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

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Hospital

ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI

Southfield, MI · CCN 230019 · Rates published

48,664 distinct procedures filed
51 distinct payers
645,550 rate rows
2026-01-01 last MRF observed
Data quality

622,199 of 645,550 rate rows are consumer-grade (96.4%)

23,351 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 21,834
per-diem day rate — not a per-procedure price 826
placeholder amount (≤ $0.02) — excluded from medians 427
template filing: same amount across many unrelated codes — excluded 186
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 56
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.henryford.com/-/media/files/henry-ford/patients-visitors/price-transparency-2026/legacy-ascension/381358212-1144210253_henry-ford-providence-novi-hospital_standardcharges.csv
Found on page https://www.henryford.com/visitors/billing/cost-of-care/hospital-standard-charges
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-17
Content fingerprint 557c161e840fcfca… · 93,673,142 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $10,828.00 $514,876.52 $491,651.42 nat. median
$261,939
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $10,828.00 $411,224.58 $392,675.02 nat. median
$99,646
outlier · 3.9×
7
MS_DRG 		Lung Transplant 11 $10,828.00 $405,622.56 $387,325.70 nat. median
$122,690
outlier · 3.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $10,828.00 $361,815.98 $345,495.15 nat. median
$205,166
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $10,828.00 $339,277.77 $323,973.60 nat. median
$108,240
outlier · 3.0×
215
MS_DRG 		Other Heart Assist System Implant 11 $10,828.00 $290,129.42 $277,042.24 nat. median
$98,002
outlier · 2.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $10,828.00 $285,857.80 $272,963.30 nat. median
$199,832
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $10,828.00 $227,930.63 $217,649.11 nat. median
$114,305
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $10,828.00 $207,826.62 $198,451.96 nat. median
$132,706
1.5× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 $10,828.00 $202,756.31 $193,610.36 nat. median
$60,162
outlier · 3.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $10,828.00 $198,009.07 $189,077.26 nat. median
$77,385
outlier · 2.4×
6
MS_DRG 		Liver Transplant Without Mcc 11 $10,828.00 $177,299.32 $169,301.68 nat. median
$46,106
outlier · 3.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 $10,828.00 $150,951.65 $144,142.51 nat. median
$54,267
outlier · 2.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $10,828.00 $146,985.15 $140,354.93 nat. median
$92,900
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $10,828.00 $144,250.32 $137,743.46 nat. median
$69,153
2.0× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 11 $10,828.00 $144,250.32 $137,743.46 nat. median
$53,073
outlier · 2.6×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 $10,828.00 $135,022.80 $128,932.18 nat. median
$47,266
outlier · 2.7×
834
MS_DRG 		Acute Leukemia With Mcc 11 $10,828.00 $129,151.56 $123,325.78 nat. median
$52,155
outlier · 2.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $10,828.00 $127,249.08 $121,509.11 nat. median
$79,040
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $10,828.00 $126,024.13 $120,339.42 nat. median
$65,958
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $10,828.00 $122,535.48 $117,008.14 nat. median
$63,840
1.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $10,828.00 $119,233.05 $113,854.68 nat. median
$71,485
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $10,828.00 $119,163.50 $113,788.26 nat. median
$64,357
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $10,828.00 $118,909.99 $113,546.18 nat. median
$80,459
1.4× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 $10,828.00 $117,245.31 $111,956.60 nat. median
$34,270
outlier · 3.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $10,828.00 $130,295.09 $110,279.02 nat. median
$100,978
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $10,828.00 $113,337.13 $108,224.71 nat. median
$73,475
1.5× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 10 $10,828.00 $111,618.61 $106,583.71 nat. median
$44,915
outlier · 2.4×
652
MS_DRG 		Kidney Transplant 11 $10,828.00 $111,618.61 $106,583.71 nat. median
$31,280
outlier · 3.4×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 10 $10,828.00 $111,618.61 $106,583.71 nat. median
$35,222
outlier · 3.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $10,828.00 $125,373.04 $106,113.10 nat. median
$96,835
