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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 Emergency Medical Center - Cedar Park

Cedar Park, TX · CCN 670087 · Rates published

17,600 distinct procedures filed
3 distinct payers
75,161 rate rows
2026-02-18 last MRF observed
Data quality

74,991 of 75,161 rate rows are consumer-grade (99.8%)

170 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
placeholder amount (≤ $0.02) — excluded from medians 153
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 15
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/203749695_baylor-scott--white-emergency-medical-center--cedar-park_standardcharges.csv
Found on page https://www.bswhealth.com/patient-tools/patient-registration-and-billing/estimate-your-cost-care/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 5bbd84b7ea6974d0… · 38,408,951 bytes · first seen 2026-05-09

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $307,711.50 $307,711.50 $307,711.50 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $229,834.71 $229,834.71 $229,834.71 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $193,562.37 $193,562.37 $193,562.37 nat. median
$206,474
0.9× median
81200003
CDM 		Hc Std Acq Chg Cadaver Kidney/pancreas 2 $174,012.00 $205,650.54 $189,831.27 nat. median
$150,283
1.3× median
27801347-807157
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 $168,719.10 $199,395.30 $184,057.20 nat. median
$199,395
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $174,867.68 $174,867.68 $174,867.68 nat. median
$202,976
0.9× median
27802052-445170
CDM 		Shell, No Hcpcs, For Lvad Implants Only 2 $128,438.94 $151,791.47 $140,115.21 nat. median
$151,791
0.9× median
27500234
CDM 		Hc Heartmate 3 Lvad Implant 2 $128,438.75 $151,791.25 $140,115.00 nat. median
$163,468
0.9× median
81200004
CDM 		Hc Std Acq Chg Cadaver Heart 2 $121,378.82 $143,447.69 $132,413.26 nat. median
$121,379
1.1× median
27800187
CDM 		Hc Kit, Heartmate Ii Vad Implant 2 $118,387.50 $139,912.50 $129,150.00 nat. median
$132,707
1.0× median
27802052-778176
CDM 		Shell, No Hcpcs, For Lvad Implants Only 2 $118,387.50 $139,912.50 $129,150.00 nat. median
$139,912
0.9× median
27801347-1196342
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 $113,922.60 $134,635.80 $124,279.20 nat. median
$134,636
0.9× median
27801850
CDM 		Hc Heartware Hvad Pump 2 $113,922.60 $134,635.80 $124,279.20 nat. median
$134,636
0.9× median
27801347-98612
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 $109,593.00 $129,519.00 $119,556.00 nat. median
$129,519
0.9× median
27500176-389049
CDM 		Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 $109,237.59 $129,098.97 $119,168.28 nat. median
$129,099
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $115,291.46 $115,291.46 $115,291.46 nat. median
$133,161
0.9× median
81200001
CDM 		Hc Std Acq Chg Cadaver Kidney 2 $102,195.50 $120,776.50 $111,486.00 nat. median
$102,196
1.1× median
27201912-261835
CDM 		Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 2 $101,001.45 $119,365.35 $110,183.40 nat. median
$106,511
1.0× median
27802052-389434
CDM 		Shell, No Hcpcs, For Lvad Implants Only 2 $98,769.00 $116,727.00 $107,748.00 nat. median
$116,727
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $106,902.01 $106,902.01 $106,902.01 nat. median
$117,357
0.9× median
7
MS_DRG 		Lung Transplant 1 $106,632.76 $106,632.76 $106,632.76 nat. median
$122,708
0.9× median
Q2043
HCPCS 		Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 3 $57,765.99 $122,074.88 $103,294.12 nat. median
$66,682
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $89,913.45 $89,913.45 $89,913.45 nat. median
$108,660
0.8× median
J9043
HCPCS 		cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution 3 $227.28 $105,060.98 $88,897.75 nat. median
$735
outlier · 120.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $88,887.03 $88,887.03 $88,887.03 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $86,892.07 $86,892.07 $86,892.07 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 1 $86,446.55 $86,446.55 $86,446.55 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $78,746.58 $78,746.58 $78,746.58 nat. median
$93,672
0.8× median
81100001
CDM 		Hc Std Acq Chg Live Donor Kidney 2 $67,929.95 $80,280.85 $74,105.40 nat. median
$67,930
1.1× median
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 2 $63,492.00 $75,036.00 $69,264.00 nat. median
$21,216
outlier · 3.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $69,141.41 $69,141.41 $69,141.41 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $69,103.06 $69,103.06 $69,103.06 nat. median
$81,118
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $65,773.24 $65,773.24 $65,773.24 nat. median
$77,570
0.8× median
10
MS_DRG 		Pancreas Transplant 1 $65,054.40 $65,054.40 $65,054.40 nat. median
$68,884
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $64,681.53 $64,681.53 $64,681.53 nat. median
$71,271
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $63,776.65 $63,776.65 $63,776.65 nat. median
$73,807
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $63,132.87 $63,132.87 $63,132.87 nat. median
$74,915
0.8× median
81200002
CDM 		Hc Std Acq Chg Cadaver Pancreas 2 $56,337.60 $66,580.80 $61,459.20 nat. median
$56,338
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $60,902.93 $60,902.93 $60,902.93 nat. median
