Price Transparencybeta Hospital negotiated rates

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

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Hospital

BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS

Marble Falls, TX · CCN 670108 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

HC TTE COMPLETE W/DOPPLER & COLOR FLOW W/O CONTRAST

This hospital’s price: $777 across 22 payers · range $385-$3,884

Source: https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/464007700_baylor-scott--white-medical-center--marble-falls_standardcharges.csv · observed 2026-02-20

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

18,421 distinct procedures filed
22 distinct payers
1,053,808 rate rows
2026-02-20 last MRF observed
Data quality

1,027,184 of 1,053,808 rate rows are consumer-grade (97.5%)

26,624 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 21,847
placeholder amount (≤ $0.02) — excluded from medians 1,972
per-diem day rate — not a per-procedure price 1,458
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 358
exceeds 10× this hospital's gross charge — excluded from medians 334
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 327
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 283
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 45
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/464007700_baylor-scott--white-medical-center--marble-falls_standardcharges.csv
Found on page https://www.bswhealth.com/patient-tools/patient-registration-and-billing/estimate-your-cost-care/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 581cd4f7105559d8… · 468,870,149 bytes · first seen 2026-05-08

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
Q2041
HCPCS 		Hc Yescarta (including Apheresis) 22 $464,983.16 $2,623,388.40 $1,340,842.96 nat. median
$608,101
outlier · 2.2×
5834
APR_DRG 		Inpatient Aprdrg 5834: Neonate W Ecmo 1 $1,197,896.95 $1,197,896.95 $1,197,896.95 nat. median
$307,273
outlier · 3.9×
74
APR_DRG 		Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 1 $1,165,315.26 $1,165,315.26 $1,165,315.26 nat. median
$170,172
outlier · 6.8×
5833
APR_DRG 		Inpatient Aprdrg 5833: Neonate W Ecmo 1 $1,014,335.11 $1,014,335.11 $1,014,335.11 nat. median
$244,017
outlier · 4.2×
24
APR_DRG 		Inpatient Aprdrg 0024: Heart &/or Lung Transplant 1 $975,761.65 $975,761.65 $975,761.65 nat. median
$241,915
outlier · 4.0×
5884
APR_DRG 		Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 1 $758,249.11 $758,249.11 $758,249.11 nat. median
$247,214
outlier · 3.1×
1614
APR_DRG 		Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 1 $736,311.91 $736,311.91 $736,311.91 nat. median
$202,993
outlier · 3.6×
94
APR_DRG 		Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 1 $689,808.31 $689,808.31 $689,808.31 nat. median
$163,587
outlier · 4.2×
6304
APR_DRG 		Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 $564,187.89 $564,187.89 $564,187.89 nat. median
$154,011
outlier · 3.7×
6094
APR_DRG 		Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 1 $559,188.18 $559,188.18 $559,188.18 nat. median
$165,000
outlier · 3.4×
5832
APR_DRG 		Inpatient Aprdrg 5832: Neonate W Ecmo 1 $505,420.02 $505,420.02 $505,420.02 nat. median
$159,249
outlier · 3.2×
114
APR_DRG 		Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 $479,929.40 $479,929.40 $479,929.40 nat. median
$124,042
outlier · 3.9×
2004
APR_DRG 		Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders 1 $445,986.58 $445,986.58 $445,986.58 nat. median
$28,699
outlier · 15.5×
5831
APR_DRG 		Inpatient Aprdrg 5831: Neonate W Ecmo 1 $445,032.38 $445,032.38 $445,032.38 nat. median
$146,591
outlier · 3.0×
73
APR_DRG 		Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 1 $411,195.24 $411,195.24 $411,195.24 nat. median
$89,273
outlier · 4.6×
5883
APR_DRG 		Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure 1 $406,851.65 $406,851.65 $406,851.65 nat. median
$175,429
outlier · 2.3×
5882
APR_DRG 		Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure 1 $404,992.13 $404,992.13 $404,992.13 nat. median
$145,061
outlier · 2.8×
44
APR_DRG 		Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 $403,944.87 $403,944.87 $403,944.87 nat. median
$122,016
outlier · 3.3×
8414
APR_DRG 		Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft 1 $402,208.38 $402,208.38 $402,208.38 nat. median
$156,153
outlier · 2.6×
6314
APR_DRG 		Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure 1 $398,191.27 $398,191.27 $398,191.27 nat. median
$133,164
outlier · 3.0×
8504
APR_DRG 		Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea… 1 $387,701.34 $387,701.34 $387,701.34 nat. median
$66,842
outlier · 5.8×
5914
APR_DRG 		Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure 1 $384,228.36 $384,228.36 $384,228.36 nat. median
$162,514
outlier · 2.4×
1613
APR_DRG 		Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant 1 $383,775.70 $383,775.70 $383,775.70 nat. median
$120,517
outlier · 3.2×
5881
APR_DRG 		Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure 1 $381,747.43 $381,747.43 $381,747.43 nat. median
$120,505
outlier · 3.2×
14
APR_DRG 		Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant 1 $349,534.80 $349,534.80 $349,534.80 nat. median
$136,728
outlier · 2.6×
84
APR_DRG 		Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant 1 $348,134.25 $348,134.25 $348,134.25 nat. median
$78,130
outlier · 4.5×
6814
APR_DRG 		Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N… 1 $341,948.49 $341,948.49 $341,948.49 nat. median
$68,108
outlier · 5.0×
1604
APR_DRG 		Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 1 $341,757.65 $341,757.65 $341,757.65 nat. median
$98,624
outlier · 3.5×
93
APR_DRG 		Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo) 1 $338,901.35 $338,901.35 $338,901.35 nat. median
$78,898
outlier · 4.3×
2464
APR_DRG 		Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency 1 $331,409.68 $331,409.68 $331,409.68 nat. median
