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

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Hospital

ADVENTHEALTH DAYTONA BEACH

Daytona Beach, FL · CCN 100068 · Rates published

22,790 distinct procedures filed
58 distinct payers
1,498,400 rate rows
2026-04-01 last MRF observed
Data quality

1,467,896 of 1,498,400 rate rows are consumer-grade (98.0%)

30,504 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 22,358
exceeds 10× this hospital's gross charge — excluded from medians 6,136
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 655
per-diem day rate — not a per-procedure price 321
template filing: same amount across many unrelated codes — excluded 145
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.adventhealth.com/sites/default/files/CDM/2025/590973502_AdventHealth-Daytona_standardcharges.json
Found on page https://www.adventhealth.com/pricelist
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint 4f1b4513c30feee3… · 3,279,738,906 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 39 $24,610.00 $1,610,358.00 $730,834.00 nat. median
$610,161
1.2× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 39 $24,610.00 $1,575,052.00 $693,373.00 nat. median
$624,417
1.1× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 39 $24,610.00 $1,387,149.00 $626,202.00 nat. median
$691,418
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 38 $273,588.00 $2,904,561.49 $557,169.00 nat. median
$370,165
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 38 $204,472.00 $1,884,943.56 $409,597.32 nat. median
$261,939
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 38 $162,007.05 $1,556,477.00 $312,058.91 nat. median
$205,166
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 $155,688.00 $1,427,649.40 $298,540.85 nat. median
$199,832
1.5× median
5834
APR_DRG 		Neonate With Ecmo 7 $205,319.00 $246,383.00 $217,638.00 nat. median
$311,018
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 $49,005.41 $931,672.87 $195,235.76 nat. median
$132,706
1.5× median
7
MS_DRG 		Lung Transplant 38 $95,129.00 $871,056.35 $189,280.12 nat. median
$122,690
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 38 $91,470.05 $859,622.00 $175,653.63 nat. median
$114,305
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 18 $86,186.16 $761,325.13 $165,435.58 nat. median
$96,134
1.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $129,518.22 $596,035.49 $164,370.11 nat. median
$83,623
2.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 $80,291.00 $762,199.53 $161,853.00 nat. median
$108,240
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 38 $79,380.00 $731,413.71 $158,935.85 nat. median
$100,978
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 $76,349.00 $741,307.95 $154,764.00 nat. median
$96,835
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 38 $77,609.00 $698,718.00 $150,698.27 nat. median
$99,646
1.5× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $111,908.87 $514,998.23 $142,022.27 nat. median
$58,534
outlier · 2.4×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $133,948.00 $160,737.00 $141,985.00 nat. median
$254,667
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 $70,380.00 $658,010.69 $141,813.00 nat. median
$92,900
1.5× median
5833
APR_DRG 		Neonate With Ecmo 7 $133,012.00 $159,615.00 $140,993.00 nat. median
$250,089
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 38 $75,893.50 $695,135.00 $140,676.19 nat. median
$98,002
1.4× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $103,615.75 $476,833.77 $131,497.57 nat. median
$51,048
outlier · 2.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 38 $66,086.83 $604,402.00 $126,567.25 nat. median
$81,364
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $118,623.00 $142,347.00 $125,740.00 nat. median
$243,231
0.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 38 $60,890.00 $606,003.72 $123,224.00 nat. median
$81,124
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 38 $61,856.00 $567,011.93 $123,211.42 nat. median
$79,040
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $96,937.70 $446,101.76 $123,022.53 nat. median
$62,767
2.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 $61,822.00 $565,229.49 $122,824.09 nat. median
$80,459
1.5× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $93,555.55 $430,537.34 $118,730.29 nat. median
$46,826
outlier · 2.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 $58,866.00 $529,271.23 $115,010.38 nat. median
$77,385
1.5× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 7 $18,416.29 $411,394.57 $112,188.24 nat. median
$57,648
1.9× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 35 $10.00 $218,570.00 $111,714.00 nat. median