1.1× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 $10,828.00 $109,985.34 $105,024.12 nat. median
$56,397
1.9× median
0052T
OTHER 		Replace Thrc Unit Hrt Syst 2 $104,566.35 $104,566.35 $104,566.35 nat. median
$8,861
outlier · 11.8×
0053T
OTHER 		Replace Implantable Hrt Syst 2 $104,566.35 $104,566.35 $104,566.35 nat. median
$7,642
outlier · 13.7×
0051T
OTHER 		Implant Total Heart System 2 $104,566.35 $104,566.35 $104,566.35 nat. median
$8,861
outlier · 11.8×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 $10,828.00 $106,871.37 $102,050.60 nat. median
$55,685
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $10,828.00 $106,326.20 $101,530.02 nat. median
$74,472
1.4× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 $10,828.00 $105,821.41 $101,048.01 nat. median
$47,513
outlier · 2.1×
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 11 $10,828.00 $102,972.16 $98,327.29 nat. median
$37,851
outlier · 2.6×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 11 $10,828.00 $102,947.48 $98,303.72 nat. median
$50,071
2.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $10,828.00 $102,099.44 $97,493.93 nat. median
$65,792
1.5× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 11 $10,828.00 $102,077.01 $97,472.51 nat. median
$59,257
1.6× median
653
MS_DRG 		Major Bladder Procedures With Mcc 11 $10,828.00 $101,206.53 $96,641.30 nat. median
$51,176
1.9× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 11 $10,828.00 $101,056.21 $96,497.76 nat. median
$52,517
1.8× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 11 $10,828.00 $100,623.22 $96,084.30 nat. median
$45,588
outlier · 2.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $10,828.00 $110,178.66 $93,252.90 nat. median
$81,364
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $10,828.00 $96,199.04 $91,859.68 nat. median
$62,218
1.5× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $10,828.00 $95,875.97 $91,551.19 nat. median
$60,895
1.5× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 $10,828.00 $95,481.12 $91,174.15 nat. median
$52,447
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $10,828.00 $451,061.13 $90,653.10 nat. median
$370,165
outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 48,664 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 11 — — $10,828.00 $514,876.52 $491,651.42 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 11 — — $10,828.00 $411,224.58 $392,675.02 2026-01-01
7 MS_DRG Lung Transplant 22 11 — — $10,828.00 $405,622.56 $387,325.70 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 11 — — $10,828.00 $361,815.98 $345,495.15 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 11 — — $10,828.00 $339,277.77 $323,973.60 2026-01-01
215 MS_DRG Other Heart Assist System Implant 22 11 — — $10,828.00 $290,129.42 $277,042.24 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 11 — — $10,828.00 $285,857.80 $272,963.30 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 22 11 — — $10,828.00 $227,930.63 $217,649.11 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 11 — — $10,828.00 $207,826.62 $198,451.96 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 11 — — $10,828.00 $202,756.31 $193,610.36 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 11 — — $10,828.00 $198,009.07 $189,077.26 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 22 11 — — $10,828.00 $177,299.32 $169,301.68 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 11 — — $10,828.00 $150,951.65 $144,142.51 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 11 — — $10,828.00 $146,985.15 $140,354.93 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 10 — — $10,828.00 $144,250.32 $137,743.46 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 11 — — $10,828.00 $144,250.32 $137,743.46 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 11 — — $10,828.00 $135,022.80 $128,932.18 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 22 11 — — $10,828.00 $129,151.56 $123,325.78 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 11 — — $10,828.00 $127,249.08 $121,509.11 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 11 — — $10,828.00 $126,024.13 $120,339.42 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 11 — — $10,828.00 $122,535.48 $117,008.14 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 11 — — $10,828.00 $119,233.05 $113,854.68 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 11 — — $10,828.00 $119,163.50 $113,788.26 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 11 — — $10,828.00 $118,909.99 $113,546.18 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 11 — — $10,828.00 $117,245.31 $111,956.60 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 4 — — $10,828.00 $130,295.09 $110,279.02 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 11 — — $10,828.00 $113,337.13 $108,224.71 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 10 — — $10,828.00 $111,618.61 $106,583.71 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 10 — — $10,828.00 $111,618.61 $106,583.71 2026-01-01