$20,493
outlier · 16.2×
6034
APR_DRG 		Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con… 1 $329,700.00 $329,700.00 $329,700.00 nat. median
$107,657
outlier · 3.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $207,420.40 $520,436.64 $324,510.80 nat. median
$359,358
0.9× median
64
APR_DRG 		Inpatient Aprdrg 0064: Pancreas Transplant 1 $319,963.97 $319,963.97 $319,963.97 nat. median
$91,239
outlier · 3.5×
5891
APR_DRG 		Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks 1 $319,938.74 $319,938.74 $319,938.74 nat. median
$93,998
outlier · 3.4×
5934
APR_DRG 		Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure 1 $318,981.38 $318,981.38 $318,981.38 nat. median
$151,838
outlier · 2.1×
5892
APR_DRG 		Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks 1 $310,086.00 $310,086.00 $310,086.00 nat. median
$89,188
outlier · 3.5×
1624
APR_DRG 		Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx 1 $298,126.13 $298,126.13 $298,126.13 nat. median
$80,771
outlier · 3.7×
6024
APR_DRG 		Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 1 $293,233.67 $293,233.67 $293,233.67 nat. median
$118,589
outlier · 2.5×
5893
APR_DRG 		Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks 1 $290,853.68 $290,853.68 $290,853.68 nat. median
$71,350
outlier · 4.1×
6214
APR_DRG 		Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly 1 $278,458.51 $278,458.51 $278,458.51 nat. median
$68,031
outlier · 4.1×
72
APR_DRG 		Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant 1 $276,277.25 $276,277.25 $276,277.25 nat. median
$66,446
outlier · 4.2×
1612
APR_DRG 		Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant 1 $275,875.06 $275,875.06 $275,875.06 nat. median
$84,808
outlier · 3.3×
113
APR_DRG 		Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 $272,720.67 $272,720.67 $272,720.67 nat. median
$67,766
outlier · 4.0×
8634
APR_DRG 		Inpatient Aprdrg 8634: Neonatal Aftercare 1 $268,490.64 $268,490.64 $268,490.64 nat. median
$71,102
outlier · 3.8×
6303
APR_DRG 		Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 $265,911.92 $265,911.92 $265,911.92 nat. median
$75,282
outlier · 3.5×
1611
APR_DRG 		Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant 1 $261,642.46 $261,642.46 $261,642.46 nat. median
$76,852
outlier · 3.4×
4404
APR_DRG 		Inpatient Aprdrg 4404: Kidney Transplant 1 $260,995.81 $260,995.81 $260,995.81 nat. median
$78,303
outlier · 3.3×
54
APR_DRG 		Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 $259,803.45 $259,803.45 $259,803.45 nat. median
$81,668
outlier · 3.2×
43
APR_DRG 		Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 $259,715.12 $259,715.12 $259,715.12 nat. median
$74,757
outlier · 3.5×
5913
APR_DRG 		Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure 1 $253,013.62 $253,013.62 $253,013.62 nat. median
$101,541
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 18,421 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
             
Q2041 HCPCS Hc Yescarta (including Apheresis) 39 22 $2,914,876.00 $1,748,925.60 40% off $464,983.16 $2,623,388.40 $1,340,842.96 2026-02-20
5834 APR_DRG Inpatient Aprdrg 5834: Neonate W Ecmo 1 1 — — $1,197,896.95 $1,197,896.95 $1,197,896.95 2026-02-20
74 APR_DRG Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 1 1 — — $1,165,315.26 $1,165,315.26 $1,165,315.26 2026-02-20
5833 APR_DRG Inpatient Aprdrg 5833: Neonate W Ecmo 1 1 — — $1,014,335.11 $1,014,335.11 $1,014,335.11 2026-02-20
24 APR_DRG Inpatient Aprdrg 0024: Heart &/or Lung Transplant 1 1 — — $975,761.65 $975,761.65 $975,761.65 2026-02-20
5884 APR_DRG Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure 1 1 — — $758,249.11 $758,249.11 $758,249.11 2026-02-20
1614 APR_DRG Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $736,311.91 $736,311.91 $736,311.91 2026-02-20
94 APR_DRG Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $689,808.31 $689,808.31 $689,808.31 2026-02-20
6304 APR_DRG Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $564,187.89 $564,187.89 $564,187.89 2026-02-20
6094 APR_DRG Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $559,188.18 $559,188.18 $559,188.18 2026-02-20
5832 APR_DRG Inpatient Aprdrg 5832: Neonate W Ecmo 1 1 — — $505,420.02 $505,420.02 $505,420.02 2026-02-20
114 APR_DRG Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $479,929.40 $479,929.40 $479,929.40 2026-02-20
2004 APR_DRG Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders 1 1 — — $445,986.58 $445,986.58 $445,986.58 2026-02-20
5831 APR_DRG Inpatient Aprdrg 5831: Neonate W Ecmo 1 1 — — $445,032.38 $445,032.38 $445,032.38 2026-02-20
73 APR_DRG Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 1 1 — — $411,195.24 $411,195.24 $411,195.24 2026-02-20
5883 APR_DRG Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure 1 1 — — $406,851.65 $406,851.65 $406,851.65 2026-02-20
5882 APR_DRG Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure 1 1 — — $404,992.13 $404,992.13 $404,992.13 2026-02-20
44 APR_DRG Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $403,944.87 $403,944.87 $403,944.87 2026-02-20
8414 APR_DRG Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft 1 1 — — $402,208.38 $402,208.38 $402,208.38 2026-02-20
6314 APR_DRG Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $398,191.27 $398,191.27 $398,191.27 2026-02-20
8504 APR_DRG Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea… 1 1 — — $387,701.34 $387,701.34 $387,701.34 2026-02-20
5914 APR_DRG Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $384,228.36 $384,228.36 $384,228.36 2026-02-20
1613 APR_DRG Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $383,775.70 $383,775.70 $383,775.70 2026-02-20
5881 APR_DRG Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure 1 1 — — $381,747.43 $381,747.43 $381,747.43 2026-02-20
14 APR_DRG Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant 1 1 — — $349,534.80 $349,534.80 $349,534.80 2026-02-20
