Hospital

MILTON S HERSHEY MEDICAL CENTER

Hershey, PA · CCN 390256 · Rates published

Your selected procedure

You selected 93306 (CPT)

Echo TransTHORacic TTE Complete w/ Cont - Report

This hospital’s price: $1,276 across 49 payers · range $418-$4,108

Source: https://www.pennstatehealth.org/sites/default/files/Finance/Apr-2026/251854772_the-milton-s.-hershey-medical-center_standardcharges.csv · observed 2026-07-18

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

79,781 distinct procedures filed

51 distinct payers

2,215,389 rate rows

2026-07-18 last MRF observed

Data quality

2,157,072 of 2,215,389 rate rows are consumer-grade (97.4%)

58,317 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
placeholder amount (≤ $0.02) — excluded from medians	53,503
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	4,467
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	169
exceeds 10× this hospital's gross charge — excluded from medians	160
per-diem day rate — not a per-procedure price	18

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.pennstatehealth.org/sites/default/files/Finance/December-2024/251854772_The-Milton-S.-Hershey-Medical-Center_standardcharges.csv
Found on page	https://www.pennstatehealth.org/patients-visitors/billing-medical-records/hospital-price-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-20
Content fingerprint	21ad02a6f98b7de2… · 105,435,513 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
J3399 HCPCS	Zolgensma (10.1 - 10.5 Kg) - 57.8 Ml Kit	11	$1,104,799.77	$4,910,221.20	$4,080,393.82	nat. median $2,466,282 1.7× median
279573 OTHER	Elevidys (11.5 - 12.4 Kg) - 120 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279578 OTHER	Elevidys (16.5 - 17.4 Kg) - 170 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279575 OTHER	Elevidys (13.5 - 14.4 Kg) - 140 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279597 OTHER	Elevidys (35.5 - 36.4 Kg) - 360 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279585 OTHER	Elevidys (23.5 - 24.4 Kg) - 240 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279609 OTHER	Elevidys (47.5 - 48.4 Kg) - 480 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279596 OTHER	Elevidys (34.5 - 35.4 Kg) - 350 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279592 OTHER	Elevidys (30.5 - 31.4 Kg) - 310 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279605 OTHER	Elevidys (43.5 - 44.4 Kg) - 440 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279608 OTHER	Elevidys (46.5 - 47.4 Kg) - 470 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279591 OTHER	Elevidys (29.5 - 30.4 Kg) - 300 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279581 OTHER	Elevidys (19.5 - 20.4 Kg) - 200 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279577 OTHER	Elevidys (15.5 - 16.4 Kg) - 160 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279586 OTHER	Elevidys (24.5 - 25.4 Kg) - 250 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279587 OTHER	Elevidys (25.5 - 26.4 Kg) - 260 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279583 OTHER	Elevidys (21.5 - 22.4 Kg) - 220 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279572 OTHER	Elevidys (10.5 - 11.4 Kg) - 110 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279607 OTHER	Elevidys (45.5 - 46.4 Kg) - 460 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279574 OTHER	Elevidys (12.5 - 13.4 Kg) - 130 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279595 OTHER	Elevidys (33.5 - 34.4 Kg) - 340 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279598 OTHER	Elevidys (36.5 - 37.4 Kg) - 370 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279582 OTHER	Elevidys (20.5 - 21.4 Kg) - 210 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279576 OTHER	Elevidys (14.5 - 15.4 Kg) - 150 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279599 OTHER	Elevidys (37.5 - 38.4 Kg) - 380 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279590 OTHER	Elevidys (28.5 - 29.4 Kg) - 290 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279602 OTHER	Elevidys (40.5 - 41.4 Kg) - 410 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279593 OTHER	Elevidys (31.5 - 32.4 Kg) - 320 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279604 OTHER	Elevidys (42.5 - 43.4 Kg) - 430 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279584 OTHER	Elevidys (22.5 - 23.4 Kg) - 230 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279601 OTHER	Elevidys (39.5 - 40.4 Kg) - 400 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279606 OTHER	Elevidys (44.5 - 45.4 Kg) - 450 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279600 OTHER	Elevidys (38.5 - 39.4 Kg) - 390 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279594 OTHER	Elevidys (32.5 - 33.4 Kg) - 330 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279589 OTHER	Elevidys (27.5 - 28.4 Kg) - 280 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279571 OTHER	Elevidys (10 - 10.4 Kg) - 100 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279580 OTHER	Elevidys (18.5 - 19.4 Kg) - 190 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279579 OTHER	Elevidys (17.5 - 18.4 Kg) - 180 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279588 OTHER	Elevidys (26.5 - 27.4 Kg) - 270 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
279603 OTHER	Elevidys (41.5 - 42.4 Kg) - 420 Ml Kit (jw)	14	$1,586,722.55	$4,729,727.63	$3,405,432.32	nat. median $3,405,432 1.0× median
J1413 HCPCS	Elevidys (10 - 10.4 Kg) - 100 Ml Kit (jw)	4	$1,492,408.16	$4,537,874.29	$3,036,636.05	nat. median $3,324,572 0.9× median
277643 OTHER	Zolgensma (8.6 - 9 Kg) - 49.5 Ml Kit	19	$1,122,867.26	$4,727,862.14	$2,332,772.39	nat. median $2,332,772 1.0× median
277634 OTHER	Zolgensma (4.1 - 4.5 Kg) - 24.8 Ml Kit	19	$1,122,867.26	$4,727,862.14	$2,332,772.39	nat. median $2,332,772 1.0× median
277649 OTHER	Zolgensma (11.6 - 12 Kg) - 66 Ml Kit	19	$1,122,867.26	$4,727,862.14	$2,332,772.39	nat. median $2,332,772 1.0× median
277645 OTHER	Zolgensma (9.6 -10 Kg) - 55 Ml Kit	19	$1,122,867.26	$4,727,862.14	$2,332,772.39	nat. median $2,332,772 1.0× median
277648 OTHER	Zolgensma (11.1 - 11.5 Kg) - 63.3 Ml Kit	19	$1,122,867.26	$4,727,862.14	$2,332,772.39	nat. median $2,332,772 1.0× median
277639 OTHER	Zolgensma (6.6 - 7 Kg) - 38.5 Ml Kit	19	$1,122,867.26	$4,727,862.14	$2,332,772.39	nat. median $2,332,772 1.0× median
277640 OTHER	Zolgensma (7.1 - 7.5 Kg) - 41.3 Ml Kit	19	$1,122,867.26	$4,727,862.14	$2,332,772.39	nat. median $2,332,772 1.0× median
277644 OTHER	Zolgensma (9.1 - 9.5 Kg) - 52.3 Ml Kit	19	$1,122,867.26	$4,727,862.14	$2,332,772.39	nat. median $2,332,772 1.0× median
277632 OTHER	Zolgensma (3.1 - 3.5 Kg) - 19.3 Ml Kit	19	$1,122,867.26	$4,727,862.14	$2,332,772.39	nat. median $2,332,772 1.0× median

