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

CJW MEDICAL CENTER

Richmond, VA · CCN 490112 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $7,494 across 21 payers · range $1,707-$14,373

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/54-1779911_CHIPPENHAM-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

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

51,948 distinct procedures filed
38 distinct payers
783,121 rate rows
2026-07-17 last MRF observed
Data quality

744,860 of 783,121 rate rows are consumer-grade (95.1%)

38,261 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 23,223
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8,503
per-diem day rate — not a per-procedure price 5,468
template filing: same amount across many unrelated codes — excluded 757
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 156
placeholder amount (≤ $0.02) — excluded from medians 115
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 26
exceeds 10× this hospital's gross charge — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/54-1779911_CHIPPENHAM-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.hcavirginia.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint 4a64eda6656c3d19… · 454,075,740 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
845
OTHER 		Inj, Atidarsagene Autotem 16 $5,102.32 $4,820,350.00 $4,505,000.00 nat. median
$16,015
outlier · 281.3×
00845
OTHER 		Inj, Atidarsagene Autotem 4 $3,829,250.00 $4,505,000.00 $4,324,800.00 nat. median
$4,414,900
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 13 $3,685,267.00 $4,975,110.45 $3,758,972.34 nat. median
$3,758,972
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 4 $3,132,476.95 $3,685,267.00 $3,537,856.32 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 17 $9,238.48 $4,503,357.00 $3,354,834.17 nat. median
$29,683
outlier · 113.0×
714
OTHER 		Inj Delandistrogene Mox R 17 $6,001.02 $4,492,611.00 $3,346,828.80 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 17 $11,422.87 $4,390,885.80 $3,271,047.29 nat. median
$3,252,508
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 4 $2,835,447.00 $3,335,820.00 $3,202,387.20 nat. median
$14,170
outlier · 226.0×
906
OTHER 		Inj Elivaldogene Autoteme 17 $8,163.28 $4,293,000.00 $3,198,126.00 nat. median
$24,604
outlier · 130.0×
00714
OTHER 		Inj Delandistrogene Mox R 4 $2,828,681.00 $3,327,860.00 $3,194,745.60 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 4 $2,764,631.80 $3,252,508.00 $3,122,407.68 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 4 $2,703,000.00 $3,180,000.00 $3,052,800.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 17 $10,566.28 $3,968,958.15 $2,956,726.83 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 4 $2,498,973.65 $2,939,969.00 $2,822,370.24 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 13 $2,588,981.00 $3,495,124.35 $2,640,760.62 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 4 $2,200,633.85 $2,588,981.00 $2,485,421.76 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 17 $12,372.85 $3,148,200.00 $2,345,292.40 nat. median
$58,186
outlier · 40.3×
00824
OTHER 		Inj, Exagamglogene Autote 4 $1,982,200.00 $2,332,000.00 $2,238,720.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $2,042,143.00 $2,042,143.00 $2,042,143.00 nat. median
$809,151
outlier · 2.5×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 5 $470,193.65 $1,557,271.36 $1,055,220.18 nat. median
$631,793
1.7× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 5 $491,955.35 $1,501,307.95 $1,040,039.47 nat. median
$691,418
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 $448,478.70 $1,478,916.58 $1,003,269.29 nat. median
$610,161
1.6× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 5 $438,975.70 $1,489,833.29 $1,003,137.65 nat. median
$624,417
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 5 $427,414.85 $1,410,309.44 $956,575.22 nat. median
$588,565
1.6× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 5 $415,989.15 $1,297,043.03 $893,221.02 nat. median
$577,541
1.5× median
2067
OTHER 		Afamitresgene Autoleucel 13 $770,620.00 $1,040,337.00 $786,032.40 nat. median
$786,032
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $737,362.50 $737,362.50 $737,362.50 nat. median
$302,242
outlier · 2.4×
9498
OTHER 		Ciltacabtagene Car-pos T 13 $587,649.60 $793,326.96 $599,402.59 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 13 $566,531.30 $764,817.26 $577,861.93 nat. median
