|
C1822
|
HCPCS
|
Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys
|
68
|
19
|
$59,366.93
|
$35,620.16
40% off
|
$8,311.37
|
$67,980.00
|
$44,228.36
|
2026-02-19
|
|
Q2043
|
HCPCS
|
Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
|
41
|
22
|
$187,807.50
|
$112,684.50
40% off
|
$26,293.05
|
$140,855.62
|
$103,294.12
|
2026-02-19
|
|
J9043
|
HCPCS
|
cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution
|
41
|
22
|
$161,632.27
|
$96,979.36
40% off
|
$205.63
|
$121,224.20
|
$88,897.75
|
2026-02-19
|
|
38240
|
HCPCS
|
Hc Hpc Allogenic Transplantation
|
41
|
22
|
$43,575.00
|
$26,145.00
40% off
|
$6,100.50
|
$103,450.80
|
$49,976.23
|
2026-02-19
|
|
Q2042
|
HCPCS
|
Hc Kymriah-adult (incl Apheresis)
|
40
|
22
|
$2,011,495.00
|
$1,206,897.00
40% off
|
$281,609.30
|
$1,508,621.25
|
$1,050,588.35
|
2026-02-19
|
|
Q2056
|
HCPCS
|
Hc Carvykti (including Apheresis)
|
40
|
22
|
$1,996,995.00
|
$1,198,197.00
40% off
|
$279,579.30
|
$1,497,746.25
|
$1,044,821.51
|
2026-02-19
|
|
Q2055
|
HCPCS
|
Hc Abecma (including Apheresis)
|
40
|
22
|
$1,977,686.00
|
$1,186,611.60
40% off
|
$276,876.04
|
$1,483,264.50
|
$1,038,285.15
|
2026-02-19
|
|
Q2054
|
HCPCS
|
Hc Breyanzi Car T
|
40
|
22
|
$1,971,420.00
|
$1,182,852.00
40% off
|
$275,998.80
|
$1,478,565.00
|
$1,027,666.49
|
2026-02-19
|
|
Q2041
|
HCPCS
|
Hc Yescarta (including Apheresis)
|
40
|
22
|
$2,047,887.28
|
$1,228,732.37
40% off
|
$286,704.22
|
$1,535,915.46
|
$1,018,558.73
|
2026-02-19
|
|
Q2053
|
HCPCS
|
Hc Tecartus (including Apheresis)
|
40
|
22
|
$1,821,278.49
|
$1,092,767.09
40% off
|
$254,978.99
|
$1,365,958.87
|
$931,968.58
|
2026-02-19
|
|
33276
|
HCPCS
|
Hc Insertion Phrenic Nerve Stimulator System
|
40
|
22
|
$86,663.76
|
$51,998.26
40% off
|
$11,704.00
|
$89,411.95
|
$49,969.15
|
2026-02-19
|
|
33270
|
HCPCS
|
Hc Ins/rep Subq Defibrilllator
|
40
|
22
|
$93,099.87
|
$55,859.92
40% off
|
$11,704.00
|
$69,824.90
|
$48,097.36
|
2026-02-19
|
|
93653
|
HCPCS
|
Hc Compreh Electroph Eval Source Of Atrial R
|
40
|
22
|
$87,788.83
|
$52,673.30
40% off
|
$12,290.44
|
$125,472.56
|
$46,623.01
|
2026-02-19
|
|
93654
|
HCPCS
|
Hc Compreh Electroph Eval With Treatment
|
40
|
22
|
$77,593.53
|
$46,556.12
40% off
|
$10,863.09
|
$125,472.56
|
$42,676.44
|
2026-02-19
|
|
0266T
|
HCPCS
|
Hc Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst
|
39
|
22
|
$86,663.76
|
$51,998.26
40% off
|
$6,546.00
|
$98,421.34
|
$47,665.07
|
2026-02-19
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
18
|
—
|
—
|
$6,182.00
|
$205,568.43
|
$82,877.36
|
2026-02-19
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
36
|
18
|
—
|
—
|
$6,182.00
|
$180,494.07
|
$73,550.50
|
2026-02-19
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
36
|
18
|
—
|
—
|
$6,182.00
|
$166,489.32
|
$71,274.74
|
2026-02-19
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
18
|
—
|
—
|
$6,182.00
|
$164,808.75
|
$70,930.89
|
2026-02-19
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
18
|
—
|
—
|
$6,182.00
|
$137,553.27
|
$59,341.90
|
2026-02-19
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
36
|
18
|
—
|
—
|
$6,182.00
|
$130,115.31
|
$55,816.65
|
2026-02-19
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
36
|
18
|
—
|
—
|
$6,182.00
|
$125,333.46
|
$54,511.35
|
2026-02-19
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
18
|
—
|
—
|
$6,182.00
|
$126,720.09
|
$53,910.87
|
2026-02-19
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
18
|
—
|
—
|
$6,182.00
|
$112,819.71
|
$48,893.21
|
2026-02-19
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
36
|
18
|
—
|
—
|
$6,182.00
|
$113,320.26
|
$48,771.09
|
2026-02-19
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
36
|
18
|
—
|
—
|
$6,182.00
|
$106,144.29
|
$46,537.49
|
2026-02-19
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
18
|
—
|
—
|
$6,182.00
|
$97,822.38
|
$42,959.26
|
2026-02-19
|
|
27801844
|
CDM
|
Hc Syncardia Total Artificial Heart System
|
35
|
19
|
$738,000.00
|
$442,800.00
40% off
|
$103,320.00
|
$590,400.00
|
$491,508.00
|
2026-02-19
|
|
27801843
|
CDM
|
Hc Kit Artificial Heart Carmat
|
35
|
19
|
$639,108.00
|
$383,464.80
40% off
|
$89,475.12
|
$511,286.40
|
$425,645.93
|
2026-02-19
|
|
27801347-807157
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$306,762.00
|
$184,057.20
40% off
|
$42,946.68
|
$245,409.60
|
$204,303.49
|
2026-02-19
|
|
27500234
|
CDM
|
Hc Heartmate 3 Lvad Implant
|
35
|
19
|
$233,525.34
|
$140,115.20
40% off
|
$32,693.55
|
$186,820.27
|
$155,527.88
|
2026-02-19
|
|
27802052-445170
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
35
|
19
|
$233,525.34
|
$140,115.20
40% off
|
$32,693.55
|
$186,820.27
|
$155,527.88
|
2026-02-19
|
|
27802052-778176
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
35
|
19
|
$215,250.00
|
$129,150.00
40% off
|
$30,135.00
|
$172,200.00
|
$143,356.50
|
2026-02-19
|
|
27801347-1196342
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$207,132.00
|
$124,279.20
40% off
|
$28,998.48
|
$165,705.60
|
$137,949.91
|
2026-02-19
|
|
27801850
|
CDM
|
Hc Heartware Hvad Pump
|
35
|
19
|
$207,132.00
|
$124,279.20
40% off
|
$28,998.48
|
$165,705.60
|
$137,949.91
|
2026-02-19
|
|
27800187
|
CDM
|
Hc Kit, Heartmate Ii Vad Implant
