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

EASTERN NEW MEXICO MEDICAL CENTER

Roswell, NM · CCN 320006 · Rates published

89,353 distinct procedures filed
47 distinct payers
2,121,699 rate rows
2026-05-27 last MRF observed
Data quality

2,107,513 of 2,121,699 rate rows are consumer-grade (99.3%)

14,186 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 8,226
per-diem day rate — not a per-procedure price 5,799
placeholder amount (≤ $0.02) — excluded from medians 56
template filing: same amount across many unrelated codes — excluded 55
exceeds 10× this hospital's gross charge — excluded from medians 50
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.enmmc.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/742870118_eastern-new-mexico-medical-center_standardcharges.csv
Found on page https://www.enmmc.com/pricing-information
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 5b0d125a15435c4d… · 371,233,120 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
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 $129,813.11 $1,801,838.43 $344,695.74 nat. median
$386,529
0.9× median
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 $307,539.14 $344,443.83 $325,991.48 nat. median
$0
7
OTHER 		Lung Transplant 24 $30,094.85 $1,362,593.74 $222,701.89 nat. median
$169,933
1.3× median
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $11,433.90 $582,671.90 $219,657.20 nat. median
$239,422
0.9× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 $14,249.43 $444,254.87 $167,484.63 nat. median
$146,562
1.1× median
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 $12,090.21 $441,655.93 $166,505.03 nat. median
$181,005
0.9× median
51905029-4124794
OTHER 		30237-8900-06 - Sipuleucel-t - Susp 19 $44,614.08 $201,825.60 $149,754.59 nat. median
$149,755
1.0× median
102534551-4119659
OTHER 		71336-1001-01 - Givosiran 189 mg/mL Soln 19 $40,950.00 $185,250.00 $137,455.50 nat. median
$137,456
1.0× median
103958918-4124798
OTHER 		69866-1030-05 - Autologous Cultured Chondrocytes 1 19 $40,303.87 $182,327.04 $135,286.66 nat. median
$135,287
1.0× median
103958919-4124798
OTHER 		69866-1030-08 - Autologous Cultured Chondrocytes 1 19 $40,303.87 $182,327.04 $135,286.66 nat. median
$135,287
1.0× median
1279402-4119659
OTHER 		00003-2328-22 - Ipilimumab Soln 19 $36,837.29 $166,644.87 $123,650.49 nat. median
$123,650
1.0× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 $8,214.98 $598,003.10 $108,856.75 nat. median
$134,983
0.8× median
95367892-4119659
OTHER 		60809-0801-01 - Pegloticase 8 mg/mL Soln 19 $30,021.10 $135,809.72 $100,770.82 nat. median
$100,771
1.0× median
1286149-4119659
OTHER 		54396-0801-01 - Pegloticase Soln 19 $30,021.10 $135,809.72 $100,770.82 nat. median
$100,771
1.0× median
14
OTHER 		Allogeneic Bone Marrow Transplant 25 $7,371.16 $250,681.79 $93,661.33 nat. median
$100,915
0.9× median
94990000-4119659
OTHER 		57894-0061-03 - Ustekinumab 90 mg/mL Soln 19 $27,217.77 $123,128.03 $91,360.99 nat. median
$91,361
1.0× median
127260891-4496069
OTHER 		S-ins-rep Pace-defib[nmro] 19 $27,008.52 $122,181.40 $90,658.60 nat. median
$90,659
1.0× median
1282361-4119659
OTHER 		57665-0002-02 - Pegaspargase 3750. Soln 19 $26,815.15 $121,306.64 $90,009.52 nat. median
$90,010
1.0× median
99090561-4119659
OTHER 		72694-0954-01 - Pegaspargase 3,750 IntlUnit(s) / 5 19 $26,815.15 $121,306.64 $90,009.52 nat. median
$90,010
1.0× median
1282362-4119659
OTHER 		54482-0301-01 - Pegaspargase 3750. Soln 19 $26,815.15 $121,306.64 $90,009.52 nat. median
$90,010
1.0× median
2
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 $16,852.47 $474,318.76 $88,751.43 nat. median
$111,558
0.8× median
212
OTHER 		Hip & Femur Procedures Except Major Joint Age 0-17 27 $6,897.06 $226,957.51 $83,134.62 nat. median
$90,581
0.9× median
127538326-4124794
OTHER 		00310-4535-30 - Tremelimumab Actl 20 mg/mL Soln 19 $24,535.60 $110,994.39 $82,357.83 nat. median
$82,358
1.0× median
5
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 24 $9,405.02 $298,344.34 $80,801.84 nat. median
$94,894
0.9× median
215
OTHER 		Other Heart Assist System Implant 27 $29,932.04 $211,131.02 $78,410.37 nat. median
$92,359
0.8× median
216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 $12,567.49 $204,322.24 $77,048.49 nat. median
$90,130
0.9× median
113233796-4496069
OTHER 		S-per Ins Rh Vad Art[nmro] 19 $22,128.96 $100,107.20 $74,279.54 nat. median
$74,280
1.0× median
112512821-4496069
OTHER 		S-per Ins Lh Vad Art[nmro] 19 $22,128.96 $100,107.20 $74,279.54 nat. median
$74,280
1.0× median
134322469-4119664
OTHER 		99999-1029-52 - Skin Substitute 50.27 Cm2 Misc 19 $20,255.13 $91,630.35 $67,989.72 nat. median
$67,990
1.0× median
101891901-4124794
OTHER 		72187-0401-01 - Tagraxofusp 1000 mcg/mL Soln 19 $20,253.99 $91,625.19 $67,985.89 nat. median
$67,986
1.0× median
453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 23 $269.28 $185,210.87 $67,842.81 nat. median
$65,342
1.0× median
114133702-4496069
OTHER 		Medt-vlv Aor Evolut R 34[nmro] 20 $9,539.90 $90,629.05 $66,760.22 nat. median
$66,760
1.0× median
114133701-4496069
OTHER 		Medt-vlv Aor Evolut R Prcn 23[nmro] 20 $9,539.90 $90,629.05 $66,760.22 nat. median
$66,760
1.0× median
114530893-4496069
OTHER 		Edwa-kit Vlv Cmndr Aor Trscth 23[nmro] 20 $9,539.90 $90,629.05 $66,760.22 nat. median
$66,760
1.0× median
114133592-4496069
OTHER 		Medt-vlv Aor Evolut R Prcn 26[nmro] 20 $9,539.90 $90,629.05 $66,760.22 nat. median
