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

SAINT THOMAS RUTHERFORD HOSPITAL

Murfreesboro, TN · CCN 440053 · Rates published

35,396 distinct procedures filed
47 distinct payers
1,344,950 rate rows
2026-01-01 last MRF observed
Data quality

1,313,217 of 1,344,950 rate rows are consumer-grade (97.6%)

31,733 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
template filing: same amount across many unrelated codes — excluded 17,880
per-diem day rate — not a per-procedure price 12,617
placeholder amount (≤ $0.02) — excluded from medians 649
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 587
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/620475842_saint-thomas-rutherford-hospital_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint 54b93049575453e8… · 348,852,580 bytes · first seen 2026-05-16

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
0279
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$191
outlier · 1309.2×
0274
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$183
outlier · 1368.4×
0278
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$1,035
outlier · 241.5×
0270
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$105
outlier · 2389.6×
0672
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$44
outlier · 5618.0×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 43 $8,343.00 $814,556.11 $143,443.12 nat. median
$370,174
outlier · 0.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 43 $8,343.00 $424,425.61 $101,900.81 nat. median
$265,286
outlier · 0.4×
40916431
CDM 		Abiomed Impella Cp Set 17 $37,000.30 $194,738.40 $101,263.97 nat. median
$101,264
1.0× median
40929525
CDM 		Impella Rp Flex Cvl Str 17 $35,150.00 $185,000.00 $96,200.00 nat. median
$17,621
outlier · 5.5×
40927557
CDM 		Cardio Mems Sensor 120cm 17 $30,932.00 $162,800.00 $84,656.00 nat. median
$84,656
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 43 $8,343.00 $363,911.00 $82,813.12 nat. median
$202,976
outlier · 0.4×
40924981
CDM 		Revas Pulm Art Stnt Init Bil 15 $5,004.00 $148,568.10 $77,255.41 nat. median
$77,255
1.0× median
42328847
CDM 		Sp Revas Pulm Art Stnt Int Bil 15 $5,004.00 $148,568.10 $77,255.41 nat. median
$77,255
1.0× median
42519685
CDM 		Ir Revas Pulm Art Stnt Int Bil 15 $5,004.00 $148,568.10 $77,255.41 nat. median
$77,255
1.0× median
42317322
CDM 		Ms Sp Recor Paradse Rdn Sys Kt 17 $28,120.00 $148,000.00 $76,960.00 nat. median
$14,661
outlier · 5.2×
40929436
CDM 		Recor Paradise Rdn Sys Kit 17 $28,120.00 $148,000.00 $76,960.00 nat. median
$3,762
outlier · 20.5×
90288
CPT 		Botulism Ig IV 4 $75,005.70 $75,005.70 $75,005.70 nat. median
$55,037
1.4× median
40922466
CDM 		Protekduo Kit 31f 17 $26,945.46 $141,818.20 $73,745.46 nat. median
$73,745
1.0× median
40924485
CDM 		Tandemheart- Ts62/a17 17 $26,868.66 $141,414.00 $73,535.28 nat. median
$73,535
1.0× median
40924450
CDM 		Protekduo Kit 29f 17 $26,868.66 $141,414.00 $73,535.28 nat. median
$13,648
outlier · 5.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 43 $8,343.00 $325,559.68 $70,558.70 nat. median
$206,474
outlier · 0.3×
40924469
CDM 		Protekduo Rapid Dplmnt 31f 17 $24,619.06 $129,574.00 $67,378.48 nat. median
$67,378
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 43 $8,343.00 $234,608.48 $64,236.89 nat. median
$133,161
outlier · 0.5×
40922474
CDM 		Tandemlife Kit V24/a17 17 $22,800.00 $120,000.00 $62,400.00 nat. median
$62,400
1.0× median
34001693
CDM 		Tandemlife Kit V24 /a 17 17 $22,735.02 $119,658.00 $62,222.16 nat. median
$62,222
1.0× median
40924515
CDM 		Tandemlife Kit V24/a15 17 $22,735.02 $119,658.00 $62,222.16 nat. median
$62,222
1.0× median
34005974
CDM 		Kit Blood Pump Tandemlife 17 $22,735.02 $119,658.00 $62,222.16 nat. median
$62,222
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 43 $8,343.00 $263,555.00 $60,806.65 nat. median
$108,660
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 43 $8,343.00 $261,886.91 $58,574.47 nat. median
$99,019
0.6× median
37404608
CDM 		Bs Dyangen Bi-v Icd Devic-g150 23 $21,631.33 $144,208.90 $57,683.56 nat. median
$57,684
1.0× median
37404616
CDM 		Bs Dyangen Bi-v Icd Devic-g151 23 $21,631.33 $144,208.90 $57,683.56 nat. median
$57,684
1.0× median
37407232
CDM 		Mdt Icd Device- Dtpa2qq 23 $20,974.68 $139,831.20 $55,932.48 nat. median
$55,932
1.0× median
37407240
CDM 		Device Bi-v Icd-cdhfa500q 23 $20,768.53 $138,456.90 $55,382.76 nat. median
$55,383
1.0× median
37407151
CDM 		Device Cobalt Xt Hf Dtpa2d4 23 $20,107.35 $134,049.00 $53,619.60 nat. median
$53,620
1.0× median
37405868
CDM 		Bs Momentum Crt-d G125 23 $19,897.16 $132,647.75 $53,059.10 nat. median
$53,059
1.0× median
37405752
CDM 		Bs Vigilant Bi-v Icd G247 23 $19,897.16 $132,647.75 $53,059.10 nat. median
$53,059
1.0× median
37407453
CDM 		Bs Icd Device- G124 23 $19,881.49 $132,543.25 $53,017.30 nat. median
$53,017
1.0× median
37407356
CDM 		Stj Icd Device- Cddra500q 23 $19,366.42 $129,109.45 $51,643.78 nat. median
$51,644
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 $8,343.00 $214,572.44 $51,561.15 nat. median
$93,672
0.6× median
37405876
