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 SCOTT AND WHITE MEDICAL CENTER LAKE POINTE

Rowlett, TX · CCN 450742 · Rates published

Your selected procedure

You selected 29916 (CPT)

ARTHROSCOPY, HIP, SURGICAL; WITH LABRAL REPAIR

This hospital’s price: $8,747 across 18 payers · range $2,399-$17,722

Source: https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/260194016_baylor-scott--white-medical-center--lake-pointe_standardcharges.csv · observed 2026-06-29

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

15,040 distinct procedures filed
27 distinct payers
1,131,297 rate rows
2026-02-21 last MRF observed
Data quality

1,125,694 of 1,131,297 rate rows are consumer-grade (99.5%)

5,603 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 2,604
per-diem day rate — not a per-procedure price 1,494
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 602
exceeds 10× this hospital's gross charge — excluded from medians 328
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 322
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 226
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/260194016_baylor-scott--white-medical-center--lake-pointe_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 success · 2026-11-02
Content fingerprint c6efa8bde72673a3… · 525,206,718 bytes · first seen 2026-11-02

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
Q2041
HCPCS 		Hc Yescarta (including Apheresis) 25 $225,267.60 $1,535,915.46 $1,013,173.83 nat. median
$608,239
1.7× median
Q2042
HCPCS 		Hc Kymriah-adult (incl Apheresis) 25 $221,264.45 $1,508,621.25 $1,005,747.50 nat. median
$739,658
1.4× median
Q2056
HCPCS 		Hc Carvykti (including Apheresis) 25 $219,669.45 $1,497,746.25 $998,497.50 nat. median
$646,415
1.5× median
Q2055
HCPCS 		Hc Abecma (including Apheresis) 25 $217,545.46 $1,483,264.50 $988,843.00 nat. median
$623,527
1.6× median
Q2054
HCPCS 		Hc Breyanzi Car T 25 $216,856.20 $1,478,565.00 $985,710.00 nat. median
$640,950
1.5× median
Q2053
HCPCS 		Hc Tecartus (including Apheresis) 25 $200,340.63 $1,365,958.87 $910,639.24 nat. median
$592,235
1.5× median
27801844
CDM 		Hc Syncardia Total Artificial Heart System 21 $81,180.00 $590,400.00 $491,508.00 nat. median
$491,508
1.0× median
27801843
CDM 		Hc Kit Artificial Heart Carmat 21 $70,301.88 $511,286.40 $425,645.93 nat. median
$425,646
1.0× median
5834
APR_DRG 		Inpatient Aprdrg 5834: Neonate With Ecmo 2 $298,640.48 $298,640.48 $298,640.48 nat. median
$307,273
1.0× median
74
APR_DRG 		Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 2 $290,517.74 $290,517.74 $290,517.74 nat. median
$170,172
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $255,359.72 $859,851.84 $282,239.70 nat. median
$359,244
0.8× median
5833
APR_DRG 		Inpatient Aprdrg 5833: Neonate With Ecmo 2 $252,877.79 $252,877.79 $252,877.79 nat. median
$244,017
1.0× median
24
APR_DRG 		Inpatient Aprdrg 0024: Heart And/or Lung Transplant 2 $243,261.27 $243,261.27 $243,261.27 nat. median
$241,734
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $191,044.88 $642,237.24 $211,154.86 nat. median
$248,541
0.8× median
27801347-807157
CDM 		21 $33,743.82 $245,409.60 $204,303.49 nat. median
$199,395
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $6,368.00 $540,879.84 $195,002.75 nat. median
$198,115
1.0× median
81200003
CDM 		Hc Std Acq Chg Cadaver Kidney/pancreas 18 $34,802.40 $237,289.09 $189,831.27 nat. median
$155,978
1.2× median
5884
APR_DRG 		Inpatient Aprdrg 5884: Neonate Birth Weight < 1500 Grams With Major Procedure 2 $189,034.53 $189,034.53 $189,034.53 nat. median
$247,815
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $6,368.00 $488,640.48 $186,380.02 nat. median
$190,359
1.0× median
1614
APR_DRG 		Inpatient Aprdrg 1614: Implantable Heart Assist Systems 2 $183,565.49 $183,565.49 $183,565.49 nat. median
$202,649
0.9× median
94
APR_DRG 		Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 2 $171,971.96 $171,971.96 $171,971.96 nat. median
$163,718
1.1× median
27802052-445170
CDM 		21 $25,687.79 $186,820.27 $155,527.88 nat. median
$151,791
1.0× median
27500234
CDM 		Hc Heartmate 3 Lvad Implant 21 $25,687.79 $186,820.27 $155,527.88 nat. median
$163,468
1.0× median
81200017
CDM 		18 $27,433.47 $187,046.40 $149,637.12 nat. median
$149,637
1.0× median
27802052-778176
CDM 		21 $23,677.50 $172,200.00 $143,356.50 nat. median
$139,912
1.0× median
6304
APR_DRG 		Inpatient Aprdrg 6304: Neonate Birth Weight > 2499 Grams With Major Cardiovascul… 2 $140,654.29 $140,654.29 $140,654.29 nat. median
$154,116
0.9× median
6094
APR_DRG 		Inpatient Aprdrg 6094: Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $139,407.84 $139,407.84 $139,407.84 nat. median
$165,000
0.8× median
27801347-1196342
CDM 		21 $22,784.52 $165,705.60 $137,949.91 nat. median
$134,636
1.0× median
27801850
CDM 		Hc Heartware Hvad Pump 21 $22,784.52 $165,705.60 $137,949.91 nat. median
$134,636
1.0× median
27800187
CDM 		Hc Kit, Heartmate Ii Vad Implant 21 $21,918.60 $159,408.00 $132,707.16 nat. median
$132,707
1.0× median
27801347-98612
CDM 		21 $21,918.60 $159,408.00 $132,707.16 nat. median
$129,519
1.0× median
81200004
CDM 		Hc Std Acq Chg Cadaver Heart 18 $24,275.76 $165,516.57 $132,413.26 nat. median
