|
5834
|
APR_DRG
|
Neonate With Ecmo - Extreme
|
10
|
8
|
—
|
—
|
$482,143.50
|
$1,053,387.12
|
$515,893.54
|
2026-07-18
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure - Extreme
|
10
|
8
|
—
|
—
|
$295,303.77
|
$645,179.68
|
$315,975.04
|
2026-07-18
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Extreme
|
10
|
8
|
—
|
—
|
$276,059.95
|
$603,135.78
|
$295,384.15
|
2026-07-18
|
|
5833
|
APR_DRG
|
Neonate With Ecmo - Major
|
10
|
8
|
—
|
—
|
$274,596.25
|
$599,937.89
|
$293,817.99
|
2026-07-18
|
|
5832
|
APR_DRG
|
Neonate With Ecmo - Moderate
|
10
|
8
|
—
|
—
|
$210,839.61
|
$460,642.38
|
$225,598.39
|
2026-07-18
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems - Extreme
|
10
|
8
|
—
|
—
|
$205,872.56
|
$449,790.37
|
$220,283.64
|
2026-07-18
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure - Extreme
|
10
|
8
|
—
|
—
|
$205,745.96
|
$449,513.77
|
$220,148.18
|
2026-07-18
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Major
|
10
|
8
|
—
|
—
|
$205,447.43
|
$448,861.55
|
$219,828.75
|
2026-07-18
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo) - Extreme
|
10
|
8
|
—
|
—
|
$201,821.39
|
$440,939.37
|
$215,948.89
|
2026-07-18
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure - Extreme
|
10
|
8
|
—
|
—
|
$197,890.57
|
$432,351.32
|
$211,742.91
|
2026-07-18
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure - Major
|
10
|
8
|
—
|
—
|
$196,672.25
|
$429,689.53
|
$210,439.31
|
2026-07-18
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure - Extreme
|
10
|
8
|
—
|
—
|
$193,645.60
|
$423,076.91
|
$207,200.79
|
2026-07-18
|
|
5831
|
APR_DRG
|
Neonate With Ecmo - Minor
|
10
|
8
|
—
|
—
|
$189,254.49
|
$413,483.21
|
$202,502.30
|
2026-07-18
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft - Extreme
|
10
|
8
|
—
|
—
|
$183,128.51
|
$400,099.17
|
$195,947.51
|
2026-07-18
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure - Extreme
|
10
|
8
|
—
|
—
|
$179,466.52
|
$392,098.45
|
$192,029.17
|
2026-07-18
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure - Extreme
|
10
|
8
|
—
|
—
|
$170,252.14
|
$371,966.88
|
$182,169.79
|
2026-07-18
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure - Moderate
|
10
|
8
|
—
|
—
|
$168,526.65
|
$368,197.02
|
$180,323.52
|
2026-07-18
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Moderate
|
10
|
8
|
—
|
—
|
$163,328.28
|
$356,839.63
|
$174,761.26
|
2026-07-18
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems - Major
|
10
|
8
|
—
|
—
|
$161,202.66
|
$352,195.57
|
$172,486.85
|
2026-07-18
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
24
|
18
|
—
|
—
|
$166,229.55
|
$747,309.61
|
$172,106.35
|
2026-07-18
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
25
|
18
|
—
|
—
|
$165,258.35
|
$514,223.13
|
$171,935.46
|
2026-07-18
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure - Extreme
|
10
|
8
|
—
|
—
|
$155,101.69
|
$338,866.17
|
$165,958.81
|
2026-07-18
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure - Major
|
10
|
8
|
—
|
—
|
$146,042.83
|
$319,074.37
|
$156,265.83
|
2026-07-18
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure - Minor
|
10
|
8
|
—
|
—
|
$144,451.75
|
$315,598.18
|
$154,563.38
|
2026-07-18
|
|
0266T
|
OTHER
|
0266t ImpRplc BaroActSys Total Sys
|
16
|
12
|
$292,503.00
|
$76,080.03
74% off
|
$75,173.27
|
$234,002.40
|
$152,008.69
|
2026-07-18
|
|
695844OR
|
OTHER
|
Spacer Spinal Ti 12d L L42mm W32mm H16mm Medtronic Inc 46521216
|
16
|
12
|
$244,000.00
|
$66,587.60
73% off
|
$62,708.00
|
$195,200.00
|
$149,694.00
|
2026-05-09
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
—
|
—
|
$137,652.13
|
$300,742.37
|
$147,287.78
|
2026-07-18
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
—
|
—
|
$137,652.13
|
$300,742.37
|
$147,287.78
|
2026-07-18
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
—
|
—
|
$137,652.13
|
$300,742.37
|
$147,287.78
|
2026-07-18
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo) - Major
|
10
|
8
|
—
|
—
|
$135,636.71
|
$296,339.08
|
$145,131.28
|
2026-07-18
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$128,256.46
|
$280,214.71
|
$137,234.42
|
2026-07-18
|
|
689207OR
|
OTHER
|
System Final Product Assembled Maci 1 Membrane Vericel Corp 81073
|
16
|
12
|
$208,808.00
|
$56,983.70
73% off
|
$53,663.66
|
$168,308.98
|
$134,785.57
|
2026-05-09
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure - Moderate
|
10
|
8
|
—
|
—
|
$125,262.63
|
$273,673.79
|
$134,031.02
|
2026-07-18
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure - Major
|
10
|
8
|
—
|
—
|
$124,544.45
|
$272,104.71
|
$133,262.57
|
2026-07-18
|
|
691101OR
|
OTHER
|
Stimruouter User Kit Bioness Inc St2-5050
|
16
|
12
|
$210,636.00
|
$57,482.56
73% off
|
$54,133.45
|
$168,508.80
|
$129,225.18
|
2026-05-09
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems - Moderate
|
10
|
8
|
—
|
—
|
$118,613.84
|
$259,147.52
|
$126,916.81
|
2026-07-18
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems - Minor
|
10
|
8
|
—
|
—
|
$118,613.84
|
$259,147.52
|
$126,916.81
|
2026-07-18
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly - Extreme
|
10
|
8
|
—
|
—
|
$118,181.68
|
$258,203.33
|
$126,454.40
|
2026-07-18
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure - Extreme
|
10
|
8
|
—
|
—
|
$108,049.86
|
$236,067.33
|
$115,613.35
|
2026-07-18
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure - Major
|
10
|
8
|
—
|
—
|
$106,954.23
|
$233,673.60
|
$114,441.02
|
2026-07-18
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
25
|
18
|
—
|
—
|
$108,103.68
|
$342,103.57
|
$112,471.51
|
2026-07-18
|
|
678904OR
|
OTHER
|
Membrane Vericel Corp 69866-1030-01
|
16
|
12
|
$170,580.00
|
$46,551.28
73% off
|
$43,839.06
|
$168,308.98
|
$110,109.39
|
2026-05-09
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns - Extreme
