|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
22
|
21
|
$1,850,216.43
|
$555,064.93
70% off
|
$28.02
|
$1,945,496.40
|
$428,900.87
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
23
|
22
|
$1,251,529.25
|
$375,458.77
70% off
|
$11.79
|
$1,063,799.86
|
$164,092.10
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
20
|
19
|
$1,082,957.65
|
$324,887.29
70% off
|
$10.31
|
$920,514.00
|
$151,978.07
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
12
|
11
|
$798,991.52
|
$239,697.46
70% off
|
$131,335.13
|
$1,183,062.32
|
$595,248.68
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
22
|
21
|
$658,555.54
|
$197,566.66
70% off
|
$9.64
|
$559,772.21
|
$132,802.65
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
22
|
21
|
$657,732.50
|
$197,319.75
70% off
|
$9.02
|
$559,072.62
|
$124,257.82
|
2026-04-01
|
|
SUP-106524US
|
CDM
|
Heartmate 3 Lvad Implant Kit Includes 1 Heartmate 3 Lvad Con
|
18
|
16
|
$579,590.93
|
$173,877.28
70% off
|
$66,131.33
|
$492,652.29
|
$313,268.90
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
21
|
20
|
$557,935.61
|
$167,380.68
70% off
|
$14.82
|
$610,757.73
|
$206,230.29
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
25
|
$551,999.82
|
$165,599.95
70% off
|
$6.38
|
$469,199.85
|
$88,783.23
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
22
|
21
|
$544,847.10
|
$163,454.13
70% off
|
$11.64
|
$463,120.03
|
$160,285.62
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
25
|
24
|
$534,691.28
|
$160,407.38
70% off
|
$7.72
|
$454,487.59
|
$113,482.74
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
23
|
22
|
$524,620.13
|
$157,386.04
70% off
|
$8.42
|
$445,927.11
|
$114,817.49
|
2026-04-01
|
|
SUP-490022
|
CDM
|
(eval) Briovad Implant Kit
|
14
|
13
|
$523,630.50
|
$157,089.15
70% off
|
$59,746.24
|
$445,085.93
|
$366,541.35
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
25
|
$516,825.50
|
$155,047.65
70% off
|
$8.99
|
$439,301.67
|
$125,116.30
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
22
|
21
|
$514,490.72
|
$154,347.22
70% off
|
$10.47
|
$437,317.11
|
$144,199.71
|
2026-04-01
|
|
SUP-104911
|
CDM
|
Device Heartmate Ii Lvas Ventricular Assist Percutaneous Kit
|
16
|
15
|
$467,400.00
|
$140,220.00
70% off
|
$53,330.34
|
$397,290.00
|
$322,506.00
|
2026-04-01
|
|
SUP-106015
|
CDM
|
Sealed Implant Kit With Pocket Controller
|
18
|
16
|
$467,400.00
|
$140,220.00
70% off
|
$53,330.34
|
$397,290.00
|
$252,629.70
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
22
|
21
|
$446,020.33
|
$133,806.10
70% off
|
$6.17
|
$379,117.28
|
$85,007.81
|
2026-04-01
|
|
SUP-107801
|
CDM
|
Device Heartmate Ii Small Ventricular Assist Kit Sterile
|
18
|
16
|
$421,800.00
|
$126,540.00
70% off
|
$48,127.38
|
$358,530.00
|
$227,982.90
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
12
|
11
|
$419,460.64
|
$125,838.19
70% off
|
$203,857.87
|
$419,460.64
|
$314,595.48
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
27
|
25
|
$404,524.58
|
$121,357.37
70% off
|
$12.11
|
$404,524.58
|
$172,057.08
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
27
|
25
|
$402,962.69
|
$120,888.81
70% off
|
$7.36
|
$342,518.29
|
$102,403.45
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
13
|
11
|
$394,637.17
|
$118,391.15
70% off
|
$112,392.65
|
$470,198.69
|
$276,246.02
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
10
|
9
|
$380,866.85
|
$114,260.05
70% off
|
$266,606.79
|
$380,866.85
|
$304,693.48
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
22
|
21
|
$372,152.39
|
$111,645.72
70% off
|
$8.18
|
$316,329.53
|
$112,691.22
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
23
|
22
|
$367,700.35
|
$110,310.10
70% off
|
$7.04
|
$312,545.30
|
$97,898.15
|
2026-04-01
|
|
C1740
|
HCPCS
|
Wise System System Price
|
18
|
16
|
$360,810.00
|
$108,243.00
70% off
|
$41,168.42
|
$306,688.50
|
$195,017.80
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
22
|
21
|
$338,939.15
|
$101,681.74
70% off
|
$6.49
|
$288,098.28
|
$89,363.50
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
12
|
11
|
$337,005.87
|
$101,101.76
70% off
|
$235,904.11
|
$337,005.87
|
$311,730.43
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
24
|
$322,931.17
|
$96,879.35
70% off
|
$6.02
|
$274,491.49
|
$83,660.35
|
2026-04-01
|
|
SUP-TENDYNE TENDYNE 33S SYSTEM
|
CDM
|
System Tendyne Tmvr System Lp33s
|
18
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$36,420.72
|
$271,320.00
|
$172,527.60
|
2026-04-01
|
|
SUP-TENDYNE 39M SYSTEM
|
CDM
|
Valve Mitral 38.5mm 50.5mm Tendyne 3sq Cm 39m Contour 156mm
|
18
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$36,420.72
|
$271,320.00
|
$172,527.60
|
2026-04-01
|
|
SUP-TENDYNE TENDYNE 35M SYSTEM
|
CDM
|
System Tendyne Tmvr System Lp35m
|
18
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$36,420.72
|
$271,320.00
|
$172,527.60
|
2026-04-01
|
|
SUP-TENDYNE TENDYNE 29S SYSTEM
|
CDM
|
System Tendyne Tmvr System Lp29s
|
18
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$36,420.72
|
$271,320.00
|
$172,527.60
|
2026-04-01
|
|
SUP-TENDYNE 29L SYSTEM
|
CDM
|
Valve Mitral 29mm 47.5mm Tendyne 2.2sq Cm 29l Repositionable
|
18
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$36,420.72
|
$271,320.00
|
$172,527.60
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
25
|
24
|
$317,976.85
|
$95,393.05
70% off
|
$7.15
|
$270,280.32
|
$101,641.49