$123,586
1.1× median
27500176-389049
CDM 		21 $21,847.52 $158,891.04 $132,276.79 nat. median
$129,099
1.0× median
81200014
CDM 		Hc Heart Lung Acq Cad Mcare 18 $24,244.54 $165,303.66 $132,242.93 nat. median
$138,062
1.0× median
81200013
CDM 		Hc Heart Lung Acq Cad 18 $24,244.54 $165,303.66 $132,242.93 nat. median
$121,223
1.1× median
5832
APR_DRG 		Inpatient Aprdrg 5832: Neonate With Ecmo 2 $126,003.23 $126,003.23 $126,003.23 nat. median
$159,249
0.8× median
27801865
CDM 		Hc Evaheart Blood Pump Set Bp310 21 $20,295.00 $147,600.00 $122,877.00 nat. median
$122,877
1.0× median
81200008
CDM 		Hc Liver Acq Cad Mcare 18 $22,425.70 $152,902.50 $122,322.00 nat. median
$101,935
1.2× median
81200007
CDM 		Hc Liver Acq Cad 18 $22,425.70 $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… 19 $6,182.00 $322,164.00 $121,830.22 nat. median
$126,461
1.0× median
114
APR_DRG 		Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 $119,648.31 $119,648.31 $119,648.31 nat. median
$123,836
1.0× median
27802052-389434
CDM 		21 $19,753.80 $143,664.00 $119,600.28 nat. median
$116,727
1.0× median
81200012
CDM 		Hc Lung Acq Double Cad Mcare 18 $21,713.65 $148,047.63 $118,438.10 nat. median
$108,568
1.1× median
81200011
CDM 		Hc Lung Acq Double Cad 18 $21,713.65 $148,047.63 $118,438.10 nat. median
$108,568
1.1× median
27201912-261835
CDM 		19 $20,200.29 $137,729.25 $114,205.09 nat. median
$106,511
1.1× median
81200001
CDM 		Hc Std Acq Chg Cadaver Kidney 18 $20,439.10 $139,357.50 $111,486.00 nat. median
$107,770
1.0× median
2004
APR_DRG 		Inpatient Aprdrg 2004: Cardiac Structural And Valvular Disorders 2 $111,186.23 $111,186.23 $111,186.23 nat. median
$28,252
outlier · 3.9×
5831
APR_DRG 		Inpatient Aprdrg 5831: Neonate With Ecmo 2 $110,948.35 $110,948.35 $110,948.35 nat. median
$147,206
0.8× median
81200010
CDM 		Hc Lung Acq Single Cad Mcare 18 $19,074.08 $130,050.53 $104,040.43 nat. median
$86,700
1.2× median
81200009
CDM 		Hc Lung Acq Single Cad 18 $19,074.08 $130,050.53 $104,040.43 nat. median
$66,973
1.6× median

Other procedures at this hospital

Browse this hospital's 15,040 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
             
Q2041 HCPCS Hc Yescarta (including Apheresis) 43 25 $2,047,887.28 $1,228,732.37 40% off $225,267.60 $1,535,915.46 $1,013,173.83 2026-02-21
Q2042 HCPCS Hc Kymriah-adult (incl Apheresis) 43 25 $2,011,495.00 $1,206,897.00 40% off $221,264.45 $1,508,621.25 $1,005,747.50 2026-02-21
Q2056 HCPCS Hc Carvykti (including Apheresis) 43 25 $1,996,995.00 $1,198,197.00 40% off $219,669.45 $1,497,746.25 $998,497.50 2026-02-21
Q2055 HCPCS Hc Abecma (including Apheresis) 43 25 $1,977,686.00 $1,186,611.60 40% off $217,545.46 $1,483,264.50 $988,843.00 2026-02-21
Q2054 HCPCS Hc Breyanzi Car T 43 25 $1,971,420.00 $1,182,852.00 40% off $216,856.20 $1,478,565.00 $985,710.00 2026-02-21
Q2053 HCPCS Hc Tecartus (including Apheresis) 43 25 $1,821,278.49 $1,092,767.09 40% off $200,340.63 $1,365,958.87 $910,639.24 2026-02-21
27801844 CDM Hc Syncardia Total Artificial Heart System 36 21 $738,000.00 $442,800.00 40% off $81,180.00 $590,400.00 $491,508.00 2026-02-21
27801843 CDM Hc Kit Artificial Heart Carmat 36 21 $639,108.00 $383,464.80 40% off $70,301.88 $511,286.40 $425,645.93 2026-02-21
5834 APR_DRG Inpatient Aprdrg 5834: Neonate With Ecmo 2 2 — — $298,640.48 $298,640.48 $298,640.48 2026-02-21
74 APR_DRG Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 2 2 — — $290,517.74 $290,517.74 $290,517.74 2026-02-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 15 — — $255,359.72 $859,851.84 $282,239.70 2026-02-21
5833 APR_DRG Inpatient Aprdrg 5833: Neonate With Ecmo 2 2 — — $252,877.79 $252,877.79 $252,877.79 2026-02-21
24 APR_DRG Inpatient Aprdrg 0024: Heart And/or Lung Transplant 2 2 — — $243,261.27 $243,261.27 $243,261.27 2026-02-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 13 — — $191,044.88 $642,237.24 $211,154.86 2026-02-21
27801347-807157 CDM — 36 21 $306,762.00 $184,057.20 40% off $33,743.82 $245,409.60 $204,303.49 2026-02-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 19 — — $6,368.00 $540,879.84 $195,002.75 2026-02-21
81200003 CDM Hc Std Acq Chg Cadaver Kidney/pancreas 25 18 $316,385.45 $189,831.27 40% off $34,802.40 $237,289.09 $189,831.27 2026-02-21
5884 APR_DRG Inpatient Aprdrg 5884: Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $189,034.53 $189,034.53 $189,034.53 2026-02-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 19 — — $6,368.00 $488,640.48 $186,380.02 2026-02-21
1614 APR_DRG Inpatient Aprdrg 1614: Implantable Heart Assist Systems 2 2 — — $183,565.49 $183,565.49 $183,565.49 2026-02-21
94 APR_DRG Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $171,971.96 $171,971.96 $171,971.96 2026-02-21
27802052-445170 CDM — 36 21 $233,525.34 $140,115.20 40% off $25,687.79 $186,820.27 $155,527.88 2026-02-21
27500234 CDM Hc Heartmate 3 Lvad Implant 36 21 $233,525.34 $140,115.20 40% off $25,687.79 $186,820.27 $155,527.88 2026-02-21
81200017 CDM — 25 18 $249,395.20 $149,637.12 40% off $27,433.47 $187,046.40 $149,637.12 2026-02-21
27802052-778176 CDM — 36 21 $215,250.00 $129,150.00 40% off $23,677.50 $172,200.00 $143,356.50 2026-02-21
