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

SARASOTA MEMORIAL HOSPITAL

Sarasota, FL · CCN 100087 · Rates published

Your selected procedure

You selected 93306 (CPT)

Echocardiography, Transthoracic 2D Doppler

This hospital’s price: $149 across 44 payers · range $54-$2,837

Source: https://www.smh.com/Portals/0/Documents/Financial/596012500_Sarasota-Memorial-Hospital-Main-Campus_standardcharges.csv · observed 2026-06-30

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

26,353 distinct procedures filed
48 distinct payers
1,754,346 rate rows
2026-06-30 last MRF observed
Data quality

1,660,378 of 1,754,346 rate rows are consumer-grade (94.6%)

93,968 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 63,359
template filing: same amount across many unrelated codes — excluded 10,275
placeholder amount (≤ $0.02) — excluded from medians 7,253
per-diem day rate — not a per-procedure price 6,555
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6,489
percent-of-charges filed in the dollar field — excluded from medians 37
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.smh.com/Portals/0/Documents/Financial/596012500_sarasota-memorial-hospital_standardcharges.csv
Found on page https://www.smh.com/billchat
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 5cb842b64fca0a87… · 346,058,738 bytes · first seen 2026-07-06

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
HCPCS 		Inj Atidarsagene Autotemcel 6 $4,377,500.00 $4,955,500.00 $4,596,375.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 15 $15,211.53 $4,369,260.00 $3,605,000.00 nat. median
$3,703,693
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 5 $3,335,820.00 $3,669,402.00 $3,502,611.00 nat. median
$3,335,820
1.1× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 5 $3,180,000.00 $3,498,000.00 $3,339,000.00 nat. median
$3,180,000
1.1× median
C9309
HCPCS 		Inj Onase Abepar-brve Treat 5 $2,664,228.59 $2,930,651.45 $2,797,440.02 nat. median
$2,664,229
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 11 $2,322,044.36 $3,965,706.94 $2,587,087.26 nat. median
$2,466,282
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 16 $25,395.71 $2,080,674.00 $793,738.60 nat. median
$809,217
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 25 $25,395.71 $1,658,288.19 $600,931.41 nat. median
$738,272
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 25 $25,395.71 $1,588,935.99 $581,047.77 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 25 $25,395.71 $1,518,104.27 $562,260.84 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 25 $25,395.71 $1,511,408.92 $559,781.08 nat. median
$622,245
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $250,888.25 $1,074,215.33 $558,262.58 nat. median
$359,358
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 25 $25,395.71 $1,439,306.50 $544,602.32 nat. median
$608,101
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 25 $25,395.71 $1,322,244.00 $504,411.60 nat. median
$591,650
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $155,068.84 $697,122.54 $416,975.34 nat. median
$249,124
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $111,913.82 $567,188.43 $390,192.61 nat. median
$198,433
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 10 $106,360.64 $527,998.08 $352,506.96 nat. median
$190,557
1.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $270,375.00 $751,275.00 $285,245.62 nat. median
$319,951
0.9× median
J3403
HCPCS 		Revakinagene Per Implant 8 $262,233.77 $708,031.18 $275,345.46 nat. median
$265,000
1.0× median
4486189
CDM 		Tricuspid Valve, Evoque 5 $204,073.58 $271,444.03 $252,475.65 nat. median
$252,476
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 10 $64,778.54 $344,567.43 $232,410.24 nat. median
$126,722
1.8× median
5834
APR_DRG 		Neonate With Ecmo 7 $208,261.10 $229,087.20 $224,921.98 nat. median
$307,273
0.7× median
C1823
HCPCS 		Generator, Neuro-implt, Tranven Sens/Stim Lead 5 $180,100.13 $239,556.26 $222,816.18 nat. median
$31,620
outlier · 7.0×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 9 $201,669.02 $547,326.67 $212,849.26 nat. median
$209,753
1.0× median
C1831
HCPCS 		Aprevo Level 1 Personalized Interbody Cage 6 $122,835.02 $314,204.80 $210,025.38 nat. median
$7,534
outlier · 27.9×
C1827
HCPCS 		Generator, Neurostimulator 5 $16,095.00 $228,582.00 $209,717.10 nat. median
$26,828
outlier · 7.8×
3265395
CDM 		Valve Aortic/Mitral 6 $165,884.78 $220,648.03 $201,642.75 nat. median
$201,643
1.0× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 6 $52,787.79 $220,436.19 $201,012.00 nat. median
$71,201
outlier · 2.8×
3265393
CDM 		Valve Aortic/Mitral 6 $161,111.18 $214,298.53 $195,840.52 nat. median
$195,841
1.0× median
C1825
HCPCS 		Generator Neurostim, Non-rechg, Carotid Leads 5 $149,177.18 $226,997.53 $194,934.24 nat. median
$53,125
