Price Transparency Hospital negotiated rates

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

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Hospital

ST ALEXIUS MEDICAL CENTER

Hoffman Estates, IL · CCN 140290 · Rates published

56,294 distinct procedures filed
58 distinct payers
991,280 rate rows
2026-01-01 last MRF observed
Data quality

978,108 of 991,280 rate rows are consumer-grade (98.7%)

13,172 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 9,228
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,792
placeholder amount (≤ $0.02) — excluded from medians 152
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/il-csv/364251846_st-alexius-medical-center_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 602e77926d4ae74f… · 116,989,874 bytes · first seen 2026-05-14

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 19 $1,920.00 $473,207.09 $295,024.17 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $1,920.00 $307,092.37 $189,563.19 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $1,920.00 $233,963.70 $145,866.26 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $1,920.00 $232,590.64 $145,010.21 nat. median
$202,986
0.7× median
14398037
CDM 		Kt Pump Bld Tandemlung W/tandemheart 29fr Cann Oxy 2 $77,748.60 $129,581.00 $103,664.80 nat. median
$103,665
1.0× median
14255738
CDM 		Kt Impl Lv Assist Device Heartmate 3 Incl 1 Pckt C 10 $58,381.20 $194,604.00 $97,302.00 nat. median
$97,302
1.0× median
14180037
CDM 		Kt Pump Bld Tandemheart W/31fr Dual Lum Protekduo 2 $70,516.20 $117,527.00 $94,021.60 nat. median
$94,022
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 $1,920.00 $151,786.84 $93,695.58 nat. median
$133,176
0.7× median
7
MS_DRG 		Lung Transplant 26 $1,920.00 $141,911.29 $87,599.56 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $1,920.00 $131,694.92 $82,106.09 nat. median
$117,303
0.7× median
14398036
CDM 		Kt Pump Bld Tandemlife W/tandemheart 24/15fr Cann 2 $59,667.60 $99,446.00 $79,556.80 nat. median
$79,557
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 18 $72,736.00 $124,034.02 $78,095.49 nat. median
$98,017
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 $1,920.00 $247,010.00 $76,652.15 nat. median
$108,660
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $69,878.30 $119,160.90 $75,027.23 nat. median
$102,358
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 $1,790.64 $120,772.85 $74,551.14 nat. median
$98,905
0.8× median
595867
CDM 		X Yttrium-90 Zevalin 2 $43,967.00 $99,925.00 $71,946.00 nat. median
$23,887
outlier · 3.0×
629548
CDM 		X Yttrium-90 Zevalin 2 $43,967.00 $99,925.00 $71,946.00 nat. median
$1
69930
CPT 		Implant Cochlear Device 1 $71,638.00 $71,638.00 $71,638.00 nat. median
$29,663
outlier · 2.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 26 $1,920.00 $112,984.84 $69,743.73 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 19 $1,920.00 $152,082.00 $68,699.58 nat. median
$99,019
0.7× median
14843639
CDM 		Embolization Device 4x20mm Pipeline Flex 2 $50,512.80 $84,188.00 $67,350.40 nat. median
$67,350
1.0× median
12104841
CDM 		Device Ventr Assist Controller 10-40c 17.4x13.8in 10 $40,359.30 $134,531.00 $67,265.50 nat. median
$67,266
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $1,920.00 $107,202.19 $66,835.93 nat. median
$93,672
0.7× median
14838676
CDM 		Perfusion Cannula 180 Deg 2 $47,970.00 $79,950.00 $63,960.00 nat. median
$63,960
1.0× median
15028809
CDM 		St Cath Protek Duo Sys Exchg Gas Extracorporeal Mo 2 $47,970.00 $79,950.00 $63,960.00 nat. median
$63,960
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 $57,896.80 $98,729.28 $62,162.88 nat. median
$82,712
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 25 $6,491.21 $94,892.80 $58,575.80 nat. median
$83,442
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $1,920.00 $92,086.39 $57,411.88 nat. median
$81,118
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 27 $1,920.00 $93,616.00 $57,022.71 nat. median
$79,312
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $1,920.00 $84,140.58 $53,496.79 nat. median
$74,915
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 $1,920.00 $86,228.13 $53,227.24 nat. median
$77,576
0.7× median
13491619
CDM 		Srs Multisource Cobalt-60 3 $1,011.00 $72,514.00 $52,935.22 nat. median
$52,935
1.0× median
14281894
CDM 		Device Coag Guided Cardv Abl Episense 6130 3cm 2 $39,483.00 $65,805.00 $52,644.00 nat. median
$52,644
1.0× median
12333378
CDM 		Cann Prfs Angiovac 20 Deg Str W/dil 2 $39,392.40 $65,654.00 $52,523.20 nat. median
$52,523
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 $1,920.00 $83,500.62 $52,059.03 nat. median
$72,138
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 $1,920.00 $83,777.86 $51,714.73 nat. median
$73,807
0.7× median
9963240
CDM 		Ccl Insert Pulse Gen With Mult Leads 7 $7,616.00 $122,671.00 $51,521.82 nat. median
$51,522
