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

VIA CHRISTI HOSPITAL WICHITA ST TERESA, INC

Wichita, KS · CCN 170200 · Rates published

51,971 distinct procedures filed
47 distinct payers
200,445 rate rows
2026-01-01 last MRF observed
Data quality

193,371 of 200,445 rate rows are consumer-grade (96.5%)

7,074 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 6,351
per-diem day rate — not a per-procedure price 663
placeholder amount (≤ $0.02) — excluded from medians 60
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ks-csv/271965272_ascension-via-christi-hospital-wichita-st-teresa-inc_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint c523f0a6810cfa53… · 52,618,659 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
10000345924
CDM 		Lisocabtagene Maraleucel Cd8 Inj 1 $2,563,859.98 $2,563,859.98 $2,563,859.98 nat. median
$2,563,860
1.0× median
10000335693
CDM 		Brexucabtagene Autoleucel Inj 1 $2,563,859.98 $2,563,859.98 $2,563,859.98 nat. median
$2,563,860
1.0× median
10000335694
CDM 		Axicabtagene Ciloleucel Inj 1 $2,563,859.98 $2,563,859.98 $2,563,859.98 nat. median
$2,563,860
1.0× median
10000354733
CDM 		Idecabtagene Vicleucel 250 Ml 1 $2,563,859.98 $2,563,859.98 $2,563,859.98 nat. median
$2,563,860
1.0× median
10000380741
CDM 		Vutrisiran 25 Mg/0.5 Ml Syringe 1 $349,952.78 $349,952.78 $349,952.78 nat. median
$349,953
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $10,731.00 $696,739.96 $248,835.70 nat. median
$370,174
0.7× median
10000083404
CDM 		Rad-y-90 Zevalin,per Mci/ther Dose 1 $244,476.00 $244,476.00 $244,476.00 nat. median
$244,476
1.0× median
10000405186
CDM 		Autologous Cultured Chondrocytes On Porcine Collag 1 $164,649.20 $164,649.20 $164,649.20 nat. median
$164,649
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $10,731.00 $452,156.21 $161,484.36 nat. median
$265,286
0.6× median
10000409268
CDM 		Inebilizumab-cdon 100 Mg Vial 1 $135,515.37 $135,515.37 $135,515.37 nat. median
$135,515
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 $10,731.00 $344,483.13 $123,029.69 nat. median
$206,474
0.6× median
10000280773
CDM 		Mesh Hernia Rect Phasix Sepra Technology 30x35cm 1 $122,973.60 $122,973.60 $122,973.60 nat. median
$122,974
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $10,731.00 $342,461.48 $122,307.67 nat. median
$202,976
0.6× median
70701033216
CDM 		Heart Valve Evoque Transcatheter Trcsd Strl Edwrd 1 $114,000.00 $114,000.00 $114,000.00 nat. median
$114,000
1.0× median
70701013530
CDM 		Discon Non Contracted Kt Cath Ca 1 $112,500.00 $112,500.00 $112,500.00 nat. median
$112,500
1.0× median
70701024520
CDM 		Impl Ventr Assist Device Impella 5.5 S2 1 $107,895.00 $107,895.00 $107,895.00 nat. median
$107,895
1.0× median
70701033244
CDM 		System Dock Delivery 29mm Sapien Mitral 3 1 $105,000.00 $105,000.00 $105,000.00 nat. median
$105,000
1.0× median
70701017972
CDM 		Vlv Heart Tcath Es 3 Ultra Resilia W/commander Sys 1 $102,000.00 $102,000.00 $102,000.00 nat. median
$102,000
1.0× median
70701017984
CDM 		Vlv Heart Tcath Es 3 Ultra Resilia W/commander Sys 1 $102,000.00 $102,000.00 $102,000.00 nat. median
$102,000
1.0× median
70701017976
CDM 		Vlv Heart Tcath Es 3 Ultra Resilia W/commander Sys 1 $102,000.00 $102,000.00 $102,000.00 nat. median
$102,000
1.0× median
70701017980
CDM 		Vlv Heart Tcath Es 3 Ultra Resilia W/commander Sys 1 $102,000.00 $102,000.00 $102,000.00 nat. median
$102,000
1.0× median
10034630707
CDM 		Bm Peri Stem Transp-allogenic 1 $99,505.00 $99,505.00 $99,505.00 nat. median
$99,505
1.0× median
70701018068
CDM 		Heart Pulmonary Ha Tr Xenograft S Disp Tpv Harmony 1 $99,000.00 $99,000.00 $99,000.00 nat. median
$99,000
1.0× median
70701018072
CDM 		Heart Pulmonary Ha Tr Xenograft S Disp Tpv Harmony 1 $99,000.00 $99,000.00 $99,000.00 nat. median
$99,000
1.0× median
70701005182
CDM 		Device Repair Heart Vlv Mitraclip G4 Sys Abbott 1 $99,000.00 $99,000.00 $99,000.00 nat. median
$99,000
1.0× median
70701024882
CDM 		Generator Stimulation Vns Therapy Sentiva Duo Mode 1 $97,650.00 $97,650.00 $97,650.00 nat. median
$97,650
1.0× median
70701001028
CDM 		Gentr Impl Aspiresr Sgl Pn 14ml 1 $97,650.00 $97,650.00 $97,650.00 nat. median
$97,650
1.0× median
10000245451
CDM 		Vlv Heart Aortic Transcatheter Sapien Xt 29mm With N 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000295682
CDM 		Vlv Heart Aortic Transcath Sapien 3 20mm W/certitu 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
70701000032
CDM 		Vlv Heart Transcatheter Sapien 3 W/ultra Sys 26mm 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000293150
CDM 		Vlv Heart Aortic Transcath Certitude Sys Sapien 3 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
70701000038
CDM 		Vlv Heart Transcatheter Sapien 3 W/certitude Sys 2 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000267102
CDM 		Vlv Heart Aortic Transcatheter W/commander Sys Sap 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000293152
CDM 		Vlv Heart Aortic Transcatheter Certitude Sys Sapie 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
70701000042
CDM 		Vlv Aortic Transcatheter Ultra Lp Edwards Sapien S 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000266287
CDM 		Vlv Heart Aortic Transcatheter W/commander Sys Sap 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
70701000040
CDM 		Vlv Heart Transcatheter Sapien 3 W/certitude Sys 2 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000245449
CDM 		Vlv Heart Aortic Transcatheter Sapien Xt 23mm With N 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
70701000030
CDM 		Vlv Heart Transcatheter Sapien 3 W/certitude Sys 2 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000245450
