Price Transparency 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 →

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Hospital

GOLETA VALLEY COTTAGE HOSPITAL

Santa Barbara, CA · CCN 050357 · Rates published

53,301 distinct procedures filed
10 distinct payers
952,678 rate rows
2026-05-27 last MRF observed
Data quality

781,065 of 952,678 rate rows are consumer-grade (82.0%)

171,613 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 163,289
template filing: same amount across many unrelated codes — excluded 7,581
percent-of-charges filed in the dollar field — excluded from medians 720
per-diem day rate — not a per-procedure price 23
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.cottagehealth.org/app/files/public/73845ed9-a256-4683-a051-5f53e1e7dfa6/952413596_GoletaValleyCottageHospital_standardcharges.csv
Found on page https://www.cottagehealth.org/billing/cost-of-care-estimates/
Discovered viaPublic MRF directory
Last fetch not_modified · 2026-05-15
Content fingerprint 19d32242dddb74a3… · 412,203,404 bytes · first seen 2026-05-06

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
OTHER 		Inj Atidarsagene Autotemcel 2 $4,414,900.00 $4,730,250.00 $4,572,575.00 nat. median
$4,505,000
1.0× median
J1411
OTHER 		Inj Hemgenix Per Tx Dose 3 $3,611,561.34 $4,164,351.34 $3,869,530.00 nat. median
$3,685,267
1.0× median
J1413
OTHER 		Inj Delandistrogene Mox Rokl 3 $3,250,133.34 $3,747,602.73 $3,482,285.72 nat. median
$3,327,860
1.0× median
J3394
OTHER 		Inj Lovotibeglogene Autotem 3 $3,183,476.81 $3,670,743.66 $3,410,868.01 nat. median
$3,286,000
1.0× median
J3393
OTHER 		Inj Betibeglogene Autotemce 3 $2,886,825.20 $3,328,686.20 $3,093,027.00 nat. median
$2,968,000
1.0× median
J3399
OTHER 		Inj Onase Abepar-xioi Treat 3 $2,406,008.40 $2,774,274.99 $2,577,866.14 nat. median
$2,472,216
1.0× median
J3392
OTHER 		Inj Exagamglogene Autotem 3 $2,285,360.00 $2,635,160.00 $2,448,600.00 nat. median
$2,332,000
1.1× median
Q2057
OTHER 		Afamitresgene Autoleucel 3 $755,207.60 $870,800.60 $809,151.00 nat. median
$770,620
1.1× median
Q2042
OTHER 		Tisagenlecleucel Car-pos T 3 $579,891.68 $668,650.61 $621,312.51 nat. median
$591,726
1.1× median
Q2056
OTHER 		Ciltacabtagene Car-pos T 3 $554,551.57 $639,431.91 $594,162.40 nat. median
$583,076
1.0× median
Q2054
OTHER 		Lisocabtagene Mara Car Pos T 3 $551,287.43 $635,668.15 $590,665.10 nat. median
$562,538
1.1× median
Q2055
OTHER 		Idecabtagene Vicleucel Car 3 $546,171.57 $629,769.26 $585,183.83 nat. median
$558,082
1.0× median
Q2041
OTHER 		Axicabtagene Ciloleucel Car+ 3 $522,565.57 $602,550.09 $559,891.68 nat. median
$533,230
1.1× median
Q2053
OTHER 		Brexucabtagene Car Pos T 3 $479,518.52 $552,914.21 $513,769.84 nat. median
$489,720
1.0× median
MS-018
OTHER 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 $367,147.55 $423,343.60 $393,372.37 nat. median
$309,559
1.3× median
Q2058
OTHER 		Obecbtge Autol Up To 400 Mil 3 $272,685.00 $314,422.50 $292,162.50 nat. median
$281,111
1.0× median
J3403
OTHER 		Revakinagene Per Implant 3 $252,350.00 $290,975.00 $270,375.00 nat. median
$265,000
1.0× median
MS-001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $255,282.85 $274,732.97 $265,007.91 nat. median
$224,278
1.2× median
J3402
OTHER 		Inj. Remestemcel-l-rknd/ Td 3 $201,527.20 $232,373.20 $215,922.00 nat. median
$205,640
1.1× median
MS-927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $181,525.60 $209,310.13 $194,491.72 nat. median
$175,322
1.1× median
MS-003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 3 $180,460.28 $208,081.75 $193,350.30 nat. median
$169,886
1.1× median
43729
OTHER 		Impella 5.5 With Smartassist S2 Set, US 10 $35,100.00 $157,950.00 $144,699.75 nat. median
$2,254
outlier · 64.2×
155216
OTHER 		Sipuleucel-t 50000000 Cells IV Susp 10 $33,052.00 $148,734.00 $136,256.87 nat. median
$135,678
1.0× median
MS-004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 3 $117,766.97 $135,792.53 $126,178.90 nat. median
$107,587
1.2× median
15320
OTHER 		Vns Demipulse Duo Generator With Essential Kit Model 104 10 $29,939.40 $134,727.30 $123,425.18 nat. median
$8,256
outlier · 14.9×
MS-007
OTHER 		Lung Transplant 2 $117,969.44 $126,957.59 $122,463.51 nat. median
$95,292
1.3× median
1778
OTHER 		Edwards Sapien 3 23mm Valve 10 $29,513.40 $132,810.30 $121,668.99 nat. median
$1,676
outlier · 72.6×
1351
OTHER 		Edwards Sapien 3 26mm Valve 10 $29,513.40 $132,810.30 $121,668.99 nat. median
$5,786
outlier · 21.0×
318
OTHER 		Edwards Sapien 3 29mm Valve 10 $29,513.40 $132,810.30 $121,668.99 nat. median
$18,600
outlier · 6.5×
287
OTHER 		Edwards Sapien 3 20mm Valve 10 $29,513.40 $132,810.30 $121,668.99 nat. median
$11,350
outlier · 10.7×
19610
OTHER 		System Aortic Valve 20mm Sapien3 Ultra Tavr Valve System 10 $28,414.40 $127,864.80 $117,138.36 nat. median
$610
outlier · 192.1×
19612
OTHER 		Aortic Valve 26mm Sapien3 Ultra Tavr Valve 10 $28,414.40 $127,864.80 $117,138.36 nat. median
$71,036
1.6× median
19611
OTHER 		Aortic Valve 23mm Sapien3 Ultra Tavr Valve 10 $28,414.40 $127,864.80 $117,138.36 nat. median
$2,711
outlier · 43.2×
118101304
OTHER 		23mm Evolut-r Aortic Valve 10 $28,103.80 $126,467.10 $115,857.92 nat. median
$115,366
1.0× median
118101305
OTHER 		26mm Evolut-r Aortic Valve 10 $28,103.80 $126,467.10 $115,857.92 nat. median
$115,366
1.0× median
118101311
OTHER 		31mm Corevalve Transcatheter Aortic Valve 10 $28,103.80 $126,467.10 $115,857.92 nat. median
$115,366
1.0× median
118101306
