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

ASCENSION SETON EDGAR B DAVIS

Luling, TX · CCN 451371 · Rates published

30,010 distinct procedures filed
128 distinct payers
4,100,701 rate rows
2026-01-01 last MRF observed
Data quality

4,064,706 of 4,100,701 rate rows are consumer-grade (99.1%)

35,995 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 32,736
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,122
template filing: same amount across many unrelated codes — excluded 827
placeholder amount (≤ $0.02) — excluded from medians 310
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tx-csv/741109643-1356446686_ascension-seton_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 9c0b48839824a92c… · 68,456,675 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
7019157
CDM 		Cmpnt Fem Ps Cmt Rt 67.5mm 116 $75.00 $567,623.95 $229,041.24 nat. median
$224,062
1.0× median
0100T
HCPCS 		Prosth Retina Receive&gen 5 $3,129.51 $178,425.59 $146,400.48 nat. median
$11,210
outlier · 13.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $6,150.00 $231,758.00 $130,484.00 nat. median
$265,286
outlier · 0.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $6,150.00 $231,758.00 $130,484.00 nat. median
$108,660
1.2× median
10026890
CDM 		Ammonul 10mg/ml 50ml 117 $49.00 $282,880.17 $119,107.44 nat. median
$29,777
outlier · 4.0×
7092679
CDM 		Implant Cochlear W/slim Elect 116 $49.00 $230,721.18 $111,312.85 nat. median
$113,337
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $6,150.00 $134,056.00 $109,926.00 nat. median
$60,726
1.8× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 $2,246.22 $100,656.00 $82,538.00 nat. median
$47,651
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 9 $6,150.00 $107,930.68 $76,412.00 nat. median
$99,019
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $6,150.00 $78,173.00 $64,102.00 nat. median
$65,950
1.0× median
10034001
CDM 		Tagraxofusp 10mcg-1000mcg/ml 117 $75.00 $151,427.34 $63,758.88 nat. median
$63,759
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $6,150.00 $112,179.00 $60,937.22 nat. median
$93,672
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $6,150.00 $108,001.31 $57,075.65 nat. median
$117,357
outlier · 0.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $6,150.00 $112,179.00 $54,199.60 nat. median
$74,915
0.7× median
7092814
CDM 		Mesh Hernia Phasix Rnd 10x12 117 $75.00 $128,862.75 $51,997.25 nat. median
$53,128
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $6,150.00 $95,818.00 $51,352.62 nat. median
$79,312
0.6× median
7092822
CDM 		Component Femoral Rotating 117 $75.00 $127,000.56 $51,245.84 nat. median
$51,578
1.0× median
7033621
CDM 		Knee Fem Nexgen Rot Hinge D Lt 117 $49.00 $127,000.56 $51,245.84 nat. median
$51,578
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $6,150.00 $112,179.00 $50,546.29 nat. median
$61,920
0.8× median
7092245
CDM 		Mesh Phasix St Rectang 20x25 117 $49.00 $122,699.05 $49,510.14 nat. median
$49,831
1.0× median
7092831
CDM 		Tibial Revision Mbt Sz 2 25 116 $49.00 $122,545.15 $49,448.04 nat. median
$49,448
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $6,150.00 $112,179.00 $49,320.23 nat. median
$64,508
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 9 $2,263.12 $58,933.00 $48,325.00 nat. median
$51,307
0.9× median
7092849
CDM 		Component Femellptc Lft 7cm 116 $75.00 $119,421.55 $48,187.64 nat. median
$48,499
1.0× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $6,150.00 $112,179.00 $47,644.50 nat. median
$52,879
0.9× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $6,150.00 $112,179.00 $47,644.50 nat. median
$48,732
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 15 $6,150.00 $95,818.00 $47,549.32 nat. median
$59,898
0.8× median
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 8 $6,150.00 $57,431.00 $47,093.00 nat. median
$43,757
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $6,150.00 $87,228.18 $46,689.09 nat. median
$100,136
outlier · 0.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $6,150.00 $84,912.00 $45,739.78 nat. median
$73,807
0.6× median
7092873
CDM 		Component Femoral Left Sz 1 116 $49.00 $111,352.35 $44,443.26 nat. median
$45,223
1.0× median
10032342
CDM 		Alemtuzumab 10mg/ml Inj 116 $49.00 $106,483.70 $44,368.21 nat. median
$44,835
1.0× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 12 $6,150.00 $66,295.00 $44,268.56 nat. median
$50,672
0.9× median
10024013
CDM 		Stelara Pfs Per 1mg (90mg) 117 $49.00 $104,418.59 $43,965.72 nat. median
$9,992
outlier · 4.4×
7092881
CDM 		Component Femoral Left 7cm 117 $75.00 $108,150.66 $43,639.74 nat. median
$43,923
1.0× median
7032269
CDM 		Impl Knee Fem Stem Oss 5cm Rt 116 $49.00 $107,378.88 $42,857.36 nat. median
$43,609
1.0× median
7
MS_DRG 		Lung Transplant 9 $6,150.00 $78,577.14 $42,363.57 nat. median
$122,708
outlier · 0.3×
7092903
CDM 		Component Femoral Dist Rt 3 117 $49.00 $103,987.66 $41,959.93 nat. median
$42,232
1.0× median
7052111
CDM 		Fem Journey Ii Bcs Oxin 3 Lt 117 $75.00 $103,247.80 $41,661.39 nat. median
$41,661