outlier · 3.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $71,574.12 $313,250.94 $193,945.95 nat. median
$110,192
1.8× median
7
MS_DRG 		Lung Transplant 9 $60,527.79 $322,149.18 $193,457.45 nat. median
$117,894
1.6× median
4486114
CDM 		Clasp Ii Trial Mitraclip 6 $158,481.02 $210,800.08 $190,735.98 nat. median
$185,402
1.0× median
4400400
CDM 		Encircle Valve System G170152 6 $158,481.02 $210,800.08 $190,735.98 nat. median
$15
outlier · 12715.7×
3265391
CDM 		Valve Aortic/Mitral 6 $156,337.58 $207,949.03 $190,037.55 nat. median
$2,564
outlier · 74.1×
3265390
CDM 		Valve Aortic/Mitral 6 $153,950.78 $204,774.28 $187,136.43 nat. median
$187,136
1.0× median
3264395
CDM 		Stent Graft 6 $151,563.98 $201,599.53 $184,235.32 nat. median
$184,235
1.0× median
3263761
CDM 		Pump Impella 6 $149,772.48 $199,216.60 $183,859.82 nat. median
$183,860
1.0× median
212
MS_DRG 		Testes Procedures Age 0-17 9 $72,472.78 $270,504.11 $179,182.87 nat. median
$97,414
1.8× median
4433427
CDM 		Tricupspid Clip Kit 6 $142,421.76 $189,439.20 $174,836.56 nat. median
$174,837
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 10 $62,612.00 $253,311.07 $174,263.27 nat. median
$93,917
1.9× median
3265385
CDM 		Valve Aortic/Mitral 6 $142,016.78 $188,900.53 $172,630.12 nat. median
$172,630
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $69,688.67 $274,163.37 $172,299.38 nat. median
$93,270
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $73,309.68 $281,889.86 $163,124.62 nat. median
$103,967
1.6× median
4386196
CDM 		Lariat Device 5 $130,082.78 $173,026.78 $160,935.75 nat. median
$160,936
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $56,353.37 $243,356.93 $158,741.29 nat. median
$90,581
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $57,870.17 $256,484.00 $157,643.07 nat. median
$94,964
1.7× median
3263759
CDM 		Pump Impella 6 $127,695.98 $169,852.03 $156,759.23 nat. median
$156,759
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $59,898.31 $220,247.32 $151,517.33 nat. median
$78,262
1.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 3 $46,826.09 $190,465.58 $145,089.77 nat. median
$47,579
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 26,353 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
             
J3391 HCPCS Inj Atidarsagene Autotemcel 12 6 — — $4,377,500.00 $4,955,500.00 $4,596,375.00 2026-06-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 34 15 — — $15,211.53 $4,369,260.00 $3,605,000.00 2026-06-30
J3389 HCPCS Topi Adm Prad Zami Per Treat 5 5 — — $3,335,820.00 $3,669,402.00 $3,502,611.00 2026-06-30
J3387 HCPCS Inj Elivaldogene Autotemecel 5 5 — — $3,180,000.00 $3,498,000.00 $3,339,000.00 2026-06-30
C9309 HCPCS Inj Onase Abepar-brve Treat 5 5 — — $2,664,228.59 $2,930,651.45 $2,797,440.02 2026-06-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 21 11 — — $2,322,044.36 $3,965,706.94 $2,587,087.26 2026-06-30
Q2057 HCPCS Afamitresgene Autoleucel 42 16 — — $25,395.71 $2,080,674.00 $793,738.60 2026-06-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 56 25 — — $25,395.71 $1,658,288.19 $600,931.41 2026-06-30
Q2056 HCPCS Ciltacabtagene Car-pos T 57 25 — — $25,395.71 $1,588,935.99 $581,047.77 2026-06-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 55 25 — — $25,395.71 $1,518,104.27 $562,260.84 2026-06-30
Q2055 HCPCS Idecabtagene Vicleucel Car 55 25 — — $25,395.71 $1,511,408.92 $559,781.08 2026-06-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 28 8 — — $250,888.25 $1,074,215.33 $558,262.58 2026-06-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 56 25 — — $25,395.71 $1,439,306.50 $544,602.32 2026-06-30
Q2053 HCPCS Brexucabtagene Car Pos T 55 25 — — $25,395.71 $1,322,244.00 $504,411.60 2026-06-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 9 — — $155,068.84 $697,122.54 $416,975.34 2026-06-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 10 — — $111,913.82 $567,188.43 $390,192.61 2026-06-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 34 10 — — $106,360.64 $527,998.08 $352,506.96 2026-06-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 7 — — $270,375.00 $751,275.00 $285,245.62 2026-06-30
J3403 HCPCS Revakinagene Per Implant 8 8 — — $262,233.77 $708,031.18 $275,345.46 2026-06-30
4486189 CDM Tricuspid Valve, Evoque 11 5 $327,041.00 $130,816.40 60% off $204,073.58 $271,444.03 $252,475.65 2026-06-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 34 10 — — $64,778.54 $344,567.43 $232,410.24 2026-06-30
5834 APR_DRG Neonate With Ecmo 18 7 — — $208,261.10 $229,087.20 $224,921.98 2026-06-30
C1823 HCPCS Generator, Neuro-implt, Tranven Sens/Stim Lead 11 5 $288,622.00 $115,448.80 60% off $180,100.13 $239,556.26 $222,816.18 2026-06-30
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 9 — — $201,669.02 $547,326.67 $212,849.26 2026-06-30
C1831 HCPCS Aprevo Level 1 Personalized Interbody Cage 85 6 $287,706.00 $115,082.40 60% off $122,835.02 $314,204.80 $210,025.38 2026-06-30
