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

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Hospital

AdventHealth Palm Coast

Palm Coast, FL · CCN 100118 · Rates published

15,374 distinct procedures filed
40 distinct payers
1,391,889 rate rows
2024-12-15 last MRF observed · ⚠ 19 mo old
Data quality

1,383,433 of 1,391,889 rate rows are consumer-grade (99.4%)

8,456 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 6,107
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,969
template filing: same amount across many unrelated codes — excluded 226
per-diem day rate — not a per-procedure price 154

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.adventhealth.com/sites/default/files/CDM/2025/592951990_AdventHealth-Palm-Coast_standardcharges.json
Found on page https://www.adventhealth.com/pricelist
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 75ee0fb63e4269b5… · 3,362,414,558 bytes · first seen 2026-05-08

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
$625,184
1.6× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 36 $392,346.00 $1,570,418.00 $963,658.00 nat. median
$673,137
1.4× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 36 $343,710.00 $1,387,149.00 $844,201.00 nat. median
$753,246
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $268,885.00 $1,367,881.00 $535,597.00 nat. median
$370,174
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $200,922.00 $1,021,692.00 $400,046.00 nat. median
$265,286
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $169,268.00 $860,450.00 $336,911.00 nat. median
$206,474
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $152,953.00 $777,346.00 $304,372.00 nat. median
$202,976
1.5× median
5834
APR_DRG 		Neonate With Ecmo 6 $205,319.00 $246,383.00 $217,638.00 nat. median
$309,665
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $100,961.00 $512,509.00 $200,674.00 nat. median
$133,161
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $93,639.00 $475,215.00 $186,072.00 nat. median
$117,357
1.6× median
7
MS_DRG 		Lung Transplant 21 $93,404.00 $474,018.00 $185,603.00 nat. median
$122,708
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $78,814.00 $399,696.00 $156,502.00 nat. median
$108,660
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $77,918.00 $395,133.00 $154,715.00 nat. median
$102,358
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $76,177.00 $386,264.00 $151,243.00 nat. median
$100,136
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 21 $75,788.00 $384,284.00 $150,467.00 nat. median
$99,019
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $74,938.00 $379,953.00 $148,772.00 nat. median
$98,894
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $133,948.00 $160,737.00 $141,985.00 nat. median
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 6 $133,012.00 $159,615.00 $140,993.00 nat. median
$244,017
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $69,068.00 $350,055.00 $137,065.00 nat. median
$93,672
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 21 $65,941.00 $334,125.00 $130,827.00 nat. median
$83,470
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $118,623.00 $142,347.00 $125,740.00 nat. median
$234,729
0.5× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 36 $10.00 $221,630.00 $121,428.00 nat. median
$1,033
outlier · 117.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $60,686.00 $307,357.00 $120,346.00 nat. median
$79,312
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $60,652.00 $307,186.00 $120,280.00 nat. median
$81,118
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 $59,737.00 $302,522.00 $118,453.00 nat. median
$82,711
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 $57,747.00 $292,384.00 $114,484.00 nat. median
$77,570
1.5× median
10
MS_DRG 		Pancreas Transplant 21 $57,119.00 $289,189.00 $113,233.00 nat. median
$68,884
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 $56,794.00 $287,531.00 $112,584.00 nat. median
$71,271
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 $56,004.00 $283,509.00 $111,009.00 nat. median
$73,807
1.5× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $104,305.00 $125,166.00 $110,564.00 nat. median
$117,173
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $55,442.00 $280,647.00 $109,888.00 nat. median
$74,915
1.5× median
5832
APR_DRG 		Neonate With Ecmo 6 $102,129.00 $122,555.00 $108,257.00 nat. median
$156,126
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $101,659.00 $121,991.00 $107,759.00 nat. median
$207,730
0.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 $53,496.00 $270,734.00 $106,007.00 nat. median
$72,135
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $97,710.00 $117,252.00 $103,573.00 nat. median
$150,721
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $96,372.00 $115,646.00 $102,154.00 nat. median
$160,267
0.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $50,922.00 $257,622.00 $100,873.00 nat. median
$68,090
