|
Q2042
|
HCPCS
|
Hc Kymriah-adult (incl Apheresis)
|
27
|
20
|
$2,011,495.00
|
$1,206,897.00
40% off
|
$321,839.20
|
$1,508,621.25
|
$1,095,429.21
|
2026-02-20
|
|
Q2056
|
HCPCS
|
Hc Carvykti (including Apheresis)
|
27
|
20
|
$1,996,995.00
|
$1,198,197.00
40% off
|
$319,519.20
|
$1,497,746.25
|
$1,091,145.51
|
2026-02-20
|
|
Q2055
|
HCPCS
|
Hc Abecma (including Apheresis)
|
27
|
20
|
$1,977,686.00
|
$1,186,611.60
40% off
|
$316,429.76
|
$1,483,264.50
|
$1,087,727.30
|
2026-02-20
|
|
Q2054
|
HCPCS
|
Hc Breyanzi Car T
|
27
|
20
|
$1,971,420.00
|
$1,182,852.00
40% off
|
$315,427.20
|
$1,478,565.00
|
$1,069,622.98
|
2026-02-20
|
|
Q2041
|
HCPCS
|
Hc Yescarta (including Apheresis)
|
27
|
20
|
$2,047,887.28
|
$1,228,732.37
40% off
|
$327,661.96
|
$1,535,915.46
|
$1,013,173.83
|
2026-02-20
|
|
Q2053
|
HCPCS
|
Hc Tecartus (including Apheresis)
|
27
|
20
|
$1,821,278.49
|
$1,092,767.09
40% off
|
$291,404.56
|
$1,365,958.87
|
$953,297.93
|
2026-02-20
|
|
27801844
|
CDM
|
Hc Syncardia Total Artificial Heart System
|
23
|
17
|
$738,000.00
|
$442,800.00
40% off
|
$118,080.00
|
$590,400.00
|
$491,508.00
|
2026-02-20
|
|
27801843
|
CDM
|
Hc Kit Artificial Heart Carmat
|
23
|
17
|
$639,108.00
|
$383,464.80
40% off
|
$102,257.28
|
$511,286.40
|
$425,645.93
|
2026-02-20
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
15
|
12
|
—
|
—
|
$263,665.56
|
$859,851.84
|
$276,848.84
|
2026-02-20
|
|
5834
|
APR_DRG
|
Inpatient Aprdrg 5834: Neonate W Ecmo
|
2
|
2
|
—
|
—
|
$272,614.32
|
$272,614.32
|
$272,614.32
|
2026-02-20
|
|
74
|
APR_DRG
|
Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$265,199.46
|
$265,199.46
|
$265,199.46
|
2026-02-20
|
|
5833
|
APR_DRG
|
Inpatient Aprdrg 5833: Neonate W Ecmo
|
2
|
2
|
—
|
—
|
$230,839.79
|
$230,839.79
|
$230,839.79
|
2026-02-20
|
|
24
|
APR_DRG
|
Inpatient Aprdrg 0024: Heart &/or Lung Transplant
|
2
|
2
|
—
|
—
|
$222,061.34
|
$222,061.34
|
$222,061.34
|
2026-02-20
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
13
|
10
|
—
|
—
|
$197,234.77
|
$642,237.24
|
$207,096.51
|
2026-02-20
|
|
81200003
|
CDM
|
Hc Std Acq Chg Cadaver Kidney/pancreas
|
15
|
14
|
$316,385.45
|
$189,831.27
40% off
|
$50,621.67
|
$237,289.09
|
$205,650.54
|
2026-02-20
|
|
27801347-807157
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$306,762.00
|
$184,057.20
40% off
|
$49,081.92
|
$245,409.60
|
$204,303.49
|
2026-02-20
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
20
|
15
|
—
|
—
|
$6,368.00
|
$540,879.84
|
$182,922.96
|
2026-02-20
|
|
5884
|
APR_DRG
|
Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure
|
2
|
2
|
—
|
—
|
$172,560.39
|
$172,560.39
|
$172,560.39
|
2026-02-20
|
|
1614
|
APR_DRG
|
Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant
|
2
|
2
|
—
|
—
|
$167,567.98
|
$167,567.98
|
$167,567.98
|
2026-02-20
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
20
|
15
|
—
|
—
|
$6,368.00
|
$488,640.48
|
$165,381.26
|
2026-02-20
|
|
81200017
|
CDM
|
Hc Std Acq Chg Cadaver Liver/kidney
|
15
|
14
|
$249,395.20
|
$149,637.12
40% off
|
$39,903.23
|
$187,046.40
|
$162,106.88
|
2026-02-20
|
|
94
|
APR_DRG
|
Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
2
|
—
|
—
|
$156,984.81
|
$156,984.81
|
$156,984.81
|
2026-02-20
|
|
27802052-445170
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
23
|
17
|
$233,525.34
|
$140,115.20
40% off
|
$37,364.05
|
$186,820.27
|
$155,527.88
|
2026-02-20
|
|
27500234
|
CDM
|
Hc Heartmate 3 Lvad Implant
|
23
|
17
|
$233,525.34
|
$140,115.20
40% off
|
$37,364.05
|
$186,820.27
|
$155,527.88
|
2026-02-20
|
|
81200004
|
CDM
|
Hc Std Acq Chg Cadaver Heart
|
15
|
14
|
$220,688.76
|
$132,413.26
40% off
|
$35,310.20
|
$165,516.57
|
$143,447.69
|
2026-02-20
|
|
27802052-778176
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
23
|
17
|
$215,250.00
|
$129,150.00
40% off
|
$34,440.00
|
$172,200.00
|
$143,356.50
|
2026-02-20
|
|
81200014
|
CDM
|
Hc Heart Lung Acq Cad Mcare
|
15
|
14
|
$220,404.88
|
$132,242.93
40% off
|
$35,264.78
|
$165,303.66
|
$143,263.17
|
2026-02-20
|
|
81200013
|
CDM
|
Hc Heart Lung Acq Cad
|
15
|
14
|
$220,404.88
|
$132,242.93
40% off
|
$35,264.78
|
$165,303.66
|
$143,263.17
|
2026-02-20
|
|
27801850
|
CDM
|
Hc Heartware Hvad Pump
|
23
|
17
|
$207,132.00
|
$124,279.20
40% off
|
$33,141.12
|
$165,705.60
|
$137,949.91
|
2026-02-20
|
|
27801347-1196342
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$207,132.00
|
$124,279.20
40% off
|
$33,141.12
|
$165,705.60
|
$137,949.91
|
2026-02-20
|
|
27801347-98612
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$199,260.00
|
$119,556.00
40% off
|
$31,881.60
|
$159,408.00
|
$132,707.16
|
2026-02-20
|
|
27800187
|
CDM
|
Hc Kit, Heartmate Ii Vad Implant
|
23
|
17
|
$199,260.00
|
$119,556.00
40% off
|
$31,881.60
|
$159,408.00
|
$132,707.16
|
2026-02-20
|
|
81200007
|
CDM
|
Hc Liver Acq Cad
|
15
|
14
|
$203,870.00
|
$122,322.00
40% off
|
$32,619.20
|
$152,902.50
|
$132,515.50
|
2026-02-20
|
|
81200008
|
CDM
|
Hc Liver Acq Cad Mcare
|
15
|
14
|
$203,870.00
|
$122,322.00
40% off
|
$32,619.20
|
$152,902.50
|
$132,515.50
|
2026-02-20
|
|
27500176-389049
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
23
|
17
|
$198,613.80
|
$119,168.28
40% off
|
$31,778.21
|
$158,891.04
|
$132,276.79
|
2026-02-20
|
|
6304
|
APR_DRG
|
Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
2
|
2
|
—
|
—
|
$128,396.43
|
$128,396.43
|
$128,396.43
|
2026-02-20
|
|
81200011
|
CDM