84 APR_DRG Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant 1 1 — — $348,134.25 $348,134.25 $348,134.25 2026-02-20
6814 APR_DRG Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N… 1 1 — — $341,948.49 $341,948.49 $341,948.49 2026-02-20
1604 APR_DRG Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $341,757.65 $341,757.65 $341,757.65 2026-02-20
93 APR_DRG Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $338,901.35 $338,901.35 $338,901.35 2026-02-20
2464 APR_DRG Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency 1 1 — — $331,409.68 $331,409.68 $331,409.68 2026-02-20
6034 APR_DRG Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con… 1 1 — — $329,700.00 $329,700.00 $329,700.00 2026-02-20
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 13 — — $207,420.40 $520,436.64 $324,510.80 2026-02-20
64 APR_DRG Inpatient Aprdrg 0064: Pancreas Transplant 1 1 — — $319,963.97 $319,963.97 $319,963.97 2026-02-20
5891 APR_DRG Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $319,938.74 $319,938.74 $319,938.74 2026-02-20
5934 APR_DRG Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $318,981.38 $318,981.38 $318,981.38 2026-02-20
5892 APR_DRG Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $310,086.00 $310,086.00 $310,086.00 2026-02-20
1624 APR_DRG Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $298,126.13 $298,126.13 $298,126.13 2026-02-20
6024 APR_DRG Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $293,233.67 $293,233.67 $293,233.67 2026-02-20
5893 APR_DRG Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $290,853.68 $290,853.68 $290,853.68 2026-02-20
6214 APR_DRG Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly 1 1 — — $278,458.51 $278,458.51 $278,458.51 2026-02-20
72 APR_DRG Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant 1 1 — — $276,277.25 $276,277.25 $276,277.25 2026-02-20
1612 APR_DRG Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $275,875.06 $275,875.06 $275,875.06 2026-02-20
113 APR_DRG Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $272,720.67 $272,720.67 $272,720.67 2026-02-20
8634 APR_DRG Inpatient Aprdrg 8634: Neonatal Aftercare 1 1 — — $268,490.64 $268,490.64 $268,490.64 2026-02-20
6303 APR_DRG Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $265,911.92 $265,911.92 $265,911.92 2026-02-20
1611 APR_DRG Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant 1 1 — — $261,642.46 $261,642.46 $261,642.46 2026-02-20
4404 APR_DRG Inpatient Aprdrg 4404: Kidney Transplant 1 1 — — $260,995.81 $260,995.81 $260,995.81 2026-02-20
54 APR_DRG Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $259,803.45 $259,803.45 $259,803.45 2026-02-20
43 APR_DRG Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $259,715.12 $259,715.12 $259,715.12 2026-02-20
6804 APR_DRG Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N… 1 1 — — $253,013.62 $253,013.62 $253,013.62 2026-02-20
5913 APR_DRG Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $253,013.62 $253,013.62 $253,013.62 2026-02-20
6084 APR_DRG Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi… 1 1 — — $252,296.00 $252,296.00 $252,296.00 2026-02-20
4414 APR_DRG Inpatient Aprdrg 4414: Major Bladder Procedures 1 1 — — $246,996.62 $246,996.62 $246,996.62 2026-02-20
23 APR_DRG Inpatient Aprdrg 0023: Heart &/or Lung Transplant 1 1 — — $240,329.82 $240,329.82 $240,329.82 2026-02-20
83 APR_DRG Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant 1 1 — — $235,312.76 $235,312.76 $235,312.76 2026-02-20
1784 APR_DRG Inpatient Aprdrg 1784: External Heart Assist Systems 1 1 — — $231,339.81 $231,339.81 $231,339.81 2026-02-20
5933 APR_DRG Inpatient Aprdrg 5933: Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $227,822.66 $227,822.66 $227,822.66 2026-02-20
6114 APR_DRG Inpatient Aprdrg 6114: Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $227,560.85 $227,560.85 $227,560.85 2026-02-20
1674 APR_DRG Inpatient Aprdrg 1674: Other Cardiothoracic & Thoracic Vascular Procedures 1 1 — — $226,554.60 $226,554.60 $226,554.60 2026-02-20
6904 APR_DRG Inpatient Aprdrg 6904: Acute Leukemia 1 1 — — $224,520.02 $224,520.02 $224,520.02 2026-02-20
434 APR_DRG Inpatient Aprdrg 0434: Multiple Sclerosis & Other Demyelinating Diseases 1 1 — — $223,144.70 $223,144.70 $223,144.70 2026-02-20
92 APR_DRG Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $222,893.93 $222,893.93 $222,893.93 2026-02-20
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 11 — — $154,925.65 $388,722.54 $221,588.90 2026-02-20
91 APR_DRG Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $216,162.46 $216,162.46 $216,162.46 2026-02-20
6334 APR_DRG Inpatient Aprdrg 6334: Neonate Birthwt >2499g W Major Anomaly 1 1 — — $211,618.56 $211,618.56 $211,618.56 2026-02-20
3034 APR_DRG Inpatient Aprdrg 3034: Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $210,328.42 $210,328.42 $210,328.42 2026-02-20
5912 APR_DRG Inpatient Aprdrg 5912: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $208,902.63 $208,902.63 $208,902.63 2026-02-20
6074 APR_DRG Inpatient Aprdrg 6074: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $206,858.59 $206,858.59 $206,858.59 2026-02-20
63 APR_DRG Inpatient Aprdrg 0063: Pancreas Transplant 1 1 — — $206,773.42 $206,773.42 $206,773.42 2026-02-20
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 15 — — $6,368.00 $327,374.64 $204,134.69 2026-02-20
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 15 — — $6,368.00 $295,756.08 $200,256.70 2026-02-20
27801347-807157 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 33 20 $306,762.00 $184,057.20 40% off $55,217.16 $276,085.80 $199,395.30 2026-02-20
2204 APR_DRG Inpatient Aprdrg 2204: Major Stomach, Esophageal & Duodenal Procedures 1 1 — — $197,117.83 $197,117.83 $197,117.83 2026-02-20
6134 APR_DRG Inpatient Aprdrg 6134: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti… 1 1 — — $196,043.76 $196,043.76 $196,043.76 2026-02-20
