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 →

Export CSV
Hospital

ADVENTHEALTH NEW SMYRNA BEACH

New Smyrna Beach, FL · CCN 100014 · Rates published

22,022 distinct procedures filed
51 distinct payers
1,294,320 rate rows
2026-04-01 last MRF observed
Data quality

1,266,766 of 1,294,320 rate rows are consumer-grade (97.9%)

27,554 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 17,986
exceeds 10× this hospital's gross charge — excluded from medians 6,871
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 715
template filing: same amount across many unrelated codes — excluded 145
per-diem day rate — not a per-procedure price 53
percent-of-charges filed in the dollar field — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://HospitalPriceDisclosure.com/download.aspx?pi=Q96z2NEzAwW5K4ztFskjzg*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 10f1eaa54582dbbe… · 19,961,819 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 36 $24,610.00 $4,631,447.00 $1,412,459.00 nat. median
$574,037
outlier · 2.5×
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 36 $24,610.00 $4,529,908.00 $1,381,492.00 nat. median
$579,571
outlier · 2.4×
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 36 $24,610.00 $3,968,368.00 $1,283,977.00 nat. median
$621,313
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 32 $218,734.00 $1,329,037.04 $340,804.07 nat. median
$168,055
outlier · 2.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 32 $163,376.00 $862,491.57 $221,168.13 nat. median
$186,516
1.2× median
5834
APR_DRG 		Neonate With Ecmo 8 $205,319.00 $246,383.00 $218,665.00 nat. median
$390,362
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 $137,592.00 $712,182.00 $175,015.00 nat. median
$131,925
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 $124,303.00 $653,247.98 $167,511.94 nat. median
$145,435
1.2× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 32 $10.00 $424,997.00 $143,054.00 nat. median
$767
outlier · 186.4×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $133,948.00 $160,737.00 $142,654.50 nat. median
$286,698
outlier · 0.5×
5833
APR_DRG 		Neonate With Ecmo 8 $133,012.00 $159,615.00 $141,658.00 nat. median
$268,208
0.5× median
24
APR_DRG 		Heart And/or Lung Transplant 8 $118,623.00 $142,347.00 $126,333.00 nat. median
$225,531
0.6× 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
$135,803
0.8× median
J1950
HCPCS 		Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 36 $614.00 $362,561.00 $110,571.00 nat. median
$3,343
outlier · 33.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 $81,954.00 $426,304.54 $109,316.98 nat. median
$97,418
1.1× median
5832
APR_DRG 		Neonate With Ecmo 8 $102,129.00 $122,555.00 $108,767.50 nat. median
$201,678
0.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $101,659.00 $121,991.00 $108,267.00 nat. median
$202,242
0.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $97,710.00 $117,252.00 $104,061.50 nat. median
$187,567
0.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $96,372.00 $115,646.00 $102,636.00 nat. median
$173,018
0.6× median
7
MS_DRG 		Lung Transplant 32 $75,799.00 $398,568.31 $102,204.60 nat. median
$70,649
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 32 $75,990.00 $393,329.00 $96,997.00 nat. median
$72,715
1.3× 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
$198,578
outlier · 0.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $87,116.00 $104,539.00 $92,778.50 nat. median
$173,134
0.5× 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
$181,762
0.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $85,092.00 $102,110.00 $90,622.50 nat. median
$171,497
0.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $84,672.40 $348,358.71 $90,599.47 nat. median
$2,110
outlier · 42.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 $63,914.00 $348,758.81 $89,431.98 nat. median
$65,418
1.4× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 32 $615.00 $262,097.00 $88,222.00 nat. median
$631
outlier · 139.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $60,757.00 $339,199.47 $86,980.69 nat. median
$2,736
outlier · 31.8×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $80,769.00 $96,923.00 $86,019.50 nat. median
$149,836
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 32 $63,185.00 $334,672.18 $85,819.76 nat. median
$74,509
