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

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Hospital

ADVENTHEALTH WATERMAN

Tavares, FL · CCN 100057 · Rates published

22,233 distinct procedures filed
54 distinct payers
1,355,390 rate rows
2026-04-01 last MRF observed
Data quality

1,327,916 of 1,355,390 rate rows are consumer-grade (98.0%)

27,474 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 18,826
exceeds 10× this hospital's gross charge — excluded from medians 6,062
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 424
template filing: same amount across many unrelated codes — excluded 226
per-diem day rate — not a per-procedure price 158
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=x3YESeJnUDOE*__*ruwq*_*TCpg*-*
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 · 2026-08-12
Content fingerprint 7137809ed5377807… · 23,556,363 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 37 $24,610.00 $3,462,925.00 $1,546,773.00 nat. median
$610,161
outlier · 2.5×
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 37 $24,610.00 $3,387,004.00 $1,512,862.00 nat. median
$624,417
outlier · 2.4×
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 37 $24,610.00 $2,967,142.00 $1,371,808.00 nat. median
$691,418
2.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 32 $259,966.00 $1,213,998.06 $556,980.00 nat. median
$370,165
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 32 $194,312.00 $787,835.90 $407,747.75 nat. median
$261,939
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 $161,144.06 $632,141.00 $312,912.93 nat. median
$205,166
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 $122,997.74 $596,704.05 $305,636.00 nat. median
$199,832
1.5× median
5834
APR_DRG 		Neonate With Ecmo 6 $205,319.00 $246,383.00 $217,638.00 nat. median
$311,018
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 $97,745.00 $389,404.41 $201,537.87 nat. median
$132,706
1.5× median
7
MS_DRG 		Lung Transplant 32 $90,445.00 $364,068.97 $188,425.41 nat. median
$122,690
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 32 $90,672.00 $349,124.00 $175,557.48 nat. median
$114,305
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $85,756.59 $318,205.42 $165,616.68 nat. median
$96,134
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 $76,350.00 $318,570.89 $162,750.00 nat. median
$108,240
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 32 $75,485.00 $305,703.57 $158,218.16 nat. median
$100,978
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $72,606.00 $309,839.00 $154,711.00 nat. median
$96,835
1.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $128,933.37 $249,120.54 $152,311.16 nat. median
$83,623
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 32 $73,803.00 $289,859.09 $150,615.78 nat. median
$99,646
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 32 $600.00 $282,320.00 $145,163.10 nat. median
$98,002
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 $66,936.00 $275,023.86 $142,339.74 nat. median
$92,900
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $133,948.00 $160,737.00 $141,985.00 nat. median
$254,667
0.6× median
5833
APR_DRG 		Neonate With Ecmo 6 $133,012.00 $159,615.00 $140,993.00 nat. median
$250,089
0.6× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $111,403.53 $215,250.00 $131,602.86 nat. median
$58,534
outlier · 2.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 32 $63,914.00 $245,469.00 $126,497.98 nat. median
$81,364
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $118,623.00 $142,347.00 $125,740.00 nat. median
$243,231
0.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 $57,921.00 $253,286.88 $123,182.00 nat. median
$81,124
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 32 $58,838.00 $236,989.78 $122,655.05 nat. median
$79,040
1.6× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $103,147.86 $199,298.68 $121,850.30 nat. median
$51,048
outlier · 2.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 $19,856.52 $236,244.78 $120,779.00 nat. median
$80,459
1.5× median
J1950
HCPCS 		Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 37 $614.00 $266,827.00 $119,183.00 nat. median
$3,885
outlier · 30.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 $55,998.00 $221,215.57 $114,947.43 nat. median
$77,385
1.5× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $96,499.97 $186,453.85 $113,997.03 nat. median
$62,767
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 $2,301.18 $214,929.51 $111,470.00 nat. median
$73,475
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 $53,772.00 $215,860.05 $111,031.64 nat. median
$74,472
1.5× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $104,305.00 $125,166.00 $110,564.00 nat. median
