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

ST CHARLES MEDICAL CENTER PRINEVILLE

Prineville, OR · CCN 381313 · Rates published

Your selected procedure

You selected 93306 (CPT)

Ultrasound examination of heart including color-de

This hospital’s price: $1,049 across 111 payers · range $367-$2,334

Source: https://stcharleshealthcare.org/pricetransparency/93-0602940_StCharlesHealthSystem_Prineville_standardcharges.zip · observed 2026-04-01

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.

43,597 distinct procedures filed
113 distinct payers
4,975,676 rate rows
2026-04-01 last MRF observed
Data quality

4,897,724 of 4,975,676 rate rows are consumer-grade (98.4%)

77,952 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 53,914
per-diem day rate — not a per-procedure price 18,679
placeholder amount (≤ $0.02) — excluded from medians 4,112
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 831
exceeds 10× this hospital's gross charge — excluded from medians 240
percent-of-charges filed in the dollar field — excluded from medians 144
exceeds 3× this hospital's gross charge for a DRG stay — excluded 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stcharleshealthcare.org/pricetransparency/93-0602940_StCharlesHealthSystem_Prineville_standardcharges.zip
Found on page https://stcharleshealthcare.org/patients/billing-and-insurance/standard-list-hospital-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint d439cd31d7dda09f… · 71,049,974 bytes · first seen 2026-05-15

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $72,037.84 $229,685.18 $183,246.46 nat. median
$97,323
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 12 $65,962.31 $289,937.25 $167,898.76 nat. median
$93,901
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $55,845.70 $188,975.25 $142,342.70 nat. median
$77,028
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvatur 12 $55,670.15 $205,317.00 $141,899.26 nat. median
$77,632
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 12 $50,866.56 $173,061.00 $129,764.64 nat. median
$72,398
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Op 12 $50,647.28 $171,848.25 $129,210.72 nat. median
$71,748
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Cathete 11 $47,236.88 $150,038.44 $120,595.54 nat. median
$66,649
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsatio 12 $45,564.14 $150,833.25 $116,369.98 nat. median
$63,873
1.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Proced 1 $113,784.75 $113,784.75 $113,784.75 nat. median
$45,430
outlier · 2.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 12 $43,559.50 $143,163.00 $111,306.20 nat. median
$62,031
1.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $43,401.17 $132,600.98 $110,906.00 nat. median
$58,135
1.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Suppo 12 $42,628.06 $147,313.10 $108,953.00 nat. median
$59,371
1.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplem 12 $40,598.92 $161,808.75 $103,827.08 nat. median
$58,280
1.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 12 $40,163.00 $138,609.00 $102,725.92 nat. median
$57,801
1.8× median
28
MS_DRG 		Spinal Procedures With Mcc 12 $39,803.29 $128,506.58 $101,817.20 nat. median
$54,460
1.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid 11 $39,792.03 $132,432.52 $101,788.74 nat. median
$56,687
1.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvatur 12 $39,503.85 $147,253.50 $101,060.76 nat. median
$55,167
1.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrom 12 $39,374.00 $127,952.13 $100,732.78 nat. median
$50,870
2.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Wi 12 $38,877.81 $130,722.75 $99,479.30 nat. median
$55,477
1.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures W 12 $38,852.64 $128,945.88 $99,415.72 nat. median
$53,856
1.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal D 1 $98,336.25 $98,336.25 $98,336.25 nat. median
$43,696
outlier · 2.3×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Comp 12 $37,961.61 $122,852.25 $97,164.86 nat. median
$53,523
1.8× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For M 12 $37,757.57 $120,778.40 $96,649.40 nat. median
$49,929
1.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 6 $74,983.84 $190,688.50 $95,344.25 nat. median
$92,678
1.0× median
834
MS_DRG 		Acute Leukemia With Mcc 12 $36,369.03 $123,925.50 $93,141.78 nat. median
$50,371
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spi 6 $73,012.33 $185,708.14 $92,854.07 nat. median
$93,276
1.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 12 $36,240.51 $121,029.75 $92,817.10 nat. median
$50,787
1.8× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 12 $35,328.29 $117,119.25 $90,512.68 nat. median
$50,627
1.8× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Di 12 $35,069.93 $177,876.00 $89,860.04 nat. median
$51,514
1.7× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 12 $34,953.99 $113,888.25 $89,567.16 nat. median
$49,364
1.8× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 12 $34,484.30 $115,047.00 $88,380.64 nat. median
$46,376
1.9× median
653
MS_DRG 		Major Bladder Procedures With Mcc 12 $34,424.68 $123,502.50 $88,230.06 nat. median
$49,999
1.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With M 12 $33,040.11 $118,257.75 $84,732.60 nat. median
$46,239
1.8× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 12 $33,389.90 $103,666.50 $84,261.69 nat. median
$46,508
1.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 12 $32,775.12 $147,964.50 $84,063.22 nat. median
$47,429
1.8× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except 12 $32,604.87 $105,959.25 $83,632.96 nat. median
$45,237
1.8× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis Wit 12 $32,469.07 $121,192.11 $83,289.88 nat. median
$46,674
1.8× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 12 $31,988.76 $112,740.75 $82,076.56 nat. median
$44,823
1.8× median
SUP-85424
CDM 		Heart Pump Impella 5.5 With Smart Assist 1000100 A 103 $28,350.00 $101,250.00 $81,000.00 nat. median
$87,075
0.9× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplem 12 $31,538.95 $131,582.25 $80,940.26 nat. median
$45,868
1.8× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of P 12 $36,874.49 $95,118.03 $80,850.33 nat. median
$48,018
1.7× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentia 12 $30,989.10 $111,327.75 $79,551.24 nat. median
$43,895
1.8× median
SUP-65576
CDM 		Proclaim Elite DRG 3664 St Jude 103 $27,603.45 $98,583.75 $78,867.00 nat. median
$84,782
0.9× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 12 $30,596.26 $101,984.68 $78,558.90 nat. median
$44,126
1.8× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 12 $30,450.51 $112,335.75 $78,190.70 nat. median
$42,641
1.8× median
SUP-82746
CDM 		Valve Evoque 44mm 9850ev44us Edwards Lifesciences 103 $27,090.00 $96,750.00 $77,400.00 nat. median
$83,205
0.9× median
SUP-83100
CDM 		System Evoque Tricuspid Valve Replacement 44mm Evq 103 $27,090.00 $96,750.00 $77,400.00 nat. median
$33,476
outlier · 2.3×
SUP-83101
CDM 		System Evoque Tricuspid Valve Replacement 52mm Evq 103 $27,090.00 $96,750.00 $77,400.00 nat. median
$83,205
0.9× median
SUP-82747
CDM 		Valve Evoque 48mm 9850ev48us Edwards Lifesciences 103 $27,090.00 $96,750.00 $77,400.00 nat. median
$83,205
0.9× median
SUP-82748
CDM 		Valve Evoque 52mm 9850ev52us Edwards Lifesciences 103 $27,090.00 $96,750.00 $77,400.00 nat. median
$83,205
0.9× median

