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

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Hospital

ARKANSAS HEART HOSPITAL, LLC

Little Rock, AR · CCN 040134 · Rates published

39,168 distinct procedures filed
27 distinct payers
388,896 rate rows
2026-03-25 last MRF observed
Data quality

342,317 of 388,896 rate rows are consumer-grade (88.0%)

46,579 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 44,640
exceeds 10× this hospital's gross charge — excluded from medians 815
placeholder amount (≤ $0.02) — excluded from medians 676
percent-of-charges filed in the dollar field — excluded from medians 393
per-diem day rate — not a per-procedure price 55
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbKHHWICHITAKS&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Kansas_HH.aspx
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint e419d7c837d508c3… · 24,160,100 bytes · first seen 2026-05-14

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,071,075.00 $4,727,700.00 $4,508,825.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,450,300.00 $4,006,800.00 $3,821,300.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,427,298.00 $3,980,088.00 $3,795,824.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,091,851.87 $3,590,537.65 $3,424,309.06 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,033,060.15 $3,522,263.40 $3,359,195.65 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,744,138.60 $3,186,741.60 $3,039,207.27 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,280,467.51 $2,648,284.85 $2,525,679.07 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,168,760.00 $2,518,560.00 $2,401,960.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $716,676.60 $832,269.60 $793,738.60 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $537,841.86 $624,590.55 $595,674.32 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $514,642.31 $597,649.14 $569,980.19 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $503,721.16 $584,966.51 $557,884.73 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $503,372.22 $584,561.29 $557,498.26 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $495,761.13 $575,722.60 $549,068.77 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $455,439.60 $528,897.60 $504,411.60 nat. median
$620,080
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $251,448.75 $292,005.00 $278,486.25 nat. median
$324,450
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $246,497.45 $342,425.03 $267,036.04 nat. median
$370,174
0.7× median
Q048000
HCPCS 		Driver Pneumatic Vad, Rep 1 $257,986.94 $257,986.94 $257,986.94 —
J902900
HCPCS 		Instill Adstiladrin, Tx Dose 1 $222,921.58 $222,921.58 $222,921.58 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $184,112.93 $255,762.79 $199,453.54 nat. median
$265,286
0.8× median
Q204300
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $195,266.33 $195,266.33 $195,266.33 —
A954300
HCPCS 		Y90 Ibritumomab, Rx 1 $193,837.26 $193,837.26 $193,837.26 —
J733000
HCPCS 		Cultured Chondrocytes Implnt 1 $181,303.42 $181,303.42 $181,303.42 —
K100700
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $173,370.59 $173,370.59 $173,370.59 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $155,056.36 $215,398.49 $167,975.92 nat. median
$206,368
0.8× median
J922600
HCPCS 		Supprelin La Implant 1 $159,140.49 $159,140.49 $159,140.49 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $140,080.68 $194,594.83 $151,752.45 nat. median
$202,986
0.7× median
9028800
HCPCS 		Botulism Ig IV 1 $142,705.65 $142,705.65 $142,705.65 —
L870200
HCPCS 		Ewhf S/d Uprt Micro Sensor 1 $133,173.10 $133,173.10 $133,173.10 —
J926600
HCPCS 		Pegaspargase Injection 1 $95,180.00 $95,180.00 $95,180.00 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $31,653.64 $240,765.34 $93,721.02 nat. median
$133,176
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $85,635.65 $118,961.84 $92,770.96 nat. median
$117,303
0.8× median
7
MS_DRG 		Lung Transplant 9 $85,419.95 $118,662.20 $92,537.29 nat. median
$122,708
0.8× median
L718000
HCPCS 		Electronic Elbow Sequential 1 $79,842.59 $79,842.59 $79,842.59 —
L718100
HCPCS 		Electronic Elbo Simultaneous 1 $79,193.86 $79,193.86 $79,193.86 —
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $72,026.68 $100,056.77 $78,028.07 nat. median
$108,660
0.7× median
C1735
HCPCS 		Catheter(s), Intravascular For Renal Denervation, Radiofrequency, Including All… 9 $62,080.00 $77,600.00 $77,600.00 nat. median
$26,064
outlier · 3.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $69,606.34 $96,694.51 $75,406.05 nat. median
$100,136
0.8× median
L200600
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 1 $74,567.15 $74,567.15 $74,567.15 —
