|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
9
|
—
|
—
|
$293,058.57
|
$703,268.29
|
$316,115.07
|
2026-02-20
|
|
5834
|
APR_DRG
|
Inpatient Aprdrg 5834: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$266,479.75
|
$266,479.75
|
$266,479.75
|
2026-02-20
|
|
74
|
APR_DRG
|
Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$259,231.75
|
$259,231.75
|
$259,231.75
|
2026-02-20
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
8
|
7
|
—
|
—
|
$218,890.20
|
$525,282.46
|
$240,779.22
|
2026-02-20
|
|
5833
|
APR_DRG
|
Inpatient Aprdrg 5833: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$225,645.26
|
$225,645.26
|
$225,645.26
|
2026-02-20
|
|
81200003
|
CDM
|
Hc Std Acq Chg Cadaver Kidney/pancreas
|
13
|
11
|
$316,385.45
|
$189,831.27
40% off
|
$63,277.09
|
$284,746.91
|
$221,469.82
|
2026-02-20
|
|
24
|
APR_DRG
|
Inpatient Aprdrg 0024: Heart &/or Lung Transplant
|
1
|
1
|
—
|
—
|
$217,064.35
|
$217,064.35
|
$217,064.35
|
2026-02-20
|
|
27801347-807157
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$306,762.00
|
$184,057.20
40% off
|
$61,352.40
|
$276,085.80
|
$213,352.97
|
2026-02-20
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
12
|
10
|
—
|
—
|
$6,368.00
|
$442,382.77
|
$198,848.53
|
2026-02-20
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
12
|
10
|
—
|
—
|
$6,368.00
|
$399,656.48
|
$179,643.30
|
2026-02-20
|
|
5884
|
APR_DRG
|
Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$168,677.31
|
$168,677.31
|
$168,677.31
|
2026-02-20
|
|
1614
|
APR_DRG
|
Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$163,797.24
|
$163,797.24
|
$163,797.24
|
2026-02-20
|
|
27802052-445170
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
18
|
15
|
$233,525.34
|
$140,115.20
40% off
|
$46,705.07
|
$210,172.81
|
$162,416.88
|
2026-02-20
|
|
27500234
|
CDM
|
Hc Heartmate 3 Lvad Implant
|
18
|
15
|
$233,525.00
|
$140,115.00
40% off
|
$46,705.00
|
$210,172.50
|
$162,416.64
|
2026-02-20
|
|
81200004
|
CDM
|
Hc Std Acq Chg Cadaver Heart
|
13
|
11
|
$220,688.76
|
$132,413.26
40% off
|
$44,137.75
|
$198,619.88
|
$154,482.13
|
2026-02-20
|
|
94
|
APR_DRG
|
Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$153,452.22
|
$153,452.22
|
$153,452.22
|
2026-02-20
|
|
27802052-778176
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
18
|
15
|
$215,250.00
|
$129,150.00
40% off
|
$43,050.00
|
$193,725.00
|
$149,706.38
|
2026-02-20
|
|
27800187
|
CDM
|
Hc Kit, Heartmate Ii Vad Implant
|
18
|
15
|
$215,250.00
|
$129,150.00
40% off
|
$43,050.00
|
$193,725.00
|
$149,706.38
|
2026-02-20
|
|
27801850
|
CDM
|
Hc Heartware Hvad Pump
|
18
|
15
|
$207,132.00
|
$124,279.20
40% off
|
$41,426.40
|
$186,418.80
|
$144,060.30
|
2026-02-20
|
|
27801347-1196342
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$207,132.00
|
$124,279.20
40% off
|
$41,426.40
|
$186,418.80
|
$144,060.30
|
2026-02-20
|
|
27801347-98612
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$199,260.00
|
$119,556.00
40% off
|
$39,852.00
|
$179,334.00
|
$138,585.33
|
2026-02-20
|
|
27500176-389049
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
18
|
15
|
$198,613.80
|
$119,168.28
40% off
|
$39,722.76
|
$178,752.42
|
$138,135.90
|
2026-02-20
|
|
81200001
|
CDM
|
Hc Std Acq Chg Cadaver Kidney
|
13
|
11
|
$185,810.00
|
$111,486.00
40% off
|
$37,162.00
|
$167,229.00
|
$130,067.00
|
2026-02-20
|
|
6304
|
APR_DRG
|
Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$125,507.16
|
$125,507.16
|
$125,507.16
|
2026-02-20
|
|
27802052-389434
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
18
|
15
|
$179,580.00
|
$107,748.00
40% off
|
$35,916.00
|
$161,622.00
|
$124,897.89
|
2026-02-20
|
|
6094
|
APR_DRG
|
Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure
|
1
|
1
|
—
|
—
|
$124,394.95
|
$124,394.95
|
$124,394.95
|
2026-02-20
|
|
27201912-261835
|
CDM
|
Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard)
|
14
|
12
|
$183,639.00
|
$110,183.40
40% off
|
$36,727.80
|
$165,275.10
|
$123,956.33
|
2026-02-20
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
14
|
10
|
—
|
—
|
$6,182.00
|
$263,496.24
|
$118,440.05
|
2026-02-20
|
|
5832
|
APR_DRG
|
Inpatient Aprdrg 5832: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$112,433.88
|
$112,433.88
|
$112,433.88
|
2026-02-20
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
6
|
—
|
—
|
$101,811.44
|
$126,449.81
|
$106,779.83
|
2026-02-20
|
|
114
|
APR_DRG
|
Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
1
|
1
|
—
|
—
|
$106,763.33
|
$106,763.33
|
$106,763.33
|
2026-02-20
|
|
7
|
MS_DRG
|
Lung Transplant
|
6
|
6
|
—
|
—
|
$101,555.01
|
$126,131.32
|
$106,510.89
|
2026-02-20
|
|
Q2043
|
HCPCS
|
Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
|
22
|
17
|
$187,807.50
|
$112,684.50
40% off
|
$37,561.50
|
$169,026.75
|
$103,294.12
|
2026-02-20
|
|
2004
|
APR_DRG
|
Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders
|
1
|
1
|
—
|
—
|
$99,212.54
|
$99,212.54
|
$99,212.54
|
2026-02-20
|
|
5831
|
APR_DRG
|
Inpatient Aprdrg 5831: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$99,000.27
|
$99,000.27
|
$99,000.27
|
2026-02-20
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
8
|
7
|
—
|
—
|
$85,631.86
|
$205,495.37
|
$94,195.04
|
2026-02-20