|
Hc Lung Acq Double Cad
|
15
|
14
|
$197,396.84
|
$118,438.10
40% off
|
$31,583.49
|
$148,047.63
|
$128,307.95
|
2026-02-20
|
|
81200012
|
CDM
|
Hc Lung Acq Double Cad Mcare
|
15
|
14
|
$197,396.84
|
$118,438.10
40% off
|
$31,583.49
|
$148,047.63
|
$128,307.95
|
2026-02-20
|
|
6094
|
APR_DRG
|
Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure
|
2
|
2
|
—
|
—
|
$127,258.61
|
$127,258.61
|
$127,258.61
|
2026-02-20
|
|
27801865
|
CDM
|
Hc Evaheart Blood Pump Set Bp310
|
23
|
17
|
$184,500.00
|
$110,700.00
40% off
|
$29,520.00
|
$147,600.00
|
$122,877.00
|
2026-02-20
|
|
81200001
|
CDM
|
Hc Std Acq Chg Cadaver Kidney
|
15
|
14
|
$185,810.00
|
$111,486.00
40% off
|
$29,729.60
|
$139,357.50
|
$120,776.50
|
2026-02-20
|
|
27802052-389434
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
23
|
17
|
$179,580.00
|
$107,748.00
40% off
|
$28,732.80
|
$143,664.00
|
$119,600.28
|
2026-02-20
|
|
27201912-261835
|
CDM
|
Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard)
|
18
|
15
|
$183,639.00
|
$110,183.40
40% off
|
$29,382.24
|
$137,729.25
|
$117,198.41
|
2026-02-20
|
|
5832
|
APR_DRG
|
Inpatient Aprdrg 5832: Neonate W Ecmo
|
2
|
2
|
—
|
—
|
$115,022.19
|
$115,022.19
|
$115,022.19
|
2026-02-20
|
|
81200010
|
CDM
|
Hc Lung Acq Single Cad Mcare
|
15
|
14
|
$173,400.71
|
$104,040.43
40% off
|
$27,744.11
|
$130,050.53
|
$112,710.46
|
2026-02-20
|
|
81200009
|
CDM
|
Hc Lung Acq Single Cad
|
15
|
14
|
$173,400.71
|
$104,040.43
40% off
|
$27,744.11
|
$130,050.53
|
$112,710.46
|
2026-02-20
|
|
114
|
APR_DRG
|
Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
2
|
2
|
—
|
—
|
$109,221.10
|
$109,221.10
|
$109,221.10
|
2026-02-20
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
21
|
15
|
—
|
—
|
$6,182.00
|
$322,164.00
|
$104,502.98
|
2026-02-20
|
|
Q2043
|
HCPCS
|
Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
|
27
|
20
|
$187,807.50
|
$112,684.50
40% off
|
$30,049.20
|
$140,855.62
|
$103,294.12
|
2026-02-20
|
|
2004
|
APR_DRG
|
Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders
|
2
|
2
|
—
|
—
|
$101,496.49
|
$101,496.49
|
$101,496.49
|
2026-02-20
|
|
5831
|
APR_DRG
|
Inpatient Aprdrg 5831: Neonate W Ecmo
|
2
|
2
|
—
|
—
|
$101,279.33
|
$101,279.33
|
$101,279.33
|
2026-02-20
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$92,370.25
|
$208,756.77
|
$96,988.76
|
2026-02-20
|
|
7
|
MS_DRG
|
Lung Transplant
|
9
|
9
|
—
|
—
|
$92,140.57
|
$208,237.69
|
$96,747.60
|
2026-02-20
|
|
73
|
APR_DRG
|
Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$93,578.76
|
$93,578.76
|
$93,578.76
|
2026-02-20
|
|
5883
|
APR_DRG
|
Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure
|
2
|
2
|
—
|
—
|
$92,590.26
|
$92,590.26
|
$92,590.26
|
2026-02-20
|
|
5882
|
APR_DRG
|
Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure
|
2
|
2
|
—
|
—
|
$92,167.07
|
$92,167.07
|
$92,167.07
|
2026-02-20
|
|
44
|
APR_DRG
|
Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
2
|
2
|
—
|
—
|
$91,928.74
|
$91,928.74
|
$91,928.74
|
2026-02-20
|
|
8414
|
APR_DRG
|
Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft
|
2
|
2
|
—
|
—
|
$91,533.55
|
$91,533.55
|
$91,533.55
|
2026-02-20
|
|
6314
|
APR_DRG
|
Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure
|
2
|
2
|
—
|
—
|
$90,619.35
|
$90,619.35
|
$90,619.35
|
2026-02-20
|
|
8504
|
APR_DRG
|
Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea…
|
2
|
2
|
—
|
—
|
$88,232.08
|
$88,232.08
|
$88,232.08
|
2026-02-20
|
|
81500021
|
CDM
|
Hc Unrelated Donor Acquisition US
|
15
|
14
|
$134,837.44
|
$80,902.46
40% off
|
$21,573.99
|
$101,128.08
|
$87,644.34
|
2026-02-20
|
|
5914
|
APR_DRG
|
Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure
|
2
|
2
|
—
|
—
|
$87,441.71
|
$87,441.71
|
$87,441.71
|
2026-02-20
|
|
1613
|
APR_DRG
|
Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant
|
2
|
2
|
—
|
—
|
$87,338.69
|
$87,338.69
|
$87,338.69
|
2026-02-20
|
|
5881
|
APR_DRG
|
Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure
|
2
|
2
|
—
|
—
|
$86,877.10
|
$86,877.10
|
$86,877.10
|
2026-02-20
|
|
81100003
|
CDM
|
Hc Liver Acq Living
|
15
|
14
|
$131,979.00
|
$79,187.40
40% off
|
$21,116.64
|
$98,984.25
|
$85,786.35
|
2026-02-20
|
|
81100002
|
CDM
|
Hc Liver Acq Living Mcare
|
15
|
14
|
$131,979.00
|
$79,187.40
40% off
|
$21,116.64
|
$98,984.25
|
$85,786.35
|
2026-02-20
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
20
|
15
|
—
|
—
|
$6,368.00
|
$248,380.92
|
$84,703.35
|
2026-02-20
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
13
|
10
|
—
|
—
|
$77,878.61
|
$251,249.16
|
$81,772.54
|
2026-02-20
|
|
81100001
|
CDM
|
Hc Std Acq Chg Live Donor Kidney
|
15
|
14
|
$123,509.00
|
$74,105.40
40% off
|
$19,761.44
|
$92,631.75
|
$80,280.85
|
2026-02-20
|
|
J9043
|
HCPCS
|
cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution
|
27
|
20
|
$161,632.27
|
$96,979.36
40% off
|
$216.46
|
$121,224.20
|
$79,684.71
|
2026-02-20
|
|
14
|
APR_DRG
|
Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant
|
2
|
2
|
—
|
—
|
$79,546.24
|
$79,546.24
|
$79,546.24
|
2026-02-20
|
|
84
|
APR_DRG
|
Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$79,227.50
|
$79,227.50
|
$79,227.50
|
2026-02-20
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$75,301.28
|
$170,180.89
|
$79,066.34
|
2026-02-20
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
21
|
15
|
—
|
—
|
$6,182.00
|
$241,561.44
|
$78,667.31
|
2026-02-20
|
|
6814
|
