Hospital

ALASKA REGIONAL HOSPITAL

Anchorage, AK · CCN 020017 · Rates published

24,715 distinct procedures filed

22 distinct payers

1,148,935 rate rows

2026-09-01 last MRF observed

Data quality

1,084,262 of 1,148,935 rate rows are consumer-grade (94.4%)

64,673 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 — reason	Rows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	32,210
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	24,179
per-diem day rate — not a per-procedure price	7,840
placeholder amount (≤ $0.02) — excluded from medians	288
template filing: same amount across many unrelated codes — excluded	134
exceeds 10× this hospital's gross charge — excluded from medians	18
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	4

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/61-1000033_ALASKA-REGIONAL-HOSPITAL_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2f9NpMuCoRStjTb2bhIy9Y6LM%3D
Found on page	https://www.alaskaregional.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered via	CMS hospital list
Last fetch	success · 2026-09-21
Content fingerprint	7dea06346fea618a… · 236,675,734 bytes · first seen 2026-09-21

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
845 OTHER	Inj, Atidarsagene Autotemc	4	$4,324,800.00	$4,595,100.00	$4,505,000.00	nat. median $4,505,000 1.0× median
9138 OTHER	Inj, Hemgenix, Per Tx Dose	5	$3,543,792.00	$4,614,312.50	$3,691,450.00	nat. median $3,765,001 1.0× median
714 OTHER	Inj Delandistrogene Mox Ro	5	$3,184,221.12	$4,146,121.25	$3,316,897.00	nat. median $3,391,964 1.0× median
908 OTHER	Topi Adm Prad Zami Per Tre	5	$3,154,351.68	$4,107,228.75	$3,285,783.00	nat. median $8,800 outlier · 373.4×
748 OTHER	Inj, Lovotibeglogene Autot	5	$3,105,891.84	$4,044,130.00	$3,235,304.00	nat. median $3,351,720 1.0× median
906 OTHER	Inj Elivaldogene Autotemec	5	$3,052,800.00	$3,975,000.00	$3,180,000.00	nat. median $2,726 outlier · 1166.4×
746 OTHER	Inj, Betibeglogene Autotem	5	$2,813,049.60	$3,662,825.00	$2,930,260.00	nat. median $3,001,835 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Trea	5	$2,572,836.48	$3,350,047.50	$2,680,038.00	nat. median $2,508,045 1.1× median
922 OTHER	Inj Onase Abepar-brve Trea	5	$2,557,658.88	$3,330,285.00	$2,664,228.00	nat. median $167 outlier · 15988.9×
824 OTHER	Inj, Exagamglogene Autotem	5	$2,208,870.72	$2,876,133.75	$2,300,907.00	nat. median $28,063 outlier · 82.0×
2067 OTHER	Afamitresgene Autoleucel	5	$781,408.70	$1,017,459.25	$813,967.40	nat. median $838,386 1.0× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$362,616.86	$1,662,883.26	$799,270.45	nat. median $168,055 outlier · 4.8×
9194 OTHER	Tisagenlecleucel Car-pos T	5	$587,225.47	$764,616.50	$611,693.20	nat. median $555,653 1.1× median
9498 OTHER	Ciltacabtagene Car-pos T	5	$564,458.69	$734,972.25	$587,977.80	nat. median $553,480 1.1× median
9413 OTHER	Lisocabtagene Car Pos T	5	$556,387.78	$724,463.25	$579,570.60	nat. median $542,562 1.1× median
9422 OTHER	Idecabtagene Vicleucel Car	5	$545,258.69	$709,972.25	$567,977.80	nat. median $552,917 1.0× median
9035 OTHER	Axicabtagene Ciloleucel Ca	5	$540,000.86	$703,126.13	$562,500.90	nat. median $513,929 1.1× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	5	$235,491.74	$1,079,144.34	$518,694.37	nat. median $186,516 outlier · 2.8×
9391 OTHER	Brexucabtagene Car Pos T	5	$489,699.74	$637,629.88	$510,103.90	nat. median $483,557 1.1× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	6	$179,527.49	$822,165.05	$291,092.10	nat. median $131,925 outlier · 2.2×
