|
HC27900006
|
CDM
|
Hc Tah 70cc Init Syncardia
|
74
|
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
|
72
|
27
|
—
|
—
|
$195,372.24
|
$888,174.00
|
$386,655.23
|
2026-02-28
|
|
HC27900010
|
CDM
|
Hc Vad Heartmate Ii Thor
|
74
|
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
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
82
|
28
|
—
|
—
|
$142,164.00
|
$663,392.00
|
$274,383.82
|
2026-02-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
32
|
6
|
—
|
—
|
$263,403.00
|
$974,591.10
|
$273,939.12
|
2026-02-28
|
|
HC62400479
|
CDM
|
Hc G240119 Heartmate 3 Left Ventricular Assist System
|
62
|
18
|
$415,428.00
|
$145,399.80
65% off
|
$100.00
|
$1,508,003.64
|
$270,028.20
|
2026-02-28
|
|
HC27900008
|
CDM
|
Hc Vad Impl Set Heartware Btt
|
74
|
21
|
$487,555.00
|
$170,644.25
65% off
|
$100.00
|
$814,119.34
|
$268,155.25
|
2026-02-28
|
|
J2326
|
HCPCS
|
Nusinersen 12 Mg/5 Ml Soln 5 Ml Vial
|
146
|
40
|
$1,023,387.00
|
$358,185.45
65% off
|
$899.25
|
$1,023,387.00
|
$266,080.62
|
2026-02-28
|
|
018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
11
|
11
|
—
|
—
|
$242,976.48
|
$395,687.40
|
$247,836.01
|
2026-07-30
|
|
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
|
2026-07-30
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
32
|
6
|
—
|
—
|
$229,276.00
|
$848,321.20
|
$238,447.04
|
2026-02-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
72
|
27
|
—
|
—
|
$123,499.59
|
$558,696.00
|
$235,849.90
|
2026-02-28
|
|
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
|
74
|
21
|
$415,428.00
|
$145,399.80
65% off
|
$100.00
|
$693,681.68
|
$228,485.40
|
2026-02-28
|
|
HC27900009
|
CDM
|
Hc Vad Heartware Btt
|
74
|
21
|
$403,982.00
|
$141,393.70
65% off
|
$100.00
|
$674,569.15
|
$222,190.10
|
2026-02-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
72
|
27
|
—
|
—
|
$111,728.71
|
$504,736.00
|
$220,412.14
|
2026-02-28
|
|
J9029
|
HCPCS
|
Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Susp 1 Each Vial
|
76
|
22
|
$405,495.87
|
$141,923.56
65% off
|
$89,209.10
|
$405,495.87
|
$196,665.50
|
2026-02-28
|
|
001
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
17
|
17
|
—
|
—
|
$137,689.00
|
$510,619.20
|
$192,868.39
|
2026-07-30
|
|
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
|
2026-07-30
|
|
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
|
74
|
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
|
2026-07-30
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
72
|
27
|
—
|
—
|
$74,217.25
|
$335,008.41
|
$145,857.66
|
2026-02-28
|
|
C9293
|
HCPCS
|
Glucarpidase 1000 Unit Solr 1 Each Vial
|
82
|
22
|
$296,910.22
|
$103,918.58
65% off
|
$1,238.94
|
$296,910.22
|
$142,516.91
|
2026-02-28
|
|
HC27900016
|
CDM
|
Hc Impella Rp Flex W/smart Asst Abiomed
|
74
|
21
|
$256,789.00
|
$89,876.15
65% off
|
$100.00
|
$428,786.28
|
$141,233.95
|
2026-02-28
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi…
|
12
|
12
|
—
|
—
|
$137,965.45
|
$368,515.99
|
$140,724.76
|
2026-07-30
|
|
7
|
MS_DRG
|
Lung Transplant
|
72
|
27
|
—
|
—
|
$68,765.40
|
$310,399.38
|
$135,022.25
|
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
|
2026-07-30
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
72
|
27
|
—
|
—
|
$68,934.94
|
$311,164.66
|
$131,646.58
|
2026-02-28
|
|
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
|
|
003
|
OTHER
|
Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi…
|
18
|
18
|
—
|
—
|
$2,225.00
|
$350,230.16
