Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

THOMAS HOSPITAL

Fairhope, AL · CCN 010100 · Rates published

19,526 distinct procedures filed
52 distinct payers
1,075,952 rate rows
2026-08-28 last MRF observed
Data quality

1,019,937 of 1,075,952 rate rows are consumer-grade (94.8%)

56,015 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
per-diem day rate — not a per-procedure price 20,792
placeholder amount (≤ $0.02) — excluded from medians 17,903
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,020
template filing: same amount across many unrelated codes — excluded 5,886
percent-of-charges filed in the dollar field — excluded from medians 640
exceeds 10× this hospital's gross charge — excluded from medians 581
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 158
exceeds 3× this hospital's gross charge for a DRG stay — excluded 35
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.infirmaryhealth.org/documents/price%20transparency%20files/630891904_North-Baldwin-Infirmary_standardcharges-2.csv
Found on page https://www.infirmaryhealth.org/patients-visitors/community/cms-price-transparency-patient-estimates/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint d32d76c764e2aeab… · 105,167,493 bytes · first seen 2026-09-01

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
RX-187463
CDM 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 14 $292,409.95 $375,955.65 $334,182.80 nat. median
$292,410
1.1× median
PX-314237
CDM 		Hc Tube Trach 5.0mm Xlt Proximal 50xltup 28 $172,830.50 $345,661.00 $248,875.92 nat. median
$248,876
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 29 $181,743.54 $205,763.16 $196,732.70 nat. median
$249,124
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 25 $137,830.19 $156,028.27 $156,028.27 nat. median
$190,557
0.8× median
SUP-74661
CDM 		Pump Impella Smartassist 5.5 Catheter 1000100 17 $102,375.00 $204,750.00 $147,420.00 nat. median
$1,335
outlier · 110.4×
RX-183408
CDM 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 15 $46,287.00 $147,260.93 $130,898.60 nat. median
$130,899
1.0× median
SUP-80796
CDM 		Kit Triclip G4 System 1 Steerable Guide Catheter & Any Combination Of Up To 3 Cl… 21 $98,280.00 $171,990.00 $122,850.00 nat. median
$122,850
1.0× median
RX-178214
CDM 		Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 15 $9,784.35 $130,880.61 $116,338.32 nat. median
$101,796
1.1× median
SUP-71923
CDM 		System Commander W/23Mm Edwards Sapien 3Ultra Transcatheter Heart Valve (Thv) #s… 15 $46,580.63 $118,300.00 $103,512.50 nat. median
$4,953
outlier · 20.9×
SUP-62379
CDM 		System Commander W/29Mm Edwards Sapien 3 Transcatheter Heart Valve (Thv) 9600Cm2… 15 $46,580.63 $118,300.00 $103,512.50 nat. median
$2,678
outlier · 38.7×
SUP-71925
CDM 		System Certitude W/20Mm Edwards Sapien 3Ultra Transcatheter Heart Valve (Thv) #s… 15 $46,580.63 $118,300.00 $103,512.50 nat. median
$4,421
outlier · 23.4×
SUP-71922
CDM 		System Commander W/20Mm Edwards Sapien 3Ultra Transcatheter Heart Valve (Thv) #s… 15 $46,580.63 $118,300.00 $103,512.50 nat. median
$6,877
outlier · 15.1×
SUP-71927
CDM 		System Certitude W/26Mm Edwards Sapien 3Ultra Transcatheter Heart Valve (Thv) #s… 15 $46,580.63 $118,300.00 $103,512.50 nat. median
$4,421
outlier · 23.4×
SUP-71924
CDM 		System Commander W/26Mm Edwards Sapien 3Ultra Transcatheter Heart Valve (Thv) #s… 15 $46,580.63 $118,300.00 $103,512.50 nat. median
$4,953
outlier · 20.9×
SUP-64602
CDM 		Valve 26Mm Evolut Pro + Transcatheter Evproplus-26us 15 $42,997.50 $109,200.00 $95,550.00 nat. median
$136,500
0.7× median
SUP-64765
CDM 		Pump Impella Rp Flex With Smart Assist Set 1000323 16 $76,440.00 $127,400.00 $95,550.00 nat. median
$113,750
0.8× median
SUP-64035
CDM 		Valve 34Mm Evolut R Transcatheter Evolutr-34-US 15 $42,997.50 $109,200.00 $95,550.00 nat. median
$873
outlier · 109.5×
SUP-71902
CDM 		Kit Mitraclip G4 System 1(Sgc0701)3 Clips (cds0706-nt""cds0706-ntw""cds0706-xt""… 15 $42,997.50 $109,200.00 $95,550.00 nat. median
$5,642
outlier · 16.9×
SUP-64603
CDM 		Valve 29Mm Evolut Pro + Transcatheter Evproplus-29us 15 $42,997.50 $109,200.00 $95,550.00 nat. median
$136,500
0.7× median
SUP-64037
CDM 		Valve 26Mm Evolut Pro Transcatheter Evolutpro-26-US 15 $42,997.50 $109,200.00 $95,550.00 nat. median
$873
outlier · 109.5×
SUP-79630
CDM 		Kit Pump Impella Cp With Smart Assist+impella 7Fr Low Profile Companion Sheath B… 17 $63,700.00 $127,400.00 $95,550.00 nat. median
$11,022
outlier · 8.7×
SUP-77209
CDM 		Valve 23Mm Evolut Fx Transcatheter Aortic Evolutfx-23 15 $42,997.50 $109,200.00 $95,550.00 nat. median
$95,550
1.0× median
SUP-77206
CDM 		Valve 34Mm Evolut Fx Transcatheter Aortic Evolutfx-34 15 $42,997.50 $109,200.00 $95,550.00 nat. median
$23,588
outlier · 4.1×
SUP-77207
CDM 		Valve 29Mm Evolut Fx Transcatheter Aortic Evolutfx-29 15 $42,997.50 $109,200.00 $95,550.00 nat. median
$28,705
outlier · 3.3×
SUP-77208
CDM 		Valve 26Mm Evolut Fx Transcatheter Aortic Evolutfx-26 15 $42,997.50 $109,200.00 $95,550.00 nat. median
$305
outlier · 313.5×
SUP-64604
CDM 		Valve 34Mm Evolut Pro + Transcatheter Evproplus-34us 15 $42,997.50 $109,200.00 $95,550.00 nat. median
$136,500
0.7× median
SUP-75746
CDM 		Valve 23Mm Evolut Pro+ Transcatheter #evproplus-23us 15 $42,997.50 $109,200.00 $95,550.00 nat. median
$2,295
outlier · 41.6×
SUP-64036
CDM 		Valve 29Mm Evolut Pro Transcatheter Evolutpro-29-US 15 $42,997.50 $109,200.00 $95,550.00 nat. median
$873
outlier · 109.5×
SUP-82159
CDM 		Graft Prostesis Hybrid 28Mm Collar Straight #amds40C 15 $41,420.93 $105,196.00 $95,333.88 nat. median
$920
outlier · 103.6×
SUP-82161
CDM 		Graft Prostesis Hybrid 32Mm Collar Straight #amds55 15 $41,420.93 $105,196.00 $95,333.88 nat. median
$4,641
outlier · 20.5×
SUP-82160
CDM 		Graft Prostesis Hybrid 28Mm Collar Tapered #amds4030C 15 $41,420.93 $105,196.00 $95,333.88 nat. median
$10,717
outlier · 8.9×
SUP-82162
CDM 		Graft Prostesis Hybrid 32Mm Collar Tapered #amds5540 15 $41,420.93 $105,196.00 $95,333.88 nat. median
$10,230
outlier · 9.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 25 $90,202.24 $97,641.60 $93,086.89 nat. median
$126,722
0.7× median
RX-159008
CDM 		Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 14 $78,795.33 $101,308.28 $90,051.81 nat. median
