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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 SCOTT & WHITE THE HEART HOSPITAL PLANO

Plano, TX · CCN 670025 · Rates published

14,278 distinct procedures filed
22 distinct payers
2,537,932 rate rows
2026-02-20 last MRF observed
Data quality

2,525,899 of 2,537,932 rate rows are consumer-grade (99.5%)

12,033 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 5,255
per-diem day rate — not a per-procedure price 4,383
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 966
exceeds 10× this hospital's gross charge — excluded from medians 932
template filing: same amount across many unrelated codes — excluded 497
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/412101361_baylor-scott--white-the-heart-hospital--plano_standardcharges.csv
Found on page https://www.bswhealth.com/patient-tools/patient-registration-and-billing/estimate-your-cost-care/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 0c5db35158b59f21… · 396,384,832 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
Q2041
HCPCS 		Hc Yescarta (including Apheresis) 22 $225,267.60 $1,535,915.46 $1,126,338.00 nat. median
$634,511
1.8× median
Q2042
HCPCS 		Hc Kymriah-adult (incl Apheresis) 22 $221,264.45 $1,508,621.25 $1,106,322.25 nat. median
$754,974
1.5× median
Q2056
HCPCS 		Hc Carvykti (including Apheresis) 22 $219,669.45 $1,497,746.25 $1,098,347.25 nat. median
$675,122
1.6× median
Q2055
HCPCS 		Hc Abecma (including Apheresis) 22 $217,545.46 $1,483,264.50 $1,087,727.30 nat. median
$625,184
1.7× median
Q2054
HCPCS 		Hc Breyanzi Car T 22 $216,856.20 $1,478,565.00 $1,084,281.00 nat. median
$674,188
1.6× median
Q2053
HCPCS 		Hc Tecartus (including Apheresis) 22 $200,340.63 $1,365,958.87 $1,001,703.17 nat. median
$620,080
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $184,815.57 $948,285.82 $566,550.69 nat. median
$265,286
outlier · 2.1×
27801844
CDM 		Hc Syncardia Total Artificial Heart System 19 $81,180.00 $590,400.00 $491,508.00 nat. median
$491,508
1.0× median
27801843
CDM 		Hc Kit Artificial Heart Carmat 19 $70,301.88 $511,286.40 $425,645.93 nat. median
$425,646
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $247,438.16 $1,269,601.41 $324,518.64 nat. median
$370,174
0.9× median
5834
APR_DRG 		Inpatient Aprdrg 5834: Neonate W Ecmo 1 $265,580.49 $265,580.49 $265,580.49 nat. median
$309,665
0.9× median
74
APR_DRG 		Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 1 $258,356.95 $258,356.95 $258,356.95 nat. median
$187,294
1.4× median
5833
APR_DRG 		Inpatient Aprdrg 5833: Neonate W Ecmo 1 $224,883.80 $224,883.80 $224,883.80 nat. median
$244,017
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $72,301.55 $370,978.20 $221,639.88 nat. median
$108,660
outlier · 2.0×
24
APR_DRG 		Inpatient Aprdrg 0024: Heart &/or Lung Transplant 1 $216,331.85 $216,331.85 $216,331.85 nat. median
$234,738
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $6,368.00 $721,494.81 $206,549.77 nat. median
$202,986
1.0× median
27801347-807157
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 19 $33,743.82 $245,409.60 $204,303.49 nat. median
$199,395
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $6,368.00 $798,628.06 $204,134.69 nat. median
$206,368
1.0× median
81200003
CDM 		Hc Std Acq Chg Cadaver Kidney/pancreas 16 $34,802.40 $237,289.09 $198,183.85 nat. median
$150,283
1.3× median
5884
APR_DRG 		Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 1 $168,108.09 $168,108.09 $168,108.09 nat. median
$246,434
0.7× median
1614
APR_DRG 		Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 1 $163,244.49 $163,244.49 $163,244.49 nat. median
$207,730
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 $52,011.95 $266,872.55 $159,442.25 nat. median
$71,240
outlier · 2.2×
81200017
CDM 		Hc Std Acq Chg Cadaver Liver/kidney 16 $27,433.47 $187,046.40 $156,221.15 nat. median
$144,649
1.1× median
27802052-445170
CDM 		Shell, No Hcpcs, For Lvad Implants Only 19 $25,687.79 $186,820.27 $155,527.88 nat. median
$151,791
1.0× median
27500234
CDM 		Hc Heartmate 3 Lvad Implant 19 $25,687.79 $186,820.27 $155,527.88 nat. median
$163,468
1.0× median
94
APR_DRG 		Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 1 $152,934.38 $152,934.38 $152,934.38 nat. median
$164,834
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $85,962.46 $227,387.10 $145,231.32 nat. median
$117,303
1.2× median
7
MS_DRG 		Lung Transplant 17 $85,745.95 $226,814.35 $144,865.52 nat. median
$122,708
1.2× median
27802052-778176
CDM 		Shell, No Hcpcs, For Lvad Implants Only 19 $23,677.50 $172,200.00 $143,356.50 nat. median
$139,912
1.0× median
81200004
CDM 		Hc Std Acq Chg Cadaver Heart 16 $24,275.76 $165,516.57 $138,239.44 nat. median
$121,379
1.1× median
81200013
CDM 		Hc Heart Lung Acq Cad 16 $24,244.54 $165,303.66 $138,061.62 nat. median
$112,000
1.2× median
81200014
CDM 		Hc Heart Lung Acq Cad Mcare 16 $24,244.54 $165,303.66 $138,061.62 nat. median
$132,243
1.0× median
27801347-1196342
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 19 $22,784.52 $165,705.60 $137,949.91 nat. median
$134,636
1.0× median
27801850
CDM 		Hc Heartware Hvad Pump 19 $22,784.52 $165,705.60 $137,949.91 nat. median
$134,636
1.0× median
27801347-98612
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 19 $21,918.60 $159,408.00 $132,707.16 nat. median
$129,519
1.0× median
27800187
CDM 		Hc Kit, Heartmate Ii Vad Implant 19 $21,918.60 $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 19 $21,847.52 $158,891.04 $132,276.79 nat. median
