Price Transparencybeta Hospital negotiated rates

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

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Hospital

ASCENSION RIVER DISTRICT HOSPITAL

East China, MI · CCN 230241 · Rates published

40,000 distinct procedures filed
51 distinct payers
214,303 rate rows
2026-01-01 last MRF observed
Data quality

210,587 of 214,303 rate rows are consumer-grade (98.3%)

3,716 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 2,883
per-diem day rate — not a per-procedure price 668
placeholder amount (≤ $0.02) — excluded from medians 165
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/383160564_henry-ford-river-district-hospital_standardcharges.csv
Found on page https://www.henryford.com/visitors/billing/cost-of-care/hospital-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint f04f63c5ef0c863f… · 62,216,686 bytes · first seen 2026-05-05

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 24 $8,400.00 $518,516.92 $272,903.64 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $8,400.00 $338,715.95 $177,103.48 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 $8,400.00 $256,365.86 $134,929.40 nat. median
$206,474
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 $8,400.00 $254,861.31 $134,137.53 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 $8,400.00 $166,320.51 $87,537.11 nat. median
$133,161
0.7× median
66228154
CDM 		Kt Cath Cardv Prg 260 5.5 1 $86,316.00 $86,316.00 $86,316.00 nat. median
$86,316
1.0× median
66212408
CDM 		Dvc Heart Impella 5.5 S2 1 $86,316.00 $86,316.00 $86,316.00 nat. median
$86,316
1.0× median
7
MS_DRG 		Lung Transplant 27 $8,400.00 $155,499.36 $81,841.77 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 27 $8,400.00 $153,262.60 $75,949.88 nat. median
$117,357
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 $8,400.00 $172,146.13 $71,613.92 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 24 $8,400.00 $135,910.34 $71,531.76 nat. median
$98,047
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $8,400.00 $132,336.92 $69,651.01 nat. median
$98,894
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 24 $8,400.00 $130,570.62 $68,721.38 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 27 $8,400.00 $131,513.96 $65,159.58 nat. median
$100,136
0.7× median
66212227
CDM 		Vlvaorttransapien29#580955 1 $65,000.00 $65,000.00 $65,000.00 nat. median
$65,000
1.0× median
66212225
CDM 		Vlvaorttransapien23#580953 1 $65,000.00 $65,000.00 $65,000.00 nat. median
$65,000
1.0× median
66212393
CDM 		Cathtranshrtvalv#1035212 1 $65,000.00 $65,000.00 $65,000.00 nat. median
$65,000
1.0× median
66228124
CDM 		Valve Aortic Sys Trnscth 1 $65,000.00 $65,000.00 $65,000.00 nat. median
$65,000
1.0× median
66212226
CDM 		Vlvaorttransapien26#580954 1 $65,000.00 $65,000.00 $65,000.00 nat. median
$65,000
1.0× median
66279447
CDM 		Dvccoagulation 3pk#576870 1 $64,200.00 $64,200.00 $64,200.00 nat. median
$64,200
1.0× median
66227637
CDM 		Generatorimpl#1030806 1 $63,100.00 $63,100.00 $63,100.00 nat. median
$63,100
1.0× median
66212177
CDM 		Valveaorevolr29m#582955 1 $63,000.00 $63,000.00 $63,000.00 nat. median
$63,000
1.0× median
66212176
CDM 		Valveaorevolr26mm#582954 1 $63,000.00 $63,000.00 $63,000.00 nat. median
$63,000
1.0× median
66212175
CDM 		Valveaorevolr23mm#582953 1 $63,000.00 $63,000.00 $63,000.00 nat. median
$63,000
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 27 $8,400.00 $165,264.23 $62,925.55 nat. median
$99,019
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $8,400.00 $125,953.04 $61,824.65 nat. median
$93,672
0.7× median
66227520
CDM 		Sysvalvaortctcath#1038576 1 $60,000.00 $60,000.00 $60,000.00 nat. median
$60,000
1.0× median
66212276
CDM 		Vlv Transcath23#1002784 1 $60,000.00 $60,000.00 $60,000.00 nat. median
$60,000
1.0× median
66227773
CDM 		Systmvalveaortic#1038574 1 $60,000.00 $60,000.00 $60,000.00 nat. median
$60,000
1.0× median
66212161
CDM 		Vlvaortic31mm#577548 1 $60,000.00 $60,000.00 $60,000.00 nat. median
$60,000
1.0× median
66212260
CDM 		Vlvaorticcorvalsys#599996 1 $60,000.00 $60,000.00 $60,000.00 nat. median
$60,000
1.0× median
66212277
CDM 		Vlv Transcath26#1002785 1 $60,000.00 $60,000.00 $60,000.00 nat. median
$60,000
1.0× median
66212278
CDM 		Vlv Transcath29#1002786 1 $60,000.00 $60,000.00 $60,000.00 nat. median
$60,000
1.0× median
66227509
CDM 		Sysvlvaortictcath#1038593 1 $60,000.00 $60,000.00 $60,000.00 nat. median
$60,000
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 $8,400.00 $108,182.66 $56,938.24 nat. median
$82,711
0.7× median
66227636
CDM 		Generatorimpl#1030807 1 $56,300.00 $56,300.00 $56,300.00 nat. median
$56,300
