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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 Carrollwood

Tampa, FL · CCN 100069 · Rates published

22,978 distinct procedures filed
58 distinct payers
1,316,578 rate rows
2026-04-01 last MRF observed
Data quality

1,287,108 of 1,316,578 rate rows are consumer-grade (97.8%)

29,470 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 22,910
exceeds 10× this hospital's gross charge — excluded from medians 2,951
template filing: same amount across many unrelated codes — excluded 2,552
per-diem day rate — not a per-procedure price 706
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 350
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://HospitalPriceDisclosure.com/download.aspx?pi=5rO7TxQGaDed3J*_*ixqO2Bw*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint b801249b4af8cce5… · 29,787,621 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 $3,467,398.00 $1,040,219.00 nat. median
$574,037
1.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 39 $24,610.00 $3,391,378.00 $1,017,414.00 nat. median
$579,571
1.8× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 39 $24,610.00 $2,970,972.00 $891,292.00 nat. median
$621,313
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 39 $178,959.46 $2,846,135.17 $429,631.50 nat. median
$168,055
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 39 $116,137.49 $1,847,027.23 $298,961.95 nat. median
$186,516
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 39 $88,481.38 $1,525,186.00 $239,398.54 nat. median
$131,925
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 39 $87,962.11 $1,398,931.71 $220,147.77 nat. median
$145,435
1.5× median
5834
APR_DRG 		Neonate With Ecmo 7 $205,319.00 $246,383.00 $219,692.00 nat. median
$390,362
0.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 7 $36,723.68 $584,046.01 $196,536.99 nat. median
$2,106
outlier · 93.3×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 $31,730.71 $504,638.85 $165,753.90 nat. median
$2,024
outlier · 81.9×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 $29,379.28 $467,242.08 $153,470.55 nat. median
$2,024
outlier · 75.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 39 $57,403.39 $912,931.92 $148,898.36 nat. median
$97,418
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $46,907.71 $746,010.79 $146,985.93 nat. median
$2,110
outlier · 69.6×
13925-522-01
NDC 		Pentamidine Isethionate 300 Mg In Solr 21 $34,071.00 $239,565.00 $146,401.00 —
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 8 $27,485.78 $437,128.26 $143,579.35 nat. median
$2,106
outlier · 68.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $133,948.00 $160,737.00 $143,324.00 nat. median
$286,698
outlier · 0.5×
5833
APR_DRG 		Neonate With Ecmo 7 $133,012.00 $159,615.00 $142,323.00 nat. median
$268,208
0.5× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 $26,526.80 $421,876.92 $138,569.89 nat. median
$2,024
outlier · 68.5×
7
MS_DRG 		Lung Transplant 39 $53,668.61 $853,534.73 $138,436.73 nat. median
$70,649
2.0× median
58914-501-56
NDC 		Mesalamine 1000 Mg Re Supp 21 $32,018.00 $225,126.00 $137,577.00 nat. median
$47
outlier · 2917.2×
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 39 $25,069.00 $244,692.00 $133,613.00 nat. median
$35,000
outlier · 3.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 39 $49,804.94 $842,341.00 $133,476.11 nat. median
$72,715
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 39 $41,264.10 $681,161.00 $131,674.90 nat. median
$73,023
1.8× median
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 21 $30,591.00 $215,096.00 $131,448.00 —
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 39 $24,489.00 $436,950.00 $130,522.00 nat. median
$5,834
outlier · 22.4×
24
APR_DRG 		Heart And/or Lung Transplant 7 $118,623.00 $142,347.00 $126,926.00 nat. median
$225,531
0.6× median
C1824
HCPCS 		Generator Pul Implantable Optimizer Smt F/hrt Fail 39 $23,278.00 $227,214.00 $124,070.00 nat. median
$32,119
outlier · 3.9×
38240
CPT 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 39 $2,682.00 $436,291.00 $118,874.00 nat. median
$28,331
outlier · 4.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 39 $46,961.59 $746,867.61 $118,868.21 nat. median
$65,418
1.8× median
63323-877-15
NDC 		Pentamidine Isethionate 300 Mg In Solr 21 $26,723.00 $187,895.00 $114,824.00 —
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 $45,674.39 $726,396.27 $114,288.95 nat. median
$2,736
outlier · 41.8×
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 21 $26,531.00 $186,547.00 $114,001.00 —
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 21 $26,531.00 $186,547.00 $114,001.00 —
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 $21,627.49 $343,959.30 $112,977.03 nat. median
