Price Transparencybeta Hospital negotiated rates

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

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Hospital

ADVENTHEALTH OCALA

Ocala, FL · CCN 100062 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $14,212 across 7 payers · range $13,407-$29,764

Source: https://hospitalpricedisclosure.com/download.aspx?pi=FCYVM3GwKb5jEUXrhemJLg*-* · observed 2026-04-01

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

22,693 distinct procedures filed
48 distinct payers
1,311,737 rate rows
2026-04-01 last MRF observed
Data quality

1,285,877 of 1,311,737 rate rows are consumer-grade (98.0%)

25,860 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 21,095
exceeds 10× this hospital's gross charge — excluded from medians 2,892
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
template filing: same amount across many unrelated codes — excluded 604
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 248
per-diem day rate — not a per-procedure price 132
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=FCYVM3GwKb5jEUXrhemJLg*-*
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 6c2d9992badf6e13… · 24,593,331 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
$610,161
2.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 33 $24,610.00 $3,391,378.00 $1,175,678.00 nat. median
$624,417
1.9× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 33 $24,610.00 $2,970,972.00 $1,086,055.00 nat. median
$691,418
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 32 $265,664.00 $1,239,000.90 $520,663.00 nat. median
$370,165
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 32 $198,568.00 $804,061.74 $380,319.18 nat. median
$261,939
1.5× 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
$45,242
outlier · 7.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 $165,628.46 $662,198.00 $301,325.62 nat. median
$205,166
1.5× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 29 $10.00 $693,347.00 $298,910.00 nat. median
$1,032
outlier · 289.6×
63323-877-15
NDC 		Pentamidine Isethionate 300 Mg In Solr 29 $80,139.00 $484,063.00 $282,101.00 nat. median
$64,153
outlier · 4.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 $151,210.00 $608,993.44 $281,761.00 nat. median
$199,832
1.4× 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×
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 · 148256.6×
5834
APR_DRG 		Neonate With Ecmo 8 $205,319.00 $246,383.00 $216,611.50 nat. median
$311,018
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
$92,261
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×
68382-395-04
NDC 		Ribavirin 6 G In Solr 29 $56,762.00 $342,855.00 $199,808.50 nat. median
$88,073
outlier · 2.3×
68382-395-01
NDC 		Ribavirin 6 G In Solr 29 $56,762.00 $342,855.00 $199,808.50 nat. median
$88,073
outlier · 2.3×
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 29 $54,597.00 $329,783.00 $192,190.00 nat. median
$85,763
outlier · 2.2×
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×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 $99,881.00 $397,424.37 $189,358.07 nat. median
$132,706
1.4× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 29 $615.00 $427,589.00 $184,338.00 nat. median
$896
outlier · 205.6×
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 29 $84.00 $414,100.00 $178,523.00 nat. median
$741
outlier · 240.8×
7
MS_DRG 		Lung Transplant 32 $92,421.00 $371,567.14 $176,095.35 nat. median
$122,690
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 32 $92,653.00 $365,724.00 $167,977.84 nat. median
$114,305
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $88,238.90 $324,759.01 $159,996.90 nat. median
$96,134
1.7× 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×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 $78,017.00 $325,132.01 $151,324.27 nat. median
$108,240
1.4× median
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×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $128,401.69 $254,251.29 $150,200.73 nat. median
$83,623
1.8× median
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 29 $60.00 $348,013.00 $150,032.00 nat. median
$4,658
outlier · 32.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 32 $77,132.00 $311,999.68 $147,334.48 nat. median
$100,978
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $74,190.00 $316,220.27 $144,623.00 nat. median
$96,835
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 32 $75,413.00 $297,267.00 $141,825.50 nat. median
$99,646
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $133,948.00 $160,737.00 $141,315.00 nat. median
$254,667
0.6× median
5833
APR_DRG 		Neonate With Ecmo 8 $133,012.00 $159,615.00 $140,328.00 nat. median
$250,089
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 32 $75,030.00 $322,409.00 $140,128.26 nat. median
$98,002
1.4× median
J2326
HCPCS 		Nusinersen 12 Mg/5ml It Soln 33 $1,211.00 $402,548.00 $139,550.00 nat. median
$2,353
outlier · 59.3×
J1950
HCPCS 		Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 33 $614.00 $400,939.00 $138,992.00 nat. median
$3,885
outlier · 35.8×
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×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 $68,396.00 $280,688.10 $136,505.39 nat. median
$92,900
1.5× median
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 33 $26,981.00 $232,596.00 $131,287.50 nat. median
$53,130
outlier · 2.5×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $110,944.13 $219,683.17 $129,779.37 nat. median
$58,534
outlier · 2.2×
J7311
HCPCS 		Fluocinolone Acetonide 0.59 Mg Iz Impl 33 $316.00 $372,440.00 $129,112.00 nat. median
$440
outlier · 293.1×
24
APR_DRG 		Heart And/or Lung Transplant 8 $118,623.00 $142,347.00 $125,147.00 nat. median
$243,231
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
$1,956
outlier · 62.9×
J3357
HCPCS 		Ustekinumab 45 Mg/0.5ml Sc Sosy 33 $158.00 $348,641.00 $120,862.00 nat. median
$12,959
outlier · 9.3×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $102,722.51 $203,403.33 $120,161.94 nat. median
$51,048
outlier · 2.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 32 $65,308.00 $257,141.00 $119,550.29 nat. median
$81,364
1.5× median

