Price Transparencybeta Hospital negotiated rates

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

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Hospital

CONNECTICUT CHILDRENS MEDICAL CENTER

Hartford, CT · CCN 073300 · Rates published

8,136 distinct procedures filed
53 distinct payers
506,705 rate rows
2026-01-01 last MRF observed
Data quality

482,167 of 506,705 rate rows are consumer-grade (95.2%)

24,538 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 18,061
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,092
placeholder amount (≤ $0.02) — excluded from medians 1,773
exceeds 10× this hospital's gross charge — excluded from medians 414
percent-of-charges filed in the dollar field — excluded from medians 198
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.connecticutchildrens.org/sites/default/files/2026-03/060646755_ConnecticutChildrensMedicalCenter_standardcharges.csv
Found on page https://www.connecticutchildrens.org/patients-families/financial-services/pricing-transparency-and-estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 55ef392009f728b9… · 187,395,232 bytes · first seen 2026-05-09

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
J1413
HCPCS 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $2,106,444.00 $4,668,800.00 $3,199,872.00 nat. median
$3,325,455
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 34 $1,335,000.00 $4,320,000.00 $2,763,247.13 nat. median
$2,468,984
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $155,205.60 $247,600.00 $212,331.00 nat. median
$93,672
outlier · 2.3×
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 34 $139,158.00 $500,338.94 $198,649.50 nat. median
$2,675
outlier · 74.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $138,861.62 $221,216.00 $182,326.00 nat. median
$81,118
outlier · 2.2×
28
MS_DRG 		Spinal Procedures With Mcc 3 $134,782.00 $134,782.00 $134,782.00 nat. median
$57,822
outlier · 2.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 $96,176.00 $163,578.00 $133,129.68 nat. median
$58,020
outlier · 2.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $101,253.59 $202,632.00 $119,104.00 nat. median
$74,915
1.6× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 $86,590.40 $143,325.00 $118,885.00 nat. median
$42,730
outlier · 2.8×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $71,940.10 $135,931.00 $118,461.00 nat. median
$52,879
outlier · 2.2×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 17 $66,596.00 $124,499.00 $107,416.00 nat. median
$50,672
outlier · 2.1×
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 25 $70,905.90 $124,456.00 $100,130.00 nat. median
$41,164
outlier · 2.4×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 6 $57,347.02 $104,364.00 $90,968.34 nat. median
$39,075
outlier · 2.3×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $53,348.50 $98,147.00 $89,743.00 nat. median
$48,732
1.8× median
90288
HCPCS 		Botulism Immune Globulin, Human 100 Mg Intravenous Solution 34 $27,539.35 $88,849.87 $83,296.76 nat. median
$55,037
1.5× median
SUP-1582813
CDM 		20mm Sapien 3 Transcath Heart 25 $71,126.25 $87,496.50 $81,997.50 nat. median
$81,998
1.0× median
SUP-1582814
CDM 		23mm Sapien 3 Transcath Heart 25 $71,126.25 $87,496.50 $81,997.50 nat. median
$81,998
1.0× median
SUP-1582816
CDM 		29mm Sapien 3 Transcath Heart 25 $71,126.25 $87,496.50 $81,997.50 nat. median
$81,998
1.0× median
SUP-1582815
CDM 		26mm Sapien 3 Transcath Heart 25 $71,126.25 $87,496.50 $81,997.50 nat. median
$81,998
1.0× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 25 $47,896.00 $87,099.00 $80,044.87 nat. median
$33,143
outlier · 2.4×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 11 $44,082.54 $79,820.08 $79,820.08 nat. median
$29,218
outlier · 2.7×
SUP-JTS EXTENDABLE
CDM 		Flexible Hinge Knee 25 $35,964.00 $93,312.00 $78,786.00 nat. median
$78,786
1.0× median
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 13 $51,175.50 $93,864.00 $75,655.00 nat. median
$43,757
1.7× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 $42,660.00 $82,922.64 $74,630.38 nat. median
$35,489
outlier · 2.1×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 $72,555.00 $136,560.00 $72,555.00 nat. median
$54,592
1.3× median
141
MS_DRG 		Major Head And Neck Procedures With Cc 14 $30,586.00 $100,790.00 $68,202.00 nat. median
$21,442
outlier · 3.2×
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 29 $553.43 $143,063.18 $68,143.85 nat. median
$21,216
outlier · 3.2×
472
MS_DRG 		Cervical Spinal Fusion With Cc 10 $47,597.50 $87,293.00 $66,935.00 nat. median
$29,858
outlier · 2.2×
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 23 $42,748.83 $79,534.66 $66,695.00 nat. median
$33,835
2.0× median
134
MS_DRG 		Other Ear Nose Mouth & Throat O.r. Procedures Without Cc/mcc 2 $60,322.68 $60,322.68 $60,322.68 nat. median
$9,243
outlier · 6.5×
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 34 $38,190.97 $125,689.47 $59,573.87 nat. median
$60,368
1.0× median
473
MS_DRG 		Cervical Spinal Fusion Without Cc/mcc 10 $39,003.50 $70,105.00 $55,254.00 nat. median
$24,794
outlier · 2.2×
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 11 $31,265.97 $54,186.93 $54,186.93 nat. median
$21,529
outlier · 2.5×
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 31 $398.37 $117,290.04 $50,327.13 nat. median
$509
