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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

Baylor Scott & White Medical Center - Lakeway

Lakeway, TX · CCN 670079 · Rates published

19,178 distinct procedures filed
23 distinct payers
1,123,569 rate rows
2026-02-19 last MRF observed
Data quality

1,096,426 of 1,123,569 rate rows are consumer-grade (97.6%)

27,143 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
template filing: same amount across many unrelated codes — excluded 22,080
placeholder amount (≤ $0.02) — excluded from medians 2,074
per-diem day rate — not a per-procedure price 1,462
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,035
exceeds 10× this hospital's gross charge — excluded from medians 492
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/203749695_baylor-scott--white-medical-center--lakeway_standardcharges.csv
Found on page https://www.bswhealth.com/patient-tools/patient-registration-and-billing/estimate-your-cost-care/
Discovered viaDiscovered by HANK
Last fetch success · 2026-05-18
Content fingerprint 92efd26ed4603ebf… · 470,663,020 bytes · first seen 2026-05-18

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $207,945.69 $525,282.46 $366,614.08 nat. median
$265,286
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $278,405.64 $703,268.29 $330,768.00 nat. median
$370,174
0.9× median
5834
APR_DRG 		Inpatient Aprdrg 5834: Neonate W Ecmo 1 $266,479.75 $266,479.75 $266,479.75 nat. median
$309,665
0.9× median
74
APR_DRG 		Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 1 $259,231.75 $259,231.75 $259,231.75 nat. median
$187,061
1.4× median
5833
APR_DRG 		Inpatient Aprdrg 5833: Neonate W Ecmo 1 $225,645.26 $225,645.26 $225,645.26 nat. median
$244,017
0.9× median
24
APR_DRG 		Inpatient Aprdrg 0024: Heart &/or Lung Transplant 1 $217,064.35 $217,064.35 $217,064.35 nat. median
$234,729
0.9× median
27801347-807157
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 20 $61,352.40 $276,085.80 $199,395.30 nat. median
$199,395
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $6,368.00 $442,382.77 $198,848.53 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $6,368.00 $399,656.48 $195,685.27 nat. median
$202,976
1.0× median
81200003
CDM 		Hc Std Acq Chg Cadaver Kidney/pancreas 16 $63,277.09 $284,746.91 $176,226.70 nat. median
$150,283
1.2× median
5884
APR_DRG 		Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 1 $168,677.31 $168,677.31 $168,677.31 nat. median
$246,434
0.7× median
1614
APR_DRG 		Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 1 $163,797.24 $163,797.24 $163,797.24 nat. median
$207,730
0.8× median
94
APR_DRG 		Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 1 $153,452.22 $153,452.22 $153,452.22 nat. median
$164,834
0.9× median
27802052-445170
CDM 		Shell, No Hcpcs, For Lvad Implants Only 20 $46,705.07 $210,172.81 $151,791.47 nat. median
$151,791
1.0× median
27500234
CDM 		Hc Heartmate 3 Lvad Implant 20 $46,705.00 $210,172.50 $151,791.25 nat. median
$163,468
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $81,350.27 $205,495.37 $143,422.82 nat. median
$108,660
1.3× median
27800187
CDM 		Hc Kit, Heartmate Ii Vad Implant 20 $43,050.00 $193,725.00 $139,912.50 nat. median
$132,707
1.1× median
27802052-778176
CDM 		Shell, No Hcpcs, For Lvad Implants Only 20 $43,050.00 $193,725.00 $139,912.50 nat. median
$139,912
1.0× median
27801347-1196342
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 20 $41,426.40 $186,418.80 $134,635.80 nat. median
$134,636
1.0× median
27801850
CDM 		Hc Heartware Hvad Pump 20 $41,426.40 $186,418.80 $134,635.80 nat. median
$134,636
1.0× median
27801347-98612
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 20 $39,852.00 $179,334.00 $129,519.00 nat. median
$129,519
1.0× median
27500176-389049
CDM 		Hc Shell Cardio-defib Other Than Single Or Dual Chamber 20 $39,722.76 $178,752.42 $129,098.97 nat. median
$129,099
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $6,182.00 $263,496.24 $129,016.64 nat. median
$133,161
1.0× median
6304
APR_DRG 		Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 $125,507.16 $125,507.16 $125,507.16 nat. median
$150,721
0.8× median
6094
APR_DRG 		Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 1 $124,394.95 $124,394.95 $124,394.95 nat. median
$162,982
0.8× median
81200004
CDM 		Hc Std Acq Chg Cadaver Heart 16 $44,137.75 $198,619.88 $122,923.64 nat. median
$121,379
1.0× median
27802052-389434
CDM 		Shell, No Hcpcs, For Lvad Implants Only 20 $35,916.00 $161,622.00 $116,727.00 nat. median
$116,727
1.0× median
5832
APR_DRG 		Inpatient Aprdrg 5832: Neonate W Ecmo 1 $112,433.88 $112,433.88 $112,433.88 nat. median
$156,126
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $96,720.87 $126,449.81 $111,585.34 nat. median
$117,357
1.0× median
7
MS_DRG 		Lung Transplant 15 $96,477.26 $126,131.32 $111,304.29 nat. median
$122,708
0.9× median
114
APR_DRG 		Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 $106,763.33 $106,763.33 $106,763.33 nat. median
$117,173
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $6,368.00 $203,149.45 $106,188.83 nat. median
$102,358
1.0× median
81200001
CDM 		Hc Std Acq Chg Cadaver Kidney 16 $37,162.00 $167,229.00 $103,496.17 nat. median
$102,196
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $58,521.39 $147,828.29 $103,174.84 nat. median
$71,271
1.4× median
