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

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Hospital

ADVENTHEALTH FISH MEMORIAL

Orange City, FL · CCN 100072 · Rates published

22,046 distinct procedures filed
53 distinct payers
1,351,167 rate rows
2026-04-01 last MRF observed
Data quality

1,327,697 of 1,351,167 rate rows are consumer-grade (98.3%)

23,470 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16,738
exceeds 10× this hospital's gross charge — excluded from medians 5,502
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 719
template filing: same amount across many unrelated codes — excluded 226
per-diem day rate — not a per-procedure price 159
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 126
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://HospitalPriceDisclosure.com/download.aspx?pi=m2Kq6olSod3nywRT*__*WFzCQ*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 42352e909c7a7805… · 24,641,901 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 36 $24,610.00 $1,590,921.00 $704,024.00 nat. median
$622,245
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
$640,950
1.1× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 36 $24,610.00 $1,363,151.00 $603,230.00 nat. median
$738,272
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 34 $279,819.00 $1,894,602.17 $568,256.00 nat. median
$359,358
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 34 $204,499.84 $1,229,520.59 $409,064.87 nat. median
$249,124
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 $156,045.42 $1,015,288.00 $335,074.75 nat. median
$198,433
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 $155,135.65 $931,234.42 $309,824.24 nat. median
$190,557
1.6× median
5834
APR_DRG 		Neonate With Ecmo 6 $205,319.00 $246,383.00 $217,638.00 nat. median
$307,273
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 $101,595.75 $607,716.32 $202,188.89 nat. median
$126,722
1.6× median
7
MS_DRG 		Lung Transplant 34 $95,052.28 $568,177.07 $189,034.07 nat. median
$117,894
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 34 $88,283.02 $560,731.00 $185,404.00 nat. median
$110,192
1.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $83,206.97 $496,601.03 $177,637.25 nat. median
$92,655
1.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $127,940.89 $388,785.06 $175,384.83 nat. median
$71,201
outlier · 2.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 $82,320.00 $497,171.39 $165,410.28 nat. median
$103,967
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 34 $79,978.08 $477,090.26 $158,729.24 nat. median
$97,414
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 $78,293.00 $483,544.13 $158,093.00 nat. median
$93,270
1.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $110,545.99 $335,925.67 $151,539.43 nat. median
$47,579
outlier · 3.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 34 $75,885.88 $455,773.00 $150,700.00 nat. median
$94,964
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 34 $73,319.17 $453,436.00 $149,927.00 nat. median
$93,917
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 $72,054.34 $429,210.57 $142,799.53 nat. median
$90,581
1.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $133,948.00 $160,737.00 $141,985.00 nat. median
$247,214
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
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $102,353.87 $311,031.56 $140,309.45 nat. median
$39,629
outlier · 3.5×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $95,757.15 $290,985.53 $131,266.48 nat. median
$52,841
outlier · 2.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 34 $63,898.24 $394,251.00 $130,358.00 nat. median
$78,262
1.7× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $92,416.19 $280,833.09 $126,686.61 nat. median
$38,225
outlier · 3.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 $62,498.00 $395,287.19 $126,036.00 nat. median
$78,037
1.6× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 32 $10.00 $218,570.00 $125,799.00 nat. median
$1,012
outlier · 124.3×
24
APR_DRG 		Heart And/or Lung Transplant 6 $118,623.00 $142,347.00 $125,740.00 nat. median
$241,915
0.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 34 $62,231.16 $369,853.43 $123,051.25 nat. median
$77,043
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 $62,038.74 $368,690.77 $122,664.43 nat. median
$77,696
1.6× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $88,307.14 $268,346.55 $121,053.81 nat. median
$49,639
outlier · 2.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 $58,157.11 $345,235.73 $114,860.87 nat. median
$74,460
1.5× median
10
MS_DRG 		Pancreas Transplant 34 $53,124.63 $341,228.00 $112,615.44 nat. median
$64,903
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 $56,773.92 $336,877.73 $112,080.15 nat. median
$72,473
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 34 $52,826.20 $339,273.00 $111,970.41 nat. median
$66,660
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 $56,533.59 $335,425.50 $111,596.98 nat. median
$71,758
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 $56,014.00 $334,315.49 $111,227.68 nat. median
$68,004
1.6× 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
$124,042
0.9× median
5832