$1,032
outlier · 108.2×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $104,305.00 $125,166.00 $110,564.00 nat. median
$119,243
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 $54,544.00 $512,529.71 $109,790.00 nat. median
$71,485
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 $56,523.00 $516,457.81 $108,752.18 nat. median
$74,472
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 $55,434.00 $514,231.44 $108,288.46 nat. median
$73,475
1.5× median
5832
APR_DRG 		Neonate With Ecmo 7 $102,129.00 $122,555.00 $108,257.00 nat. median
$169,230
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $101,659.00 $121,991.00 $107,759.00 nat. median
$209,486
0.5× median
10
MS_DRG 		Pancreas Transplant 38 $54,872.08 $523,117.00 $104,880.03 nat. median
$67,750
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 $51,926.00 $485,537.47 $104,497.00 nat. median
$66,640
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 38 $54,561.44 $520,118.00 $104,279.31 nat. median
$69,153
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 $51,668.00 $479,604.96 $103,974.00 nat. median
$68,581
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $97,710.00 $117,252.00 $103,573.00 nat. median
$160,171
0.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $96,372.00 $115,646.00 $101,190.00 nat. median
$165,646
0.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 38 $50,867.00 $464,901.49 $99,518.29 nat. median
$65,958
1.5× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 38 $48,857.00 $482,450.15 $98,674.00 nat. median
$62,911
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 38 $49,939.00 $452,747.25 $98,381.76 nat. median
$64,357
1.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 38 $48,775.00 $462,621.31 $97,832.39 nat. median
$65,792
1.5× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 38 $49,044.00 $449,417.78 $97,658.27 nat. median
$62,262
1.6× median

Other procedures at this hospital

Browse this hospital's 22,790 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 68 39 $1,789,286.14 $715,714.46 60% off $24,610.00 $1,610,358.00 $730,834.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 68 39 $1,750,058.21 $700,023.28 60% off $24,610.00 $1,575,052.00 $693,373.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 68 39 $1,533,117.02 $613,246.81 60% off $24,610.00 $1,387,149.00 $626,202.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 77 38 $0.01 — $273,588.00 $2,904,561.49 $557,169.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 77 38 $0.01 — $204,472.00 $1,884,943.56 $409,597.32 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 77 38 $0.01 — $162,007.05 $1,556,477.00 $312,058.91 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 79 38 $0.01 — $155,688.00 $1,427,649.40 $298,540.85 2026-04-01
5834 APR_DRG Neonate With Ecmo 9 7 $0.01 — $205,319.00 $246,383.00 $217,638.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 79 38 $0.01 — $49,005.41 $931,672.87 $195,235.76 2026-04-01
7 MS_DRG Lung Transplant 77 38 $0.01 — $95,129.00 $871,056.35 $189,280.12 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 77 38 $0.01 — $91,470.05 $859,622.00 $175,653.63 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 41 18 — — $86,186.16 $761,325.13 $165,435.58 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 17 6 — — $129,518.22 $596,035.49 $164,370.11 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 77 38 $0.01 — $80,291.00 $762,199.53 $161,853.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 77 38 $0.01 — $79,380.00 $731,413.71 $158,935.85 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 77 38 $0.01 — $76,349.00 $741,307.95 $154,764.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 77 38 $0.01 — $77,609.00 $698,718.00 $150,698.27 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 17 6 — — $111,908.87 $514,998.23 $142,022.27 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $133,948.00 $160,737.00 $141,985.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 77 38 $0.01 — $70,380.00 $658,010.69 $141,813.00 2026-04-01
5833 APR_DRG Neonate With Ecmo 9 7 $0.01 — $133,012.00 $159,615.00 $140,993.00 2024-12-15
