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 FISH MEMORIAL

Orange City, FL · CCN 100072 · Rates published

15,371 distinct procedures filed
37 distinct payers
1,240,697 rate rows
2024-12-15 last MRF observed · ⚠ 19 mo old
Data quality

1,233,288 of 1,240,697 rate rows are consumer-grade (99.4%)

7,409 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 5,502
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,522
template filing: same amount across many unrelated codes — excluded 226
per-diem day rate — not a per-procedure price 159

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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=m2Kq6olSod3nywRT*__*WFzCQ*-*
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 36 $24,610.00 $1,590,921.00 $704,024.00 nat. median
$625,184
1.1× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 36 $24,610.00 $1,556,042.00 $688,589.00 nat. median
$673,137
1.0× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 36 $24,610.00 $1,363,151.00 $603,230.00 nat. median
$753,246
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $279,819.00 $1,614,032.00 $449,996.50 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $209,201.00 $1,205,547.00 $336,209.50 nat. median
$265,286
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $176,309.00 $1,015,288.00 $283,211.00 nat. median
$206,474
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $159,357.00 $917,230.00 $255,896.00 nat. median
$202,976
1.3× median
5834
APR_DRG 		Neonate With Ecmo 6 $205,319.00 $246,383.00 $217,638.00 nat. median
$309,665
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $105,333.00 $604,736.00 $168,848.00 nat. median
$133,161
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $97,726.00 $560,731.00 $156,590.50 nat. median
$117,357
1.3× median
7
MS_DRG 		Lung Transplant 20 $97,481.00 $559,319.00 $156,197.00 nat. median
$122,708
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $133,948.00 $160,737.00 $141,985.00 nat. median
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 6 $133,012.00 $159,615.00 $140,993.00 nat. median
$244,017
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $82,320.00 $471,621.00 $131,768.00 nat. median
$108,660
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $81,390.00 $466,237.00 $130,268.00 nat. median
$102,358
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $79,581.00 $455,773.00 $127,353.50 nat. median
$100,136
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 20 $79,177.00 $453,436.00 $126,702.00 nat. median
$99,019
1.3× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 32 $10.00 $218,570.00 $125,799.00 nat. median
$1,033
outlier · 121.7×
24
APR_DRG 		Heart And/or Lung Transplant 6 $118,623.00 $142,347.00 $125,740.00 nat. median
$234,729
0.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $78,293.00 $448,326.00 $125,278.50 nat. median
$98,894
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $72,194.00 $413,048.00 $115,452.00 nat. median
$93,672
1.2× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $104,305.00 $125,166.00 $110,564.00 nat. median
$117,173
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $68,945.00 $394,251.00 $110,216.00 nat. median
$83,470
1.3× median
5832
APR_DRG 		Neonate With Ecmo 6 $102,129.00 $122,555.00 $108,257.00 nat. median
$156,126
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $101,659.00 $121,991.00 $107,759.00 nat. median
$207,730
0.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $97,710.00 $117,252.00 $103,573.00 nat. median
$150,721
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $96,372.00 $115,646.00 $102,154.00 nat. median
$160,267
0.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 20 $63,484.00 $362,666.00 $101,417.50 nat. median
$79,312
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $63,450.00 $362,465.00 $101,361.50 nat. median
$81,118
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 $62,498.00 $356,961.00 $99,828.00 nat. median
$82,711
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 $60,430.00 $344,999.00 $96,496.00 nat. median
$77,570
1.2× median
10
MS_DRG 		Pancreas Transplant 20 $59,778.00 $341,228.00 $95,446.00 nat. median
$68,884
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 $59,440.00 $339,273.00 $94,901.00 nat. median
$71,271
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 $58,620.00 $334,526.00 $93,579.00 nat. median
$73,807
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $88,071.00 $105,685.00 $93,355.00 nat. median
$162,982
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $58,036.00 $331,150.00 $92,638.00 nat. median
$74,915
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $87,116.00 $104,539.00 $92,343.00 nat. median
$182,665
