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 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $614 across 26 payers · range $71-$2,142

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.

10,947 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 · 2026-10-25
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
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
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
159462_SUP
CDM 		Modular Glenoid System Set 21 $23,186.52 $81,152.82 $59,612.54 nat. median
$59,613
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $58,727.15 $61,663.49 $58,727.15 nat. median
$62,655
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $54,673.39 $57,407.05 $54,673.39 nat. median
$59,371
0.9× median
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… 12 $48,426.66 $50,847.98 $48,426.66 nat. median
$49,929
1.0× median
156543_SUP
CDM 		Hip Distraction System 21 $17,482.50 $61,188.75 $44,947.51 nat. median
$44,948
1.0× median
155209_SUP
CDM 		4k SynergyID Camera Head, Autoclavable 21 $17,234.10 $60,319.35 $44,308.87 nat. median
$44,309
1.0× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 12 $44,228.46 $46,439.87 $44,228.46 nat. median
$46,376
1.0× median
158925_SUP
CDM 		Modified Set Minus Pegged Glenoid Instr. 21 $17,010.00 $53,865.00 $43,732.71 nat. median
$43,733
1.0× median
156854_SUP
CDM 		Arthroscopy Instrument System 21 $16,535.14 $57,872.99 $42,511.84 nat. median
$42,512
1.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 12 $42,376.19 $44,494.99 $42,376.19 nat. median
$46,239
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 $41,961.56 $44,059.62 $41,961.56 nat. median
$45,430
0.9× median
156360_SUP
CDM 		Ibalance Tka Trial Case 1, 9, 10 And M 21 $16,146.90 $51,131.85 $41,513.68 nat. median
$41,514
1.0× median
156356_SUP
CDM 		Ibalance Tka Trials Case 21 $16,146.90 $51,131.85 $41,513.68 nat. median
$41,514
1.0× median
167287_SUP
CDM 		BioSync Wedge Instrumentation Set 21 $16,000.20 $50,667.30 $41,136.51 nat. median
$41,137
1.0× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $39,864.58 $41,857.80 $39,864.58 nat. median
$43,696
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 12 $39,054.85 $41,007.58 $39,054.85 nat. median
$42,641
0.9× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 $38,648.71 $40,581.14 $38,648.71 nat. median
$41,685
0.9× median
799
MS_DRG 		Splenic Procedures With Mcc 12 $38,480.48 $40,404.49 $38,480.48 nat. median
$43,255
0.9× median
156663_SUP
CDM 		Shoulder Arthroscopy Instrument System 21 $14,619.78 $46,295.97 $37,587.45 nat. median
$37,587
1.0× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 $36,475.27 $38,299.02 $36,475.27 nat. median
$39,984
0.9× median
156357_SUP
CDM 		Ibalance Tka Trials Case 21 $14,102.55 $44,658.08 $36,257.66 nat. median
$36,258
1.0× median
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 12 $35,804.03 $37,594.22 $35,804.03 nat. median
$38,950
0.9× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 12 $35,699.52 $37,484.49 $35,699.52 nat. median
$38,022
0.9× median
791
MS_DRG 		Prematurity With Major Problems 12 $34,487.90 $36,212.29 $34,487.90 nat. median
$34,598
1.0× median
156547_SUP
CDM 		Hip Arthroscope System Instrument Set 21 $13,183.70 $46,142.93 $33,895.28 nat. median
$33,895
1.0× median
157702_SUP
CDM 		Talus Allograft Oats Instrument Set 21 $13,047.75 $45,667.13 $33,545.77 nat. median
$33,546
1.0× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 $31,972.89 $33,571.53 $31,972.89 nat. median
$35,488
0.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 12 $31,757.93 $33,345.82 $31,757.93 nat. median
$35,717
0.9× median
156330_SUP
CDM 		iBalance Patella Reamer System Set 21 $12,286.89 $38,908.49 $31,589.59 nat. median
$31,590
1.0× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 $31,196.30 $32,756.11 $31,196.30 nat. median
$33,640
0.9× median
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 $30,830.09 $32,371.59 $30,830.09 nat. median
$32,092
1.0× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 $30,688.20 $32,222.60 $30,688.20 nat. median
$33,167
0.9× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 12 $30,340.69 $31,857.71 $30,340.69 nat. median
$33,110
0.9× median
156548_SUP
CDM 		Hip Arthroscope System Instrument Set 21 $11,770.92 $41,198.22 $30,263.04 nat. median
