Price Transparency Hospital negotiated rates

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

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Hospital

UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS

Worcester, MA · CCN 220163 · Rates published

24,567 distinct procedures filed
92 distinct payers
1,410,193 rate rows
2026-05-28 last MRF observed
Data quality

1,324,452 of 1,410,193 rate rows are consumer-grade (93.9%)

85,741 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 56,376
per-diem day rate — not a per-procedure price 23,923
placeholder amount (≤ $0.02) — excluded from medians 2,756
template filing: same amount across many unrelated codes — excluded 1,693
exceeds 10× this hospital's gross charge — excluded from medians 983
exceeds 3× this hospital's gross charge for a DRG stay — excluded 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ummh-price-transparency.s3.us-east-2.amazonaws.com/043358564_umass-memorial-medical-center-inc._standardcharges.csv
Found on page https://www.ummhealth.org/patients-visitors/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 7067a5879e33c3e1… · 756,071,500 bytes · first seen 2026-05-08

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
588
MS_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 2 $515,259.87 $920,960.96 $696,695.24 nat. median
$313,714
outlier · 2.2×
161
MS_DRG 		Implantable Heart Assist Systems,extreme 2 $354,380.97 $760,288.32 $529,952.15 nat. median
$289,356
1.8× median
591
MS_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 2 $399,890.58 $700,462.52 $474,150.67 nat. median
$204,175
outlier · 2.3×
609
MS_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure,extreme 2 $257,731.34 $665,648.25 $437,611.90 nat. median
$224,255
2.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $397,262.31 $535,631.31 $421,098.05 nat. median
$370,174
1.1× median
9
MS_DRG 		Extracorporeal Membrane Oxygenation (ecmo),extreme 2 $240,467.72 $562,855.50 $382,991.80 nat. median
$186,776
outlier · 2.1×
589
MS_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $336,197.11 $425,276.34 $378,215.85 nat. median
$76,787
outlier · 4.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $74,701.04 $582,479.00 $276,108.44 nat. median
$265,286
1.0× median
SUP-106524US
CDM 		Kit Implant Lvad W/controller Heartmate 3 22 $105,059.15 $318,361.05 $255,070.88 nat. median
$348,490
0.7× median
910
MS_DRG 		Craniotomy For Multiple Significant Trauma,extreme 2 $212,003.79 $243,797.30 $227,900.54 nat. median
$52,917
outlier · 4.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $50,253.70 $622,107.51 $209,299.53 nat. median
$202,986
1.0× median
162
MS_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 2 $141,677.92 $332,763.21 $203,963.42 nat. median
$100,457
outlier · 2.0×
611
MS_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly,extreme 2 $98,886.67 $334,524.63 $202,307.89 nat. median
$52,639
outlier · 3.8×
631
MS_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme 2 $103,512.09 $552,123.34 $200,927.35 nat. median
$65,780
outlier · 3.1×
608
MS_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,major 2 $184,111.98 $211,722.65 $197,917.32 nat. median
$36,076
outlier · 5.5×
SUP-1103
CDM 		Kit Implant Pump Hvad 22 $72,671.78 $220,217.50 $176,438.26 nat. median
$251,341
0.7× median
160
MS_DRG 		Major Cardiothoracic Repair Of Heart Anomaly,major 2 $163,682.00 $188,228.85 $175,955.42 nat. median
$10,293
outlier · 17.1×
8
MS_DRG 		Autologous Bone Marrow Transplant,major 2 $146,357.84 $209,146.65 $175,089.28 nat. median
$53,171
outlier · 3.3×
130
MS_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 2 $159,289.66 $183,177.81 $171,233.73 nat. median
$12,579
outlier · 13.6×
612
MS_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 $78,414.31 $258,289.03 $140,449.92 nat. median
$50,031
outlier · 2.8×
A9543
HCPCS 		Kit For Prep Of Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 27 $56,824.55 $213,298.20 $137,744.37 nat. median
$62,507
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $31,153.09 $505,755.38 $136,839.27 nat. median
$133,176
1.0× median
PX-81200002
CDM 		Hc Pancreas Acquisition Fee Cadav 25 $51,523.56 $156,132.00 $125,092.96 nat. median
$116,899
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 24 $30,528.37 $471,416.31 $124,717.44 nat. median
$100,136
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $32,994.53 $440,735.51 $120,487.71 nat. median
$117,303
1.0× median
613
MS_DRG 		Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,mode… 2 $105,715.83 $121,569.69 $113,642.76 nat. median
$39,972
outlier · 2.8×
PX-81200001
CDM 		Hc Liver Acquis Fee Cadaver Donor 25 $45,395.79 $137,563.00 $110,215.48 nat. median
$206,059
0.5× median
PX-81200000
CDM 		Hc Kidney Acquisition Fee Cadaver 25 $44,645.04 $135,288.00 $108,392.74 nat. median
$129,144
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $100,544.08 $236,326.82 $107,582.17 nat. median
$102,358
1.1× median
PX-81100000
CDM 		Hc Kidney Acquis Fee Living Donor 25 $44,117.70 $133,690.00 $107,112.43 nat. median
$91,147
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $13,503.95 $239,523.74 $106,989.79 nat. median
$98,905
1.1× median
SUP-1000100
CDM 		Pump Heart With Smartassist Impella 5.5 22 $43,807.50 $132,750.00 $106,359.30 nat. median
$84,608
1.3× median
PX-81100001
CDM 		Hc Liver Acquis Fee Living Donor 25 $43,306.23 $131,231.00 $105,142.27 nat. median
$72,319
1.5× median
912
MS_DRG 		Musculoskeletal And Other Procedures For Multiple Significant Trauma,extreme 2 $59,146.74 $213,940.09 $102,656.93 nat. median
$41,682
outlier · 2.5×
169
MS_DRG 		Major Abdominal Vascular Procedures,extreme 2 $77,397.20 $217,783.20 $102,144.55 nat. median
$40,794
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $26,936.27 $642,643.91 $98,216.12 nat. median
$93,672