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	6	$178,476.77	$817,340.00	$289,385.27	nat. median $145,435 2.0× median
831 OTHER	Obecbtge Autol Up To 400 M	5	$267,120.00	$347,812.50	$278,250.00	nat. median $278,250 1.0× median
897 OTHER	Revakinagene, Per Implant	5	$251,116.51	$326,974.63	$261,579.70	nat. median $269,427 1.0× median
7 MS_DRG	Lung Transplant	5	$109,081.15	$498,686.30	$239,695.25	nat. median $70,649 outlier · 3.4×
14 MS_DRG	Allogeneic Bone Marrow Transplant	5	$101,262.82	$462,785.29	$222,439.31	nat. median $72,715 outlier · 3.1×
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	5	$95,509.02	$436,364.95	$209,740.29	nat. median $65,418 outlier · 3.2×
886 OTHER	Inj. Remestemcel-l-rknd/ T	5	$195,513.41	$254,574.75	$203,659.80	nat. median $203,660 1.0× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	5	$86,944.23	$397,036.73	$190,837.04	nat. median $69,922 outlier · 2.7×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	6	$116,638.85	$533,389.71	$188,937.18	nat. median $97,418 1.9× median
304353 CDM	Ins/repl Sq Icd With Elec	16	$83,413.20	$260,964.17	$187,679.71	nat. median $187,680 1.0× median
580090 CDM	Ins Icd Lead/generator	16	$83,413.20	$260,964.17	$187,679.71	nat. median $187,680 1.0× median
591992 CDM	Rem/replace Icd Gen Mult	16	$83,413.20	$260,964.17	$187,679.71	nat. median $187,680 1.0× median
305372 CDM	Ins/repl Ccm System	16	$83,413.20	$260,964.17	$187,679.71	nat. median $187,680 1.0× median
1908 OTHER	New Technology - Level 52	5	$159,031.87	$207,072.75	$165,658.20	nat. median $149,948 1.1× median
1907 OTHER	New Technology - Level 52	5	$159,031.87	$207,072.75	$165,658.20	nat. median $149,948 1.1× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	6	$92,904.28	$424,404.37	$150,383.34	nat. median $2,736 outlier · 55.0×
1906 OTHER	New Technology - Level 51	5	$143,389.44	$186,705.00	$149,364.00	nat. median $135,199 1.1× median
1905 OTHER	New Technology - Level 51	5	$143,389.44	$186,705.00	$149,364.00	nat. median $135,199 1.1× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	6	$91,670.67	$418,739.84	$148,379.50	nat. median $74,509 2.0× median
215 MS_DRG	Other Heart Assist System Implant	6	$83,979.72	$383,424.16	$135,886.49	nat. median $73,023 1.9× median
1904 OTHER	New Technology - Level 50	5	$127,747.01	$166,337.25	$133,069.80	nat. median $3,015 outlier · 44.1×
1903 OTHER	New Technology - Level 50	5	$127,747.01	$166,337.25	$133,069.80	nat. median $3,015 outlier · 44.1×
10 MS_DRG	Pancreas Transplant	5	$60,655.27	$276,321.86	$132,815.03	nat. median $23,080 outlier · 5.8×
19 MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	5	$60,310.60	$274,739.18	$132,054.31	nat. median $45,605 outlier · 2.9×
305374 CDM	Repl Ccm Pls Gen Only	16	$56,836.53	$177,817.16	$127,882.20	nat. median $6 outlier · 22163.3×
305377 CDM	Ins/repl Ccm Pls Gen	16	$56,836.53	$177,817.16	$127,882.20	nat. median $127,882 1.0× median
591991 CDM	Rem/replace Icd Gen Sgl	16	$56,836.53	$177,817.16	$127,882.20	nat. median $127,882 1.0× median
591990 CDM	Rem/replace Icd Gen Dual	16	$56,836.53	$177,817.16	$127,882.20	nat. median $127,882 1.0× median
J9226 HCPCS	Supprelin La 50 Mg Imp	14	$57,693.92	$171,321.62	$123,210.75	nat. median $57,036 outlier · 2.2×
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	6	$76,034.66	$346,941.68	$122,980.73	nat. median $2,596 outlier · 47.4×

Other procedures at this hospital

Browse this hospital's 24,715 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