$30,263
1.0× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 12 $29,964.29 $31,462.49 $29,964.29 nat. median
$32,637
0.9× median
252
MS_DRG 		Other Vascular Procedures With Mcc 12 $29,638.86 $31,120.80 $29,638.86 nat. median
$32,681
0.9× median
153550_SUP
CDM 		Lower Extremity Reamers 21 $11,210.85 $35,501.03 $28,823.10 nat. median
$11,211
outlier · 2.6×
264
MS_DRG 		Other Circulatory System O.r. Procedures 12 $28,383.91 $29,803.10 $28,383.91 nat. median
$31,185
0.9× median
180740_ERX
CDM 		Nucala 100 Mg/ml Syringe 21 $10,791.21 $34,172.17 $27,744.21 nat. median
$27,744
1.0× median
157297_SUP
CDM 		Minimally Invasive Bunion Corr System 21 $9,922.50 $34,728.75 $25,510.75 nat. median
$25,511
1.0× median
155208_SUP
CDM 		4k SynergyUHD4 Bb Camera Head,Autoclav 21 $9,707.40 $33,975.90 $24,957.73 nat. median
$24,958
1.0× median
153544_SUP
CDM 		Proximal Humeral Plate Instruments 21 $9,698.85 $30,713.03 $24,935.74 nat. median
$24,936
1.0× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 12 $24,744.79 $25,982.03 $24,744.79 nat. median
$27,823
0.9× median
157698_SUP
CDM 		Talus Allograft Oats Set 21 $9,504.34 $33,265.19 $24,435.66 nat. median
$24,436
1.0× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 $24,387.08 $25,606.43 $24,387.08 nat. median
$27,627
0.9× median
155301_SUP
CDM 		Allograft Oats Workstation 21 $9,450.00 $29,925.00 $24,295.95 nat. median
$24,296
1.0× median

Other procedures at this hospital

Browse this hospital's 10,947 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
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
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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 12 $307,662.93 $307,662.93 $58,727.15 $61,663.49 $58,727.15 2026-07-10
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 12 $134,511.81 $134,511.81 $54,673.39 $57,407.05 $54,673.39 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 … 12 12 $73,416.56 $73,416.56 $48,426.66 $50,847.98 $48,426.66 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
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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 12 $123,827.43 $123,827.43 $44,228.46 $46,439.87 $44,228.46 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
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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 12 $129,556.87 $129,556.87 $42,376.19 $44,494.99 $42,376.19 2026-07-10
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 12 $97,261.85 $97,261.85 $41,961.56 $44,059.62 $41,961.56 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
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
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
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 12 $58,387.08 $58,387.08 $39,864.58 $41,857.80 $39,864.58 2026-07-10
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 12 $175,722.45 $175,722.45 $39,054.85 $41,007.58 $39,054.85 2026-07-10
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 12 $67,146.14 $67,146.14 $38,648.71 $40,581.14 $38,648.71 2026-07-10
799 MS_DRG Splenic Procedures With Mcc 12 12 $154,279.01 $154,279.01 $38,480.48 $40,404.49 $38,480.48 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
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 12 $118,290.67 $118,290.67 $36,475.27 $38,299.02 $36,475.27 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
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 12 $56,560.46 $56,560.46 $35,804.03 $37,594.22 $35,804.03 2026-07-10
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 12 $65,512.25 $65,512.25 $35,699.52 $37,484.49 $35,699.52 2026-07-10
791 MS_DRG Prematurity With Major Problems 12 12 $14,721.35 $14,721.35 $34,487.90 $36,212.29 $34,487.90 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
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
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 12 $171,005.50 $171,005.50 $31,972.89 $33,571.53 $31,972.89 2026-07-10
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 12 $166,589.00 $166,589.00 $31,757.93 $33,345.82 $31,757.93 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
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 12 $57,251.91 $57,251.91 $31,196.30 $32,756.11 $31,196.30 2026-07-10
