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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

9,464 distinct procedures filed
31 distinct payers
1,200,575 rate rows
2026-06-29 last MRF observed
Data quality

1,194,557 of 1,200,575 rate rows are consumer-grade (99.5%)

6,018 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 2,774
per-diem day rate — not a per-procedure price 1,497
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 688
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 453
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 313
exceeds 10× this hospital's gross charge — excluded from medians 266
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/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 Latest re-check couldn't be parsed — showing last good data · 2026-11-11
Content fingerprint a2ec8c4d53081d88… · 571,523,183 bytes · first seen 2026-11-02

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
Q2057
HCPCS 		Hc Tecelra Autoleucel (includeing Leukapheresis) 26 $566,684.84 $2,656,335.17 $1,464,178.00 nat. median
$813,967
1.8× median
Q2056
HCPCS 		Hc Carvykti (including Apheresis) 26 $419,485.96 $1,966,340.46 $1,232,240.02 nat. median
$646,415
1.9× median
Q2042
HCPCS 		Hc Kymriah-adult (incl Apheresis) 26 $368,551.83 $1,727,586.72 $1,074,499.34 nat. median
$739,658
1.5× median
Q2058
HCPCS 		Hc Aucatzyl (including Apheresis) 25 $264,337.50 $2,032,113.00 $948,319.40 nat. median
$319,951
outlier · 3.0×
Q2054
HCPCS 		Hc Breyanzi Car T 26 $420,881.29 $1,972,881.05 $840,579.96 nat. median
$637,620
1.3× median
Q2055
HCPCS 		Hc Abecma (including Apheresis) 26 $411,721.92 $1,929,946.49 $836,872.71 nat. median
$621,967
1.3× median
Q2041
HCPCS 		Hc Yescarta (including Apheresis) 26 $416,264.72 $1,951,240.89 $836,332.74 nat. median
$607,251
1.4× median
Q2053
HCPCS 		Hc Tecartus (including Apheresis) 26 $381,360.86 $1,787,629.02 $769,409.47 nat. median
$589,091
1.3× median
27801844
CDM 		Hc Syncardia Total Artificial Heart System 22 $118,080.00 $590,400.00 $469,331.10 nat. median
$491,508
1.0× median
27801843
CDM 		Hc Kit Artificial Heart Carmat 22 $102,257.28 $511,286.40 $406,440.73 nat. median
$425,646
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $342,876.28 $961,896.87 $387,736.49 nat. median
$360,195
1.1× median
5834
APR_DRG 		Inpatient Aprdrg 5834: Neonate With Ecmo 5 $301,211.43 $322,296.21 $301,211.43 nat. median
$309,665
1.0× median
74
APR_DRG 		Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 5 $293,018.76 $313,530.05 $293,018.76 nat. median
$171,358
1.7× median
5833
APR_DRG 		Inpatient Aprdrg 5833: Neonate With Ecmo 5 $255,054.77 $272,908.59 $255,054.77 nat. median
$244,017
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $105,000.00 $624,232.37 $246,567.47 nat. median
$247,805
1.0× median
24
APR_DRG 		Inpatient Aprdrg 0024: Heart And/or Lung Transplant 5 $245,355.46 $262,530.33 $245,355.46 nat. median
$243,231
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $6,764.00 $472,791.33 $214,713.26 nat. median
$190,274
1.1× median
81200003
CDM 		Hc Std Acq Chg Cadaver Kidney/pancreas 20 $52,646.54 $279,684.74 $190,843.70 nat. median
$162,217
1.2× median
5884
APR_DRG 		Inpatient Aprdrg 5884: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $190,661.89 $204,008.22 $190,661.89 nat. median
$249,123
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $6,764.00 $421,389.90 $188,280.59 nat. median
$197,664
1.0× median
1614
APR_DRG 		Inpatient Aprdrg 1614: Implantable Heart Assist Systems 5 $185,145.78 $198,105.97 $185,145.78 nat. median
$202,660
0.9× median
0812
RC 		4 $82,562.00 $527,630.00 $175,601.40 nat. median
$76,257
outlier · 2.3×
94
APR_DRG 		Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 5 $173,452.44 $185,594.10 $173,452.44 nat. median
$165,169
1.1× median
27500234
CDM 		Hc Heartmate 3 Lvad Implant 22 $37,364.05 $186,820.27 $148,510.44 nat. median
$162,128
0.9× median
6304
APR_DRG 		Inpatient Aprdrg 6304: Neonate Birth Weight > 2499 Grams With Major Cardiovascul… 5 $141,865.16 $151,795.71 $141,865.16 nat. median
$154,211
0.9× median
6094
APR_DRG 		Inpatient Aprdrg 6094: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $140,607.98 $150,450.53 $140,607.98 nat. median
$165,846
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $6,566.00 $308,539.93 $140,322.13 nat. median
$126,240
1.1× median
81200004
CDM 		Hc Std Acq Chg Cadaver Heart 20 $36,722.61 $195,088.86 $133,119.46 nat. median
$126,557
1.1× median
81200013
CDM 		Hc Heart Lung Acq Cad 20 $36,675.37 $194,837.92 $132,948.23 nat. median
$121,223
1.1× median
81200014
CDM 		Hc Heart Lung Acq Cad Mcare 20 $36,675.37 $194,837.92 $132,948.23 nat. median
$137,533
1.0× median
27801850
CDM 		Hc Heartware Hvad Pump 22 $33,141.12 $165,705.60 $131,725.60 nat. median
$134,636
1.0× median
5832
APR_DRG 		Inpatient Aprdrg 5832: Neonate With Ecmo 5 $127,087.97 $135,984.12 $127,087.97 nat. median
$159,829
0.8× median
27800187
CDM 		Hc Kit, Heartmate Ii Vad Implant 22 $31,881.60 $159,408.00 $126,719.39 nat. median
$132,379
1.0× median
81200008
CDM 		Hc Liver Acq Cad Mcare 20 $33,923.97 $180,221.08 $122,974.38 nat. median
$105,270
1.2× median
81200007
CDM 		Hc Liver Acq Cad 20 $33,923.97 $180,221.08 $122,974.38 nat. median
$101,935
1.2× median
114
APR_DRG 		Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 5 $120,678.34 $129,125.82 $120,678.34 nat. median
$122,909
1.0× median
81200011
CDM 		Hc Lung Acq Double Cad 20 $32,846.83 $174,498.80 $119,069.77 nat. median
