Hospital

GRAND ISLAND REGIONAL MEDICAL CENTER

Grand Island, NE · CCN 280139 · Rates published

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You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $4,635 across 2 payers

Source: https://www.bryanhealth.com/app/files/public/e01c3132-8364-4d8d-b232-e46446138095/352621082_grand-island-regional-medical-center_standardcharges.csv · observed 2026-07-15

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

6,873 distinct procedures filed

10 distinct payers

42,383 rate rows

2026-07-15 last MRF observed

Data quality

42,343 of 42,383 rate rows are consumer-grade (99.9%)

40 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 — reason	Rows
exceeds 10× this hospital's gross charge — excluded from medians	30
placeholder amount (≤ $0.02) — excluded from medians	10

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.bryanhealth.com/app/files/public/e01c3132-8364-4d8d-b232-e46446138095/352621082_grand-island-regional-medical-center_standardcharges.csv
Found on page	https://www.bryanhealth.com/cms-hpt.txt
Discovered via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-07-31
Content fingerprint	647ecc819f4f7325… · 17,996,536 bytes · first seen 2026-05-15

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
0773 OTHER	Inj, Beqvez, Per Tx Dose	2	$3,557,519.00	$3,557,519.00	$3,557,519.00	nat. median $3,635,800 1.0× median
9138 OTHER	Inj, Hemgenix, Per Tx Dose	2	$3,557,519.00	$3,557,519.00	$3,557,519.00	nat. median $3,758,972 0.9× median
0714 OTHER	Inj Delandistrogene Mox Rokl	2	$3,185,256.29	$3,185,256.29	$3,185,256.29	nat. median $3,316,463 1.0× median
0748 OTHER	Inj, Lovotibeglogene Autotem	2	$3,061,767.70	$3,061,767.70	$3,061,767.70	nat. median $3,248,446 0.9× median
0746 OTHER	Inj, Betibeglogene Autotemce	2	$2,846,015.20	$2,846,015.20	$2,846,015.20	nat. median $2,945,740 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	2	$2,304,676.60	$2,304,676.60	$2,304,676.60	nat. median $2,588,981 0.9× median
0824 RC	Inj, Exagamglogene Autotem	2	$2,236,154.80	$2,236,154.80	$2,236,154.80	nat. median $1,200 outlier · 1863.5×
9194 OTHER	Tisagenlecleucel Car-pos T	2	$542,376.70	$542,376.70	$542,376.70	nat. median $576,820 0.9× median
9498 OTHER	Ciltacabtagene Car-pos T	2	$528,659.16	$528,659.16	$528,659.16	nat. median $587,650 0.9× median
9422 OTHER	Idecabtagene Vicleucel Car	2	$506,598.79	$506,598.79	$506,598.79	nat. median $560,872 0.9× median
9413 OTHER	Lisocabtagene Mara Car Pos T	2	$495,258.40	$495,258.40	$495,258.40	nat. median $562,201 0.9× median
583 - 4 OTHER	Neonate With Ecmo	4	$472,816.54	$774,455.49	$472,816.54	nat. median $335,710 1.4× median
9035 OTHER	Axicabtagene Ciloleucel Car+	2	$469,398.00	$469,398.00	$469,398.00	nat. median $533,230 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	2	$467,992.59	$467,992.59	$467,992.59	nat. median $492,768 0.9× median
588 - 4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$289,591.51	$688,447.48	$289,591.51	nat. median $333,531 0.9× median
11 - 4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$270,719.54	$1,355,897.38	$270,719.54	nat. median $270,720 1.0× median
2 - 4 OTHER	Heart And/or Lung Transplant	4	$270,540.72	$854,611.48	$270,540.72	nat. median $270,541 1.0× median
583 - 3 OTHER	Neonate With Ecmo	4	$269,284.70	$767,167.94	$269,284.70	nat. median $269,285 1.0× median
583 - 2 OTHER	Neonate With Ecmo	4	$206,760.87	$481,415.24	$206,760.87	nat. median $324,966 0.6× median
161 - 4 OTHER	Implantable Heart Assist Systems	4	$201,889.94	$612,198.29	$201,889.94	nat. median $443,073 outlier · 0.5×
609 - 4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	$201,765.88	$496,146.98	$201,765.88	nat. median $216,665 0.9× median
11 - 3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$201,473.27	$1,250,109.90	$201,473.27	nat. median $201,473 1.0× median
9 - 4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	$197,917.39	$318,344.42	$197,917.39	nat. median $197,917 1.0× median
631 - 4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	$194,062.06	$340,625.56	$194,062.06	nat. median $194,062 1.0× median
588 - 3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$192,867.64	$421,415.15	$192,867.64	nat. median $163,511 1.2× median
591 - 4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	$189,899.56	$412,862.74	$189,899.56	nat. median $259,919 0.7× median
583 - 1 OTHER	Neonate With Ecmo	4	$185,593.33	$361,417.39	$185,593.33	nat. median $708,871 outlier · 0.3×
841 - 4 OTHER	Extensive Third Degree Burns With Skin Graft	4	$179,586.16	$435,265.46	$179,586.16	nat. median $231,985 0.8× median
630 - 4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	$175,994.35	$291,377.93	$175,994.35	nat. median $780,358 outlier · 0.2×
593 - 4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	$166,958.36	$430,573.09	$166,958.36	nat. median $454,054 outlier · 0.4×
588 - 2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$165,266.84	$410,206.78	$165,266.84	nat. median $166,010 1.0× median
11 - 2 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$160,168.32	$892,954.68	$160,168.32	nat. median $160,168 1.0× median
7 - 4 OTHER	Allogeneic Bone Marrow Transplant	4	$159,283.63	$400,144.02	$159,283.63	nat. median $159,284 1.0× median
161 - 3 OTHER	Implantable Heart Assist Systems	4	$158,084.08	$416,858.39	$158,084.08	nat. median $633,628 outlier · 0.2×
4 - 4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	$152,101.72	$320,168.06	$152,101.72	nat. median $152,102 1.0× median
1 - 4 OTHER	Liver Transplant And/or Intestinal Transplant	4	$150,589.02	$584,528.06	$150,589.02	nat. median $150,589 1.0× median
2 - 3 OTHER	Heart And/or Lung Transplant	4	$147,367.69	$430,325.27	$147,367.69	nat. median $147,368 1.0× median
591 - 3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	$143,217.17	$245,309.97	$143,217.17	nat. median $158,921 0.9× median
588 - 1 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$141,657.41	$272,832.91	$141,657.41	nat. median $137,390 1.0× median
589 - 1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	4	$134,989.72	$324,350.74	$134,989.72	nat. median $11,720 outlier · 11.5×
589 - 2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	4	$134,989.72	$236,219.83	$134,989.72	nat. median $72,755 1.9× median
589 - 3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	4	$134,989.72	$218,079.29	$134,989.72	nat. median $47,823 outlier · 2.8×
9 - 3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	$133,013.29	$227,153.07	$133,013.29	nat. median $133,013 1.0× median
602 - 4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	$125,775.77	$285,455.77	$125,775.77	nat. median $573,580 outlier · 0.2×
591 - 2 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	$122,839.35	$179,911.44	$122,839.35	nat. median $61,028 outlier · 2.0×
593 - 3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	$122,135.19	$333,471.28	$122,135.19	nat. median $124,720 1.0× median
510 - 4 OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	1	$119,686.90	$119,686.90	$119,686.90	nat. median $18,386 outlier · 6.5×
161 - 2 OTHER	Implantable Heart Assist Systems	4	$116,318.82	$368,279.42	$116,318.82	nat. median $115,778 1.0× median
161 - 1 OTHER	Implantable Heart Assist Systems	4	$116,318.82	$350,288.51	$116,318.82	nat. median $110,309 1.1× median
160 - 4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	$115,895.30	$241,973.65	$115,895.30	nat. median $137,403 0.8× median

