Price Transparencybeta Hospital negotiated rates

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

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Hospital

ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC

Manhattan, KS · CCN 170142 · Rates published

Your selected procedure

You selected 93350 (CPT)

STRESS TTE ONLY

This hospital’s price: $507 across 21 payers · range $50-$1,420

Source: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ks-csv/481186704_ascension-via-christi-hospital-manhattan-inc_standardcharges.csv · observed 2026-01-01

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

22,239 distinct procedures filed
32 distinct payers
368,602 rate rows
2026-01-01 last MRF observed
Data quality

359,242 of 368,602 rate rows are consumer-grade (97.5%)

9,360 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8,498
per-diem day rate — not a per-procedure price 574
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 191
placeholder amount (≤ $0.02) — excluded from medians 97
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ks-csv/481186704_ascension-via-christi-hospital-manhattan-inc_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-30
Content fingerprint 8086d9b77aadaa72… · 96,914,765 bytes · first seen 2026-05-15

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $98,011.35 $346,313.02 $190,225.46 nat. median
$249,036
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $77,107.95 $188,228.84 $127,914.51 nat. median
$190,559
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $118,772.55 $486,401.98 $123,523.45 nat. median
$359,454
outlier · 0.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $106,294.50 $136,878.18 $111,609.23 nat. median
$198,418
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $36,936.45 $148,751.37 $100,692.06 nat. median
$110,307
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $44,295.30 $172,030.30 $99,275.08 nat. median
$104,013
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $53,147.25 $118,601.79 $77,593.60 nat. median
$126,695
0.6× median
7
MS_DRG 		Lung Transplant 8 $44,366.40 $112,776.95 $76,785.98 nat. median
$117,974
0.7× median
90288
CPT 		Botulism Ig IV 2 $74,528.81 $78,451.38 $76,490.10 nat. median
$51,570
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $42,695.55 $98,907.94 $74,176.75 nat. median
$90,551
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $37,434.15 $131,262.64 $67,840.04 nat. median
$95,038
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $35,869.95 $83,950.85 $65,355.06 nat. median
$74,370
0.9× median
45701132
CDM 		Single Lead Icd Gen Chg 33262 16 $29,403.66 $75,394.00 $55,037.62 nat. median
$55,038
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 $53,087.87 $55,881.97 $54,484.92 nat. median
$50,870
1.1× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 $21,472.20 $59,847.82 $52,868.02 nat. median
$45,868
1.2× median
45704540
CDM 		Insert Sng Icd Generator 33240 16 $28,209.87 $72,333.00 $52,803.09 nat. median
$52,803
1.0× median
45704538
CDM 		Insert Icd Sng & Lead 33249 16 $28,139.67 $72,153.00 $52,671.69 nat. median
$52,672
1.0× median
45704539
CDM 		Insert Icd Dual And Lead 33249 16 $28,139.67 $72,153.00 $52,671.69 nat. median
$52,672
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $30,181.95 $68,602.95 $51,687.65 nat. median
$63,873
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 8 $27,729.00 $76,033.44 $50,830.00 nat. median
$58,251
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $33,950.25 $79,384.08 $50,445.16 nat. median
$72,398
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $34,341.30 $79,847.80 $49,575.41 nat. median
$71,748
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $47,388.15 $127,528.55 $49,283.68 nat. median
$97,323
0.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $47,352.60 $49,720.23 $49,246.70 nat. median
$93,276
0.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $29,328.75 $63,437.52 $48,395.05 nat. median
$62,655
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $28,013.40 $63,875.93 $48,084.42 nat. median
$62,031
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $22,289.85 $91,417.20 $47,436.60 nat. median
$61,728
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 8 $44,970.75 $139,330.74 $47,219.29 nat. median
$93,901
0.5× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $23,107.50 $55,879.98 $46,504.13 nat. median
$53,523
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $27,444.60 $61,002.40 $45,102.45 nat. median
$55,167
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 8 $25,880.40 $65,316.51 $43,114.46 nat. median
$55,477
0.8× median
45701140
CDM 		Multi Lead Icd Gen Chng 33264 16 $23,000.64 $58,976.00 $43,052.48 nat. median
$43,052
1.0× median
45701130
CDM 		Dual Lead Icd Gen Change 33263 16 $23,000.64 $58,976.00 $43,052.48 nat. median
$43,052
1.0× median
28
MS_DRG 		Spinal Procedures With Mcc 8 $25,560.45 $57,369.61 $41,623.47 nat. median
$54,460
0.8× median
27972
CDM 		Cardiomems,deliv Sys And Senso 16 $21,937.50 $56,250.00 $41,062.50 nat. median
$30,938
1.3× median
245
MS_DRG 		Aicd Generator Procedures 8 $19,943.55 $56,525.04 $40,194.60 nat. median
$42,878
0.9× median
33697
CDM 		Neurostim,inceptiv 977119 16 $21,450.00 $55,000.00 $40,150.00 nat. median
$635
outlier · 63.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $38,109.60 $85,771.67 $40,015.08 nat. median
$77,632
0.5× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 8 $22,183.20 $63,210.21 $39,573.36 nat. median
$47,429
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $37,683.00 $39,567.15 $39,190.32 nat. median
$78,049
0.5× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 8 $23,427.45 $52,666.23 $38,827.86 nat. median
$46,376
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $37,149.75 $39,007.24 $38,635.74 nat. median
$78,268
outlier · 0.5×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 $22,858.65 $63,768.98 $38,330.87 nat. median
$51,598
0.7× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 8 $20,654.55 $48,139.20 $37,958.12 nat. median
$42,641
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $35,727.75 $81,920.75 $37,514.14 nat. median
$77,028
outlier · 0.5×
40893205
CDM 		Implt Spn Infu Pump Nonpgm 16 $20,000.76 $51,284.00 $37,437.32 nat. median
$37,437
1.0× median
163
MS_DRG 		Major Chest Procedures With Mcc 8 $15,890.85 $49,327.38 $37,399.00 nat. median
$42,680
0.9× median
791
MS_DRG 		Prematurity With Major Problems 2 $36,256.71 $38,164.95 $37,210.83 nat. median
$34,598
1.1× median
28007
CDM 		Crt-d,cobalt Xt Hf Quad MRI 16 $19,841.25 $50,875.00 $37,138.75 nat. median
$276
outlier · 134.8×
RX46580
CDM 		Ocrelizumab Vl 300mg 16 $19,834.34 $50,857.27 $37,125.81 nat. median
$40,686
0.9× median