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 19 $45,178.78 $150,476.94 $97,648.89 nat. median
$99,019
1.0× median
SUP-D0146
CDM 		Device Liver Perfusion Disposable Sterile Single-use Metra 22 $36,993.00 $112,100.00 $89,814.52 nat. median
$84,075
1.1× median
911
MS_DRG 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 2 $61,447.35 $224,501.68 $89,194.74 nat. median
$67,356
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $83,420.81 $118,460.75 $88,426.06 nat. median
$82,712
1.1× median
680
MS_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,extreme 2 $44,537.90 $250,324.32 $87,611.14 nat. median
$46,075
1.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 19 $67,510.65 $238,276.31 $85,819.92 nat. median
$83,442
1.0× median
SUP-TCG50100
CDM 		System Transcatheter Edge To Edge Repair G5 Steerable Guide Catheter With Up To… 22 $35,046.00 $106,200.00 $85,087.44 nat. median
$85,618
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 23 $22,215.70 $183,207.02 $83,563.70 nat. median
$79,312
1.1× median
J3357
HCPCS 		Ustekinumab 90 Mg/ml Subcutaneous Syringe 40 $155.88 $165,386.53 $82,693.30 nat. median
$14,306
outlier · 5.8×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $26,770.91 $182,631.09 $81,746.22 nat. median
$81,118
1.0× median
SUP-S3URCM23A
CDM 		Valve Heart Transcatheter With Commander System 23mm Edwards Sapien 3 Ultra Resi… 22 $33,099.00 $100,300.00 $80,360.36 nat. median
$75,970
1.1× median
SUP-S3URCM26A
CDM 		Valve Heart Transcatheter With Commander System 26mm Edwards Sapien 3 Ultra Resi… 22 $33,099.00 $100,300.00 $80,360.36 nat. median
$64,923
1.2× median
SUP-S3URCM20A
CDM 		Valve Heart Transcatheter With Commander System 20mm Edwards Sapien 3 Ultra Resi… 22 $33,099.00 $100,300.00 $80,360.36 nat. median
$77,520
1.0× median
SUP-S3URCM29A
CDM 		Valve Heart Transcatheter With Commander System 29mm Edwards Sapien 3 Ultra Resi… 22 $33,099.00 $100,300.00 $80,360.36 nat. median
$64,923
1.2× median

Other procedures at this hospital

Browse this hospital's 24,567 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
588 MS_DRG Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 4 2 $751,106.81 $751,106.81 $515,259.87 $920,960.96 $696,695.24 2026-03-26
161 MS_DRG Implantable Heart Assist Systems,extreme 6 2 $239,107.77 $239,107.77 $354,380.97 $760,288.32 $529,952.15 2026-03-26
591 MS_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 6 2 $1,443,418.32 $1,443,418.32 $399,890.58 $700,462.52 $474,150.67 2026-03-26
609 MS_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure,extreme 4 2 $687,214.95 $687,214.95 $257,731.34 $665,648.25 $437,611.90 2026-03-26
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 17 $3,361,506.81 $3,361,506.81 $397,262.31 $535,631.31 $421,098.05 2026-03-26
9 MS_DRG Extracorporeal Membrane Oxygenation (ecmo),extreme 4 2 $298,349.57 $298,349.57 $240,467.72 $562,855.50 $382,991.80 2026-03-26
589 MS_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 $778,668.28 $778,668.28 $336,197.11 $425,276.34 $378,215.85 2026-03-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 20 $831,840.06 $831,840.06 $74,701.04 $582,479.00 $276,108.44 2026-03-26
SUP-106524US CDM Kit Implant Lvad W/controller Heartmate 3 30 22 $318,361.05 $318,361.05 $105,059.15 $318,361.05 $255,070.88 2026-03-26
910 MS_DRG Craniotomy For Multiple Significant Trauma,extreme 2 2 $356,759.69 $356,759.69 $212,003.79 $243,797.30 $227,900.54 2026-03-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 20 $702,677.11 $702,677.11 $50,253.70 $622,107.51 $209,299.53 2026-03-26
162 MS_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 6 2 $211,371.61 $211,371.61 $141,677.92 $332,763.21 $203,963.42 2026-03-26
611 MS_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,extreme 4 2 $695,702.33 $695,702.33 $98,886.67 $334,524.63 $202,307.89 2026-03-26
631 MS_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme 6 2 $680,864.38 $680,864.38 $103,512.09 $552,123.34 $200,927.35 2026-03-26
608 MS_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,major 2 2 $252,214.12 $252,214.12 $184,111.98 $211,722.65 $197,917.32 2026-03-26
SUP-1103 CDM Kit Implant Pump Hvad 30 22 $220,217.50 $220,217.50 $72,671.78 $220,217.50 $176,438.26 2026-03-26
160 MS_DRG Major Cardiothoracic Repair Of Heart Anomaly,major 2 2 $151,649.86 $151,649.86 $163,682.00 $188,228.85 $175,955.42 2026-03-26
8 MS_DRG Autologous Bone Marrow Transplant,major 4 2 $288,592.45 $288,592.45 $146,357.84 $209,146.65 $175,089.28 2026-03-26
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 2 2 $327,472.71 $327,472.71 $159,289.66 $183,177.81 $171,233.73 2026-03-26
612 MS_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 2 $260,034.75 $260,034.75 $78,414.31 $258,289.03 $140,449.92 2026-03-26
A9543 HCPCS Kit For Prep Of Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 40 27 $190,536.86 $190,536.86 $56,824.55 $213,298.20 $137,744.37 2026-03-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 20 $440,683.87 $440,683.87 $31,153.09 $505,755.38 $136,839.27 2026-03-26
PX-81200002 CDM Hc Pancreas Acquisition Fee Cadav 34 25 $156,132.00 $156,132.00 $51,523.56 $156,132.00 $125,092.96 2026-03-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 24 $474,026.49 $474,026.49 $30,528.37 $471,416.31 $124,717.44 2026-03-26
14 MS_DRG Allogeneic Bone Marrow Transplant 22 20 $616,386.12 $616,386.12 $32,994.53 $440,735.51 $120,487.71 2026-03-26
613 MS_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,mode… 2 2 $569,855.21 $569,855.21 $105,715.83 $121,569.69 $113,642.76 2026-03-26
PX-81200001 CDM Hc Liver Acquis Fee Cadaver Donor 34 25 $137,563.00 $137,563.00 $45,395.79 $137,563.00 $110,215.48 2026-03-26
PX-81200000 CDM Hc Kidney Acquisition Fee Cadaver 34 25 $135,288.00 $135,288.00 $44,645.04 $135,288.00 $108,392.74 2026-03-26