$2,024
outlier · 55.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 39 $25,484.00 $716,701.06 $112,786.17 nat. median
$74,509
1.5× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $104,305.00 $125,166.00 $111,607.00 nat. median
$135,803
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 39 $42,729.08 $684,671.00 $111,508.93 nat. median
$69,922
1.6× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 $20,960.27 $333,347.95 $109,491.62 nat. median
$2,024
outlier · 54.1×
5832
APR_DRG 		Neonate With Ecmo 7 $102,129.00 $122,555.00 $109,278.00 nat. median
$201,678
0.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 $25,484.00 $644,774.57 $108,882.56 nat. median
$69,822
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $101,659.00 $121,991.00 $108,775.00 nat. median
$202,242
0.5× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 $20,806.94 $330,909.32 $108,690.62 nat. median
$2,024
outlier · 53.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 $25,484.00 $506,069.07 $108,009.00 nat. median
$55,923
1.9× median
24338-050-08
NDC 		Carmustine In Polifeprosan 7.7 Mg Il Wafr 21 $25,096.00 $176,453.00 $107,832.00 —
68382-395-04
NDC 		Ribavirin 6 G In Solr 21 $24,772.00 $174,179.00 $106,443.00 —
68382-395-01
NDC 		Ribavirin 6 G In Solr 21 $24,772.00 $174,179.00 $106,443.00 —
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 10 $25,347.35 $403,119.22 $105,732.48 nat. median
$2,106
outlier · 50.2×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $97,710.00 $117,252.00 $104,550.00 nat. median
$187,567
0.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $96,372.00 $115,646.00 $103,118.00 nat. median
$173,018
0.6× median
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 21 $23,828.00 $167,538.00 $102,385.00 —

Other procedures at this hospital

Browse this hospital's 22,978 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 61 39 $3,852,663.92 $1,541,065.57 60% off $24,610.00 $3,467,398.00 $1,040,219.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 61 39 $3,768,198.21 $1,507,279.28 60% off $24,610.00 $3,391,378.00 $1,017,414.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 61 39 $3,301,079.72 $1,320,431.89 60% off $24,610.00 $2,970,972.00 $891,292.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 68 39 $0.01 — $178,959.46 $2,846,135.17 $429,631.50 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 68 39 $0.01 — $116,137.49 $1,847,027.23 $298,961.95 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 68 39 $0.01 — $88,481.38 $1,525,186.00 $239,398.54 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 69 39 $0.01 — $87,962.11 $1,398,931.71 $220,147.77 2026-04-01
5834 APR_DRG Neonate With Ecmo 9 7 $0.01 — $205,319.00 $246,383.00 $219,692.00 2024-12-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 17 7 — — $36,723.68 $584,046.01 $196,536.99 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 18 8 — — $31,730.71 $504,638.85 $165,753.90 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 18 8 — — $29,379.28 $467,242.08 $153,470.55 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 68 39 $0.01 — $57,403.39 $912,931.92 $148,898.36 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 34 17 — — $46,907.71 $746,010.79 $146,985.93 2026-04-01
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 33 21 $266,183.42 $106,473.37 60% off $34,071.00 $239,565.00 $146,401.00 2024-12-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 18 8 — — $27,485.78 $437,128.26 $143,579.35 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $133,948.00 $160,737.00 $143,324.00 2024-12-15
5833 APR_DRG Neonate With Ecmo 9 7 $0.01 — $133,012.00 $159,615.00 $142,323.00 2024-12-15
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 18 8 — — $26,526.80 $421,876.92 $138,569.89 2026-04-01
7 MS_DRG Lung Transplant 68 39 $0.01 — $53,668.61 $853,534.73 $138,436.73 2026-04-01
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 33 21 $250,140.14 $100,056.06 60% off $32,018.00 $225,126.00 $137,577.00 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 126 39 $258,440.00 $103,376.00 60% off $25,069.00 $244,692.00 $133,613.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 68 39 $0.01 — $49,804.94 $842,341.00 $133,476.11 2026-04-01
215 MS_DRG Other Heart Assist System Implant 76 39 $0.01 — $41,264.10 $681,161.00 $131,674.90 2026-04-01
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 33 21 $238,995.98 $95,598.39 60% off $30,591.00 $215,096.00 $131,448.00 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 273 39 $368,980.00 $147,592.00 60% off $24,489.00 $436,950.00 $130,522.00 2024-12-15
24 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $118,623.00 $142,347.00 $126,926.00 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 126 39 $252,460.00 $100,984.00 60% off $23,278.00 $227,214.00 $124,070.00 2024-12-15