Other procedures at this hospital

Browse this hospital's 79,781 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

J3399	HCPCS	Zolgensma (10.1 - 10.5 Kg) - 57.8 Ml Kit	16	11	—	$2,033,445.35	$1,104,799.77	$4,910,221.20	$4,080,393.82	2026-07-18
279593	OTHER	Elevidys (31.5 - 32.4 Kg) - 320 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279590	OTHER	Elevidys (28.5 - 29.4 Kg) - 290 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279606	OTHER	Elevidys (44.5 - 45.4 Kg) - 450 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279580	OTHER	Elevidys (18.5 - 19.4 Kg) - 190 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279598	OTHER	Elevidys (36.5 - 37.4 Kg) - 370 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279577	OTHER	Elevidys (15.5 - 16.4 Kg) - 160 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279603	OTHER	Elevidys (41.5 - 42.4 Kg) - 420 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279586	OTHER	Elevidys (24.5 - 25.4 Kg) - 250 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279595	OTHER	Elevidys (33.5 - 34.4 Kg) - 340 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279608	OTHER	Elevidys (46.5 - 47.4 Kg) - 470 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279597	OTHER	Elevidys (35.5 - 36.4 Kg) - 360 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279602	OTHER	Elevidys (40.5 - 41.4 Kg) - 410 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279596	OTHER	Elevidys (34.5 - 35.4 Kg) - 350 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279599	OTHER	Elevidys (37.5 - 38.4 Kg) - 380 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279592	OTHER	Elevidys (30.5 - 31.4 Kg) - 310 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279574	OTHER	Elevidys (12.5 - 13.4 Kg) - 130 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279571	OTHER	Elevidys (10 - 10.4 Kg) - 100 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279584	OTHER	Elevidys (22.5 - 23.4 Kg) - 230 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279585	OTHER	Elevidys (23.5 - 24.4 Kg) - 240 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279578	OTHER	Elevidys (16.5 - 17.4 Kg) - 170 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279591	OTHER	Elevidys (29.5 - 30.4 Kg) - 300 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279575	OTHER	Elevidys (13.5 - 14.4 Kg) - 140 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279583	OTHER	Elevidys (21.5 - 22.4 Kg) - 220 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279589	OTHER	Elevidys (27.5 - 28.4 Kg) - 280 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279609	OTHER	Elevidys (47.5 - 48.4 Kg) - 480 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279601	OTHER	Elevidys (39.5 - 40.4 Kg) - 400 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279573	OTHER	Elevidys (11.5 - 12.4 Kg) - 120 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279582	OTHER	Elevidys (20.5 - 21.4 Kg) - 210 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279588	OTHER	Elevidys (26.5 - 27.4 Kg) - 270 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279604	OTHER	Elevidys (42.5 - 43.4 Kg) - 430 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279579	OTHER	Elevidys (17.5 - 18.4 Kg) - 180 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279600	OTHER	Elevidys (38.5 - 39.4 Kg) - 390 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279581	OTHER	Elevidys (19.5 - 20.4 Kg) - 200 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279576	OTHER	Elevidys (14.5 - 15.4 Kg) - 150 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279605	OTHER	Elevidys (43.5 - 44.4 Kg) - 440 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279594	OTHER	Elevidys (32.5 - 33.4 Kg) - 330 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279572	OTHER	Elevidys (10.5 - 11.4 Kg) - 110 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279607	OTHER	Elevidys (45.5 - 46.4 Kg) - 460 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
279587	OTHER	Elevidys (25.5 - 26.4 Kg) - 260 Ml Kit (jw)	27	14	—	$2,930,426.01	$1,586,722.55	$4,729,727.63	$3,405,432.32	2026-05-08
J1413	HCPCS	Elevidys (10 - 10.4 Kg) - 100 Ml Kit (jw)	6	4	—	$2,746,860.13	$1,492,408.16	$4,537,874.29	$3,036,636.05	2026-07-18
277641	OTHER	Zolgensma (7.6 - 8 Kg) - 44 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277647	OTHER	Zolgensma (10.6 - 11 Kg) - 60.5 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277650	OTHER	Zolgensma (12.1 - 12.5 Kg) - 68.8 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277640	OTHER	Zolgensma (7.1 - 7.5 Kg) - 41.3 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277648	OTHER	Zolgensma (11.1 - 11.5 Kg) - 63.3 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277644	OTHER	Zolgensma (9.1 - 9.5 Kg) - 52.3 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277642	OTHER	Zolgensma (8.1 - 8.5 Kg) - 46.8 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277632	OTHER	Zolgensma (3.1 - 3.5 Kg) - 19.3 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277645	OTHER	Zolgensma (9.6 -10 Kg) - 55 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277638	OTHER	Zolgensma (6.1 - 6.5 Kg) - 35.8 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277633	OTHER	Zolgensma (3.6 - 4 Kg) - 22 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277636	OTHER	