Other procedures at this hospital

Browse this hospital's 6,873 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

9138	OTHER	Inj, Hemgenix, Per Tx Dose	2	2	—	—	$3,557,519.00	$3,557,519.00	$3,557,519.00	2026-07-15
0773	OTHER	Inj, Beqvez, Per Tx Dose	2	2	—	—	$3,557,519.00	$3,557,519.00	$3,557,519.00	2026-07-15
0714	OTHER	Inj Delandistrogene Mox Rokl	2	2	—	—	$3,185,256.29	$3,185,256.29	$3,185,256.29	2026-07-15
0748	OTHER	Inj, Lovotibeglogene Autotem	2	2	—	—	$3,061,767.70	$3,061,767.70	$3,061,767.70	2026-07-15
0746	OTHER	Inj, Betibeglogene Autotemce	2	2	—	—	$2,846,015.20	$2,846,015.20	$2,846,015.20	2026-07-15
9141	OTHER	Inj Onase Abepar-xioi Treat	2	2	—	—	$2,304,676.60	$2,304,676.60	$2,304,676.60	2026-07-15
0824	RC	Inj, Exagamglogene Autotem	2	2	—	—	$2,236,154.80	$2,236,154.80	$2,236,154.80	2026-07-15
9194	OTHER	Tisagenlecleucel Car-pos T	2	2	—	—	$542,376.70	$542,376.70	$542,376.70	2026-07-15
9498	OTHER	Ciltacabtagene Car-pos T	2	2	—	—	$528,659.16	$528,659.16	$528,659.16	2026-07-15
9422	OTHER	Idecabtagene Vicleucel Car	2	2	—	—	$506,598.79	$506,598.79	$506,598.79	2026-07-15
9413	OTHER	Lisocabtagene Mara Car Pos T	2	2	—	—	$495,258.40	$495,258.40	$495,258.40	2026-07-15
583 - 4	OTHER	Neonate With Ecmo	4	4	—	—	$472,816.54	$774,455.49	$472,816.54	2026-07-15
9035	OTHER	Axicabtagene Ciloleucel Car+	2	2	—	—	$469,398.00	$469,398.00	$469,398.00	2026-07-15
9391	OTHER	Brexucabtagene Car Pos T	2	2	—	—	$467,992.59	$467,992.59	$467,992.59	2026-07-15
588 - 4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$289,591.51	$688,447.48	$289,591.51	2026-07-15
11 - 4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$270,719.54	$1,355,897.38	$270,719.54	2026-07-15
2 - 4	OTHER	Heart And/or Lung Transplant	4	4	—	—	$270,540.72	$854,611.48	$270,540.72	2026-07-15
583 - 3	OTHER	Neonate With Ecmo	4	4	—	—	$269,284.70	$767,167.94	$269,284.70	2026-07-15
583 - 2	OTHER	Neonate With Ecmo	4	4	—	—	$206,760.87	$481,415.24	$206,760.87	2026-07-15
161 - 4	OTHER	Implantable Heart Assist Systems	4	4	—	—	$201,889.94	$612,198.29	$201,889.94	2026-07-15
609 - 4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$201,765.88	$496,146.98	$201,765.88	2026-07-15
11 - 3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$201,473.27	$1,250,109.90	$201,473.27	2026-07-15
9 - 4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$197,917.39	$318,344.42	$197,917.39	2026-07-15
631 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	4	—	—	$194,062.06	$340,625.56	$194,062.06	2026-07-15
588 - 3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$192,867.64	$421,415.15	$192,867.64	2026-07-15
591 - 4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$189,899.56	$412,862.74	$189,899.56	2026-07-15
583 - 1	OTHER	Neonate With Ecmo	4	4	—	—	$185,593.33	$361,417.39	$185,593.33	2026-07-15
841 - 4	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$179,586.16	$435,265.46	$179,586.16	2026-07-15
630 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$175,994.35	$291,377.93	$175,994.35	2026-07-15
593 - 4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$166,958.36	$430,573.09	$166,958.36	2026-07-15
588 - 2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$165,266.84	$410,206.78	$165,266.84	2026-07-15
11 - 2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$160,168.32	$892,954.68	$160,168.32	2026-07-15
7 - 4	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$159,283.63	$400,144.02	$159,283.63	2026-07-15
161 - 3	OTHER	Implantable Heart Assist Systems	4	4	—	—	$158,084.08	$416,858.39	$158,084.08	2026-07-15
4 - 4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$152,101.72	$320,168.06	$152,101.72	2026-07-15
1 - 4	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$150,589.02	$584,528.06	$150,589.02	2026-07-15
2 - 3	OTHER	Heart And/or Lung Transplant	4	4	—	—	$147,367.69	$430,325.27	$147,367.69	2026-07-15
591 - 3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$143,217.17	$245,309.97	$143,217.17	2026-07-15
588 - 1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$141,657.41	$272,832.91	$141,657.41	2026-07-15
589 - 3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	4	4	—	—	$134,989.72	$218,079.29	$134,989.72	2026-07-15
589 - 2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	4	4	—	—	$134,989.72	$236,219.83	$134,989.72	2026-07-15
589 - 1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	4	4	—	—	$134,989.72	$324,350.74	$134,989.72	2026-07-15
9 - 3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$133,013.29	$227,153.07	$133,013.29	2026-07-15
602 - 4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$125,775.77	$285,455.77	$125,775.77	2026-07-15