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 $45,820.83 $78,136.57 $49,679.42 nat. median
$68,887
0.7× median
10
MS_DRG 		Pancreas Transplant 19 $1,920.00 $78,632.97 $49,024.26 nat. median
$68,882
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 $1,920.00 $78,600.10 $49,003.77 nat. median
$64,027
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 $1,748.18 $79,103.08 $48,829.06 nat. median
$68,090
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 $1,920.00 $78,182.59 $48,743.47 nat. median
$71,240
0.7× median
11128517
CDM 		Ipilimumab 200 Mg/40 Ml Inj 3 $35,322.88 $100,922.50 $47,433.57 nat. median
$47,434
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 19 $1,920.00 $75,741.11 $47,221.31 nat. median
$66,526
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 $1,920.00 $75,369.61 $46,989.69 nat. median
$65,950
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 19 $1,920.00 $73,760.95 $45,986.76 nat. median
$64,732
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $1,920.00 $101,893.00 $45,811.89 nat. median
$64,510
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $1,920.00 $101,893.00 $45,811.89 nat. median
$61,920
0.7× median
43281
CPT 		Lap Paraesophag Hern Repair 1 $45,759.87 $45,759.87 $45,759.87 nat. median
$10,140
outlier · 4.5×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 $3,689.99 $73,272.21 $45,229.76 nat. median
$60,691
0.7× median

Other procedures at this hospital

Browse this hospital's 56,294 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
33240 CPT Insrt Pulse Gen W/singl Lead 2 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 2 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33230 CPT Insrt Pulse Gen W/dual Leads 2 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33249 CPT Insj/rplcmt Defib W/lead(s) 2 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 2 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
11853284 CDM Ocrelizumab 300 Mg/10 Ml Sol 8 3 $48,750.00 $16,087.50 67% off $17,062.50 $48,750.00 $22,912.50 2026-01-01
9084431 CDM Sp Angio Intracranial With Stent 6 2 $38,326.00 $12,647.58 67% off $13,414.10 $38,326.00 $22,995.60 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 52 26 — — $1,680.33 $37,335.78 $23,046.78 2026-01-01
14286310 CDM Ccl System Cardiomems Hrt Failure Ptnt Bce 22 10 $46,125.00 $15,221.25 67% off $13,837.50 $46,125.00 $23,062.50 2026-01-01
13988419 CDM Mntr Heart Failure Cardiomems Del Sys And Pulm Art 22 10 $46,125.00 $15,221.25 67% off $13,837.50 $46,125.00 $23,062.50 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 52 26 — — $1,920.00 $37,385.10 $23,077.22 2026-01-01
16406870 CDM Shockwave E8 Balloon Cath 6x80mmx150cm 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
15620453 CDM Shockwave Cath 4x12mm Coronary Intravascular 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
16406874 CDM Shockwave E8 Balloon Cath 5x80mm 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
14628420 CDM Shockwave Cath 2.5x12mm Coronary Intravascular Fem 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
16490430 CDM Shockwave E8 Ivl Catheter 3.0mm X 80mm 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
15620454 CDM Shockwave Cath 3x12mm Coronary Intravascular 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
14628417 CDM Shockwave Cath 3x12mm Coronary Intravascular 6fr 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
14628418 CDM Shockwave Cath 3.5x12mm Coronary Intravascular 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
16406866 CDM Shockwave E8 Balloon Cath 3.5x80mmx150cm 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
15620452 CDM Shockwave Cath 2.5x12mm Coronary Intravascular 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
16406872 CDM Shockwave E8 Balloon Cath 3x80mm 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
16406868 CDM Shockwave E8 Balloon Cath 2.5x80mm 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
14628421 CDM Shockwave Cath 4x12mm Coronary Intravascular 6fr 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
15620455 CDM Shockwave Cath 3.5x12mm Coronary Intravascular Plu 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
16437616 CDM Shockwave E8 Balloon Cath 4x80mmx150cm 4 2 $28,905.00 $9,538.65 67% off $17,343.00 $28,905.00 $23,124.00 2026-01-01
15288850 CDM Tildrakizumab-asmn 100 Mg/ml Sol 8 3 $49,250.00 $16,252.50 67% off $17,237.50 $49,250.00 $23,147.50 2026-01-01
15277937 CDM Tildrakizumab-asmn 100 Mg/ml Sol 8 3 $49,250.00 $16,252.50 67% off $17,237.50 $49,250.00 $23,147.50 2026-01-01
16476742 CDM Shockwave Javelin Peripheral Ivl Catheter 4 2 $28,942.00 $9,550.86 67% off $17,365.20 $28,942.00 $23,153.60 2026-01-01
12101679 CDM Defib Crt Conn Is-1 Df4 Is-1 Dynagen 5.37x8.18x0.9 18 8 $46,330.00 $15,288.90 67% off $20,385.20 $46,330.00 $23,165.00 2026-01-01
12101680 CDM Defib Crt Conn Is-1 Is-1/df-1 Is-1 Dynagen 5.37x8. 18 8 $46,330.00 $15,288.90 67% off $20,385.20 $46,330.00 $23,165.00 2026-01-01