652 MS_DRG Kidney Transplant 22 11 — — $10,828.00 $111,618.61 $106,583.71 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 4 — — $10,828.00 $125,373.04 $106,113.10 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 11 — — $10,828.00 $109,985.34 $105,024.12 2026-01-01
0053T OTHER Replace Implantable Hrt Syst 2 2 — — $104,566.35 $104,566.35 $104,566.35 2026-01-01
0052T OTHER Replace Thrc Unit Hrt Syst 2 2 — — $104,566.35 $104,566.35 $104,566.35 2026-01-01
0051T OTHER Implant Total Heart System 2 2 — — $104,566.35 $104,566.35 $104,566.35 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 11 — — $10,828.00 $106,871.37 $102,050.60 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 11 — — $10,828.00 $106,326.20 $101,530.02 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 11 — — $10,828.00 $105,821.41 $101,048.01 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 11 — — $10,828.00 $102,972.16 $98,327.29 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 11 — — $10,828.00 $102,947.48 $98,303.72 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 11 — — $10,828.00 $102,099.44 $97,493.93 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 11 — — $10,828.00 $102,077.01 $97,472.51 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 22 11 — — $10,828.00 $101,206.53 $96,641.30 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 11 — — $10,828.00 $101,056.21 $96,497.76 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 11 — — $10,828.00 $100,623.22 $96,084.30 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 8 4 — — $10,828.00 $110,178.66 $93,252.90 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 11 — — $10,828.00 $96,199.04 $91,859.68 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 11 — — $10,828.00 $95,875.97 $91,551.19 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 11 — — $10,828.00 $95,481.12 $91,174.15 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 10 — — $10,828.00 $451,061.13 $90,653.10 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 11 — — $10,828.00 $93,973.48 $89,734.52 2026-01-01
92071 CPT Contact Lens Fitting For Tx 18 9 — — $42.07 $342,446.93 $87,631.42 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 11 — — $10,828.00 $91,391.22 $87,268.73 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 11 — — $10,828.00 $90,763.04 $86,668.89 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 12 — — $10,828.00 $90,722.65 $86,630.33 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 11 — — $10,828.00 $90,653.10 $86,563.92 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 10 — — $10,828.00 $90,597.02 $86,510.36 2026-01-01
89824080 CDM Dvc Heart Impella 5.5 S2 2 1 $86,316.00 $48,336.96 44% off $86,316.00 $86,316.00 $86,316.00 2026-01-01
89981542 CDM Kt Cath Cardv Prg 260 5.5 2 1 $86,316.00 $48,336.96 44% off $86,316.00 $86,316.00 $86,316.00 2026-01-01
72386832 CDM Jv Wireless Pressure Sensor 2 1 $85,909.00 $48,109.04 44% off $85,909.00 $85,909.00 $85,909.00 2026-01-01
71286835 CDM Jv Wireless Pressure Sensor 1 1 $85,909.00 $48,109.04 44% off $85,909.00 $85,909.00 $85,909.00 2026-01-01
10 MS_DRG Pancreas Transplant 22 11 — — $10,828.00 $95,362.26 $85,786.26 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 4 — — $10,828.00 $99,756.82 $84,432.07 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 11 — — $10,828.00 $87,269.91 $83,333.33 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 12 — — $10,828.00 $87,000.69 $83,076.25 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 22 11 — — $10,828.00 $86,300.71 $82,407.85 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 11 — — $10,828.00 $86,206.49 $82,317.88 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 11 — — $10,828.00 $84,418.42 $80,610.46 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 11 — — $10,828.00 $83,296.67 $79,539.31 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 12 — — $10,828.00 $83,218.15 $79,464.33 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 11 — — $10,828.00 $82,529.39 $78,806.65 2026-01-01
