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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

INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL

Delta, UT · CCN 461300 · Rates published

15,910 distinct procedures filed
41 distinct payers
675,295 rate rows
2026-05-09 last MRF observed
Data quality

667,786 of 675,295 rate rows are consumer-grade (98.9%)

7,509 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 6,948
placeholder amount (≤ $0.02) — excluded from medians 561
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_delta-community-hospital_standardcharges.ashx
Found on page https://intermountainhealthcare.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 0f36c8539916614c… · 3,617,089 bytes · first seen 2026-05-09

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
2722109771
OTHER 		Hc Percutaneous Ventricular Assist Device Lvl 71 40 $39,958.35 $119,875.06 $118,626.36 nat. median
$113,676
1.0× median
2782649771
OTHER 		Hc Valve Implant Lvl 71 40 $39,958.35 $119,875.06 $118,626.36 nat. median
$113,676
1.0× median
2721649601
OTHER 		Hc Kit Pump Device Cardiac Ventricular Smartassist 5.5 S2 40 $38,353.92 $115,061.76 $113,863.20 nat. median
$109,112
1.0× median
278TRIG470
OTHER 		Hc Ntap Triclip G4 Vlv Rpr Systm 40 $38,055.57 $114,166.70 $112,977.47 nat. median
$108,263
1.0× median
2782649770
OTHER 		Hc Valve Implant Lvl 70 40 $38,055.57 $114,166.70 $112,977.47 nat. median
$108,263
1.0× median
2721040201
OTHER 		Hc Berlin Heart Pump Replacement 40 $38,045.34 $114,136.03 $112,947.12 nat. median
$106,751
1.1× median
2721649701
OTHER 		Hc Pump Blood Vad With Valves 40 $38,045.34 $114,136.03 $112,947.12 nat. median
$108,234
1.0× median
275C188267
OTHER 		Hc Icd Biv/crt-d Lvl 67 40 $32,873.79 $98,621.38 $97,594.07 nat. median
$93,521
1.0× median
278C188966
OTHER 		Hc Implantable-insertable Device Noc Lvl 66 40 $31,308.37 $93,925.10 $92,946.72 nat. median
$89,068
1.0× median
2782649766
OTHER 		Hc Valve Implant Lvl 66 40 $31,308.37 $93,925.10 $92,946.72 nat. median
$89,068
1.0× median
278C182366
OTHER 		Hc Neurostim Generator/lead Lvl 66 40 $31,308.37 $93,925.10 $92,946.72 nat. median
$89,068
1.0× median
2782649765
OTHER 		Hc Valve Implant Lvl 65 40 $29,817.49 $89,452.46 $88,520.67 nat. median
$84,827
1.0× median
2782669764
OTHER 		Hc Vascular Stent Graft Implant Lvl 64 40 $28,397.60 $85,192.80 $84,305.38 nat. median
$80,787
1.0× median
2782649764
OTHER 		Hc Valve Implant Lvl 64 40 $28,397.60 $85,192.80 $84,305.38 nat. median
$80,787
1.0× median
2782649763
OTHER 		Hc Valve Implant Lvl 63 40 $27,045.31 $81,135.94 $80,290.77 nat. median
$76,940
1.0× median
278C188963
OTHER 		Hc Implantable-insertable Device Noc Lvl 63 40 $27,045.31 $81,135.94 $80,290.77 nat. median
$76,940
1.0× median
278C187462
OTHER 		Hc Stent Coated/covered Implant Lvl 62 40 $25,757.44 $77,272.32 $76,467.40 nat. median
$73,276
1.0× median
278C188962
OTHER 		Hc Implantable-insertable Device Noc Lvl 62 40 $25,757.44 $77,272.32 $76,467.40 nat. median
$73,276
1.0× median
2782669762
OTHER 		Hc Vascular Stent Graft Implant Lvl 62 40 $25,757.44 $77,272.32 $76,467.40 nat. median
$73,276
1.0× median
2782649761
OTHER 		Hc Valve Implant Lvl 61 40 $24,530.90 $73,592.69 $72,826.10 nat. median
$69,787
1.0× median
278C182361
OTHER 		Hc Neurostim Generator/lead Lvl 61 40 $24,530.90 $73,592.69 $72,826.10 nat. median
$69,787
1.0× median
2722109761
OTHER 		Hc Percutaneous Ventricular Assist Device Lvl 61 40 $24,530.90 $73,592.69 $72,826.10 nat. median
$69,787
1.0× median
2721649501
OTHER 		Hc Set Pump Impella Cp W/smart Assist 40 $23,535.36 $70,606.08 $69,870.60 nat. median
$66,955
1.0× median
2722109760
OTHER 		Hc Percutaneous Ventricular Assist Device Lvl 60 40 $23,362.74 $70,088.21 $69,358.12 nat. median
$66,464
1.0× median
2782649759
OTHER 		Hc Valve Implant Lvl 59 40 $22,250.22 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
2722109759
OTHER 		Hc Percutaneous Ventricular Assist Device Lvl 59 40 $22,250.22 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
278LIMFW59
OTHER 		Hc Ntap Limflow System 40 $22,250.22 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
275C188259
OTHER 		Hc Icd Biv/crt-d Lvl 59 40 $22,250.22 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
272C176959
OTHER 		Hc Guidewire Lvl 59 40 $22,250.22 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
275C172159
OTHER 		Hc Icd Dual Chamber Lvl 59 40 $22,250.22 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
278C182359
OTHER 		Hc Neurostim Generator/lead Lvl 59 40 $22,250.22 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
278C188959
OTHER 		Hc Implantable-insertable Device Noc Lvl 59 40 $22,250.22 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
278C262459
OTHER 		Hc Wireless Pressure Sensor Lvl 59 40 $22,250.22 $66,750.67 $66,055.35 nat. median
$63,299
1.0× median
2782649758
OTHER 		Hc Valve Implant Lvl 58 40 $21,190.69 $63,572.06 $62,909.85 nat. median
$60,285
1.0× median
2722109758
OTHER 		Hc Percutaneous Ventricular Assist Device Lvl 58 40 $21,190.69 $63,572.06 $62,909.85 nat. median
$60,285
1.0× median
2722109757
OTHER 		Hc Percutaneous Ventricular Assist Device Lvl 57 40 $20,181.58 $60,544.75 $59,914.08 nat. median
$57,414
1.0× median
4813347701
OTHER 		Hc Pulmonary Valve Implatantation Perq 40 $19,756.68 $59,270.03 $58,652.63 nat. median
$49,392
1.2× median
275C172256
OTHER 		Hc Icd Single Chamber Lvl 56 40 $19,220.56 $57,661.68 $57,061.04 nat. median
$54,680
1.0× median
275C188256
OTHER 		Hc Icd Biv/crt-d Lvl 56 40 $19,220.56 $57,661.68 $57,061.04 nat. median
$54,680
1.0× median
278C182656
OTHER 		Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 40 $19,220.56 $57,661.68 $57,061.04 nat. median
$54,680
1.0× median
2721489756
OTHER 		Hc Cardiovascular Non Implant Supply Lvl 56 40 $19,220.56 $57,661.68 $57,061.04 nat. median
$54,680
1.0× median
4813322101
