Price Transparency Hospital negotiated rates

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

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Hospital

ADVENTHEALTH NEW SMYRNA BEACH

New Smyrna Beach, FL · CCN 100014 · Rates published

15,372 distinct procedures filed
36 distinct payers
1,214,342 rate rows
2024-12-15 last MRF observed · ⚠ 18 mo old
Data quality

1,205,263 of 1,214,342 rate rows are consumer-grade (99.3%)

9,079 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 6,871
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,004
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

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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://www.adventhealth.com/sites/default/files/CDM/2025/473793197_AdventHealth-New-Smyrna-Beach_standardcharges.json
Found on page https://www.adventhealth.com/pricelist
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 2782a5480cc79599… · 2,774,426,347 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
$625,184
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 36 $24,610.00 $4,529,908.00 $1,381,492.00 nat. median
$674,188
outlier · 2.0×
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 36 $24,610.00 $3,968,368.00 $1,283,977.00 nat. median
$754,974
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $218,734.00 $1,132,176.00 $277,780.00 nat. median
$370,174
0.8× median
5834
APR_DRG 		Neonate With Ecmo 8 $205,319.00 $246,383.00 $218,665.00 nat. median
$309,665
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $163,376.00 $845,641.00 $207,670.00 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $137,592.00 $712,182.00 $175,015.00 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $124,303.00 $643,398.00 $158,185.00 nat. median
$202,986
0.8× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 32 $10.00 $424,997.00 $143,054.00 nat. median
$1,033
outlier · 138.4×
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
24
APR_DRG 		Heart And/or Lung Transplant 8 $118,623.00 $142,347.00 $126,333.00 nat. median
$234,738
0.5× 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
J1950
HCPCS 		Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 36 $614.00 $362,561.00 $110,571.00 nat. median
$4,345
outlier · 25.4×
5832
APR_DRG 		Neonate With Ecmo 8 $102,129.00 $122,555.00 $108,767.50 nat. median
$156,126
0.7× 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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $81,954.00 $424,197.00 $104,550.00 nat. median
$133,176
0.8× 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
$150,721
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $96,372.00 $115,646.00 $102,636.00 nat. median
$160,267
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $75,990.00 $393,329.00 $96,997.00 nat. median
$117,303
0.8× median
7
MS_DRG 		Lung Transplant 21 $75,799.00 $392,338.00 $96,755.00 nat. median
$122,708
0.8× 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
$162,982
0.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $87,116.00 $104,539.00 $92,778.50 nat. median
$182,736
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
$122,924
0.7× 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
$164,279
0.6× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 32 $615.00 $262,097.00 $88,222.00 nat. median
$897
outlier · 98.4×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $80,769.00 $96,923.00 $86,019.50 nat. median
$187,294
outlier · 0.5×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $80,365.00 $96,438.00 $85,588.50 nat. median
$164,834
0.5× median
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 32 $84.00 $253,829.00 $85,439.00 nat. median
$737
outlier · 116.0×
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 19 $52,813.00 $229,335.00 $85,182.00 nat. median
$111,860
0.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $78,902.00 $94,682.00 $84,030.50 nat. median
$151,838
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $63,914.00 $330,822.00 $81,703.00 nat. median
$108,660
0.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $76,443.00 $91,731.00 $81,411.50 nat. median
$145,336
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $63,185.00 $327,046.00 $80,779.00 nat. median
$102,358
0.8× median
24338-050-08
NDC 		Carmustine In Polifeprosan 7.7 Mg Il Wafr 19 $49,033.00 $212,924.00 $79,086.00 nat. median
$49,264
1.6× median
5831
APR_DRG 		Neonate With Ecmo 8 $74,234.00 $89,081.00 $79,059.50 nat. median
$145,122
0.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $61,767.00 $319,706.00 $78,983.00 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 21 $61,450.00 $318,066.00 $78,582.00 nat. median
$99,019
0.8× 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
$109,499
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $60,757.00 $314,482.00 $77,705.00 nat. median
$98,905
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 8 $71,830.00 $86,196.00 $76,499.00 nat. median
$129,535
0.6× median
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 36 $19,173.00 $285,250.00 $76,432.00 nat. median
$11,688
outlier · 6.5×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $71,338.00 $85,605.00 $75,975.00 nat. median
$105,658
0.7× median
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 19 $45,803.00 $198,896.00 $73,876.00 nat. median
$94,327
0.8× median
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 19 $45,803.00 $198,896.00 $73,876.00 nat. median
$92,408
0.8× median
1613
APR_DRG 		Implantable Heart Assist Systems 8 $68,785.00 $82,542.00 $73,256.00 nat. median
$119,796
0.6× median
J2353
HCPCS 		Octreotide Acetate 10 Mg IM Kit 32 $215.00 $600,035.00 $71,807.00 nat. median
$5,975
outlier · 12.0×
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 32 $60.00 $213,320.00 $71,803.50 nat. median
$4,934
outlier · 14.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $55,976.00 $289,736.00 $71,650.00 nat. median
$93,672
0.8× median
23
APR_DRG 		Heart And/or Lung Transplant 8 $66,606.00 $79,927.00 $70,935.00 nat. median
$93,528
0.8× median

