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

SANTIAM HOSPITAL & CLINICS

Stayton, OR · CCN 380056 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

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

This hospital’s price: $5,728 across 12 payers · range $5,728-$6,015

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSMHSTAYTONOR&type=CDMWithoutLabel&fileType=CSV · observed 2026-07-10

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

10,950 distinct procedures filed
46 distinct payers
305,557 rate rows
2026-07-10 last MRF observed
Data quality

301,326 of 305,557 rate rows are consumer-grade (98.6%)

4,231 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,535
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 364
exceeds 10× this hospital's gross charge — excluded from medians 234
percent-of-charges filed in the dollar field — excluded from medians 69
exceeds 3× this hospital's gross charge for a DRG stay — excluded 24
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSMHSTAYTONOR&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Santiam_Memorial.aspx
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-18
Content fingerprint dd13f8b455cdd81b… · 221,911,374 bytes · first seen 2026-08-01

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
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 26 $58,727.15 $292,279.78 $212,287.42 nat. median
$65,958
outlier · 3.2×
717
MS_DRG 		Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 26 $16,062.92 $190,257.76 $138,187.22 nat. median
$18,746
outlier · 7.4×
155300_SUP
CDM 		Allograft Oats & Bio-uni Sets 21 $52,051.51 $164,829.77 $133,824.42 nat. median
$133,824
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 26 $39,054.85 $166,936.32 $121,248.49 nat. median
$44,514
outlier · 2.7×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 $31,972.89 $162,455.23 $117,993.80 nat. median
$37,383
outlier · 3.2×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 26 $31,757.93 $158,259.55 $114,946.41 nat. median
$37,053
outlier · 3.1×
799
MS_DRG 		Splenic Procedures With Mcc 26 $38,480.48 $146,565.06 $106,452.52 nat. median
$44,811
outlier · 2.4×
264
MS_DRG 		Other Circulatory System O.r. Procedures 26 $28,383.91 $138,800.28 $100,812.84 nat. median
$32,666
outlier · 3.1×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 26 $30,340.69 $138,533.26 $100,618.89 nat. median
$34,738
outlier · 2.9×
686
MS_DRG 		Kidney And Urinary Tract Neoplasms With Mcc 26 $15,325.41 $129,748.94 $94,238.70 nat. median
$18,304
outlier · 5.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 26 $54,673.39 $127,786.22 $92,813.15 nat. median
$62,218
1.5× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 26 $42,376.19 $123,079.03 $89,394.24 nat. median
$48,124
1.9× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 26 $44,228.46 $117,636.06 $85,440.92 nat. median
$48,652
1.8× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 $36,475.27 $112,376.14 $81,620.56 nat. median
$41,643
2.0× median
409
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 $18,499.76 $110,577.87 $80,314.45 nat. median
$21,453
outlier · 3.7×
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 26 $19,758.96 $100,604.61 $73,070.72 nat. median
$22,749
outlier · 3.2×
153581_SUP
CDM 		Proximal Tibia Plate Instruments 21 $27,716.85 $87,770.03 $71,260.02 nat. median
$71,260
1.0× median
155299_SUP
CDM 		AlloGraft Oats Instr Set 21 $26,706.00 $84,569.00 $68,661.13 nat. median
$68,661
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 $41,961.56 $92,398.76 $67,110.68 nat. median
$47,707
1.4× median
328
MS_DRG 		Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 26 $13,614.18 $91,999.83 $66,820.93 nat. median
$16,512
outlier · 4.0×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 $23,354.74 $90,584.33 $65,792.83 nat. median
$26,590
outlier · 2.5×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 26 $20,368.17 $90,073.26 $65,421.63 nat. median
$24,077
outlier · 2.7×
964
MS_DRG 		Other Multiple Significant Trauma With Cc 26 $13,021.97 $89,940.29 $65,325.05 nat. median
$15,586
outlier · 4.2×
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 26 $17,048.53 $89,912.55 $65,304.90 nat. median
$19,602
outlier · 3.3×
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 26 $14,299.01 $89,790.80 $65,216.48 nat. median
$17,453
outlier · 3.7×
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 26 $22,601.09 $89,193.15 $64,782.40 nat. median
$27,791
outlier · 2.3×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 26 $29,964.29 $87,646.95 $63,659.37 nat. median
$34,366
1.9× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 26 $20,767.51 $86,085.06 $62,524.94 nat. median
$24,507
outlier · 2.6×
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 26 $14,294.76 $85,417.16 $62,039.83 nat. median
$17,345
outlier · 3.6×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 26 $21,548.35 $82,796.28 $60,136.24 nat. median
$24,545
outlier · 2.4×
159462_SUP
CDM 		Modular Glenoid System Set 21 $23,186.52 $81,152.82 $59,612.54 nat. median
$59,613
1.0× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 26 $23,348.79 $81,811.40 $59,420.91 nat. median
$27,037
outlier · 2.2×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 $24,387.08 $80,545.28 $58,501.30 nat. median
$28,835
outlier · 2.0×
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 26 $18,759.75 $80,460.02 $58,439.38 nat. median
$21,828
