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Hospital

TY COBB REGIONAL MEDICAL CENTER, LLC

Lavonia, GA · CCN 110027 · Rates published

14,940 distinct procedures filed
24 distinct payers
506,155 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

232,766 of 506,155 rate rows are consumer-grade (46.0%)

273,389 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 205,027
template filing: same amount across many unrelated codes — excluded 67,486
per-diem day rate — not a per-procedure price 797
percent-of-charges filed in the dollar field — excluded from medians 70
exceeds 10× this hospital's gross charge — excluded from medians 6
placeholder amount (≤ $0.02) — excluded from medians 3

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/stmaryssacredhearthospital
Found on page https://www.stmaryshealthcaresystem.org/for-patients/billing-insurance/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 0eb9997772e8caa0… · 11,888,865 bytes · first seen 2026-05-05

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $261,133.65 $404,757.16 $266,356.32 nat. median
$370,174
0.7× median
J7330
HCPCS 		Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 6 $9,200.00 $244,278.10 $201,170.20 nat. median
$76,377
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $192,485.10 $298,351.91 $196,334.80 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $187,272.40 $290,272.22 $191,017.85 nat. median
$206,368
0.9× median
'161-4
APR_DRG 		Implantable Heart Assist Systems 2 $179,524.05 $194,567.98 $187,046.02 —
'583-4
APR_DRG 		Neonate With Ecmo 2 $171,425.06 $185,790.31 $178,607.68 —
27800000002-52209
CDM 		Device Impella 5.5 Smartassist 6 $9,200.00 $210,375.00 $173,250.00 nat. median
$148,252
1.2× median
'009-4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $154,540.05 $167,490.34 $161,015.20 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $151,776.16 $235,253.05 $154,811.68 nat. median
$202,986
0.8× median
'583-3
APR_DRG 		Neonate With Ecmo 2 $135,771.66 $147,149.19 $141,460.42 —
'161-3
APR_DRG 		Implantable Heart Assist Systems 2 $131,427.80 $142,441.32 $136,934.56 —
'004-4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $129,373.78 $140,215.17 $134,794.48 —
'630-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $129,240.13 $140,070.32 $134,655.23 —
'588-4
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $126,681.31 $137,297.07 $131,989.19 —
27800000002-52400
CDM 		Valve Sapien Thv Edwards Resilia 23mm 6 $9,200.00 $158,950.00 $130,900.00 nat. median
$112,013
1.2× median
27800000002-52403
CDM 		Valve Sapien Thv Edwards Resilia 26mm 6 $9,200.00 $158,950.00 $130,900.00 nat. median
$112,013
1.2× median
27800000002-52401
CDM 		Valve Sapien Thv Edwards Resilia 29mm 6 $9,200.00 $158,950.00 $130,900.00 nat. median
$112,013
1.2× median
27800000002-53134
CDM 		Valve Thv Sapien 3 26mm W/certitudesystem 6 $9,200.00 $151,937.50 $125,125.00 nat. median
$107,071
1.2× median
27200000002-17908
CDM 		Introducer Lotus 25 Edge 6 $9,200.00 $151,937.50 $125,125.00 nat. median
$44
outlier · 2848.3×
27800000002-53326
CDM 		Valve Sapien 3 Ultra Thv 20mm W/command System 6 $9,200.00 $151,937.50 $125,125.00 nat. median
$107,071
1.2× median
27800000002-53126
CDM 		Valve Sapien 3 Thv 23mm W/command System 6 $9,200.00 $151,937.50 $125,125.00 nat. median
$107,071
1.2× median
27800000002-53127
CDM 		Valve Sapien 3 Thv 26mm W/command System 6 $9,200.00 $151,937.50 $125,125.00 nat. median
$107,071
1.2× median
27200000002-17907
CDM 		Introducer Lotus 23 Edge 6 $9,200.00 $151,937.50 $125,125.00 nat. median
$534
outlier · 234.4×
27800000002-53333
CDM 		Valve Sapien 3 Ultra Thv 26mm W/command System 6 $9,200.00 $151,937.50 $125,125.00 nat. median
$107,071
1.2× median
27800000002-53133
CDM 		Valve Thv Sapien 3 23mm W/certitudesystem 6 $9,200.00 $151,937.50 $125,125.00 nat. median
$107,071
1.2× median
27800000002-53128
CDM 		Valve Sapien 3 Thv 29mm W/command System 6 $9,200.00 $151,937.50 $125,125.00 nat. median
$107,071
1.2× median
27800000002-53329
CDM 		Valve Sapien 3 Ultra Thv 23mm W/command System 6 $9,200.00 $151,937.50 $125,125.00 nat. median
$107,071
1.2× median
27800000002-52838
CDM 		Kit Mitraclip 1 Mbr0301 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-53071
CDM 		Valve Aort 34mm Evolutr 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-53456
CDM 		Kit Mitraclip 3 Mbr0103 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-53472
CDM 		Kit Mitraclip G4 Delivery Sys Ntw 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-52376
CDM 		Valve Aortic 34mm Evolut Fx 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-52839
CDM 		Kit Mitraclip 2 Mbr0102 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-52836
CDM 		Kit Mitraclip 1 Mbr0101 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-52377
CDM 		Valve Aortic 23mm Evolut Fx 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-53517
CDM 		Kit Mitraclip 2 Mbr0202 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-53339