$576,820
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 13 $562,201.20 $758,971.62 $573,445.22 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 13 $558,081.80 $753,410.43 $569,243.44 nat. median
$560,872
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 4 $499,502.16 $587,649.60 $564,143.61 nat. median
$570,020
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 4 $481,551.61 $566,531.30 $543,870.04 nat. median
$549,535
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 13 $532,192.20 $718,459.47 $542,836.04 nat. median
$533,230
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 4 $477,871.02 $562,201.20 $539,713.15 nat. median
$545,335
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 4 $474,369.53 $558,081.80 $535,758.53 nat. median
$541,339
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $534,422.90 $534,422.90 $534,422.90 nat. median
$209,736
outlier · 2.5×
09035
OTHER 		Axicabtagene Ciloleucel C 4 $452,363.37 $532,192.20 $510,904.51 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 13 $489,450.20 $660,757.77 $499,239.20 nat. median
$492,768
1.0× median
5834
APR_DRG 		Neonate With Ecmo 6 $488,670.66 $513,104.19 $490,063.37 nat. median
$311,018
1.6× median
09391
OTHER 		Brexucabtagene Car Pos T 4 $416,032.67 $489,450.20 $469,872.19 nat. median
$474,767
1.0× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 $447,536.35 $469,913.17 $448,811.83 nat. median
$96,420
outlier · 4.7×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 $431,702.40 $453,287.52 $432,932.75 nat. median
$89,188
outlier · 4.9×
5833
APR_DRG 		Neonate With Ecmo 6 $429,225.92 $450,687.22 $430,449.21 nat. median
$250,089
1.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $345,233.49 $362,495.16 $346,217.41 nat. median
$254,667
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $334,363.03 $351,081.18 $335,315.97 nat. median
$209,486
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $5,284.00 $839,473.63 $327,047.35 nat. median
$370,165
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $302,613.55 $317,744.23 $303,476.00 nat. median
$160,171
1.9× median
5832
APR_DRG 		Neonate With Ecmo 6 $295,335.43 $310,102.20 $296,177.14 nat. median
$169,230
1.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $288,877.11 $303,320.97 $289,700.41 nat. median
$168,174
1.7× median

Other procedures at this hospital

Browse this hospital's 51,948 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
             
845 OTHER Inj, Atidarsagene Autotem 17 16 — — $5,102.32 $4,820,350.00 $4,505,000.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 4 4 — — $3,829,250.00 $4,505,000.00 $4,324,800.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 14 13 — — $3,685,267.00 $4,975,110.45 $3,758,972.34 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 4 4 — — $3,132,476.95 $3,685,267.00 $3,537,856.32 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 18 17 — — $9,238.48 $4,503,357.00 $3,354,834.17 2026-03-01
714 OTHER Inj Delandistrogene Mox R 18 17 — — $6,001.02 $4,492,611.00 $3,346,828.80 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 18 17 — — $11,422.87 $4,390,885.80 $3,271,047.29 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 4 4 — — $2,835,447.00 $3,335,820.00 $3,202,387.20 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 18 17 — — $8,163.28 $4,293,000.00 $3,198,126.00 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 4 4 — — $2,828,681.00 $3,327,860.00 $3,194,745.60 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 4 4 — — $2,764,631.80 $3,252,508.00 $3,122,407.68 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 4 4 — — $2,703,000.00 $3,180,000.00 $3,052,800.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 18 17 — — $10,566.28 $3,968,958.15 $2,956,726.83 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 4 4 — — $2,498,973.65 $2,939,969.00 $2,822,370.24 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 14 13 — — $2,588,981.00 $3,495,124.35 $2,640,760.62 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 4 4 — — $2,200,633.85 $2,588,981.00 $2,485,421.76 2026-03-01
