Price Transparencybeta Hospital negotiated rates

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

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Hospital

ASCENSION ST JOHN JANE PHILLIPS

Bartlesville, OK · CCN 370018 · Rates published

61,780 distinct procedures filed
46 distinct payers
2,612,150 rate rows
2026-01-01 last MRF observed
Data quality

2,606,222 of 2,612,150 rate rows are consumer-grade (99.8%)

5,928 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
per-diem day rate — not a per-procedure price 4,555
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 932
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 218
placeholder amount (≤ $0.02) — excluded from medians 126
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 78
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 19
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ok-csv/730606129_jane-phillips-memorial-medical-center-inc_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-17
Content fingerprint dec300c4cf065d92… · 25,844,124 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 $4,192.00 $577,137.15 $256,505.40 nat. median
$359,358
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 33 $4,192.00 $374,538.80 $166,461.69 nat. median
$249,124
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 $4,192.00 $285,348.96 $126,821.76 nat. median
$198,433
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 $4,192.00 $283,674.33 $126,077.48 nat. median
$190,557
0.7× median
787049709
CDM 		Kt Cath Cardv 0.018in 49709 25 $42,403.72 $223,177.50 $100,429.88 nat. median
$100,430
1.0× median
787054488
CDM 		Impella 5.5 S2 54488 25 $40,668.01 $214,042.15 $96,318.97 nat. median
$96,319
1.0× median
787057550
CDM 		Sentiva Duo 1000d Vol 10cc 57550 25 $35,986.64 $189,403.35 $85,231.51 nat. median
$85,232
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 $4,192.00 $185,123.65 $82,277.18 nat. median
$126,722
0.6× median
7
MS_DRG 		Lung Transplant 33 $4,192.00 $173,079.14 $76,924.06 nat. median
$117,894
0.7× median
787057126
CDM 		Valve Aortic Sys 26mm 57126 25 $32,038.37 $168,623.00 $75,880.35 nat. median
$75,880
1.0× median
787055659
CDM 		Valve Aortic Trnscth 29mm 55659 25 $32,038.37 $168,623.00 $75,880.35 nat. median
$75,880
1.0× median
835055659
CDM 		Valve Aortic Trnscth 29mm 55659 25 $32,038.37 $168,623.00 $75,880.35 nat. median
$75,880
1.0× median
835055892
CDM 		Valve Aortic Trnscth 23mm 55892 25 $32,038.37 $168,623.00 $75,880.35 nat. median
$75,880
1.0× median
787055046
CDM 		Valve Tissue Transcath 26mm 55046 25 $32,038.37 $168,623.00 $75,880.35 nat. median
$75,880
1.0× median
787055892
CDM 		Valve Aortic Trnscth 23mm 55892 25 $32,038.37 $168,623.00 $75,880.35 nat. median
$75,880
1.0× median
787064957
CDM 		Valve Bovine Percardal 23mm 64957 25 $32,038.37 $168,623.00 $75,880.35 nat. median
$75,880
1.0× median
835057126
CDM 		Valve Aortic Sys 26mm 57126 25 $32,038.37 $168,623.00 $75,880.35 nat. median
$75,880
1.0× median
835059407
CDM 		Valve Trnscth Sys 20mm 59407 25 $32,038.37 $168,623.00 $75,880.35 nat. median
$75,880
1.0× median
835042921
CDM 		Device Repair Heart Vlv G4 42921 25 $31,096.06 $163,663.50 $73,648.57 nat. median
$73,649
1.0× median
787031371
CDM 		Sentiva Generator 31371 25 $31,027.28 $163,301.50 $73,485.68 nat. median
$73,486
1.0× median
787035028
CDM 		Valve Aortc Certitude 29mm 35028 25 $30,624.91 $161,183.75 $72,532.69 nat. median
$72,533
1.0× median
787022593
CDM 		Valve Thv Sapien 3 26mm 22593 25 $30,624.91 $161,183.75 $72,532.69 nat. median
$72,533
1.0× median
787022594
CDM 		Valve Thv Sapien 3 29mm 22594 25 $30,624.91 $161,183.75 $72,532.69 nat. median
$72,533
1.0× median
787022231
CDM 		Valve Thv Sapien 3 23mm 22231 25 $30,624.91 $161,183.75 $72,532.69 nat. median
$72,533
1.0× median
787041272
CDM 		Cath Thv Sapien 3 23mm 41272 25 $30,624.91 $161,183.75 $72,532.69 nat. median
$72,533
1.0× median
787041217
CDM 		Cath Thv Sapien 3 26mm 41217 25 $30,624.91 $161,183.75 $72,532.69 nat. median
$72,533
1.0× median
835022594
CDM 		Valve Thv Sapien 3 29mm 22594 25 $30,624.91 $161,183.75 $72,532.69 nat. median
$72,533
1.0× median
835041217
CDM 		Cath Thv Sapien 3 26mm 41217 25 $30,624.91 $161,183.75 $72,532.69 nat. median
$72,533
1.0× median
835041272
CDM 		Cath Thv Sapien 3 23mm 41272 25 $30,624.91 $161,183.75 $72,532.69 nat. median
$72,533
1.0× median
835067640
CDM 		Valve Aortic Trnscth 20mm 67640 25 $30,624.91 $161,183.75 $72,532.69 nat. median
$72,533
1.0× median
787057599
CDM 		Stent Gore 20mm 24fr 15cm 57599 25 $30,153.76 $158,704.00 $71,416.80 nat. median
$71,417
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 33 $4,192.00 $160,618.97 $71,386.21 nat. median
$110,192
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 $4,192.00 $151,449.26 $67,310.78 nat. median
$103,967
0.6× median
209
MS_DRG 		Complex Aortic Arch Procedures 33 $4,192.00 $151,275.51 $67,233.56 nat. median
$92,655
0.7× median
787022535
CDM 		Trans Cath Aortic Valv 22535 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787052520
CDM 		Stent Evlt Fx 29mm Vlv 52520 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787052526
