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 DADE CITY

Dade City, FL · CCN 100211 · Rates published

14,881 distinct procedures filed
54 distinct payers
1,076,857 rate rows
2026-04-01 last MRF observed
Data quality

1,045,810 of 1,076,857 rate rows are consumer-grade (97.1%)

31,047 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 21,881
template filing: same amount across many unrelated codes — excluded 4,518
exceeds 10× this hospital's gross charge — excluded from medians 4,003
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 323
per-diem day rate — not a per-procedure price 322
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://HospitalPriceDisclosure.com/download.aspx?pi=S5J32lAid*__*wSkByufBjdpw*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-03
Content fingerprint 6f737a7ed78a8c06… · 20,330,161 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 40 $24,610.00 $3,144,432.00 $880,441.00 nat. median
$574,037
1.5× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 40 $24,610.00 $2,694,245.00 $719,962.50 nat. median
$621,313
1.2× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 40 $24,610.00 $3,075,493.00 $570,675.00 nat. median
$579,571
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 31 $258,822.00 $1,516,018.56 $358,745.67 nat. median
$168,055
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 31 $193,536.00 $1,003,777.00 $242,280.43 nat. median
$186,516
1.3× median
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 21 $66,537.00 $358,583.00 $237,661.00 —
5834
APR_DRG 		Neonate With Ecmo 8 $205,319.00 $246,383.00 $218,665.00 nat. median
$390,362
0.6× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 36 $9.00 $660,331.00 $207,637.00 nat. median
$767
outlier · 270.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 $163,129.00 $845,362.00 $194,840.93 nat. median
$131,925
1.5× median
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 21 $51,826.00 $279,300.00 $185,113.50 —
59385-027-01
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 21 $51,826.00 $279,300.00 $185,113.50 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 $147,457.00 $763,715.00 $184,103.98 nat. median
$145,435
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $133,948.00 $160,737.00 $142,654.50 nat. median
$286,698
outlier · 0.5×
5833
APR_DRG 		Neonate With Ecmo 8 $133,012.00 $159,615.00 $141,658.00 nat. median
$268,208
0.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $88,839.85 $397,369.11 $135,778.39 nat. median
$2,110
outlier · 64.3×
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 36 $584.00 $407,228.00 $128,050.00 nat. median
$631
outlier · 202.9×
24
APR_DRG 		Heart And/or Lung Transplant 8 $118,623.00 $142,347.00 $126,333.00 nat. median
$225,531
0.6× median
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 36 $80.00 $394,381.00 $124,011.00 nat. median
$547
outlier · 226.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 $97,513.00 $503,523.00 $121,028.45 nat. median
$97,418
1.2× median
38240
CPT 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 40 $2,682.00 $575,605.00 $119,617.00 nat. median
$28,331
outlier · 4.2×
7
MS_DRG 		Lung Transplant 31 $90,254.00 $465,707.00 $112,566.55 nat. median
$70,649
1.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $104,305.00 $125,166.00 $111,085.50 nat. median
$135,803
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 31 $90,480.00 $466,883.00 $108,855.98 nat. median
$72,715
1.5× median
5832
APR_DRG 		Neonate With Ecmo 8 $102,129.00 $122,555.00 $108,767.50 nat. median
$201,678
0.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $101,659.00 $121,991.00 $108,267.00 nat. median
$202,242
0.5× median
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 36 $57.00 $331,441.00 $104,220.00 nat. median
$3,702
outlier · 28.2×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $97,710.00 $117,252.00 $104,061.50 nat. median
$187,567
0.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $96,372.00 $115,646.00 $102,636.00 nat. median
$173,018
0.6× median
51167-331-01
NDC 		Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 21 $27,615.00 $148,826.00 $98,638.50 —
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 $76,238.00 $397,825.50 $96,731.11 nat. median
$65,418
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 31 $75,378.00 $388,204.00 $94,276.29 nat. median
$74,509