Other procedures at this hospital

Browse this hospital's 15,372 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 21 $0.01 — $218,734.00 $1,132,176.00 $277,780.00 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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 21 $0.01 — $163,376.00 $845,641.00 $207,670.00 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 21 $0.01 — $137,592.00 $712,182.00 $175,015.00 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
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 21 $0.01 — $124,303.00 $643,398.00 $158,185.00 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
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
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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 21 $0.01 — $81,954.00 $424,197.00 $104,550.00 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $80,769.00 $96,923.00 $86,019.50 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 $0.01 — $80,365.00 $96,438.00 $85,588.50 2024-12-15
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
14 MS_DRG Allogeneic Bone Marrow Transplant 32 21 $0.01 — $75,990.00 $393,329.00 $96,997.00 2024-12-15
7 MS_DRG Lung Transplant 32 21 $0.01 — $75,799.00 $392,338.00 $96,755.00 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
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
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
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
1613 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $68,785.00 $82,542.00 $73,256.00 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
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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 21 $0.01 — $63,914.00 $330,822.00 $81,703.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 21 $0.01 — $63,185.00 $327,046.00 $80,779.00 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 21 $0.01 — $61,767.00 $319,706.00 $78,983.00 2024-12-15
215 MS_DRG Other Heart Assist System Implant 32 21 $0.01 — $61,450.00 $318,066.00 $78,582.00 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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 21 $0.01 — $60,757.00 $314,482.00 $77,705.00 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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 21 $0.01 — $55,976.00 $289,736.00 $71,650.00 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
850 MS_DRG Acute Leukemia With Other Procedures 32 21 $0.01 — $53,429.00 $276,550.00 $68,423.00 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
1611 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $52,607.00 $63,128.00 $56,026.00 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 $0.01 — $52,325.00 $62,790.00 $55,726.50 2024-12-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 $0.01 — $52,231.00 $62,678.00 $55,626.50 2024-12-15
64 APR_DRG Pancreas Transplant 10 8 $0.01 — $51,673.00 $62,007.00 $55,031.50 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
8514 APR_DRG Gender Related Procedures 10 8 $0.01 — $50,103.00 $60,123.00 $53,359.50 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
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 21 $0.01 — $49,149.00 $254,395.00 $63,002.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 21 $0.01 — $49,121.00 $254,254.00 $62,968.00 2024-12-15
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
22 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $48,472.00 $58,167.00 $51,623.50 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 21 $0.01 — $48,375.00 $250,393.00 $62,023.00 2024-12-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $47,894.00 $57,473.00 $51,007.50 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 21 $0.01 — $46,754.00 $242,002.00 $59,970.00 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
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
10 MS_DRG Pancreas Transplant 32 21 $0.01 — $46,243.00 $239,357.00 $59,323.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 21 $0.01 — $45,978.00 $237,985.00 $58,987.00 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 21 $0.01 — $45,335.00 $234,656.00 $58,173.00 2024-12-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $44,903.00 $53,883.00 $47,821.50 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 21 $0.01 — $44,878.00 $232,287.00 $57,593.00 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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 21 $0.01 — $43,292.00 $224,083.00 $55,585.00 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
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
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
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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 21 $0.01 — $41,196.00 $213,230.00 $52,930.00 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
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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 21 $0.01 — $40,989.00 $212,158.00 $52,668.00 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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 21 $0.01 — $40,348.00 $208,841.00 $51,856.00 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 21 $0.01 — $39,604.00 $204,992.00 $50,914.00 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