|
10
|
8
|
—
|
—
|
$102,525.61
|
$223,997.95
|
$109,702.40
|
2026-07-18
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure - Moderate
|
10
|
8
|
—
|
—
|
$100,174.94
|
$218,862.21
|
$107,187.19
|
2026-07-18
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$99,142.61
|
$216,606.77
|
$106,082.60
|
2026-07-18
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure - Major
|
10
|
8
|
—
|
—
|
$98,926.14
|
$216,133.83
|
$105,850.97
|
2026-07-18
|
|
0268T
|
OTHER
|
0268t ImpRplc BaroActSys Gen Only
|
16
|
12
|
$198,078.00
|
$51,520.09
74% off
|
$50,906.05
|
$158,462.40
|
$102,937.67
|
2026-07-18
|
|
8513
|
APR_DRG
|
Gender Related Procedures - Major
|
10
|
8
|
—
|
—
|
$94,606.14
|
$206,695.49
|
$101,228.57
|
2026-07-18
|
|
8514
|
APR_DRG
|
Gender Related Procedures - Extreme
|
10
|
8
|
—
|
—
|
$94,606.14
|
$206,695.49
|
$101,228.57
|
2026-07-18
|
|
688779OR
|
OTHER
|
Device Ventricular Assist Impella 5.5 Smartassist Catheter Abiomed Inc 1000100
|
16
|
12
|
$164,000.00
|
$44,755.60
73% off
|
$42,148.00
|
$131,200.00
|
$100,614.00
|
2026-05-09
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition - Ext…
|
10
|
8
|
—
|
—
|
$93,808.26
|
$204,952.29
|
$100,374.84
|
2026-07-18
|
|
61889
|
CPT
|
61889 Ins Sk-mnt Crnl Nstm Pg/Rcvr
|
19
|
15
|
$193,766.00
|
$50,398.54
74% off
|
$39,646.57
|
$155,012.80
|
$97,503.05
|
2026-07-18
|
|
692146OR
|
OTHER
|
Generator Symmetry Model 8103 Sgl Pin 8cc Livanova Usa 8103
|
16
|
12
|
$156,456.00
|
$42,696.84
73% off
|
$40,209.19
|
$125,164.80
|
$95,985.76
|
2026-05-09
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$89,050.64
|
$194,557.84
|
$95,284.18
|
2026-07-18
|
|
9813473T
|
OTHER
|
61889 Ins Sk-mnt Crnl Nstm Pg/Rcvr
|
19
|
13
|
$176,151.00
|
$48,071.61
73% off
|
$32,271.95
|
$140,920.80
|
$92,003.67
|
2026-05-09
|
|
J7330
|
HCPCS
|
Membrane Vericel Corp 69866-1030-01
|
38
|
15
|
$189,694.00
|
$49,339.41
74% off
|
$34,902.47
|
$167,046.40
|
$91,994.05
|
2026-07-18
|
|
718786OR
|
OTHER
|
Generator Sentiva Model-1000 Livanova Usa 1000
|
16
|
12
|
$148,312.00
|
$40,474.34
73% off
|
$38,116.18
|
$118,649.60
|
$90,989.41
|
2026-05-09
|
|
667808OR
|
OTHER
|
Kit Ipg Nevro Corporation Nipg2000
|
16
|
12
|
$148,000.00
|
$40,389.20
73% off
|
$38,036.00
|
$118,400.00
|
$90,798.00
|
2026-05-09
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
21
|
16
|
—
|
—
|
$88,473.39
|
$237,060.95
|
$90,260.73
|
2026-07-18
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
24
|
18
|
—
|
—
|
$86,166.68
|
$230,828.01
|
$89,212.98
|
2026-07-18
|
|
689778OR
|
OTHER
|
Battery Sentiva Duo Livanova Usa M1000d
|
16
|
12
|
$145,120.00
|
$39,603.25
73% off
|
$37,295.84
|
$116,096.00
|
$89,031.12
|
2026-05-09
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly - Extreme
|
10
|
8
|
—
|
—
|
$82,458.12
|
$180,154.50
|
$88,230.19
|
2026-07-18
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
24
|
18
|
—
|
—
|
$85,026.50
|
$372,070.35
|
$88,032.49
|
2026-07-18
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection - Ex…
|
10
|
8
|
—
|
—
|
$81,700.09
|
$178,498.36
|
$87,419.10
|
2026-07-18
|
|
8634
|
APR_DRG
|
Neonatal Aftercare - Extreme
|
10
|
8
|
—
|
—
|
$80,647.44
|
$176,198.53
|
$86,292.76
|
2026-07-18
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Minor
|
10
|
8
|
—
|
—
|
$80,439.57
|
$175,744.37
|
$86,070.34
|
2026-07-18
|
|
695138OR
|
OTHER
|
Graft Vascular Anteflo L150mm Od36mm Terumo Medical Corp Tha3036x150a
|
16
|
12
|
$140,000.00
|
$38,206.00
73% off
|
$35,980.00
|
$112,000.00
|
$85,890.00
|
2026-05-09
|
|
696208OR
|
OTHER
|
Graft Vascular Thoraflex L100mm L150mm Od36mm Id30mm Stent Tha3036x100a
|
16
|
12
|
$140,000.00
|
$38,206.00
73% off
|
$35,980.00
|
$112,000.00
|
$85,890.00
|
2026-05-09
|
|
694687OR
|
OTHER
|
Stent Device Hybrid Vasc 30/34x150mm Terumo Medical Corp Tha3034x150a
|
16
|
12
|
$140,000.00
|
$38,206.00
73% off
|
$35,980.00
|
$112,000.00
|
$85,890.00
|
2026-05-09
|
|
697437OR
|
OTHER
|
Graft Vascular Ante-flo L100 Mm L150mm Od32mm Id30 Mm Hybrid Terumo Medical Corp…
|
16
|
12
|
$140,000.00
|
$38,206.00
73% off
|
$35,980.00
|
$112,000.00
|
$85,890.00
|
2026-05-09
|
|
693968OR
|
OTHER
|
Stent Device Ante-flo Hybrid Terumo Medical Corp Tha3240x150a
|
16
|
12
|
$140,000.00
|
$38,206.00
73% off
|
$35,980.00
|
$112,000.00
|
$85,890.00
|
2026-05-09
|
|
695139OR
|
OTHER
|
Graft Vascular Anteflo L150mm Od38mm Terumo Medical Corp Tha3038x150a
|
16
|
12
|
$140,000.00
|
$38,206.00
73% off
|
$35,980.00
|
$112,000.00
|
$85,890.00
|
2026-05-09
|
|
685766OR
|
OTHER
|
System Nrstm Barostim Neo2 Includes Ipg And Csl Kit CVRx Incorporated 100069-202
|
16
|
12
|
$140,000.00
|
$38,206.00
73% off
|
$35,980.00
|
$112,000.00
|
$85,890.00
|
2026-05-09
|
|
238091OR
|
OTHER
|
Kit Dps System Neurrx Hde Sci Synpase 20-0035
|
16
|
12
|
$138,600.00
|
$37,823.94
73% off
|
$35,620.20
|
$110,880.00
|
$85,031.10
|
2026-05-09
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis - Extreme
|
10
|
8
|
—
|
—
|
$79,422.87
|
$173,523.09
|
$84,982.47
|
2026-07-18
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back - Extreme
|
10
|
8
|
—
|
—
|
$79,039.16
|
$172,684.76
|
$84,571.90
|
2026-07-18
|
|
45050769
|
OTHER
|
23mm Ta
|
16
|
12
|
$137,800.00
|
$37,605.62
73% off
|
$35,414.60
|
$110,240.00
|
$84,540.30
|
2026-05-09
|
|
45050763
|
OTHER
|
26mm Tf
|
16
|
12
|
$137,800.00
|
$37,605.62
73% off
|
$35,414.60
|
$110,240.00
|
$84,540.30
|
2026-05-09
|
|
45050770
|
OTHER
|
26mm Ta
|
16
|
12
|
$137,800.00
|
$37,605.62
73% off
|
$35,414.60
|
$110,240.00
|
$84,540.30
|
2026-05-09
|
|
45050847
|
OTHER
|
29mm Tf
|
16
|
12
|
$137,800.00
|
$37,605.62
73% off
|
$35,414.60
|
$110,240.00
|
$84,540.30
|
2026-05-09
|
|
45050762
|
OTHER
|
23mm Tf
|
16
|
12
|
$137,800.00
|
$37,605.62
73% off
|
$35,414.60
|
$110,240.00
|
$84,540.30
|
