Price Transparencybeta Hospital negotiated rates

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

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Hospital

Adventhealth Zephyrhills

Zephyrhills, FL · CCN 100046 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $14,212 across 9 payers · range $13,407-$31,093

Source: https://hospitalpricedisclosure.com/download.aspx?pi=IdTD*_*HhubWa61vodDxXQmA*-* · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

22,280 distinct procedures filed
63 distinct payers
1,526,026 rate rows
2026-04-01 last MRF observed
Data quality

1,499,909 of 1,526,026 rate rows are consumer-grade (98.3%)

26,117 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 17,057
template filing: same amount across many unrelated codes — excluded 3,880
exceeds 10× this hospital's gross charge — excluded from medians 3,704
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 373
per-diem day rate — not a per-procedure price 212
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=IdTD*_*HhubWa61vodDxXQmA*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-03
Content fingerprint c8d9d69176c813b0… · 22,901,255 bytes · first seen 2026-05-05

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 41 $24,610.00 $3,467,398.00 $1,241,328.00 nat. median
$610,161
outlier · 2.0×
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 41 $24,610.00 $3,391,378.00 $1,214,113.00 nat. median
$624,417
1.9× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 41 $24,610.00 $2,970,972.00 $1,159,290.00 nat. median
$691,418
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 38 $265,139.00 $2,008,734.31 $585,944.00 nat. median
$370,165
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 38 $198,223.00 $1,303,587.76 $416,384.00 nat. median
$261,939
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 38 $165,012.13 $1,076,446.00 $326,141.00 nat. median
$205,166
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 $150,992.00 $987,332.63 $316,802.00 nat. median
$199,832
1.6× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 37 $10.00 $693,347.00 $280,729.00 nat. median
$1,032
outlier · 271.9×
5213
OTHER 		Level 3 Electrophysiologic Procedures 1 $262,569.79 $262,569.79 $262,569.79 nat. median
$26,520
outlier · 9.9×
5834
APR_DRG 		Neonate With Ecmo 7 $205,319.00 $246,383.00 $219,692.00 nat. median
$311,018
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 $99,801.00 $644,325.57 $208,870.00 nat. median
$132,706
1.6× median
7
MS_DRG 		Lung Transplant 38 $92,361.00 $602,404.45 $193,183.00 nat. median
$122,690
1.6× median
209
MS_DRG 		Complex Aortic Arch Procedures 18 $87,942.68 $526,516.62 $184,213.47 nat. median
$96,134
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 38 $92,593.00 $594,507.00 $181,794.77 nat. median
$114,305
1.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 8 $124,298.86 $412,205.74 $176,492.50 nat. median
$83,623
outlier · 2.1×
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 37 $615.00 $427,589.00 $173,126.00 nat. median
$896
outlier · 193.1×
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 24 $50,288.00 $275,969.00 $172,634.00 nat. median
$111,860
1.5× median
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 37 $84.00 $414,100.00 $167,664.00 nat. median
$741
outlier · 226.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 $77,995.00 $527,121.34 $166,690.78 nat. median
$108,240
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 38 $77,113.00 $505,830.51 $161,034.00 nat. median
$100,978
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 $74,179.00 $512,673.16 $158,807.00 nat. median
$96,835
1.6× median
38240
CPT 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 41 $2,682.00 $436,291.00 $156,192.00 nat. median
$13,835
outlier · 11.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 38 $75,399.00 $483,227.00 $155,966.93 nat. median
$99,646
1.6× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 $107,399.13 $356,162.06 $152,496.50 nat. median
$58,534
outlier · 2.6×
215
MS_DRG 		Other Heart Assist System Implant 38 $75,016.00 $480,750.00 $150,619.54 nat. median
$98,002
1.5× median
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 24 $43,613.00 $239,340.00 $149,721.00 nat. median
$92,408
1.6× median
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 24 $43,613.00 $239,340.00 $149,721.00 nat. median
$92,261
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 $68,400.00 $455,066.51 $143,904.99 nat. median
$92,900
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $133,948.00 $160,737.00 $143,324.00 nat. median
$254,667
0.6× median
5833
APR_DRG 		Neonate With Ecmo 7 $133,012.00 $159,615.00 $142,323.00 nat. median
$250,089
0.6× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 $99,440.21 $329,768.32 $141,195.60 nat. median
$51,048
outlier · 2.8×
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 37 $60.00 $348,013.00 $140,906.50 nat. median
$4,658
outlier · 30.3×
68382-395-01
