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

CAMC GREENBRIER VALLEY MEDICAL CENTER, INC

Ronceverte, WV · CCN 510002 · Rates published

44,372 distinct procedures filed
17 distinct payers
2,771,642 rate rows
2026-05-23 last MRF observed
Data quality

2,768,320 of 2,771,642 rate rows are consumer-grade (99.9%)

3,322 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
placeholder amount (≤ $0.02) — excluded from medians 3,274
per-diem day rate — not a per-procedure price 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/shared/static/aidlfax3cyzn902r713m3ofochu48bev.csv
Found on page https://www.camc.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint d06e0bdd2255a178… · 64,398,171 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
DRG3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $89,595.93 $293,420.81 $166,639.11 nat. median
$166,639
1.0× median
DRG4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $60,445.24 $198,212.72 $110,081.42 nat. median
$110,081
1.0× median
9482927
OTHER 		Catheter Cardiac Assist Impella 5.5 1000100 17 $33,769.71 $245,143.08 $63,036.79 nat. median
$96,760
0.7× median
10575273
OTHER 		Graft Lg Volume 40cc Synth Tissue Pro-dense 12 $15,315.20 $75,044.48 $62,554.93 nat. median
$33,584
1.9× median
7438525
OTHER 		Pad Warming Medium 00315-05z 12 $15,028.60 $73,640.14 $61,384.32 nat. median
$58,672
1.0× median
10213821
OTHER 		Graft Alloderm 16x20cm 1518320p 12 $14,493.20 $71,016.68 $59,197.48 nat. median
$50,534
1.2× median
10491155
OTHER 		Neurostim Sentiva M1000 Generator 17 $29,593.62 $214,827.76 $55,241.42 nat. median
$87,685
0.6× median
10488372
OTHER 		Triclip G4 System 17 $29,484.00 $214,032.00 $55,036.80 nat. median
$64,428
0.9× median
DRG870
OTHER 		Septicemia Or Severe Sepsis With Mv >96 Hours 17 $31,901.21 $145,050.24 $54,515.99 nat. median
$54,516
1.0× median
10457626
OTHER 		Oval Phasix Echo 6x10 12 $12,985.20 $63,627.48 $53,038.05 nat. median
$28,474
1.9× median
DRG207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $33,541.52 $173,487.51 $51,213.66 nat. median
$51,214
1.0× median
10433701
OTHER 		Barostim Neo2 Generator 17 $26,460.00 $192,080.00 $49,392.00 nat. median
$57,820
0.9× median
9192909
OTHER 		Unit Processing Cp100 P732095 12 $11,673.60 $57,200.64 $47,680.82 nat. median
$14,764
outlier · 3.2×
9991409
OTHER 		Thv Sapien 29mm 3 Ultra S3urcm29a 17 $25,515.00 $185,220.00 $47,628.00 nat. median
$75,225
0.6× median
9991405
OTHER 		Thv Sapien 23mm 3 Ultra S3urcm23a 17 $25,515.00 $185,220.00 $47,628.00 nat. median
$75,225
0.6× median
9991407
OTHER 		Thv Sapien 26mm 3 Ultra S3urcm26a 17 $25,515.00 $185,220.00 $47,628.00 nat. median
$75,225
0.6× median
9991403
OTHER 		Thv Sapien 20mm 3 Ultra S3urcm20a 17 $25,515.00 $185,220.00 $47,628.00 nat. median
$52,920
0.9× median
9184074
OTHER 		Tavr Bsc Lotus Ao 25 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
7818626
OTHER 		Valve Heart Sapien Xt Transcatheter W/nova Flex Delivery System 26mm 9355nf26a 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$47,938
0.9× median
8255996
OTHER 		System Valve Heart 23mm W/certitute Delivery Sapien 3 Ultra S3usta123a 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
8140238
OTHER 		System Valve Heart 20mm Tavr Trans 9600tfx 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
8255998
OTHER 		System Valve Heart 26mm W/certitute Delivery Sapien 3 Ultra S3usta126a 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
7673956
OTHER 		Tavr Edw Ht Vlv 23 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
9311749
OTHER 		Valve Heart Only Sapien-3 29mm 9600tfx29a 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
7874601
OTHER 		Tavr Edw Ht Vlv 20 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
9184078
OTHER 		Tavr Bsc Lotus Ao 23 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
7466049
OTHER 		Tavr Edw Ht Vlv 29 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
8914167
OTHER 		System Valve Heart 26mm Tavr Trans 9600tfx26a 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
7462584
OTHER 		System Valve Heart Sapien Thv 23mm W/retro Flex 3 Transfermoral 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
9184076
OTHER 		Tavr Bsc Lotus Ao 27 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
7462585
OTHER 		System Valve Heart Sapien Thv 26mm W/retro Flex 3 Transfermoral 17 $24,389.23 $177,047.78 $45,526.57 nat. median
$53,690
0.8× median
10477348
OTHER 		Tavr Evolut Valve 29 Evfxplus-29 17 $24,192.00 $175,616.00 $45,158.40 nat. median
$71,680
0.6× median
10477350
OTHER 		Tavr Evolut Valve 34 Evfxplus-34 17 $24,192.00 $175,616.00 $45,158.40 nat. median
$71,680
0.6× median
10477346
OTHER 		Tavr Evolut Valve 26 Evfxplus-26 17 $24,192.00 $175,616.00 $45,158.40 nat. median
$71,680
0.6× median
10477344
OTHER 		Tavr Evolut Valve 23 Evfxplus-23 17 $24,192.00 $175,616.00 $45,158.40 nat. median
$71,680
0.6× median
9798313
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 31mmx12mmx20cm 22fr Tac123120a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9798315
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 34mmx12mmx15cm 24fr Tac123415a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9798317
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 34mmx12mmx20cm 24fr Tac123420a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9797293
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 26mmx8mmx10cm 20fr Tac082610a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9798311
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 31mmx12mmx15cm 22fr Tac123115a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9798321