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $68,469.04 $95,114.62 $74,174.00 nat. median
$98,905
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 26 $47,509.44 $124,843.80 $72,256.71 nat. median
$102,358
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 25 $31,105.12 $134,136.01 $70,272.85 nat. median
$99,019
0.7× median
E019400
HCPCS 		Air Fluidized Bed 1 $69,756.71 $69,756.71 $69,756.71 —
E0194NU
HCPCS 		Air Fluidized Bed 1 $69,756.71 $69,756.71 $69,756.71 —
J960000
HCPCS 		Porfimer Sodium Injection 1 $69,703.12 $69,703.12 $69,703.12 —
L870100
HCPCS 		Ewh S/d Uprt Micro Sensor 1 $67,688.42 $67,688.42 $67,688.42 —
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 7 $58,990.88 $68,505.53 $65,333.98 nat. median
$69,774
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $60,210.58 $83,642.29 $65,227.43 nat. median
$83,442
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $42,746.88 $112,044.53 $64,280.24 nat. median
$93,672
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $55,356.17 $76,898.72 $59,968.54 nat. median
$81,118
0.7× median

Other procedures at this hospital

Browse this hospital's 39,168 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
             
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 45 26 $144,901.74 $91,288.10 37% off $47,509.44 $124,843.80 $72,256.71 2026-03-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 45 26 $85,411.65 $53,809.34 37% off $26,252.16 $73,594.63 $41,086.02 2026-03-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 45 26 $101,334.64 $63,840.82 37% off $19,902.08 $86,849.48 $30,854.97 2026-03-25
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 45 26 $129,220.74 $81,409.07 37% off $14,945.92 $114,237.54 $28,434.22 2026-03-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 44 25 $270,958.21 $170,703.67 37% off $31,653.64 $240,765.34 $93,721.02 2026-03-25
215 MS_DRG Other Heart Assist System Implant 44 25 $155,373.89 $97,885.55 37% off $31,105.12 $134,136.01 $70,272.85 2026-03-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 25 $127,794.98 $80,510.84 37% off $42,746.88 $112,044.53 $64,280.24 2026-03-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 44 25 $85,659.58 $53,965.54 37% off $26,834.57 $76,941.39 $56,205.41 2026-03-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 25 $75,781.79 $47,742.53 37% off $29,582.08 $70,971.42 $51,844.37 2026-03-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 25 $108,484.74 $68,345.38 37% off $26,351.14 $94,781.37 $51,321.04 2026-03-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 25 $87,486.28 $55,116.36 37% off $30,046.72 $75,648.84 $45,083.38 2026-03-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 25 $90,049.66 $56,731.28 37% off $31,852.25 $78,370.04 $43,204.59 2026-03-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 25 $73,544.97 $46,333.33 37% off $29,211.70 $64,030.91 $40,635.44 2026-03-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 44 25 $79,438.89 $50,046.50 37% off $20,005.59 $70,578.57 $40,517.58 2026-03-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 44 25 $54,317.13 $34,219.79 37% off $18,120.96 $53,427.41 $39,028.53 2026-03-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 25 $59,092.16 $37,228.06 37% off $24,703.36 $52,492.96 $35,893.98 2026-03-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 25 $59,935.60 $37,759.43 37% off $23,350.82 $52,094.74 $35,131.78 2026-03-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 25 $76,524.74 $48,210.59 37% off $23,038.40 $67,814.47 $34,669.20 2026-03-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 44 25 $24,550.10 $15,466.56 37% off $20,378.56 $45,734.08 $33,326.07 2026-03-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 25 $82,561.15 $52,013.52 37% off $14,700.38 $73,321.04 $33,172.46 2026-03-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 25 $100,146.89 $63,092.54 37% off $21,605.76 $87,116.34 $33,053.07 2026-03-25
245 MS_DRG Aicd Generator Procedures 44 25 $108,447.94 $68,322.20 37% off $14,830.39 $94,903.89 $32,413.01 2026-03-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 25 $61,215.53 $38,565.79 37% off $18,702.41 $53,957.42 $31,531.51 2026-03-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 25 $50,786.89 $31,995.74 37% off $15,397.14 $43,593.44 $31,257.54 2026-03-25
163 MS_DRG Major Chest Procedures With Mcc 44 25 $47,280.19 $29,786.52 37% off $9,285.55 $42,388.36 $30,571.75 2026-03-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 44 25 $53,288.36 $33,571.67 37% off $18,430.72 $43,993.52 $27,749.55 2026-03-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 44 25 $17,587.22 $11,079.95 37% off $13,360.59 $38,040.76 $27,720.00 2026-03-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 44 25 $47,747.29 $30,080.79 37% off $17,269.12 $42,383.52 $27,523.52 2026-03-25