OTHER 		Hc Insert Pulse Gen Mult Leads 40 $18,512.85 $55,538.56 $54,960.04 nat. median
$41,654
1.3× median
2782669755
OTHER 		Hc Vascular Stent Graft Implant Lvl 55 40 $18,305.28 $54,915.84 $54,343.80 nat. median
$52,076
1.0× median
2782649755
OTHER 		Hc Valve Implant Lvl 55 40 $18,305.28 $54,915.84 $54,343.80 nat. median
$52,076
1.0× median
275C188255
OTHER 		Hc Icd Biv/crt-d Lvl 55 40 $18,305.28 $54,915.84 $54,343.80 nat. median
$52,076
1.0× median
Q2043
OTHER 		Sipuleucel-t Auto Cd54+ 10 $53,981.46 $53,981.46 $53,981.46 nat. median
$55,946
1.0× median
7613722902
OTHER 		Hc Revasc Tib Pero Arther Pta/initial Unilateral 40 $18,028.05 $54,084.16 $53,520.79 nat. median
$42,750
1.3× median
2782669754
OTHER 		Hc Vascular Stent Graft Implant Lvl 54 40 $17,433.58 $52,300.75 $51,755.95 nat. median
$49,596
1.0× median
275C188254
OTHER 		Hc Icd Biv/crt-d Lvl 54 40 $17,433.58 $52,300.75 $51,755.95 nat. median
$49,596
1.0× median
4813399941
OTHER 		Hc Carotid Approach Tavr 40 $17,388.27 $52,164.81 $51,621.42 nat. median
$45,644
1.1× median

Other procedures at this hospital

Browse this hospital's 15,910 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
2782649771 OTHER Hc Valve Implant Lvl 71 71 40 $124,869.85 $93,652.39 25% off $39,958.35 $119,875.06 $118,626.36 2026-05-09
2722109771 OTHER Hc Percutaneous Ventricular Assist Device Lvl 71 71 40 $124,869.85 $93,652.39 25% off $39,958.35 $119,875.06 $118,626.36 2026-05-09
2721649601 OTHER Hc Kit Pump Device Cardiac Ventricular Smartassist 5.5 S2 71 40 $119,856.00 $89,892.00 25% off $38,353.92 $115,061.76 $113,863.20 2026-05-09
2782649770 OTHER Hc Valve Implant Lvl 70 71 40 $118,923.65 $89,192.74 25% off $38,055.57 $114,166.70 $112,977.47 2026-05-09
278TRIG470 OTHER Hc Ntap Triclip G4 Vlv Rpr Systm 71 40 $118,923.65 $89,192.74 25% off $38,055.57 $114,166.70 $112,977.47 2026-05-09
2721649701 OTHER Hc Pump Blood Vad With Valves 71 40 $118,891.70 $89,168.78 25% off $38,045.34 $114,136.03 $112,947.12 2026-05-09
2721040201 OTHER Hc Berlin Heart Pump Replacement 71 40 $118,891.70 $89,168.78 25% off $38,045.34 $114,136.03 $112,947.12 2026-05-09
275C188267 OTHER Hc Icd Biv/crt-d Lvl 67 71 40 $102,730.60 $77,047.95 25% off $32,873.79 $98,621.38 $97,594.07 2026-05-09
278C182366 OTHER Hc Neurostim Generator/lead Lvl 66 71 40 $97,838.65 $73,378.99 25% off $31,308.37 $93,925.10 $92,946.72 2026-05-09
278C188966 OTHER Hc Implantable-insertable Device Noc Lvl 66 71 40 $97,838.65 $73,378.99 25% off $31,308.37 $93,925.10 $92,946.72 2026-05-09
2782649766 OTHER Hc Valve Implant Lvl 66 71 40 $97,838.65 $73,378.99 25% off $31,308.37 $93,925.10 $92,946.72 2026-05-09
2782649765 OTHER Hc Valve Implant Lvl 65 71 40 $93,179.65 $69,884.74 25% off $29,817.49 $89,452.46 $88,520.67 2026-05-09
2782649764 OTHER Hc Valve Implant Lvl 64 71 40 $88,742.50 $66,556.88 25% off $28,397.60 $85,192.80 $84,305.38 2026-05-09
2782669764 OTHER Hc Vascular Stent Graft Implant Lvl 64 71 40 $88,742.50 $66,556.88 25% off $28,397.60 $85,192.80 $84,305.38 2026-05-09
278C188963 OTHER Hc Implantable-insertable Device Noc Lvl 63 71 40 $84,516.60 $63,387.45 25% off $27,045.31 $81,135.94 $80,290.77 2026-05-09
2782649763 OTHER Hc Valve Implant Lvl 63 71 40 $84,516.60 $63,387.45 25% off $27,045.31 $81,135.94 $80,290.77 2026-05-09
278C187462 OTHER Hc Stent Coated/covered Implant Lvl 62 71 40 $80,492.00 $60,369.00 25% off $25,757.44 $77,272.32 $76,467.40 2026-05-09
2782669762 OTHER Hc Vascular Stent Graft Implant Lvl 62 71 40 $80,492.00 $60,369.00 25% off $25,757.44 $77,272.32 $76,467.40 2026-05-09
278C188962 OTHER Hc Implantable-insertable Device Noc Lvl 62 71 40 $80,492.00 $60,369.00 25% off $25,757.44 $77,272.32 $76,467.40 2026-05-09
2722109761 OTHER Hc Percutaneous Ventricular Assist Device Lvl 61 71 40 $76,659.05 $57,494.29 25% off $24,530.90 $73,592.69 $72,826.10 2026-05-09
278C182361 OTHER Hc Neurostim Generator/lead Lvl 61 71 40 $76,659.05 $57,494.29 25% off $24,530.90 $73,592.69 $72,826.10 2026-05-09
2782649761 OTHER Hc Valve Implant Lvl 61 71 40 $76,659.05 $57,494.29 25% off $24,530.90 $73,592.69 $72,826.10 2026-05-09
2721649501 OTHER Hc Set Pump Impella Cp W/smart Assist 71 40 $73,548.00 $55,161.00 25% off $23,535.36 $70,606.08 $69,870.60 2026-05-09
2722109760 OTHER Hc Percutaneous Ventricular Assist Device Lvl 60 71 40 $73,008.55 $54,756.41 25% off $23,362.74 $70,088.21 $69,358.12 2026-05-09
2722109759 OTHER Hc Percutaneous Ventricular Assist Device Lvl 59 71 40 $69,531.95 $52,148.96 25% off $22,250.22 $66,750.67 $66,055.35 2026-05-09
2782649759 OTHER Hc Valve Implant Lvl 59 71 40 $69,531.95 $52,148.96 25% off $22,250.22 $66,750.67 $66,055.35 2026-05-09
278C182359 OTHER Hc Neurostim Generator/lead Lvl 59 71 40 $69,531.95 $52,148.96 25% off $22,250.22 $66,750.67 $66,055.35 2026-05-09
272C176959 OTHER Hc Guidewire Lvl 59 71 40 $69,531.95 $52,148.96 25% off $22,250.22 $66,750.67 $66,055.35 2026-05-09
278C188959 OTHER Hc Implantable-insertable Device Noc Lvl 59 71 40 $69,531.95 $52,148.96 25% off $22,250.22 $66,750.67 $66,055.35 2026-05-09
275C172159 OTHER Hc Icd Dual Chamber Lvl 59 71 40 $69,531.95 $52,148.96 25% off $22,250.22 $66,750.67 $66,055.35 2026-05-09
278LIMFW59 OTHER Hc Ntap Limflow System 71 40 $69,531.95 $52,148.96 25% off $22,250.22 $66,750.67 $66,055.35 2026-05-09
275C188259 OTHER Hc Icd Biv/crt-d Lvl 59 71 40 $69,531.95 $52,148.96 25% off $22,250.22 $66,750.67 $66,055.35 2026-05-09
278C262459 OTHER Hc Wireless Pressure Sensor Lvl 59 71 40 $69,531.95 $52,148.96 25% off $22,250.22 $66,750.67 $66,055.35 2026-05-09
2782649758 OTHER Hc Valve Implant Lvl 58 71 40 $66,220.90 $49,665.68 25% off $21,190.69 $63,572.06 $62,909.85 2026-05-09
2722109758 OTHER Hc Percutaneous Ventricular Assist Device Lvl 58 71 40 $66,220.90 $49,665.68 25% off $21,190.69 $63,572.06 $62,909.85 2026-05-09
2722109757 OTHER Hc Percutaneous Ventricular Assist Device Lvl 57 71 40 $63,067.45 $47,300.59 25% off $20,181.58 $60,544.75 $59,914.08 2026-05-09