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 37mmx12mmx20cm 24fr Tac123720a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9798305
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 40mmx8mmx15cm 26fr Tac084015a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9798299
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 34mmx8mmx20cm 24fr Tac083420a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9798301
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 37mmx8mmx15cm 24fr Tac083715a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9798297
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 34mmx8mmx15cm 24fr Tac083415a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9798303
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 37mmx8mmx20cm 24fr Tac083720a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9798307
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 40mmx8mmx20cm 26fr Tac084020a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9798291
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 28mmx8mmx20cm 22fr Tac082820a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9797629
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 28mmx8mmx10cm 22fr Tac082810a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median
9797631
OTHER 		Thoracic Branch Endoprosthesis Aortic Component 28mmx8mmx15cm 22fr Tac082815a 17 $24,014.07 $174,324.36 $44,826.26 nat. median
$52,864
0.8× median

Other procedures at this hospital

Browse this hospital's 44,372 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
             
DRG3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 68 17 $293,420.81 $293,420.81 $89,595.93 $293,420.81 $166,639.11 2026-05-23
DRG4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 68 17 $198,212.72 $198,212.72 $60,445.24 $198,212.72 $110,081.42 2026-05-23
9482927 OTHER Catheter Cardiac Assist Impella 5.5 1000100 68 17 $250,146.00 $250,146.00 $33,769.71 $245,143.08 $63,036.79 2026-05-23
10575273 OTHER Graft Lg Volume 40cc Synth Tissue Pro-dense 30 12 $76,576.00 $76,576.00 $15,315.20 $75,044.48 $62,554.93 2026-05-23
7438525 OTHER Pad Warming Medium 00315-05z 30 12 $75,143.00 $75,143.00 $15,028.60 $73,640.14 $61,384.32 2026-05-23
10213821 OTHER Graft Alloderm 16x20cm 1518320p 30 12 $72,466.00 $72,466.00 $14,493.20 $71,016.68 $59,197.48 2026-05-23
10491155 OTHER Neurostim Sentiva M1000 Generator 68 17 $219,212.00 $219,212.00 $29,593.62 $214,827.76 $55,241.42 2026-05-23
10488372 OTHER Triclip G4 System 68 17 $218,400.00 $218,400.00 $29,484.00 $214,032.00 $55,036.80 2026-05-23
DRG870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 68 17 $148,010.45 $148,010.45 $31,901.21 $145,050.24 $54,515.99 2026-05-23
10457626 OTHER Oval Phasix Echo 6x10 30 12 $64,926.00 $64,926.00 $12,985.20 $63,627.48 $53,038.05 2026-05-23
DRG207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 68 17 $177,028.07 $177,028.07 $33,541.52 $173,487.51 $51,213.66 2026-05-23
10433701 OTHER Barostim Neo2 Generator 68 17 $196,000.00 $196,000.00 $26,460.00 $192,080.00 $49,392.00 2026-05-23
9192909 OTHER Unit Processing Cp100 P732095 30 12 $58,368.00 $58,368.00 $11,673.60 $57,200.64 $47,680.82 2026-05-23
9991409 OTHER Thv Sapien 29mm 3 Ultra S3urcm29a 68 17 $189,000.00 $189,000.00 $25,515.00 $185,220.00 $47,628.00 2026-05-23
9991405 OTHER Thv Sapien 23mm 3 Ultra S3urcm23a 68 17 $189,000.00 $189,000.00 $25,515.00 $185,220.00 $47,628.00 2026-05-23
9991407 OTHER Thv Sapien 26mm 3 Ultra S3urcm26a 68 17 $189,000.00 $189,000.00 $25,515.00 $185,220.00 $47,628.00 2026-05-23
9991403 OTHER Thv Sapien 20mm 3 Ultra S3urcm20a 68 17 $189,000.00 $189,000.00 $25,515.00 $185,220.00 $47,628.00 2026-05-23
8914167 OTHER System Valve Heart 26mm Tavr Trans 9600tfx26a 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
7818626 OTHER Valve Heart Sapien Xt Transcatheter W/nova Flex Delivery System 26mm 9355nf26a 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
7874601 OTHER Tavr Edw Ht Vlv 20 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
9311749 OTHER Valve Heart Only Sapien-3 29mm 9600tfx29a 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
7466049 OTHER Tavr Edw Ht Vlv 29 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
9184076 OTHER Tavr Bsc Lotus Ao 27 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
7462584 OTHER System Valve Heart Sapien Thv 23mm W/retro Flex 3 Transfermoral 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
7462585 OTHER System Valve Heart Sapien Thv 26mm W/retro Flex 3 Transfermoral 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
7673956 OTHER Tavr Edw Ht Vlv 23 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
8140238 OTHER System Valve Heart 20mm Tavr Trans 9600tfx 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
9184078 OTHER Tavr Bsc Lotus Ao 23 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
8255996 OTHER System Valve Heart 23mm W/certitute Delivery Sapien 3 Ultra S3usta123a 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
9184074 OTHER Tavr Bsc Lotus Ao 25 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
8255998 OTHER System Valve Heart 26mm W/certitute Delivery Sapien 3 Ultra S3usta126a 68 17 $180,661.00 $180,661.00 $24,389.23 $177,047.78 $45,526.57 2026-05-23
10477350 OTHER Tavr Evolut Valve 34 Evfxplus-34 68 17 $179,200.00 $179,200.00 $24,192.00 $175,616.00 $45,158.40 2026-05-23
10477348 OTHER Tavr Evolut Valve 29 Evfxplus-29 68 17 $179,200.00 $179,200.00 $24,192.00 $175,616.00 $45,158.40 2026-05-23
