Price Transparencybeta Hospital negotiated rates

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

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Hospital

CENTRO CARDIOVASCULAR DE PUERTO RICO Y EL CARIBE

San Juan, PR · CCN 400124 · Rates published

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You selected 93306 (CPT)

Echocardiography transthoracic, real time with image documentation (2D), includes M mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography

This hospital’s price: $197 across 3 payers

Source: https://hpt.inmediata.com/?handler=DF&d=69BCA845-DFF2-4C05-9642-19096BA9ABFF · observed 2026-04-01

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

5,709 distinct procedures filed
11 distinct payers
56,806 rate rows
2026-04-01 last MRF observed
Data quality

56,656 of 56,806 rate rows are consumer-grade (99.7%)

150 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
per-diem day rate — not a per-procedure price 81
placeholder amount (≤ $0.02) — excluded from medians 48
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 21
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 · 2026-10-19
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
OTHER 		Sapien 3 Ultra Resilia Transcatheter 5 $37,100.00 $37,100.00 $37,100.00 nat. median
$37,100
1.0× median
270001381
LOCAL 		Sapien 3 Ultra Resilia Transcatheter 8 $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
270001381
OTHER 		Sapien 3 Ultra Resilia Transcatheter 5 $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
270001383
LOCAL 		Sapien 3 Ultra Resilia Transcatheter 8 $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
270001387
LOCAL 		Sapien 3 Ultra Resilia Transcatheter 8 $37,100.00 $37,100.00 $37,100.00 nat. median
$37,100
1.0× median
3020639
LOCAL 		Evolut Fx Transcatheter Aortic Valve 8 $33,600.00 $33,600.00 $33,600.00 nat. median
$33,600
1.0× median
3020640
OTHER 		Evolut Fx Transcatheter Aortic Valve 5 $33,600.00 $33,600.00 $33,600.00 nat. median
$33,600
1.0× median
3020641
LOCAL 		Evolut Fx Transcatheter Aortic Valve 8 $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
3020640
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
3020639
OTHER 		Evolut Fx Transcatheter Aortic Valve 5 $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
270001375
OTHER 		Edwards Sapien 3 Ultra Transcatheter 5 $29,260.00 $29,260.00 $29,260.00 nat. median
$29,260
1.0× median
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
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
270001379
OTHER 		Edwards Sapien 3 Ultra Transcatheter 5 $29,260.00 $29,260.00 $29,260.00 nat. median
$29,260
1.0× median
270001377
LOCAL 		Edwards Sapien 3 Ultra Transcatheter 8 $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
LOCAL 		Edwards Sapien 3 Ultra Transcatheter 8 $29,260.00 $29,260.00 $29,260.00 nat. median
$29,260
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
LOCAL 		Evolut Fx Loading System 34mm 8 $28,000.00 $28,000.00 $28,000.00 nat. median
$28,000
1.0× median
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
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
OTHER 		Melody Transcatheter Pulmonary Valve 5 $25,200.00 $25,200.00 $25,200.00 nat. median
$25,200
1.0× median
3020174
LOCAL 		Melody Transcatheter Pulmonary Valve 8 $25,200.00 $25,200.00 $25,200.00 nat. median
$25,200
1.0× median
169720501
NDC 		Coag5via Coagulation Factor Viia,recomb 5 Mg Vial 1 $22,786.36 $22,786.36 $22,786.36 nat. median
$16,248
1.4× median
2800870
LOCAL 		Evera MRI Xt Dr SureScan Ddmb1d1 8 $21,966.00 $21,966.00 $21,966.00 nat. median
$21,966
1.0× median
2800870
OTHER 		Evera MRI Xt Dr SureScan Ddmb1d1 5 $21,966.00 $21,966.00 $21,966.00 nat. median