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 18 $281,445.30 $281,445.30 $100,544.08 $236,326.82 $107,582.17 2026-03-26
PX-81100000 CDM Hc Kidney Acquis Fee Living Donor 34 25 $133,690.00 $133,690.00 $44,117.70 $133,690.00 $107,112.43 2026-03-26
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 20 $391,597.49 $391,597.49 $13,503.95 $239,523.74 $106,989.79 2026-03-26
SUP-1000100 CDM Pump Heart With Smartassist Impella 5.5 30 22 $132,750.00 $132,750.00 $43,807.50 $132,750.00 $106,359.30 2026-03-26
PX-81100001 CDM Hc Liver Acquis Fee Living Donor 34 25 $131,231.00 $131,231.00 $43,306.23 $131,231.00 $105,142.27 2026-03-26
912 MS_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,extreme 6 2 $158,438.13 $158,438.13 $59,146.74 $213,940.09 $102,656.93 2026-03-26
169 MS_DRG Major Abdominal Vascular Procedures,extreme 8 2 $134,272.61 $134,272.61 $77,397.20 $217,783.20 $102,144.55 2026-03-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 21 $438,302.83 $438,302.83 $26,936.27 $642,643.91 $98,216.12 2026-03-26
215 MS_DRG Other Heart Assist System Implant 20 19 $622,502.08 $622,502.08 $45,178.78 $150,476.94 $97,648.89 2026-03-26
SUP-D0146 CDM Device Liver Perfusion Disposable Sterile Single-use Metra 30 22 $112,100.00 $112,100.00 $36,993.00 $112,100.00 $89,814.52 2026-03-26
911 MS_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 6 2 $258,174.11 $258,174.11 $61,447.35 $224,501.68 $89,194.74 2026-03-26
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 17 $503,405.19 $503,405.19 $83,420.81 $118,460.75 $88,426.06 2026-03-26
680 MS_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,extreme 8 2 $121,345.51 $121,345.51 $44,537.90 $250,324.32 $87,611.14 2026-03-26
850 MS_DRG Acute Leukemia With Other Procedures 24 19 $405,774.23 $405,774.23 $67,510.65 $238,276.31 $85,819.92 2026-03-26
SUP-TCG50100 CDM System Transcatheter Edge To Edge Repair G5 Steerable Guide Catheter With Up To … 30 22 $106,200.00 $106,200.00 $35,046.00 $106,200.00 $85,087.44 2026-03-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 23 $352,082.82 $352,082.82 $22,215.70 $183,207.02 $83,563.70 2026-03-26
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 105 40 $82,693.30 $82,693.30 $155.88 $165,386.53 $82,693.30 2026-03-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 20 $273,727.29 $273,727.29 $26,770.91 $182,631.09 $81,746.22 2026-03-26
SUP-S3URCM29A CDM Valve Heart Transcatheter With Commander System 29mm Edwards Sapien 3 Ultra Resi… 30 22 $100,300.00 $100,300.00 $33,099.00 $100,300.00 $80,360.36 2026-03-26
SUP-S3URCM23A CDM Valve Heart Transcatheter With Commander System 23mm Edwards Sapien 3 Ultra Resi… 30 22 $100,300.00 $100,300.00 $33,099.00 $100,300.00 $80,360.36 2026-03-26
SUP-S3URCM20A CDM Valve Heart Transcatheter With Commander System 20mm Edwards Sapien 3 Ultra Resi… 30 22 $100,300.00 $100,300.00 $33,099.00 $100,300.00 $80,360.36 2026-03-26
SUP-S3URCM26A CDM Valve Heart Transcatheter With Commander System 26mm Edwards Sapien 3 Ultra Resi… 30 22 $100,300.00 $100,300.00 $33,099.00 $100,300.00 $80,360.36 2026-03-26
510 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 $85,645.16 $85,645.16 $73,710.18 $84,764.25 $79,237.21 2026-03-26
695 MS_DRG Chemotherapy For Acute Leukemia,extreme 6 2 $48,009.05 $48,009.05 $27,138.06 $224,470.35 $78,664.49 2026-03-26
SUP-MCG50100 CDM System Transcatheter Edge To Edge Repair G5 Steerable Guide Catheter With Up To … 30 22 $97,350.00 $97,350.00 $32,125.50 $97,350.00 $77,996.82 2026-03-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 21 $598,946.05 $598,946.05 $27,769.90 $193,725.47 $77,320.50 2026-03-26
SUP-9355NF26A CDM Valve Heart Aortic Transcatheter Sapien 26mm Novaflex Plus 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9355NF23A CDM Valve Heart Aortic Transcatheter Sapien 23mm Novaflex Plus 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9600CT26A CDM Valve Heart Transcatheter With Certitude Sheath 26mm Sapien 3 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9600CM23A CDM Valve Heart Transcatheter With Commander 23mm Sapien 3 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9100RF323A CDM Heart Valve Sapien Transcather With Retroflex 3 Tranfemoral System 23mm 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9100RF326A CDM Heart Valve Sapien Transcather With Retroflex 3 Tranfemoral System 26mm 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9355ASP23A CDM Valve Heart Aortic Transcatheter Sapien Xt 23mm Ascendra Plus 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-S3USTA120A CDM System Valve Heart Transcatheter 3 Ultra 20mm With Certitude System Edwards Sapi… 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-S3USTA129A CDM System Valve Heart Transcatheter 3 Ultra 29mm With Certitude System Edwards Sapi… 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9600CM26A CDM Valve Heart Transcatheter With Commander 26mm Sapien 3 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9600CM29A CDM Valve Heart Transcatheter With Commander 29mm Sapien 3 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9600CT29A CDM Valve Heart Transcatheter With Certitude Sheath 29mm Sapien 3 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-S3USTA123A CDM System Valve Heart Transcatheter 3 Ultra 23mm With Certitude System Edwards Sapi… 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-S3USTA126A CDM System Valve Heart Transcatheter 3 Ultra 26mm With Certitude System Edwards Sapi… 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9355NF29A CDM Valve Heart Aortic Transcatheter Sapien 29mm Novaflex Plus 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9120AS323A CDM Heart Valve Sapien Transcather With Ascendra 2 Transapical System 23mm 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-S3UCM226A CDM System Valve Heart Transcatheter 3 Ultra 26mm With Commander System Edwards Sapi… 