|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
23
|
15
|
—
|
—
|
$186,016.12
|
$525,282.46
|
$355,649.29
|
2026-02-18
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
21
|
13
|
—
|
—
|
$249,045.50
|
$703,268.29
|
$324,518.64
|
2026-02-18
|
|
5834
|
APR_DRG
|
Inpatient Aprdrg 5834: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$261,957.62
|
$261,957.62
|
$261,957.62
|
2026-02-18
|
|
74
|
APR_DRG
|
Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$254,832.62
|
$254,832.62
|
$254,832.62
|
2026-02-18
|
|
5833
|
APR_DRG
|
Inpatient Aprdrg 5833: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$221,816.09
|
$221,816.09
|
$221,816.09
|
2026-02-18
|
|
24
|
APR_DRG
|
Inpatient Aprdrg 0024: Heart &/or Lung Transplant
|
1
|
1
|
—
|
—
|
$213,380.79
|
$213,380.79
|
$213,380.79
|
2026-02-18
|
|
27801347-807157
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$306,762.00
|
$184,057.20
40% off
|
$55,217.16
|
$276,085.80
|
$199,395.30
|
2026-02-18
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
23
|
15
|
—
|
—
|
$6,368.00
|
$442,382.77
|
$189,640.07
|
2026-02-18
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
29
|
16
|
—
|
—
|
$6,368.00
|
$399,656.48
|
$185,030.15
|
2026-02-18
|
|
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
|
$175,277.54
|
2026-02-18
|
|
5884
|
APR_DRG
|
Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$165,814.88
|
$165,814.88
|
$165,814.88
|
2026-02-18
|
|
1614
|
APR_DRG
|
Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$161,017.62
|
$161,017.62
|
$161,017.62
|
2026-02-18
|
|
27802052-445170
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
34
|
20
|
$233,525.34
|
$140,115.20
40% off
|
$42,034.56
|
$210,172.81
|
$151,791.47
|
2026-02-18
|
|
27500234
|
CDM
|
Hc Heartmate 3 Lvad Implant
|
34
|
20
|
$233,525.00
|
$140,115.00
40% off
|
$42,034.50
|
$210,172.50
|
$151,791.25
|
2026-02-18
|
|
94
|
APR_DRG
|
Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$150,848.16
|
$150,848.16
|
$150,848.16
|
2026-02-18
|
|
27802052-778176
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
34
|
20
|
$215,250.00
|
$129,150.00
40% off
|
$38,745.00
|
$193,725.00
|
$139,912.50
|
2026-02-18
|
|
27800187
|
CDM
|
Hc Kit, Heartmate Ii Vad Implant
|
34
|
20
|
$215,250.00
|
$129,150.00
40% off
|
$38,745.00
|
$193,725.00
|
$139,912.50
|
2026-02-18
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
23
|
15
|
—
|
—
|
$72,771.23
|
$205,495.37
|
$139,133.30
|
2026-02-18
|
|
27801850
|
CDM
|
Hc Heartware Hvad Pump
|
34
|
20
|
$207,132.00
|
$124,279.20
40% off
|
$37,283.76
|
$186,418.80
|
$134,635.80
|
2026-02-18
|
|
27801347-1196342
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$207,132.00
|
$124,279.20
40% off
|
$37,283.76
|
$186,418.80
|
$134,635.80
|
2026-02-18
|
|
27801347-98612
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$199,260.00
|
$119,556.00
40% off
|
$35,866.80
|
$179,334.00
|
$129,519.00
|
2026-02-18
|
|
27500176-389049
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
34
|
20
|
$198,613.80
|
$119,168.28
40% off
|
$35,750.48
|
$178,752.42
|
$129,098.97
|
2026-02-18
|
|
6304
|
APR_DRG
|
Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$123,377.32
|
$123,377.32
|
$123,377.32
|
2026-02-18
|
|
6094
|
APR_DRG
|
Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure
|
1
|
1
|
—
|
—
|
$122,283.98
|
$122,283.98
|
$122,283.98
|
2026-02-18
|
|
81200004
|
CDM
|
Hc Std Acq Chg Cadaver Heart
|
25
|
16
|
$220,688.76
|
$132,413.26
40% off
|
$39,723.98
|
$198,619.88
|
$122,261.57
|
2026-02-18
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
31
|
16
|
—
|
—
|
$6,182.00
|
$263,496.24
|
$121,991.64
|
2026-02-18
|
|
27802052-389434
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
34
|
20
|
$179,580.00
|
$107,748.00
40% off
|
$32,324.40
|
$161,622.00
|
$116,727.00
|
2026-02-18
|
|
5832
|
APR_DRG
|
Inpatient Aprdrg 5832: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$110,525.89
|
$110,525.89
|
$110,525.89
|
2026-02-18
|
|
114
|
APR_DRG
|
Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
1
|
1
|
—
|
—
|
$104,951.57
|
$104,951.57
|
$104,951.57
|
2026-02-18
|
|
81200001
|
CDM
|
Hc Std Acq Chg Cadaver Kidney
|
25
|
16
|
$185,810.00
|
$111,486.00
40% off
|
$33,445.80
|
$167,229.00
|
$102,938.74
|
2026-02-18
|
|
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
|
$101,368.73
|
2026-02-18
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
30
|
16
|
—
|
—
|
$6,368.00
|
$203,149.45
|
$100,612.99
|
2026-02-18
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
20
|
14
|
—
|
—
|
$52,349.82
|
$147,828.29
|
$100,089.05
|
2026-02-18
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
21
|
14
|
—
|
—
|
$86,520.87
|
$113,114.65
|
$99,817.76
|
2026-02-18
|
|
7
|
MS_DRG
|
Lung Transplant
|
21
|
14
|
—
|
—
|
$86,302.95
|
$112,829.75
|
$99,566.35
|
2026-02-18
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
10
|
5
|
—
|
—
|
$35,308.00
|
$122,722.00
|
$98,299.51
|
2026-02-18
|
|
2004
|
APR_DRG
|
Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders
|
1
|
1
|
—
|
—
|
$97,528.91
|
$97,528.91
|
$97,528.91
|
2026-02-18
