Price Transparencybeta Hospital negotiated rates

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

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Hospital

AdventHealth Palm Coast

Palm Coast, FL · CCN 100118 · Rates published

21,962 distinct procedures filed
54 distinct payers
1,501,577 rate rows
2026-04-01 last MRF observed
Data quality

1,472,881 of 1,501,577 rate rows are consumer-grade (98.1%)

28,696 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 20,445
exceeds 10× this hospital's gross charge — excluded from medians 6,107
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 875
template filing: same amount across many unrelated codes — excluded 226
per-diem day rate — not a per-procedure price 154
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://urldefense.com/v3/__https://hospitalpricedisclosure.com/download.aspx?pi=TrQV*__*uHRt4WEd3BTjw7t8Q*-*__;KioqKg!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT780sj7bA$
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 not_modified · 2026-10-12
Content fingerprint 5b2b44f637324691… · 24,999,867 bytes · first seen 2026-05-05

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 $401,141.00 $1,605,619.00 $985,258.00 nat. median
$574,037
1.7× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 36 $392,346.00 $1,570,418.00 $963,658.00 nat. median
$579,571
1.7× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 36 $343,710.00 $1,387,149.00 $844,201.00 nat. median
$621,313
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 32 $268,885.00 $1,605,666.05 $605,039.26 nat. median
$168,055
outlier · 3.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 32 $200,922.00 $1,042,012.67 $408,478.78 nat. median
$186,516
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 $158,899.39 $860,450.00 $317,631.39 nat. median
$131,925
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 $152,953.00 $789,216.61 $310,069.65 nat. median
$145,435
outlier · 2.1×
5834
APR_DRG 		Neonate With Ecmo 6 $205,319.00 $246,383.00 $217,638.00 nat. median
$390,362
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 $100,961.00 $515,036.61 $203,370.64 nat. median
$97,418
outlier · 2.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $123,589.95 $329,493.44 $202,775.42 nat. median
$2,106
outlier · 96.3×
7
MS_DRG 		Lung Transplant 32 $93,404.00 $481,527.29 $189,131.57 nat. median
$70,649
outlier · 2.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 32 $89,442.26 $475,215.00 $178,790.30 nat. median
$72,715
outlier · 2.5×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $106,786.60 $284,695.36 $175,205.98 nat. median
$2,024
outlier · 86.6×
209
MS_DRG 		Complex Aortic Arch Procedures 13 $84,239.26 $420,866.94 $168,389.79 nat. median
$2,110
outlier · 79.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 $78,814.00 $421,350.32 $163,313.90 nat. median
$65,418
outlier · 2.5×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $98,873.07 $263,597.72 $162,222.16 nat. median
$2,024
outlier · 80.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $74,938.00 $409,801.28 $158,837.54 nat. median
$2,736
outlier · 58.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 32 $77,918.00 $404,331.66 $158,244.49 nat. median
$74,509
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 32 $76,177.00 $386,264.00 $152,316.15 nat. median
$69,922
outlier · 2.2×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $92,500.69 $246,608.81 $151,766.92 nat. median
$2,106
outlier · 72.1×
215
MS_DRG 		Other Heart Assist System Implant 32 $74,104.17 $384,284.00 $148,130.29 nat. median
$73,023
outlier · 2.0×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $89,273.35 $238,004.66 $146,471.79 nat. median
$2,024
outlier · 72.4×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $133,948.00 $160,737.00 $141,985.00 nat. median
$286,698
outlier · 0.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 $69,068.00 $363,753.85 $141,301.86 nat. median
$69,822
outlier · 2.0×
5833
APR_DRG 		Neonate With Ecmo 6 $133,012.00 $159,615.00 $140,993.00 nat. median
$268,208
0.5× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $85,304.04 $227,422.38 $139,959.29 nat. median
$2,106
outlier · 66.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 $59,737.00 $335,003.96 $129,846.36 nat. median
$2,596
outlier · 50.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 32 $64,447.63 $334,125.00 $128,827.38 nat. median
$2,633
outlier · 48.9×
24
APR_DRG 		Heart And/or Lung Transplant 6 $118,623.00 $142,347.00 $125,740.00 nat. median
$225,531
