Price Transparency Hospital negotiated rates

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

ST LUKE'S SUGAR LAND HOSPITAL

Sugar Land, TX · CCN 670053 · Rates published

11,110 distinct procedures filed
42 distinct payers
1,263,404 rate rows
2026-02-28 last MRF observed
Data quality

1,237,792 of 1,263,404 rate rows are consumer-grade (98.0%)

25,612 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 23,740
per-diem day rate — not a per-procedure price 710
exceeds 10× this hospital's gross charge — excluded from medians 645
template filing: same amount across many unrelated codes — excluded 353
placeholder amount (≤ $0.02) — excluded from medians 164
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/stluh/soho/finance/price-transparency/261947374_st-lukes-sugar-land-hospital_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stlukes-health-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 73e59327f1c26d30… · 242,562,693 bytes · first seen 2026-05-06

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
5834
APR_DRG 		Neonate With Ecmo 17 $275,290.00 $1,018,573.00 $646,931.50 nat. median
$309,665
outlier · 2.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 17 $267,802.00 $990,867.40 $629,334.70 nat. median
$187,294
outlier · 3.4×
5833
APR_DRG 		Neonate With Ecmo 17 $233,106.00 $862,492.20 $547,799.10 nat. median
$244,017
outlier · 2.2×
24
APR_DRG 		Heart And/or Lung Transplant 17 $224,241.00 $829,691.70 $526,966.35 nat. median
$234,738
outlier · 2.2×
HC27900006
CDM 		Hc Tah 70cc Init Syncardia 21 $100.00 $1,269,198.29 $418,049.50 nat. median
$418,050
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 $199,951.77 $902,560.04 $416,566.17 nat. median
$370,174
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 17 $174,254.00 $644,739.80 $409,496.90 nat. median
$246,434
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 17 $169,213.00 $626,088.10 $397,650.55 nat. median
$207,730
1.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 17 $158,526.00 $586,546.20 $372,536.10 nat. median
$164,834
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 37 $142,164.00 $675,732.17 $311,876.39 nat. median
$265,286
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 17 $129,657.00 $479,730.90 $304,693.95 nat. median
$150,721
outlier · 2.0×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 17 $128,508.00 $475,479.60 $301,993.80 nat. median
$162,982
1.9× median
HC27900010
CDM 		Hc Vad Heartmate Ii Thor 21 $100.00 $888,747.72 $292,736.40 nat. median
$292,736
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 36 $126,295.44 $570,083.54 $274,971.00 nat. median
$206,368
1.3× median
5832
APR_DRG 		Neonate With Ecmo 17 $116,151.00 $429,758.70 $272,954.85 nat. median
$156,126
1.7× median
HC62400479
CDM 		Hc G240119 Heartmate 3 Left Ventricular Assist System 18 $100.00 $1,508,003.64 $270,028.20 nat. median
$249,257
1.1× median
HC27900008
CDM 		Hc Vad Impl Set Heartware Btt 21 $100.00 $814,119.34 $268,155.25 nat. median
$268,155
1.0× median
J2326
HCPCS 		Nusinersen 12 Mg/5 Ml Soln 5 Ml Vial 39 $899.25 $1,023,387.00 $266,080.62 nat. median
$2,677
outlier · 99.4×
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 17 $102,493.00 $379,224.10 $240,858.55 nat. median
$32,636
outlier · 7.4×
5831
APR_DRG 		Neonate With Ecmo 17 $102,273.00 $378,410.10 $240,341.55 nat. median
$145,122
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 35 $114,232.43 $515,632.49 $237,984.23 nat. median
$202,986
1.2× median
HC27900014
CDM 		Hc Heartmate 3 Lvad Impl Kit 21 $100.00 $693,681.68 $228,485.40 nat. median
$228,485
1.0× median
HC27900009
CDM 		Hc Vad Heartware Btt 21 $100.00 $674,569.15 $222,190.10 nat. median
$222,190
1.0× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 17 $94,497.00 $349,638.90 $222,067.95 nat. median
$89,273
outlier · 2.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 17 $93,499.00 $345,946.30 $219,722.65 nat. median
$182,736
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 17 $93,072.00 $344,366.40 $218,719.20 nat. median
$145,336
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 17 $92,831.00 $343,474.70 $218,152.85 nat. median
$105,658
outlier · 2.1×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 17 $92,432.00 $341,998.40 $217,215.20 nat. median
$160,267
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 17 $91,509.00 $338,583.30 $215,046.15 nat. median
$122,924
1.7× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 17 $89,098.00 $329,662.60 $209,380.30 nat. median
$73,845
outlier · 2.8×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 17 $88,300.00 $326,710.00 $207,505.00 nat. median
$164,279
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems 17 $88,196.00 $326,325.20 $207,260.60 nat. median