$66,760
1.0× median
114133596-4496069
OTHER 		Medt-vlv Aor Evolut R Prcn 29[nmro] 20 $9,539.90 $90,629.05 $66,760.22 nat. median
$66,760
1.0× median
114134068-4496069
OTHER 		Medt-vlv Aor Evolut Pro 26[nmro] 20 $9,539.90 $90,629.05 $66,760.22 nat. median
$66,760
1.0× median
114134069-4496069
OTHER 		Medt-vlv Aor Evolut Pro 23[nmro] 20 $9,539.90 $90,629.05 $66,760.22 nat. median
$66,760
1.0× median
114133901-4496069
OTHER 		Medt-vlv Aor Evolut Pro 29[nmro] 20 $9,539.90 $90,629.05 $66,760.22 nat. median
$66,760
1.0× median
231
OTHER 		Coronary Bypass With Ptca With Mcc 27 $14,579.48 $196,912.99 $66,471.52 nat. median
$74,989
0.9× median
114134823-4496069
OTHER 		Abio-set Vntrc Impella 2.5 9f[nmro] 20 $9,301.50 $88,364.25 $65,091.90 nat. median
$65,092
1.0× median
114697104-4496069
OTHER 		Dev Impella Cp 14frx04.7x75mm - 0048-0003[nmro] 20 $9,301.50 $88,364.25 $65,091.90 nat. median
$65,092
1.0× median
114698688-4496069
OTHER 		Dsc-use #2358147 Pmp Set Impella Rp US 11f-use 235 20 $9,301.50 $88,364.25 $65,091.90 nat. median
$65,092
1.0× median
114133757-4496069
OTHER 		Bost-defib Emblem MRI S-icd 12.7mm[nmro] 20 $9,301.50 $88,364.25 $65,091.90 nat. median
$65,092
1.0× median
114134012-4496069
OTHER 		Biot-defib Card Iperia 7 Promri Lf[nmro] 20 $9,275.00 $88,112.50 $64,906.45 nat. median
$64,906
1.0× median
112512820-4496069
OTHER 		S-rem-rep Cvd Mult[nmro] 19 $19,109.58 $86,448.10 $64,144.49 nat. median
$64,144
1.0× median
112512818-4496069
OTHER 		S-rem-rep Cvd Single[nmro] 19 $19,109.58 $86,448.10 $64,144.49 nat. median
$64,144
1.0× median
112512819-4496069
OTHER 		S-rem-rep Cvd Dual[nmro] 19 $19,109.58 $86,448.10 $64,144.49 nat. median
$64,144
1.0× median
105646369-4119659
OTHER 		00078-0734-61 - Canakinumab 150 mg/mL Soln 19 $19,053.71 $86,195.35 $63,956.95 nat. median
$63,957
1.0× median
456
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 $15,274.23 $205,066.69 $63,741.32 nat. median
$76,493
0.8× median

Other procedures at this hospital

Browse this hospital's 89,353 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 26 — — $129,813.11 $1,801,838.43 $344,695.74 2026-05-27
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 2 — — $307,539.14 $344,443.83 $325,991.48 2026-05-27
7 OTHER Lung Transplant 24 24 — — $30,094.85 $1,362,593.74 $222,701.89 2026-05-27
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 26 26 — — $11,433.90 $582,671.90 $219,657.20 2026-05-27
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 27 — — $14,249.43 $444,254.87 $167,484.63 2026-05-27
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 27 — — $12,090.21 $441,655.93 $166,505.03 2026-05-27
51905029-4124794 OTHER 30237-8900-06 - Sipuleucel-t - Susp 22 19 $212,448.00 $82,854.72 61% off $44,614.08 $201,825.60 $149,754.59 2026-05-27
102534551-4119659 OTHER 71336-1001-01 - Givosiran 189 mg/mL Soln 22 19 $195,000.00 $76,050.00 61% off $40,950.00 $185,250.00 $137,455.50 2026-05-27
103958919-4124798 OTHER 69866-1030-08 - Autologous Cultured Chondrocytes 1 22 19 $191,923.20 $74,850.05 61% off $40,303.87 $182,327.04 $135,286.66 2026-05-27
103958918-4124798 OTHER 69866-1030-05 - Autologous Cultured Chondrocytes 1 22 19 $191,923.20 $74,850.05 61% off $40,303.87 $182,327.04 $135,286.66 2026-05-27
1279402-4119659 OTHER 00003-2328-22 - Ipilimumab Soln 22 19 $175,415.65 $68,412.10 61% off $36,837.29 $166,644.87 $123,650.49 2026-05-27
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 27 — — $8,214.98 $598,003.10 $108,856.75 2026-05-27
95367892-4119659 OTHER 60809-0801-01 - Pegloticase 8 mg/mL Soln 22 19 $142,957.60 $55,753.46 61% off $30,021.10 $135,809.72 $100,770.82 2026-05-27
1286149-4119659 OTHER 54396-0801-01 - Pegloticase Soln 22 19 $142,957.60 $55,753.46 61% off $30,021.10 $135,809.72 $100,770.82 2026-05-27
14 OTHER Allogeneic Bone Marrow Transplant 25 25 — — $7,371.16 $250,681.79 $93,661.33 2026-05-27
94990000-4119659 OTHER 57894-0061-03 - Ustekinumab 90 mg/mL Soln 22 19 $129,608.45 $50,547.30 61% off $27,217.77 $123,128.03 $91,360.99 2026-05-27
127260891-4496069 OTHER S-ins-rep Pace-defib[nmro] 22 19 $128,612.00 $50,158.68 61% off $27,008.52 $122,181.40 $90,658.60 2026-05-27
1282361-4119659 OTHER 57665-0002-02 - Pegaspargase 3750. Soln 22 19 $127,691.20 $49,799.57 61% off $26,815.15 $121,306.64 $90,009.52 2026-05-27
1282362-4119659 OTHER 54482-0301-01 - Pegaspargase 3750. Soln 22 19 $127,691.20 $49,799.57 61% off $26,815.15 $121,306.64 $90,009.52 2026-05-27
99090561-4119659 OTHER 72694-0954-01 - Pegaspargase 3,750 IntlUnit(s) / 5 22 19 $127,691.20 $49,799.57 61% off $26,815.15 $121,306.64 $90,009.52 2026-05-27
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 24 — — $16,852.47 $474,318.76 $88,751.43 2026-05-27
212 OTHER Hip & Femur Procedures Except Major Joint Age 0-17 27 27 — — $6,897.06 $226,957.51 $83,134.62 2026-05-27
127538326-4124794 OTHER 00310-4535-30 - Tremelimumab Actl 20 mg/mL Soln 22 19 $116,836.20 $45,566.12 61% off $24,535.60 $110,994.39 $82,357.83 2026-05-27
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 24 24 — — $9,405.02 $298,344.34 $80,801.84 2026-05-27
215 OTHER Other Heart Assist System Implant 27 27 — — $29,932.04 $211,131.02 $78,410.37 2026-05-27
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 27 — — $12,567.49 $204,322.24 $77,048.49 2026-05-27
112512821-4496069 OTHER S-per Ins Lh Vad Art[nmro] 22 19 $105,376.00 $41,096.64 61% off $22,128.96 $100,107.20 $74,279.54 2026-05-27