8978526 CDM Sp Angioplast Tibia/peronelstntatheradd 6 2 $38,682.00 $12,765.06 67% off $13,538.70 $38,682.00 $23,209.20 2026-01-01
8980587 CDM Sp Angioplast Fem/pop W Artherect 6 2 $38,798.00 $12,803.34 67% off $13,579.30 $38,798.00 $23,278.80 2026-01-01
14081318 CDM Kt Surg Tools Pump Ventr Assist Device Hvad Ster 4 2 $29,145.00 $9,617.85 67% off $17,487.00 $29,145.00 $23,316.00 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 19 — — $1,920.00 $37,569.19 $23,422.77 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 54 26 — — $1,920.00 $38,225.60 $23,596.05 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 38 19 — — $1,920.00 $37,856.31 $23,601.77 2026-01-01
58661 CPT Laparoscopy Remove Adnexa 2 1 — — $23,673.65 $23,673.65 $23,673.65 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 38 19 — — $1,920.00 $38,040.40 $23,716.55 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 36 18 — — $22,096.87 $37,680.97 $23,725.06 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 38 19 — — $1,920.00 $38,215.74 $23,825.86 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 38 19 — — $1,920.00 $38,566.40 $24,044.48 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 52 26 — — $1,920.00 $39,002.54 $24,075.64 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 38 19 — — $1,920.00 $38,645.29 $24,093.67 2026-01-01
12055038 CDM Graft Vasc Gtag Conform Thor 3 1752321 4 2 $30,238.00 $9,978.54 67% off $18,142.80 $30,238.00 $24,190.40 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 38 19 — — $1,920.00 $39,039.80 $24,339.63 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 38 19 — — $1,920.00 $39,072.67 $24,360.12 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 26 — — $1,933.08 $39,519.77 $24,394.92 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 38 19 — — $1,920.00 $39,130.74 $24,396.33 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 38 19 — — $1,920.00 $39,170.19 $24,420.92 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 52 26 — — $1,920.00 $39,578.93 $24,431.44 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 38 19 — — $1,920.00 $39,261.15 $24,477.63 2026-01-01
14505131 CDM Amita Generator Pul Demipulse Duo Implantable Strl 22 10 $48,995.00 $16,168.35 67% off $14,698.50 $48,995.00 $24,497.50 2026-01-01
265 MS_DRG Aicd Lead Procedures 44 21 — — $1,920.00 $39,649.06 $24,597.10 2026-01-01
332 MS_DRG Rectal Resection With Mcc 38 19 — — $1,920.00 $39,676.47 $24,736.57 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 38 19 — — $1,920.00 $39,731.26 $24,770.72 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 20 — — $1,920.00 $44,693.00 $24,777.70 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 38 19 — — $1,920.00 $39,761.94 $24,789.85 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 52 26 — — $1,920.00 $40,609.01 $25,067.29 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 38 19 — — $1,920.00 $40,234.24 $25,084.31 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 38 19 — — $1,920.00 $40,250.68 $25,094.56 2026-01-01
63621 CPT Srs Spinal Lesion Addl 4 2 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
63620 CPT Srs Spinal Lesion 4 2 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
61800 CPT Apply Srs Headframe Add-on 4 2 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
61798 CPT Srs Cranial Lesion Complex 4 2 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
61799 CPT Srs Cran Les Complex Addl 4 2 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
61796 CPT Srs Cranial Lesion Simple 4 2 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
61797 CPT Srs Cran Les Simple Addl 4 2 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 52 26 — — $1,920.00 $40,954.20 $25,280.37 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 52 26 — — $1,920.00 $40,958.57 $25,283.07 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 52 26 — — $1,920.00 $41,056.11 $25,343.28 2026-01-01
14443499 CDM Ccl Revasc IV Litho W/ather Perc 4 2 $31,716.00 $10,466.28 67% off $19,029.60 $31,716.00 $25,372.80 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 38 19 — — $1,920.00 $40,839.13 $25,461.43 2026-01-01
14086004 CDM Device Revascularization 3d Clotting 4 2 $31,919.00 $10,533.27 67% off $19,151.40 $31,919.00 $25,535.20 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 38 19 — — $1,920.00 $41,235.82 $25,708.75 2026-01-01
14725881 CDM Polatuzumab Vedotin 140 Mg Rec 8 3 $55,220.00 $18,222.60 67% off $19,327.00 $55,220.00 $25,953.40 2026-01-01
11757847 CDM Ccl Prq Thrm Dial Circ W/stnt 14 7 $62,155.00 $20,511.15 67% off $7,616.00 $62,155.00 $26,105.10 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 54 27 — — $1,920.00 $42,311.92 $26,118.47 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 38 19 — — $1,920.00 $42,071.93 $26,230.03 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 38 19 — — $1,920.00 $42,352.47 $26,404.94 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 38 19 — — $1,920.00 $42,416.02 $26,444.56 2026-01-01
