|
5834
|
APR_DRG
|
Neonate With Ecmo - Extreme
|
10
|
8
|
—
|
—
|
$422,471.79
|
$923,016.37
|
$460,494.25
|
2026-07-18
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure - Extreme
|
10
|
8
|
—
|
—
|
$258,755.98
|
$565,330.07
|
$282,044.02
|
2026-07-18
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Extreme
|
10
|
8
|
—
|
—
|
$241,893.83
|
$528,489.64
|
$263,664.28
|
2026-07-18
|
|
5833
|
APR_DRG
|
Neonate With Ecmo - Major
|
10
|
8
|
—
|
—
|
$240,611.28
|
$525,687.52
|
$262,266.29
|
2026-07-18
|
|
5832
|
APR_DRG
|
Neonate With Ecmo - Moderate
|
10
|
8
|
—
|
—
|
$184,745.38
|
$403,631.71
|
$201,372.47
|
2026-07-18
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems - Extreme
|
10
|
8
|
—
|
—
|
$180,393.07
|
$394,122.78
|
$196,628.45
|
2026-07-18
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure - Extreme
|
10
|
8
|
—
|
—
|
$180,282.14
|
$393,880.42
|
$196,507.53
|
2026-07-18
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Major
|
10
|
8
|
—
|
—
|
$180,020.56
|
$393,308.92
|
$196,222.41
|
2026-07-18
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo) - Extreme
|
10
|
8
|
—
|
—
|
$176,843.29
|
$386,367.22
|
$192,759.18
|
2026-07-18
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure - Extreme
|
10
|
8
|
—
|
—
|
$173,398.96
|
$378,842.05
|
$189,004.87
|
2026-07-18
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure - Major
|
10
|
8
|
—
|
—
|
$172,331.42
|
$376,509.69
|
$187,841.24
|
2026-07-18
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure - Extreme
|
10
|
8
|
—
|
—
|
$169,679.36
|
$370,715.47
|
$184,950.51
|
2026-07-18
|
|
5831
|
APR_DRG
|
Neonate With Ecmo - Minor
|
10
|
8
|
—
|
—
|
$165,831.71
|
$362,309.12
|
$180,756.57
|
2026-07-18
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft - Extreme
|
10
|
8
|
—
|
—
|
$160,463.90
|
$350,581.53
|
$174,905.65
|
2026-07-18
|
|
0266T
|
OTHER
|
0266t - ImpRplc BaroActSys Total Sys Tech
|
14
|
10
|
$292,503.00
|
$69,878.97
76% off
|
$105,406.38
|
$234,002.40
|
$174,463.41
|
2026-07-18
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure - Extreme
|
10
|
8
|
—
|
—
|
$157,255.13
|
$343,571.01
|
$171,408.09
|
2026-07-18
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure - Extreme
|
10
|
8
|
—
|
—
|
$149,181.16
|
$325,931.00
|
$162,607.46
|
2026-07-18
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure - Moderate
|
10
|
8
|
—
|
—
|
$147,669.22
|
$322,627.71
|
$160,959.45
|
2026-07-18
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Moderate
|
10
|
8
|
—
|
—
|
$143,114.21
|
$312,675.93
|
$155,994.49
|
2026-07-18
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
27
|
19
|
—
|
—
|
$60.58
|
$652,707.45
|
$154,333.87
|
2026-07-18
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems - Major
|
10
|
8
|
—
|
—
|
$141,251.67
|
$308,606.65
|
$153,964.32
|
2026-07-18
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
27
|
19
|
—
|
—
|
$60.58
|
$449,127.47
|
$153,431.16
|
2026-07-18
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure - Extreme
|
10
|
8
|
—
|
—
|
$135,905.78
|
$296,926.95
|
$148,137.30
|
2026-07-18
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure - Major
|
10
|
8
|
—
|
—
|
$127,968.07
|
$279,584.64
|
$139,485.20
|
2026-07-18
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure - Minor
|
10
|
8
|
—
|
—
|
$126,573.91
|
$276,538.68
|
$137,965.56
|
2026-07-18
|
|
5173610T
|
OTHER
|
YesImpella Perc Vad 5.5 Tech
|
14
|
10
|
$215,600.00
|
$53,037.60
75% off
|
$79,664.20
|
$172,480.00
|
$134,448.16
|
2026-05-08
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
—
|
—
|
$120,615.84
|
$263,521.49
|
$131,471.27
|
2026-07-18
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
—
|
—
|
$120,615.84
|
$263,521.49
|
$131,471.27
|
2026-07-18
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
—
|
—
|
$120,615.84
|
$263,521.49
|
$131,471.27
|
2026-07-18
|
|
691101OR
|
OTHER
|
Stimruouter User Kit Bioness Inc St2-5050
|
14
|
10
|
$210,636.00
|
$51,816.46
75% off
|
$77,830.00
|
$168,508.80
|
$131,352.61
|
2026-05-08
|
|
689207OR
|
OTHER
|
System Final Product Assembled Maci 1 Membrane Vericel Corp 81073
|
17
|
11
|
$208,808.00
|
$51,366.77
75% off
|
$77,154.56
|
$167,046.40
|
$130,713.81
|
2026-05-08
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo) - Major
|
10
|
8
|
—
|
—
|
$118,849.85
|
$259,663.15
|
$129,546.34
|
2026-07-18
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$112,383.00
|
$245,534.38
|
$122,497.47
|
2026-07-18
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure - Moderate
|
10
|
8
|
—
|
—
|
$109,759.70
|
$239,802.99
|
$119,638.07
|
2026-07-18
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure - Major
|
10
|
8
|
—
|
—
|
$109,130.41
|
$238,428.12
|
$118,952.14
|
2026-07-18
|
|
0268T
|
OTHER
|
0268t Imp Rplc BaroActSys Gen Only Tech
|
14
|
10
|
$198,078.00
|
$47,320.83
76% off
|
$71,379.39
|
$158,462.40
|
$118,143.62
|
2026-07-18
|
|
61889
|
CPT
|
61889 Ins Sk-mnt Crnl Nstm Pg/Rcvr Tech
|
17
|
13
|
$193,766.00
|
$46,290.70
76% off
|
$69,825.52
|
$155,012.80
|
$114,709.47
|
2026-07-18
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems - Moderate
|
10
|
8
|
—
|
—
|
$103,933.79
|
$227,074.54
|
$113,287.83
|
2026-07-18
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems - Minor
|
10
|
8
|
—
|
—
|
$103,933.79
|
$227,074.54
|
$113,287.83
|
2026-07-18
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly - Extreme
|
10
|
8
|
—
|
—
|
$103,555.12
|
$226,247.23
|
$112,875.08
|
2026-07-18
|
|
J7330
|
HCPCS
|
Membrane Vericel Corp 69866-1030-01
|
34
|
13
|
$189,694.00
|
$45,317.90
76% off
|
$61,470.21
|
$167,046.40
|
$112,185.68
|
2026-07-18
|
|
678904OR
|
OTHER
|
Membrane Vericel Corp 69866-1030-01
|
17
|
11
|
$170,580.00
|
$41,962.68
75% off
|
$63,029.31
|
$148,965.49
|
$110,706.42
|
2026-05-08
|
|
9813473T
|
OTHER
|
61889 Ins Sk-mnt Crnl Nstm Pg/Rcvr Tech
|
17
|
11
|
$176,151.00
|
$43,333.15
75% off