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 $50,668.00 $256,327.00 $100,366.00 nat. median
$68,886
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 21 $49,881.00 $252,319.00 $98,796.00 nat. median
$66,526
1.5× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 21 $48,968.00 $247,669.00 $96,976.00 nat. median
$64,732
1.5× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 $48,088.00 $243,186.00 $95,220.00 nat. median
$63,724
1.5× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 $47,904.00 $242,250.00 $94,854.00 nat. median
$64,023
1.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 $47,824.00 $241,841.00 $94,693.00 nat. median
$65,950
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $88,071.00 $105,685.00 $93,355.00 nat. median
$162,982
0.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $87,116.00 $104,539.00 $92,343.00 nat. median
$182,665
0.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 21 $46,397.00 $234,572.00 $91,847.00 nat. median
$62,134
1.5× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $46,331.00 $234,234.00 $91,715.00 nat. median
$64,508
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $86,464.00 $103,757.00 $91,652.00 nat. median
$122,924
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $85,092.00 $102,110.00 $90,197.00 nat. median
$164,289
0.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 21 $45,379.00 $229,389.00 $89,818.00 nat. median
$60,185
1.5× median

Other procedures at this hospital

Browse this hospital's 15,374 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 35 21 $0.01 — $268,885.00 $1,367,881.00 $535,597.00 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 35 21 $0.01 — $200,922.00 $1,021,692.00 $400,046.00 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 21 $0.01 — $169,268.00 $860,450.00 $336,911.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 21 $0.01 — $152,953.00 $777,346.00 $304,372.00 2024-12-15
5834 APR_DRG Neonate With Ecmo 9 6 $0.01 — $205,319.00 $246,383.00 $217,638.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 21 $0.01 — $100,961.00 $512,509.00 $200,674.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 35 21 $0.01 — $93,639.00 $475,215.00 $186,072.00 2024-12-15
7 MS_DRG Lung Transplant 35 21 $0.01 — $93,404.00 $474,018.00 $185,603.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 35 21 $0.01 — $78,814.00 $399,696.00 $156,502.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 35 21 $0.01 — $77,918.00 $395,133.00 $154,715.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 35 21 $0.01 — $76,177.00 $386,264.00 $151,243.00 2024-12-15
215 MS_DRG Other Heart Assist System Implant 35 21 $0.01 — $75,788.00 $384,284.00 $150,467.00 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 21 $0.01 — $74,938.00 $379,953.00 $148,772.00 2024-12-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $133,948.00 $160,737.00 $141,985.00 2024-12-15
5833 APR_DRG Neonate With Ecmo 9 6 $0.01 — $133,012.00 $159,615.00 $140,993.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 21 $0.01 — $69,068.00 $350,055.00 $137,065.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 35 21 $0.01 — $65,941.00 $334,125.00 $130,827.00 2024-12-15
24 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $118,623.00 $142,347.00 $125,740.00 2024-12-15
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 21 $0.01 — $60,686.00 $307,357.00 $120,346.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 21 $0.01 — $60,652.00 $307,186.00 $120,280.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 35 21 $0.01 — $59,737.00 $302,522.00 $118,453.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 21 $0.01 — $57,747.00 $292,384.00 $114,484.00 2024-12-15
10 MS_DRG Pancreas Transplant 35 21 $0.01 — $57,119.00 $289,189.00 $113,233.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 35 21 $0.01 — $56,794.00 $287,531.00 $112,584.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 21 $0.01 — $56,004.00 $283,509.00 $111,009.00 2024-12-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 6 $0.01 — $104,305.00 $125,166.00 $110,564.00 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 21 $0.01 — $55,442.00 $280,647.00 $109,888.00 2024-12-15
5832 APR_DRG Neonate With Ecmo 9 6 $0.01 — $102,129.00 $122,555.00 $108,257.00 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $101,659.00 $121,991.00 $107,759.00 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 21 $0.01 — $53,496.00 $270,734.00 $106,007.00 2024-12-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 6 $0.01 — $97,710.00 $117,252.00 $103,573.00 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 6 $0.01 — $96,372.00 $115,646.00 $102,154.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 21 $0.01 — $50,922.00 $257,622.00 $100,873.00 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 21 $0.01 — $50,668.00 $256,327.00 $100,366.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 21 $0.01 — $49,881.00 $252,319.00 $98,796.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 35 21 $0.01 — $48,968.00 $247,669.00 $96,976.00 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 35 21 $0.01 — $48,088.00 $243,186.00 $95,220.00 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 35 21 $0.01 — $47,904.00 $242,250.00 $94,854.00 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 21 $0.01 — $47,824.00 $241,841.00 $94,693.00 2024-12-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 6 $0.01 — $88,071.00 $105,685.00 $93,355.00 2024-12-15