OTHER 		29mm Evolut-r Aortic Valve 10 $28,103.80 $126,467.10 $115,857.92 nat. median
$115,366
1.0× median
19126
OTHER 		Valve Evolut Pro+ Transcatheter Aortic Valve-29mm 10 $28,103.80 $126,467.10 $115,857.92 nat. median
$286
outlier · 405.7×
2356
OTHER 		34mm Evolut-r Aortic Valve 10 $28,103.80 $126,467.10 $115,857.92 nat. median
$1,185
outlier · 97.8×
19124
OTHER 		Valve Evolut Pro+ Transcatheter Aortic Valve-23mm 10 $28,103.80 $126,467.10 $115,857.92 nat. median
$316
outlier · 366.1×
4349
OTHER 		Evolut Pro 26mm Aortic Valve Medtronic 10 $28,103.80 $126,467.10 $115,857.92 nat. median
$1,902
outlier · 60.9×
19127
OTHER 		Valve Evolut Pro+ Transcatheter Aortic Valve-34mm 10 $28,103.80 $126,467.10 $115,857.92 nat. median
$14,130
outlier · 8.2×
3878
OTHER 		Evolut Pro 29mm Aortic Valve Medtronic 10 $28,103.80 $126,467.10 $115,857.92 nat. median
$2,198
outlier · 52.7×
4841
OTHER 		Evolut Pro 23mm Aortic Valve Medtronic 10 $28,103.80 $126,467.10 $115,857.92 nat. median
$9,740
outlier · 11.9×
37803
OTHER 		TriClip G4 Steerable Guide Catheter 10 $28,080.00 $126,360.00 $115,759.80 nat. median
$466
outlier · 248.4×
47069
OTHER 		Triclip G5 Steerable Guide Catheter 10 $28,080.00 $126,360.00 $115,759.80 nat. median
$106,142
1.1× median
25853
OTHER 		1000 SenTiva Generator 10 $27,695.60 $124,630.20 $114,175.11 nat. median
$106,005
1.1× median
MS-014
OTHER 		Allogeneic Bone Marrow Transplant 2 $109,476.69 $117,817.77 $113,647.23 nat. median
$91,600
1.2× median
Q0480
OTHER 		Driver Pneumatic Vad Rep 3 $103,998.51 $119,916.65 $111,426.98 nat. median
$109,316
1.0× median
29013
OTHER 		Edwards Sapien 3 Ultra Resilia 20mm Tavr Valve 10 $26,484.60 $119,180.70 $109,182.76 nat. median
$4,529
outlier · 24.1×

Other procedures at this hospital

Browse this hospital's 53,301 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
             
93924 OTHER Histrelin Acetate (cpp) 50 Mg Sc Kit 19 10 $119,503.00 $83,652.10 30% off $194.82 $107,552.70 $92,614.82 2026-05-27
29015 OTHER Edwards Sapien 3 Ultra Resilia 23mm Tavr Valve 19 10 $132,423.00 $92,696.10 30% off $330.70 $119,180.70 $102,627.82 2026-05-27
13131 OTHER Magec X Rod 4.5mm 90mm Offset 19 10 $81,842.00 $57,289.40 30% off $497.49 $73,657.80 $63,427.55 2026-05-27
13120 OTHER Magec 1 Rod 4.5mm 90mm Standard 19 10 $81,842.00 $57,289.40 30% off $762.21 $73,657.80 $63,427.55 2026-05-27
13121 OTHER Magec 1 Rod 5.5mm 70mm Offset 19 10 $81,842.00 $57,289.40 30% off $762.21 $73,657.80 $63,427.55 2026-05-27
13132 OTHER Magec X Rod 4.5mm 90mm Standard 19 10 $81,842.00 $57,289.40 30% off $762.21 $73,657.80 $63,427.55 2026-05-27
19125 OTHER Valve Evolut Pro+ Transcatheter Aortic Valve-26mm 19 10 $140,519.00 $98,363.30 30% off $4,768.18 $126,467.10 $108,902.22 2026-05-27
30620 OTHER Tag Tbe Thoracic Aortic Branch/ 40mmx15cm 8mm 19 10 $124,800.00 $87,360.00 30% off $7,366.11 $112,320.00 $96,720.00 2026-05-27
27400 OTHER Antegrade Tibia Nail 8.5mmx245mm 19 10 $102,991.00 $72,093.70 30% off $8,895.29 $92,691.90 $79,818.03 2026-05-27
108984 OTHER Osteomatch Peek Implant 100-150 Sq Cm 16 10 $68,123.00 $47,686.10 30% off $13,624.60 $61,310.70 $56,167.41 2026-05-27
12886 OTHER Dynanail 10 Mm X 22 Cm 16 10 $68,444.00 $47,910.80 30% off $13,688.80 $61,599.60 $56,432.07 2026-05-27
12887 OTHER Dynanail 12 Mm X 22 Cm 16 10 $68,444.00 $47,910.80 30% off $13,688.80 $61,599.60 $56,432.07 2026-05-27
14333 OTHER Medpor Customized Implant Med 16 10 $68,868.00 $48,207.60 30% off $13,773.60 $61,981.20 $56,781.66 2026-05-27
22086 OTHER 27mm Watchman 12fr Laac Device W/delivery System 16 10 $69,453.00 $48,617.10 30% off $13,890.60 $62,507.70 $57,264.00 2026-05-27
902893 OTHER Blinatumomab 196 Mcg Over 7 Days Simple Erx 16 10 $70,757.00 $49,529.90 30% off $14,151.40 $63,681.30 $58,339.15 2026-05-27
123277 OTHER Integra Meshed Bilayer Wound Matrix 8 X 10in 16 10 $70,817.00 $49,571.90 30% off $14,163.40 $63,735.30 $58,388.62 2026-05-27
111373 OTHER Tag Thoracic Endoprosthesis 34mm X 34mm X 20cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111374 OTHER Tag Thoracic Endoprosthesis 37mm X 37mm X 10cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111375 OTHER Tag Thoracic Endoprosthesis 37mm X 37mm X 15cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111376 OTHER Tag Thoracic Endoprosthesis 37mm X 37mm X 20cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111361 OTHER Tag Thoracic Endoprosthesis Stent 34mm X 15cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111372 OTHER Tag Thoracic Endoprosthesis 34mm X 34mm X 15cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111377 OTHER Tag Thoracic Endoprosthesis 40mm X 40mm X 10cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111378 OTHER Tag Thoracic Endoprosthesis 40mm X 40mm X 15cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111379 OTHER Tag Thoracic Endoprosthesis 40mm X 40mm X 20cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111369 OTHER Tag Thoracic Endoprosthesis 31mm X 31mm X 10cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111368 OTHER Tag Thoracic Endoprosthesis 31mm X 26mm X 10cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111370 OTHER Tag Thoracic Endoprosthesis 31mm X 31mm X 15cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111362 OTHER Thoracic Endoprosthesis 31mm X 10cm X 6.5mm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111363 OTHER Tag Thoracic Endoprosthesis 21mm X 21mm X 10cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111364 OTHER Tag Thoracic Endoprosthesis 26mm X 21mm X 10cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111380 OTHER Tag Thoracic Endoprosthesis 45mm X 45mm X 10cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111365 OTHER Tag Thoracic Endoprosthesis 26mm X 26mm X 10cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111366 OTHER Tag Thoracic Endoprosthesis 28mm X 28mm X 10cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111367 OTHER Tag Thoracic Endoprosthesis 28mm X 28mm X 15cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111381 OTHER Tag Thoracic Endoprosthesis 45mm X 45mm X 15cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111382 OTHER Tag Thoracic Endoprosthesis 45mm X 45mm X 20cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