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 44 25 $90,711.54 $57,148.27 37% off $18,004.80 $78,766.79 $26,439.72 2026-03-25
33249 HCPCS Insrt Init Icd Gen Dual Leads Cl-33249 41 24 $35,518.00 $28,414.40 $159.00 $42,965.76 $30,375.68 2026-03-25
33264 HCPCS Rem/Rplc Icd Gen Mult Leads Cl-33264 50 24 $34,750.00 $27,800.00 20% off $159.00 $44,360.56 $27,478.47 2026-03-25
33270 HCPCS Insert Or Replace Subq Defibrillator Cl-33270 49 23 $35,578.00 $28,462.40 $159.00 $64,265.34 $26,032.23 2026-03-25
33289 HCPCS CardioMEMs Impalnt Cl-33289 44 18 $52,000.00 $41,600.00 20% off $159.00 $42,000.00 $27,065.50 2026-03-25
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 352 15 $41,873.98 $30,988.00 26% off $84.61 $56,550.00 $28,710.00 2026-03-25
37290 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 14 14 $46,821.73 $29,497.69 37% off $15,203.25 $46,821.73 $42,139.56 2026-03-25
37286 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 14 14 $46,821.73 $29,497.69 37% off $15,203.25 $46,821.73 $42,139.56 2026-03-25
37284 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 14 14 $46,821.73 $29,497.69 37% off $15,203.25 $46,821.73 $42,139.56 2026-03-25
37273 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 14 14 $46,821.73 $29,497.69 37% off $15,203.25 $46,821.73 $42,139.56 2026-03-25
37275 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 14 14 $46,821.73 $29,497.69 37% off $15,203.25 $46,821.73 $42,139.56 2026-03-25
37277 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 14 14 $46,821.73 $29,497.69 37% off $15,203.25 $46,821.73 $42,139.56 2026-03-25
37294 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 14 14 $46,821.73 $29,497.69 37% off $15,203.25 $46,821.73 $42,139.56 2026-03-25
37288 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 14 14 $46,821.73 $29,497.69 37% off $15,203.25 $46,821.73 $42,139.56 2026-03-25
37292 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 14 14 $46,821.73 $29,497.69 37% off $15,203.25 $46,821.73 $42,139.56 2026-03-25
37271 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 14 14 $46,821.73 $29,497.69 37% off $15,203.25 $46,821.73 $42,139.56 2026-03-25
37298 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 14 14 $29,485.58 $18,575.92 37% off $9,574.11 $29,485.58 $26,537.02 2026-03-25
37280 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 14 14 $29,485.58 $18,575.92 37% off $9,574.11 $29,485.58 $26,537.02 2026-03-25
37258 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 14 14 $29,485.58 $18,575.92 37% off $9,574.11 $29,485.58 $26,537.02 2026-03-25
37296 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 14 14 $29,485.58 $18,575.92 37% off $9,574.11 $29,485.58 $26,537.02 2026-03-25
37267 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 14 14 $29,485.58 $18,575.92 37% off $9,574.11 $29,485.58 $26,537.02 2026-03-25
37282 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 14 14 $29,485.58 $18,575.92 37% off $9,574.11 $29,485.58 $26,537.02 2026-03-25
37260 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 14 14 $29,485.58 $18,575.92 37% off $9,574.11 $29,485.58 $26,537.02 2026-03-25
37269 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 14 14 $29,485.58 $18,575.92 37% off $9,574.11 $29,485.58 $26,537.02 2026-03-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 9 — — $246,497.45 $342,425.03 $267,036.04 2025-11-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 9 — — $184,112.93 $255,762.79 $199,453.54 2025-11-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 9 — — $155,056.36 $215,398.49 $167,975.92 2025-11-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 9 — — $140,080.68 $194,594.83 $151,752.45 2025-11-21
14 MS_DRG Allogeneic Bone Marrow Transplant 28 9 — — $85,635.65 $118,961.84 $92,770.96 2025-11-21
7 MS_DRG Lung Transplant 28 9 — — $85,419.95 $118,662.20 $92,537.29 2025-11-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 9 — — $72,026.68 $100,056.77 $78,028.07 2025-11-21
C1735 HCPCS Catheter(s), Intravascular For Renal Denervation, Radiofrequency, Including All … 9 9 $77,600.00 $48,888.00 37% off $62,080.00 $77,600.00 $77,600.00 2026-03-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 9 — — $69,606.34 $96,694.51 $75,406.05 2025-11-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 9 — — $68,469.04 $95,114.62 $74,174.00 2025-11-21
850 MS_DRG Acute Leukemia With Other Procedures 28 9 — — $60,210.58 $83,642.29 $65,227.43 2025-11-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 9 — — $55,356.17 $76,898.72 $59,968.54 2025-11-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 9 — — $54,515.62 $75,731.06 $59,057.96 2025-11-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 9 — — $52,688.75 $73,193.24 $57,078.88 2025-11-21