4813347701 OTHER Hc Pulmonary Valve Implatantation Perq 71 40 $61,739.61 $46,304.71 25% off $19,756.68 $59,270.03 $58,652.63 2026-05-09
2721489756 OTHER Hc Cardiovascular Non Implant Supply Lvl 56 71 40 $60,064.25 $45,048.19 25% off $19,220.56 $57,661.68 $57,061.04 2026-05-09
275C172256 OTHER Hc Icd Single Chamber Lvl 56 71 40 $60,064.25 $45,048.19 25% off $19,220.56 $57,661.68 $57,061.04 2026-05-09
275C188256 OTHER Hc Icd Biv/crt-d Lvl 56 71 40 $60,064.25 $45,048.19 25% off $19,220.56 $57,661.68 $57,061.04 2026-05-09
278C182656 OTHER Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 71 40 $60,064.25 $45,048.19 25% off $19,220.56 $57,661.68 $57,061.04 2026-05-09
4813322101 OTHER Hc Insert Pulse Gen Mult Leads 71 40 $57,852.67 $43,389.50 25% off $18,512.85 $55,538.56 $54,960.04 2026-05-09
2782649755 OTHER Hc Valve Implant Lvl 55 71 40 $57,204.00 $42,903.00 25% off $18,305.28 $54,915.84 $54,343.80 2026-05-09
2782669755 OTHER Hc Vascular Stent Graft Implant Lvl 55 71 40 $57,204.00 $42,903.00 25% off $18,305.28 $54,915.84 $54,343.80 2026-05-09
275C188255 OTHER Hc Icd Biv/crt-d Lvl 55 71 40 $57,204.00 $42,903.00 25% off $18,305.28 $54,915.84 $54,343.80 2026-05-09
Q2043 OTHER Sipuleucel-t Auto Cd54+ 13 10 — — $53,981.46 $53,981.46 $53,981.46 2026-05-09
7613722902 OTHER Hc Revasc Tib Pero Arther Pta/initial Unilateral 71 40 $56,337.67 $42,253.25 25% off $18,028.05 $54,084.16 $53,520.79 2026-05-09
275C188254 OTHER Hc Icd Biv/crt-d Lvl 54 71 40 $54,479.95 $40,859.96 25% off $17,433.58 $52,300.75 $51,755.95 2026-05-09
2782669754 OTHER Hc Vascular Stent Graft Implant Lvl 54 71 40 $54,479.95 $40,859.96 25% off $17,433.58 $52,300.75 $51,755.95 2026-05-09
4813399941 OTHER Hc Carotid Approach Tavr 71 40 $54,338.34 $40,753.75 25% off $17,388.27 $52,164.81 $51,621.42 2026-05-09
7613722702 OTHER Hc Revas Fem-pop W/ather W Stnt/pta Unilateral 71 40 $53,148.75 $39,861.56 25% off $17,007.60 $51,022.80 $50,491.31 2026-05-09
278C261601 OTHER Hc Brachytx Non-str Yttrium-90 71 40 $51,722.65 $38,791.99 25% off $16,551.25 $49,653.74 $49,136.52 2026-05-09
2782669753 OTHER Hc Vascular Stent Graft Implant Lvl 53 71 40 $51,722.65 $38,791.99 25% off $16,551.25 $49,653.74 $49,136.52 2026-05-09
2782019753 OTHER Hc General Supply Implant Lvl 53 71 40 $51,722.65 $38,791.99 25% off $16,551.25 $49,653.74 $49,136.52 2026-05-09
278C188953 OTHER Hc Implantable-insertable Device Noc Lvl 53 71 40 $51,722.65 $38,791.99 25% off $16,551.25 $49,653.74 $49,136.52 2026-05-09
275C188253 OTHER Hc Icd Biv/crt-d Lvl 53 71 40 $51,722.65 $38,791.99 25% off $16,551.25 $49,653.74 $49,136.52 2026-05-09
278C171701 OTHER Hc Brachytherapy Source Hdr Ir192 71 40 $51,722.65 $38,791.99 25% off $16,551.25 $49,653.74 $49,136.52 2026-05-09
278C187453 OTHER Hc Stent Coated/covered Implant Lvl 53 71 40 $51,722.65 $38,791.99 25% off $16,551.25 $49,653.74 $49,136.52 2026-05-09
275C172153 OTHER Hc Icd Dual Chamber Lvl 53 71 40 $51,722.65 $38,791.99 25% off $16,551.25 $49,653.74 $49,136.52 2026-05-09
2781909753 OTHER Hc Embolization Device Implant Lvl 53 71 40 $51,722.65 $38,791.99 25% off $16,551.25 $49,653.74 $49,136.52 2026-05-09
278C182053 OTHER Hc Generator Neuro Rechg Battery System Implant Lvl 53 71 40 $51,722.65 $38,791.99 25% off $16,551.25 $49,653.74 $49,136.52 2026-05-09
2721489753 OTHER Hc Cardiovascular Non Implant Supply Lvl 53 71 40 $51,722.65 $38,791.99 25% off $16,551.25 $49,653.74 $49,136.52 2026-05-09
4810646T01 OTHER Hc Ttvi Prosthetic Valve, Percutaneous 71 40 $51,682.99 $38,762.24 25% off $16,538.56 $49,615.67 $49,098.84 2026-05-09
4813399945 OTHER Hc Transcatheter Bicaval Valve System Implantation 71 40 $51,682.99 $38,762.24 25% off $16,538.56 $49,615.67 $49,098.84 2026-05-09
199175 OTHER Ocrelizumab 30 Mg/ml Intravenous Solution 71 40 $49,827.28 $37,370.46 25% off $15,944.73 $47,834.19 $47,335.92 2026-05-09
323C800401 OTHER Hc Sim Ang W/prs Cath Rad Emb 71 40 $49,059.90 $36,794.93 25% off $15,699.17 $47,097.50 $46,606.90 2026-05-09
4819358001 OTHER Hc Transcath Asd Repair 71 40 $48,374.14 $36,280.61 25% off $15,479.72 $46,439.17 $45,955.43 2026-05-09
278C182052 OTHER Hc Generator Neuro Rechg Battery System Implant Lvl 52 71 40 $47,020.55 $35,265.41 25% off $15,046.58 $45,139.73 $44,669.52 2026-05-09
278C188952 OTHER Hc Implantable-insertable Device Noc Lvl 52 71 40 $47,020.55 $35,265.41 25% off $15,046.58 $45,139.73 $44,669.52 2026-05-09
275C188252 OTHER Hc Icd Biv/crt-d Lvl 52 71 40 $47,020.55 $35,265.41 25% off $15,046.58 $45,139.73 $44,669.52 2026-05-09
2782019752 OTHER Hc General Supply Implant Lvl 52 71 40 $47,020.55 $35,265.41 25% off $15,046.58 $45,139.73 $44,669.52 2026-05-09
2782649752 OTHER Hc Valve Implant Lvl 52 71 40 $47,020.55 $35,265.41 25% off $15,046.58 $45,139.73 $44,669.52 2026-05-09
278C187452 OTHER Hc Stent Coated/covered Implant Lvl 52 71 40 $47,020.55 $35,265.41 25% off $15,046.58 $45,139.73 $44,669.52 2026-05-09
2782679752 OTHER Hc Left Atrial Appendage Implant Lvl 52 71 40 $47,020.55 $35,265.41 25% off $15,046.58 $45,139.73 $44,669.52 2026-05-09
275C172252 OTHER Hc Icd Single Chamber Lvl 52 71 40 $47,020.55 $35,265.41 25% off $15,046.58 $45,139.73 $44,669.52 2026-05-09
2781909752 OTHER Hc Embolization Device Implant Lvl 52 71 40 $47,020.55 $35,265.41 25% off $15,046.58 $45,139.73 $44,669.52 2026-05-09
4819359001 OTHER Hc Closure Paravalvular Leak Perc; Initial, Mitral Valve 71 40 $46,945.26 $35,208.94 25% off $15,022.48 $45,067.45 $44,598.00 2026-05-09
4819293313 OTHER Hcd Drug-eluting Stent/ptca Atherect Maj Art Or Branch-lm 71 40 $45,885.89 $34,414.42 25% off $14,683.48 $44,050.45 $43,591.60 2026-05-09
4819293306 OTHER Hc Revasc Des & Ather With Ptca Initial Art/brnch 71 40 $45,885.89 $34,414.42 25% off $14,683.48 $44,050.45 $43,591.60 2026-05-09
