Price Transparency 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 SEBRING

Sebring, FL · CCN 100109 · Rates published

15,649 distinct procedures filed
36 distinct payers
1,395,469 rate rows
2024-12-15 last MRF observed · ⚠ 18 mo old
Data quality

1,359,598 of 1,395,469 rate rows are consumer-grade (97.4%)

35,871 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 22,350
template filing: same amount across many unrelated codes — excluded 7,544
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,862
per-diem day rate — not a per-procedure price 115

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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=pIW4qmkwQPrZ*_*xZuw*__*zMfg*-*
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
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 19 $24,610.00 $586,267.00 $536,539.00 nat. median
$754,974
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 18 $24,610.00 $563,869.00 $516,041.00 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 18 $24,610.00 $555,957.00 $508,800.00 nat. median
$674,188
0.8× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 29 $10.00 $693,347.00 $481,106.00 nat. median
$1,033
outlier · 465.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $281,933.00 $2,966,112.00 $301,637.00 nat. median
$370,174
0.8× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 29 $615.00 $427,589.00 $296,699.50 nat. median
$897
outlier · 330.8×
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 29 $84.00 $414,100.00 $287,339.00 nat. median
$737
outlier · 390.0×
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 29 $60.00 $348,013.00 $241,482.50 nat. median
$4,934
outlier · 48.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $210,693.00 $2,215,437.00 $225,411.00 nat. median
$265,286
0.8× median
5834
APR_DRG 		Neonate With Ecmo 6 $205,319.00 $246,383.00 $219,692.00 nat. median
$309,665
0.7× median
38240
CPT 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 36 $417.00 $475,954.00 $214,708.00 nat. median
$15,912
outlier · 13.5×
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 18 $100,243.00 $280,182.00 $202,353.00 nat. median
$111,860
1.8× median
A9569
HCPCS 		Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 29 $57.00 $285,633.00 $198,197.50 nat. median
$2,081
outlier · 95.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $177,512.00 $1,865,798.00 $189,907.00 nat. median
$206,368
0.9× median
13925-522-01
NDC 		Pentamidine Isethionate 300 Mg In Solr 18 $88,374.00 $247,009.00 $178,395.00 nat. median
$83,907
outlier · 2.1×
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 18 $86,938.00 $242,993.00 $175,495.00 nat. median
$92,408
1.9× median
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 18 $86,938.00 $242,993.00 $175,495.00 nat. median
$94,327
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $160,411.00 $1,685,595.00 $171,608.00 nat. median
$202,986
0.8× median
58914-501-56
NDC 		Mesalamine 1000 Mg Re Supp 18 $83,048.00 $232,121.00 $167,643.00 nat. median
$57,068
outlier · 2.9×
68382-395-01
NDC 		Ribavirin 6 G In Solr 18 $81,174.00 $226,883.00 $163,860.00 nat. median
$88,073
1.9× median
68382-395-04
NDC 		Ribavirin 6 G In Solr 18 $81,174.00 $226,883.00 $163,860.00 nat. median
$88,073
1.9× median
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 18 $78,079.00 $218,233.00 $157,613.00 nat. median
$87,698
1.8× median
59385-027-01
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 18 $78,079.00 $218,233.00 $157,613.00 nat. median
$87,698
1.8× median
A9591
HCPCS 		Fluoroestradiol F 18 4-100 Mci/ml IV Soln 29 $69.00 $219,373.00 $152,221.00 nat. median
$1,095
outlier · 139.0×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $133,948.00 $160,737.00 $143,324.00 nat. median
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 6 $133,012.00 $159,615.00 $142,323.00 nat. median
$244,017
0.6× median
63323-877-15
NDC 		Pentamidine Isethionate 300 Mg In Solr 18 $69,313.00 $193,733.00 $139,918.00 nat. median
$65,809
outlier · 2.1×
24
APR_DRG 		Heart And/or Lung Transplant 6 $118,623.00 $142,347.00 $126,926.00 nat. median
$234,738
0.5× median
0187-0007-14
NDC 		Ribavirin 6 G In Solr 18 $62,257.00 $174,009.00 $125,673.00 nat. median
$69,528
1.8× median
0781-5893-31
NDC 		Nevirapine ER 400 Mg Po Tb24 18 $61,038.00 $170,602.00 $123,213.00 nat. median
$68,166
1.8× median
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 21 $5,850.00 $244,350.00 $117,983.00 nat. median
$11,688
outlier · 10.1×
J2326
HCPCS 		Nusinersen 12 Mg/5ml It Soln 33 $1,211.00 $173,522.00 $115,681.00 nat. median
$2,677
outlier · 43.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $105,912.00 $1,111,325.00 $113,294.00 nat. median
$133,176
0.9× median
C1824
HCPCS 		Generator Ipg Optimizer Crdc Smart Mn 36 $300.00 $215,982.00 $112,944.00 nat. median
$37,950
outlier · 3.0×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $104,305.00 $125,166.00 $111,607.00 nat. median
$117,173
1.0× median
5832
APR_DRG 		Neonate With Ecmo 6 $102,129.00 $122,555.00 $109,278.00 nat. median