0.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 32 $60,686.00 $313,448.97 $122,878.81 nat. median
$60,505
outlier · 2.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 $60,652.00 $312,463.62 $122,648.69 nat. median
$59,651
outlier · 2.1×
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 36 $10.00 $221,630.00 $121,428.00 nat. median
$767
outlier · 158.3×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $72,785.21 $194,046.92 $119,419.51 nat. median
$2,024
outlier · 59.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 $57,747.00 $292,585.59 $115,774.07 nat. median
$56,428
outlier · 2.1×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $70,539.74 $188,060.46 $115,735.35 nat. median
$2,024
outlier · 57.2×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 $70,023.70 $186,684.69 $114,888.68 nat. median
$2,024
outlier · 56.8×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 $56,004.00 $284,271.47 $112,373.32 nat. median
$55,935
outlier · 2.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 $55,442.00 $285,502.23 $112,059.04 nat. median
$55,923
outlier · 2.0×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $104,305.00 $125,166.00 $110,564.00 nat. median
$135,803
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 $53,496.00 $283,330.74 $109,818.00 nat. median
$52,327
outlier · 2.1×
5832
APR_DRG 		Neonate With Ecmo 6 $102,129.00 $122,555.00 $108,257.00 nat. median
$201,678
0.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $101,659.00 $121,991.00 $107,759.00 nat. median
$202,242
0.5× median
10
MS_DRG 		Pancreas Transplant 32 $53,404.57 $289,189.00 $106,752.89 nat. median
$23,080
outlier · 4.6×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 $53,098.69 $287,531.00 $106,141.44 nat. median
$45,605
outlier · 2.3×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 $64,234.30 $171,250.02 $105,389.94 nat. median
$2,106
outlier · 50.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $50,922.00 $268,409.20 $104,132.05 nat. median
$9,905
outlier · 10.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $97,710.00 $117,252.00 $103,573.00 nat. median
$187,567
0.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 32 $47,904.00 $266,702.50 $103,372.95 nat. median
$37,013
outlier · 2.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 $50,668.00 $265,129.66 $103,222.48 nat. median
$51,518
outlier · 2.0×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $96,372.00 $115,646.00 $102,154.00 nat. median
$173,018
0.6× median

Other procedures at this hospital

Browse this hospital's 21,962 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 59 36 $1,759,389.30 $703,755.72 60% off $401,141.00 $1,605,619.00 $985,258.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 59 36 $1,720,816.99 $688,326.80 60% off $392,346.00 $1,570,418.00 $963,658.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 59 36 $1,507,501.56 $603,000.62 60% off $343,710.00 $1,387,149.00 $844,201.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 70 32 $0.01 — $268,885.00 $1,605,666.05 $605,039.26 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 70 32 $0.01 — $200,922.00 $1,042,012.67 $408,478.78 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 70 32 $0.01 — $158,899.39 $860,450.00 $317,631.39 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 70 32 $0.01 — $152,953.00 $789,216.61 $310,069.65 2026-04-01
5834 APR_DRG Neonate With Ecmo 9 6 $0.01 — $205,319.00 $246,383.00 $217,638.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 70 32 $0.01 — $100,961.00 $515,036.61 $203,370.64 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 17 6 — — $123,589.95 $329,493.44 $202,775.42 2026-04-01
7 MS_DRG Lung Transplant 70 32 $0.01 — $93,404.00 $481,527.29 $189,131.57 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 70 32 $0.01 — $89,442.26 $475,215.00 $178,790.30 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 17 6 — — $106,786.60 $284,695.36 $175,205.98 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 35 13 — — $84,239.26 $420,866.94 $168,389.79 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 70 32 $0.01 — $78,814.00 $421,350.32 $163,313.90 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 17 6 — — $98,873.07 $263,597.72 $162,222.16 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 70 32 $0.01 — $74,938.00 $409,801.28 $158,837.54 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 70 32 $0.01 — $77,918.00 $404,331.66 $158,244.49 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 70 32 $0.01 — $76,177.00 $386,264.00 $152,316.15 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 17 6 — — $92,500.69 $246,608.81 $151,766.92 2026-04-01
