 $200,531.43 $142,412.80 2026-02-21
5832 APR_DRG Inpatient Aprdrg 5832: Neonate W Ecmo 2 2 — — $128,381.00 $130,948.49 $129,664.74 2026-02-21
114 APR_DRG Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 2 — — $121,906.17 $124,344.16 $123,125.17 2026-02-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 17 — — $6,182.00 $300,969.00 $120,994.01 2026-02-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 17 — — $68,688.98 $163,407.47 $116,048.23 2026-02-21
2004 APR_DRG Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders 2 2 — — $113,284.40 $115,549.97 $114,417.18 2026-02-21
5831 APR_DRG Inpatient Aprdrg 5831: Neonate W Ecmo 2 2 — — $113,042.03 $115,302.75 $114,172.39 2026-02-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 17 — — $51,131.35 $168,851.49 $109,991.42 2026-02-21
73 APR_DRG Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 2 2 — — $104,447.10 $106,535.94 $105,491.52 2026-02-21
5883 APR_DRG Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure 2 2 — — $103,343.79 $105,410.56 $104,377.17 2026-02-21
5882 APR_DRG Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure 2 2 — — $102,871.46 $104,928.78 $103,900.12 2026-02-21
44 APR_DRG Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 2 — — $102,605.45 $104,657.45 $103,631.45 2026-02-21
8414 APR_DRG Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft 2 2 — — $102,164.36 $104,207.54 $103,185.95 2026-02-21
6314 APR_DRG Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure 2 2 — — $101,143.98 $103,166.76 $102,155.37 2026-02-21
8504 APR_DRG Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea… 2 2 — — $98,479.45 $100,448.94 $99,464.20 2026-02-21
5914 APR_DRG Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure 2 2 — — $97,597.28 $99,549.13 $98,573.21 2026-02-21
1613 APR_DRG Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant 2 2 — — $97,482.31 $99,431.85 $98,457.08 2026-02-21
5881 APR_DRG Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure 2 2 — — $96,967.11 $98,906.35 $97,936.73 2026-02-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 17 — — $6,368.00 $232,040.07 $93,742.01 2026-02-21
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 6 — — $35,308.00 $138,104.92 $91,365.46 2026-02-21
215 MS_DRG Other Heart Assist System Implant 34 17 — — $6,182.00 $225,669.24 $90,722.39 2026-02-21
14 APR_DRG Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant 2 2 — — $88,784.82 $90,560.43 $89,672.62 2026-02-21
84 APR_DRG Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant 2 2 — — $88,429.07 $90,197.56 $89,313.32 2026-02-21
6814 APR_DRG Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N… 2 2 — — $86,857.84 $88,594.90 $87,726.37 2026-02-21
1604 APR_DRG Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $86,809.36 $88,545.46 $87,677.41 2026-02-21
93 APR_DRG Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $86,083.84 $87,805.42 $86,944.63 2026-02-21
10 MS_DRG Pancreas Transplant 26 17 — — $51,426.11 $122,340.01 $86,883.06 2026-02-21
2464 APR_DRG Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency 2 2 — — $84,180.89 $85,864.42 $85,022.65 2026-02-21
6034 APR_DRG Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con… 2 2 — — $83,746.62 $85,421.46 $84,584.04 2026-02-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 18 — — $6,182.00 $205,568.43 $82,471.21 2026-02-21
64 APR_DRG Inpatient Aprdrg 0064: Pancreas Transplant 2 2 — — $81,273.58 $82,898.97 $82,086.27 2026-02-21
5891 APR_DRG Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks 2 2 — — $81,267.17 $82,892.43 $82,079.80 2026-02-21
5934 APR_DRG Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure 2 2 — — $81,023.99 $82,644.39 $81,834.19 2026-02-21
5892 APR_DRG Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks 2 2 — — $78,764.49 $80,339.70 $79,552.10 2026-02-21
1624 APR_DRG Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx 2 2 — — $75,726.58 $77,241.04 $76,483.81 2026-02-21
6024 APR_DRG Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 2 2 — — $74,483.86 $75,973.46 $75,228.66 2026-02-21