outlier · 2.7×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 $23,551.86 $80,292.04 $58,317.38 nat. median
$26,451
outlier · 2.2×
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 $30,830.09 $80,131.55 $58,200.81 nat. median
$33,258
1.7× median
351
MS_DRG 		Inguinal And Femoral Hernia Procedures With Cc 26 $12,953.14 $79,521.03 $57,757.38 nat. median
$15,473
outlier · 3.7×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 26 $24,744.79 $78,555.92 $57,056.41 nat. median
$29,103
2.0× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 $15,891.28 $72,654.45 $52,770.08 nat. median
$19,257
outlier · 2.7×
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 26 $14,372.93 $70,830.57 $51,445.36 nat. median
$17,341
outlier · 3.0×
159523_SUP
CDM 		Bone Graft Instrumentation Set 21 $19,863.27 $62,900.36 $51,068.47 nat. median
$51,068
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 26 $48,426.66 $69,745.73 $50,847.98 nat. median
$51,984
1.0× median
571
MS_DRG 		Skin Debridement With Cc 26 $14,355.09 $69,490.29 $50,471.90 nat. median
$17,113
outlier · 2.9×
867
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Mcc 26 $17,785.19 $68,753.48 $49,936.74 nat. median
$21,017
outlier · 2.4×
337
MS_DRG 		Peritoneal Adhesiolysis Without Cc/mcc 26 $13,042.36 $68,130.45 $49,484.22 nat. median
$16,034
outlier · 3.1×
424
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 26 $18,589.82 $67,947.72 $49,351.50 nat. median
$22,169
outlier · 2.2×
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 26 $17,993.36 $67,944.70 $49,349.31 nat. median
$21,659
outlier · 2.3×
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 26 $20,276.41 $65,193.42 $47,351.01 nat. median
$23,528
outlier · 2.0×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 $38,648.71 $63,788.83 $46,330.84 nat. median
$43,549
1.1× median
488
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 26 $12,945.50 $63,592.38 $46,188.15 nat. median
$19,072
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 10,950 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
             
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 26 $307,662.93 $307,662.93 $58,727.15 $292,279.78 $212,287.42 2026-07-10
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 26 26 $200,271.33 $200,271.33 $16,062.92 $190,257.76 $138,187.22 2026-07-10
155300_SUP CDM Allograft Oats & Bio-uni Sets 21 21 $173,505.02 $173,505.02 $52,051.51 $164,829.77 $133,824.42 2026-07-10
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 26 $175,722.45 $175,722.45 $39,054.85 $166,936.32 $121,248.49 2026-07-10
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 26 $171,005.50 $171,005.50 $31,972.89 $162,455.23 $117,993.80 2026-07-10
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 26 $166,589.00 $166,589.00 $31,757.93 $158,259.55 $114,946.41 2026-07-10
799 MS_DRG Splenic Procedures With Mcc 26 26 $154,279.01 $154,279.01 $38,480.48 $146,565.06 $106,452.52 2026-07-10
264 MS_DRG Other Circulatory System O.r. Procedures 26 26 $146,105.56 $146,105.56 $28,383.91 $138,800.28 $100,812.84 2026-07-10
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 26 $145,824.48 $145,824.48 $30,340.69 $138,533.26 $100,618.89 2026-07-10
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 26 26 $136,577.83 $136,577.83 $15,325.41 $129,748.94 $94,238.70 2026-07-10
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 26 $134,511.81 $134,511.81 $54,673.39 $127,786.22 $92,813.15 2026-07-10
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 26 $129,556.87 $129,556.87 $42,376.19 $123,079.03 $89,394.24 2026-07-10
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 26 $123,827.43 $123,827.43 $44,228.46 $117,636.06 $85,440.92 2026-07-10
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 26 $118,290.67 $118,290.67 $36,475.27 $112,376.14 $81,620.56 2026-07-10
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 26 $116,397.76 $116,397.76 $18,499.76 $110,577.87 $80,314.45 2026-07-10
357 MS_DRG Other Digestive System O.r. Procedures With Cc 26 26 $105,899.59 $105,899.59 $19,758.96 $100,604.61 $73,070.72 2026-07-10
153581_SUP CDM Proximal Tibia Plate Instruments 21 21 $92,389.50 $92,389.50 $27,716.85 $87,770.03 $71,260.02 2026-07-10
155299_SUP CDM AlloGraft Oats Instr Set 21 21 $89,020.00 $89,020.00 $26,706.00 $84,569.00 $68,661.13 2026-07-10
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 26 $97,261.85 $97,261.85 $41,961.56 $92,398.76 $67,110.68 2026-07-10
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 26 26 $96,841.93 $96,841.93 $13,614.18 $91,999.83 $66,820.93 2026-07-10
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 26 $95,351.93 $95,351.93 $23,354.74 $90,584.33 $65,792.83 2026-07-10
330 MS_DRG Major Small And Large Bowel Procedures With Cc 26 26 $94,813.95 $94,813.95 $20,368.17 $90,073.26 $65,421.63 2026-07-10
964 MS_DRG Other Multiple Significant Trauma With Cc 26 26 $94,673.99 $94,673.99 $13,021.97 $89,940.29 $65,325.05 2026-07-10
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 26 26 $94,644.79 $94,644.79 $17,048.53 $89,912.55 $65,304.90 2026-07-10
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 26 26 $94,516.63 $94,516.63 $14,299.01 $89,790.80 $65,216.48 2026-07-10
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 26 26 $93,887.53 $93,887.53 $22,601.09 $89,193.15 $64,782.40 2026-07-10
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 26 $92,259.95 $92,259.95 $29,964.29 $87,646.95 $63,659.37 2026-07-10
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 26 26 $90,615.86 $90,615.86 $20,767.51 $86,085.06 $62,524.94 2026-07-10
