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

ADVENTHEALTH ORLANDO

Orlando, FL · CCN 100007 · Rates published

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You selected 93350 (CPT)

HC STRESS TTE W OR WO FOL W CONTRAST ECG

This hospital’s price: $1,782 across 42 payers · range $513-$3,918

Source: https://www.adventhealth.com/sites/default/files/CDM/2025/590724459_AdventHealth-Orlando_standardcharges.json · observed 2026-04-01

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.

23,595 distinct procedures filed
67 distinct payers
1,735,137 rate rows
2026-04-01 last MRF observed
Data quality

1,679,257 of 1,735,137 rate rows are consumer-grade (96.8%)

55,880 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 41,539
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,179
exceeds 10× this hospital's gross charge — excluded from medians 3,432
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 477
per-diem day rate — not a per-procedure price 253
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.adventhealth.com/sites/default/files/CDM/2025/590724459_AdventHealth-Orlando_standardcharges.json
Found on page https://www.adventhealth.com/pricelist
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-20
Content fingerprint fcd5eb71d753a662… · 3,434,677,226 bytes · first seen 2026-05-08

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 1 $4,590,000.00 $4,590,000.00 $4,590,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,780,000.00 $3,780,000.00 $3,780,000.00 nat. median
$3,703,693
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,780,000.00 $3,780,000.00 $3,780,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,456,000.00 $3,456,000.00 $3,456,000.00 nat. median
$3,324,572
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 1 $3,398,760.00 $3,398,760.00 $3,398,760.00 nat. median
$3,335,820
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,348,000.00 $3,348,000.00 $3,348,000.00 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 1 $3,240,000.00 $3,240,000.00 $3,240,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $3,024,000.00 $3,024,000.00 $3,024,000.00 nat. median
$2,994,107
1.0× median
J3405
HCPCS 		Inj Onase Abepar-brve Treat 1 $2,793,560.08 $2,793,560.08 $2,793,560.08 nat. median
$2,610,944
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,793,560.08 $2,793,560.08 $2,793,560.08 nat. median
$2,466,282
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,376,000.00 $2,376,000.00 $2,376,000.00 nat. median
$2,401,960
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 43 $224,740.00 $3,079,291.00 $1,253,514.00 nat. median
$622,245
outlier · 2.0×
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 43 $224,740.00 $3,011,781.00 $1,179,829.00 nat. median
$640,950
1.8× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 43 $224,740.00 $2,638,431.00 $1,056,702.00 nat. median
$738,272
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $857,860.00 $857,860.00 $857,860.00 nat. median
$809,217
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $655,116.86 $655,116.86 $655,116.86 nat. median
$646,415
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $592,058.45 $592,058.45 $592,058.45 nat. median
$608,101
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $544,681.99 $544,681.99 $544,681.99 nat. median
$591,650
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 25 $108,650.08 $1,527,632.00 $330,106.00 nat. median
$359,358
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $309,015.00 $309,015.00 $309,015.00 nat. median
$319,951
1.0× median
J3403
HCPCS 		Revakinagene, Per Implant 1 $291,920.61 $291,920.61 $291,920.61 nat. median
$265,000
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 31 $70,509.53 $1,141,013.00 $244,547.00 nat. median
$249,124
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $225,662.29 $225,662.29 $225,662.29 nat. median
$209,753
1.1× median
5834
APR_DRG 		Neonate With Ecmo 8 $205,319.00 $246,383.00 $218,665.00 nat. median
$307,273
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 $53,718.93 $960,939.00 $208,062.00 nat. median
$198,433
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 $53,403.66 $868,130.00 $188,074.00 nat. median
$190,557
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 32 $25,941.73 $431,375.00 $155,246.50 nat. median
$94,964
1.6× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 42 $10.00 $392,372.00 $152,202.00 nat. median
$1,012
outlier · 150.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 $28,511.38 $446,375.00 $145,000.00 nat. median
$103,967
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $133,948.00 $160,737.00 $142,654.50 nat. median
$247,214
0.6× median
5833
APR_DRG 		Neonate With Ecmo 8 $133,012.00 $159,615.00 $141,658.00 nat. median
$244,017
0.6× median
24
APR_DRG 		Heart And/or Lung Transplant 8 $118,623.00 $142,347.00 $126,333.00 nat. median
$241,915