Other procedures at this hospital

Browse this hospital's 43,597 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
             
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 11 $308,732.70 $246,986.16 20% off $72,037.84 $229,685.18 $183,246.46 2026-04-01
215 MS_DRG Other Heart Assist System Implant 15 12 $232,359.57 $185,887.66 $65,962.31 $289,937.25 $167,898.76 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 12 $339,569.17 $271,655.34 $55,845.70 $188,975.25 $142,342.70 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 15 12 $173,845.24 $139,076.19 20% off $55,670.15 $205,317.00 $141,899.26 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 15 12 $270,265.32 $216,212.26 $50,866.56 $173,061.00 $129,764.64 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 15 12 $263,058.60 $210,446.88 $50,647.28 $171,848.25 $129,210.72 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 14 11 $189,446.62 $151,557.30 $47,236.88 $150,038.44 $120,595.54 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 15 12 $189,941.46 $151,953.17 $45,564.14 $150,833.25 $116,369.98 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Proced 1 1 $55,463.18 $44,370.54 20% off $113,784.75 $113,784.75 $113,784.75 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 15 12 $301,928.61 $241,542.89 $43,559.50 $143,163.00 $111,306.20 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 12 $52,492.42 $41,993.94 $43,401.17 $132,600.98 $110,906.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 15 12 $209,334.77 $167,467.82 $42,628.06 $147,313.10 $108,953.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 15 12 $132,647.13 $106,117.70 20% off $40,598.92 $161,808.75 $103,827.08 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 12 $277,349.49 $221,879.59 20% off $40,163.00 $138,609.00 $102,725.92 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 15 12 $152,985.25 $122,388.20 20% off $39,803.29 $128,506.58 $101,817.20 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid 14 11 $165,020.09 $132,016.07 20% off $39,792.03 $132,432.52 $101,788.74 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 15 12 $206,157.53 $164,926.02 20% off $39,503.85 $147,253.50 $101,060.76 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrom 15 12 $203,092.55 $162,474.04 $39,374.00 $127,952.13 $100,732.78 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 15 12 $225,251.71 $180,201.37 $38,877.81 $130,722.75 $99,479.30 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures W 15 12 $150,365.49 $120,292.39 20% off $38,852.64 $128,945.88 $99,415.72 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 1 1 $38,853.18 $31,082.54 20% off $98,336.25 $98,336.25 $98,336.25 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 15 12 $158,094.10 $126,475.28 20% off $37,961.61 $122,852.25 $97,164.86 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For M 15 12 $133,646.66 $106,917.33 $37,757.57 $120,778.40 $96,649.40 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 8 6 $745,346.00 $596,276.80 $74,983.84 $190,688.50 $95,344.25 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 15 12 $88,915.23 $71,132.18 20% off $36,369.03 $123,925.50 $93,141.78 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spi 8 6 $207,044.18 $165,635.34 20% off $73,012.33 $185,708.14 $92,854.07 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 12 $134,389.55 $107,511.64 $36,240.51 $121,029.75 $92,817.10 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 15 12 $214,449.11 $171,559.29 $35,328.29 $117,119.25 $90,512.68 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Di 15 12 $265,477.30 $212,381.84 20% off $35,069.93 $177,876.00 $89,860.04 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 12 $141,939.87 $113,551.90 $34,953.99 $113,888.25 $89,567.16 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 12 $161,373.96 $129,099.17 $34,484.30 $115,047.00 $88,380.64 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 15 12 $140,111.49 $112,089.19 20% off $34,424.68 $123,502.50 $88,230.06 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With M 15 12 $123,675.40 $98,940.32 $33,040.11 $118,257.75 $84,732.60 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 15 12 $195,988.77 $156,791.02 $33,389.90 $103,666.50 $84,261.69 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 12 $118,255.91 $94,604.73 $32,775.12 $147,964.50 $84,063.22 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except 15 12 $104,026.37 $83,221.10 $32,604.87 $105,959.25 $83,632.96 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 15 12 $400,538.35 $320,430.68 20% off $32,469.07 $121,192.11 $83,289.88 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 12 $138,942.58 $111,154.06 20% off $31,988.76 $112,740.75 $82,076.56 2026-04-01
SUP-85424 CDM Heart Pump Impella 5.5 With Smart Assist 1000100 A 109 103 $101,250.00 $81,000.00 20% off $28,350.00 $101,250.00 $81,000.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 15 12 $129,565.18 $103,652.14 20% off $31,538.95 $131,582.25 $80,940.26 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 15 12 $109,111.50 $87,289.20 20% off $36,874.49 $95,118.03 $80,850.33 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 15 12 $91,154.93 $72,923.94 20% off $30,989.10 $111,327.75 $79,551.24 2026-04-01