$72,135
0.8× median
27802052-1242630
CDM 		Shell, No Hcpcs, For Lvad Implants Only 2 $55,473.00 $65,559.00 $60,516.00 nat. median
$65,559
0.9× median
27801848
CDM 		Hc Impella 5.5 2 $55,473.00 $65,559.00 $60,516.00 nat. median
$62,089
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $57,662.04 $57,662.04 $57,662.04 nat. median
$68,886
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $56,760.43 $56,760.43 $56,760.43 nat. median
$66,526
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $55,714.41 $55,714.41 $55,714.41 nat. median
$64,732
0.9× median
27801347-1218340
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 $50,061.00 $59,163.00 $54,612.00 nat. median
$59,163
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $54,495.41 $54,495.41 $54,495.41 nat. median
$64,023
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $54,403.20 $54,403.20 $54,403.20 nat. median
$65,950
0.8× median
27801347-1926393
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 $48,708.00 $57,564.00 $53,136.00 nat. median
$57,564
0.9× median
27800973
CDM 		Hc Corevalue Aortic 2 $48,675.00 $57,525.00 $53,100.00 nat. median
$55,038
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $52,768.07 $52,768.07 $52,768.07 nat. median
$62,134
0.8× median

Other procedures at this hospital

Browse this hospital's 17,600 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $307,711.50 $307,711.50 $307,711.50 2026-02-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $229,834.71 $229,834.71 $229,834.71 2026-02-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $193,562.37 $193,562.37 $193,562.37 2026-02-18
81200003 CDM Hc Std Acq Chg Cadaver Kidney/pancreas 2 2 $316,385.45 $189,831.27 40% off $174,012.00 $205,650.54 $189,831.27 2026-02-18
27801347-807157 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $306,762.00 $184,057.20 40% off $168,719.10 $199,395.30 $184,057.20 2026-02-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $174,867.68 $174,867.68 $174,867.68 2026-02-18
27802052-445170 CDM Shell, No Hcpcs, For Lvad Implants Only 2 2 $233,525.34 $140,115.20 40% off $128,438.94 $151,791.47 $140,115.21 2026-02-18
27500234 CDM Hc Heartmate 3 Lvad Implant 2 2 $233,525.00 $140,115.00 40% off $128,438.75 $151,791.25 $140,115.00 2026-02-18
81200004 CDM Hc Std Acq Chg Cadaver Heart 2 2 $220,688.76 $132,413.26 40% off $121,378.82 $143,447.69 $132,413.26 2026-02-18
27800187 CDM Hc Kit, Heartmate Ii Vad Implant 2 2 $215,250.00 $129,150.00 40% off $118,387.50 $139,912.50 $129,150.00 2026-02-18
27802052-778176 CDM Shell, No Hcpcs, For Lvad Implants Only 2 2 $215,250.00 $129,150.00 40% off $118,387.50 $139,912.50 $129,150.00 2026-02-18
27801347-1196342 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $207,132.00 $124,279.20 40% off $113,922.60 $134,635.80 $124,279.20 2026-02-18
27801850 CDM Hc Heartware Hvad Pump 2 2 $207,132.00 $124,279.20 40% off $113,922.60 $134,635.80 $124,279.20 2026-02-18
27801347-98612 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $199,260.00 $119,556.00 40% off $109,593.00 $129,519.00 $119,556.00 2026-02-18
27500176-389049 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $198,613.80 $119,168.28 40% off $109,237.59 $129,098.97 $119,168.28 2026-02-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $115,291.46 $115,291.46 $115,291.46 2026-02-18
81200001 CDM Hc Std Acq Chg Cadaver Kidney 2 2 $185,810.00 $111,486.00 40% off $102,195.50 $120,776.50 $111,486.00 2026-02-18
27201912-261835 CDM Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 2 2 $183,639.00 $110,183.40 40% off $101,001.45 $119,365.35 $110,183.40 2026-02-18
27802052-389434 CDM Shell, No Hcpcs, For Lvad Implants Only 2 2 $179,580.00 $107,748.00 40% off $98,769.00 $116,727.00 $107,748.00 2026-02-18
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $106,902.01 $106,902.01 $106,902.01 2026-02-18
7 MS_DRG Lung Transplant 1 1 — — $106,632.76 $106,632.76 $106,632.76 2026-02-18
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 3 3 $187,807.50 $112,684.50 40% off $57,765.99 $122,074.88 $103,294.12 2026-02-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $89,913.45 $89,913.45 $89,913.45 2026-02-18
J9043 HCPCS cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution 3 3 $161,632.27 $96,979.36 40% off $227.28 $105,060.98 $88,897.75 2026-02-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $88,887.03 $88,887.03 $88,887.03 2026-02-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $86,892.07 $86,892.07 $86,892.07 2026-02-18
215 MS_DRG Other Heart Assist System Implant 1 1 — — $86,446.55 $86,446.55 $86,446.55 2026-02-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $78,746.58 $78,746.58 $78,746.58 2026-02-18
81100001 CDM Hc Std Acq Chg Live Donor Kidney 2 2 $123,509.00 $74,105.40 40% off $67,929.95 $80,280.85 $74,105.40 2026-02-18
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 2 2 $115,440.00 $69,264.00 40% off $63,492.00 $75,036.00 $69,264.00 2026-02-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $69,141.41 $69,141.41 $69,141.41 2026-02-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $69,103.06 $69,103.06 $69,103.06 2026-02-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $65,773.24 $65,773.24 $65,773.24 2026-02-18