0.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $34,850.81 $572,364.00 $124,378.00 nat. median
$126,722
1.0× median
J3404
HCPCS 		Inj Zopapogene Per Ther Dose 1 $124,200.00 $124,200.00 $124,200.00 nat. median
$127,995
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 32 $30,237.64 $530,715.00 $120,204.00 nat. median
$110,192
1.1× median
7
MS_DRG 		Lung Transplant 31 $32,583.35 $529,378.00 $115,120.00 nat. median
$117,894
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $104,305.00 $125,166.00 $111,085.50 nat. median
$124,042
0.9× median
5832
APR_DRG 		Neonate With Ecmo 8 $102,129.00 $122,555.00 $108,767.50 nat. median
$159,249
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $101,659.00 $121,991.00 $108,267.00 nat. median
$202,993
0.5× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 37 $615.00 $241,977.00 $104,946.50 nat. median
$909
outlier · 115.4×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $97,710.00 $117,252.00 $104,061.50 nat. median
$154,011
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $96,372.00 $115,646.00 $102,636.00 nat. median
$156,153
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 25 $27,359.78 $441,279.00 $96,147.00 nat. median
$97,414
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $88,071.00 $105,685.00 $93,795.50 nat. median
$165,000
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 25 $25,052.31 $429,164.00 $93,538.00 nat. median
$93,917
1.0× median
C2616
HCPCS 		Sphere Embol Sir Msphre 90 42 $17,177.00 $152,392.00 $93,128.00 nat. median
$26,836
outlier · 3.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $87,116.00 $104,539.00 $92,778.50 nat. median
$175,429
0.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 $27,729.89 $424,327.00 $92,496.00 nat. median
$93,270
1.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 $86,464.00 $103,757.00 $92,084.00 nat. median
$133,164
0.7× median
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 42 $84.00 $234,343.00 $90,902.00 nat. median
$760
outlier · 119.5×

Other procedures at this hospital

Browse this hospital's 23,595 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $4,590,000.00 $4,590,000.00 $4,590,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,780,000.00 $3,780,000.00 $3,780,000.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,780,000.00 $3,780,000.00 $3,780,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,456,000.00 $3,456,000.00 $3,456,000.00 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 1 1 — — $3,398,760.00 $3,398,760.00 $3,398,760.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,348,000.00 $3,348,000.00 $3,348,000.00 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 1 1 — — $3,240,000.00 $3,240,000.00 $3,240,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $3,024,000.00 $3,024,000.00 $3,024,000.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,793,560.08 $2,793,560.08 $2,793,560.08 2026-04-01
J3405 HCPCS Inj Onase Abepar-brve Treat 1 1 — — $2,793,560.08 $2,793,560.08 $2,793,560.08 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,376,000.00 $2,376,000.00 $2,376,000.00 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 76 43 $3,374,196.08 $1,349,678.43 60% off $224,740.00 $3,079,291.00 $1,253,514.00 2026-04-01
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 72 43 $3,300,220.29 $1,320,088.12 60% off $224,740.00 $3,011,781.00 $1,179,829.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 72 43 $2,891,113.93 $1,156,445.57 60% off $224,740.00 $2,638,431.00 $1,056,702.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $857,860.00 $857,860.00 $857,860.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $655,116.86 $655,116.86 $655,116.86 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $592,058.45 $592,058.45 $592,058.45 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $544,681.99 $544,681.99 $544,681.99 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 43 25 $0.01 — $108,650.08 $1,527,632.00 $330,106.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $309,015.00 $309,015.00 $309,015.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 1 1 — — $291,920.61 $291,920.61 $291,920.61 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 51 31 $0.01 — $70,509.53 $1,141,013.00 $244,547.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 1 1 — — $225,662.29 $225,662.29 $225,662.29 2026-04-01
5834 APR_DRG Neonate With Ecmo 10 8 $0.01 — $205,319.00 $246,383.00 $218,665.00 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 43 25 $0.01 — $53,718.93 $960,939.00 $208,062.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 43 25 $0.01 — $53,403.66 $868,130.00 $188,074.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 52 32 $0.01 — $25,941.73 $431,375.00 $155,246.50 2026-04-01
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 71 42 $429,949.20 $171,979.68 60% off $10.00 $392,372.00 $152,202.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 51 31 $0.01 — $28,511.38 $446,375.00 $145,000.00 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 $0.01 — $133,948.00 $160,737.00 $142,654.50 2024-12-15