4474 APR_DRG Inpatient Aprdrg 4474: Other Kidney, Urinary Tract & Related Procedures 1 1 — — $195,584.80 $195,584.80 $195,584.80 2026-02-20
22 APR_DRG Inpatient Aprdrg 0022: Heart &/or Lung Transplant 1 1 — — $193,064.44 $193,064.44 $193,064.44 2026-02-20
234 APR_DRG Inpatient Aprdrg 0234: Spinal Procedures 1 1 — — $192,687.49 $192,687.49 $192,687.49 2026-02-20
9104 APR_DRG Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma 1 1 — — $191,990.37 $191,990.37 $191,990.37 2026-02-20
27500234 CDM Hc Heartmate 3 Lvad Implant 33 20 $294,778.75 $176,867.25 40% off $53,060.18 $265,300.88 $191,606.19 2026-02-20
112 APR_DRG Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $189,523.64 $189,523.64 $189,523.64 2026-02-20
6023 APR_DRG Inpatient Aprdrg 6023: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $189,515.75 $189,515.75 $189,515.75 2026-02-20
53 APR_DRG Inpatient Aprdrg 0053: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $187,153.11 $187,153.11 $187,153.11 2026-02-20
62 APR_DRG Inpatient Aprdrg 0062: Pancreas Transplant 1 1 — — $187,023.78 $187,023.78 $187,023.78 2026-02-20
9504 APR_DRG Inpatient Aprdrg 9504: Extensive Procedure Unrelated To Principal Diagnosis 1 1 — — $186,290.39 $186,290.39 $186,290.39 2026-02-20
61 APR_DRG Inpatient Aprdrg 0061: Pancreas Transplant 1 1 — — $184,609.10 $184,609.10 $184,609.10 2026-02-20
81200003 CDM Hc Std Acq Chg Cadaver Kidney/pancreas 25 16 $316,385.45 $189,831.27 40% off $56,949.38 $284,746.91 $183,503.56 2026-02-20
71 APR_DRG Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant 1 1 — — $181,413.70 $181,413.70 $181,413.70 2026-02-20
13 APR_DRG Inpatient Aprdrg 0013: Liver Transplant &/or Intestinal Transplant 1 1 — — $180,088.86 $180,088.86 $180,088.86 2026-02-20
6093 APR_DRG Inpatient Aprdrg 6093: Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $179,875.94 $179,875.94 $179,875.94 2026-02-20
264 APR_DRG Inpatient Aprdrg 0264: Other Nervous System & Related Procedures 1 1 — — $179,767.11 $179,767.11 $179,767.11 2026-02-20
5932 APR_DRG Inpatient Aprdrg 5932: Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $178,991.13 $178,991.13 $178,991.13 2026-02-20
3033 APR_DRG Inpatient Aprdrg 3033: Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $177,929.68 $177,929.68 $177,929.68 2026-02-20
1824 APR_DRG Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures 1 1 — — $177,786.15 $177,786.15 $177,786.15 2026-02-20
1634 APR_DRG Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Pdx 1 1 — — $177,680.48 $177,680.48 $177,680.48 2026-02-20
7924 APR_DRG Inpatient Aprdrg 7924: Extensive Or Procedures For Other Complications Of Treatm… 1 1 — — $174,772.13 $174,772.13 $174,772.13 2026-02-20
3044 APR_DRG Inpatient Aprdrg 3044: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 1 1 — — $174,729.55 $174,729.55 $174,729.55 2026-02-20
2054 APR_DRG Inpatient Aprdrg 2054: Cardiomyopathy 1 1 — — $174,235.89 $174,235.89 $174,235.89 2026-02-20
6954 APR_DRG Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia 1 1 — — $174,011.92 $174,011.92 $174,011.92 2026-02-20
8413 APR_DRG Inpatient Aprdrg 8413: Extensive 3rd Degree Burns W Skin Graft 1 1 — — $173,833.70 $173,833.70 $173,833.70 2026-02-20
52 APR_DRG Inpatient Aprdrg 0052: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $170,912.74 $170,912.74 $170,912.74 2026-02-20
6514 APR_DRG Inpatient Aprdrg 6514: Other Procedures Of Blood & Blood-forming Organs 1 1 — — $170,340.21 $170,340.21 $170,340.21 2026-02-20
42 APR_DRG Inpatient Aprdrg 0042: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $169,808.70 $169,808.70 $169,808.70 2026-02-20
6144 APR_DRG Inpatient Aprdrg 6144: Neonate Bwt 1500-1999g W Or Without Other Significant Conditi… 1 1 — — $168,024.89 $168,024.89 $168,024.89 2026-02-20
1623 APR_DRG Inpatient Aprdrg 1623: Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $167,739.42 $167,739.42 $167,739.42 2026-02-20
214 APR_DRG Inpatient Aprdrg 0214: Craniotomy Except For Trauma 1 1 — — $167,341.97 $167,341.97 $167,341.97 2026-02-20
2304 APR_DRG Inpatient Aprdrg 2304: Major Small Bowel Procedures 1 1 — — $166,737.90 $166,737.90 $166,737.90 2026-02-20
224 APR_DRG Inpatient Aprdrg 0224: Ventricular Shunt Procedures 1 1 — — $166,080.21 $166,080.21 $166,080.21 2026-02-20
4424 APR_DRG Inpatient Aprdrg 4424: Kidney & Urinary Tract Procedures For Malignancy 1 1 — — $165,170.17 $165,170.17 $165,170.17 2026-02-20
9524 APR_DRG Inpatient Aprdrg 9524: Nonextensive Procedure Unrelated To Principal Diagnosis 1 1 — — $164,156.03 $164,156.03 $164,156.03 2026-02-20
9114 APR_DRG Inpatient Aprdrg 9114: Extensive Abdominal/thoracic Procedures For Mult Signific… 1 1 — — $162,656.12 $162,656.12 $162,656.12 2026-02-20
4403 APR_DRG Inpatient Aprdrg 4403: Kidney Transplant 1 1 — — $159,741.46 $159,741.46 $159,741.46 2026-02-20
3154 APR_DRG Inpatient Aprdrg 3154: Shoulder, Upper Arm & Forearm Procedures Except Joint Rep… 1 1 — — $159,730.42 $159,730.42 $159,730.42 2026-02-20
1694 APR_DRG Inpatient Aprdrg 1694: Major Abdominal Vascular Procedures 1 1 — — $159,187.87 $159,187.87 $159,187.87 2026-02-20
1204 APR_DRG Inpatient Aprdrg 1204: Major Respiratory & Chest Procedures 1 1 — — $158,541.22 $158,541.22 $158,541.22 2026-02-20
4834 APR_DRG Inpatient Aprdrg 4834: Penis, Testes & Scrotal Procedures 1 1 — — $157,938.73 $157,938.73 $157,938.73 2026-02-20
894 APR_DRG Inpatient Aprdrg 0894: Major Cranial/facial Bone Procedures 1 1 — — $156,244.82 $156,244.82 $156,244.82 2026-02-20
9124 APR_DRG Inpatient Aprdrg 9124: Musculoskeletal & Other Procedures For Multiple Significa… 1 1 — — $156,038.21 $156,038.21 $156,038.21 2026-02-20
1304 APR_DRG Inpatient Aprdrg 1304: Respiratory System Diagnosis W Ventilator Support 96+ Hou… 1 1 — — $155,998.78 $155,998.78 $155,998.78 2026-02-20
1654 APR_DRG Inpatient Aprdrg 1654: Coronary Bypass W Ami Or Complex Pdx 1 1 — — $153,675.57 $153,675.57 $153,675.57 2026-02-20