10 MS_DRG Pancreas Transplant 1 1 — — $65,054.40 $65,054.40 $65,054.40 2026-02-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $64,681.53 $64,681.53 $64,681.53 2026-02-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $63,776.65 $63,776.65 $63,776.65 2026-02-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $63,132.87 $63,132.87 $63,132.87 2026-02-18
81200002 CDM Hc Std Acq Chg Cadaver Pancreas 2 2 $102,432.00 $61,459.20 40% off $56,337.60 $66,580.80 $61,459.20 2026-02-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $60,902.93 $60,902.93 $60,902.93 2026-02-18
27801848 CDM Hc Impella 5.5 2 2 $100,860.00 $60,516.00 40% off $55,473.00 $65,559.00 $60,516.00 2026-02-18
27802052-1242630 CDM Shell, No Hcpcs, For Lvad Implants Only 2 2 $100,860.00 $60,516.00 40% off $55,473.00 $65,559.00 $60,516.00 2026-02-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $57,662.04 $57,662.04 $57,662.04 2026-02-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $56,760.43 $56,760.43 $56,760.43 2026-02-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $55,714.41 $55,714.41 $55,714.41 2026-02-18
27801347-1218340 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $91,020.00 $54,612.00 40% off $50,061.00 $59,163.00 $54,612.00 2026-02-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $54,495.41 $54,495.41 $54,495.41 2026-02-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $54,403.20 $54,403.20 $54,403.20 2026-02-18
27801347-1926393 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $88,560.00 $53,136.00 40% off $48,708.00 $57,564.00 $53,136.00 2026-02-18
27800973 CDM Hc Corevalue Aortic 2 2 $88,500.00 $53,100.00 40% off $48,675.00 $57,525.00 $53,100.00 2026-02-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $52,768.07 $52,768.07 $52,768.07 2026-02-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $52,692.19 $52,692.19 $52,692.19 2026-02-18
27801347-1355910 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $86,100.00 $51,660.00 40% off $47,355.00 $55,965.00 $51,660.00 2026-02-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $51,602.10 $51,602.10 $51,602.10 2026-02-18
27800190 CDM Hc Impella 5.0 2 2 $84,975.00 $50,985.00 40% off $46,736.25 $55,233.75 $50,985.00 2026-02-18
27801815 CDM Hc Mitraclip Delivery System Kit (w/guiding Cath) 2 2 $84,975.00 $50,985.00 40% off $46,736.25 $55,233.75 $50,985.00 2026-02-18
62400012-1362918 CDM Shell, 624 Rev Code, Fda Investigational Devices 2 2 $84,975.00 $50,985.00 40% off $46,736.25 $55,233.75 $50,985.00 2026-02-18
27801347-104268 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $84,975.00 $50,985.00 40% off $46,736.25 $55,233.75 $50,985.00 2026-02-18
27500176-143739 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $84,975.00 $50,985.00 40% off $46,736.25 $55,233.75 $50,985.00 2026-02-18
27802052-101684 CDM Shell, No Hcpcs, For Lvad Implants Only 2 2 $84,975.00 $50,985.00 40% off $46,736.25 $55,233.75 $50,985.00 2026-02-18
27800957 CDM Hc Catheter Set Pump Ventricular Assist Impella 2 2 $84,975.00 $50,985.00 40% off $46,736.25 $55,233.75 $50,985.00 2026-02-18
C1604 HCPCS Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass … 2 2 $84,975.00 $50,985.00 40% off $46,736.25 $55,233.75 $50,985.00 2026-02-18
C1823 HCPCS Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads 2 2 $84,975.00 $50,985.00 40% off $46,736.25 $55,233.75 $50,985.00 2026-02-18
27203217 CDM Hc Heart Valve Sapien Edwards 2 2 $84,975.00 $50,985.00 40% off $46,736.25 $55,233.75 $50,985.00 2026-02-18
27801855-1778845 CDM Hc Shell Generator, Neurostimulator, Non-recharge With Carotid 2 2 $84,975.00 $50,985.00 40% off $46,736.25 $55,233.75 $50,985.00 2026-02-18
27801917-1534761 CDM Shell Generator, Cardiac Contractility Modulation 2 2 $84,975.00 $50,985.00 40% off $46,736.25 $55,233.75 $50,985.00 2026-02-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc 1 1 — — $50,542.21 $50,542.21 $50,542.21 2026-02-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $50,246.86 $50,246.86 $50,246.86 2026-02-18
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $50,071.42 $50,071.42 $50,071.42 2026-02-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $49,842.95 $49,842.95 $49,842.95 2026-02-18
27800246 CDM Hc Kit, Catheter Impella Pump 2 2 $82,850.63 $49,710.38 40% off $45,567.85 $53,852.91 $49,710.38 2026-02-18
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $49,604.70 $49,604.70 $49,604.70 2026-02-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $49,248.93 $49,248.93 $49,248.93 2026-02-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $49,248.93 $49,248.93 $49,248.93 2026-02-18
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $48,880.95 $48,880.95 $48,880.95 2026-02-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $48,542.35 $48,542.35 $48,542.35 2026-02-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $48,505.65 $48,505.65 $48,505.65 2026-02-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $48,011.19 $48,011.19 $48,011.19 2026-02-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $47,506.11 $47,506.11 $47,506.11 2026-02-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $46,829.73 $46,829.73 $46,829.73 2026-02-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $46,549.84 $46,549.84 $46,549.84 2026-02-18
62400012-847925 CDM Shell, 624 Rev Code, Fda Investigational Devices 2 2 $76,137.60 $45,682.56 40% off $41,875.68 $49,489.44 $45,682.56 2026-02-18
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $45,485.04 $45,485.04 $45,485.04 2026-02-18