CDM 		Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-52374
CDM 		Valve Aortic 29mm Evolut Fx 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-52837
CDM 		Kit Mitraclip 1 Mbr0201 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-53070
CDM 		Valve Aort 29mm Pro Perc 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-52840
CDM 		Kit Mitraclip 2 Mbr0302 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-52368
CDM 		Valve Aort 23mm Evolutr 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-53067
CDM 		Valve Aort 26mm Evolutr 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-52372
CDM 		Valve Aortic 26mm Evolut Fx 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
27800000002-53068
CDM 		Valve Aort 26mm Pro Perc 6 $9,200.00 $140,250.00 $115,500.00 nat. median
$98,835
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $105,135.22 $162,959.59 $107,237.92 nat. median
$133,176
0.8× median
'002-4
APR_DRG 		Heart And/or Lung Transplant 2 $101,922.09 $110,463.06 $106,192.57 —
'583-2
APR_DRG 		Neonate With Ecmo 2 $100,118.82 $108,508.67 $104,313.74 —
'841-4
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $94,811.18 $102,756.26 $98,783.72 —
'591-4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $92,826.75 $100,605.54 $96,716.14 —

Other procedures at this hospital

Browse this hospital's 14,940 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 18 — — $261,133.65 $404,757.16 $266,356.32 2025-01-01
J7330 HCPCS Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 8 6 $287,386.00 $186,800.90 35% off $9,200.00 $244,278.10 $201,170.20 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 18 — — $192,485.10 $298,351.91 $196,334.80 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 18 — — $187,272.40 $290,272.22 $191,017.85 2025-01-01
'161-4 APR_DRG Implantable Heart Assist Systems 2 2 — — $179,524.05 $194,567.98 $187,046.02 2025-01-01
'583-4 APR_DRG Neonate With Ecmo 2 2 — — $171,425.06 $185,790.31 $178,607.68 2025-01-01
27800000002-52209 CDM Device Impella 5.5 Smartassist 8 6 $247,500.00 $160,875.00 35% off $9,200.00 $210,375.00 $173,250.00 2025-01-01
'009-4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $154,540.05 $167,490.34 $161,015.20 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 18 — — $151,776.16 $235,253.05 $154,811.68 2025-01-01
'583-3 APR_DRG Neonate With Ecmo 2 2 — — $135,771.66 $147,149.19 $141,460.42 2025-01-01
'161-3 APR_DRG Implantable Heart Assist Systems 2 2 — — $131,427.80 $142,441.32 $136,934.56 2025-01-01
'004-4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $129,373.78 $140,215.17 $134,794.48 2025-01-01
'630-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $129,240.13 $140,070.32 $134,655.23 2025-01-01
'588-4 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $126,681.31 $137,297.07 $131,989.19 2025-01-01
27800000002-52403 CDM Valve Sapien Thv Edwards Resilia 26mm 8 6 $187,000.00 $121,550.00 35% off $9,200.00 $158,950.00 $130,900.00 2025-01-01
27800000002-52401 CDM Valve Sapien Thv Edwards Resilia 29mm 8 6 $187,000.00 $121,550.00 35% off $9,200.00 $158,950.00 $130,900.00 2025-01-01
27800000002-52400 CDM Valve Sapien Thv Edwards Resilia 23mm 8 6 $187,000.00 $121,550.00 35% off $9,200.00 $158,950.00 $130,900.00 2025-01-01
27800000002-53134 CDM Valve Thv Sapien 3 26mm W/certitudesystem 8 6 $178,750.00 $116,187.50 35% off $9,200.00 $151,937.50 $125,125.00 2025-01-01
27200000002-17908 CDM Introducer Lotus 25 Edge 8 6 $178,750.00 $116,187.50 35% off $9,200.00 $151,937.50 $125,125.00 2025-01-01
27800000002-53133 CDM Valve Thv Sapien 3 23mm W/certitudesystem 8 6 $178,750.00 $116,187.50 35% off $9,200.00 $151,937.50 $125,125.00 2025-01-01
27800000002-53127 CDM Valve Sapien 3 Thv 26mm W/command System 8 6 $178,750.00 $116,187.50 35% off $9,200.00 $151,937.50 $125,125.00 2025-01-01
27200000002-17907 CDM Introducer Lotus 23 Edge 8 6 $178,750.00 $116,187.50 35% off $9,200.00 $151,937.50 $125,125.00 2025-01-01
27800000002-53128 CDM Valve Sapien 3 Thv 29mm W/command System 8 6 $178,750.00 $116,187.50 35% off $9,200.00 $151,937.50 $125,125.00 2025-01-01
27800000002-53326 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 8 6 $178,750.00 $116,187.50 35% off $9,200.00 $151,937.50 $125,125.00 2025-01-01
27800000002-53329 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 8 6 $178,750.00 $116,187.50 35% off $9,200.00 $151,937.50 $125,125.00 2025-01-01
27800000002-53126 CDM Valve Sapien 3 Thv 23mm W/command System 8 6 $178,750.00 $116,187.50 35% off $9,200.00 $151,937.50 $125,125.00 2025-01-01
27800000002-53333 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 8 6 $178,750.00 $116,187.50 35% off $9,200.00 $151,937.50 $125,125.00 2025-01-01