6304 APR_DRG Inpatient Aprdrg 6304: Neonate Birth Weight > 2499 Grams With Major Cardiovascul… 2 2 — — $140,654.29 $140,654.29 $140,654.29 2026-02-21
6094 APR_DRG Inpatient Aprdrg 6094: Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $139,407.84 $139,407.84 $139,407.84 2026-02-21
27801347-1196342 CDM — 36 21 $207,132.00 $124,279.20 40% off $22,784.52 $165,705.60 $137,949.91 2026-02-21
27801850 CDM Hc Heartware Hvad Pump 36 21 $207,132.00 $124,279.20 40% off $22,784.52 $165,705.60 $137,949.91 2026-02-21
27800187 CDM Hc Kit, Heartmate Ii Vad Implant 36 21 $199,260.00 $119,556.00 40% off $21,918.60 $159,408.00 $132,707.16 2026-02-21
27801347-98612 CDM — 36 21 $199,260.00 $119,556.00 40% off $21,918.60 $159,408.00 $132,707.16 2026-02-21
81200004 CDM Hc Std Acq Chg Cadaver Heart 25 18 $220,688.76 $132,413.26 40% off $24,275.76 $165,516.57 $132,413.26 2026-02-21
27500176-389049 CDM — 36 21 $198,613.80 $119,168.28 40% off $21,847.52 $158,891.04 $132,276.79 2026-02-21
81200014 CDM Hc Heart Lung Acq Cad Mcare 25 18 $220,404.88 $132,242.93 40% off $24,244.54 $165,303.66 $132,242.93 2026-02-21
81200013 CDM Hc Heart Lung Acq Cad 25 18 $220,404.88 $132,242.93 40% off $24,244.54 $165,303.66 $132,242.93 2026-02-21
5832 APR_DRG Inpatient Aprdrg 5832: Neonate With Ecmo 2 2 — — $126,003.23 $126,003.23 $126,003.23 2026-02-21
27801865 CDM Hc Evaheart Blood Pump Set Bp310 36 21 $184,500.00 $110,700.00 40% off $20,295.00 $147,600.00 $122,877.00 2026-02-21
81200008 CDM Hc Liver Acq Cad Mcare 25 18 $203,870.00 $122,322.00 40% off $22,425.70 $152,902.50 $122,322.00 2026-02-21
81200007 CDM Hc Liver Acq Cad 25 18 $203,870.00 $122,322.00 40% off $22,425.70 $152,902.50 $122,322.00 2026-02-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 19 — — $6,182.00 $322,164.00 $121,830.22 2026-02-21
114 APR_DRG Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 2 — — $119,648.31 $119,648.31 $119,648.31 2026-02-21
27802052-389434 CDM — 36 21 $179,580.00 $107,748.00 40% off $19,753.80 $143,664.00 $119,600.28 2026-02-21
81200012 CDM Hc Lung Acq Double Cad Mcare 25 18 $197,396.84 $118,438.10 40% off $21,713.65 $148,047.63 $118,438.10 2026-02-21
81200011 CDM Hc Lung Acq Double Cad 25 18 $197,396.84 $118,438.10 40% off $21,713.65 $148,047.63 $118,438.10 2026-02-21
27201912-261835 CDM — 28 19 $183,639.00 $110,183.40 40% off $20,200.29 $137,729.25 $114,205.09 2026-02-21
81200001 CDM Hc Std Acq Chg Cadaver Kidney 25 18 $185,810.00 $111,486.00 40% off $20,439.10 $139,357.50 $111,486.00 2026-02-21
2004 APR_DRG Inpatient Aprdrg 2004: Cardiac Structural And Valvular Disorders 2 2 — — $111,186.23 $111,186.23 $111,186.23 2026-02-21
5831 APR_DRG Inpatient Aprdrg 5831: Neonate With Ecmo 2 2 — — $110,948.35 $110,948.35 $110,948.35 2026-02-21
81200010 CDM Hc Lung Acq Single Cad Mcare 25 18 $173,400.71 $104,040.43 40% off $19,074.08 $130,050.53 $104,040.43 2026-02-21
81200009 CDM Hc Lung Acq Single Cad 25 18 $173,400.71 $104,040.43 40% off $19,074.08 $130,050.53 $104,040.43 2026-02-21
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 44 25 $187,807.50 $112,684.50 40% off $20,658.83 $140,855.62 $103,294.12 2026-02-21
73 APR_DRG Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 2 2 — — $102,512.61 $102,512.61 $102,512.61 2026-02-21
5883 APR_DRG Inpatient Aprdrg 5883: Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $101,429.74 $101,429.74 $101,429.74 2026-02-21
5882 APR_DRG Inpatient Aprdrg 5882: Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $100,966.15 $100,966.15 $100,966.15 2026-02-21
44 APR_DRG Inpatient Aprdrg 0044: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $100,705.07 $100,705.07 $100,705.07 2026-02-21
8414 APR_DRG Inpatient Aprdrg 8414: Extensive Third Degree Burns With Skin Graft 2 2 — — $100,272.15 $100,272.15 $100,272.15 2026-02-21
6314 APR_DRG Inpatient Aprdrg 6314: Neonate Birth Weight > 2499 Grams With Other Major Proced… 2 2 — — $99,270.67 $99,270.67 $99,270.67 2026-02-21
14 MS_DRG Allogeneic Bone Marrow Transplant 12 12 — — $89,520.48 $212,964.50 $98,943.68 2026-02-21
7 MS_DRG Lung Transplant 14 12 — — $89,298.10 $212,435.48 $98,697.90 2026-02-21
8504 APR_DRG Inpatient Aprdrg 8504: Procedure With Diagnosis Of Rehabilitation, Aftercare Or … 2 2 — — $96,655.49 $96,655.49 $96,655.49 2026-02-21
5914 APR_DRG Inpatient Aprdrg 5914: Neonate Birth Weight 500-749 Grams Without Major Procedur… 2 2 — — $95,789.66 $95,789.66 $95,789.66 2026-02-21
1613 APR_DRG Inpatient Aprdrg 1613: Implantable Heart Assist Systems 2 2 — — $95,676.81 $95,676.81 $95,676.81 2026-02-21
5881 APR_DRG Inpatient Aprdrg 5881: Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $95,171.16 $95,171.16 $95,171.16 2026-02-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 19 — — $6,368.00 $248,380.92 $95,010.63 2026-02-21
215 MS_DRG Other Heart Assist System Implant 35 19 — — $6,182.00 $241,561.44 $91,371.39 2026-02-21
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 6 — — $35,308.00 $128,463.72 $88,135.49 2026-02-21
14 APR_DRG Inpatient Aprdrg 0014: Liver Transplant And/or Intestinal Transplant 2 2 — — $87,140.42 $87,140.42 $87,140.42 2026-02-21
84 APR_DRG Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $86,791.26 $86,791.26 $86,791.26 2026-02-21