5893 APR_DRG Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks 2 2 — — $73,879.32 $75,356.83 $74,618.08 2026-02-21
225 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
222 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
230 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
224 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
237 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
226 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
227 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
238 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
223 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 18 — — $6,182.00 $180,494.07 $73,075.96 2026-02-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 18 — — $35,308.00 $180,393.96 $72,164.63 2026-02-21
6214 APR_DRG Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly 2 2 — — $70,730.84 $72,145.38 $71,438.11 2026-02-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 18 — — $6,182.00 $166,489.32 $70,962.30 2026-02-21
72 APR_DRG Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant 2 2 — — $70,176.78 $71,580.24 $70,878.51 2026-02-21
1612 APR_DRG Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant 2 2 — — $70,074.62 $71,476.04 $70,775.33 2026-02-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 18 — — $6,182.00 $164,808.75 $70,615.61 2026-02-21
113 APR_DRG Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 2 — — $69,273.38 $70,658.78 $69,966.08 2026-02-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 17 — — $6,182.00 $171,701.43 $69,026.53 2026-02-21
8634 APR_DRG Inpatient Aprdrg 8634: Neonatal Aftercare 2 2 — — $68,198.91 $69,562.82 $68,880.87 2026-02-21
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 6 — — $35,308.00 $103,364.40 $68,382.33 2026-02-21
6303 APR_DRG Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 2 — — $67,543.90 $68,894.71 $68,219.30 2026-02-21
1611 APR_DRG Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant 2 2 — — $66,459.42 $67,788.54 $67,123.98 2026-02-21
4404 APR_DRG Inpatient Aprdrg 4404: Kidney Transplant 2 2 — — $66,295.16 $67,621.00 $66,958.08 2026-02-21
54 APR_DRG Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 2 — — $65,992.29 $67,312.07 $66,652.18 2026-02-21
43 APR_DRG Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 2 — — $65,969.86 $67,289.19 $66,629.52 2026-02-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 24 17 — — $38,931.76 $92,616.61 $65,774.18 2026-02-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 24 17 — — $38,931.76 $92,616.61 $65,774.18 2026-02-21
6804 APR_DRG Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N… 2 2 — — $64,267.62 $65,552.91 $64,910.26 2026-02-21
5913 APR_DRG Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure 2 2 — — $64,267.62 $65,552.91 $64,910.26 2026-02-21
6084 APR_DRG Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi… 2 2 — — $64,085.34 $65,366.98 $64,726.16 2026-02-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 17 — — $29,717.23 $98,135.49 $63,926.36 2026-02-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 18 — — $9,144.00 $158,987.46 $63,601.20 2026-02-21
4414 APR_DRG Inpatient Aprdrg 4414: Major Bladder Procedures 2 2 — — $62,739.25 $63,993.97 $63,366.61 2026-02-21
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 6 — — $35,308.00 $95,322.54 $63,062.11 2026-02-21
23 APR_DRG Inpatient Aprdrg 0023: Heart &/or Lung Transplant 2 2 — — $61,045.83 $62,266.68 $61,656.26 2026-02-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 18 — — $6,368.00 $150,527.10 $61,458.21 2026-02-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 17 — — $44,869.65 $148,173.45 $60,497.24 2026-02-21
83 APR_DRG Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant 2 2 — — $59,771.45 $60,966.82 $60,369.13 2026-02-21
1784 APR_DRG Inpatient Aprdrg 1784: External Heart Assist Systems 2 2 — — $58,762.29 $59,937.47 $59,349.88 2026-02-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 17 — — $35,095.27 $83,489.80 $59,292.54 2026-02-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 18 — — $6,182.00 $137,553.27 $58,980.40 2026-02-21