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-S3UCM220A CDM System Valve Heart Transcatheter 3 Ultra 20mm With Commander System Edwards Sapi… 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9355ASP26A CDM Valve Heart Aortic Transcatheter Sapien Xt 26mm Ascendra Plus 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9600CT23A CDM Valve Heart Transcatheter With Certitude Sheath 23mm Sapien 3 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9600CT20A CDM Valve Heart Transcatheter With Certitude Sheath 20mm Sapien 3 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9600CM20A CDM Valve Heart Transcatheter With Commander 20mm Sapien 3 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9355ASP29A CDM Valve Heart Aortic Transcatheter Sapien Xt 29mm Ascendra Plus 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-S3UCM223A CDM System Valve Heart Transcatheter 3 Ultra 23mm With Commander System Edwards Sapi… 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
SUP-9120AS326A CDM Heart Valve Sapien Transcather With Ascendra 2 Transapical System 25mm 30 22 $95,875.00 $95,875.00 $31,638.75 $95,875.00 $76,815.05 2026-03-26
636 MS_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,major 2 2 $180,602.63 $180,602.63 $71,454.98 $82,170.85 $76,812.92 2026-03-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 20 $267,393.89 $267,393.89 $21,513.84 $166,872.49 $76,177.95 2026-03-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 20 $235,905.21 $235,905.21 $18,643.24 $548,328.27 $75,604.07 2026-03-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 22 $275,665.43 $275,665.43 $20,942.06 $166,153.13 $74,434.88 2026-03-26
681 MS_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,extreme 8 2 $89,181.57 $89,181.57 $34,430.37 $229,298.61 $72,261.58 2026-03-26
CPT® 33289 OTHER Hc Transcath Implant Wireless Pulm Art Press Sensor Hemodynamic Monitoring 23 23 $96,160.00 $76,928.00 20% off $66,542.72 $77,783.82 $72,120.00 2026-05-28
174 MS_DRG Percutaneous Cardiac Intervention With Ami,extreme 8 2 $159,558.09 $159,558.09 $52,341.79 $125,423.24 $71,615.73 2026-03-26
SUP-EVFXPLUS-34 CDM Valve Aortic Transcatheter 34mm Annulus 26-30mm Tavr Evolut Fx Plus 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-187787 CDM Aortic Valve Transcatheter Evolut R 26mm 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-187788 CDM Aortic Valve Transcatheter Evolut R 29mm 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-MCS-P3-26-AOA-US CDM Valve Aortic Corevalve Transcatheter 26mm 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVOLUTFX-23 CDM Transcatheter Aortic Valve 23mm Evolut Fx 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVOLUTFX-34 CDM Transcatheter Aortic Valve 34mm Evolut Fx 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVOLUTPRO-26-US CDM Valve Aortic Transcatheter Replacement 26mm Evolut Pro 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVOLUTR-34-US CDM Valve Aortic Transcatheter 34mm Evolut R 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVFXPLUS-26 CDM Valve Aortic Transcatheter 26mm Annulus 20-23mm Tavr Evolut Fx Plus 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-MCS-P3-31-AOA-US CDM Valve Aortic Corevalve Transcatheter 31mm 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVFXPLUS-29 CDM Valve Aortic Transcatheter 29mm Annulus 23-26mm Tavr Evolut Fx Plus 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVOLUTR-23-US CDM Aortic Valve Transcatheter Evolut R 23mm 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVOLUTR-26-US CDM Valve Aortic Transcatheter 26mm Evolut R 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVOLUTFX-26 CDM Transcatheter Aortic Valve 26mm Evolut Fx 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-MCS-P3-29-AOA-US CDM Valve Aortic Corevalve Transcatheter 29mm 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVOLUTPRO-23-US CDM Valve Aortic Transcatheter Replacement 23mm Evolut Pro 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVFXPLUS-23 CDM Valve Aortic Transcatheter 23mm Annulus 17/18-20mm Tavr Evolut Fx Plus 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVPROPLUS-26US CDM Valve Aortic Transcatheter Sterile 26mm Evolut Pro Plus 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVOLUTFX-29 CDM Transcatheter Aortic Valve 29mm Evolut Fx 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVOLUTR-29-US CDM Valve Aortic Transcatheter 29mm Evolut R 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVOLUTPRO-29-US CDM Valve Aortic Transcatheter Replacement 29mm Evolut Pro 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
SUP-EVPROPLUS-29US CDM Valve Aortic Transcatheter Sterile 29mm Evolut Pro Plus 30 22 $88,500.00 $88,500.00 $29,205.00 $88,500.00 $70,906.20 2026-03-26
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 18 $290,035.63 $290,035.63 $66,162.51 $154,964.98 $70,793.89 2026-03-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 19 $40,323.00 $40,323.00 $16,336.46 $94,859.79 $70,544.06 2026-03-26
230 MS_DRG Major Small Bowel Procedures,extreme 8 2 $95,272.42 $95,272.42 $37,984.20 $176,428.00 $70,421.93 2026-03-26
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 21 $218,211.25 $218,211.25 $14,033.69 $156,881.83 $70,321.17 2026-03-26
633 MS_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly,extreme 8 2 $93,436.61 $93,436.61 $11,548.43 $255,901.01 $69,718.43 2026-03-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 20 $240,887.85 $240,887.85 $16,730.08 $224,322.22 $68,645.78 2026-03-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 20 $257,046.49 $257,046.49 $17,875.64 $149,477.40 $68,312.65 2026-03-26
182 MS_DRG Other Upper Vascular Procedures,extreme 6 2 $190,221.27 $190,221.27 $56,065.14 $158,211.51 $67,912.36 2026-03-26