|
$129,802.79
|
2026-07-30
|
|
C2642
|
HCPCS
|
Dev Gammatile Therapy 10pk Gt-10
|
996
|
40
|
$304,500.00
|
$106,575.00
65% off
|
$77.78
|
$972,825.00
|
$129,622.50
|
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
|
2026-07-30
|
|
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
|
|
HC62400480
|
CDM
|
Hc G240119 Cardiomems Hf System
|
62
|
18
|
$196,743.00
|
$68,860.05
65% off
|
$100.00
|
$714,177.09
|
$127,882.95
|
2026-02-28
|
|
0074
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
6
|
6
|
—
|
—
|
$122,945.41
|
$129,092.68
|
$126,633.77
|
2026-07-30
|
|
0084
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
6
|
6
|
—
|
—
|
$122,945.41
|
$129,092.68
|
$126,633.77
|
2026-07-30
|
|
HC27900007
|
CDM
|
Hc Pump Abiomed Impella 2.5-2
|
74
|
21
|
$226,802.00
|
$79,380.70
65% off
|
$100.00
|
$378,713.98
|
$126,128.00
|
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
|
|
J3398
|
HCPCS
|
Voretigene Neparvovec-rzyl 1.5 X 10exp11 Vg/0.3 Ml (fnl) Susp 150 Units Vial
|
146
|
40
|
$456,971.02
|
$159,939.86
65% off
|
$2,281.15
|
$456,971.02
|
$123,382.18
|
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
|
|
HC27900011
|
CDM
|
Hc Pump Abiomed Impella Rt Side
|
74
|
21
|
$200,118.00
|
$70,041.30
65% off
|
$100.00
|
$334,157.04
|
$120,070.80
|
2026-02-28
|
|
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
|
6
|
6
|
—
|
—
|
$114,784.34
|
$120,523.56
|
$118,227.87
|
2026-07-30
|
|
5834
|
OTHER
|
Neonate With Ecmo
|
6
|
6
|
—
|
—
|
$113,801.46
|
$119,491.53
|
$117,215.50
|
2026-07-30
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
82
|
28
|
—
|
—
|
$58,238.30
|
$279,273.00
|
$116,809.00
|
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
|
|
HC27900017
|
CDM
|
Cath Impella 2.5 005042
|
670
|
21
|
$210,000.00
|
$73,500.00
65% off
|
$100.00
|
$718,848.90
|
$112,875.00
|
2026-02-28
|
|
002
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
17
|
17
|
—
|
—
|
$105,106.06
|
$258,945.15
|
$112,463.48
|
2026-07-30
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
70
|
26
|
—
|
—
|
$57,592.01
|
$259,963.93
|
$111,984.46
|
2026-02-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
72
|
27
|
—
|
—
|
$56,335.91
|
$254,294.01
|
$110,318.52
|
2026-02-28
|
|
0024
|
RC
|
Heart And/or Lung Transplant
|
6
|
6
|
—
|
—
|
$106,444.31
|
$111,766.53
|
$109,637.64
|
2026-07-30
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
82
|
28
|
—
|
—
|
$56,055.40
|
$253,027.84
|
$108,996.61
|
2026-02-28
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
70
|
26
|
—
|
—
|
$55,442.00
|
$250,259.01
|
$107,803.88
|
2026-02-28
|
|
HC27900001
|
CDM
|
Hc Pump Abiomed Impella 2.5-1
|
74
|
21
|
$177,021.00
|
$61,957.35
65% off
|
$100.00
|
$295,589.67
|
$106,212.60
|
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
|
|
J9298
|
HCPCS
|
Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml Soln 20 Ml Vial
|
76
|
22
|
$213,819.43
|
$74,836.81
65% off
|
$47,040.28
|
$213,819.43
|
$103,702.43
|
2026-02-28
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
6
|
6
|
—
|
—
|
$99,835.46
|
$104,827.23
|
$102,830.52
|
2026-07-30
|
|
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
|
6
|
6
|
—
|
—
|
$98,560.60
|
$103,488.63
|
$101,517.42
|
2026-07-30
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
72
|
27
|
—
|
—
|
$51,207.21
|
$231,143.64
|
$100,124.79
|
2026-02-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
32
|
6
|
—
|
—
|
$92,945.00
|
$343,896.50
|