CDM 		Bs Emblem MRI S-icd A219 23 $19,072.46 $127,149.70 $50,859.88 nat. median
$50,860
1.0× median
37407224
CDM 		Icd Device- Dtpb2qq 23 $19,067.89 $127,119.25 $50,847.70 nat. median
$50,848
1.0× median
37407437
CDM 		Mdt Icd Device- Dtma1qq 23 $19,057.38 $127,049.20 $50,819.68 nat. median
$50,820
1.0× median
37407445
CDM 		Mdt Icd Device- Dtpb2q1 23 $19,057.38 $127,049.20 $50,819.68 nat. median
$50,820
1.0× median
37407828
CDM 		Mdt Device- Dtpa2q1 Ep Str 23 $18,870.00 $125,800.00 $50,320.00 nat. median
$50,320
1.0× median
37404241
CDM 		Med Viva Xt-dtba1d1 Device 23 $18,836.69 $125,577.95 $50,231.18 nat. median
$50,231
1.0× median
40981608
CDM 		Cannula Prfs Angiovac C180 25f 17 $18,317.52 $96,408.00 $50,132.16 nat. median
$50,132
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 $8,343.00 $269,794.84 $49,435.04 nat. median
$81,118
0.6× median
37407496
CDM 		Mdt Device- Dtma1q1 23 $18,502.31 $123,348.75 $49,339.50 nat. median
$49,340
1.0× median
34018030
CDM 		Sys Stim Gen Eterna 16 Ipg 23 $18,385.50 $122,570.00 $49,028.00 nat. median
$49,028
1.0× median
36902701
CDM 		Pcn Tcat Lt Atrl Apndge Clos 15 $5,004.00 $94,140.20 $48,952.90 nat. median
$48,953
1.0× median

Other procedures at this hospital

Browse this hospital's 35,396 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
             
0279 RC — 1 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0672 RC — 1 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0270 RC — 1 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0274 RC — 1 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0278 RC — 1 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 79 43 — — $8,343.00 $814,556.11 $143,443.12 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 78 43 — — $8,343.00 $424,425.61 $101,900.81 2026-01-01
40916431 CDM Abiomed Impella Cp Set 34 17 $194,738.40 $58,421.52 70% off $37,000.30 $194,738.40 $101,263.97 2026-01-01
40929525 CDM Impella Rp Flex Cvl Str 34 17 $185,000.00 $55,500.00 70% off $35,150.00 $185,000.00 $96,200.00 2026-01-01
40927557 CDM Cardio Mems Sensor 120cm 34 17 $162,800.00 $48,840.00 70% off $30,932.00 $162,800.00 $84,656.00 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 79 43 — — $8,343.00 $363,911.00 $82,813.12 2026-01-01
42328847 CDM Sp Revas Pulm Art Stnt Int Bil 29 15 $148,568.10 $44,570.43 70% off $5,004.00 $148,568.10 $77,255.41 2026-01-01
40924981 CDM Revas Pulm Art Stnt Init Bil 29 15 $148,568.10 $44,570.43 70% off $5,004.00 $148,568.10 $77,255.41 2026-01-01
42519685 CDM Ir Revas Pulm Art Stnt Int Bil 29 15 $148,568.10 $44,570.43 70% off $5,004.00 $148,568.10 $77,255.41 2026-01-01
40929436 CDM Recor Paradise Rdn Sys Kit 34 17 $148,000.00 $44,400.00 70% off $28,120.00 $148,000.00 $76,960.00 2026-01-01
42317322 CDM Ms Sp Recor Paradse Rdn Sys Kt 34 17 $148,000.00 $44,400.00 70% off $28,120.00 $148,000.00 $76,960.00 2026-01-01
90288 CPT Botulism Ig IV 12 4 — — $75,005.70 $75,005.70 $75,005.70 2026-01-01
40922466 CDM Protekduo Kit 31f 34 17 $141,818.20 $42,545.46 70% off $26,945.46 $141,818.20 $73,745.46 2026-01-01
40924485 CDM Tandemheart- Ts62/a17 34 17 $141,414.00 $42,424.20 70% off $26,868.66 $141,414.00 $73,535.28 2026-01-01
40924450 CDM Protekduo Kit 29f 34 17 $141,414.00 $42,424.20 70% off $26,868.66 $141,414.00 $73,535.28 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 79 43 — — $8,343.00 $325,559.68 $70,558.70 2026-01-01
40924469 CDM Protekduo Rapid Dplmnt 31f 34 17 $129,574.00 $38,872.20 70% off $24,619.06 $129,574.00 $67,378.48 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 79 43 — — $8,343.00 $234,608.48 $64,236.89 2026-01-01
40922474 CDM Tandemlife Kit V24/a17 34 17 $120,000.00 $36,000.00 70% off $22,800.00 $120,000.00 $62,400.00 2026-01-01
34001693 CDM Tandemlife Kit V24 /a 17 34 17 $119,658.00 $35,897.40 70% off $22,735.02 $119,658.00 $62,222.16 2026-01-01
40924515 CDM Tandemlife Kit V24/a15 34 17 $119,658.00 $35,897.40 70% off $22,735.02 $119,658.00 $62,222.16 2026-01-01
34005974 CDM Kit Blood Pump Tandemlife 34 17 $119,658.00 $35,897.40 70% off $22,735.02 $119,658.00 $62,222.16 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 78 43 — — $8,343.00 $263,555.00 $60,806.65 2026-01-01
215 MS_DRG Other Heart Assist System Implant 79 43 — — $8,343.00 $261,886.91 $58,574.47 2026-01-01
37404616 CDM Bs Dyangen Bi-v Icd Devic-g151 56 23 $144,208.90 $43,262.67 70% off $21,631.33 $144,208.90 $57,683.56 2026-01-01
37404608 CDM Bs Dyangen Bi-v Icd Devic-g150 56 23 $144,208.90 $43,262.67 70% off $21,631.33 $144,208.90 $57,683.56 2026-01-01
37407232 CDM Mdt Icd Device- Dtpa2qq 56 23 $139,831.20 $41,949.36 70% off $20,974.68 $139,831.20 $55,932.48 2026-01-01
37407240 CDM Device Bi-v Icd-cdhfa500q 56 23 $138,456.90 $41,537.07 70% off $20,768.53 $138,456.90 $55,382.76 2026-01-01
37407151 CDM Device Cobalt Xt Hf Dtpa2d4 56 23 $134,049.00 $40,214.70 70% off $20,107.35 $134,049.00 $53,619.60 2026-01-01
37405752 CDM Bs Vigilant Bi-v Icd G247 56 23 $132,647.75 $39,794.33 70% off $19,897.16 $132,647.75 $53,059.10 2026-01-01
37405868 CDM Bs Momentum Crt-d G125 56 23 $132,647.75 $39,794.33 70% off $19,897.16 $132,647.75 $53,059.10 2026-01-01