5833 APR_DRG Neonate With Ecmo 10 8 $0.01 — $133,012.00 $159,615.00 $141,658.00 2024-12-15
24 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $118,623.00 $142,347.00 $126,333.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 45 25 $0.01 — $34,850.81 $572,364.00 $124,378.00 2026-04-01
J3404 HCPCS Inj Zopapogene Per Ther Dose 1 1 — — $124,200.00 $124,200.00 $124,200.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 52 32 $0.01 — $30,237.64 $530,715.00 $120,204.00 2026-04-01
7 MS_DRG Lung Transplant 51 31 $0.01 — $32,583.35 $529,378.00 $115,120.00 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 $0.01 — $104,305.00 $125,166.00 $111,085.50 2024-12-15
5832 APR_DRG Neonate With Ecmo 10 8 $0.01 — $102,129.00 $122,555.00 $108,767.50 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $101,659.00 $121,991.00 $108,267.00 2024-12-15
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 62 37 $265,150.82 $106,060.33 60% off $615.00 $241,977.00 $104,946.50 2024-12-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 8 $0.01 — $97,710.00 $117,252.00 $104,061.50 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 8 $0.01 — $96,372.00 $115,646.00 $102,636.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 43 25 $0.01 — $27,359.78 $441,279.00 $96,147.00 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 8 $0.01 — $88,071.00 $105,685.00 $93,795.50 2024-12-15
215 MS_DRG Other Heart Assist System Implant 43 25 $0.01 — $25,052.31 $429,164.00 $93,538.00 2026-04-01
C2616 HCPCS Sphere Embol Sir Msphre 90 210 42 $166,093.85 $66,437.54 60% off $17,177.00 $152,392.00 $93,128.00 2024-12-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 $0.01 — $87,116.00 $104,539.00 $92,778.50 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 25 $0.01 — $27,729.89 $424,327.00 $92,496.00 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 8 $0.01 — $86,464.00 $103,757.00 $92,084.00 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 71 42 $256,786.20 $102,714.48 60% off $84.00 $234,343.00 $90,902.00 2024-12-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $85,092.00 $102,110.00 $90,622.50 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 3 313 42 $284,240.00 $113,696.00 60% off $1,097.00 $336,600.00 $86,559.00 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $80,769.00 $96,923.00 $86,019.50 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 $0.01 — $80,365.00 $96,438.00 $85,588.50 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 25 $0.01 — $24,614.01 $390,937.00 $85,305.00 2026-04-01
J2789 HCPCS Riboflavin Epioxa/hd<=2ml 1 1 — — $84,780.00 $84,780.00 $84,780.00 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 8 $0.01 — $78,902.00 $94,682.00 $84,030.50 2024-12-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 52 32 $0.01 — $14,101.45 $220,403.00 $83,573.50 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 9 6 — — $28,478.67 $85,778.70 $83,280.29 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 43 25 $0.01 — $21,787.73 $373,146.00 $81,474.00 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 $0.01 — $76,443.00 $91,731.00 $81,411.50 2024-12-15
J9183 HCPCS Gemcitabine Intravesical Sys 1 1 — — $81,362.40 $81,362.40 $81,362.40 2026-04-01
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 43 24 $146,625.40 $58,650.16 60% off $24,926.00 $133,810.00 $80,351.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 52 32 $0.01 — $14,919.42 $244,496.00 $80,108.00 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 52 32 $0.01 — $13,667.94 $244,496.00 $79,277.00 2026-04-01
5831 APR_DRG Neonate With Ecmo 10 8 $0.01 — $74,234.00 $89,081.00 $79,059.50 2024-12-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 8 $0.01 — $72,982.00 $87,578.00 $77,725.50 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 52 32 $0.01 — $11,666.92 $216,002.00 $77,663.00 2026-04-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 8 $0.01 — $71,830.00 $86,196.00 $76,499.00 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 71 42 $215,805.34 $86,322.14 60% off $60.00 $196,944.00 $76,395.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 52 32 $0.01 — $17,951.01 $321,111.00 $76,108.00 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 8 $0.01 — $71,338.00 $85,605.00 $75,975.00 2024-12-15
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 43 24 $137,788.00 $55,115.20 60% off $23,424.00 $125,745.00 $75,508.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 43 25 $0.01 — $21,210.05 $343,252.00 $75,036.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 25 $0.01 — $21,143.37 $343,062.00 $74,995.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 43 25 $0.01 — $22,668.60 $337,853.00 $73,873.00 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $68,785.00 $82,542.00 $73,256.00 2024-12-15