824 OTHER Inj, Exagamglogene Autote 18 17 — — $12,372.85 $3,148,200.00 $2,345,292.40 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 4 4 — — $1,982,200.00 $2,332,000.00 $2,238,720.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 4 1 — — $2,042,143.00 $2,042,143.00 $2,042,143.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 8 5 — — $470,193.65 $1,557,271.36 $1,055,220.18 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 8 5 — — $491,955.35 $1,501,307.95 $1,040,039.47 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 8 5 — — $448,478.70 $1,478,916.58 $1,003,269.29 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 8 5 — — $438,975.70 $1,489,833.29 $1,003,137.65 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 8 5 — — $427,414.85 $1,410,309.44 $956,575.22 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 8 5 — — $415,989.15 $1,297,043.03 $893,221.02 2026-03-01
2067 OTHER Afamitresgene Autoleucel 14 13 — — $770,620.00 $1,040,337.00 $786,032.40 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 4 1 — — $737,362.50 $737,362.50 $737,362.50 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 14 13 — — $587,649.60 $793,326.96 $599,402.59 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 14 13 — — $566,531.30 $764,817.26 $577,861.93 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 14 13 — — $562,201.20 $758,971.62 $573,445.22 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 14 13 — — $558,081.80 $753,410.43 $569,243.44 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 4 4 — — $499,502.16 $587,649.60 $564,143.61 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 4 4 — — $481,551.61 $566,531.30 $543,870.04 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 14 13 — — $532,192.20 $718,459.47 $542,836.04 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 4 4 — — $477,871.02 $562,201.20 $539,713.15 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 4 4 — — $474,369.53 $558,081.80 $535,758.53 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 4 1 — — $534,422.90 $534,422.90 $534,422.90 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 4 4 — — $452,363.37 $532,192.20 $510,904.51 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 14 13 — — $489,450.20 $660,757.77 $499,239.20 2026-03-01
5834 APR_DRG Neonate With Ecmo 6 6 — — $488,670.66 $513,104.19 $490,063.37 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 4 4 — — $416,032.67 $489,450.20 $469,872.19 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 6 — — $447,536.35 $469,913.17 $448,811.83 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 6 — — $431,702.40 $453,287.52 $432,932.75 2026-03-01
5833 APR_DRG Neonate With Ecmo 6 6 — — $429,225.92 $450,687.22 $430,449.21 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $345,233.49 $362,495.16 $346,217.41 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $334,363.03 $351,081.18 $335,315.97 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 20 — — $5,284.00 $839,473.63 $327,047.35 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $302,613.55 $317,744.23 $303,476.00 2026-03-01
5832 APR_DRG Neonate With Ecmo 6 6 — — $295,335.43 $310,102.20 $296,177.14 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $288,877.11 $303,320.97 $289,700.41 2026-03-01
489839 CDM Device Vntrc Asst Strl 15 11 $479,412.00 $479,412.00 $68,555.92 $479,412.00 $287,647.20 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $283,349.11 $297,516.57 $284,156.66 2026-03-01
831 OTHER Obecbtge Autol Up To 400 18 17 — — $3,493.85 $375,637.50 $279,836.03 2026-03-01
897 OTHER Revakinagene, Per Implant 14 13 — — $265,000.00 $357,750.00 $270,300.00 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $269,182.38 $282,641.50 $269,949.55 2026-03-01
456896 CDM Kit Impl Lvas W/grafts 15 11 $449,230.00 $449,230.00 $64,239.89 $449,230.00 $269,538.00 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $268,565.23 $281,993.49 $269,330.64 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 4 4 — — $236,512.50 $278,250.00 $267,120.00 2026-03-01
489837 CDM Device Vntrc Asst Kit Pm 15 11 $428,033.00 $428,033.00 $61,208.72 $428,033.00 $256,819.80 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $255,280.14 $268,044.15 $256,007.69 2026-03-01
00897 OTHER Revakinagene, Per Implant 4 4 — — $225,250.00 $265,000.00 $254,400.00 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $241,373.95 $253,442.65 $242,061.86 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $206,004.64 $242,358.40 $235,087.65 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 20 — — $28,998.00 $524,418.00 $226,856.19 2026-03-01