C1827 HCPCS Generator, Neurostimulator 12 5 $275,400.00 $110,160.00 60% off $16,095.00 $228,582.00 $209,717.10 2026-06-30
3265395 CDM Valve Aortic/Mitral 17 6 $265,841.00 $106,336.40 60% off $165,884.78 $220,648.03 $201,642.75 2026-06-30
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 13 6 — — $52,787.79 $220,436.19 $201,012.00 2026-06-30
3265393 CDM Valve Aortic/Mitral 17 6 $258,191.00 $103,276.40 60% off $161,111.18 $214,298.53 $195,840.52 2026-06-30
C1825 HCPCS Generator Neurostim, Non-rechg, Carotid Leads 22 5 $256,278.50 $102,511.40 60% off $149,177.18 $226,997.53 $194,934.24 2026-06-30
14 MS_DRG Allogeneic Bone Marrow Transplant 29 9 — — $71,574.12 $313,250.94 $193,945.95 2026-06-30
7 MS_DRG Lung Transplant 29 9 — — $60,527.79 $322,149.18 $193,457.45 2026-06-30
4486114 CDM Clasp Ii Trial Mitraclip 17 6 $253,976.00 $101,590.40 60% off $158,481.02 $210,800.08 $190,735.98 2026-06-30
4400400 CDM Encircle Valve System G170152 17 6 $253,976.00 $101,590.40 60% off $158,481.02 $210,800.08 $190,735.98 2026-06-30
3265391 CDM Valve Aortic/Mitral 17 6 $250,541.00 $100,216.40 60% off $156,337.58 $207,949.03 $190,037.55 2026-06-30
3265390 CDM Valve Aortic/Mitral 17 6 $246,716.00 $98,686.40 60% off $153,950.78 $204,774.28 $187,136.43 2026-06-30
3264395 CDM Stent Graft 17 6 $242,891.00 $97,156.40 60% off $151,563.98 $201,599.53 $184,235.32 2026-06-30
3263761 CDM Pump Impella 17 6 $240,020.00 $96,008.00 60% off $149,772.48 $199,216.60 $183,859.82 2026-06-30
212 MS_DRG Testes Procedures Age 0-17 33 9 — — $72,472.78 $270,504.11 $179,182.87 2026-06-30
4433427 CDM Tricupspid Clip Kit 17 6 $228,240.00 $91,296.00 60% off $142,421.76 $189,439.20 $174,836.56 2026-06-30
215 MS_DRG Other Heart Assist System Implant 35 10 — — $62,612.00 $253,311.07 $174,263.27 2026-06-30
3265385 CDM Valve Aortic/Mitral 17 6 $227,591.00 $91,036.40 60% off $142,016.78 $188,900.53 $172,630.12 2026-06-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 9 — — $69,688.67 $274,163.37 $172,299.38 2026-06-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 9 — — $73,309.68 $281,889.86 $163,124.62 2026-06-30
4386196 CDM Lariat Device 11 5 $208,466.00 $83,386.40 60% off $130,082.78 $173,026.78 $160,935.75 2026-06-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 10 — — $56,353.37 $243,356.93 $158,741.29 2026-06-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 9 — — $57,870.17 $256,484.00 $157,643.07 2026-06-30
3263759 CDM Pump Impella 17 6 $204,641.00 $81,856.40 60% off $127,695.98 $169,852.03 $156,759.23 2026-06-30
850 MS_DRG Acute Leukemia With Other Procedures 33 9 — — $59,898.31 $220,247.32 $151,517.33 2026-06-30
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 6 3 — — $46,826.09 $190,465.58 $145,089.77 2026-06-30
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 11 8 — — $78,292.85 $269,591.18 $145,061.74 2026-06-30
C2642 HCPCS GammaTile 3 Pack 145 19 $219,565.00 $87,826.00 60% off $89.28 $263,235.33 $143,701.23 2026-06-30
459 MS_DRG Spinal Fusion Except Cervical With Mcc 11 5 — — $38,450.30 $164,985.09 $142,169.98 2026-06-30
3263078 CDM Mitra Clip Kit 17 6 $184,065.00 $73,626.00 60% off $114,856.56 $152,773.95 $140,997.25 2026-06-30
C1605 HCPCS Aveir Dr Leadless Pacemaker System 18 6 $185,516.00 $74,206.40 60% off $17,143.00 $153,978.28 $140,019.07 2026-06-30
4441798 CDM Mitra Clip Kit 17 6 $184,065.00 $73,626.00 60% off $114,856.56 $152,773.95 $139,615.41 2026-06-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 10 — — $46,079.19 $209,702.19 $139,378.71 2026-06-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 34 10 — — $50,959.55 $209,042.98 $139,301.40 2026-06-30
C1824 HCPCS Generator Cardiac Modulation 34 6 $186,386.00 $74,554.40 60% off $108,601.58 $163,502.53 $139,252.75 2026-06-30
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 13 6 — — $34,370.70 $152,149.08 $138,742.15 2026-06-30
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 18 7 — — $127,555.94 $140,311.53 $137,760.41 2026-06-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 9 — — $55,486.69 $224,122.81 $137,186.19 2026-06-30
3263077 CDM Mitra Clip Kit 6 3 $184,742.00 $73,896.80 60% off $115,279.01 $147,793.60 $135,877.74 2026-06-30
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 6 3 — — $41,504.10 $176,350.94 $134,337.75 2026-06-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 10 — — $53,627.29 $195,744.27 $132,588.97 2026-06-30
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 7 — — $119,243.36 $131,167.70 $128,782.83 2026-06-30
24 APR_DRG Heart And/or Lung Transplant 18 7 — — $119,164.66 $131,081.13 $128,697.83 2026-06-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 35 10 — — $43,595.52 $190,182.00 $128,564.15 2026-06-30
5833 APR_DRG Neonate With Ecmo 18 7 — — $118,611.62 $130,472.78 $128,100.54 2026-06-30