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
13
|
10
|
—
|
—
|
$6,368.00
|
$203,149.45
|
$93,742.01
|
2026-02-20
|
|
73
|
APR_DRG
|
Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$91,472.98
|
$91,472.98
|
$91,472.98
|
2026-02-20
|
|
5883
|
APR_DRG
|
Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$90,506.72
|
$90,506.72
|
$90,506.72
|
2026-02-20
|
|
5882
|
APR_DRG
|
Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$90,093.06
|
$90,093.06
|
$90,093.06
|
2026-02-20
|
|
44
|
APR_DRG
|
Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
1
|
1
|
—
|
—
|
$89,860.09
|
$89,860.09
|
$89,860.09
|
2026-02-20
|
|
8414
|
APR_DRG
|
Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft
|
1
|
1
|
—
|
—
|
$89,473.80
|
$89,473.80
|
$89,473.80
|
2026-02-20
|
|
J9043
|
HCPCS
|
cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution
|
21
|
16
|
$161,632.27
|
$96,979.36
40% off
|
$216.46
|
$145,469.04
|
$88,897.75
|
2026-02-20
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
14
|
10
|
—
|
—
|
$6,182.00
|
$197,571.83
|
$88,807.40
|
2026-02-20
|
|
6314
|
APR_DRG
|
Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure
|
1
|
1
|
—
|
—
|
$88,580.17
|
$88,580.17
|
$88,580.17
|
2026-02-20
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
6
|
6
|
—
|
—
|
$82,754.35
|
$102,780.90
|
$86,792.77
|
2026-02-20
|
|
81100001
|
CDM
|
Hc Std Acq Chg Live Donor Kidney
|
13
|
11
|
$123,509.00
|
$74,105.40
40% off
|
$24,701.80
|
$111,158.10
|
$86,456.30
|
2026-02-20
|
|
8504
|
APR_DRG
|
Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea…
|
1
|
1
|
—
|
—
|
$86,246.62
|
$86,246.62
|
$86,246.62
|
2026-02-20
|
|
5914
|
APR_DRG
|
Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure
|
1
|
1
|
—
|
—
|
$85,474.03
|
$85,474.03
|
$85,474.03
|
2026-02-20
|
|
1613
|
APR_DRG
|
Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$85,373.33
|
$85,373.33
|
$85,373.33
|
2026-02-20
|
|
5881
|
APR_DRG
|
Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$84,922.13
|
$84,922.13
|
$84,922.13
|
2026-02-20
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
11
|
—
|
—
|
$73,234.00
|
$179,973.71
|
$82,707.00
|
2026-02-20
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Intravenous Solution
|
14
|
12
|
$115,440.00
|
$69,264.00
40% off
|
$23,088.00
|
$103,896.00
|
$77,922.00
|
2026-02-20
|
|
14
|
APR_DRG
|
Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$77,756.23
|
$77,756.23
|
$77,756.23
|
2026-02-20
|
|
84
|
APR_DRG
|
Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$77,444.67
|
$77,444.67
|
$77,444.67
|
2026-02-20
|
|
6814
|
APR_DRG
|
Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N…
|
1
|
1
|
—
|
—
|
$76,068.60
|
$76,068.60
|
$76,068.60
|
2026-02-20
|
|
1604
|
APR_DRG
|
Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$76,026.15
|
$76,026.15
|
$76,026.15
|
2026-02-20
|
|
93
|
APR_DRG
|
Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$75,390.75
|
$75,390.75
|
$75,390.75
|
2026-02-20
|
|
2464
|
APR_DRG
|
Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency
|
1
|
1
|
—
|
—
|
$73,724.18
|
$73,724.18
|
$73,724.18
|
2026-02-20
|
|
6034
|
APR_DRG
|
Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con…
|
1
|
1
|
—
|
—
|
$73,343.85
|
$73,343.85
|
$73,343.85
|
2026-02-20
|
|
225
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
11
|
—
|
—
|
$60,126.54
|
$144,288.90
|
$73,234.00
|
2026-02-20
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
15
|
11
|
—
|
—
|
$26,466.00
|
$158,021.29
|
$73,234.00
|
2026-02-20
|
|
238
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
230
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
237
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
224
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
227
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
223
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
222
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
15
|
11
|
—
|
—
|
$60,739.67
|
$145,760.23
|
$73,234.00
|
2026-02-20
|
|
226
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-20
|
|
81200002
|
CDM
|
Hc Std Acq Chg Cadaver Pancreas
|
13
|
11
|
$102,432.00
|
$61,459.20
40% off
|
$20,486.40
|
$92,188.80
|
$71,702.40
|
2026-02-20
|
|
64
|
APR_DRG
|
Inpatient Aprdrg 0064: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$71,178.01
|
$71,178.01
|
$71,178.01
|
2026-02-20
|
|
5891
|
APR_DRG
|
Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks
|
1
|
1
|
—
|
—
|
$71,172.40
|
$71,172.40
|
$71,172.40
|
2026-02-20
|
|
5934
|
APR_DRG
|
Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure
|
1
|
1
|
—
|
—
|
$70,959.42
|
$70,959.42
|
$70,959.42
|
2026-02-20
|
|
27802052-1242630
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
18
|
15
|
$100,860.00
|
$60,516.00
40% off
|
$20,172.00
|
$90,774.00
|
$70,148.13
|
2026-02-20
|
|
27801848
|
CDM
|
Hc Impella 5.5
|
18
|
15
|
$100,860.00
|
$60,516.00
40% off
|
$20,172.00
|
$90,774.00
|
$70,148.13
|
2026-02-20
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
15
|
11
|
—
|
—
|
$35,308.00
|
$157,933.64
|
$69,103.06
|
2026-02-20
|
|
5892
|
APR_DRG
|
Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks
|
1
|
1
|
—
|
—
|
$68,980.59
|
$68,980.59
|
$68,980.59
|
2026-02-20
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$150,323.39