113233796-4496069 OTHER S-per Ins Rh Vad Art[nmro] 22 19 $105,376.00 $41,096.64 61% off $22,128.96 $100,107.20 $74,279.54 2026-05-27
134322469-4119664 OTHER 99999-1029-52 - Skin Substitute 50.27 Cm2 Misc 22 19 $96,453.00 $37,616.67 61% off $20,255.13 $91,630.35 $67,989.72 2026-05-27
101891901-4124794 OTHER 72187-0401-01 - Tagraxofusp 1000 mcg/mL Soln 22 19 $96,447.57 $37,614.55 61% off $20,253.99 $91,625.19 $67,985.89 2026-05-27
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 23 23 — — $269.28 $185,210.87 $67,842.81 2026-05-27
114133901-4496069 OTHER Medt-vlv Aor Evolut Pro 29[nmro] 23 20 $95,399.00 $37,205.61 61% off $9,539.90 $90,629.05 $66,760.22 2026-05-27
114134068-4496069 OTHER Medt-vlv Aor Evolut Pro 26[nmro] 23 20 $95,399.00 $37,205.61 61% off $9,539.90 $90,629.05 $66,760.22 2026-05-27
114133701-4496069 OTHER Medt-vlv Aor Evolut R Prcn 23[nmro] 23 20 $95,399.00 $37,205.61 61% off $9,539.90 $90,629.05 $66,760.22 2026-05-27
114133702-4496069 OTHER Medt-vlv Aor Evolut R 34[nmro] 23 20 $95,399.00 $37,205.61 61% off $9,539.90 $90,629.05 $66,760.22 2026-05-27
114530893-4496069 OTHER Edwa-kit Vlv Cmndr Aor Trscth 23[nmro] 23 20 $95,399.00 $37,205.61 61% off $9,539.90 $90,629.05 $66,760.22 2026-05-27
114134069-4496069 OTHER Medt-vlv Aor Evolut Pro 23[nmro] 23 20 $95,399.00 $37,205.61 61% off $9,539.90 $90,629.05 $66,760.22 2026-05-27
114133592-4496069 OTHER Medt-vlv Aor Evolut R Prcn 26[nmro] 23 20 $95,399.00 $37,205.61 61% off $9,539.90 $90,629.05 $66,760.22 2026-05-27
114133596-4496069 OTHER Medt-vlv Aor Evolut R Prcn 29[nmro] 23 20 $95,399.00 $37,205.61 61% off $9,539.90 $90,629.05 $66,760.22 2026-05-27
231 OTHER Coronary Bypass With Ptca With Mcc 27 27 — — $14,579.48 $196,912.99 $66,471.52 2026-05-27
114134823-4496069 OTHER Abio-set Vntrc Impella 2.5 9f[nmro] 23 20 $93,015.00 $36,275.85 61% off $9,301.50 $88,364.25 $65,091.90 2026-05-27
114698688-4496069 OTHER Dsc-use #2358147 Pmp Set Impella Rp US 11f-use 235 23 20 $93,015.00 $36,275.85 61% off $9,301.50 $88,364.25 $65,091.90 2026-05-27
114133757-4496069 OTHER Bost-defib Emblem MRI S-icd 12.7mm[nmro] 23 20 $93,015.00 $36,275.85 61% off $9,301.50 $88,364.25 $65,091.90 2026-05-27
114697104-4496069 OTHER Dev Impella Cp 14frx04.7x75mm - 0048-0003[nmro] 23 20 $93,015.00 $36,275.85 61% off $9,301.50 $88,364.25 $65,091.90 2026-05-27
114134012-4496069 OTHER Biot-defib Card Iperia 7 Promri Lf[nmro] 23 20 $92,750.00 $36,172.50 61% off $9,275.00 $88,112.50 $64,906.45 2026-05-27
112512820-4496069 OTHER S-rem-rep Cvd Mult[nmro] 22 19 $90,998.00 $35,489.22 61% off $19,109.58 $86,448.10 $64,144.49 2026-05-27
112512818-4496069 OTHER S-rem-rep Cvd Single[nmro] 22 19 $90,998.00 $35,489.22 61% off $19,109.58 $86,448.10 $64,144.49 2026-05-27
112512819-4496069 OTHER S-rem-rep Cvd Dual[nmro] 22 19 $90,998.00 $35,489.22 61% off $19,109.58 $86,448.10 $64,144.49 2026-05-27
105646369-4119659 OTHER 00078-0734-61 - Canakinumab 150 mg/mL Soln 22 19 $90,731.95 $35,385.46 61% off $19,053.71 $86,195.35 $63,956.95 2026-05-27
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 27 — — $15,274.23 $205,066.69 $63,741.32 2026-05-27
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 27 — — $10,480.49 $243,925.75 $62,084.85 2026-05-27
969 OTHER HIV With Extensive O.r. Procedures With Mcc 27 27 — — $16,701.48 $466,757.95 $61,661.89 2026-05-27
96694815-4119659 OTHER 50242-0150-01 - Ocrelizumab 300 Mg/10 Ml Soln 22 19 $86,477.90 $33,726.38 61% off $18,160.36 $82,154.00 $60,958.27 2026-05-27
100575164-4119659 OTHER 47335-0177-95 - Tildrakizumab 100 mg/mL Soln 22 19 $86,066.70 $33,566.01 61% off $18,074.01 $81,763.36 $60,668.42 2026-05-27
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 27 — — $14,817.76 $190,532.20 $60,595.52 2026-05-27
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 27 — — $15,142.71 $159,984.93 $60,336.73 2026-05-27
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 27 — — $10,547.20 $159,460.20 $59,743.92 2026-05-27
99247005-4119659 OTHER 75987-0130-15 - Teprotumumab Trbw 500 Mg Powder 22 19 $81,795.35 $31,900.19 61% off $17,177.02 $77,705.58 $57,657.54 2026-05-27
114134876-4496069 OTHER Micr-impl Plv Mcprt Cstm Lt Nadaud[nmro] 23 20 $81,554.00 $31,806.06 61% off $8,155.40 $77,476.30 $57,071.49 2026-05-27
112584585-4496069 OTHER Medt-algrf Thrd Dwl Mdii Frzn 22x23[nmro] 23 20 $81,554.00 $31,806.06 61% off $8,155.40 $77,476.30 $57,071.49 2026-05-27
126888307-4496069 OTHER Abbo-cap-impl Spne Ttl Abbt[nmro] 23 20 $81,554.00 $31,806.06 61% off $8,155.40 $77,476.30 $57,071.49 2026-05-27
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 27 — — $12,673.41 $149,307.19 $56,312.05 2026-05-27
112584302-4496069 OTHER Medt-tbg Prfsn Strl 8 Ft Thk3/32[nmro] 22 19 $79,500.00 $31,005.00 61% off $16,695.00 $75,525.00 $56,039.55 2026-05-27
113520412-4496069 OTHER Liva-kit Bld Pmp Prtkdu Lfsprc 29[nmro] 22 19 $79,500.00 $31,005.00 61% off $16,695.00 $75,525.00 $56,039.55 2026-05-27
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 25 — — $10,312.41 $149,394.34 $55,817.66 2026-05-27
114133507-4496069 OTHER Bost-defib Crd Enrgn Dr 2ch Df1[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
114133505-4496069 OTHER Bost-defib Crd Tlgn Dr 2ch Df1 31.5[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
114133107-4496069 OTHER Abbo-defib Crd Frtfy Dr 2ch Df1 35[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
114133393-4496069 OTHER Bost-defib Crd Tlgn Vr 1ch Is1/df1[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