CDM 		Stent Evlt Fx 23mm Vlv 52526 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787041143
CDM 		Valve Aor Transcath 26mm 41143 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787026601
CDM 		Valv Aortic Transcath 34mm 26601 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787017341
CDM 		Transcath Aortic Valve26mm 17341 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
835035692
CDM 		Bd Mitraclip C/d 2nit 1ext 35692 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
835035693
CDM 		Bd Mitraclip C/d 1nit 2ext 35693 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787035693
CDM 		Bd Mitraclip C/d 1nit 2ext 35693 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787028315
CDM 		Valve Aortc Transcath 26mm 28315 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787027583
CDM 		Valve Aortic Trnscath 29mm 27583 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787052524
CDM 		Stent Evlt Fx 34mm Vlv 52524 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787014717
CDM 		Trans Cath Aortic Valv 14717 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787035692
CDM 		Bd Mitraclip C/d 2nit 1ext 35692 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787041534
CDM 		Valve Aor Evolut Pro 29mm 41534 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median
787035691
CDM 		Bd Mitraclip C/d 1nit 1ext 35691 25 $28,269.15 $148,785.00 $66,953.25 nat. median
$66,953
1.0× median

Other procedures at this hospital

Browse this hospital's 61,780 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
             
0051T OTHER Implant Total Heart System 6 6 — — $56,085.13 $56,085.13 $56,085.13 2026-01-01
0052T OTHER Replace Thrc Unit Hrt Syst 6 6 — — $56,085.13 $56,085.13 $56,085.13 2026-01-01
0053T OTHER Replace Implantable Hrt Syst 6 6 — — $56,085.13 $56,085.13 $56,085.13 2026-01-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 5 5 — — $39,738.26 $39,738.26 $39,738.26 2026-01-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 5 5 — — $39,738.26 $39,738.26 $39,738.26 2026-01-01
0283T OTHER Periph Field Stimul Perm 5 5 — — $48,150.35 $48,150.35 $48,150.35 2026-01-01
0312T OTHER Laps Impltj Nstim Vagus 5 5 — — $39,738.26 $39,738.26 $39,738.26 2026-01-01
0313T OTHER Laps Rmvl Nstim Array Vagus 5 5 — — $39,738.26 $39,738.26 $39,738.26 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 37 33 — — $4,192.00 $374,538.80 $166,461.69 2026-01-01
10 MS_DRG Pancreas Transplant 37 33 — — $4,192.00 $95,903.08 $42,623.59 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 37 33 — — $4,192.00 $160,618.97 $71,386.21 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 37 33 — — $4,192.00 $79,250.31 $35,222.36 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 37 33 — — $4,192.00 $577,137.15 $256,505.40 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 37 33 — — $4,192.00 $95,353.76 $42,379.45 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 37 33 — — $4,192.00 $151,449.26 $67,310.78 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 37 33 — — $4,192.00 $105,166.33 $46,740.59 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 33 — — $4,192.00 $85,999.61 $38,222.05 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 37 33 — — $4,192.00 $151,275.51 $67,233.56 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 37 33 — — $4,192.00 $145,332.11 $64,592.05 2026-01-01
215 MS_DRG Other Heart Assist System Implant 37 33 — — $4,192.00 $133,075.08 $59,144.48 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 27 — — $18,736.00 $130,746.89 $58,109.73 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 28 — — $13,440.00 $87,878.74 $39,057.22 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 28 — — $13,440.00 $87,878.74 $39,057.22 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 28 — — $13,440.00 $102,620.32 $45,609.03 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 28 — — $16,493.00 $112,665.42 $50,073.52 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 30 — — $11,000.00 $81,026.51 $36,011.78 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 28 — — $16,493.00 $102,177.92 $45,412.41 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 30 — — $11,000.00 $81,905.92 $36,402.63 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 28 — — $13,440.00 $91,922.99 $40,854.66 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 28 — — $13,440.00 $95,297.63 $42,354.50 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 30 — — $11,000.00 $80,278.07 $35,679.14 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 37 33 — — $4,192.00 $80,300.79 $35,689.24 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 37 33 — — $4,192.00 $283,674.33 $126,077.48 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 37 33 — — $4,192.00 $89,364.91 $39,717.74 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 33 — — $4,192.00 $185,123.65 $82,277.18 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 33 — — $4,192.00 $147,298.10 $65,465.82 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 33 — — $4,192.00 $96,476.42 $42,878.41 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 37 33 — — $4,192.00 $120,413.09 $53,516.93 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 29 28 — — $13,440.00 $89,299.44 $39,688.64 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 28 — — $13,440.00 $112,311.25 $49,916.11 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 30 — — $11,000.00 $79,696.69 $35,420.75 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 37 33 — — $4,192.00 $137,799.61 $61,244.27 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 30 — — $11,000.00 $87,559.31 $38,915.25 2026-01-01
