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

Your selected procedure

You selected 93350 (CPT)

HC STRESS TTE W OR WO FOL W CONTRAST ECG

This hospital’s price: $744 across 48 payers · range $301-$4,997

Source: https://www.adventhealth.com/sites/default/files/CDM/2025/591113901_AdventHealth-Tampa_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

25,119 distinct procedures filed
69 distinct payers
1,426,092 rate rows
2026-04-01 last MRF observed
Data quality

1,367,133 of 1,426,092 rate rows are consumer-grade (95.9%)

58,959 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 49,228
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,556
exceeds 10× this hospital's gross charge — excluded from medians 2,663
template filing: same amount across many unrelated codes — excluded 2,427
per-diem day rate — not a per-procedure price 778
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 307
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://HospitalPriceDisclosure.com/download.aspx?pi=khYTsLQBEOlR3OFzhxmu6g*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-27
Content fingerprint 4916a26a56422dba… · 30,357,029 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
$622,450
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
$640,950
1.6× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 38 $24,610.00 $2,970,972.00 $927,603.00 nat. median
$739,258
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 46 $178,959.46 $1,980,751.85 $370,218.82 nat. median
$359,454
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 46 $116,137.49 $1,285,428.27 $258,842.05 nat. median
$249,036
1.0× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 34 $10.00 $693,347.00 $231,193.00 nat. median
$1,012
outlier · 228.4×
5834
APR_DRG 		Neonate With Ecmo 7 $205,319.00 $246,383.00 $218,665.00 nat. median
$307,206
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 46 $88,481.38 $1,061,453.00 $188,323.10 nat. median
$198,418
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 46 $87,962.11 $973,578.70 $185,613.48 nat. median
$190,559
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 11 $3,150.07 $406,463.56 $174,963.91 nat. median
$70,732
outlier · 2.5×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 9 $31,730.71 $351,200.59 $173,613.41 nat. median
$47,543
outlier · 3.7×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 9 $29,379.28 $325,174.51 $160,747.61 nat. median
$39,452
outlier · 4.1×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 9 $26,526.80 $293,602.88 $145,140.41 nat. median
$38,225
outlier · 3.8×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $133,948.00 $160,737.00 $142,654.50 nat. median
$247,214
0.6× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 34 $615.00 $427,589.00 $142,577.00 nat. median
$909
outlier · 156.8×
5833
APR_DRG 		Neonate With Ecmo 7 $133,012.00 $159,615.00 $141,658.00 nat. median
$244,017
0.6× median
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 34 $84.00 $414,100.00 $138,079.00 nat. median
$757
outlier · 182.5×
215
MS_DRG 		Other Heart Assist System Implant 46 $41,264.10 $474,054.00 $136,272.42 nat. median
$93,901
1.5× median
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 38 $27,437.00 $232,596.00 $134,905.50 nat. median
$53,185
outlier · 2.5×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 12 $4,208.80 $304,216.97 $129,993.08 nat. median
$52,712
outlier · 2.5×
24
APR_DRG 		Heart And/or Lung Transplant 7 $118,623.00 $142,347.00 $126,333.00 nat. median
$241,437
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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 46 $20,315.99 $1,045,296.37 $119,931.16 nat. median
$126,695
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 13 $4,563.87 $280,548.56 $119,593.93 nat. median
$49,540
outlier · 2.4×
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 3 38 $25,477.00 $336,600.00 $119,216.50 nat. median
$7,520
outlier · 15.9×
38240
CPT 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 38 $2,682.00 $436,291.00 $118,874.00 nat. median
$12,842
outlier · 9.3×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 9 $21,627.49 $239,376.55 $118,334.02 nat. median
$32,619
outlier · 3.6×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $111,502.61 $295,481.92 $118,192.77 nat. median
$111,503
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 $25,484.00 $448,727.25 $116,635.44 nat. median
$90,551
1.3× median
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 34 $60.00 $348,013.00 $116,043.00 nat. median
$4,685
outlier · 24.8×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 9 $20,960.27 $231,991.64 $114,683.35 nat. median
$34,024
outlier · 3.4×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 9 $20,806.94 $230,294.49 $113,844.37 nat. median
$31,634
outlier · 3.6×
58914-501-56
NDC 		Mesalamine 1000 Mg Re Supp 21 $29,163.00 $195,873.00 $113,715.00 nat. median
$45,242
outlier · 2.5×
7
MS_DRG 		Lung Transplant 46 $53,668.61 $594,012.72 $112,241.13 nat. median
$117,974
