Price Transparencybeta Hospital negotiated rates

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

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Hospital

AdventHealth Carrollwood

Tampa, FL · CCN 100069 · Rates published

15,413 distinct procedures filed
40 distinct payers
1,190,211 rate rows
2024-12-15 last MRF observed · ⚠ 19 mo old
Data quality

1,181,621 of 1,190,211 rate rows are consumer-grade (99.3%)

8,590 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
exceeds 10× this hospital's gross charge — excluded from medians 2,951
template filing: same amount across many unrelated codes — excluded 2,552
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,381
per-diem day rate — not a per-procedure price 706

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=5rO7TxQGaDed3J*_*ixqO2Bw*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch — · 2026-05-17

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
$625,184
1.7× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 39 $24,610.00 $3,391,378.00 $1,017,414.00 nat. median
$673,137
1.5× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 39 $24,610.00 $2,970,972.00 $891,292.00 nat. median
$753,246
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $269,131.00 $2,424,631.00 $342,326.00 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $201,362.00 $1,810,996.00 $255,861.00 nat. median
$265,286
1.0× median
5834
APR_DRG 		Neonate With Ecmo 7 $205,319.00 $246,383.00 $219,692.00 nat. median
$309,665
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $169,798.00 $1,525,186.00 $215,588.50 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $153,530.00 $1,377,880.00 $194,832.00 nat. median
$202,976
1.0× median
13925-522-01
NDC 		Pentamidine Isethionate 300 Mg In Solr 21 $34,071.00 $239,565.00 $146,401.00 nat. median
$83,907
1.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $133,948.00 $160,737.00 $143,324.00 nat. median
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 7 $133,012.00 $159,615.00 $142,323.00 nat. median
$244,017
0.6× median
58914-501-56
NDC 		Mesalamine 1000 Mg Re Supp 21 $32,018.00 $225,126.00 $137,577.00 nat. median
$57,068
outlier · 2.4×
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 39 $25,069.00 $244,692.00 $133,613.00 nat. median
$52,021
outlier · 2.6×
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 21 $30,591.00 $215,096.00 $131,448.00 nat. median
$111,860
1.2× median
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 39 $24,489.00 $436,950.00 $130,522.00 nat. median
$11,688
outlier · 11.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 $101,686.00 $908,446.00 $128,685.50 nat. median
$133,161
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $118,623.00 $142,347.00 $126,926.00 nat. median
$234,729
0.5× median
C1824
HCPCS 		Generator Pul Implantable Optimizer Smt F/hrt Fail 39 $23,278.00 $227,214.00 $124,070.00 nat. median
$37,950
outlier · 3.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $94,385.00 $842,341.00 $119,371.00 nat. median
$117,357
1.0× median
7
MS_DRG 		Lung Transplant 23 $94,151.00 $840,219.00 $119,071.50 nat. median
$122,708
1.0× median
38240
CPT 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 39 $2,682.00 $436,291.00 $118,874.00 nat. median
$15,979
outlier · 7.4×
63323-877-15
NDC 		Pentamidine Isethionate 300 Mg In Solr 21 $26,723.00 $187,895.00 $114,824.00 nat. median
$65,809
1.7× median
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 21 $26,531.00 $186,547.00 $114,001.00 nat. median
$94,327
1.2× median
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 21 $26,531.00 $186,547.00 $114,001.00 nat. median
$92,408
1.2× 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
$117,173
1.0× median
5832
APR_DRG 		Neonate With Ecmo 7 $102,129.00 $122,555.00 $109,278.00 nat. median
$156,126
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $101,659.00 $121,991.00 $108,775.00 nat. median
$207,730
0.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 23 $25,484.00 $700,391.00 $108,009.00 nat. median
$102,358
1.1× median
24338-050-08
NDC 		Carmustine In Polifeprosan 7.7 Mg Il Wafr 21 $25,096.00 $176,453.00 $107,832.00 nat. median
$49,264
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 23 $62,125.00 $681,161.00 $107,707.00 nat. median
$99,019
1.1× median
68382-395-04
NDC 		Ribavirin 6 G In Solr 21 $24,772.00 $174,179.00 $106,443.00 nat. median
$88,073
1.2× median
68382-395-01
NDC 		Ribavirin 6 G In Solr 21 $24,772.00 $174,179.00 $106,443.00 nat. median
$88,073
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $97,710.00 $117,252.00 $104,550.00 nat. median
$150,721
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $96,372.00 $115,646.00 $103,118.00 nat. median
$160,267
0.6× median
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 21 $23,828.00 $167,538.00 $102,385.00 nat. median
$87,698
1.2× median
59385-027-01
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 21 $23,828.00 $167,538.00 $102,385.00 nat. median
$87,698
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 $79,602.00 $708,479.00 $100,508.50 nat. median
$108,660
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $25,484.00 $620,489.00 $98,113.00 nat. median
$93,672
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 23 $76,973.00 $684,671.00 $97,154.00 nat. median
$100,136
1.0× median
C1822
HCPCS 		Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 39 $19,308.00 $227,214.00 $97,139.00 nat. median
$31,540
outlier · 3.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 $75,737.00 $673,484.00 $95,578.00 nat. median
$98,894
1.0× median
C2624
HCPCS 		System Cardiomems Hrt Failure Ptnt 39 $17,861.00 $165,725.00 $95,384.00 nat. median
$32,760
outlier · 2.9×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $88,071.00 $105,685.00 $94,236.00 nat. median
$162,982
0.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $87,116.00 $104,539.00 $93,214.00 nat. median
$182,665
0.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $86,464.00 $103,757.00 $92,516.00 nat. median
$122,924
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $85,092.00 $102,110.00 $91,048.00 nat. median
$164,289
0.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $80,769.00 $96,923.00 $86,423.00 nat. median
$187,061
outlier · 0.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 23 $25,484.00 $544,804.00 $86,146.00 nat. median
$79,312
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $80,365.00 $96,438.00 $85,990.00 nat. median
$164,834
0.5× median
C9089
HCPCS 		Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 39 $21,206.00 $153,281.00 $85,157.00 nat. median
$2
outlier · 53896.8×