APR_DRG
|
Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N…
|
2
|
2
|
—
|
—
|
$77,819.76
|
$77,819.76
|
$77,819.76
|
2026-02-20
|
|
1604
|
APR_DRG
|
Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
2
|
—
|
—
|
$77,776.33
|
$77,776.33
|
$77,776.33
|
2026-02-20
|
|
93
|
APR_DRG
|
Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
2
|
—
|
—
|
$77,126.30
|
$77,126.30
|
$77,126.30
|
2026-02-20
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
22
|
16
|
—
|
—
|
$68,353.01
|
$220,045.08
|
$76,236.48
|
2026-02-20
|
|
2464
|
APR_DRG
|
Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency
|
2
|
2
|
—
|
—
|
$75,421.37
|
$75,421.37
|
$75,421.37
|
2026-02-20
|
|
6034
|
APR_DRG
|
Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con…
|
2
|
2
|
—
|
—
|
$75,032.28
|
$75,032.28
|
$75,032.28
|
2026-02-20
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Intravenous Solution
|
18
|
15
|
$115,440.00
|
$69,264.00
40% off
|
$18,470.40
|
$86,580.00
|
$73,673.81
|
2026-02-20
|
|
225
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
237
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
238
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
223
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
222
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
224
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
226
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
230
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
227
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
64
|
APR_DRG
|
Inpatient Aprdrg 0064: Pancreas Transplant
|
2
|
2
|
—
|
—
|
$72,816.58
|
$72,816.58
|
$72,816.58
|
2026-02-20
|
|
5891
|
APR_DRG
|
Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks
|
2
|
2
|
—
|
—
|
$72,810.84
|
$72,810.84
|
$72,810.84
|
2026-02-20
|
|
5934
|
APR_DRG
|
Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure
|
2
|
2
|
—
|
—
|
$72,592.97
|
$72,592.97
|
$72,592.97
|
2026-02-20
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
22
|
16
|
—
|
—
|
$26,466.00
|
$193,204.92
|
$71,050.71
|
2026-02-20
|
|
5892
|
APR_DRG
|
Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks
|
2
|
2
|
—
|
—
|
$70,568.58
|
$70,568.58
|
$70,568.58
|
2026-02-20
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
22
|
16
|
—
|
—
|
$55,583.29
|
$178,213.92
|
$70,247.06
|
2026-02-20
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
22
|
16
|
—
|
—
|
$55,034.13
|
$176,415.00
|
$69,907.60
|
2026-02-20
|
|
1624
|
APR_DRG
|
Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx
|
2
|
2
|
—
|
—
|
$67,846.78
|
$67,846.78
|
$67,846.78
|
2026-02-20
|
|
27801848
|
CDM
|
Hc Impella 5.5
|
23
|
17
|
$100,860.00
|
$60,516.00
40% off
|
$16,137.60
|
$80,688.00
|
$67,172.76
|
2026-02-20
|
|
27802052-1242630
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
23
|
17
|
$100,860.00
|
$60,516.00
40% off
|
$16,137.60
|
$80,688.00
|
$67,172.76
|
2026-02-20
|
|
6024
|
APR_DRG
|
Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M…
|
2
|
2
|
—
|
—
|
$66,733.37
|
$66,733.37
|
$66,733.37
|
2026-02-20
|
|
81200002
|
CDM
|
Hc Std Acq Chg Cadaver Pancreas
|
15
|
14
|
$102,432.00
|
$61,459.20
40% off
|
$16,389.12
|
$76,824.00
|
$66,580.80
|
2026-02-20
|
|
5893
|
APR_DRG
|
Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks
|
2
|
2
|
—
|
—
|
$66,191.74
|
$66,191.74
|
$66,191.74
|
2026-02-20
|
|
31100124
|
CDM
|
Hc Auto Islet Cell Transplant
|
18
|
15
|
$107,245.00
|
$64,347.00
40% off
|
$34.00
|
$80,433.75
|
$64,690.18
|
2026-02-20
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
22
|
16
|
—
|
—
|
$46,127.98
|
$147,240.12
|
$64,402.12
|
2026-02-20
|
|
81500007
|
CDM
|
Hc Marrow Acquisition Usa
|
15
|
14
|
$97,700.00
|
$58,620.00
40% off
|
$15,632.00
|
$73,275.00
|
$63,505.00
|
2026-02-20
|
|
6214
|
APR_DRG
|
Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly
|
2
|
2
|
—
|
—
|
$63,370.87
|
$63,370.87
|
$63,370.87
|
2026-02-20
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
22
|
16
|
—
|
—
|
$35,308.00
|
$193,097.76
|
$63,133.18
|
2026-02-20
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
22
|
16
|
—
|
—
|
$43,697.49
|
$139,278.36
|
$62,899.68
|
2026-02-20
|
|
72
|
APR_DRG
|
Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$62,874.47
|
$62,874.47
|
$62,874.47
|
2026-02-20
|
|
1612
|
APR_DRG
|
Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant
|
2
|
2
|
—
|
—
|
$62,782.94
|
$62,782.94
|
$62,782.94
|
2026-02-20
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
22
|
16
|
—
|
—
|
$42,588.05
|
$135,644.04
|
$62,213.87
|
2026-02-20
|
|
113
|
APR_DRG
|
Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
2
|
2
|
—
|
—
|
$62,065.07
|
$62,065.07
|
$62,065.07
|
2026-02-20
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
22
|
16
|
—
|
—
|
$42,134.95
|
$134,159.76
|
$61,760.57
|
2026-02-20
|
|
8634
|
APR_DRG
|
Inpatient Aprdrg 8634: Neonatal Aftercare
|
2
|
2
|
—
|
—
|
$61,102.41
|
$61,102.41
|
$61,102.41
|
2026-02-20
|
|
27801347-1218340
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$91,020.00
|
$54,612.00
40% off
|
$14,563.20
|
$72,816.00
|
$60,619.32
|
2026-02-20
|
|
6303
|
APR_DRG
|
Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
2
|
2
|
—
|
—
|
$60,515.55
|
$60,515.55
|
$60,515.55
|
2026-02-20
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
21
|
15
|
—
|
—
|
$6,182.00
|
$183,793.08
|
$60,150.75
|
2026-02-20
|
|
81200016
|
CDM
|
Hc Uterus Acq Cadaveric Donor
