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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CHI ST LUKES LAKESIDE HOSPITAL

The Woodlands, TX · CCN 670059 · Rates published

21,605 distinct procedures filed
81 distinct payers
2,724,578 rate rows
2026-07-31 last MRF observed
Data quality

2,617,726 of 2,724,578 rate rows are consumer-grade (96.1%)

106,852 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 55,554
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 47,318
exceeds 10× this hospital's gross charge — excluded from medians 1,462
per-diem day rate — not a per-procedure price 1,420
template filing: same amount across many unrelated codes — excluded 706
placeholder amount (≤ $0.02) — excluded from medians 344
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/stluh/soho/finance/price-transparency/300427437-1184868879_st-lukes-lakeside-hospital-llc_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stlukes-health-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint f58a1f9ddb950b85… · 239,721,920 bytes · first seen 2026-07-07

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
HC27900006
CDM 		Hc Tah 70cc Init Syncardia 21 $100.00 $1,269,198.29 $418,049.50 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 $188,296.46 $888,174.00 $392,284.29 nat. median
$168,055
outlier · 2.3×
HC27900010
CDM 		Hc Vad Heartmate Ii Thor 21 $100.00 $888,747.72 $292,736.40 —
5834
APR_DRG 		Neonate With Ecmo 6 $270,768.00 $1,001,841.60 $281,598.72 nat. median
$390,362
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $263,403.00 $974,591.10 $273,939.12 nat. median
$149,836
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 28 $140,641.67 $663,392.00 $271,488.07 nat. median
$186,516
1.5× median
HC27900008
CDM 		Hc Vad Impl Set Heartware Btt 21 $100.00 $814,119.34 $268,155.25 —
HC62400479
CDM 		Hc G240119 Heartmate 3 Left Ventricular Assist System 18 $100.00 $1,508,003.64 $259,642.50 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 $118,445.71 $558,696.00 $246,761.90 nat. median
$131,925
1.9× median
J2326
HCPCS 		Nusinersen 12 Mg/5 Ml Soln 5 Ml Vial 41 $900.45 $1,023,387.00 $245,612.88 nat. median
$1,667
outlier · 147.4×
HC27900006
OTHER 		Hc Tah 70cc Init Syncardia 11 $91,711.00 $330,606.00 $242,444.40 —
5833
APR_DRG 		Neonate With Ecmo 6 $229,276.00 $848,321.20 $238,447.04 nat. median
$268,208
0.9× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 13 $228,764.43 $395,687.40 $233,339.72 nat. median
$149,977
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $220,557.00 $816,060.90 $229,379.28 nat. median
$225,531
1.0× median
HC27900014
CDM 		Hc Heartmate 3 Lvad Impl Kit 21 $100.00 $693,681.68 $228,485.40 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 26 $107,005.97 $504,736.00 $222,929.09 nat. median
$145,435
1.5× median
HC27900009
CDM 		Hc Vad Heartware Btt 21 $100.00 $674,569.15 $222,190.10 —
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Susp 1 Each Vial 22 $89,209.10 $405,495.87 $194,638.02 nat. median
$66,211
outlier · 2.9×
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $137,689.00 $510,619.20 $181,057.84 nat. median
$177,883
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $171,392.00 $634,150.40 $178,247.68 nat. median
$286,698
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $166,433.00 $615,802.10 $173,090.32 nat. median
$202,242
0.9× median
HC27900010
OTHER 		Hc Vad Heartmate Ii Thor 11 $91,711.00 $231,504.75 $169,770.15 —
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $155,922.00 $576,911.40 $162,158.88 nat. median
$152,792
1.1× median
HC27900015
CDM 		Hc Impella 5.5 Lvad 21 $100.00 $475,767.77 $156,708.75 —
HC27900008
OTHER 		Hc Vad Impl Set Heartware Btt 11 $91,711.00 $212,065.50 $155,514.70 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 26 $70,549.77 $332,776.00 $146,978.67 nat. median
$97,418
1.5× median
HC27900016
CDM 		Hc Impella Rp Flex W/smart Asst Abiomed 21 $100.00 $428,786.28 $141,233.95 —
C9293
HCPCS 		Glucarpidase 1000 Unit Solr 1 Each Vial 22 $1,238.94 $296,910.22 $141,032.36 nat. median
$57,284
outlier · 2.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 26 $65,416.06 $308,560.00 $136,283.45 nat. median
$72,715
1.9× median
7
MS_DRG 		Lung Transplant 26 $65,251.29 $307,783.00 $135,940.19 nat. median
$70,649
1.9× median
HC81000021
CDM 		Hc Lung Ocs & Surgical Retrieval 16 $100.00 $234,260.00 $134,699.50 —
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $127,527.00 $471,849.90 $132,628.08 nat. median
$187,567
0.7× median
HC27900014
OTHER 		Hc Heartmate 3 Lvad Impl Kit 11 $91,711.00 $180,693.00 $132,508.20 —
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi… 14 $128,884.30 $368,515.99 $131,461.99 nat. median
$2
outlier · 81653.4×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $126,397.00 $467,668.90 $131,452.88 nat. median