114134726-4496069 OTHER Medt-defib Crd Rsyn Cblt Xtrme Hf[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
114133826-4496069 OTHER Abbo-defib Crd Frtfy Icd 1ch Df4 35[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
114134159-4496069 OTHER Biot-defib Hf-t Df-1 Iperia[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
114134100-4496069 OTHER Biot-defib Card Iperia 7 Promri[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
114134200-4496069 OTHER Biot-defib Card Ilivia 7 Df-4 Conn[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
114133752-4496069 OTHER Biot-defib Card Invntr 7 Prmri Vr-t[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
114132755-4496069 OTHER Medt-defib Crd Evr Xt 1ch Icd Df4[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
114133753-4496069 OTHER Biot-defib Promri Dr-t Df4 Iperia[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
114133148-4496069 OTHER Abbo-defib Crd Unfy Frtfy 2ch Df4[nmro] 23 20 $79,500.00 $31,005.00 61% off $7,950.00 $75,525.00 $55,634.10 2026-05-27
101883920-4124794 OTHER 79952-0110-01 - Loncastuximab Tesirine 10 Mg Injec 22 19 $78,900.03 $30,771.01 61% off $16,569.01 $74,955.03 $55,616.63 2026-05-27
113702300-4496069 OTHER Medt-nrstm Impl Restoreultra Suresc[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702307-4496069 OTHER Axon-nrstm Impl Scrl Nrv Model 1101[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702306-4496069 OTHER Axon-impl Urn Ctrl Axnc Snm Bsc Trl[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
112584226-4496069 OTHER Medt-nrstm Impl 1.9inx.6in Rstr Ult[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702310-4496069 OTHER Medt-kit Nrstm Intstm Mic (4pc)[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702313-4496069 OTHER Medt-nrstm Instm X Chrg Fr 44x51[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
112584227-4496069 OTHER Medt-nrstm Impl 1.9inx.6in Rstradv[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702299-4496069 OTHER Medt-nrstm Impl Rstrsnsr Strl 54x54[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702314-4496069 OTHER Axon-impl Sys Intstm Ful Pkg Rchrg[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702312-4496069 OTHER Bost-kit Ipg Wvwrtr Alph Prm 16[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702311-4496069 OTHER Medt-kit Intellis MRI Repl[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702305-4496069 OTHER Bost-kit Ipg Spctr Wvwrtr Spnl[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702303-4496069 OTHER Abbo-gntr/nrstmltr Prdg MRI 5.3x4.8[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702301-4496069 OTHER Abbo-sys Chrg Prdg MRI Nrstm[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702302-4496069 OTHER Bost-kit Ipg Prcsn Mntg Mri[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702308-4496069 OTHER Medt-stm Neuro Xtrn Mic Rchrg 14x41[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702298-4496069 OTHER Bost-kit Ipg Prcsn Spctr[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702309-4496069 OTHER Axon-sys Chrgr Nrstm Axonics[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
113702304-4496069 OTHER Abbo-recharger Nrstm Eon Mini Chrg[nmro] 23 20 $78,175.00 $30,488.25 61% off $7,817.50 $74,266.25 $54,706.87 2026-05-27
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 28 28 — — $8,337.50 $192,954.70 $54,603.03 2026-05-27
10 OTHER Pancreas Transplant 24 24 — — $19,792.66 $229,262.26 $53,969.46 2026-05-27
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 27 — — $5,658.28 $150,184.53 $53,947.12 2026-05-27
955 OTHER Craniotomy For Multiple Significant Trauma 27 27 — — $20,234.56 $141,025.06 $53,190.32 2026-05-27
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 27 — — $5,430.35 $340,675.12 $52,269.31 2026-05-27
95048080-4119659 OTHER 47783-0101-01 - Ecallantide 10 mg/mL Soln 22 19 $73,838.15 $28,796.88 61% off $15,506.01 $70,146.24 $52,048.51 2026-05-27
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 27 — — $13,672.10 $137,793.53 $51,972.28 2026-05-27
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 27 — — $19,766.21 $137,793.53 $51,972.28 2026-05-27
1287035-4124794 OTHER 76128-0155-75 - Porfimer 75. Mg Rec Injection 22 19 $73,537.20 $28,679.51 61% off $15,442.81 $69,860.34 $51,836.37 2026-05-27
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 27 — — $8,203.24 $137,297.82 $51,070.02 2026-05-27
459 OTHER Spinal Fusion Except Cervical With Mcc 23 23 — — $269.28 $138,975.81 $50,906.89 2026-05-27
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 28 28 — — $7,619.03 $351,527.56 $50,873.06 2026-05-27
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $47,185.69 $52,847.97 $50,016.83 2026-05-27
613 OTHER Neonate, Birth Weight <750 Grams, Died 2 2 — — $46,726.21 $52,333.36 $49,529.79 2026-05-27
102917747-4124794 OTHER 72493-0103-03 - mitoMYcin 40 Mg Kit 22 19 $69,810.00 $27,225.90 61% off $14,660.10 $66,319.50 $49,209.07 2026-05-27
114134911-4496069 OTHER Med--impl Cclr Flex28 Sychrny 2 Pin[nmro] 23 20 $69,960.00 $27,284.40 61% off $6,996.00 $66,462.00 $48,958.01 2026-05-27
114134120-4496069 OTHER Davo-gft Prcn Xnmtrx Ab Rect 20x25[nmro] 23 20 $69,760.00 $27,206.40 61% off $6,976.00 $66,272.00 $48,818.05 2026-05-27
39400101-4496069 OTHER Lithotripsy Bilateral Eswl 22 19 $69,214.00 $26,993.46 61% off $7,613.00 $65,753.30 $48,788.95 2026-05-27
136724118-4496069 OTHER S-perc Removal Vad Left Heart[nmro] 22 19 $68,781.00 $26,824.59 61% off $14,444.01 $65,341.95 $48,483.73 2026-05-27