APR_DRG 		Neonate With Ecmo 6 $102,129.00 $122,555.00 $108,257.00 nat. median
$159,249
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $101,659.00 $121,991.00 $107,759.00 nat. median
$202,993
0.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 $53,339.00 $316,708.86 $105,369.90 nat. median
$63,648
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 $52,795.71 $312,839.17 $104,082.45 nat. median
$66,649
1.6× 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
$154,011
0.7× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $75,347.59 $228,965.24 $103,288.51 nat. median
$32,619
outlier · 3.2×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $96,372.00 $115,646.00 $102,154.00 nat. median
$156,153
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 34 $50,203.00 $314,695.04 $101,082.00 nat. median
$61,329
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 34 $51,208.50 $303,248.31 $100,342.05 nat. median
$62,721
1.6× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $73,023.07 $221,901.53 $100,102.00 nat. median
$34,024
outlier · 2.9×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 $15,733.18 $301,760.98 $99,849.92 nat. median
$63,896
1.6× median

Other procedures at this hospital

Browse this hospital's 22,046 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 73 34 $0.01 — $204,499.84 $1,229,520.59 $409,064.87 2026-04-01
10 MS_DRG Pancreas Transplant 73 34 $0.01 — $53,124.63 $341,228.00 $112,615.44 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 73 34 $0.01 — $40,624.38 $239,293.18 $79,613.50 2026-04-01
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
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
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
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 73 34 $0.01 — $31,150.00 $184,972.78 $61,540.95 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 73 34 $0.01 — $20,394.00 $126,436.09 $40,581.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 73 34 $0.01 — $88,283.02 $560,731.00 $185,404.00 2026-04-01
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
140 MS_DRG Major Head And Neck Procedures With Mcc 73 34 $0.01 — $31,992.70 $187,135.77 $62,260.58 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 73 34 $0.01 — $25,217.00 $164,378.33 $50,371.00 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 73 34 $0.01 — $44,077.63 $260,159.66 $86,555.83 2026-04-01
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
1611 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $52,607.00 $63,128.00 $55,763.00 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
1613 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $68,785.00 $82,542.00 $72,912.00 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
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
163 MS_DRG Major Chest Procedures With Mcc 73 34 $0.01 — $33,564.68 $197,265.00 $65,420.83 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 74 34 $0.01 — $21,912.59 $164,785.00 $54,522.60 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 73 34 $0.01 — $40,466.10 $258,324.00 $85,254.52 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 73 34 $0.01 — $22,634.22 $131,330.00 $43,446.51 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 73 34 $0.01 — $279,819.00 $1,894,602.17 $568,256.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 73 34 $0.01 — $52,826.20 $339,273.00 $111,970.41 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 73 34 $0.01 — $82,320.00 $497,171.39 $165,410.28 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 73 34 $0.01 — $58,157.11 $345,235.73 $114,860.87 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 73 34 $0.01 — $47,744.35 $282,316.03 $93,927.32 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 75 34 $0.01 — $20,644.00 $120,596.46 $40,122.77 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 39 16 — — $83,206.97 $496,601.03 $177,637.25 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 73 34 $0.01 — $39,460.47 $236,557.00 $78,217.00 2026-04-01
21 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $44,578.00 $53,493.00 $47,252.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 73 34 $0.01 — $79,978.08 $477,090.26 $158,729.24 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 39 16 — — $42,459.92 $250,384.53 $89,564.09 2026-04-01
215 MS_DRG Other Heart Assist System Implant 73 34 $0.01 — $73,319.17 $453,436.00 $149,927.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 73 34 $0.01 — $72,054.34 $429,210.57 $142,799.53 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 73 34 $0.01 — $48,568.00 $288,484.71 $95,979.65 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 73 34 $0.01 — $44,805.00 $288,484.71 $90,126.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 73 34 $0.01 — $56,773.92 $336,877.73 $112,080.15 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $48,472.00 $58,167.00 $51,381.