$198,578
0.7× median
HC81000019
CDM 		Hc Heart Ocs & Surgical Retrieval 16 $100.00 $227,900.00 $131,042.50 —
HC81000023
CDM 		Hc Liver Ocs & Surgical Retrieval 16 $100.00 $225,780.00 $129,823.50 —
HC27900009
OTHER 		Hc Vad Heartware Btt 11 $91,711.00 $175,714.50 $128,857.30 —
C2642
HCPCS 		Dev Gammatile Therapy 10pk Gt-10 41 $77.78 $972,825.00 $128,100.00 nat. median
$8,770
outlier · 14.6×
HC81000022
CDM 		Hc Lung Ocs 16 $100.00 $222,600.00 $127,995.00 —
0084
OTHER 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 $122,945.41 $129,092.68 $126,633.77 —
0074
OTHER 		Allogeneic Bone Marrow Transplant 7 $122,945.41 $129,092.68 $126,633.77 —
HC27900007
CDM 		Hc Pump Abiomed Impella 2.5-2 21 $100.00 $378,713.98 $125,434.55 —
HC81000020
CDM 		Hc Heart Ocs 16 $100.00 $215,180.00 $123,728.50 —
HC62400480
CDM 		Hc G240119 Cardiomems Hf System 18 $100.00 $714,177.09 $122,964.38 —
HC81000024
CDM 		Hc Liver Ocs 16 $100.00 $213,060.00 $122,509.50 —
J3398
HCPCS 		Voretigene Neparvovec-rzyl 1.5 X 10exp11 Vg/0.3 Ml (fnl) Susp 150 Units Vial 41 $2,268.97 $456,971.02 $121,097.32 nat. median
$3,269
outlier · 37.0×
003
OTHER 		Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi… 20 $2,225.00 $350,230.16 $119,293.32 nat. median
$119,739
1.0× median
5832
APR_DRG 		Neonate With Ecmo 6 $114,243.00 $422,699.10 $118,812.72 nat. median
$201,678
0.6× median
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $114,784.34 $120,523.56 $118,227.87 —

Other procedures at this hospital

Browse this hospital's 21,605 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
             
HC27900006 CDM Hc Tah 70cc Init Syncardia 72 21 $760,090.00 $266,031.50 65% off $100.00 $1,269,198.29 $418,049.50 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 70 26 — — $188,296.46 $888,174.00 $392,284.29 2026-02-28
HC27900010 CDM Hc Vad Heartmate Ii Thor 72 21 $532,248.00 $186,286.80 65% off $100.00 $888,747.72 $292,736.40 2026-02-28
5834 APR_DRG Neonate With Ecmo 32 6 — — $270,768.00 $1,001,841.60 $281,598.72 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 32 6 — — $263,403.00 $974,591.10 $273,939.12 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 80 28 — — $140,641.67 $663,392.00 $271,488.07 2026-02-28
HC27900008 CDM Hc Vad Impl Set Heartware Btt 72 21 $487,555.00 $170,644.25 65% off $100.00 $814,119.34 $268,155.25 2026-02-28
HC62400479 CDM Hc G240119 Heartmate 3 Left Ventricular Assist System 60 18 $415,428.00 $145,399.80 65% off $100.00 $1,508,003.64 $259,642.50 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 70 26 — — $118,445.71 $558,696.00 $246,761.90 2026-02-28
J2326 HCPCS Nusinersen 12 Mg/5 Ml Soln 5 Ml Vial 144 41 $1,023,387.00 $358,185.45 65% off $900.45 $1,023,387.00 $245,612.88 2026-02-28
HC27900006 OTHER Hc Tah 70cc Init Syncardia 11 11 $440,808.00 $154,282.80 65% off $91,711.00 $330,606.00 $242,444.40 2026-07-31
5833 APR_DRG Neonate With Ecmo 32 6 — — $229,276.00 $848,321.20 $238,447.04 2026-02-28
018 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 13 13 — — $228,764.43 $395,687.40 $233,339.72 2026-07-31
24 APR_DRG Heart And/or Lung Transplant 32 6 — — $220,557.00 $816,060.90 $229,379.28 2026-02-28
HC27900014 CDM Hc Heartmate 3 Lvad Impl Kit 72 21 $415,428.00 $145,399.80 65% off $100.00 $693,681.68 $228,485.40 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 70 26 — — $107,005.97 $504,736.00 $222,929.09 2026-02-28
HC27900009 CDM Hc Vad Heartware Btt 72 21 $403,982.00 $141,393.70 65% off $100.00 $674,569.15 $222,190.10 2026-02-28
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Susp 1 Each Vial 74 22 $405,495.87 $141,923.56 65% off $89,209.10 $405,495.87 $194,638.02 2026-02-28
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 19 19 — — $137,689.00 $510,619.20 $181,057.84 2026-07-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 6 — — $171,392.00 $634,150.40 $178,247.68 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 32 6 — — $166,433.00 $615,802.10 $173,090.32 2026-02-28
HC27900010 OTHER Hc Vad Heartmate Ii Thor 11 11 $308,673.00 $108,035.55 65% off $91,711.00 $231,504.75 $169,770.15 2026-07-31
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 32 6 — — $155,922.00 $576,911.40 $162,158.88 2026-02-28
HC27900015 CDM Hc Impella 5.5 Lvad 72 21 $284,925.00 $99,723.75 65% off $100.00 $475,767.77 $156,708.75 2026-02-28
HC27900008 OTHER Hc Vad Impl Set Heartware Btt 11 11 $282,754.00 $98,963.90 65% off $91,711.00 $212,065.50 $155,514.70 2026-07-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 70 26 — — $70,549.77 $332,776.00 $146,978.67 2026-02-28
HC27900016 CDM Hc Impella Rp Flex W/smart Asst Abiomed 72 21 $256,789.00 $89,876.15 65% off $100.00 $428,786.28 $141,233.95 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Solr 1 Each Vial 80 22 $296,910.22 $103,918.58 65% off $1,238.94 $296,910.22 $141,032.36 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 70 26 — — $65,416.06 $308,560.00 $136,283.45 2026-02-28
