Price Transparency Hospital negotiated rates

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

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Hospital

OCHSNER MEDICAL CENTER-HANCOCK

Bay Saint Louis, MS · CCN 250162 · Rates published

38,759 distinct procedures filed
26 distinct payers
483,303 rate rows
2026-05-27 last MRF observed
Data quality

482,823 of 483,303 rate rows are consumer-grade (99.9%)

480 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
percent-of-charges filed in the dollar field — excluded from medians 202
exceeds 10× this hospital's gross charge — excluded from medians 163
placeholder amount (≤ $0.02) — excluded from medians 67
per-diem day rate — not a per-procedure price 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ochsner-craft.s3.amazonaws.com/core/822869576_ochsner-medical-center-%E2%80%93-hancock-llc_standardcharges.csv.csv
Found on page https://www.ochsner.org/patients-visitors/billing-and-financial-services/estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 417a3ff5cd33eb73… · 309,879,845 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
583-4
OTHER 		Neonate With Ecmo 26 $327,626.80 $327,626.80 $327,626.80 nat. median
$309,400
1.1× median
588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 26 $268,742.77 $268,742.77 $268,742.77 nat. median
$267,493
1.0× median
583-3
OTHER 		Neonate With Ecmo 26 $259,486.85 $259,486.85 $259,486.85 nat. median
$259,487
1.0× median
630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 26 $195,063.44 $195,063.44 $195,063.44 nat. median
$210,669
0.9× median
583-2
OTHER 		Neonate With Ecmo 26 $191,346.89 $191,346.89 $191,346.89 nat. median
$191,347
1.0× median
593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 26 $175,271.74 $175,271.74 $175,271.74 nat. median
$151,250
1.2× median
588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 26 $173,134.48 $173,134.48 $173,134.48 nat. median
$165,000
1.0× median
588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 26 $169,531.65 $169,531.65 $169,531.65 nat. median
$153,523
1.1× median
591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 26 $169,253.71 $169,253.71 $169,253.71 nat. median
$156,696
1.1× median
609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 26 $168,174.25 $168,174.25 $168,174.25 nat. median
$169,856
1.0× median
583-1
OTHER 		Neonate With Ecmo 26 $165,358.21 $165,358.21 $165,358.21 nat. median
$171,226
1.0× median
631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 26 $161,453.84 $161,453.84 $161,453.84 nat. median
$203,379
0.8× median
161-4
OTHER 		Implantable Heart Assist Systems 26 $160,593.79 $160,593.79 $160,593.79 nat. median
$202,242
0.8× median
603-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 26 $140,888.59 $140,888.59 $140,888.59 nat. median
$107,050
1.3× median
SUP-106524US
OTHER 		Kit Implant Heartmate Iii 9 $103,400.00 $208,092.50 $129,250.00 nat. median
$129,250
1.0× median
602-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 26 $125,634.78 $125,634.78 $125,634.78 nat. median
$125,000
1.0× median
161-3
OTHER 		Implantable Heart Assist Systems 26 $123,031.66 $123,031.66 $123,031.66 nat. median
$152,491
0.8× median
SUP-106524
OTHER 		Kit Implant Heartmate Ii 9 $96,250.00 $193,703.13 $120,312.50 nat. median
$120,312
1.0× median
841-4
OTHER 		Extensive Third Degree Burns With Skin Graft 26 $113,251.39 $113,251.39 $113,251.39 nat. median
$151,691
0.7× median
SUP-106015
OTHER 		Heartmate Ii Implant Kit 9 $90,200.00 $181,527.50 $112,750.00 nat. median
$112,750
1.0× median
593-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 26 $112,711.39 $112,711.39 $112,711.39 nat. median
$112,711
1.0× median
588-1
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 26 $111,592.78 $111,592.78 $111,592.78 nat. median
$75,325
1.5× median
011-4
OTHER 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 26 $105,647.44 $105,647.44 $105,647.44 nat. median
$105,647
1.0× median
SUP-107801
OTHER 		Heartmate Ii & Pocket Control 9 $81,400.00 $163,817.50 $101,750.00 nat. median
$101,750
1.0× median
004-4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 26 $100,636.02 $100,636.02 $100,636.02 nat. median
$110,000
0.9× median
591-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 26 $99,157.23 $99,157.23 $99,157.23 nat. median
$99,157
1.0× median
602-3
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 26 $99,066.83 $99,066.83 $99,066.83 nat. median
$99,067
1.0× median
161-2
OTHER 		Implantable Heart Assist Systems 26 $98,783.50 $98,783.50 $98,783.50 nat. median
$109,992
0.9× median
009-4
OTHER 		Extracorporeal Membrane Oxygenation (Ecmo) 26 $98,525.65 $98,525.65 $98,525.65 nat. median
$150,954
0.7× median
607-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 26 $96,498.59 $96,498.59 $96,498.59 nat. median
$100,015
1.0× median
630-3
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 26 $94,250.41 $94,250.41 $94,250.41 nat. median
$95,000
1.0× median
161-1
OTHER 		Implantable Heart Assist Systems 26 $93,844.33 $93,844.33 $93,844.33 nat. median