$108,568
1.1× median
81200012
CDM 		Hc Lung Acq Double Cad Mcare 20 $32,846.83 $174,498.80 $119,069.77 nat. median
$108,568
1.1× median
27801865
CDM 		Hc Evaheart Blood Pump Set Bp310 22 $29,520.00 $147,600.00 $117,332.77 nat. median
$122,877
1.0× median
7
MS_DRG 		Lung Transplant 15 $103,966.72 $286,823.00 $114,910.58 nat. median
$117,943
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $6,764.00 $242,220.58 $112,538.39 nat. median
$97,029
1.2× median
2004
APR_DRG 		Inpatient Aprdrg 2004: Cardiac Structural And Valvular Disorders 5 $112,143.42 $119,993.45 $112,143.42 nat. median
$28,745
outlier · 3.9×
81200001
CDM 		Hc Std Acq Chg Cadaver Kidney 20 $30,918.78 $164,256.04 $112,080.59 nat. median
$111,486
1.0× median
5831
APR_DRG 		Inpatient Aprdrg 5831: Neonate With Ecmo 5 $111,903.48 $119,736.72 $111,903.48 nat. median
$148,245
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 19 $87,931.23 $280,554.79 $107,372.34 nat. median
$92,760
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $96,599.32 $238,956.20 $106,523.62 nat. median
$109,875
1.0× median
81200009
CDM 		Hc Lung Acq Single Cad 20 $28,853.88 $153,286.23 $104,595.31 nat. median
$71,828
1.5× median
81200010
CDM 		Hc Lung Acq Single Cad Mcare 20 $28,853.88 $153,286.23 $104,595.31 nat. median
$89,537
1.2× median
73
APR_DRG 		Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 5 $103,395.13 $110,632.78 $103,395.13 nat. median
$89,273
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $37,904.00 $245,497.23 $102,898.21 nat. median
$93,094
1.1× median

Other procedures at this hospital

Browse this hospital's 9,464 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0812 RC — 9 4 — — $82,562.00 $527,630.00 $175,601.40 2026-06-29
834 MS_DRG Acute Leukemia With Mcc 37 21 — — $42,648.84 $122,287.52 $56,206.62 2026-06-29
850 MS_DRG Acute Leukemia With Other Procedures 34 19 — — $67,272.19 $192,890.36 $85,258.46 2026-06-29
245 MS_DRG Aicd Generator Procedures 41 23 — — $31,111.00 $113,086.48 $44,426.40 2026-06-29
14 MS_DRG Allogeneic Bone Marrow Transplant 19 16 — — $96,599.32 $238,956.20 $106,523.62 2026-06-29
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 39 21 — — $6,566.00 $121,992.31 $49,970.02 2026-06-29
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 40 22 — — $9,711.00 $95,624.35 $42,750.71 2026-06-29
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 37 21 — — $53,431.65 $170,479.89 $73,187.89 2026-06-29
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 37 21 — — $32,808.35 $104,678.85 $45,761.29 2026-06-29
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 17 15 — — $48,250.00 $119,944.12 $52,571.25 2026-06-29
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 17 15 — — $44,557.38 $110,220.90 $49,135.07 2026-06-29
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 22 — — $9,711.00 $119,407.37 $53,900.99 2026-06-29
C1826 HCPCS C1826, Genrtr Neurstmltr Implntble Incls Clsd Leads & All Implntble Comps With Rec… 80 22 $67,980.00 $40,788.00 40% off $9,651.92 $67,980.00 $47,586.00 2026-06-29
C1827 HCPCS C1827, Genrtr Neurstmltr Implntble Nonrechrgble With Implntble Stmltn Lead & Ext P… 44 22 $84,975.00 $50,985.00 40% off $9,651.92 $67,980.00 $52,552.79 2026-06-29
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 23 — — $55,393.23 $158,829.66 $76,193.23 2026-06-29
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $77,779.00 $77,779.00 $77,779.00 2026-06-29
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $77,779.00 $77,779.00 $77,779.00 2026-06-29
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $77,779.00 $77,779.00 $77,779.00 2026-06-29
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $77,779.00 $77,779.00 $77,779.00 2026-06-29
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 23 — — $46,662.87 $133,797.02 $64,522.13 2026-06-29
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $77,779.00 $77,779.00 $77,779.00 2026-06-29
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $77,779.00 $77,779.00 $77,779.00 2026-06-29
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 23 — — $35,879.28 $102,877.09 $50,106.15 2026-06-29
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 22 — — $75,998.66 $242,482.55 $99,517.15 2026-06-29
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 23 — — $51,080.88 $162,979.46 $70,794.98 2026-06-29
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 23 — — $51,080.88 $146,464.81 $70,794.98 2026-06-29
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 23 — — $59,649.64 $190,319.10 $78,702.49 2026-06-29
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 23 — — $41,428.39 $132,182.09 $57,823.92 2026-06-29
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 23 — — $39,155.30 $112,270.46 $54,769.35 2026-06-29
471 MS_DRG Cervical Spinal Fusion With Mcc 40 22 — — $37,499.00 $107,559.29 $47,966.58 2026-06-29
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 37 21 — — $37,322.68 $107,015.78 $49,142.40 2026-06-29
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 16 — — $342,876.28 $961,896.87 $387,736.49 2026-06-29
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 36 21 — — $37,904.00 $200,688.84 $84,292.43 2026-06-29
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 36 21 — — $37,904.00 $128,462.15 $54,301.74 2026-06-29
209 MS_DRG Complex Aortic Arch Procedures 33 19 — — $87,931.23 $280,554.79 $107,372.34 2026-06-29