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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 21 $0.01 — $46,397.00 $234,572.00 $91,847.00 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 21 $0.01 — $46,331.00 $234,234.00 $91,715.00 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 6 $0.01 — $86,464.00 $103,757.00 $91,652.00 2024-12-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 $0.01 — $85,092.00 $102,110.00 $90,197.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 35 21 $0.01 — $45,379.00 $229,389.00 $89,818.00 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 35 21 $0.01 — $44,455.00 $224,677.00 $87,973.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 35 21 $0.01 — $44,398.00 $224,387.00 $87,859.00 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 21 $0.01 — $44,197.00 $223,364.00 $87,459.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 35 21 $0.01 — $44,044.00 $222,584.00 $87,153.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 21 $0.01 — $43,844.00 $221,569.00 $86,756.00 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 35 21 $0.01 — $43,636.00 $220,510.00 $86,341.00 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 35 21 $0.01 — $43,326.00 $218,928.00 $85,722.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 35 21 $0.01 — $43,326.00 $218,928.00 $85,722.00 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $80,769.00 $96,923.00 $85,616.00 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 6 $0.01 — $80,365.00 $96,438.00 $85,187.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 21 $0.01 — $43,005.00 $217,292.00 $85,081.00 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 21 $0.01 — $42,709.00 $215,787.00 $84,492.00 2024-12-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 $0.01 — $78,902.00 $94,682.00 $83,636.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 21 $0.01 — $42,246.00 $213,426.00 $83,567.00 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 21 $0.01 — $41,805.00 $211,181.00 $82,688.00 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 21 $0.01 — $41,215.00 $208,174.00 $81,511.00 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $76,443.00 $91,731.00 $81,029.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 21 $0.01 — $40,970.00 $206,930.00 $81,024.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 35 21 $0.01 — $40,041.00 $202,196.00 $79,170.00 2024-12-15
5831 APR_DRG Neonate With Ecmo 9 6 $0.01 — $74,234.00 $89,081.00 $78,688.00 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 21 $0.01 — $39,704.00 $200,481.00 $78,499.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 35 21 $0.01 — $39,704.00 $200,481.00 $78,499.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 21 $0.01 — $39,539.00 $199,639.00 $78,169.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 35 21 $0.01 — $39,300.00 $198,421.00 $77,692.00 2024-12-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 6 $0.01 — $72,982.00 $87,578.00 $77,361.00 2024-12-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 35 21 $0.01 — $39,091.00 $197,354.00 $77,275.00 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 35 21 $0.01 — $39,002.00 $196,904.00 $77,098.00 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 21 $0.01 — $38,805.00 $195,900.00 $76,705.00 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 21 $0.01 — $38,769.00 $195,715.00 $76,633.00 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 35 21 $0.01 — $38,764.00 $195,693.00 $76,624.00 2024-12-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 6 $0.01 — $71,830.00 $86,196.00 $76,140.00 2024-12-15
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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 21 $0.01 — $38,230.00 $192,969.00 $75,557.00 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 21 $0.01 — $38,062.00 $192,117.00 $75,224.00 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
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 35 21 $0.01 — $37,018.00 $186,799.00 $73,142.00 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $68,785.00 $82,542.00 $72,912.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 21 $0.01 — $36,897.00 $186,179.00 $72,899.00 2024-12-15