outlier · 98.8×
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 14 $27,257.63 $55,522.89 $50,293.57 nat. median
$17,025
outlier · 3.0×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 20 $29,025.00 $55,358.81 $49,822.93 nat. median
$24,757
outlier · 2.0×
C2616
CPT 		Brachytx, Non-str,yttrium-90 28 $22,111.20 $57,369.60 $48,438.80 nat. median
$28,140
1.7× median
30
MS_DRG 		Spinal Procedures Without Cc/mcc 25 $33,542.50 $58,392.00 $47,453.00 nat. median
$22,643
outlier · 2.1×
SUP-1584556
CDM 		Cardiomemes Pa Sensor & Delivery Sys/cm2000 25 $40,487.25 $49,805.70 $46,675.50 nat. median
$46,676
1.0× median
SUP-3028
CDM 		Inspire Generator/ 3028 25 $39,885.41 $49,065.35 $45,981.68 nat. median
$45,982
1.0× median
J9266
HCPCS 		Pegaspargase 750 Unit/ml Injection Solution 34 $27,421.44 $88,734.55 $44,802.00 nat. median
$34,109
1.3× median
519
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Cc 13 $33,091.50 $58,281.00 $43,576.00 nat. median
$20,494
outlier · 2.1×
J9118
HCPCS 		Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 31 $93.20 $96,084.04 $43,394.51 nat. median
$201
outlier · 215.5×
320
MS_DRG 		Other Endovascular Cardiac Valve Procedures Without Mcc 13 $31,176.50 $53,866.00 $43,312.00 nat. median
$24,229
1.8× median
397
MS_DRG 		Appendix Procedures With Mcc 10 $28,569.00 $49,236.00 $43,147.00 nat. median
$24,164
1.8× median
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 31 $2,654.19 $132,894.26 $41,544.84 nat. median
$4,053
outlier · 10.3×
142
MS_DRG 		Major Head And Neck Procedures Without Cc/mcc 18 $22,291.00 $74,410.00 $41,156.00 nat. median
$16,535
outlier · 2.5×
SUP-103
CDM 		Vns Vagal Nerve Stimulator /103 25 $18,636.35 $48,353.76 $40,826.47 nat. median
$6
outlier · 7087.9×
J9348
HCPCS 		Naxitamab-gqgk 4 Mg/ml Intravenous Solution 31 $743.19 $86,255.19 $38,690.40 nat. median
$887
outlier · 43.6×
37236
CPT 		Open/Perq Place Stent 1st 27 $24,484.56 $43,709.66 $36,330.55 nat. median
$12,371
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 8,136 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J1413 HCPCS Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 28 20 — $3,840,000.00 $2,106,444.00 $4,668,800.00 $3,199,872.00 2026-01-01
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 105 34 $5,000,000.00 $3,000,000.00 40% off $1,335,000.00 $4,320,000.00 $2,763,247.13 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 $326,263.04 $195,757.82 40% off $155,205.60 $247,600.00 $212,331.00 2026-01-01
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 137 34 $578,360.64 $347,016.38 40% off $139,158.00 $500,338.94 $198,649.50 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 16 $285,356.40 $171,213.84 40% off $138,861.62 $221,216.00 $182,326.00 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 3 3 $134,363.16 $80,617.90 40% off $134,782.00 $134,782.00 $134,782.00 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 31 $213,808.59 $128,285.15 40% off $96,176.00 $163,578.00 $133,129.68 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 21 $332,449.43 $199,469.66 40% off $101,253.59 $202,632.00 $119,104.00 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 31 $195,633.70 $117,380.22 40% off $86,590.40 $143,325.00 $118,885.00 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 18 $223,710.45 $134,226.27 40% off $71,940.10 $135,931.00 $118,461.00 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 17 $729,075.51 $437,445.31 40% off $66,596.00 $124,499.00 $107,416.00 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 25 $285,039.24 $171,023.54 40% off $70,905.90 $124,456.00 $100,130.00 2026-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 11 6 $155,502.55 $93,301.53 40% off $57,347.02 $104,364.00 $90,968.34 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 18 $176,385.25 $105,831.15 40% off $53,348.50 $98,147.00 $89,743.00 2026-01-01
90288 HCPCS Botulism Immune Globulin, Human 100 Mg Intravenous Solution 47 34 $102,835.50 $61,701.30 40% off $27,539.35 $88,849.87 $83,296.76 2026-01-01
SUP-1582814 CDM 23mm Sapien 3 Transcath Heart 31 25 $97,500.00 $58,500.00 40% off $71,126.25 $87,496.50 $81,997.50 2026-01-01
SUP-1582813 CDM 20mm Sapien 3 Transcath Heart 31 25 $97,500.00 $58,500.00 40% off $71,126.25 $87,496.50 $81,997.50 2026-01-01
SUP-1582816 CDM 29mm Sapien 3 Transcath Heart 31 25 $97,500.00 $58,500.00 40% off $71,126.25 $87,496.50 $81,997.50 2026-01-01
SUP-1582815 CDM 26mm Sapien 3 Transcath Heart 31 25 $97,500.00 $58,500.00 40% off $71,126.25 $87,496.50 $81,997.50 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 29 25 $145,757.46 $87,454.48 40% off $47,896.00 $87,099.00 $80,044.87 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 11 $201,171.86 $120,703.12 40% off $44,082.54 $79,820.08 $79,820.08 2026-01-01
SUP-JTS EXTENDABLE CDM Flexible Hinge Knee 39 25 $108,000.00 $64,800.00 40% off $35,964.00 $93,312.00 $78,786.00 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 13 $214,746.17 $128,847.70 40% off $51,175.50 $93,864.00 $75,655.00 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 20 $422,102.45 $253,261.47 40% off $42,660.00 $82,922.64 $74,630.38 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 10 $137,611.81 $82,567.09 40% off $72,555.00 $136,560.00 $72,555.00 2026-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 17 14 $36,629.53 $21,977.72 40% off $30,586.00 $100,790.00 $68,202.00 2026-01-01