|
$8,718.08
|
$140,920.80
|
$106,712.28
|
2026-05-08
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure - Extreme
|
10
|
8
|
—
|
—
|
$94,677.24
|
$206,850.83
|
$103,198.19
|
2026-07-18
|
|
688779OR
|
OTHER
|
Device Ventricular Assist Impella 5.5 Smartassist Catheter Abiomed Inc 1000100
|
14
|
10
|
$164,000.00
|
$40,344.00
75% off
|
$60,598.00
|
$131,200.00
|
$102,270.40
|
2026-05-08
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure - Major
|
10
|
8
|
—
|
—
|
$93,717.21
|
$204,753.36
|
$102,151.76
|
2026-07-18
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
27
|
19
|
—
|
—
|
$60.58
|
$298,796.57
|
$100,307.49
|
2026-07-18
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns - Extreme
|
10
|
8
|
—
|
—
|
$89,836.69
|
$196,275.20
|
$97,921.99
|
2026-07-18
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure - Moderate
|
10
|
8
|
—
|
—
|
$87,776.95
|
$191,775.08
|
$95,676.88
|
2026-07-18
|
|
692146OR
|
OTHER
|
Generator Symmetry Model 8103 Sgl Pin 8cc Livanova Usa 8103
|
17
|
11
|
$156,456.00
|
$38,488.18
75% off
|
$32,827.14
|
$125,164.80
|
$94,781.04
|
2026-05-08
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$86,872.38
|
$189,798.78
|
$94,690.89
|
2026-07-18
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure - Major
|
10
|
8
|
—
|
—
|
$86,682.70
|
$189,384.36
|
$94,484.15
|
2026-07-18
|
|
667808OR
|
OTHER
|
Kit Ipg Nevro Corporation Nipg2000
|
17
|
11
|
$148,000.00
|
$36,408.00
75% off
|
$54,686.00
|
$118,400.00
|
$91,937.60
|
2026-05-08
|
|
689778OR
|
OTHER
|
Battery Sentiva Duo Livanova Usa M1000d
|
14
|
10
|
$145,120.00
|
$35,699.52
75% off
|
$53,621.84
|
$116,096.00
|
$90,496.83
|
2026-05-08
|
|
8513
|
APR_DRG
|
Gender Related Procedures - Major
|
10
|
8
|
—
|
—
|
$82,897.37
|
$181,114.17
|
$90,358.14
|
2026-07-18
|
|
8514
|
APR_DRG
|
Gender Related Procedures - Extreme
|
10
|
8
|
—
|
—
|
$82,897.37
|
$181,114.17
|
$90,358.14
|
2026-07-18
|
|
718786OR
|
OTHER
|
Generator Sentiva Model-1000 Livanova Usa 1000
|
17
|
11
|
$148,312.00
|
$36,484.75
75% off
|
$32,827.14
|
$118,649.60
|
$89,847.41
|
2026-05-08
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition - Ext…
|
10
|
8
|
—
|
—
|
$82,198.23
|
$179,586.69
|
$89,596.07
|
2026-07-18
|
|
694687OR
|
OTHER
|
Stent Device Hybrid Throaflew Ante Flo Terumo Medical Corp Tha3034x150a
|
14
|
10
|
$140,000.00
|
$34,440.00
75% off
|
$51,730.00
|
$112,000.00
|
$87,304.00
|
2026-05-08
|
|
693968OR
|
OTHER
|
Stent Device Ante-flo Hybrid Terumo Medical Corp Tha3240x150a
|
14
|
10
|
$140,000.00
|
$34,440.00
75% off
|
$51,730.00
|
$112,000.00
|
$87,304.00
|
2026-05-08
|
|
685766OR
|
OTHER
|
System Nrstm Barostim Neo2 Includes Ipg And Csl Kit CVRx Incorporated 100069-202
|
14
|
10
|
$140,000.00
|
$34,440.00
75% off
|
$51,730.00
|
$112,000.00
|
$87,304.00
|
2026-05-08
|
|
696208OR
|
OTHER
|
Graft Vascular Thoraflex L100mm L150mm Od36mm Id30mm Stent Terumo Medical Corp T…
|
14
|
10
|
$140,000.00
|
$34,440.00
75% off
|
$51,730.00
|
$112,000.00
|
$87,304.00
|
2026-05-08
|
|
679668OR
|
OTHER
|
Kit Stimulator Nevro Corporation Exts3000
|
3
|
1
|
$0.01
|
—
|
$85,833.98
|
$107,292.48
|
$85,833.98
|
2026-05-08
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$78,029.43
|
$170,478.70
|
$85,052.07
|
2026-07-18
|
|
695138OR
|
OTHER
|
Graft Vascular Anteflo L150mm Od36mm Terumo Medical Corp Tha3036x150a
|
17
|
11
|
$140,000.00
|
$34,440.00
75% off
|
$2,184.52
|
$112,000.00
|
$84,812.00
|
2026-05-08
|
|
697437OR
|
OTHER
|
Graft Vascular Ante-flo L100 Mm L150mm Od32mm Id30 Mm Hybrid Terumo Medical Corp…
|
17
|
11
|
$140,000.00
|
$34,440.00
75% off
|
$2,184.52
|
$112,000.00
|
$84,812.00
|
2026-05-08
|
|
695139OR
|
OTHER
|
Graft Vascular Anteflo L150mm Od38mm Terumo Medical Corp Tha3038x150a
|
17
|
11
|
$140,000.00
|
$34,440.00
75% off
|
$2,184.52
|
$112,000.00
|
$84,812.00
|
2026-05-08
|
|
690294OR
|
OTHER
|
Valve Kit Tavr Sapien 3 Ultra W Commander System 26mm Edwards Lifesciences Corp …
|
14
|
10
|
$136,000.00
|
$33,456.00
75% off
|
$50,252.00
|
$108,800.00
|
$84,809.60
|
2026-05-08
|
|
690293OR
|
OTHER
|
Valve Kit Tavr Sapien 3 Ultra W Commander System 23mm Edwards Lifesciences Corp …
|
14
|
10
|
$136,000.00
|
$33,456.00
75% off
|
$50,252.00
|
$108,800.00
|
$84,809.60
|
2026-05-08
|
|
690295OR
|
OTHER
|
Valve Kit Tavr Sapien 3 Ultra W Commander System 29mm Edwards Lifesciences Corp …
|
14
|
10
|
$136,000.00
|
$33,456.00
75% off
|
$50,252.00
|
$108,800.00
|
$84,809.60
|
2026-05-08
|
|
690292OR
|
OTHER
|
Valve Kit Tavr Sapien 3 Ultra W Commander System 20mm Edwards Lifesciences Corp …
|
14
|
10
|
$136,000.00
|
$33,456.00
75% off
|
$50,252.00
|
$108,800.00
|
$84,809.60
|
2026-05-08
|
|
238091OR
|
OTHER
|
Kit Dps System Neurrx Hde Sci 2/2 Epg Synpase 20-0035
|
17
|
11
|
$138,600.00
|
$34,095.60
75% off
|
$7,391.62
|
$110,880.00
|
$83,963.88
|
2026-05-08
|
|
3577035T
|
OTHER
|
26mm Ta Tech
|
17
|
11
|
$137,800.00
|
$33,898.80
75% off
|
$5,837.23
|
$110,240.00
|
$83,479.24
|
2026-05-08
|
|
3577032T
|
OTHER
|
26mm Tf Tech
|
17
|
11
|
$137,800.00
|
$33,898.80
75% off
|
$5,837.23
|
$110,240.00
|
$83,479.24
|
2026-05-08
|
|
3577033T
|
OTHER
|
29mm Tf Tech
|
17
|
11
|
$137,800.00
|
$33,898.80
75% off
|
$5,837.23
|
$110,240.00
|
$83,479.24
|
2026-05-08
|
|
3577031T
|
OTHER
|
23mm Tf Tech
|
17
|
11
|
$137,800.00
|
$33,898.80
75% off
|
$5,837.23
|
$110,240.00
|
$83,479.24
|
2026-05-08
|
|
3577034T
|
OTHER
|
23mm Ta Tech
|
17
|
11
|
$137,800.00
|
$33,898.80
75% off
|
$5,837.23
|
$110,240.00
|
$83,479.24
|
2026-05-08
|
|
3577036T
|
OTHER
|
29mm Ta Tech
|
17
|
11
|
$137,800.00
|
$33,898.80
75% off
|
$5,837.23
|
$110,240.00
|
$83,479.24
|
2026-05-08
|
|
684397OR
|
OTHER
|
Graft Prcn 17.7x11.8in Xenmtrx Ab Rect Drml Clgn Mtrx Rgnrt Bard Davol Inc 1153…
|
17
|
11
|
$137,280.00
|
$33,770.88
75% off
|
$718.43
|
$109,824.00
|
$83,164.22
|
2026-05-08
|
|
682319OR
|
OTHER
|
Valve Pulmonary Harmony Tpv 22mm Medtronic Inc Harmony-22
