Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CENTRO CARDIOVASCULAR DE PUERTO RICO Y EL CARIBE

San Juan, PR · CCN 400124 · Rates published

7,648 distinct procedures filed
11 distinct payers
56,806 rate rows
2026-04-01 last MRF observed
Data quality

56,467 of 56,806 rate rows are consumer-grade (99.4%)

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

Excluded — reasonRows
exceeds 3× this hospital's gross charge for a DRG stay — excluded 210
per-diem day rate — not a per-procedure price 81
placeholder amount (≤ $0.02) — excluded from medians 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hpt.inmediata.com/?handler=DF&d=69BCA845-DFF2-4C05-9642-19096BA9ABFF
Found on page https://www.cardiovascular.pr.gov/transparencia-de-precios
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint 93f603d55255fbbb… · 14,467,155 bytes · first seen 2026-05-15

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
270001383
MS_DRG 		Sapien 3 Ultra Resilia Transcatheter 5 $37,100.00 $37,100.00 $37,100.00 —
270001383
OTHER 		Sapien 3 Ultra Resilia Transcatheter 5 $37,100.00 $37,100.00 $37,100.00 nat. median
$37,100
1.0× median
270001387
OTHER 		Sapien 3 Ultra Resilia Transcatheter 5 $37,100.00 $37,100.00 $37,100.00 nat. median
$37,100
1.0× median
270001387
LOCAL 		Sapien 3 Ultra Resilia Transcatheter 8 $37,100.00 $37,100.00 $37,100.00 nat. median
$37,100
1.0× median
270001385
MS_DRG 		Sapien 3 Ultra Resilia Transcatheter 5 $37,100.00 $37,100.00 $37,100.00 —
270001381
MS_DRG 		Sapien 3 Ultra Resilia Transcatheter 5 $37,100.00 $37,100.00 $37,100.00 —
270001381
OTHER 		Sapien 3 Ultra Resilia Transcatheter 5 $37,100.00 $37,100.00 $37,100.00 nat. median
$37,100
1.0× median
270001383
LOCAL 		Sapien 3 Ultra Resilia Transcatheter 8 $37,100.00 $37,100.00 $37,100.00 nat. median
$37,100
1.0× median
270001387
MS_DRG 		Sapien 3 Ultra Resilia Transcatheter 5 $37,100.00 $37,100.00 $37,100.00 —
270001381
LOCAL 		Sapien 3 Ultra Resilia Transcatheter 8 $37,100.00 $37,100.00 $37,100.00 nat. median
$37,100
1.0× median
270001385
OTHER 		Sapien 3 Ultra Resilia Transcatheter 5 $37,100.00 $37,100.00 $37,100.00 nat. median
$37,100
1.0× median
270001385
LOCAL 		Sapien 3 Ultra Resilia Transcatheter 8 $37,100.00 $37,100.00 $37,100.00 nat. median
$37,100
1.0× median
3020639
OTHER 		Evolut Fx Transcatheter Aortic Valve 5 $33,600.00 $33,600.00 $33,600.00 nat. median
$33,600
1.0× median
3020640
LOCAL 		Evolut Fx Transcatheter Aortic Valve 8 $33,600.00 $33,600.00 $33,600.00 nat. median
$33,600
1.0× median
3020638
MS_DRG 		Evolut Fx Transcatheter Aortic Valve 5 $33,600.00 $33,600.00 $33,600.00 —
3020641
MS_DRG 		Evolut Fx Transcatheter Aortic Valve 5 $33,600.00 $33,600.00 $33,600.00 —
3020641
LOCAL 		Evolut Fx Transcatheter Aortic Valve 8 $33,600.00 $33,600.00 $33,600.00 nat. median
$33,600
1.0× median
3020639
MS_DRG 		Evolut Fx Transcatheter Aortic Valve 5 $33,600.00 $33,600.00 $33,600.00 —
3020640
OTHER 		Evolut Fx Transcatheter Aortic Valve 5 $33,600.00 $33,600.00 $33,600.00 nat. median
$33,600
1.0× median
3020640
MS_DRG 		Evolut Fx Transcatheter Aortic Valve 5 $33,600.00 $33,600.00 $33,600.00 —
3020639
LOCAL 		Evolut Fx Transcatheter Aortic Valve 8 $33,600.00 $33,600.00 $33,600.00 nat. median
$33,600
1.0× median
3020641
OTHER 		Evolut Fx Transcatheter Aortic Valve 5 $33,600.00 $33,600.00 $33,600.00 nat. median
$33,600
1.0× median
3020638
LOCAL 		Evolut Fx Transcatheter Aortic Valve 8 $33,600.00 $33,600.00 $33,600.00 nat. median
$33,600
1.0× median
3020638
OTHER 		Evolut Fx Transcatheter Aortic Valve 5 $33,600.00 $33,600.00 $33,600.00 nat. median
$33,600
1.0× median
3019163
LOCAL 		Mitra Clip G4 Clip Delivery System 8 $30,800.00 $30,800.00 $30,800.00 nat. median
$30,800
1.0× median
3019163
OTHER 		Mitra Clip G4 Clip Delivery System 5 $30,800.00 $30,800.00 $30,800.00 nat. median
$30,800
1.0× median
3019163
MS_DRG 		Mitra Clip G4 Clip Delivery System 5 $30,800.00 $30,800.00 $30,800.00 —
270001373
MS_DRG 		Edwards Sapien 3 Ultra Transcatheter 5 $29,260.00 $29,260.00 $29,260.00 —
270001377
LOCAL 		Edwards Sapien 3 Ultra Transcatheter 8 $29,260.00 $29,260.00 $29,260.00 nat. median
$29,260
1.0× median
270001377
MS_DRG 		Edwards Sapien 3 Ultra Transcatheter 5 $29,260.00 $29,260.00 $29,260.00 —
270001375
LOCAL 		Edwards Sapien 3 Ultra Transcatheter 8 $29,260.00 $29,260.00 $29,260.00 nat. median
$29,260
1.0× median
270001373
OTHER 		Edwards Sapien 3 Ultra Transcatheter 5 $29,260.00 $29,260.00 $29,260.00 nat. median
$29,260
1.0× median
270001373
LOCAL 		Edwards Sapien 3 Ultra Transcatheter 8 $29,260.00 $29,260.00 $29,260.00 nat. median
$29,260
1.0× median
270001379
OTHER 		Edwards Sapien 3 Ultra Transcatheter 5 $29,260.00 $29,260.00 $29,260.00 nat. median
$29,260
1.0× median
270001375
OTHER 		Edwards Sapien 3 Ultra Transcatheter 5 $29,260.00 $29,260.00 $29,260.00 nat. median
$29,260
1.0× median
270001379
MS_DRG 		Edwards Sapien 3 Ultra Transcatheter 5 $29,260.00 $29,260.00 $29,260.00 —