27802052-445170 CDM Shell, No Hcpcs, For Lvad Implants Only 33 20 $233,525.34 $140,115.20 40% off $42,034.56 $210,172.81 $151,791.47 2026-02-20
5911 APR_DRG Inpatient Aprdrg 5911: Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $150,620.55 $150,620.55 $150,620.55 2026-02-20
2604 APR_DRG Inpatient Aprdrg 2604: Major Pancreas, Liver & Shunt Procedures 1 1 — — $149,798.83 $149,798.83 $149,798.83 2026-02-20
21 APR_DRG Inpatient Aprdrg 0021: Heart &/or Lung Transplant 1 1 — — $149,541.74 $149,541.74 $149,541.74 2026-02-20
1783 APR_DRG Inpatient Aprdrg 1783: External Heart Assist Systems 1 1 — — $148,044.99 $148,044.99 $148,044.99 2026-02-20
1214 APR_DRG Inpatient Aprdrg 1214: Other Respiratory & Chest Procedures 1 1 — — $147,959.82 $147,959.82 $147,959.82 2026-02-20
6313 APR_DRG Inpatient Aprdrg 6313: Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $147,418.84 $147,418.84 $147,418.84 2026-02-20
6254 APR_DRG Inpatient Aprdrg 6254: Neonate Bwt 2000-2499g W Other Significant Condition 1 1 — — $146,228.06 $146,228.06 $146,228.06 2026-02-20
6124 APR_DRG Inpatient Aprdrg 6124: Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $145,806.95 $145,806.95 $145,806.95 2026-02-20
81200017 CDM Hc Std Acq Chg Cadaver Liver/kidney 25 16 $249,395.20 $149,637.12 40% off $44,891.14 $224,455.68 $144,649.22 2026-02-20
1603 APR_DRG Inpatient Aprdrg 1603: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $144,423.75 $144,423.75 $144,423.75 2026-02-20
2244 APR_DRG Inpatient Aprdrg 2244: Peritoneal Adhesiolysis 1 1 — — $144,193.48 $144,193.48 $144,193.48 2026-02-20
6022 APR_DRG Inpatient Aprdrg 6022: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $143,188.80 $143,188.80 $143,188.80 2026-02-20
3614 APR_DRG Inpatient Aprdrg 3614: Skin Graft For Skin & Subcutaneous Tissue Diagnoses 1 1 — — $142,788.19 $142,788.19 $142,788.19 2026-02-20
914 APR_DRG Inpatient Aprdrg 0914: Other Major Head & Neck Procedures 1 1 — — $142,020.10 $142,020.10 $142,020.10 2026-02-20
204 APR_DRG Inpatient Aprdrg 0204: Craniotomy For Trauma 1 1 — — $140,570.66 $140,570.66 $140,570.66 2026-02-20
27800187 CDM Hc Kit, Heartmate Ii Vad Implant 33 20 $215,250.00 $129,150.00 40% off $38,745.00 $193,725.00 $139,912.50 2026-02-20
27802052-778176 CDM Shell, No Hcpcs, For Lvad Implants Only 33 20 $215,250.00 $129,150.00 40% off $38,745.00 $193,725.00 $139,912.50 2026-02-20
51 APR_DRG Inpatient Aprdrg 0051: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $139,614.88 $139,614.88 $139,614.88 2026-02-20
41 APR_DRG Inpatient Aprdrg 0041: Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 1 — — $139,346.76 $139,346.76 $139,346.76 2026-02-20
12 APR_DRG Inpatient Aprdrg 0012: Liver Transplant &/or Intestinal Transplant 1 1 — — $138,324.73 $138,324.73 $138,324.73 2026-02-20
1814 APR_DRG Inpatient Aprdrg 1814: Lower Extremity Arterial Procedures 1 1 — — $138,267.95 $138,267.95 $138,267.95 2026-02-20
2274 APR_DRG Inpatient Aprdrg 2274: Hernia Procedures Except Inguinal, Femoral & Umbilical 1 1 — — $137,845.27 $137,845.27 $137,845.27 2026-02-20
6604 APR_DRG Inpatient Aprdrg 6604: Major Hematologic/immunologic Diag Exc Sickle Cell Crisis… 1 1 — — $137,392.61 $137,392.61 $137,392.61 2026-02-20
6234 APR_DRG Inpatient Aprdrg 6234: Neonate Bwt 2000-2499g W Congenital/perinatal Infection 1 1 — — $137,364.22 $137,364.22 $137,364.22 2026-02-20
8424 APR_DRG Inpatient Aprdrg 8424: Burns With Skin Graft Except Extensive 3rd Degree Burns 1 1 — — $137,209.66 $137,209.66 $137,209.66 2026-02-20
27801347-1196342 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 33 20 $207,132.00 $124,279.20 40% off $37,283.76 $186,418.80 $134,635.80 2026-02-20
27801850 CDM Hc Heartware Hvad Pump 33 20 $207,132.00 $124,279.20 40% off $37,283.76 $186,418.80 $134,635.80 2026-02-20
1834 APR_DRG Inpatient Aprdrg 1834: Percutaneous Structural Cardiac Procedures 1 1 — — $133,711.44 $133,711.44 $133,711.44 2026-02-20
11 APR_DRG Inpatient Aprdrg 0011: Liver Transplant &/or Intestinal Transplant 1 1 — — $133,131.03 $133,131.03 $133,131.03 2026-02-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 15 — — $6,182.00 $240,591.51 $132,058.98 2026-02-20
2614 APR_DRG Inpatient Aprdrg 2614: Major Biliary Tract Procedures 1 1 — — $131,590.11 $131,590.11 $131,590.11 2026-02-20
6073 APR_DRG Inpatient Aprdrg 6073: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $131,120.11 $131,120.11 $131,120.11 2026-02-20
1833 APR_DRG Inpatient Aprdrg 1833: Percutaneous Structural Cardiac Procedures 1 1 — — $130,427.72 $130,427.72 $130,427.72 2026-02-20
9514 APR_DRG Inpatient Aprdrg 9514: Moderately Extensive Procedure Unrelated To Principal Dia… 1 1 — — $129,916.71 $129,916.71 $129,916.71 2026-02-20
27801347-98612 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 33 20 $199,260.00 $119,556.00 40% off $35,866.80 $179,334.00 $129,519.00 2026-02-20
27500176-389049 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 33 20 $198,613.80 $119,168.28 40% off $35,750.48 $178,752.42 $129,098.97 2026-02-20
3032 APR_DRG Inpatient Aprdrg 3032: Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $129,096.57 $129,096.57 $129,096.57 2026-02-20
81200004 CDM Hc Std Acq Chg Cadaver Heart 25 16 $220,688.76 $132,413.26 40% off $39,723.98 $198,619.88 $127,999.48 2026-02-20
504 APR_DRG Inpatient Aprdrg 0504: Non-bacterial Infections Of Nervous System Exc Viral Meni… 1 1 — — $127,792.22 $127,792.22 $127,792.22 2026-02-20
1782 APR_DRG Inpatient Aprdrg 1782: External Heart Assist Systems 1 1 — — $127,061.98 $127,061.98 $127,061.98 2026-02-20
7104 APR_DRG Inpatient Aprdrg 7104: Infectious & Parasitic Diseases Including HIV W O.r. Proc… 1 1 — — $126,845.91 $126,845.91 $126,845.91 2026-02-20
6033 APR_DRG Inpatient Aprdrg 6033: Neonate Birthwt 1000-1249g W Or Without Other Significant Con… 1 1 — — $125,732.41 $125,732.41 $125,732.41 2026-02-20
1622 APR_DRG Inpatient Aprdrg 1622: Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $125,252.94 $125,252.94 $125,252.94 2026-02-20