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 21 — — $6,764.00 $242,220.58 $112,538.39 2026-06-29
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 36 21 — — $51,944.74 $148,941.79 $68,190.12 2026-06-29
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 41 23 — — $59,392.50 $189,498.67 $78,456.00 2026-06-29
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 41 23 — — $42,437.53 $135,401.87 $59,180.03 2026-06-29
231 MS_DRG Coronary Bypass With Ptca With Mcc 41 23 — — $65,488.52 $187,776.02 $86,204.93 2026-06-29
232 MS_DRG Coronary Bypass With Ptca Without Mcc 41 23 — — $47,097.91 $135,044.42 $65,442.64 2026-06-29
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 41 23 — — $45,590.81 $145,462.76 $63,417.40 2026-06-29
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 41 23 — — $32,541.11 $103,826.19 $45,881.18 2026-06-29
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 39 22 — — $33,617.84 $96,392.84 $47,328.08 2026-06-29
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 40 22 — — $35,321.49 $101,277.74 $45,221.39 2026-06-29
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 22 — — $9,711.00 $149,935.25 $66,485.97 2026-06-29
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 22 — — $37,336.00 $127,642.43 $56,743.43 2026-06-29
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 22 — — $30,389.99 $87,137.57 $39,874.05 2026-06-29
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 21 — — $6,764.00 $472,791.33 $214,713.26 2026-06-29
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 33 19 — — $44,334.62 $141,454.76 $55,089.15 2026-06-29
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 22 — — $47,609.09 $151,902.32 $66,847.60 2026-06-29
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 40 22 — — $36,984.75 $118,004.14 $52,170.19 2026-06-29
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 21 — — $6,764.00 $421,389.90 $188,280.59 2026-06-29
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 21 — — $6,566.00 $104,509.85 $47,635.85 2026-06-29
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 20 — — $46,172.67 $120,213.85 $53,712.57 2026-06-29
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 33 21 — — $6,764.00 $159,771.89 $65,859.73 2026-06-29
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 47 25 $123,522.00 $74,113.20 40% off $426.64 $92,641.50 $43,232.70 2026-06-29
Q2055 HCPCS Hc Abecma (including Apheresis) 47 26 $2,573,261.98 $1,543,957.19 40% off $411,721.92 $1,929,946.49 $836,872.71 2026-06-29
Q2058 HCPCS Hc Aucatzyl (including Apheresis) 47 25 $2,709,484.00 $1,625,690.40 40% off $264,337.50 $2,032,113.00 $948,319.40 2026-06-29
31100193 CDM Hc Auto Islet Cell Processing 33 20 $73,237.84 $43,942.70 40% off $35.00 $62,252.16 $42,477.95 2026-06-29
31100124 CDM Hc Auto Islet Cell Transplant 33 20 $111,534.80 $66,920.88 40% off $35.00 $94,804.58 $64,690.18 2026-06-29
Q2054 HCPCS Hc Breyanzi Car T 47 26 $2,630,508.07 $1,578,304.84 40% off $420,881.29 $1,972,881.05 $840,579.96 2026-06-29
C2624 HCPCS Hc Cardiomems Monitoring Device (implant) 80 22 $76,477.50 $45,886.50 40% off $12,236.40 $61,182.00 $48,635.87 2026-06-29
Q2056 HCPCS Hc Carvykti (including Apheresis) 49 26 $2,621,787.28 $1,573,072.37 40% off $419,485.96 $1,966,340.46 $1,232,240.02 2026-06-29
27800957 CDM Hc Catheter Set Pump Ventricular Assist Impella 40 22 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $54,039.85 2026-06-29
62400011 CDM Hc Clinical Trial Ide#g170152 Sapien 3 Transcatheter Heart Valve 30 20 $84,975.00 $50,985.00 40% off $13,596.00 $72,228.75 $49,285.50 2026-06-29
93653 CPT Hc Compreh Electroph Eval Source Of Atrial R 48 26 $87,788.83 $52,673.30 40% off $14,046.21 $132,420.55 $43,301.94 2026-06-29
93654 CPT Hc Compreh Electroph Eval With Treatment 48 26 $77,593.53 $46,556.12 40% off $12,414.96 $132,420.55 $40,965.31 2026-06-29
27802083 CDM Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l… 40 22 $66,280.50 $39,768.30 40% off $10,604.88 $53,024.40 $42,151.08 2026-06-29
27801923 CDM Hc Ecmo Lifesparc Blood Pump Kit With 29 Fr Protekduo Veno-venous Cannula (law5267… 40 22 $66,280.50 $39,768.30 40% off $10,604.88 $53,024.40 $42,151.08 2026-06-29
27801924 CDM Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Cannula (law5267… 40 22 $66,280.50 $39,768.30 40% off $10,604.88 $53,024.40 $42,151.08 2026-06-29
27801865 CDM Hc Evaheart Blood Pump Set Bp310 40 22 $184,500.00 $110,700.00 40% off $29,520.00 $147,600.00 $117,332.77 2026-06-29
37227 CPT Hc Fempop W Stent And Ather Lt 164 21 $81,835.93 $49,101.56 40% off $7,038.00 $69,560.54 $47,464.84 2026-06-29
81200013 CDM Hc Heart Lung Acq Cad 30 20 $229,221.08 $137,532.65 40% off $36,675.37 $194,837.92 $132,948.23 2026-06-29
81200014 CDM Hc Heart Lung Acq Cad Mcare 30 20 $229,221.08 $137,532.65 40% off $36,675.37 $194,837.92 $132,948.23 2026-06-29
27203217 CDM Hc Heart Valve Sapien Edwards 40 22 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $54,039.85 2026-06-29
27500234 CDM Hc Heartmate 3 Lvad Implant 40 22 $233,525.34 $140,115.20 40% off $37,364.05 $186,820.27 $148,510.44 2026-06-29
27801850 CDM Hc Heartware Hvad Pump 40 22 $207,132.00 $124,279.20 40% off $33,141.12 $165,705.60 $131,725.60 2026-06-29
0266T CPT Hc Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst 34 21 $83,197.21 $49,918.33 40% off $7,038.00 $117,001.30 $49,918.33 2026-06-29
27800190 CDM Hc Impella 5.0 40 22 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $54,039.85 2026-06-29