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $88,071.00 $105,685.00 $93,795.50 nat. median
$198,578
outlier · 0.5×
C9089
HCPCS 		Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 40 $29,231.00 $161,941.00 $93,381.50 nat. median
$1
outlier · 75307.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 $72,515.00 $386,921.27 $93,018.44 nat. median
$2,736
outlier · 34.0×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $87,116.00 $104,539.00 $92,778.50 nat. median
$173,134
0.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 $86,464.00 $103,757.00 $92,084.00 nat. median
$181,762
0.5× median
C2624
HCPCS 		System Cardiomems Hrt Failure Ptnt 40 $20,868.00 $157,824.00 $91,538.00 nat. median
$26,491
outlier · 3.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 31 $73,705.00 $379,491.00 $90,853.79 nat. median
$69,922
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $85,092.00 $102,110.00 $90,622.50 nat. median
$171,497
0.5× median
215
MS_DRG 		Other Heart Assist System Implant 31 $73,332.00 $377,546.00 $89,147.61 nat. median
$73,023
1.2× median
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 40 $15,327.00 $221,508.00 $86,322.00 nat. median
$35,000
outlier · 2.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $80,769.00 $96,923.00 $86,019.50 nat. median
$149,836
0.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $80,365.00 $96,438.00 $85,588.50 nat. median
$152,792
0.6× median
A9569
HCPCS 		Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 36 $55.00 $272,031.00 $85,539.00 nat. median
$1,675
outlier · 51.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 $66,877.00 $343,917.00 $84,217.82 nat. median
$69,822
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $78,902.00 $94,682.00 $84,030.50 nat. median
$168,439
outlier · 0.5×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $76,443.00 $91,731.00 $81,411.50 nat. median
$152,383
0.5× median
5831
APR_DRG 		Neonate With Ecmo 8 $74,234.00 $89,081.00 $79,059.50 nat. median
$173,909
outlier · 0.5×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 $72,982.00 $87,578.00 $77,725.50 nat. median
$115,963
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 31 $63,873.00 $328,266.00 $77,610.95 nat. median
$2,633
outlier · 29.5×

Other procedures at this hospital

Browse this hospital's 14,881 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 40 $3,493,813.04 $1,397,525.22 60% off $24,610.00 $3,144,432.00 $880,441.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 64 40 $2,993,605.38 $1,197,442.15 60% off $24,610.00 $2,694,245.00 $719,962.50 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 63 40 $3,417,214.77 $1,366,885.91 60% off $24,610.00 $3,075,493.00 $570,675.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 56 31 $0.01 — $258,822.00 $1,516,018.56 $358,745.67 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 56 31 $0.01 — $193,536.00 $1,003,777.00 $242,280.43 2026-04-01
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 32 21 $398,425.74 $159,370.29 60% off $66,537.00 $358,583.00 $237,661.00 2024-12-15
5834 APR_DRG Neonate With Ecmo 10 8 $0.01 — $205,319.00 $246,383.00 $218,665.00 2024-12-15
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 53 36 $733,701.00 $293,480.40 60% off $9.00 $660,331.00 $207,637.00 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 31 $0.01 — $163,129.00 $845,362.00 $194,840.93 2026-04-01
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 32 21 $310,333.28 $124,133.31 60% off $51,826.00 $279,300.00 $185,113.50 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 32 21 $310,333.28 $124,133.31 60% off $51,826.00 $279,300.00 $185,113.50 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 31 $0.01 — $147,457.00 $763,715.00 $184,103.98 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 $0.01 — $133,948.00 $160,737.00 $142,654.50 2024-12-15
5833 APR_DRG Neonate With Ecmo 10 8 $0.01 — $133,012.00 $159,615.00 $141,658.00 2024-12-15
209 MS_DRG Complex Aortic Arch Procedures 20 12 — — $88,839.85 $397,369.11 $135,778.39 2026-04-01
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 53 36 $452,475.10 $180,990.04 60% off $584.00 $407,228.00 $128,050.00 2024-12-15
24 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $118,623.00 $142,347.00 $126,333.00 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 53 36 $438,201.00 $175,280.40 60% off $80.00 $394,381.00 $124,011.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 56 31 $0.01 — $97,513.00 $503,523.00 $121,028.45 2026-04-01