890 MS_DRG HIV With Multiple Major HIV Related Conditions,extreme 4 2 $84,940.04 $84,940.04 $41,205.05 $99,645.86 $67,017.76 2026-03-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 15 $349,238.88 $349,238.88 $16,158.29 $81,655.85 $66,870.10 2026-03-26
120 MS_DRG Major Respiratory And Chest Procedures,major 6 2 $129,514.47 $129,514.47 $50,328.76 $108,630.52 $66,695.93 2026-03-26
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 29 22 $244,817.64 $244,817.64 $27,428.66 $145,317.70 $66,431.82 2026-03-26
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 21 $274,902.26 $274,902.26 $44,180.70 $529,357.16 $65,763.25 2026-03-26
49 MS_DRG Bacterial And Tuberculous Infections Of Nervous System,major 4 2 $124,768.83 $124,768.83 $54,657.53 $78,230.27 $65,441.31 2026-03-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 19 $409,839.93 $409,839.93 $15,601.02 $186,381.00 $65,339.08 2026-03-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 20 $293,976.23 $293,976.23 $17,809.90 $186,381.00 $65,339.08 2026-03-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 19 $313,160.32 $313,160.32 $11,136.88 $142,381.58 $64,495.76 2026-03-26
363 MS_DRG Breast Procedures Except Mastectomy,major 4 2 $98,530.65 $98,530.65 $52,175.30 $78,352.10 $64,067.05 2026-03-26
SUP-4000021 CDM Set Pump With Smart Assist Plus 7fr Companion Sheath Bundle Impella Cp 30 22 $79,650.00 $79,650.00 $26,284.50 $79,650.00 $63,815.58 2026-03-26
691 MS_DRG Lymphoma, Myeloma And Non-acute Leukemia,extreme 6 2 $123,112.38 $123,112.38 $37,191.10 $138,581.72 $63,568.74 2026-03-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 21 $284,344.94 $284,344.94 $15,226.19 $139,845.34 $62,761.99 2026-03-26
SUP-NVRO-25 CDM Valve Aortic Transcatheter With Radiopaque Markers 25mm Navitor 30 22 $77,437.50 $77,437.50 $25,554.38 $77,437.50 $62,042.93 2026-03-26
SUP-NVRO-23 CDM Valve Aortic Transcatheter With Radiopaque Markers 23mm Navitor 30 22 $77,437.50 $77,437.50 $25,554.38 $77,437.50 $62,042.93 2026-03-26
SUP-NVRO-35 CDM Valve Aortic Transcatheter With Radiopaque Markers 35mm Navitor 30 22 $77,437.50 $77,437.50 $25,554.38 $77,437.50 $62,042.93 2026-03-26
SUP-NVRO-27 CDM Valve Aortic Transcatheter With Radiopaque Markers 27mm Navitor 30 22 $77,437.50 $77,437.50 $25,554.38 $77,437.50 $62,042.93 2026-03-26
SUP-NVRO-29 CDM Valve Aortic Transcatheter With Radiopaque Markers 29mm Navitor 30 22 $77,437.50 $77,437.50 $25,554.38 $77,437.50 $62,042.93 2026-03-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 23 $214,584.43 $214,584.43 $14,536.29 $199,375.26 $61,791.96 2026-03-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 21 $98,902.73 $98,902.73 $14,313.44 $133,034.21 $60,877.76 2026-03-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 21 $282,520.68 $282,520.68 $17,573.67 $215,277.34 $60,649.01 2026-03-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 19 $199,343.27 $199,343.27 $24,472.67 $133,188.52 $60,377.93 2026-03-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 23 $334,636.05 $334,636.05 $16,444.61 $151,490.00 $60,300.92 2026-03-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 18 $206,008.93 $206,008.93 $55,841.70 $130,541.44 $59,750.62 2026-03-26
SUP-NIPG3000 CDM Kit Implantable Pulse Generator Neurostimulator 8.5x15.5 Hfx Iq Senza 28 21 $73,750.00 $73,750.00 $24,337.50 $73,750.00 $59,228.62 2026-03-26
SUP-PLVAD06796 CDM Set Pump Percutaneous Left Ventricular Assist Device Elevate 30 22 $73,920.00 $73,920.00 $24,393.60 $73,920.00 $59,224.71 2026-03-26
28 MS_DRG Spinal Procedures With Mcc 20 19 $245,343.44 $245,343.44 $15,282.26 $130,578.38 $59,208.76 2026-03-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 19 $353,532.21 $353,532.21 $55,262.21 $423,788.34 $59,130.56 2026-03-26
SUP-0048-0003 CDM Set Pump Ventricular Assist Device Impella Cp 30 22 $73,750.00 $73,750.00 $24,337.50 $73,750.00 $59,088.50 2026-03-26
SUP-004334 CDM Set Pump Ventricular Assist Device Impella Rp 30 22 $73,750.00 $73,750.00 $24,337.50 $73,750.00 $59,088.50 2026-03-26
SUP-1000323 CDM Pump Heart With Smart Assist Impella Rp 30 22 $73,750.00 $73,750.00 $24,337.50 $73,750.00 $59,088.50 2026-03-26
SUP-005062 CDM Pump Ventricular Assist Device Impella 5.0 30 22 $73,750.00 $73,750.00 $24,337.50 $73,750.00 $59,088.50 2026-03-26
224 MS_DRG Peritoneal Adhesiolysis,extreme 8 2 $62,200.06 $62,200.06 $34,733.08 $134,902.22 $58,621.10 2026-03-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 21 $146,250.39 $146,250.39 $16,536.83 $127,542.28 $58,394.53 2026-03-26
20680.0 CPT Hc Removal Implant Deep|MULTIPLE Procedures|right Side 2 2 $159,189.72 $159,189.72 $54,259.00 $62,397.00 $58,328.00 2026-03-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 19 $257,057.35 $257,057.35 $20,133.76 $129,596.05 $58,214.31 2026-03-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 19 $276,782.13 $276,782.13 $16,835.67 $127,459.70 $57,811.79 2026-03-26
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 20 $448,767.98 $448,767.98 $20,363.72 $222,482.66 $57,672.54 2026-03-26
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 18 $274,313.21 $274,313.21 $53,642.17 $125,336.38 $57,397.12 2026-03-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 22 $241,682.13 $241,682.13 $15,222.77 $263,713.39 $57,035.52 2026-03-26
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 18 $210,454.24 $210,454.24 $53,089.30 $124,028.06 $56,274.66 2026-03-26
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 18 $206,503.93 $206,503.93 $52,309.59 $122,182.93 $55,971.26 2026-03-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 21 $116,508.97 $116,508.97 $13,852.06 $123,867.23 $55,672.41 2026-03-26
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 18 $134,579.83 $134,579.83 $51,797.14 $120,970.22 $55,422.94 2026-03-26
SUP-SYM-SV27-006-C CDM Valve Aortic Clinical Large 27mm Acurate Neo 30 22 $68,992.00 $68,992.00 $22,767.36 $68,992.00 $55,276.39 2026-03-26