CDM 		Vlv Heart Aortic Transcatheter Sapien Xt 26mm With N 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000267101
CDM 		Vlv Heart Aortic Transcatheter W/commander Sys Sap 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000266288
CDM 		Vlv Heart Aortic Transcatheter W/commander Sys Sap 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000245447
CDM 		Vlv Heart Aortic Sapien Xt Transcatheter 26mm W/as 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000245446
CDM 		Vlv Heart Aortic Sapien Xt Transcath 23mm W/ascend 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
70701000028
CDM 		Vlv Heart Transcatheter Sapien 3 W/ultra Sys 29mm 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000245448
CDM 		Vlv Heart Aortic Sapien Xt Transcath 29mm W/ascend 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
70701000036
CDM 		Vlv Heart Transcatheter Sapien 3 W/ultra Sys 20mm 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
10000293151
CDM 		Vlv Heart Aortic Transcatheter Certitude Sys Sapie 1 $97,500.00 $97,500.00 $97,500.00 nat. median
$97,500
1.0× median
70701024122
CDM 		Stent Endovascular 34mmx15cm 24f Gore Tag Thor Bra 1 $96,000.00 $96,000.00 $96,000.00 nat. median
$96,000
1.0× median
70701025040
CDM 		Stent Endovascular 40mmx20cm 26f Gore Tag Thor Bra 1 $96,000.00 $96,000.00 $96,000.00 nat. median
$96,000
1.0× median

Other procedures at this hospital

Browse this hospital's 51,971 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
             
10000354733 CDM Idecabtagene Vicleucel 250 Ml 1 1 $2,563,859.98 $1,025,543.99 60% off $2,563,859.98 $2,563,859.98 $2,563,859.98 2026-01-01
10000345924 CDM Lisocabtagene Maraleucel Cd8 Inj 1 1 $2,563,859.98 $1,025,543.99 60% off $2,563,859.98 $2,563,859.98 $2,563,859.98 2026-01-01
10000335693 CDM Brexucabtagene Autoleucel Inj 1 1 $2,563,859.98 $1,025,543.99 60% off $2,563,859.98 $2,563,859.98 $2,563,859.98 2026-01-01
10000335694 CDM Axicabtagene Ciloleucel Inj 1 1 $2,563,859.98 $1,025,543.99 60% off $2,563,859.98 $2,563,859.98 $2,563,859.98 2026-01-01
10000380741 CDM Vutrisiran 25 Mg/0.5 Ml Syringe 1 1 $349,952.78 $139,981.11 60% off $349,952.78 $349,952.78 $349,952.78 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 22 — — $10,731.00 $696,739.96 $248,835.70 2026-01-01
10000083404 CDM Rad-y-90 Zevalin,per Mci/ther Dose 1 1 $244,476.00 $97,790.40 60% off $244,476.00 $244,476.00 $244,476.00 2026-01-01
10000405186 CDM Autologous Cultured Chondrocytes On Porcine Collag 1 1 $164,649.20 $65,859.68 60% off $164,649.20 $164,649.20 $164,649.20 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 24 — — $10,731.00 $452,156.21 $161,484.36 2026-01-01
10000409268 CDM Inebilizumab-cdon 100 Mg Vial 1 1 $135,515.37 $54,206.15 60% off $135,515.37 $135,515.37 $135,515.37 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 29 — — $10,731.00 $344,483.13 $123,029.69 2026-01-01
10000280773 CDM Mesh Hernia Rect Phasix Sepra Technology 30x35cm 1 1 $122,973.60 $49,189.44 60% off $122,973.60 $122,973.60 $122,973.60 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 23 — — $10,731.00 $342,461.48 $122,307.67 2026-01-01
70701033216 CDM Heart Valve Evoque Transcatheter Trcsd Strl Edwrd 1 1 $114,000.00 $45,600.00 60% off $114,000.00 $114,000.00 $114,000.00 2026-01-01
70701013530 CDM Discon Non Contracted Kt Cath Ca 1 1 $112,500.00 $45,000.00 60% off $112,500.00 $112,500.00 $112,500.00 2026-01-01
70701024520 CDM Impl Ventr Assist Device Impella 5.5 S2 1 1 $107,895.00 $43,158.00 60% off $107,895.00 $107,895.00 $107,895.00 2026-01-01
70701033244 CDM System Dock Delivery 29mm Sapien Mitral 3 1 1 $105,000.00 $42,000.00 60% off $105,000.00 $105,000.00 $105,000.00 2026-01-01
70701017972 CDM Vlv Heart Tcath Es 3 Ultra Resilia W/commander Sys 1 1 $102,000.00 $40,800.00 60% off $102,000.00 $102,000.00 $102,000.00 2026-01-01
70701017980 CDM Vlv Heart Tcath Es 3 Ultra Resilia W/commander Sys 1 1 $102,000.00 $40,800.00 60% off $102,000.00 $102,000.00 $102,000.00 2026-01-01
70701017984 CDM Vlv Heart Tcath Es 3 Ultra Resilia W/commander Sys 1 1 $102,000.00 $40,800.00 60% off $102,000.00 $102,000.00 $102,000.00 2026-01-01
70701017976 CDM Vlv Heart Tcath Es 3 Ultra Resilia W/commander Sys 1 1 $102,000.00 $40,800.00 60% off $102,000.00 $102,000.00 $102,000.00 2026-01-01
10034630707 CDM Bm Peri Stem Transp-allogenic 1 1 $99,505.00 $39,802.00 60% off $99,505.00 $99,505.00 $99,505.00 2026-01-01
70701018072 CDM Heart Pulmonary Ha Tr Xenograft S Disp Tpv Harmony 1 1 $99,000.00 $39,600.00 60% off $99,000.00 $99,000.00 $99,000.00 2026-01-01
70701018068 CDM Heart Pulmonary Ha Tr Xenograft S Disp Tpv Harmony 1 1 $99,000.00 $39,600.00 60% off $99,000.00 $99,000.00 $99,000.00 2026-01-01
70701005182 CDM Device Repair Heart Vlv Mitraclip G4 Sys Abbott 1 1 $99,000.00 $39,600.00 60% off $99,000.00 $99,000.00 $99,000.00 2026-01-01
70701024882 CDM Generator Stimulation Vns Therapy Sentiva Duo Mode 1 1 $97,650.00 $39,060.00 60% off $97,650.00 $97,650.00 $97,650.00 2026-01-01
70701001028 CDM Gentr Impl Aspiresr Sgl Pn 14ml 1 1 $97,650.00 $39,060.00 60% off $97,650.00 $97,650.00 $97,650.00 2026-01-01
70701000032 CDM Vlv Heart Transcatheter Sapien 3 W/ultra Sys 26mm 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
70701000038 CDM Vlv Heart Transcatheter Sapien 3 W/certitude Sys 2 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000266288 CDM Vlv Heart Aortic Transcatheter W/commander Sys Sap 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000293151 CDM Vlv Heart Aortic Transcatheter Certitude Sys Sapie 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