38240 CPT Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 63 40 $639,561.44 $255,824.58 60% off $2,682.00 $575,605.00 $119,617.00 2024-12-15
7 MS_DRG Lung Transplant 56 31 $0.01 — $90,254.00 $465,707.00 $112,566.55 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 $0.01 — $104,305.00 $125,166.00 $111,085.50 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 56 31 $0.01 — $90,480.00 $466,883.00 $108,855.98 2026-04-01
5832 APR_DRG Neonate With Ecmo 10 8 $0.01 — $102,129.00 $122,555.00 $108,767.50 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $101,659.00 $121,991.00 $108,267.00 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 53 36 $368,267.80 $147,307.12 60% off $57.00 $331,441.00 $104,220.00 2024-12-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 8 $0.01 — $97,710.00 $117,252.00 $104,061.50 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 8 $0.01 — $96,372.00 $115,646.00 $102,636.00 2024-12-15
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 32 21 $165,361.92 $66,144.77 60% off $27,615.00 $148,826.00 $98,638.50 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 56 31 $0.01 — $76,238.00 $397,825.50 $96,731.11 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 56 31 $0.01 — $75,378.00 $388,204.00 $94,276.29 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 8 $0.01 — $88,071.00 $105,685.00 $93,795.50 2024-12-15
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 95 40 $175,036.00 $70,014.40 60% off $29,231.00 $161,941.00 $93,381.50 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 31 $0.01 — $72,515.00 $386,921.27 $93,018.44 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 $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 8 $0.01 — $86,464.00 $103,757.00 $92,084.00 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 75 40 $175,360.50 $70,144.20 60% off $20,868.00 $157,824.00 $91,538.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 56 31 $0.01 — $73,705.00 $379,491.00 $90,853.79 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $85,092.00 $102,110.00 $90,622.50 2024-12-15
215 MS_DRG Other Heart Assist System Implant 56 31 $0.01 — $73,332.00 $377,546.00 $89,147.61 2026-04-01
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 119 40 $246,120.00 $98,448.00 60% off $15,327.00 $221,508.00 $86,322.00 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $80,769.00 $96,923.00 $86,019.50 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 $0.01 — $80,365.00 $96,438.00 $85,588.50 2024-12-15
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 53 36 $302,257.00 $120,902.80 60% off $55.00 $272,031.00 $85,539.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 31 $0.01 — $66,877.00 $343,917.00 $84,217.82 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 8 $0.01 — $78,902.00 $94,682.00 $84,030.50 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 $0.01 — $76,443.00 $91,731.00 $81,411.50 2024-12-15
5831 APR_DRG Neonate With Ecmo 10 8 $0.01 — $74,234.00 $89,081.00 $79,059.50 2024-12-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 8 $0.01 — $72,982.00 $87,578.00 $77,725.50 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 56 31 $0.01 — $63,873.00 $328,266.00 $77,610.95 2026-04-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 8 $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 8 $0.01 — $71,338.00 $85,605.00 $75,975.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 56 31 $0.01 — $57,913.00 $316,300.03 $75,949.10 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 56 31 $0.01 — $58,825.00 $301,967.00 $73,369.43 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $68,785.00 $82,542.00 $73,256.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 31 $0.01 — $58,792.00 $301,800.00 $73,238.79 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $66,606.00 $79,927.00 $70,935.00 2024-12-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 $0.01 — $65,522.00 $78,627.00 $69,781.50 2024-12-15
0008-0423-03 NDC Antivenin Micrurus Fulvius IV Solr 33 21 $122,692.40 $49,076.96 60% off $15,683.00 $110,423.00 $69,689.00 2024-12-15