10477346 OTHER Tavr Evolut Valve 26 Evfxplus-26 68 17 $179,200.00 $179,200.00 $24,192.00 $175,616.00 $45,158.40 2026-05-23
10477344 OTHER Tavr Evolut Valve 23 Evfxplus-23 68 17 $179,200.00 $179,200.00 $24,192.00 $175,616.00 $45,158.40 2026-05-23
9798327 OTHER Thoracic Branch Endoprosthesis Aortic Component 45mmx12mmx15cm 26fr Tac124515a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798295 OTHER Thoracic Branch Endoprosthesis Aortic Component 31mmx8mmx20cm 22fr Tac083120a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798293 OTHER Thoracic Branch Endoprosthesis Aortic Component 31mmx8mmx15cm 22fr Tac083115a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798301 OTHER Thoracic Branch Endoprosthesis Aortic Component 37mmx8mmx15cm 24fr Tac083715a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798313 OTHER Thoracic Branch Endoprosthesis Aortic Component 31mmx12mmx20cm 22fr Tac123120a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798319 OTHER Thoracic Branch Endoprosthesis Aortic Component 37mmx12mmx15cm 24fr Tac123715a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9797293 OTHER Thoracic Branch Endoprosthesis Aortic Component 26mmx8mmx10cm 20fr Tac082610a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9797629 OTHER Thoracic Branch Endoprosthesis Aortic Component 28mmx8mmx10cm 22fr Tac082810a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798307 OTHER Thoracic Branch Endoprosthesis Aortic Component 40mmx8mmx20cm 26fr Tac084020a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9797625 OTHER Thoracic Branch Endoprosthesis Aortic Component 26mmx8mmx15cm 20fr Tac082615a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798325 OTHER Thoracic Branch Endoprosthesis Aortic Component 40mmx12mmx20cm 26fr Tac124020a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798299 OTHER Thoracic Branch Endoprosthesis Aortic Component 34mmx8mmx20cm 24fr Tac083420a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798315 OTHER Thoracic Branch Endoprosthesis Aortic Component 34mmx12mmx15cm 24fr Tac123415a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798317 OTHER Thoracic Branch Endoprosthesis Aortic Component 34mmx12mmx20cm 24fr Tac123420a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798329 OTHER Thoracic Branch Endoprosthesis Aortic Component 45mmx12mmx20cm 26fr Tac124520a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798303 OTHER Thoracic Branch Endoprosthesis Aortic Component 37mmx8mmx20cm 24fr Tac083720a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798323 OTHER Thoracic Branch Endoprosthesis Aortic Component 40mmx12mmx15cm 26fr Tac124015a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798311 OTHER Thoracic Branch Endoprosthesis Aortic Component 31mmx12mmx15cm 22fr Tac123115a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9797291 OTHER Thoracic Branch Endoprosthesis Aortic Component 21mmx8mmx10cm 20fr Tac082110a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9797631 OTHER Thoracic Branch Endoprosthesis Aortic Component 28mmx8mmx15cm 22fr Tac082815a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798291 OTHER Thoracic Branch Endoprosthesis Aortic Component 28mmx8mmx20cm 22fr Tac082820a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798309 OTHER Thoracic Branch Endoprosthesis Aortic Component 45mmx8mmx15cm 26fr Tac084515a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798305 OTHER Thoracic Branch Endoprosthesis Aortic Component 40mmx8mmx15cm 26fr Tac084015a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798321 OTHER Thoracic Branch Endoprosthesis Aortic Component 37mmx12mmx20cm 24fr Tac123720a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
9798297 OTHER Thoracic Branch Endoprosthesis Aortic Component 34mmx8mmx15cm 24fr Tac083415a 68 17 $177,882.00 $177,882.00 $24,014.07 $174,324.36 $44,826.26 2026-05-23
10183772 OTHER Balloon Fgs 51-60cm 72400023 68 17 $176,555.00 $176,555.00 $23,834.93 $173,023.90 $44,491.86 2026-05-23
10389749 OTHER Monopolar Curved Scissors Training 30 12 $51,744.00 $51,744.00 $10,348.80 $50,709.12 $42,269.67 2026-05-23
10389705 OTHER Monopolar Curved Scissors 30 12 $51,744.00 $51,744.00 $10,348.80 $50,709.12 $42,269.67 2026-05-23
8016507 OTHER Tavr Mdt Ht Vlv 26 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
7673770 OTHER System Nt Mitraclip 1 Sgc0301 & 3 Cds0501 US Mbr0103 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
7673769 OTHER Tmvr Mitral Clip 2 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
7944331 OTHER Tavr Mdt Ht Vlv 34 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
8016509 OTHER Tavr Edw Evolut 29 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
7673768 OTHER Tmvr Mitral Clip 1 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
8954454 OTHER Tmvr Ntr Xtr Mbr0302 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
9842208 OTHER Tavr Evolutfx 29mm 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
7468777 OTHER Valve Aortic Transcatheter 23mm Evolutr Evolutr-23-US 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
9842212 OTHER Valve Transcatheter Aortic Evolut Fx 23 Mm Evolutfx-23 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
8954456 OTHER Tmvr Ntr Xtr Mbr0303 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
9842210 OTHER Tavr Evolutfx 26mm 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
7468779 OTHER Valve Aortic Transcatheter 29mm Evolutr Evolutr-29-US 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
8954452 OTHER Tmvr Ntr Xtr Mbr0301 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