245 MS_DRG Aicd Generator Procedures 22 11 — — $10,828.00 $82,515.93 $78,793.79 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 11 — — $10,828.00 $81,450.27 $77,776.20 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 11 — — $10,828.00 $80,510.24 $76,878.58 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 11 — — $10,828.00 $79,991.99 $76,383.71 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 11 — — $10,828.00 $79,823.73 $76,223.03 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 11 — — $10,828.00 $78,408.08 $74,871.24 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 11 — — $10,828.00 $78,282.45 $74,751.27 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 11 — — $10,828.00 $77,634.07 $74,132.15 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 11 — — $10,828.00 $77,324.47 $73,836.51 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 11 — — $10,828.00 $77,044.03 $73,568.72 2026-01-01
332 MS_DRG Rectal Resection With Mcc 22 11 — — $10,828.00 $75,762.99 $72,345.47 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 22 11 — — $10,828.00 $75,648.58 $72,236.21 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 4 — — $10,828.00 $84,909.33 $71,865.46 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 11 — — $10,828.00 $74,980.01 $71,597.81 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 4 — — $10,828.00 $84,524.17 $71,539.48 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 11 — — $10,828.00 $74,643.49 $71,276.46 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 11 — — $10,828.00 $74,248.63 $70,899.42 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 22 11 — — $10,828.00 $74,183.57 $70,837.29 2026-01-01
72393903 CDM Insj/rplc Cardiac Modulj Sys 2 1 $70,779.00 $39,636.24 44% off $70,779.00 $70,779.00 $70,779.00 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 11 — — $10,828.00 $73,876.21 $70,543.80 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 11 — — $10,828.00 $73,427.51 $70,115.34 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 22 11 — — $10,828.00 $73,333.28 $70,025.36 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 11 — — $10,828.00 $73,248.03 $69,943.95 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 11 — — $10,828.00 $71,836.87 $68,596.45 2026-01-01
72398860 CDM Evasc Ven Artlz Tibl/prnl Vn 1 1 $68,586.00 $38,408.16 44% off $68,586.00 $68,586.00 $68,586.00 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 4 — — $10,828.00 $80,190.61 $67,871.64 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 11 — — $10,828.00 $70,782.43 $67,589.57 2026-01-01
503 MS_DRG Foot Procedures With Mcc 22 11 — — $10,828.00 $70,600.70 $67,416.04 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 11 — — $10,828.00 $70,526.67 $67,345.34 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 11 — — $10,828.00 $70,371.86 $67,197.52 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 22 11 — — $10,828.00 $69,517.09 $66,381.31 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 11 — — $10,828.00 $68,370.66 $65,286.59 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 11 — — $10,828.00 $68,343.74 $65,260.88 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 11 — — $10,828.00 $75,641.75 $65,078.79 2026-01-01
71220016 CDM Vlvaorttransapien23#580953 1 1 $65,000.00 $36,400.00 44% off $65,000.00 $65,000.00 $65,000.00 2026-01-01
89981245 CDM Valve Aortic Sys Trnscth 2 1 $65,000.00 $36,400.00 44% off $65,000.00 $65,000.00 $65,000.00 2026-01-01
89822266 CDM Vlvaorttransapien26#580954 2 1 $65,000.00 $36,400.00 44% off $65,000.00 $65,000.00 $65,000.00 2026-01-01
89822258 CDM Vlvaorttransapien23#580953 2 1 $65,000.00 $36,400.00 44% off $65,000.00 $65,000.00 $65,000.00 2026-01-01
71220024 CDM Vlvaorttransapien26#580954 1 1 $65,000.00 $36,400.00 44% off $65,000.00 $65,000.00 $65,000.00 2026-01-01
71220008 CDM Vlvaorttransapien20#580952 1 1 $65,000.00 $36,400.00 44% off $65,000.00 $65,000.00 $65,000.00 2026-01-01
71220032 CDM Vlvaorttransapien29#580955 1 1 $65,000.00 $36,400.00 44% off $65,000.00 $65,000.00 $65,000.00 2026-01-01
89823934 CDM Cathtranshrtvalv#1035212 2 1 $65,000.00 $36,400.00 44% off $65,000.00 $65,000.00 $65,000.00 2026-01-01
89822274 CDM Vlvaorttransapien29#580955 2 1 $65,000.00 $36,400.00 44% off $65,000.00 $65,000.00 $65,000.00 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 11 — — $10,828.00 $68,067.79 $64,997.38 2026-01-01
72387079 CDM Bln Ang Ctr Dlys Seg Stnt Addl 2 1 $64,647.00 $36,202.32 44% off $64,647.00 $64,647.00 $64,647.00 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 11 — — $10,828.00 $67,648.26 $64,596.77 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 11 — — $10,828.00 $67,531.59 $64,485.37 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 11 — — $10,828.00 $67,313.97 $64,277.57 2026-01-01