$96,662.80
|
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
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
70
|
26
|
—
|
—
|
$48,950.85
|
$220,958.70
|
$95,182.21
|
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
|
|
J9359
|
HCPCS
|
Loncastuximab Tesirine-lpyl 10 Mg Solr 1 Each Vial
|
76
|
22
|
$193,515.00
|
$67,730.25
65% off
|
$42,573.30
|
$193,515.00
|
$93,854.77
|
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
|
74
|
21
|
$155,648.00
|
$54,476.80
65% off
|
$100.00
|
$259,901.04
|
$93,388.80
|
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
|
|
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
|
2026-07-30
|
|
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
|
2026-07-30
|
|
C1825
|
HCPCS
|
Optimizer Smart Ipg 10-b411-3-xx
|
208
|
23
|
$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
|
6
|
6
|
—
|
—
|
$88,435.56
|
$92,857.34
|
$91,088.63
|
2026-07-30
|
|
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
|
2026-07-30
|
|
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
|
72
|
27
|
—
|
—
|
$45,159.43
|
$203,844.62
|
$88,104.99
|
2026-02-28
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
72
|
27
|
—
|
—
|
$45,135.29
|
$203,735.65
|
$88,057.02
|
2026-02-28
|
|
HC27803514
|
CDM
|
Hc Valve Transcath Pulm
|
104
|
23
|
$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
|
|
014
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
12
|
12
|
—
|
—
|
$84,795.97
|
$235,683.19
|
$86,491.89
|
2026-07-30
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
70
|
26
|
—
|
—
|
$44,474.61
|
$200,753.41
|
$86,478.40
|
2026-02-28
|
|
J1823
|
HCPCS
|
Inebilizumab-cdon 10 Mg/ml Soln 10 Ml Vial
|
222
|
40
|
$183,886.51
|
$64,360.28
65% off
|
$356.57
|
$329,497.66
|
$86,426.66
|
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
|
|
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
|
2026-07-30
|
|
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
|
2026-07-30
|
|
C1824
|
HCPCS
|
Hc Ipg Ccm Optimizer
|
223
|
38
|
$229,887.00
|
$80,460.45
65% off
|
$33,596.90
|
$273,000.00
|
$84,630.00
|
2026-07-30
|
|
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
|
2026-07-30
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
72
|
27
|
—
|
—
|
$43,038.70
|
$194,271.87
|
$83,889.68
|
2026-02-28
|
|
007
|
OTHER
|
Lung Transplant
|
17
|
17
|
—
|
—
|
$77,035.21
|
$199,309.25
|
$82,427.67
|
2026-07-30
|
|
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
|
6
|
6
|
—
|
—
|
$79,544.38
|
$83,521.60
|
$81,930.71
|
2026-07-30
|
|
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
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
72
|
27
|
—
|
—
|
$42,351.31
|
$191,169.10
|
$81,645.89
|
2026-02-28
|
|
6303
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
6
|
6
|
—
|
—
|
$79,059.17
|
$83,012.13
|
$81,430.95
|
2026-07-30
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
72
|
27
|
—
|
—
|
$41,781.57
|
$188,597.34
|
$81,391.46
|
2026-02-28
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
72
|
27
|
—
|
—
|
$42,586.09
|
$192,228.86
|
$81,327.60
|
2026-02-28
|
|
5891
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
6
|
6
|
—
|
—
|
$78,835.65
|
$82,777.43
|
$81,200.72
|
2026-07-30
|
|
004
|
OTHER
|
Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosis Except…
|
18
|
18
|
—
|
—
|
$2,225.00
|
$213,306.34
|
$80,913.99
|
2026-07-30
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
72
|
27
|
—
|
—
|
$41,376.22
|
$186,767.66