Other procedures at this hospital

Browse this hospital's 22,239 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 8 — — $98,011.35 $346,313.02 $190,225.46 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 8 — — $77,107.95 $188,228.84 $127,914.51 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $118,772.55 $486,401.98 $123,523.45 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 8 — — $106,294.50 $136,878.18 $111,609.23 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 9 8 — — $36,936.45 $148,751.37 $100,692.06 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 8 — — $44,295.30 $172,030.30 $99,275.08 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 8 — — $53,147.25 $118,601.79 $77,593.60 2026-01-01
7 MS_DRG Lung Transplant 9 8 — — $44,366.40 $112,776.95 $76,785.98 2026-01-01
90288 CPT Botulism Ig IV 2 2 — — $74,528.81 $78,451.38 $76,490.10 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $42,695.55 $98,907.94 $74,176.75 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 8 — — $37,434.15 $131,262.64 $67,840.04 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 8 — — $35,869.95 $83,950.85 $65,355.06 2026-01-01
45701132 CDM Single Lead Icd Gen Chg 33262 17 16 $75,394.00 $30,157.60 60% off $29,403.66 $75,394.00 $55,037.62 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $53,087.87 $55,881.97 $54,484.92 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 8 — — $21,472.20 $59,847.82 $52,868.02 2026-01-01
45704540 CDM Insert Sng Icd Generator 33240 17 16 $72,333.00 $28,933.20 60% off $28,209.87 $72,333.00 $52,803.09 2026-01-01
45704538 CDM Insert Icd Sng & Lead 33249 17 16 $72,153.00 $28,861.20 60% off $28,139.67 $72,153.00 $52,671.69 2026-01-01
45704539 CDM Insert Icd Dual And Lead 33249 17 16 $72,153.00 $28,861.20 60% off $28,139.67 $72,153.00 $52,671.69 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 8 — — $30,181.95 $68,602.95 $51,687.65 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 8 — — $27,729.00 $76,033.44 $50,830.00 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $33,950.25 $79,384.08 $50,445.16 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 8 — — $34,341.30 $79,847.80 $49,575.41 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 7 — — $47,388.15 $127,528.55 $49,283.68 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $47,352.60 $49,720.23 $49,246.70 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 8 — — $29,328.75 $63,437.52 $48,395.05 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $28,013.40 $63,875.93 $48,084.42 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 8 — — $22,289.85 $91,417.20 $47,436.60 2026-01-01
215 MS_DRG Other Heart Assist System Implant 9 8 — — $44,970.75 $139,330.74 $47,219.29 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 8 — — $23,107.50 $55,879.98 $46,504.13 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $27,444.60 $61,002.40 $45,102.45 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 8 — — $25,880.40 $65,316.51 $43,114.46 2026-01-01
45701140 CDM Multi Lead Icd Gen Chng 33264 17 16 $58,976.00 $23,590.40 60% off $23,000.64 $58,976.00 $43,052.48 2026-01-01
45701130 CDM Dual Lead Icd Gen Change 33263 17 16 $58,976.00 $23,590.40 60% off $23,000.64 $58,976.00 $43,052.48 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 9 8 — — $25,560.45 $57,369.61 $41,623.47 2026-01-01
27972 CDM Cardiomems,deliv Sys And Senso 17 16 $56,250.00 $22,500.00 60% off $21,937.50 $56,250.00 $41,062.50 2026-01-01
245 MS_DRG Aicd Generator Procedures 9 8 — — $19,943.55 $56,525.04 $40,194.60 2026-01-01
33697 CDM Neurostim,inceptiv 977119 17 16 $55,000.00 $22,000.00 60% off $21,450.00 $55,000.00 $40,150.00 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $38,109.60 $85,771.67 $40,015.08 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 8 — — $22,183.20 $63,210.21 $39,573.36 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 5 — — $37,683.00 $39,567.15 $39,190.32 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 9 8 — — $23,427.45 $52,666.23 $38,827.86 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 5 5 — — $37,149.75 $39,007.24 $38,635.74 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 8 — — $22,858.65 $63,768.98 $38,330.87 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 8 — — $20,654.55 $48,139.20 $37,958.12 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 8 — — $35,727.75 $81,920.75 $37,514.14 2026-01-01