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 24 $8,400.00 $103,978.83 $54,725.70 nat. median
$83,470
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 28 $8,400.00 $107,715.89 $53,274.69 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 $8,400.00 $117,030.69 $53,107.22 nat. median
$81,118
0.7× median
66279326
CDM 		Cathpumpheart#433333 1 $50,000.00 $50,000.00 $50,000.00 nat. median
$50,000
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 $8,400.00 $133,704.47 $49,728.69 nat. median
$77,570
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 $8,400.00 $98,644.77 $48,524.78 nat. median
$74,915
0.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 $8,400.00 $97,953.50 $48,315.60 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 $8,400.00 $97,450.76 $48,155.71 nat. median
$72,135
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $8,400.00 $86,677.24 $45,619.60 nat. median
$68,090
0.7× median
10
MS_DRG 		Pancreas Transplant 27 $8,400.00 $86,162.13 $45,348.49 nat. median
$68,884
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 $8,400.00 $86,126.11 $45,329.53 nat. median
$64,023
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 $8,400.00 $85,668.63 $45,088.75 nat. median
$71,271
0.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 $8,400.00 $85,618.18 $45,062.20 nat. median
$68,886
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 27 $8,400.00 $82,993.35 $43,680.71 nat. median
$66,526
0.7× median

Other procedures at this hospital

Browse this hospital's 40,000 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 26 24 — — $8,400.00 $518,516.92 $272,903.64 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 27 — — $8,400.00 $338,715.95 $177,103.48 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 27 — — $8,400.00 $256,365.86 $134,929.40 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 27 — — $8,400.00 $254,861.31 $134,137.53 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 27 — — $8,400.00 $166,320.51 $87,537.11 2026-01-01
66228154 CDM Kt Cath Cardv Prg 260 5.5 1 1 $86,316.00 $48,336.96 44% off $86,316.00 $86,316.00 $86,316.00 2026-01-01
66212408 CDM Dvc Heart Impella 5.5 S2 1 1 $86,316.00 $48,336.96 44% off $86,316.00 $86,316.00 $86,316.00 2026-01-01
7 MS_DRG Lung Transplant 29 27 — — $8,400.00 $155,499.36 $81,841.77 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 29 27 — — $8,400.00 $153,262.60 $75,949.88 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 27 — — $8,400.00 $172,146.13 $71,613.92 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 26 24 — — $8,400.00 $135,910.34 $71,531.76 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 24 — — $8,400.00 $132,336.92 $69,651.01 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 24 — — $8,400.00 $130,570.62 $68,721.38 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 27 — — $8,400.00 $131,513.96 $65,159.58 2026-01-01
66212227 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
66228124 CDM Valve Aortic Sys Trnscth 1 1 $65,000.00 $36,400.00 44% off $65,000.00 $65,000.00 $65,000.00 2026-01-01
66212393 CDM Cathtranshrtvalv#1035212 1 1 $65,000.00 $36,400.00 44% off $65,000.00 $65,000.00 $65,000.00 2026-01-01
66212226 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
66212225 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
66279447 CDM Dvccoagulation 3pk#576870 1 1 $64,200.00 $35,952.00 44% off $64,200.00 $64,200.00 $64,200.00 2026-01-01
66227637 CDM Generatorimpl#1030806 1 1 $63,100.00 $35,336.00 44% off $63,100.00 $63,100.00 $63,100.00 2026-01-01
66212175 CDM Valveaorevolr23mm#582953 1 1 $63,000.00 $35,280.00 44% off $63,000.00 $63,000.00 $63,000.00 2026-01-01
66212176 CDM Valveaorevolr26mm#582954 1 1 $63,000.00 $35,280.00 44% off $63,000.00 $63,000.00 $63,000.00 2026-01-01
66212177 CDM Valveaorevolr29m#582955 1 1 $63,000.00 $35,280.00 44% off $63,000.00 $63,000.00 $63,000.00 2026-01-01
215 MS_DRG Other Heart Assist System Implant 29 27 — — $8,400.00 $165,264.23 $62,925.55 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 28 — — $8,400.00 $125,953.04 $61,824.65 2026-01-01
66212260 CDM Vlvaorticcorvalsys#599996 1 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
66212276 CDM Vlv Transcath23#1002784 1 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
66227520 CDM Sysvalvaortctcath#1038576 1 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
66227509 CDM Sysvlvaortictcath#1038593 1 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
66212161 CDM Vlvaortic31mm#577548 1 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
66212278 CDM Vlv Transcath29#1002786 1 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