$101,352
0.9× median
593-2
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 26 $89,333.98 $89,333.98 $89,333.98 nat. median
$89,334
1.0× median
609-3
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 26 $83,784.94 $83,784.94 $83,784.94 nat. median
$83,785
1.0× median
602-2
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 26 $75,590.50 $75,590.50 $75,590.50 nat. median
$80,000
0.9× median
607-3
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 26 $75,071.12 $75,071.12 $75,071.12 nat. median
$77,124
1.0× median
SUP-TJF-Q190V
OTHER 		Scope Duodenoscope 100deg 17 $41,024.43 $141,463.55 $73,561.05 nat. median
$70,732
1.0× median
611-4
OTHER 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 26 $73,331.41 $73,331.41 $73,331.41 nat. median
$93,000
0.8× median
740-4
OTHER 		Mental Illness Diagnosis With O.r. Procedure 26 $72,663.26 $72,663.26 $72,663.26 nat. median
$47,516
1.5× median
863-4
OTHER 		Neonatal Aftercare 26 $71,891.87 $71,891.87 $71,891.87 nat. median
$108,047
0.7× median
612-4
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 26 $70,123.64 $70,123.64 $70,123.64 nat. median
$76,321
0.9× median
004-3
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 26 $68,867.98 $68,867.98 $68,867.98 nat. median
$91,000
0.8× median
613-4
OTHER 		Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 26 $68,799.13 $68,799.13 $68,799.13 nat. median
$68,200
1.0× median
603-3
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 26 $68,560.56 $68,560.56 $68,560.56 nat. median
$68,561
1.0× median
759-4
OTHER 		Eating Disorders 26 $67,993.61 $67,993.61 $67,993.61 nat. median
$30,804
outlier · 2.2×
160-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 26 $67,954.36 $67,954.36 $67,954.36 nat. median
$106,926
0.6× median
005-4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 26 $66,321.18 $66,321.18 $66,321.18 nat. median
$88,000
0.8× median
162-4
OTHER 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 26 $64,045.67 $64,045.67 $64,045.67 nat. median
$80,850
0.8× median
631-3
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 26 $62,002.64 $62,002.64 $62,002.64 nat. median
$62,003
1.0× median
303-4
OTHER 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 26 $61,230.01 $61,230.01 $61,230.01 nat. median
$108,000
0.6× median

Other procedures at this hospital

Browse this hospital's 38,759 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
             
583-4 OTHER Neonate With Ecmo 26 26 — — $327,626.80 $327,626.80 $327,626.80 2026-05-27
588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 26 26 — — $268,742.77 $268,742.77 $268,742.77 2026-05-27
583-3 OTHER Neonate With Ecmo 26 26 — — $259,486.85 $259,486.85 $259,486.85 2026-05-27
630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 26 26 — — $195,063.44 $195,063.44 $195,063.44 2026-05-27
583-2 OTHER Neonate With Ecmo 26 26 — — $191,346.89 $191,346.89 $191,346.89 2026-05-27
593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 26 26 — — $175,271.74 $175,271.74 $175,271.74 2026-05-27
588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 26 26 — — $173,134.48 $173,134.48 $173,134.48 2026-05-27
588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 26 26 — — $169,531.65 $169,531.65 $169,531.65 2026-05-27
591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 26 26 — — $169,253.71 $169,253.71 $169,253.71 2026-05-27
609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 26 26 — — $168,174.25 $168,174.25 $168,174.25 2026-05-27
583-1 OTHER Neonate With Ecmo 26 26 — — $165,358.21 $165,358.21 $165,358.21 2026-05-27
631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 26 26 — — $161,453.84 $161,453.84 $161,453.84 2026-05-27
161-4 OTHER Implantable Heart Assist Systems 26 26 — — $160,593.79 $160,593.79 $160,593.79 2026-05-27
603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 26 26 — — $140,888.59 $140,888.59 $140,888.59 2026-05-27
SUP-106524US OTHER Kit Implant Heartmate Iii 9 9 $258,500.00 $85,305.00 67% off $103,400.00 $208,092.50 $129,250.00 2026-05-27
602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 26 26 — — $125,634.78 $125,634.78 $125,634.78 2026-05-27
161-3 OTHER Implantable Heart Assist Systems 26 26 — — $123,031.66 $123,031.66 $123,031.66 2026-05-27
SUP-106524 OTHER Kit Implant Heartmate Ii 9 9 $240,625.00 $79,406.25 67% off $96,250.00 $193,703.13 $120,312.50 2026-05-27
841-4 OTHER Extensive Third Degree Burns With Skin Graft 26 26 — — $113,251.39 $113,251.39 $113,251.39 2026-05-27
SUP-106015 OTHER Heartmate Ii Implant Kit 9 9 $225,500.00 $74,415.00 67% off $90,200.00 $181,527.50 $112,750.00 2026-05-27
593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 26 26 — — $112,711.39 $112,711.39 $112,711.39 2026-05-27
588-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 26 26 — — $111,592.78 $111,592.78 $111,592.78 2026-05-27
011-4 OTHER Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 26 26 — — $105,647.44 $105,647.44 $105,647.44 2026-05-27