2026-05-09
|
|
45050839
|
OTHER
|
29mm Ta
|
16
|
12
|
$137,800.00
|
$37,605.62
73% off
|
$35,414.60
|
$110,240.00
|
$84,540.30
|
2026-05-09
|
|
684397OR
|
OTHER
|
Graft Prcn 17.7x11.8in Xenmtrx Ab Rect Drml Clgn Mtrx Rgnrt Bard Davol Inc 1153…
|
16
|
12
|
$137,280.00
|
$37,463.71
73% off
|
$35,280.96
|
$109,824.00
|
$84,221.28
|
2026-05-09
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure - Major
|
10
|
8
|
—
|
—
|
$78,414.76
|
$171,320.57
|
$83,903.79
|
2026-07-18
|
|
690292OR
|
OTHER
|
Valve Kit Tavr Sapien 3 Ultra W Commander System 20mm Edwards Lifesciences Corp …
|
16
|
12
|
$136,000.00
|
$37,114.40
73% off
|
$34,952.00
|
$108,800.00
|
$83,436.00
|
2026-05-09
|
|
690295OR
|
OTHER
|
Valve Kit Tavr Sapien 3 Ultra W Commander System 29mm Edwards Lifesciences Corp …
|
16
|
12
|
$136,000.00
|
$37,114.40
73% off
|
$34,952.00
|
$108,800.00
|
$83,436.00
|
2026-05-09
|
|
690294OR
|
OTHER
|
Valve Kit Tavr Sapien 3 Ultra W Commander System 26mm Edwards Lifesciences Corp …
|
16
|
12
|
$136,000.00
|
$37,114.40
73% off
|
$34,952.00
|
$108,800.00
|
$83,436.00
|
2026-05-09
|
|
690293OR
|
OTHER
|
Valve Kit Tavr Sapien 3 Ultra W Commander System 23mm Edwards Lifesciences Corp …
|
16
|
12
|
$136,000.00
|
$37,114.40
73% off
|
$34,952.00
|
$108,800.00
|
$83,436.00
|
2026-05-09
|
|
663777OR
|
OTHER
|
Generator Sentiva 1000 Livanova Usa 10-0012-5002
|
16
|
12
|
$133,193.00
|
$36,348.37
73% off
|
$34,230.60
|
$106,554.40
|
$81,713.90
|
2026-05-09
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure - Minor
|
10
|
8
|
—
|
—
|
$76,236.79
|
$166,562.14
|
$81,573.36
|
2026-07-18
|
|
682320OR
|
OTHER
|
Valve Pulmonary Harmony Tpv 25mm Medtronic Inc Harmony-25
|
16
|
12
|
$132,000.00
|
$36,022.80
73% off
|
$33,924.00
|
$105,600.00
|
$80,982.00
|
2026-05-09
|
|
689721OR
|
OTHER
|
Mitraclip G4 System Steerable Guide Catheter Sgc0701 Combo St Jude Medical Inc M…
|
16
|
12
|
$132,000.00
|
$36,022.80
73% off
|
$33,924.00
|
$105,600.00
|
$80,982.00
|
2026-05-09
|
|
682319OR
|
OTHER
|
Valve Pulmonary Harmony Tpv 22mm Medtronic Inc Harmony-22
|
16
|
12
|
$132,000.00
|
$36,022.80
73% off
|
$33,924.00
|
$105,600.00
|
$80,982.00
|
2026-05-09
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
24
|
18
|
—
|
—
|
$77,918.01
|
$249,504.38
|
$80,672.68
|
2026-07-18
|
|
239755OR
|
OTHER
|
Kit Neurx Dps System Hde Synapse Biomedical 20-0045
|
16
|
12
|
$131,000.00
|
$35,749.90
73% off
|
$33,667.00
|
$104,800.00
|
$80,368.50
|
2026-05-09
|
|
684414OR
|
OTHER
|
Graft Prcn 17.7x11.8in Xenmtrx Aquapure Rect Aclr Clgn Mtrx Bard Davol Inc 11630…
|
16
|
12
|
$130,120.00
|
$35,509.75
73% off
|
$33,440.84
|
$104,096.00
|
$79,828.62
|
2026-05-09
|
|
48034OR
|
OTHER
|
Valve Kit Sapien 3 26mm Edwards Lifesciences Corp 9600cm26a
|
16
|
12
|
$130,000.00
|
$35,477.00
73% off
|
$33,410.00
|
$104,000.00
|
$79,755.00
|
2026-05-09
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
25
|
18
|
—
|
—
|
$76,567.78
|
$236,220.93
|
$79,661.43
|
2026-07-18
|
|
698067OR
|
OTHER
|
Valve Aortic Evolut Fx Plus 29 Mm Od23-26 Mm Annulus Medtronic Inc Evfxplus-29
|
16
|
12
|
$128,000.00
|
$34,931.20
73% off
|
$32,896.00
|
$102,400.00
|
$78,528.00
|
2026-05-09
|
|
698066OR
|
OTHER
|
Valve Aortic Evolut Fx Plus 26 Mm Od20-23 Mm Annulus Medtronic Inc Evfxplus-26
|
16
|
12
|
$128,000.00
|
$34,931.20
73% off
|
$32,896.00
|
$102,400.00
|
$78,528.00
|
2026-05-09
|
|
698068OR
|
OTHER
|
Valve Aortic Evolut Fx Plus 34 Mm Od26-30 Mm Annulus Medtronic Inc Evfxplus-34
|
16
|
12
|
$128,000.00
|
$34,931.20
73% off
|
$32,896.00
|
$102,400.00
|
$78,528.00
|
2026-05-09
|
|
698065OR
|
OTHER
|
Valve Aortic Evolut Fx Plus 23 Mm Od18-20 Mm Annulus Medtronic Inc Evfxplus-23
|
16
|
12
|
$128,000.00
|
$34,931.20
73% off
|
$32,896.00
|
$102,400.00
|
$78,528.00
|
2026-05-09
|
|
668234OR
|
OTHER
|
Kit Neurostimulator Neuropace Rns-320-k
|
16
|
12
|
$127,800.00
|
$34,876.62
73% off
|
$32,844.60
|
$102,240.00
|
$78,405.30
|
2026-05-09
|
|
242356OR
|
OTHER
|
Generator Aspire Sr 106 Cyberonics Inc 106
|
16
|
12
|
$126,228.00
|
$34,447.62
73% off
|
$32,440.60
|
$100,982.40
|
$77,440.88
|
2026-05-09
|
|
681409OR
|
OTHER
|
Generator Nrstm Barostim Neo Implantable Pulse Ipg CVRx Incorporated 100054-202
|
16
|
12
|
$126,000.00
|
$34,385.40
73% off
|
$32,382.00
|
$100,800.00
|
$77,301.00
|
2026-05-09
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure - Major
|
10
|
8
|
—
|
—
|
$71,371.33
|
$155,932.08
|
$76,367.32
|
2026-07-18
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$71,156.42
|
$155,462.55
|
$76,137.37
|
2026-07-18
|
|
685767OR
|
OTHER
|
Generator Nrstm Implantable Pulse Ipg CVRx Incorporated 100065-202
|
16
|
12
|
$124,000.00
|
$33,839.60
73% off
|
$31,868.00
|
$99,200.00
|
$76,074.00
|
2026-05-09
|
|
696934OR
|
OTHER
|
Valve Mitral Pascal Precision System Edwards Lifesciences Corp Pas2ma
|
16
|
12
|
$122,400.00
|
$33,402.96
73% off
|
$31,456.80
|
$97,920.00
|
$75,092.40
|
2026-05-09
|
|
J9266
|
HCPCS
|
Pegaspargase 750 unit/mL - 5 Ml Sdv Inj. (jw)
|
16
|
12
|
$149,226.32
|
$38,813.77
74% off
|
$28,424.06
|
$119,381.06
|
$74,602.50
|
2026-07-18
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis - Extreme
|
10
|
8
|
—
|
—
|
$69,498.13
|
$151,839.51
|
$74,363.00
|
2026-07-18
|
|
686192OR
|
OTHER
|
Transcath Evoluttm Fx Aortic Valve 29mm Medtronic Inc Evolutfx-29
|
16
|
12
|
$120,000.00
|
$32,748.00
73% off
|
$30,840.00
|
$96,000.00
|
$73,620.00
|
2026-05-09
|
|
686193OR
|
OTHER
|
Transcath Evoluttm Fx Aortic Valve 34mm Medtronic Inc Evolutfx-34
|
16
|
12
|
$120,000.00
|
$32,748.00
73% off
|
$30,840.00
|
$96,000.00
|
$73,620.00
|
2026-05-09
|
|
686191OR
|
OTHER
|
Transcath Evoluttm Fx Aortic Valve 26mm Medtronic Inc Evolutfx-26
|
16
|
12
|
$120,000.00
|
$32,748.00
73% off
|
$30,840.00
|
$96,000.00
|
$73,620.00
|
2026-05-09
