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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 HEART OF FLORIDA

Davenport, FL · CCN 100137 · Rates published

22,104 distinct procedures filed
59 distinct payers
1,166,031 rate rows
2026-04-01 last MRF observed
Data quality

1,137,015 of 1,166,031 rate rows are consumer-grade (97.5%)

29,016 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 23,362
exceeds 10× this hospital's gross charge — excluded from medians 4,752
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 529
per-diem day rate — not a per-procedure price 228
template filing: same amount across many unrelated codes — excluded 145
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://HospitalPriceDisclosure.com/download.aspx?pi=URt8djdtH*__*GTsWWQK*__*ofUg*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-03
Content fingerprint a13ae0ead4ecd67f… · 24,061,509 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 34 $282,404.00 $2,008,734.31 $621,909.50 nat. median
$168,055
outlier · 3.7×
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 29 $24,610.00 $4,980,487.00 $560,094.00 nat. median
$621,313
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 29 $24,610.00 $4,680,626.00 $538,696.00 nat. median
$574,037
0.9× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 29 $24,610.00 $4,578,008.00 $531,138.00 nat. median
$579,571
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 34 $211,164.00 $1,303,587.76 $445,425.49 nat. median
$186,516
outlier · 2.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 $164,260.30 $1,076,446.00 $363,760.93 nat. median
$131,925
outlier · 2.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 $160,882.00 $987,332.63 $338,144.73 nat. median
$145,435
outlier · 2.3×
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 20 $129,370.00 $654,118.00 $285,632.00 —
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 20 $112,199.00 $567,297.00 $247,720.00 —
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 20 $112,199.00 $567,297.00 $247,720.00 —
68382-395-04
NDC 		Ribavirin 6 G In Solr 20 $104,760.00 $529,686.00 $231,296.00 —
68382-395-01
NDC 		Ribavirin 6 G In Solr 20 $104,760.00 $529,686.00 $231,296.00 —
59385-027-01
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 20 $100,766.00 $509,492.00 $222,478.00 —
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 20 $100,766.00 $509,492.00 $222,478.00 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 $106,383.00 $644,325.57 $221,828.98 nat. median
$97,418
outlier · 2.3×
5834
APR_DRG 		Neonate With Ecmo 8 $205,319.00 $246,383.00 $216,611.50 nat. median
$390,362
0.6× median
7
MS_DRG 		Lung Transplant 34 $98,462.00 $602,404.45 $206,254.41 nat. median
$70,649
outlier · 2.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 34 $93,041.61 $594,507.00 $203,346.12 nat. median
$72,715
outlier · 2.8×
209
MS_DRG 		Complex Aortic Arch Procedures 14 $87,706.65 $526,516.62 $194,287.20 nat. median
$2,110
outlier · 92.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $124,298.86 $412,205.74 $192,859.51 nat. median
$2,106
outlier · 91.6×
0187-0007-14
NDC 		Ribavirin 6 G In Solr 20 $80,346.00 $406,245.00 $177,394.00 —
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 $83,168.00 $527,121.34 $177,130.54 nat. median
$65,418
outlier · 2.7×
0781-5893-31
NDC 		Nevirapine ER 400 Mg Po Tb24 20 $78,773.00 $398,291.00 $173,920.00 —
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 34 $82,229.00 $505,830.51 $172,546.60 nat. median
$74,509
outlier · 2.3×
13925-522-01
NDC 		Pentamidine Isethionate 300 Mg In Solr 20 $77,830.00 $393,523.00 $171,838.00 —
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 $79,105.00 $512,673.16 $170,324.03 nat. median
$2,736
outlier · 62.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 34 $80,012.14 $483,227.00 $167,174.00 nat. median
$69,922
outlier · 2.4×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $107,399.13 $356,162.06 $166,638.24 nat. median
$2,024
outlier · 82.3×
215
MS_DRG 		Other Heart Assist System Implant 34 $72,764.85 $480,750.00 $162,058.00 nat. median
$73,023
outlier · 2.2×
58914-501-56
NDC 		Mesalamine 1000 Mg Re Supp 20 $73,139.00 $369,805.00 $161,482.00 nat. median
$47
outlier · 3424.1×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $99,440.21 $329,768.32 $154,289.35 nat. median
$2,024
outlier · 76.2×
24338-050-08
NDC 		Carmustine In Polifeprosan 7.7 Mg Il Wafr 20 $69,851.00 $353,180.00 $154,222.00 —
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 $72,952.00 $455,066.51 $154,026.69 nat. median
$69,822
outlier · 2.2×
C9089
HCPCS 		Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 38 $48,442.00 $251,789.00 $146,688.00 nat. median
$1
outlier · 118296.8×
850
MS_DRG 		Acute Leukemia With Other Procedures 34 $67,413.07 $417,999.00 $144,608.50 nat. median
$2,633