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 12 $84,349.00 $84,349.00 $30,830.09 $32,371.59 $30,830.09 2026-07-10
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 12 $65,921.28 $65,921.28 $30,688.20 $32,222.60 $30,688.20 2026-07-10
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 12 $145,824.48 $145,824.48 $30,340.69 $31,857.71 $30,340.69 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
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 12 $92,259.95 $92,259.95 $29,964.29 $31,462.49 $29,964.29 2026-07-10
252 MS_DRG Other Vascular Procedures With Mcc 12 12 $56,858.84 $56,858.84 $29,638.86 $31,120.80 $29,638.86 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
264 MS_DRG Other Circulatory System O.r. Procedures 12 12 $146,105.56 $146,105.56 $28,383.91 $29,803.10 $28,383.91 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
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
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
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 12 $82,690.45 $82,690.45 $24,744.79 $25,982.03 $24,744.79 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
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 12 $84,784.50 $84,784.50 $24,387.08 $25,606.43 $24,387.08 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
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 12 $84,517.94 $84,517.94 $23,551.86 $24,729.45 $23,551.86 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
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 12 $95,351.93 $95,351.93 $23,354.74 $24,522.47 $23,354.74 2026-07-10
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 12 12 $86,117.27 $86,117.27 $23,348.79 $24,516.23 $23,348.79 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
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 12 12 $93,887.53 $93,887.53 $22,601.09 $23,731.14 $22,601.09 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
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
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 12 $60,368.09 $60,368.09 $21,945.15 $23,042.40 $21,945.15 2026-07-10
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 12 12 $31,675.70 $31,675.70 $21,914.56 $23,010.28 $21,914.56 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
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 12 $87,153.98 $87,153.98 $21,548.35 $22,625.77 $21,548.35 2026-07-10
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 12 $48,637.15 $48,637.15 $20,889.01 $21,933.46 $20,889.01 2026-07-10
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 12 $90,615.86 $90,615.86 $20,767.51 $21,805.88 $20,767.51 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
330 MS_DRG Major Small And Large Bowel Procedures With Cc 12 12 $94,813.95 $94,813.95 $20,368.17 $21,386.57 $20,368.17 2026-07-10
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 12 $68,624.65 $68,624.65 $20,276.41 $21,290.22 $20,276.41 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
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
357 MS_DRG Other Digestive System O.r. Procedures With Cc 12 12 $105,899.59 $105,899.59 $19,758.96 $20,746.90 $19,758.96 2026-07-10
347 MS_DRG Anal And Stomal Procedures With Mcc 12 12 $52,283.85 $52,283.85 $19,504.91 $20,480.15 $19,504.91 2026-07-10
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 12 12 $44,629.10 $44,629.10 $19,335.83 $20,302.61 $19,335.83 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
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 12 $84,694.76 $84,694.76 $18,759.75 $19,697.74 $18,759.75 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
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 12 12 $71,523.92 $71,523.92 $18,589.82 $19,519.31 $18,589.82 2026-07-10
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 12 $116,397.76 $116,397.76 $18,499.76 $19,424.74 $18,499.76 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
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 12 12 $22,793.05 $22,793.05 $18,195.58 $19,105.35 $18,195.58 2026-07-10
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 12 $71,520.74 $71,520.74 $17,993.36 $18,893.02 $17,993.36 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