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 64 29 $165,582.39 $99,349.43 40% off $553.43 $143,063.18 $68,143.85 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 11 10 $107,672.63 $64,603.58 40% off $47,597.50 $87,293.00 $66,935.00 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 23 $115,061.33 $69,036.80 40% off $42,748.83 $79,534.66 $66,695.00 2026-01-01
134 MS_DRG Other Ear Nose Mouth & Throat O.r. Procedures Without Cc/mcc 2 2 $62,816.20 $37,689.72 40% off $60,322.68 $60,322.68 $60,322.68 2025-01-01
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 74 34 $143,037.33 $85,822.40 40% off $38,190.97 $125,689.47 $59,573.87 2026-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 11 10 $113,514.50 $68,108.70 40% off $39,003.50 $70,105.00 $55,254.00 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 12 11 $67,658.06 $40,594.84 40% off $31,265.97 $54,186.93 $54,186.93 2026-01-01
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 67 31 $135,752.36 $81,451.42 40% off $398.37 $117,290.04 $50,327.13 2026-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 16 14 $55,627.49 $33,376.49 40% off $27,257.63 $55,522.89 $50,293.57 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 23 20 $72,708.54 $43,625.12 40% off $29,025.00 $55,358.81 $49,822.93 2026-01-01
C2616 CPT Brachytx, Non-str,yttrium-90 43 28 $66,400.00 $39,840.00 40% off $22,111.20 $57,369.60 $48,438.80 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 29 25 $55,012.03 $33,007.22 40% off $33,542.50 $58,392.00 $47,453.00 2026-01-01
SUP-1584556 CDM Cardiomemes Pa Sensor & Delivery Sys/cm2000 31 25 $55,500.00 $33,300.00 40% off $40,487.25 $49,805.70 $46,675.50 2026-01-01
SUP-3028 CDM Inspire Generator/ 3028 31 25 $54,675.00 $32,805.00 40% off $39,885.41 $49,065.35 $45,981.68 2026-01-01
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 74 34 $102,702.03 $61,621.22 40% off $27,421.44 $88,734.55 $44,802.00 2026-01-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 15 13 $90,915.83 $54,549.50 40% off $33,091.50 $58,281.00 $43,576.00 2026-01-01
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 67 31 $111,208.38 $66,725.03 40% off $93.20 $96,084.04 $43,394.51 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 14 13 $205,964.56 $123,578.74 40% off $31,176.50 $53,866.00 $43,312.00 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 12 10 $109,749.90 $65,849.94 40% off $28,569.00 $49,236.00 $43,147.00 2026-01-01
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 39 31 $153,812.80 $92,287.68 40% off $2,654.19 $132,894.26 $41,544.84 2026-01-01
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 24 18 $77,382.02 $46,429.21 40% off $22,291.00 $74,410.00 $41,156.00 2026-01-01
SUP-103 CDM Vns Vagal Nerve Stimulator /103 39 25 $55,965.00 $33,579.00 40% off $18,636.35 $48,353.76 $40,826.47 2026-01-01
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 67 31 $99,832.40 $59,899.44 40% off $743.19 $86,255.19 $38,690.40 2026-01-01
37236 CPT Open/Perq Place Stent 1st 36 27 $48,707.00 $29,224.20 40% off $24,484.56 $43,709.66 $36,330.55 2026-01-01
37241 CPT Vasc Embolize/Occlude Venous 36 27 $48,707.00 $29,224.20 40% off $24,484.56 $43,709.66 $36,330.55 2026-01-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 15 13 $52,512.20 $31,507.32 40% off $30,757.00 $62,612.00 $35,257.00 2026-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 23 20 $38,762.55 $23,257.53 40% off $23,130.00 $44,119.23 $34,842.00 2026-01-01
C1772 CPT Synchromed Pump 20ml/8667-20 35 28 $43,173.00 $25,903.80 40% off $14,376.61 $37,301.47 $34,395.93 2026-01-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 32 25 $41,575.52 $24,945.31 40% off $23,393.00 $44,246.00 $33,819.50 2026-01-01
C1767 CPT Sentiva Generator / 1000 164 28 $80,034.00 $48,020.40 40% off $13,112.87 $85,004.64 $33,116.90 2026-01-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 18 14 $87,869.88 $52,721.93 40% off $24,898.00 $41,894.00 $32,254.00 2026-01-01
SUP-480524 CDM Distal Femur / 480524 31 25 $37,500.00 $22,500.00 40% off $27,356.25 $33,652.50 $31,537.50 2026-01-01
J9228 HCPCS Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution 130 31 $36,413.65 $21,848.19 40% off $215.67 $125,845.31 $31,461.39 2026-01-01
SUP-578160 CDM 5.5 Rod With 90mm Actuator Magec/ Ms1-5590s 31 25 $35,000.00 $21,000.00 40% off $25,532.50 $31,409.00 $29,435.00 2026-01-01
SUP-MS1-5590R CDM 5.5 Rod Offset With 90mm Actuator/ Ms1-5590r 31 25 $35,000.00 $21,000.00 40% off $25,532.50 $31,409.00 $29,435.00 2026-01-01
L8690 CPT Baha Osia Implant Kit 35 28 $36,738.00 $22,042.80 40% off $12,233.75 $31,741.63 $29,269.16 2026-01-01
398 MS_DRG Appendix Procedures With Cc 12 10 $64,201.77 $38,521.06 40% off $19,788.00 $31,674.00 $29,156.00 2026-01-01
SUP-48291832 CDM Stryker Vlift Cage/ 48291832 31 25 $33,645.54 $20,187.32 40% off $24,544.42 $30,193.51 $28,295.90 2026-01-01
SUP-11500A CDM Inspiris Heart Valve 31 25 $33,000.00 $19,800.00 40% off $24,073.50 $29,614.20 $27,753.00 2026-01-01
SUP-ELLIPSE NAIL CDM Ellipse Nail, Femur 31 25 $31,544.00 $18,926.40 40% off $23,011.35 $28,307.59 $26,528.50 2026-01-01
340 MS_DRG Appendectomy W Complicated Principal Diag Without Cc/mcc 2 2 $46,957.42 $28,174.45 40% off $26,174.92 $26,174.92 $26,174.92 2025-01-01
