|
J2326
|
HCPCS
|
Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
|
102
|
99
|
$455,355.55
|
$455,355.55
|
$1,187.16
|
$455,355.55
|
$146,299.20
|
2026-03-31
|
|
J0225
|
HCPCS
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
102
|
99
|
$272,036.50
|
$272,036.50
|
$4,909.37
|
$272,036.50
|
$124,596.50
|
2026-03-31
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
18
|
18
|
—
|
$212,235.40
|
$7.77
|
$114,374.27
|
$57,175.76
|
2026-03-31
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
18
|
18
|
—
|
$182,785.94
|
$3.63
|
$54,632.70
|
$29,205.41
|
2026-03-31
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
18
|
18
|
—
|
$178,039.80
|
$6.13
|
$90,656.15
|
$45,319.05
|
2026-03-31
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
18
|
18
|
—
|
$168,791.43
|
$4.71
|
$70,248.82
|
$35,932.56
|
2026-03-31
|
|
A9607
|
HCPCS
|
Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln
|
115
|
112
|
$153,504.40
|
$153,504.40
|
$223.91
|
$153,504.40
|
$52,600.32
|
2026-03-31
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
18
|
18
|
—
|
$146,244.22
|
$4.21
|
$63,000.88
|
$31,494.17
|
2026-03-31
|
|
93655
|
CPT
|
Pr Ablation Intracardiac Arrhythmia Add On
|
113
|
111
|
$7,482.00
|
$143,395.41
|
$1,419.08
|
$50,506.05
|
$26,703.99
|
2026-03-31
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
16
|
16
|
—
|
$128,765.15
|
$7.05
|
$103,964.05
|
$51,449.28
|
2026-03-31
|
|
J9274
|
HCPCS
|
Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution
|
102
|
99
|
$107,550.00
|
$107,550.00
|
$203.61
|
$107,550.00
|
$23,757.00
|
2026-03-31
|
|
511
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
|
18
|
18
|
—
|
$106,494.52
|
$2.12
|
$32,919.86
|
$16,456.65
|
2026-03-31
|
|
SUP-958196
|
CDM
|
Console Cryo Smartfreeze
|
27
|
25
|
$163,305.00
|
$106,148.25
35% off
|
$38,376.68
|
$163,305.00
|
$145,831.37
|
2026-03-31
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
18
|
18
|
—
|
$105,261.56
|
$2.78
|
$42,349.47
|
$21,170.52
|
2026-03-31
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
18
|
18
|
—
|
$104,522.79
|
$3.23
|
$48,877.03
|
$24,433.65
|
2026-03-31
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
18
|
18
|
—
|
$103,123.00
|
$2.63
|
$40,267.74
|
$20,129.86
|
2026-03-31
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
18
|
18
|
—
|
$99,530.62
|
$3.41
|
$51,461.55
|
$25,725.65
|
2026-03-31
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
18
|
18
|
—
|
$98,742.35
|
$3.60
|
$54,196.07
|
$27,092.64
|
2026-03-31
|
|
SUP-235283
|
CDM
|
Pump Heart Mate Ii Pckt Cntrl
|
27
|
25
|
$150,412.50
|
$97,768.12
35% off
|
$35,346.94
|
$150,412.50
|
$134,318.36
|
2026-03-31
|
|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml Intravenous Solution
|
102
|
99
|
$95,364.75
|
$95,364.75
|
$3,610.60
|
$95,364.75
|
$29,110.88
|
2026-03-31
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
18
|
18
|
—
|
$95,241.50
|
$4.48
|
$66,930.65
|
$33,458.67
|
2026-03-31
|
|
J9298
|
HCPCS
|
Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution
|
102
|
99
|
$94,382.55
|
$94,382.55
|
$183.98
|
$94,382.55
|
$34,606.40
|
2026-03-31
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
18
|
18
|
—
|
$91,734.38
|
$4.69
|
$69,925.37
|
$34,955.72
|
2026-03-31
|
|
J0202
|
HCPCS
|
Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution
|
102
|
99
|
$89,232.75
|
$89,232.75
|
$2,398.16
|
$89,232.75
|
$29,288.40
|
2026-03-31
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
16
|
16
|
—
|
$88,543.22
|
$4.30
|
$64,331.40
|
$31,836.04
|
2026-03-31
|
|
J9359
|
HCPCS
|
Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution
|
191
|
99
|
$87,089.35
|
$87,089.35
|
$197.84
|
$87,089.35
|
$31,546.27
|
2026-03-31
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
18
|
18
|
—
|
$86,973.59
|
$2.18
|
$33,791.68
|
$16,892.48
|
2026-03-31
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
18
|
18
|
—
|
$86,522.63
|
$2.37
|
$36,537.94
|
$18,265.33
|
2026-03-31
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
18
|
18
|
—
|
$86,494.74
|
$2.49
|
$38,283.02
|
$19,137.70
|
2026-03-31
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
18
|
18
|
—
|
$84,408.34
|
$5.09
|
$75,672.22
|
$37,828.58
|
2026-03-31
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
16
|
16
|
—
|
$83,677.39
|
$4.64
|
$69,222.63
|
$34,256.59
|
2026-03-31
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
18
|
18
|
—
|
$83,014.18
|
$5.05
|
$75,084.13
|
$48,734.24
|
2026-03-31
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
18
|
18
|
—
|
$82,432.20
|
$4.57
|
$68,239.08
|
$34,112.75
|
2026-03-31
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
18
|
18
|
—
|
$81,477.70
|
$2.93
|
$44,545.90
|
$25,747.58
|
2026-03-31
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
18
|
18
|
—
|
$81,005.31
|
$2.51
|
$38,503.54
|
$19,247.94
|
2026-03-31
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
18
|
18
|
—
|
$80,504.09
|
$2.83
|
$43,100.75
|
$21,546.08
|
2026-03-31
|
|
23472
|
CPT
|
Pr Arthroplasty Glenohumeral Joint Total Shoulder
|
101
|
100
|
—
|
$80,457.72
|
$5,817.59
|
$33,880.50
|
$17,913.59
|
2026-03-31
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
18
|
18
|
—
|
$80,276.16
|
$5.04
|
$74,954.77
|
$37,469.93
|
2026-03-31
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
18
|
18
|
—
|
$80,175.63
|
$2.15
|
$33,350.62
|
$16,671.99
|
2026-03-31
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
18
|
18
|
—
|
$80,037.48
|
$3.00
|
$45,588.25
|
$22,789.59
|
2026-03-31