270001377
OTHER 		Edwards Sapien 3 Ultra Transcatheter 5 $29,260.00 $29,260.00 $29,260.00 nat. median
$29,260
1.0× median
270001375
MS_DRG 		Edwards Sapien 3 Ultra Transcatheter 5 $29,260.00 $29,260.00 $29,260.00 —
270001379
LOCAL 		Edwards Sapien 3 Ultra Transcatheter 8 $29,260.00 $29,260.00 $29,260.00 nat. median
$29,260
1.0× median
270001357
LOCAL 		Evolut Fx Loading System 34mm 8 $28,000.00 $28,000.00 $28,000.00 nat. median
$28,000
1.0× median
270000459
OTHER 		Evolut Fx Loading System 23-29mm 5 $28,000.00 $28,000.00 $28,000.00 nat. median
$28,000
1.0× median
270001357
MS_DRG 		Evolut Fx Loading System 34mm 5 $28,000.00 $28,000.00 $28,000.00 —
270000459
MS_DRG 		Evolut Fx Loading System 23-29mm 5 $28,000.00 $28,000.00 $28,000.00 —
270001357
OTHER 		Evolut Fx Loading System 34mm 5 $28,000.00 $28,000.00 $28,000.00 nat. median
$28,000
1.0× median
270000459
LOCAL 		Evolut Fx Loading System 23-29mm 8 $28,000.00 $28,000.00 $28,000.00 nat. median
$28,000
1.0× median
270000541
LOCAL 		Harmonic Blue Hand Piece And Blue Test 8 $27,328.00 $27,328.00 $27,328.00 nat. median
$27,328
1.0× median
270000541
MS_DRG 		Harmonic Blue Hand Piece And Blue Test 5 $27,328.00 $27,328.00 $27,328.00 —
270000541
OTHER 		Harmonic Blue Hand Piece And Blue Test 5 $27,328.00 $27,328.00 $27,328.00 nat. median
$27,328
1.0× median
3020174
MS_DRG 		Melody Transcatheter Pulmonary Valve 5 $25,200.00 $25,200.00 $25,200.00 —
3020174
LOCAL 		Melody Transcatheter Pulmonary Valve 8 $25,200.00 $25,200.00 $25,200.00 nat. median
$25,200
1.0× median

Other procedures at this hospital

Browse this hospital's 7,648 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
270001385 MS_DRG Sapien 3 Ultra Resilia Transcatheter 6 5 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
270001385 OTHER Sapien 3 Ultra Resilia Transcatheter 6 5 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
270001385 LOCAL Sapien 3 Ultra Resilia Transcatheter 11 8 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
270001383 LOCAL Sapien 3 Ultra Resilia Transcatheter 11 8 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
270001381 MS_DRG Sapien 3 Ultra Resilia Transcatheter 6 5 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
270001383 MS_DRG Sapien 3 Ultra Resilia Transcatheter 6 5 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
270001387 LOCAL Sapien 3 Ultra Resilia Transcatheter 11 8 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
270001381 OTHER Sapien 3 Ultra Resilia Transcatheter 6 5 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
270001387 MS_DRG Sapien 3 Ultra Resilia Transcatheter 6 5 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
270001383 OTHER Sapien 3 Ultra Resilia Transcatheter 6 5 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
270001387 OTHER Sapien 3 Ultra Resilia Transcatheter 6 5 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
270001381 LOCAL Sapien 3 Ultra Resilia Transcatheter 11 8 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
3020640 MS_DRG Evolut Fx Transcatheter Aortic Valve 6 5 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020638 LOCAL Evolut Fx Transcatheter Aortic Valve 11 8 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020641 MS_DRG Evolut Fx Transcatheter Aortic Valve 6 5 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020640 OTHER Evolut Fx Transcatheter Aortic Valve 6 5 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020638 OTHER Evolut Fx Transcatheter Aortic Valve 6 5 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020639 LOCAL Evolut Fx Transcatheter Aortic Valve 11 8 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020641 OTHER Evolut Fx Transcatheter Aortic Valve 6 5 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020639 OTHER Evolut Fx Transcatheter Aortic Valve 6 5 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020638 MS_DRG Evolut Fx Transcatheter Aortic Valve 6 5 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020639 MS_DRG Evolut Fx Transcatheter Aortic Valve 6 5 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020641 LOCAL Evolut Fx Transcatheter Aortic Valve 11 8 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020640 LOCAL Evolut Fx Transcatheter Aortic Valve 11 8 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3019163 OTHER Mitra Clip G4 Clip Delivery System 6 5 $30,800.00 — $30,800.00 $30,800.00 $30,800.00 2026-04-01
3019163 LOCAL Mitra Clip G4 Clip Delivery System 11 8 $30,800.00 — $30,800.00 $30,800.00 $30,800.00 2026-04-01
3019163 MS_DRG Mitra Clip G4 Clip Delivery System 6 5 $30,800.00 — $30,800.00 $30,800.00 $30,800.00 2026-04-01