0.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $86,464.00 $103,757.00 $91,652.00 nat. median
$122,924
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $85,092.00 $102,110.00 $90,197.00 nat. median
$164,289
0.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 $56,014.00 $319,453.00 $89,380.00 nat. median
$72,135
1.2× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $80,769.00 $96,923.00 $85,616.00 nat. median
$187,061
outlier · 0.5×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $80,365.00 $96,438.00 $85,187.00 nat. median
$164,834
0.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $53,339.00 $303,981.00 $85,070.00 nat. median
$68,090
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 $53,075.00 $302,453.00 $84,644.50 nat. median
$68,886
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $78,902.00 $94,682.00 $83,636.00 nat. median
$151,838
0.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 20 $52,257.00 $297,724.00 $83,327.00 nat. median
$66,526
1.3× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 20 $51,309.00 $292,238.00 $81,799.00 nat. median
$64,732
1.3× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $76,443.00 $91,731.00 $81,029.00 nat. median
$145,336
0.6× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 $50,394.00 $286,948.00 $80,325.50 nat. median
$63,724
1.3× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 32 $615.00 $142,281.00 $80,202.00 nat. median
$896
outlier · 89.5×

Other procedures at this hospital

Browse this hospital's 15,371 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 61 36 $1,674,653.22 $669,861.29 60% off $24,610.00 $1,590,921.00 $704,024.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 61 36 $1,637,938.50 $655,175.40 60% off $24,610.00 $1,556,042.00 $688,589.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 61 36 $1,434,896.05 $573,958.42 60% off $24,610.00 $1,363,151.00 $603,230.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 20 $0.01 — $279,819.00 $1,614,032.00 $449,996.50 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 20 $0.01 — $209,201.00 $1,205,547.00 $336,209.50 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 20 $0.01 — $176,309.00 $1,015,288.00 $283,211.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 20 $0.01 — $159,357.00 $917,230.00 $255,896.00 2024-12-15
5834 APR_DRG Neonate With Ecmo 9 6 $0.01 — $205,319.00 $246,383.00 $217,638.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 20 $0.01 — $105,333.00 $604,736.00 $168,848.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 34 20 $0.01 — $97,726.00 $560,731.00 $156,590.50 2024-12-15
7 MS_DRG Lung Transplant 34 20 $0.01 — $97,481.00 $559,319.00 $156,197.00 2024-12-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $133,948.00 $160,737.00 $141,985.00 2024-12-15
5833 APR_DRG Neonate With Ecmo 9 6 $0.01 — $133,012.00 $159,615.00 $140,993.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 20 $0.01 — $82,320.00 $471,621.00 $131,768.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 20 $0.01 — $81,390.00 $466,237.00 $130,268.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 20 $0.01 — $79,581.00 $455,773.00 $127,353.50 2024-12-15
215 MS_DRG Other Heart Assist System Implant 34 20 $0.01 — $79,177.00 $453,436.00 $126,702.00 2024-12-15
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 52 32 $242,855.70 $97,142.28 60% off $10.00 $218,570.00 $125,799.00 2024-12-15
24 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $118,623.00 $142,347.00 $125,740.00 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 20 $0.01 — $78,293.00 $448,326.00 $125,278.50 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 20 $0.01 — $72,194.00 $413,048.00 $115,452.00 2024-12-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 6 $0.01 — $104,305.00 $125,166.00 $110,564.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 34 20 $0.01 — $68,945.00 $394,251.00 $110,216.00 2024-12-15
5832 APR_DRG Neonate With Ecmo 9 6 $0.01 — $102,129.00 $122,555.00 $108,257.00 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $101,659.00 $121,991.00 $107,759.00 2024-12-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 6 $0.01 — $97,710.00 $117,252.00 $103,573.00 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 6 $0.01 — $96,372.00 $115,646.00 $102,154.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 20 $0.01 — $63,484.00 $362,666.00 $101,417.50 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 20 $0.01 — $63,450.00 $362,465.00 $101,361.50 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 20 $0.01 — $62,498.00 $356,961.00 $99,828.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 20 $0.01 — $60,430.00 $344,999.00 $96,496.00 2024-12-15
