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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 All Saints Medical Center Of Fort Worth

Fort Worth, TX · CCN 459822 · Rates published

15,485 distinct procedures filed
29 distinct payers
1,071,877 rate rows
2026-02-21 last MRF observed
Data quality

1,066,963 of 1,071,877 rate rows are consumer-grade (99.5%)

4,914 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 2,263
per-diem day rate — not a per-procedure price 1,491
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 821
exceeds 10× this hospital's gross charge — excluded from medians 339
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/751008430_baylor-scott--white-all-saints-medical-center--fort-worth_standardcharges.csv
Found on page https://www.bswhealth.com/patient-tools/patient-registration-and-billing/estimate-your-cost-care/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 139ae31656935a0b… · 456,626,668 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
Q2041
HCPCS 		Hc Yescarta (including Apheresis) 25 $327,661.96 $1,535,915.46 $1,011,391.13 nat. median
$634,303
1.6× median
Q2042
HCPCS 		Hc Kymriah-adult (incl Apheresis) 25 $321,839.20 $1,508,621.25 $998,707.27 nat. median
$753,246
1.3× median
Q2056
HCPCS 		Hc Carvykti (including Apheresis) 24 $319,519.20 $1,497,746.25 $984,518.54 nat. median
$674,867
1.5× median
Q2055
HCPCS 		Hc Abecma (including Apheresis) 25 $316,429.76 $1,483,264.50 $974,999.20 nat. median
$625,184
1.6× median
Q2054
HCPCS 		Hc Breyanzi Car T 25 $315,427.20 $1,478,565.00 $971,910.06 nat. median
$673,137
1.4× median
Q2053
HCPCS 		Hc Tecartus (including Apheresis) 25 $291,404.56 $1,365,958.87 $904,264.77 nat. median
$619,808
1.5× median
27801844
CDM 		Hc Syncardia Total Artificial Heart System 21 $118,080.00 $590,400.00 $491,508.00 nat. median
$491,508
1.0× median
27801843
CDM 		Hc Kit Artificial Heart Carmat 21 $102,257.28 $511,286.40 $425,645.93 nat. median
$425,646
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $105,000.00 $599,984.79 $352,492.40 nat. median
$265,286
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $273,456.45 $803,282.64 $324,518.64 nat. median
$370,174
0.9× median
5834
APR_DRG 		Inpatient Aprdrg 5834: Neonate W Ecmo 4 $297,520.21 $303,470.97 $297,520.21 nat. median
$309,665
1.0× median
74
APR_DRG 		Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 4 $289,427.93 $295,216.84 $289,427.93 nat. median
$187,061
1.5× median
5833
APR_DRG 		Inpatient Aprdrg 5833: Neonate W Ecmo 4 $251,929.18 $256,968.07 $251,929.18 nat. median
$244,017
1.0× median
24
APR_DRG 		Inpatient Aprdrg 0024: Heart &/or Lung Transplant 4 $242,348.73 $247,196.00 $242,348.73 nat. median
$234,729
1.0× median
27801347-807157
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 21 $49,081.92 $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 18 $6,368.00 $505,295.64 $204,134.69 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $6,368.00 $456,493.08 $192,780.07 nat. median
$202,976
0.9× median
5884
APR_DRG 		Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 4 $188,325.41 $192,092.15 $188,325.41 nat. median
$246,434
0.8× median
81200003
CDM 		Hc Std Acq Chg Cadaver Kidney/pancreas 18 $50,621.67 $237,289.09 $183,503.56 nat. median
$150,283
1.2× median
1614
APR_DRG 		Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 4 $182,876.89 $186,534.65 $182,876.89 nat. median
$207,730
0.9× median
0812
RC 		4 $82,562.00 $527,630.00 $175,601.40 nat. median
$70,278
outlier · 2.5×
94
APR_DRG 		Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 4 $171,326.85 $174,753.60 $171,326.85 nat. median
$164,834
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $95,702.38 $227,670.93 $161,686.65 nat. median
$117,357
1.4× median
7
MS_DRG 		Lung Transplant 21 $95,464.04 $286,823.00 $161,283.98 nat. median
$122,708
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $80,664.32 $286,823.00 $157,691.96 nat. median
$108,660
1.5× median
27802052-445170
CDM 		Shell, No Hcpcs, For Lvad Implants Only 21 $37,364.05 $186,820.27 $155,527.88 nat. median
$151,791
1.0× median
27500234
CDM 		Hc Heartmate 3 Lvad Implant 21 $37,364.05 $186,820.27 $155,527.88 nat. median
$163,468
1.0× median
81200017
CDM 		Hc Std Acq Chg Cadaver Liver/kidney 18 $39,903.23 $187,046.40 $144,649.22 nat. median
$144,649
1.0× median
27802052-778176
CDM 		Shell, No Hcpcs, For Lvad Implants Only 21 $34,440.00 $172,200.00 $143,356.50 nat. median
$139,912
1.0× median
6304
APR_DRG 		Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 $140,126.66 $142,929.36 $140,126.66 nat. median
$150,721
0.9× median
6094
APR_DRG 		Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 4 $138,884.89 $141,662.75 $138,884.89 nat. median
$162,982
0.9× median
27801347-1196342
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 21 $33,141.12 $165,705.60 $137,949.91 nat. median
$134,636
1.0× median
27801850
CDM 		Hc Heartware Hvad Pump 21 $33,141.12 $165,705.60 $137,949.91 nat. median
$134,636
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $77,989.80 $239,019.00 $132,809.90 nat. median
$100,136
1.3× median
27801347-98612
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 21 $31,881.60 $159,408.00 $132,707.16 nat. median
$129,519
1.0× median
27800187
CDM 		Hc Kit, Heartmate Ii Vad Implant 21 $31,881.60 $159,408.00 $132,707.16 nat. median