J3404 HCPCS Inj Zopapogene Per Ther Dose 6 6 — — $121,900.00 $329,130.00 $127,995.00 2026-06-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 10 — — $43,995.06 $191,005.39 $127,266.40 2026-06-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 10 — — $42,275.69 $189,552.63 $122,771.16 2026-06-30
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 3 — — $37,528.32 $159,228.79 $121,294.72 2026-06-30
4486216 CDM Pump Impella 6 3 $160,711.00 $64,284.40 60% off $100,283.66 $128,568.80 $118,202.94 2026-06-30
C1713 HCPCS Anchor/Screw 1,790 8 $158,741.00 $63,496.40 60% off $59.90 $353,876.80 $118,183.51 2026-06-30
10 MS_DRG Pancreas Transplant 29 9 — — $22,312.06 $190,626.46 $118,024.32 2026-06-30
3264388 CDM Stent Graft 17 6 $154,916.00 $61,966.40 60% off $96,667.58 $128,580.28 $117,505.22 2026-06-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 8 — — $49,350.48 $189,533.82 $117,347.82 2026-06-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 9 — — $47,251.44 $179,569.89 $116,825.21 2026-06-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 9 — — $47,013.94 $177,375.83 $116,238.02 2026-06-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 10 — — $35,489.09 $171,937.94 $114,420.51 2026-06-30
Q0480 HCPCS Driver Pneumatic Vad Rep 26 15 — — $48,468.64 $301,057.05 $113,688.95 2026-06-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 10 — — $34,120.99 $167,442.84 $112,311.88 2026-06-30
3264386 CDM Stent Graft 17 6 $147,266.00 $58,906.40 60% off $91,893.98 $122,230.78 $111,702.99 2026-06-30
4341772 CDM Left Atrail Appendage Close Device 17 6 $147,266.00 $58,906.40 60% off $91,893.98 $122,230.78 $111,702.99 2026-06-30
4441860 CDM Pump Impella 17 6 $145,780.00 $58,312.00 60% off $90,966.72 $120,997.40 $111,670.70 2026-06-30
4341860 CDM Pump Impella 17 6 $145,780.00 $58,312.00 60% off $90,966.72 $120,997.40 $111,670.70 2026-06-30
3263760 CDM Pump Impella 17 6 $145,780.00 $58,312.00 60% off $90,966.72 $120,997.40 $111,670.70 2026-06-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 33 9 — — $44,603.70 $166,211.48 $110,278.91 2026-06-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 34 10 — — $34,762.95 $178,428.09 $109,854.55 2026-06-30
268 MS_DRG Septicemia Or Severe Sepsis Age 0-17 35 10 — — $38,060.86 $171,094.64 $109,668.68 2026-06-30
3264385 CDM Stent Graft 17 6 $143,441.00 $57,376.40 60% off $89,507.18 $119,056.03 $108,801.12 2026-06-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 10 — — $32,185.57 $160,069.60 $106,372.51 2026-06-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 10 — — $37,325.74 $163,567.16 $106,219.54 2026-06-30
4341601 CDM Asap Laac Dev 17 6 $139,616.00 $55,846.40 60% off $87,120.38 $115,881.28 $105,900.01 2026-06-30
3264384 CDM Stent Graft 17 6 $139,616.00 $55,846.40 60% off $87,120.38 $115,881.28 $105,900.01 2026-06-30
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 13 6 — — $27,010.04 $114,568.91 $104,473.43 2026-06-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 10 — — $32,562.10 $152,273.46 $104,022.09 2026-06-30
4341770 CDM Left Atrial Appendage Close Device 17 6 $135,791.00 $54,316.40 60% off $84,733.58 $112,706.53 $102,998.90 2026-06-30
4341600 CDM Asap Laac Dev 17 6 $135,791.00 $54,316.40 60% off $84,733.58 $112,706.53 $102,998.90 2026-06-30
3264383 CDM Stent Graft 17 6 $135,791.00 $54,316.40 60% off $84,733.58 $112,706.53 $102,998.90 2026-06-30
L8614 HCPCS Cochlear Device, All Int/Ext Components 330 12 $135,791.00 $54,316.40 60% off $5,969.18 $201,599.53 $102,847.54 2026-06-30
C1822 HCPCS Generator Neurostim, High -freq, Recharge 26 7 $135,791.00 $54,316.40 60% off $108.00 $115,881.28 $101,919.68 2026-06-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 9 — — $41,208.88 $149,420.18 $101,885.49 2026-06-30
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 33 9 — — $41,155.66 $166,333.37 $101,753.91 2026-06-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 10 — — $29,827.04 $162,972.63 $101,290.07 2026-06-30
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 34 10 — — $30,183.37 $146,722.36 $100,936.44 2026-06-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 10 — — $33,593.51 $150,813.24 $100,475.90 2026-06-30
4037320 CDM Embolization System 17 6 $132,268.00 $52,907.20 60% off $82,535.23 $109,782.44 $100,326.84 2026-06-30
3264382 CDM Stent Graft 17 6 $131,966.00 $52,786.40 60% off $82,346.78 $109,531.78 $100,097.79 2026-06-30
28 MS_DRG Spinal Procedures With Mcc 34 10 — — $31,370.77 $149,462.47 $99,995.62 2026-06-30
C1767 HCPCS Generator Neurostimulator, Non-rechargeable 499 7 $131,966.00 $52,786.40 60% off $1,195.58 $255,570.28 $99,452.80 2026-06-30
C1776 HCPCS Joint Device Implantable 1,353 8 $133,286.00 $53,314.40 60% off $1,365.16 $293,667.28 $98,924.85 2026-06-30
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 6 3 — — $33,685.54 $129,820.38 $98,892.46 2026-06-30
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 35 10 — — $39,854.41 $152,450.08 $98,536.68 2026-06-30