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $80,365.00 $96,438.00 $85,588.50 nat. median
$152,792
0.6× median
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 32 $84.00 $253,829.00 $85,439.00 nat. median
$547
outlier · 156.2×
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 19 $52,813.00 $229,335.00 $85,182.00 —
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $78,902.00 $94,682.00 $84,030.50 nat. median
$168,439
outlier · 0.5×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $76,443.00 $91,731.00 $81,411.50 nat. median
$152,383
0.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 32 $61,767.00 $319,706.00 $81,371.76 nat. median
$69,922
1.2× median
24338-050-08
NDC 		Carmustine In Polifeprosan 7.7 Mg Il Wafr 19 $49,033.00 $212,924.00 $79,086.00 —
5831
APR_DRG 		Neonate With Ecmo 8 $74,234.00 $89,081.00 $79,059.50 nat. median
$173,909
outlier · 0.5×
215
MS_DRG 		Other Heart Assist System Implant 32 $61,450.00 $318,066.00 $78,582.00 nat. median
$73,023
1.1× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 $72,982.00 $87,578.00 $77,725.50 nat. median
$115,963
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 $55,976.00 $301,085.24 $77,207.08 nat. median
$69,822
1.1× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 8 $71,830.00 $86,196.00 $76,499.00 nat. median
$136,566
0.6× median
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 36 $19,173.00 $285,250.00 $76,432.00 nat. median
$5,834
outlier · 13.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $71,338.00 $85,605.00 $75,975.00 nat. median
$135,630
0.6× median
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 19 $45,803.00 $198,896.00 $73,876.00 —
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 19 $45,803.00 $198,896.00 $73,876.00 —
1613
APR_DRG 		Implantable Heart Assist Systems 8 $68,785.00 $82,542.00 $73,256.00 nat. median
$155,539
outlier · 0.5×
J2353
HCPCS 		Octreotide Acetate 10 Mg IM Kit 32 $215.00 $600,035.00 $71,807.00 nat. median
$1,956
outlier · 36.7×
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 32 $60.00 $213,320.00 $71,803.50 nat. median
$3,702
outlier · 19.4×

Other procedures at this hospital

Browse this hospital's 22,022 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
             
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 63 36 $2,646,541.02 $1,058,616.41 60% off $24,610.00 $4,631,447.00 $1,412,459.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 63 36 $2,588,518.65 $1,035,407.46 60% off $24,610.00 $4,529,908.00 $1,381,492.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 63 36 $2,267,639.07 $907,055.63 60% off $24,610.00 $3,968,368.00 $1,283,977.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 52 32 $0.01 — $218,734.00 $1,329,037.04 $340,804.07 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 52 32 $0.01 — $163,376.00 $862,491.57 $221,168.13 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 52 32 $0.01 — $137,592.00 $712,182.00 $175,015.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 52 32 $0.01 — $124,303.00 $653,247.98 $167,511.94 2026-04-01
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 54 32 $242,855.70 $97,142.28 60% off $10.00 $424,997.00 $143,054.00 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
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
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
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 63 36 $207,177.75 $82,871.10 60% off $614.00 $362,561.00 $110,571.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 52 32 $0.01 — $81,954.00 $426,304.54 $109,316.98 2026-04-01
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
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
7 MS_DRG Lung Transplant 52 32 $0.01 — $75,799.00 $398,568.31 $102,204.60 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 52 32 $0.01 — $75,990.00 $393,329.00 $96,997.00 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
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
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
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
209 MS_DRG Complex Aortic Arch Procedures 20 13 — — $84,672.40 $348,358.71 $90,599.47 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 52 32 $0.01 — $63,914.00 $348,758.81 $89,431.98 2026-04-01