27201912-261835
CDM 		Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 17 $36,727.80 $165,275.10 $101,736.01 nat. median
$106,511
1.0× median
2004
APR_DRG 		Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders 1 $99,212.54 $99,212.54 $99,212.54 nat. median
$32,541
outlier · 3.0×
5831
APR_DRG 		Inpatient Aprdrg 5831: Neonate W Ecmo 1 $99,000.27 $99,000.27 $99,000.27 nat. median
$144,745
0.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $35,308.00 $122,722.00 $98,299.51 nat. median
$87,428
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 16 $6,182.00 $197,571.83 $96,737.81 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $6,182.00 $179,973.71 $91,571.02 nat. median
$93,672
1.0× median
73
APR_DRG 		Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 1 $91,472.98 $91,472.98 $91,472.98 nat. median
$89,273
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $78,616.63 $102,780.90 $90,698.76 nat. median
$100,136
0.9× median
5883
APR_DRG 		Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure 1 $90,506.72 $90,506.72 $90,506.72 nat. median
$182,665
outlier · 0.5×
5882
APR_DRG 		Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure 1 $90,093.06 $90,093.06 $90,093.06 nat. median
$145,336
0.6× median
44
APR_DRG 		Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 $89,860.09 $89,860.09 $89,860.09 nat. median
$105,658
0.9× median
8414
APR_DRG 		Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft 1 $89,473.80 $89,473.80 $89,473.80 nat. median
$160,267
0.6× median
6314
APR_DRG 		Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure 1 $88,580.17 $88,580.17 $88,580.17 nat. median
$122,924
0.7× median
Q2043
HCPCS 		Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 23 $37,561.50 $169,026.75 $87,800.01 nat. median
$66,682
1.3× median
8504
APR_DRG 		Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea… 1 $86,246.62 $86,246.62 $86,246.62 nat. median
$73,845
1.2× median
5914
APR_DRG 		Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure 1 $85,474.03 $85,474.03 $85,474.03 nat. median
$164,289
0.5× median

Other procedures at this hospital

Browse this hospital's 19,178 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 16 — — $207,945.69 $525,282.46 $366,614.08 2026-02-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 14 — — $278,405.64 $703,268.29 $330,768.00 2026-02-19
5834 APR_DRG Inpatient Aprdrg 5834: Neonate W Ecmo 1 1 — — $266,479.75 $266,479.75 $266,479.75 2026-02-19
74 APR_DRG Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 1 1 — — $259,231.75 $259,231.75 $259,231.75 2026-02-19
5833 APR_DRG Inpatient Aprdrg 5833: Neonate W Ecmo 1 1 — — $225,645.26 $225,645.26 $225,645.26 2026-02-19
24 APR_DRG Inpatient Aprdrg 0024: Heart &/or Lung Transplant 1 1 — — $217,064.35 $217,064.35 $217,064.35 2026-02-19
27801347-807157 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $306,762.00 $184,057.20 40% off $61,352.40 $276,085.80 $199,395.30 2026-02-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 15 — — $6,368.00 $442,382.77 $198,848.53 2026-02-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 16 — — $6,368.00 $399,656.48 $195,685.27 2026-02-19
81200003 CDM Hc Std Acq Chg Cadaver Kidney/pancreas 26 16 $316,385.45 $189,831.27 40% off $63,277.09 $284,746.91 $176,226.70 2026-02-19
5884 APR_DRG Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 1 1 — — $168,677.31 $168,677.31 $168,677.31 2026-02-19
1614 APR_DRG Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $163,797.24 $163,797.24 $163,797.24 2026-02-19
94 APR_DRG Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $153,452.22 $153,452.22 $153,452.22 2026-02-19
27802052-445170 CDM Shell, No Hcpcs, For Lvad Implants Only 35 20 $233,525.34 $140,115.20 40% off $46,705.07 $210,172.81 $151,791.47 2026-02-19
27500234 CDM Hc Heartmate 3 Lvad Implant 35 20 $233,525.00 $140,115.00 40% off $46,705.00 $210,172.50 $151,791.25 2026-02-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 16 — — $81,350.27 $205,495.37 $143,422.82 2026-02-19
27802052-778176 CDM Shell, No Hcpcs, For Lvad Implants Only 35 20 $215,250.00 $129,150.00 40% off $43,050.00 $193,725.00 $139,912.50 2026-02-19
27800187 CDM Hc Kit, Heartmate Ii Vad Implant 35 20 $215,250.00 $129,150.00 40% off $43,050.00 $193,725.00 $139,912.50 2026-02-19
27801347-1196342 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $207,132.00 $124,279.20 40% off $41,426.40 $186,418.80 $134,635.80 2026-02-19
27801850 CDM Hc Heartware Hvad Pump 35 20 $207,132.00 $124,279.20 40% off $41,426.40 $186,418.80 $134,635.80 2026-02-19
27801347-98612 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $199,260.00 $119,556.00 40% off $39,852.00 $179,334.00 $129,519.00 2026-02-19
27500176-389049 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 35 20 $198,613.80 $119,168.28 40% off $39,722.76 $178,752.42 $129,098.97 2026-02-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 16 — — $6,182.00 $263,496.24 $129,016.64 2026-02-19
6304 APR_DRG Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $125,507.16 $125,507.16 $125,507.16 2026-02-19
6094 APR_DRG Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $124,394.95 $124,394.95 $124,394.95 2026-02-19
81200004 CDM Hc Std Acq Chg Cadaver Heart 26 16 $220,688.76 $132,413.26 40% off $44,137.75 $198,619.88 $122,923.64 2026-02-19