1.0× 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
$123,836
0.9× median
5832
APR_DRG 		Neonate With Ecmo 7 $102,129.00 $122,555.00 $108,767.50 nat. median
$159,249
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $101,659.00 $121,991.00 $108,267.00 nat. median
$202,993
0.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 46 $25,484.00 $386,671.08 $108,009.00 nat. median
$77,028
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×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 46 $49,804.94 $586,227.00 $105,683.32 nat. median
$110,307
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 46 $42,729.08 $476,497.00 $104,219.40 nat. median
$95,038
1.1× 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
$154,011
0.7× median
2039
OTHER 		Gen, Neuro, Imp Led, Ex Cntr 1 $102,642.44 $102,642.44 $102,642.44 nat. median
$62
outlier · 1654.2×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $96,372.00 $115,646.00 $102,636.00 nat. median
$155,939
0.7× median
C1824
HCPCS 		Generator Pul Implantable Optimizer Smt F/hrt Fail 38 $25,477.00 $215,982.00 $101,518.50 nat. median
$35,360
outlier · 2.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 $46,961.59 $519,778.33 $98,431.17 nat. median
$104,013
0.9× median
C2624
HCPCS 		System Cardiomems Hrt Failure Ptnt 34 $24,122.00 $165,725.00 $96,120.50 nat. median
$32,662
outlier · 2.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 $45,674.39 $505,531.42 $95,780.79 nat. median
$93,276
1.0× median
A9569
HCPCS 		Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 34 $57.00 $285,633.00 $95,243.00 nat. median
$1,905
outlier · 50.0×

Other procedures at this hospital

Browse this hospital's 25,119 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 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 114 46 $0.01 — $178,959.46 $1,980,751.85 $370,218.82 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 120 46 $0.01 — $116,137.49 $1,285,428.27 $258,842.05 2026-04-01
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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 114 46 $0.01 — $88,481.38 $1,061,453.00 $188,323.10 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 124 46 $0.01 — $87,962.11 $973,578.70 $185,613.48 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 34 11 — — $3,150.07 $406,463.56 $174,963.91 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 21 9 — — $31,730.71 $351,200.59 $173,613.41 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 21 9 — — $29,379.28 $325,174.51 $160,747.61 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 21 9 — — $26,526.80 $293,602.88 $145,140.41 2026-04-01
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
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
215 MS_DRG Other Heart Assist System Implant 130 46 $0.01 — $41,264.10 $474,054.00 $136,272.42 2026-04-01
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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 35 12 — — $4,208.80 $304,216.97 $129,993.08 2026-04-01
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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 124 46 $0.01 — $20,315.99 $1,045,296.37 $119,931.16 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 45 13 — — $4,563.87 $280,548.56 $119,593.93 2026-04-01
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
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 21 9 — — $21,627.49 $239,376.55 $118,334.02 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 6 — — $111,502.61 $295,481.92 $118,192.77 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 128 46 $0.01 — $25,484.00 $448,727.25 $116,635.44 2026-04-01
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
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 21 9 — — $20,960.27 $231,991.64 $114,683.35 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 21 9 — — $20,806.94 $230,294.49 $113,844.37 2026-04-01
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
7 MS_DRG Lung Transplant 114 46 $0.01 — $53,668.61 $594,012.72 $112,241.13 2026-04-01
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 127 46 $0.01 — $25,484.00 $386,671.08 $108,009.00 2026-04-01
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
14 MS_DRG Allogeneic Bone Marrow Transplant 114 46 $0.01 — $49,804.94 $586,227.00 $105,683.32 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 116 46 $0.01 — $42,729.08 $476,497.00 $104,219.40 2026-04-01
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
2039 OTHER Gen, Neuro, Imp Led, Ex Cntr 1 1 — — $102,642.44 $102,642.44 $102,642.44 2026-04-01
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
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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 114 46 $0.01 — $46,961.59 $519,778.33 $98,431.17 2026-04-01
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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 114 46 $0.01 — $45,674.39 $505,531.42 $95,780.79 2026-04-01
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