10 MS_DRG Pancreas Transplant 34 20 $0.01 — $59,778.00 $341,228.00 $95,446.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 34 20 $0.01 — $59,440.00 $339,273.00 $94,901.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 20 $0.01 — $58,620.00 $334,526.00 $93,579.00 2024-12-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 6 $0.01 — $88,071.00 $105,685.00 $93,355.00 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 20 $0.01 — $58,036.00 $331,150.00 $92,638.00 2024-12-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $87,116.00 $104,539.00 $92,343.00 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 6 $0.01 — $86,464.00 $103,757.00 $91,652.00 2024-12-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 $0.01 — $85,092.00 $102,110.00 $90,197.00 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 20 $0.01 — $56,014.00 $319,453.00 $89,380.00 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $80,769.00 $96,923.00 $85,616.00 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 6 $0.01 — $80,365.00 $96,438.00 $85,187.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 20 $0.01 — $53,339.00 $303,981.00 $85,070.00 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 20 $0.01 — $53,075.00 $302,453.00 $84,644.50 2024-12-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 $0.01 — $78,902.00 $94,682.00 $83,636.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 20 $0.01 — $52,257.00 $297,724.00 $83,327.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 20 $0.01 — $51,309.00 $292,238.00 $81,799.00 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $76,443.00 $91,731.00 $81,029.00 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 20 $0.01 — $50,394.00 $286,948.00 $80,325.50 2024-12-15
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 52 32 $149,769.93 $59,907.97 60% off $615.00 $142,281.00 $80,202.00 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 34 20 $0.01 — $50,203.00 $285,844.00 $80,017.50 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 20 $0.01 — $50,120.00 $285,360.00 $79,883.00 2024-12-15
5831 APR_DRG Neonate With Ecmo 9 6 $0.01 — $74,234.00 $89,081.00 $78,688.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 20 $0.01 — $48,637.00 $276,783.00 $77,494.00 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 20 $0.01 — $48,568.00 $276,385.00 $77,383.00 2024-12-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 6 $0.01 — $72,982.00 $87,578.00 $77,361.00 2024-12-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 6 $0.01 — $71,830.00 $86,196.00 $76,140.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 20 $0.01 — $47,580.00 $270,667.00 $75,790.00 2024-12-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 6 $0.01 — $71,338.00 $85,605.00 $75,618.00 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 52 32 $145,045.20 $58,018.08 60% off $84.00 $130,541.00 $75,133.50 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 20 $0.01 — $46,619.00 $265,108.00 $74,241.50 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 34 20 $0.01 — $46,559.00 $264,766.00 $74,146.50 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 20 $0.01 — $46,351.00 $263,559.00 $73,810.50 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 34 20 $0.01 — $46,192.00 $262,638.00 $73,553.50 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 20 $0.01 — $45,985.00 $261,440.00 $73,220.00 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $68,785.00 $82,542.00 $72,912.00 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 34 20 $0.01 — $45,769.00 $260,190.00 $72,872.00 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 34 20 $0.01 — $45,446.00 $258,324.00 $72,352.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 34 20 $0.01 — $45,446.00 $258,324.00 $72,352.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 20 $0.01 — $45,112.00 $256,394.00 $71,814.50 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 20 $0.01 — $44,805.00 $254,618.00 $71,320.00 2024-12-15
23 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $66,606.00 $79,927.00 $70,602.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 20 $0.01 — $44,324.00 $251,832.00 $70,543.50 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 20 $0.01 — $43,866.00 $249,183.00 $69,805.50 2024-12-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $65,522.00 $78,627.00 $69,454.00 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 20 $0.01 — $43,252.00 $245,635.00 $68,817.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 20 $0.01 — $42,998.00 $244,167.00 $68,408.50 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 296 37 $165,680.00 $66,272.00 60% off $25,733.00 $196,200.00 $68,330.00 2024-12-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 $0.01 — $63,159.00 $75,790.00 $66,948.