|
35
|
19
|
$199,260.00
|
$119,556.00
40% off
|
$27,896.40
|
$159,408.00
|
$132,707.16
|
2026-02-19
|
|
27801347-98612
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$199,260.00
|
$119,556.00
40% off
|
$27,896.40
|
$159,408.00
|
$132,707.16
|
2026-02-19
|
|
27500176-389049
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
35
|
19
|
$198,613.80
|
$119,168.28
40% off
|
$27,805.93
|
$158,891.04
|
$132,276.79
|
2026-02-19
|
|
27801865
|
CDM
|
Hc Evaheart Blood Pump Set Bp310
|
35
|
19
|
$184,500.00
|
$110,700.00
40% off
|
$25,830.00
|
$147,600.00
|
$122,877.00
|
2026-02-19
|
|
27802052-389434
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
35
|
19
|
$179,580.00
|
$107,748.00
40% off
|
$25,141.20
|
$143,664.00
|
$119,600.28
|
2026-02-19
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
35
|
18
|
—
|
—
|
$35,308.00
|
$180,393.96
|
$72,877.47
|
2026-02-19
|
|
27801848
|
CDM
|
Hc Impella 5.5
|
35
|
19
|
$100,860.00
|
$60,516.00
40% off
|
$14,120.40
|
$80,688.00
|
$67,172.76
|
2026-02-19
|
|
27802052-1242630
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
35
|
19
|
$100,860.00
|
$60,516.00
40% off
|
$14,120.40
|
$80,688.00
|
$67,172.76
|
2026-02-19
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
35
|
18
|
—
|
—
|
$9,144.00
|
$158,987.46
|
$64,229.44
|
2026-02-19
|
|
27801347-1218340
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$91,020.00
|
$54,612.00
40% off
|
$12,742.80
|
$72,816.00
|
$60,619.32
|
2026-02-19
|
|
27801347-1926393
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$88,560.00
|
$53,136.00
40% off
|
$12,398.40
|
$70,848.00
|
$58,980.96
|
2026-02-19
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
35
|
18
|
—
|
—
|
$9,144.00
|
$145,442.79
|
$58,563.36
|
2026-02-19
|
|
27801347-1355910
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$86,100.00
|
$51,660.00
40% off
|
$12,054.00
|
$68,880.00
|
$57,342.60
|
2026-02-19
|
|
27500176-143739
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
35
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$67,980.00
|
$56,593.35
|
2026-02-19
|
|
27801347-104268
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$67,980.00
|
$56,593.35
|
2026-02-19
|
|
27802052-101684
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
35
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$67,980.00
|
$56,593.35
|
2026-02-19
|
|
27203217
|
CDM
|
Hc Heart Valve Sapien Edwards
|
35
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$67,980.00
|
$56,593.35
|
2026-02-19
|
|
27800190
|
CDM
|
Hc Impella 5.0
|
35
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$67,980.00
|
$56,593.35
|
2026-02-19
|
|
27801855-1778845
|
CDM
|
Hc Shell Generator, Neurostimulator, Non-recharge With Carotid
|
35
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$67,980.00
|
$56,593.35
|
2026-02-19
|
|
27801917-1534761
|
CDM
|
Shell Generator, Cardiac Contractility Modulation
|
35
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$67,980.00
|
$56,593.35
|
2026-02-19
|
|
27801815
|
CDM
|
Hc Mitraclip Delivery System Kit (w/guiding Cath)
|
35
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$67,980.00
|
$56,593.35
|
2026-02-19
|
|
27800957
|
CDM
|
Hc Catheter Set Pump Ventricular Assist Impella
|
35
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$67,980.00
|
$56,593.35
|
2026-02-19
|
|
C1604
|
HCPCS
|
Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass …
|
35
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$67,980.00
|
$56,593.35
|
2026-02-19
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
35
|
18
|
—
|
—
|
$6,182.00
|
$127,604.04
|
$53,403.98
|
2026-02-19
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
35
|
18
|
—
|
—
|
$9,144.00
|
$130,711.71
|
$52,806.30
|
2026-02-19
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
35
|
18
|
—
|
—
|
$25,893.00
|
$129,493.35
|
$52,314.10
|
2026-02-19
|
|
C2624
|
HCPCS
|
Hc Cardiomems Monitoring Device (implant)
|
35
|
19
|
$76,477.50
|
$45,886.50
40% off
|
$10,706.85
|
$61,182.00
|
$50,934.01
|
2026-02-19
|
|
27801347-303311
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$75,075.00
|
$45,045.00
40% off
|
$10,510.50
|
$60,060.00
|
$49,999.95
|
2026-02-19
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
35
|
18
|
—
|
—
|
$35,308.00
|
$122,249.22
|
$49,387.54
|
2026-02-19
|
|
27801347-181497
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$73,800.00
|
$44,280.00
40% off
|
$10,332.00
|
$59,040.00
|
$49,150.80
|
2026-02-19
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
35
|
18
|
—
|
—
|
$35,154.00
|
$121,518.63
|
$49,092.39
|
2026-02-19
|
|
27801347-876560
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$73,078.50
|
$43,847.10
40% off
|
$10,230.99
|
$58,462.80
|
$48,670.28
|
2026-02-19
|
|
27801347-1322565
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$71,209.05
|
$42,725.43
40% off
|
$9,969.27
|
$56,967.24
|
$47,425.23
|
2026-02-19
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
35
|
18
|
—
|
—
|
$6,182.00
|
$114,932.67
|
$47,419.22
|
2026-02-19
|
|
27801347-1033551
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$69,893.46
|
$41,936.08
40% off
|
$9,785.08
|
$55,914.77
|
$46,549.04
|