$21,966
1.0× median
3017696
LOCAL 		Watchman Fxd Curve Access System Doble 8 $21,000.00 $21,000.00 $21,000.00 nat. median
$21,000
1.0× median
3017696
OTHER 		Watchman Fxd Curve Access System Doble 5 $21,000.00 $21,000.00 $21,000.00 nat. median
$21,000
1.0× median
2820146
LOCAL 		Icd Fortify Dr 8 $18,998.00 $18,998.00 $18,998.00 nat. median
$18,998
1.0× median
2820146
OTHER 		Icd Fortify Dr 5 $18,998.00 $18,998.00 $18,998.00 nat. median
$61
outlier · 313.5×
3017232
LOCAL 		Emblem MRI S-icd A219 8 $18,816.00 $18,816.00 $18,816.00 nat. median
$18,816
1.0× median
3017232
OTHER 		Emblem MRI S-icd A219 5 $18,816.00 $18,816.00 $18,816.00 nat. median
$18,816
1.0× median
3019873
LOCAL 		Cobalt Xt Hf Crt-d MRI SureScan 8 $16,793.00 $16,793.00 $16,793.00 nat. median
$16,793
1.0× median
3019873
OTHER 		Cobalt Xt Hf Crt-d MRI SureScan 5 $16,793.00 $16,793.00 $16,793.00 nat. median
$16,793
1.0× median
3019745
OTHER 		Gallant Hf Crt-d 5 $16,258.20 $16,258.20 $16,258.20 nat. median
$16,258
1.0× median
3019745
LOCAL 		Gallant Hf Crt-d 8 $16,258.20 $16,258.20 $16,258.20 nat. median
$16,258
1.0× median
3020098
OTHER 		Konect Resilia Aortic Valved Conduit 5 $15,540.00 $15,540.00 $15,540.00 nat. median
$15,540
1.0× median
3020098
LOCAL 		Konect Resilia Aortic Valved Conduit 8 $15,540.00 $15,540.00 $15,540.00 nat. median
$15,540
1.0× median
3019304
OTHER 		Cobalt Xt Dr MRI SureScan Ddpa2d4 5 $15,393.00 $15,393.00 $15,393.00 nat. median
$106
outlier · 145.7×

Other procedures at this hospital

Browse this hospital's 5,709 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 OTHER Sapien 3 Ultra Resilia Transcatheter 12 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
270001385 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 12 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
270001383 OTHER Sapien 3 Ultra Resilia Transcatheter 12 5 $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
270001387 OTHER Sapien 3 Ultra Resilia Transcatheter 12 5 $37,100.00 — $37,100.00 $37,100.00 $37,100.00 2026-04-01
3020638 OTHER Evolut Fx Transcatheter Aortic Valve 12 5 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020640 OTHER Evolut Fx Transcatheter Aortic Valve 12 5 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020641 OTHER Evolut Fx Transcatheter Aortic Valve 12 5 $33,600.00 — $33,600.00 $33,600.00 $33,600.00 2026-04-01
3020639 OTHER Evolut Fx Transcatheter Aortic Valve 12 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
3020638 LOCAL Evolut Fx Transcatheter Aortic Valve 11 8 $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
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 OTHER Mitra Clip G4 Clip Delivery System 12 5 $30,800.00 — $30,800.00 $30,800.00 $30,800.00 2026-04-01
270001379 OTHER Edwards Sapien 3 Ultra Transcatheter 12 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
270001373 OTHER Edwards Sapien 3 Ultra Transcatheter 12 5 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001377 OTHER Edwards Sapien 3 Ultra Transcatheter 12 5 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 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
270001377 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
270001375 OTHER Edwards Sapien 3 Ultra Transcatheter 12 5 $29,260.00 — $29,260.00 $29,260.00 $29,260.00 2026-04-01
270001357 OTHER Evolut Fx Loading System 34mm 12 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
270001357 LOCAL Evolut Fx Loading System 34mm 11 8 $28,000.00 — $28,000.00 $28,000.00 $28,000.00 2026-04-01
270000459 OTHER Evolut Fx Loading System 23-29mm 12 5 $28,000.00 — $28,000.00 $28,000.00 $28,000.00 2026-04-01