111371 OTHER Tag Thoracic Endoprosthesis 34mm X 34mm X 10cm 16 10 $70,839.00 $49,587.30 30% off $14,167.80 $63,755.10 $58,406.76 2026-05-27
24818 OTHER Zenith Tx2 Dissection Endovascular Graft Tapered Zdeg-pt-32-202 16 10 $71,256.00 $49,879.20 30% off $14,251.20 $64,130.40 $58,750.57 2026-05-27
24163 OTHER Zenith Tx2 Dissection Endograft 32mm X 82mm 16 10 $71,256.00 $49,879.20 30% off $14,251.20 $64,130.40 $58,750.57 2026-05-27
118101014 OTHER Icd Single Chamber Vitality 16 10 $71,884.00 $50,318.80 30% off $14,376.80 $64,695.60 $59,268.35 2026-05-27
35484 OTHER Crtd Cobalt Xt Hf MRI Is1 Df4 16 10 $72,384.00 $50,668.80 30% off $14,476.80 $65,145.60 $59,680.60 2026-05-27
118101284 OTHER Evera S Vr Sc Icd 16 10 $72,577.00 $50,803.90 30% off $14,515.40 $65,319.30 $59,839.74 2026-05-27
115725 OTHER Ans Genesis Pulse Generator Eonc 16-channel Ipg 16 10 $72,603.00 $50,822.10 30% off $14,520.60 $65,342.70 $59,861.17 2026-05-27
115724 OTHER Ans Eon Pulse Generator Eon 16-channel Ipg 16 10 $72,603.00 $50,822.10 30% off $14,520.60 $65,342.70 $59,861.17 2026-05-27
23192 OTHER Zenith Tx2 Dissection Endovascular Graft 16 10 $72,638.00 $50,846.60 30% off $14,527.60 $65,374.20 $59,890.03 2026-05-27
23193 OTHER Zenith Dissectionendovascular Stent 36mm X 180mm 16 10 $72,901.00 $51,030.70 30% off $14,580.20 $65,610.90 $60,106.88 2026-05-27
26731 OTHER Zenith Tx2 Dissection Endovascular Graft Tapered Component 16 10 $73,468.00 $51,427.60 30% off $14,693.60 $66,121.20 $60,574.37 2026-05-27
27925 OTHER Zenith Tx2 Dissection Endovascular Graft - G47480 16 10 $73,468.00 $51,427.60 30% off $14,693.60 $66,121.20 $60,574.37 2026-05-27
118100342 OTHER Ilesto Dr-t Icd 16 10 $73,538.00 $51,476.60 30% off $14,707.60 $66,184.20 $60,632.08 2026-05-27
35556 OTHER Momentum Crt-d Is-1/df-1 (bi-v) 19 10 $73,710.00 $51,597.00 30% off $14,742.00 $66,339.00 $57,125.25 2026-05-27
41782 OTHER Peek Priority Customized Cranial Implant - Xlarge 16 10 $74,096.00 $51,867.20 30% off $14,819.20 $66,686.40 $61,092.15 2026-05-27
13291 OTHER Zenith Alpha Thoracic Endovascular Graft Proximal Tapered Component 36-32mm Dia … 16 10 $74,675.00 $52,272.50 30% off $14,935.00 $67,207.50 $61,569.54 2026-05-27
7027 OTHER Evera MRI Xt Icd Medtronic 16 10 $74,897.00 $52,427.90 30% off $14,979.40 $67,407.30 $61,752.58 2026-05-27
23674 OTHER Percept Pc Model B35200 Neurostimulation 16 10 $74,953.00 $52,467.10 30% off $14,990.60 $67,457.70 $61,798.75 2026-05-27
44437 OTHER Zenith Dissection Endovascular Stent Zdes- 36-80 16 10 $75,824.00 $53,076.80 30% off $15,164.80 $68,241.60 $62,516.88 2026-05-27
12890 OTHER Dynanail Xl 10 Mm X 30 Cm 16 10 $76,116.00 $53,281.20 30% off $15,223.20 $68,504.40 $62,757.65 2026-05-27
12889 OTHER Dynanail Xl 12 Mm X 26 Cm 16 10 $76,116.00 $53,281.20 30% off $15,223.20 $68,504.40 $62,757.65 2026-05-27
12891 OTHER Dynanail Xl 12 Mm X 30 Cm 16 10 $76,116.00 $53,281.20 30% off $15,223.20 $68,504.40 $62,757.65 2026-05-27
12888 OTHER Dynanail Xl 10 Mm X 26 Cm 16 10 $76,116.00 $53,281.20 30% off $15,223.20 $68,504.40 $62,757.65 2026-05-27
118101008 OTHER Energen Vr Sc Icd 16 10 $76,363.00 $53,454.10 30% off $15,272.60 $68,726.70 $62,961.29 2026-05-27
102275 OTHER Flex Hd 20cm X 30cm Thick 16 10 $76,390.00 $53,473.00 30% off $15,278.00 $68,751.00 $62,983.56 2026-05-27
12368 OTHER Visia Af MRI Vr Surescan Medtronic Icd 16 10 $76,709.00 $53,696.30 30% off $15,341.80 $69,038.10 $63,246.57 2026-05-27
30619 OTHER Tag Conform Thoracic Sg Ac, 37mm X 37mm X 20cm 22fr 16 10 $77,104.00 $53,972.80 30% off $15,420.80 $69,393.60 $63,572.24 2026-05-27
23391 OTHER Tag Conform Thoracic Sg Ac, 31mm X 31mm X 15cm 20fr 16 10 $77,104.00 $53,972.80 30% off $15,420.80 $69,393.60 $63,572.24 2026-05-27
24245 OTHER Alpha 16 Rechargeable 16-contact Ipg MRI 16 10 $77,818.00 $54,472.60 30% off $15,563.60 $70,036.20 $64,160.94 2026-05-27
3564 OTHER Emblem MRI S-icd Boston Scientific 16 10 $77,896.00 $54,527.20 30% off $15,579.20 $70,106.40 $64,225.26 2026-05-27
23393 OTHER Tag Conform Thoracic Sg Ac, 40mm X 40mm X 20cm 22fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
23387 OTHER Tag Conform Thoracic Sg Ac, 45mm X 45mm X 10cm 24fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
23390 OTHER Tag Conform Thoracic Sg Ac, 31mm X 26mm X 10cm 20fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
23384 OTHER Tag Conform Thoracic Sg Ac, 28mm X 28mm X 15cm 20fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
23385 OTHER Tag Conform Thoracic Sg Ac, 34mm X 34mm X 10cm 22fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
23392 OTHER Tag Conform Thoracic Sg Ac, 31mm X 31mm X 20cm 20fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
23383 OTHER Tag Conform Thoracic Sg Ac, 28mm X 28mm X 10cm 20fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