305372	CDM	Ins/repl Ccm System	29	16	$297,904.30	$297,904.30	$83,413.20	$260,964.17	$187,679.71	2026-09-01
591992	CDM	Rem/replace Icd Gen Mult	29	16	$297,904.30	$297,904.30	$83,413.20	$260,964.17	$187,679.71	2026-09-01
304353	CDM	Ins/repl Sq Icd With Elec	29	16	$297,904.30	$297,904.30	$83,413.20	$260,964.17	$187,679.71	2026-09-01
580090	CDM	Ins Icd Lead/generator	29	16	$297,904.30	$297,904.30	$83,413.20	$260,964.17	$187,679.71	2026-09-01
305377	CDM	Ins/repl Ccm Pls Gen	29	16	$202,987.62	$202,987.62	$56,836.53	$177,817.16	$127,882.20	2026-09-01
305374	CDM	Repl Ccm Pls Gen Only	29	16	$202,987.62	$202,987.62	$56,836.53	$177,817.16	$127,882.20	2026-09-01
591990	CDM	Rem/replace Icd Gen Dual	29	16	$202,987.62	$202,987.62	$56,836.53	$177,817.16	$127,882.20	2026-09-01
591991	CDM	Rem/replace Icd Gen Sgl	29	16	$202,987.62	$202,987.62	$56,836.53	$177,817.16	$127,882.20	2026-09-01
660871	CDM	Device Embl 5.0x20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660834	CDM	Device Embl 4mm 14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660870	CDM	Device Embl 5mm 18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660872	CDM	Device Embl 5mm 25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660809	CDM	Device Embl 3.25mm 18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
C1822	HCPCS	Pulse Gen Imp	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
649487	CDM	Stent Eprsth 37mm 15cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660867	CDM	Device Embl 5mm 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653247	CDM	Device Embl 18mm 4.25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660868	CDM	Device Embl 5mm 12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660869	CDM	Device Emb 5mm 14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659616	CDM	Valve Aortic 25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660464	CDM	Coil Embl Endo 6mm 4mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660466	CDM	Coil Emb Endo 7mm 4mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660873	CDM	Device Embl 5.0x.0mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660864	CDM	Device Embl 4.75mm 25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660801	CDM	Device Embl 3mm 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660859	CDM	Device Embl 4.75mm 12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660804	CDM	Device Embl 3mm 35mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660140	CDM	Coil Embol Neuro 7x3mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660830	CDM	Device Embl 3.75mm 30mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660865	CDM	Device Embl 4.75x30mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660840	CDM	Device Embl 4mm 35mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660857	CDM	Device Embl 4.5mm 35mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660866	CDM	Device Embl 4.75mm 35mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660831	CDM	Device Embl 3.75mm 35mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659035	CDM	Stent Graft 15cm 31x31mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660131	CDM	Coil Embl 27x9x5mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660470	CDM	Device 17 Sng Sphr 5 .0	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660858	CDM	Device Embl 4.75mm 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659137	CDM	Valve Aor Tavr 29mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
565334	CDM	Pump Pain Infn 148gm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660791	CDM	Device Embl 2.75mm 12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
565287	CDM	Coil Embl 6mm 2mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
657346	CDM	Kit Aor Tavr 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659636	CDM	Coil Embl Endo 8mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660827	CDM	Device Embl 3.75mm 18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660792	CDM	Device Embl 2.75mm 14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659979	CDM	Device Endo Sng 5x3mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660469	CDM	Coil Emb Neuro 6x4.6mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659041	CDM	Stent 34mmx34mmx15cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660811	CDM	Device Embl 3.25mm 25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660797	CDM	Device Embl 3mm 12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660805	CDM	Device Embl 3.25mm 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660784	CDM	Device Embl 10mm 2.5mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660798	CDM	Device Embl 3mm 14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
649627	CDM	Stent Eprsth 31mm 15cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660129	CDM	Coil Emb 3mm 8mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660130	CDM	Coil Embl 4mm 9mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660799	CDM	Device Embl 3mm 16mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660133	CDM	Coil Embz .017 4.5mm 2mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660803	CDM	Device Embl 3mm 30mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660863	CDM	Device Embl 4.75mm 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660862	CDM	Device Embl 4.75mm 18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660854	CDM	Device Embl 4.5mm 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659034	CDM	Stent 20fr 31x31mm 10cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660835	CDM	Device Embl 4mm 16mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660836	CDM	Device Embl 4mm 18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