1.0× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 9 $6,150.00 $50,509.00 $41,418.00 nat. median
$40,005
1.0× median
7043392
CDM 		Sys Hip Integral 180 13x180mm 116 $75.00 $102,567.79 $41,387.00 nat. median
$42,287
1.0× median
7043406
CDM 		Sys Hip Integral 180 16x180mm 116 $75.00 $102,567.79 $41,387.00 nat. median
$41,387
1.0× median
7092920
CDM 		Stem Femoral Metaphyseal 45a 116 $75.00 $101,928.26 $41,128.94 nat. median
$41,395
1.0× median
7033729
CDM 		Fem Nexgen Lcck F-r 117 $75.00 $101,524.41 $40,965.99 nat. median
$41,232
1.0× median
7092938
CDM 		Component Femoral Rt 57.5x64 117 $75.00 $101,524.13 $40,965.88 nat. median
$41,231
1.0× median
7092946
CDM 		Component Femoral Lf 61.5x68 117 $75.00 $101,524.13 $40,965.88 nat. median
$41,231
1.0× median
7032226
CDM 		Impl Hip Body Con Arcos Szc 80 116 $75.00 $100,546.57 $40,571.43 nat. median
$40,834
1.0× median
7091397
CDM 		Impl Hip Prox Body Arcos 70mm 116 $75.00 $100,546.29 $40,571.31 nat. median
$40,834
1.0× median
7092954
CDM 		Sys Revision Prox Sza 50mm 117 $49.00 $100,546.29 $40,571.31 nat. median
$40,571
1.0× median
7092962
CDM 		Body Cone Standard Arc 60mm 117 $75.00 $100,546.29 $40,571.31 nat. median
$40,834
1.0× median

Other procedures at this hospital

Browse this hospital's 30,010 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
             
7019157 CDM Cmpnt Fem Ps Cmt Rt 67.5mm 250 116 $497,915.75 $179,249.67 64% off $75.00 $567,623.95 $229,041.24 2026-01-01
0100T HCPCS Prosth Retina Receive&gen 6 5 — — $3,129.51 $178,425.59 $146,400.48 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 12 — — $6,150.00 $231,758.00 $130,484.00 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 12 — — $6,150.00 $231,758.00 $130,484.00 2026-01-01
10026890 CDM Ammonul 10mg/ml 50ml 247 117 $248,140.50 $89,330.58 64% off $49.00 $282,880.17 $119,107.44 2026-01-01
7092679 CDM Implant Cochlear W/slim Elect 219 116 $202,387.00 $72,859.32 64% off $49.00 $230,721.18 $111,312.85 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 9 — — $6,150.00 $134,056.00 $109,926.00 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 9 — — $2,246.22 $100,656.00 $82,538.00 2026-01-01
215 MS_DRG Other Heart Assist System Implant 15 9 — — $6,150.00 $107,930.68 $76,412.00 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 9 — — $6,150.00 $78,173.00 $64,102.00 2026-01-01
10034001 CDM Tagraxofusp 10mcg-1000mcg/ml 247 117 $132,831.00 $47,819.16 64% off $75.00 $151,427.34 $63,758.88 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 15 — — $6,150.00 $112,179.00 $60,937.22 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 9 — — $6,150.00 $108,001.31 $57,075.65 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 15 — — $6,150.00 $112,179.00 $54,199.60 2026-01-01
7092814 CDM Mesh Hernia Phasix Rnd 10x12 251 117 $113,037.50 $40,693.50 64% off $75.00 $128,862.75 $51,997.25 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 15 — — $6,150.00 $95,818.00 $51,352.62 2026-01-01
7092822 CDM Component Femoral Rotating 251 117 $111,404.00 $40,105.44 64% off $75.00 $127,000.56 $51,245.84 2026-01-01
7033621 CDM Knee Fem Nexgen Rot Hinge D Lt 251 117 $111,404.00 $40,105.44 64% off $49.00 $127,000.56 $51,245.84 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 15 — — $6,150.00 $112,179.00 $50,546.29 2026-01-01
7092245 CDM Mesh Phasix St Rectang 20x25 251 117 $107,630.75 $38,747.07 64% off $49.00 $122,699.05 $49,510.14 2026-01-01
7092831 CDM Tibial Revision Mbt Sz 2 25 250 116 $107,495.75 $38,698.47 64% off $49.00 $122,545.15 $49,448.04 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 15 — — $6,150.00 $112,179.00 $49,320.23 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 9 — — $2,263.12 $58,933.00 $48,325.00 2026-01-01
7092849 CDM Component Femellptc Lft 7cm 250 116 $104,755.75 $37,712.07 64% off $75.00 $119,421.55 $48,187.64 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 15 — — $6,150.00 $112,179.00 $47,644.50 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 15 — — $6,150.00 $112,179.00 $47,644.50 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 15 — — $6,150.00 $95,818.00 $47,549.32 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 8 — — $6,150.00 $57,431.00 $47,093.00 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 14 — — $6,150.00 $87,228.18 $46,689.09 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 15 — — $6,150.00 $84,912.00 $45,739.78 2026-01-01
7092873 CDM Component Femoral Left Sz 1 250 116 $97,677.50 $35,163.90 64% off $49.00 $111,352.35 $44,443.26 2026-01-01
10032342 CDM Alemtuzumab 10mg/ml Inj 246 116 $93,406.75 $33,626.43 64% off $49.00 $106,483.70 $44,368.21 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 12 — — $6,150.00 $66,295.00 $44,268.56 2026-01-01
10024013 CDM Stelara Pfs Per 1mg (90mg) 247 117 $91,595.25 $32,974.29 64% off $49.00 $104,418.59 $43,965.72 2026-01-01
7092881 CDM Component Femoral Left 7cm 251 117 $94,869.00 $34,152.84 64% off $75.00 $108,150.66 $43,639.74 2026-01-01
7032269 CDM Impl Knee Fem Stem Oss 5cm Rt 250 116 $94,192.00 $33,909.12 64% off $49.00 $107,378.88 $42,857.36 2026-01-01