|
14
|
10
|
$132,000.00
|
$32,472.00
75% off
|
$48,774.00
|
$105,600.00
|
$82,315.20
|
2026-05-08
|
|
682320OR
|
OTHER
|
Valve Pulmonary Harmony Tpv 25mm Medtronic Inc Harmony-25
|
14
|
10
|
$132,000.00
|
$32,472.00
75% off
|
$48,774.00
|
$105,600.00
|
$82,315.20
|
2026-05-08
|
|
689721OR
|
OTHER
|
Mitraclip G4 System Steerable Guide Catheter Sgc0701 Combo St Jude Medical Inc M…
|
14
|
10
|
$132,000.00
|
$32,472.00
75% off
|
$48,774.00
|
$105,600.00
|
$82,315.20
|
2026-05-08
|
|
239755OR
|
OTHER
|
Kit Neurx Dps System Hde Als W/1epg Synapse Biomedical 20-0045
|
14
|
10
|
$131,000.00
|
$32,226.00
75% off
|
$48,404.50
|
$104,800.00
|
$81,691.60
|
2026-05-08
|
|
48034OR
|
OTHER
|
Valve Kit Sapien 3 26mm Transcatheter/commander Edwards Lifesciences Corp 9600cm…
|
14
|
10
|
$130,000.00
|
$31,980.00
75% off
|
$48,035.00
|
$104,000.00
|
$81,068.00
|
2026-05-08
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
24
|
17
|
—
|
—
|
$60.58
|
$237,977.77
|
$80,866.61
|
2026-07-18
|
|
663777OR
|
OTHER
|
Generator Sentiva 1000 Livanova Usa M1000
|
17
|
11
|
$133,193.00
|
$32,765.48
75% off
|
$32,827.14
|
$106,554.40
|
$80,688.32
|
2026-05-08
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
27
|
19
|
—
|
—
|
$60.58
|
$231,720.73
|
$79,917.65
|
2026-07-18
|
|
698065OR
|
OTHER
|
Valve Aortic Evolut Fx Plus 23 Mm Od18-20 Mm Annulus Medtronic Inc Evfxplus-23
|
14
|
10
|
$128,000.00
|
$31,488.00
75% off
|
$47,296.00
|
$102,400.00
|
$79,820.80
|
2026-05-08
|
|
698066OR
|
OTHER
|
Valve Aortic Evolut Fx Plus 26 Mm Od20-23 Mm Annulus Medtronic Inc Evfxplus-26
|
14
|
10
|
$128,000.00
|
$31,488.00
75% off
|
$47,296.00
|
$102,400.00
|
$79,820.80
|
2026-05-08
|
|
698067OR
|
OTHER
|
Valve Aortic Evolut Fx Plus 29 Mm Od23-26 Mm Annulus Medtronic Inc Evfxplus-29
|
14
|
10
|
$128,000.00
|
$31,488.00
75% off
|
$47,296.00
|
$102,400.00
|
$79,820.80
|
2026-05-08
|
|
698068OR
|
OTHER
|
Valve Aortic Evolut Fx Plus 34 Mm Od26-30 Mm Annulus Medtronic Inc Evfxplus-34
|
14
|
10
|
$128,000.00
|
$31,488.00
75% off
|
$47,296.00
|
$102,400.00
|
$79,820.80
|
2026-05-08
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
27
|
19
|
—
|
—
|
$60.58
|
$324,969.85
|
$78,857.88
|
2026-07-18
|
|
684414OR
|
OTHER
|
Graft Prcn 17.7x11.8in Xenmtrx Aquapure Rect Aclr Clgn Mtrx Bard Davol Inc 11630…
|
17
|
11
|
$130,120.00
|
$32,009.52
75% off
|
$718.43
|
$104,096.00
|
$78,826.70
|
2026-05-08
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly - Extreme
|
10
|
8
|
—
|
—
|
$72,252.82
|
$157,857.96
|
$78,755.58
|
2026-07-18
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection - Ex…
|
10
|
8
|
—
|
—
|
$71,588.61
|
$156,406.80
|
$78,031.58
|
2026-07-18
|
|
668234OR
|
OTHER
|
Kit Neurostimulator Neuropace Rns-320-k
|
17
|
11
|
$127,800.00
|
$31,438.80
75% off
|
$32,827.14
|
$102,240.00
|
$77,421.24
|
2026-05-08
|
|
8634
|
APR_DRG
|
Neonatal Aftercare - Extreme
|
10
|
8
|
—
|
—
|
$70,666.24
|
$154,391.60
|
$77,026.20
|
2026-07-18
|
|
38240
|
CPT
|
38240 Transplt Allo Hct/donor Tech
|
35
|
19
|
$384,425.00
|
$91,839.13
76% off
|
$52,254.40
|
$307,540.00
|
$76,844.71
|
2026-07-18
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Minor
|
10
|
8
|
—
|
—
|
$70,484.09
|
$153,993.64
|
$76,827.66
|
2026-07-18
|
|
242356OR
|
OTHER
|
Generator Aspire Sr 106 Livanova Usa 106
|
17
|
11
|
$126,228.00
|
$31,052.09
75% off
|
$32,827.14
|
$100,982.40
|
$76,468.92
|
2026-05-08
|
|
681409OR
|
OTHER
|
Generator Nrstm Barostim Neo Implantable Pulse Ipg CVRx Incorporated 100054-202
|
17
|
11
|
$126,000.00
|
$30,996.00
75% off
|
$32,827.14
|
$100,800.00
|
$76,330.80
|
2026-05-08
|
|
696934OR
|
OTHER
|
Valve Mitral Pascal Precision System Edwards Lifesciences Corp Pas2ma
|
14
|
10
|
$122,400.00
|
$30,110.40
75% off
|
$45,226.80
|
$97,920.00
|
$76,328.64
|
2026-05-08
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis - Extreme
|
10
|
8
|
—
|
—
|
$69,593.22
|
$152,047.27
|
$75,856.61
|
2026-07-18
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back - Extreme
|
10
|
8
|
—
|
—
|
$69,257.01
|
$151,312.72
|
$75,490.14
|
2026-07-18
|
|
3989877T
|
OTHER
|
Protek Duo Dl31 Tech
|
14
|
10
|
$120,182.00
|
$29,564.77
75% off
|
$44,407.25
|
$96,145.60
|
$74,945.49
|
2026-05-08
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure - Major
|
10
|
8
|
—
|
—
|
$68,709.89
|
$150,117.37
|
$74,893.78
|
2026-07-18
|
|
686191OR
|
OTHER
|
Transcath Evoluttm Fx Aortic Valve 26mm Medtronic Inc Evolutfx-26
|
14
|
10
|
$120,000.00
|
$29,520.00
75% off
|
$44,340.00
|
$96,000.00
|
$74,832.00
|
2026-05-08
|
|
686192OR
|
OTHER
|
Transcath Evoluttm Fx Aortic Valve 29mm Medtronic Inc Evolutfx-29
|
14
|
10
|
$120,000.00
|
$29,520.00
75% off
|
$44,340.00
|
$96,000.00
|
$74,832.00
|
2026-05-08
|
|
686193OR
|
OTHER
|
Transcath Evoluttm Fx Aortic Valve 34mm Medtronic Inc Evolutfx-34
|
14
|
10
|
$120,000.00
|
$29,520.00
75% off
|
$44,340.00
|
$96,000.00
|
$74,832.00
|
2026-05-08
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure - Minor
|
10
|
8
|
—
|
—
|
$66,801.47
|
$145,947.85
|
$72,813.60
|
2026-07-18
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
27
|
19
|
—
|
—
|
$60.58
|
$289,008.00
|
$72,250.75
|
2026-07-18
|
|
242501OR
|
OTHER
|
Pulse Generator Implant 16 Ch Protege MRI Ready St Jude Cardiac Rhythm Mgmt 3771
|
17
|
11
|
$115,980.00
|
$28,531.08
75% off
|
$42,854.61
|
$92,784.00
|
$72,046.78
|
2026-05-08
|
|
685804OR
|
OTHER
|
Generator Pulse Paired Vagus Nerve Stimulation Microtransponder Inc Viv-ipg
|
17
|
11
|
$118,000.00
|
$29,028.00
75% off
|
$32,827.14
|
$94,400.00
|
$71,484.40
|
2026-05-08
|
|
671829OR
|
OTHER
|
Generator Neurostm Prodigy MRI Ipg Burst St Jude Medical Inc 3772
|
17
|
11
|
$114,930.00
|
$28,272.78
75% off
|
$42,466.64
|
$91,944.00
|
$71,394.52
|
2026-05-08
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
19
|
—
|
—
|
$60.58
|
$206,317.65
|
$70,995.75
|
2026-07-18
|
|
603079OR
|
OTHER
|