5832 APR_DRG Neonate With Ecmo 18 7 — — $91,071.80 $100,178.98 $98,357.55 2026-06-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 10 — — $30,310.19 $163,567.16 $97,854.09 2026-06-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 34 10 — — $31,273.13 $147,850.51 $97,780.07 2026-06-30
3264381 CDM Stent Graft 17 6 $128,141.00 $51,256.40 60% off $79,959.98 $106,357.03 $97,195.92 2026-06-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 10 — — $33,021.69 $145,987.29 $96,783.32 2026-06-30
C1882 HCPCS Aicd Other Than Single/Dual 276 8 $130,694.00 $52,277.60 60% off $9,783.45 $131,755.03 $96,392.80 2026-06-30
C1820 HCPCS Generator Neurostim, Non High -freq, Recharge 246 7 $130,053.50 $52,021.40 60% off $8,355.98 $233,347.03 $96,335.18 2026-06-30
1614 APR_DRG Implantable Heart Assist Systems 18 7 — — $88,926.10 $97,818.71 $96,040.19 2026-06-30
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 18 7 — — $88,871.48 $97,758.63 $95,981.20 2026-06-30
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 7 — — $88,742.47 $97,616.72 $95,841.87 2026-06-30
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 6 3 — — $31,698.49 $125,815.35 $95,841.57 2026-06-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 10 — — $32,079.51 $145,892.76 $95,765.19 2026-06-30
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 3 — — $29,343.88 $124,894.93 $95,140.43 2026-06-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 34 10 — — $36,549.67 $148,338.08 $94,401.65 2026-06-30
3264380 CDM Stent Graft 17 6 $124,316.00 $49,726.40 60% off $77,573.18 $103,182.28 $94,294.81 2026-06-30
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 18 7 — — $87,176.41 $95,894.05 $94,150.52 2026-06-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 10 — — $31,520.60 $142,546.94 $93,837.48 2026-06-30
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 18 7 — — $85,478.46 $94,026.30 $92,316.73 2026-06-30
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 18 7 — — $84,952.00 $93,447.20 $91,748.16 2026-06-30
653 MS_DRG Major Bladder Procedures With Mcc 34 10 — — $31,068.31 $133,283.11 $91,691.02 2026-06-30
3264379 CDM Stent Graft 17 6 $120,491.00 $48,196.40 60% off $75,186.38 $100,007.53 $91,393.70 2026-06-30
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 34 10 — — $32,785.44 $136,566.75 $90,913.03 2026-06-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 10 — — $36,617.55 $132,152.22 $90,913.03 2026-06-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 9 — — $36,616.59 $139,852.87 $90,531.44 2026-06-30
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 18 7 — — $83,645.03 $92,009.54 $90,336.64 2026-06-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 9 — — $36,393.06 $143,462.38 $89,978.78 2026-06-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 29 9 — — $24,956.78 $144,312.33 $89,349.43 2026-06-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 29 9 — — $38,636.60 $147,507.22 $89,349.43 2026-06-30
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 34 10 — — $30,454.97 $136,084.16 $89,291.26 2026-06-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 10 — — $29,336.03 $141,780.76 $88,835.65 2026-06-30
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 34 10 — — $27,742.35 $135,676.19 $88,751.76 2026-06-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 10 — — $27,211.50 $128,996.23 $88,741.89 2026-06-30
C1840 HCPCS Telescopic Intraocular Lens 21 8 $120,491.00 $48,196.40 60% off $683.10 $100,007.53 $88,488.72 2026-06-30
5831 APR_DRG Neonate With Ecmo 18 7 — — $81,748.00 $89,922.80 $88,287.84 2026-06-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 35 10 — — $29,215.38 $135,890.13 $87,506.65 2026-06-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 10 — — $29,774.29 $132,658.73 $87,120.12 2026-06-30
3264377 CDM Stent Graft 17 6 $112,841.00 $45,136.40 60% off $70,412.78 $93,658.03 $85,590.72 2026-06-30
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 18 7 — — $79,102.08 $87,012.29 $85,430.25 2026-06-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 33 9 — — $34,261.57 $132,579.13 $84,708.84 2026-06-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 10 — — $28,676.11 $131,253.24 $84,427.58 2026-06-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 10 — — $28,613.82 $129,489.53 $83,795.98 2026-06-30
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 18 7 — — $77,520.20 $85,272.22 $83,721.82 2026-06-30
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 34 10 — — $29,575.64 $124,066.56 $83,539.39 2026-06-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 10 — — $26,204.23 $122,432.21 $82,846.93 2026-06-30