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure - Moderate
|
10
|
8
|
—
|
—
|
$68,347.80
|
$149,326.27
|
$73,132.14
|
2026-07-18
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
24
|
18
|
—
|
—
|
$70,574.67
|
$287,267.80
|
$73,069.74
|
2026-07-18
|
|
38240
|
CPT
|
38240 Marrow S/c Trnsplant Allo
|
40
|
22
|
$384,425.00
|
$99,988.94
74% off
|
$54,378.18
|
$347,706.88
|
$72,930.74
|
2026-07-18
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical - E…
|
10
|
8
|
—
|
—
|
$68,096.17
|
$148,776.51
|
$72,862.90
|
2026-07-18
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo) - Moderate
|
10
|
8
|
—
|
—
|
$68,075.85
|
$148,732.12
|
$72,841.16
|
2026-07-18
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$67,974.26
|
$148,510.16
|
$72,732.46
|
2026-07-18
|
|
685804OR
|
OTHER
|
Generator Pulse Paired Vagus Nerve Stimulation Microtransponder Inc Viv-ipg
|
16
|
12
|
$118,000.00
|
$32,202.20
73% off
|
$30,326.00
|
$94,400.00
|
$72,393.00
|
2026-05-09
|
|
603079OR
|
OTHER
|
Generator Neurostim Implant St Jude Neuromodulation 3660
|
16
|
12
|
$116,314.00
|
$31,742.09
73% off
|
$29,892.70
|
$93,051.20
|
$71,358.64
|
2026-05-09
|
|
695853OR
|
OTHER
|
Graft Cryovalve Decellularize Pulmonary Od27mm Cryolife Inc Sgpv00 27x4.5
|
16
|
12
|
$116,000.00
|
$31,656.40
73% off
|
$29,812.00
|
$92,800.00
|
$71,166.00
|
2026-05-09
|
|
242501OR
|
OTHER
|
Pulse Generator Implant 16 Ch St Jude Cardiac Rhythm Mgmt 3771
|
16
|
12
|
$115,980.00
|
$31,650.94
73% off
|
$29,806.86
|
$92,784.00
|
$71,153.73
|
2026-05-09
|
|
1784
|
APR_DRG
|
External Heart Assist Devices - Extreme
|
10
|
8
|
—
|
—
|
$66,087.00
|
$144,386.88
|
$70,713.09
|
2026-07-18
|
|
671829OR
|
OTHER
|
Generator Neurostm Prodigy MRI Ipg Burst St Jude Medical Inc 3772
|
16
|
12
|
$114,930.00
|
$31,364.40
73% off
|
$29,537.01
|
$91,944.00
|
$70,509.55
|
2026-05-09
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
24
|
18
|
—
|
—
|
$67,861.04
|
$317,269.03
|
$70,260.16
|
2026-07-18
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$64,955.42
|
$141,914.60
|
$69,502.30
|
2026-07-18
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly - Extreme
|
10
|
8
|
—
|
—
|
$64,785.06
|
$141,542.40
|
$69,320.01
|
2026-07-18
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
25
|
18
|
—
|
—
|
$66,081.39
|
$243,936.52
|
$68,751.35
|
2026-07-18
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
25
|
18
|
—
|
—
|
$65,875.99
|
$234,774.26
|
$68,537.64
|
2026-07-18
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly - Extreme
|
10
|
8
|
—
|
—
|
$63,700.37
|
$139,172.57
|
$68,159.39
|
2026-07-18
|
|
601419OR
|
OTHER
|
Pulse Generator Implant St Jude Cardiac Rhythm Mgmt 3662
|
16
|
12
|
$110,789.00
|
$30,234.32
73% off
|
$28,472.77
|
$88,631.20
|
$67,969.05
|
2026-05-09
|
|
691301OR
|
OTHER
|
Kit System 222etctrsy33 Abbott Laboratories 222etctrsy33
|
16
|
12
|
$109,660.00
|
$29,926.21
73% off
|
$28,182.62
|
$87,728.00
|
$67,276.41
|
2026-05-09
|
|
229869OR
|
OTHER
|
Generator Demi Pulse 103 Cyberonics Inc 103
|
16
|
12
|
$109,150.00
|
$29,787.04
73% off
|
$28,051.55
|
$87,320.00
|
$66,963.52
|
2026-05-09
|
|
230934OR
|
OTHER
|
Generator Demi Pulse 104 Cyberonics Inc 104
|
16
|
12
|
$109,150.00
|
$29,787.04
73% off
|
$28,051.55
|
$87,320.00
|
$66,963.52
|
2026-05-09
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis - Extreme
|
10
|
8
|
—
|
—
|
$62,436.73
|
$136,411.77
|
$66,807.30
|
2026-07-18
|
|
676332OR
|
OTHER
|
Nail IM Strght 265x11.5 Femur Nuvasive Ps11.5-80b265
|
16
|
12
|
$108,100.00
|
$29,500.49
73% off
|
$27,781.70
|
$86,480.00
|
$66,319.35
|
2026-05-09
|
|
689795OR
|
OTHER
|
Kit Proclaim Implantable 7 Ipg With Pt Controller Abbott Laboratories 222pp7ctrs…
|
16
|
12
|
$108,000.00
|
$29,473.20
73% off
|
$27,756.00
|
$86,400.00
|
$66,258.00
|
2026-05-09
|
|
689081OR
|
OTHER
|
Kit Proclaim Implantable Abbott Laboratories 222pp5ctrsy33
|
16
|
12
|
$108,000.00
|
$29,473.20
73% off
|
$27,756.00
|
$86,400.00
|
$66,258.00
|
2026-05-09
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures - Extreme
|
10
|
8
|
—
|
—
|
$61,176.21
|
$133,657.78
|
$65,458.54
|
2026-07-18
|
|
683763OR
|
OTHER
|
Kit Symmetry Vns Therapy Livanova Usa 10-0012-3201
|
16
|
12
|
$106,300.00
|
$29,009.27
73% off
|
$27,319.10
|
$85,040.00
|
$65,215.05
|
2026-05-09
|
|
677756OR
|
OTHER
|
Nail 400x11.5mm Femur Nuvasive Bt115-10b400-7
|
16
|
12
|
$106,092.00
|
$28,952.51
73% off
|
$27,265.64
|
$84,873.60
|
$65,087.44
|
2026-05-09
|
|
696608OR
|
OTHER
|
Plate Bone Trumatch Ti Med Mandible Midface 3d Synthes Sd980.108
|
16
|
12
|
$105,884.00
|
$28,895.74
73% off
|
$27,212.19
|
$84,707.20
|
$64,959.83
|
2026-05-09
|
|
234547OR
|
OTHER
|
Generator Aspire 105 Cyberonics Inc 105
|
16
|
12
|
$104,832.00
|
$28,608.65
73% off
|
$26,941.82
|
$83,865.60
|
$64,314.43
|
2026-05-09
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
24
|
18
|
—
|
—
|
$61,732.28
|
$264,603.26
|
$63,914.74
|
2026-07-18
|
|
690091OR
|
OTHER
|
Optimizer Smart Mini Ipg Impulse Dynamics Inc 10-b501-3-xx
|
16
|
12
|
$104,000.00
|
$28,381.60
73% off
|
$26,728.00
|
$83,200.00
|
$63,804.00
|
2026-05-09
|
|
8953178T
|
OTHER
|
Generator, Ccm, Implant -> C1824 Generator Cardiac Contract Modultn
|
16
|
12
|
$104,000.00
|
$28,381.60
73% off
|
$26,728.00
|
$83,200.00
|
$63,804.00
|
2026-05-09
|
|
692316OR
|
OTHER
|
Generator Mini Neurostimulator Implantable Optimizer Smart Impulse Dynamics Inc …
|
16
|
12
|
$104,000.00
|
$28,381.60
73% off
|
$26,728.00
|
$83,200.00
|
$63,804.00
|
2026-05-09
|
|
690030OR
|
OTHER
|
Bundle Nevro Hfx Iq Nipg3000 Chgr2500 Ptrc3000 Nevro Corporation Hfx-d
|
16
|
12
|
$104,000.00
|
$28,381.60
73% off
|
$26,728.00
|
$83,200.00
|
$63,804.00
|
2026-05-09
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft - Major
|
10
|
8
|
—
|
—
|
$59,555.43
|
$130,116.70
|
$63,724.31
|
2026-07-18