$119,796
1.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 17 $87,730.00 $324,601.00 $206,165.50 nat. median
$124,573
1.7× median
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Susp 1 Each Vial 22 $89,209.10 $405,495.87 $196,665.50 nat. median
$69,774
outlier · 2.8×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 17 $80,327.00 $297,209.90 $188,768.45 nat. median
$129,535
1.5× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 17 $80,005.00 $296,018.50 $188,011.75 nat. median
$79,774
outlier · 2.4×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 17 $78,584.00 $290,760.80 $184,672.40 nat. median
$73,428
outlier · 2.5×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 17 $78,540.00 $290,598.00 $184,569.00 nat. median
$97,957
1.9× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 17 $77,883.00 $288,167.10 $183,025.05 nat. median
$79,160
outlier · 2.3×
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 17 $76,162.00 $281,799.40 $178,980.70 nat. median
$22,749
outlier · 7.9×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 17 $75,769.00 $280,345.30 $178,057.15 nat. median
$109,499
1.6× median
64
APR_DRG 		Pancreas Transplant 17 $73,531.00 $272,064.70 $172,797.85 nat. median
$91,748
1.9× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 17 $73,525.00 $272,042.50 $172,783.75 nat. median
$93,260
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 17 $73,305.00 $271,228.50 $172,266.75 nat. median
$151,838
1.1× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 17 $71,261.00 $263,665.70 $167,463.35 nat. median
$89,790
1.9× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 17 $68,513.00 $253,498.10 $161,005.55 nat. median
$81,790
2.0× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 17 $67,388.00 $249,335.60 $158,361.80 nat. median
$118,620
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 35 $75,790.04 $342,107.81 $157,895.91 nat. median
$133,176
1.2× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 17 $66,841.00 $247,311.70 $157,076.35 nat. median
$69,788
outlier · 2.3×
HC27900015
CDM 		Hc Impella 5.5 Lvad 21 $100.00 $475,767.77 $156,708.75 nat. median
$156,709
1.0× median

Other procedures at this hospital

Browse this hospital's 11,110 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
             
225 MS_DRG No Active Code Description 14 13 — — $57,380.00 $57,380.00 $57,380.00 2026-02-28
223 MS_DRG No Active Code Description 14 13 — — $59,206.00 $59,206.00 $59,206.00 2026-02-28
454 MS_DRG No Active Code Description 14 13 — — $69,101.00 $69,101.00 $69,101.00 2026-02-28
226 MS_DRG No Active Code Description 14 13 — — $72,618.00 $72,618.00 $72,618.00 2026-02-28
459 MS_DRG No Active Code Description 14 13 — — $75,251.00 $75,251.00 $75,251.00 2026-02-28
224 MS_DRG No Active Code Description 14 13 — — $80,427.00 $80,427.00 $80,427.00 2026-02-28
222 MS_DRG No Active Code Description 14 13 — — $86,864.00 $86,864.00 $86,864.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 29 17 — — $24,417.00 $90,342.90 $57,379.95 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 29 17 — — $24,481.00 $90,579.70 $57,530.35 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 29 17 — — $24,628.00 $91,123.60 $57,875.80 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 29 17 — — $24,733.00 $91,512.10 $58,122.55 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 29 17 — — $24,824.00 $91,848.80 $58,336.40 2026-02-28
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 29 17 — — $24,860.00 $91,982.00 $58,421.00 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 29 17 — — $24,877.00 $92,044.90 $58,460.95 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 29 17 — — $25,143.00 $93,029.10 $59,086.05 2026-02-28
4013 APR_DRG Adrenal Procedures 29 17 — — $25,146.00 $93,040.20 $59,093.10 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 29 17 — — $25,240.00 $93,388.00 $59,314.00 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 29 17 — — $25,265.00 $93,480.50 $59,372.75 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 29 17 — — $25,540.00 $94,498.00 $60,019.00 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 29 17 — — $25,623.00 $94,805.10 $60,214.05 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 29 17 — — $25,758.00 $95,304.60 $60,531.30 2026-02-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 29 17 — — $25,823.00 $95,545.10 $60,684.05 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 29 17 — — $25,960.00 $96,052.00 $61,006.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 29 17 — — $26,087.00 $96,521.90 $61,304.45 2026-02-28
1794 APR_DRG Defibrillator Implants 29 17 — — $26,123.00 $96,655.10 $61,389.05 2026-02-28