$129,099
1.0× median
81200007
CDM 		Hc Liver Acq Cad 16 $22,425.70 $152,902.50 $127,704.17 nat. median
$100,508
1.3× median
81200008
CDM 		Hc Liver Acq Cad Mcare 16 $22,425.70 $152,902.50 $127,704.17 nat. median
$100,508
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $6,182.00 $475,686.45 $127,498.89 nat. median
$133,176
1.0× median
6304
APR_DRG 		Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 $125,083.63 $125,083.63 $125,083.63 nat. median
$150,721
0.8× median
6094
APR_DRG 		Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 1 $123,975.16 $123,975.16 $123,975.16 nat. median
$162,982
0.8× median
81200011
CDM 		Hc Lung Acq Double Cad 16 $21,713.65 $148,047.63 $123,649.38 nat. median
$98,622
1.3× median
81200012
CDM 		Hc Lung Acq Double Cad Mcare 16 $21,713.65 $148,047.63 $123,649.38 nat. median
$98,622
1.3× median
27801865
CDM 		Hc Evaheart Blood Pump Set Bp310 19 $20,295.00 $147,600.00 $122,877.00 nat. median
$122,877
1.0× median
27802052-389434
CDM 		Shell, No Hcpcs, For Lvad Implants Only 19 $19,753.80 $143,664.00 $119,600.28 nat. median
$116,727
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $69,871.98 $184,824.68 $118,046.87 nat. median
$100,136
1.2× median
81200001
CDM 		Hc Std Acq Chg Cadaver Kidney 16 $20,439.10 $139,357.50 $116,391.38 nat. median
$102,196
1.1× median
27201912-261835
CDM 		Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 17 $20,200.29 $137,729.25 $114,618.28 nat. median
$106,511
1.1× median
5832
APR_DRG 		Inpatient Aprdrg 5832: Neonate W Ecmo 1 $112,054.46 $112,054.46 $112,054.46 nat. median
$156,126
0.7× median

Other procedures at this hospital

Browse this hospital's 14,278 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
             
0266T HCPCS Hc Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst 105 22 $86,663.76 $51,998.26 40% off $6,546.00 $98,421.34 $47,665.07 2026-02-20
0266T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Total… 48 16 — — $6,546.00 $98,421.34 $45,353.89 2026-02-20
0408T HCPCS Hc Insj/rplc Car Modulj Sys Pls Gen Transvns Eltrd 108 22 $73,033.49 $43,820.09 40% off $6,546.00 $76,769.57 $40,168.42 2026-02-20
0424T HCPCS Hc Insj/rplc Nstim System Sleep Apnea Complete 74 17 $86,663.76 $51,998.26 40% off $6,546.00 $98,421.34 $56,331.44 2026-02-20
0427T HCPCS Hb Insj/rplc Nstim System Sleep Apnea Pls Generator 74 17 $57,401.50 $34,440.90 40% off $6,314.16 $98,421.34 $39,922.75 2026-02-20
0431T HCPCS Hb Rmvl/rplc Nstim System Sleep Apnea Pls Generator 74 17 $60,271.58 $36,162.95 40% off $6,546.00 $98,421.34 $41,918.89 2026-02-20
0643T HCPCS Hc Transcatheter L Ventr Restoration Device Impltj 72 16 $72,615.83 $43,569.50 40% off $2,380.00 $54,461.87 $39,938.71 2026-02-20
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 79 18 — — $184,815.57 $948,285.82 $566,550.69 2026-02-20
10 MS_DRG Pancreas Transplant 71 17 — — $52,311.80 $138,374.67 $88,379.40 2026-02-20
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 92 17 — — $6,182.00 $181,652.97 $48,688.69 2026-02-20
112 APR_DRG Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 1 — — $42,018.46 $42,018.46 $42,018.46 2026-02-20
113 APR_DRG Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 1 — — $60,463.71 $60,463.71 $60,463.71 2026-02-20
114 APR_DRG Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 1 — — $106,403.05 $106,403.05 $106,403.05 2026-02-20
13 APR_DRG Inpatient Aprdrg 0013: Liver Transplant &/or Intestinal Transplant 2 1 — — $39,926.71 $39,926.71 $39,926.71 2026-02-20
14 MS_DRG Allogeneic Bone Marrow Transplant 67 17 — — $85,962.46 $227,387.10 $145,231.32 2026-02-20
14 APR_DRG Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant 2 1 — — $77,493.83 $77,493.83 $77,493.83 2026-02-20
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 67 17 — — $39,602.25 $104,755.52 $66,906.96 2026-02-20
1604 APR_DRG Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $75,769.59 $75,769.59 $75,769.59 2026-02-20
1611 APR_DRG Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant 2 1 — — $58,007.60 $58,007.60 $58,007.60 2026-02-20
1612 APR_DRG Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant 2 1 — — $61,163.05 $61,163.05 $61,163.05 2026-02-20
1613 APR_DRG Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant 2 1 — — $85,085.23 $85,085.23 $85,085.23 2026-02-20
1614 APR_DRG Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 2 1 — — $163,244.49 $163,244.49 $163,244.49 2026-02-20
1624 APR_DRG Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx 2 1 — — $66,096.24 $66,096.24 $66,096.24 2026-02-20
163 MS_DRG Major Chest Procedures With Mcc 92 17 — — $6,182.00 $155,168.72 $41,590.09 2026-02-20
1634 APR_DRG Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Pdx 2 1 — — $39,392.76 $39,392.76 $39,392.76 2026-02-20
1674 APR_DRG Inpatient Aprdrg 1674: Other Cardiothoracic & Thoracic Vascular Procedures 2 1 — — $50,228.43 $50,228.43 $50,228.43 2026-02-20
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 67 17 — — $39,602.25 $104,755.52 $66,906.96 2026-02-20
1784 APR_DRG Inpatient Aprdrg 1784: External Heart Assist Systems 2 1 — — $51,289.34 $51,289.34 $51,289.34 2026-02-20
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 61 14 — — $247,438.16 $1,269,601.41 $324,518.64 2026-02-20
1824 APR_DRG Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures 2 1 — — $39,416.19 $39,416.19 $39,416.19 2026-02-20
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 70 17 — — $52,011.95 $266,872.55 $159,442.25 2026-02-20