591 - 2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$122,839.35	$179,911.44	$122,839.35	2026-07-15
593 - 3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$122,135.19	$333,471.28	$122,135.19	2026-07-15
510 - 4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	1	1	—	—	$119,686.90	$119,686.90	$119,686.90	2026-07-15
161 - 1	OTHER	Implantable Heart Assist Systems	4	4	—	—	$116,318.82	$350,288.51	$116,318.82	2026-07-15
161 - 2	OTHER	Implantable Heart Assist Systems	4	4	—	—	$116,318.82	$368,279.42	$116,318.82	2026-07-15
160 - 4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$115,895.30	$241,973.65	$115,895.30	2026-07-15
2 - 2	OTHER	Heart And/or Lung Transplant	4	4	—	—	$111,592.49	$267,443.82	$111,592.49	2026-07-15
5 - 4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$105,960.07	$302,336.13	$105,960.07	2026-07-15
4 - 3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$104,885.44	$212,124.40	$104,885.44	2026-07-15
7 - 3	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$101,306.46	$334,528.05	$101,306.46	2026-07-15
842 - 4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	4	4	—	—	$100,542.41	$210,043.58	$100,542.41	2026-07-15
2 - 1	OTHER	Heart And/or Lung Transplant	4	4	—	—	$98,630.15	$219,865.52	$98,630.15	2026-07-15
6 - 4	OTHER	Pancreas Transplant	4	4	—	—	$98,364.05	$293,603.70	$98,364.05	2026-07-15
593 - 2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$98,236.57	$226,168.77	$98,236.57	2026-07-15
607 - 4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$97,225.25	$310,392.88	$97,225.25	2026-07-15
630 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$97,012.21	$175,943.85	$97,012.21	2026-07-15
480 - 4	OTHER	Major Male Pelvic Procedures	1	1	—	—	$94,158.27	$94,158.27	$94,158.27	2026-07-15
851 - 4	OTHER	Gender Related Procedures	4	4	—	—	$92,776.13	$209,159.82	$92,776.13	2026-07-15
851 - 3	OTHER	Gender Related Procedures	4	4	—	—	$67,937.60	$92,776.13	$92,776.13	2026-07-15
603 - 4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	4	4	—	—	$91,993.26	$324,016.41	$91,993.26	2026-07-15
602 - 3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$87,327.67	$241,033.77	$87,327.67	2026-07-15
611 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	4	4	—	—	$80,862.76	$179,754.79	$80,862.76	2026-07-15
613 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	4	4	—	—	$80,120.10	$149,711.49	$80,120.10	2026-07-15
863 - 4	OTHER	Neonatal Aftercare	4	4	—	—	$79,087.39	$160,251.20	$79,087.39	2026-07-15
11 - 1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$78,883.75	$83,216.43	$78,883.75	2026-07-15
1 - 3	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$78,182.16	$430,867.68	$78,182.16	2026-07-15
162 - 4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$77,886.12	$201,750.70	$77,886.12	2026-07-15
303 - 4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$77,509.66	$185,646.55	$77,509.66	2026-07-15
5 - 3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$76,897.91	$214,090.66	$76,897.91	2026-07-15
440 - 4	OTHER	Kidney Transplant	4	4	—	—	$76,265.62	$392,531.50	$76,265.62	2026-07-15
6 - 3	OTHER	Pancreas Transplant	4	4	—	—	$75,805.30	$232,441.62	$75,805.30	2026-07-15
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	2	$221,893.07	—	$75,762.80	$75,762.80	$75,762.80	2026-07-15
593 - 1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$74,761.47	$205,608.40	$74,761.47	2026-07-15
510 - 3	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	1	1	—	—	$72,821.69	$72,821.69	$72,821.69	2026-07-15
7 - 2	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$71,340.78	$290,959.42	$71,340.78	2026-07-15
8 - 4	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$70,844.54	$247,624.59	$70,844.54	2026-07-15
609 - 3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$69,990.65	$154,036.79	$69,990.65	2026-07-15
602 - 2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$69,780.17	$176,324.95	$69,780.17	2026-07-15
163 - 4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$68,153.67	$125,153.14	$68,153.67	2026-07-15
4 - 2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$67,025.99	$153,538.80	$67,025.99	2026-07-15
299 - 4	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$66,778.72	$66,778.72	$66,778.72	2026-07-15
9 - 2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$66,759.05	$96,790.86	$66,759.05	2026-07-15
607 - 3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$66,658.94	$233,575.55	$66,658.94	2026-07-15
6 - 2	OTHER	Pancreas Transplant	4	4	—	—	$65,352.44	$190,935.11	$65,352.44	2026-07-15