4819293301 OTHER Hc Perq Trluml C Athrc St Angiop 1 Maj C Art&/brnch 71 40 $45,885.89 $34,414.42 25% off $14,683.48 $44,050.45 $43,591.60 2026-05-09
J9226 OTHER Supprelin La Implant 13 10 — — $43,324.60 $43,324.60 $43,324.60 2026-05-09
481C977501 OTHER Hc Open/perc Intravascular Litho W/ather & Stent Tib/peroneal Artery 71 40 $44,904.63 $33,678.47 25% off $14,369.48 $43,108.44 $42,659.40 2026-05-09
481C976701 OTHER Hc Open/perc Intravascular Litho W/ather & Stent, Lower Extrem Artery 71 40 $44,904.61 $33,678.46 25% off $14,369.48 $43,108.43 $42,659.38 2026-05-09
275C188251 OTHER Hc Icd Biv/crt-d Lvl 51 71 40 $42,745.95 $32,059.46 25% off $13,678.70 $41,036.11 $40,608.65 2026-05-09
278C188951 OTHER Hc Implantable-insertable Device Noc Lvl 51 71 40 $42,745.95 $32,059.46 25% off $13,678.70 $41,036.11 $40,608.65 2026-05-09
2781909751 OTHER Hc Embolization Device Implant Lvl 51 71 40 $42,745.95 $32,059.46 25% off $13,678.70 $41,036.11 $40,608.65 2026-05-09
2782669751 OTHER Hc Vascular Stent Graft Implant Lvl 51 71 40 $42,745.95 $32,059.46 25% off $13,678.70 $41,036.11 $40,608.65 2026-05-09
278C187451 OTHER Hc Stent Coated/covered Implant Lvl 51 71 40 $42,745.95 $32,059.46 25% off $13,678.70 $41,036.11 $40,608.65 2026-05-09
2781949751 OTHER Hc Endoprosthesis Implant Lvl 51 71 40 $42,745.95 $32,059.46 25% off $13,678.70 $41,036.11 $40,608.65 2026-05-09
2782649751 OTHER Hc Valve Implant Lvl 51 71 40 $42,745.95 $32,059.46 25% off $13,678.70 $41,036.11 $40,608.65 2026-05-09
275C172151 OTHER Hc Icd Dual Chamber Lvl 51 71 40 $42,745.95 $32,059.46 25% off $13,678.70 $41,036.11 $40,608.65 2026-05-09
278C187651 OTHER Hc Stent Non Coated/non Covered Implant Lvl 51 71 40 $42,745.95 $32,059.46 25% off $13,678.70 $41,036.11 $40,608.65 2026-05-09
272C188951 OTHER Hc Implantable-insertable Device Noc Non Implant Lvl 51 71 40 $42,745.95 $32,059.46 25% off $13,678.70 $41,036.11 $40,608.65 2026-05-09
275C172251 OTHER Hc Icd Single Chamber Lvl 51 71 40 $42,745.95 $32,059.46 25% off $13,678.70 $41,036.11 $40,608.65 2026-05-09
275C262151 OTHER Hc Pacemaker Biv Crt-p Lvl 51 71 40 $42,745.95 $32,059.46 25% off $13,678.70 $41,036.11 $40,608.65 2026-05-09
4810571T01 OTHER Hc Insert/replmnt Icds W/substernal Electrode 71 40 $41,433.93 $31,075.45 25% off $13,258.86 $39,776.57 $39,362.23 2026-05-09
2721649401 OTHER Hc Oxygenator Perfusion Set Cardiohelp Hls Adv 7 71 40 $40,775.55 $30,581.66 25% off $13,048.18 $39,144.53 $38,736.77 2026-05-09
7613389501 OTHER Hc Endovasc Stent Rpr Thor/abd Aorta - Not X Majr Bnchs 71 40 $39,137.23 $29,352.92 25% off $12,523.91 $37,571.74 $37,180.37 2026-05-09
7613389401 OTHER Hc Endovasc Stent Rpr Thor/abd Aorta - Major Side Bnchs 71 40 $39,137.23 $29,352.92 25% off $12,523.91 $37,571.74 $37,180.37 2026-05-09
2781909750 OTHER Hc Embolization Device Implant Lvl 50 71 40 $38,859.95 $29,144.96 25% off $12,435.18 $37,305.55 $36,916.95 2026-05-09
278C188950 OTHER Hc Implantable-insertable Device Noc Lvl 50 71 40 $38,859.95 $29,144.96 25% off $12,435.18 $37,305.55 $36,916.95 2026-05-09
272C188750 OTHER Hc Catheter Guiding Lvl 50 71 40 $38,859.95 $29,144.96 25% off $12,435.18 $37,305.55 $36,916.95 2026-05-09
2721489750 OTHER Hc Cardiovascular Non Implant Supply Lvl 50 71 40 $38,859.95 $29,144.96 25% off $12,435.18 $37,305.55 $36,916.95 2026-05-09
2782669750 OTHER Hc Vascular Stent Graft Implant Lvl 50 71 40 $38,859.95 $29,144.96 25% off $12,435.18 $37,305.55 $36,916.95 2026-05-09
275C188250 OTHER Hc Icd Biv/crt-d Lvl 50 71 40 $38,859.95 $29,144.96 25% off $12,435.18 $37,305.55 $36,916.95 2026-05-09
275C172150 OTHER Hc Icd Dual Chamber Lvl 50 71 40 $38,859.95 $29,144.96 25% off $12,435.18 $37,305.55 $36,916.95 2026-05-09
278C187650 OTHER Hc Stent Non Coated/non Covered Implant Lvl 50 71 40 $38,859.95 $29,144.96 25% off $12,435.18 $37,305.55 $36,916.95 2026-05-09
272C175750 OTHER Hc Catheter Thromb/embolectomy Lvl 50 71 40 $38,859.95 $29,144.96 25% off $12,435.18 $37,305.55 $36,916.95 2026-05-09
7613722502 OTHER Hc Ir Revsc Opn/prq Fem/pop W/athrc/angio Sm Vessel Unilateral 71 40 $37,644.00 $28,233.00 25% off $12,046.08 $36,138.24 $35,761.80 2026-05-09
4819294341 OTHER Hcd Revasc Cto Bms/ptca/ather Initial Art/branch 71 40 $37,524.65 $28,143.49 25% off $12,007.89 $36,023.66 $35,648.42 2026-05-09
4819294301 OTHER Hc Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd 71 40 $37,510.50 $28,132.88 25% off $12,003.36 $36,010.08 $35,634.98 2026-05-09
4819293341 OTHER Hc Revasc Des & Ather With Ptca Initial Art/brnch 71 40 $37,479.72 $28,109.79 25% off $11,993.51 $35,980.53 $35,605.73 2026-05-09
275C172249 OTHER Hc Icd Single Chamber Lvl 49 71 40 $35,327.15 $26,495.36 25% off $11,304.69 $33,914.06 $33,560.79 2026-05-09
2781909749 OTHER Hc Embolization Device Implant Lvl 49 71 40 $35,327.15 $26,495.36 25% off $11,304.69 $33,914.06 $33,560.79 2026-05-09
275C178649 OTHER Hc Pacemaker Single Chamber Lvl 49 71 40 $35,327.15 $26,495.36 25% off $11,304.69 $33,914.06 $33,560.79 2026-05-09
275C262149 OTHER Hc Pacemaker Biv Crt-p Lvl 49 71 40 $35,327.15 $26,495.36 25% off $11,304.69 $33,914.06 $33,560.79 2026-05-09
2782669749 OTHER Hc Vascular Stent Graft Implant Lvl 49 71 40 $35,327.15 $26,495.36 25% off $11,304.69 $33,914.06 $33,560.79 2026-05-09
278C188949 OTHER Hc Implantable-insertable Device Noc Lvl 49 71 40 $35,327.15 $26,495.36 25% off $11,304.69 $33,914.06 $33,560.79 2026-05-09
275C188249 OTHER Hc Icd Biv/crt-d Lvl 49 71 40 $35,327.15 $26,495.36 25% off $11,304.69 $33,914.06 $33,560.79 2026-05-09
2721489749 OTHER Hc Cardiovascular Non Implant Supply Lvl 49 71 40 $35,327.15 $26,495.36 25% off $11,304.69 $33,914.06 $33,560.79 2026-05-09
278C187649 OTHER Hc Stent Non Coated/non Covered Implant Lvl 49 71 40 $35,327.15 $26,495.36 25% off $11,304.69 $33,914.06 $33,560.79 2026-05-09
275C172149 OTHER Hc Icd Dual Chamber Lvl 49 71 40 $35,327.15 $26,495.36 25% off $11,304.69 $33,914.06 $33,560.79 2026-05-09