40893205 CDM Implt Spn Infu Pump Nonpgm 17 16 $51,284.00 $20,513.60 60% off $20,000.76 $51,284.00 $37,437.32 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 9 8 — — $15,890.85 $49,327.38 $37,399.00 2026-01-01
791 MS_DRG Prematurity With Major Problems 2 2 — — $36,256.71 $38,164.95 $37,210.83 2026-01-01
28007 CDM Crt-d,cobalt Xt Hf Quad MRI 17 16 $50,875.00 $20,350.00 60% off $19,841.25 $50,875.00 $37,138.75 2026-01-01
RX46580 CDM Ocrelizumab Vl 300mg 17 16 $50,857.27 $20,342.91 60% off $19,834.34 $50,857.27 $37,125.81 2026-01-01
33485 CDM Kit,implant Pulse Gen Hfx Iq 17 16 $50,585.00 $20,234.00 60% off $19,728.15 $50,585.00 $36,927.05 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 8 — — $19,019.25 $70,108.29 $36,032.26 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 8 — — $21,152.25 $47,906.40 $35,721.63 2026-01-01
28042 CDM Crt-d,cobalt Xt Hf MRI Is1 Df1 17 16 $48,772.00 $19,508.80 60% off $19,021.08 $48,772.00 $35,603.56 2026-01-01
28039 CDM Crt-d Cobalt Xt Hf MRI Dtpa2d4 17 16 $48,772.00 $19,508.80 60% off $19,021.08 $48,772.00 $35,603.56 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 9 8 — — $22,218.75 $49,454.47 $35,038.26 2026-01-01
33406 CDM Generator,pulse Inspire 3028 17 16 $47,840.00 $19,136.00 60% off $18,657.60 $47,840.00 $34,923.20 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 8 — — $32,812.65 $72,602.05 $34,453.28 2026-01-01
27858 CDM Defib,claria MRI Quad Crt-d 17 16 $46,250.00 $18,500.00 60% off $18,037.50 $46,250.00 $33,762.50 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $32,066.10 $33,669.41 $33,348.74 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 8 — — $14,184.45 $84,112.68 $33,031.76 2026-01-01
27906 CDM Defib,claria MRI Crt-d Dtma1d4 17 16 $44,338.00 $17,735.20 60% off $17,291.82 $44,338.00 $32,366.74 2026-01-01
27933 CDM Defib,claria MRI Crt-d Dtma1d1 17 16 $44,338.00 $17,735.20 60% off $17,291.82 $44,338.00 $32,366.74 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 9 8 — — $30,821.85 $60,499.07 $32,362.94 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 8 — — $30,750.75 $68,883.68 $32,288.29 2026-01-01
27282 CDM Defib Viva Quad S Crt-d 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27608 CDM Defibrillator,viva S Crt-d Df4 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27847 CDM Defib,amplia MRI Crt-d Dtmb1d1 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27129 CDM Icd,unify Assura Pr 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27079 CDM Icd Hv Generator 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27103 CDM Icd,quadra Assura Pr 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27788 CDM Defib,amplia MRI Quad Crt-d US 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27800 CDM Defib,cardiac Quadra Assura 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27220 CDM Defib Viva S Crt-s 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27721 CDM Defib,viva Quad Xt Crt-d 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27428 CDM Defib,compia MRI Quad Surescan 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27845 CDM Defib,amplia MRI Crt-d Dtmb1d4 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27223 CDM Defib Viva Quad S US 1s4/df4 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27138 CDM Defib,crt-d Viva Xt US Isi/df1 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27688 CDM Defib,cardiac Viva Quad Xt Df1 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27087 CDM Defib,cardiac Resync Viva Xt 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27662 CDM Defib,quadra Assura Multipoint 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
27585 CDM Defib,compia Crt-d Surescan 17 16 $44,125.00 $17,650.00 60% off $17,208.75 $44,125.00 $32,211.25 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 7 — — $30,964.05 $75,161.42 $32,202.61 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $20,476.80 $46,181.49 $32,056.28 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 5 — — $30,288.60 $31,803.03 $31,500.14 2026-01-01
