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

UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS

Worcester, MA · CCN 220163 · Rates published

Your selected procedure

You selected 27447 (CPT)

Total Knee Arthroplasty|RIGHT SIDE

This hospital’s price: $19,945 across 43 payers · range $978-$60,726

Source: https://ummh-price-transparency.s3.us-east-2.amazonaws.com/043358564_umass-memorial-medical-center-inc._standardcharges.csv · observed 2026-03-26

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

20,600 distinct procedures filed
92 distinct payers
1,411,062 rate rows
2026-05-28 last MRF observed
Data quality

1,348,509 of 1,411,062 rate rows are consumer-grade (95.6%)

62,553 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 23,923
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 18,955
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,792
placeholder amount (≤ $0.02) — excluded from medians 2,756
template filing: same amount across many unrelated codes — excluded 1,227
exceeds 10× this hospital's gross charge — excluded from medians 983
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 905
exceeds 3× this hospital's gross charge for a DRG stay — excluded 10
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
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 Latest re-check couldn't be parsed — showing last good data · 2026-07-18
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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 $397,262.31 $3,361,506.81 $1,621,927.04 nat. median
$370,165
outlier · 4.4×
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
$67,894
outlier · 7.8×
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
$136,360
outlier · 3.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 32 $74,701.04 $831,840.06 $401,362.83 nat. median
$261,939
1.5× median
9
MS_DRG 		Extracorporeal Membrane Oxygenation (ecmo),extreme 2 $240,467.72 $562,855.50 $382,991.80 nat. median
$2,024
outlier · 189.2×
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
$75,690
outlier · 5.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 $50,253.70 $702,677.11 $317,243.10 nat. median
$199,832
1.6× 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
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 $83,420.81 $503,405.19 $242,893.00 nat. median
$81,124
outlier · 3.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 33 $30,528.37 $474,026.49 $228,717.78 nat. median
$99,646
outlier · 2.3×
910
MS_DRG 		Craniotomy For Multiple Significant Trauma,extreme 2 $212,003.79 $243,797.30 $227,900.54 nat. median
$48,923
outlier · 4.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 $31,153.09 $505,755.38 $212,629.97 nat. median
$132,706
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 32 $45,178.78 $622,502.08 $211,028.21 nat. median
$98,002
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 31 $32,994.53 $616,386.12 $208,954.89 nat. median
$114,305
1.8× 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
$46,736
outlier · 4.4×
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
$42,238
outlier · 4.8×
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
$77,861
outlier · 2.6×
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
$34,145
outlier · 5.8×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 $15,601.02 $409,839.93 $186,381.00 nat. median
$60,895
outlier · 3.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 $26,936.27 $642,643.91 $186,381.00 nat. median
$92,900
outlier · 2.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 34 $67,510.65 $405,774.23 $179,047.88 nat. median
$81,364
outlier · 2.2×
SUP-1103
CDM 		Kit Implant Pump Hvad 22 $72,671.78 $220,217.50 $176,438.26 nat. median
$156,531
1.1× median
160
MS_DRG 		Major Cardiothoracic Repair Of Heart Anomaly,major 2 $163,682.00 $188,228.85 $175,955.42 nat. median
$8,264
outlier · 21.3×
8
MS_DRG 		Autologous Bone Marrow Transplant,major 2 $146,357.84 $209,146.65 $175,089.28 nat. median
$53,073
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
$10,707
outlier · 16.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 25 $16,158.29 $349,238.88 $168,507.76 nat. median
$64,357
outlier · 2.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 $27,769.90 $598,946.05 $168,461.81 nat. median
$77,385
outlier · 2.2×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 $55,262.21 $423,788.34 $155,996.09 nat. median
$51,433
outlier · 3.0×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 $20,363.72 $448,767.98 $143,169.17 nat. median
$54,267
outlier · 2.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 32 $95,409.96 $281,445.30 $142,481.68 nat. median
$100,978
1.4× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 $17,809.90 $293,976.23 $142,372.26 nat. median
$63,840
outlier · 2.2×
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
$53,038
outlier · 2.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 $66,162.51 $290,035.63 $139,942.19 nat. median
$68,581
outlier · 2.0×
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
$63,643
outlier · 2.2×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 $13,519.37 $284,230.43 $137,141.18 nat. median
$52,447
outlier · 2.6×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 $11,136.88 $313,160.32 $133,822.85 nat. median
$59,159
outlier · 2.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 $13,503.95 $391,597.49 $133,267.46 nat. median
$96,835
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 $21,513.84 $267,393.89 $132,592.27 nat. median
$74,472
1.8× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 $53,642.17 $274,313.21 $128,846.25 nat. median
$53,268
outlier · 2.4×
PX-81200002
CDM 		Hc Pancreas Acquisition Fee Cadav 25 $51,523.56 $156,132.00 $125,092.96 nat. median
$115,043
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 36 $16,444.61 $334,636.05 $122,600.05 nat. median
$59,257