14485557 CDM Kt Retrv Stroke Fast Pk Trevo Nxt 6x38mm 4 2 $33,076.00 $10,915.08 67% off $19,845.60 $33,076.00 $26,460.80 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 26 — — $1,920.00 $42,867.50 $26,461.42 2026-01-01
11125314 CDM Cabazitaxel 60 Mg/1.5 Ml Inj 8 3 $56,578.50 $18,670.91 67% off $19,802.47 $56,578.50 $26,591.90 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 38 19 — — $1,920.00 $42,673.54 $26,605.11 2026-01-01
49321 CPT Laparoscopy Biopsy 2 1 — — $26,827.14 $26,827.14 $26,827.14 2026-01-01
16598532 CDM Sheath 7fr Lp Companion Impella Cp W/smartassist 22 10 $53,948.00 $17,802.84 67% off $16,184.40 $53,948.00 $26,974.00 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 38 19 — — $1,920.00 $43,658.69 $27,219.31 2026-01-01
58662 CPT Laparoscopy Excise Lesions 2 1 — — $27,443.16 $27,443.16 $27,443.16 2026-01-01
791 MS_DRG Prematurity With Major Problems 38 19 — — $1,920.00 $44,479.47 $27,731.02 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 36 18 — — $25,836.23 $44,057.57 $27,739.95 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 42 21 — — $1,920.00 $45,208.17 $27,906.28 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 52 26 — — $1,920.00 $45,509.53 $28,092.30 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 52 26 — — $1,920.00 $45,691.44 $28,204.59 2026-01-01
14485555 CDM Kt Retrv Trevo Nxt 4x41mm 4 2 $35,290.00 $11,645.70 67% off $21,174.00 $35,290.00 $28,232.00 2026-01-01
14485556 CDM Kt Retrv Stroke Fast Pk Trevo Nxt 3x32mm 4 2 $35,290.00 $11,645.70 67% off $21,174.00 $35,290.00 $28,232.00 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 19 — — $1,920.00 $45,724.32 $28,507.14 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 38 19 — — $1,920.00 $45,987.31 $28,671.10 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 19 — — $1,920.00 $46,042.10 $28,705.26 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 38 19 — — $1,920.00 $46,176.89 $28,789.29 2026-01-01
11122334 CDM Pegloticase 8 Mg/ml Inj 8 3 $61,259.00 $20,215.47 67% off $21,440.65 $61,259.00 $28,791.73 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 38 19 — — $1,920.00 $46,199.91 $28,803.64 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 52 26 — — $1,920.00 $46,740.14 $28,851.94 2026-01-01
13582129 CDM Ccl- Tavr Open Femoral Approach 14 7 $69,324.00 $22,876.92 67% off $7,616.00 $69,324.00 $29,116.08 2026-01-01
12916857 CDM Ccl Tavr Aor Vlv Repl Opn Fem Bce 14 7 $69,324.00 $22,876.92 67% off $7,616.00 $69,324.00 $29,116.08 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 42 20 — — $1,920.00 $53,633.00 $29,184.50 2026-01-01
9038409 CDM Ccl Tib/per Revasc Stnt And Atherectomy Addl Bce 14 7 $69,596.00 $22,966.68 67% off $7,616.00 $69,596.00 $29,230.32 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 36 18 — — $27,251.90 $46,471.66 $29,259.93 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 52 26 — — $6,499.54 $47,420.64 $29,272.00 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 38 19 — — $1,920.00 $47,042.60 $29,329.03 2026-01-01
58571 CPT Tlh W/t/o 250 G Or Less 2 1 — — $29,361.67 $29,361.67 $29,361.67 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 42 20 — — $1,920.00 $46,278.80 $29,424.17 2026-01-01
12398451 CDM Ccl Tavr Open Axillary Art Bce 14 7 $70,644.00 $23,312.52 67% off $7,616.00 $70,644.00 $29,670.48 2026-01-01
14461746 CDM Ccl Revasc IV Litho W/stnt/ather Perc 4 2 $37,107.00 $12,245.31 67% off $22,264.20 $37,107.00 $29,685.60 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 38 19 — — $1,920.00 $48,137.31 $30,011.53 2026-01-01
14138500 CDM Charger Batt Ventr Assist Device Hvad 4 2 $37,515.00 $12,379.95 67% off $22,509.00 $37,515.00 $30,012.00 2026-01-01
12103492 CDM Device Revascularization Thrombo Lp 1 Prox Marker 4 2 $37,744.00 $12,455.52 67% off $22,646.40 $37,744.00 $30,195.20 2026-01-01
12030590 CDM Gentr Impl Aspiresr Sgl Pn 14ml 22 10 $60,393.00 $19,929.69 67% off $18,117.90 $60,393.00 $30,196.50 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 52 26 — — $1,920.00 $49,112.60 $30,316.42 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 38 19 — — $1,920.00 $48,905.48 $30,490.46 2026-01-01
14076541 CDM Device Revascularization Dual Layer Mesh Embotrap 4 2 $38,130.00 $12,582.90 67% off $22,878.00 $38,130.00 $30,504.00 2026-01-01
14076542 CDM Device Revascularization Dual Layer Mesh Embotrap 4 2 $38,130.00 $12,582.90 67% off $22,878.00 $38,130.00 $30,504.00 2026-01-01
58573 CPT Tlh W/t/o Uterus Over 250 G 2 1 — — $30,601.92 $30,601.92 $30,601.92 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 38 19 — — $1,920.00 $49,098.36 $30,610.71 2026-01-01
14036858 CDM Bd Mitraclip Transcatheter Mvlv Repair 3 Ext Clip 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
14036852 CDM Bd Mitraclip Transcatheter Mvlv Repair 2 Nit 1 Ext 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