$156,126
0.7× median
C9089
HCPCS 		Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 33 $55,005.00 $158,044.00 $109,226.00 nat. median
$2
outlier · 69130.4×
1614
APR_DRG 		Implantable Heart Assist Systems 6 $101,659.00 $121,991.00 $108,775.00 nat. median
$207,730
0.5× median
A9592
HCPCS 		Copper Cu 64 Dotatate 1 Mci/ml IV Soln 29 $269.00 $153,091.00 $106,228.00 nat. median
$1,740
outlier · 61.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $98,237.00 $1,030,457.00 $105,083.00 nat. median
$117,303
0.9× median
7
MS_DRG 		Lung Transplant 19 $97,991.00 $1,027,861.00 $104,819.00 nat. median
$122,708
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $97,710.00 $117,252.00 $104,550.00 nat. median
$150,721
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $96,372.00 $115,646.00 $103,118.00 nat. median
$160,267
0.6× median
47781-153-01
NDC 		Naproxen Sodium ER 375 Mg Po Tb24 18 $50,625.00 $141,498.00 $102,193.00 nat. median
$56,537
1.8× median
C1825
HCPCS 		System Neo Barostim Includes 2104 Ipg 1036 Csl Kt 21 $185.00 $232,596.00 $98,826.00 nat. median
$52,021
1.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $88,071.00 $105,685.00 $94,236.00 nat. median
$162,982
0.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $87,116.00 $104,539.00 $93,214.00 nat. median
$182,736
0.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $86,464.00 $103,757.00 $92,516.00 nat. median
$122,924
0.8× median
C2624
HCPCS 		System Cardiomems Hrt Failure Ptnt 36 $16,556.00 $165,725.00 $91,140.50 nat. median
$32,760
outlier · 2.8×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $85,092.00 $102,110.00 $91,048.00 nat. median
$164,279
0.6× median

Other procedures at this hospital

Browse this hospital's 15,649 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
             
0008-0423-01 NDC Antivenin Micrurus Fulvius IV Solr 32 18 $62,628.16 $25,051.26 60% off $20,166.00 $56,365.00 $40,708.00 2024-12-15
0008-0423-03 NDC Antivenin Micrurus Fulvius IV Solr 32 18 $62,628.16 $25,051.26 60% off $20,166.00 $56,365.00 $40,708.00 2024-12-15
0078-0494-71 NDC Tobramycin 300 Mg/5ml In Nebu 32 18 $52,239.60 $20,895.84 60% off $16,821.00 $47,016.00 $33,956.00 2024-12-15
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 32 18 $114,153.32 $45,661.33 60% off $36,757.00 $102,738.00 $74,200.00 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 32 18 $114,153.32 $45,661.33 60% off $34,658.00 $102,738.00 $74,200.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 31 18 $193,343.71 $77,337.48 60% off $62,257.00 $174,009.00 $125,673.00 2024-12-15
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 31 18 $129,826.89 $51,930.76 60% off $41,804.00 $116,844.00 $84,387.00 2024-12-15
0310-0283-60 NDC Quetiapine Fumarate ER 300 Mg Po Tb24 31 18 $80,148.37 $32,059.35 60% off $25,808.00 $72,134.00 $52,096.00 2024-12-15
0408T CPT Hc Ins/repl Ccm System, Pulse Gen With Tv Electrodes 66 36 $80,106.59 $32,042.64 60% off $217.00 $72,096.00 $37,500.00 2024-12-15
0591-2720-60 NDC Metformin Hcl ER (osm) 1000 Mg Po Tb24 31 18 $66,955.69 $26,782.28 60% off $21,560.00 $60,260.00 $43,521.00 2024-12-15
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 31 18 $189,558.09 $75,823.23 60% off $61,038.00 $170,602.00 $123,213.00 2024-12-15
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 31 18 $103,465.46 $41,386.18 60% off $33,316.00 $93,119.00 $67,253.00 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 31 18 $103,465.46 $41,386.18 60% off $33,316.00 $93,119.00 $67,253.00 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 19 $0.01 — $210,693.00 $2,215,437.00 $225,411.00 2024-12-15
10 MS_DRG Pancreas Transplant 27 19 $0.01 — $59,956.00 $627,076.00 $64,122.00 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 19 $0.01 — $40,721.00 $424,388.00 $43,540.00 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 $55,888.00 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 $65,089.00 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 $111,607.00 2024-12-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 6 $0.01 — $33,602.00 $40,323.00 $35,955.00 2024-12-15
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 31 18 $274,454.52 $109,781.81 60% off $88,374.00 $247,009.00 $178,395.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 27 19 $0.01 — $98,237.00 $1,030,457.00 $105,083.00 2024-12-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 6 $0.01 — $71,830.00 $86,196.00 $76,858.00 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 27 19 $0.01 — $32,013.00 $332,627.00 $34,222.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 27 19 $0.01 — $45,498.00 $474,724.00 $48,651.00 2024-12-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 6 $0.01 — $59,311.00 $71,174.00 $63,463.00 2024-12-15
1611 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $52,607.00 $63,128.00 $56,289.00 2024-12-15