571922	CDM	Coil Emb Neuro 7mm 2mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
643124	CDM	Stent Eprsth 37mm 10cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660276	CDM	Coil Emb Endo Sn Ly 11mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660810	CDM	Device Embl 3.25mm 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660833	CDM	Device Embl 4mm 12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660462	CDM	Sys Endo Sng Lyr 5mmx4mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660465	CDM	Coil Emb Endo 6mm 4.6mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660807	CDM	Device Embl 3.25mm 14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
583917	CDM	Valve Aortic 21mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660220	CDM	Device Embl16x3.75mm Pip	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
655446	CDM	Stent Eprsth 15cm 28mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
C1772	HCPCS	Pump Pain Infn 20ml	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
657347	CDM	Kit Aor Tavr 23mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660794	CDM	Device Embl 2.75mm 18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
650875	CDM	Stent Eprsth 45mm 20cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660828	CDM	Device Embl 3.75mm 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660874	CDM	Device Embl 5mm 35mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660850	CDM	Device Embl 4.5mm 12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653261	CDM	Device Embl 4.25x14mm Pl	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660851	CDM	Device Embl 4.5mm 14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660137	CDM	Coil Embl 5mm 2mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660825	CDM	Device Embl 3.75mm 14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660852	CDM	Device Embl 4.50x16mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660853	CDM	Device Embl 4.5mm 18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660141	CDM	Coil Emb Neuro 7x4mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
658898	CDM	Device Clsr 31mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660178	CDM	Stent Eprsth 37x37x20cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660795	CDM	Device Embl 2.75mm 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659135	CDM	Valve Aor Tavr 23mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
587533	CDM	Implant Cust Cranial Lge	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659157	CDM	Coil Emb Endo 7mm 5.6mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660826	CDM	Device Embl 3.75x16mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660855	CDM	Device Embl 4.50x25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660787	CDM	Device Embl 2.5mm 16mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653257	CDM	Dev Embl 14x3.25mm Pipln	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660823	CDM	Device Embl 3.75mm 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
657349	CDM	Kit Aor Vlv 14fr 29mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
658897	CDM	Device Clsr 27mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659043	CDM	Graft Evas 45x45mm 15cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
657304	CDM	Stent Eprsth 21mm 10cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659756	CDM	Device Embl 14mm 2.5mm P	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660788	CDM	Device Embl 2.5mm 18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
658545	CDM	Coil Embl Endo 11mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653256	CDM	Dev Embl 16x3mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660786	CDM	Device Embl 2.5mm 14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
656607	CDM	Device Embl Pln 12x4.75	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
657348	CDM	Kit Aor Tavr 26mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653262	CDM	Device Embl Flx 4.5x14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
650879	CDM	Stent Eprsth 40mm 20cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
658466	CDM	Device Embl 5x35mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653259	CDM	Device Embl 14x3.5mm Pl	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659225	CDM	Coil Embl Endo 4mm 3mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
429639	CDM	Implant Cranial Peek	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660142	CDM	Coil Emb 7x5mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659136	CDM	Valve Aor Tavr 26mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
