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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ADVENTHEALTH ORLANDO

Orlando, FL · CCN 100007 · Rates published

16,036 distinct procedures filed
52 distinct payers
1,664,944 rate rows
2024-12-15 last MRF observed · ⚠ 18 mo old
Data quality

1,658,052 of 1,664,944 rate rows are consumer-grade (99.6%)

6,892 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
exceeds 10× this hospital's gross charge — excluded from medians 3,432
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,207
per-diem day rate — not a per-procedure price 253

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=A7H2v*_*svHhuGAp2wfaahGA*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch — · 2026-05-17

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
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 42 $224,740.00 $3,079,291.00 $1,258,575.00 nat. median
$625,184
outlier · 2.0×
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 42 $224,740.00 $3,011,781.00 $1,191,380.00 nat. median
$673,137
1.8× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 42 $224,740.00 $2,638,431.00 $1,069,712.00 nat. median
$753,246
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $308,583.00 $1,527,632.00 $630,200.00 nat. median
$370,174
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $194,523.00 $960,939.00 $396,419.50 nat. median
$206,474
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $175,843.00 $868,130.00 $358,132.50 nat. median
$202,976
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $145,000.00 $1,141,013.00 $246,843.00 nat. median
$265,286
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $116,314.00 $572,364.00 $236,119.50 nat. median
$133,161
1.8× median
5834
APR_DRG 		Neonate With Ecmo 8 $205,319.00 $246,383.00 $218,665.00 nat. median
$309,665
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 $90,955.00 $446,375.00 $190,099.00 nat. median
$108,660
1.7× median
7
MS_DRG 		Lung Transplant 27 $75,324.00 $529,378.00 $188,500.00 nat. median
$122,708
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $89,930.00 $441,279.00 $182,042.50 nat. median
$102,358
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 28 $87,936.00 $431,375.00 $181,434.00 nat. median
$100,136
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 21 $87,491.00 $429,164.00 $180,723.00 nat. median
$99,019
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $86,518.00 $424,327.00 $175,049.00 nat. median
$98,894
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $79,797.00 $390,937.00 $156,496.00 nat. median
$93,672
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 21 $76,216.00 $373,146.00 $153,935.50 nat. median
$83,470
1.8× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 42 $10.00 $392,372.00 $152,202.00 nat. median
$1,033
outlier · 147.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 28 $74,216.00 $530,715.00 $143,000.00 nat. median
$117,357
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $133,948.00 $160,737.00 $142,654.50 nat. median
$246,434
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
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 $69,113.00 $337,853.00 $139,375.50 nat. median
$82,711
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $70,200.00 $343,252.00 $138,508.50 nat. median
$79,312
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 $66,834.00 $326,531.00 $134,705.00 nat. median
$77,570
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 $64,839.00 $316,619.00 $127,517.00 nat. median
$73,807
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $70,161.00 $343,062.00 $127,468.00 nat. median
$81,118
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 8 $118,623.00 $142,347.00 $126,333.00 nat. median
$234,729
0.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $64,196.00 $313,423.00 $125,645.00 nat. median
$74,915
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 $61,967.00 $302,352.00 $124,730.50 nat. median
$72,135
1.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $59,020.00 $287,709.00 $118,690.00 nat. median
$68,090
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 $58,729.00 $286,263.00 $118,093.00 nat. median
$68,886
1.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 21 $57,828.00 $281,787.00 $116,246.50 nat. median
$66,526
1.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 21 $56,783.00 $276,594.00 $114,104.50 nat. median
$64,732
1.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 $55,775.00 $271,587.00 $112,039.00 nat. median
$63,724
1.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 $55,565.00 $270,542.00 $111,607.50 nat. median
$64,023
1.7× 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
$117,173
0.9× median
5832
APR_DRG 		Neonate With Ecmo 8 $102,129.00 $122,555.00 $108,767.50 nat. median
$156,126
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 $55,473.00 $270,084.00 $108,298.00 nat. median
$65,950
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $101,659.00 $121,991.00 $108,267.00 nat. median
$207,730
0.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 21 $53,839.00 $261,967.00 $108,070.50 nat. median
$62,134
1.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 21 $52,674.00 $256,178.00 $105,682.00 nat. median
$60,185
1.8× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 37 $615.00 $241,977.00 $104,946.50 nat. median
$896
outlier · 117.1×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $97,710.00 $117,252.00 $104,061.50 nat. median
$150,721