SUP-65576 CDM Proclaim Elite DRG 3664 St Jude 109 103 $98,583.75 $78,867.00 20% off $27,603.45 $98,583.75 $78,867.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 12 $136,186.84 $108,949.47 20% off $30,596.26 $101,984.68 $78,558.90 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 12 $122,820.15 $98,256.12 20% off $30,450.51 $112,335.75 $78,190.70 2026-04-01
SUP-82746 CDM Valve Evoque 44mm 9850ev44us Edwards Lifesciences 109 103 $96,750.00 $77,400.00 20% off $27,090.00 $96,750.00 $77,400.00 2026-04-01
SUP-83101 CDM System Evoque Tricuspid Valve Replacement 52mm Evq 109 103 $96,750.00 $77,400.00 20% off $27,090.00 $96,750.00 $77,400.00 2026-04-01
SUP-82747 CDM Valve Evoque 48mm 9850ev48us Edwards Lifesciences 109 103 $96,750.00 $77,400.00 20% off $27,090.00 $96,750.00 $77,400.00 2026-04-01
SUP-83100 CDM System Evoque Tricuspid Valve Replacement 44mm Evq 109 103 $96,750.00 $77,400.00 20% off $27,090.00 $96,750.00 $77,400.00 2026-04-01
SUP-83102 CDM System Evoque Tricuspid Valve Replacement 48mm Evq 109 103 $96,750.00 $77,400.00 20% off $27,090.00 $96,750.00 $77,400.00 2026-04-01
SUP-82748 CDM Valve Evoque 52mm 9850ev52us Edwards Lifesciences 109 103 $96,750.00 $77,400.00 20% off $27,090.00 $96,750.00 $77,400.00 2026-04-01
SUP-84043 CDM Evoque Tricuspid Valve Replacement System 56mm Evq 109 103 $96,750.00 $77,400.00 20% off $27,090.00 $96,750.00 $77,400.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O. 15 12 $95,899.22 $76,719.38 $30,133.85 $100,986.75 $77,390.92 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedure 15 12 $165,450.28 $132,360.22 20% off $30,120.60 $96,243.75 $77,357.32 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 15 12 $125,550.76 $100,440.61 $25,843.16 $86,384.44 $77,254.08 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 15 12 $106,687.30 $85,349.84 20% off $30,002.68 $105,786.00 $77,059.42 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 15 12 $137,051.27 $109,641.02 $29,690.65 $110,684.25 $76,271.20 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With M 15 12 $162,290.93 $129,832.74 20% off $29,565.45 $93,017.52 $75,954.88 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 12 $130,620.26 $104,496.21 $29,101.05 $91,243.28 $74,781.78 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 12 $94,858.28 $75,886.62 20% off $29,682.05 $94,115.25 $74,618.52 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact Wi 1 1 $35,135.00 $28,108.00 20% off $73,770.75 $73,770.75 $73,770.75 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 15 12 $143,447.32 $114,757.86 $28,667.79 $88,285.50 $73,687.28 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connecti 15 12 $97,476.82 $77,981.46 $28,439.25 $91,757.21 $73,109.96 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 8 6 $148,056.46 $118,445.17 $57,366.74 $146,185.42 $73,092.71 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 15 12 $116,530.58 $93,224.46 20% off $27,977.50 $93,395.25 $71,943.52 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 15 12 $177,524.91 $142,019.93 $27,929.81 $85,808.25 $71,823.04 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 15 12 $197,027.79 $157,622.23 20% off $27,749.61 $88,341.75 $71,367.82 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 15 12 $165,788.37 $132,630.70 $27,642.30 $115,227.00 $71,096.74 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Wi 15 12 $131,467.05 $105,173.64 $27,512.45 $88,785.00 $70,768.72 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 15 12 $108,687.79 $86,950.23 20% off $27,330.27 $83,103.53 $70,308.52 2026-04-01
791 MS_DRG Prematurity With Major Problems 15 12 $72,800.82 $58,240.66 $26,889.73 $87,383.45 $69,195.60 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 15 12 $105,616.50 $84,493.20 20% off $28,256.40 $80,567.98 $68,482.79 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 12 $132,347.36 $105,877.89 $27,834.41 $80,489.25 $67,030.87 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 15 12 $112,418.89 $89,935.11 20% off $25,915.23 $88,186.50 $66,733.94 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 12 $113,093.26 $90,474.61 $25,642.29 $83,197.36 $66,044.46 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System 15 12 $80,086.32 $64,069.06 $25,579.36 $88,384.50 $65,885.44 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 12 $73,557.40 $58,845.92 $25,434.27 $94,862.25 $65,518.94 2026-04-01
33264 CPT Removal And Replacement Of Defibrillator Pulse Gen 123 111 $74,219.26 $59,375.41 $20,781.39 $114,833.26 $64,570.76 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Tra 9 7 $236,059.92 $188,847.94 $50,479.68 $170,966.25 $64,393.67 2026-04-01
SUP-48826 CDM Generator Vns Therapy Aspire Sr Single Pin 14cc 10 109 103 $80,241.75 $64,193.40 20% off $22,467.69 $80,241.75 $64,193.40 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 12 $150,325.95 $120,260.76 20% off $24,761.21 $86,532.59 $63,818.68 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With 15 12 $113,299.16 $90,639.33 $24,758.55 $77,874.64 $63,811.98 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Pr 15 12 $122,382.18 $97,905.74 20% off $24,689.00 $85,609.21 $63,636.28 2026-04-01