outlier · 2.1×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 33 $30,004.73 $360,646.12 $122,259.03 nat. median
$35,222
outlier · 3.5×
6
MS_DRG 		Liver Transplant Without Mcc 30 $13,755.31 $471,416.31 $121,820.52 nat. median
$46,106
outlier · 2.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 36 $22,215.70 $352,082.82 $119,855.04 nat. median
$79,040
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 $26,770.91 $273,727.29 $119,596.87 nat. median
$80,459
1.5× median
834
MS_DRG 		Acute Leukemia With Mcc 32 $15,935.44 $296,591.62 $118,974.32 nat. median
$52,155
outlier · 2.3×
653
MS_DRG 		Major Bladder Procedures With Mcc 32 $17,206.52 $289,489.28 $114,364.54 nat. median
$51,176
outlier · 2.2×
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
$40,057
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 20,600 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 42 32 $3,361,506.81 $3,361,506.81 $397,262.31 $3,361,506.81 $1,621,927.04 2026-03-26
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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 43 32 $831,840.06 $831,840.06 $74,701.04 $831,840.06 $401,362.83 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
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 42 32 $702,677.11 $702,677.11 $50,253.70 $702,677.11 $317,243.10 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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 42 32 $503,405.19 $503,405.19 $83,420.81 $503,405.19 $242,893.00 2026-03-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 43 33 $474,026.49 $474,026.49 $30,528.37 $474,026.49 $228,717.78 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 44 34 $440,683.87 $440,683.87 $31,153.09 $505,755.38 $212,629.97 2026-03-26
215 MS_DRG Other Heart Assist System Implant 41 32 $622,502.08 $622,502.08 $45,178.78 $622,502.08 $211,028.21 2026-03-26
14 MS_DRG Allogeneic Bone Marrow Transplant 41 31 $616,386.12 $616,386.12 $32,994.53 $616,386.12 $208,954.89 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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 34 $409,839.93 $409,839.93 $15,601.02 $409,839.93 $186,381.00 2026-03-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 34 $438,302.83 $438,302.83 $26,936.27 $642,643.91 $186,381.00 2026-03-26
850 MS_DRG Acute Leukemia With Other Procedures 48 34 $405,774.23 $405,774.23 $67,510.65 $405,774.23 $179,047.88 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 25 $349,238.88 $349,238.88 $16,158.29 $349,238.88 $168,507.76 2026-03-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 49 35 $598,946.05 $598,946.05 $27,769.90 $598,946.05 $168,461.81 2026-03-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 42 32 $353,532.21 $353,532.21 $55,262.21 $423,788.34 $155,996.09 2026-03-26
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 50 34 $448,767.98 $448,767.98 $20,363.72 $448,767.98 $143,169.17 2026-03-26
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 32 $281,445.30 $281,445.30 $95,409.96 $281,445.30 $142,481.68 2026-03-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 34 $293,976.23 $293,976.23 $17,809.90 $293,976.23 $142,372.26 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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 42 32 $290,035.63 $290,035.63 $66,162.51 $290,035.63 $139,942.19 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
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 33 $284,230.43 $284,230.43 $13,519.37 $284,230.43 $137,141.18 2026-03-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 32 $313,160.32 $313,160.32 $11,136.88 $313,160.32 $133,822.85 2026-03-26
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 34 $391,597.49 $391,597.49 $13,503.95 $391,597.49 $133,267.46 2026-03-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 34 $267,393.89 $267,393.89 $21,513.84 $267,393.89 $132,592.27 2026-03-26
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 42 32 $274,313.21 $274,313.21 $53,642.17 $274,313.21 $128,846.25 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 46 36 $334,636.05 $334,636.05 $16,444.61 $334,636.05 $122,600.05 2026-03-26
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 43 33 $360,646.12 $360,646.12 $30,004.73 $360,646.12 $122,259.03 2026-03-26
6 MS_DRG Liver Transplant Without Mcc 40 30 $329,690.17 $329,690.17 $13,755.31 $471,416.31 $121,820.52 2026-03-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 52 36 $352,082.82 $352,082.82 $22,215.70 $352,082.82 $119,855.04 2026-03-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 32 $273,727.29 $273,727.29 $26,770.91 $273,727.29 $119,596.87 2026-03-26
834 MS_DRG Acute Leukemia With Mcc 42 32 $296,591.62 $296,591.62 $15,935.44 $296,591.62 $118,974.32 2026-03-26
653 MS_DRG Major Bladder Procedures With Mcc 42 32 $289,489.28 $289,489.28 $17,206.52 $289,489.28 $114,364.54 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 32 $257,057.35 $257,057.35 $20,133.76 $257,057.35 $113,426.55 2026-03-26
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 44 33 $230,568.55 $230,568.55 $9,690.19 $230,568.55 $111,249.33 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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 44 33 $235,905.21 $235,905.21 $18,643.24 $548,328.27 $109,918.79 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
28 MS_DRG Spinal Procedures With Mcc 42 32 $245,343.44 $245,343.44 $15,282.26 $245,343.44 $108,257.80 2026-03-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 42 32 $240,887.85 $240,887.85 $16,730.08 $240,887.85 $107,515.46 2026-03-26
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 50 34 $332,373.36 $332,373.36 $37,290.99 $332,373.36 $107,425.05 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
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 40 30 $282,520.68 $282,520.68 $17,573.67 $282,520.68 $104,391.39 2026-03-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 42 32 $268,806.56 $268,806.56 $12,675.49 $268,806.56 $103,582.04 2026-03-26