215 MS_DRG Other Heart Assist System Implant 79 38 $0.01 — $75,893.50 $695,135.00 $140,676.19 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 17 6 — — $103,615.75 $476,833.77 $131,497.57 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 77 38 $0.01 — $66,086.83 $604,402.00 $126,567.25 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $118,623.00 $142,347.00 $125,740.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 77 38 $0.01 — $60,890.00 $606,003.72 $123,224.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 77 38 $0.01 — $61,856.00 $567,011.93 $123,211.42 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 17 6 — — $96,937.70 $446,101.76 $123,022.53 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 77 38 $0.01 — $61,822.00 $565,229.49 $122,824.09 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 17 6 — — $93,555.55 $430,537.34 $118,730.29 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 79 38 $0.01 — $58,866.00 $529,271.23 $115,010.38 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 20 7 — — $18,416.29 $411,394.57 $112,188.24 2026-04-01
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 59 35 $242,855.70 $97,142.28 60% off $10.00 $218,570.00 $111,714.00 2024-12-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $104,305.00 $125,166.00 $110,564.00 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 77 38 $0.01 — $54,544.00 $512,529.71 $109,790.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 81 38 $0.01 — $56,523.00 $516,457.81 $108,752.18 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 79 38 $0.01 — $55,434.00 $514,231.44 $108,288.46 2026-04-01
5832 APR_DRG Neonate With Ecmo 9 7 $0.01 — $102,129.00 $122,555.00 $108,257.00 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $101,659.00 $121,991.00 $107,759.00 2024-12-15
10 MS_DRG Pancreas Transplant 77 38 $0.01 — $54,872.08 $523,117.00 $104,880.03 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 77 38 $0.01 — $51,926.00 $485,537.47 $104,497.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 77 38 $0.01 — $54,561.44 $520,118.00 $104,279.31 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 77 38 $0.01 — $51,668.00 $479,604.96 $103,974.00 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 7 $0.01 — $97,710.00 $117,252.00 $103,573.00 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 4 $0.01 — $96,372.00 $115,646.00 $101,190.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 80 38 $0.01 — $50,867.00 $464,901.49 $99,518.29 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 77 38 $0.01 — $48,857.00 $482,450.15 $98,674.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 77 38 $0.01 — $49,939.00 $452,747.25 $98,381.76 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 78 38 $0.01 — $48,775.00 $462,621.31 $97,832.39 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 77 38 $0.01 — $49,044.00 $449,417.78 $97,658.27 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 17 6 — — $76,276.52 $351,020.20 $96,801.67 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 77 38 $0.01 — $47,257.00 $442,267.83 $95,055.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 77 38 $0.01 — $47,324.00 $432,810.79 $94,049.58 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 17 6 — — $73,923.34 $340,191.02 $93,815.28 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 7 $0.01 — $88,071.00 $105,685.00 $93,355.00 2024-12-15
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 17 6 — — $73,382.55 $337,702.32 $93,128.96 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $87,116.00 $104,539.00 $92,343.00 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 7 $0.01 — $86,464.00 $103,757.00 $91,652.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 77 38 $0.01 — $45,291.00 $449,747.36 $91,398.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 77 38 $0.01 — $45,087.00 $440,660.27 $90,981.00 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $85,092.00 $102,110.00 $90,197.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 77 38 $0.01 — $46,289.00 $414,944.00 $89,468.92 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 77 38 $0.01 — $44,728.00 $407,782.60 $88,610.96 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 77 38 $0.01 — $43,574.00 $442,267.83 $87,895.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 77 38 $0.01 — $45,349.00 $406,421.00 $87,792.47 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 78 38 $0.01 — $43,874.00 $412,208.44 $87,626.74 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 77 38 $0.01 — $44,201.00 $398,843.48 $86,668.50 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 78 38 $0.01 — $44,517.00 $404,130.27 $86,586.61 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 77 38 $0.01 — $42,654.00 $394,478.18 $85,719.92 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $80,769.00 $96,923.00 $85,616.00 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 7 $0.01 — $80,365.00 $96,438.00 $85,187.00 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 38 $0.01 — $42,054.00 $401,090.03 $84,758.33 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $78,902.00 $94,682.00 $83,636.00 2024-12-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 41 18 — — $43,770.70 $383,857.51 $83,412.05 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 81 38 $0.01 — $12,212.73 $394,733.77 $83,398.75 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 22 8 — — $175.00 $309,781.87 $82,960.67 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 77 38 $0.01 — $40,350.00 $378,146.96 $81,088.00 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $76,443.00 $91,731.00 $81,029.