SUP-107801 OTHER Heartmate Ii & Pocket Control 9 9 $203,500.00 $67,155.00 67% off $81,400.00 $163,817.50 $101,750.00 2026-05-27
004-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 26 26 — — $100,636.02 $100,636.02 $100,636.02 2026-05-27
591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 26 26 — — $99,157.23 $99,157.23 $99,157.23 2026-05-27
602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 26 26 — — $99,066.83 $99,066.83 $99,066.83 2026-05-27
161-2 OTHER Implantable Heart Assist Systems 26 26 — — $98,783.50 $98,783.50 $98,783.50 2026-05-27
009-4 OTHER Extracorporeal Membrane Oxygenation (Ecmo) 26 26 — — $98,525.65 $98,525.65 $98,525.65 2026-05-27
607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 26 26 — — $96,498.59 $96,498.59 $96,498.59 2026-05-27
630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 26 26 — — $94,250.41 $94,250.41 $94,250.41 2026-05-27
161-1 OTHER Implantable Heart Assist Systems 26 26 — — $93,844.33 $93,844.33 $93,844.33 2026-05-27
593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 26 26 — — $89,333.98 $89,333.98 $89,333.98 2026-05-27
609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 26 26 — — $83,784.94 $83,784.94 $83,784.94 2026-05-27
602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 26 26 — — $75,590.50 $75,590.50 $75,590.50 2026-05-27
607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 26 26 — — $75,071.12 $75,071.12 $75,071.12 2026-05-27
SUP-TJF-Q190V OTHER Scope Duodenoscope 100deg 17 17 $141,463.55 $46,682.97 67% off $41,024.43 $141,463.55 $73,561.05 2026-05-27
611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 26 26 — — $73,331.41 $73,331.41 $73,331.41 2026-05-27
740-4 OTHER Mental Illness Diagnosis With O.r. Procedure 26 26 — — $72,663.26 $72,663.26 $72,663.26 2026-05-27
863-4 OTHER Neonatal Aftercare 26 26 — — $71,891.87 $71,891.87 $71,891.87 2026-05-27
612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 26 26 — — $70,123.64 $70,123.64 $70,123.64 2026-05-27
004-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 26 26 — — $68,867.98 $68,867.98 $68,867.98 2026-05-27
613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 26 26 — — $68,799.13 $68,799.13 $68,799.13 2026-05-27
603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 26 26 — — $68,560.56 $68,560.56 $68,560.56 2026-05-27
759-4 OTHER Eating Disorders 26 26 — — $67,993.61 $67,993.61 $67,993.61 2026-05-27
160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 26 26 — — $67,954.36 $67,954.36 $67,954.36 2026-05-27
005-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 26 26 — — $66,321.18 $66,321.18 $66,321.18 2026-05-27
162-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 26 26 — — $64,045.67 $64,045.67 $64,045.67 2026-05-27
631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 26 26 — — $62,002.64 $62,002.64 $62,002.64 2026-05-27
303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 26 26 — — $61,230.01 $61,230.01 $61,230.01 2026-05-27
608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 26 26 — — $61,099.22 $61,099.22 $61,099.22 2026-05-27
630-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 26 26 — — $59,798.47 $59,798.47 $59,798.47 2026-05-27
SUP-1000100 OTHER Cath Impella Smartassist 5.5 17 17 $112,750.00 $37,207.50 67% off $32,697.50 $112,750.00 $58,630.00 2026-05-27
608-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 26 26 — — $58,189.70 $58,189.70 $58,189.70 2026-05-27
607-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 26 26 — — $58,129.33 $58,129.33 $58,129.33 2026-05-27
621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 26 26 — — $57,529.76 $57,529.76 $57,529.76 2026-05-27
842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 26 26 — — $57,233.90 $57,233.90 $57,233.90 2026-05-27
614-4 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 26 26 — — $55,288.12 $55,288.12 $55,288.12 2026-05-27
SUP-CS1000 OTHER Tissue Carticel 8 8 $121,146.30 $39,978.28 67% off $35,242.56 $84,802.41 $54,515.83 2026-05-27
163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 26 26 — — $54,499.12 $54,499.12 $54,499.12 2026-05-27
178-4 OTHER External Heart Assist Systems 26 26 — — $54,135.54 $54,135.54 $54,135.54 2026-05-27
591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 26 26 — — $52,763.51 $52,763.51 $52,763.51 2026-05-27
589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 26 26 — — $52,506.25 $52,506.25 $52,506.25 2026-05-27
633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 26 26 — — $52,288.74 $52,288.74 $52,288.74 2026-05-27
011-3 OTHER Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 26 26 — — $52,002.27 $52,002.27 $52,002.27 2026-05-27
165-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 26 26 — — $49,838.33 $49,838.33 $49,838.33 2026-05-27
612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 26 26 — — $49,315.72 $49,315.72 $49,315.72 2026-05-27
167-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 26 26 — — $49,022.12 $49,022.12 $49,022.12 2026-05-27
005-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 26 26 — — $48,838.14 $48,838.14 $48,838.14 2026-05-27