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 21 $0.01 — $38,887.00 $201,282.00 $50,006.00 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 21 $0.01 — $38,738.00 $200,507.00 $49,817.00 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 21 $0.01 — $38,672.00 $200,168.00 $49,734.00 2024-12-15
4404 APR_DRG Kidney Transplant 10 8 $0.01 — $37,839.00 $45,407.00 $40,299.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 21 $0.01 — $37,510.00 $194,152.00 $48,262.00 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 21 $0.01 — $37,456.00 $193,873.00 $48,194.00 2024-12-15
8634 APR_DRG Neonatal Aftercare 10 8 $0.01 — $37,397.00 $44,877.00 $39,828.00 2024-12-15
63 APR_DRG Pancreas Transplant 10 8 $0.01 — $36,709.00 $44,050.00 $39,094.50 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 21 $0.01 — $36,681.00 $189,862.00 $47,212.00 2024-12-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 8 $0.01 — $36,564.00 $43,877.00 $38,940.50 2024-12-15
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
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 21 $0.01 — $35,928.00 $185,962.00 $46,258.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 21 $0.01 — $35,881.00 $185,722.00 $46,199.00 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 21 $0.01 — $35,718.00 $184,875.00 $45,992.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 21 $0.01 — $35,593.00 $184,230.00 $45,834.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 21 $0.01 — $35,430.00 $183,389.00 $45,628.00 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 32 21 $0.01 — $35,261.00 $182,513.00 $45,414.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 21 $0.01 — $35,008.00 $181,204.00 $45,094.00 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 21 $0.01 — $35,008.00 $181,204.00 $45,094.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 21 $0.01 — $34,747.00 $179,850.00 $44,762.00 2024-12-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 $0.01 — $34,634.00 $41,561.00 $36,885.50 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 21 $0.01 — $34,506.00 $178,604.00 $44,458.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 21 $0.01 — $34,480.00 $178,469.00 $44,425.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 21 $0.01 — $34,128.00 $176,650.00 $43,979.00 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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 21 $0.01 — $33,769.00 $174,791.00 $43,525.00 2024-12-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 8 $0.01 — $33,728.00 $40,474.00 $35,920.50 2024-12-15
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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 21 $0.01 — $33,289.00 $172,303.00 $42,916.00 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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 21 $0.01 — $33,090.00 $171,273.00 $42,664.00 2024-12-15
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
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
653 MS_DRG Major Bladder Procedures With Mcc 32 21 $0.01 — $32,333.00 $167,355.00 $41,705.00 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
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
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
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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 21 $0.01 — $32,058.00 $165,935.00 $41,358.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 32 21 $0.01 — $32,058.00 $165,935.00 $41,358.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 21 $0.01 — $31,924.00 $165,239.00 $41,187.00 2024-12-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 8 $0.01 — $31,781.00 $38,137.00 $33,847.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 21 $0.01 — $31,729.00 $164,230.00 $40,940.00 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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 21 $0.01 — $31,558.00 $163,347.00 $40,725.00 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 21 $0.01 — $31,486.00 $162,975.00 $40,633.00 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 21 $0.01 — $31,326.00 $162,143.00 $40,430.00 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 21 $0.01 — $31,296.00 $161,990.00 $40,392.00 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 21 $0.01 — $31,293.00 $161,972.00 $40,388.00 2024-12-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $31,084.00 $37,300.00 $33,104.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 21 $0.01 — $30,857.00 $159,718.00 $39,836.00 2024-12-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 8 $0.01 — $30,841.00 $37,009.00 $32,845.50 2024-12-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 8 $0.01 — $30,808.00 $36,969.00 $32,810.00 2024-12-15
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
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 21 $0.01 — $30,721.00 $159,012.00 $39,664.00 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