215 MS_DRG Other Heart Assist System Implant 70 32 $0.01 — $74,104.17 $384,284.00 $148,130.29 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 17 6 — — $89,273.35 $238,004.66 $146,471.79 2026-04-01
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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 70 32 $0.01 — $69,068.00 $363,753.85 $141,301.86 2026-04-01
5833 APR_DRG Neonate With Ecmo 9 6 $0.01 — $133,012.00 $159,615.00 $140,993.00 2024-12-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 17 6 — — $85,304.04 $227,422.38 $139,959.29 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 70 32 $0.01 — $59,737.00 $335,003.96 $129,846.36 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 70 32 $0.01 — $64,447.63 $334,125.00 $128,827.38 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 70 32 $0.01 — $60,686.00 $313,448.97 $122,878.81 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 70 32 $0.01 — $60,652.00 $312,463.62 $122,648.69 2026-04-01
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 59 36 $242,855.70 $97,142.28 60% off $10.00 $221,630.00 $121,428.00 2024-12-15
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 17 6 — — $72,785.21 $194,046.92 $119,419.51 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 70 32 $0.01 — $57,747.00 $292,585.59 $115,774.07 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 17 6 — — $70,539.74 $188,060.46 $115,735.35 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 17 6 — — $70,023.70 $186,684.69 $114,888.68 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 70 32 $0.01 — $56,004.00 $284,271.47 $112,373.32 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 70 32 $0.01 — $55,442.00 $285,502.23 $112,059.04 2026-04-01
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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 70 32 $0.01 — $53,496.00 $283,330.74 $109,818.00 2026-04-01
5832 APR_DRG Neonate With Ecmo 9 6 $0.01 — $102,129.00 $122,555.00 $108,257.00 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $101,659.00 $121,991.00 $107,759.00 2024-12-15
10 MS_DRG Pancreas Transplant 70 32 $0.01 — $53,404.57 $289,189.00 $106,752.89 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 70 32 $0.01 — $53,098.69 $287,531.00 $106,141.44 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 17 6 — — $64,234.30 $171,250.02 $105,389.94 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 70 32 $0.01 — $50,922.00 $268,409.20 $104,132.05 2026-04-01
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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 70 32 $0.01 — $47,904.00 $266,702.50 $103,372.95 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 70 32 $0.01 — $50,668.00 $265,129.66 $103,222.48 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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 72 32 $0.01 — $42,786.84 $257,001.46 $100,811.43 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 70 32 $0.01 — $47,824.00 $255,740.96 $99,124.30 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 70 32 $0.01 — $48,968.00 $250,282.49 $98,557.29 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 70 32 $0.01 — $48,088.00 $248,441.93 $97,311.08 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 70 32 $0.01 — $44,398.00 $248,624.13 $96,365.84 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 70 32 $0.01 — $46,331.00 $244,489.38 $94,767.87 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 70 32 $0.01 — $44,197.00 $243,600.71 $94,418.78 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 70 32 $0.01 — $42,709.00 $244,489.38 $93,940.36 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 70 32 $0.01 — $46,397.00 $239,261.45 $93,788.01 2026-04-01
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
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $87,116.00 $104,539.00 $92,343.00 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 6 $0.01 — $86,464.00 $103,757.00 $91,652.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 70 32 $0.01 — $45,379.00 $229,389.00 $90,442.29 2026-04-01
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