2026-02-19
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
35
|
18
|
—
|
—
|
$9,144.00
|
$115,041.30
|
$46,475.61
|
2026-02-19
|
|
27801347-820405
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$69,408.43
|
$41,645.06
40% off
|
$9,717.18
|
$55,526.74
|
$46,226.01
|
2026-02-19
|
|
27801347-777976
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$69,300.00
|
$41,580.00
40% off
|
$9,702.00
|
$55,440.00
|
$46,153.80
|
2026-02-19
|
|
27801347-331887
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$69,105.07
|
$41,463.04
40% off
|
$9,674.71
|
$55,284.06
|
$46,023.98
|
2026-02-19
|
|
27801347-1340795
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$68,999.70
|
$41,399.82
40% off
|
$9,659.96
|
$55,199.76
|
$45,953.80
|
2026-02-19
|
|
27801928
|
CDM
|
Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 15 Fr Arterial Cannu…
|
35
|
19
|
$66,280.50
|
$39,768.30
40% off
|
$9,279.27
|
$53,024.40
|
$44,142.81
|
2026-02-19
|
|
27802083
|
CDM
|
Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l…
|
35
|
19
|
$66,280.50
|
$39,768.30
40% off
|
$9,279.27
|
$53,024.40
|
$44,142.81
|
2026-02-19
|
|
27801924
|
CDM
|
Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Cannula (law5267…
|
35
|
19
|
$66,280.50
|
$39,768.30
40% off
|
$9,279.27
|
$53,024.40
|
$44,142.81
|
2026-02-19
|
|
27801929
|
CDM
|
Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 17 Fr Arterial Cannu…
|
35
|
19
|
$66,280.50
|
$39,768.30
40% off
|
$9,279.27
|
$53,024.40
|
$44,142.81
|
2026-02-19
|
|
27801927
|
CDM
|
Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 17 Fr Arterial Cannu…
|
35
|
19
|
$66,280.50
|
$39,768.30
40% off
|
$9,279.27
|
$53,024.40
|
$44,142.81
|
2026-02-19
|
|
27801923
|
CDM
|
Hc Ecmo Lifesparc Blood Pump Kit With 29 Fr Protekduo Veno-venous Cannula (law5267…
|
35
|
19
|
$66,280.50
|
$39,768.30
40% off
|
$9,279.27
|
$53,024.40
|
$44,142.81
|
2026-02-19
|
|
27801347-264193
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$66,280.50
|
$39,768.30
40% off
|
$9,279.27
|
$53,024.40
|
$44,142.81
|
2026-02-19
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
35
|
18
|
—
|
—
|
$34,512.54
|
$108,514.98
|
$43,839.03
|
2026-02-19
|
|
27801347-1855907
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$64,920.90
|
$38,952.54
40% off
|
$9,088.93
|
$51,936.72
|
$43,237.32
|
2026-02-19
|
|
27801347-459333
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$64,820.00
|
$38,892.00
40% off
|
$9,074.80
|
$51,856.00
|
$43,170.12
|
2026-02-19
|
|
27801347-820401
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$64,564.85
|
$38,738.91
40% off
|
$9,039.08
|
$51,651.88
|
$43,000.19
|
2026-02-19
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
35
|
18
|
—
|
—
|
$6,182.00
|
$100,210.11
|
$42,194.62
|
2026-02-19
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
35
|
18
|
—
|
—
|
$29,293.00
|
$104,088.84
|
$42,050.91
|
2026-02-19
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
35
|
18
|
—
|
—
|
$32,946.95
|
$103,460.49
|
$41,797.07
|
2026-02-19
|
|
27801347-1203071
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$62,351.26
|
$37,410.76
40% off
|
$8,729.18
|
$49,881.01
|
$41,525.94
|
2026-02-19
|
|
27801347-1186553
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$61,182.00
|
$36,709.20
40% off
|
$8,565.48
|
$48,945.60
|
$40,747.21
|
2026-02-19
|
|
27801347-1245429
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$60,315.26
|
$36,189.16
40% off
|
$8,444.14
|
$48,252.21
|
$40,169.96
|
2026-02-19
|
|
27801347-1004156
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$59,846.19
|
$35,907.71
40% off
|
$8,378.47
|
$47,876.95
|
$39,857.56
|
2026-02-19
|
|
27801347-212472
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
35
|
19
|
$59,762.58
|
$35,857.55
40% off
|
$8,366.76
|
$47,810.06
|
$39,801.88
|
2026-02-19
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
34
|
17
|
—
|
—
|
$6,182.00
|
$300,969.00
|
$122,881.61
|
2026-02-19
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
34
|
17
|
—
|
—
|
$6,182.00
|
$225,669.24
|
$92,137.73
|
2026-02-19
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$171,701.43
|
$70,103.40
|
2026-02-19
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
34
|
18
|
—
|
—
|
$6,368.00
|
$150,527.10
|
$62,444.38
|
2026-02-19
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$142,019.88
|
$57,984.82
|
2026-02-19
|
|
C1823
|
HCPCS
|
Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads
|
34
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$67,980.00
|
$57,655.54
|
2026-02-19
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$134,707.59
|
$54,999.31
|
2026-02-19
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
34
|
18
|
—
|
—
|
$6,368.00
|
$131,940.72
|
$54,807.47
|
2026-02-19
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$131,169.66
|
$53,554.82
|
2026-02-19
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$124,014.99
|
$50,633.66
|
2026-02-19
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$118,738.98
|
$48,479.54
|
2026-02-19
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$117,731.49
|
$48,068.19
|
2026-02-19
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$115,631.31
|
$47,210.71