66227773 CDM Systmvalveaortic#1038574 1 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
66212277 CDM Vlv Transcath26#1002785 1 1 $60,000.00 $33,600.00 44% off $60,000.00 $60,000.00 $60,000.00 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 24 — — $8,400.00 $108,182.66 $56,938.24 2026-01-01
66227636 CDM Generatorimpl#1030807 1 1 $56,300.00 $31,528.00 44% off $56,300.00 $56,300.00 $56,300.00 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 26 24 — — $8,400.00 $103,978.83 $54,725.70 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 28 — — $8,400.00 $107,715.89 $53,274.69 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 27 — — $8,400.00 $117,030.69 $53,107.22 2026-01-01
66279326 CDM Cathpumpheart#433333 1 1 $50,000.00 $28,000.00 44% off $50,000.00 $50,000.00 $50,000.00 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 27 — — $8,400.00 $133,704.47 $49,728.69 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 28 — — $8,400.00 $98,644.77 $48,524.78 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 27 — — $8,400.00 $97,953.50 $48,315.60 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 27 — — $8,400.00 $97,450.76 $48,155.71 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 24 — — $8,400.00 $86,677.24 $45,619.60 2026-01-01
10 MS_DRG Pancreas Transplant 29 27 — — $8,400.00 $86,162.13 $45,348.49 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 27 — — $8,400.00 $86,126.11 $45,329.53 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 24 — — $8,400.00 $85,668.63 $45,088.75 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 24 — — $8,400.00 $85,618.18 $45,062.20 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 27 — — $8,400.00 $82,993.35 $43,680.71 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 27 — — $8,400.00 $85,974.95 $43,466.47 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 29 27 — — $8,400.00 $80,823.59 $42,538.73 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 24 — — $8,400.00 $80,288.05 $42,256.87 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 24 — — $8,400.00 $80,229.23 $42,225.91 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 28 — — $8,400.00 $78,952.83 $41,969.66 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 28 — — $8,400.00 $81,602.91 $41,969.66 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 27 — — $8,400.00 $78,665.85 $41,403.08 2026-01-01
66212373 CDM Defibcobalticd#1220275 1 1 $40,700.00 $22,792.00 44% off $40,700.00 $40,700.00 $40,700.00 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 27 — — $8,400.00 $77,264.58 $40,665.57 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 29 27 — — $8,400.00 $92,230.99 $38,729.83 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 27 — — $8,400.00 $73,501.42 $38,684.96 2026-01-01
66212463 CDM Icd Defib Crt-d Is-1/df-4 1 1 $38,600.00 $21,616.00 44% off $38,600.00 $38,600.00 $38,600.00 2026-01-01
66212280 CDM Defibrill Crt#1013197 1 1 $38,600.00 $21,616.00 44% off $38,600.00 $38,600.00 $38,600.00 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 28 — — $8,400.00 $79,007.13 $38,314.00 2026-01-01
66243271 CDM Generator Pulse Implntble 1 1 $38,272.00 $21,432.32 44% off $38,272.00 $38,272.00 $38,272.00 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 29 27 — — $8,400.00 $72,144.58 $37,970.83 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 24 — — $8,400.00 $72,124.17 $37,960.09 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 27 — — $8,400.00 $83,934.49 $37,685.18 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 27 — — $8,400.00 $71,366.51 $37,561.32 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 29 27 — — $8,400.00 $83,867.80 $37,474.10 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 29 27 — — $8,400.00 $74,511.97 $37,087.97 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 27 — — $8,400.00 $70,421.50 $37,063.95 2026-01-01
66227678 CDM Implcustomized#1083896 1 1 $36,965.00 $20,700.40 44% off $36,965.00 $36,965.00 $36,965.00 2026-01-01
66227824 CDM Implcranial#1084423 1 1 $36,614.00 $20,503.84 44% off $36,614.00 $36,614.00 $36,614.00 2026-01-01
66228828 CDM Biomtrial Intraperi 25x40 1 1 $36,602.00 $20,497.12 44% off $36,602.00 $36,602.00 $36,602.00 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 24 — — $8,400.00 $69,248.37 $36,446.51 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 27 — — $8,400.00 $70,025.78 $36,213.95 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 24 — — $8,400.00 $68,525.53 $36,066.07 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 27 — — $8,400.00 $68,436.67 $36,019.30 2026-01-01
66226917 CDM Gen Pulse Wavwrtr#1013207 1 1 $36,000.00 $20,160.00 44% off $36,000.00 $36,000.00 $36,000.00 2026-01-01