28019 CDM Icd,crome Hf Crt-d MRI Dtpc2d4 17 16 $42,803.00 $17,121.20 60% off $16,693.17 $42,803.00 $31,246.19 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 9 8 — — $17,490.60 $61,458.48 $31,124.41 2026-01-01
32088 CDM Kit,spectra Wavewriter Ipg 17 16 $42,500.00 $17,000.00 60% off $16,575.00 $42,500.00 $31,025.00 2026-01-01
332 MS_DRG Rectal Resection With Mcc 9 8 — — $15,108.75 $41,318.46 $30,627.42 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 7 — — $28,902.15 $94,251.92 $30,347.26 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 8 — — $20,867.85 $35,840.85 $30,119.30 2026-01-01
31946 CDM Implant,precision Montage MRI 17 16 $40,750.00 $16,300.00 60% off $15,892.50 $40,750.00 $29,747.50 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 8 — — $19,445.85 $40,158.05 $29,633.42 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 8 — — $27,906.75 $47,375.08 $29,302.09 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 9 8 — — $15,748.65 $36,778.20 $29,198.55 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 8 — — $14,682.15 $43,605.78 $28,779.42 2026-01-01
28058 CDM Defibrillator,crt-d Gallant Hf 17 16 $39,040.00 $15,616.00 60% off $15,225.60 $39,040.00 $28,499.20 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 8 — — $11,802.60 $39,075.29 $28,453.06 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 7 — — $27,337.95 $66,174.24 $28,431.47 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 9 8 — — $16,566.30 $33,305.10 $28,390.93 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 5 — — $27,231.30 $28,592.87 $28,320.55 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 8 — — $24,387.30 $68,367.43 $28,204.56 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 8 — — $16,068.60 $38,807.32 $28,142.43 2026-01-01
33682 CDM System,vanta Scs 977006 17 16 $38,128.00 $15,251.20 60% off $14,869.92 $38,128.00 $27,833.44 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 8 — — $26,484.75 $68,903.88 $27,808.99 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 8 — — $15,215.40 $45,092.00 $27,707.56 2026-01-01
45708442 CDM Perq Trluml Coronry Lithotrp 17 16 $37,747.00 $15,098.80 60% off $14,721.33 $37,747.00 $27,555.31 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 8 — — $26,164.80 $57,882.87 $27,473.04 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 8 — — $26,058.15 $63,067.15 $27,361.06 2026-01-01
33527 CDM Adaptivestim,intellis 97715 17 16 $37,345.00 $14,938.00 60% off $14,564.55 $37,345.00 $27,261.85 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 8 — — $15,215.40 $35,126.59 $27,050.28 2026-01-01
45707160 CDM Kyphoplasty Lumbar W/img 22514 13 12 $36,875.00 $14,750.00 60% off $11,800.00 $36,875.00 $26,918.75 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 8 — — $25,596.00 $52,908.61 $26,875.80 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 8 — — $18,308.25 $42,512.70 $26,775.69 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 8 — — $13,686.75 $36,684.20 $26,713.57 2026-01-01
28069 CDM Device,icd Gallant Dual-chmbr 17 16 $36,425.00 $14,570.00 60% off $14,205.75 $36,425.00 $26,590.25 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $25,062.75 $49,027.34 $26,315.89 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 8 — — $25,062.75 $32,634.43 $26,315.89 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 9 8 — — $19,979.10 $50,712.57 $25,968.07 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 8 — — $11,411.55 $35,614.27 $25,968.07 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 9 8 — — $14,575.50 $37,674.33 $25,968.07 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $24,885.00 $26,129.25 $25,880.40 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 5 — — $24,707.25 $25,942.61 $25,695.54 2026-01-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 13 9 — — $741.86 $41,600.00 $25,658.32 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 8 — — $14,006.70 $41,729.53 $25,533.20 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 9 8 — — $14,362.20 $32,054.71 $25,408.95 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 8 — — $16,495.20 $35,338.40 $25,026.18 2026-01-01