70701000040 CDM Vlv Heart Transcatheter Sapien 3 W/certitude Sys 2 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000245446 CDM Vlv Heart Aortic Sapien Xt Transcath 23mm W/ascend 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000293150 CDM Vlv Heart Aortic Transcath Certitude Sys Sapien 3 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000245449 CDM Vlv Heart Aortic Transcatheter Sapien Xt 23mm With N 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
70701000042 CDM Vlv Aortic Transcatheter Ultra Lp Edwards Sapien S 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000245447 CDM Vlv Heart Aortic Sapien Xt Transcatheter 26mm W/as 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000267101 CDM Vlv Heart Aortic Transcatheter W/commander Sys Sap 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000267102 CDM Vlv Heart Aortic Transcatheter W/commander Sys Sap 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
70701000028 CDM Vlv Heart Transcatheter Sapien 3 W/ultra Sys 29mm 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000245451 CDM Vlv Heart Aortic Transcatheter Sapien Xt 29mm With N 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
70701000030 CDM Vlv Heart Transcatheter Sapien 3 W/certitude Sys 2 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000245448 CDM Vlv Heart Aortic Sapien Xt Transcath 29mm W/ascend 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
70701000036 CDM Vlv Heart Transcatheter Sapien 3 W/ultra Sys 20mm 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000295682 CDM Vlv Heart Aortic Transcath Sapien 3 20mm W/certitu 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000266287 CDM Vlv Heart Aortic Transcatheter W/commander Sys Sap 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000245450 CDM Vlv Heart Aortic Transcatheter Sapien Xt 26mm With N 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
10000293152 CDM Vlv Heart Aortic Transcatheter Certitude Sys Sapie 1 1 $97,500.00 $39,000.00 60% off $97,500.00 $97,500.00 $97,500.00 2026-01-01
70701025040 CDM Stent Endovascular 40mmx20cm 26f Gore Tag Thor Bra 1 1 $96,000.00 $38,400.00 60% off $96,000.00 $96,000.00 $96,000.00 2026-01-01
70701024122 CDM Stent Endovascular 34mmx15cm 24f Gore Tag Thor Bra 1 1 $96,000.00 $38,400.00 60% off $96,000.00 $96,000.00 $96,000.00 2026-01-01
70701033614 CDM Stent Endovascular 26mmx15cm 20f Gore Tag Thor Bra 1 1 $96,000.00 $38,400.00 60% off $96,000.00 $96,000.00 $96,000.00 2026-01-01
70701024120 CDM Stent Endovascular 31mmx15cm 22f Gore Tag Thor Bra 1 1 $96,000.00 $38,400.00 60% off $96,000.00 $96,000.00 $96,000.00 2026-01-01
70701026254 CDM Stent Stent-graft 40mmx4.3cm 26f Gore Tag Thor Bra 1 1 $96,000.00 $38,400.00 60% off $96,000.00 $96,000.00 $96,000.00 2026-01-01
70701033878 CDM Transcatheter Avlv Sys Tav Evfxplus-23 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
10000270244 CDM Vlv Aortic Transcatheter Evolut R 26mm 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
70701005722 CDM Sys Vlv Aortic Transcatheter Evolut Pro Plus 23mm 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
70701018468 CDM Stent Evlt Fx 23mm Vlv 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
10000309473 CDM Bd Mitraclip Transcatheter Mvlv Repair 2 Nit 1 Ext 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
70701027782 CDM Transcatheter Avlv Sys Tav Evfxplus-26 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
10000270245 CDM Vlv Aortic Transcatheter Evolut R 29mm 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
10000270243 CDM Vlv Aortic Transcatheter Evolut R 23mm 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
70701017538 CDM Stent Evlt Fx 29mm Vlv 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
10000309474 CDM Bd Mitraclip Transcatheter Mvlv Repair 1 Nit 2 Ext 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
70701005990 CDM Sys Vlv Aortic Transcatheter Evolut Pro Plus 26mm 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
70701005988 CDM Sys Vlv Aortic Transcatheter Evolut Pro Plus 29mm 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
70701022788 CDM Stent Evlt Fx 34mm Vlv 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
70701025442 CDM Valve Sapien X4 Tavr 23mm 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
10000309471 CDM Bd Mitraclip Transcatheter Mvlv Repair 3 Ext Clip 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
10000309472 CDM Bd Mitraclip Transcatheter Mvlv Repair 1 Nit 1 Ext 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
70701013682 CDM Value Heart 33 Tendyne 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
70701007228 CDM Sys Vlv Aortic Transcatheter Evolut Pro Plus 34mm 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
10000255928 CDM Sys Repair Mvlv Perc Mitraclip 1 Clip 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
10000309469 CDM Bd Mitraclip Transcatheter Mvlv Repair 1 Ext Clip 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
10000255930 CDM Sys Repair Mvlv Perc Mitraclip 3 Clip 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
70701017476 CDM Stent Evlt Fx 26mm Vlv 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
10000255929 CDM Sys Repair Mvlv Perc Mitraclip 2 Clip 1 1 $90,000.00 $36,000.00 60% off $90,000.00 $90,000.00 $90,000.00 2026-01-01
10000011178 CDM Carmustine 7.7 Mg Dev 1 1 $89,490.17 $35,796.07 60% off $89,490.17 $89,490.17 $89,490.17 2026-01-01
70701033900 CDM Implant Pulse Generator Vivistim 1 1 $88,500.00 $35,400.00 60% off $88,500.00 $88,500.00 $88,500.00 2026-01-01
10000280736 CDM Mesh Intra Rect Phasix St Resrb Monof Scaffold W/h 1 1 $87,787.80 $35,115.12 60% off $87,787.80 $87,787.80 $87,787.80 2026-01-01
70701025606 CDM System Stimulation Percept Rc Electrcl Brain Dp St 1 1 $85,790.40 $34,316.16 60% off $85,790.40 $85,790.40 $85,790.40 2026-01-01