611-3 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 26 26 — — $47,763.65 $47,763.65 $47,763.65 2026-05-27
752-4 OTHER Disorders Of Personality And Impulse Control 26 26 — — $47,649.71 $47,649.71 $47,649.71 2026-05-27
004-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 26 26 — — $47,347.52 $47,347.52 $47,347.52 2026-05-27
304-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 26 26 — — $46,996.52 $46,996.52 $46,996.52 2026-05-27
SUP-9600CT23A OTHER Valve Sapien 23 Ta Certitude 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-S3USTA126A OTHER Valve Sapien3 Ult Certitude 26 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-S3UCM223A OTHER Valve Sapien 3 Ult Commnd 23mm 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-S3UCM226A OTHER Valve Sapien 3 Ult Commnd 26mm 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-9600CM29A OTHER Valve Sapien S3 Comm Kit Tf 29 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-S3USTA129A OTHER Valve Sapien 3 Certitude 29mm 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-S3UCM220A OTHER Valve Sapien 3 Ult Commnd 20mm 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-9600CM20A OTHER Kit Sapien 20mm Delivery Sys 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-9600CT26A OTHER Valve Sapien 26 Ta Certitude 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-BOM25EDGELGLIS OTHER Sys Lotus Edge Vlv Intro 25mm 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-9600CM26A OTHER Kit Sapien 26mm Delivery 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-B0M27EDGELGLIS OTHER Sys Lotus Edge Vlv Intro 27mm 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-9600CT29A OTHER Valve Sapien 29 Ta Certitude 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-S3USTA123A OTHER Valve Sapien3 Ult Certitude 23 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-BOM23EDGELGLIS OTHER Sys Lotus Edge Vlv Intro 23mm 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-9600CT20A OTHER Valve Sapien 20 Ta Certitude 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
SUP-9600CM23A OTHER Kit Sapien 23mm Delivery 17 17 $89,375.00 $29,493.75 67% off $25,918.75 $89,375.00 $46,475.00 2026-05-27
303-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 26 26 — — $46,360.73 $46,360.73 $46,360.73 2026-05-27
183-4 OTHER Percutaneous Structural Cardiac Procedures 26 26 — — $46,195.76 $46,195.76 $46,195.76 2026-05-27
863-3 OTHER Neonatal Aftercare 26 26 — — $46,127.77 $46,127.77 $46,127.77 2026-05-27
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 17 $28,362.66 $9,359.68 67% off $17,017.60 $112,953.03 $46,103.28 2026-05-27
009-3 OTHER Extracorporeal Membrane Oxygenation (Ecmo) 26 26 — — $45,409.63 $45,409.63 $45,409.63 2026-05-27
622-4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 26 26 — — $45,408.49 $45,408.49 $45,408.49 2026-05-27
SUP-HARMONY-22 OTHER Valve Pulmonary Harmony 22mm 9 9 $90,750.00 $29,947.50 67% off $36,300.00 $73,053.75 $45,375.00 2026-05-27
SUP-HARMONY-25 OTHER Valve Pulmonary Harmony 25mm 9 9 $90,750.00 $29,947.50 67% off $36,300.00 $73,053.75 $45,375.00 2026-05-27
166-4 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 26 26 — — $44,924.65 $44,924.65 $44,924.65 2026-05-27
613-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 26 26 — — $44,863.20 $44,863.20 $44,863.20 2026-05-27
910-4 OTHER Craniotomy For Multiple Significant Trauma 26 26 — — $44,380.87 $44,380.87 $44,380.87 2026-05-27
179-4 OTHER Defibrillator Implants 26 26 — — $44,105.36 $44,105.36 $44,105.36 2026-05-27
680-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 26 26 — — $43,922.74 $43,922.74 $43,922.74 2026-05-27
162-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 26 26 — — $43,866.14 $43,866.14 $43,866.14 2026-05-27
589-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 26 26 — — $43,588.48 $43,588.48 $43,588.48 2026-05-27
608-2 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 26 26 — — $42,956.78 $42,956.78 $42,956.78 2026-05-27
SUP-EVOLUTR-34-US OTHER Valve Corevalve Tav 34mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVPROPLUS-23US OTHER Valve Evolut Pro+ Tavr 23mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVOLUTFX-34 OTHER Valve Evolut Tm Fx Aortic 34mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-MCS-P3-31-AOA-US OTHER Valve Corevalve Tav 31mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVOLUTR-26-US OTHER Valve Corevalve Tav 26mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-9300TFX29 OTHER Valve Sapien 29mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVOLUTPRO-29-US OTHER Valve Aortic Evolut Pro 29mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVPROPLUS-26US OTHER Valve Evolut Pro+ Tavr 26mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVOLUTR-29-US OTHER Valve Corevalve Tav 29mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVOLUTFX-29 OTHER Valve Evolut Tm Fx Aortic 29mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVOLUTR-23-US OTHER Valve Corevalve Tav 23mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-9300TFX23CLUS OTHER Valve Sapien 3 Thv 23mm Part 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVOLUTFX-23 OTHER Valve Evolut Tm Fx Aortic 23mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-9600TFX26 OTHER Valve Sapien 3 26mm Thv 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVOLUTPRO-23-US OTHER Valve Aortic Evolut Pro 23mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-9300TFX26CLUS OTHER Valve Sapien Xt 26mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVOLUTFX-26 OTHER Valve Evolut Tm Fx Aortic 26mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-9600TFX20A OTHER Valve Sapien 3 20mm Thv 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-9000TFX23 OTHER Valve Sapien 23mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVPROPLUS-29US OTHER Valve Evolut Pro+ Tavr 29mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVOLUTPRO-26-US OTHER Valve Aortic Evolut Pro 26mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-9000TFX26 OTHER Valve Sapien 26mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-EVPROPLUS-34US OTHER Valve Evolut Pro+ Tavr 34mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
SUP-9600TFX29 OTHER Valve Sapien 3 Transcath 29mm 17 17 $82,500.00 $27,225.00 67% off $23,925.00 $82,500.00 $42,900.00 2026-05-27
614-3 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 26 26 — — $42,414.35 $42,414.35 $42,414.35 2026-05-27
169-4 OTHER Major Abdominal Vascular Procedures 26 26 — — $42,047.59 $42,047.59 $42,047.59 2026-05-27
911-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 26 26 — — $41,928.25 $41,928.25 $41,928.25 2026-05-27
SUP-104 OTHER Generator Demipulse 9 9 $83,610.78 $27,591.56 67% off $33,444.31 $67,306.68 $41,805.39 2026-05-27
SUP-10-0012-5002 OTHER Generator Sentiva 9 9 $83,610.78 $27,591.56 67% off $33,444.31 $67,306.68 $41,805.39 2026-05-27
312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 26 26 — — $41,745.67 $41,745.67 $41,745.67 2026-05-27
623-4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 26 26 — — $41,673.74 $41,673.74 $41,673.74 2026-05-27
841-3 OTHER Extensive Third Degree Burns With Skin Graft 26 26 — — $41,561.96 $41,561.96 $41,561.96 2026-05-27
091-4 OTHER Other Major Head And Neck Procedures 26 26 — — $41,527.08 $41,527.08 $41,527.08 2026-05-27
SUP-MBR0203 OTHER Sys Mitraclip Guide Cath 3clip 9 9 $82,500.00 $27,225.00 67% off $33,000.00 $66,412.50 $41,250.00 2026-05-27
SUP-MBR0101 OTHER Sys Mitraclip 1 Cath 1 Clip N 9 9 $82,500.00 $27,225.00 67% off $33,000.00 $66,412.50 $41,250.00 2026-05-27
SUP-MBR0201 OTHER Sys Mitraclip Guide Cath 1clip 9 9 $82,500.00 $27,225.00 67% off $33,000.00 $66,412.50 $41,250.00 2026-05-27
SUP-MBR0301 OTHER Sys Mitraclip 1cath 2clip N/x 9 9 $82,500.00 $27,225.00 67% off $33,000.00 $66,412.50 $41,250.00 2026-05-27
SUP-MBR0303 OTHER Sys Mitraclip 1cath 3clp 1n/2x 9 9 $82,500.00 $27,225.00 67% off $33,000.00 $66,412.50 $41,250.00 2026-05-27
SUP-MBR0102 OTHER Sys Mitraclip 1 Cath 2 Clip N 9 9 $82,500.00 $27,225.00 67% off $33,000.00 $66,412.50 $41,250.00 2026-05-27
SUP-MBR0103 OTHER Sys Mitraclip 1 Cath 3 Clip N 9 9 $82,500.00 $27,225.00 67% off $33,000.00 $66,412.50 $41,250.00 2026-05-27
SUP-MBR0202 OTHER Sys Mitraclip Guide Cath 2clip 9 9 $82,500.00 $27,225.00 67% off $33,000.00 $66,412.50 $41,250.00 2026-05-27
SUP-MCG40100 OTHER Sys Mitraclip G4 Guide 9 9 $82,500.00 $27,225.00 67% off $33,000.00 $66,412.50 $41,250.00 2026-05-27
SUP-MBR0302 OTHER Sys Mitraclip 1cath 3clp 2n/1x 9 9 $82,500.00 $27,225.00 67% off $33,000.00 $66,412.50 $41,250.00 2026-05-27
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With McC 17 17 $74,334.57 $24,530.41 67% off $29,630.54 $100,578.54 $41,052.47 2026-05-27
912-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 26 26 — — $40,736.95 $40,736.95 $40,736.95 2026-05-27
634-4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 26 26 — — $40,075.67 $40,075.67 $40,075.67 2026-05-27
178-3 OTHER External Heart Assist Systems 26 26 — — $40,049.05 $40,049.05 $40,049.05 2026-05-27
850-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 26 26 — — $39,885.91 $39,885.91 $39,885.91 2026-05-27
609-2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 26 26 — — $39,797.14 $39,797.14 $39,797.14 2026-05-27
023-4 OTHER Spinal Procedures 26 26 — — $39,784.23 $39,784.23 $39,784.23 2026-05-27
SUP-123921 OTHER Generator Aspire Vns 9 9 $78,955.75 $26,055.40 67% off $31,582.30 $63,559.38 $39,477.88 2026-05-27
021-4 OTHER Open Craniotomy Except Trauma 26 26 — — $39,238.88 $39,238.88 $39,238.88 2026-05-27
441-4 OTHER Major Bladder Procedures 26 26 — — $39,231.65 $39,231.65 $39,231.65 2026-05-27
SUP-106101 OTHER Kit Heartmate Ii Pat Support 9 9 $77,511.50 $25,578.79 67% off $31,004.60 $62,396.76 $38,755.75 2026-05-27
260-4 OTHER Major Pancreas, Liver And Shunt Procedures 26 26 — — $38,739.65 $38,739.65 $38,739.65 2026-05-27
625-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 26 26 — — $38,391.52 $38,391.52 $38,391.52 2026-05-27