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 26 26 $89,912.80 $89,912.80 $14,294.76 $85,417.16 $62,039.83 2026-07-10
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 26 26 $87,153.98 $87,153.98 $21,548.35 $82,796.28 $60,136.24 2026-07-10
159462_SUP CDM Modular Glenoid System Set 21 21 $77,288.40 $77,288.40 $23,186.52 $81,152.82 $59,612.54 2026-07-10
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 26 26 $86,117.27 $86,117.27 $23,348.79 $81,811.40 $59,420.91 2026-07-10
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 26 $84,784.50 $84,784.50 $24,387.08 $80,545.28 $58,501.30 2026-07-10
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 26 26 $84,694.76 $84,694.76 $18,759.75 $80,460.02 $58,439.38 2026-07-10
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 26 $84,517.94 $84,517.94 $23,551.86 $80,292.04 $58,317.38 2026-07-10
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 26 $84,349.00 $84,349.00 $30,830.09 $80,131.55 $58,200.81 2026-07-10
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 26 26 $83,706.35 $83,706.35 $12,953.14 $79,521.03 $57,757.38 2026-07-10
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 26 $82,690.45 $82,690.45 $24,744.79 $78,555.92 $57,056.41 2026-07-10
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 26 $76,478.37 $76,478.37 $15,891.28 $72,654.45 $52,770.08 2026-07-10
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 26 26 $74,558.50 $74,558.50 $14,372.93 $70,830.57 $51,445.36 2026-07-10
159523_SUP CDM Bone Graft Instrumentation Set 21 21 $66,210.90 $66,210.90 $19,863.27 $62,900.36 $51,068.47 2026-07-10
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 26 $73,416.56 $73,416.56 $48,426.66 $69,745.73 $50,847.98 2026-07-10
571 MS_DRG Skin Debridement With Cc 26 26 $73,147.68 $73,147.68 $14,355.09 $69,490.29 $50,471.90 2026-07-10
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 26 26 $72,372.08 $72,372.08 $17,785.19 $68,753.48 $49,936.74 2026-07-10
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 26 26 $71,716.26 $71,716.26 $13,042.36 $68,130.45 $49,484.22 2026-07-10
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 26 26 $71,523.92 $71,523.92 $18,589.82 $67,947.72 $49,351.50 2026-07-10
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 26 26 $71,520.74 $71,520.74 $17,993.36 $67,944.70 $49,349.31 2026-07-10
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 26 26 $68,624.65 $68,624.65 $20,276.41 $65,193.42 $47,351.01 2026-07-10
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 26 $67,146.14 $67,146.14 $38,648.71 $63,788.83 $46,330.84 2026-07-10
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 26 26 $66,939.35 $66,939.35 $12,945.50 $63,592.38 $46,188.15 2026-07-10
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 26 $65,921.28 $65,921.28 $30,688.20 $62,625.22 $45,485.68 2026-07-10
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 26 $65,512.25 $65,512.25 $35,699.52 $62,236.64 $45,203.45 2026-07-10
156543_SUP CDM Hip Distraction System 21 21 $58,275.00 $58,275.00 $17,482.50 $61,188.75 $44,947.51 2026-07-10
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 26 26 $74,356.81 $74,356.81 $16,389.19 $70,638.97 $44,433.05 2026-07-10
155209_SUP CDM 4k SynergyID Camera Head, Autoclavable 21 21 $57,447.00 $57,447.00 $17,234.10 $60,319.35 $44,308.87 2026-07-10
158925_SUP CDM Modified Set Minus Pegged Glenoid Instr. 21 21 $56,700.00 $56,700.00 $17,010.00 $53,865.00 $43,732.71 2026-07-10
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 26 26 $61,889.76 $61,889.76 $17,796.23 $58,795.27 $42,703.93 2026-07-10
156854_SUP CDM Arthroscopy Instrument System 21 21 $55,117.13 $55,117.13 $16,535.14 $57,872.99 $42,511.84 2026-07-10
375 MS_DRG Digestive Malignancy With Cc 26 26 $60,945.45 $60,945.45 $10,277.55 $57,898.18 $42,052.36 2026-07-10
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 26 $58,387.08 $58,387.08 $39,864.58 $55,467.73 $41,857.80 2026-07-10
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 26 26 $60,368.09 $60,368.09 $21,945.15 $57,349.69 $41,653.98 2026-07-10
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 26 26 $60,195.22 $60,195.22 $17,656.89 $57,185.46 $41,534.70 2026-07-10
156356_SUP CDM Ibalance Tka Trials Case 21 21 $53,823.00 $53,823.00 $16,146.90 $51,131.85 $41,513.68 2026-07-10
156360_SUP CDM Ibalance Tka Trial Case 1, 9, 10 And M 21 21 $53,823.00 $53,823.00 $16,146.90 $51,131.85 $41,513.68 2026-07-10
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 26 26 $60,010.87 $60,010.87 $17,667.93 $57,010.33 $41,407.50 2026-07-10
167287_SUP CDM BioSync Wedge Instrumentation Set 21 21 $53,334.00 $53,334.00 $16,000.20 $50,667.30 $41,136.51 2026-07-10
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 26 26 $59,393.76 $59,393.76 $16,723.11 $56,424.07 $40,981.69 2026-07-10
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 26 26 $58,374.21 $58,374.21 $13,307.45 $55,455.49 $40,278.20 2026-07-10
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 26 $57,251.91 $57,251.91 $31,196.30 $54,389.31 $39,503.82 2026-07-10
908 MS_DRG Other O.r. Procedures For Injuries With Cc 26 26 $57,229.74 $57,229.74 $16,952.52 $54,368.26 $39,488.52 2026-07-10
252 MS_DRG Other Vascular Procedures With Mcc 26 26 $56,858.84 $56,858.84 $29,638.86 $54,015.90 $39,232.60 2026-07-10
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 26 $56,560.46 $56,560.46 $35,804.03 $53,732.44 $39,026.72 2026-07-10
