Price Transparencybeta Hospital negotiated rates

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

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Hospital

ADVENTHEALTH TAMPA

Tampa, FL · CCN 100173 · Rates published

15,630 distinct procedures filed
38 distinct payers
1,153,385 rate rows
2024-12-15 last MRF observed · ⚠ 18 mo old
Data quality

1,145,563 of 1,153,385 rate rows are consumer-grade (99.3%)

7,822 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 2,663
template filing: same amount across many unrelated codes — excluded 2,427
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,954
per-diem day rate — not a per-procedure price 778

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.adventhealth.com/sites/default/files/CDM/2025/591113901_AdventHealth-Tampa_standardcharges.json
Found on page https://www.adventhealth.com/pricelist
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 276a71217092f70a… · 2,974,036,790 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 38 $24,610.00 $3,467,398.00 $1,071,041.00 nat. median
$625,184
1.7× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 38 $24,610.00 $3,391,378.00 $1,047,559.00 nat. median
$673,137
1.6× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 38 $24,610.00 $2,970,972.00 $927,603.00 nat. median
$753,246
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $268,551.00 $1,687,422.00 $471,673.50 nat. median
$370,174
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $200,909.00 $1,260,362.00 $351,763.50 nat. median
$265,286
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $169,404.00 $1,061,453.00 $296,701.00 nat. median
$206,474
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $153,166.00 $958,936.00 $268,045.00 nat. median
$202,976
1.3× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 34 $10.00 $693,347.00 $231,193.00 nat. median
$1,033
outlier · 223.7×
5834
APR_DRG 		Neonate With Ecmo 7 $205,319.00 $246,383.00 $218,665.00 nat. median
$309,665
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $101,419.00 $632,233.00 $176,724.00 nat. median
$133,161
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $94,132.00 $586,227.00 $163,864.50 nat. median
$117,357
1.4× median
7
MS_DRG 		Lung Transplant 22 $93,899.00 $584,750.00 $163,451.00 nat. median
$122,708
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $133,948.00 $160,737.00 $142,654.50 nat. median
$246,434
0.6× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 34 $615.00 $427,589.00 $142,577.00 nat. median
$896
outlier · 159.0×
5833
APR_DRG 		Neonate With Ecmo 7 $133,012.00 $159,615.00 $141,658.00 nat. median
$244,017
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 22 $62,125.00 $474,054.00 $139,131.00 nat. median
$99,019
1.4× median
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 34 $84.00 $414,100.00 $138,079.00 nat. median
$736
outlier · 187.6×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $79,377.00 $493,065.00 $137,823.50 nat. median
$108,660
1.3× median
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 38 $27,437.00 $232,596.00 $134,905.50 nat. median
$52,021
outlier · 2.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $76,752.00 $476,497.00 $133,192.00 nat. median
$100,136
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $75,519.00 $468,711.00 $131,016.00 nat. median
$98,894
1.3× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $118,623.00 $142,347.00 $126,333.00 nat. median
$234,729
0.5× median
13925-522-01
NDC 		Pentamidine Isethionate 300 Mg In Solr 21 $31,034.00 $208,436.00 $121,008.50 nat. median
$83,907
1.4× median
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 3 38 $25,477.00 $336,600.00 $119,216.50 nat. median
$11,688
outlier · 10.2×
38240
CPT 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 38 $2,682.00 $436,291.00 $118,874.00 nat. median
$15,979
outlier · 7.4×
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 34 $60.00 $348,013.00 $116,043.00 nat. median
$4,932
outlier · 23.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $66,565.00 $412,177.00 $115,213.50 nat. median
$83,470
1.4× median
58914-501-56
NDC 		Mesalamine 1000 Mg Re Supp 21 $29,163.00 $195,873.00 $113,715.00 nat. median
$57,068
2.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $104,305.00 $125,166.00 $111,085.50 nat. median
$117,173
0.9× median
5832
APR_DRG 		Neonate With Ecmo 7 $102,129.00 $122,555.00 $108,767.50 nat. median
$156,126
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $101,659.00 $121,991.00 $108,267.00 nat. median
$207,730
0.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $25,484.00 $487,437.00 $108,009.00 nat. median
$102,358
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $25,484.00 $431,829.00 $108,009.00 nat. median
$93,672
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $25,484.00 $379,156.00 $108,009.00 nat. median
$79,312
1.4× median