1612 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $55,215.00 $66,258.00 $59,080.00 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $68,785.00 $82,542.00 $73,600.00 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $101,659.00 $121,991.00 $108,775.00 2024-12-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 6 $0.01 — $40,490.00 $48,589.00 $43,325.00 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 27 19 $0.01 — $34,849.00 $362,514.00 $37,257.00 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 $36,089.00 2024-12-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 6 $0.01 — $31,499.00 $37,799.00 $33,704.00 2024-12-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 6 $0.01 — $33,958.00 $40,749.00 $36,335.00 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 27 19 $0.01 — $45,498.00 $474,724.00 $48,651.00 2024-12-15
1784 APR_DRG External Heart Assist Systems 9 6 $0.01 — $32,322.00 $38,787.00 $34,585.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 19 $0.01 — $281,933.00 $2,966,112.00 $301,637.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 19 $0.01 — $59,615.00 $623,482.00 $63,757.00 2024-12-15
19296 CPT Hc Place Postop Breast Cath For Rad 94 36 $60,672.52 $24,269.01 60% off $2,116.00 $109,211.00 $38,557.50 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 19 $0.01 — $82,697.00 $866,699.00 $88,454.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 19 $0.01 — $60,614.00 $634,006.00 $64,825.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 19 $0.01 — $48,717.00 $508,645.00 $52,096.00 2024-12-15
20983 CPT Hc Ablatj Bone Tumor Cryo Perq W/img Gdn When Prfmd 63 35 $59,623.90 $23,849.56 60% off $1,171.00 $53,662.00 $37,026.00 2024-12-15
21 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $44,578.00 $53,493.00 $47,698.00 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 19 $0.01 — $41,702.00 $434,722.00 $44,589.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 19 $0.01 — $81,758.00 $856,805.00 $87,449.00 2024-12-15
215 MS_DRG Other Heart Assist System Implant 27 19 $0.01 — $79,525.00 $833,281.00 $85,061.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 19 $0.01 — $72,481.00 $759,059.00 $77,524.00 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 19 $0.01 — $48,647.00 $507,914.00 $52,022.00 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 19 $0.01 — $44,851.00 $467,912.00 $47,960.00 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 19 $0.01 — $58,198.00 $608,554.00 $62,241.00 2024-12-15
22 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $48,472.00 $58,167.00 $51,866.00 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 19 $0.01 — $39,980.00 $416,585.00 $42,748.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 19 $0.01 — $34,725.00 $361,208.00 $37,124.00 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 19 $0.01 — $37,641.00 $391,937.00 $40,245.00 2024-12-15
23 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $66,606.00 $79,927.00 $71,268.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 19 $0.01 — $43,029.00 $448,706.00 $46,009.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 19 $0.01 — $63,695.00 $666,472.00 $68,122.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 19 $0.01 — $46,041.00 $480,449.00 $49,233.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 19 $0.01 — $58,787.00 $614,760.00 $62,871.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 19 $0.01 — $40,156.00 $418,434.00 $42,935.00 2024-12-15
23430 CPT Hc Repair Biceps Long Tendon 63 35 $59,623.90 $23,849.56 60% off $3,096.00 $53,662.00 $37,026.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 19 $0.01 — $44,365.00 $462,792.00 $47,440.00 2024-12-15
23515 CPT Hc Open Treatment Clavicular Fracture Internal Fx 65 36 $59,623.90 $23,849.56 60% off $3,490.00 $53,662.00 $35,774.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 19 $0.01 — $38,041.00 $396,152.00 $40,673.00 2024-12-15
24 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $118,623.00 $142,347.00 $126,926.00 2024-12-15
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 31 18 $71,369.82 $28,547.93 60% off $22,981.00 $64,233.00 $46,390.00 2024-12-15
245 MS_DRG Aicd Generator Procedures 27 19 $0.01 — $36,921.00 $384,347.00 $39,474.00 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 19 $0.01 — $33,827.00 $351,746.00 $36,164.00 2024-12-15
25607 CPT Hc Open Rx Distal Radius Fx, Extra-articular 65 36 $59,623.90 $23,849.56 60% off $3,490.00 $53,662.00 $35,774.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 19 $0.01 — $45,161.00 $471,176.00 $48,291.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 19 $0.01 — $35,562.00 $370,025.00 $38,020.00 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 19 $0.01 — $50,213.00 $524,407.00 $53,696.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 19 $0.01 — $38,758.00 $403,710.00 $41,440.00 2024-12-15
27405 CPT Hc Repair Primary Torn Lig/capsule, Knee, Collateral 63 35 $59,623.90 $23,849.56 60% off $4,943.00 $53,662.00 $37,026.00 2024-12-15
27428 CPT Hc Ligament Reconst Knee, Intra-artic (open) 88 36 $81,421.91 $32,568.76 60% off $4,943.00 $146,559.00 $52,680.00 2024-12-15