6814 APR_DRG Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic, Hematopoietic Or Ot… 2 2 — — $85,249.12 $85,249.12 $85,249.12 2026-02-21
1604 APR_DRG Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $85,201.55 $85,201.55 $85,201.55 2026-02-21
J9043 HCPCS Cabazitaxel 10 mg/mL (first Dilution) Intravenous Solution 44 25 $161,632.27 $96,979.36 40% off $205.63 $121,224.20 $84,856.94 2026-02-21
93 APR_DRG Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $84,489.46 $84,489.46 $84,489.46 2026-02-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 13 — — $75,490.40 $251,249.16 $83,436.76 2026-02-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 20 — — $66,268.22 $220,045.08 $83,377.47 2026-02-21
2464 APR_DRG Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency 2 2 — — $82,621.75 $82,621.75 $82,621.75 2026-02-21
6034 APR_DRG Inpatient Aprdrg 6034: Neonate Birth Weight 1000-1249 Grams With Or Without Sign… 2 2 — — $82,195.52 $82,195.52 $82,195.52 2026-02-21
81500021 CDM Hc Unrelated Donor Acquisition US 25 18 $134,837.44 $80,902.46 40% off $14,832.12 $101,128.08 $80,902.46 2026-02-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 12 — — $72,995.17 $173,651.67 $80,678.87 2026-02-21
64 APR_DRG Inpatient Aprdrg 0064: Pancreas Transplant 2 2 — — $79,768.29 $79,768.29 $79,768.29 2026-02-21
5891 APR_DRG Inpatient Aprdrg 5891: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999… 2 2 — — $79,762.00 $79,762.00 $79,762.00 2026-02-21
5934 APR_DRG Inpatient Aprdrg 5934: Neonate Birth Weight 750-999 Grams Without Major Procedur… 2 2 — — $79,523.33 $79,523.33 $79,523.33 2026-02-21
81100002 CDM Hc Liver Acq Living Mcare 25 18 $131,979.00 $79,187.40 40% off $14,517.69 $98,984.25 $79,187.40 2026-02-21
81100003 CDM Hc Liver Acq Living 25 18 $131,979.00 $79,187.40 40% off $14,517.69 $98,984.25 $79,187.40 2026-02-21
5892 APR_DRG Inpatient Aprdrg 5892: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999… 2 2 — — $77,305.68 $77,305.68 $77,305.68 2026-02-21
1624 APR_DRG Inpatient Aprdrg 1624: Cardiac Valve Procedures With Ami Or Complex Principal Di… 2 2 — — $74,324.03 $74,324.03 $74,324.03 2026-02-21
81100001 CDM Hc Std Acq Chg Live Donor Kidney 25 18 $123,509.00 $74,105.40 40% off $13,585.99 $92,631.75 $74,105.40 2026-02-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 20 — — $26,466.00 $193,204.92 $73,460.64 2026-02-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 20 — — $35,308.00 $193,097.76 $73,262.36 2026-02-21
237 MS_DRG — 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
238 MS_DRG — 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
230 MS_DRG — 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
6024 APR_DRG Inpatient Aprdrg 6024: Neonate Birth Weight 1000-1249 Grams With Respiratory Dis… 2 2 — — $73,104.32 $73,104.32 $73,104.32 2026-02-21
5893 APR_DRG Inpatient Aprdrg 5893: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999… 2 2 — — $72,510.98 $72,510.98 $72,510.98 2026-02-21
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 29 19 $115,440.00 $69,264.00 40% off $12,698.40 $86,580.00 $72,311.62 2026-02-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 20 — — $53,905.24 $178,213.92 $70,489.54 2026-02-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 19 — — $6,182.00 $183,793.08 $70,173.64 2026-02-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 20 — — $53,373.57 $176,415.00 $69,742.98 2026-02-21
6214 APR_DRG Inpatient Aprdrg 6214: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $69,420.82 $69,420.82 $69,420.82 2026-02-21
72 APR_DRG Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant 2 2 — — $68,877.02 $68,877.02 $68,877.02 2026-02-21
1612 APR_DRG Inpatient Aprdrg 1612: Implantable Heart Assist Systems 2 2 — — $68,776.75 $68,776.75 $68,776.75 2026-02-21
113 APR_DRG Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 2 — — $67,990.35 $67,990.35 $67,990.35 2026-02-21
27802052-1242630 CDM — 36 21 $100,860.00 $60,516.00 40% off $11,094.60 $80,688.00 $67,172.76 2026-02-21
27801848 CDM Hc Impella 5.5 36 21 $100,860.00 $60,516.00 40% off $11,094.60 $80,688.00 $67,172.76 2026-02-21
8634 APR_DRG Inpatient Aprdrg 8634: Neonatal Aftercare 2 2 — — $66,935.79 $66,935.79 $66,935.79 2026-02-21
6303 APR_DRG Inpatient Aprdrg 6303: Neonate Birth Weight > 2499 Grams With Major Cardiovascul… 2 2 — — $66,292.90 $66,292.90 $66,292.90 2026-02-21
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 6 — — $35,308.00 $96,148.45 $65,964.85 2026-02-21
1611 APR_DRG Inpatient Aprdrg 1611: Implantable Heart Assist Systems 2 2 — — $65,228.51 $65,228.51 $65,228.51 2026-02-21
4404 APR_DRG Inpatient Aprdrg 4404: Kidney Transplant 2 2 — — $65,067.29 $65,067.29 $65,067.29 2026-02-21
54 APR_DRG Inpatient Aprdrg 0054: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 2 2 — — $64,770.03 $64,770.03 $64,770.03 2026-02-21
43 APR_DRG Inpatient Aprdrg 0043: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $64,748.02 $64,748.02 $64,748.02 2026-02-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 20 — — $9,144.00 $170,183.76 $64,462.07 2026-02-21
6804 APR_DRG Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic, Hematopoietic Or Oth… 2 2 — — $63,077.30 $63,077.30 $63,077.30 2026-02-21