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 26 26 $56,403.26 $56,403.26 $11,604.72 $53,583.10 $38,918.25 2026-07-10
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 26 26 $55,844.22 $55,844.22 $16,977.16 $53,052.01 $38,532.51 2026-07-10
336 MS_DRG Peritoneal Adhesiolysis With Cc 26 26 $55,819.32 $55,819.32 $17,916.89 $53,028.36 $38,515.33 2026-07-10
156663_SUP CDM Shoulder Arthroscopy Instrument System 21 21 $48,732.60 $48,732.60 $14,619.78 $46,295.97 $37,587.45 2026-07-10
156357_SUP CDM Ibalance Tka Trials Case 21 21 $47,008.50 $47,008.50 $14,102.55 $44,658.08 $36,257.66 2026-07-10
347 MS_DRG Anal And Stomal Procedures With Mcc 26 26 $52,283.85 $52,283.85 $19,504.91 $49,669.66 $36,075.86 2026-07-10
398 MS_DRG Appendix Procedures With Cc 26 26 $51,974.37 $51,974.37 $12,860.53 $49,375.65 $35,862.31 2026-07-10
551 MS_DRG Medical Back Problems With Mcc 26 26 $51,354.99 $51,354.99 $14,241.24 $48,787.24 $35,434.95 2026-07-10
399 MS_DRG Appendix Procedures Without Cc/mcc 26 26 $50,058.54 $50,058.54 $9,726.12 $47,555.62 $34,540.39 2026-07-10
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 26 26 $49,591.20 $49,591.20 $9,489.06 $47,111.64 $34,217.93 2026-07-10
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 26 26 $49,396.14 $49,396.14 $12,784.91 $46,926.33 $34,083.33 2026-07-10
156547_SUP CDM Hip Arthroscope System Instrument Set 21 21 $43,945.65 $43,945.65 $13,183.70 $46,142.93 $33,895.28 2026-07-10
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 26 26 $49,041.79 $49,041.79 $13,858.04 $46,589.70 $33,838.83 2026-07-10
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 26 26 $48,637.15 $48,637.15 $20,889.01 $46,205.29 $33,559.64 2026-07-10
157702_SUP CDM Talus Allograft Oats Instrument Set 21 21 $43,492.50 $43,492.50 $13,047.75 $45,667.13 $33,545.77 2026-07-10
199 MS_DRG Pneumothorax With Mcc 26 26 $48,234.27 $48,234.27 $14,988.94 $45,822.56 $33,281.65 2026-07-10
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 26 $47,269.47 $47,269.47 $15,242.14 $44,906.00 $32,615.93 2026-07-10
156330_SUP CDM iBalance Patella Reamer System Set 21 21 $40,956.30 $40,956.30 $12,286.89 $38,908.49 $31,589.59 2026-07-10
183 MS_DRG Major Chest Trauma With Mcc 26 26 $45,692.45 $45,692.45 $12,999.02 $43,407.83 $31,527.79 2026-07-10
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 26 26 $44,629.10 $44,629.10 $19,335.83 $42,397.65 $30,794.08 2026-07-10
549 MS_DRG Septic Arthritis With Cc 26 26 $44,101.53 $44,101.53 $10,257.16 $41,896.45 $30,430.06 2026-07-10
55 MS_DRG Nervous System Neoplasms Without Mcc 26 26 $44,049.72 $44,049.72 $8,663.18 $41,847.23 $30,394.31 2026-07-10
156548_SUP CDM Hip Arthroscope System Instrument Set 21 21 $39,236.40 $39,236.40 $11,770.92 $41,198.22 $30,263.04 2026-07-10
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 26 26 $42,599.89 $42,599.89 $8,647.04 $40,469.90 $29,393.92 2026-07-10
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 26 26 $42,203.17 $42,203.17 $14,682.21 $40,093.01 $29,120.18 2026-07-10
153550_SUP CDM Lower Extremity Reamers 21 21 $37,369.50 $37,369.50 $11,210.85 $35,501.03 $28,823.10 2026-07-10
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 26 26 $41,755.15 $41,755.15 $8,132.14 $39,667.39 $28,811.05 2026-07-10
504 MS_DRG Foot Procedures With Cc 26 26 $41,700.48 $41,700.48 $15,881.94 $39,615.45 $28,773.33 2026-07-10
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 26 26 $41,469.81 $41,469.81 $13,629.48 $39,396.32 $28,614.17 2026-07-10
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 26 26 $41,383.80 $41,383.80 $15,531.88 $39,314.61 $28,554.83 2026-07-10
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 26 26 $41,144.80 $41,144.80 $15,589.65 $39,087.56 $28,389.91 2026-07-10
602 MS_DRG Cellulitis With Mcc 26 26 $40,574.21 $40,574.21 $12,076.29 $38,545.50 $27,996.21 2026-07-10
786 MS_DRG Cesarean Section Without Sterilization With Mcc 26 26 $40,269.50 $40,269.50 $14,015.22 $38,256.02 $27,785.95 2026-07-10
180740_ERX CDM Nucala 100 Mg/ml Syringe 21 21 $35,970.71 $35,970.71 $10,791.21 $34,172.17 $27,744.21 2026-07-10
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 26 26 $40,068.08 $40,068.08 $5,514.33 $38,064.67 $27,646.97 2026-07-10
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 26 26 $39,987.73 $39,987.73 $7,057.32 $37,988.34 $27,591.53 2026-07-10
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 26 26 $39,317.15 $39,317.15 $11,435.64 $37,351.29 $27,128.83 2026-07-10
572 MS_DRG Skin Debridement Without Cc/mcc 26 26 $38,736.88 $38,736.88 $9,739.71 $36,800.04 $26,728.45 2026-07-10
637 MS_DRG Diabetes With Mcc 26 26 $37,719.31 $37,719.31 $12,207.14 $35,833.34 $26,026.32 2026-07-10
202 MS_DRG Bronchitis And Asthma With Cc/mcc 26 26 $37,588.00 $37,588.00 $8,251.95 $35,708.60 $25,935.72 2026-07-10
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 26 26 $37,284.61 $37,284.61 $16,504.74 $35,420.38 $25,726.38 2026-07-10
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 26 26 $37,030.24 $37,030.24 $10,892.71 $35,178.73 $25,550.87 2026-07-10
157297_SUP CDM Minimally Invasive Bunion Corr System 21 21 $33,075.00 $33,075.00 $9,922.50 $34,728.75 $25,510.75 2026-07-10
189 MS_DRG Pulmonary Edema And Respiratory Failure 26 26 $36,818.24 $36,818.24 $10,496.76 $34,977.33 $25,404.59 2026-07-10
155208_SUP CDM 4k SynergyUHD4 Bb Camera Head,Autoclav 21 21 $32,358.00 $32,358.00 $9,707.40 $33,975.90 $24,957.73 2026-07-10
153544_SUP CDM Proximal Humeral Plate Instruments 21 21 $32,329.50 $32,329.50 $9,698.85 $30,713.03 $24,935.74 2026-07-10