|
|
240438OR
|
OTHER
|
Kit Rns Neurostimulator Neuropace Rns-300m-k
|
16
|
12
|
$103,800.00
|
$28,327.02
73% off
|
$26,676.60
|
$83,040.00
|
$63,681.30
|
2026-05-09
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures - Extreme
|
10
|
8
|
—
|
—
|
$59,478.84
|
$129,949.37
|
$63,642.36
|
2026-07-18
|
|
240426OR
|
OTHER
|
Pulse Generator Implant St Jude Cardiac Rhythm Mgmt 3789
|
16
|
12
|
$103,580.00
|
$28,266.98
73% off
|
$26,620.06
|
$82,864.00
|
$63,546.33
|
2026-05-09
|
|
691321OR
|
OTHER
|
Proclaim 2 Lead Permanent Sys Abbott Laboratories 3664 2 Lead Sys
|
16
|
12
|
$103,480.00
|
$28,239.69
73% off
|
$26,594.36
|
$82,784.00
|
$63,484.98
|
2026-05-09
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma - Extreme
|
10
|
8
|
—
|
—
|
$59,303.79
|
$129,566.92
|
$63,455.05
|
2026-07-18
|
|
688141OR
|
OTHER
|
Generator Pulse Implantable Plus 7 St Jude Medical Inc 3672
|
16
|
12
|
$103,171.00
|
$28,155.37
73% off
|
$26,514.95
|
$82,536.80
|
$63,295.41
|
2026-05-09
|
|
688140OR
|
OTHER
|
Generator Pulse Implantable Plus 5 Abbott Laboratories 3670
|
16
|
12
|
$103,168.00
|
$28,154.55
73% off
|
$26,514.18
|
$82,534.40
|
$63,293.57
|
2026-05-09
|
|
684395OR
|
OTHER
|
Graft Prcn 15.7x9.8in Xenmtrx Ab Rect Drml Clgn Mtrx Rgnrt Bard Davol Inc 11525…
|
16
|
12
|
$102,640.00
|
$28,010.46
73% off
|
$26,378.48
|
$82,112.00
|
$62,969.64
|
2026-05-09
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
25
|
18
|
—
|
—
|
$60,255.71
|
$163,232.86
|
$62,690.28
|
2026-07-18
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
25
|
18
|
—
|
—
|
$59,999.15
|
$168,434.00
|
$62,423.36
|
2026-07-18
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure - Major
|
10
|
8
|
—
|
—
|
$58,162.84
|
$127,074.17
|
$62,234.24
|
2026-07-18
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis - Major
|
10
|
8
|
—
|
—
|
$58,097.98
|
$126,932.47
|
$62,164.84
|
2026-07-18
|
|
241199OR
|
OTHER
|
Prosthesis Distal Femoral Stryker Orthopedics 6497-1-200
|
16
|
12
|
$101,167.00
|
$27,608.47
73% off
|
$25,999.92
|
$80,933.60
|
$62,065.96
|
2026-05-09
|
|
240248OR
|
OTHER
|
Prosthesis Distal Femoral Stryker Orthopedics 6497-1-600
|
16
|
12
|
$101,167.00
|
$27,608.47
73% off
|
$25,999.92
|
$80,933.60
|
$62,065.96
|
2026-05-09
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
24
|
18
|
—
|
—
|
$59,803.04
|
$197,608.56
|
$61,917.29
|
2026-07-18
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms - Extreme
|
10
|
8
|
—
|
—
|
$57,643.94
|
$125,940.48
|
$61,679.02
|
2026-07-18
|
|
671398OR
|
OTHER
|
Nail Tibia 10x/280mm Bone Tran Nuvasive Bt10-60sj280-6
|
16
|
12
|
$100,000.00
|
$27,290.00
73% off
|
$25,700.00
|
$80,000.00
|
$61,350.00
|
2026-05-09
|
|
693496OR
|
OTHER
|
Limflow System Kit Device Limflow Inc Lf-syskit-01-US
|
16
|
12
|
$100,000.00
|
$27,290.00
73% off
|
$25,700.00
|
$80,000.00
|
$61,350.00
|
2026-05-09
|
|
5334740T
|
OTHER
|
Impella Charges -> Impella Pump
|
16
|
12
|
$100,000.00
|
$27,290.00
73% off
|
$25,700.00
|
$80,000.00
|
$61,350.00
|
2026-05-09
|
|
37225
|
CPT
|
Peripheral Angio/PTA -> 37225 Ather. Fem/pop (+/- Pta)
|
16
|
12
|
$116,719.00
|
$30,358.61
74% off
|
$29,996.78
|
$93,375.20
|
$60,656.82
|
2026-07-18
|
|
37229
|
CPT
|
Transluminal PTA/Atherectomy/Stent -> 37229 Ather. Tib/per (+/- Pta)
|
16
|
12
|
$116,719.00
|
$30,358.61
74% off
|
$29,996.78
|
$93,375.20
|
$60,656.82
|
2026-07-18
|
|
37230
|
CPT
|
Transluminal PTA/Atherectomy/Stent -> 37230 Stent Tib/peroneal (+/- Pta)
|
16
|
12
|
$116,719.00
|
$30,358.61
74% off
|
$29,996.78
|
$93,375.20
|
$60,656.82
|
2026-07-18
|
|
37231
|
CPT
|
Transluminal PTA/Atherectomy/Stent -> 37231 Stent W/ather. Tib/per (+/- Pta)
|
16
|
12
|
$116,719.00
|
$30,358.61
74% off
|
$29,996.78
|
$93,375.20
|
$60,656.82
|
2026-07-18
|
|
37227
|
CPT
|
Peripheral Angio/PTA -> 37227 Stent W/ather. Fem/pop (+/- Pta)
|
16
|
12
|
$116,719.00
|
$30,358.61
74% off
|
$29,996.78
|
$93,375.20
|
$60,656.82
|
2026-07-18
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition - Ext…
|
10
|
8
|
—
|
—
|
$56,547.53
|
$123,545.04
|
$60,505.85
|
2026-07-18
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition - Extreme
|
10
|
8
|
—
|
—
|
$56,465.48
|
$123,365.78
|
$60,418.07
|
2026-07-18
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma - Ext…
|
10
|
8
|
—
|
—
|
$56,406.87
|
$123,237.73
|
$60,355.35
|
2026-07-18
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back - Extreme
|
10
|
8
|
—
|
—
|
$55,741.83
|
$121,784.75
|
$59,643.76
|
2026-07-18
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis - Extreme
|
10
|
8
|
—
|
—
|
$55,662.12
|
$121,610.60
|
$59,558.47
|
2026-07-18
|
|
684412OR
|
OTHER
|
Graft Prcn 15.8x7.9in Xenmtrx Aquapure Rect Aclr Clgn Mtrx Bard Davol Inc 116254…
|
16
|
12
|
$96,360.00
|
$26,296.64
73% off
|
$24,764.52
|
$77,088.00
|
$59,116.86
|
2026-05-09
|
|
1794
|
APR_DRG
|
Defibrillator Implants - Extreme
|
10
|
8
|
—
|
—
|
$54,936.13
|
$120,024.46
|
$58,781.66
|
2026-07-18
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
24
|
18
|
—
|
—
|
$56,692.55
|
$151,186.36
|
$58,696.83
|
2026-07-18
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back - Major
|
10
|
8
|
—
|
—
|
$54,852.51
|
$119,841.76
|
$58,692.18
|
2026-07-18
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly - Major
|
10
|
8
|
—
|
—
|
$54,777.49
|
$119,677.86
|
$58,611.92
|
2026-07-18
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures - Extreme
|
10
|
8
|
—
|
—
|
$54,615.72
|
$119,324.43
|
$58,438.82
|
2026-07-18
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition…
|
10
|
8
|
—
|
—
|
$54,513.35
|
$119,100.77
|
$58,329.29
|
2026-07-18
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
24
|
18
|
—
|
—
|
$56,336.77
|
$150,225.03
|
$58,328.47
|
2026-07-18
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
24
|
18
|
—
|
—
|