0008-0423-01 NDC Antivenin Micrurus Fulvius IV Solr 33 21 $122,692.40 $49,076.96 60% off $20,490.00 $110,423.00 $69,689.00 2024-12-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 12 — — $45,437.36 $200,352.14 $69,444.19 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 56 31 $0.01 — $56,001.00 $287,257.00 $69,206.77 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $63,159.00 $75,790.00 $67,264.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 56 31 $0.01 — $54,327.00 $278,537.00 $67,190.08 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 31 $0.01 — $53,788.00 $275,726.00 $66,975.54 2026-04-01
10 MS_DRG Pancreas Transplant 56 31 $0.01 — $55,398.00 $284,118.00 $65,945.93 2026-04-01
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 53 36 $232,141.00 $92,856.40 60% off $66.00 $208,927.00 $65,696.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 31 $0.01 — $55,086.00 $282,489.00 $65,572.38 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 56 31 $0.01 — $51,918.00 $267,511.83 $65,514.90 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 $0.01 — $60,831.00 $72,997.00 $64,785.00 2024-12-15
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 63 40 $380,906.37 $152,362.55 60% off $1,151.00 $342,816.00 $63,611.00 2024-12-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 8 $0.01 — $59,311.00 $71,174.00 $63,166.50 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 251 40 $174,800.00 $69,920.00 60% off $14,232.00 $207,000.00 $62,431.00 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 119 40 $119,600.00 $47,840.00 60% off $14,232.00 $205,686.00 $62,431.00 2024-12-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $58,591.00 $70,309.00 $62,399.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 31 $0.01 — $49,445.00 $253,423.39 $62,241.94 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 31 $0.01 — $49,201.00 $251,833.00 $61,717.99 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 56 31 $0.01 — $46,547.00 $251,811.98 $60,748.04 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 56 31 $0.01 — $48,445.00 $247,895.00 $60,320.49 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 56 31 $0.01 — $47,569.00 $243,326.00 $59,000.82 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 56 31 $0.01 — $46,469.00 $241,462.44 $58,891.73 2026-04-01
J7311 HCPCS Fluocinolone Acetonide 0.59 Mg Iz Impl 63 40 $352,416.31 $140,966.52 60% off $300.00 $317,175.00 $58,854.00 2024-12-15
1612 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $55,215.00 $66,258.00 $58,804.00 2024-12-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 8 $0.01 — $54,722.00 $65,666.00 $58,278.50 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 56 31 $0.01 — $46,723.00 $238,922.00 $58,245.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 56 31 $0.01 — $43,178.00 $234,742.96 $56,724.55 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 31 $0.01 — $45,035.00 $230,839.06 $56,704.16 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 56 31 $0.01 — $45,099.00 $230,459.00 $56,163.90 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 10 8 $0.01 — $52,607.00 $63,128.00 $56,026.00 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 31 $0.01 — $41,556.00 $230,839.06 $55,804.32 2026-04-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 $0.01 — $52,325.00 $62,790.00 $55,726.50 2024-12-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 $0.01 — $52,231.00 $62,678.00 $55,626.50 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 56 31 $0.01 — $42,985.00 $230,000.00 $55,606.54 2026-04-01
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 63 40 $329,896.77 $131,958.71 60% off $150.00 $296,907.00 $55,093.00 2024-12-15
64 APR_DRG Pancreas Transplant 10 8 $0.01 — $51,673.00 $62,007.00 $55,031.50 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 56 31 $0.01 — $44,121.00 $225,366.00 $54,230.15 2026-04-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 $0.01 — $50,782.00 $60,938.00 $54,083.00 2024-12-15