$78,795
1.1× median
SUP-39973
CDM 		Pump Impella Cp 4.0 US Set 0048-0003 15 $40,131.00 $101,920.00 $89,180.00 nat. median
$113,750
0.8× median
SUP-61715
CDM 		Defibrillator Amplia MRI Quad Cardiac Resynchronization Ampliamriqdcrtmmqm Syste… 16 $65,500.89 $109,168.15 $81,876.11 nat. median
$10,125
outlier · 8.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 25 $70,971.63 $80,306.34 $80,306.34 nat. median
$97,414
0.8× median
RX-178979
CDM 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 22 $62,537.40 $111,028.74 $79,940.69 nat. median
$77,720
1.0× median
SUP-57026
CDM 		Talent Thoracic Valiant 2 Piece And Greater Than 2 Piece Cap Medtronic 15 $34,971.30 $88,816.00 $77,714.00 nat. median
$2,576
outlier · 30.2×
RX-155340
CDM 		Pegloticase 8 Mg/ml Intravenous Solution 14 $60,876.52 $78,269.81 $69,573.17 nat. median
$60,877
1.1× median
SUP-82023
CDM 		Inspire V Ipg Generator Implantable W/Lead Sensing 3150 15 $30,958.20 $78,624.00 $68,796.00 nat. median
$402
outlier · 171.3×
215
MS_DRG 		Other Heart Assist System Implant 19 $46,591.00 $112,186.00 $67,128.23 nat. median
$93,917
0.7× median
SUP-82041
CDM 		Cochlear Nucleus Nexa Slim Modiolar Ci1032 P1434929 15 $28,756.73 $73,032.96 $66,186.12 nat. median
$491
outlier · 134.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 $31,042.00 $78,092.00 $65,967.08 nat. median
$90,581
0.7× median
RX-186947
CDM 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1000 Mbq/ml) IV Soln 21 $50,635.80 $81,372.24 $65,097.79 nat. median
$63,290
1.0× median
SUP-82043
CDM 		Cochlear Nucleus Nexa Contour Advance Ci1012 15 $27,268.30 $69,252.82 $62,760.37 nat. median
$569
outlier · 110.2×
SUP-82042
CDM 		Cochlear Nucleus Nexa Slim Straight Ci1022 Z334204 15 $27,268.30 $69,252.82 $62,760.37 nat. median
$525
outlier · 119.5×
SUP-82109
CDM 		Defibrillator Crtd Cobalt Xt Quad MRI Dtpa2Qq 15 $27,210.25 $69,105.40 $62,626.77 nat. median
$699
outlier · 89.6×
SUP-82108
CDM 		Defibrillator Crtd Cobalt Xt MRI Dtpa2D1 15 $27,210.25 $69,105.40 $62,626.77 nat. median
$7,650
outlier · 8.2×
SUP-73393
CDM 		Cochlear Implant P783831 15 $28,040.10 $71,212.96 $62,311.34 nat. median
$403
outlier · 154.6×

Other procedures at this hospital

Browse this hospital's 19,526 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
             
RX-187463 CDM Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 17 14 $417,728.50 $157,265.54 62% off $292,409.95 $375,955.65 $334,182.80 2026-08-28
PX-314237 CDM Hc Tube Trach 5.0mm Xlt Proximal 50xltup 73 28 $345,661.00 $345,661.00 $172,830.50 $345,661.00 $248,875.92 2026-08-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 29 $389,849.81 $255,240.64 35% off $181,743.54 $205,763.16 $196,732.70 2026-08-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 25 25 $553,844.60 $186,061.88 66% off $137,830.19 $156,028.27 $156,028.27 2026-08-28
SUP-74661 CDM Pump Impella Smartassist 5.5 Catheter 1000100 36 17 $204,750.00 $204,750.00 $102,375.00 $204,750.00 $147,420.00 2026-08-28
RX-183408 CDM Inebilizumab-cdon 10 Mg/ml Intravenous Solution 18 15 $163,623.25 $163,623.25 $46,287.00 $147,260.93 $130,898.60 2026-08-28
SUP-80796 CDM Kit Triclip G4 System 1 Steerable Guide Catheter & Any Combination Of Up To 3 Cl… 44 21 $163,800.00 $163,800.00 $98,280.00 $171,990.00 $122,850.00 2026-08-28
RX-178214 CDM Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 18 15 $145,422.90 $145,422.90 $9,784.35 $130,880.61 $116,338.32 2026-08-28
SUP-71922 CDM System Commander W/20Mm Edwards Sapien 3Ultra Transcatheter Heart Valve (Thv) #s… 32 15 $147,875.00 $147,875.00 $46,580.63 $118,300.00 $103,512.50 2026-08-28
SUP-71924 CDM System Commander W/26Mm Edwards Sapien 3Ultra Transcatheter Heart Valve (Thv) #s… 32 15 $147,875.00 $147,875.00 $46,580.63 $118,300.00 $103,512.50 2026-08-28
SUP-71927 CDM System Certitude W/26Mm Edwards Sapien 3Ultra Transcatheter Heart Valve (Thv) #s… 32 15 $147,875.00 $147,875.00 $46,580.63 $118,300.00 $103,512.50 2026-08-28
SUP-62379 CDM System Commander W/29Mm Edwards Sapien 3 Transcatheter Heart Valve (Thv) 9600Cm2… 32 15 $147,875.00 $147,875.00 $46,580.63 $118,300.00 $103,512.50 2026-08-28
SUP-71925 CDM System Certitude W/20Mm Edwards Sapien 3Ultra Transcatheter Heart Valve (Thv) #s… 32 15 $147,875.00 $147,875.00 $46,580.63 $118,300.00 $103,512.50 2026-08-28
SUP-71923 CDM System Commander W/23Mm Edwards Sapien 3Ultra Transcatheter Heart Valve (Thv) #s… 32 15 $147,875.00 $147,875.00 $46,580.63 $118,300.00 $103,512.50 2026-08-28
SUP-77207 CDM Valve 29Mm Evolut Fx Transcatheter Aortic Evolutfx-29 32 15 $136,500.00 $136,500.00 $42,997.50 $109,200.00 $95,550.00 2026-08-28
SUP-64765 CDM Pump Impella Rp Flex With Smart Assist Set 1000323 33 16 $127,400.00 $127,400.00 $76,440.00 $127,400.00 $95,550.00 2026-08-28
SUP-77208 CDM Valve 26Mm Evolut Fx Transcatheter Aortic Evolutfx-26 32 15 $136,500.00 $136,500.00 $42,997.50 $109,200.00 $95,550.00 2026-08-28
SUP-64604 CDM Valve 34Mm Evolut Pro + Transcatheter Evproplus-34us 32 15 $136,500.00 $136,500.00 $42,997.50 $109,200.00 $95,550.00 2026-08-28
SUP-64037 CDM Valve 26Mm Evolut Pro Transcatheter Evolutpro-26-US 32 15 $136,500.00 $136,500.00 $42,997.50 $109,200.00 $95,550.00 2026-08-28
SUP-71902 CDM Kit Mitraclip G4 System 1(Sgc0701)3 Clips (cds0706-nt""cds0706-ntw""cds0706-xt""… 32 15 $136,500.00 $136,500.00 $42,997.50 $109,200.00 $95,550.00 2026-08-28
SUP-64603 CDM Valve 29Mm Evolut Pro + Transcatheter Evproplus-29us 32 15 $136,500.00 $136,500.00 $42,997.50 $109,200.00 $95,550.00 2026-08-28
SUP-79630 CDM Kit Pump Impella Cp With Smart Assist+impella 7Fr Low Profile Companion Sheath B… 18 17 $127,400.00 $127,400.00 $63,700.00 $127,400.00 $95,550.00 2026-08-28
SUP-64602 CDM Valve 26Mm Evolut Pro + Transcatheter Evproplus-26us 32 15 $136,500.00 $136,500.00 $42,997.50 $109,200.00 $95,550.00 2026-08-28
SUP-75746 CDM Valve 23Mm Evolut Pro+ Transcatheter #evproplus-23us 32 15 $136,500.00 $136,500.00 $42,997.50 $109,200.00 $95,550.00 2026-08-28
SUP-64036 CDM Valve 29Mm Evolut Pro Transcatheter Evolutpro-29-US 32 15 $136,500.00 $136,500.00 $42,997.50 $109,200.00 $95,550.00 2026-08-28
SUP-64035 CDM Valve 34Mm Evolut R Transcatheter Evolutr-34-US 32 15 $136,500.00 $136,500.00 $42,997.50 $109,200.00 $95,550.00 2026-08-28