|
$80,585.88
|
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
|
|
5934
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
6
|
—
|
—
|
$77,492.70
|
$81,367.34
|
$79,817.48
|
2026-07-30
|
|
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
|
6
|
6
|
—
|
—
|
$76,537.27
|
$80,364.13
|
$78,833.39
|
2026-07-30
|
|
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
|
2026-07-30
|
|
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
|
72
|
27
|
—
|
—
|
$39,972.17
|
$180,429.90
|
$77,795.32
|
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
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
18
|
18
|
—
|
—
|
$2,225.00
|
$238,109.36
|
$75,839.33
|
2026-07-30
|
|
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
|
2026-07-30
|
|
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
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
70
|
26
|
—
|
—
|
$38,114.98
|
$172,046.78
|
$74,095.00
|
2026-02-28
|
|
020
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Of Hemorrhage With Mcc
|
17
|
17
|
—
|
—
|
$68,954.21
|
$199,950.44
|
$73,781.00
|
2026-07-30
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
70
|
26
|
—
|
—
|
$37,931.58
|
$171,218.91
|
$73,723.00
|
2026-02-28
|
|
005
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
17
|
17
|
—
|
—
|
$68,330.52
|
$190,558.07
|
$73,113.66
|
2026-07-30
|
|
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
|
72
|
27
|
—
|
—
|
$37,363.89
|
$168,656.45
|
$72,611.01
|
2026-02-28
|
|
8414
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
6
|
6
|
—
|
—
|
$70,066.39
|
$73,569.71
|
$72,168.38
|
2026-07-30
|
|
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
|
2026-07-30
|
|
0073
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
6
|
6
|
—
|
—
|
$69,930.56
|
$73,427.09
|
$72,028.48
|
2026-07-30
|
|
0083
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
6
|
6
|
—
|
—
|
$69,930.56
|
$73,427.09
|
$72,028.48
|
2026-07-30
|
|
5883
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
6
|
—
|
—
|
$69,279.23
|
$72,743.19
|
$71,357.61
|
2026-07-30
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
72
|
27
|
—
|
—
|
$36,705.27
|
$165,683.51
|
$71,302.18
|
2026-02-28
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
20
|
20
|
—
|
—
|
$47,761.00
|
$185,563.47
|
$71,056.22
|
2026-07-30
|
|
J7355
|
HCPCS
|
Idose Tr G2-tr
|
76
|
22
|
$146,475.00
|
$51,266.25
65% off
|
$32,224.50
|
$146,475.00
|
$71,040.38
|
2026-02-28
|
|
5892
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
6
|
6
|
—
|
—
|
$68,868.54
|
$72,311.97
|
$70,934.60
|
2026-07-30
|
|
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
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
70
|
26
|
—
|
—
|
$36,070.28
|
$162,817.24
|
$69,943.00
|
2026-02-28
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
72
|
27
|
—
|
—
|
$35,937.74
|
$162,218.94
|
$69,776.46
|
2026-02-28
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
72
|
27
|
—
|
—
|
$35,879.69
|
$161,956.90
|
$69,661.02
|
2026-02-28
|
|
6314
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
6
|
6
|
—
|
—
|
$67,630.05
|
$71,011.55
|
$69,658.95
|
2026-07-30
|
|
0014
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
6
|
6
|
—
|
—
|
$67,116.32
|
$70,472.14
|
$69,129.81
|
2026-07-30
|
|
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
|
6
|
6
|
—
|
—
|
$66,283.18
|
$69,597.34
|
$68,271.68
|
2026-07-30
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
72
|