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 79 18 — — $72,301.55 $370,978.20 $221,639.88 2026-02-20
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 92 17 — — $6,182.00 $271,376.93 $72,737.53 2026-02-20
2004 APR_DRG Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders 2 1 — — $98,877.73 $98,877.73 $98,877.73 2026-02-20
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 86 17 — — $42,432.07 $217,718.29 $64,594.39 2026-02-20
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 92 17 — — $6,182.00 $186,076.55 $49,874.35 2026-02-20
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 89 17 — — $6,368.00 $366,743.14 $104,991.34 2026-02-20
215 MS_DRG Other Heart Assist System Implant 92 17 — — $6,182.00 $356,673.94 $95,599.81 2026-02-20
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 98 18 — — $6,182.00 $324,904.28 $84,813.96 2026-02-20
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 98 18 — — $6,182.00 $217,405.20 $73,234.00 2026-02-20
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 98 18 — — $6,182.00 $200,283.18 $70,582.11 2026-02-20
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 98 18 — — $6,182.00 $260,482.94 $73,867.00 2026-02-20
22 APR_DRG Inpatient Aprdrg 0022: Heart &/or Lung Transplant 2 1 — — $42,803.47 $42,803.47 $42,803.47 2026-02-20
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 98 18 — — $6,182.00 $178,313.41 $64,980.59 2026-02-20
2204 APR_DRG Inpatient Aprdrg 2204: Major Stomach, Esophageal & Duodenal Procedures 2 1 — — $43,702.13 $43,702.13 $43,702.13 2026-02-20
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 98 18 — — $6,182.00 $154,609.88 $56,888.54 2026-02-20
222 MS_DRG Cardiac DRGs 3 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-20
223 MS_DRG Cardiac DRGs 3 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-20
224 MS_DRG Cardiac DRGs 3 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-20
225 MS_DRG Cardiac DRGs 3 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-20
226 MS_DRG Cardiac DRGs 3 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-20
227 MS_DRG Cardiac DRGs 3 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-20
228 MS_DRG Other Cardiothoracic Procedures With Mcc 98 18 — — $6,182.00 $167,762.79 $61,728.14 2026-02-20
23 APR_DRG Inpatient Aprdrg 0023: Heart &/or Lung Transplant 2 1 — — $53,282.47 $53,282.47 $53,282.47 2026-02-20
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 95 18 — — $35,154.00 $192,062.19 $50,383.40 2026-02-20
230 MS_DRG Cardiac DRGs 3 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-20
231 MS_DRG Coronary Bypass With Ptca With Mcc 98 18 — — $6,182.00 $285,273.84 $74,468.72 2026-02-20
232 MS_DRG Coronary Bypass With Ptca Without Mcc 98 18 — — $6,182.00 $205,649.39 $73,234.00 2026-02-20
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 98 18 — — $6,182.00 $263,139.11 $73,867.00 2026-02-20
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 98 18 — — $6,182.00 $179,104.53 $64,401.98 2026-02-20
234 APR_DRG Inpatient Aprdrg 0234: Spinal Procedures 2 1 — — $42,719.90 $42,719.90 $42,719.90 2026-02-20
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 98 18 — — $6,182.00 $198,091.59 $72,860.63 2026-02-20
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 98 18 — — $6,182.00 $138,433.85 $50,070.47 2026-02-20
237 MS_DRG Cardiac DRGs 3 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-20
238 MS_DRG Cardiac DRGs 3 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-20
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 92 17 — — $6,182.00 $169,567.24 $45,449.35 2026-02-20
24 APR_DRG Inpatient Aprdrg 0024: Heart &/or Lung Transplant 2 1 — — $216,331.85 $216,331.85 $216,331.85 2026-02-20
245 MS_DRG Aicd Generator Procedures 95 18 — — $29,293.00 $164,514.12 $43,156.75 2026-02-20
2464 APR_DRG Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency 2 1 — — $73,475.39 $73,475.39 $73,475.39 2026-02-20
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 95 18 — — $29,343.29 $150,559.98 $39,703.00 2026-02-20
264 APR_DRG Inpatient Aprdrg 0264: Other Nervous System & Related Procedures 2 1 — — $39,855.38 $39,855.38 $39,855.38 2026-02-20
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 95 18 — — $6,182.00 $201,680.28 $71,268.00 2026-02-20
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 95 18 — — $6,182.00 $158,383.73 $55,683.08 2026-02-20
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 92 17 — — $6,182.00 $224,464.75 $60,163.60 2026-02-20
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 92 17 — — $6,182.00 $172,802.45 $46,316.48 2026-02-20
27201912-261835 CDM Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 74 17 $183,639.00 $110,183.40 40% off $20,200.29 $137,729.25 $114,618.28 2026-02-20
27203217 CDM Hc Heart Valve Sapien Edwards 97 19 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-20
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 92 18 — — $6,368.00 $237,910.55 $80,278.48 2026-02-20
27500176-1256480 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 97 19 $59,370.33 $35,622.20 40% off $6,530.74 $47,496.26 $39,540.64 2026-02-20
27500176-143739 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 97 19 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-20
27500176-389049 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 97 19 $198,613.80 $119,168.28 40% off $21,847.52 $158,891.04 $132,276.79 2026-02-20