38240 CPT Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 62 39 $484,767.58 $193,907.03 60% off $2,682.00 $436,291.00 $118,874.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 68 39 $0.01 — $46,961.59 $746,867.61 $118,868.21 2026-04-01
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 33 21 $208,771.70 $83,508.68 60% off $26,723.00 $187,895.00 $114,824.00 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 39 $0.01 — $45,674.39 $726,396.27 $114,288.95 2026-04-01
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 33 21 $207,274.25 $82,909.70 60% off $26,531.00 $186,547.00 $114,001.00 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 33 21 $207,274.25 $82,909.70 60% off $26,531.00 $186,547.00 $114,001.00 2024-12-15
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 18 8 — — $21,627.49 $343,959.30 $112,977.03 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 71 39 $0.01 — $25,484.00 $716,701.06 $112,786.17 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $104,305.00 $125,166.00 $111,607.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 68 39 $0.01 — $42,729.08 $684,671.00 $111,508.93 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 18 8 — — $20,960.27 $333,347.95 $109,491.62 2026-04-01
5832 APR_DRG Neonate With Ecmo 9 7 $0.01 — $102,129.00 $122,555.00 $109,278.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 75 39 $0.01 — $25,484.00 $644,774.57 $108,882.56 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $101,659.00 $121,991.00 $108,775.00 2024-12-15
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 18 8 — — $20,806.94 $330,909.32 $108,690.62 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 75 39 $0.01 — $25,484.00 $506,069.07 $108,009.00 2026-04-01
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 33 21 $196,058.79 $78,423.52 60% off $25,096.00 $176,453.00 $107,832.00 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 33 21 $193,532.22 $77,412.89 60% off $24,772.00 $174,179.00 $106,443.00 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 33 21 $193,532.22 $77,412.89 60% off $24,772.00 $174,179.00 $106,443.00 2024-12-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 24 10 — — $25,347.35 $403,119.22 $105,732.48 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 7 $0.01 — $97,710.00 $117,252.00 $104,550.00 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 7 $0.01 — $96,372.00 $115,646.00 $103,118.00 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 33 21 $186,153.86 $74,461.54 60% off $23,828.00 $167,538.00 $102,385.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 33 21 $186,153.86 $74,461.54 60% off $23,828.00 $167,538.00 $102,385.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 76 39 $0.01 — $25,484.00 $555,606.28 $100,916.89 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 18 8 — — $19,086.67 $303,550.49 $99,704.33 2026-04-01
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 175 39 $215,804.75 $86,321.90 60% off $19,308.00 $227,214.00 $97,139.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 76 39 $0.01 — $25,484.00 $503,887.49 $96,635.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 75 39 $0.01 — $25,484.00 $433,371.45 $95,935.00 2026-04-01
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 77 39 $184,138.50 $73,655.40 60% off $17,861.00 $165,725.00 $95,384.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 68 39 $0.01 — $35,886.96 $592,251.00 $95,014.12 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 7 $0.01 — $88,071.00 $105,685.00 $94,236.00 2024-12-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $87,116.00 $104,539.00 $93,214.00 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 7 $0.01 — $86,464.00 $103,757.00 $92,516.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 68 39 $0.01 — $37,337.85 $593,813.73 $92,213.29 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $85,092.00 $102,110.00 $91,048.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 69 39 $0.01 — $34,825.62 $553,859.69 $89,698.23 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 72 39 $0.01 — $28,503.60 $453,315.51 $89,316.41 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $80,769.00 $96,923.00 $86,423.00 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 7 $0.01 — $80,365.00 $96,438.00 $85,990.00 2024-12-15
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 94 39 $165,675.74 $66,270.30 60% off $21,206.00 $153,281.00 $85,157.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 68 39 $0.01 — $32,610.12 $518,624.74 $84,764.37 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 $84,425.00 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $76,443.00 $91,731.00 $81,794.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 33 21 $148,430.81 $59,372.33 60% off $18,999.00 $133,588.00 $81,637.00 2024-12-15