27
|
—
|
—
|
$34,850.15
|
$157,309.69
|
$67,615.09
|
2026-02-28
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
72
|
27
|
—
|
—
|
$34,802.37
|
$157,094.02
|
$67,520.14
|
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
|
2026-07-30
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
72
|
27
|
—
|
—
|
$34,116.01
|
$153,995.86
|
$66,155.84
|
2026-02-28
|
|
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
|
2026-07-30
|
|
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
|
2026-07-30
|
|
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
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
32
|
6
|
—
|
—
|
$62,449.00
|
$231,061.30
|
$64,946.96
|
2026-02-28
|
|
HC62400352
|
CDM
|
Hc G090024 Evaheart2 Lt Vent Assist Sys
|
62
|
18
|
$99,825.00
|
$34,938.75
65% off
|
$100.00
|
$362,364.75
|
$64,886.25
|
2026-02-28
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
32
|
6
|
—
|
—
|
$62,358.00
|
$230,724.60
|
$64,852.32
|
2026-02-28
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
70
|
26
|
—
|
—
|
$33,448.66
|
$150,983.50
|
$64,620.00
|
2026-02-28
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
70
|
26
|
—
|
—
|
$33,407.56
|
$150,797.99
|
$64,537.00
|
2026-02-28
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
72
|
27
|
—
|
—
|
$33,262.68
|
$150,144.02
|
$64,459.71
|
2026-02-28
|
|
HC27806580
|
CDM
|
Hc Pipeline Embol >24mm
|
104
|
23
|
$183,873.00
|
$64,355.55
65% off
|
$38,613.33
|
$183,873.00
|
$64,355.55
|
2026-02-28
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
72
|
27
|
—
|
—
|
$33,152.22
|
$149,645.44
|
$64,240.32
|
2026-02-28
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
72
|
27
|
—
|
—
|
$33,008.38
|
$148,996.12
|
$63,954.47
|
2026-02-28
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
72
|
27
|
—
|
—
|
$32,858.36
|
$148,318.99
|
$63,656.13
|
2026-02-28
|
|
453
|
OTHER
|
Combined Anterior/posterior Spinal Fusion With Mcc
|
20
|
20
|
—
|
—
|
$3,846.00
|
$173,822.55
|
$63,238.41
|
2026-07-30
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
72
|
27
|
—
|
—
|
$32,634.37
|
$147,307.91
|
$63,211.36
|
2026-02-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
32
|
6
|
—
|
—
|
$60,689.00
|
$224,549.30
|
$63,116.56
|
2026-02-28
|
|
C1767
|
HCPCS
|
Activa Stimulator Neuro Dbs 37603
|
5,187
|
33
|
$171,150.00
|
$59,902.50
65% off
|
$0.27
|
$411,022.50
|
$63,063.00
|
2026-07-30
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
72
|
27
|
—
|
—
|
$32,402.68
|
$146,262.06
|
$62,750.60
|
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
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
72
|
27
|
—
|
—
|
$32,189.47
|
$145,299.67
|
$62,326.82
|
2026-02-28
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
72
|
27
|
—
|
—
|
$32,634.37
|
$147,307.91
|
$62,078.22
|
2026-02-28
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature/malignancy/infection Or Exte…
|
17
|
17
|
—
|
—
|
$57,859.12
|
$167,802.41
|
$61,909.26
|
2026-07-30
|
|
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
|
2026-07-30
|
|
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
|
2026-07-30
|
|
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
|
2026-07-30
|
|
6094
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
6
|
—
|
—
|
$59,997.32
|
$62,997.19
|
$61,797.24
|
2026-07-30
|
|
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
|
2026-07-30
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
72
|
27
|
—
|
—
|
$31,855.02