27800000002-53517 CDM Kit Mitraclip 2 Mbr0202 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-53070 CDM Valve Aort 29mm Pro Perc 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-52840 CDM Kit Mitraclip 2 Mbr0302 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-52838 CDM Kit Mitraclip 1 Mbr0301 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-52368 CDM Valve Aort 23mm Evolutr 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-52372 CDM Valve Aortic 26mm Evolut Fx 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-53472 CDM Kit Mitraclip G4 Delivery Sys Ntw 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-53071 CDM Valve Aort 34mm Evolutr 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-52837 CDM Kit Mitraclip 1 Mbr0201 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-52377 CDM Valve Aortic 23mm Evolut Fx 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-53456 CDM Kit Mitraclip 3 Mbr0103 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-52836 CDM Kit Mitraclip 1 Mbr0101 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-53067 CDM Valve Aort 26mm Evolutr 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-52839 CDM Kit Mitraclip 2 Mbr0102 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-53339 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-52376 CDM Valve Aortic 34mm Evolut Fx 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-53068 CDM Valve Aort 26mm Pro Perc 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
27800000002-52374 CDM Valve Aortic 29mm Evolut Fx 8 6 $165,000.00 $107,250.00 35% off $9,200.00 $140,250.00 $115,500.00 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 18 — — $105,135.22 $162,959.59 $107,237.92 2025-01-01
'002-4 APR_DRG Heart And/or Lung Transplant 2 2 — — $101,922.09 $110,463.06 $106,192.57 2025-01-01
'583-2 APR_DRG Neonate With Ecmo 2 2 — — $100,118.82 $108,508.67 $104,313.74 2025-01-01
'841-4 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $94,811.18 $102,756.26 $98,783.72 2025-01-01
'591-4 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $92,826.75 $100,605.54 $96,716.14 2025-01-01
27800000002-52891 CDM Set Pump Impella Cp 8 6 $137,500.00 $89,375.00 35% off $9,200.00 $116,875.00 $96,250.00 2025-01-01
27800000002-52893 CDM Set Pump Impella Cp 8 6 $137,500.00 $89,375.00 35% off $9,200.00 $116,875.00 $96,250.00 2025-01-01
27800000002-52892 CDM Set Pump Impella Cp 8 6 $137,500.00 $89,375.00 35% off $9,200.00 $116,875.00 $96,250.00 2025-01-01
27800000002-52890 CDM Set Pump Impella Cp 8 6 $137,500.00 $89,375.00 35% off $9,200.00 $116,875.00 $96,250.00 2025-01-01
27800000002-52896 CDM Set Pump Impella Rp 8 6 $137,500.00 $89,375.00 35% off $9,200.00 $116,875.00 $96,250.00 2025-01-01
'588-3 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $90,589.38 $98,180.67 $94,385.02 2025-01-01
'005-4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $89,667.58 $97,181.63 $93,424.61 2025-01-01
27800000002-52402 CDM Valve Sapien Thv Edwards Resilia 29mm 8 6 $132,600.00 $86,190.00 35% off $9,200.00 $112,710.00 $92,820.00 2025-01-01
'588-2 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $88,704.36 $96,137.70 $92,421.03 2025-01-01
'011-4 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $88,445.33 $95,856.96 $92,151.15 2025-01-01
'609-4 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $87,993.55 $95,367.32 $91,680.43 2025-01-01
'583-1 APR_DRG Neonate With Ecmo 2 2 — — $86,520.56 $93,770.89 $90,145.73 2025-01-01
7 MS_DRG Lung Transplant 18 17 — — $87,990.16 $136,384.75 $89,881.95 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 18 — — $87,833.06 $136,141.24 $89,589.72 2025-01-01
27800000002-53336 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 8 6 $126,750.00 $82,387.50 35% off $9,200.00 $107,737.50 $88,725.00 2025-01-01
27800000002-53335 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 8 6 $126,750.00 $82,387.50 35% off $9,200.00 $107,737.50 $88,725.00 2025-01-01
27800000002-53331 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 8 6 $126,750.00 $82,387.50 35% off $9,200.00 $107,737.50 $88,725.00 2025-01-01
27800000002-53332 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 8 6 $126,750.00 $82,387.50 35% off $9,200.00 $107,737.50 $88,725.00 2025-01-01
27800000002-53130 CDM Valve Sapien 3 Thv 29mm W/command System 8 6 $126,750.00 $82,387.50 35% off $9,200.00 $107,737.50 $88,725.00 2025-01-01
27800000002-53327 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 8 6 $126,750.00 $82,387.50 35% off $9,200.00 $107,737.50 $88,725.00 2025-01-01
27800000002-53129 CDM Valve Sapien 3 Thv 29mm W/command System 8 6 $126,750.00 $82,387.50 35% off $9,200.00 $107,737.50 $88,725.00 2025-01-01
27800000002-53334 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 8 6 $126,750.00 $82,387.50 35% off $9,200.00 $107,737.50 $88,725.00 2025-01-01
27800000002-53330 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 8 6 $126,750.00 $82,387.50 35% off $9,200.00 $107,737.50 $88,725.00 2025-01-01
27800000002-53328 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 8 6 $126,750.00 $82,387.50 35% off $9,200.00 $107,737.50 $88,725.00 2025-01-01