5913 APR_DRG Inpatient Aprdrg 5913: Neonate Birth Weight 500-749 Grams Without Major Procedur… 2 2 — — $63,077.30 $63,077.30 $63,077.30 2026-02-21
6084 APR_DRG Inpatient Aprdrg 6084: Neonate Birth Weight 1250-1499 Grams With Or Without Sign… 2 2 — — $62,898.40 $62,898.40 $62,898.40 2026-02-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 20 — — $48,855.46 $161,127.60 $62,520.05 2026-02-21
31100124 CDM Hc Auto Islet Cell Transplant 28 19 $107,245.00 $64,347.00 40% off $34.00 $80,433.75 $62,202.10 2026-02-21
4414 APR_DRG Inpatient Aprdrg 4414: Major Bladder Procedures 2 2 — — $61,577.24 $61,577.24 $61,577.24 2026-02-21
81200002 CDM Hc Std Acq Chg Cadaver Pancreas 25 18 $102,432.00 $61,459.20 40% off $11,267.52 $76,824.00 $61,459.20 2026-02-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 19 — — $48,110.87 $158,608.20 $61,133.79 2026-02-21
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 6 — — $35,308.00 $88,668.00 $60,832.72 2026-02-21
10 MS_DRG Pancreas Transplant 14 12 — — $54,960.47 $130,748.07 $60,745.79 2026-02-21
27801347-1218340 CDM — 36 21 $91,020.00 $54,612.00 40% off $10,012.20 $72,816.00 $60,619.32 2026-02-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 13 — — $54,652.52 $180,742.44 $60,405.42 2026-02-21
23 APR_DRG Inpatient Aprdrg 0023: Heart And/or Lung Transplant 2 2 — — $59,915.18 $59,915.18 $59,915.18 2026-02-21
27801347-1926393 CDM — 36 21 $88,560.00 $53,136.00 40% off $9,741.60 $70,848.00 $58,980.96 2026-02-21
83 APR_DRG Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $58,664.41 $58,664.41 $58,664.41 2026-02-21
81500007 CDM Hc Marrow Acquisition Usa 25 18 $97,700.00 $58,620.00 40% off $10,747.00 $73,275.00 $58,620.00 2026-02-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 19 — — $46,164.14 $152,021.28 $58,594.94 2026-02-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 20 — — $44,751.09 $147,240.12 $58,028.07 2026-02-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 20 — — $9,144.00 $155,685.24 $57,975.63 2026-02-21
1784 APR_DRG Inpatient Aprdrg 1784: External Heart Assist Systems 2 2 — — $57,673.94 $57,673.94 $57,673.94 2026-02-21
27801347-1355910 CDM — 36 21 $86,100.00 $51,660.00 40% off $9,471.00 $68,880.00 $57,342.60 2026-02-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 19 — — $44,813.77 $147,452.16 $56,833.82 2026-02-21
5933 APR_DRG Inpatient Aprdrg 5933: Neonate Birth Weight 750-999 Grams Without Major Procedur… 2 2 — — $56,797.10 $56,797.10 $56,797.10 2026-02-21
6114 APR_DRG Inpatient Aprdrg 6114: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $56,731.83 $56,731.83 $56,731.83 2026-02-21
27800957 CDM Hc Catheter Set Pump Ventricular Assist Impella 36 21 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-21
27802052-101684 CDM — 36 21 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-21
27800190 CDM Hc Impella 5.0 36 21 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-21
27801855-1778845 CDM — 36 21 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-21
27801917-1534761 CDM — 36 21 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-21
C1604 HCPCS Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass … 36 21 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-21
27801815 CDM Hc Mitraclip Delivery System Kit (w/guiding Cath) 36 21 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-21
27801347-104268 CDM — 36 21 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-21
27500176-143739 CDM — 36 21 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-21
27203217 CDM Hc Heart Valve Sapien Edwards 36 21 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-21
C1823 HCPCS Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads 35 21 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-21
1674 APR_DRG Inpatient Aprdrg 1674: Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $56,480.96 $56,480.96 $56,480.96 2026-02-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 19 — — $6,368.00 $152,278.92 $55,975.09 2026-02-21
6904 APR_DRG Inpatient Aprdrg 6904: Acute Leukemia 2 2 — — $55,973.74 $55,973.74 $55,973.74 2026-02-21
434 APR_DRG Inpatient Aprdrg 0434: Multiple Sclerosis, Other Demyelinating Disease And Infla… 2 2 — — $55,630.86 $55,630.86 $55,630.86 2026-02-21
92 APR_DRG Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $55,568.34 $55,568.34 $55,568.34 2026-02-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 35 19 — — $6,182.00 $144,194.04 $55,390.54 2026-02-21
81200015 CDM Hc Uterus Acq Living Donor 25 18 $91,900.00 $55,140.00 40% off $10,109.00 $68,925.00 $55,140.00 2026-02-21
81200016 CDM Hc Uterus Acq Cadaveric Donor 25 18 $91,900.00 $55,140.00 40% off $10,109.00 $68,925.00 $55,140.00 2026-02-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 20 — — $42,975.52 $141,232.32 $54,993.35 2026-02-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 20 — — $41,603.59 $136,590.24 $54,960.53 2026-02-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 36 20 — — $42,398.03 $139,278.36 $54,846.67 2026-02-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 19 — — $42,731.60 $140,406.96 $54,118.32 2026-02-21
0424T OTHER — 28 19 $86,663.76 $51,998.26 40% off $6,546.00 $72,505.66 $53,896.19 2026-02-21