|
|
5831
|
APR_DRG
|
Inpatient Aprdrg 5831: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$97,320.24
|
$97,320.24
|
$97,320.24
|
2026-02-18
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
31
|
16
|
—
|
—
|
$6,182.00
|
$197,571.83
|
$91,470.42
|
2026-02-18
|
|
73
|
APR_DRG
|
Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$89,920.70
|
$89,920.70
|
$89,920.70
|
2026-02-18
|
|
Q2043
|
HCPCS
|
Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
|
41
|
23
|
$187,807.50
|
$112,684.50
40% off
|
$33,805.35
|
$169,026.75
|
$89,208.56
|
2026-02-18
|
|
5883
|
APR_DRG
|
Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$88,970.83
|
$88,970.83
|
$88,970.83
|
2026-02-18
|
|
5882
|
APR_DRG
|
Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$88,564.19
|
$88,564.19
|
$88,564.19
|
2026-02-18
|
|
44
|
APR_DRG
|
Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
1
|
1
|
—
|
—
|
$88,335.18
|
$88,335.18
|
$88,335.18
|
2026-02-18
|
|
8414
|
APR_DRG
|
Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft
|
1
|
1
|
—
|
—
|
$87,955.44
|
$87,955.44
|
$87,955.44
|
2026-02-18
|
|
6314
|
APR_DRG
|
Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure
|
1
|
1
|
—
|
—
|
$87,076.97
|
$87,076.97
|
$87,076.97
|
2026-02-18
|
|
8504
|
APR_DRG
|
Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea…
|
1
|
1
|
—
|
—
|
$84,783.02
|
$84,783.02
|
$84,783.02
|
2026-02-18
|
|
5914
|
APR_DRG
|
Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure
|
1
|
1
|
—
|
—
|
$84,023.54
|
$84,023.54
|
$84,023.54
|
2026-02-18
|
|
1613
|
APR_DRG
|
Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$83,924.56
|
$83,924.56
|
$83,924.56
|
2026-02-18
|
|
5881
|
APR_DRG
|
Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$83,481.01
|
$83,481.01
|
$83,481.01
|
2026-02-18
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
17
|
—
|
—
|
$6,182.00
|
$179,973.71
|
$83,322.96
|
2026-02-18
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
21
|
14
|
—
|
—
|
$70,325.87
|
$91,941.82
|
$81,133.85
|
2026-02-18
|
|
14
|
APR_DRG
|
Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$76,436.71
|
$76,436.71
|
$76,436.71
|
2026-02-18
|
|
84
|
APR_DRG
|
Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$76,130.44
|
$76,130.44
|
$76,130.44
|
2026-02-18
|
|
6814
|
APR_DRG
|
Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N…
|
1
|
1
|
—
|
—
|
$74,777.73
|
$74,777.73
|
$74,777.73
|
2026-02-18
|
|
1604
|
APR_DRG
|
Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$74,736.00
|
$74,736.00
|
$74,736.00
|
2026-02-18
|
|
J9043
|
HCPCS
|
cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution
|
41
|
23
|
$161,632.27
|
$96,979.36
40% off
|
$205.63
|
$145,469.04
|
$74,350.84
|
2026-02-18
|
|
93
|
APR_DRG
|
Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$74,111.38
|
$74,111.38
|
$74,111.38
|
2026-02-18
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
33
|
17
|
—
|
—
|
$6,182.00
|
$158,021.29
|
$73,867.00
|
2026-02-18
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
33
|
17
|
—
|
—
|
$6,182.00
|
$144,288.90
|
$73,867.00
|
2026-02-18
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
33
|
17
|
—
|
—
|
$6,182.00
|
$145,760.23
|
$73,867.00
|
2026-02-18
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
10
|
5
|
—
|
—
|
$35,308.00
|
$91,851.00
|
$73,572.10
|
2026-02-18
|
|
224
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
225
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
238
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
223
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
226
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
222
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
230
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
227
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
237
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
17
|
—
|
—
|
$35,308.00
|
$157,933.64
|
$72,998.24
|
2026-02-18
|
|
2464
|
APR_DRG
|
Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency
|
1
|
1
|
—
|
—
|
$72,473.09
|
$72,473.09
|
$72,473.09
|
2026-02-18
|
|
6034
|
APR_DRG
|
Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con…
|
1
|
1
|
—
|
—
|
$72,099.21
|
$72,099.21
|
$72,099.21
|
2026-02-18
|
|
64
|
APR_DRG
|
Inpatient Aprdrg 0064: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$69,970.13
|
$69,970.13
|
$69,970.13
|
2026-02-18
|
|
5891
|
APR_DRG
|
Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks
|
1
|
1
|
—
|
—
|
$69,964.61
|
$69,964.61
|
$69,964.61
|
2026-02-18
|
|
5934
|
APR_DRG
|
Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure
|
1
|
1
|
—
|
—
|
$69,755.25
|
$69,755.25
|
$69,755.25
|
2026-02-18
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$150,323.39
|
$69,595.67
|
2026-02-18
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
31
|
17
|
—
|
—
|
$6,368.00
|
$131,785.42
|
$68,885.94
|
2026-02-18
|
|
81100001
|
CDM
|
Hc Std Acq Chg Live Donor Kidney
|
25
|
16
|
$123,509.00
|
$74,105.40
40% off
|
$22,231.62
|
$111,158.10
|
$68,423.99
|
2026-02-18
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
10
|
5
|
—
|
—
|
$35,308.00
|