Generator Neurostim Implant Proclaim Elite St Jude Neuromodulation 3660
|
17
|
11
|
$116,314.00
|
$28,613.24
75% off
|
$32,827.14
|
$93,051.20
|
$70,463.02
|
2026-05-08
|
|
3607763T
|
OTHER
|
C1882 Icd Crt A Tech
|
17
|
11
|
$113,723.00
|
$27,975.86
75% off
|
$42,020.65
|
$90,978.40
|
$69,592.57
|
2026-05-08
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure - Major
|
10
|
8
|
—
|
—
|
$62,538.17
|
$136,633.39
|
$68,166.61
|
2026-07-18
|
|
691301OR
|
OTHER
|
Kit System 222etctrsy33 Abbott Laboratories 222etctrsy33
|
17
|
11
|
$109,660.00
|
$26,976.36
75% off
|
$40,519.37
|
$87,728.00
|
$68,120.79
|
2026-05-08
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$62,349.86
|
$136,221.97
|
$67,961.35
|
2026-07-18
|
|
676332OR
|
OTHER
|
Nail IM Strght 265x11.5 Femur Precice Stryde Nuvasive Ps11.5-80b265
|
14
|
10
|
$108,100.00
|
$26,592.60
75% off
|
$39,942.95
|
$86,480.00
|
$67,411.16
|
2026-05-08
|
|
3538588T
|
OTHER
|
20838 Replantation Foot Complete Tech
|
17
|
11
|
$110,883.00
|
$27,277.22
75% off
|
$17,074.02
|
$88,706.40
|
$67,172.92
|
2026-05-08
|
|
3538815T
|
OTHER
|
22861 Revise Cerv Artific Disc Tech
|
17
|
11
|
$110,883.00
|
$27,277.22
75% off
|
$13,400.42
|
$88,706.40
|
$67,172.92
|
2026-05-08
|
|
3538793T
|
OTHER
|
22818 Kyphectomy 1-2 Segments Tech
|
17
|
11
|
$110,883.00
|
$27,277.22
75% off
|
$14,752.59
|
$88,706.40
|
$67,172.92
|
2026-05-08
|
|
3538145T
|
OTHER
|
22812 Ant Fusion 8/> Vert Seg Tech
|
17
|
11
|
$110,883.00
|
$27,277.22
75% off
|
$15,058.28
|
$88,706.40
|
$67,172.92
|
2026-05-08
|
|
3538792T
|
OTHER
|
22808 Ant Fusion 2-3 Vert Seg Tech
|
17
|
11
|
$110,883.00
|
$27,277.22
75% off
|
$12,266.92
|
$88,706.40
|
$67,172.92
|
2026-05-08
|
|
3538583T
|
OTHER
|
20808 Replantation Hand Complete Tech
|
17
|
11
|
$110,883.00
|
$27,277.22
75% off
|
$28,811.05
|
$88,706.40
|
$67,172.92
|
2026-05-08
|
|
3538582T
|
OTHER
|
20805 Replant Forearm Complete Tech
|
17
|
11
|
$110,883.00
|
$27,277.22
75% off
|
$23,225.68
|
$88,706.40
|
$67,172.92
|
2026-05-08
|
|
3538783T
|
OTHER
|
22595 Neck Spinal Fusion Tech
|
17
|
11
|
$110,883.00
|
$27,277.22
75% off
|
$9,416.53
|
$88,706.40
|
$67,172.92
|
2026-05-08
|
|
3538816T
|
OTHER
|
22862 Revise Lumbar Artif Disc Tech
|
17
|
11
|
$110,883.00
|
$27,277.22
75% off
|
$11,588.39
|
$88,706.40
|
$67,172.92
|
2026-05-08
|
|
3539298T
|
OTHER
|
27284 Fusion Of Hip Joint Tech
|
17
|
11
|
$110,883.00
|
$27,277.22
75% off
|
$10,918.49
|
$88,706.40
|
$67,172.92
|
2026-05-08
|
|
601419OR
|
OTHER
|
Pulse Generator Implant St Jude Cardiac Rhythm Mgmt 3662
|
17
|
11
|
$110,789.00
|
$27,254.09
75% off
|
$32,827.14
|
$88,631.20
|
$67,115.98
|
2026-05-08
|
|
3607801T
|
OTHER
|
C1722 Subc Single Chamber Icd Tech
|
17
|
11
|
$107,549.00
|
$26,457.05
75% off
|
$39,739.36
|
$86,039.20
|
$66,809.44
|
2026-05-08
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis - Extreme
|
10
|
8
|
—
|
—
|
$60,896.81
|
$133,047.35
|
$66,377.52
|
2026-07-18
|
|
229869OR
|
OTHER
|
Generator Demi Pulse 103 With N/c Pt Kit Livanova Usa 103
|
17
|
11
|
$109,150.00
|
$26,850.90
75% off
|
$32,827.14
|
$87,320.00
|
$66,123.07
|
2026-05-08
|
|
230934OR
|
OTHER
|
Generator Demi Pulse 104 Livanova Usa 104
|
17
|
11
|
$109,150.00
|
$26,850.90
75% off
|
$32,827.14
|
$87,320.00
|
$66,123.07
|
2026-05-08
|
|
689795OR
|
OTHER
|
Kit Proclaim Implantable 7 Ipg With Pt Controller Abbott Laboratories 222pp7ctrs…
|
17
|
11
|
$108,000.00
|
$26,568.00
75% off
|
$32,827.14
|
$86,400.00
|
$65,426.40
|
2026-05-08
|
|
689081OR
|
OTHER
|
Kit Proclaim Implantable Abbott Laboratories 222pp5ctrsy33
|
17
|
11
|
$108,000.00
|
$26,568.00
75% off
|
$32,827.14
|
$86,400.00
|
$65,426.40
|
2026-05-08
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
27
|
19
|
—
|
—
|
$60.58
|
$250,902.48
|
$65,425.31
|
2026-07-18
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure - Moderate
|
10
|
8
|
—
|
—
|
$59,888.85
|
$130,845.16
|
$65,278.85
|
2026-07-18
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical - E…
|
10
|
8
|
—
|
—
|
$59,668.36
|
$130,363.43
|
$65,038.51
|
2026-07-18
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo) - Moderate
|
10
|
8
|
—
|
—
|
$59,650.55
|
$130,324.52
|
$65,019.10
|
2026-07-18
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$59,561.53
|
$130,130.03
|
$64,922.07
|
2026-07-18
|
|
692316OR
|
OTHER
|
Generator Mini Neurostimulator Implantable Optimizer Smart Impulse Dynamics Inc …
|
14
|
10
|
$104,000.00
|
$25,584.00
75% off
|
$38,428.00
|
$83,200.00
|
$64,854.40
|
2026-05-08
|
|
690030OR
|
OTHER
|
Bundle Nevro Hfx Iq Nipg3000 Chgr2500 Ptrc3000 Nevro Corporation Hfx-d
|
14
|
10
|
$104,000.00
|
$25,584.00
75% off
|
$38,428.00
|
$83,200.00
|
$64,854.40
|
2026-05-08
|
|
690091OR
|
OTHER
|
Optimizer Smart Mini Ipg Impulse Dynamics Inc 10-b501-3-xx
|
14
|
10
|
$104,000.00
|
$25,584.00
75% off
|
$38,428.00
|
$83,200.00
|
$64,854.40
|
2026-05-08
|
|
8953178T
|
OTHER
|
C1824 Generator Cardiac Contract Modultn Tech
|
17
|
11
|
$104,000.00
|
$25,584.00
75% off
|
$38,428.00
|
$83,200.00
|
$64,604.80
|
2026-05-08
|
|
683763OR
|
OTHER
|
Kit Symmetry Vns Therapy Livanova Usa M98142
|
17
|
11
|
$106,300.00
|
$26,149.80
75% off
|
$32,827.14
|
$85,040.00
|
$64,396.54
|
2026-05-08
|
|
240426OR
|
OTHER
|
Pulse Generator Implant 16 Channel Protege St Jude Cardiac Rhythm Mgmt 3789
|
17
|
11
|
$103,580.00
|
$25,480.68
75% off
|
$38,272.81
|
$82,864.00
|
$64,343.90
|
2026-05-08
|
|
677756OR
|
OTHER
|
Nail 400x11.5mm Femur Nuvasive Bt115-10b400-7
|
17
|
11
|
$106,092.00
|
$26,098.63
75% off
|
$603.41
|
$84,873.60
|
$64,270.53
|
2026-05-08
|
|
696608OR
|
OTHER
|
Plate Bone Trumatch Ti Med Mandible Midface 3d Synthes Sd980.108
|
17
|
11
|
$105,884.00
|
$26,047.46
75% off
|
$603.41
|
$84,707.20
|
$64,144.53
|
2026-05-08
|
|
234547OR
|
OTHER
|
Generator Aspire 105 Livanova Usa 105
|
17
|
11
|
$104,832.00
|
$25,788.67
75% off
|
$32,827.14
|
$83,865.60
|
$63,507.23
|
2026-05-08