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 1 1 — — $45,099.11 $45,099.11 $45,099.11 2026-02-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $45,099.11 $45,099.11 $45,099.11 2026-02-18
27801347-303311 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $75,075.00 $45,045.00 40% off $41,291.25 $48,798.75 $45,045.00 2026-02-18
93653 HCPCS Hc Compreh Electroph Eval Source Of Atrial R 3 3 $80,865.20 $48,519.12 40% off $22,306.49 $52,562.38 $44,475.86 2026-02-18
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $44,395.77 $44,395.77 $44,395.77 2026-02-18
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $44,294.62 $44,294.62 $44,294.62 2026-02-18
27801347-181497 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $73,800.00 $44,280.00 40% off $40,590.00 $47,970.00 $44,280.00 2026-02-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $44,068.59 $44,068.59 $44,068.59 2026-02-18
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $44,026.97 $44,026.97 $44,026.97 2026-02-18
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $44,022.08 $44,022.08 $44,022.08 2026-02-18
27801347-876560 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $73,078.50 $43,847.10 40% off $40,193.18 $47,501.03 $43,847.10 2026-02-18
92973 HCPCS Hc Percut Coronary Thrombectomy 2 2 $73,006.37 $43,803.82 40% off $40,153.50 $47,454.14 $43,803.82 2026-02-18
C2624 HCPCS Hc Cardiomems Implant For Investigational Procedure 4 2 $73,168.75 $43,901.25 40% off $38,423.00 $49,710.38 $43,735.81 2026-02-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $43,409.31 $43,409.31 $43,409.31 2026-02-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $43,217.58 $43,217.58 $43,217.58 2026-02-18
27801347-1322565 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $71,209.05 $42,725.43 40% off $39,164.98 $46,285.88 $42,725.43 2026-02-18
27801494 CDM Hc Watchman Laa Closure Device 2 2 $70,040.00 $42,024.00 40% off $38,522.00 $45,526.00 $42,024.00 2026-02-18
C1822 HCPCS Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys 6 2 $69,860.00 $41,916.00 40% off $32,651.81 $55,233.75 $41,998.75 2026-02-18
27801347-1033551 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $69,893.46 $41,936.08 40% off $38,441.40 $45,430.75 $41,936.07 2026-02-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $41,881.90 $41,881.90 $41,881.90 2026-02-18
27801347-820405 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $69,408.43 $41,645.06 40% off $38,174.64 $45,115.48 $41,645.06 2026-02-18
27801347-777976 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $69,300.00 $41,580.00 40% off $38,115.00 $45,045.00 $41,580.00 2026-02-18
27801661 CDM Hc Aortic Valve Evolut Medtronic 2 2 $69,300.00 $41,580.00 40% off $38,115.00 $45,045.00 $41,580.00 2026-02-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $41,568.56 $41,568.56 $41,568.56 2026-02-18
27801347-331887 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $69,105.07 $41,463.04 40% off $38,007.79 $44,918.30 $41,463.04 2026-02-18
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $41,441.27 $41,441.27 $41,441.27 2026-02-18
27801347-1340795 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $68,999.70 $41,399.82 40% off $37,949.83 $44,849.81 $41,399.82 2026-02-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $41,097.78 $41,097.78 $41,097.78 2026-02-18
27400120 CDM Hc Power Base Unit-vad 2 2 $68,250.00 $40,950.00 40% off $37,537.50 $44,362.50 $40,950.00 2026-02-18
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $40,855.45 $40,855.45 $40,855.45 2026-02-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $40,823.61 $40,823.61 $40,823.61 2026-02-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $40,807.29 $40,807.29 $40,807.29 2026-02-18
C1736 HCPCS Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd 2 2 $67,980.00 $40,788.00 40% off $37,389.00 $44,187.00 $40,788.00 2026-02-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $40,660.43 $40,660.43 $40,660.43 2026-02-18
33270 HCPCS Hc Ins/rep Subq Defibrilllator 3 3 $72,933.11 $43,759.87 40% off $30,898.99 $47,406.52 $40,113.21 2026-02-18
245 MS_DRG Aicd Generator Procedures 1 1 — — $39,873.05 $39,873.05 $39,873.05 2026-02-18
27801347-264193 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $66,280.50 $39,768.30 40% off $36,454.28 $43,082.32 $39,768.30 2026-02-18
27802083 CDM Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l… 2 2 $66,280.50 $39,768.30 40% off $36,454.28 $43,082.32 $39,768.30 2026-02-18
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $39,632.37 $39,632.37 $39,632.37 2026-02-18
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $39,566.27 $39,566.27 $39,566.27 2026-02-18
27800296 CDM Hc Kit, Tandem Heart Procedure 2 2 $65,667.00 $39,400.20 40% off $36,116.85 $42,683.55 $39,400.20 2026-02-18
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $38,964.93 $38,964.93 $38,964.93 2026-02-18
27801347-1855907 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $64,920.90 $38,952.54 40% off $35,706.50 $42,198.58 $38,952.54 2026-02-18
27801347-459333 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $64,820.00 $38,892.00 40% off $35,651.00 $42,133.00 $38,892.00 2026-02-18
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $38,796.02 $38,796.02 $38,796.02 2026-02-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $38,788.68 $38,788.68 $38,788.68 2026-02-18
