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

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Hospital

BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE

Pflugerville, TX · CCN 670128 · Rates published

12,113 distinct procedures filed
24 distinct payers
1,111,560 rate rows
2026-06-13 last MRF observed
Data quality

1,106,216 of 1,111,560 rate rows are consumer-grade (99.5%)

5,344 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 2,298
per-diem day rate — not a per-procedure price 1,521
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 828
exceeds 10× this hospital's gross charge — excluded from medians 402
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 171
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 94
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 27
template filing: same amount across many unrelated codes — excluded 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/813040663_baylor-scott--white-medical-center--pflugerville_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 Latest re-check couldn't be parsed — showing last good data · 2026-11-11
Content fingerprint 2424389a4c870212… · 495,187,418 bytes · first seen 2026-11-03

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $299,773.30 $622,609.61 $342,372.66 nat. median
$360,195
1.0× median
5834
APR_DRG 		Inpatient Aprdrg 5834: Neonate With Ecmo 2 $261,957.62 $280,294.50 $271,126.06 nat. median
$309,665
0.9× median
74
APR_DRG 		Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 2 $254,832.62 $272,670.74 $263,751.68 nat. median
$171,358
1.5× median
5833
APR_DRG 		Inpatient Aprdrg 5833: Neonate With Ecmo 2 $221,816.09 $237,343.08 $229,579.58 nat. median
$244,017
0.9× median
24
APR_DRG 		Inpatient Aprdrg 0024: Heart And/or Lung Transplant 2 $213,380.79 $228,317.32 $220,849.05 nat. median
$243,231
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $194,540.80 $254,336.50 $214,773.04 nat. median
$247,805
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $6,764.00 $385,799.21 $193,256.57 nat. median
$190,274
1.0× median
81200003
CDM 		Hc Std Acq Chg Cadaver Kidney/pancreas 18 $36,194.50 $296,136.78 $184,262.89 nat. median
$162,217
1.1× median
5884
APR_DRG 		Inpatient Aprdrg 5884: Neonate Birth Weight < 1500 Grams With Major Procedure 2 $165,814.88 $177,421.82 $171,618.35 nat. median
$249,123
0.7× median
1614
APR_DRG 		Inpatient Aprdrg 1614: Implantable Heart Assist Systems 2 $161,017.62 $172,288.76 $166,653.19 nat. median
$202,660
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $6,764.00 $341,679.00 $166,520.96 nat. median
$197,664
0.8× median
94
APR_DRG 		Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 2 $150,848.16 $161,407.43 $156,127.79 nat. median
$165,169
0.9× median
27500234
CDM 		Hc Heartmate 3 Lvad Implant 20 $25,687.75 $210,172.50 $143,617.88 nat. median
$162,128
0.9× median
27800187
CDM 		Hc Kit, Heartmate Ii Vad Implant 20 $23,677.50 $193,725.00 $132,378.75 nat. median
$132,379
1.0× median
81200004
CDM 		Hc Std Acq Chg Cadaver Heart 18 $25,246.79 $206,564.68 $128,529.13 nat. median
$126,557
1.0× median
6304
APR_DRG 		Inpatient Aprdrg 6304: Neonate Birth Weight > 2499 Grams With Major Cardiovascul… 2 $123,377.32 $132,013.66 $127,695.49 nat. median
$154,211
0.8× median
27801850
CDM 		Hc Heartware Hvad Pump 20 $22,784.52 $186,418.80 $127,386.18 nat. median
$134,636
0.9× median
6094
APR_DRG 		Inpatient Aprdrg 6094: Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $122,283.98 $130,843.78 $126,563.88 nat. median
$165,846
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $6,566.00 $251,769.56 $123,774.03 nat. median
$126,240
1.0× median
5832
APR_DRG 		Inpatient Aprdrg 5832: Neonate With Ecmo 2 $110,525.89 $118,262.64 $114,394.26 nat. median
$159,829
0.7× median
114
APR_DRG 		Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 $104,951.57 $112,298.11 $108,624.84 nat. median
$122,909
0.9× median
81200001
CDM 		Hc Std Acq Chg Cadaver Kidney 18 $21,256.66 $173,918.16 $108,215.74 nat. median
$111,486
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $78,574.65 $280,554.79 $103,263.64 nat. median
$92,760
1.1× median
2004
APR_DRG 		Inpatient Aprdrg 2004: Cardiac Structural And Valvular Disorders 2 $97,528.91 $104,355.88 $100,942.40 nat. median
$28,745
outlier · 3.5×
5831
APR_DRG 		Inpatient Aprdrg 5831: Neonate With Ecmo 2 $97,320.24 $104,132.60 $100,726.42 nat. median
$148,245
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $37,904.00 $200,326.51 $100,025.12 nat. median
$93,094
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $6,764.00 $210,044.12 $99,845.99 nat. median
$97,029
1.0× median
7
MS_DRG 		Lung Transplant 9 $89,899.77 $117,532.12 $99,135.79 nat. median
$117,943
0.8× median
73
APR_DRG 		Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 2 $89,920.70 $96,215.09 $93,067.89 nat. median
$89,273
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $83,427.78 $218,443.00 $92,104.27 nat. median
$109,875
0.8× median
5883
APR_DRG 		Inpatient Aprdrg 5883: Neonate Birth Weight < 1500 Grams With Major Procedure 2 $88,970.83 $95,198.74 $92,084.79 nat. median
$177,531
0.5× median
5882
APR_DRG 		Inpatient Aprdrg 5882: Neonate Birth Weight < 1500 Grams With Major Procedure 2 $88,564.19 $94,763.63 $91,663.91 nat. median
$145,336
0.6× median
44
APR_DRG 		Inpatient Aprdrg 0044: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $88,335.18 $94,518.59 $91,426.88 nat. median