SUP-1578234 CDM Ccmcvol-edward Carpentier Aort 31 25 $29,700.00 $17,820.00 40% off $21,666.15 $26,652.78 $24,977.70 2026-01-01
SUP-1579243 CDM Ccmcvol-edward Carpentier Aort 31 25 $29,700.00 $17,820.00 40% off $21,666.15 $26,652.78 $24,977.70 2026-01-01
SUP-1579242 CDM Ccmcvol-edward Carpentier Aort 31 25 $29,700.00 $17,820.00 40% off $21,666.15 $26,652.78 $24,977.70 2026-01-01
SUP-1579246 CDM Ccmcvol-edward Carpentier Aort 31 25 $29,700.00 $17,820.00 40% off $21,666.15 $26,652.78 $24,977.70 2026-01-01
SUP-1579244 CDM Ccmcvol-edward Carpentier Aor 31 25 $29,700.00 $17,820.00 40% off $21,666.15 $26,652.78 $24,977.70 2026-01-01
SUP-1579245 CDM Ccmcvol-edward Carpentier Ao 31 25 $29,700.00 $17,820.00 40% off $21,666.15 $26,652.78 $24,977.70 2026-01-01
SUP-1578155 CDM Oclr Cv 20mm/gsx0020a 31 25 $29,649.00 $17,789.40 40% off $21,628.95 $26,607.01 $24,934.81 2026-01-01
SUP-1578157 CDM Oclr Cv 30mm/gsx0030a 31 25 $29,649.00 $17,789.40 40% off $21,628.95 $26,607.01 $24,934.81 2026-01-01
SUP-1578156 CDM Oclr Cv 25mm/gsx0025a 31 25 $29,649.00 $17,789.40 40% off $21,628.95 $26,607.01 $24,934.81 2026-01-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 39 31 $91,598.09 $54,958.85 40% off $3,195.00 $79,140.75 $24,740.64 2026-01-01
L8614 CPT Cochlear Implant/ P783831 207 28 $58,616.07 $35,169.64 40% off $4,340.66 $62,819.71 $24,211.76 2026-01-01
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 63 28 $55,761.59 $33,456.95 40% off $14,888.34 $48,178.01 $22,993.60 2026-01-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 67 31 $69,012.58 $41,407.55 40% off $379.84 $59,626.87 $22,528.00 2026-01-01
33949 CPT Ecmo Addt'l 24hrs Veno-arterial 35 27 $30,027.00 $18,016.20 40% off $6,296.83 $25,522.95 $22,397.14 2026-01-01
33948 CPT Ecmo Addt'l 24hrs Veno-venous 35 27 $30,027.00 $18,016.20 40% off $6,296.83 $25,522.95 $22,397.14 2026-01-01
33947 CPT Ecmo Initial Day Veno-arterial 35 27 $30,027.00 $18,016.20 40% off $6,296.83 $25,522.95 $22,397.14 2026-01-01
33946 CPT Ecmo Initial Day Veno-venous 35 27 $30,027.00 $18,016.20 40% off $6,296.83 $25,522.95 $22,397.14 2026-01-01
J1428 HCPCS Eteplirsen 50 Mg/ml Intravenous Solution 37 30 $30,640.00 $18,384.00 40% off $184.42 $26,688.00 $22,351.88 2026-01-01
J9210 HCPCS Emapalumab-lzsg 5 Mg/ml Intravenous Solution 67 31 $69,545.14 $41,727.08 40% off $400.71 $60,087.00 $21,744.03 2026-01-01
J1246 HCPCS Dinutuximab 3.5 Mg/ml Intravenous Solution 46 34 $28,725.00 $17,235.00 40% off $7,669.58 $24,818.40 $21,698.87 2026-01-01
J1290 HCPCS Ecallantide 10 Mg/ml (1 Ml) Subcutaneous Solution 67 31 $56,560.02 $33,936.01 40% off $636.05 $48,867.86 $21,219.00 2026-01-01
SUP-1580357 CDM Avance Nerve Graft 2-3mm 70mm 31 25 $24,795.00 $14,877.00 40% off $8,256.74 $21,422.88 $20,852.60 2026-01-01
SUP-9-ASD-034 CDM 34mm Septal Occluder/ 9-asd-034 31 25 $24,609.00 $14,765.40 40% off $17,952.27 $22,084.12 $20,696.17 2026-01-01
SUP-1582787 CDM Amplatzer 38mm 31 25 $24,609.00 $14,765.40 40% off $17,952.27 $22,084.12 $20,696.17 2026-01-01
SUP-1582785 CDM Amplatzer 36mm 31 25 $24,609.00 $14,765.40 40% off $17,952.27 $22,084.12 $20,696.17 2026-01-01
SUP-1576211 CDM Aga Occl Asd 18mm/9-asd-018 31 25 $24,609.00 $14,765.40 40% off $17,952.27 $22,084.12 $20,696.17 2026-01-01
399 MS_DRG Appendix Procedures Without Cc/mcc 15 11 $41,889.79 $25,133.87 40% off $15,859.00 $23,816.00 $20,597.00 2026-01-01
29888 CPT Pr Knee Scope Aid Ant Cruciate Repair 11 6 $36,994.46 $22,196.68 40% off $11,285.34 $27,900.21 $20,462.78 2025-01-01
SUP-87SRCK15 CDM Prodense Core Decompression Kit 15cc/ 87srck15 31 25 $23,985.00 $14,391.00 40% off $17,497.06 $21,524.14 $20,171.39 2026-01-01
SUP-1580356 CDM Avance Nerve Graft 4-5mm 70mm 31 25 $23,850.00 $14,310.00 40% off $7,942.05 $20,606.40 $20,057.85 2026-01-01
SUP-1582775 CDM Covered Stent 30x6 31 25 $22,995.42 $13,797.25 40% off $16,775.16 $20,636.09 $19,339.15 2026-01-01
SUP-1582773 CDM Coverered Balloon Stent 24 X 4 31 25 $22,995.42 $13,797.25 40% off $16,775.16 $20,636.09 $19,339.15 2026-01-01
SUP-1308296 CDM Aga Occl Asd 24mm/9-asd-024 31 25 $22,992.00 $13,795.20 40% off $16,772.66 $20,633.02 $19,336.27 2026-01-01
J9153 HCPCS Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution 39 31 $44,156.07 $26,493.64 40% off $294.76 $37,532.66 $18,948.02 2026-01-01
J0139 HCPCS Adalimumab 80 Mg/0.8 Ml Subcutaneous Pen Kit 54 28 $25,469.06 $15,281.44 40% off $6,800.24 $22,005.27 $18,579.68 2026-01-01
33210 CPT Insert Electrd/Pm Cath Sngl 46 34 $22,983.00 $13,789.80 40% off $949.00 $20,624.94 $18,310.56 2026-01-01
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 67 31 $50,975.73 $30,585.44 40% off $292.31 $44,043.03 $18,234.12 2026-01-01
SUP-1575187 CDM Endowrist Stapler 31 25 $21,420.00 $12,852.00 40% off $15,625.89 $19,222.31 $18,014.22 2026-01-01
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 63 28 $39,917.23 $23,950.34 40% off $10,657.90 $34,488.49 $17,413.58 2026-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 10 10 $76,790.17 $46,074.10 40% off $12,390.00 $16,878.00 $16,878.00 2026-01-01
37244 CPT Vasc Embolize/Occlude Bleed 36 27 $22,571.00 $13,542.60 40% off $11,346.02 $20,255.22 $16,835.71 2026-01-01
37242 CPT Vasc Embolize/Occlude Artery 36 27 $22,571.00 $13,542.60 40% off $11,346.02 $20,255.22 $16,835.71 2026-01-01
29882 CPT Pr Knee Scope Med Or Lat Menis Repair 11 6 $28,811.84 $17,287.10 40% off $10,544.07 $18,855.19 $16,814.15 2025-01-01