265 MS_DRG Aicd Lead Procedures 9 8 — — $15,570.90 $32,638.70 $24,974.08 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 9 8 — — $14,753.25 $34,679.08 $24,911.96 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 9 8 — — $14,895.45 $33,591.63 $24,787.71 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 9 8 — — $23,285.25 $53,784.45 $24,449.51 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $23,071.95 $54,015.63 $24,225.55 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 5 — — $23,285.25 $24,449.51 $24,216.66 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 8 — — $22,929.75 $37,365.41 $24,076.24 2026-01-01
26962 CDM Icd,evera Xt Df4 Vr 17 16 $32,875.00 $13,150.00 60% off $12,821.25 $32,875.00 $23,998.75 2026-01-01
10 MS_DRG Pancreas Transplant 9 8 — — $17,419.50 $55,616.62 $23,980.09 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 9 8 — — $10,807.20 $27,557.97 $23,631.80 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 9 8 — — $14,326.65 $32,291.16 $23,420.97 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 8 — — $22,254.30 $51,102.71 $23,367.02 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 9 8 — — $14,646.60 $31,423.19 $23,172.47 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 9 8 — — $10,558.35 $37,297.33 $23,071.28 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 9 8 — — $17,135.10 $31,178.93 $23,048.22 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 8 — — $15,890.85 $34,169.95 $22,861.85 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 8 — — $14,291.10 $31,758.99 $22,799.72 2026-01-01
28018 CDM Icd,cobalt Xt Dr MRI Df4 17 16 $31,213.00 $12,485.20 60% off $12,173.07 $31,213.00 $22,785.49 2026-01-01
792 MS_DRG Prematurity Without Major Problems 2 2 — — $21,876.82 $23,028.23 $22,452.53 2026-01-01
33321 CDM Condyle,medial Femoral Right 17 16 $30,750.00 $12,300.00 60% off $11,992.50 $30,750.00 $22,447.50 2026-01-01
27949 CDM Tps,micra Av Mc1avr1 US H3 17 16 $30,625.00 $12,250.00 60% off $11,943.75 $30,625.00 $22,356.25 2026-01-01
28045 CDM Sys,pcmaker Leadless Micra Av2 17 16 $30,625.00 $12,250.00 60% off $11,943.75 $30,625.00 $22,356.25 2026-01-01
45704600 CDM Fem-pop Stent/atherect 37227 17 16 $30,315.00 $12,126.00 60% off $11,822.85 $30,315.00 $22,129.95 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 8 — — $20,974.50 $52,376.58 $22,023.23 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 8 — — $20,974.50 $37,047.74 $22,023.23 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 9 8 — — $7,749.90 $28,399.99 $21,992.10 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 9 8 — — $11,233.80 $27,004.33 $21,929.98 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 8 — — $11,304.90 $34,644.83 $21,929.98 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 7 — — $21,045.60 $54,539.47 $21,887.42 2026-01-01
652 MS_DRG Kidney Transplant 9 8 — — $12,940.20 $42,123.25 $21,867.85 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 9 8 — — $9,278.55 $39,732.17 $21,862.88 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 9 8 — — $12,549.15 $30,167.04 $21,681.48 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 8 — — $20,583.45 $45,462.40 $21,612.62 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $20,441.25 $49,236.43 $21,463.31 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 8 — — $20,227.95 $48,943.14 $21,239.35 2026-01-01
45707090 CDM V Stent(pta)renal,initial 17 16 $28,702.00 $11,480.80 60% off $11,193.78 $28,702.00 $20,952.46 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 8 — — $19,908.00 $84,730.89 $20,903.40 2026-01-01
40133 CDM Stimulator,nuro Sure Scan 17 16 $28,615.00 $11,446.00 60% off $11,159.85 $28,615.00 $20,888.95 2026-01-01
665 MS_DRG Prostatectomy With Mcc 9 8 — — $13,295.70 $27,273.14 $20,873.86 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 9 8 — — $8,603.10 $29,026.18 $20,811.73 2026-01-01
27899 CDM Defib,evera MRI Xt Dr Ddmb1d4 17 16 $28,375.00 $11,350.00 60% off $11,066.25 $28,375.00 $20,713.75 2026-01-01
27888 CDM Defib,evera MRI Xt Dr Ddmb1d1 17 16 $28,375.00 $11,350.00 60% off $11,066.25 $28,375.00 $20,713.75 2026-01-01
28074 CDM Icd,cobalt Xt Dr MRI Is1 Df1 17 16 $28,375.00 $11,350.00 60% off $11,066.25 $28,375.00 $20,713.75 2026-01-01
63655 CPT Implant Neuroelectrodes 4 4 — — $991.46 $36,304.21 $20,640.52 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 9 8 — — $13,757.85 $24,702.11 $20,587.87 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 9 8 — — $19,516.95 $44,308.72 $20,492.80 2026-01-01