$56,008.90
|
$213,280.84
|
$57,989.01
|
2026-07-18
|
|
3538588
|
OTHER
|
20838 Replantation;Foot Complete Amputation
|
19
|
13
|
$110,883.00
|
$30,259.97
73% off
|
$20,314.45
|
$88,706.40
|
$57,914.19
|
2026-05-09
|
|
3538145
|
OTHER
|
22812 Arthro,Ant,Inc Bn Gft >8 Vert
|
19
|
13
|
$110,883.00
|
$30,259.97
73% off
|
$20,314.45
|
$88,706.40
|
$57,914.19
|
2026-05-09
|
|
3538783
|
OTHER
|
22595 Arthro,Post,Atlasaxis/Bn Graft
|
19
|
13
|
$110,883.00
|
$30,259.97
73% off
|
$20,314.45
|
$88,706.40
|
$57,914.19
|
2026-05-09
|
|
3538582
|
OTHER
|
20805 Reimplant Forearm Complete Amputation
|
19
|
13
|
$110,883.00
|
$30,259.97
73% off
|
$20,314.45
|
$88,706.40
|
$57,914.19
|
2026-05-09
|
|
3538792
|
OTHER
|
22808 Fusion Of Spine/2-3 Vert
|
19
|
13
|
$110,883.00
|
$30,259.97
73% off
|
$20,314.45
|
$88,706.40
|
$57,914.19
|
2026-05-09
|
|
3538816
|
OTHER
|
22862 Revs/Rplcmnt Totl Arthpls
|
19
|
13
|
$110,883.00
|
$30,259.97
73% off
|
$20,314.45
|
$88,706.40
|
$57,914.19
|
2026-05-09
|
|
3538583
|
OTHER
|
20808 Reimplantation Hand Complete
|
19
|
13
|
$110,883.00
|
$30,259.97
73% off
|
$20,314.45
|
$88,706.40
|
$57,914.19
|
2026-05-09
|
|
3538815
|
OTHER
|
22861 Rev,Repl,Total Disc Arthr
|
19
|
13
|
$110,883.00
|
$30,259.97
73% off
|
$20,314.45
|
$88,706.40
|
$57,914.19
|
2026-05-09
|
|
3538793
|
OTHER
|
22818 Kyphectomy, Circumfer Exposure
|
19
|
13
|
$110,883.00
|
$30,259.97
73% off
|
$20,314.45
|
$88,706.40
|
$57,914.19
|
2026-05-09
|
|
3539298
|
OTHER
|
27284 Arthrodesis Fusion Hip Joint
|
19
|
13
|
$110,883.00
|
$30,259.97
73% off
|
$20,314.45
|
$88,706.40
|
$57,914.19
|
2026-05-09
|
|
3540257
|
OTHER
|
38240 Marrow S/c Trnsplant Allo
|
40
|
19
|
$325,414.00
|
$88,805.48
73% off
|
$43,087.54
|
$273,083.74
|
$57,787.99
|
2026-05-09
|
|
694990OR
|
OTHER
|
Implant Pulse Generator Ins B35300 Dbs Percept Rc Medtronic Inc B35300
|
16
|
12
|
$94,160.00
|
$25,696.26
73% off
|
$24,199.12
|
$75,328.00
|
$57,767.16
|
2026-05-09
|
|
674781OR
|
OTHER
|
Kit Neuro Senza Ii Nevro Corporation Nipg2500
|
16
|
12
|
$94,000.00
|
$25,652.60
73% off
|
$24,158.00
|
$75,200.00
|
$57,669.00
|
2026-05-09
|
|
687766OR
|
OTHER
|
Kit Ipg Nevro Corporation Hr10c
|
16
|
12
|
$94,000.00
|
$25,652.60
73% off
|
$24,158.00
|
$75,200.00
|
$57,669.00
|
2026-05-09
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
10
|
8
|
—
|
—
|
$53,776.42
|
$117,490.72
|
$57,540.77
|
2026-07-18
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma - Extreme
|
10
|
8
|
—
|
—
|
$53,700.62
|
$117,325.11
|
$57,459.67
|
2026-07-18
|
|
1783
|
APR_DRG
|
External Heart Assist Devices - Major
|
10
|
8
|
—
|
—
|
$53,324.73
|
$116,503.87
|
$57,057.46
|
2026-07-18
|
|
671752OR
|
OTHER
|
Artery Aortoiliac Cryopreserve Lifenet Ai
|
16
|
12
|
$93,000.00
|
$25,379.70
73% off
|
$23,901.00
|
$74,400.00
|
$57,055.50
|
2026-05-09
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical - M…
|
10
|
8
|
—
|
—
|
$53,248.14
|
$116,336.54
|
$56,975.51
|
2026-07-18
|
|
689133OR
|
OTHER
|
Femur Precise Retrograde 10.7x275 Nuvasive P10.7-80-275
|
16
|
12
|
$92,656.00
|
$25,285.82
73% off
|
$23,812.59
|
$74,124.80
|
$56,844.46
|
2026-05-09
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition - Maj…
|
10
|
8
|
—
|
—
|
$53,119.20
|
$116,054.83
|
$56,837.54
|
2026-07-18
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$53,006.67
|
$115,808.97
|
$56,717.13
|
2026-07-18
|
|
688165OR
|
OTHER
|
Generator Neurostimulator Implantable Plus Optimizer Smart Impulse Dynamics Inc …
|
16
|
12
|
$92,000.00
|
$25,106.80
73% off
|
$23,644.00
|
$73,600.00
|
$56,442.00
|
2026-05-09
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
24
|
18
|
—
|
—
|
$54,314.53
|
$179,111.82
|
$56,234.74
|
2026-07-18
|
|
240379OR
|
OTHER
|
Graft Aorto-iliac 12mmx11cm Cryolife Inc R010 12x11
|
16
|
12
|
$91,560.00
|
$24,986.72
73% off
|
$23,530.92
|
$73,248.00
|
$56,172.06
|
2026-05-09
|
|
684396OR
|
OTHER
|
Graft Prcn 11.8x11.8in Xenmtrx Ab Sq Drml Clgn Mtrx Rgnrt Bard Davol Inc 115303…
|
16
|
12
|
$91,520.00
|
$24,975.81
73% off
|
$23,520.64
|
$73,216.00
|
$56,147.52
|
2026-05-09
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma - Extreme
|
10
|
8
|
—
|
—
|
$52,446.35
|
$114,584.79
|
$56,117.60
|
2026-07-18
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
24
|
18
|
—
|
—
|
$54,051.76
|
$189,686.30
|
$55,962.68
|
2026-07-18
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure - Moderate
|
10
|
8
|
—
|
—
|
$52,286.15
|
$114,234.78
|
$55,946.18
|
2026-07-18
|
|
691103OR
|
OTHER
|
Rod Spinal Altalyne Sm Od5.5mm Ultra Synthes Spine 179796380s
|
16
|
12
|
$90,732.00
|
$24,760.76
73% off
|
$23,318.12
|
$72,585.60
|
$55,664.08
|
2026-05-09
|
|
691109OR
|
OTHER
|
Rod Spinal Altalyne Sm L480mmxod5.5mm Ultra Synthes Spine 179796480s
|
16
|
12
|
$90,732.00
|
$24,760.76
73% off
|
$23,318.12
|
$72,585.60
|
$55,664.08
|
2026-05-09
|
|
691102OR
|
OTHER
|
Rod Spinal Altalyne L120mm Od5.5mmx120mm Ultra Synthes Spine 179796121s
|
16
|
12
|
$90,732.00
|
$24,760.76
73% off
|
$23,318.12
|
$72,585.60
|
$55,664.08
|
2026-05-09
|
|
691107OR
|
OTHER
|
Rod Spinal Altalyne Sm L300mmxod5.5mm Ultra Synthes Spine 179796300s
|
16
|
12
|
$90,732.00
|
$24,760.76
73% off
|
$23,318.12
|
$72,585.60
|
$55,664.08
|
2026-05-09
|
|
691113OR
|
OTHER
|
Rod Spinal Altalyne Med L600mmxod5.5mm Ultra Synthes Spine 179796601s
|
16
|
12
|
$90,732.00
|
$24,760.76
73% off
|
$23,318.12
|
$72,585.60
|
$55,664.08
|
2026-05-09
|
|
691112OR
|
OTHER
|
Rod Spinal Altalyne Sm L600mmxod5.5mm Ultra Synthes Spine 179796600s
|
16
|
12
|
$90,732.00
|
$24,760.76
73% off
|
$23,318.12
|
$72,585.60
|
$55,664.08
|
2026-05-09
|
|
691108OR
|
OTHER
|
Rod Spinal Altalyne Med L300xmmod5.5mm Ultra Synthes Spine 179796301s
|
16
|
12
|
$90,732.00
|
$24,760.76
73% off
|
$23,318.12
|
$72,585.60
|
$55,664.08
|
2026-05-09
|
|
691104OR
|