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 29 17 — — $26,139.00 $96,714.30 $61,426.65 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 29 17 — — $26,514.00 $98,101.80 $62,307.90 2026-02-28
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 29 17 — — $26,672.00 $98,686.40 $62,679.20 2026-02-28
1781 APR_DRG External Heart Assist Systems 29 17 — — $26,767.00 $99,037.90 $62,902.45 2026-02-28
6614 APR_DRG Coagulation And Platelet Disorders 29 17 — — $27,045.00 $100,066.50 $63,555.75 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 29 17 — — $27,293.00 $100,984.10 $64,138.55 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 29 17 — — $27,347.00 $101,183.90 $64,265.45 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 29 17 — — $27,653.00 $102,316.10 $64,984.55 2026-02-28
7234 APR_DRG Viral Illness 29 17 — — $27,953.00 $103,426.10 $65,689.55 2026-02-28
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 29 17 — — $27,991.00 $103,566.70 $65,778.85 2026-02-28
453 MS_DRG No Active Code Description 14 13 — — $103,861.00 $103,861.00 $103,861.00 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 29 17 — — $28,150.00 $104,155.00 $66,152.50 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 29 17 — — $28,277.00 $104,624.90 $66,450.95 2026-02-28
2234 APR_DRG Other Small And Large Bowel Procedures 29 17 — — $28,453.00 $105,276.10 $66,864.55 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 29 17 — — $28,785.00 $106,504.50 $67,644.75 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 29 17 — — $28,895.00 $106,911.50 $67,903.25 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 29 17 — — $29,151.00 $107,858.70 $68,504.85 2026-02-28
1782 APR_DRG External Heart Assist Systems 29 17 — — $29,200.00 $108,040.00 $68,620.00 2026-02-28
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 29 17 — — $29,368.00 $108,661.60 $69,014.80 2026-02-28
HC27211509 CDM Hc Protek Duo Life Sparc Kit 22 15 $108,719.00 $38,051.65 65% off $100.00 $108,719.00 $62,513.43 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 29 17 — — $29,668.00 $109,771.60 $69,719.80 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 29 17 — — $29,856.00 $110,467.20 $70,161.60 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 29 17 — — $29,974.00 $110,903.80 $70,438.90 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 29 17 — — $30,133.00 $111,492.10 $70,812.55 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 29 17 — — $30,241.00 $111,891.70 $71,066.35 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 29 17 — — $30,595.00 $113,201.50 $71,898.25 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 29 17 — — $30,728.00 $113,693.60 $72,210.80 2026-02-28
HC81200002 CDM Hc Heart Dnr Orgn Prcur 23 16 $116,600.00 $40,810.00 65% off $100.00 $116,600.00 $69,960.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 29 17 — — $31,532.00 $116,668.40 $74,100.20 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 29 17 — — $31,568.00 $116,801.60 $74,184.80 2026-02-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 29 17 — — $31,574.00 $116,823.80 $74,198.90 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 29 17 — — $31,678.00 $117,208.60 $74,443.30 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 29 17 — — $31,776.00 $117,571.20 $74,673.60 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 29 17 — — $31,789.00 $117,619.30 $74,704.15 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 29 17 — — $32,023.00 $118,485.10 $75,254.05 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 29 17 — — $32,085.00 $118,714.50 $75,399.75 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 29 17 — — $32,305.00 $119,528.50 $75,916.75 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 29 17 — — $32,638.00 $120,760.60 $76,699.30 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 29 17 — — $32,814.00 $121,411.80 $77,112.90 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 29 17 — — $32,906.00 $121,752.20 $77,329.10 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 29 17 — — $33,137.00 $122,606.90 $77,871.95 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 29 17 — — $33,190.00 $122,803.00 $77,996.50 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 29 17 — — $33,508.00 $123,979.60 $78,743.80 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 29 17 — — $33,605.00 $124,338.50 $78,971.75 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 48 35 — — $27,633.33 $124,733.77 $57,569.43 2026-02-28