80643 CDM Tmvi Perc Aprch 20 15 $375,803.00 $375,803.00 $53,739.83 $375,803.00 $225,481.80 2026-03-01
77145 CDM Tavr/tavi Perc Fem Aprch 20 15 $375,803.00 $375,803.00 $53,739.83 $375,803.00 $225,481.80 2026-03-01
118585 CDM Ttvr - Initial Device 20 15 $375,803.00 $375,803.00 $53,739.83 $375,803.00 $225,481.80 2026-03-01
83096 CDM Tmvr Perc Initial Device 20 15 $375,803.00 $375,803.00 $53,739.83 $375,803.00 $225,481.80 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $222,849.03 $233,991.48 $223,484.15 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 7 2 — — $70,495.36 $221,874.56 $221,874.56 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 5 4 — — $181,081.36 $213,036.90 $206,645.79 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $202,243.72 $212,355.91 $202,820.11 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 18 17 — — $7,645.12 $272,253.15 $202,818.52 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 6 — — $200,634.40 $210,666.12 $201,206.21 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $199,359.31 $209,327.28 $199,927.48 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $194,089.23 $203,793.69 $194,642.39 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 4 4 — — $171,418.65 $201,669.00 $193,602.24 2026-03-01
5831 APR_DRG Neonate With Ecmo 6 6 — — $184,859.66 $194,102.64 $185,386.51 2026-03-01
J9999 HCPCS Carmustine 7.7mg Implant 23 16 $392,397.00 $392,397.00 $56,112.77 $392,397.00 $176,578.65 2026-03-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 6 — — $166,193.95 $174,503.65 $166,667.61 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $162,145.00 $170,252.25 $162,607.11 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 17 — — $27,878.00 $415,053.72 $160,495.07 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 20 — — $29,411.00 $566,589.08 $159,556.13 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $158,301.32 $166,216.39 $158,752.48 2026-03-01
66661 CDM Ins Icd Lead/generator 17 14 $240,066.00 $240,066.00 $36,009.90 $240,066.00 $156,042.90 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $153,652.33 $161,334.95 $154,090.24 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $152,989.12 $160,638.58 $153,425.14 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $152,962.81 $160,610.95 $153,398.76 2026-03-01
1907 OTHER New Technology - Level 52 14 13 — — $149,755.50 $202,169.93 $152,750.61 2026-03-01
1908 OTHER New Technology - Level 52 14 13 — — $149,755.50 $202,169.93 $152,750.61 2026-03-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $151,020.57 $158,571.60 $151,450.98 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $150,350.79 $157,868.33 $150,779.29 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $150,346.84 $157,864.18 $150,775.33 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 7 2 — — $71,547.78 $150,585.06 $150,585.06 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $149,898.13 $157,393.04 $150,325.34 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 4 — — $127,629.80 $150,152.70 $145,648.12 2026-03-01
C9293 HCPCS Glucarpidase 1000 U Inj 22 14 $274,687.00 $274,687.00 $440.98 $274,687.00 $144,210.67 2026-03-01
01907 OTHER New Technology - Level 52 4 4 — — $126,436.65 $148,749.00 $142,799.04 2026-03-01
01908 OTHER New Technology - Level 52 4 4 — — $126,436.65 $148,749.00 $142,799.04 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $141,468.62 $148,542.05 $141,871.80 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $139,647.45 $146,629.82 $140,045.45 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $139,559.28 $146,537.24 $139,957.02 2026-03-01
1906 OTHER New Technology - Level 51 14 13 — — $135,025.50 $182,284.43 $137,726.01 2026-03-01
1905 OTHER New Technology - Level 51 14 13 — — $135,025.50 $182,284.43 $137,726.01 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $135,995.89 $142,795.68 $136,383.48 2026-03-01
76844 CDM Rem/replace Icd Gen Mult 17 14 $203,987.00 $203,987.00 $30,598.05 $203,987.00 $132,591.55 2026-03-01
76842 CDM Rem/replace Icd Gen Sgl 17 14 $203,987.00 $203,987.00 $30,598.05 $203,987.00 $132,591.55 2026-03-01
76843 CDM Rem/replace Icd Gen Dual 17 14 $203,987.00 $203,987.00 $30,598.05 $203,987.00 $132,591.55 2026-03-01
89245 CDM Dialysis Circ Thrmb/stnt 20 15 $217,403.00 $217,403.00 $31,088.63 $217,403.00 $130,441.80 2026-03-01
01905 OTHER New Technology - Level 51 4 4 — — $114,000.30 $134,118.00 $128,753.28 2026-03-01