10 MS_DRG Pancreas Transplant 28 9 — — $52,112.92 $72,393.32 $56,455.06 2025-11-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 9 — — $51,814.22 $71,978.37 $56,131.46 2025-11-21
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 9 9 $53,500.00 $33,705.00 37% off $42,800.00 $53,500.00 $53,500.00 2026-03-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 9 — — $48,787.31 $67,773.51 $52,852.36 2025-11-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 9 — — $46,424.49 $64,491.16 $50,292.65 2025-11-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 9 — — $46,191.15 $64,167.01 $50,039.88 2025-11-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 9 — — $45,468.89 $63,163.69 $49,257.44 2025-11-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 9 — — $44,630.96 $61,999.66 $48,349.69 2025-11-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 9 — — $43,823.09 $60,877.40 $47,474.51 2025-11-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 9 — — $43,654.45 $60,643.13 $47,291.82 2025-11-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 9 — — $42,270.74 $58,720.93 $45,792.82 2025-11-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 9 — — $41,336.73 $57,423.43 $44,780.97 2025-11-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 9 — — $40,435.39 $56,171.33 $43,804.54 2025-11-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 9 — — $40,251.06 $55,915.27 $43,604.85 2025-11-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 9 — — $40,110.54 $55,720.06 $43,452.62 2025-11-21
28 MS_DRG Spinal Procedures With Mcc 28 9 — — $39,736.67 $55,200.70 $43,047.60 2025-11-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 9 — — $39,451.69 $54,804.81 $42,738.88 2025-11-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 9 — — $39,451.69 $54,804.81 $42,738.88 2025-11-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 9 — — $39,156.91 $54,395.32 $42,419.54 2025-11-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 9 — — $38,856.25 $53,977.65 $42,093.82 2025-11-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 9 — — $38,055.57 $52,865.37 $41,226.43 2025-11-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 9 — — $37,513.72 $52,112.66 $40,639.43 2025-11-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 9 — — $37,289.53 $51,801.21 $40,396.56 2025-11-21
653 MS_DRG Major Bladder Procedures With Mcc 28 9 — — $36,436.55 $50,616.29 $39,472.51 2025-11-21
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 28 9 — — $36,127.39 $50,186.82 $39,137.59 2025-11-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 9 — — $36,127.39 $50,186.82 $39,137.59 2025-11-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 9 — — $35,975.75 $49,976.17 $38,973.32 2025-11-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 9 — — $35,756.14 $49,671.09 $38,735.40 2025-11-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 9 — — $35,563.98 $49,404.14 $38,527.23 2025-11-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 9 — — $35,482.93 $49,291.56 $38,439.43 2025-11-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 9 — — $35,301.87 $49,040.04 $38,243.29 2025-11-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 9 — — $35,268.54 $48,993.74 $38,207.18 2025-11-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 9 — — $35,264.62 $48,988.29 $38,202.93 2025-11-21
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 9 — — $33,661.95 $46,761.92 $36,466.72 2025-11-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 9 — — $33,299.20 $46,258.00 $36,073.74 2025-11-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 9 — — $33,197.23 $46,116.35 $35,963.28 2025-11-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 9 — — $32,727.93 $45,464.42 $35,454.88 2025-11-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 9 — — $32,702.44 $45,429.00 $35,427.26 2025-11-21
471 MS_DRG Cervical Spinal Fusion With Mcc 28 9 — — $31,748.15 $44,103.35 $34,393.47 2025-11-21
6 MS_DRG Liver Transplant Without Mcc 28 9 — — $31,695.21 $44,029.80 $34,336.12 2025-11-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 9 — — $31,213.50 $43,360.63 $33,814.26 2025-11-21
799 MS_DRG Splenic Procedures With Mcc 28 9 — — $31,078.20 $43,172.68 $33,667.69 2025-11-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 9 — — $30,750.73 $42,717.77 $33,312.94 2025-11-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 9 — — $30,586.03 $42,488.97 $33,134.51 2025-11-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 9 — — $30,114.12 $41,833.40 $32,623.27 2025-11-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 9 — — $30,013.46 $41,693.57 $32,514.24 2025-11-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 9 — — $29,488.60 $40,964.46 $31,945.64 2025-11-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 9 — — $29,312.77 $40,720.21 $31,755.17 2025-11-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 9 — — $29,231.73 $40,607.62 $31,667.37 2025-11-21