91 APR_DRG Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $53,890.16 $53,890.16 $53,890.16 2026-02-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 20 — — $41,323.93 $135,644.04 $53,436.79 2026-02-21
81500022 CDM Hc Related Donor Acquisition 25 18 $88,910.80 $53,346.48 40% off $9,780.19 $66,683.10 $53,346.48 2026-02-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 20 — — $40,885.26 $134,159.76 $53,306.78 2026-02-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 20 — — $9,144.00 $139,916.76 $53,300.02 2026-02-21
28 MS_DRG Spinal Procedures With Mcc 36 20 — — $25,893.00 $138,612.60 $52,810.49 2026-02-21
6334 APR_DRG Inpatient Aprdrg 6334: Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $52,757.35 $52,757.35 $52,757.35 2026-02-21
81500059 CDM Hc Pbsc Second Acquisition US 25 18 $87,750.00 $52,650.00 40% off $9,652.50 $65,812.50 $52,650.00 2026-02-21
81500015 CDM Hc Pbsc Acquistion US 25 18 $87,750.00 $52,650.00 40% off $9,652.50 $65,812.50 $52,650.00 2026-02-21
3034 APR_DRG Inpatient Aprdrg 3034: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $52,435.71 $52,435.71 $52,435.71 2026-02-21
5912 APR_DRG Inpatient Aprdrg 5912: Neonate Birth Weight 500-749 Grams Without Major Procedur… 2 2 — — $52,080.26 $52,080.26 $52,080.26 2026-02-21
6074 APR_DRG Inpatient Aprdrg 6074: Neonate Birth Weight 1250-1499 Grams With Respiratory Dis… 2 2 — — $51,570.67 $51,570.67 $51,570.67 2026-02-21
63 APR_DRG Inpatient Aprdrg 0063: Pancreas Transplant 2 2 — — $51,549.44 $51,549.44 $51,549.44 2026-02-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 19 — — $6,182.00 $132,748.44 $51,117.67 2026-02-21
62400012-1362918 CDM — 25 18 $84,975.00 $50,985.00 40% off $9,347.25 $63,731.25 $50,985.00 2026-02-21
62400011 CDM Hc Clinical Trial Ide#g170152 Sapien 3 Transcatheter Heart Valve 25 18 $84,975.00 $50,985.00 40% off $9,347.25 $63,731.25 $50,985.00 2026-02-21
C2624 HCPCS Hc Cardiomems Monitoring Device (implant) 36 21 $76,477.50 $45,886.50 40% off $8,412.52 $61,182.00 $50,934.01 2026-02-21
27801347-303311 CDM — 36 21 $75,075.00 $45,045.00 40% off $8,258.25 $60,060.00 $49,999.95 2026-02-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 20 — — $35,308.00 $130,858.32 $49,899.79 2026-02-21
33276 HCPCS Insj Phrnc Nrv Stim Sys 43 25 $86,663.76 $51,998.26 40% off $11,704.00 $89,411.95 $49,673.31 2026-02-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 20 — — $35,154.00 $130,076.28 $49,606.24 2026-02-21
27801347-181497 CDM — 36 21 $73,800.00 $44,280.00 40% off $8,118.00 $59,040.00 $49,150.80 2026-02-21
2204 APR_DRG Inpatient Aprdrg 2204: Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $49,142.26 $49,142.26 $49,142.26 2026-02-21
653 MS_DRG Major Bladder Procedures With Mcc 33 19 — — $38,799.05 $127,100.88 $48,989.64 2026-02-21
6134 APR_DRG Inpatient Aprdrg 6134: Neonate Birth Weight 1500-1999 Grams With Congenital Or P… 2 2 — — $48,874.49 $48,874.49 $48,874.49 2026-02-21
4474 APR_DRG Inpatient Aprdrg 4474: Other Kidney, Urinary Tract And Related Procedures 2 2 — — $48,760.07 $48,760.07 $48,760.07 2026-02-21
27801347-876560 CDM — 36 21 $73,078.50 $43,847.10 40% off $8,038.64 $58,462.80 $48,670.28 2026-02-21
834 MS_DRG Acute Leukemia With Mcc 33 19 — — $38,480.32 $126,022.44 $48,606.72 2026-02-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 19 — — $6,182.00 $126,022.44 $48,573.97 2026-02-21
22 APR_DRG Inpatient Aprdrg 0022: Heart And/or Lung Transplant 2 2 — — $48,131.73 $48,131.73 $48,131.73 2026-02-21
234 APR_DRG Inpatient Aprdrg 0234: Spinal Procedures 2 2 — — $48,037.76 $48,037.76 $48,037.76 2026-02-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 36 20 — — $37,084.80 $121,300.56 $47,917.46 2026-02-21
9104 APR_DRG Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma 2 2 — — $47,863.96 $47,863.96 $47,863.96 2026-02-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 20 — — $36,926.43 $120,764.76 $47,847.35 2026-02-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 19 — — $37,815.92 $123,774.36 $47,767.48 2026-02-21
27801347-1322565 CDM — 36 21 $71,209.05 $42,725.43 40% off $7,833.00 $56,967.24 $47,425.23 2026-02-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 35 19 — — $6,182.00 $123,012.84 $47,413.95 2026-02-21
112 APR_DRG Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 2 — — $47,249.00 $47,249.00 $47,249.00 2026-02-21
6023 APR_DRG Inpatient Aprdrg 6023: Neonate Birth Weight 1000-1249 Grams With Respiratory Dis… 2 2 — — $47,247.03 $47,247.03 $47,247.03 2026-02-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 20 — — $9,144.00 $123,142.80 $46,969.82 2026-02-21
53 APR_DRG Inpatient Aprdrg 0053: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 2 2 — — $46,658.02 $46,658.02 $46,658.02 2026-02-21
62 APR_DRG Inpatient Aprdrg 0062: Pancreas Transplant 2 2 — — $46,625.77 $46,625.77 $46,625.77 2026-02-21
33270 HCPCS Ins/rep Subq Defibrillator 43 25 $93,099.87 $55,859.92 40% off $11,704.00 $69,824.90 $46,549.93 2026-02-21
27801347-1033551 CDM — 36 21 $69,893.46 $41,936.08 40% off $7,688.28 $55,914.77 $46,549.04 2026-02-21
0266T OTHER — 42 24 $86,663.76 $51,998.26 40% off $6,546.00 $89,411.95 $46,509.48 2026-02-21