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 70 32 $0.01 — $44,455.00 $224,677.00 $88,666.60 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 70 32 $0.01 — $43,844.00 $225,425.66 $88,474.65 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 70 32 $0.01 — $43,005.00 $227,872.30 $88,322.50 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 70 32 $0.01 — $43,636.00 $223,406.62 $87,863.24 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 70 32 $0.01 — $43,326.00 $220,484.04 $86,969.07 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 70 32 $0.01 — $41,215.00 $221,725.95 $85,940.20 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 70 32 $0.01 — $42,246.00 $218,212.15 $85,437.08 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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 70 32 $0.01 — $41,805.00 $218,070.86 $84,969.32 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 35 13 — — $42,473.15 $212,199.66 $84,901.55 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 17 6 — — $51,016.73 $136,011.70 $83,703.73 2026-04-01
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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 70 32 $0.01 — $40,970.00 $213,069.74 $83,136.83 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 70 32 $0.01 — $39,300.00 $214,438.08 $83,115.45 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 70 32 $0.01 — $41,104.48 $222,584.00 $82,165.67 2026-04-01
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
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 70 32 $0.01 — $39,539.00 $209,042.83 $81,024.26 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 70 32 $0.01 — $40,429.46 $218,928.00 $80,816.33 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 70 32 $0.01 — $39,091.00 $208,395.84 $80,773.49 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 70 32 $0.01 — $39,704.00 $204,130.95 $80,086.12 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 1 1 — — $80,054.16 $80,054.16 $80,054.16 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 71 32 $0.01 — $9,069.44 $211,924.51 $79,490.93 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 70 32 $0.01 — $38,769.00 $202,799.80 $78,886.82 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 70 32 $0.01 — $38,230.00 $203,119.57 $78,728.43 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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 70 32 $0.01 — $39,398.68 $200,481.00 $78,627.43 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 71 32 $0.01 — $35,973.00 $206,968.01 $77,631.79 2026-04-01
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
653 MS_DRG Major Bladder Procedures With Mcc 70 32 $0.01 — $38,673.79 $202,196.00 $77,306.84 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 70 32 $0.01 — $38,062.00 $198,289.50 $77,280.04 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 70 32 $0.01 — $37,018.00 $198,170.52 $76,810.20 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 72 32 $0.01 — $99.20 $203,409.60 $76,697.53 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
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
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 59 36 $149,769.93 $59,907.97 60% off $584.00 $136,680.00 $74,885.00 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 70 32 $0.01 — $36,476.79 $195,693.00 $72,915.15 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $68,785.00 $82,542.00 $72,912.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 73 32 $0.01 — $29,847.62 $196,188.66 $72,899.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 71 32 $0.01 — $29,307.32 $193,552.39 $72,599.71 2026-04-01
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 59 36 $145,045.20 $58,018.08 60% off $84.00 $132,368.00 $72,523.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 70 32 $0.01 — $36,212.00 $183,003.57 $72,377.07 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 70 32 $0.01 — $33,049.00 $187,409.76 $72,308.83 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 70 32 $0.01 — $35,831.00 $183,959.17 $72,187.74 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 71 32 $0.01 — $36,512.00 $185,446.49 $72,132.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 70 32 $0.01 — $35,755.62 $181,616.00 $71,292.79 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
471 MS_DRG Cervical Spinal Fusion With Mcc 70 32 $0.01 — $34,934.00 $179,545.55 $70,409.79 2026-04-01
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