$132,707
1.0× median
27500176-389049
CDM 		Hc Shell Cardio-defib Other Than Single Or Dual Chamber 21 $31,778.21 $158,891.04 $132,276.79 nat. median
$129,099
1.0× median
81200004
CDM 		Hc Std Acq Chg Cadaver Heart 18 $35,310.20 $165,516.57 $127,999.48 nat. median
$121,379
1.1× median
81200014
CDM 		Hc Heart Lung Acq Cad Mcare 18 $35,264.78 $165,303.66 $127,834.83 nat. median
$132,243
1.0× median
81200013
CDM 		Hc Heart Lung Acq Cad 18 $35,264.78 $165,303.66 $127,834.83 nat. median
$112,000
1.1× median
5832
APR_DRG 		Inpatient Aprdrg 5832: Neonate W Ecmo 4 $125,530.56 $128,041.32 $125,530.56 nat. median
$156,126
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $6,182.00 $300,969.00 $124,839.88 nat. median
$133,161
0.9× median
27801865
CDM 		Hc Evaheart Blood Pump Set Bp310 21 $29,520.00 $147,600.00 $122,877.00 nat. median
$122,877
1.0× median
27802052-389434
CDM 		Shell, No Hcpcs, For Lvad Implants Only 21 $28,732.80 $143,664.00 $119,600.28 nat. median
$116,727
1.0× median
114
APR_DRG 		Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 4 $119,199.48 $121,583.62 $119,199.48 nat. median
$117,173
1.0× median
81200008
CDM 		Hc Liver Acq Cad Mcare 18 $32,619.20 $152,902.50 $118,244.60 nat. median
$100,508
1.2× median
81200007
CDM 		Hc Liver Acq Cad 18 $32,619.20 $152,902.50 $118,244.60 nat. median
$100,508
1.2× median
81200011
CDM 		Hc Lung Acq Double Cad 18 $31,583.49 $148,047.63 $114,490.17 nat. median
$98,622
1.2× median
81200012
CDM 		Hc Lung Acq Double Cad Mcare 18 $31,583.49 $148,047.63 $114,490.17 nat. median
$98,622
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 $58,329.31 $168,851.49 $113,590.40 nat. median
$71,271
1.6× median

Other procedures at this hospital

Browse this hospital's 15,485 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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) 46 25 $2,047,887.28 $1,228,732.37 40% off $327,661.96 $1,535,915.46 $1,011,391.13 2026-02-21
Q2042 HCPCS Hc Kymriah-adult (incl Apheresis) 46 25 $2,011,495.00 $1,206,897.00 40% off $321,839.20 $1,508,621.25 $998,707.27 2026-02-21
Q2056 HCPCS Hc Carvykti (including Apheresis) 45 24 $1,996,995.00 $1,198,197.00 40% off $319,519.20 $1,497,746.25 $984,518.54 2026-02-21
Q2055 HCPCS Hc Abecma (including Apheresis) 45 25 $1,977,686.00 $1,186,611.60 40% off $316,429.76 $1,483,264.50 $974,999.20 2026-02-21
Q2054 HCPCS Hc Breyanzi Car T 45 25 $1,971,420.00 $1,182,852.00 40% off $315,427.20 $1,478,565.00 $971,910.06 2026-02-21
Q2053 HCPCS Hc Tecartus (including Apheresis) 46 25 $1,821,278.49 $1,092,767.09 40% off $291,404.56 $1,365,958.87 $904,264.77 2026-02-21
27801844 CDM Hc Syncardia Total Artificial Heart System 39 21 $738,000.00 $442,800.00 40% off $118,080.00 $590,400.00 $491,508.00 2026-02-21
27801843 CDM Hc Kit Artificial Heart Carmat 39 21 $639,108.00 $383,464.80 40% off $102,257.28 $511,286.40 $425,645.93 2026-02-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 39 22 — — $105,000.00 $599,984.79 $352,492.40 2026-02-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 16 — — $273,456.45 $803,282.64 $324,518.64 2026-02-21
5834 APR_DRG Inpatient Aprdrg 5834: Neonate W Ecmo 4 4 — — $297,520.21 $303,470.97 $297,520.21 2026-02-21
74 APR_DRG Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 4 4 — — $289,427.93 $295,216.84 $289,427.93 2026-02-21
5833 APR_DRG Inpatient Aprdrg 5833: Neonate W Ecmo 4 4 — — $251,929.18 $256,968.07 $251,929.18 2026-02-21
24 APR_DRG Inpatient Aprdrg 0024: Heart &/or Lung Transplant 4 4 — — $242,348.73 $247,196.00 $242,348.73 2026-02-21
27801347-807157 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $306,762.00 $184,057.20 40% off $49,081.92 $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 18 — — $6,368.00 $505,295.64 $204,134.69 2026-02-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 18 — — $6,368.00 $456,493.08 $192,780.07 2026-02-21
5884 APR_DRG Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 4 4 — — $188,325.41 $192,092.15 $188,325.41 2026-02-21
81200003 CDM Hc Std Acq Chg Cadaver Kidney/pancreas 27 18 $316,385.45 $189,831.27 40% off $50,621.67 $237,289.09 $183,503.56 2026-02-21
1614 APR_DRG Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 4 4 — — $182,876.89 $186,534.65 $182,876.89 2026-02-21
0812 RC — 9 4 — — $82,562.00 $527,630.00 $175,601.40 2026-02-21
94 APR_DRG Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $171,326.85 $174,753.60 $171,326.85 2026-02-21
14 MS_DRG Allogeneic Bone Marrow Transplant 36 20 — — $95,702.38 $227,670.93 $161,686.65 2026-02-21
7 MS_DRG Lung Transplant 42 21 — — $95,464.04 $286,823.00 $161,283.98 2026-02-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 39 22 — — $80,664.32 $286,823.00 $157,691.96 2026-02-21
27802052-445170 CDM Shell, No Hcpcs, For Lvad Implants Only 39 21 $233,525.34 $140,115.20 40% off $37,364.05 $186,820.27 $155,527.88 2026-02-21
27500234 CDM Hc Heartmate 3 Lvad Implant 39 21 $233,525.34 $140,115.20 40% off $37,364.05 $186,820.27 $155,527.88 2026-02-21
81200017 CDM Hc Std Acq Chg Cadaver Liver/kidney 27 18 $249,395.20 $149,637.12 40% off $39,903.23 $187,046.40 $144,649.22 2026-02-21
27802052-778176 CDM Shell, No Hcpcs, For Lvad Implants Only 39 21 $215,250.00 $129,150.00 40% off $34,440.00 $172,200.00 $143,356.50 2026-02-21
6304 APR_DRG Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $140,126.66 $142,929.36 $140,126.66 2026-02-21