SUP-SYM-SV25-006-C CDM Valve Aortic Clinical Medium 25mm Acurate Neo 30 22 $68,992.00 $68,992.00 $22,767.36 $68,992.00 $55,276.39 2026-03-26
SUP-SYM-SV23-006-C CDM Valve Aortic Clinical Small 23mm Acurate Neo 30 22 $68,992.00 $68,992.00 $22,767.36 $68,992.00 $55,276.39 2026-03-26
33289 CPT Hc Transcath Implant Wireless Pulm Art Press Sensor Hemodynamic Monitoring 51 37 $114,519.00 $114,519.00 $34,375.49 $114,519.00 $55,255.42 2026-03-26
171 MS_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,extreme 6 2 $123,499.81 $123,499.81 $44,371.41 $121,914.31 $54,773.02 2026-03-26
163 MS_DRG Major Chest Procedures With Mcc 29 22 $151,289.01 $151,289.01 $14,235.17 $278,514.09 $54,595.85 2026-03-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 22 $249,076.31 $249,076.31 $15,906.41 $118,890.38 $54,482.52 2026-03-26
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 24 $218,837.37 $218,837.37 $13,967.63 $154,567.59 $54,405.86 2026-03-26
834 MS_DRG Acute Leukemia With Mcc 20 19 $296,591.62 $296,591.62 $15,935.44 $119,312.00 $54,162.18 2026-03-26
C2624 HCPCS Sensor Implantable Cardiomems 29 22 $66,220.00 $66,220.00 $21,852.60 $66,220.00 $53,386.56 2026-03-26
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 18 $284,230.43 $284,230.43 $13,519.37 $76,637.46 $53,306.00 2026-03-26
634 MS_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 8 2 $107,737.88 $107,737.88 $21,801.26 $171,658.92 $52,985.14 2026-03-26
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 18 $214,399.72 $214,399.72 $49,624.24 $115,828.20 $52,601.69 2026-03-26
CPT® 33270 OTHER Hc Insertion/replacement Subcutaneous Defibrillator 41 41 $75,991.00 $60,792.80 $2,681.00 $62,257.00 $52,585.77 2026-05-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 20 $244,209.38 $244,209.38 $13,476.11 $319,888.62 $52,574.18 2026-03-26
SUP-W2-11-8 CDM System Aneurysm Embolization 8mmx11mm Via 33 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-11-9 CDM System Aneurysm Embolization 9mmx11mm Via 33 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-10-S CDM System Aneurysm Embolization 8.6mmx10mm Via 33 Web Sls 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-10-8 CDM System Aneurysm Embolization 8mmx10mm Via 33 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-11-6 CDM System Aneurysm Embolization 6mmx11mm Via 33 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-9-7 CDM System Aneurysm Embolization 7mmx9mm Via 27 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-11-S CDM System Aneurysm Embolization 9.6mmx11mm Via 33 Web Sls 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-8-S CDM System Aneurysm Embolization 6.6mmx8mm Via 27 Web Sls 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-9-6 CDM System Aneurysm Embolization 6mmx9mm Via 27 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-10-7 CDM System Aneurysm Embolization 7mmx10mm Via 33 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-9-4 CDM System Aneurysm Embolization 4mmx9mm Via 27 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-10-5 CDM System Aneurysm Embolization 5mmx10mm Via 33 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-4-S CDM System Aneurysm Embolization 2.6mmx4mm Via 21 Web Sls 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-5-3 CDM System Aneurysm Embolization 3mmx5mm Via 21 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-6-S CDM System Aneurysm Embolization 4.6mmx6mm Via 21 Web Sls 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-10-6 CDM System Aneurysm Embolization 6mmx10mm Via 33 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-6-4 CDM System Aneurysm Embolization 4mmx6mm Via 21 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-6-5 CDM System Aneurysm Embolization 5mmx6mm Via 21 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-11-7 CDM System Aneurysm Embolization 7mmx11mm Via 33 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-4-3 CDM System Aneurysm Embolization 3mmx4mm Via 21 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-8-4 CDM System Aneurysm Embolization 4mmx8mm Via 27 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-8-5 CDM System Aneurysm Embolization 5mmx8mm Via 27 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-9-S CDM System Aneurysm Embolization 7.6mmx9mm Via 27 Web Sls 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-8-6 CDM System Aneurysm Embolization 6mmx8mm Via 27 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-8-3 CDM System Aneurysm Embolization 3mmx8mm Via 27 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-7-S CDM System Aneurysm Embolization 5.6mmx7mm Via 21 Web Sls 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-7-3 CDM System Aneurysm Embolization 3mmx7mm Via 21 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-7-4 CDM System Aneurysm Embolization 4mmx7mm Via 21 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-5-S CDM System Aneurysm Embolization 3.6mmx5mm Via 21 Web Sls 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-6-3 CDM System Aneurysm Embolization 3mmx6mm Via 21 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W2-9-5 CDM System Aneurysm Embolization 5mmx9mm Via 27 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-5-4 CDM System Aneurysm Embolization 4mmx5mm Via 21 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-W4-7-5 CDM System Aneurysm Embolization 5mmx7mm Via 21 Web Sl 30 22 $65,481.00 $65,481.00 $21,608.73 $65,481.00 $52,463.38 2026-03-26
SUP-SGPV00 CDM Valve Pulmonary Sg And Conduit 6mm-32mm Cryovalve 30 22 $65,262.00 $65,262.00 $21,536.46 $65,262.00 $52,287.92 2026-03-26
SUP-5444-01-410 CDM Implant Customized Craniofacial Large Extra Medpor 30 22 $65,157.40 $65,157.40 $21,501.94 $65,157.40 $52,204.11 2026-03-26
SUP-PED-350-25 CDM Coil Pipeline Flex Embolization Device 3.5mmx25mm 30 22 $64,964.16 $64,964.16 $21,438.17 $64,964.16 $52,049.29 2026-03-26