901 MS_DRG Wound Debridements For Injuries With Mcc 28 9 — — $28,958.52 $40,228.09 $31,371.39 2025-11-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 9 — — $28,712.11 $39,885.78 $31,104.45 2025-11-21
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 9 — — $28,281.37 $39,287.42 $30,637.83 2025-11-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 9 — — $28,223.20 $39,206.62 $30,574.81 2025-11-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 9 — — $27,881.36 $38,731.74 $30,204.49 2025-11-21
140 MS_DRG Major Head And Neck Procedures With Mcc 28 9 — — $27,642.78 $38,400.32 $29,946.03 2025-11-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 9 — — $27,390.49 $38,049.84 $29,672.72 2025-11-21
793 MS_DRG Full Term Neonate With Major Problems 28 9 — — $27,259.11 $37,867.34 $29,530.39 2025-11-21
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 9 — — $26,862.37 $37,316.20 $29,100.59 2025-11-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 9 — — $26,822.49 $37,260.80 $29,057.40 2025-11-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 9 — — $26,690.46 $37,077.39 $28,914.36 2025-11-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 9 — — $26,585.24 $36,931.21 $28,800.36 2025-11-21
791 MS_DRG Prematurity With Major Problems 28 9 — — $26,536.21 $36,863.11 $28,747.25 2025-11-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 9 — — $26,038.15 $36,171.22 $28,207.70 2025-11-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 9 — — $26,019.85 $36,145.80 $28,187.88 2025-11-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 9 — — $25,789.78 $35,826.20 $27,938.63 2025-11-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 9 — — $25,736.84 $35,752.65 $27,881.28 2025-11-21
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 9 — — $25,684.54 $35,680.01 $27,824.63 2025-11-21
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 9 — — $25,570.81 $35,522.02 $27,701.42 2025-11-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 9 — — $25,417.21 $35,308.64 $27,535.03 2025-11-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 9 — — $25,262.31 $35,093.46 $27,367.22 2025-11-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 28 9 — — $25,236.82 $35,058.04 $27,339.60 2025-11-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 9 — — $25,166.22 $34,959.98 $27,263.12 2025-11-21
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 9 — — $24,983.87 $34,706.66 $27,065.57 2025-11-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 9 — — $24,848.57 $34,518.70 $26,919.00 2025-11-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 9 — — $24,655.10 $34,249.94 $26,709.41 2025-11-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 9 — — $24,458.36 $33,976.64 $26,496.28 2025-11-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 9 — — $23,848.54 $33,129.50 $25,835.65 2025-11-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 9 — — $23,683.17 $32,899.77 $25,656.50 2025-11-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 9 — — $23,430.88 $32,549.30 $25,383.18 2025-11-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 9 — — $23,429.57 $32,547.48 $25,381.76 2025-11-21
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 9 — — $23,425.64 $32,542.02 $25,377.51 2025-11-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 9 — — $23,211.26 $32,244.22 $25,145.26 2025-11-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 9 — — $23,075.30 $32,055.35 $24,997.98 2025-11-21
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 9 — — $23,069.43 $32,047.19 $24,991.61 2025-11-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 9 — — $23,011.25 $31,966.36 $24,928.59 2025-11-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 9 — — $22,901.45 $31,813.83 $24,809.64 2025-11-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 9 — — $22,894.26 $31,803.85 $24,801.85 2025-11-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 9 — — $22,885.10 $31,791.13 $24,791.93 2025-11-21
J3391 HCPCS Inj, Atidarsagene Autotemcel 16 7 — — $4,071,075.00 $4,727,700.00 $4,508,825.00 2025-11-21
J1414 HCPCS Inj, Beqvez, Per Tx Dose 16 7 — — $3,450,300.00 $4,006,800.00 $3,821,300.00 2025-11-21
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 16 7 — — $3,427,298.00 $3,980,088.00 $3,795,824.67 2025-11-21
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 7 — — $3,091,851.87 $3,590,537.65 $3,424,309.06 2025-11-21