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 21 $27,656.00 $185,747.00 $107,836.00 nat. median
$111,860
1.0× median
24338-050-08
NDC 		Carmustine In Polifeprosan 7.7 Mg Il Wafr 21 $27,577.00 $185,219.00 $107,530.00 nat. median
$49,264
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $61,301.00 $378,946.00 $105,924.50 nat. median
$81,118
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $60,390.00 $373,192.00 $104,316.00 nat. median
$82,711
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $97,710.00 $117,252.00 $104,061.50 nat. median
$150,721
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $25,484.00 $349,737.00 $102,645.00 nat. median
$73,807
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $96,372.00 $115,646.00 $102,636.00 nat. median
$160,267
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $25,484.00 $346,207.00 $101,609.00 nat. median
$74,915
1.4× median
C1824
HCPCS 		Generator Pul Implantable Optimizer Smt F/hrt Fail 38 $25,477.00 $215,982.00 $101,518.50 nat. median
$37,950
outlier · 2.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $58,409.00 $360,686.00 $100,820.00 nat. median
$77,570
1.3× median
10
MS_DRG 		Pancreas Transplant 22 $57,785.00 $356,744.00 $99,718.00 nat. median
$68,884
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 $57,461.00 $354,699.00 $99,146.50 nat. median
$71,271
1.4× median
C2624
HCPCS 		System Cardiomems Hrt Failure Ptnt 34 $24,122.00 $165,725.00 $96,120.50 nat. median
$32,760
outlier · 2.9×
A9569
HCPCS 		Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 34 $57.00 $285,633.00 $95,243.00 nat. median
$2,079
outlier · 45.8×
63323-877-15
NDC 		Pentamidine Isethionate 300 Mg In Solr 21 $24,340.00 $163,479.00 $94,908.50 nat. median
$65,809
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $88,071.00 $105,685.00 $93,795.50 nat. median
$162,982
0.6× median

Other procedures at this hospital

Browse this hospital's 15,630 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 63 38 $3,852,663.92 $1,541,065.57 60% off $24,610.00 $3,467,398.00 $1,071,041.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 63 38 $3,768,198.21 $1,507,279.28 60% off $24,610.00 $3,391,378.00 $1,047,559.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 63 38 $3,301,079.72 $1,320,431.89 60% off $24,610.00 $2,970,972.00 $927,603.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 22 $0.01 — $268,551.00 $1,687,422.00 $471,673.50 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 22 $0.01 — $200,909.00 $1,260,362.00 $351,763.50 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 22 $0.01 — $169,404.00 $1,061,453.00 $296,701.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 22 $0.01 — $153,166.00 $958,936.00 $268,045.00 2024-12-15
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 53 34 $770,386.00 $308,154.40 60% off $10.00 $693,347.00 $231,193.00 2024-12-15
5834 APR_DRG Neonate With Ecmo 10 7 $0.01 — $205,319.00 $246,383.00 $218,665.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 22 $0.01 — $101,419.00 $632,233.00 $176,724.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 32 22 $0.01 — $94,132.00 $586,227.00 $163,864.50 2024-12-15
7 MS_DRG Lung Transplant 32 22 $0.01 — $93,899.00 $584,750.00 $163,451.00 2024-12-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 $0.01 — $133,948.00 $160,737.00 $142,654.50 2024-12-15
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 53 34 $475,098.80 $190,039.52 60% off $615.00 $427,589.00 $142,577.00 2024-12-15
5833 APR_DRG Neonate With Ecmo 10 7 $0.01 — $133,012.00 $159,615.00 $141,658.00 2024-12-15
215 MS_DRG Other Heart Assist System Implant 35 22 $0.01 — $62,125.00 $474,054.00 $139,131.00 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 53 34 $460,111.00 $184,044.40 60% off $84.00 $414,100.00 $138,079.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 22 $0.01 — $79,377.00 $493,065.00 $137,823.50 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 109 38 $258,440.00 $103,376.00 60% off $27,437.00 $232,596.00 $134,905.50 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 22 $0.01 — $76,752.00 $476,497.00 $133,192.00 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 22 $0.01 — $75,519.00 $468,711.00 $131,016.00 2024-12-15
24 APR_DRG Heart And/or Lung Transplant 10 7 $0.01 — $118,623.00 $142,347.00 $126,333.00 2024-12-15
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 36 21 $231,595.10 $92,638.04 60% off $31,034.00 $208,436.00 $121,008.50 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 3 232 38 $284,240.00 $113,696.00 60% off $25,477.00 $336,600.00 $119,216.50 2024-12-15
38240 CPT Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 60 38 $484,767.58 $193,907.03 60% off $2,682.00 $436,291.00 $118,874.00 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 53 34 $386,681.14 $154,672.46 60% off $60.00 $348,013.00 $116,043.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 32 22 $0.01 — $66,565.00 $412,177.00 $115,213.50 2024-12-15