27446 CPT Hc Knee Arthroplasty Condyle/plateau Medial Or Lateral Comptmnt 88 36 $81,421.91 $32,568.76 60% off $6,053.00 $146,559.00 $52,680.00 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 19 $0.01 — $53,194.00 $555,820.00 $56,886.00 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 19 $0.01 — $46,681.00 $487,190.00 $49,917.00 2024-12-15
27691 CPT Hc Xfer Single Deep Low Leg Tendon 63 35 $59,623.90 $23,849.56 60% off $4,943.00 $53,662.00 $37,026.00 2024-12-15
27696 CPT Hc Rep Primary Disrupt Lig Ankle, Both Coll Lig 65 36 $59,623.90 $23,849.56 60% off $4,943.00 $53,662.00 $35,774.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 19 $0.01 — $35,168.00 $365,872.00 $37,598.00 2024-12-15
27726 CPT Hc Repair Fibula Nonunion/malunion W Int Fixation 75 36 $59,623.90 $23,849.56 60% off $3,490.00 $126,188.00 $37,265.00 2024-12-15
27792 CPT Hc Open Tx Distal Fibular Fracture Lat Malleolus 65 36 $59,623.90 $23,849.56 60% off $3,490.00 $53,662.00 $35,774.00 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 19 $0.01 — $37,790.00 $393,510.00 $40,404.00 2024-12-15
27822 CPT Hc Open Tx Trimalleolar Ankle Fx Without Fix Pst Lip 65 36 $59,623.90 $23,849.56 60% off $3,490.00 $53,662.00 $35,774.00 2024-12-15
27827 CPT Hc Open Treatment Fracture Distal Tibia Only 92 36 $81,421.91 $32,568.76 60% off $3,490.00 $146,559.00 $51,947.00 2024-12-15
27829 CPT Hc Open Tx Distal Tibiofibular Joint Disrupt 65 36 $59,623.90 $23,849.56 60% off $3,490.00 $53,662.00 $35,774.00 2024-12-15
27870 CPT Hc Asc Ankle Arthrodesis Open 27870 88 36 $81,421.91 $32,568.76 60% off $4,943.00 $146,559.00 $52,680.00 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 27 19 $0.01 — $45,823.00 $478,153.00 $49,000.00 2024-12-15
28725 CPT Hc Fusion Foot Bones,subtalar 98 36 $81,421.91 $32,568.76 60% off $514.00 $146,559.00 $51,092.50 2024-12-15
29828 CPT Hc Arthroscopy Shoulder Surgical Biceps Tenodesis 75 36 $59,623.90 $23,849.56 60% off $1,628.00 $98,642.00 $37,026.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 19 $0.01 — $160,411.00 $1,685,595.00 $171,608.00 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 $45,581.00 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 19 $0.01 — $31,724.00 $329,591.00 $33,914.00 2024-12-15
31253 CPT Hc Nasal/sinus Endo Total With Tiss Rem 98 36 $63,648.47 $25,459.39 60% off $2,825.00 $114,567.00 $39,939.50 2024-12-15
31255 CPT Hc Nasal/sinus Ndsc W/total Ethoidectomy 98 36 $63,648.47 $25,459.39 60% off $1,117.00 $114,567.00 $40,448.50 2024-12-15
31267 CPT Hc Nasal/sinus Endoscopy,rmv Tiss Maxill Sinus 98 36 $63,648.47 $25,459.39 60% off $376.00 $114,567.00 $39,939.50 2024-12-15
31276 CPT Hc Nasal/sinus Ndsc W/rmvl Tiss From Frontal Sinus 98 36 $63,648.47 $25,459.39 60% off $376.00 $114,567.00 $39,939.50 2024-12-15
31287 CPT Hc Nasal/sinus Endoscopy,sphenoidotomy 98 36 $63,648.47 $25,459.39 60% off $376.00 $114,567.00 $39,939.50 2024-12-15
31288 CPT Hc Nasal/sinus Endoscopy,remv Tiss Sphenoid 98 36 $63,648.47 $25,459.39 60% off $376.00 $114,567.00 $39,939.50 2024-12-15
31296 CPT Hc Nasal/sinus Endo Dil Frontal 98 36 $63,648.47 $25,459.39 60% off $376.00 $114,567.00 $40,448.50 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 19 $0.01 — $46,621.00 $486,560.00 $49,853.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 19 $0.01 — $33,234.00 $345,494.00 $35,529.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 19 $0.01 — $32,238.00 $335,002.00 $34,463.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 19 $0.01 — $38,355.00 $399,463.00 $41,009.00 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 19 $0.01 — $34,720.00 $361,153.00 $37,119.00 2024-12-15
32998 CPT Hc Perq Radiofreq Ablation Tx, Pul Tumor 98 36 $59,979.66 $23,991.86 60% off $3,275.00 $107,963.00 $38,117.00 2024-12-15
33221 CPT Hc Ep Ins Pacemaker Pulse Gen Only W/exist Mult Leads 65 36 $85,936.79 $34,374.72 60% off $5,079.00 $77,343.00 $41,215.00 2024-12-15
33229 CPT Hc Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 107 36 $85,936.79 $34,374.72 60% off $174.00 $77,343.00 $42,622.00 2024-12-15
33230 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Dual Leads 66 36 $80,106.59 $32,042.64 60% off $510.00 $72,096.00 $37,209.50 2024-12-15
33231 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Multileads 66 36 $92,200.30 $36,880.12 60% off $510.00 $82,980.00 $42,827.00 2024-12-15
33240 CPT Hc Insj Implntbl Defib Pulse Gen W/1 Existing Ld 107 36 $80,106.59 $32,042.64 60% off $233.00 $82,980.00 $50,467.00 2024-12-15
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 107 36 $80,106.59 $32,042.64 60% off $176.00 $82,980.00 $50,467.00 2024-12-15
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 107 36 $109,092.73 $43,637.09 60% off $176.00 $98,183.00 $58,363.00 2024-12-15
33270 CPT Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 66 36 $109,092.73 $43,637.09 60% off $233.00 $98,183.00 $50,673.50 2024-12-15
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 72 36 $66,301.73 $26,520.69 60% off $6,807.00 $59,672.00 $34,516.50 2024-12-15