J3394 HCPCS Inj, Lovotibeglogene Autotem 16 7 — — $3,033,060.15 $3,522,263.40 $3,359,195.65 2025-11-21
J3393 HCPCS Inj, Betibeglogene Autotemce 16 7 — — $2,744,138.60 $3,186,741.60 $3,039,207.27 2025-11-21
J3399 HCPCS Inj Onase Abepar-xioi Treat 16 7 — — $2,280,467.51 $2,648,284.85 $2,525,679.07 2025-11-21
J3392 HCPCS Inj, Exagamglogene Autotem 16 7 — — $2,168,760.00 $2,518,560.00 $2,401,960.00 2025-11-21
Q2057 HCPCS Afamitresgene Autoleucel 16 7 — — $716,676.60 $832,269.60 $793,738.60 2025-11-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 7 — — $537,841.86 $624,590.55 $595,674.32 2025-11-21
Q2056 HCPCS Ciltacabtagene Car-pos T 16 7 — — $514,642.31 $597,649.14 $569,980.19 2025-11-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 16 7 — — $503,721.16 $584,966.51 $557,884.73 2025-11-21
Q2055 HCPCS Idecabtagene Vicleucel Car 16 7 — — $503,372.22 $584,561.29 $557,498.26 2025-11-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 16 7 — — $495,761.13 $575,722.60 $549,068.77 2025-11-21
Q2053 HCPCS Brexucabtagene Car Pos T 16 7 — — $455,439.60 $528,897.60 $504,411.60 2025-11-21
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 16 7 — — $251,448.75 $292,005.00 $278,486.25 2025-11-21
J9029 HCPCS Instill Adstiladrin, Tx Dose 16 7 — — $58,990.88 $68,505.53 $65,333.98 2025-11-21
A9543 HCPCS Y90 Ibritumomab, Rx 16 7 — — $52,846.83 $61,370.51 $58,529.29 2025-11-21
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 7 — — $52,029.75 $60,421.65 $57,624.35 2025-11-21
J9226 HCPCS Supprelin La Implant 16 7 — — $42,371.16 $49,205.22 $46,927.20 2025-11-21
0266T HCPCS Implt/rpl Crtd Sns Dev Total 16 7 — — $38,262.21 $44,433.53 $43,052.21 2025-11-21
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 7 — — $38,262.21 $44,433.53 $43,052.21 2025-11-21
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 16 7 — — $29,759.59 $34,559.52 $33,485.16 2025-11-21
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 16 7 — — $27,260.74 $31,657.63 $30,673.48 2025-11-21
0408T HCPCS Insj/rplc Cardiac Modulj Sys 16 7 — — $27,260.74 $31,657.63 $30,673.48 2025-11-21
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 16 7 — — $27,260.74 $31,657.63 $30,673.48 2025-11-21
J9266 HCPCS Pegaspargase Injection 16 7 — — $26,434.38 $30,697.98 $29,276.78 2025-11-21
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 16 7 — — $25,910.53 $30,089.65 $29,154.24 2025-11-21
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 16 7 — — $25,910.53 $30,089.65 $29,154.24 2025-11-21
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 16 7 — — $25,910.53 $30,089.65 $29,154.24 2025-11-21
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 16 7 — — $25,910.53 $30,089.65 $29,154.24 2025-11-21
C9760 HCPCS Non-blind Interatrial Shunt 16 7 — — $23,382.62 $27,154.02 $26,309.87 2025-11-21
J9600 HCPCS Porfimer Sodium Injection 16 7 — — $22,532.43 $26,166.69 $24,955.27 2025-11-21
38240 HCPCS Transplt Allo Hct/donor 12 6 — — $56,032.44 $57,680.45 $56,581.77 2025-11-21
8993910-4524 CDM Impella 5.0 Pump Kit 18 6 $98,000.00 $78,400.00 20% off $159.00 $73,500.00 $39,200.00 2025-11-21
8994317-4158 CDM Impella 5.5 S2 18 6 $88,900.00 $71,120.00 20% off $159.00 $66,675.00 $35,560.00 2025-11-21
8995698-2827 CDM Valve; Valve Sapien 3 Ultra 20mm; Tavr-valve 18 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995967-2565 CDM Valve; Valve Sapien3 Certitude 20mm; Tavr-valve 18 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995969-2563 CDM Valve; Valve Sapien3 Certitude 26mm; Tavr-valve 18 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995699-2826 CDM Valve; Valve Sapien 3 Ultra 23mm; Tavr-valve 18 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995701-2824 CDM Valve; Valve Sapien 3 29mm; Tavr-valve 18 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995697-2828 CDM Valve; Valve Sapien 3 Ultra 26mm; Tavr-valve 18 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995968-2564 CDM Valve; Valve Sapien3 Certitude 23mm; Tavr-valve 18 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995970-2562 CDM Valve; Valve Sapien3 Certitude 29mm; Tavr-valve 18 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8996518-2015 CDM Evolut Fx 34mm Valve 18 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995603-2921 CDM Evolut Fx 26mm Valve 18 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995604-2920 CDM Evolut Fx 29mm Valve 18 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995793-2732 CDM Valve; Valve Aortic Evolut R 29mm; Tavr-valve 18 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995791-2734 CDM Valve; Valve Aortic Evolut R 23mm; Tavr-valve 18 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995792-2733 CDM Valve; Valve Aortic Evolut R 26mm; Tavr-valve 18 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995653-2872 CDM Mitraclip Kit; Mitraclip G5 System 18 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995602-2922 CDM Evolut Fx 23mm Valve 18 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