272C175749 OTHER Hc Catheter Thromb/embolectomy Lvl 49 71 40 $35,327.15 $26,495.36 25% off $11,304.69 $33,914.06 $33,560.79 2026-05-09
4819294306 OTHER Hc Perq Trluml Revsc Chrnc Tot Occls Bms 1 C Art Antgrd 71 40 $35,261.83 $26,446.37 25% off $11,283.79 $33,851.36 $33,498.74 2026-05-09
4813390202 OTHER Hc Pulmon Art Revasc W/stent Initial Abnorm Unilat 71 40 $34,497.58 $25,873.18 25% off $11,039.23 $33,117.68 $32,772.70 2026-05-09
2721649301 OTHER Hc Pump Blood Centrimag 71 40 $34,322.40 $25,741.80 25% off $10,983.17 $32,949.50 $32,606.28 2026-05-09
7613723102 OTHER Hc Revasc Tib/pero Stnt Ather Unilateral 71 40 $33,564.26 $25,173.20 25% off $10,740.56 $32,221.69 $31,886.05 2026-05-09
7613723103 OTHER Hc Revasc Tib/pero Stnt Ather Bilateral 71 40 $33,564.26 $25,173.20 25% off $10,740.56 $32,221.69 $31,886.05 2026-05-09
4813322801 OTHER Hc Remv&replc Pm Gen Dual Lead 71 40 $33,298.03 $24,973.52 25% off $10,655.37 $31,966.11 $31,633.13 2026-05-09
7613690601 OTHER Hc Av Fist W/mech/lytic Thromb W Periph Stenting 71 40 $32,544.63 $24,408.47 25% off $10,414.28 $31,242.84 $30,917.40 2026-05-09
7613724201 OTHER Hc Vasc Embolize/occlude Artery 71 40 $32,241.96 $24,181.47 25% off $10,317.43 $30,952.28 $30,629.86 2026-05-09
275C178648 OTHER Hc Pacemaker Single Chamber Lvl 48 71 40 $32,115.60 $24,086.70 25% off $10,276.99 $30,830.98 $30,509.82 2026-05-09
275C172248 OTHER Hc Icd Single Chamber Lvl 48 71 40 $32,115.60 $24,086.70 25% off $10,276.99 $30,830.98 $30,509.82 2026-05-09
275C188248 OTHER Hc Icd Biv/crt-d Lvl 48 71 40 $32,115.60 $24,086.70 25% off $10,276.99 $30,830.98 $30,509.82 2026-05-09
272C175748 OTHER Hc Catheter Thromb/embolectomy Lvl 48 71 40 $32,115.60 $24,086.70 25% off $10,276.99 $30,830.98 $30,509.82 2026-05-09
2782669748 OTHER Hc Vascular Stent Graft Implant Lvl 48 71 40 $32,115.60 $24,086.70 25% off $10,276.99 $30,830.98 $30,509.82 2026-05-09
275C172148 OTHER Hc Icd Dual Chamber Lvl 48 71 40 $32,115.60 $24,086.70 25% off $10,276.99 $30,830.98 $30,509.82 2026-05-09
278C187448 OTHER Hc Stent Coated/covered Implant Lvl 48 71 40 $32,115.60 $24,086.70 25% off $10,276.99 $30,830.98 $30,509.82 2026-05-09
481C977401 OTHER Hc Open/perc Intravascular Litho W/atherectomy Tib/peroneal Artery 71 40 $31,362.19 $23,521.64 25% off $10,035.90 $30,107.70 $29,794.08 2026-05-09
7613723601 OTHER Hc Stent Placemt Artery W Pta Init Unilateral 71 40 $30,814.92 $23,111.19 25% off $9,860.77 $29,582.32 $29,274.17 2026-05-09
7613722302 OTHER Hcd Revasc Iliac Each Addl W/stent Pta Unilateral 71 40 $30,564.61 $22,923.46 25% off $9,780.68 $29,342.03 $29,036.38 2026-05-09
4819293701 OTHER Hc Perq Trluml Revsc Of/-cab Grf 1 Maj C Art&/brnch 71 40 $30,022.71 $22,517.03 25% off $9,607.27 $28,821.80 $28,521.57 2026-05-09
4819293741 OTHER Hc Bypass Graft Revasc Bms/ptca/ather Initial Art/brnch 71 40 $30,022.71 $22,517.03 25% off $9,607.27 $28,821.80 $28,521.57 2026-05-09
7613622403 OTHER Hc Intern Carotid Cath W Cerv/cereb Angio Bilateral 71 40 $29,978.00 $22,483.50 25% off $9,592.96 $28,778.88 $28,479.10 2026-05-09
86371 OTHER Alteplase 100 Mg Intravenous Solution 71 40 $29,569.34 $22,177.01 25% off $9,462.19 $28,386.57 $28,090.87 2026-05-09
7613718201 OTHER Hc Tips Procedure 71 40 $29,422.40 $22,066.80 25% off $9,415.17 $28,245.50 $27,951.28 2026-05-09
4819293706 OTHER Hc Bypass Graft Revasc Bms/ptca/ather Initial Art/brnch 71 40 $29,390.62 $22,042.96 25% off $9,405.00 $28,215.00 $27,921.09 2026-05-09
4813320801 OTHER Hc Insrt New/replace Perm Av Pacemkr W Electrode 71 40 $29,267.89 $21,950.92 25% off $9,365.72 $28,097.17 $27,804.50 2026-05-09
272A464947 OTHER Hc Surgical Supply Non Implant Lvl 47 71 40 $29,195.95 $21,896.96 25% off $9,342.70 $28,028.11 $27,736.15 2026-05-09
2781949747 OTHER Hc Endoprosthesis Implant Lvl 47 71 40 $29,195.95 $21,896.96 25% off $9,342.70 $28,028.11 $27,736.15 2026-05-09
275C188247 OTHER Hc Icd Biv/crt-d Lvl 47 71 40 $29,195.95 $21,896.96 25% off $9,342.70 $28,028.11 $27,736.15 2026-05-09
275C178647 OTHER Hc Pacemaker Single Chamber Lvl 47 71 40 $29,195.95 $21,896.96 25% off $9,342.70 $28,028.11 $27,736.15 2026-05-09
278C187447 OTHER Hc Stent Coated/covered Implant Lvl 47 71 40 $29,195.95 $21,896.96 25% off $9,342.70 $28,028.11 $27,736.15 2026-05-09
278C181747 OTHER Hc Septal Defect Implant Lvl 47 71 40 $29,195.95 $21,896.96 25% off $9,342.70 $28,028.11 $27,736.15 2026-05-09
272C175747 OTHER Hc Catheter Thromb/embolectomy Lvl 47 71 40 $29,195.95 $21,896.96 25% off $9,342.70 $28,028.11 $27,736.15 2026-05-09
272C173347 OTHER Hc Catheter Ep Diag/abl Non-3d/map/cool-tip Lvl 47 71 40 $29,195.95 $21,896.96 25% off $9,342.70 $28,028.11 $27,736.15 2026-05-09
2782669747 OTHER Hc Vascular Stent Graft Implant Lvl 47 71 40 $29,195.95 $21,896.96 25% off $9,342.70 $28,028.11 $27,736.15 2026-05-09
275C172247 OTHER Hc Icd Single Chamber Lvl 47 71 40 $29,195.95 $21,896.96 25% off $9,342.70 $28,028.11 $27,736.15 2026-05-09
7613722802 OTHER Hcd Revasc Tib-pero Initial Pta Unilateral 71 40 $28,760.00 $21,570.00 25% off $9,203.20 $27,609.60 $27,322.00 2026-05-09
481C976501 OTHER Hc Open Or Perc Intravascular Lithotripsy W/stent 71 40 $27,877.51 $20,908.13 25% off $8,920.80 $26,762.41 $26,483.63 2026-05-09
4819292841 OTHER Hc Revasc Des With Ptca Initial Art/brnch 71 40 $27,296.69 $20,472.52 25% off $8,734.94 $26,204.82 $25,931.86 2026-05-09
2721649201 OTHER Hc Pump Centrifugal Pedimag Blood 71 40 $27,240.00 $20,430.00 25% off $8,716.80 $26,150.40 $25,878.00 2026-05-09
7616165101 OTHER Hc Endovasc Intracran Prlng Admn Rx Agnt W/img Addl 71 40 $27,115.60 $20,336.70 25% off $8,676.99 $26,030.98 $25,759.82 2026-05-09
3603398601 OTHER Hc Ecmo/ecls Rmvl Of Central Cannula 6 Yrs & Older 71 40 $27,075.00 $20,306.25 25% off $8,664.00 $25,992.00 $25,721.25 2026-05-09
3603398101 OTHER Hc Rplcmt Xtrcorp Vad 1/biventr Pump 1/ea Pump 71 40 $27,075.00 $20,306.25 25% off $8,664.00 $25,992.00 $25,721.25 2026-05-09