7 MS_DRG Lung Transplant 12 9 — — $6,150.00 $78,577.14 $42,363.57 2026-01-01
7092903 CDM Component Femoral Dist Rt 3 251 117 $91,217.25 $32,838.21 64% off $49.00 $103,987.66 $41,959.93 2026-01-01
7052111 CDM Fem Journey Ii Bcs Oxin 3 Lt 251 117 $90,568.25 $32,604.57 64% off $75.00 $103,247.80 $41,661.39 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 9 — — $6,150.00 $50,509.00 $41,418.00 2026-01-01
7043392 CDM Sys Hip Integral 180 13x180mm 250 116 $89,971.75 $32,389.83 64% off $75.00 $102,567.79 $41,387.00 2026-01-01
7043406 CDM Sys Hip Integral 180 16x180mm 250 116 $89,971.75 $32,389.83 64% off $75.00 $102,567.79 $41,387.00 2026-01-01
7092920 CDM Stem Femoral Metaphyseal 45a 250 116 $89,410.75 $32,187.87 64% off $75.00 $101,928.26 $41,128.94 2026-01-01
7033729 CDM Fem Nexgen Lcck F-r 251 117 $89,056.50 $32,060.34 64% off $75.00 $101,524.41 $40,965.99 2026-01-01
7092946 CDM Component Femoral Lf 61.5x68 251 117 $89,056.25 $32,060.25 64% off $75.00 $101,524.13 $40,965.88 2026-01-01
7092938 CDM Component Femoral Rt 57.5x64 251 117 $89,056.25 $32,060.25 64% off $75.00 $101,524.13 $40,965.88 2026-01-01
7032226 CDM Impl Hip Body Con Arcos Szc 80 250 116 $88,198.75 $31,751.55 64% off $75.00 $100,546.57 $40,571.43 2026-01-01
7093039 CDM Cone Fem Arcos Cone Prox 70 250 116 $88,198.50 $31,751.46 64% off $75.00 $100,546.29 $40,571.31 2026-01-01
7092962 CDM Body Cone Standard Arc 60mm 251 117 $88,198.50 $31,751.46 64% off $75.00 $100,546.29 $40,571.31 2026-01-01
7092997 CDM Cone Fem Arcos Cne Prox 60mm 250 116 $88,198.50 $31,751.46 64% off $75.00 $100,546.29 $40,571.31 2026-01-01
7093071 CDM Body Fem Arcos Cone Sz A 80mm 250 116 $88,198.50 $31,751.46 64% off $49.00 $100,546.29 $40,571.31 2026-01-01
7093063 CDM Cone Fem Arcos Cone Sz C 70mm 250 116 $88,198.50 $31,751.46 64% off $75.00 $100,546.29 $40,571.31 2026-01-01
7093098 CDM Cone Fem Arcos Cone Sz A 80mm 251 117 $88,198.50 $31,751.46 64% off $75.00 $100,546.29 $40,571.31 2026-01-01
7093021 CDM Cone Fem Arcos Sz C Hi 60mm 250 116 $88,198.50 $31,751.46 64% off $49.00 $100,546.29 $40,571.31 2026-01-01
7093047 CDM Body Con Arcos Std Sz D 70mm 251 117 $88,198.50 $31,751.46 64% off $75.00 $100,546.29 $40,571.31 2026-01-01
7092971 CDM Cone Prox Body Fem Std 60mm 251 117 $88,198.50 $31,751.46 64% off $49.00 $100,546.29 $40,571.31 2026-01-01
7092989 CDM Body Con Arcos Std Sz C 60mm 250 116 $88,198.50 $31,751.46 64% off $75.00 $100,546.29 $40,571.31 2026-01-01
7093055 CDM Body Cone Arcos 70mm 251 117 $88,198.50 $31,751.46 64% off $49.00 $100,546.29 $40,571.31 2026-01-01
7092954 CDM Sys Revision Prox Sza 50mm 251 117 $88,198.50 $31,751.46 64% off $49.00 $100,546.29 $40,571.31 2026-01-01
7093080 CDM Body Cone Standard Sz B 80mm 250 116 $88,198.50 $31,751.46 64% off $75.00 $100,546.29 $40,571.31 2026-01-01
7093012 CDM Body Cone High Arcos Sz B 60mm 251 117 $88,198.50 $31,751.46 64% off $49.00 $100,546.29 $40,571.31 2026-01-01
7091397 CDM Impl Hip Prox Body Arcos 70mm 250 116 $88,198.50 $31,751.46 64% off $75.00 $100,546.29 $40,571.31 2026-01-01
7093195 CDM Component Femoral Lft 67.5mm 250 116 $87,611.50 $31,540.14 64% off $49.00 $99,877.11 $40,301.29 2026-01-01
7093209 CDM Component Femoral Lft 72.5mm 251 117 $87,611.50 $31,540.14 64% off $75.00 $99,877.11 $40,301.29 2026-01-01
7093101 CDM Component Fem Interlck Rt 60 251 117 $87,611.50 $31,540.14 64% off $75.00 $99,877.11 $40,301.29 2026-01-01
7093187 CDM Component Femoral Lft 62.5mm 251 117 $87,611.50 $31,540.14 64% off $75.00 $99,877.11 $40,301.29 2026-01-01
7040164 CDM Impl Cmpnt Fem Vangrd Rt 70mm 251 117 $87,611.50 $31,540.14 64% off $75.00 $99,877.11 $40,301.29 2026-01-01
7093144 CDM Component Femoral Left 65mm 251 117 $87,611.50 $31,540.14 64% off $49.00 $99,877.11 $40,301.29 2026-01-01
7093136 CDM Component Femoral Left 55mm 250 116 $87,611.50 $31,540.14 64% off $75.00 $99,877.11 $40,301.29 2026-01-01
7093128 CDM Housing Stem Femoral 75 Rt 251 117 $87,611.50 $31,540.14 64% off $49.00 $99,877.11 $40,301.29 2026-01-01
7093110 CDM Component Fem Interlck Rt 70 250 116 $87,611.50 $31,540.14 64% off $75.00 $99,877.11 $40,301.29 2026-01-01
7093179 CDM Component Femoral Lft 60mm 250 116 $87,611.50 $31,540.14 64% off $49.00 $99,877.11 $40,301.29 2026-01-01
7093152 CDM Component Femoral Rt 62.5mm 251 117 $87,611.50 $31,540.14 64% off $49.00 $99,877.11 $40,301.29 2026-01-01
7093004 CDM Body Cone High Arcos Sz A 50mm 250 116 $88,198.50 $31,751.46 64% off $49.00 $100,546.29 $40,130.32 2026-01-01
7093217 CDM Gft Endovas 25x20x140mm 251 117 $87,188.75 $31,387.95 64% off $75.00 $99,395.18 $40,106.82 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 9 — — $1,849.01 $48,592.00 $39,846.00 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 15 — — $6,150.00 $84,912.00 $39,684.40 2026-01-01
245 MS_DRG Aicd Generator Procedures 15 9 — — $6,150.00 $48,390.00 $39,680.00 2026-01-01
7093225 CDM Stem Revr Prim Hum 14x108mm 251 117 $85,096.25 $30,634.65 64% off $75.00 $97,009.73 $39,144.28 2026-01-01