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 77 38 $0.01 — $40,107.00 $387,906.68 $80,821.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 77 38 $0.01 — $42,380.76 $402,635.00 $80,724.17 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 78 38 $0.01 — $39,603.00 $383,359.77 $80,411.85 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 77 38 $0.01 — $40,518.00 $369,261.65 $80,240.38 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 77 38 $0.01 — $39,894.00 $376,976.61 $80,166.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 77 38 $0.01 — $39,804.00 $367,956.77 $79,956.83 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 77 38 $0.01 — $41,695.24 $396,021.00 $79,398.50 2026-04-01
5831 APR_DRG Neonate With Ecmo 9 7 $0.01 — $74,234.00 $89,081.00 $78,688.00 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 306 39 $203,680.00 $81,472.00 60% off $28,011.00 $241,200.00 $78,599.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 78 38 $0.01 — $39,018.00 $367,432.13 $78,054.09 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 79 38 $0.01 — $38,848.00 $358,694.79 $77,944.20 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 79 38 $0.01 — $39,566.00 $366,853.67 $77,657.67 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 77 38 $0.01 — $40,518.00 $362,652.00 $77,374.18 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 7 $0.01 — $72,982.00 $87,578.00 $77,361.00 2024-12-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 7 $0.01 — $71,830.00 $86,196.00 $76,140.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 77 38 $0.01 — $39,912.27 $365,755.00 $75,950.58 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 77 38 $0.01 — $37,786.00 $358,479.56 $75,905.00 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 7 $0.01 — $71,338.00 $85,605.00 $75,618.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 77 38 $0.01 — $37,385.00 $350,125.61 $75,092.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 79 38 $0.01 — $36,723.00 $374,393.74 $73,919.00 2026-04-01
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 138 39 $139,360.00 $55,744.00 60% off $23,778.00 $125,424.00 $72,955.00 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $68,785.00 $82,542.00 $72,912.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 79 38 $0.01 — $35,641.42 $335,462.50 $72,895.84 2026-04-01
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 138 39 $127,400.00 $50,960.00 60% off $25,607.00 $135,072.00 $71,853.50 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 78 38 $0.01 — $36,579.00 $332,772.02 $71,402.08 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 82 38 $0.01 — $33,522.02 $385,431.44 $71,054.41 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 78 38 $0.01 — $35,067.33 $331,043.39 $71,034.24 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 78 38 $0.01 — $37,681.11 $353,991.00 $70,740.83 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $66,606.00 $79,927.00 $70,602.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 77 38 $0.01 — $35,666.00 $324,788.02 $70,576.28 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 83 38 $0.01 — $36,709.00 $332,180.11 $70,369.68 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 77 38 $0.01 — $36,752.00 $328,527.00 $70,219.65 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $65,522.00 $78,627.00 $69,454.00 2024-12-15
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 59 35 $149,769.93 $59,907.97 60% off $584.00 $134,793.00 $68,894.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 77 38 $0.01 — $35,074.00 $314,638.18 $68,370.72 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 77 38 $0.01 — $33,856.00 $316,225.57 $67,957.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 79 38 $0.01 — $34,561.00 $320,220.93 $67,878.74 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 77 38 $0.01 — $33,749.00 $339,013.93 $67,851.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 21 7 — — $700.00 $246,037.67 $67,850.39 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 77 38 $0.01 — $35,608.00 $318,161.00 $67,774.39 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 78 38 $0.01 — $1,225.00 $315,579.85 $67,743.71 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $63,159.00 $75,790.00 $66,948.00 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 59 35 $145,045.20 $58,018.08 60% off $84.00 $130,541.00 $66,721.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 78 38 $0.01 — $34,179.00 $310,649.55 $66,694.58 2026-04-01