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 34 20 $0.01 — $42,033.00 $238,582.00 $66,852.50 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 20 $0.01 — $41,683.00 $236,557.00 $66,289.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 34 20 $0.01 — $41,683.00 $236,557.00 $66,289.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 20 $0.01 — $41,511.00 $235,564.00 $66,012.50 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 20 $0.01 — $41,263.00 $234,126.00 $65,611.50 2024-12-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 34 20 $0.01 — $41,045.00 $232,868.00 $65,261.00 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 20 $0.01 — $40,953.00 $232,338.00 $65,113.50 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 20 $0.01 — $40,748.00 $231,152.00 $64,783.00 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 20 $0.01 — $40,711.00 $230,934.00 $64,722.00 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 20 $0.01 — $40,706.00 $230,908.00 $64,715.00 2024-12-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 6 $0.01 — $60,831.00 $72,997.00 $64,481.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 20 $0.01 — $40,151.00 $227,694.00 $63,819.50 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 20 $0.01 — $39,977.00 $226,688.00 $63,539.50 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 52 32 $121,897.31 $48,758.92 60% off $60.00 $109,708.00 $63,142.50 2024-12-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 6 $0.01 — $59,311.00 $71,174.00 $62,870.00 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 134 37 $113,360.00 $45,344.00 60% off $22,487.00 $102,024.00 $62,111.00 2024-12-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $58,591.00 $70,309.00 $62,106.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 34 20 $0.01 — $38,892.00 $220,414.00 $61,792.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 20 $0.01 — $38,765.00 $219,682.00 $61,588.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 20 $0.01 — $38,481.00 $218,039.00 $61,130.50 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 20 $0.01 — $38,366.00 $217,371.00 $60,944.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 20 $0.01 — $38,054.00 $215,569.00 $60,442.00 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 134 37 $106,680.00 $42,672.00 60% off $24,216.00 $109,872.00 $60,114.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 34 20 $0.01 — $37,835.00 $214,298.00 $60,088.00 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 20 $0.01 — $37,806.00 $214,131.00 $60,042.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 20 $0.01 — $37,791.00 $214,046.00 $60,017.50 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 20 $0.01 — $37,658.00 $213,275.00 $59,803.50 2024-12-15
245 MS_DRG Aicd Generator Procedures 34 20 $0.01 — $36,944.00 $209,145.00 $58,652.50 2024-12-15
1612 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $55,215.00 $66,258.00 $58,528.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 34 20 $0.01 — $36,726.00 $207,883.00 $58,301.50 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 34 20 $0.01 — $36,666.00 $207,536.00 $58,204.50 2024-12-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 $0.01 — $54,722.00 $65,666.00 $58,005.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 20 $0.01 — $36,120.00 $204,382.00 $57,326.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 34 20 $0.01 — $35,967.00 $203,496.00 $57,079.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 20 $0.01 — $35,961.00 $203,457.00 $57,068.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 20 $0.01 — $35,597.00 $201,352.00 $56,481.50 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 20 $0.01 — $35,410.00 $200,273.00 $56,181.50 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 20 $0.01 — $35,206.00 $199,092.00 $55,852.50 2024-12-15
1611 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $52,607.00 $63,128.00 $55,763.00 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 6 $0.01 — $52,325.00 $62,790.00 $55,465.00 2024-12-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 6 $0.01 — $52,231.00 $62,678.00 $55,365.00 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 34 20 $0.01 — $34,890.00 $197,265.00 $55,343.50 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 34 20 $0.01 — $34,876.00 $197,183.00 $55,320.50 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 20 $0.01 — $34,767.00 $196,554.00 $55,145.50 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 20 $0.01 — $34,762.00 $196,524.00 $55,137.00 2024-12-15