Zolgensma (5.1 - 5.5 Kg) - 30.3 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277639	OTHER	Zolgensma (6.6 - 7 Kg) - 38.5 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277643	OTHER	Zolgensma (8.6 - 9 Kg) - 49.5 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277631	OTHER	Zolgensma (2.6 - 3 Kg) - 16.5 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277634	OTHER	Zolgensma (4.1 - 4.5 Kg) - 24.8 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277646	OTHER	Zolgensma (10.1 - 10.5 Kg) - 57.8 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277637	OTHER	Zolgensma (5.6 -6 Kg) -33 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277635	OTHER	Zolgensma (4.6 - 5 Kg) - 27.5 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277652	OTHER	Zolgensma (13.1 - 13.5 Kg) - 74.3 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277651	OTHER	Zolgensma (12.6 - 13 Kg) - 71.5 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
277649	OTHER	Zolgensma (11.6 - 12 Kg) - 66 Ml Kit	37	19	—	$2,073,758.53	$1,122,867.26	$4,727,862.14	$2,332,772.39	2026-05-08
Q2042	HCPCS	Q2042 Adult Car T-cell Therapy (Tisagenlecleucel)	39	22	$2,810,699.45	$931,184.73 67% off	$505,925.90	$2,248,559.56	$620,413.68	2026-07-18
Q2056	HCPCS	Q2056 Car-t Cell Therapy (Ciltacabtagene Autoleucel)	39	22	$2,687,877.49	$890,493.81 67% off	$483,817.95	$2,150,301.99	$593,302.84	2026-07-18
Q2054	HCPCS	Q2054 Car T-cell Therapy (Lisocabtagene Maraleucel)	39	22	$2,672,056.38	$885,252.28 67% off	$480,970.15	$2,137,645.10	$589,810.60	2026-07-18
480264	OTHER	Mcs Tah Syncardia 50cc	17	12	$830,431.00	$291,398.24 65% off	$157,781.89	$664,344.80	$581,633.87	2026-05-08
Q2041	HCPCS	Q2041 Car T-cell Therapy (Axicabtagene Ciloleucel)	39	22	$2,532,843.31	$839,130.99 67% off	$455,911.80	$2,026,274.65	$559,081.70	2026-07-18
5834	APR_DRG	Neonate With Ecmo - Extreme	10	8	—	—	$513,403.32	$1,121,683.57	$549,341.55	2026-07-18
480165	OTHER	Mcs Tah Kit Snycardia	17	12	$753,122.00	$264,270.51 65% off	$143,093.18	$602,497.60	$527,486.65	2026-05-08
8438781T	OTHER	Q2042 Adult Car T-cell Therapy (Tisagenlecleucel)	40	19	$2,513,666.00	$882,045.40 65% off	$413,561.21	$2,010,932.80	$517,598.58	2026-05-08
8440849T	OTHER	Q2042 Peds Car T-cell Therapy (Tisagenlecleucel)	40	19	$2,513,666.00	$882,045.40 65% off	$413,561.21	$2,010,932.80	$517,598.58	2026-05-08
Q2053	HCPCS	Q2053 Car T-cell Therapy (Brexucabtagene Autoleucel)	39	22	$2,324,196.89	$770,006.43 67% off	$418,355.44	$1,859,357.51	$513,026.58	2026-07-18
8438780T	OTHER	Q2041 Car T-cell Therapy (Axicabtagene Ciloleucel)	40	19	$2,324,916.00	$815,813.02 65% off	$383,453.05	$1,859,932.80	$479,311.03	2026-05-08
480267	OTHER	Mcs Heartmate Iii Implant Kit	17	12	$665,127.00	$233,393.06 65% off	$126,374.13	$532,101.60	$465,854.95	2026-05-08
8440850T	OTHER	Q2053 Car T-cell Therapy (Brexucabtagene Autoleucel)	40	19	$2,187,519.00	$767,600.42 65% off	$383,536.81	$1,750,015.20	$460,530.40	2026-05-08
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	22	18	—	—	$431,265.99	$1,185,281.49	$446,512.77	2026-07-18
481003	OTHER	Mcs Evaheart Implant Kit W/Belt	17	12	$617,271.00	$216,600.39 65% off	$117,281.49	$493,816.80	$432,336.61	2026-05-08
480197	OTHER	Mcs Heart Mate Ii Lvad Implant	17	12	$586,330.00	$205,743.20 65% off	$111,402.70	$469,064.00	$410,665.53	2026-05-08
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure - Extreme	10	8	—	—	$314,449.82	$687,009.97	$336,461.31	2026-07-18
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Extreme	10	8	—	—	$293,958.32	$642,240.14	$314,535.41	2026-07-18
24	APR_DRG	Heart And/or Lung Transplant - Extreme	10	8	—	—	$293,763.60	$641,814.71	$314,327.05	2026-07-18
5833	APR_DRG	Neonate With Ecmo - Major	10	8	—	—	$292,399.72	$638,834.91	$312,867.70	2026-07-18
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	22	18	—	—	$280,390.91	$769,200.01	$290,303.71	2026-07-18
5832	APR_DRG	Neonate With Ecmo - Moderate	10	8	—	—	$224,509.42	$490,508.18	$240,225.08	2026-07-18
1614	APR_DRG	Implantable Heart Assist Systems - Extreme	10	8	—	—	$219,220.32	$478,952.56	$234,565.74	2026-07-18
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure - Extreme	10	8	—	—	$219,085.51	$478,658.02	$234,421.49	2026-07-18
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Major	10	8	—	—	$218,767.64	$477,963.54	$234,081.38	2026-07-18
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo) - Extreme	10	8	—	—	$214,906.50	$469,527.72	$229,949.96	2026-07-18
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure - Extreme	10	8	—	—	$210,720.82	$460,382.85	$225,471.28	2026-07-18
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure - Major	10	8	—	—	$209,423.51	$457,548.48	$224,083.16	2026-07-18
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	24	18	—	—	$213,971.19	$691,326.55	$223,697.16	2026-07-18
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure - Extreme	10	8	—	—	$206,200.63	$450,507.14	$220,634.67	2026-07-18
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	15	14	—	—	$212,724.09	$268,591.03	$217,021.55	2026-07-18
5831	APR_DRG	Neonate With Ecmo - Minor	10	8	—	—	$201,524.82	$440,291.43	$215,631.56	2026-07-18
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft - Extreme	10	8	—	—	$195,001.66	$426,039.63	$208,651.78	2026-07-18
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure - Extreme	10	8	—	—	$191,102.24	$417,520.17	$204,479.40	2026-07-18