66227646 CDM Graftendovasclr#1037465 1 1 $35,680.00 $19,980.80 44% off $35,680.00 $35,680.00 $35,680.00 2026-01-01
66229472 CDM Graft Endoprosth 34x10cm 1 1 $35,600.00 $19,936.00 44% off $35,600.00 $35,600.00 $35,600.00 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 24 — — $8,400.00 $67,506.09 $35,529.52 2026-01-01
66227785 CDM Grftstentthroacic#1106552 1 1 $35,506.00 $19,883.36 44% off $35,506.00 $35,506.00 $35,506.00 2026-01-01
66227757 CDM Graftstentthor#1106554 1 1 $35,506.00 $19,883.36 44% off $35,506.00 $35,506.00 $35,506.00 2026-01-01
66228944 CDM Grft Thracic40x40mmx10cm 1 1 $35,506.00 $19,883.36 44% off $35,506.00 $35,506.00 $35,506.00 2026-01-01
66228990 CDM Graft Endo 31x31x15cm 1 1 $35,506.00 $19,883.36 44% off $35,506.00 $35,506.00 $35,506.00 2026-01-01
66227764 CDM Graftstentthroac#1106550 1 1 $35,506.00 $19,883.36 44% off $35,506.00 $35,506.00 $35,506.00 2026-01-01
66228365 CDM Graft Endopros Tag Thorac 1 1 $35,506.00 $19,883.36 44% off $35,506.00 $35,506.00 $35,506.00 2026-01-01
66229149 CDM Graft Endo 26x21x10cm 1 1 $35,506.00 $19,883.36 44% off $35,506.00 $35,506.00 $35,506.00 2026-01-01
66226648 CDM Gen Neuro Hf#1012103 1 1 $35,478.00 $19,867.68 44% off $35,478.00 $35,478.00 $35,478.00 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 27 — — $8,400.00 $67,318.43 $35,419.56 2026-01-01
66212318 CDM Sysdefibicd#555671 1 1 $35,300.00 $19,768.00 44% off $35,300.00 $35,300.00 $35,300.00 2026-01-01
66212331 CDM Defib Cardiac#1027265 1 1 $35,300.00 $19,768.00 44% off $35,300.00 $35,300.00 $35,300.00 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 24 — — $8,400.00 $66,836.07 $35,176.88 2026-01-01
66227247 CDM Implearhires#1028205 1 1 $35,000.00 $19,600.00 44% off $35,000.00 $35,000.00 $35,000.00 2026-01-01
66227248 CDM Implearhires#1028206 1 1 $35,000.00 $19,600.00 44% off $35,000.00 $35,000.00 $35,000.00 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 29 27 — — $8,400.00 $66,317.35 $34,903.87 2026-01-01
66227839 CDM Sys Stimultr Omni#1181325 1 1 $34,750.00 $19,460.00 44% off $34,750.00 $34,750.00 $34,750.00 2026-01-01
C1822 HCPCS Gen Neuro Hf#1012103 3 1 $34,750.00 $19,460.00 44% off $1,680.00 $35,478.00 $34,750.00 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 29 27 — — $8,400.00 $70,637.54 $34,694.69 2026-01-01
66226168 CDM Spectraipgkit#569879 1 1 $34,600.00 $19,376.00 44% off $34,600.00 $34,600.00 $34,600.00 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 27 — — $8,400.00 $68,986.96 $34,572.08 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 27 — — $8,400.00 $66,012.84 $34,522.79 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 29 27 — — $8,400.00 $65,490.04 $34,468.44 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 29 27 — — $8,400.00 $65,228.27 $34,330.67 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 28 — — $8,400.00 $66,757.97 $34,038.88 2026-01-01
66226260 CDM Dvclaacloswm30mm#585916 1 1 $34,000.00 $19,040.00 44% off $34,000.00 $34,000.00 $34,000.00 2026-01-01
66226257 CDM Dvclaacloswm21mm#585912 1 1 $34,000.00 $19,040.00 44% off $34,000.00 $34,000.00 $34,000.00 2026-01-01
66226258 CDM Dvclaacloswm24mm#585913 1 1 $34,000.00 $19,040.00 44% off $34,000.00 $34,000.00 $34,000.00 2026-01-01
66212292 CDM Icdunifyquadracrt#555670 1 1 $34,000.00 $19,040.00 44% off $34,000.00 $34,000.00 $34,000.00 2026-01-01
66226261 CDM Dvclaacloswm33mm#585917 1 1 $34,000.00 $19,040.00 44% off $34,000.00 $34,000.00 $34,000.00 2026-01-01
66226259 CDM Dvclaacloswm27mm#585915 1 1 $34,000.00 $19,040.00 44% off $34,000.00 $34,000.00 $34,000.00 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 24 — — $8,400.00 $63,995.10 $33,681.63 2026-01-01
66226538 CDM Xenograft#580146 1 1 $33,540.00 $18,782.40 44% off $33,540.00 $33,540.00 $33,540.00 2026-01-01
66226463 CDM Implantearelectrd#1005165 1 1 $33,526.00 $18,774.56 44% off $33,526.00 $33,526.00 $33,526.00 2026-01-01
66226936 CDM Implcochlear#1017582 1 1 $33,526.00 $18,774.56 44% off $33,526.00 $33,526.00 $33,526.00 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 27 — — $8,400.00 $101,389.32 $33,455.39 2026-01-01
66228864 CDM Imp Cstm Cmplx Pls Pk Lrg 1 1 $33,406.00 $18,707.36 44% off $33,406.00 $33,406.00 $33,406.00 2026-01-01
66212164 CDM Graftstntthor#553287 1 1 $33,366.00 $18,684.96 44% off $33,366.00 $33,366.00 $33,366.00 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 29 27 — — $8,400.00 $64,916.30 $33,344.79 2026-01-01
66226736 CDM Neurostim Prec Mt#1004430 1 1 $33,300.00 $18,648.00 44% off $33,300.00 $33,300.00 $33,300.00 2026-01-01
66226955 CDM Implcochlear#1017566 1 1 $32,950.00 $18,452.00 44% off $32,950.00 $32,950.00 $32,950.00 2026-01-01