27802052-389434 CDM Shell, No Hcpcs, For Lvad Implants Only 35 20 $179,580.00 $107,748.00 40% off $35,916.00 $161,622.00 $116,727.00 2026-02-19
5832 APR_DRG Inpatient Aprdrg 5832: Neonate W Ecmo 1 1 — — $112,433.88 $112,433.88 $112,433.88 2026-02-19
14 MS_DRG Allogeneic Bone Marrow Transplant 22 15 — — $96,720.87 $126,449.81 $111,585.34 2026-02-19
7 MS_DRG Lung Transplant 22 15 — — $96,477.26 $126,131.32 $111,304.29 2026-02-19
114 APR_DRG Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $106,763.33 $106,763.33 $106,763.33 2026-02-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 16 — — $6,368.00 $203,149.45 $106,188.83 2026-02-19
81200001 CDM Hc Std Acq Chg Cadaver Kidney 26 16 $185,810.00 $111,486.00 40% off $37,162.00 $167,229.00 $103,496.17 2026-02-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 15 — — $58,521.39 $147,828.29 $103,174.84 2026-02-19
27201912-261835 CDM Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 27 17 $183,639.00 $110,183.40 40% off $36,727.80 $165,275.10 $101,736.01 2026-02-19
2004 APR_DRG Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders 1 1 — — $99,212.54 $99,212.54 $99,212.54 2026-02-19
5831 APR_DRG Inpatient Aprdrg 5831: Neonate W Ecmo 1 1 — — $99,000.27 $99,000.27 $99,000.27 2026-02-19
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 5 — — $35,308.00 $122,722.00 $98,299.51 2026-02-19
215 MS_DRG Other Heart Assist System Implant 32 16 — — $6,182.00 $197,571.83 $96,737.81 2026-02-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 17 — — $6,182.00 $179,973.71 $91,571.02 2026-02-19
73 APR_DRG Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 1 1 — — $91,472.98 $91,472.98 $91,472.98 2026-02-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 15 — — $78,616.63 $102,780.90 $90,698.76 2026-02-19
5883 APR_DRG Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure 1 1 — — $90,506.72 $90,506.72 $90,506.72 2026-02-19
5882 APR_DRG Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure 1 1 — — $90,093.06 $90,093.06 $90,093.06 2026-02-19
44 APR_DRG Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $89,860.09 $89,860.09 $89,860.09 2026-02-19
8414 APR_DRG Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft 1 1 — — $89,473.80 $89,473.80 $89,473.80 2026-02-19
6314 APR_DRG Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $88,580.17 $88,580.17 $88,580.17 2026-02-19
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 42 23 $187,807.50 $112,684.50 40% off $37,561.50 $169,026.75 $87,800.01 2026-02-19
8504 APR_DRG Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea… 1 1 — — $86,246.62 $86,246.62 $86,246.62 2026-02-19
5914 APR_DRG Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $85,474.03 $85,474.03 $85,474.03 2026-02-19
1613 APR_DRG Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $85,373.33 $85,373.33 $85,373.33 2026-02-19
5881 APR_DRG Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure 1 1 — — $84,922.13 $84,922.13 $84,922.13 2026-02-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 17 — — $6,182.00 $158,021.29 $80,401.58 2026-02-19
14 APR_DRG Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant 1 1 — — $77,756.23 $77,756.23 $77,756.23 2026-02-19
84 APR_DRG Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant 1 1 — — $77,444.67 $77,444.67 $77,444.67 2026-02-19
6814 APR_DRG Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N… 1 1 — — $76,068.60 $76,068.60 $76,068.60 2026-02-19
1604 APR_DRG Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $76,026.15 $76,026.15 $76,026.15 2026-02-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 17 — — $6,182.00 $145,760.23 $75,814.71 2026-02-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 17 — — $35,308.00 $157,933.64 $75,684.31 2026-02-19
93 APR_DRG Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $75,390.75 $75,390.75 $75,390.75 2026-02-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 17 — — $6,182.00 $144,288.90 $75,049.42 2026-02-19
J9043 HCPCS cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution 42 23 $161,632.27 $96,979.36 40% off $205.63 $145,469.04 $74,350.84 2026-02-19
2464 APR_DRG Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency 1 1 — — $73,724.18 $73,724.18 $73,724.18 2026-02-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 16 — — $6,182.00 $150,323.39 $73,603.39 2026-02-19
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 5 — — $35,308.00 $91,851.00 $73,572.10 2026-02-19
6034 APR_DRG Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con… 1 1 — — $73,343.85 $73,343.85 $73,343.85 2026-02-19
225 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
226 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
237 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
223 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
224 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
227 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
238 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
222 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
230 MS_DRG Cardiac DRGs 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-19
64 APR_DRG Inpatient Aprdrg 0064: Pancreas Transplant 1 1 — — $71,178.01 $71,178.01 $71,178.01 2026-02-19
5891 APR_DRG Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $71,172.40 $71,172.40 $71,172.40 2026-02-19
5934 APR_DRG Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $70,959.42 $70,959.42 $70,959.42 2026-02-19