5933 APR_DRG Inpatient Aprdrg 5933: Neonate Birthwt 750-999g Without Major Procedure 2 2 — — $57,868.90 $59,026.22 $58,447.56 2026-02-21
6114 APR_DRG Inpatient Aprdrg 6114: Neonate Birthwt 1500-1999g W Major Anomaly 2 2 — — $57,802.40 $58,958.39 $58,380.40 2026-02-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 35 18 — — $9,144.00 $145,442.79 $58,182.79 2026-02-21
1674 APR_DRG Inpatient Aprdrg 1674: Other Cardiothoracic & Thoracic Vascular Procedures 2 2 — — $57,546.80 $58,697.68 $58,122.24 2026-02-21
6904 APR_DRG Inpatient Aprdrg 6904: Acute Leukemia 2 2 — — $57,030.00 $58,170.54 $57,600.27 2026-02-21
434 APR_DRG Inpatient Aprdrg 0434: Multiple Sclerosis & Other Demyelinating Diseases 2 2 — — $56,680.66 $57,814.21 $57,247.43 2026-02-21
92 APR_DRG Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $56,616.96 $57,749.24 $57,183.10 2026-02-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 17 — — $6,182.00 $142,019.88 $57,094.10 2026-02-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 17 — — $41,713.64 $137,751.36 $56,242.04 2026-02-21
91 APR_DRG Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $54,907.11 $56,005.20 $55,456.15 2026-02-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 36 18 — — $6,182.00 $130,115.31 $55,442.53 2026-02-21
6334 APR_DRG Inpatient Aprdrg 6334: Neonate Birthwt >2499g W Major Anomaly 2 2 — — $53,752.92 $54,827.92 $54,290.42 2026-02-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 17 — — $6,182.00 $134,707.59 $54,154.46 2026-02-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 18 — — $6,182.00 $125,333.46 $54,129.13 2026-02-21
3034 APR_DRG Inpatient Aprdrg 3034: Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 2 — — $53,425.21 $54,493.66 $53,959.43 2026-02-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc 34 18 — — $6,368.00 $131,940.72 $53,869.63 2026-02-21
5912 APR_DRG Inpatient Aprdrg 5912: Neonate Birthwt 500-749g Without Major Procedure 2 2 — — $53,063.05 $54,124.26 $53,593.65 2026-02-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 18 — — $6,182.00 $126,720.09 $53,530.99 2026-02-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 17 — — $6,368.00 $142,260.57 $53,282.08 2026-02-21
6074 APR_DRG Inpatient Aprdrg 6074: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M… 2 2 — — $52,543.85 $53,594.67 $53,069.26 2026-02-21
63 APR_DRG Inpatient Aprdrg 0063: Pancreas Transplant 2 2 — — $52,522.21 $53,572.60 $53,047.40 2026-02-21
6 MS_DRG Liver Transplant Without Mcc 26 17 — — $31,277.49 $74,407.49 $52,842.49 2026-02-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 17 — — $6,182.00 $131,169.66 $52,732.15 2026-02-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 18 — — $6,182.00 $127,604.04 $52,647.21 2026-02-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 35 18 — — $9,144.00 $130,711.71 $52,289.79 2026-02-21
28 MS_DRG Spinal Procedures With Mcc 35 18 — — $25,893.00 $129,493.35 $51,802.40 2026-02-21
2204 APR_DRG Inpatient Aprdrg 2204: Major Stomach, Esophageal & Duodenal Procedures 2 2 — — $50,069.61 $51,070.95 $50,570.28 2026-02-21
6134 APR_DRG Inpatient Aprdrg 6134: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti… 2 2 — — $49,796.79 $50,792.67 $50,294.73 2026-02-21
4474 APR_DRG Inpatient Aprdrg 4474: Other Kidney, Urinary Tract & Related Procedures 2 2 — — $49,680.21 $50,673.76 $50,176.99 2026-02-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 17 — — $6,182.00 $124,014.99 $49,855.86 2026-02-21
22 APR_DRG Inpatient Aprdrg 0022: Heart &/or Lung Transplant 2 2 — — $49,040.02 $50,020.77 $49,530.39 2026-02-21
234 APR_DRG Inpatient Aprdrg 0234: Spinal Procedures 2 2 — — $48,944.27 $49,923.10 $49,433.68 2026-02-21
9104 APR_DRG Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma 2 2 — — $48,767.19 $49,742.49 $49,254.84 2026-02-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 18 — — $35,308.00 $122,249.22 $48,904.46 2026-02-21