$119,243
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 $51,892.00 $214,218.25 $110,239.00 nat. median
$71,485
1.5× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $93,133.10 $179,948.50 $110,019.69 nat. median
$46,826
outlier · 2.3×
5832
APR_DRG 		Neonate With Ecmo 6 $102,129.00 $122,555.00 $108,257.00 nat. median
$169,230
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $101,659.00 $121,991.00 $107,759.00 nat. median
$209,486
0.5× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 33 $10.00 $218,570.00 $105,545.50 nat. median
$1,032
outlier · 102.2×
10
MS_DRG 		Pancreas Transplant 32 $54,621.50 $212,457.00 $105,167.06 nat. median
$67,750
1.6× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $88,992.17 $171,947.54 $105,127.95 nat. median
$57,648
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $49,406.00 $202,936.50 $104,900.00 nat. median
$66,640
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 $54,312.64 $211,239.00 $104,564.70 nat. median
$69,153
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 $49,160.00 $200,456.94 $103,747.32 nat. median
$68,581
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $97,710.00 $117,252.00 $103,573.00 nat. median
$160,171
0.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $96,372.00 $115,646.00 $102,154.00 nat. median
$165,646
0.6× median
24338-050-08
NDC 		Carmustine In Polifeprosan 7.7 Mg Il Wafr 22 $52,406.00 $156,696.00 $101,853.00 nat. median
$49,264
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 32 $48,400.00 $194,311.43 $99,886.85 nat. median
$65,958
1.5× median
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 22 $50,988.00 $152,457.00 $99,097.00 nat. median
$111,860
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 32 $46,490.00 $201,646.12 $98,641.00 nat. median
$62,911
1.6× median

Other procedures at this hospital

Browse this hospital's 22,233 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 65 37 $3,847,694.66 $1,539,077.86 60% off $24,610.00 $3,462,925.00 $1,546,773.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 65 37 $3,763,338.22 $1,505,335.29 60% off $24,610.00 $3,387,004.00 $1,512,862.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 65 37 $3,296,824.02 $1,318,729.61 60% off $24,610.00 $2,967,142.00 $1,371,808.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 67 32 $0.01 — $259,966.00 $1,213,998.06 $556,980.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 67 32 $0.01 — $194,312.00 $787,835.90 $407,747.75 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 67 32 $0.01 — $161,144.06 $632,141.00 $312,912.93 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 69 32 $0.01 — $122,997.74 $596,704.05 $305,636.00 2026-04-01
5834 APR_DRG Neonate With Ecmo 9 6 $0.01 — $205,319.00 $246,383.00 $217,638.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 67 32 $0.01 — $97,745.00 $389,404.41 $201,537.87 2026-04-01
7 MS_DRG Lung Transplant 67 32 $0.01 — $90,445.00 $364,068.97 $188,425.41 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 67 32 $0.01 — $90,672.00 $349,124.00 $175,557.48 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 34 14 — — $85,756.59 $318,205.42 $165,616.68 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 67 32 $0.01 — $76,350.00 $318,570.89 $162,750.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 67 32 $0.01 — $75,485.00 $305,703.57 $158,218.16 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 32 $0.01 — $72,606.00 $309,839.00 $154,711.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 6 — — $128,933.37 $249,120.54 $152,311.16 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 67 32 $0.01 — $73,803.00 $289,859.09 $150,615.78 2026-04-01
215 MS_DRG Other Heart Assist System Implant 68 32 $0.01 — $600.00 $282,320.00 $145,163.10 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 32 $0.01 — $66,936.00 $275,023.86 $142,339.74 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $133,948.00 $160,737.00 $141,985.00 2024-12-15
5833 APR_DRG Neonate With Ecmo 9 6 $0.01 — $133,012.00 $159,615.00 $140,993.00 2024-12-15
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 16 6 — — $111,403.53 $215,250.00 $131,602.86 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 67 32 $0.01 — $63,914.00 $245,469.00 $126,497.98 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $118,623.00 $142,347.00 $125,740.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 67 32 $0.01 — $57,921.00 $253,286.88 $123,182.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 67 32 $0.01 — $58,838.00 $236,989.78 $122,655.05 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 16 6 — — $103,147.86 $199,298.68 $121,850.30 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 69 32 $0.01 — $19,856.52 $236,244.78 $120,779.00 2026-04-01