$122,016
0.7× median
8414
APR_DRG 		Inpatient Aprdrg 8414: Extensive Third Degree Burns With Skin Graft 2 $87,955.44 $94,112.27 $91,033.86 nat. median
$160,390
0.6× median
6314
APR_DRG 		Inpatient Aprdrg 6314: Neonate Birth Weight > 2499 Grams With Other Major Proced… 2 $87,076.97 $93,172.31 $90,124.64 nat. median
$138,094
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $67,911.81 $242,482.55 $89,715.08 nat. median
$90,525
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 17 $6,566.00 $246,800.38 $88,974.26 nat. median
$93,531
1.0× median
8504
APR_DRG 		Inpatient Aprdrg 8504: Procedure With Diagnosis Of Rehabilitation, Aftercare Or… 2 $84,783.02 $90,717.78 $87,750.40 nat. median
$67,082
1.3× median
5914
APR_DRG 		Inpatient Aprdrg 5914: Neonate Birth Weight 500-749 Grams Without Major Procedur… 2 $84,023.54 $89,905.14 $86,964.34 nat. median
$165,334
0.5× median
1613
APR_DRG 		Inpatient Aprdrg 1613: Implantable Heart Assist Systems 2 $83,924.56 $89,799.23 $86,861.89 nat. median
$121,888
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $78,664.91 $102,844.02 $86,846.07 nat. median
$103,911
0.8× median
5881
APR_DRG 		Inpatient Aprdrg 5881: Neonate Birth Weight < 1500 Grams With Major Procedure 2 $83,481.01 $89,324.63 $86,402.82 nat. median
$122,978
0.7× median
Q2043
HCPCS 		Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 24 $20,658.83 $169,026.75 $86,391.45 nat. median
$65,318
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $37,904.00 $163,762.72 $81,768.44 nat. median
$77,933
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $60,113.91 $176,976.00 $79,413.64 nat. median
$78,028
1.0× median
14
APR_DRG 		Inpatient Aprdrg 0014: Liver Transplant And/or Intestinal Transplant 2 $76,436.71 $81,787.24 $79,111.98 nat. median
$137,215
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $71,575.08 $93,575.00 $78,928.48 nat. median
$94,844
0.8× median
84
APR_DRG 		Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 $76,130.44 $81,459.52 $78,794.98 nat. median
$78,187
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $58,520.04 $162,831.95 $78,456.00 nat. median
$76,979
1.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $77,779.00 $77,779.00 $77,779.00 nat. median
$47,119
1.7× median

Other procedures at this hospital

Browse this hospital's 12,113 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
             
834 MS_DRG Acute Leukemia With Mcc 28 17 — — $834.00 $99,787.00 $49,056.93 2026-06-13
850 MS_DRG Acute Leukemia With Other Procedures 25 15 — — $60,113.91 $176,976.00 $79,413.64 2026-06-13
245 MS_DRG Aicd Generator Procedures 31 18 — — $31,111.00 $113,086.48 $40,130.87 2026-06-13
14 MS_DRG Allogeneic Bone Marrow Transplant 10 10 — — $83,427.78 $218,443.00 $92,104.27 2026-06-13
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 17 — — $6,566.00 $121,992.31 $43,979.57 2026-06-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 18 — — $9,711.00 $78,029.77 $37,760.35 2026-06-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 17 — — $47,746.11 $170,479.89 $65,683.94 2026-06-13
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 17 — — $29,317.28 $104,678.85 $40,331.56 2026-06-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 9 — — $41,163.74 $53,816.17 $45,392.77 2026-06-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 9 9 — — $41,271.47 $53,957.01 $45,511.57 2026-06-13
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 18 — — $25,944.20 $67,930.92 $34,315.89 2026-06-13
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 18 — — $9,711.00 $97,436.79 $48,430.03 2026-06-13
C1826 HCPCS C1826, Genrtr Neurstmltr Implntble Incls Clsd Leads & All Implntble Comps With Rec… 65 20 $67,980.00 $40,788.00 40% off $7,477.80 $76,477.50 $46,736.25 2026-06-13
C1827 HCPCS C1827, Genrtr Neurstmltr Implntble Nonrechrgble With Implntble Stmltn Lead & Ext P… 36 20 $84,975.00 $50,985.00 40% off $9,347.25 $76,477.50 $52,259.62 2026-06-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 18 — — $49,498.95 $137,730.81 $71,501.69 2026-06-13
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $77,779.00 $77,779.00 $77,779.00 2026-06-13
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $77,779.00 $77,779.00 $77,779.00 2026-06-13
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $77,779.00 $77,779.00 $77,779.00 2026-06-13
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $77,779.00 $77,779.00 $77,779.00 2026-06-13
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 18 — — $41,697.58 $119,005.00 $60,232.54 2026-06-13
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $77,779.00 $77,779.00 $77,779.00 2026-06-13
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $77,779.00 $77,779.00 $77,779.00 2026-06-13
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 18 — — $32,061.44 $89,383.00 $46,313.04 2026-06-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $67,911.81 $242,482.55 $89,715.08 2026-06-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $45,645.48 $162,979.46 $66,656.77 2026-06-13
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $45,645.48 $127,008.49 $66,656.77 2026-06-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $53,302.46 $190,319.10 $77,779.00 2026-06-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $37,020.08 $132,182.09 $54,060.99 2026-06-13
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $34,988.88 $97,356.50 $51,094.78 2026-06-13