654407	CDM	Device Embl 10mm 3.75mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653253	CDM	Dev Embl 18x3.5mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653260	CDM	Dev Embl Pipln 14x3.75mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660837	CDM	Device Embl 4.00x2mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660838	CDM	Device Embl 4mm 25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660796	CDM	Device Embl 3mm 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660821	CDM	Device Embl 3.5mm 30mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659033	CDM	Graft Evas 34x34x10cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
650878	CDM	Stent Eprsth 40mm 10cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660846	CDM	Device Embl 4.25mm 25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660848	CDM	Device Embl 4.25mm 35mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659224	CDM	Coil Embl Endo 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660824	CDM	Device Embl 3.75mm 12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660468	CDM	Coil Embol Neuro 4x2.6mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
661381	CDM	Graft Endo Aaa 26x12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660790	CDM	Device Embl 2.75mm 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659037	CDM	Stent Eprsth 37x37x15cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660785	CDM	Device Embl 2.5mm 12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653252	CDM	Dev Embl 16x4.75mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660177	CDM	Stent Eprsth 34x34x20cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660793	CDM	Device Embl 2.75mm 16mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660822	CDM	Device Embl 3.5mm 35mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660847	CDM	Device Embl 4.25mm 30mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
661411	CDM	Graft Endo Aaa 28.5x12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660143	CDM	Coil Embl Endo 11mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
238722	CDM	Device Clsr 31mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
583918	CDM	Valve Aortic 23mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660843	CDM	Device Emb 4.25mm 16mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
658899	CDM	Device Clsr 35mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
655959	CDM	Sys Endo Sng Lyr 6x3mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
649628	CDM	Stent Eprsth 31mm 10cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660819	CDM	Device Embl 3.5mm 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659617	CDM	Valve Aortic 27mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659618	CDM	Valve Aortic 29mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
583920	CDM	Valve Aortic 27mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660362	CDM	Device Embl Pl 4.75x14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660696	CDM	Device Embl 4.25mm 14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660856	CDM	Device Embl 4.5mm 30mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
657919	CDM	Valve Heart Trnscth 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660818	CDM	Device Embl 3.5mm 18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
583916	CDM	Valve Aortic 19mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660765	CDM	Device Embl 5.0x16mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660844	CDM	Device Embl 4.25mm 18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660467	CDM	Coil Emb Endo 7mm 5mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
657732	CDM	Device Embl 12mm 3.75mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
661576	CDM	Coil Embl Endo 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
658896	CDM	Device Clsr 24mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660800	CDM	Device Embl 3mm 18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
655086	CDM	Device Embl 10mm 4mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660860	CDM	Device Embl 4.75mm 14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660802	CDM	Device Embl 3mm 25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
577593	CDM	Coil Embl Endo 11mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660861	CDM	Device Embl 4.75mm 16mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660845	CDM	Device Embl 4.25mm 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
661283	CDM	Valve Aortic L5.6cm Od16	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660211	CDM	System Imp 5mm 15mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
583919	CDM	Valve Aortic 25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
658465	CDM	Device Embl 4x35mm Pline	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660806	CDM	Device Embl 3.25x12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660816	CDM	Device Embl 3.5mm 14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660832	CDM	Device Embl 4mm 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
661380	CDM	Graft Endo Aaa 23x12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660829	CDM	Device Embl 3.75mm 25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660839	CDM	Device Embl 4mm 30mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660841	CDM	Device Embl 4.25mm 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