HC81200009 CDM Hc Lung Dnr Single Orgn Prcrmt 23 16 $125,080.00 $43,778.00 65% off $100.00 $125,080.00 $75,048.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 48 35 — — $27,728.10 $125,161.53 $57,766.86 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 47 34 — — $27,738.62 $125,209.05 $57,788.79 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 48 35 — — $27,759.16 $125,301.74 $57,934.79 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 29 17 — — $33,878.00 $125,348.60 $79,613.30 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 29 17 — — $34,003.00 $125,811.10 $79,907.05 2026-02-28
1783 APR_DRG External Heart Assist Systems 29 17 — — $34,022.00 $125,881.40 $79,951.70 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 48 35 — — $27,915.53 $126,007.57 $58,157.34 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 48 35 — — $28,137.18 $127,008.09 $58,619.12 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 29 17 — — $34,366.00 $127,154.20 $80,760.10 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 29 17 — — $34,425.00 $127,372.50 $80,898.75 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 48 35 — — $28,219.32 $127,378.85 $58,921.12 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 29 17 — — $34,614.00 $128,071.80 $81,342.90 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 48 35 — — $28,421.49 $128,291.41 $59,211.42 2026-02-28
HC81200005 CDM Hc Kidney Dnr Orgn Prcr 23 16 $128,635.00 $45,022.25 65% off $100.00 $128,635.00 $77,181.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 47 34 — — $28,511.52 $128,697.79 $59,398.98 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 29 17 — — $35,316.00 $130,669.20 $82,992.60 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 35 — — $29,283.36 $132,181.79 $61,200.49 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 29 17 — — $35,850.00 $132,645.00 $84,247.50 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 29 17 — — $35,859.00 $132,678.30 $84,268.65 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 48 35 — — $29,407.08 $132,740.27 $61,264.74 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 29 17 — — $35,907.00 $132,855.90 $84,381.45 2026-02-28
4834 APR_DRG Penis Testes And Scrotal Procedures 29 17 — — $36,296.00 $134,295.20 $85,295.60 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 48 35 — — $29,802.48 $134,525.04 $62,312.74 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 35 — — $29,805.64 $134,539.31 $62,095.07 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 35 — — $29,832.49 $134,660.54 $62,151.02 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 29 17 — — $36,435.00 $134,809.50 $85,622.25 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 48 35 — — $29,978.33 $135,318.82 $62,663.92 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 29 17 — — $36,583.00 $135,357.10 $85,970.05 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 53 36 — — $30,043.61 $135,613.50 $63,431.00 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 29 17 — — $36,708.00 $135,819.60 $86,263.80 2026-02-28
4403 APR_DRG Kidney Transplant 29 17 — — $36,710.00 $135,827.00 $86,268.50 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 47 34 — — $30,198.40 $136,312.22 $62,913.33 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 47 34 — — $30,375.30 $137,110.71 $63,281.87 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 48 35 — — $30,497.45 $137,662.07 $63,801.67 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 48 35 — — $30,497.45 $137,662.07 $63,536.34 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 29 17 — — $37,380.00 $138,306.00 $87,843.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 48 35 — — $30,746.48 $138,786.18 $64,055.16 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 29 17 — — $37,725.00 $139,582.50 $88,653.75 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 29 17 — — $37,958.00 $140,444.60 $89,201.30 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 29 17 — — $38,167.00 $141,217.90 $89,692.45 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 29 17 — — $38,318.00 $141,776.60 $90,047.30 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 35 — — $31,433.56 $141,887.56 $65,486.57 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 29 17 — — $38,457.00 $142,290.90 $90,373.95 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 29 17 — — $38,548.00 $142,627.60 $90,587.80 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 48 35 — — $31,614.14 $142,702.69 $66,193.89 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 29 17 — — $38,614.00 $142,871.80 $90,742.90 2026-02-28
HC81200003 CDM Hc Heart Dnr Orgn Prcur-imprt 23 16 $143,895.00 $50,363.25 65% off $100.00 $143,895.00 $86,337.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 29 17 — — $39,024.00 $144,388.80 $91,706.40 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 48 35 — — $32,050.60 $144,672.84 $66,772.08 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 29 17 — — $39,146.00 $144,840.20 $91,993.10 2026-02-28