Other procedures at this hospital

Browse this hospital's 15,413 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
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
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
0310-0283-60 NDC Quetiapine Fumarate ER 300 Mg Po Tb24 33 21 $61,530.60 $24,612.24 60% off $7,876.00 $55,378.00 $33,842.00 2024-12-15
0408T CPT Hc Ins/repl Ccm System, Pulse Gen With Tv Electrodes 62 39 $73,431.05 $29,372.42 60% off $5,079.00 $69,588.00 $32,129.50 2024-12-15
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
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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 23 $0.01 — $201,362.00 $1,810,996.00 $255,861.00 2024-12-15
10 MS_DRG Pancreas Transplant 34 23 $0.01 — $57,969.00 $512,600.00 $72,908.50 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 23 $0.01 — $39,671.00 $346,913.00 $49,562.00 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
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
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
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 34 23 $0.01 — $30,496.00 $263,835.00 $37,855.50 2024-12-15
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
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
14 MS_DRG Allogeneic Bone Marrow Transplant 34 23 $0.01 — $94,385.00 $842,341.00 $119,371.00 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
140 MS_DRG Major Head And Neck Procedures With Mcc 34 23 $0.01 — $31,387.00 $271,904.00 $38,992.50 2024-12-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 34 23 $0.01 — $24,803.00 $212,286.00 $30,591.50 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 34 23 $0.01 — $44,215.00 $388,060.00 $55,359.50 2024-12-15
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
1611 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $52,607.00 $63,128.00 $56,289.00 2024-12-15
1612 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $55,215.00 $66,258.00 $59,080.00 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $68,785.00 $82,542.00 $73,600.00 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $101,659.00 $121,991.00 $108,775.00 2024-12-15
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
163 MS_DRG Major Chest Procedures With Mcc 34 23 $0.01 — $34,085.00 $296,335.00 $42,434.50 2024-12-15
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
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 7 $0.01 — $31,499.00 $37,799.00 $33,704.00 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 34 23 $0.01 — $28,697.00 $247,543.00 $35,559.50 2024-12-15
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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 34 23 $0.01 — $44,215.00 $388,060.00 $55,359.50 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
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 23 $0.01 — $269,131.00 $2,424,631.00 $342,326.00 2024-12-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 7 $0.01 — $28,168.00 $33,801.00 $30,140.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 34 23 $0.01 — $57,645.00 $509,662.00 $72,494.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 23 $0.01 — $79,602.00 $708,479.00 $100,508.50 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 23 $0.01 — $58,595.00 $518,264.00 $73,706.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 23 $0.01 — $47,278.00 $415,789.00 $59,267.00 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 23 $0.01 — $40,604.00 $355,361.00 $50,752.50 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 37 23 $0.01 — $25,484.00 $700,391.00 $108,009.00 2024-12-15
215 MS_DRG Other Heart Assist System Implant 37 23 $0.01 — $62,125.00 $681,161.00 $107,707.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 23 $0.01 — $25,484.00 $620,489.00 $98,113.00 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 23 $0.01 — $25,484.00 $415,191.00 $65,651.00 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 23 $0.01 — $25,484.00 $382,492.00 $60,481.00 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 23 $0.01 — $25,484.00 $497,459.00 $78,659.00 2024-12-15
22 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $48,472.00 $58,167.00 $51,866.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 23 $0.01 — $26,425.00 $226,976.00 $32,662.00 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 23 $0.01 — $25,484.00 $340,535.00 $53,846.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 23 $0.01 — $25,484.00 $295,267.00 $46,688.00 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 37 23 $0.01 — $20,102.00 $320,386.00 $50,660.00 2024-12-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 37 23 $0.01 — $20,102.00 $199,710.00 $31,579.00 2024-12-15