9334085 OTHER Tmvr G4 Mcg40100 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
8930795 OTHER Tmvr Bundle Mbr0203 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
8954448 OTHER Tmvr Bundle Mbr0201 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
8954450 OTHER Bundle Mitraclip Sgc301 2 Cds0601-xrt Mbr0202 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
7468778 OTHER Valve Aortic Transcatheter 26mm Evolutr Evolutr-26-US 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
8016505 OTHER Tavr Mdt Ht Vlv 23 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
9842206 OTHER Valve Transcatheter Aortic Evolut Fx 34 Mm Evolutfx-34 68 17 $166,764.00 $166,764.00 $22,513.14 $163,428.72 $42,024.53 2026-05-23
10395161 OTHER Surgical Matrix Thick Gentrix 30x40 68 17 $165,312.00 $165,312.00 $22,317.12 $162,005.76 $41,658.62 2026-05-23
10424847 OTHER 37mm Tambe Aoric Compnnt 68 17 $162,400.00 $162,400.00 $21,924.00 $159,152.00 $40,924.80 2026-05-23
10424845 OTHER Tambe Aortc Compnt 31mm 68 17 $162,400.00 $162,400.00 $21,924.00 $159,152.00 $40,924.80 2026-05-23
DRG326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 68 17 $81,718.32 $81,718.32 $23,358.57 $80,083.95 $39,973.01 2026-05-23
10389715 OTHER Maryland Bipolar Forceps 30 12 $48,216.00 $48,216.00 $9,643.20 $47,251.68 $39,387.65 2026-05-23
10389759 OTHER Maryland Bipolar Forceps Training 30 12 $48,216.00 $48,216.00 $9,643.20 $47,251.68 $39,387.65 2026-05-23
10389717 OTHER Fenestrated Bipolar Forceps 30 12 $48,216.00 $48,216.00 $9,643.20 $47,251.68 $39,387.65 2026-05-23
10389761 OTHER Fenestrated Bipolar Forceps Training 30 12 $48,216.00 $48,216.00 $9,643.20 $47,251.68 $39,387.65 2026-05-23
DRG853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 68 17 $67,876.01 $67,876.01 $23,756.60 $67,876.01 $39,371.15 2026-05-23
10253681 OTHER Activa Rc Neurostimulator 68 17 $153,868.00 $153,868.00 $20,772.18 $150,790.64 $38,774.74 2026-05-23
DRG981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 68 17 $68,694.43 $68,694.43 $24,043.05 $68,694.43 $37,454.81 2026-05-23
8964146 OTHER Stimulator 2x12 2412 68 17 $144,529.00 $144,529.00 $19,511.42 $141,638.42 $36,421.31 2026-05-23
9403914 OTHER Kit Neurostimulator Nipg2000 68 17 $144,529.00 $144,529.00 $19,511.42 $141,638.42 $36,421.31 2026-05-23
DRG163 OTHER Major Chest Procedures With Mcc 68 17 $68,644.31 $68,644.31 $22,537.37 $68,644.31 $36,333.96 2026-05-23
DRG329 OTHER Major Small And Large Bowel Procedures With Mcc 68 17 $79,444.76 $79,444.76 $25,963.80 $77,855.86 $36,199.96 2026-05-23
10559121 OTHER Aveir Dual Chamber Pacer System 68 17 $143,640.00 $143,640.00 $19,391.40 $140,767.20 $36,197.28 2026-05-23
10389753 OTHER Needle Driver Training 30 12 $43,395.00 $43,395.00 $8,679.00 $42,527.10 $35,449.38 2026-05-23
10389709 OTHER Needle Driver 30 12 $43,395.00 $43,395.00 $8,679.00 $42,527.10 $35,449.38 2026-05-23
10425976 OTHER Strattice Ex Thick 30x30 68 17 $140,348.00 $140,348.00 $18,946.98 $137,541.04 $35,367.70 2026-05-23
10575289 OTHER Hydroset Xt 15cc 30 12 $43,258.00 $43,258.00 $8,651.60 $42,392.84 $35,337.46 2026-05-23
10221745 OTHER Graftjacket Now Standard 8x16cm 86208x16 30 12 $43,252.00 $43,252.00 $8,650.40 $42,386.96 $35,332.56 2026-05-23
10389195 OTHER Impella Rp Flex W Smart Assist Set 68 17 $140,000.00 $140,000.00 $18,900.00 $137,200.00 $35,280.00 2026-05-23
10379163 OTHER Detour System Cap 68 17 $140,000.00 $140,000.00 $18,900.00 $137,200.00 $35,280.00 2026-05-23
7468501 OTHER Catheter Cardiac Assist Impella Rp US Hde 004334 68 17 $138,970.00 $138,970.00 $18,760.95 $136,190.60 $35,020.44 2026-05-23
7456468 OTHER Catheter Cardiac Assist Impella 5.0 68 17 $138,970.00 $138,970.00 $18,760.95 $136,190.60 $35,020.44 2026-05-23
7462910 OTHER Catheter Cardiac Assist Impella Cp 4.0 0048-0003 68 17 $138,970.00 $138,970.00 $18,760.95 $136,190.60 $35,020.44 2026-05-23
7457205 OTHER Catheter Cardiac Assist Impella Ld 005082 68 17 $138,970.00 $138,970.00 $18,760.95 $136,190.60 $35,020.44 2026-05-23
DRG856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 68 17 $40,667.01 $40,667.01 $14,233.45 $40,667.01 $34,209.58 2026-05-23
7450035 OTHER Graft Aorta Iliac 11mm 14mm R010 68 17 $130,049.00 $130,049.00 $17,556.61 $127,448.02 $32,772.35 2026-05-23
9972841 OTHER System Evoke Closed Loop Stimulator 60cm Permsys-60-2-evk 68 17 $128,280.00 $128,280.00 $17,317.80 $125,714.40 $32,326.56 2026-05-23
9972843 OTHER System Evoke Closed Loop Stimulator 90cm Permsys-90-2-evk 68 17 $128,280.00 $128,280.00 $17,317.80 $125,714.40 $32,326.56 2026-05-23
9289358 OTHER Generator Pulse Ccm Optimizer Smart Ipg 10-b411-3-US 68 17 $127,853.00 $127,853.00 $17,260.16 $125,295.94 $32,218.96 2026-05-23
9461702 OTHER Sso Dstream Car Sso2 30 12 $38,836.00 $38,836.00 $7,767.20 $38,059.28 $31,725.13 2026-05-23
10253675 OTHER Percept Pc Neurostimulator 68 17 $125,841.00 $125,841.00 $16,988.54 $123,324.18 $31,711.93 2026-05-23
DRG876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 68 17 $39,667.84 $39,667.84 $13,883.74 $39,667.84 $31,551.43 2026-05-23
10389757 OTHER Cadiere Forceps Training 30 12 $38,517.00 $38,517.00 $7,703.40 $37,746.66 $31,464.54 2026-05-23
10389713 OTHER Cadiere Forceps 30 12 $38,517.00 $38,517.00 $7,703.40 $37,746.66 $31,464.54 2026-05-23
10300188 OTHER Gentrix Surgical Matrix Thick 30x30 68 17 $123,072.00 $123,072.00 $16,614.72 $120,610.56 $31,014.14 2026-05-23
DRG673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 68 17 $34,927.79 $34,927.79 $12,224.73 $34,927.79 $30,911.10 2026-05-23
DRG956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 68 17 $58,154.90 $58,154.90 $20,354.22 $58,152.83 $30,882.70 2026-05-23