10 MS_DRG Pancreas Transplant 68 39 $0.01 — $29,737.75 $512,600.00 $80,459.77 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 68 39 $0.01 — $31,578.62 $502,219.99 $80,226.30 2026-04-01
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 33 21 $145,524.58 $58,209.83 60% off $18,627.00 $130,972.00 $80,039.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 68 39 $0.01 — $29,567.42 $509,662.00 $79,998.55 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 72 39 $0.01 — $25,397.50 $403,916.72 $79,583.40 2026-04-01
5831 APR_DRG Neonate With Ecmo 9 7 $0.01 — $74,234.00 $89,081.00 $79,431.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 76 39 $0.01 — $25,124.81 $399,579.90 $78,728.93 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 75 39 $0.01 — $22,100.35 $351,479.52 $78,415.00 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 7 $0.01 — $72,982.00 $87,578.00 $78,090.00 2024-12-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 7 $0.01 — $71,830.00 $86,196.00 $76,858.00 2024-12-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 7 $0.01 — $71,338.00 $85,605.00 $76,332.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 76 39 $0.01 — $24,320.83 $386,793.56 $76,209.64 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 39 $0.01 — $29,915.54 $475,770.71 $76,173.66 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 34 17 — — $23,650.71 $376,136.07 $74,109.80 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 71 39 $0.01 — $29,550.02 $469,957.53 $73,956.51 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 68 39 $0.01 — $29,725.32 $472,745.48 $73,624.12 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $68,785.00 $82,542.00 $73,600.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 68 39 $0.01 — $27,895.23 $443,640.07 $72,148.99 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $66,606.00 $79,927.00 $71,268.00 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 68 39 $0.01 — $27,690.09 $440,377.57 $71,218.28 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 70 39 $0.01 — $28,644.09 $455,549.83 $71,204.60 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 76 39 $0.01 — $22,638.69 $360,041.09 $70,938.62 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $65,522.00 $78,627.00 $70,109.00 2024-12-15
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 52 35 $242,855.70 $97,142.28 60% off $10.00 $218,570.00 $69,323.50 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 68 39 $0.01 — $26,666.88 $424,104.64 $68,642.36 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 72 39 $0.01 — $21,866.20 $347,755.66 $68,518.03 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 68 39 $0.01 — $27,710.39 $440,700.53 $68,416.69 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 71 39 $0.01 — $25,484.00 $433,371.45 $68,199.01 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $63,159.00 $75,790.00 $67,580.00 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 75 39 $0.01 — $24,892.73 $398,250.00 $67,569.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 68 39 $0.01 — $27,150.51 $431,796.22 $67,562.56 2026-04-01
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 61 39 $333,855.99 $133,542.40 60% off $614.00 $300,470.00 $66,771.00 2024-12-15
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 33 21 $120,698.40 $48,279.36 60% off $15,449.00 $108,629.00 $66,384.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 68 39 $0.01 — $25,368.08 $406,602.00 $66,211.54 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 18 8 — — $5,754.00 $198,372.91 $65,157.65 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $60,831.00 $72,997.00 $65,089.00 2024-12-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 21 7 — — $15,159.18 $241,088.53 $64,975.28 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 18 8 — — $5,754.00 $197,423.82 $64,845.92 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 68 39 $0.01 — $24,899.78 $396,001.04 $64,316.54 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 76 39 $0.01 — $20,102.00 $326,078.19 $64,246.93 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 68 39 $0.01 — $24,574.04 $390,820.60 $63,671.43 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 7 $0.01 — $59,311.00 $71,174.00 $63,463.00 2024-12-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $58,591.00 $70,309.00 $62,692.00 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 68 39 $0.01 — $24,305.08 $386,543.10 $62,169.85 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 68 39 $0.01 — $22,888.58 $394,541.00 $61,928.49 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 