SUP-77206 CDM Valve 34Mm Evolut Fx Transcatheter Aortic Evolutfx-34 32 15 $136,500.00 $136,500.00 $42,997.50 $109,200.00 $95,550.00 2026-08-28
SUP-77209 CDM Valve 23Mm Evolut Fx Transcatheter Aortic Evolutfx-23 32 15 $136,500.00 $136,500.00 $42,997.50 $109,200.00 $95,550.00 2026-08-28
SUP-82160 CDM Graft Prostesis Hybrid 28Mm Collar Tapered #amds4030C 16 15 $131,495.00 $131,495.00 $41,420.93 $105,196.00 $95,333.88 2026-08-28
SUP-82159 CDM Graft Prostesis Hybrid 28Mm Collar Straight #amds40C 16 15 $131,495.00 $131,495.00 $41,420.93 $105,196.00 $95,333.88 2026-08-28
SUP-82162 CDM Graft Prostesis Hybrid 32Mm Collar Tapered #amds5540 16 15 $131,495.00 $131,495.00 $41,420.93 $105,196.00 $95,333.88 2026-08-28
SUP-82161 CDM Graft Prostesis Hybrid 32Mm Collar Straight #amds55 16 15 $131,495.00 $131,495.00 $41,420.93 $105,196.00 $95,333.88 2026-08-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 25 25 $489,574.80 $146,243.42 70% off $90,202.24 $97,641.60 $93,086.89 2026-08-28
RX-159008 CDM Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 17 14 $112,564.76 $46,134.30 59% off $78,795.33 $101,308.28 $90,051.81 2026-08-28
SUP-39973 CDM Pump Impella Cp 4.0 US Set 0048-0003 32 15 $127,400.00 $127,400.00 $40,131.00 $101,920.00 $89,180.00 2026-08-28
SUP-61715 CDM Defibrillator Amplia MRI Quad Cardiac Resynchronization Ampliamriqdcrtmmqm Syste… 33 16 $109,168.15 $109,168.15 $65,500.89 $109,168.15 $81,876.11 2026-08-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 25 $334,581.42 $99,806.98 70% off $70,971.63 $80,306.34 $80,306.34 2026-08-28
RX-178979 CDM Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 63 22 $111,028.74 $111,028.74 $62,537.40 $111,028.74 $79,940.69 2026-08-28
SUP-57026 CDM Talent Thoracic Valiant 2 Piece And Greater Than 2 Piece Cap Medtronic 32 15 $111,020.00 $111,020.00 $34,971.30 $88,816.00 $77,714.00 2026-08-28
RX-155340 CDM Pegloticase 8 Mg/ml Intravenous Solution 17 14 $86,966.46 $36,819.48 58% off $60,876.52 $78,269.81 $69,573.17 2026-08-28
SUP-82023 CDM Inspire V Ipg Generator Implantable W/Lead Sensing 3150 32 15 $98,280.00 $98,280.00 $30,958.20 $78,624.00 $68,796.00 2026-08-28
215 MS_DRG Other Heart Assist System Implant 19 19 $301,556.04 $91,495.02 70% off $46,591.00 $112,186.00 $67,128.23 2026-08-28
SUP-82041 CDM Cochlear Nucleus Nexa Slim Modiolar Ci1032 P1434929 16 15 $91,291.20 $91,291.20 $28,756.73 $73,032.96 $66,186.12 2026-08-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 32 $206,363.37 $89,916.23 56% off $31,042.00 $78,092.00 $65,967.08 2026-08-28
RX-186947 CDM Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1000 Mbq/ml) IV Soln 61 21 $90,413.60 $64,328.63 29% off $50,635.80 $81,372.24 $65,097.79 2026-08-28
SUP-82043 CDM Cochlear Nucleus Nexa Contour Advance Ci1012 16 15 $86,566.03 $86,566.03 $27,268.30 $69,252.82 $62,760.37 2026-08-28
SUP-82042 CDM Cochlear Nucleus Nexa Slim Straight Ci1022 Z334204 16 15 $86,566.03 $86,566.03 $27,268.30 $69,252.82 $62,760.37 2026-08-28
SUP-82109 CDM Defibrillator Crtd Cobalt Xt Quad MRI Dtpa2Qq 16 15 $86,381.75 $86,381.75 $27,210.25 $69,105.40 $62,626.77 2026-08-28
SUP-82108 CDM Defibrillator Crtd Cobalt Xt MRI Dtpa2D1 16 15 $86,381.75 $86,381.75 $27,210.25 $69,105.40 $62,626.77 2026-08-28
SUP-73393 CDM Cochlear Implant P783831 32 15 $89,016.20 $89,016.20 $28,040.10 $71,212.96 $62,311.34 2026-08-28
SUP-68276 CDM Stent Graft Tag Conform Thoracic Sg Ac 37Mmx37Mmx20Cm 22Fr Tgmr373720 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68261 CDM Stent Graft Tag Conform Thoracic Sg Ac 26Mmx26Mmx10Cm 20Fr Tgm262610 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68268 CDM Stent Graft Tag Conform Thoracic Sg Ac 45Mmx45Mmx15Cm 24Fr Tgm454515 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68272 CDM Stent Graft Tag Conform Thoracic Sg Ac 31Mmx31Mmx15Cm 20Fr Tgmr313115 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68269 CDM Stent Graft Tag Conform Thoracic Sg Ac 45Mmx45Mmx20Cm 24Fr Tgm454520 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68262 CDM Stent Graft Tag Conform Thoracic Sg Ac 28Mmx28Mmx10Cm 20Fr Tgm282810 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68259 CDM Stent Graft Tag Conform Thoracic Sg Ac 21Mmx21Mmx10Cm 18Fr Tgm212110 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68274 CDM Stent Graft Tag Conform Thoracic Sg Ac 37Mmx37Mmx10Cm 22Fr Tgmr373710 51 16 $82,359.55 $82,359.55 $49,415.73 $82,359.55 $61,769.66 2026-08-28
SUP-68267 CDM Stent Graft Tag Conform Thoracic Sg Ac 45Mmx45Mmx10Cm 24Fr Tgm454510 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68273 CDM Stent Graft Tag Conform Thoracic Sg Ac 31Mmx31Mmx20Cm 20Fr Tgmr313120 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68277 CDM Stent Graft Tag Conform Thoracic Sg Ac 40Mmx40Mmx10Cm 22Fr Tgmr404010 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68271 CDM Stent Graft Tag Conform Thoracic Sg Ac 31Mmx31Mmx10Cm 20Fr Tgmr313110 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68275 CDM Stent Graft Tag Conform Thoracic Sg Ac 37Mmx37Mmx15Cm 22Fr Tgmr373715 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68264 CDM Stent Graft Tag Conform Thoracic Sg Ac 34Mmx34Mmx10Cm 22Fr Tgm343410 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68265 CDM Stent Graft Tag Conform Thoracic Sg Ac 34Mmx34Mmx15Cm 22Fr Tgm343415 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68279 CDM Stent Graft Tag Conform Thoracic Sg Ac 40Mmx40Mmx20Cm 22Fr Tgmr404020 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68266 CDM Stent Graft Tag Conform Thoracic Sg Ac 34Mmx34Mmx20Cm 22Fr Tgm343420 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68278 CDM Stent Graft Tag Conform Thoracic Sg Ac 40Mmx40Mmx15Cm 22Fr Tgmr404015 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-68270 CDM Stent Graft Tag Conform Thoracic Sg Ac 31Mmx26Mmx10Cm 20Fr Tgmr312610 49 15 $82,359.55 $82,359.55 $25,943.26 $74,123.60 $61,769.66 2026-08-28
SUP-64453 CDM Defibrillator Bi-vent Quandra Assura Df4 Connector Sytem Cd3369-40q System 32 15 $87,815.00 $87,815.00 $27,661.73 $70,252.00 $61,470.50 2026-08-28
SUP-64731 CDM Defibrillator Riv Acor Hf-t Qp Df4 System 32 15 $85,949.50 $85,949.50 $27,074.09 $68,759.60 $60,164.65 2026-08-28