27801848 CDM Hc Impella 5.5 40 22 $100,860.00 $60,516.00 40% off $16,137.60 $80,688.00 $64,141.92 2026-06-29
33270 CPT Hc Ins/rep Subq Defibrilllator 48 26 $93,099.87 $55,859.92 40% off $21,943.90 $81,499.55 $46,519.21 2026-06-29
33249 CPT Hc Inser/repos Single (ep Lab) 49 27 $72,208.16 $43,324.90 40% off $21,852.74 $81,499.55 $39,714.49 2026-06-29
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 48 26 $93,596.86 $56,158.12 40% off $32,454.62 $117,001.30 $52,287.45 2026-06-29
0408T CPT Hc Insj/rplc Car Modulj Sys Pls Gen Transvns Eltrd 48 26 $78,876.17 $47,325.70 40% off $7,038.00 $81,499.55 $39,667.13 2026-06-29
0424T CPT Hc Insj/rplc Nstim System Sleep Apnea Complete 33 20 $86,663.76 $51,998.26 40% off $7,038.00 $103,953.90 $51,998.26 2026-06-29
27801843 CDM Hc Kit Artificial Heart Carmat 40 22 $639,108.00 $383,464.80 40% off $102,257.28 $511,286.40 $406,440.73 2026-06-29
27800187 CDM Hc Kit, Heartmate Ii Vad Implant 40 22 $199,260.00 $119,556.00 40% off $31,881.60 $159,408.00 $126,719.39 2026-06-29
Q2042 HCPCS Hc Kymriah-adult (incl Apheresis) 48 26 $2,303,448.96 $1,382,069.38 40% off $368,551.83 $1,727,586.72 $1,074,499.34 2026-06-29
27801927 CDM Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 17 Fr Arterial Cannu… 40 22 $66,280.50 $39,768.30 40% off $10,604.88 $53,024.40 $42,151.08 2026-06-29
27801928 CDM Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 15 Fr Arterial Cannu… 40 22 $66,280.50 $39,768.30 40% off $10,604.88 $53,024.40 $42,151.08 2026-06-29
27801929 CDM Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 17 Fr Arterial Cannu… 40 22 $66,280.50 $39,768.30 40% off $10,604.88 $53,024.40 $42,151.08 2026-06-29
81200007 CDM Hc Liver Acq Cad 30 20 $212,024.80 $127,214.88 40% off $33,923.97 $180,221.08 $122,974.38 2026-06-29
81200008 CDM Hc Liver Acq Cad Mcare 30 20 $212,024.80 $127,214.88 40% off $33,923.97 $180,221.08 $122,974.38 2026-06-29
81100003 CDM Hc Liver Acq Living 30 20 $137,258.16 $82,354.90 40% off $21,961.31 $116,669.44 $79,609.73 2026-06-29
81100002 CDM Hc Liver Acq Living Mcare 30 20 $137,258.16 $82,354.90 40% off $21,961.31 $116,669.44 $79,609.73 2026-06-29
81200011 CDM Hc Lung Acq Double Cad 30 20 $205,292.71 $123,175.63 40% off $32,846.83 $174,498.80 $119,069.77 2026-06-29
81200012 CDM Hc Lung Acq Double Cad Mcare 30 20 $205,292.71 $123,175.63 40% off $32,846.83 $174,498.80 $119,069.77 2026-06-29
81200009 CDM Hc Lung Acq Single Cad 30 20 $180,336.74 $108,202.04 40% off $28,853.88 $153,286.23 $104,595.31 2026-06-29
81200010 CDM Hc Lung Acq Single Cad Mcare 30 20 $180,336.74 $108,202.04 40% off $28,853.88 $153,286.23 $104,595.31 2026-06-29
81500007 CDM Hc Marrow Acquisition Usa 32 20 $102,500.00 $61,500.00 40% off $16,400.00 $87,125.00 $59,450.00 2026-06-29
27801815 CDM Hc Mitraclip Delivery System Kit (w/guiding Cath) 40 22 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $54,039.85 2026-06-29
81500015 CDM Hc Pbsc Acquistion US 32 20 $89,560.00 $53,736.00 40% off $14,329.60 $76,126.00 $51,944.80 2026-06-29
81500059 CDM Hc Pbsc Second Acquisition US 32 20 $89,560.00 $53,736.00 40% off $14,329.60 $76,126.00 $51,944.80 2026-06-29
81500022 CDM Hc Related Donor Acquisition 32 20 $93,356.34 $56,013.80 40% off $14,937.01 $79,352.89 $54,146.68 2026-06-29
33264 CPT Hc Remove&replace Cvd Gen M (ep Lab) 52 26 $73,984.58 $44,390.75 40% off $19,034.00 $81,499.55 $39,667.13 2026-06-29
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 62 26 $84,763.57 $50,858.14 40% off $7,038.00 $63,572.68 $39,715.75 2026-06-29
37274 CPT Hc Revsc Evasc Fpvt Athrc Uni Cplx Les Ea Addl Vsl 33 20 $66,258.72 $39,755.23 40% off $10,601.40 $56,319.91 $39,755.23 2026-06-29
37272 CPT Hc Revsc Evasc Fpvt Athrc Uni Sf Les Ea Addl Vsl 33 20 $66,258.72 $39,755.23 40% off $10,601.40 $56,319.91 $39,755.23 2026-06-29
37277 CPT Hc Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 47 25 $122,753.89 $73,652.33 40% off $10,564.28 $92,065.42 $42,963.86 2026-06-29
37276 CPT Hc Revsc Evasc Fpvt St Athrc Uni Sf Les Ea Addl Vsl 33 20 $122,753.89 $73,652.33 40% off $19,640.62 $104,340.81 $73,652.33 2026-06-29
37294 CPT Hc Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl 47 25 $84,427.20 $50,656.32 40% off $10,320.97 $63,320.40 $39,592.62 2026-06-29
37278 CPT Hc Revsc Evsc Fpvt St Athrc Uni Cplx Les Ea Add Vsl 33 20 $122,753.89 $73,652.33 40% off $19,640.62 $104,340.81 $73,652.33 2026-06-29
C1822 HCPCS Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys 77 22 $59,366.93 $35,620.16 40% off $9,498.71 $67,980.00 $41,556.85 2026-06-29
C1823 HCPCS Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads 39 22 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $55,233.75 2026-06-29
27801855 CDM Hc Shell Generator, Neurostimulator, Non-recharge With Carotid 40 22 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $54,039.85 2026-06-29
81200004 CDM Hc Std Acq Chg Cadaver Heart 30 20 $229,516.31 $137,709.79 40% off $36,722.61 $195,088.86 $133,119.46 2026-06-29
81200001 CDM Hc Std Acq Chg Cadaver Kidney 30 20 $193,242.40 $115,945.44 40% off $30,918.78 $164,256.04 $112,080.59 2026-06-29
81200003 CDM Hc Std Acq Chg Cadaver Kidney/pancreas 30 20 $329,040.87 $197,424.52 40% off $52,646.54 $279,684.74 $190,843.70 2026-06-29
81200002 CDM Hc Std Acq Chg Cadaver Pancreas 30 20 $106,529.28 $63,917.57 40% off $17,044.68 $90,549.89 $61,786.98 2026-06-29
81100001 CDM Hc Std Acq Chg Live Donor Kidney 30 20 $128,449.36 $77,069.62 40% off $20,551.90 $109,181.96 $74,500.63 2026-06-29