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 36 21 $217,636.54 $87,054.62 60% off $29,163.00 $195,873.00 $113,715.00 2024-12-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 7 $0.01 — $104,305.00 $125,166.00 $111,085.50 2024-12-15
5832 APR_DRG Neonate With Ecmo 10 7 $0.01 — $102,129.00 $122,555.00 $108,767.50 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 10 7 $0.01 — $101,659.00 $121,991.00 $108,267.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 35 22 $0.01 — $25,484.00 $487,437.00 $108,009.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 22 $0.01 — $25,484.00 $379,156.00 $108,009.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 22 $0.01 — $25,484.00 $431,829.00 $108,009.00 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 36 21 $206,385.38 $82,554.15 60% off $27,656.00 $185,747.00 $107,836.00 2024-12-15
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 36 21 $205,798.73 $82,319.49 60% off $27,577.00 $185,219.00 $107,530.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 22 $0.01 — $61,301.00 $378,946.00 $105,924.50 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 22 $0.01 — $60,390.00 $373,192.00 $104,316.00 2024-12-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 7 $0.01 — $97,710.00 $117,252.00 $104,061.50 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 22 $0.01 — $25,484.00 $349,737.00 $102,645.00 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 7 $0.01 — $96,372.00 $115,646.00 $102,636.00 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 22 $0.01 — $25,484.00 $346,207.00 $101,609.00 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 109 38 $194,480.00 $77,792.00 60% off $25,477.00 $215,982.00 $101,518.50 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 22 $0.01 — $58,409.00 $360,686.00 $100,820.00 2024-12-15
10 MS_DRG Pancreas Transplant 32 22 $0.01 — $57,785.00 $356,744.00 $99,718.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 22 $0.01 — $57,461.00 $354,699.00 $99,146.50 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 58 34 $184,138.50 $73,655.40 60% off $24,122.00 $165,725.00 $96,120.50 2024-12-15
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 53 34 $317,369.80 $126,947.92 60% off $57.00 $285,633.00 $95,243.00 2024-12-15
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 36 21 $181,643.66 $72,657.46 60% off $24,340.00 $163,479.00 $94,908.50 2024-12-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 7 $0.01 — $88,071.00 $105,685.00 $93,795.50 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 36 21 $178,992.07 $71,596.83 60% off $23,985.00 $161,093.00 $93,523.50 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 36 21 $178,992.07 $71,596.83 60% off $23,985.00 $161,093.00 $93,523.50 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 22 $0.01 — $54,179.00 $333,978.00 $93,355.00 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 22 $0.01 — $42,040.00 $316,206.00 $92,804.00 2024-12-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 $0.01 — $87,116.00 $104,539.00 $92,778.50 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 7 $0.01 — $86,464.00 $103,757.00 $92,084.00 2024-12-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 $0.01 — $85,092.00 $102,110.00 $90,622.50 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 22 $0.01 — $51,617.00 $317,803.00 $88,833.50 2024-12-15
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 63 38 $350,453.64 $140,181.46 60% off $614.00 $315,408.00 $88,314.00 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 36 21 $167,125.14 $66,850.06 60% off $22,395.00 $150,413.00 $87,322.50 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 36 21 $167,125.14 $66,850.06 60% off $22,395.00 $150,413.00 $87,322.50 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 22 $0.01 — $50,581.00 $311,262.00 $87,005.00 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 10 7 $0.01 — $80,769.00 $96,923.00 $86,019.50 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 7 $0.01 — $80,365.00 $96,438.00 $85,588.50 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 22 $0.01 — $49,672.00 $305,525.00 $85,401.50 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 22 $0.01 — $25,484.00 $288,952.00 $84,805.00 2024-12-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 $0.01 — $78,902.00 $94,682.00 $84,030.50 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 36 21 $160,753.56 $64,301.42 60% off $21,541.00 $144,678.00 $83,993.50 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 36 21 $160,753.56 $64,301.42 60% off $21,541.00 $144,678.00 $83,993.50 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 22 $0.01 — $48,796.00 $299,995.00 $83,855.50 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 22 $0.01 — $48,613.00 $298,841.00 $83,533.00 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 22 $0.01 — $48,533.00 $298,335.00 $83,391.50 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 $0.01 — $76,443.00 $91,731.00 $81,411.50 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 35 22 $0.01 — $34,091.00 $277,162.00 $81,345.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 22 $0.01 — $47,113.00 $289,368.00 $80,885.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 22 $0.01 — $25,484.00 $273,328.00 $80,219.00 2024-12-15