9331720 OTHER Tmvr Mitraclp G4 Xtw Cds0706-xtw 68 17 $121,866.00 $121,866.00 $16,451.91 $119,428.68 $30,710.23 2026-05-23
9331714 OTHER Tmvr Mitraclip G4 Nt 68 17 $121,866.00 $121,866.00 $16,451.91 $119,428.68 $30,710.23 2026-05-23
9331718 OTHER Tmvr Mitraclip G4 Xt 68 17 $121,866.00 $121,866.00 $16,451.91 $119,428.68 $30,710.23 2026-05-23
9331716 OTHER Tmvr Mitraclp G4 Ntw 68 17 $121,866.00 $121,866.00 $16,451.91 $119,428.68 $30,710.23 2026-05-23
DRG166 OTHER Other Respiratory System O.r. Procedures With Mcc 68 17 $70,060.30 $70,060.30 $18,242.35 $68,659.09 $30,455.58 2026-05-23
DRG707 OTHER Major Male Pelvic Procedures With Cc/mcc 68 17 $54,394.01 $54,394.01 $15,060.75 $53,306.13 $30,309.36 2026-05-23
DRG907 OTHER Other O.r. Procedures For Injuries With Mcc 68 17 $38,794.80 $38,794.80 $13,578.18 $38,794.80 $30,277.78 2026-05-23
9174032 OTHER Tandemlung Kit - Dl29 5730-2916 68 17 $119,515.00 $119,515.00 $16,134.53 $117,124.70 $30,117.78 2026-05-23
9174066 OTHER Tandemlung Kit - Dl31rd 5730-3631 68 17 $119,515.00 $119,515.00 $16,134.53 $117,124.70 $30,117.78 2026-05-23
9174034 OTHER Tandemlung Kit - Dl31 5730-3118 68 17 $119,515.00 $119,515.00 $16,134.53 $117,124.70 $30,117.78 2026-05-23
9240241 OTHER Mesh Neuro Smart Peritoneal #2 Left 95 X 83 Mm 25-007-02-09 68 17 $119,260.00 $119,260.00 $16,100.10 $116,874.80 $30,053.52 2026-05-23
10389747 OTHER Round Tooth Retractor Training 30 12 $36,753.00 $36,753.00 $7,350.60 $36,017.94 $30,023.53 2026-05-23
10389703 OTHER Round Tooth Retractor 30 12 $36,753.00 $36,753.00 $7,350.60 $36,017.94 $30,023.53 2026-05-23
DRG628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 68 17 $36,017.45 $36,017.45 $12,606.11 $36,017.45 $29,994.75 2026-05-23
9384511 OTHER Kit Senza Omnia Ipg Hf10c 68 17 $118,403.00 $118,403.00 $15,984.41 $116,034.94 $29,837.56 2026-05-23
9336156 OTHER Cord Power Base Holster And Charging 30 12 $36,128.00 $36,128.00 $7,225.60 $35,405.44 $29,512.96 2026-05-23
9452395 OTHER Total Mandible Chg026 68 17 $116,735.00 $116,735.00 $15,759.23 $114,400.30 $29,417.22 2026-05-23
DRG616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 68 17 $34,101.07 $34,101.07 $11,935.37 $34,101.07 $29,393.70 2026-05-23
10223499 OTHER Scs System Eterna 32400 68 17 $116,027.00 $116,027.00 $15,663.65 $113,706.46 $29,238.80 2026-05-23
DRG414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 68 17 $61,440.22 $61,440.22 $21,504.08 $60,211.42 $29,178.42 2026-05-23
DRG335 OTHER Peritoneal Adhesiolysis With Mcc 68 17 $125,489.75 $125,489.75 $17,976.78 $122,979.96 $28,973.97 2026-05-23
10457624 OTHER Echo Phasix 6 Circle 30 12 $35,432.00 $35,432.00 $7,086.40 $34,723.36 $28,944.40 2026-05-23
10389707 OTHER Medium-large Clip Applier 30 12 $35,280.00 $35,280.00 $7,056.00 $34,574.40 $28,820.23 2026-05-23
10389751 OTHER Medium-large Clip Applier Training 30 12 $35,280.00 $35,280.00 $7,056.00 $34,574.40 $28,820.23 2026-05-23
7469161 OTHER Defib Emblem A219 MRI Conditional A219 68 17 $113,956.00 $113,956.00 $15,384.06 $111,676.88 $28,716.91 2026-05-23
9384509 OTHER Kit Ipg Bundle Hf10b 68 17 $113,956.00 $113,956.00 $15,384.06 $111,676.88 $28,716.91 2026-05-23
9022976 OTHER Implant Craniomaxillofacial Medpor Polyethylene Custom Peek Priority Cranial Xla… 68 17 $113,875.00 $113,875.00 $15,373.13 $111,597.50 $28,696.50 2026-05-23
DRG492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 68 17 $81,891.46 $81,891.46 $18,448.04 $80,253.63 $28,409.34 2026-05-23
10183774 OTHER Graft Endovascular Dissection W/proform 8mm Tapered Componen 68 17 $112,071.00 $112,071.00 $15,129.59 $109,829.58 $28,241.89 2026-05-23
10499249 OTHER Aurora Ev-icd Device 68 17 $112,000.00 $112,000.00 $15,120.00 $109,760.00 $28,224.00 2026-05-23
DRG654 OTHER Major Bladder Procedures With Cc 68 17 $127,349.02 $127,349.02 $21,626.17 $124,802.04 $28,146.11 2026-05-23
7449746 OTHER Catheter Cardiac Assist Impella 2.5 68 17 $111,176.00 $111,176.00 $15,008.76 $108,952.48 $28,016.35 2026-05-23
10449126 OTHER Kit Planning/ Titanium Plate Custom 68 17 $110,920.00 $110,920.00 $14,974.20 $108,701.60 $27,951.84 2026-05-23
DRG264 OTHER Other Circulatory System O.r. Procedures 68 17 $64,265.85 $64,265.85 $15,757.93 $62,980.53 $27,704.22 2026-05-23
10417793 OTHER Zenith Tx2 Disect Endovsclr Graft 34mm 68 17 $109,200.00 $109,200.00 $14,742.00 $107,016.00 $27,518.40 2026-05-23
10379671 OTHER Zenith Tx2 Dissection Endovascular Graft 28-29mm X 32mm 68 17 $109,200.00 $109,200.00 $14,742.00 $107,016.00 $27,518.40 2026-05-23
9174064 OTHER Protekduo Kit - Dl31rd 5720-3631 68 17 $108,397.00 $108,397.00 $14,633.60 $106,229.06 $27,316.04 2026-05-23
9174030 OTHER Protekduo Kit - Dl31 5720-3118 68 17 $108,397.00 $108,397.00 $14,633.60 $106,229.06 $27,316.04 2026-05-23
9174026 OTHER Tandemheart Kit - Ts72/a17 5710-7217 68 17 $108,397.00 $108,397.00 $14,633.60 $106,229.06 $27,316.04 2026-05-23
9174028 OTHER Protekduo Kit - Dl29 5720-2916 68 17 $108,397.00 $108,397.00 $14,633.60 $106,229.06 $27,316.04 2026-05-23
9174024 OTHER Tandemheart Kit - Ts72/a15 5710-7215 68 17 $108,397.00 $108,397.00 $14,633.60 $106,229.06 $27,316.04 2026-05-23
9174022 OTHER Tandemheart Kit - Ts62/a17 5710-6217 68 17 $108,397.00 $108,397.00 $14,633.60 $106,229.06 $27,316.04 2026-05-23
9174020 OTHER Tandemheart Kit - Ts62/a15 5710-6215 68 17 $108,397.00 $108,397.00 $14,633.60 $106,229.06 $27,316.04 2026-05-23
10575271 OTHER Graft Synth Tissue 10cc Inj Pro Dense 30 12 $33,354.00 $33,354.00 $6,670.80 $32,686.92 $27,246.88 2026-05-23
10573940 OTHER Insert Hum Rev Sz 3/4 36mm +6 Ret 68 17 $107,390.00 $107,390.00 $14,497.65 $105,242.20 $27,062.28 2026-05-23