612-2 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 26 26 — — $38,190.37 $38,190.37 $38,190.37 2026-05-27
631-2 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 26 26 — — $38,026.21 $38,026.21 $38,026.21 2026-05-27
609-1 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 26 26 — — $37,807.24 $37,807.24 $37,807.24 2026-05-27
SUP-NVTR-25 OTHER Valve Navitor Trans Aort 25mm 17 17 $72,187.50 $23,821.88 67% off $20,934.38 $72,187.50 $37,537.50 2026-05-27
SUP-NVTR-27 OTHER Valve Navitor Trans Aort 27mm 17 17 $72,187.50 $23,821.88 67% off $20,934.38 $72,187.50 $37,537.50 2026-05-27
SUP-NVTR-23 OTHER Valve Navitor Trans Aort 23mm 17 17 $72,187.50 $23,821.88 67% off $20,934.38 $72,187.50 $37,537.50 2026-05-27
SUP-NVTR-29 OTHER Valve Navitor Trans Aort 29mm 17 17 $72,187.50 $23,821.88 67% off $20,934.38 $72,187.50 $37,537.50 2026-05-27
SUP-N119 OTHER Icd Crt Df-1 Is-1 Cognis He 9 9 $74,910.00 $24,720.30 67% off $29,964.00 $60,302.55 $37,455.00 2026-05-27
681-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 26 26 — — $37,453.32 $37,453.32 $37,453.32 2026-05-27
329 OTHER Major Small And Large Bowel Procedures With McC 17 17 $91,670.52 $30,251.27 67% off $26,830.72 $91,591.95 $37,384.47 2026-05-27
178-2 OTHER External Heart Assist Systems 26 26 — — $37,313.14 $37,313.14 $37,313.14 2026-05-27
220-4 OTHER Major Stomach, Esophageal And Duodenal Procedures 26 26 — — $37,167.12 $37,167.12 $37,167.12 2026-05-27
089-4 OTHER Major Cranial Or Facial Bone Procedures 26 26 — — $36,915.32 $36,915.32 $36,915.32 2026-05-27
165-3 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 26 26 — — $36,808.56 $36,808.56 $36,808.56 2026-05-27
950-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 26 26 — — $36,551.68 $36,551.68 $36,551.68 2026-05-27
160-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 26 26 — — $36,478.35 $36,478.35 $36,478.35 2026-05-27
SUP-PB1016 OTHER Transcatheter Melody 16-20mm 17 17 $70,125.00 $23,141.25 67% off $20,336.25 $70,125.00 $36,465.00 2026-05-27
SUP-PB1018 OTHER Transcatheter Melody 18-22mm 17 17 $70,125.00 $23,141.25 67% off $20,336.25 $70,125.00 $36,465.00 2026-05-27
SUP-8B11 OTHER Sys Pulse Gen S-icd Emblem 9 9 $72,875.00 $24,048.75 67% off $29,150.00 $58,664.38 $36,437.50 2026-05-27
SUP-8B11-A OTHER Sys Emblem Icd-s 9 9 $72,875.00 $24,048.75 67% off $29,150.00 $58,664.38 $36,437.50 2026-05-27
163-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 26 26 — — $36,281.36 $36,281.36 $36,281.36 2026-05-27
SUP-Z60353 OTHER Implant Freedom/contour Adv 11 11 $72,462.50 $23,912.63 67% off $17,496.88 $58,332.31 $36,231.25 2026-05-27
020-4 OTHER Open Craniotomy For Trauma 26 26 — — $36,200.68 $36,200.68 $36,200.68 2026-05-27
120-4 OTHER Major Respiratory And Chest Procedures 26 26 — — $36,033.82 $36,033.82 $36,033.82 2026-05-27
690-4 OTHER Acute Leukemia 26 26 — — $35,850.55 $35,850.55 $35,850.55 2026-05-27
SUP-1000323 OTHER Cath Impella Smartasist Rp Flx 17 17 $68,750.00 $22,687.50 67% off $19,937.50 $68,750.00 $35,750.00 2026-05-27
SUP-4000021 OTHER Cath Impella Cp 14fr 17 17 $68,750.00 $22,687.50 67% off $19,937.50 $68,750.00 $35,750.00 2026-05-27
SUP-005062 OTHER Cath Impella 5.0 Aic 17 17 $68,750.00 $22,687.50 67% off $19,937.50 $68,750.00 $35,750.00 2026-05-27
SUP-0048-0003 OTHER Cath Impella Cp 14f 4.7x65mm 17 17 $68,750.00 $22,687.50 67% off $19,937.50 $68,750.00 $35,750.00 2026-05-27
SUP-004334 OTHER Kit Impella Rp With Controller 17 17 $68,750.00 $22,687.50 67% off $19,937.50 $68,750.00 $35,750.00 2026-05-27
SUP-0052-3002 OTHER Kit Impella Intro 2.5 13fx13cm 17 17 $68,750.00 $22,687.50 67% off $19,937.50 $68,750.00 $35,750.00 2026-05-27
SUP-0046-0035 OTHER Cath Impella Rp Smrt Asst Pmp 17 17 $68,750.00 $22,687.50 67% off $19,937.50 $68,750.00 $35,750.00 2026-05-27
005-2 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 26 26 — — $35,748.38 $35,748.38 $35,748.38 2026-05-27
361-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 26 26 — — $35,352.94 $35,352.94 $35,352.94 2026-05-27
SUP-DTBA1QQ-SYS OTHER System Icd Viva Xt Crt-d 9 9 $70,400.00 $23,232.00 67% off $28,160.00 $56,672.00 $35,200.00 2026-05-27
SUP-DTBA1D1-SYS OTHER System Icd Crt Viva Xt 9 9 $70,400.00 $23,232.00 67% off $28,160.00 $56,672.00 $35,200.00 2026-05-27
181-4 OTHER Lower Extremity Arterial Procedures 26 26 — — $34,765.74 $34,765.74 $34,765.74 2026-05-27
162-2 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 26 26 — — $34,765.74 $34,765.74 $34,765.74 2026-05-27
589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 26 26 — — $34,670.70 $34,670.70 $34,670.70 2026-05-27
027-4 OTHER Other Open Craniotomy 26 26 — — $34,586.68 $34,586.68 $34,586.68 2026-05-27
623-3 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 26 26 — — $34,365.28 $34,365.28 $34,365.28 2026-05-27
SUP-CLARIAMRIQDCRTMMQM OTHER Sys Crt Claria MRI Quad Df1 18 9 $62,324.62 $20,567.12 67% off $22,391.60 $55,279.55 $34,335.13 2026-05-27
130-4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 26 26 — — $34,195.45 $34,195.45 $34,195.45 2026-05-27