72 39 $0.01 — $19,729.85 $313,779.57 $61,823.74 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 68 39 $0.01 — $22,512.70 $388,060.00 $60,911.25 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 68 39 $0.01 — $23,747.68 $377,678.34 $60,832.83 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 70 39 $0.01 — $16,817.17 $393,021.96 $60,098.13 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 68 39 $0.01 — $23,900.19 $380,103.79 $59,744.18 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 39 $0.01 — $23,298.86 $370,540.40 $59,175.19 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $55,215.00 $66,258.00 $59,080.00 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 39 $0.01 — $23,620.04 $375,648.35 $59,014.60 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 17 7 — — $11,009.15 $175,087.26 $58,918.51 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 68 39 $0.01 — $23,226.75 $369,393.58 $58,741.46 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 68 39 $0.01 — $22,751.41 $361,833.82 $58,616.62 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $54,722.00 $65,666.00 $58,552.00 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 68 39 $0.01 — $22,671.01 $360,555.18 $57,978.01 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 68 39 $0.01 — $22,603.04 $359,474.28 $57,713.96 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 72 39 $0.01 — $23,067.61 $366,862.68 $57,651.82 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 68 39 $0.01 — $21,938.72 $355,361.00 $57,555.49 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 68 39 $0.01 — $21,535.08 $358,402.00 $57,253.46 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 64 39 $0.01 — $24,631.23 $391,730.14 $57,246.51 2026-04-01
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 126 39 $230,775.00 $92,310.00 60% off $7,901.00 $207,698.00 $57,015.00 2024-12-15
1611 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $52,607.00 $63,128.00 $56,289.00 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $52,325.00 $62,790.00 $55,988.00 2024-12-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $52,231.00 $62,678.00 $55,888.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 68 39 $0.01 — $22,087.09 $351,268.61 $55,727.81 2026-04-01
64 APR_DRG Pancreas Transplant 9 7 $0.01 — $51,673.00 $62,007.00 $55,290.00 2024-12-15
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 33 21 $99,668.87 $39,867.55 60% off $12,758.00 $89,702.00 $54,818.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 68 39 $0.01 — $21,572.37 $343,082.71 $54,781.21 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 68 39 $0.01 — $20,311.70 $346,875.00 $54,699.68 2026-04-01
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 33 21 $99,193.02 $39,677.21 60% off $12,697.00 $89,274.00 $54,556.00 2024-12-15
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x0.78x0.78in 20ml 126 39 $111,665.00 $44,666.00 60% off $9,325.00 $100,499.00 $54,493.00 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 76 39 $0.01 — $17,359.35 $276,079.62 $54,395.75 2026-04-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $50,782.00 $60,938.00 $54,337.00 2024-12-15
C1767 HCPCS Generator Pul Tpy Vns Aspiresr Prgmbl Sgl Pin 25gm 1,302 39 $165,070.00 $66,028.00 60% off $9,659.00 $342,088.00 $53,878.50 2024-12-15
8514 APR_DRG Gender Related Procedures 9 7 $0.01 — $50,103.00 $60,123.00 $53,610.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 68 39 $0.01 — $20,668.93 $328,714.55 $53,565.65 2026-04-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $49,700.00 $59,640.00 $53,179.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 68 39 $0.01 — $20,396.66 $324,384.33 $52,991.76 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 69 39 $0.01 — $20,011.24 $318,254.79 $52,983.00 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 7 $0.01 — $49,355.00 $59,226.00 $52,810.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 71 39 $0.01 — $20,887.75 $332,194.54 $52,276.95 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 68 39 $0.01 — $19,910.12 $321,923.00 $52,187.43 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $48,472.00 $58,167.00 $51,866.00 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 72 39 $0.01 — $17,501.91 $278,346.89 $51,716.61 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 72 39 $0.01 — $17,097.02 $271,907.58 $51,620.91 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 75 39 $0.01 — $19,140.13 $304,400.72 $51,403.91 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $47,894.00 $57,473.00 $51,247.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 71 39 $0.01 — $20,466.69 $325,498.19 $51,223.16 2026-04-01