6094 APR_DRG Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $138,884.89 $141,662.75 $138,884.89 2026-02-21
27801347-1196342 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $207,132.00 $124,279.20 40% off $33,141.12 $165,705.60 $137,949.91 2026-02-21
27801850 CDM Hc Heartware Hvad Pump 39 21 $207,132.00 $124,279.20 40% off $33,141.12 $165,705.60 $137,949.91 2026-02-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 37 21 — — $77,989.80 $239,019.00 $132,809.90 2026-02-21
27800187 CDM Hc Kit, Heartmate Ii Vad Implant 39 21 $199,260.00 $119,556.00 40% off $31,881.60 $159,408.00 $132,707.16 2026-02-21
27801347-98612 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $199,260.00 $119,556.00 40% off $31,881.60 $159,408.00 $132,707.16 2026-02-21
27500176-389049 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 39 21 $198,613.80 $119,168.28 40% off $31,778.21 $158,891.04 $132,276.79 2026-02-21
81200004 CDM Hc Std Acq Chg Cadaver Heart 27 18 $220,688.76 $132,413.26 40% off $35,310.20 $165,516.57 $127,999.48 2026-02-21
81200013 CDM Hc Heart Lung Acq Cad 27 18 $220,404.88 $132,242.93 40% off $35,264.78 $165,303.66 $127,834.83 2026-02-21
81200014 CDM Hc Heart Lung Acq Cad Mcare 27 18 $220,404.88 $132,242.93 40% off $35,264.78 $165,303.66 $127,834.83 2026-02-21
5832 APR_DRG Inpatient Aprdrg 5832: Neonate W Ecmo 4 4 — — $125,530.56 $128,041.32 $125,530.56 2026-02-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 18 — — $6,182.00 $300,969.00 $124,839.88 2026-02-21
27801865 CDM Hc Evaheart Blood Pump Set Bp310 39 21 $184,500.00 $110,700.00 40% off $29,520.00 $147,600.00 $122,877.00 2026-02-21
27802052-389434 CDM Shell, No Hcpcs, For Lvad Implants Only 39 21 $179,580.00 $107,748.00 40% off $28,732.80 $143,664.00 $119,600.28 2026-02-21
114 APR_DRG Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 4 4 — — $119,199.48 $121,583.62 $119,199.48 2026-02-21
81200008 CDM Hc Liver Acq Cad Mcare 27 18 $203,870.00 $122,322.00 40% off $32,619.20 $152,902.50 $118,244.60 2026-02-21
81200007 CDM Hc Liver Acq Cad 27 18 $203,870.00 $122,322.00 40% off $32,619.20 $152,902.50 $118,244.60 2026-02-21
81200011 CDM Hc Lung Acq Double Cad 27 18 $197,396.84 $118,438.10 40% off $31,583.49 $148,047.63 $114,490.17 2026-02-21
81200012 CDM Hc Lung Acq Double Cad Mcare 27 18 $197,396.84 $118,438.10 40% off $31,583.49 $148,047.63 $114,490.17 2026-02-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 35 21 — — $58,329.31 $168,851.49 $113,590.40 2026-02-21
27201912-261835 CDM Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 30 19 $183,639.00 $110,183.40 40% off $29,382.24 $137,729.25 $112,194.24 2026-02-21
6 MS_DRG Liver Transplant Without Mcc 37 21 — — $36,097.58 $242,963.93 $111,863.79 2026-02-21
2004 APR_DRG Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders 4 4 — — $110,769.14 $112,984.66 $110,769.14 2026-02-21
5831 APR_DRG Inpatient Aprdrg 5831: Neonate W Ecmo 4 4 — — $110,532.15 $112,742.93 $110,532.15 2026-02-21
81200001 CDM Hc Std Acq Chg Cadaver Kidney 27 18 $185,810.00 $111,486.00 40% off $29,729.60 $139,357.50 $107,769.80 2026-02-21
73 APR_DRG Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 4 4 — — $102,128.06 $104,170.75 $102,128.06 2026-02-21
5883 APR_DRG Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure 4 4 — — $101,049.25 $103,070.36 $101,049.25 2026-02-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 36 21 — — $40,372.62 $353,510.55 $100,855.81 2026-02-21
5882 APR_DRG Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure 4 4 — — $100,587.40 $102,599.27 $100,587.40 2026-02-21
81200009 CDM Hc Lung Acq Single Cad 27 18 $173,400.71 $104,040.43 40% off $27,744.11 $130,050.53 $100,572.41 2026-02-21
81200010 CDM Hc Lung Acq Single Cad Mcare 27 18 $173,400.71 $104,040.43 40% off $27,744.11 $130,050.53 $100,572.41 2026-02-21
44 APR_DRG Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 4 — — $100,327.30 $102,333.97 $100,327.30 2026-02-21
8414 APR_DRG Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft 4 4 — — $99,896.01 $101,894.05 $99,896.01 2026-02-21
10 MS_DRG Pancreas Transplant 34 20 — — $58,659.38 $139,547.59 $99,103.49 2026-02-21
6314 APR_DRG Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $98,898.28 $100,876.37 $98,898.28 2026-02-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 18 — — $6,368.00 $232,040.07 $98,645.24 2026-02-21
8504 APR_DRG Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea… 4 4 — — $96,292.91 $98,218.89 $96,292.91 2026-02-21
5914 APR_DRG Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $95,430.33 $97,339.05 $95,430.33 2026-02-21
1613 APR_DRG Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant 4 4 — — $95,317.90 $97,224.38 $95,317.90 2026-02-21
5881 APR_DRG Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure 4 4 — — $94,814.14 $96,710.54 $94,814.14 2026-02-21
215 MS_DRG Other Heart Assist System Implant 35 18 — — $6,182.00 $225,669.24 $93,931.33 2026-02-21
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 45 24 $187,807.50 $112,684.50 40% off $30,049.20 $140,855.62 $93,903.75 2026-02-21
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 6 — — $35,308.00 $138,104.92 $91,365.46 2026-02-21
14 APR_DRG Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant 4 4 — — $86,813.53 $88,549.91 $86,813.53 2026-02-21