157698_SUP CDM Talus Allograft Oats Set 21 21 $31,681.13 $31,681.13 $9,504.34 $33,265.19 $24,435.66 2026-07-10
155301_SUP CDM Allograft Oats Workstation 21 21 $31,500.00 $31,500.00 $9,450.00 $29,925.00 $24,295.95 2026-07-10
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 26 26 $34,657.75 $34,657.75 $11,168.00 $32,924.86 $23,913.85 2026-07-10
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 26 26 $34,241.54 $34,241.54 $17,086.76 $32,529.46 $23,626.66 2026-07-10
148263_SUP CDM Tip-loc? Clamp 21 21 $30,452.00 $30,452.00 $9,135.60 $28,929.40 $23,487.63 2026-07-10
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 26 26 $34,025.19 $34,025.19 $10,229.97 $32,323.93 $23,477.38 2026-07-10
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 26 26 $33,901.92 $33,901.92 $9,411.74 $32,206.82 $23,392.32 2026-07-10
200 MS_DRG Pneumothorax With Cc 26 26 $33,592.30 $33,592.30 $9,340.37 $31,912.68 $23,178.69 2026-07-10
155203_SUP CDM Head, 3ccd, Arthrex Synergy Hd3, Rohs 21 21 $29,992.50 $29,992.50 $8,997.75 $31,492.13 $23,133.22 2026-07-10
155206_SUP CDM Camera Head,synergy Hd3,c-mt,zero 21 21 $29,992.50 $29,992.50 $8,997.75 $31,492.13 $23,133.22 2026-07-10
156437_SUP CDM Tibial Stem And Augment System Set 21 21 $29,866.58 $29,866.58 $8,959.97 $31,359.91 $23,036.09 2026-07-10
3600700000 CDM Operating Room Services - General Classification 21 21 $29,856.75 $29,856.75 $8,957.03 $28,363.91 $23,028.51 2026-07-10
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 26 26 $31,675.70 $31,675.70 $21,856.23 $30,091.92 $23,010.28 2026-07-10
682 MS_DRG Renal Failure With Mcc 26 26 $33,059.06 $33,059.06 $12,583.54 $31,406.11 $22,810.75 2026-07-10
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 26 26 $32,819.23 $32,819.23 $7,132.94 $31,178.27 $22,645.27 2026-07-10
291 MS_DRG Heart Failure And Shock With Mcc 26 26 $32,819.16 $32,819.16 $10,908.00 $31,178.21 $22,645.22 2026-07-10
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 26 26 $32,410.29 $32,410.29 $9,169.58 $30,789.77 $22,363.10 2026-07-10
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 26 26 $32,208.73 $32,208.73 $7,147.38 $30,598.29 $22,224.02 2026-07-10
167307_SUP CDM Biovance 3l Tri-layer Human Amniotic Mem 21 21 $28,800.00 $28,800.00 $8,640.00 $27,360.00 $22,213.44 2026-07-10
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 26 26 $32,187.28 $32,187.28 $8,138.09 $30,577.92 $22,209.22 2026-07-10
787 MS_DRG Cesarean Section Without Sterilization With Cc 26 26 $32,159.22 $32,159.22 $9,489.06 $30,551.26 $22,189.86 2026-07-10
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 26 26 $31,913.05 $31,913.05 $7,589.21 $30,317.40 $22,020.01 2026-07-10
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 26 26 $31,906.87 $31,906.87 $8,500.05 $30,311.53 $22,015.74 2026-07-10
155204_SUP CDM Head, 3ccd, Arthrex C-mount, RoHS 21 21 $28,492.50 $28,492.50 $8,547.75 $29,917.13 $21,976.27 2026-07-10
155205_SUP CDM Head,3ccd,synergy Hd3,c-mount,20ft 21 21 $28,492.50 $28,492.50 $8,547.75 $29,917.13 $21,976.27 2026-07-10
184 MS_DRG Major Chest Trauma With Cc 26 26 $31,760.38 $31,760.38 $9,041.29 $30,172.36 $21,914.66 2026-07-10
158883_SUP CDM Univers Ca Humeral Head Instrument Set 21 21 $28,153.13 $28,153.13 $8,445.94 $29,560.79 $21,714.51 2026-07-10
593 MS_DRG Skin Ulcers With Cc 26 26 $31,044.03 $31,044.03 $10,079.58 $29,491.83 $21,420.38 2026-07-10
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 26 26 $30,752.53 $30,752.53 $13,115.43 $29,214.90 $21,219.24 2026-07-10
505 MS_DRG Foot Procedures Without Cc/mcc 26 26 $30,521.82 $30,521.82 $15,232.79 $28,995.73 $21,060.06 2026-07-10
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 26 26 $30,360.22 $30,360.22 $13,284.51 $28,842.21 $20,948.55 2026-07-10
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 26 26 $30,358.60 $30,358.60 $11,008.26 $28,840.67 $20,947.43 2026-07-10
548 MS_DRG Septic Arthritis With Mcc 26 26 $30,297.59 $30,297.59 $16,406.18 $28,782.71 $20,905.34 2026-07-10
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 26 26 $29,989.85 $29,989.85 $13,851.24 $28,490.35 $20,692.99 2026-07-10
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 26 26 $29,981.06 $29,981.06 $8,146.59 $28,482.00 $20,686.93 2026-07-10
155402_SUP CDM Digital Repair System 21 21 $26,767.13 $26,767.13 $8,030.14 $28,105.49 $20,645.49 2026-07-10
159171_SUP CDM Univers Revers Apex Hum Stem Instr Set 21 21 $26,670.00 $26,670.00 $8,001.00 $25,336.50 $20,570.57 2026-07-10
168278_SUP CDM DynaNite Staple Instrument Set 21 21 $26,650.00 $26,650.00 $7,995.00 $25,317.50 $20,555.15 2026-07-10
21044_ERX CDM Lupron Depot 11.25 Mg 3mo Kit 21 21 $26,530.17 $26,530.17 $7,959.05 $25,203.66 $20,462.72 2026-07-10
156520_SUP CDM iBalance Tka, Lig Bal System Set 21 21 $26,447.40 $26,447.40 $7,934.22 $27,769.77 $20,398.88 2026-07-10
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 26 26 $29,512.46 $29,512.46 $9,922.39 $28,036.84 $20,363.60 2026-07-10
155248_SUP CDM Allograft Oats Workstation 21 21 $26,250.00 $26,250.00 $7,875.00 $24,937.50 $20,246.63 2026-07-10
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 26 26 $29,089.87 $29,089.87 $7,397.18 $27,635.38 $20,072.01 2026-07-10
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 26 26 $28,814.75 $28,814.75 $5,356.29 $27,374.01 $19,882.18 2026-07-10
9002_ERX CDM Activase 100 Mg Vial 21 21 $25,660.94 $25,660.94 $7,698.28 $24,377.89 $19,792.28 2026-07-10
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 26 $28,633.34 $28,633.34 $15,495.34 $27,201.67 $19,757.00 2026-07-10