$84,705.00
|
$67,848.12
|
2026-02-18
|
|
5892
|
APR_DRG
|
Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks
|
1
|
1
|
—
|
—
|
$67,810.00
|
$67,810.00
|
$67,810.00
|
2026-02-18
|
|
27801848
|
CDM
|
Hc Impella 5.5
|
34
|
20
|
$100,860.00
|
$60,516.00
40% off
|
$18,154.80
|
$90,774.00
|
$65,559.00
|
2026-02-18
|
|
27802052-1242630
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
34
|
20
|
$100,860.00
|
$60,516.00
40% off
|
$18,154.80
|
$90,774.00
|
$65,559.00
|
2026-02-18
|
|
1624
|
APR_DRG
|
Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx
|
1
|
1
|
—
|
—
|
$65,194.60
|
$65,194.60
|
$65,194.60
|
2026-02-18
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
32
|
17
|
—
|
—
|
$9,144.00
|
$139,192.40
|
$64,335.89
|
2026-02-18
|
|
6024
|
APR_DRG
|
Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M…
|
1
|
1
|
—
|
—
|
$64,124.71
|
$64,124.71
|
$64,124.71
|
2026-02-18
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
17
|
—
|
—
|
$6,182.00
|
$120,426.92
|
$64,049.45
|
2026-02-18
|
|
5893
|
APR_DRG
|
Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks
|
1
|
1
|
—
|
—
|
$63,604.25
|
$63,604.25
|
$63,604.25
|
2026-02-18
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Intravenous Solution
|
28
|
17
|
$115,440.00
|
$69,264.00
40% off
|
$20,779.20
|
$103,896.00
|
$63,492.00
|
2026-02-18
|
|
6214
|
APR_DRG
|
Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly
|
1
|
1
|
—
|
—
|
$60,893.66
|
$60,893.66
|
$60,893.66
|
2026-02-18
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
21
|
14
|
—
|
—
|
$52,651.61
|
$68,835.06
|
$60,743.33
|
2026-02-18
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
29
|
16
|
—
|
—
|
$45,938.90
|
$129,724.81
|
$60,687.71
|
2026-02-18
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
33
|
17
|
—
|
—
|
$6,182.00
|
$113,915.04
|
$60,586.09
|
2026-02-18
|
|
72
|
APR_DRG
|
Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$60,416.66
|
$60,416.66
|
$60,416.66
|
2026-02-18
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
31
|
17
|
—
|
—
|
$6,368.00
|
$115,513.17
|
$60,380.22
|
2026-02-18
|
|
1612
|
APR_DRG
|
Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$60,328.71
|
$60,328.71
|
$60,328.71
|
2026-02-18
|
|
113
|
APR_DRG
|
Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
1
|
1
|
—
|
—
|
$59,638.90
|
$59,638.90
|
$59,638.90
|
2026-02-18
|
|
27801347-1218340
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$91,020.00
|
$54,612.00
40% off
|
$16,383.60
|
$81,918.00
|
$59,163.00
|
2026-02-18
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
17
|
—
|
—
|
$6,182.00
|
$110,942.55
|
$59,005.16
|
2026-02-18
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
32
|
17
|
—
|
—
|
$6,182.00
|
$115,390.00
|
$58,906.18
|
2026-02-18
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
32
|
17
|
—
|
—
|
$9,144.00
|
$127,334.14
|
$58,854.89
|
2026-02-18
|
|
8634
|
APR_DRG
|
Inpatient Aprdrg 8634: Neonatal Aftercare
|
1
|
1
|
—
|
—
|
$58,713.87
|
$58,713.87
|
$58,713.87
|
2026-02-18
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
33
|
17
|
—
|
—
|
$6,182.00
|
$109,728.56
|
$58,359.50
|
2026-02-18
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
20
|
14
|
—
|
—
|
$30,425.40
|
$85,916.93
|
$58,171.17
|
2026-02-18
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$126,634.00
|
$58,167.38
|
2026-02-18
|
|
6303
|
APR_DRG
|
Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$58,149.96
|
$58,149.96
|
$58,149.96
|
2026-02-18
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
30
|
16
|
—
|
—
|
$6,368.00
|
$124,548.13
|
$57,964.21
|
2026-02-18
|
|
27801347-1926393
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$88,560.00
|
$53,136.00
40% off
|
$15,940.80
|
$79,704.00
|
$57,564.00
|
2026-02-18
|
|
27800973
|
CDM
|
Hc Corevalue Aortic
|
34
|
20
|
$88,500.00
|
$53,100.00
40% off
|
$15,930.00
|
$79,650.00
|
$57,525.00
|
2026-02-18
|
|
1611
|
APR_DRG
|
Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$57,216.30
|
$57,216.30
|
$57,216.30
|
2026-02-18
|
|
4404
|
APR_DRG
|
Inpatient Aprdrg 4404: Kidney Transplant
|
1
|
1
|
—
|
—
|
$57,074.89
|
$57,074.89
|
$57,074.89
|
2026-02-18
|
|
54
|
APR_DRG
|
Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$56,814.15
|
$56,814.15
|
$56,814.15
|
2026-02-18
|
|
43
|
APR_DRG
|
Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
1
|
1
|
—
|
—
|
$56,794.83
|
$56,794.83
|
$56,794.83
|
2026-02-18
|
|
81200002
|
CDM
|
Hc Std Acq Chg Cadaver Pancreas
|
25
|
16
|
$102,432.00
|
$61,459.20
40% off
|
$18,437.76
|
$92,188.80
|
$56,747.33
|
2026-02-18
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
29
|
16
|
—
|
—
|
$42,707.70
|
$120,600.35
|
$56,419.11
|
2026-02-18
|
|
27801347-1355910
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$86,100.00
|
$51,660.00
40% off
|
$15,498.00
|
$77,490.00
|
$55,965.00
|
2026-02-18
|
|
5913
|
APR_DRG
|
Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure
|
1
|
1
|
—
|
—
|
$55,329.34
|
$55,329.34
|
$55,329.34
|
2026-02-18
|
|
6804
|
APR_DRG
|
Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N…
|
1
|
1
|
—
|
—
|
$55,329.34
|
$55,329.34