336 MS_DRG Peritoneal Adhesiolysis With Cc 12 12 $55,819.32 $55,819.32 $17,916.89 $18,812.72 $17,916.89 2026-07-10
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 12 12 $61,889.76 $61,889.76 $17,796.23 $18,686.04 $17,796.23 2026-07-10
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 12 12 $72,372.08 $72,372.08 $17,785.19 $18,674.44 $17,785.19 2026-07-10
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 12 12 $60,010.87 $60,010.87 $17,667.93 $18,551.33 $17,667.93 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
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 12 12 $60,195.22 $60,195.22 $17,656.89 $18,539.73 $17,656.89 2026-07-10
935 MS_DRG Non-extensive Burns 12 12 $14,899.28 $14,899.28 $17,503.10 $18,378.25 $17,503.10 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
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 12 12 $34,241.54 $34,241.54 $17,086.76 $17,941.10 $17,086.76 2026-07-10
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 12 12 $94,644.79 $94,644.79 $17,048.53 $17,900.95 $17,048.53 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
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 12 12 $55,844.22 $55,844.22 $16,977.16 $17,826.01 $16,977.16 2026-07-10
908 MS_DRG Other O.r. Procedures For Injuries With Cc 12 12 $57,229.74 $57,229.74 $16,952.52 $17,800.14 $16,952.52 2026-07-10
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 12 12 $27,915.90 $27,915.90 $16,830.16 $17,671.67 $16,830.16 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
539 MS_DRG Osteomyelitis With Mcc 12 12 $16,805.40 $16,805.40 $16,735.85 $17,572.64 $16,735.85 2026-07-10
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 12 12 $59,393.76 $59,393.76 $16,723.11 $17,559.26 $16,723.11 2026-07-10
380 MS_DRG Complicated Peptic Ulcer With Mcc 12 12 $19,913.66 $19,913.66 $16,672.13 $17,505.73 $16,672.13 2026-07-10
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 12 12 $37,284.61 $37,284.61 $16,504.74 $17,329.97 $16,504.74 2026-07-10
548 MS_DRG Septic Arthritis With Mcc 12 12 $30,297.59 $30,297.59 $16,406.18 $17,226.49 $16,406.18 2026-07-10
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 12 12 $74,356.81 $74,356.81 $16,389.19 $17,208.64 $16,389.19 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
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
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 12 12 $200,271.33 $200,271.33 $16,062.92 $16,866.06 $16,062.92 2026-07-10
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 12 $76,478.37 $76,478.37 $15,891.28 $16,685.84 $15,891.28 2026-07-10
504 MS_DRG Foot Procedures With Cc 12 12 $41,700.48 $41,700.48 $15,881.94 $16,676.03 $15,881.94 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
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 12 12 $41,144.80 $41,144.80 $15,589.65 $16,369.13 $15,589.65 2026-07-10
919 MS_DRG Complications Of Treatment With Mcc 12 12 $23,420.92 $23,420.92 $15,555.67 $16,333.45 $15,555.67 2026-07-10
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 12 12 $41,383.80 $41,383.80 $15,531.88 $16,308.47 $15,531.88 2026-07-10
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 12 12 $11,249.86 $11,249.86 $15,495.34 $16,270.10 $15,495.34 2026-07-10
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 12 $28,633.34 $28,633.34 $15,495.34 $16,270.10 $15,495.34 2026-07-10
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 12 12 $136,577.83 $136,577.83 $15,325.41 $16,091.67 $15,325.41 2026-07-10
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 12 12 $6,017.14 $6,017.14 $15,312.66 $16,078.29 $15,312.66 2026-07-10
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 12 12 $19,929.85 $19,929.85 $15,248.94 $16,011.38 $15,248.94 2026-07-10
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 12 $47,269.47 $47,269.47 $15,242.14 $16,004.24 $15,242.14 2026-07-10
505 MS_DRG Foot Procedures Without Cc/mcc 12 12 $30,521.82 $30,521.82 $15,232.79 $15,994.43 $15,232.79 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
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 12 12 $18,188.19 $18,188.19 $15,065.41 $15,818.68 $15,065.41 2026-07-10
180 MS_DRG Respiratory Neoplasms With Mcc 12 12 $17,970.71 $17,970.71 $15,005.08 $15,755.33 $15,005.08 2026-07-10
199 MS_DRG Pneumothorax With Mcc 12 12 $48,234.27 $48,234.27 $14,988.94 $15,738.38 $14,988.94 2026-07-10