7 MS_DRG Lung Transplant 70 26 — — $65,251.29 $307,783.00 $135,940.19 2026-02-28
HC81000021 CDM Hc Lung Ocs & Surgical Retrieval 48 16 $234,260.00 $81,991.00 65% off $100.00 $234,260.00 $134,699.50 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 32 6 — — $127,527.00 $471,849.90 $132,628.08 2026-02-28
HC27900014 OTHER Hc Heartmate 3 Lvad Impl Kit 11 11 $240,924.00 $84,323.40 65% off $91,711.00 $180,693.00 $132,508.20 2026-07-31
927 OTHER Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi… 14 14 — — $128,884.30 $368,515.99 $131,461.99 2026-07-31
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 32 6 — — $126,397.00 $467,668.90 $131,452.88 2026-02-28
HC81000019 CDM Hc Heart Ocs & Surgical Retrieval 48 16 $227,900.00 $79,765.00 65% off $100.00 $227,900.00 $131,042.50 2026-02-28
HC81000023 CDM Hc Liver Ocs & Surgical Retrieval 48 16 $225,780.00 $79,023.00 65% off $100.00 $225,780.00 $129,823.50 2026-02-28
HC27900009 OTHER Hc Vad Heartware Btt 11 11 $234,286.00 $82,000.10 65% off $91,711.00 $175,714.50 $128,857.30 2026-07-31
C2642 HCPCS Dev Gammatile Therapy 10pk Gt-10 976 41 $304,500.00 $106,575.00 65% off $77.78 $972,825.00 $128,100.00 2026-02-28
HC81000022 CDM Hc Lung Ocs 48 16 $222,600.00 $77,910.00 65% off $100.00 $222,600.00 $127,995.00 2026-02-28
0084 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $122,945.41 $129,092.68 $126,633.77 2026-07-31
0074 OTHER Allogeneic Bone Marrow Transplant 7 7 — — $122,945.41 $129,092.68 $126,633.77 2026-07-31
HC27900007 CDM Hc Pump Abiomed Impella 2.5-2 72 21 $226,802.00 $79,380.70 65% off $100.00 $378,713.98 $125,434.55 2026-02-28
HC81000020 CDM Hc Heart Ocs 48 16 $215,180.00 $75,313.00 65% off $100.00 $215,180.00 $123,728.50 2026-02-28
HC62400480 CDM Hc G240119 Cardiomems Hf System 60 18 $196,743.00 $68,860.05 65% off $100.00 $714,177.09 $122,964.38 2026-02-28
HC81000024 CDM Hc Liver Ocs 48 16 $213,060.00 $74,571.00 65% off $100.00 $213,060.00 $122,509.50 2026-02-28
J3398 HCPCS Voretigene Neparvovec-rzyl 1.5 X 10exp11 Vg/0.3 Ml (fnl) Susp 150 Units Vial 144 41 $456,971.02 $159,939.86 65% off $2,268.97 $456,971.02 $121,097.32 2026-02-28
003 OTHER Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi… 20 20 — — $2,225.00 $350,230.16 $119,293.32 2026-07-31
5832 APR_DRG Neonate With Ecmo 32 6 — — $114,243.00 $422,699.10 $118,812.72 2026-02-28
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $114,784.34 $120,523.56 $118,227.87 2026-07-31
5834 OTHER Neonate With Ecmo 7 7 — — $113,801.46 $119,491.53 $117,215.50 2026-07-31
HC27900011 CDM Hc Pump Abiomed Impella Rt Side 72 21 $200,118.00 $70,041.30 65% off $100.00 $334,157.04 $115,067.85 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 80 28 — — $55,020.33 $279,273.00 $114,625.68 2026-02-28
HC81200014 CDM Hc Heart/lung Donor Organ Prcrmt-imp 46 16 $190,800.00 $66,780.00 65% off $100.00 $190,800.00 $114,480.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 68 25 — — $54,392.22 $256,562.00 $113,317.13 2026-02-28
HC27900017 CDM Cath Impella 2.5 005042 648 21 $210,000.00 $73,500.00 65% off $100.00 $718,848.90 $110,965.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 70 26 — — $53,171.46 $250,804.00 $110,773.86 2026-02-28
215 MS_DRG Other Heart Assist System Implant 80 28 — — $52,898.84 $249,518.00 $109,671.96 2026-02-28
0024 RC Heart And/or Lung Transplant 7 7 — — $106,444.31 $111,766.53 $109,637.64 2026-07-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 25 — — $52,302.69 $246,706.00 $108,963.93 2026-02-28
2004 APR_DRG Cardiac Structural And Valvular Disorders 32 6 — — $100,809.00 $372,993.30 $104,841.36 2026-02-28
5831 APR_DRG Neonate With Ecmo 32 6 — — $100,593.00 $372,194.10 $104,616.72 2026-02-28
453 MS_DRG No Active Code Description 2 1 — — $103,861.00 $103,861.00 $103,861.00 2026-02-28
HC27900001 CDM Hc Pump Abiomed Impella 2.5-1 72 21 $177,021.00 $61,957.35 65% off $100.00 $295,589.67 $103,335.30 2026-02-28
1614 OTHER Implantable Heart Assist Systems 7 7 — — $99,835.46 $104,827.23 $102,830.52 2026-07-31
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml Soln 20 Ml Vial 74 22 $213,819.43 $74,836.81 65% off $47,040.28 $213,819.43 $102,633.33 2026-02-28
HC81200013 CDM Hc Sng Lung Donor Organ Procure-imp 46 16 $170,058.00 $59,520.30 65% off $100.00 $170,058.00 $102,034.80 2026-02-28
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $98,560.60 $103,488.63 $101,517.42 2026-07-31
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 19 — — $97,630.43 $258,945.15 $100,559.34 2026-07-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 70 26 — — $48,187.04 $227,293.00 $100,389.66 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 32 6 — — $92,945.00 $343,896.50 $96,662.80 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 68 25 — — $45,994.16 $216,949.00 $95,821.16 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 6 — — $91,963.00 $340,263.10 $95,641.52 2026-02-28