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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 21 $0.01 — $36,623.00 $184,786.00 $72,354.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 21 $0.01 — $36,512.00 $184,220.00 $72,132.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 21 $0.01 — $36,212.00 $182,693.00 $71,534.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 35 21 $0.01 — $36,001.00 $181,616.00 $71,112.00 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 35 21 $0.01 — $35,973.00 $181,475.00 $71,057.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 21 $0.01 — $35,959.00 $181,402.00 $71,028.00 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 35 21 $0.01 — $35,831.00 $180,749.00 $70,773.00 2024-12-15
23 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $66,606.00 $79,927.00 $70,602.00 2024-12-15
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
245 MS_DRG Aicd Generator Procedures 35 21 $0.01 — $35,144.00 $177,249.00 $69,402.00 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
471 MS_DRG Cervical Spinal Fusion With Mcc 35 21 $0.01 — $34,934.00 $176,179.00 $68,983.00 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 35 21 $0.01 — $34,876.00 $175,885.00 $68,868.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 21 $0.01 — $34,351.00 $173,212.00 $67,822.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 35 21 $0.01 — $34,204.00 $172,461.00 $67,528.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 21 $0.01 — $34,197.00 $172,429.00 $67,515.00 2024-12-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 $0.01 — $63,159.00 $75,790.00 $66,948.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 21 $0.01 — $33,847.00 $170,644.00 $66,816.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 21 $0.01 — $33,667.00 $169,730.00 $66,458.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 35 21 $0.01 — $33,471.00 $168,729.00 $66,066.00 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 35 21 $0.01 — $33,167.00 $167,180.00 $65,460.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 35 21 $0.01 — $33,153.00 $167,111.00 $65,433.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 21 $0.01 — $33,049.00 $166,578.00 $65,224.00 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 21 $0.01 — $33,044.00 $166,553.00 $65,214.00 2024-12-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 6 $0.01 — $60,831.00 $72,997.00 $64,481.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 21 $0.01 — $32,472.00 $163,640.00 $64,074.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 35 21 $0.01 — $32,280.00 $162,665.00 $63,692.00 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 35 21 $0.01 — $32,192.00 $162,215.00 $63,516.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 35 21 $0.01 — $31,894.00 $160,699.00 $62,922.00 2024-12-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 6 $0.01 — $59,311.00 $71,174.00 $62,870.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 35 21 $0.01 — $31,626.00 $159,331.00 $62,387.00 2024-12-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $58,591.00 $70,309.00 $62,106.00 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 35 21 $0.01 — $31,157.00 $156,941.00 $61,451.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 21 $0.01 — $31,093.00 $156,618.00 $61,324.00 2024-12-15
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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 21 $0.01 — $30,721.00 $154,721.00 $60,581.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 35 21 $0.01 — $30,676.00 $154,493.00 $60,492.00 2024-12-15
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
140 MS_DRG Major Head And Neck Procedures With Mcc 35 21 $0.01 — $30,461.00 $153,397.00 $60,063.00 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 21 $0.01 — $30,186.00 $151,997.00 $59,515.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 21 $0.01 — $30,179.00 $151,961.00 $59,501.00 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 21 $0.01 — $29,973.00 $150,913.00 $59,090.00 2024-12-15
1612 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $55,215.00 $66,258.00 $58,528.00 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 21 $0.01 — $29,627.00 $149,150.00 $58,400.00 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 35 21 $0.01 — $29,611.00 $149,067.00 $58,367.00 2024-12-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 35 21 $0.01 — $29,567.00 $148,845.00 $58,281.00 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
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 35 21 $0.01 — $29,424.00 $148,113.00 $57,994.00 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 35 21 $0.01 — $29,309.00 $147,529.00 $57,765.00 2024-12-15
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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 21 $0.01 — $28,713.00 $144,493.00 $56,577.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 35 21 $0.01 — $28,693.00 $144,391.00 $56,537.00 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 35 21 $0.01 — $28,442.00 $143,114.00 $56,037.00 2024-12-15
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
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 35 21 $0.01 — $28,385.00 $142,821.00 $55,922.00 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 35 21 $0.01 — $28,328.00 $142,531.00 $55,808.00 2024-12-15