RX-186936 CDM Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 17 14 $74,662.00 $39,794.59 47% off $52,263.40 $67,195.80 $59,729.60 2026-08-28
SUP-64611 CDM Graft Biological Collagen 190 Mm Length 350 Mm Width Na Xenmatrix Ab 19Cm X 35Cm 32 15 $85,269.28 $85,269.28 $26,859.82 $68,215.42 $59,688.50 2026-08-28
PX-552927 CDM Hc Insert/Repos Dual Icd+Leads 79 30 $79,246.00 $79,246.00 $51,509.90 $83,208.30 $59,434.50 2026-08-28
PX-552398 CDM Hc Insert/Repos Single Icd+Leads 79 30 $79,246.00 $79,246.00 $51,509.90 $83,208.30 $59,434.50 2026-08-28
SUP-78857 CDM Cochlear Implant Nucleus Profile Plus With Slim Straight Electrode Ci622 # P7838… 32 15 $84,291.03 $84,291.03 $26,551.67 $67,432.82 $59,003.72 2026-08-28
SUP-81795 CDM Defibrillator Gallant Hf Icd Umri Pr Cdhfa500Q 32 15 $84,175.00 $84,175.00 $26,515.13 $67,340.00 $58,922.50 2026-08-28
PX-543538 CDM Hc Remove & Repl Icd Gen Sgl Lead Sys 79 30 $78,282.00 $78,282.00 $50,883.30 $82,196.10 $58,711.50 2026-08-28
PX-543546 CDM Hc Remove & Rep Icd Gen: Dual Lead Sys 79 30 $78,282.00 $78,282.00 $50,883.30 $82,196.10 $58,711.50 2026-08-28
PX-543520 CDM Hc Insert Icd Gen:W/Exist Multi Leads 79 30 $78,282.00 $78,282.00 $50,883.30 $82,196.10 $58,711.50 2026-08-28
PX-543553 CDM Hc Remove & Rep Icd Gen: Multi Lead Sys 79 30 $78,282.00 $78,282.00 $50,883.30 $82,196.10 $58,711.50 2026-08-28
SUP-81387 CDM Defibrillator Crtd Cobalt Xt Hf Quad MRI Is4 Df1 Dtpa2Q1 32 15 $83,433.35 $83,433.35 $26,281.51 $66,746.68 $58,403.35 2026-08-28
SUP-62355 CDM Defibrillator Crt IcdS Amplia MRI Crt-d Dtmb1D4 32 15 $83,433.35 $83,433.35 $26,281.51 $66,746.68 $58,403.35 2026-08-28
SUP-62753 CDM Defibrillator Amplia MRI Crt Icd Quadpole Crt-d Dtmb1Qq 32 15 $83,433.35 $83,433.35 $26,281.51 $66,746.68 $58,403.35 2026-08-28
SUP-63609 CDM Defibrillator Amplia MRI Crt Icd Quadpole Crt-d Dtmb1Q1 32 15 $83,433.35 $83,433.35 $26,281.51 $66,746.68 $58,403.35 2026-08-28
SUP-71727 CDM Generator Implantable Pulse 3028 (Use Item# 82023) 32 15 $82,923.75 $82,923.75 $26,120.98 $66,339.00 $58,046.63 2026-08-28
SUP-57024 CDM Endurant Aaa 4 Piece And Greater Than 4 Piece Cap Medtronic 32 15 $81,900.00 $81,900.00 $25,798.50 $65,520.00 $57,330.00 2026-08-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 32 $203,795.85 $77,654.48 62% off $29,752.00 $72,056.00 $56,949.13 2026-08-28
SUP-62019 CDM Defibrillator S-icd MRI Emblem Pulse A219 32 15 $80,808.00 $80,808.00 $25,454.52 $64,646.40 $56,565.60 2026-08-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 13 $51,348.96 $51,348.96 $56,500.73 $56,500.73 $56,500.73 2026-08-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 32 $197,222.65 $70,842.51 64% off $22,586.00 $57,143.00 $55,704.27 2026-08-28
PX-563296 CDM Hc Coronary Des Single Vessel Ri 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-562777 CDM Hc Coronary Stent Add Vess Rc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563122 CDM Hc Revasc During Acute Mi Lm 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563304 CDM Hc Coronary Des Add Vessel Lc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563114 CDM Hc Revasc During Acute Mi Ld 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563023 CDM Hc Byp Graft Revasc Sngl Vess Ri 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563486 CDM Hc Byp Graft Revasc Des Single Lc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563585 CDM Hc Revasc During Acute Mi Des Lc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-562728 CDM Hc Coronary Stent Sngl Vess Rc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563494 CDM Hc Byp Graft Revasc Des Single Ld 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563270 CDM Hc Coronary Des Single Vessel Lm 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563080 CDM Hc Revasc During Acute Mi Lc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-562702 CDM Hc Coronary Stent Sngl Vess Ld 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563619 CDM Hc Revasc During Acute Mi Des Rc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563130 CDM Hc Revasc During Acute Mi Rc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563593 CDM Hc Revasc During Acute Mi Des Ld 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563262 CDM Hc Coronary Des Single Vessel Ld 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-562736 CDM Hc Coronary Stent Sngl Vess Ri 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563601 CDM Hc Revasc During Acute Mi Des Lm 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-562744 CDM Hc Coronary Stent Add Vess Lc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563015 CDM Hc Byp Graft Revasc Sngl Vess Rc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563254 CDM Hc Coronary Des Sngl Vessel Lc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563510 CDM Hc Byp Graft Revasc Des Single Rc 81 30 $73,810.00 $73,810.00 $1,172.75 $77,500.50 $55,357.50 2026-08-28
PX-562694 CDM Hc Coronary Stent Sngl Vess Lc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-562710 CDM Hc Coronary Stent Sngl Vess Lm 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563312 CDM Hc Coronary Des Add Vessel Ld 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-563338 CDM Hc Coronary Des Add Vessel Rc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-562751 CDM Hc Coronary Stent Add Vess Ld 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-562991 CDM Hc Byp Graft Revasc Sngl Vess Ld 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
PX-562983 CDM Hc Byp Graft Revasc Sngl Vess Lc 79 30 $73,810.00 $73,810.00 $47,976.50 $77,500.50 $55,357.50 2026-08-28
SUP-81760 CDM Defibrillator System Cobalt MRI S Dual Chamber Cobaltdrmrimmem/System 32 15 $78,442.00 $78,442.00 $24,709.23 $62,753.60 $54,909.40 2026-08-28
PX-563668 CDM Hc Revasc Chro Tot Occlu Des Rc 79 30 $72,627.00 $72,627.00 $47,207.55 $76,258.35 $54,470.25 2026-08-28
PX-563189 CDM Hc Revasc Chronic Total Occlu Rc 79 30 $72,627.00 $72,627.00 $47,207.55 $76,258.35 $54,470.25 2026-08-28
PX-563163 CDM Hc Revasc Chronic Total Occlu Ld 79 30 $72,627.00 $72,627.00 $47,207.55 $76,258.35 $54,470.25 2026-08-28
PX-563155 CDM Hc Revasc Of Chronic Total Occlu Lc 79 30 $72,627.00 $72,627.00 $47,207.55 $76,258.35 $54,470.25 2026-08-28