245 MS_DRG Aicd Generator Procedures 77 38 $0.01 — $35,120.42 $320,628.00 $66,684.04 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 78 38 $0.01 — $33,163.00 $305,954.66 $66,519.40 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 78 38 $0.01 — $34,379.00 $308,382.82 $66,212.23 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 77 38 $0.01 — $34,867.22 $311,967.00 $66,194.40 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 80 38 $0.01 — $8,087.89 $354,894.49 $65,506.54 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 77 38 $0.01 — $32,303.00 $300,183.58 $64,816.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 80 38 $0.01 — $33,870.00 $302,414.00 $64,738.00 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $60,831.00 $72,997.00 $64,481.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 77 38 $0.01 — $31,382.00 $295,468.51 $62,955.00 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 7 $0.01 — $59,311.00 $71,174.00 $62,870.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 77 38 $0.01 — $31,337.00 $291,069.58 $62,862.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 77 38 $0.01 — $31,118.00 $286,892.61 $62,341.62 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 78 38 $0.01 — $32,355.66 $290,690.00 $62,298.53 2026-04-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $58,591.00 $70,309.00 $62,106.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 78 38 $0.01 — $32,968.00 $294,246.00 $62,034.31 2026-04-01
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 194 39 $119,126.00 $47,650.40 60% off $22,086.00 $125,424.00 $61,972.50 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 77 38 $0.01 — $30,838.00 $301,367.39 $61,912.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 77 38 $0.01 — $31,761.00 $283,308.00 $60,986.72 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 80 38 $0.01 — $30,622.00 $284,060.88 $60,882.05 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 77 38 $0.01 — $30,253.00 $283,435.34 $60,672.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 77 38 $0.01 — $30,209.00 $283,576.59 $60,583.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 77 38 $0.01 — $30,063.00 $285,244.69 $60,330.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 77 38 $0.01 — $29,946.00 $279,339.09 $60,051.00 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 79 38 $0.01 — $29,977.40 $282,608.02 $60,044.50 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $55,215.00 $66,258.00 $58,528.00 2024-12-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $54,722.00 $65,666.00 $58,005.00 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 77 38 $0.01 — $28,822.00 $270,426.87 $57,778.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 82 38 $0.01 — $28,605.22 $309,169.78 $57,199.40 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 78 38 $0.01 — $28,652.00 $260,351.02 $57,004.07 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 77 38 $0.01 — $30,070.08 $283,892.00 $56,917.63 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 78 38 $0.01 — $28,948.00 $259,960.90 $56,489.38 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 79 38 $0.01 — $28,022.00 $263,122.22 $56,160.00 2026-04-01
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 59 35 $121,897.31 $48,758.92 60% off $60.00 $109,708.00 $56,073.00 2024-12-15
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 17 6 — — $43,991.24 $202,445.17 $55,828.78 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $52,607.00 $63,128.00 $55,763.00 2024-12-15
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 17 6 — — $43,780.77 $201,476.59 $55,561.67 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 78 38 $0.01 — $29,340.00 $261,375.00 $55,541.99 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 78 38 $0.01 — $17,988.71 $259,712.03 $55,501.29 2026-04-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $52,325.00 $62,790.00 $55,465.00 2024-12-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $52,231.00 $62,678.00 $55,365.00 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 77 38 $0.01 — $28,172.00 $253,106.91 $55,000.01 2026-04-01
64 APR_DRG Pancreas Transplant 9 7 $0.01 — $51,673.00 $62,007.00 $54,773.00 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 79 38 $0.01 — $11,714.25 $258,881.00 $54,470.91 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 78 38 $0.01 — $525.00 $252,622.00 $54,087.79 2026-04-01