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
26
|
24
|
$316,402.93
|
$94,920.88
70% off
|
$6.56
|
$268,942.49
|
$91,196.01
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
7
|
6
|
$316,371.56
|
$94,911.47
70% off
|
$221,460.09
|
$316,371.56
|
$237,278.67
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
7
|
6
|
$311,892.11
|
$93,567.63
70% off
|
$218,324.48
|
$311,892.11
|
$233,919.08
|
2026-04-01
|
|
SUP-SM329US1
|
CDM
|
Edwards Sapien M3 Mitral Valve Replacement System (29 Mm Val
|
18
|
16
|
$307,800.00
|
$92,340.00
70% off
|
$35,119.98
|
$261,630.00
|
$166,365.90
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
22
|
21
|
$307,424.80
|
$92,227.44
70% off
|
$7.40
|
$311,422.85
|
$101,880.82
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
23
|
22
|
$304,706.60
|
$91,411.98
70% off
|
$7.15
|
$259,000.61
|
$99,480.79
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
26
|
25
|
$300,253.61
|
$90,076.08
70% off
|
$5.71
|
$255,215.57
|
$82,450.10
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
25
|
23
|
$299,460.93
|
$89,838.28
70% off
|
$8.15
|
$254,541.79
|
$119,791.51
|
2026-04-01
|
|
166
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis,extreme
|
3
|
3
|
$293,283.97
|
—
|
$35,427.06
|
$300,358.02
|
$300,358.02
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
24
|
23
|
$292,811.30
|
$87,843.39
70% off
|
$6.28
|
$263,773.14
|
$89,817.89
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
26
|
24
|
$285,851.82
|
$85,755.55
70% off
|
$7.63
|
$242,974.05
|
$106,106.67
|
2026-04-01
|
|
167
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures,moderate
|
3
|
3
|
$280,037.56
|
—
|
$35,939.01
|
$280,037.56
|
$280,037.56
|
2026-04-01
|
|
PX-812000004
|
CDM
|
Hc Acquisition Heart Cadaver
|
13
|
12
|
$276,084.00
|
$82,825.20
70% off
|
$117,611.78
|
$234,671.40
|
$193,258.80
|
2026-04-01
|
|
181
|
APR_DRG
|
Lower Vascular Procedures,extreme
|
3
|
3
|
$271,503.03
|
—
|
$17,535.73
|
$404,001.74
|
$404,001.74
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
26
|
24
|
$268,163.70
|
$80,449.11
70% off
|
$6.11
|
$268,163.70
|
$85,859.64
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
7
|
6
|
$266,184.10
|
$79,855.23
70% off
|
$186,328.87
|
$266,184.10
|
$199,638.08
|
2026-04-01
|
|
SUP-INTPDMVL42C
|
CDM
|
(eval) Mitrl Val Intpdmvl42c Intrepid 42mm Clin
|
14
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$29,266.65
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPDVL48FG APOLLO
|
CDM
|
(eval) 48mm Tf Implant
|
14
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$29,266.65
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPDMVL48C
|
CDM
|
(eval) Mitrl Val Intpdmvl48c Intrepid 48mm Clin
|
14
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$29,266.65
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPDMVL54C
|
CDM
|
(eval) Mitrl Val Intpdmvl54c Intrepid 54mm Clin
|
14
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$29,266.65
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPD-V4-42A
|
CDM
|
(eval) Intrepid Mitral Valve 42mm Recoverable Clinical Impla
|
14
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$29,266.65
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-ASM-0075-43
|
CDM
|
Intrepid Mitral Valve 43mm Clinical
|
14
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$29,266.65
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPD-V4-48A
|
CDM
|
(eval) Intrepid Mitral Valve 48mm Recoverable Clinical Impla
|
14
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$29,266.65
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPDVL42FG APOLLO
|
CDM
|
(eval) 42mm Tf Implant
|
14
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$29,266.65
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
20
|
APR_DRG
|
Open Craniotomy For Trauma,extreme
|
3
|
3
|
$255,777.17
|
—
|
$33,295.45
|
$195,179.97
|
$195,179.97
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
23
|
22
|
$253,845.57
|
$76,153.67
70% off
|
$6.43
|
$223,401.49
|
$89,456.21
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
25
|
24
|
$253,101.81
|
$75,930.54
70% off
|
$6.13
|
$301,878.22
|
$87,106.29
|
2026-04-01
|
|
SUP-1000100
|
CDM
|
Device Impella 5.5 Smartassist Ventricular Assist Cath
|
18
|
16
|
$250,800.00
|
$75,240.00
70% off
|
$28,616.28
|
$213,180.00
|
$135,557.40
|
2026-04-01
|
|
SUP-EVQ1US48
|
CDM
|
Evoque Tricuspid Valve Replacement System 48mm
|
18
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$27,965.91
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-EVQ1A2US48
|
CDM
|
Evoque Tricuspid Valve Replacement System (48 Mm Valve)
|
18
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$27,965.91
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-EVQ1A2US44
|
CDM
|
Evoque Tricuspid Valve Replacement System (44 Mm Valve)
|
18
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$27,965.91
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-EVQ1US52
|
CDM
|
Evoque Tricuspid Valve Replacement System 52mm
|
18
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$27,965.91
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-EVQ1A2US56
|
CDM
|
Evoque Tricuspid Valve Replacement System (56 Mm Valve)
|
18
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$27,965.91
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-EVQ1A2US52
|
CDM
|
Evoque Tricuspid Valve Replacement System (52 Mm Valve)
|