PX-555284 CDM Hc Perc Card Revasc Chronic Occlu 1 Vessel 79 30 $72,627.00 $72,627.00 $47,207.55 $76,258.35 $54,470.25 2026-08-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 32 $144,689.05 $51,646.95 64% off $21,202.00 $56,685.79 $54,249.18 2026-08-28
SUP-63654 CDM Surgimend (c/r) Mp 25Cm X 40 Cm 606-206-007 32 15 $76,804.00 $76,804.00 $24,193.26 $61,443.20 $53,762.80 2026-08-28
PX-534099 CDM Hc Perc Transcath Placement Drug_El Cor Stent Sing 79 30 $71,049.00 $71,049.00 $46,181.85 $74,601.45 $53,286.75 2026-08-28
PX-563288 CDM Hc Coronary Des Single Vessel Rc 71 28 $73,810.00 $73,810.00 $10,754.04 $73,810.00 $53,143.20 2026-08-28
PX-555847 CDM Hc Bypass Graft Revasculrzatn Des Single 71 28 $73,810.00 $73,810.00 $10,754.04 $73,810.00 $53,143.20 2026-08-28
SUP-79421 CDM Defibrillator System (Mri) Crt-d Resonate Hf X4 Df4 9Xr1 32 15 $75,757.50 $75,757.50 $23,863.61 $60,606.00 $53,030.25 2026-08-28
SUP-64323 CDM Defibrillator System (Mri) Crt-d Vigilant X4 Is4 Df4 8Xv1/2 System 32 15 $75,757.50 $75,757.50 $23,863.61 $60,606.00 $53,030.25 2026-08-28
SUP-62702 CDM Defibrillator System Crt-d Dynagen X4 8Dac/D 32 15 $75,757.50 $75,757.50 $23,863.61 $60,606.00 $53,030.25 2026-08-28
SUP-64609 CDM Defibrillator System Crt-d Dynagen X4 Df4 8Dbc/D 32 15 $75,757.50 $75,757.50 $23,863.61 $60,606.00 $53,030.25 2026-08-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 29 $265,519.09 $65,876.73 75% off $46,790.78 $57,708.00 $52,919.86 2026-08-28
RX-183063 CDM Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 44 21 $74,816.00 $15,962.59 79% off $12,696.84 $56,112.00 $52,371.20 2026-08-28
PX-563643 CDM Hc Revasc Chro Tot Occlu Des Ld 71 28 $72,627.00 $72,627.00 $17,028.00 $72,627.00 $52,291.44 2026-08-28
PX-563635 CDM Hc Revasc Chro Tot Occlus Des Lc 71 28 $72,627.00 $72,627.00 $17,028.00 $72,627.00 $52,291.44 2026-08-28
SUP-79066 CDM Valve Pulmonary Large # Hvp-l 32 15 $73,973.90 $73,973.90 $22,954.93 $60,060.00 $51,781.73 2026-08-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 25 $165,271.43 $63,895.50 61% off $45,378.82 $51,320.71 $51,320.71 2026-08-28
SUP-57023 CDM Endurant Aaa 3 Piece Cap Medtronic 32 15 $72,800.00 $72,800.00 $22,932.00 $58,240.00 $50,960.00 2026-08-28
SUP-81913 CDM Valve Conduit Aortic Konect Resilia Tissue 21Mm 11060a21 32 15 $72,800.00 $72,800.00 $22,932.00 $58,240.00 $50,960.00 2026-08-28
SUP-81914 CDM Valve Conduit Aortic Konect Resilia Tissue 25Mm 11060a25 32 15 $72,800.00 $72,800.00 $22,932.00 $58,240.00 $50,960.00 2026-08-28
SUP-81912 CDM Valve Conduit Aortic Konect Resilia Tissue 23Mm 11060a23 32 15 $72,800.00 $72,800.00 $22,932.00 $58,240.00 $50,960.00 2026-08-28
SUP-81916 CDM Valve Conduit Aortic Konect Resilia Tissue 29Mm 11060a29 32 15 $72,800.00 $72,800.00 $22,932.00 $58,240.00 $50,960.00 2026-08-28
SUP-81915 CDM Valve Conduit Aortic Konect Resilia Tissue 27Mm 11060a27 32 15 $72,800.00 $72,800.00 $22,932.00 $58,240.00 $50,960.00 2026-08-28
SUP-72080 CDM Mesh Integra Bilayer Wound Matrix Meshed 8 In X 10 In #mwm8101 49 15 $67,294.50 $67,294.50 $21,197.77 $60,565.05 $50,470.88 2026-08-28
SUP-62391 CDM Defibrillator Compia MRI Quad Crt Icd Dtmc1Qq 32 15 $71,994.65 $71,994.65 $22,678.31 $57,595.72 $50,396.26 2026-08-28
SUP-64868 CDM Defibrillator Crt IcdS Compia MRI Crt-d Dtmc1D1 32 15 $71,994.65 $71,994.65 $22,678.31 $57,595.72 $50,396.26 2026-08-28
RX-177460 CDM Ocrelizumab 30 Mg/ml Intravenous Solution 17 14 $62,288.73 $22,408.75 64% off $43,602.11 $56,059.86 $49,830.98 2026-08-28
SUP-61816 CDM Defib Quadra Assura Mp Crtd Cd3369-40c 32 15 $70,525.00 $70,525.00 $22,215.38 $56,420.00 $49,367.50 2026-08-28
SUP-64452 CDM Defibrillator Bi-vent Quadra Assura Dr4 Connector Cd3369-40q 32 15 $70,525.00 $70,525.00 $22,215.38 $56,420.00 $49,367.50 2026-08-28
SUP-81758 CDM Defibrillator System Crome Vr MRI Single Chamber Icd Cromevrmriemem/System 32 15 $70,288.40 $70,288.40 $22,140.85 $56,230.72 $49,201.88 2026-08-28
SUP-80844 CDM Catheter Symplicity Spiral Multi-electrode Denervation Rdn016 44 21 $72,800.00 $23,796.46 67% off $17,399.20 $58,240.00 $49,140.00 2026-08-28
SUP-64328 CDM Defibrillator System Primo MRI Dr Dual Chamber Primomridrmmem/System 32 15 $69,928.95 $69,928.95 $22,027.62 $55,943.16 $48,950.27 2026-08-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 32 $111,714.26 $60,845.67 46% off $31,042.00 $78,092.00 $48,859.11 2026-08-28
RX-196201 CDM Amivantamab 2 240 Mg-hyaluronidase-lpuj 28 000 Unit/14 Ml Subcut Soln 26 22 $60,676.00 $60,676.00 $30,338.00 $63,709.80 $48,540.80 2026-08-28
SUP-52537 CDM Defibrillator Bi-ventricular Unify Assura IcdS Crt-d 40 Cd3357-40c 32 15 $68,705.00 $68,705.00 $21,642.08 $54,964.00 $48,093.50 2026-08-28
SUP-56229 CDM Defib Unify Assura Crt-d Df4 Biv Icd Cd3357-40q 32 15 $68,705.00 $68,705.00 $21,642.08 $54,964.00 $48,093.50 2026-08-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 25 $134,412.44 $59,571.40 56% off $42,297.20 $47,830.57 $47,830.57 2026-08-28
SUP-57025 CDM Talent Thoracic Valiant 1 Piece Cap Medtronic 32 15 $68,250.00 $68,250.00 $21,498.75 $54,600.00 $47,775.00 2026-08-28
RX-183480 CDM Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln 17 14 $59,295.60 $9,368.42 84% off $41,506.92 $53,366.04 $47,436.48 2026-08-28
SUP-64730 CDM Defibrillator Riva Acor Hf-t Qp Df4 32 15 $67,704.00 $67,704.00 $21,326.76 $54,163.20 $47,392.80 2026-08-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 28 $97,973.23 $60,845.67 38% off $31,042.00 $48,859.11 $46,768.68 2026-08-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 32 $221,009.35 $63,588.28 71% off $16,596.00 $54,879.00 $46,604.06 2026-08-28
RX-182585 CDM Teprotumumab-trbw 500 Mg Intravenous Solution 17 14 $57,337.00 $22,578.98 61% off $40,135.90 $51,603.30 $45,869.60 2026-08-28
SUP-82107 CDM Defibrillator Dual Icd Cobalt Xt Dr MRI Ddpa2D4 16 15 $63,245.00 $63,245.00 $19,922.18 $50,596.00 $45,852.62 2026-08-28
SUP-76445 CDM Alloderm Regenerative 200Mm X 160Mm 0.4Mm To 1.6Mm Medium Thickness #1518320p 33 16 $61,092.85 $61,092.85 $36,655.71 $61,092.85 $45,819.64 2026-08-28
SUP-64735 CDM Defibrillator Acticor Hf-t Dx Df4 Crt 32 15 $64,869.35 $64,869.35 $20,433.85 $51,895.48 $45,408.55 2026-08-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 25 $151,858.88 $61,853.55 59% off $43,923.59 $47,546.16 $45,328.26 2026-08-28