10000006394 CDM Sodium Benz-sod Phenylacetate 10%-10% Vial; 50 Ml 1 1 $83,920.57 $33,568.23 60% off $83,920.57 $83,920.57 $83,920.57 2026-01-01
70701000034 CDM Vlv Heart Transcatheter Sapien 3 W/ultra Sys 23mm 1 1 $81,250.00 $32,500.00 60% off $81,250.00 $81,250.00 $81,250.00 2026-01-01
70701014670 CDM Discon Non Contracted Vlv Heart Aortic Transcathet 1 1 $81,250.00 $32,500.00 60% off $81,250.00 $81,250.00 $81,250.00 2026-01-01
70701003346 CDM Cath Thv W/commander Sys Ultra Edwards Sapien 3 20 1 1 $81,250.00 $32,500.00 60% off $81,250.00 $81,250.00 $81,250.00 2026-01-01
70701003350 CDM Cath Thv W/commander Sys Ultra Edwards Sapien 3 26 1 1 $81,250.00 $32,500.00 60% off $81,250.00 $81,250.00 $81,250.00 2026-01-01
70701005348 CDM Cath Thv W/commander Sys Ultra Edwards Sapien 3 23 1 1 $81,250.00 $32,500.00 60% off $81,250.00 $81,250.00 $81,250.00 2026-01-01
70701003348 CDM Discon Non Contracted Cath Trans Cath Heart Vlv With 1 1 $81,250.00 $32,500.00 60% off $81,250.00 $81,250.00 $81,250.00 2026-01-01
70701001026 CDM Gentr Impl Sentiva Sgl Pn 8ml 1 1 $81,000.00 $32,400.00 60% off $81,000.00 $81,000.00 $81,000.00 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 23 — — $10,731.00 $223,487.68 $79,817.03 2026-01-01
70701024286 CDM Vlv Aortic Transcatheter Navitor 27mm Vlv 1 1 $78,750.00 $31,500.00 60% off $78,750.00 $78,750.00 $78,750.00 2026-01-01
70701025462 CDM Heart Aortic 35mm Navitor Ttn Transcatheter Xenogr 1 1 $78,750.00 $31,500.00 60% off $78,750.00 $78,750.00 $78,750.00 2026-01-01
70701026258 CDM Heart Valve 27mm Navitor Transcatheter Xenograft S 1 1 $78,750.00 $31,500.00 60% off $78,750.00 $78,750.00 $78,750.00 2026-01-01
70701024390 CDM Vlv Aortic Transcatheter Navitor 23mm Vlv 1 1 $78,750.00 $31,500.00 60% off $78,750.00 $78,750.00 $78,750.00 2026-01-01
70701025456 CDM Heart Valve 23mm Navitor Transcatheter Xenograft S 1 1 $78,750.00 $31,500.00 60% off $78,750.00 $78,750.00 $78,750.00 2026-01-01
70701023786 CDM Vlv Aortic Transcatheter Navitor 25mm Vlv 1 1 $78,750.00 $31,500.00 60% off $78,750.00 $78,750.00 $78,750.00 2026-01-01
70701024310 CDM Vlv Aortic Transcatheter Navitor 29mm Vlv 1 1 $78,750.00 $31,500.00 60% off $78,750.00 $78,750.00 $78,750.00 2026-01-01
70701025460 CDM Heart Valve 29mm Navitor Transcatheter Xenograft S 1 1 $78,750.00 $31,500.00 60% off $78,750.00 $78,750.00 $78,750.00 2026-01-01
70701025458 CDM Heart Valve 25mm Navitor Transcatheter Xenograft S 1 1 $78,750.00 $31,500.00 60% off $78,750.00 $78,750.00 $78,750.00 2026-01-01
70701033688 CDM Vlv Aortic Transcatheter Navitor Stent-like Framew 1 1 $78,750.00 $31,500.00 60% off $78,750.00 $78,750.00 $78,750.00 2026-01-01
10000083588 CDM Insert Peritoneal Venous Shunt 49425 1 1 $76,978.00 $30,791.20 60% off $76,978.00 $76,978.00 $76,978.00 2026-01-01
10000066518 CDM Gentr Pulse Stim Sgl Pn Mdl 103 16gr Wt 6.9x45x32m 1 1 $76,535.91 $30,614.36 60% off $76,535.91 $76,535.91 $76,535.91 2026-01-01
70701033252 CDM Triluminate Triclip G4 Xtw Clip 1 1 $75,000.00 $30,000.00 60% off $75,000.00 $75,000.00 $75,000.00 2026-01-01
10000309468 CDM Discon Non Contracted Bd Mitraclip Transcatheter M 1 1 $75,000.00 $30,000.00 60% off $75,000.00 $75,000.00 $75,000.00 2026-01-01
10000284564 CDM Discon Obsolete By Mfg Sys Repair Mvlv Mitraclip N 1 1 $75,000.00 $30,000.00 60% off $75,000.00 $75,000.00 $75,000.00 2026-01-01
70701025044 CDM Triclip G4 Del Sys Trvlv 1 1 $75,000.00 $30,000.00 60% off $75,000.00 $75,000.00 $75,000.00 2026-01-01
7 MS_DRG Lung Transplant 25 23 — — $10,731.00 $208,947.12 $74,623.97 2026-01-01
70701013510 CDM Stimulator Deep Brain Activa Sterile 1 1 $74,599.89 $29,839.96 60% off $74,599.89 $74,599.89 $74,599.89 2026-01-01
70701012662 CDM Discon Non Contracted Defib Crt Sys Gallant Hf 1 1 $74,400.00 $29,760.00 60% off $74,400.00 $74,400.00 $74,400.00 2026-01-01
10000212701 CDM Generator Nerve Vagus Model 105 Aspire 1 1 $73,686.00 $29,474.40 60% off $73,686.00 $73,686.00 $73,686.00 2026-01-01
70701011608 CDM Clip Vlv Mitraclip Heart G4 Del Sys Xtw Cost/proce 1 1 $72,750.00 $29,100.00 60% off $72,750.00 $72,750.00 $72,750.00 2026-01-01
70701011610 CDM Clip Vlv Mitraclip Heart G4 Del Sys Ntw Cost/proce 1 1 $72,750.00 $29,100.00 60% off $72,750.00 $72,750.00 $72,750.00 2026-01-01
70701010222 CDM Gft Tiss Mtrx Strattice Reconstructive 25x40cm Fir 1 1 $72,333.00 $28,933.20 60% off $72,333.00 $72,333.00 $72,333.00 2026-01-01
14100A33366 CDM Tave Transapical Exposure 1 1 $71,849.00 $28,739.60 60% off $71,849.00 $71,849.00 $71,849.00 2026-01-01
14100B33366 CDM Tave Transapical Exposure 1 1 $71,849.00 $28,739.60 60% off $71,849.00 $71,849.00 $71,849.00 2026-01-01
10000075164 CDM Gentr Vagus Nerve Impl Dual Pn Lead Mdl 104 6.9x45 1 1 $71,700.00 $28,680.00 60% off $71,700.00 $71,700.00 $71,700.00 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 25 23 — — $10,731.00 $193,904.79 $69,251.71 2026-01-01
14100A33230 CDM Icd Insert Dual Gen Only 1 1 $69,098.00 $27,639.20 60% off $69,098.00 $69,098.00 $69,098.00 2026-01-01
13950C33230 CDM Ins Cardiodefib Pulse Gen 1 1 $69,098.00 $27,639.20 60% off $69,098.00 $69,098.00 $69,098.00 2026-01-01
70701005848 CDM Discon Non Contracted Sys Defib Cardiac Impl Non C 1 1 $66,900.00 $26,760.00 60% off $66,900.00 $66,900.00 $66,900.00 2026-01-01
14100A33240 CDM Icd Insert Sng Gen Only 1 1 $66,546.00 $26,618.40 60% off $66,546.00 $66,546.00 $66,546.00 2026-01-01
13950B33240 CDM Ins Cardio Defib Pulse Gen Single 1 1 $66,546.00 $26,618.40 60% off $66,546.00 $66,546.00 $66,546.00 2026-01-01
10000235275 CDM Device Ventr Assist Controller 10-40c 17.4x13.8in 1 1 $65,790.00 $26,316.00 60% off $65,790.00 $65,790.00 $65,790.00 2026-01-01