8514 APR_DRG Gender Related Procedures 10 8 $0.01 — $50,103.00 $60,123.00 $53,359.50 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 56 31 $0.01 — $42,646.00 $217,684.00 $53,025.76 2026-04-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 $0.01 — $49,700.00 $59,640.00 $52,930.50 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 56 31 $0.01 — $41,840.00 $215,149.74 $52,772.03 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 56 31 $0.01 — $42,447.00 $216,643.00 $52,670.59 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 8 $0.01 — $49,355.00 $59,226.00 $52,563.50 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 56 31 $0.01 — $42,148.00 $215,089.00 $52,150.87 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $48,472.00 $58,167.00 $51,623.50 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 56 31 $0.01 — $41,111.00 $209,683.00 $51,221.56 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 57 31 $0.01 — $43,233.00 $220,737.00 $51,098.11 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $47,894.00 $57,473.00 $51,007.50 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 31 $0.01 — $40,120.00 $209,346.55 $50,966.57 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 56 31 $0.01 — $40,687.00 $207,478.00 $50,929.83 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 56 31 $0.01 — $42,838.00 $218,681.00 $50,917.57 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 52 31 $0.01 — $41,525.00 $211,843.00 $50,339.60 2026-04-01
J1324 HCPCS Enfuvirtide 90 Mg Sc Solr 64 40 $93,984.81 $37,593.92 60% off $15,695.00 $84,586.00 $50,140.50 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 56 31 $0.01 — $42,148.00 $215,089.00 $50,092.78 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 31 $0.01 — $39,886.00 $203,301.00 $49,850.31 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 8 $0.01 — $46,657.00 $55,988.00 $49,689.50 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 8 $0.01 — $46,532.00 $55,838.00 $49,556.50 2024-12-15
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 163 40 $102,235.00 $40,894.00 60% off $11,222.00 $107,640.00 $49,224.50 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 56 31 $0.01 — $38,281.00 $202,465.58 $49,116.16 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 57 31 $0.01 — $37,806.00 $200,092.35 $48,556.74 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 31 $0.01 — $38,511.00 $197,371.55 $48,506.19 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 56 31 $0.01 — $38,080.00 $196,760.69 $48,153.20 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 56 31 $0.01 — $38,670.00 $196,965.00 $48,063.11 2026-04-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $44,903.00 $53,883.00 $47,821.50 2024-12-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 8 $0.01 — $44,820.00 $53,783.00 $47,733.00 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 8 $0.01 — $44,733.00 $53,680.00 $47,641.00 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 56 31 $0.01 — $37,995.00 $193,452.00 $47,542.83 2026-04-01
21 APR_DRG Heart And/or Lung Transplant 10 8 $0.01 — $44,578.00 $53,493.00 $47,475.00 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 56 31 $0.01 — $35,085.00 $195,412.58 $47,453.62 2026-04-01
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 64 40 $377,988.04 $151,195.21 60% off $614.00 $340,189.00 $47,430.00 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 56 31 $0.01 — $37,771.00 $192,283.00 $47,328.47 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 56 31 $0.01 — $38,670.00 $196,965.00 $47,251.71 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 56 31 $0.01 — $38,993.00 $198,651.00 $47,059.19 2026-04-01
C1833 HCPCS Monitor Crdc The Guardian Amsg3-e 75 40 $90,097.50 $36,039.00 60% off $10,722.00 $81,088.00 $47,031.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 56 31 $0.01 — $37,253.00 $191,779.01 $47,026.56 2026-04-01
50593 CPT Hc Ablation Renal Tumor Unilateral Perq Cryotherapy 92 40 $122,984.00 $49,193.60 60% off $4,477.00 $221,371.00 $46,980.00 2024-12-15
37231 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 92 40 $122,243.20 $48,897.28 60% off $7,047.00 $220,038.00 $46,697.00 2024-12-15
37230 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent Initial 92 40 $122,243.20 $48,897.28 60% off $7,047.00 $220,038.00 $46,697.00 2024-12-15
37229 CPT Hc Revascularize Tibial/peron Artery,angioplasty/atherectomy Initial 92 40 $122,243.20 $48,897.28 60% off $7,047.00 $220,038.00 $46,697.00 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 31 $0.01 — $37,092.00 $188,748.00 $46,384.57 2026-04-01
A9592 HCPCS Copper Cu 64 Dotatate 1 Mci/ml IV Soln 53 36 $162,001.00 $64,800.40 60% off $256.00 $145,801.00 $45,846.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 56 31 $0.01 — $36,089.00 $187,106.27 $45,717.33 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 56 31 $0.01 — $35,972.00 $185,235.06 $45,420.30 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 8 $0.01 — $42,599.00 $51,119.00 $45,368.00 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 56 31 $0.01 — $37,767.00 $192,262.00 $45,038.24 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 56 31 $0.01 — $35,710.00 $182,745.98 $44,955.93 2026-04-01