0266T	OTHER	0266t ImpRplc BaroActSys Total Sys Tech	16	11	$292,503.00	$96,906.24 67% off	$52,650.54	$234,002.40	$194,455.99	2026-07-18
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure - Extreme	10	8	—	—	$181,290.46	$396,083.40	$193,980.80	2026-07-18
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure - Moderate	10	8	—	—	$179,453.09	$392,069.11	$192,014.81	2026-07-18
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Moderate	10	8	—	—	$173,917.68	$379,975.35	$186,091.91	2026-07-18
74	APR_DRG	Allogeneic Bone Marrow Transplant - Extreme	10	8	—	—	$172,956.55	$377,875.47	$185,063.51	2026-07-18
1613	APR_DRG	Implantable Heart Assist Systems - Major	10	8	—	—	$171,654.25	$375,030.21	$183,670.05	2026-07-18
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure - Extreme	10	8	—	—	$165,157.72	$360,836.59	$176,718.76	2026-07-18
14	APR_DRG	Liver Transplant And/or Intestinal Transplant - Extreme	10	8	—	—	$163,515.07	$357,247.72	$174,961.12	2026-07-18
23	APR_DRG	Heart And/or Lung Transplant - Major	10	8	—	—	$160,018.41	$349,608.22	$171,219.70	2026-07-18
695844OR	OTHER	Spacer Spinal Ti 12d L L42mm W32mm H16mm Medtronic Inc 46521216	17	12	$244,000.00	$85,619.60 65% off	$46,360.00	$195,200.00	$170,897.60	2026-05-08
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure - Major	10	8	—	—	$155,511.53	$339,761.59	$166,397.34	2026-07-18
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure - Minor	10	8	—	—	$153,817.29	$336,060.02	$164,584.50	2026-07-18
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	8	—	—	$146,576.82	$320,241.04	$156,837.20	2026-07-18
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	8	—	—	$146,576.82	$320,241.04	$156,837.20	2026-07-18
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	8	—	—	$146,576.82	$320,241.04	$156,837.20	2026-07-18
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo) - Major	10	8	—	—	$144,430.73	$315,552.26	$154,540.88	2026-07-18
689207OR	OTHER	System Final Product Assembled Maci 1 Membrane Vericel Corp 81073	17	12	$208,808.00	$73,270.73 65% off	$39,673.52	$168,308.98	$153,056.26	2026-05-08
5172925	OTHER	Ccl Impella Perc Vad 5.5 (lx)	17	12	$215,600.00	$75,654.04 65% off	$40,964.00	$172,480.00	$151,006.24	2026-05-08
5173610	OTHER	Impella Perc Vad 5.5 -> Yes	17	12	$215,600.00	$75,654.04 65% off	$40,964.00	$172,480.00	$151,006.24	2026-05-08
691101OR	OTHER	Stimruouter User Kit Bioness Inc St2-5050	17	12	$210,636.00	$73,912.17 65% off	$40,020.84	$168,508.80	$147,529.45	2026-05-08
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	8	—	—	$136,571.98	$298,382.46	$146,132.02	2026-07-18
Q2043	HCPCS	Sipuleucel-t 250 Ml Bag Inj. (jw)	16	11	$262,543.19	$86,980.56 67% off	$47,257.77	$210,034.55	$143,660.34	2026-07-18
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure - Moderate	10	8	—	—	$133,384.04	$291,417.45	$142,720.92	2026-07-18
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	15	14	—	—	$139,333.36	$175,925.96	$142,148.18	2026-07-18
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure - Major	10	8	—	—	$132,619.30	$289,746.65	$141,902.65	2026-07-18
3608009	OTHER	Sh Transcath Vlve Deliv Sysb (lx)	17	12	$201,021.00	$70,538.27 65% off	$38,193.99	$160,816.80	$140,795.11	2026-05-08
3608048	OTHER	Sh Tmvr System (lx)	17	12	$199,570.00	$70,029.11 65% off	$37,918.30	$159,656.00	$139,778.83	2026-05-08
668854OR	OTHER	Kit Rns Neurostimulator Neuropace Rns-320m-k	17	12	$195,836.00	$68,718.85 65% off	$37,208.84	$156,668.80	$137,163.53	2026-05-08
1612	APR_DRG	Implantable Heart Assist Systems - Moderate	10	8	—	—	$126,304.18	$275,949.37	$135,145.47	2026-07-18
1611	APR_DRG	Implantable Heart Assist Systems - Minor	10	8	—	—	$126,304.18	$275,949.37	$135,145.47	2026-07-18
7	MS_DRG	Lung Transplant	22	18	—	—	$130,363.80	$391,133.55	$134,972.62	2026-07-18
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly - Extreme	10	8	—	—	$125,844.00	$274,943.97	$134,653.08	2026-07-18
0268T	OTHER	0268t ImpRplc BaroActSys Gen Only Tech	16	11	$198,078.00	$65,623.24 67% off	$35,654.04	$158,462.40	$131,682.26	2026-07-18
61889	CPT	61889 Ins Sk-mnt Crnl Nstm Pg/Rcvr	19	14	$193,766.00	$64,194.68 67% off	$34,877.88	$227,373.86	$131,237.71	2026-07-18
3608010	OTHER	Sh Transcath Aortic Valve (lx)	17	12	$185,844.00	$65,212.66 65% off	$35,310.36	$148,675.20	$130,165.14	2026-05-08
22	APR_DRG	Heart And/or Lung Transplant - Moderate	10	8	—	—	$121,171.53	$264,735.56	$129,653.54	2026-07-18
9813473T	OTHER	61889 Ins Sk-mnt Crnl Nstm Pg/Rcvr	20	13	$176,151.00	$61,811.39 65% off	$33,468.69	$216,002.43	$127,859.20	2026-05-08
J7330	HCPCS	Membrane Vericel Corp 69866-1030-01	38	14	$189,694.00	$62,845.62 67% off	$30,704.40	$245,024.83	$127,525.61	2026-07-18
14	MS_DRG	Allogeneic Bone Marrow Transplant	22	18	—	—	$121,084.71	$329,867.32	$125,365.49	2026-07-18
678904OR	OTHER	Membrane Vericel Corp 69866-1030-01	17	12	$170,580.00	$59,856.52 65% off	$32,410.20	$168,308.98	$125,035.14	2026-05-08
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure - Extreme	10	8	—	—	$115,055.28	$251,372.78	$123,109.15	2026-07-18
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure - Major	10	8	—	—	$113,888.62	$248,823.86	$121,860.83	2026-07-18
3607293	OTHER	Peds Ccl Transcath Pulmonary Valve (lx)	17	12	$169,555.00	$59,496.85 65% off	$32,215.45	$135,644.00	$118,756.32	2026-05-08