5892 APR_DRG Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $68,980.59 $68,980.59 $68,980.59 2026-02-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 17 — — $6,368.00 $131,785.42 $68,902.90 2026-02-19
81100001 CDM Hc Std Acq Chg Live Donor Kidney 26 16 $123,509.00 $74,105.40 40% off $24,701.80 $111,158.10 $68,794.51 2026-02-19
10 MS_DRG Pancreas Transplant 22 15 — — $58,858.74 $76,950.06 $67,904.40 2026-02-19
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 5 — — $35,308.00 $84,705.00 $67,848.12 2026-02-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 17 — — $9,144.00 $139,192.40 $66,703.21 2026-02-19
1624 APR_DRG Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $66,320.04 $66,320.04 $66,320.04 2026-02-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 16 — — $51,354.67 $129,724.81 $66,004.27 2026-02-19
27802052-1242630 CDM Shell, No Hcpcs, For Lvad Implants Only 35 20 $100,860.00 $60,516.00 40% off $20,172.00 $90,774.00 $65,559.00 2026-02-19
27801848 CDM Hc Impella 5.5 35 20 $100,860.00 $60,516.00 40% off $20,172.00 $90,774.00 $65,559.00 2026-02-19
6024 APR_DRG Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $65,231.68 $65,231.68 $65,231.68 2026-02-19
5893 APR_DRG Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $64,702.24 $64,702.24 $64,702.24 2026-02-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 16 — — $6,182.00 $126,634.00 $64,671.99 2026-02-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 17 — — $6,182.00 $120,426.92 $63,514.58 2026-02-19
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 29 17 $115,440.00 $69,264.00 40% off $23,088.00 $103,896.00 $63,492.00 2026-02-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 16 — — $6,368.00 $124,548.13 $62,280.47 2026-02-19
6214 APR_DRG Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly 1 1 — — $61,944.86 $61,944.86 $61,944.86 2026-02-19
72 APR_DRG Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant 1 1 — — $61,459.62 $61,459.62 $61,459.62 2026-02-19
1612 APR_DRG Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $61,370.15 $61,370.15 $61,370.15 2026-02-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 16 — — $47,742.54 $120,600.35 $61,361.72 2026-02-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 17 — — $9,144.00 $127,334.14 $61,020.54 2026-02-19
113 APR_DRG Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $60,668.44 $60,668.44 $60,668.44 2026-02-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc 32 17 — — $6,368.00 $115,513.17 $60,395.10 2026-02-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 17 — — $6,182.00 $113,915.04 $60,080.14 2026-02-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 15 — — $34,012.28 $85,916.93 $59,964.61 2026-02-19
8634 APR_DRG Inpatient Aprdrg 8634: Neonatal Aftercare 1 1 — — $59,727.44 $59,727.44 $59,727.44 2026-02-19
27801347-1218340 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $91,020.00 $54,612.00 40% off $18,204.00 $81,918.00 $59,163.00 2026-02-19
6303 APR_DRG Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $59,153.79 $59,153.79 $59,153.79 2026-02-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 17 — — $6,182.00 $110,942.55 $58,512.42 2026-02-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 17 — — $6,182.00 $115,390.00 $58,424.38 2026-02-19
1611 APR_DRG Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $58,204.02 $58,204.02 $58,204.02 2026-02-19
4404 APR_DRG Inpatient Aprdrg 4404: Kidney Transplant 1 1 — — $58,060.17 $58,060.17 $58,060.17 2026-02-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 17 — — $6,182.00 $109,728.56 $57,872.15 2026-02-19
54 APR_DRG Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $57,794.92 $57,794.92 $57,794.92 2026-02-19
43 APR_DRG Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $57,775.27 $57,775.27 $57,775.27 2026-02-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 16 — — $6,182.00 $117,935.55 $57,745.21 2026-02-19
27801347-1926393 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $88,560.00 $53,136.00 40% off $17,712.00 $79,704.00 $57,564.00 2026-02-19
27800973 CDM Hc Corevalue Aortic 35 20 $88,500.00 $53,100.00 40% off $17,700.00 $79,650.00 $57,525.00 2026-02-19
81200002 CDM Hc Std Acq Chg Cadaver Pancreas 26 16 $102,432.00 $61,459.20 40% off $20,486.40 $92,188.80 $57,054.62 2026-02-19
5913 APR_DRG Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $56,284.48 $56,284.48 $56,284.48 2026-02-19
6804 APR_DRG Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N… 1 1 — — $56,284.48 $56,284.48 $56,284.48 2026-02-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 16 — — $6,182.00 $114,838.11 $56,228.62 2026-02-19
6084 APR_DRG Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi… 1 1 — — $56,124.84 $56,124.84 $56,124.84 2026-02-19
27801347-1355910 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $86,100.00 $51,660.00 40% off $17,220.00 $77,490.00 $55,965.00 2026-02-19
27500176-143739 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 35 20 $84,975.00 $50,985.00 40% off $16,995.00 $76,477.50 $55,233.75 2026-02-19
27801347-104268 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $84,975.00 $50,985.00 40% off $16,995.00 $76,477.50 $55,233.75 2026-02-19
27801855-1778845 CDM Hc Shell Generator, Neurostimulator, Non-recharge With Carotid 35 20 $84,975.00 $50,985.00 40% off $16,995.00 $76,477.50 $55,233.75 2026-02-19