C1824 HCPCS Kit Ipg Optimizer Smart Mini 15 6 $143,000.00 $92,950.00 35% off $9,200.00 $121,550.00 $88,400.00 2025-01-01
'161-2 APR_DRG Implantable Heart Assist Systems 2 2 — — $82,698.62 $89,628.67 $86,163.64 2025-01-01
'007-4 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $81,621.07 $88,460.83 $85,040.95 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 17 — — $82,315.30 $127,588.72 $84,085.08 2025-01-01
27800000002-52378 CDM Valve Aortic 23mm Evolut Fx 8 6 $117,000.00 $76,050.00 35% off $9,200.00 $99,450.00 $81,900.00 2025-01-01
27800000002-52373 CDM Valve Aortic 26mm Evolut Fx 8 6 $117,000.00 $76,050.00 35% off $9,200.00 $99,450.00 $81,900.00 2025-01-01
27800000002-53340 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 8 6 $117,000.00 $76,050.00 35% off $9,200.00 $99,450.00 $81,900.00 2025-01-01
27800000002-52375 CDM Valve Aortic 29mm Evolut Fx 8 6 $117,000.00 $76,050.00 35% off $9,200.00 $99,450.00 $81,900.00 2025-01-01
27800000002-53341 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 8 6 $117,000.00 $76,050.00 35% off $9,200.00 $99,450.00 $81,900.00 2025-01-01
'161-1 APR_DRG Implantable Heart Assist Systems 2 2 — — $78,563.52 $85,147.06 $81,855.29 2025-01-01
'593-4 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $76,875.12 $83,317.18 $80,096.15 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 19 18 — — $77,452.75 $120,051.76 $79,001.81 2025-01-01
C1822 HCPCS Sable 10x22mm 6-12mm 8deg 29 6 $23,985.00 $15,590.25 35% off $9,200.00 $121,550.00 $77,805.00 2025-01-01
'603-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $73,717.60 $79,895.06 $76,806.33 2025-01-01
'006-4 APR_DRG Pancreas Transplant 2 2 — — $73,245.39 $79,383.27 $76,314.33 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 17 — — $74,488.86 $115,457.73 $76,090.37 2025-01-01
215 MS_DRG Other Heart Assist System Implant 19 18 — — $73,536.35 $113,981.34 $75,007.08 2025-01-01
'005-3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $70,008.34 $75,874.96 $72,941.65 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 18 — — $69,946.85 $108,417.62 $71,345.79 2025-01-01
'630-3 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $68,252.01 $73,971.46 $71,111.74 2025-01-01
27800000002-53528 CDM Stent Graft Confrm Thor 45x45x20 24f 8 6 $100,595.00 $65,386.75 35% off $9,200.00 $85,505.75 $70,416.50 2025-01-01
'001-3 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $67,335.19 $72,977.80 $70,156.49 2025-01-01
'001-4 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $67,335.19 $72,977.80 $70,156.49 2025-01-01
'001-2 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $67,335.19 $72,977.80 $70,156.49 2025-01-01
27800000002-52894 CDM Set Pump Impella Cp 8 6 $100,000.00 $65,000.00 35% off $9,200.00 $85,000.00 $70,000.00 2025-01-01
27800000002-53501 CDM Stent Valiant Navion Vnmf4040c183tu Freeflo 175mm 8 6 $98,975.25 $64,333.91 35% off $9,200.00 $84,128.96 $69,282.68 2025-01-01
'593-3 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $66,383.57 $71,946.44 $69,165.01 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 8 6 $97,800.00 $63,570.00 35% off $7,275.00 $83,130.00 $68,460.00 2025-01-01
27800000002-52895 CDM Set Pump Impella Cp 8 6 $97,500.00 $63,375.00 35% off $9,200.00 $82,875.00 $68,250.00 2025-01-01
27800000002-52897 CDM Set Pump Impella Rp 8 6 $97,500.00 $63,375.00 35% off $9,200.00 $82,875.00 $68,250.00 2025-01-01
'002-3 APR_DRG Heart And/or Lung Transplant 2 2 — — $63,711.53 $69,050.48 $66,381.01 2025-01-01
'162-4 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $63,519.87 $68,842.77 $66,181.32 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 26 22 $55,035.00 $35,772.75 35% off $9,200.00 $114,584.02 $65,476.58 2025-01-01
27800000002-52188 CDM Device Clsur Watchman Flx Laa 20mm 8 6 $93,500.00 $60,775.00 35% off $9,200.00 $79,475.00 $65,450.00 2025-01-01
C2624 HCPCS System Cardiomems Pa Sensor And Delivery 8 6 $93,500.00 $60,775.00 35% off $9,200.00 $79,475.00 $65,450.00 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 19 18 — — $64,001.46 $99,202.26 $65,281.49 2025-01-01
'163-4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $61,602.83 $66,765.08 $64,183.96 2025-01-01
27800000002-53375 CDM Stent Graft Prox 28x28x150mm Valiant Captivia Free Flo Str 8 6 $91,550.25 $59,507.66 35% off $9,200.00 $77,817.71 $64,085.18 2025-01-01
27800000002-53374 CDM Stent Valiant Navion Vnmc2828c90tu Coveredseal 100mm 8 6 $91,550.25 $59,507.66 35% off $9,200.00 $77,817.71 $64,085.18 2025-01-01
27800000002-53431 CDM Stent Valiant 42x38x150 8 6 $91,550.25 $59,507.66 35% off $9,200.00 $77,817.71 $64,085.18 2025-01-01
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $61,116.80 $66,238.32 $63,677.56 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 18 — — $61,120.00 $94,736.00 $62,342.40 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 18 — — $60,957.96 $94,484.84 $62,177.12 2025-01-01
27800000002-52422 CDM Generator Implantable Proclaim 5 8 6 $87,270.30 $56,725.70 35% off $9,200.00 $74,179.76 $61,089.21 2025-01-01