14100A33365 CDM Tavr Open Transaortic Approach 1 1 $65,555.00 $26,222.00 60% off $65,555.00 $65,555.00 $65,555.00 2026-01-01
14100B33365 CDM Tavr Open Transaortic Approach 1 1 $65,555.00 $26,222.00 60% off $65,555.00 $65,555.00 $65,555.00 2026-01-01
14100A33231 CDM Icd Insert Bi V Gen Only 1 1 $65,341.00 $26,136.40 60% off $65,341.00 $65,341.00 $65,341.00 2026-01-01
13950B33231 CDM Ins Cardio Defib Pulse Gen Bi 1 1 $65,341.00 $26,136.40 60% off $65,341.00 $65,341.00 $65,341.00 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 24 — — $10,731.00 $188,608.46 $65,298.14 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 22 22 — — $10,731.00 $182,625.04 $65,223.23 2026-01-01
14100A33262 CDM Remv & Replc Cvd Gen Single 1 1 $65,181.00 $26,072.40 60% off $65,181.00 $65,181.00 $65,181.00 2026-01-01
13950B33262 CDM Remv And Replc Cvd Gen Single 1 1 $65,181.00 $26,072.40 60% off $65,181.00 $65,181.00 $65,181.00 2026-01-01
70701001308 CDM Gft Tiss Mtrx Strattice Reconstructive 30x30cm Fir 1 1 $65,100.00 $26,040.00 60% off $65,100.00 $65,100.00 $65,100.00 2026-01-01
14100A33364 CDM Tavr Open Iliac Artery Approach 1 1 $64,768.00 $25,907.20 60% off $64,768.00 $64,768.00 $64,768.00 2026-01-01
14100B33364 CDM Tavr Open Iliac Artery Approach 1 1 $64,768.00 $25,907.20 60% off $64,768.00 $64,768.00 $64,768.00 2026-01-01
14100B33363 CDM Tavr Open Axillry Artry Approach 1 1 $64,506.00 $25,802.40 60% off $64,506.00 $64,506.00 $64,506.00 2026-01-01
14100A33363 CDM Tavr Open Axillry Artry Approach 1 1 $64,506.00 $25,802.40 60% off $64,506.00 $64,506.00 $64,506.00 2026-01-01
14100B37227 CDM Revsc Fem/pop W/stnt & Arth Rt 1 1 $64,184.00 $25,673.60 60% off $64,184.00 $64,184.00 $64,184.00 2026-01-01
14100A33362 CDM Tavr Open Femoral Artery Approach 1 1 $63,923.00 $25,569.20 60% off $63,923.00 $63,923.00 $63,923.00 2026-01-01
14100B33362 CDM Tavr Open Femoral Artery Approach 1 1 $63,923.00 $25,569.20 60% off $63,923.00 $63,923.00 $63,923.00 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 22 — — $10,731.00 $177,823.35 $63,508.34 2026-01-01
70701000258 CDM Sys Defibrillators Crt For Heart Failure Mgmt Ampl 1 1 $62,811.00 $25,124.40 60% off $62,811.00 $62,811.00 $62,811.00 2026-01-01
70701016798 CDM Discon Non Contracted Sys Defib W/rf Tele Ctd Assu 1 1 $62,808.00 $25,123.20 60% off $62,808.00 $62,808.00 $62,808.00 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 22 — — $10,731.00 $175,449.96 $62,660.70 2026-01-01
70701025354 CDM Implant Rp Flex W/smart Assist Set US 1 1 $62,500.00 $25,000.00 60% off $62,500.00 $62,500.00 $62,500.00 2026-01-01
70701009228 CDM Discon Non Contracted Catheter 5l/min 1 1 $62,500.00 $25,000.00 60% off $62,500.00 $62,500.00 $62,500.00 2026-01-01
70701011194 CDM Discon Non Contracted Pump Axial-pump Impella 1 1 $62,500.00 $25,000.00 60% off $62,500.00 $62,500.00 $62,500.00 2026-01-01
70701019248 CDM Kt Impella Rp W/smartassist Cath 1 1 $62,500.00 $25,000.00 60% off $62,500.00 $62,500.00 $62,500.00 2026-01-01
70701027760 CDM Kt Impl Pulse Gentr Hfx Iq 1 1 $60,702.00 $24,280.80 60% off $60,702.00 $60,702.00 $60,702.00 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 25 — — $10,731.00 $166,356.46 $60,007.15 2026-01-01
70701026716 CDM Defib Cardioverter Impl Aurora Ev-icd MRI Surescan 1 1 $60,000.00 $24,000.00 60% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
10000276339 CDM Mesh Hernia Rect Phasix Sepra Technology 20x25cm 1 1 $59,590.20 $23,836.08 60% off $59,590.20 $59,590.20 $59,590.20 2026-01-01
13950B33249 CDM Icd Implant Dual Leads Gen 1 1 $58,190.00 $23,276.00 60% off $58,190.00 $58,190.00 $58,190.00 2026-01-01
13950D33249 CDM Icd Implant Sng Lead Gen 1 1 $58,190.00 $23,276.00 60% off $58,190.00 $58,190.00 $58,190.00 2026-01-01
14100A33249 CDM Icd Implant Bi V (leads/gen) 1 1 $58,190.00 $23,276.00 60% off $58,190.00 $58,190.00 $58,190.00 2026-01-01
13950C33249 CDM Icd Implant Bi V Leads Gen 1 1 $58,190.00 $23,276.00 60% off $58,190.00 $58,190.00 $58,190.00 2026-01-01
14100B33249 CDM Icd Implant/dual(leads/gen) 1 1 $58,190.00 $23,276.00 60% off $58,190.00 $58,190.00 $58,190.00 2026-01-01
14100C33249 CDM Icd Implant/sng(lead/gen) 1 1 $58,190.00 $23,276.00 60% off $58,190.00 $58,190.00 $58,190.00 2026-01-01
70701008478 CDM System Stimulation Percept Pc Brainsense Ltx-unk S 1 1 $58,080.00 $23,232.00 60% off $58,080.00 $58,080.00 $58,080.00 2026-01-01
215 MS_DRG Other Heart Assist System Implant 27 25 — — $10,731.00 $188,056.23 $57,949.78 2026-01-01
10000212870 CDM Gft Tiss Mtrx Strattice Reconstructive 20x40cm Fir 1 1 $57,867.00 $23,146.80 60% off $57,867.00 $57,867.00 $57,867.00 2026-01-01
70701009218 CDM Device Stimulation Micro-electronic Impl Pulse Gen 1 1 $57,408.00 $22,963.20 60% off $57,408.00 $57,408.00 $57,408.00 2026-01-01
70701008360 CDM Portico Ng Transcather Heart Valve 25 1 1 $57,300.00 $22,920.00 60% off $57,300.00 $57,300.00 $57,300.00 2026-01-01
70701008362 CDM Portico Ng Transcather Heart Valve 27 1 1 $57,300.00 $22,920.00 60% off $57,300.00 $57,300.00 $57,300.00 2026-01-01
70701008364 CDM Portico Ng Transcather Heart Valve 29 1 1 $57,300.00 $22,920.00 60% off $57,300.00 $57,300.00 $57,300.00 2026-01-01
14100A33264 CDM Remv & Replc Cvd Gen Multiple 1 1 $57,181.00 $22,872.40 60% off $57,181.00 $57,181.00 $57,181.00 2026-01-01
13950B33264 CDM Remv A D Replc Cvd Gen Multiple 1 1 $57,181.00 $22,872.40 60% off $57,181.00 $57,181.00 $57,181.00 2026-01-01
13950B33263 CDM Remv And Replc Cvd Gen Dual 1 1 $56,868.00 $22,747.20 60% off $56,868.00 $56,868.00 $56,868.00 2026-01-01
14100A33263 CDM Remv & Replc Cvd Gen Dual 1 1 $56,868.00 $22,747.20 60% off $56,868.00 $56,868.00 $56,868.00 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 26 — — $10,731.00 $157,842.19 $56,654.07 2026-01-01