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 150 38 $166,243.00 $66,497.20 60% off $20,088.00 $175,032.00 $80,043.50 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 22 $0.01 — $46,100.00 $282,974.00 $79,098.00 2024-12-15
5831 APR_DRG Neonate With Ecmo 10 7 $0.01 — $74,234.00 $89,081.00 $79,059.50 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 22 $0.01 — $25,484.00 $266,195.00 $78,126.00 2024-12-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 7 $0.01 — $72,982.00 $87,578.00 $77,725.50 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 22 $0.01 — $45,123.00 $276,804.00 $77,373.50 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 22 $0.01 — $25,484.00 $263,283.00 $77,271.00 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 22 $0.01 — $44,923.00 $275,543.00 $77,020.50 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 22 $0.01 — $44,771.00 $274,581.00 $76,751.50 2024-12-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 $0.01 — $71,830.00 $86,196.00 $76,499.00 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 32 22 $0.01 — $44,365.00 $272,021.00 $76,036.50 2024-12-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 $0.01 — $71,338.00 $85,605.00 $75,975.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 22 $0.01 — $44,056.00 $270,070.00 $75,491.00 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 22 $0.01 — $44,056.00 $270,070.00 $75,491.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 22 $0.01 — $43,737.00 $268,052.00 $74,927.00 2024-12-15
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 89 34 $144,147.74 $57,659.10 60% off $19,316.00 $133,364.00 $74,524.50 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 10 7 $0.01 — $68,785.00 $82,542.00 $73,256.00 2024-12-15
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 53 34 $243,748.00 $97,499.20 60% off $69.00 $219,373.00 $73,149.00 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 22 $0.01 — $42,543.00 $260,513.00 $72,819.50 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 22 $0.01 — $41,955.00 $256,804.00 $71,783.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 22 $0.01 — $41,712.00 $255,269.00 $71,353.50 2024-12-15
23 APR_DRG Heart And/or Lung Transplant 10 7 $0.01 — $66,606.00 $79,927.00 $70,935.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 22 $0.01 — $25,484.00 $238,047.00 $69,865.00 2024-12-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 $0.01 — $65,522.00 $78,627.00 $69,781.50 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 32 22 $0.01 — $40,787.00 $249,430.00 $69,721.50 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 22 $0.01 — $25,484.00 $236,996.00 $69,556.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 32 22 $0.01 — $40,452.00 $247,314.00 $69,130.00 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 22 $0.01 — $40,452.00 $247,314.00 $69,130.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 22 $0.01 — $40,288.00 $246,275.00 $68,840.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 22 $0.01 — $40,049.00 $244,772.00 $68,419.50 2024-12-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 22 $0.01 — $39,841.00 $243,457.00 $68,052.00 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 22 $0.01 — $39,753.00 $242,902.00 $67,897.00 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 22 $0.01 — $39,557.00 $241,662.00 $67,550.50 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 22 $0.01 — $39,521.00 $241,434.00 $67,486.50 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 22 $0.01 — $39,517.00 $241,407.00 $67,479.00 2024-12-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 $0.01 — $63,159.00 $75,790.00 $67,264.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 36 21 $128,177.81 $51,271.12 60% off $17,176.00 $115,360.00 $66,973.00 2024-12-15