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 27 — — $18,422.77 $128,524.11 $48,478.42 2026-05-27
232 OTHER Coronary Bypass With Ptca Without Mcc 27 27 — — $14,550.72 $127,159.30 $47,964.00 2026-05-27
276 OTHER Non-maligant Breast Disorders 27 27 — — $18,056.62 $125,997.77 $47,526.19 2026-05-27
98138807-4119664 OTHER 99999-0920-90 - Meshed Bilayer Wound Matrix 500 Cm 22 19 $67,216.25 $26,214.34 61% off $14,115.41 $63,855.44 $47,380.74 2026-05-27
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 23 23 — — $269.28 $128,273.15 $46,986.50 2026-05-27
102525788-4119659 OTHER 25682-0028-01 - Ravulizumab 100 mg/mL Soln 37 34 $117,406.65 $24,655.40 79% off $4,906.65 $111,536.32 $46,962.66 2026-05-27
103469064-4124794 OTHER 00008-0100-01 - Inotuzumab Ozogamicin 0.9 Mg Powde 22 19 $66,613.08 $25,979.10 61% off $13,988.75 $63,282.43 $46,955.56 2026-05-27
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 25 25 — — $5,829.53 $124,402.71 $46,924.97 2026-05-27
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 27 27 — — $15,776.79 $123,135.42 $46,447.30 2026-05-27
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 27 — — $9,136.47 $123,056.58 $46,417.58 2026-05-27
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 27 — — $3,228.78 $124,688.98 $46,137.67 2026-05-27
28 OTHER Spinal Procedures With Mcc 27 27 — — $8,820.00 $126,033.04 $45,729.78 2026-05-27
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 27 — — $17,591.16 $125,095.53 $45,622.39 2026-05-27
112512906-4496069 OTHER Abbo-generator Nrstm Gnsis Dl 4 Chn[nmro] 23 20 $65,164.00 $25,413.96 61% off $6,516.40 $61,905.80 $45,601.77 2026-05-27
113719856-4496069 OTHER Abbo-gntr Pls Prclm Xr7 Impl 10n[nmro] 23 20 $65,164.00 $25,413.96 61% off $6,516.40 $61,905.80 $45,601.77 2026-05-27
113719728-4496069 OTHER Medt-nrstm Impl 1.9inx2.6in Activa[nmro] 23 20 $65,164.00 $25,413.96 61% off $6,516.40 $61,905.80 $45,601.77 2026-05-27
113719729-4496069 OTHER Axon-nrstm Nrv Non Rchrg F-15 Axnc[nmro] 23 20 $65,164.00 $25,413.96 61% off $6,516.40 $61,905.80 $45,601.77 2026-05-27
113719857-4496069 OTHER Abbo-system Nrstm 4.8x6.5cm Axium 1[nmro] 23 20 $65,164.00 $25,413.96 61% off $6,516.40 $61,905.80 $45,601.77 2026-05-27
113719858-4496069 OTHER Abbo-gntr Nrstm Prclm 5 Elite Ipg[nmro] 23 20 $65,164.00 $25,413.96 61% off $6,516.40 $61,905.80 $45,601.77 2026-05-27
112514642-4496069 OTHER Cybe-generator Nrstm 52.2x51.6x6.9m[nmro] 23 20 $65,164.00 $25,413.96 61% off $6,516.40 $61,905.80 $45,601.77 2026-05-27
112512907-4496069 OTHER Abbo-generator Nrstm Gnsis Xp Lmb 2[nmro] 23 20 $65,164.00 $25,413.96 61% off $6,516.40 $61,905.80 $45,601.77 2026-05-27
113719855-4496069 OTHER Medt-nrstm Nr MRI Prmdv Srscn[nmro] 23 20 $65,164.00 $25,413.96 61% off $6,516.40 $61,905.80 $45,601.77 2026-05-27
113719730-4496069 OTHER Medt-nrstm Rchrg Free Vanta[nmro] 23 20 $65,164.00 $25,413.96 61% off $6,516.40 $61,905.80 $45,601.77 2026-05-27
106693419-4119659 OTHER 57894-0640-11 - Guselkumab 100 mg/mL Soln 22 19 $64,577.90 $25,185.38 61% off $13,561.36 $61,349.00 $45,520.96 2026-05-27
128043651-4119659 OTHER 57894-0640-01 - Guselkumab 100 mg/mL Soln 22 19 $64,577.90 $25,185.38 61% off $13,561.36 $61,349.00 $45,520.96 2026-05-27
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 27 — — $9,425.97 $180,755.54 $45,366.08 2026-05-27
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 28 — — $7,274.91 $196,204.62 $45,125.28 2026-05-27
6 OTHER Liver Transplant Without Mcc 24 24 — — $12,225.89 $386,194.06 $44,609.53 2026-05-27
132289860-4119659 OTHER 57894-0650-02 - Guselkumab 200 Mg/20 Ml Soln 22 19 $63,275.30 $24,677.37 61% off $13,287.81 $60,111.54 $44,602.76 2026-05-27
114134944-4496069 OTHER Bost-sys Acc Wtchmn Fxd Crv Dbl 4.2[nmro] 23 20 $63,250.20 $24,667.58 61% off $6,325.02 $60,087.69 $44,262.49 2026-05-27
114134976-4496069 OTHER Bost-oclr Cv Wtchmn Flx Lt 27mm[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
114134973-4496069 OTHER Bost-sys Acc Watchman Laa Proc[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
114135012-4496069 OTHER Bost-oclr Cv Wtchmn Flx Lt 31mm[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
114134917-4496069 OTHER Bost-sys Dlv Wtchmn Laa Clsr 21mm[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
114134914-4496069 OTHER Bost-dev Clsr Laa US Wtchmn 30mm[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
114134916-4496069 OTHER Bost-dev Clsr Laa US Wtchmn 33mm[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
114135013-4496069 OTHER Bost-oclr Cv Wtchmn Flx Lt 35mm[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
114134912-4496069 OTHER Bost-dev Clsr Laa US Wtchmn 24mm[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
114135014-4496069 OTHER Bost-kit Proc Wtchmn Flx Laa Clsr[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
114134913-4496069 OTHER Bost-dev Clsr Laa US Wtchmn 27mm[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
114134974-4496069 OTHER Bost-oclr Cv Wtchmn Flx Lt 20mm[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
114134972-4496069 OTHER Bost-dev Proc Watchmann Laa[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
114134975-4496069 OTHER Bost-oclr Cv Wtchmn Flx Lt 24mm[nmro] 23 20 $63,250.00 $24,667.50 61% off $6,325.00 $60,087.50 $44,262.35 2026-05-27
8 OTHER Simultaneous Pancreas And Kidney Transplant 24 24 — — $11,594.39 $372,922.45 $44,172.06 2026-05-27