7616165001 OTHER Hc Endovasc Intracran Prlng Admn Rx Agnt W/img Initial 71 40 $27,035.10 $20,276.32 25% off $8,651.23 $25,953.70 $25,683.34 2026-05-09
4813320701 OTHER Hc Ventric Perm Pacer Insrt/replace W Electrode 71 40 $26,832.64 $20,124.48 25% off $8,586.44 $25,759.33 $25,491.01 2026-05-09
4819294101 OTHER Hc Perq Trluml Revsc Tot/stot Occls Ami 1maj C Art 71 40 $26,572.05 $19,929.04 25% off $8,503.06 $25,509.17 $25,243.45 2026-05-09
4819294141 OTHER Hc Revasc During Ami Bms/ptca/ather 71 40 $26,572.05 $19,929.04 25% off $8,503.06 $25,509.17 $25,243.45 2026-05-09
4819294106 OTHER Hc Revasc During Ami Bms/ptca/ather 71 40 $26,572.05 $19,929.04 25% off $8,503.06 $25,509.17 $25,243.45 2026-05-09
275C188246 OTHER Hc Icd Biv/crt-d Lvl 46 71 40 $26,541.75 $19,906.31 25% off $8,493.36 $25,480.08 $25,214.66 2026-05-09
275C178646 OTHER Hc Pacemaker Single Chamber Lvl 46 71 40 $26,541.75 $19,906.31 25% off $8,493.36 $25,480.08 $25,214.66 2026-05-09
278C187446 OTHER Hc Stent Coated/covered Implant Lvl 46 71 40 $26,541.75 $19,906.31 25% off $8,493.36 $25,480.08 $25,214.66 2026-05-09
275C172246 OTHER Hc Icd Single Chamber Lvl 46 71 40 $26,541.75 $19,906.31 25% off $8,493.36 $25,480.08 $25,214.66 2026-05-09
278C182346 OTHER Hc Neurostim Generator/lead Lvl 46 71 40 $26,541.75 $19,906.31 25% off $8,493.36 $25,480.08 $25,214.66 2026-05-09
272C175746 OTHER Hc Catheter Thromb/embolectomy Lvl 46 71 40 $26,541.75 $19,906.31 25% off $8,493.36 $25,480.08 $25,214.66 2026-05-09
278C181746 OTHER Hc Septal Defect Implant Lvl 46 71 40 $26,541.75 $19,906.31 25% off $8,493.36 $25,480.08 $25,214.66 2026-05-09
2782669746 OTHER Hc Vascular Stent Graft Implant Lvl 46 71 40 $26,541.75 $19,906.31 25% off $8,493.36 $25,480.08 $25,214.66 2026-05-09
275C172146 OTHER Hc Icd Dual Chamber Lvl 46 71 40 $26,541.75 $19,906.31 25% off $8,493.36 $25,480.08 $25,214.66 2026-05-09
7613722103 OTHER Hcd Revasc Iliac W/stent Pta Bilateral 71 40 $26,512.45 $19,884.34 25% off $8,483.98 $25,451.95 $25,186.83 2026-05-09
7613722102 OTHER Hcd Revasc Iliac W/stent Pta Unilateral 71 40 $26,512.45 $19,884.34 25% off $8,483.98 $25,451.95 $25,186.83 2026-05-09
4813390001 OTHER Hc Perq P-art Revsc St 1st Nml Native Connj Uni 71 40 $26,489.68 $19,867.26 25% off $8,476.70 $25,430.09 $25,165.20 2026-05-09
7613724401 OTHER Hc Vasc Embolize/occlude Bleed 71 40 $26,361.38 $19,771.04 25% off $8,435.64 $25,306.92 $25,043.31 2026-05-09
7613723502 OTHER Hc Revas Tib-per Add W/st/pta/ather Unilateral 71 40 $26,110.34 $19,582.76 25% off $8,355.31 $25,065.93 $24,804.82 2026-05-09
7613722602 OTHER Hcd Revasc Fem-pop W/stent Pta Unilateral 71 40 $25,961.54 $19,471.16 25% off $8,307.69 $24,923.08 $24,663.46 2026-05-09
7613690301 OTHER Hc Av Fist W Periph Stent 71 40 $25,525.62 $19,144.22 25% off $8,168.20 $24,504.60 $24,249.34 2026-05-09
481C977301 OTHER Hc Open/perc Intravascular Litho W/stent Tib/peroneal Artery 71 40 $25,089.76 $18,817.32 25% off $8,028.72 $24,086.17 $23,835.27 2026-05-09
210135 OTHER Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 71 40 $24,966.36 $18,724.77 25% off $7,989.24 $23,967.71 $23,718.04 2026-05-09
7616164501 OTHER Hc Perc Arterial Mech Thrombect/infusion Intracranial W Fluoro/cath/inj 71 40 $24,883.27 $18,662.45 25% off $7,962.65 $23,887.94 $23,639.11 2026-05-09
J9266 OTHER Pegaspargase Injection 13 10 — — $23,577.00 $23,577.00 $23,577.00 2026-05-09
7613690901 OTHER Hc Dialysis Embo Any Vein(s) 71 40 $24,744.44 $18,558.33 25% off $7,918.22 $23,754.66 $23,507.22 2026-05-09
4813321001 OTHER Hc Temp Single Pacer Insert/replace 71 40 $24,729.11 $18,546.83 25% off $7,913.32 $23,739.95 $23,492.65 2026-05-09
4813321701 OTHER Hc Insert Dual Pacing Leads 71 40 $24,581.35 $18,436.01 25% off $7,866.03 $23,598.10 $23,352.28 2026-05-09
4813320601 OTHER Hc Atrial Pacer Insert/replace 71 40 $24,477.97 $18,358.48 25% off $7,832.95 $23,498.85 $23,254.07 2026-05-09
272C175745 OTHER Hc Catheter Thromb/embolectomy Lvl 45 71 40 $24,128.85 $18,096.64 25% off $7,721.23 $23,163.70 $22,922.41 2026-05-09
278C187445 OTHER Hc Stent Coated/covered Implant Lvl 45 71 40 $24,128.85 $18,096.64 25% off $7,721.23 $23,163.70 $22,922.41 2026-05-09
272C173345 OTHER Hc Catheter Ep Diag/abl Non-3d/map/cool-tip Lvl 45 71 40 $24,128.85 $18,096.64 25% off $7,721.23 $23,163.70 $22,922.41 2026-05-09
278C188945 OTHER Hc Implantable-insertable Device Noc Lvl 45 71 40 $24,128.85 $18,096.64 25% off $7,721.23 $23,163.70 $22,922.41 2026-05-09
275C172245 OTHER Hc Icd Single Chamber Lvl 45 71 40 $24,128.85 $18,096.64 25% off $7,721.23 $23,163.70 $22,922.41 2026-05-09
2782019745 OTHER Hc General Supply Implant Lvl 45 71 40 $24,128.85 $18,096.64 25% off $7,721.23 $23,163.70 $22,922.41 2026-05-09
278C181745 OTHER Hc Implant-septal Defect Lvl 45 71 40 $24,128.85 $18,096.64 25% off $7,721.23 $23,163.70 $22,922.41 2026-05-09
275C178645 OTHER Hc Pacemaker Single Chamber Lvl 45 71 40 $24,128.85 $18,096.64 25% off $7,721.23 $23,163.70 $22,922.41 2026-05-09
275C172145 OTHER Hc Icd Dual Chamber Lvl 45 71 40 $24,128.85 $18,096.64 25% off $7,721.23 $23,163.70 $22,922.41 2026-05-09
7613299803 OTHER Hc CT Lung Rf Ablation Bilateral Inc Image Guide 71 40 $24,108.56 $18,081.42 25% off $7,714.74 $23,144.22 $22,903.13 2026-05-09
481C976403 OTHER Hc Open Or Perc Intravascular Lithotripsy Bilateral 71 40 $23,581.04 $17,685.78 25% off $7,545.93 $22,637.80 $22,401.99 2026-05-09
270Q050843 OTHER Hc Power Unit Mobile Heartmate Ii 71 40 $23,535.35 $17,651.51 25% off $7,531.31 $22,593.94 $22,358.58 2026-05-09
270Q407901 OTHER Hc Power Unit Mobile Heartmate Ii Replacement 71 40 $23,535.35 $17,651.51 25% off $7,531.31 $22,593.94 $22,358.58 2026-05-09
220521 OTHER Tenecteplase 50 Mg Kit For Ischemic Stroke (uw) 71 40 $23,398.27 $17,548.71 25% off $7,487.45 $22,462.34 $22,228.36 2026-05-09
203091 OTHER Tenecteplase 50 Mg Intravenous Solution 71 40 $23,398.27 $17,548.71 25% off $7,487.45 $22,462.34 $22,228.36 2026-05-09