27801347-820401 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $64,564.85 $38,738.91 40% off $35,510.67 $41,967.15 $38,738.91 2026-02-18
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $38,387.24 $38,387.24 $38,387.24 2026-02-18
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $38,181.62 $38,181.62 $38,181.62 2026-02-18
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $37,956.44 $37,956.44 $37,956.44 2026-02-18
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $37,608.03 $37,608.03 $37,608.03 2026-02-18
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $37,592.52 $37,592.52 $37,592.52 2026-02-18
33264 HCPCS Hc Remove&replace Cvd Gen M (ep Lab) 3 3 $68,283.97 $40,970.38 40% off $30,898.99 $44,384.58 $37,556.18 2026-02-18
33249 HCPCS Hc Inser/repos Single (ep Lab) 3 3 $68,283.97 $40,970.38 40% off $30,898.99 $44,384.58 $37,556.18 2026-02-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $37,472.57 $37,472.57 $37,472.57 2026-02-18
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $37,466.88 $37,466.88 $37,466.88 2026-02-18
33289 HCPCS Hc Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 3 3 $68,052.60 $40,831.56 40% off $27,297.57 $44,234.19 $37,428.93 2026-02-18
27801347-1203071 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $62,351.26 $37,410.76 40% off $34,293.19 $40,528.32 $37,410.76 2026-02-18
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $36,811.67 $36,811.67 $36,811.67 2026-02-18
0915T HCPCS Hc Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 2 2 $61,260.70 $36,756.42 40% off $33,693.39 $39,819.46 $36,756.43 2026-02-18
27801347-1186553 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $61,182.00 $36,709.20 40% off $33,650.10 $39,768.30 $36,709.20 2026-02-18
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $36,592.17 $36,592.17 $36,592.17 2026-02-18
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $36,491.01 $36,491.01 $36,491.01 2026-02-18
27801347-1245429 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $60,315.26 $36,189.16 40% off $33,173.39 $39,204.92 $36,189.15 2026-02-18
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $36,149.96 $36,149.96 $36,149.96 2026-02-18
27801347-1004156 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $59,846.19 $35,907.71 40% off $32,915.40 $38,900.02 $35,907.71 2026-02-18
27801347-212472 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $59,762.58 $35,857.55 40% off $32,869.42 $38,845.68 $35,857.55 2026-02-18
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $35,842.35 $35,842.35 $35,842.35 2026-02-18
27801347-820416 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $59,721.28 $35,832.77 40% off $32,846.70 $38,818.83 $35,832.76 2026-02-18
27801347-1295866 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $59,482.50 $35,689.50 40% off $32,715.38 $38,663.62 $35,689.50 2026-02-18
27500176-1256480 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $59,370.33 $35,622.20 40% off $32,653.68 $38,590.71 $35,622.19 2026-02-18
27801347-859557 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $59,322.75 $35,593.65 40% off $32,627.51 $38,559.79 $35,593.65 2026-02-18
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $35,304.64 $35,304.64 $35,304.64 2026-02-18
27801347-339706 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $58,780.61 $35,268.37 40% off $32,329.34 $38,207.40 $35,268.37 2026-02-18
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $35,232.04 $35,232.04 $35,232.04 2026-02-18
27201912-338819 CDM Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 2 2 $58,695.00 $35,217.00 40% off $32,282.25 $38,151.75 $35,217.00 2026-02-18
27801347-1189077 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $58,690.80 $35,214.48 40% off $32,279.94 $38,149.02 $35,214.48 2026-02-18
27801347-1190176 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $58,673.54 $35,204.12 40% off $32,270.45 $38,137.80 $35,204.12 2026-02-18
93654 HCPCS Hc Compreh Electroph Eval With Treatment 3 3 $63,497.39 $38,098.43 40% off $22,306.49 $41,273.30 $34,923.56 2026-02-18
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $34,805.28 $34,805.28 $34,805.28 2026-02-18
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $34,753.89 $34,753.89 $34,753.89 2026-02-18
27801347-1194171 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $57,783.00 $34,669.80 40% off $31,780.65 $37,558.95 $34,669.80 2026-02-18
27801347-1296846 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $57,766.01 $34,659.61 40% off $31,771.31 $37,547.91 $34,659.61 2026-02-18
27801347-1365777 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $57,613.05 $34,567.83 40% off $31,687.18 $37,448.48 $34,567.83 2026-02-18
33362 HCPCS Hc Replace Aortic Valve Openfemoral Artery Approach 2 2 $57,575.33 $34,545.20 40% off $31,666.43 $37,423.96 $34,545.19 2026-02-18
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $34,507.47 $34,507.47 $34,507.47 2026-02-18
27801347-341815 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $57,500.00 $34,500.00 40% off $31,625.00 $37,375.00 $34,500.00 2026-02-18
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $34,192.53 $34,192.53 $34,192.53 2026-02-18
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $34,184.38 $34,184.38 $34,184.38 2026-02-18
33231 HCPCS Hc Insrt Pulse Gen W/mu 3 3 $61,924.26 $37,154.56 40% off $30,898.99 $40,250.77 $34,058.34 2026-02-18