|
$55,329.34
|
2026-02-18
|
|
27801347-104268
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$84,975.00
|
$50,985.00
40% off
|
$15,295.50
|
$76,477.50
|
$55,233.75
|
2026-02-18
|
|
27800957
|
CDM
|
Hc Catheter Set Pump Ventricular Assist Impella
|
34
|
20
|
$84,975.00
|
$50,985.00
40% off
|
$15,295.50
|
$76,477.50
|
$55,233.75
|
2026-02-18
|
|
27800190
|
CDM
|
Hc Impella 5.0
|
34
|
20
|
$84,975.00
|
$50,985.00
40% off
|
$15,295.50
|
$76,477.50
|
$55,233.75
|
2026-02-18
|
|
27500176-143739
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
34
|
20
|
$84,975.00
|
$50,985.00
40% off
|
$15,295.50
|
$76,477.50
|
$55,233.75
|
2026-02-18
|
|
27801855-1778845
|
CDM
|
Hc Shell Generator, Neurostimulator, Non-recharge With Carotid
|
34
|
20
|
$84,975.00
|
$50,985.00
40% off
|
$15,295.50
|
$76,477.50
|
$55,233.75
|
2026-02-18
|
|
C1823
|
HCPCS
|
Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads
|
33
|
20
|
$84,975.00
|
$50,985.00
40% off
|
$15,295.50
|
$76,477.50
|
$55,233.75
|
2026-02-18
|
|
27203217
|
CDM
|
Hc Heart Valve Sapien Edwards
|
34
|
20
|
$84,975.00
|
$50,985.00
40% off
|
$15,295.50
|
$76,477.50
|
$55,233.75
|
2026-02-18
|
|
C1604
|
HCPCS
|
Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass …
|
34
|
20
|
$84,975.00
|
$50,985.00
40% off
|
$15,295.50
|
$76,477.50
|
$55,233.75
|
2026-02-18
|
|
27802052-101684
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
34
|
20
|
$84,975.00
|
$50,985.00
40% off
|
$15,295.50
|
$76,477.50
|
$55,233.75
|
2026-02-18
|
|
27801815
|
CDM
|
Hc Mitraclip Delivery System Kit (w/guiding Cath)
|
34
|
20
|
$84,975.00
|
$50,985.00
40% off
|
$15,295.50
|
$76,477.50
|
$55,233.75
|
2026-02-18
|
|
27801917-1534761
|
CDM
|
Shell Generator, Cardiac Contractility Modulation
|
34
|
20
|
$84,975.00
|
$50,985.00
40% off
|
$15,295.50
|
$76,477.50
|
$55,233.75
|
2026-02-18
|
|
6084
|
APR_DRG
|
Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi…
|
1
|
1
|
—
|
—
|
$55,172.41
|
$55,172.41
|
$55,172.41
|
2026-02-18
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$117,935.55
|
$54,600.98
|
2026-02-18
|
|
4414
|
APR_DRG
|
Inpatient Aprdrg 4414: Major Bladder Procedures
|
1
|
1
|
—
|
—
|
$54,013.53
|
$54,013.53
|
$54,013.53
|
2026-02-18
|
|
27800246
|
CDM
|
Hc Kit, Catheter Impella Pump
|
34
|
20
|
$82,850.63
|
$49,710.38
40% off
|
$14,913.11
|
$74,565.57
|
$53,852.91
|
2026-02-18
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$114,838.11
|
$53,166.95
|
2026-02-18
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
32
|
17
|
—
|
—
|
$9,144.00
|
$114,437.18
|
$52,893.81
|
2026-02-18
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
33
|
17
|
—
|
—
|
$6,182.00
|
$99,211.09
|
$52,765.74
|
2026-02-18
|
|
23
|
APR_DRG
|
Inpatient Aprdrg 0023: Heart &/or Lung Transplant
|
1
|
1
|
—
|
—
|
$52,555.63
|
$52,555.63
|
$52,555.63
|
2026-02-18
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
33
|
17
|
—
|
—
|
$6,182.00
|
$98,772.86
|
$52,532.67
|
2026-02-18
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
32
|
17
|
—
|
—
|
$25,893.00
|
$113,370.52
|
$52,400.79
|
2026-02-18
|
|
83
|
APR_DRG
|
Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$51,458.49
|
$51,458.49
|
$51,458.49
|
2026-02-18
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
10
|
5
|
—
|
—
|
$35,308.00
|
$63,783.00
|
$51,089.92
|
2026-02-18
|
|
1784
|
APR_DRG
|
Inpatient Aprdrg 1784: External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$50,589.68
|
$50,589.68
|
$50,589.68
|
2026-02-18
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$108,574.25
|
$50,266.94
|
2026-02-18
|
|
5933
|
APR_DRG
|
Inpatient Aprdrg 5933: Neonate Birthwt 750-999g Without Major Procedure
|
1
|
1
|
—
|
—
|
$49,820.55
|
$49,820.55
|
$49,820.55
|
2026-02-18
|
|
6114
|
APR_DRG
|
Inpatient Aprdrg 6114: Neonate Birthwt 1500-1999g W Major Anomaly
|
1
|
1
|
—
|
—
|
$49,763.29
|
$49,763.29
|
$49,763.29
|
2026-02-18
|
|
1674
|
APR_DRG
|
Inpatient Aprdrg 1674: Other Cardiothoracic & Thoracic Vascular Procedures
|
1
|
1
|
—
|
—
|
$49,543.25
|
$49,543.25
|
$49,543.25
|
2026-02-18
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
17
|
—
|
—
|
$35,308.00
|
$107,028.33
|
$49,469.39
|
2026-02-18
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
33
|
17
|
—
|
—
|
$6,182.00
|
$93,085.00
|
$49,424.37
|
2026-02-18
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
32
|
17
|
—
|
—
|
$35,154.00
|
$106,388.70
|
$49,173.74
|
2026-02-18
|
|
6904
|
APR_DRG
|
Inpatient Aprdrg 6904: Acute Leukemia
|
1
|
1
|
—
|
—
|
$49,098.32
|
$49,098.32
|
$49,098.32
|
2026-02-18
|
|
38240
|
HCPCS
|
Hc Hpc Allogenic Transplantation
|
36
|
22
|
$11,975.52
|
$7,185.31
40% off
|
$2,155.59
|
$80,651.54
|
$48,879.72
|
2026-02-18
|
|
27801347-303311
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$75,075.00
|
$45,045.00
40% off
|
$13,513.50
|
$67,567.50
|
$48,798.75
|
2026-02-18
|
|
434
|
APR_DRG
|
Inpatient Aprdrg 0434: Multiple Sclerosis & Other Demyelinating Diseases
|
1
|
1
|
—
|
—
|
$48,797.57
|
$48,797.57
|
$48,797.57
|
2026-02-18
|
|
92
|
APR_DRG
|
Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$48,742.73
|