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 65 37 $296,474.29 $118,589.72 60% off $614.00 $266,827.00 $119,183.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 67 32 $0.01 — $55,998.00 $221,215.57 $114,947.43 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 6 — — $96,499.97 $186,453.85 $113,997.03 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 71 32 $0.01 — $2,301.18 $214,929.51 $111,470.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 68 32 $0.01 — $53,772.00 $215,860.05 $111,031.64 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 6 $0.01 — $104,305.00 $125,166.00 $110,564.00 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 67 32 $0.01 — $51,892.00 $214,218.25 $110,239.00 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 16 6 — — $93,133.10 $179,948.50 $110,019.69 2026-04-01
5832 APR_DRG Neonate With Ecmo 9 6 $0.01 — $102,129.00 $122,555.00 $108,257.00 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $101,659.00 $121,991.00 $107,759.00 2024-12-15
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 56 33 $242,855.70 $97,142.28 60% off $10.00 $218,570.00 $105,545.50 2024-12-15
10 MS_DRG Pancreas Transplant 67 32 $0.01 — $54,621.50 $212,457.00 $105,167.06 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 16 6 — — $88,992.17 $171,947.54 $105,127.95 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 32 $0.01 — $49,406.00 $202,936.50 $104,900.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 67 32 $0.01 — $54,312.64 $211,239.00 $104,564.70 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 67 32 $0.01 — $49,160.00 $200,456.94 $103,747.32 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 6 $0.01 — $97,710.00 $117,252.00 $103,573.00 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 6 $0.01 — $96,372.00 $115,646.00 $102,154.00 2024-12-15
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 39 22 $174,106.94 $69,642.78 60% off $52,406.00 $156,696.00 $101,853.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 68 32 $0.01 — $48,400.00 $194,311.43 $99,886.85 2026-04-01
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 39 22 $169,396.43 $67,758.57 60% off $50,988.00 $152,457.00 $99,097.00 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 67 32 $0.01 — $46,490.00 $201,646.12 $98,641.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 67 32 $0.01 — $46,413.00 $193,358.40 $98,474.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 67 32 $0.01 — $47,518.00 $189,231.41 $97,937.51 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 67 32 $0.01 — $46,668.00 $187,839.82 $97,217.28 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 32 $0.01 — $44,970.00 $184,851.41 $95,377.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 67 32 $0.01 — $45,034.00 $180,898.72 $93,624.89 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 6 $0.01 — $88,071.00 $105,685.00 $93,355.00 2024-12-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $87,116.00 $104,539.00 $92,343.00 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 6 $0.01 — $86,464.00 $103,757.00 $91,652.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 67 32 $0.01 — $43,103.00 $187,977.57 $91,367.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 67 32 $0.01 — $42,909.00 $184,179.51 $90,950.00 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 $0.01 — $85,092.00 $102,110.00 $90,197.00 2024-12-15
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 16 6 — — $75,932.09 $146,713.31 $89,699.85 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 67 32 $0.01 — $44,051.00 $172,088.11 $89,419.95 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 67 32 $0.01 — $41,757.00 $172,287.71 $88,478.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 67 32 $0.01 — $42,568.00 $170,437.87 $88,210.83 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 32 $0.01 — $41,472.00 $184,851.41 $87,865.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 68 32 $0.01 — $43,158.00 $168,863.55 $87,570.22 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 67 32 $0.01 — $42,367.00 $168,911.34 $87,420.77 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 16 6 — — $73,589.54 $142,187.12 $86,932.56 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 16 6 — — $73,051.19 $141,146.94 $86,296.60 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 67 32 $0.01 — $42,067.00 $166,701.66 $86,277.14 2026-04-01