18
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$27,965.91
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-EVQ1US44
|
CDM
|
Evoque Tricuspid Valve Replacement System 44mm
|
18
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$27,965.91
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
PX-812000001
|
CDM
|
Hc Acquisition Kidney Cadaver
|
13
|
12
|
$242,881.00
|
$72,864.30
70% off
|
$103,467.31
|
$206,448.85
|
$170,016.70
|
2026-04-01
|
|
304
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,minor
|
3
|
3
|
$242,232.92
|
—
|
$212,958.65
|
$212,958.65
|
$212,958.65
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
26
|
24
|
$239,945.40
|
$71,983.62
70% off
|
$6.43
|
$203,953.59
|
$89,383.52
|
2026-04-01
|
|
SUP-S3PAS4045A
|
CDM
|
Valve Pulmonary 29mm Sapien 3 Heart Valve Pulmonic Delivery
|
18
|
16
|
$236,550.00
|
$70,965.00
70% off
|
$26,990.36
|
$201,067.50
|
$127,855.27
|
2026-04-01
|
|
26
|
APR_DRG
|
Other Nervous System And Related Procedures,extreme
|
3
|
3
|
$235,741.38
|
—
|
$19,557.81
|
$310,619.37
|
$310,619.37
|
2026-04-01
|
|
J9347
|
HCPCS
|
Tremelimumab-actl 20 Mg/ml Intravenous Solution
|
18
|
16
|
$235,404.00
|
$70,621.20
70% off
|
$26,859.60
|
$200,093.40
|
$134,184.60
|
2026-04-01
|
|
SUP-0550-0008
|
CDM
|
Device Impella 5.5 Smartassist Ventricular Assist Cath
|
18
|
16
|
$233,700.00
|
$70,110.00
70% off
|
$26,665.17
|
$198,645.00
|
$126,314.85
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
11
|
9
|
$228,174.71
|
$68,452.41
70% off
|
$159,722.30
|
$228,174.71
|
$228,174.71
|
2026-04-01
|
|
PX-812000002
|
CDM
|
Hc Acquisition Liver Cadaver
|
13
|
12
|
$225,141.00
|
$67,542.30
70% off
|
$95,910.07
|
$191,369.85
|
$157,598.70
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
25
|
24
|
$223,980.03
|
$67,194.01
70% off
|
$5.85
|
$190,383.03
|
$83,157.07
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
27
|
25
|
$219,126.60
|
$65,737.98
70% off
|
$10.65
|
$219,126.60
|
$148,090.46
|
2026-04-01
|
|
PX-812000003
|
CDM
|
Hc Acquisition Pancreas Cadaver
|
13
|
12
|
$216,655.00
|
$64,996.50
70% off
|
$92,295.03
|
$184,156.75
|
$151,658.50
|
2026-04-01
|
|
SUP-9850EV44CL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve) 44 Mm
|
14
|
13
|
$216,600.00
|
$64,980.00
70% off
|
$24,714.06
|
$184,110.00
|
$151,620.00
|
2026-04-01
|
|
SUP-9850EV52CL
|
CDM
|
(eval) Edwards Evoque Valve 52 Mm
|
14
|
13
|
$216,600.00
|
$64,980.00
70% off
|
$24,714.06
|
$184,110.00
|
$151,620.00
|
2026-04-01
|
|
SUP-9850EV48CL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve)48 Mm
|
14
|
13
|
$216,600.00
|
$64,980.00
70% off
|
$24,714.06
|
$184,110.00
|
$151,620.00
|
2026-04-01
|
|
SUP-9850EV56ACL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve) 56 Mm
|
14
|
13
|
$216,600.00
|
$64,980.00
70% off
|
$24,714.06
|
$184,110.00
|
$151,620.00
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
11
|
9
|
$215,429.36
|
$64,628.81
70% off
|
$150,800.55
|
$215,429.36
|
$215,429.36
|
2026-04-01
|
|
PX-E27800027
|
CDM
|
Hc Dvc Heart Assist Impella 5.5
|
18
|
16
|
$211,970.00
|
$63,591.00
70% off
|
$24,185.78
|
$180,174.50
|
$114,569.79
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
26
|
24
|
$206,477.12
|
$61,943.14
70% off
|
$6.10
|
$175,505.55
|
$84,813.60
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
26
|
24
|
$206,342.36
|
$61,902.71
70% off
|
$7.01
|
$182,543.75
|
$97,490.63
|
2026-04-01
|
|
SUP-TCG40100
|
CDM
|
System Triclip Delivery 4th Generation Teer
|
18
|
16
|
$205,200.00
|
$61,560.00
70% off
|
$23,413.32
|
$174,420.00
|
$110,910.60
|
2026-04-01
|
|
SUP-TCG50100
|
CDM
|
Triclip G5 System- One (1) Steerable Guide Catheter And Any
|
18
|
16
|
$205,200.00
|
$61,560.00
70% off
|
$23,413.32
|
$174,420.00
|
$110,910.60
|
2026-04-01
|
|
Q0482
|
HCPCS
|
Aic Controller
|
18
|
16
|
$205,200.00
|
$61,560.00
70% off
|
$23,413.32
|
$174,420.00
|
$110,910.60
|
2026-04-01
|
|
30
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures,major
|
3
|
3
|
$203,828.83
|
—
|
$38,697.36
|
$203,828.83
|
$203,828.83
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
26
|
24
|
$200,532.55
|
$60,159.76
70% off
|
$6.89
|
$179,292.11
|
$95,754.04
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
26
|
24
|
$199,879.45
|
$59,963.83
70% off
|
$6.28
|
$169,897.53
|
$87,273.42
|
2026-04-01
|
|
SUP-20000IS
|
CDM
|
(eval) Edwards Pascal Precision Implant System (10mm)
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-TRILOGY-THV-L
|
CDM
|
(eval) Trilogy Heart Valve (size 27)
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-TRILOGY-THV-M
|
CDM
|
(eval) Trilogy Heart Valve (size 25)
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-20000ISM
|
CDM
|
(eval) Edwards Pascal Ace Precision Implant System (5mm)
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-ETF-28
|
CDM
|
(eval)j Valve Bioprosthesis 28
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-30-1-0126
|
CDM
|
(eval) Siegel Transcatheter Aortic Valve - 26mm
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-9880TFX29M
|
CDM
|
(eval)sapien M3 Valve Bovine 29mm
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-TRILOGY-THV-S
|
CDM
|
(eval) Trilogy Heart Valve (size 23)
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-ETF-34
|
CDM
|
(eval)j Valve Bioprosthesis 34
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-ETF-22
|
CDM
|
(eval)j Valve Bioprosthesis 22