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 36 21 $125,668.14 $50,267.25 60% off $16,840.00 $113,101.00 $65,661.50 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 35 22 $0.01 — $20,102.00 $222,973.00 $65,441.00 2024-12-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 7 $0.01 — $60,831.00 $72,997.00 $64,785.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 22 $0.01 — $37,779.00 $230,436.00 $64,412.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 22 $0.01 — $37,658.00 $229,671.00 $64,198.50 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 22 $0.01 — $37,385.00 $227,953.00 $63,718.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 22 $0.01 — $37,275.00 $227,255.00 $63,523.00 2024-12-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 7 $0.01 — $59,311.00 $71,174.00 $63,166.50 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 22 $0.01 — $36,977.00 $225,371.00 $62,996.50 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 22 $0.01 — $36,766.00 $224,042.00 $62,625.50 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 22 $0.01 — $36,724.00 $223,778.00 $62,551.00 2024-12-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 7 $0.01 — $58,591.00 $70,309.00 $62,399.00 2024-12-15
245 MS_DRG Aicd Generator Procedures 32 22 $0.01 — $35,913.00 $218,655.00 $61,119.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 35 22 $0.01 — $29,680.00 $208,145.00 $61,089.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 32 22 $0.01 — $35,704.00 $217,335.00 $60,750.00 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 32 22 $0.01 — $35,646.00 $216,973.00 $60,649.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 22 $0.01 — $25,484.00 $205,491.00 $60,310.00 2024-12-15
J9302 HCPCS Ofatumumab 100 Mg/5ml IV Conc 53 34 $200,671.88 $80,268.75 60% off $64.00 $180,605.00 $60,222.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 22 $0.01 — $35,124.00 $213,675.00 $59,727.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 32 22 $0.01 — $34,977.00 $212,749.00 $59,468.50 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 22 $0.01 — $34,971.00 $212,709.00 $59,457.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 22 $0.01 — $34,622.00 $210,507.00 $58,841.50 2024-12-15
1612 APR_DRG Implantable Heart Assist Systems 10 7 $0.01 — $55,215.00 $66,258.00 $58,804.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 22 $0.01 — $34,444.00 $209,380.00 $58,526.50 2024-12-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 $0.01 — $54,722.00 $65,666.00 $58,278.50 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 32 22 $0.01 — $33,945.00 $206,234.00 $57,647.50 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 22 $0.01 — $33,932.00 $206,149.00 $57,623.50 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 22 $0.01 — $33,823.00 $205,460.00 $57,431.00 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 22 $0.01 — $36,738.00 $223,868.00 $56,947.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 22 $0.01 — $33,254.00 $201,867.00 $56,426.50 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 22 $0.01 — $33,063.00 $200,663.00 $56,090.00 2024-12-15
1611 APR_DRG Implantable Heart Assist Systems 10 7 $0.01 — $52,607.00 $63,128.00 $56,026.00 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 22 $0.01 — $32,975.00 $200,109.00 $55,935.00 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 7 $0.01 — $52,325.00 $62,790.00 $55,726.50 2024-12-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 7 $0.01 — $52,231.00 $62,678.00 $55,626.50 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 32 22 $0.01 — $32,679.00 $198,238.00 $55,412.00 2024-12-15
64 APR_DRG Pancreas Transplant 10 7 $0.01 — $51,673.00 $62,007.00 $55,031.50 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 22 $0.01 — $32,412.00 $196,551.00 $54,940.50 2024-12-15
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 36 21 $104,229.48 $41,691.79 60% off $13,967.00 $93,807.00 $54,459.50 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 22 $0.01 — $31,945.00 $193,603.00 $54,116.50 2024-12-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 7 $0.01 — $50,782.00 $60,938.00 $54,083.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 22 $0.01 — $31,882.00 $193,205.00 $54,005.00 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 22 $0.01 — $25,484.00 $183,992.00 $54,000.00 2024-12-15
8514 APR_DRG Gender Related Procedures 10 7 $0.01 — $50,103.00 $60,123.00 $53,359.50 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 22 $0.01 — $31,511.00 $190,864.00 $53,351.00 2024-12-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 7 $0.01 — $49,700.00 $59,640.00 $52,930.50 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 32 22 $0.01 — $31,252.00 $189,231.00 $52,894.50 2024-12-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 7 $0.01 — $49,355.00 $59,226.00 $52,563.50 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 22 $0.01 — $30,979.00 $187,504.00 $52,412.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 22 $0.01 — $30,972.00 $187,459.00 $52,399.50 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 22 $0.01 — $30,767.00 $186,166.00 $52,037.50 2024-12-15
J2353 HCPCS Octreotide Acetate 10 Mg IM Kit 135 38 $205,685.11 $82,274.04 60% off $215.00 $522,018.00 $51,833.00 2024-12-15