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 54 32 $149,769.93 $59,907.97 60% off $615.00 $262,097.00 $88,222.00 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 32 $0.01 — $60,757.00 $339,199.47 $86,980.69 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $80,769.00 $96,923.00 $86,019.50 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 52 32 $0.01 — $63,185.00 $334,672.18 $85,819.76 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 $0.01 — $80,365.00 $96,438.00 $85,588.50 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 54 32 $145,045.20 $58,018.08 60% off $84.00 $253,829.00 $85,439.00 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 36 19 $131,048.78 $52,419.51 60% off $52,813.00 $229,335.00 $85,182.00 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
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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 52 32 $0.01 — $61,767.00 $319,706.00 $81,371.76 2026-04-01
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 36 19 $121,670.63 $48,668.25 60% off $49,033.00 $212,924.00 $79,086.00 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
215 MS_DRG Other Heart Assist System Implant 53 32 $0.01 — $61,450.00 $318,066.00 $78,582.00 2026-04-01
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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 32 $0.01 — $55,976.00 $301,085.24 $77,207.08 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
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 232 36 $123,880.00 $49,552.00 60% off $19,173.00 $285,250.00 $76,432.00 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
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 36 19 $113,654.93 $45,461.97 60% off $45,803.00 $198,896.00 $73,876.00 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 36 19 $113,654.93 $45,461.97 60% off $45,803.00 $198,896.00 $73,876.00 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
J2353 HCPCS Octreotide Acetate 10 Mg IM Kit 123 32 $121,603.47 $48,641.39 60% off $215.00 $600,035.00 $71,807.00 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 54 32 $121,897.31 $48,758.92 60% off $60.00 $213,320.00 $71,803.50 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 52 32 $0.01 — $48,375.00 $277,288.46 $71,104.89 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
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 46 24 $102,074.07 $40,829.63 60% off $41,136.00 $178,630.00 $70,482.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 46 24 $102,074.07 $40,829.63 60% off $41,136.00 $178,630.00 $70,482.00 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
68382-395-04 NDC Ribavirin 6 G In Solr 36 19 $106,119.82 $42,447.93 60% off $42,766.00 $185,710.00 $68,978.00 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 36 19 $106,119.82 $42,447.93 60% off $42,766.00 $185,710.00 $68,978.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 52 32 $0.01 — $53,429.00 $276,550.00 $68,544.38 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 52 32 $0.01 — $49,149.00 $259,447.03 $66,529.83 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 32 $0.01 — $49,121.00 $258,631.44 $66,320.68 2026-04-01
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 110 36 $103,600.00 $41,440.00 60% off $20,648.00 $181,300.00 $65,268.00 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
J9302 HCPCS Ofatumumab 100 Mg/5ml IV Conc 63 36 $118,640.09 $47,456.04 60% off $64.00 $207,620.00 $63,318.00 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
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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 52 32 $0.01 — $46,754.00 $242,178.06 $62,101.55 2026-04-01
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 64 36 $73,815.00 $29,526.00 60% off $22,890.00 $129,176.00 $61,414.00 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 109 36 $84,760.00 $33,904.00 60% off $19,173.00 $168,350.00 $60,606.00 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 32 $0.01 — $44,878.00 $236,315.04 $60,598.11 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 52 32 $0.01 — $45,335.00 $235,296.32 $60,336.88 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 52 32 $0.01 — $43,292.00 $234,517.66 $60,137.21 2026-04-01
10 MS_DRG Pancreas Transplant 52 32 $0.01 — $46,243.00 $239,357.00 $59,323.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 52 32 $0.01 — $45,978.00 $237,985.00 $58,987.00 2026-04-01