01906 OTHER New Technology - Level 51 4 4 — — $114,000.30 $134,118.00 $128,753.28 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $127,293.99 $133,658.69 $127,656.78 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $124,825.41 $131,066.68 $125,181.16 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $123,775.34 $129,964.11 $124,128.10 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 4 1 — — $123,742.09 $123,742.09 $123,742.09 2026-03-01
89242 CDM Dialysis Circ Intrv Stnt 20 15 $204,917.00 $204,917.00 $29,303.13 $204,917.00 $122,950.20 2026-03-01
1904 OTHER New Technology - Level 50 14 13 — — $120,295.50 $162,398.93 $122,701.41 2026-03-01
1903 OTHER New Technology - Level 50 14 13 — — $120,295.50 $162,398.93 $122,701.41 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $121,976.53 $128,075.36 $122,324.17 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $121,976.53 $128,075.36 $122,324.17 2026-03-01
33271 CPT Insertion Of Subcutaneous Implantable Defibrillator Electrode 15 7 — — $1,995.00 $169,913.00 $119,642.00 2026-03-01
33272 CPT Removal Of Subcutaneous Implantable Defibrillator Electrode 15 7 — — $1,995.00 $169,913.00 $119,642.00 2026-03-01
33264 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 15 7 — — $1,995.00 $169,913.00 $119,642.00 2026-03-01
33270 CPT Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 15 7 — — $1,995.00 $169,913.00 $119,642.00 2026-03-01
33262 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 15 7 — — $1,995.00 $169,913.00 $119,642.00 2026-03-01
33263 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 15 7 — — $1,995.00 $169,913.00 $119,642.00 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $117,923.63 $123,819.81 $118,259.71 2026-03-01
118786 CDM Revsc Iliac W Stnt Init 20 15 $196,037.00 $196,037.00 $28,033.29 $196,037.00 $117,622.20 2026-03-01
88556 CDM Ins/repl Ccm System 20 15 $192,476.00 $192,476.00 $27,524.07 $192,476.00 $115,485.60 2026-03-01
127288 CDM Insert Ccmd System 20 15 $192,476.00 $192,476.00 $27,524.07 $192,476.00 $115,485.60 2026-03-01
88562 CDM Repl Ccm Pls Gen Only 20 15 $192,476.00 $192,476.00 $27,524.07 $192,476.00 $115,485.60 2026-03-01
88557 CDM Ins/repl Ccm Pls Gen 20 15 $192,476.00 $192,476.00 $27,524.07 $192,476.00 $115,485.60 2026-03-01
01903 OTHER New Technology - Level 50 4 4 — — $101,563.95 $119,487.00 $114,707.52 2026-03-01
01904 OTHER New Technology - Level 50 4 4 — — $101,563.95 $119,487.00 $114,707.52 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 — — $99,668.79 $117,257.40 $113,739.68 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $111,728.48 $117,314.90 $112,046.90 2026-03-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $110,296.81 $115,811.65 $110,611.15 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 18 17 — — $92,006.55 $146,128.05 $108,859.99 2026-03-01
1901 OTHER New Technology - Level 49 14 13 — — $105,565.50 $142,513.43 $107,676.81 2026-03-01
1902 OTHER New Technology - Level 49 14 13 — — $105,565.50 $142,513.43 $107,676.81 2026-03-01
4404 APR_DRG Kidney Transplant 6 6 — — $106,970.27 $112,318.78 $107,275.14 2026-03-01
74678 CDM Revsc Fem/pop W Stnt/ath 20 15 $178,089.00 $178,089.00 $25,466.73 $178,089.00 $106,853.40 2026-03-01
74727 CDM Revsc Fem/pop W Stnt/ath 20 15 $178,089.00 $178,089.00 $25,466.73 $178,089.00 $106,853.40 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $106,300.49 $111,615.51 $106,603.45 2026-03-01
116049 CDM Revsc Tib/per Ivl St/ath 20 15 $177,533.00 $177,533.00 $25,387.22 $177,533.00 $106,519.80 2026-03-01
116048 CDM Revsc Tib/per Ivl/ath 20 15 $177,533.00 $177,533.00 $25,387.22 $177,533.00 $106,519.80 2026-03-01
116047 CDM Revsc Tib/per Ivl/stnt 20 15 $177,533.00 $177,533.00 $25,387.22 $177,533.00 $106,519.80 2026-03-01
126092 CDM Revsc Low Ext Ivl St/ath 20 15 $177,533.00 $177,533.00 $25,387.22 $177,533.00 $106,519.80 2026-03-01
125218 CDM Revsc Tib/per St/ath Ini 20 15 $177,487.00 $177,487.00 $25,380.64 $177,487.00 $106,492.20 2026-03-01
74731 CDM Revsc Tib/per St/ath Ini 20 15 $177,487.00 $177,487.00 $25,380.64 $177,487.00 $106,492.20 2026-03-01
116298 CDM Revsc Tib/per Ivl/ath 20 15 $177,435.00 $177,435.00 $25,373.21 $177,435.00 $106,461.00 2026-03-01
127281 CDM Revsc Low Ext Ivl St/ath 20 15 $177,435.00 $177,435.00 $25,373.21 $177,435.00 $106,461.00 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 20 — — $29,411.00 $269,271.22 $106,273.13 2026-03-01