|
$67,569.51
|
2026-02-20
|
|
1624
|
APR_DRG
|
Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx
|
1
|
1
|
—
|
—
|
$66,320.04
|
$66,320.04
|
$66,320.04
|
2026-02-20
|
|
6024
|
APR_DRG
|
Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M…
|
1
|
1
|
—
|
—
|
$65,231.68
|
$65,231.68
|
$65,231.68
|
2026-02-20
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
6
|
6
|
—
|
—
|
$61,956.57
|
$76,950.06
|
$64,980.05
|
2026-02-20
|
|
5893
|
APR_DRG
|
Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks
|
1
|
1
|
—
|
—
|
$64,702.24
|
$64,702.24
|
$64,702.24
|
2026-02-20
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
7
|
7
|
—
|
—
|
$61,601.46
|
$147,828.29
|
$64,681.53
|
2026-02-20
|
|
27801347-1218340
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$91,020.00
|
$54,612.00
40% off
|
$18,204.00
|
$81,918.00
|
$63,304.41
|
2026-02-20
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
13
|
11
|
—
|
—
|
$54,916.23
|
$131,785.42
|
$63,153.66
|
2026-02-20
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
11
|
—
|
—
|
$50,183.04
|
$120,426.92
|
$62,327.34
|
2026-02-20
|
|
6214
|
APR_DRG
|
Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly
|
1
|
1
|
—
|
—
|
$61,944.86
|
$61,944.86
|
$61,944.86
|
2026-02-20
|
|
27801347-1926393
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$88,560.00
|
$53,136.00
40% off
|
$17,712.00
|
$79,704.00
|
$61,593.48
|
2026-02-20
|
|
27800973
|
CDM
|
Hc Corevalue Aortic
|
18
|
15
|
$88,500.00
|
$53,100.00
40% off
|
$17,700.00
|
$79,650.00
|
$61,551.75
|
2026-02-20
|
|
72
|
APR_DRG
|
Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$61,459.62
|
$61,459.62
|
$61,459.62
|
2026-02-20
|
|
1612
|
APR_DRG
|
Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$61,370.15
|
$61,370.15
|
$61,370.15
|
2026-02-20
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
12
|
10
|
—
|
—
|
$54,057.55
|
$129,724.81
|
$61,013.43
|
2026-02-20
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
15
|
11
|
—
|
—
|
$9,144.00
|
$139,192.40
|
$60,902.93
|
2026-02-20
|
|
113
|
APR_DRG
|
Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
1
|
1
|
—
|
—
|
$60,668.44
|
$60,668.44
|
$60,668.44
|
2026-02-20
|
|
27801347-1355910
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$86,100.00
|
$51,660.00
40% off
|
$17,220.00
|
$77,490.00
|
$59,882.55
|
2026-02-20
|
|
8634
|
APR_DRG
|
Inpatient Aprdrg 8634: Neonatal Aftercare
|
1
|
1
|
—
|
—
|
$59,727.44
|
$59,727.44
|
$59,727.44
|
2026-02-20
|
|
62400012-1362918
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
13
|
11
|
$84,975.00
|
$50,985.00
40% off
|
$16,995.00
|
$76,477.50
|
$59,482.50
|
2026-02-20
|
|
6303
|
APR_DRG
|
Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$59,153.79
|
$59,153.79
|
$59,153.79
|
2026-02-20
|
|
27800957
|
CDM
|
Hc Catheter Set Pump Ventricular Assist Impella
|
18
|
15
|
$84,975.00
|
$50,985.00
40% off
|
$16,995.00
|
$76,477.50
|
$59,100.11
|
2026-02-20
|
|
27801855-1778845
|
CDM
|
Hc Shell Generator, Neurostimulator, Non-recharge With Carotid
|
18
|
15
|
$84,975.00
|
$50,985.00
40% off
|
$16,995.00
|
$76,477.50
|
$59,100.11
|
2026-02-20
|
|
C1604
|
HCPCS
|
Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass …
|
18
|
15
|
$84,975.00
|
$50,985.00
40% off
|
$16,995.00
|
$76,477.50
|
$59,100.11
|
2026-02-20
|
|
27800190
|
CDM
|
Hc Impella 5.0
|
18
|
15
|
$84,975.00
|
$50,985.00
40% off
|
$16,995.00
|
$76,477.50
|
$59,100.11
|
2026-02-20
|
|
27801815
|
CDM
|
Hc Mitraclip Delivery System Kit (w/guiding Cath)
|
18
|
15
|
$84,975.00
|
$50,985.00
40% off
|
$16,995.00
|
$76,477.50
|
$59,100.11
|
2026-02-20
|
|
27801917-1534761
|
CDM
|
Shell Generator, Cardiac Contractility Modulation
|
18
|
15
|
$84,975.00
|
$50,985.00
40% off
|
$16,995.00
|
$76,477.50
|
$59,100.11
|
2026-02-20
|
|
27203217
|
CDM
|
Hc Heart Valve Sapien Edwards
|
18
|
15
|
$84,975.00
|
$50,985.00
40% off
|
$16,995.00
|
$76,477.50
|
$59,100.11
|
2026-02-20
|
|
27801347-104268
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$84,975.00
|
$50,985.00
40% off
|
$16,995.00
|
$76,477.50
|
$59,100.11
|
2026-02-20
|
|
27802052-101684
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
18
|
15
|
$84,975.00
|
$50,985.00
40% off
|
$16,995.00
|
$76,477.50
|
$59,100.11
|
2026-02-20
|
|
C1823
|
HCPCS
|
Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads
|
18
|
15
|
$84,975.00
|
$50,985.00
40% off
|
$16,995.00
|
$76,477.50
|
$59,100.11
|
2026-02-20
|
|
27500176-143739
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
18
|
15
|
$84,975.00
|
$50,985.00
40% off
|
$16,995.00
|
$76,477.50
|
$59,100.11
|
2026-02-20
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
15
|
11
|
—
|
—
|
$47,469.48
|
$113,915.04
|
$58,957.09
|
2026-02-20
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
12
|
10
|
—
|
—
|
$51,812.57
|
$124,337.40
|
$58,479.58
|
2026-02-20
|
|
1611
|
APR_DRG
|
Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$58,204.02
|
$58,204.02
|
$58,204.02
|
2026-02-20
|
|
4404
|
APR_DRG
|
Inpatient Aprdrg 4404: Kidney Transplant
|
1
|
1
|
—
|
—
|
$58,060.17
|
$58,060.17
|
$58,060.17
|
2026-02-20
|
|
54
|
APR_DRG
|
Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$57,794.92
|
$57,794.92
|
$57,794.92
|
2026-02-20
|
|