33991 CPT Hc Cath Insj Perq Vad Trnsptal W/image Art&venous Access 50 26 $54,392.42 $21,756.97 60% off $2,075.00 $48,953.00 $33,968.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 19 $0.01 — $32,285.00 $335,497.00 $34,514.00 2024-12-15
37184 CPT Hc Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 98 36 $77,007.46 $30,802.98 60% off $4,215.00 $138,613.00 $48,322.50 2024-12-15
37242 CPT Hc Vascular Embolization Or Occlusion Arterial Rs&i 66 36 $77,007.46 $30,802.98 60% off $1,679.00 $69,307.00 $35,140.00 2024-12-15
38240 CPT Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 66 36 $528,837.36 $211,534.94 60% off $417.00 $475,954.00 $214,708.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 19 $0.01 — $105,912.00 $1,111,325.00 $113,294.00 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 19 $0.01 — $40,966.00 $426,967.00 $43,802.00 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 19 $0.01 — $78,634.00 $823,890.00 $84,107.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 19 $0.01 — $53,460.00 $558,627.00 $57,171.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 19 $0.01 — $41,528.00 $432,897.00 $44,404.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 19 $0.01 — $62,700.00 $655,988.00 $67,058.00 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 6 $0.01 — $44,733.00 $53,680.00 $47,865.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 19 $0.01 — $41,278.00 $430,255.00 $44,136.00 2024-12-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 6 $0.01 — $71,338.00 $85,605.00 $76,332.00 2024-12-15
4404 APR_DRG Kidney Transplant 9 6 $0.01 — $37,839.00 $45,407.00 $40,488.00 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 19 $0.01 — $50,490.00 $527,325.00 $53,993.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 19 $0.01 — $38,886.00 $405,055.00 $41,577.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 19 $0.01 — $63,660.00 $666,103.00 $68,085.00 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 19 $0.01 — $43,285.00 $451,404.00 $46,283.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 19 $0.01 — $32,675.00 $339,611.00 $34,931.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 19 $0.01 — $46,250.00 $482,651.00 $49,456.00 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 19 $0.01 — $40,759.00 $424,789.00 $43,581.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 19 $0.01 — $38,472.00 $400,690.00 $41,134.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 27 19 $0.01 — $36,701.00 $382,027.00 $39,238.00 2024-12-15
47335-625-60 NDC Ranolazine ER 1000 Mg Po Pack 31 18 $75,533.61 $30,213.44 60% off $24,322.00 $67,980.00 $49,097.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 19 $0.01 — $33,920.00 $352,722.00 $36,263.00 2024-12-15
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 31 18 $157,219.74 $62,887.90 60% off $50,625.00 $141,498.00 $102,193.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 19 $0.01 — $79,933.00 $837,575.00 $85,497.00 2024-12-15
50474-598-66 NDC Levetiracetam ER 500 Mg Po Tb24 31 18 $56,078.64 $22,431.46 60% off $18,057.00 $50,471.00 $36,451.00 2024-12-15
50592 CPT Hc Perc Radiofreq Ablate Renal Tumor 98 36 $59,979.66 $23,991.86 60% off $1,879.00 $107,963.00 $37,637.00 2024-12-15
50593 CPT Hc Ablation Renal Tumor Unilateral Perq Cryotherapy 98 36 $101,692.40 $40,676.96 60% off $2,161.00 $183,046.00 $63,812.00 2024-12-15
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 31 18 $129,207.06 $51,682.82 60% off $41,605.00 $116,286.00 $83,985.00 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 31 18 $311,313.00 $124,525.20 60% off $100,243.00 $280,182.00 $202,353.00 2024-12-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 $0.01 — $32,143.00 $38,571.00 $34,393.00 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 $0.01 — $46,532.00 $55,838.00 $49,789.00 2024-12-15
54092-191-12 NDC Mesalamine ER 500 Mg Po Cpcr 31 18 $57,161.19 $22,864.48 60% off $18,406.00 $51,445.00 $37,155.00 2024-12-15
54092-252-45 NDC Lanthanum Carbonate 500 Mg Po Chew 31 18 $57,774.64 $23,109.85 60% off $18,603.00 $51,997.00 $37,554.00 2024-12-15
54092-252-90 NDC Lanthanum Carbonate 500 Mg Po Chew 31 18 $57,774.64 $23,109.85 60% off $18,603.00 $51,997.00 $37,554.00 2024-12-15
54092-253-90 NDC Lanthanum Carbonate 750 Mg Po Chew 31 18 $54,346.56 $21,738.62 60% off $17,500.00 $48,912.00 $35,325.00 2024-12-15
54092-254-90 NDC Lanthanum Carbonate 1000 Mg Po Chew 31 18 $54,346.56 $21,738.62 60% off $17,500.00 $48,912.00 $35,325.00 2024-12-15
55566-9800-0 NDC Fecal Microbiota, Live-jslm 150 Ml Re Susp 31 18 $65,703.72 $26,281.49 60% off $21,157.00 $59,133.00 $42,707.00 2024-12-15
55566-9800-2 NDC Fecal Microbiota, Live-jslm 150 Ml Re Susp 31 18 $65,703.72 $26,281.49 60% off $21,157.00 $59,133.00 $42,707.00 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 19 $0.01 — $46,411.00 $484,342.00 $49,628.00 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 19 $0.01 — $40,716.00 $424,340.00 $43,535.00 2024-12-15