270001373 LOCAL Edwards Sapien 3 Ultra Transcatheter 11 8 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001375 OTHER Edwards Sapien 3 Ultra Transcatheter 6 5 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001373 MS_DRG Edwards Sapien 3 Ultra Transcatheter 6 5 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001373 OTHER Edwards Sapien 3 Ultra Transcatheter 6 5 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001377 LOCAL Edwards Sapien 3 Ultra Transcatheter 11 8 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001377 MS_DRG Edwards Sapien 3 Ultra Transcatheter 6 5 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001379 OTHER Edwards Sapien 3 Ultra Transcatheter 6 5 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001379 LOCAL Edwards Sapien 3 Ultra Transcatheter 11 8 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001375 LOCAL Edwards Sapien 3 Ultra Transcatheter 11 8 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001379 MS_DRG Edwards Sapien 3 Ultra Transcatheter 6 5 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001375 MS_DRG Edwards Sapien 3 Ultra Transcatheter 6 5 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001377 OTHER Edwards Sapien 3 Ultra Transcatheter 6 5 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270000459 MS_DRG Evolut Fx Loading System 23-29mm 6 5 $28,000.00 — $28,000.00 $28,000.00 $28,000.00 2026-04-01
270000459 OTHER Evolut Fx Loading System 23-29mm 6 5 $28,000.00 — $28,000.00 $28,000.00 $28,000.00 2026-04-01
270001357 MS_DRG Evolut Fx Loading System 34mm 6 5 $28,000.00 — $28,000.00 $28,000.00 $28,000.00 2026-04-01
270001357 LOCAL Evolut Fx Loading System 34mm 11 8 $28,000.00 — $28,000.00 $28,000.00 $28,000.00 2026-04-01
270001357 OTHER Evolut Fx Loading System 34mm 6 5 $28,000.00 — $28,000.00 $28,000.00 $28,000.00 2026-04-01
270000459 LOCAL Evolut Fx Loading System 23-29mm 11 8 $28,000.00 — $28,000.00 $28,000.00 $28,000.00 2026-04-01
270000541 MS_DRG Harmonic Blue Hand Piece And Blue Test 6 5 $27,328.00 — $27,328.00 $27,328.00 $27,328.00 2026-04-01
270000541 OTHER Harmonic Blue Hand Piece And Blue Test 6 5 $27,328.00 — $27,328.00 $27,328.00 $27,328.00 2026-04-01
270000541 LOCAL Harmonic Blue Hand Piece And Blue Test 11 8 $27,328.00 — $27,328.00 $27,328.00 $27,328.00 2026-04-01
3020174 LOCAL Melody Transcatheter Pulmonary Valve 11 8 $25,200.00 — $25,200.00 $25,200.00 $25,200.00 2026-04-01
3020174 MS_DRG Melody Transcatheter Pulmonary Valve 6 5 $25,200.00 — $25,200.00 $25,200.00 $25,200.00 2026-04-01
3020174 OTHER Melody Transcatheter Pulmonary Valve 6 5 $25,200.00 — $25,200.00 $25,200.00 $25,200.00 2026-04-01
169720501 NDC Coag5via Coagulation Factor Viia,recomb 5 Mg Vial 1 1 $22,786.36 — $22,786.36 $22,786.36 $22,786.36 2026-04-01
2800870 MS_DRG Evera MRI Xt Dr SureScan Ddmb1d1 6 5 $21,966.00 — $21,966.00 $21,966.00 $21,966.00 2026-04-01
2800870 OTHER Evera MRI Xt Dr SureScan Ddmb1d1 6 5 $21,966.00 — $21,966.00 $21,966.00 $21,966.00 2026-04-01
2800870 LOCAL Evera MRI Xt Dr SureScan Ddmb1d1 11 8 $21,966.00 — $21,966.00 $21,966.00 $21,966.00 2026-04-01
3017696 LOCAL Watchman Fxd Curve Access System Doble 11 8 $21,000.00 — $21,000.00 $21,000.00 $21,000.00 2026-04-01
3017696 OTHER Watchman Fxd Curve Access System Doble 6 5 $21,000.00 — $21,000.00 $21,000.00 $21,000.00 2026-04-01
3017696 MS_DRG Watchman Fxd Curve Access System Doble 6 5 $21,000.00 — $21,000.00 $21,000.00 $21,000.00 2026-04-01
2820146 MS_DRG Icd Fortify Dr 6 5 $18,998.00 — $18,998.00 $18,998.00 $18,998.00 2026-04-01
2820146 LOCAL Icd Fortify Dr 11 8 $18,998.00 — $18,998.00 $18,998.00 $18,998.00 2026-04-01
2820146 OTHER Icd Fortify Dr 6 5 $18,998.00 — $18,998.00 $18,998.00 $18,998.00 2026-04-01
3017232 LOCAL Emblem MRI S-icd A219 11 8 $18,816.00 — $18,816.00 $18,816.00 $18,816.00 2026-04-01
3017232 MS_DRG Emblem MRI S-icd A219 6 5 $18,816.00 — $18,816.00 $18,816.00 $18,816.00 2026-04-01
3017232 OTHER Emblem MRI S-icd A219 6 5 $18,816.00 — $18,816.00 $18,816.00 $18,816.00 2026-04-01
3019873 OTHER Cobalt Xt Hf Crt-d MRI SureScan 6 5 $16,793.00 — $16,793.00 $16,793.00 $16,793.00 2026-04-01
3019873 MS_DRG Cobalt Xt Hf Crt-d MRI SureScan 6 5 $16,793.00 — $16,793.00 $16,793.00 $16,793.00 2026-04-01
3019873 LOCAL Cobalt Xt Hf Crt-d MRI SureScan 11 8 $16,793.00 — $16,793.00 $16,793.00 $16,793.00 2026-04-01
3019745 LOCAL Gallant Hf Crt-d 11 8 $16,258.20 — $16,258.20 $16,258.20 $16,258.20 2026-04-01
3019745 MS_DRG Gallant Hf Crt-d 6 5 $16,258.20 — $16,258.20 $16,258.20 $16,258.20 2026-04-01
3019745 OTHER Gallant Hf Crt-d 6 5 $16,258.20 — $16,258.20 $16,258.20 $16,258.20 2026-04-01
3020098 LOCAL Konect Resilia Aortic Valved Conduit 11 8 $15,540.00 — $15,540.00 $15,540.00 $15,540.00 2026-04-01
3020098 OTHER Konect Resilia Aortic Valved Conduit 6 5 $15,540.00 — $15,540.00 $15,540.00 $15,540.00 2026-04-01
3020098 MS_DRG Konect Resilia Aortic Valved Conduit 6 5 $15,540.00 — $15,540.00 $15,540.00 $15,540.00 2026-04-01
3019304 OTHER Cobalt Xt Dr MRI SureScan Ddpa2d4 6 5 $15,393.00 — $15,393.00 $15,393.00 $15,393.00 2026-04-01
3019304 MS_DRG Cobalt Xt Dr MRI SureScan Ddpa2d4 6 5 $15,393.00 — $15,393.00 $15,393.00 $15,393.00 2026-04-01