657920	CDM	Valve Heart Trnscth 23mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660812	CDM	Device Embl 3.25mm 30mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659614	CDM	Valve Aortic 21mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659036	CDM	Stent Eprsth 37x37x10cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660139	CDM	Coil Emb Neuro 6x4mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660144	CDM	Coil Embl Endo 8mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660813	CDM	Device Embl 3.25mm 35mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653245	CDM	Device Embl Pipln 14x4mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660136	CDM	Coil Embl 4x3mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659615	CDM	Valve Aortic 23mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660134	CDM	Coil Embl 4.5mm 3mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660132	CDM	Coil Embl Endo 9mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660842	CDM	Device Embl 4.25mm 12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660808	CDM	Device Embl 3.25mm 16mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
657733	CDM	Device Embl 10mm 4.75mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653244	CDM	Device Embl Pipln 4x18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
647491	CDM	Stent Eprsth 34mm 15cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
643123	CDM	Stent Eprsth 45mm 15cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
657750	CDM	Device Embl Pln 4.5x12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659138	CDM	Valve Aor Tavr 34mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653258	CDM	Dev Embl 18x3.25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653246	CDM	Device Embl 16x4.25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660521	CDM	Coil Emb Endo 6mm 5mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660814	CDM	Device Embl 3.5mm 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
657983	CDM	System Endo Sng Lyr 5mmx	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
571284	CDM	Stent Vasc 500mm 14mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
649626	CDM	Stent Eprsth 34mm 10cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
650874	CDM	Stent Eprsth 45mm 10cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
656269	CDM	Device Embl 4x12mm Pline	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
238723	CDM	Device Clsr 35mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659226	CDM	Sys Endo Sgl Lyr 4x2.6mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660520	CDM	Coil Emb Endo Sn Ly 7mmx	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
238721	CDM	Device Clsr 40mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
238720	CDM	Device Clsr 24mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
655970	CDM	Device Embl Flx 14x5mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660135	CDM	Coil Embol Neuro 4x2mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
238719	CDM	Device Clsr 27mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660335	CDM	Device Embl 4.5mm 16mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660128	CDM	Coil Emb Endo Sn Ly 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660789	CDM	Device Embl 2.5mm 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653251	CDM	Device Embl 18mm 4.5mm P	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660815	CDM	Device Embl 3.50x12mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660820	CDM	Device Embl 3.5mm 25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653250	CDM	Dev Embl 16x5mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
238741	CDM	Device Clsr 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
649625	CDM	Stent Eprsth 40mm 15cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653249	CDM	Dev Embl 20x4.25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
640521	CDM	Kit Implant Crnmxf Med	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660463	CDM	Coil Emb Endo 5mm 3.6mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653248	CDM	Device Embl 5x18mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660817	CDM	Device Embl 3.5mm 16mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
657921	CDM	Valve Heart Trnscth 26mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660849	CDM	Device Embl 4.5mm 10mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653254	CDM	Device Embl 16mm 2.5mm P	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
659042	CDM	Graft Evas 45x45mm 10cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
660138	CDM	Coil Emb Neuro 6x3mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
653255	CDM	Dev Embl 16x2.75mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
658895	CDM	Device Clsr 20mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
647492	CDM	Stent Eprsth 34mm 20cm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
655143	CDM	Device Embl 30mm 4.75mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
656047	CDM	Dev Embl Ped 12x3.25mm	26	15	$166,640.00	$166,640.00	$49,158.80	$145,976.64	$109,149.20	2026-09-01