RX50480 CDM Risankizumab Rzaa 600mg/10ml 17 16 $28,040.57 $11,216.23 60% off $10,935.82 $28,040.57 $20,469.62 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 8 — — $19,445.85 $56,527.26 $20,418.14 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 7 — — $19,623.60 $52,812.56 $20,408.54 2026-01-01
26795 CDM Icd,evera Ex US Df4 17 16 $27,888.00 $11,155.20 60% off $10,876.32 $27,888.00 $20,358.24 2026-01-01
27023 CDM Icd,evera Xt Is1 17 16 $27,888.00 $11,155.20 60% off $10,876.32 $27,888.00 $20,358.24 2026-01-01
45704592 CDM Tib-per Pta Additional 37232 17 16 $27,755.00 $11,102.00 60% off $10,824.45 $27,755.00 $20,261.15 2026-01-01
570 MS_DRG Skin Debridement With Mcc 9 8 — — $11,802.60 $27,996.63 $20,190.49 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 9 8 — — $12,904.65 $26,192.64 $20,190.49 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 7 — — $19,339.20 $56,339.03 $20,112.77 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 7 7 — — $19,197.00 $40,295.64 $19,964.88 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 9 8 — — $11,767.05 $28,598.61 $19,941.99 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 9 8 — — $10,736.10 $26,485.33 $19,941.99 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 9 8 — — $18,983.70 $60,117.79 $19,932.89 2026-01-01
31827 CDM Mesh,phasix Rectangle 15x20cm 17 16 $27,126.00 $10,850.40 60% off $10,579.14 $27,126.00 $19,801.98 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 8 — — $18,805.95 $45,949.09 $19,746.25 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 8 — — $18,663.75 $53,858.17 $19,596.94 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 8 — — $18,663.75 $52,172.17 $19,596.94 2026-01-01
32852 CDM Interstim X,recharge Free 17 16 $26,828.00 $10,731.20 60% off $10,462.92 $26,828.00 $19,584.44 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 9 8 — — $12,975.75 $39,178.80 $19,521.13 2026-01-01
33660 CDM Neurostimulator,axonics 4101 17 16 $26,668.00 $10,667.20 60% off $10,400.52 $26,668.00 $19,467.64 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 9 8 — — $12,122.55 $21,787.06 $19,258.62 2026-01-01
28084 CDM Icd,cobalt Xt Vr MRI Vpa2d4 17 16 $26,375.00 $10,550.00 60% off $10,286.25 $26,375.00 $19,253.75 2026-01-01
503 MS_DRG Foot Procedures With Mcc 9 8 — — $9,171.90 $20,882.83 $19,196.50 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 8 — — $13,580.10 $31,770.99 $19,196.50 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 5 — — $18,450.45 $19,372.97 $19,188.47 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 8 — — $18,166.05 $47,710.25 $19,074.35 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 9 8 — — $15,037.65 $33,626.16 $19,072.25 2026-01-01
27127 CDM Defibrillator,dr Assura Single 17 16 $26,125.00 $10,450.00 60% off $10,188.75 $26,125.00 $19,071.25 2026-01-01
27677 CDM Icd,ellipse Dr 36 Df4 Uncoated 17 16 $26,125.00 $10,450.00 60% off $10,188.75 $26,125.00 $19,071.25 2026-01-01
27427 CDM Icd Dual Chamber MRI Evera 17 16 $26,125.00 $10,450.00 60% off $10,188.75 $26,125.00 $19,071.25 2026-01-01
27689 CDM Defib,dual Chmb Evera Df1 Conn 17 16 $26,125.00 $10,450.00 60% off $10,188.75 $26,125.00 $19,071.25 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 7 — — $18,237.15 $49,018.93 $18,966.64 2026-01-01
45704604 CDM Illiac Stent Additional 37223 17 16 $25,947.00 $10,378.80 60% off $10,119.33 $25,947.00 $18,941.31 2026-01-01
45704606 CDM Illiac Stent 37221 17 16 $25,946.00 $10,378.40 60% off $10,118.94 $25,946.00 $18,940.58 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 9 8 — — $16,014.61 $26,651.44 $18,855.72 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 9 8 — — $12,087.00 $24,977.95 $18,823.75 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 9 8 — — $13,366.80 $30,085.27 $18,823.75 2026-01-01
45704602 CDM Fem-pop Atherectomy 37225 17 16 $25,775.00 $10,310.00 60% off $10,052.25 $25,775.00 $18,815.75 2026-01-01
45704597 CDM Tib-per Atherectomy 37229 17 16 $25,775.00 $10,310.00 60% off $10,052.25 $25,775.00 $18,815.75 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 8 — — $17,775.00 $47,421.24 $18,663.75 2026-01-01
25935 CDM Stimulator Neuro Interstim Ii 17 16 $25,550.00 $10,220.00 60% off $9,964.50 $25,550.00 $18,651.50 2026-01-01