0408T CPT Insj/Rplc Cardiac Modulj Sys 123 111 $73,930.59 $59,144.47 20% off $20,700.57 $114,833.26 $63,580.31 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Formi 15 12 $48,884.72 $39,107.78 $26,393.54 $75,312.00 $62,846.52 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, 15 12 $96,494.92 $77,195.94 $24,323.31 $76,286.25 $62,712.48 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation De 15 12 $93,101.34 $74,481.07 20% off $24,019.24 $77,901.75 $61,944.36 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except V 15 12 $72,785.84 $58,228.67 20% off $23,927.15 $79,625.25 $61,711.72 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And 15 12 $46,835.39 $37,468.31 20% off $23,735.04 $80,948.25 $61,226.42 2026-04-01
SUP-85997 CDM Kit Transcatheter Heart Valve Sapien 3 Ultra Resil 109 103 $76,500.00 $61,200.00 20% off $21,420.00 $76,500.00 $61,200.00 2026-04-01
SUP-85999 CDM Kit Transcatheter Heart Valve Sapien 3 Ultra Resil 109 103 $76,500.00 $61,200.00 20% off $21,420.00 $76,500.00 $61,200.00 2026-04-01
SUP-85998 CDM Kit Transcatheter Heart Valve Sapien 3 Ultra Resil 109 103 $76,500.00 $61,200.00 20% off $21,420.00 $76,500.00 $61,200.00 2026-04-01
SUP-85996 CDM Kit Transcatheter Heart Valve Sapien 3 Ultra Resil 109 103 $76,500.00 $61,200.00 20% off $21,420.00 $76,500.00 $61,200.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnex 15 12 $67,271.93 $53,817.54 20% off $23,680.05 $90,688.50 $61,087.52 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spi 8 6 $191,007.89 $152,806.31 20% off $47,821.18 $122,071.58 $61,035.79 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 12 $111,651.31 $89,321.05 $23,656.20 $91,395.00 $61,027.28 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystecto 15 12 $52,121.72 $41,697.38 $23,621.09 $91,046.25 $60,938.58 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d. 15 12 $90,365.11 $72,292.09 $23,601.22 $80,487.00 $60,888.38 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, N 15 12 $119,913.41 $95,930.73 $23,578.69 $85,455.00 $60,831.46 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 12 $143,915.03 $115,132.02 20% off $23,559.48 $78,610.50 $60,782.94 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 9 7 $89,094.77 $71,275.82 $47,517.11 $132,201.00 $60,651.73 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 12 $131,011.33 $104,809.06 20% off $23,362.73 $78,084.00 $60,285.92 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures 15 12 $112,728.88 $90,183.10 20% off $24,820.16 $70,918.42 $60,280.66 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 15 12 $123,953.99 $99,163.19 20% off $23,109.00 $73,345.50 $59,644.94 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritiona 15 12 $132,619.61 $106,095.69 $23,103.03 $93,042.00 $59,630.02 2026-04-01
SUP-68892 CDM Mitraclip G4 System Sgc0701 109 103 $74,250.00 $59,400.00 20% off $20,790.00 $74,250.00 $59,400.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 12 $38,376.80 $30,701.44 20% off $22,997.04 $72,628.69 $59,362.14 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective 15 12 $75,241.11 $60,192.89 $22,885.75 $71,843.93 $59,080.98 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 12 $53,629.21 $42,903.37 $24,333.25 $72,585.00 $59,022.70 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Princip 15 12 $70,940.70 $56,752.56 20% off $22,712.18 $74,983.50 $58,642.66 2026-04-01
SUP-73666 CDM Valve Heart Sapien 3 Ultra 20mm 109 103 $73,125.00 $58,500.00 20% off $20,475.00 $73,125.00 $58,500.00 2026-04-01
SUP-73667 CDM Valve Heart Sapien 3 Ultra 23mm 109 103 $73,125.00 $58,500.00 20% off $20,475.00 $73,125.00 $58,500.00 2026-04-01
SUP-73668 CDM Valve Heart Sapien 3 Ultra 26mm 109 103 $73,125.00 $58,500.00 20% off $20,475.00 $73,125.00 $58,500.00 2026-04-01
SUP-38888 CDM Valve Heart Sapien 3 Transcatheter 29mm 9600cm29a 109 103 $73,125.00 $58,500.00 20% off $20,475.00 $73,125.00 $58,500.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulato 15 12 $58,687.88 $46,950.30 20% off $22,600.88 $73,106.37 $58,361.38 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 12 $90,353.15 $72,282.52 $22,571.07 $79,146.00 $58,018.50 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 15 12 $111,942.11 $89,553.69 $23,891.38 $68,252.80 $58,014.88 2026-04-01
SUP-79094 CDM Thoracic Branch 8mm 37mm X 15cm Tac083715a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79097 CDM Thoracic Branch 8mm 21mm X 10cm Tac082110a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79117 CDM Thoracic Branch 12mm 34mm X 20cm Tac123420a W. L. 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79114 CDM Thoracic Branch 8mm 37mm X 20cm Tac083720a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79107 CDM Thoracic Branch 12mm 34mm X 15cm Tac123415a W. L. 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79103 CDM Thoracic Branch 8mm 28mm X 10cm Tac082810a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79096 CDM Thoracic Branch 8mm 40mm X 15cm Tac084015a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79089 CDM Thoracic Branch 12mm 31mm X 20cm Tac123120a W. L. 