SUP-994-01-6696 CDM Mandibular Locking Plate 2.0mm/ 994-01-6696 31 25 $19,990.00 $11,994.00 40% off $14,582.71 $17,939.03 $16,811.59 2026-01-01
SUP-3300TFX CDM Edwards Perimount Magna Ease Aortic Valve/3300tfx 31 25 $19,800.00 $11,880.00 40% off $14,444.10 $17,768.52 $16,651.80 2026-01-01
SUP-1579224 CDM 26mm Valved Conduit 31 25 $19,500.00 $11,700.00 40% off $14,225.25 $17,499.30 $16,399.50 2026-01-01
SUP-1579223 CDM 22mm Valved Conduit 31 25 $19,500.00 $11,700.00 40% off $14,225.25 $17,499.30 $16,399.50 2026-01-01
SUP-1579220 CDM 18mm Valved Conduit 31 25 $19,500.00 $11,700.00 40% off $14,225.25 $17,499.30 $16,399.50 2026-01-01
SUP-1579221 CDM 20mm Valved Conduit 31 25 $19,500.00 $11,700.00 40% off $14,225.25 $17,499.30 $16,399.50 2026-01-01
SUP-1579217 CDM 14mm Valved Conduit 31 25 $19,500.00 $11,700.00 40% off $14,225.25 $17,499.30 $16,399.50 2026-01-01
SUP-SD800.440 CDM Custom Peek Implant/sd800.440 31 25 $19,400.00 $11,640.00 40% off $14,152.30 $17,409.56 $16,315.40 2026-01-01
27427 CPT Pr Ligmt Revision Knee Extra-artic 11 6 $32,774.69 $19,664.82 40% off $12,589.98 $24,717.53 $16,165.62 2025-01-01
37243 CPT Vasc Embolize/Occlude Organ 36 27 $21,497.00 $12,898.20 40% off $10,806.40 $19,291.41 $16,034.61 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 6 $232,226.58 $139,335.95 40% off $15,835.00 $132,000.60 $15,835.00 2026-01-01
44970 CPT Laparoscopy Appendectomy 11 6 $21,845.64 $13,107.38 40% off $11,181.13 $19,759.04 $15,470.08 2025-01-01
L8619 CPT Baha Sound Processor / 936 175 28 $19,666.00 $11,799.60 40% off $2,554.11 $31,801.25 $15,211.39 2026-01-01
SUP-CUSTOM CDM Htr-pekk Implant Temporal Implant Custom 31 25 $18,000.00 $10,800.00 40% off $13,131.00 $16,153.20 $15,138.00 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 4 $2,501,479.33 $1,500,887.60 40% off $15,099.50 $15,099.50 $15,099.50 2026-01-01
27599 CPT Pr Femur/knee Surg Unlisted 11 6 $30,602.11 $18,361.27 40% off $10,397.42 $23,078.92 $15,094.02 2025-01-01
37238 CPT Open/Perq Place Stent Same 36 27 $20,181.00 $12,108.60 40% off $10,144.41 $18,110.43 $15,053.01 2026-01-01
J2327 HCPCS Risankizumab 600 Mg/10 Ml Injection 130 31 $34,992.42 $20,995.45 40% off $16.94 $74,069.66 $14,871.89 2026-01-01
43276 CPT Ercp Stent Exchange W/Dilate 36 27 $19,898.00 $11,938.80 40% off $10,002.22 $17,856.47 $14,841.92 2026-01-01
SUP-87SRCDK0 CDM Prodense Cdk/ 87srcdk0 31 25 $17,335.50 $10,401.30 40% off $12,646.25 $15,556.88 $14,579.16 2026-01-01
37237 CPT Open/Perq Place Stent Ea Add 36 27 $19,184.00 $11,510.40 40% off $9,643.83 $17,215.72 $14,309.35 2026-01-01
37239 CPT Open/Perq Place Stent Ea Add 36 27 $19,184.00 $11,510.40 40% off $9,643.83 $17,215.72 $14,309.35 2026-01-01
SUP-9392225 CDM Medtronic Attuide Cage /9392225 31 25 $17,000.00 $10,200.00 40% off $12,401.50 $15,255.80 $14,297.00 2026-01-01
PX-27800050 CDM Hc Hh Surgical Implant 17,500 - 30,000 31 25 $16,883.00 $10,129.80 40% off $5,622.04 $14,586.91 $14,198.60 2026-01-01
L8619 HCPCS Hc Replace Ci Ext Pr 22 6 $19,379.50 $11,976.50 38% off $10,802.32 $15,543.45 $13,907.91 2025-01-01
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 217 28 $31,137.66 $18,682.60 40% off $8,312.57 $38,427.29 $13,862.97 2026-01-01
SUP-1579213 CDM Mosaic Ultra 305 23mm 31 25 $16,200.00 $9,720.00 40% off $11,817.90 $14,537.88 $13,624.20 2026-01-01
SUP-1579216 CDM Mosaic Ultra 305 27mm 31 25 $16,200.00 $9,720.00 40% off $11,817.90 $14,537.88 $13,624.20 2026-01-01
SUP-1579215 CDM Mosaic Ultra 305 25mm 31 25 $16,200.00 $9,720.00 40% off $11,817.90 $14,537.88 $13,624.20 2026-01-01
SUP-1579211 CDM Mosaic Ultra 305 19mm 31 25 $16,200.00 $9,720.00 40% off $11,817.90 $14,537.88 $13,624.20 2026-01-01
SUP-1582884 CDM Duct Occluder 5mm X 6mm 31 25 $15,999.00 $9,599.40 40% off $5,327.67 $13,823.14 $13,455.16 2026-01-01
36223 CPT Sl Cm Cart Icr Si 36 27 $17,934.00 $10,760.40 40% off $9,015.63 $16,093.97 $13,376.97 2026-01-01
C1764 CPT Reveal Linq Lnq11 31 25 $15,885.00 $9,531.00 40% off $5,289.71 $13,724.64 $13,359.29 2026-01-01
SUP-AP360/505DA CDM Fmi-mechanical Aortic Heart Valve Ats/ap360/505da 31 25 $15,800.00 $9,480.00 40% off $11,526.10 $14,178.92 $13,287.80 2026-01-01
J9015 HCPCS Aldesleukin 22 Million Unit Intravenous Solution 74 34 $48,740.58 $29,244.35 40% off $3,222.89 $42,111.86 $13,164.83 2026-01-01
J7180 HCPCS Factor Xiii 1,000 Unit-1,600 Unit Intravenous Solution 67 31 $20,988.40 $12,593.04 40% off $11.47 $29,134.40 $13,130.00 2026-01-01
SUP-1578947 CDM Mosaic Model 310 Mitral Heart 31 25 $15,600.00 $9,360.00 40% off $11,380.20 $13,999.44 $13,119.60 2026-01-01
SUP-1000503 CDM Hakim Programmable Valve / 82 31 25 $15,429.00 $9,257.40 40% off $11,255.46 $13,845.98 $12,975.79 2026-01-01
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 63 28 $19,762.80 $11,857.68 40% off $5,276.67 $20,908.38 $12,866.52 2026-01-01
J0180 HCPCS Agalsidase Beta 35 Mg Intravenous Solution 63 28 $29,979.22 $17,987.53 40% off $8,004.45 $25,902.05 $12,706.06 2026-01-01
SUP-1000 CDM Bear Implant/ 1000 31 25 $15,075.00 $9,045.00 40% off $10,997.21 $13,528.31 $12,678.08 2026-01-01
SUP-1578820 CDM 23 Heart Valve 31 25 $15,045.00 $9,027.00 40% off $10,975.33 $13,501.38 $12,652.85 2026-01-01
SUP-1578823 CDM 25/33 Heart Valve 31 25 $15,045.00 $9,027.00 40% off $10,975.33 $13,501.38 $12,652.85 2026-01-01