3606535	OTHER	Ccl Transcath Pulmonary Valve (lx)	17	12	$169,555.00	$59,496.85 65% off	$32,215.45	$135,644.00	$118,756.32	2026-05-08
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	22	18	—	—	$114,256.03	$478,016.87	$118,295.38	2026-07-18
73	APR_DRG	Allogeneic Bone Marrow Transplant - Major	10	8	—	—	$110,002.52	$240,333.51	$117,702.70	2026-07-18
209	MS_DRG	Complex Aortic Arch Procedures	21	16	—	—	$114,126.64	$310,678.42	$117,585.02	2026-07-18
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns - Extreme	10	8	—	—	$109,172.87	$238,520.89	$116,814.97	2026-07-18
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	24	18	—	—	$111,164.65	$302,509.90	$115,341.44	2026-07-18
J9226	HCPCS	Histrelin 50 Mg Implant (jw)	16	11	$213,848.09	$70,847.87 67% off	$38,492.66	$171,078.47	$114,873.01	2026-07-18
688779OR	OTHER	Device Ventricular Assist Impella 5.5 Smartassist Catheter Abiomed Inc 1000100	17	12	$164,000.00	$57,547.60 65% off	$31,160.00	$131,200.00	$114,865.60	2026-05-08
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	24	18	—	—	$109,700.58	$344,197.52	$114,686.98	2026-07-18
21	APR_DRG	Heart And/or Lung Transplant - Minor	10	8	—	—	$107,096.68	$233,984.83	$114,593.45	2026-07-18
64	APR_DRG	Pancreas Transplant - Extreme	10	8	—	—	$106,807.92	$233,353.94	$114,284.48	2026-07-18
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure - Moderate	10	8	—	—	$106,669.79	$233,052.16	$114,136.67	2026-07-18
4567297	OTHER	Ep Generator Neurostim (lx)	20	13	$157,080.00	$55,119.37 65% off	$29,845.20	$192,616.92	$114,016.52	2026-05-08
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	10	8	—	—	$105,570.53	$230,650.49	$112,960.46	2026-07-18
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure - Major	10	8	—	—	$105,340.02	$230,146.88	$112,713.82	2026-07-18
3606620	OTHER	Ccl Impella Perc Vad 5.0 (lx)	17	12	$160,607.00	$56,357.00 65% off	$30,515.33	$128,485.60	$112,489.14	2026-05-08
692146OR	OTHER	Generator Symmetry Model 8103 Sgl Pin 8cc Livanova Usa 8103	17	12	$156,456.00	$54,900.41 65% off	$29,726.64	$125,164.80	$109,581.78	2026-05-08
3606609	OTHER	Ccl Impella Percutaneous Vad (lx)	17	12	$153,914.00	$54,008.42 65% off	$29,243.66	$123,131.20	$107,801.37	2026-05-08
8513	APR_DRG	Gender Related Procedures - Major	10	8	—	—	$100,739.94	$220,096.62	$107,791.74	2026-07-18
8514	APR_DRG	Gender Related Procedures - Extreme	10	8	—	—	$100,739.94	$220,096.62	$107,791.74	2026-07-18
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	22	18	—	—	$104,091.12	$283,002.60	$107,771.11	2026-07-18
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition - Ext…	10	8	—	—	$99,890.33	$218,240.39	$106,882.65	2026-07-18
L8686	HCPCS	Ep Generator Neurostim (lx)	19	14	$157,080.00	$52,040.60 67% off	$28,274.40	$184,324.83	$106,390.28	2026-07-18
215	MS_DRG	Other Heart Assist System Implant	24	18	—	—	$100,572.77	$273,299.74	$105,144.27	2026-07-18
718786OR	OTHER	Generator Sentiva Model-1000 Livanova Usa 1000	17	12	$148,312.00	$52,042.68 65% off	$28,179.28	$118,649.60	$103,877.72	2026-05-08
667808OR	OTHER	Kit Ipg Nevro Corporation Nipg2000	17	12	$148,000.00	$51,933.20 65% off	$28,120.00	$118,400.00	$103,659.20	2026-05-08
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	24	18	—	—	$98,838.98	$268,518.29	$103,331.65	2026-07-18
689778OR	OTHER	Battery Sentiva Duo Livanova Usa M1000d	17	12	$145,120.00	$50,922.61 65% off	$27,572.80	$116,096.00	$101,642.05	2026-05-08
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	8	—	—	$94,824.25	$207,172.02	$101,461.95	2026-07-18
236768OR	OTHER	Implant Med El Concert Std Med El Corp 07670	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
677229OR	OTHER	Implant Cochlear Osia Osi200 Cochlear Americas P1170466	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
239312OR	OTHER	Implant Cochlear Concert Med El Corp 06274	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
659878OR	OTHER	Electrode Hires Ultra Implant Advanced Bionics Corp Cl-1600-04	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
667031OR	OTHER	Kit Hybrid Hearing Cochlear Americas N7	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
236769OR	OTHER	Implant Med El Concert Med El Corp 07671	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
236859OR	OTHER	Implant Nucleus C1422 With Cochlear Americas Z190574	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
668880OR	OTHER	Electrode Hires Ult Imp Slim J Advanced Bionics Corp Ci-1600-05	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
673097OR	OTHER	Implant Ci632 W/slim Modiolar Cochlear Americas P783831	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
601579OR	OTHER	Implant Cochlear Flex24 Med El Corp 31089	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
239311OR	OTHER	Implant Cochlear Concert Med El Corp 08363	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
601578OR	OTHER	Implant Cochlear Flex28 Med El Corp 31093	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
235474OR	OTHER	Implant Nucleus Freedom Cochlear Americas Z60132	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
238284OR	OTHER	Implant Cochlear Advantage 90k Advanced Bionics Corp Ci-1500-02	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
666325OR	OTHER	Implant Cochlear Hires Ultra Advanced Bionics Corp Ci-1600-04	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