27801844 CDM Hc Syncardia Total Artificial Heart System 40 22 $738,000.00 $442,800.00 40% off $118,080.00 $590,400.00 $469,331.10 2026-06-29
Q2053 HCPCS Hc Tecartus (including Apheresis) 48 26 $2,383,505.36 $1,430,103.22 40% off $381,360.86 $1,787,629.02 $769,409.47 2026-06-29
Q2057 HCPCS Hc Tecelra Autoleucel (includeing Leukapheresis) 48 26 $3,541,780.23 $2,125,068.14 40% off $566,684.84 $2,656,335.17 $1,464,178.00 2026-06-29
81500021 CDM Hc Unrelated Donor Acquisition US 32 20 $141,579.31 $84,947.59 40% off $22,652.69 $120,342.41 $82,116.00 2026-06-29
81200016 CDM Hc Uterus Acq Cadaveric Donor 30 20 $91,900.00 $55,140.00 40% off $14,704.00 $78,115.00 $53,302.00 2026-06-29
81200015 CDM Hc Uterus Acq Living Donor 30 20 $91,900.00 $55,140.00 40% off $14,704.00 $78,115.00 $53,302.00 2026-06-29
Q2041 HCPCS Hc Yescarta (including Apheresis) 48 26 $2,601,654.52 $1,560,992.71 40% off $416,264.72 $1,951,240.89 $836,332.74 2026-06-29
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 16 — — $105,000.00 $624,232.37 $246,567.47 2026-06-29
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 16 — — $91,177.50 $286,823.00 $100,775.14 2026-06-29
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 39 21 — — $6,566.00 $136,351.96 $62,149.56 2026-06-29
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 21 — — $6,566.00 $110,007.32 $50,141.61 2026-06-29
13 APR_DRG Inpatient Aprdrg 0013: Liver Transplant And/or Intestinal Transplant 5 5 — — $45,283.38 $48,453.21 $45,283.38 2026-06-29
14 APR_DRG Inpatient Aprdrg 0014: Liver Transplant And/or Intestinal Transplant 5 5 — — $87,890.60 $94,042.93 $87,890.60 2026-06-29
22 APR_DRG Inpatient Aprdrg 0022: Heart And/or Lung Transplant 5 5 — — $48,546.09 $51,944.32 $48,546.09 2026-06-29
23 APR_DRG Inpatient Aprdrg 0023: Heart And/or Lung Transplant 5 5 — — $60,430.98 $64,661.15 $60,430.98 2026-06-29
24 APR_DRG Inpatient Aprdrg 0024: Heart And/or Lung Transplant 5 5 — — $245,355.46 $262,530.33 $245,355.46 2026-06-29
42 APR_DRG Inpatient Aprdrg 0042: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $42,698.43 $45,687.32 $42,698.43 2026-06-29
43 APR_DRG Inpatient Aprdrg 0043: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $65,305.42 $69,876.80 $65,305.42 2026-06-29
44 APR_DRG Inpatient Aprdrg 0044: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $101,572.02 $108,682.06 $101,572.02 2026-06-29
52 APR_DRG Inpatient Aprdrg 0052: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 5 5 — — $42,976.04 $45,984.36 $42,976.04 2026-06-29
53 APR_DRG Inpatient Aprdrg 0053: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 5 5 — — $47,059.69 $50,353.86 $47,059.69 2026-06-29
54 APR_DRG Inpatient Aprdrg 0054: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 5 5 — — $65,327.63 $69,900.56 $65,327.63 2026-06-29
61 APR_DRG Inpatient Aprdrg 0061: Pancreas Transplant 5 5 — — $46,419.99 $49,669.39 $46,419.99 2026-06-29
62 APR_DRG Inpatient Aprdrg 0062: Pancreas Transplant 5 5 — — $47,027.17 $50,319.07 $47,027.17 2026-06-29
63 APR_DRG Inpatient Aprdrg 0063: Pancreas Transplant 5 5 — — $51,993.22 $55,632.74 $51,993.22 2026-06-29
64 APR_DRG Inpatient Aprdrg 0064: Pancreas Transplant 5 5 — — $80,455.01 $86,086.85 $80,455.01 2026-06-29
71 APR_DRG Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant 5 5 — — $45,616.51 $48,809.66 $45,616.51 2026-06-29
72 APR_DRG Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant 5 5 — — $69,469.97 $74,332.86 $69,469.97 2026-06-29
73 APR_DRG Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 5 5 — — $103,395.13 $110,632.78 $103,395.13 2026-06-29
74 APR_DRG Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 5 5 — — $293,018.76 $313,530.05 $293,018.76 2026-06-29
83 APR_DRG Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $59,169.44 $63,311.30 $59,169.44 2026-06-29
84 APR_DRG Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $87,538.43 $93,666.11 $87,538.43 2026-06-29
91 APR_DRG Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $54,354.09 $58,158.88 $54,354.09 2026-06-29
92 APR_DRG Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $56,046.72 $59,969.99 $56,046.72 2026-06-29
93 APR_DRG Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $85,216.81 $91,181.99 $85,216.81 2026-06-29
94 APR_DRG Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $173,452.44 $185,594.10 $173,452.44 2026-06-29
112 APR_DRG Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 5 5 — — $47,655.76 $50,991.66 $47,655.76 2026-06-29
113 APR_DRG Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 5 5 — — $68,575.67 $73,375.96 $68,575.67 2026-06-29
114 APR_DRG Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 5 5 — — $120,678.34 $129,125.82 $120,678.34 2026-06-29
214 APR_DRG Inpatient Aprdrg 0214: Open Craniotomy Except Trauma 5 5 — — $42,078.17 $45,023.64 $42,078.17 2026-06-29
224 APR_DRG Inpatient Aprdrg 0224: Ventricular Shunt Procedures 5 5 — — $41,760.90 $44,684.16 $41,760.90 2026-06-29
234 APR_DRG Inpatient Aprdrg 0234: Spinal Procedures 5 5 — — $48,451.31 $51,842.90 $48,451.31 2026-06-29
264 APR_DRG Inpatient Aprdrg 0264: Other Nervous System And Related Procedures 5 5 — — $45,202.48 $48,366.65 $45,202.48 2026-06-29
434 APR_DRG Inpatient Aprdrg 0434: Multiple Sclerosis, Other Demyelinating Disease And Infla… 5 5 — — $56,109.78 $60,037.46 $56,109.78 2026-06-29
894 APR_DRG Inpatient Aprdrg 0894: Major Cranial Or Facial Bone Procedures 5 5 — — $39,287.79 $42,037.94 $39,287.79 2026-06-29