SUP-1578816 CDM 19 Heart Valve 31 25 $15,045.00 $9,027.00 40% off $10,975.33 $13,501.38 $12,652.85 2026-01-01
SUP-1579239 CDM 25 Heart Valve 31 25 $15,045.00 $9,027.00 40% off $10,975.33 $13,501.38 $12,652.85 2026-01-01
SUP-1579241 CDM 27/29 Heart Valve 31 25 $15,045.00 $9,027.00 40% off $10,975.33 $13,501.38 $12,652.85 2026-01-01
SUP-1578824 CDM 31/33 Heart Valve 31 25 $15,045.00 $9,027.00 40% off $10,975.33 $13,501.38 $12,652.85 2026-01-01
SUP-1578822 CDM 27/29 Heart Valve 31 25 $15,045.00 $9,027.00 40% off $10,975.33 $13,501.38 $12,652.85 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 4 $41,945.66 $25,167.40 40% off $12,527.50 $12,527.50 $12,527.50 2026-01-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 4 4 $57,707.68 $34,624.61 40% off $12,527.50 $12,527.50 $12,527.50 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 6 $109,548.91 $65,729.35 40% off $12,449.50 $47,821.69 $12,449.50 2026-01-01
Q4104 CPT 2x2 Bilayed Matrix Wound Dressing/ Bmw2021 70 28 $16,270.92 $9,762.55 40% off $4,919.08 $15,353.14 $12,423.25 2026-01-01
SUP-7510400 CDM Infuse Medium Kit/7510400 31 25 $14,679.00 $8,807.40 40% off $10,708.33 $13,172.93 $12,345.04 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 4 $626,417.13 $375,850.28 40% off $12,344.34 $12,344.34 $12,344.34 2026-01-01
PX-20800001 CDM R & B ICU Trauma 7 6 $14,418.00 $8,650.80 40% off $10,517.93 $12,255.30 $12,255.30 2026-01-01
SUP-9ASDMF035 CDM Ccmcvol-aga Occluder Cribriform 35 Mm 31 25 $14,437.52 $8,662.51 40% off $4,807.69 $12,474.02 $12,141.95 2026-01-01
C1817 CPT 10fr X 27mmcardioform Occluder 210 28 $24,171.00 $14,502.60 40% off $4,288.37 $22,869.22 $12,132.92 2026-01-01
SUP-578829 CDM Ccmcvol-conform-x Aortic Valve 27/29mm/ Onxaap-27/29 31 25 $14,400.00 $8,640.00 40% off $10,504.80 $12,922.56 $12,110.40 2026-01-01
SUP-1578828 CDM Ccmcvol-conform-x Aortic Valve 31 25 $14,400.00 $8,640.00 40% off $10,504.80 $12,922.56 $12,110.40 2026-01-01
SUP-1578826 CDM Ccmcvol-conform-x Aortic Valve 31 25 $14,400.00 $8,640.00 40% off $10,504.80 $12,922.56 $12,110.40 2026-01-01
SUP-1578827 CDM Ccmcvol-conform-x Aortic Valve 31 25 $14,400.00 $8,640.00 40% off $10,504.80 $12,922.56 $12,110.40 2026-01-01
SUP-1578825 CDM Ccmcvol-conform-x Aortic Valve 31 25 $14,400.00 $8,640.00 40% off $10,504.80 $12,922.56 $12,110.40 2026-01-01
SUP-1578821 CDM 25 Heart Valve 31 25 $14,400.00 $8,640.00 40% off $10,504.80 $12,922.56 $12,110.40 2026-01-01
SUP-1578819 CDM 21 Heart Valve 31 25 $14,400.00 $8,640.00 40% off $10,504.80 $12,922.56 $12,110.40 2026-01-01
J1950 HCPCS Leuprolide 11.25 Mg (pediatric 3 Month) Intramuscular Syringe Kit 535 34 $19,103.55 $11,462.13 40% off $1,789.81 $89,243.24 $12,040.99 2026-01-01
36226 CPT Place Cath Vertebral Art 46 34 $15,662.00 $9,397.20 40% off $7,873.45 $14,055.08 $11,843.60 2026-01-01
36224 CPT Place Cath Carotd Art 46 34 $15,662.00 $9,397.20 40% off $7,873.45 $14,055.08 $11,843.60 2026-01-01
SUP-7510200 CDM Infuse Small/ 7510200 31 25 $13,983.00 $8,389.80 40% off $10,200.60 $12,548.34 $11,759.70 2026-01-01
74480 CPT Percstntplacureir 46 34 $15,186.00 $9,111.60 40% off $7,510.74 $13,120.70 $11,483.65 2026-01-01
SUP-CCMC5451 CDM Fmi-98-valve Mechanical Heart/mitral 33 Mm 31 25 $13,500.00 $8,100.00 40% off $9,848.25 $12,114.90 $11,353.50 2026-01-01
SUP-CCMC5446 CDM Fmi-98-valve Mechanical Heart/mitral 27 Mm 31 25 $13,500.00 $8,100.00 40% off $9,848.25 $12,114.90 $11,353.50 2026-01-01
SUP-CCMC5447 CDM Fmi-98-valve Mechanical Heart/mitral 25 Mm 31 25 $13,500.00 $8,100.00 40% off $9,848.25 $12,114.90 $11,353.50 2026-01-01
SUP-CCMC5450 CDM Fmi-98-valve Mechanical Heart/mitral 31 Mm 31 25 $13,500.00 $8,100.00 40% off $9,848.25 $12,114.90 $11,353.50 2026-01-01
SUP-700-103909 CDM Rita- Starburst MRI Semi Flex /700-103909 31 25 $13,500.00 $8,100.00 40% off $9,848.25 $12,114.90 $11,353.50 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 6 6 $114,240.07 $68,544.04 40% off $11,346.50 $30,475.85 $11,346.50 2026-01-01
J0600 HCPCS Edetate Calcium Disodium 200 Mg/ml Injection Solution 46 34 $23,937.50 $14,362.50 40% off $6,391.31 $20,682.00 $11,316.61 2026-01-01
813 MS_DRG Coagulation Disorders 6 6 $23,130.28 $13,878.17 40% off $7,605.70 $39,274.04 $11,223.50 2026-01-01
PX-20300001 CDM R & B ICU 7 6 $13,164.00 $7,898.40 40% off $9,603.14 $11,189.40 $11,189.40 2026-01-01
PX-71000008 CDM Hc Ext Pacu ICU Flat Rate 35 28 $13,164.00 $7,898.40 40% off $9,603.14 $11,813.37 $11,070.92 2026-01-01
PX-22000001 CDM R & B Adult ICU 24 21 $13,164.00 $7,898.40 40% off $9,603.14 $11,373.70 $11,070.92 2026-01-01
35471 CPT Hh Angiorenal 36 27 $14,837.00 $8,902.20 40% off $7,682.32 $13,314.72 $11,066.92 2026-01-01
37204 CPT Hh Embolnonneuro 36 27 $14,752.00 $8,851.20 40% off $7,638.03 $13,238.44 $11,003.52 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 13 10 $393,366.85 $236,020.11 40% off $10,935.81 $10,935.81 $10,935.81 2026-01-01
SUP-48375074 CDM 7x25x4deg Cage/ 48375074 31 25 $13,000.00 $7,800.00 40% off $9,483.50 $11,666.20 $10,933.00 2026-01-01
SUP-48375094 CDM 9x25x4deg Cage/ 48375094 31 25 $13,000.00 $7,800.00 40% off $9,483.50 $11,666.20 $10,933.00 2026-01-01
SUP-1580358 CDM Avance Nerve Graft 2-3mm 30mm 31 25 $12,957.00 $7,774.20 40% off $4,314.68 $11,194.85 $10,896.84 2026-01-01
36516 CPT Apheresis W/Extracor Immunads, Slctv Absorb/Filt And Plasma Reinf 46 34 $14,328.00 $8,596.80 40% off $7,202.71 $12,857.95 $10,834.83 2026-01-01