270000541 OTHER Harmonic Blue Hand Piece And Blue Test 12 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 OTHER Melody Transcatheter Pulmonary Valve 12 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 LOCAL Evera MRI Xt Dr SureScan Ddmb1d1 11 8 $21,966.00 — $21,966.00 $21,966.00 $21,966.00 2026-04-01
2800870 OTHER Evera MRI Xt Dr SureScan Ddmb1d1 12 5 $21,966.00 — $21,966.00 $21,966.00 $21,966.00 2026-04-01
3017696 OTHER Watchman Fxd Curve Access System Doble 12 5 $21,000.00 — $21,000.00 $21,000.00 $21,000.00 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
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 12 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 OTHER Emblem MRI S-icd A219 12 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 12 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 OTHER Gallant Hf Crt-d 12 5 $16,258.20 — $16,258.20 $16,258.20 $16,258.20 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
3020098 OTHER Konect Resilia Aortic Valved Conduit 12 5 $15,540.00 — $15,540.00 $15,540.00 $15,540.00 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
3019304 OTHER Cobalt Xt Dr MRI SureScan Ddpa2d4 12 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 LOCAL Micra Av2 Dual Chamber Transcatheter 11 8 $14,980.00 — $14,980.00 $14,980.00 $14,980.00 2026-04-01
3020723 OTHER Micra Av2 Dual Chamber Transcatheter 12 5 $14,980.00 — $14,980.00 $14,980.00 $14,980.00 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 OTHER Gore Excluder Conformable Aaa 12 5 $14,074.20 — $14,074.20 $14,074.20 $14,074.20 2026-04-01
8017785 OTHER Relay Pro Thoracic Stent-graft System 12 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
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
3019303 OTHER Cobalt Xt Vr MRI Sure Scan Dvpa2d4 12 5 $13,993.00 — $13,993.00 $13,993.00 $13,993.00 2026-04-01
3019127 OTHER Claria MRI Crt-d SureScan Dtma1d1 12 5 $13,300.00 — $13,300.00 $13,300.00 $13,300.00 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
3019577 OTHER Claria MRI Quad Crt-d SureScan Dtma1q1 12 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
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 OTHER Micra Vr2 Mc2vr01 Single Chamber 12 5 $12,537.00 — $12,537.00 $12,537.00 $12,537.00 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
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 12 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 OTHER Amplatzer Piccolo Occluder Duct 12 5 $11,900.00 — $11,900.00 $11,900.00 $11,900.00 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
3019130 OTHER Gore Excluder Aaa Endoprosthesis 12 5 $11,603.20 — $11,603.20 $11,603.20 $11,603.20 2026-04-01
3017510 OTHER Icd-vr Dvfc3d1 Visia Af MRI S US Df1 12 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
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 12 5 $10,584.00 — $10,584.00 $10,584.00 $10,584.00 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 12 5 $10,500.00 — $10,500.00 $10,500.00 $10,500.00 2026-04-01
30170052 OTHER Ellipse Vr Implantable Cardioverter 12 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 12 5 $9,982.00 — $9,982.00 $9,982.00 $9,982.00 2026-04-01
3019852 OTHER Momentum X4 Crt-d G138 12 5 $9,940.00 — $9,940.00 $9,940.00 $9,940.00 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
2710958 OTHER Cryo Aortic Heart Valve 12 5 $9,730.00 — $9,730.00 $9,730.00 $9,730.00 2026-04-01
2780235 OTHER Cryo Pulmonary Heart Valve 12 5 $9,730.00 — $9,730.00 $9,730.00 $9,730.00 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
2710958 LOCAL Cryo Aortic Heart Valve 11 8 $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) 12 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 12 5 $9,513.00 — $9,513.00 $9,513.00 $9,513.00 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