32717 CDM Surescan,interstem Micro 97810 17 16 $25,550.00 $10,220.00 60% off $9,964.50 $25,550.00 $18,651.50 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 9 8 — — $11,233.80 $23,716.41 $18,637.37 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 8 — — $17,668.35 $42,440.76 $18,551.77 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $17,739.45 $18,626.42 $18,449.03 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 6 6 — — $680.46 $18,566.43 $18,389.60 2026-01-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 9 8 — — $6,256.80 $22,695.01 $18,388.88 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 9 8 — — $17,455.05 $60,940.16 $18,327.80 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 9 8 — — $17,455.05 $36,176.38 $18,327.80 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 9 8 — — $17,455.05 $42,055.55 $18,327.80 2026-01-01
27086 CDM Defibrillator,dr Assura Dual 17 16 $25,000.00 $10,000.00 60% off $9,750.00 $25,000.00 $18,250.00 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 9 8 — — $9,705.15 $26,835.08 $18,078.25 2026-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 9 8 — — $9,705.15 $21,638.10 $17,906.37 2026-01-01
32699 CDM Dermacell,microperf 16x20cm 17 16 $24,516.00 $9,806.40 60% off $9,561.24 $24,516.00 $17,896.68 2026-01-01
15266 CDM Pump,synchromed Pain Ii 40ml 17 16 $24,500.00 $9,800.00 60% off $9,555.00 $24,500.00 $17,885.00 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 9 8 — — $10,309.50 $24,771.07 $17,829.75 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 9 8 — — $8,069.85 $27,557.97 $17,805.16 2026-01-01
27714 CDM Defib,vr Visia Af MRI S US Df1 17 16 $24,375.00 $9,750.00 60% off $9,506.25 $24,375.00 $17,793.75 2026-01-01
27669 CDM Defib,vr Visia Af MRI S US Df4 17 16 $24,375.00 $9,750.00 60% off $9,506.25 $24,375.00 $17,793.75 2026-01-01
RX1830 CDM Activase 100mg 17 16 $24,307.83 $9,723.13 60% off $9,480.05 $24,307.83 $17,744.72 2026-01-01
45708440 CDM Upgrade Pacemker Single - Dual 13 12 $24,126.00 $9,650.40 60% off $9,409.14 $24,126.00 $17,611.98 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 8 — — $16,637.40 $45,802.93 $17,469.27 2026-01-01
31707 CDM Mesh,phasix 10in X 12in 17 16 $23,825.00 $9,530.00 60% off $9,291.75 $23,825.00 $17,392.25 2026-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 9 8 — — $13,117.95 $22,847.75 $17,368.34 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 9 8 — — $9,420.75 $23,560.40 $17,331.14 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 8 — — $16,353.00 $38,076.30 $17,170.65 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 9 8 — — $16,317.45 $29,614.14 $17,133.32 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 9 8 — — $8,496.45 $22,893.96 $17,084.26 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 9 8 — — $8,745.30 $28,886.07 $17,075.10 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 8 — — $16,175.25 $35,880.27 $16,984.01 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 9 8 — — $10,345.05 $21,046.98 $16,897.89 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 9 8 — — $6,754.50 $23,106.08 $16,835.76 2026-01-01
53445 CPT Insert Uro/ves Nck Sphincter 4 4 — — $931.83 $22,185.31 $16,795.50 2026-01-01
539 MS_DRG Osteomyelitis With Mcc 9 8 — — $9,171.90 $21,867.85 $16,768.03 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 9 8 — — $9,776.25 $20,210.73 $16,711.51 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 9 8 — — $12,300.67 $41,976.74 $16,461.43 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 9 8 — — $15,642.00 $34,186.68 $16,424.10 2026-01-01
61885 CPT Insrt/redo Neurostim 1 Array 13 9 — — $619.57 $31,200.00 $16,394.73 2026-01-01
902 MS_DRG Wound Debridements For Injuries With Cc 9 8 — — $7,607.70 $26,783.25 $16,362.34 2026-01-01
45701138 CDM Multi Lead Ppm Gen Chag 33229 17 16 $21,960.00 $8,784.00 60% off $8,564.40 $21,960.00 $16,030.80 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 8 — — $15,215.40 $27,584.12 $15,976.17 2026-01-01
27968 CDM System,micra Transcath Pacing 17 16 $21,875.00 $8,750.00 60% off $8,531.25 $21,875.00 $15,968.75 2026-01-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 9 8 — — $8,425.35 $20,314.74 $15,955.79 2026-01-01
374 MS_DRG Digestive Malignancy With Mcc 9 8 — — $9,598.50 $20,430.22 $15,903.89 2026-01-01