outlier · 54.9×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $93,031.27 $308,514.70 $144,345.38 nat. median
$2,106
outlier · 68.6×
47781-153-01
NDC 		Naproxen Sodium ER 375 Mg Po Tb24 20 $65,334.00 $330,343.00 $144,250.00 —
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $133,948.00 $160,737.00 $141,315.00 nat. median
$286,698
outlier · 0.5×
5833
APR_DRG 		Neonate With Ecmo 8 $133,012.00 $159,615.00 $140,328.00 nat. median
$268,208
0.5× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $89,785.42 $297,750.67 $139,309.18 nat. median
$2,024
outlier · 68.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 $63,171.00 $419,099.56 $137,410.60 nat. median
$2,596
outlier · 52.9×
63323-877-15
NDC 		Pentamidine Isethionate 300 Mg In Solr 20 $61,043.00 $308,646.00 $134,776.00 —
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 34 $64,166.00 $392,133.66 $133,993.51 nat. median
$60,505
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 $64,131.00 $390,900.96 $133,748.73 nat. median
$59,651
outlier · 2.2×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $85,793.34 $284,511.93 $133,115.15 nat. median
$2,106
outlier · 63.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 $61,085.00 $366,032.97 $126,543.50 nat. median
$56,428
outlier · 2.2×
24
APR_DRG 		Heart And/or Lung Transplant 8 $118,623.00 $142,347.00 $125,147.00 nat. median
$225,531
0.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 $59,258.00 $355,631.77 $122,702.00 nat. median
$55,935
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 34 $56,089.94 $361,783.00 $122,562.95 nat. median
$23,080
outlier · 5.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 $58,669.00 $357,171.48 $122,200.77 nat. median
$55,923
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 22,104 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0008-0423-01 NDC Antivenin Micrurus Fulvius IV Solr 31 20 $217,092.14 $86,836.85 60% off $38,642.00 $195,383.00 $85,317.00 2024-12-15
0008-0423-03 NDC Antivenin Micrurus Fulvius IV Solr 31 20 $217,092.14 $86,836.85 60% off $38,642.00 $195,383.00 $85,317.00 2024-12-15
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 31 20 $266,503.60 $106,601.44 60% off $47,438.00 $239,853.00 $104,736.00 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 31 20 $266,503.60 $106,601.44 60% off $47,438.00 $239,853.00 $104,736.00 2024-12-15
0085-1328-01 NDC Posaconazole 40 Mg/ml Po Susp Bulk 31 20 $120,460.08 $48,184.03 60% off $21,442.00 $108,414.00 $47,341.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 31 20 $451,383.58 $180,553.43 60% off $80,346.00 $406,245.00 $177,394.00 2024-12-15
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 31 20 $303,095.54 $121,238.21 60% off $53,951.00 $272,786.00 $119,117.00 2024-12-15
0310-0283-60 NDC Quetiapine Fumarate ER 300 Mg Po Tb24 31 20 $187,114.72 $74,845.89 60% off $33,306.00 $168,403.00 $73,536.00 2024-12-15
0591-2720-60 NDC Metformin Hcl ER (osm) 1000 Mg Po Tb24 31 20 $156,314.75 $62,525.90 60% off $27,824.00 $140,683.00 $61,432.00 2024-12-15
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 31 20 $442,545.56 $177,018.22 60% off $78,773.00 $398,291.00 $173,920.00 2024-12-15
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 31 20 $241,551.43 $96,620.57 60% off $42,996.00 $217,396.00 $94,930.00 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 31 20 $241,551.43 $96,620.57 60% off $42,996.00 $217,396.00 $94,930.00 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 68 34 $0.01 — $211,164.00 $1,303,587.76 $445,425.49 2026-04-01
10 MS_DRG Pancreas Transplant 68 34 $0.01 — $56,089.94 $361,783.00 $122,562.95 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 68 34 $0.01 — $41,192.00 $253,708.37 $85,995.34 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 $0.01 — $52,231.00 $62,678.00 $55,104.00 2024-12-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 $0.01 — $60,831.00 $72,997.00 $64,176.50 2024-12-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 $0.01 — $104,305.00 $125,166.00 $110,042.00 2024-12-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 68 34 $0.01 — $31,547.00 $196,115.67 $65,932.45 2026-04-01
13811-715-30 NDC Venlafaxine Hcl ER 225 Mg Po Tb24 31 20 $117,861.72 $47,144.69 60% off $20,979.00 $106,076.00 $46,320.00 2024-12-15
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 31 20 $437,248.06 $174,899.22 60% off $77,830.00 $393,523.00 $171,838.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 68 34 $0.01 — $93,041.61 $594,507.00 $203,346.12 2026-04-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 8 $0.01 — $71,830.00 $86,196.00 $75,780.50 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 68 34 $0.01 — $32,484.00 $198,408.96 $67,327.14 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 68 34 $0.01 — $25,562.00 $174,280.59 $54,868.50 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 68 34 $0.01 — $45,969.00 $275,831.85 $94,858.45 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 8 $0.01 — $59,311.00 $71,174.00 $62,573.50 2024-12-15