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 54 32 $100,047.74 $40,019.09 60% off $57.00 $175,084.00 $58,933.00 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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 32 $0.01 — $41,196.00 $222,166.85 $56,970.10 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 52 32 $0.01 — $38,738.00 $220,754.19 $56,607.85 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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 53 32 $0.01 — $40,989.00 $219,452.32 $56,007.30 2026-04-01
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
34708 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft Rpt 93 36 $62,489.49 $24,995.80 60% off $9,941.00 $218,713.00 $55,578.00 2024-12-15
64 APR_DRG Pancreas Transplant 10 8 $0.01 — $51,673.00 $62,007.00 $55,031.50 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 53 32 $0.01 — $40,348.00 $212,724.47 $54,290.27 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 52 32 $0.01 — $38,672.00 $211,681.13 $54,281.25 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
8514 APR_DRG Gender Related Procedures 10 8 $0.01 — $50,103.00 $60,123.00 $53,359.50 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 52 32 $0.01 — $39,604.00 $207,163.06 $53,122.68 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
0187-0007-14 NDC Ribavirin 6 G In Solr 36 19 $81,389.55 $32,555.82 60% off $32,800.00 $142,432.00 $52,903.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 52 32 $0.01 — $35,881.00 $205,790.41 $52,770.70 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 52 32 $0.01 — $38,887.00 $205,639.60 $52,732.03 2026-04-01
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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 32 $0.01 — $34,506.00 $202,368.01 $51,893.09 2026-04-01
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 36 19 $79,795.98 $31,918.39 60% off $32,158.00 $139,643.00 $51,867.00 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 52 32 $0.01 — $35,718.00 $201,632.44 $51,704.47 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 32 $0.01 — $37,456.00 $202,368.01 $51,647.15 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $48,472.00 $58,167.00 $51,623.50 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 52 32 $0.01 — $37,510.00 $198,040.76 $50,783.46 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
C1827 HCPCS Generator Imp Vivistim Vns Ipg 1001 109 36 $96,170.00 $38,468.00 60% off $4,793.00 $168,298.00 $48,758.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 52 32 $0.01 — $34,747.00 $188,613.77 $48,366.10 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 52 32 $0.01 — $36,681.00 $189,862.00 $48,310.07 2026-04-01
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 36 19 $74,067.71 $29,627.08 60% off $29,849.00 $129,618.00 $48,144.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 52 32 $0.01 — $35,430.00 $186,588.64 $47,846.81 2026-04-01
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
21 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $44,578.00 $53,493.00 $47,475.00 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 52 32 $0.01 — $35,261.00 $184,917.45 $47,418.25 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 52 32 $0.01 — $35,928.00 $185,962.00 $47,404.85 2026-04-01
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 150 36 $72,453.50 $28,981.40 60% off $15,117.00 $148,330.00 $47,095.00 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 32 $0.01 — $33,289.00 $183,526.33 $47,061.54 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 52 32 $0.01 — $35,008.00 $182,498.38 $46,797.93 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 52 32 $0.01 — $34,128.00 $180,617.90 $46,315.73 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 52 32 $0.01 — $33,769.00 $180,500.95 $46,285.74 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 50 32 $0.01 — $34,480.00 $182,923.10 $46,239.93 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 52 32 $0.01 — $35,593.00 $184,230.00 $45,834.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 13 — — $42,691.53 $175,641.26 $45,679.94 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 52 32 $0.01 — $31,729.00 $177,494.04 $45,514.67 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
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 54 32 $76,839.34 $30,735.74 60% off $69.00 $134,469.00 $45,262.50 2024-12-15