91 MS_DRG Other Disorders Of Nervous System With Mcc 12 12 $15,503.40 $15,503.40 $14,921.82 $15,667.90 $14,921.82 2026-07-10
501 MS_DRG Soft Tissue Procedures With Cc 12 12 $24,704.58 $24,704.58 $14,852.99 $15,595.64 $14,852.99 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 12 12 $16,980.79 $16,980.79 $14,827.50 $15,568.87 $14,827.50 2026-07-10
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 12 12 $42,203.17 $42,203.17 $14,682.21 $15,416.32 $14,682.21 2026-07-10
289 MS_DRG Acute And Subacute Endocarditis With Cc 12 12 $11,058.67 $11,058.67 $14,502.93 $15,228.07 $14,502.93 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
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 12 $74,558.50 $74,558.50 $14,372.93 $15,091.58 $14,372.93 2026-07-10
571 MS_DRG Skin Debridement With Cc 12 12 $73,147.68 $73,147.68 $14,355.09 $15,072.84 $14,355.09 2026-07-10
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 12 12 $94,516.63 $94,516.63 $14,299.01 $15,013.96 $14,299.01 2026-07-10
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 12 12 $89,912.80 $89,912.80 $14,294.76 $15,009.50 $14,294.76 2026-07-10
551 MS_DRG Medical Back Problems With Mcc 12 12 $51,354.99 $51,354.99 $14,241.24 $14,953.29 $14,241.24 2026-07-10
444 MS_DRG Disorders Of The Biliary Tract With Mcc 12 12 $28,219.30 $28,219.30 $14,197.05 $14,906.90 $14,197.05 2026-07-10
70 MS_DRG Other Cerebrovascular Disorders With Mcc 12 12 $16,066.18 $16,066.18 $14,145.22 $14,852.48 $14,145.22 2026-07-10
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 12 12 $14,063.10 $14,063.10 $14,056.86 $14,759.70 $14,056.86 2026-07-10
786 MS_DRG Cesarean Section Without Sterilization With Mcc 12 12 $40,269.50 $40,269.50 $14,015.22 $14,715.98 $14,015.22 2026-07-10
643 MS_DRG Endocrine Disorders With Mcc 12 12 $11,575.50 $11,575.50 $13,986.34 $14,685.65 $13,986.34 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
299 MS_DRG Peripheral Vascular Disorders With Mcc 12 12 $17,563.50 $17,563.50 $13,872.48 $14,566.10 $13,872.48 2026-07-10
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 12 12 $49,041.79 $49,041.79 $13,858.04 $14,550.93 $13,858.04 2026-07-10
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 12 12 $29,989.85 $29,989.85 $13,851.24 $14,543.80 $13,851.24 2026-07-10
884 MS_DRG Organic Disturbances And Intellectual Disability 12 12 $15,911.28 $15,911.28 $13,670.26 $14,353.77 $13,670.26 2026-07-10
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 12 12 $18,719.42 $18,719.42 $13,631.18 $14,312.73 $13,631.18 2026-07-10
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 12 12 $41,469.81 $41,469.81 $13,629.48 $14,310.95 $13,629.48 2026-07-10
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 12 12 $96,841.93 $96,841.93 $13,614.18 $14,294.89 $13,614.18 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
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
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 12 12 $15,725.30 $15,725.30 $13,326.15 $13,992.45 $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
533 MS_DRG Fractures Of Femur With Mcc 12 12 $17,450.86 $17,450.86 $13,320.20 $13,986.20 $13,320.20 2026-07-10
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 12 12 $58,374.21 $58,374.21 $13,307.45 $13,972.82 $13,307.45 2026-07-10
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 12 12 $30,360.22 $30,360.22 $13,284.51 $13,948.73 $13,284.51 2026-07-10
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 12 $23,744.26 $23,744.26 $13,277.72 $13,941.60 $13,277.72 2026-07-10
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 12 12 $4,905.45 $4,905.45 $13,270.92 $13,934.46 $13,270.92 2026-07-10
186 MS_DRG Pleural Effusion With Mcc 12 12 $21,865.62 $21,865.62 $13,242.03 $13,904.13 $13,242.03 2026-07-10
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 12 12 $30,752.53 $30,752.53 $13,115.43 $13,771.20 $13,115.43 2026-07-10
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 12 12 $71,716.26 $71,716.26 $13,042.36 $13,694.47 $13,042.36 2026-07-10
964 MS_DRG Other Multiple Significant Trauma With Cc 12 12 $94,673.99 $94,673.99 $13,021.97 $13,673.06 $13,021.97 2026-07-10
183 MS_DRG Major Chest Trauma With Mcc 12 12 $45,692.45 $45,692.45 $12,999.02 $13,648.97 $12,999.02 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