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 138 40 $131,880.00 $52,752.00 60% off $24,194.00 $118,692.00 $69,149.50 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 70 32 $0.01 — $34,510.50 $175,885.00 $68,926.32 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 75 32 $0.01 — $25,058.97 $183,631.96 $68,878.65 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 17 6 — — $41,977.68 $111,913.39 $68,873.25 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 70 32 $0.01 — $33,847.00 $177,020.83 $68,821.21 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 70 32 $0.01 — $34,351.00 $173,934.64 $68,706.82 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 70 32 $0.01 — $34,197.00 $174,455.20 $68,657.46 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 17 6 — — $41,776.84 $111,377.96 $68,543.74 2026-04-01
245 MS_DRG Aicd Generator Procedures 71 32 $0.01 — $33,955.30 $177,249.00 $67,874.82 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 70 32 $0.01 — $33,153.00 $174,812.16 $67,756.58 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 70 32 $0.01 — $33,471.00 $171,729.69 $67,387.71 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 70 32 $0.01 — $33,705.98 $172,461.00 $67,376.45 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 70 32 $0.01 — $33,667.00 $170,476.62 $67,333.04 2026-04-01
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
163 MS_DRG Major Chest Procedures With Mcc 71 32 $0.01 — $33,167.00 $167,180.00 $66,675.74 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 70 32 $0.01 — $32,472.00 $169,134.31 $65,872.51 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 70 32 $0.01 — $32,192.00 $169,059.95 $65,578.63 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 71 32 $0.01 — $33,044.00 $170,911.66 $65,214.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 70 32 $0.01 — $30,186.00 $166,598.43 $64,572.96 2026-04-01
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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 70 32 $0.01 — $31,626.00 $165,944.01 $64,390.78 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 70 32 $0.01 — $31,949.56 $162,665.00 $63,778.74 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
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 70 32 $0.01 — $30,676.00 $160,905.71 $62,435.37 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 70 32 $0.01 — $31,232.86 $160,699.00 $62,432.82 2026-04-01
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
140 MS_DRG Major Head And Neck Procedures With Mcc 70 32 $0.01 — $30,461.00 $158,596.65 $61,758.93 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 70 32 $0.01 — $31,054.24 $156,618.00 $61,699.88 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 71 32 $0.01 — $30,721.00 $163,337.48 $61,266.38 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 70 32 $0.01 — $29,424.00 $157,685.67 $61,118.41 2026-04-01
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 59 36 $121,897.31 $48,758.92 60% off $60.00 $111,243.00 $60,949.00 2024-12-15
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 17 6 — — $37,050.21 $98,776.64 $60,788.69 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 70 32 $0.01 — $29,567.00 $156,763.53 $60,760.99 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 70 32 $0.01 — $29,611.00 $156,685.44 $60,730.73 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 70 32 $0.01 — $29,627.00 $155,752.15 $60,368.99 2026-04-01
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 306 40 $145,160.00 $58,064.00 60% off $22,466.00 $171,900.00 $60,138.50 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 70 32 $0.01 — $29,309.00 $154,421.00 $59,853.04 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 71 32 $0.01 — $30,179.00 $156,228.09 $59,501.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 64 32 $0.01 — $42,677.00 $220,997.16 $59,470.31 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 70 32 $0.01 — $28,190.00 $153,398.47 $59,456.71 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 71 32 $0.01 — $29,973.00 $157,031.25 $59,090.00 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $55,215.00 $66,258.00 $58,528.00 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
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 70 32 $0.01 — $28,204.00 $149,494.25 $57,943.45 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 70 32 $0.01 — $28,982.27 $156,941.00 $57,934.01 2026-04-01
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 109 40 $98,946.53 $39,578.61 60% off $14,380.00 $101,259.00 $57,686.00 2024-12-15
33249 CPT Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 109 40 $98,946.50 $39,578.60 60% off $14,380.00 $101,259.00 $57,686.00 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 71 32 $0.01 — $28,036.00 $143,924.24 $57,584.40 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 70 32 $0.01 — $28,573.68 $144,493.00 $56,847.13 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 70 32 $0.01 — $25,873.00 $148,140.79 $56,827.62 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 70 32 $0.01 — $28,328.00 $143,708.58 $56,653.06 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 70 32 $0.01 — $27,417.00 $145,456.18 $56,378.30 2026-04-01