23388 OTHER Tag Conform Thoracic Sg Ac, 45mm X 45mm X 15cm 24fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
23382 OTHER Tag Conform Thoracic Sg Ac, 26mm X 26mm X 10cm 20fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
23386 OTHER Tag Conform Thoracic Sg Ac, 34mm X 34mm X 20cm 22fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
23380 OTHER Tag Conform Thoracic Sg Ac, 21mm X 21mm X 10cm 18fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
23381 OTHER Tag Conform Thoracic Sg Ac, 26mm X 21mm X 10cm 20fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
23389 OTHER Tag Conform Thoracic Sg Ac, 45mm X 45mm X 20cm 24fr 16 10 $78,383.00 $54,868.10 30% off $15,676.60 $70,544.70 $64,626.78 2026-05-27
22645 OTHER Gallant Hf Crt-d Bi-ventricular Icd 16 10 $78,669.00 $55,068.30 30% off $15,733.80 $70,802.10 $64,862.59 2026-05-27
19548 OTHER Precice Antegrade Femur Trochanteric 8.5 Dia 80mm Dist X 305mm 16 10 $78,865.00 $55,205.50 30% off $15,773.00 $70,978.50 $65,024.19 2026-05-27
118101026 OTHER 27mm Watchman 12fr Left Atrial Appendage Closure Device With Delivery System 16 10 $79,627.00 $55,738.90 30% off $15,925.40 $71,664.30 $65,652.46 2026-05-27
118101027 OTHER 30mm Watchman 12fr Left Atrial Appendage Closure Device With Delivery System 16 10 $79,627.00 $55,738.90 30% off $15,925.40 $71,664.30 $65,652.46 2026-05-27
511 OTHER 33mm Watchman 12fr Left Atrial Appendage Closure Device With Delivery System 16 10 $79,627.00 $55,738.90 30% off $15,925.40 $71,664.30 $65,652.46 2026-05-27
118101024 OTHER 21mm Watchman 12fr Left Atrial Appendage Closure Device With Delivery System 16 10 $79,627.00 $55,738.90 30% off $15,925.40 $71,664.30 $65,652.46 2026-05-27
118101025 OTHER 24mm Watchman 12fr Left Atrial Appendage Closure Device With Delivery System 16 10 $79,627.00 $55,738.90 30% off $15,925.40 $71,664.30 $65,652.46 2026-05-27
21951 OTHER Precice Antegrade Femur Trochanteric 10 Deg Bend 8.5mm X 335mm 16 10 $79,913.00 $55,939.10 30% off $15,982.60 $71,921.70 $65,888.27 2026-05-27
115270 OTHER Precice Antegrade Tibia 10 Degree Bend 16 10 $80,084.00 $56,058.80 30% off $16,016.80 $72,075.60 $66,029.26 2026-05-27
3493 OTHER Precice Antegrade Femur Trochanter Femur 10.7 Dia X 80mm Dis X 335mm 16 10 $80,084.00 $56,058.80 30% off $16,016.80 $72,075.60 $66,029.26 2026-05-27
12720 OTHER Precice Antegrade Femur Trochanter Femur 10.7 Dia X 80mm Dis X 365mm 16 10 $80,084.00 $56,058.80 30% off $16,016.80 $72,075.60 $66,029.26 2026-05-27
28715 OTHER Evolut Fx Transcatheter Aortic Valve - 23mm 19 10 $116,844.00 $81,790.80 30% off $16,021.61 $105,159.60 $90,554.10 2026-05-27
122232 OTHER Precice Antegrade Femur Trochanteric 12.5mm Dia 80mm Dist X 245mm 16 10 $80,207.00 $56,144.90 30% off $16,041.40 $72,186.30 $66,130.67 2026-05-27
122373 OTHER Precice Antegrade Femur 10.7mm Dia 80mm Dist X 245mm 16 10 $80,207.00 $56,144.90 30% off $16,041.40 $72,186.30 $66,130.67 2026-05-27
122402 OTHER Precice Antegrade Femur Trochanteric 8.5mm Dia 50mm Dist X 230mm 16 10 $80,207.00 $56,144.90 30% off $16,041.40 $72,186.30 $66,130.67 2026-05-27
122403 OTHER Precice Antegrade Femur Trochanteric 8.5mm Dia 80mm Dist X 245mm 16 10 $80,207.00 $56,144.90 30% off $16,041.40 $72,186.30 $66,130.67 2026-05-27
123120 OTHER Precice Antegrade Femur Trochanteric 8.5mm Dia 50mm Dist X 215mm 16 10 $80,207.00 $56,144.90 30% off $16,041.40 $72,186.30 $66,130.67 2026-05-27
33850 OTHER Tag Conform Thoracic Sg Ac, 37mm X 37mm X 15cm 22fr 16 10 $80,215.00 $56,150.50 30% off $16,043.00 $72,193.50 $66,137.27 2026-05-27
43028 OTHER Gore Thoracic Stent Graft 37mm X 37mm X 10cm 22fr 16 10 $80,215.20 $56,150.64 30% off $16,043.04 $72,193.68 $66,137.43 2026-05-27
118101006 OTHER Energen Dr Icd 16 10 $80,662.00 $56,463.40 30% off $16,132.40 $72,595.80 $66,505.82 2026-05-27
41379 OTHER Zenith Tx2 Dissection Endovascular Graft Straight Component 32mm X 142mm X 20fr 16 10 $81,463.00 $57,024.10 30% off $16,292.60 $73,316.70 $67,166.24 2026-05-27
40065 OTHER Zenith Tx2 Dissection Endograft 30mm X 142mm 16 10 $81,463.00 $57,024.10 30% off $16,292.60 $73,316.70 $67,166.24 2026-05-27
115996 OTHER Ans Eon Mini Ipg-16 Channel Rechargeable 16 10 $81,707.00 $57,194.90 30% off $16,341.40 $73,536.30 $67,367.42 2026-05-27
13124 OTHER Magec 1 Rod 5.5mm 90mm Standard 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13117 OTHER Magec 1 Rod 4.5mm 70mm Offset 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13118 OTHER Magec 1 Rod 4.5mm 70mm Standard 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
5713 OTHER Magec 2 Rod 5.0mm 70mm Standard 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13140 OTHER Magec X Rod 6.0mm 90mm Standard 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13125 OTHER Magec 2 Rod 6.0mm 70mm Offset 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13137 OTHER Magec X Rod 6.0mm 70mm Offset 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13138 OTHER Magec X Rod 6.0mm 70mm Standard 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13139 OTHER Magec X Rod 6.0mm 90mm Offset 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13135 OTHER Magec X Rod 5.5mm 90mm Offset 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