64 APR_DRG Pancreas Transplant 9 6 $0.01 — $51,673.00 $62,007.00 $54,773.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 20 $0.01 — $34,168.00 $193,087.00 $54,180.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 20 $0.01 — $33,969.00 $191,936.00 $53,859.00 2024-12-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 6 $0.01 — $50,782.00 $60,938.00 $53,829.00 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 20 $0.01 — $33,877.00 $191,405.00 $53,711.50 2024-12-15
8514 APR_DRG Gender Related Procedures 11 7 $0.01 — $50,103.00 $60,123.00 $53,610.00 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 35 20 $85,454.33 $34,181.73 60% off $19,398.00 $76,909.00 $53,409.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 34 20 $0.01 — $33,568.00 $189,617.00 $53,213.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 20 $0.01 — $33,289.00 $188,003.00 $52,763.50 2024-12-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 6 $0.01 — $49,700.00 $59,640.00 $52,682.00 2024-12-15
33249 CPT Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 70 37 $118,735.79 $47,494.32 60% off $14,380.00 $106,862.00 $52,347.00 2024-12-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 6 $0.01 — $49,355.00 $59,226.00 $52,317.00 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 34 20 $0.01 — $32,801.00 $185,183.00 $51,978.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 20 $0.01 — $32,735.00 $184,802.00 $51,871.50 2024-12-15
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 52 32 $100,047.74 $40,019.09 60% off $57.00 $90,043.00 $51,824.50 2024-12-15
22 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $48,472.00 $58,167.00 $51,381.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 20 $0.01 — $32,348.00 $182,563.00 $51,248.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 34 20 $0.01 — $32,302.00 $182,294.00 $51,173.00 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 34 20 $0.01 — $32,078.00 $181,001.00 $50,813.00 2024-12-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 $0.01 — $47,894.00 $57,473.00 $50,768.00 2024-12-15
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 188 37 $96,901.00 $38,760.40 60% off $20,289.00 $102,024.00 $50,365.50 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 20 $0.01 — $31,793.00 $179,349.00 $50,353.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 20 $0.01 — $31,785.00 $179,307.00 $50,341.00 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 20 $0.01 — $31,572.00 $178,070.00 $49,996.50 2024-12-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 6 $0.01 — $46,657.00 $55,988.00 $49,456.00 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 34 20 $0.01 — $31,212.00 $175,990.00 $49,417.00 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 20 $0.01 — $31,195.00 $175,891.00 $49,389.50 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 $0.01 — $46,532.00 $55,838.00 $49,324.00 2024-12-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 34 20 $0.01 — $31,150.00 $175,630.00 $49,316.50 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 34 20 $0.01 — $31,000.00 $174,766.00 $49,076.00 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 20 $0.01 — $30,881.00 $174,077.00 $48,884.00 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 20 $0.01 — $30,262.00 $170,494.00 $47,886.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 34 20 $0.01 — $30,241.00 $170,375.00 $47,853.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 20 $0.01 — $44,772.00 $254,426.00 $47,851.00 2024-12-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $44,903.00 $53,883.00 $47,597.00 2024-12-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 $0.01 — $44,820.00 $53,783.00 $47,509.00 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 34 20 $0.01 — $29,981.00 $168,868.00 $47,433.50 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 6 $0.01 — $44,733.00 $53,680.00 $47,417.00 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 34 20 $0.01 — $29,921.00 $168,521.00 $47,336.50 2024-12-15
21 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $44,578.00 $53,493.00 $47,252.00 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 34 20 $0.01 — $29,862.00 $168,179.00 $47,241.50 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 20 $0.01 — $29,733.00 $167,434.00 $47,034.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 20 $0.01 — $29,719.00 $167,353.00 $47,011.50 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 20 $0.01 — $29,559.00 $166,429.00 $46,753.50 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 20 $0.01 — $29,384.00 $165,414.00 $46,471.50 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 34 20 $0.01 — $29,355.00 $165,247.00 $46,424.50 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 35 20 $74,112.26 $29,644.90 60% off $16,823.00 $66,701.00 $46,320.00 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 35 20 $74,112.26 $29,644.90 60% off $16,823.00 $66,701.00 $46,320.00 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 34 20 $0.01 — $29,275.00 $164,785.00 $46,296.00 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 34 20 $0.01 — $29,069.00 $163,591.00 $45,963.50 2024-12-15