C1827 HCPCS Generator Imp Vivistim Vns Ipg 1001 126 39 $286,445.00 $114,578.00 60% off $5,706.00 $257,801.00 $50,987.00 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 72 39 $0.01 — $19,048.95 $302,950.72 $50,623.53 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 68 39 $0.01 — $19,216.79 $311,765.00 $50,453.40 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 68 39 $0.01 — $19,385.88 $308,309.12 $50,305.96 2026-04-01
245 MS_DRG Aicd Generator Procedures 68 39 $0.01 — $18,907.63 $314,182.00 $50,229.26 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 17 7 — — $9,361.82 $148,888.43 $50,102.36 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 $49,923.00 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 7 $0.01 — $46,532.00 $55,838.00 $49,789.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 68 39 $0.01 — $19,483.68 $309,864.57 $49,509.46 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 68 39 $0.01 — $18,768.80 $305,696.00 $49,371.83 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 69 39 $0.01 — $18,850.86 $299,800.27 $49,213.00 2026-04-01
C1833 HCPCS Monitor Crdc The Guardian Amsg3-e 77 39 $94,607.50 $37,843.00 60% off $9,177.00 $85,147.00 $49,007.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 72 39 $0.01 — $18,495.28 $294,145.28 $48,794.54 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 70 39 $0.01 — $19,443.90 $309,231.85 $48,495.68 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 68 39 $0.01 — $18,573.61 $296,335.00 $48,369.71 2026-04-01
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 33 21 $87,636.25 $35,054.50 60% off $11,217.00 $78,873.00 $48,200.00 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 33 21 $87,636.25 $35,054.50 60% off $11,217.00 $78,873.00 $48,200.00 2024-12-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $44,903.00 $53,883.00 $48,046.00 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 68 39 $0.01 — $18,842.57 $299,668.45 $47,971.18 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $44,820.00 $53,783.00 $47,957.00 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 7 $0.01 — $44,733.00 $53,680.00 $47,865.00 2024-12-15
21 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $44,578.00 $53,493.00 $47,698.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 69 39 $0.01 — $10,827.48 $302,179.58 $47,572.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 68 39 $0.01 — $17,790.76 $288,330.00 $46,685.49 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 72 39 $0.01 — $14,738.13 $234,392.18 $46,182.11 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 68 39 $0.01 — $18,568.22 $295,305.27 $46,091.38 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 70 39 $0.01 — $18,204.77 $289,525.06 $46,046.06 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 68 39 $0.01 — $17,391.68 $284,846.00 $45,874.08 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 $45,581.00 2024-12-15
252 MS_DRG Other Vascular Procedures With Mcc 72 39 $0.01 — $14,456.32 $229,910.36 $45,299.07 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 68 39 $0.01 — $17,676.38 $281,121.66 $45,185.85 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 39 $0.01 — $17,292.21 $277,613.00 $45,169.02 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 34 17 — — $14,250.35 $226,634.69 $44,653.66 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 $44,470.00 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 68 39 $0.01 — $17,463.37 $277,733.94 $44,268.29 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 68 39 $0.01 — $17,574.85 $279,506.89 $44,264.29 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 68 39 $0.01 — $17,472.07 $277,872.34 $44,245.68 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 70 39 $0.01 — $4,645.00 $285,214.61 $44,092.40 2026-04-01
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 33 21 $79,431.17 $31,772.47 60% off $10,167.00 $71,488.00 $43,687.00 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 33 21 $79,431.17 $31,772.47 60% off $10,167.00 $71,488.00 $43,687.00 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 68 39 $0.01 — $16,138.46 $278,185.00 $43,664.72 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 69 39 $0.01 — $1,676.00 $276,923.25 $43,579.00 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 $43,325.00 2024-12-15
C1882 HCPCS Defibrillator Protecta 2chb Is1 Df1 Av 35jl 38ml 6 2,962 39 $145,433.50 $58,173.40 60% off $5.00 $265,454.00 $43,156.50 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 69 39 $0.01 — $2,783.57 $273,720.08 $43,074.92 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant 9 7 $0.01 — $40,033.00 $48,039.00 $42,835.00 2024-12-15