14036853 CDM Bd Mitraclip Transcatheter Mvlv Repair 1 Nit 2 Ext 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
12101794 CDM Sys Repair Mvlv Perc Mitraclip Nit 1 Strbl Cath 3 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
14036855 CDM Bd Mitraclip Transcatheter Mvlv Repair 2 Nit Clip 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
12101793 CDM Sys Repair Mvlv Perc Mitraclip Nit 1 Strbl Cath 1 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
14036854 CDM Bd Mitraclip Transcatheter Mvlv Repair 1 Nit Clip 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
14036859 CDM Bd Mitraclip Transcatheter Mvlv Repair 1 Nit 1 Ext 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
14036857 CDM Bd Mitraclip Transcatheter Mvlv Repair 2 Ext Clip 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
12105077 CDM Sys Repair Mvlv Perc Mitraclip Nit 1 Strbl Cath 2 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
14036856 CDM Bd Mitraclip Transcatheter Mvlv Repair 1 Ext Clip 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
14037112 CDM Bd Mitraclip Transcatheter Mvlv Repair 3 Nit Clip 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
12101792 CDM Sys Repair Mvlv Mitraclip Nt 1 Strbl Guid Cath 0 C 22 10 $61,500.00 $20,295.00 67% off $18,450.00 $61,500.00 $30,750.00 2026-01-01
245 MS_DRG Aicd Generator Procedures 58 28 — — $1,920.00 $49,995.82 $30,861.62 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 38 19 — — $1,920.00 $49,628.73 $30,941.37 2026-01-01
12397642 CDM Ustekinumab 90 Mg/ml Syringe 8 3 $66,014.00 $21,784.62 67% off $23,104.90 $66,014.00 $31,026.58 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 38 19 — — $1,920.00 $49,823.78 $31,062.97 2026-01-01
14713210 CDM Amivantamab-vmjw 350 Mg/7 Ml Inj 8 3 $66,108.00 $21,815.64 67% off $23,137.80 $66,108.00 $31,070.76 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 38 19 — — $1,920.00 $49,845.70 $31,076.64 2026-01-01
12404166 CDM Ccl Tavr Repl Ao Vlv Prq W/by Bce 14 7 $74,073.00 $24,444.09 67% off $7,616.00 $74,073.00 $31,110.66 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 20 — — $1,920.00 $50,369.51 $31,247.75 2026-01-01
15919204 CDM Inotuzumab Ozogamicin 0.9mg Inj 8 3 $66,705.00 $22,012.65 67% off $23,346.75 $66,705.00 $31,351.35 2026-01-01
16096302 CDM Implant Patellaofemoral Mitral 22 10 $62,730.00 $20,700.90 67% off $18,819.00 $62,730.00 $31,365.00 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 52 26 — — $1,920.00 $50,813.31 $31,366.24 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 40 20 — — $1,920.00 $50,241.30 $31,633.41 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 52 26 — — $1,920.00 $51,519.03 $31,801.87 2026-01-01
12105424 CDM Sys Retrv Thrombo Mcath Stent Trevo Xp Provue 6x25 4 2 $39,935.00 $13,178.55 67% off $23,961.00 $39,935.00 $31,948.00 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 38 19 — — $1,920.00 $51,260.41 $31,958.65 2026-01-01
13581345 CDM Device Thrombo Revasc Solitare 3fr 4x20mm 4 2 $39,975.00 $13,191.75 67% off $23,985.00 $39,975.00 $31,980.00 2026-01-01
13581344 CDM Device Thrombo Revasc Solitare 3fr 6x20mm 4 2 $39,975.00 $13,191.75 67% off $23,985.00 $39,975.00 $31,980.00 2026-01-01
12337974 CDM Device Thrombo Revasc Solitare 10mm Space 3fr 4x40 4 2 $39,975.00 $13,191.75 67% off $23,985.00 $39,975.00 $31,980.00 2026-01-01
13473183 CDM Sys Retrv Thrombo Mcath Stent Trevo Xp Provue 4x30 4 2 $39,975.00 $13,191.75 67% off $23,985.00 $39,975.00 $31,980.00 2026-01-01
13454185 CDM Ccl Tavr Transapical Exposur Bce 14 7 $76,296.00 $25,177.68 67% off $7,616.00 $76,296.00 $32,044.32 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 19 — — $1,920.00 $51,413.83 $32,054.30 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 20 — — $29,679.04 $62,077.00 $32,178.33 2026-01-01
9024540 CDM Ccl Angioplast Fem/pop W Artherect Stent Bce 14 7 $77,270.00 $25,499.10 67% off $7,616.00 $77,270.00 $32,453.40 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 38 19 — — $1,920.00 $52,169.95 $32,525.71 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 38 19 — — $1,920.00 $52,646.63 $32,822.90 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 40 20 — — $1,920.00 $52,914.01 $32,826.29 2026-01-01
14472402 CDM Kit Tubing Suction Indigo System Ltx-fr Litng12hto 4 2 $41,144.00 $13,577.52 67% off $24,686.40 $41,144.00 $32,915.20 2026-01-01
14472401 CDM Kit Tubing Suction Indigo System Ltx-fr Litng12xto 4 2 $41,144.00 $13,577.52 67% off $24,686.40 $41,144.00 $32,915.20 2026-01-01
14554196 CDM Ravulizumab-cwvz 1100 Mg/11 Ml Inj 8 3 $70,444.00 $23,246.52 67% off $24,655.40 $70,444.00 $33,108.68 2026-01-01
11757846 CDM Ccl Prq Throm Dial Circ W/bal 14 7 $79,023.00 $26,077.59 67% off $7,616.00 $79,023.00 $33,189.66 2026-01-01
14341062 CDM Transcatheter Cath 20mm Heart Valve 22 10 $66,625.00 $21,986.25 67% off $19,987.50 $66,625.00 $33,312.50 2026-01-01