921 MS_DRG Complications Of Treatment Without Cc/mcc 26 26 $28,340.93 $28,340.93 $5,849.09 $26,923.88 $19,555.24 2026-07-10
444 MS_DRG Disorders Of The Biliary Tract With Mcc 26 26 $28,219.30 $28,219.30 $14,197.05 $26,808.34 $19,471.32 2026-07-10
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 26 26 $28,145.65 $28,145.65 $7,996.20 $26,738.36 $19,420.50 2026-07-10
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 26 26 $27,994.45 $27,994.45 $6,847.45 $26,594.73 $19,316.17 2026-07-10
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 26 26 $27,915.90 $27,915.90 $16,830.16 $26,520.11 $19,261.97 2026-07-10
156051_SUP CDM Arthrex Vip System, Instrument Set 21 21 $24,900.00 $24,900.00 $7,470.00 $26,145.00 $19,205.37 2026-07-10
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 26 26 $27,267.25 $27,267.25 $12,507.92 $25,903.88 $18,814.40 2026-07-10
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 26 26 $27,211.39 $27,211.39 $10,776.30 $25,850.82 $18,775.86 2026-07-10
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 26 26 $22,793.05 $22,793.05 $15,727.20 $21,653.40 $18,741.44 2026-07-10
154531_SUP CDM Shoulder Suspension System 21 21 $24,150.00 $24,150.00 $7,245.00 $22,942.50 $18,626.90 2026-07-10
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 26 26 $26,960.45 $26,960.45 $9,664.94 $25,612.43 $18,602.71 2026-07-10
3600500000 CDM Operating Room Services - General Classification 21 21 $23,782.00 $23,782.00 $7,134.60 $22,592.90 $18,343.06 2026-07-10
153595_SUP CDM Angel Prp System Centrifuge US (new) 21 21 $23,625.00 $23,625.00 $7,087.50 $24,806.25 $18,221.96 2026-07-10
811 MS_DRG Red Blood Cell Disorders With Mcc 26 26 $26,302.14 $26,302.14 $11,931.85 $24,987.03 $18,148.48 2026-07-10
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 26 26 $26,284.98 $26,284.98 $7,782.93 $24,970.73 $18,136.64 2026-07-10
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 26 26 $26,167.15 $26,167.15 $11,348.13 $24,858.79 $18,055.34 2026-07-10
3610000101 CDM Operating Room Services - Minor Surgery 21 21 $23,265.00 $23,265.00 $6,979.50 $22,101.75 $17,944.29 2026-07-10
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 26 26 $25,886.01 $25,886.01 $9,105.01 $24,591.71 $17,861.35 2026-07-10
148212_SUP CDM Ffn 2 Base Set Tray 2 21 21 $22,906.00 $22,906.00 $6,871.80 $21,760.70 $17,667.40 2026-07-10
885 MS_DRG Psychoses 26 26 $25,404.89 $25,404.89 $11,868.12 $24,134.65 $17,529.37 2026-07-10
408001015_ERX CDM Tnkase 50 Mg Kit 21 21 $22,618.79 $22,618.79 $6,785.64 $21,487.85 $17,445.87 2026-07-10
176803_ERX CDM Tnkase 50 Mg Kit 21 21 $22,618.79 $22,618.79 $6,785.64 $21,487.85 $17,445.87 2026-07-10
160205_SUP CDM Wireless Imaging System 21 21 $22,492.50 $22,492.50 $6,747.75 $23,617.13 $17,348.47 2026-07-10
388 MS_DRG Gastrointestinal Obstruction With Mcc 26 26 $24,841.01 $24,841.01 $12,547.85 $23,598.96 $17,140.30 2026-07-10
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 26 26 $24,818.18 $24,818.18 $9,858.66 $23,577.27 $17,124.55 2026-07-10
501 MS_DRG Soft Tissue Procedures With Cc 26 26 $24,704.58 $24,704.58 $14,852.99 $23,469.35 $17,046.16 2026-07-10
158523_SUP CDM ArthroFX System 21 21 $22,050.00 $22,050.00 $6,615.00 $23,152.50 $17,007.17 2026-07-10
157794_SUP CDM 2.4mm Volar Dist Rad Plt System 21 21 $21,750.00 $21,750.00 $6,525.00 $22,837.50 $16,775.78 2026-07-10
552 MS_DRG Medical Back Problems Without Mcc 26 26 $24,271.48 $24,271.48 $8,167.83 $23,057.90 $16,747.32 2026-07-10
380 MS_DRG Complicated Peptic Ulcer With Mcc 26 26 $19,913.66 $19,913.66 $13,740.43 $18,917.98 $16,729.68 2026-07-10
948 MS_DRG Signs And Symptoms Without Mcc 26 26 $24,134.33 $24,134.33 $6,801.57 $22,927.61 $16,652.69 2026-07-10
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 26 26 $23,993.64 $23,993.64 $7,162.68 $22,793.95 $16,555.61 2026-07-10
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 26 26 $23,832.33 $23,832.33 $8,201.82 $22,640.71 $16,444.31 2026-07-10
177 MS_DRG Respiratory Infections And Inflammations With Mcc 26 26 $23,744.26 $23,744.26 $13,277.72 $22,557.04 $16,383.54 2026-07-10
919 MS_DRG Complications Of Treatment With Mcc 26 26 $23,420.92 $23,420.92 $15,555.67 $22,249.87 $16,333.45 2026-07-10
148192_SUP CDM Small Fragment Base Set Screw Caddy Base 21 21 $21,134.00 $21,134.00 $6,340.20 $20,077.30 $16,300.65 2026-07-10
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 26 26 $23,503.08 $23,503.08 $5,638.38 $22,327.93 $16,217.13 2026-07-10
159174_SUP CDM Univers Revers Ca Heads & 155 Trials Set 21 21 $21,000.00 $21,000.00 $6,300.00 $19,950.00 $16,197.30 2026-07-10
147238_SUP CDM Tower Base 21 21 $20,878.00 $20,878.00 $6,263.40 $19,834.10 $16,103.20 2026-07-10
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 26 26 $23,302.78 $23,302.78 $10,217.22 $22,137.64 $16,078.92 2026-07-10
539 MS_DRG Osteomyelitis With Mcc 26 26 $16,805.40 $16,805.40 $11,595.72 $17,572.64 $15,965.13 2026-07-10
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 26 26 $22,977.55 $22,977.55 $8,584.17 $21,828.68 $15,854.51 2026-07-10
158485_SUP CDM Primary Pilon Fusion Plating System 21 21 $20,467.13 $20,467.13 $6,140.14 $21,490.49 $15,786.30 2026-07-10
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 26 26 $19,929.85 $19,929.85 $13,751.60 $18,933.36 $15,706.41 2026-07-10
378 MS_DRG Gastrointestinal Hemorrhage With Cc 26 26 $22,164.91 $22,164.91 $8,332.66 $21,056.66 $15,293.79 2026-07-10