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 138 40 $99,320.00 $39,728.00 60% off $22,466.00 $110,214.00 $56,016.50 2024-12-15
1611 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $52,607.00 $63,128.00 $55,763.00 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 70 32 $0.01 — $27,206.00 $143,571.00 $55,647.62 2026-04-01
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
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 70 32 $0.01 — $27,736.41 $143,114.00 $55,443.60 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
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 70 32 $0.01 — $27,763.00 $139,654.00 $55,143.88 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 70 32 $0.01 — $27,564.00 $139,919.63 $55,134.07 2026-04-01
64 APR_DRG Pancreas Transplant 9 6 $0.01 — $51,673.00 $62,007.00 $54,773.00 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 70 32 $0.01 — $27,336.75 $140,046.00 $54,644.71 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 70 32 $0.01 — $25,867.00 $138,964.03 $53,861.96 2026-04-01
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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 70 32 $0.01 — $25,073.00 $137,792.76 $53,407.99 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 70 32 $0.01 — $26,664.70 $144,391.00 $53,301.32 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 70 32 $0.01 — $26,602.93 $142,821.00 $53,177.84 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
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 82 40 $93,964.50 $37,585.80 60% off $21,255.00 $84,568.00 $52,996.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 70 32 $0.01 — $26,489.06 $135,726.00 $52,950.22 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 70 32 $0.01 — $25,633.00 $136,521.10 $52,915.10 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 70 32 $0.01 — $23,858.00 $139,309.83 $52,892.92 2026-04-01
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
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 70 32 $0.01 — $25,871.00 $134,297.56 $52,320.38 2026-04-01
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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 72 32 $0.01 — $26,147.00 $132,776.77 $52,292.14 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 70 32 $0.01 — $25,415.00 $134,814.40 $52,253.59 2026-04-01
265 MS_DRG Aicd Lead Procedures 70 32 $0.01 — $25,747.00 $134,535.53 $52,244.48 2026-04-01
332 MS_DRG Rectal Resection With Mcc 70 32 $0.01 — $25,046.00 $134,628.49 $52,181.53 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 71 33 $0.01 — $25,954.69 $140,187.00 $51,882.05 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 71 32 $0.01 — $26,192.85 $132,342.00 $51,819.00 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 17 6 — — $31,506.27 $83,996.40 $51,692.70 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 70 32 $0.01 — $25,278.00 $132,579.70 $51,387.43 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
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 70 32 $0.01 — $25,296.00 $132,468.16 $51,380.90 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 35 13 — — $25,591.50 $127,857.46 $51,156.05 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 70 32 $0.01 — $23,164.00 $134,096.77 $51,130.23 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 70 32 $0.01 — $22,947.00 $134,918.52 $51,039.35 2026-04-01
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
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 70 32 $0.01 — $25,019.00 $129,077.07 $50,426.51 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 70 32 $0.01 — $25,357.07 $128,018.00 $50,406.71 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 70 32 $0.01 — $25,288.00 $127,478.20 $50,374.65 2026-04-01
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 59 36 $100,047.74 $40,019.09 60% off $57.00 $91,304.00 $50,024.00 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 71 32 $0.01 — $24,862.15 $126,771.00 $49,637.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 71 32 $0.01 — $24,873.00 $132,233.90 $49,599.72 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