3019295 LOCAL Momentum Crt-d G124 11 8 $9,139.20 — $9,139.20 $9,139.20 $9,139.20 2026-04-01
270000575 OTHER Is4/df4 Connector Sleeve 12 5 $9,139.20 — $9,139.20 $9,139.20 $9,139.20 2026-04-01
3019295 OTHER Momentum Crt-d G124 12 5 $9,139.20 — $9,139.20 $9,139.20 $9,139.20 2026-04-01
3019548 OTHER Resonate X4 Crt-d G447 12 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
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 LOCAL Resonate El Icd Dr D433 11 8 $9,100.00 — $9,100.00 $9,100.00 $9,100.00 2026-04-01
3020171 OTHER Resonate El Icd Dr D433 12 5 $9,100.00 — $9,100.00 $9,100.00 $9,100.00 2026-04-01
3020837 OTHER Cryo Pulmonary Pact Thin 12 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
270000143 OTHER Amplatzer Talisman Delivery Sheath 9f 12 5 $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 OTHER Amplatzer Talisman Pfo Occluder 12 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
270000141 OTHER Amplatzer Talisman 45 Delivery System 12 5 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
3020666 OTHER Harmony Delivery Catheter System 25 Fr 12 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
2780735 LOCAL Amplatzer Muscular Vsd Occluder 11 8 $8,400.00 — $8,400.00 $8,400.00 $8,400.00 2026-04-01
2780735 OTHER Amplatzer Muscular Vsd Occluder 12 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
3019316 LOCAL Perciva Icd Vr D400 11 8 $7,795.20 — $7,795.20 $7,795.20 $7,795.20 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 OTHER Momentum El Icd Vr D120 12 5 $7,795.20 — $7,795.20 $7,795.20 $7,795.20 2026-04-01
3019316 OTHER Perciva Icd Vr D400 12 5 $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 OTHER Sjm Masters Hp Series Valved Graft 12 5 $7,600.00 — $7,600.00 $7,600.00 $7,600.00 2026-04-01
3017640 OTHER Amplatzer Pfo Occluder 18mm Abbott 12 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
3021224 OTHER Mitris Resilia Mitral Valve 12 5 $7,350.00 — $7,350.00 $7,350.00 $7,350.00 2026-04-01
3021078 OTHER Mitris Resilia Mitral Valve 12 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
3021224 LOCAL Mitris Resilia Mitral Valve 11 8 $7,350.00 — $7,350.00 $7,350.00 $7,350.00 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 OTHER Perciva Icd Dr D401 12 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 OTHER Vascular Access System (ellipsys) 12 5 $7,014.00 — $7,014.00 $7,014.00 $7,014.00 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
2780736 OTHER Amplatzer Multifenestrated Septal 12 5 $7,000.00 — $7,000.00 $7,000.00 $7,000.00 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
2780736 LOCAL Amplatzer Multifenestrated Septal 11 8 $7,000.00 — $7,000.00 $7,000.00 $7,000.00 2026-04-01
3019046 OTHER Ensemble Ii Transcatheter Valve 12 5 $7,000.00 — $7,000.00 $7,000.00 $7,000.00 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
3021081 OTHER Inspire Resilia Aortic Bioprosthesis 12 5 $6,986.00 — $6,986.00 $6,986.00 $6,986.00 2026-04-01
3021080 OTHER Inspire Resilia Aortic Bioprosthesis 12 5 $6,986.00 — $6,986.00 $6,986.00 $6,986.00 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 12 5 $6,650.00 — $6,650.00 $6,650.00 $6,650.00 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 OTHER Cryo Cryo Femoral Vein 12 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 12 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 OTHER Cryo Pulmonary Patch 12 5 $6,112.40 — $6,112.40 $6,112.40 $6,112.40 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
43108 OTHER Total Or Near Total Esophagectomy, With Colo Interposition Or Small Intestine Re… 12 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