C1823 HCPCS Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads 34 20 $84,975.00 $50,985.00 40% off $16,995.00 $76,477.50 $55,233.75 2026-02-19
27203217 CDM Hc Heart Valve Sapien Edwards 35 20 $84,975.00 $50,985.00 40% off $16,995.00 $76,477.50 $55,233.75 2026-02-19
27800190 CDM Hc Impella 5.0 35 20 $84,975.00 $50,985.00 40% off $16,995.00 $76,477.50 $55,233.75 2026-02-19
27800957 CDM Hc Catheter Set Pump Ventricular Assist Impella 35 20 $84,975.00 $50,985.00 40% off $16,995.00 $76,477.50 $55,233.75 2026-02-19
27802052-101684 CDM Shell, No Hcpcs, For Lvad Implants Only 35 20 $84,975.00 $50,985.00 40% off $16,995.00 $76,477.50 $55,233.75 2026-02-19
27801815 CDM Hc Mitraclip Delivery System Kit (w/guiding Cath) 35 20 $84,975.00 $50,985.00 40% off $16,995.00 $76,477.50 $55,233.75 2026-02-19
27801917-1534761 CDM Shell Generator, Cardiac Contractility Modulation 35 20 $84,975.00 $50,985.00 40% off $16,995.00 $76,477.50 $55,233.75 2026-02-19
C1604 HCPCS Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass … 35 20 $84,975.00 $50,985.00 40% off $16,995.00 $76,477.50 $55,233.75 2026-02-19
4414 APR_DRG Inpatient Aprdrg 4414: Major Bladder Procedures 1 1 — — $54,945.96 $54,945.96 $54,945.96 2026-02-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 17 — — $9,144.00 $114,437.18 $54,840.13 2026-02-19
28 MS_DRG Spinal Procedures With Mcc 33 17 — — $25,893.00 $113,370.52 $54,328.96 2026-02-19
27800246 CDM Hc Kit, Catheter Impella Pump 35 20 $82,850.63 $49,710.38 40% off $16,570.13 $74,565.57 $53,852.91 2026-02-19
23 APR_DRG Inpatient Aprdrg 0023: Heart &/or Lung Transplant 1 1 — — $53,462.89 $53,462.89 $53,462.89 2026-02-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 16 — — $6,182.00 $108,574.25 $53,161.60 2026-02-19
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 30 16 — — $40,803.95 $103,073.09 $52,443.82 2026-02-19
83 APR_DRG Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant 1 1 — — $52,346.81 $52,346.81 $52,346.81 2026-02-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 17 — — $6,182.00 $99,211.09 $52,325.10 2026-02-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 17 — — $6,182.00 $98,772.86 $52,093.99 2026-02-19
1784 APR_DRG Inpatient Aprdrg 1784: External Heart Assist Systems 1 1 — — $51,463.00 $51,463.00 $51,463.00 2026-02-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 15 — — $44,558.55 $58,254.45 $51,406.50 2026-02-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 15 — — $44,558.55 $58,254.45 $51,406.50 2026-02-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 17 — — $35,308.00 $107,028.33 $51,289.70 2026-02-19
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 10 5 — — $35,308.00 $63,783.00 $51,089.92 2026-02-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 17 — — $35,154.00 $106,388.70 $50,983.16 2026-02-19
653 MS_DRG Major Bladder Procedures With Mcc 32 16 — — $6,182.00 $103,955.14 $50,899.93 2026-02-19
5933 APR_DRG Inpatient Aprdrg 5933: Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $50,680.59 $50,680.59 $50,680.59 2026-02-19
6114 APR_DRG Inpatient Aprdrg 6114: Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $50,622.35 $50,622.35 $50,622.35 2026-02-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 16 — — $6,182.00 $103,073.09 $50,468.05 2026-02-19
1674 APR_DRG Inpatient Aprdrg 1674: Other Cardiothoracic & Thoracic Vascular Procedures 1 1 — — $50,398.50 $50,398.50 $50,398.50 2026-02-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 17 — — $6,182.00 $100,622.74 $50,316.54 2026-02-19
6904 APR_DRG Inpatient Aprdrg 6904: Acute Leukemia 1 1 — — $49,945.90 $49,945.90 $49,945.90 2026-02-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 14 — — $43,886.07 $83,152.55 $49,830.32 2026-02-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 16 — — $6,182.00 $95,720.18 $49,787.24 2026-02-19
434 APR_DRG Inpatient Aprdrg 0434: Multiple Sclerosis & Other Demyelinating Diseases 1 1 — — $49,639.95 $49,639.95 $49,639.95 2026-02-19
92 APR_DRG Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $49,584.16 $49,584.16 $49,584.16 2026-02-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 16 — — $6,182.00 $101,234.40 $49,567.79 2026-02-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 16 — — $6,182.00 $100,611.55 $49,262.81 2026-02-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 33 17 — — $34,953.00 $95,817.00 $49,169.66 2026-02-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 17 — — $6,182.00 $93,085.00 $49,011.64 2026-02-19
38240 HCPCS Hc Hpc Allogenic Transplantation 37 22 $11,975.52 $7,185.31 40% off $2,395.10 $80,651.54 $48,879.72 2026-02-19
27801347-303311 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $75,075.00 $45,045.00 40% off $15,015.00 $67,567.50 $48,798.75 2026-02-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 16 — — $6,368.00 $93,301.54 $48,288.50 2026-02-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 17 — — $9,144.00 $100,717.85 $48,265.60 2026-02-19
91 APR_DRG Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $48,086.71 $48,086.71 $48,086.71 2026-02-19
27801347-181497 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $73,800.00 $44,280.00 40% off $14,760.00 $66,420.00 $47,970.00 2026-02-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 16 — — $36,964.45 $93,374.27 $47,509.05 2026-02-19