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 26 26 $18,188.19 $18,188.19 $12,549.85 $17,278.78 $15,200.78 2026-07-10
156304_SUP CDM Uka Spacer Caddy Set, 12 Block Option 21 21 $19,602.45 $19,602.45 $5,880.74 $20,582.57 $15,119.37 2026-07-10
186 MS_DRG Pleural Effusion With Mcc 26 26 $21,865.62 $21,865.62 $13,242.03 $20,772.34 $15,087.28 2026-07-10
180 MS_DRG Respiratory Neoplasms With Mcc 26 26 $17,970.71 $17,970.71 $12,399.79 $17,072.17 $15,077.19 2026-07-10
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 26 26 $21,812.70 $21,812.70 $8,974.16 $20,722.07 $15,050.76 2026-07-10
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 26 26 $21,570.58 $21,570.58 $7,608.75 $20,492.06 $14,883.70 2026-07-10
155100_SUP CDM Clavicle Plating System Instrument Set 21 21 $19,238.63 $19,238.63 $5,771.59 $20,200.56 $14,838.76 2026-07-10
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 26 26 $16,980.79 $16,980.79 $11,716.75 $16,131.75 $14,827.50 2026-07-10
91 MS_DRG Other Disorders Of Nervous System With Mcc 26 26 $15,503.40 $15,503.40 $10,697.35 $15,667.90 $14,728.23 2026-07-10
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 26 26 $21,287.13 $21,287.13 $11,671.00 $20,222.77 $14,688.12 2026-07-10
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 26 26 $21,233.11 $21,233.11 $12,106.03 $20,171.45 $14,650.85 2026-07-10
159051_SUP CDM Shoulder Arthroplasty Retractor Set 21 21 $18,795.00 $18,795.00 $5,638.50 $17,855.25 $14,496.58 2026-07-10
315 MS_DRG Other Circulatory System Diagnoses With Cc 26 26 $20,972.87 $20,972.87 $8,184.82 $19,924.23 $14,471.28 2026-07-10
92 MS_DRG Other Disorders Of Nervous System With Cc 26 26 $20,971.65 $20,971.65 $8,692.07 $19,923.07 $14,470.44 2026-07-10
71 MS_DRG Other Cerebrovascular Disorders With Cc 26 26 $20,954.38 $20,954.38 $8,717.56 $19,906.66 $14,458.52 2026-07-10
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 26 26 $20,914.96 $20,914.96 $8,694.62 $19,869.21 $14,431.32 2026-07-10
812 MS_DRG Red Blood Cell Disorders Without Mcc 26 26 $20,800.32 $20,800.32 $7,801.62 $19,760.30 $14,352.22 2026-07-10
299 MS_DRG Peripheral Vascular Disorders With Mcc 26 26 $17,563.50 $17,563.50 $12,118.82 $16,685.33 $14,288.66 2026-07-10
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 26 26 $18,719.42 $18,719.42 $12,916.40 $17,783.45 $14,260.39 2026-07-10
935 MS_DRG Non-extensive Burns 26 26 $14,899.28 $14,899.28 $10,280.50 $18,378.25 $14,154.32 2026-07-10
70 MS_DRG Other Cerebrovascular Disorders With Mcc 26 26 $16,066.18 $16,066.18 $11,085.66 $15,262.87 $14,145.22 2026-07-10
791 MS_DRG Prematurity With Major Problems 26 26 $14,721.35 $14,721.35 $10,157.73 $36,212.29 $13,985.28 2026-07-10
3610000100 CDM Operating Room Services - Minor Surgery 21 21 $18,095.00 $18,095.00 $5,428.50 $17,190.25 $13,956.67 2026-07-10
160166_SUP CDM Jones Bolt Instrument Set, Sonoma 21 21 $18,024.30 $18,024.30 $5,407.29 $17,123.09 $13,902.14 2026-07-10
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 26 26 $20,081.55 $20,081.55 $8,758.35 $19,077.47 $13,856.27 2026-07-10
176 MS_DRG Pulmonary Embolism Without Mcc 26 26 $20,050.31 $20,050.31 $6,839.80 $19,047.80 $13,834.72 2026-07-10
533 MS_DRG Fractures Of Femur With Mcc 26 26 $17,450.86 $17,450.86 $12,041.09 $16,578.32 $13,719.80 2026-07-10
884 MS_DRG Organic Disturbances And Intellectual Disability 26 26 $15,911.28 $15,911.28 $10,978.78 $15,115.72 $13,670.26 2026-07-10
148051_SUP CDM Lems Hexalobe Screw Caddy 21 21 $17,534.00 $17,534.00 $5,260.20 $16,657.30 $13,523.97 2026-07-10
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 26 26 $19,509.35 $19,509.35 $6,406.47 $18,533.89 $13,461.45 2026-07-10
147861_SUP CDM Le Modular System Screw Caddy 21 21 $17,434.00 $17,434.00 $5,230.20 $16,562.30 $13,446.84 2026-07-10
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 26 26 $14,063.10 $14,063.10 $9,703.54 $14,759.70 $13,359.94 2026-07-10
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 26 26 $15,725.30 $15,725.30 $10,850.45 $14,939.03 $13,326.15 2026-07-10
155155_SUP CDM Graftpro, Master Set 21 21 $17,276.70 $17,276.70 $5,183.01 $16,412.87 $13,325.52 2026-07-10
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 26 26 $18,748.57 $18,748.57 $12,633.67 $17,811.14 $13,265.35 2026-07-10
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 26 26 $19,106.77 $19,106.77 $6,878.04 $18,151.43 $13,183.67 2026-07-10
69 MS_DRG Transient Ischemia Without Thrombolytic 26 26 $19,001.37 $19,001.37 $6,787.12 $18,051.30 $13,110.94 2026-07-10
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 26 26 $18,961.38 $18,961.38 $6,765.88 $18,013.31 $13,083.35 2026-07-10
148187_SUP CDM Fragment Plate Cutter 21 21 $16,846.00 $16,846.00 $5,053.80 $16,003.70 $12,993.32 2026-07-10
154295_SUP CDM Sutureplate System Instrument Set 21 21 $16,695.00 $16,695.00 $5,008.50 $15,860.25 $12,876.85 2026-07-10
171395_SUP CDM Radiolucent Insertion Guide 21 21 $16,650.00 $16,650.00 $4,995.00 $15,817.50 $12,842.15 2026-07-10
148224_SUP CDM Small Frag Base Set Screw Caddy Base, Va 21 21 $16,616.00 $16,616.00 $4,984.80 $15,785.20 $12,815.92 2026-07-10
178 MS_DRG Respiratory Infections And Inflammations With Cc 26 26 $18,497.51 $18,497.51 $8,292.73 $17,572.63 $12,763.28 2026-07-10
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 26 26 $18,487.71 $18,487.71 $6,623.99 $17,563.32 $12,756.52 2026-07-10
155207_SUP CDM HD,SynergyUHD4 Camera Head, Autoclavable 21 21 $16,492.50 $16,492.50 $4,947.75 $17,317.13 $12,720.67 2026-07-10
639 MS_DRG Diabetes Without Cc/mcc 26 26 $18,377.11 $18,377.11 $5,278.12 $17,458.26 $12,680.21 2026-07-10