27500234 CDM Hc Heartmate 3 Lvad Implant 97 19 $233,525.34 $140,115.20 40% off $25,687.79 $186,820.27 $155,527.88 2026-02-20
276 MS_DRG Cardiac Defibrillator Implant With Mcc 92 18 — — $6,368.00 $208,534.48 $70,858.38 2026-02-20
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 92 18 — — $6,368.00 $156,606.21 $54,567.18 2026-02-20
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 89 17 — — $6,368.00 $168,436.09 $48,219.95 2026-02-20
27800187 CDM Hc Kit, Heartmate Ii Vad Implant 97 19 $199,260.00 $119,556.00 40% off $21,918.60 $159,408.00 $132,707.16 2026-02-20
27800190 CDM Hc Impella 5.0 97 19 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-20
27800957 CDM Hc Catheter Set Pump Ventricular Assist Impella 97 19 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-20
27801347-1004156 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $59,846.19 $35,907.71 40% off $6,583.08 $47,876.95 $39,857.56 2026-02-20
27801347-1033551 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $69,893.46 $41,936.08 40% off $7,688.28 $55,914.77 $46,549.04 2026-02-20
27801347-104268 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-20
27801347-1186553 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $61,182.00 $36,709.20 40% off $6,730.02 $48,945.60 $40,747.21 2026-02-20
27801347-1189077 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $58,690.80 $35,214.48 40% off $6,455.99 $46,952.64 $39,088.07 2026-02-20
27801347-1190176 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $58,673.54 $35,204.12 40% off $6,454.09 $46,938.83 $39,076.58 2026-02-20
27801347-1196342 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $207,132.00 $124,279.20 40% off $22,784.52 $165,705.60 $137,949.91 2026-02-20
27801347-1203071 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $62,351.26 $37,410.76 40% off $6,858.64 $49,881.01 $41,525.94 2026-02-20
27801347-1218340 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $91,020.00 $54,612.00 40% off $10,012.20 $72,816.00 $60,619.32 2026-02-20
27801347-1245429 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $60,315.26 $36,189.16 40% off $6,634.68 $48,252.21 $40,169.96 2026-02-20
27801347-1295866 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $59,482.50 $35,689.50 40% off $6,543.07 $47,586.00 $39,615.35 2026-02-20
27801347-1322565 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $71,209.05 $42,725.43 40% off $7,833.00 $56,967.24 $47,425.23 2026-02-20
27801347-1340795 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $68,999.70 $41,399.82 40% off $7,589.97 $55,199.76 $45,953.80 2026-02-20
27801347-1355910 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $86,100.00 $51,660.00 40% off $9,471.00 $68,880.00 $57,342.60 2026-02-20
27801347-181497 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $73,800.00 $44,280.00 40% off $8,118.00 $59,040.00 $49,150.80 2026-02-20
27801347-1855907 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $64,920.90 $38,952.54 40% off $7,141.30 $51,936.72 $43,237.32 2026-02-20
27801347-1926393 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $88,560.00 $53,136.00 40% off $9,741.60 $70,848.00 $58,980.96 2026-02-20
27801347-212472 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $59,762.58 $35,857.55 40% off $6,573.88 $47,810.06 $39,801.88 2026-02-20
27801347-264193 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $66,280.50 $39,768.30 40% off $7,290.85 $53,024.40 $44,142.81 2026-02-20
27801347-303311 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $75,075.00 $45,045.00 40% off $8,258.25 $60,060.00 $49,999.95 2026-02-20
27801347-331887 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $69,105.07 $41,463.04 40% off $7,601.56 $55,284.06 $46,023.98 2026-02-20
27801347-339706 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $58,780.61 $35,268.37 40% off $6,465.87 $47,024.49 $39,147.89 2026-02-20
27801347-459333 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $64,820.00 $38,892.00 40% off $7,130.20 $51,856.00 $43,170.12 2026-02-20
27801347-777976 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $69,300.00 $41,580.00 40% off $7,623.00 $55,440.00 $46,153.80 2026-02-20
27801347-807157 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $306,762.00 $184,057.20 40% off $33,743.82 $245,409.60 $204,303.49 2026-02-20
27801347-820401 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $64,564.85 $38,738.91 40% off $7,102.13 $51,651.88 $43,000.19 2026-02-20
27801347-820405 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $69,408.43 $41,645.06 40% off $7,634.93 $55,526.74 $46,226.01 2026-02-20
27801347-820416 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $59,721.28 $35,832.77 40% off $6,569.34 $47,777.02 $39,774.37 2026-02-20
27801347-859557 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $59,322.75 $35,593.65 40% off $6,525.50 $47,458.20 $39,508.95 2026-02-20
27801347-876560 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $73,078.50 $43,847.10 40% off $8,038.64 $58,462.80 $48,670.28 2026-02-20
27801347-98612 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 97 19 $199,260.00 $119,556.00 40% off $21,918.60 $159,408.00 $132,707.16 2026-02-20
27801815 CDM Hc Mitraclip Delivery System Kit (w/guiding Cath) 97 19 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-20
27801843 CDM Hc Kit Artificial Heart Carmat 97 19 $639,108.00 $383,464.80 40% off $70,301.88 $511,286.40 $425,645.93 2026-02-20
27801844 CDM Hc Syncardia Total Artificial Heart System 97 19 $738,000.00 $442,800.00 40% off $81,180.00 $590,400.00 $491,508.00 2026-02-20