90494477 CDM Dvccoagulation 3pk#576870 2 1 $64,200.00 $35,952.00 44% off $64,200.00 $64,200.00 $64,200.00 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 11 — — $10,828.00 $66,997.64 $63,975.50 2026-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 22 11 — — $10,828.00 $66,501.83 $63,502.06 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 11 — — $10,828.00 $66,178.76 $63,193.57 2026-01-01
89976377 CDM Generatorimpl#1030806 2 1 $63,100.00 $35,336.00 44% off $63,100.00 $63,100.00 $63,100.00 2026-01-01
89821771 CDM Valveaorevolr29m#582955 2 1 $63,000.00 $35,280.00 44% off $63,000.00 $63,000.00 $63,000.00 2026-01-01
89821763 CDM Valveaorevolr26mm#582954 2 1 $63,000.00 $35,280.00 44% off $63,000.00 $63,000.00 $63,000.00 2026-01-01
89821755 CDM Valveaorevolr23mm#582953 2 1 $63,000.00 $35,280.00 44% off $63,000.00 $63,000.00 $63,000.00 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 4 — — $10,828.00 $74,087.98 $62,706.51 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 4 — — $10,828.00 $73,992.29 $62,625.52 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 11 — — $10,828.00 $65,523.66 $62,568.01 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 11 — — $10,828.00 $65,160.21 $62,220.96 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 11 — — $10,828.00 $64,390.69 $61,486.15 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 11 — — $10,828.00 $64,173.07 $61,278.35 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 22 11 — — $10,828.00 $63,683.99 $60,811.33 2026-01-01
72325384 CDM Perc Close Atria-septal Defect 2 1 $60,369.00 $33,806.64 44% off $60,369.00 $60,369.00 $60,369.00 2026-01-01
71225387 CDM Perc Close Atria-septal Defect 1 1 $60,369.00 $33,806.64 44% off $60,369.00 $60,369.00 $60,369.00 2026-01-01
71225395 CDM Perc Close Vent-septal Defect 1 1 $60,369.00 $33,806.64 44% off $60,369.00 $60,369.00 $60,369.00 2026-01-01
72325392 CDM Perc Close Vent-septal Defect 2 1 $60,369.00 $33,806.64 44% off $60,369.00 $60,369.00 $60,369.00 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 13 — — $10,828.00 $116,352.40 $60,185.69 2026-01-01
89822761 CDM Vlv Transcath23#1002784 2 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
71274823 CDM Valve Aortic Transcath 29mm 1 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
71220057 CDM Sysrepairmvlvmitraclip#594949 1 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
72371255 CDM Sysrepairmvlvguid Cath#594948 2 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
89822787 CDM Vlv Transcath29#1002786 2 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
72371263 CDM Sysrepairmvlvmitraclip#594952 2 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
72371313 CDM Sysrepairmvlvmitraclip#594949 2 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
89975098 CDM Sysvlvaortictcath#1038593 2 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
71220065 CDM Sysrepairmvlvmitraclip#594952 1 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
89821615 CDM Vlvaortic31mm#577548 2 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
89822605 CDM Vlvaorticcorvalsys#599996 2 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
89977730 CDM Systmvalveaortic#1038574 2 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
89822779 CDM Vlv Transcath26#1002785 2 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
89975205 CDM Sysvalvaortctcath#1038576 2 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
71220040 CDM Sysrepairmvlvguid Cath#594948 1 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 13 — — $10,828.00 $85,955.22 $59,824.19 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 11 — — $10,828.00 $62,043.99 $59,245.31 2026-01-01
665 MS_DRG Prostatectomy With Mcc 22 11 — — $10,828.00 $62,010.34 $59,213.17 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 11 — — $10,828.00 $61,595.29 $58,816.85 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 11 — — $10,828.00 $61,346.26 $58,579.05 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 22 11 — — $10,828.00 $61,335.05 $58,568.34 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 11 — — $10,828.00 $60,841.48 $58,097.03 2026-01-01
72379613 CDM Tib/pero Init W/stnt/ath*37231 2 1 $57,852.00 $32,397.12 44% off $57,852.00 $57,852.00 $57,852.00 2026-01-01
72393846 CDM Revasc Lithotrip-stent-ather 2 1 $57,852.00 $32,397.12 44% off $57,852.00 $57,852.00 $57,852.00 2026-01-01
71279616 CDM Tib/pero Init W/stnt/ath*37231 1 1 $57,852.00 $32,397.12 44% off $57,852.00 $57,852.00 $57,852.00 2026-01-01
72379571 CDM Fem/pop W/stent/ather*37227 2 1 $57,852.00 $32,397.12 44% off $57,852.00 $57,852.00 $57,852.00 2026-01-01
71279574 CDM Fem/pop W/stent/ather*37227 1 1 $57,852.00 $32,397.12 44% off $57,852.00 $57,852.00 $57,852.00 2026-01-01