43
|
APR_DRG
|
Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
1
|
1
|
—
|
—
|
$57,775.27
|
$57,775.27
|
$57,775.27
|
2026-02-20
|
|
27800246
|
CDM
|
Hc Kit, Catheter Impella Pump
|
18
|
15
|
$82,850.63
|
$49,710.38
40% off
|
$16,570.13
|
$74,565.57
|
$57,622.62
|
2026-02-20
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
11
|
—
|
—
|
$46,230.81
|
$110,942.55
|
$57,418.67
|
2026-02-20
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
15
|
11
|
—
|
—
|
$45,724.94
|
$109,728.56
|
$56,790.38
|
2026-02-20
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
12
|
10
|
—
|
—
|
$50,255.30
|
$120,600.35
|
$56,721.93
|
2026-02-20
|
|
6804
|
APR_DRG
|
Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N…
|
1
|
1
|
—
|
—
|
$56,284.48
|
$56,284.48
|
$56,284.48
|
2026-02-20
|
|
5913
|
APR_DRG
|
Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure
|
1
|
1
|
—
|
—
|
$56,284.48
|
$56,284.48
|
$56,284.48
|
2026-02-20
|
|
6084
|
APR_DRG
|
Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi…
|
1
|
1
|
—
|
—
|
$56,124.84
|
$56,124.84
|
$56,124.84
|
2026-02-20
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
12
|
10
|
—
|
—
|
$6,368.00
|
$124,548.13
|
$55,983.67
|
2026-02-20
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
15
|
11
|
—
|
—
|
$9,144.00
|
$127,334.14
|
$55,714.41
|
2026-02-20
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
14
|
11
|
—
|
—
|
$46,553.29
|
$111,716.44
|
$55,677.74
|
2026-02-20
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
13
|
11
|
—
|
—
|
$48,135.44
|
$115,513.17
|
$55,355.76
|
2026-02-20
|
|
4414
|
APR_DRG
|
Inpatient Aprdrg 4414: Major Bladder Procedures
|
1
|
1
|
—
|
—
|
$54,945.96
|
$54,945.96
|
$54,945.96
|
2026-02-20
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
12
|
10
|
—
|
—
|
$47,854.15
|
$114,838.11
|
$54,011.79
|
2026-02-20
|
|
23
|
APR_DRG
|
Inpatient Aprdrg 0023: Heart &/or Lung Transplant
|
1
|
1
|
—
|
—
|
$53,462.89
|
$53,462.89
|
$53,462.89
|
2026-02-20
|
|
62400012-847925
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
13
|
11
|
$76,137.60
|
$45,682.56
40% off
|
$15,227.52
|
$68,523.84
|
$53,296.32
|
2026-02-20
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$117,935.55
|
$53,011.35
|
2026-02-20
|
|
83
|
APR_DRG
|
Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$52,346.81
|
$52,346.81
|
$52,346.81
|
2026-02-20
|
|
27801347-303311
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$75,075.00
|
$45,045.00
40% off
|
$15,015.00
|
$67,567.50
|
$52,214.66
|
2026-02-20
|
|
1784
|
APR_DRG
|
Inpatient Aprdrg 1784: External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$51,463.00
|
$51,463.00
|
$51,463.00
|
2026-02-20
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
15
|
11
|
—
|
—
|
$41,342.20
|
$99,211.09
|
$51,347.01
|
2026-02-20
|
|
27801347-181497
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$73,800.00
|
$44,280.00
40% off
|
$14,760.00
|
$66,420.00
|
$51,327.90
|
2026-02-20
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
11
|
—
|
—
|
$41,159.60
|
$98,772.86
|
$51,120.22
|
2026-02-20
|
|
27801347-876560
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$73,078.50
|
$43,847.10
40% off
|
$14,615.70
|
$65,770.65
|
$50,826.10
|
2026-02-20
|
|
5933
|
APR_DRG
|
Inpatient Aprdrg 5933: Neonate Birthwt 750-999g Without Major Procedure
|
1
|
1
|
—
|
—
|
$50,680.59
|
$50,680.59
|
$50,680.59
|
2026-02-20
|
|
6114
|
APR_DRG
|
Inpatient Aprdrg 6114: Neonate Birthwt 1500-1999g W Major Anomaly
|
1
|
1
|
—
|
—
|
$50,622.35
|
$50,622.35
|
$50,622.35
|
2026-02-20
|
|
1674
|
APR_DRG
|
Inpatient Aprdrg 1674: Other Cardiothoracic & Thoracic Vascular Procedures
|
1
|
1
|
—
|
—
|
$50,398.50
|
$50,398.50
|
$50,398.50
|
2026-02-20
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
15
|
11
|
—
|
—
|
$9,144.00
|
$114,437.18
|
$50,071.42
|
2026-02-20
|
|
6904
|
APR_DRG
|
Inpatient Aprdrg 6904: Acute Leukemia
|
1
|
1
|
—
|
—
|
$49,945.90
|
$49,945.90
|
$49,945.90
|
2026-02-20
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
10
|
10
|
—
|
—
|
$46,195.86
|
$81,063.29
|
$49,830.32
|
2026-02-20
|
|
C2624
|
HCPCS
|
Hc Cardiomems Monitoring Device (implant)
|
31
|
15
|
$76,477.50
|
$45,886.50
40% off
|
$13,972.00
|
$68,829.75
|
$49,710.38
|
2026-02-20
|
|
434
|
APR_DRG
|
Inpatient Aprdrg 0434: Multiple Sclerosis & Other Demyelinating Diseases
|
1
|
1
|
—
|
—
|
$49,639.95
|
$49,639.95
|
$49,639.95
|
2026-02-20
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
15
|
11
|
—
|
—
|
$25,893.00
|
$113,370.52
|
$49,604.70
|
2026-02-20
|
|
92
|
APR_DRG
|
Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$49,584.16
|
$49,584.16
|
$49,584.16
|
2026-02-20
|
|
27801347-1322565
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$71,209.05
|
$42,725.43
40% off
|
$14,241.81
|
$64,088.14
|
$49,525.89
|
2026-02-20
|
|
92973
|
HCPCS
|
Hc Percut Coronary Thrombectomy
|
14
|
12
|
$73,006.37
|
$43,803.82
40% off
|
$2,866.00
|
$65,705.73
|
$49,279.30
|
2026-02-20
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
6
|
6
|
—
|
—
|
$46,903.74
|
$58,254.45
|
$49,192.65
|
2026-02-20
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
6
|
6
|
—
|
—
|
$46,903.74
|
$58,254.45
|
$49,192.65
|
2026-02-20
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