OTHER
|
Rod Spinal Altalyne Med Od5.5mm Ultra Synthes Spine 179796381s
|
16
|
12
|
$90,732.00
|
$24,760.76
73% off
|
$23,318.12
|
$72,585.60
|
$55,664.08
|
2026-05-09
|
|
691106OR
|
OTHER
|
Rod Spinal Altalyne Xl Od5.5mm Ultra Synthes Spine 179796383s
|
16
|
12
|
$90,732.00
|
$24,760.76
73% off
|
$23,318.12
|
$72,585.60
|
$55,664.08
|
2026-05-09
|
|
691110OR
|
OTHER
|
Rod Spinal Altalyne Med L480mmxod5.5mm Ultra Synthes Spine 179796481s
|
16
|
12
|
$90,732.00
|
$24,760.76
73% off
|
$23,318.12
|
$72,585.60
|
$55,664.08
|
2026-05-09
|
|
691111OR
|
OTHER
|
Rod Spinal Altalyne Lg L480mmxod5.5mm Ultra Synthes Spine 179796482s
|
16
|
12
|
$90,732.00
|
$24,760.76
73% off
|
$23,318.12
|
$72,585.60
|
$55,664.08
|
2026-05-09
|
|
691105OR
|
OTHER
|
Rod Spinal Altalyne Lg Od5.5mm Ultra Synthes Spine 179796382s
|
16
|
12
|
$90,732.00
|
$24,760.76
73% off
|
$23,318.12
|
$72,585.60
|
$55,664.08
|
2026-05-09
|
|
242365OR
|
OTHER
|
Transmitter For Breathing Avery Biomedical Devices 01-1000
|
16
|
12
|
$90,700.00
|
$24,752.03
73% off
|
$23,309.90
|
$72,560.00
|
$55,644.45
|
2026-05-09
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical - Ext…
|
10
|
8
|
—
|
—
|
$51,949.33
|
$113,498.90
|
$55,585.79
|
2026-07-18
|
|
8322446T
|
OTHER
|
Watchman Lft Atrl Apndge Devce
|
16
|
12
|
$90,271.00
|
$24,634.96
73% off
|
$23,199.65
|
$72,216.80
|
$55,381.26
|
2026-05-09
|
|
687765OR
|
OTHER
|
Kit Igp Nevro Corporation Hf10c
|
16
|
12
|
$90,000.00
|
$24,561.00
73% off
|
$23,130.00
|
$72,000.00
|
$55,215.00
|
2026-05-09
|
|
6904
|
APR_DRG
|
Acute Leukemia - Extreme
|
10
|
8
|
—
|
—
|
$51,526.55
|
$112,575.21
|
$55,133.40
|
2026-07-18
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
24
|
18
|
—
|
—
|
$52,913.92
|
$206,047.48
|
$54,784.61
|
2026-07-18
|
|
677684OR
|
OTHER
|
Nail 10x280mm Pinformis Nuvasive Ps10.080b280
|
16
|
12
|
$89,076.00
|
$24,308.84
73% off
|
$22,892.53
|
$71,260.80
|
$54,648.12
|
2026-05-09
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
24
|
18
|
—
|
—
|
$52,568.22
|
$213,074.17
|
$54,426.69
|
2026-07-18
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
24
|
18
|
—
|
—
|
$52,530.23
|
$145,356.13
|
$54,387.36
|
2026-07-18
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$50,769.30
|
$110,920.77
|
$54,323.15
|
2026-07-18
|
|
679726OR
|
OTHER
|
Kit Pulse Generator R16 Boston Scientific Corp Db-1216
|
16
|
12
|
$88,000.00
|
$24,015.20
73% off
|
$22,616.00
|
$70,400.00
|
$53,988.00
|
2026-05-09
|
|
675914OR
|
OTHER
|
Vg 16 Con Implant Pulse Gen Ki Boston Scientific Corp Db-1200-s
|
16
|
12
|
$88,000.00
|
$24,015.20
73% off
|
$22,616.00
|
$70,400.00
|
$53,988.00
|
2026-05-09
|
|
694067OR
|
OTHER
|
Spinal Cord Stimulator System 2 Lead Prospera Biotronik 478627
|
16
|
12
|
$88,000.00
|
$24,015.20
73% off
|
$22,616.00
|
$70,400.00
|
$53,988.00
|
2026-05-09
|
|
625038OR
|
OTHER
|
Kit Neurostimulator Implantab St Jude Neuromodulation Mn10200
|
16
|
12
|
$88,000.00
|
$24,015.20
73% off
|
$22,616.00
|
$70,400.00
|
$53,988.00
|
2026-05-09
|
|
232785OR
|
OTHER
|
Neurostimulator Activa Rchgbl Medtronic Neurological 37612
|
16
|
12
|
$88,000.00
|
$24,015.20
73% off
|
$22,616.00
|
$70,400.00
|
$53,988.00
|
2026-05-09
|
|
664246OR
|
OTHER
|
Proclaim DRG Ipg St Jude Medical Inc 3664ans
|
16
|
12
|
$88,000.00
|
$24,015.20
73% off
|
$22,616.00
|
$70,400.00
|
$53,988.00
|
2026-05-09
|
|
C1822
|
HCPCS
|
Generator Pls 16 Op Chnl 2 Port Biphasic Rchrg Btry Hfx Iq Nevro Corporation Nip…
|
80
|
12
|
$94,000.00
|
$24,449.40
74% off
|
$18,504.00
|
$118,400.00
|
$53,838.00
|
2026-07-18
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
25
|
18
|
—
|
—
|
$51,706.30
|
$156,584.00
|
$53,795.45
|
2026-07-18
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
25
|
18
|
—
|
—
|
$51,706.30
|
$156,584.00
|
$53,795.45
|
2026-07-18
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures - Extreme
|
10
|
8
|
—
|
—
|
$50,104.27
|
$109,467.81
|
$53,611.57
|
2026-07-18
|
|
671793OR
|
OTHER
|
Shell Acet R3 56mm Smith & Nephew Plc 71338667
|
16
|
12
|
$87,200.00
|
$23,796.88
73% off
|
$22,410.40
|
$69,760.00
|
$53,497.20
|
2026-05-09
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis - Major
|
10
|
8
|
—
|
—
|
$49,962.04
|
$109,157.06
|
$53,459.38
|
2026-07-18
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
24
|
18
|
—
|
—
|
$51,521.05
|
$201,707.46
|
$53,342.49
|
2026-07-18
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo) - Minor
|
10
|
8
|
—
|
—
|
$49,850.29
|
$108,912.91
|
$53,339.81
|
2026-07-18
|
|
684413OR
|
OTHER
|
Graft Prcn 11.8x11.8in Xenmtrx Aquapure Sq Aclr Clgn Mtrx Bard Davol Inc 1163030
|
16
|
12
|
$86,760.00
|
$23,676.80
73% off
|
$22,297.32
|
$69,408.00
|
$53,227.26
|
2026-05-09
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures - Extreme
|
10
|
8
|
—
|
—
|
$49,626.79
|
$108,424.61
|
$53,100.67
|
2026-07-18
|
|
275516
|
OTHER
|
Sipuleucel-t 250 Ml Bag Inj. (jw)
|
40
|
19
|
$316,337.69
|
$86,328.56
73% off
|
$41,605.32
|
$253,070.15
|
$53,046.78
|
2026-05-09
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
24
|
18
|
—
|
—
|
$50,616.50
|
$194,818.54
|
$52,405.97
|
2026-07-18
|
|
234
|
APR_DRG
|
Spinal Procedures - Extreme
|
10
|
8
|
—
|
—
|
$48,964.10
|
$106,976.77
|
$52,391.59
|
2026-07-18
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure - Extreme
|
10
|
8
|
—
|
—
|
$48,830.47
|
$106,684.81
|
$52,248.61
|
2026-07-18
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition - Maj…
|
10
|
8
|
—
|
—
|
$48,812.49
|
$106,645.53
|
$52,229.36
|
2026-07-18
|
|
682874OR
|
OTHER
|
Nail Intrame Precice 80mm 275x10.7mm Femur Piriformis Nuvasive P10.7-80b275
|
16
|
12
|
$84,616.00
|
$23,091.71
73% off
|
$21,746.31
|
$67,692.80
|
$51,911.92
|
2026-05-09
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures - Extreme
|
10
|
8
|
—
|
—
|
$48,304.53
|