5712 OTHER Magec 2 Rod 5.0mm 70mm Offset 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13134 OTHER Magec X Rod 5.5mm 70mm Standard 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13136 OTHER Magec X Rod 5.5mm 90mm Standard 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13130 OTHER Magec X Rod 4.5mm 70mm Standard 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13127 OTHER Magec 2 Rod 6.0mm 90mm Offset 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13126 OTHER Magec 2 Rod 6.0mm 70mm Standard 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13128 OTHER Magec 2 Rod 6.0mm 90mm Standard 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13129 OTHER Magec X Rod 4.5mm 70mm Offset 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
5714 OTHER Magec 2 Rod 5.0mm 90mm Offset 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13119 OTHER Magec 1 Rod 4.5mm 90mm Offset 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13122 OTHER Magec 1 Rod 5.5mm 70mm Standard 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
5715 OTHER Magec 2 Rod 5.0mm 90mm Standard 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
13123 OTHER Magec 1 Rod 5.5mm 90mm Offset 16 10 $81,842.00 $57,289.40 30% off $16,368.40 $73,657.80 $67,478.73 2026-05-27
118101283 OTHER Evera S Dr Icd 16 10 $81,947.00 $57,362.90 30% off $16,389.40 $73,752.30 $67,565.30 2026-05-27
20425 OTHER Tag Conform Thoracic Sg Ac, 34mm X 34mm X 15cm 22fr 16 10 $82,301.00 $57,610.70 30% off $16,460.20 $74,070.90 $67,857.17 2026-05-27
20429 OTHER Gore Thoracic Stent Graft 40mm X10cm 16 10 $82,301.00 $57,610.70 30% off $16,460.20 $74,070.90 $67,857.17 2026-05-27
20427 OTHER Gore Thoracic Stent Graft 40mm X15cm 16 10 $82,301.00 $57,610.70 30% off $16,460.20 $74,070.90 $67,857.17 2026-05-27
23189 OTHER Tag Conform Thoracic Sg Ac 31mm X 31mm X 10cm 20fr 16 10 $82,301.00 $57,610.70 30% off $16,460.20 $74,070.90 $67,857.17 2026-05-27
107571 OTHER Flex Hd Structural Diamond Xl Ultra Thick 23-25cm X 34.5-36cm 16 10 $82,332.00 $57,632.40 30% off $16,466.40 $74,098.80 $67,882.74 2026-05-27
107570 OTHER Flex Hd Structural Diamond Thick 23-25cm X 34.5-36cm 16 10 $82,332.00 $57,632.40 30% off $16,466.40 $74,098.80 $67,882.74 2026-05-27
101801 OTHER Restore Neurostimulator Ins 16 10 $82,950.00 $58,065.00 30% off $16,590.00 $74,655.00 $68,392.27 2026-05-27
101802 OTHER Restore Ultra Implantable Neurostimulator Ins 16 10 $82,950.00 $58,065.00 30% off $16,590.00 $74,655.00 $68,392.27 2026-05-27
106925 OTHER Restore System Kit 16 10 $82,950.00 $58,065.00 30% off $16,590.00 $74,655.00 $68,392.27 2026-05-27
116704 OTHER Itrel 3 Ez System Kit 16 10 $82,950.00 $58,065.00 30% off $16,590.00 $74,655.00 $68,392.27 2026-05-27
101803 OTHER Restore Sensor Implantable Neurostimulator - 37714 16 10 $82,950.00 $58,065.00 30% off $16,590.00 $74,655.00 $68,392.27 2026-05-27
101924 OTHER Restore Sensor Implantable Neurostimulator - 97714 MRI Compatible 16 10 $82,950.00 $58,065.00 30% off $16,590.00 $74,655.00 $68,392.27 2026-05-27
106926 OTHER Restore Advanced System Kit 16 10 $82,950.00 $58,065.00 30% off $16,590.00 $74,655.00 $68,392.27 2026-05-27
14017 OTHER Icd Intica Hf-t Qp Dx Promri High Energy Biotronik 16 10 $83,258.00 $58,280.60 30% off $16,651.60 $74,932.20 $68,646.22 2026-05-27
108956 OTHER Ipilimumab 200 Mg/40ml IV Soln 16 10 $83,641.00 $58,548.70 30% off $16,728.20 $75,276.90 $68,962.01 2026-05-27
47493 OTHER Aurora Ev-icd Device (Generator) 16 10 $83,850.00 $58,695.00 30% off $16,770.00 $75,465.00 $69,134.33 2026-05-27
118200367 OTHER Ellipse Dr 16 10 $84,122.00 $58,885.40 30% off $16,824.40 $75,709.80 $69,358.59 2026-05-27
118200368 OTHER Ellipse Dr Icd St. Jude 16 10 $84,122.00 $58,885.40 30% off $16,824.40 $75,709.80 $69,358.59 2026-05-27
118100913 OTHER Icd Single Chamber E102 Teligen Rf Vr 16 10 $84,363.00 $59,054.10 30% off $16,872.60 $75,926.70 $69,557.29 2026-05-27
12596 OTHER Precice Antegrade Femur 10.7mm Dia 80mm Dist X 275mm 16 10 $84,386.00 $59,070.20 30% off $16,877.20 $75,947.40 $69,576.26 2026-05-27
118101376 OTHER Icd Dual Chamber Current Dr Rf 16 10 $84,795.00 $59,356.50 30% off $16,959.00 $76,315.50 $69,913.48 2026-05-27
118101342 OTHER Icd Dr He Rf Current 16 10 $84,795.00 $59,356.50 30% off $16,959.00 $76,315.50 $69,913.48 2026-05-27
118200391 OTHER Dynagen X4 Crt-d 16 10 $85,202.00 $59,641.40 30% off $17,040.40 $76,681.80 $70,249.05 2026-05-27
1453 OTHER Evera MRI S Icd Medtronic 16 10 $85,752.00 $60,026.40 30% off $17,150.40 $77,176.80 $70,702.52 2026-05-27
118101382 OTHER Fortify Assura Dr Icd 16 10 $86,782.00 $60,747.40 30% off $17,356.40 $78,103.80 $71,551.76 2026-05-27
118101378 OTHER Fortify Assura Vr Icd 16 10 $86,782.00 $60,747.40 30% off $17,356.40 $78,103.80 $71,551.76 2026-05-27
118101383 OTHER Ellipse 16 10 $86,782.00 $60,747.40 30% off $17,356.40 $78,103.80 $71,551.76 2026-05-27
43156 OTHER Zenith Tx2 Dissection Endovascular Graft 32 X 24 X 158 16 10 $87,575.00 $61,302.50 30% off $17,515.00 $78,817.50 $72,205.59 2026-05-27
28599 OTHER Osteomatch Peek Implant 200-325 Sq Cm 16 10 $88,656.00 $62,059.20 30% off $17,731.20 $79,790.40 $73,096.88 2026-05-27
118101015 OTHER Icd Dual Chamber E110 Teligen Rf 16 10 $89,282.00 $62,497.40 30% off $17,856.40 $80,353.80 $73,613.01 2026-05-27
24179 OTHER Optimizer Ccm Pulse Generator 16 10 $89,970.00 $62,979.00 30% off $17,994.00 $80,973.00 $74,180.26 2026-05-27
26438 OTHER Pipeline Shield Small D 2.50mm L10.0mm 16 10 $91,423.00 $63,996.10 30% off $18,284.60 $82,280.70 $75,378.26 2026-05-27
15913 OTHER Surgimend Soft Tissue Reconstruction Matrix 3.0cm 25cm X 40cm 16 10 $91,800.00 $64,260.00 30% off $18,360.00 $82,620.00 $75,689.10 2026-05-27
35960 OTHER Psi Sd800.440 Peek Implant 16 10 $92,512.00 $64,758.40 30% off $18,502.40 $83,260.80 $76,276.15 2026-05-27