|
15
|
14
|
$91,900.00
|
$55,140.00
40% off
|
$14,704.00
|
$68,925.00
|
$59,735.00
|
2026-02-20
|
|
81200015
|
CDM
|
Hc Uterus Acq Living Donor
|
15
|
14
|
$91,900.00
|
$55,140.00
40% off
|
$14,704.00
|
$68,925.00
|
$59,735.00
|
2026-02-20
|
|
1611
|
APR_DRG
|
Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant
|
2
|
2
|
—
|
—
|
$59,543.92
|
$59,543.92
|
$59,543.92
|
2026-02-20
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$56,673.22
|
$128,081.48
|
$59,506.88
|
2026-02-20
|
|
4404
|
APR_DRG
|
Inpatient Aprdrg 4404: Kidney Transplant
|
2
|
2
|
—
|
—
|
$59,396.76
|
$59,396.76
|
$59,396.76
|
2026-02-20
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
20
|
16
|
—
|
—
|
$50,367.38
|
$161,127.60
|
$59,367.01
|
2026-02-20
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
12
|
10
|
—
|
—
|
$56,355.16
|
$180,742.44
|
$59,172.92
|
2026-02-20
|
|
54
|
APR_DRG
|
Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
2
|
2
|
—
|
—
|
$59,125.40
|
$59,125.40
|
$59,125.40
|
2026-02-20
|
|
43
|
APR_DRG
|
Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
2
|
2
|
—
|
—
|
$59,105.30
|
$59,105.30
|
$59,105.30
|
2026-02-20
|
|
27801347-1926393
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$88,560.00
|
$53,136.00
40% off
|
$14,169.60
|
$70,848.00
|
$58,980.96
|
2026-02-20
|
|
81500022
|
CDM
|
Hc Related Donor Acquisition
|
15
|
14
|
$88,910.80
|
$53,346.48
40% off
|
$14,225.73
|
$66,683.10
|
$57,792.02
|
2026-02-20
|
|
6804
|
APR_DRG
|
Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N…
|
2
|
2
|
—
|
—
|
$57,580.19
|
$57,580.19
|
$57,580.19
|
2026-02-20
|
|
5913
|
APR_DRG
|
Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure
|
2
|
2
|
—
|
—
|
$57,580.19
|
$57,580.19
|
$57,580.19
|
2026-02-20
|
|
6084
|
APR_DRG
|
Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi…
|
2
|
2
|
—
|
—
|
$57,416.88
|
$57,416.88
|
$57,416.88
|
2026-02-20
|
|
27801347-1355910
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$86,100.00
|
$51,660.00
40% off
|
$13,776.00
|
$68,880.00
|
$57,342.60
|
2026-02-20
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
19
|
15
|
—
|
—
|
$49,598.28
|
$158,608.20
|
$57,038.02
|
2026-02-20
|
|
81500015
|
CDM
|
Hc Pbsc Acquistion US
|
15
|
14
|
$87,750.00
|
$52,650.00
40% off
|
$14,040.00
|
$65,812.50
|
$57,037.50
|
2026-02-20
|
|
81500059
|
CDM
|
Hc Pbsc Second Acquisition US
|
15
|
14
|
$87,750.00
|
$52,650.00
40% off
|
$14,040.00
|
$65,812.50
|
$57,037.50
|
2026-02-20
|
|
27500176-143739
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
23
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$67,980.00
|
$56,593.35
|
2026-02-20
|
|
27801855-1778845
|
CDM
|
Hc Shell Generator, Neurostimulator, Non-recharge With Carotid
|
23
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$67,980.00
|
$56,593.35
|
2026-02-20
|
|
C1604
|
HCPCS
|
Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass …
|
23
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$67,980.00
|
$56,593.35
|
2026-02-20
|
|
27801347-104268
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$67,980.00
|
$56,593.35
|
2026-02-20
|
|
27800957
|
CDM
|
Hc Catheter Set Pump Ventricular Assist Impella
|
23
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$67,980.00
|
$56,593.35
|
2026-02-20
|
|
27802052-101684
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
23
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$67,980.00
|
$56,593.35
|
2026-02-20
|
|
27801917-1534761
|
CDM
|
Shell Generator, Cardiac Contractility Modulation
|
23
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$67,980.00
|
$56,593.35
|
2026-02-20
|
|
27801815
|
CDM
|
Hc Mitraclip Delivery System Kit (w/guiding Cath)
|
23
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$67,980.00
|
$56,593.35
|
2026-02-20
|
|
27203217
|
CDM
|
Hc Heart Valve Sapien Edwards
|
23
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$67,980.00
|
$56,593.35
|
2026-02-20
|
|
27800190
|
CDM
|
Hc Impella 5.0
|
23
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$67,980.00
|
$56,593.35
|
2026-02-20
|
|
C1823
|
HCPCS
|
Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads
|
23
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$67,980.00
|
$56,593.35
|
2026-02-20
|
|
4414
|
APR_DRG
|
Inpatient Aprdrg 4414: Major Bladder Procedures
|
2
|
2
|
—
|
—
|
$56,210.86
|
$56,210.86
|
$56,210.86
|
2026-02-20
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
22
|
16
|
—
|
—
|
$38,209.46
|
$121,300.56
|
$55,840.82
|
2026-02-20
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
22
|
16
|
—
|
—
|
$9,144.00
|
$170,183.76
|
$55,788.53
|
2026-02-20
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
22
|
16
|
—
|
—
|
$38,045.89
|
$120,764.76
|
$55,594.16
|
2026-02-20
|
|
0424T
|
OTHER
|
Hc Insj/rplc Nstim System Sleep Apnea Complete
|
18
|
15
|
$86,663.76
|
$51,998.26
40% off
|
$6,546.00
|
$64,997.82
|
$55,308.81
|
2026-02-20
|
|
62400012-1362918
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
15
|
14
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$63,731.25
|
$55,233.75
|
2026-02-20
|
|
62400011
|
CDM
|
Hc Clinical Trial Ide#g170152 Sapien 3 Transcatheter Heart Valve
|
15
|
14
|
$84,975.00
|
$50,985.00
40% off
|
$13,596.00
|
$63,731.25
|
$55,233.75
|
2026-02-20
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
19
|
15
|
—
|
—
|
$47,587.50
|
$152,021.28
|
$54,725.62
|
2026-02-20
|
|
23
|