66212352 CDM Defib Cardiac Conn#582397 1 1 $32,924.00 $18,437.44 44% off $32,924.00 $32,924.00 $32,924.00 2026-01-01
C1882 HCPCS Icd Viva Quad Xt#1000215 9 3 $32,924.00 $18,437.44 44% off $3,487.50 $40,700.00 $32,924.00 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 29 27 — — $8,400.00 $65,576.79 $32,896.72 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 29 27 — — $8,400.00 $70,396.43 $32,839.84 2026-01-01
66229470 CDM Generator Neurstm Sc 1216 1 1 $32,600.00 $18,256.00 44% off $32,600.00 $32,600.00 $32,600.00 2026-01-01
66227234 CDM Meshimplant#587984 1 1 $32,400.00 $18,144.00 44% off $32,400.00 $32,400.00 $32,400.00 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 28 — — $8,400.00 $60,520.13 $32,171.23 2026-01-01
66228098 CDM Mesh Phasix 10x10in 35x35 1 1 $31,960.00 $17,897.60 44% off $31,960.00 $31,960.00 $31,960.00 2026-01-01
66212170 CDM Graftstntthor#553318 1 1 $31,811.00 $17,814.16 44% off $31,811.00 $31,811.00 $31,811.00 2026-01-01
66212171 CDM Graftstntthor#553505 1 1 $31,586.00 $17,688.16 44% off $31,586.00 $31,586.00 $31,586.00 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 28 — — $8,400.00 $84,339.76 $31,578.89 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 29 27 — — $8,400.00 $67,406.92 $31,519.02 2026-01-01
66226136 CDM Cochlearexternal#371098 1 1 $31,377.00 $17,571.12 44% off $31,377.00 $31,377.00 $31,377.00 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 27 — — $8,400.00 $64,857.31 $31,210.62 2026-01-01
66212179 CDM Icd Viva Quad Xt#1000215 1 1 $31,200.00 $17,472.00 44% off $31,200.00 $31,200.00 $31,200.00 2026-01-01
66227012 CDM Stnt Grft Freelo#553315 1 1 $31,175.00 $17,458.00 44% off $31,175.00 $31,175.00 $31,175.00 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 29 27 — — $8,400.00 $60,396.77 $31,103.82 2026-01-01
66226011 CDM Gfttagthor#418721 1 1 $30,975.00 $17,346.00 44% off $30,975.00 $30,975.00 $30,975.00 2026-01-01
66226007 CDM Graftthor40x40x15#418722 1 1 $30,975.00 $17,346.00 44% off $30,975.00 $30,975.00 $30,975.00 2026-01-01
66226006 CDM Graftthor28x28x15#418720 1 1 $30,975.00 $17,346.00 44% off $30,975.00 $30,975.00 $30,975.00 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 29 27 — — $8,400.00 $62,594.98 $30,974.26 2026-01-01
66226632 CDM Systmhringbaha#1011105 1 1 $30,855.00 $17,278.80 44% off $30,855.00 $30,855.00 $30,855.00 2026-01-01
66226742 CDM Neurostimgenrtr#1012797 1 1 $30,800.00 $17,248.00 44% off $30,800.00 $30,800.00 $30,800.00 2026-01-01
66227034 CDM Implcranialpoly#1011198 1 1 $30,664.00 $17,171.84 44% off $30,664.00 $30,664.00 $30,664.00 2026-01-01
66212520 CDM Graft Stent 46x42x150mm 1 1 $30,526.00 $17,094.56 44% off $30,526.00 $30,526.00 $30,526.00 2026-01-01
66212522 CDM Graft Stent 40x36x150mm 1 1 $30,526.00 $17,094.56 44% off $30,526.00 $30,526.00 $30,526.00 2026-01-01
66212521 CDM Graft Stent 42x38x150mm 1 1 $30,526.00 $17,094.56 44% off $30,526.00 $30,526.00 $30,526.00 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 29 27 — — $8,400.00 $64,262.23 $30,516.08 2026-01-01
66229199 CDM Generator Neurostimulator 1 1 $30,502.00 $17,081.12 44% off $30,502.00 $30,502.00 $30,502.00 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 29 27 — — $8,400.00 $68,922.83 $30,361.88 2026-01-01
66212103 CDM Icddefib#574278 1 1 $30,240.00 $16,934.40 44% off $30,240.00 $30,240.00 $30,240.00 2026-01-01
66228964 CDM Neurstm Non Rchrgabl F15 1 1 $30,100.00 $16,856.00 44% off $30,100.00 $30,100.00 $30,100.00 2026-01-01
66227079 CDM Graftendothor#422579 1 1 $30,090.00 $16,850.40 44% off $30,090.00 $30,090.00 $30,090.00 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 29 27 — — $8,400.00 $75,001.88 $30,086.97 2026-01-01
66227290 CDM Implantcochlear#1005323 1 1 $30,000.00 $16,800.00 44% off $30,000.00 $30,000.00 $30,000.00 2026-01-01
66227452 CDM Implcochlear#1037047 1 1 $30,000.00 $16,800.00 44% off $30,000.00 $30,000.00 $30,000.00 2026-01-01
66227767 CDM Algrft Dermal#1036397 1 1 $30,000.00 $16,800.00 44% off $30,000.00 $30,000.00 $30,000.00 2026-01-01
66226388 CDM Cochlearexternal#599360 1 1 $29,883.00 $16,734.48 44% off $29,883.00 $29,883.00 $29,883.00 2026-01-01
66227118 CDM Impcochlear#1023400 1 1 $29,850.00 $16,716.00 44% off $29,850.00 $29,850.00 $29,850.00 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 24 — — $8,400.00 $56,452.00 $29,711.58 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 27 — — $8,400.00 $56,336.73 $29,650.91 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 27 — — $8,400.00 $63,456.82 $29,562.43 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 29 27 — — $8,400.00 $62,400.04 $29,304.59 2026-01-01