HC81200004 CDM Hc Heart/lung Dnr Orgn Prcur 46 16 $159,000.00 $55,650.00 65% off $100.00 $159,000.00 $95,400.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 6 — — $91,543.00 $338,709.10 $95,204.72 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 32 6 — — $91,306.00 $337,832.20 $94,958.24 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 32 6 — — $90,914.00 $336,381.80 $94,550.56 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 32 6 — — $90,006.00 $333,022.20 $93,606.24 2026-02-28
HC27900004 CDM Hc Tandemheart 72 21 $155,648.00 $54,476.80 65% off $100.00 $259,901.04 $93,388.80 2026-02-28
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Solr 1 Each Vial 74 22 $193,515.00 $67,730.25 65% off $42,573.30 $193,515.00 $92,887.20 2026-02-28
HC81200006 CDM Hc Liver Dnr Orgn Prcr-import 46 16 $154,798.00 $54,179.30 65% off $100.00 $154,798.00 $92,878.80 2026-02-28
HC81200001 CDM Hc Dbl Lung Dnr Orgn Prcr-imp 46 16 $153,707.00 $53,797.45 65% off $100.00 $153,707.00 $92,224.20 2026-02-28
HC27900015 OTHER Hc Impella 5.5 Lvad 11 11 $165,240.00 $57,834.00 65% off $82,620.00 $123,930.00 $91,711.00 2026-07-31
HC27900005 OTHER Hc Pump Abiomed Impella Cp 11 11 $141,849.00 $49,647.15 65% off $70,924.50 $106,386.75 $91,711.00 2026-07-31
C1825 HCPCS Optimizer Smart Ipg 10-b411-3-xx 204 24 $267,750.00 $93,712.50 65% off $50,715.00 $294,000.00 $91,140.00 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 32 6 — — $87,634.00 $324,245.80 $91,139.36 2026-02-28
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $88,435.56 $92,857.34 $91,088.63 2026-07-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 32 6 — — $86,849.00 $321,341.30 $90,322.96 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 32 6 — — $86,747.00 $320,963.90 $90,216.88 2026-02-28
HC81000011 OTHER Hc Lung Perfusion Set 5 5 $163,800.00 $57,330.00 65% off $90,090.00 $122,850.00 $90,090.00 2026-07-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 6 — — $86,289.00 $319,269.30 $89,740.56 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 70 26 — — $42,309.39 $199,569.00 $88,144.56 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 70 26 — — $42,285.93 $199,458.00 $88,095.68 2026-02-28
HC27803514 CDM Hc Valve Transcath Pulm 102 24 $249,453.00 $87,308.55 65% off $52,385.13 $249,453.00 $87,308.55 2026-02-28
HC81200008 CDM Hc Lung Dnr Dbl Orgn Prcr 46 16 $144,986.00 $50,745.10 65% off $100.00 $144,986.00 $86,991.60 2026-02-28
222 MS_DRG No Active Code Description 2 1 — — $86,864.00 $86,864.00 $86,864.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 68 25 — — $41,643.84 $196,429.00 $86,757.99 2026-02-28
HC81200003 CDM Hc Heart Dnr Orgn Prcur-imprt 46 16 $143,895.00 $50,363.25 65% off $100.00 $143,895.00 $86,337.00 2026-02-28
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Soln 10 Ml Vial 218 41 $183,886.51 $64,360.28 65% off $349.34 $329,497.66 $85,669.40 2026-02-28
HC27900007 OTHER Hc Pump Abiomed Impella 2.5-2 11 11 $131,532.00 $46,036.20 65% off $65,766.00 $98,649.00 $85,495.80 2026-07-31
HC27900002 OTHER Hc Pump Abiomed Impella 5-0 11 11 $131,532.00 $46,036.20 65% off $65,766.00 $98,649.00 $85,495.80 2026-07-31
C1824 HCPCS Hc Ipg Ccm Optimizer 219 39 $229,887.00 $80,460.45 65% off $33,596.90 $273,000.00 $84,630.00 2026-07-31
HC81200004 OTHER Hc Heart/lung Dnr Orgn Prcur 5 5 $153,534.00 $53,736.90 65% off $84,443.70 $115,150.50 $84,443.70 2026-07-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 70 26 — — $40,248.32 $189,847.00 $83,850.66 2026-02-28
10 MS_DRG Pancreas Transplant 70 26 — — $39,808.44 $187,772.00 $82,934.25 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 70 26 — — $39,580.27 $186,696.00 $82,458.89 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 32 6 — — $79,007.00 $292,325.90 $82,167.28 2026-02-28
0023 RC Heart And/or Lung Transplant 7 7 — — $79,544.38 $83,521.60 $81,930.71 2026-07-31
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 32 6 — — $78,691.00 $291,156.70 $81,838.64 2026-02-28
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $79,059.17 $83,012.13 $81,430.95 2026-07-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 70 26 — — $39,026.55 $184,084.00 $81,305.31 2026-02-28
5891 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $78,835.65 $82,777.43 $81,200.72 2026-07-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 70 26 — — $38,632.61 $182,226.00 $80,484.60 2026-02-28
224 MS_DRG No Active Code Description 2 1 — — $80,427.00 $80,427.00 $80,427.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 32 6 — — $77,293.00 $285,984.10 $80,384.72 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 32 6 — — $77,250.00 $285,825.00 $80,340.00 2026-02-28