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 $51,550.00 $250,593.00 $103,378.00 nat. median
$60,691
1.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $53,763.00 $261,590.00 $103,242.50 nat. median
$64,508
1.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 $51,320.00 $249,450.00 $102,906.50 nat. median
$59,793
1.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $96,372.00 $115,646.00 $102,636.00 nat. median
$160,267
0.6× median
28
MS_DRG 		Spinal Procedures With Mcc 21 $50,678.00 $246,262.00 $101,591.50 nat. median
$57,822
1.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 21 $50,916.00 $247,445.00 $99,774.00 nat. median
$59,898
1.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $49,617.00 $240,988.00 $99,415.50 nat. median
$61,920
1.6× median

Other procedures at this hospital

Browse this hospital's 16,036 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
             
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
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
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
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
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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 42 27 $0.01 — $145,000.00 $1,141,013.00 $246,843.00 2024-12-15
10 MS_DRG Pancreas Transplant 43 28 $0.01 — $65,000.00 $322,962.00 $78,000.00 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 21 $0.01 — $45,105.00 $218,572.00 $90,168.00 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
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
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
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 34 21 $0.01 — $34,569.00 $166,229.00 $68,575.00 2024-12-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 34 21 $0.01 — $22,717.00 $107,344.00 $44,283.00 2024-12-15
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
14 MS_DRG Allogeneic Bone Marrow Transplant 43 28 $0.01 — $74,216.00 $530,715.00 $143,000.00 2024-12-15
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
140 MS_DRG Major Head And Neck Procedures With Mcc 34 21 $0.01 — $35,593.00 $171,312.00 $70,672.00 2024-12-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 34 21 $0.01 — $28,032.00 $133,750.00 $55,176.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 43 28 $0.01 — $50,323.00 $244,496.00 $98,892.00 2024-12-15
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
1611 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $52,607.00 $63,128.00 $56,026.00 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
1613 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $68,785.00 $82,542.00 $73,256.00 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
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
163 MS_DRG Major Chest Procedures With Mcc 34 21 $0.01 — $38,691.00 $186,705.00 $77,022.00 2024-12-15
164 MS_DRG Major Chest Procedures With Cc 34 21 $0.01 — $21,633.00 $101,956.00 $42,060.50 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 34 21 $0.01 — $32,503.00 $155,964.00 $64,340.50 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 43 28 $0.01 — $50,323.00 $244,496.00 $98,892.00 2024-12-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 34 21 $0.01 — $26,130.00 $124,300.00 $51,278.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 21 $0.01 — $308,583.00 $1,527,632.00 $630,200.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 43 28 $0.01 — $65,743.00 $321,111.00 $98,803.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 42 27 $0.01 — $90,955.00 $446,375.00 $190,099.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 21 $0.01 — $66,834.00 $326,531.00 $134,705.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 21 $0.01 — $53,839.00 $261,967.00 $108,070.50 2024-12-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 21 $0.01 — $22,993.00 $108,713.00 $44,847.50 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 21 $0.01 — $46,176.00 $223,894.00 $92,364.00 2024-12-15
21 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $44,578.00 $53,493.00 $47,475.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 21 $0.01 — $89,930.00 $441,279.00 $182,042.50 2024-12-15
215 MS_DRG Other Heart Assist System Implant 34 21 $0.01 — $87,491.00 $429,164.00 $180,723.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 21 $0.01 — $79,797.00 $390,937.00 $156,496.00 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 21 $0.01 — $53,763.00 $261,590.00 $103,242.50 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 21 $0.01 — $49,617.00 $240,988.00 $99,415.50 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 21 $0.01 — $64,196.00 $313,423.00 $125,645.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 21 $0.01 — $29,895.00 $143,006.00 $58,994.50 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
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 21 $0.01 — $44,296.00 $214,553.00 $84,549.50 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 21 $0.01 — $38,555.00 $186,032.00 $76,744.50 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 21 $0.01 — $41,741.00 $203,523.00 $85,003.50 2024-12-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 34 21 $0.01 — $26,438.00 $128,470.00 $52,986.50 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 21 $0.01 — $47,626.00 $231,096.00 $95,335.00 2024-12-15