SUP-81285 CDM System Pacemaker Micra Av2 #micraav2System 32 15 $64,701.00 $64,701.00 $20,380.82 $51,760.80 $45,290.70 2026-08-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 32 $85,943.01 $56,198.95 35% off $29,752.00 $74,547.00 $45,108.53 2026-08-28
SUP-63900 CDM Defibrillator Crt-d MRI Generator Dynagen X4 G158 32 15 $63,700.00 $63,700.00 $20,065.50 $50,960.00 $44,590.00 2026-08-28
SUP-63869 CDM Defibrillator (Mri) Crt-d Vigilant X4 Is4 Df4 G247 32 15 $63,700.00 $63,700.00 $20,065.50 $50,960.00 $44,590.00 2026-08-28
SUP-64558 CDM Defibrillator Crt-d Generator Momentum X4 G138 32 15 $63,700.00 $63,700.00 $20,065.50 $50,960.00 $44,590.00 2026-08-28
SUP-76250 CDM Defibrillator Isi Df4 Crt-d Generator Momentum G124 32 15 $63,700.00 $63,700.00 $20,065.50 $50,960.00 $44,590.00 2026-08-28
SUP-56136 CDM Defib Fortify Asura Dr 40 Df4 System (Repl Cd2257-40q System) Cd2357-40q System 32 15 $63,700.00 $63,700.00 $20,065.50 $50,960.00 $44,590.00 2026-08-28
SUP-79420 CDM Defibrillator (Mri) Crt-d Resonate Hf X4 Df4 G547 32 15 $63,700.00 $63,700.00 $20,065.50 $50,960.00 $44,590.00 2026-08-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 25 25 $45,372.35 $45,372.35 $39,124.50 $44,237.26 $44,237.26 2026-08-28
SUP-79312 CDM Defibrillator Intica 7 Hf-t Qp/hf-t #429553 32 15 $62,594.35 $62,594.35 $19,717.22 $50,075.48 $43,816.05 2026-08-28
SUP-35062 CDM Surgimend (c/r) 3.0 20x30 606-300-017. 33 16 $57,603.00 $57,603.00 $34,561.80 $57,603.00 $43,202.25 2026-08-28
SUP-81757 CDM Defibrillator Crome Vr Mr Conditional Safe Single Chamber Icd Dvpc3D1 32 15 $61,561.50 $61,561.50 $19,391.87 $49,249.20 $43,093.05 2026-08-28
SUP-62103 CDM Defibrillator Evera MRI S Dr Df1 Dual Chamber #ddmc3D1 32 15 $61,238.45 $61,238.45 $19,290.11 $48,990.76 $42,866.92 2026-08-28
SUP-80294 CDM Defibrillator Mr Conditional Safe Dual Chambers IcdS Chrome Dr #ddpc3D4 32 15 $59,725.87 $59,725.87 $18,337.19 $48,990.76 $42,866.92 2026-08-28
RX-194856 CDM Telisotuzumab Vedotin-tllv 100 Mg Intravenous Solution 22 19 $48,930.00 $48,930.00 $34,251.00 $51,376.50 $42,813.75 2026-08-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 25 $50,646.94 $40,236.78 21% off $37,548.48 $42,452.31 $42,452.31 2026-08-28
SUP-82110 CDM Defibrillator Crome Vr MRI Conditional Safe Single Chamber Icd Dvpc3D4 16 15 $58,520.37 $58,520.37 $18,433.92 $46,816.30 $42,427.27 2026-08-28
SUP-56501 CDM Defibrillator Dual Icd Chrome Dr MRI Is1 Df1 Ddpc3D1 16 15 $58,212.70 $58,212.70 $18,337.00 $46,570.16 $42,204.21 2026-08-28
SUP-65285 CDM Pacing System Micra Av Transcatheter Micraavtcpsystem (Micraavtcpsystem And Mc1A… 32 15 $60,287.50 $60,287.50 $18,990.56 $48,230.00 $42,201.25 2026-08-28
SUP-72441 CDM Transcatheter Micra Pacing System #mc1Avr1 32 15 $60,287.50 $60,287.50 $18,990.56 $48,230.00 $42,201.25 2026-08-28
RX-192146 CDM Tarlatamab-dlle 10 Mg Intravenous Solution 17 14 $52,500.00 $19,670.75 63% off $36,750.00 $47,250.00 $42,000.00 2026-08-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 29 29 $192,939.76 $56,795.30 71% off $40,318.77 $88,363.00 $41,608.15 2026-08-28
SUP-64744 CDM Defibrillator Acticor Dx Df4 Hybrid System 448101 32 15 $59,263.75 $59,263.75 $18,668.08 $47,411.00 $41,484.63 2026-08-28
SUP-57022 CDM Endurant Aaa 2 Piece Cap Medtronic 32 15 $59,150.00 $59,150.00 $18,632.25 $47,320.00 $41,405.00 2026-08-28
RX-192788 CDM Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 17 14 $50,957.20 $19,102.54 63% off $35,670.04 $45,861.48 $40,765.76 2026-08-28
SUP-75745 CDM Defibrillator Transvenous System Dual Chamber Pervica Dr Df4 (21d) #8Tp1/System 32 15 $58,171.75 $58,171.75 $18,324.10 $46,537.40 $40,720.23 2026-08-28
SUP-62887 CDM Defibrillator (Mri) Dual Chamber Dynagen El Dr Df4 (2 Ld) #8d62/a System 32 15 $58,171.75 $58,171.75 $18,324.10 $46,537.40 $40,720.23 2026-08-28
SUP-79418 CDM Defibrillator System Dual Chamber Resonate Hf Icd Dr Df4 (2Ld) 9Tr1 32 15 $58,171.75 $58,171.75 $18,324.10 $46,537.40 $40,720.23 2026-08-28
SUP-62338 CDM Defibrillator (Mri) System Dual Chamber Dynagen Mini Dr Df4 2/Ld 8d22/a System 32 15 $58,171.75 $58,171.75 $18,324.10 $46,537.40 $40,720.23 2026-08-28
SUP-75706 CDM Defibrillator Dual Transvenous Vigilant El Dr Df4 System 8Tv1 32 15 $58,171.75 $58,171.75 $18,324.10 $46,537.40 $40,720.23 2026-08-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 32 $115,800.04 $43,518.59 62% off $21,202.00 $54,837.00 $40,720.05 2026-08-28
SUP-63727 CDM "Penile Prosthesis Cx Preconnect Ms 15 Cm"" "" Ps"" "" Iz Inflatable 72404231" 49 15 $53,359.31 $53,359.31 $16,808.18 $48,023.38 $40,019.48 2026-08-28
SUP-63733 CDM "Penile Prosthesis Lgx Preconnect Ms 21 Cm"" "" Ps"" "" Iz Inflatable 72404253-1… 49 15 $54,873.05 $54,873.05 $16,781.57 $49,385.75 $39,956.11 2026-08-28
SUP-63732 CDM "Penile Prosthesis Lgx Preconnect Ms 18 Cm"" "" Ps"" "" Iz Inflatable 72404252-1… 49 15 $54,873.05 $54,873.05 $16,781.57 $49,385.75 $39,956.11 2026-08-28
SUP-63730 CDM "Penile Prosthesis Lgx Preconnect Ms 12 Cm"" "" Ps"" "" Iz Inflatable 72404250" 49 15 $54,873.05 $54,873.05 $16,781.57 $49,385.75 $39,956.11 2026-08-28
SUP-63731 CDM "Penile Prosthesis Lgx Preconnect Ms 15 Cm"" "" Ps"" "" Iz Inflatable 72404251" 49 15 $54,873.05 $54,873.05 $16,781.57 $49,385.75 $39,956.11 2026-08-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 32 $132,009.87 $54,440.67 59% off $15,582.00 $41,827.57 $39,876.43 2026-08-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 12 $84,352.82 $54,406.22 36% off $38,616.16 $41,800.99 $39,851.09 2026-08-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 32 $82,980.74 $49,072.50 41% off $16,596.00 $41,370.00 $39,662.86 2026-08-28
SUP-76464 CDM Stent Graft Excluder Conform Aaa Trnk Endo 26Mm X 14.5Mm X 12Cm 16Fr Cxt261412 32 15 $56,310.80 $56,310.80 $17,737.90 $45,048.64 $39,417.56 2026-08-28
SUP-76463 CDM Stent Graft Excluder Conform Aaa Trnk Endo 26Mm X 12Mm X 12Cm 16Fr Cxt261212 32 15 $56,310.80 $56,310.80 $17,737.90 $45,048.64 $39,417.56 2026-08-28
SUP-76466 CDM Stent Graft Excluder Conform Aaa Trnk Endo 28Mm X 14.5Mm X 12Cm 16Fr Cxt281412 32 15 $56,310.80 $56,310.80 $17,737.90 $45,048.64 $39,417.56 2026-08-28