9504 APR_DRG Inpatient Aprdrg 9504: Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $46,442.94 $46,442.94 $46,442.94 2026-02-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 19 — — $6,182.00 $123,026.52 $46,431.72 2026-02-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 12 — — $41,907.47 $99,695.67 $46,318.79 2026-02-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 12 — — $41,907.47 $99,695.67 $46,318.79 2026-02-21
27801347-820405 CDM — 36 21 $69,408.43 $41,645.06 40% off $7,634.93 $55,526.74 $46,226.01 2026-02-21
27801347-777976 CDM — 36 21 $69,300.00 $41,580.00 40% off $7,623.00 $55,440.00 $46,153.80 2026-02-21
27801347-331887 CDM — 36 21 $69,105.07 $41,463.04 40% off $7,601.56 $55,284.06 $46,023.98 2026-02-21
61 APR_DRG Inpatient Aprdrg 0061: Pancreas Transplant 2 2 — — $46,023.78 $46,023.78 $46,023.78 2026-02-21
27801347-1340795 CDM — 36 21 $68,999.70 $41,399.82 40% off $7,589.97 $55,199.76 $45,953.80 2026-02-21
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 10 6 — — $35,308.00 $66,767.38 $45,807.29 2026-02-21
62400012-847925 CDM — 25 18 $76,137.60 $45,682.56 40% off $8,375.14 $57,103.20 $45,682.56 2026-02-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 18 — — $41,293.61 $98,235.33 $45,640.31 2026-02-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 19 — — $35,823.36 $117,032.40 $45,233.97 2026-02-21
71 APR_DRG Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant 2 2 — — $45,227.16 $45,227.16 $45,227.16 2026-02-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 37 20 — — $6,182.00 $113,619.24 $45,071.17 2026-02-21
93653 HCPCS Compre Ep Eval Tx Svt 43 25 $87,788.83 $52,673.30 40% off $9,656.77 $95,637.06 $44,962.16 2026-02-21
13 APR_DRG Inpatient Aprdrg 0013: Liver Transplant And/or Intestinal Transplant 2 2 — — $44,896.87 $44,896.87 $44,896.87 2026-02-21
6093 APR_DRG Inpatient Aprdrg 6093: Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $44,843.79 $44,843.79 $44,843.79 2026-02-21
264 APR_DRG Inpatient Aprdrg 0264: Other Nervous System And Related Procedures 2 2 — — $44,816.66 $44,816.66 $44,816.66 2026-02-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 19 — — $35,459.49 $115,801.20 $44,790.94 2026-02-21
5932 APR_DRG Inpatient Aprdrg 5932: Neonate Birth Weight 750-999 Grams Without Major Procedur… 2 2 — — $44,623.20 $44,623.20 $44,623.20 2026-02-21
3033 APR_DRG Inpatient Aprdrg 3033: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $44,358.58 $44,358.58 $44,358.58 2026-02-21
1824 APR_DRG Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures 2 2 — — $44,322.80 $44,322.80 $44,322.80 2026-02-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 36 20 — — $34,953.00 $116,156.88 $44,305.21 2026-02-21
1634 APR_DRG Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Principal… 2 2 — — $44,296.45 $44,296.45 $44,296.45 2026-02-21
27801923 CDM Hc Ecmo Lifesparc Blood Pump Kit With 29 Fr Protekduo Veno-venous Cannula (law5267… 36 21 $66,280.50 $39,768.30 40% off $7,290.85 $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 21 $66,280.50 $39,768.30 40% off $7,290.85 $53,024.40 $44,142.81 2026-02-21
27801347-264193 CDM — 36 21 $66,280.50 $39,768.30 40% off $7,290.85 $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 21 $66,280.50 $39,768.30 40% off $7,290.85 $53,024.40 $44,142.81 2026-02-21
27801927 CDM Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 17 Fr Arterial Cannu… 36 21 $66,280.50 $39,768.30 40% off $7,290.85 $53,024.40 $44,142.81 2026-02-21
27802083 CDM Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l… 36 21 $66,280.50 $39,768.30 40% off $7,290.85 $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 21 $66,280.50 $39,768.30 40% off $7,290.85 $53,024.40 $44,142.81 2026-02-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 19 — — $34,975.68 $114,164.16 $44,003.32 2026-02-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 19 — — $6,182.00 $114,029.64 $43,951.47 2026-02-21
7924 APR_DRG Inpatient Aprdrg 7924: Extensive O.r. Procedures For Other Complications Of Trea… 2 2 — — $43,571.39 $43,571.39 $43,571.39 2026-02-21
3044 APR_DRG Inpatient Aprdrg 3044: Dorsal And Lumbar Fusion Procedure Except For Curvature O… 2 2 — — $43,560.77 $43,560.77 $43,560.77 2026-02-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 20 — — $32,937.31 $107,267.16 $43,511.92 2026-02-21
2054 APR_DRG Inpatient Aprdrg 2054: Cardiomyopathy 2 2 — — $43,437.70 $43,437.70 $43,437.70 2026-02-21
6954 APR_DRG Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia 2 2 — — $43,381.87 $43,381.87 $43,381.87 2026-02-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 19 — — $6,182.00 $114,841.32 $43,342.52 2026-02-21
8413 APR_DRG Inpatient Aprdrg 8413: Extensive Third Degree Burns With Skin Graft 2 2 — — $43,337.43 $43,337.43 $43,337.43 2026-02-21
27801347-1855907 CDM — 36 21 $64,920.90 $38,952.54 40% off $7,141.30 $51,936.72 $43,237.32 2026-02-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 19 — — $6,368.00 $114,075.24 $43,188.64 2026-02-21
27801347-459333 CDM — 36 21 $64,820.00 $38,892.00 40% off $7,130.20 $51,856.00 $43,170.12 2026-02-21
27801347-820401 CDM — 36 21 $64,564.85 $38,738.91 40% off $7,102.13 $51,651.88 $43,000.19 2026-02-21
C1822 HCPCS Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys 70 21 $59,366.93 $35,620.16 40% off $6,530.36 $67,980.00 $42,744.19 2026-02-21