117449 OTHER Atricure Convenience Kit With Cobra Fusion 16 10 $93,680.00 $65,576.00 30% off $18,736.00 $84,312.00 $77,239.16 2026-05-27
41815 OTHER Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit 16 10 $95,726.00 $67,008.20 30% off $19,145.20 $86,153.40 $78,926.09 2026-05-27
118100341 OTHER Ilesto Hf-t Bi-v Icd 16 10 $96,020.00 $67,214.00 30% off $19,204.00 $86,418.00 $79,168.49 2026-05-27
11905 OTHER Claria Bi-v Icd MRI Crt-d Device Dtma1d4 16 10 $96,589.00 $67,612.30 30% off $19,317.80 $86,930.10 $79,637.63 2026-05-27
11906 OTHER Claria Bi-v Icd MRI Crt-d Device Dtma1d1 16 10 $96,589.00 $67,612.30 30% off $19,317.80 $86,930.10 $79,637.63 2026-05-27
36985 OTHER Impella Rp Flex Wih SmartAssist 16 10 $97,500.00 $68,250.00 30% off $19,500.00 $87,750.00 $80,388.75 2026-05-27
42342 OTHER Impella Cp With 7Fr Low Profile Companion Sheath 16 10 $97,500.00 $68,250.00 30% off $19,500.00 $87,750.00 $80,388.75 2026-05-27
11903 OTHER Claria Bi-v Icd MRI Quad Crt-d Device Dtma1qq 16 10 $97,758.00 $68,430.60 30% off $19,551.60 $87,982.20 $80,601.47 2026-05-27
11904 OTHER Claria Bi-v Icd MRI Quad Crt-d Device Dtma1q1 16 10 $97,758.00 $68,430.60 30% off $19,551.60 $87,982.20 $80,601.47 2026-05-27
42228 OTHER Aveir Dual Chamber Pacer System 16 10 $100,035.00 $70,024.50 30% off $20,007.00 $90,031.50 $82,478.86 2026-05-27
100013 OTHER Cyberonics Vagal Nerve Stimulator 16 10 $101,826.00 $71,278.20 30% off $20,365.20 $91,643.40 $83,955.54 2026-05-27
30832 OTHER Nuvasive Retrograde Femur Nail 12.5x335m 16 10 $103,127.00 $72,188.90 30% off $20,625.40 $92,814.30 $85,028.21 2026-05-27
118100915 OTHER H-175 Contak Renewal Iii Bi-ventricular Icd 16 10 $103,347.00 $72,342.90 30% off $20,669.40 $93,012.30 $85,209.61 2026-05-27
118200385 OTHER Viva Quad Xt Crt-d 16 10 $106,680.00 $74,676.00 30% off $21,336.00 $96,012.00 $87,957.66 2026-05-27
118101381 OTHER Unify Assura Bi-v Icd 16 10 $107,452.00 $75,216.40 30% off $21,490.40 $96,706.80 $88,594.17 2026-05-27
1334 OTHER Bi-v Icd Compia MRI Quad Device 16 10 $107,475.00 $75,232.50 30% off $21,495.00 $96,727.50 $88,613.14 2026-05-27
118101007 OTHER Incepta Bi-v Icd 16 10 $107,553.00 $75,287.10 30% off $21,510.60 $96,797.70 $88,677.45 2026-05-27
118200370 OTHER Quadra Assura Mp 16 10 $107,585.00 $75,309.50 30% off $21,517.00 $96,826.50 $88,703.83 2026-05-27
118101002 OTHER Livian H220-h225 He Bi-ventricular Icd 16 10 $108,918.00 $76,242.60 30% off $21,783.60 $98,026.20 $89,802.89 2026-05-27
118100916 OTHER Bi-v Icd Livian 16 10 $108,918.00 $76,242.60 30% off $21,783.60 $98,026.20 $89,802.89 2026-05-27
1333 OTHER Bi-v Icd Amplia MRI Device 16 10 $109,199.00 $76,439.30 30% off $21,839.80 $98,279.10 $90,034.58 2026-05-27
118101282 OTHER Viva S Bi-v Icd 16 10 $110,051.00 $77,035.70 30% off $22,010.20 $99,045.90 $90,737.05 2026-05-27
118101394 OTHER Bi-v Icd Unify Quadra 16 10 $110,983.00 $77,688.10 30% off $22,196.60 $99,884.70 $91,505.48 2026-05-27
118101380 OTHER Quadra Assura Bi-v Icd 16 10 $110,983.00 $77,688.10 30% off $22,196.60 $99,884.70 $91,505.48 2026-05-27
118100917 OTHER Bi-v Icd Livian He 16 10 $111,243.00 $77,870.10 30% off $22,248.60 $100,118.70 $91,719.85 2026-05-27
1332 OTHER Bi-v Icd Amplia MRI Quad Device 16 10 $112,832.00 $78,982.40 30% off $22,566.40 $101,548.80 $93,029.99 2026-05-27
111660 OTHER Viva Xt Crt-d 16 10 $113,078.00 $79,154.60 30% off $22,615.60 $101,770.20 $93,232.81 2026-05-27
39112 OTHER Gore Excluder Thoracoabdominal Branch Endroprosthesis 31 X 20 X 160 16 10 $113,100.00 $79,170.00 30% off $22,620.00 $101,790.00 $93,250.95 2026-05-27
39113 OTHER Gore Excluder Thoracoabdominal Branch Endroprosthesis 37 X 20 X 160 16 10 $113,100.00 $79,170.00 30% off $22,620.00 $101,790.00 $93,250.95 2026-05-27
118101001 OTHER Bi-v Icd Cognis Rf-he 16 10 $113,756.00 $79,629.20 30% off $22,751.20 $102,380.40 $93,791.82 2026-05-27
118101029 OTHER Cognis Rf He-bi-v Icd 16 10 $113,756.00 $79,629.20 30% off $22,751.20 $102,380.40 $93,791.82 2026-05-27
16012 OTHER Demipulse Duo Generator Model 104 16 10 $114,973.00 $80,481.10 30% off $22,994.60 $103,475.70 $94,795.24 2026-05-27
118100972 OTHER Vitality Dr He Icd 16 10 $116,135.00 $81,294.50 30% off $23,227.00 $104,521.50 $95,753.31 2026-05-27
118100971 OTHER Icd Dual Chamber Vitality Dr He 16 10 $116,135.00 $81,294.50 30% off $23,227.00 $104,521.50 $95,753.31 2026-05-27
28718 OTHER Evolut Fx Transcatheter Aortic Valve - 34mm 16 10 $116,844.00 $81,790.80 30% off $23,368.80 $105,159.60 $96,337.88 2026-05-27
28717 OTHER Evolut Fx Transcatheter Aortic Valve - 29mm 16 10 $116,844.00 $81,790.80 30% off $23,368.80 $105,159.60 $96,337.88 2026-05-27
28716 OTHER Evolut Fx Transcatheter Aortic Valve - 26mm 16 10 $116,844.00 $81,790.80 30% off $23,368.80 $105,159.60 $96,337.88 2026-05-27
118100209 OTHER Impella 2.5 16 10 $117,115.00 $81,980.50 30% off $23,423.00 $105,403.50 $96,561.32 2026-05-27
118101274 OTHER Icd Dual Chamber Virtuoso Drk1 16 10 $117,443.00 $82,210.10 30% off $23,488.60 $105,698.70 $96,831.75 2026-05-27
21583 OTHER MitraClip G4 Steerable Guide Catheter 16 10 $122,564.00 $85,794.80 30% off $24,512.80 $110,307.60 $101,054.01 2026-05-27
118101280 OTHER Bi-v Icd Protecta 16 10 $123,062.00 $86,143.40 30% off $24,612.40 $110,755.80 $101,464.62 2026-05-27
118101276 OTHER Bi-v Icd C154wk Concerto 16 10 $123,062.00 $86,143.40 30% off $24,612.40 $110,755.80 $101,464.62 2026-05-27
39375 OTHER Tag Tbe Thoracic Aortic Branch 28mm X 15cm 8mm 16 10 $124,800.00 $87,360.00 30% off $24,960.00 $112,320.00 $102,897.60 2026-05-27