|
$143,790.01
|
$61,662.16
|
2026-02-28
|
|
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
|
|
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
|
6
|
6
|
—
|
—
|
$59,261.85
|
$62,224.94
|
$61,039.71
|
2026-07-30
|
|
HC27806579
|
CDM
|
Hc Pipeline Embol <21mm
|
104
|
23
|
$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
|
72
|
27
|
—
|
—
|
$31,537.02
|
$142,354.59
|
$60,533.00
|
2026-02-28
|
|
0044
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
6
|
—
|
—
|
$58,680.75
|
$61,614.79
|
$60,441.17
|
2026-07-30
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome Neonate
|
62
|
25
|
—
|
—
|
$32,166.35
|
$145,195.31
|
$60,311.90
|
2026-02-28
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
72
|
27
|
—
|
—
|
$31,111.13
|
$140,432.15
|
$60,183.43
|
2026-02-28
|
|
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
|
2026-07-30
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
72
|
27
|
—
|
—
|
$30,934.91
|
$139,636.74
|
$59,833.60
|
2026-02-28
|
|
222
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Acute Myocardial…
|
20
|
20
|
—
|
—
|
$53,580.00
|
$154,191.52
|
$59,534.00
|
2026-07-30
|
|
6024
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
6
|
—
|
—
|
$57,767.75
|
$60,656.14
|
$59,500.78
|
2026-07-30
|
|
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
|
|
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
|
25
|
—
|
—
|
$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
|
136
|
56
|
$72,681.00
|
$25,438.35
65% off
|
$18,897.06
|
$184,978.95
|
$58,804.25
|
2026-07-30
|
|
HC27900004
|
OTHER
|
Hc Tandemheart
|
11
|
11
|
$90,267.00
|
$31,593.45
65% off
|
$45,133.50
|
$94,463.00
|
$58,673.55
|
2026-07-30
|
|
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
|
2026-07-30
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
20
|
20
|
—
|
—
|
$50,001.00
|
$151,732.10
|
$58,593.00
|
2026-07-30
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
72
|
27
|
—
|
—
|
$30,264.48
|
$136,610.47
|
$58,500.79
|
2026-02-28
|
|
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
|
6
|
6
|
—
|
—
|
$56,360.27
|
$59,178.28
|
$58,051.08
|
2026-07-30
|
|
8634
|
OTHER
|
Neonatal Aftercare
|
6
|
6
|
—
|
—
|
$56,357.06
|
$59,174.91
|
$58,047.77
|
2026-07-30
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
72
|
27
|
—
|
—
|
$30,021.48
|
$135,513.60
|
$58,018.04
|
2026-02-28
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
72
|
27
|
—
|
—
|
$30,021.48
|
$135,513.60
|
$58,018.04
|
2026-02-28
|
|
C1605
|
HCPCS
|
Hc Aveir Ra & Rv Leadless Device Pkg
|
208
|
23
|
$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
|
2026-07-30
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
70
|
26
|
—
|
—
|
$29,902.29
|
$134,975.59
|
$57,419.00
|
2026-02-28
|
|
225
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$57,380.00
|
$57,380.00
|
$57,380.00
|
2026-02-28
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
72
|
27
|
—
|
—
|
$29,578.63
|
$133,514.62
|
$57,137.99
|
2026-02-28
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
70
|
26
|
—
|
—
|
$29,729.67
|
$134,196.40
|
$57,068.00
|
2026-02-28
|
|
405
|
MS_DRG
|
Pancreas Liver And Shunt Procedures With Mcc
|
72
|
27
|
—
|
—
|
$29,514.93
|
$133,227.09
|
$57,011.07
|
2026-02-28
|
|
227
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$56,960.00
|
$56,960.00
|
$56,960.00
|
2026-02-28
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
72
|
27
|
—
|
—
|
$29,372.62
|
$132,584.73