33270 CPT Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 68 39 $125,166.45 $50,066.58 60% off $14,380.00 $112,650.00 $53,847.00 2024-12-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $50,782.00 $60,938.00 $53,829.00 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 78 38 $0.01 — $28,398.97 $253,331.00 $53,163.18 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 77 38 $0.01 — $26,451.00 $267,978.53 $52,984.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 79 38 $0.01 — $26,446.00 $251,378.27 $52,950.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 77 38 $0.01 — $26,450.00 $242,936.89 $52,790.07 2026-04-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $49,700.00 $59,640.00 $52,682.00 2024-12-15
8514 APR_DRG Gender Related Procedures 5 4 $0.01 — $50,103.00 $60,123.00 $52,608.00 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 78 38 $0.01 — $26,208.00 $246,959.16 $52,478.50 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 77 38 $0.01 — $27,716.48 $261,191.00 $52,366.20 2026-04-01
265 MS_DRG Aicd Lead Procedures 78 38 $0.01 — $26,324.00 $243,367.37 $52,286.60 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 77 38 $0.01 — $27,653.74 $258,350.00 $52,244.89 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 1 1 — — $52,026.98 $52,026.98 $52,026.98 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 77 38 $0.01 — $27,538.10 $245,516.00 $52,021.27 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 77 38 $0.01 — $25,987.00 $243,871.83 $52,013.00 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 4 $0.01 — $49,355.00 $59,226.00 $51,823.00 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 78 38 $0.01 — $26,995.43 $253,587.00 $51,770.46 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 77 38 $0.01 — $25,847.00 $239,829.39 $51,728.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 78 38 $0.01 — $26,731.00 $240,185.88 $51,700.40 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 77 38 $0.01 — $26,914.00 $239,395.00 $51,439.55 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 78 38 $0.01 — $25,865.00 $239,627.60 $51,428.63 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $48,472.00 $58,167.00 $51,381.00 2024-12-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 77 38 $0.01 — $25,638.00 $249,259.52 $51,340.00 2026-04-01
332 MS_DRG Rectal Resection With Mcc 77 38 $0.01 — $25,611.00 $243,535.52 $51,284.00 2026-04-01
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 82 39 $90,772.50 $36,309.00 60% off $18,245.00 $81,695.00 $51,195.50 2024-12-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 79 38 $0.01 — $4,399.91 $239,203.85 $50,888.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 80 38 $0.01 — $28,809.00 $277,489.38 $50,830.10 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $47,894.00 $57,473.00 $50,768.00 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 77 38 $0.01 — $25,583.00 $233,493.31 $50,737.98 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 77 38 $0.01 — $25,296.00 $237,206.17 $50,604.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 77 38 $0.01 — $25,396.00 $232,363.31 $50,492.43 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 78 38 $0.01 — $25,333.00 $234,630.03 $50,366.17 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 41 18 — — $26,626.59 $231,287.11 $50,258.58 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 77 38 $0.01 — $25,857.00 $230,601.04 $50,109.49 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 77 38 $0.01 — $26,051.00 $231,574.00 $49,798.17 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 73 38 $0.01 — $6,218.26 $399,771.70 $49,795.93 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 79 38 $0.01 — $24,800.00 $229,471.04 $49,592.00 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 7 $0.01 — $46,657.00 $55,988.00 $49,456.00 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 7 $0.01 — $46,532.00 $55,838.00 $49,324.00 2024-12-15
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 17 6 — — $38,827.40 $178,681.50 $49,275.42 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 77 38 $0.01 — $24,403.00 $252,003.81 $48,842.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 78 38 $0.01 — $25,802.00 $229,317.00 $48,404.15 2026-04-01