37407453 CDM Bs Icd Device- G124 56 23 $132,543.25 $39,762.98 70% off $19,881.49 $132,543.25 $53,017.30 2026-01-01
37407356 CDM Stj Icd Device- Cddra500q 56 23 $129,109.45 $38,732.84 70% off $19,366.42 $129,109.45 $51,643.78 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 80 43 — — $8,343.00 $214,572.44 $51,561.15 2026-01-01
37405876 CDM Bs Emblem MRI S-icd A219 56 23 $127,149.70 $38,144.91 70% off $19,072.46 $127,149.70 $50,859.88 2026-01-01
37407224 CDM Icd Device- Dtpb2qq 56 23 $127,119.25 $38,135.78 70% off $19,067.89 $127,119.25 $50,847.70 2026-01-01
37407445 CDM Mdt Icd Device- Dtpb2q1 56 23 $127,049.20 $38,114.76 70% off $19,057.38 $127,049.20 $50,819.68 2026-01-01
37407437 CDM Mdt Icd Device- Dtma1qq 56 23 $127,049.20 $38,114.76 70% off $19,057.38 $127,049.20 $50,819.68 2026-01-01
37407828 CDM Mdt Device- Dtpa2q1 Ep Str 56 23 $125,800.00 $37,740.00 70% off $18,870.00 $125,800.00 $50,320.00 2026-01-01
37404241 CDM Med Viva Xt-dtba1d1 Device 56 23 $125,577.95 $37,673.39 70% off $18,836.69 $125,577.95 $50,231.18 2026-01-01
40981608 CDM Cannula Prfs Angiovac C180 25f 34 17 $96,408.00 $28,922.40 70% off $18,317.52 $96,408.00 $50,132.16 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 79 43 — — $8,343.00 $269,794.84 $49,435.04 2026-01-01
37407496 CDM Mdt Device- Dtma1q1 56 23 $123,348.75 $37,004.63 70% off $18,502.31 $123,348.75 $49,339.50 2026-01-01
34018030 CDM Sys Stim Gen Eterna 16 Ipg 56 23 $122,570.00 $36,771.00 70% off $18,385.50 $122,570.00 $49,028.00 2026-01-01
36902701 CDM Pcn Tcat Lt Atrl Apndge Clos 28 15 $94,140.20 $28,242.06 70% off $5,004.00 $94,140.20 $48,952.90 2026-01-01
37407291 CDM Mdt Bi-v Icd Device- Dtpb2d1 56 23 $121,795.55 $36,538.67 70% off $18,269.33 $121,795.55 $48,718.22 2026-01-01
37405914 CDM Mdt Amplia Bi-v Icd Dtmb1d1 56 23 $121,307.30 $36,392.19 70% off $18,196.10 $121,307.30 $48,522.92 2026-01-01
37402958 CDM Sjm Unify Bi-v Icd-cd3357-40q 56 23 $121,307.30 $36,392.19 70% off $18,196.10 $121,307.30 $48,522.92 2026-01-01
37403148 CDM Mdt Bi-v Icd Dtbb1d4 56 23 $121,307.30 $36,392.19 70% off $18,196.10 $121,307.30 $48,522.92 2026-01-01
37403091 CDM Stj Quadra Assura Cd3369-40q 56 23 $121,307.30 $36,392.19 70% off $18,196.10 $121,307.30 $48,522.92 2026-01-01
37405744 CDM Mtd Bi-v-icd Device-dtba1qq 56 23 $121,307.30 $36,392.19 70% off $18,196.10 $121,307.30 $48,522.92 2026-01-01
37405981 CDM Stj Quadra Assura Cd3369-40c 56 23 $121,307.30 $36,392.19 70% off $18,196.10 $121,307.30 $48,522.92 2026-01-01
37404942 CDM Mdt Compiamri Bi-v Icd-dtmc1qq 56 23 $121,307.30 $36,392.19 70% off $18,196.10 $121,307.30 $48,522.92 2026-01-01
37403032 CDM Mdt Bi-v Icd Device Dtba1d4 56 23 $121,307.30 $36,392.19 70% off $18,196.10 $121,307.30 $48,522.92 2026-01-01
37403172 CDM Mdt Amplia Bi-v Icd Dtmb1q1 56 23 $121,307.30 $36,392.19 70% off $18,196.10 $121,307.30 $48,522.92 2026-01-01
37405906 CDM Amplia Bi-v Icd Dtmb1qq 56 23 $121,307.30 $36,392.19 70% off $18,196.10 $121,307.30 $48,522.92 2026-01-01
37403156 CDM Mdt Amplia Bi-v Icd Dtmb1d4 56 23 $121,307.30 $36,392.19 70% off $18,196.10 $121,307.30 $48,522.92 2026-01-01
37404160 CDM Sj Curent Icddevice-cd3357-40c 56 23 $121,307.30 $36,392.19 70% off $18,196.10 $121,307.30 $48,522.92 2026-01-01
37407607 CDM Mdt Icd Device- Dtma1d1 56 23 $121,041.40 $36,312.42 70% off $18,156.21 $121,041.40 $48,416.56 2026-01-01
37407747 CDM Mdt Device- Dtpa2d1 Ep Str 56 23 $120,598.00 $36,179.40 70% off $18,089.70 $120,598.00 $48,239.20 2026-01-01
37407682 CDM Device Icd- Dtpb2d4 56 23 $120,598.00 $36,179.40 70% off $18,089.70 $120,598.00 $48,239.20 2026-01-01
33974485 CDM Kt Impl Pulse Gentr Alpha 16 56 23 $119,000.00 $35,700.00 70% off $17,850.00 $119,000.00 $47,600.00 2026-01-01
34015066 CDM 0-spacer Talus Tit Small 56 23 $118,660.00 $35,598.00 70% off $17,799.00 $118,660.00 $47,464.00 2026-01-01
33978308 CDM Gft Stent 34x34mmx10cm 22fr 56 23 $118,368.15 $35,510.45 70% off $17,755.22 $118,368.15 $47,347.26 2026-01-01
40931163 CDM Revas Fempopw Stnt+ath Rt 29 15 $91,004.50 $27,301.35 70% off $5,004.00 $91,004.50 $47,322.34 2026-01-01
40931155 CDM Revas Fempopw Stnt+ath Lt 29 15 $91,004.50 $27,301.35 70% off $5,004.00 $91,004.50 $47,322.34 2026-01-01
42324671 CDM Sp Revas Fempopw Stnt+ath Rt 29 15 $91,004.50 $27,301.35 70% off $5,004.00 $91,004.50 $47,322.34 2026-01-01
40930175 CDM Revas Ves Litho Pta Ath Stnt L 29 15 $91,004.50 $27,301.35 70% off $5,004.00 $91,004.50 $47,322.34 2026-01-01
40930183 CDM Revas Ves Litho Pta Ath Stnt R 29 15 $91,004.50 $27,301.35 70% off $5,004.00 $91,004.50 $47,322.34 2026-01-01
42520721 CDM Ir Revas Ves Lith Pta Ath St R 29 15 $91,004.50 $27,301.35 70% off $5,004.00 $91,004.50 $47,322.34 2026-01-01
42514004 CDM Ir Revas Fempopw Stnt+ath Rt 29 15 $91,004.50 $27,301.35 70% off $5,004.00 $91,004.50 $47,322.34 2026-01-01
42324868 CDM Sp Revas Fempopw Stnt+ath Lt 29 15 $91,004.50 $27,301.35 70% off $5,004.00 $91,004.50 $47,322.34 2026-01-01
42308781 CDM Sp Revas Ves Lith Pta Ath St R 29 15 $91,004.50 $27,301.35 70% off $5,004.00 $91,004.50 $47,322.34 2026-01-01