SUP-PED-350-35 CDM Coil Embolization Device 3.50mmx35mm Pipeline Flex 30 22 $64,964.16 $64,964.16 $21,438.17 $64,964.16 $52,049.29 2026-03-26
SUP-PED-375-25 CDM Device Emobilization 4 Flex Technology 3.75mmx25mm Pipeline 30 22 $64,964.16 $64,964.16 $21,438.17 $64,964.16 $52,049.29 2026-03-26
SUP-PED-475-35 CDM Device Emobilization 4 Flex Technology 4.75mmx35mm Pipeline 30 22 $64,964.16 $64,964.16 $21,438.17 $64,964.16 $52,049.29 2026-03-26
SUP-PED-500-25 CDM Coil Neurovascular Embolization 5.0mmx25mm Sterile Latex Free Pipeline Flex 30 22 $64,964.16 $64,964.16 $21,438.17 $64,964.16 $52,049.29 2026-03-26
SUP-PED-500-30 CDM Coil Embolization Neurovascular 5.0x30mm Pipeline Flex 30 22 $64,964.16 $64,964.16 $21,438.17 $64,964.16 $52,049.29 2026-03-26
SUP-PED-425-35 CDM Device Emobilization 4 Flex Technology 4.25mmx35mm Pipeline 30 22 $64,964.16 $64,964.16 $21,438.17 $64,964.16 $52,049.29 2026-03-26
SUP-PED-400-25 CDM Device Emobilization 4 Flex Technology 4.00mmx25mm Pipeline 30 22 $64,964.16 $64,964.16 $21,438.17 $64,964.16 $52,049.29 2026-03-26
SUP-PED-425-25 CDM Device Emobilization 4 Flex Technology 4.25mmx25mm Pipeline 30 22 $64,964.16 $64,964.16 $21,438.17 $64,964.16 $52,049.29 2026-03-26
SUP-PED-475-25 CDM Coil Embolization Aneurysm Intracranial Sterile Latex Free 4.75mmx25mm Pipeline … 30 22 $64,964.16 $64,964.16 $21,438.17 $64,964.16 $52,049.29 2026-03-26
SUP-PED-500-35 CDM Coil Flex Embolization Device Sterile Latex Free 5.00mmx35mm Pipeline 30 22 $64,964.16 $64,964.16 $21,438.17 $64,964.16 $52,049.29 2026-03-26
SUP-PED-400-35 CDM Device Emobilization 4 Flex Technology 4.00mmx35mm Pipeline 30 22 $64,964.16 $64,964.16 $21,438.17 $64,964.16 $52,049.29 2026-03-26
952 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 8 2 $124,174.33 $124,174.33 $26,568.96 $142,477.04 $51,869.17 2026-03-26
653 MS_DRG Major Bladder Procedures With Mcc 20 19 $289,489.28 $289,489.28 $17,206.52 $112,933.36 $51,305.01 2026-03-26
SUP-25-9029 CDM Kit Contains 2 Cages Cat 22-0467-03 And 22-0489-03 2l Veo 30 22 $63,926.10 $63,926.10 $21,095.61 $63,926.10 $51,217.59 2026-03-26
SUP-TR1-2929 CDM System Lateral Interbody Fusion Veo 30 22 $63,926.10 $63,926.10 $21,095.61 $63,926.10 $51,217.59 2026-03-26
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 21 $166,705.60 $166,705.60 $12,923.10 $136,167.00 $50,958.58 2026-03-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 22 $132,570.24 $132,570.24 $14,342.75 $113,128.96 $50,907.78 2026-03-26
C1767 HCPCS Generator Neurostimulator Implantable Non Rechargeable 16 Channel Eonc Ipg Mini 582 23 $60,060.00 $60,060.00 $127.38 $112,660.50 $50,898.69 2026-03-26
SUP-405 011 000US2 CDM Monitor Advance Hd Aview 30 22 $63,488.10 $63,488.10 $20,951.07 $63,488.10 $50,866.67 2026-03-26
SUP-5444-0-510 CDM Kit Implant Midface Customized Medpor 30 22 $63,434.66 $63,434.66 $20,933.44 $63,434.66 $50,823.85 2026-03-26
SUP-M003SFD030200 CDM System Neurovascular Flow Diverter Delivery 3mmx20mm Surpass Streamline 30 22 $63,081.11 $63,081.11 $20,816.77 $63,081.11 $50,540.58 2026-03-26
SUP-M003SFD030150 CDM System Neurovascular Flow Diverter Delivery 3mmx15mm Surpass Streamline 30 22 $63,081.11 $63,081.11 $20,816.77 $63,081.11 $50,540.58 2026-03-26
SUP-M003SFD050250 CDM System Neurovascular Flow Diverter Delivery 5mmx25mm Surpass Streamline 30 22 $63,081.11 $63,081.11 $20,816.77 $63,081.11 $50,540.58 2026-03-26
SUP-M003SFD050300 CDM System Neurovascular Flow Diverter Delivery 5mmx30mm Surpass Streamline 30 22 $63,081.11 $63,081.11 $20,816.77 $63,081.11 $50,540.58 2026-03-26
SUP-M003SFD040250 CDM System Neurovascular Flow Diverter Delivery 4mmx25mm Surpass Streamline 30 22 $63,081.11 $63,081.11 $20,816.77 $63,081.11 $50,540.58 2026-03-26
SUP-M003SFD040300 CDM System Neurovascular Flow Diverter Delivery 4mmx30mm Surpass Streamline 30 22 $63,081.11 $63,081.11 $20,816.77 $63,081.11 $50,540.58 2026-03-26
SUP-M003SFD030250 CDM System Neurovascular Flow Diverter Delivery 3mmx25mm Surpass Streamline 30 22 $63,081.11 $63,081.11 $20,816.77 $63,081.11 $50,540.58 2026-03-26
SUP-M003SFD040200 CDM System Neurovascular Flow Diverter Delivery 4mmx20mm Surpass Streamline 30 22 $63,081.11 $63,081.11 $20,816.77 $63,081.11 $50,540.58 2026-03-26
SUP-M003SFD040150 CDM System Neurovascular Flow Diverter Delivery 4mmx15mm Surpass Streamline 30 22 $63,081.11 $63,081.11 $20,816.77 $63,081.11 $50,540.58 2026-03-26
SUP-M003SFD050200 CDM System Neurovascular Flow Diverter Delivery 5mmx20mm Surpass Streamline 30 22 $63,081.11 $63,081.11 $20,816.77 $63,081.11 $50,540.58 2026-03-26
SUP-PED2-400-12 CDM Device Embolization With Shield Technology 4mmx12mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-350-18 CDM Device Embolization With Shield Technology 3.50mmx18mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-350-14 CDM Device Embolization With Shield Technology 3.50mmx14mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-350-20 CDM Device Embolization With Shield Technology 3.50mmx20mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-350-12 CDM Device Embolization With Shield Technology 3.50mmx12mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-375-12 CDM Device Embolization With Shield Technology 3.75mmx12mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-325-20 CDM Device Embolization With Shield Technology 3.25mmx20mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-425-14 CDM Device Embolization With Shield Technology 4.25mmx14mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-350-10 CDM Device Embolization With Shield Technology 3.50mmx10mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-350-16 CDM Device Embolization With Shield Technology 3.50mmx16mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-450-18 CDM Device Embolization With Shield Technology 