66227792 CDM Graftvaliantstent#553383 1 1 $29,220.00 $16,363.20 44% off $29,220.00 $29,220.00 $29,220.00 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 24 — — $8,400.00 $55,456.57 $29,187.67 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 27 — — $8,400.00 $64,031.38 $29,048.64 2026-01-01
66227597 CDM Implntcochlear#1037046 1 1 $29,000.00 $16,240.00 44% off $29,000.00 $29,000.00 $29,000.00 2026-01-01
66227444 CDM Implcochlear#1037045 1 1 $29,000.00 $16,240.00 44% off $29,000.00 $29,000.00 $29,000.00 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 29 27 — — $8,400.00 $58,028.00 $28,974.70 2026-01-01
C1820 HCPCS Spectraipgkit#569879 10 3 $32,950.00 $18,452.00 44% off $2,258.00 $36,000.00 $28,900.00 2026-01-01
245 MS_DRG Aicd Generator Procedures 29 27 — — $8,400.00 $64,280.18 $28,833.14 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 29 27 — — $8,400.00 $57,562.45 $28,746.56 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 29 27 — — $8,400.00 $54,858.94 $28,733.92 2026-01-01
66227139 CDM Stnt Freeflo#553382 1 1 $28,647.00 $16,042.32 44% off $28,647.00 $28,647.00 $28,647.00 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 29 27 — — $8,400.00 $60,298.02 $28,621.43 2026-01-01
66212478 CDM Icd Defib Gallant Vr 1 1 $28,500.00 $15,960.00 44% off $28,500.00 $28,500.00 $28,500.00 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 29 27 — — $8,400.00 $63,090.02 $28,323.77 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 29 27 — — $8,400.00 $53,799.54 $28,315.55 2026-01-01
66225980 CDM Grftmatrix#580148 1 1 $28,281.00 $15,837.36 44% off $28,281.00 $28,281.00 $28,281.00 2026-01-01
66228999 CDM Implant Cranial Peek Med 1 1 $28,279.00 $15,836.24 44% off $28,279.00 $28,279.00 $28,279.00 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 24 — — $8,400.00 $53,588.21 $28,204.32 2026-01-01
66228131 CDM Valve Aortic Konect 1 1 $28,000.00 $15,680.00 44% off $28,000.00 $28,000.00 $28,000.00 2026-01-01
66228132 CDM Valve Aortic Konect 1 1 $28,000.00 $15,680.00 44% off $28,000.00 $28,000.00 $28,000.00 2026-01-01
66228133 CDM Valve Aortic Konect 1 1 $28,000.00 $15,680.00 44% off $28,000.00 $28,000.00 $28,000.00 2026-01-01
66228135 CDM Valve Aortic Konect 1 1 $28,000.00 $15,680.00 44% off $28,000.00 $28,000.00 $28,000.00 2026-01-01
66228134 CDM Valve Aortic Konect 1 1 $28,000.00 $15,680.00 44% off $28,000.00 $28,000.00 $28,000.00 2026-01-01
C1767 HCPCS Neurstimspnlgen#561828 11 3 $27,900.00 $15,624.00 44% off $14,862.50 $63,100.00 $27,900.00 2026-01-01
66226800 CDM Gen Proclaim Spnl#1004452 1 1 $27,900.00 $15,624.00 44% off $27,900.00 $27,900.00 $27,900.00 2026-01-01
66227262 CDM Generatrneurostim#1004022 1 1 $27,900.00 $15,624.00 44% off $27,900.00 $27,900.00 $27,900.00 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 29 27 — — $8,400.00 $52,746.49 $27,761.31 2026-01-01
66228991 CDM Stent Endovasc 36x120mm 1 1 $27,491.00 $15,394.96 44% off $27,491.00 $27,491.00 $27,491.00 2026-01-01
66228992 CDM Stent Endovasc 36x180mm 1 1 $27,491.00 $15,394.96 44% off $27,491.00 $27,491.00 $27,491.00 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 24 — — $8,400.00 $51,961.20 $27,348.00 2026-01-01
66225939 CDM Neurstimspnlgen#561828 1 1 $27,300.00 $15,288.00 44% off $27,300.00 $27,300.00 $27,300.00 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 29 27 — — $8,400.00 $51,546.94 $27,129.97 2026-01-01
66226748 CDM Kit Precisn Neuro#1004519 1 1 $27,000.00 $15,120.00 44% off $27,000.00 $27,000.00 $27,000.00 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 26 24 — — $8,400.00 $51,215.53 $26,955.54 2026-01-01
66228783 CDM Plate Ti Custom Implant 1 1 $26,862.00 $15,042.72 44% off $26,862.00 $26,862.00 $26,862.00 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 24 — — $8,400.00 $50,921.35 $26,800.71 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 27 — — $8,400.00 $53,235.29 $26,689.48 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 29 27 — — $8,400.00 $50,623.56 $26,643.98 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 29 27 — — $8,400.00 $53,605.93 $26,630.71 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 29 27 — — $8,400.00 $50,450.66 $26,552.98 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 29 27 — — $8,400.00 $57,262.34 $26,521.38 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 29 27 — — $8,400.00 $50,354.80 $26,472.09 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 27 — — $8,400.00 $65,679.39 $26,369.71 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 29 27 — — $8,400.00 $50,066.42 $26,350.75 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 29 27 — — $8,400.00 $50,607.45 $26,245.84 2026-01-01