84 APR_DRG Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant 4 4 — — $86,465.68 $88,195.10 $86,465.68 2026-02-21
6814 APR_DRG Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N… 4 4 — — $84,929.33 $86,628.02 $84,929.33 2026-02-21
1604 APR_DRG Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $84,881.93 $86,579.67 $84,881.93 2026-02-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 19 — — $6,182.00 $205,568.43 $84,813.96 2026-02-21
93 APR_DRG Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $84,172.52 $85,856.07 $84,172.52 2026-02-21
2464 APR_DRG Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency 4 4 — — $82,311.82 $83,958.15 $82,311.82 2026-02-21
6034 APR_DRG Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con… 4 4 — — $81,887.19 $83,525.03 $81,887.19 2026-02-21
J9043 HCPCS cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution 45 24 $161,632.27 $96,979.36 40% off $205.63 $121,224.20 $79,684.71 2026-02-21
64 APR_DRG Inpatient Aprdrg 0064: Pancreas Transplant 4 4 — — $79,469.06 $81,058.54 $79,469.06 2026-02-21
5891 APR_DRG Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $79,462.79 $81,052.15 $79,462.79 2026-02-21
5934 APR_DRG Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $79,225.02 $80,809.61 $79,225.02 2026-02-21
81500021 CDM Hc Unrelated Donor Acquisition US 27 18 $134,837.44 $80,902.46 40% off $21,573.99 $101,128.08 $78,205.72 2026-02-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 20 — — $44,668.60 $110,551.74 $77,610.17 2026-02-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 20 — — $44,668.60 $110,551.74 $77,610.17 2026-02-21
5892 APR_DRG Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $77,015.68 $78,556.09 $77,015.68 2026-02-21
81100003 CDM Hc Liver Acq Living 27 18 $131,979.00 $79,187.40 40% off $21,116.64 $98,984.25 $76,547.82 2026-02-21
81100002 CDM Hc Liver Acq Living Mcare 27 18 $131,979.00 $79,187.40 40% off $21,116.64 $98,984.25 $76,547.82 2026-02-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 19 — — $35,308.00 $180,393.96 $74,887.24 2026-02-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 37 19 — — $6,182.00 $180,494.07 $74,468.72 2026-02-21
1624 APR_DRG Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $74,045.22 $75,526.22 $74,045.22 2026-02-21
222 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
226 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
230 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
227 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 19 — — $6,182.00 $164,808.75 $73,234.00 2026-02-21
224 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
237 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
223 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 37 19 — — $6,182.00 $166,489.32 $73,234.00 2026-02-21
225 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
238 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
6024 APR_DRG Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 4 4 — — $72,830.09 $74,286.78 $72,830.09 2026-02-21
5893 APR_DRG Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $72,238.98 $73,683.84 $72,238.98 2026-02-21
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 31 19 $115,440.00 $69,264.00 40% off $18,470.40 $86,580.00 $71,792.14 2026-02-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 18 — — $6,182.00 $171,701.43 $71,779.00 2026-02-21
81100001 CDM Hc Std Acq Chg Live Donor Kidney 27 18 $123,509.00 $74,105.40 40% off $19,761.44 $92,631.75 $71,635.22 2026-02-21
6214 APR_DRG Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly 4 4 — — $69,160.40 $70,543.69 $69,160.40 2026-02-21
72 APR_DRG Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant 4 4 — — $68,618.64 $69,991.10 $68,618.64 2026-02-21
1612 APR_DRG Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant 4 4 — — $68,518.75 $69,889.21 $68,518.75 2026-02-21
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 6 — — $35,308.00 $103,364.40 $68,382.33 2026-02-21
113 APR_DRG Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 4 4 — — $67,735.30 $69,090.09 $67,735.30 2026-02-21
27801848 CDM Hc Impella 5.5 39 21 $100,860.00 $60,516.00 40% off $16,137.60 $80,688.00 $67,172.76 2026-02-21
27802052-1242630 CDM Shell, No Hcpcs, For Lvad Implants Only 39 21 $100,860.00 $60,516.00 40% off $16,137.60 $80,688.00 $67,172.76 2026-02-21
8634 APR_DRG Inpatient Aprdrg 8634: Neonatal Aftercare 4 4 — — $66,684.69 $68,018.47 $66,684.69 2026-02-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 40 21 — — $30,000.00 $239,019.00 $66,242.98 2026-02-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 19 — — $9,144.00 $158,987.46 $66,077.86 2026-02-21
6303 APR_DRG Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $66,044.22 $67,365.19 $66,044.22 2026-02-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 19 — — $6,368.00 $150,527.10 $65,830.42 2026-02-21
1611 APR_DRG Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant 4 4 — — $64,983.82 $66,283.57 $64,983.82 2026-02-21
4404 APR_DRG Inpatient Aprdrg 4404: Kidney Transplant 4 4 — — $64,823.21 $66,119.75 $64,823.21 2026-02-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 18 — — $51,317.65 $148,173.45 $64,822.30 2026-02-21
54 APR_DRG Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $64,527.07 $65,817.69 $64,527.07 2026-02-21
43 APR_DRG Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 4 — — $64,505.13 $65,795.31 $64,505.13 2026-02-21