27801848 CDM Hc Impella 5.5 97 19 $100,860.00 $60,516.00 40% off $11,094.60 $80,688.00 $67,172.76 2026-02-20
27801850 CDM Hc Heartware Hvad Pump 97 19 $207,132.00 $124,279.20 40% off $22,784.52 $165,705.60 $137,949.91 2026-02-20
27801855-1778845 CDM Hc Shell Generator, Neurostimulator, Non-recharge With Carotid 97 19 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-20
27801865 CDM Hc Evaheart Blood Pump Set Bp310 97 19 $184,500.00 $110,700.00 40% off $20,295.00 $147,600.00 $122,877.00 2026-02-20
27801917-1534761 CDM Shell Generator, Cardiac Contractility Modulation 97 19 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-20
27801923 CDM Hc Ecmo Lifesparc Blood Pump Kit With 29 Fr Protekduo Veno-venous Cannula (law5267… 97 19 $66,280.50 $39,768.30 40% off $7,290.85 $53,024.40 $44,142.81 2026-02-20
27801924 CDM Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Cannula (law5267… 97 19 $66,280.50 $39,768.30 40% off $7,290.85 $53,024.40 $44,142.81 2026-02-20
27801925 CDM Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Rapid Deployment… 97 19 $59,482.50 $35,689.50 40% off $6,543.07 $47,586.00 $39,615.35 2026-02-20
27801926 CDM Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 15 Fr Arterial Cannu… 97 19 $59,482.50 $35,689.50 40% off $6,543.07 $47,586.00 $39,615.35 2026-02-20
27801927 CDM Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 17 Fr Arterial Cannu… 97 19 $66,280.50 $39,768.30 40% off $7,290.85 $53,024.40 $44,142.81 2026-02-20
27801928 CDM Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 15 Fr Arterial Cannu… 97 19 $66,280.50 $39,768.30 40% off $7,290.85 $53,024.40 $44,142.81 2026-02-20
27801929 CDM Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 17 Fr Arterial Cannu… 97 19 $66,280.50 $39,768.30 40% off $7,290.85 $53,024.40 $44,142.81 2026-02-20
27802052-101684 CDM Shell, No Hcpcs, For Lvad Implants Only 97 19 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-20
27802052-1242630 CDM Shell, No Hcpcs, For Lvad Implants Only 97 19 $100,860.00 $60,516.00 40% off $11,094.60 $80,688.00 $67,172.76 2026-02-20
27802052-389434 CDM Shell, No Hcpcs, For Lvad Implants Only 97 19 $179,580.00 $107,748.00 40% off $19,753.80 $143,664.00 $119,600.28 2026-02-20
27802052-445170 CDM Shell, No Hcpcs, For Lvad Implants Only 97 19 $233,525.34 $140,115.20 40% off $25,687.79 $186,820.27 $155,527.88 2026-02-20
27802052-778176 CDM Shell, No Hcpcs, For Lvad Implants Only 97 19 $215,250.00 $129,150.00 40% off $23,677.50 $172,200.00 $143,356.50 2026-02-20
27802083 CDM Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l… 97 19 $66,280.50 $39,768.30 40% off $7,290.85 $53,024.40 $44,142.81 2026-02-20
28 MS_DRG Spinal Procedures With Mcc 95 18 — — $25,893.00 $204,666.37 $53,689.83 2026-02-20
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 89 17 — — $6,368.00 $721,494.81 $206,549.77 2026-02-20
3033 APR_DRG Inpatient Aprdrg 3033: Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 1 — — $39,448.01 $39,448.01 $39,448.01 2026-02-20
3034 APR_DRG Inpatient Aprdrg 3034: Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 1 — — $46,630.99 $46,630.99 $46,630.99 2026-02-20
3044 APR_DRG Inpatient Aprdrg 3044: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 2 1 — — $38,738.52 $38,738.52 $38,738.52 2026-02-20
31 MS_DRG Ventricular Shunt Procedures With Mcc 95 18 — — $27,495.03 $141,076.55 $39,703.00 2026-02-20
31100124 CDM Hc Auto Islet Cell Transplant 74 17 $107,245.00 $64,347.00 40% off $34.00 $80,433.75 $62,202.10 2026-02-20
31100193 CDM Hc Auto Islet Cell Processing 74 17 $70,421.00 $42,252.60 40% off $34.00 $52,815.75 $40,844.18 2026-02-20
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 95 18 — — $6,182.00 $147,883.61 $42,336.18 2026-02-20
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 89 17 — — $6,368.00 $143,392.70 $41,050.52 2026-02-20
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 92 17 — — $6,182.00 $170,984.54 $45,829.21 2026-02-20
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 92 17 — — $6,182.00 $154,586.31 $41,433.96 2026-02-20
33249 HCPCS Hc Inser/repos Single (ep Lab) 108 22 $72,208.16 $43,324.90 40% off $17,300.00 $62,480.20 $39,714.49 2026-02-20
33270 HCPCS Hc Ins/rep Subq Defibrilllator 108 22 $93,099.87 $55,859.92 40% off $13,028.00 $69,824.90 $51,204.93 2026-02-20
33276 HCPCS Hc Insertion Phrenic Nerve Stimulator System 108 22 $86,663.76 $51,998.26 40% off $13,028.00 $89,696.99 $50,264.98 2026-02-20
37227 HCPCS Hc Fempop W Stent And Ather Lt 147 22 $85,245.76 $51,147.46 40% off $6,546.00 $66,491.69 $39,035.00 2026-02-20
38240 HCPCS Hc Hpc Allogenic Transplantation 103 22 $43,575.00 $26,145.00 40% off $4,793.25 $103,780.61 $49,976.23 2026-02-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 92 17 — — $6,182.00 $475,686.45 $127,498.89 2026-02-20
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 92 17 — — $6,182.00 $182,757.19 $48,984.67 2026-02-20
43 APR_DRG Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 1 — — $57,580.30 $57,580.30 $57,580.30 2026-02-20
434 APR_DRG Inpatient Aprdrg 0434: Multiple Sclerosis & Other Demyelinating Diseases 2 1 — — $49,472.44 $49,472.44 $49,472.44 2026-02-20
44 APR_DRG Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 1 — — $89,556.85 $89,556.85 $89,556.85 2026-02-20
4404 APR_DRG Inpatient Aprdrg 4404: Kidney Transplant 2 1 — — $57,864.24 $57,864.24 $57,864.24 2026-02-20