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 39 22 $146,912.67 $58,765.07 60% off $44,221.00 $132,221.00 $85,944.00 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 39 22 $146,912.67 $58,765.07 60% off $44,221.00 $132,221.00 $85,944.00 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $80,769.00 $96,923.00 $85,616.00 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 67 32 $0.01 — $40,598.00 $164,877.12 $85,332.84 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 6 $0.01 — $80,365.00 $96,438.00 $85,187.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 68 32 $0.01 — $29,524.53 $164,983.95 $84,651.57 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 $0.01 — $78,902.00 $94,682.00 $83,636.00 2024-12-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 34 14 — — $43,583.58 $160,438.08 $83,503.36 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 67 32 $0.01 — $39,792.00 $161,095.92 $83,375.87 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 69 32 $0.01 — $40,028.00 $167,640.63 $82,177.48 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 32 $0.01 — $38,409.00 $158,051.29 $81,290.00 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $76,443.00 $91,731.00 $81,029.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 67 32 $0.01 — $42,201.58 $163,525.00 $80,945.09 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 67 32 $0.01 — $38,178.00 $162,130.48 $80,794.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 67 32 $0.01 — $37,976.00 $157,562.12 $80,360.00 2026-04-01
68382-395-04 NDC Ribavirin 6 G In Solr 39 22 $137,172.59 $54,869.04 60% off $41,289.00 $123,455.00 $80,246.00 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 39 22 $137,172.59 $54,869.04 60% off $41,289.00 $123,455.00 $80,246.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 67 32 $0.01 — $38,569.00 $154,337.56 $79,878.05 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 67 32 $0.01 — $37,700.00 $160,230.04 $79,767.00 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 67 32 $0.01 — $41,519.98 $160,839.00 $79,615.79 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 67 32 $0.01 — $37,891.00 $153,792.17 $79,595.78 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 67 32 $0.01 — $37,665.00 $153,331.11 $79,357.16 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 16 6 — — $67,011.48 $129,477.23 $79,161.79 2026-04-01
5831 APR_DRG Neonate With Ecmo 9 6 $0.01 — $74,234.00 $89,081.00 $78,688.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 62 32 $0.01 — $7,083.08 $167,089.62 $78,156.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 32 $0.01 — $36,983.00 $149,921.01 $77,592.24 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 6 $0.01 — $72,982.00 $87,578.00 $77,361.00 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 67 32 $0.01 — $38,569.00 $148,824.60 $77,331.83 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 70 32 $0.01 — $3,315.14 $190,961.50 $77,222.50 2026-04-01
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 39 22 $131,942.95 $52,777.18 60% off $39,715.00 $118,749.00 $77,187.00 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 39 22 $131,942.95 $52,777.18 60% off $39,715.00 $118,749.00 $77,187.00 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 120 37 $136,080.00 $54,432.00 60% off $17,697.00 $122,472.00 $76,626.50 2024-12-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 6 $0.01 — $71,830.00 $86,196.00 $76,140.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 67 32 $0.01 — $35,974.00 $149,831.04 $76,062.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 67 32 $0.01 — $38,894.00 $148,546.00 $75,909.01 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 6 $0.01 — $71,338.00 $85,605.00 $75,618.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 67 32 $0.01 — $35,592.00 $146,339.41 $75,242.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 67 32 $0.01 — $34,964.00 $156,482.58 $73,894.00 2026-04-01
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 261 37 $174,040.00 $69,616.00 60% off $16,433.00 $206,100.00 $73,738.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 69 32 $0.01 — $35,856.00 $148,332.62 $73,202.00 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $68,785.00 $82,542.00 $72,912.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 67 32 $0.01 — $35,485.00 $140,210.78 $72,566.67 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 67 32 $0.01 — $34,827.00 $139,086.26 $71,984.67 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 68 32 $0.01 — $35,195.00 $138,363.75 $71,720.87 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 67 32 $0.01 — $37,528.80 $143,769.00 $71,720.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 71 32 $0.01 — $34,951.00 $138,838.86 $71,324.00 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $66,606.00 $79,927.00 $70,602.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 67 32 $0.01 — $33,960.00 $135,749.24 $70,257.59 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 67 32 $0.01 — $34,991.00 $135,063.29 $70,181.21 2026-04-01