$105,535.74
|
$51,685.85
|
2026-07-18
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms - Extreme
|
10
|
8
|
—
|
—
|
$48,226.39
|
$105,365.02
|
$51,602.24
|
2026-07-18
|
|
240255OR
|
OTHER
|
Cage Cervical Roi 7x14x15.5mm Highridge Medical Llc Mc1323p
|
16
|
12
|
$84,000.00
|
$22,923.60
73% off
|
$21,588.00
|
$67,200.00
|
$51,534.00
|
2026-05-09
|
|
240278OR
|
OTHER
|
Graft Aorto-iliac 11mmx8cm Cryolife Inc R010 11x8
|
16
|
12
|
$84,000.00
|
$22,923.60
73% off
|
$21,588.00
|
$67,200.00
|
$51,534.00
|
2026-05-09
|
|
240277OR
|
OTHER
|
Graft Aorto-iliac 11mmx7.5cm Cryolife Inc R010 11x7.5
|
16
|
12
|
$84,000.00
|
$22,923.60
73% off
|
$21,588.00
|
$67,200.00
|
$51,534.00
|
2026-05-09
|
|
671905OR
|
OTHER
|
Nail Femur Strt Antegrade 10.8 Nuvasive Ps10.0-50b235
|
16
|
12
|
$83,996.00
|
$22,922.51
73% off
|
$21,586.97
|
$67,196.80
|
$51,531.55
|
2026-05-09
|
|
672472OR
|
OTHER
|
Nail Femoral 13x250mm Nuvasive P513.0-65b250
|
16
|
12
|
$83,960.00
|
$22,912.68
73% off
|
$21,577.72
|
$67,168.00
|
$51,509.46
|
2026-05-09
|
|
676834OR
|
OTHER
|
Nail IM Strght 11.5mm Femur Nuvasive Ps10.0-65b250
|
16
|
12
|
$83,960.00
|
$22,912.68
73% off
|
$21,577.72
|
$67,168.00
|
$51,509.46
|
2026-05-09
|
|
3124
|
APR_DRG
|
Skin Graft For Musculoskeletal And Connective Tissue Diagnoses - Extreme
|
10
|
8
|
—
|
—
|
$48,135.73
|
$105,166.94
|
$51,505.23
|
2026-07-18
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours - Extreme
|
10
|
8
|
—
|
—
|
$47,736.40
|
$104,294.49
|
$51,077.94
|
2026-07-18
|
|
64654
|
CPT
|
64654 1st OpenImplant Bat Modulation Sys
|
40
|
22
|
$292,503.00
|
$76,080.03
74% off
|
$38,078.30
|
$243,481.61
|
$51,069.72
|
2026-07-18
|
|
33276
|
CPT
|
Neurostim Procedure -> 33276 Insrt Phrnc Nrv Stim System Tech
|
40
|
22
|
$292,503.00
|
$76,080.03
74% off
|
$38,078.30
|
$243,481.61
|
$51,069.72
|
2026-07-18
|
|
0620T
|
OTHER
|
0620t Evasc Ven Artlz Tibl/Prnl Vn
|
40
|
22
|
$227,503.00
|
$59,173.53
74% off
|
$38,078.30
|
$243,481.61
|
$51,069.72
|
2026-07-18
|
|
694068OR
|
OTHER
|
Spinal Cord Stimulator System 1 Lead Prospera Biotronik 478628
|
16
|
12
|
$83,200.00
|
$22,705.28
73% off
|
$21,382.40
|
$66,560.00
|
$51,043.20
|
2026-05-09
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures - Extreme
|
10
|
8
|
—
|
—
|
$47,579.32
|
$103,951.30
|
$50,909.88
|
2026-07-18
|
|
34844
|
CPT
|
34844 Endovasc Visc Aorta 4 Graft
|
19
|
15
|
$100,911.00
|
$26,246.95
74% off
|
$20,647.46
|
$80,728.80
|
$50,778.42
|
2026-07-18
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia - Extreme
|
10
|
8
|
—
|
—
|
$47,423.81
|
$103,611.54
|
$50,743.47
|
2026-07-18
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure - Minor
|
10
|
8
|
—
|
—
|
$47,287.05
|
$103,312.75
|
$50,597.14
|
2026-07-18
|
|
683058OR
|
OTHER
|
Tag Conform Thoracic Sg Ac 34mmx34mmx20cm 22fr Wl Gore & Associates Inc Tgm34342…
|
16
|
12
|
$82,272.00
|
$22,452.03
73% off
|
$21,143.90
|
$65,817.60
|
$50,473.88
|
2026-05-09
|
|
683065OR
|
OTHER
|
Tag Conform Thoracic Sg Ac 37mmx37mmx10cm 22fr Wl Gore & Associates Inc Tgmr3737…
|
16
|
12
|
$82,272.00
|
$22,452.03
73% off
|
$21,143.90
|
$65,817.60
|
$50,473.88
|
2026-05-09
|
|
683069OR
|
OTHER
|
Tag Conform Thoracic Sg Ac 40mmx40mmx15cm 22fr Wl Gore & Associates Inc Tgmr4040…
|
16
|
12
|
$82,272.00
|
$22,452.03
73% off
|
$21,143.90
|
$65,817.60
|
$50,473.88
|
2026-05-09
|
|
602486OR
|
OTHER
|
Kit Ipg Nevro Corporation Nipg1500
|
16
|
12
|
$81,956.00
|
$22,365.79
73% off
|
$21,062.69
|
$65,564.80
|
$50,280.01
|
2026-05-09
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma - Extreme
|
10
|
8
|
—
|
—
|
$46,914.29
|
$102,498.34
|
$50,198.29
|
2026-07-18
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures - Extreme
|
10
|
8
|
—
|
—
|
$46,886.16
|
$102,436.88
|
$50,168.19
|
2026-07-18
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses - Extreme
|
10
|
8
|
—
|
—
|
$46,833.80
|
$102,322.49
|
$50,112.17
|
2026-07-18
|
|
4284
|
APR_DRG
|
Genetic Disorders - Extreme
|
10
|
8
|
—
|
—
|
$46,776.75
|
$102,197.84
|
$50,051.12
|
2026-07-18
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
24
|
18
|
—
|
—
|
$48,242.35
|
$153,243.94
|
$49,947.89
|
2026-07-18
|
|
684393OR
|
OTHER
|
Graft Prcn 15.7x7.9in Xenmtrx Ab Rect Drml Clgn Mtrx Rgnrt Bard Davol Inc 11520…
|
16
|
12
|
$81,400.00
|
$22,214.06
73% off
|
$20,919.80
|
$65,120.00
|
$49,938.90
|
2026-05-09
|
|
9883736T
|
OTHER
|
Neurostim Procedure -> 33276 Insrt Phrnc Nrv Stim System Tech
|
40
|
19
|
$281,253.00
|
$76,753.94
73% off
|
$37,201.60
|
$235,779.37
|
$49,893.91
|
2026-05-09
|
|
8610973T
|
OTHER
|
0266t ImpRplc BaroActSys Total Sys
|
40
|
19
|
$281,253.00
|
$76,753.94
73% off
|
$37,201.60
|
$235,779.37
|
$49,893.91
|
2026-05-09
|
|
9811486T
|
OTHER
|
33276 Insj Phrnc Nrv Stim Sys
|
40
|
19
|
$281,253.00
|
$76,753.94
73% off
|
$37,201.60
|
$235,779.37
|
$49,893.91
|
2026-05-09
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
24
|
18
|
—
|
—
|
$48,187.33
|
$227,575.34
|
$49,890.92
|
2026-07-18
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures - Extreme
|
10
|
8
|
—
|
—
|
$46,588.41
|
$101,786.36
|
$49,849.60
|
2026-07-18
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis - Extreme
|
10
|
8
|
—
|
—
|
$46,581.38
|
$101,771.00
|
$49,842.07
|
2026-07-18
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure - Moderate
|
10
|
8
|
—
|
—
|
$46,570.44
|
$101,747.10
|
$49,830.38
|
2026-07-18
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
25
|
18
|
—
|
—
|
$47,732.34
|
$164,300.65
|
$49,660.91
|
2026-07-18
|
|
680288OR
|
OTHER
|
Vanta Pain Pc Medtronic Inc 977006
|
16
|
12
|
$80,944.00
|
$22,089.62
73% off
|
$20,802.61
|
$64,755.20
|
$49,659.15
|
2026-05-09
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis - Major
|
10
|
8
|
—
|
—
|
$46,397.73
|
$101,369.76
|
$49,645.57
|
2026-07-18
|