Other procedures at this hospital

Browse this hospital's 22,693 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 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 68 32 $0.01 — $265,664.00 $1,239,000.90 $520,663.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 68 32 $0.01 — $198,568.00 $804,061.74 $380,319.18 2026-04-01
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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 68 32 $0.01 — $165,628.46 $662,198.00 $301,325.62 2026-04-01
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
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 70 32 $0.01 — $151,210.00 $608,993.44 $281,761.00 2026-04-01
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
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
58468-0132-1 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
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
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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 68 32 $0.01 — $99,881.00 $397,424.37 $189,358.07 2026-04-01
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
7 MS_DRG Lung Transplant 68 32 $0.01 — $92,421.00 $371,567.14 $176,095.35 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 68 32 $0.01 — $92,653.00 $365,724.00 $167,977.84 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 36 16 — — $88,238.90 $324,759.01 $159,996.90 2026-04-01
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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 68 32 $0.01 — $78,017.00 $325,132.01 $151,324.27 2026-04-01
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
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 13 4 — — $128,401.69 $254,251.29 $150,200.73 2026-04-01
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 68 32 $0.01 — $77,132.00 $311,999.68 $147,334.48 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 32 $0.01 — $74,190.00 $316,220.27 $144,623.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 68 32 $0.01 — $75,413.00 $297,267.00 $141,825.50 2026-04-01
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
215 MS_DRG Other Heart Assist System Implant 74 32 $0.01 — $75,030.00 $322,409.00 $140,128.26 2026-04-01
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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 32 $0.01 — $68,396.00 $280,688.10 $136,505.39 2026-04-01
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
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 13 4 — — $110,944.13 $219,683.17 $129,779.37 2026-04-01
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
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
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 13 4 — — $102,722.51 $203,403.33 $120,161.94 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 68 32 $0.01 — $65,308.00 $257,141.00 $119,550.29 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 72 32 $0.01 — $60,087.00 $241,110.35 $117,464.63 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 73 32 $0.01 — $60,120.00 $241,870.69 $116,172.45 2026-04-01
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
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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 68 32 $0.01 — $59,183.00 $258,503.44 $115,150.50 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 13 4 — — $96,102.03 $190,293.95 $112,417.49 2026-04-01
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
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 13 4 — — $92,749.04 $183,654.62 $108,495.26 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 68 32 $0.01 — $57,218.00 $225,771.61 $107,797.96 2026-04-01
5832 APR_DRG Neonate With Ecmo 10 8 $0.01 — $102,129.00 $122,555.00 $107,746.50 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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 75 32 $0.01 — $9,476.10 $220,305.78 $105,814.65 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 75 32 $0.01 — $55,498.00 $219,356.08 $105,358.50 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 18 5 — — $44,109.15 $175,488.88 $103,671.29 2026-04-01
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
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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 68 32 $0.01 — $53,022.00 $218,630.17 $102,115.92 2026-04-01
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
10 MS_DRG Pancreas Transplant 68 32 $0.01 — $56,276.95 $222,558.00 $101,272.66 2026-04-01
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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 68 32 $0.01 — $55,959.88 $221,283.00 $100,692.46 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 32 $0.01 — $50,481.00 $207,116.07 $96,947.76 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 68 32 $0.01 — $50,230.00 $204,585.44 $96,103.02 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 72 32 $0.01 — $47,422.00 $197,340.71 $95,128.67 2026-04-01
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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 68 32 $0.01 — $49,453.00 $198,313.37 $93,862.26 2026-04-01
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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 68 32 $0.01 — $47,501.00 $205,799.11 $92,209.00 2026-04-01
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 68 32 $0.01 — $48,552.00 $193,128.72 $91,765.14 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 32 $0.01 — $45,948.00 $188,658.51 $91,542.61 2026-04-01
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
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 68 32 $0.01 — $47,683.00 $191,708.47 $90,602.57 2026-04-01
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