69930 HCPCS Implant Cochlear Device 12 6 — — $30,135.26 $31,021.59 $30,430.71 2025-11-21
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 12 6 — — $28,871.19 $29,720.34 $29,154.24 2025-11-21
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 12 6 — — $28,871.19 $29,720.34 $29,154.24 2025-11-21
61886 HCPCS Implant Neurostim Arrays 12 6 — — $28,871.19 $29,720.34 $29,154.24 2025-11-21
8994996-3520 CDM Impella 2.5 Pump Kit 18 6 $70,000.00 $56,000.00 20% off $159.00 $52,500.00 $28,000.00 2025-11-21
8997560-1137 CDM Portico Tavr Valve 27mm 18 6 $69,850.00 $55,880.00 20% off $159.00 $52,387.50 $27,940.00 2025-11-21
8997559-1138 CDM Portico Tavr Valve 25mm 18 6 $69,850.00 $55,880.00 20% off $159.00 $52,387.50 $27,940.00 2025-11-21
8997558-1139 CDM Portico Tavr Valve 23mm 18 6 $69,850.00 $55,880.00 20% off $159.00 $52,387.50 $27,940.00 2025-11-21
8997561-1136 CDM Portico Tavr Valve 29mm 18 6 $69,850.00 $55,880.00 20% off $159.00 $52,387.50 $27,940.00 2025-11-21
9005134-979 CDM Valve; Navitor Titan Valve; 35mm 18 6 $66,675.00 $53,340.00 20% off $159.00 $50,006.25 $26,670.00 2025-11-21
8997170-1411 CDM Navitor Valve 23mm 18 6 $66,675.00 $53,340.00 20% off $159.00 $50,006.25 $26,670.00 2025-11-21
8997173-1408 CDM Navitor Valve 29mm 18 6 $66,675.00 $53,340.00 20% off $159.00 $50,006.25 $26,670.00 2025-11-21
8997171-1410 CDM Navitor Valve 25mm 18 6 $66,675.00 $53,340.00 20% off $159.00 $50,006.25 $26,670.00 2025-11-21
8997172-1409 CDM Navitor Valve 27mm 18 6 $66,675.00 $53,340.00 20% off $159.00 $50,006.25 $26,670.00 2025-11-21
8995807-2720 CDM Impella Cp Pump Kit 3.5/4.0 18 6 $63,500.00 $50,800.00 20% off $159.00 $47,625.00 $25,400.00 2025-11-21
9112024-405 CDM Impella Ecp 18 6 $63,500.00 $50,800.00 20% off $159.00 $47,625.00 $25,400.00 2025-11-21
8996267-2266 CDM Impella Ld 18 6 $63,500.00 $50,800.00 20% off $159.00 $47,625.00 $25,400.00 2025-11-21
8996150-2382 CDM Impella Rp 18 6 $63,500.00 $50,800.00 20% off $159.00 $47,625.00 $25,400.00 2025-11-21
41374 CDM Valiant Navion Thoracic 40mmX40mmX55 5 5 $75,760.00 $47,728.80 37% off $18,940.00 $75,760.00 $26,516.00 2026-03-25
Q048000 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $257,986.94 $257,986.94 $257,986.94 2025-11-21
J902900 HCPCS Instill Adstiladrin, Tx Dose 2 1 — — $222,921.58 $222,921.58 $222,921.58 2025-11-21
Q204300 HCPCS Sipuleucel-t Auto Cd54+ 2 1 — — $195,266.33 $195,266.33 $195,266.33 2025-11-21
A954300 HCPCS Y90 Ibritumomab, Rx 2 1 — — $193,837.26 $193,837.26 $193,837.26 2025-11-21
J733000 HCPCS Cultured Chondrocytes Implnt 2 1 — — $181,303.42 $181,303.42 $181,303.42 2025-11-21
K100700 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $173,370.59 $173,370.59 $173,370.59 2025-11-21
J922600 HCPCS Supprelin La Implant 2 1 — — $159,140.49 $159,140.49 $159,140.49 2025-11-21
9028800 HCPCS Botulism Ig IV 2 1 — — $142,705.65 $142,705.65 $142,705.65 2025-11-21
L870200 HCPCS Ewhf S/d Uprt Micro Sensor 2 1 — — $133,173.10 $133,173.10 $133,173.10 2025-11-21
J926600 HCPCS Pegaspargase Injection 2 1 — — $95,180.00 $95,180.00 $95,180.00 2025-11-21
L718000 HCPCS Electronic Elbow Sequential 2 1 — — $79,842.59 $79,842.59 $79,842.59 2025-11-21
L718100 HCPCS Electronic Elbo Simultaneous 2 1 — — $79,193.86 $79,193.86 $79,193.86 2025-11-21
L200600 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 1 — — $74,567.15 $74,567.15 $74,567.15 2025-11-21
E019400 HCPCS Air Fluidized Bed 2 1 — — $69,756.71 $69,756.71 $69,756.71 2025-11-21
E0194NU HCPCS Air Fluidized Bed 2 1 — — $69,756.71 $69,756.71 $69,756.71 2025-11-21
J960000 HCPCS Porfimer Sodium Injection 2 1 — — $69,703.12 $69,703.12 $69,703.12 2025-11-21
L870100 HCPCS Ewh S/d Uprt Micro Sensor 2 1 — — $67,688.42 $67,688.42 $67,688.42 2025-11-21
K0606NU HCPCS Aed Garment W Elec Analysis 2 1 — — $53,979.45 $53,979.45 $53,979.45 2025-11-21
K060600 HCPCS Aed Garment W Elec Analysis 2 1 — — $53,979.45 $53,979.45 $53,979.45 2025-11-21
Q048300 HCPCS Monitor Elec Vad, Rep 2 1 — — $53,707.25 $53,707.25 $53,707.25 2025-11-21
E0194UE HCPCS Air Fluidized Bed 2 1 — — $52,317.52 $52,317.52 $52,317.52 2025-11-21
A960400 HCPCS Sm 153 Lexidronam 2 1 — — $48,663.02 $48,663.02 $48,663.02 2025-11-21
J731000 HCPCS Ganciclovir Long Act Implant 2 1 — — $47,817.60 $47,817.60 $47,817.60 2025-11-21
L585600 HCPCS Elec Knee-shin Swing/stance 2 1 — — $47,447.16 $47,447.16 $47,447.16 2025-11-21
L688000 HCPCS Elec Hand Ind Art Digits 2 1 — — $47,223.07 $47,223.07 $47,223.07 2025-11-21