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79108 CDM Thoracic Branch 8mm 34mm X 15cm Tac083415a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79090 CDM Thoracic Branch 12mm 31mm X 15cm Tac123115a W. L. 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79102 CDM Thoracic Branch 8mm 28mm X 20cm Tac082820a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79095 CDM Thoracic Branch 8mm 28mm X 15cm Tac082815a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79122 CDM Thoracic Branch 12mm 37mm X 20cm Tac123720a W. L. 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79116 CDM Thoracic Branch 12mm 40mm X 20cm Tac124020a W. L. 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79121 CDM Thoracic Branch 8mm 40mm X 20cm Tac084020a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79101 CDM Thoracic Branch 8mm 31mm X 15cm Tac083115a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79111 CDM Thoracic Branch 8mm 26mm X 10cm Tac082610a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79084 CDM Thoracic Branch 8mm 34mm X 20cm Tac083420a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79118 CDM Thoracic Branch 8mm 45mm X 15cm Tac084515a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79106 CDM Thoracic Branch 12mm 37mm X 15cm Tac123715a W. L. 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79085 CDM Thoracic Branch 12mm 40mm X 15cm Tac124015a W. L. 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79093 CDM Thoracic Branch 8mm 45mm X 20cm Tac084520a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79088 CDM Thoracic Branch 8mm 26mm X 15cm Tac082615a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79113 CDM Thoracic Branch 12mm 45mm X 15cm Tac124515a W. L. 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79091 CDM Thoracic Branch 8mm 31mm X 20cm Tac083120a W. L. G 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
SUP-79105 CDM Thoracic Branch 12mm 45mm X 20cm Tac124520a W. L. 109 103 $72,000.00 $57,600.00 20% off $20,160.00 $72,000.00 $57,600.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 15 12 $71,525.11 $57,220.09 $22,130.53 $71,068.50 $57,173.32 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 7 $168,670.03 $134,936.02 20% off $44,591.63 $137,180.25 $56,956.63 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 15 12 $68,417.63 $54,734.10 20% off $21,809.23 $72,220.50 $56,361.56 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 15 12 $106,701.90 $85,361.52 $21,806.58 $69,110.06 $56,354.88 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replaceme 15 12 $69,424.85 $55,539.88 20% off $21,548.88 $81,438.75 $55,703.84 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedu 15 12 $60,227.72 $48,182.18 $21,454.15 $71,272.42 $55,464.54 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 12 $70,548.02 $56,438.42 $21,430.30 $74,090.25 $55,404.44 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infect 15 12 $83,403.18 $66,722.54 20% off $21,378.63 $74,342.25 $55,273.78 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 12 $111,853.78 $89,483.02 20% off $21,883.42 $89,957.25 $55,111.05 2026-04-01
SUP-80175 CDM Pascal Precision System-mitral Pas2ma Edwards Life 109 103 $68,850.00 $55,080.00 20% off $19,278.00 $68,850.00 $55,080.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 12 $90,705.27 $72,564.22 $21,151.40 $84,080.25 $54,699.76 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue 15 12 $125,261.59 $100,209.27 20% off $21,112.31 $69,345.00 $54,601.02 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 12 $84,111.13 $67,288.90 20% off $21,091.77 $74,871.00 $54,549.14 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Di 14 11 $31,556.18 $25,244.94 20% off $21,049.37 $83,651.58 $54,442.04 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 15 12 $100,936.19 $80,748.95 20% off $20,934.10 $69,968.25 $54,150.84 2026-04-01
SUP-82386 CDM Valve Evolut Fx Tav Evfxplus-29 Medtronic 109 103 $67,500.00 $54,000.00 20% off $18,900.00 $67,500.00 $54,000.00 2026-04-01
SUP-82384 CDM Valve Evolut Fx Tav Evfxplus-23 Medtronic 109 103 $67,500.00 $54,000.00 20% off $18,900.00 $67,500.00 $54,000.00 2026-04-01
SUP-82387 CDM Valve Evolut Fx Tav Evfxplus-34 Medtronic 109 103 $67,500.00 $54,000.00 20% off $18,900.00 $67,500.00 $54,000.00 2026-04-01
SUP-82385 CDM Valve Evolut Fx Tav Evfxplus-26 Medtronic 109 103 $67,500.00 $54,000.00 20% off $18,900.00 $67,500.00 $54,000.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 12 $101,887.50 $81,510.00 20% off $20,864.55 $104,589.00 $53,975.12 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 15 12 $110,399.43 $88,319.54 20% off $20,874.48 $63,305.40 $53,809.59 2026-04-01
665 MS_DRG Prostatectomy With Mcc 15 12 $113,470.61 $90,776.49 $20,677.07 $71,523.00 $53,501.68 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For M 15 12 $80,233.96 $64,187.17 $20,634.01 $66,240.00 $53,392.78 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedure 15 12 $134,019.50 $107,215.60 $20,597.57 $67,853.25 $53,300.72 2026-04-01
PX-3608800000 CDM Or Level 6, 1st 30min 109 103 $65,630.20 $52,504.16 $18,376.46 $65,630.20 $52,504.16 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 15 12 $53,853.98 $43,083.18 20% off $20,281.57 $71,520.75 $52,502.44 2026-04-01