42520713 CDM Ir Revas Ves Lith Pta Ath St L 29 15 $91,004.50 $27,301.35 70% off $5,004.00 $91,004.50 $47,322.34 2026-01-01
42514012 CDM Ir Revas Fempopw Stnt+ath Lt 29 15 $91,004.50 $27,301.35 70% off $5,004.00 $91,004.50 $47,322.34 2026-01-01
42308773 CDM Sp Revas Ves Lith Pta Ath St L 29 15 $91,004.50 $27,301.35 70% off $5,004.00 $91,004.50 $47,322.34 2026-01-01
37407488 CDM Mdt Icd Device- Dtma1d4 56 23 $118,248.10 $35,474.43 70% off $17,737.22 $118,248.10 $47,299.24 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 79 43 — — $8,343.00 $168,180.99 $46,290.12 2026-01-01
34017921 CDM Kit Impt Gener Wvwriter 56 23 $115,600.00 $34,680.00 70% off $17,340.00 $115,600.00 $46,240.00 2026-01-01
42515329 CDM Ms Sp Spheres Y90 Theraspheres 56 23 $115,465.25 $34,639.58 70% off $17,319.79 $115,465.25 $46,186.10 2026-01-01
42510742 CDM Ms Ir Spheres Y90 Sirtex 56 23 $115,465.25 $34,639.58 70% off $17,319.79 $115,465.25 $46,186.10 2026-01-01
42514160 CDM Ir Revas Tib W Stnt + Ath Rt 29 15 $87,874.30 $26,362.29 70% off $5,004.00 $87,874.30 $45,694.64 2026-01-01
42310301 CDM Sp Revas Tbpr Lit Pta Ath St R 29 15 $87,874.30 $26,362.29 70% off $5,004.00 $87,874.30 $45,694.64 2026-01-01
42310298 CDM Sp Revas Tbpr Lit Pta Ath St L 29 15 $87,874.30 $26,362.29 70% off $5,004.00 $87,874.30 $45,694.64 2026-01-01
42514179 CDM Ir Revas Tib W Stnt + Ath Lt 29 15 $87,874.30 $26,362.29 70% off $5,004.00 $87,874.30 $45,694.64 2026-01-01
40931325 CDM Revas Tib W Stnt + Ath Rt 29 15 $87,874.30 $26,362.29 70% off $5,004.00 $87,874.30 $45,694.64 2026-01-01
40930272 CDM Revas Tbpr Litho Pta Ath Stn R 29 15 $87,874.30 $26,362.29 70% off $5,004.00 $87,874.30 $45,694.64 2026-01-01
42324760 CDM Sp Revas Tib W Stnt + Ath Rt 29 15 $87,874.30 $26,362.29 70% off $5,004.00 $87,874.30 $45,694.64 2026-01-01
40931317 CDM Revas Tib W Stnt + Ath Lt 29 15 $87,874.30 $26,362.29 70% off $5,004.00 $87,874.30 $45,694.64 2026-01-01
42324930 CDM Sp Revas Tib W Stnt + Ath Lt 29 15 $87,874.30 $26,362.29 70% off $5,004.00 $87,874.30 $45,694.64 2026-01-01
42520802 CDM Ir Revas Tbpr Lit Pta Ath St L 29 15 $87,874.30 $26,362.29 70% off $5,004.00 $87,874.30 $45,694.64 2026-01-01
42520810 CDM Ir Revas Tbpr Lit Pta Ath St R 29 15 $87,874.30 $26,362.29 70% off $5,004.00 $87,874.30 $45,694.64 2026-01-01
40930264 CDM Revas Tbpr Lith Pta Ath Stn L 29 15 $87,874.30 $26,362.29 70% off $5,004.00 $87,874.30 $45,694.64 2026-01-01
37405043 CDM Bs Dynagen Icd Device-g158 56 23 $113,142.35 $33,942.71 70% off $16,971.35 $113,142.35 $45,256.94 2026-01-01
1617990 CDM Pegaspargase 750units/ml 5m 49 20 $81,333.40 $24,400.02 70% off $15,453.35 $81,333.40 $43,920.04 2026-01-01
36901578 CDM Abl Vt Comprehensive 25 15 $84,105.00 $25,231.50 70% off $15,979.95 $84,105.00 $43,734.60 2026-01-01
33961723 CDM Neurstim Impl MRI Surescan 56 23 $109,163.80 $32,749.14 70% off $16,374.57 $109,163.80 $43,665.52 2026-01-01
40945911 CDM Ptca/stnt/ath Ea Add 29 16 $77,856.80 $23,357.04 70% off $14,792.79 $77,856.80 $42,042.67 2026-01-01
40911219 CDM Ptca/stnt/ath Add Bp 29 16 $77,856.80 $23,357.04 70% off $14,792.79 $77,856.80 $42,042.67 2026-01-01
40911243 CDM Ptca/stnt/ath/cto Ea Add 29 16 $77,856.80 $23,357.04 70% off $14,792.79 $77,856.80 $42,042.67 2026-01-01
37404594 CDM Bs Dyangen Bi-v Icd Devic-g154 56 23 $104,168.80 $31,250.64 70% off $15,625.32 $104,168.80 $41,667.52 2026-01-01
37404543 CDM Bs Dynagen Icd Device-d152 56 23 $103,950.05 $31,185.02 70% off $15,592.51 $103,950.05 $41,580.02 2026-01-01
40932283 CDM Ms Sp Ono Retrieval 12f 34 17 $79,180.00 $23,754.00 70% off $15,044.20 $79,180.00 $41,173.60 2026-01-01
37404292 CDM Mdt Icd Device Dtbb1d1 56 23 $102,917.40 $30,875.22 70% off $15,437.61 $102,917.40 $41,166.96 2026-01-01
37404381 CDM Mdt Viva Icd Device-dtbb1qq 56 23 $102,917.40 $30,875.22 70% off $15,437.61 $102,917.40 $41,166.96 2026-01-01
37407526 CDM Bs Icd Device- D120 56 23 $101,587.50 $30,476.25 70% off $15,238.13 $101,587.50 $40,635.00 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 80 43 — — $8,343.00 $114,186.43 $40,602.69 2026-01-01
40911324 CDM Ptca/des/ath Cto Ea Add 31 16 $77,856.80 $23,357.04 70% off $14,792.79 $77,856.80 $40,485.54 2026-01-01
40911235 CDM Ptca/stnt/ath Cto Sgl 27 15 $77,856.80 $23,357.04 70% off $14,792.79 $77,856.80 $40,485.54 2026-01-01
40911200 CDM Ptca/stnt/ath Sgl Bp Grft 27 15 $77,856.80 $23,357.04 70% off $14,792.79 $77,856.80 $40,485.54 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 80 43 — — $8,343.00 $132,532.03 $40,266.75 2026-01-01
36902671 CDM Ablation Af Pulm Vein 25 15 $76,381.65 $22,914.50 70% off $14,512.51 $76,381.65 $39,718.46 2026-01-01
37402990 CDM Mdt Compia Icd Device-dtmc1d1 56 23 $96,657.45 $28,997.24 70% off $14,498.62 $96,657.45 $38,662.98 2026-01-01
42328820 CDM Sp Revas Pulm Art Stnt Init Rt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
40930434 CDM Revas Fempop W Stent Rt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
40930426 CDM Revas Fempop W Stent Lt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
42519677 CDM Ir Revas Pulm Art Stnt Init Lt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