7092687 CDM Impl Shldr Hum Stem 14x108mm 250 116 $85,096.25 $30,634.65 64% off $49.00 $97,009.73 $38,718.79 2026-01-01
7093233 CDM Cmpnt Fem Rot Hinge Lt Md 66 251 117 $83,846.25 $30,184.65 64% off $75.00 $95,584.73 $38,569.28 2026-01-01
7098499 CDM Impl Fem Lefion Constran Lt 250 116 $83,763.50 $30,154.86 64% off $75.00 $95,490.39 $38,531.21 2026-01-01
7093250 CDM Component Femoral Rt Legn 7 250 116 $83,763.50 $30,154.86 64% off $49.00 $95,490.39 $38,531.21 2026-01-01
7093241 CDM Component Femoral Lf Legn 4 250 116 $83,763.50 $30,154.86 64% off $49.00 $95,490.39 $38,531.21 2026-01-01
7093276 CDM Prosthesis Head Neck 11x45x150 250 116 $83,440.50 $30,038.58 64% off $75.00 $95,122.17 $38,382.63 2026-01-01
7093268 CDM Prosthesis Head Neck 9x45x150 251 117 $83,440.50 $30,038.58 64% off $49.00 $95,122.17 $38,382.63 2026-01-01
7093306 CDM Stem Femoral Bi-metric 11x34 250 116 $83,440.50 $30,038.58 64% off $49.00 $95,122.17 $38,382.63 2026-01-01
7093284 CDM Prosthesis Head Neck 13x45x150 250 116 $83,440.50 $30,038.58 64% off $75.00 $95,122.17 $38,382.63 2026-01-01
7093292 CDM Prosthesis Head Neck 9x34x200 251 117 $83,440.50 $30,038.58 64% off $49.00 $95,122.17 $38,382.63 2026-01-01
7026528 CDM Impl Component Femoral Total S 250 116 $82,732.50 $29,783.70 64% off $75.00 $94,315.05 $38,056.95 2026-01-01
7093322 CDM Component Fem Rt X3 Triath 251 117 $82,732.25 $29,783.61 64% off $49.00 $94,314.76 $38,056.83 2026-01-01
7090749 CDM Impl Knee Fem Comp Ts Lt Sz7 250 116 $82,732.25 $29,783.61 64% off $49.00 $94,314.76 $38,056.83 2026-01-01
7093357 CDM Component Fem Rt X3 Triath 251 117 $82,732.25 $29,783.61 64% off $75.00 $94,314.76 $38,056.83 2026-01-01
7093314 CDM Component Fem Lft X3 Triathl 251 117 $82,732.25 $29,783.61 64% off $49.00 $94,314.76 $38,056.83 2026-01-01
7093365 CDM Component Fem Rt X3 Triath 251 117 $82,732.25 $29,783.61 64% off $49.00 $94,314.76 $38,056.83 2026-01-01
7093349 CDM Component Fem Lft X3 Triathl 250 116 $82,732.25 $29,783.61 64% off $75.00 $94,314.76 $38,056.83 2026-01-01
10028591 CDM Ocrelizumab 30mg/ml 246 116 $78,936.00 $28,416.96 64% off $75.00 $89,987.04 $37,889.28 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 — — $6,150.00 $63,406.11 $37,600.00 2026-01-01
7093411 CDM Nail Arthrodes Rt 11.5x700mm 250 116 $81,707.50 $29,414.70 64% off $49.00 $93,146.55 $37,585.45 2026-01-01
7093381 CDM Nail Arthrodes T2 11.5x700 251 117 $81,707.50 $29,414.70 64% off $75.00 $93,146.55 $37,585.45 2026-01-01
7093390 CDM Nail Arthrodes Lft 11.5x780 250 116 $81,707.50 $29,414.70 64% off $49.00 $93,146.55 $37,585.45 2026-01-01
7093373 CDM Nail Arthrodes Lft 11.5x620 251 117 $81,707.50 $29,414.70 64% off $75.00 $93,146.55 $37,585.45 2026-01-01
7093403 CDM Nail Arthrodes Rt 11.5x660mm 250 116 $81,707.50 $29,414.70 64% off $75.00 $93,146.55 $37,585.45 2026-01-01
7086385 CDM Implant Knee Femoralstab Rev 250 116 $81,185.50 $29,226.78 64% off $49.00 $92,551.47 $37,345.33 2026-01-01
7086326 CDM Impl Femur Tri Ts Left Sz 8 250 116 $81,185.50 $29,226.78 64% off $49.00 $92,551.47 $37,345.33 2026-01-01
7085192 CDM Impl Femur Tri Ts Left Sz 8 250 116 $81,185.50 $29,226.78 64% off $75.00 $92,551.47 $37,345.33 2026-01-01
7043104 CDM Component Femoral Distal 250 116 $79,642.00 $28,671.12 64% off $49.00 $90,791.88 $36,635.32 2026-01-01
7092148 CDM Impl Hip Fem Stem 135 190x17mm 250 116 $79,126.00 $28,485.36 64% off $75.00 $90,203.64 $36,397.96 2026-01-01
7040369 CDM Stem Hip Revision 225x15mm 251 117 $79,126.00 $28,485.36 64% off $75.00 $90,203.64 $36,397.96 2026-01-01
7092121 CDM Impl Hip Fem Stem 135 225x18mm 251 117 $79,126.00 $28,485.36 64% off $49.00 $90,203.64 $36,397.96 2026-01-01
40089144 CDM CT Kyphoplsty Lum 243 116 $62,269.75 $22,417.11 64% off $49.00 $70,987.51 $36,116.46 2026-01-01
40089152 CDM CT Kyphoplsty Thor 243 116 $62,269.75 $22,417.11 64% off $49.00 $70,987.51 $36,116.46 2026-01-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 17 9 — — $6,150.00 $36,000.00 $36,000.00 2026-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 17 9 — — $6,150.00 $36,000.00 $36,000.00 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 17 9 — — $6,150.00 $36,000.00 $36,000.00 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 12 — — $6,150.00 $66,295.00 $36,000.00 2026-01-01
7085761 CDM Stem Fem 135 Dgre 15x225mm 250 116 $77,646.50 $27,952.74 64% off $75.00 $88,517.01 $35,717.39 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 12 — — $6,150.00 $57,676.00 $35,330.60 2026-01-01
7090145 CDM Impl Knee Fem Tc3 Rt Sz1.5 251 117 $76,219.25 $27,438.93 64% off $49.00 $86,889.95 $35,060.86 2026-01-01
7086431 CDM Implant Hip Stem Femoral 251 117 $74,454.50 $26,803.62 64% off $49.00 $84,878.13 $34,249.07 2026-01-01
7085222 CDM Stem Fem Ps Ntral Sz 4 14x165 251 117 $74,454.50 $26,803.62 64% off $49.00 $84,878.13 $34,249.07 2026-01-01
5000084 CDM Surgery Level 6 244 117 $58,052.75 $20,898.99 64% off $49.00 $66,180.13 $33,960.86 2026-01-01
10022215 CDM Vincristine 1mg 243 116 $56,239.00 $20,246.04 64% off $75.00 $64,112.46 $33,181.01 2026-01-01
7029462 CDM Gen Activa Sc 37602 250 116 $71,980.75 $25,913.07 64% off $75.00 $82,058.05 $33,111.14 2026-01-01