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 1 1 — — $71,559.54 $71,559.54 $71,559.54 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 43 25 $0.01 — $19,798.29 $326,531.00 $71,435.00 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $66,606.00 $79,927.00 $70,935.00 2024-12-15
10 MS_DRG Pancreas Transplant 52 32 $0.01 — $18,054.42 $322,962.00 $70,666.00 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 $0.01 — $65,522.00 $78,627.00 $69,781.50 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 43 25 $0.01 — $19,235.71 $316,619.00 $69,300.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 25 $0.01 — $19,318.99 $313,423.00 $68,612.00 2026-04-01
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 72 43 $192,611.55 $77,044.62 60% off $1,674.00 $175,777.00 $68,088.00 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $63,159.00 $75,790.00 $67,264.00 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 43 25 $0.01 — $19,172.05 $302,352.00 $66,227.00 2026-04-01
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 144 42 $258,440.00 $103,376.00 60% off $1,097.00 $232,596.00 $65,907.00 2024-12-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 $0.01 — $60,831.00 $72,997.00 $64,785.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 52 32 $0.01 — $11,828.96 $186,628.00 $64,019.00 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 8 $0.01 — $59,311.00 $71,174.00 $63,166.50 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 25 $0.01 — $18,162.36 $287,709.00 $63,074.00 2026-04-01
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 43 24 $115,000.30 $46,000.12 60% off $19,550.00 $104,949.00 $63,020.00 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 25 $0.01 — $17,940.44 $286,263.00 $62,762.00 2026-04-01
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 71 42 $177,123.02 $70,849.21 60% off $57.00 $161,642.00 $62,702.00 2024-12-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $62,639.29 $62,639.29 $62,639.29 2026-04-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $58,591.00 $70,309.00 $62,399.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 43 24 $113,455.32 $45,382.13 60% off $19,287.00 $103,539.00 $62,174.00 2024-12-15
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 43 24 $113,104.92 $45,241.97 60% off $19,228.00 $103,220.00 $61,981.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 47 25 $0.01 — $17,390.43 $281,787.00 $61,798.00 2026-04-01
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 43 24 $111,233.88 $44,493.55 60% off $18,910.00 $101,512.00 $60,956.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 43 25 $0.01 — $16,935.78 $276,594.00 $60,680.00 2026-04-01
34708 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft Rpt 110 42 $94,976.00 $37,990.40 60% off $11,302.00 $173,350.00 $60,120.00 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 43 25 $0.01 — $16,811.24 $271,587.00 $59,602.00 2026-04-01
8120000001 CDM Hc Cadaver Donor - Heart 52 30 $140,000.00 $56,000.00 60% off $128.00 $127,764.00 $59,528.00 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 43 25 $0.01 — $18,046.87 $270,542.00 $59,377.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 43 25 $0.01 — $17,305.14 $270,084.00 $59,278.00 2026-04-01
33881 CPT Hc Endovasc Taa Rew/o Subcl 71 42 $84,568.00 $33,827.20 60% off $10,064.00 $108,938.00 $59,198.00 2024-12-15
34710 CPT Hc Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl 71 42 $84,568.00 $33,827.20 60% off $10,064.00 $108,938.00 $59,198.00 2024-12-15
34707 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft 110 42 $76,958.00 $30,783.20 60% off $9,158.00 $140,464.00 $59,048.00 2024-12-15
1612 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $55,215.00 $66,258.00 $58,804.00 2024-12-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 8 $0.01 — $54,722.00 $65,666.00 $58,278.50 2024-12-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 52 32 $0.01 — $9,323.98 $158,000.00 $58,027.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 47 25 $0.01 — $16,190.03 $261,967.00 $57,530.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 25 $0.01 — $16,543.78 $261,590.00 $57,449.00 2026-04-01
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 71 42 $101,375.00 $40,550.00 60% off $12,064.00 $102,585.00 $57,324.50 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 142 42 $194,480.00 $77,792.00 60% off $1,097.00 $215,982.00 $57,177.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 43 25 $0.01 — $15,401.50 $256,178.00 $56,283.00 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $52,607.00 $63,128.00 $56,026.00 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 $0.01 — $52,325.00 $62,790.00 $55,726.50 2024-12-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 $0.01 — $52,231.00 $62,678.00 $55,626.50 2024-12-15