2234 APR_DRG Inpatient Aprdrg 2234: Other Small & Large Bowel Procedures 1 1 — — $123,808.23 $123,808.23 $123,808.23 2026-02-20
6914 APR_DRG Inpatient Aprdrg 6914: Lymphoma, Myeloma & Non-acute Leukemia 1 1 — — $123,046.45 $123,046.45 $123,046.45 2026-02-20
82 APR_DRG Inpatient Aprdrg 0082: Autologous Bone Marrow Transplant 1 1 — — $122,492.85 $122,492.85 $122,492.85 2026-02-20
6944 APR_DRG Inpatient Aprdrg 6944: Lymphatic & Other Malignancies & Neoplasms Of Uncertain B… 1 1 — — $121,800.46 $121,800.46 $121,800.46 2026-02-20
7234 APR_DRG Inpatient Aprdrg 7234: Viral Illness 1 1 — — $121,634.86 $121,634.86 $121,634.86 2026-02-20
924 APR_DRG Inpatient Aprdrg 0924: Facial Bone Procedures Except Major Cranial/facial Bone P… 1 1 — — $120,327.36 $120,327.36 $120,327.36 2026-02-20
1633 APR_DRG Inpatient Aprdrg 1633: Cardiac Valve Procedures Without Ami Or Complex Pdx 1 1 — — $118,997.79 $118,997.79 $118,997.79 2026-02-20
1664 APR_DRG Inpatient Aprdrg 1664: Coronary Bypass Without Ami Or Complex Pdx 1 1 — — $118,762.78 $118,762.78 $118,762.78 2026-02-20
6614 APR_DRG Inpatient Aprdrg 6614: Coagulation & Platelet Disorders 1 1 — — $117,683.98 $117,683.98 $117,683.98 2026-02-20
27802052-389434 CDM Shell, No Hcpcs, For Lvad Implants Only 33 20 $179,580.00 $107,748.00 40% off $32,324.40 $161,622.00 $116,727.00 2026-02-20
1781 APR_DRG Inpatient Aprdrg 1781: External Heart Assist Systems 1 1 — — $116,475.85 $116,475.85 $116,475.85 2026-02-20
923 APR_DRG Inpatient Aprdrg 0923: Facial Bone Procedures Except Major Cranial/facial Bone P… 1 1 — — $116,059.47 $116,059.47 $116,059.47 2026-02-20
1764 APR_DRG Inpatient Aprdrg 1764: Cardiac Pacemaker & Defibrillator Device Replacement 1 1 — — $115,374.97 $115,374.97 $115,374.97 2026-02-20
5134 APR_DRG Inpatient Aprdrg 5134: Uterine & Adnexa Procedures For Non-malignancy Except Lei… 1 1 — — $113,739.42 $113,739.42 $113,739.42 2026-02-20
1794 APR_DRG Inpatient Aprdrg 1794: Defibrillator Implants 1 1 — — $113,670.02 $113,670.02 $113,670.02 2026-02-20
3124 APR_DRG Inpatient Aprdrg 3124: Skin Graft, Except Hand, For Musculoskeletal & Connective… 1 1 — — $113,515.46 $113,515.46 $113,515.46 2026-02-20
8412 APR_DRG Inpatient Aprdrg 8412: Extensive 3rd Degree Burns W Skin Graft 1 1 — — $112,963.44 $112,963.44 $112,963.44 2026-02-20
1714 APR_DRG Inpatient Aprdrg 1714: Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or … 1 1 — — $112,365.68 $112,365.68 $112,365.68 2026-02-20
8411 APR_DRG Inpatient Aprdrg 8411: Extensive 3rd Degree Burns W Skin Graft 1 1 — — $112,084.94 $112,084.94 $112,084.94 2026-02-20
2644 APR_DRG Inpatient Aprdrg 2644: Other Hepatobiliary, Pancreas & Abdominal Procedures 1 1 — — $111,495.07 $111,495.07 $111,495.07 2026-02-20
1621 APR_DRG Inpatient Aprdrg 1621: Cardiac Valve Procedures W Ami Or Complex Pdx 1 1 — — $111,135.47 $111,135.47 $111,135.47 2026-02-20
5104 APR_DRG Inpatient Aprdrg 5104: Pelvic Evisceration, Radical Hysterectomy & Other Radical… 1 1 — — $109,939.95 $109,939.95 $109,939.95 2026-02-20
7404 APR_DRG Inpatient Aprdrg 7404: Mental Illness Diagnosis W O.r. Procedure 1 1 — — $109,831.13 $109,831.13 $109,831.13 2026-02-20
4013 APR_DRG Inpatient Aprdrg 4013: Adrenal Procedures 1 1 — — $109,419.48 $109,419.48 $109,419.48 2026-02-20
3043 APR_DRG Inpatient Aprdrg 3043: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 1 1 — — $109,408.44 $109,408.44 $109,408.44 2026-02-20
3104 APR_DRG Inpatient Aprdrg 3104: Intervertebral Disc Excision & Decompression 1 1 — — $108,249.20 $108,249.20 $108,249.20 2026-02-20
2334 APR_DRG Inpatient Aprdrg 2334: Appendectomy With Complex Principal Diagnosis 1 1 — — $108,175.07 $108,175.07 $108,175.07 2026-02-20
5114 APR_DRG Inpatient Aprdrg 5114: Uterine & Adnexa Procedures For Ovarian & Adnexal Maligna… 1 1 — — $108,018.93 $108,018.93 $108,018.93 2026-02-20
111 APR_DRG Inpatient Aprdrg 0111: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $107,780.77 $107,780.77 $107,780.77 2026-02-20
81200001 CDM Hc Std Acq Chg Cadaver Kidney 25 16 $185,810.00 $111,486.00 40% off $33,445.80 $167,229.00 $107,769.80 2026-02-20
6344 APR_DRG Inpatient Aprdrg 6344: Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Con… 1 1 — — $107,621.48 $107,621.48 $107,621.48 2026-02-20
4804 APR_DRG Inpatient Aprdrg 4804: Major Male Pelvic Procedures 1 1 — — $107,165.67 $107,165.67 $107,165.67 2026-02-20
7114 APR_DRG Inpatient Aprdrg 7114: Post-op, Post-trauma, Other Device Infections W O.r. Proc… 1 1 — — $106,525.33 $106,525.33 $106,525.33 2026-02-20
304 APR_DRG Inpatient Aprdrg 0304: Percutaneous Intra & Extracranial Vascular Procedures 1 1 — — $106,247.74 $106,247.74 $106,247.74 2026-02-20
1303 APR_DRG Inpatient Aprdrg 1303: Respiratory System Diagnosis W Ventilator Support 96+ Hou… 1 1 — — $105,924.42 $105,924.42 $105,924.42 2026-02-20
3464 APR_DRG Inpatient Aprdrg 3464: Connective Tissue Disorders 1 1 — — $105,897.60 $105,897.60 $105,897.60 2026-02-20
4044 APR_DRG Inpatient Aprdrg 4044: Thyroid, Parathyroid & Thyroglossal Procedures 1 1 — — $105,566.39 $105,566.39 $105,566.39 2026-02-20
4434 APR_DRG Inpatient Aprdrg 4434: Kidney & Urinary Tract Procedures For Nonmalignancy 1 1 — — $104,768.33 $104,768.33 $104,768.33 2026-02-20
1804 APR_DRG Inpatient Aprdrg 1804: Other Circulatory System Procedures 1 1 — — $104,716.28 $104,716.28 $104,716.28 2026-02-20
27201912-261835 CDM Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 26 17 $183,639.00 $110,183.40 40% off $33,055.02 $165,275.10 $104,674.23 2026-02-20
294 APR_DRG Inpatient Aprdrg 0294: Other Percutaneous Intracranial Procedures 1 1 — — $104,637.43 $104,637.43 $104,637.43 2026-02-20
734 APR_DRG Inpatient Aprdrg 0734: Orbit And Eye Procedures 1 1 — — $104,427.66 $104,427.66 $104,427.66 2026-02-20
14 MS_DRG Allogeneic Bone Marrow Transplant 10 10 — — $72,059.90 $123,407.95 $104,091.92 2026-02-20