23 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $66,606.00 $79,927.00 $70,935.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 21 $0.01 — $70,200.00 $343,252.00 $138,508.50 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 21 $0.01 — $50,916.00 $247,445.00 $99,774.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 21 $0.01 — $64,839.00 $316,619.00 $127,517.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 21 $0.01 — $44,488.00 $215,505.00 $87,335.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 21 $0.01 — $49,086.00 $238,351.00 $98,026.50 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 34 21 $0.01 — $34,638.00 $166,569.00 $67,276.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 21 $0.01 — $42,178.00 $204,030.00 $84,169.50 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
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 21 $0.01 — $32,107.00 $153,995.00 $63,528.50 2024-12-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 34 21 $0.01 — $24,855.00 $117,964.00 $48,664.00 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 34 21 $0.01 — $28,767.00 $137,400.00 $55,757.00 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
245 MS_DRG Aicd Generator Procedures 34 21 $0.01 — $40,954.00 $197,950.00 $81,660.50 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 21 $0.01 — $37,575.00 $181,159.00 $74,734.50 2024-12-15
252 MS_DRG Other Vascular Procedures With Mcc 34 21 $0.01 — $29,080.00 $138,955.00 $55,420.00 2024-12-15
253 MS_DRG Other Vascular Procedures With Cc 34 21 $0.01 — $21,927.00 $103,414.00 $41,867.50 2024-12-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 34 21 $0.01 — $22,444.00 $105,987.00 $43,723.00 2024-12-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 34 21 $0.01 — $23,985.00 $113,642.00 $46,582.50 2024-12-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 34 21 $0.01 — $26,049.00 $123,895.00 $51,110.50 2024-12-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 34 21 $0.01 — $28,883.00 $137,975.00 $58,101.50 2024-12-15
263 MS_DRG Vein Ligation And Stripping 34 21 $0.01 — $22,979.00 $108,644.00 $44,819.50 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 34 21 $0.01 — $29,608.00 $141,576.00 $58,405.00 2024-12-15
265 MS_DRG Aicd Lead Procedures 34 21 $0.01 — $30,195.00 $144,497.00 $59,609.50 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 21 $0.01 — $49,955.00 $242,669.00 $99,305.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 21 $0.01 — $39,469.00 $190,573.00 $77,739.50 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 21 $0.01 — $55,473.00 $270,084.00 $108,298.00 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 21 $0.01 — $35,034.00 $168,537.00 $63,728.50 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 21 $0.01 — $42,961.00 $207,922.00 $83,690.00 2024-12-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 34 21 $0.01 — $29,194.00 $139,522.00 $56,172.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 21 $0.01 — $32,993.00 $158,395.00 $61,974.50 2024-12-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 34 21 $0.01 — $26,558.00 $126,422.00 $48,421.50 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 21 $0.01 — $58,729.00 $286,263.00 $118,093.00 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 21 $0.01 — $51,615.00 $250,917.00 $98,495.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 21 $0.01 — $39,039.00 $188,435.00 $73,269.50 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 21 $0.01 — $41,904.00 $202,669.00 $57,999.50 2024-12-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 21 $0.01 — $27,237.00 $129,801.00 $44,543.50 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 34 21 $0.01 — $50,678.00 $246,262.00 $101,591.50 2024-12-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 34 21 $0.01 — $23,382.00 $110,645.00 $45,645.00 2024-12-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 21 $0.01 — $28,479.00 $135,970.00 $56,092.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 21 $0.01 — $175,843.00 $868,130.00 $358,132.50 2024-12-15
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 21 $0.01 — $35,278.00 $169,749.00 $70,027.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 34 21 $0.01 — $51,550.00 $250,593.00 $103,378.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 21 $0.01 — $36,926.00 $177,939.00 $66,366.50 2024-12-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 34 21 $0.01 — $24,322.00 $115,315.00 $47,571.50 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 34 21 $0.01 — $35,839.00 $172,536.00 $71,176.50 2024-12-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 34 21 $0.01 — $27,162.00 $129,424.00 $53,392.00 2024-12-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 34 21 $0.01 — $24,447.00 $115,935.00 $47,827.50 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 21 $0.01 — $42,521.00 $205,735.00 $84,872.50 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 21 $0.01 — $38,550.00 $186,004.00 $76,733.00 2024-12-15
332 MS_DRG Rectal Resection With Mcc 34 21 $0.01 — $29,392.00 $140,507.00 $57,963.50 2024-12-15
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
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
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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 21 $0.01 — $30,654.00 $146,773.00 $60,549.00 2024-12-15
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
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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 21 $0.01 — $32,817.00 $157,520.00 $64,982.00 2024-12-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 34 21 $0.01 — $23,080.00 $109,146.00 $45,026.50 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
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