014 OTHER Allogeneic Bone Marrow Transplant 14 14 — — $78,312.70 $235,683.19 $79,878.95 2026-07-31
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $77,492.70 $81,367.34 $79,817.48 2026-07-31
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 32 6 — — $76,604.00 $283,434.80 $79,668.16 2026-02-28
5833 OTHER Neonate With Ecmo 7 7 — — $76,537.27 $80,364.13 $78,833.39 2026-07-31
HC62400322 OTHER Hc G140245 Tah 50cc Syncardia 10 10 $141,900.00 $49,665.00 65% off $38,372.00 $141,900.00 $78,045.00 2026-07-31
2464 APR_DRG Gastrointestinal Vascular Insufficiency 32 6 — — $74,911.00 $277,170.70 $77,907.44 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 70 26 — — $37,268.05 $175,789.00 $77,641.77 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 32 6 — — $74,524.00 $275,738.80 $77,504.96 2026-02-28
HC81200005 CDM Hc Kidney Dnr Orgn Prcr 46 16 $128,635.00 $45,022.25 65% off $100.00 $128,635.00 $77,181.00 2026-02-28
HC27900011 OTHER Hc Pump Abiomed Impella Rt Side 11 11 $116,057.00 $40,619.95 65% off $58,028.50 $94,463.00 $75,437.05 2026-07-31
459 MS_DRG No Active Code Description 2 1 — — $75,251.00 $75,251.00 $75,251.00 2026-02-28
64 APR_DRG Pancreas Transplant 32 6 — — $72,323.00 $267,595.10 $75,215.92 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 32 6 — — $72,318.00 $267,576.60 $75,210.72 2026-02-28
HC81200009 CDM Hc Lung Dnr Single Orgn Prcrmt 46 16 $125,080.00 $43,778.00 65% off $100.00 $125,080.00 $75,048.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 32 6 — — $72,101.00 $266,773.70 $74,985.04 2026-02-28
004 OTHER Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosis Except… 20 20 — — $2,225.00 $213,306.34 $74,511.61 2026-07-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 25 — — $35,463.12 $167,276.00 $73,881.50 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 68 25 — — $35,284.87 $166,435.00 $73,510.14 2026-02-28
007 OTHER Lung Transplant 19 19 — — $70,931.13 $199,309.25 $73,059.06 2026-07-31
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 32 6 — — $70,091.00 $259,336.70 $72,894.64 2026-02-28
226 MS_DRG No Active Code Description 2 1 — — $72,618.00 $72,618.00 $72,618.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 70 26 — — $34,733.16 $163,833.00 $72,360.74 2026-02-28
8414 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $70,066.39 $73,569.71 $72,168.38 2026-07-31
HC81200006 OTHER Hc Liver Dnr Orgn Prcr-import 5 5 $131,123.00 $45,893.05 65% off $72,117.65 $98,342.25 $72,117.65 2026-07-31
0073 OTHER Allogeneic Bone Marrow Transplant 7 7 — — $69,930.56 $73,427.09 $72,028.48 2026-07-31
0083 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $69,930.56 $73,427.09 $72,028.48 2026-07-31
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $69,279.23 $72,743.19 $71,357.61 2026-07-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 70 26 — — $34,093.06 $160,813.00 $71,027.21 2026-02-28
5892 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $68,868.54 $72,311.97 $70,934.60 2026-07-31
J7355 HCPCS Idose Tr G2-tr 74 22 $146,475.00 $51,266.25 65% off $32,224.50 $146,475.00 $70,308.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 32 6 — — $67,387.00 $249,331.90 $70,082.48 2026-02-28
HC81200002 CDM Hc Heart Dnr Orgn Prcur 46 16 $116,600.00 $40,810.00 65% off $100.00 $116,600.00 $69,960.00 2026-02-28
215 OTHER Other Heart Assist System Implant 21 21 — — $2,150.00 $238,109.36 $69,746.88 2026-07-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 68 25 — — $33,475.94 $157,902.00 $69,741.54 2026-02-28
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $67,630.05 $71,011.55 $69,658.95 2026-07-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 70 26 — — $33,347.13 $157,295.00 $69,473.18 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 70 26 — — $33,290.71 $157,029.00 $69,355.64 2026-02-28
0014 OTHER Liver Transplant And/or Intestinal Transplant 7 7 — — $67,116.32 $70,472.14 $69,129.81 2026-07-31
454 MS_DRG No Active Code Description 2 1 — — $69,101.00 $69,101.00 $69,101.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 32 6 — — $66,281.00 $245,239.70 $68,932.24 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 32 6 — — $65,743.00 $243,249.10 $68,372.72 2026-02-28
0064 OTHER Pancreas Transplant 7 7 — — $66,283.18 $69,597.34 $68,271.68 2026-07-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 70 26 — — $32,290.13 $152,309.00 $67,271.09 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 70 26 — — $32,243.69 $152,090.00 $67,174.35 2026-02-28
HC27900001 OTHER Hc Pump Abiomed Impella 2.5-1 11 11 $102,662.00 $35,931.70 65% off $51,331.00 $94,463.00 $66,730.30 2026-07-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 70 26 — — $31,576.64 $148,944.00 $65,784.66 2026-02-28
HC81200013 OTHER Hc Sng Lung Donor Organ Procure-imp 5 5 $119,202.00 $41,720.70 65% off $65,561.10 $89,401.50 $65,561.10 2026-07-31