NDC 		Ribavirin 6 G In Solr 24 $40,722.00 $223,472.00 $139,794.00 nat. median
$88,073
1.6× median
68382-395-04
NDC 		Ribavirin 6 G In Solr 24 $40,722.00 $223,472.00 $139,794.00 nat. median
$88,073
1.6× median
59385-027-01
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 24 $39,169.00 $214,952.00 $134,465.00 nat. median
$87,698
1.5× median
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 24 $39,169.00 $214,952.00 $134,465.00 nat. median
$85,763
1.6× median
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 41 $32,463.00 $232,596.00 $134,358.00 nat. median
$53,130
outlier · 2.5×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 8 $93,031.27 $308,514.70 $132,095.52 nat. median
$62,767
outlier · 2.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 38 $65,321.00 $417,999.00 $130,992.26 nat. median
$81,364
1.6× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 $89,785.42 $297,750.67 $127,486.73 nat. median
$46,826
outlier · 2.7×
24
APR_DRG 		Heart And/or Lung Transplant 7 $118,623.00 $142,347.00 $126,926.00 nat. median
$243,231
0.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 38 $59,212.00 $419,099.56 $126,593.00 nat. median
$81,124
1.6× median
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 3 41 $30,144.00 $336,600.00 $126,412.00 nat. median
$7,752
outlier · 16.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 38 $60,147.00 $392,133.66 $125,261.00 nat. median
$79,040
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 $60,114.00 $390,900.96 $125,192.00 nat. median
$80,459
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 $57,252.00 $366,032.97 $119,031.34 nat. median
$77,385
1.5× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 8 $72,951.49 $284,511.93 $116,491.05 nat. median
$57,648
outlier · 2.0×
A9569
HCPCS 		Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 37 $57.00 $285,633.00 $115,650.00 nat. median
$1,956
outlier · 59.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 $55,537.00 $355,631.77 $115,542.00 nat. median
$73,475
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 $54,984.00 $357,171.48 $114,376.00 nat. median
$74,472
1.5× median

Other procedures at this hospital

Browse this hospital's 22,280 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 69 41 $3,852,663.92 $1,541,065.57 60% off $24,610.00 $3,467,398.00 $1,241,328.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 69 41 $3,768,198.21 $1,507,279.28 60% off $24,610.00 $3,391,378.00 $1,214,113.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 69 41 $3,301,079.72 $1,320,431.89 60% off $24,610.00 $2,970,972.00 $1,159,290.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 67 38 $0.01 — $265,139.00 $2,008,734.31 $585,944.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 67 38 $0.01 — $198,223.00 $1,303,587.76 $416,384.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 67 38 $0.01 — $165,012.13 $1,076,446.00 $326,141.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 67 38 $0.01 — $150,992.00 $987,332.63 $316,802.00 2026-04-01
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 60 37 $770,386.00 $308,154.40 60% off $10.00 $693,347.00 $280,729.00 2024-12-15
5213 OTHER Level 3 Electrophysiologic Procedures 1 1 — — $262,569.79 $262,569.79 $262,569.79 2026-04-01
5834 APR_DRG Neonate With Ecmo 9 7 $0.01 — $205,319.00 $246,383.00 $219,692.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 67 38 $0.01 — $99,801.00 $644,325.57 $208,870.00 2026-04-01
7 MS_DRG Lung Transplant 67 38 $0.01 — $92,361.00 $602,404.45 $193,183.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 33 18 — — $87,942.68 $526,516.62 $184,213.47 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 67 38 $0.01 — $92,593.00 $594,507.00 $181,794.77 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 18 8 — — $124,298.86 $412,205.74 $176,492.50 2026-04-01
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 60 37 $475,098.80 $190,039.52 60% off $615.00 $427,589.00 $173,126.00 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 41 24 $306,632.70 $122,653.08 60% off $50,288.00 $275,969.00 $172,634.00 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 60 37 $460,111.00 $184,044.40 60% off $84.00 $414,100.00 $167,664.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 67 38 $0.01 — $77,995.00 $527,121.34 $166,690.78 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 67 38 $0.01 — $77,113.00 $505,830.51 $161,034.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 38 $0.01 — $74,179.00 $512,673.16 $158,807.00 2026-04-01
38240 CPT Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 69 41 $484,767.58 $193,907.03 60% off $2,682.00 $436,291.00 $156,192.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 67 38 $0.01 — $75,399.00 $483,227.00 $155,966.93 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 18 8 — — $107,399.13 $356,162.06 $152,496.50 2026-04-01
215 MS_DRG Other Heart Assist System Implant 67 38 $0.01 — $75,016.00 $480,750.00 $150,619.54 2026-04-01