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 12 12 $83,706.35 $83,706.35 $12,953.14 $13,600.80 $12,953.14 2026-07-10
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 12 12 $66,939.35 $66,939.35 $12,945.50 $13,592.77 $12,945.50 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
398 MS_DRG Appendix Procedures With Cc 12 12 $51,974.37 $51,974.37 $12,860.53 $13,503.55 $12,860.53 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
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 12 12 $49,396.14 $49,396.14 $12,784.91 $13,424.15 $12,784.91 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
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 12 12 $18,748.57 $18,748.57 $12,633.67 $13,265.35 $12,633.67 2026-07-10
682 MS_DRG Renal Failure With Mcc 12 12 $33,059.06 $33,059.06 $12,583.54 $13,212.71 $12,583.54 2026-07-10
388 MS_DRG Gastrointestinal Obstruction With Mcc 12 12 $24,841.01 $24,841.01 $12,547.85 $13,175.24 $12,547.85 2026-07-10
794 MS_DRG Neonate With Other Significant Problems 12 12 $6,011.67 $6,011.67 $12,540.21 $13,167.21 $12,540.21 2026-07-10
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 12 12 $27,267.25 $27,267.25 $12,507.92 $13,133.31 $12,507.92 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
637 MS_DRG Diabetes With Mcc 12 12 $37,719.31 $37,719.31 $12,207.14 $12,817.49 $12,207.14 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
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 12 12 $21,233.11 $21,233.11 $12,106.03 $12,711.32 $12,106.03 2026-07-10
602 MS_DRG Cellulitis With Mcc 12 12 $40,574.21 $40,574.21 $12,076.29 $12,680.10 $12,076.29 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
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
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
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
811 MS_DRG Red Blood Cell Disorders With Mcc 12 12 $26,302.14 $26,302.14 $11,931.85 $12,528.43 $11,931.85 2026-07-10
885 MS_DRG Psychoses 12 12 $25,404.89 $25,404.89 $11,868.12 $12,461.52 $11,868.12 2026-07-10
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 12 12 $21,287.13 $21,287.13 $11,671.00 $12,254.54 $11,671.00 2026-07-10
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 12 12 $56,403.26 $56,403.26 $11,604.72 $12,184.96 $11,604.72 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
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 12 12 $39,317.15 $39,317.15 $11,435.64 $12,007.42 $11,435.64 2026-07-10
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 12 12 $26,167.15 $26,167.15 $11,348.13 $11,915.53 $11,348.13 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
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 12 12 $34,657.75 $34,657.75 $11,168.00 $11,726.39 $11,168.00 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
540 MS_DRG Osteomyelitis With Cc 12 12 $6,811.73 $6,811.73 $11,014.21 $11,564.91 $11,014.21 2026-07-10
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 12 12 $30,358.60 $30,358.60 $11,008.26 $11,558.67 $11,008.26 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
291 MS_DRG Heart Failure And Shock With Mcc 12 12 $32,819.16 $32,819.16 $10,908.00 $11,453.40 $10,908.00 2026-07-10
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 12 12 $37,030.24 $37,030.24 $10,892.71 $11,437.34 $10,892.71 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
947 MS_DRG Signs And Symptoms With Mcc 12 12 $13,165.06 $13,165.06 $10,785.65 $11,324.93 $10,785.65 2026-07-10
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 12 12 $27,211.39 $27,211.39 $10,776.30 $11,315.11 $10,776.30 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
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
189 MS_DRG Pulmonary Edema And Respiratory Failure 12 12 $36,818.24 $36,818.24 $10,496.76 $11,021.60 $10,496.76 2026-07-10
31432_ERX CDM Digifab 40 Mg Vial 21 21 $13,583.18 $13,583.18 $4,074.95 $12,904.02 $10,476.71 2026-07-10
3618000000 CDM Operating Room Services - Minor Surgery 21 21 $13,442.00 $13,442.00 $4,032.60 $12,769.90 $10,367.81 2026-07-10
156355_SUP CDM Ibal Tka Tib Bea-ring Trl Set,cr + 21 21 $13,400.10 $13,400.10 $4,020.03 $12,730.10 $10,335.50 2026-07-10
375 MS_DRG Digestive Malignancy With Cc 12 12 $60,945.45 $60,945.45 $10,277.55 $10,791.42 $10,277.55 2026-07-10