112 APR_DRG Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 2 — — $48,140.62 $49,103.38 $48,622.00 2026-02-21
6023 APR_DRG Inpatient Aprdrg 6023: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 2 2 — — $48,138.62 $49,101.34 $48,619.98 2026-02-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 18 — — $35,154.00 $121,518.63 $48,612.20 2026-02-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 18 — — $6,182.00 $112,819.71 $48,489.76 2026-02-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 36 18 — — $6,182.00 $113,320.26 $48,368.49 2026-02-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 25 17 — — $22,397.74 $73,964.25 $48,181.00 2026-02-21
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 32 17 — — $35,651.27 $117,731.49 $48,068.19 2026-02-21
53 APR_DRG Inpatient Aprdrg 0053: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 2 — — $47,538.49 $48,489.21 $48,013.85 2026-02-21
62 APR_DRG Inpatient Aprdrg 0062: Pancreas Transplant 2 2 — — $47,505.64 $48,455.70 $47,980.67 2026-02-21
9504 APR_DRG Inpatient Aprdrg 9504: Extensive Procedure Unrelated To Principal Diagnosis 2 2 — — $47,319.35 $48,265.69 $47,792.52 2026-02-21
653 MS_DRG Major Bladder Procedures With Mcc 34 17 — — $6,182.00 $118,738.98 $47,734.83 2026-02-21
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 10 6 — — $35,308.00 $71,778.28 $47,486.04 2026-02-21
61 APR_DRG Inpatient Aprdrg 0061: Pancreas Transplant 2 2 — — $46,892.29 $47,830.08 $47,361.18 2026-02-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 17 — — $6,182.00 $117,731.49 $47,329.81 2026-02-21
71 APR_DRG Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant 2 2 — — $46,080.63 $47,002.19 $46,541.41 2026-02-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 17 — — $6,182.00 $115,631.31 $46,485.50 2026-02-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 18 — — $6,182.00 $114,932.67 $46,431.72 2026-02-21
13 APR_DRG Inpatient Aprdrg 0013: Liver Transplant &/or Intestinal Transplant 2 2 — — $45,744.11 $46,658.94 $46,201.53 2026-02-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 17 — — $6,182.00 $114,919.89 $46,199.51 2026-02-21
6093 APR_DRG Inpatient Aprdrg 6093: Neonate Bwt 1500-2499g W Major Procedure 2 2 — — $45,690.02 $46,603.78 $46,146.90 2026-02-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 18 — — $6,182.00 $106,144.29 $46,122.71 2026-02-21
264 APR_DRG Inpatient Aprdrg 0264: Other Nervous System & Related Procedures 2 2 — — $45,662.38 $46,575.58 $46,118.98 2026-02-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 18 — — $9,144.00 $115,041.30 $46,021.03 2026-02-21
5932 APR_DRG Inpatient Aprdrg 5932: Neonate Birthwt 750-999g Without Major Procedure 2 2 — — $45,465.28 $46,374.53 $45,919.90 2026-02-21
3033 APR_DRG Inpatient Aprdrg 3033: Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 2 — — $45,195.66 $46,099.52 $45,647.59 2026-02-21
1824 APR_DRG Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures 2 2 — — $45,159.20 $46,062.34 $45,610.77 2026-02-21
1634 APR_DRG Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Pdx 2 2 — — $45,132.36 $46,034.96 $45,583.66 2026-02-21
7924 APR_DRG Inpatient Aprdrg 7924: Extensive Or Procedures For Other Complications Of Treatm… 2 2 — — $44,393.61 $45,281.44 $44,837.53 2026-02-21
3044 APR_DRG Inpatient Aprdrg 3044: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 2 2 — — $44,382.80 $45,270.41 $44,826.61 2026-02-21
2054 APR_DRG Inpatient Aprdrg 2054: Cardiomyopathy 2 2 — — $44,257.40 $45,142.50 $44,699.95 2026-02-21
6954 APR_DRG Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia 2 2 — — $44,200.51 $45,084.48 $44,642.50 2026-02-21
8413 APR_DRG Inpatient Aprdrg 8413: Extensive 3rd Degree Burns W Skin Graft 2 2 — — $44,155.24 $45,038.30 $44,596.77 2026-02-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 17 — — $6,182.00 $109,332.90 $43,953.45 2026-02-21
52 APR_DRG Inpatient Aprdrg 0052: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 2 — — $43,413.29 $44,281.52 $43,847.40 2026-02-21