3021144 LOCAL Long Bipolar Grasper 11 8 $5,968.20 — $5,968.20 $5,968.20 $5,968.20 2026-04-01
3021144 OTHER Long Bipolar Grasper 12 5 $5,968.20 — $5,968.20 $5,968.20 $5,968.20 2026-04-01
3021085 OTHER Abdominal Stent Graft System 12 5 $5,880.00 — $5,880.00 $5,880.00 $5,880.00 2026-04-01
2740173 OTHER Endurant Ii Stent Graft System Limb 12 5 $5,880.00 — $5,880.00 $5,880.00 $5,880.00 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 LOCAL Abdominal Stent Graft System 11 8 $5,880.00 — $5,880.00 $5,880.00 $5,880.00 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
2720093 OTHER Sjm Masters Series Mechanical Heart 12 5 $5,726.00 — $5,726.00 $5,726.00 $5,726.00 2026-04-01
2703875 OTHER Aortic FlexCuff Rotatable Mechanical 12 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 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 12 5 $5,653.20 — $5,653.20 $5,653.20 $5,653.20 2026-04-01
2780680 OTHER Contegra 200 12mm (Model 200h12) 12 5 $5,600.00 — $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
3019714 OTHER Magna Mitral Ease Pericardial 12 5 $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
3021086 OTHER Abdominal Stent Graft System 12 5 $5,880.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3021076 OTHER Abdominal Stent-graft System 12 5 $10,500.00 — $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
2702926 LOCAL Freestyle 995 Bioprosthesis Aortic 11 8 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
2702926 OTHER Freestyle 995 Bioprosthesis Aortic 12 5 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3007437 OTHER Magna Ease Pericardial 12 5 $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
3021339 OTHER Abdominal Stent-graft System 12 5 $10,500.00 — $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 LOCAL Abdominal Stent Graft System 11 8 $5,600.00 — $5,600.00 $5,600.00 $5,600.00 2026-04-01
3021141 OTHER Curved Bipolar Dissector 12 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 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 OTHER Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin… 24 5 $9,425.85 — $1,500.00 $9,425.85 $5,462.93 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 OTHER Aortic Regent Flex Without Silicone Model: 12 5 $5,425.00 — $5,425.00 $5,425.00 $5,425.00 2026-04-01
3021034 OTHER Enroute Transcarotid Neuroprotection 12 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 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
43124 OTHER Total Or Partial Esophagectomy, Without Reconstruction, With Cervical Esophagost… 12 5 $5,141.85 — $5,141.85 $5,141.85 $5,141.85 2026-04-01
43288 OTHER Esophagectomy, Total Or Near Total, With Thoracospic Mobilization Of The Upper, … 24 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
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… 12 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… 12 5 $4,813.55 — $4,813.55 $4,813.55 $4,813.55 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 OTHER Removal Of Lung, Pneumonectomy; Extrapleural 12 5 $4,763.25 — $4,763.25 $4,763.25 $4,763.25 2026-04-01
3017495 OTHER Trifecta Gt Model: Tfgt-21a 12 5 $4,760.00 — $4,760.00 $4,760.00 $4,760.00 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
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 12 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… 12 5 $4,553.11 — $4,553.11 $4,553.11 $4,553.11 2026-04-01
2740034 OTHER Adapta Addr03 12 5 $4,543.00 — $4,543.00 $4,543.00 $4,543.00 2026-04-01
2740034 LOCAL Adapta Addr03 11 8 $4,543.00 — $4,543.00 $4,543.00 $4,543.00 2026-04-01
3018721 LOCAL Propaten Vascular Graft Removable Ring 11 8 $4,498.20 — $4,498.20 $4,498.20 $4,498.20 2026-04-01
3018721 OTHER Propaten Vascular Graft Removable Ring 12 5 $1,939.00 — $4,498.20 $4,498.20 $4,498.20 2026-04-01