120	EAPG	Car T-cell Immunotherapy	4	4	—	—	$65,239.56	$68,759.98	$65,239.56	2026-07-15
178 - 4	OTHER	External Heart Assist Systems	4	4	—	—	$64,808.28	$250,348.36	$64,808.28	2026-07-15
612 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$63,698.56	$162,612.58	$63,698.56	2026-07-15
633 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	4	4	—	—	$63,531.72	$158,062.83	$63,531.72	2026-07-15
7 - 1	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$62,975.58	$135,358.51	$62,975.58	2026-07-15
621 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	4	4	—	—	$62,468.21	$142,877.52	$62,468.21	2026-07-15
165 - 4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$61,229.30	$127,883.92	$61,229.30	2026-07-15
0717	OTHER	Instill Adstiladrin, Tx Dose	2	2	—	—	$60,796.22	$60,796.22	$60,796.22	2026-07-15
1 - 2	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$60,419.91	$174,933.84	$60,419.91	2026-07-15
167 - 4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	4	4	—	—	$59,992.96	$192,866.30	$59,992.96	2026-07-15
841 - 3	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$58,404.11	$143,080.92	$58,404.11	2026-07-15
183 - 4	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$58,328.82	$173,704.05	$58,328.82	2026-07-15
910 - 4	OTHER	Craniotomy For Multiple Significant Trauma	4	4	—	—	$58,156.84	$117,652.84	$58,156.84	2026-07-15
631 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	4	—	—	$57,037.72	$111,707.30	$57,037.72	2026-07-15
162 - 3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$56,973.55	$134,937.67	$56,973.55	2026-07-15
5244	OTHER	Transplt Allo Hct/donor	2	2	—	—	$56,711.58	$56,711.58	$56,711.58	2026-07-15
680 - 4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	4	4	—	—	$56,528.64	$141,785.67	$56,528.64	2026-07-15
608 - 4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	4	4	—	—	$55,454.00	$153,330.72	$55,454.00	2026-07-15
625 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	4	4	—	—	$55,372.72	$143,487.74	$55,372.72	2026-07-15
911 - 4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	4	4	—	—	$55,315.40	$187,311.21	$55,315.40	2026-07-15
304 - 4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	4	4	—	—	$54,663.43	$129,590.66	$54,663.43	2026-07-15
166 - 4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	4	4	—	—	$54,585.57	$124,468.11	$54,585.57	2026-07-15
1643	OTHER	Y90 Ibritumomab, Rx	2	2	—	—	$54,489.06	$54,489.06	$54,489.06	2026-07-15
179 - 4	OTHER	Defibrillator Implants	4	4	—	—	$53,873.71	$144,892.87	$53,873.71	2026-07-15
303 - 3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$53,791.57	$121,891.63	$53,791.57	2026-07-15
160 - 3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$53,717.13	$74,079.53	$53,717.13	2026-07-15
91 - 4	OTHER	Other Major Head And Neck Procedures	4	4	—	—	$53,559.70	$165,644.96	$53,559.70	2026-07-15
614 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	4	4	—	—	$53,458.74	$206,541.26	$53,458.74	2026-07-15
9273	OTHER	Sipuleucel-t Auto Cd54+	2	2	—	—	$53,253.95	$53,253.95	$53,253.95	2026-07-15
1 - 1	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$53,080.57	$155,916.54	$53,080.57	2026-07-15
850 - 4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	4	4	—	—	$52,736.62	$155,900.18	$52,736.62	2026-07-15
21 - 4	OTHER	Open Craniotomy Except Trauma	4	4	—	—	$52,662.18	$166,977.62	$52,662.18	2026-07-15
246	EAPG	Class IV Therapeutic Radiopharmaceuticals	4	4	—	—	$52,343.27	$58,451.73	$52,343.27	2026-07-15
178 - 3	OTHER	External Heart Assist Systems	4	4	—	—	$52,293.42	$136,983.42	$52,293.42	2026-07-15
299 - 3	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$52,218.12	$52,218.12	$52,218.12	2026-07-15
603 - 3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	4	4	—	—	$52,092.35	$163,049.78	$52,092.35	2026-07-15
602 - 1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$29,047.31	$51,981.12	$51,981.12	2026-07-15
440 - 3	OTHER	Kidney Transplant	4	4	—	—	$51,851.93	$245,284.26	$51,851.93	2026-07-15
912 - 4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	4	4	—	—	$51,431.83	$130,841.49	$51,431.83	2026-07-15
5 - 2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$51,274.40	$123,834.51	$51,274.40	2026-07-15
300 - 4	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$50,944.99	$50,944.99	$50,944.99	2026-07-15
690 - 4	OTHER	Acute Leukemia	4	4	—	—	$50,529.17	$161,378.11	$50,529.17	2026-07-15
8 - 3	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$49,863.51	$195,604.09	$49,863.51	2026-07-15
607 - 2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$49,787.36	$110,145.52	$49,787.36	2026-07-15