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 41 32 $214,399.72 $214,399.72 $49,624.24 $214,399.72 $103,447.86 2026-03-26
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 43 33 $238,988.10 $238,988.10 $41,664.60 $238,988.10 $103,373.00 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
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 46 34 $274,902.26 $274,902.26 $44,180.70 $529,357.16 $102,593.55 2026-03-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 31 $276,782.13 $276,782.13 $16,835.67 $276,782.13 $102,270.99 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 50 36 $275,665.43 $275,665.43 $20,942.06 $275,665.43 $101,858.38 2026-03-26
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 39 31 $210,454.24 $210,454.24 $53,089.30 $210,454.24 $101,544.17 2026-03-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 36 $214,584.43 $214,584.43 $14,536.29 $214,584.43 $100,056.92 2026-03-26
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 39 31 $250,016.39 $250,016.39 $32,257.59 $250,016.39 $100,006.56 2026-03-26
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 41 31 $206,503.93 $206,503.93 $52,309.59 $206,503.93 $99,638.15 2026-03-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 42 32 $206,008.93 $206,008.93 $55,841.70 $206,008.93 $99,399.31 2026-03-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 33 $257,046.49 $257,046.49 $17,875.64 $257,046.49 $98,758.94 2026-03-26
652 MS_DRG Kidney Transplant 41 31 $324,547.62 $324,547.62 $8,976.67 $324,547.62 $95,814.56 2026-03-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 33 $244,209.38 $244,209.38 $13,476.11 $319,888.62 $95,631.38 2026-03-26
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 50 34 $280,961.50 $280,961.50 $40,420.19 $280,961.50 $94,646.67 2026-03-26
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 32 $207,156.50 $207,156.50 $15,224.76 $207,156.50 $91,407.80 2026-03-26
471 MS_DRG Cervical Spinal Fusion With Mcc 42 32 $203,900.90 $203,900.90 $13,955.39 $203,900.90 $89,971.27 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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 34 $241,682.13 $241,682.13 $15,222.77 $263,713.39 $89,301.55 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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 44 34 $172,071.01 $172,071.01 $10,103.45 $172,071.01 $88,876.22 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 47 36 $218,837.37 $218,837.37 $13,967.63 $218,837.37 $87,534.95 2026-03-26
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 48 34 $218,211.25 $218,211.25 $14,033.69 $218,211.25 $87,520.66 2026-03-26
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 50 34 $244,817.64 $244,817.64 $27,428.66 $244,817.64 $85,429.01 2026-03-26
665 MS_DRG Prostatectomy With Mcc 42 32 $230,557.40 $230,557.40 $8,860.55 $230,557.40 $85,190.96 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 41 32 $199,343.27 $199,343.27 $24,472.67 $199,343.27 $85,086.77 2026-03-26
163 MS_DRG Major Chest Procedures With Mcc 50 34 $151,289.01 $151,289.01 $14,235.17 $278,514.09 $85,047.12 2026-03-26
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 42 32 $228,656.36 $228,656.36 $9,700.16 $228,656.36 $84,663.76 2026-03-26
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 33 $173,955.16 $173,955.16 $43,093.62 $173,955.16 $83,933.36 2026-03-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 45 34 $249,076.31 $249,076.31 $15,906.41 $249,076.31 $83,229.09 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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 42 32 $187,011.73 $187,011.73 $10,698.01 $187,011.73 $82,518.93 2026-03-26
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 40 32 $186,832.81 $186,832.81 $22,850.56 $255,327.38 $82,439.98 2026-03-26
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 33 $161,039.12 $161,039.12 $12,228.37 $161,039.12 $81,526.05 2026-03-26
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 34 $166,705.60 $166,705.60 $12,923.10 $166,705.60 $80,435.45 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-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-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
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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 42 32 $261,527.25 $261,527.25 $11,111.55 $261,527.25 $80,200.87 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
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 32 $179,476.79 $179,476.79 $13,812.80 $179,476.79 $79,194.14 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 34 $284,344.94 $284,344.94 $15,226.19 $284,344.94 $78,090.03 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 43 33 $146,250.39 $146,250.39 $16,536.83 $146,250.39 $77,512.71 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-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-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-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-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-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-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-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-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-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
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-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-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-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-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-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-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-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-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-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-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