22 APR_DRG Heart And/or Lung Transplant 10 7 $0.01 — $48,472.00 $58,167.00 $51,623.50 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 22 $0.01 — $30,406.00 $183,889.00 $51,401.50 2024-12-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 22 $0.01 — $30,363.00 $183,616.00 $51,325.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 22 $0.01 — $30,220.00 $182,712.00 $51,072.50 2024-12-15
A9592 HCPCS Copper Cu 64 Dotatate 1 Mci/ml IV Soln 53 34 $170,101.00 $68,040.40 60% off $269.00 $153,091.00 $51,047.00 2024-12-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 $0.01 — $47,894.00 $57,473.00 $51,007.50 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 22 $0.01 — $30,106.00 $181,992.00 $50,871.00 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 22 $0.01 — $29,513.00 $178,247.00 $49,824.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 22 $0.01 — $29,493.00 $178,121.00 $49,789.00 2024-12-15
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 1,093 38 $123,420.00 $49,368.00 60% off $10,049.00 $263,524.00 $49,780.00 2024-12-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 7 $0.01 — $46,657.00 $55,988.00 $49,689.50 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 $0.01 — $46,532.00 $55,838.00 $49,556.50 2024-12-15
C1833 HCPCS Monitor Crdc The Guardian Amsg3-e 58 34 $94,607.50 $37,843.00 60% off $12,394.00 $85,147.00 $49,385.00 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 22 $0.01 — $29,243.00 $176,546.00 $49,349.00 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 22 $0.01 — $29,186.00 $176,184.00 $49,248.00 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 22 $0.01 — $29,129.00 $175,826.00 $49,148.00 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 22 $0.01 — $29,006.00 $175,047.00 $48,930.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 22 $0.01 — $28,992.00 $174,962.00 $48,906.00 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 22 $0.01 — $28,839.00 $173,996.00 $48,636.00 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 22 $0.01 — $28,671.00 $172,936.00 $48,339.50 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 22 $0.01 — $28,644.00 $172,761.00 $48,291.00 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 22 $0.01 — $28,567.00 $172,278.00 $48,155.50 2024-12-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 7 $0.01 — $44,903.00 $53,883.00 $47,821.50 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 22 $0.01 — $28,369.00 $171,029.00 $47,807.00 2024-12-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 $0.01 — $44,820.00 $53,783.00 $47,733.00 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 $0.01 — $44,733.00 $53,680.00 $47,641.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 22 $0.01 — $28,223.00 $170,103.00 $47,548.00 2024-12-15
21 APR_DRG Heart And/or Lung Transplant 10 7 $0.01 — $44,578.00 $53,493.00 $47,475.00 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 22 $0.01 — $28,013.00 $168,779.00 $47,177.50 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 22 $0.01 — $27,800.00 $167,432.00 $46,801.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 21 $0.01 — $43,411.00 $265,994.00 $46,360.00 2024-12-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 22 $0.01 — $27,138.00 $163,257.00 $45,634.50 2024-12-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 7 $0.01 — $42,599.00 $51,119.00 $45,368.00 2024-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 22 $0.01 — $26,959.00 $162,125.00 $45,317.50 2024-12-15
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 36 21 $86,069.43 $34,427.77 60% off $11,533.00 $77,462.00 $44,971.00 2024-12-15
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x0.78x0.78in 20ml 109 38 $86,020.00 $34,408.00 60% off $9,701.00 $77,418.00 $44,902.50 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 22 $0.01 — $26,685.00 $160,398.00 $44,835.50 2024-12-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 22 $0.01 — $26,684.00 $160,389.00 $44,832.50 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 22 $0.01 — $26,680.00 $160,362.00 $44,825.00 2024-12-15
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 36 21 $85,658.51 $34,263.40 60% off $11,478.00 $77,093.00 $44,756.50 2024-12-15
265 MS_DRG Aicd Lead Procedures 32 22 $0.01 — $26,561.00 $159,611.00 $44,614.50 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 22 $0.01 — $19,625.00 $151,772.00 $44,544.00 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 22 $0.01 — $26,447.00 $158,895.00 $44,414.50 2024-12-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 7 $0.01 — $41,561.00 $49,873.00 $44,262.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 22 $0.01 — $26,300.00 $157,964.00 $44,154.50 2024-12-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 22 $0.01 — $26,294.00 $157,924.00 $44,143.50 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 32 22 $0.01 — $26,231.00 $157,526.00 $44,032.50 2024-12-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 32 22 $0.01 — $26,111.00 $156,774.00 $43,822.00 2024-12-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 22 $0.01 — $26,104.00 $156,725.00 $43,808.00 2024-12-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 22 $0.01 — $26,094.00 $156,662.00 $43,790.50 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 32 22 $0.01 — $26,050.00 $156,385.00 $43,713.50 2024-12-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 22 $0.01 — $25,890.00 $155,374.00 $43,430.50 2024-12-15
