Hospital

ADVENTHEALTH OCALA

Ocala, FL · CCN 100062 · Rates published

15,403 distinct procedures filed

33 distinct payers

1,208,056 rate rows

2024-12-15 last MRF observed · ⚠ 18 mo old

Data quality

1,202,472 of 1,208,056 rate rows are consumer-grade (99.5%)

5,584 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 — reason	Rows
exceeds 10× this hospital's gross charge — excluded from medians	2,892
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	1,956
template filing: same amount across many unrelated codes — excluded	604
per-diem day rate — not a per-procedure price	132

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.adventhealth.com/sites/default/files/CDM/2025/824372339_AdventHealth-Ocala_standardcharges.json
Found on page	https://www.adventhealth.com/pricelist
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-18
Content fingerprint	4d37f677dc76b45f… · 2,838,631,728 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	33	$24,610.00	$3,467,398.00	$1,202,031.00	nat. median $625,184 1.9× median
Q2054 HCPCS	Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp	33	$24,610.00	$3,391,378.00	$1,175,678.00	nat. median $674,188 1.7× median
Q2042 HCPCS	Tisagenlecleucel IV Infusion (wrapped)	33	$24,610.00	$2,970,972.00	$1,086,055.00	nat. median $754,974 1.4× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	$265,664.00	$1,052,715.00	$419,819.00	nat. median $370,174 1.1× median
13925-522-01 NDC	Pentamidine Isethionate 300 Mg In Solr	29	$102,178.00	$617,180.00	$359,679.00	nat. median $83,907 outlier · 4.3×
58914-501-56 NDC	Mesalamine 1000 Mg Re Supp	29	$96,019.00	$579,982.00	$338,000.50	nat. median $57,068 outlier · 5.9×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	18	$198,568.00	$786,290.00	$313,569.50	nat. median $265,286 1.2× median
A9520 HCPCS	Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection	29	$10.00	$693,347.00	$298,910.00	nat. median $1,033 outlier · 289.2×
63323-877-15 NDC	Pentamidine Isethionate 300 Mg In Solr	29	$80,139.00	$484,063.00	$282,101.00	nat. median $65,809 outlier · 4.3×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	18	$167,317.00	$662,198.00	$264,082.00	nat. median $206,368 1.3× median
52427-273-75 NDC	Naproxen Sodium ER 500 Mg Po Tb24	29	$70,096.00	$423,397.00	$246,746.50	nat. median $111,860 outlier · 2.2×
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	18	$151,210.00	$598,242.00	$238,576.50	nat. median $202,986 1.2× median
C9089 HCPCS	Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl	33	$63,596.00	$394,889.00	$223,867.50	nat. median $2 outlier · 141688.3×
5834 APR_DRG	Neonate With Ecmo	8	$205,319.00	$246,383.00	$216,611.50	nat. median $309,665 0.7× median
58468-0132-2 NDC	Sevelamer Carbonate 0.8 G Po Pack	29	$60,792.00	$367,200.00	$213,996.00	nat. median $94,327 outlier · 2.3×
58468-0132-1 NDC	Sevelamer Carbonate 0.8 G Po Pack	29	$60,792.00	$367,200.00	$213,996.00	nat. median $92,408 outlier · 2.3×
68382-395-01 NDC	Ribavirin 6 G In Solr	29	$56,762.00	$342,855.00	$199,808.50	nat. median $88,073 outlier · 2.3×
68382-395-04 NDC	Ribavirin 6 G In Solr	29	$56,762.00	$342,855.00	$199,808.50	nat. median $88,073 outlier · 2.3×
59385-027-01 NDC	Buprenorphine Hcl 900 Mcg Bu Film	29	$54,597.00	$329,783.00	$192,190.00	nat. median $87,698 outlier · 2.2×
59385-027-60 NDC	Buprenorphine Hcl 900 Mcg Bu Film	29	$54,597.00	$329,783.00	$192,190.00	nat. median $87,698 outlier · 2.2×
A9595 HCPCS	Piflufolastat F 18 9 Mci IV Sosy	29	$615.00	$427,589.00	$184,338.00	nat. median $897 outlier · 205.5×
A9588 HCPCS	Fluciclovine F 18 9-221 Mci/ml IV Soln	29	$84.00	$414,100.00	$178,523.00	nat. median $737 outlier · 242.3×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	18	$99,881.00	$394,425.00	$157,295.00	nat. median $133,176 1.2× median
0187-0007-14 NDC	Ribavirin 6 G In Solr	29	$43,534.00	$262,954.00	$153,244.00	nat. median $69,528 outlier · 2.2×
0781-5893-31 NDC	Nevirapine ER 400 Mg Po Tb24	29	$42,681.00	$257,806.00	$150,243.50	nat. median $68,166 outlier · 2.2×
A9572 HCPCS	Indium In-111 Pentetreotide IV Kit	29	$60.00	$348,013.00	$150,032.00	nat. median $4,934 outlier · 30.4×
14 MS_DRG	Allogeneic Bone Marrow Transplant	18	$92,653.00	$365,724.00	$145,849.50	nat. median $117,303 1.2× median
7 MS_DRG	Lung Transplant	18	$92,421.00	$364,802.00	$145,481.50	nat. median $122,708 1.2× median
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$133,948.00	$160,737.00	$141,315.00	nat. median $246,434 0.6× median
5833 APR_DRG	Neonate With Ecmo	8	$133,012.00	$159,615.00	$140,328.00	nat. median $244,017 0.6× median
J2326 HCPCS	Nusinersen 12 Mg/5ml It Soln	33	$1,211.00	$402,548.00	$139,550.00	nat. median $2,677 outlier · 52.1×
J1950 HCPCS	Leuprolide Acetate (3 Month) 11.25 Mg IM Kit	33	$614.00	$400,939.00	$138,992.00	nat. median $4,345 outlier · 32.0×
24338-050-08 NDC	Carmustine In Polifeprosan 7.7 Mg Il Wafr	29	$38,981.00	$235,454.00	$137,217.50	nat. median $49,264 outlier · 2.8×
C1825 HCPCS	System Neo Barostim Includes 2102 Ipg 1036 Csl Kit	33	$26,981.00	$232,596.00	$131,287.50	nat. median $52,021 outlier · 2.5×
J7311 HCPCS	Fluocinolone Acetonide 0.59 Mg Iz Impl	33	$316.00	$372,440.00	$129,112.00	nat. median $491 outlier · 262.7×
24 APR_DRG	Heart And/or Lung Transplant	8	$118,623.00	$142,347.00	$125,147.00	nat. median $234,738 0.5× median