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
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
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 13 4 — — $75,618.96 $149,734.94 $88,456.97 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 68 32 $0.01 — $46,013.00 $184,624.41 $87,322.30 2026-04-01
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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 73 32 $0.01 — $42,664.00 $175,836.05 $85,782.00 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 13 4 — — $73,286.07 $145,115.53 $85,728.02 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 72 32 $0.01 — $43,493.00 $173,948.12 $85,509.35 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 68 32 $0.01 — $44,039.00 $191,849.06 $85,409.50 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $80,769.00 $96,923.00 $85,212.00 2024-12-15
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 13 4 — — $72,749.94 $144,053.92 $85,100.87 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 68 32 $0.01 — $43,841.00 $187,972.77 $85,020.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 72 32 $0.01 — $44,096.00 $172,910.00 $84,906.29 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 $0.01 — $80,365.00 $96,438.00 $84,785.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 68 32 $0.01 — $45,009.00 $176,537.00 $84,213.32 2026-04-01
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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 72 32 $0.01 — $40,897.00 $171,093.27 $82,179.74 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 32 $0.01 — $42,373.00 $188,658.51 $82,136.00 2026-04-01
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
28 MS_DRG Spinal Procedures With Mcc 68 32 $0.01 — $43,288.00 $172,390.14 $81,807.69 2026-04-01
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 68 32 $0.01 — $42,981.00 $170,134.95 $80,976.10 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 75 32 $0.01 — $41,915.00 $206,544.40 $80,875.18 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 36 16 — — $44,945.89 $163,742.37 $80,669.88 2026-04-01
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
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 72 32 $0.01 — $43,527.19 $171,300.00 $80,354.12 2026-04-01
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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 68 32 $0.01 — $41,480.00 $168,272.84 $79,109.40 2026-04-01
5831 APR_DRG Neonate With Ecmo 10 8 $0.01 — $74,234.00 $89,081.00 $78,317.00 2024-12-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 15 5 — — $22,297.83 $132,143.88 $78,064.92 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 68 32 $0.01 — $40,656.00 $164,413.77 $77,403.63 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 8 $0.01 — $72,982.00 $87,578.00 $76,996.00 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 68 32 $0.01 — $42,827.49 $168,486.00 $76,667.76 2026-04-01
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
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
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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 72 32 $0.01 — $37,950.00 $156,735.79 $75,730.74 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 68 32 $0.01 — $39,007.00 $165,469.63 $75,525.50 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 32 $0.01 — $39,243.00 $161,306.42 $75,321.39 2026-04-01
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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 68 32 $0.01 — $38,800.00 $160,807.18 $74,782.99 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 72 32 $0.01 — $37,785.00 $153,008.70 $74,667.16 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 32 $0.01 — $38,518.00 $163,530.05 $74,566.00 2026-04-01
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 68 32 $0.01 — $38,713.00 $156,959.59 $73,776.48 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 69 32 $0.01 — $39,406.00 $157,516.21 $73,474.00 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 68 32 $0.01 — $38,482.00 $156,489.04 $73,445.48 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 74 32 $0.01 — $36,634.00 $151,387.60 $73,105.85 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 68 32 $0.01 — $39,406.00 $154,289.00 $72,953.86 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $68,785.00 $82,542.00 $72,568.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 72 32 $0.01 — $36,364.00 $149,353.34 $72,342.81 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 68 32 $0.01 — $39,738.00 $155,609.00 $72,043.29 2026-04-01
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
5691 OTHER Level 1 Drug Administration 2 2 — — $6,307.54 $136,410.65 $71,359.10 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 68 32 $0.01 — $36,754.00 $152,916.88 $70,953.61 2026-04-01
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
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 72 32 $0.01 — $35,722.00 $159,705.41 $69,075.50 2026-04-01
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
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 68 32 $0.01 — $38,478.00 $150,604.00 $68,843.72 2026-04-01
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 75 32 $0.01 — $35,582.00 $189,301.88 $68,180.12 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 68 32 $0.01 — $36,254.00 $143,098.48 $68,123.18 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 72 32 $0.01 — $34,696.00 $138,545.06 $68,048.15 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 69 32 $0.01 — $9,164.77 $141,213.42 $66,956.00 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $63,159.00 $75,790.00 $66,632.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 68 32 $0.01 — $35,750.00 $139,771.00 $66,208.06 2026-04-01