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 108 37 $88,061.88 $35,224.75 60% off $14,380.00 $79,256.00 $45,780.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 20 $0.01 — $28,915.00 $162,705.00 $45,716.50 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 34 20 $0.01 — $28,696.00 $161,438.00 $45,363.50 2024-12-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 6 $0.01 — $42,599.00 $51,119.00 $45,155.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 20 $0.01 — $28,474.00 $160,150.00 $45,004.50 2024-12-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $41,561.00 $49,873.00 $44,054.00 2024-12-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 20 $0.01 — $27,783.00 $156,157.00 $43,892.50 2024-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 20 $0.01 — $27,596.00 $155,074.00 $43,591.00 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 35 20 $69,198.81 $27,679.52 60% off $15,708.00 $62,279.00 $43,249.00 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 35 20 $69,198.81 $27,679.52 60% off $15,708.00 $62,279.00 $43,249.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 20 $0.01 — $27,311.00 $153,422.00 $43,131.00 2024-12-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 20 $0.01 — $27,309.00 $153,414.00 $43,128.50 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 34 20 $0.01 — $27,305.00 $153,388.00 $43,121.00 2024-12-15
265 MS_DRG Aicd Lead Procedures 34 20 $0.01 — $27,180.00 $152,669.00 $42,920.50 2024-12-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 6 $0.01 — $40,490.00 $48,589.00 $42,920.00 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 80 37 $76,009.50 $30,403.80 60% off $17,254.00 $68,409.00 $42,831.50 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 20 $0.01 — $27,062.00 $151,984.00 $42,730.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 20 $0.01 — $26,908.00 $151,094.00 $42,482.50 2024-12-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 34 20 $0.01 — $26,901.00 $151,056.00 $42,471.50 2024-12-15
84 APR_DRG Autologous Bone Marrow Transplant 9 6 $0.01 — $40,033.00 $48,039.00 $42,435.00 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 20 $0.01 — $26,836.00 $150,675.00 $42,365.50 2024-12-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 20 $0.01 — $26,711.00 $149,956.00 $42,165.00 2024-12-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 20 $0.01 — $26,703.00 $149,909.00 $42,152.00 2024-12-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 34 20 $0.01 — $26,693.00 $149,849.00 $42,135.00 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 34 20 $0.01 — $26,647.00 $149,583.00 $42,061.00 2024-12-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $39,475.00 $47,370.00 $41,843.00 2024-12-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 34 20 $0.01 — $26,480.00 $148,616.00 $41,791.50 2024-12-15
332 MS_DRG Rectal Resection With Mcc 34 20 $0.01 — $26,452.00 $148,453.00 $41,747.00 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 20 $0.01 — $26,423.00 $148,291.00 $41,701.50 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 35 20 $66,560.68 $26,624.27 60% off $15,109.00 $59,905.00 $41,600.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 35 20 $66,560.68 $26,624.27 60% off $15,109.00 $59,905.00 $41,600.00 2024-12-15
33262 CPT Hc Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 70 37 $94,120.36 $37,648.14 60% off $14,380.00 $84,708.00 $41,495.00 2024-12-15
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 70 37 $94,120.36 $37,648.14 60% off $14,380.00 $84,708.00 $41,495.00 2024-12-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 34 20 $0.01 — $26,272.00 $147,413.00 $41,457.00 2024-12-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 34 20 $0.01 — $26,232.00 $147,182.00 $41,392.50 2024-12-15
665 MS_DRG Prostatectomy With Mcc 34 20 $0.01 — $26,192.00 $146,951.00 $41,328.00 2024-12-15
252 MS_DRG Other Vascular Procedures With Mcc 34 20 $0.01 — $26,168.00 $146,814.00 $41,290.00 2024-12-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 34 20 $0.01 — $26,130.00 $146,592.00 $41,228.00 2024-12-15
37235 CPT Hc Ccl Tib/per Revasc Stnt And Arthrectomy Addl 105 37 $65,779.15 $26,311.66 60% off $7,047.00 $118,402.00 $41,112.00 2024-12-15
37229 CPT Hc Revascularize Tibial/peron Artery,angioplasty/atherectomy Initial 105 37 $65,779.15 $26,311.66 60% off $7,047.00 $118,402.00 $41,112.00 2024-12-15
37230 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent Initial 105 37 $65,779.15 $26,311.66 60% off $7,047.00 $118,402.00 $41,112.00 2024-12-15