36522 CPT Photopheresis, Extracorporeal 46 34 $14,328.00 $8,596.80 40% off $7,202.71 $12,857.95 $10,834.83 2026-01-01
29881 CPT Removal Of One Knee Cartilage Using An Endoscope 11 6 $18,657.19 $11,194.32 40% off $6,691.31 $12,834.42 $10,819.78 2025-01-01
21453 CPT Cl Tx Of Mand Fx W Id Fix 46 34 $13,483.00 $8,089.80 40% off $949.00 $12,099.64 $10,741.91 2026-01-01
L8627 CPT Frdm Speech Proc 35 28 $13,468.00 $8,080.80 40% off $4,484.84 $11,636.35 $10,729.96 2026-01-01
J1299 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 63 28 $24,983.06 $14,989.84 40% off $6,670.48 $21,585.36 $10,646.45 2026-01-01
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 13 10 $19,332.12 $11,599.27 40% off $10,507.34 $13,479.00 $10,507.34 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 4 $3,838,453.61 $2,303,072.17 40% off $10,498.08 $10,498.08 $10,498.08 2026-01-01
848 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/mcc 4 4 $29,720.64 $17,832.38 40% off $10,469.18 $10,469.18 $10,469.18 2026-01-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 6 6 $31,566.98 $18,940.19 40% off $10,469.18 $34,559.88 $10,469.18 2026-01-01
PX-27800049 CDM Hc Hh Surgical Implant 14,000 - 17,500 31 25 $12,381.00 $7,428.60 40% off $4,122.87 $10,697.18 $10,412.42 2026-01-01
G0330 CPT Facility Svs Dental Rehab 35 28 $12,275.00 $7,365.00 40% off $8,954.61 $11,015.59 $10,311.00 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 $336,152.62 $201,691.57 40% off $10,188.00 $10,188.00 $10,188.00 2026-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 4 4 $80,201.25 $48,120.75 40% off $10,188.00 $10,188.00 $10,188.00 2026-01-01
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 4 4 $126,030.31 $75,618.19 40% off $10,188.00 $10,188.00 $10,188.00 2026-01-01
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 63 28 $35,848.46 $21,509.08 40% off $7,224.09 $30,973.07 $10,105.02 2026-01-01
SUP-48135 CDM Mc3 Nautilus Smart Ecmo Oxygenator 31 25 $12,000.00 $7,200.00 40% off $8,754.00 $10,768.80 $10,092.00 2026-01-01
20693 CPT Adjustment/Revj Xtrnl Fixation System Req Anes 35 28 $11,976.00 $7,185.60 40% off $8,736.49 $10,747.26 $10,059.84 2026-01-01
66984 CPT Removal Of Cataract With Insertion Of Lens 11 6 $13,541.00 $8,124.60 40% off $9,190.96 $10,212.17 $10,020.05 2025-01-01
Q5152 HCPCS Eculizumab-aeeb 300 Mg/30 Ml Intravenous Solution 63 28 $22,484.79 $13,490.87 40% off $6,003.44 $19,426.86 $10,012.82 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 11 $316,721.83 $190,033.10 40% off $9,929.00 $9,929.00 $9,929.00 2026-01-01
SUP-OMNIGUIDE W/LASER CDM Laser With Omniguide And Fiber/ 31 25 $11,784.00 $7,070.40 40% off $8,596.43 $10,574.96 $9,910.34 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 4 4 $459,963.28 $275,977.97 40% off $9,907.50 $9,907.50 $9,907.50 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 6 $2,224,711.45 $1,334,826.87 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 $136,450.00 $81,870.00 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 $120,854.37 $72,512.62 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 4 $200,941.65 $120,564.99 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 4 4 $112,857.51 $67,714.51 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 7 6 $92,693.49 $55,616.09 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 7 6 $147,160.08 $88,296.05 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 7 6 $105,966.45 $63,579.87 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 4 $137,610.60 $82,566.36 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 4 $89,894.71 $53,936.83 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 4 $348,636.81 $209,182.09 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 4 4 $39,139.30 $23,483.58 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
139 MS_DRG Salivary Gland Procedures 4 4 $450,343.67 $270,206.20 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 4 4 $65,433.10 $39,259.86 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 4 $103,759.02 $62,255.41 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 4 $2,091,260.36 $1,254,756.22 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 4 $530,253.34 $318,152.00 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 $599,484.20 $359,690.52 40% off $9,857.50 $9,857.50 $9,857.50 2026-01-01
47562 CPT Removal Of Gallbladder Using An Endoscope 11 6 $25,178.41 $15,107.05 40% off $6,988.48 $13,753.59 $9,849.11 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 4 4 $431,772.93 $259,063.76 40% off $9,826.00 $9,826.00 $9,826.00 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 4 $361,787.45 $217,072.47 40% off $9,826.00 $9,826.00 $9,826.00 2026-01-01
SUP-302 /304 CDM Ccmcvol- Lead Vns Therapy/302 /304 31 25 $11,674.00 $7,004.40 40% off $8,516.18 $10,476.25 $9,817.83 2026-01-01
PX-17400001 CDM R & B NICU Level 4 4 4 $11,536.00 $6,921.60 40% off $9,805.60 $9,805.60 $9,805.60 2026-01-01
SUP-61841015 CDM Stryker Ha Bone Substitue 15cc 31 25 $11,655.00 $6,993.00 40% off $8,502.32 $10,459.20 $9,801.86 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 $246,394.86 $147,836.92 40% off $9,794.50 $9,794.50 $9,794.50 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 4 4 $303,299.39 $181,979.63 40% off $9,794.50 $9,794.50 $9,794.50 2026-01-01