APR_DRG
|
Inpatient Aprdrg 0023: Heart &/or Lung Transplant
|
2
|
2
|
—
|
—
|
$54,693.65
|
$54,693.65
|
$54,693.65
|
2026-02-20
|
|
83
|
APR_DRG
|
Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$53,551.88
|
$53,551.88
|
$53,551.88
|
2026-02-20
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
19
|
15
|
—
|
—
|
$46,192.71
|
$147,452.16
|
$53,121.62
|
2026-02-20
|
|
1784
|
APR_DRG
|
Inpatient Aprdrg 1784: External Heart Assist Systems
|
2
|
2
|
—
|
—
|
$52,647.72
|
$52,647.72
|
$52,647.72
|
2026-02-20
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
20
|
15
|
—
|
—
|
$6,368.00
|
$152,278.92
|
$52,432.79
|
2026-02-20
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
20
|
16
|
—
|
—
|
$44,294.00
|
$141,232.32
|
$52,120.46
|
2026-02-20
|
|
5933
|
APR_DRG
|
Inpatient Aprdrg 5933: Neonate Birthwt 750-999g Without Major Procedure
|
2
|
2
|
—
|
—
|
$51,847.30
|
$51,847.30
|
$51,847.30
|
2026-02-20
|
|
6114
|
APR_DRG
|
Inpatient Aprdrg 6114: Neonate Birthwt 1500-1999g W Major Anomaly
|
2
|
2
|
—
|
—
|
$51,787.72
|
$51,787.72
|
$51,787.72
|
2026-02-20
|
|
1674
|
APR_DRG
|
Inpatient Aprdrg 1674: Other Cardiothoracic & Thoracic Vascular Procedures
|
2
|
2
|
—
|
—
|
$51,558.72
|
$51,558.72
|
$51,558.72
|
2026-02-20
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
21
|
16
|
—
|
—
|
$42,876.91
|
$136,590.24
|
$51,550.83
|
2026-02-20
|
|
33270
|
HCPCS
|
Hc Ins/rep Subq Defibrilllator
|
27
|
20
|
$93,099.87
|
$55,859.92
40% off
|
$21,943.90
|
$69,824.90
|
$51,204.93
|
2026-02-20
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
22
|
16
|
—
|
—
|
$9,144.00
|
$155,685.24
|
$51,141.29
|
2026-02-20
|
|
6904
|
APR_DRG
|
Inpatient Aprdrg 6904: Acute Leukemia
|
2
|
2
|
—
|
—
|
$51,095.69
|
$51,095.69
|
$51,095.69
|
2026-02-20
|
|
C2624
|
HCPCS
|
Hc Cardiomems Monitoring Device (implant)
|
23
|
17
|
$76,477.50
|
$45,886.50
40% off
|
$12,236.40
|
$61,182.00
|
$50,934.01
|
2026-02-20
|
|
434
|
APR_DRG
|
Inpatient Aprdrg 0434: Multiple Sclerosis & Other Demyelinating Diseases
|
2
|
2
|
—
|
—
|
$50,782.70
|
$50,782.70
|
$50,782.70
|
2026-02-20
|
|
92
|
APR_DRG
|
Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
2
|
—
|
—
|
$50,725.63
|
$50,725.63
|
$50,725.63
|
2026-02-20
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
19
|
15
|
—
|
—
|
$44,042.03
|
$140,406.96
|
$50,648.33
|
2026-02-20
|
|
27801347-303311
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$75,075.00
|
$45,045.00
40% off
|
$12,012.00
|
$60,060.00
|
$49,999.95
|
2026-02-20
|
|
62400012-847925
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
15
|
14
|
$76,137.60
|
$45,682.56
40% off
|
$12,182.02
|
$57,103.20
|
$49,489.44
|
2026-02-20
|
|
91
|
APR_DRG
|
Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
2
|
—
|
—
|
$49,193.70
|
$49,193.70
|
$49,193.70
|
2026-02-20
|
|
27801347-181497
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$73,800.00
|
$44,280.00
40% off
|
$11,808.00
|
$59,040.00
|
$49,150.80
|
2026-02-20
|
|
27801347-876560
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$73,078.50
|
$43,847.10
40% off
|
$11,692.56
|
$58,462.80
|
$48,670.28
|
2026-02-20
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
22
|
16
|
—
|
—
|
$33,145.27
|
$104,711.28
|
$48,203.93
|
2026-02-20
|
|
6334
|
APR_DRG
|
Inpatient Aprdrg 6334: Neonate Birthwt >2499g W Major Anomaly
|
2
|
2
|
—
|
—
|
$48,159.61
|
$48,159.61
|
$48,159.61
|
2026-02-20
|
|
3034
|
APR_DRG
|
Inpatient Aprdrg 3034: Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
2
|
2
|
—
|
—
|
$47,866.00
|
$47,866.00
|
$47,866.00
|
2026-02-20
|
|
33276
|
HCPCS
|
Hc Insertion Phrenic Nerve Stimulator System
|
27
|
20
|
$86,663.76
|
$51,998.26
40% off
|
$32,454.62
|
$89,411.95
|
$47,665.07
|
2026-02-20
|
|
5912
|
APR_DRG
|
Inpatient Aprdrg 5912: Neonate Birthwt 500-749g Without Major Procedure
|
2
|
2
|
—
|
—
|
$47,541.53
|
$47,541.53
|
$47,541.53
|
2026-02-20
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
21
|
15
|
—
|
—
|
$6,182.00
|
$144,194.04
|
$47,458.00
|
2026-02-20
|
|
27801347-1322565
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$71,209.05
|
$42,725.43
40% off
|
$11,393.45
|
$56,967.24
|
$47,425.23
|
2026-02-20
|
|
6074
|
APR_DRG
|
Inpatient Aprdrg 6074: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M…
|
2
|
2
|
—
|
—
|
$47,076.35
|
$47,076.35
|
$47,076.35
|
2026-02-20
|
|
63
|
APR_DRG
|
Inpatient Aprdrg 0063: Pancreas Transplant
|
2
|
2
|
—
|
—
|
$47,056.97
|
$47,056.97
|
$47,056.97
|
2026-02-20
|
|
27801347-1033551
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$69,893.46
|
$41,936.08
40% off
|
$11,182.95
|
$55,914.77
|
$46,549.04
|
2026-02-20
|
|
27801347-820405
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$69,408.43
|
$41,645.06
40% off
|
$11,105.35
|
$55,526.74
|
$46,226.01
|
2026-02-20
|
|
27801347-777976
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$69,300.00
|
$41,580.00
40% off
|
$11,088.00
|
$55,440.00
|
$46,153.80
|
2026-02-20
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
22
|
16
|
—
|
—
|
$9,144.00
|
$139,916.76
|
$46,087.01
|
2026-02-20
|
|
27801347-331887
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$69,105.07
|
$41,463.04
40% off
|
$11,056.81
|
$55,284.06
|
$46,023.98
|
2026-02-20
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
19
|
15
|
—
|
—
|
$39,980.11
|
$127,100.88
|
$45,977.13
|
2026-02-20
|
|
27801347-1340795
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$68,999.70