47781-153-01 NDC	Naproxen Sodium ER 375 Mg Po Tb24	29	$35,400.00	$213,824.00	$124,612.00	nat. median $56,537 outlier · 2.2×
A9569 HCPCS	Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection	29	$57.00	$285,633.00	$123,139.00	nat. median $2,081 outlier · 59.2×
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	18	$78,017.00	$307,604.00	$122,671.00	nat. median $108,660 1.1× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	18	$77,132.00	$304,092.00	$121,271.00	nat. median $102,358 1.2× median
J3357 HCPCS	Ustekinumab 45 Mg/0.5ml Sc Sosy	33	$158.00	$348,641.00	$120,862.00	nat. median $14,306 outlier · 8.4×
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	18	$75,413.00	$297,267.00	$118,549.00	nat. median $100,136 1.2× median
215 MS_DRG	Other Heart Assist System Implant	18	$75,030.00	$295,743.00	$117,941.50	nat. median $99,019 1.2× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	18	$74,190.00	$292,410.00	$116,612.50	nat. median $98,905 1.2× median
C1831 HCPCS	Kit Imp Aprevo Spine Lvl 1	33	$25,054.00	$394,200.00	$115,702.00	nat. median $11,688 outlier · 9.9×
C1824 HCPCS	Generator Pul Implantable Optimizer Smt F/hrt Fail	33	$25,054.00	$215,982.00	$115,702.00	nat. median $37,950 outlier · 3.0×
114 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	$104,305.00	$125,166.00	$110,042.00	nat. median $117,173 0.9× median
5832 APR_DRG	Neonate With Ecmo	8	$102,129.00	$122,555.00	$107,746.50	nat. median $156,126 0.7× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	$68,396.00	$269,401.00	$107,436.00	nat. median $93,672 1.1× median
1614 APR_DRG	Implantable Heart Assist Systems	8	$101,659.00	$121,991.00	$107,250.50	nat. median $207,730 0.5× median

Other procedures at this hospital

Browse this hospital's 15,403 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	57	33	$3,852,663.92	$1,541,065.57 60% off	$24,610.00	$3,467,398.00	$1,202,031.00	2024-12-15
Q2054	HCPCS	Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp	57	33	$3,768,198.21	$1,507,279.28 60% off	$24,610.00	$3,391,378.00	$1,175,678.00	2024-12-15
Q2042	HCPCS	Tisagenlecleucel IV Infusion (wrapped)	57	33	$3,301,079.72	$1,320,431.89 60% off	$24,610.00	$2,970,972.00	$1,086,055.00	2024-12-15
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	32	18	$0.01	—	$265,664.00	$1,052,715.00	$419,819.00	2024-12-15
13925-522-01	NDC	Pentamidine Isethionate 300 Mg In Solr	47	29	$685,755.76	$274,302.30 60% off	$102,178.00	$617,180.00	$359,679.00	2024-12-15
58914-501-56	NDC	Mesalamine 1000 Mg Re Supp	47	29	$644,423.92	$257,769.57 60% off	$96,019.00	$579,982.00	$338,000.50	2024-12-15
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	32	18	$0.01	—	$198,568.00	$786,290.00	$313,569.50	2024-12-15
A9520	HCPCS	Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection	47	29	$770,386.00	$308,154.40 60% off	$10.00	$693,347.00	$298,910.00	2024-12-15
63323-877-15	NDC	Pentamidine Isethionate 300 Mg In Solr	47	29	$537,847.60	$215,139.04 60% off	$80,139.00	$484,063.00	$282,101.00	2024-12-15
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	32	18	$0.01	—	$167,317.00	$662,198.00	$264,082.00	2024-12-15
52427-273-75	NDC	Naproxen Sodium ER 500 Mg Po Tb24	47	29	$470,441.22	$188,176.49 60% off	$70,096.00	$423,397.00	$246,746.50	2024-12-15
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	32	18	$0.01	—	$151,210.00	$598,242.00	$238,576.50	2024-12-15
C9089	HCPCS	Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl	88	33	$426,820.72	$170,728.29 60% off	$63,596.00	$394,889.00	$223,867.50	2024-12-15
5834	APR_DRG	Neonate With Ecmo	10	8	$0.01	—	$205,319.00	$246,383.00	$216,611.50	2024-12-15
58468-0132-2	NDC	Sevelamer Carbonate 0.8 G Po Pack	47	29	$407,999.70	$163,199.88 60% off	$60,792.00	$367,200.00	$213,996.00	2024-12-15
58468-0132-1	NDC	Sevelamer Carbonate 0.8 G Po Pack	47	29	$407,999.70	$163,199.88 60% off	$60,792.00	$367,200.00	$213,996.00	2024-12-15
68382-395-01	NDC	Ribavirin 6 G In Solr	47	29	$380,949.70	$152,379.88 60% off	$56,762.00	$342,855.00	$199,808.50	2024-12-15
68382-395-04	NDC	Ribavirin 6 G In Solr	47	29	$380,949.70	$152,379.88 60% off	$56,762.00	$342,855.00	$199,808.50	2024-12-15
59385-027-01	NDC	Buprenorphine Hcl 900 Mcg Bu Film	47	29	$366,426.02	$146,570.41 60% off	$54,597.00	$329,783.00	$192,190.00	2024-12-15
59385-027-60	NDC	Buprenorphine Hcl 900 Mcg Bu Film	47	29	$366,426.02	$146,570.41 60% off	$54,597.00	$329,783.00	$192,190.00	2024-12-15
A9595	HCPCS	Piflufolastat F 18 9 Mci IV Sosy	47	29	$475,098.80	$190,039.52 60% off	$615.00	$427,589.00	$184,338.00	2024-12-15
A9588	HCPCS	Fluciclovine F 18 9-221 Mci/ml IV Soln	47	29	$460,111.00	$184,044.40 60% off	$84.00	$414,100.00	$178,523.00	2024-12-15
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	32	18	$0.01	—	$99,881.00	$394,425.00	$157,295.00	2024-12-15
0187-0007-14	NDC	Ribavirin 6 G In Solr	47	29	$292,171.43	$116,868.57 60% off	$43,534.00	$262,954.00	$153,244.00	2024-12-15
0781-5893-31	NDC	Nevirapine ER 400 Mg Po Tb24	47	29	$286,450.77	$114,580.31 60% off	$42,681.00	$257,806.00	$150,243.50	2024-12-15
A9572	HCPCS	Indium In-111 Pentetreotide IV Kit	47	29	$386,681.14	$154,672.46 60% off	$60.00	$348,013.00	$150,032.00	2024-12-15
14	MS_DRG	Allogeneic Bone Marrow Transplant	32	18	$0.01	—	$92,653.00	$365,724.00	$145,849.50	2024-12-15
7	MS_DRG	Lung Transplant	32	18	$0.01	—	$92,421.00	$364,802.00	$145,481.50	2024-12-15