167951_SUP CDM Curved Mini Scorpion Dx 21 21 $13,318.00 $13,318.00 $3,995.40 $12,652.10 $10,272.17 2026-07-10
167980_SUP CDM Da Vinci Tibial Nail Case 21 21 $13,318.00 $13,318.00 $3,995.40 $12,652.10 $10,272.17 2026-07-10
549 MS_DRG Septic Arthritis With Cc 12 12 $44,101.53 $44,101.53 $10,257.16 $10,770.01 $10,257.16 2026-07-10
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 12 12 $34,025.19 $34,025.19 $10,229.97 $10,741.46 $10,229.97 2026-07-10
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 12 12 $23,302.78 $23,302.78 $10,217.22 $10,728.08 $10,217.22 2026-07-10
189273_ERX CDM Tezspire 210 Mg/1.91 Ml Syring 21 21 $13,158.77 $13,158.77 $3,947.63 $12,500.83 $10,149.36 2026-07-10
154996_SUP CDM Dovetail Meniscal Allograft Set 21 21 $13,151.25 $13,151.25 $3,945.38 $13,808.81 $10,143.56 2026-07-10
304 MS_DRG Hypertension With Mcc 12 12 $17,124.08 $17,124.08 $10,111.01 $10,616.56 $10,111.01 2026-07-10
593 MS_DRG Skin Ulcers With Cc 12 12 $31,044.03 $31,044.03 $10,079.58 $10,583.55 $10,079.58 2026-07-10
161560_SUP CDM Laparoscope, 30a A , 3 Mm X 207 Mm, Hd 21 21 $13,000.00 $13,000.00 $3,900.00 $12,350.00 $10,026.90 2026-07-10
161564_SUP CDM 4k Laparoscope, 30a A , 5.5mm X 424mm,xlong 21 21 $13,000.00 $13,000.00 $3,900.00 $12,350.00 $10,026.90 2026-07-10
161562_SUP CDM 4k Laparoscope, 0a A , 5.5mm X 424mm,xlong 21 21 $13,000.00 $13,000.00 $3,900.00 $12,350.00 $10,026.90 2026-07-10
161559_SUP CDM Laparoscope, 0a A , 3 Mm X 207 Mm, Hd 21 21 $13,000.00 $13,000.00 $3,900.00 $12,350.00 $10,026.90 2026-07-10
165902_SUP CDM Taylor Spatial Frame Half Ring 300mm 21 21 $12,986.50 $12,986.50 $3,895.95 $12,337.18 $10,016.49 2026-07-10
155222_SUP CDM 4k C-mount Arthroscope, 30a A ,4mm X152.5mm 21 21 $12,950.00 $12,950.00 $3,885.00 $12,302.50 $9,988.34 2026-07-10
161568_SUP CDM 4k C-mount Arthroscope, 70a A , 4mm X 156mm 21 21 $12,950.00 $12,950.00 $3,885.00 $12,302.50 $9,988.34 2026-07-10
148230_SUP CDM Ffn 2 Base Set Tray 3 21 21 $12,898.00 $12,898.00 $3,869.40 $12,253.10 $9,948.23 2026-07-10
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 12 12 $29,512.46 $29,512.46 $9,922.39 $10,418.50 $9,922.39 2026-07-10
171312_SUP CDM Quad Tendon Stripper- Cutter 21 21 $12,834.00 $12,834.00 $3,850.20 $12,192.30 $9,898.86 2026-07-10
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 12 12 $24,818.18 $24,818.18 $9,858.66 $10,351.59 $9,858.66 2026-07-10
27134 HCPCS Revision Of Thigh Bone And Hip Joint Prosthesis 26 26 $10,255.00 $10,255.00 $3,281.60 $15,281.91 $9,742.25 2026-07-10
572 MS_DRG Skin Debridement Without Cc/mcc 12 12 $38,736.88 $38,736.88 $9,739.71 $10,226.69 $9,739.71 2026-07-10
399 MS_DRG Appendix Procedures Without Cc/mcc 12 12 $50,058.54 $50,058.54 $9,726.12 $10,212.42 $9,726.12 2026-07-10
167723_SUP CDM Corail Amt Collar Size 10 21 21 $12,581.40 $12,581.40 $3,774.42 $11,952.33 $9,704.03 2026-07-10
148266_SUP CDM 4.0mm Cann Screw Instrument Tray 1 21 21 $12,534.00 $12,534.00 $3,760.20 $11,907.30 $9,667.47 2026-07-10
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 12 12 $26,960.45 $26,960.45 $9,664.94 $10,148.18 $9,664.94 2026-07-10
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 12 12 $6,752.21 $6,752.21 $9,610.56 $10,091.09 $9,610.56 2026-07-10
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 12 12 $11,967.11 $11,967.11 $9,568.08 $10,046.48 $9,568.08 2026-07-10
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 12 12 $49,591.20 $49,591.20 $9,489.06 $9,963.51 $9,489.06 2026-07-10
787 MS_DRG Cesarean Section Without Sterilization With Cc 12 12 $32,159.22 $32,159.22 $9,489.06 $9,963.51 $9,489.06 2026-07-10
3618200000 CDM Operating Room Services - Minor Surgery 21 21 $12,280.86 $12,280.86 $3,684.26 $11,666.82 $9,472.23 2026-07-10
158513_SUP CDM Distal Tibia System 21 21 $12,261.38 $12,261.38 $3,678.41 $12,874.45 $9,457.20 2026-07-10
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 12 12 $33,901.92 $33,901.92 $9,411.74 $9,882.32 $9,411.74 2026-07-10
200 MS_DRG Pneumothorax With Cc 12 12 $33,592.30 $33,592.30 $9,340.37 $9,807.38 $9,340.37 2026-07-10
445 MS_DRG Disorders Of The Biliary Tract With Cc 12 12 $4,979.46 $4,979.46 $9,298.73 $9,763.67 $9,298.73 2026-07-10
155221_SUP CDM C-mount Arthroscope, 70a A , 3MMx140MM, Hd 21 21 $11,990.00 $11,990.00 $3,597.00 $11,390.50 $9,247.89 2026-07-10