84398 CDM Ins/repl Sq Icd With Elec 17 14 $163,106.00 $163,106.00 $24,465.90 $163,106.00 $106,018.90 2026-03-01
4403 APR_DRG Kidney Transplant 6 6 — — $104,500.37 $109,725.39 $104,798.20 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $104,127.98 $109,334.38 $104,424.74 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $103,670.05 $108,853.55 $103,965.51 2026-03-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $103,641.10 $108,823.16 $103,936.48 2026-03-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $103,427.93 $108,599.33 $103,722.70 2026-03-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $102,638.41 $107,770.33 $102,930.93 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $102,184.43 $107,293.65 $102,475.65 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $89,323.78 $105,086.80 $101,408.76 2026-03-01
01901 OTHER New Technology - Level 49 4 4 — — $89,127.60 $104,856.00 $100,661.76 2026-03-01
01902 OTHER New Technology - Level 49 4 4 — — $89,127.60 $104,856.00 $100,661.76 2026-03-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $99,568.46 $104,546.88 $99,852.23 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $97,939.41 $102,836.38 $98,218.54 2026-03-01
74713 CDM Revsc Iliac W Stnt Init 20 15 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $98,029.20 2026-03-01
116297 CDM Revsc Tib/per Ivl Angio 20 15 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $98,029.20 2026-03-01
127280 CDM Revsc Low Extr Ivl/stnt 20 15 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $98,029.20 2026-03-01
127303 CDM Revsc Low Extr Ivl/ather 20 15 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $98,029.20 2026-03-01
116046 CDM Revsc Tib/per Ivl Angio 20 15 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $98,029.20 2026-03-01
126094 CDM Revsc Low Extr Ivl/stnt 20 15 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $98,029.20 2026-03-01
127294 CDM Revsc Low Extr Ivl/ather 20 15 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $98,029.20 2026-03-01
80319 CDM Evas Rpr A-biiliac Norup 20 15 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $98,029.20 2026-03-01
74672 CDM Revsc Iliac W Stnt Init 20 15 $163,382.00 $163,382.00 $23,363.63 $163,382.00 $98,029.20 2026-03-01
85386 CDM Ev Revsc Fem/pop W Grft 20 15 $163,192.00 $163,192.00 $23,336.46 $163,192.00 $97,915.20 2026-03-01
74725 CDM Revsc Fem/pop W Stnt 20 15 $163,192.00 $163,192.00 $23,336.46 $163,192.00 $97,915.20 2026-03-01
74677 CDM Revsc Fem/pop W Stnt 20 15 $163,192.00 $163,192.00 $23,336.46 $163,192.00 $97,915.20 2026-03-01
7 MS_DRG Lung Transplant 33 20 — — $7,312.00 $251,751.89 $97,614.78 2026-03-01
74730 CDM Revsc Tib/per Stnt Init 20 15 $162,553.00 $162,553.00 $23,245.08 $162,553.00 $97,531.80 2026-03-01
74681 CDM Revsc Tib/per Stnt Init 20 15 $162,553.00 $162,553.00 $23,245.08 $162,553.00 $97,531.80 2026-03-01
6904 APR_DRG Acute Leukemia 6 6 — — $96,761.70 $101,599.79 $97,037.47 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $96,640.64 $101,472.67 $96,916.07 2026-03-01
8634 APR_DRG Neonatal Aftercare 6 6 — — $95,620.83 $100,401.87 $95,893.35 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 18 17 — — $80,818.85 $128,359.35 $95,622.96 2026-03-01
1585 OTHER New Technology - Level 48 14 13 — — $93,290.49 $125,942.16 $95,156.30 2026-03-01
1599 OTHER New Technology - Level 48 14 13 — — $93,290.49 $125,942.16 $95,156.30 2026-03-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $94,678.67 $99,412.60 $94,948.51 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $94,656.30 $99,389.12 $94,926.07 2026-03-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $94,345.75 $99,063.04 $94,614.64 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 37 20 — — $65,706.78 $175,146.62 $94,604.00 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 20 — — $68,777.00 $214,252.13 $94,604.00 2026-03-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $93,104.88 $97,760.12 $93,370.23 2026-03-01
85360 CDM Imp Wrls P-art Pres Snsr 20 15 $154,741.00 $154,741.00 $22,127.96 $154,741.00 $92,844.60 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 11 6 — — $53,750.26 $170,328.19 $92,400.00 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 20 — — $28,998.00 $524,418.00 $92,056.94 2026-03-01
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $91,746.89 $96,334.23 $92,008.37 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 33 20 — — $5,284.00 $233,627.98 $91,386.87 2026-03-01