209 MS_DRG Complex Aortic Arch Procedures 64 25 — — $46,907.71 $519,182.04 $94,808.86 2026-04-01
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
58468-0132-2 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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 119 46 $0.01 — $25,484.00 $498,784.09 $92,883.95 2026-04-01
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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 140 46 $0.01 — $379.52 $350,677.68 $92,778.38 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 140 46 $0.01 — $24,183.46 $352,195.94 $92,510.51 2026-04-01
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
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 39 11 — — $6,060.88 $211,254.27 $91,600.78 2026-04-01
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
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
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 123 46 $0.01 — $28,503.60 $315,482.40 $87,559.00 2026-04-01
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
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 126 46 $0.01 — $25,484.00 $301,602.44 $86,453.72 2026-04-01
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
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
59385-027-01 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
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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 127 46 $0.01 — $25,124.81 $278,085.40 $80,219.00 2026-04-01
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
5831 APR_DRG Neonate With Ecmo 10 7 $0.01 — $74,234.00 $89,081.00 $79,059.50 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 114 46 $0.01 — $37,337.85 $413,261.34 $78,615.61 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 140 46 $0.01 — $24,320.83 $269,186.81 $77,952.18 2026-04-01
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
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
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
850 MS_DRG Acute Leukemia With Other Procedures 114 46 $0.01 — $35,886.96 $412,177.00 $75,675.33 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 132 46 $0.01 — $863.54 $271,173.71 $75,156.43 2026-04-01
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
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 133 46 $0.01 — $24,892.73 $277,162.00 $73,602.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 122 46 $0.01 — $944.26 $385,455.55 $73,442.85 2026-04-01
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
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 7 6 — — $68,801.71 $182,324.53 $72,929.81 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 121 46 $0.01 — $18,118.62 $280,981.64 $72,290.66 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 40 11 — — $7,631.15 $184,286.08 $72,223.40 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 10 7 $0.01 — $66,606.00 $79,927.00 $70,935.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 118 46 $0.01 — $22,888.58 $274,581.00 $69,935.67 2026-04-01
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
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 21 9 — — $5,754.00 $138,056.52 $68,247.22 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 130 46 $0.01 — $22,638.69 $250,568.59 $68,044.65 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 21 9 — — $5,754.00 $137,396.00 $67,920.70 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 119 46 $0.01 — $1,593.58 $360,933.99 $67,671.13 2026-04-01
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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 115 46 $0.01 — $31,578.62 $349,517.19 $65,583.01 2026-04-01
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
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 116 46 $0.01 — $25,368.08 $385,299.74 $64,568.45 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 130 46 $0.01 — $15,713.19 $281,103.58 $64,445.61 2026-04-01
10 MS_DRG Pancreas Transplant 114 46 $0.01 — $29,737.75 $356,744.00 $64,321.07 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 114 46 $0.01 — $29,567.42 $354,699.00 $63,961.26 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 121 46 $0.01 — $29,550.02 $327,064.32 $63,684.07 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 114 46 $0.01 — $29,915.54 $331,109.96 $63,332.84 2026-04-01
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
834 MS_DRG Acute Leukemia With Mcc 125 46 $0.01 — $125.00 $1,353,228.73 $62,981.63 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 114 46 $0.01 — $29,725.32 $329,004.58 $62,941.17 2026-04-01
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 137 46 $0.01 — $344.76 $297,670.89 $60,990.00 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 20 8 — — $11,009.15 $121,851.00 $60,639.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 132 46 $0.01 — $250.00 $226,932.29 $60,265.49 2026-04-01