12
|
10
|
—
|
—
|
$43,319.09
|
$103,955.14
|
$48,893.19
|
2026-02-20
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$108,574.25
|
$48,803.50
|
2026-02-20
|
|
27801494
|
CDM
|
Hc Watchman Laa Closure Device
|
18
|
15
|
$70,040.00
|
$42,024.00
40% off
|
$14,008.00
|
$63,036.00
|
$48,712.82
|
2026-02-20
|
|
27801347-1033551
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$69,893.46
|
$41,936.08
40% off
|
$13,978.69
|
$62,904.11
|
$48,610.90
|
2026-02-20
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
12
|
10
|
—
|
—
|
$42,951.53
|
$103,073.09
|
$48,478.34
|
2026-02-20
|
|
27801347-820405
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$69,408.43
|
$41,645.06
40% off
|
$13,881.69
|
$62,467.59
|
$48,273.57
|
2026-02-20
|
|
27801347-777976
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$69,300.00
|
$41,580.00
40% off
|
$13,860.00
|
$62,370.00
|
$48,198.15
|
2026-02-20
|
|
27801661
|
CDM
|
Hc Aortic Valve Evolut Medtronic
|
18
|
15
|
$69,300.00
|
$41,580.00
40% off
|
$13,860.00
|
$62,370.00
|
$48,198.15
|
2026-02-20
|
|
91
|
APR_DRG
|
Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$48,086.71
|
$48,086.71
|
$48,086.71
|
2026-02-20
|
|
27801347-331887
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$69,105.07
|
$41,463.04
40% off
|
$13,821.01
|
$62,194.56
|
$48,062.57
|
2026-02-20
|
|
27801347-1340795
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$68,999.70
|
$41,399.82
40% off
|
$13,799.94
|
$62,099.73
|
$47,989.29
|
2026-02-20
|
|
C1822
|
HCPCS
|
Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys
|
48
|
15
|
$69,860.00
|
$41,916.00
40% off
|
$11,873.39
|
$76,477.50
|
$47,883.40
|
2026-02-20
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
12
|
10
|
—
|
—
|
$42,185.35
|
$101,234.40
|
$47,613.56
|
2026-02-20
|
|
27400120
|
CDM
|
Hc Power Base Unit-vad
|
18
|
15
|
$68,250.00
|
$40,950.00
40% off
|
$13,650.00
|
$61,425.00
|
$47,467.88
|
2026-02-20
|
|
6334
|
APR_DRG
|
Inpatient Aprdrg 6334: Neonate Birthwt >2499g W Major Anomaly
|
1
|
1
|
—
|
—
|
$47,075.89
|
$47,075.89
|
$47,075.89
|
2026-02-20
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
15
|
11
|
—
|
—
|
$35,308.00
|
$107,028.33
|
$46,829.73
|
2026-02-20
|
|
3034
|
APR_DRG
|
Inpatient Aprdrg 3034: Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
1
|
1
|
—
|
—
|
$46,788.89
|
$46,788.89
|
$46,788.89
|
2026-02-20
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
15
|
11
|
—
|
—
|
$35,154.00
|
$106,388.70
|
$46,549.84
|
2026-02-20
|
|
5912
|
APR_DRG
|
Inpatient Aprdrg 5912: Neonate Birthwt 500-749g Without Major Procedure
|
1
|
1
|
—
|
—
|
$46,471.71
|
$46,471.71
|
$46,471.71
|
2026-02-20
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$103,073.09
|
$46,330.76
|
2026-02-20
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
16
|
11
|
—
|
—
|
$6,182.00
|
$92,928.58
|
$46,314.17
|
2026-02-20
|
|
27801347-264193
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$66,280.50
|
$39,768.30
40% off
|
$13,256.10
|
$59,652.45
|
$46,098.09
|
2026-02-20
|
|
27802083
|
CDM
|
Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l…
|
18
|
15
|
$66,280.50
|
$39,768.30
40% off
|
$13,256.10
|
$59,652.45
|
$46,098.09
|
2026-02-20
|
|
6074
|
APR_DRG
|
Inpatient Aprdrg 6074: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M…
|
1
|
1
|
—
|
—
|
$46,017.00
|
$46,017.00
|
$46,017.00
|
2026-02-20
|
|
63
|
APR_DRG
|
Inpatient Aprdrg 0063: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$45,998.05
|
$45,998.05
|
$45,998.05
|
2026-02-20
|
|
C1736
|
HCPCS
|
Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd
|
14
|
12
|
$67,980.00
|
$40,788.00
40% off
|
$13,596.00
|
$61,182.00
|
$45,886.50
|
2026-02-20
|
|
27800296
|
CDM
|
Hc Kit, Tandem Heart Procedure
|
18
|
15
|
$65,667.00
|
$39,400.20
40% off
|
$13,133.40
|
$59,100.30
|
$45,671.40
|
2026-02-20
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$100,622.74
|
$45,229.35
|
2026-02-20
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$100,611.55
|
$45,224.32
|
2026-02-20
|
|
27801347-1855907
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$64,920.90
|
$38,952.54
40% off
|
$12,984.18
|
$58,428.81
|
$45,152.49
|
2026-02-20
|
|
27801347-459333
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$64,820.00
|
$38,892.00
40% off
|
$12,964.00
|
$58,338.00
|
$45,082.31
|
2026-02-20
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
12
|
10
|
—
|
—
|
$39,887.52
|
$95,720.18
|
$45,020.06
|
2026-02-20
|
|
27801347-820401
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$64,564.85
|
$38,738.91
40% off
|
$12,912.97
|
$58,108.36
|
$44,904.85
|
2026-02-20
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
12
|
10
|
—
|
—
|
$39,467.88
|
$94,713.19
|
$44,546.43
|
2026-02-20
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
6
|
6
|
—
|
—
|
$42,281.69
|
$52,513.86
|
$44,345.04
|
2026-02-20
|
|
93653
|
HCPCS
|
Hc Compreh Electroph Eval Source Of Atrial R
|
22
|
17
|
$80,865.20
|
$48,519.12
40% off
|
$16,173.04
|
$72,778.68
|
$44,333.85
|
2026-02-20
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
11
|
—
|
—
|
$35,688.16
|
$85,642.80
|
$44,324.69
|
2026-02-20
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
15
|
11
|
—
|
—
|
$9,144.00
|
$100,717.85