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $34,028.53 $34,028.53 $34,028.53 2026-02-18
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $33,948.56 $33,948.56 $33,948.56 2026-02-18
27500176-476411 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $55,965.00 $33,579.00 40% off $30,780.75 $36,377.25 $33,579.00 2026-02-18
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $33,552.03 $33,552.03 $33,552.03 2026-02-18
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $33,533.25 $33,533.25 $33,533.25 2026-02-18
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $33,483.48 $33,483.48 $33,483.48 2026-02-18
27801347-1165378 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $55,770.79 $33,462.47 40% off $30,673.93 $36,251.01 $33,462.47 2026-02-18
27801347-820452 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $55,747.28 $33,448.37 40% off $30,661.00 $36,235.73 $33,448.37 2026-02-18
93656 HCPCS Hc Compreh Electroph Eval With Trt Atrial Fib 3 3 $60,798.32 $36,478.99 40% off $22,306.49 $39,518.91 $33,439.08 2026-02-18
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $33,187.30 $33,187.30 $33,187.30 2026-02-18
27801347-1045828 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $55,229.43 $33,137.66 40% off $30,376.19 $35,899.13 $33,137.66 2026-02-18
791 MS_DRG Prematurity With Major Problems 1 1 — — $33,126.10 $33,126.10 $33,126.10 2026-02-18
64582 HCPCS Hc Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 3 3 $60,126.96 $36,076.18 40% off $29,164.39 $39,082.52 $33,069.83 2026-02-18
27801347-1190001 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $54,982.22 $32,989.33 40% off $30,240.22 $35,738.44 $32,989.33 2026-02-18
27801347-1366499 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $54,877.70 $32,926.62 40% off $30,182.74 $35,670.50 $32,926.62 2026-02-18
C1735 HCPCS Shell C1735, Pass-through Device, Cath Renal Denerv Radiofreq 2 2 $54,384.00 $32,630.40 40% off $29,911.20 $35,349.60 $32,630.40 2026-02-18
27801347-1393648 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $54,384.00 $32,630.40 40% off $29,911.20 $35,349.60 $32,630.40 2026-02-18
27500176-1174548 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $54,384.00 $32,630.40 40% off $29,911.20 $35,349.60 $32,630.40 2026-02-18
27801347-1182741 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $54,265.04 $32,559.02 40% off $29,845.77 $35,272.28 $32,559.03 2026-02-18
27800112-1191389 CDM Hc Shell Implant Graft 2 2 $54,265.04 $32,559.02 40% off $29,845.77 $35,272.28 $32,559.03 2026-02-18
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $32,504.36 $32,504.36 $32,504.36 2026-02-18
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $32,481.51 $32,481.51 $32,481.51 2026-02-18
C1605 HCPCS Shell C1605, Ptd, Pacemaker, Leadless, Dual Chamber, Rate-responsive, Including … 6 2 $54,044.10 $32,426.46 40% off $16,357.69 $53,024.40 $32,426.46 2026-02-18
27500176-303201 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $53,925.14 $32,355.08 40% off $29,658.83 $35,051.34 $32,355.08 2026-02-18
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $32,194.29 $32,194.29 $32,194.29 2026-02-18
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $32,128.22 $32,128.22 $32,128.22 2026-02-18
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $32,062.94 $32,062.94 $32,062.94 2026-02-18
27801347-1267956 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $53,263.18 $31,957.91 40% off $29,294.75 $34,621.07 $31,957.91 2026-02-18
27801347-1297434 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $53,262.33 $31,957.40 40% off $29,294.28 $34,620.51 $31,957.40 2026-02-18
27801347-293092 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $53,221.35 $31,932.81 40% off $29,271.74 $34,593.88 $31,932.81 2026-02-18
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $31,905.46 $31,905.46 $31,905.46 2026-02-18
27500176-1075659386 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $53,099.18 $31,859.51 40% off $29,204.55 $34,514.47 $31,859.51 2026-02-18
27801347-1831952 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $53,027.80 $31,816.68 40% off $29,165.29 $34,468.07 $31,816.68 2026-02-18
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $31,729.22 $31,729.22 $31,729.22 2026-02-18
0646T HCPCS Hc Transcatheter Tricuspid Valve Implant 2 2 $52,812.38 $31,687.43 40% off $29,046.81 $34,328.05 $31,687.43 2026-02-18
27801347-1213276 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $52,684.50 $31,610.70 40% off $28,976.47 $34,244.93 $31,610.70 2026-02-18
27801347-1311841 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $52,643.71 $31,586.23 40% off $28,954.04 $34,218.41 $31,586.23 2026-02-18
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $31,535.85 $31,535.85 $31,535.85 2026-02-18
27801347-1034343 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $52,528.01 $31,516.81 40% off $28,890.41 $34,143.21 $31,516.81 2026-02-18
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $31,504.03 $31,504.03 $31,504.03 2026-02-18
69930 CPT Cochlear Device Implantation, With Or Without Mastoidectomy 1 1 — — $31,495.77 $31,495.77 $31,495.77 2026-02-18
69930 HCPCS Hc Implant Cochlear Dev 3 3 $57,049.97 $34,229.98 40% off $31,377.48 $37,082.48 $31,495.77 2026-02-18
27801347-293125 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $52,455.92 $31,473.55 40% off $28,850.76 $34,096.35 $31,473.56 2026-02-18