8120000004 CDM Hc Cadaver Donor - Lung 52 30 $130,000.00 $52,000.00 60% off $128.00 $118,638.00 $55,276.00 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 43 25 $0.01 — $15,112.91 $250,917.00 $55,150.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 43 25 $0.01 — $16,823.57 $250,593.00 $55,080.00 2026-04-01
64 APR_DRG Pancreas Transplant 10 8 $0.01 — $51,673.00 $62,007.00 $55,031.50 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 25 $0.01 — $16,483.65 $249,450.00 $54,834.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 43 25 $0.01 — $13,896.14 $248,579.00 $54,647.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 43 25 $0.01 — $15,253.80 $247,445.00 $54,402.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 43 25 $0.01 — $15,117.18 $246,262.00 $54,148.00 2026-04-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 $0.01 — $50,782.00 $60,938.00 $54,083.00 2024-12-15
34701 CPT Hc Ccl Evasc Rpr A-ao Non-ruptre 71 42 $76,958.00 $30,783.20 60% off $9,158.00 $108,938.00 $53,871.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 43 25 $0.01 — $15,419.36 $242,669.00 $53,374.00 2026-04-01
8514 APR_DRG Gender Related Procedures 10 8 $0.01 — $50,103.00 $60,123.00 $53,359.50 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 25 $0.01 — $16,543.78 $240,988.00 $53,012.00 2026-04-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 $0.01 — $49,700.00 $59,640.00 $52,930.50 2024-12-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 8 $0.01 — $49,355.00 $59,226.00 $52,563.50 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 37 25 $0.01 — $14,954.14 $240,806.00 $52,488.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 43 25 $0.01 — $14,765.69 $238,351.00 $52,444.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 43 25 $0.01 — $14,756.13 $235,844.00 $51,904.00 2026-04-01
0068-0597-01 NDC Rifampin 600 Mg IV Solr 43 24 $94,596.46 $37,838.58 60% off $16,081.00 $86,329.00 $51,839.00 2024-12-15
5661 OTHER Therapeutic Nuclear Medicine 4 2 — — $2,608.02 $100,883.32 $51,745.67 2026-04-01
0398T CPT Hc MRI Guided Focused US Stereo Lesion Ablate 71 42 $159,456.00 $63,782.40 60% off $12,979.00 $145,520.00 $51,743.00 2024-12-15
22 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $48,472.00 $58,167.00 $51,623.50 2024-12-15
652 MS_DRG Kidney Transplant 52 32 $0.01 — $8,125.58 $158,000.00 $51,324.50 2026-04-01
33880 CPT Hc Endovasc Taa Repr Incl Subcl 71 42 $73,219.00 $29,287.60 60% off $8,713.00 $108,938.00 $51,253.00 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 25 $0.01 — $15,003.46 $232,486.00 $51,181.00 2026-04-01
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 199 42 $166,243.00 $66,497.20 60% off $1,097.00 $175,032.00 $51,148.00 2024-12-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $47,894.00 $57,473.00 $51,007.50 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 25 $0.01 — $14,417.72 $231,096.00 $50,882.00 2026-04-01
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 43 24 $92,257.45 $36,902.98 60% off $15,684.00 $84,194.00 $50,557.00 2024-12-15
33365 CPT Hc Cath Replace Aortic Valve Open Transaortic Approach 71 42 $71,777.00 $28,710.80 60% off $8,541.00 $102,585.00 $50,244.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 43 25 $0.01 — $13,074.40 $225,810.00 $49,743.00 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 8 $0.01 — $46,657.00 $55,988.00 $49,689.50 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 8 $0.01 — $46,532.00 $55,838.00 $49,556.50 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 43 25 $0.01 — $13,319.47 $223,894.00 $49,330.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 43 25 $0.01 — $13,812.86 $223,894.00 $49,330.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 25 $0.01 — $14,145.23 $222,955.00 $49,128.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 43 25 $0.01 — $14,510.31 $221,594.00 $48,835.00 2026-04-01
35371 CPT Hc Thromboendartectmy Femoral Common 110 42 $88,797.00 $35,518.80 60% off $10,567.00 $162,072.00 $48,749.50 2024-12-15
35355 CPT Hc Thromboendarterectomy With Without Patch Graft Iliofemoral 110 42 $88,797.00 $35,518.80 60% off $10,567.00 $162,072.00 $48,749.50 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 45 25 $0.01 — $13,764.05 $219,900.00 $48,470.00 2026-04-01
37227 CPT Hc Revascularize Fem/pop Artery,angioplasty/stent/atherectomy 110 42 $79,496.00 $31,798.40 60% off $9,460.00 $145,096.00 $48,238.50 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 25 $0.01 — $14,340.23 $218,778.00 $48,229.00 2026-04-01
37231 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 110 42 $79,467.00 $31,786.80 60% off $9,457.00 $145,043.00 $48,220.50 2024-12-15
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 1,516 42 $123,420.00 $49,368.00 60% off $10,148.00 $263,524.00 $48,198.00 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 43 25 $0.01 — $13,722.79 $218,572.00 $48,184.00 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 43 25 $0.01 — $12,331.66 $218,547.00 $48,179.00 2026-04-01