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 6 — — $35,308.00 $95,322.54 $63,062.11 2026-02-21
6804 APR_DRG Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N… 4 4 — — $62,840.68 $64,097.58 $62,840.68 2026-02-21
5913 APR_DRG Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $62,840.68 $64,097.58 $62,840.68 2026-02-21
6084 APR_DRG Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi… 4 4 — — $62,662.45 $63,915.78 $62,662.45 2026-02-21
31100124 CDM Hc Auto Islet Cell Transplant 30 19 $107,245.00 $64,347.00 40% off $24.00 $80,433.75 $62,202.10 2026-02-21
4414 APR_DRG Inpatient Aprdrg 4414: Major Bladder Procedures 4 4 — — $61,346.25 $62,573.25 $61,346.25 2026-02-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 19 — — $6,182.00 $137,553.27 $61,208.72 2026-02-21
27801347-1218340 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $91,020.00 $54,612.00 40% off $14,563.20 $72,816.00 $60,619.32 2026-02-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 18 — — $47,783.67 $137,751.36 $60,358.32 2026-02-21
23 APR_DRG Inpatient Aprdrg 0023: Heart &/or Lung Transplant 4 4 — — $59,690.42 $60,884.31 $59,690.42 2026-02-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 18 — — $6,182.00 $142,019.88 $59,595.51 2026-02-21
81200002 CDM Hc Std Acq Chg Cadaver Pancreas 27 18 $102,432.00 $61,459.20 40% off $16,389.12 $76,824.00 $59,410.56 2026-02-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 19 — — $9,144.00 $145,442.79 $59,382.35 2026-02-21
27801347-1926393 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $88,560.00 $53,136.00 40% off $14,169.60 $70,848.00 $58,980.96 2026-02-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 20 — — $6,182.00 $4,757,305.00 $58,452.96 2026-02-21
83 APR_DRG Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant 4 4 — — $58,444.34 $59,613.30 $58,444.34 2026-02-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc 35 19 — — $6,368.00 $131,940.72 $57,869.51 2026-02-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 18 — — $6,368.00 $142,260.57 $57,471.93 2026-02-21
1784 APR_DRG Inpatient Aprdrg 1784: External Heart Assist Systems 4 4 — — $57,457.59 $58,606.81 $57,457.59 2026-02-21
27801347-1355910 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $86,100.00 $51,660.00 40% off $13,776.00 $68,880.00 $57,342.60 2026-02-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 19 — — $6,182.00 $127,604.04 $57,295.64 2026-02-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 20 — — $6,182.00 $4,586,624.00 $57,054.99 2026-02-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 20 — — $6,182.00 $4,636,118.00 $56,908.35 2026-02-21
81500007 CDM Hc Marrow Acquisition Usa 27 18 $97,700.00 $58,620.00 40% off $15,632.00 $73,275.00 $56,666.00 2026-02-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 35 18 — — $6,182.00 $134,707.59 $56,594.03 2026-02-21
C1823 HCPCS Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads 38 21 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $56,593.35 2026-02-21
27203217 CDM Hc Heart Valve Sapien Edwards 39 21 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $56,593.35 2026-02-21
C1604 HCPCS Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass … 39 21 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $56,593.35 2026-02-21
27801347-104268 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $56,593.35 2026-02-21
27500176-143739 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 39 21 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $56,593.35 2026-02-21
27801815 CDM Hc Mitraclip Delivery System Kit (w/guiding Cath) 39 21 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $56,593.35 2026-02-21
27800957 CDM Hc Catheter Set Pump Ventricular Assist Impella 39 21 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $56,593.35 2026-02-21
27800190 CDM Hc Impella 5.0 39 21 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $56,593.35 2026-02-21
27801917-1534761 CDM Shell Generator, Cardiac Contractility Modulation 39 21 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $56,593.35 2026-02-21
27802052-101684 CDM Shell, No Hcpcs, For Lvad Implants Only 39 21 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $56,593.35 2026-02-21
27801855-1778845 CDM Hc Shell Generator, Neurostimulator, Non-recharge With Carotid 39 21 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $56,593.35 2026-02-21
5933 APR_DRG Inpatient Aprdrg 5933: Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $56,584.04 $57,715.79 $56,584.04 2026-02-21
6114 APR_DRG Inpatient Aprdrg 6114: Neonate Birthwt 1500-1999g W Major Anomaly 4 4 — — $56,519.01 $57,649.46 $56,519.01 2026-02-21
1674 APR_DRG Inpatient Aprdrg 1674: Other Cardiothoracic & Thoracic Vascular Procedures 4 4 — — $56,269.09 $57,394.54 $56,269.09 2026-02-21
6904 APR_DRG Inpatient Aprdrg 6904: Acute Leukemia 4 4 — — $55,763.76 $56,879.11 $55,763.76 2026-02-21
434 APR_DRG Inpatient Aprdrg 0434: Multiple Sclerosis & Other Demyelinating Diseases 4 4 — — $55,422.18 $56,530.69 $55,422.18 2026-02-21
92 APR_DRG Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $55,359.89 $56,467.16 $55,359.89 2026-02-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 18 — — $6,182.00 $131,169.66 $55,141.79 2026-02-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 19 — — $9,144.00 $130,711.71 $54,441.60 2026-02-21