3019304 LOCAL Cobalt Xt Dr MRI SureScan Ddpa2d4 11 8 $15,393.00 — $15,393.00 $15,393.00 $15,393.00 2026-04-01
3020723 OTHER Micra Av2 Dual Chamber Transcatheter 6 5 $14,980.00 — $14,980.00 $14,980.00 $14,980.00 2026-04-01
3020723 LOCAL Micra Av2 Dual Chamber Transcatheter 11 8 $14,980.00 — $14,980.00 $14,980.00 $14,980.00 2026-04-01
3020723 MS_DRG Micra Av2 Dual Chamber Transcatheter 6 5 $14,980.00 — $14,980.00 $14,980.00 $14,980.00 2026-04-01
3021206 OTHER Gore Excluder Conformable Aaa 6 5 $14,074.20 — $14,074.20 $14,074.20 $14,074.20 2026-04-01
3021206 LOCAL Gore Excluder Conformable Aaa 11 8 $14,074.20 — $14,074.20 $14,074.20 $14,074.20 2026-04-01
3021206 MS_DRG Gore Excluder Conformable Aaa 6 5 $14,074.20 — $14,074.20 $14,074.20 $14,074.20 2026-04-01
8017785 MS_DRG Relay Pro Thoracic Stent-graft System 6 5 $14,000.00 — $14,000.00 $14,000.00 $14,000.00 2026-04-01
8017785 LOCAL Relay Pro Thoracic Stent-graft System 11 8 $14,000.00 — $14,000.00 $14,000.00 $14,000.00 2026-04-01
8017785 OTHER Relay Pro Thoracic Stent-graft System 6 5 $14,000.00 — $14,000.00 $14,000.00 $14,000.00 2026-04-01
3019303 OTHER Cobalt Xt Vr MRI Sure Scan Dvpa2d4 6 5 $13,993.00 — $13,993.00 $13,993.00 $13,993.00 2026-04-01
3019303 MS_DRG Cobalt Xt Vr MRI Sure Scan Dvpa2d4 6 5 $13,993.00 — $13,993.00 $13,993.00 $13,993.00 2026-04-01
3019303 LOCAL Cobalt Xt Vr MRI Sure Scan Dvpa2d4 11 8 $13,993.00 — $13,993.00 $13,993.00 $13,993.00 2026-04-01
3019577 LOCAL Claria MRI Quad Crt-d SureScan Dtma1q1 11 8 $13,300.00 — $13,300.00 $13,300.00 $13,300.00 2026-04-01
3019127 OTHER Claria MRI Crt-d SureScan Dtma1d1 6 5 $13,300.00 — $13,300.00 $13,300.00 $13,300.00 2026-04-01
3019127 MS_DRG Claria MRI Crt-d SureScan Dtma1d1 6 5 $13,300.00 — $13,300.00 $13,300.00 $13,300.00 2026-04-01
3019577 MS_DRG Claria MRI Quad Crt-d SureScan Dtma1q1 6 5 $13,300.00 — $13,300.00 $13,300.00 $13,300.00 2026-04-01
3019127 LOCAL Claria MRI Crt-d SureScan Dtma1d1 11 8 $13,300.00 — $13,300.00 $13,300.00 $13,300.00 2026-04-01
3019577 OTHER Claria MRI Quad Crt-d SureScan Dtma1q1 6 5 $13,300.00 — $13,300.00 $13,300.00 $13,300.00 2026-04-01
34702 CPT Evasc Rpr A-ao Ndgft Rpt 1 1 $13,000.00 — $13,000.00 $13,000.00 $13,000.00 2026-04-01
33871 CPT Transverse Aorta Arch Graft, With Cardiopulmonary Bypass, With Profound Hypother… 1 1 $13,000.00 — $13,000.00 $13,000.00 $13,000.00 2026-04-01
34703 CPT Endovascular Repair Of The Infrarenal Aorta And/or Iliac Artery(ies) By Deployme… 1 1 $13,000.00 — $13,000.00 $13,000.00 $13,000.00 2026-04-01
3019124 LOCAL Micra Vr2 Mc2vr01 Single Chamber 11 8 $12,537.00 — $12,537.00 $12,537.00 $12,537.00 2026-04-01
3019124 MS_DRG Micra Vr2 Mc2vr01 Single Chamber 6 5 $12,537.00 — $12,537.00 $12,537.00 $12,537.00 2026-04-01
3019124 OTHER Micra Vr2 Mc2vr01 Single Chamber 6 5 $12,537.00 — $12,537.00 $12,537.00 $12,537.00 2026-04-01
3019129 MS_DRG Ellipse Dr Implantable Cardioverter 6 5 $11,905.60 — $11,905.60 $11,905.60 $11,905.60 2026-04-01
3019129 LOCAL Ellipse Dr Implantable Cardioverter 11 8 $11,905.60 — $11,905.60 $11,905.60 $11,905.60 2026-04-01
3019129 OTHER Ellipse Dr Implantable Cardioverter 6 5 $11,905.60 — $11,905.60 $11,905.60 $11,905.60 2026-04-01
3019766 LOCAL Amplatzer Piccolo Occluder Duct 11 8 $11,900.00 — $11,900.00 $11,900.00 $11,900.00 2026-04-01
3019766 MS_DRG Amplatzer Piccolo Occluder Duct 6 5 $11,900.00 — $11,900.00 $11,900.00 $11,900.00 2026-04-01
3019766 OTHER Amplatzer Piccolo Occluder Duct 6 5 $11,900.00 — $11,900.00 $11,900.00 $11,900.00 2026-04-01
3019130 OTHER Gore Excluder Aaa Endoprosthesis 6 5 $11,603.20 — $11,603.20 $11,603.20 $11,603.20 2026-04-01
3019130 MS_DRG Gore Excluder Aaa Endoprosthesis 6 5 $11,603.20 — $11,603.20 $11,603.20 $11,603.20 2026-04-01
3019130 LOCAL Gore Excluder Aaa Endoprosthesis 11 8 $11,603.20 — $11,603.20 $11,603.20 $11,603.20 2026-04-01
3017510 MS_DRG Icd-vr Dvfc3d1 Visia Af MRI S US Df1 6 5 $11,175.00 — $11,175.00 $11,175.00 $11,175.00 2026-04-01
3017510 LOCAL Icd-vr Dvfc3d1 Visia Af MRI S US Df1 11 8 $11,175.00 — $11,175.00 $11,175.00 $11,175.00 2026-04-01
3017510 OTHER Icd-vr Dvfc3d1 Visia Af MRI S US Df1 6 5 $11,175.00 — $11,175.00 $11,175.00 $11,175.00 2026-04-01
3021142 LOCAL Stapler 30 Curved-tip 11 8 $10,584.00 — $10,584.00 $10,584.00 $10,584.00 2026-04-01
3021142 OTHER Stapler 30 Curved-tip 6 5 $10,584.00 — $10,584.00 $10,584.00 $10,584.00 2026-04-01
3021142 MS_DRG Stapler 30 Curved-tip 6 5 $10,584.00 — $10,584.00 $10,584.00 $10,584.00 2026-04-01
3021074 MS_DRG Abdominal Stent-graft System 6 5 $10,500.00 — $10,500.00 $10,500.00 $10,500.00 2026-04-01
3021074 LOCAL Abdominal Stent-graft System 11 8 $10,500.00 — $10,500.00 $10,500.00 $10,500.00 2026-04-01
3021074 OTHER Abdominal Stent-graft System 6 5 $10,500.00 — $10,500.00 $10,500.00 $10,500.00 2026-04-01
30170052 MS_DRG Ellipse Vr Implantable Cardioverter 6 5 $10,294.20 — $10,294.20 $10,294.20 $10,294.20 2026-04-01