3265366 CDM Valve Aortic/Mitral 17 6 $109,016.00 $43,606.40 60% off $68,025.98 $90,483.28 $82,689.61 2026-06-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 34 10 — — $33,231.65 $119,717.14 $82,358.43 2026-06-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 9 — — $33,284.96 $138,464.79 $82,294.28 2026-06-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 10 — — $28,611.02 $122,852.61 $82,261.38 2026-06-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 35 10 — — $33,151.91 $123,071.52 $81,965.32 2026-06-30
C1721 HCPCS Aicd Dual Chamber 197 8 $109,016.00 $43,606.40 60% off $20,215.60 $115,881.28 $81,092.80 2026-06-30
8 MS_DRG Simultaneous Pancreas/kidney Transplant 29 9 — — $31,514.99 $139,420.03 $80,544.60 2026-06-30
245 MS_DRG Aicd Generator Procedures 34 10 — — $29,223.80 $116,838.50 $80,378.09 2026-06-30
471 MS_DRG Cervical Spinal Fusion With Mcc 34 10 — — $28,026.29 $120,118.74 $79,892.87 2026-06-30
3265365 CDM Valve Aortic/Mitral 17 6 $105,191.00 $42,076.40 60% off $65,639.18 $87,308.53 $79,788.49 2026-06-30
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 18 7 — — $73,540.00 $80,894.00 $79,423.20 2026-06-30
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 18 7 — — $72,794.70 $80,074.17 $78,618.28 2026-06-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 10 — — $28,141.89 $116,364.95 $78,547.42 2026-06-30
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 11 5 — — $22,223.96 $90,993.92 $78,410.74 2026-06-30
799 MS_DRG Splenic Procedures With Mcc 35 10 — — $12,360.00 $113,682.51 $78,206.95 2026-06-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 10 — — $25,199.76 $116,713.22 $78,192.15 2026-06-30
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 35 10 — — $31,298.50 $118,429.66 $77,382.91 2026-06-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 10 — — $23,737.95 $114,051.48 $76,968.42 2026-06-30
3265364 CDM Valve Aortic/Mitral 17 6 $101,366.00 $40,546.40 60% off $63,252.38 $84,133.78 $76,887.38 2026-06-30
J9183 HCPCS Gemcitabine Intravesical Sys 6 6 — — $73,088.26 $197,338.30 $76,742.67 2026-06-30
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 9 — — $30,947.24 $114,889.81 $76,514.45 2026-06-30
4050715 CDM Fredx Flow Diverter 17 6 $99,754.00 $39,901.60 60% off $62,246.50 $82,795.82 $76,413.50 2026-06-30
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 7 — — $70,549.10 $77,604.01 $76,193.02 2026-06-30
163 MS_DRG Major Chest Procedures With Mcc 34 10 — — $27,348.98 $111,489.26 $75,812.12 2026-06-30
74 APR_DRG Allogeneic Bone Marrow Transplant 18 7 — — $70,159.56 $77,175.51 $75,772.32 2026-06-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 10 — — $25,791.78 $125,380.02 $75,539.08 2026-06-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 10 — — $27,536.97 $114,342.53 $75,527.57 2026-06-30
1613 APR_DRG Implantable Heart Assist Systems 18 7 — — $69,631.31 $76,594.44 $75,201.81 2026-06-30
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $74,614.73 $74,614.73 $74,614.73 2026-06-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 10 — — $24,835.01 $113,153.46 $74,206.80 2026-06-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 10 — — $21,744.17 $107,224.69 $73,764.35 2026-06-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 10 — — $24,659.93 $113,103.71 $73,560.39 2026-06-30
3262641 CDM Custom Supply Kit 17 6 $95,715.00 $38,286.00 60% off $59,726.16 $79,443.45 $73,319.38 2026-06-30
213 MS_DRG Splenic Procedures Age 0-17 11 8 — — $39,474.99 $135,926.94 $73,139.63 2026-06-30
901 MS_DRG Wound Debridements For Injuries With Mcc 34 10 — — $24,282.27 $105,928.82 $72,872.86 2026-06-30
408T OTHER Ins/Repl Cardiac Mod System Gen And Electrodes 17 6 $94,489.00 $37,795.60 60% off $58,961.14 $78,425.87 $72,380.63 2026-06-30
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 18 7 — — $66,996.16 $73,695.78 $72,355.86 2026-06-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 10 — — $23,011.26 $111,019.10 $72,252.77 2026-06-30
C1735 HCPCS Cath Renal Denerv Radiofreq 6 3 $97,629.00 $39,051.60 60% off $60,920.50 $78,103.20 $71,806.13 2026-06-30
6 MS_DRG Liver Transplant Without Mcc 29 9 — — $27,338.88 $115,939.52 $71,782.71 2026-06-30
14 APR_DRG Liver Transplant And/or Intestinal Transplant 18 7 — — $66,329.56 $72,962.52 $71,635.93 2026-06-30
C1722 HCPCS Aicd Single 163 8 $94,653.00 $37,861.20 60% off $12,312.72 $134,929.78 $71,204.93 2026-06-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 34 10 — — $17,621.37 $103,451.85 $71,168.85 2026-06-30
3264372 CDM Stent Graft 17 6 $93,716.00 $37,486.40 60% off $58,478.78 $77,784.28 $71,084.40 2026-06-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 34 10 — — $26,340.02 $103,797.60 $71,022.46 2026-06-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 18 9 — — $46,110.28 $185,764.62 $70,825.29 2026-06-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 10 — — $22,879.39 $109,275.29 $70,162.23 2026-06-30
571T OTHER Ins/rpl Imp Card Defib Sys,Substrnl Electrd 11 5 $90,856.00 $36,342.40 60% off $56,694.14 $75,410.48 $70,140.83 2026-06-30
J7330 HCPCS Cultured Chondrocytes Implnt 13 8 — — $57,856.13 $120,116.70 $70,121.63 2026-06-30