37227 CPT Removal Of Plaque And Insertion Of Stents Into Art 115 108 $62,434.46 $49,947.57 $17,481.65 $62,434.46 $52,271.44 2026-04-01
SUP-83259 CDM Graft Stent Endoprosthesis Thoracoabdominal Branch 109 103 $65,250.00 $52,200.00 20% off $18,270.00 $65,250.00 $52,200.00 2026-04-01
SUP-83260 CDM Graft Stent Endoprosthesis Thoracoabdominal Branch 109 103 $65,250.00 $52,200.00 20% off $18,270.00 $65,250.00 $52,200.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachme 15 12 $112,188.76 $89,751.01 $20,094.09 $71,419.50 $52,028.86 2026-04-01
SUP-85866 CDM Stent Amds40c 28mm Collar Straight Amds40c Cryolif 109 103 $65,025.00 $52,020.00 20% off $18,207.00 $65,025.00 $52,020.00 2026-04-01
SUP-85868 CDM Stent Amds55 32mm Collar Straight Amds55 Cryolife 109 103 $65,025.00 $52,020.00 20% off $18,207.00 $65,025.00 $52,020.00 2026-04-01
SUP-85867 CDM Stent Amds4030c 28mm Collar Tapered Amds4030c Cryo 109 103 $65,025.00 $52,020.00 20% off $18,207.00 $65,025.00 $52,020.00 2026-04-01
SUP-85869 CDM Stent Amds5540 32mm Collar Tapered Amds5540 Cryoli 109 103 $65,025.00 $52,020.00 20% off $18,207.00 $65,025.00 $52,020.00 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures W 15 12 $51,832.45 $41,465.96 20% off $20,007.31 $62,624.25 $51,809.64 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 15 12 $112,067.77 $89,654.22 $38,205.41 $97,780.72 $51,564.86 2026-04-01
SUP-32765 CDM Generator Therapy Vns Single Pin 14cc 105 Cyberoni 109 103 $64,275.75 $51,420.60 20% off $17,997.21 $64,275.75 $51,420.60 2026-04-01
33262 CPT Removal And Replacement Of Defibrillator Pulse Gen 123 111 $74,219.26 $59,375.41 $20,781.39 $81,689.59 $51,235.49 2026-04-01
33263 CPT Removal And Replacement Of Defibrillator Pulse Gen 123 111 $74,219.26 $59,375.41 $20,781.39 $81,689.59 $51,235.49 2026-04-01
263 MS_DRG Vein Ligation And Stripping 15 12 $32,926.92 $26,341.54 $20,254.42 $60,247.39 $51,210.28 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With 15 12 $88,943.53 $71,154.82 20% off $19,717.80 $65,574.38 $51,078.30 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Pro 15 12 $151,109.37 $120,887.50 $37,806.59 $96,773.22 $51,061.11 2026-04-01
SUP-66660 CDM Cochlear Nucleus Profile Plus With Slim Modiolar E 109 103 $63,787.50 $51,030.00 20% off $17,860.50 $63,787.50 $51,030.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 15 12 $113,182.99 $90,546.39 20% off $19,517.08 $66,303.00 $50,571.24 2026-04-01
570 MS_DRG Skin Debridement With Mcc 15 12 $107,956.56 $86,365.25 $19,483.95 $68,280.75 $50,487.56 2026-04-01
SUP-81872 CDM Impella Cp 4000021 Abiomed 109 103 $63,000.00 $50,400.00 20% off $17,640.00 $63,000.00 $50,400.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spi 15 12 $179,127.76 $143,302.21 $37,244.16 $95,352.46 $50,350.73 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 15 12 $83,330.10 $66,664.08 20% off $19,344.17 $63,328.50 $50,134.44 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With M 15 12 $98,715.66 $78,972.53 $19,293.16 $68,184.00 $50,005.58 2026-04-01
33270 CPT Insertion Or Replacement Of Defibrillator With Ele 123 111 $57,302.38 $45,841.90 20% off $16,044.67 $114,833.26 $49,853.07 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With 15 12 $63,870.93 $51,096.74 20% off $19,224.92 $66,732.75 $49,833.22 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 12 $79,510.02 $63,608.02 $20,815.52 $67,248.00 $49,812.43 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 12 $101,267.17 $81,013.74 $19,213.01 $63,733.50 $49,803.10 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 15 12 $53,909.57 $43,127.66 $19,118.93 $62,194.36 $49,565.56 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Majo 15 12 $84,245.61 $67,396.49 $20,009.96 $61,479.00 $49,314.28 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fr 15 12 $104,989.28 $83,991.42 20% off $19,014.26 $63,851.32 $49,301.04 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except 15 12 $84,344.99 $67,475.99 20% off $18,883.75 $61,760.25 $48,971.34 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact Wi 1 1 $39,353.50 $31,482.80 20% off $48,926.25 $48,926.25 $48,926.25 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Ex 1 1 $50,982.60 $40,786.08 $48,357.00 $48,357.00 $48,357.00 2026-04-01
SUP-66661 CDM Nucleus Profile Plus With Contour Advance (ci612) 109 103 $60,412.50 $48,330.00 20% off $16,915.50 $60,412.50 $48,330.00 2026-04-01
800 MS_DRG Splenic Procedures With Cc 15 12 $136,549.09 $109,239.27 20% off $18,611.48 $60,087.45 $48,283.56 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation De 15 12 $106,239.80 $84,991.84 20% off $19,985.45 $55,679.58 $47,872.82 2026-04-01