1611 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $52,607.00 $63,128.00 $55,500.00 2024-12-15
1612 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $55,215.00 $66,258.00 $58,252.00 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $68,785.00 $82,542.00 $72,568.00 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $101,659.00 $121,991.00 $107,250.50 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 72 34 $0.01 — $7,700.28 $209,147.00 $70,222.49 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 69 34 $0.01 — $29,655.00 $174,711.00 $58,894.00 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 68 34 $0.01 — $42,785.75 $273,885.00 $92,785.21 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 68 34 $0.01 — $23,821.00 $139,241.00 $48,170.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 68 34 $0.01 — $282,404.00 $2,008,734.31 $621,909.50 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 68 34 $0.01 — $55,776.29 $359,709.00 $121,860.71 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 68 34 $0.01 — $83,168.00 $527,121.34 $177,130.54 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 68 34 $0.01 — $61,085.00 $366,032.97 $126,543.50 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 68 34 $0.01 — $49,188.00 $299,322.94 $102,270.96 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 33 14 — — $87,706.65 $526,516.62 $194,287.20 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 68 34 $0.01 — $41,728.83 $250,807.00 $86,768.00 2026-04-01
21 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $44,578.00 $53,493.00 $47,029.50 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 68 34 $0.01 — $82,229.00 $505,830.51 $172,546.60 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 33 14 — — $44,881.27 $265,467.87 $97,958.94 2026-04-01
215 MS_DRG Other Heart Assist System Implant 69 34 $0.01 — $72,764.85 $480,750.00 $162,058.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 34 $0.01 — $72,952.00 $455,066.51 $154,026.69 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 34 $0.01 — $49,119.00 $305,863.23 $103,293.07 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 34 $0.01 — $45,322.00 $305,863.23 $98,494.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 68 34 $0.01 — $58,669.00 $357,171.48 $122,200.77 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 68 34 $0.01 — $25,578.21 $160,195.00 $54,270.54 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $48,472.00 $58,167.00 $51,138.50 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 68 34 $0.01 — $40,451.00 $248,065.86 $84,250.34 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 68 34 $0.01 — $35,196.00 $234,454.98 $76,137.50 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 16 6 — — $107,399.13 $356,162.06 $166,638.24 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 16 6 — — $73,202.70 $242,758.27 $113,579.79 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 16 6 — — $99,440.21 $329,768.32 $154,289.35 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 16 6 — — $70,944.36 $235,269.03 $110,075.78 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 16 6 — — $89,785.42 $297,750.67 $139,309.18 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 16 6 — — $70,425.36 $233,547.90 $109,270.51 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 68 34 $0.01 — $38,112.00 $230,138.21 $78,720.06 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 68 34 $0.01 — $24,102.00 $146,505.29 $49,581.05 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 68 34 $0.01 — $43,500.00 $266,556.37 $90,639.53 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $66,606.00 $79,927.00 $70,269.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 68 34 $0.01 — $64,166.00 $392,133.66 $133,993.51 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 68 34 $0.01 — $46,512.00 $282,013.96 $96,481.47 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 68 34 $0.01 — $59,258.00 $355,631.77 $122,702.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 68 34 $0.01 — $40,627.00 $254,108.42 $85,452.95 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 68 34 $0.01 — $44,836.00 $272,989.67 $93,160.68 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 68 34 $0.01 — $31,610.00 $194,850.41 $65,787.71 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 68 34 $0.01 — $38,512.00 $228,942.72 $79,069.00 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $118,623.00 $142,347.00 $125,147.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 68 34 $0.01 — $29,293.00 $181,969.85 $61,128.06 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 70 34 $0.01 — $22,814.06 $153,915.00 $50,855.42 2026-04-01