5831 APR_DRG Neonate With Ecmo 9 6 $0.01 — $74,234.00 $89,081.00 $79,431.00 2024-12-15
5832 APR_DRG Neonate With Ecmo 9 6 $0.01 — $102,129.00 $122,555.00 $109,278.00 2024-12-15
5833 APR_DRG Neonate With Ecmo 9 6 $0.01 — $133,012.00 $159,615.00 $142,323.00 2024-12-15
5834 APR_DRG Neonate With Ecmo 9 6 $0.01 — $205,319.00 $246,383.00 $219,692.00 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 31 18 $269,992.58 $107,997.03 60% off $86,938.00 $242,993.00 $175,495.00 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 31 18 $269,992.58 $107,997.03 60% off $86,938.00 $242,993.00 $175,495.00 2024-12-15
58552 CPT Hc Lap,vag Hyst,uterus 250gms/<,salp-ooph 66 36 $101,692.40 $40,676.96 60% off $3,046.00 $91,523.00 $41,287.00 2024-12-15
58571 CPT Hc Laparoscopy W Tot Hysterectuterus <=250 Gram W Tube/ovary 66 36 $101,692.40 $40,676.96 60% off $3,757.00 $91,523.00 $41,287.00 2024-12-15
58661 CPT Hc Lap,rmv Adnexal Structure 98 36 $59,979.66 $23,991.86 60% off $1,504.00 $107,963.00 $37,637.00 2024-12-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $65,522.00 $78,627.00 $70,109.00 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $76,443.00 $91,731.00 $81,794.00 2024-12-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $87,116.00 $104,539.00 $93,214.00 2024-12-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $133,948.00 $160,737.00 $143,324.00 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 $55,988.00 2024-12-15
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 31 18 $257,912.72 $103,165.09 60% off $83,048.00 $232,121.00 $167,643.00 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 $54,337.00 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 $53,179.00 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 $51,247.00 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 $67,580.00 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 $91,048.00 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 $47,957.00 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 $58,552.00 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 $84,425.00 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 31 18 $242,481.38 $96,992.55 60% off $78,079.00 $218,233.00 $157,613.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 31 18 $242,481.38 $96,992.55 60% off $78,079.00 $218,233.00 $157,613.00 2024-12-15
59676-565-01 NDC Darunavir 100 Mg/ml Po Susp Bulk 31 18 $60,625.35 $24,250.14 60% off $19,521.00 $54,563.00 $39,406.00 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 27 19 $0.01 — $36,640.00 $381,390.00 $39,174.00 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 $35,563.00 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 $44,470.00 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 $62,692.00 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 $34,494.00 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 $78,090.00 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 $48,046.00 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 $35,186.00 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 $94,236.00 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 $38,940.00 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 $34,319.00 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 $39,123.00 2024-12-15
61958-1003-1 NDC Ranolazine ER 500 Mg Po Tb12 31 18 $64,522.53 $25,809.01 60% off $20,776.00 $58,070.00 $41,940.00 2024-12-15
61958-1004-1 NDC Ranolazine ER 1000 Mg Po Tb12 31 18 $93,699.83 $37,479.93 60% off $30,171.00 $84,330.00 $60,905.00 2024-12-15
63 APR_DRG Pancreas Transplant 9 6 $0.01 — $36,709.00 $44,050.00 $39,278.00 2024-12-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 6 $0.01 — $46,657.00 $55,988.00 $49,923.00 2024-12-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 6 $0.01 — $97,710.00 $117,252.00 $104,550.00 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 6 $0.01 — $86,464.00 $103,757.00 $92,516.00 2024-12-15
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 31 18 $215,258.82 $86,103.53 60% off $69,313.00 $193,733.00 $139,918.00 2024-12-15
64 APR_DRG Pancreas Transplant 9 6 $0.01 — $51,673.00 $62,007.00 $55,290.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 19 $0.01 — $34,835.00 $362,364.00 $37,242.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 27 19 $0.01 — $42,055.00 $438,442.00 $44,967.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 19 $0.01 — $31,717.00 $329,512.00 $33,906.00 2024-12-15
67546-212-21 NDC Nitazoxanide 100 Mg/5ml Po Susr Bulk 31 18 $81,915.50 $32,766.20 60% off $26,377.00 $73,724.00 $53,245.00 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 31 18 $252,092.36 $100,836.94 60% off $81,174.00 $226,883.00 $163,860.00 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 31 18 $252,092.36 $100,836.94 60% off $81,174.00 $226,883.00 $163,860.00 2024-12-15
69468-151-04 NDC Uridine Triacetate 10 G Po Pack 31 18 $86,895.23 $34,758.09 60% off $27,980.00 $78,206.00 $56,482.00 2024-12-15