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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 129 46 $0.01 — $1,676.00 $317,037.35 $59,642.43 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 114 46 $0.01 — $27,895.23 $308,748.83 $59,172.95 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 117 46 $0.01 — $25,484.00 $301,602.44 $58,867.61 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 10 7 $0.01 — $55,215.00 $66,258.00 $58,804.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 114 46 $0.01 — $27,710.39 $306,703.07 $58,792.38 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 114 46 $0.01 — $27,690.09 $306,478.31 $58,750.57 2026-04-01
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
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 129 46 $0.01 — $19,729.85 $218,373.14 $57,715.18 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 123 46 $0.01 — $18,495.28 $204,708.76 $57,686.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 125 46 $0.01 — $23,067.61 $255,316.03 $57,031.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 118 46 $0.01 — $13,444.35 $250,926.36 $56,892.78 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 115 46 $0.01 — $27,150.51 $300,506.17 $56,618.88 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 130 46 $0.01 — $15,837.31 $211,845.98 $56,219.38 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 10 7 $0.01 — $52,607.00 $63,128.00 $56,026.00 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 118 46 $0.01 — $26,666.88 $295,153.25 $55,639.83 2026-04-01
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 130 46 $0.01 — $17,359.35 $192,136.07 $55,062.87 2026-04-01
64 APR_DRG Pancreas Transplant 10 7 $0.01 — $51,673.00 $62,007.00 $55,031.50 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
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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 121 46 $0.01 — $10,396.34 $208,644.32 $53,607.00 2026-04-01
8514 APR_DRG Gender Related Procedures 10 7 $0.01 — $50,103.00 $60,123.00 $53,359.50 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 135 46 $0.01 — $18,842.57 $208,552.58 $53,140.00 2026-04-01
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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 128 46 $0.01 — $17,501.91 $193,713.96 $52,917.93 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 8 5 — — $769.69 $121,663.58 $52,877.33 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 7 6 — — $49,605.45 $131,454.44 $52,581.78 2026-04-01
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 114 46 $0.01 — $24,574.04 $271,989.41 $52,334.53 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 116 46 $0.01 — $24,899.78 $275,594.71 $52,062.56 2026-04-01
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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 116 46 $0.01 — $24,305.08 $269,012.51 $51,780.74 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 10 7 $0.01 — $48,472.00 $58,167.00 $51,623.50 2024-12-15
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 20 8 — — $9,361.82 $103,618.07 $51,566.19 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 120 45 $0.01 — $14,276.56 $272,622.40 $51,518.93 2026-04-01
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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 114 46 $0.01 — $23,900.19 $264,531.11 $50,947.05 2026-04-01
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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 124 46 $0.01 — $18,579.32 $262,843.13 $49,730.29 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 114 46 $0.01 — $23,298.86 $257,875.52 $49,708.90 2026-04-01
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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 114 46 $0.01 — $23,226.75 $257,077.40 $49,560.42 2026-04-01
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
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 118 46 $0.01 — $362.75 $261,430.37 $49,471.90 2026-04-01
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
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 121 46 $0.01 — $15,856.56 $395,296.13 $49,139.25 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 114 46 $0.01 — $22,512.70 $270,070.00 $49,070.04 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 64 25 — — $23,650.71 $261,769.80 $48,608.11 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 132 46 $0.01 — $7,822.26 $210,836.86 $48,129.54 2026-04-01
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
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
21 APR_DRG Heart And/or Lung Transplant 10 7 $0.01 — $44,578.00 $53,493.00 $47,475.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 114 46 $0.01 — $22,087.09 $244,463.42 $47,213.82 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 121 46 $0.01 — $10,379.42 $238,766.49 $46,981.35 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 118 46 $0.01 — $21,938.72 $247,314.00 $46,908.34 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 135 46 $0.01 — $10,866.49 $189,232.56 $46,462.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 117 46 $0.01 — $20,887.75 $231,188.93 $45,547.95 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 118 46 $0.01 — $13,890.10 $249,430.00 $45,389.58 2026-04-01