74735 CDM Revsc Tib/per St/ath Add 20 15 $150,471.00 $150,471.00 $21,517.35 $150,471.00 $90,282.60 2026-03-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $89,777.02 $94,265.87 $90,032.89 2026-03-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $89,358.58 $93,826.51 $89,613.25 2026-03-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $89,334.89 $93,801.63 $89,589.49 2026-03-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $89,241.46 $93,703.53 $89,495.80 2026-03-01
204 APR_DRG Open Craniotomy For Trauma 6 6 — — $89,086.19 $93,540.50 $89,340.08 2026-03-01
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 6 6 — — $89,000.66 $93,450.69 $89,254.31 2026-03-01
01585 OTHER New Technology - Level 48 4 4 — — $78,763.96 $92,663.48 $88,956.95 2026-03-01
01599 OTHER New Technology - Level 48 4 4 — — $78,763.96 $92,663.48 $88,956.95 2026-03-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $87,820.32 $92,211.34 $88,070.61 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 11 6 — — $48,464.53 $144,170.89 $87,806.33 2026-03-01
007 OTHER Lung Transplant 5 4 — — $76,602.28 $90,120.33 $87,416.72 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 20 — — $52,742.27 $143,217.00 $87,271.00 2026-03-01
432589 CDM Graft Evas 16cm 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545208 CDM Coil Emb Endo 7mm 4mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
367402 CDM Graft Bn Med 5.6cc 1x2in 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
420964 CDM Graft Bn Magnifuse Pl 10 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545217 CDM Coil Embl Endo 10mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
359925 CDM Graft Evas 18cm 28.5mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545199 CDM Coil Embl 27x9x5mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545200 CDM Coil Embl Endo 9mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545202 CDM Sys Endo Sng Lyr 5mmx4mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
410074 CDM Graft Bn Tlus Rt 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545419 CDM Valve Tavor Aor 23mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545489 CDM Valve Aor Tavr 29mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
562993 CDM Device 17 Sng Sphr 5 .0 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
544421 CDM Device Embl 4.25mmx12mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545183 CDM Coil Embl Endo 4mm 3mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545194 CDM Coil Embl Endo 8mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
376100 CDM Gft Evas 135x22x13mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
432587 CDM Graft Evas 12cm 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
534224 CDM Device Embl 5x25mm Pipln 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545218 CDM Coil Embl Endo 10mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545488 CDM Valve Aor Tavr 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
416062 CDM Valve Mitral 31mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
517537 CDM Device Embl16x3.75mm Pip 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
402566 CDM Valve Aortic 19mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
359943 CDM Graft Evas 16cm 28.5mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
540231 CDM Dev Embl Pipln 14x3.75mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
519194 CDM Device Embl 12mm 2.5mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
385793 CDM Valve Heart Frstl 29mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
359926 CDM Graft Evas 14cm 28.5mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
398371 CDM Graft Evas 13cm 31mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
416060 CDM Valve Mitral 27mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
359872 CDM Graft Evas 18cm 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
432590 CDM Graft Evas 18cm 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
309649 CDM Graft Nrv 1-2mm 70mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
533148 CDM Sys Endo Sng Lyr 6x3mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
355852 CDM Graft Evas 14cm 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
432588 CDM Graft Evas 14cm 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