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 36 19 $69,603.69 $27,841.48 60% off $28,050.00 $121,806.00 $45,242.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 32 $0.01 — $33,090.00 $176,361.44 $45,224.24 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 52 32 $0.01 — $35,008.00 $181,204.00 $45,094.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 52 32 $0.01 — $31,326.00 $175,413.51 $44,981.17 2026-04-01
33289 CPT Hc Rhc W/plc Pressure Sensor 63 36 $83,393.57 $33,357.43 60% off $14,380.00 $145,939.00 $44,507.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 32 $0.01 — $31,924.00 $173,028.29 $44,369.52 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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 52 32 $0.01 — $31,558.00 $172,492.77 $44,232.21 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 32 $0.01 — $29,019.00 $171,310.94 $43,929.14 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 52 32 $0.01 — $32,058.00 $168,962.65 $43,326.98 2026-04-01
35371 CPT Hc Thromboendartectmy Femoral Common 76 24 $58,423.66 $23,369.46 60% off $2,603.00 $204,483.00 $43,321.00 2024-12-15
35355 CPT Hc Thromboendarterectomy With Without Patch Graft Iliofemoral 76 24 $58,423.68 $23,369.47 60% off $2,603.00 $204,483.00 $43,321.00 2024-12-15
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 110 36 $83,130.00 $33,252.00 60% off $6,637.00 $145,478.00 $43,256.50 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 52 32 $0.01 — $31,486.00 $168,365.58 $43,173.88 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 52 32 $0.01 — $30,857.00 $168,125.52 $43,112.32 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 52 32 $0.01 — $31,296.00 $167,860.84 $43,044.44 2026-04-01
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 36 19 $66,183.14 $26,473.26 60% off $26,672.00 $115,820.00 $43,019.00 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
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 32 $0.01 — $30,721.00 $164,127.59 $42,087.12 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 52 32 $0.01 — $29,871.00 $164,029.10 $42,061.86 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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 52 32 $0.01 — $32,058.00 $165,935.00 $41,779.33 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 52 32 $0.01 — $32,333.00 $167,355.00 $41,705.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 53 32 $0.01 — $29,771.00 $162,388.69 $41,443.87 2026-04-01
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 53 32 $70,038.08 $28,015.23 60% off $1,211.00 $122,567.00 $41,357.00 2024-12-15
33249 CPT Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 68 36 $71,911.27 $28,764.51 60% off $14,380.00 $125,845.00 $41,054.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 53 32 $0.01 — $29,549.00 $160,206.60 $40,886.97 2026-04-01
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 99 36 $69,725.12 $27,890.05 60% off $9,361.00 $122,019.00 $40,719.00 2024-12-15
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 68 36 $71,307.57 $28,523.03 60% off $14,380.00 $124,788.00 $40,709.50 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 52 32 $0.01 — $31,293.00 $161,972.00 $40,388.00 2026-04-01
4404 APR_DRG Kidney Transplant 10 8 $0.01 — $37,839.00 $45,407.00 $40,299.00 2024-12-15
8634 APR_DRG Neonatal Aftercare 10 8 $0.01 — $37,397.00 $44,877.00 $39,828.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 32 $0.01 — $26,637.00 $155,122.24 $39,777.89 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 32 $0.01 — $29,458.00 $153,497.21 $39,361.18 2026-04-01
63 APR_DRG Pancreas Transplant 10 8 $0.01 — $36,709.00 $44,050.00 $39,094.50 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 52 32 $0.01 — $28,903.00 $152,266.13 $39,045.50 2026-04-01
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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 52 32 $0.01 — $29,214.00 $151,475.16 $38,842.67 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
C2616 HCPCS Sphere Embol Sir Msphre 90 110 36 $67,876.50 $27,150.60 60% off $7,779.00 $118,784.00 $38,617.50 2024-12-15
34707 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft 93 36 $43,400.82 $17,360.33 60% off $9,941.00 $151,903.00 $38,601.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 32 $0.01 — $344.62 $151,995.29 $38,421.89 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 52 32 $0.01 — $28,172.00 $148,612.90 $38,108.71 2026-04-01