23 APR_DRG Heart And/or Lung Transplant 18 7 — — $64,911.19 $71,402.31 $70,104.09 2026-06-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 33 9 — — $28,336.09 $107,648.40 $70,058.61 2026-06-30
140 MS_DRG Simple Pneumonia And Pleurisy Age 0-17 33 9 — — $28,135.18 $106,103.60 $69,561.88 2026-06-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 10 — — $24,547.70 $111,456.92 $68,926.99 2026-06-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 10 — — $20,059.02 $104,519.00 $68,910.54 2026-06-30
C2622 HCPCS Prosthesis Penile, Non-inflatable 26 7 $91,803.50 $36,721.40 60% off $3,989.95 $77,784.28 $68,904.26 2026-06-30
793 MS_DRG Full Term Neonate With Major Problems 34 10 — — $21,939.45 $103,722.97 $68,596.38 2026-06-30
269 MS_DRG Traumatic Injury Age 0-17 35 10 — — $23,941.09 $105,056.32 $68,435.19 2026-06-30
650 MS_DRG Neonate Birthwt 1500-1999g Without Signif O.r. Proc With Other Prob 28 8 — — $30,650.53 $116,952.03 $68,201.86 2026-06-30
3264371 CDM Stent Graft 17 6 $89,891.00 $35,956.40 60% off $56,091.98 $74,609.53 $68,183.29 2026-06-30
3265361 CDM Valve Aortic/Mitral 17 6 $89,891.00 $35,956.40 60% off $56,091.98 $74,609.53 $68,183.29 2026-06-30
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 18 7 — — $63,082.80 $69,391.08 $68,129.42 2026-06-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 10 — — $22,609.47 $104,200.59 $67,635.82 2026-06-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 10 — — $23,517.42 $104,824.98 $67,597.99 2026-06-30
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 34 10 — — $21,177.97 $104,877.22 $67,497.66 2026-06-30
4386092 CDM Maze Kit 17 6 $88,018.00 $35,207.20 60% off $54,923.23 $73,054.94 $67,423.28 2026-06-30
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 18 7 — — $62,395.71 $68,635.28 $67,387.37 2026-06-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 9 — — $27,165.90 $105,494.14 $67,165.41 2026-06-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 10 — — $23,782.84 $103,310.03 $66,900.60 2026-06-30
791 MS_DRG Prematurity With Major Problems 34 10 — — $21,358.66 $100,971.68 $66,777.24 2026-06-30
3261203 CDM Drill Burr/Bit 17 6 $86,880.00 $34,752.00 60% off $54,213.12 $72,110.40 $66,552.12 2026-06-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 10 — — $22,387.81 $95,506.43 $65,523.90 2026-06-30
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 34 10 — — $21,012.43 $95,179.34 $65,477.84 2026-06-30
4300499 CDM Catalyst Laao Device G190285 17 6 $86,481.00 $34,592.40 60% off $53,964.14 $71,779.23 $64,947.23 2026-06-30
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 34 10 — — $20,702.67 $94,337.74 $64,898.87 2026-06-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 34 10 — — $24,246.92 $94,144.08 $64,765.64 2026-06-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 33 9 — — $26,026.31 $100,013.96 $64,347.87 2026-06-30
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 35 10 — — $20,820.51 $102,625.94 $64,316.61 2026-06-30
3262637 CDM Custom Supply Kit 17 6 $83,935.00 $33,574.00 60% off $52,375.44 $69,666.05 $64,296.11 2026-06-30
J9029 HCPCS Instill Adstiladrin Tx Dose 76 29 $72,000.00 $28,800.00 60% off $15,211.53 $173,562.21 $64,278.54 2026-06-30
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 18 7 — — $59,458.71 $65,404.58 $64,215.41 2026-06-30
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 18 7 — — $59,458.71 $65,404.58 $64,215.41 2026-06-30
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 18 7 — — $59,458.71 $65,404.58 $64,215.41 2026-06-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 10 — — $21,064.05 $96,287.53 $63,961.34 2026-06-30
3264370 CDM Stent Graft 6 3 $86,927.00 $34,770.80 60% off $54,242.45 $69,541.60 $63,934.81 2026-06-30
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 34 10 — — $22,450.66 $92,408.29 $63,571.52 2026-06-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 34 10 — — $19,850.27 $92,315.04 $63,507.37 2026-06-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 34 10 — — $20,934.99 $92,979.03 $63,329.73 2026-06-30
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 18 7 — — $58,588.00 $64,446.80 $63,275.04 2026-06-30
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 34 10 — — $22,015.77 $93,608.39 $62,870.84 2026-06-30
C1813 HCPCS Prosthesis Penile, Inflatable 334 7 $84,153.50 $33,661.40 60% off $2,150.30 $163,502.53 $62,828.18 2026-06-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 10 — — $22,538.77 $97,312.42 $62,530.36 2026-06-30
3264369 CDM Stent Graft 17 6 $82,241.00 $32,896.40 60% off $51,318.38 $68,260.03 $62,380.31 2026-06-30
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 34 10 — — $22,111.73 $96,051.21 $62,043.50 2026-06-30