28 MS_DRG Spinal Procedures With Mcc 36 19 — — $25,893.00 $129,493.35 $53,940.19 2026-02-21
91 APR_DRG Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $53,688.01 $54,761.83 $53,688.01 2026-02-21
81200015 CDM Hc Uterus Acq Living Donor 27 18 $91,900.00 $55,140.00 40% off $14,704.00 $68,925.00 $53,302.00 2026-02-21
81200016 CDM Hc Uterus Acq Cadaveric Donor 27 18 $91,900.00 $55,140.00 40% off $14,704.00 $68,925.00 $53,302.00 2026-02-21
0424T HCPCS Hc Insj/rplc Nstim System Sleep Apnea Complete 30 19 $86,663.76 $51,998.26 40% off $6,546.00 $98,421.34 $53,189.93 2026-02-21
6334 APR_DRG Inpatient Aprdrg 6334: Neonate Birthwt >2499g W Major Anomaly 4 4 — — $52,559.44 $53,610.70 $52,559.44 2026-02-21
3034 APR_DRG Inpatient Aprdrg 3034: Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $52,239.01 $53,283.86 $52,239.01 2026-02-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 18 — — $6,182.00 $124,014.99 $52,204.97 2026-02-21
5912 APR_DRG Inpatient Aprdrg 5912: Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $51,884.89 $52,922.65 $51,884.89 2026-02-21
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 33 18 — — $40,995.19 $117,731.49 $51,783.40 2026-02-21
81500022 CDM Hc Related Donor Acquisition 27 18 $88,910.80 $53,346.48 40% off $14,225.73 $66,683.10 $51,568.26 2026-02-21
6074 APR_DRG Inpatient Aprdrg 6074: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M… 4 4 — — $51,377.22 $52,404.82 $51,377.22 2026-02-21
63 APR_DRG Inpatient Aprdrg 0063: Pancreas Transplant 4 4 — — $51,356.06 $52,383.25 $51,356.06 2026-02-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 20 — — $6,182.00 $4,139,967.00 $51,194.33 2026-02-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 38 20 — — $6,182.00 $4,157,832.00 $51,081.90 2026-02-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 19 — — $35,308.00 $122,249.22 $50,959.04 2026-02-21
C2624 HCPCS Hc Cardiomems Monitoring Device (implant) 39 21 $76,477.50 $45,886.50 40% off $12,236.40 $61,182.00 $50,934.01 2026-02-21
81500059 CDM Hc Pbsc Second Acquisition US 27 18 $87,750.00 $52,650.00 40% off $14,040.00 $65,812.50 $50,895.00 2026-02-21
81500015 CDM Hc Pbsc Acquistion US 27 18 $87,750.00 $52,650.00 40% off $14,040.00 $65,812.50 $50,895.00 2026-02-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 19 — — $35,154.00 $121,518.63 $50,658.39 2026-02-21
38240 HCPCS Hc Hpc Allogenic Transplantation 46 24 $43,575.00 $26,145.00 40% off $6,546.00 $103,780.61 $50,135.56 2026-02-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 40 21 — — $26,154.32 $239,019.00 $50,059.29 2026-02-21
653 MS_DRG Major Bladder Procedures With Mcc 35 18 — — $6,182.00 $118,738.98 $50,039.33 2026-02-21
27801347-303311 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $75,075.00 $45,045.00 40% off $12,012.00 $60,060.00 $49,999.95 2026-02-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 18 — — $6,182.00 $117,731.49 $49,625.75 2026-02-21
62400011 CDM Hc Clinical Trial Ide#g170152 Sapien 3 Transcatheter Heart Valve 27 18 $84,975.00 $50,985.00 40% off $13,596.00 $63,731.25 $49,285.50 2026-02-21
62400012-1362918 CDM Shell, 624 Rev Code, Fda Investigational Devices 27 18 $84,975.00 $50,985.00 40% off $13,596.00 $63,731.25 $49,285.50 2026-02-21
27801347-181497 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $73,800.00 $44,280.00 40% off $11,808.00 $59,040.00 $49,150.80 2026-02-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 36 19 — — $6,182.00 $114,932.67 $49,029.95 2026-02-21
2204 APR_DRG Inpatient Aprdrg 2204: Major Stomach, Esophageal & Duodenal Procedures 4 4 — — $48,957.92 $49,937.13 $48,957.92 2026-02-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 35 18 — — $6,182.00 $115,631.31 $48,763.70 2026-02-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 38 20 — — $6,182.00 $3,901,699.00 $48,709.23 2026-02-21
6134 APR_DRG Inpatient Aprdrg 6134: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti… 4 4 — — $48,691.15 $49,665.03 $48,691.15 2026-02-21
27801347-876560 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $73,078.50 $43,847.10 40% off $11,692.56 $58,462.80 $48,670.28 2026-02-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 17 — — $44,010.61 $104,698.93 $48,643.31 2026-02-21
4474 APR_DRG Inpatient Aprdrg 4474: Other Kidney, Urinary Tract & Related Procedures 4 4 — — $48,577.16 $49,548.76 $48,577.16 2026-02-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 35 18 — — $6,182.00 $114,919.89 $48,471.67 2026-02-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 19 — — $9,144.00 $115,041.30 $47,992.78 2026-02-21
22 APR_DRG Inpatient Aprdrg 0022: Heart &/or Lung Transplant 4 4 — — $47,951.18 $48,910.26 $47,951.18 2026-02-21
234 APR_DRG Inpatient Aprdrg 0234: Spinal Procedures 4 4 — — $47,857.56 $48,814.77 $47,857.56 2026-02-21
9104 APR_DRG Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma 4 4 — — $47,684.41 $48,638.16 $47,684.41 2026-02-21
33276 HCPCS Hc Insertion Phrenic Nerve Stimulator System 44 24 $86,663.76 $51,998.26 40% off $11,704.00 $89,696.99 $47,665.07 2026-02-21
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 10 6 — — $35,308.00 $71,778.28 $47,486.04 2026-02-21
27801347-1322565 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $71,209.05 $42,725.43 40% off $11,393.45 $56,967.24 $47,425.23 2026-02-21