30170052 OTHER Ellipse Vr Implantable Cardioverter 6 5 $10,294.20 — $10,294.20 $10,294.20 $10,294.20 2026-04-01
30170052 LOCAL Ellipse Vr Implantable Cardioverter 11 8 $10,294.20 — $10,294.20 $10,294.20 $10,294.20 2026-04-01
3017617 LOCAL Unify Assura Crt-d 11 8 $9,982.00 — $9,982.00 $9,982.00 $9,982.00 2026-04-01
3017617 OTHER Unify Assura Crt-d 6 5 $9,982.00 — $9,982.00 $9,982.00 $9,982.00 2026-04-01
3017617 MS_DRG Unify Assura Crt-d 6 5 $9,982.00 — $9,982.00 $9,982.00 $9,982.00 2026-04-01
3019852 LOCAL Momentum X4 Crt-d G138 11 8 $9,940.00 — $9,940.00 $9,940.00 $9,940.00 2026-04-01
3019852 MS_DRG Momentum X4 Crt-d G138 6 5 $9,940.00 — $9,940.00 $9,940.00 $9,940.00 2026-04-01
3019852 OTHER Momentum X4 Crt-d G138 6 5 $9,940.00 — $9,940.00 $9,940.00 $9,940.00 2026-04-01
2780235 LOCAL Cryo Pulmonary Heart Valve 11 8 $9,730.00 — $9,730.00 $9,730.00 $9,730.00 2026-04-01
2780235 MS_DRG Cryo Pulmonary Heart Valve 6 5 $9,730.00 — $9,730.00 $9,730.00 $9,730.00 2026-04-01
2710958 MS_DRG Cryo Aortic Heart Valve 6 5 $9,730.00 — $9,730.00 $9,730.00 $9,730.00 2026-04-01
2710958 LOCAL Cryo Aortic Heart Valve 11 8 $9,730.00 — $9,730.00 $9,730.00 $9,730.00 2026-04-01
2710958 OTHER Cryo Aortic Heart Valve 6 5 $9,730.00 — $9,730.00 $9,730.00 $9,730.00 2026-04-01
2780235 OTHER Cryo Pulmonary Heart Valve 6 5 $9,730.00 — $9,730.00 $9,730.00 $9,730.00 2026-04-01
2770686 LOCAL Quadra Assura Mp Crt-d (cd3369-40q) 11 8 $9,592.80 — $9,592.80 $9,592.80 $9,592.80 2026-04-01
2770686 OTHER Quadra Assura Mp Crt-d (cd3369-40q) 6 5 $9,592.80 — $9,592.80 $9,592.80 $9,592.80 2026-04-01
2770686 MS_DRG Quadra Assura Mp Crt-d (cd3369-40q) 6 5 $9,592.80 — $9,592.80 $9,592.80 $9,592.80 2026-04-01
3020671 LOCAL Momentum El Icd Dr D121 11 8 $9,513.00 — $9,513.00 $9,513.00 $9,513.00 2026-04-01
3020671 OTHER Momentum El Icd Dr D121 6 5 $9,513.00 — $9,513.00 $9,513.00 $9,513.00 2026-04-01
3020671 MS_DRG Momentum El Icd Dr D121 6 5 $9,513.00 — $9,513.00 $9,513.00 $9,513.00 2026-04-01
3019295 MS_DRG Momentum Crt-d G124 6 5 $9,139.20 — $9,139.20 $9,139.20 $9,139.20 2026-04-01
3019295 OTHER Momentum Crt-d G124 6 5 $9,139.20 — $9,139.20 $9,139.20 $9,139.20 2026-04-01
270000575 OTHER Is4/df4 Connector Sleeve 6 5 $9,139.20 — $9,139.20 $9,139.20 $9,139.20 2026-04-01
3019548 LOCAL Resonate X4 Crt-d G447 11 8 $9,139.20 — $9,139.20 $9,139.20 $9,139.20 2026-04-01
3019295 LOCAL Momentum Crt-d G124 11 8 $9,139.20 — $9,139.20 $9,139.20 $9,139.20 2026-04-01
3019548 MS_DRG Resonate X4 Crt-d G447 6 5 $9,139.20 — $9,139.20 $9,139.20 $9,139.20 2026-04-01
270000575 MS_DRG Is4/df4 Connector Sleeve 6 5 $9,139.20 — $9,139.20 $9,139.20 $9,139.20 2026-04-01
3019548 OTHER Resonate X4 Crt-d G447 6 5 $9,139.20 — $9,139.20 $9,139.20 $9,139.20 2026-04-01
270000575 LOCAL Is4/df4 Connector Sleeve 11 8 $9,139.20 — $9,139.20 $9,139.20 $9,139.20 2026-04-01
169721211 NDC Coag2via2 Coagulation Factor Viia,recomb 2 Mg Vial 1 1 $9,114.55 — $9,114.55 $9,114.55 $9,114.55 2026-04-01
3020171 OTHER Resonate El Icd Dr D433 6 5 $9,100.00 — $9,100.00 $9,100.00 $9,100.00 2026-04-01
3020171 MS_DRG Resonate El Icd Dr D433 6 5 $9,100.00 — $9,100.00 $9,100.00 $9,100.00 2026-04-01
3020171 LOCAL Resonate El Icd Dr D433 11 8 $9,100.00 — $9,100.00 $9,100.00 $9,100.00 2026-04-01
3020837 MS_DRG Cryo Pulmonary Pact Thin 6 5 $8,850.80 — $8,850.80 $8,850.80 $8,850.80 2026-04-01
3020837 LOCAL Cryo Pulmonary Pact Thin 11 8 $8,850.80 — $8,850.80 $8,850.80 $8,850.80 2026-04-01
3020837 OTHER Cryo Pulmonary Pact Thin 6 5 $8,850.80 — $8,850.80 $8,850.80 $8,850.80 2026-04-01
2780735 MS_DRG Amplatzer Muscular Vsd Occluder 6 5 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
2780735 OTHER Amplatzer Muscular Vsd Occluder 6 5 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
270000141 LOCAL Amplatzer Talisman 45 Delivery System 11 8 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
270000141 OTHER Amplatzer Talisman 45 Delivery System 6 5 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
270000143 LOCAL Amplatzer Talisman Delivery Sheath 9f 11 8 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
270000143 OTHER Amplatzer Talisman Delivery Sheath 9f 6 5 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
3020666 MS_DRG Harmony Delivery Catheter System 25 Fr 6 5 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
270000141 MS_DRG Amplatzer Talisman 45 Delivery System 6 5 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
270000143 MS_DRG Amplatzer Talisman Delivery Sheath 9f 6 5 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
3020666 OTHER Harmony Delivery Catheter System 25 Fr 6 5 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
3020851 OTHER Amplatzer Talisman Pfo Occluder 6 5 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
3020666 LOCAL Harmony Delivery Catheter System 25 Fr 11 8 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
2780735 LOCAL Amplatzer Muscular Vsd Occluder 11 8 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