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	10	8	$0.01	—	$133,948.00	$160,737.00	$141,315.00	2024-12-15
5833	APR_DRG	Neonate With Ecmo	10	8	$0.01	—	$133,012.00	$159,615.00	$140,328.00	2024-12-15
J2326	HCPCS	Nusinersen 12 Mg/5ml It Soln	57	33	$447,275.79	$178,910.32 60% off	$1,211.00	$402,548.00	$139,550.00	2024-12-15
J1950	HCPCS	Leuprolide Acetate (3 Month) 11.25 Mg IM Kit	57	33	$445,487.79	$178,195.12 60% off	$614.00	$400,939.00	$138,992.00	2024-12-15
24338-050-08	NDC	Carmustine In Polifeprosan 7.7 Mg Il Wafr	47	29	$261,615.32	$104,646.13 60% off	$38,981.00	$235,454.00	$137,217.50	2024-12-15
C1825	HCPCS	System Neo Barostim Includes 2102 Ipg 1036 Csl Kit	102	33	$258,440.00	$103,376.00 60% off	$26,981.00	$232,596.00	$131,287.50	2024-12-15
J7311	HCPCS	Fluocinolone Acetonide 0.59 Mg Iz Impl	57	33	$413,821.68	$165,528.67 60% off	$316.00	$372,440.00	$129,112.00	2024-12-15
24	APR_DRG	Heart And/or Lung Transplant	10	8	$0.01	—	$118,623.00	$142,347.00	$125,147.00	2024-12-15
47781-153-01	NDC	Naproxen Sodium ER 375 Mg Po Tb24	47	29	$237,582.54	$95,033.02 60% off	$35,400.00	$213,824.00	$124,612.00	2024-12-15
A9569	HCPCS	Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection	47	29	$317,369.80	$126,947.92 60% off	$57.00	$285,633.00	$123,139.00	2024-12-15
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	32	18	$0.01	—	$78,017.00	$307,604.00	$122,671.00	2024-12-15
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	32	18	$0.01	—	$77,132.00	$304,092.00	$121,271.00	2024-12-15
J3357	HCPCS	Ustekinumab 45 Mg/0.5ml Sc Sosy	57	33	$387,378.37	$154,951.35 60% off	$158.00	$348,641.00	$120,862.00	2024-12-15
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	32	18	$0.01	—	$75,413.00	$297,267.00	$118,549.00	2024-12-15
215	MS_DRG	Other Heart Assist System Implant	32	18	$0.01	—	$75,030.00	$295,743.00	$117,941.50	2024-12-15
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	32	18	$0.01	—	$74,190.00	$292,410.00	$116,612.50	2024-12-15
C1831	HCPCS	Kit Imp Aprevo Spine Lvl 1	216	33	$332,880.00	$133,152.00 60% off	$25,054.00	$394,200.00	$115,702.00	2024-12-15
C1824	HCPCS	Generator Pul Implantable Optimizer Smt F/hrt Fail	102	33	$227,760.00	$91,104.00 60% off	$25,054.00	$215,982.00	$115,702.00	2024-12-15
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	8	$0.01	—	$104,305.00	$125,166.00	$110,042.00	2024-12-15
5832	APR_DRG	Neonate With Ecmo	10	8	$0.01	—	$102,129.00	$122,555.00	$107,746.50	2024-12-15
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	18	$0.01	—	$68,396.00	$269,401.00	$107,436.00	2024-12-15
1614	APR_DRG	Implantable Heart Assist Systems	10	8	$0.01	—	$101,659.00	$121,991.00	$107,250.50	2024-12-15
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	10	8	$0.01	—	$97,710.00	$117,252.00	$103,084.50	2024-12-15
0187-3013-30	NDC	Pyridostigmine Bromide ER 180 Mg Po Tbcr	47	29	$196,187.73	$78,475.09 60% off	$29,232.00	$176,569.00	$102,900.50	2024-12-15
850	MS_DRG	Acute Leukemia With Other Procedures	32	18	$0.01	—	$65,308.00	$257,141.00	$102,547.00	2024-12-15
51167-331-01	NDC	Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose)	47	29	$195,251.06	$78,100.42 60% off	$29,092.00	$175,726.00	$102,409.00	2024-12-15
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	10	8	$0.01	—	$96,372.00	$115,646.00	$101,672.00	2024-12-15
38240	CPT	Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor	57	33	$352,558.25	$141,023.30 60% off	$2,682.00	$317,302.00	$100,863.00	2024-12-15
A9591	HCPCS	Fluoroestradiol F 18 4-100 Mci/ml IV Soln	47	29	$243,748.00	$97,499.20 60% off	$69.00	$219,373.00	$94,574.00	2024-12-15
231	MS_DRG	Coronary Bypass With Ptca With Mcc	32	18	$0.01	—	$60,120.00	$236,540.00	$94,331.50	2024-12-15
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	18	$0.01	—	$60,087.00	$236,409.00	$94,279.00	2024-12-15
C2624	HCPCS	System Cardiomems Hrt Failure Ptnt	64	33	$184,138.50	$73,655.40 60% off	$20,255.00	$165,725.00	$93,542.50	2024-12-15
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	10	8	$0.01	—	$88,071.00	$105,685.00	$92,914.50	2024-12-15
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	32	18	$0.01	—	$59,183.00	$232,820.00	$92,847.50	2024-12-15
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	10	8	$0.01	—	$87,116.00	$104,539.00	$91,907.50	2024-12-15
C1822	HCPCS	Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm	140	33	$194,691.00	$77,876.40 60% off	$19,754.00	$204,984.00	$91,226.50	2024-12-15
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	10	8	$0.01	—	$86,464.00	$103,757.00	$91,219.50	2024-12-15
0078-0697-19	NDC	Eltrombopag Olamine 25 Mg Po Pack	47	29	$172,502.54	$69,001.02 60% off	$25,703.00	$155,252.00	$90,477.50	2024-12-15
0078-0697-61	NDC	Eltrombopag Olamine 25 Mg Po Pack	47	29	$172,502.54	$69,001.02 60% off	$25,703.00	$155,252.00	$90,477.50	2024-12-15
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	8	$0.01	—	$85,092.00	$102,110.00	$89,772.00	2024-12-15
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	32	18	$0.01	—	$57,218.00	$225,018.00	$89,736.00	2024-12-15
10	MS_DRG	Pancreas Transplant	32	18	$0.01	—	$56,599.00	$222,558.00	$88,755.50	2024-12-15
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	32	18	$0.01	—	$56,278.00	$221,283.00	$88,247.00	2024-12-15
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	32	18	$0.01	—	$55,498.00	$218,187.00	$87,012.00	2024-12-15