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 18 — — $26,870.25 $70,355.66 $34,046.68 2026-06-13
471 MS_DRG Cervical Spinal Fusion With Mcc 31 18 — — $33,520.64 $87,768.72 $42,473.25 2026-06-13
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 17 — — $33,351.26 $87,325.21 $43,830.57 2026-06-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 13 — — $299,773.30 $622,609.61 $342,372.66 2026-06-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 17 — — $37,904.00 $163,762.72 $81,768.44 2026-06-13
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 17 — — $37,904.00 $104,825.52 $52,340.48 2026-06-13
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $37,499.00 $37,499.00 $37,499.00 2026-06-13
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $37,499.00 $37,499.00 $37,499.00 2026-06-13
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $37,499.00 $37,499.00 $37,499.00 2026-06-13
209 MS_DRG Complex Aortic Arch Procedures 24 14 — — $78,574.65 $280,554.79 $103,263.64 2026-06-13
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 29 17 — — $6,764.00 $210,044.12 $99,845.99 2026-06-13
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 17 — — $46,417.41 $121,536.97 $61,395.44 2026-06-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 18 — — $53,072.66 $189,498.67 $77,502.83 2026-06-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 18 — — $37,921.84 $135,401.87 $55,377.85 2026-06-13
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 18 — — $58,520.04 $162,831.95 $78,456.00 2026-06-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 18 — — $42,086.33 $117,359.00 $61,459.30 2026-06-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 18 — — $40,739.59 $145,462.76 $59,492.64 2026-06-13
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 18 — — $32,126.73 $103,826.19 $42,463.75 2026-06-13
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 18 — — $30,040.64 $86,842.00 $43,393.98 2026-06-13
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 18 — — $31,563.01 $82,642.96 $41,264.48 2026-06-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 18 — — $9,711.00 $122,347.64 $59,206.76 2026-06-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 18 — — $37,336.00 $104,156.63 $50,403.72 2026-06-13
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 18 — — $29,249.28 $71,104.53 $38,218.74 2026-06-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 17 — — $6,764.00 $385,799.21 $193,256.57 2026-06-13
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 24 14 — — $42,885.71 $141,454.76 $55,119.42 2026-06-13
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 18 — — $42,543.12 $151,902.32 $62,126.35 2026-06-13
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 18 — — $33,049.27 $118,004.14 $48,262.37 2026-06-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 16 — — $6,764.00 $341,679.00 $166,520.96 2026-06-13
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 16 — — $27,033.39 $69,374.13 $33,571.69 2026-06-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 17 — — $6,566.00 $85,280.36 $41,925.21 2026-06-13
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 16 — — $41,259.54 $86,085.65 $54,223.73 2026-06-13
793 MS_DRG Full Term Neonate With Major Problems 24 16 — — $28,945.20 $60,392.49 $38,040.08 2026-06-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 16 — — $6,764.00 $130,374.37 $60,799.38 2026-06-13
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 40 23 $123,522.00 $74,113.20 40% off $426.64 $111,169.80 $57,067.17 2026-06-13
27801661 CDM Hc Aortic Valve Evolut Medtronic 33 20 $69,300.00 $41,580.00 40% off $7,623.00 $62,370.00 $42,619.50 2026-06-13
C2624 HCPCS Hc Cardiomems Monitoring Device (implant) 91 20 $76,477.50 $45,886.50 40% off $7,684.60 $68,829.75 $47,033.67 2026-06-13
27800957 CDM Hc Catheter Set Pump Ventricular Assist Impella 33 20 $84,975.00 $50,985.00 40% off $9,347.25 $76,477.50 $52,259.62 2026-06-13
93653 CPT Hc Compreh Electroph Eval Source Of Atrial R 39 24 $80,865.20 $48,519.12 40% off $8,895.17 $75,406.15 $43,324.00 2026-06-13
93654 CPT Hc Compreh Electroph Eval With Treatment 39 24 $63,497.39 $38,098.43 40% off $6,984.71 $75,406.15 $34,923.56 2026-06-13
93656 CPT Hc Compreh Electroph Eval With Trt Atrial Fib 39 24 $60,798.32 $36,478.99 40% off $6,687.82 $75,406.15 $33,439.08 2026-06-13
27800973 CDM Hc Corevalue Aortic 33 20 $88,500.00 $53,100.00 40% off $9,735.00 $79,650.00 $54,427.50 2026-06-13
27802083 CDM Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l… 33 20 $66,280.50 $39,768.30 40% off $7,290.85 $59,652.45 $40,762.50 2026-06-13
0620T CPT Hc Endovascular Venous Arterialization Tibl/prnl Vn 39 24 $57,198.48 $34,319.09 40% off $5,388.00 $73,007.86 $40,038.94 2026-06-13
27203217 CDM Hc Heart Valve Sapien Edwards 33 20 $84,975.00 $50,985.00 40% off $9,347.25 $76,477.50 $52,259.62 2026-06-13
27500234 CDM Hc Heartmate 3 Lvad Implant 33 20 $233,525.00 $140,115.00 40% off $25,687.75 $210,172.50 $143,617.88 2026-06-13
27801850 CDM Hc Heartware Hvad Pump 33 20 $207,132.00 $124,279.20 40% off $22,784.52 $186,418.80 $127,386.18 2026-06-13
27800190 CDM Hc Impella 5.0 33 20 $84,975.00 $50,985.00 40% off $9,347.25 $76,477.50 $52,259.62 2026-06-13
27801848 CDM Hc Impella 5.5 33 20 $100,860.00 $60,516.00 40% off $11,094.60 $90,774.00 $62,028.90 2026-06-13
69930 CPT Hc Implant Cochlear Dev 39 24 $57,049.97 $34,229.98 40% off $71.00 $83,073.64 $33,122.37 2026-06-13