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
18
|
18
|
—
|
$79,329.27
|
$2.22
|
$34,359.16
|
$17,176.16
|
2026-03-31
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
18
|
18
|
—
|
$78,818.11
|
$2.97
|
$45,164.88
|
$22,577.94
|
2026-03-31
|
|
J9118
|
HCPCS
|
Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution
|
27
|
25
|
$77,352.35
|
$77,352.35
|
$18,177.80
|
$77,352.35
|
$69,075.65
|
2026-03-31
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
18
|
18
|
—
|
$74,451.31
|
$3.08
|
$46,701.18
|
$23,345.94
|
2026-03-31
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
18
|
18
|
—
|
$74,016.72
|
$2.18
|
$33,832.82
|
$16,913.04
|
2026-03-31
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
18
|
18
|
—
|
$73,918.14
|
$2.16
|
$33,482.94
|
$17,716.47
|
2026-03-31
|
|
J9229
|
HCPCS
|
Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln
|
102
|
99
|
$73,182.85
|
$73,182.85
|
$2,514.57
|
$73,182.85
|
$26,573.31
|
2026-03-31
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
15
|
15
|
—
|
$72,078.77
|
$3.51
|
$52,902.34
|
$34,175.96
|
2026-03-31
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
18
|
18
|
—
|
$71,449.52
|
$2.32
|
$35,805.82
|
$17,899.35
|
2026-03-31
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
18
|
18
|
—
|
$71,290.10
|
$2.45
|
$37,592.05
|
$18,792.28
|
2026-03-31
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
18
|
18
|
—
|
$71,184.49
|
$4.79
|
$71,326.44
|
$35,656.12
|
2026-03-31
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
18
|
18
|
—
|
$71,151.20
|
$2.38
|
$36,705.55
|
$18,349.12
|
2026-03-31
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
16
|
16
|
—
|
$70,672.75
|
$3.75
|
$56,327.82
|
$27,875.26
|
2026-03-31
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
18
|
18
|
—
|
$70,303.46
|
$2.43
|
$37,433.28
|
$18,712.92
|
2026-03-31
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
18
|
18
|
—
|
$69,923.17
|
$3.50
|
$52,752.35
|
$26,370.93
|
2026-03-31
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
18
|
18
|
—
|
$69,307.51
|
$2.91
|
$44,256.30
|
$22,123.75
|
2026-03-31
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
18
|
18
|
—
|
$68,974.21
|
$2.14
|
$33,141.86
|
$17,059.01
|
2026-03-31
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
18
|
18
|
—
|
$67,650.15
|
$3.80
|
$57,139.34
|
$28,563.99
|
2026-03-31
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
18
|
18
|
—
|
$67,388.91
|
$2.12
|
$32,900.77
|
$16,447.11
|
2026-03-31
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
18
|
18
|
—
|
$67,323.64
|
$2.80
|
$42,749.38
|
$21,370.43
|
2026-03-31
|
|
33264
|
CPT
|
Pr Removal/Replacement Implantable Defibrillator Pg W/Lead Mult Lead System
|
113
|
111
|
$100,829.00
|
$65,538.85
35% off
|
$4,604.83
|
$100,829.00
|
$32,068.73
|
2026-03-31
|
|
33249
|
CPT
|
Pr Insertion/Replacement Implantable Defibrillator W/Lead Sgl/Dual Chamber
|
113
|
111
|
$100,829.00
|
$65,538.85
35% off
|
$7,718.02
|
$100,829.00
|
$32,068.73
|
2026-03-31
|
|
J7330
|
HCPCS
|
Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes
|
35
|
33
|
$100,420.54
|
$65,273.35
35% off
|
$20,084.11
|
$100,420.54
|
$71,298.58
|
2026-03-31
|
|
J2350
|
HCPCS
|
Ocrelizumab 30 Mg/ml Intravenous Solution
|
30
|
28
|
$65,142.90
|
$65,142.90
|
$62.03
|
$65,142.90
|
$58,172.61
|
2026-03-31
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
16
|
16
|
—
|
$64,955.81
|
$3.84
|
$57,671.52
|
$37,708.85
|
2026-03-31
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
18
|
18
|
—
|
$63,950.56
|
$2.44
|
$37,558.24
|
$18,775.39
|
2026-03-31
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
18
|
18
|
—
|
$63,749.15
|
$3.09
|
$46,942.26
|
$23,466.46
|
2026-03-31
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
18
|
18
|
—
|
$63,555.05
|
$2.59
|
$39,634.10
|
$19,813.10
|
2026-03-31
|
|
C2616
|
HCPCS
|
Brachy Source Yttrium-90
|
139
|
109
|
$60,990.00
|
$60,990.00
|
$11.75
|
$60,990.00
|
$17,771.01
|
2026-03-31
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
18
|
18
|
—
|
$60,545.40
|
$2.80
|
$42,759.65
|
$21,375.57
|
2026-03-31
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
18
|
18
|
—
|
$60,066.77
|
$2.17
|
$33,677.01
|
$18,789.50
|
2026-03-31
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
18
|
18
|
—
|
$57,145.68
|
$6.06
|
$89,728.43
|
$44,855.29
|
2026-03-31
|
|
J9333
|
HCPCS
|
Rozanolixizumab-noli 140 Mg/ml Subcutaneous Solution
|
102
|
99
|
$56,796.70
|
$56,796.70
|
$22.32
|
$56,796.70
|
$21,294.00
|
2026-03-31
|
|
SUP-962194
|
CDM
|
Power Cntrl/ 5 Ellipsys Vas Caths
|
27
|
25
|
$87,239.25
|
$56,705.51
35% off
|
$20,501.22
|
$87,239.25
|
$77,904.65
|
2026-03-31
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
16
|
16
|
—
|
$55,823.00
|
$6.56
|
$96,949.92
|
$47,978.15
|
2026-03-31
|
|
A9543
|
HCPCS
|
Yttrium Y-90 Ibritumomab Ther
|
99
|
96
|
$55,035.00
|
$55,035.00
|
$12,933.23
|
$114,217.34
|
$66,804.65
|
2026-03-31
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
18
|
18
|
—
|
$54,814.64
|
$2.22
|
$34,381.23
|
$17,187.19
|
2026-03-31
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
16
|
16
|
—
|
$54,723.65
|
$2.34
|
$36,088.06
|
$17,859.11
|
2026-03-31
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
18
|
18
|
—
|
$54,132.08
|
$3.18
|
$48,140.46
|
$24,065.44
|
2026-03-31
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
18
|
18
|
—
|
$53,614.51
|
$3.30
|
$49,960.50
|
$24,975.28
|
2026-03-31
|
|
55
|
MS_DRG
|
Nervous System Neoplasms Without Mcc
|
13
|
13
|
—
|
$51,893.00