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	18	$0.01	—	$54,943.00	$215,985.00	$86,133.50	2024-12-15
55566-9800-0	NDC	Fecal Microbiota, Live-jslm 150 Ml Re Susp	47	29	$164,164.72	$65,665.89 60% off	$24,461.00	$147,748.00	$86,104.50	2024-12-15
55566-9800-2	NDC	Fecal Microbiota, Live-jslm 150 Ml Re Susp	47	29	$164,164.72	$65,665.89 60% off	$24,461.00	$147,748.00	$86,104.50	2024-12-15
74	APR_DRG	Allogeneic Bone Marrow Transplant	10	8	$0.01	—	$80,769.00	$96,923.00	$85,212.00	2024-12-15
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	10	8	$0.01	—	$80,365.00	$96,438.00	$84,785.00	2024-12-15
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	8	$0.01	—	$78,902.00	$94,682.00	$83,241.50	2024-12-15
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	32	18	$0.01	—	$53,022.00	$208,356.00	$83,091.50	2024-12-15
0955-1052-90	NDC	Sevelamer Carbonate 0.8 G Po Pack	47	29	$156,351.54	$62,540.61 60% off	$23,296.00	$140,716.00	$82,006.00	2024-12-15
0955-1052-01	NDC	Sevelamer Carbonate 0.8 G Po Pack	47	29	$156,351.54	$62,540.61 60% off	$23,296.00	$140,716.00	$82,006.00	2024-12-15
J2353	HCPCS	Octreotide Acetate 10 Mg IM Kit	119	33	$261,470.90	$104,588.36 60% off	$215.00	$663,563.00	$81,579.00	2024-12-15
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	10	8	$0.01	—	$76,443.00	$91,731.00	$80,647.00	2024-12-15
J9302	HCPCS	Ofatumumab 100 Mg/5ml IV Conc	57	33	$255,098.54	$102,039.41 60% off	$64.00	$229,589.00	$79,591.00	2024-12-15
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	32	18	$0.01	—	$50,481.00	$198,265.00	$79,067.00	2024-12-15
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	32	18	$0.01	—	$50,230.00	$197,268.00	$78,670.00	2024-12-15
5831	APR_DRG	Neonate With Ecmo	10	8	$0.01	—	$74,234.00	$89,081.00	$78,317.00	2024-12-15
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	32	18	$0.01	—	$49,453.00	$194,184.00	$77,439.50	2024-12-15
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	10	8	$0.01	—	$72,982.00	$87,578.00	$76,996.00	2024-12-15
955	MS_DRG	Craniotomy For Multiple Significant Trauma	32	18	$0.01	—	$48,552.00	$190,605.00	$76,013.00	2024-12-15
0008-0423-03	NDC	Antivenin Micrurus Fulvius IV Solr	47	29	$144,838.62	$57,935.45 60% off	$21,581.00	$130,355.00	$75,968.00	2024-12-15
0008-0423-01	NDC	Antivenin Micrurus Fulvius IV Solr	47	29	$144,838.62	$57,935.45 60% off	$21,581.00	$130,355.00	$75,968.00	2024-12-15
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	10	8	$0.01	—	$71,830.00	$86,196.00	$75,780.50	2024-12-15
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	8	$0.01	—	$71,338.00	$85,605.00	$75,261.50	2024-12-15
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	32	18	$0.01	—	$47,683.00	$187,155.00	$74,637.00	2024-12-15
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	32	18	$0.01	—	$47,501.00	$186,435.00	$74,349.50	2024-12-15
81416	CPT	Hc Exome Sequence Analysis Each Comparator Exome	57	33	$238,140.00	$95,256.00 60% off	$1,242.00	$214,326.00	$74,300.00	2024-12-15
61958-1004-1	NDC	Ranolazine ER 1000 Mg Po Tb12	47	29	$141,594.16	$56,637.66 60% off	$21,098.00	$127,435.00	$74,266.50	2024-12-15
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	32	18	$0.01	—	$47,422.00	$186,119.00	$74,223.50	2024-12-15
1613	APR_DRG	Implantable Heart Assist Systems	10	8	$0.01	—	$68,785.00	$82,542.00	$72,568.00	2024-12-15
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	32	18	$0.01	—	$46,013.00	$180,525.00	$71,993.00	2024-12-15
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	18	$0.01	—	$45,948.00	$180,266.00	$71,889.50	2024-12-15
73702-140-71	NDC	Indomethacin 100 Mg Re Supp	47	29	$136,804.72	$54,721.89 60% off	$20,384.00	$123,124.00	$71,754.00	2024-12-15
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	32	18	$0.01	—	$45,009.00	$176,537.00	$70,402.00	2024-12-15
23	APR_DRG	Heart And/or Lung Transplant	10	8	$0.01	—	$66,606.00	$79,927.00	$70,269.00	2024-12-15
C1823	HCPCS	Generator Implantable Remede Pul Cent Sleep Apnea	102	33	$223,380.00	$89,352.00 60% off	$8,672.00	$201,042.00	$69,143.00	2024-12-15
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	10	8	$0.01	—	$65,522.00	$78,627.00	$69,126.00	2024-12-15
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	32	18	$0.01	—	$44,096.00	$172,910.00	$68,956.00	2024-12-15
69468-151-04	NDC	Uridine Triacetate 10 G Po Pack	47	29	$131,311.36	$52,524.54 60% off	$19,565.00	$118,180.00	$68,872.50	2024-12-15
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	32	18	$0.01	—	$44,039.00	$172,687.00	$68,867.00	2024-12-15
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	32	18	$0.01	—	$43,841.00	$171,900.00	$68,553.00	2024-12-15
0078-0494-71	NDC	Tobramycin 300 Mg/5ml In Nebu	47	29	$130,522.86	$52,209.15 60% off	$19,448.00	$117,471.00	$68,459.50	2024-12-15
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	32	18	$0.01	—	$43,690.00	$171,300.00	$68,313.50	2024-12-15
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	32	18	$0.01	—	$43,493.00	$170,518.00	$68,002.00	2024-12-15
28	MS_DRG	Spinal Procedures With Mcc	32	18	$0.01	—	$43,288.00	$169,703.00	$67,677.00	2024-12-15
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	32	18	$0.01	—	$42,981.00	$168,486.00	$67,192.00	2024-12-15
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	32	18	$0.01	—	$42,981.00	$168,486.00	$67,192.00	2024-12-15
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	32	18	$0.01	—	$42,664.00	$167,227.00	$66,689.50	2024-12-15