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 73 34 $0.01 — $24,093.65 $151,094.00 $49,866.12 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 73 34 $0.01 — $39,743.64 $233,971.27 $77,842.88 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 73 34 $0.01 — $34,767.00 $221,133.73 $69,753.00 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 17 6 — — $110,545.99 $335,925.67 $151,539.43 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 17 6 — — $75,347.59 $228,965.24 $103,288.51 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 17 6 — — $102,353.87 $311,031.56 $140,309.45 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 17 6 — — $73,023.07 $221,901.53 $100,102.00 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 17 6 — — $92,416.19 $280,833.09 $126,686.61 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 17 6 — — $72,488.87 $220,278.19 $99,369.69 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 73 34 $0.01 — $36,945.32 $217,062.23 $72,217.20 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 73 34 $0.01 — $23,770.00 $138,181.16 $45,973.25 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 73 34 $0.01 — $42,629.82 $251,411.18 $83,645.19 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $66,606.00 $79,927.00 $70,602.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 73 34 $0.01 — $62,231.16 $369,853.43 $123,051.25 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 73 34 $0.01 — $45,042.60 $265,990.51 $88,495.77 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 73 34 $0.01 — $56,533.59 $335,425.50 $111,596.98 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 73 34 $0.01 — $40,151.00 $239,670.50 $79,739.03 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 73 34 $0.01 — $43,633.99 $257,478.96 $85,663.95 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 73 34 $0.01 — $31,212.00 $183,779.41 $61,143.91 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 74 34 $0.01 — $36,758.72 $215,934.67 $71,559.52 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $118,623.00 $142,347.00 $125,740.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 73 34 $0.01 — $28,915.00 $171,630.70 $57,102.00 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 73 34 $0.01 — $21,720.09 $125,062.84 $41,608.75 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 75 34 $0.01 — $7,262.69 $145,171.00 $46,605.30 2026-04-01
245 MS_DRG Aicd Generator Procedures 73 34 $0.01 — $34,149.90 $209,145.00 $69,153.00 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 17 6 — — $43,247.59 $131,420.18 $59,284.96 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 17 6 — — $43,455.49 $132,051.97 $59,569.96 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 73 34 $0.01 — $33,877.00 $199,481.92 $66,368.18 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 74 34 $0.01 — $26,168.00 $153,045.67 $50,641.40 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 73 34 $0.01 — $20,146.00 $118,345.73 $39,373.95 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 73 34 $0.01 — $21,545.00 $137,856.50 $42,917.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 73 34 $0.01 — $23,417.00 $136,413.04 $45,384.99 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 73 34 $0.01 — $24,641.12 $145,779.00 $48,201.00 2026-04-01
263 MS_DRG Vein Ligation And Stripping 73 34 $0.01 — $20,632.00 $134,140.37 $41,063.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 74 34 $0.01 — $25,278.62 $149,583.00 $49,110.87 2026-04-01
265 MS_DRG Aicd Lead Procedures 73 34 $0.01 — $27,180.00 $158,744.91 $52,814.87 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 73 34 $0.01 — $45,112.00 $268,877.42 $89,456.25 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 73 34 $0.01 — $35,590.45 $208,875.34 $69,493.40 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 74 34 $0.01 — $15,733.18 $301,760.98 $99,849.92 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 74 34 $0.01 — $31,572.00 $185,288.68 $61,310.31 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 74 34 $0.01 — $38,765.00 $231,492.39 $76,598.68 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 76 34 $0.01 — $9,528.89 $156,029.11 $51,622.93 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 73 34 $0.01 — $29,719.00 $181,002.19 $59,507.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 73 34 $0.01 — $23,879.00 $144,420.05 $47,525.56 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 73 34 $0.01 — $52,795.71 $312,839.17 $104,082.45 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 73 34 $0.01 — $44,635.99 $265,108.00 $87,678.34 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 74 34 $0.01 — $13,260.98 $202,632.07 $67,049.07 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 73 34 $0.01 — $37,806.00 $244,211.46 $75,920.00 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 73 34 $0.01 — $24,496.00 $158,227.19 $48,907.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 73 34 $0.01 — $44,648.34 $263,608.15 $87,703.16 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 73 34 $0.01 — $20,672.35 $118,731.82 $39,502.40 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 73 34 $0.01 — $25,623.00 $149,680.54 $49,799.13 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 73 34 $0.01 — $155,135.65 $931,234.42 $309,824.24 2026-04-01