|
|
1784
|
APR_DRG
|
External Heart Assist Devices - Extreme
|
10
|
8
|
—
|
—
|
$57,907.85
|
$126,517.07
|
$63,119.56
|
2026-07-18
|
|
3607753T
|
OTHER
|
C1882 Icd Crt B Tech
|
17
|
11
|
$101,423.00
|
$24,950.06
75% off
|
$37,475.80
|
$81,138.40
|
$63,003.97
|
2026-05-08
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
27
|
19
|
—
|
—
|
$60.58
|
$277,105.84
|
$62,903.06
|
2026-07-18
|
|
240438OR
|
OTHER
|
Kit Rns Neurostimulator Neuropace Neuropace Rns-300m-k
|
17
|
11
|
$103,800.00
|
$25,534.80
75% off
|
$32,827.14
|
$83,040.00
|
$62,882.04
|
2026-05-08
|
|
691321OR
|
OTHER
|
Proclaim 2 Lead Permanent Sys Abbott Laboratories 3664 2 Lead Sys
|
17
|
11
|
$103,480.00
|
$25,456.08
75% off
|
$32,827.14
|
$82,784.00
|
$62,688.18
|
2026-05-08
|
|
688141OR
|
OTHER
|
Generator Pulse Implantable Plus 7 St Jude Medical Inc 3672
|
17
|
11
|
$103,171.00
|
$25,380.07
75% off
|
$32,827.14
|
$82,536.80
|
$62,500.99
|
2026-05-08
|
|
688140OR
|
OTHER
|
Generator Pulse Implantable Plus 5 Abbott Laboratories 3670
|
17
|
11
|
$103,168.00
|
$25,379.33
75% off
|
$32,827.14
|
$82,534.40
|
$62,499.17
|
2026-05-08
|
|
5334740T
|
OTHER
|
Impella Pump Tech
|
14
|
10
|
$100,000.00
|
$24,600.00
75% off
|
$36,950.00
|
$80,000.00
|
$62,360.00
|
2026-05-08
|
|
684395OR
|
OTHER
|
Graft Prcn 15.7x9.8in Xenmtrx Ab Rect Drml Clgn Mtrx Rgnrt Bard Davol Inc 11525…
|
17
|
11
|
$102,640.00
|
$25,249.44
75% off
|
$718.43
|
$82,112.00
|
$62,179.31
|
2026-05-08
|
|
693496OR
|
OTHER
|
Limflow System Kit Device Limflow Inc Lf-syskit-01-US
|
17
|
11
|
$100,000.00
|
$24,600.00
75% off
|
$36,950.00
|
$80,000.00
|
$62,120.00
|
2026-05-08
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$56,916.32
|
$124,350.78
|
$62,038.79
|
2026-07-18
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly - Extreme
|
10
|
8
|
—
|
—
|
$56,767.04
|
$124,024.63
|
$61,876.07
|
2026-07-18
|
|
240248OR
|
OTHER
|
Prosthesis Distal Femoral Right 200mm Stryker Orthopedics 6497-1-600
|
17
|
11
|
$101,167.00
|
$24,887.08
75% off
|
$2,740.21
|
$80,933.60
|
$61,286.97
|
2026-05-08
|
|
241199OR
|
OTHER
|
Prosthesis Distal Femoral Lt 200mm Stryker Orthopedics 6497-1-200
|
17
|
11
|
$101,167.00
|
$24,887.08
75% off
|
$2,740.21
|
$80,933.60
|
$61,286.97
|
2026-05-08
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
27
|
19
|
—
|
—
|
$60.58
|
$213,056.52
|
$61,248.94
|
2026-07-18
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
19
|
—
|
—
|
$60.58
|
$205,054.11
|
$61,058.02
|
2026-07-18
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly - Extreme
|
10
|
8
|
—
|
—
|
$55,816.60
|
$121,948.11
|
$60,840.10
|
2026-07-18
|
|
671398OR
|
OTHER
|
Nail Tibia 10x/280mm Bone Tran Nuvasive Bt10-60sj280-6
|
17
|
11
|
$100,000.00
|
$24,600.00
75% off
|
$603.41
|
$80,000.00
|
$60,580.00
|
2026-05-08
|
|
34844
|
CPT
|
34844 Endovasc Visc Aorta 4 Graft Tech
|
17
|
13
|
$100,911.00
|
$24,107.64
76% off
|
$36,364.29
|
$80,728.80
|
$59,739.31
|
2026-07-18
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis - Extreme
|
10
|
8
|
—
|
—
|
$54,709.35
|
$119,528.99
|
$59,633.19
|
2026-07-18
|
|
3607714T
|
OTHER
|
C1882 Icd Crt He Tech
|
17
|
11
|
$95,171.00
|
$23,412.07
75% off
|
$35,165.68
|
$76,136.80
|
$59,120.23
|
2026-05-08
|
|
687766OR
|
OTHER
|
Kit Ipg Nevro Corporation Hr10c
|
14
|
10
|
$94,000.00
|
$23,124.00
75% off
|
$34,733.00
|
$75,200.00
|
$58,618.40
|
2026-05-08
|
|
694990OR
|
OTHER
|
Dbs Percept Rc Medtronic Inc B35300
|
17
|
11
|
$94,160.00
|
$23,163.36
75% off
|
$34,792.12
|
$75,328.00
|
$58,492.19
|
2026-05-08
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures - Extreme
|
10
|
8
|
—
|
—
|
$53,604.83
|
$117,115.83
|
$58,429.26
|
2026-07-18
|
|
674781OR
|
OTHER
|
Kit Neuro Senza Ii Nevro Corporation Nipg2500
|
17
|
11
|
$94,000.00
|
$23,124.00
75% off
|
$34,733.00
|
$75,200.00
|
$58,392.80
|
2026-05-08
|
|
684412OR
|
OTHER
|
Graft Prcn 15.8x7.9in Xenmtrx Aquapure Rect Aclr Clgn Mtrx Bard Davol Inc 116254…
|
17
|
11
|
$96,360.00
|
$23,704.56
75% off
|
$718.43
|
$77,088.00
|
$58,374.89
|
2026-05-08
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
27
|
19
|
—
|
—
|
$60.58
|
$231,107.05
|
$57,206.56
|
2026-07-18
|
|
688165OR
|
OTHER
|
Generator Neurostimulator Implantable Pluse Optimizer Smart Ipg Impulse Dynamics…
|
17
|
11
|
$92,000.00
|
$22,632.00
75% off
|
$33,994.00
|
$73,600.00
|
$57,150.40
|
2026-05-08
|
|
3607693T
|
OTHER
|
C1722 Icd Generator Single Tech
|
3
|
1
|
$0.01
|
—
|
$57,037.24
|
$71,296.55
|
$57,037.24
|
2026-05-08
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft - Major
|
10
|
8
|
—
|
—
|
$52,184.65
|
$114,013.02
|
$56,881.27
|
2026-07-18
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures - Extreme
|
10
|
8
|
—
|
—
|
$52,117.54
|
$113,866.40
|
$56,808.12
|
2026-07-18
|
|
34847
|
CPT
|
34847 Visc & Infraren Abd 3 Prosth Tech
|
17
|
13
|
$95,742.00
|
$22,872.76
76% off
|
$34,501.59
|
$76,593.60
|
$56,679.26
|
2026-07-18
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma - Extreme
|
10
|
8
|
—
|
—
|
$51,964.15
|
$113,531.27
|
$56,640.93
|
2026-07-18
|
|
242365OR
|
OTHER
|
Transmitter For Breathing Pacemaker Mark IV Avery Biomedical Devices 01-1000
|
14
|
10
|
$90,700.00
|
$22,312.20
75% off
|
$33,513.65
|
$72,560.00
|
$56,560.52
|
2026-05-08
|
|
671752OR
|
OTHER
|
Artery Aortoiliac Cryopreserve Lifenet Ai
|
17
|
11
|
$93,000.00
|
$22,878.00
75% off
|
$2,184.52
|
$74,400.00
|
$56,339.40
|
2026-05-08
|
|
8322446T
|
OTHER
|
Watchman Lft Atrl Apndge Devce Tech
|
14
|
10
|
$90,271.00
|
$22,206.67
75% off
|
$33,355.13
|
$72,216.80
|
$56,293.00
|
2026-05-08
|
|
689133OR
|
OTHER
|
Femur Precise Retrograde 10.7x275 Nuvasive P10.7-80-275
|
17
|
11
|
$92,656.00
|
$22,793.38
75% off
|
$2,740.21
|
$74,124.80
|
$56,131.00
|
2026-05-08
|
|
687765OR
|
OTHER
|
Kit Igp Nevro Corporation Hf10c
|
14
|
10
|
$90,000.00
|
$22,140.00
75% off
|
$33,255.00
|
$72,000.00
|
$56,124.00
|
2026-05-08