|
$41,399.82
40% off
|
$11,039.95
|
$55,199.76
|
$45,953.80
|
2026-02-20
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
22
|
16
|
—
|
—
|
$25,893.00
|
$138,612.60
|
$45,668.98
|
2026-02-20
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
19
|
15
|
—
|
—
|
$39,650.89
|
$126,022.44
|
$45,598.52
|
2026-02-20
|
|
0266T
|
OTHER
|
Hc Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst
|
27
|
20
|
$86,663.76
|
$51,998.26
40% off
|
$6,546.00
|
$89,411.95
|
$45,353.89
|
2026-02-20
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
9
|
9
|
—
|
—
|
$43,190.81
|
$97,611.23
|
$45,350.35
|
2026-02-20
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
9
|
9
|
—
|
—
|
$43,190.81
|
$97,611.23
|
$45,350.35
|
2026-02-20
|
|
93653
|
HCPCS
|
Hc Compreh Electroph Eval Source Of Atrial R
|
27
|
20
|
$87,788.83
|
$52,673.30
40% off
|
$14,046.21
|
$65,841.62
|
$44,962.16
|
2026-02-20
|
|
2204
|
APR_DRG
|
Inpatient Aprdrg 2204: Major Stomach, Esophageal & Duodenal Procedures
|
2
|
2
|
—
|
—
|
$44,859.57
|
$44,859.57
|
$44,859.57
|
2026-02-20
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
19
|
15
|
—
|
—
|
$38,964.62
|
$123,774.36
|
$44,809.31
|
2026-02-20
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
14
|
14
|
—
|
—
|
$42,556.74
|
$96,178.23
|
$44,684.58
|
2026-02-20
|
|
6134
|
APR_DRG
|
Inpatient Aprdrg 6134: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti…
|
2
|
2
|
—
|
—
|
$44,615.14
|
$44,615.14
|
$44,615.14
|
2026-02-20
|
|
C1822
|
HCPCS
|
Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys
|
44
|
17
|
$59,366.93
|
$35,620.16
40% off
|
$9,498.71
|
$67,980.00
|
$44,525.20
|
2026-02-20
|
|
4474
|
APR_DRG
|
Inpatient Aprdrg 4474: Other Kidney, Urinary Tract & Related Procedures
|
2
|
2
|
—
|
—
|
$44,510.69
|
$44,510.69
|
$44,510.69
|
2026-02-20
|
|
27801923
|
CDM
|
Hc Ecmo Lifesparc Blood Pump Kit With 29 Fr Protekduo Veno-venous Cannula (law5267…
|
23
|
17
|
$66,280.50
|
$39,768.30
40% off
|
$10,604.88
|
$53,024.40
|
$44,142.81
|
2026-02-20
|
|
27801924
|
CDM
|
Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Cannula (law5267…
|
23
|
17
|
$66,280.50
|
$39,768.30
40% off
|
$10,604.88
|
$53,024.40
|
$44,142.81
|
2026-02-20
|
|
27801347-264193
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$66,280.50
|
$39,768.30
40% off
|
$10,604.88
|
$53,024.40
|
$44,142.81
|
2026-02-20
|
|
27801928
|
CDM
|
Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 15 Fr Arterial Cannu…
|
23
|
17
|
$66,280.50
|
$39,768.30
40% off
|
$10,604.88
|
$53,024.40
|
$44,142.81
|
2026-02-20
|
|
27802083
|
CDM
|
Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l…
|
23
|
17
|
$66,280.50
|
$39,768.30
40% off
|
$10,604.88
|
$53,024.40
|
$44,142.81
|
2026-02-20
|
|
27801927
|
CDM
|
Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 17 Fr Arterial Cannu…
|
23
|
17
|
$66,280.50
|
$39,768.30
40% off
|
$10,604.88
|
$53,024.40
|
$44,142.81
|
2026-02-20
|
|
27801929
|
CDM
|
Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 17 Fr Arterial Cannu…
|
23
|
17
|
$66,280.50
|
$39,768.30
40% off
|
$10,604.88
|
$53,024.40
|
$44,142.81
|
2026-02-20
|
|
22
|
APR_DRG
|
Inpatient Aprdrg 0022: Heart &/or Lung Transplant
|
2
|
2
|
—
|
—
|
$43,937.11
|
$43,937.11
|
$43,937.11
|
2026-02-20
|
|
234
|
APR_DRG
|
Inpatient Aprdrg 0234: Spinal Procedures
|
2
|
2
|
—
|
—
|
$43,851.33
|
$43,851.33
|
$43,851.33
|
2026-02-20
|
|
0643T
|
OTHER
|
Hc Transcatheter L Ventr Restoration Device Impltj
|
18
|
15
|
$72,615.83
|
$43,569.50
40% off
|
$2,288.00
|
$54,461.87
|
$43,801.87
|
2026-02-20
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
21
|
15
|
—
|
—
|
$6,182.00
|
$132,748.44
|
$43,789.33
|
2026-02-20
|
|
9104
|
APR_DRG
|
Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$43,692.68
|
$43,692.68
|
$43,692.68
|
2026-02-20
|
|
C1736
|
HCPCS
|
Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd
|
18
|
15
|
$67,980.00
|
$40,788.00
40% off
|
$10,876.80
|
$50,985.00
|
$43,384.83
|
2026-02-20
|
|
27801347-1855907
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$64,920.90
|
$38,952.54
40% off
|
$10,387.34
|
$51,936.72
|
$43,237.32
|
2026-02-20
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
22
|
16
|
—
|
—
|
$35,308.00
|
$130,858.32
|
$43,183.49
|
2026-02-20
|
|
27801347-459333
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$64,820.00
|
$38,892.00
40% off
|
$10,371.20
|
$51,856.00
|
$43,170.12
|
2026-02-20
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
22
|
16
|
—
|
—
|
$29,800.94
|
$93,755.88
|
$43,160.60
|
2026-02-20
|
|
112
|
APR_DRG
|
Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
2
|
2
|
—
|
—
|
$43,131.30
|
$43,131.30
|
$43,131.30
|
2026-02-20
|
|
6023
|
APR_DRG
|
Inpatient Aprdrg 6023: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M…
|
2
|
2
|
—
|
—
|
$43,129.51
|
$43,129.51
|
$43,129.51
|
2026-02-20
|
|
27801347-820401
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$64,564.85
|
$38,738.91
40% off
|
$10,330.38
|
$51,651.88
|
$43,000.19
|
2026-02-20
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
22
|
16
|
—
|
—
|
$35,154.00
|
$130,076.28
|
$42,932.82
|
2026-02-20
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
23
|
16
|
—
|
—
|
$6,182.00
|
$113,619.24
|
$42,881.30
|
2026-02-20
|
|
93654
|
HCPCS
|
Hc Compreh Electroph Eval With Treatment
|
27
|
20
|
$77,593.53
|
$46,556.12
40% off
|
$12,414.96
|
$58,195.15
|
$42,676.44