J2353 HCPCS Octreotide Acetate 10 Mg IM Kit 143 37 $174,010.83 $69,604.33 60% off $215.00 $441,603.00 $69,952.00 2024-12-15
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 39 22 $119,182.91 $47,673.16 60% off $35,874.00 $107,265.00 $69,722.00 2024-12-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $65,522.00 $78,627.00 $69,454.00 2024-12-15
J9302 HCPCS Ofatumumab 100 Mg/5ml IV Conc 65 37 $169,770.02 $67,908.01 60% off $64.00 $152,793.00 $68,248.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 67 32 $0.01 — $33,397.00 $131,506.99 $68,103.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 67 32 $0.01 — $32,240.00 $132,170.46 $68,045.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 68 32 $0.01 — $10,118.17 $131,900.57 $68,030.35 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 32 $0.01 — $32,139.00 $141,695.14 $67,828.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 67 32 $0.01 — $33,904.00 $130,359.98 $67,737.30 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 68 32 $0.01 — $32,547.00 $129,839.89 $67,333.11 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 69 32 $0.01 — $32,910.00 $133,840.37 $67,094.00 2026-04-01
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 120 37 $119,080.00 $47,632.00 60% off $16,433.00 $113,724.00 $67,054.00 2024-12-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 $0.01 — $63,159.00 $75,790.00 $66,948.00 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 69 32 $0.01 — $32,134.00 $129,221.40 $66,879.08 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 67 32 $0.01 — $32,737.00 $128,892.48 $66,734.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 67 32 $0.01 — $34,163.00 $130,219.00 $66,647.54 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 67 32 $0.01 — $31,582.00 $127,877.60 $66,183.59 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 67 32 $0.01 — $33,255.00 $127,320.97 $66,158.17 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 67 32 $0.01 — $31,312.00 $127,821.38 $66,051.00 2026-04-01
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 39 22 $111,999.69 $44,799.88 60% off $33,712.00 $100,800.00 $65,520.00 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 69 32 $0.01 — $32,253.00 $125,996.84 $65,470.13 2026-04-01
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 56 33 $149,769.93 $59,907.97 60% off $615.00 $134,793.00 $65,090.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 67 32 $0.01 — $30,765.00 $125,465.51 $64,877.00 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 6 $0.01 — $60,831.00 $72,997.00 $64,481.00 2024-12-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 19 6 — — $33,976.67 $102,834.54 $64,032.71 2026-04-01
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 56 33 $145,045.20 $58,018.08 60% off $84.00 $130,541.00 $63,036.50 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 67 32 $0.01 — $29,891.00 $123,494.79 $63,000.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 67 32 $0.01 — $29,847.00 $121,656.20 $62,907.00 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 6 $0.01 — $59,311.00 $71,174.00 $62,870.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 67 32 $0.01 — $31,397.00 $120,686.30 $62,710.68 2026-04-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $58,591.00 $70,309.00 $62,106.00 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 67 32 $0.01 — $29,639.00 $119,910.38 $62,060.12 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 67 32 $0.01 — $29,374.00 $125,960.30 $61,891.00 2026-04-01
0187-0007-14 NDC Ribavirin 6 G In Solr 39 22 $105,205.58 $42,082.23 60% off $31,667.00 $94,685.00 $61,545.00 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 67 32 $0.01 — $29,168.00 $118,726.82 $61,447.56 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 67 32 $0.01 — $31,024.00 $118,060.00 $61,303.93 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 32 $0.01 — $30,250.00 $117,304.30 $60,953.34 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 67 32 $0.01 — $28,818.00 $118,465.37 $60,698.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 67 32 $0.01 — $28,776.00 $118,524.41 $60,608.00 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 70 32 $0.01 — $9,943.94 $118,119.58 $60,440.64 2026-04-01