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 71 42 $136,035.04 $54,414.02 60% off $69.00 $124,146.00 $48,156.00 2024-12-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $44,903.00 $53,883.00 $47,821.50 2024-12-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 8 $0.01 — $44,820.00 $53,783.00 $47,733.00 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 8 $0.01 — $44,733.00 $53,680.00 $47,641.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 43 25 $0.01 — $13,744.43 $215,505.00 $47,524.00 2026-04-01
21 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $44,578.00 $53,493.00 $47,475.00 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 25 $0.01 — $13,417.59 $214,553.00 $47,319.00 2026-04-01
33276 CPT Hc Insert Phrenic Nerve Stimulator System 71 42 $75,869.00 $30,347.60 60% off $9,028.00 $136,280.00 $47,251.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 43 25 $0.01 — $13,409.54 $208,615.00 $46,040.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 43 25 $0.01 — $13,275.43 $207,922.00 $45,891.00 2026-04-01
77371 CPT Hc Tr Srs 1 Session Multi Cobalt 60 71 42 $129,616.00 $51,846.40 60% off $7,420.00 $118,288.00 $45,884.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 43 25 $0.01 — $13,097.05 $206,367.00 $45,556.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 47 25 $0.01 — $12,548.55 $205,735.00 $45,420.00 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 8 $0.01 — $42,599.00 $51,119.00 $45,368.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 45 25 $0.01 — $12,383.24 $204,030.00 $45,052.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 43 25 $0.01 — $12,087.86 $202,827.00 $44,793.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 25 $0.01 — $14,004.84 $202,669.00 $44,759.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 43 25 $0.01 — $12,447.91 $203,523.00 $44,585.00 2026-04-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $41,561.00 $49,873.00 $44,262.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 53 26 $0.01 — $12,425.76 $202,588.00 $43,926.00 2026-04-01
J9226 HCPCS Supprelin La Implant 1 1 — — $43,892.43 $43,892.43 $43,892.43 2026-04-01
37235 CPT Hc Ccl Tib/per Revasc Stnt And Arthrectomy Addl 110 42 $72,121.00 $28,848.40 60% off $8,582.00 $131,635.00 $43,763.00 2024-12-15
245 MS_DRG Aicd Generator Procedures 43 25 $0.01 — $11,479.23 $197,950.00 $43,743.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 43 25 $0.01 — $12,149.25 $196,755.00 $43,486.00 2026-04-01
C1882 HCPCS Defibrillator Consulta 2chb Is1 Df1 Av 35jl 38ml 6 3,510 42 $116,025.40 $46,410.16 60% off $5.00 $211,776.00 $43,328.50 2024-12-15
J9302 HCPCS Ofatumumab 100 Mg/5ml IV Conc 63 38 $110,287.06 $44,114.82 60% off $64.00 $100,648.00 $43,188.00 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 8 $0.01 — $40,490.00 $48,589.00 $43,122.50 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 25 $0.01 — $11,769.58 $193,441.00 $42,772.00 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant 10 8 $0.01 — $40,033.00 $48,039.00 $42,635.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 45 25 $0.01 — $11,394.94 $192,603.00 $42,591.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 45 25 $0.01 — $11,804.80 $192,566.00 $42,584.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 6 — — $14,358.85 $43,685.83 $42,413.43 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 43 25 $0.01 — $11,978.41 $190,573.00 $42,154.00 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $39,475.00 $47,370.00 $42,040.50 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 43 25 $0.01 — $11,535.59 $189,553.00 $41,935.00 2026-04-01
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 43 24 $76,183.08 $30,473.23 60% off $12,951.00 $69,525.00 $41,748.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 25 $0.01 — $11,620.38 $188,435.00 $41,694.00 2026-04-01
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 43 24 $75,819.36 $30,327.74 60% off $12,889.00 $69,193.00 $41,549.00 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 43 25 $0.01 — $11,276.43 $186,705.00 $41,321.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 25 $0.01 — $12,681.40 $186,032.00 $41,176.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 45 25 $0.01 — $11,565.02 $186,004.00 $41,170.00 2026-04-01
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x0.78x0.78in 20ml 144 42 $86,020.00 $34,408.00 60% off $9,797.00 $77,418.00 $40,654.50 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 43 25 $0.01 — $11,444.76 $182,751.00 $40,470.00 2026-04-01
J2353 HCPCS Octreotide Acetate 10 Mg IM Kit 160 43 $113,042.47 $45,216.99 60% off $193.68 $290,926.00 $40,412.50 2026-04-01
37223 CPT Hc Revascularize Iliac Artery,angioplasty/stent, Ea Add Vessel 110 42 $49,801.00 $19,920.40 60% off $5,926.00 $90,897.00 $40,339.00 2024-12-15