71293849 CDM Revasc Lithotrip-stent-ather 1 1 $57,852.00 $32,397.12 44% off $57,852.00 $57,852.00 $57,852.00 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 11 — — $10,828.00 $60,096.63 $57,385.79 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 11 — — $10,828.00 $59,603.06 $56,914.48 2026-01-01
71271357 CDM Cathimpellax2.5x12f#433075 1 1 $56,784.00 $31,799.04 44% off $56,784.00 $56,784.00 $56,784.00 2026-01-01
72380694 CDM Cathimpellax2.5x12f#433075 2 1 $56,784.00 $31,799.04 44% off $56,784.00 $56,784.00 $56,784.00 2026-01-01
835 MS_DRG Acute Leukemia With Cc 22 11 — — $10,828.00 $59,414.61 $56,734.53 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 11 — — $10,828.00 $59,136.42 $56,468.89 2026-01-01
89976369 CDM Generatorimpl#1030807 2 1 $56,300.00 $31,528.00 44% off $56,300.00 $56,300.00 $56,300.00 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 11 — — $10,828.00 $58,541.89 $55,901.18 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 22 11 — — $10,828.00 $58,416.25 $55,781.21 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 4 — — $10,828.00 $65,849.07 $55,733.27 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 11 — — $10,828.00 $58,337.73 $55,706.23 2026-01-01
71278667 CDM Jv Icd Generator Dual 1 1 $55,621.00 $31,147.76 44% off $55,621.00 $55,621.00 $55,621.00 2026-01-01
72761083 CDM Jv Icd Generator Sngl 2 1 $55,621.00 $31,147.76 44% off $55,621.00 $55,621.00 $55,621.00 2026-01-01
71278683 CDM Jv Icd Gen Oth Than Sngl/dual 1 1 $55,621.00 $31,147.76 44% off $55,621.00 $55,621.00 $55,621.00 2026-01-01
71278675 CDM Jv Icd Generator Sngl 1 1 $55,621.00 $31,147.76 44% off $55,621.00 $55,621.00 $55,621.00 2026-01-01
72378672 CDM Jv Icd Generator Sngl 2 1 $55,621.00 $31,147.76 44% off $55,621.00 $55,621.00 $55,621.00 2026-01-01
72378680 CDM Jv Icd Gen Oth Than Sngl/dual 2 1 $55,621.00 $31,147.76 44% off $55,621.00 $55,621.00 $55,621.00 2026-01-01
72378664 CDM Jv Icd Generator Dual 2 1 $55,621.00 $31,147.76 44% off $55,621.00 $55,621.00 $55,621.00 2026-01-01
72761075 CDM Jv Icd Generator Dual 2 1 $55,621.00 $31,147.76 44% off $55,621.00 $55,621.00 $55,621.00 2026-01-01
72761091 CDM Jv Icd Gen Oth Than Sngl/dual 2 1 $55,621.00 $31,147.76 44% off $55,621.00 $55,621.00 $55,621.00 2026-01-01
72387087 CDM Dialys Circuit Embol/occls Adl 2 1 $55,548.00 $31,106.88 44% off $55,548.00 $55,548.00 $55,548.00 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 11 — — $10,828.00 $58,135.82 $55,513.42 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 4 — — $10,828.00 $65,429.23 $55,377.92 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 11 — — $10,828.00 $57,543.53 $54,947.85 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 22 11 — — $10,828.00 $57,287.77 $54,703.63 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 11 — — $10,828.00 $64,529.75 $54,616.62 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 11 — — $10,828.00 $57,150.92 $54,572.95 2026-01-01
71225437 CDM Percutaneous Closure Of Pda 1 1 $54,566.00 $30,556.96 44% off $54,566.00 $54,566.00 $54,566.00 2026-01-01
72325434 CDM Percutaneous Closure Of Pda 2 1 $54,566.00 $30,556.96 44% off $54,566.00 $54,566.00 $54,566.00 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 22 11 — — $10,828.00 $57,029.77 $54,457.27 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 11 — — $10,828.00 $56,993.87 $54,422.99 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 22 11 — — $10,828.00 $56,953.49 $54,384.43 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 22 11 — — $10,828.00 $56,769.52 $54,208.76 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 11 — — $10,828.00 $56,762.79 $54,202.33 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 22 11 — — $10,828.00 $56,150.32 $53,617.48 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 11 — — $10,828.00 $55,993.27 $53,467.52 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 20 10 — — $10,828.00 $55,827.25 $53,308.99 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 11 — — $10,828.00 $55,190.10 $52,700.58 2026-01-01
265 MS_DRG Aicd Lead Procedures 22 11 — — $10,828.00 $55,093.63 $52,608.46 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 4 — — $10,828.00 $61,596.85 $52,134.28 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 12 — — $10,828.00 $54,499.10 $52,040.75 2026-01-01
72391451 CDM Optimizer Smart Mini-ipg -pas 2 1 $52,000.00 $29,120.00 44% off $52,000.00 $52,000.00 $52,000.00 2026-01-01