42324833 CDM Sp Revas Fempop W Stent Lt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
42513970 CDM Ir Revas Fempop W Stent Lt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
42308730 CDM Sp Revas Ves Litho Pta Stnt Lt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
42519669 CDM Ir Revas Pulm Art Stnt Init Rt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
42308749 CDM Sp Revas Ves Litho Pta Stnt Rt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
40930140 CDM Revas Ves Litho Pta Stnt Rt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
42520683 CDM Ir Revas Ves Litho Pta Stnt Rt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
40930132 CDM Revas Ves Litho Pta Stnt Lt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
42520675 CDM Ir Revas Ves Litho Pta Stnt Lt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
42328839 CDM Sp Revas Pulm Art Stnt Init Lt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
40924973 CDM Revas Pulm Art Stnt Init Lt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
42324655 CDM Sp Revas Fempop W Stent Rt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
42513962 CDM Ir Revas Fempop W Stent Rt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
40924965 CDM Revas Pulm Art Stnt Init Rt 29 15 $74,284.05 $22,285.22 70% off $5,004.00 $74,284.05 $38,627.71 2026-01-01
42517178 CDM Ir Inari Flowtriever2 Kit 34 17 $74,160.00 $22,248.00 70% off $14,090.40 $74,160.00 $38,563.20 2026-01-01
J9266 HCPCS Pegaspargase 750units/ml 5m 39 16 $81,333.40 $24,400.02 70% off $1,719.41 $58,865.38 $38,534.40 2026-01-01
40927603 CDM Inari Flowtriever2 Kit 34 17 $74,000.00 $22,200.00 70% off $14,060.00 $74,000.00 $38,480.00 2026-01-01
42315362 CDM Inari Flowtriever2 Kit 34 17 $74,000.00 $22,200.00 70% off $14,060.00 $74,000.00 $38,480.00 2026-01-01
33969554 CDM Gentr Neurstim 5.5x4.95x1.34cm 56 23 $95,802.00 $28,740.60 70% off $14,370.30 $95,802.00 $38,320.80 2026-01-01
42324809 CDM Sp Revasc Iliac W Stent Init L 29 15 $73,689.65 $22,106.90 70% off $5,004.00 $73,689.65 $38,318.62 2026-01-01
42513881 CDM Ir Revasc Iliac W Stent Init R 29 15 $73,689.65 $22,106.90 70% off $5,004.00 $73,689.65 $38,318.62 2026-01-01
40930337 CDM Revasc Iliac W Stent Init R 29 15 $73,689.65 $22,106.90 70% off $5,004.00 $73,689.65 $38,318.62 2026-01-01
40930329 CDM Revasc Iliac W Stent Init L 29 15 $73,689.65 $22,106.90 70% off $5,004.00 $73,689.65 $38,318.62 2026-01-01
42513903 CDM Ir Revasc Iliac W Stent Init L 29 15 $73,689.65 $22,106.90 70% off $5,004.00 $73,689.65 $38,318.62 2026-01-01
42324620 CDM Sp Revasc Iliac W Stent Init R 29 15 $73,689.65 $22,106.90 70% off $5,004.00 $73,689.65 $38,318.62 2026-01-01
42517801 CDM Ir Revasc Iliac W Stent Init B 29 15 $73,689.65 $22,106.90 70% off $5,004.00 $73,689.65 $38,318.62 2026-01-01
42312258 CDM Sp Revasc Iliac W Stent Init B 29 15 $73,689.65 $22,106.90 70% off $5,004.00 $73,689.65 $38,318.62 2026-01-01
40930345 CDM Revasc Iliac W Stent Init B 29 15 $73,689.65 $22,106.90 70% off $5,004.00 $73,689.65 $38,318.62 2026-01-01
37407283 CDM Bs Icd Device- D233 56 23 $92,951.95 $27,885.59 70% off $13,942.79 $92,951.95 $37,180.78 2026-01-01
42520071 CDM Ir Pen Asp Cath Ltng Fls Xtorq 34 17 $71,410.00 $21,423.00 70% off $13,567.90 $71,410.00 $37,133.20 2026-01-01
42522708 CDM Ir Asp Litng Flsh Htorq 16 115 34 17 $71,410.00 $21,423.00 70% off $13,567.90 $71,410.00 $37,133.20 2026-01-01
42520233 CDM Ir Pen Asp Cath Ltng Fls Ber 34 17 $71,410.00 $21,423.00 70% off $13,567.90 $71,410.00 $37,133.20 2026-01-01
34024375 CDM Cath Thrombectomy 115cm 34 17 $71,410.00 $21,423.00 70% off $13,567.90 $71,410.00 $37,133.20 2026-01-01
42329770 CDM Ms Sp Cth Ltng Flsh 100c Xtorq 34 17 $71,410.00 $21,423.00 70% off $13,567.90 $71,410.00 $37,133.20 2026-01-01
42522341 CDM Ir Pen Asp Cth Ltng Flsh Htorq 34 17 $71,410.00 $21,423.00 70% off $13,567.90 $71,410.00 $37,133.20 2026-01-01
42329762 CDM Ms Sp Cth Ltng Flsh 100c Ber 34 17 $71,410.00 $21,423.00 70% off $13,567.90 $71,410.00 $37,133.20 2026-01-01
42520527 CDM Ir Asp Cath Ltng Fls Ber 115 34 17 $71,410.00 $21,423.00 70% off $13,567.90 $71,410.00 $37,133.20 2026-01-01
42522333 CDM Ir Pen Asp Cath Ltng Flsh Ber 34 17 $71,410.00 $21,423.00 70% off $13,567.90 $71,410.00 $37,133.20 2026-01-01
37407631 CDM Bs Icd Device- D121 56 23 $92,376.40 $27,712.92 70% off $13,856.46 $92,376.40 $36,950.56 2026-01-01
40931236 CDM Revas Tibioper W Stnt Lt 29 15 $70,554.50 $21,166.35 70% off $5,004.00 $70,554.50 $36,688.34 2026-01-01
40931244 CDM Revas Tibioper W Stnt Rt 29 15 $70,554.50 $21,166.35 70% off $5,004.00 $70,554.50 $36,688.34 2026-01-01
42520764 CDM Ir Revas Tibper Lith Pta Stn L 29 15 $70,554.50 $21,166.35 70% off $5,004.00 $70,554.50 $36,688.34 2026-01-01
40930221 CDM Revas Tibper Litho Pta Stnt Rt 29 15 $70,554.50 $21,166.35 70% off $5,004.00 $70,554.50 $36,688.34 2026-01-01
42324728 CDM Sp Revas Tibioper W Stnt Rt 29 15 $70,554.50 $21,166.35 70% off $5,004.00 $70,554.50 $36,688.34 2026-01-01
40930213 CDM Revas Tibper Litho Pta Stnt Lt 29 15 $70,554.50 $21,166.35 70% off $5,004.00 $70,554.50 $36,688.34 2026-01-01