3020851 LOCAL Amplatzer Talisman Pfo Occluder 11 8 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
3020851 MS_DRG Amplatzer Talisman Pfo Occluder 6 5 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
3019626 LOCAL Momentum El Icd Vr D120 11 8 $7,795.20 — $7,795.20 $7,795.20 $7,795.20 2026-04-01
3019626 MS_DRG Momentum El Icd Vr D120 6 5 $7,795.20 — $7,795.20 $7,795.20 $7,795.20 2026-04-01
3019316 MS_DRG Perciva Icd Vr D400 6 5 $7,795.20 — $7,795.20 $7,795.20 $7,795.20 2026-04-01
3019316 OTHER Perciva Icd Vr D400 6 5 $7,795.20 — $7,795.20 $7,795.20 $7,795.20 2026-04-01
3019626 OTHER Momentum El Icd Vr D120 6 5 $7,795.20 — $7,795.20 $7,795.20 $7,795.20 2026-04-01
3019316 LOCAL Perciva Icd Vr D400 11 8 $7,795.20 — $7,795.20 $7,795.20 $7,795.20 2026-04-01
50633012011 NDC Digo40vi Digoxin Immune Fab 40 Mg Vial 1 1 $7,773.28 — $7,773.28 $7,773.28 $7,773.28 2026-04-01
2703870 LOCAL Sjm Masters Hp Series Valved Graft 11 8 $7,600.00 — $7,600.00 $7,600.00 $7,600.00 2026-04-01
2703870 MS_DRG Sjm Masters Hp Series Valved Graft 6 5 $7,600.00 — $7,600.00 $7,600.00 $7,600.00 2026-04-01
2703870 OTHER Sjm Masters Hp Series Valved Graft 6 5 $7,600.00 — $7,600.00 $7,600.00 $7,600.00 2026-04-01
3017640 MS_DRG Amplatzer Pfo Occluder 18mm Abbott 6 5 $7,560.00 — $7,560.00 $7,560.00 $7,560.00 2026-04-01
3017640 OTHER Amplatzer Pfo Occluder 18mm Abbott 6 5 $7,560.00 — $7,560.00 $7,560.00 $7,560.00 2026-04-01
3017640 LOCAL Amplatzer Pfo Occluder 18mm Abbott 11 8 $7,560.00 — $7,560.00 $7,560.00 $7,560.00 2026-04-01
3021078 OTHER Mitris Resilia Mitral Valve 6 5 $7,350.00 — $7,350.00 $7,350.00 $7,350.00 2026-04-01
3021078 LOCAL Mitris Resilia Mitral Valve 11 8 $7,350.00 — $7,350.00 $7,350.00 $7,350.00 2026-04-01
3021078 MS_DRG Mitris Resilia Mitral Valve 6 5 $7,350.00 — $7,350.00 $7,350.00 $7,350.00 2026-04-01
3021224 OTHER Mitris Resilia Mitral Valve 6 5 $7,350.00 — $7,350.00 $7,350.00 $7,350.00 2026-04-01
3021224 MS_DRG Mitris Resilia Mitral Valve 6 5 $7,350.00 — $7,350.00 $7,350.00 $7,350.00 2026-04-01
3021224 LOCAL Mitris Resilia Mitral Valve 11 8 $7,350.00 — $7,350.00 $7,350.00 $7,350.00 2026-04-01
3020163 OTHER Perciva Icd Dr D401 6 5 $7,280.00 — $7,280.00 $7,280.00 $7,280.00 2026-04-01
3020163 LOCAL Perciva Icd Dr D401 11 8 $7,280.00 — $7,280.00 $7,280.00 $7,280.00 2026-04-01
3020163 MS_DRG Perciva Icd Dr D401 6 5 $7,280.00 — $7,280.00 $7,280.00 $7,280.00 2026-04-01
78033184 NDC Basi20vi Basiliximab 20 Mg Vial 1 1 $7,261.51 — $7,261.51 $7,261.51 $7,261.51 2026-04-01
270001343 LOCAL Vascular Access System (ellipsys) 11 8 $7,014.00 — $7,014.00 $7,014.00 $7,014.00 2026-04-01
270001343 OTHER Vascular Access System (ellipsys) 6 5 $7,014.00 — $7,014.00 $7,014.00 $7,014.00 2026-04-01
270001343 MS_DRG Vascular Access System (ellipsys) 6 5 $7,014.00 — $7,014.00 $7,014.00 $7,014.00 2026-04-01
3019046 LOCAL Ensemble Ii Transcatheter Valve 11 8 $7,000.00 — $7,000.00 $7,000.00 $7,000.00 2026-04-01
3019046 OTHER Ensemble Ii Transcatheter Valve 6 5 $7,000.00 — $7,000.00 $7,000.00 $7,000.00 2026-04-01
2780736 OTHER Amplatzer Multifenestrated Septal 6 5 $7,000.00 — $7,000.00 $7,000.00 $7,000.00 2026-04-01
2780736 MS_DRG Amplatzer Multifenestrated Septal 6 5 $7,000.00 — $7,000.00 $7,000.00 $7,000.00 2026-04-01
2780736 LOCAL Amplatzer Multifenestrated Septal 11 8 $7,000.00 — $7,000.00 $7,000.00 $7,000.00 2026-04-01
3019046 MS_DRG Ensemble Ii Transcatheter Valve 6 5 $7,000.00 — $7,000.00 $7,000.00 $7,000.00 2026-04-01
3021081 OTHER Inspire Resilia Aortic Bioprosthesis 6 5 $6,986.00 — $6,986.00 $6,986.00 $6,986.00 2026-04-01
3021080 LOCAL Inspire Resilia Aortic Bioprosthesis 11 8 $6,986.00 — $6,986.00 $6,986.00 $6,986.00 2026-04-01
3021081 LOCAL Inspire Resilia Aortic Bioprosthesis 11 8 $6,986.00 — $6,986.00 $6,986.00 $6,986.00 2026-04-01
3021080 MS_DRG Inspire Resilia Aortic Bioprosthesis 6 5 $6,986.00 — $6,986.00 $6,986.00 $6,986.00 2026-04-01
3021081 MS_DRG Inspire Resilia Aortic Bioprosthesis 6 5 $6,986.00 — $6,986.00 $6,986.00 $6,986.00 2026-04-01
3021080 OTHER Inspire Resilia Aortic Bioprosthesis 6 5 $6,986.00 — $6,986.00 $6,986.00 $6,986.00 2026-04-01
2780729 MS_DRG Amplatzer Septal Occluder 10mm Abbott 6 5 $6,650.00 — $6,650.00 $6,650.00 $6,650.00 2026-04-01
2780729 LOCAL Amplatzer Septal Occluder 10mm Abbott 11 8 $6,650.00 — $6,650.00 $6,650.00 $6,650.00 2026-04-01
2780729 OTHER Amplatzer Septal Occluder 10mm Abbott 6 5 $6,650.00 — $6,650.00 $6,650.00 $6,650.00 2026-04-01
2820137 OTHER Cryo Cryo Femoral Vein 6 5 $6,619.20 — $6,619.20 $6,619.20 $6,619.20 2026-04-01
2820137 LOCAL Cryo Cryo Femoral Vein 11 8 $6,619.20 — $6,619.20 $6,619.20 $6,619.20 2026-04-01
2820137 MS_DRG Cryo Cryo Femoral Vein 6 5 $6,619.20 — $6,619.20 $6,619.20 $6,619.20 2026-04-01
33945 CPT Heart Transplant, With Or Without Recipient Cardiectomy 7 5 $6,535.42 — $6,535.42 $6,535.42 $6,535.42 2026-04-01