7 MS_DRG Lung Transplant 27 19 $0.01 — $97,991.00 $1,027,861.00 $104,819.00 2024-12-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $31,655.00 $37,985.00 $33,870.00 2024-12-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $39,475.00 $47,370.00 $42,238.00 2024-12-15
73702-140-71 NDC Indomethacin 100 Mg Re Supp 31 18 $54,753.72 $21,901.49 60% off $17,631.00 $49,278.00 $35,590.00 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $80,769.00 $96,923.00 $86,423.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 19 $0.01 — $44,818.00 $467,559.00 $47,924.00 2024-12-15
793 MS_DRG Full Term Neonate With Major Problems 27 19 $0.01 — $31,574.00 $328,010.00 $33,753.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 27 19 $0.01 — $35,936.00 $373,965.00 $38,420.00 2024-12-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 19 $0.01 — $41,058.00 $427,943.00 $43,901.00 2024-12-15
81416 CPT Hc Exome Sequence Analysis Each Comparator Exome 66 36 $132,300.00 $52,920.00 60% off $961.00 $119,070.00 $48,025.00 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 19 $0.01 — $43,903.00 $457,924.00 $46,945.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 19 $0.01 — $35,374.00 $368,043.00 $37,818.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 19 $0.01 — $36,090.00 $375,593.00 $38,585.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 27 19 $0.01 — $41,702.00 $434,722.00 $44,589.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 19 $0.01 — $37,819.00 $393,816.00 $40,436.00 2024-12-15
84 APR_DRG Autologous Bone Marrow Transplant 9 6 $0.01 — $40,033.00 $48,039.00 $42,835.00 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 6 $0.01 — $96,372.00 $115,646.00 $103,118.00 2024-12-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 6 $0.01 — $49,355.00 $59,226.00 $52,810.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 27 19 $0.01 — $69,203.00 $724,516.00 $74,016.00 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 $34,006.00 2024-12-15
8514 APR_DRG Gender Related Procedures 9 6 $0.01 — $50,103.00 $60,123.00 $53,610.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 19 $0.01 — $37,775.00 $393,352.00 $40,389.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 19 $0.01 — $34,120.00 $354,837.00 $36,478.00 2024-12-15
8634 APR_DRG Neonatal Aftercare 9 6 $0.01 — $37,397.00 $44,877.00 $40,015.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 19 $0.01 — $52,369.00 $547,129.00 $56,004.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 27 19 $0.01 — $33,515.00 $348,459.00 $35,830.00 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 19 $0.01 — $177,512.00 $1,865,798.00 $189,907.00 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 19 $0.01 — $50,297.00 $525,295.00 $53,787.00 2024-12-15
92924 CPT Hc Prq Trluml Coronary Angio/atherect One Art/brnch 66 36 $77,007.46 $30,802.98 60% off $5,484.00 $69,307.00 $43,956.00 2024-12-15
92933 CPT Hc Prq Trluml Coronry Stent/ath/angio One Art/brnch 66 36 $101,079.85 $40,431.94 60% off $5,484.00 $90,972.00 $41,038.00 2024-12-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 6 $0.01 — $34,634.00 $41,561.00 $37,059.00 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 19 $0.01 — $32,742.00 $340,311.00 $35,002.00 2024-12-15
93580 CPT Hc Perc Clos,cong Interatrial Commun W/impl 66 36 $101,079.85 $40,431.94 60% off $1,157.00 $90,972.00 $41,038.00 2024-12-15
93581 CPT Hc Perc Closure,cong Vsd W/implant 66 36 $101,079.85 $40,431.94 60% off $2,651.00 $90,972.00 $41,038.00 2024-12-15
93582 CPT Hc Cath Percutan Transcath Closure Pat Duct Arteriosus 66 36 $101,079.85 $40,431.94 60% off $824.00 $90,972.00 $41,038.00 2024-12-15
93590 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 66 36 $101,079.85 $40,431.94 60% off $1,267.00 $90,972.00 $41,038.00 2024-12-15
93591 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 66 36 $101,079.85 $40,431.94 60% off $479.00 $90,972.00 $41,038.00 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 6 $0.01 — $80,365.00 $96,438.00 $85,990.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 19 $0.01 — $51,412.00 $537,046.00 $54,980.00 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 19 $0.01 — $56,158.00 $587,059.00 $60,058.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 19 $0.01 — $47,650.00 $497,406.00 $50,955.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 19 $0.01 — $35,929.00 $373,894.00 $38,413.00 2024-12-15
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 46 29 $770,386.00 $308,154.40 60% off $10.00 $693,347.00 $481,106.00 2024-12-15
A9555 HCPCS Rubidium-82 (rb-82) Radio-isotope Injection 46 29 $84,001.00 $33,600.40 60% off $82.00 $75,601.00 $52,459.00 2024-12-15
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 46 29 $317,369.80 $126,947.92 60% off $57.00 $285,633.00 $198,197.50 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 46 29 $386,681.14 $154,672.46 60% off $60.00 $348,013.00 $241,482.50 2024-12-15