HC81200008 CDM Hc Lung Dnr Dbl Orgn Prcr 23 16 $144,986.00 $50,745.10 65% off $100.00 $144,986.00 $86,991.60 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 29 17 — — $39,278.00 $145,328.60 $92,303.30 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 48 35 — — $32,376.50 $146,143.92 $67,704.02 2026-02-28
J7355 HCPCS Idose Tr G2-tr 38 22 $146,475.00 $51,266.25 65% off $32,224.50 $146,475.00 $71,040.38 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 43 33 — — $32,695.56 $147,584.10 $68,115.74 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 35 — — $32,719.25 $147,691.02 $68,165.09 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 29 17 — — $39,949.00 $147,811.30 $93,880.15 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 29 17 — — $39,990.00 $147,963.00 $93,976.50 2026-02-28
2054 APR_DRG Cardiomyopathy 29 17 — — $40,041.00 $148,151.70 $94,096.35 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 29 17 — — $40,155.00 $148,573.50 $94,364.25 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 29 17 — — $40,165.00 $148,610.50 $94,387.75 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 48 35 — — $32,937.74 $148,677.30 $69,029.64 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 53 36 — — $33,175.19 $149,749.12 $69,962.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 53 36 — — $33,175.19 $149,749.12 $69,962.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 48 35 — — $33,404.74 $150,785.28 $69,593.21 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 29 17 — — $40,833.00 $151,082.10 $95,957.55 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 29 17 — — $40,857.00 $151,170.90 $96,013.95 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 29 17 — — $40,890.00 $151,293.00 $96,091.50 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 48 35 — — $33,558.48 $151,479.22 $69,913.49 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 48 35 — — $33,705.90 $152,144.66 $70,675.30 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 29 17 — — $41,134.00 $152,195.80 $96,664.90 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 48 35 — — $33,819.09 $152,655.59 $70,456.43 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 29 17 — — $41,312.00 $152,854.40 $97,083.20 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 29 17 — — $41,338.00 $152,950.60 $97,144.30 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 29 17 — — $41,386.00 $153,128.20 $97,257.10 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 47 34 — — $33,967.56 $153,325.77 $70,765.74 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 47 34 — — $34,009.68 $153,515.90 $70,853.49 2026-02-28
HC81200001 CDM Hc Dbl Lung Dnr Orgn Prcr-imp 23 16 $153,707.00 $53,797.45 65% off $100.00 $153,707.00 $92,224.20 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 29 17 — — $41,691.00 $154,256.70 $97,973.85 2026-02-28
HC81200006 CDM Hc Liver Dnr Orgn Prcr-import 23 16 $154,798.00 $54,179.30 65% off $100.00 $154,798.00 $92,878.80 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 48 35 — — $34,693.59 $156,603.01 $72,791.65 2026-02-28
61 APR_DRG Pancreas Transplant 29 17 — — $42,425.00 $156,972.50 $99,698.75 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 29 17 — — $42,812.00 $158,404.40 $100,608.20 2026-02-28
HC81200004 CDM Hc Heart/lung Dnr Orgn Prcur 23 16 $159,000.00 $55,650.00 65% off $100.00 $159,000.00 $95,400.00 2026-02-28
62 APR_DRG Pancreas Transplant 29 17 — — $42,980.00 $159,026.00 $101,003.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 29 17 — — $43,010.00 $159,137.00 $101,073.50 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 35 — — $35,396.99 $159,778.06 $73,743.72 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 48 35 — — $35,445.96 $159,999.10 $74,167.87 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 29 17 — — $43,553.00 $161,146.10 $102,349.55 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 29 17 — — $44,122.00 $163,251.40 $103,686.70 2026-02-28
234 APR_DRG Spinal Procedures 29 17 — — $44,282.00 $163,843.40 $104,062.70 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 29 17 — — $44,368.00 $164,161.60 $104,264.80 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 48 35 — — $36,501.05 $164,761.65 $76,663.92 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 53 36 — — $36,560.54 $165,030.19 $77,415.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 47 34 — — $36,696.37 $165,643.34 $76,450.77 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 29 17 — — $44,948.00 $166,307.60 $105,627.80 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 29 17 — — $45,053.00 $166,696.10 $105,874.55 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 29 17 — — $45,300.00 $167,610.00 $106,455.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 48 35 — — $37,347.12 $168,580.72 $77,806.49 2026-02-28