SUP-74281 CDM Nail Antegrade Femur Piriformis Straight 13.0mm 28 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74289 CDM Nail Antegrade Femur Trochanter 10deg Bend 10.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74280 CDM Nail Antegrade Femur Piriformis Straight 11.5mm 40 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74319 CDM Nail Antegrade Tibia 10deg Bend 11.5mm 340mm 7/9cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74360 CDM Nail Retrograde Femur Straight 13.0mm 280mm 6/6cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74298 CDM Nail Antegrade Femur Trochanter 10deg Bend 11.5mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74299 CDM Nail Antegrade Femur Trochanter 10deg Bend 11.5mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74279 CDM Nail Antegrade Femur Piriformis Straight 11.5mm 38 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74351 CDM Nail Retrograde Femur Straight 10.0mm 380mm 7/10cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74294 CDM Nail Antegrade Femur Trochanter 10deg Bend 10.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74323 CDM Nail Antegrade Tibia 10deg Bend 13.0mm 280mm 6/6cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74326 CDM Nail Antegrade Tibia 10deg Bend 13.0mm 340mm 7/9cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74278 CDM Nail Antegrade Femur Piriformis Straight 11.5mm 36 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74365 CDM Nail Retrograde Femur Straight 13.0mm 380mm 7/10cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74316 CDM Nail Antegrade Tibia 10deg Bend 11.5mm 280mm 6/6cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74276 CDM Nail Antegrade Femur Piriformis Straight 11.5mm 32 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74361 CDM Nail Retrograde Femur Straight 13.0mm 300mm 7/7cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74366 CDM Nail Retrograde Femur Straight 13.0mm 400mm 7/10cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74277 CDM Nail Antegrade Femur Piriformis Straight 11.5mm 34 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74286 CDM Nail Antegrade Femur Piriformis Straight 13.0mm 38 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74346 CDM Nail Retrograde Femur Straight 10.0mm 280mm 6/6cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74290 CDM Nail Antegrade Femur Trochanter 10deg Bend 10.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74295 CDM Nail Antegrade Femur Trochanter 10deg Bend 11.5mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74354 CDM Nail Retrograde Femur Straight 11.5mm 300mm 7/7cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74274 CDM Nail Antegrade Femur Piriformis Straight 11.5mm 28 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74300 CDM Nail Antegrade Femur Trochanter 10deg Bend 11.5mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74272 CDM Nail Antegrade Femur Piriformis Straight 10.0mm 38 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74273 CDM Nail Antegrade Femur Piriformis Straight 10.0mm 40 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74329 CDM Nail Antegrade Tibia 10deg Bend 13.0mm 400mm 7/10c 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74347 CDM Nail Retrograde Femur Straight 10.0mm 300mm 7/7cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74297 CDM Nail Antegrade Femur Trochanter 10deg Bend 11.5mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74352 CDM Nail Retrograde Femur Straight 10.0mm 400mm 7/10cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74314 CDM Nail Antegrade Tibia 10deg Bend 10.0mm 380mm 7/10c 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74275 CDM Nail Antegrade Femur Piriformis Straight 11.5mm 30 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74350 CDM Nail Retrograde Femur Straight 10.0mm 360mm 7/10cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74292 CDM Nail Antegrade Femur Trochanter 10deg Bend 10.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74315 CDM Nail Antegrade Tibia 10deg Bend 10.0mm 400mm 7/10c 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74328 CDM Nail Antegrade Tibia 10deg Bend 13.0mm 380mm 7/10c 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74356 CDM Nail Retrograde Femur Straight 11.5mm 340mm 7/9cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74268 CDM Nail Antegrade Femur Piriformis Straight 10.0mm 30 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74269 CDM Nail Antegrade Femur Piriformis Straight 10.0mm 32 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74270 CDM Nail Antegrade Femur Piriformis Straight 10.0mm 34 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74283 CDM Nail Antegrade Femur Piriformis Straight 13.0mm 32 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74284 CDM Nail Antegrade Femur Piriformis Straight 13.0mm 34 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74320 CDM Nail Antegrade Tibia 10deg Bend 11.5mm 360mm 7/10c 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74353 CDM Nail Retrograde Femur Straight 11.5mm 280mm 6/6cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74363 CDM Nail Retrograde Femur Straight 13.0mm 340mm 7/9cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74357 CDM Nail Retrograde Femur Straight 11.5mm 360mm 7/10cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74309 CDM Nail Antegrade Tibia 10deg Bend 10.0mm 280mm 6/6cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74310 CDM Nail Antegrade Tibia 10deg Bend 10.0mm 300mm 7/7cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74282 CDM Nail Antegrade Femur Piriformis Straight 13.0mm 30 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74317 CDM Nail Antegrade Tibia 10deg Bend 11.5mm 300mm 7/7cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74324 CDM Nail Antegrade Tibia 10deg Bend 13.0mm 300mm 7/7cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74327 CDM Nail Antegrade Tibia 10deg Bend 13.0mm 360mm 7/10c 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74288 CDM Nail Antegrade Femur Trochanter 10deg Bend 10.