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 41 24 $265,933.50 $106,373.40 60% off $43,613.00 $239,340.00 $149,721.00 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 41 24 $265,933.50 $106,373.40 60% off $43,613.00 $239,340.00 $149,721.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 38 $0.01 — $68,400.00 $455,066.51 $143,904.99 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $133,948.00 $160,737.00 $143,324.00 2024-12-15
5833 APR_DRG Neonate With Ecmo 9 7 $0.01 — $133,012.00 $159,615.00 $142,323.00 2024-12-15
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 18 8 — — $99,440.21 $329,768.32 $141,195.60 2026-04-01
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 60 37 $386,681.14 $154,672.46 60% off $60.00 $348,013.00 $140,906.50 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 41 24 $248,302.38 $99,320.95 60% off $40,722.00 $223,472.00 $139,794.00 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 41 24 $248,302.38 $99,320.95 60% off $40,722.00 $223,472.00 $139,794.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 41 24 $238,835.89 $95,534.36 60% off $39,169.00 $214,952.00 $134,465.00 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 41 24 $238,835.89 $95,534.36 60% off $39,169.00 $214,952.00 $134,465.00 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 134 41 $258,440.00 $103,376.00 60% off $32,463.00 $232,596.00 $134,358.00 2024-12-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 18 8 — — $93,031.27 $308,514.70 $132,095.52 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 67 38 $0.01 — $65,321.00 $417,999.00 $130,992.26 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 18 8 — — $89,785.42 $297,750.67 $127,486.73 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $118,623.00 $142,347.00 $126,926.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 67 38 $0.01 — $59,212.00 $419,099.56 $126,593.00 2026-04-01
C1831 HCPCS Kit Imp Aprevo Spine Lvl 3 293 41 $284,240.00 $113,696.00 60% off $30,144.00 $336,600.00 $126,412.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 67 38 $0.01 — $60,147.00 $392,133.66 $125,261.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 38 $0.01 — $60,114.00 $390,900.96 $125,192.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 67 38 $0.01 — $57,252.00 $366,032.97 $119,031.34 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 19 8 — — $72,951.49 $284,511.93 $116,491.05 2026-04-01
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 60 37 $317,369.80 $126,947.92 60% off $57.00 $285,633.00 $115,650.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 67 38 $0.01 — $55,537.00 $355,631.77 $115,542.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 38 $0.01 — $54,984.00 $357,171.48 $114,376.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 67 38 $0.01 — $53,068.00 $354,454.89 $112,088.73 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $104,305.00 $125,166.00 $111,607.00 2024-12-15
10 MS_DRG Pancreas Transplant 67 38 $0.01 — $56,112.94 $361,783.00 $109,613.00 2026-04-01
5832 APR_DRG Neonate With Ecmo 9 7 $0.01 — $102,129.00 $122,555.00 $109,278.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 67 38 $0.01 — $55,797.19 $359,709.00 $108,985.00 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $101,659.00 $121,991.00 $108,775.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 41 24 $190,436.96 $76,174.78 60% off $31,232.00 $171,393.00 $107,216.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 38 $0.01 — $50,533.00 $335,787.62 $106,185.61 2026-04-01
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 41 24 $186,708.25 $74,683.30 60% off $30,620.00 $168,037.00 $105,117.00 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 67 38 $0.01 — $50,283.00 $331,684.82 $104,888.18 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 7 $0.01 — $97,710.00 $117,252.00 $104,550.00 2024-12-15
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 18 8 — — $73,202.70 $242,758.27 $103,940.85 2026-04-01
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 134 41 $194,480.00 $77,792.00 60% off $30,144.00 $215,982.00 $103,463.50 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 7 $0.01 — $96,372.00 $115,646.00 $103,118.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 67 38 $0.01 — $49,508.00 $321,516.20 $102,831.00 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 67 38 $0.01 — $47,562.00 $333,652.49 $101,519.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 67 38 $0.01 — $48,609.00 $313,110.58 $100,936.00 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 18 8 — — $70,944.36 $235,269.03 $100,734.21 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 18 8 — — $70,425.36 $233,547.90 $99,997.28 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 68 38 $0.01 — $47,483.00 $319,939.27 $99,866.96 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 67 38 $0.01 — $47,743.00 $310,807.99 $99,109.00 2026-04-01