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
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
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 34 21 $0.01 — $25,025.00 $118,807.00 $49,012.00 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
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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 21 $0.01 — $35,890.00 $172,791.00 $71,282.00 2024-12-15
37 MS_DRG Extracranial Procedures With Mcc 34 21 $0.01 — $28,187.00 $134,520.00 $55,494.00 2024-12-15
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
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
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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 21 $0.01 — $116,314.00 $572,364.00 $236,119.50 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 34 21 $0.01 — $31,866.00 $152,796.00 $63,033.50 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 21 $0.01 — $33,008.00 $158,471.00 $65,374.50 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 21 $0.01 — $45,372.00 $219,900.00 $90,716.50 2024-12-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 34 21 $0.01 — $24,009.00 $113,760.00 $46,930.00 2024-12-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 34 21 $0.01 — $29,658.00 $141,827.00 $58,508.50 2024-12-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 34 21 $0.01 — $23,422.00 $110,843.00 $45,726.50 2024-12-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 21 $0.01 — $29,678.00 $141,928.00 $58,550.00 2024-12-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 34 21 $0.01 — $29,888.00 $142,969.00 $58,979.50 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 21 $0.01 — $34,273.00 $164,758.00 $67,968.00 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 21 $0.01 — $86,518.00 $424,327.00 $175,049.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 21 $0.01 — $59,020.00 $287,709.00 $118,690.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 21 $0.01 — $45,987.00 $222,955.00 $91,976.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 21 $0.01 — $69,113.00 $337,853.00 $139,375.50 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 21 $0.01 — $45,713.00 $221,594.00 $91,415.00 2024-12-15
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
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 21 $0.01 — $55,775.00 $271,587.00 $112,039.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 34 21 $0.01 — $34,405.00 $165,410.00 $68,237.50 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 34 21 $0.01 — $43,101.00 $208,615.00 $86,060.50 2024-12-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 34 21 $0.01 — $26,272.00 $125,005.00 $51,568.50 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 21 $0.01 — $70,161.00 $343,062.00 $127,468.00 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 21 $0.01 — $47,905.00 $232,486.00 $89,806.50 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 21 $0.01 — $36,317.00 $174,909.00 $59,975.50 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 34 21 $0.01 — $51,144.00 $248,579.00 $86,953.50 2024-12-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 34 21 $0.01 — $24,461.00 $116,004.00 $45,281.00 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 21 $0.01 — $45,146.00 $218,778.00 $90,253.50 2024-12-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 21 $0.01 — $25,152.00 $119,439.00 $49,272.50 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 21 $0.01 — $42,648.00 $206,367.00 $79,353.50 2024-12-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 34 21 $0.01 — $29,038.00 $138,745.00 $51,524.00 2024-12-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 34 21 $0.01 — $27,762.00 $132,405.00 $51,223.50 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 34 21 $0.01 — $40,714.00 $196,755.00 $77,380.50 2024-12-15
472 MS_DRG Cervical Spinal Fusion With Cc 34 21 $0.01 — $24,733.00 $117,357.00 $43,656.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 21 $0.01 — $37,676.00 $181,662.00 $74,941.50 2024-12-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 34 21 $0.01 — $29,150.00 $139,304.00 $57,467.50 2024-12-15
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
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 34 21 $0.01 — $25,090.00 $119,131.00 $49,145.50 2024-12-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 34 21 $0.01 — $21,887.00 $103,220.00 $42,582.00 2024-12-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 34 21 $0.01 — $27,359.00 $130,404.00 $53,796.00 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 21 $0.01 — $30,065.00 $143,848.00 $55,763.00 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 21 $0.01 — $29,815.00 $142,609.00 $58,831.00 2024-12-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 34 21 $0.01 — $21,698.00 $102,276.00 $42,192.50 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 43 28 $0.01 — $87,936.00 $431,375.00 $181,434.00 2024-12-15
500 MS_DRG Soft Tissue Procedures With Mcc 34 21 $0.01 — $26,946.00 $128,355.00 $52,950.50 2024-12-15
503 MS_DRG Foot Procedures With Mcc 34 21 $0.01 — $22,690.00 $107,206.00 $44,226.00 2024-12-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 34 21 $0.01 — $24,414.00 $115,773.00 $47,760.00 2024-12-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 34 21 $0.01 — $26,324.00 $125,264.00 $51,675.50 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 34 21 $0.01 — $30,332.00 $145,177.00 $44,926.50 2024-12-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 34 21 $0.01 — $24,876.00 $118,066.00 $48,208.00 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