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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 70 32 $0.01 — $24,248.00 $126,853.52 $49,213.18 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 71 32 $0.01 — $23,136.74 $131,129.57 $49,185.49 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 71 32 $0.01 — $24,834.00 $128,452.39 $48,841.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 71 32 $0.01 — $24,773.00 $129,705.46 $48,719.00 2026-04-01
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 42 24 $79,265.46 $31,706.19 60% off $18,073.00 $72,338.00 $48,510.50 2024-12-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 70 32 $0.01 — $24,208.70 $123,546.00 $48,383.46 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 70 32 $0.01 — $23,993.00 $122,410.15 $48,069.79 2026-04-01
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 109 40 $113,884.08 $45,553.63 60% off $14,380.00 $103,931.00 $47,945.00 2024-12-15
33262 CPT Hc Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 109 40 $113,884.08 $45,553.63 60% off $14,380.00 $103,931.00 $47,945.00 2024-12-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $44,903.00 $53,883.00 $47,597.00 2024-12-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 $0.01 — $44,820.00 $53,783.00 $47,509.00 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 70 32 $0.01 — $23,762.16 $123,031.00 $47,499.29 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 70 32 $0.01 — $22,570.00 $122,395.28 $47,439.98 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
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 70 32 $0.01 — $23,647.54 $128,051.00 $47,270.18 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
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 70 32 $0.01 — $23,555.00 $120,417.15 $47,234.58 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 70 32 $0.01 — $23,270.00 $119,993.26 $46,864.79 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 70 32 $0.01 — $22,321.00 $120,115.96 $46,556.53 2026-04-01
652 MS_DRG Kidney Transplant 70 32 $0.01 — $22,217.00 $120,082.50 $46,543.55 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 70 32 $0.01 — $22,993.00 $119,759.01 $46,541.92 2026-04-01
665 MS_DRG Prostatectomy With Mcc 70 32 $0.01 — $23,229.28 $124,540.00 $46,434.09 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 71 32 $0.01 — $23,546.00 $118,383.24 $46,270.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 70 32 $0.01 — $23,098.00 $117,163.63 $46,127.21 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 70 32 $0.01 — $22,910.00 $117,676.76 $46,042.37 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 70 32 $0.01 — $22,366.00 $118,498.50 $45,929.60 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 70 32 $0.01 — $20,726.00 $119,372.30 $45,611.72 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 70 32 $0.01 — $22,305.00 $117,498.28 $45,541.92 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 70 32 $0.01 — $22,465.00 $117,107.86 $45,485.56 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 71 32 $0.01 — $19,633.81 $120,283.29 $45,290.00 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 70 32 $0.01 — $19,831.00 $122,826.60 $45,247.07 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
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 70 32 $0.01 — $22,574.35 $118,559.00 $45,124.92 2026-04-01
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 68 40 $105,402.04 $42,160.82 60% off $614.00 $96,190.00 $45,028.00 2024-12-15
662 MS_DRG Minor Bladder Procedures With Mcc 70 32 $0.01 — $22,560.00 $113,835.75 $44,925.47 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 70 32 $0.01 — $21,342.00 $115,813.89 $44,889.06 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 70 32 $0.01 — $22,126.00 $115,609.38 $44,846.79 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 70 32 $0.01 — $20,323.00 $116,832.70 $44,679.43 2026-04-01
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 194 40 $84,899.50 $33,959.80 60% off $17,714.00 $89,388.00 $44,167.00 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 $44,054.00 2024-12-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 70 32 $0.01 — $22,151.62 $111,301.00 $43,929.95 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 17 6 — — $26,631.80 $71,000.94 $43,695.09 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 70 32 $0.01 — $20,698.00 $112,311.25 $43,531.45 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 70 32 $0.01 — $20,762.00 $112,296.38 $43,525.68 2026-04-01
570 MS_DRG Skin Debridement With Mcc 70 32 $0.01 — $21,781.00 $109,358.92 $43,252.87 2026-04-01
263 MS_DRG Vein Ligation And Stripping 70 32 $0.01 — $19,445.00 $113,683.30 $43,095.28 2026-04-01