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 81 41 $184,138.50 $73,655.40 60% off $28,541.00 $165,725.00 $97,962.00 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 38 $0.01 — $46,012.00 $305,863.23 $96,722.66 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 19 8 — — $64,602.75 $214,238.70 $95,741.21 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 67 38 $0.01 — $46,078.00 $299,322.94 $95,598.00 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 7 $0.01 — $88,071.00 $105,685.00 $94,236.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 67 38 $0.01 — $44,109.00 $311,035.92 $94,087.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 67 38 $0.01 — $43,911.00 $304,751.47 $93,662.00 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $87,116.00 $104,539.00 $93,214.00 2024-12-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 33 18 — — $44,828.75 $265,467.87 $92,879.80 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 67 38 $0.01 — $45,076.00 $286,971.00 $92,596.91 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 7 $0.01 — $86,464.00 $103,757.00 $92,516.00 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 38 $0.01 — $42,447.00 $305,863.23 $92,231.73 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $85,092.00 $102,110.00 $91,048.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 67 38 $0.01 — $43,564.00 $282,013.96 $90,299.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 67 38 $0.01 — $42,738.00 $285,074.78 $90,148.76 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 67 38 $0.01 — $43,360.00 $279,488.09 $89,867.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 68 38 $0.01 — $43,275.21 $281,077.00 $89,609.46 2026-04-01
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 69 41 $277,080.92 $110,832.37 60% off $1,211.00 $249,373.00 $89,275.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 67 38 $0.01 — $43,054.00 $275,831.85 $89,223.00 2026-04-01
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 60 37 $243,748.00 $97,499.20 60% off $69.00 $219,373.00 $88,821.50 2024-12-15
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 41 24 $154,856.08 $61,942.43 60% off $25,396.00 $139,370.00 $87,184.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 67 38 $0.01 — $41,990.00 $272,989.67 $86,980.00 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $80,769.00 $96,923.00 $86,423.00 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 67 38 $0.01 — $41,556.00 $272,812.90 $86,271.21 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 38 $0.01 — $40,975.00 $277,385.52 $86,091.00 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 7 $0.01 — $80,365.00 $96,438.00 $85,990.00 2024-12-15
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 41 24 $152,643.35 $61,057.34 60% off $25,034.00 $137,379.00 $85,938.00 2024-12-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $78,902.00 $94,682.00 $84,425.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 67 38 $0.01 — $43,415.93 $278,459.00 $84,367.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 67 38 $0.01 — $40,735.00 $266,556.37 $84,333.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 63 38 $0.01 — $42,415.00 $276,473.79 $83,369.47 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 67 38 $0.01 — $39,090.00 $268,268.19 $83,285.00 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 67 38 $0.01 — $42,719.12 $273,885.00 $82,982.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 38 $0.01 — $39,325.00 $261,518.57 $82,699.62 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 67 38 $0.01 — $38,884.00 $260,709.18 $82,443.67 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 67 38 $0.01 — $38,603.00 $265,123.64 $82,236.00 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $76,443.00 $91,731.00 $81,794.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 67 38 $0.01 — $39,488.00 $255,373.68 $81,705.00 2026-04-01
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 187 41 $166,243.00 $66,497.20 60% off $23,768.00 $175,032.00 $81,577.00 2024-12-15
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 41 24 $143,443.39 $57,377.36 60% off $23,525.00 $129,099.00 $80,759.00 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 67 38 $0.01 — $38,797.00 $254,471.25 $80,471.06 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 67 38 $0.01 — $38,036.00 $254,108.42 $80,356.32 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 67 38 $0.01 — $38,567.00 $253,708.37 $80,229.81 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 67 38 $0.01 — $39,488.00 $250,807.00 $80,079.31 2026-04-01
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 41 24 $141,181.81 $56,472.73 60% off $23,154.00 $127,064.00 $79,485.00 2024-12-15
5831 APR_DRG Neonate With Ecmo 9 7 $0.01 — $74,234.00 $89,081.00 $79,431.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 67 38 $0.01 — $39,820.00 $252,953.00 $78,605.94 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 38 $0.01 — $37,871.00 $248,065.86 $78,445.49 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 67 38 $0.01 — $36,844.00 $247,917.00 $78,398.42 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 7 $0.01 — $72,982.00 $87,578.00 $78,090.00 2024-12-15