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-30-1-0123
|
CDM
|
(eval) Siegel Transcatheter Aortic Valve - 23mm
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-30-1-0129
|
CDM
|
Siegel Tavr Transcatheter Aortic Valve 29 Mm
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-ETF-31
|
CDM
|
(eval)j Valve Bioprosthesis 31
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-ETF-25
|
CDM
|
(eval)j Valve Bioprosthesis 25
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-9850EV48PCL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve) 48 Mm
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-9680TFX29M
|
CDM
|
(eval) Sapien M3 Valve 29mm
|
14
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$22,762.95
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
PX-811000001
|
CDM
|
Hc Acquisition Kidney Live Relate
|
16
|
15
|
$196,665.00
|
$58,999.50
70% off
|
$22,439.48
|
$167,165.25
|
$135,698.85
|
2026-04-01
|
|
SUP-S3URCM20A
|
CDM
|
Valve Aortic 20mm Sapien 3 Ultra Resilia
|
18
|
16
|
$193,800.00
|
$58,140.00
70% off
|
$22,112.58
|
$164,730.00
|
$104,748.90
|
2026-04-01
|
|
SUP-S3URCM29A
|
CDM
|
Valve Aortic 29mm Sapien 3 Ultra Resilia
|
18
|
16
|
$193,800.00
|
$58,140.00
70% off
|
$22,112.58
|
$164,730.00
|
$104,748.90
|
2026-04-01
|
|
SUP-S3URCM23A
|
CDM
|
Valve Aortic 23mm Sapien 3 Ultra Resilia
|
18
|
16
|
$193,800.00
|
$58,140.00
70% off
|
$22,112.58
|
$164,730.00
|
$104,748.90
|
2026-04-01
|
|
SUP-S3URCM26A
|
CDM
|
Valve Aortic 26mm Sapien 3 Ultra Resilia
|
18
|
16
|
$193,800.00
|
$58,140.00
70% off
|
$22,112.58
|
$164,730.00
|
$104,748.90
|
2026-04-01
|
|
231
|
APR_DRG
|
Major Large Bowel Procedures,extreme
|
6
|
3
|
$190,464.72
|
—
|
$11,122.46
|
$190,464.72
|
$105,478.15
|
2026-04-01
|
|
405
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders,extreme
|
3
|
3
|
$189,554.45
|
—
|
$21,410.35
|
$271,107.37
|
$271,107.37
|
2026-04-01
|
|
SUP-TAV-MDT2-29-C
|
CDM
|
Evolut Pro Transcatheter Aortic Valve (tav) - 29
|
14
|
13
|
$188,100.00
|
$56,430.00
70% off
|
$21,462.21
|
$159,885.00
|
$131,670.00
|
2026-04-01
|
|
SUP-EVOLUTR-34-C
|
CDM
|
Medtronic Evolut R 34 Transcatheter Aortic Valve
|
14
|
13
|
$188,100.00
|
$56,430.00
70% off
|
$21,462.21
|
$159,885.00
|
$131,670.00
|
2026-04-01
|
|
SUP-MCG50100
|
CDM
|
System Mitraclip Delivery G5
|
18
|
16
|
$188,100.00
|
$56,430.00
70% off
|
$21,462.21
|
$159,885.00
|
$101,668.05
|
2026-04-01
|
|
SUP-MCG40100
|
CDM
|
Valve Mitral Mitraclip G4 Clip Guide Cath
|
18
|
16
|
$188,100.00
|
$56,430.00
70% off
|
$21,462.21
|
$159,885.00
|
$101,668.05
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
12
|
10
|
$186,157.20
|
$55,847.16
70% off
|
$80,562.17
|
$203,555.42
|
$139,617.90
|
2026-04-01
|
|
SUP-9100RF326A
|
CDM
|
Valve Aortic 26mm Sapien Heart Transcatheter Retroflex 3
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3USTA120A
|
CDM
|
Valve Aortic 20mm Edwards Sapien 3 Transcatheter Ultra Low
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600TFX
|
CDM
|
Valve Aortic 26mm Sapien Heart 3 Transcatheter
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9355ASP29A
|
CDM
|
Valve Aortic 29mm Edwards Sapien Ascendra Plus Transapical
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CT20A
|
CDM
|
Kit Aortic Valve 18fr Certitude Sapien 3 Atrion 20mm
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3UCM220A
|
CDM
|
Valve Aortic 20mm Sapien 3 Commander Edwards Transcatheter
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CT26A
|
CDM
|
Kit Aortic Valve 18fr Sapien 3 Certitude 26mm Transcatheter
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9355NF23A
|
CDM
|
Valve Aortic 23mm Edwards Sapien Novaflex Transfemoral
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3UCM223A
|
CDM
|
Valve Aortic 23mm Sapien 3 Commander Edwards Transcatheter
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CM26A
|
CDM
|
Valve Aortic 26mm Edwards Sapien 3 Commander Delivery System
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3UCM26A
|
CDM
|
26 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve (thv)
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-H749LVSUS250
|
CDM
|
25 Mm Lotus Edge Aortic Valve System And Large Lotus Introdu
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-B0M27EDGELGIS
|
CDM
|
27 Mm Lotus Edge Aortic Valve System And Large Lotus Introdu
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CM23A
|
CDM
|
Valve Aortic 23mm Edwards Sapien 3 Commander Delivery System
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3USTA126A
|
CDM
|
Valve Aortic 26mm Edwards Sapien 3 Transcatheter Ultra Low
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3USTA123A
|
CDM
|
Valve Aortic 23mm Edwards Sapien 3 Transcatheter Ultra Low
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3UCM226A
|
CDM
|
Valve Aortic 26mm Sapien 3 Commander Edwards Transcatheter
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9355NF29A
|
CDM
|
Valve Aortic 29mm Edwards Sapien Novaflex Transfemoral
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9355NF26A
|
CDM
|
Valve Aortic 26mm Edwards Sapien Novaflex Transfemoral
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-H749LVSUS230
|
CDM
|
23 Mm Lotus Edge Aortic Valve System And Large Lotus Introdu
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CT23A
|
CDM
|
Kit Aortic Valve 18fr Sapien 3 Certitude 23mm Transcatheter