|
$17,383.18
|
$35,653.26
|
$18,092.70
|
2026-03-31
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
18
|
18
|
—
|
$51,269.80
|
$2.24
|
$34,673.77
|
$17,333.43
|
2026-03-31
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
18
|
18
|
—
|
$51,196.95
|
$2.16
|
$33,478.56
|
$18,021.26
|
2026-03-31
|
|
SUP-878598
|
CDM
|
Device Impella 5.5 Smartassist
|
27
|
25
|
$77,355.00
|
$50,280.75
35% off
|
$18,178.43
|
$77,355.00
|
$69,078.02
|
2026-03-31
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
16
|
16
|
—
|
$50,051.51
|
$3.50
|
$52,752.35
|
$26,105.85
|
2026-03-31
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
18
|
18
|
—
|
$47,543.48
|
$2.33
|
$35,892.55
|
$17,942.71
|
2026-03-31
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
18
|
18
|
—
|
$46,991.48
|
$3.41
|
$51,461.55
|
$25,725.65
|
2026-03-31
|
|
945
|
MS_DRG
|
Rehabilitation With Cc/mcc
|
13
|
13
|
—
|
$45,871.15
|
$23,585.99
|
$48,375.35
|
$24,548.69
|
2026-03-31
|
|
J9345
|
HCPCS
|
Retifanlimab-dlwr 500 Mg/20 Ml Intravenous Solution
|
102
|
99
|
$45,114.00
|
$45,114.00
|
$29.43
|
$45,114.00
|
$16,405.00
|
2026-03-31
|
|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
16
|
16
|
—
|
$44,885.05
|
$8,603.84
|
$24,513.12
|
$19,839.81
|
2026-03-31
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
18
|
18
|
—
|
$44,404.11
|
$2.26
|
$34,881.06
|
$17,437.06
|
2026-03-31
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
18
|
18
|
—
|
$44,199.94
|
$3.56
|
$53,619.77
|
$26,804.55
|
2026-03-31
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
16
|
16
|
—
|
$43,880.61
|
$3.63
|
$54,675.34
|
$29,299.10
|
2026-03-31
|
|
SUP-977545
|
CDM
|
Kit Triclip G4 Sys W/any 3 Clips
|
27
|
25
|
$67,041.00
|
$43,576.65
35% off
|
$15,754.64
|
$67,041.00
|
$59,867.61
|
2026-03-31
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
16
|
16
|
—
|
$43,493.91
|
$2.13
|
$33,091.88
|
$16,376.36
|
2026-03-31
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
18
|
18
|
—
|
$42,835.25
|
$3.21
|
$48,652.09
|
$24,401.35
|
2026-03-31
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
16
|
16
|
—
|
$41,781.57
|
$2.59
|
$39,704.66
|
$19,648.86
|
2026-03-31
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
18
|
18
|
—
|
$41,084.25
|
$2.63
|
$40,267.74
|
$20,129.86
|
2026-03-31
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
13
|
13
|
—
|
$40,311.20
|
$18,104.02
|
$37,131.71
|
$18,842.96
|
2026-03-31
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
18
|
18
|
—
|
$40,146.44
|
$2.57
|
$39,456.22
|
$19,724.18
|
2026-03-31
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
18
|
18
|
—
|
$38,734.93
|
$2.51
|
$38,493.25
|
$19,242.79
|
2026-03-31
|
|
SUP-943847
|
CDM
|
Valve Sapien Thv Edwards Resilia 23mm
|
27
|
25
|
$58,446.00
|
$37,989.90
35% off
|
$13,734.81
|
$58,446.00
|
$52,192.28
|
2026-03-31
|
|
SUP-775386
|
CDM
|
Implant Gammatile Therapy Device 6pk
|
27
|
25
|
$58,308.48
|
$37,900.51
35% off
|
$13,702.49
|
$58,308.48
|
$52,069.47
|
2026-03-31
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
18
|
18
|
—
|
$37,584.60
|
$3.68
|
$55,448.66
|
$27,718.81
|
2026-03-31
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
13
|
13
|
—
|
$37,286.80
|
$17,122.82
|
$35,119.26
|
$17,821.72
|
2026-03-31
|
|
93656
|
CPT
|
Pr Eval Electrophysiologic Comprehensive Transeptal Cath
|
113
|
111
|
$56,936.00
|
$37,008.40
35% off
|
$4,383.96
|
$56,936.00
|
$26,703.99
|
2026-03-31
|
|
93654
|
CPT
|
Pr Eval Electrophysiologic W/Ins Multi Electrode & Vt Abltn Tx Tachycardia
|
113
|
111
|
$56,936.00
|
$37,008.40
35% off
|
$4,659.72
|
$56,936.00
|
$26,703.99
|
2026-03-31
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
18
|
18
|
—
|
$36,536.43
|
$2.23
|
$34,435.62
|
$17,214.39
|
2026-03-31
|
|
92930
|
CPT
|
Hc Placement Transcath Perc Stent(S) Intracoronary W/Angioplasty When Performed …
|
110
|
108
|
$56,186.00
|
$36,520.90
35% off
|
$13,203.71
|
$56,186.00
|
$18,728.69
|
2026-03-31
|
|
37290
|
CPT
|
Hc Revascularization Endovascular Tibial&Pero Terr W/Transluminal Ath Uni Comple…
|
109
|
95
|
$56,184.00
|
$36,519.60
35% off
|
$13,203.24
|
$84,276.00
|
$18,728.69
|
2026-03-31
|
|
37288
|
CPT
|
Hc Revascularization Endovascular Tibial&Pero Terr W/Transluminal Ath Uni Strght…
|
109
|
95
|
$56,184.00
|
$36,519.60
35% off
|
$13,203.24
|
$84,276.00
|
$18,728.69
|
2026-03-31
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
18
|
18
|
—
|
$36,439.55
|
$2.75
|
$42,005.48
|
$20,998.56
|
2026-03-31
|
|
SUP-220542
|
CDM
|
Valve Sapien 3 Thv 20mm W/command System
|
27
|
25
|
$55,867.50
|
$36,313.87
35% off
|
$13,128.86
|
$55,867.50
|
$49,889.68
|
2026-03-31
|
|
SUP-775558
|
CDM
|
Intrdcr Lotus 23 Edge
|
27
|
25
|
$55,867.50
|
$36,313.87
35% off
|
$13,128.86
|
$55,867.50
|
$49,889.68
|
2026-03-31
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
16
|
16
|
—
|
$35,587.44
|
$5.38
|
$79,919.51
|
$39,550.22
|
2026-03-31
|
|
SUP-960412
|
CDM
|
Cage Capri Cerv Expand Corp W/set Screw 12x14mm 32-46mm 0deg
|
27
|
25
|
$54,287.74
|
$35,287.03
35% off
|
$12,757.62
|
$54,287.74
|
$48,478.95
|
2026-03-31
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
18
|
18
|
—
|
$34,731.48
|
$4.14
|
$62,023.21
|
$31,005.43
|
2026-03-31
|
|
SUP-956570
|
CDM
|
Pascal Precision System Mitral
|
27
|
25
|
$52,601.40
|
$34,190.91
35% off
|
$12,361.33
|
$52,601.40
|
$46,973.05
|
2026-03-31
|
|
SUP-977299
|
CDM
|
Heart Aortic Evolut Fx+ 29mm
|
27
|
25
|
$52,236.11
|
$33,953.47
35% off
|
$12,275.49
|
$52,236.11
|
$46,646.85
|
2026-03-31
|
|