40489 OTHER Tag Thoracic Endoprosthesis 8mm X 37mm X 15cm 16 10 $124,800.00 $87,360.00 30% off $24,960.00 $112,320.00 $102,897.60 2026-05-27
42811 OTHER Tag Tbe Thoracic Aortic Branch 12mm X 34mm X 15cm 16 10 $124,800.00 $87,360.00 30% off $24,960.00 $112,320.00 $102,897.60 2026-05-27
43027 OTHER Tag Tbe Aortic Branch 12mm X 37mm X 15cm 16 10 $124,800.00 $87,360.00 30% off $24,960.00 $112,320.00 $102,897.60 2026-05-27
47251 OTHER Tag Tbe Aortic Branch 8mm X 34mm X 15cm 16 10 $124,800.00 $87,360.00 30% off $24,960.00 $112,320.00 $102,897.60 2026-05-27
43026 OTHER Tag Tbe Aortic Branch 12mm X 34mm X 20cm 16 10 $124,800.00 $87,360.00 30% off $24,960.00 $112,320.00 $102,897.60 2026-05-27
25858 OTHER Proclaim Xr5 Implatable Pule Generator 16 10 $126,455.00 $88,518.50 30% off $25,291.00 $113,809.50 $104,262.15 2026-05-27
28785 OTHER Neuropace Rns Neurostimulator Kit 16 10 $128,178.00 $89,724.60 30% off $25,635.60 $115,360.20 $105,682.76 2026-05-27
47064 OTHER MitraClip G5 Steerable Guide 16 10 $128,700.00 $90,090.00 30% off $25,740.00 $115,830.00 $106,113.15 2026-05-27
22647 OTHER Vns Aspire Generator With Essentials Kit Model 106 16 10 $128,925.00 $90,247.50 30% off $25,785.00 $116,032.50 $106,298.66 2026-05-27
29013 OTHER Edwards Sapien 3 Ultra Resilia 20mm Tavr Valve 16 10 $132,423.00 $92,696.10 30% off $26,484.60 $119,180.70 $109,182.76 2026-05-27
29016 OTHER Edwards Sapien 3 Ultra Resilia 26mm Tavr Valve 16 10 $132,423.00 $92,696.10 30% off $26,484.60 $119,180.70 $109,182.76 2026-05-27
29017 OTHER Edwards Sapien 3 Ultra Resilia 29mm Tavr Valve 16 10 $132,423.00 $92,696.10 30% off $26,484.60 $119,180.70 $109,182.76 2026-05-27
25853 OTHER 1000 SenTiva Generator 16 10 $138,478.00 $96,934.60 30% off $27,695.60 $124,630.20 $114,175.11 2026-05-27
37803 OTHER TriClip G4 Steerable Guide Catheter 16 10 $140,400.00 $98,280.00 30% off $28,080.00 $126,360.00 $115,759.80 2026-05-27
47069 OTHER Triclip G5 Steerable Guide Catheter 16 10 $140,400.00 $98,280.00 30% off $28,080.00 $126,360.00 $115,759.80 2026-05-27
3878 OTHER Evolut Pro 29mm Aortic Valve Medtronic 16 10 $140,519.00 $98,363.30 30% off $28,103.80 $126,467.10 $115,857.92 2026-05-27
19127 OTHER Valve Evolut Pro+ Transcatheter Aortic Valve-34mm 16 10 $140,519.00 $98,363.30 30% off $28,103.80 $126,467.10 $115,857.92 2026-05-27
4349 OTHER Evolut Pro 26mm Aortic Valve Medtronic 16 10 $140,519.00 $98,363.30 30% off $28,103.80 $126,467.10 $115,857.92 2026-05-27
118101311 OTHER 31mm Corevalve Transcatheter Aortic Valve 16 10 $140,519.00 $98,363.30 30% off $28,103.80 $126,467.10 $115,857.92 2026-05-27
118101305 OTHER 26mm Evolut-r Aortic Valve 16 10 $140,519.00 $98,363.30 30% off $28,103.80 $126,467.10 $115,857.92 2026-05-27
19124 OTHER Valve Evolut Pro+ Transcatheter Aortic Valve-23mm 16 10 $140,519.00 $98,363.30 30% off $28,103.80 $126,467.10 $115,857.92 2026-05-27
118101306 OTHER 29mm Evolut-r Aortic Valve 16 10 $140,519.00 $98,363.30 30% off $28,103.80 $126,467.10 $115,857.92 2026-05-27
2356 OTHER 34mm Evolut-r Aortic Valve 16 10 $140,519.00 $98,363.30 30% off $28,103.80 $126,467.10 $115,857.92 2026-05-27
19126 OTHER Valve Evolut Pro+ Transcatheter Aortic Valve-29mm 16 10 $140,519.00 $98,363.30 30% off $28,103.80 $126,467.10 $115,857.92 2026-05-27
4841 OTHER Evolut Pro 23mm Aortic Valve Medtronic 16 10 $140,519.00 $98,363.30 30% off $28,103.80 $126,467.10 $115,857.92 2026-05-27
118101304 OTHER 23mm Evolut-r Aortic Valve 16 10 $140,519.00 $98,363.30 30% off $28,103.80 $126,467.10 $115,857.92 2026-05-27
19611 OTHER Aortic Valve 23mm Sapien3 Ultra Tavr Valve 16 10 $142,072.00 $99,450.40 30% off $28,414.40 $127,864.80 $117,138.36 2026-05-27
19612 OTHER Aortic Valve 26mm Sapien3 Ultra Tavr Valve 16 10 $142,072.00 $99,450.40 30% off $28,414.40 $127,864.80 $117,138.36 2026-05-27
19610 OTHER System Aortic Valve 20mm Sapien3 Ultra Tavr Valve System 16 10 $142,072.00 $99,450.40 30% off $28,414.40 $127,864.80 $117,138.36 2026-05-27
287 OTHER Edwards Sapien 3 20mm Valve 16 10 $147,567.00 $103,296.90 30% off $29,513.40 $132,810.30 $121,668.99 2026-05-27
1351 OTHER Edwards Sapien 3 26mm Valve 16 10 $147,567.00 $103,296.90 30% off $29,513.40 $132,810.30 $121,668.99 2026-05-27
318 OTHER Edwards Sapien 3 29mm Valve 16 10 $147,567.00 $103,296.90 30% off $29,513.40 $132,810.30 $121,668.99 2026-05-27
1778 OTHER Edwards Sapien 3 23mm Valve 16 10 $147,567.00 $103,296.90 30% off $29,513.40 $132,810.30 $121,668.99 2026-05-27
15320 OTHER Vns Demipulse Duo Generator With Essential Kit Model 104 16 10 $149,697.00 $104,787.90 30% off $29,939.40 $134,727.30 $123,425.18 2026-05-27
155216 OTHER Sipuleucel-t 50000000 Cells IV Susp 16 10 $165,260.00 $115,682.00 30% off $33,052.00 $148,734.00 $136,256.87 2026-05-27
43729 OTHER Impella 5.5 With Smartassist S2 Set, US 16 10 $175,500.00 $122,850.00 30% off $35,100.00 $157,950.00 $144,699.75 2026-05-27
Q2043 OTHER Sipuleucel-t Auto Cd54+ 3 3 — — $54,166.87 $62,457.72 $58,035.94 2026-05-27
MS-207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 — — $54,708.92 $63,082.73 $58,616.70 2026-05-27
A9543 OTHER Y90 Ibritumomab Rx 3 3 — — $55,688.06 $64,211.74 $59,665.78 2026-05-27
MS-573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $55,701.12 $64,226.81 $59,679.77 2026-05-27
MS-217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $55,904.32 $64,461.11 $59,897.49 2026-05-27
MS-218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $55,904.32 $64,461.11 $59,897.49 2026-05-27