12209278 CDM Vlv Heart Aortic Transcatheter Certitude Sys Sapie 22 10 $66,625.00 $21,986.25 67% off $19,987.50 $66,625.00 $33,312.50 2026-01-01
14341063 CDM Transcatheter Cath 26mm Heart Valve 22 10 $66,625.00 $21,986.25 67% off $19,987.50 $66,625.00 $33,312.50 2026-01-01
14341061 CDM Transcatheter Cath 23mm Heart Valve 22 10 $66,625.00 $21,986.25 67% off $19,987.50 $66,625.00 $33,312.50 2026-01-01
12209202 CDM Vlv Heart Aortic Transcatheter Certitude Sys Sapie 22 10 $66,625.00 $21,986.25 67% off $19,987.50 $66,625.00 $33,312.50 2026-01-01
12371671 CDM Vlv Heart Aortic Transcatheter W/commander Sys Sap 22 10 $66,625.00 $21,986.25 67% off $19,987.50 $66,625.00 $33,312.50 2026-01-01
10221936 CDM Ccl Insrt Pls Gen With Dual Lds Bce 14 7 $79,328.00 $26,178.24 67% off $7,616.00 $79,328.00 $33,317.76 2026-01-01
14274905 CDM Gentr Impl Sentiva Sgl Pn 8ml 22 10 $66,728.00 $22,020.24 67% off $20,018.40 $66,728.00 $33,364.00 2026-01-01
8980690 CDM Sp Angioplast Tibia/peronel Stent Ather 6 2 $55,699.00 $18,380.67 67% off $19,494.65 $55,699.00 $33,419.40 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 26 — — $1,920.00 $78,232.00 $33,465.90 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 38 19 — — $1,920.00 $53,708.48 $33,484.91 2026-01-01
14081319 CDM Discon Obsolete By Mfg Kt Controller Ventr Assist 4 2 $41,875.00 $13,818.75 67% off $25,125.00 $41,875.00 $33,500.00 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 38 19 — — $1,920.00 $53,933.12 $33,624.97 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 26 — — $1,920.00 $54,653.08 $33,736.47 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 19 — — $1,920.00 $54,118.32 $33,740.43 2026-01-01
12104427 CDM Device Thrombo Revascularization Solitare 2fr 6x20 4 2 $42,205.00 $13,927.65 67% off $25,323.00 $42,205.00 $33,764.00 2026-01-01
12104426 CDM Device Thrombo Revascularization Solitare 2fr 4x20 4 2 $42,205.00 $13,927.65 67% off $25,323.00 $42,205.00 $33,764.00 2026-01-01
12101329 CDM Device Thrombo Revascularization Solitare 2fr 6x30 4 2 $42,205.00 $13,927.65 67% off $25,323.00 $42,205.00 $33,764.00 2026-01-01
12104422 CDM Device Thrombo Revascularization Solitare 2fr 4x15 4 2 $42,205.00 $13,927.65 67% off $25,323.00 $42,205.00 $33,764.00 2026-01-01
14475048 CDM Device Repair Heart Vlv Mitraclip G4 Sys Abbott 22 10 $67,650.00 $22,324.50 67% off $20,295.00 $67,650.00 $33,825.00 2026-01-01
8980682 CDM Sp Angioplast Fem/pop W Artherect Stent 6 2 $57,444.00 $18,956.52 67% off $20,105.40 $57,444.00 $34,466.40 2026-01-01
15094841 CDM Vlv Heart Tcath Es 3 Ultra Resilia W/commander Sys 22 10 $69,700.00 $23,001.00 67% off $20,910.00 $69,700.00 $34,850.00 2026-01-01
15094842 CDM Vlv Heart Tcath Es 3 Ultra Resilia W/commander Sys 22 10 $69,700.00 $23,001.00 67% off $20,910.00 $69,700.00 $34,850.00 2026-01-01
15094839 CDM Vlv Heart Tcath Es 3 Ultra Resilia W/commander Sys 22 10 $69,700.00 $23,001.00 67% off $20,910.00 $69,700.00 $34,850.00 2026-01-01
15094840 CDM Vlv Heart Tcath Es 3 Ultra Resilia W/commander Sys 22 10 $69,700.00 $23,001.00 67% off $20,910.00 $69,700.00 $34,850.00 2026-01-01
617150 CDM Pom - Flovent 44mcg Inh 4 2 $43,699.32 $14,420.78 67% off $26,219.59 $43,699.32 $34,959.46 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 20 — — $1,920.00 $72,601.00 $35,116.44 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 52 26 — — $1,920.00 $57,041.98 $35,211.10 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 38 19 — — $1,920.00 $56,943.36 $35,501.72 2026-01-01
14446128 CDM Ccl Revasc IV Litho W/stent Perc 4 2 $44,401.00 $14,652.33 67% off $26,640.60 $44,401.00 $35,520.80 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 52 26 — — $1,920.00 $58,010.68 $35,809.06 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 27 — — $1,920.00 $72,601.00 $36,072.87 2026-01-01
12098989 CDM Trevo Provue Retrv W/microcath 4 2 $45,248.00 $14,931.84 67% off $27,148.80 $45,248.00 $36,198.40 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 20 — — $1,920.00 $57,818.92 $36,761.41 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 36 18 — — $34,248.67 $58,402.99 $36,772.25 2026-01-01
16449821 CDM Bd Artix Price Per Proc 4 2 $46,125.00 $15,221.25 67% off $27,675.00 $46,125.00 $36,900.00 2026-01-01
16302495 CDM Repair System Transcatheter Triclip Tricuspid 22 10 $73,800.00 $24,354.00 67% off $22,140.00 $73,800.00 $36,900.00 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 56 27 — — $1,920.00 $67,762.00 $36,951.56 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 52 26 — — $1,920.00 $59,947.00 $37,004.32 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 52 26 — — $1,920.00 $60,734.04 $37,077.85 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 38 19 — — $1,920.00 $59,528.39 $37,113.38 2026-01-01
58674 CPT Laps Abltj Uterine Fibroids 2 1 — — $37,187.29 $37,187.29 $37,187.29 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 52 26 — — $1,920.00 $60,522.31 $37,359.45 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 38 19 — — $1,920.00 $60,159.59 $37,506.91 2026-01-01