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 31 20 $392,422.48 $156,968.99 60% off $69,851.00 $353,180.00 $154,222.00 2024-12-15
245 MS_DRG Aicd Generator Procedures 68 34 $0.01 — $36,147.39 $221,743.00 $76,530.80 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 16 6 — — $42,016.48 $139,337.02 $65,191.89 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 16 6 — — $42,218.46 $140,006.87 $65,505.29 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 68 34 $0.01 — $34,298.00 $211,498.84 $71,479.90 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 71 35 $0.01 — $16,178.99 $162,265.25 $53,486.10 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 68 34 $0.01 — $21,857.00 $146,161.07 $46,689.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 68 34 $0.01 — $23,746.00 $144,630.66 $48,882.59 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 68 34 $0.01 — $26,153.60 $154,560.00 $53,470.50 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 68 34 $0.01 — $26,823.62 $158,594.00 $54,866.00 2026-04-01
265 MS_DRG Aicd Lead Procedures 68 34 $0.01 — $27,542.00 $168,307.81 $56,948.82 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 68 34 $0.01 — $45,632.00 $285,074.78 $96,045.90 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 68 34 $0.01 — $36,033.00 $221,458.13 $75,021.52 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 68 34 $0.01 — $50,684.00 $319,939.27 $107,342.26 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 68 34 $0.01 — $31,972.00 $196,450.59 $66,447.13 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 69 34 $0.01 — $39,230.00 $245,437.65 $82,641.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 71 34 $0.01 — $25,987.69 $165,428.41 $54,528.75 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 68 34 $0.01 — $30,103.00 $191,905.88 $63,667.15 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 68 34 $0.01 — $24,212.00 $153,120.01 $50,807.82 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 68 34 $0.01 — $53,665.00 $331,684.82 $112,528.01 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 68 34 $0.01 — $47,152.00 $281,077.00 $97,240.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 68 34 $0.01 — $35,639.00 $214,838.76 $73,486.15 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 68 34 $0.01 — $38,261.00 $258,922.93 $82,905.50 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 68 34 $0.01 — $24,834.00 $167,758.91 $53,262.50 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 68 34 $0.01 — $46,294.00 $279,488.09 $95,822.76 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 68 34 $0.01 — $25,971.00 $158,697.40 $53,642.21 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 68 34 $0.01 — $160,882.00 $987,332.63 $338,144.73 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 68 34 $0.01 — $32,195.00 $208,419.42 $68,685.26 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 68 34 $0.01 — $47,092.00 $311,035.92 $101,950.55 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 68 34 $0.01 — $33,705.00 $207,600.72 $70,186.01 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 75 34 $0.01 — $19,542.56 $129,176.00 $46,651.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 68 34 $0.01 — $32,709.00 $201,297.67 $68,054.70 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 68 34 $0.01 — $24,765.00 $146,575.07 $50,307.76 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 68 34 $0.01 — $22,280.00 $149,338.18 $47,621.50 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 70 34 $0.01 — $24,787.76 $231,998.89 $79,802.68 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 71 34 $0.01 — $32,856.24 $213,815.39 $71,732.98 2026-04-01
332 MS_DRG Rectal Resection With Mcc 68 34 $0.01 — $26,807.00 $168,424.10 $56,175.32 2026-04-01
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 90 38 $158,054.66 $63,221.86 60% off $14,380.00 $142,249.00 $46,805.00 2024-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 68 34 $0.01 — $27,962.00 $166,107.56 $57,032.24 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 16 6 — — $37,262.73 $123,572.41 $57,816.07 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 68 34 $0.01 — $29,942.00 $180,053.35 $61,507.07 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 16 6 — — $31,686.99 $105,081.90 $49,164.88 2026-04-01
34701 CPT Hc Ccl Evasc Rpr A-ao Non-ruptre 59 38 $99,625.81 $39,850.32 60% off $9,941.00 $89,663.00 $49,802.00 2024-12-15
34707 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft 88 38 $99,625.81 $39,850.32 60% off $9,941.00 $179,326.00 $49,802.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 69 34 $0.01 — $32,756.00 $204,339.88 $68,678.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 33 14 — — $27,571.47 $159,953.36 $59,023.57 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 69 34 $0.01 — $25,704.00 $153,138.62 $51,376.51 2026-04-01