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
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
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
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 120 46 $0.01 — $15,684.51 $193,205.00 $44,302.21 2026-04-01
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
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 114 46 $0.01 — $20,311.70 $241,407.00 $44,223.44 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 138 46 $0.01 — $11,786.28 $226,528.64 $43,877.38 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 123 46 $0.01 — $250.00 $221,487.64 $43,712.82 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 121 46 $0.01 — $5,725.10 $269,552.67 $43,497.78 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 21 9 — — $5,293.00 $87,586.86 $43,297.91 2026-04-01
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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 120 46 $0.01 — $9,164.77 $225,753.46 $42,946.59 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 129 46 $0.01 — $125.00 $151,772.00 $42,780.33 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 117 46 $0.01 — $14,585.20 $163,257.00 $42,665.69 2026-04-01
2038 OTHER Gen, Neuro, Clo Loop, Rechg 3 3 — — $33.22 $83,497.54 $42,651.30 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant 10 7 $0.01 — $40,033.00 $48,039.00 $42,635.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 115 46 $0.01 — $19,385.88 $214,566.01 $42,403.49 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 7 6 — — $39,992.59 $105,980.36 $42,392.15 2026-04-01
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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 131 46 $0.01 — $13,052.25 $144,464.42 $42,200.15 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 10 7 $0.01 — $39,475.00 $47,370.00 $42,040.50 2024-12-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 122 46 $0.01 — $14,945.75 $165,421.96 $42,013.50 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 117 46 $0.01 — $19,910.12 $412,303.75 $41,961.67 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 128 46 $0.01 — $6,870.95 $215,677.91 $41,771.41 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 122 46 $0.01 — $15,488.23 $171,426.21 $41,585.72 2026-04-01
245 MS_DRG Aicd Generator Procedures 115 46 $0.01 — $18,907.63 $218,655.00 $41,402.20 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 21 9 — — $5,293.00 $83,330.21 $41,193.67 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 116 46 $0.01 — $2,104.42 $215,648.52 $41,098.39 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 143 46 $0.01 — $6,043.52 $173,681.59 $40,985.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 139 46 $0.01 — $12,917.98 $181,519.66 $40,926.00 2026-04-01
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
6 MS_DRG Liver Transplant Without Mcc 115 46 $0.01 — $19,216.79 $216,973.00 $40,558.11 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 114 46 $0.01 — $18,768.80 $212,749.00 $40,381.37 2026-04-01
4404 APR_DRG Kidney Transplant 10 7 $0.01 — $37,839.00 $45,407.00 $40,299.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 117 46 $0.01 — $19,000.47 $210,300.19 $40,120.19 2026-04-01
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
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
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
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 131 46 $0.01 — $7,393.00 $152,407.00 $39,433.69 2026-04-01
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
163 MS_DRG Major Chest Procedures With Mcc 130 46 $0.01 — $11,739.43 $206,234.00 $39,256.07 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 117 46 $0.01 — $18,568.22 $205,516.05 $39,245.16 2026-04-01
63 APR_DRG Pancreas Transplant 10 7 $0.01 — $36,709.00 $44,050.00 $39,094.50 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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 119 46 $0.01 — $18,204.77 $216,893.93 $38,509.41 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 126 46 $0.01 — $9,154.00 $144,124.98 $38,443.34 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 115 46 $0.01 — $17,472.07 $193,383.70 $38,396.58 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 114 46 $0.01 — $17,676.38 $195,645.05 $38,132.04 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 127 46 $0.01 — $12,209.32 $135,134.66 $38,046.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 123 46 $0.01 — $6,030.00 $198,493.51 $37,960.74 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 124 46 $0.01 — $15,215.95 $236,237.10 $37,933.98 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 114 46 $0.01 — $17,574.85 $194,521.26 $37,922.98 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 121 46 $0.01 — $16,789.56 $190,493.96 $37,849.94 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 116 46 $0.01 — $17,790.76 $200,663.00 $37,671.30 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 116 46 $0.01 — $17,391.68 $198,238.00 $37,545.82 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 20 8 — — $6,748.46 $74,693.08 $37,171.49 2026-04-01