27801347-876560 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $73,078.50 $43,847.10 40% off $14,615.70 $65,770.65 $47,501.03 2026-02-19
62400012-1362918 CDM Shell, 624 Rev Code, Fda Investigational Devices 26 16 $84,975.00 $50,985.00 40% off $16,995.00 $76,477.50 $47,331.07 2026-02-19
6334 APR_DRG Inpatient Aprdrg 6334: Neonate Birthwt >2499g W Major Anomaly 1 1 — — $47,075.89 $47,075.89 $47,075.89 2026-02-19
3034 APR_DRG Inpatient Aprdrg 3034: Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $46,788.89 $46,788.89 $46,788.89 2026-02-19
5912 APR_DRG Inpatient Aprdrg 5912: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $46,471.71 $46,471.71 $46,471.71 2026-02-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 16 — — $6,182.00 $94,713.19 $46,374.76 2026-02-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 15 — — $40,167.61 $52,513.86 $46,340.74 2026-02-19
27801347-1322565 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $71,209.05 $42,725.43 40% off $14,241.81 $64,088.14 $46,285.88 2026-02-19
6074 APR_DRG Inpatient Aprdrg 6074: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $46,017.00 $46,017.00 $46,017.00 2026-02-19
63 APR_DRG Inpatient Aprdrg 0063: Pancreas Transplant 1 1 — — $45,998.05 $45,998.05 $45,998.05 2026-02-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 16 — — $6,182.00 $93,928.11 $45,990.37 2026-02-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 17 — — $6,182.00 $90,157.00 $45,881.90 2026-02-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 16 — — $6,182.00 $93,264.24 $45,665.31 2026-02-19
27801494 CDM Hc Watchman Laa Closure Device 35 20 $70,040.00 $42,024.00 40% off $14,008.00 $63,036.00 $45,526.00 2026-02-19
27801347-1033551 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $69,893.46 $41,936.08 40% off $13,978.69 $62,904.11 $45,430.75 2026-02-19
C2624 HCPCS Hc Cardiomems Monitoring Device (implant) 61 20 $76,477.50 $45,886.50 40% off $13,972.00 $68,829.75 $45,409.00 2026-02-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 17 — — $6,368.00 $88,350.00 $45,355.81 2026-02-19
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 15 — — $25,634.88 $64,755.18 $45,195.03 2026-02-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 17 — — $6,182.00 $85,878.00 $45,169.03 2026-02-19
27801347-820405 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $69,408.43 $41,645.06 40% off $13,881.69 $62,467.59 $45,115.48 2026-02-19
27801661 CDM Hc Aortic Valve Evolut Medtronic 35 20 $69,300.00 $41,580.00 40% off $13,860.00 $62,370.00 $45,045.00 2026-02-19
27801347-777976 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $69,300.00 $41,580.00 40% off $13,860.00 $62,370.00 $45,045.00 2026-02-19
27801347-331887 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $69,105.07 $41,463.04 40% off $13,821.01 $62,194.56 $44,918.30 2026-02-19
27801347-1340795 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $68,999.70 $41,399.82 40% off $13,799.94 $62,099.73 $44,849.81 2026-02-19
163 MS_DRG Major Chest Procedures With Mcc 32 16 — — $6,182.00 $87,079.00 $44,706.67 2026-02-19
C1822 HCPCS Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys 99 20 $69,860.00 $41,916.00 40% off $11,873.39 $76,477.50 $44,525.20 2026-02-19
27400120 CDM Hc Power Base Unit-vad 35 20 $68,250.00 $40,950.00 40% off $13,650.00 $61,425.00 $44,362.50 2026-02-19
2204 APR_DRG Inpatient Aprdrg 2204: Major Stomach, Esophageal & Duodenal Procedures 1 1 — — $43,850.11 $43,850.11 $43,850.11 2026-02-19
245 MS_DRG Aicd Generator Procedures 33 17 — — $29,293.00 $91,129.05 $43,670.48 2026-02-19
6134 APR_DRG Inpatient Aprdrg 6134: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti… 1 1 — — $43,611.17 $43,611.17 $43,611.17 2026-02-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 16 — — $6,182.00 $89,053.52 $43,603.61 2026-02-19
4474 APR_DRG Inpatient Aprdrg 4474: Other Kidney, Urinary Tract & Related Procedures 1 1 — — $43,509.07 $43,509.07 $43,509.07 2026-02-19
799 MS_DRG Splenic Procedures With Mcc 32 16 — — $6,182.00 $88,667.51 $43,414.60 2026-02-19
471 MS_DRG Cervical Spinal Fusion With Mcc 33 17 — — $35,308.00 $90,578.93 $43,406.88 2026-02-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 16 — — $6,182.00 $88,650.73 $43,406.38 2026-02-19
27801347-264193 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $66,280.50 $39,768.30 40% off $13,256.10 $59,652.45 $43,082.32 2026-02-19
27802083 CDM Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l… 35 20 $66,280.50 $39,768.30 40% off $13,256.10 $59,652.45 $43,082.32 2026-02-19
22 APR_DRG Inpatient Aprdrg 0022: Heart &/or Lung Transplant 1 1 — — $42,948.41 $42,948.41 $42,948.41 2026-02-19
234 APR_DRG Inpatient Aprdrg 0234: Spinal Procedures 1 1 — — $42,864.55 $42,864.55 $42,864.55 2026-02-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 33 17 — — $6,182.00 $82,707.00 $42,819.04 2026-02-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 16 — — $6,182.00 $87,263.32 $42,727.06 2026-02-19
9104 APR_DRG Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma 1 1 — — $42,709.47 $42,709.47 $42,709.47 2026-02-19
27800296 CDM Hc Kit, Tandem Heart Procedure 35 20 $65,667.00 $39,400.20 40% off $13,133.40 $59,100.30 $42,683.55 2026-02-19
62400012-847925 CDM Shell, 624 Rev Code, Fda Investigational Devices 26 16 $76,137.60 $45,682.56 40% off $15,227.52 $68,523.84 $42,408.65 2026-02-19