33418 CPT Hc Tcat Mitral Valve Repair Initial Prosthesis 71 42 $57,617.00 $23,046.80 60% off $6,856.00 $102,585.00 $40,332.00 2024-12-15
4404 APR_DRG Kidney Transplant 10 8 $0.01 — $37,839.00 $45,407.00 $40,299.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 45 25 $0.01 — $10,801.15 $181,662.00 $40,235.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 43 25 $0.01 — $11,439.72 $181,159.00 $40,127.00 2026-04-01
37234 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent Ea Add 110 42 $49,466.00 $19,786.40 60% off $5,886.00 $90,285.00 $40,067.50 2024-12-15
8634 APR_DRG Neonatal Aftercare 10 8 $0.01 — $37,397.00 $44,877.00 $39,828.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 45 25 $0.01 — $10,558.86 $179,466.00 $39,762.00 2026-04-01
C9775 HCPCS Hc Revasc Tibial/peroneal Art With IV Litho/ather/stent 73 42 $93,895.00 $37,558.00 60% off $11,174.00 $85,689.00 $39,436.00 2024-12-15
C9773 HCPCS Hc Revasc Tibial/peroneal Art With IV Litho/stent 73 42 $93,895.00 $37,558.00 60% off $11,174.00 $85,689.00 $39,436.00 2024-12-15
C9774 HCPCS Hc Revasc Tibial/peroneal Art With IV Litho/ather 73 42 $93,895.00 $37,558.00 60% off $11,174.00 $85,689.00 $39,436.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 43 25 $0.01 — $11,228.88 $177,939.00 $39,433.00 2026-04-01
J9266 HCPCS Pegaspargase Injection 1 1 — — $39,150.12 $39,150.12 $39,150.12 2026-04-01
63 APR_DRG Pancreas Transplant 10 8 $0.01 — $36,709.00 $44,050.00 $39,094.50 2024-12-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 8 $0.01 — $36,564.00 $43,877.00 $38,940.50 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 43 25 $0.01 — $9,798.00 $175,270.00 $38,859.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 25 $0.01 — $10,498.47 $174,909.00 $38,781.00 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 8 $0.01 — $36,393.00 $43,672.00 $38,758.50 2024-12-15
3600000098 CDM Hc Or Robot - Level 5 First 30 Minutes 52 30 $74,807.00 $29,922.80 60% off $8,902.00 $68,269.00 $38,585.50 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 43 25 $0.01 — $11,052.50 $172,791.00 $38,325.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 43 25 $0.01 — $10,887.95 $172,536.00 $38,270.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 43 25 $0.01 — $10,731.71 $171,312.00 $38,006.00 2026-04-01
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 114 42 $91,261.00 $36,504.40 60% off $1,097.00 $85,616.00 $37,849.50 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 43 25 $0.01 — $11,273.16 $169,749.00 $37,670.00 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 47 25 $0.01 — $10,571.44 $169,708.00 $37,661.00 2026-04-01
8120000003 CDM Hc Cadaver Donor - Liver 52 30 $88,000.00 $35,200.00 60% off $128.00 $80,309.00 $37,417.50 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 45 25 $0.01 — $10,625.78 $168,537.00 $37,409.00 2026-04-01
3600000096 CDM Hc Or Robot - Level 4 First 30 Minutes 52 30 $72,444.00 $28,977.60 60% off $8,621.00 $66,112.00 $37,366.50 2024-12-15
37230 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent Initial 110 42 $59,923.00 $23,969.20 60% off $7,131.00 $109,371.00 $37,260.00 2024-12-15
3600000092 CDM Hc Or Robot - Level 2 First 30 Minutes 43 24 $67,720.00 $27,088.00 60% off $8,059.00 $61,801.00 $37,111.00 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 43 25 $0.01 — $10,539.23 $166,569.00 $36,985.00 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 43 25 $0.01 — $10,602.38 $166,476.00 $36,965.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 43 25 $0.01 — $10,607.67 $166,229.00 $36,911.00 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 $0.01 — $34,634.00 $41,561.00 $36,885.50 2024-12-15
793 MS_DRG Full Term Neonate With Major Problems 43 25 $0.01 — $4,497.77 $168,934.00 $36,814.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 43 25 $0.01 — $10,670.06 $165,410.00 $36,735.00 2026-04-01
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 43 24 $66,985.69 $26,794.28 60% off $11,388.00 $61,131.00 $36,708.00 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 43 24 $66,985.69 $26,794.28 60% off $11,388.00 $61,131.00 $36,708.00 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 43 25 $0.01 — $10,449.16 $164,758.00 $36,595.00 2026-04-01
37221 CPT Hc Revascularize Iliac Artery,angioplasty/stent, Initial Vessel 110 42 $60,254.00 $24,101.60 60% off $7,170.00 $109,976.00 $36,562.00 2024-12-15
0237T CPT Hc Trluml Perip Athrc Brchiocph 71 42 $88,833.00 $35,533.20 60% off $10,482.00 $81,069.00 $36,422.00 2024-12-15
0234T CPT Hc Trluml Perip Athrc Renal Art 71 42 $88,833.00 $35,533.20 60% off $10,482.00 $108,938.00 $36,422.00 2024-12-15
37226 CPT Hc Revascularize Fem/pop Artery,angioplasty/stent 110 42 $59,953.00 $23,981.20 60% off $7,134.00 $109,426.00 $36,379.50 2024-12-15
J0248 HCPCS Remdesivir 100 Mg IV Solr 71 42 $102,441.00 $40,976.40 60% off $6.00 $93,488.00 $36,264.00 2024-12-15