SUP-76460 CDM Stent Graft Excluder Conform Aaa Trnk Endo 20Mm X 12Mm X 14.5Cm 15Fr Cxt201412 32 15 $56,310.80 $56,310.80 $17,737.90 $45,048.64 $39,417.56 2026-08-28
SUP-76459 CDM Stent Graft Excluder Conform Aaa Trnk Endo 20Mm X 12Mm X 12Cm 15Fr Cxt201212 32 15 $56,310.80 $56,310.80 $17,737.90 $45,048.64 $39,417.56 2026-08-28
SUP-76467 CDM Stent Graft Excluder Conform Aaa Trnk Endo 32Mm X 14.5Mm X 14Cm 18Fr Cxt321414 32 15 $56,310.80 $56,310.80 $17,737.90 $45,048.64 $39,417.56 2026-08-28
SUP-76462 CDM Stent Graft Excluder Conform Aaa Trnk Endo 23Mm X 14.5Mm X 12Cm 15Fr Cxt231412 32 15 $56,310.80 $56,310.80 $17,737.90 $45,048.64 $39,417.56 2026-08-28
SUP-76461 CDM Stent Graft Excluder Conform Aaa Trnk Endo 23Mm X 12Mm X 12Cm 15Fr Cxt231212 32 15 $56,310.80 $56,310.80 $17,737.90 $45,048.64 $39,417.56 2026-08-28
SUP-76468 CDM Stent Graft Excluder Conform Aaa Trnk Endo 36Mm X 14.5Mm X 14Cm 18Fr Cxt361414 32 15 $56,310.80 $56,310.80 $17,737.90 $45,048.64 $39,417.56 2026-08-28
SUP-76465 CDM Stent Graft Excluder Conform Aaa Trnk Endo 28.5Mm X 12Mm X 12Cm 16Fr Cxt281212 32 15 $56,310.80 $56,310.80 $17,737.90 $45,048.64 $39,417.56 2026-08-28
SUP-56131 CDM Defib Ellipse Dr 36 Df4 Dual Cham Icd Cd2411-36q 33 16 $52,325.00 $52,325.00 $31,395.00 $52,325.00 $39,243.75 2026-08-28
SUP-63726 CDM "Penile Prosthesis Cx Preconnect Ms 12 Cm"" "" Ps"" "" Iz Inflatable 72404230" 49 15 $53,359.31 $53,359.31 $16,318.63 $48,023.38 $38,853.87 2026-08-28
SUP-64183 CDM "Penile Prosthesis Cx Preconnect Ms 18 Cm"" "" Ps"" "" Iz 72404232-10" 49 15 $53,359.31 $53,359.31 $16,318.63 $48,023.38 $38,853.87 2026-08-28
SUP-63729 CDM "Penile Prosthesis Cx Preconnect Ms 21 Cm"" "" Ps"" "" Iz Inflatable 72404233-12… 49 15 $53,359.31 $53,359.31 $16,318.63 $48,023.38 $38,853.87 2026-08-28
RX-184024 CDM Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 34 14 $52,299.32 $19,810.47 62% off $15,689.80 $73,966.18 $38,850.93 2026-08-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 25 $119,968.79 $41,122.02 66% off $34,357.06 $38,837.81 $38,837.81 2026-08-28
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 12 $224,363.78 $52,975.15 76% off $37,596.29 $40,697.01 $38,798.61 2026-08-28
SUP-76450 CDM Neurostimulator Non-rechargeable Axionics #4101 32 15 $55,282.50 $55,282.50 $17,413.99 $44,226.00 $38,697.75 2026-08-28
SUP-72139 CDM "Ipp Lgx Preconnect Ms 18Cm Ip"" "" Iz #72404257" 49 15 $54,873.05 $54,873.05 $14,953.70 $49,385.75 $38,411.14 2026-08-28
SUP-80618 CDM Flexhd Pliable Pre Thin M 19Xl222Cm Thk0.7-1.4mm 32 15 $54,600.00 $54,600.00 $17,199.00 $43,680.00 $38,220.00 2026-08-28
SUP-64326 CDM Defibrillator Primo MRI Dr Dual Chamber #ddmd3D1 32 15 $54,486.25 $54,486.25 $17,163.17 $43,589.00 $38,140.38 2026-08-28
SUP-64327 CDM Defibrillator Primo MRI Dr Dual Chamber #ddmd3D4 32 15 $54,486.25 $54,486.25 $17,163.17 $43,589.00 $38,140.38 2026-08-28
SUP-56140 CDM Defib Fortify Assura Vr40 Df4 System (Repl Cd1257-40q System) Cd1357-40q System 32 15 $54,145.00 $54,145.00 $17,055.68 $43,316.00 $37,901.50 2026-08-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 13 $112,937.37 $51,699.96 54% off $37,860.74 $37,860.74 $37,860.74 2026-08-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 13 13 $107,376.38 $50,832.58 53% off $37,222.86 $37,222.86 $37,222.86 2026-08-28
SUP-64466 CDM Interstim Ii Neurostimulator Ipg 3058 32 15 $53,144.00 $53,144.00 $16,740.36 $42,515.20 $37,200.80 2026-08-28
SUP-68248 CDM Stent Graft Excluder Iliac Branch Endo 23Mmx14.5Mmx10Cm 16Fr Ceb231410A 49 15 $49,467.60 $49,467.60 $15,582.29 $44,520.84 $37,100.70 2026-08-28
SUP-68246 CDM Stent Graft Excluder Iliac Branch Endo 23Mmx10Mmx10Cm 16Fr Ceb231010A 49 15 $49,467.60 $49,467.60 $15,582.29 $44,520.84 $37,100.70 2026-08-28
SUP-68247 CDM Stent Graft Excluder Iliac Branch Endo 23Mmx12Mmx10Cm 16Fr Ceb231210A 49 15 $49,467.60 $49,467.60 $15,582.29 $44,520.84 $37,100.70 2026-08-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 50 28 $81,696.71 $42,883.10 48% off $1,100.00 $38,167.61 $37,091.94 2026-08-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 25 $94,929.69 $45,457.19 52% off $32,524.62 $36,762.45 $36,762.45 2026-08-28
548 MS_DRG Septic Arthritis With Mcc 25 25 $90,364.74 $46,374.95 49% off $13,206.80 $36,641.87 $36,641.87 2026-08-28
SUP-56129 CDM Defib Fortify Assura Dr 40q Df4 Dual Cham Icd Cd2357-40q 32 15 $52,325.00 $52,325.00 $16,482.38 $41,860.00 $36,627.50 2026-08-28
SUP-56128 CDM Defib Fortify Assura Dr 40 Dual Cham Icd Cd2357-40c 32 15 $52,325.00 $52,325.00 $16,482.38 $41,860.00 $36,627.50 2026-08-28
SUP-71872 CDM Stent Graft Excluder Aaa Endo Trnk Ipsi 35Mmx14.5Mmx18Cm 18Fr Rlt351418 33 16 $48,621.30 $48,621.30 $29,172.78 $48,621.30 $36,465.98 2026-08-28
SUP-71871 CDM Stent Graft Excluder Aaa Endo Trnk Ipsi 35Mmx14.5Mmx16Cm 18Fr Rlt351416 33 16 $48,621.30 $48,621.30 $29,172.78 $48,621.30 $36,465.98 2026-08-28
SUP-57677 CDM Stent Excluder C3 35Mm X 14.5Mm X 14Cm Rlt351414 33 16 $48,621.30 $48,621.30 $29,172.78 $48,621.30 $36,465.98 2026-08-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 13 $105,283.90 $47,390.18 55% off $36,403.92 $36,403.92 $36,403.92 2026-08-28
SUP-81284 CDM System Pacemaker Micra Vr 2 System 32 15 $51,915.50 $51,915.50 $16,353.38 $41,532.40 $36,340.85 2026-08-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 32 $146,793.44 $49,584.57 66% off $22,586.00 $59,110.00 $36,304.98 2026-08-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 28 $115,547.08 $46,932.65 59% off $22,586.00 $37,629.31 $36,035.58 2026-08-28
SUP-75744 CDM Defibrillator Transvenous System Single Chamber Perciva Vr Df4 (11d) #8Tp3 32 15 $51,187.50 $51,187.50 $16,124.06 $40,950.00 $35,831.25 2026-08-28
SUP-79419 CDM Defibrillator System Single Chamber Resonate Hf Icd Vr Df4 (1Ld) 9Tr3 32 15 $51,187.50 $51,187.50 $16,124.06 $40,950.00 $35,831.25 2026-08-28
SUP-62337 CDM Defibrillator (Mri) System Single Chamber Dynagen Mini Vr Df4 1/Ld 8d02/a System 32 15 $51,187.50 $51,187.50 $16,124.06 $40,950.00 $35,831.25 2026-08-28
SUP-62797 CDM Defibrillator (Mri) Single Chamber Dynagen El Vr Df4 (1 Ld) #8d42/a System 32 15 $51,187.50 $51,187.50 $16,124.06 $40,950.00 $35,831.25 2026-08-28
SUP-75743 CDM Defibrillator Transvenours Vigilant El Vr Df4 (11d) #8Tv3/System 32 15 $51,187.50 $51,187.50 $16,124.06 $40,950.00 $35,831.25 2026-08-28