7085397 CDM Fem Oxnm Colmb Rev Fcmt F3 Rt 251 117 $71,732.00 $25,823.52 64% off $49.00 $81,774.48 $32,996.72 2026-01-01
7085354 CDM Fem Oxnm Colmb Rev Fcmt F3 Lt 251 117 $71,732.00 $25,823.52 64% off $49.00 $81,774.48 $32,996.72 2026-01-01
7098561 CDM Stem Fem Anthology Ho Sz 13 250 116 $70,850.75 $25,506.27 64% off $49.00 $80,769.85 $32,591.35 2026-01-01
7094361 CDM Stem Fem Primary 251 117 $70,775.25 $25,479.09 64% off $49.00 $80,683.79 $32,556.62 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 39 18 — — $969.15 $52,650.59 $32,454.62 2026-01-01
7094507 CDM Pros Penile Ams 700 Lgx 12cm 251 117 $70,263.75 $25,294.95 64% off $49.00 $80,100.68 $32,321.33 2026-01-01
7089635 CDM Prosthesis Penile Ams 700 21cm 250 116 $70,263.50 $25,294.86 64% off $49.00 $80,100.39 $32,321.21 2026-01-01
7089660 CDM Prosthesis Penile Ams 700 15cm 251 117 $70,263.25 $25,294.77 64% off $75.00 $80,100.10 $32,321.10 2026-01-01
7043562 CDM Fem Hip Stem Bi-metric Ho Sz7 251 117 $70,107.50 $25,238.70 64% off $75.00 $79,922.55 $32,249.45 2026-01-01
7043597 CDM Fem Hip Stem Bi-metric Ho Sz12 250 116 $70,107.50 $25,238.70 64% off $75.00 $79,922.55 $32,249.45 2026-01-01
7043546 CDM Fem Hip Stem Bi-metric Std Sz7 250 116 $70,107.50 $25,238.70 64% off $49.00 $79,922.55 $32,249.45 2026-01-01
7043571 CDM Fem Hip Stem Bi-metric Ho Sz9 250 116 $70,107.50 $25,238.70 64% off $49.00 $79,922.55 $32,249.45 2026-01-01
7043554 CDM Fem Hip Stem Bi-metric Ho Sz13 251 117 $70,107.50 $25,238.70 64% off $49.00 $79,922.55 $32,249.45 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 9 — — $2,797.36 $39,115.00 $32,075.00 2026-01-01
7086733 CDM Stem Fem Prim Lat Head 12x165 250 116 $69,452.50 $25,002.90 64% off $75.00 $79,175.85 $31,948.15 2026-01-01
7043589 CDM Fem Hip Stem Bi-metric Ho Sz11 250 116 $70,107.50 $25,238.70 64% off $49.00 $79,922.55 $31,898.92 2026-01-01
7089414 CDM Prosthesis Penile 700 Cx 18cm 250 116 $68,961.00 $24,825.96 64% off $49.00 $78,615.54 $31,722.06 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 9 — — $6,150.00 $38,524.00 $31,589.00 2026-01-01
7092091 CDM Impl Coflex Interlaminar 14mm 250 116 $67,387.25 $24,259.41 64% off $75.00 $76,821.46 $30,998.13 2026-01-01
7092512 CDM Impl Coflex Interlaminr 16mm 250 116 $67,387.25 $24,259.41 64% off $49.00 $76,821.46 $30,998.13 2026-01-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 5 4 — — $23,243.50 $37,770.69 $30,991.33 2026-01-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 2 1 — — $30,779.12 $30,779.12 $30,779.12 2026-01-01
5000076 CDM Surgery Level 5 243 116 $52,775.25 $18,999.09 64% off $49.00 $60,163.79 $30,609.65 2026-01-01
7092661 CDM Prosthesis Penile W/pump 16 250 116 $66,182.25 $23,825.61 64% off $49.00 $75,447.76 $30,443.83 2026-01-01
5000068 CDM Surgery Level 4 244 117 $51,760.25 $18,633.69 64% off $49.00 $59,006.68 $30,279.74 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 12 — — $6,150.00 $50,086.00 $29,980.44 2026-01-01
10031630 CDM Carmust7.7mgwaf#8 247 117 $62,391.50 $22,460.94 64% off $49.00 $71,126.31 $29,947.92 2026-01-01
7032455 CDM Stem Fem Tri-lock Ho Sz 5 250 116 $64,375.75 $23,175.27 64% off $75.00 $73,388.35 $29,612.85 2026-01-01
7023944 CDM Stem Fem Standard 250 116 $64,375.75 $23,175.27 64% off $75.00 $73,388.35 $29,612.85 2026-01-01
7034687 CDM Stem Femoral 12/14 251 117 $63,999.00 $23,039.64 64% off $49.00 $72,958.86 $29,439.54 2026-01-01
7022557 CDM Imp Cmpnt Fem Vega Cemnt F4 Lt 251 117 $63,903.00 $23,005.08 64% off $49.00 $72,849.42 $29,395.38 2026-01-01
7093535 CDM Imp Cmpnt Fem Vega Cemnt F4n L 251 117 $63,903.00 $23,005.08 64% off $75.00 $72,849.42 $29,395.38 2026-01-01
7085362 CDM Tib Ofst Oxnm Colm Rev Fcmt T1 251 117 $63,347.50 $22,805.10 64% off $49.00 $72,216.15 $29,139.85 2026-01-01
7090412 CDM Hip Fem Stem Collarless Sz9 251 117 $63,291.00 $22,784.76 64% off $75.00 $72,151.74 $29,113.86 2026-01-01
7090315 CDM Impl Hip Fem Stem Corail2 Sz10 251 117 $63,291.00 $22,784.76 64% off $75.00 $72,151.74 $29,113.86 2026-01-01
7034776 CDM Stem Fem Corail Sz12 251 117 $63,291.00 $22,784.76 64% off $49.00 $72,151.74 $29,113.86 2026-01-01
7089872 CDM Impl Hip Fem Stem Sz13 250 116 $63,291.00 $22,784.76 64% off $75.00 $72,151.74 $29,113.86 2026-01-01
7032676 CDM Impl Stem Conrail Sz 16 250 116 $63,291.00 $22,784.76 64% off $49.00 $72,151.74 $29,113.86 2026-01-01
7090625 CDM Impl Hip Fem Stem Corail2 Sz15 250 116 $63,291.00 $22,784.76 64% off $75.00 $72,151.74 $29,113.86 2026-01-01
7090960 CDM Impl Hip Fem Stem Corail2 Sz10 251 117 $63,291.00 $22,784.76 64% off $75.00 $72,151.74 $29,113.86 2026-01-01
7096232 CDM Stem Femoral Collared Std 14 251 117 $63,291.00 $22,784.76 64% off $75.00 $72,151.74 $29,113.86 2026-01-01
7091044 CDM Hip Fem Stem Coxa Vara Sz13 250 116 $63,291.00 $22,784.76 64% off $75.00 $72,151.74 $29,113.86 2026-01-01
7032650 CDM Stem Femoral Collared Standard 250 116 $63,291.00 $22,784.76 64% off $75.00 $72,151.74 $29,113.86 2026-01-01
7034768 CDM Stem Fem Corail Sz11 251 117 $63,291.00 $22,784.76 64% off $49.00 $72,151.74 $29,113.86 2026-01-01