'588-1 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $58,388.98 $63,281.91 $60,835.45 2025-01-01
'631-4 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $58,049.86 $62,914.38 $60,482.12 2025-01-01
'633-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $57,733.40 $62,571.39 $60,152.40 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 18 — — $58,744.38 $91,053.79 $59,919.27 2025-01-01
'950-4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $56,749.19 $61,504.71 $59,126.95 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 18 — — $57,886.98 $89,724.82 $59,044.72 2025-01-01
'634-4 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 2 — — $56,309.00 $61,027.63 $58,668.32 2025-01-01
27800000002-52355 CDM Conduit Konect Resilia Aortic Vlv 25mm 8 6 $82,500.00 $53,625.00 35% off $9,200.00 $70,125.00 $57,750.00 2025-01-01
27800000002-52353 CDM Conduit Konect Resilia Aortic Vlv 23mm 8 6 $82,500.00 $53,625.00 35% off $9,200.00 $70,125.00 $57,750.00 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 18 — — $56,520.93 $87,607.44 $57,651.35 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 18 — — $55,898.14 $86,642.12 $57,016.10 2025-01-01
'602-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $54,404.66 $58,963.71 $56,684.18 2025-01-01
'004-3 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $52,872.57 $57,303.23 $55,087.90 2025-01-01
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $52,355.05 $56,742.36 $54,548.71 2025-01-01
'591-3 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $51,882.28 $56,229.97 $54,056.12 2025-01-01
C1820 HCPCS Charger Prdgy MRI W/pt Control 139 6 $88,380.55 $57,447.36 35% off $2,670.62 $115,774.51 $53,720.00 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 18 — — $52,525.63 $81,414.73 $53,576.14 2025-01-01
27800000002-52237 CDM Device Embol Pipeline Flex 4.25x16mm 8 6 $75,796.88 $49,267.97 35% off $9,200.00 $64,427.35 $53,057.82 2025-01-01
27800000002-52243 CDM Device Embol Pipeline Flex 5x18mm 8 6 $75,796.88 $49,267.97 35% off $9,200.00 $64,427.35 $53,057.82 2025-01-01
27800000002-52230 CDM Device Embol Pipeline Flex 4.5x14mm 8 6 $75,796.88 $49,267.97 35% off $9,200.00 $64,427.35 $53,057.82 2025-01-01
27800000002-52225 CDM Device Embol Pipeline Flex 4.25x12mm 8 6 $75,796.88 $49,267.97 35% off $9,200.00 $64,427.35 $53,057.82 2025-01-01
27800000002-52250 CDM Device Embol Pipeline Flex 4.75x12mm 8 6 $75,796.88 $49,267.97 35% off $9,200.00 $64,427.35 $53,057.82 2025-01-01
27800000002-52247 CDM Device Embol Pipeline Flex 4x16mm 8 6 $75,796.88 $49,267.97 35% off $9,200.00 $64,427.35 $53,057.82 2025-01-01
27800000002-52221 CDM Device Embol Pipeline Flex 4x14mm 8 6 $75,796.88 $49,267.97 35% off $9,200.00 $64,427.35 $53,057.82 2025-01-01
27800000002-52239 CDM Device Embol Pipeline Flex 4.75x14mm 8 6 $75,796.88 $49,267.97 35% off $9,200.00 $64,427.35 $53,057.82 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 18 — — $51,139.85 $79,266.77 $52,162.65 2025-01-01
C1882 HCPCS Icd Dev Bi-vent Df1 Crt-d 1711 211 6 $77,341.00 $50,271.65 35% off $9,200.00 $80,237.03 $52,025.61 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 18 — — $50,640.35 $78,492.54 $51,653.16 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 18 — — $50,321.91 $77,998.96 $51,328.35 2025-01-01
'165-4 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $49,184.84 $53,306.47 $51,245.65 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 18 — — $50,239.48 $77,871.19 $51,244.27 2025-01-01
'602-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $48,962.81 $53,065.84 $51,014.32 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 18 — — $49,990.08 $77,484.62 $50,989.88 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 18 — — $49,863.98 $77,289.17 $50,861.26 2025-01-01
'002-1 APR_DRG Heart And/or Lung Transplant 2 2 — — $48,710.96 $52,792.89 $50,751.93 2025-01-01
'002-2 APR_DRG Heart And/or Lung Transplant 2 2 — — $48,710.96 $52,792.89 $50,751.93 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 18 — — $49,608.94 $76,893.86 $50,601.12 2025-01-01
'593-2 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $48,188.48 $52,226.62 $50,207.55 2025-01-01
'303-4 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $47,542.29 $51,526.28 $49,534.29 2025-01-01
'842-4 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $47,420.23 $51,393.99 $49,407.11 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 19 18 — — $48,297.14 $74,860.57 $49,263.08 2025-01-01
'711-4 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $46,393.50 $50,281.22 $48,337.36 2025-01-01
'021-4 APR_DRG Open Craniotomy Except Trauma 2 2 — — $46,237.19 $50,111.82 $48,174.51 2025-01-01
27800000002-53000 CDM Stent Graft Prox 46x46x200mm Valiant Captivia Free Flo Str 8 6 $68,427.45 $44,477.84 35% off $9,200.00 $58,163.33 $47,899.22 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 18 — — $46,416.09 $71,944.94 $47,344.41 2025-01-01