545 MS_DRG Connective Tissue Disorders With Mcc 34 21 $0.01 — $21,714.00 $102,357.00 $42,226.00 2024-12-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 34 21 $0.01 — $21,528.00 $101,434.00 $41,844.50 2024-12-15
570 MS_DRG Skin Debridement With Mcc 34 21 $0.01 — $25,654.00 $121,934.00 $50,302.00 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 21 $0.01 — $51,320.00 $249,450.00 $102,906.50 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 21 $0.01 — $29,361.00 $140,353.00 $57,900.50 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 21 $0.01 — $45,100.00 $218,547.00 $90,158.50 2024-12-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 34 21 $0.01 — $22,822.00 $107,862.00 $44,496.50 2024-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 21 $0.01 — $27,686.00 $132,029.00 $54,466.00 2024-12-15
5831 APR_DRG Neonate With Ecmo 10 8 $0.01 — $74,234.00 $89,081.00 $79,059.50 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
5833 APR_DRG Neonate With Ecmo 10 8 $0.01 — $133,012.00 $159,615.00 $141,658.00 2024-12-15
5834 APR_DRG Neonate With Ecmo 10 8 $0.01 — $205,319.00 $246,383.00 $218,665.00 2024-12-15
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
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
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
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
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
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
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
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
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
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
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
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
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
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
6 MS_DRG Liver Transplant Without Mcc 43 28 $0.01 — $40,647.00 $216,002.00 $92,600.00 2024-12-15
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
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
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
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
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
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 34 21 $0.01 — $23,153.00 $109,507.00 $45,175.50 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 21 $0.01 — $32,623.00 $156,560.00 $64,586.00 2024-12-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 34 21 $0.01 — $23,341.00 $110,442.00 $45,561.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 21 $0.01 — $31,621.00 $151,577.00 $62,530.50 2024-12-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 34 21 $0.01 — $24,487.00 $116,138.00 $47,911.00 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 34 21 $0.01 — $33,281.00 $159,828.00 $65,934.50 2024-12-15
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
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
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
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
64 APR_DRG Pancreas Transplant 10 8 $0.01 — $51,673.00 $62,007.00 $55,031.50 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 43 28 $0.01 — $38,675.00 $186,628.00 $74,216.00 2024-12-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 43 28 $0.01 — $29,423.00 $158,000.00 $65,099.00 2024-12-15
652 MS_DRG Kidney Transplant 43 28 $0.01 — $26,153.00 $158,000.00 $61,087.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 34 21 $0.01 — $46,562.00 $225,810.00 $93,154.00 2024-12-15
654 MS_DRG Major Bladder Procedures With Cc 34 21 $0.01 — $24,121.00 $114,315.00 $47,158.50 2024-12-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 21 $0.01 — $27,674.00 $131,972.00 $54,443.00 2024-12-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 34 21 $0.01 — $22,182.00 $104,682.00 $43,185.00 2024-12-15
662 MS_DRG Minor Bladder Procedures With Mcc 34 21 $0.01 — $26,546.00 $126,366.00 $52,130.50 2024-12-15
665 MS_DRG Prostatectomy With Mcc 34 21 $0.01 — $29,106.00 $139,085.00 $57,377.00 2024-12-15
668 MS_DRG Transurethral Procedures With Mcc 34 21 $0.01 — $24,889.00 $118,131.00 $48,733.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 21 $0.01 — $35,270.00 $169,708.00 $70,010.00 2024-12-15
7 MS_DRG Lung Transplant 42 27 $0.01 — $75,324.00 $529,378.00 $188,500.00 2024-12-15
73 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $39,475.00 $47,370.00 $42,040.50 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 34 21 $0.01 — $33,215.00 $159,500.00 $65,799.50 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 34 21 $0.01 — $33,568.00 $161,254.00 $66,523.00 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
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 34 21 $0.01 — $22,217.00 $104,856.00 $43,257.00 2024-12-15
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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 21 $0.01 — $49,580.00 $240,806.00 $52,973.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 34 21 $0.01 — $39,878.00 $192,603.00 $79,455.50 2024-12-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 43 28 $0.01 — $45,473.00 $220,403.00 $98,000.00 2024-12-15
800 MS_DRG Splenic Procedures With Cc 34 21 $0.01 — $24,868.00 $118,029.00 $48,691.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 21 $0.01 — $30,339.00 $145,209.00 $59,903.50 2024-12-15
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