23 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $66,606.00 $79,927.00 $71,268.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 23 $0.01 — $41,867.00 $366,792.00 $52,362.50 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 37 23 $0.01 — $25,484.00 $544,804.00 $86,146.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 37 23 $0.01 — $25,484.00 $392,741.00 $62,101.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 37 23 $0.01 — $25,484.00 $502,532.00 $79,462.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 37 23 $0.01 — $25,484.00 $342,046.00 $54,085.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 37 23 $0.01 — $25,484.00 $378,307.00 $59,819.00 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 37 23 $0.01 — $25,484.00 $264,375.00 $41,804.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 23 $0.01 — $37,122.00 $323,832.00 $46,309.50 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
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 23 $0.01 — $28,352.00 $244,419.00 $35,119.50 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 37 23 $0.01 — $19,625.00 $218,078.00 $34,483.00 2024-12-15
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
245 MS_DRG Aicd Generator Procedures 34 23 $0.01 — $36,056.00 $314,182.00 $44,949.50 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 23 $0.01 — $33,113.00 $287,533.00 $41,194.50 2024-12-15
252 MS_DRG Other Vascular Procedures With Mcc 34 23 $0.01 — $25,715.00 $220,547.00 $31,755.50 2024-12-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 37 23 $0.01 — $7,393.00 $218,991.00 $31,331.00 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 34 23 $0.01 — $26,175.00 $224,707.00 $32,342.00 2024-12-15
265 MS_DRG Aicd Lead Procedures 34 23 $0.01 — $26,687.00 $229,342.00 $32,995.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 23 $0.01 — $43,895.00 $385,161.00 $54,950.50 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 23 $0.01 — $34,763.00 $302,475.00 $43,300.00 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 23 $0.01 — $48,701.00 $428,673.00 $61,082.50 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 23 $0.01 — $30,901.00 $267,500.00 $38,372.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 23 $0.01 — $37,804.00 $330,011.00 $47,180.00 2024-12-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 34 23 $0.01 — $25,815.00 $221,447.00 $31,883.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 23 $0.01 — $29,123.00 $251,401.00 $36,103.50 2024-12-15
27446 CPT Hc Knee Arthroplasty Condyle/plateau Medial Or Lateral Comptmnt 94 39 $74,636.76 $29,854.70 60% off $6,053.00 $134,346.00 $30,795.50 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 23 $0.01 — $42,040.00 $454,352.00 $64,700.50 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 36 23 $0.01 — $34,091.00 $398,250.00 $56,795.50 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 36 23 $0.01 — $34,388.00 $299,080.00 $43,270.50 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 23 $0.01 — $36,884.00 $321,672.00 $46,005.50 2024-12-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 23 $0.01 — $24,111.00 $206,017.00 $29,708.50 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 34 23 $0.01 — $44,525.00 $390,863.00 $55,754.50 2024-12-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 23 $0.01 — $25,192.00 $215,809.00 $31,088.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 23 $0.01 — $153,530.00 $1,377,880.00 $194,832.00 2024-12-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 7 $0.01 — $29,030.00 $34,835.00 $31,062.00 2024-12-15
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
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 7 $0.01 — $29,867.00 $35,841.00 $31,958.00 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 23 $0.01 — $31,113.00 $269,422.00 $38,643.00 2024-12-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 9 7 $0.01 — $27,970.00 $33,564.00 $29,928.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 34 23 $0.01 — $45,284.00 $397,736.00 $56,723.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 23 $0.01 — $32,549.00 $282,422.00 $37,730.50 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 36 23 $0.01 — $4,645.00 $273,845.00 $34,475.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 23 $0.01 — $37,421.00 $326,539.00 $46,691.00 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 23 $0.01 — $33,962.00 $295,222.00 $42,278.00 2024-12-15
332 MS_DRG Rectal Resection With Mcc 34 23 $0.01 — $25,987.00 $223,010.00 $32,103.00 2024-12-15
33231 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Multileads 62 39 $100,001.66 $40,000.66 60% off $12,800.00 $90,001.00 $32,443.00 2024-12-15
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 96 39 $100,001.66 $40,000.66 60% off $9,952.00 $90,001.00 $32,756.50 2024-12-15
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 62 39 $64,975.69 $25,990.28 60% off $8,317.00 $58,478.00 $33,397.50 2024-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 23 $0.01 — $27,086.00 $232,956.00 $33,504.00 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 23 $0.01 — $28,970.00 $250,012.00 $35,908.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 23 $0.01 — $31,646.00 $274,250.00 $39,323.00 2024-12-15
37 MS_DRG Extracranial Procedures With Mcc 34 23 $0.01 — $24,938.00 $213,507.00 $30,763.50 2024-12-15
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