|
$56,728.21
|
2026-02-28
|
|
11
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
72
|
27
|
—
|
—
|
$29,346.42
|
$132,466.46
|
$56,676.24
|
2026-02-28
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
72
|
27
|
—
|
—
|
$29,343.34
|
$132,452.55
|
$56,670.24
|
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
|
|
3034
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
6
|
—
|
—
|
$54,772.05
|
$57,510.65
|
$56,415.21
|
2026-07-30
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
72
|
27
|
—
|
—
|
$28,957.51
|
$130,710.97
|
$55,903.13
|
2026-02-28
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
6
|
—
|
—
|
$54,133.20
|
$56,839.86
|
$55,757.20
|
2026-07-30
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
72
|
27
|
—
|
—
|
$28,836.78
|
$130,166.01
|
$55,663.26
|
2026-02-28
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
20
|
20
|
—
|
—
|
$43,104.00
|
$144,869.37
|
$55,447.70
|
2026-07-30
|
|
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
|
|
5831
|
OTHER
|
Neonate With Ecmo
|
6
|
6
|
—
|
—
|
$53,335.34
|
$56,002.11
|
$54,935.40
|
2026-07-30
|
|
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
|
2026-07-30
|
|
1624
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
6
|
—
|
—
|
$53,043.01
|
$55,695.16
|
$54,634.30
|
2026-07-30
|
|
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
|
2026-07-30
|
|
021
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Of Hemorrhage With Cc
|
17
|
17
|
—
|
—
|
$50,987.50
|
$152,881.43
|
$54,556.62
|
2026-07-30
|
|
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
|
|
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
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
72
|
27
|
—
|
—
|
$27,995.79
|
$126,369.85
|
$53,978.50
|
2026-02-28
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
70
|
26
|
—
|
—
|
$28,083.64
|
$126,766.42
|
$53,726.00
|
2026-02-28
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
20
|
20
|
—
|
—
|
$34,484.00
|
$143,553.73
|
$53,723.21
|
2026-07-30
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
72
|
27
|
—
|
—
|
$27,798.51
|
$125,479.38
|
$53,575.00
|
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
|
|
326
|
MS_DRG
|
Stomach Esophageal And Duodenal Procedures With Mcc
|
72
|
27
|
—
|
—
|
$27,718.36
|
$125,117.59
|
$53,410.50
|
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
|
191
|
40
|
$196,743.00
|
$68,860.05
65% off
|
$100.00
|
$196,743.00
|
$53,120.61
|
2026-07-30
|
|
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
|
|
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
|
6
|
6
|
—
|
—
|
$51,125.38
|
$53,681.65
|
$52,659.14
|
2026-07-30
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
72
|
27
|
—
|
—
|
$27,349.50
|
$123,452.59
|
$52,655.50
|
2026-02-28
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
72
|
27
|
—
|
—
|
$27,502.08
|
$124,141.33
|
$52,650.00
|
2026-02-28
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
72
|
27
|
—
|
—
|
$27,319.19
|
$123,315.76
|
$52,594.00
|
2026-02-28
|
|
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
|
2026-07-30
|
|
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
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
72
|
27
|
—
|
—
|
$27,226.71
|
$122,898.33
|
$52,404.50
|
2026-02-28
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
32
|
6
|
—
|
—
|
$50,382.00
|
$186,413.40
|
$52,397.28
|
2026-02-28
|
|
224
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Acute Myocard…