7034750 CDM Stem Femoral Collared Std 9 251 117 $63,291.00 $22,784.76 64% off $49.00 $72,151.74 $29,113.86 2026-01-01
7085486 CDM Stem Fem Standard Offset Sz 5 250 116 $63,172.75 $22,742.19 64% off $75.00 $72,016.93 $29,059.47 2026-01-01
7085346 CDM Stem Fem Standard Offset Sz 8 251 117 $63,172.75 $22,742.19 64% off $75.00 $72,016.93 $29,059.47 2026-01-01
7092393 CDM Impl Hip Fem Stem Collrd Sz3 250 116 $63,848.00 $22,985.28 64% off $49.00 $72,786.72 $29,050.84 2026-01-01
7089996 CDM Hip Fem Stem Alt 12/14 Sz10 251 117 $62,832.75 $22,619.79 64% off $75.00 $71,629.34 $28,903.06 2026-01-01
7085371 CDM Cmpnt Fem Asvega Ps Cmt F5n Lt 250 116 $62,709.00 $22,575.24 64% off $49.00 $71,488.26 $28,846.14 2026-01-01
7085389 CDM Cmpnt Fem Asvega Pscmt F4n Rt 251 117 $62,709.00 $22,575.24 64% off $49.00 $71,488.26 $28,846.14 2026-01-01
7086083 CDM Hinge Rtating Mdlr Rt Sm 251 117 $62,663.25 $22,558.77 64% off $49.00 $71,436.10 $28,825.10 2026-01-01
7087730 CDM Hinge Rotat Mod Rt Gmrs Sm 251 117 $62,660.75 $22,557.87 64% off $49.00 $71,433.26 $28,823.94 2026-01-01
7032668 CDM Stem Femoral Collared Standard 250 116 $63,291.00 $22,784.76 64% off $49.00 $72,151.74 $28,797.40 2026-01-01
7024274 CDM Stem Femoral Collared Std 11 250 116 $63,291.00 $22,784.76 64% off $49.00 $72,151.74 $28,797.40 2026-01-01
7090692 CDM Impl Hip Fem Stem 175mm Sz17 250 116 $62,192.25 $22,389.21 64% off $49.00 $70,899.16 $28,608.44 2026-01-01
7025572 CDM Impl Hip Comp Femoral Syn Por 250 116 $62,192.25 $22,389.21 64% off $75.00 $70,899.16 $28,608.44 2026-01-01
7098529 CDM Impl Hip Stem 71306117 251 117 $62,192.25 $22,389.21 64% off $75.00 $70,899.16 $28,608.44 2026-01-01
7089627 CDM Cage Pyramesh Cyl 13x70 251 117 $62,117.00 $22,362.12 64% off $49.00 $70,813.38 $28,573.82 2026-01-01
10031346 CDM Lanreotide 120 Mg/0.5 Ml 246 116 $59,641.00 $21,470.76 64% off $49.00 $67,990.74 $28,329.47 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 9 — — $6,150.00 $34,427.00 $28,230.00 2026-01-01
7023391 CDM Stem Fem Lateralized 251 117 $61,168.75 $22,020.75 64% off $75.00 $69,732.38 $28,137.63 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 20 12 — — $6,150.00 $40,663.00 $28,000.00 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 9 — — $6,150.00 $29,285.69 $28,000.00 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 17 9 — — $6,150.00 $28,000.00 $28,000.00 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 12 — — $6,150.00 $43,309.00 $28,000.00 2026-01-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 6 5 — — $16,771.89 $34,068.93 $27,953.99 2026-01-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 6 5 — — $790.45 $34,068.93 $27,953.99 2026-01-01
7092598 CDM Impl Hum Insert Simpliciti Sz1 250 116 $60,392.50 $21,741.30 64% off $75.00 $68,847.45 $27,780.55 2026-01-01
81529 CPT Onc Cutan Mlnma Mrna 31 Gene 5 4 — — $13,666.70 $33,879.03 $27,764.98 2026-01-01
7034822 CDM Aug Fem Cone Triathl Sz 7 8 Lt 250 116 $60,129.50 $21,646.62 64% off $49.00 $68,547.63 $27,659.57 2026-01-01
7050704 CDM Hum Stem Reunion S Tsa Pf 16x1 250 116 $60,027.75 $21,609.99 64% off $49.00 $68,431.63 $27,612.76 2026-01-01
7050691 CDM Hum Stem Reunion S Tsa Pf 11x9 250 116 $60,027.75 $21,609.99 64% off $75.00 $68,431.63 $27,612.76 2026-01-01
7050682 CDM Hum Stem Reunion S Tsa Pf 12x9 250 116 $60,027.75 $21,609.99 64% off $75.00 $68,431.63 $27,612.76 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 9 — — $6,150.00 $33,565.00 $27,523.00 2026-01-01
7028440 CDM Fem Persona Cr Nrrw Mid Sz7 Lt 251 117 $59,534.25 $21,432.33 64% off $49.00 $67,869.04 $27,385.76 2026-01-01
7028431 CDM Fem Knee Comp Psn Ps Rt Sz9 250 116 $59,534.25 $21,432.33 64% off $49.00 $67,869.04 $27,385.76 2026-01-01
7028423 CDM Fem Knee Comp Psn Ps Rt Sz6 251 117 $59,534.25 $21,432.33 64% off $75.00 $67,869.04 $27,385.76 2026-01-01
7103026 CDM Fem Persona Cr Std Cmt Sz6 Lt 250 116 $59,534.25 $21,432.33 64% off $49.00 $67,869.04 $27,385.76 2026-01-01
7103000 CDM Fem Knee Comp Psn Ps Rt Sz7 250 116 $59,534.25 $21,432.33 64% off $75.00 $67,869.04 $27,385.76 2026-01-01
7103018 CDM Impl Knee Fem Comp Std Rt Sz10 251 117 $59,534.25 $21,432.33 64% off $75.00 $67,869.04 $27,385.76 2026-01-01
7091338 CDM Knee Fem Comp Stnd Sz10 Lt 251 117 $59,534.00 $21,432.24 64% off $75.00 $67,868.76 $27,385.64 2026-01-01
7091362 CDM Impl Knee Fem Comp Stnd Sz8 Lt 250 116 $59,534.00 $21,432.24 64% off $75.00 $67,868.76 $27,385.64 2026-01-01
7091401 CDM Knee Fem Comp Stnd Sz09 Lt 250 116 $59,534.00 $21,432.24 64% off $75.00 $67,868.76 $27,385.64 2026-01-01
7091516 CDM Knee Fem Comp Nrrw Sz06 Rt 251 117 $59,534.00 $21,432.24 64% off $75.00 $67,868.76 $27,385.64 2026-01-01
7091346 CDM Knee Fem Comp Stnd Sz11 Rt 251 117 $59,534.00 $21,432.24 64% off $49.00 $67,868.76 $27,385.64 2026-01-01
7091371 CDM Knee Fem Comp Nrrw Sz06 Lt 251 117 $59,534.00 $21,432.24 64% off $75.00 $67,868.76 $27,385.64 2026-01-01
7091494 CDM Impl Knee Fem Comp Stnd Sz9 Lt 251 117 $59,534.00 $21,432.24 64% off $49.00 $67,868.76 $27,385.64 2026-01-01