634037227 CDM Stent/athr Fem/pop 1st Bil 37227 47 25 $125,138.50 $46,301.25 63% off $100.00 $125,138.50 $55,060.94 2026-01-01
634055855 CDM System Embolc 17 Sl 6x4.6mm 55855 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
636021789 CDM Sir-spheres Microspheres 21789 48 25 $81,831.75 $30,277.75 63% off $15,548.03 $81,831.75 $36,824.29 2026-01-01
7 MS_DRG Lung Transplant 37 33 — — $4,192.00 $173,079.14 $76,924.06 2026-01-01
781025040 CDM Glucarpidase 1000 Unit Inj 25040 48 25 $120,988.40 $44,765.71 63% off $22,987.80 $120,988.40 $54,444.78 2026-01-01
781051937 CDM Ravulizumab 1100mg/11ml 51937 48 25 $83,368.75 $30,846.44 63% off $15,840.06 $83,368.75 $37,515.94 2026-01-01
787001442 CDM Aorto Iliac Graft 1442 48 25 $94,230.50 $34,865.29 63% off $17,903.79 $94,230.50 $42,403.72 2026-01-01
787001535 CDM Icd Viva S Crt-d D4 1535 48 25 $83,815.55 $31,011.75 63% off $15,924.95 $83,815.55 $37,717.00 2026-01-01
787001736 CDM Neurostimulator Acti 1736 48 25 $87,287.20 $32,296.26 63% off $16,584.57 $87,287.20 $39,279.24 2026-01-01
787007256 CDM Battery Generator 7256 48 25 $131,426.75 $48,627.90 63% off $24,971.08 $131,426.75 $59,142.04 2026-01-01
787010347 CDM Neurostimulator MRI 10347 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787010748 CDM Graft Stent Valiant Thr 10748 48 25 $78,884.35 $29,187.21 63% off $14,988.03 $78,884.35 $35,497.96 2026-01-01
787010927 CDM Graft Stent Thr 26x26x150mm 10927 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787011476 CDM Impella Cp 11476 48 25 $123,987.50 $45,875.38 63% off $23,557.63 $123,987.50 $55,794.38 2026-01-01
787011880 CDM Graft Stent Val Thoracic 11880 48 25 $82,553.40 $30,544.76 63% off $15,685.15 $82,553.40 $37,149.03 2026-01-01
787011902 CDM Graft Stent Val Thr 3838c 11902 48 25 $83,149.50 $30,765.32 63% off $15,798.41 $83,149.50 $37,417.28 2026-01-01
787012473 CDM Graft Stent Valiant 200tu 12473 48 25 $83,116.30 $30,753.03 63% off $15,792.10 $83,116.30 $37,402.33 2026-01-01
787012891 CDM Implantbl Pulse Gen Spectra12891 48 25 $85,799.35 $31,745.76 63% off $16,301.88 $85,799.35 $38,609.71 2026-01-01
787014717 CDM Trans Cath Aortic Valv 14717 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787014718 CDM Trans Cath Aortic Valv 14718 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787016261 CDM Ctag Graft 28x28x10 16261 48 25 $78,280.00 $28,963.60 63% off $14,873.20 $78,280.00 $35,226.00 2026-01-01
787016263 CDM Ctag Graft 31x26x10 16263 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787016264 CDM Ctag Graft 31x31x10 16264 48 25 $78,280.00 $28,963.60 63% off $14,873.20 $78,280.00 $35,226.00 2026-01-01
787016269 CDM Ctag Graft 37x37x10 16269 48 25 $78,280.00 $28,963.60 63% off $14,873.20 $78,280.00 $35,226.00 2026-01-01
787016273 CDM Ctag Graft 40x40x15 16273 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787016958 CDM Graft Stent 34x34x200mm 16958 48 25 $79,793.40 $29,523.56 63% off $15,160.75 $79,793.40 $35,907.03 2026-01-01
787016959 CDM Graft Stent Valiant 16959 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787017231 CDM Graft Stent Valiant Thr 17231 48 25 $78,851.10 $29,174.91 63% off $14,981.71 $78,851.10 $35,483.00 2026-01-01
787017341 CDM Transcath Aortic Valve26mm 17341 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787017854 CDM Generator Pulse Mdl 106 17854 48 25 $136,277.15 $50,422.55 63% off $25,892.66 $136,277.15 $61,324.72 2026-01-01
787022173 CDM Generator Pulse Model 105 22173 48 25 $114,544.65 $42,381.52 63% off $21,763.48 $114,544.65 $51,545.09 2026-01-01
787022231 CDM Valve Thv Sapien 3 23mm 22231 48 25 $161,183.75 $59,637.99 63% off $30,624.91 $161,183.75 $72,532.69 2026-01-01
787022535 CDM Trans Cath Aortic Valv 22535 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787022593 CDM Valve Thv Sapien 3 26mm 22593 48 25 $161,183.75 $59,637.99 63% off $30,624.91 $161,183.75 $72,532.69 2026-01-01
787022594 CDM Valve Thv Sapien 3 29mm 22594 48 25 $161,183.75 $59,637.99 63% off $30,624.91 $161,183.75 $72,532.69 2026-01-01
787023110 CDM Stent Graft 23110 48 25 $78,884.35 $29,187.21 63% off $14,988.03 $78,884.35 $35,497.96 2026-01-01
787023894 CDM Gen Neurostim Model 103 23894 48 25 $126,526.65 $46,814.86 63% off $24,040.06 $126,526.65 $56,936.99 2026-01-01
787023899 CDM Stent Grft Valcap Thoracic 23899 48 25 $78,884.35 $29,187.21 63% off $14,988.03 $78,884.35 $35,497.96 2026-01-01
787023929 CDM Stent Grft Pro V 40x40x200 23929 48 25 $83,149.50 $30,765.32 63% off $15,798.41 $83,149.50 $37,417.28 2026-01-01
787023930 CDM Stent Grft Pro V 42x42x150 23930 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787024481 CDM Impl Cochlear Model Ci522 24481 46 24 $78,174.65 $28,924.62 63% off $14,853.18 $78,174.65 $37,132.96 2026-01-01