64568 CPT Hc Inc For Vagus Nelect 39 24 $48,810.64 $29,286.38 40% off $71.00 $76,924.35 $34,167.45 2026-06-13
33270 CPT Hc Ins/rep Subq Defibrilllator 39 24 $72,933.11 $43,759.87 40% off $15,811.00 $81,499.55 $39,529.75 2026-06-13
33249 CPT Hc Inser/repos Single (ep Lab) 39 24 $68,283.97 $40,970.38 40% off $15,811.00 $81,499.55 $37,556.18 2026-06-13
0915T CPT Hc Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 38 23 $61,260.70 $36,756.42 40% off $6,738.68 $55,134.63 $33,693.39 2026-06-13
0571T CPT Hc Insj/rplcmt Icds W/substernal Electrode 39 24 $88,619.00 $53,171.40 40% off $7,441.00 $81,499.55 $41,119.22 2026-06-13
33231 CPT Hc Insrt Pulse Gen W/mu 39 24 $61,924.26 $37,154.56 40% off $15,811.00 $81,499.55 $34,058.34 2026-06-13
27800246 CDM Hc Kit, Catheter Impella Pump 33 20 $82,850.63 $49,710.38 40% off $9,113.57 $74,565.57 $50,953.14 2026-06-13
27800187 CDM Hc Kit, Heartmate Ii Vad Implant 33 20 $215,250.00 $129,150.00 40% off $23,677.50 $193,725.00 $132,378.75 2026-06-13
27800296 CDM Hc Kit, Tandem Heart Procedure 33 20 $65,667.00 $39,400.20 40% off $7,223.37 $59,100.30 $40,385.21 2026-06-13
27801815 CDM Hc Mitraclip Delivery System Kit (w/guiding Cath) 33 20 $84,975.00 $50,985.00 40% off $9,347.25 $76,477.50 $52,259.62 2026-06-13
64582 CPT Hc Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 39 24 $60,126.96 $36,076.18 40% off $5,388.00 $76,924.35 $36,076.18 2026-06-13
92973 CPT Hc Perq Trluml Coronary Mchnl Aspir Thrombectomy 22 17 $73,006.37 $43,803.82 40% off $2,959.00 $65,705.73 $41,248.60 2026-06-13
27400120 CDM Hc Power Base Unit-vad 33 20 $68,250.00 $40,950.00 40% off $7,507.50 $61,425.00 $41,973.75 2026-06-13
33264 CPT Hc Remove&replace Cvd Gen M (ep Lab) 40 24 $68,283.97 $40,970.38 40% off $15,811.00 $81,499.55 $37,283.04 2026-06-13
37277 CPT Hc Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 38 23 $83,165.01 $49,899.01 40% off $10,564.28 $74,848.51 $38,255.90 2026-06-13
37276 CPT Hc Revsc Evasc Fpvt St Athrc Uni Sf Les Ea Addl Vsl 26 18 $83,165.01 $49,899.01 40% off $9,148.15 $74,848.51 $46,156.59 2026-06-13
37294 CPT Hc Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl 38 23 $78,248.76 $46,949.26 40% off $10,320.97 $70,423.88 $35,994.43 2026-06-13
37278 CPT Hc Revsc Evsc Fpvt St Athrc Uni Cplx Les Ea Add Vsl 26 18 $83,165.01 $49,899.01 40% off $9,148.15 $74,848.51 $46,156.59 2026-06-13
C1822 HCPCS Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys 96 20 $69,860.00 $41,916.00 40% off $6,530.36 $76,477.50 $42,963.90 2026-06-13
C1823 HCPCS Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads 32 20 $84,975.00 $50,985.00 40% off $9,347.25 $76,477.50 $53,746.69 2026-06-13
27801855 CDM Hc Shell Generator, Neurostimulator, Non-recharge With Carotid 33 20 $84,975.00 $50,985.00 40% off $9,347.25 $76,477.50 $52,259.62 2026-06-13
81200004 CDM Hc Std Acq Chg Cadaver Heart 25 18 $229,516.31 $137,709.79 40% off $25,246.79 $206,564.68 $128,529.13 2026-06-13
81200001 CDM Hc Std Acq Chg Cadaver Kidney 25 18 $193,242.40 $115,945.44 40% off $21,256.66 $173,918.16 $108,215.74 2026-06-13
81200003 CDM Hc Std Acq Chg Cadaver Kidney/pancreas 25 18 $329,040.87 $197,424.52 40% off $36,194.50 $296,136.78 $184,262.89 2026-06-13
81200002 CDM Hc Std Acq Chg Cadaver Pancreas 25 18 $106,529.28 $63,917.57 40% off $11,718.22 $95,876.35 $59,656.40 2026-06-13
81100001 CDM Hc Std Acq Chg Live Donor Kidney 25 18 $128,449.36 $77,069.62 40% off $14,129.43 $115,604.42 $71,931.64 2026-06-13
33289 CPT Hc Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 39 24 $68,052.60 $40,831.56 40% off $7,441.00 $72,000.42 $36,067.88 2026-06-13
27801494 CDM Hc Watchman Laa Closure Device 33 20 $70,040.00 $42,024.00 40% off $7,704.40 $63,036.00 $43,074.60 2026-06-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 10 — — $194,540.80 $254,336.50 $214,773.04 2026-06-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 10 — — $78,664.91 $102,844.02 $86,846.07 2026-06-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 17 — — $6,566.00 $111,263.63 $54,699.01 2026-06-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 17 — — $6,566.00 $89,766.31 $44,130.59 2026-06-13
13 APR_DRG Inpatient Aprdrg 0013: Liver Transplant And/or Intestinal Transplant 2 2 — — $39,382.06 $42,138.78 $40,760.42 2026-06-13
14 APR_DRG Inpatient Aprdrg 0014: Liver Transplant And/or Intestinal Transplant 2 2 — — $76,436.71 $81,787.24 $79,111.98 2026-06-13
21 APR_DRG Inpatient Aprdrg 0021: Heart And/or Lung Transplant 2 2 — — $32,701.98 $34,991.10 $33,846.54 2026-06-13
22 APR_DRG Inpatient Aprdrg 0022: Heart And/or Lung Transplant 2 2 — — $42,219.58 $45,174.92 $43,697.25 2026-06-13
23 APR_DRG Inpatient Aprdrg 0023: Heart And/or Lung Transplant 2 2 — — $52,555.63 $56,234.49 $54,395.06 2026-06-13
24 APR_DRG Inpatient Aprdrg 0024: Heart And/or Lung Transplant 2 2 — — $213,380.79 $228,317.32 $220,849.05 2026-06-13
42 APR_DRG Inpatient Aprdrg 0042: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $37,133.98 $39,733.34 $38,433.66 2026-06-13
43 APR_DRG Inpatient Aprdrg 0043: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $56,794.83 $60,770.44 $58,782.64 2026-06-13
44 APR_DRG Inpatient Aprdrg 0044: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $88,335.18 $94,518.59 $91,426.88 2026-06-13
52 APR_DRG Inpatient Aprdrg 0052: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 2 2 — — $37,375.41 $39,991.67 $38,683.54 2026-06-13