42514071 CDM Ir Revas Tibioper W Stnt Lt 29 15 $70,554.50 $21,166.35 70% off $5,004.00 $70,554.50 $36,688.34 2026-01-01
42520772 CDM Ir Revas Tibper Lith Pta Stn R 29 15 $70,554.50 $21,166.35 70% off $5,004.00 $70,554.50 $36,688.34 2026-01-01
42310255 CDM Sp Revas Tibper Lith Pta Stn R 29 15 $70,554.50 $21,166.35 70% off $5,004.00 $70,554.50 $36,688.34 2026-01-01
42324892 CDM Sp Revas Tibioper W Stnt Lt 29 15 $70,554.50 $21,166.35 70% off $5,004.00 $70,554.50 $36,688.34 2026-01-01
42514063 CDM Ir Revas Tibioper W Stnt Rt 29 15 $70,554.50 $21,166.35 70% off $5,004.00 $70,554.50 $36,688.34 2026-01-01
42310247 CDM Sp Revas Tibper Lith Pta Stn L 29 15 $70,554.50 $21,166.35 70% off $5,004.00 $70,554.50 $36,688.34 2026-01-01
33988990 CDM Hybrd Lvl 10 1st Hr Perf W/rob 29 15 $70,461.65 $21,138.50 70% off $5,004.00 $70,461.65 $36,640.06 2026-01-01
40946004 CDM Ptca/des/ath Sgl 29 15 $69,515.10 $20,854.53 70% off $5,647.37 $69,515.10 $36,147.85 2026-01-01
40946012 CDM Ptca/des/ath Ea Add 31 16 $69,515.10 $20,854.53 70% off $13,207.87 $69,515.10 $36,147.85 2026-01-01
40945903 CDM Ptca/stnt/ath Sgl 27 15 $69,515.10 $20,854.53 70% off $13,207.87 $69,515.10 $36,147.85 2026-01-01
40911294 CDM Ptca/des/ath Add Bp 31 16 $69,515.10 $20,854.53 70% off $13,207.87 $69,515.10 $36,147.85 2026-01-01
40911308 CDM Ptca/des/ath/throm Ami Any 29 15 $69,515.10 $20,854.53 70% off $13,207.87 $69,515.10 $36,147.85 2026-01-01
40911316 CDM Ptca/des/ath Cto Sgl 28 14 $69,515.10 $20,854.53 70% off $13,207.87 $69,515.10 $36,147.85 2026-01-01
40911286 CDM Ptca/des/ath Sgl Bp Grft 28 14 $69,515.10 $20,854.53 70% off $13,207.87 $69,515.10 $36,147.85 2026-01-01
40911227 CDM Ptca/stnt/ath/throm Ami Any 27 15 $69,515.10 $20,854.53 70% off $13,207.87 $69,515.10 $36,147.85 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 79 43 — — $8,343.00 $196,214.43 $36,051.80 2026-01-01
33972598 CDM Kit Pulse Generator Prime 16 56 23 $89,277.80 $26,783.34 70% off $13,391.67 $89,277.80 $35,711.12 2026-01-01
37407259 CDM Icd Device- D232 56 23 $88,639.90 $26,591.97 70% off $13,295.99 $88,639.90 $35,455.96 2026-01-01
33989210 CDM Hybrid Lvl 6 1st Hr 29 15 $66,839.10 $20,051.73 70% off $5,004.00 $66,839.10 $34,756.33 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 80 43 — — $8,343.00 $137,051.15 $34,462.25 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 79 43 — — $8,343.00 $139,111.06 $34,316.38 2026-01-01
37407194 CDM Mdt Device Cobalt MRI- Ddpa2d4 56 23 $85,788.30 $25,736.49 70% off $12,868.25 $85,788.30 $34,315.32 2026-01-01
37407208 CDM Icd Device-ddpa2d1 56 23 $85,788.30 $25,736.49 70% off $12,868.25 $85,788.30 $34,315.32 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 80 43 — — $8,343.00 $137,568.31 $34,190.24 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 79 43 — — $8,343.00 $112,149.03 $33,904.27 2026-01-01
33989032 CDM Hybrd Lvl 8 1st Hr Off Pump Wr 29 15 $65,150.30 $19,545.09 70% off $5,004.00 $65,150.30 $33,878.16 2026-01-01
37404756 CDM Mdt Evera Icd Device-ddbb1d1 56 23 $84,404.15 $25,321.25 70% off $12,660.62 $84,404.15 $33,761.66 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 80 43 — — $8,343.00 $237,401.57 $33,718.35 2026-01-01
37404837 CDM Mdt Icd Device-ddbb1d4 56 23 $83,949.50 $25,184.85 70% off $12,592.42 $83,949.50 $33,579.80 2026-01-01
37407542 CDM Mdt Micra Device 56 23 $83,606.25 $25,081.88 70% off $12,540.94 $83,606.25 $33,442.50 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 80 43 — — $8,343.00 $99,667.42 $33,350.43 2026-01-01
37407739 CDM Mdt Micra Devic-mc2avr1 Ep Str 56 23 $83,300.00 $24,990.00 70% off $12,495.00 $83,300.00 $33,320.00 2026-01-01
37404578 CDM Bs Dynagen Icd Device-d150 56 23 $83,091.40 $24,927.42 70% off $12,463.71 $83,091.40 $33,236.56 2026-01-01
37404586 CDM Bs Dynagen Icd Device-d151 56 23 $83,091.40 $24,927.42 70% off $12,463.71 $83,091.40 $33,236.56 2026-01-01
33995849 CDM Mesh Ovitex 25x40cm 56 23 $81,607.50 $24,482.25 70% off $12,241.13 $81,607.50 $32,643.00 2026-01-01
42306215 CDM Sp Dialysis Thromb + Stent 29 15 $62,244.80 $18,673.44 70% off $5,004.00 $62,244.80 $32,367.30 2026-01-01
42507504 CDM Ir Dialysis Thromb + Stent 29 15 $62,244.80 $18,673.44 70% off $5,004.00 $62,244.80 $32,367.30 2026-01-01
0888T HCPCS Histotripsy Mal Renal Tissue 7 4 — — $29,750.85 $36,926.06 $32,200.92 2026-01-01
34025622 CDM Grft Endo Aaa 20x14.5x12cm 56 23 $80,070.00 $24,021.00 70% off $12,010.50 $80,070.00 $32,028.00 2026-01-01
37407178 CDM Mdt Icd Device- Dvpa2d4 56 23 $79,741.50 $23,922.45 70% off $11,961.23 $79,741.50 $31,896.60 2026-01-01
37407399 CDM Mdt Icd Device- Dvpa2d1 56 23 $79,697.65 $23,909.30 70% off $11,954.65 $79,697.65 $31,879.06 2026-01-01
33989113 CDM Hybrid Lvl 4 1st Hr 29 15 $61,263.05 $18,378.92 70% off $5,004.00 $61,263.05 $31,856.79 2026-01-01
42200352 CDM Samarium 153 Up To 150 Mci 30 17 $59,466.30 $17,839.89 70% off $11,298.60 $59,466.30 $31,814.47 2026-01-01
33943350 CDM Cuff Occlusive Inhibizone 4cm 56 23 $79,511.95 $23,853.59 70% off $11,926.79 $79,511.95 $31,804.78 2026-01-01
33951329 CDM Cuff Occlusive Inhibizone 4.5 56 23 $79,511.95 $23,853.59 70% off $11,926.79 $79,511.95 $31,804.78 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 80 43 — — $8,343.00 $103,320.25 $31,606.38 2026-01-01