72391444 CDM Optimizer Smart Ipg-aim Higher 2 1 $52,000.00 $29,120.00 44% off $52,000.00 $52,000.00 $52,000.00 2026-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 22 11 — — $10,828.00 $53,805.86 $51,378.78 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 11 — — $10,828.00 $53,444.66 $51,033.87 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 22 11 — — $10,828.00 $53,386.33 $50,978.17 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 11 — — $10,828.00 $53,130.57 $50,733.95 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 23 12 — — $10,828.00 $59,007.00 $50,693.24 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 4 — — $10,828.00 $59,840.94 $50,648.11 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 11 — — $10,828.00 $53,009.42 $50,618.26 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 22 11 — — $10,828.00 $52,991.47 $50,601.13 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 11 — — $10,828.00 $52,856.86 $50,472.59 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 11 — — $10,828.00 $52,823.21 $50,440.45 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 10 — — $10,828.00 $52,823.21 $50,440.45 2026-01-01
72393960 CDM Rmvl & Rpl Car Modulj Pls Gn 2 1 $50,350.00 $28,196.00 44% off $50,350.00 $50,350.00 $50,350.00 2026-01-01
72393911 CDM Insj/rplc Car Modulj Pls Gn 2 1 $50,350.00 $28,196.00 44% off $50,350.00 $50,350.00 $50,350.00 2026-01-01
72393721 CDM Tcat Impl Wrls P-art Prs Snr 2 1 $50,332.00 $28,185.92 44% off $50,332.00 $50,332.00 $50,332.00 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 11 — — $10,828.00 $52,583.15 $50,211.23 2026-01-01
71220586 CDM Impelladevice4l#563888 1 1 $50,000.00 $28,000.00 44% off $50,000.00 $50,000.00 $50,000.00 2026-01-01
72390222 CDM Impelladevice4l#563888 2 1 $50,000.00 $28,000.00 44% off $50,000.00 $50,000.00 $50,000.00 2026-01-01
71273775 CDM Cathpumpheartassist#1012687 1 1 $50,000.00 $28,000.00 44% off $50,000.00 $50,000.00 $50,000.00 2026-01-01
90493263 CDM Cathpumpheart#433333 2 1 $50,000.00 $28,000.00 44% off $50,000.00 $50,000.00 $50,000.00 2026-01-01
72389679 CDM Cathpumpheartassist#1012687 2 1 $50,000.00 $28,000.00 44% off $50,000.00 $50,000.00 $50,000.00 2026-01-01
0100T OTHER Prosth Retina Receive&gen 14 6 — — $2,377.04 $49,970.00 $49,970.00 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 11 — — $10,828.00 $52,197.27 $49,842.75 2026-01-01
72393788 CDM Tcat Insj/rpl Perm Ldls Pm 2 1 $49,796.00 $27,885.76 44% off $49,796.00 $49,796.00 $49,796.00 2026-01-01
711 MS_DRG Testes Procedures With Cc/mcc 22 11 — — $10,828.00 $50,662.72 $48,377.42 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 22 11 — — $10,828.00 $50,171.39 $47,908.25 2026-01-01
71261234 CDM Eval & Ablate Atrial Fib 1 1 $47,708.00 $26,716.48 44% off $47,708.00 $47,708.00 $47,708.00 2026-01-01
72761232 CDM Eval & Ablate Atrial Fib 2 1 $47,708.00 $26,716.48 44% off $47,708.00 $47,708.00 $47,708.00 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 11 — — $10,828.00 $49,922.36 $47,670.46 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 22 11 — — $10,828.00 $49,873.00 $47,623.33 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 22 11 — — $10,828.00 $49,841.60 $47,593.34 2026-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 22 11 — — $10,828.00 $49,769.80 $47,524.78 2026-01-01
71275341 CDM Cordella Pulm Sensor 1 1 $47,500.00 $26,600.00 44% off $47,500.00 $47,500.00 $47,500.00 2026-01-01
72392061 CDM Cordella Pulm Sensor 1 1 $47,500.00 $26,600.00 44% off $47,500.00 $47,500.00 $47,500.00 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 11 — — $10,828.00 $49,365.97 $47,139.17 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 4 — — $10,828.00 $55,646.13 $47,097.71 2026-01-01
72743941 CDM Rmv&rplc Icd Gener Mult*33264 2 1 $46,934.00 $26,283.04 44% off $46,934.00 $46,934.00 $46,934.00 2026-01-01
72343940 CDM Rmv&rplc Icd Gener Mult*33264 2 1 $46,934.00 $26,283.04 44% off $46,934.00 $46,934.00 $46,934.00 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 22 11 — — $10,828.00 $48,926.25 $46,719.28 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 11 — — $10,828.00 $48,838.75 $46,635.73 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 22 11 — — $10,828.00 $48,549.34 $46,359.37 2026-01-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 22 11 — — $10,828.00 $48,464.09 $46,277.96 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 11 — — $10,828.00 $48,385.56 $46,202.98 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 11 — — $10,828.00 $48,158.97 $45,986.61 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 11 — — $10,828.00 $47,903.21 $45,742.39 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 11 — — $10,828.00 $47,627.26 $45,478.89 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 11 — — $10,828.00 $47,618.29 $45,470.32 2026-01-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 22 11 — — $10,828.00 $46,996.84 $44,876.90 2026-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 22 11 — — $10,828.00 $46,635.63 $44,531.99 2026-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 22 11 — — $10,828.00 $46,628.90 $44,525.56 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 23 12 — — $10,828.00 $46,545.89 $44,446.30 2026-01-01