70701012542 CDM Mntr Heart Failure Cardiomems Del Sys And Pulm Art 1 1 $56,250.00 $22,500.00 60% off $56,250.00 $56,250.00 $56,250.00 2026-01-01
10000305489 CDM Defib Crt Momentum Is1 And Df1 Conn Type 5.37x8.08 1 1 $55,584.00 $22,233.60 60% off $55,584.00 $55,584.00 $55,584.00 2026-01-01
10000305487 CDM Defib Crt Is4 And Df4 Conn Type 5.37x8.18x0.99cm 1 1 $55,584.00 $22,233.60 60% off $55,584.00 $55,584.00 $55,584.00 2026-01-01
10000305491 CDM Defib Crt Momentum X4 Is4 And Df1 Conn Type 5.37x8 1 1 $55,584.00 $22,233.60 60% off $55,584.00 $55,584.00 $55,584.00 2026-01-01
70701013598 CDM Defib Crt Lv-1 Conn Momentum 5.37x8.18cmx0.99cm 1 1 $55,584.00 $22,233.60 60% off $55,584.00 $55,584.00 $55,584.00 2026-01-01
10000305488 CDM Defib Crt Momentum Is1 And Df4 Conn Type 5.37x8.18 1 1 $55,584.00 $22,233.60 60% off $55,584.00 $55,584.00 $55,584.00 2026-01-01
13950B33214 CDM Upgrade Pacemkr Implant 1 1 $55,528.00 $22,211.20 60% off $55,528.00 $55,528.00 $55,528.00 2026-01-01
14100A33214 CDM Upgrade Pacemkr Implant 1 1 $55,528.00 $22,211.20 60% off $55,528.00 $55,528.00 $55,528.00 2026-01-01
10000289246 CDM Gentr Pulse Icd Subcutaneous Emblem MRI Compatible 1 1 $55,500.00 $22,200.00 60% off $55,500.00 $55,500.00 $55,500.00 2026-01-01
10000266089 CDM Discon Non Contracted Gentr Pulse Impl Cardioverte 1 1 $55,500.00 $22,200.00 60% off $55,500.00 $55,500.00 $55,500.00 2026-01-01
70701009830 CDM Defib Crt Cobalt Xt Hf Quad MRI Is4 Df4 1 1 $55,500.00 $22,200.00 60% off $55,500.00 $55,500.00 $55,500.00 2026-01-01
70701017760 CDM Defib Crt Crtd Cobalt Xt Hf Quad MRI Is4 Df1 1 1 $55,500.00 $22,200.00 60% off $55,500.00 $55,500.00 $55,500.00 2026-01-01
70701013902 CDM Defib Impl Cobalt Hf Quad Crt-d MRI Ther Cardiac C 1 1 $55,500.00 $22,200.00 60% off $55,500.00 $55,500.00 $55,500.00 2026-01-01
10000280684 CDM Discon Non Contracted Defib Emblem S-icd Subcutane 1 1 $55,500.00 $22,200.00 60% off $55,500.00 $55,500.00 $55,500.00 2026-01-01
70701014088 CDM Defib Impl Claria MRI Quad Crt-d Surescan Ther Res 1 1 $55,500.00 $22,200.00 60% off $55,500.00 $55,500.00 $55,500.00 2026-01-01
10000342083 CDM Teprotumumab-trbw 47.6 Mg/ml Soln Iv; 10.5 Ml Vial 1 1 $54,549.02 $21,819.61 60% off $54,549.02 $54,549.02 $54,549.02 2026-01-01
10000251404 CDM Discon Non Contracted Defib X4 Crt Device 0.99x5.3 1 1 $54,330.00 $21,732.00 60% off $54,330.00 $54,330.00 $54,330.00 2026-01-01
10000253197 CDM Discon Non Contracted Defib Crt Qp Inogen X4 Df-1 1 1 $54,330.00 $21,732.00 60% off $54,330.00 $54,330.00 $54,330.00 2026-01-01
70701026744 CDM Sys Stim Impl Pulse Gentr Eterna 16-channel Ipg 1 1 $54,075.00 $21,630.00 60% off $54,075.00 $54,075.00 $54,075.00 2026-01-01
70701013574 CDM Device La Appendage Amplatzer Amulet 14f 34mm 1 1 $54,000.00 $21,600.00 60% off $54,000.00 $54,000.00 $54,000.00 2026-01-01
70701013572 CDM Device La Appendage Amplatzer Amulet 12f-14f Adp 1 1 1 $54,000.00 $21,600.00 60% off $54,000.00 $54,000.00 $54,000.00 2026-01-01
70701013580 CDM Device La Appendage Amplatzer Amulet 12f-14f Adp 2 1 1 $54,000.00 $21,600.00 60% off $54,000.00 $54,000.00 $54,000.00 2026-01-01
70701013584 CDM Occluder Cardiac Left Ampzr Amulet Atrial Appendag 1 1 $54,000.00 $21,600.00 60% off $54,000.00 $54,000.00 $54,000.00 2026-01-01
70701013578 CDM Device La Appendage Amplatzer Amulet 12f-14f Adp 1 1 1 $54,000.00 $21,600.00 60% off $54,000.00 $54,000.00 $54,000.00 2026-01-01
70701013586 CDM Device La Appendage Amplatzer Amulet 14f 31mm 1 1 $54,000.00 $21,600.00 60% off $54,000.00 $54,000.00 $54,000.00 2026-01-01
70701013582 CDM Occluder Cardiac Left Ampzr Amulet Atrial Appendag 1 1 $54,000.00 $21,600.00 60% off $54,000.00 $54,000.00 $54,000.00 2026-01-01
14100BC9602 CDM Atherect Cor Stnt W/pl Sgl Ld 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
14100CC9602 CDM Atherect Cor Stnt W/pl Sgl Lm 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
14100H92933 CDM Prq Trluml Crnry Angio/athe Lm 92933 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
10000197088 CDM Stent/atherectomy/ptca Lc 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
14100I92933 CDM Prq Trluml Crnry Angio/athe Ri 92933 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
14100HC9602 CDM Atherect Cor Stnt W Pl Sgl Rc 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
14100IC9602 CDM Atherect Cor Stnt W Pl Sgl Lm 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
14100G92933 CDM Prq Trluml Crnry Angio/athe Rc 92933 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
14100JC9602 CDM Atherect Cor Stnt W Pl Sgl Ri 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
14100EC9602 CDM Atherect Cor Stnt W/pl Sgl Ri 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
14100J92933 CDM Prq Trluml Crnry Angio/athe Ld 92933 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
14100B92933 CDM Prq Trluml Crnry Angio/athe Ri 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
14100GC9602 CDM Atherect Cor Stnt W Pl Sgl Ld 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
14100DC9602 CDM Atherect Cor Stnt W/pl Sgl Rc 1 1 $53,777.00 $21,510.80 60% off $53,777.00 $53,777.00 $53,777.00 2026-01-01