2790603 OTHER SelectSure MRI Sure Scan 3830-69cm 12 5 $4,480.00 — $4,480.00 $4,480.00 $4,480.00 2026-04-01
2890204 OTHER Cardioroot Woven Collagen Coated 12 5 $4,480.00 — $4,480.00 $4,480.00 $4,480.00 2026-04-01
2750280 LOCAL Mosaic 310 Bioprosthesis Mitral Valve 11 8 $4,480.00 — $4,480.00 $4,480.00 $4,480.00 2026-04-01
2750279 LOCAL Mosaic Ultra 305 Bioprosthesis Aortic 11 8 $4,480.00 — $4,480.00 $4,480.00 $4,480.00 2026-04-01
2750280 OTHER Mosaic 310 Bioprosthesis Mitral Valve 12 5 $4,480.00 — $4,480.00 $4,480.00 $4,480.00 2026-04-01
2890204 LOCAL Cardioroot Woven Collagen Coated 11 8 $4,480.00 — $4,480.00 $4,480.00 $4,480.00 2026-04-01
2750279 OTHER Mosaic Ultra 305 Bioprosthesis Aortic 12 5 $4,480.00 — $4,480.00 $4,480.00 $4,480.00 2026-04-01
2790603 LOCAL SelectSure MRI Sure Scan 3830-69cm 11 8 $4,480.00 — $4,480.00 $4,480.00 $4,480.00 2026-04-01
43117 OTHER Partial Esophagectomy, Distal Two-thirds, With Thoracotomy And Separate Abdomina… 12 5 $4,412.10 — $4,412.10 $4,412.10 $4,412.10 2026-04-01
43117 CPT Partial Esophagectomy, Distal Two-thirds, With Thoracotomy And Separate Abdomina… 9 7 $4,412.10 — $4,412.10 $4,412.10 $4,412.10 2026-04-01
33413 CPT Replacement, Aortic Valve; By Translocation Of Autologous Pulmonary Valve With A… 9 7 $4,315.26 — $4,315.26 $4,315.26 $4,315.26 2026-04-01
33413 OTHER Replacement, Aortic Valve; By Translocation Of Autologous Pulmonary Valve With A… 12 5 $4,315.26 — $4,315.26 $4,315.26 $4,315.26 2026-04-01
43286 OTHER Esophagectomy, Total Or Near Total, With Laparospic Mobilization Of The Abdomina… 12 5 $4,308.19 — $4,308.19 $4,308.19 $4,308.19 2026-04-01
43286 CPT Esophagectomy, Total Or Near Total, With Laparospic Mobilization Of The Abdomina… 9 7 $4,308.19 — $4,308.19 $4,308.19 $4,308.19 2026-04-01
75810 OTHER Splenoportography Radiological Supervision And Interpretation 12 5 $4,271.82 — $4,271.82 $4,271.82 $4,271.82 2026-04-01
75810 CPT Splenoportography Radiological Supervision And Interpretation 7 6 $4,271.82 — $4,271.82 $4,271.82 $4,271.82 2026-04-01
33412 OTHER Replacement, Aortic Valve; With Transventriuclar Aortic Annulus Enlargment 12 5 $4,209.60 — $4,209.60 $4,209.60 $4,209.60 2026-04-01
33412 CPT Replacement, Aortic Valve; With Transventriuclar Aortic Annulus Enlargment 9 7 $4,209.60 — $4,209.60 $4,209.60 $4,209.60 2026-04-01
33463 CPT Valvuloplasty, Tricuspid Valve; Without Ring Insertion 9 7 $4,134.65 — $4,134.65 $4,134.65 $4,134.65 2026-04-01
33463 OTHER Valvuloplasty, Tricuspid Valve; Without Ring Insertion 12 5 $4,134.65 — $4,134.65 $4,134.65 $4,134.65 2026-04-01
3021118 OTHER Fenestrated Bipolar Forceps 12 5 $4,116.00 — $4,116.00 $4,116.00 $4,116.00 2026-04-01
3021114 LOCAL Small Clip Applier 11 8 $4,116.00 — $4,116.00 $4,116.00 $4,116.00 2026-04-01
3021114 OTHER Small Clip Applier 12 5 $4,116.00 — $4,116.00 $4,116.00 $4,116.00 2026-04-01
3021118 LOCAL Fenestrated Bipolar Forceps 11 8 $4,116.00 — $4,116.00 $4,116.00 $4,116.00 2026-04-01
3021038 OTHER Enroute Transcarotid Stent System 12 5 $4,058.60 — $4,058.60 $4,058.60 $4,058.60 2026-04-01
3021037 OTHER Enroute Transcarotid Stent System 12 5 $4,058.60 — $4,058.60 $4,058.60 $4,058.60 2026-04-01
3021037 LOCAL Enroute Transcarotid Stent System 11 8 $4,058.60 — $4,058.60 $4,058.60 $4,058.60 2026-04-01
3021038 LOCAL Enroute Transcarotid Stent System 11 8 $4,058.60 — $4,058.60 $4,058.60 $4,058.60 2026-04-01
3018151 LOCAL Mitral Stented Porcine, Epic Model: 11 8 $4,025.00 — $4,025.00 $4,025.00 $4,025.00 2026-04-01
3018151 OTHER Mitral Stented Porcine, Epic Model: 12 5 $4,025.00 — $4,025.00 $4,025.00 $4,025.00 2026-04-01
3021117 LOCAL ProGrasp Forceps 11 8 $3,969.00 — $3,969.00 $3,969.00 $3,969.00 2026-04-01