38240 CPT Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 59 38 $149,282.89 $59,713.16 60% off $2,682.00 $217,637.00 $53,628.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 68 34 $0.01 — $106,383.00 $644,325.57 $221,828.98 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 68 34 $0.01 — $29,072.00 $179,611.44 $60,494.44 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 68 34 $0.01 — $30,117.00 $187,021.60 $62,864.96 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 68 34 $0.01 — $41,437.00 $254,471.25 $86,387.31 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 68 34 $0.01 — $27,051.00 $165,861.02 $56,007.88 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 68 34 $0.01 — $21,341.00 $153,659.61 $46,297.19 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 68 34 $0.01 — $27,069.00 $165,721.46 $56,004.47 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 68 34 $0.01 — $27,261.00 $160,155.00 $55,406.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 68 34 $0.01 — $31,276.00 $193,185.10 $65,148.36 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 34 $0.01 — $79,105.00 $512,673.16 $170,324.03 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 34 $0.01 — $53,931.00 $335,787.62 $113,503.24 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 34 $0.01 — $41,999.00 $261,518.57 $88,176.46 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 68 34 $0.01 — $63,171.00 $419,099.56 $137,410.60 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 8 $0.01 — $44,733.00 $53,680.00 $47,193.50 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 68 34 $0.01 — $41,749.00 $268,268.19 $89,035.97 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 8 $0.01 — $71,338.00 $85,605.00 $75,261.50 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 68 34 $0.01 — $50,961.00 $310,807.99 $106,109.52 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 68 34 $0.01 — $31,396.00 $197,269.29 $65,962.96 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 68 34 $0.01 — $39,357.00 $247,917.00 $83,045.37 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 68 34 $0.01 — $23,951.00 $150,268.52 $50,049.31 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 6 — — $124,298.86 $412,205.74 $192,859.51 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 16 6 — — $85,793.34 $284,511.93 $133,115.15 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 17 6 — — $34,851.77 $214,238.70 $98,817.75 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 34 $0.01 — $64,131.00 $390,900.96 $133,748.73 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 34 $0.01 — $43,756.00 $277,385.52 $92,732.07 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 34 $0.01 — $33,146.00 $195,934.00 $67,784.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 6 — — $93,031.27 $308,514.70 $144,345.38 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 17 6 — — $33,085.64 $170,154.53 $78,483.90 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 68 34 $0.01 — $43,477.89 $278,459.00 $94,334.65 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 34 $0.01 — $41,230.00 $265,123.64 $87,948.21 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 34 $0.01 — $22,925.00 $144,886.50 $48,038.35 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 70 34 $0.01 — $36,947.13 $242,139.59 $80,524.93 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 68 34 $0.01 — $26,483.00 $164,046.85 $55,091.06 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 68 34 $0.01 — $24,477.80 $148,321.00 $51,031.44 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 68 34 $0.01 — $37,172.00 $224,616.64 $76,779.85 2026-04-01
47335-625-60 NDC Ranolazine ER 1000 Mg Po Pack 31 20 $176,340.99 $70,536.40 60% off $31,389.00 $158,707.00 $69,302.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 68 34 $0.01 — $34,090.79 $203,498.00 $70,401.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 69 34 $0.01 — $5,363.30 $160,697.63 $53,912.49 2026-04-01
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 31 20 $367,047.60 $146,819.04 60% off $65,334.00 $330,343.00 $144,250.00 2024-12-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 68 34 $0.01 — $22,868.00 $135,471.46 $46,399.68 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 68 34 $0.01 — $24,946.00 $150,115.01 $51,096.56 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 68 34 $0.01 — $27,423.00 $170,791.82 $57,236.49 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 68 34 $0.01 — $27,195.00 $168,656.69 $56,632.33 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 68 34 $0.01 — $80,012.14 $483,227.00 $167,174.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 68 34 $0.01 — $24,568.00 $147,217.00 $50,202.93 2026-04-01