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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 23 $0.01 — $101,686.00 $908,446.00 $128,685.50 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 34 23 $0.01 — $28,142.00 $242,516.00 $34,851.50 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 23 $0.01 — $29,136.00 $251,523.00 $36,120.50 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 23 $0.01 — $39,904.00 $349,022.00 $49,858.50 2024-12-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 34 23 $0.01 — $26,219.00 $225,106.00 $32,398.00 2024-12-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 23 $0.01 — $26,237.00 $225,266.00 $32,421.00 2024-12-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 34 23 $0.01 — $26,419.00 $226,919.00 $32,653.50 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 23 $0.01 — $30,238.00 $261,501.00 $37,526.50 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 23 $0.01 — $75,737.00 $673,484.00 $95,578.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 23 $0.01 — $51,790.00 $456,647.00 $65,024.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 23 $0.01 — $40,439.00 $353,870.00 $50,542.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 23 $0.01 — $60,579.00 $536,234.00 $76,238.50 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 23 $0.01 — $40,201.00 $351,709.00 $50,237.50 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
4404 APR_DRG Kidney Transplant 9 7 $0.01 — $37,839.00 $45,407.00 $40,488.00 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 23 $0.01 — $48,964.00 $431,059.00 $61,418.50 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 34 23 $0.01 — $30,353.00 $262,536.00 $37,672.50 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 34 23 $0.01 — $37,926.00 $331,110.00 $47,335.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 23 $0.01 — $61,492.00 $544,502.00 $77,403.50 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 23 $0.01 — $42,110.00 $368,998.00 $52,673.50 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 23 $0.01 — $32,018.00 $277,613.00 $39,797.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 34 23 $0.01 — $44,931.00 $394,541.00 $56,273.00 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 23 $0.01 — $39,707.00 $347,241.00 $49,608.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 23 $0.01 — $37,532.00 $327,542.00 $46,832.50 2024-12-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 34 23 $0.01 — $25,679.00 $220,213.00 $31,709.00 2024-12-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 34 23 $0.01 — $24,567.00 $210,151.00 $30,291.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 34 23 $0.01 — $35,847.00 $312,286.00 $44,682.00 2024-12-15
47335-625-60 NDC Ranolazine ER 1000 Mg Po Pack 33 21 $57,987.85 $23,195.14 60% off $7,422.00 $52,189.00 $31,893.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 23 $0.01 — $33,201.00 $288,330.00 $41,306.50 2024-12-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 34 23 $0.01 — $25,777.00 $221,100.00 $31,834.00 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
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 34 23 $0.01 — $24,217.00 $206,975.00 $29,843.50 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 23 $0.01 — $26,573.00 $228,314.00 $32,850.00 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 23 $0.01 — $26,356.00 $226,346.00 $32,573.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 23 $0.01 — $76,973.00 $684,671.00 $97,154.00 2024-12-15
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
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
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 34 23 $0.01 — $26,806.00 $230,423.00 $33,147.50 2024-12-15
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
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
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
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
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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 23 $0.01 — $45,084.00 $395,923.00 $56,467.50 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 23 $0.01 — $25,960.00 $222,765.00 $32,068.50 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 23 $0.01 — $39,667.00 $346,875.00 $49,556.50 2024-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 23 $0.01 — $24,501.00 $209,553.00 $30,206.50 2024-12-15
5831 APR_DRG Neonate With Ecmo 9 7 $0.01 — $74,234.00 $89,081.00 $79,431.00 2024-12-15
5832 APR_DRG Neonate With Ecmo 9 7 $0.01 — $102,129.00 $122,555.00 $109,278.00 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
5834 APR_DRG Neonate With Ecmo 9 7 $0.01 — $205,319.00 $246,383.00 $219,692.00 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
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
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
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
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
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
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
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