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3UCM23A
|
CDM
|
23 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve (thv)
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CM29A
|
CDM
|
Valve Aortic 29mm Edwards Sapien 3 Commander Delivery System
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CM20A
|
CDM
|
Kit Aortic Valve 14fr Commander Sapien 3 20mm Transcatheter
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CT29A
|
CDM
|
Kit Aortic Valve 21fr Certitude Sapien 3 Atrion Ascendra 29
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9100RF323A
|
CDM
|
Valve Aortic 23mm Sapien Heart Transcatheter Retroflex 3
|
18
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$21,137.03
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-DWG-4710
|
CDM
|
(eval) Monarq Ttvr System Large Implant
|
14
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$20,811.84
|
$155,040.00
|
$127,680.00
|
2026-04-01
|
|
SUP-30-1-0129 -EFS
|
CDM
|
(eval) Efs Siegel Tavr Transcatheter Aortic Valve - 29 Mm
|
14
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$20,811.84
|
$155,040.00
|
$127,680.00
|
2026-04-01
|
|
SUP-DWG-4700
|
CDM
|
(eval) Monarq Ttvr System Medium Implant
|
14
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$20,811.84
|
$155,040.00
|
$127,680.00
|
2026-04-01
|
|
SUP-30-1-0126 -EFS
|
CDM
|
(eval) Efs Siegel Transcatheter Aortic Valve - 26mm
|
14
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$20,811.84
|
$155,040.00
|
$127,680.00
|
2026-04-01
|
|
SUP-30-1-0123 -EFS
|
CDM
|
(eval) Efs Siegel Tavr Transcatheter Aortic Valve - 23mm
|
14
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$20,811.84
|
$155,040.00
|
$127,680.00
|
2026-04-01
|
|
SUP-EVFXPLUS-23
|
CDM
|
Valve Aortic 18-20mm Evolut Fx+ 23mm Annulus
|
18
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$20,811.84
|
$155,040.00
|
$98,587.20
|
2026-04-01
|
|
SUP-EVFXPLUS-26
|
CDM
|
Valve Aortic 20-23mm Evolut Fx+ 26mm Annulus
|
18
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$20,811.84
|
$155,040.00
|
$98,587.20
|
2026-04-01
|
|
SUP-EVFXPLUS-34
|
CDM
|
Valve Aortic 26-30mm Evolut Fx+ 34mm Annulus
|
18
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$20,811.84
|
$155,040.00
|
$98,587.20
|
2026-04-01
|
|
SUP-EVFXPLUS-29
|
CDM
|
Valve Aortic 23-26mm Evolut Fx+ 29mm Annulus
|
18
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$20,811.84
|
$155,040.00
|
$98,587.20
|
2026-04-01
|
|
SUP-PAS2MA
|
CDM
|
Valve Mitral Pascal Precision System
|
18
|
16
|
$174,420.00
|
$52,326.00
70% off
|
$19,901.32
|
$148,257.00
|
$94,274.01
|
2026-04-01
|
|
SUP-TENDV-SP-35M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 35m
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-35L-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 35l
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-37M-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 37m
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-33S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33s
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TCDS0303-NTW
|
CDM
|
Triclip G4 Ntw Clip Delivery System Clin
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TCDS0303-XTW
|
CDM
|
Triclip G4 Xtw Clip Delivery System Clin
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-20000ISCL
|
CDM
|
(eval) Edwards Pascal Precision Transcatheter Valve Repair S
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-10000ISCL
|
CDM
|
(eval) Edwards Pascal Transcatheter Valve Repair System -imp
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-37M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 37m
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-JV-2000-PY25
|
CDM
|
(eval) Jenavalve Pericardial Transcatheter Heart Valve Size
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-14000RSL26
|
CDM
|
(eval) Edwards Sapien X4 Transcatheter Heart Valve, 26mm
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-JV-2000-PY23
|
CDM
|
(eval) Jenavalve Pericardial Transcatheter Heart Valve Size
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-10000ISMCL
|
CDM
|
(eval) Edwards Pascal Transcatheter Valve Repair System -imp
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-33S-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 33s
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-33B-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33b
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-37S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 37s
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-14000RSL23
|
CDM
|
(eval) Edwards Sapien X4 Transcatheter Heart Valve, 23mm
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-33L-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33l
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-33C-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33c
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TCDS0303-NT
|
CDM
|
Triclip G4 Nt Clip Delivery System Clin
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-39S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 39s
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-39M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 39m
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-33M-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 33m