A9584 HCPCS Ioflupane I 123 185 Mbq/2.5ml IV Soln 46 29 $56,701.00 $22,680.40 60% off $119.00 $51,031.00 $35,409.50 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 46 29 $460,111.00 $184,044.40 60% off $84.00 $414,100.00 $287,339.00 2024-12-15
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 46 29 $243,748.00 $97,499.20 60% off $69.00 $219,373.00 $152,221.00 2024-12-15
A9592 HCPCS Copper Cu 64 Dotatate 1 Mci/ml IV Soln 46 29 $170,101.00 $68,040.40 60% off $269.00 $153,091.00 $106,228.00 2024-12-15
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 46 29 $475,098.80 $190,039.52 60% off $615.00 $427,589.00 $296,699.50 2024-12-15
C1721 HCPCS Defibrillator Perciva Icd Dr Df4 2chmbr 2,429 21 $86,408.56 $34,563.42 60% off $17.00 $122,094.00 $48,940.00 2024-12-15
C1722 HCPCS System Defib Resonate Df4 Sc Tachy Icd El Vr 2,428 21 $82,250.00 $32,900.00 60% off $234.00 $132,061.00 $43,578.00 2024-12-15
C1767 HCPCS Stimulator Proclaim Elite 5 W/pat Cntrlr 1,279 36 $89,595.00 $35,838.00 60% off $105.00 $191,302.00 $52,302.00 2024-12-15
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x1x1in 40ml 104 21 $62,445.00 $24,978.00 60% off $557.00 $56,201.00 $34,124.00 2024-12-15
C1820 HCPCS Stimulator Neurostim Intellis Adaptivstim Sensr 917 36 $77,649.00 $31,059.60 60% off $327.00 $124,887.00 $38,588.50 2024-12-15
C1822 HCPCS System Scs Hfx Iq Prsnlzd 147 21 $120,681.75 $48,272.70 60% off $259.00 $127,062.00 $75,064.00 2024-12-15
C1824 HCPCS Generator Ipg Optimizer Crdc Smart Mn 123 36 $239,980.00 $95,992.00 60% off $300.00 $215,982.00 $112,944.00 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2104 Ipg 1036 Csl Kt 99 21 $152,040.00 $60,816.00 60% off $185.00 $232,596.00 $98,826.00 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 221 21 $206,340.00 $82,536.00 60% off $5,850.00 $244,350.00 $117,983.00 2024-12-15
C1833 HCPCS Monitor Crdc The Guardian Amsg3-e 49 21 $94,607.50 $37,843.00 60% off $964.00 $85,147.00 $59,130.00 2024-12-15
C1875 HCPCS Stent G-armor Cov 5.2cm Lgth 10 Zig 546 21 $66,881.04 $26,752.42 60% off $550.00 $74,641.00 $41,453.50 2024-12-15
C1882 HCPCS Defibrillator Crt-d Promri Intica 7 Hi Energy W/cl 3,028 21 $105,740.60 $42,296.24 60% off $9.00 $193,004.00 $61,749.00 2024-12-15
C2622 HCPCS Prosthesis Penile Tactra Malle Rear Tp Extndr 11mm 174 36 $75,815.22 $30,326.09 60% off $207.00 $80,714.00 $46,285.00 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 74 36 $184,138.50 $73,655.40 60% off $16,556.00 $165,725.00 $91,140.50 2024-12-15
C9047 HCPCS Caplacizumab-yhdp 11 Mg Ij Kit 55 33 $74,315.77 $29,726.31 60% off $768.00 $66,884.00 $44,589.00 2024-12-15
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 86 33 $170,823.72 $68,329.49 60% off $55,005.00 $158,044.00 $109,226.00 2024-12-15
C9602 HCPCS Hc Ccl Ather W/drug Eluting Sngl Stent Maj Cor Vessel 66 36 $101,079.85 $40,431.94 60% off $172.00 $90,972.00 $41,038.00 2024-12-15
C9607 HCPCS Hc Ccl Revas Chron Occl W Drug Stent Plcmt Single 66 36 $101,079.85 $40,431.94 60% off $30.00 $90,972.00 $41,038.00 2024-12-15
C9773 HCPCS Hc Revasc Tibial/peroneal Art With IV Litho/stent 66 36 $101,079.85 $40,431.94 60% off $34.00 $90,972.00 $41,038.00 2024-12-15
C9774 HCPCS Hc Revasc Tibial/peroneal Art With IV Litho/ather 66 36 $101,079.85 $40,431.94 60% off $3,203.00 $90,972.00 $41,038.00 2024-12-15
C9775 HCPCS Hc Revasc Tibial/peroneal Art With IV Litho/ather/stent 66 36 $101,079.85 $40,431.94 60% off $124.00 $90,972.00 $41,038.00 2024-12-15
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 55 33 $192,801.74 $77,120.70 60% off $1,211.00 $173,522.00 $115,681.00 2024-12-15
J2506 HCPCS Pegfilgrastim 6 Mg/0.6ml Sc Pskt 55 33 $60,446.64 $24,178.66 60% off $55.00 $54,402.00 $36,268.00 2024-12-15
J7674 HCPCS Methacholine Chloride 100 Mg In Solr 50 30 $56,523.97 $22,609.59 60% off $1.00 $50,872.00 $35,158.00 2024-12-15
L8614 HCPCS Kit Sound Dual K2 Procsr 604 32 $122,297.50 $48,919.00 60% off $256.00 $174,447.00 $53,044.00 2024-12-15
L8619 HCPCS Hc Supply Cochlear Implnt, Ext Speech Processor_cont Rplcmt - L8619 761 36 $105,976.55 $42,390.62 60% off $252.00 $174,447.00 $40,377.00 2024-12-15
Q0138 HCPCS Ferumoxytol 510 Mg/17ml IV Soln 55 33 $97,099.63 $38,839.85 60% off $121.00 $87,390.00 $58,260.00 2024-12-15
Q0479 HCPCS Module Pwr Heartmate Ii Cntrlr Tethered Operation 68 36 $90,547.20 $36,218.88 60% off $11,137.00 $81,492.00 $46,314.50 2024-12-15
Q0495 HCPCS Charger Batt Heartware 4 Slot With Ac Adpt Pwr Cord 102 32 $63,928.00 $25,571.20 60% off $2,215.00 $73,343.00 $40,786.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 25 19 — — $24,610.00 $586,267.00 $536,539.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 24 18 — — $24,610.00 $555,957.00 $508,800.00 2024-12-15
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 24 18 — — $24,610.00 $563,869.00 $516,041.00 2024-12-15
Q3001 HCPCS Hc I-125 Iotrex - 2 Ml 68 36 $118,208.95 $47,283.58 60% off $167.00 $106,388.00 $41,550.50 2024-12-15
Q5127 HCPCS Pegfilgrastim-fpgk 6 Mg/0.6ml Sc Sosy 55 33 $63,491.72 $25,396.69 60% off $335.00 $57,143.00 $38,095.00 2024-12-15
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