HC81200013 CDM Hc Sng Lung Donor Organ Procure-imp 23 16 $170,058.00 $59,520.30 65% off $100.00 $170,058.00 $102,034.80 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 48 35 — — $38,022.08 $171,627.43 $79,212.66 2026-02-28
HC27806579 CDM Hc Pipeline Embol <21mm 52 23 $173,366.00 $60,678.10 65% off $36,406.86 $173,366.00 $60,678.10 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 47 34 — — $38,603.86 $174,253.50 $80,424.69 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 47 34 — — $38,791.81 $175,101.91 $80,816.27 2026-02-28
63 APR_DRG Pancreas Transplant 29 17 — — $47,519.00 $175,820.30 $111,669.65 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 29 17 — — $47,538.00 $175,890.60 $111,714.30 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 29 17 — — $48,008.00 $177,629.60 $112,818.80 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 29 17 — — $48,336.00 $178,843.20 $113,589.60 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 29 17 — — $48,632.00 $179,938.40 $114,285.20 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 48 35 — — $40,695.09 $183,693.09 $84,781.43 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 17 — — $49,677.00 $183,804.90 $116,740.95 2026-02-28
HC27806580 CDM Hc Pipeline Embol >24mm 52 23 $183,873.00 $64,355.55 65% off $38,613.33 $183,873.00 $64,355.55 2026-02-28
A9543 HCPCS Hc R Y90 Ibritumomab P Tx Dos =< 40mci 57 35 $72,681.00 $25,438.35 65% off $18,897.06 $184,978.95 $58,054.93 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 17 — — $51,224.00 $189,528.80 $120,376.40 2026-02-28
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 29 17 — — $51,281.00 $189,739.70 $120,510.35 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 35 — — $42,133.99 $190,188.15 $88,732.07 2026-02-28
HC81200014 CDM Hc Heart/lung Donor Organ Prcrmt-imp 23 16 $190,800.00 $66,780.00 65% off $100.00 $190,800.00 $114,480.00 2026-02-28
6904 APR_DRG Acute Leukemia 29 17 — — $51,597.00 $190,908.90 $121,252.95 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 48 35 — — $42,549.39 $192,063.21 $88,644.56 2026-02-28
38240 CPT Transplt Allo Hct/donor 39 24 — — $1,732.00 $192,523.95 $59,238.14 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 29 17 — — $52,065.00 $192,640.50 $122,352.75 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 29 17 — — $52,296.00 $193,495.20 $122,895.60 2026-02-28
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Solr 1 Each Vial 38 22 $193,515.00 $67,730.25 65% off $42,573.30 $193,515.00 $93,854.77 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 29 17 — — $52,356.00 $193,717.20 $123,036.60 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 53 36 — — $43,133.28 $194,698.79 $91,885.00 2026-02-28
10 MS_DRG Pancreas Transplant 53 36 — — $43,373.88 $195,784.88 $92,415.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 29 17 — — $53,164.00 $196,706.80 $124,935.40 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 48 35 — — $43,837.72 $197,878.59 $92,382.29 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 29 17 — — $54,078.00 $200,088.60 $127,083.30 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 29 17 — — $55,230.00 $204,351.00 $129,790.50 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 47 34 — — $45,309.27 $204,520.98 $94,394.30 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 48 35 — — $45,986.34 $207,577.21 $95,830.43 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 48 35 — — $46,011.09 $207,688.91 $95,856.42 2026-02-28
4414 APR_DRG Major Bladder Procedures 29 17 — — $56,763.00 $210,023.10 $133,393.05 2026-02-28
HC81000024 CDM Hc Liver Ocs 24 16 $213,060.00 $74,571.00 65% off $100.00 $213,060.00 $122,509.50 2026-02-28
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml Soln 20 Ml Vial 38 22 $213,819.43 $74,836.81 65% off $47,040.28 $213,819.43 $103,702.43 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 29 17 — — $57,980.00 $214,526.00 $136,253.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 29 17 — — $58,145.00 $215,136.50 $136,640.75 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 29 17 — — $58,145.00 $215,136.50 $136,640.75 2026-02-28
HC81000020 CDM Hc Heart Ocs 24 16 $215,180.00 $75,313.00 65% off $100.00 $215,180.00 $123,728.50 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 29 17 — — $59,685.00 $220,834.50 $140,259.75 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 29 17 — — $59,706.00 $220,912.20 $140,309.10 2026-02-28