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
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
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $28,790.00 $34,548.00 $30,806.00 2024-12-15
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
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
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
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
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
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
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
6 MS_DRG Liver Transplant Without Mcc 34 23 $0.01 — $35,789.00 $311,765.00 $44,609.00 2024-12-15
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
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
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
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
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
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $31,084.00 $37,300.00 $33,259.00 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
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 7 $0.01 — $28,370.00 $34,044.00 $30,356.00 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
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
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
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
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
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 23 $0.01 — $28,801.00 $248,489.00 $35,693.00 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
62 APR_DRG Pancreas Transplant 9 7 $0.01 — $29,393.00 $35,271.00 $31,450.00 2024-12-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 7 $0.01 — $30,808.00 $36,969.00 $32,964.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 23 $0.01 — $27,928.00 $240,581.00 $34,578.50 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 34 23 $0.01 — $29,374.00 $253,677.00 $36,424.00 2024-12-15
63 APR_DRG Pancreas Transplant 9 7 $0.01 — $36,709.00 $44,050.00 $39,278.00 2024-12-15
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
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
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
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
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 7 $0.01 — $30,498.00 $36,597.00 $32,632.00 2024-12-15
64 APR_DRG Pancreas Transplant 9 7 $0.01 — $51,673.00 $62,007.00 $55,290.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 34 23 $0.01 — $34,072.00 $296,213.00 $42,417.50 2024-12-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 34 23 $0.01 — $26,014.00 $223,254.00 $32,137.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 34 23 $0.01 — $40,940.00 $358,402.00 $51,180.50 2024-12-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 23 $0.01 — $24,491.00 $209,463.00 $30,194.00 2024-12-15
665 MS_DRG Prostatectomy With Mcc 34 23 $0.01 — $25,738.00 $220,753.00 $31,785.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 23 $0.01 — $31,106.00 $269,358.00 $38,633.50 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
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 7 $0.01 — $30,781.00 $36,938.00 $32,936.00 2024-12-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 7 $0.01 — $28,048.00 $33,658.00 $30,011.00 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
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
6904 APR_DRG Acute Leukemia 9 7 $0.01 — $27,785.00 $33,342.00 $29,730.00 2024-12-15
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
7 MS_DRG Lung Transplant 34 23 $0.01 — $94,151.00 $840,219.00 $119,071.50 2024-12-15
71 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $30,072.00 $36,087.00 $32,177.00 2024-12-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $31,655.00 $37,985.00 $33,870.00 2024-12-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $39,475.00 $47,370.00 $42,238.00 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 34 23 $0.01 — $29,317.00 $253,156.00 $36,351.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 34 23 $0.01 — $29,624.00 $255,940.00 $36,743.00 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $80,769.00 $96,923.00 $86,423.00 2024-12-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 9 7 $0.01 — $27,933.00 $33,520.00 $29,889.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 23 $0.01 — $43,568.00 $382,203.00 $46,523.00 2024-12-15
791 MS_DRG Prematurity With Major Problems 30 23 $0.01 — $30,185.00 $261,019.00 $32,203.00 2024-12-15
793 MS_DRG Full Term Neonate With Major Problems 30 23 $0.01 — $30,970.00 $268,130.00 $33,043.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 34 23 $0.01 — $35,119.00 $305,696.00 $43,753.50 2024-12-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 34 23 $0.01 — $39,992.00 $349,819.00 $49,971.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 23 $0.01 — $26,812.00 $230,474.00 $33,154.50 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 23 $0.01 — $42,699.00 $374,327.00 $53,424.50 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 23 $0.01 — $34,584.00 $300,854.00 $43,072.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 23 $0.01 — $35,266.00 $307,026.00 $43,941.50 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 34 23 $0.01 — $40,604.00 $355,361.00 $50,752.50 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 34 23 $0.01 — $36,911.00 $321,923.00 $46,040.50 2024-12-15
