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.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
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
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
5834 APR_DRG Neonate With Ecmo 29 17 — — $275,290.00 $1,018,573.00 $646,931.50 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 29 17 — — $267,802.00 $990,867.40 $629,334.70 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
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
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
5833 APR_DRG Neonate With Ecmo 29 17 — — $233,106.00 $862,492.20 $547,799.10 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
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
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
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
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
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
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
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
1614 APR_DRG Implantable Heart Assist Systems 29 17 — — $169,213.00 $626,088.10 $397,650.55 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 17 — — $158,526.00 $586,546.20 $372,536.10 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
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
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
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
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
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
5832 APR_DRG Neonate With Ecmo 29 17 — — $116,151.00 $429,758.70 $272,954.85 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
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
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
2004 APR_DRG Cardiac Structural And Valvular Disorders 29 17 — — $102,493.00 $379,224.10 $240,858.55 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
5831 APR_DRG Neonate With Ecmo 29 17 — — $102,273.00 $378,410.10 $240,341.55 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
73 APR_DRG Allogeneic Bone Marrow Transplant 29 17 — — $94,497.00 $349,638.90 $222,067.95 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
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
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
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
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 29 17 — — $92,432.00 $341,998.40 $217,215.20 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
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
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
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
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
1613 APR_DRG Implantable Heart Assist Systems 29 17 — — $88,196.00 $326,325.20 $207,260.60 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
14 MS_DRG Allogeneic Bone Marrow Transplant 53 36 — — $70,376.64 $317,672.33 $151,863.00 2026-02-28
7 MS_DRG Lung Transplant 53 36 — — $70,202.90 $316,888.07 $151,480.00 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
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
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
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
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
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
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 29 17 — — $78,540.00 $290,598.00 $184,569.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 17 — — $77,883.00 $288,167.10 $183,025.05 2026-02-28
2464 APR_DRG Gastrointestinal Vascular Insufficiency 29 17 — — $76,162.00 $281,799.40 $178,980.70 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
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
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
64 APR_DRG Pancreas Transplant 29 17 — — $73,531.00 $272,064.70 $172,797.85 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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 47 34 — — $58,752.21 $265,200.91 $122,400.42 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
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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 53 36 — — $57,464.93 $259,390.30 $123,437.00 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
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
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
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
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
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
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
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
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
72 APR_DRG Allogeneic Bone Marrow Transplant 29 17 — — $63,492.00 $234,920.40 $149,206.20 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 29 17 — — $63,399.00 $234,576.30 $148,987.65 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
8634 APR_DRG Neonatal Aftercare 29 17 — — $61,702.00 $228,297.40 $144,999.70 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
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
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
850 MS_DRG Acute Leukemia With Other Procedures 47 34 — — $49,896.60 $225,227.70 $103,951.25 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
1611 APR_DRG Implantable Heart Assist Systems 29 17 — — $60,128.00 $222,473.60 $141,300.80 2026-02-28
4404 APR_DRG Kidney Transplant 29 17 — — $59,980.00 $221,926.00 $140,953.00 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
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
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
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
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
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
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
4414 APR_DRG Major Bladder Procedures 29 17 — — $56,763.00 $210,023.10 $133,393.05 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
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
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
23 APR_DRG Heart And/or Lung Transplant 29 17 — — $55,230.00 $204,351.00 $129,790.50 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
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
1784 APR_DRG External Heart Assist Systems 29 17 — — $53,164.00 $196,706.80 $124,935.40 2026-02-28
10 MS_DRG Pancreas Transplant 53 36 — — $43,373.88 $195,784.88 $92,415.00 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
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
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
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
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 29 17 — — $52,065.00 $192,640.50 $122,352.75 2026-02-28
38240 CPT Transplt Allo Hct/donor 39 24 — — $1,732.00 $192,523.95 $59,238.14 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
6904 APR_DRG Acute Leukemia 29 17 — — $51,597.00 $190,908.90 $121,252.95 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
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
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
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 17 — — $51,224.00 $189,528.80 $120,376.40 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
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
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 17 — — $49,677.00 $183,804.90 $116,740.95 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
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
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
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
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
63 APR_DRG Pancreas Transplant 29 17 — — $47,519.00 $175,820.30 $111,669.65 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
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
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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 48 35 — — $37,347.12 $168,580.72 $77,806.49 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
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
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 29 17 — — $44,948.00 $166,307.60 $105,627.80 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
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
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
22 APR_DRG Heart And/or Lung Transplant 29 17 — — $44,368.00 $164,161.60 $104,264.80 2026-02-28
234 APR_DRG Spinal Procedures 29 17 — — $44,282.00 $163,843.40 $104,062.70 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
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
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
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
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
62 APR_DRG Pancreas Transplant 29 17 — — $42,980.00 $159,026.00 $101,003.00 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
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
61 APR_DRG Pancreas Transplant 29 17 — — $42,425.00 $156,972.50 $99,698.75 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
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
71 APR_DRG Allogeneic Bone Marrow Transplant 29 17 — — $41,691.00 $154,256.70 $97,973.85 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
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
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