368 MS_DRG Major Esophageal Disorders With Mcc 9 8 — — $7,572.15 $19,016.23 $15,903.89 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 8 — — $15,108.75 $55,604.78 $15,864.19 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 7 7 — — $15,250.95 $40,143.91 $15,860.99 2026-01-01
548 MS_DRG Septic Arthritis With Mcc 9 8 — — $8,994.15 $22,986.09 $15,839.06 2026-01-01
333 MS_DRG Rectal Resection With Cc 9 8 — — $8,603.10 $21,543.69 $15,779.64 2026-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 9 8 — — $9,207.45 $25,137.95 $15,779.64 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 9 8 — — $9,065.25 $20,712.99 $15,779.64 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 9 8 — — $15,002.10 $38,897.96 $15,752.21 2026-01-01
45707028 CDM Stnt Drug Elut Sgl C9600 17 16 $21,451.00 $8,580.40 60% off $8,365.89 $21,451.00 $15,659.23 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 7 7 — — $15,037.65 $29,236.33 $15,639.16 2026-01-01
263 MS_DRG Vein Ligation And Stripping 9 8 — — $12,442.50 $17,750.67 $15,607.52 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 7 7 — — $14,859.90 $46,112.60 $15,602.90 2026-01-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 9 8 — — $9,686.27 $16,349.45 $15,570.90 2026-01-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 9 8 — — $8,212.05 $20,582.95 $15,531.15 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 8 — — $14,788.80 $41,434.87 $15,528.24 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 9 8 — — $14,753.25 $38,556.09 $15,490.91 2026-01-01
33230 CPT Insrt Pulse Gen W/dual Leads 9 9 — — $462.79 $46,372.64 $15,416.77 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 9 9 — — $483.69 $46,372.64 $15,416.77 2026-01-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 9 9 — — $469.21 $46,372.64 $15,416.77 2026-01-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 9 9 — — $451.19 $46,372.64 $15,416.77 2026-01-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 9 9 — — $489.71 $46,372.64 $15,416.77 2026-01-01
919 MS_DRG Complications Of Treatment With Mcc 9 8 — — $6,327.90 $25,455.15 $15,336.45 2026-01-01
26172 CDM Pump Penile Ams 18cm X 12mm 17 16 $20,994.00 $8,397.60 60% off $8,187.66 $20,994.00 $15,325.62 2026-01-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 7 7 — — $14,731.25 $42,160.46 $15,320.50 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 8 — — $14,575.50 $35,145.31 $15,304.28 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 9 8 — — $8,034.30 $23,950.33 $15,282.65 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 9 8 — — $14,539.95 $32,480.33 $15,266.95 2026-01-01
32567 CDM Comp,seg Dist Fem Xt Sz C Lft 17 16 $20,888.00 $8,355.20 60% off $8,146.32 $20,888.00 $15,248.24 2026-01-01
32232 CDM Compon,dist Fem Xt Sz B Left 17 16 $20,888.00 $8,355.20 60% off $8,146.32 $20,888.00 $15,248.24 2026-01-01
33483 CDM Comp,sgmntl Dist Xt Fem C Rt 17 16 $20,888.00 $8,355.20 60% off $8,146.32 $20,888.00 $15,248.24 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 9 8 — — $14,468.85 $40,165.67 $15,192.29 2026-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 9 8 — — $8,994.15 $19,382.96 $15,163.45 2026-01-01
45704601 CDM Fem-pop Stent 37226 17 16 $20,758.00 $8,303.20 60% off $8,095.62 $20,758.00 $15,153.34 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 8 — — $14,397.75 $31,909.09 $15,117.64 2026-01-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 9 8 — — $8,780.85 $23,521.08 $15,096.27 2026-01-01
45707026 CDM Stnt DRG Elut Add C9601 17 16 $20,562.00 $8,224.80 60% off $8,019.18 $20,562.00 $15,010.26 2026-01-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 9 8 — — $9,634.05 $20,304.14 $14,972.02 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 9 8 — — $14,255.55 $32,379.83 $14,968.33 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 9 8 — — $6,790.05 $17,745.55 $14,909.90 2026-01-01
45707155 CDM Kyphoplasty Thor W/img 22513 13 12 $20,359.00 $8,143.60 60% off $6,514.88 $20,359.00 $14,862.07 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 9 8 — — $8,283.15 $16,940.16 $14,785.65 2026-01-01
32486 CDM Comp,fem Rotate Hinge Sz E Lft 17 16 $20,200.00 $8,080.00 60% off $7,878.00 $20,200.00 $14,746.00 2026-01-01
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