|
2026-02-19
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$114,919.89
|
$46,920.25
|
2026-02-19
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$109,332.90
|
$44,639.16
|
2026-02-19
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$108,182.70
|
$44,169.54
|
2026-02-19
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$107,285.97
|
$43,803.43
|
2026-02-19
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$106,527.69
|
$43,493.83
|
2026-02-19
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
34
|
17
|
—
|
—
|
$6,182.00
|
$101,718.15
|
$41,530.16
|
2026-02-19
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$101,277.24
|
$41,350.14
|
2026-02-19
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$101,258.07
|
$41,342.32
|
2026-02-19
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
34
|
18
|
—
|
—
|
$6,368.00
|
$99,085.47
|
$41,307.68
|
2026-02-19
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$99,673.35
|
$40,695.29
|
2026-02-19
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$98,175.96
|
$40,083.93
|
2026-02-19
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
34
|
17
|
—
|
—
|
$6,182.00
|
$97,807.47
|
$39,933.48
|
2026-02-19
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
33
|
17
|
—
|
—
|
$6,368.00
|
$456,493.08
|
$187,982.37
|
2026-02-19
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
33
|
17
|
—
|
—
|
$6,368.00
|
$232,040.07
|
$95,735.70
|
2026-02-19
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
33
|
17
|
—
|
—
|
$6,368.00
|
$106,570.29
|
$43,053.40
|
2026-02-19
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
32
|
17
|
—
|
—
|
$46,796.60
|
$148,173.45
|
$61,477.28
|
2026-02-19
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
32
|
17
|
—
|
—
|
$43,568.41
|
$137,751.36
|
$57,194.99
|
2026-02-19
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
32
|
17
|
—
|
—
|
$37,367.33
|
$117,731.49
|
$48,969.09
|
2026-02-19
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
32
|
17
|
—
|
—
|
$33,935.92
|
$106,653.36
|
$44,417.23
|
2026-02-19
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
28
|
18
|
—
|
—
|
$186,743.41
|
$599,984.79
|
$393,364.10
|
2026-02-19
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
28
|
17
|
—
|
—
|
$6,368.00
|
$505,295.64
|
$194,696.02
|
2026-02-19
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
28
|
18
|
—
|
—
|
$73,603.94
|
$234,719.61
|
$154,161.77
|
2026-02-19
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Intravenous Solution
|
28
|
17
|
$115,440.00
|
$69,264.00
40% off
|
$16,161.60
|
$86,580.00
|
$73,673.81
|
2026-02-19
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
28
|
17
|
—
|
—
|
$6,368.00
|
$142,260.57
|
$55,614.75
|
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
|
$25,709.46
|
$137,729.25
|
$114,205.09
|
2026-02-19
|
|
31100124
|
CDM
|
Hc Auto Islet Cell Transplant
|
27
|
17
|
$107,245.00
|
$64,347.00
40% off
|
$24.00
|
$80,433.75
|
$62,202.10
|
2026-02-19
|
|
0424T
|
HCPCS
|
Hc Insj/rplc Nstim System Sleep Apnea Complete
|
27
|
17
|
$86,663.76
|
$51,998.26
40% off
|
$6,546.00
|
$98,421.34
|
$53,896.19
|
2026-02-19
|
|
C1736
|
HCPCS
|
Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd
|
27
|
17
|
$67,980.00
|
$40,788.00
40% off
|
$9,517.20
|
$50,985.00
|
$42,276.76
|
2026-02-19
|
|
0431T
|
HCPCS
|
Hb Rmvl/rplc Nstim System Sleep Apnea Pls Generator
|
27
|
17
|
$60,271.58
|
$36,162.95
40% off
|
$6,546.00
|
$98,421.34
|
$41,647.66
|
2026-02-19
|
|
31100193
|
CDM
|
Hc Auto Islet Cell Processing
|
27
|
17
|
$70,421.00
|
$42,252.60
40% off
|
$24.00
|
$52,815.75
|
$40,844.18
|
2026-02-19
|
|
7
|
MS_DRG
|
Lung Transplant
|
26
|
17
|
—
|
—
|
$87,123.07
|
$207,261.19
|
$147,192.13
|
2026-02-19
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
26
|
17
|
—
|
—
|
$71,160.85
|
$169,287.92
|
$120,224.38
|
2026-02-19
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
26
|
17
|
—
|
—
|
$53,503.05
|
$127,280.94
|
$90,391.99
|
2026-02-19
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
26
|
17
|
—
|
—
|
$36,798.61
|
$87,541.96
|
$62,170.29
|
2026-02-19
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
26
|
17
|
—
|
—
|
$32,893.50
|
$78,251.91
|
$55,572.71
|
2026-02-19
|
|
0643T
|
HCPCS
|
Hc Transcatheter L Ventr Restoration Device Impltj
|
26
|
16
|
$72,615.83
|
$43,569.50
40% off
|
$2,380.00
|
$54,461.87
|
$39,938.71
|
2026-02-19
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
25
|
17
|
—
|
—
|
$53,201.55
|
$168,851.49
|
$111,026.52
|
2026-02-19
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
25
|
17
|
—
|
—
|
$31,297.54
|
$98,135.49
|
$64,716.51
|
2026-02-19
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
25
|
17
|
—
|
—
|
$23,810.60
|
$73,964.25
|
$48,887.43
|
2026-02-19
|
|
81200003
|
CDM
|
Hc Std Acq Chg Cadaver Kidney/pancreas
|
24
|
16
|
$316,385.45
|
$189,831.27
40% off
|
$44,293.96
|
$237,289.09
|
$194,007.56
|
2026-02-19
|
|
81200017
|
CDM
|
Hc Std Acq Chg Cadaver Liver/kidney
|
24
|
16
|
$249,395.20
|
$149,637.12
40% off
|
$34,915.33
|
$187,046.40
|
$152,929.14
|
2026-02-19
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
24
|
17
|
—
|
—
|
$87,340.79
|
$207,779.13
|
$147,559.96
|
2026-02-19
|