16419801 CDM Kt Tub Indigo Cath 6x 132cm Str Trax Lightning Bol 4 2 $46,986.00 $15,505.38 67% off $28,191.60 $46,986.00 $37,588.80 2026-01-01
14259504 CDM Pegloticase 8 Mg/ml Inj 8 3 $79,995.66 $26,398.57 67% off $27,998.48 $79,995.66 $37,597.96 2026-01-01
12090456 CDM Device Coag Guided Cardv Abl Episense 6130 3cm 3 P 4 2 $47,126.00 $15,551.58 67% off $28,275.60 $47,126.00 $37,700.80 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 52 26 — — $1,920.00 $61,416.50 $37,911.42 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 18 — — $35,769.09 $60,995.71 $38,404.71 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 52 26 — — $1,820.39 $62,456.44 $38,553.36 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 26 — — $1,920.00 $62,793.95 $38,761.70 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 18 — — $36,127.66 $61,607.17 $38,789.70 2026-01-01
14049650 CDM Ccl Leadless Pm Ins/rpl Ventr Bce 4 2 $48,715.00 $16,075.95 67% off $29,229.00 $48,715.00 $38,972.00 2026-01-01
15620478 CDM Indigo Cath 130cm Aspiration 4 2 $48,831.00 $16,114.23 67% off $29,298.60 $48,831.00 $39,064.80 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 36 18 — — $36,673.24 $62,537.52 $39,375.48 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 36 18 — — $37,060.10 $63,197.22 $39,790.85 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 38 19 — — $1,920.00 $64,267.83 $40,068.22 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 38 19 — — $1,920.00 $64,979.03 $40,511.62 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 19 — — $1,920.00 $65,130.24 $40,605.89 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 19 — — $1,920.00 $65,345.03 $40,739.80 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 42 20 — — $1,920.00 $64,309.48 $40,888.13 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 56 27 — — $1,920.00 $93,616.00 $41,009.49 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 38 19 — — $1,920.00 $65,840.33 $41,048.60 2026-01-01
13550446 CDM Histrelin 50 Mg Implant 8 3 $87,560.00 $28,894.80 67% off $30,646.00 $87,560.00 $41,153.20 2026-01-01
16432075 CDM Farawave Ablation Cath 31mmx12fr Cardiac 4 2 $51,968.00 $17,149.44 67% off $31,180.80 $51,968.00 $41,574.40 2026-01-01
15980818 CDM Farawave Cath 31mm 4 2 $51,968.00 $17,149.44 67% off $31,180.80 $51,968.00 $41,574.40 2026-01-01
15980816 CDM Farawave Cath 35mm 4 2 $51,968.00 $17,149.44 67% off $31,180.80 $51,968.00 $41,574.40 2026-01-01
16432069 CDM Farawave Ablation Cath 35mmx12fr Cardiac 4 2 $51,968.00 $17,149.44 67% off $31,180.80 $51,968.00 $41,574.40 2026-01-01
16432077 CDM Farawave Ablation Cath 31mm Cardiac 12fr 4 2 $51,968.00 $17,149.44 67% off $31,180.80 $51,968.00 $41,574.40 2026-01-01
16432073 CDM Farawave Ablation Cath 35mm Cardiac 12fr 4 2 $51,968.00 $17,149.44 67% off $31,180.80 $51,968.00 $41,574.40 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 38 19 — — $1,920.00 $67,078.61 $41,820.62 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 20 — — $38,599.15 $65,821.70 $41,849.60 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 38 19 — — $1,920.00 $67,156.42 $41,869.13 2026-01-01
14473800 CDM Sipuleucel-t 50,000,000 Unit/250 Ml Inj 8 3 $90,000.00 $29,700.00 67% off $31,500.00 $90,000.00 $42,300.00 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 52 26 — — $1,920.00 $70,512.93 $43,526.50 2026-01-01
16497783 CDM Valve System 44mm Tricuspid Replacement Evoque 22 10 $88,150.00 $29,089.50 67% off $26,445.00 $88,150.00 $44,075.00 2026-01-01
16497784 CDM Valve System 48mm Tricuspid Replacement Evoque 22 10 $88,150.00 $29,089.50 67% off $26,445.00 $88,150.00 $44,075.00 2026-01-01
16497786 CDM Valve System 56mm Tricuspid Replacement Evoque 22 10 $88,150.00 $29,089.50 67% off $26,445.00 $88,150.00 $44,075.00 2026-01-01
16497785 CDM Valve System 52mm Tricuspid Replacement Evoque 22 10 $88,150.00 $29,089.50 67% off $26,445.00 $88,150.00 $44,075.00 2026-01-01
15188049 CDM Adv Pump Inf Impella 5.5 W/smartassist US 2nd Gene 22 10 $88,474.00 $29,196.42 67% off $26,542.20 $88,474.00 $44,237.00 2026-01-01
11769461 CDM Connector Icd Crt D Df4 Quadra Assura 2 1 $44,690.00 $14,747.70 67% off $44,690.00 $44,690.00 $44,690.00 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 38 19 — — $1,920.00 $71,791.76 $44,759.06 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 50 25 — — $4,834.68 $73,218.51 $45,196.61 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 50 25 — — $3,689.99 $73,272.21 $45,229.76 2026-01-01
43281 CPT Lap Paraesophag Hern Repair 2 1 — — $45,759.87 $45,759.87 $45,759.87 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 20 — — $1,920.00 $101,893.00 $45,811.89 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 20 — — $1,920.00 $101,893.00 $45,811.89 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 38 19 — — $1,920.00 $73,760.95 $45,986.76 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 42 20 — — $1,920.00 $75,369.61 $46,989.69 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 19 — — $1,920.00 $75,741.11 $47,221.31 2026-01-01