1204 APR_DRG Inpatient Aprdrg 1204: Major Respiratory And Chest Procedures 5 5 — — $39,865.22 $42,655.78 $39,865.22 2026-06-29
1604 APR_DRG Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $85,935.03 $91,950.48 $85,935.03 2026-06-29
1611 APR_DRG Inpatient Aprdrg 1611: Implantable Heart Assist Systems 5 5 — — $65,790.05 $70,395.35 $65,790.05 2026-06-29
1612 APR_DRG Inpatient Aprdrg 1612: Implantable Heart Assist Systems 5 5 — — $69,368.84 $74,224.66 $69,368.84 2026-06-29
1613 APR_DRG Inpatient Aprdrg 1613: Implantable Heart Assist Systems 5 5 — — $96,500.48 $103,255.51 $96,500.48 2026-06-29
1614 APR_DRG Inpatient Aprdrg 1614: Implantable Heart Assist Systems 5 5 — — $185,145.78 $198,105.97 $185,145.78 2026-06-29
1623 APR_DRG Inpatient Aprdrg 1623: Cardiac Valve Procedures With Ami Or Complex Principal Di… 5 5 — — $42,178.11 $45,130.58 $42,178.11 2026-06-29
1624 APR_DRG Inpatient Aprdrg 1624: Cardiac Valve Procedures With Ami Or Complex Principal Di… 5 5 — — $74,963.88 $80,211.34 $74,963.88 2026-06-29
1634 APR_DRG Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Principal… 5 5 — — $44,677.79 $47,805.24 $44,677.79 2026-06-29
1674 APR_DRG Inpatient Aprdrg 1674: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $56,967.20 $60,954.90 $56,967.20 2026-06-29
1694 APR_DRG Inpatient Aprdrg 1694: Major Abdominal Vascular Procedures 5 5 — — $40,027.82 $42,829.77 $40,027.82 2026-06-29
1784 APR_DRG Inpatient Aprdrg 1784: External Heart Assist Systems 5 5 — — $58,170.44 $62,242.37 $58,170.44 2026-06-29
1824 APR_DRG Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures 5 5 — — $44,704.36 $47,833.67 $44,704.36 2026-06-29
2004 APR_DRG Inpatient Aprdrg 2004: Cardiac Structural And Valvular Disorders 5 5 — — $112,143.42 $119,993.45 $112,143.42 2026-06-29
2054 APR_DRG Inpatient Aprdrg 2054: Cardiomyopathy 5 5 — — $43,811.65 $46,878.46 $43,811.65 2026-06-29
2204 APR_DRG Inpatient Aprdrg 2204: Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $49,565.32 $53,034.89 $49,565.32 2026-06-29
2304 APR_DRG Inpatient Aprdrg 2304: Major Small Bowel Procedures 5 5 — — $41,926.28 $44,861.12 $41,926.28 2026-06-29
2464 APR_DRG Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency 5 5 — — $83,333.03 $89,166.34 $83,333.03 2026-06-29
3033 APR_DRG Inpatient Aprdrg 3033: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $44,740.45 $47,872.28 $44,740.45 2026-06-29
3034 APR_DRG Inpatient Aprdrg 3034: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $52,887.12 $56,589.22 $52,887.12 2026-06-29
3044 APR_DRG Inpatient Aprdrg 3044: Dorsal And Lumbar Fusion Procedure Except For Curvature O… 5 5 — — $43,935.78 $47,011.28 $43,935.78 2026-06-29
3154 APR_DRG Inpatient Aprdrg 3154: Shoulder, Upper Arm And Forearm Procedures Except Joint R… 5 5 — — $40,164.25 $42,975.74 $40,164.25 2026-06-29
4403 APR_DRG Inpatient Aprdrg 4403: Kidney Transplant 5 5 — — $40,167.02 $42,978.71 $40,167.02 2026-06-29
4404 APR_DRG Inpatient Aprdrg 4404: Kidney Transplant 5 5 — — $65,627.45 $70,221.37 $65,627.45 2026-06-29
4414 APR_DRG Inpatient Aprdrg 4414: Major Bladder Procedures 5 5 — — $62,107.35 $66,454.86 $62,107.35 2026-06-29
4424 APR_DRG Inpatient Aprdrg 4424: Kidney And Urinary Tract Procedures For Malignancy 5 5 — — $41,532.07 $44,439.32 $41,532.07 2026-06-29
4474 APR_DRG Inpatient Aprdrg 4474: Other Kidney, Urinary Tract And Related Procedures 5 5 — — $49,179.84 $52,622.42 $49,179.84 2026-06-29
4834 APR_DRG Inpatient Aprdrg 4834: Penis, Testes And Scrotal Procedures 5 5 — — $39,713.73 $42,493.68 $39,713.73 2026-06-29
5831 APR_DRG Inpatient Aprdrg 5831: Neonate With Ecmo 5 5 — — $111,903.48 $119,736.72 $111,903.48 2026-06-29
5832 APR_DRG Inpatient Aprdrg 5832: Neonate With Ecmo 5 5 — — $127,087.97 $135,984.12 $127,087.97 2026-06-29
5833 APR_DRG Inpatient Aprdrg 5833: Neonate With Ecmo 5 5 — — $255,054.77 $272,908.59 $255,054.77 2026-06-29
5834 APR_DRG Inpatient Aprdrg 5834: Neonate With Ecmo 5 5 — — $301,211.43 $322,296.21 $301,211.43 2026-06-29
5881 APR_DRG Inpatient Aprdrg 5881: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $95,990.47 $102,709.80 $95,990.47 2026-06-29
5882 APR_DRG Inpatient Aprdrg 5882: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $101,835.35 $108,963.82 $101,835.35 2026-06-29
5883 APR_DRG Inpatient Aprdrg 5883: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $102,302.93 $109,464.13 $102,302.93 2026-06-29
5884 APR_DRG Inpatient Aprdrg 5884: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $190,661.89 $204,008.22 $190,661.89 2026-06-29
5891 APR_DRG Inpatient Aprdrg 5891: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999… 5 5 — — $80,448.66 $86,080.06 $80,448.66 2026-06-29
5892 APR_DRG Inpatient Aprdrg 5892: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999… 5 5 — — $77,971.19 $83,429.17 $77,971.19 2026-06-29
5893 APR_DRG Inpatient Aprdrg 5893: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999… 5 5 — — $73,135.22 $78,254.68 $73,135.22 2026-06-29
5912 APR_DRG Inpatient Aprdrg 5912: Neonate Birth Weight 500-749 Grams Without Major Procedur… 5 5 — — $52,528.61 $56,205.61 $52,528.61 2026-06-29
5913 APR_DRG Inpatient Aprdrg 5913: Neonate Birth Weight 500-749 Grams Without Major Procedur… 5 5 — — $63,620.33 $68,073.75 $63,620.33 2026-06-29
5914 APR_DRG Inpatient Aprdrg 5914: Neonate Birth Weight 500-749 Grams Without Major Procedur… 5 5 — — $96,614.30 $103,377.29 $96,614.30 2026-06-29
5932 APR_DRG Inpatient Aprdrg 5932: Neonate Birth Weight 750-999 Grams Without Major Procedur… 5 5 — — $45,007.36 $48,157.87 $45,007.36 2026-06-29