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 52 35 $149,769.93 $59,907.97 60% off $615.00 $134,793.00 $42,751.50 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 69 39 $0.01 — $15,910.94 $256,120.00 $42,731.41 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $39,475.00 $47,370.00 $42,238.00 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 76 39 $0.01 — $13,231.70 $218,078.00 $42,193.77 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 68 39 $0.01 — $16,661.88 $264,987.13 $42,187.32 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 72 39 $0.01 — $14,945.75 $237,694.22 $42,120.12 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 68 39 $0.01 — $16,017.03 $254,731.69 $41,475.37 2026-04-01
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 52 35 $145,045.20 $58,018.08 60% off $84.00 $130,541.00 $41,403.00 2024-12-15
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 18 8 — — $5,293.00 $125,853.24 $41,337.81 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 68 39 $0.01 — $16,041.07 $255,113.97 $41,282.45 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 68 39 $0.01 — $16,211.81 $257,829.42 $41,021.62 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 76 39 $0.01 — $13,052.25 $207,580.40 $40,899.41 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 68 39 $0.01 — $16,001.70 $254,487.83 $40,597.18 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 64 39 $0.01 — $17,279.78 $274,814.17 $40,523.98 2026-04-01
4404 APR_DRG Kidney Transplant 9 7 $0.01 — $37,839.00 $45,407.00 $40,488.00 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 68 39 $0.01 — $15,594.74 $248,015.57 $40,362.42 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 68 39 $0.01 — $16,511.03 $262,588.05 $40,213.04 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 68 39 $0.01 — $14,847.95 $255,940.00 $40,173.28 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 72 39 $0.01 — $13,641.56 $216,952.66 $40,149.81 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 69 39 $0.01 — $15,444.72 $253,677.00 $40,112.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 68 39 $0.01 — $15,222.17 $248,238.00 $40,066.80 2026-04-01
8634 APR_DRG Neonatal Aftercare 9 7 $0.01 — $37,397.00 $44,877.00 $40,015.00 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 68 39 $0.01 — $14,813.55 $253,156.00 $39,907.10 2026-04-01
C1816 HCPCS System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 175 39 $174,780.00 $69,912.00 60% off $2,078.00 $179,150.00 $39,811.00 2024-12-15
61958-1004-1 NDC Ranolazine ER 1000 Mg Po Tb12 33 21 $71,934.08 $28,773.63 60% off $9,208.00 $64,741.00 $39,564.00 2024-12-15
791 MS_DRG Prematurity With Major Problems 64 39 $0.01 — $16,821.43 $267,524.63 $39,481.68 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 18 8 — — $5,293.00 $119,736.88 $39,328.83 2026-04-01
63 APR_DRG Pancreas Transplant 9 7 $0.01 — $36,709.00 $44,050.00 $39,278.00 2024-12-15
J2353 HCPCS Octreotide Acetate 10 Mg IM Kit 127 39 $195,950.56 $78,380.22 60% off $215.00 $497,285.00 $39,190.00 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 69 39 $0.01 — $15,489.89 $247,543.00 $39,142.00 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 $39,123.00 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 69 39 $0.01 — $15,488.23 $246,321.71 $39,094.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 68 39 $0.01 — $14,452.59 $248,489.00 $39,053.38 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 7 $0.01 — $36,393.00 $43,672.00 $38,940.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 68 39 $0.01 — $14,750.14 $240,581.00 $38,827.45 2026-04-01
50593 CPT Hc Ablation Renal Tumor Unilateral Perq Cryotherapy 94 39 $93,218.03 $37,287.21 60% off $4,477.00 $167,792.00 $38,461.50 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 68 39 $0.01 — $15,215.95 $241,991.48 $38,408.92 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 68 39 $0.01 — $14,968.13 $238,050.13 $38,281.29 2026-04-01
J9302 HCPCS Ofatumumab 100 Mg/5ml IV Conc 61 39 $191,175.00 $76,470.00 60% off $64.00 $172,058.00 $38,235.00 2024-12-15
265 MS_DRG Aicd Lead Procedures 68 39 $0.01 — $14,994.65 $238,471.94 $38,219.49 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 68 39 $0.01 — $15,357.69 $244,245.57 $38,157.28 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 68 39 $0.01 — $15,025.73 $238,966.26 $38,004.38 2026-04-01
332 MS_DRG Rectal Resection With Mcc 68 39 $0.01 — $15,005.01 $238,636.72 $37,695.45 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 68 39 $0.01 — $14,776.67 $235,005.13 $37,587.20 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 68 39 $0.01 — $14,764.23 $234,807.40 $37,585.15 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 68 39 $0.01 — $15,526.77 $246,934.66 $37,438.37 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 69 39 $0.01 — $14,585.20 $234,582.00 $37,093.00 2026-04-01