33995725 CDM Mesh Surg Ovitex 25x30cm 56 23 $78,585.00 $23,575.50 70% off $11,787.75 $78,585.00 $31,434.00 2026-01-01
34014124 CDM Graft Endo 28.5mmx14.5mmx12cm 56 23 $78,206.80 $23,462.04 70% off $11,731.02 $78,206.80 $31,282.72 2026-01-01
37407216 CDM Icd Device- Ddpb3d4 56 23 $77,989.40 $23,396.82 70% off $11,698.41 $77,989.40 $31,195.76 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 79 43 — — $8,343.00 $146,246.52 $31,142.06 2026-01-01
34007101 CDM Neurostimulator Rechargeable 56 23 $77,785.20 $23,335.56 70% off $11,667.78 $77,785.20 $31,114.08 2026-01-01
37407550 CDM Mdt Icd Device- Ddmb1d4 56 23 $77,463.75 $23,239.13 70% off $11,619.56 $77,463.75 $30,985.50 2026-01-01
33364296 CDM Impl Neurostimlator Interstim 56 23 $77,183.55 $23,155.07 70% off $11,577.53 $77,183.55 $30,873.42 2026-01-01
37407763 CDM Mdt Icd Device- Ddmb1d1 Ep Str 56 23 $77,180.00 $23,154.00 70% off $11,577.00 $77,180.00 $30,872.00 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 79 43 — — $8,343.00 $130,675.06 $30,715.28 2026-01-01
33978650 CDM Gft Endo Aaa 26x14.5mmx12cm 56 23 $76,682.90 $23,004.87 70% off $11,502.43 $76,682.90 $30,673.16 2026-01-01
33978081 CDM Gft Endo Aaa 23x14.5mmx12cm 56 23 $76,682.90 $23,004.87 70% off $11,502.43 $76,682.90 $30,673.16 2026-01-01
42521620 CDM Ir Asp Cath Ltng Bolt 7 34 17 $58,756.00 $17,626.80 70% off $11,163.64 $58,756.00 $30,553.12 2026-01-01
42316962 CDM Ms Sp Litning Bolt 7 Asp Cath 34 17 $58,756.00 $17,626.80 70% off $11,163.64 $58,756.00 $30,553.12 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 80 43 — — $8,343.00 $104,507.32 $30,282.26 2026-01-01
37402796 CDM Mdt Icd Device-dvbc3d1 56 23 $75,505.50 $22,651.65 70% off $11,325.83 $75,505.50 $30,202.20 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 72 39 — — $8,343.00 $235,027.44 $30,100.07 2026-01-01
37407887 CDM Abt Device- Cdvra500q Ep Str 56 23 $75,099.20 $22,529.76 70% off $11,264.88 $75,099.20 $30,039.68 2026-01-01
42521884 CDM Ir Sp Embo/occl Press Gen Cath 29 15 $57,439.35 $17,231.81 70% off $5,004.00 $57,439.35 $29,868.46 2026-01-01
36901551 CDM Abl Atrial Comprehensive 25 15 $56,642.50 $16,992.75 70% off $10,762.08 $56,642.50 $29,454.10 2026-01-01
40931996 CDM Lightning Bolt 6 Cvl Str 34 17 $56,536.00 $16,960.80 70% off $10,741.84 $56,536.00 $29,398.72 2026-01-01
42323942 CDM Ms Sp Throm Lightning Bolt 6 34 17 $56,536.00 $16,960.80 70% off $10,741.84 $56,536.00 $29,398.72 2026-01-01
37404551 CDM Bs Dynagen Icd Device-d153 56 23 $73,196.75 $21,959.03 70% off $10,979.51 $73,196.75 $29,278.70 2026-01-01
42507490 CDM Ir Dialysis Thromb + Pta 29 15 $56,257.55 $16,877.27 70% off $5,004.00 $56,257.55 $29,253.93 2026-01-01
42306207 CDM Sp Dialysis Thromb + Pta 29 15 $56,257.55 $16,877.27 70% off $5,004.00 $56,257.55 $29,253.93 2026-01-01
33976399 CDM Neurstim Rchg Sys Inerstim 56 23 $72,970.80 $21,891.24 70% off $10,945.62 $72,970.80 $29,188.32 2026-01-01
34029997 CDM Neurostim Non-rchrg F15 56 23 $72,535.60 $21,760.68 70% off $10,880.34 $72,535.60 $29,014.24 2026-01-01
37407402 CDM Mdt Icd Device- Dvfb1d4 56 23 $72,452.35 $21,735.71 70% off $10,867.85 $72,452.35 $28,980.94 2026-01-01
37407348 CDM Mdt Icd Device- Dvpb3d4 56 23 $72,452.35 $21,735.71 70% off $10,867.85 $72,452.35 $28,980.94 2026-01-01
42324779 CDM Sp Revas Tib Stnt+ath Ea Ad Rt 29 15 $55,574.95 $16,672.49 70% off $5,004.00 $55,574.95 $28,898.97 2026-01-01
42514187 CDM Ir Revas Tib Stnt+ath Ea Ad Rt 29 15 $55,574.95 $16,672.49 70% off $5,004.00 $55,574.95 $28,898.97 2026-01-01
42324949 CDM Sp Revas Tib Stnt+ath Ea Ad Lt 29 15 $55,574.95 $16,672.49 70% off $5,004.00 $55,574.95 $28,898.97 2026-01-01
40931341 CDM Revas Tib Stnt+ath Ea Ad Rt 29 15 $55,574.95 $16,672.49 70% off $5,004.00 $55,574.95 $28,898.97 2026-01-01
42514195 CDM Ir Revas Tib Stnt+ath Ea Ad Lt 29 15 $55,574.95 $16,672.49 70% off $5,004.00 $55,574.95 $28,898.97 2026-01-01
40931333 CDM Revas Tib Stnt+ath Ea Ad Lt 29 15 $55,574.95 $16,672.49 70% off $5,004.00 $55,574.95 $28,898.97 2026-01-01
40928634 CDM Alphavac Aspiration Cath 25f 34 17 $55,500.00 $16,650.00 70% off $10,545.00 $55,500.00 $28,860.00 2026-01-01
36902167 CDM Mdt Icd Dvfb1d4 Visia Af 56 23 $72,148.75 $21,644.63 70% off $10,822.31 $72,148.75 $28,859.50 2026-01-01
37407593 CDM Mdt Icd Device- Dvfb1d1 56 23 $72,003.75 $21,601.13 70% off $10,800.56 $72,003.75 $28,801.50 2026-01-01
37402885 CDM Mdt Evera Icd Device-ddmc3d4 56 23 $71,822.20 $21,546.66 70% off $10,773.33 $71,822.20 $28,728.88 2026-01-01
37403067 CDM Mdt Icd Device-ddmc3d1 56 23 $71,822.20 $21,546.66 70% off $10,773.33 $71,822.20 $28,728.88 2026-01-01
33943814 CDM Allogrft Fem Hem Rt Condyle 56 23 $71,787.80 $21,536.34 70% off $10,768.17 $71,787.80 $28,715.12 2026-01-01
33988893 CDM Cardiac Robt Lvl W/perf 1st Hr 29 15 $55,161.55 $16,548.47 70% off $5,004.00 $55,161.55 $28,684.01 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 79 43 — — $8,343.00 $163,655.32 $28,613.51 2026-01-01
40930442 CDM Revas Fempopw Ather Lt 29 15 $54,698.35 $16,409.51 70% off $5,004.00 $54,698.35 $28,443.14 2026-01-01