7091524 CDM Impl Knee Fem Comp Stnd Sz5 Rt 250 116 $59,534.00 $21,432.24 64% off $75.00 $67,868.76 $27,385.64 2026-01-01
7091508 CDM Knee Fem Comp Nrrw Sz05 Lt 251 117 $59,534.00 $21,432.24 64% off $49.00 $67,868.76 $27,385.64 2026-01-01
7091915 CDM Impl Hip Prox Body 20x085mm 250 116 $59,315.50 $21,353.58 64% off $75.00 $67,619.67 $27,285.13 2026-01-01
7096267 CDM Fem Sigma Cr Por Rt Sz 5 250 116 $59,195.00 $21,310.20 64% off $49.00 $67,482.30 $27,229.70 2026-01-01
7034547 CDM Fem Sigma Cr Por Rt Sz 3 250 116 $59,195.00 $21,310.20 64% off $75.00 $67,482.30 $27,229.70 2026-01-01
7045981 CDM Stem Fem Distal 250 116 $59,082.75 $21,269.79 64% off $49.00 $67,354.34 $27,178.06 2026-01-01
7040474 CDM Stem Fem Distal 250 116 $59,082.75 $21,269.79 64% off $49.00 $67,354.34 $27,178.06 2026-01-01
7094434 CDM Stm Hip Taprlc Cmplt High Sz18 251 117 $59,082.75 $21,269.79 64% off $49.00 $67,354.34 $27,178.06 2026-01-01
7090889 CDM Impl Hip Fem Stem 12x140mm 251 117 $59,082.50 $21,269.70 64% off $49.00 $67,354.05 $27,177.95 2026-01-01
7090676 CDM Impl Hip Fem Stem 13x145mm 251 117 $59,082.00 $21,269.52 64% off $49.00 $67,353.48 $27,177.72 2026-01-01
7051905 CDM Stm Hip Taprlc Cmplt High Sz5 251 117 $59,037.25 $21,253.41 64% off $75.00 $67,302.46 $27,157.13 2026-01-01
7085770 CDM Cone Aug Fem Trthln Sz1 2rt 250 116 $59,005.00 $21,241.80 64% off $75.00 $67,265.70 $27,142.30 2026-01-01
7088477 CDM Cone Aug Fem Tri Sz 1 & 2 Rt 251 117 $59,004.25 $21,241.53 64% off $49.00 $67,264.85 $27,141.96 2026-01-01
7085532 CDM Stem Humer Reverse 130 Deg 15 250 116 $58,998.25 $21,239.37 64% off $75.00 $67,258.01 $27,139.19 2026-01-01
7091320 CDM Knee Fem Comp Nrrw Sz10 Lt 250 116 $59,534.00 $21,432.24 64% off $49.00 $67,868.76 $27,087.97 2026-01-01
7091486 CDM Impl Hip Prox Body 20x075mm 250 116 $59,315.50 $21,353.58 64% off $49.00 $67,619.67 $26,988.55 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 12 8 — — $6,150.00 $32,879.00 $26,961.00 2026-01-01
7045441 CDM Impl Hip Stem Accol 132 Sz10 251 117 $58,533.00 $21,071.88 64% off $75.00 $66,727.62 $26,925.18 2026-01-01
7045450 CDM Imp Hip Stem Accolade 127d Sz0 250 116 $58,533.00 $21,071.88 64% off $75.00 $66,727.62 $26,925.18 2026-01-01
7043155 CDM Imp Hip Stem Acclade 127d Sz11 250 116 $58,533.00 $21,071.88 64% off $75.00 $66,727.62 $26,925.18 2026-01-01
7091427 CDM Impl Hip Fem Stem V40 127 Sz2 250 116 $58,533.00 $21,071.88 64% off $49.00 $66,727.62 $26,925.18 2026-01-01
7091435 CDM Impl Hip Fem Stem V40 127 Sz9 251 117 $58,533.00 $21,071.88 64% off $75.00 $66,727.62 $26,925.18 2026-01-01
7043121 CDM Impl Hip Stem Accol 132 Sz11 251 117 $58,533.00 $21,071.88 64% off $49.00 $66,727.62 $26,925.18 2026-01-01
7043147 CDM Imp Hip Stem Acclade 127d Sz10 250 116 $58,533.00 $21,071.88 64% off $49.00 $66,727.62 $26,925.18 2026-01-01
7043139 CDM Imp Hip Stem Accolade 127d Sz1 251 117 $58,533.00 $21,071.88 64% off $75.00 $66,727.62 $26,925.18 2026-01-01
7100850 CDM Impl Hip Stem Accol 132 Sz4 251 117 $58,533.00 $21,071.88 64% off $75.00 $66,727.62 $26,925.18 2026-01-01
7086156 CDM Cmpnt Fem 42-5006-064-01 251 117 $58,421.25 $21,031.65 64% off $49.00 $66,600.23 $26,873.78 2026-01-01
7086164 CDM Cmpnt Fem 42-5020-058-01 250 116 $58,421.25 $21,031.65 64% off $75.00 $66,600.23 $26,873.78 2026-01-01
7086105 CDM Comp Fem 42-5026-062-02 250 116 $58,421.25 $21,031.65 64% off $49.00 $66,600.23 $26,873.78 2026-01-01
7086113 CDM Comp Fem 42-5026-070-01 251 117 $58,421.25 $21,031.65 64% off $49.00 $66,600.23 $26,873.78 2026-01-01
7086148 CDM Cmpnt Fem 42-5026-058-01 251 117 $58,421.25 $21,031.65 64% off $49.00 $66,600.23 $26,873.78 2026-01-01
7086253 CDM Cmpnt Fem 42-5006-056-02 250 116 $58,421.25 $21,031.65 64% off $49.00 $66,600.23 $26,873.78 2026-01-01
7086172 CDM Cmpnt Fem 42-5000-064-02 251 117 $58,421.25 $21,031.65 64% off $49.00 $66,600.23 $26,873.78 2026-01-01
7086199 CDM Cmpnt Fem 42-5026-064-02 250 116 $58,421.25 $21,031.65 64% off $49.00 $66,600.23 $26,873.78 2026-01-01
7086121 CDM Comp Fem 42-5000-068-02 250 116 $58,421.25 $21,031.65 64% off $75.00 $66,600.23 $26,873.78 2026-01-01
7086903 CDM Stem Hip Taprloc Rdc Dstl Sz16 251 117 $57,977.50 $20,871.90 64% off $49.00 $66,094.35 $26,669.65 2026-01-01
7092253 CDM Impl Hip Acet Shll Dynst 3h 50 250 116 $57,975.50 $20,871.18 64% off $75.00 $66,092.07 $26,668.73 2026-01-01
7092377 CDM Impl Hip Acet Shell 3h 60mm 251 117 $57,975.50 $20,871.18 64% off $75.00 $66,092.07 $26,668.73 2026-01-01
7020988 CDM Stem Hip Tprlc Compl Dist 12 251 117 $57,948.00 $20,861.28 64% off $49.00 $66,060.72 $26,656.08 2026-01-01
7082843 CDM Hip Stem Dis Tprlc Red Comp 13 251 117 $57,948.00 $20,861.28 64% off $75.00 $66,060.72 $26,656.08 2026-01-01
7021003 CDM Stem Hip Tprlc Compl Dist 17 250 116 $57,948.00 $20,861.28 64% off $75.00 $66,060.72 $26,656.08 2026-01-01
7082860 CDM Stem Hip Taplc Comp Rd Dis 14 250 116 $57,948.00 $20,861.28 64% off $75.00 $66,060.72 $26,656.08 2026-01-01
7021011 CDM Stem Hip Tprlc Compl Dist 9 251 117 $57,948.00 $20,861.28 64% off $75.00 $66,060.72 $26,656.08 2026-01-01
7082436 CDM Stem Fem Dist Std Offset Sz 9 251 117 $57,948.00 $20,861.28 64% off $49.00 $66,060.72 $26,656.08 2026-01-01