53 APR_DRG Inpatient Aprdrg 0053: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 2 2 — — $40,926.88 $43,791.74 $42,359.31 2026-06-13
54 APR_DRG Inpatient Aprdrg 0054: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 2 2 — — $56,814.15 $60,791.10 $58,802.62 2026-06-13
61 APR_DRG Inpatient Aprdrg 0061: Pancreas Transplant 2 2 — — $40,370.55 $43,196.47 $41,783.51 2026-06-13
62 APR_DRG Inpatient Aprdrg 0062: Pancreas Transplant 2 2 — — $40,898.60 $43,761.47 $42,330.04 2026-06-13
63 APR_DRG Inpatient Aprdrg 0063: Pancreas Transplant 2 2 — — $45,217.47 $48,382.67 $46,800.07 2026-06-13
64 APR_DRG Inpatient Aprdrg 0064: Pancreas Transplant 2 2 — — $69,970.13 $74,867.99 $72,419.06 2026-06-13
71 APR_DRG Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant 2 2 — — $39,671.78 $42,448.78 $41,060.28 2026-06-13
72 APR_DRG Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant 2 2 — — $60,416.66 $64,645.79 $62,531.23 2026-06-13
73 APR_DRG Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 2 2 — — $89,920.70 $96,215.09 $93,067.89 2026-06-13
74 APR_DRG Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 2 2 — — $254,832.62 $272,670.74 $263,751.68 2026-06-13
83 APR_DRG Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $51,458.49 $55,060.56 $53,259.52 2026-06-13
84 APR_DRG Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $76,130.44 $81,459.52 $78,794.98 2026-06-13
91 APR_DRG Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $47,270.68 $50,579.60 $48,925.14 2026-06-13
92 APR_DRG Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $48,742.73 $52,154.69 $50,448.71 2026-06-13
93 APR_DRG Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $74,111.38 $79,299.13 $76,705.26 2026-06-13
94 APR_DRG Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $150,848.16 $161,407.43 $156,127.79 2026-06-13
112 APR_DRG Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 2 — — $41,445.27 $44,346.41 $42,895.84 2026-06-13
113 APR_DRG Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 2 — — $59,638.90 $63,813.59 $61,726.24 2026-06-13
114 APR_DRG Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 2 2 — — $104,951.57 $112,298.11 $108,624.84 2026-06-13
214 APR_DRG Inpatient Aprdrg 0214: Open Craniotomy Except Trauma 2 2 — — $36,594.55 $39,156.15 $37,875.35 2026-06-13
224 APR_DRG Inpatient Aprdrg 0224: Ventricular Shunt Procedures 2 2 — — $36,318.63 $38,860.91 $37,589.77 2026-06-13
234 APR_DRG Inpatient Aprdrg 0234: Spinal Procedures 2 2 — — $42,137.14 $45,086.72 $43,611.93 2026-06-13
264 APR_DRG Inpatient Aprdrg 0264: Other Nervous System And Related Procedures 2 2 — — $39,311.70 $42,063.49 $40,687.60 2026-06-13
434 APR_DRG Inpatient Aprdrg 0434: Multiple Sclerosis, Other Demyelinating Disease And Infla… 2 2 — — $48,797.57 $52,213.37 $50,505.47 2026-06-13
894 APR_DRG Inpatient Aprdrg 0894: Major Cranial Or Facial Bone Procedures 2 2 — — $34,167.82 $36,559.54 $35,363.68 2026-06-13
1204 APR_DRG Inpatient Aprdrg 1204: Major Respiratory And Chest Procedures 2 2 — — $34,669.99 $37,096.87 $35,883.43 2026-06-13
1214 APR_DRG Inpatient Aprdrg 1214: Other Respiratory And Chest Procedures 2 2 — — $32,356.04 $34,620.94 $33,488.49 2026-06-13
1304 APR_DRG Inpatient Aprdrg 1304: Respiratory System Diagnosis With Ventilator Support > 96… 2 2 — — $34,114.01 $36,501.97 $35,307.99 2026-06-13
1604 APR_DRG Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $74,736.00 $79,967.47 $77,351.74 2026-06-13
1611 APR_DRG Inpatient Aprdrg 1611: Implantable Heart Assist Systems 2 2 — — $57,216.30 $61,221.41 $59,218.86 2026-06-13
1612 APR_DRG Inpatient Aprdrg 1612: Implantable Heart Assist Systems 2 2 — — $60,328.71 $64,551.68 $62,440.19 2026-06-13
1613 APR_DRG Inpatient Aprdrg 1613: Implantable Heart Assist Systems 2 2 — — $83,924.56 $89,799.23 $86,861.89 2026-06-13
1614 APR_DRG Inpatient Aprdrg 1614: Implantable Heart Assist Systems 2 2 — — $161,017.62 $172,288.76 $166,653.19 2026-06-13
1623 APR_DRG Inpatient Aprdrg 1623: Cardiac Valve Procedures With Ami Or Complex Principal Di… 2 2 — — $36,681.47 $39,249.15 $37,965.31 2026-06-13
1624 APR_DRG Inpatient Aprdrg 1624: Cardiac Valve Procedures With Ami Or Complex Principal Di… 2 2 — — $65,194.60 $69,758.18 $67,476.39 2026-06-13
1634 APR_DRG Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Principal… 2 2 — — $38,855.39 $41,575.25 $40,215.32 2026-06-13
1654 APR_DRG Inpatient Aprdrg 1654: Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $33,605.97 $35,958.37 $34,782.17 2026-06-13
1674 APR_DRG Inpatient Aprdrg 1674: Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $49,543.25 $53,011.24 $51,277.24 2026-06-13
1694 APR_DRG Inpatient Aprdrg 1694: Major Abdominal Vascular Procedures 2 2 — — $34,811.40 $37,248.18 $36,029.79 2026-06-13
1783 APR_DRG Inpatient Aprdrg 1783: External Heart Assist Systems 2 2 — — $32,374.66 $34,640.87 $33,507.76 2026-06-13
1784 APR_DRG Inpatient Aprdrg 1784: External Heart Assist Systems 2 2 — — $50,589.68 $54,130.93 $52,360.31 2026-06-13
1824 APR_DRG Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures 2 2 — — $38,878.50 $41,599.97 $40,239.24 2026-06-13
2004 APR_DRG Inpatient Aprdrg 2004: Cardiac Structural And Valvular Disorders 2 2 — — $97,528.91 $104,355.88 $100,942.40 2026-06-13
2054 APR_DRG Inpatient Aprdrg 2054: Cardiomyopathy 2 2 — — $38,102.12 $40,769.25 $39,435.68 2026-06-13