HC81200001 OTHER Hc Dbl Lung Dnr Orgn Prcr-imp 5 5 $119,202.00 $41,720.70 65% off $65,561.10 $89,401.50 $65,561.10 2026-07-31
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 32 6 — — $62,942.00 $232,885.40 $65,459.68 2026-02-28
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 22 — — $47,761.00 $185,563.47 $65,197.48 2026-07-31
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Of Hemorrhage With Mcc 19 19 — — $63,244.98 $199,950.44 $65,142.33 2026-07-31
72 APR_DRG Allogeneic Bone Marrow Transplant 32 6 — — $62,449.00 $231,061.30 $64,946.96 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 32 6 — — $62,358.00 $230,724.60 $64,852.32 2026-02-28
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 19 19 — — $62,651.76 $190,558.07 $64,531.31 2026-07-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 68 25 — — $30,928.07 $145,884.00 $64,433.46 2026-02-28
HC27806580 CDM Hc Pipeline Embol >24mm 102 24 $183,873.00 $64,355.55 65% off $38,613.33 $183,873.00 $64,355.55 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 68 25 — — $30,888.12 $145,696.00 $64,350.24 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 70 26 — — $30,747.32 $145,032.00 $64,056.90 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 70 26 — — $30,639.97 $144,525.00 $63,833.27 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 70 26 — — $30,500.17 $143,866.00 $63,542.01 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 70 26 — — $30,354.38 $143,178.00 $63,238.28 2026-02-28
8634 APR_DRG Neonatal Aftercare 32 6 — — $60,689.00 $224,549.30 $63,116.56 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 70 26 — — $30,136.68 $142,151.00 $62,784.75 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 70 26 — — $30,136.68 $142,151.00 $62,784.75 2026-02-28
HC27211509 CDM Hc Protek Duo Life Sparc Kit 44 15 $108,719.00 $38,051.65 65% off $100.00 $108,719.00 $62,513.43 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 32 6 — — $60,106.00 $222,392.20 $62,510.24 2026-02-28
HC62400352 CDM Hc G090024 Evaheart2 Lt Vent Assist Sys 60 18 $99,825.00 $34,938.75 65% off $100.00 $362,364.75 $62,390.62 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 70 26 — — $29,911.50 $141,089.00 $62,315.63 2026-02-28
C1767 HCPCS Activa Stimulator Neuro Dbs 37603 5,083 34 $171,150.00 $59,902.50 65% off $0.27 $411,022.50 $61,962.23 2026-07-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 70 26 — — $29,704.30 $140,112.00 $61,883.96 2026-02-28
HC81200010 OTHER Hc Pancreas Dnr Orgn Prcr Impr 5 5 $112,455.00 $39,359.25 65% off $61,850.25 $84,341.25 $61,850.25 2026-07-31
HC81200003 OTHER Hc Heart Dnr Orgn Prcur-imprt 5 5 $112,455.00 $39,359.25 65% off $61,850.25 $84,341.25 $61,850.25 2026-07-31
HC81200008 OTHER Hc Lung Dnr Dbl Orgn Prcr 5 5 $112,455.00 $39,359.25 65% off $61,850.25 $84,341.25 $61,850.25 2026-07-31
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $59,997.32 $62,997.19 $61,797.24 2026-07-31
HC81200014 OTHER Hc Heart/lung Donor Organ Prcrmt-imp 5 5 $112,350.00 $39,322.50 65% off $61,792.50 $84,262.50 $61,792.50 2026-07-31
1611 APR_DRG Implantable Heart Assist Systems 32 6 — — $59,141.00 $218,821.70 $61,506.64 2026-02-28
4404 APR_DRG Kidney Transplant 32 6 — — $58,994.00 $218,277.80 $61,353.76 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 70 26 — — $29,379.27 $138,579.00 $61,206.80 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 32 6 — — $58,725.00 $217,282.50 $61,074.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 32 6 — — $58,705.00 $217,208.50 $61,053.20 2026-02-28
5832 OTHER Neonate With Ecmo 7 7 — — $59,261.85 $62,224.94 $61,039.71 2026-07-31
HC27806579 CDM Hc Pipeline Embol <21mm 102 24 $173,366.00 $60,678.10 65% off $36,406.86 $173,366.00 $60,678.10 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 70 26 — — $29,070.21 $137,121.00 $60,562.92 2026-02-28
0044 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $58,680.75 $61,614.79 $60,441.17 2026-07-31
HC81200007 OTHER Hc Liver Dnr Orgn Prcrmnt 5 5 $109,269.00 $38,244.15 65% off $60,097.95 $81,951.75 $60,097.95 2026-07-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 70 26 — — $28,656.29 $135,169.00 $59,700.60 2026-02-28
6024 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $57,767.75 $60,656.14 $59,500.78 2026-07-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 32 6 — — $57,190.00 $211,603.00 $59,477.60 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 32 6 — — $57,190.00 $211,603.00 $59,477.60 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 70 26 — — $28,485.03 $134,361.00 $59,343.81 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 32 6 — — $57,028.00 $211,003.60 $59,309.12 2026-02-28
38240 CPT Transplt Allo Hct/donor 80 26 — — $1,732.00 $192,523.95 $59,238.14 2026-02-28