$48,742.73
|
$48,742.73
|
2026-02-18
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
29
|
16
|
—
|
—
|
$36,500.84
|
$103,073.09
|
$48,219.53
|
2026-02-18
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$103,955.14
|
$48,128.42
|
2026-02-18
|
|
27801347-181497
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$73,800.00
|
$44,280.00
40% off
|
$13,284.00
|
$66,420.00
|
$47,970.00
|
2026-02-18
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$103,073.09
|
$47,720.05
|
2026-02-18
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
19
|
14
|
—
|
—
|
$39,257.90
|
$83,095.00
|
$47,522.73
|
2026-02-18
|
|
27801347-876560
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$73,078.50
|
$43,847.10
40% off
|
$13,154.13
|
$65,770.65
|
$47,501.03
|
2026-02-18
|
|
91
|
APR_DRG
|
Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$47,270.68
|
$47,270.68
|
$47,270.68
|
2026-02-18
|
|
62400012-1362918
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
25
|
16
|
$84,975.00
|
$50,985.00
40% off
|
$15,295.50
|
$76,477.50
|
$47,076.15
|
2026-02-18
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$101,234.40
|
$46,868.81
|
2026-02-18
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
32
|
17
|
—
|
—
|
$6,182.00
|
$100,622.74
|
$46,829.43
|
2026-02-18
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$100,611.55
|
$46,580.43
|
2026-02-18
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
32
|
17
|
—
|
—
|
$9,144.00
|
$100,717.85
|
$46,552.63
|
2026-02-18
|
|
27801347-1322565
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$71,209.05
|
$42,725.43
40% off
|
$12,817.63
|
$64,088.14
|
$46,285.88
|
2026-02-18
|
|
6334
|
APR_DRG
|
Inpatient Aprdrg 6334: Neonate Birthwt >2499g W Major Anomaly
|
1
|
1
|
—
|
—
|
$46,277.02
|
$46,277.02
|
$46,277.02
|
2026-02-18
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
32
|
17
|
—
|
—
|
$6,182.00
|
$90,157.00
|
$46,260.26
|
2026-02-18
|
|
3034
|
APR_DRG
|
Inpatient Aprdrg 3034: Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
1
|
1
|
—
|
—
|
$45,994.88
|
$45,994.88
|
$45,994.88
|
2026-02-18
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
21
|
14
|
—
|
—
|
$39,859.50
|
$52,111.05
|
$45,985.28
|
2026-02-18
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
21
|
14
|
—
|
—
|
$39,859.50
|
$52,111.05
|
$45,985.28
|
2026-02-18
|
|
5912
|
APR_DRG
|
Inpatient Aprdrg 5912: Neonate Birthwt 500-749g Without Major Procedure
|
1
|
1
|
—
|
—
|
$45,683.09
|
$45,683.09
|
$45,683.09
|
2026-02-18
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
33
|
17
|
—
|
—
|
$6,182.00
|
$85,878.00
|
$45,549.41
|
2026-02-18
|
|
27801494
|
CDM
|
Hc Watchman Laa Closure Device
|
34
|
20
|
$70,040.00
|
$42,024.00
40% off
|
$12,607.20
|
$63,036.00
|
$45,526.00
|
2026-02-18
|
|
27801347-1033551
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$69,893.46
|
$41,936.08
40% off
|
$12,580.82
|
$62,904.11
|
$45,430.75
|
2026-02-18
|
|
C2624
|
HCPCS
|
Hc Cardiomems Monitoring Device (implant)
|
59
|
20
|
$76,477.50
|
$45,886.50
40% off
|
$12,574.80
|
$68,829.75
|
$45,409.00
|
2026-02-18
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
31
|
17
|
—
|
—
|
$6,368.00
|
$88,350.00
|
$45,344.63
|
2026-02-18
|
|
6074
|
APR_DRG
|
Inpatient Aprdrg 6074: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M…
|
1
|
1
|
—
|
—
|
$45,236.10
|
$45,236.10
|
$45,236.10
|
2026-02-18
|
|
63
|
APR_DRG
|
Inpatient Aprdrg 0063: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$45,217.47
|
$45,217.47
|
$45,217.47
|
2026-02-18
|
|
27801347-820405
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$69,408.43
|
$41,645.06
40% off
|
$12,493.52
|
$62,467.59
|
$45,115.48
|
2026-02-18
|
|
27801347-777976
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$69,300.00
|
$41,580.00
40% off
|
$12,474.00
|
$62,370.00
|
$45,045.00
|
2026-02-18
|
|
27801661
|
CDM
|
Hc Aortic Valve Evolut Medtronic
|
34
|
20
|
$69,300.00
|
$41,580.00
40% off
|
$12,474.00
|
$62,370.00
|
$45,045.00
|
2026-02-18
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
30
|
16
|
—
|
—
|
$6,368.00
|
$93,301.54
|
$44,980.28
|
2026-02-18
|
|
27801347-331887
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$69,105.07
|
$41,463.04
40% off
|
$12,438.91
|
$62,194.56
|
$44,918.30
|
2026-02-18
|
|
27801347-1340795
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$68,999.70
|
$41,399.82
40% off
|
$12,419.95
|
$62,099.73
|
$44,849.81
|
2026-02-18
|
|
C1822
|
HCPCS
|
Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys
|
96
|
20
|
$69,860.00
|
$41,916.00
40% off
|
$10,686.05
|
$76,477.50
|
$44,780.97
|
2026-02-18
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$95,720.18
|
$44,779.72
|
2026-02-18
|
|
27400120
|
CDM
|
Hc Power Base Unit-vad
|
34
|
20
|
$68,250.00
|
$40,950.00
40% off
|
$12,285.00
|
$61,425.00
|
$44,362.50
|
2026-02-18
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
32
|
17
|
—
|
—
|
$33,643.40
|
$95,817.00
|
$44,214.51
|
2026-02-18
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$94,713.19
|
$43,849.64
|
2026-02-18
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
20
|
14