40931147 CDM Revas Fempopw Ather Rt 29 15 $54,698.35 $16,409.51 70% off $5,004.00 $54,698.35 $28,443.14 2026-01-01
42324841 CDM Sp Revas Fempopw Ather Lt 29 15 $54,698.35 $16,409.51 70% off $5,004.00 $54,698.35 $28,443.14 2026-01-01
42324663 CDM Sp Revas Fempopw Ather Rt 29 15 $54,698.35 $16,409.51 70% off $5,004.00 $54,698.35 $28,443.14 2026-01-01
40930159 CDM Revas Ves Litho Pta Ath Lt 29 15 $54,698.35 $16,409.51 70% off $5,004.00 $54,698.35 $28,443.14 2026-01-01
40930167 CDM Revas Ves Litho Pta Ath Rt 29 15 $54,698.35 $16,409.51 70% off $5,004.00 $54,698.35 $28,443.14 2026-01-01
42520691 CDM Ir Revas Ves Litho Pta Ath Lt 29 15 $54,698.35 $16,409.51 70% off $5,004.00 $54,698.35 $28,443.14 2026-01-01
42513989 CDM Ir Revas Fempopw Ather Rt 29 15 $54,698.35 $16,409.51 70% off $5,004.00 $54,698.35 $28,443.14 2026-01-01
42513997 CDM Ir Revas Fempopw Ather Lt 29 15 $54,698.35 $16,409.51 70% off $5,004.00 $54,698.35 $28,443.14 2026-01-01
42520705 CDM Ir Revas Ves Litho Pta Ath Rt 29 15 $54,698.35 $16,409.51 70% off $5,004.00 $54,698.35 $28,443.14 2026-01-01
42308765 CDM Sp Revas Ves Litho Pta Ath Rt 29 15 $54,698.35 $16,409.51 70% off $5,004.00 $54,698.35 $28,443.14 2026-01-01
42308757 CDM Sp Revas Ves Litho Pta Ath Lt 29 15 $54,698.35 $16,409.51 70% off $5,004.00 $54,698.35 $28,443.14 2026-01-01
37407712 CDM Bnk Device- 429529 Ep Str 56 23 $71,060.00 $21,318.00 70% off $10,659.00 $71,060.00 $28,424.00 2026-01-01
37407844 CDM Icd Device- 429534 Ep Str 56 23 $71,060.00 $21,318.00 70% off $10,659.00 $71,060.00 $28,424.00 2026-01-01
34013063 CDM Allogrft Osteochondral Fem Lt 56 23 $71,026.00 $21,307.80 70% off $10,653.90 $71,026.00 $28,410.40 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 80 43 — — $8,343.00 $123,773.08 $28,398.44 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 79 43 — — $8,343.00 $169,110.57 $28,352.95 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 79 43 — — $8,343.00 $136,798.03 $28,334.40 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 79 43 — — $8,343.00 $147,328.85 $28,006.56 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 80 43 — — $8,343.00 $78,320.29 $27,579.30 2026-01-01
33974574 CDM Graft Mem Amniofix 9x15cm 56 23 $68,644.40 $20,593.32 70% off $10,296.66 $68,644.40 $27,457.76 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 80 43 — — $8,343.00 $103,870.14 $27,341.44 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 80 43 — — $8,343.00 $125,062.70 $27,244.47 2026-01-01
33989164 CDM Hybrid Lvl 2 1st Hr W Robot 29 15 $52,264.55 $15,679.37 70% off $5,004.00 $52,264.55 $27,177.57 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 79 43 — — $8,343.00 $86,899.95 $27,060.41 2026-01-01
34026742 CDM Implnt Cran Ips 00022 56 23 $67,409.65 $20,222.90 70% off $10,111.45 $67,409.65 $26,963.86 2026-01-01
245 MS_DRG Aicd Generator Procedures 79 43 — — $8,343.00 $99,078.25 $26,839.42 2026-01-01
40931279 CDM Revas Tibio W Ather Init Lt 29 15 $51,565.75 $15,469.73 70% off $5,004.00 $51,565.75 $26,814.19 2026-01-01
42324914 CDM Sp Revas Tibio W Ather Init Lt 29 15 $51,565.75 $15,469.73 70% off $5,004.00 $51,565.75 $26,814.19 2026-01-01
42514136 CDM Ir Revas Tibio W Ather Init Lt 29 15 $51,565.75 $15,469.73 70% off $5,004.00 $51,565.75 $26,814.19 2026-01-01
40930248 CDM Revas Tibper Litho Pta Ath Lt 29 15 $51,565.75 $15,469.73 70% off $5,004.00 $51,565.75 $26,814.19 2026-01-01
40930256 CDM Revas Tibper Litho Pta Ath Rt 29 15 $51,565.75 $15,469.73 70% off $5,004.00 $51,565.75 $26,814.19 2026-01-01
42324744 CDM Sp Revas Tibio W Ather Init Rt 29 15 $51,565.75 $15,469.73 70% off $5,004.00 $51,565.75 $26,814.19 2026-01-01
42520780 CDM Ir Revas Tibper Lith Pta Ath L 29 15 $51,565.75 $15,469.73 70% off $5,004.00 $51,565.75 $26,814.19 2026-01-01
42514128 CDM Ir Revas Tibio W Ather Init Rt 29 15 $51,565.75 $15,469.73 70% off $5,004.00 $51,565.75 $26,814.19 2026-01-01
42520799 CDM Ir Revas Tibper Lith Pta Ath R 29 15 $51,565.75 $15,469.73 70% off $5,004.00 $51,565.75 $26,814.19 2026-01-01
42310263 CDM Sp Revas Tibper Lith Pta Ath L 29 15 $51,565.75 $15,469.73 70% off $5,004.00 $51,565.75 $26,814.19 2026-01-01
42310271 CDM Sp Revas Tibper Lith Pta Ath R 29 15 $51,565.75 $15,469.73 70% off $5,004.00 $51,565.75 $26,814.19 2026-01-01
40931287 CDM Revas Tibio W Ather Init Rt 29 15 $51,565.75 $15,469.73 70% off $5,004.00 $51,565.75 $26,814.19 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 79 43 — — $8,343.00 $157,351.23 $26,811.49 2026-01-01
37404985 CDM Md MRI Icd Device-dvfc3d4 56 23 $67,011.10 $20,103.33 70% off $10,051.67 $67,011.10 $26,804.44 2026-01-01
37404934 CDM Sjm Fortify Icd-cd1357-40q 56 23 $67,011.10 $20,103.33 70% off $10,051.67 $67,011.10 $26,804.44 2026-01-01
37405051 CDM Mdt Visia Icd Device-dvfc3d1 56 23 $67,011.10 $20,103.33 70% off $10,051.67 $67,011.10 $26,804.44 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 79 43 — — $8,343.00 $146,595.66 $26,800.26 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 79 43 — — $8,343.00 $95,628.41 $26,798.85 2026-01-01
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