7082851 CDM Stem Hip Taprlc Compl Dist 8 251 117 $57,946.00 $20,860.56 64% off $75.00 $66,058.44 $26,655.16 2026-01-01
7083912 CDM Stem Hip Tprlc Compl Dist 12 251 117 $57,946.00 $20,860.56 64% off $49.00 $66,058.44 $26,655.16 2026-01-01
7083785 CDM Stem Hip Taplc Comp Red Dis 10 251 117 $57,913.25 $20,848.77 64% off $75.00 $66,021.10 $26,640.10 2026-01-01
7045433 CDM Impl Hip Stem Accol 132 Sz1 250 116 $58,533.00 $21,071.88 64% off $49.00 $66,727.62 $26,632.51 2026-01-01
7086181 CDM Cmpnt Fem 42-5026-060-02 250 116 $58,421.25 $21,031.65 64% off $49.00 $66,600.23 $26,581.67 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 24 15 — — $6,150.00 $62,521.00 $26,551.00 2026-01-01
7090927 CDM Impl Shoulder Hum Stem 10mm 250 116 $57,509.00 $20,703.24 64% off $49.00 $65,560.26 $26,454.14 2026-01-01
7090765 CDM Impl Shoulder Hum Stem Ap 12mm 250 116 $57,509.00 $20,703.24 64% off $75.00 $65,560.26 $26,454.14 2026-01-01
7086130 CDM Stem Hip Accld 127 Sz 9 250 116 $57,438.75 $20,677.95 64% off $49.00 $65,480.18 $26,421.83 2026-01-01
7085699 CDM Stem Fem Acc2 127d Sz8 35x117 251 117 $57,438.75 $20,677.95 64% off $75.00 $65,480.18 $26,421.83 2026-01-01
7085681 CDM Stem Hip Neck Accol 132d Sz2 251 117 $57,438.75 $20,677.95 64% off $75.00 $65,480.18 $26,421.83 2026-01-01
7084935 CDM Stem Hip Neck 132deg Sz3 250 116 $57,438.75 $20,677.95 64% off $49.00 $65,480.18 $26,421.83 2026-01-01
7087942 CDM Stem Hip Nck Accl 132 Deg Sz 8 250 116 $57,438.75 $20,677.95 64% off $75.00 $65,480.18 $26,421.83 2026-01-01
7021470 CDM Stem Hip Taprlc Compl Dist 10 250 116 $57,948.00 $20,861.28 64% off $49.00 $66,060.72 $26,366.34 2026-01-01
7051433 CDM Hum Stem Reunion S Tsa Pf 14x9 251 117 $57,299.00 $20,627.64 64% off $75.00 $65,320.86 $26,357.54 2026-01-01
7051573 CDM Hum Stem Reunion S Tsa Pf 13x9 250 116 $57,298.75 $20,627.55 64% off $75.00 $65,320.57 $26,357.42 2026-01-01
7090757 CDM Impl Knee Fem Comp Sz4n Rt 251 117 $57,298.50 $20,627.46 64% off $75.00 $65,320.29 $26,357.31 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 9 — — $6,150.00 $46,054.21 $26,102.10 2026-01-01
69930 CPT Implant Cochlear Device 42 20 — — $969.15 $38,736.73 $25,960.08 2026-01-01
0312T HCPCS Laps Impltj Nstim Vagus 1 1 — — $25,823.85 $25,823.85 $25,823.85 2026-01-01
0316T HCPCS Replc Vagus Nerve Pls Gen 1 1 — — $25,823.85 $25,823.85 $25,823.85 2026-01-01
0283T HCPCS Periph Field Stimul Perm 1 1 — — $25,823.85 $25,823.85 $25,823.85 2026-01-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 1 1 — — $25,823.85 $25,823.85 $25,823.85 2026-01-01
7023987 CDM Impl Liner Acetabular Constrai 251 117 $55,807.75 $20,090.79 64% off $49.00 $63,620.83 $25,671.56 2026-01-01
7024240 CDM Impl Fem Stem Summit Taper Sz7 250 116 $55,762.25 $20,074.41 64% off $49.00 $63,568.96 $25,650.63 2026-01-01
7032609 CDM Stem Femoral Stan Porocoat Duo 251 117 $55,762.25 $20,074.41 64% off $49.00 $63,568.96 $25,650.63 2026-01-01
7089490 CDM Implant Hip Stem Fem 157001090 251 117 $55,762.25 $20,074.41 64% off $49.00 $63,568.96 $25,650.63 2026-01-01
7089821 CDM Stem Femoral Poroct 12/14 Sz 2 250 116 $55,762.25 $20,074.41 64% off $49.00 $63,568.96 $25,650.63 2026-01-01
7096160 CDM Implant Stem Femoral Tapered H 251 117 $55,762.25 $20,074.41 64% off $75.00 $63,568.96 $25,650.63 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 25 16 — — $6,150.00 $37,415.00 $25,625.00 2026-01-01
7043091 CDM Stem Femoral Straight 250 116 $55,667.50 $20,040.30 64% off $49.00 $63,460.95 $25,607.05 2026-01-01
7091443 CDM Hip Stem V40 Ss 44.0x205 N2 251 117 $55,641.25 $20,030.85 64% off $75.00 $63,431.03 $25,594.97 2026-01-01
7090536 CDM Impl Knee Fem Comp Bead Rt Sz6 250 116 $55,612.00 $20,020.32 64% off $75.00 $63,397.68 $25,581.52 2026-01-01
7098669 CDM Fem Journey Ii Bcs Oxi Lt Sz2 251 117 $55,566.25 $20,003.85 64% off $49.00 $63,345.53 $25,560.47 2026-01-01
7089732 CDM Cage Pyramesh Round 13x50mm 251 117 $55,491.50 $19,976.94 64% off $49.00 $63,260.31 $25,526.09 2026-01-01
7091702 CDM Knee Fem Comp Oxin Lt Sz08 250 116 $55,465.00 $19,967.40 64% off $49.00 $63,230.10 $25,513.90 2026-01-01
7033613 CDM Impl Tib Plate Nexgen 250 116 $55,265.50 $19,895.58 64% off $75.00 $63,002.67 $25,422.13 2026-01-01
7047631 CDM Stem Hip Tprlc Compl Dist 13 251 117 $55,217.75 $19,878.39 64% off $49.00 $62,948.24 $25,400.17 2026-01-01
7010397 CDM Impl Fem Ps Cement Lt 57.5 250 116 $54,902.75 $19,764.99 64% off $49.00 $62,589.14 $25,255.26 2026-01-01
7043741 CDM Stem Hip Fitmore 251 117 $54,746.25 $19,708.65 64% off $49.00 $62,410.72 $25,183.28 2026-01-01
7090986 CDM Impl Knee Fem Comp Lt Sz2.5 250 116 $55,340.00 $19,922.40 64% off $49.00 $63,087.60 $25,179.70 2026-01-01
7084978 CDM Hip Stem Femoral 157001100 250 116 $54,719.50 $19,699.02 64% off $75.00 $62,380.23 $25,170.97 2026-01-01
81416 CPT Exome Sequence Analysis 16 13 — — $4,090.00 $65,400.00 $25,116.00 2026-01-01
7087675 CDM Component Fem Cr Lft Tri Sz 4 250 116 $54,572.00 $19,645.92 64% off $49.00 $62,212.08 $25,103.12 2026-01-01
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