112 APR_DRG Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 4 4 — — $47,071.75 $48,013.25 $47,071.75 2026-02-21
6023 APR_DRG Inpatient Aprdrg 6023: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 4 4 — — $47,069.80 $48,011.25 $47,069.80 2026-02-21
27801347-1033551 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $69,893.46 $41,936.08 40% off $11,182.95 $55,914.77 $46,549.04 2026-02-21
53 APR_DRG Inpatient Aprdrg 0053: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $46,482.99 $47,412.71 $46,482.99 2026-02-21
62 APR_DRG Inpatient Aprdrg 0062: Pancreas Transplant 4 4 — — $46,450.87 $47,379.94 $46,450.87 2026-02-21
9504 APR_DRG Inpatient Aprdrg 9504: Extensive Procedure Unrelated To Principal Diagnosis 4 4 — — $46,268.72 $47,194.15 $46,268.72 2026-02-21
27801347-820405 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $69,408.43 $41,645.06 40% off $11,105.35 $55,526.74 $46,226.01 2026-02-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 18 — — $6,182.00 $109,332.90 $46,178.38 2026-02-21
27801347-777976 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $69,300.00 $41,580.00 40% off $11,088.00 $55,440.00 $46,153.80 2026-02-21
27801347-331887 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $69,105.07 $41,463.04 40% off $11,056.81 $55,284.06 $46,023.98 2026-02-21
27801347-1340795 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $68,999.70 $41,399.82 40% off $11,039.95 $55,199.76 $45,953.80 2026-02-21
33270 HCPCS Hc Ins/rep Subq Defibrilllator 44 24 $93,099.87 $55,859.92 40% off $11,704.00 $69,824.90 $45,898.24 2026-02-21
61 APR_DRG Inpatient Aprdrg 0061: Pancreas Transplant 4 4 — — $45,851.14 $46,768.22 $45,851.14 2026-02-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 18 — — $37,238.76 $106,653.36 $45,739.47 2026-02-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 18 — — $6,182.00 $108,182.70 $45,706.24 2026-02-21
0266T HCPCS Hc Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst 44 24 $86,663.76 $51,998.26 40% off $6,546.00 $98,421.34 $45,498.47 2026-02-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 18 — — $6,182.00 $107,285.97 $45,338.16 2026-02-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 36 19 — — $34,953.00 $108,514.98 $45,307.01 2026-02-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 36 19 — — $6,182.00 $100,210.11 $45,293.35 2026-02-21
71 APR_DRG Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant 4 4 — — $45,057.50 $45,958.70 $45,057.50 2026-02-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 18 — — $6,182.00 $106,527.69 $45,026.90 2026-02-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 20 — — $6,182.00 $3,604,661.00 $44,969.72 2026-02-21
13 APR_DRG Inpatient Aprdrg 0013: Liver Transplant &/or Intestinal Transplant 4 4 — — $44,728.45 $45,623.07 $44,728.45 2026-02-21
6093 APR_DRG Inpatient Aprdrg 6093: Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $44,675.57 $45,569.13 $44,675.57 2026-02-21
264 APR_DRG Inpatient Aprdrg 0264: Other Nervous System & Related Procedures 4 4 — — $44,648.54 $45,541.56 $44,648.54 2026-02-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 18 — — $6,368.00 $106,570.29 $44,506.71 2026-02-21
5932 APR_DRG Inpatient Aprdrg 5932: Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $44,455.81 $45,344.98 $44,455.81 2026-02-21
3033 APR_DRG Inpatient Aprdrg 3033: Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $44,192.18 $45,076.07 $44,192.18 2026-02-21
62400012-847925 CDM Shell, 624 Rev Code, Fda Investigational Devices 27 18 $76,137.60 $45,682.56 40% off $12,182.02 $57,103.20 $44,159.81 2026-02-21
1824 APR_DRG Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures 4 4 — — $44,156.53 $45,039.71 $44,156.53 2026-02-21
27801929 CDM Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 17 Fr Arterial Cannu… 39 21 $66,280.50 $39,768.30 40% off $10,604.88 $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… 39 21 $66,280.50 $39,768.30 40% off $10,604.88 $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… 39 21 $66,280.50 $39,768.30 40% off $10,604.88 $53,024.40 $44,142.81 2026-02-21
27801923 CDM Hc Ecmo Lifesparc Blood Pump Kit With 29 Fr Protekduo Veno-venous Cannula (law5267… 39 21 $66,280.50 $39,768.30 40% off $10,604.88 $53,024.40 $44,142.81 2026-02-21
27802083 CDM Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l… 39 21 $66,280.50 $39,768.30 40% off $10,604.88 $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… 39 21 $66,280.50 $39,768.30 40% off $10,604.88 $53,024.40 $44,142.81 2026-02-21
27801347-264193 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $66,280.50 $39,768.30 40% off $10,604.88 $53,024.40 $44,142.81 2026-02-21
1634 APR_DRG Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Pdx 4 4 — — $44,130.28 $45,012.94 $44,130.28 2026-02-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 35 19 — — $6,368.00 $99,085.47 $43,796.95 2026-02-21
245 MS_DRG Aicd Generator Procedures 37 20 — — $29,293.00 $3,828,334.00 $43,573.94 2026-02-21
7924 APR_DRG Inpatient Aprdrg 7924: Extensive Or Procedures For Other Complications Of Treatm… 4 4 — — $43,407.94 $44,276.15 $43,407.94 2026-02-21
3044 APR_DRG Inpatient Aprdrg 3044: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 4 — — $43,397.36 $44,265.37 $43,397.36 2026-02-21
93653 HCPCS Hc Compreh Electroph Eval Source Of Atrial R 44 24 $87,788.83 $52,673.30 40% off $14,046.21 $125,472.56 $43,279.89 2026-02-21