33945 OTHER Heart Transplant, With Or Without Recipient Cardiectomy 6 5 $6,535.42 — $6,535.42 $6,535.42 $6,535.42 2026-04-01
33945 MS_DRG Heart Transplant, With Or Without Recipient Cardiectomy 6 5 $6,535.42 — $6,535.42 $6,535.42 $6,535.42 2026-04-01
50242004413 NDC Alte50vi2 Alteplase 50 Mg Vial 1 1 $6,160.25 — $6,160.25 $6,160.25 $6,160.25 2026-04-01
2770105 LOCAL Cryo Pulmonary Patch 11 8 $6,112.40 — $6,112.40 $6,112.40 $6,112.40 2026-04-01
2770105 OTHER Cryo Pulmonary Patch 6 5 $6,112.40 — $6,112.40 $6,112.40 $6,112.40 2026-04-01
2770105 MS_DRG Cryo Pulmonary Patch 6 5 $6,112.40 — $6,112.40 $6,112.40 $6,112.40 2026-04-01
43108 MS_DRG Total Or Near Total Esophagectomy, With Colo Interposition Or Small Intestine Re… 6 5 $6,085.02 — $6,085.02 $6,085.02 $6,085.02 2026-04-01
43108 CPT Total Or Near Total Esophagectomy, Without Thoracotomy; With Colon Interposition… 9 7 $6,085.02 — $6,085.02 $6,085.02 $6,085.02 2026-04-01
43108 OTHER Total Or Near Total Esophagectomy, Without Thoracotomy; With Colon Interposition… 6 5 $6,085.02 — $6,085.02 $6,085.02 $6,085.02 2026-04-01
3021144 LOCAL Long Bipolar Grasper 11 8 $5,968.20 — $5,968.20 $5,968.20 $5,968.20 2026-04-01
3021144 MS_DRG Long Bipolar Grasper 6 5 $5,968.20 — $5,968.20 $5,968.20 $5,968.20 2026-04-01
3021144 OTHER Long Bipolar Grasper 6 5 $5,968.20 — $5,968.20 $5,968.20 $5,968.20 2026-04-01
2740173 LOCAL Endurant Ii Stent Graft System Limb 11 8 $5,880.00 — $5,880.00 $5,880.00 $5,880.00 2026-04-01
3021085 MS_DRG Abdominal Stent Graft System 6 5 $5,880.00 — $5,880.00 $5,880.00 $5,880.00 2026-04-01
2740173 OTHER Endurant Ii Stent Graft System Limb 6 5 $5,880.00 — $5,880.00 $5,880.00 $5,880.00 2026-04-01
3021085 OTHER Abdominal Stent Graft System 6 5 $5,880.00 — $5,880.00 $5,880.00 $5,880.00 2026-04-01
3021085 LOCAL Abdominal Stent Graft System 11 8 $5,880.00 — $5,880.00 $5,880.00 $5,880.00 2026-04-01
2740173 MS_DRG Endurant Ii Stent Graft System Limb 6 5 $5,880.00 — $5,880.00 $5,880.00 $5,880.00 2026-04-01
2720093 OTHER Sjm Masters Series Mechanical Heart 6 5 $5,726.00 — $5,726.00 $5,726.00 $5,726.00 2026-04-01
2720093 MS_DRG Sjm Masters Series Mechanical Heart 6 5 $5,726.00 — $5,726.00 $5,726.00 $5,726.00 2026-04-01
2703875 OTHER Aortic FlexCuff Rotatable Mechanical 6 5 $5,726.00 — $5,726.00 $5,726.00 $5,726.00 2026-04-01
2720093 LOCAL Sjm Masters Series Mechanical Heart 11 8 $5,726.00 — $5,726.00 $5,726.00 $5,726.00 2026-04-01
2703875 MS_DRG Aortic FlexCuff Rotatable Mechanical 6 5 $5,726.00 — $5,726.00 $5,726.00 $5,726.00 2026-04-01
2703875 LOCAL Aortic FlexCuff Rotatable Mechanical 11 8 $5,726.00 — $5,726.00 $5,726.00 $5,726.00 2026-04-01
3021051 MS_DRG Viabahn Bx Balloon Exp Endo 8mmX59mm 6 5 $5,653.20 — $5,653.20 $5,653.20 $5,653.20 2026-04-01
3021051 LOCAL Viabahn Bx Balloon Exp Endo 8mmX59mm 11 8 $5,653.20 — $5,653.20 $5,653.20 $5,653.20 2026-04-01
3021051 OTHER Viabahn Bx Balloon Exp Endo 8mmX59mm 6 5 $5,653.20 — $5,653.20 $5,653.20 $5,653.20 2026-04-01
3021076 MS_DRG Abdominal Stent-graft System 6 5 $10,500.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3019714 MS_DRG Magna Mitral Ease Pericardial 6 5 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
2780680 MS_DRG Contegra 200 12mm (Model 200h12) 6 5 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3021086 LOCAL Abdominal Stent Graft System 11 8 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3021339 LOCAL Abdominal Stent-graft System 11 8 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
2702926 MS_DRG Freestyle 995 Bioprosthesis Aortic 6 5 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3021339 OTHER Abdominal Stent-graft System 6 5 $10,500.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3019714 OTHER Magna Mitral Ease Pericardial 6 5 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3021339 MS_DRG Abdominal Stent-graft System 6 5 $10,500.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3007437 MS_DRG Magna Ease Pericardial 6 5 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3007437 LOCAL Magna Ease Pericardial 11 8 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
2780680 LOCAL Contegra 200 12mm (Model 200h12) 11 8 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3021086 MS_DRG Abdominal Stent Graft System 6 5 $5,880.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
2702926 LOCAL Freestyle 995 Bioprosthesis Aortic 11 8 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3021076 LOCAL Abdominal Stent-graft System 11 8 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
2702926 OTHER Freestyle 995 Bioprosthesis Aortic 6 5 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3007437 OTHER Magna Ease Pericardial 6 5 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3021086 OTHER Abdominal Stent Graft System 6 5 $5,880.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3019714 LOCAL Magna Mitral Ease Pericardial 11 8 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