3021117 OTHER ProGrasp Forceps 12 5 $3,969.00 — $3,969.00 $3,969.00 $3,969.00 2026-04-01
3021116 LOCAL Cardiore Forceps 11 8 $3,969.00 — $3,969.00 $3,969.00 $3,969.00 2026-04-01
3021116 OTHER Cardiore Forceps 12 5 $3,969.00 — $3,969.00 $3,969.00 $3,969.00 2026-04-01
43121 CPT Partial Esophagectomy, Distal Two-thirds, With Thoracotomy Only, With Or Woithou… 9 7 $3,864.57 — $3,864.57 $3,864.57 $3,864.57 2026-04-01
43121 OTHER Partial Esophagectomy, Distal Two-thirds, With Thoracotomy Only, With Or Woithou… 12 5 $3,864.57 — $3,864.57 $3,864.57 $3,864.57 2026-04-01
3021119 OTHER Mega SutureCut Needle Driver 12 5 $3,859.80 — $3,859.80 $3,859.80 $3,859.80 2026-04-01
3021119 LOCAL Mega SutureCut Needle Driver 11 8 $3,859.80 — $3,859.80 $3,859.80 $3,859.80 2026-04-01
33430 CPT Replacement, Mitral Valve, With Cardiopulmonary Bypass 17 7 $3,834.68 — $3,772.10 $3,834.68 $3,834.68 2026-04-01
33430 OTHER Replacement, Mitral Valve, With Cardiopulmonary Bypass 24 5 $3,834.68 — $3,772.10 $3,834.68 $3,803.39 2026-04-01
59510 OTHER Routine Obstetric Care, Including Antepartum Care, Cesarean Delivery, And Postpa… 12 5 $3,781.26 — $3,781.26 $3,781.26 $3,781.26 2026-04-01
59510 CPT Routine Obstetric Care, Including Antepartum Care, Cesarean Delivery, And Postpa… 6 5 $3,781.26 — $3,781.26 $3,781.26 $3,781.26 2026-04-01
3021146 OTHER Large Needle Driver 12 5 $3,749.20 — $3,749.20 $3,749.20 $3,749.20 2026-04-01
3021146 LOCAL Large Needle Driver 11 8 $3,749.20 — $3,749.20 $3,749.20 $3,749.20 2026-04-01
975000141 LOCAL C.profesophagectomwcervicaleso 12 8 $3,733.69 — $3,733.69 $3,733.69 $3,733.69 2026-04-01
33619 OTHER Repair Of Single Ventricle With Aortic Outflow Obstruction And Aortic Arch Hypop… 12 5 $3,710.62 — $3,710.62 $3,710.62 $3,710.62 2026-04-01
33619 CPT Repair Of Single Ventricle With Aortic Outflow Obstruction And Aortic Arch Hypop… 8 6 $3,710.62 — $3,710.62 $3,710.62 $3,710.62 2026-04-01
33465 CPT Replacement, Tricuspid Valve, With Cardiopulmonary Bypass 9 7 $3,703.98 — $3,703.98 $3,703.98 $3,703.98 2026-04-01
33465 OTHER Replacement, Tricuspid Valve, With Cardiopulmonary Bypass 12 5 $3,703.98 — $3,703.98 $3,703.98 $3,703.98 2026-04-01
33425 CPT Valvuloplasty, Mitral Valve, With Cardiopulmonary Bypass 9 7 $3,673.87 — $3,673.87 $3,673.87 $3,673.87 2026-04-01
33425 OTHER Valvuloplasty, Mitral Valve, With Cardiopulmonary Bypass 12 5 $3,673.87 — $3,673.87 $3,673.87 $3,673.87 2026-04-01
43122 OTHER Partial Esophagectomy, Thoracoabdominal Or Abdominal Approach, With Or Without P… 12 5 $3,559.65 — $3,559.65 $3,559.65 $3,559.65 2026-04-01
43122 CPT Partial Esophagectomy, Thoracoabdominal Or Abdominal Approach, With Or Without P… 9 7 $3,559.65 — $3,559.65 $3,559.65 $3,559.65 2026-04-01
3020841 OTHER Viabahn Sx Endo 35 Ro 5mmX5cm 7Fr 12 5 $3,544.80 — $3,544.80 $3,544.80 $3,544.80 2026-04-01
3020841 LOCAL Viabahn Sx Endo 35 Ro 5mmX5cm 7Fr 11 8 $3,544.80 — $3,544.80 $3,544.80 $3,544.80 2026-04-01
43415 CPT Suture Of Esophageal Wound Or Injury; Transthoracic Or Transabdominal Approach 7 6 $3,506.22 — $3,506.22 $3,506.22 $3,506.22 2026-04-01
43415 OTHER Suture Of Esophageal Wound Or Injury; Transthoracic Or Transabdominal Approach 12 5 $3,506.22 — $3,506.22 $3,506.22 $3,506.22 2026-04-01
2750479 OTHER Jot Dx Insertable Cardiac Monitor 12 5 $3,500.00 — $3,500.00 $3,500.00 $3,500.00 2026-04-01
2750479 LOCAL Jot Dx Insertable Cardiac Monitor 11 8 $3,500.00 — $3,500.00 $3,500.00 $3,500.00 2026-04-01
33514 OTHER Coronary Artery Bypass, Vein Only ; 5 Coronary Venous Graft 12 5 $3,497.70 — $3,497.70 $3,497.70 $3,497.70 2026-04-01
33514 CPT Coronary Artery Bypass, Vein Only ; 5 Coronary Venous Graft 8 6 $3,497.70 — $3,497.70 $3,497.70 $3,497.70 2026-04-01