4684 APR_DRG Inpatient Aprdrg 4684: Other Kidney & Urinary Tract Diagnoses, Signs & Symptoms 1 1 — — $103,900.88 $103,900.88 $103,900.88 2026-02-20
7 MS_DRG Lung Transplant 10 10 — — $71,878.40 $123,103.49 $103,835.12 2026-02-20
3134 APR_DRG Inpatient Aprdrg 3134: Knee & Lower Leg Procedures Except Foot 1 1 — — $103,609.09 $103,609.09 $103,609.09 2026-02-20
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 15 — — $6,368.00 $198,116.47 $103,577.62 2026-02-20
4402 APR_DRG Inpatient Aprdrg 4402: Kidney Transplant 1 1 — — $102,743.21 $102,743.21 $102,743.21 2026-02-20
8154 APR_DRG Inpatient Aprdrg 8154: Other Injury, Poisoning & Toxic Effect Diagnoses 1 1 — — $102,686.43 $102,686.43 $102,686.43 2026-02-20
81 APR_DRG Inpatient Aprdrg 0081: Autologous Bone Marrow Transplant 1 1 — — $102,594.96 $102,594.96 $102,594.96 2026-02-20
913 APR_DRG Inpatient Aprdrg 0913: Other Major Head & Neck Procedures 1 1 — — $101,897.84 $101,897.84 $101,897.84 2026-02-20
1754 APR_DRG Inpatient Aprdrg 1754: Percutaneous Coronary Intervention Without Ami 1 1 — — $101,735.39 $101,735.39 $101,735.39 2026-02-20
6924 APR_DRG Inpatient Aprdrg 6924: Radiotherapy 1 1 — — $101,664.41 $101,664.41 $101,664.41 2026-02-20
984 APR_DRG Inpatient Aprdrg 0984: Other Ear, Nose, Mouth & Throat Procedures 1 1 — — $101,531.93 $101,531.93 $101,531.93 2026-02-20
2314 APR_DRG Inpatient Aprdrg 2314: Major Large Bowel Procedures 1 1 — — $101,145.52 $101,145.52 $101,145.52 2026-02-20
1653 APR_DRG Inpatient Aprdrg 1653: Coronary Bypass W Ami Or Complex Pdx 1 1 — — $101,038.27 $101,038.27 $101,038.27 2026-02-20
8104 APR_DRG Inpatient Aprdrg 8104: Hemorrhage Or Hematoma Due To Complication 1 1 — — $100,998.84 $100,998.84 $100,998.84 2026-02-20
6032 APR_DRG Inpatient Aprdrg 6032: Neonate Birthwt 1000-1249g W Or Without Other Significant Con… 1 1 — — $100,713.36 $100,713.36 $100,713.36 2026-02-20
1602 APR_DRG Inpatient Aprdrg 1602: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $100,349.03 $100,349.03 $100,349.03 2026-02-20
4844 APR_DRG Inpatient Aprdrg 4844: Other Male Reproductive System & Related Procedures 1 1 — — $100,071.45 $100,071.45 $100,071.45 2026-02-20
6083 APR_DRG Inpatient Aprdrg 6083: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi… 1 1 — — $99,991.01 $99,991.01 $99,991.01 2026-02-20
494 APR_DRG Inpatient Aprdrg 0494: Bacterial & Tuberculous Infections Of Nervous System 1 1 — — $99,801.75 $99,801.75 $99,801.75 2026-02-20
1704 APR_DRG Inpatient Aprdrg 1704: Permanent Cardiac Pacemaker Implant W Ami, Heart Failure … 1 1 — — $99,208.72 $99,208.72 $99,208.72 2026-02-20
215 MS_DRG Other Heart Assist System Implant 31 15 — — $6,182.00 $180,397.66 $99,019.00 2026-02-20
6903 APR_DRG Inpatient Aprdrg 6903: Acute Leukemia 1 1 — — $98,820.73 $98,820.73 $98,820.73 2026-02-20
1673 APR_DRG Inpatient Aprdrg 1673: Other Cardiothoracic & Thoracic Vascular Procedures 1 1 — — $98,410.66 $98,410.66 $98,410.66 2026-02-20
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 9 4 — — $35,308.00 $119,877.02 $98,299.51 2026-02-20
4054 APR_DRG Inpatient Aprdrg 4054: Other Procedures For Endocrine, Nutritional & Metabolic D… 1 1 — — $98,200.89 $98,200.89 $98,200.89 2026-02-20
4014 APR_DRG Inpatient Aprdrg 4014: Adrenal Procedures 1 1 — — $97,847.60 $97,847.60 $97,847.60 2026-02-20
3254 APR_DRG Inpatient Aprdrg 3254: Non-elective Or Complex Knee Joint Replacement 1 1 — — $97,642.57 $97,642.57 $97,642.57 2026-02-20
6613 APR_DRG Inpatient Aprdrg 6613: Coagulation & Platelet Disorders 1 1 — — $96,488.06 $96,488.06 $96,488.06 2026-02-20
274 APR_DRG Inpatient Aprdrg 0274: Other Open Craniotomy 1 1 — — $96,372.92 $96,372.92 $96,372.92 2026-02-20
4401 APR_DRG Inpatient Aprdrg 4401: Kidney Transplant 1 1 — — $96,309.84 $96,309.84 $96,309.84 2026-02-20
6302 APR_DRG Inpatient Aprdrg 6302: Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $95,984.93 $95,984.93 $95,984.93 2026-02-20
213 APR_DRG Inpatient Aprdrg 0213: Craniotomy Except For Trauma 1 1 — — $95,773.59 $95,773.59 $95,773.59 2026-02-20
7934 APR_DRG Inpatient Aprdrg 7934: Moderately Extensive Or Procedures For Other Complication… 1 1 — — $95,164.79 $95,164.79 $95,164.79 2026-02-20
3214 APR_DRG Inpatient Aprdrg 3214: Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Ex… 1 1 — — $95,133.25 $95,133.25 $95,133.25 2026-02-20
3031 APR_DRG Inpatient Aprdrg 3031: Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $95,101.70 $95,101.70 $95,101.70 2026-02-20
244 APR_DRG Inpatient Aprdrg 0244: Extracranial Vascular Procedures 1 1 — — $94,939.25 $94,939.25 $94,939.25 2026-02-20
1801 APR_DRG Inpatient Aprdrg 1801: Other Circulatory System Procedures 1 1 — — $94,869.86 $94,869.86 $94,869.86 2026-02-20
3084 APR_DRG Inpatient Aprdrg 3084: Hip & Femur Fracture Repair 1 1 — — $94,551.26 $94,551.26 $94,551.26 2026-02-20
6072 APR_DRG Inpatient Aprdrg 6072: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M… 1 1 — — $94,335.19 $94,335.19 $94,335.19 2026-02-20
5144 APR_DRG Inpatient Aprdrg 5144: Female Reproductive System Reconstructive Procedures 1 1 — — $93,828.91 $93,828.91 $93,828.91 2026-02-20
233 APR_DRG Inpatient Aprdrg 0233: Spinal Procedures 1 1 — — $93,806.83 $93,806.83 $93,806.83 2026-02-20
2224 APR_DRG Inpatient Aprdrg 2224: Other Stomach, Esophageal & Duodenal Procedures 1 1 — — $93,746.89 $93,746.89 $93,746.89 2026-02-20
5124 APR_DRG Inpatient Aprdrg 5124: Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal… 1 1 — — $93,636.49 $93,636.49 $93,636.49 2026-02-20
4012 APR_DRG Inpatient Aprdrg 4012: Adrenal Procedures 1 1 — — $93,242.19 $93,242.19 $93,242.19 2026-02-20
433 APR_DRG Inpatient Aprdrg 0433: Multiple Sclerosis & Other Demyelinating Diseases 1 1 — — $92,866.82 $92,866.82 $92,866.82 2026-02-20
1302 APR_DRG Inpatient Aprdrg 1302: Respiratory System Diagnosis W Ventilator Support 96+ Hou… 1 1 — — $92,605.00 $92,605.00 $92,605.00 2026-02-20
6803 APR_DRG Inpatient Aprdrg 6803: Major O.r. Procedures For Lymphatic/hematopoietic/other N… 1 1 — — $92,556.11 $92,556.11 $92,556.11 2026-02-20