92973 HCPCS Hc Percut Coronary Thrombectomy 21 16 $73,006.37 $43,803.82 40% off $2,866.00 $65,705.73 $42,343.69 2026-02-19
27801347-1855907 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $64,920.90 $38,952.54 40% off $12,984.18 $58,428.81 $42,198.58 2026-02-19
112 APR_DRG Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $42,160.73 $42,160.73 $42,160.73 2026-02-19
6023 APR_DRG Inpatient Aprdrg 6023: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $42,158.98 $42,158.98 $42,158.98 2026-02-19
27801347-459333 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $64,820.00 $38,892.00 40% off $12,964.00 $58,338.00 $42,133.00 2026-02-19
27801347-820401 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $64,564.85 $38,738.91 40% off $12,912.97 $58,108.36 $41,967.15 2026-02-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 16 — — $6,182.00 $85,629.75 $41,927.22 2026-02-19
53 APR_DRG Inpatient Aprdrg 0053: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $41,633.39 $41,633.39 $41,633.39 2026-02-19
62 APR_DRG Inpatient Aprdrg 0062: Pancreas Transplant 1 1 — — $41,604.62 $41,604.62 $41,604.62 2026-02-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 31 16 — — $6,368.00 $79,429.29 $41,518.71 2026-02-19
9504 APR_DRG Inpatient Aprdrg 9504: Extensive Procedure Unrelated To Principal Diagnosis 1 1 — — $41,441.47 $41,441.47 $41,441.47 2026-02-19
6 MS_DRG Liver Transplant Without Mcc 22 15 — — $35,798.05 $46,801.24 $41,299.64 2026-02-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 16 — — $6,182.00 $84,132.32 $41,194.01 2026-02-19
61 APR_DRG Inpatient Aprdrg 0061: Pancreas Transplant 1 1 — — $41,067.46 $41,067.46 $41,067.46 2026-02-19
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 5 — — $35,308.00 $50,658.00 $40,577.08 2026-02-19
27801347-1203071 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $62,351.26 $37,410.76 40% off $12,470.25 $56,116.13 $40,528.32 2026-02-19
901 MS_DRG Wound Debridements For Injuries With Mcc 32 16 — — $6,182.00 $82,619.96 $40,453.52 2026-02-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 34 17 — — $6,182.00 $82,707.00 $40,443.24 2026-02-19
71 APR_DRG Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant 1 1 — — $40,356.62 $40,356.62 $40,356.62 2026-02-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 16 — — $6,182.00 $77,588.73 $40,356.46 2026-02-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 33 17 — — $9,144.00 $83,630.69 $40,077.14 2026-02-19
13 APR_DRG Inpatient Aprdrg 0013: Liver Transplant &/or Intestinal Transplant 1 1 — — $40,061.90 $40,061.90 $40,061.90 2026-02-19
6093 APR_DRG Inpatient Aprdrg 6093: Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $40,014.54 $40,014.54 $40,014.54 2026-02-19
264 APR_DRG Inpatient Aprdrg 0264: Other Nervous System & Related Procedures 1 1 — — $39,990.33 $39,990.33 $39,990.33 2026-02-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 17 — — $33,015.67 $83,399.45 $39,966.34 2026-02-19
5932 APR_DRG Inpatient Aprdrg 5932: Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $39,817.71 $39,817.71 $39,817.71 2026-02-19
27801347-1186553 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $61,182.00 $36,709.20 40% off $12,236.40 $55,063.80 $39,768.30 2026-02-19
3033 APR_DRG Inpatient Aprdrg 3033: Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $39,581.58 $39,581.58 $39,581.58 2026-02-19
1824 APR_DRG Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures 1 1 — — $39,549.65 $39,549.65 $39,549.65 2026-02-19
1634 APR_DRG Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Pdx 1 1 — — $39,526.15 $39,526.15 $39,526.15 2026-02-19
27801347-1245429 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $60,315.26 $36,189.16 40% off $12,063.05 $54,283.73 $39,204.92 2026-02-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 33 17 — — $30,936.09 $78,146.31 $39,077.17 2026-02-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 16 — — $6,182.00 $79,546.77 $38,948.77 2026-02-19
27801347-1004156 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $59,846.19 $35,907.71 40% off $11,969.24 $53,861.57 $38,900.02 2026-02-19
7924 APR_DRG Inpatient Aprdrg 7924: Extensive Or Procedures For Other Complications Of Treatm… 1 1 — — $38,879.17 $38,879.17 $38,879.17 2026-02-19
3044 APR_DRG Inpatient Aprdrg 3044: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 1 1 — — $38,869.69 $38,869.69 $38,869.69 2026-02-19
27801347-212472 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $59,762.58 $35,857.55 40% off $11,952.52 $53,786.32 $38,845.68 2026-02-19
27801347-820416 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $59,721.28 $35,832.77 40% off $11,944.26 $53,749.15 $38,818.83 2026-02-19
2054 APR_DRG Inpatient Aprdrg 2054: Cardiomyopathy 1 1 — — $38,759.87 $38,759.87 $38,759.87 2026-02-19
6954 APR_DRG Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia 1 1 — — $38,710.05 $38,710.05 $38,710.05 2026-02-19
8413 APR_DRG Inpatient Aprdrg 8413: Extensive 3rd Degree Burns W Skin Graft 1 1 — — $38,670.41 $38,670.41 $38,670.41 2026-02-19
27801347-1295866 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $59,482.50 $35,689.50 40% off $11,896.50 $53,534.25 $38,663.62 2026-02-19
27500176-1256480 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 35 20 $59,370.33 $35,622.20 40% off $11,874.07 $53,433.30 $38,590.71 2026-02-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 17 — — $31,876.60 $80,522.06 $38,587.47 2026-02-19