'602-2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $45,085.64 $48,863.77 $46,974.71 2025-01-01
'007-3 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $44,831.58 $48,588.42 $46,710.00 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 18 — — $45,576.30 $70,643.27 $46,487.83 2025-01-01
27800000002-52359 CDM Watchman Flx Procedure - Device 8 6 $66,300.00 $43,095.00 35% off $9,200.00 $56,355.00 $46,410.00 2025-01-01
27800000002-52445 CDM Device Watchman Flx Pro Procedure 8 6 $66,300.00 $43,095.00 35% off $9,200.00 $56,355.00 $46,410.00 2025-01-01
27800000002-52358 CDM Watchman Flx Procedure - Device 8 6 $66,300.00 $43,095.00 35% off $9,200.00 $56,355.00 $46,410.00 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 18 — — $45,379.04 $70,337.51 $46,286.62 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 19 18 — — $45,323.38 $70,251.24 $46,229.85 2025-01-01
27800000002-53571 CDM Vale Heart Intuity Elite 23mm 8 6 $66,000.00 $42,900.00 35% off $9,200.00 $56,100.00 $46,200.00 2025-01-01
27800000002-53536 CDM Vale Heart Intuity Elite 19mm 8 6 $66,000.00 $42,900.00 35% off $9,200.00 $56,100.00 $46,200.00 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 17 — — $45,089.49 $69,888.71 $46,058.92 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 17 — — $45,089.49 $69,888.71 $46,058.92 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 18 — — $44,838.68 $69,499.95 $45,735.45 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 19 18 — — $44,661.85 $69,225.87 $45,555.09 2025-01-01
'008-4 APR_DRG Autologous Bone Marrow Transplant 2 2 — — $43,685.00 $47,345.75 $45,515.38 2025-01-01
'008-3 APR_DRG Autologous Bone Marrow Transplant 2 2 — — $43,685.00 $47,345.75 $45,515.38 2025-01-01
27800000002-53432 CDM Stent Valiant 42x38x150 8 6 $64,917.45 $42,196.34 35% off $9,200.00 $55,179.83 $45,442.22 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 18 — — $44,477.97 $68,940.85 $45,367.53 2025-01-01
'011-3 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $43,535.33 $47,183.54 $45,359.43 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 18 — — $44,372.99 $68,778.13 $45,260.45 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 18 — — $44,171.50 $68,465.83 $45,054.93 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 19 18 — — $44,026.37 $68,240.87 $44,906.90 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 18 — — $43,843.20 $67,956.96 $44,720.06 2025-01-01
'130-4 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $42,646.67 $46,220.41 $44,433.54 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 18 — — $43,480.38 $67,394.59 $44,349.99 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 18 — — $43,001.31 $66,652.03 $43,861.34 2025-01-01
A9504 HCPCS Technetium Tc-99m Apcitide Diagnostic Per Study Dose Up To 20 Millicuries 8 6 $62,440.00 $40,586.00 35% off $7,275.00 $53,074.00 $43,708.00 2025-01-01
'912-4 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $41,822.64 $45,327.32 $43,574.98 2025-01-01
7011434001 NDC Toripalimab-tpzi 240 Mg/6 Ml (40 mg/mL) Solution 6 Ml Vial 8 6 $62,244.21 $40,458.74 35% off $9,200.00 $52,907.58 $43,570.95 2025-01-01
'178-4 APR_DRG External Heart Assist Systems 2 2 — — $41,661.36 $45,152.53 $43,406.94 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 18 — — $41,705.70 $64,643.84 $42,539.81 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 18 — — $41,609.89 $64,495.33 $42,442.09 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 18 — — $41,509.14 $64,339.17 $42,339.32 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 18 — — $41,473.21 $64,283.48 $42,302.67 2025-01-01
27800000002-52989 CDM Stent Graft 22-40-13-40mm Afx2 Bifurcated 8 6 $60,225.00 $39,146.25 35% off $9,200.00 $51,191.25 $42,157.50 2025-01-01
27800000002-52993 CDM Stent Graft 25-70-16-30mm Afx2 Bifurcated 8 6 $60,225.00 $39,146.25 35% off $9,200.00 $51,191.25 $42,157.50 2025-01-01
27800000002-52999 CDM Stent Graft 28-70-20-30mm Afx2 Bifurcated 8 6 $60,225.00 $39,146.25 35% off $9,200.00 $51,191.25 $42,157.50 2025-01-01
27800000002-52998 CDM Stent Graft 28-110-16-30mm Afx2 Bifurcated 8 6 $60,225.00 $39,146.25 35% off $9,200.00 $51,191.25 $42,157.50 2025-01-01
27800000002-52988 CDM Stent Graft 22-40-13-40mm Afx2 Bifurcated 8 6 $60,225.00 $39,146.25 35% off $9,200.00 $51,191.25 $42,157.50 2025-01-01
27800000002-52995 CDM Stent Graft 25-80-16-40mm Afx2 Bifurcated 8 6 $60,225.00 $39,146.25 35% off $9,200.00 $51,191.25 $42,157.50 2025-01-01
27800000002-52992 CDM Stent Graft 25-100-20-40mm Afx2 Bifurcated 8 6 $60,225.00 $39,146.25 35% off $9,200.00 $51,191.25 $42,157.50 2025-01-01
27800000002-52991 CDM Stent Graft 25-100-16-40mm Afx2 Bifurcated 8 6 $60,225.00 $39,146.25 35% off $9,200.00 $51,191.25 $42,157.50 2025-01-01
27800000002-52994 CDM Stent Graft 25-80-13-40mm Afx2 Bifurcated 8 6 $60,225.00 $39,146.25 35% off $9,200.00 $51,191.25 $42,157.50 2025-01-01