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
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 51 35 $191,636.95 $191,636.95 $25,665.41 $202,404.92 $76,654.78 2026-03-26
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 41 32 $188,481.81 $188,481.81 $18,663.45 $188,481.81 $75,392.72 2026-03-26
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 46 34 $236,675.34 $236,675.34 $29,616.31 $236,675.34 $75,014.27 2026-03-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 31 $98,902.73 $98,902.73 $14,313.44 $133,034.21 $74,177.05 2026-03-26
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 42 32 $175,950.55 $175,950.55 $9,798.92 $175,950.55 $73,433.67 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
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-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-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-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-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-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-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-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-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-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-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-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-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-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-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-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-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
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-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-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-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-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
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
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 42 32 $178,705.44 $178,705.44 $9,852.42 $178,705.44 $70,337.85 2026-03-26
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 41 31 $145,269.92 $145,269.92 $37,601.67 $145,269.92 $70,092.74 2026-03-26
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 43 32 $144,828.50 $144,828.50 $6,234.72 $144,828.50 $69,879.75 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
33289 CPT Hc Transcath Implant Wireless Pulm Art Press Sensor Hemodynamic Monitoring 74 60 $114,519.00 $114,519.00 $34,375.49 $114,519.00 $69,571.76 2026-05-28
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 40 31 $144,078.75 $144,078.75 $30,345.50 $150,515.78 $69,518.00 2026-03-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 41 32 $170,532.58 $170,532.58 $14,610.29 $174,150.04 $68,213.03 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
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 41 31 $164,547.17 $164,547.17 $14,746.90 $164,547.17 $67,825.98 2026-03-26
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 41 31 $134,579.83 $134,579.83 $45,622.56 $134,579.83 $67,641.62 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
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
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 49 34 $133,906.53 $133,906.53 $10,615.75 $232,316.70 $66,314.94 2026-03-26
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 42 32 $151,628.26 $151,628.26 $39,624.87 $177,076.74 $66,172.15 2026-03-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 45 32 $136,935.41 $136,935.41 $10,472.59 $141,537.15 $66,071.34 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
500 MS_DRG Soft Tissue Procedures With Mcc 40 31 $181,353.12 $181,353.12 $9,114.42 $181,353.12 $65,129.65 2026-03-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 41 31 $162,469.74 $162,469.74 $8,989.48 $162,469.74 $64,987.90 2026-03-26
800 MS_DRG Splenic Procedures With Cc 42 32 $171,364.44 $171,364.44 $7,788.13 $171,364.44 $64,801.24 2026-03-26
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 43 32 $133,332.39 $133,332.39 $10,976.07 $133,332.39 $64,332.88 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 45 34 $187,912.36 $187,912.36 $19,783.97 $187,912.36 $63,702.29 2026-03-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 41 31 $143,783.38 $143,783.38 $14,432.40 $143,783.38 $63,625.75 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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 49 34 $132,570.24 $132,570.24 $14,342.75 $132,570.24 $63,301.04 2026-03-26
901 MS_DRG Wound Debridements For Injuries With Mcc 41 31 $152,619.32 $152,619.32 $11,205.19 $152,619.32 $62,925.98 2026-03-26
265 MS_DRG Aicd Lead Procedures 43 32 $160,528.91 $160,528.91 $8,447.58 $160,528.91 $62,087.00 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
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 43 33 $129,873.85 $129,873.85 $10,818.97 $129,873.85 $61,581.93 2026-03-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 41 33 $112,110.12 $112,110.12 $15,497.71 $199,954.01 $60,678.41 2026-03-26
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 41 31 $151,466.99 $151,466.99 $8,500.23 $151,466.99 $60,586.80 2026-03-26
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 39 30 $130,490.61 $130,490.61 $13,769.54 $130,490.61 $59,888.03 2026-03-26
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 39 30 $156,090.98 $156,090.98 $9,551.30 $156,090.98 $59,504.50 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
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-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
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-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
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 49 34 $150,193.96 $150,193.96 $8,526.41 $150,193.96 $59,042.56 2026-03-26