4404 APR_DRG Kidney Transplant 29 17 — — $59,980.00 $221,926.00 $140,953.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 29 17 — — $60,128.00 $222,473.60 $141,300.80 2026-02-28
HC81000022 CDM Hc Lung Ocs 24 16 $222,600.00 $77,910.00 65% off $100.00 $222,600.00 $127,995.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 47 34 — — $49,896.60 $225,227.70 $103,951.25 2026-02-28
HC81000023 CDM Hc Liver Ocs & Surgical Retrieval 24 16 $225,780.00 $79,023.00 65% off $100.00 $225,780.00 $129,823.50 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 29 17 — — $61,110.00 $226,107.00 $143,608.50 2026-02-28
HC81000019 CDM Hc Heart Ocs & Surgical Retrieval 24 16 $227,900.00 $79,765.00 65% off $100.00 $227,900.00 $131,042.50 2026-02-28
8634 APR_DRG Neonatal Aftercare 29 17 — — $61,702.00 $228,297.40 $144,999.70 2026-02-28
HC81000021 CDM Hc Lung Ocs & Surgical Retrieval 24 16 $234,260.00 $81,991.00 65% off $100.00 $234,260.00 $134,699.50 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 29 17 — — $63,399.00 $234,576.30 $148,987.65 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 29 17 — — $63,492.00 $234,920.40 $149,206.20 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 35 — — $52,208.95 $235,665.40 $109,645.32 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 29 17 — — $63,993.00 $236,774.10 $150,383.55 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 29 17 — — $66,841.00 $247,311.70 $157,076.35 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 29 17 — — $67,388.00 $249,335.60 $158,361.80 2026-02-28
HC27803514 CDM Hc Valve Transcath Pulm 52 23 $249,453.00 $87,308.55 65% off $52,385.13 $249,453.00 $87,308.55 2026-02-28
C1605 HCPCS Hc Aveir Ra & Rv Leadless Device Pkg 104 23 $162,750.00 $56,962.50 65% off $15,435.00 $252,000.00 $57,960.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 29 17 — — $68,513.00 $253,498.10 $161,005.55 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 47 34 — — $56,548.83 $255,255.13 $117,810.06 2026-02-28
215 MS_DRG Other Heart Assist System Implant 58 37 — — $56,117.00 $258,092.71 $120,192.86 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 53 36 — — $57,464.93 $259,390.30 $123,437.00 2026-02-28
HC27900004 CDM Hc Tandemheart 37 21 $155,648.00 $54,476.80 65% off $100.00 $259,901.04 $93,388.80 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 29 17 — — $71,261.00 $263,665.70 $167,463.35 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 47 34 — — $58,752.21 $265,200.91 $122,400.42 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 29 17 — — $73,305.00 $271,228.50 $172,266.75 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 29 17 — — $73,525.00 $272,042.50 $172,783.75 2026-02-28
64 APR_DRG Pancreas Transplant 29 17 — — $73,531.00 $272,064.70 $172,797.85 2026-02-28
C1824 HCPCS Hc Ipg Ccm Optimizer 104 23 $251,443.50 $88,005.23 65% off $48,276.27 $273,000.00 $84,844.10 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 57 37 — — $59,414.53 $279,273.00 $142,164.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 29 17 — — $75,769.00 $280,345.30 $178,057.15 2026-02-28
2464 APR_DRG Gastrointestinal Vascular Insufficiency 29 17 — — $76,162.00 $281,799.40 $178,980.70 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 17 — — $77,883.00 $288,167.10 $183,025.05 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 29 17 — — $78,540.00 $290,598.00 $184,569.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 29 17 — — $78,584.00 $290,760.80 $184,672.40 2026-02-28
C1825 HCPCS Optimizer Smart Ipg 10-b411-3-xx 104 23 $267,750.00 $93,712.50 65% off $50,715.00 $294,000.00 $91,140.00 2026-02-28
HC27900001 CDM Hc Pump Abiomed Impella 2.5-1 37 21 $177,021.00 $61,957.35 65% off $100.00 $295,589.67 $106,212.60 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 29 17 — — $80,005.00 $296,018.50 $188,011.75 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Solr 1 Each Vial 42 23 $296,910.22 $103,918.58 65% off $293.27 $296,910.22 $141,032.36 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 29 17 — — $80,327.00 $297,209.90 $188,768.45 2026-02-28
7 MS_DRG Lung Transplant 53 36 — — $70,202.90 $316,888.07 $151,480.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 53 36 — — $70,376.64 $317,672.33 $151,863.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 29 17 — — $87,730.00 $324,601.00 $206,165.50 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 29 17 — — $88,196.00 $326,325.20 $207,260.60 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 29 17 — — $88,300.00 $326,710.00 $207,505.00 2026-02-28
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Soln 10 Ml Vial 109 38 $183,886.51 $64,360.28 65% off $356.57 $329,497.66 $88,265.53 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 29 17 — — $89,098.00 $329,662.60 $209,380.30 2026-02-28