1611 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $52,607.00 $63,128.00 $55,763.00 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 35 21 $0.01 — $28,204.00 $141,899.00 $55,561.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 21 $0.01 — $28,190.00 $141,830.00 $55,534.00 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 6 $0.01 — $52,325.00 $62,790.00 $55,465.00 2024-12-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 6 $0.01 — $52,231.00 $62,678.00 $55,365.00 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 35 21 $0.01 — $28,036.00 $141,047.00 $55,227.00 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 21 $0.01 — $27,868.00 $140,187.00 $54,891.00 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 35 21 $0.01 — $27,840.00 $140,046.00 $54,835.00 2024-12-15
64 APR_DRG Pancreas Transplant 9 6 $0.01 — $51,673.00 $62,007.00 $54,773.00 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 21 $0.01 — $27,763.00 $139,654.00 $54,682.00 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 35 21 $0.01 — $27,564.00 $138,642.00 $54,286.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 21 $0.01 — $27,417.00 $137,891.00 $53,992.00 2024-12-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 6 $0.01 — $50,782.00 $60,938.00 $53,829.00 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 35 21 $0.01 — $27,206.00 $136,818.00 $53,571.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 35 21 $0.01 — $26,992.00 $135,726.00 $53,144.00 2024-12-15
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
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
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
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 35 21 $0.01 — $26,328.00 $132,342.00 $51,819.00 2024-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 21 $0.01 — $26,147.00 $131,424.00 $51,460.00 2024-12-15
22 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $48,472.00 $58,167.00 $51,381.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 35 21 $0.01 — $25,873.00 $130,024.00 $50,911.00 2024-12-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 21 $0.01 — $25,871.00 $130,017.00 $50,908.00 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 35 21 $0.01 — $25,867.00 $129,995.00 $50,900.00 2024-12-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 $0.01 — $47,894.00 $57,473.00 $50,768.00 2024-12-15
265 MS_DRG Aicd Lead Procedures 35 21 $0.01 — $25,747.00 $129,386.00 $50,661.00 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 21 $0.01 — $25,633.00 $128,806.00 $50,434.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 21 $0.01 — $25,485.00 $128,051.00 $50,139.00 2024-12-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 35 21 $0.01 — $25,479.00 $128,018.00 $50,126.00 2024-12-15
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
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 35 21 $0.01 — $25,415.00 $127,696.00 $50,000.00 2024-12-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 35 21 $0.01 — $25,296.00 $127,086.00 $49,761.00 2024-12-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 21 $0.01 — $25,288.00 $127,046.00 $49,745.00 2024-12-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 35 21 $0.01 — $25,278.00 $126,996.00 $49,725.00 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 35 21 $0.01 — $25,234.00 $126,771.00 $49,637.00 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 $49,456.00 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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 35 21 $0.01 — $25,073.00 $125,951.00 $49,316.00 2024-12-15
332 MS_DRG Rectal Resection With Mcc 35 21 $0.01 — $25,046.00 $125,813.00 $49,262.00 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 35 21 $0.01 — $25,019.00 $125,675.00 $49,209.00 2024-12-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 35 21 $0.01 — $24,873.00 $124,932.00 $48,917.00 2024-12-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 21 $0.01 — $24,834.00 $124,736.00 $48,841.00 2024-12-15
665 MS_DRG Prostatectomy With Mcc 35 21 $0.01 — $24,796.00 $124,540.00 $48,764.00 2024-12-15
252 MS_DRG Other Vascular Procedures With Mcc 35 21 $0.01 — $24,773.00 $124,424.00 $48,719.00 2024-12-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 35 21 $0.01 — $24,736.00 $124,235.00 $48,645.00 2024-12-15
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 35 21 $0.01 — $24,601.00 $123,546.00 $48,375.00 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 21 $0.01 — $24,500.00 $123,031.00 $48,173.00 2024-12-15
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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 35 21 $0.01 — $24,248.00 $121,751.00 $47,672.00 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
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
21 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $44,578.00 $53,493.00 $47,252.00 2024-12-15