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	2	$99,079.98	—	$49,622.67	$49,622.67	$49,622.67	2026-07-15
480 - 3	OTHER	Major Male Pelvic Procedures	1	1	—	—	$49,376.22	$49,376.22	$49,376.22	2026-07-15
260 - 4	OTHER	Major Pancreas, Liver And Shunt Procedures	4	4	—	—	$49,135.40	$157,436.24	$49,135.40	2026-07-15
163 - 3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$48,995.93	$94,237.77	$48,995.93	2026-07-15
9 - 1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$48,886.42	$91,951.20	$48,886.42	2026-07-15
169 - 4	OTHER	Major Abdominal Vascular Procedures	4	4	—	—	$48,666.53	$103,133.86	$48,666.53	2026-07-15
23 - 4	OTHER	Spinal Procedures	4	4	—	—	$48,016.27	$149,444.96	$48,016.27	2026-07-15
740 - 4	OTHER	Mental Illness Diagnosis With O.r. Procedure	4	4	—	—	$47,886.22	$123,053.62	$47,886.22	2026-07-15
608 - 3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	4	4	—	—	$47,868.25	$149,910.22	$47,868.25	2026-07-15
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	2	2	$175,886.24	—	$47,513.64	$47,513.64	$47,513.64	2026-07-15
120 - 4	OTHER	Major Respiratory And Chest Procedures	4	4	—	—	$47,370.29	$123,228.97	$47,370.29	2026-07-15
681 - 4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	4	4	—	—	$47,293.29	$131,288.05	$47,293.29	2026-07-15
312 - 4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	4	4	—	—	$47,204.31	$134,474.75	$47,204.31	2026-07-15
130 - 4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	4	4	—	—	$46,813.30	$112,997.88	$46,813.30	2026-07-15
220 - 4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	4	4	—	—	$46,658.43	$145,930.95	$46,658.43	2026-07-15
695 - 4	OTHER	Chemotherapy For Acute Leukemia	4	4	—	—	$46,506.14	$118,697.92	$46,506.14	2026-07-15
4 - 1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$46,371.81	$119,584.02	$46,371.81	2026-07-15
20 - 4	OTHER	Open Craniotomy For Trauma	4	4	—	—	$46,006.47	$130,404.29	$46,006.47	2026-07-15
89 - 4	OTHER	Major Cranial Or Facial Bone Procedures	4	4	—	—	$45,979.09	$134,890.91	$45,979.09	2026-07-15
361 - 4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	4	4	—	—	$45,927.75	$123,086.35	$45,927.75	2026-07-15
428 - 4	OTHER	Genetic Disorders	3	3	—	—	$45,872.14	$45,872.14	$45,872.14	2026-07-15
261 - 4	OTHER	Major Biliary Tract Procedures	4	4	—	—	$45,687.33	$128,632.08	$45,687.33	2026-07-15
950 - 4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	4	4	—	—	$45,680.48	$240,750.87	$45,680.48	2026-07-15
609 - 2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$45,669.36	$102,923.44	$45,669.36	2026-07-15
165 - 3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$45,500.81	$96,624.86	$45,500.81	2026-07-15
6 - 1	OTHER	Pancreas Transplant	4	4	—	—	$45,393.00	$158,609.92	$45,393.00	2026-07-15
623 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	4	4	—	—	$44,623.82	$94,672.63	$44,623.82	2026-07-15
27 - 4	OTHER	Other Open Craniotomy	4	4	—	—	$44,321.79	$113,187.26	$44,321.79	2026-07-15
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	2	2	$108,730.73	—	$44,233.92	$44,233.92	$44,233.92	2026-07-15
630 - 2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$44,213.13	$93,421.80	$44,213.13	2026-07-15
440 - 2	OTHER	Kidney Transplant	4	4	—	—	$44,188.32	$217,670.14	$44,188.32	2026-07-15
612 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$44,111.31	$158,392.49	$44,111.31	2026-07-15
92 - 4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	4	4	—	—	$43,829.82	$99,224.72	$43,829.82	2026-07-15
401 - 4	OTHER	Adrenal Procedures	4	4	—	—	$43,471.32	$121,608.73	$43,471.32	2026-07-15
1142	OTHER	Supprelin La Implant	2	2	—	—	$43,401.54	$43,401.54	$43,401.54	2026-07-15
520 - 4	OTHER	Other GYN Procedures For Malignancy	3	3	—	—	$43,311.33	$43,311.33	$43,311.33	2026-07-15
613 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	4	4	—	—	$43,295.07	$107,414.73	$43,295.07	2026-07-15
1580	OTHER	Implt/rpl Crtd Sns Dev Total	2	2	—	—	$43,150.98	$43,150.98	$43,150.98	2026-07-15
611 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	4	4	—	—	$43,124.81	$143,576.58	$43,124.81	2026-07-15
SUP-477464	CDM	Guide Triclip 24fr Steerable	6	6	$64,800.00	$38,880.00 40% off	$12,312.00	$51,840.00	$43,092.00	2026-07-15
SUP-477517	CDM	Guide Triclip G5 Steerable	6	6	$64,800.00	$38,880.00 40% off	$12,312.00	$51,840.00	$43,092.00	2026-07-15
SUP-477512	CDM	Guide Triclip G5 Steerable System	6	6	$64,800.00	$38,880.00 40% off	$12,312.00	$51,840.00	$43,092.00	2026-07-15
SUP-477459	CDM	Guide Triclip G4 Steerable System	6	6	$64,800.00	$38,880.00 40% off	$12,312.00	$51,840.00	$43,092.00	2026-07-15
162 - 2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$43,072.62	$118,115.76	$43,072.62	2026-07-15