787025143 CDM Graft Stent 24x24x150mm 25143 48 25 $78,884.35 $29,187.21 63% off $14,988.03 $78,884.35 $35,497.96 2026-01-01
787025784 CDM Impl Cochlr Electrode Hire 25784 46 24 $83,136.10 $30,760.36 63% off $15,795.86 $83,136.10 $39,489.65 2026-01-01
787026601 CDM Valv Aortic Transcath 34mm 26601 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787026862 CDM Implant Cochlear Flex 28mm 26862 46 24 $81,623.50 $30,200.70 63% off $15,508.47 $81,623.50 $38,771.16 2026-01-01
787026940 CDM Impl Cochlear Synchrony 26940 46 24 $78,087.60 $28,892.41 63% off $14,836.64 $78,087.60 $37,091.61 2026-01-01
787026941 CDM Impl Cochlear Ext Nucleus 26941 46 24 $78,174.65 $28,924.62 63% off $14,853.18 $78,174.65 $37,132.96 2026-01-01
787026986 CDM Generator Stimulator Spnl 26986 48 25 $78,682.50 $29,112.53 63% off $14,949.67 $78,682.50 $35,407.13 2026-01-01
787027069 CDM Grft Stnt Thor 36x36x150mm 27069 48 25 $78,884.35 $29,187.21 63% off $14,988.03 $78,884.35 $35,497.96 2026-01-01
787027583 CDM Valve Aortic Trnscath 29mm 27583 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787027607 CDM Graft Stent Thoracic Aorta 27607 48 25 $78,884.35 $29,187.21 63% off $14,988.03 $78,884.35 $35,497.96 2026-01-01
787027967 CDM Stlimulator Vagal Nerve Lt 27967 48 25 $125,420.25 $46,405.49 63% off $23,829.85 $125,420.25 $56,439.11 2026-01-01
787028298 CDM Valve Aortic Transcath 28298 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787028315 CDM Valve Aortc Transcath 26mm 28315 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787028324 CDM Prodigy MRI Ipg 28324 48 25 $78,682.50 $29,112.53 63% off $14,949.67 $78,682.50 $35,407.13 2026-01-01
787028880 CDM Generator Stimulator Spnl 28880 48 25 $78,682.50 $29,112.53 63% off $14,949.67 $78,682.50 $35,407.13 2026-01-01
787029771 CDM Graft Stent Endoprosthesis 29771 48 25 $78,280.00 $28,963.60 63% off $14,873.20 $78,280.00 $35,226.00 2026-01-01
787029856 CDM Processor Cochlear Implant 29856 46 24 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $37,278.00 2026-01-01
787030615 CDM Implant Cochlear 30615 46 24 $83,136.10 $30,760.36 63% off $15,795.86 $83,136.10 $39,489.65 2026-01-01
787031180 CDM Neurostimulator Pulse Gen 31180 48 25 $82,575.70 $30,553.01 63% off $15,689.38 $82,575.70 $37,159.07 2026-01-01
787031371 CDM Sentiva Generator 31371 48 25 $163,301.50 $60,421.56 63% off $31,027.28 $163,301.50 $73,485.68 2026-01-01
787031443 CDM Kit Pulse Gen Wavewriter 31443 48 25 $89,271.00 $33,030.27 63% off $16,961.49 $89,271.00 $40,171.95 2026-01-01
787031542 CDM Neurostimulator Imp Gen 31542 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787032618 CDM Graft Stent Thor 42x42x150 32618 48 25 $78,884.35 $29,187.21 63% off $14,988.03 $78,884.35 $35,497.96 2026-01-01
787033181 CDM Graft Stent Thor 46x46x200 33181 48 25 $83,149.50 $30,765.32 63% off $15,798.41 $83,149.50 $37,417.28 2026-01-01
787033184 CDM Graft Stent Thor 46x46x150 33184 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787034142 CDM Graft Endo Thorac 31x31x15 34142 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787034193 CDM Graft Endoprosthesis Sys 34193 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787035028 CDM Valve Aortc Certitude 29mm 35028 48 25 $161,183.75 $59,637.99 63% off $30,624.91 $161,183.75 $72,532.69 2026-01-01
787035181 CDM Stent Graft Thoracic 35181 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787035691 CDM Bd Mitraclip C/d 1nit 1ext 35691 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787035692 CDM Bd Mitraclip C/d 2nit 1ext 35692 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787035693 CDM Bd Mitraclip C/d 1nit 2ext 35693 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787035771 CDM Impl Cranial Peek Custm Lg 35771 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787035891 CDM Impl Cochlear Hires Ultra3 35891 46 24 $86,791.25 $32,112.76 63% off $16,490.34 $86,791.25 $41,225.85 2026-01-01
787036004 CDM Graft Stnt Thrac 36x36x200 36004 48 25 $81,486.55 $30,150.02 63% off $15,482.44 $81,486.55 $36,668.95 2026-01-01
787036421 CDM Stent Graft Thoracic Sys 36421 48 25 $98,076.10 $36,288.16 63% off $18,634.46 $98,076.10 $44,134.25 2026-01-01
787036422 CDM Stent Graft Thoracic Sys 36422 48 25 $84,290.45 $31,187.47 63% off $16,015.19 $84,290.45 $37,930.70 2026-01-01
787037041 CDM Icd Defib Amplia MRI 37041 48 25 $87,535.20 $32,388.02 63% off $16,631.69 $87,535.20 $39,390.84 2026-01-01
787037261 CDM Graft Endo Thoracic 37261 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787037312 CDM Impl Custm Peek Cranial Xl 37312 48 25 $90,793.50 $33,593.60 63% off $17,250.76 $90,793.50 $40,857.07 2026-01-01
787037342 CDM Icd Defib Amplia MRI Crt-d 37342 48 25 $87,535.20 $32,388.02 63% off $16,631.69 $87,535.20 $39,390.84 2026-01-01
787037515 CDM Graft Stent Thorac 36x150 37515 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787037717 CDM Cyb Generator Aspr 106 Sr 37717 48 25 $139,609.95 $51,655.68 63% off $26,525.89 $139,609.95 $62,824.48 2026-01-01