673349OR	OTHER	Implant Cochlear Hires Ultra Advanced Bionics Corp Ci-1601-04	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
673095OR	OTHER	Implant Ci612 W/contour Adv El Cochlear Americas P774600	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
673351OR	OTHER	Processor Dual Naida Ci 3d Advanced Bionics Corp 303-m428	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
238283OR	OTHER	Implant Cochlear Advantage 90k Advanced Bionics Corp Ci-1500-01	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
222742OR	OTHER	Implant Cochlear Nucleus Cochlear Americas Z60353	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
676999OR	OTHER	Coch Imp Synchrony 2 Flex24 Med El Corp 36709	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
693845OR	OTHER	Implant Cochlear Osia Osi300 Cochlear Americas P1772248	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
601581OR	OTHER	Implant Cochlear Medium Med El Corp 31087	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
673350OR	OTHER	Implant Cochlear Hires Ultra Advanced Bionics Corp Ci-1601-05	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
673096OR	OTHER	Implant Ci622 W/slim Strt Elec Cochlear Americas P783829	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
678981OR	OTHER	Implant Cochlear Flex26 Sync Med El Corp 36903/39574	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
601580OR	OTHER	Implant Cochlear Standard Med El Corp 31084	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
604121OR	OTHER	Implant Cochlear Nucleus Slim Cochlear Americas Z285654	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
673630OR	OTHER	Implant Cochlear Flex28 Sync 2 Med El Corp 36711	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
230708OR	OTHER	Implant Cochlear Ti 100 Sonata Med El Corp 04218	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
241258OR	OTHER	Kit Magnet Sound Processor Cochlear Americas Fuz1078	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
236498OR	OTHER	Processor Sound Baha 3 Bp110 Slate Gray Cochlear Americas 92842	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
601582OR	OTHER	Implant Cochlear Compressed Med El Corp 31097	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
242832OR	OTHER	Implant Cochlear Nucleus C1522 Cochlear Americas Z382660	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
691896OR	OTHER	Synchrony2 Flex28 Med El Corp 39573	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
677290OR	OTHER	Kit Std 2 Ap Patient Med El Corp 2apkit20	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
691895OR	OTHER	Synchrony2 Flexsoft Med El Corp 39569	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
236770OR	OTHER	Implant Med El Concert Med Med El Corp 07672	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
673631OR	OTHER	Implant Cochlear Flex26 Sync 2 Med El Corp 36904	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
231572OR	OTHER	Implant Cochlear Nucleus C1512 Cochlear Americas Z209051	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
220225OR	OTHER	Implant Cochlear Advantage 90k Advanced Bionics Corp Ci-1400-01	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
239451OR	OTHER	Implant Cochlear Advantage 90k Advanced Bionics Corp Ci-1500-04	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
694580OR	OTHER	Processor Kit Dualn8 Or N8/k2 Combo Cochlear Americas Dualn8	17	12	$142,851.00	$50,126.42 65% off	$27,141.69	$114,280.80	$100,052.84	2026-05-08
5400643	OTHER	C1824 Gen Card Contractility Modulation	17	12	$141,680.00	$49,715.51 65% off	$26,919.20	$113,344.00	$99,232.67	2026-05-08
7020719	OTHER	Ep C1825 Kit BaroStim Comp Sys (lx)	17	12	$140,000.00	$49,126.00 65% off	$26,600.00	$112,000.00	$98,056.00	2026-05-08
695138OR	OTHER	Graft Vascular Anteflo L150mm Od36mm Terumo Medical Corp Tha3036x150a	17	12	$140,000.00	$49,126.00 65% off	$26,600.00	$112,000.00	$98,056.00	2026-05-08
695139OR	OTHER	Graft Vascular Anteflo L150mm Od38mm Terumo Medical Corp Tha3038x150a	17	12	$140,000.00	$49,126.00 65% off	$26,600.00	$112,000.00	$98,056.00	2026-05-08
694687OR	OTHER	Stent Device Hybrid Vasc 30/34x150mm Terumo Medical Corp Tha3034x150a	17	12	$140,000.00	$49,126.00 65% off	$26,600.00	$112,000.00	$98,056.00	2026-05-08
696208OR	OTHER	Graft Vascular Thoraflex L100mm L150mm Od36mm Id30mm Stent Tha3036x100a	17	12	$140,000.00	$49,126.00 65% off	$26,600.00	$112,000.00	$98,056.00	2026-05-08
685766OR	OTHER	System Nrstm Barostim Neo2 Includes Ipg And Csl Kit CVRx Incorporated 100069-202	17	12	$140,000.00	$49,126.00 65% off	$26,600.00	$112,000.00	$98,056.00	2026-05-08
697437OR	OTHER	Graft Vascular Ante-flo L100 Mm L150mm Od32mm Id30 Mm Hybrid Terumo Medical Corp…	17	12	$140,000.00	$49,126.00 65% off	$26,600.00	$112,000.00	$98,056.00	2026-05-08
741001	OTHER	Nc0150 Liver Acquisition Charge	17	12	$140,000.00	$49,126.00 65% off	$26,600.00	$112,000.00	$98,056.00	2026-05-08
8214729	OTHER	Ep C1825 NrstmBarostimNeo2W/IPG/CSL Kit (lx)	17	12	$140,000.00	$49,126.00 65% off	$26,600.00	$112,000.00	$98,056.00	2026-05-08
693968OR	OTHER	Stent Device Ante-flo Hybrid Terumo Medical Corp Tha3240x150a	17	12	$140,000.00	$49,126.00 65% off	$26,600.00	$112,000.00	$98,056.00	2026-05-08
238091OR	OTHER	Kit Dps System Neurrx Hde Sci Synpase 20-0035	17	12	$138,600.00	$48,634.74 65% off	$26,334.00	$110,880.00	$97,075.44	2026-05-08