PX-080739 CDM Hc Implantation Neurological Dev 79 30 $47,721.00 $47,721.00 $31,018.65 $50,107.05 $35,790.75 2026-08-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 49 25 $69,461.20 $36,803.42 47% off $32,948.97 $38,516.38 $35,666.41 2026-08-28
PX-529826 CDM Hc Dermabond Skin Closure System Prineosterile 2/Bx Clr602us 79 30 $47,520.00 $47,520.00 $30,888.00 $49,896.00 $35,640.00 2026-08-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 29 29 $176,075.33 $44,400.36 75% off $31,485.35 $66,347.00 $35,585.39 2026-08-28
RX-183479 CDM Pertuzumab 1 200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln 17 14 $44,474.48 $9,368.42 79% off $31,132.14 $40,027.03 $35,579.58 2026-08-28
SUP-79288 CDM Defibrillator Dual Df1 Connect # 429529 32 15 $50,768.90 $50,768.90 $15,992.20 $40,615.12 $35,538.23 2026-08-28
SUP-64361 CDM Defibrillator Primo MRI Vr Single Chamber #dvmd3D4 32 15 $50,373.05 $50,373.05 $15,867.51 $40,298.44 $35,261.14 2026-08-28
SUP-65248 CDM Defibrillator Primo MRI Single Vr Surescan Generator #dvmd3D1 32 15 $50,373.05 $50,373.05 $15,867.51 $40,298.44 $35,261.14 2026-08-28
SUP-79036 CDM Stent Graft Bifurcated Afx2 25Mm X 80Mm/13Mm X 40Mm # Bea25-80/i13-40 36 17 $48,457.50 $48,457.50 $23,637.25 $49,640.50 $35,102.11 2026-08-28
SUP-57693 CDM Stent Graft Prosthesis (c/r) Endo Excluder C3 26Mm X14.5Mmx12Cm Rlt261414 36 17 $48,621.30 $48,621.30 $24,310.65 $48,621.30 $35,007.34 2026-08-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 13 $99,382.38 $43,648.11 56% off $34,978.21 $34,978.21 $34,978.21 2026-08-28
PX-4813326401 CDM Hc Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld 79 33 $49,878.00 $37,970.65 24% off $21,891.00 $49,878.00 $34,914.60 2026-08-28
PX-4813327001 CDM Hc Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 79 34 $49,878.00 $49,878.00 $644.95 $44,890.20 $34,914.60 2026-08-28
245 MS_DRG Aicd Generator Procedures 13 13 $122,825.07 $42,602.20 65% off $34,795.13 $34,795.13 $34,795.13 2026-08-28
RX-196200 CDM Amivantamab 1 600 Mg-hyaluronidase-lpuj 20 000 Unit/10 Ml Subcut Soln 26 22 $43,340.50 $43,340.50 $21,670.25 $45,507.53 $34,672.40 2026-08-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 29 29 $181,931.99 $43,110.65 76% off $30,566.21 $53,586.00 $34,544.41 2026-08-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 13 $82,250.54 $17,706.99 78% off $34,297.90 $34,297.90 $34,297.90 2026-08-28
SUP-63922 CDM Pacing System Micra Transcather Micratcpsystem 32 15 $48,912.50 $48,912.50 $15,407.44 $39,130.00 $34,238.75 2026-08-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 49 25 $98,172.65 $42,911.28 56% off $30,424.12 $35,722.81 $34,056.44 2026-08-28
SUP-71859 CDM Stent Graft Excluder Aaa Endo Trnk Ipsi 26Mmx14.5Mmx12Cm 16Fr Rlt261412 32 15 $48,621.30 $48,621.30 $15,315.71 $38,897.04 $34,034.91 2026-08-28
SUP-71869 CDM Stent Graft Excluder Aaa Endo Trnk Ipsi 31Mmx14.5Mmx15Cm 18Fr Rlt311415 32 15 $48,621.30 $48,621.30 $15,315.71 $38,897.04 $34,034.91 2026-08-28
SUP-71848 CDM Stent Graft Excluder Aaa Endo Trnk Ipsi 23Mmx12Mmx12Cm 16Fr Rlt231212 32 15 $48,621.30 $48,621.30 $15,315.71 $38,897.04 $34,034.91 2026-08-28
SUP-71866 CDM Stent Graft Excluder Aaa Endo Trnk Ipsi 28.5Mmx14.5Mmx12Cm 18Fr Rlt281412 32 15 $48,621.30 $48,621.30 $15,315.71 $38,897.04 $34,034.91 2026-08-28
SUP-71852 CDM Stent Graft Excluder Aaa Endo Trnk Ipsi 23Mmx14.5Mmx12Cm 16Fr Rlt231412 32 15 $48,621.30 $48,621.30 $15,315.71 $38,897.04 $34,034.91 2026-08-28
SUP-71850 CDM Stent Graft Excluder Aaa Endo Trnk Ipsi 23Mmx12Mmx16Cm 16Fr Rlt231216 32 15 $48,621.30 $48,621.30 $15,315.71 $38,897.04 $34,034.91 2026-08-28
SUP-71867 CDM Stent Graft Excluder Aaa Endo Trnk Ipsi 28.5Mmx14.5Mmx16Cm 18Fr Rlt281416 32 15 $48,621.30 $48,621.30 $15,315.71 $38,897.04 $34,034.91 2026-08-28
SUP-71851 CDM Stent Graft Excluder Aaa Endo Trnk Ipsi 23Mmx12Mmx18Cm 16Fr Rlt231218 32 15 $48,621.30 $48,621.30 $15,315.71 $38,897.04 $34,034.91 2026-08-28
SUP-71860 CDM Stent Graft Excluder Aaa Endo Trnk Ipsi 26Mmx14.5Mmx16Cm 16Fr Rlt261416 32 15 $48,621.30 $48,621.30 $15,315.71 $38,897.04 $34,034.91 2026-08-28
SUP-71849 CDM Stent Graft Excluder Aaa Endo Trnk Ipsi 23Mmx12Mmx14Cm 16Fr Rlt231214 32 15 $48,621.30 $48,621.30 $15,315.71 $38,897.04 $34,034.91 2026-08-28
SUP-40284 CDM Stent Graft Prosthesis (c/r) Endo Trunk-ipsilateral Leg Excluder 31Mm X 14.5Mm X… 32 15 $48,621.30 $48,621.30 $15,315.71 $38,897.04 $34,034.91 2026-08-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 25 $54,202.19 $42,478.04 22% off $30,115.38 $34,033.81 $34,033.81 2026-08-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 29 29 $153,198.87 $46,091.58 70% off $32,690.62 $50,982.00 $33,736.06 2026-08-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 12 $110,047.70 $45,672.84 58% off $32,392.21 $35,063.73 $33,428.10 2026-08-28
471 MS_DRG Cervical Spinal Fusion With Mcc 13 13 $115,224.21 $45,015.75 61% off $32,944.83 $32,944.83 $32,944.83 2026-08-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 25 $62,669.06 $37,923.80 39% off $29,108.40 $32,893.34 $32,893.34 2026-08-28
SUP-72447 CDM Neurostimulator Axonics #1101 32 15 $46,414.55 $46,414.55 $14,620.58 $37,131.64 $32,490.19 2026-08-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 25 $237,895.94 $47,255.32 80% off $28,685.99 $32,414.93 $32,414.93 2026-08-28
SUP-63653 CDM Surgimend (c/r) Mp 20Cm X 30 Cm 606-206-006 32 15 $46,082.40 $46,082.40 $14,515.96 $36,865.92 $32,257.68 2026-08-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 13 $110,642.96 $40,159.67 64% off $32,162.54 $32,162.54 $32,162.54 2026-08-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 25 $114,375.44 $43,775.01 62% off $31,039.68 $33,599.65 $32,032.32 2026-08-28
SUP-80776 CDM Catheter Thrombectomy 80Cm Flash 16 Litngfht80H1 36 17 $44,453.50 $44,453.50 $22,226.75 $44,453.50 $32,006.52 2026-08-28
SUP-79291 CDM Catheter Thrombectomy 100Cm Flash Indigo System 6f Litngfht100H1 (Replace #litn… 36 17 $44,453.50 $44,453.50 $22,226.75 $44,453.50 $32,006.52 2026-08-28
SUP-81749 CDM Catheter Thrombectomy 115Cm Flash Indigo System 6f Litngfht115H1 36 17 $44,453.50 $44,453.50 $22,226.75 $44,453.50 $32,006.52 2026-08-28
See an error in this hospital's data? Submit a correction