6514 APR_DRG Inpatient Aprdrg 6514: Other Procedures Of Blood & Blood-forming Organs 2 2 — — $43,267.87 $44,133.18 $43,700.53 2026-02-21
42 APR_DRG Inpatient Aprdrg 0042: Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 2 — — $43,132.86 $43,995.47 $43,564.17 2026-02-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 17 — — $32,296.61 $106,653.36 $43,545.14 2026-02-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 17 — — $6,182.00 $108,182.70 $43,491.06 2026-02-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 18 — — $32,860.34 $108,514.98 $43,410.24 2026-02-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 16 — — $38,344.16 $91,218.73 $43,393.46 2026-02-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 17 — — $6,182.00 $107,285.97 $43,130.55 2026-02-21
6144 APR_DRG Inpatient Aprdrg 6144: Neonate Bwt 1500-1999g W Or Without Other Significant Conditi… 2 2 — — $42,679.76 $43,533.31 $43,106.54 2026-02-21
1623 APR_DRG Inpatient Aprdrg 1623: Cardiac Valve Procedures W Ami Or Complex Pdx 2 2 — — $42,607.25 $43,459.35 $43,033.30 2026-02-21
214 APR_DRG Inpatient Aprdrg 0214: Craniotomy Except For Trauma 2 2 — — $42,506.29 $43,356.37 $42,931.33 2026-02-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 17 — — $6,368.00 $106,570.29 $42,891.21 2026-02-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 17 — — $6,182.00 $106,527.69 $42,825.73 2026-02-21
2304 APR_DRG Inpatient Aprdrg 2304: Major Small Bowel Procedures 2 2 — — $42,352.85 $43,199.86 $42,776.35 2026-02-21
224 APR_DRG Inpatient Aprdrg 0224: Ventricular Shunt Procedures 2 2 — — $42,185.79 $43,029.46 $42,607.62 2026-02-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 18 — — $6,182.00 $97,822.38 $42,530.38 2026-02-21
4424 APR_DRG Inpatient Aprdrg 4424: Kidney & Urinary Tract Procedures For Malignancy 2 2 — — $41,954.63 $42,793.68 $42,374.15 2026-02-21
9524 APR_DRG Inpatient Aprdrg 9524: Nonextensive Procedure Unrelated To Principal Diagnosis 2 2 — — $41,697.03 $42,530.93 $42,113.98 2026-02-21
9114 APR_DRG Inpatient Aprdrg 9114: Extensive Abdominal/thoracic Procedures For Mult Signific… 2 2 — — $41,316.04 $42,142.32 $41,729.18 2026-02-21
245 MS_DRG Aicd Generator Procedures 35 18 — — $29,293.00 $104,088.84 $41,639.62 2026-02-21
471 MS_DRG Cervical Spinal Fusion With Mcc 35 18 — — $31,329.76 $103,460.49 $41,388.26 2026-02-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 18 — — $6,182.00 $100,210.11 $41,344.95 2026-02-21
4403 APR_DRG Inpatient Aprdrg 4403: Kidney Transplant 2 2 — — $40,575.70 $41,387.17 $40,981.43 2026-02-21
3154 APR_DRG Inpatient Aprdrg 3154: Shoulder, Upper Arm & Forearm Procedures Except Joint Rep… 2 2 — — $40,572.89 $41,384.31 $40,978.60 2026-02-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 17 — — $6,182.00 $101,718.15 $40,892.21 2026-02-21
1694 APR_DRG Inpatient Aprdrg 1694: Major Abdominal Vascular Procedures 2 2 — — $40,435.08 $41,243.74 $40,839.41 2026-02-21
799 MS_DRG Splenic Procedures With Mcc 34 17 — — $6,182.00 $101,277.24 $40,714.96 2026-02-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 17 — — $6,182.00 $101,258.07 $40,707.24 2026-02-21
1204 APR_DRG Inpatient Aprdrg 1204: Major Respiratory & Chest Procedures 2 2 — — $40,270.82 $41,076.20 $40,673.51 2026-02-21
4834 APR_DRG Inpatient Aprdrg 4834: Penis, Testes & Scrotal Procedures 2 2 — — $40,117.79 $40,920.10 $40,518.94 2026-02-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 18 — — $6,368.00 $99,085.47 $40,455.27 2026-02-21
894 APR_DRG Inpatient Aprdrg 0894: Major Cranial/facial Bone Procedures 2 2 — — $39,687.52 $40,481.23 $40,084.38 2026-02-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 17 — — $6,182.00 $99,673.35 $40,070.17 2026-02-21
9124 APR_DRG Inpatient Aprdrg 9124: Musculoskeletal & Other Procedures For Multiple Significa… 2 2 — — $39,635.04 $40,427.70 $40,031.37 2026-02-21
1304 APR_DRG Inpatient Aprdrg 1304: Respiratory System Diagnosis W Ventilator Support 96+ Hou… 2 2 — — $39,625.02 $40,417.48 $40,021.25 2026-02-21
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