3608055	OTHER	Sh Valve Kit Portico Ide (lx)	17	12	$138,462.00	$48,586.32 65% off	$26,307.78	$110,769.60	$96,978.78	2026-05-08
684397OR	OTHER	Graft Prcn 17.7x11.8in Xenmtrx Ab Rect Drml Clgn Mtrx Rgnrt Bard Davol Inc 1153…	17	12	$137,280.00	$48,171.55 65% off	$26,083.20	$109,824.00	$96,150.91	2026-05-08
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	24	18	—	—	$91,143.39	$265,747.76	$95,286.27	2026-07-18
8959147	OTHER	Sh Edw Sapien 3 Ultra Resilia Thv 23mm(LX)	17	12	$136,000.00	$47,722.40 65% off	$25,840.00	$108,800.00	$95,254.40	2026-05-08
690294OR	OTHER	Valve Kit Tavr Sapien 3 Ultra W Commander System 26mm Edwards Lifesciences Corp …	17	12	$136,000.00	$47,722.40 65% off	$25,840.00	$108,800.00	$95,254.40	2026-05-08
8955537	OTHER	Sh Edw Sapien 3 Ultra Resilia Thv 26mm(LX)	17	12	$136,000.00	$47,722.40 65% off	$25,840.00	$108,800.00	$95,254.40	2026-05-08
690292OR	OTHER	Valve Kit Tavr Sapien 3 Ultra W Commander System 20mm Edwards Lifesciences Corp …	17	12	$136,000.00	$47,722.40 65% off	$25,840.00	$108,800.00	$95,254.40	2026-05-08
690295OR	OTHER	Valve Kit Tavr Sapien 3 Ultra W Commander System 29mm Edwards Lifesciences Corp …	17	12	$136,000.00	$47,722.40 65% off	$25,840.00	$108,800.00	$95,254.40	2026-05-08
690293OR	OTHER	Valve Kit Tavr Sapien 3 Ultra W Commander System 23mm Edwards Lifesciences Corp …	17	12	$136,000.00	$47,722.40 65% off	$25,840.00	$108,800.00	$95,254.40	2026-05-08
8957149	OTHER	Sh Edw Sapien 3 Ultra Resilia Thv 29mm(LX)	17	12	$136,000.00	$47,722.40 65% off	$25,840.00	$108,800.00	$95,254.40	2026-05-08
8957148	OTHER	Sh Edw Sapien 3 Ultra Resilia Thv 20mm(LX)	17	12	$136,000.00	$47,722.40 65% off	$25,840.00	$108,800.00	$95,254.40	2026-05-08
666679OR	OTHER	Kit Elec Stim Vercise Ipg Boston Scientific Corp Db-1110-c	17	12	$135,590.00	$47,578.53 65% off	$25,762.10	$108,472.00	$94,967.24	2026-05-08
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly - Extreme	10	8	—	—	$87,804.30	$191,834.83	$93,950.60	2026-07-18
663777OR	OTHER	Generator Sentiva 1000 Livanova Usa 10-0012-5002	17	12	$133,193.00	$46,737.42 65% off	$25,306.67	$106,554.40	$93,288.38	2026-05-08
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection - Ex…	10	8	—	—	$86,997.12	$190,071.31	$93,086.92	2026-07-18
C1825	HCPCS	Ep C1825 Kit BaroStim Comp Sys (lx)	16	11	$140,000.00	$46,382.00 67% off	$25,200.00	$112,000.00	$93,072.00	2026-07-18
7216712	OTHER	Peds Ccl Pulm Valve Tpv 25mm (lx)	17	12	$132,000.00	$46,318.80 65% off	$25,080.00	$105,600.00	$92,452.80	2026-05-08
682320OR	OTHER	Valve Pulmonary Harmony Tpv 25mm Medtronic Inc Harmony-25	17	12	$132,000.00	$46,318.80 65% off	$25,080.00	$105,600.00	$92,452.80	2026-05-08
682319OR	OTHER	Valve Pulmonary Harmony Tpv 22mm Medtronic Inc Harmony-22	17	12	$132,000.00	$46,318.80 65% off	$25,080.00	$105,600.00	$92,452.80	2026-05-08
7216711	OTHER	Peds Ccl Pulm Valve Tpv 22mm (lx)	17	12	$132,000.00	$46,318.80 65% off	$25,080.00	$105,600.00	$92,452.80	2026-05-08
689721OR	OTHER	Mitraclip G4 System Steerable Guide Catheter Sgc0701 Combo St Jude Medical Inc M…	17	12	$132,000.00	$46,318.80 65% off	$25,080.00	$105,600.00	$92,452.80	2026-05-08
8634	APR_DRG	Neonatal Aftercare - Extreme	10	8	—	—	$85,876.22	$187,622.37	$91,887.55	2026-07-18
239755OR	OTHER	Kit Neurx Dps System Hde Synapse Biomedical 20-0045	17	12	$131,000.00	$45,967.90 65% off	$24,890.00	$104,800.00	$91,752.40	2026-05-08
111	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Minor	10	8	—	—	$85,654.87	$187,138.76	$91,650.71	2026-07-18
684414OR	OTHER	Graft Prcn 17.7x11.8in Xenmtrx Aquapure Rect Aclr Clgn Mtrx Bard Davol Inc 11630…	17	12	$130,120.00	$45,659.11 65% off	$24,722.80	$104,096.00	$91,136.05	2026-05-08
48034OR	OTHER	Valve Kit Sapien 3 26mm Edwards Lifesciences Corp 9600cm26a	17	12	$130,000.00	$45,617.00 65% off	$24,700.00	$104,000.00	$91,052.00	2026-05-08
13	APR_DRG	Liver Transplant And/or Intestinal Transplant - Major	10	8	—	—	$84,893.46	$185,475.23	$90,836.01	2026-07-18
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis - Extreme	10	8	—	—	$84,572.26	$184,773.47	$90,492.32	2026-07-18
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back - Extreme	10	8	—	—	$84,163.67	$183,880.79	$90,055.12	2026-07-18
698065OR	OTHER	Valve Aortic Evolut Fx Plus 23 Mm Od18-20 Mm Annulus Medtronic Inc Evfxplus-23	17	12	$128,000.00	$44,915.20 65% off	$24,320.00	$102,400.00	$89,651.20	2026-05-08
698067OR	OTHER	Valve Aortic Evolut Fx Plus 29 Mm Od23-26 Mm Annulus Medtronic Inc Evfxplus-29	17	12	$128,000.00	$44,915.20 65% off	$24,320.00	$102,400.00	$89,651.20	2026-05-08
698068OR	OTHER	Valve Aortic Evolut Fx Plus 34 Mm Od26-30 Mm Annulus Medtronic Inc Evfxplus-34	17	12	$128,000.00	$44,915.20 65% off	$24,320.00	$102,400.00	$89,651.20	2026-05-08
698066OR	OTHER	Valve Aortic Evolut Fx Plus 26 Mm Od20-23 Mm Annulus Medtronic Inc Evfxplus-26	17	12	$128,000.00	$44,915.20 65% off	$24,320.00	$102,400.00	$89,651.20	2026-05-08
668234OR	OTHER	Kit Neurostimulator Neuropace Rns-320-k	17	12	$127,800.00	$44,845.02 65% off	$24,282.00	$102,240.00	$89,511.12	2026-05-08
850	MS_DRG	Acute Leukemia With Other Procedures	17	15	—	—	$87,658.88	$237,685.96	$89,429.76	2026-07-18
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure - Major	10	8	—	—	$83,498.79	$182,428.16	$89,343.71	2026-07-18
231	MS_DRG	Coronary Bypass With Ptca With Mcc	24	18	—	—	$85,373.69	$231,383.90	$89,254.31	2026-07-18