404 APR_DRG Inpatient Aprdrg 0404: Spinal Disorders & Injuries 1 1 — — $92,554.53 $92,554.53 $92,554.53 2026-02-20
293 APR_DRG Inpatient Aprdrg 0293: Other Percutaneous Intracranial Procedures 1 1 — — $92,213.86 $92,213.86 $92,213.86 2026-02-20
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 40 22 $187,807.50 $112,684.50 40% off $33,805.35 $169,026.75 $91,682.11 2026-02-20
7923 APR_DRG Inpatient Aprdrg 7923: Extensive Or Procedures For Other Complications Of Treatm… 1 1 — — $91,131.90 $91,131.90 $91,131.90 2026-02-20
6813 APR_DRG Inpatient Aprdrg 6813: Other O.r. Procedures For Lymphatic/hematopoietic/other N… 1 1 — — $90,783.34 $90,783.34 $90,783.34 2026-02-20
4444 APR_DRG Inpatient Aprdrg 4444: Renal Dialysis Access Device And Vessel Repair 1 1 — — $90,155.62 $90,155.62 $90,155.62 2026-02-20
2454 APR_DRG Inpatient Aprdrg 2454: Inflammatory Bowel Disease 1 1 — — $90,026.29 $90,026.29 $90,026.29 2026-02-20
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 16 — — $53,081.05 $175,514.90 $90,024.27 2026-02-20
6113 APR_DRG Inpatient Aprdrg 6113: Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $89,125.71 $89,125.71 $89,125.71 2026-02-20
203 APR_DRG Inpatient Aprdrg 0203: Craniotomy For Trauma 1 1 — — $88,376.54 $88,376.54 $88,376.54 2026-02-20
3224 APR_DRG Inpatient Aprdrg 3224: Shoulder & Elbow Joint Replacement 1 1 — — $88,157.31 $88,157.31 $88,157.31 2026-02-20
1632 APR_DRG Inpatient Aprdrg 1632: Cardiac Valve Procedures Without Ami Or Complex Pdx 1 1 — — $88,095.80 $88,095.80 $88,095.80 2026-02-20
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 11 — — $60,608.35 $152,071.86 $87,990.26 2026-02-20
2824 APR_DRG Inpatient Aprdrg 2824: Disorders Of Pancreas Except Malignancy 1 1 — — $87,641.57 $87,641.57 $87,641.57 2026-02-20
4624 APR_DRG Inpatient Aprdrg 4624: Nephritis & Nephrosis 1 1 — — $87,442.85 $87,442.85 $87,442.85 2026-02-20
273 APR_DRG Inpatient Aprdrg 0273: Other Open Craniotomy 1 1 — — $87,393.95 $87,393.95 $87,393.95 2026-02-20
7594 APR_DRG Inpatient Aprdrg 7594: Eating Disorders 1 1 — — $87,367.14 $87,367.14 $87,367.14 2026-02-20
594 APR_DRG Inpatient Aprdrg 0594: Anoxic & Other Severe Brain Damage 1 1 — — $87,302.47 $87,302.47 $87,302.47 2026-02-20
6504 APR_DRG Inpatient Aprdrg 6504: Splenectomy 1 1 — — $87,163.68 $87,163.68 $87,163.68 2026-02-20
1793 APR_DRG Inpatient Aprdrg 1793: Defibrillator Implants 1 1 — — $87,160.53 $87,160.53 $87,160.53 2026-02-20
2634 APR_DRG Inpatient Aprdrg 2634: Cholecystectomy 1 1 — — $87,116.37 $87,116.37 $87,116.37 2026-02-20
2613 APR_DRG Inpatient Aprdrg 2613: Major Biliary Tract Procedures 1 1 — — $86,980.73 $86,980.73 $86,980.73 2026-02-20
2264 APR_DRG Inpatient Aprdrg 2264: Anal Procedures 1 1 — — $86,862.44 $86,862.44 $86,862.44 2026-02-20
2074 APR_DRG Inpatient Aprdrg 2074: Other Circulatory System Diagnoses 1 1 — — $86,110.12 $86,110.12 $86,110.12 2026-02-20
3054 APR_DRG Inpatient Aprdrg 3054: Amputation Of Lower Limb Except Toes 1 1 — — $86,051.76 $86,051.76 $86,051.76 2026-02-20
1934 APR_DRG Inpatient Aprdrg 1934: Acute & Subacute Endocarditis 1 1 — — $85,367.26 $85,367.26 $85,367.26 2026-02-20
6123 APR_DRG Inpatient Aprdrg 6123: Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $85,217.42 $85,217.42 $85,217.42 2026-02-20
4454 APR_DRG Inpatient Aprdrg 4454: Other Bladder Procedures 1 1 — — $85,155.91 $85,155.91 $85,155.91 2026-02-20
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 10 — — $58,571.70 $100,782.70 $85,008.02 2026-02-20
1832 APR_DRG Inpatient Aprdrg 1832: Percutaneous Structural Cardiac Procedures 1 1 — — $84,674.87 $84,674.87 $84,674.87 2026-02-20
1663 APR_DRG Inpatient Aprdrg 1663: Coronary Bypass Without Ami Or Complex Pdx 1 1 — — $84,447.75 $84,447.75 $84,447.75 2026-02-20
6902 APR_DRG Inpatient Aprdrg 6902: Acute Leukemia 1 1 — — $84,439.87 $84,439.87 $84,439.87 2026-02-20
3814 APR_DRG Inpatient Aprdrg 3814: Major Skin Disorders 1 1 — — $84,211.17 $84,211.17 $84,211.17 2026-02-20
3164 APR_DRG Inpatient Aprdrg 3164: Hand & Wrist Procedures 1 1 — — $84,086.57 $84,086.57 $84,086.57 2026-02-20
1652 APR_DRG Inpatient Aprdrg 1652: Coronary Bypass W Ami Or Complex Pdx 1 1 — — $83,331.10 $83,331.10 $83,331.10 2026-02-20
6213 APR_DRG Inpatient Aprdrg 6213: Neonate Bwt 2000-2499g W Major Anomaly 1 1 — — $83,255.39 $83,255.39 $83,255.39 2026-02-20
893 APR_DRG Inpatient Aprdrg 0893: Major Cranial/facial Bone Procedures 1 1 — — $83,151.30 $83,151.30 $83,151.30 2026-02-20
5184 APR_DRG Inpatient Aprdrg 5184: Other Female Reproductive System & Related Procedures 1 1 — — $83,010.93 $83,010.93 $83,010.93 2026-02-20
2294 APR_DRG Inpatient Aprdrg 2294: Other Digestive System & Abdominal Procedures 1 1 — — $82,950.99 $82,950.99 $82,950.99 2026-02-20
1314 APR_DRG Inpatient Aprdrg 1314: Cystic Fibrosis - Pulmonary Disease 1 1 — — $82,498.34 $82,498.34 $82,498.34 2026-02-20
6133 APR_DRG Inpatient Aprdrg 6133: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti… 1 1 — — $82,299.61 $82,299.61 $82,299.61 2026-02-20
1693 APR_DRG Inpatient Aprdrg 1693: Major Abdominal Vascular Procedures 1 1 — — $82,006.25 $82,006.25 $82,006.25 2026-02-20
4614 APR_DRG Inpatient Aprdrg 4614: Kidney & Urinary Tract Malignancy 1 1 — — $81,883.23 $81,883.23 $81,883.23 2026-02-20
8503 APR_DRG Inpatient Aprdrg 8503: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea… 1 1 — — $81,746.02 $81,746.02 $81,746.02 2026-02-20
3434 APR_DRG Inpatient Aprdrg 3434: Musculoskeletal Malignancy & Pathol Fracture D/t Muscskel… 1 1 — — $81,725.51 $81,725.51 $81,725.51 2026-02-20
3204 APR_DRG Inpatient Aprdrg 3204: Other Musculoskeletal System & Connective Tissue Procedur… 1 1 — — $81,662.43 $81,662.43 $81,662.43 2026-02-20
1802 APR_DRG Inpatient Aprdrg 1802: Other Circulatory System Procedures 1 1 — — $81,321.75 $81,321.75 $81,321.75 2026-02-20
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