2054 APR_DRG Inpatient Aprdrg 2054: Cardiomyopathy 4 4 — — $43,274.75 $44,140.30 $43,274.75 2026-02-21
27801347-1855907 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $64,920.90 $38,952.54 40% off $10,387.34 $51,936.72 $43,237.32 2026-02-21
471 MS_DRG Cervical Spinal Fusion With Mcc 36 19 — — $35,308.00 $103,460.49 $43,226.96 2026-02-21
6954 APR_DRG Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia 4 4 — — $43,219.13 $44,083.57 $43,219.13 2026-02-21
8413 APR_DRG Inpatient Aprdrg 8413: Extensive 3rd Degree Burns W Skin Graft 4 4 — — $43,174.86 $44,038.41 $43,174.86 2026-02-21
27801347-459333 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $64,820.00 $38,892.00 40% off $10,371.20 $51,856.00 $43,170.12 2026-02-21
27801347-820401 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $64,564.85 $38,738.91 40% off $10,330.38 $51,651.88 $43,000.19 2026-02-21
799 MS_DRG Splenic Procedures With Mcc 35 18 — — $6,182.00 $101,277.24 $42,871.74 2026-02-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 18 — — $6,182.00 $101,258.07 $42,863.87 2026-02-21
52 APR_DRG Inpatient Aprdrg 0052: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $42,449.39 $43,298.43 $42,449.39 2026-02-21
6514 APR_DRG Inpatient Aprdrg 6514: Other Procedures Of Blood & Blood-forming Organs 4 4 — — $42,307.19 $43,153.39 $42,307.19 2026-02-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 18 — — $6,182.00 $99,673.35 $42,213.38 2026-02-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 18 — — $6,182.00 $101,718.15 $42,202.70 2026-02-21
42 APR_DRG Inpatient Aprdrg 0042: Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 4 — — $42,175.18 $43,018.74 $42,175.18 2026-02-21
6144 APR_DRG Inpatient Aprdrg 6144: Neonate Bwt 1500-1999g W Or Without Other Significant Conditi… 4 4 — — $41,732.14 $42,566.83 $41,732.14 2026-02-21
1623 APR_DRG Inpatient Aprdrg 1623: Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $41,661.24 $42,494.51 $41,661.24 2026-02-21
163 MS_DRG Major Chest Procedures With Mcc 35 18 — — $6,182.00 $98,175.96 $41,598.75 2026-02-21
214 APR_DRG Inpatient Aprdrg 0214: Craniotomy Except For Trauma 4 4 — — $41,562.52 $42,393.82 $41,562.52 2026-02-21
C1822 HCPCS Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys 76 21 $59,366.93 $35,620.16 40% off $9,498.71 $67,980.00 $41,556.85 2026-02-21
C1736 HCPCS Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd 30 19 $67,980.00 $40,788.00 40% off $10,876.80 $50,985.00 $41,532.38 2026-02-21
27801347-1203071 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $62,351.26 $37,410.76 40% off $9,976.20 $49,881.01 $41,525.94 2026-02-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 18 — — $6,182.00 $97,807.47 $41,447.48 2026-02-21
2304 APR_DRG Inpatient Aprdrg 2304: Major Small Bowel Procedures 4 4 — — $41,412.49 $42,240.79 $41,412.49 2026-02-21
224 APR_DRG Inpatient Aprdrg 0224: Ventricular Shunt Procedures 4 4 — — $41,249.14 $42,074.17 $41,249.14 2026-02-21
4424 APR_DRG Inpatient Aprdrg 4424: Kidney & Urinary Tract Procedures For Malignancy 4 4 — — $41,023.11 $41,843.63 $41,023.11 2026-02-21
31100193 CDM Hc Auto Islet Cell Processing 30 19 $70,421.00 $42,252.60 40% off $24.00 $52,815.75 $40,844.18 2026-02-21
9524 APR_DRG Inpatient Aprdrg 9524: Nonextensive Procedure Unrelated To Principal Diagnosis 4 4 — — $40,771.23 $41,586.71 $40,771.23 2026-02-21
27801347-1186553 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $61,182.00 $36,709.20 40% off $9,789.12 $48,945.60 $40,747.21 2026-02-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 18 — — $6,182.00 $96,097.08 $40,745.42 2026-02-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 36 19 — — $6,182.00 $93,566.64 $40,569.93 2026-02-21
9114 APR_DRG Inpatient Aprdrg 9114: Extensive Abdominal/thoracic Procedures For Mult Signific… 4 4 — — $40,398.70 $41,206.73 $40,398.70 2026-02-21
27801347-1245429 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $60,315.26 $36,189.16 40% off $9,650.44 $48,252.21 $40,169.96 2026-02-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 36 19 — — $33,375.42 $95,259.99 $40,052.41 2026-02-21
901 MS_DRG Wound Debridements For Injuries With Mcc 35 18 — — $6,182.00 $94,369.65 $40,036.35 2026-02-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 36 19 — — $9,144.00 $95,524.11 $39,960.90 2026-02-21
27801347-1004156 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $59,846.19 $35,907.71 40% off $9,575.39 $47,876.95 $39,857.56 2026-02-21
27801347-212472 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $59,762.58 $35,857.55 40% off $9,562.01 $47,810.06 $39,801.88 2026-02-21
27801347-820416 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 39 21 $59,721.28 $35,832.77 40% off $9,555.40 $47,777.02 $39,774.37 2026-02-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 38 20 — — $6,182.00 $3,239,352.00 $39,763.04 2026-02-21
4403 APR_DRG Inpatient Aprdrg 4403: Kidney Transplant 4 4 — — $39,674.79 $40,468.34 $39,674.79 2026-02-21
3154 APR_DRG Inpatient Aprdrg 3154: Shoulder, Upper Arm & Forearm Procedures Except Joint Rep… 4 4 — — $39,672.05 $40,465.54 $39,672.05 2026-02-21
27801925 CDM Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Rapid Deployment… 39 21 $59,482.50 $35,689.50 40% off $9,517.20 $47,586.00 $39,615.35 2026-02-21
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