4414 APR_DRG Inpatient Aprdrg 4414: Major Bladder Procedures 2 1 — — $54,760.54 $54,760.54 $54,760.54 2026-02-20
4474 APR_DRG Inpatient Aprdrg 4474: Other Kidney, Urinary Tract & Related Procedures 2 1 — — $43,362.25 $43,362.25 $43,362.25 2026-02-20
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 30 6 — — $35,308.00 $143,598.99 $93,204.21 2026-02-20
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 30 6 — — $35,308.00 $99,114.64 $64,331.24 2026-02-20
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 30 6 — — $35,308.00 $74,633.75 $48,441.70 2026-02-20
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 95 18 — — $35,308.00 $285,115.62 $74,793.98 2026-02-20
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 95 18 — — $35,308.00 $193,216.90 $50,686.31 2026-02-20
459 MS_DRG Spinal Fusion Except Cervical With Mcc 30 6 — — $35,308.00 $107,476.42 $69,758.53 2026-02-20
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 95 18 — — $9,144.00 $206,592.01 $54,195.00 2026-02-20
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 95 18 — — $9,144.00 $181,824.67 $47,697.81 2026-02-20
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 95 18 — — $33,426.28 $171,509.71 $44,991.90 2026-02-20
471 MS_DRG Cervical Spinal Fusion With Mcc 95 18 — — $31,869.32 $163,521.00 $42,896.23 2026-02-20
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 95 18 — — $9,144.00 $150,977.43 $39,605.69 2026-02-20
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 71 17 — — $69,871.98 $184,824.68 $118,046.87 2026-02-20
53 APR_DRG Inpatient Aprdrg 0053: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 1 — — $41,492.90 $41,492.90 $41,492.90 2026-02-20
54 APR_DRG Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 1 — — $57,599.88 $57,599.88 $57,599.88 2026-02-20
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 92 17 — — $6,182.00 $207,315.80 $55,567.14 2026-02-20
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 92 17 — — $6,182.00 $181,632.77 $48,683.29 2026-02-20
5831 APR_DRG Inpatient Aprdrg 5831: Neonate W Ecmo 2 1 — — $98,666.18 $98,666.18 $98,666.18 2026-02-20
5832 APR_DRG Inpatient Aprdrg 5832: Neonate W Ecmo 2 1 — — $112,054.46 $112,054.46 $112,054.46 2026-02-20
5833 APR_DRG Inpatient Aprdrg 5833: Neonate W Ecmo 2 1 — — $224,883.80 $224,883.80 $224,883.80 2026-02-20
5834 APR_DRG Inpatient Aprdrg 5834: Neonate W Ecmo 2 1 — — $265,580.49 $265,580.49 $265,580.49 2026-02-20
5881 APR_DRG Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure 2 1 — — $84,635.55 $84,635.55 $84,635.55 2026-02-20
5882 APR_DRG Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure 2 1 — — $89,789.03 $89,789.03 $89,789.03 2026-02-20
5883 APR_DRG Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure 2 1 — — $90,201.30 $90,201.30 $90,201.30 2026-02-20
5884 APR_DRG Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 2 1 — — $168,108.09 $168,108.09 $168,108.09 2026-02-20
5891 APR_DRG Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks 2 1 — — $70,932.22 $70,932.22 $70,932.22 2026-02-20
5892 APR_DRG Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks 2 1 — — $68,747.81 $68,747.81 $68,747.81 2026-02-20
5893 APR_DRG Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks 2 1 — — $64,483.90 $64,483.90 $64,483.90 2026-02-20
5912 APR_DRG Inpatient Aprdrg 5912: Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $46,314.89 $46,314.89 $46,314.89 2026-02-20
5913 APR_DRG Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $56,094.54 $56,094.54 $56,094.54 2026-02-20
5914 APR_DRG Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $85,185.59 $85,185.59 $85,185.59 2026-02-20
5932 APR_DRG Inpatient Aprdrg 5932: Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $39,683.34 $39,683.34 $39,683.34 2026-02-20
5933 APR_DRG Inpatient Aprdrg 5933: Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $50,509.57 $50,509.57 $50,509.57 2026-02-20
5934 APR_DRG Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $70,719.97 $70,719.97 $70,719.97 2026-02-20
6 MS_DRG Liver Transplant Without Mcc 71 17 — — $31,816.18 $84,159.85 $53,752.61 2026-02-20
6023 APR_DRG Inpatient Aprdrg 6023: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 2 1 — — $42,016.71 $42,016.71 $42,016.71 2026-02-20
6024 APR_DRG Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 2 1 — — $65,011.55 $65,011.55 $65,011.55 2026-02-20
6034 APR_DRG Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con… 2 1 — — $73,096.34 $73,096.34 $73,096.34 2026-02-20
6074 APR_DRG Inpatient Aprdrg 6074: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M… 2 1 — — $45,861.71 $45,861.71 $45,861.71 2026-02-20
6084 APR_DRG Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi… 2 1 — — $55,935.44 $55,935.44 $55,935.44 2026-02-20
6093 APR_DRG Inpatient Aprdrg 6093: Neonate Bwt 1500-2499g W Major Procedure 2 1 — — $39,879.51 $39,879.51 $39,879.51 2026-02-20
6094 APR_DRG Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 2 1 — — $123,975.16 $123,975.16 $123,975.16 2026-02-20
61 APR_DRG Inpatient Aprdrg 0061: Pancreas Transplant 2 1 — — $40,928.87 $40,928.87 $40,928.87 2026-02-20
6114 APR_DRG Inpatient Aprdrg 6114: Neonate Birthwt 1500-1999g W Major Anomaly 2 1 — — $50,451.52 $50,451.52 $50,451.52 2026-02-20
6134 APR_DRG Inpatient Aprdrg 6134: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti… 2 1 — — $43,464.00 $43,464.00 $43,464.00 2026-02-20
62 APR_DRG Inpatient Aprdrg 0062: Pancreas Transplant 2 1 — — $41,464.22 $41,464.22 $41,464.22 2026-02-20