37 MS_DRG Extracranial Procedures With Mcc 35 21 $0.01 — $23,993.00 $120,452.00 $47,163.00 2024-12-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 35 21 $0.01 — $23,858.00 $119,763.00 $46,894.00 2024-12-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 35 21 $0.01 — $23,622.00 $118,559.00 $46,422.00 2024-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 35 21 $0.01 — $23,555.00 $118,222.00 $46,290.00 2024-12-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 35 21 $0.01 — $23,546.00 $118,171.00 $46,270.00 2024-12-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 35 21 $0.01 — $23,270.00 $116,767.00 $45,720.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 21 $0.01 — $42,677.00 $215,624.00 $45,640.00 2024-12-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 35 21 $0.01 — $23,164.00 $116,227.00 $45,509.00 2024-12-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 35 21 $0.01 — $23,098.00 $115,889.00 $45,377.00 2024-12-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 35 21 $0.01 — $23,054.00 $115,668.00 $45,290.00 2024-12-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 35 21 $0.01 — $22,993.00 $115,356.00 $45,168.00 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 $45,155.00 2024-12-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 35 21 $0.01 — $22,947.00 $115,124.00 $45,077.00 2024-12-15
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
500 MS_DRG Soft Tissue Procedures With Mcc 35 21 $0.01 — $22,910.00 $114,932.00 $45,002.00 2024-12-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 35 21 $0.01 — $22,570.00 $113,202.00 $44,324.00 2024-12-15
662 MS_DRG Minor Bladder Procedures With Mcc 35 21 $0.01 — $22,560.00 $113,151.00 $44,305.00 2024-12-15
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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 35 21 $0.01 — $22,465.00 $112,669.00 $44,116.00 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
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 21 $0.01 — $22,366.00 $112,164.00 $43,918.00 2024-12-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 35 21 $0.01 — $22,321.00 $111,932.00 $43,827.00 2024-12-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 35 21 $0.01 — $22,305.00 $111,853.00 $43,796.00 2024-12-15
652 MS_DRG Kidney Transplant 35 21 $0.01 — $22,217.00 $111,403.00 $43,620.00 2024-12-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 35 21 $0.01 — $22,197.00 $111,301.00 $43,580.00 2024-12-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 35 21 $0.01 — $22,126.00 $110,938.00 $43,438.00 2024-12-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 6 $0.01 — $40,490.00 $48,589.00 $42,920.00 2024-12-15
570 MS_DRG Skin Debridement With Mcc 35 21 $0.01 — $21,781.00 $109,183.00 $42,751.00 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
84 APR_DRG Autologous Bone Marrow Transplant 9 6 $0.01 — $40,033.00 $48,039.00 $42,435.00 2024-12-15
974 MS_DRG HIV With Major Related Condition With Mcc 35 21 $0.01 — $21,610.00 $108,312.00 $42,410.00 2024-12-15
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
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 21 $0.01 — $21,342.00 $106,949.00 $41,876.00 2024-12-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $39,475.00 $47,370.00 $41,843.00 2024-12-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 35 21 $0.01 — $21,288.00 $106,673.00 $41,768.00 2024-12-15
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
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 35 21 $0.01 — $21,231.00 $106,383.00 $41,654.00 2024-12-15
668 MS_DRG Transurethral Procedures With Mcc 35 21 $0.01 — $21,112.00 $105,777.00 $41,417.00 2024-12-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 35 21 $0.01 — $21,101.00 $105,719.00 $41,395.00 2024-12-15
800 MS_DRG Splenic Procedures With Cc 35 21 $0.01 — $21,095.00 $105,686.00 $41,382.00 2024-12-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 35 21 $0.01 — $21,083.00 $105,628.00 $41,359.00 2024-12-15
472 MS_DRG Cervical Spinal Fusion With Cc 35 21 $0.01 — $20,976.00 $105,084.00 $41,146.00 2024-12-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 35 21 $0.01 — $20,762.00 $103,993.00 $40,719.00 2024-12-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 35 21 $0.01 — $20,739.00 $103,873.00 $40,672.00 2024-12-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 35 21 $0.01 — $20,726.00 $103,811.00 $40,648.00 2024-12-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 35 21 $0.01 — $20,698.00 $103,666.00 $40,591.00 2024-12-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 35 21 $0.01 — $20,618.00 $103,256.00 $40,430.00 2024-12-15
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
4404 APR_DRG Kidney Transplant 9 6 $0.01 — $37,839.00 $45,407.00 $40,110.00 2024-12-15
654 MS_DRG Major Bladder Procedures With Cc 35 21 $0.01 — $20,442.00 $102,360.00 $40,079.00 2024-12-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 35 21 $0.01 — $20,344.00 $101,863.00 $39,885.00 2024-12-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 35 21 $0.01 — $20,323.00 $101,758.00 $39,844.00 2024-12-15