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	8	$0.01	—	$63,159.00	$75,790.00	$66,632.00	2024-12-15
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	18	$0.01	—	$42,373.00	$166,069.00	$66,227.50	2024-12-15
A9592	HCPCS	Copper Cu 64 Dotatate 1 Mci/ml IV Soln	47	29	$170,101.00	$68,040.40 60% off	$269.00	$153,091.00	$65,999.00	2024-12-15
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	32	18	$0.01	—	$41,915.00	$164,252.00	$65,502.50	2024-12-15
69344-102-33	NDC	Indomethacin 50 Mg Re Supp	47	29	$124,840.65	$49,936.26 60% off	$18,601.00	$112,357.00	$65,479.00	2024-12-15
67546-212-21	NDC	Nitazoxanide 100 Mg/5ml Po Susr Bulk	47	29	$123,786.22	$49,514.49 60% off	$18,444.00	$111,408.00	$64,926.00	2024-12-15
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	32	18	$0.01	—	$41,480.00	$162,524.00	$64,814.00	2024-12-15
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	8	$0.01	—	$60,831.00	$72,997.00	$64,176.50	2024-12-15
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	18	$0.01	—	$40,897.00	$160,210.00	$63,891.00	2024-12-15
0310-0283-60	NDC	Quetiapine Fumarate ER 300 Mg Po Tb24	47	29	$121,115.81	$48,446.32 60% off	$18,046.00	$109,004.00	$63,525.00	2024-12-15
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	32	18	$0.01	—	$40,656.00	$159,252.00	$63,509.00	2024-12-15
C1767	HCPCS	Stimulator Proclaim Elite 7 Rechrg-free Scs	1,014	33	$144,540.00	$57,816.00 60% off	$9,882.00	$308,619.00	$62,918.50	2024-12-15
C1827	HCPCS	Generator Imp Vivistim Vns Ipg 1001	102	33	$258,420.00	$103,368.00 60% off	$6,263.00	$232,578.00	$62,577.00	2024-12-15
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	10	8	$0.01	—	$59,311.00	$71,174.00	$62,573.50	2024-12-15
653	MS_DRG	Major Bladder Procedures With Mcc	32	18	$0.01	—	$39,738.00	$155,609.00	$62,056.50	2024-12-15
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	8	$0.01	—	$58,591.00	$70,309.00	$61,813.50	2024-12-15
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	32	18	$0.01	—	$39,406.00	$154,289.00	$61,529.50	2024-12-15
834	MS_DRG	Acute Leukemia With Mcc	32	18	$0.01	—	$39,406.00	$154,289.00	$61,529.50	2024-12-15
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	32	18	$0.01	—	$39,243.00	$153,641.00	$61,271.50	2024-12-15
C1882	HCPCS	Defibrillator Crdc Viva Xt Is1 Df1	2,300	33	$140,773.20	$56,309.28 60% off	$6.00	$256,947.00	$61,061.50	2024-12-15
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	32	18	$0.01	—	$39,007.00	$152,704.00	$60,897.50	2024-12-15
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	32	18	$0.01	—	$38,800.00	$151,883.00	$60,570.50	2024-12-15
37231	CPT	Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init	84	33	$121,550.61	$48,620.24 60% off	$7,047.00	$218,791.00	$60,484.00	2024-12-15
37227	CPT	Hc Revascularize Fem/pop Artery,angioplasty/stent/atherectomy	84	33	$121,550.61	$48,620.24 60% off	$7,047.00	$218,791.00	$60,484.00	2024-12-15
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	32	18	$0.01	—	$38,713.00	$151,537.00	$60,432.50	2024-12-15
C1816	HCPCS	System Stim Nerv Stimq-4 8 Elect Dl Transm Kt	140	33	$157,680.00	$63,072.00 60% off	$2,032.00	$161,622.00	$60,131.00	2024-12-15
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	32	18	$0.01	—	$38,518.00	$150,764.00	$60,123.50	2024-12-15
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	32	18	$0.01	—	$38,482.00	$150,621.00	$60,067.00	2024-12-15
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	32	18	$0.01	—	$38,478.00	$150,604.00	$60,060.50	2024-12-15
47335-625-60	NDC	Ranolazine ER 1000 Mg Po Pack	47	29	$114,142.20	$45,656.88 60% off	$17,007.00	$102,728.00	$59,867.50	2024-12-15
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	32	18	$0.01	—	$37,950.00	$148,508.00	$59,224.50	2024-12-15
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	18	$0.01	—	$37,785.00	$147,852.00	$58,962.50	2024-12-15
1612	APR_DRG	Implantable Heart Assist Systems	10	8	$0.01	—	$55,215.00	$66,258.00	$58,252.00	2024-12-15
J1324	HCPCS	Enfuvirtide 90 Mg Sc Solr	57	33	$110,361.49	$44,144.60 60% off	$16,444.00	$99,325.00	$57,884.50	2024-12-15
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	8	$0.01	—	$54,722.00	$65,666.00	$57,731.50	2024-12-15
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	32	18	$0.01	—	$36,754.00	$143,760.00	$57,330.50	2024-12-15
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	32	18	$0.01	—	$36,634.00	$143,283.00	$57,140.50	2024-12-15
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	32	18	$0.01	—	$36,364.00	$142,211.00	$56,713.00	2024-12-15
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	32	18	$0.01	—	$36,254.00	$141,775.00	$56,539.50	2024-12-15
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	32	18	$0.01	—	$35,959.00	$140,600.00	$56,071.00	2024-12-15
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	32	18	$0.01	—	$35,750.00	$139,771.00	$55,740.50	2024-12-15
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	32	18	$0.01	—	$35,722.00	$139,662.00	$55,697.00	2024-12-15
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	32	18	$0.01	—	$35,708.00	$139,606.00	$55,674.50	2024-12-15
1611	APR_DRG	Implantable Heart Assist Systems	10	8	$0.01	—	$52,607.00	$63,128.00	$55,500.00	2024-12-15
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	32	18	$0.01	—	$35,582.00	$139,104.00	$55,474.00	2024-12-15