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 73 34 $0.01 — $31,793.00 $196,577.46 $63,716.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 73 34 $0.01 — $46,559.00 $293,363.50 $93,687.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 73 34 $0.01 — $33,289.00 $195,805.27 $65,144.95 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 77 34 $0.01 — $9,204.82 $121,837.00 $39,715.52 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 73 34 $0.01 — $32,302.00 $189,860.35 $63,167.06 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 75 34 $0.01 — $9,117.98 $138,246.97 $45,494.14 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 73 34 $0.01 — $21,963.00 $140,853.09 $43,767.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 75 34 $0.01 — $12,976.64 $218,817.19 $72,801.08 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 74 34 $0.01 — $34,397.50 $201,666.84 $66,729.69 2026-04-01
332 MS_DRG Rectal Resection With Mcc 73 34 $0.01 — $26,452.00 $158,854.59 $52,275.67 2026-04-01
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
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
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
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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 73 34 $0.01 — $26,950.79 $156,669.67 $52,124.43 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 17 6 — — $38,354.55 $116,551.28 $52,577.45 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 73 34 $0.01 — $29,127.59 $169,823.09 $56,500.61 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 17 6 — — $32,615.44 $99,111.37 $44,710.13 2026-04-01
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
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 73 34 $0.01 — $22,094.02 $127,322.35 $42,360.49 2026-04-01
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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 73 34 $0.01 — $32,348.00 $192,729.71 $64,121.70 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 39 16 — — $25,990.18 $150,865.14 $53,965.39 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 73 34 $0.01 — $24,926.47 $144,437.60 $48,054.78 2026-04-01
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
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
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
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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 73 34 $0.01 — $101,595.75 $607,716.32 $202,188.89 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 73 34 $0.01 — $28,696.00 $169,406.29 $56,361.94 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 73 34 $0.01 — $29,733.00 $176,395.42 $58,687.24 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 73 34 $0.01 — $40,743.46 $240,012.72 $79,852.89 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 73 34 $0.01 — $21,566.00 $127,243.37 $42,317.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 73 34 $0.01 — $26,693.00 $156,437.13 $52,047.06 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 73 34 $0.01 — $21,033.00 $144,928.98 $41,879.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 73 34 $0.01 — $26,711.00 $156,305.51 $52,003.27 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 73 34 $0.01 — $25,761.46 $151,056.00 $49,946.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 73 34 $0.01 — $30,881.00 $182,208.72 $60,621.34 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 73 34 $0.01 — $78,293.00 $483,544.13 $158,093.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 73 34 $0.01 — $53,339.00 $316,708.86 $105,369.90 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 73 34 $0.01 — $41,511.00 $246,659.63 $82,064.33 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 73 34 $0.01 — $62,498.00 $395,287.19 $126,036.00 2026-04-01
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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 73 34 $0.01 — $41,263.00 $253,025.75 $82,936.00 2026-04-01
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
4404 APR_DRG Kidney Transplant 9 6 $0.01 — $37,839.00 $45,407.00 $40,110.00 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 73 34 $0.01 — $49,537.05 $293,148.52 $97,531.32 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 73 34 $0.01 — $31,000.00 $186,060.86 $61,530.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 73 34 $0.01 — $38,892.00 $233,830.87 $77,602.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 73 34 $0.01 — $23,620.00 $141,730.57 $46,640.52 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 17 6 — — $127,940.89 $388,785.06 $175,384.83 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 17 6 — — $88,307.14 $268,346.55 $121,053.81 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 19 7 — — $35,059.50 $202,066.09 $91,154.04 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 73 34 $0.01 — $62,038.74 $368,690.77 $122,664.43 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 73 34 $0.01 — $43,252.00 $261,625.05 $86,481.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 73 34 $0.01 — $31,319.63 $184,802.00 $61,104.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 17 6 — — $95,757.15 $290,985.53 $131,266.48 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 17 6 — — $52,812.76 $160,486.70 $72,397.16 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 73 34 $0.01 — $41,124.65 $262,638.00 $86,677.96 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 73 34 $0.01 — $20,336.90 $122,565.00 $40,526.