176-4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 26 26 — — $34,153.81 $34,153.81 $34,153.81 2026-05-27
261-4 OTHER Major Biliary Tract Procedures 26 26 — — $34,051.10 $34,051.10 $34,051.10 2026-05-27
SUP-CI512-SYS OTHER Nucleus 5 System 11 11 $68,049.11 $22,456.21 67% off $17,496.88 $54,779.53 $34,024.56 2026-05-27
SUP-1203035 OTHER Mesh Phasix St 30cmx35cm Rect 9 9 $67,892.28 $22,404.45 67% off $27,156.91 $54,653.29 $33,946.14 2026-05-27
SUP-2540002 OTHER Tissue Strattice Matrix 25x40 9 9 $67,773.75 $22,365.34 67% off $27,109.50 $54,557.87 $33,886.88 2026-05-27
603-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 26 26 — — $33,827.17 $33,827.17 $33,827.17 2026-05-27
621-3 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 26 26 — — $33,769.98 $33,769.98 $33,769.98 2026-05-27
695-4 OTHER Chemotherapy For Acute Leukemia 26 26 — — $33,740.77 $33,740.77 $33,740.77 2026-05-27
303-2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 26 26 — — $33,683.31 $33,683.31 $33,683.31 2026-05-27
SUP-TDF033U SYSTEM OTHER Sys Icd Plat Df1 Crtd Is1 1711 9 9 $66,646.25 $21,993.26 67% off $26,658.50 $53,650.23 $33,323.13 2026-05-27
230-4 OTHER Major Small Bowel Procedures 26 26 — — $33,312.38 $33,312.38 $33,312.38 2026-05-27
510-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 26 26 — — $33,299.86 $33,299.86 $33,299.86 2026-05-27
178-1 OTHER External Heart Assist Systems 26 26 — — $33,280.15 $33,280.15 $33,280.15 2026-05-27
636-4 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 26 26 — — $33,177.01 $33,177.01 $33,177.01 2026-05-27
009-2 OTHER Extracorporeal Membrane Oxygenation (Ecmo) 26 26 — — $33,119.98 $33,119.98 $33,119.98 2026-05-27
SUP-DTBB1QQ-SYS OTHER System Icd Crt-d Df-4 Conn 9 9 $66,000.00 $21,780.00 67% off $26,400.00 $53,130.00 $33,000.00 2026-05-27
SUP-LCR-US-I-KIT-60-2 OTHER Sys Evoke Close Loop Stim 60cm 23 23 $71,087.50 $23,458.88 67% off $20,615.38 $57,723.05 $32,984.60 2026-05-27
548-4 OTHER Postpartum And Post Abortion Diagnosis With O.r. Procedure 26 26 — — $32,863.10 $32,863.10 $32,863.10 2026-05-27
092-4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 26 26 — — $32,851.49 $32,851.49 $32,851.49 2026-05-27
792-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 26 26 — — $32,692.46 $32,692.46 $32,692.46 2026-05-27
SUP-AMPLIAMRICRTDMMAM OTHER Sys Amplia MRI Crt-d 18 9 $64,365.12 $21,240.49 67% off $25,353.90 $52,603.13 $32,672.75 2026-05-27
401-4 OTHER Adrenal Procedures 26 26 — — $32,624.37 $32,624.37 $32,624.37 2026-05-27
183-3 OTHER Percutaneous Structural Cardiac Procedures 26 26 — — $32,451.08 $32,451.08 $32,451.08 2026-05-27
651-4 OTHER Other Procedures Of Blood And Blood-forming Organs 26 26 — — $32,418.63 $32,418.63 $32,418.63 2026-05-27
SUP-IDE-1705-13 OTHER Sys Carillion Cmcs 9x16x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-15 OTHER Sys Carillion Cmcs 9x20x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-20 OTHER Sys Carillion Cmcs 10x20x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-33 OTHER Sys Carillion Cmcs 13x18x70 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-30 OTHER Sys Carillion Cmcs 12x20x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-19 OTHER Sys Carillion Cmcs 10x18x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-25 OTHER Sys Carillion Cmcs 11x20x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-14 OTHER Sys Carillion Cmcs 9x18x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-29 OTHER Sys Carillion Cmcs 12x18x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-30 OTHER Sys Carillion Cmcs 12x20x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-15 OTHER Sys Carillion Cmcs 9x20x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-37 OTHER Sys Carillion Cmcs 14x18x70 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-05 OTHER Sys Carillion Cmcs 7x20x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-24 OTHER Sys Carillion Cmcs 11x18x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-34 OTHER Sys Carillion Cmcs 13x20x70 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-14 OTHER Sys Carillion Cmcs 9x18x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-25 OTHER Sys Carillion Cmcs 11x20x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-37 OTHER Sys Carillion Cmcs 14x18x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-24 OTHER Sys Carillion Cmcs 11x18x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-33 OTHER Sys Carillion Cmcs 13x18x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-09 OTHER Sys Carillion Cmcs 8x18x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-34 OTHER Sys Carillion Cmcs 13x20x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-28 OTHER Sys Carillion Cmcs 12x16x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-19 OTHER Sys Carillion Cmcs 10x18x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-08 OTHER Sys Carillion Cmcs 8x16x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-38 OTHER Sys Carillion Cmcs 14x20x70 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-05 