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 39 22 $103,145.70 $41,258.28 60% off $31,047.00 $92,831.00 $60,340.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 67 32 $0.01 — $28,637.00 $119,221.61 $60,309.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 67 32 $0.01 — $28,526.00 $116,753.29 $60,071.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 68 32 $0.01 — $28,834.00 $117,759.73 $59,687.50 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $55,215.00 $66,258.00 $58,528.00 2024-12-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 $0.01 — $54,722.00 $65,666.00 $58,005.00 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 67 32 $0.01 — $27,459.00 $113,028.32 $57,779.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 67 32 $0.01 — $27,446.00 $115,980.18 $57,751.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 67 32 $0.01 — $29,961.27 $115,299.00 $57,073.40 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 67 32 $0.01 — $27,297.00 $108,816.99 $56,318.69 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 67 32 $0.01 — $27,579.00 $108,653.93 $56,234.30 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 67 32 $0.01 — $26,699.00 $109,975.24 $56,147.00 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 67 32 $0.01 — $27,951.00 $107,934.24 $56,084.49 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $52,607.00 $63,128.00 $55,763.00 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 6 $0.01 — $52,325.00 $62,790.00 $55,465.00 2024-12-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 6 $0.01 — $52,231.00 $62,678.00 $55,365.00 2024-12-15
64 APR_DRG Pancreas Transplant 9 6 $0.01 — $51,673.00 $62,007.00 $54,773.00 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 68 32 $0.01 — $26,495.00 $108,549.92 $54,752.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 67 32 $0.01 — $26,841.00 $105,789.22 $54,751.65 2026-04-01
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 39 22 $93,477.38 $37,390.95 60% off $28,137.00 $84,130.00 $54,684.00 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 73 37 $96,957.00 $38,782.80 60% off $13,380.00 $87,261.00 $54,596.50 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 68 32 $0.01 — $1,064.76 $105,077.96 $54,491.93 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 67 32 $0.01 — $27,689.00 $105,141.00 $54,441.09 2026-04-01
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 65 37 $134,375.07 $53,750.03 60% off $1,211.00 $120,938.00 $54,019.00 2024-12-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 6 $0.01 — $50,782.00 $60,938.00 $53,829.00 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 67 32 $0.01 — $27,107.00 $103,261.86 $53,656.64 2026-04-01
791 MS_DRG Prematurity With Major Problems 62 32 $0.01 — $7,729.78 $114,110.67 $53,375.50 2026-04-01
8514 APR_DRG Gender Related Procedures 9 6 $0.01 — $50,103.00 $60,123.00 $53,109.00 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 56 33 $121,897.31 $48,758.92 60% off $60.00 $109,708.00 $52,976.50 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 67 32 $0.01 — $25,207.00 $112,005.00 $52,944.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 67 32 $0.01 — $25,201.00 $105,066.71 $52,932.00 2026-04-01
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 167 37 $101,790.50 $40,716.20 60% off $12,957.00 $107,172.00 $52,869.50 2024-12-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 6 $0.01 — $49,700.00 $59,640.00 $52,682.00 2024-12-15
265 MS_DRG Aicd Lead Procedures 67 32 $0.01 — $25,086.00 $101,718.46 $52,644.81 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 67 32 $0.01 — $25,205.00 $101,538.53 $52,551.69 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 67 32 $0.01 — $27,621.12 $106,079.00 $52,509.52 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 67 32 $0.01 — $27,558.75 $104,925.00 $52,343.00 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 6 $0.01 — $49,355.00 $59,226.00 $52,317.00 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 67 32 $0.01 — $24,765.00 $101,929.30 $51,996.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 67 32 $0.01 — $26,288.00 $100,059.79 $51,992.79 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 67 32 $0.01 — $25,472.00 $100,388.71 $51,956.60 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 67 32 $0.01 — $24,650.00 $100,155.37 $51,748.00 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 16 6 — — $43,792.59 $84,614.51 $51,732.93 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 67 32 $0.01 — $24,632.00 $100,239.71 $51,711.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 68 32 $0.01 — $24,976.00 $103,219.69 $51,546.00 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 16 6 — — $43,583.07 $84,209.68 $51,485.42 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 67 32 $0.01 — $25,646.00 $98,940.89 $51,411.40 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $48,472.00 $58,167.00 $51,381.00 2024-12-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 67 32 $0.01 — $24,434.00 $104,181.16 $51,285.00 2026-04-01