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 73 34 $0.01 — $40,748.00 $250,059.86 $81,893.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 73 34 $0.01 — $22,603.00 $136,654.35 $44,970.04 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 73 34 $0.01 — $38,481.00 $228,381.72 $75,983.22 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 74 34 $0.01 — $26,130.00 $154,726.05 $51,197.42 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 73 34 $0.01 — $20,197.00 $120,565.75 $39,675.62 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 74 34 $0.01 — $19,978.72 $139,894.00 $45,265.31 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 73 34 $0.01 — $36,083.46 $211,854.38 $70,484.53 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 73 34 $0.01 — $22,223.00 $129,257.19 $43,004.22 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 73 34 $0.01 — $32,193.11 $191,936.00 $63,463.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 73 34 $0.01 — $26,106.35 $151,567.12 $50,426.80 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 73 34 $0.01 — $22,168.80 $127,774.25 $42,510.84 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 73 34 $0.01 — $24,454.51 $141,585.79 $47,105.98 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 73 34 $0.01 — $27,062.00 $161,087.78 $53,509.00 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 73 34 $0.01 — $26,836.00 $159,073.96 $52,924.34 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 73 34 $0.01 — $75,885.88 $455,773.00 $150,700.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 73 34 $0.01 — $24,002.17 $138,852.44 $46,196.59 2026-04-01
503 MS_DRG Foot Procedures With Mcc 73 34 $0.01 — $20,369.00 $122,456.72 $40,297.90 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 73 34 $0.01 — $21,934.00 $132,521.42 $43,609.98 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 73 34 $0.01 — $23,667.00 $139,822.05 $46,519.18 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 73 34 $0.01 — $27,305.00 $163,970.30 $54,004.00 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 73 34 $0.01 — $21,863.13 $125,927.15 $41,896.31 2026-04-01
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
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
570 MS_DRG Skin Debridement With Mcc 73 34 $0.01 — $22,377.92 $129,037.82 $42,931.24 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 73 34 $0.01 — $46,351.00 $287,436.12 $93,263.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 74 34 $0.01 — $26,228.33 $152,304.20 $51,440.51 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 73 34 $0.01 — $36,609.86 $230,908.00 $76,349.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 73 34 $0.01 — $24,537.28 $142,085.95 $47,272.38 2026-04-01
5831 APR_DRG Neonate With Ecmo 9 6 $0.01 — $74,234.00 $89,081.00 $78,688.00 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
5833 APR_DRG Neonate With Ecmo 9 6 $0.01 — $133,012.00 $159,615.00 $140,993.00 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
6 MS_DRG Liver Transplant Without Mcc 73 34 $0.01 — $34,691.56 $207,536.00 $68,621.00 2026-04-01
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
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
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
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
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
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 74 34 $0.01 — $20,789.00 $120,965.01 $40,026.20 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 73 34 $0.01 — $26,344.51 $165,414.00 $54,694.00 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 73 34 $0.01 — $20,960.00 $126,681.79 $41,688.28 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 73 34 $0.01 — $26,865.84 $160,150.00 $52,953.00 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 73 34 $0.01 — $22,000.00 $132,503.87 $43,604.20 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 73 34 $0.01 — $28,082.75 $168,868.00 $55,836.00 2026-04-01
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
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
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
64 APR_DRG Pancreas Transplant 9 6 $0.01 — $51,673.00 $62,007.00 $54,773.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 73 34 $0.01 — $34,876.00 $206,269.22 $68,626.34 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 73 34 $0.01 — $26,480.00 $162,588.27 $52,933.00 2026-04-01
652 MS_DRG Kidney Transplant 73 34 $0.01 — $23,512.00 $141,691.08 $46,627.52 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 73 34 $0.01 — $38,753.26 $238,582.00 $78,886.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 73 34 $0.01 — $21,348.33 $122,816.49 $40,861.38 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 73 34 $0.01 — $24,140.12 $139,686.04 $46,473.93 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 73 34 $0.01 — $23,252.12 $134,320.25 $44,688.72 2026-04-01
665 MS_DRG Prostatectomy With Mcc 73 34 $0.01 — $23,685.59 $146,951.00 $48,589.00 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 73 34 $0.01 — $22,224.72 $128,112.08 $42,623.24 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 76 34 $0.01 — $31,530.20 $184,341.00 $59,974.85 2026-04-01