'130-3 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $40,350.19 $43,731.49 $42,040.84 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 19 18 — — $41,017.39 $63,576.95 $41,837.74 2025-01-01
'004-2 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $39,975.18 $43,325.05 $41,650.12 2025-01-01
'166-4 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $39,754.25 $43,085.62 $41,419.93 2025-01-01
27800000002-52242 CDM Device Embol Pipeline Flex 4x30mm 8 6 $59,094.00 $38,411.10 35% off $9,200.00 $50,229.90 $41,365.80 2025-01-01
27800000002-52241 CDM Device Embol Pipeline Flex 3x25mm 8 6 $59,094.00 $38,411.10 35% off $9,200.00 $50,229.90 $41,365.80 2025-01-01
27800000002-52253 CDM Device Embol Pipeline Flex 5x25mm 8 6 $59,094.00 $38,411.10 35% off $9,200.00 $50,229.90 $41,365.80 2025-01-01
27800000002-52228 CDM Device Embol Pipeline Flex 5x35mm 8 6 $59,094.00 $38,411.10 35% off $9,200.00 $50,229.90 $41,365.80 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 18 — — $40,356.56 $62,552.67 $41,163.69 2025-01-01
'220-4 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $39,452.14 $42,758.19 $41,105.17 2025-01-01
27800000002-52354 CDM Conduit Konect Resilia Aortic Vlv 23mm 8 6 $58,500.00 $38,025.00 35% off $9,200.00 $49,725.00 $40,950.00 2025-01-01
27800000002-52356 CDM Conduit Konect Resilia Aortic Vlv 25mm 8 6 $58,500.00 $38,025.00 35% off $9,200.00 $49,725.00 $40,950.00 2025-01-01
'440-4 APR_DRG Kidney Transplant 2 2 — — $39,015.28 $42,284.71 $40,649.99 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 19 18 — — $39,711.22 $61,552.39 $40,505.44 2025-01-01
27800000002-52220 CDM Device Embol Pipeline Flex 4x25mm 8 6 $57,616.65 $37,450.82 35% off $9,200.00 $48,974.15 $40,331.66 2025-01-01
'607-4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $38,493.35 $41,719.04 $40,106.19 2025-01-01
'167-4 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $38,383.43 $41,599.93 $39,991.68 2025-01-01
'611-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $38,369.63 $41,584.96 $39,977.29 2025-01-01
'163-3 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $38,360.24 $41,574.79 $39,967.51 2025-01-01
C1721 HCPCS Icd Cobalt Xt Dr MRI Is1 Df4 141 6 $61,036.25 $39,673.56 35% off $9,200.00 $60,022.33 $39,950.00 2025-01-01
'303-3 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $38,297.27 $41,506.55 $39,901.91 2025-01-01
'303-2 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $38,297.27 $41,506.55 $39,901.91 2025-01-01
'303-1 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $38,297.27 $41,506.55 $39,901.91 2025-01-01
'006-3 APR_DRG Pancreas Transplant 2 2 — — $38,118.33 $41,312.60 $39,715.46 2025-01-01
'009-3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $38,016.16 $41,201.87 $39,609.01 2025-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 17 — — $38,641.07 $59,893.66 $39,471.85 2025-01-01
27800000002-52756 CDM Excluder Aort C3 23x14.5x14cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52762 CDM Excluder Aort C3 28x14.5x12cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52757 CDM Excluder Aort C3 23x14.5x14cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52763 CDM Excluder Aort C3 28x14.5x12cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52761 CDM Excluder Aort C3 28x12x16cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52769 CDM Excluder Aort C3 35x14.5x16cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52767 CDM Excluder Aort C3 28x14.5x16cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52764 CDM Excluder Aort C3 28x14.5x12cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52760 CDM Excluder Aort C3 26x14.5x12cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52754 CDM Excluder Aort C3 23x12x14cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52758 CDM Excluder Aort C3 23x14.5x16cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-53186 CDM Excluder Aort C3 28x14.5x18cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52755 CDM Excluder Aort C3 23x12x16cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52765 CDM Excluder Aort C3 28x14.5x14cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52766 CDM Excluder Aort C3 28x14.5x14cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52768 CDM Excluder Aort C3 31x14.5x13cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
27800000002-52759 CDM Excluder Aort C3 23x14.5x16cm 8 6 $56,375.00 $36,643.75 35% off $9,200.00 $47,918.75 $39,462.50 2025-01-01
'609-3 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $37,848.26 $41,019.90 $39,434.08 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 18 — — $38,520.60 $59,706.93 $39,291.01 2025-01-01
'863-4 APR_DRG Neonatal Aftercare 2 2 — — $37,616.29 $40,768.49 $39,192.39 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 18 — — $38,191.59 $59,196.96 $38,955.42 2025-01-01
'160-3 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $37,385.97 $40,518.88 $38,952.43 2025-01-01