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
27
|
19
|
—
|
—
|
$60.58
|
$161,436.26
|
$55,834.13
|
2026-07-18
|
|
3607719T
|
OTHER
|
C1882 Icd Generator Other Tech
|
3
|
1
|
$0.01
|
—
|
$55,674.06
|
$69,592.57
|
$55,674.06
|
2026-05-08
|
|
C1822
|
HCPCS
|
Generator Pls 16 Op Chnl 2 Port Biphasic Rchrg Btry Hfx Iq Nevro Corporation Nip…
|
70
|
10
|
$94,000.00
|
$22,456.60
76% off
|
$25,945.92
|
$118,400.00
|
$55,623.20
|
2026-07-18
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
27
|
19
|
—
|
—
|
$60.58
|
$160,740.33
|
$55,595.66
|
2026-07-18
|
|
3540060T
|
OTHER
|
34844 Endovasc Visc Aorta 4 Graft Tech
|
17
|
11
|
$91,737.00
|
$22,567.30
75% off
|
$6,799.12
|
$73,389.60
|
$55,574.27
|
2026-05-08
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure - Major
|
10
|
8
|
—
|
—
|
$50,964.41
|
$111,347.04
|
$55,551.21
|
2026-07-18
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis - Major
|
10
|
8
|
—
|
—
|
$50,907.57
|
$111,222.86
|
$55,489.26
|
2026-07-18
|
|
240379OR
|
OTHER
|
Graft Aorto-iliac 12mmx11cm Cryolife Inc R010 12x11
|
17
|
11
|
$91,560.00
|
$22,523.76
75% off
|
$2,184.52
|
$73,248.00
|
$55,467.05
|
2026-05-08
|
|
684396OR
|
OTHER
|
Graft Prcn 11.8x11.8in Xenmtrx Ab Sq Drml Clgn Mtrx Rgnrt Bard Davol Inc 115303…
|
17
|
11
|
$91,520.00
|
$22,513.92
75% off
|
$718.43
|
$73,216.00
|
$55,442.82
|
2026-05-08
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
27
|
19
|
—
|
—
|
$60.58
|
$172,593.23
|
$55,413.39
|
2026-07-18
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms - Extreme
|
10
|
8
|
—
|
—
|
$50,509.73
|
$110,353.66
|
$55,055.60
|
2026-07-18
|
|
691111OR
|
OTHER
|
Rod Spinal Altalyne Lg L480mmxod5.5mm Ultra Synthes Spine 179796482s
|
17
|
11
|
$90,732.00
|
$22,320.07
75% off
|
$603.41
|
$72,585.60
|
$54,965.45
|
2026-05-08
|
|
691106OR
|
OTHER
|
Rod Spinal Altalyne Xl Od5.5mm Ultra Synthes Spine 179796383s
|
17
|
11
|
$90,732.00
|
$22,320.07
75% off
|
$603.41
|
$72,585.60
|
$54,965.45
|
2026-05-08
|
|
691112OR
|
OTHER
|
Rod Spinal Altalyne Sm L600mmxod5.5mm Ultra Synthes Spine 179796600s
|
17
|
11
|
$90,732.00
|
$22,320.07
75% off
|
$603.41
|
$72,585.60
|
$54,965.45
|
2026-05-08
|
|
691107OR
|
OTHER
|
Rod Spinal Altalyne Sm L300mmxod5.5mm Ultra Synthes Spine 179796300s
|
17
|
11
|
$90,732.00
|
$22,320.07
75% off
|
$603.41
|
$72,585.60
|
$54,965.45
|
2026-05-08
|
|
691104OR
|
OTHER
|
Rod Spinal Altalyne Med Od5.5mm Ultra Synthes Spine 179796381s
|
17
|
11
|
$90,732.00
|
$22,320.07
75% off
|
$603.41
|
$72,585.60
|
$54,965.45
|
2026-05-08
|
|
691103OR
|
OTHER
|
Rod Spinal Altalyne Sm Od5.5mm Ultra Synthes Spine 179796380s
|
17
|
11
|
$90,732.00
|
$22,320.07
75% off
|
$603.41
|
$72,585.60
|
$54,965.45
|
2026-05-08
|
|
691110OR
|
OTHER
|
Rod Spinal Altalyne Med L480mmxod5.5mm Ultra Synthes Spine 179796481s
|
17
|
11
|
$90,732.00
|
$22,320.07
75% off
|
$603.41
|
$72,585.60
|
$54,965.45
|
2026-05-08
|
|
691105OR
|
OTHER
|
Rod Spinal Altalyne Lg Od5.5mm Ultra Synthes Spine 179796382s
|
17
|
11
|
$90,732.00
|
$22,320.07
75% off
|
$603.41
|
$72,585.60
|
$54,965.45
|
2026-05-08
|
|
691109OR
|
OTHER
|
Rod Spinal Altalyne Sm L480mmxod5.5mm Ultra Synthes Spine 179796480s
|
17
|
11
|
$90,732.00
|
$22,320.07
75% off
|
$603.41
|
$72,585.60
|
$54,965.45
|
2026-05-08
|
|
691102OR
|
OTHER
|
Rod Spinal Altalyne L120mm Od5.5mmx120mm Ultra Synthes Spine 179796121s
|
17
|
11
|
$90,732.00
|
$22,320.07
75% off
|
$603.41
|
$72,585.60
|
$54,965.45
|
2026-05-08
|
|
691108OR
|
OTHER
|
Rod Spinal Altalyne Med L300xmmod5.5mm Ultra Synthes Spine 179796301s
|
17
|
11
|
$90,732.00
|
$22,320.07
75% off
|
$603.41
|
$72,585.60
|
$54,965.45
|
2026-05-08
|
|
691113OR
|
OTHER
|
Rod Spinal Altalyne Med L600mmxod5.5mm Ultra Synthes Spine 179796601s
|
17
|
11
|
$90,732.00
|
$22,320.07
75% off
|
$603.41
|
$72,585.60
|
$54,965.45
|
2026-05-08
|
|
34848
|
CPT
|
34848 Visc & Infraren Abd 4+ Prost Tech
|
17
|
13
|
$92,675.00
|
$22,140.06
76% off
|
$33,396.36
|
$74,140.00
|
$54,863.60
|
2026-07-18
|
|
61564
|
CPT
|
61564 Excision Of Skull Tumor Tech
|
17
|
13
|
$92,664.00
|
$22,137.43
76% off
|
$33,392.40
|
$74,131.20
|
$54,857.09
|
2026-07-18
|
|
679726OR
|
OTHER
|
Kit Pulse Generator R16 Boston Scientific Corp Db-1216
|
17
|
11
|
$88,000.00
|
$21,648.00
75% off
|
$32,516.00
|
$70,400.00
|
$54,665.60
|
2026-05-08
|
|
694067OR
|
OTHER
|
Spinal Cord Stimulator System 2 Lead Prospera Biotronik 478627
|
17
|
11
|
$88,000.00
|
$21,648.00
75% off
|
$32,516.00
|
$70,400.00
|
$54,665.60
|
2026-05-08
|
|
232785OR
|
OTHER
|
Neurostimulator Activa Rchgbl Medtron Neurological 37612
|
17
|
11
|
$88,000.00
|
$21,648.00
75% off
|
$32,516.00
|
$70,400.00
|
$54,665.60
|
2026-05-08
|
|
675914OR
|
OTHER
|
Vg 16 Con Implant Pulse Gen Ki Boston Scientific Corp Db-1200-s
|
17
|
11
|
$88,000.00
|
$21,648.00
75% off
|
$32,516.00
|
$70,400.00
|
$54,665.60
|
2026-05-08
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition - Ext…
|
10
|
8
|
—
|
—
|
$49,549.02
|
$108,254.70
|
$54,008.43
|
2026-07-18
|
|
677684OR
|
OTHER
|
Nail 10x280mm Pinformis Nuvasive Ps10.080b280
|
17
|
11
|
$89,076.00
|
$21,912.70
75% off
|
$603.41
|
$71,260.80
|
$53,962.24
|
2026-05-08
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition - Extreme
|
10
|
8
|
—
|
—
|
$49,477.12
|
$108,097.61
|
$53,930.06
|
2026-07-18
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma - Ext…
|
10
|
8
|
—
|
—
|
$49,425.76
|
$107,985.40
|
$53,874.08
|
2026-07-18
|
|
33276
|
CPT
|
33276 Insj Phrnc Nrv Stim Sys Tech
|
35
|
19
|
$292,503.00
|
$69,878.97
76% off
|
$36,591.12
|
$234,002.40
|
$53,810.48
|
2026-07-18
|
|
34843
|
CPT
|
34843 Endovasc Visc Aorta 3 Graft Tech
|
17
|
13
|
$90,530.00
|
$21,627.62
76% off
|
$32,623.39
|
$72,424.00
|
$53,593.76
|
2026-07-18
|
|
625038OR
|
OTHER
|
Kit Neurostimulator Implantab St Jude Neuromodulation Mn10200
|
17
|
11
|
$88,000.00
|
$21,648.00
75% off
|
$32,516.00
|
$70,400.00
|
$53,310.40
|
2026-05-08
|