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	8	$0.01	—	$52,325.00	$62,790.00	$55,203.50	2024-12-15
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	8	$0.01	—	$52,231.00	$62,678.00	$55,104.00	2024-12-15
J7674	HCPCS	Methacholine Chloride 100 Mg In Solr	47	29	$141,227.92	$56,491.17 60% off	$130.00	$127,105.00	$54,796.00	2024-12-15
64	APR_DRG	Pancreas Transplant	10	8	$0.01	—	$51,673.00	$62,007.00	$54,514.50	2024-12-15
245	MS_DRG	Aicd Generator Procedures	32	18	$0.01	—	$34,903.00	$136,410.00	$54,399.50	2024-12-15
471	MS_DRG	Cervical Spinal Fusion With Mcc	32	18	$0.01	—	$34,696.00	$135,587.00	$54,071.50	2024-12-15
6	MS_DRG	Liver Transplant Without Mcc	32	18	$0.01	—	$34,639.00	$135,361.00	$53,981.00	2024-12-15
C9047	HCPCS	Caplacizumab-yhdp 11 Mg Ij Kit	57	33	$172,393.35	$68,957.34 60% off	$768.00	$155,154.00	$53,787.00	2024-12-15
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	8	$0.01	—	$50,782.00	$60,938.00	$53,575.00	2024-12-15
0009-7667-01	NDC	Clindamycin Phosphate 100 Mg Va Supp	47	29	$101,997.33	$40,798.93 60% off	$15,198.00	$91,798.00	$53,498.00	2024-12-15
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	32	18	$0.01	—	$34,121.00	$133,303.00	$53,160.50	2024-12-15
0591-2720-60	NDC	Metformin Hcl ER (osm) 1000 Mg Po Tb24	47	29	$101,179.64	$40,471.86 60% off	$15,076.00	$91,062.00	$53,069.00	2024-12-15
799	MS_DRG	Splenic Procedures With Mcc	32	18	$0.01	—	$33,975.00	$132,725.00	$52,930.50	2024-12-15
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	32	18	$0.01	—	$33,969.00	$132,700.00	$52,920.00	2024-12-15
8514	APR_DRG	Gender Related Procedures	10	8	$0.01	—	$50,103.00	$60,123.00	$52,858.50	2024-12-15
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	8	$0.01	—	$49,700.00	$59,640.00	$52,433.50	2024-12-15
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	32	18	$0.01	—	$33,623.00	$131,327.00	$52,373.00	2024-12-15
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	32	18	$0.01	—	$33,446.00	$130,624.00	$52,092.00	2024-12-15
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	10	8	$0.01	—	$49,355.00	$59,226.00	$52,070.00	2024-12-15
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	32	18	$0.01	—	$33,252.00	$129,853.00	$51,785.00	2024-12-15
163	MS_DRG	Major Chest Procedures With Mcc	32	18	$0.01	—	$32,952.00	$128,661.00	$51,309.50	2024-12-15
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	32	18	$0.01	—	$32,938.00	$128,608.00	$51,288.50	2024-12-15
C1772	HCPCS	Pump Inf Synchromed Ii Ti 3.4x0.78x0.78in 20ml	102	33	$100,740.00	$40,296.00 60% off	$9,540.00	$90,666.00	$51,176.00	2024-12-15
61958-1003-1	NDC	Ranolazine ER 500 Mg Po Tb12	47	29	$97,502.76	$39,001.10 60% off	$14,528.00	$87,752.00	$51,140.00	2024-12-15
22	APR_DRG	Heart And/or Lung Transplant	10	8	$0.01	—	$48,472.00	$58,167.00	$51,138.50	2024-12-15
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	18	$0.01	—	$32,835.00	$128,198.00	$51,124.50	2024-12-15
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	32	18	$0.01	—	$32,830.00	$128,178.00	$51,117.00	2024-12-15
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	8	$0.01	—	$47,894.00	$57,473.00	$50,528.50	2024-12-15
36000000D2	CDM	Hc Or OB - Level 5 First 30 Minutes	47	29	$96,049.80	$38,419.92 60% off	$14,311.00	$86,445.00	$50,378.00	2024-12-15
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	32	18	$0.01	—	$32,266.00	$125,937.00	$50,223.00	2024-12-15
3600000028	CDM	Hc Or Card - Level 5 First 30 Minutes	47	29	$95,333.18	$38,133.27 60% off	$14,205.00	$85,800.00	$50,002.50	2024-12-15
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	32	18	$0.01	—	$32,077.00	$125,186.00	$49,924.00	2024-12-15
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	32	18	$0.01	—	$31,989.00	$124,840.00	$49,785.50	2024-12-15
901	MS_DRG	Wound Debridements For Injuries With Mcc	32	18	$0.01	—	$31,696.00	$123,673.00	$49,320.50	2024-12-15
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	10	8	$0.01	—	$46,657.00	$55,988.00	$49,222.50	2024-12-15
C1820	HCPCS	Stimulator Neurostim Primeadvanced Surescan	704	33	$114,580.80	$45,832.32 60% off	$960.00	$201,476.00	$49,189.00	2024-12-15
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	10	8	$0.01	—	$46,532.00	$55,838.00	$49,091.00	2024-12-15
64980-282-03	NDC	Mesalamine 1000 Mg Re Supp	47	29	$93,575.92	$37,430.37 60% off	$13,943.00	$84,218.00	$49,080.50	2024-12-15
59762-0118-3	NDC	Mesalamine 1000 Mg Re Supp	47	29	$93,575.92	$37,430.37 60% off	$13,943.00	$84,218.00	$49,080.50	2024-12-15
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	32	18	$0.01	—	$31,431.00	$122,621.00	$48,901.00	2024-12-15
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	32	18	$0.01	—	$30,967.00	$120,781.00	$48,167.00	2024-12-15
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	32	18	$0.01	—	$30,905.00	$120,533.00	$48,068.00	2024-12-15
C1833	HCPCS	Monitor Crdc The Guardian Amsg3-e	64	33	$94,607.50	$37,843.00 60% off	$10,407.00	$85,147.00	$48,060.50	2024-12-15
59676-565-01	NDC	Darunavir 100 Mg/ml Po Susp Bulk	47	29	$91,613.52	$36,645.41 60% off	$13,650.00	$82,452.00	$48,051.00	2024-12-15
C1721	HCPCS	Defibrillator Crdc Evera Xt Dr 2chb Is1 Df1	1,907	33	$115,036.32	$46,014.53 60% off	$10.00	$162,544.00	$47,795.00	2024-12-15
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	32	18	$0.01	—	$30,537.00	$119,073.00	$47,485.50	2024-12-15