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $31,415.90 $31,415.90 $31,415.90 2026-02-18
27500176-343417 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $52,292.29 $31,375.37 40% off $28,760.76 $33,989.99 $31,375.38 2026-02-18
27500176-1178773 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $52,174.65 $31,304.79 40% off $28,696.06 $33,913.52 $31,304.79 2026-02-18
27801347-925869 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $52,114.83 $31,268.90 40% off $28,663.16 $33,874.64 $31,268.90 2026-02-18
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $31,188.26 $31,188.26 $31,188.26 2026-02-18
27801347-820413 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $51,857.03 $31,114.22 40% off $28,521.37 $33,707.07 $31,114.22 2026-02-18
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $31,019.37 $31,019.37 $31,019.37 2026-02-18
27801347-978270 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $51,575.14 $30,945.08 40% off $28,366.33 $33,523.84 $30,945.08 2026-02-18
0408T HCPCS Hc Insj/rplc Car Modulj Sys Pls Gen Transvns Eltrd 5 3 $61,476.00 $36,885.60 40% off $17,334.54 $39,959.40 $30,898.99 2026-02-18
27801347-1191048 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $51,464.26 $30,878.56 40% off $28,305.34 $33,451.77 $30,878.56 2026-02-18
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $30,777.84 $30,777.84 $30,777.84 2026-02-18
J9266 HCPCS Pegaspargase 750 unit/mL Injection Solution 3 3 $55,854.14 $33,512.48 40% off $28,424.06 $36,305.19 $30,719.78 2026-02-18
27801347-292997 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $51,173.85 $30,704.31 40% off $28,145.62 $33,263.00 $30,704.31 2026-02-18
27801347-1393328 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $50,985.00 $30,591.00 40% off $28,041.75 $33,140.25 $30,591.00 2026-02-18
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $30,532.24 $30,532.24 $30,532.24 2026-02-18
37227 HCPCS Hc Ir Fempop W Stent And Ather Lt 3 3 $55,443.34 $33,266.00 40% off $16,469.06 $36,038.17 $30,493.84 2026-02-18
27801347-1333255 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $50,740.27 $30,444.16 40% off $27,907.15 $32,981.18 $30,444.17 2026-02-18
27801347-293077 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $50,560.28 $30,336.17 40% off $27,808.15 $32,864.18 $30,336.17 2026-02-18
27801347-1039040 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $50,387.32 $30,232.39 40% off $27,713.03 $32,751.76 $30,232.39 2026-02-18
C1882 HCPCS Hc Shell C1882, Cardio-defibrillator, Not Single Or Dual Chamber (Implt) 80 2 $52,233.48 $31,340.09 40% off $14,658.36 $59,327.45 $30,130.42 2026-02-18
27801347-843522 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $50,150.00 $30,090.00 40% off $27,582.50 $32,597.50 $30,090.00 2026-02-18
27801347-843501 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $50,135.25 $30,081.15 40% off $27,574.39 $32,587.91 $30,081.15 2026-02-18
27801347-851162 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $49,965.30 $29,979.18 40% off $27,480.92 $32,477.44 $29,979.18 2026-02-18
27500176-343382 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $49,965.30 $29,979.18 40% off $27,480.92 $32,477.44 $29,979.18 2026-02-18
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 3 3 $54,356.21 $32,613.73 40% off $16,469.06 $35,331.54 $29,895.92 2026-02-18
27801347-1196618 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $49,798.75 $29,879.25 40% off $27,389.31 $32,369.19 $29,879.25 2026-02-18
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $29,770.97 $29,770.97 $29,770.97 2026-02-18
27801347-1313288 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $49,557.42 $29,734.45 40% off $27,256.58 $32,212.32 $29,734.45 2026-02-18
27500176-1302620 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $49,285.50 $29,571.30 40% off $27,107.03 $32,035.58 $29,571.31 2026-02-18
27801347-1201570 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $49,285.50 $29,571.30 40% off $27,107.03 $32,035.58 $29,571.31 2026-02-18
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $29,564.56 $29,564.56 $29,564.56 2026-02-18
L8614 HCPCS Hc Shell L8614, Cochlear Dvc, Includes All Internal/External Components 38 2 $49,470.00 $29,682.00 40% off $302.02 $55,233.75 $29,429.82 2026-02-18
33263 HCPCS Hc Remove&replace Cvd Gen D (ep Lab) 3 3 $53,319.04 $31,991.42 40% off $22,138.39 $34,657.38 $29,325.47 2026-02-18
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $29,249.62 $29,249.62 $29,249.62 2026-02-18
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $29,247.97 $29,247.97 $29,247.97 2026-02-18
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $29,243.07 $29,243.07 $29,243.07 2026-02-18
27801347-292987 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $48,615.16 $29,169.10 40% off $26,738.34 $31,599.85 $29,169.10 2026-02-18
63685 HCPCS Hc Insrt/redo Spine N G 3 3 $48,810.64 $29,286.38 40% off $26,845.85 $31,726.92 $29,164.39 2026-02-18
64582 CPT Open Implantation Of Hypoglossal Nerve Neurostimulator Array, Pulse Generator, A… 1 1 — — $29,164.39 $29,164.39 $29,164.39 2026-02-18
64568 CPT Open Implantation Of Cranial Nerve (eg, Vagus Nerve) Neurostimulator Electrode A… 1 1 — — $29,164.39 $29,164.39 $29,164.39 2026-02-18
63685 CPT Insertion Or Replacement Of Spinal Neurostimulator Pulse Generator Or Receiver, … 1 1 — — $29,164.39 $29,164.39 $29,164.39 2026-02-18