33230 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Dual Leads 63 36 $71,307.57 $28,523.03 60% off $14,380.00 $124,788.00 $38,057.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 52 32 $0.01 — $29,042.00 $150,321.00 $37,916.14 2026-04-01
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 36 19 $58,092.98 $23,237.19 60% off $23,411.00 $101,663.00 $37,760.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 52 32 $0.01 — $27,287.00 $146,523.14 $37,572.83 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 52 32 $0.01 — $26,722.00 $144,694.99 $37,104.03 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 52 32 $0.01 — $27,698.00 $143,968.65 $36,917.79 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
245 MS_DRG Aicd Generator Procedures 52 32 $0.01 — $28,343.00 $146,707.00 $36,653.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 52 32 $0.01 — $28,125.00 $145,578.00 $36,595.79 2026-04-01
C1816 HCPCS System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 150 36 $58,680.00 $23,472.00 60% off $1,475.00 $116,953.00 $36,528.50 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 32 $0.01 — $27,573.00 $144,399.53 $36,517.17 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 53 32 $0.01 — $1,400.00 $142,143.57 $36,277.03 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 52 32 $0.01 — $27,141.00 $141,106.39 $36,183.82 2026-04-01
33881 CPT Hc Endovasc Taa Rew/o Subcl 63 36 $55,642.07 $22,256.83 60% off $9,941.00 $97,374.00 $36,167.00 2024-12-15
34710 CPT Hc Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl 63 36 $55,641.55 $22,256.62 60% off $9,941.00 $97,373.00 $36,167.00 2024-12-15
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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 53 32 $0.01 — $26,633.00 $141,466.48 $36,104.23 2026-04-01
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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 52 32 $0.01 — $26,167.00 $139,995.34 $35,898.90 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 52 32 $0.01 — $25,939.00 $139,933.79 $35,883.12 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 52 32 $0.01 — $27,578.00 $142,744.00 $35,797.53 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
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 36 19 $54,652.11 $21,860.84 60% off $22,025.00 $95,641.00 $35,524.00 2024-12-15
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
163 MS_DRG Major Chest Procedures With Mcc 52 32 $0.01 — $26,733.00 $138,373.00 $35,370.93 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 52 32 $0.01 — $24,305.00 $137,896.35 $35,360.67 2026-04-01
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 36 19 $54,391.19 $21,756.47 60% off $21,920.00 $95,185.00 $35,354.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 52 32 $0.01 — $25,478.00 $137,354.67 $35,221.76 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
93654 CPT Hc Ephys Eval W/ablation Ventricular Tachycardia 63 36 $59,464.44 $23,785.78 60% off $10,918.00 $104,063.00 $34,727.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 52 32 $0.01 — $24,741.00 $135,197.21 $34,668.53 2026-04-01
J7311 HCPCS Fluocinolone Acetonide 0.59 Mg Iz Impl 63 36 $64,799.93 $25,919.97 60% off $37.00 $113,400.00 $34,584.00 2024-12-15
93656 CPT Hc Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 63 36 $64,718.96 $25,887.58 60% off $10,918.00 $113,258.00 $34,541.00 2024-12-15
1784 APR_DRG External Heart Assist Systems 10 8 $0.01 — $32,322.00 $38,787.00 $34,423.50 2024-12-15
33270 HCPCS Ins/rep Subq Defibrillator 7 7 — — $31,139.80 $71,605.14 $34,417.67 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 7 — — $31,139.80 $71,605.14 $34,417.67 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 7 — — $31,139.80 $71,605.14 $34,417.67 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 7 7 — — $31,139.80 $71,605.14 $34,417.67 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 7 — — $31,139.80 $71,605.14 $34,417.67 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 7 — — $31,139.80 $71,605.14 $34,417.67 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 7 7 — — $31,139.80 $71,605.14 $34,417.67 2026-04-01
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
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