2204 APR_DRG Inpatient Aprdrg 2204: Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $43,105.98 $46,123.37 $44,614.68 2026-06-13
2304 APR_DRG Inpatient Aprdrg 2304: Major Small Bowel Procedures 2 2 — — $36,462.46 $39,014.81 $37,738.63 2026-06-13
2464 APR_DRG Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency 2 2 — — $72,473.09 $77,546.16 $75,009.62 2026-06-13
2604 APR_DRG Inpatient Aprdrg 2604: Major Pancreas, Liver And Shunt Procedures 2 2 — — $32,758.20 $35,051.25 $33,904.72 2026-06-13
3033 APR_DRG Inpatient Aprdrg 3033: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $38,909.89 $41,633.56 $40,271.72 2026-06-13
3034 APR_DRG Inpatient Aprdrg 3034: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $45,994.88 $49,214.50 $47,604.69 2026-06-13
3044 APR_DRG Inpatient Aprdrg 3044: Dorsal And Lumbar Fusion Procedure Except For Curvature O… 2 2 — — $38,210.08 $40,884.76 $39,547.42 2026-06-13
3154 APR_DRG Inpatient Aprdrg 3154: Shoulder, Upper Arm And Forearm Procedures Except Joint R… 2 2 — — $34,930.05 $37,375.13 $36,152.59 2026-06-13
4403 APR_DRG Inpatient Aprdrg 4403: Kidney Transplant 2 2 — — $34,932.47 $37,377.72 $36,155.10 2026-06-13
4404 APR_DRG Inpatient Aprdrg 4404: Kidney Transplant 2 2 — — $57,074.89 $61,070.10 $59,072.49 2026-06-13
4414 APR_DRG Inpatient Aprdrg 4414: Major Bladder Procedures 2 2 — — $54,013.53 $57,794.45 $55,903.99 2026-06-13
4424 APR_DRG Inpatient Aprdrg 4424: Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $36,119.62 $38,647.97 $37,383.79 2026-06-13
4474 APR_DRG Inpatient Aprdrg 4474: Other Kidney, Urinary Tract And Related Procedures 2 2 — — $42,770.73 $45,764.66 $44,267.70 2026-06-13
4834 APR_DRG Inpatient Aprdrg 4834: Penis, Testes And Scrotal Procedures 2 2 — — $34,538.24 $36,955.90 $35,747.07 2026-06-13
5831 APR_DRG Inpatient Aprdrg 5831: Neonate With Ecmo 2 2 — — $97,320.24 $104,132.60 $100,726.42 2026-06-13
5832 APR_DRG Inpatient Aprdrg 5832: Neonate With Ecmo 2 2 — — $110,525.89 $118,262.64 $114,394.26 2026-06-13
5833 APR_DRG Inpatient Aprdrg 5833: Neonate With Ecmo 2 2 — — $221,816.09 $237,343.08 $229,579.58 2026-06-13
5834 APR_DRG Inpatient Aprdrg 5834: Neonate With Ecmo 2 2 — — $261,957.62 $280,294.50 $271,126.06 2026-06-13
5881 APR_DRG Inpatient Aprdrg 5881: Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $83,481.01 $89,324.63 $86,402.82 2026-06-13
5882 APR_DRG Inpatient Aprdrg 5882: Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $88,564.19 $94,763.63 $91,663.91 2026-06-13
5883 APR_DRG Inpatient Aprdrg 5883: Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $88,970.83 $95,198.74 $92,084.79 2026-06-13
5884 APR_DRG Inpatient Aprdrg 5884: Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $165,814.88 $177,421.82 $171,618.35 2026-06-13
5891 APR_DRG Inpatient Aprdrg 5891: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999… 2 2 — — $69,964.61 $74,862.09 $72,413.35 2026-06-13
5892 APR_DRG Inpatient Aprdrg 5892: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999… 2 2 — — $67,810.00 $72,556.66 $70,183.33 2026-06-13
5893 APR_DRG Inpatient Aprdrg 5893: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999… 2 2 — — $63,604.25 $68,056.51 $65,830.38 2026-06-13
5911 APR_DRG Inpatient Aprdrg 5911: Neonate Birth Weight 500-749 Grams Without Major Procedur… 2 2 — — $32,937.89 $35,243.52 $34,090.71 2026-06-13
5912 APR_DRG Inpatient Aprdrg 5912: Neonate Birth Weight 500-749 Grams Without Major Procedur… 2 2 — — $45,683.09 $48,880.88 $47,281.99 2026-06-13
5913 APR_DRG Inpatient Aprdrg 5913: Neonate Birth Weight 500-749 Grams Without Major Procedur… 2 2 — — $55,329.34 $59,202.36 $57,265.85 2026-06-13
5914 APR_DRG Inpatient Aprdrg 5914: Neonate Birth Weight 500-749 Grams Without Major Procedur… 2 2 — — $84,023.54 $89,905.14 $86,964.34 2026-06-13
5932 APR_DRG Inpatient Aprdrg 5932: Neonate Birth Weight 750-999 Grams Without Major Procedur… 2 2 — — $39,142.01 $41,881.92 $40,511.96 2026-06-13
5933 APR_DRG Inpatient Aprdrg 5933: Neonate Birth Weight 750-999 Grams Without Major Procedur… 2 2 — — $49,820.55 $53,307.96 $51,564.26 2026-06-13
5934 APR_DRG Inpatient Aprdrg 5934: Neonate Birth Weight 750-999 Grams Without Major Procedur… 2 2 — — $69,755.25 $74,638.08 $72,196.67 2026-06-13
6023 APR_DRG Inpatient Aprdrg 6023: Neonate Birth Weight 1000-1249 Grams With Respiratory Dis… 2 2 — — $41,443.54 $44,344.57 $42,894.06 2026-06-13
6024 APR_DRG Inpatient Aprdrg 6024: Neonate Birth Weight 1000-1249 Grams With Respiratory Dis… 2 2 — — $64,124.71 $68,613.40 $66,369.05 2026-06-13
6034 APR_DRG Inpatient Aprdrg 6034: Neonate Birth Weight 1000-1249 Grams With Or Without Sign… 2 2 — — $72,099.21 $77,146.11 $74,622.66 2026-06-13
6074 APR_DRG Inpatient Aprdrg 6074: Neonate Birth Weight 1250-1499 Grams With Respiratory Dis… 2 2 — — $45,236.10 $48,402.60 $46,819.35 2026-06-13
6084 APR_DRG Inpatient Aprdrg 6084: Neonate Birth Weight 1250-1499 Grams With Or Without Sign… 2 2 — — $55,172.41 $59,034.44 $57,103.43 2026-06-13
6093 APR_DRG Inpatient Aprdrg 6093: Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $39,335.50 $42,088.96 $40,712.23 2026-06-13
6094 APR_DRG Inpatient Aprdrg 6094: Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $122,283.98 $130,843.78 $126,563.88 2026-06-13
6114 APR_DRG Inpatient Aprdrg 6114: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $49,763.29 $53,246.69 $51,504.99 2026-06-13
6134 APR_DRG Inpatient Aprdrg 6134: Neonate Birth Weight 1500-1999 Grams With Congenital Or P… 2 2 — — $42,871.10 $45,872.05 $44,371.57 2026-06-13