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
C1882 HCPCS Defibrillator Crdc Consulta Crt-d 3,383 40 $86,135.20 $34,454.08 60% off $5.00 $157,219.00 $42,574.00 2024-12-15
472 MS_DRG Cervical Spinal Fusion With Cc 70 32 $0.01 — $20,976.00 $109,544.84 $42,487.57 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
668 MS_DRG Transurethral Procedures With Mcc 70 32 $0.01 — $21,112.00 $108,574.36 $42,428.92 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 70 32 $0.01 — $21,231.00 $107,905.07 $42,413.53 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 71 32 $0.01 — $21,478.82 $108,312.00 $42,410.00 2026-04-01
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 42 24 $68,744.99 $27,498.00 60% off $15,674.00 $62,737.00 $42,072.00 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 42 24 $68,744.99 $27,498.00 60% off $15,674.00 $62,737.00 $42,072.00 2024-12-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 70 32 $0.01 — $21,101.00 $106,722.65 $42,047.49 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 70 32 $0.01 — $19,173.00 $109,470.47 $41,997.18 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
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 70 32 $0.01 — $20,344.00 $107,838.14 $41,797.68 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 64 32 $0.01 — $30,043.00 $155,038.24 $41,772.36 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 71 32 $0.01 — $21,288.00 $108,288.05 $41,768.00 2026-04-01
33240 CPT Hc Insj Implntbl Defib Pulse Gen W/1 Existing Ld 109 40 $83,458.55 $33,383.42 60% off $14,380.00 $76,164.00 $41,729.00 2024-12-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 70 32 $0.01 — $19,761.00 $107,362.19 $41,613.21 2026-04-01
800 MS_DRG Splenic Procedures With Cc 70 32 $0.01 — $20,908.73 $105,686.00 $41,588.72 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 17 6 — — $25,337.51 $67,550.36 $41,571.55 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 70 32 $0.01 — $18,325.00 $112,173.67 $41,546.15 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 70 32 $0.01 — $19,216.00 $107,153.97 $41,532.50 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 71 32 $0.01 — $9,337.95 $105,990.14 $41,359.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 70 32 $0.01 — $20,442.00 $104,086.37 $40,862.10 2026-04-01
791 MS_DRG Prematurity With Major Problems 64 32 $0.01 — $29,256.00 $150,925.80 $40,669.01 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 72 32 $0.01 — $20,249.34 $103,256.00 $40,453.67 2026-04-01
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 138 40 $136,680.00 $54,672.00 60% off $10,912.00 $123,012.00 $40,332.50 2024-12-15
503 MS_DRG Foot Procedures With Mcc 70 32 $0.01 — $19,192.00 $103,781.47 $40,225.33 2026-04-01
4404 APR_DRG Kidney Transplant 9 6 $0.01 — $37,839.00 $45,407.00 $40,110.00 2024-12-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 72 32 $0.01 — $18,491.00 $103,067.56 $39,948.62 2026-04-01
8634 APR_DRG Neonatal Aftercare 9 6 $0.01 — $37,397.00 $44,877.00 $39,641.00 2024-12-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 70 32 $0.01 — $19,691.00 $101,650.89 $39,626.87 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 70 32 $0.01 — $19,457.00 $102,204.91 $39,614.26 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 70 32 $0.01 — $19,796.84 $103,873.00 $39,572.82 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 70 32 $0.01 — $19,797.00 $100,624.63 $39,526.57 2026-04-01
68382-395-01 NDC Ribavirin 6 G In Solr 42 24 $64,187.46 $25,674.99 60% off $14,635.00 $58,577.00 $39,283.00 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 42 24 $64,187.46 $25,674.99 60% off $14,635.00 $58,577.00 $39,283.00 2024-12-15
849 MS_DRG Radiotherapy 70 32 $0.01 — $19,366.00 $100,747.34 $39,122.12 2026-04-01
63 APR_DRG Pancreas Transplant 9 6 $0.01 — $36,709.00 $44,050.00 $38,911.00 2024-12-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 70 32 $0.01 — $18,978.00 $100,297.42 $38,874.93 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 6 $0.01 — $36,564.00 $43,877.00 $38,758.00 2024-12-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 70 32 $0.01 — $19,307.00 $98,560.98 $38,625.73 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 6 $0.01 — $36,393.00 $43,672.00 $38,577.00 2024-12-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 70 32 $0.01 — $19,240.00 $98,066.44 $38,459.30 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 71 32 $0.01 — $19,596.00 $102,517.25 $38,453.27 2026-04-01
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