6214 APR_DRG Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly 2 1 — — $61,735.82 $61,735.82 $61,735.82 2026-02-20
62400011 CDM Hc Clinical Trial Ide#g170152 Sapien 3 Transcatheter Heart Valve 65 16 $84,975.00 $50,985.00 40% off $9,347.25 $63,731.25 $53,228.34 2026-02-20
62400012-1362918 CDM Shell, 624 Rev Code, Fda Investigational Devices 65 16 $84,975.00 $50,985.00 40% off $9,347.25 $63,731.25 $53,228.34 2026-02-20
62400012-847925 CDM Shell, 624 Rev Code, Fda Investigational Devices 65 16 $76,137.60 $45,682.56 40% off $8,375.14 $57,103.20 $47,692.59 2026-02-20
63 APR_DRG Inpatient Aprdrg 0063: Pancreas Transplant 2 1 — — $45,842.83 $45,842.83 $45,842.83 2026-02-20
6303 APR_DRG Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 1 — — $58,954.17 $58,954.17 $58,954.17 2026-02-20
6304 APR_DRG Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 1 — — $125,083.63 $125,083.63 $125,083.63 2026-02-20
6314 APR_DRG Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure 2 1 — — $88,281.24 $88,281.24 $88,281.24 2026-02-20
6334 APR_DRG Inpatient Aprdrg 6334: Neonate Birthwt >2499g W Major Anomaly 2 1 — — $46,917.03 $46,917.03 $46,917.03 2026-02-20
64 APR_DRG Inpatient Aprdrg 0064: Pancreas Transplant 2 1 — — $70,937.81 $70,937.81 $70,937.81 2026-02-20
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 70 17 — — $30,229.04 $155,104.75 $92,666.90 2026-02-20
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 70 17 — — $22,783.48 $116,901.71 $69,842.60 2026-02-20
653 MS_DRG Major Bladder Procedures With Mcc 92 17 — — $6,182.00 $187,668.91 $50,301.18 2026-02-20
6804 APR_DRG Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N… 2 1 — — $56,094.54 $56,094.54 $56,094.54 2026-02-20
6814 APR_DRG Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N… 2 1 — — $75,811.90 $75,811.90 $75,811.90 2026-02-20
6904 APR_DRG Inpatient Aprdrg 6904: Acute Leukemia 2 1 — — $49,777.35 $49,777.35 $49,777.35 2026-02-20
7 MS_DRG Lung Transplant 71 17 — — $85,745.95 $226,814.35 $144,865.52 2026-02-20
71 APR_DRG Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant 2 1 — — $40,220.44 $40,220.44 $40,220.44 2026-02-20
72 APR_DRG Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant 2 1 — — $61,252.22 $61,252.22 $61,252.22 2026-02-20
73 APR_DRG Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 2 1 — — $91,164.30 $91,164.30 $91,164.30 2026-02-20
74 APR_DRG Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 2 1 — — $258,356.95 $258,356.95 $258,356.95 2026-02-20
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 56 16 — — $39,004.54 $103,174.45 $47,935.03 2026-02-20
7924 APR_DRG Inpatient Aprdrg 7924: Extensive Or Procedures For Other Complications Of Treatm… 2 1 — — $38,747.96 $38,747.96 $38,747.96 2026-02-20
799 MS_DRG Splenic Procedures With Mcc 92 17 — — $6,182.00 $160,070.34 $42,903.87 2026-02-20
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 71 17 — — $35,699.71 $94,432.52 $60,313.72 2026-02-20
81100001 CDM Hc Std Acq Chg Live Donor Kidney 65 16 $123,509.00 $74,105.40 40% off $13,585.99 $92,631.75 $77,366.04 2026-02-20
81100002 CDM Hc Liver Acq Living Mcare 65 16 $131,979.00 $79,187.40 40% off $14,517.69 $98,984.25 $82,671.65 2026-02-20
81100003 CDM Hc Liver Acq Living 65 16 $131,979.00 $79,187.40 40% off $14,517.69 $98,984.25 $82,671.65 2026-02-20
81200001 CDM Hc Std Acq Chg Cadaver Kidney 65 16 $185,810.00 $111,486.00 40% off $20,439.10 $139,357.50 $116,391.38 2026-02-20
81200002 CDM Hc Std Acq Chg Cadaver Pancreas 65 16 $102,432.00 $61,459.20 40% off $11,267.52 $76,824.00 $64,163.40 2026-02-20
81200003 CDM Hc Std Acq Chg Cadaver Kidney/pancreas 65 16 $316,385.45 $189,831.27 40% off $34,802.40 $237,289.09 $198,183.85 2026-02-20
81200004 CDM Hc Std Acq Chg Cadaver Heart 65 16 $220,688.76 $132,413.26 40% off $24,275.76 $165,516.57 $138,239.44 2026-02-20
81200007 CDM Hc Liver Acq Cad 65 16 $203,870.00 $122,322.00 40% off $22,425.70 $152,902.50 $127,704.17 2026-02-20
81200008 CDM Hc Liver Acq Cad Mcare 65 16 $203,870.00 $122,322.00 40% off $22,425.70 $152,902.50 $127,704.17 2026-02-20
81200009 CDM Hc Lung Acq Single Cad 65 16 $173,400.71 $104,040.43 40% off $19,074.08 $130,050.53 $108,618.20 2026-02-20
81200010 CDM Hc Lung Acq Single Cad Mcare 65 16 $173,400.71 $104,040.43 40% off $19,074.08 $130,050.53 $108,618.20 2026-02-20
81200011 CDM Hc Lung Acq Double Cad 65 16 $197,396.84 $118,438.10 40% off $21,713.65 $148,047.63 $123,649.38 2026-02-20
81200012 CDM Hc Lung Acq Double Cad Mcare 65 16 $197,396.84 $118,438.10 40% off $21,713.65 $148,047.63 $123,649.38 2026-02-20
81200013 CDM Hc Heart Lung Acq Cad 65 16 $220,404.88 $132,242.93 40% off $24,244.54 $165,303.66 $138,061.62 2026-02-20
81200014 CDM Hc Heart Lung Acq Cad Mcare 65 16 $220,404.88 $132,242.93 40% off $24,244.54 $165,303.66 $138,061.62 2026-02-20
81200015 CDM Hc Uterus Acq Living Donor 65 16 $91,900.00 $55,140.00 40% off $10,109.00 $68,925.00 $57,566.16 2026-02-20
81200016 CDM Hc Uterus Acq Cadaveric Donor 65 16 $91,900.00 $55,140.00 40% off $10,109.00 $68,925.00 $57,566.16 2026-02-20
81200017 CDM Hc Std Acq Chg Cadaver Liver/kidney 65 16 $249,395.20 $149,637.12 40% off $27,433.47 $187,046.40 $156,221.15 2026-02-20
81500007 CDM Hc Marrow Acquisition Usa 65 16 $97,700.00 $58,620.00 40% off $10,747.00 $73,275.00 $61,199.28 2026-02-20
81500015 CDM Hc Pbsc Acquistion US 65 16 $87,750.00 $52,650.00 40% off $9,652.50 $65,812.50 $54,966.60 2026-02-20
81500021 CDM Hc Unrelated Donor Acquisition US 65 16 $134,837.44 $80,902.46 40% off $14,832.12 $101,128.08 $84,462.17 2026-02-20