7613724101 OTHER Hc Vasc Embolize/occlude Venous 71 40 $22,613.75 $16,960.31 25% off $7,236.40 $21,709.20 $21,483.06 2026-05-09
4813328501 OTHER Hc Insertion Subcutan Cardiac Rhythm Monitor Inc Programming 71 40 $22,565.89 $16,924.42 25% off $7,221.08 $21,663.25 $21,437.60 2026-05-09
4819293841 OTHER Hcd Bypass Graft Revasc Bms/ptca/ather Addtl Art/brnch 71 40 $22,193.49 $16,645.12 25% off $7,101.92 $21,305.75 $21,083.82 2026-05-09
4819293806 OTHER Hcd Bypass Graft Revasc Bms/ptca/ather Addtl Art/brnch 71 40 $22,193.49 $16,645.12 25% off $7,101.92 $21,305.75 $21,083.82 2026-05-09
4819293801 OTHER Hcd Bypass Graft Revasc Des W/ptca/ather Addtl Art/brnch 71 40 $22,193.49 $16,645.12 25% off $7,101.92 $21,305.75 $21,083.82 2026-05-09
7613718301 OTHER Hc Tips Revision 71 40 $21,960.46 $16,470.34 25% off $7,027.35 $21,082.04 $20,862.44 2026-05-09
2722039744 OTHER Hc Gi Supply Lvl 44 71 40 $21,935.30 $16,451.47 25% off $7,019.30 $21,057.89 $20,838.54 2026-05-09
278C187444 OTHER Hc Stent Coated/covered Implant Lvl 44 71 40 $21,935.30 $16,451.47 25% off $7,019.30 $21,057.89 $20,838.54 2026-05-09
272C175744 OTHER Hc Catheter Thromb/embolectomy Lvl 44 71 40 $21,935.30 $16,451.47 25% off $7,019.30 $21,057.89 $20,838.54 2026-05-09
2782669744 OTHER Hc Vascular Stent Graft Implant Lvl 44 71 40 $21,935.30 $16,451.47 25% off $7,019.30 $21,057.89 $20,838.54 2026-05-09
272C198244 OTHER Hc Cath Pressure Valve Occlu Lvl 44 71 40 $21,935.30 $16,451.47 25% off $7,019.30 $21,057.89 $20,838.54 2026-05-09
278C188944 OTHER Hc Implantable Insertable Device Noc Lvl 44 71 40 $21,935.30 $16,451.47 25% off $7,019.30 $21,057.89 $20,838.54 2026-05-09
2781909744 OTHER Hc Embolization Device Implant Lvl 44 71 40 $21,935.30 $16,451.47 25% off $7,019.30 $21,057.89 $20,838.54 2026-05-09
278C181744 OTHER Hc Implant-septal Defect Lvl 44 71 40 $21,935.30 $16,451.47 25% off $7,019.30 $21,057.89 $20,838.54 2026-05-09
275C172244 OTHER Hc Icd Single Chamber Lvl 44 71 40 $21,935.30 $16,451.47 25% off $7,019.30 $21,057.89 $20,838.54 2026-05-09
278C187644 OTHER Hc Stent Non Coated/non Covered Implant Lvl 44 71 40 $21,935.30 $16,451.47 25% off $7,019.30 $21,057.89 $20,838.54 2026-05-09
275C172144 OTHER Hc Icd Dual Chamber Lvl 44 71 40 $21,935.30 $16,451.47 25% off $7,019.30 $21,057.89 $20,838.54 2026-05-09
7613723302 OTHER Hc Revasc Tib/per W/athr/pta Add Unilateral 71 40 $21,865.39 $16,399.04 25% off $6,996.92 $20,990.77 $20,772.12 2026-05-09
7613481203 OTHER Hc Bilateral Fem Art Exp For Prosth 71 40 $21,827.07 $16,370.30 25% off $6,984.66 $20,953.99 $20,735.72 2026-05-09
187069 OTHER Vedolizumab 300 Mg Intravenous Solution 71 40 $21,284.44 $15,963.33 25% off $6,811.02 $20,433.06 $20,220.22 2026-05-09
481C976401 OTHER Hc Open Or Perc Intravascular Lithotripsy 71 40 $21,039.19 $15,779.39 25% off $6,732.54 $20,197.62 $19,987.23 2026-05-09
7613690801 OTHER Hc Dialysis Central Vn Stent 71 40 $20,696.88 $15,522.66 25% off $6,623.00 $19,869.00 $19,662.04 2026-05-09
7613723801 OTHER Hc Stent Placemt Vein Inc Pta 1st Vein Unilateral 71 40 $20,634.10 $15,475.58 25% off $6,602.91 $19,808.74 $19,602.39 2026-05-09
4819293401 OTHER Hcd Revasc Des & Ather With Ptca Addtl Art/brnch 71 40 $20,440.92 $15,330.69 25% off $6,541.09 $19,623.28 $19,418.87 2026-05-09
4819293406 OTHER Hcd Revasc Bms & Ather With Ptca Addtl Art/brnch 71 40 $20,440.92 $15,330.69 25% off $6,541.09 $19,623.28 $19,418.87 2026-05-09
4819293412 OTHER Hcd Drug-eluting Stent/ptca Ather Each Addl Art Or Branch-ld 71 40 $20,440.92 $15,330.69 25% off $6,541.09 $19,623.28 $19,418.87 2026-05-09
278C187443 OTHER Hc Stent Coated/covered Implant Lvl 43 71 40 $19,941.15 $14,955.86 25% off $6,381.17 $19,143.50 $18,944.09 2026-05-09
2781909743 OTHER Hc Embolization Device Implant Lvl 43 71 40 $19,941.15 $14,955.86 25% off $6,381.17 $19,143.50 $18,944.09 2026-05-09
275C262143 OTHER Hc Pacemaker Biv Crt-p Lvl 43 71 40 $19,941.15 $14,955.86 25% off $6,381.17 $19,143.50 $18,944.09 2026-05-09
2782019743 OTHER Hc General Supply Implant Lvl 43 71 40 $19,941.15 $14,955.86 25% off $6,381.17 $19,143.50 $18,944.09 2026-05-09
2782669743 OTHER Hc Vascular Stent Graft Implant Lvl 43 71 40 $19,941.15 $14,955.86 25% off $6,381.17 $19,143.50 $18,944.09 2026-05-09
275C172243 OTHER Hc Icd Single Chamber Lvl 43 71 40 $19,941.15 $14,955.86 25% off $6,381.17 $19,143.50 $18,944.09 2026-05-09
278C181743 OTHER Hc Septal Defect Implant Lvl 43 71 40 $19,941.15 $14,955.86 25% off $6,381.17 $19,143.50 $18,944.09 2026-05-09
272C175743 OTHER Hc Catheter Thromb/embolectomy Lvl 43 71 40 $19,941.15 $14,955.86 25% off $6,381.17 $19,143.50 $18,944.09 2026-05-09
278C187643 OTHER Hc Stent Non Coated/non Covered Implant Lvl 43 71 40 $19,941.15 $14,955.86 25% off $6,381.17 $19,143.50 $18,944.09 2026-05-09
7612251401 OTHER Hc Perc Vertebral Augmentation Lumbar 71 40 $19,568.59 $14,676.44 25% off $6,261.95 $18,785.85 $18,590.16 2026-05-09
4810569T01 OTHER Hc Transcath Tricuspid Valve Repair;initial Prosthesis 71 40 $19,556.15 $14,667.11 25% off $6,257.97 $18,773.90 $18,578.34 2026-05-09
MS-620 OTHER O.r. Procedures For Obesity With Cc 60 23 — — $7,819.76 $23,421.00 $18,495.92 2026-05-09
202322 OTHER Nivolumab 240 Mg/24 Ml Intravenous Solution 71 40 $19,398.24 $14,548.68 25% off $6,207.44 $18,622.31 $18,428.33 2026-05-09
7612251301 OTHER Hc Perc Vertebral Augmentation Thoracic 71 40 $19,304.51 $14,478.38 25% off $6,177.44 $18,532.33 $18,339.28 2026-05-09
134981 OTHER Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 71 40 $19,267.43 $14,450.57 25% off $6,165.58 $18,496.73 $18,304.06 2026-05-09
272C262341 OTHER Hc Catheter Blln Pta Drug Coated Lvl 41 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
2781909742 OTHER Hc Embolization Device Implant Lvl 42 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