791 MS_DRG Prematurity With Major Problems 37 25 $0.01 — $10,212.65 $164,454.00 $36,198.00 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 8 $0.01 — $33,958.00 $40,749.00 $36,165.00 2024-12-15
3600000094 CDM Hc Or Robot - Level 3 First 30 Minutes 52 30 $70,083.00 $28,033.20 60% off $8,340.00 $63,958.00 $36,149.00 2024-12-15
L8614 HCPCS Electrode Hires Ultra 3d Ci Hifocus Slimj Cochlear 706 42 $123,739.69 $49,495.88 60% off $296.00 $174,447.00 $36,095.50 2024-12-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 8 $0.01 — $33,728.00 $40,474.00 $35,920.50 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 85 42 $184,138.50 $73,655.40 60% off $1,097.00 $165,725.00 $35,907.00 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 43 25 $0.01 — $9,659.87 $161,368.00 $35,865.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 43 25 $0.01 — $9,014.50 $161,254.00 $35,840.00 2026-04-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 8 $0.01 — $33,602.00 $40,323.00 $35,787.00 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 25 $0.01 — $9,376.82 $159,828.00 $35,533.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 43 25 $0.01 — $8,993.62 $159,500.00 $35,462.00 2026-04-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $33,236.00 $39,883.00 $35,396.50 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 43 25 $0.01 — $9,724.28 $159,176.00 $35,393.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 25 $0.01 — $10,115.78 $158,471.00 $35,241.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 43 25 $0.01 — $10,379.96 $158,395.00 $35,224.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 43 25 $0.01 — $9,738.87 $157,520.00 $35,036.00 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 8 $0.01 — $32,884.00 $39,460.00 $35,021.50 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 45 26 $0.01 — $8,774.47 $156,560.00 $34,829.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 43 25 $0.01 — $9,241.70 $156,402.00 $34,795.00 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 43 25 $0.01 — $9,404.24 $155,964.00 $34,701.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 46 25 $0.01 — $6,388.33 $154,834.00 $34,457.00 2026-04-01
1784 APR_DRG External Heart Assist Systems 10 8 $0.01 — $32,322.00 $38,787.00 $34,423.50 2024-12-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 8 $0.01 — $32,237.00 $38,684.00 $34,332.50 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 25 $0.01 — $9,842.54 $153,995.00 $34,277.00 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 8 $0.01 — $32,143.00 $38,571.00 $34,232.00 2024-12-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $32,074.00 $38,489.00 $34,158.50 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 43 25 $0.01 — $9,714.97 $152,796.00 $34,019.00 2026-04-01
33362 CPT Hc Replace Aortic Valve Openfemoral Artery Approach 71 42 $48,390.00 $19,356.00 60% off $5,758.00 $102,585.00 $33,873.00 2024-12-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 8 $0.01 — $31,781.00 $38,137.00 $33,847.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 46 25 $0.01 — $8,955.13 $151,577.00 $33,756.00 2026-04-01
C1721 HCPCS Defibrillator Crdc Protecta Xt Dr 2chb 2,880 42 $96,675.80 $38,670.32 60% off $10.00 $133,969.00 $33,719.00 2024-12-15
72 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $31,655.00 $37,985.00 $33,712.00 2024-12-15
3600000090 CDM Hc Or Robot - Level 1 First 30 Minutes 52 30 $65,358.00 $26,143.20 60% off $7,778.00 $59,646.00 $33,712.00 2024-12-15
A9592 HCPCS Copper Cu 64 Dotatate 1 Mci/ml IV Soln 71 42 $94,933.00 $37,973.20 60% off $269.00 $86,636.00 $33,606.00 2024-12-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 8 $0.01 — $31,499.00 $37,799.00 $33,546.50 2024-12-15
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 43 24 $60,713.96 $24,285.58 60% off $10,321.00 $55,408.00 $33,271.00 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 43 24 $60,713.96 $24,285.58 60% off $10,321.00 $55,408.00 $33,271.00 2024-12-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $31,084.00 $37,300.00 $33,104.00 2024-12-15
C1722 HCPCS Defibrillator Maximo Ii Vr 1chb Is1 Df1 Av 35jl 37 2,806 42 $90,250.00 $36,100.00 60% off $4,671.00 $144,905.00 $33,075.00 2024-12-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 43 25 $0.01 — $8,854.99 $147,798.00 $32,942.00 2026-04-01
C1817 HCPCS Occluder Sept Amplatzer Cvd Dbl Disc 45deg 4mm 6fr 594 42 $75,704.46 $30,281.78 60% off $6,511.00 $86,351.00 $32,884.50 2024-12-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 8 $0.01 — $30,841.00 $37,009.00 $32,845.50 2024-12-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 8 $0.01 — $30,808.00 $36,969.00 $32,810.00 2024-12-15
27446 CPT Hc Knee Arthroplasty Condyle/plateau Medial Or Lateral Comptmnt 110 42 $52,755.00 $21,102.00 60% off $6,278.00 $96,288.00 $32,800.50 2024-12-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 8 $0.01 — $30,781.00 $36,938.00 $32,782.00 2024-12-15
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