OTHER Sys Carillion Cmcs 7x20x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-23 OTHER Sys Carillion Cmcs 11x16x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-03 OTHER Sys Carillion Cmcs 7x16x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-38 OTHER Sys Carillion Cmcs 14x20x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-09 OTHER Sys Carillion Cmcs 8x18x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-04 OTHER Sys Carillion Cmcs 7x18x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-10 OTHER Sys Carillion Cmcs 8x20x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-10 OTHER Sys Carillion Cmcs 8x20x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-29 OTHER Sys Carillion Cmcs 12x18x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1706-20 OTHER Sys Carillion Cmcs 10x20x80 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
SUP-IDE-1705-18 OTHER Sys Carillion Cmcs 10x16x60 17 17 $61,875.00 $20,418.75 67% off $17,943.75 $61,875.00 $32,175.00 2026-05-27
179-3 OTHER Defibrillator Implants 26 26 — — $32,159.38 $32,159.38 $32,159.38 2026-05-27
SUP-COMPIAMRIQDCRTMMQM OTHER Sys Compia Mr Quad Device 9 9 $64,209.75 $21,189.22 67% off $25,683.90 $51,688.85 $32,104.88 2026-05-27
404-4 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 26 26 — — $32,060.45 $32,060.45 $32,060.45 2026-05-27
750-4 OTHER Schizophrenia 26 26 — — $31,907.68 $31,907.68 $31,907.68 2026-05-27
304-3 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 26 26 — — $31,760.26 $31,760.26 $31,760.26 2026-05-27
SUP-NIPG2500 OTHER Kit Senza Ii Omnia Ipg 2500 11 11 $63,516.75 $20,960.53 67% off $16,072.91 $51,130.98 $31,758.38 2026-05-27
SUP-VIVAQUADXTCRTDMMQM OTHER System Icd Crt-d Viva Xt Quad 9 9 $63,269.25 $20,878.85 67% off $25,307.70 $50,931.75 $31,634.63 2026-05-27
SUP-393804 OTHER System Icd Lumax 740 Hf-t 9 9 $63,250.00 $20,872.50 67% off $25,300.00 $50,916.25 $31,625.00 2026-05-27
SUP-8E5C OTHER Sys Icd Energen Rf He Df4 9 9 $63,250.00 $20,872.50 67% off $25,300.00 $50,916.25 $31,625.00 2026-05-27
SUP-390238 OTHER System Icd Lumax 740 Hf-t 9 9 $63,250.00 $20,872.50 67% off $25,300.00 $50,916.25 $31,625.00 2026-05-27
SUP-8F9D OTHER Sys Icd Energen Rf He 9 9 $63,250.00 $20,872.50 67% off $25,300.00 $50,916.25 $31,625.00 2026-05-27
004-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 26 26 — — $31,617.43 $31,617.43 $31,617.43 2026-05-27
SUP-119324 OTHER Sys Icd Quadra Assura Mp 9 9 $62,704.13 $20,692.36 67% off $25,081.65 $50,476.82 $31,352.06 2026-05-27
321-4 OTHER Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 26 26 — — $30,840.86 $30,840.86 $30,840.86 2026-05-27
SUP-VIVASCRTDMMAM OTHER Sys Icd Viva S Crt-d Adv Mmam 9 9 $61,360.75 $20,249.05 67% off $24,544.30 $49,395.40 $30,680.38 2026-05-27
SUP-VIVASCRTDMMPM OTHER Sys Icd Viva S Crt-d Mmpm 9 9 $61,360.75 $20,249.05 67% off $24,544.30 $49,395.40 $30,680.38 2026-05-27
SUP-VIVASCRTDMMMM OTHER Sys Icd Viva S Crt-d Mmmm 9 9 $61,360.75 $20,249.05 67% off $24,544.30 $49,395.40 $30,680.38 2026-05-27
030-4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 26 26 — — $30,615.25 $30,615.25 $30,615.25 2026-05-27
165-2 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 26 26 — — $30,614.38 $30,614.38 $30,614.38 2026-05-27
166-3 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 26 26 — — $30,602.72 $30,602.72 $30,602.72 2026-05-27
167-3 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 26 26 — — $30,533.17 $30,533.17 $30,533.17 2026-05-27
740-3 OTHER Mental Illness Diagnosis With O.r. Procedure 26 26 — — $30,424.41 $30,424.41 $30,424.41 2026-05-27
SUP-1763 OTHER Defibrillator W/0134 Leadsyste 9 9 $60,775.00 $20,055.75 67% off $24,310.00 $48,923.88 $30,387.50 2026-05-27
SUP-ICV1179SYSTEM OTHER Icd Paradym Crt-d 8750 System 9 9 $60,500.00 $19,965.00 67% off $24,200.00 $48,702.50 $30,250.00 2026-05-27
264-4 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 26 26 — — $30,246.16 $30,246.16 $30,246.16 2026-05-27
335 OTHER Peritoneal Adhesiolysis With McC 17 17 $50,202.55 $16,566.84 67% off $16,672.67 $74,050.88 $30,224.85 2026-05-27
026-4 OTHER Other Nervous System And Related Procedures 26 26 — — $30,166.51 $30,166.51 $30,166.51 2026-05-27
710-4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 26 26 — — $30,149.17 $30,149.17 $30,149.17 2026-05-27
511-4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 26 26 — — $30,060.94 $30,060.94 $30,060.94 2026-05-27
325-4 OTHER Non-elective Or Complex Knee Joint Replacement 26 26 — — $30,047.38 $30,047.38 $30,047.38 2026-05-27
022-4 OTHER Ventricular Shunt Procedures 26 26 — — $29,985.28 $29,985.28 $29,985.28 2026-05-27
405-4 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 26 26 — — $29,918.54 $29,918.54 $29,918.54 2026-05-27
SUP-9771SP OTHER Kit Stimulation Sp 9 9 $59,606.25 $19,670.06 67% off $23,842.50 $47,983.03 $29,803.13 2026-05-27
SUP-NIPG2000 OTHER Ipg Senza Ii 2000 11 11 $59,400.00 $19,602.00 67% off $15,031.17 $47,817.00 $29,700.00 2026-05-27
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