64568 HCPCS Hc Inc For Vagus Nelect 3 3 $48,810.64 $29,286.38 40% off $26,845.85 $31,726.92 $29,164.39 2026-02-18
61886 CPT Insertion Or Replacement Of Cranial Neurostimulator Pulse Generator Or Receiver,… 1 1 — — $29,164.39 $29,164.39 $29,164.39 2026-02-18
27801347-1256029 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $48,598.90 $29,159.34 40% off $26,729.40 $31,589.28 $29,159.34 2026-02-18
0620T HCPCS Hc Endovascular Venous Arterialization Tibl/prnl Vn 3 3 $52,961.56 $31,776.94 40% off $27,108.34 $34,425.01 $29,128.86 2026-02-18
265 MS_DRG Aicd Lead Procedures 1 1 — — $29,106.00 $29,106.00 $29,106.00 2026-02-18
27801347-812184 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $48,496.93 $29,098.16 40% off $26,673.31 $31,523.00 $29,098.15 2026-02-18
27801347-293015 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $48,443.85 $29,066.31 40% off $26,644.12 $31,488.50 $29,066.31 2026-02-18
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $28,975.44 $28,975.44 $28,975.44 2026-02-18
36000128 CDM Hc Or Group Level 8, Robotic 2 2 $48,223.35 $28,934.01 40% off $26,522.84 $31,345.18 $28,934.01 2026-02-18
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $28,805.74 $28,805.74 $28,805.74 2026-02-18
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $28,798.39 $28,798.39 $28,798.39 2026-02-18
27801347-293071 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $47,966.78 $28,780.07 40% off $26,381.73 $31,178.41 $28,780.07 2026-02-18
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $28,725.77 $28,725.77 $28,725.77 2026-02-18
37231 HCPCS Hc Ir Tbprnl W Stent And Ather Lt 3 3 $52,165.84 $31,299.50 40% off $16,469.06 $33,907.80 $28,691.21 2026-02-18
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $28,588.70 $28,588.70 $28,588.70 2026-02-18
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $28,579.71 $28,579.71 $28,579.71 2026-02-18
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $28,568.28 $28,568.28 $28,568.28 2026-02-18
Q0489 HCPCS Hc Power Base Unit Replacement-vad 4 2 $49,179.00 $29,507.40 40% off $16,559.40 $44,362.50 $28,553.85 2026-02-18
27500176-343418 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $47,586.00 $28,551.60 40% off $26,172.30 $30,930.90 $28,551.60 2026-02-18
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $28,517.70 $28,517.70 $28,517.70 2026-02-18
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $28,333.28 $28,333.28 $28,333.28 2026-02-18
27801347-561763 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $47,209.00 $28,325.40 40% off $25,964.95 $30,685.85 $28,325.40 2026-02-18
27801347-295128 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $47,195.12 $28,317.07 40% off $25,957.32 $30,676.83 $28,317.08 2026-02-18
332 MS_DRG Rectal Resection With Mcc 1 1 — — $28,302.30 $28,302.30 $28,302.30 2026-02-18
27801347-615183 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $47,160.75 $28,296.45 40% off $25,938.41 $30,654.49 $28,296.45 2026-02-18
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $28,271.28 $28,271.28 $28,271.28 2026-02-18
27801347-1026346 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $47,073.74 $28,244.24 40% off $25,890.56 $30,597.93 $28,244.25 2026-02-18
27801347-1260860 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $46,868.81 $28,121.29 40% off $25,777.85 $30,464.73 $28,121.29 2026-02-18
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $28,104.03 $28,104.03 $28,104.03 2026-02-18
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $28,059.96 $28,059.96 $28,059.96 2026-02-18
665 MS_DRG Prostatectomy With Mcc 1 1 — — $28,015.90 $28,015.90 $28,015.90 2026-02-18
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $27,989.80 $27,989.80 $27,989.80 2026-02-18
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $27,947.37 $27,947.37 $27,947.37 2026-02-18
27801347-1244006 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $46,566.30 $27,939.78 40% off $25,611.47 $30,268.10 $27,939.78 2026-02-18
C1767 HCPCS Hc Shell C1767, Generator, Neurostimulator (Implt), Nonrechargeable 56 2 $46,736.25 $28,041.75 40% off $7,664.74 $59,233.84 $27,914.29 2026-02-18
27801347-1303800 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $46,396.35 $27,837.81 40% off $25,517.99 $30,157.63 $27,837.81 2026-02-18
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $27,792.35 $27,792.35 $27,792.35 2026-02-18
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $27,676.47 $27,676.47 $27,676.47 2026-02-18
27801347-293121 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 2 2 $46,020.29 $27,612.17 40% off $25,311.16 $29,913.19 $27,612.17 2026-02-18
27500176-342743 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $45,886.50 $27,531.90 40% off $25,237.58 $29,826.22 $27,531.90 2026-02-18
27203459-1690849 CDM Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Validated) 2 2 $45,886.50 $27,531.90 40% off $25,237.58 $29,826.22 $27,531.90 2026-02-18
27500176-125980 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 2 2 $45,755.77 $27,453.46 40% off $25,165.67 $29,741.25 $27,453.46 2026-02-18
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $27,388.45 $27,388.45 $27,388.45 2026-02-18
33230 HCPCS Hc Insrt Pulse Gen W/d 3 3 $49,794.04 $29,876.42 40% off $22,138.39 $32,366.13 $27,386.72 2026-02-18
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