81500022 CDM Hc Related Donor Acquisition 65 16 $88,910.80 $53,346.48 40% off $9,780.19 $66,683.10 $55,693.73 2026-02-20
81500059 CDM Hc Pbsc Second Acquisition US 65 16 $87,750.00 $52,650.00 40% off $9,652.50 $65,812.50 $54,966.60 2026-02-20
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 92 17 — — $6,182.00 $196,007.73 $52,536.22 2026-02-20
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 92 17 — — $6,182.00 $157,535.37 $42,224.41 2026-02-20
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 92 17 — — $6,182.00 $160,767.21 $43,026.53 2026-02-20
83 APR_DRG Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant 2 1 — — $52,170.16 $52,170.16 $52,170.16 2026-02-20
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 86 17 — — $36,265.27 $186,076.55 $55,206.67 2026-02-20
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 86 17 — — $32,852.83 $168,567.39 $47,556.49 2026-02-20
84 APR_DRG Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant 2 1 — — $77,183.32 $77,183.32 $77,183.32 2026-02-20
8414 APR_DRG Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft 2 1 — — $89,171.86 $89,171.86 $89,171.86 2026-02-20
8504 APR_DRG Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea… 2 1 — — $85,955.57 $85,955.57 $85,955.57 2026-02-20
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 92 17 — — $6,182.00 $168,368.76 $45,128.10 2026-02-20
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 92 17 — — $6,182.00 $151,883.01 $40,709.40 2026-02-20
8634 APR_DRG Inpatient Aprdrg 8634: Neonatal Aftercare 2 1 — — $59,525.88 $59,525.88 $59,525.88 2026-02-20
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 86 17 — — $45,642.43 $234,190.57 $69,481.52 2026-02-20
901 MS_DRG Wound Debridements For Injuries With Mcc 92 17 — — $6,182.00 $149,152.78 $39,977.62 2026-02-20
91 APR_DRG Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $47,924.43 $47,924.43 $47,924.43 2026-02-20
9104 APR_DRG Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma 2 1 — — $42,565.34 $42,565.34 $42,565.34 2026-02-20
92 APR_DRG Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $49,416.84 $49,416.84 $49,416.84 2026-02-20
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 74 17 — — $6,368.00 $798,628.06 $204,134.69 2026-02-20
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 74 17 — — $6,368.00 $224,845.17 $57,471.93 2026-02-20
93 APR_DRG Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $75,136.34 $75,136.34 $75,136.34 2026-02-20
93653 HCPCS Hc Compreh Electroph Eval Source Of Atrial R 108 22 $87,788.83 $52,673.30 40% off $9,656.77 $125,472.56 $48,283.86 2026-02-20
93654 HCPCS Hc Compreh Electroph Eval With Treatment 108 22 $77,593.53 $46,556.12 40% off $8,535.29 $125,472.56 $44,962.16 2026-02-20
94 APR_DRG Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $152,934.38 $152,934.38 $152,934.38 2026-02-20
9504 APR_DRG Inpatient Aprdrg 9504: Extensive Procedure Unrelated To Principal Diagnosis 2 1 — — $41,301.63 $41,301.63 $41,301.63 2026-02-20
955 MS_DRG Craniotomy For Multiple Significant Trauma 95 18 — — $9,144.00 $229,874.72 $60,302.71 2026-02-20
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 95 18 — — $9,144.00 $251,282.29 $65,918.53 2026-02-20
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 92 17 — — $6,182.00 $212,907.56 $57,065.91 2026-02-20
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 92 17 — — $6,182.00 $160,040.04 $42,895.74 2026-02-20
C1604 HCPCS Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass … 97 19 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $56,593.35 2026-02-20
C1736 HCPCS Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd 74 17 $67,980.00 $40,788.00 40% off $7,477.80 $50,985.00 $42,429.71 2026-02-20
C1822 HCPCS Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys 188 19 $59,366.93 $35,620.16 40% off $6,530.36 $67,980.00 $44,228.36 2026-02-20
C1823 HCPCS Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads 94 19 $84,975.00 $50,985.00 40% off $9,347.25 $67,980.00 $58,717.72 2026-02-20
C2624 HCPCS Hc Cardiomems Monitoring Device (implant) 97 19 $76,477.50 $45,886.50 40% off $8,412.52 $61,182.00 $50,934.01 2026-02-20
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 76 17 $115,440.00 $69,264.00 40% off $12,698.40 $86,580.00 $75,036.00 2026-02-20
J9043 HCPCS cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution 110 22 $161,632.27 $96,979.36 40% off $205.63 $121,224.20 $88,897.75 2026-02-20
Q2041 HCPCS Hc Yescarta (including Apheresis) 108 22 $2,047,887.28 $1,228,732.37 40% off $225,267.60 $1,535,915.46 $1,126,338.00 2026-02-20
Q2042 HCPCS Hc Kymriah-adult (incl Apheresis) 108 22 $2,011,495.00 $1,206,897.00 40% off $221,264.45 $1,508,621.25 $1,106,322.25 2026-02-20
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 110 22 $187,807.50 $112,684.50 40% off $20,658.83 $140,855.62 $103,294.12 2026-02-20
Q2053 HCPCS Hc Tecartus (including Apheresis) 108 22 $1,821,278.49 $1,092,767.09 40% off $200,340.63 $1,365,958.87 $1,001,703.17 2026-02-20
Q2054 HCPCS Hc Breyanzi Car T 108 22 $1,971,420.00 $1,182,852.00 40% off $216,856.20 $1,478,565.00 $1,084,281.00 2026-02-20
Q2055 HCPCS Hc Abecma (including Apheresis) 108 22 $1,977,686.00 $1,186,611.60 40% off $217,545.46 $1,483,264.50 $1,087,727.30 2026-02-20
Q2056 HCPCS Hc Carvykti (including Apheresis) 108 22 $1,996,995.00 $1,198,197.00 40% off $219,669.45 $1,497,746.25 $1,098,347.25 2026-02-20
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