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 52 32 $0.01 — $24,705.00 $133,184.39 $34,152.39 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 52 32 $0.01 — $26,011.00 $134,635.00 $33,880.10 2026-04-01
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
72 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $31,655.00 $37,985.00 $33,712.00 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 52 32 $0.01 — $24,529.00 $131,273.14 $33,662.29 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 3 3 — — $24,923.70 $36,426.09 $33,643.26 2026-04-01
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 1,070 36 $53,790.00 $21,516.00 60% off $7,562.00 $223,322.00 $33,631.00 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
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 52 32 $0.01 — $23,684.00 $130,519.10 $33,468.93 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 52 32 $0.01 — $24,132.00 $129,977.43 $33,330.02 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 52 32 $0.01 — $25,697.00 $133,008.00 $33,301.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 52 32 $0.01 — $23,801.00 $129,755.83 $33,273.20 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 52 32 $0.01 — $23,837.00 $129,691.20 $33,256.62 2026-04-01
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 52 32 $0.01 — $23,850.00 $128,918.70 $33,058.54 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 53 32 $0.01 — $24,300.00 $129,312.64 $33,002.40 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 32 $0.01 — $25,044.00 $129,631.00 $32,930.69 2026-04-01
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
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
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 52 32 $0.01 — $23,591.00 $127,816.88 $32,775.99 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 52 32 $0.01 — $22,680.00 $126,970.51 $32,558.97 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 52 32 $0.01 — $25,096.00 $129,898.00 $32,540.00 2026-04-01
C1882 HCPCS Defibrillator Crdc Viva Xt Is1 Df1 2,438 36 $52,388.20 $20,955.28 60% off $4.00 $185,932.00 $32,484.50 2024-12-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 8 $0.01 — $30,498.00 $36,597.00 $32,479.50 2024-12-15
793 MS_DRG Full Term Neonate With Major Problems 50 32 $0.01 — $24,189.00 $128,327.78 $32,439.12 2026-04-01
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 63 36 $60,659.51 $24,263.80 60% off $158.00 $106,154.00 $32,374.00 2024-12-15
71 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $30,072.00 $36,087.00 $32,026.50 2024-12-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 8 $0.01 — $29,867.00 $35,841.00 $31,808.50 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 52 32 $0.01 — $22,691.00 $123,738.93 $31,730.28 2026-04-01
A9592 HCPCS Copper Cu 64 Dotatate 1 Mci/ml IV Soln 54 32 $53,623.00 $21,449.20 60% off $269.00 $93,840.00 $31,586.50 2024-12-15
791 MS_DRG Prematurity With Major Problems 50 32 $0.01 — $23,547.00 $124,923.84 $31,578.67 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 52 32 $0.01 — $20,792.00 $122,618.65 $31,443.02 2026-04-01
33880 CPT Hc Endovasc Taa Repr Incl Subcl 63 36 $48,174.84 $19,269.94 60% off $9,941.00 $84,306.00 $31,314.00 2024-12-15
62 APR_DRG Pancreas Transplant 10 8 $0.01 — $29,393.00 $35,271.00 $31,303.00 2024-12-15
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 36 19 $48,054.31 $19,221.72 60% off $19,366.00 $84,095.00 $31,235.00 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 36 19 $48,054.31 $19,221.72 60% off $19,366.00 $84,095.00 $31,235.00 2024-12-15
37227 CPT Hc Revascularize Fem/pop Artery,angioplasty/stent/atherectomy 92 36 $47,458.69 $18,983.48 60% off $7,047.00 $166,105.00 $31,021.50 2024-12-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 8 $0.01 — $29,030.00 $34,835.00 $30,916.50 2024-12-15
93653 CPT Hc Ephys Eval W/ablation Supravent Arrhythmia 63 36 $52,928.82 $21,171.53 60% off $10,918.00 $92,625.00 $30,910.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 32 $0.01 — $22,050.00 $120,396.55 $30,873.20 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $28,790.00 $34,548.00 $30,662.00 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 52 32 $0.01 — $22,554.00 $119,128.53 $30,548.06 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 52 32 $0.01 — $22,792.00 $118,950.03 $30,502.28 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 52 32 $0.01 — $21,878.00 $118,836.15 $30,473.08 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 8 $0.01 — $28,513.00 $34,216.00 $30,366.50 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 52 32 $0.01 — $23,105.00 $119,595.00 $30,300.24 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 8 $0.01 — $28,370.00 $34,044.00 $30,214.00 2024-12-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 8 $0.01 — $28,168.00 $33,801.00 $29,999.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 52 32 $0.01 — $23,089.00 $119,511.00 $29,998.00 2026-04-01