70701018514 CDM Gft Stent Thor Gore Tag Conformable 34x34mmx20cm 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701005778 CDM Gft Stent Thor Gore Tag Conformable 31x31mmx10cm 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701017518 CDM Gft Stent Thor Gore Tag Conformable 20fr 31x31mmx2 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701011060 CDM Gft Stent Throacic Gore Tag Conformable 28x28mmx15 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701008476 CDM Gft Stent Throacic Gore Tag Conformable 34x34mmx15 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701010526 CDM Gft Stent Throacic Gore Tag Conformable 45x45mmx15 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701010202 CDM Gft Stent Thor Gore Tag Conformable 21x21mmx10cm W 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701008056 CDM Gft Stent Thor Gore Tag Conformable 45x45mmx10cm W 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701012896 CDM Gft Stent Throacic Gore Tag Conformable 22fr 37x37 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701015472 CDM Grt Stent Thor Gore Tag Conf W/ac 31x26mmx10cm 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701010118 CDM Gft Stent Thor Gore Tag Conformable 26x26mmx10cm 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701010524 CDM Gft Stent Throacic Gore Tag Conformable 40x40mmx15 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701006882 CDM Gft Stent Thor Gore Tag Conformable 40x40mmx20cm W 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701010956 CDM Gft Stent Throacic Gore Tag Conformable 31x31mmx15 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701013360 CDM Gft Stent Throacic Gore Tag Conformable 45x45mmx20 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701010954 CDM Gft Stent Throacic Gore Tag Conformable 22fr 37x37 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701005946 CDM Gft Stent Thor Gore Tag Conformable 20fr 26x21mmx1 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701018144 CDM Gft Stent Thor Gore Tag 37x37mmx10cm W/active Cntr 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701010528 CDM Gft Stent Thor Gore Tag Conformable 28x28mmx10cm W 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701023752 CDM Gft Stent Throacic Gore Tag Conformable 34x34mmx10 1 1 $53,400.00 $21,360.00 60% off $53,400.00 $53,400.00 $53,400.00 2026-01-01
70701006086 CDM Discon Non Contracted Gft Endovas Thor Aortic Ane 1 1 $53,259.00 $21,303.60 60% off $53,259.00 $53,259.00 $53,259.00 2026-01-01
70701009926 CDM Defib Crt Cobalt Xt Hf MRI Is1 Df4 1 1 $53,205.00 $21,282.00 60% off $53,205.00 $53,205.00 $53,205.00 2026-01-01
70701017116 CDM Defib Impl Claria MRI Crt-d Ther Cardiac Crtd US D 1 1 $53,205.00 $21,282.00 60% off $53,205.00 $53,205.00 $53,205.00 2026-01-01
70701010048 CDM Defib Crt Cobalt Xt Hf MRI Is1 Df1 1 1 $53,205.00 $21,282.00 60% off $53,205.00 $53,205.00 $53,205.00 2026-01-01
70701009808 CDM Defib Impl Claria MRI Crt-d Ther Cardiac Crtd US D 1 1 $53,205.00 $21,282.00 60% off $53,205.00 $53,205.00 $53,205.00 2026-01-01
70701010214 CDM Defib Impl Cobalt Hf Crt-d MRI Ther Cardiac Crtd D 1 1 $53,205.00 $21,282.00 60% off $53,205.00 $53,205.00 $53,205.00 2026-01-01
70701009912 CDM Defib Impl Cobalt Hf Crt-d MRI Ther Cardiac Crtd D 1 1 $53,205.00 $21,282.00 60% off $53,205.00 $53,205.00 $53,205.00 2026-01-01
10000276409 CDM Discon Non Contracted Defib Cardioverter Impl Hf-t 1 1 $52,950.00 $21,180.00 60% off $52,950.00 $52,950.00 $52,950.00 2026-01-01
10000301841 CDM Discon Non Contracted Defib Cardioverter Impl Hf-t 1 1 $52,950.00 $21,180.00 60% off $52,950.00 $52,950.00 $52,950.00 2026-01-01
10000270242 CDM Discon Non Contracted Defib Cardioverter Impl Hf-t 1 1 $52,950.00 $21,180.00 60% off $52,950.00 $52,950.00 $52,950.00 2026-01-01
70701000532 CDM Discon Non Contracted Cell Defib W/rf Tele Quadra 1 1 $52,950.00 $21,180.00 60% off $52,950.00 $52,950.00 $52,950.00 2026-01-01
10000228936 CDM Defib Impl W/rf Telemetry Non Ctd Quadra Assura 40 1 1 $52,950.00 $21,180.00 60% off $52,950.00 $52,950.00 $52,950.00 2026-01-01
70701005774 CDM Discon Non Contracted Cell Defib Cardiac Impl Pary 1 1 $52,950.00 $21,180.00 60% off $52,950.00 $52,950.00 $52,950.00 2026-01-01
70701018036 CDM Kt Bld Pump Tandemlung W/31fr Veno-venous Dual Lum 1 1 $52,675.00 $21,070.00 60% off $52,675.00 $52,675.00 $52,675.00 2026-01-01
70701014490 CDM Sensor Cardiomems Pa And Del Sys And Card 10-pack 1 1 $52,500.00 $21,000.00 60% off $52,500.00 $52,500.00 $52,500.00 2026-01-01
14100B93654 CDM Rf Ablation Vt/ Ectopy 1 1 $52,277.00 $20,910.80 60% off $52,277.00 $52,277.00 $52,277.00 2026-01-01
13950C93654 CDM Rf Ablation Vt Ectopy 1 1 $52,277.00 $20,910.80 60% off $52,277.00 $52,277.00 $52,277.00 2026-01-01
14100A93654 CDM Rf Ablation Vt Transeptal 1 1 $52,277.00 $20,910.80 60% off $52,277.00 $52,277.00 $52,277.00 2026-01-01
13950B93654 CDM Rf Ablation Vt Transeptal 1 1 $52,277.00 $20,910.80 60% off $52,277.00 $52,277.00 $52,277.00 2026-01-01
14100B33361 CDM Tavr Perq Femoral Artry Approach 1 1 $52,257.00 $20,902.80 60% off $52,257.00 $52,257.00 $52,257.00 2026-01-01
14100A33361 CDM Tavr Perq Femoral Artry Approach 1 1 $52,257.00 $20,902.80 60% off $52,257.00 $52,257.00 $52,257.00 2026-01-01
70701013672 CDM Sys Stim Omnia Spinal-cord Implnt Pain Rlf Anlgsc 1 1 $52,125.00 $20,850.00 60% off $52,125.00 $52,125.00 $52,125.00 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 22 — — $10,731.00 $145,366.87 $51,916.74 2026-01-01
10000197098 CDM Ephys Evl Trnsptl Tx Atrial 1 1 $51,383.00 $20,553.20 60% off $51,383.00 $51,383.00 $51,383.00 2026-01-01
13950B93656 CDM Ephys Evl Trnsptl Tx Atrial 1 1 $51,383.00 $20,553.20 60% off $51,383.00 $51,383.00 $51,383.00 2026-01-01
70701006346 CDM Gft Endovas Stent Thor Aorta Valiant Str 223mm 37- 1 1 $51,378.00 $20,551.20 60% off $51,378.00 $51,378.00 $51,378.00 2026-01-01
70701003888 CDM Gft Endovas Stent Thor Aorta Descending Valiant 22 1 1 $51,378.00 $20,551.20 60% off $51,378.00 $51,378.00 $51,378.00 2026-01-01
70701004090 CDM Gft Endovas Stent Thor Navion Freeflo Str 223mm 43 1 1 $51,378.00 $20,551.20 60% off $51,378.00 $51,378.00 $51,378.00 2026-01-01
70701004086 CDM Gft Endovas Stent Thor Navion Freeflo Str 229mm 37 1 1 $51,378.00 $20,551.20 60% off $51,378.00 $51,378.00 $51,378.00 2026-01-01