42023-164-10 NDC Vasopressin 20 Unit/ml IV Soln 41 24 $138,431.82 $55,372.73 60% off $22,703.00 $124,589.00 $77,937.00 2024-12-15
0517-1020-01 NDC Vasopressin 20 Unit/ml IV Soln 41 24 $138,302.58 $55,321.03 60% off $22,682.00 $124,472.00 $77,864.00 2024-12-15
0517-1020-25 NDC Vasopressin 20 Unit/ml IV Soln 41 24 $138,302.58 $55,321.03 60% off $22,682.00 $124,472.00 $77,864.00 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 67 38 $0.01 — $35,814.00 $258,922.93 $77,736.00 2026-04-01
0781-3289-91 NDC Clindamycin Phosphate In D5w 600 Mg/50ml IV Soln 41 24 $137,871.78 $55,148.71 60% off $22,611.00 $124,085.00 $77,622.00 2024-12-15
0781-3289-09 NDC Clindamycin Phosphate In D5w 600 Mg/50ml IV Soln 41 24 $137,871.78 $55,148.71 60% off $22,611.00 $124,085.00 $77,622.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 67 38 $0.01 — $36,724.00 $245,437.65 $77,614.37 2026-04-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 7 $0.01 — $71,830.00 $86,196.00 $76,858.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 67 38 $0.01 — $36,454.00 $242,139.59 $76,571.43 2026-04-01
0338-4114-24 NDC Clindamycin Phosphate In D5w 900 Mg/50ml IV Soln 41 24 $135,717.78 $54,287.11 60% off $22,258.00 $122,146.00 $76,409.00 2024-12-15
0338-4114-50 NDC Clindamycin Phosphate In D5w 900 Mg/50ml IV Soln 41 24 $135,717.78 $54,287.11 60% off $22,258.00 $122,146.00 $76,409.00 2024-12-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 7 $0.01 — $71,338.00 $85,605.00 $76,332.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 67 38 $0.01 — $36,345.00 $231,998.89 $75,078.00 2026-04-01
70121-1642-5 NDC Vasopressin 20 Unit/ml IV Soln 41 24 $133,003.74 $53,201.50 60% off $21,813.00 $119,703.00 $74,881.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 67 38 $0.01 — $36,050.00 $228,942.72 $74,450.56 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 67 38 $0.01 — $38,563.00 $244,817.00 $74,175.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 67 38 $0.01 — $35,674.00 $230,138.21 $73,663.00 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $68,785.00 $82,542.00 $73,600.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 70 38 $0.01 — $35,800.00 $229,728.86 $73,287.90 2026-04-01
0338-3814-24 NDC Clindamycin Phosphate In D5w 900 Mg/50ml IV Soln 41 24 $129,255.78 $51,702.31 60% off $21,198.00 $116,330.00 $72,771.00 2024-12-15
0338-3814-50 NDC Clindamycin Phosphate In D5w 900 Mg/50ml IV Soln 41 24 $129,255.78 $51,702.31 60% off $21,198.00 $116,330.00 $72,771.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 67 38 $0.01 — $35,842.00 $227,207.00 $72,674.65 2026-04-01
0338-9553-24 NDC Clindamycin Phosphate In Nacl 900-0.9 Mg/50ml-% IV Soln 41 24 $127,963.38 $51,185.35 60% off $20,986.00 $115,167.00 $72,043.00 2024-12-15
0338-9553-50 NDC Clindamycin Phosphate In Nacl 900-0.9 Mg/50ml-% IV Soln 41 24 $127,963.38 $51,185.35 60% off $20,986.00 $115,167.00 $72,043.00 2024-12-15
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 41 24 $127,875.05 $51,150.02 60% off $20,972.00 $115,088.00 $71,994.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 67 38 $0.01 — $34,791.00 $224,616.64 $71,801.00 2026-04-01
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 41 24 $127,264.53 $50,905.81 60% off $20,871.00 $114,538.00 $71,650.00 2024-12-15
23 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $66,606.00 $79,927.00 $71,268.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 38 $0.01 — $32,935.00 $234,454.98 $70,698.89 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 67 38 $0.01 — $34,217.00 $217,597.22 $70,591.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 67 38 $0.01 — $34,734.00 $220,037.00 $70,143.90 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $65,522.00 $78,627.00 $70,109.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 67 38 $0.01 — $33,721.00 $221,458.13 $70,031.37 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 19 9 — — $33,651.87 $170,154.53 $69,668.36 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 68 38 $0.01 — $34,066.00 $218,248.46 $69,644.19 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 67 38 $0.01 — $33,544.00 $213,271.14 $69,172.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 67 38 $0.01 — $33,038.00 $218,695.02 $69,157.59 2026-04-01
245 MS_DRG Aicd Generator Procedures 67 38 $0.01 — $34,998.00 $221,743.00 $69,015.42 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 67 38 $0.01 — $33,351.00 $214,838.76 $68,764.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 67 38 $0.01 — $34,072.00 $215,754.00 $68,508.67 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 68 38 $0.01 — $32,930.00 $213,815.39 $67,745.76 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $63,159.00 $75,790.00 $67,580.00 2024-12-15