84 APR_DRG Autologous Bone Marrow Transplant 9 7 $0.01 — $40,033.00 $48,039.00 $42,835.00 2024-12-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 7 $0.01 — $30,841.00 $37,009.00 $33,000.00 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
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
850 MS_DRG Acute Leukemia With Other Procedures 34 23 $0.01 — $66,766.00 $592,251.00 $84,131.50 2024-12-15
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
8514 APR_DRG Gender Related Procedures 9 7 $0.01 — $50,103.00 $60,123.00 $53,610.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 23 $0.01 — $36,869.00 $321,544.00 $45,987.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 23 $0.01 — $33,392.00 $290,060.00 $41,550.50 2024-12-15
8634 APR_DRG Neonatal Aftercare 9 7 $0.01 — $37,397.00 $44,877.00 $40,015.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 23 $0.01 — $50,752.00 $447,247.00 $63,699.50 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 34 23 $0.01 — $29,260.00 $252,642.00 $36,278.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 34 23 $0.01 — $32,816.00 $284,846.00 $40,815.50 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 34 23 $0.01 — $28,774.00 $248,238.00 $35,657.50 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 23 $0.01 — $29,644.00 $256,120.00 $36,768.00 2024-12-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 7 $0.01 — $28,513.00 $34,216.00 $30,509.00 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 23 $0.01 — $169,798.00 $1,525,186.00 $215,588.50 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 34 23 $0.01 — $48,781.00 $429,400.00 $61,184.50 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
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 34 23 $0.01 — $32,081.00 $278,185.00 $39,877.50 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
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 23 $0.01 — $27,265.00 $234,582.00 $33,733.50 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 23 $0.01 — $49,842.00 $439,005.00 $62,538.00 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 34 23 $0.01 — $28,499.00 $245,750.00 $35,307.50 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 23 $0.01 — $54,357.00 $479,888.00 $68,298.50 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 23 $0.01 — $30,539.00 $264,227.00 $37,910.50 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 23 $0.01 — $46,263.00 $406,602.00 $57,972.50 2024-12-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 23 $0.01 — $26,810.00 $230,461.00 $33,153.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 23 $0.01 — $35,113.00 $305,638.00 $43,745.50 2024-12-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 23 $0.01 — $26,229.00 $225,196.00 $32,410.50 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
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
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
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
C1721 HCPCS Defibrillator Ventak Priz 2 Dr 2chb Bip Is1 Df1 Av 2,444 39 $121,179.50 $48,471.80 60% off $10.00 $167,925.00 $33,020.00 2024-12-15
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
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
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
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
C1820 HCPCS System Chrgr Prc Fam Neurostim Ptnt Kt 904 39 $127,006.80 $50,802.72 60% off $982.00 $223,325.00 $33,703.00 2024-12-15
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
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
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
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
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
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
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
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
C2616 HCPCS Sphere Embol Sir Msphre 90 126 39 $169,324.35 $67,729.74 60% off $7,779.00 $152,392.00 $33,219.00 2024-12-15
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
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
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
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 61 39 $155,140.57 $62,056.23 60% off $1,211.00 $139,627.00 $31,028.00 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
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
L8614 HCPCS Processor Sound Nuc 7 Cp100 Wht 610 39 $123,739.69 $49,495.88 60% off $239.00 $174,447.00 $31,012.00 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
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
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
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