37227 CPT Hc Revascularize Fem/pop Artery,angioplasty/stent/atherectomy 105 37 $65,779.15 $26,311.66 60% off $7,047.00 $118,402.00 $41,112.00 2024-12-15
37233 CPT Hc Revascularize Tibial/peron Artery,angioplasty/atherectomy Ea Add 105 37 $65,779.15 $26,311.66 60% off $7,047.00 $118,402.00 $41,112.00 2024-12-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 34 20 $0.01 — $25,989.00 $145,779.00 $41,001.50 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 34 20 $0.01 — $25,884.00 $145,171.00 $40,832.00 2024-12-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 20 $0.01 — $25,623.00 $143,660.00 $40,411.50 2024-12-15
33240 CPT Hc Insj Implntbl Defib Pulse Gen W/1 Existing Ld 108 37 $88,061.88 $35,224.75 60% off $14,380.00 $79,256.00 $40,283.00 2024-12-15
4404 APR_DRG Kidney Transplant 9 6 $0.01 — $37,839.00 $45,407.00 $40,110.00 2024-12-15
8634 APR_DRG Neonatal Aftercare 11 7 $0.01 — $37,397.00 $44,877.00 $40,015.00 2024-12-15
37 MS_DRG Extracranial Procedures With Mcc 34 20 $0.01 — $25,358.00 $142,128.00 $39,984.50 2024-12-15
C1827 HCPCS Generator Imp Vivistim Vns Ipg 1001 134 37 $128,620.00 $51,448.00 60% off $6,433.00 $115,758.00 $39,885.00 2024-12-15
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 52 32 $76,839.34 $30,735.74 60% off $69.00 $69,155.00 $39,803.00 2024-12-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 34 20 $0.01 — $25,217.00 $141,315.00 $39,758.00 2024-12-15
35355 CPT Hc Thromboendarterectomy With Without Patch Graft Iliofemoral 88 27 $58,423.68 $23,369.47 60% off $2,603.00 $105,163.00 $39,699.00 2024-12-15
35371 CPT Hc Thromboendartectmy Femoral Common 88 27 $58,423.66 $23,369.46 60% off $2,603.00 $105,163.00 $39,699.00 2024-12-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 34 20 $0.01 — $24,972.00 $139,894.00 $39,362.00 2024-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 20 $0.01 — $24,903.00 $139,496.00 $39,251.50 2024-12-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 20 $0.01 — $24,893.00 $139,436.00 $39,234.50 2024-12-15
34708 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft Rpt 105 37 $62,489.49 $24,995.80 60% off $9,941.00 $112,481.00 $39,056.00 2024-12-15
63 APR_DRG Pancreas Transplant 9 6 $0.01 — $36,709.00 $44,050.00 $38,911.00 2024-12-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 34 20 $0.01 — $24,606.00 $137,780.00 $38,773.00 2024-12-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 6 $0.01 — $36,564.00 $43,877.00 $38,758.00 2024-12-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 20 $0.01 — $24,496.00 $137,142.00 $38,595.50 2024-12-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 6 $0.01 — $36,393.00 $43,672.00 $38,577.00 2024-12-15
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 35 20 $61,661.03 $24,664.41 60% off $13,997.00 $55,495.00 $38,538.00 2024-12-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 34 20 $0.01 — $24,427.00 $136,744.00 $38,485.00 2024-12-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 34 20 $0.01 — $24,382.00 $136,483.00 $38,412.50 2024-12-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 34 20 $0.01 — $24,318.00 $136,115.00 $38,309.50 2024-12-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 34 20 $0.01 — $24,271.00 $135,841.00 $38,233.00 2024-12-15
500 MS_DRG Soft Tissue Procedures With Mcc 34 20 $0.01 — $24,232.00 $135,614.00 $38,170.00 2024-12-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 34 20 $0.01 — $23,879.00 $133,573.00 $37,601.00 2024-12-15
662 MS_DRG Minor Bladder Procedures With Mcc 34 20 $0.01 — $23,869.00 $133,513.00 $37,584.50 2024-12-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 34 20 $0.01 — $23,770.00 $132,943.00 $37,426.00 2024-12-15
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 1,430 37 $71,940.00 $28,776.00 60% off $10,150.00 $153,605.00 $37,303.00 2024-12-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 34 20 $0.01 — $23,667.00 $132,349.00 $37,260.50 2024-12-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 34 20 $0.01 — $23,620.00 $132,075.00 $37,184.00 2024-12-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 34 20 $0.01 — $23,604.00 $131,980.00 $37,158.00 2024-12-15
652 MS_DRG Kidney Transplant 34 20 $0.01 — $23,512.00 $131,450.00 $37,010.00 2024-12-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 34 20 $0.01 — $23,491.00 $131,330.00 $36,977.00 2024-12-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 34 20 $0.01 — $23,417.00 $130,902.00 $36,857.50 2024-12-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 6 $0.01 — $34,634.00 $41,561.00 $36,712.00 2024-12-15
570 MS_DRG Skin Debridement With Mcc 34 20 $0.01 — $23,059.00 $128,831.00 $36,280.00 2024-12-15
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 35 20 $57,944.79 $23,177.92 60% off $13,153.00 $52,150.00 $36,215.00 2024-12-15