|
2026-02-20
|
|
53
|
APR_DRG
|
Inpatient Aprdrg 0053: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
2
|
2
|
—
|
—
|
$42,591.83
|
$42,591.83
|
$42,591.83
|
2026-02-20
|
|
62
|
APR_DRG
|
Inpatient Aprdrg 0062: Pancreas Transplant
|
2
|
2
|
—
|
—
|
$42,562.39
|
$42,562.39
|
$42,562.39
|
2026-02-20
|
|
31100193
|
CDM
|
Hc Auto Islet Cell Processing
|
18
|
15
|
$70,421.00
|
$42,252.60
40% off
|
$34.00
|
$52,815.75
|
$42,477.94
|
2026-02-20
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
19
|
15
|
—
|
—
|
$36,906.51
|
$117,032.40
|
$42,442.49
|
2026-02-20
|
|
9504
|
APR_DRG
|
Inpatient Aprdrg 9504: Extensive Procedure Unrelated To Principal Diagnosis
|
2
|
2
|
—
|
—
|
$42,395.49
|
$42,395.49
|
$42,395.49
|
2026-02-20
|
|
61
|
APR_DRG
|
Inpatient Aprdrg 0061: Pancreas Transplant
|
2
|
2
|
—
|
—
|
$42,012.87
|
$42,012.87
|
$42,012.87
|
2026-02-20
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
19
|
15
|
—
|
—
|
$36,530.66
|
$115,801.20
|
$42,010.26
|
2026-02-20
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
21
|
15
|
—
|
—
|
$6,182.00
|
$126,022.44
|
$41,633.43
|
2026-02-20
|
|
27801347-1203071
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$62,351.26
|
$37,410.76
40% off
|
$9,976.20
|
$49,881.01
|
$41,525.94
|
2026-02-20
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
19
|
15
|
—
|
—
|
$36,030.94
|
$114,164.16
|
$41,435.58
|
2026-02-20
|
|
71
|
APR_DRG
|
Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$41,285.67
|
$41,285.67
|
$41,285.67
|
2026-02-20
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
9
|
9
|
—
|
—
|
$39,050.93
|
$88,255.10
|
$41,003.48
|
2026-02-20
|
|
13
|
APR_DRG
|
Inpatient Aprdrg 0013: Liver Transplant &/or Intestinal Transplant
|
2
|
2
|
—
|
—
|
$40,984.16
|
$40,984.16
|
$40,984.16
|
2026-02-20
|
|
6093
|
APR_DRG
|
Inpatient Aprdrg 6093: Neonate Bwt 1500-2499g W Major Procedure
|
2
|
2
|
—
|
—
|
$40,935.70
|
$40,935.70
|
$40,935.70
|
2026-02-20
|
|
264
|
APR_DRG
|
Inpatient Aprdrg 0264: Other Nervous System & Related Procedures
|
2
|
2
|
—
|
—
|
$40,910.94
|
$40,910.94
|
$40,910.94
|
2026-02-20
|
|
27801347-1186553
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$61,182.00
|
$36,709.20
40% off
|
$9,789.12
|
$48,945.60
|
$40,747.21
|
2026-02-20
|
|
5932
|
APR_DRG
|
Inpatient Aprdrg 5932: Neonate Birthwt 750-999g Without Major Procedure
|
2
|
2
|
—
|
—
|
$40,734.34
|
$40,734.34
|
$40,734.34
|
2026-02-20
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
22
|
16
|
—
|
—
|
$9,144.00
|
$123,142.80
|
$40,710.42
|
2026-02-20
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
21
|
15
|
—
|
—
|
$6,182.00
|
$123,026.52
|
$40,673.16
|
2026-02-20
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
21
|
15
|
—
|
—
|
$6,182.00
|
$123,012.84
|
$40,668.78
|
2026-02-20
|
|
3033
|
APR_DRG
|
Inpatient Aprdrg 3033: Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
2
|
2
|
—
|
—
|
$40,492.78
|
$40,492.78
|
$40,492.78
|
2026-02-20
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
21
|
16
|
—
|
—
|
$33,925.51
|
$107,267.16
|
$40,483.94
|
2026-02-20
|
|
1824
|
APR_DRG
|
Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures
|
2
|
2
|
—
|
—
|
$40,460.12
|
$40,460.12
|
$40,460.12
|
2026-02-20
|
|
1634
|
APR_DRG
|
Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Pdx
|
2
|
2
|
—
|
—
|
$40,436.07
|
$40,436.07
|
$40,436.07
|
2026-02-20
|
|
27801347-1245429
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$60,315.26
|
$36,189.16
40% off
|
$9,650.44
|
$48,252.21
|
$40,169.96
|
2026-02-20
|
|
0408T
|
OTHER
|
Hc Insj/rplc Car Modulj Sys Pls Gen Transvns Eltrd
|
27
|
20
|
$73,033.49
|
$43,820.09
40% off
|
$6,546.00
|
$62,498.00
|
$40,168.42
|
2026-02-20
|
|
27801347-1004156
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$59,846.19
|
$35,907.71
40% off
|
$9,575.39
|
$47,876.95
|
$39,857.56
|
2026-02-20
|
|
27801347-212472
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$59,762.58
|
$35,857.55
40% off
|
$9,562.01
|
$47,810.06
|
$39,801.88
|
2026-02-20
|
|
27801347-820416
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$59,721.28
|
$35,832.77
40% off
|
$9,555.40
|
$47,777.02
|
$39,774.37
|
2026-02-20
|
|
7924
|
APR_DRG
|
Inpatient Aprdrg 7924: Extensive Or Procedures For Other Complications Of Treatm…
|
2
|
2
|
—
|
—
|
$39,774.19
|
$39,774.19
|
$39,774.19
|
2026-02-20
|
|
3044
|
APR_DRG
|
Inpatient Aprdrg 3044: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
2
|
2
|
—
|
—
|
$39,764.50
|
$39,764.50
|
$39,764.50
|
2026-02-20
|
|
33249
|
HCPCS
|
Hc Inser/repos Single (ep Lab)
|
27
|
20
|
$72,208.16
|
$43,324.90
40% off
|
$21,852.74
|
$62,281.64
|
$39,714.49
|
2026-02-20
|
|
2054
|
APR_DRG
|
Inpatient Aprdrg 2054: Cardiomyopathy
|
2
|
2
|
—
|
—
|
$39,652.16
|
$39,652.16
|
$39,652.16
|
2026-02-20
|
|
27801926
|
CDM
|
Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 15 Fr Arterial Cannu…
|
23
|
17
|
$59,482.50
|
$35,689.50
40% off
|
$9,517.20
|
$47,586.00
|
$39,615.35
|
2026-02-20
|
|
27801347-1295866
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$59,482.50
|
$35,689.50
40% off
|
$9,517.20
|
$47,586.00
|
$39,615.35
|
2026-02-20
|
|
27801925
|
CDM
|
Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Rapid Deployment…
|
23
|
17
|
$59,482.50
|
$35,689.50
40% off
|
$9,517.20
|
$47,586.00
|
$39,615.35
|
2026-02-20
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
20
|
15
|
—
|
—
|
$6,368.00
|