787037987 CDM Generator Neurostimulator 37987 48 25 $87,976.60 $32,551.34 63% off $16,715.55 $87,976.60 $39,589.47 2026-01-01
787038138 CDM Impl Cochlear Model Ci632 38138 46 24 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $37,278.00 2026-01-01
787038197 CDM Graft Stent Thorac 38x150 38197 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787038426 CDM Impl Cochlear Model Ci622 38426 46 24 $75,864.00 $28,069.68 63% off $14,414.16 $75,864.00 $36,035.40 2026-01-01
787038556 CDM Graft Stent Thoracic 150mm 38556 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787038622 CDM Graft Stent Thorac 36x320 38622 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787038623 CDM Graft Stent Thoracic 40x36 38623 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787038633 CDM Impl Cochlear Model Ci612 38633 46 24 $75,864.00 $28,069.68 63% off $14,414.16 $75,864.00 $36,035.40 2026-01-01
787039479 CDM Stent Graft Thorac 28x28x10 39479 48 25 $101,704.50 $37,630.67 63% off $19,323.85 $101,704.50 $45,767.03 2026-01-01
787040297 CDM Stent Graft 31x31mm 10cm 40297 48 25 $99,909.15 $36,966.39 63% off $18,982.74 $99,909.15 $44,959.12 2026-01-01
787040299 CDM Stent Graft 31x31mm 20cm 40299 48 25 $99,909.15 $36,966.39 63% off $18,982.74 $99,909.15 $44,959.12 2026-01-01
787040554 CDM Graft Stnt Aorta 174x31-31 40554 48 25 $83,061.75 $30,732.85 63% off $15,781.73 $83,061.75 $37,377.79 2026-01-01
787041067 CDM Graft Stent Throac 34x34x15 41067 48 25 $88,046.05 $32,577.04 63% off $16,728.75 $88,046.05 $39,620.72 2026-01-01
787041143 CDM Valve Aor Transcath 26mm 41143 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787041217 CDM Cath Thv Sapien 3 26mm 41217 48 25 $161,183.75 $59,637.99 63% off $30,624.91 $161,183.75 $72,532.69 2026-01-01
787041260 CDM Imp Cochlear Hires Ultra3d 41260 46 24 $86,791.25 $32,112.76 63% off $16,490.34 $86,791.25 $41,225.85 2026-01-01
787041272 CDM Cath Thv Sapien 3 23mm 41272 48 25 $161,183.75 $59,637.99 63% off $30,624.91 $161,183.75 $72,532.69 2026-01-01
787041323 CDM Graft Stent Thorac 20fr 41323 48 25 $88,046.05 $32,577.04 63% off $16,728.75 $88,046.05 $39,620.72 2026-01-01
787041324 CDM Graft Stent 20cm 22fr 41324 48 25 $88,046.05 $32,577.04 63% off $16,728.75 $88,046.05 $39,620.72 2026-01-01
787041404 CDM Graft Endo Stnt Thor 97x28 41404 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787041534 CDM Valve Aor Evolut Pro 29mm 41534 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787041608 CDM Dbs Ipg/battery/generator 41608 48 25 $97,761.70 $36,171.83 63% off $18,574.72 $97,761.70 $43,992.76 2026-01-01
787041918 CDM Graft Stent Endo 36x159mm 41918 48 25 $80,051.75 $29,619.15 63% off $15,209.83 $80,051.75 $36,023.29 2026-01-01
787041920 CDM Graft Endo Thorac 34x113mm 41920 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787041966 CDM Graft Endo 37x37x15cm 41966 48 25 $88,046.05 $32,577.04 63% off $16,728.75 $88,046.05 $39,620.72 2026-01-01
787042074 CDM Graft Endo Thorac 32x109mm 42074 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787042392 CDM Gft Stent Tx2 32x142mm 42392 48 25 $80,051.75 $29,619.15 63% off $15,209.83 $80,051.75 $36,023.29 2026-01-01
787042393 CDM Gft Stent Tx2 32x202mm 42393 48 25 $80,051.75 $29,619.15 63% off $15,209.83 $80,051.75 $36,023.29 2026-01-01
787042469 CDM Graft Endo Stnt 229x37-37 42469 48 25 $88,477.50 $32,736.68 63% off $16,810.72 $88,477.50 $39,814.88 2026-01-01
787043031 CDM Implnt Tissue 20cmwx40cml 43031 48 25 $91,869.80 $33,991.83 63% off $17,455.26 $91,869.80 $41,341.41 2026-01-01
787043454 CDM Device Impl Pulse Gentr 43454 48 25 $89,047.85 $32,947.70 63% off $16,919.09 $89,047.85 $40,071.53 2026-01-01
787044035 CDM Generator Neur Wavewriter 44035 48 25 $84,311.50 $31,195.26 63% off $16,019.18 $84,311.50 $37,940.18 2026-01-01
787044070 CDM Valve Aortic Conduit 23mm 44070 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787045862 CDM Graft Endo 36x161mm 45862 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787045863 CDM Graft Endo 36x209mm 45863 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787046768 CDM Valve Aortic Evolut 23mm 46768 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787046854 CDM Grft Endo Tag 28x28x15cm 46854 48 25 $88,046.05 $32,577.04 63% off $16,728.75 $88,046.05 $39,620.72 2026-01-01
787046879 CDM Grft Thoracic Stent 37x15m 46879 48 25 $88,046.05 $32,577.04 63% off $16,728.75 $88,046.05 $39,620.72 2026-01-01
787046898 CDM Graft Tag Thoracic 26mm 46898 48 25 $88,046.05 $32,577.04 63% off $16,728.75 $88,046.05 $39,620.72 2026-01-01
787047683 CDM Mesh Phasix Rctngl 20x25cm 47683 48 25 $91,651.60 $33,911.09 63% off $17,413.80 $91,651.60 $41,243.22 2026-01-01
787048002 CDM Stent 26x26mm 10cm 20fr 48002 48 25 $88,046.05 $32,577.04 63% off $16,728.75 $88,046.05 $39,620.72 2026-01-01
787049709 CDM Kt Cath Cardv 0.018in 49709 48 25 $223,177.50 $82,575.68 63% off $42,403.72 $223,177.50 $100,429.88 2026-01-01
787049717 CDM Generator Neurostimulator 49717 48 25 $79,617.35 $29,458.42 63% off $15,127.30 $79,617.35 $35,827.81 2026-01-01