332 MS_DRG Rectal Resection With Mcc 67 32 $0.01 — $24,408.00 $101,788.74 $51,229.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 67 32 $0.01 — $26,904.20 $102,991.00 $51,111.33 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 $0.01 — $47,894.00 $57,473.00 $50,768.00 2024-12-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 69 32 $0.01 — $24,109.00 $99,143.31 $50,587.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 67 32 $0.01 — $24,382.00 $97,591.47 $50,508.87 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 34 14 — — $26,537.47 $96,669.36 $50,313.60 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 67 32 $0.01 — $24,204.00 $97,119.17 $50,264.43 2026-04-01
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 39 22 $85,549.37 $34,219.75 60% off $25,750.00 $76,994.00 $50,046.00 2024-12-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 70 32 $0.01 — $24,241.00 $99,978.26 $49,995.50 2026-04-01
J7311 HCPCS Fluocinolone Acetonide 0.59 Mg Iz Impl 65 37 $124,325.13 $49,730.05 60% off $316.00 $111,893.00 $49,979.00 2024-12-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 69 32 $0.01 — $21,433.08 $96,382.61 $49,883.22 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 67 32 $0.01 — $24,826.00 $95,783.80 $49,770.92 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 67 32 $0.01 — $23,638.00 $95,910.31 $49,575.00 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 6 $0.01 — $46,657.00 $55,988.00 $49,456.00 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 $0.01 — $46,532.00 $55,838.00 $49,324.00 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 67 32 $0.01 — $24,590.00 $93,914.29 $48,799.48 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 67 32 $0.01 — $23,261.00 $105,328.17 $48,766.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 70 32 $0.01 — $4,564.09 $98,066.58 $48,496.63 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 67 32 $0.01 — $23,391.00 $92,550.81 $47,900.06 2026-04-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $44,903.00 $53,883.00 $47,597.00 2024-12-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 67 32 $0.01 — $23,978.00 $91,445.97 $47,516.90 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 $0.01 — $44,820.00 $53,783.00 $47,509.00 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 6 $0.01 — $44,733.00 $53,680.00 $47,417.00 2024-12-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 67 32 $0.01 — $22,590.00 $101,386.72 $47,326.00 2026-04-01
21 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $44,578.00 $53,493.00 $47,252.00 2024-12-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 67 32 $0.01 — $22,484.00 $90,942.74 $47,067.80 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 67 32 $0.01 — $22,693.00 $90,723.46 $46,954.31 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 67 32 $0.01 — $22,381.00 $102,008.02 $46,877.00 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 67 32 $0.01 — $22,425.00 $90,546.35 $46,862.64 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 68 32 $0.01 — $15,778.60 $91,043.95 $46,801.09 2026-04-01
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 65 37 $116,381.30 $46,552.52 60% off $158.00 $104,743.00 $46,785.00 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 67 32 $0.01 — $23,880.00 $90,387.00 $46,640.42 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 67 32 $0.01 — $24,574.57 $94,075.00 $46,567.97 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 67 32 $0.01 — $22,959.00 $89,506.17 $46,462.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 67 32 $0.01 — $22,016.00 $92,539.56 $46,094.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 67 32 $0.01 — $22,344.00 $88,972.02 $46,047.84 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 16 6 — — $38,652.08 $74,682.18 $45,660.35 2026-04-01
665 MS_DRG Prostatectomy With Mcc 67 32 $0.01 — $24,152.23 $91,495.00 $45,643.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 67 32 $0.01 — $21,776.00 $90,816.24 $45,577.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 69 32 $0.01 — $22,526.00 $88,584.06 $45,565.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 67 32 $0.01 — $21,760.00 $88,837.08 $45,545.00 2026-04-01
652 MS_DRG Kidney Transplant 67 32 $0.01 — $21,675.00 $90,790.93 $45,362.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 67 32 $0.01 — $21,587.00 $87,408.94 $45,172.00 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 6 $0.01 — $42,599.00 $51,119.00 $45,155.00 2024-12-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 68 32 $0.01 — $21,915.00 $88,541.89 $45,062.12 2026-04-01
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 104 37 $74,181.59 $29,672.64 60% off $22,329.00 $68,632.00 $44,546.00 2024-12-15