|
—
|
—
|
$22,931.48
|
$64,755.18
|
$43,843.33
|
2026-02-18
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
29
|
16
|
—
|
—
|
$33,066.25
|
$93,374.27
|
$43,682.26
|
2026-02-18
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$93,928.11
|
$43,486.18
|
2026-02-18
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$93,264.24
|
$43,178.81
|
2026-02-18
|
|
2204
|
APR_DRG
|
Inpatient Aprdrg 2204: Major Stomach, Esophageal & Duodenal Procedures
|
1
|
1
|
—
|
—
|
$43,105.98
|
$43,105.98
|
$43,105.98
|
2026-02-18
|
|
27801347-264193
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$66,280.50
|
$39,768.30
40% off
|
$11,930.49
|
$59,652.45
|
$43,082.32
|
2026-02-18
|
|
27802083
|
CDM
|
Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l…
|
34
|
20
|
$66,280.50
|
$39,768.30
40% off
|
$11,930.49
|
$59,652.45
|
$43,082.32
|
2026-02-18
|
|
6134
|
APR_DRG
|
Inpatient Aprdrg 6134: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti…
|
1
|
1
|
—
|
—
|
$42,871.10
|
$42,871.10
|
$42,871.10
|
2026-02-18
|
|
4474
|
APR_DRG
|
Inpatient Aprdrg 4474: Other Kidney, Urinary Tract & Related Procedures
|
1
|
1
|
—
|
—
|
$42,770.73
|
$42,770.73
|
$42,770.73
|
2026-02-18
|
|
27800296
|
CDM
|
Hc Kit, Tandem Heart Procedure
|
34
|
20
|
$65,667.00
|
$39,400.20
40% off
|
$11,820.06
|
$59,100.30
|
$42,683.55
|
2026-02-18
|
|
22
|
APR_DRG
|
Inpatient Aprdrg 0022: Heart &/or Lung Transplant
|
1
|
1
|
—
|
—
|
$42,219.58
|
$42,219.58
|
$42,219.58
|
2026-02-18
|
|
27801347-1855907
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$64,920.90
|
$38,952.54
40% off
|
$11,685.76
|
$58,428.81
|
$42,198.58
|
2026-02-18
|
|
62400012-847925
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
25
|
16
|
$76,137.60
|
$45,682.56
40% off
|
$13,704.77
|
$68,523.84
|
$42,180.23
|
2026-02-18
|
|
234
|
APR_DRG
|
Inpatient Aprdrg 0234: Spinal Procedures
|
1
|
1
|
—
|
—
|
$42,137.14
|
$42,137.14
|
$42,137.14
|
2026-02-18
|
|
27801347-459333
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$64,820.00
|
$38,892.00
40% off
|
$11,667.60
|
$58,338.00
|
$42,133.00
|
2026-02-18
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
32
|
17
|
—
|
—
|
$29,293.00
|
$91,129.05
|
$42,120.60
|
2026-02-18
|
|
9104
|
APR_DRG
|
Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$41,984.70
|
$41,984.70
|
$41,984.70
|
2026-02-18
|
|
27801347-820401
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$64,564.85
|
$38,738.91
40% off
|
$11,621.67
|
$58,108.36
|
$41,967.15
|
2026-02-18
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
32
|
17
|
—
|
—
|
$32,076.35
|
$90,578.93
|
$41,866.34
|
2026-02-18
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
21
|
14
|
—
|
—
|
$35,931.61
|
$46,975.86
|
$41,453.74
|
2026-02-18
|
|
112
|
APR_DRG
|
Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
1
|
1
|
—
|
—
|
$41,445.27
|
$41,445.27
|
$41,445.27
|
2026-02-18
|
|
6023
|
APR_DRG
|
Inpatient Aprdrg 6023: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M…
|
1
|
1
|
—
|
—
|
$41,443.54
|
$41,443.54
|
$41,443.54
|
2026-02-18
|
|
92973
|
HCPCS
|
Hc Percut Coronary Thrombectomy
|
20
|
16
|
$73,006.37
|
$43,803.82
40% off
|
$2,866.00
|
$65,705.73
|
$41,394.61
|
2026-02-18
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
31
|
16
|
—
|
—
|
$6,182.00
|
$89,053.52
|
$41,229.38
|
2026-02-18
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$88,667.51
|
$41,050.66
|
2026-02-18
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$88,650.73
|
$41,042.90
|
2026-02-18
|
|
53
|
APR_DRG
|
Inpatient Aprdrg 0053: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$40,926.88
|
$40,926.88
|
$40,926.88
|
2026-02-18
|
|
62
|
APR_DRG
|
Inpatient Aprdrg 0062: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$40,898.60
|
$40,898.60
|
$40,898.60
|
2026-02-18
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
33
|
17
|
—
|
—
|
$6,182.00
|
$82,707.00
|
$40,783.81
|
2026-02-18
|
|
9504
|
APR_DRG
|
Inpatient Aprdrg 9504: Extensive Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$40,738.22
|
$40,738.22
|
$40,738.22
|
2026-02-18
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
10
|
5
|
—
|
—
|
$35,308.00
|
$50,658.00
|
$40,577.08
|
2026-02-18
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
32
|
17
|
—
|
—
|
$6,182.00
|
$82,707.00
|
$40,570.67
|
2026-02-18
|
|
27801347-1203071
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$62,351.26
|
$37,410.76
40% off
|
$11,223.23
|
$56,116.13
|
$40,528.32
|
2026-02-18
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$87,263.32
|
$40,400.56
|
2026-02-18
|
|
61
|
APR_DRG
|
Inpatient Aprdrg 0061: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$40,370.55
|
$40,370.55
|
$40,370.55
|
2026-02-18
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$87,079.00
|
$40,210.15
|
2026-02-18
|
|
27801347-1186553
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$61,182.00
|
$36,709.20
40% off
|
$11,012.76
|
$55,063.80
|
$39,768.30
|
2026-02-18
|
|
71
|
APR_DRG
|
Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$39,671.78
|
$39,671.78
|
$39,671.78
|
2026-02-18
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$85,629.75