50474-598-66 NDC Levetiracetam ER 500 Mg Po Tb24 31 20 $130,920.90 $52,368.36 60% off $23,304.00 $117,829.00 $51,452.00 2024-12-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 68 34 $0.01 — $22,250.00 $140,504.60 $46,574.67 2026-04-01
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 31 20 $301,648.45 $120,659.38 60% off $53,693.00 $271,484.00 $118,548.00 2024-12-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 68 34 $0.01 — $23,999.00 $148,245.03 $49,761.38 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 68 34 $0.01 — $27,668.00 $173,847.98 $58,013.15 2026-04-01
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 31 20 $726,797.82 $290,719.13 60% off $129,370.00 $654,118.00 $285,632.00 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 8 $0.01 — $46,532.00 $55,838.00 $49,091.00 2024-12-15
54092-191-12 NDC Mesalamine ER 500 Mg Po Cpcr 31 20 $133,448.25 $53,379.30 60% off $23,754.00 $120,103.00 $52,445.00 2024-12-15
54092-252-45 NDC Lanthanum Carbonate 500 Mg Po Chew 31 20 $134,880.42 $53,952.17 60% off $24,009.00 $121,392.00 $53,008.00 2024-12-15
54092-252-90 NDC Lanthanum Carbonate 500 Mg Po Chew 31 20 $134,880.42 $53,952.17 60% off $24,009.00 $121,392.00 $53,008.00 2024-12-15
54092-253-90 NDC Lanthanum Carbonate 750 Mg Po Chew 31 20 $126,877.14 $50,750.86 60% off $22,584.00 $114,189.00 $49,863.00 2024-12-15
54092-254-90 NDC Lanthanum Carbonate 1000 Mg Po Chew 31 20 $126,877.14 $50,750.86 60% off $22,584.00 $114,189.00 $49,863.00 2024-12-15
570 MS_DRG Skin Debridement With Mcc 68 34 $0.01 — $23,385.00 $136,811.15 $47,254.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 68 34 $0.01 — $46,882.00 $304,751.47 $100,683.31 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 68 34 $0.01 — $26,779.00 $161,479.11 $54,979.83 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 68 34 $0.01 — $38,732.83 $244,817.00 $83,328.05 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 69 34 $0.01 — $23,428.72 $150,645.30 $50,540.03 2026-04-01
5831 APR_DRG Neonate With Ecmo 10 8 $0.01 — $74,234.00 $89,081.00 $78,317.00 2024-12-15
5832 APR_DRG Neonate With Ecmo 10 8 $0.01 — $102,129.00 $122,555.00 $107,746.50 2024-12-15
5833 APR_DRG Neonate With Ecmo 10 8 $0.01 — $133,012.00 $159,615.00 $140,328.00 2024-12-15
5834 APR_DRG Neonate With Ecmo 10 8 $0.01 — $205,319.00 $246,383.00 $216,611.50 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 31 20 $630,330.07 $252,132.03 60% off $112,199.00 $567,297.00 $247,720.00 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 31 20 $630,330.07 $252,132.03 60% off $112,199.00 $567,297.00 $247,720.00 2024-12-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 $0.01 — $65,522.00 $78,627.00 $69,126.00 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 $0.01 — $76,443.00 $91,731.00 $80,647.00 2024-12-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 $0.01 — $87,116.00 $104,539.00 $91,907.50 2024-12-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 $0.01 — $133,948.00 $160,737.00 $141,315.00 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 $0.01 — $52,325.00 $62,790.00 $55,203.50 2024-12-15
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 31 20 $410,894.48 $164,357.79 60% off $73,139.00 $369,805.00 $161,482.00 2024-12-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 $0.01 — $50,782.00 $60,938.00 $53,575.00 2024-12-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 $0.01 — $49,700.00 $59,640.00 $52,433.50 2024-12-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $47,894.00 $57,473.00 $50,528.50 2024-12-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $63,159.00 $75,790.00 $66,632.00 2024-12-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $85,092.00 $102,110.00 $89,772.00 2024-12-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 8 $0.01 — $44,820.00 $53,783.00 $47,285.00 2024-12-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 8 $0.01 — $54,722.00 $65,666.00 $57,731.50 2024-12-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 8 $0.01 — $78,902.00 $94,682.00 $83,241.50 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 31 20 $566,101.69 $226,440.67 60% off $100,766.00 $509,492.00 $222,478.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 31 20 $566,101.69 $226,440.67 60% off $100,766.00 $509,492.00 $222,478.00 2024-12-15
59676-565-01 NDC Darunavir 100 Mg/ml Po Susp Bulk 31 20 $141,535.77 $56,614.31 60% off $25,193.00 $127,382.00 $55,624.00 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 68 34 $0.01 — $36,716.67 $220,037.00 $76,122.50 2026-04-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $58,591.00 $70,309.00 $61,813.50 2024-12-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 8 $0.01 — $72,982.00 $87,578.00 $76,996.00 2024-12-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $44,903.00 $53,883.00 $47,372.50 2024-12-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 8 $0.01 — $88,071.00 $105,685.00 $92,914.50 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 68 34 $0.01 — $27,943.88 $175,378.00 $59,490.11 2026-04-01