11128517 CDM Ipilimumab 200 Mg/40 Ml Inj 8 3 $100,922.50 $33,304.43 67% off $35,322.88 $100,922.50 $47,433.57 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 38 19 — — $1,920.00 $78,182.59 $48,743.47 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 25 — — $1,748.18 $79,103.08 $48,829.06 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 38 19 — — $1,920.00 $78,600.10 $49,003.77 2026-01-01
10 MS_DRG Pancreas Transplant 38 19 — — $1,920.00 $78,632.97 $49,024.26 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 20 — — $45,820.83 $78,136.57 $49,679.42 2026-01-01
9963240 CDM Ccl Insert Pulse Gen With Mult Leads 14 7 $122,671.00 $40,481.43 67% off $7,616.00 $122,671.00 $51,521.82 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 56 27 — — $1,920.00 $83,777.86 $51,714.73 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 19 — — $1,920.00 $83,500.62 $52,059.03 2026-01-01
12333378 CDM Cann Prfs Angiovac 20 Deg Str W/dil 4 2 $65,654.00 $21,665.82 67% off $39,392.40 $65,654.00 $52,523.20 2026-01-01
14281894 CDM Device Coag Guided Cardv Abl Episense 6130 3cm 4 2 $65,805.00 $21,715.65 67% off $39,483.00 $65,805.00 $52,644.00 2026-01-01
13491619 CDM Srs Multisource Cobalt-60 6 3 $72,514.00 $23,929.62 67% off $1,011.00 $72,514.00 $52,935.22 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 52 26 — — $1,920.00 $86,228.13 $53,227.24 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 20 — — $1,920.00 $84,140.58 $53,496.79 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 56 27 — — $1,920.00 $93,616.00 $57,022.71 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 19 — — $1,920.00 $92,086.39 $57,411.88 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 50 25 — — $6,491.21 $94,892.80 $58,575.80 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 36 18 — — $57,896.80 $98,729.28 $62,162.88 2026-01-01
14838676 CDM Perfusion Cannula 180 Deg 4 2 $79,950.00 $26,383.50 67% off $47,970.00 $79,950.00 $63,960.00 2026-01-01
15028809 CDM St Cath Protek Duo Sys Exchg Gas Extracorporeal Mo 4 2 $79,950.00 $26,383.50 67% off $47,970.00 $79,950.00 $63,960.00 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 20 — — $1,920.00 $107,202.19 $66,835.93 2026-01-01
12104841 CDM Device Ventr Assist Controller 10-40c 17.4x13.8in 22 10 $134,531.00 $44,395.23 67% off $40,359.30 $134,531.00 $67,265.50 2026-01-01
14843639 CDM Embolization Device 4x20mm Pipeline Flex 4 2 $84,188.00 $27,782.04 67% off $50,512.80 $84,188.00 $67,350.40 2026-01-01
215 MS_DRG Other Heart Assist System Implant 40 19 — — $1,920.00 $152,082.00 $68,699.58 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 52 26 — — $1,920.00 $112,984.84 $69,743.73 2026-01-01
69930 CPT Implant Cochlear Device 2 1 — — $71,638.00 $71,638.00 $71,638.00 2026-01-01
595867 CDM X Yttrium-90 Zevalin 4 2 $99,925.00 $32,975.25 67% off $43,967.00 $99,925.00 $71,946.00 2026-01-01
629548 CDM X Yttrium-90 Zevalin 4 2 $99,925.00 $32,975.25 67% off $43,967.00 $99,925.00 $71,946.00 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 25 — — $1,790.64 $120,772.85 $74,551.14 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 36 18 — — $69,878.30 $119,160.90 $75,027.23 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 26 — — $1,920.00 $247,010.00 $76,652.15 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 36 18 — — $72,736.00 $124,034.02 $78,095.49 2026-01-01
14398036 CDM Kt Pump Bld Tandemlife W/tandemheart 24/15fr Cann 4 2 $99,446.00 $32,817.18 67% off $59,667.60 $99,446.00 $79,556.80 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 38 19 — — $1,920.00 $131,694.92 $82,106.09 2026-01-01
7 MS_DRG Lung Transplant 52 26 — — $1,920.00 $141,911.29 $87,599.56 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 52 26 — — $1,920.00 $151,786.84 $93,695.58 2026-01-01
14180037 CDM Kt Pump Bld Tandemheart W/31fr Dual Lum Protekduo 4 2 $117,527.00 $38,783.91 67% off $70,516.20 $117,527.00 $94,021.60 2026-01-01
14255738 CDM Kt Impl Lv Assist Device Heartmate 3 Incl 1 Pckt C 22 10 $194,604.00 $64,219.32 67% off $58,381.20 $194,604.00 $97,302.00 2026-01-01
14398037 CDM Kt Pump Bld Tandemlung W/tandemheart 29fr Cann Oxy 4 2 $129,581.00 $42,761.73 67% off $77,748.60 $129,581.00 $103,664.80 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 19 — — $1,920.00 $232,590.64 $145,010.21 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 38 19 — — $1,920.00 $233,963.70 $145,866.26 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 26 — — $1,920.00 $307,092.37 $189,563.19 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 38 19 — — $1,920.00 $473,207.09 $295,024.17 2026-01-01
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