J2430 HCPCS Pamidronate Disodium 90 Mg IV Solr 95 40 $84,128.94 $33,651.58 60% off $337.00 $75,716.00 $44,883.00 2024-12-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $41,561.00 $49,873.00 $44,262.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 58 31 $0.01 — $19,880.11 $180,990.00 $43,984.42 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 56 31 $0.01 — $35,315.00 $179,490.00 $43,524.57 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 56 31 $0.01 — $34,949.00 $177,580.00 $43,391.91 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 8 $0.01 — $40,490.00 $48,589.00 $43,122.50 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 31 $0.01 — $32,276.00 $176,946.30 $43,100.78 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 56 31 $0.01 — $35,112.00 $178,432.00 $42,906.30 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant 10 8 $0.01 — $40,033.00 $48,039.00 $42,635.00 2024-12-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 12 — — $27,894.31 $120,718.93 $42,632.27 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 56 31 $0.01 — $34,087.00 $173,090.00 $42,338.76 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 59 31 $0.01 — $17,607.30 $178,221.00 $42,259.99 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $39,475.00 $47,370.00 $42,040.50 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 56 31 $0.01 — $34,031.00 $172,801.00 $41,509.57 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 56 31 $0.01 — $33,043.00 $167,652.00 $41,377.31 2026-04-01
245 MS_DRG Aicd Generator Procedures 56 31 $0.01 — $34,288.00 $174,141.00 $41,368.40 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 56 31 $0.01 — $33,527.00 $170,175.00 $41,349.38 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 56 31 $0.01 — $32,377.00 $165,052.05 $40,697.04 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 56 31 $0.01 — $33,386.00 $169,437.00 $40,641.29 2026-04-01
J2353 HCPCS Octreotide Acetate 10 Mg IM Kit 131 40 $221,852.49 $88,741.00 60% off $205.00 $563,022.00 $40,583.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 56 31 $0.01 — $32,871.00 $166,754.00 $40,536.58 2026-04-01
4404 APR_DRG Kidney Transplant 10 8 $0.01 — $37,839.00 $45,407.00 $40,299.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 57 31 $0.01 — $33,379.00 $169,405.00 $40,217.63 2026-04-01
8634 APR_DRG Neonatal Aftercare 10 8 $0.01 — $37,397.00 $44,877.00 $39,828.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 57 31 $0.01 — $32,682.00 $165,770.00 $39,611.04 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 56 31 $0.01 — $31,453.00 $159,621.00 $39,454.93 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 59 31 $0.01 — $19,122.92 $163,632.00 $39,428.99 2026-04-01
63 APR_DRG Pancreas Transplant 10 8 $0.01 — $36,709.00 $44,050.00 $39,094.50 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 57 31 $0.01 — $31,702.45 $160,771.00 $39,033.42 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 8 $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 8 $0.01 — $36,393.00 $43,672.00 $38,758.50 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 56 31 $0.01 — $30,909.00 $156,679.03 $38,753.69 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 57 31 $0.01 — $32,390.00 $164,249.00 $38,479.79 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 56 31 $0.01 — $29,526.00 $157,296.91 $38,469.04 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 56 31 $0.01 — $31,538.00 $159,812.00 $38,460.29 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 56 31 $0.01 — $30,040.00 $154,218.03 $37,896.65 2026-04-01
33249 CPT Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 95 40 $131,933.76 $52,773.50 60% off $14,380.00 $118,740.00 $37,876.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 56 31 $0.01 — $31,167.00 $157,881.00 $37,819.82 2026-04-01
37225 CPT Hc Revascularize Fem/pop Artery,angioplasty/atherectomy 92 40 $93,130.72 $37,252.29 60% off $7,047.00 $167,635.00 $37,736.50 2024-12-15
37184 CPT Hc Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 92 40 $93,130.72 $37,252.29 60% off $4,215.00 $167,635.00 $37,736.50 2024-12-15
27827 CPT Hc Open Treatment Fracture Distal Tibia Only 92 40 $98,469.44 $39,387.78 60% off $3,490.00 $177,245.00 $37,615.00 2024-12-15