61958-1003-1 NDC Ranolazine ER 500 Mg Po Tb12 31 20 $150,634.23 $60,253.69 60% off $26,813.00 $135,571.00 $59,199.00 2024-12-15
61958-1004-1 NDC Ranolazine ER 1000 Mg Po Tb12 31 20 $218,752.33 $87,500.93 60% off $38,938.00 $196,877.00 $85,970.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 68 34 $0.01 — $28,491.79 $169,797.00 $58,742.00 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 68 34 $0.01 — $22,317.00 $140,485.99 $46,645.10 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 68 34 $0.01 — $29,770.78 $179,040.00 $61,939.50 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 8 $0.01 — $46,657.00 $55,988.00 $49,222.50 2024-12-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 8 $0.01 — $97,710.00 $117,252.00 $103,084.50 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 8 $0.01 — $86,464.00 $103,757.00 $91,219.50 2024-12-15
63304-089-13 NDC Mesalamine ER 500 Mg Po Cpcr 31 20 $120,137.54 $48,055.02 60% off $21,384.00 $108,124.00 $47,214.00 2024-12-15
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 31 20 $342,940.39 $137,176.16 60% off $61,043.00 $308,646.00 $134,776.00 2024-12-15
64 APR_DRG Pancreas Transplant 10 8 $0.01 — $51,673.00 $62,007.00 $54,514.50 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 68 34 $0.01 — $35,306.00 $218,695.02 $73,774.02 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 68 34 $0.01 — $26,836.00 $172,382.70 $56,862.51 2026-04-01
652 MS_DRG Kidney Transplant 68 34 $0.01 — $23,842.00 $150,226.65 $49,924.46 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 68 34 $0.01 — $40,985.55 $252,953.00 $87,232.61 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 68 34 $0.01 — $25,235.00 $148,100.82 $51,144.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 68 34 $0.01 — $24,202.00 $142,411.80 $49,001.88 2026-04-01
665 MS_DRG Prostatectomy With Mcc 68 34 $0.01 — $25,149.34 $155,803.00 $53,047.70 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 68 34 $0.01 — $22,684.00 $135,829.64 $46,260.76 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 68 34 $0.01 — $32,188.00 $195,445.83 $66,511.58 2026-04-01
67457-187-50 NDC Allopurinol Sodium 500 Mg IV Solr 31 20 $122,037.90 $48,815.16 60% off $21,723.00 $109,834.00 $47,961.00 2024-12-15
67546-212-21 NDC Nitazoxanide 100 Mg/5ml Po Susr Bulk 31 20 $191,240.32 $76,496.13 60% off $34,041.00 $172,116.00 $75,157.00 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 31 20 $588,539.74 $235,415.90 60% off $104,760.00 $529,686.00 $231,296.00 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 31 20 $588,539.74 $235,415.90 60% off $104,760.00 $529,686.00 $231,296.00 2024-12-15
69468-151-04 NDC Uridine Triacetate 10 G Po Pack 31 20 $202,866.13 $81,146.45 60% off $36,110.00 $182,580.00 $79,726.00 2024-12-15
7 MS_DRG Lung Transplant 68 34 $0.01 — $98,462.00 $602,404.45 $206,254.41 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 68 34 $0.01 — $28,608.55 $178,673.00 $60,793.15 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 68 34 $0.01 — $28,671.89 $180,637.00 $61,195.38 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $80,769.00 $96,923.00 $85,212.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 66 34 $0.01 — $4,055.00 $276,473.79 $82,549.24 2026-04-01
791 MS_DRG Prematurity With Major Problems 63 34 $0.01 — $31,220.00 $188,812.50 $62,100.00 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 65 34 $0.01 — $3,021.40 $193,957.28 $58,486.98 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 68 34 $0.01 — $35,891.74 $215,754.00 $74,640.50 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 68 34 $0.01 — $41,529.00 $260,709.18 $87,533.70 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 68 34 $0.01 — $27,674.00 $185,328.38 $59,530.50 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 68 34 $0.01 — $44,374.00 $272,812.90 $92,632.54 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 68 34 $0.01 — $35,845.00 $213,271.14 $73,459.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 68 34 $0.01 — $36,561.00 $217,597.22 $74,966.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 68 34 $0.01 — $23,934.00 $146,993.72 $49,481.98 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 68 34 $0.01 — $42,173.00 $255,373.68 $87,332.69 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 68 34 $0.01 — $37,993.37 $227,207.00 $78,603.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 68 34 $0.01 — $24,720.00 $150,477.84 $50,913.43 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 8 $0.01 — $96,372.00 $115,646.00 $101,672.00 2024-12-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 8 $0.01 — $49,355.00 $59,226.00 $52,070.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 68 34 $0.01 — $67,413.07 $417,999.00 $144,608.50 2026-04-01