$114,075.24
|
$39,604.17
|
2026-02-20
|
|
6954
|
APR_DRG
|
Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia
|
2
|
2
|
—
|
—
|
$39,601.19
|
$39,601.19
|
$39,601.19
|
2026-02-20
|
|
8413
|
APR_DRG
|
Inpatient Aprdrg 8413: Extensive 3rd Degree Burns W Skin Graft
|
2
|
2
|
—
|
—
|
$39,560.63
|
$39,560.63
|
$39,560.63
|
2026-02-20
|
|
27500176-1256480
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
23
|
17
|
$59,370.33
|
$35,622.20
40% off
|
$9,499.25
|
$47,496.26
|
$39,540.64
|
2026-02-20
|
|
27801347-859557
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$59,322.75
|
$35,593.65
40% off
|
$9,491.64
|
$47,458.20
|
$39,508.95
|
2026-02-20
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
19
|
15
|
—
|
—
|
$34,274.20
|
$108,409.44
|
$39,415.33
|
2026-02-20
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
20
|
16
|
—
|
—
|
$33,558.01
|
$106,063.32
|
$39,310.65
|
2026-02-20
|
|
27801347-339706
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$58,780.61
|
$35,268.37
40% off
|
$9,404.90
|
$47,024.49
|
$39,147.89
|
2026-02-20
|
|
0915T
|
OTHER
|
Hc Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds
|
18
|
15
|
$61,260.70
|
$36,756.42
40% off
|
$9,801.71
|
$45,945.53
|
$39,096.58
|
2026-02-20
|
|
27801347-1189077
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$58,690.80
|
$35,214.48
40% off
|
$9,390.53
|
$46,952.64
|
$39,088.07
|
2026-02-20
|
|
27801347-1190176
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$58,673.54
|
$35,204.12
40% off
|
$9,387.77
|
$46,938.83
|
$39,076.58
|
2026-02-20
|
|
52
|
APR_DRG
|
Inpatient Aprdrg 0052: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
2
|
2
|
—
|
—
|
$38,895.88
|
$38,895.88
|
$38,895.88
|
2026-02-20
|
|
6514
|
APR_DRG
|
Inpatient Aprdrg 6514: Other Procedures Of Blood & Blood-forming Organs
|
2
|
2
|
—
|
—
|
$38,765.59
|
$38,765.59
|
$38,765.59
|
2026-02-20
|
|
42
|
APR_DRG
|
Inpatient Aprdrg 0042: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
2
|
2
|
—
|
—
|
$38,644.63
|
$38,644.63
|
$38,644.63
|
2026-02-20
|
|
27801347-1194171
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$57,783.00
|
$34,669.80
40% off
|
$9,245.28
|
$46,226.40
|
$38,483.48
|
2026-02-20
|
|
27801347-1296846
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$57,766.01
|
$34,659.61
40% off
|
$9,242.56
|
$46,212.81
|
$38,472.16
|
2026-02-20
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
22
|
16
|
—
|
—
|
$34,953.00
|
$116,156.88
|
$38,471.22
|
2026-02-20
|
|
0431T
|
OTHER
|
Hb Rmvl/rplc Nstim System Sleep Apnea Pls Generator
|
18
|
15
|
$60,271.58
|
$36,162.95
40% off
|
$6,546.00
|
$45,203.68
|
$38,465.32
|
2026-02-20
|
|
27801347-1365777
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$57,613.05
|
$34,567.83
40% off
|
$9,218.09
|
$46,090.44
|
$38,370.29
|
2026-02-20
|
|
27801347-341815
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$57,500.00
|
$34,500.00
40% off
|
$9,200.00
|
$46,000.00
|
$38,295.00
|
2026-02-20
|
|
6144
|
APR_DRG
|
Inpatient Aprdrg 6144: Neonate Bwt 1500-1999g W Or Without Other Significant Conditi…
|
2
|
2
|
—
|
—
|
$38,238.67
|
$38,238.67
|
$38,238.67
|
2026-02-20
|
|
0545T
|
OTHER
|
Hc Tcat Tv Ann Rcnstj W/impl Adjst Ann Rcnstj Dev
|
18
|
15
|
$62,316.52
|
$37,389.91
40% off
|
$2,288.00
|
$46,737.39
|
$38,212.49
|
2026-02-20
|
|
1623
|
APR_DRG
|
Inpatient Aprdrg 1623: Cardiac Valve Procedures W Ami Or Complex Pdx
|
2
|
2
|
—
|
—
|
$38,173.71
|
$38,173.71
|
$38,173.71
|
2026-02-20
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
19
|
15
|
—
|
—
|
$33,140.40
|
$104,695.32
|
$38,111.46
|
2026-02-20
|
|
214
|
APR_DRG
|
Inpatient Aprdrg 0214: Craniotomy Except For Trauma
|
2
|
2
|
—
|
—
|
$38,083.26
|
$38,083.26
|
$38,083.26
|
2026-02-20
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
21
|
15
|
—
|
—
|
$6,182.00
|
$114,841.32
|
$38,049.53
|
2026-02-20
|
|
2304
|
APR_DRG
|
Inpatient Aprdrg 2304: Major Small Bowel Procedures
|
2
|
2
|
—
|
—
|
$37,945.78
|
$37,945.78
|
$37,945.78
|
2026-02-20
|
|
224
|
APR_DRG
|
Inpatient Aprdrg 0224: Ventricular Shunt Procedures
|
2
|
2
|
—
|
—
|
$37,796.11
|
$37,796.11
|
$37,796.11
|
2026-02-20
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
21
|
15
|
—
|
—
|
$6,182.00
|
$114,029.64
|
$37,789.36
|
2026-02-20
|
|
4424
|
APR_DRG
|
Inpatient Aprdrg 4424: Kidney & Urinary Tract Procedures For Malignancy
|
2
|
2
|
—
|
—
|
$37,589.00
|
$37,589.00
|
$37,589.00
|
2026-02-20
|
|
37227
|
HCPCS
|
Hc Fempop W Stent And Ather Lt
|
33
|
20
|
$85,245.76
|
$51,147.46
40% off
|
$6,546.00
|
$63,934.32
|
$37,533.00
|
2026-02-20
|
|
27201912-338819
|
CDM
|
Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard)
|
18
|
15
|
$58,695.00
|
$35,217.00
40% off
|
$9,391.20
|
$44,021.25
|
$37,459.15
|
2026-02-20
|
|
9524
|
APR_DRG
|
Inpatient Aprdrg 9524: Nonextensive Procedure Unrelated To Principal Diagnosis
|
2
|
2
|
—
|
—
|
$37,358.21
|
$37,358.21
|
$37,358.21
|
2026-02-20
|
|
27500176-476411
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
23
|
17
|
$55,965.00
|
$33,579.00
40% off
|
$8,954.40
|
$44,772.00
|
$37,272.69
|
2026-02-20
|
|
27801347-1165378
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$55,770.79
|
$33,462.47
40% off
|
$8,923.33
|
$44,616.63
|
$37,143.35
|
2026-02-20
|
|
27801347-820452
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
23
|
17
|
$55,747.28
|
$33,448.37
40% off
|
$8,919.56
|
$44,597.82
|
$37,127.69
|
2026-02-20
|