4404	APR_DRG	Kidney Transplant - Extreme	10	8	—	—	$82,812.28	$180,928.27	$88,609.14	2026-07-18
242356OR	OTHER	Generator Aspire Sr 106 Cyberonics Inc 106	17	12	$126,228.00	$44,293.41 65% off	$23,983.32	$100,982.40	$88,410.09	2026-05-08
681409OR	OTHER	Generator Nrstm Barostim Neo Implantable Pulse Ipg CVRx Incorporated 100054-202	17	12	$126,000.00	$44,213.40 65% off	$23,940.00	$100,800.00	$88,250.40	2026-05-08
63	APR_DRG	Pancreas Transplant - Major	10	8	—	—	$82,312.16	$179,835.61	$88,074.01	2026-07-18
5931	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure - Minor	10	8	—	—	$81,179.61	$177,361.21	$86,862.18	2026-07-18
685767OR	OTHER	Generator Nrstm Implantable Pulse Ipg CVRx Incorporated 100065-202	17	12	$124,000.00	$43,511.60 65% off	$23,560.00	$99,200.00	$86,849.60	2026-05-08
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	15	14	—	—	$85,109.94	$107,462.05	$86,829.34	2026-07-18
674540OR	OTHER	Stent Graft Valiant 46x46x175m Medtronic Inc Vnmf4646c175tu	17	12	$123,138.00	$43,209.12 65% off	$23,396.22	$98,510.40	$86,245.86	2026-05-08
672879OR	OTHER	Valve Pulmonary Cryolife Inc Spgpv00	17	12	$122,883.00	$43,119.64 65% off	$23,347.77	$98,306.40	$86,067.25	2026-05-08
696934OR	OTHER	Valve Mitral Pascal Precision System Edwards Lifesciences Corp Pas2ma	17	12	$122,400.00	$42,950.16 65% off	$23,256.00	$97,920.00	$85,728.96	2026-05-08
9997981	OTHER	Sh Pascal Precision Mtrl Vlv Clip Sys(LX)	17	12	$122,400.00	$42,950.16 65% off	$23,256.00	$97,920.00	$85,728.96	2026-05-08
3606606	OTHER	Ccl Wireless Pa Press Sensor (lx)	17	12	$120,215.00	$42,183.44 65% off	$22,840.85	$96,172.00	$84,198.59	2026-05-08
4800102	OTHER	Perf Protek Duo Dl 31	17	12	$120,182.00	$42,171.86 65% off	$22,834.58	$96,145.60	$84,175.47	2026-05-08
9109509	OTHER	Sh Transcath Evoluttm Fx Aortic Valve 29mm(lx)	17	12	$120,000.00	$42,108.00 65% off	$22,800.00	$96,000.00	$84,048.00	2026-05-08
686193OR	OTHER	Transcath Evoluttm Fx Aortic Valve 34mm Medtronic Inc Evolutfx-34	17	12	$120,000.00	$42,108.00 65% off	$22,800.00	$96,000.00	$84,048.00	2026-05-08
686192OR	OTHER	Transcath Evoluttm Fx Aortic Valve 29mm Medtronic Inc Evolutfx-29	17	12	$120,000.00	$42,108.00 65% off	$22,800.00	$96,000.00	$84,048.00	2026-05-08
9117189	OTHER	Sh Transcath Evoluttm Fx Aortic Valve 23mm(lx)	17	12	$120,000.00	$42,108.00 65% off	$22,800.00	$96,000.00	$84,048.00	2026-05-08
686191OR	OTHER	Transcath Evoluttm Fx Aortic Valve 26mm Medtronic Inc Evolutfx-26	17	12	$120,000.00	$42,108.00 65% off	$22,800.00	$96,000.00	$84,048.00	2026-05-08
9121149	OTHER	Sh Transcath Evoluttm Fx Aortic Valve 34mm(lx)	17	12	$120,000.00	$42,108.00 65% off	$22,800.00	$96,000.00	$84,048.00	2026-05-08
9119153	OTHER	Sh Transcath Evoluttm Fx Aortic Valve 26mm(lx)	17	12	$120,000.00	$42,108.00 65% off	$22,800.00	$96,000.00	$84,048.00	2026-05-08
72	APR_DRG	Allogeneic Bone Marrow Transplant - Moderate	10	8	—	—	$77,464.10	$169,243.57	$82,886.59	2026-07-18
685804OR	OTHER	Generator Pulse Paired Vagus Nerve Stimulation Microtransponder Inc Viv-ipg	17	12	$118,000.00	$41,406.20 65% off	$22,420.00	$94,400.00	$82,647.20	2026-05-08
240246OR	OTHER	Graft Aorto-iliac 12mmx14cm Cryolife Inc R010 12x14	17	12	$117,535.00	$41,243.03 65% off	$22,331.65	$94,028.00	$82,321.51	2026-05-08
84	APR_DRG	Autologous Bone Marrow Transplant - Extreme	10	8	—	—	$76,925.70	$168,067.27	$82,310.50	2026-07-18
603079OR	OTHER	Generator Neurostim Implant St Jude Neuromodulation 3660	17	12	$116,314.00	$40,814.58 65% off	$22,099.66	$93,051.20	$81,466.33	2026-05-08
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	18	—	—	$77,893.09	$210,753.98	$81,433.69	2026-07-18
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	15	14	—	—	$79,789.12	$100,743.84	$81,401.02	2026-07-18
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure - Major	10	8	—	—	$75,998.70	$166,041.96	$81,318.61	2026-07-18
695853OR	OTHER	Graft Cryovalve Decellularize Pulmonary Od27mm Cryolife Inc Sgpv00 27x4.5	17	12	$116,000.00	$40,704.40 65% off	$22,040.00	$92,800.00	$81,246.40	2026-05-08
242501OR	OTHER	Pulse Generator Implant 16 Ch St Jude Cardiac Rhythm Mgmt 3771	17	12	$115,980.00	$40,697.38 65% off	$22,036.20	$92,784.00	$81,232.39	2026-05-08
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	24	18	—	—	$77,563.65	$209,845.45	$81,089.26	2026-07-18
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	8	—	—	$75,769.86	$165,541.99	$81,073.75	2026-07-18
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	24	18	—	—	$77,311.84	$209,151.02	$80,826.01	2026-07-18
730003	OTHER	Nc0143 Kidney Acq Svc Cadav Dnr	17	12	$115,000.00	$40,353.50 65% off	$21,850.00	$92,000.00	$80,546.00	2026-05-08
671829OR	OTHER	Generator Neurostm Prodigy MRI Ipg Burst St Jude Medical Inc 3772	17	12	$114,930.00	$40,328.94 65% off	$21,836.70	$91,944.00	$80,496.97	2026-05-08
3538583	OTHER	20808 Reimplantation Hand Complete	20	13	$110,883.00	$38,908.84 65% off	$21,067.77	$135,968.56	$80,484.43	2026-05-08
3538815	OTHER	22861 Rev,Repl,Total Disc Arthr	20	13	$110,883.00	$38,908.84 65% off	$21,067.77	$135,968.56	$80,484.43	2026-05-08
3538792	OTHER	22808 Fusion Of Spine/2-3 Vert	20	13	$110,883.00	$38,908.84 65% off	$21,067.77	$135,968.56	$80,484.43	2026-05-08
3538145	OTHER	22812 Arthro,Ant,Inc Bn Gft >8 Vert	20	13	$110,883.00	$38,908.84 65% off	$21,067.77	$135,968.56	$80,484.43	2026-05-08

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