SUP-977300
|
CDM
|
Heart Aortic Evolut Fx+ 34mm
|
27
|
25
|
$52,098.92
|
$33,864.30
35% off
|
$12,243.25
|
$52,098.92
|
$46,524.34
|
2026-03-31
|
|
SUP-977297
|
CDM
|
Heart Aortic Evolut Fx+ 23mm
|
27
|
25
|
$52,095.62
|
$33,862.15
35% off
|
$12,242.47
|
$52,095.62
|
$46,521.39
|
2026-03-31
|
|
J9144
|
HCPCS
|
Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln
|
30
|
28
|
$33,713.70
|
$33,713.70
|
$52.34
|
$33,713.70
|
$30,106.33
|
2026-03-31
|
|
SUP-977298
|
CDM
|
Heart Aortic Evolut Fx+ 26mm
|
27
|
25
|
$51,643.68
|
$33,568.39
35% off
|
$12,136.26
|
$51,643.68
|
$46,117.81
|
2026-03-31
|
|
SUP-748688
|
CDM
|
Kit Mitraclip 1 Mbr0101
|
27
|
25
|
$51,570.00
|
$33,520.50
35% off
|
$12,118.95
|
$51,570.00
|
$46,052.01
|
2026-03-31
|
|
SUP-220532
|
CDM
|
Valve Aort 23mm Evolutr
|
27
|
25
|
$51,570.00
|
$33,520.50
35% off
|
$12,118.95
|
$51,570.00
|
$46,052.01
|
2026-03-31
|
|
SUP-232785
|
CDM
|
Valve Aort 23mm Pro Perc
|
27
|
25
|
$51,570.00
|
$33,520.50
35% off
|
$12,118.95
|
$51,570.00
|
$46,052.01
|
2026-03-31
|
|
C1825
|
HCPCS
|
Generator Stim Baroreceptor Neo Legacy Implant Pulse
|
54
|
25
|
$51,247.69
|
$33,311.00
35% off
|
$10,503.09
|
$57,801.38
|
$39,911.74
|
2026-03-31
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
18
|
18
|
—
|
$32,596.64
|
$4.29
|
$64,119.64
|
$32,053.44
|
2026-03-31
|
|
36906
|
CPT
|
Hc Thrombectomy Mechanical Percutaneous Dialysis Circuit With Diag Angiography W/s…
|
113
|
111
|
$49,685.00
|
$32,295.25
35% off
|
$7,718.02
|
$49,685.00
|
$18,728.69
|
2026-03-31
|
|
SUP-968130
|
CDM
|
Implant Bear
|
27
|
25
|
$49,470.57
|
$32,155.87
35% off
|
$11,625.58
|
$49,470.57
|
$44,177.22
|
2026-03-31
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
18
|
18
|
—
|
$31,916.02
|
$2.60
|
$39,882.56
|
$19,937.31
|
2026-03-31
|
|
SUP-211836
|
CDM
|
Cath Impella Ld
|
27
|
25
|
$48,132.00
|
$31,285.80
35% off
|
$11,311.02
|
$48,132.00
|
$42,981.88
|
2026-03-31
|
|
SUP-787598
|
CDM
|
Implant Gammatile Therapy Device 4pk
|
27
|
25
|
$47,375.64
|
$30,794.17
35% off
|
$11,133.28
|
$47,375.64
|
$42,306.45
|
2026-03-31
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
18
|
18
|
—
|
$30,450.50
|
$3.92
|
$58,793.26
|
$29,390.78
|
2026-03-31
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
18
|
18
|
—
|
$28,689.13
|
$3.52
|
$53,137.57
|
$26,563.50
|
2026-03-31
|
|
SUP-937190
|
CDM
|
Generator 16 Channel Octrode Ipg
|
27
|
25
|
$44,024.57
|
$28,615.97
35% off
|
$10,345.77
|
$44,024.57
|
$39,313.94
|
2026-03-31
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
18
|
18
|
—
|
$28,536.90
|
$2.53
|
$38,834.35
|
$19,413.31
|
2026-03-31
|
|
SUP-777716
|
CDM
|
Synergraft Pulm Valve + Condui
|
27
|
25
|
$43,404.75
|
$28,213.09
35% off
|
$10,200.12
|
$43,404.75
|
$38,760.44
|
2026-03-31
|
|
SUP-976016
|
CDM
|
Limflow System Arterial Catheter
|
27
|
25
|
$42,975.00
|
$27,933.75
35% off
|
$10,099.13
|
$42,975.00
|
$38,376.68
|
2026-03-31
|
|
SUP-382358
|
CDM
|
Set Pump Impella Cp
|
27
|
25
|
$42,975.00
|
$27,933.75
35% off
|
$10,099.13
|
$42,975.00
|
$38,376.68
|
2026-03-31
|
|
SUP-962396
|
CDM
|
System Cap Setour Torus Stent Grafts
|
27
|
25
|
$42,975.00
|
$27,933.75
35% off
|
$10,099.13
|
$42,975.00
|
$38,376.68
|
2026-03-31
|
|
SUP-775387
|
CDM
|
Implant Gammatile Therapy Device 3pk
|
27
|
25
|
$42,975.00
|
$27,933.75
35% off
|
$10,099.13
|
$42,975.00
|
$38,376.68
|
2026-03-31
|
|
J9228
|
HCPCS
|
Ipilimumab 5 Mg/ml Intravenous Solution (wrapper)
|
188
|
99
|
$27,707.50
|
$27,707.50
|
$172.83
|
$110,829.85
|
$19,672.33
|
2026-03-31
|
|
C1824
|
HCPCS
|
Kit Ipg Optimizer Smart
|
54
|
25
|
$42,115.50
|
$27,375.07
35% off
|
$9,291.20
|
$44,694.00
|
$35,306.54
|
2026-03-31
|
|
SUP-976262
|
CDM
|
System Optimizer Heart Pulse Strl
|
27
|
25
|
$42,115.50
|
$27,375.07
35% off
|
$9,897.14
|
$42,115.50
|
$37,609.14
|
2026-03-31
|
|
SUP-975298
|
CDM
|
System Eternal Penta With Paddle Lead
|
27
|
25
|
$41,565.42
|
$27,017.52
35% off
|
$9,767.87
|
$41,565.42
|
$37,117.92
|
2026-03-31
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
18
|
18
|
—
|
$26,894.79
|
$2.50
|
$38,443.28
|
$19,217.82
|
2026-03-31
|
|
SUP-972645
|
CDM
|
Valve Heart Navitor Radiopaque Marker 35mm
|
27
|
25
|
$41,256.00
|
$26,816.40
35% off
|
$9,695.16
|
$41,256.00
|
$36,841.61
|
2026-03-31
|
|
SUP-972642
|
CDM
|
Valve Heart Navitor Radiopaque Marker 25mm
|
27
|
25
|
$41,256.00
|
$26,816.40
35% off
|
$9,695.16
|
$41,256.00
|
$36,841.61
|
2026-03-31
|
|
C1822
|
HCPCS
|
Kit Hfx Iq Ipg Bundle
|
81
|
25
|
$40,833.13
|
$26,541.53
35% off
|
$9,204.34
|
$44,694.00
|
$34,976.51
|
2026-03-31
|
|
SUP-970723
|
CDM
|
Set Pump Cath Sys Rp Flex W/smart Assist
|
27
|
25
|
$40,828.05
|
$26,538.23
35% off
|
$9,594.59
|
$40,828.05
|
$36,459.45
|
2026-03-31
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
18
|
18
|
—
|
$26,468.40
|
$2.37
|
$36,502.67
|
$20,402.94
|
2026-03-31
|
|
SUP-972644
|
CDM
|
Valve Heart Navitor Radiopaque Marker 29mm
|
27
|
25
|
$40,568.40
|
$26,369.46
35% off
|
$9,533.57
|
$40,568.40
|
$36,227.58
|
2026-03-31
|
|
SUP-972643
|
CDM
|
Valve Heart Navitor Radiopaque Marker 27mm
|
27
|
25
|
$40,396.50
|
$26,257.72
35% off
|
$9,493.18
|
$40,396.50
|
$36,074.07
|
2026-03-31
|
|
93653
|
CPT
|
Pr Evaluation Electrophysiologic W/Ins Multi Electrode & Svt Ablation
|
113
|
111
|
$39,514.00
|
$25,684.10
35% off
|
$3,866.30
|
$50,506.05
|
$26,703.99
|
2026-03-31
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
18
|
18
|
—
|
$25,203.35
|
$2.25
|
$34,809.00
|
$17,401.03
|
2026-03-31
|
|
SUP-937176