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 27 — — $14,975.49 $235,608.29 $43,745.39 2026-05-27
134313789-4119664 OTHER 99999-1029-49 - Skin Substitute 19.64 Cm2 Misc 22 19 $61,992.00 $24,176.88 61% off $13,018.32 $58,892.40 $43,698.16 2026-05-27
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 27 27 — — $6,427.74 $115,280.56 $43,486.62 2026-05-27
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 27 — — $14,957.14 $114,716.43 $43,273.99 2026-05-27
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 27 — — $10,334.40 $141,841.26 $43,206.74 2026-05-27
99090581-4119659 OTHER 59572-0775-01 - Luspatercept 75 Mg Powder 22 19 $61,056.01 $23,811.84 61% off $12,821.76 $58,003.21 $43,038.38 2026-05-27
114134611-4496069 OTHER Bard-cath Blndl Ltnx 018 6x300x130[nmro] 23 20 $61,390.00 $23,942.10 61% off $6,139.00 $58,320.50 $42,960.72 2026-05-27
114134610-4496069 OTHER Bard-cath Blndl Ltnx 018 5x300x130[nmro] 23 20 $61,390.00 $23,942.10 61% off $6,139.00 $58,320.50 $42,960.72 2026-05-27
213 OTHER Splenic Procedures Age 0-17 2 2 — — $40,245.16 $45,074.58 $42,659.87 2026-05-27
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 25 25 — — $9,795.82 $114,085.85 $42,625.48 2026-05-27
40478647-4496069 OTHER Lithotripsy 22 19 $60,206.00 $23,480.34 61% off $7,613.00 $57,195.70 $42,439.21 2026-05-27
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 27 — — $16,031.09 $112,022.06 $42,258.42 2026-05-27
112584232-4496069 OTHER Medt-pmp It Snchr Ii Rsrv 20ml[nmro] 23 20 $60,334.00 $23,530.26 61% off $6,033.40 $57,317.30 $42,221.73 2026-05-27
278 OTHER Cellulitis Age >17 Without Cc 27 27 — — $9,091.49 $116,863.14 $41,985.59 2026-05-27
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 27 — — $8,639.14 $232,750.22 $41,953.54 2026-05-27
270 OTHER Other Major Cardiovascular Procedures With Mcc 27 27 — — $4,125.54 $110,850.18 $41,816.71 2026-05-27
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 27 27 — — $8,462.10 $114,878.18 $41,685.42 2026-05-27
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 28 28 — — $12,291.98 $171,228.67 $41,262.42 2026-05-27
653 OTHER Major Bladder Procedures With Mcc 27 27 — — $7,095.88 $272,555.50 $41,192.05 2026-05-27
127476673-4119664 OTHER 99999-1026-57 - Skin Substitute 325 Cm2 Misc 22 19 $58,256.10 $22,719.88 61% off $12,233.78 $55,343.29 $41,064.73 2026-05-27
96754854-4119659 OTHER 00074-9694-03 - Leuprolide 30 Mg/3 Months Kit 22 19 $57,623.15 $22,473.03 61% off $12,100.86 $54,741.99 $40,618.56 2026-05-27
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 27 — — $15,151.49 $105,953.07 $39,970.88 2026-05-27
112512830-4496069 OTHER Cc-rvsc Ivl Stent[nmro] 22 19 $56,415.00 $22,001.85 61% off $11,847.15 $53,594.25 $39,766.93 2026-05-27
228 OTHER Other Cardiothoracic Procedures With Mcc 27 27 — — $12,954.05 $104,028.26 $39,245.37 2026-05-27
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 27 — — $12,814.75 $103,845.73 $39,176.57 2026-05-27
114133696-4496069 OTHER Meri-gft Stnt Afx2 2brch 80x16x40mm[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133695-4496069 OTHER Meri-gft Stnt Afx2 2brch 60x40x22mm[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133299-4496069 OTHER W L -gft Leg C3 Ipsl 31x14.5x15[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133554-4496069 OTHER Wl G-gft Leg Xcldr Ipsl 23x14.5x12[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133295-4496069 OTHER W L -gft Leg C3 Ipsl 26x14.5x16[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133294-4496069 OTHER W L -gft Leg C3 Ipsl 26x14.5x14[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134846-4496069 OTHER Wl G-eprsth Xcldr Aaa 32x14.5x14 18[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134844-4496069 OTHER Wl G-trnkipsl Xcldr Aaa 19-21x23[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134845-4496069 OTHER Wl G-eprsth Xcldr Aaa 26x14.5x12 16[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134799-4496069 OTHER Teru-sys Stnt Gft Rlyypro 40x204x22[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134783-4496069 OTHER Wl G-eprsth Xcldr Aaa 36x14.5x14 18[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133848-4496069 OTHER Meri-stnt Gft Evas Afx2 22x70x16x30[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134696-4496069 OTHER Meri-sys Gft Alto Abd Stnt 23[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134648-4496069 OTHER Wl G-gft Stnt Thor Tg Sys 40x40x15[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134609-4496069 OTHER Bard-cath Blndl Ltnx 018 4x300x130[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134501-4496069 OTHER Bard-cath Bln DRG Ltnx 4x220 130[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134843-4496069 OTHER Wl G-eprsth Xcldr Aaa 20x14.5x12 15[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134451-4496069 OTHER Wl G-gft Evas Xcldr Aaa 26x16x16[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134547-4496069 OTHER Life-graft St Tis Rl Trochlea[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134371-4496069 OTHER Bard-cath Bln DRG Ltnx 6x150 130[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134327-4496069 OTHER Medt-cath Bln Admrl 130cm 200mm 5mm[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134331-4496069 OTHER Medt-cath Bln Inpactadmrl 130x250x5[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134308-4496069 OTHER Bard-cath Pta Lutonix 5x220x130 5fr[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133555-4496069 