8514 APR_DRG Gender Related Procedures 10 8 $0.01 — $50,103.00 $60,123.00 $52,858.50 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 74 34 $0.01 — $5,794.91 $229,728.86 $78,796.39 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 70 34 $0.01 — $10,396.34 $211,591.88 $70,366.11 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 71 34 $0.01 — $11,721.97 $321,516.20 $107,865.55 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 68 34 $0.01 — $30,247.00 $179,783.55 $61,791.32 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 68 34 $0.01 — $33,355.90 $201,038.00 $69,550.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 68 34 $0.01 — $29,360.99 $175,201.00 $60,611.50 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 71 34 $0.01 — $28,055.71 $180,764.00 $60,935.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 68 34 $0.01 — $164,260.30 $1,076,446.00 $363,760.93 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 68 34 $0.01 — $50,768.00 $333,652.49 $109,713.01 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 68 34 $0.01 — $24,655.00 $149,821.95 $50,733.90 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 68 34 $0.01 — $31,048.24 $196,337.00 $66,513.97 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 68 34 $0.01 — $24,608.00 $168,786.93 $52,761.00 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 $0.01 — $80,365.00 $96,438.00 $84,785.00 2024-12-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 68 34 $0.01 — $28,151.00 $165,563.00 $57,277.50 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 68 34 $0.01 — $51,883.00 $313,110.58 $107,490.77 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 68 34 $0.01 — $29,447.00 $175,043.47 $60,133.19 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 68 34 $0.01 — $56,630.00 $354,454.89 $119,545.08 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 68 34 $0.01 — $31,592.00 $196,017.99 $65,965.06 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 68 34 $0.01 — $48,043.63 $286,971.00 $99,278.50 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 68 34 $0.01 — $27,672.00 $168,010.10 $57,038.88 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 68 34 $0.01 — $23,206.00 $135,502.00 $46,877.50 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 70 34 $0.01 — $351.60 $218,248.46 $72,968.11 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 69 34 $0.01 — $26,796.41 $159,478.88 $53,577.00 2026-04-01
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 49 34 $242,855.70 $97,142.28 60% off $10.00 $218,570.00 $63,628.00 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 116 38 $121,940.00 $48,776.00 60% off $14,633.00 $130,572.00 $52,259.00 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 116 38 $156,240.00 $62,496.00 60% off $15,758.00 $140,616.00 $56,279.00 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 248 38 $178,220.00 $71,288.00 60% off $14,633.00 $211,050.00 $61,619.00 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 72 38 $111,321.00 $44,528.40 60% off $13,359.00 $100,189.00 $60,002.00 2024-12-15
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 90 38 $272,148.58 $108,859.43 60% off $48,442.00 $251,789.00 $146,688.00 2024-12-15
J0571 HCPCS Buprenorphine Hcl 300 Mcg Bu Film 59 38 $120,233.82 $48,093.53 60% off $21,402.00 $108,210.00 $64,806.00 2024-12-15
J1324 HCPCS Enfuvirtide 90 Mg Sc Solr 59 38 $166,320.21 $66,528.08 60% off $29,605.00 $149,688.00 $89,646.50 2024-12-15
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 59 38 $668,231.18 $267,292.47 60% off $614.00 $601,408.00 $118,945.00 2024-12-15
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 59 38 $674,068.62 $269,627.45 60% off $1,211.00 $606,662.00 $119,984.00 2024-12-15
J2353 HCPCS Octreotide Acetate 10 Mg IM Kit 121 38 $392,205.85 $156,882.34 60% off $215.00 $995,344.00 $74,221.00 2024-12-15
J2430 HCPCS Pamidronate Disodium 90 Mg IV Solr 90 38 $148,878.86 $59,551.54 60% off $650.00 $133,991.00 $53,626.00 2024-12-15
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 59 38 $583,799.90 $233,519.96 60% off $158.00 $525,420.00 $103,916.00 2024-12-15
J7311 HCPCS Fluocinolone Acetonide 0.59 Mg Iz Impl 59 38 $623,651.42 $249,460.57 60% off $316.00 $561,286.00 $111,010.00 2024-12-15
J9302 HCPCS Ofatumumab 100 Mg/5ml IV Conc 59 38 $382,647.30 $153,058.92 60% off $64.00 $344,383.00 $68,111.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 47 29 — $3,730,701.85 $24,610.00 $4,980,487.00 $560,094.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 46 29 — $4,258,612.21 $24,610.00 $4,578,008.00 $531,138.00 2024-12-15
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 46 29 — $4,354,070.48 $24,610.00 $4,680,626.00 $538,696.00 2024-12-15
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