|
20
|
20
|
—
|
—
|
$37,501.00
|
$136,666.98
|
$52,390.83
|
2026-07-30
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
70
|
26
|
—
|
—
|
$27,329.46
|
$123,362.14
|
$52,194.00
|
2026-02-28
|
|
C1822
|
HCPCS
|
Charger Pt Senza 2 Rem Ipg2500 Hf10b
|
936
|
23
|
$126,238.00
|
$44,183.30
65% off
|
$721.35
|
$273,000.00
|
$52,079.21
|
2026-02-28
|
|
0094
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
6
|
6
|
—
|
—
|
$50,463.00
|
$52,986.15
|
$51,976.89
|
2026-07-30
|
|
6034
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
6
|
6
|
—
|
—
|
$50,363.89
|
$52,882.08
|
$51,874.81
|
2026-07-30
|
|
HC27802040
|
OTHER
|
Hc Mitraclip System
|
30
|
15
|
$157,048.50
|
$54,966.97
65% off
|
$38,997.00
|
$119,510.25
|
$51,826.01
|
2026-07-30
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
17
|
17
|
—
|
—
|
$48,121.01
|
$139,207.71
|
$51,781.81
|
2026-07-30
|
|
L8614
|
HCPCS
|
Cochlear Nuc Profile Abi54 Sys Z246604
|
2,624
|
27
|
$148,837.50
|
$52,093.13
65% off
|
$81.06
|
$422,100.00
|
$51,704.10
|
2026-02-28
|
|
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
|
2026-07-30
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
17
|
17
|
—
|
—
|
$48,188.60
|
$131,589.23
|
$51,561.80
|
2026-07-30
|
|
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
|
2026-07-30
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
72
|
27
|
—
|
—
|
$26,730.96
|
$120,660.54
|
$51,389.50
|
2026-02-28
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
72
|
27
|
—
|
—
|
$26,579.40
|
$119,976.42
|
$51,079.00
|
2026-02-28
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
72
|
27
|
—
|
—
|
$26,537.79
|
$119,788.60
|
$50,994.50
|
2026-02-28
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
32
|
6
|
—
|
—
|
$48,861.00
|
$180,785.70
|
$50,815.44
|
2026-02-28
|
|
C1882
|
HCPCS
|
Hc Crt-d Cobalt Hf MRI Surescan
|
3,761
|
38
|
$146,591.00
|
$51,306.85
65% off
|
$0.21
|
$282,817.50
|
$50,288.18
|
2026-07-30
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
72
|
27
|
—
|
—
|
$26,159.16
|
$118,079.52
|
$50,219.00
|
2026-02-28
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
20
|
20
|
—
|
—
|
$42,506.39
|
$116,158.25
|
$50,025.95
|
2026-07-30
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
72
|
27
|
—
|
—
|
$26,052.81
|
$117,599.47
|
$50,001.50
|
2026-02-28
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
72
|
27
|
—
|
—
|
$26,048.19
|
$117,578.60
|
$49,992.00
|
2026-02-28
|
|
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
|
|
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
|
2026-07-30
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
72
|
27
|
—
|
—
|
$25,795.42
|
$116,437.66
|
$49,474.50
|
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
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
72
|
27
|
—
|
—
|
$25,665.96
|
$115,853.27
|
$48,950.00
|
2026-02-28
|
|
J9266
|
HCPCS
|
Pegaspargase 750 Unit/ml Soln 5 Ml Vial
|
234
|
40
|
$88,910.23
|
$31,118.59
65% off
|
$19,098.10
|
$136,980.03
|
$48,900.63
|
2026-02-28
|
|
4404
|
OTHER
|
Kidney Transplant
|
6
|
6
|
—
|
—
|
$47,390.30
|
$49,759.82
|
$48,812.01
|
2026-07-30
|
|
HC62400362
|
CDM
|
Hc G090024 Bp310 Blood Pump Set
|
62
|
18
|
$75,000.00
|
$26,250.00
65% off
|
$100.00
|
$272,250.00
|
$48,750.00
|
2026-02-28
|
|
0021
|
OTHER
|
Heart And/or Lung Transplant
|
6
|
6
|
—
|
—
|
$47,309.37
|
$49,674.84
|
$48,728.65
|
2026-07-30
|
|
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
|