OTHER Wl G-gft Leg C3 Ipsl 28.5x14.5x12[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134102-4496069 OTHER Meri-gft Stnt Afx2 2brch 110x30x28[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134048-4496069 OTHER Meri-gft Stnt 3vsclr Ov Prm 80 12f[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134066-4496069 OTHER Meri-stnt Gft Evas Afx2 22x90x16x30[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133850-4496069 OTHER Meri-gft Stnt Afx2 2brch 100x40x20[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134044-4496069 OTHER Meri-gft Stnt Afx2 2 Brch 110x25x16[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134046-4496069 OTHER Meri-gft Stnt Afx2 2 Brch 80x28x16[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133943-4496069 OTHER Wl G-gft Evas Gore Ilc Brch 14.5x10[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134045-4496069 OTHER Meri-gft Stnt Afx2 2brch 100x16x40[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114134201-4496069 OTHER Wl G-gft Evas Xcldr Ilc Brch 12x10[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133882-4496069 OTHER Medt-gft Stnt Tpr Vlnt 32x28x150[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133847-4496069 OTHER Meri-gft Stnt Afx2 2brch 80x40x20mm[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133774-4496069 OTHER Wl G-gft Evas Xcldr Ilc Brch 10x10[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133697-4496069 OTHER Meri-gft Stnt Afx2 2brch 80x20x40mm[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133568-4496069 OTHER Wl G-gft Leg Xcldr Ipsl 26x14.5x18[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133566-4496069 OTHER Wl G-gft Trnk Xcldr Ipslleg 28.5x16[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133567-4496069 OTHER Wl G-gft Leg Xcldr Ipsl 35x14.5x16[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133565-4496069 OTHER Wl G-gft Trnk Xcldr Ipsl Leg 26x14[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133556-4496069 OTHER Wl G-gft Evas C3 Ipsl Leg 23x12x16[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133550-4496069 OTHER Wl G-gft Leg Xcldr Ipsl 23x14.5x18[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133563-4496069 OTHER Wl G-gft Trnk Xcldr Ipsl Leg 23x12[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133301-4496069 OTHER W L -gft Leg C3 Ipsl 35x14.5x14[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133300-4496069 OTHER W L -gft Leg C3 Ipsl 31x14.5x17[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133564-4496069 OTHER Wl G-gft Leg Xcldr Ipsl 26x14.5x12[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133922-4496069 OTHER Bard-cath 035 Dcb Av Ltnx 9x60x75[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133296-4496069 OTHER W L -gft Leg C3 Ipsl 28.5x14.5x14[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133293-4496069 OTHER W L -gft Leg C3 Ipsl 23x14.5x16[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133297-4496069 OTHER W L -gft Leg C3 Ipsl 28.5x14.5x16[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133292-4496069 OTHER W L -eprsth Xcldr Trnkipsl 23x12x14[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133298-4496069 OTHER W L -gft Leg C3 Ipsl 31x14.5x13[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133923-4496069 OTHER Bard-cath 035 Dcb Av Ltnx 10x60x75[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133093-4496069 OTHER Meri-gft Stnt Ov9 Aor Bdy 12/14f 29[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133056-4496069 OTHER Bard-cath Pta Lutonix 6x150x130 5fr[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133033-4496069 OTHER Bard-cath 035 Dcb Ltnx 5x150x130[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
114133385-4496069 OTHER Meri-gft Stnt Afx2 2brch 80x40x16mm[nmro] 23 20 $55,809.00 $21,765.51 61% off $5,580.90 $53,018.55 $39,055.14 2026-05-27
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 28 — — $14,795.27 $123,431.49 $39,044.45 2026-05-27
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 27 — — $8,020.18 $103,070.00 $38,884.18 2026-05-27
114134634-4496069 OTHER Nevr-chrgr Kit Senza Ipg Thrpy Hf10[nmro] 24 21 $56,429.00 $22,007.31 61% off $5,642.90 $53,607.55 $38,738.51 2026-05-27
114134379-4496069 OTHER Nevr-kit Nrstm Senza2 3tsla 1.5tsla[nmro] 24 21 $56,429.00 $22,007.31 61% off $5,642.90 $53,607.55 $38,738.51 2026-05-27
114133779-4496069 OTHER Nevr-kit Impl Ipg Senza Pls Gntr[nmro] 24 21 $56,429.00 $22,007.31 61% off $5,642.90 $53,607.55 $38,738.51 2026-05-27
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 27 27 — — $8,255.17 $240,081.89 $38,409.50 2026-05-27
114134892-4496069 OTHER Sage-msh Hrn Ovtx 2s Perm 25x40[nmro] 23 20 $54,740.00 $21,348.60 61% off $5,474.00 $52,003.00 $38,307.05 2026-05-27
114134042-4496069 OTHER Davo-gft Prcn Xnmtrx Rect 20x25[nmro] 23 20 $54,740.00 $21,348.60 61% off $5,474.00 $52,003.00 $38,307.05 2026-05-27
114133500-4496069 OTHER Davo-gft Prcn Xnmtrx Rect 19x35[nmro] 23 20 $54,740.00 $21,348.60 61% off $5,474.00 $52,003.00 $38,307.05 2026-05-27
114133251-4496069 OTHER Davo-gft Prcn Xnmtrx Ab Rect 15x20[nmro] 23 20 $54,740.00 $21,348.60 61% off $5,474.00 $52,003.00 $38,307.05 2026-05-27
114133223-4496069 OTHER Bard-msh St Phasix 10x12in Rect[nmro] 23 20 $54,740.00 $21,348.60 61% off $5,474.00 $52,003.00 $38,307.05 2026-05-27
114133231-4496069 OTHER Davo-gft Prcn Xnmtrx Ab Rect 15x25[nmro] 23 20 $54,740.00 $21,348.60 61% off $5,474.00 $52,003.00 $38,307.05 2026-05-27