66243821 CDM Allogrft Tiss Memb 9x20cm 1 1 $26,204.00 $14,674.24 44% off $26,204.00 $26,204.00 $26,204.00 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 29 27 — — $8,400.00 $49,536.89 $26,072.05 2026-01-01
791 MS_DRG Prematurity With Major Problems 29 27 — — $8,400.00 $48,738.38 $25,651.78 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 24 — — $8,400.00 $48,276.09 $25,408.47 2026-01-01
66226122 CDM Graftporcine#579170 1 1 $25,200.00 $14,112.00 44% off $25,200.00 $25,200.00 $25,200.00 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 29 27 — — $8,400.00 $47,839.04 $25,178.44 2026-01-01
66212244 CDM Icddefiblumax740#558853 1 1 $25,160.00 $14,089.60 44% off $25,160.00 $25,160.00 $25,160.00 2026-01-01
66228100 CDM Mesh Bioscfld Ovtx 25x40 1 1 $25,110.00 $14,061.60 44% off $25,110.00 $25,110.00 $25,110.00 2026-01-01
66237080 CDM Implkneeprossendo#1006242 1 1 $24,880.00 $13,932.80 44% off $24,880.00 $24,880.00 $24,880.00 2026-01-01
66237158 CDM Endokneeprost#1006241 1 1 $24,880.00 $13,932.80 44% off $24,880.00 $24,880.00 $24,880.00 2026-01-01
66236810 CDM Implkneeleftendo#1003104 1 1 $24,879.00 $13,932.24 44% off $24,879.00 $24,879.00 $24,879.00 2026-01-01
66237213 CDM Knee Implant#1004147 1 1 $24,879.00 $13,932.24 44% off $24,879.00 $24,879.00 $24,879.00 2026-01-01
66236896 CDM Knee Rotation Tkr#1005187 1 1 $24,879.00 $13,932.24 44% off $24,879.00 $24,879.00 $24,879.00 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 27 — — $8,400.00 $50,266.31 $24,722.15 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 29 27 — — $8,400.00 $46,759.55 $24,610.29 2026-01-01
66212489 CDM Cath Tran Sys Pacng Avtcp 1 1 $24,500.00 $13,720.00 44% off $24,500.00 $24,500.00 $24,500.00 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 29 27 — — $8,400.00 $46,477.38 $24,461.78 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 27 25 — — $8,400.00 $46,407.73 $24,425.12 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 29 27 — — $8,400.00 $50,379.17 $24,401.74 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 29 27 — — $8,400.00 $54,071.48 $24,263.34 2026-01-01
66226844 CDM Meshphasixst#1920624 1 1 $24,200.00 $13,552.00 44% off $24,200.00 $24,200.00 $24,200.00 2026-01-01
66228403 CDM Allograft Amniotic 9x20cm 1 1 $23,990.00 $13,434.40 44% off $23,990.00 $23,990.00 $23,990.00 2026-01-01
66228399 CDM Implant Cranial Sml 1 1 $23,986.00 $13,432.16 44% off $23,986.00 $23,986.00 $23,986.00 2026-01-01
66212394 CDM System Defib#1035102 1 1 $23,928.00 $13,399.68 44% off $23,928.00 $23,928.00 $23,928.00 2026-01-01
66228807 CDM Allogft Osteochndral Fem 1 1 $23,920.00 $13,395.20 44% off $23,920.00 $23,920.00 $23,920.00 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 29 27 — — $8,400.00 $48,527.24 $23,781.14 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 24 — — $8,400.00 $44,987.25 $23,677.50 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 29 27 — — $8,400.00 $44,880.38 $23,621.25 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 29 27 — — $8,400.00 $44,875.59 $23,618.73 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 29 27 — — $8,400.00 $47,131.88 $23,552.37 2026-01-01
C1722 HCPCS Icddefiblumax740#558853 7 3 $25,160.00 $14,089.60 44% off $16,000.00 $28,500.00 $23,529.45 2026-01-01
66228097 CDM Mesh Phasix 12x12in 30x30 1 1 $23,480.00 $13,148.80 44% off $23,480.00 $23,480.00 $23,480.00 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 24 — — $8,400.00 $44,497.35 $23,419.66 2026-01-01
66228812 CDM Matrix Dermal 21x29.7cm 1 1 $23,308.00 $13,052.48 44% off $23,308.00 $23,308.00 $23,308.00 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 29 27 — — $8,400.00 $44,104.70 $23,213.00 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 29 27 — — $8,400.00 $44,086.69 $23,203.52 2026-01-01
66229283 CDM Grft Stnt Fn Prx 36x122mm 1 1 $23,053.00 $12,909.68 44% off $23,053.00 $23,053.00 $23,053.00 2026-01-01
66212415 CDM Graft Endo Aaa 20x14.5x12 1 1 $23,002.00 $12,881.12 44% off $23,002.00 $23,002.00 $23,002.00 2026-01-01
66227929 CDM Graftendovascular#1918026 1 1 $23,002.00 $12,881.12 44% off $23,002.00 $23,002.00 $23,002.00 2026-01-01
66279881 CDM Graftendovasexcld#1918033 1 1 $23,002.00 $12,881.12 44% off $23,002.00 $23,002.00 $23,002.00 2026-01-01
66228067 CDM Graft Endovas Aaa Ipsi 1 1 $23,002.00 $12,881.12 44% off $23,002.00 $23,002.00 $23,002.00 2026-01-01
66212432 CDM Gft Endovas 36x14.5x14 18 1 1 $23,002.00 $12,881.12 44% off $23,002.00 $23,002.00 $23,002.00 2026-01-01
66212410 CDM Graft Endovas Aaa Ipsi 6f 1 1 $23,002.00 $12,881.12 44% off $23,002.00 $23,002.00 $23,002.00 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 29 27 — — $8,400.00 $43,569.17 $22,931.14 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 29 27 — — $8,400.00 $44,404.00 $22,913.45 2026-01-01