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 72 19 $46,101.59 $18,440.64 60% off $1.00 $82,936.00 $29,966.00 2024-12-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 8 $0.01 — $28,048.00 $33,658.00 $29,871.00 2024-12-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 8 $0.01 — $27,970.00 $33,564.00 $29,788.00 2024-12-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 10 8 $0.01 — $27,933.00 $33,520.00 $29,749.00 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 52 32 $0.01 — $22,885.00 $118,454.00 $29,740.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 52 32 $0.01 — $22,170.00 $115,813.85 $29,698.07 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 52 32 $0.01 — $22,838.00 $118,211.00 $29,680.00 2026-04-01
6904 APR_DRG Acute Leukemia 10 8 $0.01 — $27,785.00 $33,342.00 $29,591.00 2024-12-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 52 32 $0.01 — $19,151.00 $115,309.11 $29,568.64 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 52 32 $0.01 — $22,332.00 $115,590.00 $29,498.40 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 52 32 $0.01 — $20,787.00 $115,022.88 $29,495.24 2026-04-01
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 68 36 $45,321.30 $18,128.52 60% off $14,380.00 $83,067.00 $29,459.00 2024-12-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 8 $0.01 — $27,603.00 $33,124.00 $29,398.00 2024-12-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 8 $0.01 — $27,584.00 $33,101.00 $29,377.00 2024-12-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 52 32 $0.01 — $20,141.00 $114,053.41 $29,246.64 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 52 32 $0.01 — $22,417.00 $116,031.00 $29,147.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 52 32 $0.01 — $22,394.00 $115,914.00 $29,121.97 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 52 32 $0.01 — $20,597.00 $113,000.83 $28,976.72 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 8 $0.01 — $27,100.00 $32,520.00 $28,861.50 2024-12-15
914 APR_DRG Other Major Head And Neck Procedures 10 8 $0.01 — $27,019.00 $32,423.00 $28,776.00 2024-12-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 10 8 $0.01 — $26,994.00 $32,392.00 $28,748.00 2024-12-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 52 32 $0.01 — $18,409.00 $111,674.34 $28,636.57 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 52 32 $0.01 — $20,419.00 $111,588.17 $28,614.48 2026-04-01
332 MS_DRG Rectal Resection With Mcc 52 32 $0.01 — $20,118.00 $111,434.28 $28,575.01 2026-04-01
265 MS_DRG Aicd Lead Procedures 52 32 $0.01 — $20,690.00 $111,357.34 $28,555.28 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 52 32 $0.01 — $20,791.00 $111,160.37 $28,504.78 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 8 $0.01 — $26,741.00 $32,089.00 $28,479.00 2024-12-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 32 $0.01 — $18,586.00 $110,994.17 $28,462.16 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 8 $0.01 — $26,699.00 $32,039.00 $28,434.50 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 36 19 $43,555.25 $17,422.10 60% off $17,553.00 $76,222.00 $28,311.00 2024-12-15
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 36 19 $43,555.25 $17,422.10 60% off $17,553.00 $76,222.00 $28,311.00 2024-12-15
214 APR_DRG Open Craniotomy Except Trauma 10 8 $0.01 — $26,578.00 $31,894.00 $28,306.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 53 32 $0.01 — $21,704.00 $112,339.00 $28,244.00 2026-04-01
34701 CPT Hc Ccl Evasc Rpr A-ao Non-ruptre 63 36 $43,400.82 $17,360.33 60% off $9,941.00 $75,951.00 $28,211.00 2024-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 52 32 $0.01 — $21,016.00 $109,901.59 $28,182.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 52 32 $0.01 — $20,308.00 $109,738.47 $28,140.17 2026-04-01
See an error in this hospital's data? Submit a correction