37231 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 91 39 $92,656.53 $37,062.61 60% off $2,706.00 $166,782.00 $37,090.00 2024-12-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 7 $0.01 — $34,634.00 $41,561.00 $37,059.00 2024-12-15
0686T OTHER Histotripsy Mal Hepatcel Tis 14 11 — — $21,250.85 $79,421.41 $37,027.55 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 70 39 $0.01 — $12,310.88 $235,354.45 $36,936.18 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 68 39 $0.01 — $14,119.81 $226,919.00 $36,901.01 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 68 39 $0.01 — $14,386.28 $228,796.50 $36,900.18 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 76 39 $0.01 — $9,154.00 $207,092.67 $36,883.29 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 68 39 $0.01 — $14,208.08 $225,962.42 $36,883.04 2026-04-01
69468-151-04 NDC Uridine Triacetate 10 G Po Pack 33 21 $66,710.18 $26,684.07 60% off $8,539.00 $60,039.00 $36,691.00 2024-12-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 76 39 $0.01 — $7,393.00 $218,991.00 $36,679.33 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 68 39 $0.01 — $14,316.66 $227,689.23 $36,672.06 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 68 39 $0.01 — $13,844.21 $224,707.00 $36,355.94 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 7 $0.01 — $33,958.00 $40,749.00 $36,335.00 2024-12-15
69930 HCPCS Implant Cochlear Device 11 11 — — $1,199.00 $76,439.25 $36,153.70 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 68 39 $0.01 — $15,037.34 $239,150.81 $36,128.40 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 17 7 — — $6,748.46 $107,326.22 $36,116.28 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 7 $0.01 — $33,728.00 $40,474.00 $36,089.00 2024-12-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 70 39 $0.01 — $14,138.46 $224,855.14 $36,000.06 2026-04-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 7 $0.01 — $33,602.00 $40,323.00 $35,955.00 2024-12-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 72 39 $0.01 — $14,615.04 $232,434.68 $35,699.45 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 68 39 $0.01 — $13,167.88 $226,976.00 $35,627.23 2026-04-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $33,236.00 $39,883.00 $35,563.00 2024-12-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 7 $0.01 — $32,884.00 $39,460.00 $35,186.00 2024-12-15
55566-9800-2 NDC Fecal Microbiota, Live-jslm 150 Ml Re Susp 33 21 $63,723.74 $25,489.50 60% off $8,157.00 $57,351.00 $35,048.00 2024-12-15
55566-9800-0 NDC Fecal Microbiota, Live-jslm 150 Ml Re Susp 33 21 $63,723.74 $25,489.50 60% off $8,157.00 $57,351.00 $35,048.00 2024-12-15
665 MS_DRG Prostatectomy With Mcc 68 39 $0.01 — $12,934.97 $220,753.00 $34,822.48 2026-04-01
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 52 35 $121,897.31 $48,758.92 60% off $60.00 $109,708.00 $34,796.00 2024-12-15
67546-212-21 NDC Nitazoxanide 100 Mg/5ml Po Susr Bulk 33 21 $62,887.24 $25,154.89 60% off $8,050.00 $56,599.00 $34,588.00 2024-12-15
1784 APR_DRG External Heart Assist Systems 9 7 $0.01 — $32,322.00 $38,787.00 $34,585.00 2024-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 68 39 $0.01 — $13,421.09 $213,446.30 $34,571.86 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 7 $0.01 — $32,237.00 $38,684.00 $34,494.00 2024-12-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 7 $0.01 — $32,143.00 $38,571.00 $34,393.00 2024-12-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $32,074.00 $38,489.00 $34,319.00 2024-12-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 68 39 $0.01 — $13,373.84 $212,694.93 $34,293.74 2026-04-01
C1722 HCPCS Defibrillator Lumax 540 Vr-t 1chb Home Mon 2,380 39 $114,935.00 $45,974.00 60% off $4,293.00 $181,634.00 $34,283.00 2024-12-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 68 39 $0.01 — $13,194.40 $209,841.07 $34,278.35 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 68 39 $0.01 — $13,406.17 $213,209.02 $34,169.19 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 69 39 $0.01 — $13,643.22 $216,979.02 $34,145.66 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 68 39 $0.01 — $13,347.74 $212,279.71 $34,049.07 2026-04-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 7 $0.01 — $31,781.00 $38,137.00 $34,006.00 2024-12-15
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 10 10 — — $32,224.05 $71,537.38 $33,996.37 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 10 10 — — $32,224.05 $71,537.38 $33,996.37 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 10 10 — — $32,224.05 $71,537.38 $33,996.37 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 10 10 — — $32,224.05 $71,537.38 $33,996.37 2026-04-01
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