7450609 OTHER Defib Cognis N119 N119 68 17 $106,035.00 $106,035.00 $14,314.73 $103,914.30 $26,720.82 2026-05-23
9161420 OTHER Defib Momentum Crt-d Is1 Df4 G124 68 17 $105,618.00 $105,618.00 $14,258.43 $103,505.64 $26,615.74 2026-05-23
9161424 OTHER Defib Momentum Crt-d Lv-1 G126 68 17 $105,618.00 $105,618.00 $14,258.43 $103,505.64 $26,615.74 2026-05-23
10235332 OTHER Evoke Cls Rechargeable 3002 68 17 $105,618.00 $105,618.00 $14,258.43 $103,505.64 $26,615.74 2026-05-23
9161418 OTHER Defib Momentum Crt-d X4 Is4 Df1 G138 68 17 $105,618.00 $105,618.00 $14,258.43 $103,505.64 $26,615.74 2026-05-23
9161422 OTHER Defib Momentum Crt-d Is1 Df1 G125 68 17 $105,618.00 $105,618.00 $14,258.43 $103,505.64 $26,615.74 2026-05-23
9251412 OTHER Pam Pa Sens And Del 68 17 $105,062.00 $105,062.00 $14,183.37 $102,960.76 $26,475.62 2026-05-23
8256002 OTHER Sys Generator Neuro Pulse Dorsal Root Gangloin Proclaim (trial) 3664 68 17 $103,950.00 $103,950.00 $14,033.25 $101,871.00 $26,195.40 2026-05-23
7871412 OTHER Kit Neurostimulator Implantable Axium Mn10200 68 17 $103,950.00 $103,950.00 $14,033.25 $101,871.00 $26,195.40 2026-05-23
DRG662 OTHER Minor Bladder Procedures With Mcc 68 17 $56,687.47 $56,687.47 $19,840.61 $55,553.72 $25,979.27 2026-05-23
9452393 OTHER Unilateral Hemifacial Reconstruction Chg024 68 17 $102,838.00 $102,838.00 $13,883.13 $100,781.24 $25,915.18 2026-05-23
8970701 OTHER Stimulator 3x8 2408 68 17 $102,838.00 $102,838.00 $13,883.13 $100,781.24 $25,915.18 2026-05-23
10424425 OTHER Zenith Tx2 Dissection Endovascular Graft 36/28 Diameter 68 17 $102,637.00 $102,637.00 $13,855.99 $100,584.26 $25,864.52 2026-05-23
9194047 OTHER Stent Graft Tag Conform Thoracic Ac 28mmx28mmx15cm 20fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194055 OTHER Stent Graft Tag Conform Thoracic Ac 28mmx28mmx10cm 20fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194069 OTHER Stent Graft Tag Conform Thoracic Ac 45mmx45mmx20cm 24fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194051 OTHER Stent Graft Tag Conform Thoracic Ac 26mmx21mmx10cm 20fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194077 OTHER Stent Graft Tag Conform Thoracic Ac 31mmx31mmx15cm 20fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194073 OTHER Stent Graft Tag Conform Thoracic Ac 31mmx31mmx10cm 20fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194053 OTHER Stent Graft Tag Conform Thoracic Ac 26mmx26mmx10cm 20fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9199016 OTHER Stent Graft Tag Conform Thoracic Ac 31mmx31mmx20cm 20fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194057 OTHER Stent Graft Tag Conform Thoracic Ac 34mmx34mmx10cm 22fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194095 OTHER Stent Graft Tag Conform Thoracic Ac 40mmx40mmx20cm 22fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194093 OTHER Stent Graft Tag Conform Thoracic Ac 40mmx40mmx15cm 22fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194065 OTHER Stent Graft Tag Conform Thoracic Ac 45mmx45mmx15cm 24fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194085 OTHER Stent Graft Tag Conform Thoracic Ac 37mmx37mmx15cm 22fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194061 OTHER Stent Graft Tag Conform Thoracic Ac 34mmx34mmx20cm 22fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194089 OTHER Stent Graft Tag Conform Thoracic Ac 7mmx37mmx20cm 22fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194081 OTHER Stent Graft Tag Conform Thoracic Ac 37mmx37mmx10cm 22fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194091 OTHER Stent Graft Tag Conform Thoracic Ac 40mmx40mmx10cm 22fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194059 OTHER Stent Graft Tag Conform Thoracic Ac 34mmx34mmx15cm 22fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194071 OTHER Stent Graft Tag Conform Thoracic Ac 31mmx26mmx10cm 20fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9194063 OTHER Stent Graft Tag Conform Thoracic Ac 45mmx45mmx10cm 24fr 68 17 $101,460.00 $101,460.00 $13,697.10 $99,430.80 $25,567.92 2026-05-23
9942635 OTHER Pulse Generator IV 3028 68 17 $101,310.00 $101,310.00 $13,676.85 $99,283.80 $25,530.12 2026-05-23
10389755 OTHER Monopolar Cautery Instrument Training 30 12 $31,164.00 $31,164.00 $6,232.80 $30,540.72 $25,457.87 2026-05-23
10389711 OTHER Monopolar Cautery Instrument 30 12 $31,164.00 $31,164.00 $6,232.80 $30,540.72 $25,457.87 2026-05-23
10194774 OTHER Stimulator Neuro Proclaim Plus 5 3670 68 17 $100,893.00 $100,893.00 $13,620.55 $98,875.14 $25,425.04 2026-05-23
10424403 OTHER Procedure US Rdn Paradise Price 68 17 $100,800.00 $100,800.00 $13,608.00 $98,784.00 $25,401.60 2026-05-23
7434479 OTHER Ambicor 14mmx20cm 72401455 68 17 $99,956.00 $99,956.00 $13,494.06 $97,956.88 $25,188.91 2026-05-23
DRG56 OTHER Degenerative Nervous System Disorders With Mcc 68 17 $39,406.75 $39,406.75 $13,792.36 $38,618.62 $24,952.39 2026-05-23
DRG353 OTHER Hernia Procedures Except Inguinal And Femoral With Mcc 68 17 $41,321.50 $41,321.50 $14,462.53 $41,321.50 $24,779.10 2026-05-23
7457333 OTHER Mesh Strattice 20x30 2030002 68 17 $98,292.00 $98,292.00 $13,269.42 $96,326.16 $24,769.58 2026-05-23
10401946 OTHER Watchman Flx Pro Laa Closure 27mm 68 17 $98,000.00 $98,000.00 $13,230.00 $96,040.00 $24,696.00 2026-05-23
10401948 OTHER Watchman Flx Pro Laa Closure 31mm 68 17 $98,000.00 $98,000.00 $13,230.00 $96,040.00 $24,696.00 2026-05-23
10401944 OTHER Watchman Flx Pro Laa Closure 24mm 68 17 $98,000.00 $98,000.00 $13,230.00 $96,040.00 $24,696.00 2026-05-23