HC27900011 CDM Hc Pump Abiomed Impella Rt Side 37 21 $200,118.00 $70,041.30 65% off $100.00 $334,157.04 $120,070.80 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 29 17 — — $91,509.00 $338,583.30 $215,046.15 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 29 17 — — $92,432.00 $341,998.40 $217,215.20 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 49 35 — — $75,790.04 $342,107.81 $157,895.91 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 29 17 — — $92,831.00 $343,474.70 $218,152.85 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 29 17 — — $93,072.00 $344,366.40 $218,719.20 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 29 17 — — $93,499.00 $345,946.30 $219,722.65 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 29 17 — — $94,497.00 $349,638.90 $222,067.95 2026-02-28
HC62400352 CDM Hc G090024 Evaheart2 Lt Vent Assist Sys 31 18 $99,825.00 $34,938.75 65% off $100.00 $362,364.75 $64,886.25 2026-02-28
5831 APR_DRG Neonate With Ecmo 29 17 — — $102,273.00 $378,410.10 $240,341.55 2026-02-28
HC27900007 CDM Hc Pump Abiomed Impella 2.5-2 37 21 $226,802.00 $79,380.70 65% off $100.00 $378,713.98 $126,128.00 2026-02-28
2004 APR_DRG Cardiac Structural And Valvular Disorders 29 17 — — $102,493.00 $379,224.10 $240,858.55 2026-02-28
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Susp 1 Each Vial 38 22 $405,495.87 $141,923.56 65% off $89,209.10 $405,495.87 $196,665.50 2026-02-28
C1767 HCPCS Activa Stimulator Neuro Dbs 37603 2,585 23 $171,150.00 $59,902.50 65% off $0.27 $411,022.50 $63,198.11 2026-02-28
HC27900016 CDM Hc Impella Rp Flex W/smart Asst Abiomed 37 21 $256,789.00 $89,876.15 65% off $100.00 $428,786.28 $141,233.95 2026-02-28
5832 APR_DRG Neonate With Ecmo 29 17 — — $116,151.00 $429,758.70 $272,954.85 2026-02-28
J3398 HCPCS Voretigene Neparvovec-rzyl 1.5 X 10exp11 Vg/0.3 Ml (fnl) Susp 150 Units Vial 71 38 $456,971.02 $159,939.86 65% off $2,281.15 $456,971.02 $146,230.73 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 29 17 — — $128,508.00 $475,479.60 $301,993.80 2026-02-28
HC27900015 CDM Hc Impella 5.5 Lvad 37 21 $284,925.00 $99,723.75 65% off $100.00 $475,767.77 $156,708.75 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 29 17 — — $129,657.00 $479,730.90 $304,693.95 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 49 35 — — $114,232.43 $515,632.49 $237,984.23 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 53 36 — — $126,295.44 $570,083.54 $274,971.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 17 — — $158,526.00 $586,546.20 $372,536.10 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 29 17 — — $169,213.00 $626,088.10 $397,650.55 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 29 17 — — $174,254.00 $644,739.80 $409,496.90 2026-02-28
HC27900009 CDM Hc Vad Heartware Btt 37 21 $403,982.00 $141,393.70 65% off $100.00 $674,569.15 $222,190.10 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 57 37 — — $142,164.00 $675,732.17 $311,876.39 2026-02-28
HC27900014 CDM Hc Heartmate 3 Lvad Impl Kit 37 21 $415,428.00 $145,399.80 65% off $100.00 $693,681.68 $228,485.40 2026-02-28
HC62400480 CDM Hc G240119 Cardiomems Hf System 31 18 $196,743.00 $68,860.05 65% off $100.00 $714,177.09 $127,882.95 2026-02-28
HC27900017 CDM Cath Impella 2.5 005042 335 21 $210,000.00 $73,500.00 65% off $100.00 $718,848.90 $112,875.00 2026-02-28
HC27900008 CDM Hc Vad Impl Set Heartware Btt 37 21 $487,555.00 $170,644.25 65% off $100.00 $814,119.34 $268,155.25 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 29 17 — — $224,241.00 $829,691.70 $526,966.35 2026-02-28
5833 APR_DRG Neonate With Ecmo 29 17 — — $233,106.00 $862,492.20 $547,799.10 2026-02-28
HC27900010 CDM Hc Vad Heartmate Ii Thor 37 21 $532,248.00 $186,286.80 65% off $100.00 $888,747.72 $292,736.40 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 48 35 — — $199,951.77 $902,560.04 $416,566.17 2026-02-28
C2642 HCPCS Dev Gammatile Therapy 10pk Gt-10 497 39 $304,500.00 $106,575.00 65% off $77.78 $972,825.00 $130,935.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 29 17 — — $267,802.00 $990,867.40 $629,334.70 2026-02-28
5834 APR_DRG Neonate With Ecmo 29 17 — — $275,290.00 $1,018,573.00 $646,931.50 2026-02-28
J2326 HCPCS Nusinersen 12 Mg/5 Ml Soln 5 Ml Vial 72 39 $1,023,387.00 $358,185.45 65% off $899.25 $1,023,387.00 $266,080.62 2026-02-28
HC27900006 CDM Hc Tah 70cc Init Syncardia 37 21 $760,090.00 $266,031.50 65% off $100.00 $1,269,198.29 $418,049.50 2026-02-28
HC62400479 CDM Hc G240119 Heartmate 3 Left Ventricular Assist System 31 18 $415,428.00 $145,399.80 65% off $100.00 $1,508,003.64 $270,028.20 2026-02-28
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