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-37L-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 37l
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-14000RSL29
|
CDM
|
(eval) Edwards Sapien X4 Transcatheter Heart Valve, 29mm
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-35M-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 35m
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-41S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 41s
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-33M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33m
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-20000ISMCL
|
CDM
|
(eval) Edwards Pascal Precision Transcatheter Valve Repair S
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-29L-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 29l
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-35S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 35s
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-29S-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 29s
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TCDS0303-XT
|
CDM
|
Triclip G4 Xt Clip Delivery System Clin
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-37S-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 37s
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-JV-2000-PY27
|
CDM
|
(eval) Jenavalve Pericardial Transcatheter Heart Valve Size
|
14
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-9750FX26
|
CDM
|
(eval)edwards Sapien 3 Ultra Thv 26mm
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9755RSL23A
|
CDM
|
(eval) Edwards Sapien 3 Ultra Resilia Transcatheter Heart Va
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-CDS0604-NTR
|
CDM
|
Mitraclip Ntr Cds (clip Delivery System) Primary Mr Clinical
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0102
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 2 Cds0601 Ntr
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9750TFX20A
|
CDM
|
(eval) Valve Aortic 20mm Sapien 3 Edwards Heart Transcathete
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTFX-34
|
CDM
|
Valve Aortic Evolut Fx 34mm
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9750TFX26A
|
CDM
|
(eval) Valve Aortic 26mm Sapien 3 Edwards Heart Transcathete
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTFX-23
|
CDM
|
Valve Aortic Evolut Fx 23mm
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX23A
|
CDM
|
(eval) Valve Aortic 23mm Sapien 3 Bovine Pericardial Transca
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MCS-P3-26-AOA-US
|
CDM
|
Valve Aortic 20-23mm 0-40mm Corevalve 26mm Heart Porcine
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTFX-26
|
CDM
|
Valve Aortic Evolut Fx 26mm
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9755RSL26A
|
CDM
|
(eval) Edwards Sapien 3 Ultra Resilia Transcatheter Heart Va
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0302
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 2 Cds0601 Ntr 1
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTR-26
|
CDM
|
Evoltr Transcatheter Aortic Valve-26mm - The 26mm Evoltr Tra
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTR-29
|
CDM
|
Evoltr Transcatheter Aortic Valve-29mm - The 29mm Evoltr Tra
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0101
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 1 Cds0601 Ntr
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9750TFX23
|
CDM
|
(eval)valve Aortic 23mm Sapien 3 Ultra Heart Transcatheter S
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVPROPLUS-23US
|
CDM
|
Valve Aortic Evolut Pro+ 23mm
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-CDS0704-NT
|
CDM
|
Mitraclip G4 Cds Nt Repair-mr Clinical
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX20A
|
CDM
|
(eval) Valve Aortic 20mm Sapien 3 Bovine Transcatheter Steri
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTFX-29
|
CDM
|
Valve Aortic Evolut Fx 29mm
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0301
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 1 Cds0601 Ntr 1
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0201
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 1 Cds0601 Xtr
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTR-34-US
|
CDM
|
Valve Aortic Evolut R 34mm Sterile
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9750TFX23A
|
CDM
|
(eval) Valve Aortic 23mm Sapien 3 Edwards Heart Transcathete
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX26
|
CDM
|
(eval)valve Aortic 26mm Sapien Retroflex 3 Heart Cocr Bovine
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVPROPLUS-29US
|
CDM
|
Valve Aortic Evolut Pro+ 29mm
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX29A
|
CDM
|
(eval) Valve Aortic 29mm Sapien 3 Bovine Transcatheter Steri
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MSK0101
|
CDM
|
System Mitraclip Delivery Kit Sgc0101 Cds0201
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9755RSL29A
|
CDM
|
(eval) Edwards Sapien 3 Ultra Resilia Transcatheter Heart Va
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MCS-P3-31-AOA-US
|
CDM
|
Valve Aortic 26-29mm 0-43mm Corevalve 31mm Heart Porcine
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX29
|
CDM
|
(eval)valve Aortic 29mm Sapien Retroflex 3 Heart Cocr Bovine
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-CDS0704-XT
|
CDM
|