787052518 CDM Stent Evlt Fx 26mm Vlv 52518 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787052520 CDM Stent Evlt Fx 29mm Vlv 52520 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787052524 CDM Stent Evlt Fx 34mm Vlv 52524 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787052526 CDM Stent Evlt Fx 23mm Vlv 52526 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
787054173 CDM Cage Long Bone 2.5cm 5cm 54173 48 25 $88,566.80 $32,769.72 63% off $16,827.69 $88,566.80 $39,855.06 2026-01-01
787054488 CDM Impella 5.5 S2 54488 48 25 $214,042.15 $79,195.60 63% off $40,668.01 $214,042.15 $96,318.97 2026-01-01
787055046 CDM Valve Tissue Transcath 26mm 55046 48 25 $168,623.00 $62,390.51 63% off $32,038.37 $168,623.00 $75,880.35 2026-01-01
787055656 CDM Graft Endo Prx 36x113mm 55656 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787055659 CDM Valve Aortic Trnscth 29mm 55659 48 25 $168,623.00 $62,390.51 63% off $32,038.37 $168,623.00 $75,880.35 2026-01-01
787055892 CDM Valve Aortic Trnscth 23mm 55892 48 25 $168,623.00 $62,390.51 63% off $32,038.37 $168,623.00 $75,880.35 2026-01-01
787057126 CDM Valve Aortic Sys 26mm 57126 48 25 $168,623.00 $62,390.51 63% off $32,038.37 $168,623.00 $75,880.35 2026-01-01
787057550 CDM Sentiva Duo 1000d Vol 10cc 57550 48 25 $189,403.35 $70,079.24 63% off $35,986.64 $189,403.35 $85,231.51 2026-01-01
787057599 CDM Stent Gore 20mm 24fr 15cm 57599 48 25 $158,704.00 $58,720.48 63% off $30,153.76 $158,704.00 $71,416.80 2026-01-01
787057781 CDM Grft Endoprsth 40x40mmx15cm 57781 48 25 $88,046.05 $32,577.04 63% off $16,728.75 $88,046.05 $39,620.72 2026-01-01
787058168 CDM Cranial Bone Prosthesis 58168 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787059126 CDM Graft 40x40mmx10cm W Ac 59126 48 25 $88,046.05 $32,577.04 63% off $16,728.75 $88,046.05 $39,620.72 2026-01-01
787060747 CDM Impl Pulse Generator 60747 48 25 $89,395.00 $33,076.15 63% off $16,985.05 $89,395.00 $40,227.75 2026-01-01
787062387 CDM Graft Endo Thora 21x21x10cm 62387 48 25 $88,046.05 $32,577.04 63% off $16,728.75 $88,046.05 $39,620.72 2026-01-01
787062482 CDM Generator Nurostm Wavwritr 62482 48 25 $84,311.50 $31,195.26 63% off $16,019.18 $84,311.50 $37,940.18 2026-01-01
787062855 CDM Strattice Tm Per 1 Sq Cm 62855 48 25 $89,280.95 $33,033.95 63% off $16,963.38 $89,280.95 $40,176.43 2026-01-01
787063020 CDM Genertr Neurostim Sc 1216 63020 48 25 $80,839.85 $29,910.74 63% off $15,359.57 $80,839.85 $36,377.93 2026-01-01
787064957 CDM Valve Bovine Percardal 23mm 64957 48 25 $168,623.00 $62,390.51 63% off $32,038.37 $168,623.00 $75,880.35 2026-01-01
787065932 CDM Neurostimulator Rechargeabl 65932 48 25 $135,658.65 $50,193.70 63% off $25,775.14 $135,658.65 $61,046.39 2026-01-01
787066311 CDM Kit Chrgr Remote Pls Gnratr 66311 48 25 $100,350.55 $37,129.70 63% off $19,066.60 $100,350.55 $45,157.75 2026-01-01
787066407 CDM Implant Custom Flap 66407 48 25 $88,031.15 $32,571.53 63% off $16,725.92 $88,031.15 $39,614.02 2026-01-01
787066772 CDM Graft Stent 40x40x150mm 66772 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787067486 CDM Impl Cranial Peek Lrg 67486 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787067548 CDM Generator Neurostimulator 67548 48 25 $109,109.00 $40,370.33 63% off $20,730.71 $109,109.00 $49,099.05 2026-01-01
787067623 CDM Sys Stimltr Proclaim Ps5 67623 48 25 $79,178.45 $29,296.03 63% off $15,043.91 $79,178.45 $35,630.30 2026-01-01
787067694 CDM Graft Endoprosth 34x34x10cm 67694 48 25 $88,279.10 $32,663.27 63% off $16,773.03 $88,279.10 $39,725.60 2026-01-01
787067967 CDM Graft Stent 28x28x150mm 67967 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787067969 CDM Graft Stnt Prox 30x30x150mm 67969 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
787068261 CDM Cage Elsa 11 20mm 15 30d 68261 48 25 $81,316.00 $30,086.92 63% off $15,450.04 $81,316.00 $36,592.20 2026-01-01
787068333 CDM Nail Hindfoot 11.5x210mm 68333 48 25 $103,326.25 $38,230.71 63% off $19,631.99 $103,326.25 $46,496.81 2026-01-01
787068518 CDM Icd Defib Ext Df 4 2 Lead 68518 48 25 $79,766.65 $29,513.66 63% off $15,155.66 $79,766.65 $35,894.99 2026-01-01
787068536 CDM Sys Icd Defib Xt MRI Crt D 68536 48 25 $111,018.45 $41,076.83 63% off $21,093.51 $111,018.45 $49,958.30 2026-01-01
787068577 CDM Icd Dfb X4 MRI Crt D 1 Df4 68577 48 25 $91,889.65 $33,999.17 63% off $17,459.03 $91,889.65 $41,350.34 2026-01-01
787068584 CDM Icd Dfb Cobt Crt D MRI Df4 68584 48 25 $91,750.75 $33,947.78 63% off $17,432.64 $91,750.75 $41,287.84 2026-01-01
787068586 CDM Icd Dfb Hf Crt D MRI D1 68586 48 25 $87,956.75 $32,544.00 63% off $16,711.78 $87,956.75 $39,580.54 2026-01-01
787068587 CDM Icd Dfb Cobt Crt D MRI D4 68587 48 25 $87,956.75 $32,544.00 63% off $16,711.78 $87,956.75 $39,580.54 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 37 33 — — $4,192.00 $79,434.74 $35,304.33 2026-01-01
835000423 CDM Stent/athr Tib/per 1st Bil 423 46 24 $106,812.00 $39,520.44 63% off $4,654.00 $106,812.00 $48,065.40 2026-01-01
835005524 CDM Impella 2.5 Catheter 5524 48 25 $99,190.00 $36,700.30 63% off $18,846.10 $99,190.00 $44,635.50 2026-01-01
835011476 CDM Impella Cp 11476 48 25 $123,987.50 $45,875.38 63% off $23,557.63 $123,987.50 $55,794.38 2026-01-01