Q048900 HCPCS Pwr Pck Base Combo Vad, Rep 2 1 — — $46,561.30 $46,561.30 $46,561.30 2025-11-21
C181600 HCPCS Receiver/transmitter, Neuro 2 1 — — $44,858.89 $44,858.89 $44,858.89 2025-11-21
8141600 HCPCS Exome Sequence Analysis 2 1 — — $44,301.60 $44,301.60 $44,301.60 2025-11-21
Q048100 HCPCS Microprcsr Cu Elec Vad, Rep 2 1 — — $41,623.23 $41,623.23 $41,623.23 2025-11-21
C261600 HCPCS Brachytx, Non-str,yttrium-90 2 1 — — $41,391.26 $41,391.26 $41,391.26 2025-11-21
K0606UE HCPCS Aed Garment W Elec Analysis 2 1 — — $40,484.57 $40,484.57 $40,484.57 2025-11-21
L861400 HCPCS Cochlear Device 2 1 — — $37,832.69 $37,832.69 $37,832.69 2025-11-21
L697500 HCPCS Interscap-thor Myoelectronic 2 1 — — $37,745.34 $37,745.34 $37,745.34 2025-11-21
L697000 HCPCS Interscapular-thor Switch CT 2 1 — — $37,543.82 $37,543.82 $37,543.82 2025-11-21
E0738NU HCPCS Upper Extremity Rehab 2 1 — — $37,190.70 $37,190.70 $37,190.70 2025-11-21
E073800 HCPCS Upper Extremity Rehab 2 1 — — $37,190.70 $37,190.70 $37,190.70 2025-11-21
L696500 HCPCS Shldr Disartic Myoelectronic 2 1 — — $36,936.90 $36,936.90 $36,936.90 2025-11-21
L585800 HCPCS Stance Phase Only 2 1 — — $36,733.35 $36,733.35 $36,733.35 2025-11-21
C188200 HCPCS Aicd, Other Than Sing/dual 2 1 — — $35,415.70 $35,415.70 $35,415.70 2025-11-21
Q047900 HCPCS Power Module Combo Vad, Rep 2 1 — — $34,300.78 $34,300.78 $34,300.78 2025-11-21
L597300 HCPCS Ank-foot Sys Dors-plant Flex 2 1 — — $34,004.82 $34,004.82 $34,004.82 2025-11-21
J141200 HCPCS Inj Roctavian Ml 2x10^13vc G 2 1 — — $33,855.24 $33,855.24 $33,855.24 2025-11-21
K086400 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 2 1 — — $33,156.20 $33,156.20 $33,156.20 2025-11-21
K0864NU HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 2 1 — — $33,156.20 $33,156.20 $33,156.20 2025-11-21
K088000 HCPCS Pwc Gp4 Vhd Sing Pow Opt S/b 2 1 — — $31,786.69 $31,786.69 $31,786.69 2025-11-21
K0880NU HCPCS Pwc Gp4 Vhd Sing Pow Opt S/b 2 1 — — $31,786.69 $31,786.69 $31,786.69 2025-11-21
0315U00 HCPCS Onc Cutan Sq Cll Ca Mrna 40 2 1 — — $31,380.33 $31,380.33 $31,380.33 2025-11-21
0211U00 HCPCS Onc Pan-tum Dna&rna Gnrj Seq 2 1 — — $31,214.17 $31,214.17 $31,214.17 2025-11-21
E073900 HCPCS Rehab Sys Active Assist Rt 2 1 — — $29,131.61 $29,131.61 $29,131.61 2025-11-21
E0739NU HCPCS Rehab Sys Active Assist Rt 2 1 — — $29,131.61 $29,131.61 $29,131.61 2025-11-21
C176700 HCPCS Generator, Neuro Non-recharg 2 1 — — $29,031.41 $29,031.41 $29,031.41 2025-11-21
L585900 HCPCS Knee-shin Pro Flex/ext Cont 2 1 — — $28,677.40 $28,677.40 $28,677.40 2025-11-21
E0469NU HCPCS Lung Expans High Oscil Neb 2 1 — — $28,580.07 $28,580.07 $28,580.07 2025-11-21
E046900 HCPCS Lung Expans High Oscil Neb 2 1 — — $28,580.07 $28,580.07 $28,580.07 2025-11-21
E0738UE HCPCS Upper Extremity Rehab 2 1 — — $27,893.01 $27,893.01 $27,893.01 2025-11-21
K0863NU HCPCS Pwc Gp3 Vhd Mult Pow Opt S/b 2 1 — — $27,862.28 $27,862.28 $27,862.28 2025-11-21
K086300 HCPCS Pwc Gp3 Vhd Mult Pow Opt S/b 2 1 — — $27,862.28 $27,862.28 $27,862.28 2025-11-21
K0860NU HCPCS Pwc Gp3 Vhd Sing Pow Opt S/b 2 1 — — $27,862.28 $27,862.28 $27,862.28 2025-11-21
K086000 HCPCS Pwc Gp3 Vhd Sing Pow Opt S/b 2 1 — — $27,862.28 $27,862.28 $27,862.28 2025-11-21
K085400 HCPCS Pwc Gp 3 Xhd Seat/back 2 1 — — $26,710.44 $26,710.44 $26,710.44 2025-11-21
K0854NU HCPCS Pwc Gp 3 Xhd Seat/back 2 1 — — $26,710.44 $26,710.44 $26,710.44 2025-11-21
8152900 HCPCS Onc Cutan Mlnma Mrna 31 Gene 2 1 — — $26,555.12 $26,555.12 $26,555.12 2025-11-21
K001400 HCPCS Other Power Whlchr Base 2 1 — — $26,285.15 $26,285.15 $26,285.15 2025-11-21
K0014NU HCPCS Other Power Whlchr Base 2 1 — — $26,285.15 $26,285.15 $26,285.15 2025-11-21
E046800 HCPCS Home Vent Dual Fnct Incl All 2 1 — — $26,075.48 $26,075.48 $26,075.48 2025-11-21
E0468NU HCPCS Home Vent Dual Fnct Incl All 2 1 — — $26,075.48 $26,075.48 $26,075.48 2025-11-21
K0868NU HCPCS Pwc Gp 4 Std Seat/back 2 1 — — $25,956.14 $25,956.14 $25,956.14 2025-11-21
K086800 HCPCS Pwc Gp 4 Std Seat/back 2 1 — — $25,956.14 $25,956.14 $25,956.14 2025-11-21
L695500 HCPCS Above Elbow Myoelectronic CT 2 1 — — $25,642.10 $25,642.10 $25,642.10 2025-11-21
K0880UE HCPCS Pwc Gp4 Vhd Sing Pow Opt S/b 2 1 — — $25,429.35 $25,429.35 $25,429.35 2025-11-21
L696000 HCPCS Shldr Disartic Switch Contro 2 1 — — $25,284.38 $25,284.38 $25,284.38 2025-11-21
K0855NU HCPCS Pwc Gp 3 Xhd Cap Chair 2 1 — — $25,231.96 $25,231.96 $25,231.96 2025-11-21
K085500 HCPCS Pwc Gp 3 Xhd Cap Chair 2 1 — — $25,231.96 $25,231.96 $25,231.96 2025-11-21
0267U00 HCPCS Rare Do Id Opt Gen Mapg&seq 2 1 — — $24,880.27 $24,880.27 $24,880.27 2025-11-21
K0864UE HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 2 1 — — $24,867.14 $24,867.14 $24,867.14 2025-11-21
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