|
CDM
|
Generator Implantable Proclaim 5
|
27
|
25
|
$38,466.06
|
$25,002.94
35% off
|
$9,039.52
|
$38,466.06
|
$34,350.19
|
2026-03-31
|
|
92945
|
CPT
|
Hc Revascularization Trnslmnl Perc Chronic Total Occlusion Coronary Art Combined…
|
25
|
24
|
$35,382.00
|
$22,998.30
35% off
|
$8,314.77
|
$35,382.00
|
$31,596.13
|
2026-03-31
|
|
J2356
|
HCPCS
|
Tezepelumab-ekko 210 Mg/1.91 Ml (110 Mg/ml) Subcutaneous Syringe
|
30
|
28
|
$22,937.05
|
$22,937.05
|
$18.16
|
$22,937.05
|
$20,482.79
|
2026-03-31
|
|
SUP-937183
|
CDM
|
Proclaim Plus 7 Ipg Iphone Patient Controller
|
27
|
25
|
$34,755.31
|
$22,590.95
35% off
|
$8,167.50
|
$34,755.31
|
$31,036.49
|
2026-03-31
|
|
SUP-211834
|
CDM
|
Set Pump Impella 2.5 Aic
|
27
|
25
|
$34,380.00
|
$22,347.00
35% off
|
$8,079.30
|
$34,380.00
|
$30,701.34
|
2026-03-31
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
18
|
18
|
—
|
$21,972.20
|
$2.13
|
$33,005.14
|
$16,499.28
|
2026-03-31
|
|
SUP-548505
|
CDM
|
System Mntr Heartmate Ii
|
27
|
25
|
$32,858.69
|
$21,358.15
35% off
|
$7,721.79
|
$32,858.69
|
$29,342.81
|
2026-03-31
|
|
47384
|
CPT
|
Hc Ablation Irreversible Electroporation Liver Tumor(S) Percutaneous W/Imaging G…
|
12
|
11
|
$32,580.00
|
$21,177.00
35% off
|
$7,656.30
|
$32,580.00
|
$23,131.80
|
2026-03-31
|
|
C9606
|
CPT
|
Hc Revascularization Acute/Total/Subtotal To Ami/Drug Eluting Coronary Stent Per…
|
25
|
24
|
$32,461.00
|
$21,099.65
35% off
|
$7,628.34
|
$32,461.00
|
$28,987.67
|
2026-03-31
|
|
92933
|
CPT
|
Pr Atherectomy Coronary With Stent Artery/Branch W Angioplasty
|
113
|
111
|
$31,483.00
|
$20,463.95
35% off
|
$3,008.46
|
$35,422.13
|
$18,728.69
|
2026-03-31
|
|
SUP-756496
|
CDM
|
Stent Graft Confrm Thor 34x34x15 22f
|
27
|
25
|
$31,440.51
|
$20,436.33
35% off
|
$7,388.52
|
$31,440.51
|
$28,076.38
|
2026-03-31
|
|
SUP-215756
|
CDM
|
Stent Graft Prox 46x46x200mm Valiant Captivia Free Flo Str
|
27
|
25
|
$31,364.87
|
$20,387.17
35% off
|
$7,370.74
|
$31,364.87
|
$28,008.83
|
2026-03-31
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
18
|
18
|
—
|
$20,375.06
|
$2.39
|
$36,730.54
|
$18,361.61
|
2026-03-31
|
|
SUP-122716
|
CDM
|
Set Bvs Bld Pump 32f
|
27
|
25
|
$30,942.00
|
$20,112.30
35% off
|
$7,271.37
|
$30,942.00
|
$27,631.21
|
2026-03-31
|
|
SUP-751994
|
CDM
|
Stent Valiant Navion Vnmc3434c182tu Coveredseal 175mm
|
27
|
25
|
$30,934.26
|
$20,107.27
35% off
|
$7,269.55
|
$30,934.26
|
$27,624.29
|
2026-03-31
|
|
SUP-215747
|
CDM
|
Stent Graft Prox 40x40x200mm Valiant Captivia Free Flo Str
|
27
|
25
|
$30,762.79
|
$19,995.81
35% off
|
$7,229.26
|
$30,762.79
|
$27,471.17
|
2026-03-31
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
18
|
18
|
—
|
$19,681.45
|
$2.79
|
$42,540.65
|
$21,266.09
|
2026-03-31
|
|
SUP-215703
|
CDM
|
Stent Graft Closed 38x38x200mm Web Strght Valiant Captivia
|
27
|
25
|
$30,158.14
|
$19,602.79
35% off
|
$7,087.16
|
$30,158.14
|
$26,931.22
|
2026-03-31
|
|
SUP-381140
|
CDM
|
Stent Graft Prox 38x38x150mm
|
27
|
25
|
$29,755.89
|
$19,341.33
35% off
|
$6,992.63
|
$29,755.89
|
$26,572.01
|
2026-03-31
|
|
C2624
|
HCPCS
|
System Cardiomems Hosp Electronics
|
108
|
25
|
$29,723.62
|
$19,320.35
35% off
|
$3,716.89
|
$36,958.50
|
$25,170.46
|
2026-03-31
|
|
SUP-905476
|
CDM
|
Plug Cardiac Amulet Amplatzer 28mm
|
27
|
25
|
$29,676.82
|
$19,289.93
35% off
|
$6,974.05
|
$29,676.82
|
$26,501.40
|
2026-03-31
|
|
SUP-962229
|
CDM
|
Device Watchman Flx Pro Procedure
|
27
|
25
|
$29,626.97
|
$19,257.53
35% off
|
$6,962.34
|
$29,626.97
|
$26,456.88
|
2026-03-31
|
|
SUP-215742
|
CDM
|
Stent Graft Prox 36x36x150mm Valiant Captivia Free Flo Str
|
27
|
25
|
$29,470.33
|
$19,155.71
35% off
|
$6,925.53
|
$29,470.33
|
$26,317.00
|
2026-03-31
|
|
SUP-973139
|
CDM
|
Kit Freedom Pns Receiver W/tnes 1 Channel
|
27
|
25
|
$29,223.00
|
$18,994.95
35% off
|
$6,867.41
|
$29,223.00
|
$26,096.14
|
2026-03-31
|
|
SUP-962231
|
CDM
|
Device Clsur Watchman Flx Pro Laa 20mm
|
27
|
25
|
$29,223.00
|
$18,994.95
35% off
|
$6,867.41
|
$29,223.00
|
$26,096.14
|
2026-03-31
|
|
SUP-215718
|
CDM
|
Stent Graft Closed 44x44x200mm Web Strght Valiant Captivia
|
27
|
25
|
$29,000.39
|
$18,850.25
35% off
|
$6,815.09
|
$29,000.39
|
$25,897.35
|
2026-03-31
|
|
SUP-215746
|
CDM
|
Stent Graft Prox 40x40x150mm Valiant Captivia Free Flo Str
|
27
|
25
|
$28,613.61
|
$18,598.85
35% off
|
$6,724.20
|
$28,613.61
|
$25,551.95
|
2026-03-31
|
|
C1820
|
HCPCS
|
Adaptive Stim Implantable Neurostimulator
|
864
|
25
|
$27,730.05
|
$18,024.53
35% off
|
$15.84
|
$45,975.98
|
$21,068.95
|
2026-03-31
|
|
PX-36000000026
|
CDM
|
Hc Or Level Vi Initial 15 Minutes
|
12
|
11
|
$27,561.00
|
$17,914.65
35% off
|
$6,476.84
|
$27,561.00
|
$19,568.31
|
2026-03-31
|
|
C1735
|
HCPCS
|
Cath Symplicity Spyral
|
27
|
25
|
$27,504.00
|
$17,877.60
35% off
|
$6,463.44
|
$27,504.00
|
$24,561.07
|
2026-03-31
|
|
SUP-215670
|
CDM
|
Stent Graft Closed 24x24x150mm Web Strght Valiant Captivia
|
27
|
25
|
$27,453.29
|
$17,844.64
35% off
|
$6,451.52
|
$27,453.29
|
$24,515.79
|
2026-03-31
|
|
SUP-381139
|
CDM
|
Stent Graft Prox 40x40x100mm Valiant Captivia Free Flo Str
|
27
|
25
|
$27,342.41
|
$17,772.57
35% off
|
$6,425.47
|
$27,342.41
|
$24,416.77
|
2026-03-31
|
|
SUP-960332
|
CDM
|
Prolift Pl Expandable Interbody 8x28x8-13 Mm 7deg
|
27
|
25
|
$27,172.23
|
$17,661.95
35% off
|
$6,385.47
|
$27,172.23
|
$24,264.80
|
2026-03-31
|
|
SUP-969166
|
CDM
|
Coil Web Sgl Layer 6x2mm
|
27
|
25
|
$26,937.16
|
$17,509.15
35% off
|
$6,330.23
|
$26,937.16
|
$24,054.88
|
2026-03-31
|
|
SUP-137567
|
CDM