223 MS_DRG No Active Code Description 2 1 — — $59,206.00 $59,206.00 $59,206.00 2026-02-28
A9543 HCPCS Hc R Y90 Ibritumomab P Tx Dos =< 40mci 138 59 $72,681.00 $25,438.35 65% off $18,897.06 $184,978.95 $58,984.40 2026-07-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 60 24 — — $29,681.83 $140,006.00 $58,745.29 2026-02-28
HC27900004 OTHER Hc Tandemheart 11 11 $90,267.00 $31,593.45 65% off $45,133.50 $94,463.00 $58,673.55 2026-07-31
HC27900013 OTHER Hc Tandemheart Rt Side 11 11 $90,267.00 $31,593.45 65% off $45,133.50 $94,463.00 $58,673.55 2026-07-31
4414 APR_DRG Major Bladder Procedures 32 6 — — $55,830.00 $206,571.00 $58,063.20 2026-02-28
0022 RC Heart And/or Lung Transplant 7 7 — — $56,360.27 $59,178.28 $58,051.08 2026-07-31
8634 OTHER Neonatal Aftercare 7 7 — — $56,357.06 $59,174.91 $58,047.77 2026-07-31
653 MS_DRG Major Bladder Procedures With Mcc 70 26 — — $27,833.46 $131,287.00 $57,986.37 2026-02-28
C1605 HCPCS Hc Aveir Ra & Rv Leadless Device Pkg 204 24 $162,750.00 $56,962.50 65% off $15,435.00 $252,000.00 $57,960.00 2026-02-28
HC81200005 OTHER Hc Kidney Dnr Orgn Prcr 5 5 $104,799.00 $36,679.65 65% off $57,639.45 $78,599.25 $57,639.45 2026-07-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 70 26 — — $27,597.30 $130,173.00 $57,494.36 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 70 26 — — $27,597.30 $130,173.00 $57,494.36 2026-02-28
453 OTHER Combined Anterior/posterior Spinal Fusion With Mcc 22 22 — — $3,846.00 $173,822.55 $57,468.25 2026-07-31
225 MS_DRG No Active Code Description 2 1 — — $57,380.00 $57,380.00 $57,380.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 25 — — $27,481.46 $129,627.00 $57,253.04 2026-02-28
227 MS_DRG No Active Code Description 2 1 — — $56,960.00 $56,960.00 $56,960.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 68 25 — — $27,313.70 $128,836.00 $56,903.54 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 70 26 — — $27,166.91 $128,143.00 $56,597.72 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 32 6 — — $54,323.00 $200,995.10 $56,495.92 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 70 26 — — $27,105.00 $127,851.00 $56,468.73 2026-02-28
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $54,772.05 $57,510.65 $56,415.21 2026-07-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 70 26 — — $26,966.69 $127,199.00 $56,180.60 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 70 26 — — $26,941.23 $127,079.00 $56,127.56 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 70 26 — — $26,938.24 $127,065.00 $56,121.32 2026-02-28
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $54,133.20 $56,839.86 $55,757.20 2026-07-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 70 26 — — $26,563.27 $125,296.00 $55,340.13 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 32 6 — — $53,189.00 $196,799.30 $55,316.56 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 70 26 — — $26,445.93 $124,743.00 $55,095.68 2026-02-28
5831 OTHER Neonate With Ecmo 7 7 — — $53,335.34 $56,002.11 $54,935.40 2026-07-31
HC62400352 OTHER Hc G090024 Evaheart2 Lt Vent Assist Sys 10 10 $99,825.00 $34,938.75 65% off $38,372.00 $99,825.00 $54,903.75 2026-07-31
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $53,043.01 $55,695.16 $54,634.30 2026-07-31
HC81200012 OTHER Hc Pancreas Donor Organ Prcrmnt 5 5 $99,335.00 $34,767.25 65% off $54,634.25 $74,501.25 $54,634.25 2026-07-31
HC27211530 CDM Hc Paragonix Sherpa Pak Cts 44 15 $94,780.00 $33,173.00 65% off $100.00 $94,780.00 $54,498.50 2026-02-28
222 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Acute Myocardial… 22 22 — — $51,607.28 $154,191.52 $54,399.90 2026-07-31
1784 APR_DRG External Heart Assist Systems 32 6 — — $52,291.00 $193,476.70 $54,382.64 2026-02-28
455 MS_DRG No Active Code Description 2 1 — — $54,320.00 $54,320.00 $54,320.00 2026-02-28
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature/malignancy/infection Or Exte… 19 19 — — $52,691.99 $167,802.41 $54,272.75 2026-07-31
231 OTHER Coronary Bypass With Ptca With Mcc 22 22 — — $50,001.00 $151,732.10 $53,590.33 2026-07-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 68 25 — — $25,713.97 $121,290.00 $53,570.76 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 32 6 — — $51,496.00 $190,535.20 $53,555.84 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 32 6 — — $51,437.00 $190,316.90 $53,494.48 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 70 26 — — $25,628.59 $120,887.00 $53,392.89 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 32 6 — — $51,210.00 $189,477.00 $53,258.40 2026-02-28
C2624 HCPCS Hc Cardiomems Sensor Sjm 187 41 $196,743.00 $68,860.05 65% off $100.00 $196,743.00 $53,120.61 2026-07-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 70 26 — — $25,436.86 $119,983.00 $52,993.46 2026-02-28