26951 CPT Amputate Fing/Th Sgl; W Dir Close 46 34 $12,259.00 $7,355.40 40% off $949.00 $11,001.23 $9,766.75 2026-01-01
27532 CPT Cl Tx Prox Tibial Fx W Sk Traction 46 34 $12,259.00 $7,355.40 40% off $949.00 $11,001.23 $9,766.75 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 6 6 $47,924.70 $28,754.82 40% off $9,747.00 $47,865.35 $9,747.00 2026-01-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 6 6 $36,703.02 $22,021.81 40% off $9,724.50 $28,281.53 $9,724.50 2026-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 6 $44,090.07 $26,454.04 40% off $9,724.50 $57,344.43 $9,724.50 2026-01-01
32998 CPT Perq Rf Ablate Tx Pul Tumor(S) 46 34 $12,825.00 $7,695.00 40% off $6,446.31 $11,509.16 $9,698.27 2026-01-01
47383 CPT Perq Abltj Lvr Cryoablation 46 34 $12,825.00 $7,695.00 40% off $6,446.31 $11,509.16 $9,698.27 2026-01-01
50593 CPT Perc Cryo Ablate Renal Tum 46 34 $12,825.00 $7,695.00 40% off $6,446.31 $11,509.16 $9,698.27 2026-01-01
50592 CPT Perc Rf Ablate 1+ Renal Tumor 46 34 $12,825.00 $7,695.00 40% off $6,446.31 $11,509.16 $9,698.27 2026-01-01
11770 CPT Excision Pilonidal Cyst/Sinus Simple 35 28 $11,454.00 $6,872.40 40% off $8,355.69 $10,278.82 $9,621.36 2026-01-01
L8627 HCPCS Hc Frdm Speech Proc 11 6 $13,468.00 $8,323.40 38% off $7,619.96 $10,645.06 $9,580.55 2025-01-01
43262 CPT Hh Asc Ercp W Sphincter/Papillotomy 36 27 $12,712.00 $7,627.20 40% off $6,390.37 $11,407.75 $9,481.88 2026-01-01
43264 CPT Hh Asc Ercp Remove Duct Calculi 36 27 $12,712.00 $7,627.20 40% off $6,390.37 $11,407.75 $9,481.88 2026-01-01
43275 CPT Ercp Remove Forgn Body Duct 36 27 $12,712.00 $7,627.20 40% off $6,390.37 $11,407.75 $9,481.88 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 4 4 $233,756.32 $140,253.79 40% off $9,478.00 $9,478.00 $9,478.00 2026-01-01
SUP-1580354 CDM Avance Nerve Graft 1-2mm 30mm 31 25 $11,184.00 $6,710.40 40% off $3,724.27 $9,662.98 $9,405.74 2026-01-01
20680 CPT Pr Removal Deep Implant 11 6 $13,948.35 $8,369.01 40% off $7,599.73 $10,519.22 $9,387.62 2025-01-01
835 MS_DRG Acute Leukemia With Cc 4 4 $148,734.57 $89,240.74 40% off $9,252.00 $9,252.00 $9,252.00 2026-01-01
811 MS_DRG Red Blood Cell Disorders With Mcc 4 4 $52,227.96 $31,336.78 40% off $9,237.50 $9,237.50 $9,237.50 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 4 $157,215.80 $94,329.48 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 4 $31,322.23 $18,793.34 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 4 $57,625.43 $34,575.26 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 $428,006.72 $256,804.03 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 4 $98,266.20 $58,959.72 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 4 4 $1,571,259.58 $942,755.75 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
663 MS_DRG Minor Bladder Procedures With Cc 4 4 $60,279.42 $36,167.65 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 4 4 $52,930.30 $31,758.18 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 4 $71,843.14 $43,105.88 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 4 $141,264.86 $84,758.92 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 4 $124,486.40 $74,691.84 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 4 4 $135,418.81 $81,251.29 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 4 4 $52,230.47 $31,338.28 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 4 $52,633.17 $31,579.90 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 4 4 $100,053.82 $60,032.29 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 4 4 $61,772.69 $37,063.61 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 4 4 $60,333.24 $36,199.94 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 4 4 $53,566.97 $32,140.18 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 4 4 $35,284.50 $21,170.70 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 4 $110,667.23 $66,400.34 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 4 4 $64,003.05 $38,401.83 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/mcc 4 4 $92,933.91 $55,760.35 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 4 4 $22,046.43 $13,227.86 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 4 $73,974.88 $44,384.93 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 4 $62,458.38 $37,475.03 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 6 6 $45,769.10 $27,461.46 40% off $9,218.50 $23,783.77 $9,218.50 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 4 $90,109.26 $54,065.56 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 4 4 $66,379.33 $39,827.60 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 4 $81,545.86 $48,927.52 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 4 $257,258.83 $154,355.30 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 4 4 $52,633.17 $31,579.90 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 6 $75,524.17 $45,314.50 40% off $9,218.50 $55,762.37 $9,218.50 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 4 $397,859.36 $238,715.62 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 $250,089.92 $150,053.95 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 4 4 $86,041.18 $51,624.71 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 4 4 $50,224.84 $30,134.90 40% off $9,218.50 $9,218.50 $9,218.50 2026-01-01
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