|
$39,644.27
|
2026-02-18
|
|
13
|
APR_DRG
|
Inpatient Aprdrg 0013: Liver Transplant &/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$39,382.06
|
$39,382.06
|
$39,382.06
|
2026-02-18
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
30
|
16
|
—
|
—
|
$6,368.00
|
$79,429.29
|
$39,338.61
|
2026-02-18
|
|
6093
|
APR_DRG
|
Inpatient Aprdrg 6093: Neonate Bwt 1500-2499g W Major Procedure
|
1
|
1
|
—
|
—
|
$39,335.50
|
$39,335.50
|
$39,335.50
|
2026-02-18
|
|
264
|
APR_DRG
|
Inpatient Aprdrg 0264: Other Nervous System & Related Procedures
|
1
|
1
|
—
|
—
|
$39,311.70
|
$39,311.70
|
$39,311.70
|
2026-02-18
|
|
27801347-1245429
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$60,315.26
|
$36,189.16
40% off
|
$10,856.75
|
$54,283.73
|
$39,204.92
|
2026-02-18
|
|
5932
|
APR_DRG
|
Inpatient Aprdrg 5932: Neonate Birthwt 750-999g Without Major Procedure
|
1
|
1
|
—
|
—
|
$39,142.01
|
$39,142.01
|
$39,142.01
|
2026-02-18
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$84,132.32
|
$38,950.98
|
2026-02-18
|
|
3033
|
APR_DRG
|
Inpatient Aprdrg 3033: Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
1
|
1
|
—
|
—
|
$38,909.89
|
$38,909.89
|
$38,909.89
|
2026-02-18
|
|
27801347-1004156
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$59,846.19
|
$35,907.71
40% off
|
$10,772.31
|
$53,861.57
|
$38,900.02
|
2026-02-18
|
|
1824
|
APR_DRG
|
Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures
|
1
|
1
|
—
|
—
|
$38,878.50
|
$38,878.50
|
$38,878.50
|
2026-02-18
|
|
1634
|
APR_DRG
|
Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Pdx
|
1
|
1
|
—
|
—
|
$38,855.39
|
$38,855.39
|
$38,855.39
|
2026-02-18
|
|
27801347-212472
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$59,762.58
|
$35,857.55
40% off
|
$10,757.26
|
$53,786.32
|
$38,845.68
|
2026-02-18
|
|
27801347-820416
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$59,721.28
|
$35,832.77
40% off
|
$10,749.83
|
$53,749.15
|
$38,818.83
|
2026-02-18
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
32
|
17
|
—
|
—
|
$29,533.89
|
$83,399.45
|
$38,813.76
|
2026-02-18
|
|
27801347-1295866
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$59,482.50
|
$35,689.50
40% off
|
$10,706.85
|
$53,534.25
|
$38,663.62
|
2026-02-18
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
32
|
17
|
—
|
—
|
$9,144.00
|
$83,630.69
|
$38,654.79
|
2026-02-18
|
|
27500176-1256480
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
34
|
20
|
$59,370.33
|
$35,622.20
40% off
|
$10,686.66
|
$53,433.30
|
$38,590.71
|
2026-02-18
|
|
27801347-859557
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$59,322.75
|
$35,593.65
40% off
|
$10,678.09
|
$53,390.47
|
$38,559.79
|
2026-02-18
|
|
93653
|
HCPCS
|
Hc Compreh Electroph Eval Source Of Atrial R
|
39
|
23
|
$80,865.20
|
$48,519.12
40% off
|
$14,555.74
|
$72,778.68
|
$38,410.97
|
2026-02-18
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$82,619.96
|
$38,250.82
|
2026-02-18
|
|
7924
|
APR_DRG
|
Inpatient Aprdrg 7924: Extensive Or Procedures For Other Complications Of Treatm…
|
1
|
1
|
—
|
—
|
$38,219.39
|
$38,219.39
|
$38,219.39
|
2026-02-18
|
|
3044
|
APR_DRG
|
Inpatient Aprdrg 3044: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
1
|
1
|
—
|
—
|
$38,210.08
|
$38,210.08
|
$38,210.08
|
2026-02-18
|
|
27801347-339706
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$58,780.61
|
$35,268.37
40% off
|
$10,580.51
|
$52,902.55
|
$38,207.40
|
2026-02-18
|
|
27801347-1189077
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$58,690.80
|
$35,214.48
40% off
|
$10,564.34
|
$52,821.72
|
$38,149.02
|
2026-02-18
|
|
27801347-1190176
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$58,673.54
|
$35,204.12
40% off
|
$10,561.24
|
$52,806.19
|
$38,137.80
|
2026-02-18
|
|
2054
|
APR_DRG
|
Inpatient Aprdrg 2054: Cardiomyopathy
|
1
|
1
|
—
|
—
|
$38,102.12
|
$38,102.12
|
$38,102.12
|
2026-02-18
|
|
6954
|
APR_DRG
|
Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia
|
1
|
1
|
—
|
—
|
$38,053.15
|
$38,053.15
|
$38,053.15
|
2026-02-18
|
|
8413
|
APR_DRG
|
Inpatient Aprdrg 8413: Extensive 3rd Degree Burns W Skin Graft
|
1
|
1
|
—
|
—
|
$38,014.17
|
$38,014.17
|
$38,014.17
|
2026-02-18
|
|
27801347-1194171
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$57,783.00
|
$34,669.80
40% off
|
$10,400.94
|
$52,004.70
|
$37,558.95
|
2026-02-18
|
|
27801347-1296846
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$57,766.01
|
$34,659.61
40% off
|
$10,397.88
|
$51,989.41
|
$37,547.91
|
2026-02-18
|
|
C1736
|
HCPCS
|
Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd
|
26
|
17
|
$67,980.00
|
$40,788.00
40% off
|
$12,236.40
|
$61,182.00
|
$37,524.96
|
2026-02-18
|
|
27801347-1365777
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$57,613.05
|
$34,567.83
40% off
|
$10,370.35
|
$51,851.75
|
$37,448.48
|
2026-02-18
|
|
52
|
APR_DRG
|
Inpatient Aprdrg 0052: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$37,375.41
|
$37,375.41
|
$37,375.41
|
2026-02-18
|
|
27801347-341815
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$57,500.00
|
$34,500.00
40% off