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
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 7 6 — — $34,970.13 $92,670.84 $37,068.34 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 116 46 $0.01 — $1,575.00 $193,287.38 $37,008.54 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 120 46 $0.01 — $17,412.40 $192,723.19 $36,905.35 2026-04-01
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
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
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 7 $0.01 — $34,634.00 $41,561.00 $36,885.50 2024-12-15
0686T OTHER Histotripsy Mal Hepatcel Tis 25 13 — — $21,250.85 $94,804.84 $36,848.67 2026-04-01
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
69930 HCPCS Implant Cochlear Device 18 12 — — $1,199.00 $91,245.05 $36,325.86 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 120 46 $0.01 — $926.81 $191,255.38 $36,296.15 2026-04-01
C2616 HCPCS Sphere Embol Sir Msphre 90 116 42 $169,324.35 $67,729.74 60% off $7,779.00 $152,392.00 $36,220.50 2026-04-01
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
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 114 46 $0.01 — $16,661.88 $184,416.31 $36,043.14 2026-04-01
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
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
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
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
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 9 7 — — $6,572.93 $82,997.68 $35,747.21 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 114 46 $0.01 — $16,511.03 $182,746.68 $35,732.54 2026-04-01
791 MS_DRG Prematurity With Major Problems 117 46 $0.01 — $4,976.12 $186,182.27 $35,709.01 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 114 46 $0.01 — $16,138.46 $193,603.00 $35,614.70 2026-04-01
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
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
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 17 12 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 17 12 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 17 12 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 17 12 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 17 12 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 17 12 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 17 12 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 114 46 $0.01 — $16,017.03 $177,279.10 $34,715.39 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 9 6 — — $5,201.63 $50,576.44 $34,679.18 2026-04-01
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
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 117 46 $0.01 — $16,211.81 $179,434.94 $34,474.92 2026-04-01
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
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 118 46 $0.01 — $13,421.09 $148,546.76 $34,321.53 2026-04-01
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
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 127 46 $0.01 — $10,551.36 $117,103.56 $34,207.65 2026-04-01
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
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 17 12 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 17 12 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 17 12 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 17 12 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 17 12 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 17 12 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 17 12 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 117 46 $0.01 — $16,041.07 $177,545.14 $34,129.28 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 118 46 $0.01 — $4,122.47 $189,778.37 $34,049.57 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 18 12 — — $537.00 $85,393.72 $33,996.37 2026-04-01
61886 HCPCS Implant Neurostim Arrays 18 12 — — $614.00 $85,393.72 $33,996.37 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 18 12 — — $537.00 $85,393.72 $33,996.37 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 121 46 $0.01 — $4,517.69 $178,247.00 $33,865.85 2026-04-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 7 $0.01 — $31,781.00 $38,137.00 $33,847.00 2024-12-15
5232 OTHER Level 2 Icd And Similar Procedures 17 9 — — $8.26 $64,437.78 $33,776.60 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 10 7 $0.01 — $31,655.00 $37,985.00 $33,712.00 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 117 46 $0.01 — $15,222.17 $172,761.00 $33,685.97 2026-04-01
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 60 38 $64,975.69 $25,990.28 60% off $8,707.00 $58,478.00 $33,592.50 2024-12-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 7 $0.01 — $31,499.00 $37,799.00 $33,546.50 2024-12-15
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