71 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $30,072.00 $36,087.00 $32,026.50 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 21 $0.01 — $29,871.00 $154,611.00 $38,587.00 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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 21 $0.01 — $29,771.00 $154,098.00 $38,461.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 21 $0.01 — $29,549.00 $152,945.00 $38,179.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 21 $0.01 — $29,458.00 $152,477.00 $38,065.00 2024-12-15
62 APR_DRG Pancreas Transplant 10 8 $0.01 — $29,393.00 $35,271.00 $31,303.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 21 $0.01 — $29,214.00 $151,213.00 $37,755.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 21 $0.01 — $29,042.00 $150,321.00 $37,537.00 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
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 21 $0.01 — $29,019.00 $150,204.00 $37,509.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 21 $0.01 — $29,008.00 $150,144.00 $37,494.00 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 21 $0.01 — $28,903.00 $149,604.00 $37,362.00 2024-12-15
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
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 8 $0.01 — $28,513.00 $34,216.00 $30,366.50 2024-12-15
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
245 MS_DRG Aicd Generator Procedures 32 21 $0.01 — $28,343.00 $146,707.00 $36,653.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 32 21 $0.01 — $28,172.00 $145,821.00 $36,436.00 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
6 MS_DRG Liver Transplant Without Mcc 32 21 $0.01 — $28,125.00 $145,578.00 $36,377.00 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
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
6904 APR_DRG Acute Leukemia 10 8 $0.01 — $27,785.00 $33,342.00 $29,591.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 21 $0.01 — $27,698.00 $143,365.00 $35,835.00 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
799 MS_DRG Splenic Procedures With Mcc 32 21 $0.01 — $27,578.00 $142,744.00 $35,683.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 21 $0.01 — $27,573.00 $142,717.00 $35,677.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 21 $0.01 — $27,287.00 $141,240.00 $35,315.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 21 $0.01 — $27,141.00 $140,483.00 $35,130.00 2024-12-15
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 21 $0.01 — $26,981.00 $139,655.00 $34,927.00 2024-12-15
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
163 MS_DRG Major Chest Procedures With Mcc 32 21 $0.01 — $26,733.00 $138,373.00 $34,614.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 21 $0.01 — $26,722.00 $138,316.00 $34,600.00 2024-12-15
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
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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 21 $0.01 — $26,637.00 $137,874.00 $34,492.00 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 21 $0.01 — $26,633.00 $137,853.00 $34,487.00 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
7594 APR_DRG Eating Disorders 10 8 $0.01 — $26,230.00 $31,476.00 $27,935.00 2024-12-15
1794 APR_DRG Defibrillator Implants 10 8 $0.01 — $26,195.00 $31,433.00 $27,897.00 2024-12-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 8 $0.01 — $26,186.00 $31,423.00 $27,888.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 21 $0.01 — $26,167.00 $135,443.00 $33,897.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 21 $0.01 — $26,011.00 $134,635.00 $33,699.00 2024-12-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 8 $0.01 — $25,963.00 $31,156.00 $27,650.50 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 21 $0.01 — $25,939.00 $134,263.00 $33,608.00 2024-12-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 8 $0.01 — $25,867.00 $31,041.00 $27,548.50 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 32 21 $0.01 — $25,697.00 $133,008.00 $33,301.00 2024-12-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 8 $0.01 — $25,619.00 $30,742.00 $27,284.00 2024-12-15
1204 APR_DRG Major Respiratory And Chest Procedures 10 8 $0.01 — $25,497.00 $30,596.00 $27,154.50 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 21 $0.01 — $25,478.00 $131,876.00 $33,024.00 2024-12-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 10 8 $0.01 — $25,292.00 $30,351.00 $26,936.50 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 21 $0.01 — $25,096.00 $129,898.00 $32,540.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 21 $0.01 — $25,044.00 $129,631.00 $32,475.00 2024-12-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 8 $0.01 — $25,007.00 $30,008.00 $26,632.00 2024-12-15
274 APR_DRG Other Open Craniotomy 10 8 $0.01 — $24,913.00 $29,895.00 $26,532.50 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 21 $0.01 — $24,741.00 $128,061.00 $32,090.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 21 $0.01 — $24,705.00 $127,871.00 $32,044.00 2024-12-15
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
140 MS_DRG Major Head And Neck Procedures With Mcc 32 21 $0.01 — $24,529.00 $126,965.00 $31,822.00 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 21 $0.01 — $24,305.00 $125,806.00 $31,539.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 21 $0.01 — $24,300.00 $125,776.00 $31,531.00 2024-12-15