|
664246OR
|
OTHER
|
Proclaim DRG Ipg St Jude Medical Inc 3664ans
|
17
|
11
|
$88,000.00
|
$21,648.00
75% off
|
$32,516.00
|
$70,400.00
|
$53,310.40
|
2026-05-08
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back - Extreme
|
10
|
8
|
—
|
—
|
$48,843.03
|
$106,712.25
|
$53,238.90
|
2026-07-18
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis - Extreme
|
10
|
8
|
—
|
—
|
$48,773.19
|
$106,559.67
|
$53,162.78
|
2026-07-18
|
|
671793OR
|
OTHER
|
Shell Acet R3 56mm Smith & Nephew Plc 71338667
|
17
|
11
|
$87,200.00
|
$21,451.20
75% off
|
$2,740.21
|
$69,760.00
|
$52,825.76
|
2026-05-08
|
|
3540063T
|
OTHER
|
34847 Visc & Infraren Abd 3 Prosth Tech
|
17
|
11
|
$87,038.00
|
$21,411.35
75% off
|
$6,242.18
|
$69,630.40
|
$52,727.62
|
2026-05-08
|
|
684413OR
|
OTHER
|
Graft Prcn 11.8x11.8in Xenmtrx Aquapure Sq Aclr Clgn Mtrx Bard Davol Inc 1163030
|
17
|
11
|
$86,760.00
|
$21,342.96
75% off
|
$718.43
|
$69,408.00
|
$52,559.21
|
2026-05-08
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
27
|
19
|
—
|
—
|
$60.58
|
$151,771.07
|
$52,522.26
|
2026-07-18
|
|
1794
|
APR_DRG
|
Defibrillator Implants - Extreme
|
10
|
8
|
—
|
—
|
$48,137.05
|
$105,169.83
|
$52,469.39
|
2026-07-18
|
|
3607799T
|
OTHER
|
C1722 Icd Single Chamber C Tech
|
17
|
11
|
$80,746.00
|
$19,863.52
75% off
|
$29,835.65
|
$71,296.55
|
$52,404.15
|
2026-05-08
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back - Major
|
10
|
8
|
—
|
—
|
$48,063.78
|
$105,009.75
|
$52,389.52
|
2026-07-18
|
|
676834OR
|
OTHER
|
Nail IM Strght 11.5mm Femur Nuvasive Ps10.0-65b250
|
14
|
10
|
$83,960.00
|
$20,654.16
75% off
|
$31,023.22
|
$67,168.00
|
$52,357.46
|
2026-05-08
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly - Major
|
10
|
8
|
—
|
—
|
$47,998.04
|
$104,866.12
|
$52,317.86
|
2026-07-18
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
27
|
19
|
—
|
—
|
$60.58
|
$150,806.02
|
$52,191.58
|
2026-07-18
|
|
240255OR
|
OTHER
|
Cage Cervical Roi 7x14x15.5mm Zimmer Spine Mc1323p
|
17
|
11
|
$84,000.00
|
$20,664.00
75% off
|
$31,038.00
|
$67,200.00
|
$52,180.80
|
2026-05-08
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures - Extreme
|
10
|
8
|
—
|
—
|
$47,856.30
|
$104,556.44
|
$52,163.37
|
2026-07-18
|
|
3539493T
|
OTHER
|
27888 Amputation Of Foot At Ankle Tech
|
17
|
11
|
$86,052.00
|
$21,168.79
75% off
|
$4,834.14
|
$68,841.60
|
$52,130.30
|
2026-05-08
|
|
3539394T
|
OTHER
|
27598 Amputate Lower Leg At Knee Tech
|
17
|
11
|
$86,052.00
|
$21,168.79
75% off
|
$4,970.12
|
$68,841.60
|
$52,130.30
|
2026-05-08
|
|
9920572T
|
OTHER
|
0202t Post Vert Arthplsty Incl Flscpy, 1 Lvl Tech
|
17
|
11
|
$86,052.00
|
$21,168.79
75% off
|
$8,236.65
|
$68,841.60
|
$52,130.30
|
2026-05-08
|
|
3538755T
|
OTHER
|
22319 Treat Odontoid Fx W/graft Tech
|
17
|
11
|
$86,052.00
|
$21,168.79
75% off
|
$11,503.97
|
$68,841.60
|
$52,130.30
|
2026-05-08
|
|
3539083T
|
OTHER
|
25905 Amputation Of Forearm Tech
|
17
|
11
|
$86,052.00
|
$21,168.79
75% off
|
$5,853.66
|
$68,841.60
|
$52,130.30
|
2026-05-08
|
|
3538970T
|
OTHER
|
24900 Amputation Of Upper Arm Tech
|
17
|
11
|
$86,052.00
|
$21,168.79
75% off
|
$4,703.05
|
$68,841.60
|
$52,130.30
|
2026-05-08
|
|
3539452T
|
OTHER
|
27712 Realignment Of Lower Leg Tech
|
17
|
11
|
$86,052.00
|
$21,168.79
75% off
|
$7,097.04
|
$68,841.60
|
$52,130.30
|
2026-05-08
|
|
3538971T
|
OTHER
|
24920 Amputation Of Upper Arm Tech
|
17
|
11
|
$86,052.00
|
$21,168.79
75% off
|
$4,676.52
|
$68,841.60
|
$52,130.30
|
2026-05-08
|
|
3538892T
|
OTHER
|
23900 Amputation Of Arm & Girdle Tech
|
17
|
11
|
$86,052.00
|
$21,168.79
75% off
|
$8,972.06
|
$68,841.60
|
$52,130.30
|
2026-05-08
|
|
3539245T
|
OTHER
|
27120 Reconstruction Of Hip Socket Tech
|
17
|
11
|
$86,052.00
|
$21,168.79
75% off
|
$8,507.74
|
$68,841.60
|
$52,130.30
|
2026-05-08
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition…
|
10
|
8
|
—
|
—
|
$47,766.59
|
$104,360.45
|
$52,065.58
|
2026-07-18
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
27
|
19
|
—
|
—
|
$60.58
|
$186,281.55
|
$51,886.85
|
2026-07-18
|
|
3540257T
|
OTHER
|
38240 Transplt Allo Hct/donor Tech
|
35
|
16
|
$325,414.00
|
$80,051.84
75% off
|
$893.90
|
$260,331.20
|
$51,841.54
|
2026-05-08
|
|
694068OR
|
OTHER
|
Spinal Cord Stimulator System 1 Lead Prospera Biotronik 478628
|
17
|
11
|
$83,200.00
|
$20,467.20
75% off
|
$30,742.40
|
$66,560.00
|
$51,683.84
|
2026-05-08
|
|
690084OR
|
OTHER
|
Defibrillator Cardiac Cobalt Xt Hf Medtron Cardiac Rhy&heart Fail Dtpa2qq
|
17
|
11
|
$79,392.00
|
$19,530.43
75% off
|
$29,335.34
|
$69,592.57
|
$51,525.41
|
2026-05-08
|
|
49260OR
|
OTHER
|
Devce Resynchronization Viva S Crt-d Medtron Cardiac Rhy&heart Fail Dtbb1d1
|
17
|
11
|
$79,200.00
|
$19,483.20
75% off
|
$29,264.40
|
$73,247.42
|
$51,400.80
|
2026-05-08
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
10
|
8
|
—
|
—
|
$47,120.87
|
$102,949.68
|
$51,361.75
|
2026-07-18
|
|
683065OR
|
OTHER
|
Tag Conform Thoracic Sg Ac 37mmx37mmx10cm 22fr Wl Gore & Associates Inc Tgmr3737…
|
14
|
10
|
$82,272.00
|
$20,238.91
75% off
|
$30,399.50
|
$65,817.60
|
$51,304.82
|
2026-05-08
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma - Extreme
|
10
|
8
|
—
|
—
|
$47,054.45
|
$102,804.56
|
$51,289.35
|
2026-07-18
|
|
682874OR
|
OTHER
|
Nail Intrame Precice 80mm 275x10.7mm Femur Piriformis Nuvasive P10.7-80b275
|
17
|
11
|
$84,616.00
|
$20,815.54
75% off
|
$603.41
|
$67,692.80
|
$51,260.37
|
2026-05-08
|
|
46092OR
|
OTHER
|
Device Tachyarhythmia Protecta Xt Dr Medtron Cardiac Rhy&heart Fail D314drg
|
17
|
11
|
$78,912.00
|
$19,412.35
75% off
|
$29,157.98
|
$73,247.42
|
$51,213.89
|
2026-05-08
|
|
3540064T
|
OTHER
|
34848 Visc & Infraren Abd 4+ Prost Tech
|
17
|
11
|
$84,250.00
|
$20,725.50
75% off
|
$6,799.12
|
$67,400.00
|
$51,038.65
|
2026-05-08
|
|
3541343T
|
OTHER
|
61564 Excision Of Skull Tumor Tech
|
17
|
11
|
$84,240.00
|
$20,723.04
75% off
|
$15,673.10
|