|
Connect Perf Y 1/2x3/8x3/8in Unequal
|
27
|
25
|
$26,866.27
|
$17,463.08
35% off
|
$6,313.57
|
$26,866.27
|
$23,991.58
|
2026-03-31
|
|
SUP-973913
|
CDM
|
Stent Ped3-027-550-50 V03 Vantage
|
27
|
25
|
$26,665.13
|
$17,332.33
35% off
|
$6,266.31
|
$26,665.13
|
$23,811.96
|
2026-03-31
|
|
SUP-973905
|
CDM
|
Stent Ped3-027-450-25 V03 Vantage
|
27
|
25
|
$26,665.13
|
$17,332.33
35% off
|
$6,266.31
|
$26,665.13
|
$23,811.96
|
2026-03-31
|
|
37299
|
CPT
|
Hc Revascularization Endovascular Inframall Terr W/Transluminal Angp Uni Cplx Le…
|
12
|
11
|
$26,538.00
|
$17,249.70
35% off
|
$6,236.43
|
$26,538.00
|
$18,841.98
|
2026-03-31
|
|
SUP-977301
|
CDM
|
Pump Infuse 3000 Hepatic Artery 30ml Codman It Implant
|
27
|
25
|
$26,454.55
|
$17,195.46
35% off
|
$6,216.82
|
$26,454.55
|
$23,623.91
|
2026-03-31
|
|
L8614
|
HCPCS
|
Dornhoffer Fixed Part W/window
|
297
|
25
|
$26,307.58
|
$17,099.93
35% off
|
$322.40
|
$31,736.18
|
$20,021.30
|
2026-03-31
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
18
|
18
|
—
|
$16,898.68
|
$4.25
|
$63,649.22
|
$31,818.28
|
2026-03-31
|
|
SUP-402362
|
CDM
|
Graft Bn Canc Crsh Frzdr 30ml
|
27
|
25
|
$25,812.47
|
$16,778.11
35% off
|
$6,065.93
|
$25,812.47
|
$23,050.54
|
2026-03-31
|
|
SUP-831750
|
CDM
|
Centrifuge Angel US
|
27
|
25
|
$25,785.00
|
$16,760.25
35% off
|
$6,059.48
|
$25,785.00
|
$23,026.01
|
2026-03-31
|
|
SUP-870892
|
CDM
|
Conduit Konect Resilia Aortic Vlv 21mm
|
27
|
25
|
$25,785.00
|
$16,760.25
35% off
|
$6,059.48
|
$25,785.00
|
$23,026.01
|
2026-03-31
|
|
SUP-970766
|
CDM
|
Set Tubing Cardiovasc Proc Kit Bld Syst Vein 50-70cm
|
27
|
25
|
$25,779.41
|
$16,756.62
35% off
|
$6,058.16
|
$25,779.41
|
$23,021.01
|
2026-03-31
|
|
SUP-970768
|
CDM
|
Vein Saphns 85cm Or Greater A B Ab O Bld Type
|
27
|
25
|
$25,779.41
|
$16,756.62
35% off
|
$6,058.16
|
$25,779.41
|
$23,021.01
|
2026-03-31
|
|
SUP-754168
|
CDM
|
Coil Web Sngl Layer 4x3
|
27
|
25
|
$25,699.05
|
$16,704.38
35% off
|
$6,039.28
|
$25,699.05
|
$22,949.25
|
2026-03-31
|
|
C1882
|
HCPCS
|
Defib Icd Bi Vent Gallant Hr Crt D
|
675
|
25
|
$25,638.95
|
$16,665.32
35% off
|
$38.25
|
$42,975.00
|
$21,586.11
|
2026-03-31
|
|
SUP-901208
|
CDM
|
Set Circuit Adv Hls Beq-hls 7050 7.0
|
27
|
25
|
$25,584.17
|
$16,629.71
35% off
|
$6,012.28
|
$25,584.17
|
$22,846.66
|
2026-03-31
|
|
SUP-755515
|
CDM
|
Coil Pulserider T Shp 3.5-4.5mm 10.6mm Arch Wdth
|
27
|
25
|
$25,523.13
|
$16,590.03
35% off
|
$5,997.94
|
$25,523.13
|
$22,792.16
|
2026-03-31
|
|
SUP-226164
|
CDM
|
Vale Heart Intuity Elite 19mm
|
27
|
25
|
$25,260.00
|
$16,419.00
35% off
|
$5,936.10
|
$25,260.00
|
$22,557.18
|
2026-03-31
|
|
SUP-226165
|
CDM
|
Vale Heart Intuity Elite 21mm
|
27
|
25
|
$25,260.00
|
$16,419.00
35% off
|
$5,936.10
|
$25,260.00
|
$22,557.18
|
2026-03-31
|
|
SUP-960431
|
CDM
|
Cage Spinal 5mm 3deg Lg Ti Interbody Syst Cerv Lordotic
|
27
|
25
|
$24,925.50
|
$16,201.57
35% off
|
$5,857.49
|
$24,925.50
|
$22,258.47
|
2026-03-31
|
|
SUP-973944
|
CDM
|
Stent Ped3-027-450-16 V03 Vantage
|
27
|
25
|
$24,873.93
|
$16,168.05
35% off
|
$5,845.37
|
$24,873.93
|
$22,212.42
|
2026-03-31
|
|
SUP-973920
|
CDM
|
Stent Ped3-021-250-16 V03 Vantage
|
27
|
25
|
$24,873.93
|
$16,168.05
35% off
|
$5,845.37
|
$24,873.93
|
$22,212.42
|
2026-03-31
|
|
SUP-224095
|
CDM
|
Valve Aortic Heart 16mm Cryopreserved
|
27
|
25
|
$24,456.94
|
$15,897.01
35% off
|
$5,747.38
|
$24,456.94
|
$21,840.05
|
2026-03-31
|
|
SUP-754185
|
CDM
|
Coil Web Sngl Layer 10x5
|
27
|
25
|
$24,414.10
|
$15,869.16
35% off
|
$5,737.31
|
$24,414.10
|
$21,801.79
|
2026-03-31
|
|
SUP-960250
|
CDM
|
Cage Spinal 12x14x6x3.94x8.5mm 0deg Peek Gry Cerv Interbody
|
27
|
25
|
$24,366.83
|
$15,838.44
35% off
|
$5,726.21
|
$24,366.83
|
$21,759.58
|
2026-03-31
|
|
SUP-866893
|
CDM
|
Graft Stent Body Aortic Alto Pma 29mm
|
27
|
25
|
$24,205.40
|
$15,733.51
35% off
|
$5,688.27
|
$24,205.40
|
$21,615.42
|
2026-03-31
|
|
SUP-220772
|
CDM
|
Device Embol 4.25x25 Pipeline
|
27
|
25
|
$24,186.33
|
$15,721.11
35% off
|
$5,683.79
|
$24,186.33
|
$21,598.39
|
2026-03-31
|
|
33229
|
CPT
|
Hc Removal/Replacement Ppm Generator Multiple Lead System
|
113
|
111
|
$24,004.00
|
$15,602.60
35% off
|
$4,604.83
|
$37,219.27
|
$19,678.89
|
2026-03-31
|
|
SUP-962780
|
CDM
|
Pack Priming Pre-connected Centrimag Sys Bypass
|
27
|
25
|
$23,155.00
|
$15,050.75
35% off
|
$5,441.43
|
$23,155.00
|
$20,677.42
|
2026-03-31
|
|
SUP-756275
|
CDM
|
Bone Allograft Cartiform 20x25mm Disc
|
27
|
25
|
$23,155.00
|
$15,050.75
35% off
|
$5,441.43
|
$23,155.00
|
$20,677.42
|
2026-03-31
|
|
C1721
|
HCPCS
|
Defib Dev Fortify Dr Df1 Dual Chamber
|
513
|
25
|
$23,118.79
|
$15,027.21
35% off
|
$565.26
|
$30,942.00
|
$19,117.73
|
2026-03-31
|
|
SUP-222235
|
CDM
|
Stent Graft 22-40-13-40mm Afx2 Bifurcated
|
27
|
25
|
$23,049.75
|
$14,982.34
35% off
|
$5,416.69
|
$23,049.75
|
$20,583.43
|
2026-03-31
|
|
SUP-220790
|
CDM
|
Device Embol 4.75x25 Pipeline
|
27
|
25
|
$23,034.60
|
$14,972.49
35% off
|
$5,413.13
|
$23,034.60
|
$20,569.90
|
2026-03-31
|
|
SUP-215833
|
CDM
|
Device Embolization 3x25mm Pipeline Strl
|
27
|
25
|
$23,034.60
|
$14,972.49
35% off
|
$5,413.13
|
$23,034.60
|
$20,569.90
|
2026-03-31
|
|
SUP-224865
|
CDM
|
Device Epi-sense 3cm Guide
|
27
|
25
|
$22,839.25
|
$14,845.51
35% off
|
$5,367.22
|
$22,839.25
|
$20,395.45
|
2026-03-31
|
|
SUP-218240
|
CDM
|
Stent Graft 25-80-20-40mm
|
27
|
25
|
$22,586.65
|
$14,681.32
35% off
|
$5,307.86
|
$22,586.65
|
$20,169.88
|
2026-03-31
|
|
SUP-220733
|
CDM
|
Device Embol 3.25x16 Pipeline