0266T OTHER Implt/rpl Crtd Sns Dev Total 3 3 — — $56,034.08 $64,610.73 $60,036.52 2026-05-27
33276 OTHER Insj Phrnc Nrv Stim Sys 3 3 — — $56,034.08 $64,610.73 $60,036.52 2026-05-27
MS-447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 3 — — $56,808.11 $65,503.22 $60,865.83 2026-05-27
MS-317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 — — $56,849.77 $65,551.26 $60,910.46 2026-05-27
MS-955 OTHER Craniotomy For Multiple Significant Trauma 3 3 — — $57,228.96 $65,988.50 $61,316.75 2026-05-27
MS-268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $58,477.08 $67,427.66 $62,654.02 2026-05-27
MS-870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $58,765.31 $67,760.00 $62,962.83 2026-05-27
MS-275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $60,623.88 $69,903.05 $64,954.16 2026-05-27
MS-019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $60,659.59 $69,944.22 $64,992.42 2026-05-27
MS-928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 3 — — $60,983.52 $70,317.73 $65,339.49 2026-05-27
MS-427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $61,373.77 $70,767.72 $65,757.61 2026-05-27
J9029 OTHER Instill Adstiladrin Tx Dose 3 3 — — $62,075.43 $71,576.78 $66,509.39 2026-05-27
MS-957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $64,785.69 $74,701.87 $69,413.24 2026-05-27
MS-233 OTHER Coronary Bypass With Cardiac Catheterization With Mcc 3 3 — — $65,000.80 $74,949.90 $69,643.71 2026-05-27
MS-219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $65,282.22 $75,274.40 $69,945.24 2026-05-27
MS-010 OTHER Pancreas Transplant 2 2 — — $65,366.82 $70,347.14 $67,856.98 2026-05-27
L8702 OTHER Ewhf S/d Uprt Micro Sensor 3 3 — — $66,103.61 $76,221.51 $70,825.29 2026-05-27
MS-020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $66,901.88 $77,141.97 $71,680.59 2026-05-27
MS-456 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 3 — — $71,447.14 $82,382.93 $76,550.51 2026-05-27
MS-231 OTHER Coronary Bypass With Ptca With Mcc 3 3 — — $71,672.45 $82,642.72 $76,791.91 2026-05-27
MS-850 OTHER Acute Leukemia With Other Procedures 3 3 — — $73,624.55 $84,893.61 $78,883.45 2026-05-27
MS-429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 — — $76,601.16 $88,325.83 $82,072.67 2026-05-27
MS-216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $83,175.04 $95,905.91 $89,116.11 2026-05-27
MS-215 OTHER Other Heart Assist System Implant 3 3 — — $84,656.12 $97,613.69 $90,702.98 2026-05-27
MS-212 OTHER Testes Procedures Age 0-17 3 3 — — $92,453.46 $106,604.50 $99,057.28 2026-05-27
MS-426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $93,704.13 $108,046.60 $100,397.28 2026-05-27
MS-005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $93,923.18 $101,079.23 $97,501.20 2026-05-27
MS-209 OTHER Kidney And Urinary Tract Signs And Symptoms Age 0-17 3 3 — — $96,234.37 $110,964.12 $103,108.26 2026-05-27
MS-002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $103,226.68 $111,091.57 $107,159.12 2026-05-27
Q0480 OTHER Driver Pneumatic Vad Rep 3 3 — — $103,998.51 $119,916.65 $111,426.98 2026-05-27
MS-014 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $109,476.69 $117,817.77 $113,647.23 2026-05-27
MS-004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 3 3 — — $117,766.97 $135,792.53 $126,178.90 2026-05-27
MS-007 OTHER Lung Transplant 2 2 — — $117,969.44 $126,957.59 $122,463.51 2026-05-27
MS-003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 3 3 — — $180,460.28 $208,081.75 $193,350.30 2026-05-27
MS-927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $181,525.60 $209,310.13 $194,491.72 2026-05-27
J3402 OTHER Inj. Remestemcel-l-rknd/ Td 3 3 — — $201,527.20 $232,373.20 $215,922.00 2026-05-27
J3403 OTHER Revakinagene Per Implant 3 3 — — $252,350.00 $290,975.00 $270,375.00 2026-05-27
MS-001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $255,282.85 $274,732.97 $265,007.91 2026-05-27
Q2058 OTHER Obecbtge Autol Up To 400 Mil 3 3 — — $272,685.00 $314,422.50 $292,162.50 2026-05-27
MS-018 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 3 — — $367,147.55 $423,343.60 $393,372.37 2026-05-27
Q2053 OTHER Brexucabtagene Car Pos T 3 3 — — $479,518.52 $552,914.21 $513,769.84 2026-05-27
Q2041 OTHER Axicabtagene Ciloleucel Car+ 3 3 — — $522,565.57 $602,550.09 $559,891.68 2026-05-27
Q2055 OTHER Idecabtagene Vicleucel Car 3 3 — — $546,171.57 $629,769.26 $585,183.83 2026-05-27
Q2054 OTHER Lisocabtagene Mara Car Pos T 3 3 — — $551,287.43 $635,668.15 $590,665.10 2026-05-27
Q2056 OTHER Ciltacabtagene Car-pos T 3 3 — — $554,551.57 $639,431.91 $594,162.40 2026-05-27
Q2042 OTHER Tisagenlecleucel Car-pos T 3 3 — — $579,891.68 $668,650.61 $621,312.51 2026-05-27
Q2057 OTHER Afamitresgene Autoleucel 3 3 — — $755,207.60 $870,800.60 $809,151.00 2026-05-27
J3392 OTHER Inj Exagamglogene Autotem 3 3 — — $2,285,360.00 $2,635,160.00 $2,448,600.00 2026-05-27
J3399 OTHER Inj Onase Abepar-xioi Treat 3 3 — — $2,406,008.40 $2,774,274.99 $2,577,866.14 2026-05-27
J3393 OTHER Inj Betibeglogene Autotemce 3 3 — — $2,886,825.20 $3,328,686.20 $3,093,027.00 2026-05-27
J3394 OTHER Inj Lovotibeglogene Autotem 3 3 — — $3,183,476.81 $3,670,743.66 $3,410,868.01 2026-05-27
J1413 OTHER Inj Delandistrogene Mox Rokl 3 3 — — $3,250,133.34 $3,747,602.73 $3,482,285.72 2026-05-27
J1411 OTHER Inj Hemgenix Per Tx Dose 3 3 — — $3,611,561.34 $4,164,351.34 $3,869,530.00 2026-05-27
J3391 OTHER Inj Atidarsagene Autotemcel 2 2 — — $4,414,900.00 $4,730,250.00 $4,572,575.00 2026-05-27
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