|
$44,068.59
|
2026-02-20
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
12
|
10
|
—
|
—
|
$38,909.95
|
$93,374.27
|
$43,916.70
|
2026-02-20
|
|
2204
|
APR_DRG
|
Inpatient Aprdrg 2204: Major Stomach, Esophageal & Duodenal Procedures
|
1
|
1
|
—
|
—
|
$43,850.11
|
$43,850.11
|
$43,850.11
|
2026-02-20
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
14
|
11
|
—
|
—
|
$36,559.28
|
$87,733.25
|
$43,724.90
|
2026-02-20
|
|
6134
|
APR_DRG
|
Inpatient Aprdrg 6134: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti…
|
1
|
1
|
—
|
—
|
$43,611.17
|
$43,611.17
|
$43,611.17
|
2026-02-20
|
|
4474
|
APR_DRG
|
Inpatient Aprdrg 4474: Other Kidney, Urinary Tract & Related Procedures
|
1
|
1
|
—
|
—
|
$43,509.07
|
$43,509.07
|
$43,509.07
|
2026-02-20
|
|
27801347-1203071
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$62,351.26
|
$37,410.76
40% off
|
$12,470.25
|
$56,116.13
|
$43,365.30
|
2026-02-20
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
13
|
10
|
—
|
—
|
$6,368.00
|
$93,301.54
|
$43,053.40
|
2026-02-20
|
|
22
|
APR_DRG
|
Inpatient Aprdrg 0022: Heart &/or Lung Transplant
|
1
|
1
|
—
|
—
|
$42,948.41
|
$42,948.41
|
$42,948.41
|
2026-02-20
|
|
234
|
APR_DRG
|
Inpatient Aprdrg 0234: Spinal Procedures
|
1
|
1
|
—
|
—
|
$42,864.55
|
$42,864.55
|
$42,864.55
|
2026-02-20
|
|
9104
|
APR_DRG
|
Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$42,709.47
|
$42,709.47
|
$42,709.47
|
2026-02-20
|
|
0915T
|
OTHER
|
Hc Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds
|
14
|
12
|
$61,260.70
|
$36,756.42
40% off
|
$12,252.14
|
$55,134.63
|
$42,606.82
|
2026-02-20
|
|
27801347-1186553
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$61,182.00
|
$36,709.20
40% off
|
$12,236.40
|
$55,063.80
|
$42,552.08
|
2026-02-20
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$93,928.11
|
$42,220.15
|
2026-02-20
|
|
112
|
APR_DRG
|
Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
1
|
1
|
—
|
—
|
$42,160.73
|
$42,160.73
|
$42,160.73
|
2026-02-20
|
|
6023
|
APR_DRG
|
Inpatient Aprdrg 6023: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M…
|
1
|
1
|
—
|
—
|
$42,158.98
|
$42,158.98
|
$42,158.98
|
2026-02-20
|
|
27801347-1245429
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$60,315.26
|
$36,189.16
40% off
|
$12,063.05
|
$54,283.73
|
$41,949.26
|
2026-02-20
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$93,264.24
|
$41,921.74
|
2026-02-20
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
12
|
10
|
—
|
—
|
$36,948.59
|
$88,667.51
|
$41,702.96
|
2026-02-20
|
|
53
|
APR_DRG
|
Inpatient Aprdrg 0053: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$41,633.39
|
$41,633.39
|
$41,633.39
|
2026-02-20
|
|
27801347-1004156
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$59,846.19
|
$35,907.71
40% off
|
$11,969.24
|
$53,861.57
|
$41,623.03
|
2026-02-20
|
|
62
|
APR_DRG
|
Inpatient Aprdrg 0062: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$41,604.62
|
$41,604.62
|
$41,604.62
|
2026-02-20
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
13
|
11
|
—
|
—
|
$36,148.99
|
$86,748.63
|
$41,571.34
|
2026-02-20
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
15
|
11
|
—
|
—
|
$34,953.00
|
$95,004.10
|
$41,568.56
|
2026-02-20
|
|
27801347-212472
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$59,762.58
|
$35,857.55
40% off
|
$11,952.52
|
$53,786.32
|
$41,564.88
|
2026-02-20
|
|
27801347-820416
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$59,721.28
|
$35,832.77
40% off
|
$11,944.26
|
$53,749.15
|
$41,536.15
|
2026-02-20
|
|
9504
|
APR_DRG
|
Inpatient Aprdrg 9504: Extensive Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$41,441.47
|
$41,441.47
|
$41,441.47
|
2026-02-20
|
|
27801347-1295866
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$59,482.50
|
$35,689.50
40% off
|
$11,896.50
|
$53,534.25
|
$41,370.08
|
2026-02-20
|
|
27500176-1256480
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
18
|
15
|
$59,370.33
|
$35,622.20
40% off
|
$11,874.07
|
$53,433.30
|
$41,292.07
|
2026-02-20
|
|
27801347-859557
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$59,322.75
|
$35,593.65
40% off
|
$11,864.55
|
$53,390.47
|
$41,258.97
|
2026-02-20
|
|
33270
|
HCPCS
|
Hc Ins/rep Subq Defibrilllator
|
22
|
17
|
$72,933.11
|
$43,759.87
40% off
|
$14,887.00
|
$65,639.80
|
$41,207.21
|
2026-02-20
|
|
61
|
APR_DRG
|
Inpatient Aprdrg 0061: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$41,067.46
|
$41,067.46
|
$41,067.46
|
2026-02-20
|
|
27801347-339706
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$58,780.61
|
$35,268.37
40% off
|
$11,756.12
|
$52,902.55
|
$40,881.92
|
2026-02-20
|
|
27801347-1189077
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$58,690.80
|
$35,214.48
40% off
|
$11,738.16
|
$52,821.72
|
$40,819.45
|
2026-02-20
|
|
27801347-1190176
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$58,673.54
|
$35,204.12
40% off
|
$11,734.71
|
$52,806.19
|
$40,807.45
|
2026-02-20
|
|
71
|
APR_DRG
|
Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$40,356.62
|
$40,356.62
|
$40,356.62
|
2026-02-20
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
12
|
10
|
—
|
—
|
$35,682.74
|
$85,629.75
|
$40,274.23
|
2026-02-20
|
|
27801347-1194171