6144 APR_DRG Inpatient Aprdrg 6144: Neonate Birth Weight 1500-1999 Grams With Or Without Othe… 2 2 — — $36,743.90 $39,315.95 $38,029.93 2026-06-13
6214 APR_DRG Inpatient Aprdrg 6214: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $60,893.66 $65,156.18 $63,024.92 2026-06-13
6303 APR_DRG Inpatient Aprdrg 6303: Neonate Birth Weight > 2499 Grams With Major Cardiovascul… 2 2 — — $58,149.96 $62,220.42 $60,185.19 2026-06-13
6304 APR_DRG Inpatient Aprdrg 6304: Neonate Birth Weight > 2499 Grams With Major Cardiovascul… 2 2 — — $123,377.32 $132,013.66 $127,695.49 2026-06-13
6313 APR_DRG Inpatient Aprdrg 6313: Neonate Birth Weight > 2499 Grams With Other Major Proced… 2 2 — — $32,237.74 $34,494.36 $33,366.05 2026-06-13
6314 APR_DRG Inpatient Aprdrg 6314: Neonate Birth Weight > 2499 Grams With Other Major Proced… 2 2 — — $87,076.97 $93,172.31 $90,124.64 2026-06-13
6334 APR_DRG Inpatient Aprdrg 6334: Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $46,277.02 $49,516.38 $47,896.70 2026-06-13
6514 APR_DRG Inpatient Aprdrg 6514: Other Procedures Of Blood And Blood-forming Organs 2 2 — — $37,250.21 $39,857.71 $38,553.96 2026-06-13
6804 APR_DRG Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic, Hematopoietic Or Oth… 2 2 — — $55,329.34 $59,202.36 $57,265.85 2026-06-13
6814 APR_DRG Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic, Hematopoietic Or Ot… 2 2 — — $74,777.73 $80,012.13 $77,394.93 2026-06-13
6904 APR_DRG Inpatient Aprdrg 6904: Acute Leukemia 2 2 — — $49,098.32 $52,535.17 $50,816.74 2026-06-13
6954 APR_DRG Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia 2 2 — — $38,053.15 $40,716.85 $39,385.00 2026-06-13
7924 APR_DRG Inpatient Aprdrg 7924: Extensive O.r. Procedures For Other Complications Of Trea… 2 2 — — $38,219.39 $40,894.73 $39,557.06 2026-06-13
8413 APR_DRG Inpatient Aprdrg 8413: Extensive Third Degree Burns With Skin Graft 2 2 — — $38,014.17 $40,675.14 $39,344.65 2026-06-13
8414 APR_DRG Inpatient Aprdrg 8414: Extensive Third Degree Burns With Skin Graft 2 2 — — $87,955.44 $94,112.27 $91,033.86 2026-06-13
8504 APR_DRG Inpatient Aprdrg 8504: Procedure With Diagnosis Of Rehabilitation, Aftercare Or … 2 2 — — $84,783.02 $90,717.78 $87,750.40 2026-06-13
8634 APR_DRG Inpatient Aprdrg 8634: Neonatal Aftercare 2 2 — — $58,713.87 $62,823.81 $60,768.84 2026-06-13
9104 APR_DRG Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma 2 2 — — $41,984.70 $44,923.60 $43,454.15 2026-06-13
9114 APR_DRG Inpatient Aprdrg 9114: Extensive Abdominal Or Thoracic Procedures For Multiple S… 2 2 — — $35,569.85 $38,059.71 $36,814.78 2026-06-13
9124 APR_DRG Inpatient Aprdrg 9124: Musculoskeletal And Other Procedures For Multiple Signifi… 2 2 — — $34,122.63 $36,511.20 $35,316.91 2026-06-13
9504 APR_DRG Inpatient Aprdrg 9504: Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $40,738.22 $43,589.87 $42,164.04 2026-06-13
9524 APR_DRG Inpatient Aprdrg 9524: Non-extensive O.r. Procedure Unrelated To Principal Diagn… 2 2 — — $35,897.85 $38,410.68 $37,154.26 2026-06-13
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 17 — — $6,566.00 $96,222.60 $47,304.61 2026-06-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 17 — — $6,566.00 $143,027.01 $70,314.41 2026-06-13
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 10 — — $32,636.93 $84,625.20 $36,031.17 2026-06-13
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 31 18 — — $9,711.00 $68,398.06 $33,099.35 2026-06-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 9 — — $71,575.08 $93,575.00 $78,928.48 2026-06-13
6 MS_DRG Liver Transplant Without Mcc 9 9 — — $32,189.87 $42,084.01 $35,496.95 2026-06-13
7 MS_DRG Lung Transplant 9 9 — — $89,899.77 $117,532.12 $99,135.79 2026-06-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 17 — — $6,566.00 $106,601.36 $52,406.98 2026-06-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 17 — — $6,566.00 $83,335.48 $40,969.08 2026-06-13
653 MS_DRG Major Bladder Procedures With Mcc 28 17 — — $36,073.20 $94,452.21 $47,407.78 2026-06-13
163 MS_DRG Major Chest Procedures With Mcc 30 17 — — $6,566.00 $88,551.00 $41,126.56 2026-06-13
140 MS_DRG Major Head And Neck Procedures With Mcc 30 17 — — $6,566.00 $77,528.10 $38,114.08 2026-06-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 17 — — $31,908.72 $83,548.14 $41,934.78 2026-06-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 17 — — $37,904.00 $200,326.51 $100,025.12 2026-06-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 17 — — $37,904.00 $131,208.67 $65,513.85 2026-06-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 17 — — $37,904.00 $102,188.11 $51,023.58 2026-06-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 17 — — $37,904.00 $121,447.90 $63,459.98 2026-06-13
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 17 — — $29,439.46 $77,082.77 $38,650.00 2026-06-13
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 17 — — $6,566.00 $85,025.89 $41,800.12 2026-06-13
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 17 — — $6,566.00 $65,953.32 $34,697.54 2026-06-13
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 29 17 — — $6,566.00 $70,250.24 $35,076.69 2026-06-13
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 18 — — $34,344.66 $122,629.32 $50,154.02 2026-06-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 17 — — $6,566.00 $79,845.60 $39,253.40 2026-06-13