|
27
|
25
|
$22,561.88
|
$14,665.22
35% off
|
$5,302.04
|
$22,561.88
|
$20,147.76
|
2026-03-31
|
|
C1722
|
HCPCS
|
Defib Current Rf Sngl Ch 36 75gx50mlx14mm
|
675
|
25
|
$22,416.15
|
$14,570.50
35% off
|
$176.97
|
$34,380.00
|
$18,213.97
|
2026-03-31
|
|
C1605
|
HCPCS
|
Pacemaker Leadless 19.5f 32.2mm Ra
|
27
|
25
|
$22,352.16
|
$14,528.90
35% off
|
$5,252.76
|
$22,352.16
|
$19,960.48
|
2026-03-31
|
|
SUP-886127
|
CDM
|
Cannula Angiovac 20d Dilator P
|
27
|
25
|
$22,347.00
|
$14,525.55
35% off
|
$5,251.55
|
$22,347.00
|
$19,955.87
|
2026-03-31
|
|
37270
|
CPT
|
Hc Revascularization Endovascular Fem-pop Terr W/Transluminal Stnt Uni Complex L…
|
24
|
11
|
$22,113.50
|
$14,373.78
35% off
|
$4,157.39
|
$26,536.00
|
$16,930.12
|
2026-03-31
|
|
37268
|
CPT
|
Hc Revascularization Endovascular Fem-pop Terr W/Transluminal Stnt Uni Strfwd Le…
|
24
|
11
|
$22,113.50
|
$14,373.78
35% off
|
$4,157.39
|
$26,536.00
|
$16,930.12
|
2026-03-31
|
|
SUP-961973
|
CDM
|
Fee Vte Price Per Procedure Replc Parts
|
27
|
25
|
$22,102.50
|
$14,366.62
35% off
|
$5,194.09
|
$22,102.50
|
$19,737.53
|
2026-03-31
|
|
SUP-224094
|
CDM
|
Valve Aortic Heart 17-21mm Cryopreserved
|
27
|
25
|
$21,882.53
|
$14,223.64
35% off
|
$5,142.39
|
$21,882.53
|
$19,541.10
|
2026-03-31
|
|
SUP-224840
|
CDM
|
Excluder Aort Ibc 23x10x10 Fa
|
27
|
25
|
$21,793.07
|
$14,165.50
35% off
|
$5,121.37
|
$21,793.07
|
$19,461.21
|
2026-03-31
|
|
SUP-960397
|
CDM
|
Cage Spinal 22x8.5x16mm Ti Cx Vertebral Pors Cascadia
|
27
|
25
|
$21,681.75
|
$14,093.14
35% off
|
$5,095.21
|
$21,681.75
|
$19,361.80
|
2026-03-31
|
|
SUP-219341
|
CDM
|
Excluder Aort C3 23x12x16cm
|
27
|
25
|
$21,576.25
|
$14,024.56
35% off
|
$5,070.42
|
$21,576.25
|
$19,267.59
|
2026-03-31
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
18
|
18
|
—
|
$13,990.10
|
$2.14
|
$33,122.75
|
$16,558.08
|
2026-03-31
|
|
SUP-220744
|
CDM
|
Device Embol 3.5x20mm Pipeline
|
27
|
25
|
$21,487.50
|
$13,966.87
35% off
|
$5,049.56
|
$21,487.50
|
$19,188.34
|
2026-03-31
|
|
SUP-220798
|
CDM
|
Device Embolization 5x20mm Pipeline Bare-metal Flex Aneu Lf
|
27
|
25
|
$21,487.50
|
$13,966.87
35% off
|
$5,049.56
|
$21,487.50
|
$19,188.34
|
2026-03-31
|
|
SUP-220710
|
CDM
|
Device Embolization 2.5x12mm Pipeline Bare-metal Flex Aneu
|
27
|
25
|
$21,487.50
|
$13,966.87
35% off
|
$5,049.56
|
$21,487.50
|
$19,188.34
|
2026-03-31
|
|
SUP-10010740
|
CDM
|
Cath 16 Flash 100cm W/element Sheath 65cm Htorq
|
27
|
25
|
$21,047.90
|
$13,681.13
35% off
|
$4,946.26
|
$21,047.90
|
$18,795.77
|
2026-03-31
|
|
33289
|
CPT
|
Pr Implementation Transcatheter Wireless Pulmonary Artery Pressure Sensor
|
110
|
108
|
$21,000.00
|
$13,650.00
35% off
|
$4,935.00
|
$55,424.70
|
$29,304.62
|
2026-03-31
|
|
SUP-399856
|
CDM
|
Pack Heartware Monitor
|
27
|
25
|
$20,944.75
|
$13,614.09
35% off
|
$4,922.02
|
$20,944.75
|
$18,703.66
|
2026-03-31
|
|
SUP-219336
|
CDM
|
Excluder Aort C3 23x12x14cm
|
27
|
25
|
$20,418.50
|
$13,272.02
35% off
|
$4,798.35
|
$20,418.50
|
$18,233.72
|
2026-03-31
|
|
SUP-301306
|
CDM
|
Stent Syst Hydrphlc 3.5x15mm Wingspan
|
27
|
25
|
$20,319.57
|
$13,207.72
35% off
|
$4,775.10
|
$20,319.57
|
$18,145.38
|
2026-03-31
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
18
|
18
|
—
|
$13,141.25
|
$2.94
|
$44,778.24
|
$22,384.67
|
2026-03-31
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
18
|
18
|
—
|
$13,113.00
|
$2.33
|
$35,951.34
|
$17,972.10
|
2026-03-31
|
|
SUP-603021
|
CDM
|
Cage Cnt Pc Obelisc 23-31 20mm
|
27
|
25
|
$20,058.02
|
$13,037.71
35% off
|
$4,713.63
|
$20,058.02
|
$17,911.81
|
2026-03-31
|
|
SUP-216997
|
CDM
|
Stent Endur Ii Bif 28x16x145 Bifurcated
|
27
|
25
|
$19,652.28
|
$12,773.98
35% off
|
$4,618.29
|
$19,652.28
|
$17,549.49
|
2026-03-31
|
|
SUP-217059
|
CDM
|
Stent Endur Ii Aui 32x14x102
|
27
|
25
|
$19,652.28
|
$12,773.98
35% off
|
$4,618.29
|
$19,652.28
|
$17,549.49
|
2026-03-31
|
|
SUP-217058
|
CDM
|
Stent Endur Ii Aui 28x14x102
|
27
|
25
|
$19,652.28
|
$12,773.98
35% off
|
$4,618.29
|
$19,652.28
|
$17,549.49
|
2026-03-31
|
|
SUP-219709
|
CDM
|
Stent Endur Aaa Bif 36x14x103
|
27
|
25
|
$19,652.28
|
$12,773.98
35% off
|
$4,618.29
|
$19,652.28
|
$17,549.49
|
2026-03-31
|
|
SUP-219707
|
CDM
|
Stent Endur Aaa Bif 28x14x103
|
27
|
25
|
$19,605.74
|
$12,743.73
35% off
|
$4,607.35
|
$19,605.74
|
$17,507.93
|
2026-03-31
|
|
SUP-219706
|
CDM
|
Stent Endur Aaa Bif 25x14x103
|
27
|
25
|
$19,592.71
|
$12,735.26
35% off
|
$4,604.29
|
$19,592.71
|
$17,496.29
|
2026-03-31
|
|
SUP-219708
|
CDM
|
Stent Endur Aaa Bif 32x14x103
|
27
|
25
|
$19,494.74
|
$12,671.58
35% off
|
$4,581.26
|
$19,494.74
|
$17,408.80
|
2026-03-31
|
|
SUP-219705
|
CDM
|
Stent Endur Aaa Bif 23x14x103
|
27
|
25
|
$19,492.97
|
$12,670.43
35% off
|
$4,580.85
|
$19,492.97
|
$17,407.22
|
2026-03-31
|
|
SUP-972595
|
CDM
|
Electrode Vivaer Stylus Alt Current
|
27
|
25
|
$19,471.25
|
$12,656.31
35% off
|
$4,575.74
|
$19,471.25
|
$17,387.83
|
2026-03-31
|
|
SUP-217060
|
CDM
|
Stent Endur Ii Aui 36x14x102
|
27
|
25
|
$19,274.96
|
$12,528.72
35% off
|
$4,529.62
|
$19,274.96
|
$17,212.54
|
2026-03-31
|
|
SUP-217057
|
CDM
|
Stent Endur Ii Aui 25x14x102
|
27
|
25
|
$19,233.03
|
$12,501.47
35% off
|
$4,519.76
|
$19,233.03
|
$17,175.10
|
2026-03-31
|
|
SUP-747197
|
CDM
|
Valve Mitral Master 15mm Hip
|
27
|
25
|
$19,113.40
|
$12,423.71
35% off
|
$4,491.65
|
$19,113.40
|
$17,068.27
|
2026-03-31
|
|
SUP-779679
|
CDM
|
Tissue Matrix Dermacell 16x20cm 0.75-1.50mm
|
27
|
25
|
$19,069.62
|
$12,395.25
35% off
|
$4,481.36
|
$19,069.62