$67,392.00
|
$51,032.59
|
2026-05-08
|
|
1783
|
APR_DRG
|
External Heart Assist Devices - Major
|
10
|
8
|
—
|
—
|
$46,725.08
|
$102,084.95
|
$50,930.34
|
2026-07-18
|
|
602486OR
|
OTHER
|
Kit Ipg Nevro Corporation Nipg1500
|
17
|
11
|
$81,956.00
|
$20,161.18
75% off
|
$30,282.74
|
$65,564.80
|
$50,911.07
|
2026-05-08
|
|
240277OR
|
OTHER
|
Graft Aorto-iliac 11mmx7.5cm Cryolife Inc R010 11x7.5
|
17
|
11
|
$84,000.00
|
$20,664.00
75% off
|
$2,184.52
|
$67,200.00
|
$50,887.20
|
2026-05-08
|
|
240278OR
|
OTHER
|
Graft Aorto-iliac 11mmx8cm Cryolife Inc R010 11x8
|
17
|
11
|
$84,000.00
|
$20,664.00
75% off
|
$2,184.52
|
$67,200.00
|
$50,887.20
|
2026-05-08
|
|
671905OR
|
OTHER
|
Nail Femur Strt Antegrade 10.8 Nuvasive Ps10.0-50b235
|
17
|
11
|
$83,996.00
|
$20,663.02
75% off
|
$603.41
|
$67,196.80
|
$50,884.78
|
2026-05-08
|
|
672472OR
|
OTHER
|
Nail Femoral 13x250mm Nuvasive P513.0-65b250
|
17
|
11
|
$83,960.00
|
$20,654.16
75% off
|
$603.41
|
$67,168.00
|
$50,862.97
|
2026-05-08
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical - M…
|
10
|
8
|
—
|
—
|
$46,657.97
|
$101,938.33
|
$50,857.19
|
2026-07-18
|
|
691159OR
|
OTHER
|
Defibrillator Cardiac Cobalt Ti 2 Chamber Medtron Cardiac Rhy&heart Fail Dtpa2d…
|
17
|
11
|
$78,192.00
|
$19,235.23
75% off
|
$28,891.94
|
$73,247.42
|
$50,746.61
|
2026-05-08
|
|
692654OR
|
OTHER
|
Icd Cobalt Xt Hf Tit W51mm X H74mm Is-4 Df-1 Conn Quad MRI Medtronic Inc Dtpa2q1
|
17
|
11
|
$78,192.00
|
$19,235.23
75% off
|
$28,891.94
|
$73,247.42
|
$50,746.61
|
2026-05-08
|
|
9929919T
|
OTHER
|
C1882 Cobalt Xt Quad MRI Crt-d Qq Tech
|
17
|
11
|
$78,192.00
|
$19,235.23
75% off
|
$28,891.94
|
$69,592.57
|
$50,746.61
|
2026-05-08
|
|
9929946T
|
OTHER
|
C1882 Cobalt Xt MRI Crt-d��d4 Tech
|
17
|
11
|
$78,192.00
|
$19,235.23
75% off
|
$28,891.94
|
$69,592.57
|
$50,746.61
|
2026-05-08
|
|
9929945T
|
OTHER
|
C1882 Cobalt Xt MRI Crt-d��d1 Tech
|
17
|
11
|
$78,192.00
|
$19,235.23
75% off
|
$28,891.94
|
$69,592.57
|
$50,746.61
|
2026-05-08
|
|
691414OR
|
OTHER
|
Defibr Cobalt Surescan Ti D13mm 57sqcm W51mmxh71mm 82gm Medtron Cardiac Rhy&hea…
|
17
|
11
|
$78,192.00
|
$19,235.23
75% off
|
$28,891.94
|
$73,247.42
|
$50,746.61
|
2026-05-08
|
|
9929943T
|
OTHER
|
Cobalt Xt Quad MRI Crt-d Q1 Tech
|
17
|
11
|
$78,192.00
|
$19,235.23
75% off
|
$28,891.94
|
$69,592.57
|
$50,746.61
|
2026-05-08
|
|
9931821T
|
OTHER
|
C1882 Cobalt Xt Quad MRI Crt-d Qq Tech
|
17
|
11
|
$78,192.00
|
$19,235.23
75% off
|
$28,891.94
|
$69,592.57
|
$50,746.61
|
2026-05-08
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition - Maj…
|
10
|
8
|
—
|
—
|
$46,544.99
|
$101,691.49
|
$50,734.04
|
2026-07-18
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$46,446.38
|
$101,476.05
|
$50,626.55
|
2026-07-18
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
27
|
19
|
—
|
—
|
$60.58
|
$156,438.00
|
$50,311.97
|
2026-07-18
|
|
679325OR
|
OTHER
|
Graft Stent 15cm X 28mm Thor Wl Gore & Associates Inc Tgm282815
|
14
|
10
|
$80,580.00
|
$19,822.68
75% off
|
$29,774.31
|
$64,464.00
|
$50,249.69
|
2026-05-08
|
|
C1826
|
HCPCS
|
Neurostimulator Implantable Inceptiv MRI Sterile Disp Medtronic Inc 977119
|
14
|
10
|
$84,000.00
|
$20,067.60
76% off
|
$30,270.24
|
$67,200.00
|
$50,101.80
|
2026-07-18
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma - Extreme
|
10
|
8
|
—
|
—
|
$45,955.41
|
$100,403.38
|
$50,091.39
|
2026-07-18
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
27
|
19
|
—
|
—
|
$60.58
|
$165,673.85
|
$50,067.73
|
2026-07-18
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure - Moderate
|
10
|
8
|
—
|
—
|
$45,815.04
|
$100,096.70
|
$49,938.39
|
2026-07-18
|
|
3540059T
|
OTHER
|
34843 Endovasc Visc Aorta 3 Graft Tech
|
17
|
11
|
$82,300.00
|
$20,245.80
75% off
|
$6,242.18
|
$65,840.00
|
$49,857.34
|
2026-05-08
|
|
683069OR
|
OTHER
|
Tag Conform Thoracic Sg Ac 40mmx40mmx15cm 22fr Wl Gore & Associates Inc Tgmr4040…
|
17
|
11
|
$82,272.00
|
$20,238.91
75% off
|
$603.41
|
$65,817.60
|
$49,840.38
|
2026-05-08
|
|
679411OR
|
OTHER
|
Valve Pulmonary 3.5x22mm Cryolife Inc Sgpv00 22mm
|
14
|
10
|
$79,800.00
|
$19,630.80
75% off
|
$29,486.10
|
$63,840.00
|
$49,763.28
|
2026-05-08
|
|
603369OR
|
OTHER
|
Valve Pulmonary & Conduit 9mmx Cryolife Inc Sgpv00 9x1.5
|
14
|
10
|
$79,800.00
|
$19,630.80
75% off
|
$29,486.10
|
$63,840.00
|
$49,763.28
|
2026-05-08
|
|
676839OR
|
OTHER
|
Valve Pulmon Cryovalve 23x4mm Cryolife Inc Sgpv00 23x4mm
|
14
|
10
|
$79,800.00
|
$19,630.80
75% off
|
$29,486.10
|
$63,840.00
|
$49,763.28
|
2026-05-08
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical - Ext…
|
10
|
8
|
—
|
—
|
$45,519.91
|
$99,451.90
|
$49,616.70
|
2026-07-18
|
|
5161343T
|
OTHER
|
C1786 Leadless Pacemaker Micra Av Tech
|
17
|
11
|
$81,620.00
|
$20,078.52
75% off
|
$11,644.10
|
$65,296.00
|
$49,445.40
|
2026-05-08
|
|
3618948T
|
OTHER
|
C1722 Bs Emblem S Icd Primary Tech
|
17
|
11
|
$76,000.00
|
$18,696.00
75% off
|
$28,082.00
|
$71,296.55
|
$49,324.00
|
2026-05-08
|
|
604594OR
|
OTHER
|
Defibrillator Emblem MRI S-icd Boston Crm A219
|
17
|
11
|
$76,000.00
|
$18,696.00
75% off
|
$28,082.00
|
$71,296.55
|
$49,324.00
|
2026-05-08
|
|
679724OR
|
OTHER
|
Graft Stent 10cm 21-26mm Wl Gore & Associates Inc Tgm262110
|
14
|
10
|
$79,080.00
|
$19,453.68
75% off
|
$29,220.06
|
$63,264.00
|
$49,314.29
|
2026-05-08
|
|
683055OR
|
OTHER
|
Tag Conform Thoracic Sg Ac 26mmx26mmx10cm 20fr Wl Gore & Associates Inc Tgm26261…
|
14
|
10
|
$79,080.00
|
$19,453.68
75% off
|
$29,220.06
|
$63,264.00
|
$49,314.29
|
2026-05-08
|
|
679084OR
|
OTHER
|
Graft Stent Tag 15cm X 34mm Wl Gore & Associates Inc Tgm343415
|
14
|
10
|
$79,080.00
|
$19,453.68
75% off
|
$29,220.06
|
$63,264.00
|
$49,314.29
|
2026-05-08
|
|
683063OR
|
OTHER
|
Tag Conform Thoracic Sg Ac 31mmx31mmx10cm 20fr Wl Gore & Associates Inc Tgmr3131…
|
14
|
10
|
$79,080.00
|
$19,453.68
75% off
|
$29,220.06
|
$63,264.00
|
$49,314.29
|
2026-05-08
|