793 MS_DRG Full Term Neonate With Major Problems 30 21 $0.01 — $24,189.00 $125,203.00 $31,391.00 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 21 $0.01 — $24,132.00 $124,908.00 $31,319.00 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 21 $0.01 — $23,850.00 $123,449.00 $30,962.00 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 21 $0.01 — $23,837.00 $123,380.00 $30,945.00 2024-12-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 21 $0.01 — $23,801.00 $123,197.00 $30,900.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 21 $0.01 — $23,684.00 $122,591.00 $30,752.00 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 21 $0.01 — $23,591.00 $122,107.00 $30,634.00 2024-12-15
791 MS_DRG Prematurity With Major Problems 30 21 $0.01 — $23,547.00 $121,882.00 $30,579.00 2024-12-15
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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 21 $0.01 — $23,105.00 $119,595.00 $30,019.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 21 $0.01 — $23,089.00 $119,511.00 $29,998.00 2024-12-15
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
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 21 $0.01 — $22,885.00 $118,454.00 $29,740.00 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 21 $0.01 — $22,838.00 $118,211.00 $29,680.00 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 21 $0.01 — $22,792.00 $117,971.00 $29,622.00 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 21 $0.01 — $22,691.00 $117,448.00 $29,494.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 21 $0.01 — $22,680.00 $117,391.00 $29,480.00 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 21 $0.01 — $22,554.00 $116,743.00 $29,321.00 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 21 $0.01 — $22,417.00 $116,031.00 $29,147.00 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 21 $0.01 — $22,394.00 $115,914.00 $29,118.00 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 21 $0.01 — $22,332.00 $115,590.00 $29,039.00 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 21 $0.01 — $22,170.00 $114,752.00 $28,834.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 21 $0.01 — $22,050.00 $114,131.00 $28,682.00 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
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
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 21 $0.01 — $21,878.00 $113,242.00 $28,465.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 21 $0.01 — $21,704.00 $112,339.00 $28,244.00 2024-12-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 21 $0.01 — $21,162.00 $109,538.00 $27,558.00 2024-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 21 $0.01 — $21,016.00 $108,778.00 $27,372.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 21 $0.01 — $20,792.00 $107,619.00 $27,089.00 2024-12-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 21 $0.01 — $20,791.00 $107,613.00 $27,087.00 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 21 $0.01 — $20,787.00 $107,595.00 $27,083.00 2024-12-15
265 MS_DRG Aicd Lead Procedures 32 21 $0.01 — $20,690.00 $107,091.00 $26,960.00 2024-12-15
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
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 21 $0.01 — $20,597.00 $106,611.00 $26,842.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 21 $0.01 — $20,476.00 $105,986.00 $26,689.00 2024-12-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 21 $0.01 — $20,471.00 $105,959.00 $26,683.00 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 32 21 $0.01 — $20,419.00 $105,692.00 $26,617.00 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
33741 CPT Hc Cath Atrial Septostomy,xvenous,balloon 63 36 $42,365.77 $16,946.31 60% off $9,361.00 $74,140.00 $27,538.00 2024-12-15
C1833 HCPCS Monitor Crdc The Guardian Amsg3-e 68 36 $37,925.00 $15,170.00 60% off $8,579.00 $66,369.00 $28,121.50 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
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
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
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
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
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
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
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
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
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
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
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
L8614 HCPCS Electrode Hires Ultra 3d Ci Hifocus Slimj Cochlear 513 36 $49,603.12 $19,841.25 60% off $203.00 $135,975.00 $28,086.00 2024-12-15
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
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
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
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
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
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
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
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
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
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
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