3060	EAPG	Ventricular Assist Device Procedures	4	4	—	—	$42,925.84	$52,563.06	$42,925.84	2026-07-15
441 - 4	OTHER	Major Bladder Procedures	4	4	—	—	$42,874.12	$125,118.07	$42,874.12	2026-07-15
178 - 2	OTHER	External Heart Assist Systems	4	4	—	—	$42,578.08	$130,656.79	$42,578.08	2026-07-15
603 - 2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	4	4	—	—	$42,503.64	$123,359.89	$42,503.64	2026-07-15
183 - 3	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$42,384.71	$97,010.63	$42,384.71	2026-07-15
33264	CPT	Replace Icd Gen Only To Mult	6	6	$56,642.00	$33,985.20 40% off	$30,743.85	$48,145.70	$41,915.08	2026-07-15
511 - 4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	4	4	—	—	$41,488.04	$114,753.72	$41,488.04	2026-07-15
440 - 1	OTHER	Kidney Transplant	4	4	—	—	$41,352.86	$116,098.07	$41,352.86	2026-07-15
622 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$41,307.51	$225,214.86	$41,307.51	2026-07-15
33263	CPT	Replace Icd Gen Only To Dual	6	6	$55,686.00	$33,411.60 40% off	$21,523.65	$47,333.10	$41,207.64	2026-07-15
321 - 4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	4	4	—	—	$41,178.32	$112,696.28	$41,178.32	2026-07-15
22 - 4	OTHER	Ventricular Shunt Procedures	4	4	—	—	$41,151.79	$108,836.24	$41,151.79	2026-07-15
792 - 4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	4	4	—	—	$41,028.59	$116,472.15	$41,028.59	2026-07-15
179 - 3	OTHER	Defibrillator Implants	4	4	—	—	$41,026.88	$89,793.23	$41,026.88	2026-07-15
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	2	2	$32,274.24	—	$40,857.27	$40,857.27	$40,857.27	2026-07-15
SUP-454173	CDM	Valve Sapien 3 Resilia 29mm	6	6	$61,200.00	$36,720.00 40% off	$11,628.00	$48,960.00	$40,698.00	2026-07-15
SUP-454171	CDM	Valve Sapien 3 Resilia 23mm	6	6	$61,200.00	$36,720.00 40% off	$11,628.00	$48,960.00	$40,698.00	2026-07-15
SUP-454170	CDM	Valve Sapien 3 Resilia 20mm	6	6	$61,200.00	$36,720.00 40% off	$11,628.00	$48,960.00	$40,698.00	2026-07-15
SUP-454172	CDM	Valve Sapien 3 Resilia 26mm	6	6	$61,200.00	$36,720.00 40% off	$11,628.00	$48,960.00	$40,698.00	2026-07-15
842 - 3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	4	4	—	—	$40,611.91	$93,555.07	$40,611.91	2026-07-15
651 - 4	OTHER	Other Procedures Of Blood And Blood-forming Organs	4	4	—	—	$40,605.06	$105,923.09	$40,605.06	2026-07-15
863 - 3	OTHER	Neonatal Aftercare	4	4	—	—	$40,457.90	$109,259.42	$40,457.90	2026-07-15
304 - 3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	4	4	—	—	$40,297.90	$92,182.66	$40,297.90	2026-07-15
160 - 2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$40,244.86	$48,095.00	$40,244.86	2026-07-15
30 - 4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	4	4	—	—	$40,172.13	$113,949.44	$40,172.13	2026-07-15
170 - 4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	4	4	—	—	$40,141.33	$108,964.83	$40,141.33	2026-07-15
181 - 4	OTHER	Lower Extremity Arterial Procedures	4	4	—	—	$40,052.35	$112,371.29	$40,052.35	2026-07-15
166 - 3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	4	4	—	—	$40,046.36	$85,795.25	$40,046.36	2026-07-15
121 - 4	OTHER	Other Respiratory And Chest Procedures	4	4	—	—	$39,706.68	$136,211.88	$39,706.68	2026-07-15
512 - 4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	4	4	—	—	$39,690.43	$98,046.37	$39,690.43	2026-07-15
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	2	2	$75,816.67	—	$39,644.65	$39,644.65	$39,644.65	2026-07-15
SUP-477518	CDM	Guide Mitraclip G5 Steerable System	6	6	$59,400.00	$35,640.00 40% off	$11,286.00	$47,520.00	$39,501.00	2026-07-15
SUP-477523	CDM	Guide Mitraclip G5 Steerable	6	6	$59,400.00	$35,640.00 40% off	$11,286.00	$47,520.00	$39,501.00	2026-07-15
230 - 4	OTHER	Major Small Bowel Procedures	4	4	—	—	$39,468.83	$99,956.51	$39,468.83	2026-07-15
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	2	2	$38,835.50	—	$39,179.95	$39,179.95	$39,179.95	2026-07-15
8 - 2	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$39,137.71	$121,087.36	$39,137.71	2026-07-15
303 - 2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$39,122.31	$88,451.22	$39,122.31	2026-07-15
405 - 4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	4	4	—	—	$39,025.63	$142,323.41	$39,025.63	2026-07-15
264 - 4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	4	4	—	—	$38,949.48	$122,279.74	$38,949.48	2026-07-15
SUP-407112	CDM	Valve Sapien 3 Ultra 26mm	6	6	$58,500.00	$35,100.00 40% off	$11,115.00	$46,800.00	$38,902.50	2026-07-15
SUP-407111	CDM	Valve Sapien 3 Ultra 23mm	6	6	$58,500.00	$35,100.00 40% off	$11,115.00	$46,800.00	$38,902.50	2026-07-15