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
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 74 32 $0.01 — $33,623.00 $136,596.87 $65,608.58 2026-04-01
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 72 32 $0.01 — $33,252.00 $132,514.00 $65,129.28 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 73 32 $0.01 — $11,786.28 $141,698.31 $65,022.00 2026-04-01
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
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
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 68 32 $0.01 — $34,121.00 $134,215.44 $63,972.88 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 68 32 $0.01 — $34,639.00 $135,361.00 $63,902.50 2026-04-01
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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 68 32 $0.01 — $32,835.00 $144,613.42 $63,405.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 68 32 $0.01 — $32,938.00 $134,892.57 $63,017.49 2026-04-01
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
245 MS_DRG Aicd Generator Procedures 70 32 $0.01 — $33,626.94 $136,410.00 $62,874.43 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 68 32 $0.01 — $33,446.00 $131,547.08 $62,694.07 2026-04-01
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
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 70 32 $0.01 — $33,969.00 $134,617.13 $62,499.50 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 69 32 $0.01 — $593.96 $132,725.00 $62,412.77 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 13 4 — — $53,002.97 $104,952.47 $62,001.41 2026-04-01
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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 68 32 $0.01 — $32,266.00 $130,511.30 $61,329.32 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 71 32 $0.01 — $454.00 $141,798.35 $61,270.00 2026-04-01
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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 68 32 $0.01 — $31,989.00 $130,453.92 $61,054.04 2026-04-01
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
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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 72 32 $0.01 — $31,431.00 $128,049.53 $59,948.11 2026-04-01
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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 73 32 $0.01 — $32,830.00 $131,882.78 $59,699.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 68 32 $0.01 — $32,077.00 $125,186.00 $59,160.45 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 72 32 $0.01 — $29,799.00 $121,172.05 $58,877.96 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 68 32 $0.01 — $30,537.00 $126,038.22 $58,620.59 2026-04-01
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 68 32 $0.01 — $30,009.00 $128,554.51 $57,855.50 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 68 32 $0.01 — $31,696.00 $123,673.00 $57,833.34 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 2 2 — — $45,991.62 $69,634.46 $57,813.04 2026-04-01
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 77 32 $0.01 — $1,050.00 $151,557.00 $57,725.85 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 68 32 $0.01 — $30,281.00 $122,379.99 $57,499.55 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 72 32 $0.01 — $30,905.00 $120,533.00 $57,450.80 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 68 32 $0.01 — $30,002.00 $120,552.31 $56,797.12 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 69 32 $0.01 — $30,493.00 $124,161.76 $56,620.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 68 32 $0.01 — $29,256.00 $121,677.03 $56,362.23 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 68 32 $0.01 — $29,441.00 $120,905.22 $56,351.88 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 68 32 $0.01 — $29,398.00 $120,965.47 $56,325.35 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 77 32 $0.01 — $28,039.00 $143,285.33 $55,992.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 68 32 $0.01 — $29,143.00 $119,157.88 $55,650.24 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $52,607.00 $63,128.00 $55,500.00 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 65 32 $0.01 — $9,860.55 $170,530.90 $55,067.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 68 32 $0.01 — $30,961.81 $120,781.00 $54,959.99 2026-04-01
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
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
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 68 32 $0.01 — $28,052.00 $115,356.19 $53,705.76 2026-04-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 $0.01 — $50,782.00 $60,938.00 $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
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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 68 32 $0.01 — $28,555.00 $111,201.00 $52,909.39 2026-04-01
8514 APR_DRG Gender Related Procedures 10 8 $0.01 — $50,103.00 $60,123.00 $52,858.50 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 68 32 $0.01 — $28,174.00 $110,891.71 $52,749.10 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 68 32 $0.01 — $27,887.00 $111,058.12 $52,517.06 2026-04-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 $0.01 — $49,700.00 $59,640.00 $52,433.50 2024-12-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 8 $0.01 — $49,355.00 $59,226.00 $52,070.00 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 68 32 $0.01 — $27,067.00 $110,785.55 $51,677.10 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 68 32 $0.01 — $28,288.00 $110,140.00 $51,359.03 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 68 32 $0.01 — $27,421.00 $107,968.00 $51,334.45 2026-04-01