5933 APR_DRG Inpatient Aprdrg 5933: Neonate Birth Weight 750-999 Grams Without Major Procedur… 5 5 — — $57,286.05 $61,296.08 $57,286.05 2026-06-29
5934 APR_DRG Inpatient Aprdrg 5934: Neonate Birth Weight 750-999 Grams Without Major Procedur… 5 5 — — $80,207.93 $85,822.48 $80,207.93 2026-06-29
6023 APR_DRG Inpatient Aprdrg 6023: Neonate Birth Weight 1000-1249 Grams With Respiratory Dis… 5 5 — — $47,653.77 $50,989.54 $47,653.77 2026-06-29
6024 APR_DRG Inpatient Aprdrg 6024: Neonate Birth Weight 1000-1249 Grams With Respiratory Dis… 5 5 — — $73,733.67 $78,895.02 $73,733.67 2026-06-29
6034 APR_DRG Inpatient Aprdrg 6034: Neonate Birth Weight 1000-1249 Grams With Or Without Sign… 5 5 — — $82,903.13 $88,706.35 $82,903.13 2026-06-29
6074 APR_DRG Inpatient Aprdrg 6074: Neonate Birth Weight 1250-1499 Grams With Respiratory Dis… 5 5 — — $52,014.63 $55,655.66 $52,014.63 2026-06-29
6084 APR_DRG Inpatient Aprdrg 6084: Neonate Birth Weight 1250-1499 Grams With Or Without Sign… 5 5 — — $63,439.88 $67,880.67 $63,439.88 2026-06-29
6093 APR_DRG Inpatient Aprdrg 6093: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $45,229.84 $48,395.93 $45,229.84 2026-06-29
6094 APR_DRG Inpatient Aprdrg 6094: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $140,607.98 $150,450.53 $140,607.98 2026-06-29
6114 APR_DRG Inpatient Aprdrg 6114: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $57,220.22 $61,225.63 $57,220.22 2026-06-29
6134 APR_DRG Inpatient Aprdrg 6134: Neonate Birth Weight 1500-1999 Grams With Congenital Or P… 5 5 — — $49,295.24 $52,745.91 $49,295.24 2026-06-29
6144 APR_DRG Inpatient Aprdrg 6144: Neonate Birth Weight 1500-1999 Grams With Or Without Othe… 5 5 — — $42,249.89 $45,207.38 $42,249.89 2026-06-29
6214 APR_DRG Inpatient Aprdrg 6214: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $70,018.45 $74,919.74 $70,018.45 2026-06-29
6303 APR_DRG Inpatient Aprdrg 6303: Neonate Birth Weight > 2499 Grams With Major Cardiovascul… 5 5 — — $66,863.61 $71,544.06 $66,863.61 2026-06-29
6304 APR_DRG Inpatient Aprdrg 6304: Neonate Birth Weight > 2499 Grams With Major Cardiovascul… 5 5 — — $141,865.16 $151,795.71 $141,865.16 2026-06-29
6314 APR_DRG Inpatient Aprdrg 6314: Neonate Birth Weight > 2499 Grams With Other Major Proced… 5 5 — — $100,125.27 $107,134.04 $100,125.27 2026-06-29
6334 APR_DRG Inpatient Aprdrg 6334: Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $53,211.53 $56,936.33 $53,211.53 2026-06-29
6514 APR_DRG Inpatient Aprdrg 6514: Other Procedures Of Blood And Blood-forming Organs 5 5 — — $42,832.08 $45,830.32 $42,832.08 2026-06-29
6804 APR_DRG Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic, Hematopoietic Or Oth… 5 5 — — $63,620.33 $68,073.75 $63,620.33 2026-06-29
6814 APR_DRG Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic, Hematopoietic Or Ot… 5 5 — — $85,983.02 $92,001.82 $85,983.02 2026-06-29
6904 APR_DRG Inpatient Aprdrg 6904: Acute Leukemia 5 5 — — $56,455.60 $60,407.49 $56,455.60 2026-06-29
6954 APR_DRG Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia 5 5 — — $43,755.33 $46,818.20 $43,755.33 2026-06-29
7924 APR_DRG Inpatient Aprdrg 7924: Extensive O.r. Procedures For Other Complications Of Trea… 5 5 — — $43,946.49 $47,022.74 $43,946.49 2026-06-29
8413 APR_DRG Inpatient Aprdrg 8413: Extensive Third Degree Burns With Skin Graft 5 5 — — $43,710.52 $46,770.25 $43,710.52 2026-06-29
8414 APR_DRG Inpatient Aprdrg 8414: Extensive Third Degree Burns With Skin Graft 5 5 — — $101,135.38 $108,214.85 $101,135.38 2026-06-29
8504 APR_DRG Inpatient Aprdrg 8504: Procedure With Diagnosis Of Rehabilitation, Aftercare Or … 5 5 — — $97,487.58 $104,311.71 $97,487.58 2026-06-29
8634 APR_DRG Inpatient Aprdrg 8634: Neonatal Aftercare 5 5 — — $67,512.02 $72,237.86 $67,512.02 2026-06-29
9104 APR_DRG Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma 5 5 — — $48,276.02 $51,655.34 $48,276.02 2026-06-29
9114 APR_DRG Inpatient Aprdrg 9114: Extensive Abdominal Or Thoracic Procedures For Multiple S… 5 5 — — $40,899.91 $43,762.91 $40,899.91 2026-06-29
9504 APR_DRG Inpatient Aprdrg 9504: Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $46,842.76 $50,121.75 $46,842.76 2026-06-29
9524 APR_DRG Inpatient Aprdrg 9524: Non-extensive O.r. Procedure Unrelated To Principal Diagn… 5 5 — — $41,277.07 $44,166.46 $41,277.07 2026-06-29
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 39 21 — — $6,566.00 $117,919.40 $53,747.95 2026-06-29
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 37 20 — — $6,566.00 $175,277.52 $79,891.93 2026-06-29
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 16 — — $30,000.00 $239,019.00 $42,863.81 2026-06-29
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 17 — — $83,106.77 $239,019.00 $91,854.85 2026-06-29
6 MS_DRG Liver Transplant Without Mcc 19 16 — — $38,272.64 $239,019.00 $42,301.34 2026-06-29
7 MS_DRG Lung Transplant 22 15 — — $103,966.72 $286,823.00 $114,910.58 2026-06-29
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 39 21 — — $6,566.00 $130,638.42 $59,545.31 2026-06-29
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 39 21 — — $6,566.00 $102,126.42 $46,549.47 2026-06-29
653 MS_DRG Major Bladder Procedures With Mcc 37 21 — — $40,368.75 $115,749.81 $53,237.60 2026-06-29
163 MS_DRG Major Chest Procedures With Mcc 39 21 — — $6,566.00 $99,832.10 $46,795.16 2026-06-29
140 MS_DRG Major Head And Neck Procedures With Mcc 39 21 — — $6,566.00 $95,009.56 $43,305.59 2026-06-29