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	32	18	$0.01	—	$30,493.00	$118,897.00	$47,415.50	2024-12-15
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	10	8	$0.01	—	$44,903.00	$53,883.00	$47,372.50	2024-12-15
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	8	$0.01	—	$44,820.00	$53,783.00	$47,285.00	2024-12-15
70710-1852-7	NDC	Indomethacin 50 Mg Re Supp	47	29	$90,055.60	$36,022.24 60% off	$13,418.00	$81,050.00	$47,234.00	2024-12-15
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	8	$0.01	—	$44,733.00	$53,680.00	$47,193.50	2024-12-15
140	MS_DRG	Major Head And Neck Procedures With Mcc	32	18	$0.01	—	$30,281.00	$118,054.00	$47,079.50	2024-12-15
21	APR_DRG	Heart And/or Lung Transplant	10	8	$0.01	—	$44,578.00	$53,493.00	$47,029.50	2024-12-15
31	MS_DRG	Ventricular Shunt Procedures With Mcc	32	18	$0.01	—	$30,009.00	$116,976.00	$46,650.00	2024-12-15
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	32	18	$0.01	—	$30,002.00	$116,948.00	$46,638.50	2024-12-15
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	32	18	$0.01	—	$29,799.00	$116,142.00	$46,317.00	2024-12-15
J2430	HCPCS	Pamidronate Disodium 90 Mg IV Solr	88	33	$98,788.36	$39,515.34 60% off	$356.00	$88,910.00	$46,084.50	2024-12-15
Q5127	HCPCS	Pegfilgrastim-fpgk 6 Mg/0.6ml Sc Sosy	57	33	$147,282.01	$58,912.80 60% off	$335.00	$132,554.00	$45,952.00	2024-12-15
54092-252-90	NDC	Lanthanum Carbonate 500 Mg Po Chew	47	29	$87,305.65	$34,922.26 60% off	$13,009.00	$78,575.00	$45,792.00	2024-12-15
54092-252-45	NDC	Lanthanum Carbonate 500 Mg Po Chew	47	29	$87,305.65	$34,922.26 60% off	$13,009.00	$78,575.00	$45,792.00	2024-12-15
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	32	18	$0.01	—	$29,457.00	$114,785.00	$45,775.50	2024-12-15
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	32	18	$0.01	—	$29,441.00	$114,721.00	$45,750.50	2024-12-15
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	32	18	$0.01	—	$29,398.00	$114,551.00	$45,682.50	2024-12-15
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	28	18	$0.01	—	$42,341.00	$151,842.00	$45,672.00	2024-12-15
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	32	18	$0.01	—	$29,256.00	$113,987.00	$45,457.50	2024-12-15
Q0138	HCPCS	Ferumoxytol 510 Mg/17ml IV Soln	57	33	$145,317.12	$58,126.85 60% off	$121.00	$130,785.00	$45,339.00	2024-12-15
54092-191-12	NDC	Mesalamine ER 500 Mg Po Cpcr	47	29	$86,378.64	$34,551.46 60% off	$12,870.00	$77,741.00	$45,305.50	2024-12-15
C1722	HCPCS	Defibrillator Crdc Evera Xt Vr 1chb Df1	1,850	33	$109,500.00	$43,800.00 60% off	$4,712.00	$175,813.00	$45,293.00	2024-12-15
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	32	18	$0.01	—	$29,143.00	$113,537.00	$45,278.00	2024-12-15
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	10	8	$0.01	—	$42,599.00	$51,119.00	$44,942.00	2024-12-15
50474-598-66	NDC	Levetiracetam ER 500 Mg Po Tb24	47	29	$84,742.74	$33,897.10 60% off	$12,627.00	$76,268.00	$44,447.50	2024-12-15
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	32	18	$0.01	—	$28,555.00	$111,201.00	$44,346.50	2024-12-15
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	32	18	$0.01	—	$28,535.00	$111,123.00	$44,315.50	2024-12-15
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	32	18	$0.01	—	$28,288.00	$110,140.00	$43,923.50	2024-12-15
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	8	$0.01	—	$41,561.00	$49,873.00	$43,846.50	2024-12-15
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	32	18	$0.01	—	$28,231.00	$109,914.00	$43,833.50	2024-12-15
55566-2800-1	NDC	Dinoprostone 10 Mg Va Inst	47	29	$83,432.66	$33,373.06 60% off	$12,431.00	$75,089.00	$43,760.00	2024-12-15
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6ml Sc Pskt	57	33	$140,217.56	$56,087.02 60% off	$55.00	$126,196.00	$43,748.00	2024-12-15
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	32	18	$0.01	—	$28,174.00	$109,691.00	$43,744.50	2024-12-15
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	32	18	$0.01	—	$28,052.00	$109,205.00	$43,551.00	2024-12-15
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	32	18	$0.01	—	$28,039.00	$109,152.00	$43,529.50	2024-12-15
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	32	18	$0.01	—	$27,887.00	$108,549.00	$43,289.00	2024-12-15
54092-254-90	NDC	Lanthanum Carbonate 1000 Mg Po Chew	47	29	$82,125.30	$32,850.12 60% off	$12,237.00	$73,913.00	$43,075.00	2024-12-15
54092-253-90	NDC	Lanthanum Carbonate 750 Mg Po Chew	47	29	$82,125.30	$32,850.12 60% off	$12,237.00	$73,913.00	$43,075.00	2024-12-15
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	32	18	$0.01	—	$27,720.00	$107,888.00	$43,025.00	2024-12-15
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	32	18	$0.01	—	$27,693.00	$107,779.00	$42,981.50	2024-12-15
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	32	18	$0.01	—	$27,617.00	$107,477.00	$42,861.50	2024-12-15
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	10	8	$0.01	—	$40,490.00	$48,589.00	$42,717.50	2024-12-15
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	32	18	$0.01	—	$27,421.00	$106,698.00	$42,551.00	2024-12-15
67457-187-50	NDC	Allopurinol Sodium 500 Mg IV Solr	47	29	$80,978.15	$32,391.26 60% off	$12,066.00	$72,880.00	$42,473.00	2024-12-15
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	32	18	$0.01	—	$27,275.00	$106,121.00	$42,320.50	2024-12-15
84	APR_DRG	Autologous Bone Marrow Transplant	10	8	$0.01	—	$40,033.00	$48,039.00	$42,234.50	2024-12-15