278C187442 OTHER Hc Stent Coated/covered Implant Lvl 42 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
278C181740 OTHER Hc Implant-septal Defect Lvl 40 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
272C961040 OTHER Hc Cath Coronary Drug-delivery Tpt Lvl 40 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
2782669741 OTHER Hc Vascular Stent Graft Implant Lvl 41 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
278C176440 OTHER Hc Loop Recorder Implant Lvl 40 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
2782669740 OTHER Hc Vascular Stent Graft Implant Lvl 40 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
272C188640 OTHER Hc Catheter Extravasc Tissue Ablat Lvl 40 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
275C189640 OTHER Hc Lead Icd Subcutan Non Sng/dual Lvl 40 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
278C187441 OTHER Hc Stent Coated/covered Implant Lvl 41 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
275C262141 OTHER Hc Pacemaker Biv Crt-p Lvl 41 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
275C177741 OTHER Hc Lead Icd Single Coil Lvl 41 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
272C175740 OTHER Hc Catheter Thromb/embolectomy Lvl 40 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
272C961041 OTHER Hc Cath Coronary Drug-delivery Tpt Lvl 41 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
278C181741 OTHER Hc Implant-septal Defect Lvl 41 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
278C188941 OTHER Hc Implantable-insertable Device Noc Lvl 41 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
272C175741 OTHER Hc Catheter Thromb/embolectomy Lvl 41 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
272C961042 OTHER Hc Cath Coronary Drug-delivery Tpt Lvl 42 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
2721929740 OTHER Hc Embolization Thrombectomy Non Implant Supply Lvl 40 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
272C175742 OTHER Hc Catheter Thromb/embolectomy Lvl 42 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
275C189540 OTHER Hc Lead Icd Dual Coil Lvl 40 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
275C172241 OTHER Hc Icd Single Chamber Lvl 41 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
272C173240 OTHER Hc Catheter Ep Diag/abl/3d/map Lvl 40 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
272C188942 OTHER Hc Implantable-insertable Device Noc Non Implant Lvl 42 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
2721809740 OTHER Hc Device Delivery System Supply Non Implant Lvl 40 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
278C187642 OTHER Hc Stent Non Coated/non Covered Implant Lvl 42 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
278C181742 OTHER Hc Septal Defect Implant Lvl 42 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
272C188941 OTHER Hc Implantable-insertable Device Noc Non Implant Lvl 41 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
275C262140 OTHER Hc Pacemaker Biv Crt-p Lvl 40 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
275C262142 OTHER Hc Pacemaker Biv Crt-p Lvl 42 71 40 $19,130.00 $14,347.50 25% off $6,121.60 $18,364.80 $18,173.50 2026-05-09
MS-621 OTHER O.r. Procedures For Obesity Without Cc/mcc 60 23 — — $7,819.76 $23,421.00 $18,162.31 2026-05-09
481C977201 OTHER Hc Open/perc Intravascular Litho, Tib/peroneal Artery 71 40 $18,935.29 $14,201.47 25% off $6,059.29 $18,177.88 $17,988.53 2026-05-09
7613389701 OTHER Hc Perq Transluminal Angioplasty Native/recurrnt Aorta 71 40 $18,933.94 $14,200.46 25% off $6,058.86 $18,176.58 $17,987.24 2026-05-09
4819292001 OTHER Hc Perq Trluml C Angioplasty 1 Maj C Art&/branches 71 40 $18,733.31 $14,049.98 25% off $5,994.66 $17,983.98 $17,796.64 2026-05-09
4819294441 OTHER Hcd Revasc Cto Bms/ptca/ather Addtl Art/branch 71 40 $18,106.67 $13,580.00 25% off $5,794.13 $17,382.40 $17,201.34 2026-05-09
4819294401 OTHER Hcd Revasc Cto Des With Ptca/ather Addtl Art/branch 71 40 $18,106.67 $13,580.00 25% off $5,794.13 $17,382.40 $17,201.34 2026-05-09
4819294406 OTHER Hcd Revasc Cto Bms/ptca/ather Addtl Art/branch 71 40 $18,106.67 $13,580.00 25% off $5,794.13 $17,382.40 $17,201.34 2026-05-09
4819297201 OTHER Hc Perq Trluml Coronry Lithotrp 71 40 $17,971.74 $13,478.80 25% off $5,750.96 $17,252.87 $17,073.15 2026-05-09
7610075T01 OTHER Hc Place Carotid Artery Stent Init 71 40 $17,930.65 $13,447.99 25% off $5,737.81 $17,213.42 $17,034.12 2026-05-09
7613724301 OTHER Hc Vasc Embolize/occlude Organ 71 40 $17,919.05 $13,439.29 25% off $5,734.10 $17,202.29 $17,023.10 2026-05-09
270Q048141 OTHER Hc Kit Controller Heartware 71 40 $17,433.60 $13,075.20 25% off $5,578.75 $16,736.26 $16,561.92 2026-05-09
3611019897 OTHER Hc Bronchoscopy, W Placement Fiducial Markers (includes Fluoro) 71 40 $17,388.33 $13,041.25 25% off $5,564.27 $16,692.80 $16,518.91 2026-05-09
4810913T01 OTHER Hc Coronary Drug-deliv Blln, Single Artery 71 40 $17,098.86 $12,824.14 25% off $5,471.64 $16,414.91 $16,243.92 2026-05-09
7616365001 OTHER Hc Prq Impltj Nstim Electrode Array Epidural 71 40 $16,826.92 $12,620.19 25% off $5,384.61 $16,153.84 $15,985.57 2026-05-09
7616365081 OTHER Hc Com Con Perc Implnt Neurosti 71 40 $16,826.92 $12,620.19 25% off $5,384.61 $16,153.84 $15,985.57 2026-05-09
7613622203 OTHER Hc First Order Catheter Cervical Carotid Angio Bilateral 71 40 $16,778.29 $12,583.72 25% off $5,369.05 $16,107.16 $15,939.38 2026-05-09
270Q050852 OTHER Hc Charger Battery Heartware 71 40 $16,616.40 $12,462.30 25% off $5,317.25 $15,951.74 $15,785.58 2026-05-09
7613622603 OTHER Hc Vertebral Cath Plcmnt Angio Bilateral 71 40 $16,578.61 $12,433.96 25% off $5,305.16 $15,915.47 $15,749.68 2026-05-09
7612251501 OTHER Hc Perc Vertebral Augmentation Ea Add All Sites 71 40 $16,561.66 $12,421.24 25% off $5,299.73 $15,899.19 $15,733.58 2026-05-09
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