10401942 OTHER Watchman Flx Pro Laa Closure 20mm 68 17 $98,000.00 $98,000.00 $13,230.00 $96,040.00 $24,696.00 2026-05-23
10401950 OTHER Watchman Flx Pro Laa Closure 35mm 68 17 $98,000.00 $98,000.00 $13,230.00 $96,040.00 $24,696.00 2026-05-23
10401952 OTHER Watchman Flx Pro Laa Closure 40mm 68 17 $98,000.00 $98,000.00 $13,230.00 $96,040.00 $24,696.00 2026-05-23
10298756 OTHER Zenith Flx Mainbody Ext Esbe-prox 68 17 $97,666.00 $97,666.00 $13,184.91 $95,712.68 $24,611.83 2026-05-23
8268943 OTHER Stent Graft Valiant Captiva Proximal 30x30x200mm Vamc3030c20 68 17 $97,533.00 $97,533.00 $13,166.96 $95,582.34 $24,578.32 2026-05-23
9445095 OTHER Generator Wavewriter Alpha Prime M365sc14320 68 17 $97,279.00 $97,279.00 $13,132.67 $95,333.42 $24,514.31 2026-05-23
9445091 OTHER Generator Wavewriter Alpha M365sc12320 68 17 $97,279.00 $97,279.00 $13,132.67 $95,333.42 $24,514.31 2026-05-23
8496626 OTHER Generator Spectra Wavewriter Sc1160 68 17 $97,279.00 $97,279.00 $13,132.67 $95,333.42 $24,514.31 2026-05-23
9023286 OTHER Battery Intellis 97715 68 17 $97,279.00 $97,279.00 $13,132.67 $95,333.42 $24,514.31 2026-05-23
8072927 OTHER Generator Scs Restore Sensor 97714 68 17 $97,279.00 $97,279.00 $13,132.67 $95,333.42 $24,514.31 2026-05-23
9194049 OTHER Stent Graft Tag Conform Thoracic Ac 21mmx21mmx10cm 18fr 68 17 $95,902.00 $95,902.00 $12,946.77 $93,983.96 $24,167.30 2026-05-23
DRG974 OTHER HIV With Major Related Condition With Mcc 68 17 $71,706.05 $71,706.05 $20,901.74 $70,271.93 $23,990.81 2026-05-23
10427859 OTHER Amplatzer Amulet 16mm 68 17 $95,200.00 $95,200.00 $12,852.00 $93,296.00 $23,990.40 2026-05-23
10427861 OTHER Amplatzer Amulet 18mm 68 17 $95,200.00 $95,200.00 $12,852.00 $93,296.00 $23,990.40 2026-05-23
10427863 OTHER Amplatzer Amulet 20mm 68 17 $95,200.00 $95,200.00 $12,852.00 $93,296.00 $23,990.40 2026-05-23
10427865 OTHER Amplatzer Amulet 22mm 68 17 $95,200.00 $95,200.00 $12,852.00 $93,296.00 $23,990.40 2026-05-23
10427869 OTHER Amplatzer Amulet 28mm 68 17 $95,200.00 $95,200.00 $12,852.00 $93,296.00 $23,990.40 2026-05-23
10427871 OTHER Amplatzer Amulet 31mm 68 17 $95,200.00 $95,200.00 $12,852.00 $93,296.00 $23,990.40 2026-05-23
10427873 OTHER Amplatzer Amulet 34mm 68 17 $95,200.00 $95,200.00 $12,852.00 $93,296.00 $23,990.40 2026-05-23
10427867 OTHER Amplatzer Amulet 25mm 68 17 $95,200.00 $95,200.00 $12,852.00 $93,296.00 $23,990.40 2026-05-23
9295300 OTHER Kit Sound Processor Dual Osia 2 Dual02sp 68 17 $38,384.00 $38,384.00 $7,676.80 $38,384.00 $23,989.75 2026-05-23
8150488 OTHER Implant Cochlear Complete Nucleus MRI Profile W/slim Modiola 68 17 $110,835.00 $110,835.00 $18,284.86 $108,618.30 $23,989.75 2026-05-23
8150490 OTHER Implant Cochlear Complete Nucleus MRI Profile W/slim Straigh 68 17 $104,971.00 $104,971.00 $18,284.86 $102,871.58 $23,989.75 2026-05-23
8150486 OTHER Implant Cochlear Complete Nucleus MRI Profile W/contour Apua 68 17 $104,971.00 $104,971.00 $18,284.86 $102,871.58 $23,989.75 2026-05-23
DRG570 OTHER Skin Debridement With Mcc 68 17 $56,700.05 $56,700.05 $11,584.25 $55,566.05 $23,948.22 2026-05-23
8711117 OTHER Implant Medpore Custom Large 54440310 68 17 $94,701.00 $94,701.00 $12,784.64 $92,806.98 $23,864.65 2026-05-23
9338578 OTHER Stent Graft Thoracic Main Coveredseal Valiant Navion Str 22f 46mmx175mm Vnmc4646… 68 17 $94,500.00 $94,500.00 $12,757.50 $92,610.00 $23,814.00 2026-05-23
7831695 OTHER Defib Dynagen X4 G156 G156 68 17 $94,500.00 $94,500.00 $12,757.50 $92,610.00 $23,814.00 2026-05-23
8270220 OTHER Defib Dynagen Crt G151 68 17 $94,500.00 $94,500.00 $12,757.50 $92,610.00 $23,814.00 2026-05-23
7469754 OTHER Laa Bscim Watchman 35mm 68 17 $94,500.00 $94,500.00 $12,757.50 $92,610.00 $23,814.00 2026-05-23
7469752 OTHER Laa Bscim Watchman 27mm 68 17 $94,500.00 $94,500.00 $12,757.50 $92,610.00 $23,814.00 2026-05-23
9069370 OTHER Defib Dynagen X4 Crt G150 68 17 $94,500.00 $94,500.00 $12,757.50 $92,610.00 $23,814.00 2026-05-23
7469750 OTHER Laa Bscim Watchman 20mm 68 17 $94,500.00 $94,500.00 $12,757.50 $92,610.00 $23,814.00 2026-05-23
7469753 OTHER Laa Bscim Watchman 31mm 68 17 $94,500.00 $94,500.00 $12,757.50 $92,610.00 $23,814.00 2026-05-23
7469751 OTHER Laa Bscim Watchman 24mm 68 17 $94,500.00 $94,500.00 $12,757.50 $92,610.00 $23,814.00 2026-05-23
8372170 OTHER Defib Dynagen X4 Crt G158 68 17 $94,500.00 $94,500.00 $12,757.50 $92,610.00 $23,814.00 2026-05-23
9445089 OTHER Generator Wavewriter Alpha 16 M365sc12160 68 17 $93,944.00 $93,944.00 $12,682.44 $92,065.12 $23,673.89 2026-05-23
9204079 OTHER Neurostimulator Sc1200 68 17 $93,944.00 $93,944.00 $12,682.44 $92,065.12 $23,673.89 2026-05-23
9445093 OTHER Generator Wavewriter Alpha Prime 16 M365sc14160 68 17 $93,944.00 $93,944.00 $12,682.44 $92,065.12 $23,673.89 2026-05-23
7467468 OTHER Generator Pulse Sc1132 Sc-1132 68 17 $93,944.00 $93,944.00 $12,682.44 $92,065.12 $23,673.89 2026-05-23
7673788 OTHER Generator Pulse Non Rechargeable Sc-1140 68 17 $93,944.00 $93,944.00 $12,682.44 $92,065.12 $23,673.89 2026-05-23
DRG480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 68 17 $105,461.27 $105,461.27 $18,320.46 $103,352.04 $23,637.32 2026-05-23
9747343 OTHER Stent Graft Valiant Captivia Distal Closed Web Straight 32x3 68 17 $93,781.00 $93,781.00 $12,660.44 $91,905.38 $23,632.81 2026-05-23
7898950 OTHER Graft Stent Thoracic Valiant 38x38x100 Vamf3838c100tu 68 17 $93,781.00 $93,781.00 $12,660.44 $91,905.38 $23,632.81 2026-05-23
10041778 OTHER Implant Cranial Peek Ns Custom Med 7810020 68 17 $93,656.00 $93,656.00 $12,643.56 $91,782.88 $23,601.31 2026-05-23
10425974 OTHER Ex Strattice Thick 20x30 68 17 $93,565.00 $93,565.00 $12,631.28 $91,693.70 $23,578.38 2026-05-23