332 MS_DRG Rectal Resection With Mcc 32 22 $0.01 — $25,863.00 $155,204.00 $43,383.00 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 22 $0.01 — $25,836.00 $155,033.00 $43,335.50 2024-12-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 7 $0.01 — $40,490.00 $48,589.00 $43,122.50 2024-12-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 22 $0.01 — $25,690.00 $154,116.00 $43,079.00 2024-12-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 22 $0.01 — $25,652.00 $153,875.00 $43,011.50 2024-12-15
665 MS_DRG Prostatectomy With Mcc 32 22 $0.01 — $25,614.00 $153,633.00 $42,944.00 2024-12-15
252 MS_DRG Other Vascular Procedures With Mcc 32 22 $0.01 — $25,591.00 $153,490.00 $42,904.00 2024-12-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 22 $0.01 — $25,554.00 $153,257.00 $42,839.00 2024-12-15
84 APR_DRG Autologous Bone Marrow Transplant 10 7 $0.01 — $40,033.00 $48,039.00 $42,635.00 2024-12-15
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 109 38 $184,110.00 $73,644.00 60% off $8,512.00 $165,699.00 $42,237.00 2024-12-15
73 APR_DRG Allogeneic Bone Marrow Transplant 10 7 $0.01 — $39,475.00 $47,370.00 $42,040.50 2024-12-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 22 $0.01 — $25,069.00 $150,192.00 $41,982.00 2024-12-15
37 MS_DRG Extracranial Procedures With Mcc 32 22 $0.01 — $24,815.00 $148,590.00 $41,534.50 2024-12-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 32 22 $0.01 — $24,681.00 $147,740.00 $41,297.00 2024-12-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 32 22 $0.01 — $24,445.00 $146,255.00 $40,882.00 2024-12-15
C1882 HCPCS Defibrillator Crdc Protecta Xt 2,471 38 $116,025.40 $46,410.16 60% off $5.00 $211,776.00 $40,831.00 2024-12-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 35 22 $0.01 — $20,102.00 $138,988.00 $40,792.00 2024-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 22 $0.01 — $24,379.00 $145,839.00 $40,765.00 2024-12-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 22 $0.01 — $24,369.00 $145,776.00 $40,748.00 2024-12-15
4404 APR_DRG Kidney Transplant 10 7 $0.01 — $37,839.00 $45,407.00 $40,299.00 2024-12-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 32 22 $0.01 — $24,095.00 $144,044.00 $40,264.00 2024-12-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 22 $0.01 — $23,990.00 $143,378.00 $40,011.00 2024-12-15
50593 CPT Hc Ablation Renal Tumor Unilateral Perq Cryotherapy 92 38 $93,218.03 $37,287.21 60% off $4,477.00 $167,792.00 $39,906.50 2024-12-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 22 $0.01 — $23,880.00 $142,689.00 $39,885.00 2024-12-15
C1816 HCPCS System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 150 38 $134,640.00 $53,856.00 60% off $2,154.00 $138,006.00 $39,853.50 2024-12-15
8634 APR_DRG Neonatal Aftercare 10 7 $0.01 — $37,397.00 $44,877.00 $39,828.00 2024-12-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 32 22 $0.01 — $23,820.00 $142,304.00 $39,777.50 2024-12-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 22 $0.01 — $23,774.00 $142,017.00 $39,697.00 2024-12-15
500 MS_DRG Soft Tissue Procedures With Mcc 32 22 $0.01 — $23,737.00 $141,780.00 $39,630.50 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 36 21 $75,678.65 $30,271.46 60% off $10,141.00 $68,111.00 $39,542.00 2024-12-15
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 36 21 $75,678.65 $30,271.46 60% off $10,141.00 $68,111.00 $39,542.00 2024-12-15
37231 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 89 38 $92,656.53 $37,062.61 60% off $2,706.00 $166,782.00 $39,398.00 2024-12-15
63 APR_DRG Pancreas Transplant 10 7 $0.01 — $36,709.00 $44,050.00 $39,094.50 2024-12-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 32 22 $0.01 — $23,399.00 $139,646.00 $39,034.50 2024-12-15
662 MS_DRG Minor Bladder Procedures With Mcc 32 22 $0.01 — $23,389.00 $139,583.00 $39,017.00 2024-12-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 7 $0.01 — $36,564.00 $43,877.00 $38,940.50 2024-12-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 7 $0.01 — $36,393.00 $43,672.00 $38,758.50 2024-12-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 22 $0.01 — $23,196.00 $138,366.00 $38,676.50 2024-12-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 22 $0.01 — $23,151.00 $138,080.00 $38,596.50 2024-12-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 32 22 $0.01 — $23,135.00 $137,982.00 $38,569.00 2024-12-15