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 37 21 — — $35,708.37 $102,387.04 $47,094.80 2026-06-29
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 21 — — $37,904.00 $245,497.23 $102,898.21 2026-06-29
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 21 — — $37,904.00 $160,794.32 $67,727.03 2026-06-29
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 21 — — $37,904.00 $125,230.05 $52,959.68 2026-06-29
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 21 — — $37,904.00 $148,832.64 $62,760.18 2026-06-29
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 36 21 — — $32,945.08 $94,463.82 $40,184.61 2026-06-29
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 39 21 — — $6,566.00 $104,197.99 $47,493.70 2026-06-29
228 MS_DRG Other Cardiothoracic Procedures With Mcc 41 23 — — $38,434.37 $122,629.32 $53,800.54 2026-06-29
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 21 — — $6,566.00 $97,849.62 $44,600.10 2026-06-29
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 40 22 — — $6,764.00 $99,411.10 $46,134.00 2026-06-29
215 MS_DRG Other Heart Assist System Implant 39 21 — — $6,566.00 $246,800.38 $101,093.42 2026-06-29
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 37 21 — — $32,263.00 $92,508.07 $42,487.70 2026-06-29
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 39 21 — — $6,566.00 $93,590.64 $42,658.84 2026-06-29
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 38 22 — — $40,989.46 $130,781.64 $55,683.54 2026-06-29
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 40 22 — — $9,711.00 $93,864.62 $41,981.66 2026-06-29
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 22 — — $9,711.00 $169,733.27 $75,138.20 2026-06-29
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 39 21 — — $6,566.00 $88,745.83 $40,450.57 2026-06-29
10 MS_DRG Pancreas Transplant 18 16 — — $55,799.95 $144,300.90 $64,401.18 2026-06-29
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 37 21 — — $42,498.13 $121,855.39 $56,001.86 2026-06-29
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 37 21 — — $32,049.36 $91,895.51 $44,751.98 2026-06-29
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 40 22 — — $29,996.12 $86,008.23 $39,360.72 2026-06-29
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 39 21 — — $6,566.00 $101,322.29 $46,182.95 2026-06-29
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 21 — — $49,988.61 $143,332.94 $65,830.34 2026-06-29
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 22 — — $37,122.00 $115,950.29 $53,434.28 2026-06-29
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 37 21 — — $53,695.01 $153,960.35 $70,744.58 2026-06-29
C1604 HCPCS Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass … 40 22 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $54,039.85 2026-06-29
C1605 HCPCS Shell C1605, Ptd, Pacemaker, Leadless, Dual Chamber, Rate-responsive, Including … 40 22 $81,576.00 $48,945.60 40% off $13,052.16 $65,260.80 $51,878.26 2026-06-29
C1736 HCPCS Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd 33 20 $67,980.00 $40,788.00 40% off $10,876.80 $57,783.00 $40,788.00 2026-06-29
27801917 CDM Shell Generator, Cardiac Contractility Modulation 40 22 $84,975.00 $50,985.00 40% off $13,596.00 $67,980.00 $54,039.85 2026-06-29
27802052 CDM Shell, No Hcpcs, For Lvad Implants Only 225 22 $100,860.00 $60,516.00 40% off $414.01 $186,820.27 $67,980.00 2026-06-29
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 16 — — $45,918.97 $161,339.00 $50,752.55 2026-06-29
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 18 — — $58,009.60 $161,339.00 $64,115.88 2026-06-29
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 36 21 — — $37,904.00 $118,716.84 $50,255.20 2026-06-29
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 48 26 $187,807.50 $112,684.50 40% off $30,049.20 $140,855.62 $77,538.95 2026-06-29
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 39 21 — — $6,566.00 $109,174.23 $49,761.88 2026-06-29
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 37 21 — — $50,895.21 $145,932.43 $67,058.90 2026-06-29
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 22 — — $37,499.00 $187,185.73 $85,319.72 2026-06-29
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 22 — — $37,499.00 $132,828.05 $60,543.35 2026-06-29
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 22 — — $32,415.26 $92,944.66 $42,364.41 2026-06-29
28 MS_DRG Spinal Procedures With Mcc 40 22 — — $27,500.00 $133,834.88 $59,449.71 2026-06-29
799 MS_DRG Splenic Procedures With Mcc 37 21 — — $35,183.21 $100,881.25 $46,378.14 2026-06-29
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 37 21 — — $38,745.12 $111,094.34 $51,087.62 2026-06-29
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 39 21 — — $6,566.00 $93,911.40 $42,805.05 2026-06-29
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 39 21 — — $6,566.00 $121,490.08 $55,375.48 2026-06-29
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 39 21 — — $6,566.00 $308,539.93 $140,322.13 2026-06-29
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 22 — — $27,798.00 $123,987.10 $57,619.60 2026-06-29
31 MS_DRG Ventricular Shunt Procedures With Mcc 40 22 — — $34,807.21 $99,803.14 $44,576.96 2026-06-29
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 22 — — $9,711.00 $126,956.36 $56,443.60 2026-06-29
901 MS_DRG Wound Debridements For Injuries With Mcc 39 21 — — $6,566.00 $93,479.26 $42,608.08 2026-06-29
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