93654 HCPCS Compre Ep Eval Tx Vt 43 25 $77,593.53 $46,556.12 40% off $8,535.29 $95,637.06 $42,676.44 2026-02-21
52 APR_DRG Inpatient Aprdrg 0052: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 2 2 — — $42,609.23 $42,609.23 $42,609.23 2026-02-21
6514 APR_DRG Inpatient Aprdrg 6514: Other Procedures Of Blood And Blood-forming Organs 2 2 — — $42,466.49 $42,466.49 $42,466.49 2026-02-21
42 APR_DRG Inpatient Aprdrg 0042: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $42,333.99 $42,333.99 $42,333.99 2026-02-21
C1736 HCPCS Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd 28 19 $67,980.00 $40,788.00 40% off $7,477.80 $50,985.00 $42,276.76 2026-02-21
471 MS_DRG Cervical Spinal Fusion With Mcc 36 20 — — $33,965.58 $110,746.44 $42,241.54 2026-02-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 20 — — $32,181.92 $104,711.28 $42,047.87 2026-02-21
799 MS_DRG Splenic Procedures With Mcc 33 19 — — $33,274.89 $108,409.44 $42,031.44 2026-02-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 20 — — $32,581.51 $106,063.32 $41,967.08 2026-02-21
6144 APR_DRG Inpatient Aprdrg 6144: Neonate Birth Weight 1500-1999 Grams With Or Without Othe… 2 2 — — $41,889.28 $41,889.28 $41,889.28 2026-02-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 12 — — $37,899.47 $90,160.85 $41,888.89 2026-02-21
1623 APR_DRG Inpatient Aprdrg 1623: Cardiac Valve Procedures With Ami Or Complex Principal Di… 2 2 — — $41,818.11 $41,818.11 $41,818.11 2026-02-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 19 — — $6,182.00 $108,388.92 $41,777.32 2026-02-21
214 APR_DRG Inpatient Aprdrg 0214: Open Craniotomy Except Trauma 2 2 — — $41,719.02 $41,719.02 $41,719.02 2026-02-21
245 MS_DRG Aicd Generator Procedures 36 20 — — $29,293.00 $111,419.04 $41,703.89 2026-02-21
2304 APR_DRG Inpatient Aprdrg 2304: Major Small Bowel Procedures 2 2 — — $41,568.42 $41,568.42 $41,568.42 2026-02-21
27801347-1203071 CDM — 36 21 $62,351.26 $37,410.76 40% off $6,858.64 $49,881.01 $41,525.94 2026-02-21
224 APR_DRG Inpatient Aprdrg 0224: Ventricular Shunt Procedures 2 2 — — $41,404.46 $41,404.46 $41,404.46 2026-02-21
4424 APR_DRG Inpatient Aprdrg 4424: Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $41,177.58 $41,177.58 $41,177.58 2026-02-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 19 — — $6,182.00 $108,881.40 $41,093.18 2026-02-21
9524 APR_DRG Inpatient Aprdrg 9524: Non-extensive O.r. Procedure Unrelated To Principal Diagn… 2 2 — — $40,924.75 $40,924.75 $40,924.75 2026-02-21
31100193 CDM Hc Auto Islet Cell Processing 28 19 $70,421.00 $42,252.60 40% off $34.00 $52,815.75 $40,844.18 2026-02-21
27801347-1186553 CDM — 36 21 $61,182.00 $36,709.20 40% off $6,730.02 $48,945.60 $40,747.21 2026-02-21
9114 APR_DRG Inpatient Aprdrg 9114: Extensive Abdominal Or Thoracic Procedures For Multiple S… 2 2 — — $40,550.82 $40,550.82 $40,550.82 2026-02-21
163 MS_DRG Major Chest Procedures With Mcc 35 19 — — $6,182.00 $105,089.76 $40,505.70 2026-02-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 33 19 — — $32,177.19 $104,695.32 $40,402.78 2026-02-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 19 — — $6,182.00 $106,692.60 $40,269.50 2026-02-21
27801347-1245429 CDM — 36 21 $60,315.26 $36,189.16 40% off $6,634.68 $48,252.21 $40,169.96 2026-02-21
0643T OTHER — 28 19 $72,615.83 $43,569.50 40% off $2,205.32 $54,461.87 $39,938.71 2026-02-21
27801347-1004156 CDM — 36 21 $59,846.19 $35,907.71 40% off $6,583.08 $47,876.95 $39,857.56 2026-02-21
4403 APR_DRG Inpatient Aprdrg 4403: Kidney Transplant 2 2 — — $39,824.18 $39,824.18 $39,824.18 2026-02-21
3154 APR_DRG Inpatient Aprdrg 3154: Shoulder, Upper Arm And Forearm Procedures Except Joint R… 2 2 — — $39,821.43 $39,821.43 $39,821.43 2026-02-21
27801347-212472 CDM — 36 21 $59,762.58 $35,857.55 40% off $6,573.88 $47,810.06 $39,801.88 2026-02-21
27801347-820416 CDM — 36 21 $59,721.28 $35,832.77 40% off $6,569.34 $47,777.02 $39,774.37 2026-02-21
1694 APR_DRG Inpatient Aprdrg 1694: Major Abdominal Vascular Procedures 2 2 — — $39,686.17 $39,686.17 $39,686.17 2026-02-21
27801926 CDM Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 15 Fr Arterial Cannu… 36 21 $59,482.50 $35,689.50 40% off $6,543.07 $47,586.00 $39,615.35 2026-02-21
27801347-1295866 CDM — 36 21 $59,482.50 $35,689.50 40% off $6,543.07 $47,586.00 $39,615.35 2026-02-21
27801925 CDM Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Rapid Deployment… 36 21 $59,482.50 $35,689.50 40% off $6,543.07 $47,586.00 $39,615.35 2026-02-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 19 — — $6,182.00 $102,864.48 $39,612.04 2026-02-21
27500176-1256480 CDM — 36 21 $59,370.33 $35,622.20 40% off $6,530.74 $47,496.26 $39,540.64 2026-02-21
1204 APR_DRG Inpatient Aprdrg 1204: Major Respiratory And Chest Procedures 2 2 — — $39,524.96 $39,524.96 $39,524.96 2026-02-21
27801347-859557 CDM — 36 21 $59,322.75 $35,593.65 40% off $6,525.50 $47,458.20 $39,508.95 2026-02-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 36 20 — — $31,371.28 $101,968.44 $39,401.87 2026-02-21
4834 APR_DRG Inpatient Aprdrg 4834: Penis, Testes And Scrotal Procedures 2 2 — — $39,374.75 $39,374.75 $39,374.75 2026-02-21
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