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
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
7 MS_DRG Lung Transplant 73 34 $0.01 — $95,052.28 $568,177.07 $189,034.07 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $39,475.00 $47,370.00 $41,843.00 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 73 34 $0.01 — $26,976.93 $168,521.00 $55,721.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 73 34 $0.01 — $27,037.19 $170,375.00 $56,228.46 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $80,769.00 $96,923.00 $85,616.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 68 34 $0.01 — $44,177.83 $260,765.12 $72,521.95 2026-04-01
791 MS_DRG Prematurity With Major Problems 68 34 $0.01 — $30,494.80 $178,084.57 $49,751.36 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 69 34 $0.01 — $1,428.35 $182,937.03 $43,158.08 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 73 34 $0.01 — $33,906.66 $203,496.00 $67,285.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 73 34 $0.01 — $41,045.00 $245,896.22 $81,810.35 2026-04-01
800 MS_DRG Splenic Procedures With Cc 73 34 $0.01 — $21,421.66 $124,705.00 $41,233.00 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 74 34 $0.01 — $27,311.00 $174,798.40 $54,317.50 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 73 34 $0.01 — $43,606.41 $257,312.24 $85,608.49 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 73 34 $0.01 — $34,312.55 $201,153.52 $66,924.33 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 73 34 $0.01 — $34,987.80 $205,233.80 $68,281.85 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 73 34 $0.01 — $23,604.00 $138,641.84 $46,126.52 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 73 34 $0.01 — $40,884.32 $240,863.87 $80,136.07 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 73 34 $0.01 — $35,906.30 $214,298.00 $70,857.00 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant 9 6 $0.01 — $40,033.00 $48,039.00 $42,435.00 2024-12-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 73 34 $0.01 — $24,382.00 $141,928.00 $47,219.84 2026-04-01
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
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
849 MS_DRG Radiotherapy 73 34 $0.01 — $20,550.00 $118,876.60 $39,550.57 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 73 34 $0.01 — $63,898.24 $394,251.00 $130,358.00 2026-04-01
8514 APR_DRG Gender Related Procedures 9 6 $0.01 — $50,103.00 $60,123.00 $53,109.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 77 34 $0.01 — $17,607.30 $216,676.14 $70,773.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 73 34 $0.01 — $34,050.42 $199,569.66 $66,397.37 2026-04-01
8634 APR_DRG Neonatal Aftercare 9 6 $0.01 — $37,397.00 $44,877.00 $39,641.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 74 34 $0.01 — $51,208.50 $303,248.31 $100,342.05 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 73 34 $0.01 — $29,085.48 $169,568.62 $56,415.95 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 73 34 $0.01 — $31,493.89 $189,617.00 $62,696.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 73 34 $0.01 — $27,692.84 $165,247.00 $54,638.00 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 73 34 $0.01 — $28,899.60 $170,494.00 $56,373.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 73 34 $0.01 — $156,045.42 $1,015,288.00 $335,074.75 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 73 34 $0.01 — $50,203.00 $314,695.04 $101,082.00 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 73 34 $0.01 — $24,318.00 $141,309.38 $47,014.02 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 73 34 $0.01 — $29,298.22 $185,183.00 $61,115.57 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 73 34 $0.01 — $24,271.00 $159,196.81 $48,450.00 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 6 $0.01 — $80,365.00 $96,438.00 $85,187.00 2024-12-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 74 34 $0.01 — $26,576.86 $156,157.00 $51,502.84 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 73 34 $0.01 — $49,896.46 $295,320.28 $98,253.87 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 73 34 $0.01 — $28,345.60 $165,097.86 $54,928.51 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 73 34 $0.01 — $56,014.00 $334,315.49 $111,227.68 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 73 34 $0.01 — $31,195.00 $184,880.65 $61,510.30 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 73 34 $0.01 — $20,349.00 $129,169.44 $40,490.00 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 73 34 $0.01 — $20,872.74 $119,942.74 $39,905.28 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 73 34 $0.01 — $45,468.80 $270,667.00 $89,495.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 73 34 $0.01 — $27,247.76 $158,464.11 $52,721.44 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 74 34 $0.01 — $21,977.84 $127,803.00 $42,192.47 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 74 34 $0.01 — $35,089.45 $205,848.03 $68,113.21 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 73 34 $0.01 — $25,916.12 $150,417.62 $50,044.35 2026-04-01
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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