34 MS_DRG Carotid Artery Stent Procedures With Mcc 42 32 $129,172.86 $129,172.86 $10,488.25 $129,172.86 $58,778.37 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
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 39 30 $112,277.82 $112,277.82 $17,460.39 $112,277.82 $58,475.66 2026-03-26
20680.0 OTHER 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
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 41 31 $171,506.21 $171,506.21 $5,006.61 $171,506.21 $58,140.61 2026-03-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 43 32 $119,917.86 $119,917.86 $8,694.34 $119,917.86 $57,860.37 2026-03-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 43 33 $146,667.01 $146,667.01 $12,138.71 $146,667.01 $57,768.89 2026-03-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 32 $132,095.68 $132,095.68 $9,783.83 $132,095.68 $56,956.00 2026-03-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 47 32 $116,508.97 $116,508.97 $13,852.06 $123,867.23 $56,732.83 2026-03-26
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 41 31 $161,112.12 $161,112.12 $6,220.20 $161,112.12 $56,053.75 2026-03-26
140 MS_DRG Major Head And Neck Procedures With Mcc 50 34 $202,617.85 $202,617.85 $14,920.64 $202,617.85 $56,029.10 2026-03-26
245 MS_DRG Aicd Generator Procedures 52 35 $145,109.53 $145,109.53 $13,338.07 $145,109.53 $55,565.50 2026-03-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 39 30 $137,941.32 $137,941.32 $13,254.11 $137,941.32 $55,400.68 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
799 MS_DRG Splenic Procedures With Mcc 40 31 $110,450.36 $110,450.36 $13,538.72 $110,450.36 $55,162.48 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
31 MS_DRG Ventricular Shunt Procedures With Mcc 39 30 $122,423.59 $122,423.59 $10,768.02 $122,423.59 $54,580.21 2026-03-26
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 41 31 $120,878.21 $120,878.21 $10,563.67 $120,878.21 $54,289.17 2026-03-26
791 MS_DRG Prematurity With Major Problems 40 31 $126,230.53 $126,230.53 $37,955.25 $126,230.53 $54,077.29 2026-03-26
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 41 31 $135,113.91 $135,113.91 $8,883.03 $135,113.91 $54,045.56 2026-03-26
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 47 34 $132,809.44 $132,809.44 $6,499.12 $144,752.88 $54,005.44 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
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-W4-5-3 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-W4-5-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-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-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-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-W2-9-5 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-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-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-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-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-W2-9-4 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-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-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-W2-8-3 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-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-W2-11-8 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-W2-11-7 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-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-W2-8-6 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-W2-10-8 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-W2-10-6 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-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-W2-10-7 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-W2-11-6 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-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-W4-7-4 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-W4-7-5 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-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-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
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 39 30 $131,081.47 $131,081.47 $9,794.36 $131,081.47 $52,432.59 2026-03-26
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 40 31 $105,512.42 $105,512.42 $10,320.04 $105,512.42 $52,323.31 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-350-35 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-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
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-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-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-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-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-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-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-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
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 41 31 $129,729.38 $129,729.38 $8,581.34 $129,729.38 $51,891.75 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
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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 41 31 $127,915.59 $127,915.59 $8,944.23 $127,915.59 $51,166.24 2026-03-26
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 30 $81,668.14 $81,668.14 $15,080.47 $120,287.24 $50,876.06 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-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-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-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-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-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-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
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