HC27211510 CDM Hc Tandemlife Life Sparc Kit 44 15 $91,993.00 $32,197.55 65% off $100.00 $91,993.00 $52,895.98 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 70 26 — — $25,358.97 $119,616.00 $52,831.19 2026-02-28
6904 APR_DRG Acute Leukemia 32 6 — — $50,750.00 $187,775.00 $52,780.00 2026-02-28
5933 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $51,125.38 $53,681.65 $52,659.14 2026-07-31
HC27800168 OTHER Hc Heart Valve Edwards Sapien 15 15 $159,207.00 $55,722.45 65% off $40,120.17 $119,405.25 $52,538.31 2026-07-31
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 32 6 — — $50,439.00 $186,624.30 $52,456.56 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 32 6 — — $50,382.00 $186,413.40 $52,397.28 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 70 26 — — $25,148.78 $118,624.00 $52,393.28 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 70 26 — — $25,000.49 $117,925.00 $52,084.34 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 68 25 — — $24,981.02 $117,833.00 $52,043.78 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 70 26 — — $24,971.03 $117,786.00 $52,022.97 2026-02-28
0094 OTHER Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $50,463.00 $52,986.15 $51,976.89 2026-07-31
C1822 HCPCS Charger Pt Senza 2 Rem Ipg2500 Hf10b 918 24 $126,238.00 $44,183.30 65% off $721.35 $273,000.00 $51,894.68 2026-02-28
6034 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $50,363.89 $52,882.08 $51,874.81 2026-07-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 70 26 — — $24,881.15 $117,362.00 $51,835.73 2026-02-28
HC27802040 OTHER Hc Mitraclip System 30 15 $157,048.50 $54,966.97 65% off $38,997.00 $119,510.25 $51,826.01 2026-07-31
HC27803481 OTHER Hc Heart Valve Mdt Corevalve 15 15 $156,553.00 $54,793.55 65% off $39,451.36 $117,414.75 $51,662.49 2026-07-31
HC81200002 OTHER Hc Heart Dnr Orgn Prcur 5 5 $93,713.00 $32,799.55 65% off $51,542.15 $70,284.75 $51,542.15 2026-07-31
245 MS_DRG Aicd Generator Procedures 70 26 — — $24,399.34 $115,089.00 $50,831.96 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 32 6 — — $48,861.00 $180,785.70 $50,815.44 2026-02-28
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 22 — — $43,104.00 $144,869.37 $50,598.42 2026-07-31
471 MS_DRG Cervical Spinal Fusion With Mcc 70 26 — — $24,252.05 $114,394.00 $50,525.10 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 70 26 — — $24,211.60 $114,204.00 $50,440.83 2026-02-28
L8614 HCPCS Cochlear Nuc Profile Abi54 Sys Z246604 2,574 28 $148,837.50 $52,093.13 65% off $81.06 $422,100.00 $50,375.00 2026-02-28
C1882 HCPCS Hc Crt-d Cobalt Hf MRI Surescan 3,693 39 $146,591.00 $51,306.85 65% off $0.21 $282,817.50 $49,821.67 2026-07-31
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 32 6 — — $47,833.00 $176,982.10 $49,746.32 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 70 26 — — $23,843.63 $112,468.00 $49,674.23 2026-02-28
HC81200009 OTHER Hc Lung Dnr Single Orgn Prcrmt 5 5 $89,964.00 $31,487.40 65% off $49,480.20 $67,473.00 $49,480.20 2026-07-31
799 MS_DRG Splenic Procedures With Mcc 70 26 — — $23,740.28 $111,980.00 $49,458.90 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 70 26 — — $23,735.78 $111,959.00 $49,449.54 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 32 6 — — $47,542.00 $175,905.40 $49,443.68 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 32 6 — — $47,220.00 $174,714.00 $49,108.80 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 70 26 — — $23,490.13 $110,800.00 $48,937.77 2026-02-28
J9266 HCPCS Pegaspargase 750 Unit/ml Soln 5 Ml Vial 230 41 $88,910.23 $31,118.59 65% off $19,098.10 $136,980.03 $48,900.63 2026-02-28
4404 OTHER Kidney Transplant 7 7 — — $47,390.30 $49,759.82 $48,812.01 2026-07-31
0021 OTHER Heart And/or Lung Transplant 7 7 — — $47,309.37 $49,674.84 $48,728.65 2026-07-31
233 OTHER Coronary Bypass With Cardiac Catheterization With Mcc 22 22 — — $34,484.00 $143,553.73 $48,711.36 2026-07-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 70 26 — — $23,364.31 $110,207.00 $48,675.63 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 32 6 — — $46,758.00 $173,004.60 $48,628.32 2026-02-28
63 APR_DRG Pancreas Transplant 32 6 — — $46,738.00 $172,930.60 $48,607.52 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 68 25 — — $23,226.51 $109,557.00 $48,388.55 2026-02-28
0072 OTHER Allogeneic Bone Marrow Transplant 7 7 — — $46,889.06 $49,233.51 $48,295.73 2026-07-31
0082 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $46,889.06 $49,233.51 $48,295.73 2026-07-31
HC27806499 CDM Hc Stent Pipeline3 102 24 $137,705.00 $48,196.75 65% off $28,918.05 $137,705.00 $48,196.75 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 70 26 — — $23,013.31 $108,551.00 $47,944.38 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 70 26 — — $23,003.82 $108,507.00 $47,924.63 2026-02-28
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