644 MS_DRG Endocrine Disorders With Cc 26 26 $18,251.26 $18,251.26 $8,709.07 $17,338.69 $12,593.37 2026-07-10
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 26 26 $18,204.81 $18,204.81 $5,728.44 $17,294.57 $12,561.32 2026-07-10
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 26 26 $18,126.43 $18,126.43 $5,241.58 $17,220.11 $12,507.24 2026-07-10
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 26 26 $18,093.06 $18,093.06 $6,861.89 $17,188.41 $12,484.21 2026-07-10
156047_SUP CDM Vipa Glenoid Reaming System Set 21 21 $16,176.48 $16,176.48 $4,852.94 $15,367.66 $12,476.92 2026-07-10
158884_SUP CDM Univers Ii Congruent Reamer Set 21 21 $16,170.00 $16,170.00 $4,851.00 $15,361.50 $12,471.92 2026-07-10
156303_SUP CDM Uka Spacer Block Caddy Set, Replacement 21 21 $16,129.58 $16,129.58 $4,838.87 $16,936.06 $12,440.75 2026-07-10
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 26 26 $17,995.13 $17,995.13 $8,675.08 $17,095.37 $12,416.64 2026-07-10
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 26 26 $17,880.07 $17,880.07 $8,734.56 $16,986.07 $12,337.25 2026-07-10
156329_SUP CDM iBalance Patellar Sagittal Resection Set 21 21 $15,790.95 $15,790.95 $4,737.29 $16,580.50 $12,179.56 2026-07-10
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 26 26 $17,534.49 $17,534.49 $6,250.99 $16,657.77 $12,098.80 2026-07-10
161563_SUP CDM 4k Laparoscope, 30a A , 5.5mm X 300mm 21 21 $15,600.00 $15,600.00 $4,680.00 $14,820.00 $12,032.28 2026-07-10
161565_SUP CDM 4k Laparoscope, 45a A , 5.5mm X 302mm 21 21 $15,600.00 $15,600.00 $4,680.00 $14,820.00 $12,032.28 2026-07-10
155365_SUP CDM Allograft Oats Workstation 21 21 $15,592.50 $15,592.50 $4,677.75 $14,812.88 $12,026.50 2026-07-10
147888_SUP CDM Acutrak? Screw Removal Tray Base 21 21 $15,564.00 $15,564.00 $4,669.20 $14,785.80 $12,004.51 2026-07-10
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 26 26 $17,375.77 $17,375.77 $6,414.97 $16,506.98 $11,989.28 2026-07-10
169404_SUP CDM Instrument Acl Guide Set 21 21 $15,500.00 $15,500.00 $4,650.00 $14,725.00 $11,955.15 2026-07-10
169913_SUP CDM Lps Prox Tib Replc Comp Xsm 21 21 $15,489.83 $15,489.83 $4,646.95 $16,264.32 $11,947.31 2026-07-10
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 26 26 $17,225.11 $17,225.11 $5,562.76 $16,363.86 $11,885.33 2026-07-10
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 26 26 $17,128.24 $17,128.24 $6,892.48 $16,271.83 $11,818.49 2026-07-10
304 MS_DRG Hypertension With Mcc 26 26 $17,124.08 $17,124.08 $10,111.01 $16,267.88 $11,815.62 2026-07-10
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 26 26 $16,973.11 $16,973.11 $6,612.09 $16,124.45 $11,711.44 2026-07-10
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 26 26 $16,950.16 $16,950.16 $8,760.90 $16,102.65 $11,695.61 2026-07-10
167580_SUP CDM C-line Carpal Tunnel SCOPE,30degree,2.9x158MM 21 21 $15,000.00 $15,000.00 $4,500.00 $14,250.00 $11,569.50 2026-07-10
167952_SUP CDM Curved Mini Scorpion Dx With FlushPort 21 21 $14,984.00 $14,984.00 $4,495.20 $14,234.80 $11,557.16 2026-07-10
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 26 26 $16,728.72 $16,728.72 $5,815.11 $15,892.29 $11,542.82 2026-07-10
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 26 26 $16,718.08 $16,718.08 $7,809.27 $15,882.18 $11,535.48 2026-07-10
292 MS_DRG Heart Failure And Shock With Cc 26 26 $16,643.22 $16,643.22 $7,213.66 $15,811.05 $11,483.82 2026-07-10
534 MS_DRG Fractures Of Femur Without Mcc 26 26 $16,515.29 $16,515.29 $6,849.15 $15,689.53 $11,395.55 2026-07-10
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 26 26 $16,493.09 $16,493.09 $4,622.18 $15,668.43 $11,380.23 2026-07-10
3600300000 CDM Operating Room Services - General Classification 21 21 $14,656.95 $14,656.95 $4,397.09 $13,924.10 $11,304.91 2026-07-10
389 MS_DRG Gastrointestinal Obstruction With Cc 26 26 $16,169.81 $16,169.81 $6,710.65 $15,361.32 $11,157.17 2026-07-10
148011_SUP CDM Intrapelvic Reduction Clamp 21 21 $14,424.00 $14,424.00 $4,327.20 $13,702.80 $11,125.23 2026-07-10
920 MS_DRG Complications Of Treatment With Cc 26 26 $15,963.67 $15,963.67 $8,516.19 $15,165.49 $11,014.93 2026-07-10
947 MS_DRG Signs And Symptoms With Mcc 26 26 $13,165.06 $13,165.06 $9,083.89 $12,506.81 $11,002.70 2026-07-10
643 MS_DRG Endocrine Disorders With Mcc 26 26 $11,575.50 $11,575.50 $7,987.10 $14,685.65 $10,996.72 2026-07-10
160087_SUP CDM Wireless Kit, 1 Tx And 2 Rx 21 21 $14,250.00 $14,250.00 $4,275.00 $14,962.50 $10,991.03 2026-07-10
148018_SUP CDM Plate Cutters 21 21 $14,090.00 $14,090.00 $4,227.00 $13,385.50 $10,867.62 2026-07-10
167595_SUP CDM C-mount Hip Ar-scope 70degree,3.5X 204mm 21 21 $13,990.00 $13,990.00 $4,197.00 $13,290.50 $10,790.49 2026-07-10
167594_SUP CDM C-mount Hip Ar-scope 30degree,3.5X 202mm 21 21 $13,990.00 $13,990.00 $4,197.00 $13,290.50 $10,790.49 2026-07-10
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 26 26 $15,621.24 $15,621.24 $6,143.93 $14,840.18 $10,778.66 2026-07-10
155559_SUP CDM Patella Fracture Set 21 21 $13,924.58 $13,924.58 $4,177.37 $14,620.81 $10,740.03 2026-07-10
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 26 26 $11,249.86 $11,249.86 $7,762.40 $16,270.10 $10,687.37 2026-07-10
187 MS_DRG Pleural Effusion With Cc 26 26 $15,389.07 $15,389.07 $8,404.04 $14,619.61 $10,618.45 2026-07-10
147918_SUP CDM 0.8/1.3 Mm Plate Cutter 21 21 $13,766.00 $13,766.00 $4,129.80 $13,077.70 $10,617.72 2026-07-10
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