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
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 34 21 $0.01 — $21,781.00 $102,689.00 $42,362.50 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 21 $0.01 — $48,581.00 $235,844.00 $97,294.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 21 $0.01 — $39,264.00 $189,553.00 $78,197.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 21 $0.01 — $40,047.00 $193,441.00 $79,801.00 2024-12-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 34 21 $0.01 — $26,254.00 $124,915.00 $51,532.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 34 21 $0.01 — $46,176.00 $223,894.00 $92,364.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 34 21 $0.01 — $41,936.00 $202,827.00 $83,673.00 2024-12-15
84 APR_DRG Autologous Bone Marrow Transplant 10 8 $0.01 — $40,033.00 $48,039.00 $42,635.00 2024-12-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 34 21 $0.01 — $27,112.00 $129,177.00 $53,290.00 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
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
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 34 21 $0.01 — $21,933.00 $103,447.00 $42,675.00 2024-12-15
849 MS_DRG Radiotherapy 34 21 $0.01 — $22,889.00 $108,198.00 $44,635.50 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 34 21 $0.01 — $76,216.00 $373,146.00 $153,935.50 2024-12-15
8514 APR_DRG Gender Related Procedures 10 8 $0.01 — $50,103.00 $60,123.00 $53,359.50 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 21 $0.01 — $41,888.00 $202,588.00 $83,574.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 21 $0.01 — $37,895.00 $182,751.00 $75,391.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 21 $0.01 — $57,828.00 $281,787.00 $116,246.50 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 34 21 $0.01 — $33,150.00 $159,176.00 $65,666.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 34 21 $0.01 — $37,234.00 $179,466.00 $74,035.50 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 34 21 $0.01 — $32,592.00 $156,402.00 $64,521.00 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 21 $0.01 — $33,591.00 $161,368.00 $66,569.50 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 21 $0.01 — $194,523.00 $960,939.00 $396,419.50 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 34 21 $0.01 — $55,565.00 $270,542.00 $111,607.50 2024-12-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 34 21 $0.01 — $27,042.00 $128,828.00 $53,146.00 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 34 21 $0.01 — $36,389.00 $175,270.00 $72,304.50 2024-12-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 34 21 $0.01 — $26,990.00 $128,569.00 $53,039.00 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
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 21 $0.01 — $30,860.00 $147,798.00 $60,971.50 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 21 $0.01 — $56,783.00 $276,594.00 $114,104.50 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 34 21 $0.01 — $32,276.00 $154,834.00 $63,874.00 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 21 $0.01 — $61,967.00 $302,352.00 $124,730.50 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 21 $0.01 — $34,619.00 $166,476.00 $68,677.00 2024-12-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 34 21 $0.01 — $22,668.00 $107,096.00 $44,181.00 2024-12-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 34 21 $0.01 — $23,261.00 $110,045.00 $45,397.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 21 $0.01 — $52,674.00 $256,178.00 $105,682.00 2024-12-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 21 $0.01 — $30,337.00 $145,201.00 $59,900.50 2024-12-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 34 21 $0.01 — $22,744.00 $107,477.00 $44,338.00 2024-12-15
974 MS_DRG HIV With Major Related Condition With Mcc 34 21 $0.01 — $25,458.00 $120,962.00 $49,901.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 21 $0.01 — $39,871.00 $192,566.00 $79,440.00 2024-12-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 21 $0.01 — $29,670.00 $141,884.00 $58,531.50 2024-12-15
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
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
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
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
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
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
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
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
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
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
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
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
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
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 71 42 $192,611.55 $77,044.62 60% off $1,674.00 $175,777.00 $68,184.00 2024-12-15
J9302 HCPCS Ofatumumab 100 Mg/5ml IV Conc 62 37 $110,287.06 $44,114.82 60% off $64.00 $100,648.00 $43,651.50 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 71 42 $2,891,113.93 $1,156,445.57 60% off $224,740.00 $2,638,431.00 $1,069,712.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 71 42 $3,300,220.29 $1,320,088.12 60% off $224,740.00 $3,011,781.00 $1,191,380.00 2024-12-15
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 75 42 $3,374,196.08 $1,349,678.43 60% off $224,740.00 $3,079,291.00 $1,258,575.00 2024-12-15
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