640971	CDM	Implant Cranial Plate	26	15	$166,086.00	$166,086.00	$48,995.37	$145,491.34	$108,786.33	2026-09-01
653665	CDM	Graft Evas 16cm 23mm	26	15	$164,798.00	$164,798.00	$48,615.41	$144,363.05	$107,942.69	2026-09-01
653667	CDM	Graft Evas 14cm 26mm	26	15	$164,798.00	$164,798.00	$48,615.41	$144,363.05	$107,942.69	2026-09-01
653777	CDM	Graft Evas 12cm 26mm	26	15	$164,798.00	$164,798.00	$48,615.41	$144,363.05	$107,942.69	2026-09-01
J9226	HCPCS	Supprelin La 50 Mg Imp	25	14	$195,572.62	$195,572.62	$57,693.92	$171,321.62	$123,210.75	2026-09-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	6	—	—	$179,527.49	$822,165.05	$291,092.10	2026-09-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	10	6	—	—	$178,476.77	$817,340.00	$289,385.27	2026-09-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	10	6	—	—	$116,638.85	$533,389.71	$188,937.18	2026-09-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	10	6	—	—	$92,904.28	$424,404.37	$150,383.34	2026-09-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	10	6	—	—	$91,670.67	$418,739.84	$148,379.50	2026-09-01
215	MS_DRG	Other Heart Assist System Implant	10	6	—	—	$83,979.72	$383,424.16	$135,886.49	2026-09-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	10	6	—	—	$76,034.66	$346,941.68	$122,980.73	2026-09-01
850	MS_DRG	Acute Leukemia With Other Procedures	10	6	—	—	$73,098.66	$333,460.03	$118,211.57	2026-09-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	6	—	—	$70,950.97	$323,598.13	$114,722.89	2026-09-01
9138	OTHER	Inj, Hemgenix, Per Tx Dose	6	5	—	—	$3,543,792.00	$4,614,312.50	$3,691,450.00	2026-09-01
714	OTHER	Inj Delandistrogene Mox Ro	6	5	—	—	$3,184,221.12	$4,146,121.25	$3,316,897.00	2026-09-01
908	OTHER	Topi Adm Prad Zami Per Tre	6	5	—	—	$3,154,351.68	$4,107,228.75	$3,285,783.00	2026-09-01
748	OTHER	Inj, Lovotibeglogene Autot	6	5	—	—	$3,105,891.84	$4,044,130.00	$3,235,304.00	2026-09-01
906	OTHER	Inj Elivaldogene Autotemec	6	5	—	—	$3,052,800.00	$3,975,000.00	$3,180,000.00	2026-09-01
746	OTHER	Inj, Betibeglogene Autotem	6	5	—	—	$2,813,049.60	$3,662,825.00	$2,930,260.00	2026-09-01
9141	OTHER	Inj Onase Abepar-xioi Trea	6	5	—	—	$2,572,836.48	$3,350,047.50	$2,680,038.00	2026-09-01
922	OTHER	Inj Onase Abepar-brve Trea	6	5	—	—	$2,557,658.88	$3,330,285.00	$2,664,228.00	2026-09-01
824	OTHER	Inj, Exagamglogene Autotem	6	5	—	—	$2,208,870.72	$2,876,133.75	$2,300,907.00	2026-09-01
2067	OTHER	Afamitresgene Autoleucel	6	5	—	—	$781,408.70	$1,017,459.25	$813,967.40	2026-09-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	5	—	—	$362,616.86	$1,662,883.26	$799,270.45	2026-09-01
9194	OTHER	Tisagenlecleucel Car-pos T	6	5	—	—	$587,225.47	$764,616.50	$611,693.20	2026-09-01
9498	OTHER	Ciltacabtagene Car-pos T	6	5	—	—	$564,458.69	$734,972.25	$587,977.80	2026-09-01
9413	OTHER	Lisocabtagene Car Pos T	6	5	—	—	$556,387.78	$724,463.25	$579,570.60	2026-09-01
9422	OTHER	Idecabtagene Vicleucel Car	6	5	—	—	$545,258.69	$709,972.25	$567,977.80	2026-09-01
9035	OTHER	Axicabtagene Ciloleucel Ca	6	5	—	—	$540,000.86	$703,126.13	$562,500.90	2026-09-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	9	5	—	—	$235,491.74	$1,079,144.34	$518,694.37	2026-09-01
9391	OTHER	Brexucabtagene Car Pos T	6	5	—	—	$489,699.74	$637,629.88	$510,103.90	2026-09-01
831	OTHER	Obecbtge Autol Up To 400 M	6	5	—	—	$267,120.00	$347,812.50	$278,250.00	2026-09-01
897	OTHER	Revakinagene, Per Implant	6	5	—	—	$251,116.51	$326,974.63	$261,579.70	2026-09-01
7	MS_DRG	Lung Transplant	9	5	—	—	$109,081.15	$498,686.30	$239,695.25	2026-09-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	9	5	—	—	$101,262.82	$462,785.29	$222,439.31	2026-09-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	9	5	—	—	$95,509.02	$436,364.95	$209,740.29	2026-09-01
886	OTHER	Inj. Remestemcel-l-rknd/ T	6	5	—	—	$195,513.41	$254,574.75	$203,659.80	2026-09-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	9	5	—	—	$86,944.23	$397,036.73	$190,837.04	2026-09-01
1908	OTHER	New Technology - Level 52	6	5	—	—	$159,031.87	$207,072.75	$165,658.20	2026-09-01
1907	OTHER	New Technology - Level 52	6	5	—	—	$159,031.87	$207,072.75	$165,658.20	2026-09-01
1905	OTHER	New Technology - Level 51	6	5	—	—	$143,389.44	$186,705.00	$149,364.00	2026-09-01
1906	OTHER	New Technology - Level 51	6	5	—	—	$143,389.44	$186,705.00	$149,364.00	2026-09-01
1904	OTHER	New Technology - Level 50	6	5	—	—	$127,747.01	$166,337.25	$133,069.80	2026-09-01
1903	OTHER	New Technology - Level 50	6	5	—	—	$127,747.01	$166,337.25	$133,069.80	2026-09-01
10	MS_DRG	Pancreas Transplant	9	5	—	—	$60,655.27	$276,321.86	$132,815.03	2026-09-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	9	5	—	—	$60,310.60	$274,739.18	$132,054.31	2026-09-01
924	OTHER	Inj Zopapogene Per Ther Do	6	5	—	—	$117,024.00	$152,375.00	$121,900.00	2026-09-01
1901	OTHER	New Technology - Level 49	6	5	—	—	$112,104.58	$145,969.50	$116,775.60	2026-09-01
1902	OTHER	New Technology - Level 49	6	5	—	—	$112,104.58	$145,969.50	$116,775.60	2026-09-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	9	5	—	—	$50,206.10	$228,340.89	$109,752.82	2026-09-01
Q0480	HCPCS	Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only	6	5	—	—	$103,913.28	$135,303.75	$108,243.00	2026-09-01
845	OTHER	Inj, Atidarsagene Autotemc	5	4	—	—	$4,324,800.00	$4,595,100.00	$4,505,000.00	2026-09-01

See an error in this hospital's data? Submit a correction