Mitraclip G4 Cds Xt Repair-mr Clinical
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9755RSL20A
|
CDM
|
(eval) Valve Aortic 20mm Sapien 3 Ultra Resilia Transcath
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-CDS0604-XTR
|
CDM
|
Mitraclip Xtr Cds (clip Delivery System) Primary Mr Clinical
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0103
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 3 Cds0601 Ntr
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVPROPLUS-26US
|
CDM
|
Valve Aortic Evolut Pro+ 26mm
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0202
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 2 Cds0601 Xtr
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0303
|
CDM
|
Valve Mitral Mitraclip Bundle 1 Sgc0301 1 Cds0601 Ntr 2
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTPRO-29-US
|
CDM
|
Evolutpro Transcatheter Aortic Valve-29mm - The 29mm Evoltr
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX20
|
CDM
|
(eval)edwards Sapien 3 Thv 20mm
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0203
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 3 Cds0601 Xtr
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-CDS0704-NTW
|
CDM
|
Mitraclip G4 Cds Ntw Repair-mr Clinical
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MCS-P4-23-AOA-US
|
CDM
|
Valve Aortic 18-20mm 0-34mm Corevalve Evolut 23mm Heart
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-CDS0704-XTW
|
CDM
|
Mitraclip G4 Cds Xtw Repair-mr Clinical
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTPRO-26-US
|
CDM
|
Evolutpro Transcatheter Aortic Valve-26mm - The 26mm Evoltr
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTR-23
|
CDM
|
Evoltr Transcatheter Aortic Valve-23mm - The 23mm Evoltr Tra
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVPROPLUS-34US
|
CDM
|
Valve Aortic Evolut Pro+ 34mm
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTPRO-23-US
|
CDM
|
Evolutpro Transcatheter Aortic Valve-23mm - The 23mm Evoltr
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX26A
|
CDM
|
(eval) Valve Aortic 26mm Sapien 3 Bovine Transcatheter Steri
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9750TFX20
|
CDM
|
(eval)valve Aortic 20mm Sapien 3 Ultra Heart Transcatheter S
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX23
|
CDM
|
(eval)valve Aortic 23mm Sapien Retroflex 3 Heart Cocr Bovine
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MCS-P3-29-AOA-US
|
CDM
|
Valve Aortic 23-26mm 0-43mm Corevalve 29mm Heart Porcine
|
18
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$19,511.10
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
710
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure,major
|
3
|
3
|
$163,431.86
|
—
|
$36,949.72
|
$163,431.86
|
$163,431.86
|
2026-04-01
|
|
SUP-SYM-SV23-006-C
|
CDM
|
Acurate Ne02tm Aortic Valve S - Clinical
|
14
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$18,210.36
|
$135,660.00
|
$111,720.00
|
2026-04-01
|
|
SUP-SYM-SV25-006-C
|
CDM
|
Acurate Ne02tm Aortic Valve M - Clinical
|
14
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$18,210.36
|
$135,660.00
|
$111,720.00
|
2026-04-01
|
|
SUP-SYM-SV27-006-C
|
CDM
|
Acurate Ne02 Tm Aortic Valve L - Clinical
|
14
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$18,210.36
|
$135,660.00
|
$111,720.00
|
2026-04-01
|
|
SUP-H749LVSCL250
|
CDM
|
Lotus Edge Valve System 25mm Reprise IV Clinical Study (excl
|
14
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$18,210.36
|
$135,660.00
|
$111,720.00
|
2026-04-01
|
|
SUP-005062
|
CDM
|
Pump Iab Impella 5l/min Cath Microaxial
|
18
|
16
|
$159,600.00
|
$47,880.00
70% off
|
$18,210.36
|
$135,660.00
|
$86,263.80
|
2026-04-01
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
13
|
11
|
$158,898.57
|
$47,669.57
70% off
|
$45,040.90
|
$158,898.57
|
$158,898.57
|
2026-04-01
|
|
82
|
APR_DRG
|
Eye Infections And Other Eye Disorders,extreme
|
3
|
3
|
$154,828.13
|
—
|
$8,296.81
|
$252,623.27
|
$252,623.27
|
2026-04-01
|
|
SUP-0048-0003
|
CDM
|
Device Ventricular Assist 17.4x13.8in Impella Cp 9.3in 10-40
|
18
|
16
|
$153,900.00
|
$46,170.00
70% off
|
$17,559.99
|
$130,815.00
|
$83,182.95
|
2026-04-01
|
|
SUP-1000323
|
CDM
|
Set Ventricular Assist Impella Rp Flex Assist
|
18
|
16
|
$153,900.00
|
$46,170.00
70% off
|
$17,559.99
|
$130,815.00
|
$83,182.95
|
2026-04-01
|
|
SUP-4000021
|
CDM
|
Set Bundle Cath Pump + Compantion Sheath Impella Blood Pump
|
18
|
16
|
$153,900.00
|
$46,170.00
70% off
|
$17,559.99
|
$130,815.00
|
$83,182.95
|
2026-04-01
|
|
SUP-H749LVSCL270
|
CDM
|
Lotus Edge Valve System 27mm Reprise Iii Clinical Study (exc
|
28
|
13
|
$151,050.00
|
$45,315.00
70% off
|
$16,259.25
|
$135,660.00
|
$104,737.50
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
13
|
11
|
$149,903.39
|
$44,971.02
70% off
|
$44,373.63
|
$154,070.60
|
$127,417.88
|
2026-04-01
|
|
680
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,minor
|
3
|
3
|
$149,665.98
|
—
|
$15,201.59
|
$140,415.72
|
$140,415.72
|
2026-04-01
|
|
SUP-10-B501-2-XX
|
CDM
|
(eval) Optimizer Smart Mini Ipg Including Patient Charger
|
14
|
13
|
$148,200.00
|
$44,460.00
70% off
|
$16,909.62
|
$125,970.00
|
$103,740.00
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
11
|
9
|
$147,034.92
|
$44,110.48
70% off
|
$102,924.44
|
$147,034.92
|
$147,034.92
|
2026-04-01
|
|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml Intravenous Solution