|
$10,350.00
|
$51,750.00
|
$37,375.00
|
2026-02-18
|
|
6514
|
APR_DRG
|
Inpatient Aprdrg 6514: Other Procedures Of Blood & Blood-forming Organs
|
1
|
1
|
—
|
—
|
$37,250.21
|
$37,250.21
|
$37,250.21
|
2026-02-18
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
17
|
—
|
—
|
$28,514.94
|
$80,522.06
|
$37,217.96
|
2026-02-18
|
|
42
|
APR_DRG
|
Inpatient Aprdrg 0042: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
1
|
1
|
—
|
—
|
$37,133.98
|
$37,133.98
|
$37,133.98
|
2026-02-18
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
21
|
14
|
—
|
—
|
$32,022.86
|
$41,865.67
|
$36,944.26
|
2026-02-18
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$79,546.77
|
$36,828.00
|
2026-02-18
|
|
6144
|
APR_DRG
|
Inpatient Aprdrg 6144: Neonate Bwt 1500-1999g W Or Without Other Significant Conditi…
|
1
|
1
|
—
|
—
|
$36,743.90
|
$36,743.90
|
$36,743.90
|
2026-02-18
|
|
1623
|
APR_DRG
|
Inpatient Aprdrg 1623: Cardiac Valve Procedures W Ami Or Complex Pdx
|
1
|
1
|
—
|
—
|
$36,681.47
|
$36,681.47
|
$36,681.47
|
2026-02-18
|
|
214
|
APR_DRG
|
Inpatient Aprdrg 0214: Craniotomy Except For Trauma
|
1
|
1
|
—
|
—
|
$36,594.55
|
$36,594.55
|
$36,594.55
|
2026-02-18
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$78,866.12
|
$36,512.87
|
2026-02-18
|
|
2304
|
APR_DRG
|
Inpatient Aprdrg 2304: Major Small Bowel Procedures
|
1
|
1
|
—
|
—
|
$36,462.46
|
$36,462.46
|
$36,462.46
|
2026-02-18
|
|
27500176-476411
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
34
|
20
|
$55,965.00
|
$33,579.00
40% off
|
$10,073.70
|
$50,368.50
|
$36,377.25
|
2026-02-18
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
32
|
17
|
—
|
—
|
$27,673.63
|
$78,146.31
|
$36,368.98
|
2026-02-18
|
|
224
|
APR_DRG
|
Inpatient Aprdrg 0224: Ventricular Shunt Procedures
|
1
|
1
|
—
|
—
|
$36,318.63
|
$36,318.63
|
$36,318.63
|
2026-02-18
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$77,588.73
|
$36,297.47
|
2026-02-18
|
|
27801347-1165378
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$55,770.79
|
$33,462.47
40% off
|
$10,038.74
|
$50,193.71
|
$36,251.01
|
2026-02-18
|
|
27801347-820452
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$55,747.28
|
$33,448.37
40% off
|
$10,034.51
|
$50,172.55
|
$36,235.73
|
2026-02-18
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$78,127.66
|
$36,171.00
|
2026-02-18
|
|
4424
|
APR_DRG
|
Inpatient Aprdrg 4424: Kidney & Urinary Tract Procedures For Malignancy
|
1
|
1
|
—
|
—
|
$36,119.62
|
$36,119.62
|
$36,119.62
|
2026-02-18
|
|
C1605
|
HCPCS
|
Shell C1605, Ptd, Pacemaker, Leadless, Dual Chamber, Rate-responsive, Including …
|
96
|
20
|
$54,044.10
|
$32,426.46
40% off
|
$5,353.43
|
$73,418.40
|
$35,939.33
|
2026-02-18
|
|
27801347-1045828
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$55,229.43
|
$33,137.66
40% off
|
$9,941.30
|
$49,706.49
|
$35,899.13
|
2026-02-18
|
|
9524
|
APR_DRG
|
Inpatient Aprdrg 9524: Nonextensive Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$35,897.85
|
$35,897.85
|
$35,897.85
|
2026-02-18
|
|
27801347-1190001
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$54,982.22
|
$32,989.33
40% off
|
$9,896.80
|
$49,484.00
|
$35,738.44
|
2026-02-18
|
|
27801347-1366499
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$54,877.70
|
$32,926.62
40% off
|
$9,877.99
|
$49,389.93
|
$35,670.50
|
2026-02-18
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
32
|
17
|
—
|
—
|
$6,182.00
|
$76,525.80
|
$35,614.80
|
2026-02-18
|
|
9114
|
APR_DRG
|
Inpatient Aprdrg 9114: Extensive Abdominal/thoracic Procedures For Mult Signific…
|
1
|
1
|
—
|
—
|
$35,569.85
|
$35,569.85
|
$35,569.85
|
2026-02-18
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
32
|
17
|
—
|
—
|
$9,144.00
|
$76,639.55
|
$35,423.43
|
2026-02-18
|
|
27500176-1174548
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
34
|
20
|
$54,384.00
|
$32,630.40
40% off
|
$9,789.12
|
$48,945.60
|
$35,349.60
|
2026-02-18
|
|
27801347-1393648
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$54,384.00
|
$32,630.40
40% off
|
$9,789.12
|
$48,945.60
|
$35,349.60
|
2026-02-18
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
22
|
15
|
—
|
—
|
$28,573.72
|
$80,688.03
|
$35,341.18
|
2026-02-18
|
|
27800112-1191389
|
CDM
|
Hc Shell Implant Graft
|
34
|
20
|
$54,265.04
|
$32,559.02
40% off
|
$9,767.71
|
$48,838.54
|
$35,272.28
|
2026-02-18
|
|
27801347-1182741
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
34
|
20
|
$54,265.04
|
$32,559.02
40% off
|
$9,767.71
|
$48,838.54
|
$35,272.28
|
2026-02-18
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
31
|
16
|
—
|
—
|
$6,182.00
|
$75,848.88
|
$35,115.99
|
2026-02-18
|
|
27500176-303201
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
34
|
20
|
$53,925.14
|
$32,355.08
40% off
|
$9,706.53
|
$48,532.63
|
$35,051.34
|
2026-02-18
|
|
4403
|
APR_DRG
|
Inpatient Aprdrg 4403: Kidney Transplant
|
1
|
1
|
—
|
—
|
$34,932.47
|
$34,932.47
|
$34,932.47
|
2026-02-18
|
|
3154
|
APR_DRG
|
Inpatient Aprdrg 3154: Shoulder, Upper Arm & Forearm Procedures Except Joint Rep…
|
1
|
1
|
—
|
—
|
$34,930.05
|
$34,930.05
|
$34,930.05
|
2026-02-18
|