SUP-407110	CDM	Valve Sapien 3 Ultra 20mm	6	6	$58,500.00	$35,100.00 40% off	$11,115.00	$46,800.00	$38,902.50	2026-07-15
710 - 4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	4	4	—	—	$38,809.16	$110,475.18	$38,809.16	2026-07-15
J1459	HCPCS	Immun Glob G(igg)-pro-iga 0-50 10 % IV Soln\|discarded Drug Not Administered	5	5	$6,446.44	$3,867.86 40% off	$10,147.40	$51,738.18	$38,803.63	2026-07-15
176 - 4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	4	4	—	—	$38,650.87	$122,015.54	$38,650.87	2026-07-15
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	2	$99,962.84	—	$38,647.19	$38,647.19	$38,647.19	2026-07-15
404 - 4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	4	4	—	—	$38,559.33	$106,414.07	$38,559.33	2026-07-15
634 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	4	4	—	—	$38,536.22	$85,776.54	$38,536.22	2026-07-15
403 - 4	OTHER	Procedures For Obesity	4	4	—	—	$38,451.52	$94,207.37	$38,451.52	2026-07-15
299 - 2	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$38,405.32	$38,405.32	$38,405.32	2026-07-15
178 - 1	OTHER	External Heart Assist Systems	4	4	—	—	$38,319.76	$119,446.08	$38,319.76	2026-07-15
841 - 2	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$38,267.57	$46,764.68	$38,267.57	2026-07-15
841 - 1	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$38,267.57	$41,081.00	$38,267.57	2026-07-15
167 - 3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	4	4	—	—	$38,080.19	$78,313.65	$38,080.19	2026-07-15
711 - 4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	4	4	—	—	$37,837.20	$95,925.80	$37,837.20	2026-07-15
SUP-477182	CDM	Valve Evolut Fx+ 23mm	6	6	$56,700.00	$34,020.00 40% off	$10,773.00	$45,360.00	$37,705.50	2026-07-15
SUP-477183	CDM	Valve Evolut Fx+ 26mm	6	6	$56,700.00	$34,020.00 40% off	$10,773.00	$45,360.00	$37,705.50	2026-07-15
SUP-477184	CDM	Valve Evolut Fx+ 29mm	6	6	$56,700.00	$34,020.00 40% off	$10,773.00	$45,360.00	$37,705.50	2026-07-15
SUP-477185	CDM	Valve Evolut Fx+ 34mm	6	6	$56,700.00	$34,020.00 40% off	$10,773.00	$45,360.00	$37,705.50	2026-07-15
29 - 4	OTHER	Other Percutaneous Intracranial Procedures	4	4	—	—	$37,583.09	$83,978.62	$37,583.09	2026-07-15
484 - 4	OTHER	Other Male Reproductive System And Related Procedures	4	4	—	—	$37,579.66	$88,289.89	$37,579.66	2026-07-15
910 - 3	OTHER	Craniotomy For Multiple Significant Trauma	4	4	—	—	$37,541.16	$80,027.40	$37,541.16	2026-07-15
485 - 4	OTHER	Prostatectomy Procedures	3	3	—	—	$37,492.39	$37,492.39	$37,492.39	2026-07-15
26 - 4	OTHER	Other Nervous System And Related Procedures	4	4	—	—	$37,349.51	$100,938.47	$37,349.51	2026-07-15
21 - 3	OTHER	Open Craniotomy Except Trauma	4	4	—	—	$37,060.31	$83,527.39	$37,060.31	2026-07-15
175 - 4	OTHER	Percutaneous Cardiac Intervention Without Ami	4	4	—	—	$36,947.37	$108,431.76	$36,947.37	2026-07-15
754 - 4	OTHER	Depression Except Major Depressive Disorder	1	1	—	—	$36,818.82	$36,818.82	$36,818.82	2026-07-15
165 - 2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$36,687.27	$80,347.71	$36,687.27	2026-07-15
609 - 1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$36,684.71	$93,363.35	$36,684.71	2026-07-15
447 - 4	OTHER	Other Kidney, Urinary Tract And Related Procedures	4	4	—	—	$36,595.72	$101,803.53	$36,595.72	2026-07-15
442 - 4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	4	4	—	—	$36,481.07	$119,041.61	$36,481.07	2026-07-15
448 - 4	OTHER	Other Kidney, Urinary Tract And Related Percutaneous Procedures	3	3	—	—	$36,288.56	$36,288.56	$36,288.56	2026-07-15
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	2	2	$141,325.26	—	$36,270.76	$36,270.76	$36,270.76	2026-07-15
163 - 2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$36,161.08	$76,050.46	$36,161.08	2026-07-15
650 - 4	OTHER	Splenic Procedures	4	4	—	—	$36,143.97	$96,907.76	$36,143.97	2026-07-15
614 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	4	4	—	—	$36,105.46	$160,162.35	$36,105.46	2026-07-15
SUP-400824	CDM	Kit Mitraclip 2 Clip Ntr	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-07-15
SUP-452531	CDM	Valve Evolut Fx 23mm	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-07-15
SUP-452533	CDM	Valve Evolut Fx 29mm	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-07-15
SUP-400888	CDM	Kit Mitraclip 2 Clip Xtr	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-07-15
SUP-405478	CDM	Guide Mitraclip G4 Steerable System	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-07-15
SUP-452532	CDM	Valve Evolut Fx 26mm	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-07-15
SUP-452534	CDM	Valve Evolut Fx 34mm	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-07-15