'179-4 APR_DRG Defibrillator Implants 2 2 — — $37,332.40 $40,460.82 $38,896.61 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 18 — — $38,111.98 $59,073.57 $38,874.22 2025-01-01
'440-3 APR_DRG Kidney Transplant 2 2 — — $37,265.02 $40,387.79 $38,826.40 2025-01-01
'182-4 APR_DRG Other Peripheral Vascular And Related Procedures 2 2 — — $37,160.64 $40,274.66 $38,717.65 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 18 — — $37,898.51 $58,742.69 $38,656.48 2025-01-01
'030-4 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $37,035.81 $40,139.38 $38,587.60 2025-01-01
27800000002-52231 CDM Device Embol Pipeline Flex 4.5x14mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52235 CDM Device Embol Pipeline Flex 4x12mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52226 CDM Device Embol Pipeline Flex 4.25x12mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52257 CDM Device Embol Pipeline Flex 2.5x18mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52229 CDM Device Embol Pipeline Flex 5x12mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52254 CDM Device Embol Pipeline Flex 5x20mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52248 CDM Device Embol Pipeline Flex 4.5x16mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52244 CDM Device Embol Pipeline Flex 4.5x10mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52222 CDM Device Embol Pipeline Flex 4x14mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52249 CDM Device Embol Pipeline Flex 3.25x12mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52223 CDM Device Embol Pipeline Flex 4.25x14mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52236 CDM Device Embol Pipeline Flex 3.50x10mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52246 CDM Device Embol Pipeline Flex 3.75x16mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52219 CDM Device Embol Pipeline Flex 4.5x18mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52233 CDM Device Embol Pipeline Flex 4x20mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52240 CDM Device Embol Pipeline Flex 3.25x14mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52232 CDM Device Embol Pipeline Flex 5x14mm 8 6 $55,125.00 $35,831.25 35% off $9,200.00 $46,856.25 $38,587.50 2025-01-01
27800000002-52773 CDM Excluder Aort Ibc 23x12x10 Fa 8 6 $54,972.50 $35,732.13 35% off $9,200.00 $46,726.63 $38,480.75 2025-01-01
27800000002-52774 CDM Excluder Aort Ibc 23x12x10 Fa 8 6 $54,972.50 $35,732.13 35% off $9,200.00 $46,726.63 $38,480.75 2025-01-01
27800000002-52935 CDM Stent Endur Aaa Bif 36x14x103 8 6 $54,862.50 $35,660.63 35% off $9,200.00 $46,633.13 $38,403.75 2025-01-01
'007-2 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $36,738.12 $39,816.74 $38,277.43 2025-01-01
'091-4 APR_DRG Other Major Head And Neck Procedures 2 2 — — $36,579.62 $39,644.94 $38,112.28 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 18 — — $37,353.92 $57,898.58 $38,101.00 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 18 — — $37,198.22 $57,657.24 $37,942.18 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 18 — — $37,070.00 $57,458.50 $37,811.40 2025-01-01
27800000002-52227 CDM Device Embol Pipeline Flex 4.25x12mm 8 6 $53,746.88 $34,935.47 35% off $9,200.00 $45,684.85 $37,622.82 2025-01-01
27800000002-52238 CDM Device Embol Pipeline Flex 4.25x16mm 8 6 $53,746.88 $34,935.47 35% off $9,200.00 $45,684.85 $37,622.82 2025-01-01
27800000002-52245 CDM Device Embol Pipeline Flex 5x16mm 8 6 $53,746.88 $34,935.47 35% off $9,200.00 $45,684.85 $37,622.82 2025-01-01
27800000002-52251 CDM Device Embol Pipeline Flex 4.75x20mm 8 6 $53,746.88 $34,935.47 35% off $9,200.00 $45,684.85 $37,622.82 2025-01-01
27800000002-52255 CDM Device Embol Pipeline Flex 4.25x20mm 8 6 $53,746.88 $34,935.47 35% off $9,200.00 $45,684.85 $37,622.82 2025-01-01
27800000002-52252 CDM Device Embol Pipeline Flex 3.50x16mm 8 6 $53,746.88 $34,935.47 35% off $9,200.00 $45,684.85 $37,622.82 2025-01-01
27800000002-52234 CDM Device Embol Pipeline Flex 4.25x18mm 8 6 $53,746.88 $34,935.47 35% off $9,200.00 $45,684.85 $37,622.82 2025-01-01
27800000002-52256 CDM Device Embol Pipeline Flex 4.5x20mm 8 6 $53,746.88 $34,935.47 35% off $9,200.00 $45,684.85 $37,622.82 2025-01-01
27800000002-52224 CDM Device Embol Pipeline Flex 4.25x14mm 8 6 $53,746.88 $34,935.47 35% off $9,200.00 $45,684.85 $37,622.82 2025-01-01
'091-3 APR_DRG Other Major Head And Neck Procedures 2 2 — — $36,100.77 $39,125.97 $37,613.37 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 18 — — $36,792.42 $57,028.25 $37,528.27 2025-01-01
'613-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $35,998.59 $39,015.23 $37,506.91 2025-01-01
'603-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $35,873.77 $38,879.95 $37,376.86 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 19 18 — — $36,477.51 $56,540.14 $37,207.06 2025-01-01
'001-1 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $35,681.57 $38,671.64 $37,176.60 2025-01-01
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