72743933 CDM Rmv&rplc Icd Gener Dual*33263 2 1 $44,400.00 $24,864.00 44% off $44,400.00 $44,400.00 $44,400.00 2026-01-01
72343932 CDM Rmv&rplc Icd Gener Dual*33263 2 1 $44,400.00 $24,864.00 44% off $44,400.00 $44,400.00 $44,400.00 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 22 11 — — $10,828.00 $46,386.61 $44,294.19 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 11 — — $10,828.00 $46,256.48 $44,169.94 2026-01-01
72387053 CDM Mechthrmbc Dialys Circ-stents 2 1 $43,961.00 $24,618.16 44% off $43,961.00 $43,961.00 $43,961.00 2026-01-01
74684242 CDM Mechthrmbc Dialys Circ-stents 1 1 $43,961.00 $24,618.16 44% off $43,961.00 $43,961.00 $43,961.00 2026-01-01
374 MS_DRG Digestive Malignancy With Mcc 22 11 — — $10,828.00 $46,025.40 $43,949.28 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 22 11 — — $10,828.00 $45,762.91 $43,698.64 2026-01-01
89942411 CDM Stimulatorgenerator#13645 1 1 $43,645.00 $24,441.20 44% off $43,645.00 $43,645.00 $43,645.00 2026-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 22 11 — — $10,828.00 $45,691.12 $43,630.08 2026-01-01
791 MS_DRG Prematurity With Major Problems 22 11 — — $10,828.00 $48,563.87 $43,499.96 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 22 11 — — $10,828.00 $45,516.13 $43,462.98 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 22 11 — — $10,828.00 $45,260.37 $43,218.76 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 4 — — $10,828.00 $50,945.36 $43,119.08 2026-01-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 22 11 — — $10,828.00 $45,022.56 $42,991.68 2026-01-01
72369929 CDM Tcat Rmv&rpl1chmb Ldls Pm Ra 2 1 $42,977.00 $24,067.12 44% off $42,977.00 $42,977.00 $42,977.00 2026-01-01
72761216 CDM Eval & Ablate V Tach/ectopy 2 1 $42,911.00 $24,030.16 44% off $42,911.00 $42,911.00 $42,911.00 2026-01-01
71261218 CDM Eval & Ablate V Tach/ectopy 1 1 $42,911.00 $24,030.16 44% off $42,911.00 $42,911.00 $42,911.00 2026-01-01
72361215 CDM Eval & Ablate V Tach/ectopy 2 1 $42,911.00 $24,030.16 44% off $42,911.00 $42,911.00 $42,911.00 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 22 11 — — $10,828.00 $44,885.70 $42,861.00 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 10 — — $10,828.00 $50,584.13 $42,761.11 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 11 — — $10,828.00 $44,672.57 $42,657.48 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 11 — — $10,828.00 $44,329.32 $42,329.71 2026-01-01
72743917 CDM Ins/rplc Icd W/leads S/d*33249 2 1 $42,240.00 $23,654.40 44% off $42,240.00 $42,240.00 $42,240.00 2026-01-01
72343916 CDM Ins/rplc Icd W/leads S/d*33249 2 1 $42,240.00 $23,654.40 44% off $42,240.00 $42,240.00 $42,240.00 2026-01-01
836 MS_DRG Acute Leukemia Without Cc/mcc 22 11 — — $10,828.00 $43,965.87 $41,982.65 2026-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 22 11 — — $10,828.00 $43,961.38 $41,978.37 2026-01-01
72743925 CDM Rmv&rplc Icd Gener Sngl*33262 2 1 $41,978.00 $23,507.68 44% off $41,978.00 $41,978.00 $41,978.00 2026-01-01
72343924 CDM Rmv&rplc Icd Gener Sngl*33262 2 1 $41,978.00 $23,507.68 44% off $41,978.00 $41,978.00 $41,978.00 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 11 — — $10,828.00 $44,782.92 $41,809.13 2026-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 22 11 — — $10,828.00 $43,678.70 $41,708.44 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 11 — — $10,828.00 $43,519.41 $41,556.34 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 22 11 — — $10,828.00 $43,485.76 $41,524.20 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 4 — — $10,828.00 $48,840.18 $41,337.30 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 22 11 — — $10,828.00 $42,884.50 $40,950.06 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 22 11 — — $10,828.00 $42,814.95 $40,883.65 2026-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 20 10 — — $10,828.00 $42,761.11 $40,832.24 2026-01-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 22 11 — — $10,828.00 $42,758.87 $40,830.10 2026-01-01
89823736 CDM Defibcobalticd#1220275 2 1 $40,700.00 $22,792.00 44% off $40,700.00 $40,700.00 $40,700.00 2026-01-01
72391915 CDM Tcat Ins 2chmbr Ldls Pm Ra 2 1 $40,669.00 $22,774.64 44% off $40,669.00 $40,669.00 $40,669.00 2026-01-01
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