429513 CDM Graft Evas 18cm 28.5mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
432591 CDM Graft Evas 12cm 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
432592 CDM Graft Evas 14cm 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545195 CDM Coil Embl Endo 8mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
548860 CDM Algrf Cartliage 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
564003 CDM Coil Emb Neuro 6x3mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
359832 CDM Graft Evas 14cm 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
515340 CDM Device Embl 12mm 3.5mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
355097 CDM Graft Evas 16cm 28.5mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
421811 CDM Graft Evas 16cm 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
517271 CDM Device Embl 4x12mm Pline 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
359969 CDM Graft Evas 16cm 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
417828 CDM Graft Evas 17cm 31mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
429502 CDM Graft Evas 17cm 31mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
560737 CDM Graft Evas 40x40x10cm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
402568 CDM Valve Aortic 21mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
378444 CDM Graft Evas 12cm 28.5mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
514793 CDM Valve Aortic 23mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
514794 CDM Valve Aortic 29mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
379957 CDM Graft Evas 12cm 28.5mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
514791 CDM Valve Aortic 19mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
367401 CDM Graft Bn Lgii 8cc 3x4in 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
429860 CDM Graft Evas 18cm 23mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
514792 CDM Valve Aortic 21mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
517339 CDM Device Embl 14x3.5mm Pl 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
560738 CDM Stent Thor 31x26mm 10cm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
359927 CDM Graft Evas 16cm 23mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
397692 CDM Graft Evas 15cm 31mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
494621 CDM Device Embl 10mm 3.25mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
496541 CDM Coil Embl 4.0mm 49mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
420304 CDM Stent Aaa Exldr C3 23x12 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
385792 CDM Valve Aortic 34mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
421617 CDM Gft Bif 28-13x124mm 20fr 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
494096 CDM Valve Aortic 25mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
496750 CDM Device Embl 10mm 2.5mm P 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
405616 CDM Valve Aortic 27mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
432593 CDM Graft Evas 18cm 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545220 CDM Coil Embl Endo 11mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
545719 CDM Graft Bn Rt Mdl Fem 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
402569 CDM Valve Aortic 25mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
423167 CDM Graft Evas 14cm 28.5mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
432586 CDM Graft Evas 18cm 23mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
514609 CDM Device Embl 18mm 4.25mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
549519 CDM Device Embl 12mm 3.75mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
558685 CDM Graft Bn Femoral 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
561944 CDM Graft Hmeral Head Left 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
566342 CDM Device Endo Sng 5x3mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
415174 CDM Graft Nrv 2-3mm 30mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
487217 CDM Valve Tavr 29mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
487216 CDM Valve Tavr 26mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
487218 CDM Valve Tavr 34mm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
482288 CDM Graft Evas 26x14.5m 14cm 15 11 $143,760.00 $143,760.00 $20,557.68 $143,760.00 $86,256.00 2026-03-01
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