332 MS_DRG Rectal Resection With Mcc 29 27 — — $8,400.00 $43,581.92 $22,881.85 2026-01-01
265 MS_DRG Aicd Lead Procedures 29 27 — — $8,400.00 $43,445.49 $22,866.05 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 27 — — $8,400.00 $45,386.39 $22,825.60 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 24 — — $8,400.00 $43,303.79 $22,791.47 2026-01-01
66212416 CDM Icd Defib Surescan Df-4 1 1 $22,700.00 $12,712.00 44% off $22,700.00 $22,700.00 $22,700.00 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 29 27 — — $8,400.00 $46,140.50 $22,642.33 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 29 27 — — $8,400.00 $51,692.44 $22,589.87 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 29 27 — — $8,400.00 $52,095.15 $22,567.12 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 29 27 — — $8,400.00 $51,896.36 $22,533.63 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 29 27 — — $8,400.00 $45,877.59 $22,514.67 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 29 27 — — $8,400.00 $48,709.35 $22,493.18 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 27 — — $8,400.00 $44,807.99 $22,474.86 2026-01-01
66290939 CDM Pump Pain Synchrmd 20ml 1 1 $22,400.00 $12,544.00 44% off $22,400.00 $22,400.00 $22,400.00 2026-01-01
66229335 CDM Pump Pain Synchromd 40ml 1 1 $22,400.00 $12,544.00 44% off $22,400.00 $22,400.00 $22,400.00 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 29 27 — — $8,400.00 $44,507.88 $22,287.16 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 29 27 — — $8,400.00 $47,169.07 $22,241.66 2026-01-01
66281797 CDM Imp Cranial Pek Custm Sml 1 1 $22,134.00 $12,395.04 44% off $22,134.00 $22,134.00 $22,134.00 2026-01-01
66227612 CDM Graftboneosteo#1095405 1 1 $22,082.00 $12,365.92 44% off $22,082.00 $22,082.00 $22,082.00 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 29 27 — — $8,400.00 $41,885.71 $22,045.11 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 29 27 — — $8,400.00 $53,033.94 $22,039.43 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 29 27 — — $8,400.00 $41,682.79 $21,938.31 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 29 27 — — $8,400.00 $41,481.07 $21,832.14 2026-01-01
66212099 CDM Grftendovas#577053 1 1 $21,830.00 $12,224.80 44% off $21,830.00 $21,830.00 $21,830.00 2026-01-01
66227650 CDM Graftbone#1040143 1 1 $21,826.00 $12,222.56 44% off $21,826.00 $21,826.00 $21,826.00 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 26 24 — — $8,400.00 $41,288.94 $21,731.02 2026-01-01
66243274 CDM Generator Neurostimulator 1 1 $21,714.00 $12,159.84 44% off $21,714.00 $21,714.00 $21,714.00 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 27 — — $8,400.00 $42,740.60 $21,666.56 2026-01-01
66226689 CDM Pros Penile Inflat#598607 1 1 $21,600.00 $12,096.00 44% off $21,600.00 $21,600.00 $21,600.00 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 27 — — $8,400.00 $40,964.74 $21,560.39 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 29 27 — — $8,400.00 $45,113.22 $21,531.95 2026-01-01
66238776 CDM Implcraniofacial#1029854 1 1 $21,420.00 $11,995.20 44% off $21,420.00 $21,420.00 $21,420.00 2026-01-01
66279446 CDM Dvccoagulation#1020128 1 1 $21,400.00 $11,984.00 44% off $21,400.00 $21,400.00 $21,400.00 2026-01-01
66212327 CDM Graft Stent#566619 1 1 $21,340.00 $11,950.40 44% off $21,340.00 $21,340.00 $21,340.00 2026-01-01
66212334 CDM Graft Stent Endo#477954 1 1 $21,340.00 $11,950.40 44% off $21,340.00 $21,340.00 $21,340.00 2026-01-01
66242989 CDM Graftbnhemicondyle#596554 1 1 $21,336.00 $11,948.16 44% off $21,336.00 $21,336.00 $21,336.00 2026-01-01
66242985 CDM Gftbnehemicondyle#1017080 1 1 $21,336.00 $11,948.16 44% off $21,336.00 $21,336.00 $21,336.00 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 29 27 — — $8,400.00 $40,509.04 $21,111.69 2026-01-01
66226121 CDM Graftporcine#568636 1 1 $21,000.00 $11,760.00 44% off $21,000.00 $21,000.00 $21,000.00 2026-01-01
66212132 CDM Grftendovasleg 18fr#577067 1 1 $20,990.00 $11,754.40 44% off $20,990.00 $20,990.00 $20,990.00 2026-01-01
66212109 CDM Excluder#577061 1 1 $20,990.00 $11,754.40 44% off $20,990.00 $20,990.00 $20,990.00 2026-01-01
66212115 CDM Excluder#572270 1 1 $20,990.00 $11,754.40 44% off $20,990.00 $20,990.00 $20,990.00 2026-01-01
66212111 CDM Excluder#575241 1 1 $20,990.00 $11,754.40 44% off $20,990.00 $20,990.00 $20,990.00 2026-01-01
66212113 CDM Excluder#425775 1 1 $20,990.00 $11,754.40 44% off $20,990.00 $20,990.00 $20,990.00 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 29 27 — — $8,400.00 $51,275.63 $20,875.96 2026-01-01
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