167592_SUP CDM C-mount Ar-scope,70degree4x156.5mm Lgth 21 21 $11,990.00 $11,990.00 $3,597.00 $11,390.50 $9,247.89 2026-07-10
167591_SUP CDM C-mount Ar-scope,70degree2.4x 75mm Lgth 21 21 $11,990.00 $11,990.00 $3,597.00 $11,390.50 $9,247.89 2026-07-10
167589_SUP CDM C-mount Ar-scope,30degree2.7x 72mm Lgth 21 21 $11,990.00 $11,990.00 $3,597.00 $11,390.50 $9,247.89 2026-07-10
167590_SUP CDM C-mount Ar-scope,30degree4x152.5mm Lgth 21 21 $11,990.00 $11,990.00 $3,597.00 $11,390.50 $9,247.89 2026-07-10
161566_SUP CDM C-mount Arthroscope, 70a A , 2.7 Mm X 75 Mm 21 21 $11,990.00 $11,990.00 $3,597.00 $11,390.50 $9,247.89 2026-07-10
161567_SUP CDM C-mount Endoscope, 0a A , 4mm X 152.5mm 21 21 $11,990.00 $11,990.00 $3,597.00 $11,390.50 $9,247.89 2026-07-10
167588_SUP CDM C-mount Ar-scope,30degree1.9x 58mm Lgth 21 21 $11,990.00 $11,990.00 $3,597.00 $11,390.50 $9,247.89 2026-07-10
167593_SUP CDM C-mount Arthroscope,rev CANT,30degree,4X152.5 21 21 $11,990.00 $11,990.00 $3,597.00 $11,390.50 $9,247.89 2026-07-10
167587_SUP CDM C-mount Ar-scope,30degree,2.4x 72mm Lgth 21 21 $11,990.00 $11,990.00 $3,597.00 $11,390.50 $9,247.89 2026-07-10
596 MS_DRG Major Skin Disorders Without Mcc 12 12 $13,883.11 $13,883.11 $9,197.62 $9,657.50 $9,197.62 2026-07-10
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 12 12 $32,410.29 $32,410.29 $9,169.58 $9,628.06 $9,169.58 2026-07-10
165901_SUP CDM Taylor Spatial Frame Half Ring 275mm 21 21 $11,865.50 $11,865.50 $3,559.65 $11,272.23 $9,151.86 2026-07-10
165900_SUP CDM Taylor Spatial Frame Half Ring 255mm 21 21 $11,865.50 $11,865.50 $3,559.65 $11,272.23 $9,151.86 2026-07-10
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 12 12 $25,886.01 $25,886.01 $9,105.01 $9,560.26 $9,105.01 2026-07-10
184 MS_DRG Major Chest Trauma With Cc 12 12 $31,760.38 $31,760.38 $9,041.29 $9,493.35 $9,041.29 2026-07-10
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 12 12 $21,812.70 $21,812.70 $8,974.16 $9,422.87 $8,974.16 2026-07-10
27487 HCPCS Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 26 26 $9,418.00 $9,418.00 $3,013.76 $20,870.55 $8,947.10 2026-07-10
23474 HCPCS Revision Of Total Shoulder Repair, Total Shoulder 26 26 $9,378.00 $9,378.00 $3,000.96 $15,281.91 $8,909.10 2026-07-10
161561_SUP CDM 4k Laparoscope, 0a A , 5.5mm X 300mm 21 21 $11,388.00 $11,388.00 $3,416.40 $10,818.60 $8,783.56 2026-07-10
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 12 12 $16,950.16 $16,950.16 $8,760.90 $9,198.94 $8,760.90 2026-07-10
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 12 12 $20,081.55 $20,081.55 $8,758.35 $9,196.26 $8,758.35 2026-07-10
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 12 $17,880.07 $17,880.07 $8,734.56 $9,171.28 $8,734.56 2026-07-10
71 MS_DRG Other Cerebrovascular Disorders With Cc 12 12 $20,954.38 $20,954.38 $8,717.56 $9,153.44 $8,717.56 2026-07-10
644 MS_DRG Endocrine Disorders With Cc 12 12 $18,251.26 $18,251.26 $8,709.07 $9,144.52 $8,709.07 2026-07-10
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 12 $20,914.96 $20,914.96 $8,694.62 $9,129.35 $8,694.62 2026-07-10
92 MS_DRG Other Disorders Of Nervous System With Cc 12 12 $20,971.65 $20,971.65 $8,692.07 $9,126.67 $8,692.07 2026-07-10
160086_SUP CDM Wireless Kit, 1 Tx And 1 Rx 21 21 $11,250.00 $11,250.00 $3,375.00 $11,812.50 $8,677.13 2026-07-10
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 12 12 $17,995.13 $17,995.13 $8,675.08 $9,108.83 $8,675.08 2026-07-10
55 MS_DRG Nervous System Neoplasms Without Mcc 12 12 $44,049.72 $44,049.72 $8,663.18 $9,096.34 $8,663.18 2026-07-10
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 12 12 $42,599.89 $42,599.89 $8,647.04 $9,079.39 $8,647.04 2026-07-10
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 12 12 $12,791.45 $12,791.45 $8,624.10 $9,055.30 $8,624.10 2026-07-10
147931_SUP CDM 2.3mm Screw Caddy 21 21 $11,144.00 $11,144.00 $3,343.20 $10,586.80 $8,595.37 2026-07-10
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 12 12 $22,977.55 $22,977.55 $8,584.17 $9,013.37 $8,584.17 2026-07-10
147806_SUP CDM Le Trauma System Screw Caddy 21 21 $11,074.00 $11,074.00 $3,322.20 $10,520.30 $8,541.38 2026-07-10
148101_SUP CDM 1.5 Mm MultiScrew Depth Gauge 21 21 $11,048.00 $11,048.00 $3,314.40 $10,495.60 $8,521.32 2026-07-10
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