13 APR_DRG Liver Transplant And/or Intestinal Transplant 29 17 — — $41,386.00 $153,128.20 $97,257.10 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
264 APR_DRG Other Nervous System And Related Procedures 29 17 — — $41,312.00 $152,854.40 $97,083.20 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
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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 48 35 — — $33,558.48 $151,479.22 $69,913.49 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
1824 APR_DRG Other Peripheral Vascular Procedures 29 17 — — $40,857.00 $151,170.90 $96,013.95 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
28 MS_DRG Spinal Procedures With Mcc 48 35 — — $33,404.74 $150,785.28 $69,593.21 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
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
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
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
2054 APR_DRG Cardiomyopathy 29 17 — — $40,041.00 $148,151.70 $94,096.35 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 29 17 — — $39,990.00 $147,963.00 $93,976.50 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
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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 43 33 — — $32,695.56 $147,584.10 $68,115.74 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 48 35 — — $32,376.50 $146,143.92 $67,704.02 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
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
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
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
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
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
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
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
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
214 APR_DRG Open Craniotomy Except Trauma 29 17 — — $38,457.00 $142,290.90 $90,373.95 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
2304 APR_DRG Major Small Bowel Procedures 29 17 — — $38,318.00 $141,776.60 $90,047.30 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 29 17 — — $38,167.00 $141,217.90 $89,692.45 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
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
653 MS_DRG Major Bladder Procedures With Mcc 48 35 — — $30,746.48 $138,786.18 $64,055.16 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
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
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
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
4403 APR_DRG Kidney Transplant 29 17 — — $36,710.00 $135,827.00 $86,268.50 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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 53 36 — — $30,043.61 $135,613.50 $63,431.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 29 17 — — $36,583.00 $135,357.10 $85,970.05 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
1204 APR_DRG Major Respiratory And Chest Procedures 29 17 — — $36,435.00 $134,809.50 $85,622.25 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
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
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
4834 APR_DRG Penis Testes And Scrotal Procedures 29 17 — — $36,296.00 $134,295.20 $85,295.60 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
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
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
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
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
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
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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 48 35 — — $28,421.49 $128,291.41 $59,211.42 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
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
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 29 17 — — $34,425.00 $127,372.50 $80,898.75 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
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 48 35 — — $28,137.18 $127,008.09 $58,619.12 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
1783 APR_DRG External Heart Assist Systems 29 17 — — $34,022.00 $125,881.40 $79,951.70 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
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
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
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
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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 48 35 — — $27,633.33 $124,733.77 $57,569.43 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
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
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 29 17 — — $33,190.00 $122,803.00 $77,996.50 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 29 17 — — $33,137.00 $122,606.90 $77,871.95 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
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
914 APR_DRG Other Major Head And Neck Procedures 29 17 — — $32,638.00 $120,760.60 $76,699.30 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 29 17 — — $32,305.00 $119,528.50 $75,916.75 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
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
12 APR_DRG Liver Transplant And/or Intestinal Transplant 29 17 — — $31,789.00 $117,619.30 $74,704.15 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 29 17 — — $31,776.00 $117,571.20 $74,673.60 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
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
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
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
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
1834 APR_DRG Percutaneous Structural Cardiac Procedures 29 17 — — $30,728.00 $113,693.60 $72,210.80 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
2614 APR_DRG Major Biliary Tract Procedures 29 17 — — $30,241.00 $111,891.70 $71,066.35 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
1833 APR_DRG Percutaneous Structural Cardiac Procedures 29 17 — — $29,974.00 $110,903.80 $70,438.90 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
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
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
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
1782 APR_DRG External Heart Assist Systems 29 17 — — $29,200.00 $108,040.00 $68,620.00 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
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
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
2234 APR_DRG Other Small And Large Bowel Procedures 29 17 — — $28,453.00 $105,276.10 $66,864.55 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
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
453 MS_DRG No Active Code Description 14 13 — — $103,861.00 $103,861.00 $103,861.00 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
7234 APR_DRG Viral Illness 29 17 — — $27,953.00 $103,426.10 $65,689.55 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
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
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
6614 APR_DRG Coagulation And Platelet Disorders 29 17 — — $27,045.00 $100,066.50 $63,555.75 2026-02-28
1781 APR_DRG External Heart Assist Systems 29 17 — — $26,767.00 $99,037.90 $62,902.45 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
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
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
1794 APR_DRG Defibrillator Implants 29 17 — — $26,123.00 $96,655.10 $61,389.05 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
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 29 17 — — $25,960.00 $96,052.00 $61,006.00 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
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 29 17 — — $25,758.00 $95,304.60 $60,531.30 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
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
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
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 29 17 — — $25,240.00 $93,388.00 $59,314.00 2026-02-28
4013 APR_DRG Adrenal Procedures 29 17 — — $25,146.00 $93,040.20 $59,093.10 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
3104 APR_DRG Intervertebral Disc Excision And Decompression 29 17 — — $24,877.00 $92,044.90 $58,460.95 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
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
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
4804 APR_DRG Major Male Pelvic Procedures 29 17 — — $24,628.00 $91,123.60 $57,875.80 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
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 29 17 — — $24,417.00 $90,342.90 $57,379.95 2026-02-28
222 MS_DRG No Active Code Description 14 13 — — $86,864.00 $86,864.00 $86,864.00 2026-02-28
224 MS_DRG No Active Code Description 14 13 — — $80,427.00 $80,427.00 $80,427.00 2026-02-28
459 MS_DRG No Active Code Description 14 13 — — $75,251.00 $75,251.00 $75,251.00 2026-02-28
226 MS_DRG No Active Code Description 14 13 — — $72,618.00 $72,618.00 $72,618.00 2026-02-28
454 MS_DRG No Active Code Description 14 13 — — $69,101.00 $69,101.00 $69,101.00 2026-02-28
223 MS_DRG No Active Code Description 14 13 — — $59,206.00 $59,206.00 $59,206.00 2026-02-28
225 MS_DRG No Active Code Description 14 13 — — $57,380.00 $57,380.00 $57,380.00 2026-02-28
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