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 41 24 $119,720.81 $47,888.32 60% off $19,634.00 $107,749.00 $67,403.00 2024-12-15
0409-1555-54 NDC Hetastarch-electrolytes 6 % IV Soln 41 24 $119,203.78 $47,681.51 60% off $19,549.00 $107,283.00 $67,112.00 2024-12-15
0409-1555-64 NDC Hetastarch-electrolytes 6 % IV Soln 41 24 $119,203.78 $47,681.51 60% off $19,549.00 $107,283.00 $67,112.00 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 67 38 $0.01 — $32,092.00 $211,498.84 $66,881.96 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 68 38 $0.01 — $33,051.00 $209,147.00 $66,861.74 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 68 38 $0.01 — $32,367.00 $211,591.88 $66,800.69 2026-04-01
51754-0108-3 NDC Tranexamic Acid-nacl 1000-0.7 Mg/100ml-% IV Soln 41 24 $117,767.78 $47,107.11 60% off $19,314.00 $105,991.00 $66,303.00 2024-12-15
51754-0108-1 NDC Tranexamic Acid-nacl 1000-0.7 Mg/100ml-% IV Soln 41 24 $117,767.78 $47,107.11 60% off $19,314.00 $105,991.00 $66,303.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 67 38 $0.01 — $31,534.00 $207,600.72 $65,649.26 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $60,831.00 $72,997.00 $65,089.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 67 38 $0.01 — $32,178.00 $203,498.00 $64,938.70 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 67 38 $0.01 — $30,643.00 $204,339.88 $64,618.09 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 68 38 $0.01 — $31,798.00 $201,038.00 $64,486.99 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 67 38 $0.01 — $30,117.00 $208,419.42 $63,971.00 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 7 $0.01 — $59,311.00 $71,174.00 $63,463.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 68 38 $0.01 — $30,599.00 $201,297.67 $63,309.03 2026-04-01
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 41 24 $112,437.12 $44,974.85 60% off $18,440.00 $101,193.00 $63,302.00 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 41 24 $112,437.12 $44,974.85 60% off $18,440.00 $101,193.00 $63,302.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 38 $0.01 — $31,010.00 $195,934.00 $63,118.92 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 68 38 $0.01 — $29,907.00 $196,450.59 $62,821.63 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 67 38 $0.01 — $30,387.00 $198,408.96 $62,742.56 2026-04-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $58,591.00 $70,309.00 $62,692.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 67 38 $0.01 — $29,366.00 $197,269.29 $62,355.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 67 38 $0.01 — $29,507.00 $196,115.67 $62,017.36 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 67 38 $0.01 — $29,550.00 $196,017.99 $61,986.47 2026-04-01
A9592 HCPCS Copper Cu 64 Dotatate 1 Mci/ml IV Soln 60 37 $170,101.00 $68,040.40 60% off $269.00 $153,091.00 $61,985.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 68 38 $0.01 — $30,110.00 $195,445.83 $61,868.27 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 67 38 $0.01 — $29,566.00 $194,850.41 $61,617.25 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 67 38 $0.01 — $29,253.00 $193,185.10 $61,090.63 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 18 8 — — $42,218.46 $140,006.87 $59,946.18 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 67 38 $0.01 — $28,151.00 $191,905.88 $59,742.00 2026-04-01
81416 CPT Hc Exome Sequence Analysis Each Comparator Exome 69 41 $185,220.00 $74,088.00 60% off $1,242.00 $166,698.00 $59,678.00 2024-12-15
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 18 8 — — $42,016.48 $139,337.02 $59,659.38 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 67 38 $0.01 — $30,902.52 $196,337.00 $59,486.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 67 38 $0.01 — $28,165.00 $187,021.60 $59,141.56 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $55,215.00 $66,258.00 $59,080.00 2024-12-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $54,722.00 $65,666.00 $58,552.00 2024-12-15
793 MS_DRG Full Term Neonate With Major Problems 63 38 $0.01 — $29,976.00 $193,957.28 $58,486.98 2026-04-01
80830-2329-2 NDC Tranexamic Acid-nacl 1000-0.7 Mg/100ml-% IV Soln 41 24 $103,407.78 $41,363.11 60% off $16,959.00 $93,067.00 $58,219.00 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 67 38 $0.01 — $28,287.00 $179,783.55 $58,087.00 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 67 38 $0.01 — $28,666.00 $180,764.00 $58,077.09 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 67 38 $0.01 — $27,390.00 $181,969.85 $57,544.05 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 67 38 $0.01 — $28,000.00 $180,053.35 $57,483.00 2026-04-01
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 41 24 $101,909.94 $40,763.97 60% off $16,713.00 $91,719.00 $57,375.00 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 41 24 $101,909.94 $40,763.97 60% off $16,713.00 $91,719.00 $57,375.00 2024-12-15