9747341 OTHER Stent Graft Valiant Captivia Proximal Main 32x32x200 Vamf32 68 17 $92,530.00 $92,530.00 $12,491.55 $90,679.40 $23,317.56 2026-05-23
9395901 OTHER Icd Cobalt Xt Quad Crt-d Df4 Dtpa2qq 68 17 $92,294.00 $92,294.00 $12,459.69 $90,448.12 $23,258.09 2026-05-23
9395899 OTHER Icd Cobalt Xt Quad Crt-d Dtpa2q1 68 17 $92,294.00 $92,294.00 $12,459.69 $90,448.12 $23,258.09 2026-05-23
9465345 OTHER Implant Peek Custom Ips 600002009 68 17 $92,204.00 $92,204.00 $12,447.54 $90,359.92 $23,235.41 2026-05-23
DRG521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 68 17 $63,962.77 $63,962.77 $19,689.99 $62,683.51 $23,208.49 2026-05-23
9395905 OTHER Icd Cobalt Xt Crt-d Dtpa2d1 68 17 $92,082.00 $92,082.00 $12,431.07 $90,240.36 $23,204.66 2026-05-23
9395903 OTHER Icd Cobalt Xt Crt-d Df4 Dtpa2d4 68 17 $92,082.00 $92,082.00 $12,431.07 $90,240.36 $23,204.66 2026-05-23
10299981 OTHER Cochlear Osia Osi300 Implant 68 17 $26,377.00 $26,377.00 $5,275.40 $26,377.00 $23,176.31 2026-05-23
9452391 OTHER Bilateral Tmj Implants Chg020 68 17 $91,721.00 $91,721.00 $12,382.34 $89,886.58 $23,113.69 2026-05-23
9174036 OTHER Tandemlife Kit V24/a15 5740-2415 68 17 $91,721.00 $91,721.00 $12,382.34 $89,886.58 $23,113.69 2026-05-23
9174038 OTHER Tandemlife Kit - V24/a17 5740-2417 68 17 $91,721.00 $91,721.00 $12,382.34 $89,886.58 $23,113.69 2026-05-23
10564543 OTHER Acetab Cup Rev Gription Dep 54mm 68 17 $91,551.00 $91,551.00 $12,359.39 $89,719.98 $23,070.85 2026-05-23
7871079 OTHER Graft Thoracic Endovascular Proximal Zenith 16f 28mm X 155mm 68 17 $91,410.00 $91,410.00 $12,340.35 $89,581.80 $23,035.32 2026-05-23
9337860 OTHER Graft Endovascular Aaa Thoracic Proximal Component Zenith Alpha 18f 38mmx217mm G… 68 17 $91,410.00 $91,410.00 $12,340.35 $89,581.80 $23,035.32 2026-05-23
7830019 OTHER Graft Thoracic Endovascular Proximal 42x15 68 17 $91,410.00 $91,410.00 $12,340.35 $89,581.80 $23,035.32 2026-05-23
9785406 OTHER Graft Endovascular Dissection W/proform 8tapered Component Zenith Tx2 20f 28-29x… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9172816 OTHER Graft Endovascular 22mm Length 117mm Zenith Tx2 Dissection Straight Component … 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9172820 OTHER Graft Endovascular 30mm Length 82mm Zenith Tx2 Dissection Straight Component G… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9172818 OTHER Graft Endovascular 28mm Length 82mm Zenith Tx2 Dissection Straight Component G… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173098 OTHER Graft Endovascular 40/30mm Length 165mm Zenith Tx2 Dissection Tapered Componen… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173096 OTHER Graft Endovascular 40mm Length 210mm Zenith Tx2 Dissection Straight Component … 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173100 OTHER Graft Endovascular 42mm Length 160mm Zenith Tx2 Dissection Tapered Component G… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173090 OTHER Graft Endovascular 36mm Length 199mm Zenith Tx2 Dissection Straight Component … 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173092 OTHER Graft Endovascular 38mm Length 204mm Zenith Tx2 Dissection Straight Component … 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173086 OTHER Graft Endovascular 42mm Length 83mm Zenith Tx2 Dissection Straight Component G… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173094 OTHER Graft Endovascular 40mm Length 160mm Zenith Tx2 Dissection Straight Component … 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173088 OTHER Graft Endovascular 34mm Length 199mm Zenith Tx2 Dissection Straight Component … 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173102 OTHER Graft Endovascular 42mm Length 210mm Zenith Tx2 Dissection Tapered Component G… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9172830 OTHER Graft Endovascular 40mm Length 164mm Zenith Tx2 Dissection Straight Component … 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173084 OTHER Graft Endovascular 42mm Length 218mm Zenith Tx2 Dissection Straight Component … 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173104 OTHER Graft Endovascular 42/34mm Length 210mm Zenith Tx2 Dissection Tapered Componen… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173080 OTHER Graft Endovascular 40mm Length 218mm Zenith Tx2 Dissection Straight Component … 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9173082 OTHER Graft Endovascular 40mm Length 83mm Zenith Tx2 Dissection Straight Component G… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9172824 OTHER Graft Endovascular 34mm Length 79mm Zenith Tx2 Dissection Straight Component G… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9172826 OTHER Graft Endovascular 36mm Length 79mm Zenith Tx2 Dissection Straight Component G… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9172822 OTHER Graft Endovascular 32mm Length 82mm Zenith Tx2 Dissection Straight Component G… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
9172828 OTHER Graft Endovascular 38mm Length 79mm Zenith Tx2 Dissection Straight Component G… 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
7452347 OTHER Component Femoral Oss150356 68 17 $91,387.00 $91,387.00 $12,337.24 $89,559.26 $23,029.52 2026-05-23
10379673 OTHER Zenith Dissection Endovascular Graft 20-30mm X 36mm 68 17 $91,000.00 $91,000.00 $12,285.00 $89,180.00 $22,932.00 2026-05-23
10417795 OTHER Zenith Disection Endovascular Graft 36mm 68 17 $91,000.00 $91,000.00 $12,285.00 $89,180.00 $22,932.00 2026-05-23
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