70701004072 CDM Gft Endovas Stent Thor Navion Freeflo Str 223mm 46 1 1 $51,378.00 $20,551.20 60% off $51,378.00 $51,378.00 $51,378.00 2026-01-01
70701004084 CDM Gft Endovas Stent Thor Navion Freeflo Str 229mm 34 1 1 $51,378.00 $20,551.20 60% off $51,378.00 $51,378.00 $51,378.00 2026-01-01
70701006904 CDM Gft Endovas Stent Valiant Navion Coveredseal 200mm 1 1 $51,378.00 $20,551.20 60% off $51,378.00 $51,378.00 $51,378.00 2026-01-01
70701004062 CDM Gft Endovas Stent Thor Navion Freeflo Str 229mm 31 1 1 $51,378.00 $20,551.20 60% off $51,378.00 $51,378.00 $51,378.00 2026-01-01
70701024306 CDM Defib Impl Crome Hf Crt-d MRI Ther Cardiac Crtd Df 1 1 $51,363.00 $20,545.20 60% off $51,363.00 $51,363.00 $51,363.00 2026-01-01
10000177134 CDM Discon Non Contracted Icd Bv Energen Crtd Rf He Df 1 1 $51,330.00 $20,532.00 60% off $51,330.00 $51,330.00 $51,330.00 2026-01-01
70701004940 CDM Discon Non Contracted Defib Cardiac Resynchronizat 1 1 $51,330.00 $20,532.00 60% off $51,330.00 $51,330.00 $51,330.00 2026-01-01
10000269672 CDM Dynagen El Dr Df4 Plus Cellular 1 1 $51,240.00 $20,496.00 60% off $51,240.00 $51,240.00 $51,240.00 2026-01-01
10000305473 CDM Gentr Pulse Impl Pulse Spectra Wavewriter 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
70701018460 CDM Cath Del La Appendage Clsr Sheath Watchman Flx 12f 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
10000273324 CDM Device Clsr La Appendage Watchman Del Sys 33mm 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
10000065745 CDM Defibrillator Unify Cd3231-40 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
10000023339 CDM Defibrillator Cardiac Resynchronization Therapy Un 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
70701009872 CDM Cath Del La Appendage Clsr Sheath Watchman Flx 12f 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
70701008530 CDM Cath Del La Appendage Clsr Sheath Watchman Flx 12f 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
70701012036 CDM Cath Del La Appendage Clsr Sheath Watchman Flx 12f 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
70701017474 CDM Kt Impl Pulse Gentr Wavewriter Alpha 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
70701004740 CDM Device Clsr La Appendage Watchman Del Sys 30mm 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
70701005436 CDM Device Clsr La Appendage Watchman Del Sys 21mm 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
70701008816 CDM Device Proc Watchman La Appendage 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
10000273322 CDM Device Clsr La Appendage Watchman Del Sys 27mm 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
10000273321 CDM Device Clsr La Appendage Watchman Del Sys 24mm 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
70701008532 CDM Cath Del La Appendage Clsr Sheath Watchman Flx 12f 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
70701008814 CDM Device Proc Watchman Flx 1 1 $51,000.00 $20,400.00 60% off $51,000.00 $51,000.00 $51,000.00 2026-01-01
70701008230 CDM Neurstim Impl Bilat Deep Brain Activa Pc Dual Chnl 1 1 $50,318.40 $20,127.36 60% off $50,318.40 $50,318.40 $50,318.40 2026-01-01
10000262382 CDM Gft Antibact Clgn Surg Rect Dermal Xenmatrix 19x35 1 1 $50,310.00 $20,124.00 60% off $50,310.00 $50,310.00 $50,310.00 2026-01-01
10000026349 CDM Cath Pump Heart Impella 2.5l 1 1 $50,000.00 $20,000.00 60% off $50,000.00 $50,000.00 $50,000.00 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 22 22 — — $10,731.00 $139,718.12 $49,899.33 2026-01-01
70701004590 CDM Defib Crt Df-1 Plug Amplia MRI Quad Surescan 1 1 $49,821.00 $19,928.40 60% off $49,821.00 $49,821.00 $49,821.00 2026-01-01
10000315741 CDM Defib Crt Amplia MRI Quad Crt-d US 1 1 $49,821.00 $19,928.40 60% off $49,821.00 $49,821.00 $49,821.00 2026-01-01
10000280906 CDM Defib Crt Compia MRI Quad Crt-d Surescan 1 1 $49,821.00 $19,928.40 60% off $49,821.00 $49,821.00 $49,821.00 2026-01-01
10000316525 CDM Defib Crt Amplia MRI Surescan 1 1 $49,821.00 $19,928.40 60% off $49,821.00 $49,821.00 $49,821.00 2026-01-01
10000256581 CDM Conn Defribrulator Icd Crt-d Df-4 Viva Quad S 1 1 $49,821.00 $19,928.40 60% off $49,821.00 $49,821.00 $49,821.00 2026-01-01
70701004592 CDM Defib Crt Amplia MRI Mdl Df-1 1 1 $49,821.00 $19,928.40 60% off $49,821.00 $49,821.00 $49,821.00 2026-01-01
10000291602 CDM Defib Impl Cardiace Resynchronization Ther Biventr 1 1 $49,821.00 $19,928.40 60% off $49,821.00 $49,821.00 $49,821.00 2026-01-01
10000291129 CDM Defib Crt Compia MRI Df1 Conn 1 1 $49,821.00 $19,928.40 60% off $49,821.00 $49,821.00 $49,821.00 2026-01-01
10000291544 CDM Defib Cardiac Viva Quad Xt Df1 Is4/us 1 1 $49,821.00 $19,928.40 60% off $49,821.00 $49,821.00 $49,821.00 2026-01-01
70701004588 CDM Gft Endovas Stent Thor Aorta Descending Valiant 17 1 1 $49,200.00 $19,680.00 60% off $49,200.00 $49,200.00 $49,200.00 2026-01-01
70701004586 CDM Gft Endovas Stent Thor Aorta Descending Valiant 17 1 1 $49,200.00 $19,680.00 60% off $49,200.00 $49,200.00 $49,200.00 2026-01-01
70701004644 CDM Gft Endovas Stent Thor Aorta Descending Str 183mm 1 1 $49,200.00 $19,680.00 60% off $49,200.00 $49,200.00 $49,200.00 2026-01-01
70701007948 CDM Gft Stent Endovas Thor Aorta Freeflo Str 183mm 40- 1 1 $49,200.00 $19,680.00 60% off $49,200.00 $49,200.00 $49,200.00 2026-01-01
70701008034 CDM Gft Endovas Stent Valiant Navion Freeflo 174mm 28- 1 1 $49,200.00 $19,680.00 60% off $49,200.00 $49,200.00 $49,200.00 2026-01-01
70701003894 CDM Gft Endovas Stent Thor Aorta Descending Valiant 17 1 1 $49,200.00 $19,680.00 60% off $49,200.00 $49,200.00 $49,200.00 2026-01-01
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