791 MS_DRG Prematurity With Major Problems 63 38 $0.01 — $29,200.00 $188,812.50 $56,935.59 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 67 38 $0.01 — $27,182.00 $179,611.44 $56,798.25 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 67 38 $0.01 — $27,731.00 $174,711.00 $56,540.19 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 67 38 $0.01 — $27,535.00 $175,043.47 $56,503.00 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 67 38 $0.01 — $28,400.00 $179,040.00 $56,375.30 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $52,607.00 $63,128.00 $56,289.00 2024-12-15
0409-1029-02 NDC Hydroxyethyl Starch In Nacl 6-0.9 % IV Soln 41 24 $99,817.78 $39,927.11 60% off $16,370.00 $89,836.00 $56,197.00 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $52,325.00 $62,790.00 $55,988.00 2024-12-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 33 18 — — $27,402.34 $159,953.36 $55,963.22 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $52,231.00 $62,678.00 $55,888.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 67 38 $0.01 — $25,869.00 $185,328.38 $55,697.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 67 38 $0.01 — $27,806.00 $175,201.00 $55,562.98 2026-04-01
64 APR_DRG Pancreas Transplant 9 7 $0.01 — $51,673.00 $62,007.00 $55,290.00 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 67 38 $0.01 — $25,864.00 $173,847.98 $54,818.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 67 38 $0.01 — $28,510.16 $180,637.00 $54,729.00 2026-04-01
17478-121-50 NDC Clindamycin Phosphate In D5w 600 Mg/50ml IV Soln 41 24 $96,514.98 $38,605.99 60% off $15,828.00 $86,863.00 $54,338.00 2024-12-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $50,782.00 $60,938.00 $54,337.00 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 67 38 $0.01 — $28,343.00 $178,673.00 $54,134.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 67 38 $0.01 — $25,634.00 $170,791.82 $54,009.24 2026-04-01
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 1,406 41 $123,420.00 $49,368.00 60% off $11,890.00 $263,524.00 $53,878.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 67 38 $0.01 — $26,971.00 $169,797.00 $53,840.02 2026-04-01
8514 APR_DRG Gender Related Procedures 9 7 $0.01 — $50,103.00 $60,123.00 $53,610.00 2024-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 67 38 $0.01 — $26,140.00 $166,107.56 $53,561.00 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 67 38 $0.01 — $25,419.00 $168,656.69 $53,334.05 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 67 38 $0.01 — $26,317.00 $165,563.00 $53,237.96 2026-04-01
265 MS_DRG Aicd Lead Procedures 67 38 $0.01 — $25,746.00 $168,307.81 $53,223.72 2026-04-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $49,700.00 $59,640.00 $53,179.00 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 67 38 $0.01 — $27,777.25 $175,378.00 $53,136.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 67 38 $0.01 — $25,082.00 $172,382.70 $53,135.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 67 38 $0.01 — $25,868.00 $168,010.10 $53,129.58 2026-04-01
332 MS_DRG Rectal Resection With Mcc 67 38 $0.01 — $25,055.00 $168,424.10 $53,078.00 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 18 8 — — $37,262.73 $123,572.41 $52,909.51 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 7 $0.01 — $49,355.00 $59,226.00 $52,810.00 2024-12-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 67 38 $0.01 — $25,284.00 $165,861.02 $52,449.98 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 67 38 $0.01 — $25,301.00 $165,721.46 $52,405.85 2026-04-01
50593 CPT Hc Ablation Renal Tumor Unilateral Perq Cryotherapy 103 41 $93,218.03 $37,287.21 60% off $4,477.00 $167,792.00 $52,389.00 2024-12-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 67 38 $0.01 — $24,885.00 $165,428.41 $52,313.17 2026-04-01
37231 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 103 41 $92,656.53 $37,062.61 60% off $7,047.00 $166,782.00 $52,073.00 2024-12-15
61958-1004-1 NDC Ranolazine ER 1000 Mg Po Tb12 41 24 $92,291.12 $36,916.45 60% off $15,136.00 $83,062.00 $51,960.00 2024-12-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 67 38 $0.01 — $24,750.00 $164,046.85 $51,876.29 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $48,472.00 $58,167.00 $51,866.00 2024-12-15
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 134 41 $184,110.00 $73,644.00 60% off $10,072.00 $165,699.00 $51,859.50 2024-12-15
0008-0423-01 NDC Antivenin Micrurus Fulvius IV Solr 41 24 $91,937.40 $36,774.96 60% off $15,078.00 $82,744.00 $51,761.00 2024-12-15
0008-0423-03 NDC Antivenin Micrurus Fulvius IV Solr 41 24 $91,937.40 $36,774.96 60% off $15,078.00 $82,744.00 $51,761.00 2024-12-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 67 38 $0.01 — $25,482.00 $160,155.00 $51,539.20 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 67 38 $0.01 — $23,886.00 $174,280.59 $51,302.00 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $47,894.00 $57,473.00 $51,247.00 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 67 38 $0.01 — $25,029.00 $161,479.11 $51,218.00 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 68 38 $0.01 — $25,294.00 $159,478.88 $51,104.38 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 67 38 $0.01 — $24,847.00 $160,697.63 $50,835.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 69 38 $0.01 — $16,384.56 $162,265.25 $50,708.00 2026-04-01