2780680 OTHER Contegra 200 12mm (Model 200h12) 6 5 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3021076 OTHER Abdominal Stent-graft System 6 5 $10,500.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3021141 MS_DRG Curved Bipolar Dissector 6 5 $5,556.60 — $5,556.60 $5,556.60 $5,556.60 2026-04-01
3021141 OTHER Curved Bipolar Dissector 6 5 $5,556.60 — $5,556.60 $5,556.60 $5,556.60 2026-04-01
3021141 LOCAL Curved Bipolar Dissector 11 8 $5,556.60 — $5,556.60 $5,556.60 $5,556.60 2026-04-01
93620 OTHER Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin… 12 5 $9,425.85 — $1,500.00 $9,425.85 $5,462.93 2026-04-01
93620 CPT Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin… 22 8 $9,425.85 — $1,500.00 $9,425.85 $5,462.93 2026-04-01
93620 MS_DRG Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin… 12 5 $9,425.85 — $1,500.00 $9,425.85 $5,462.93 2026-04-01
2790177 OTHER Aortic Regent Flex Without Silicone Model: 6 5 $5,425.00 — $5,425.00 $5,425.00 $5,425.00 2026-04-01
2790177 LOCAL Aortic Regent Flex Without Silicone Model: 11 8 $5,425.00 — $5,425.00 $5,425.00 $5,425.00 2026-04-01
2790177 MS_DRG Aortic Regent Flex Without Silicone Model: 6 5 $5,425.00 — $5,425.00 $5,425.00 $5,425.00 2026-04-01
3021034 OTHER Enroute Transcarotid Neuroprotection 6 5 $5,248.60 — $5,248.60 $5,248.60 $5,248.60 2026-04-01
3021034 MS_DRG Enroute Transcarotid Neuroprotection 6 5 $5,248.60 — $5,248.60 $5,248.60 $5,248.60 2026-04-01
3021034 LOCAL Enroute Transcarotid Neuroprotection 11 8 $5,248.60 — $5,248.60 $5,248.60 $5,248.60 2026-04-01
43124 OTHER Total Or Partial Esophagectomy, Without Reconstruction, With Cervical Esophagost… 6 5 $5,141.85 — $5,141.85 $5,141.85 $5,141.85 2026-04-01
43124 MS_DRG Total Or Partial Esophagectomy, Without Reconstruction, With Cervical Esophagost… 6 5 $5,141.85 — $5,141.85 $5,141.85 $5,141.85 2026-04-01
43124 CPT Total Or Partial Esophagectomy, Without Reconstruction, With Cervical Esophagost… 9 7 $5,141.85 — $5,141.85 $5,141.85 $5,141.85 2026-04-01
43288 MS_DRG Esophagectomy, Total Or Near Total, With Thoracospic Mobilization Of The Upper, … 12 5 $5,160.82 — $5,076.58 $5,160.82 $5,118.70 2026-04-01
43288 CPT Esophagectomy, Total Or Near Total, With Thoracospic Mobilization Of The Upper, … 18 7 $5,160.82 — $5,076.58 $5,160.82 $5,118.70 2026-04-01
43288 OTHER Esophagectomy, Total Or Near Total, With Thoracospic Mobilization Of The Upper, … 12 5 $5,160.82 — $5,076.58 $5,160.82 $5,118.70 2026-04-01
33877 CPT Repair Of A Thoracoabdominal Aortic Aneurysm With Graft, With Or Without Cardiop… 8 6 $4,834.76 — $4,834.76 $4,834.76 $4,834.76 2026-04-01
33877 OTHER Repair Of A Thoracoabdominal Aortic Aneurysm With Graft, With Or Without Cardiop… 6 5 $4,834.76 — $4,834.76 $4,834.76 $4,834.76 2026-04-01
33877 MS_DRG Repair Of A Thoracoabdominal Aortic Aneurysm With Graft, With Or Without Cardiop… 6 5 $4,834.76 — $4,834.76 $4,834.76 $4,834.76 2026-04-01
43287 CPT Esophagectomy, Distal Two-thirds, , With Laparospic Mobilization Of The Abdomina… 9 7 $4,813.55 — $4,813.55 $4,813.55 $4,813.55 2026-04-01
43287 OTHER Esophagectomy, Distal Two-thirds, , With Laparospic Mobilization Of The Abdomina… 6 5 $4,813.55 — $4,813.55 $4,813.55 $4,813.55 2026-04-01
43287 MS_DRG Esophagectomy, Distal Two-thirds, , With Laparospic Mobilization Of The Abdomina… 6 5 $4,813.55 — $4,813.55 $4,813.55 $4,813.55 2026-04-01
32445 OTHER Removal Of Lung, Pneumonectomy; Extrapleural 6 5 $4,763.25 — $4,763.25 $4,763.25 $4,763.25 2026-04-01
32445 CPT Removal Of Lung, Pneumonectomy; Extrapleural 9 7 $4,763.25 — $4,763.25 $4,763.25 $4,763.25 2026-04-01
32445 MS_DRG Removal Of Lung, Pneumonectomy; Extrapleural 6 5 $4,763.25 — $4,763.25 $4,763.25 $4,763.25 2026-04-01
3017495 LOCAL Trifecta Gt Model: Tfgt-21a 11 8 $4,760.00 — $4,760.00 $4,760.00 $4,760.00 2026-04-01
3017495 OTHER Trifecta Gt Model: Tfgt-21a 6 5 $4,760.00 — $4,760.00 $4,760.00 $4,760.00 2026-04-01
3017495 MS_DRG Trifecta Gt Model: Tfgt-21a 6 5 $4,760.00 — $4,760.00 $4,760.00 $4,760.00 2026-04-01
93610 CPT Intra-atrial Pacing 9 7 $4,712.93 — $4,712.93 $4,712.93 $4,712.93 2026-04-01
93610 OTHER Intra-atrial Pacing 6 5 $4,712.93 — $4,712.93 $4,712.93 $4,712.93 2026-04-01
93610 MS_DRG Intra-atrial Pacing 6 5 $4,712.93 — $4,712.93 $4,712.93 $4,712.93 2026-04-01
169720101 NDC Coag1via Coagulation Factor Viia,recomb 1 Mg Vial 1 1 $4,557.28 — $4,557.28 $4,557.28 $4,557.28 2026-04-01
33858 CPT Ascending Aorta Graft, With Cardiopulmonary Bypass Includes Valve Suspension, Wh… 9 6 $4,553.11 — $4,553.11 $13,000.00 $4,553.11 2026-04-01
33858 OTHER Ascending Aorta Graft, With Cardiopulmonary Bypass Includes Valve Suspension, Wh… 6 5 $4,553.11 — $4,553.11 $4,553.11 $4,553.11 2026-04-01
33858 MS_DRG Ascending Aorta Graft, With Cardiopulmonary Bypass Includes Valve Suspension, Wh… 6 5 $4,553.11 — $4,553.11 $4,553.11 $4,553.11 2026-04-01
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