975000139 LOCAL C.profminimainvesophagectomivo 12 8 $3,495.29 — $3,495.29 $3,495.29 $3,495.29 2026-04-01
3020148 OTHER Microny Sr 12 5 $3,486.00 — $3,486.00 $3,486.00 $3,486.00 2026-04-01
3020148 LOCAL Microny Sr 11 8 $3,486.00 — $3,486.00 $3,486.00 $3,486.00 2026-04-01
3019024 LOCAL Confirm Rx 11 8 $3,480.00 — $3,480.00 $3,480.00 $3,480.00 2026-04-01
3019024 OTHER Confirm Rx 12 5 $3,480.00 — $3,480.00 $3,480.00 $3,480.00 2026-04-01
270000519 OTHER GlideLight Laser Sheath Size 14f 12 5 $3,391.50 — $3,391.50 $3,391.50 $3,391.50 2026-04-01
2800723 LOCAL Laser Sheath Kit 12f 11 8 $3,391.50 — $3,391.50 $3,391.50 $3,391.50 2026-04-01
2800723 OTHER Laser Sheath Kit 12f 12 5 $3,391.50 — $3,391.50 $3,391.50 $3,391.50 2026-04-01
270000519 LOCAL GlideLight Laser Sheath Size 14f 11 8 $3,391.50 — $3,391.50 $3,391.50 $3,391.50 2026-04-01
270000523 OTHER GlideLight Laser Sheath, 16f 12 5 $3,390.80 — $3,390.80 $3,390.80 $3,390.80 2026-04-01
270000521 OTHER GlideLight Laser Sheath, 12f 12 5 $3,390.80 — $3,390.80 $3,390.80 $3,390.80 2026-04-01
270000523 LOCAL GlideLight Laser Sheath, 16f 11 8 $3,390.80 — $3,390.80 $3,390.80 $3,390.80 2026-04-01
270000521 LOCAL GlideLight Laser Sheath, 12f 11 8 $3,390.80 — $3,390.80 $3,390.80 $3,390.80 2026-04-01
33513 CPT Coronary Artery Bypass, Vein Only ; 4 Coronary Venous Graft 8 6 $3,354.44 — $3,354.44 $3,354.44 $3,354.44 2026-04-01
33513 OTHER Coronary Artery Bypass, Vein Only ; 4 Coronary Venous Graft 12 5 $3,354.44 — $3,354.44 $3,354.44 $3,354.44 2026-04-01
5197102 NDC Pneu0.5s2 Pneumoc 13-val Conj-dip Crm/pf 0.5 Ml Syringe 1 1 $3,315.95 — $3,315.95 $3,315.95 $3,315.95 2026-04-01
33464 CPT Valvuloplasty, Tricuspid Valve; With Ring Insertion 9 7 $3,280.38 — $3,280.38 $3,280.38 $3,280.38 2026-04-01
33464 OTHER Valvuloplasty, Tricuspid Valve; With Ring Insertion 12 5 $3,280.38 — $3,280.38 $3,280.38 $3,280.38 2026-04-01
33864 CPT Ascending Aorta Graft, With Cardiopulmonary Bypass With Valve Suspension, With C… 1 1 $3,273.31 — $3,273.31 $3,273.31 $3,273.31 2026-04-01
33860 CPT Ascending Aortic Graft, Including Valve Suspension 1 1 $3,273.31 — $3,273.31 $3,273.31 $3,273.31 2026-04-01
33859 CPT Ascending Aorta Graft, With Cardiopulmonary Bypass Includes Valve Suspension, Wh… 9 6 $3,273.31 — $3,273.31 $13,000.00 $3,273.31 2026-04-01
33859 OTHER Ascending Aorta Graft, With Cardiopulmonary Bypass Includes Valve Suspension, Wh… 12 5 $3,273.31 — $3,273.31 $3,273.31 $3,273.31 2026-04-01
33411 CPT Replacement, Aortic Valve; With Aortic Annulus Enlargement, Noncoronary Sinus 1 1 $3,271.61 — $3,271.61 $3,271.61 $3,271.61 2026-04-01
33512 CPT Coronary Artery Bypass, Vein Only ; 3 Coronary Venous Graft 8 6 $3,258.25 — $3,258.25 $3,258.25 $3,258.25 2026-04-01
33512 OTHER Coronary Artery Bypass, Vein Only ; 3 Coronary Venous Graft 12 5 $3,258.25 — $3,258.25 $3,258.25 $3,258.25 2026-04-01
3021113 LOCAL Mega Needle Driver 11 8 $3,234.00 — $3,234.00 $3,234.00 $3,234.00 2026-04-01
3021113 OTHER Mega Needle Driver 12 5 $3,234.00 — $3,234.00 $3,234.00 $3,234.00 2026-04-01
975000137 LOCAL C.profivorlewispartialesophage 12 8 $3,203.79 — $3,203.79 $3,203.79 $3,203.79 2026-04-01
33475 CPT Replacement, Pulmonary Valve 9 7 $3,175.70 — $3,175.70 $3,175.70 $3,175.70 2026-04-01
33475 OTHER Replacement, Pulmonary Valve 12 5 $3,175.70 — $3,175.70 $3,175.70 $3,175.70 2026-04-01
33778 CPT Repair Of Transposition Of The Great Arteries, Aotic Pulmonary Artery Recontruct… 8 6 $3,170.43 — $3,170.43 $3,170.43 $3,170.43 2026-04-01
33778 OTHER Repair Of Transposition Of The Great Arteries, Aotic Pulmonary Artery Recontruct… 12 5 $3,170.43 — $3,170.43 $3,170.43 $3,170.43 2026-04-01
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