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 110 41 $95,007.59 $38,003.04 60% off $15,581.00 $87,900.00 $50,544.00 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 67 38 $0.01 — $25,240.00 $158,594.00 $50,533.26 2026-04-01
C1833 HCPCS Monitor Crdc The Guardian Amsg3-e 81 41 $94,607.50 $37,843.00 60% off $14,664.00 $85,147.00 $50,331.50 2024-12-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 67 38 $0.01 — $24,270.00 $158,697.40 $50,184.64 2026-04-01
J2021 HCPCS Linezolid In Sodium Chloride 600-0.9 Mg/300ml-% IV Soln 101 37 $107,715.78 $43,086.31 60% off $14.00 $113,228.00 $49,946.00 2024-12-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 7 $0.01 — $46,657.00 $55,988.00 $49,923.00 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 7 $0.01 — $46,532.00 $55,838.00 $49,789.00 2024-12-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 67 38 $0.01 — $23,202.00 $167,758.91 $49,787.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 67 38 $0.01 — $24,617.00 $154,560.00 $49,205.11 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 67 38 $0.01 — $24,019.00 $153,138.62 $49,090.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 68 38 $0.01 — $22,989.00 $168,786.93 $48,972.50 2026-04-01
63323-930-00 NDC Vasopressin 20 Unit/ml IV Soln 41 24 $86,254.76 $34,501.90 60% off $14,146.00 $77,629.00 $48,561.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 67 38 $0.01 — $25,395.64 $160,195.00 $48,536.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 67 38 $0.01 — $24,518.00 $153,915.00 $48,297.49 2026-04-01
69468-151-04 NDC Uridine Triacetate 10 G Po Pack 41 24 $85,588.82 $34,235.53 60% off $14,037.00 $77,030.00 $48,187.00 2024-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 67 38 $0.01 — $23,588.00 $150,645.30 $48,180.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 70 38 $0.01 — $22,618.00 $217,966.41 $48,125.96 2026-04-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $44,903.00 $53,883.00 $48,046.00 2024-12-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $44,820.00 $53,783.00 $47,957.00 2024-12-15
63323-930-01 NDC Vasopressin 20 Unit/ml IV Soln 41 24 $85,048.52 $34,019.41 60% off $13,948.00 $76,544.00 $47,882.00 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 7 $0.01 — $44,733.00 $53,680.00 $47,865.00 2024-12-15
21 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $44,578.00 $53,493.00 $47,698.00 2024-12-15
J1741 HCPCS Ibuprofen 800 Mg/200ml IV Soln 110 41 $121,788.58 $48,715.43 60% off $1,675.00 $109,610.00 $47,680.00 2024-12-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 67 38 $0.01 — $23,307.00 $150,115.01 $47,588.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 67 38 $0.01 — $23,094.00 $150,477.84 $47,585.38 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 68 38 $0.01 — $23,578.00 $148,100.82 $47,496.85 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 67 38 $0.01 — $23,034.00 $149,821.95 $47,377.97 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 67 38 $0.01 — $22,372.00 $150,268.52 $47,303.00 2026-04-01
C1882 HCPCS Defibrillator Consulta 2chb Is1 Df1 Av 35jl 38ml 6 3,188 41 $116,025.40 $46,410.16 60% off $5.00 $211,776.00 $47,282.50 2024-12-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 67 38 $0.01 — $23,137.00 $146,575.07 $47,230.00 2026-04-01
665 MS_DRG Prostatectomy With Mcc 67 38 $0.01 — $24,809.00 $155,803.00 $47,214.39 2026-04-01
652 MS_DRG Kidney Transplant 67 38 $0.01 — $22,270.00 $150,226.65 $47,083.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 67 38 $0.01 — $22,417.00 $148,245.03 $46,879.30 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 67 38 $0.01 — $22,952.00 $147,217.00 $46,840.00 2026-04-01
42023-164-25 NDC Vasopressin 20 Unit/ml IV Soln 41 24 $82,449.36 $32,979.74 60% off $13,522.00 $74,204.00 $46,419.00 2024-12-15
42023-164-01 NDC Vasopressin 20 Unit/ml IV Soln 41 24 $82,449.36 $32,979.74 60% off $13,522.00 $74,204.00 $46,419.00 2024-12-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 67 38 $0.01 — $22,515.00 $146,505.29 $46,329.15 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 67 38 $0.01 — $22,608.00 $142,411.80 $46,114.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 68 38 $0.01 — $18,138.42 $146,993.72 $46,034.30 2026-04-01
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x0.78x0.78in 20ml 134 41 $86,020.00 $34,408.00 60% off $11,478.00 $77,418.00 $45,762.50 2024-12-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 67 38 $0.01 — $22,180.00 $144,630.66 $45,736.33 2026-04-01
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