|
81200004
|
CDM
|
Hc Std Acq Chg Cadaver Heart
|
24
|
16
|
$220,688.76
|
$132,413.26
40% off
|
$30,896.43
|
$165,516.57
|
$135,326.35
|
2026-02-19
|
|
81200014
|
CDM
|
Hc Heart Lung Acq Cad Mcare
|
24
|
16
|
$220,404.88
|
$132,242.93
40% off
|
$30,856.68
|
$165,303.66
|
$135,152.27
|
2026-02-19
|
|
81200013
|
CDM
|
Hc Heart Lung Acq Cad
|
24
|
16
|
$220,404.88
|
$132,242.93
40% off
|
$30,856.68
|
$165,303.66
|
$135,152.27
|
2026-02-19
|
|
81200008
|
CDM
|
Hc Liver Acq Cad Mcare
|
24
|
16
|
$203,870.00
|
$122,322.00
40% off
|
$28,541.80
|
$152,902.50
|
$125,013.08
|
2026-02-19
|
|
81200007
|
CDM
|
Hc Liver Acq Cad
|
24
|
16
|
$203,870.00
|
$122,322.00
40% off
|
$28,541.80
|
$152,902.50
|
$125,013.08
|
2026-02-19
|
|
81200012
|
CDM
|
Hc Lung Acq Double Cad Mcare
|
24
|
16
|
$197,396.84
|
$118,438.10
40% off
|
$27,635.56
|
$148,047.63
|
$121,043.74
|
2026-02-19
|
|
81200011
|
CDM
|
Hc Lung Acq Double Cad
|
24
|
16
|
$197,396.84
|
$118,438.10
40% off
|
$27,635.56
|
$148,047.63
|
$121,043.74
|
2026-02-19
|
|
81200001
|
CDM
|
Hc Std Acq Chg Cadaver Kidney
|
24
|
16
|
$185,810.00
|
$111,486.00
40% off
|
$26,013.40
|
$139,357.50
|
$113,938.69
|
2026-02-19
|
|
81200009
|
CDM
|
Hc Lung Acq Single Cad
|
24
|
16
|
$173,400.71
|
$104,040.43
40% off
|
$24,276.10
|
$130,050.53
|
$106,329.32
|
2026-02-19
|
|
81200010
|
CDM
|
Hc Lung Acq Single Cad Mcare
|
24
|
16
|
$173,400.71
|
$104,040.43
40% off
|
$24,276.10
|
$130,050.53
|
$106,329.32
|
2026-02-19
|
|
81500021
|
CDM
|
Hc Unrelated Donor Acquisition US
|
24
|
16
|
$134,837.44
|
$80,902.46
40% off
|
$18,877.24
|
$101,128.08
|
$82,682.32
|
2026-02-19
|
|
81100003
|
CDM
|
Hc Liver Acq Living
|
24
|
16
|
$131,979.00
|
$79,187.40
40% off
|
$18,477.06
|
$98,984.25
|
$80,929.52
|
2026-02-19
|
|
81100002
|
CDM
|
Hc Liver Acq Living Mcare
|
24
|
16
|
$131,979.00
|
$79,187.40
40% off
|
$18,477.06
|
$98,984.25
|
$80,929.52
|
2026-02-19
|
|
81100001
|
CDM
|
Hc Std Acq Chg Live Donor Kidney
|
24
|
16
|
$123,509.00
|
$74,105.40
40% off
|
$17,291.26
|
$92,631.75
|
$75,735.72
|
2026-02-19
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
24
|
17
|
—
|
—
|
$40,722.85
|
$96,877.52
|
$68,800.18
|
2026-02-19
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
24
|
17
|
—
|
—
|
$40,722.85
|
$96,877.52
|
$68,800.18
|
2026-02-19
|
|
81200002
|
CDM
|
Hc Std Acq Chg Cadaver Pancreas
|
24
|
16
|
$102,432.00
|
$61,459.20
40% off
|
$14,340.48
|
$76,824.00
|
$62,811.30
|
2026-02-19
|
|
81500007
|
CDM
|
Hc Marrow Acquisition Usa
|
24
|
16
|
$97,700.00
|
$58,620.00
40% off
|
$13,678.00
|
$73,275.00
|
$59,909.64
|
2026-02-19
|
|
81200016
|
CDM
|
Hc Uterus Acq Cadaveric Donor
|
24
|
16
|
$91,900.00
|
$55,140.00
40% off
|
$12,866.00
|
$68,925.00
|
$56,353.08
|
2026-02-19
|
|
81200015
|
CDM
|
Hc Uterus Acq Living Donor
|
24
|
16
|
$91,900.00
|
$55,140.00
40% off
|
$12,866.00
|
$68,925.00
|
$56,353.08
|
2026-02-19
|
|
81500022
|
CDM
|
Hc Related Donor Acquisition
|
24
|
16
|
$88,910.80
|
$53,346.48
40% off
|
$12,447.51
|
$66,683.10
|
$54,520.11
|
2026-02-19
|
|
81500015
|
CDM
|
Hc Pbsc Acquistion US
|
24
|
16
|
$87,750.00
|
$52,650.00
40% off
|
$12,285.00
|
$65,812.50
|
$53,808.30
|
2026-02-19
|
|
81500059
|
CDM
|
Hc Pbsc Second Acquisition US
|
24
|
16
|
$87,750.00
|
$52,650.00
40% off
|
$12,285.00
|
$65,812.50
|
$53,808.30
|
2026-02-19
|
|
62400012-1362918
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
24
|
16
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$63,731.25
|
$52,106.67
|
2026-02-19
|
|
62400011
|
CDM
|
Hc Clinical Trial Ide#g170152 Sapien 3 Transcatheter Heart Valve
|
24
|
16
|
$84,975.00
|
$50,985.00
40% off
|
$11,896.50
|
$63,731.25
|
$52,106.67
|
2026-02-19
|
|
62400012-847925
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
24
|
16
|
$76,137.60
|
$45,682.56
40% off
|
$10,659.26
|
$57,103.20
|
$46,687.57
|
2026-02-19
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
22
|
14
|
—
|
—
|
$249,714.12
|
$803,282.64
|
$289,142.67
|
2026-02-19
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
22
|
16
|
—
|
—
|
$40,121.82
|
$95,447.69
|
$44,375.85
|
2026-02-19
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
10
|
6
|
—
|
—
|
$35,308.00
|
$138,104.92
|
$91,365.46
|
2026-02-19
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
10
|
6
|
—
|
—
|
$35,308.00
|
$103,364.40
|
$68,382.33
|
2026-02-19
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
10
|
6
|
—
|
—
|
$35,308.00
|
$95,322.54
|
$63,062.11
|
2026-02-19
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
10
|
6
|
—
|
—
|
$35,308.00
|
$71,778.28
|
$47,486.04
|
2026-02-19
|
|
5834
|
APR_DRG
|
Inpatient Aprdrg 5834: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$306,780.16
|
$306,780.16
|
$306,780.16
|
2026-02-19
|
|
74
|
APR_DRG
|
Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$298,436.03
|
$298,436.03
|
$298,436.03
|
2026-02-19
|
|
5833
|
APR_DRG
|
Inpatient Aprdrg 5833: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$259,770.17
|
$259,770.17
|
$259,770.17
|
2026-02-19
|
|
24
|
APR_DRG
|
Inpatient Aprdrg 0024: Heart &/or Lung Transplant
|
1
|
1
|
—
|
—
|
$249,891.55
|
$249,891.55
|
$249,891.55
|
2026-02-19
|
|
5884
|
APR_DRG
|
Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$194,186.81
|
$194,186.81
|
$194,186.81
|
2026-02-19
|
|
1614
|
APR_DRG
|
Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$188,568.71
|
$188,568.71
|
$188,568.71
|
2026-02-19
|
|
94
|
APR_DRG
|
Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$176,659.19
|
$176,659.19
|
$176,659.19
|
2026-02-19
|
|
6304
|
APR_DRG
|
Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$144,487.93
|
$144,487.93
|
$144,487.93
|
2026-02-19
|
|
6094
|
APR_DRG
|
Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure
|
1
|
1
|
—
|
—
|
$143,207.51
|
$143,207.51
|
$143,207.51
|
2026-02-19
|
|
5832
|
APR_DRG
|
Inpatient Aprdrg 5832: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$129,437.54
|
$129,437.54
|
$129,437.54
|
2026-02-19
|
|
114
|
APR_DRG
|
Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
1
|
1
|
—
|
—
|
$122,909.42
|
$122,909.42
|
$122,909.42
|
2026-02-19
|
|
2004
|
APR_DRG
|
Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders
|
1
|
1
|
—
|
—
|
$114,216.70
|
$114,216.70
|
$114,216.70
|
2026-02-19
|
|
5831
|
APR_DRG
|
Inpatient Aprdrg 5831: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$113,972.33
|
$113,972.33
|
$113,972.33
|
2026-02-19
|
|
73
|
APR_DRG
|
Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$105,306.67
|
$105,306.67
|
$105,306.67
|
2026-02-19
|
|
5883
|
APR_DRG
|
Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$104,194.28
|
$104,194.28
|
$104,194.28
|
2026-02-19
|
|
5882
|
APR_DRG
|
Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$103,718.06
|
$103,718.06
|
$103,718.06
|
2026-02-19
|
|
44
|
APR_DRG
|
Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
1
|
1
|
—
|
—
|
$103,449.86
|
$103,449.86
|
$103,449.86
|
2026-02-19
|
|
8414
|
APR_DRG
|
Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft
|
1
|
1
|
—
|
—
|
$103,005.15
|
$103,005.15
|
$103,005.15
|
2026-02-19
|
|
6314
|
APR_DRG
|
Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure
|
1
|
1
|
—
|
—
|
$101,976.37
|
$101,976.37
|
$101,976.37
|
2026-02-19
|
|
8504
|
APR_DRG
|
Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea…
|
1
|
1
|
—
|
—
|
$99,289.91
|
$99,289.91
|
$99,289.91
|
2026-02-19
|
|
5914
|
APR_DRG
|
Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure
|
1
|
1
|
—
|
—
|
$98,400.48
|
$98,400.48
|
$98,400.48
|
2026-02-19
|
|
1613
|
APR_DRG
|
Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$98,284.56
|
$98,284.56
|
$98,284.56
|
2026-02-19
|
|
5881
|
APR_DRG
|
Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$97,765.12
|
$97,765.12
|
$97,765.12
|
2026-02-19
|
|
14
|
APR_DRG
|
Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$89,515.50
|
$89,515.50
|
$89,515.50
|
2026-02-19
|
|
84
|
APR_DRG
|
Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$89,156.82
|
$89,156.82
|
$89,156.82
|
2026-02-19
|
|
6814
|
APR_DRG
|
Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N…
|
1
|
1
|
—
|
—
|
$87,572.65
|
$87,572.65
|
$87,572.65
|
2026-02-19
|
|
1604
|
APR_DRG
|
Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$87,523.78
|
$87,523.78
|
$87,523.78
|
2026-02-19
|
|
93
|
APR_DRG
|
Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$86,792.28
|
$86,792.28
|
$86,792.28
|
2026-02-19
|
|
2464
|
APR_DRG
|
Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency
|
1
|
1
|
—
|
—
|
$84,873.67
|
$84,873.67
|
$84,873.67
|
2026-02-19
|
|
6034
|
APR_DRG
|
Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con…
|
1
|
1
|
—
|
—
|
$84,435.83
|
$84,435.83
|
$84,435.83
|
2026-02-19
|
|
64
|
APR_DRG
|
Inpatient Aprdrg 0064: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$81,942.44
|
$81,942.44
|
$81,942.44
|
2026-02-19
|
|
5891
|
APR_DRG
|
Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks
|
1
|
1
|
—
|
—
|
$81,935.98
|
$81,935.98
|
$81,935.98
|
2026-02-19
|
|
5934
|
APR_DRG
|
Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure
|
1
|
1
|
—
|
—
|
$81,690.80
|
$81,690.80
|
$81,690.80
|
2026-02-19
|
|
5892
|
APR_DRG
|
Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks
|
1
|
1
|
—
|
—
|
$79,412.70
|
$79,412.70
|
$79,412.70
|
2026-02-19
|
|
1624
|
APR_DRG
|
Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx
|
1
|
1
|
—
|
—
|
$76,349.79
|
$76,349.79
|
$76,349.79
|
2026-02-19
|
|
6024
|
APR_DRG
|
Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M…
|
1
|
1
|
—
|
—
|
$75,096.84
|
$75,096.84
|
$75,096.84
|
2026-02-19
|
|
5893
|
APR_DRG
|
Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks
|
1
|
1
|
—
|
—
|
$74,487.33
|
$74,487.33
|
$74,487.33
|
2026-02-19
|
|
222
|
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
|
|
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
|
|
230
|
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
|
|
225
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-19
|
|
6214
|
APR_DRG
|
Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly
|
1
|
1
|
—
|
—
|
$71,312.93
|
$71,312.93
|
$71,312.93
|
2026-02-19
|
|
72
|
APR_DRG
|
Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$70,754.32
|
$70,754.32
|
$70,754.32
|
2026-02-19
|
|
1612
|
APR_DRG
|
Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$70,651.32
|
$70,651.32
|
$70,651.32
|
2026-02-19
|
|
113
|
APR_DRG
|
Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
1
|
1
|
—
|
—
|
$69,843.48
|
$69,843.48
|
$69,843.48
|
2026-02-19
|
|
8634
|
APR_DRG
|
Inpatient Aprdrg 8634: Neonatal Aftercare
|
1
|
1
|
—
|
—
|
$68,760.17
|
$68,760.17
|
$68,760.17
|
2026-02-19
|
|
6303
|
APR_DRG
|
Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$68,099.77
|
$68,099.77
|
$68,099.77
|
2026-02-19
|
|
1611
|
APR_DRG
|
Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$67,006.36
|
$67,006.36
|
$67,006.36
|
2026-02-19
|
|
4404
|
APR_DRG
|
Inpatient Aprdrg 4404: Kidney Transplant
|
1
|
1
|
—
|
—
|
$66,840.75
|
$66,840.75
|
$66,840.75
|
2026-02-19
|
|
54
|
APR_DRG
|
Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$66,535.39
|
$66,535.39
|
$66,535.39
|
2026-02-19
|
|
43
|
APR_DRG
|
Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
1
|
1
|
—
|
—
|
$66,512.77
|
$66,512.77
|
$66,512.77
|
2026-02-19
|
|
6804
|
APR_DRG
|
Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N…
|
1
|
1
|
—
|
—
|
$64,796.53
|
$64,796.53
|
$64,796.53
|
2026-02-19
|
|
5913
|
APR_DRG
|
Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure
|
1
|
1
|
—
|
—
|
$64,796.53
|
$64,796.53
|
$64,796.53
|
2026-02-19
|
|
6084
|
APR_DRG
|
Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi…
|
1
|
1
|
—
|
—
|
$64,612.74
|
$64,612.74
|
$64,612.74
|
2026-02-19
|
|
4414
|
APR_DRG
|
Inpatient Aprdrg 4414: Major Bladder Procedures
|
1
|
1
|
—
|
—
|
$63,255.58
|
$63,255.58
|
$63,255.58
|
2026-02-19
|
|
23
|
APR_DRG
|
Inpatient Aprdrg 0023: Heart &/or Lung Transplant
|
1
|
1
|
—
|
—
|
$61,548.22
|
$61,548.22
|
$61,548.22
|
2026-02-19
|
|
83
|
APR_DRG
|
Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$60,263.35
|
$60,263.35
|
$60,263.35
|
2026-02-19
|
|
1784
|
APR_DRG
|
Inpatient Aprdrg 1784: External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$59,245.88
|
$59,245.88
|
$59,245.88
|
2026-02-19
|
|
5933
|
APR_DRG
|
Inpatient Aprdrg 5933: Neonate Birthwt 750-999g Without Major Procedure
|
1
|
1
|
—
|
—
|
$58,345.15
|
$58,345.15
|
$58,345.15
|
2026-02-19
|
|
6114
|
APR_DRG
|
Inpatient Aprdrg 6114: Neonate Birthwt 1500-1999g W Major Anomaly
|
1
|
1
|
—
|
—
|
$58,278.10
|
$58,278.10
|
$58,278.10
|
2026-02-19
|
|
1674
|
APR_DRG
|
Inpatient Aprdrg 1674: Other Cardiothoracic & Thoracic Vascular Procedures
|
1
|
1
|
—
|
—
|
$58,020.40
|
$58,020.40
|
$58,020.40
|
2026-02-19
|
|
6904
|
APR_DRG
|
Inpatient Aprdrg 6904: Acute Leukemia
|
1
|
1
|
—
|
—
|
$57,499.34
|
$57,499.34
|
$57,499.34
|
2026-02-19
|
|
434
|
APR_DRG
|
Inpatient Aprdrg 0434: Multiple Sclerosis & Other Demyelinating Diseases
|
1
|
1
|
—
|
—
|
$57,147.13
|
$57,147.13
|
$57,147.13
|
2026-02-19
|
|
92
|
APR_DRG
|
Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$57,082.90
|
$57,082.90
|
$57,082.90
|
2026-02-19
|
|
91
|
APR_DRG
|
Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$55,358.98
|
$55,358.98
|
$55,358.98
|
2026-02-19
|
|
6334
|
APR_DRG
|
Inpatient Aprdrg 6334: Neonate Birthwt >2499g W Major Anomaly
|
1
|
1
|
—
|
—
|
$54,195.29
|
$54,195.29
|
$54,195.29
|
2026-02-19
|
|
3034
|
APR_DRG
|
Inpatient Aprdrg 3034: Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
1
|
1
|
—
|
—
|
$53,864.89
|
$53,864.89
|
$53,864.89
|
2026-02-19
|
|
5912
|
APR_DRG
|
Inpatient Aprdrg 5912: Neonate Birthwt 500-749g Without Major Procedure
|
1
|
1
|
—
|
—
|
$53,499.75
|
$53,499.75
|
$53,499.75
|
2026-02-19
|
|
6074
|
APR_DRG
|
Inpatient Aprdrg 6074: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M…
|
1
|
1
|
—
|
—
|
$52,976.27
|
$52,976.27
|
$52,976.27
|
2026-02-19
|
|
63
|
APR_DRG
|
Inpatient Aprdrg 0063: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$52,954.46
|
$52,954.46
|
$52,954.46
|
2026-02-19
|
|
2204
|
APR_DRG
|
Inpatient Aprdrg 2204: Major Stomach, Esophageal & Duodenal Procedures
|
1
|
1
|
—
|
—
|
$50,481.67
|
$50,481.67
|
$50,481.67
|
2026-02-19
|
|
6134
|
APR_DRG
|
Inpatient Aprdrg 6134: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti…
|
1
|
1
|
—
|
—
|
$50,206.60
|
$50,206.60
|
$50,206.60
|
2026-02-19
|
|
4474
|
APR_DRG
|
Inpatient Aprdrg 4474: Other Kidney, Urinary Tract & Related Procedures
|
1
|
1
|
—
|
—
|
$50,089.06
|
$50,089.06
|
$50,089.06
|
2026-02-19
|
|
22
|
APR_DRG
|
Inpatient Aprdrg 0022: Heart &/or Lung Transplant
|
1
|
1
|
—
|
—
|
$49,443.60
|
$49,443.60
|
$49,443.60
|
2026-02-19
|
|
234
|
APR_DRG
|
Inpatient Aprdrg 0234: Spinal Procedures
|
1
|
1
|
—
|
—
|
$49,347.07
|
$49,347.07
|
$49,347.07
|
2026-02-19
|
|
9104
|
APR_DRG
|
Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$49,168.53
|
$49,168.53
|
$49,168.53
|
2026-02-19
|
|
112
|
APR_DRG
|
Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
1
|
1
|
—
|
—
|
$48,536.81
|
$48,536.81
|
$48,536.81
|
2026-02-19
|
|
6023
|
APR_DRG
|
Inpatient Aprdrg 6023: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M…
|
1
|
1
|
—
|
—
|
$48,534.79
|
$48,534.79
|
$48,534.79
|
2026-02-19
|
|
53
|
APR_DRG
|
Inpatient Aprdrg 0053: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$47,929.72
|
$47,929.72
|
$47,929.72
|
2026-02-19
|
|
62
|
APR_DRG
|
Inpatient Aprdrg 0062: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$47,896.60
|
$47,896.60
|
$47,896.60
|
2026-02-19
|
|
9504
|
APR_DRG
|