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
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 13 4 — — $43,612.00 $86,357.18 $51,016.11 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 13 4 — — $43,403.35 $85,944.02 $50,772.03 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 70 32 $0.01 — $13,899.47 $107,477.00 $50,620.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 68 32 $0.01 — $27,693.00 $107,779.00 $50,618.99 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 75 32 $0.01 — $25,514.00 $341,703.57 $50,598.32 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 68 32 $0.01 — $28,535.00 $111,123.00 $50,565.29 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 69 32 $0.01 — $27,275.00 $112,240.23 $50,536.00 2026-04-01
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
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 68 32 $0.01 — $28,231.00 $109,914.00 $50,226.59 2026-04-01
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
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 68 32 $0.01 — $25,751.00 $114,311.80 $49,492.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 72 32 $0.01 — $25,745.00 $107,230.61 $49,480.50 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 8 $0.01 — $46,657.00 $55,988.00 $49,222.50 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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 74 32 $0.01 — $24,764.00 $102,037.36 $49,164.68 2026-04-01
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
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
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
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 68 32 $0.01 — $26,856.00 $104,454.00 $49,049.34 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 68 32 $0.01 — $25,749.00 $103,629.77 $48,712.11 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 68 32 $0.01 — $26,022.00 $102,456.26 $48,688.29 2026-04-01
265 MS_DRG Aicd Lead Procedures 68 32 $0.01 — $25,627.00 $103,813.39 $48,640.71 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 36 16 — — $27,447.08 $98,660.31 $48,606.33 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 74 32 $0.01 — $24,665.00 $100,086.30 $48,596.13 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 68 32 $0.01 — $26,200.00 $101,850.00 $48,500.85 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 68 32 $0.01 — $25,299.00 $104,028.58 $48,382.38 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 72 32 $0.01 — $24,629.00 $101,185.21 $48,374.54 2026-04-01
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
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 69 32 $0.01 — $7,726.79 $107,888.00 $48,059.86 2026-04-01
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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 68 32 $0.01 — $24,961.00 $106,326.81 $47,941.50 2026-04-01
332 MS_DRG Rectal Resection With Mcc 68 32 $0.01 — $24,934.00 $103,885.12 $47,888.50 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 68 32 $0.01 — $25,164.00 $102,304.20 $47,840.26 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 68 32 $0.01 — $25,181.00 $102,218.12 $47,836.10 2026-04-01
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
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
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 69 32 $0.01 — $25,173.00 $98,367.65 $47,246.78 2026-04-01
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
21 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $44,578.00 $53,493.00 $47,029.50 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 68 32 $0.01 — $24,908.00 $99,601.41 $46,949.18 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 68 32 $0.01 — $25,362.00 $98,522.00 $46,935.62 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 68 32 $0.01 — $24,726.00 $99,119.38 $46,661.42 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 72 32 $0.01 — $24,495.00 $101,882.97 $46,206.04 2026-04-01
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
264 MS_DRG Other Circulatory System O.r. Procedures 71 32 $0.01 — $25,120.00 $140,224.81 $46,036.81 2026-04-01
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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 72 32 $0.01 — $24,395.00 $94,684.00 $45,676.83 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 68 32 $0.01 — $23,762.00 $107,497.45 $45,586.00 2026-04-01
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
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 13 4 — — $38,492.69 $76,220.30 $45,027.68 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 8 $0.01 — $42,599.00 $51,119.00 $44,942.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 68 32 $0.01 — $25,368.00 $98,548.00 $44,843.38 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 68 32 $0.01 — $23,895.00 $94,456.93 $44,756.71 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 69 32 $0.01 — $9,704.71 $97,885.63 $44,621.00 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 1 1 — — $44,502.67 $44,502.67 $44,502.67 2026-04-01
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
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 72 32 $0.01 — $23,076.00 $103,474.83 $44,240.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 68 32 $0.01 — $23,463.00 $92,919.04 $43,978.38 2026-04-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $41,561.00 $49,873.00 $43,846.50 2024-12-15
665 MS_DRG Prostatectomy With Mcc 68 32 $0.01 — $24,688.00 $95,846.00 $43,826.63 2026-04-01
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
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