77371 CPT Hc Tr Srs 1 Session Multi Cobalt 60 68 39 $121,951.94 $48,780.78 60% off $3,346.00 $109,757.00 $48,317.50 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 85 38 $0.01 — $12,182.39 $305,820.14 $48,302.43 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 9 8 — — $43,696.97 $76,768.68 $48,296.65 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 8 — — $43,696.97 $76,768.68 $48,296.65 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 8 — — $43,696.97 $76,768.68 $48,296.65 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 9 8 — — $43,696.97 $76,768.68 $48,296.65 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 78 38 $0.01 — $24,448.88 $221,433.23 $47,709.98 2026-04-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $44,903.00 $53,883.00 $47,597.00 2024-12-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $44,820.00 $53,783.00 $47,509.00 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 7 $0.01 — $44,733.00 $53,680.00 $47,417.00 2024-12-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 77 38 $0.01 — $23,697.00 $242,573.68 $47,414.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 77 38 $0.01 — $24,095.00 $217,827.99 $47,333.92 2026-04-01
21 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $44,578.00 $53,493.00 $47,252.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 78 38 $0.01 — $24,652.41 $231,633.00 $47,168.50 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 77 38 $0.01 — $23,805.00 $217,061.20 $47,167.29 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 77 38 $0.01 — $23,585.00 $217,585.84 $47,114.00 2026-04-01
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 42 23 $85,454.33 $34,181.73 60% off $19,484.00 $76,909.00 $47,000.00 2024-12-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 77 38 $0.01 — $23,523.00 $216,637.45 $46,987.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 77 38 $0.01 — $23,477.00 $244,060.17 $46,969.00 2026-04-01
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 73 39 $116,506.87 $46,602.75 60% off $14,380.00 $104,856.00 $46,824.00 2024-12-15
33262 CPT Hc Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 73 39 $116,506.87 $46,602.75 60% off $14,380.00 $104,856.00 $46,824.00 2024-12-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 79 38 $0.01 — $25,158.00 $223,484.00 $46,752.04 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $46,632.28 $46,632.28 $46,632.28 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 77 38 $0.01 — $24,085.00 $214,148.76 $46,534.42 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 78 38 $0.01 — $24,768.81 $222,553.00 $46,288.71 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 77 38 $0.01 — $23,438.00 $212,870.78 $46,256.72 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 82 38 $0.01 — $23,093.00 $221,406.33 $46,151.50 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 77 38 $0.01 — $23,629.00 $211,942.56 $46,055.02 2026-04-01
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 59 35 $100,047.74 $40,019.09 60% off $57.00 $90,043.00 $46,022.00 2024-12-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 79 38 $0.01 — $22,986.00 $211,841.67 $45,892.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 77 38 $0.01 — $22,886.00 $214,357.27 $45,774.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 77 38 $0.01 — $22,839.00 $217,283.16 $45,680.00 2026-04-01
665 MS_DRG Prostatectomy With Mcc 77 38 $0.01 — $24,227.64 $225,282.00 $45,619.46 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 78 38 $0.01 — $22,823.00 $212,547.92 $45,505.97 2026-04-01
652 MS_DRG Kidney Transplant 77 38 $0.01 — $22,734.00 $217,222.63 $45,467.00 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 7 $0.01 — $42,599.00 $51,119.00 $45,155.00 2024-12-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 78 38 $0.01 — $22,641.00 $209,131.01 $44,964.12 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 77 38 $0.01 — $23,083.00 $205,922.61 $44,746.88 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 85 38 $0.01 — $23,041.52 $281,747.07 $44,569.45 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 77 38 $0.01 — $23,562.53 $214,463.00 $44,333.25 2026-04-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $41,561.00 $49,873.00 $44,054.00 2024-12-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 79 38 $0.01 — $3,526.45 $209,500.95 $43,563.00 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 77 38 $0.01 — $22,713.00 $201,334.00 $43,503.06 2026-04-01
570 MS_DRG Skin Debridement With Mcc 77 38 $0.01 — $22,291.00 $197,824.27 $42,987.12 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 7 $0.01 — $40,490.00 $48,589.00 $42,920.00 2024-12-15
472 MS_DRG Cervical Spinal Fusion With Cc 81 38 $0.01 — $9,109.67 $198,160.58 $42,803.00 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 77 38 $0.01 — $21,611.00 $196,405.04 $42,678.72 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 77 38 $0.01 — $21,254.00 $203,137.97 $42,475.00 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant 9 7 $0.01 — $40,033.00 $48,039.00 $42,435.00 2024-12-15