|
18
|
16
|
$143,110.54
|
$42,933.16
70% off
|
$16,328.91
|
$121,643.96
|
$87,043.40
|
2026-04-01
|
|
SUP-4131SYSUS
|
CDM
|
Wise Crt System (includes Model 1000, Model 2000, Model 3100
|
14
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$16,259.25
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-H749LTVR3CL250
|
CDM
|
Lotus Valve System 25mm Reprise Iii
|
14
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$16,259.25
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-10002262
|
CDM
|
Heartmate Php Pump/catheter
|
14
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$16,259.25
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-H749LTVR3CL230
|
CDM
|
Lotus Valve System 23mm Reprise Iii
|
14
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$16,259.25
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-H749LTVR3CL210
|
CDM
|
Lotus Valve System: 21mm Reprise Iii
|
14
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$16,259.25
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-H749LTVR3CL270
|
CDM
|
Lotus Valve System 27mm Reprise Iii
|
14
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$16,259.25
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-HRP5500CL
|
CDM
|
Harpoon Beating Heart Mitral Valve Repari System
|
14
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$16,259.25
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
14
|
12
|
$136,014.00
|
$40,804.20
70% off
|
$30,334.61
|
$636,517.00
|
$108,811.20
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
13
|
11
|
$135,453.19
|
$40,635.96
70% off
|
$94,817.23
|
$135,453.19
|
$135,453.19
|
2026-04-01
|
|
PX-811000002
|
CDM
|
Hc Acquisition Liver Live Donor
|
16
|
15
|
$133,855.00
|
$40,156.50
70% off
|
$15,272.86
|
$113,776.75
|
$92,359.95
|
2026-04-01
|
|
313
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot,moderate
|
3
|
3
|
$128,202.70
|
—
|
$10,336.71
|
$112,980.06
|
$112,980.06
|
2026-04-01
|
|
SUP-SYM-SV29-009-C
|
CDM
|
Acurate Prime Aortic Valve Xl
|
14
|
13
|
$127,680.00
|
$38,304.00
70% off
|
$14,568.29
|
$108,528.00
|
$89,376.00
|
2026-04-01
|
|
721
|
APR_DRG
|
Post-operative, Post-traumatic, Other Device Infections,extreme
|
3
|
3
|
$123,356.90
|
—
|
$10,361.78
|
$190,334.07
|
$190,334.07
|
2026-04-01
|
|
326
|
APR_DRG
|
Elective Knee Joint Replacement,major
|
3
|
3
|
$122,589.46
|
—
|
$19,000.34
|
$122,589.46
|
$122,589.46
|
2026-04-01
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
11
|
9
|
$119,727.42
|
$35,918.23
70% off
|
$83,809.19
|
$119,727.42
|
$119,727.42
|
2026-04-01
|
|
911
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre…
|
6
|
3
|
$118,309.32
|
—
|
$23,025.38
|
$378,607.39
|
$116,612.16
|
2026-04-01
|
|
171
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,extreme
|
3
|
3
|
$117,910.57
|
—
|
$28,064.42
|
$128,329.98
|
$128,329.98
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
10
|
8
|
$115,881.52
|
$34,764.46
70% off
|
$81,117.06
|
$115,881.52
|
$115,881.52
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
11
|
9
|
$115,842.88
|
$34,752.86
70% off
|
$66,974.23
|
$115,842.88
|
$98,466.45
|
2026-04-01
|
|
828
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
13
|
11
|
$111,785.73
|
$33,535.72
70% off
|
$78,250.01
|
$111,785.73
|
$111,785.73
|
2026-04-01
|
|
284
|
APR_DRG
|
Disorders Of Gallbladder And Biliary Tract,extreme
|
3
|
3
|
$111,187.51
|
—
|
$10,081.40
|
$185,601.50
|
$185,601.50
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
11
|
9
|
$107,185.71
|
$32,155.71
70% off
|
$75,030.00
|
$107,185.71
|
$107,185.71
|
2026-04-01
|
|
176
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices,mino…
|
3
|
3
|
$101,331.29
|
—
|
$9,832.68
|
$92,562.99
|
$92,562.99
|
2026-04-01
|
|
310
|
APR_DRG
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,moderat…
|
3
|
3
|
$100,273.25
|
—
|
$13,209.85
|
$100,273.25
|
$100,273.25
|
2026-04-01
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
13
|
11
|
$96,370.80
|
$28,911.24
70% off
|
$42,697.55
|
$96,370.80
|
$96,370.80
|
2026-04-01
|
|
224
|
APR_DRG
|
Peritoneal Adhesiolysis,extreme
|
3
|
3
|
$95,524.94
|
—
|
$31,984.56
|
$95,524.94
|
$95,524.94
|
2026-04-01
|
|
825
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc
|
13
|
11
|
$94,664.25
|
$28,399.27
70% off
|
$66,264.98
|
$94,664.25
|
$94,664.25
|
2026-04-01
|
|
902
|
MS_DRG
|
Wound Debridements For Injuries With Cc
|
11
|
9
|
$93,773.91
|
$28,132.17
70% off
|
$65,641.74
|
$93,773.91
|
$93,773.91
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
11
|
9
|
$88,813.68
|
$26,644.10
70% off
|
$62,169.58
|
$88,813.68
|
$88,813.68
|
2026-04-01
|
|
930
|
APR_DRG
|
Multiple Significant Trauma Without O.r. Procedure,extreme
|
3
|
3
|
$87,726.16
|
—
|
$11,807.92
|
$94,733.60
|
$94,733.60
|
2026-04-01
|
|
58
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Mcc
|
13
|
11
|
$85,646.05
|
$25,693.81
70% off
|
$59,952.24
|
$85,646.05
|
$85,646.05
|
2026-04-01
|
|
229
|
APR_DRG
|
Other Digestive System And Abdominal Procedures,minor
|
3
|
3
|
$85,490.36
|
—
|
$10,813.70
|
$85,490.36
|
$85,490.36
|
2026-04-01
|
|
43
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies,mo…
|
3
|
3
|
$82,339.27
|
—
|
$8,625.36
|
$82,339.27
|
$82,339.27
|
2026-04-01
|
|
196
|
APR_DRG
|
Cardiac Arrest And Shock,extreme
|
3
|
3
|
$75,554.93
|
—
|
$11,342.15
|
$97,915.97
|
$97,915.97
|
2026-04-01
|