Inpatient Aprdrg 9504: Extensive Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$47,708.77
|
$47,708.77
|
$47,708.77
|
2026-02-19
|
|
61
|
APR_DRG
|
Inpatient Aprdrg 0061: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$47,278.20
|
$47,278.20
|
$47,278.20
|
2026-02-19
|
|
71
|
APR_DRG
|
Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$46,459.86
|
$46,459.86
|
$46,459.86
|
2026-02-19
|
|
13
|
APR_DRG
|
Inpatient Aprdrg 0013: Liver Transplant &/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$46,120.57
|
$46,120.57
|
$46,120.57
|
2026-02-19
|
|
6093
|
APR_DRG
|
Inpatient Aprdrg 6093: Neonate Bwt 1500-2499g W Major Procedure
|
1
|
1
|
—
|
—
|
$46,066.04
|
$46,066.04
|
$46,066.04
|
2026-02-19
|
|
264
|
APR_DRG
|
Inpatient Aprdrg 0264: Other Nervous System & Related Procedures
|
1
|
1
|
—
|
—
|
$46,038.17
|
$46,038.17
|
$46,038.17
|
2026-02-19
|
|
5932
|
APR_DRG
|
Inpatient Aprdrg 5932: Neonate Birthwt 750-999g Without Major Procedure
|
1
|
1
|
—
|
—
|
$45,839.44
|
$45,839.44
|
$45,839.44
|
2026-02-19
|
|
3033
|
APR_DRG
|
Inpatient Aprdrg 3033: Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
1
|
1
|
—
|
—
|
$45,567.61
|
$45,567.61
|
$45,567.61
|
2026-02-19
|
|
1824
|
APR_DRG
|
Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures
|
1
|
1
|
—
|
—
|
$45,530.85
|
$45,530.85
|
$45,530.85
|
2026-02-19
|
|
1634
|
APR_DRG
|
Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Pdx
|
1
|
1
|
—
|
—
|
$45,503.79
|
$45,503.79
|
$45,503.79
|
2026-02-19
|
|
7924
|
APR_DRG
|
Inpatient Aprdrg 7924: Extensive Or Procedures For Other Complications Of Treatm…
|
1
|
1
|
—
|
—
|
$44,758.96
|
$44,758.96
|
$44,758.96
|
2026-02-19
|
|
3044
|
APR_DRG
|
Inpatient Aprdrg 3044: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
1
|
1
|
—
|
—
|
$44,748.06
|
$44,748.06
|
$44,748.06
|
2026-02-19
|
|
2054
|
APR_DRG
|
Inpatient Aprdrg 2054: Cardiomyopathy
|
1
|
1
|
—
|
—
|
$44,621.63
|
$44,621.63
|
$44,621.63
|
2026-02-19
|
|
6954
|
APR_DRG
|
Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia
|
1
|
1
|
—
|
—
|
$44,564.27
|
$44,564.27
|
$44,564.27
|
2026-02-19
|
|
8413
|
APR_DRG
|
Inpatient Aprdrg 8413: Extensive 3rd Degree Burns W Skin Graft
|
1
|
1
|
—
|
—
|
$44,518.63
|
$44,518.63
|
$44,518.63
|
2026-02-19
|
|
52
|
APR_DRG
|
Inpatient Aprdrg 0052: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$43,770.57
|
$43,770.57
|
$43,770.57
|
2026-02-19
|
|
6514
|
APR_DRG
|
Inpatient Aprdrg 6514: Other Procedures Of Blood & Blood-forming Organs
|
1
|
1
|
—
|
—
|
$43,623.95
|
$43,623.95
|
$43,623.95
|
2026-02-19
|
|
42
|
APR_DRG
|
Inpatient Aprdrg 0042: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
1
|
1
|
—
|
—
|
$43,487.83
|
$43,487.83
|
$43,487.83
|
2026-02-19
|
|
6144
|
APR_DRG
|
Inpatient Aprdrg 6144: Neonate Bwt 1500-1999g W Or Without Other Significant Conditi…
|
1
|
1
|
—
|
—
|
$43,031.00
|
$43,031.00
|
$43,031.00
|
2026-02-19
|
|
1623
|
APR_DRG
|
Inpatient Aprdrg 1623: Cardiac Valve Procedures W Ami Or Complex Pdx
|
1
|
1
|
—
|
—
|
$42,957.89
|
$42,957.89
|
$42,957.89
|
2026-02-19
|
|
214
|
APR_DRG
|
Inpatient Aprdrg 0214: Craniotomy Except For Trauma
|
1
|
1
|
—
|
—
|
$42,856.10
|
$42,856.10
|
$42,856.10
|
2026-02-19
|
|
2304
|
APR_DRG
|
Inpatient Aprdrg 2304: Major Small Bowel Procedures
|
1
|
1
|
—
|
—
|
$42,701.40
|
$42,701.40
|
$42,701.40
|
2026-02-19
|
|
224
|
APR_DRG
|
Inpatient Aprdrg 0224: Ventricular Shunt Procedures
|
1
|
1
|
—
|
—
|
$42,532.97
|
$42,532.97
|
$42,532.97
|
2026-02-19
|
|
4424
|
APR_DRG
|
Inpatient Aprdrg 4424: Kidney & Urinary Tract Procedures For Malignancy
|
1
|
1
|
—
|
—
|
$42,299.91
|
$42,299.91
|
$42,299.91
|
2026-02-19
|
|
9524
|
APR_DRG
|
Inpatient Aprdrg 9524: Nonextensive Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$42,040.19
|
$42,040.19
|
$42,040.19
|
2026-02-19
|
|
9114
|
APR_DRG
|
Inpatient Aprdrg 9114: Extensive Abdominal/thoracic Procedures For Mult Signific…
|
1
|
1
|
—
|
—
|
$41,656.06
|
$41,656.06
|
$41,656.06
|
2026-02-19
|
|
4403
|
APR_DRG
|
Inpatient Aprdrg 4403: Kidney Transplant
|
1
|
1
|
—
|
—
|
$40,909.62
|
$40,909.62
|
$40,909.62
|
2026-02-19
|
|
3154
|
APR_DRG
|
Inpatient Aprdrg 3154: Shoulder, Upper Arm & Forearm Procedures Except Joint Rep…
|
1
|
1
|
—
|
—
|
$40,906.80
|
$40,906.80
|
$40,906.80
|
2026-02-19
|
|
1694
|
APR_DRG
|
Inpatient Aprdrg 1694: Major Abdominal Vascular Procedures
|
1
|
1
|
—
|
—
|
$40,767.85
|
$40,767.85
|
$40,767.85
|
2026-02-19
|
|
1204
|
APR_DRG
|
Inpatient Aprdrg 1204: Major Respiratory & Chest Procedures
|
1
|
1
|
—
|
—
|
$40,602.24
|
$40,602.24
|
$40,602.24
|
2026-02-19
|
|
4834
|
APR_DRG
|
Inpatient Aprdrg 4834: Penis, Testes & Scrotal Procedures
|
1
|
1
|
—
|
—
|
$40,447.94
|
$40,447.94
|
$40,447.94
|
2026-02-19
|
|
894
|
APR_DRG
|
Inpatient Aprdrg 0894: Major Cranial/facial Bone Procedures
|
1
|
1
|
—
|
—
|
$40,014.14
|
$40,014.14
|
$40,014.14
|
2026-02-19
|
|
9124
|
APR_DRG
|
Inpatient Aprdrg 9124: Musculoskeletal & Other Procedures For Multiple Significa…
|
1
|
1
|
—
|
—
|
$39,961.22
|
$39,961.22
|
$39,961.22
|
2026-02-19
|
|
1304
|
APR_DRG
|
Inpatient Aprdrg 1304: Respiratory System Diagnosis W Ventilator Support 96+ Hou…
|
1
|
1
|
—
|
—
|
$39,951.13
|
$39,951.13
|
$39,951.13
|
2026-02-19
|