4.5mmx18mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-325-10 CDM Device Embolization With Shield Technology 3.25mmx10mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-300-20 CDM Device Embolization With Shield Technology 3mmx20mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-325-12 CDM Device Embolization With Shield Technology 3.25mmx12mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-300-18 CDM Device Embolization With Shield Technology 3mmx18mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-325-14 CDM Device Embolization With Shield Technology 3.25mmx14mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-325-18 CDM Device Embolization With Shield Technology 3.25mmx18mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-325-16 CDM Device Embolization With Shield Technology 3.25mmx16mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-250-12 CDM Device Embolization With Shield Technology 2.5mmx12mm Pipeline Flex 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-400-16 CDM Device Embolization With Shield Technology 4mmx16mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-425-12 CDM Device Embolization With Shield Technology 4.25mmx12mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-450-12 CDM Device Embolization With Shield Technology 4.5mmx12mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-450-20 CDM Device Embolization With Shield Technology 4.5mmx20mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-425-16 CDM Device Embolization With Shield Technology 4.25mmx16mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-450-14 CDM Device Embolization With Shield Technology 4.5mmx14mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-450-16 CDM Device Embolization With Shield Technology 4.5mmx16mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-375-16 CDM Device Embolization With Shield Technology 3.75mmx16mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-300-10 CDM Device Embolization With Shield Technology 3mmx10mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-400-14 CDM Device Embolization With Shield Technology 4mmx14mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-275-20 CDM Device Embolization With Shield Technology 2.75mmx20mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-400-20 CDM Device Embolization With Shield Technology 4mmx20mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-300-12 CDM Device Embolization With Shield Technology 3mmx12mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-300-14 CDM Device Embolization With Shield Technology 3mmx14mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-400-18 CDM Device Embolization With Shield Technology 4mmx18mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-375-18 CDM Device Embolization With Shield Technology 3.75mmx18mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-450-10 CDM Device Embolization With Shield Technology 4.5mmx10mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-275-14 CDM Device Embolization With Shield Technology 2.75mmx14mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-425-10 CDM Device Embolization With Shield Technology 4.25mmx10mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-275-12 CDM Device Embolization With Shield Technology 2.75mmx12mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-500-14 CDM Device Embolization With Shield Technology 5mmx14mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-275-10 CDM Device Embolization With Shield Technology 2.75mmx10mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-500-16 CDM Device Embolization With Shield Technology 5mmx16mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-500-18 CDM Device Embolization With Shield Technology 5mmx18mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-475-20 CDM Device Embolization With Shield Technology 4.75mmx20mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-375-10 CDM Device Embolization With Shield Technology 3.75mmx10mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-425-18 CDM Device Embolization With Shield Technology 4.25mmx18mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-275-16 CDM Device Embolization With Shield Technology 2.75mmx16mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-475-18 CDM Device Embolization With Shield Technology 4.75mmx18mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-500-10 CDM Device Embolization With Shield Technology 5mmx10mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-250-16 CDM Device Embolization With Shield Technology 2.5mmx16mm Pipeline Flex 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-275-18 CDM Device Embolization With Shield Technology 3.50mmx25mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-250-14 CDM Device Embolization With Shield Technology 2.5mmx14mm Pipeline Flex 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-375-14 CDM Device Embolization With Shield Technology 3.75mmx14mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-475-12 CDM Device Embolization With Shield Technology 4.75mmx12mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-250-18 CDM Device Embolization With Shield Technology 2.5mmx18mm Pipeline Flex 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-375-20 CDM Device Embolization With Shield Technology 3.75mmx20mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-475-14 CDM Device Embolization With Shield Technology 4.75mmx14mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-500-20 CDM Device Embolization With Shield Technology 5mmx20mm Pipeline 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
SUP-PED2-250-10 CDM Device Embolization With Shield Technology 2.5mmx10mm Pipeline Flex 30 22 $62,655.90 $62,655.90 $20,676.45 $62,655.90 $50,199.90 2026-03-26
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