27446 CPT Hc Knee Arthroplasty Condyle/plateau Medial Or Lateral Comptmnt 92 40 $98,469.44 $39,387.78 60% off $6,053.00 $177,245.00 $37,615.00 2024-12-15
28725 CPT Hc Fusion Foot Bones,subtalar 92 40 $98,469.44 $39,387.78 60% off $3,717.00 $177,245.00 $37,615.00 2024-12-15
27870 CPT Hc Asc Ankle Arthrodesis Open 27870 92 40 $98,469.44 $39,387.78 60% off $4,943.00 $177,245.00 $37,615.00 2024-12-15
27428 CPT Hc Ligament Reconst Knee, Intra-artic (open) 92 40 $98,469.44 $39,387.78 60% off $4,943.00 $177,245.00 $37,615.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 56 31 $0.01 — $29,997.00 $151,922.03 $37,598.04 2026-04-01
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 119 40 $146,115.00 $58,446.00 60% off $6,137.00 $131,504.00 $37,595.00 2024-12-15
0686T OTHER Histotripsy Mal Hepatcel Tis 9 8 — — $31,251.25 $81,092.12 $37,564.18 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 31 $0.01 — $30,398.00 $153,872.00 $37,219.02 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 56 31 $0.01 — $29,790.00 $150,708.00 $37,206.08 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 $0.01 — $34,634.00 $41,561.00 $36,885.50 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 56 31 $0.01 — $29,520.00 $149,296.00 $36,766.01 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 56 31 $0.01 — $29,322.00 $148,267.00 $36,726.39 2026-04-01
C2616 HCPCS Sphere Embol Sir Msphre 90 119 40 $161,252.55 $64,501.02 60% off $7,779.00 $145,127.00 $36,701.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 56 31 $0.01 — $28,794.00 $148,881.77 $36,485.43 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 56 31 $0.01 — $28,974.00 $147,937.39 $36,460.90 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 56 31 $0.01 — $28,932.00 $148,011.11 $36,442.60 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 56 31 $0.01 — $28,989.00 $147,056.20 $36,367.56 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 8 $0.01 — $33,958.00 $40,749.00 $36,165.00 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 56 31 $0.01 — $30,459.00 $154,189.00 $36,106.58 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 56 31 $0.01 — $28,684.00 $145,799.37 $36,019.92 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 8 $0.01 — $33,728.00 $40,474.00 $35,920.50 2024-12-15
5114 OTHER Level 4 Musculoskeletal Procedures 1 1 — — $35,808.43 $35,808.43 $35,808.43 2026-04-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 8 $0.01 — $33,602.00 $40,323.00 $35,787.00 2024-12-15
793 MS_DRG Full Term Neonate With Major Problems 52 31 $0.01 — $29,389.00 $148,616.00 $35,728.48 2026-04-01
37236 CPT Hc Open/perq Placement Intravascular Stent Initial 92 40 $93,130.72 $37,252.29 60% off $7,047.00 $167,635.00 $35,576.00 2024-12-15
37226 CPT Hc Revascularize Fem/pop Artery,angioplasty/stent 92 40 $93,130.72 $37,252.29 60% off $7,047.00 $167,635.00 $35,576.00 2024-12-15
37187 CPT Hc Percut Mech Thrombectomy, Venous 92 40 $93,130.72 $37,252.29 60% off $2,461.00 $167,635.00 $35,576.00 2024-12-15
37221 CPT Hc Revascularize Iliac Artery,angioplasty/stent, Initial Vessel 92 40 $93,130.72 $37,252.29 60% off $7,047.00 $167,635.00 $35,576.00 2024-12-15
37238 CPT Hc Open/perq Placement Intravascular Stent Same 1st 92 40 $93,130.72 $37,252.29 60% off $7,047.00 $167,635.00 $35,576.00 2024-12-15
37228 CPT Hc Revascularize Tibial/peron Artery,angioplasty Initial 92 40 $93,130.72 $37,252.29 60% off $4,215.00 $167,635.00 $35,576.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 56 31 $0.01 — $27,609.00 $144,833.93 $35,531.28 2026-04-01
L8614 HCPCS Electrode Hires Ultra 3d Ci Hifocus Slimj Cochlear 553 40 $117,840.94 $47,136.38 60% off $307.00 $166,131.00 $35,512.00 2024-12-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $33,236.00 $39,883.00 $35,396.50 2024-12-15
47335-624-60 NDC Ranolazine ER 500 Mg Po Pack 32 21 $58,984.36 $23,593.74 60% off $9,850.00 $53,086.00 $35,184.00 2024-12-15
L7510 HCPCS Kit Audiolink 107 40 $125,165.25 $50,066.10 60% off $82.00 $112,649.00 $35,171.00 2024-12-15
J0571 HCPCS Buprenorphine Hcl 300 Mcg Bu Film 63 40 $65,911.74 $26,364.69 60% off $11,007.00 $59,321.00 $35,164.00 2024-12-15
33270 CPT Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 63 40 $131,933.76 $52,773.50 60% off $14,380.00 $118,740.00 $35,107.00 2024-12-15