835018036 CDM Stent Arterial 1st Bilat 18036 46 24 $79,164.50 $29,290.87 63% off $4,654.00 $79,164.50 $35,624.03 2026-01-01
835022594 CDM Valve Thv Sapien 3 29mm 22594 48 25 $161,183.75 $59,637.99 63% off $30,624.91 $161,183.75 $72,532.69 2026-01-01
835029952 CDM Device Clsr Lt Wtchmn 21mm 29952 48 25 $84,311.50 $31,195.26 63% off $16,019.18 $84,311.50 $37,940.18 2026-01-01
835029954 CDM Device Clsr Lt Wtchmn 24mm 29954 48 25 $84,311.50 $31,195.26 63% off $16,019.18 $84,311.50 $37,940.18 2026-01-01
835029955 CDM Device Clsr Lt Wtchmn 27mm 29955 48 25 $84,311.50 $31,195.26 63% off $16,019.18 $84,311.50 $37,940.18 2026-01-01
835029957 CDM Device Clsr Lt Wtchmn 30mm 29957 48 25 $84,311.50 $31,195.26 63% off $16,019.18 $84,311.50 $37,940.18 2026-01-01
835029960 CDM Device Clsr Lt Wtchmn 33mm 29960 48 25 $84,311.50 $31,195.26 63% off $16,019.18 $84,311.50 $37,940.18 2026-01-01
835035691 CDM Bd Mitraclip C/d 1nit 1ext 35691 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
835035692 CDM Bd Mitraclip C/d 2nit 1ext 35692 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
835035693 CDM Bd Mitraclip C/d 1nit 2ext 35693 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
835037227 CDM Stent/athr Fem/pop 1st Bil 37227 46 24 $125,138.50 $46,301.25 63% off $4,654.00 $125,138.50 $56,312.32 2026-01-01
835038493 CDM Perq Transcath Closure Pda 38493 44 23 $118,222.25 $43,742.23 63% off $4,654.00 $118,222.25 $53,200.01 2026-01-01
835040465 CDM Graft Endovasc 103mm 40mm 40465 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
835041217 CDM Cath Thv Sapien 3 26mm 41217 48 25 $161,183.75 $59,637.99 63% off $30,624.91 $161,183.75 $72,532.69 2026-01-01
835041272 CDM Cath Thv Sapien 3 23mm 41272 48 25 $161,183.75 $59,637.99 63% off $30,624.91 $161,183.75 $72,532.69 2026-01-01
835042921 CDM Device Repair Heart Vlv G4 42921 48 25 $163,663.50 $60,555.50 63% off $31,096.06 $163,663.50 $73,648.57 2026-01-01
835043233 CDM Proc Device Watchman Flx 43233 48 25 $84,311.50 $31,195.26 63% off $16,019.18 $84,311.50 $37,940.18 2026-01-01
835045157 CDM Impl Monitor Pulm Artery 45157 48 25 $111,588.75 $41,287.84 63% off $21,201.86 $111,588.75 $50,214.94 2026-01-01
835046880 CDM Pump Axial Impella 46880 48 25 $123,987.50 $45,875.38 63% off $23,557.63 $123,987.50 $55,794.38 2026-01-01
835052518 CDM Stent Evlt Fx 26mm Vlv 52518 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
835052520 CDM Stent Evlt Fx 29mm Vlv 52520 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
835052524 CDM Stent Evlt Fx 34mm Vlv 52524 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
835052526 CDM Stent Evlt Fx 23mm Vlv 52526 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
835055659 CDM Valve Aortic Trnscth 29mm 55659 48 25 $168,623.00 $62,390.51 63% off $32,038.37 $168,623.00 $75,880.35 2026-01-01
835055892 CDM Valve Aortic Trnscth 23mm 55892 48 25 $168,623.00 $62,390.51 63% off $32,038.37 $168,623.00 $75,880.35 2026-01-01
835057126 CDM Valve Aortic Sys 26mm 57126 48 25 $168,623.00 $62,390.51 63% off $32,038.37 $168,623.00 $75,880.35 2026-01-01
835059407 CDM Valve Trnscth Sys 20mm 59407 48 25 $168,623.00 $62,390.51 63% off $32,038.37 $168,623.00 $75,880.35 2026-01-01
835061054 CDM Sys Acc Watchmn Proc Flx 61054 48 25 $84,311.50 $31,195.26 63% off $16,019.18 $84,311.50 $37,940.18 2026-01-01
835064062 CDM Cath Ice Ep W Smrt Ast 64062 48 25 $123,987.50 $45,875.38 63% off $23,557.63 $123,987.50 $55,794.38 2026-01-01
835067025 CDM Cath Renal Symp Denerv 4fr 67025 48 25 $78,480.00 $29,037.60 63% off $14,911.20 $78,480.00 $35,316.00 2026-01-01
835067640 CDM Valve Aortic Trnscth 20mm 67640 48 25 $161,183.75 $59,637.99 63% off $30,624.91 $161,183.75 $72,532.69 2026-01-01
835067809 CDM Valve Aortic Fx Ps 23mm 67809 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
835067811 CDM Valve Aortic Fx Ps 26mm 67811 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
835067813 CDM Valve Aortic Fx Ps 29mm 67813 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
835067817 CDM Valve Aortic Fx Ps 34mm 67817 48 25 $148,785.00 $55,050.45 63% off $28,269.15 $148,785.00 $66,953.25 2026-01-01
847001512 CDM Crt D Viva Xt Df4 1512 48 25 $87,535.20 $32,388.02 63% off $16,631.69 $87,535.20 $39,390.84 2026-01-01
847001535 CDM Icd Viva S Crt-d D4 1535 48 25 $83,815.55 $31,011.75 63% off $15,924.95 $83,815.55 $37,717.00 2026-01-01
847001552 CDM Icd Viva S Crt-d 1552 48 25 $83,815.55 $31,011.75 63% off $15,924.95 $83,815.55 $37,717.00 2026-01-01
847001555 CDM Icd Viva Xt Crt-d 1555 48 25 $87,535.20 $32,388.02 63% off $16,631.69 $87,535.20 $39,390.84 2026-01-01
847006354 CDM Dynagen Crt-d Df4 G150 6354 48 25 $81,643.30 $30,208.02 63% off $15,512.23 $81,643.30 $36,739.49 2026-01-01
847006356 CDM Dynagen Crt-d Df1 G151 6356 48 25 $80,076.10 $29,628.16 63% off $15,214.46 $80,076.10 $36,034.25 2026-01-01
847011476 CDM Impella Cp 11476 48 25 $123,987.50 $45,875.38 63% off $23,557.63 $123,987.50 $55,794.38 2026-01-01
847011811 CDM Icd Unify Assura 11811 48 25 $87,535.20 $32,388.02 63% off $16,631.69 $87,535.20 $39,390.84 2026-01-01
847012592 CDM Quadra Assura Cd3365-40q 12592 48 25 $97,305.40 $36,003.00 63% off $18,488.03 $97,305.40 $43,787.43 2026-01-01