114133122-4496069 OTHER Davo-gft Prcn Xnmtrx Sq Clgn 20x20[nmro] 23 20 $54,740.00 $21,348.60 61% off $5,474.00 $52,003.00 $38,307.05 2026-05-27
114133203-4496069 OTHER Davo-gft Prcn Xnmtrx Ab Rect 19x35[nmro] 23 20 $54,740.00 $21,348.60 61% off $5,474.00 $52,003.00 $38,307.05 2026-05-27
98160744-4119664 OTHER 18474-0000-12 - Collagen-antimicrobial Sheet 128 C 22 19 $53,760.00 $20,966.40 61% off $11,289.60 $51,072.00 $37,895.43 2026-05-27
95380079-4122677 OTHER 00169-7208-01 - Coagulation Factor VIIa 8000 Mcg ( 22 19 $53,670.75 $20,931.59 61% off $11,270.86 $50,987.21 $37,832.51 2026-05-27
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 27 — — $3,333.04 $105,029.69 $37,786.54 2026-05-27
114134438-4496069 OTHER Arti-gft Sft Tis 40-49cm 3-6mm Cryv[nmro] 23 20 $53,945.00 $21,038.55 61% off $5,394.50 $51,247.75 $37,750.71 2026-05-27
114134436-4496069 OTHER Arti-gft Sft Tis 50-59cm Cryvein Sv[nmro] 23 20 $53,945.00 $21,038.55 61% off $5,394.50 $51,247.75 $37,750.71 2026-05-27
114134435-4496069 OTHER Arti-algrf Sft Tis Cryvein Sv 70-79[nmro] 23 20 $53,945.00 $21,038.55 61% off $5,394.50 $51,247.75 $37,750.71 2026-05-27
114134211-4496069 OTHER Lema-gft Vasc Restoreflow Sv 60-69[nmro] 23 20 $53,945.00 $21,038.55 61% off $5,394.50 $51,247.75 $37,750.71 2026-05-27
114134437-4496069 OTHER Arti-gft Sft Tis 80cm 6mm Cryvein S[nmro] 23 20 $53,945.00 $21,038.55 61% off $5,394.50 $51,247.75 $37,750.71 2026-05-27
114134203-4496069 OTHER Lema-gft St Tis Restoreflow Sv[nmro] 23 20 $53,945.00 $21,038.55 61% off $5,394.50 $51,247.75 $37,750.71 2026-05-27
114132778-4496069 OTHER Arti-gft Tiss Live Saph Vein[nmro] 23 20 $53,945.00 $21,038.55 61% off $5,394.50 $51,247.75 $37,750.71 2026-05-27
112512792-4496069 OTHER P-ins Dual Pac Sys[nmro] 22 19 $53,038.00 $20,684.82 61% off $11,137.98 $50,386.10 $37,386.49 2026-05-27
104059220-4119659 OTHER 00074-5015-01 - Risankizumab Rzaa 60 mg/mL Soln 22 19 $53,028.97 $20,681.30 61% off $11,136.08 $50,377.52 $37,380.12 2026-05-27
650 OTHER Kidney Transplant With Hemodialysis With Mcc 25 25 — — $3,157.26 $149,087.92 $37,322.15 2026-05-27
98898725-4124794 OTHER 50242-0105-01 - Polatuzumab Vedotin 140 Mg Powder 22 19 $52,555.44 $20,496.62 61% off $11,036.64 $49,927.67 $37,046.33 2026-05-27
471 OTHER Cervical Spinal Fusion With Mcc 27 27 — — $11,433.49 $245,282.27 $36,858.98 2026-05-27
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 27 — — $4,827.89 $295,036.80 $36,675.49 2026-05-27
277 OTHER Cellulitis Age >17 W Cc 27 27 — — $11,179.58 $146,734.56 $36,674.02 2026-05-27
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 27 — — $5,351.13 $107,371.09 $36,410.56 2026-05-27
40256775-4119659 OTHER 44087-8822-01 - Interferon Beta-1a - Kit 22 19 $51,507.75 $20,088.02 61% off $10,816.63 $48,932.36 $36,307.81 2026-05-27
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 23 23 — — $269.28 $96,938.78 $36,218.88 2026-05-27
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 27 — — $7,212.42 $98,726.68 $36,163.62 2026-05-27
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 27 — — $7,264.66 $95,758.60 $36,128.35 2026-05-27
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 27 27 — — $11,704.21 $95,717.10 $36,112.71 2026-05-27
113233798-4496069 OTHER Cc-rv Ivl Athr Tb/pe[nmro] 22 19 $51,133.00 $19,941.87 61% off $10,737.93 $48,576.35 $36,043.65 2026-05-27
113233799-4496069 OTHER Cc-rv Ivl Stn Ath Tb[nmro] 22 19 $51,133.00 $19,941.87 61% off $10,737.93 $48,576.35 $36,043.65 2026-05-27
113233797-4496069 OTHER Cc-rv Ivl Stnt Tb/pr[nmro] 22 19 $51,133.00 $19,941.87 61% off $10,737.93 $48,576.35 $36,043.65 2026-05-27
134322695-4119659 OTHER 25682-0007-01 - Sebelipase Alfa 2 mg/mL Soln 22 19 $50,942.80 $19,867.69 61% off $10,697.99 $48,395.66 $35,909.58 2026-05-27
245 OTHER Aicd Generator Procedures 27 27 — — $13,715.17 $96,042.71 $35,795.04 2026-05-27
97083307-4119659 OTHER 55292-0702-55 - Hemin 350 Mg Powder 22 19 $50,697.95 $19,772.20 61% off $10,646.57 $48,163.05 $35,736.99 2026-05-27
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 27 — — $9,661.59 $98,436.32 $35,724.20 2026-05-27
163 OTHER Major Chest Procedures With Mcc 27 27 — — $11,314.02 $289,802.73 $35,605.32 2026-05-27
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 27 27 — — $9,054.38 $93,978.94 $35,457.55 2026-05-27
113233789-4496069 OTHER S-tib Per Rev Stn At[nmro] 22 19 $50,209.00 $19,581.51 61% off $10,543.89 $47,698.55 $35,392.32 2026-05-27
329 OTHER Major Small And Large Bowel Procedures With Mcc 27 27 — — $6,749.72 $102,102.83 $35,198.27 2026-05-27
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $33,059.80 $37,026.98 $35,043.39 2026-05-27
356 OTHER Other Digestive System O.r. Procedures With Mcc 27 27 — — $8,014.21 $208,113.92 $34,909.52 2026-05-27
570 OTHER Skin Debridement With Mcc 27 27 — — $3,545.10 $353,914.40 $34,630.84 2026-05-27
103588949-4119664 OTHER 99999-1024-74 - Skin Substitute 180 Cm2 Misc 22 19 $49,119.00 $19,156.41 61% off $10,314.99 $46,663.05 $34,623.99 2026-05-27
799 OTHER Splenectomy With Mcc 27 27 — — $10,280.80 $95,347.90 $34,604.45 2026-05-27
31 OTHER Ventricular Shunt Procedures With Mcc 27 27 — — $6,674.09 $94,343.97 $34,240.46 2026-05-27
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 28 — — $8,037.12 $90,452.87 $34,128.49 2026-05-27
136255791-4496069 OTHER S-rem-rep Pm Gen Mlt[nmro] 22 19 $47,678.00 $18,594.42 61% off $10,012.38 $45,294.10 $33,608.22 2026-05-27
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