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74348 CDM Nail Retrograde Femur Straight 10.0mm 320mm 7/8cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74358 CDM Nail Retrograde Femur Straight 11.5mm 380mm 7/10cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74311 CDM Nail Antegrade Tibia 10deg Bend 10.0mm 320mm 7/8cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74318 CDM Nail Antegrade Tibia 10deg Bend 11.5mm 320mm 7/8cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74307 CDM Nail Antegrade Femur Trochanter 10deg Bend 13.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74287 CDM Nail Antegrade Femur Piriformis Straight 13.0mm 40 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74308 CDM Nail Antegrade Femur Trochanter 10deg Bend 13.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74359 CDM Nail Retrograde Femur Straight 11.5mm 400mm 7/10cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74291 CDM Nail Antegrade Femur Trochanter 10deg Bend 10.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74312 CDM Nail Antegrade Tibia 10deg Bend 10.0mm 340mm 7/9cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74302 CDM Nail Antegrade Femur Trochanter 10deg Bend 13.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74303 CDM Nail Antegrade Femur Trochanter 10deg Bend 13.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74304 CDM Nail Antegrade Femur Trochanter 10deg Bend 13.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74322 CDM Nail Antegrade Tibia 10deg Bend 11.5mm 400mm 7/10c 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74271 CDM Nail Antegrade Femur Piriformis Straight 10.0mm 36 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74364 CDM Nail Retrograde Femur Straight 13.0mm 360mm 7/10cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74533 CDM System Residual Limb Lengthening 14mm Dia 100mm Di 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74301 CDM Nail Antegrade Femur Trochanter 10deg Bend 11.5mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74305 CDM Nail Antegrade Femur Trochanter 10deg Bend 13.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74306 CDM Nail Antegrade Femur Trochanter 10deg Bend 13.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74325 CDM Nail Antegrade Tibia 10deg Bend 13.0mm 320mm 7/8cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74293 CDM Nail Antegrade Femur Trochanter 10deg Bend 10.0mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74355 CDM Nail Retrograde Femur Straight 11.5mm 320mm 7/8cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74285 CDM Nail Antegrade Femur Piriformis Straight 13.0mm 36 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74321 CDM Nail Antegrade Tibia 10deg Bend 11.5mm 380mm 7/10c 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74296 CDM Nail Antegrade Femur Trochanter 10deg Bend 11.5mm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74349 CDM Nail Retrograde Femur Straight 10.0mm 340mm 7/9cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74267 CDM Nail Antegrade Femur Piriformis Straight 10.0mm 28 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74313 CDM Nail Antegrade Tibia 10deg Bend 10.0mm 360mm 7/10c 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-74362 CDM Nail Retrograde Femur Straight 13.0mm 320mm 7/8cm 109 103 $59,676.75 $47,741.40 20% off $16,709.49 $59,676.75 $47,741.40 2026-04-01
SUP-66662 CDM Nucleus Profile Plus With Slim Straight Electrode 109 103 $59,287.50 $47,430.00 20% off $16,600.50 $59,287.50 $47,430.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transien 15 12 $108,306.99 $86,645.59 20% off $18,265.01 $64,073.25 $47,408.34 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 15 12 $93,539.47 $74,831.58 $18,209.36 $57,658.54 $47,267.86 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 15 12 $98,578.97 $78,863.18 $18,204.72 $62,806.50 $47,256.02 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 15 12 $130,443.21 $104,354.57 $19,128.20 $65,715.75 $47,173.57 2026-04-01
SUP-85346 CDM System Pacer Dual Chamber Aveir Dr-system- Aveir A 109 103 $58,837.50 $47,070.00 20% off $16,474.50 $58,837.50 $47,070.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intral 15 12 $105,571.24 $84,456.99 20% off $18,024.53 $61,302.98 $46,800.84 2026-04-01
SUP-78863 CDM Pulse Generator Optimizer Smart Mini Ipg 10-b501-3 109 103 $58,500.00 $46,800.00 20% off $16,380.00 $58,500.00 $46,800.00 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory Syst 15 12 $46,453.06 $37,162.45 $17,869.51 $58,588.31 $46,409.22 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 12 10 $163,929.35 $131,143.48 $18,544.57 $64,649.25 $46,310.26 2026-04-01
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