C1882 HCPCS Defibrillator Resonate X4 Crt-d 3,380 39 $91,966.50 $36,786.60 60% off $6.00 $168,072.00 $42,364.00 2024-12-15
C1767 HCPCS Stimulator Proclaim Elite 5 W/pat Cntrlr 1,482 39 $88,440.00 $35,376.00 60% off $11,048.00 $188,835.00 $42,355.00 2024-12-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 78 38 $0.01 — $21,218.00 $215,937.92 $42,343.50 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 77 38 $0.01 — $21,189.00 $203,164.87 $42,343.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 78 38 $0.01 — $21,789.00 $195,887.12 $42,273.95 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 17 6 — — $33,017.54 $151,944.86 $41,902.19 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 78 38 $0.01 — $7,237.03 $195,928.00 $41,897.52 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $39,475.00 $47,370.00 $41,843.00 2024-12-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 79 38 $0.01 — $21,731.00 $195,194.32 $41,837.42 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 78 38 $0.01 — $21,599.00 $193,055.39 $41,671.38 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 77 38 $0.01 — $21,581.00 $191,730.33 $41,662.91 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 77 38 $0.01 — $20,829.00 $195,073.25 $41,616.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 77 38 $0.01 — $20,808.00 $211,343.93 $41,573.00 2026-04-01
800 MS_DRG Splenic Procedures With Cc 77 38 $0.01 — $21,592.00 $191,177.00 $41,062.19 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 77 38 $0.01 — $20,928.00 $188,286.52 $40,914.57 2026-04-01
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 42 23 $74,112.26 $29,644.90 60% off $16,898.00 $66,701.00 $40,762.00 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 42 23 $74,112.26 $29,644.90 60% off $16,898.00 $66,701.00 $40,762.00 2024-12-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 77 38 $0.01 — $20,308.00 $222,186.56 $40,561.00 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 1 1 — — $40,440.08 $40,440.08 $40,440.08 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 77 38 $0.01 — $20,236.00 $194,212.30 $40,416.00 2026-04-01
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 73 39 $98,946.50 $39,578.60 60% off $14,380.00 $89,052.00 $40,261.00 2024-12-15
33249 CPT Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 73 39 $98,946.50 $39,578.60 60% off $14,380.00 $89,052.00 $40,261.00 2024-12-15
4404 APR_DRG Kidney Transplant 9 7 $0.01 — $37,839.00 $45,407.00 $40,110.00 2024-12-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 77 38 $0.01 — $20,165.00 $183,880.86 $39,957.22 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 78 38 $0.01 — $875.00 $185,448.06 $39,873.71 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 79 38 $0.01 — $21,107.00 $186,781.00 $39,767.21 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 80 38 $0.01 — $7,634.73 $184,883.06 $39,740.37 2026-04-01
263 MS_DRG Vein Ligation And Stripping 78 38 $0.01 — $19,915.00 $205,646.84 $39,695.50 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 77 38 $0.01 — $20,272.00 $182,024.42 $39,553.82 2026-04-01
849 MS_DRG Radiotherapy 77 38 $0.01 — $19,835.00 $182,246.39 $39,463.00 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 77 38 $0.01 — $19,682.00 $193,835.63 $39,296.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 78 38 $0.01 — $19,489.00 $184,835.98 $39,292.46 2026-04-01
8634 APR_DRG Neonatal Aftercare 5 4 $0.01 — $37,397.00 $44,877.00 $39,267.00 2024-12-15
503 MS_DRG Foot Procedures With Mcc 77 38 $0.01 — $19,658.00 $187,734.97 $39,246.00 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 77 38 $0.01 — $19,638.00 $198,026.05 $39,207.00 2026-04-01
63 APR_DRG Pancreas Transplant 9 7 $0.01 — $36,709.00 $44,050.00 $38,911.00 2024-12-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 77 38 $0.01 — $20,741.83 $187,897.00 $38,878.56 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 77 38 $0.01 — $19,440.00 $181,432.52 $38,806.00 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 7 $0.01 — $36,564.00 $43,877.00 $38,758.00 2024-12-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 7 $0.01 — $36,393.00 $43,672.00 $38,577.00 2024-12-15
37227 CPT Hc Revascularize Fem/pop Artery,angioplasty/stent/atherectomy 105 39 $62,152.87 $24,861.15 60% off $7,047.00 $111,875.00 $38,560.00 2024-12-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 77 38 $0.01 — $19,706.00 $177,396.80 $38,548.24 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 78 38 $0.01 — $19,775.00 $178,291.38 $38,529.70 2026-04-01
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