3263801 CDM Pump Set 17 6 $80,990.00 $32,396.00 60% off $50,537.76 $67,221.70 $62,040.11 2026-06-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 34 10 — — $21,186.38 $89,467.48 $61,548.42 2026-06-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 36 11 — — $20,426.02 $96,143.25 $61,401.96 2026-06-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 10 — — $20,116.26 $87,548.59 $60,013.82 2026-06-30
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 7 — — $55,400.17 $60,940.19 $59,832.18 2026-06-30
3262635 CDM Custom Supply Kit 17 6 $78,045.00 $31,218.00 60% off $48,700.08 $64,777.35 $59,784.11 2026-06-30
3263800 CDM Pump Set 17 6 $78,045.00 $31,218.00 60% off $48,700.08 $64,777.35 $59,784.11 2026-06-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 10 — — $22,699.26 $88,829.71 $59,597.68 2026-06-30
3264368 CDM Stent Graft 17 6 $78,416.00 $31,366.40 60% off $48,931.58 $65,085.28 $59,479.20 2026-06-30
A9543 HCPCS Y90 Ibritumomab Rx 47 20 — — $21,588.46 $153,426.29 $59,029.00 2026-06-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 35 10 — — $12,360.00 $99,108.47 $58,962.79 2026-06-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 10 — — $20,066.32 $89,847.14 $58,959.50 2026-06-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 34 10 — — $19,127.51 $92,969.07 $58,949.63 2026-06-30
265 MS_DRG Aicd Lead Procedures 34 10 — — $17,515.31 $90,006.34 $58,673.31 2026-06-30
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 18 7 — — $54,106.85 $59,517.54 $58,435.40 2026-06-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 34 10 — — $19,333.45 $91,334.72 $58,410.14 2026-06-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 62 29 — — $15,211.53 $151,926.81 $58,124.17 2026-06-30
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 18 7 — — $53,796.73 $59,176.40 $58,100.47 2026-06-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 10 — — $21,978.28 $84,408.33 $58,068.02 2026-06-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 34 10 — — $19,274.53 $84,755.02 $58,053.22 2026-06-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 10 — — $19,262.18 $90,192.91 $57,906.83 2026-06-30
C1815 HCPCS Prosthesis Urinary Sphincter 418 8 $82,241.00 $32,896.40 60% off $1,330.74 $163,502.53 $57,856.40 2026-06-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 10 — — $19,171.28 $88,623.24 $57,630.50 2026-06-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 10 — — $18,707.20 $85,284.88 $57,612.41 2026-06-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 34 10 — — $19,997.30 $88,697.87 $57,589.38 2026-06-30
3260681 CDM Cannula/Needle 17 6 $75,100.00 $30,040.00 60% off $46,862.40 $62,333.00 $57,528.10 2026-06-30
3262634 CDM Custom Supply Kit 17 6 $75,100.00 $30,040.00 60% off $46,862.40 $62,333.00 $57,528.10 2026-06-30
264 MS_DRG Other Circulatory System O.r. Procedures 34 10 — — $18,170.18 $83,564.35 $57,487.40 2026-06-30
332 MS_DRG Rectal Resection With Mcc 34 10 — — $19,594.95 $90,068.53 $57,053.18 2026-06-30
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 6 3 — — $17,376.14 $74,871.78 $57,034.61 2026-06-30
Q4130 HCPCS Strattice Tm Per Square Centimeter 261 14 $79,200.00 $31,680.00 60% off $101.20 $166,677.28 $57,024.00 2026-06-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 10 — — $17,518.12 $86,354.55 $56,990.68 2026-06-30
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 3 — — $17,804.31 $74,513.57 $56,761.74 2026-06-30
271 MS_DRG Poisoning & Toxic Effects Of Drugs Age 0-17 35 10 — — $19,909.76 $88,466.52 $56,653.49 2026-06-30
4442122 CDM Stent Graft 17 6 $74,591.00 $29,836.40 60% off $46,544.78 $61,910.53 $56,578.09 2026-06-30
3264367 CDM Stent Graft 17 6 $74,591.00 $29,836.40 60% off $46,544.78 $61,910.53 $56,578.09 2026-06-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 34 10 — — $18,267.26 $85,936.63 $56,564.67 2026-06-30
665 MS_DRG Prostatectomy With Mcc 34 10 — — $16,657.87 $82,093.94 $56,475.85 2026-06-30
252 MS_DRG Other Vascular Procedures With Mcc 34 10 — — $18,408.11 $86,774.95 $56,423.22 2026-06-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 34 10 — — $19,708.30 $87,727.70 $56,337.69 2026-06-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 34 10 — — $20,760.47 $81,438.84 $56,025.18 2026-06-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 10 — — $20,825.00 $81,099.33 $55,791.62 2026-06-30
1612 APR_DRG Implantable Heart Assist Systems 18 7 — — $51,234.90 $56,358.39 $55,333.69 2026-06-30
1611 APR_DRG Implantable Heart Assist Systems 18 7 — — $51,234.90 $56,358.39 $55,333.69 2026-06-30
3261198 CDM Drill Burr/Bit 17 6 $72,155.00 $28,862.00 60% off $45,024.72 $59,888.65 $55,272.10 2026-06-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 10 — — $17,996.22 $84,866.96 $55,211.00 2026-06-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 18 7 — — $51,048.39 $56,153.23 $55,132.26 2026-06-30
37 MS_DRG Extracranial Procedures With Mcc 34 10 — — $18,199.92 $81,894.28 $54,622.16 2026-06-30
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