|
$17,029.17
|
2026-03-31
|
|
SUP-946547
|
CDM
|
Lead Stimulator Respistim Rt 24mm
|
27
|
25
|
$18,945.00
|
$12,314.25
35% off
|
$4,452.08
|
$18,945.00
|
$16,917.89
|
2026-03-31
|
|
SUP-216987
|
CDM
|
Stent Endur Ii Bif 25x13x124 Bifurcated
|
27
|
25
|
$18,897.64
|
$12,283.47
35% off
|
$4,440.95
|
$18,897.64
|
$16,875.59
|
2026-03-31
|
|
SUP-217010
|
CDM
|
Stent Endur Ii Bif 36x20x166 Bifurcated
|
27
|
25
|
$18,897.64
|
$12,283.47
35% off
|
$4,440.95
|
$18,897.64
|
$16,875.59
|
2026-03-31
|
|
SUP-603922
|
CDM
|
Cage Cnt Pc Obelisc 27-38 20mm
|
27
|
25
|
$18,812.91
|
$12,228.39
35% off
|
$4,421.03
|
$18,812.91
|
$16,799.93
|
2026-03-31
|
|
SUP-226945
|
CDM
|
Valve Aortic Perceval Sm
|
27
|
25
|
$18,734.50
|
$12,177.42
35% off
|
$4,402.61
|
$18,734.50
|
$16,729.91
|
2026-03-31
|
|
C9607
|
CPT
|
Hc Revascularization Chronic Total Occlusion Coronary Artery Drug Eluding Stent …
|
113
|
111
|
$16,236.00
|
$10,553.40
35% off
|
$3,815.46
|
$35,422.13
|
$18,728.69
|
2026-03-31
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
18
|
18
|
—
|
$9,548.78
|
$2.50
|
$38,356.53
|
$19,174.45
|
2026-03-31
|
|
886
|
MS_DRG
|
Behavioral And Developmental Disorders
|
18
|
18
|
—
|
$9,427.70
|
$2.12
|
$32,859.58
|
$16,426.52
|
2026-03-31
|
|
37184
|
CPT
|
Hc Thrombectomy Mechanical Percutaneous Noncoronary Primary Initial Vessel Lt
|
138
|
111
|
$11,023.00
|
$7,164.95
35% off
|
$2,590.41
|
$35,422.13
|
$18,728.69
|
2026-03-31
|
|
33274
|
CPT
|
Pr Ins/Repl Transcatheter Permanent Leadless Pacemaker Right Ventr Img Gud
|
113
|
111
|
$7,876.00
|
$5,119.40
35% off
|
$1,850.86
|
$37,219.27
|
$19,678.89
|
2026-03-31
|
|
C9602
|
CPT
|
Hc Ptca W/Drug Eluting Stent W/Angioplasty Single Artery Branch
|
113
|
111
|
$5,056.00
|
$3,286.40
35% off
|
$1,188.16
|
$35,422.13
|
$18,728.69
|
2026-03-31
|
|
50
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis,extreme
|
66
|
65
|
—
|
—
|
$95,062.45
|
$104,573.70
|
$104,573.70
|
2026-03-31
|
|
863
|
APR_DRG
|
Neonatal Aftercare,major
|
66
|
65
|
—
|
—
|
$66,659.41
|
$73,328.86
|
$73,328.86
|
2026-03-31
|
|
612
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
66
|
65
|
—
|
—
|
$59,466.66
|
$65,416.46
|
$65,416.46
|
2026-03-31
|
|
622
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
66
|
65
|
—
|
—
|
$39,829.08
|
$43,814.08
|
$43,814.08
|
2026-03-31
|
|
710
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure,major
|
66
|
65
|
—
|
—
|
$37,938.90
|
$41,734.79
|
$41,734.79
|
2026-03-31
|
|
346
|
APR_DRG
|
Connective Tissue Disorders,major
|
66
|
65
|
—
|
—
|
$29,230.57
|
$32,155.17
|
$32,155.17
|
2026-03-31
|
|
313
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot,moderate
|
66
|
65
|
—
|
—
|
$28,151.99
|
$30,968.67
|
$30,968.67
|
2026-03-31
|
|
324
|
APR_DRG
|
Elective Hip Joint Replacement,moderate
|
66
|
65
|
—
|
—
|
$27,447.99
|
$30,194.24
|
$30,194.24
|
2026-03-31
|
|
308
|
APR_DRG
|
Hip And Femur Fracture Repair,moderate
|
66
|
65
|
—
|
—
|
$25,021.19
|
$27,524.62
|
$27,524.62
|
2026-03-31
|
|
174
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami,extreme
|
198
|
65
|
—
|
—
|
$20,979.17
|
$52,103.47
|
$26,206.62
|
2026-03-31
|
|
231
|
APR_DRG
|
Major Large Bowel Procedures,extreme
|
198
|
65
|
—
|
—
|
$19,747.84
|
$67,031.09
|
$25,632.37
|
2026-03-31
|
|
134
|
APR_DRG
|
Pulmonary Embolism,extreme
|
132
|
65
|
—
|
—
|
$18,767.55
|
$29,045.73
|
$23,524.62
|
2026-03-31
|
|
230
|
APR_DRG
|
Major Small Bowel Procedures,minor
|
132
|
65
|
—
|
—
|
$17,659.75
|
$27,615.22
|
$22,265.10
|
2026-03-31
|
|
136
|
APR_DRG
|
Respiratory Malignancy,major
|
66
|
65
|
—
|
—
|
$19,775.73
|
$21,754.35
|
$21,754.35
|
2026-03-31
|
|
930
|
APR_DRG
|
Multiple Significant Trauma Without O.r. Procedure,major
|
66
|
65
|
—
|
—
|
$19,747.84
|
$21,723.66
|
$21,723.66
|
2026-03-31
|
|
633
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly,major
|
132
|
65
|
—
|
—
|
$4,824.39
|
$40,432.87
|
$21,031.24
|
2026-03-31
|
|
224
|
APR_DRG
|
Peritoneal Adhesiolysis,minor
|
132
|
65
|
—
|
—
|
$18,610.81
|
$20,884.93
|
$20,472.87
|
2026-03-31
|
|
314
|
APR_DRG
|
Foot And Toe Procedures,moderate
|
66
|
65
|
—
|
—
|
$18,052.93
|
$19,859.17
|
$19,859.17
|
2026-03-31
|
|
711
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,moderat…
|
66
|
65
|
—
|
—
|
$17,908.14
|
$19,699.90
|
$19,699.90
|
2026-03-31
|
|
281
|
APR_DRG
|
Malignancy Of Hepatobiliary System And Pancreas,major
|
66
|
65
|
—
|
—
|
$17,755.39
|
$19,531.86
|
$19,531.86
|
2026-03-31
|
|
426
|
APR_DRG
|
Non-hypovolemic Sodium Disorders,major
|
66
|
65
|
—
|
—
|
$17,367.52
|
$19,105.19
|
$19,105.19
|
2026-03-31
|
|
194
|
APR_DRG
|
Heart Failure,extreme
|
198
|
65
|
—
|
—
|
$10,776.50
|
$40,875.61
|
$19,099.35
|
2026-03-31
|
|
280
|
APR_DRG
|
Alcoholic Liver Disease,major
|
66
|
65
|
—
|
—
|
$17,182.89
|
$18,902.08
|
$18,902.08
|
2026-03-31
|
|
263
|
APR_DRG
|
Cholecystectomy,moderate
|
66
|
65
|
—
|
—
|
$16,886.68
|
$18,576.24
|
$18,576.24
|
2026-03-31
|
|
634
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
132
|
65
|
—
|
—
|
$16,619.69
|
$19,166.56
|
$18,282.53
|
2026-03-31
|
|
317
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures,minor
|
132
|
65
|
—
|
—
|
$13,506.15
|
$22,124.03
|
$17,484.64
|
2026-03-31
|
|
234
|
APR_DRG
|
Appendectomy Without Complex Principal Diagnosis,moderate
|
66
|
65
|
—
|
—
|
$15,206.38
|
$16,727.82
|
$16,727.82
|
2026-03-31
|
|
233
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis,minor
|
132
|
65
|
—
|
—
|
$13,369.34
|
$20,490.41
|
$16,666.86
|
2026-03-31
|