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$57,783.00
|
$34,669.80
40% off
|
$11,556.60
|
$52,004.70
|
$40,188.07
|
2026-02-20
|
|
27801347-1296846
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$57,766.01
|
$34,659.61
40% off
|
$11,553.20
|
$51,989.41
|
$40,176.26
|
2026-02-20
|
|
27801347-1365777
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$57,613.05
|
$34,567.83
40% off
|
$11,522.61
|
$51,851.75
|
$40,069.88
|
2026-02-20
|
|
13
|
APR_DRG
|
Inpatient Aprdrg 0013: Liver Transplant &/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$40,061.90
|
$40,061.90
|
$40,061.90
|
2026-02-20
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
14
|
10
|
—
|
—
|
$6,182.00
|
$89,053.52
|
$40,029.06
|
2026-02-20
|
|
6093
|
APR_DRG
|
Inpatient Aprdrg 6093: Neonate Bwt 1500-2499g W Major Procedure
|
1
|
1
|
—
|
—
|
$40,014.54
|
$40,014.54
|
$40,014.54
|
2026-02-20
|
|
27801347-341815
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$57,500.00
|
$34,500.00
40% off
|
$11,500.00
|
$51,750.00
|
$39,991.25
|
2026-02-20
|
|
264
|
APR_DRG
|
Inpatient Aprdrg 0264: Other Nervous System & Related Procedures
|
1
|
1
|
—
|
—
|
$39,990.33
|
$39,990.33
|
$39,990.33
|
2026-02-20
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
15
|
11
|
—
|
—
|
$29,293.00
|
$91,129.05
|
$39,873.05
|
2026-02-20
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$88,650.73
|
$39,847.99
|
2026-02-20
|
|
5932
|
APR_DRG
|
Inpatient Aprdrg 5932: Neonate Birthwt 750-999g Without Major Procedure
|
1
|
1
|
—
|
—
|
$39,817.71
|
$39,817.71
|
$39,817.71
|
2026-02-20
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
15
|
11
|
—
|
—
|
$31,954.31
|
$82,707.00
|
$39,687.25
|
2026-02-20
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
15
|
11
|
—
|
—
|
$35,308.00
|
$90,578.93
|
$39,632.37
|
2026-02-20
|
|
27201912-338819
|
CDM
|
Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard)
|
14
|
12
|
$58,695.00
|
$35,217.00
40% off
|
$11,739.00
|
$52,825.50
|
$39,619.12
|
2026-02-20
|
|
3033
|
APR_DRG
|
Inpatient Aprdrg 3033: Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
1
|
1
|
—
|
—
|
$39,581.58
|
$39,581.58
|
$39,581.58
|
2026-02-20
|
|
1824
|
APR_DRG
|
Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures
|
1
|
1
|
—
|
—
|
$39,549.65
|
$39,549.65
|
$39,549.65
|
2026-02-20
|
|
1634
|
APR_DRG
|
Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Pdx
|
1
|
1
|
—
|
—
|
$39,526.15
|
$39,526.15
|
$39,526.15
|
2026-02-20
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
6
|
6
|
—
|
—
|
$37,682.16
|
$46,801.24
|
$39,521.05
|
2026-02-20
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$87,263.32
|
$39,224.36
|
2026-02-20
|
|
27500176-476411
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
18
|
15
|
$55,965.00
|
$33,579.00
40% off
|
$11,193.00
|
$50,368.50
|
$38,923.66
|
2026-02-20
|
|
33249
|
HCPCS
|
Hc Inser/repos Single (ep Lab)
|
22
|
17
|
$68,283.97
|
$40,970.38
40% off
|
$14,887.00
|
$61,455.57
|
$38,887.99
|
2026-02-20
|
|
7924
|
APR_DRG
|
Inpatient Aprdrg 7924: Extensive Or Procedures For Other Complications Of Treatm…
|
1
|
1
|
—
|
—
|
$38,879.17
|
$38,879.17
|
$38,879.17
|
2026-02-20
|
|
3044
|
APR_DRG
|
Inpatient Aprdrg 3044: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
1
|
1
|
—
|
—
|
$38,869.69
|
$38,869.69
|
$38,869.69
|
2026-02-20
|
|
33362
|
HCPCS
|
Hc Replace Aortic Valve Openfemoral Artery Approach
|
14
|
12
|
$57,575.33
|
$34,545.20
40% off
|
$2,423.00
|
$51,817.80
|
$38,863.35
|
2026-02-20
|
|
27801347-1165378
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$55,770.79
|
$33,462.47
40% off
|
$11,154.16
|
$50,193.71
|
$38,788.59
|
2026-02-20
|
|
27801347-820452
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$55,747.28
|
$33,448.37
40% off
|
$11,149.46
|
$50,172.55
|
$38,772.24
|
2026-02-20
|
|
2054
|
APR_DRG
|
Inpatient Aprdrg 2054: Cardiomyopathy
|
1
|
1
|
—
|
—
|
$38,759.87
|
$38,759.87
|
$38,759.87
|
2026-02-20
|
|
6954
|
APR_DRG
|
Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia
|
1
|
1
|
—
|
—
|
$38,710.05
|
$38,710.05
|
$38,710.05
|
2026-02-20
|
|
8413
|
APR_DRG
|
Inpatient Aprdrg 8413: Extensive 3rd Degree Burns W Skin Graft
|
1
|
1
|
—
|
—
|
$38,670.41
|
$38,670.41
|
$38,670.41
|
2026-02-20
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$85,952.36
|
$38,635.10
|
2026-02-20
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
15
|
11
|
—
|
—
|
$34,753.34
|
$83,399.45
|
$38,484.14
|
2026-02-20
|
|
27801347-1045828
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$55,229.43
|
$33,137.66
40% off
|
$11,045.89
|
$49,706.49
|
$38,412.07
|
2026-02-20
|
|
27801347-1190001
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$54,982.22
|
$32,989.33
40% off
|
$10,996.44
|
$49,484.00
|
$38,240.13
|
2026-02-20
|
|
27801347-1366499
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$54,877.70
|
$32,926.62
40% off
|
$10,975.54
|
$49,389.93
|
$38,167.44
|
2026-02-20
|
|
33289
|
HCPCS
|
Hc Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr
|
22
|
17
|
$68,052.60
|
$40,831.56
40% off
|
$7,006.00
|
$61,247.34
|
$38,147.74
|
2026-02-20
|
|
52
|
APR_DRG
|
Inpatient Aprdrg 0052: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$38,020.62
|
$38,020.62
|
$38,020.62
|
2026-02-20
|
|
6514
|