652 MS_DRG Kidney Transplant 32 22 $0.01 — $23,047.00 $137,427.00 $38,414.00 2024-12-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 22 $0.01 — $23,027.00 $137,301.00 $38,379.00 2024-12-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 22 $0.01 — $22,956.00 $136,854.00 $38,254.00 2024-12-15
570 MS_DRG Skin Debridement With Mcc 32 22 $0.01 — $22,613.00 $134,688.00 $37,648.50 2024-12-15
974 MS_DRG HIV With Major Related Condition With Mcc 32 22 $0.01 — $22,443.00 $133,615.00 $37,348.50 2024-12-15
C2616 HCPCS Sphere Embol Sir Msphre 90 109 38 $169,324.35 $67,729.74 60% off $7,779.00 $152,392.00 $37,205.00 2024-12-15
3613299801 CDM Hc Perq Radiofreq Ablation Tx, Pul Tumor 14 13 $54,981.36 $21,992.54 60% off $33,099.00 $49,483.00 $37,112.50 2024-12-15
3614738201 CDM Hc Ablat,open,1+ Liver Tumor(s),percut Rf 14 13 $54,981.36 $21,992.54 60% off $33,099.00 $49,483.00 $37,112.50 2024-12-15
3610200T01 CDM Hc Perq Sac Agmntj Uni W/wo Balo/mchnl Dev 1/> Ndl 14 13 $54,655.25 $21,862.10 60% off $32,902.00 $49,190.00 $36,892.50 2024-12-15
3612098201 CDM Hc Ablation Bone Tumor Rf Perq W/img Gdn When Done 14 13 $54,655.25 $21,862.10 60% off $32,902.00 $49,190.00 $36,892.50 2024-12-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 7 $0.01 — $34,634.00 $41,561.00 $36,885.50 2024-12-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 22 $0.01 — $22,177.00 $131,932.00 $36,878.00 2024-12-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 35 22 $0.01 — $9,154.00 $125,529.00 $36,842.00 2024-12-15
L8614 HCPCS Electrode Hires Ultra 3d Ci Hifocus Slimj Cochlear 503 34 $123,739.69 $49,495.88 60% off $322.00 $174,447.00 $36,812.00 2024-12-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 32 22 $0.01 — $22,123.00 $131,592.00 $36,783.00 2024-12-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 32 22 $0.01 — $22,066.00 $131,234.00 $36,683.00 2024-12-15
668 MS_DRG Transurethral Procedures With Mcc 32 22 $0.01 — $21,948.00 $130,487.00 $36,474.00 2024-12-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 32 22 $0.01 — $21,936.00 $130,415.00 $36,454.00 2024-12-15
800 MS_DRG Splenic Procedures With Cc 32 22 $0.01 — $21,930.00 $130,375.00 $36,443.00 2024-12-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 32 22 $0.01 — $21,919.00 $130,303.00 $36,423.00 2024-12-15
472 MS_DRG Cervical Spinal Fusion With Cc 32 22 $0.01 — $21,812.00 $129,632.00 $36,235.50 2024-12-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 7 $0.01 — $33,958.00 $40,749.00 $36,165.00 2024-12-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 7 $0.01 — $33,728.00 $40,474.00 $35,920.50 2024-12-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 32 22 $0.01 — $21,599.00 $128,286.00 $35,859.00 2024-12-15
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 36 21 $68,593.15 $27,437.26 60% off $9,191.00 $61,734.00 $35,840.00 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 36 21 $68,593.15 $27,437.26 60% off $9,191.00 $61,734.00 $35,840.00 2024-12-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 32 22 $0.01 — $21,576.00 $128,138.00 $35,817.50 2024-12-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 $0.01 — $33,602.00 $40,323.00 $35,787.00 2024-12-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 32 22 $0.01 — $21,535.00 $127,883.00 $35,746.50 2024-12-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 7 $0.01 — $33,236.00 $39,883.00 $35,396.50 2024-12-15
654 MS_DRG Major Bladder Procedures With Cc 32 22 $0.01 — $21,280.00 $126,272.00 $35,296.00 2024-12-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 32 22 $0.01 — $21,183.00 $125,659.00 $35,124.50 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 35 22 $0.01 — $6,030.00 $190,583.00 $35,089.00 2024-12-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 7 $0.01 — $32,884.00 $39,460.00 $35,021.50 2024-12-15
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 63 38 $137,429.57 $54,971.83 60% off $1,211.00 $123,687.00 $34,632.00 2024-12-15
C1820 HCPCS Stimulator Neurostim Primeadvanced Surescan 759 38 $97,838.40 $39,135.36 60% off $1,018.00 $172,036.00 $34,589.00 2024-12-15
1784 APR_DRG External Heart Assist Systems 10 7 $0.01 — $32,322.00 $38,787.00 $34,423.50 2024-12-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 7 $0.01 — $32,237.00 $38,684.00 $34,332.50 2024-12-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 $0.01 — $32,143.00 $38,571.00 $34,232.00 2024-12-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 32 22 $0.01 — $20,673.00 $122,437.00 $34,224.00 2024-12-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 32 22 $0.01 — $20,638.00 $122,218.00 $34,163.00 2024-12-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 7 $0.01 — $32,074.00 $38,489.00 $34,158.50 2024-12-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 32 22 $0.01 — $20,603.00 $121,995.00 $34,100.00 2024-12-15
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