27801347-859557 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $59,322.75 $35,593.65 40% off $11,864.55 $53,390.47 $38,559.79 2026-02-19
140 MS_DRG Major Head And Neck Procedures With Mcc 32 16 — — $6,182.00 $78,866.12 $38,510.96 2026-02-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 17 — — $6,182.00 $76,525.80 $38,266.84 2026-02-19
27801347-339706 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $58,780.61 $35,268.37 40% off $11,756.12 $52,902.55 $38,207.40 2026-02-19
27801347-1189077 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $58,690.80 $35,214.48 40% off $11,738.16 $52,821.72 $38,149.02 2026-02-19
27801347-1190176 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $58,673.54 $35,204.12 40% off $11,734.71 $52,806.19 $38,137.80 2026-02-19
52 APR_DRG Inpatient Aprdrg 0052: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $38,020.62 $38,020.62 $38,020.62 2026-02-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 16 — — $6,182.00 $72,919.27 $37,927.72 2026-02-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 16 — — $6,182.00 $78,127.66 $37,918.18 2026-02-19
6514 APR_DRG Inpatient Aprdrg 6514: Other Procedures Of Blood & Blood-forming Organs 1 1 — — $37,893.26 $37,893.26 $37,893.26 2026-02-19
42 APR_DRG Inpatient Aprdrg 0042: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $37,775.02 $37,775.02 $37,775.02 2026-02-19
C1736 HCPCS Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd 27 17 $67,980.00 $40,788.00 40% off $13,596.00 $61,182.00 $37,660.92 2026-02-19
27801347-1194171 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $57,783.00 $34,669.80 40% off $11,556.60 $52,004.70 $37,558.95 2026-02-19
27801347-1296846 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $57,766.01 $34,659.61 40% off $11,553.20 $51,989.41 $37,547.91 2026-02-19
27801347-1365777 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $57,613.05 $34,567.83 40% off $11,522.61 $51,851.75 $37,448.48 2026-02-19
6144 APR_DRG Inpatient Aprdrg 6144: Neonate Bwt 1500-1999g W Or Without Other Significant Conditi… 1 1 — — $37,378.20 $37,378.20 $37,378.20 2026-02-19
27801347-341815 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $57,500.00 $34,500.00 40% off $11,500.00 $51,750.00 $37,375.00 2026-02-19
1623 APR_DRG Inpatient Aprdrg 1623: Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $37,314.69 $37,314.69 $37,314.69 2026-02-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 15 — — $31,942.30 $80,688.03 $37,232.97 2026-02-19
214 APR_DRG Inpatient Aprdrg 0214: Craniotomy Except For Trauma 1 1 — — $37,226.28 $37,226.28 $37,226.28 2026-02-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 16 — — $6,182.00 $75,848.88 $37,138.16 2026-02-19
2304 APR_DRG Inpatient Aprdrg 2304: Major Small Bowel Procedures 1 1 — — $37,091.90 $37,091.90 $37,091.90 2026-02-19
224 APR_DRG Inpatient Aprdrg 0224: Ventricular Shunt Procedures 1 1 — — $36,945.59 $36,945.59 $36,945.59 2026-02-19
4424 APR_DRG Inpatient Aprdrg 4424: Kidney & Urinary Tract Procedures For Malignancy 1 1 — — $36,743.15 $36,743.15 $36,743.15 2026-02-19
93653 HCPCS Hc Compreh Electroph Eval Source Of Atrial R 40 23 $80,865.20 $48,519.12 40% off $15,605.00 $72,778.68 $36,732.01 2026-02-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 17 — — $9,144.00 $76,639.55 $36,726.89 2026-02-19
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 16 — — $6,182.00 $73,279.18 $36,643.36 2026-02-19
9524 APR_DRG Inpatient Aprdrg 9524: Nonextensive Procedure Unrelated To Principal Diagnosis 1 1 — — $36,517.55 $36,517.55 $36,517.55 2026-02-19
27500176-476411 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 35 20 $55,965.00 $33,579.00 40% off $11,193.00 $50,368.50 $36,377.25 2026-02-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 16 — — $6,182.00 $74,288.04 $36,373.93 2026-02-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 16 — — $6,182.00 $74,235.82 $36,348.35 2026-02-19
27801347-1165378 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $55,770.79 $33,462.47 40% off $11,154.16 $50,193.71 $36,251.01 2026-02-19
27801347-820452 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $55,747.28 $33,448.37 40% off $11,149.46 $50,172.55 $36,235.73 2026-02-19
9114 APR_DRG Inpatient Aprdrg 9114: Extensive Abdominal/thoracic Procedures For Mult Signific… 1 1 — — $36,183.88 $36,183.88 $36,183.88 2026-02-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 16 — — $6,182.00 $73,579.41 $36,026.95 2026-02-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 16 — — $6,182.00 $73,428.36 $35,953.00 2026-02-19
27801347-1045828 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $55,229.43 $33,137.66 40% off $11,045.89 $49,706.49 $35,899.13 2026-02-19
27801347-1190001 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $54,982.22 $32,989.33 40% off $10,996.44 $49,484.00 $35,738.44 2026-02-19
27801347-1366499 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 35 20 $54,877.70 $32,926.62 40% off $10,975.54 $49,389.93 $35,670.50 2026-02-19
4403 APR_DRG Inpatient Aprdrg 4403: Kidney Transplant 1 1 — — $35,535.50 $35,535.50 $35,535.50 2026-02-19
3154 APR_DRG Inpatient Aprdrg 3154: Shoulder, Upper Arm & Forearm Procedures Except Joint Rep… 1 1 — — $35,533.04 $35,533.04 $35,533.04 2026-02-19
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