SUP-400825	CDM	Kit Mitraclip 1 Clip Xtr	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-07-15
162 - 1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$35,890.71	$100,454.51	$35,890.71	2026-07-15
951 - 4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	4	4	—	—	$35,817.98	$214,415.64	$35,817.98	2026-07-15
91 - 3	OTHER	Other Major Head And Neck Procedures	4	4	—	—	$35,787.18	$72,248.88	$35,787.18	2026-07-15
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	2	2	$134,955.16	—	$35,783.37	$35,783.37	$35,783.37	2026-07-15
300 - 3	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$35,620.34	$35,620.34	$35,620.34	2026-07-15
607 - 1	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$35,591.25	$51,742.28	$35,591.25	2026-07-15
130 - 3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	4	4	—	—	$35,315.75	$82,150.31	$35,315.75	2026-07-15
43 - 4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	4	4	—	—	$35,267.83	$83,557.78	$35,267.83	2026-07-15
514 - 4	OTHER	Female Reproductive System Reconstructive Procedures	4	4	—	—	$35,089.01	$101,749.76	$35,089.01	2026-07-15
231 - 4	OTHER	Major Large Bowel Procedures	4	4	—	—	$34,840.89	$87,387.43	$34,840.89	2026-07-15
0614T	CPT	Hc Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg	6	6	$46,977.00	$28,186.20 40% off	$21,523.65	$39,930.45	$34,762.98	2026-07-15
182 - 4	OTHER	Other Peripheral Vascular And Related Procedures	4	4	—	—	$34,651.80	$143,688.80	$34,651.80	2026-07-15
250	EAPG	Cochlear Device Implantation	4	4	—	—	$34,610.01	$41,197.91	$34,610.01	2026-07-15
222 - 4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	4	4	—	—	$34,605.60	$113,465.48	$34,605.60	2026-07-15
J3101	HCPCS	Tenecteplase 50 Mg IV Solr	14	7	$27,901.35	$16,740.81 40% off	$539.20	$89,284.12	$34,444.20	2026-07-15
466	EAPG	Class Xiv Combined Chemotherapy And Pharmacotherapy	4	4	—	—	$34,364.93	$41,185.84	$34,364.93	2026-07-15
229 - 4	OTHER	Other Digestive System And Abdominal Procedures	4	4	—	—	$34,356.62	$116,907.01	$34,356.62	2026-07-15
518 - 4	OTHER	Other Female Reproductive System And Related Procedures	4	4	—	—	$34,301.00	$90,623.22	$34,301.00	2026-07-15
89 - 3	OTHER	Major Cranial Or Facial Bone Procedures	4	4	—	—	$34,285.60	$69,078.55	$34,285.60	2026-07-15
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	2	2	$32,222.28	—	$34,284.78	$34,284.78	$34,284.78	2026-07-15
444 - 4	OTHER	Renal Dialysis Access Device Procedures	4	4	—	—	$34,270.20	$69,847.75	$34,270.20	2026-07-15
690 - 3	OTHER	Acute Leukemia	4	4	—	—	$34,133.31	$97,071.42	$34,133.31	2026-07-15
483 - 4	OTHER	Penis, Testes And Scrotal Procedures	4	4	—	—	$34,114.48	$78,404.83	$34,114.48	2026-07-15
169 - 3	OTHER	Major Abdominal Vascular Procedures	4	4	—	—	$34,018.66	$62,548.51	$34,018.66	2026-07-15
183 - 2	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$33,975.02	$85,236.47	$33,975.02	2026-07-15
0795T	CPT	Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys	6	6	$45,890.00	$27,534.00 40% off	$18,287.34	$39,006.50	$33,958.60	2026-07-15
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	2	2	$115,846.51	—	$33,949.31	$33,949.31	$33,949.31	2026-07-15
313 - 4	OTHER	Knee And Lower Leg Procedures Except Foot	4	4	—	—	$33,924.54	$71,070.52	$33,924.54	2026-07-15
179 - 2	OTHER	Defibrillator Implants	4	4	—	—	$33,920.26	$73,520.75	$33,920.26	2026-07-15
303 - 1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$33,912.56	$74,315.67	$33,912.56	2026-07-15
309 - 4	OTHER	Other Significant Hip And Femur Surgery	4	4	—	—	$33,837.27	$102,203.33	$33,837.27	2026-07-15
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	2	2	$35,265.92	—	$33,833.14	$33,833.14	$33,833.14	2026-07-15
519 - 4	OTHER	Uterine And Adnexa Procedures For Leiomyoma	4	4	—	—	$33,593.42	$93,683.66	$33,593.42	2026-07-15
1579	OTHER	Evasc Ven Artlz Tibl/prnl Vn	2	2	—	—	$33,561.98	$33,561.98	$33,561.98	2026-07-15
623 - 3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	4	4	—	—	$33,561.77	$80,001.68	$33,561.77	2026-07-15
513 - 4	OTHER	Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	4	4	—	—	$33,471.93	$69,955.30	$33,471.93	2026-07-15
315 - 4	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	4	4	—	—	$33,321.34	$86,344.68	$33,321.34	2026-07-15
325 - 4	OTHER	Non-elective Or Complex Knee Joint Replacement	4	4	—	—	$33,275.14	$97,366.01	$33,275.14	2026-07-15
SUP-477105	CDM	Catheter Impella Rp Flex Pump	6	6	$50,000.00	$30,000.00 40% off	$9,500.00	$40,000.00	$33,250.00	2026-07-15
SUP-419740	CDM	Catheter Impella Rp	6	6	$50,000.00	$30,000.00 40% off	$9,500.00	$40,000.00	$33,250.00	2026-07-15

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