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 108 37 $69,725.12 $27,890.05 60% off $9,361.00 $62,753.00 $36,057.00 2024-12-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 6 $0.01 — $33,958.00 $40,749.00 $35,995.00 2024-12-15
974 MS_DRG HIV With Major Related Condition With Mcc 34 20 $0.01 — $22,882.00 $127,803.00 $35,994.50 2024-12-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 6 $0.01 — $33,728.00 $40,474.00 $35,752.00 2024-12-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 6 $0.01 — $33,602.00 $40,323.00 $35,619.00 2024-12-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 20 $0.01 — $22,603.00 $126,194.00 $35,546.00 2024-12-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 34 20 $0.01 — $22,547.00 $125,869.00 $35,455.50 2024-12-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 34 20 $0.01 — $22,488.00 $125,527.00 $35,360.00 2024-12-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $33,236.00 $39,883.00 $35,230.00 2024-12-15
668 MS_DRG Transurethral Procedures With Mcc 34 20 $0.01 — $22,364.00 $124,812.00 $35,161.00 2024-12-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 34 20 $0.01 — $22,353.00 $124,743.00 $35,142.00 2024-12-15
800 MS_DRG Splenic Procedures With Cc 34 20 $0.01 — $22,346.00 $124,705.00 $35,131.00 2024-12-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 34 20 $0.01 — $22,334.00 $124,636.00 $35,112.50 2024-12-15
472 MS_DRG Cervical Spinal Fusion With Cc 34 20 $0.01 — $22,223.00 $123,994.00 $34,933.00 2024-12-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 6 $0.01 — $32,884.00 $39,460.00 $34,857.00 2024-12-15
C1882 HCPCS Defibrillator Crdc Punctua Bi Ventr Is1 Df1 3,254 37 $69,978.00 $27,991.20 60% off $4.00 $127,887.00 $34,707.50 2024-12-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 34 20 $0.01 — $22,000.00 $122,706.00 $34,574.00 2024-12-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 34 20 $0.01 — $21,976.00 $122,565.00 $34,535.50 2024-12-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 34 20 $0.01 — $21,963.00 $122,492.00 $34,515.00 2024-12-15
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 134 37 $111,180.00 $44,472.00 60% off $8,907.00 $100,062.00 $34,477.00 2024-12-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 34 20 $0.01 — $21,934.00 $122,321.00 $34,467.00 2024-12-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 34 20 $0.01 — $21,850.00 $121,837.00 $34,332.50 2024-12-15
1784 APR_DRG External Heart Assist Systems 9 6 $0.01 — $32,322.00 $38,787.00 $34,262.00 2024-12-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 6 $0.01 — $32,237.00 $38,684.00 $34,171.00 2024-12-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 $0.01 — $32,143.00 $38,571.00 $34,071.00 2024-12-15
654 MS_DRG Major Bladder Procedures With Cc 34 20 $0.01 — $21,667.00 $120,780.00 $34,038.00 2024-12-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $32,074.00 $38,489.00 $33,998.00 2024-12-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 34 20 $0.01 — $21,566.00 $120,194.00 $33,875.00 2024-12-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 34 20 $0.01 — $21,545.00 $120,070.00 $33,840.00 2024-12-15
793 MS_DRG Full Term Neonate With Major Problems 29 20 $0.01 — $31,644.00 $178,489.00 $33,804.00 2024-12-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 6 $0.01 — $31,781.00 $38,137.00 $33,688.00 2024-12-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $31,655.00 $37,985.00 $33,554.00 2024-12-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 6 $0.01 — $31,499.00 $37,799.00 $33,389.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 35 20 $53,072.85 $21,229.14 60% off $12,048.00 $47,766.00 $33,171.00 2024-12-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 34 20 $0.01 — $21,033.00 $117,112.00 $33,016.50 2024-12-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 34 20 $0.01 — $20,997.00 $116,903.00 $32,957.50 2024-12-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $31,084.00 $37,300.00 $32,949.00 2024-12-15
791 MS_DRG Prematurity With Major Problems 29 20 $0.01 — $30,826.00 $173,756.00 $32,928.00 2024-12-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 34 20 $0.01 — $20,960.00 $116,689.00 $32,898.50 2024-12-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 34 20 $0.01 — $20,888.00 $116,269.00 $32,781.50 2024-12-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 6 $0.01 — $30,841.00 $37,009.00 $32,691.00 2024-12-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 6 $0.01 — $30,808.00 $36,969.00 $32,656.00 2024-12-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 6 $0.01 — $30,781.00 $36,938.00 $32,628.00 2024-12-15
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