8634 APR_DRG Neonatal Aftercare 9 6 $0.01 — $37,397.00 $44,877.00 $39,641.00 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
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
63 APR_DRG Pancreas Transplant 9 6 $0.01 — $36,709.00 $44,050.00 $38,911.00 2024-12-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 35 21 $0.01 — $19,831.00 $99,252.00 $38,862.00 2024-12-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 35 21 $0.01 — $19,797.00 $99,074.00 $38,793.00 2024-12-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 6 $0.01 — $36,564.00 $43,877.00 $38,758.00 2024-12-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 35 21 $0.01 — $19,761.00 $98,893.00 $38,722.00 2024-12-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 35 21 $0.01 — $19,691.00 $98,537.00 $38,583.00 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 $38,577.00 2024-12-15
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 59 36 $76,839.34 $30,735.74 60% off $69.00 $70,124.00 $38,420.00 2024-12-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 35 21 $0.01 — $19,596.00 $98,055.00 $38,394.00 2024-12-15
34708 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft Rpt 107 40 $62,489.49 $24,995.80 60% off $9,941.00 $114,056.00 $38,344.00 2024-12-15
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 110 40 $69,725.12 $27,890.05 60% off $9,361.00 $63,631.00 $38,297.00 2024-12-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 35 21 $0.01 — $19,533.00 $97,732.00 $38,267.00 2024-12-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 35 21 $0.01 — $19,457.00 $97,344.00 $38,115.00 2024-12-15
263 MS_DRG Vein Ligation And Stripping 35 21 $0.01 — $19,445.00 $97,282.00 $38,091.00 2024-12-15
35371 CPT Hc Thromboendartectmy Femoral Common 90 29 $58,423.66 $23,369.46 60% off $2,603.00 $106,635.00 $37,975.00 2024-12-15
35355 CPT Hc Thromboendarterectomy With Without Patch Graft Iliofemoral 90 29 $58,423.68 $23,369.47 60% off $2,603.00 $106,635.00 $37,975.00 2024-12-15
849 MS_DRG Radiotherapy 35 21 $0.01 — $19,366.00 $96,883.00 $37,935.00 2024-12-15
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 42 24 $61,898.41 $24,759.36 60% off $14,113.00 $56,488.00 $37,882.00 2024-12-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 35 21 $0.01 — $19,307.00 $96,582.00 $37,817.00 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 42 24 $61,740.44 $24,696.18 60% off $14,077.00 $56,344.00 $37,785.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 42 24 $61,740.44 $24,696.18 60% off $14,077.00 $56,344.00 $37,785.00 2024-12-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 35 21 $0.01 — $19,240.00 $96,238.00 $37,682.00 2024-12-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 35 21 $0.01 — $19,216.00 $96,118.00 $37,635.00 2024-12-15
503 MS_DRG Foot Procedures With Mcc 35 21 $0.01 — $19,192.00 $95,995.00 $37,587.00 2024-12-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 35 21 $0.01 — $19,173.00 $95,897.00 $37,549.00 2024-12-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 35 21 $0.01 — $19,026.00 $95,150.00 $37,256.00 2024-12-15
37230 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent Initial 106 40 $60,297.57 $24,119.03 60% off $7,047.00 $110,055.00 $37,191.50 2024-12-15
37229 CPT Hc Revascularize Tibial/peron Artery,angioplasty/atherectomy Initial 106 40 $60,297.57 $24,119.03 60% off $7,047.00 $110,055.00 $37,191.50 2024-12-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 35 21 $0.01 — $18,978.00 $94,903.00 $37,160.00 2024-12-15
37235 CPT Hc Ccl Tib/per Revasc Stnt And Arthrectomy Addl 107 40 $60,297.57 $24,119.03 60% off $7,047.00 $110,055.00 $36,999.00 2024-12-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 35 21 $0.01 — $18,779.00 $93,891.00 $36,763.00 2024-12-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 6 $0.01 — $34,634.00 $41,561.00 $36,712.00 2024-12-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 35 21 $0.01 — $18,748.00 $93,735.00 $36,702.00 2024-12-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 35 21 $0.01 — $18,531.00 $92,629.00 $36,269.00 2024-12-15
253 MS_DRG Other Vascular Procedures With Cc 35 21 $0.01 — $18,525.00 $92,600.00 $36,258.00 2024-12-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 35 21 $0.01 — $18,491.00 $92,426.00 $36,190.00 2024-12-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 35 21 $0.01 — $18,398.00 $91,951.00 $36,003.00 2024-12-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 6 $0.01 — $33,958.00 $40,749.00 $35,995.00 2024-12-15
545 MS_DRG Connective Tissue Disorders With Mcc 35 21 $0.01 — $18,340.00 $91,653.00 $35,887.00 2024-12-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 35 21 $0.01 — $18,325.00 $91,581.00 $35,859.00 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 $35,752.00 2024-12-15
164 MS_DRG Major Chest Procedures With Cc 35 21 $0.01 — $18,269.00 $91,294.00 $35,746.00 2024-12-15
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