847012984 CDM Mdt Icd Viva Quad S Crt-d 12984 48 25 $83,815.55 $31,011.75 63% off $15,924.95 $83,815.55 $37,717.00 2026-01-01
847012989 CDM Mdt Icd Viva Quad Dtbb1q1 12989 48 25 $83,815.55 $31,011.75 63% off $15,924.95 $83,815.55 $37,717.00 2026-01-01
847021649 CDM Emblem Pulse Generator 21649 48 25 $91,750.75 $33,947.78 63% off $17,432.64 $91,750.75 $41,287.84 2026-01-01
847023857 CDM Icd Defib Amplia MRI Crt-d 23857 48 25 $86,791.25 $32,112.76 63% off $16,490.34 $86,791.25 $39,056.06 2026-01-01
847026831 CDM Icd Emblem Sngl Chmbr MRI 26831 48 25 $91,750.75 $33,947.78 63% off $17,432.64 $91,750.75 $41,287.84 2026-01-01
847027982 CDM Crt-d Compia MRI Df1 Sure 27982 48 25 $80,095.95 $29,635.50 63% off $15,218.23 $80,095.95 $36,043.18 2026-01-01
847033755 CDM Icd Defib Crt-d Quadra 33755 48 25 $84,311.50 $31,195.26 63% off $16,019.18 $84,311.50 $37,940.18 2026-01-01
847037041 CDM Icd Defib Amplia MRI 37041 48 25 $87,535.20 $32,388.02 63% off $16,631.69 $87,535.20 $39,390.84 2026-01-01
847037114 CDM Icd Defib Amplia MRI 37114 48 25 $87,535.20 $32,388.02 63% off $16,631.69 $87,535.20 $39,390.84 2026-01-01
847037341 CDM Icd Defib Amplia MRI Crt-d 37342 48 25 $87,535.20 $32,388.02 63% off $16,631.69 $87,535.20 $39,390.84 2026-01-01
847037342 CDM Icd Defib Amplia MRI Crt-d 37342 48 25 $87,535.20 $32,388.02 63% off $16,631.69 $87,535.20 $39,390.84 2026-01-01
847037343 CDM Icd Defib Viva Quad Xt 37343 48 25 $87,535.22 $32,388.03 63% off $16,631.69 $87,535.22 $39,390.85 2026-01-01
847038509 CDM Icd Defib Viva Quad 38509 48 25 $87,535.20 $32,388.02 63% off $16,631.69 $87,535.20 $39,390.84 2026-01-01
847040732 CDM Defib Dynagen X4 G158 40732 48 25 $81,643.30 $30,208.02 63% off $15,512.23 $81,643.30 $36,739.49 2026-01-01
847041973 CDM Icd Defib Crt D Quadra 41973 48 25 $87,535.20 $32,388.02 63% off $16,631.69 $87,535.20 $39,390.84 2026-01-01
847045523 CDM Icd Defib Qd Crt-d MRI Df4 45523 48 25 $91,750.75 $33,947.78 63% off $17,432.64 $91,750.75 $41,287.84 2026-01-01
847045524 CDM Icd Defib Qd Crt-d MRI Df1 45524 48 25 $91,750.75 $33,947.78 63% off $17,432.64 $91,750.75 $41,287.84 2026-01-01
847045525 CDM Icd Defib Hr Crt-d MRI D4 45525 48 25 $87,956.75 $32,544.00 63% off $16,711.78 $87,956.75 $39,580.54 2026-01-01
847045526 CDM Icd Defib Hf Crt-d MRI D1 45526 48 25 $87,956.75 $32,544.00 63% off $16,711.78 $87,956.75 $39,580.54 2026-01-01
847045527 CDM Icd Defib Qd Crt-d MRI Df4 45527 48 25 $84,911.60 $31,417.29 63% off $16,133.20 $84,911.60 $38,210.22 2026-01-01
847045528 CDM Icd Defib Qd Crt-d MRI Df1 45528 48 25 $84,911.60 $31,417.29 63% off $16,133.20 $84,911.60 $38,210.22 2026-01-01
847045529 CDM Icd Defib Crtd MRI Is1 Df4 45529 48 25 $84,911.60 $31,417.29 63% off $16,133.20 $84,911.60 $38,210.22 2026-01-01
847045530 CDM Icd Defib Hf Crt-d MRI D1 45530 48 25 $84,911.60 $31,417.29 63% off $16,133.20 $84,911.60 $38,210.22 2026-01-01
847048949 CDM Icd Defib Gallant Hf 48949 48 25 $99,933.95 $36,975.56 63% off $18,987.45 $99,933.95 $44,970.28 2026-01-01
847049624 CDM Icd Defib MRI Crt-d Df-1 49624 48 25 $87,956.75 $32,544.00 63% off $16,711.78 $87,956.75 $39,580.54 2026-01-01
847049799 CDM Icd Defib MRI Crt-d Df-4 49799 48 25 $95,718.35 $35,415.79 63% off $18,186.49 $95,718.35 $43,073.26 2026-01-01
847050168 CDM Icd Def MRI Crt-d Is-1/df-1 50168 48 25 $95,718.35 $35,415.79 63% off $18,186.49 $95,718.35 $43,073.26 2026-01-01
847052164 CDM Icd Defib Claria 52164 48 25 $91,750.75 $33,947.78 63% off $17,432.64 $91,750.75 $41,287.84 2026-01-01
847057549 CDM Icd Defib Crt D Qudr Assura 57549 48 25 $87,535.20 $32,388.02 63% off $16,631.69 $87,535.20 $39,390.84 2026-01-01
847059818 CDM Icd Defb Xt Hf Crt D MRI D4 59818 48 25 $96,752.45 $35,798.41 63% off $18,382.97 $96,752.45 $43,538.60 2026-01-01
847061237 CDM Icd Defib Cobl Xt D MRI Df1 61237 48 25 $91,750.75 $33,947.78 63% off $17,432.64 $91,750.75 $41,287.84 2026-01-01
847061267 CDM Icd Defib Xt Hf MRI Df4 61267 48 25 $91,750.75 $33,947.78 63% off $17,432.64 $91,750.75 $41,287.84 2026-01-01
847061268 CDM Icd Defib Xt Hf MRI D1 61268 48 25 $87,956.75 $32,544.00 63% off $16,711.78 $87,956.75 $39,580.54 2026-01-01
847061779 CDM Icd Defib Vig X4 Is1 Df 4 61779 48 25 $91,889.65 $33,999.17 63% off $17,459.03 $91,889.65 $41,350.34 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 37 33 — — $4,192.00 $115,734.01 $51,437.34 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 37 33 — — $4,192.00 $92,376.04 $41,056.02 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 37 33 — — $4,192.00 $285,348.96 $126,821.76 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 37 33 — — $4,192.00 $95,862.98 $42,605.77 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 37 33 — — $4,192.00 $89,961.01 $39,982.67 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 37 33 — — $4,192.00 $101,839.79 $45,262.13 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 37 33 — — $4,192.00 $81,811.04 $36,360.46 2026-01-01
J9309 HCPCS Polatuzumab 140mg Inj 51946 1 1 $58,762.65 $21,742.18 63% off $45,834.87 $45,834.87 $45,834.87 2026-01-01
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