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	32	18	$0.01	—	$27,067.00	$105,294.00	$41,991.00	2024-12-15
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	32	18	$0.01	—	$26,856.00	$104,454.00	$41,656.00	2024-12-15
73	APR_DRG	Allogeneic Bone Marrow Transplant	10	8	$0.01	—	$39,475.00	$47,370.00	$41,646.00	2024-12-15
0085-1328-01	NDC	Posaconazole 40 Mg/ml Po Susp Bulk	47	29	$77,971.67	$31,188.67 60% off	$11,618.00	$70,175.00	$40,896.50	2024-12-15
J0571	HCPCS	Buprenorphine Hcl 300 Mcg Bu Film	57	33	$77,825.22	$31,130.09 60% off	$11,596.00	$70,043.00	$40,819.50	2024-12-15
63304-089-13	NDC	Mesalamine ER 500 Mg Po Cpcr	47	29	$77,762.90	$31,105.16 60% off	$11,587.00	$69,987.00	$40,787.00	2024-12-15
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	32	18	$0.01	—	$26,200.00	$101,850.00	$40,617.50	2024-12-15
Q5111	HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6ml Sc Soaj	88	33	$116,045.06	$46,418.03 60% off	$166.00	$104,441.00	$40,544.50	2024-12-15
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	32	18	$0.01	—	$26,022.00	$101,144.00	$40,336.00	2024-12-15
13811-715-30	NDC	Venlafaxine Hcl ER 225 Mg Po Tb24	47	29	$76,289.81	$30,515.92 60% off	$11,367.00	$68,661.00	$40,014.00	2024-12-15
4404	APR_DRG	Kidney Transplant	10	8	$0.01	—	$37,839.00	$45,407.00	$39,920.50	2024-12-15
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	32	18	$0.01	—	$25,751.00	$100,066.00	$39,906.00	2024-12-15
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	32	18	$0.01	—	$25,749.00	$100,061.00	$39,903.50	2024-12-15
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	32	18	$0.01	—	$25,745.00	$100,044.00	$39,897.50	2024-12-15
265	MS_DRG	Aicd Lead Procedures	32	18	$0.01	—	$25,627.00	$99,575.00	$39,710.00	2024-12-15
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	32	18	$0.01	—	$25,514.00	$99,128.00	$39,532.00	2024-12-15
8634	APR_DRG	Neonatal Aftercare	10	8	$0.01	—	$37,397.00	$44,877.00	$39,454.00	2024-12-15
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	32	18	$0.01	—	$25,368.00	$98,548.00	$39,300.50	2024-12-15
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	32	18	$0.01	—	$25,362.00	$98,522.00	$39,290.50	2024-12-15
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	32	18	$0.01	—	$25,299.00	$98,274.00	$39,191.00	2024-12-15
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	32	18	$0.01	—	$25,181.00	$97,805.00	$39,004.50	2024-12-15
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	32	18	$0.01	—	$25,173.00	$97,774.00	$38,992.50	2024-12-15
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	32	18	$0.01	—	$25,164.00	$97,735.00	$38,976.50	2024-12-15
264	MS_DRG	Other Circulatory System O.r. Procedures	32	18	$0.01	—	$25,120.00	$97,562.00	$38,907.50	2024-12-15
63	APR_DRG	Pancreas Transplant	10	8	$0.01	—	$36,709.00	$44,050.00	$38,727.50	2024-12-15
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	32	18	$0.01	—	$24,961.00	$96,931.00	$38,656.00	2024-12-15
37225	CPT	Hc Revascularize Fem/pop Artery,angioplasty/atherectomy	84	33	$77,534.99	$31,014.00 60% off	$7,047.00	$139,563.00	$38,634.50	2024-12-15
332	MS_DRG	Rectal Resection With Mcc	32	18	$0.01	—	$24,934.00	$96,825.00	$38,614.00	2024-12-15
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	10	8	$0.01	—	$36,564.00	$43,877.00	$38,575.00	2024-12-15
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	32	18	$0.01	—	$24,908.00	$96,719.00	$38,571.00	2024-12-15
L8614	HCPCS	Electrode Hires Ultra 3d Ci Hifocus Slimj Cochlear	476	33	$123,739.69	$49,495.88 60% off	$259.00	$174,447.00	$38,565.50	2024-12-15
68180-354-07	NDC	Ranolazine ER 500 Mg Po Tb12	47	29	$73,260.28	$29,304.11 60% off	$10,916.00	$65,934.00	$38,425.00	2024-12-15
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	10	8	$0.01	—	$36,393.00	$43,672.00	$38,395.00	2024-12-15
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	32	18	$0.01	—	$24,764.00	$96,147.00	$38,343.00	2024-12-15
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	32	18	$0.01	—	$24,726.00	$95,996.00	$38,282.50	2024-12-15
665	MS_DRG	Prostatectomy With Mcc	32	18	$0.01	—	$24,688.00	$95,846.00	$38,222.50	2024-12-15
252	MS_DRG	Other Vascular Procedures With Mcc	32	18	$0.01	—	$24,665.00	$95,756.00	$38,187.50	2024-12-15
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	32	18	$0.01	—	$24,629.00	$95,611.00	$38,129.50	2024-12-15
55111-284-48	NDC	Fluoxetine Hcl 90 Mg Po Cpdr	47	29	$72,603.43	$29,041.37 60% off	$10,818.00	$65,343.00	$38,080.50	2024-12-15
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	32	18	$0.01	—	$24,495.00	$95,081.00	$37,918.00	2024-12-15
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	32	18	$0.01	—	$24,395.00	$94,684.00	$37,759.50	2024-12-15
37230	CPT	Hc Revascularize Tibial/peron Artery,angioplasty/stent Initial	84	33	$73,062.21	$29,224.88 60% off	$7,047.00	$131,512.00	$37,475.50	2024-12-15
37229	CPT	Hc Revascularize Tibial/peron Artery,angioplasty/atherectomy Initial	84	33	$73,061.74	$29,224.70 60% off	$7,047.00	$131,511.00	$37,475.50	2024-12-15
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	32	18	$0.01	—	$24,147.00	$93,699.00	$37,366.50	2024-12-15
37233	CPT	Hc Revascularize Tibial/peron Artery,angioplasty/atherectomy Ea Add	84	33	$73,061.74	$29,224.70 60% off	$7,047.00	$131,511.00	$37,131.25	2024-12-15

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