APR_DRG
|
Inpatient Aprdrg 6514: Other Procedures Of Blood & Blood-forming Organs
|
1
|
1
|
—
|
—
|
$37,893.26
|
$37,893.26
|
$37,893.26
|
2026-02-20
|
|
C1605
|
HCPCS
|
Shell C1605, Ptd, Pacemaker, Leadless, Dual Chamber, Rate-responsive, Including …
|
48
|
15
|
$54,044.10
|
$32,426.46
40% off
|
$5,948.25
|
$73,418.40
|
$37,830.87
|
2026-02-20
|
|
27500176-1174548
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
18
|
15
|
$54,384.00
|
$32,630.40
40% off
|
$10,876.80
|
$48,945.60
|
$37,824.07
|
2026-02-20
|
|
27801347-1393648
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$54,384.00
|
$32,630.40
40% off
|
$10,876.80
|
$48,945.60
|
$37,824.07
|
2026-02-20
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$84,132.32
|
$37,816.99
|
2026-02-20
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
15
|
11
|
—
|
—
|
$6,182.00
|
$82,707.00
|
$37,800.04
|
2026-02-20
|
|
42
|
APR_DRG
|
Inpatient Aprdrg 0042: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
1
|
1
|
—
|
—
|
$37,775.02
|
$37,775.02
|
$37,775.02
|
2026-02-20
|
|
27801347-1182741
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$54,265.04
|
$32,559.02
40% off
|
$10,853.01
|
$48,838.54
|
$37,741.33
|
2026-02-20
|
|
27800112-1191389
|
CDM
|
Hc Shell Implant Graft
|
18
|
15
|
$54,265.04
|
$32,559.02
40% off
|
$10,853.01
|
$48,838.54
|
$37,741.33
|
2026-02-20
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
7
|
7
|
—
|
—
|
$35,802.40
|
$85,916.93
|
$37,592.52
|
2026-02-20
|
|
33264
|
HCPCS
|
Hc Remove&replace Cvd Gen M (ep Lab)
|
23
|
17
|
$68,283.97
|
$40,970.38
40% off
|
$14,887.00
|
$61,455.57
|
$37,556.18
|
2026-02-20
|
|
27500176-303201
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
18
|
15
|
$53,925.14
|
$32,355.08
40% off
|
$10,785.03
|
$48,532.63
|
$37,504.93
|
2026-02-20
|
|
6144
|
APR_DRG
|
Inpatient Aprdrg 6144: Neonate Bwt 1500-1999g W Or Without Other Significant Conditi…
|
1
|
1
|
—
|
—
|
$37,378.20
|
$37,378.20
|
$37,378.20
|
2026-02-20
|
|
1623
|
APR_DRG
|
Inpatient Aprdrg 1623: Cardiac Valve Procedures W Ami Or Complex Pdx
|
1
|
1
|
—
|
—
|
$37,314.69
|
$37,314.69
|
$37,314.69
|
2026-02-20
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
11
|
10
|
—
|
—
|
$33,623.47
|
$80,688.03
|
$37,232.97
|
2026-02-20
|
|
214
|
APR_DRG
|
Inpatient Aprdrg 0214: Craniotomy Except For Trauma
|
1
|
1
|
—
|
—
|
$37,226.28
|
$37,226.28
|
$37,226.28
|
2026-02-20
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
14
|
10
|
—
|
—
|
$6,182.00
|
$82,619.96
|
$37,137.21
|
2026-02-20
|
|
2304
|
APR_DRG
|
Inpatient Aprdrg 2304: Major Small Bowel Procedures
|
1
|
1
|
—
|
—
|
$37,091.90
|
$37,091.90
|
$37,091.90
|
2026-02-20
|
|
27801347-1267956
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$53,263.18
|
$31,957.91
40% off
|
$10,652.64
|
$47,936.86
|
$37,044.54
|
2026-02-20
|
|
27801347-1297434
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$53,262.33
|
$31,957.40
40% off
|
$10,652.47
|
$47,936.10
|
$37,043.95
|
2026-02-20
|
|
27801347-293092
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$53,221.35
|
$31,932.81
40% off
|
$10,644.27
|
$47,899.21
|
$37,015.44
|
2026-02-20
|
|
224
|
APR_DRG
|
Inpatient Aprdrg 0224: Ventricular Shunt Procedures
|
1
|
1
|
—
|
—
|
$36,945.59
|
$36,945.59
|
$36,945.59
|
2026-02-20
|
|
27500176-1075659386
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
18
|
15
|
$53,099.18
|
$31,859.51
40% off
|
$10,619.84
|
$47,789.26
|
$36,930.48
|
2026-02-20
|
|
27801347-1831952
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$53,027.80
|
$31,816.68
40% off
|
$10,605.56
|
$47,725.02
|
$36,880.83
|
2026-02-20
|
|
4424
|
APR_DRG
|
Inpatient Aprdrg 4424: Kidney & Urinary Tract Procedures For Malignancy
|
1
|
1
|
—
|
—
|
$36,743.15
|
$36,743.15
|
$36,743.15
|
2026-02-20
|
|
C1735
|
HCPCS
|
Shell C1735, Pass-through Device, Cath Renal Denerv Radiofreq
|
14
|
12
|
$54,384.00
|
$32,630.40
40% off
|
$10,876.80
|
$48,945.60
|
$36,709.20
|
2026-02-20
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
13
|
10
|
—
|
—
|
$6,368.00
|
$79,429.29
|
$36,652.14
|
2026-02-20
|
|
27801347-1213276
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$52,684.50
|
$31,610.70
40% off
|
$10,536.90
|
$47,416.05
|
$36,642.07
|
2026-02-20
|
|
27801347-1311841
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$52,643.71
|
$31,586.23
40% off
|
$10,528.74
|
$47,379.34
|
$36,613.70
|
2026-02-20
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
15
|
11
|
—
|
—
|
$9,144.00
|
$83,630.69
|
$36,592.17
|
2026-02-20
|
|
27801347-1034343
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$52,528.01
|
$31,516.81
40% off
|
$10,505.60
|
$47,275.21
|
$36,533.23
|
2026-02-20
|
|
9524
|
APR_DRG
|
Inpatient Aprdrg 9524: Nonextensive Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$36,517.55
|
$36,517.55
|
$36,517.55
|
2026-02-20
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
12
|
10
|
—
|
—
|
$32,331.96
|
$77,588.73
|
$36,492.29
|
2026-02-20
|
|
27801347-293125
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
18
|
15
|
$52,455.92
|
$31,473.55
40% off
|
$10,491.18
|
$47,210.33
|
$36,483.09
|
2026-02-20
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
15
|
11
|
—
|
—
|
$33,554.32
|
$80,522.06
|
$36,390.00
|
2026-02-20
|