662 MS_DRG Minor Bladder Procedures With Mcc 67 32 $0.01 — $22,007.00 $86,067.95 $44,544.83 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 67 32 $0.01 — $23,032.00 $87,101.00 $44,308.99 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 69 32 $0.01 — $21,617.47 $89,593.32 $44,101.00 2026-04-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $41,561.00 $49,873.00 $44,054.00 2024-12-15
33270 CPT Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 65 37 $102,274.76 $40,909.90 60% off $14,380.00 $92,047.00 $43,671.00 2024-12-15
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 56 33 $100,047.74 $40,019.09 60% off $57.00 $90,043.00 $43,481.00 2024-12-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 68 32 $0.01 — $21,656.00 $83,675.53 $43,392.93 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 32 $0.01 — $6,519.55 $87,563.56 $43,235.84 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 6 $0.01 — $40,490.00 $48,589.00 $42,920.00 2024-12-15
570 MS_DRG Skin Debridement With Mcc 68 32 $0.01 — $700.00 $82,683.14 $42,860.51 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 68 32 $0.01 — $20,477.00 $82,823.71 $42,789.00 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 67 32 $0.01 — $20,608.00 $82,089.96 $42,486.00 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant 9 6 $0.01 — $40,033.00 $48,039.00 $42,435.00 2024-12-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 67 32 $0.01 — $20,778.00 $81,873.49 $42,373.97 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 67 32 $0.01 — $20,270.00 $84,904.07 $42,344.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 67 32 $0.01 — $20,235.00 $90,253.98 $42,270.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 67 32 $0.01 — $20,208.00 $84,915.32 $42,211.00 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 67 32 $0.01 — $21,089.00 $81,134.12 $42,158.69 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 68 32 $0.01 — $20,723.00 $81,583.93 $42,026.05 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $39,475.00 $47,370.00 $41,843.00 2024-12-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 69 33 $0.01 — $20,597.00 $80,689.93 $41,567.00 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 67 32 $0.01 — $20,580.00 $80,136.11 $41,531.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 67 32 $0.01 — $19,866.00 $81,533.32 $41,477.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 67 32 $0.01 — $19,846.00 $88,333.86 $41,434.00 2026-04-01
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 39 22 $70,644.05 $28,257.62 60% off $21,264.00 $63,580.00 $41,327.00 2024-12-15
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 39 22 $70,306.78 $28,122.71 60% off $21,162.00 $63,276.00 $41,129.00 2024-12-15
800 MS_DRG Splenic Procedures With Cc 67 32 $0.01 — $20,591.00 $78,980.66 $41,039.72 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 67 32 $0.01 — $19,960.00 $78,696.72 $40,729.82 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 67 32 $0.01 — $19,371.00 $92,865.67 $40,414.00 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 67 32 $0.01 — $19,303.00 $81,173.48 $40,268.00 2026-04-01
4404 APR_DRG Kidney Transplant 9 6 $0.01 — $37,839.00 $45,407.00 $40,110.00 2024-12-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 67 32 $0.01 — $19,235.00 $76,855.32 $39,776.79 2026-04-01
8634 APR_DRG Neonatal Aftercare 9 6 $0.01 — $37,397.00 $44,877.00 $39,641.00 2024-12-15
263 MS_DRG Vein Ligation And Stripping 67 32 $0.01 — $18,997.00 $85,952.69 $39,612.00 2026-04-01
33224 CPT Hc Insj Eltrd Car Ven Sys Attch Prev Pm/dfb Pls Gen 65 37 $98,513.97 $39,405.59 60% off $5,079.00 $88,663.00 $39,603.00 2024-12-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 73 32 $0.01 — $12,228.88 $76,489.85 $39,587.64 2026-04-01
849 MS_DRG Radiotherapy 67 32 $0.01 — $18,922.00 $76,172.17 $39,423.23 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 67 32 $0.01 — $19,337.00 $76,079.40 $39,375.21 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 67 32 $0.01 — $18,776.00 $81,016.04 $39,138.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 67 32 $0.01 — $18,753.00 $78,466.19 $39,088.00 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 67 32 $0.01 — $18,734.00 $82,767.48 $39,048.00 2026-04-01
63 APR_DRG Pancreas Transplant 9 6 $0.01 — $36,709.00 $44,050.00 $38,911.00 2024-12-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 67 32 $0.01 — $20,247.00 $76,312.00 $38,857.28 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 16 6 — — $32,868.45 $63,507.27 $38,828.05 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 6 $0.01 — $36,564.00 $43,877.00 $38,758.00 2024-12-15
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