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 29 17 — — $6,764.00 $68,099.96 $34,003.02 2026-06-13
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 17 — — $6,566.00 $67,740.07 $33,302.12 2026-06-13
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 31 18 — — $6,764.00 $86,842.00 $44,263.04 2026-06-13
215 MS_DRG Other Heart Assist System Implant 30 17 — — $6,566.00 $246,800.38 $88,974.26 2026-06-13
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 17 — — $28,829.96 $75,486.88 $37,888.64 2026-06-13
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 17 — — $6,566.00 $76,370.26 $37,544.86 2026-06-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 17 — — $39,833.98 $130,781.64 $52,476.57 2026-06-13
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 17 — — $6,566.00 $69,784.92 $34,307.40 2026-06-13
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 18 — — $9,711.00 $76,593.83 $37,065.46 2026-06-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 18 — — $9,711.00 $138,502.88 $67,024.64 2026-06-13
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 17 — — $6,566.00 $72,416.87 $35,601.31 2026-06-13
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 29 17 — — $6,764.00 $67,938.19 $33,922.25 2026-06-13
10 MS_DRG Pancreas Transplant 10 10 — — $49,813.43 $65,124.51 $54,994.03 2026-06-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 17 — — $40,902.93 $99,434.38 $52,966.10 2026-06-13
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 17 — — $28,639.06 $79,688.16 $39,398.52 2026-06-13
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 18 — — $26,804.29 $70,182.99 $35,453.54 2026-06-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 17 — — $6,566.00 $82,679.31 $40,646.51 2026-06-13
791 MS_DRG Prematurity With Major Problems 24 16 — — $28,177.42 $58,790.56 $37,031.06 2026-06-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 17 — — $44,669.42 $116,960.13 $58,705.02 2026-06-13
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 31 18 — — $24,481.52 $68,119.81 $35,750.73 2026-06-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 18 — — $36,135.67 $100,547.51 $47,737.13 2026-06-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 17 — — $47,981.45 $125,632.13 $63,057.72 2026-06-13
C1604 HCPCS Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass … 33 20 $84,975.00 $50,985.00 40% off $9,347.25 $76,477.50 $52,259.62 2026-06-13
C1605 HCPCS Shell C1605, Ptd, Pacemaker, Leadless, Dual Chamber, Rate-responsive, Including … 33 20 $81,576.00 $48,945.60 40% off $8,973.36 $73,418.40 $50,169.24 2026-06-13
C1736 HCPCS Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd 26 18 $67,980.00 $40,788.00 40% off $7,477.80 $61,182.00 $37,728.90 2026-06-13
27801917 CDM Shell Generator, Cardiac Contractility Modulation 33 20 $84,975.00 $50,985.00 40% off $9,347.25 $76,477.50 $52,259.62 2026-06-13
27802052 CDM Shell, No Hcpcs, For Lvad Implants Only 183 20 $100,860.00 $60,516.00 40% off $284.63 $210,172.81 $70,602.00 2026-06-13
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 9 — — $38,906.91 $50,865.66 $42,904.08 2026-06-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 9 — — $49,528.11 $64,751.48 $54,616.47 2026-06-13
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 17 — — $27,910.16 $73,078.50 $36,916.23 2026-06-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 17 — — $36,997.87 $96,873.31 $48,369.85 2026-06-13
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 41 24 $187,807.50 $112,684.50 40% off $20,658.83 $169,026.75 $86,391.45 2026-06-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 17 — — $6,566.00 $89,086.51 $43,796.39 2026-06-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 17 — — $45,479.56 $119,081.33 $59,769.71 2026-06-13
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 17 — — $6,566.00 $64,693.69 $34,029.41 2026-06-13
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $37,499.00 $37,499.00 $37,499.00 2026-06-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 18 — — $37,499.00 $152,744.15 $75,091.52 2026-06-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 18 — — $37,499.00 $108,388.11 $53,285.37 2026-06-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 18 — — $28,966.02 $75,843.14 $37,886.63 2026-06-13
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $37,499.00 $37,499.00 $37,499.00 2026-06-13
28 MS_DRG Spinal Procedures With Mcc 31 18 — — $27,500.00 $109,209.68 $52,849.01 2026-06-13
799 MS_DRG Splenic Procedures With Mcc 28 17 — — $31,439.44 $82,319.41 $41,318.04 2026-06-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 17 — — $34,622.33 $90,653.33 $45,501.03 2026-06-13
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 30 17 — — $6,566.00 $76,632.00 $37,673.54 2026-06-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 17 — — $6,566.00 $99,136.29 $48,737.01 2026-06-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 17 — — $6,566.00 $251,769.56 $123,774.03 2026-06-13
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 18 — — $27,798.00 $107,516.72 $54,885.76 2026-06-13
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 18 — — $31,103.46 $81,439.67 $40,663.68 2026-06-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 18 — — $9,711.00 $103,596.79 $50,132.80 2026-06-13
901 MS_DRG Wound Debridements For Injuries With Mcc 30 17 — — $6,566.00 $76,279.37 $37,500.18 2026-06-13
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