5464 OTHER Level 4 Neurostimulator And Related Procedures 1 1 — — $35,034.76 $35,034.76 $35,034.76 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 8 $0.01 — $32,884.00 $39,460.00 $35,021.50 2024-12-15
791 MS_DRG Prematurity With Major Problems 52 31 $0.01 — $28,632.00 $144,675.00 $34,817.50 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 56 31 $0.01 — $27,622.00 $141,147.69 $34,779.68 2026-04-01
1784 APR_DRG External Heart Assist Systems 10 8 $0.01 — $32,322.00 $38,787.00 $34,423.50 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 56 31 $0.01 — $25,383.00 $139,869.80 $34,361.13 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 56 31 $0.01 — $28,111.00 $141,959.00 $34,348.93 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 8 $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 8 $0.01 — $32,143.00 $38,571.00 $34,232.00 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 56 31 $0.01 — $27,741.00 $140,031.00 $34,213.35 2026-04-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $32,074.00 $38,489.00 $34,158.50 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 56 31 $0.01 — $27,461.00 $138,574.00 $34,054.85 2026-04-01
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 68 40 $131,933.76 $52,773.50 60% off $14,380.00 $118,740.00 $33,862.00 2024-12-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 8 $0.01 — $31,781.00 $38,137.00 $33,847.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 31 $0.01 — $26,866.00 $137,335.07 $33,837.32 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 56 31 $0.01 — $27,851.00 $140,605.00 $33,713.94 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $31,655.00 $37,985.00 $33,712.00 2024-12-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 8 $0.01 — $31,499.00 $37,799.00 $33,546.50 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 56 31 $0.01 — $26,664.00 $135,555.15 $33,495.54 2026-04-01
73702-140-71 NDC Indomethacin 100 Mg Re Supp 32 21 $56,104.00 $22,441.60 60% off $9,369.00 $50,494.00 $33,466.00 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 56 31 $0.01 — $27,199.00 $137,205.00 $33,333.54 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 56 31 $0.01 — $27,008.00 $136,211.00 $33,313.72 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 56 31 $0.01 — $28,092.00 $141,859.00 $33,275.11 2026-04-01
33231 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Multileads 63 40 $131,933.76 $52,773.50 60% off $14,380.00 $118,740.00 $33,247.00 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 56 31 $0.01 — $27,273.00 $137,590.00 $33,114.25 2026-04-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 8 $0.01 — $31,084.00 $37,300.00 $33,104.00 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 56 31 $0.01 — $27,796.00 $140,316.00 $33,047.27 2026-04-01
0408T CPT Hc Ins/repl Ccm System, Pulse Gen With Tv Electrodes 63 40 $96,878.72 $38,751.49 60% off $5,079.00 $87,191.00 $32,913.00 2024-12-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 8 $0.01 — $30,841.00 $37,009.00 $32,845.50 2024-12-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 8 $0.01 — $30,808.00 $36,969.00 $32,810.00 2024-12-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 8 $0.01 — $30,781.00 $36,938.00 $32,782.00 2024-12-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 8 $0.01 — $30,498.00 $36,597.00 $32,479.50 2024-12-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 56 31 $0.01 — $23,448.00 $131,531.89 $32,395.73 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 56 31 $0.01 — $27,299.00 $137,729.00 $32,363.38 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 56 31 $0.01 — $25,377.00 $131,205.39 $32,318.76 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 56 31 $0.01 — $26,458.00 $133,346.00 $32,111.96 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 56 31 $0.01 — $24,615.00 $130,099.52 $32,058.09 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 10 8 $0.01 — $30,072.00 $36,087.00 $32,026.50 2024-12-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 8 $0.01 — $29,867.00 $35,841.00 $31,808.50 2024-12-15
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 63 40 $60,137.62 $24,055.05 60% off $9,361.00 $54,124.00 $31,742.50 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 58 31 $0.01 — $5,363.36 $128,898.86 $31,726.03 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 56 31 $0.01 — $25,647.00 $129,120.00 $31,631.38 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 56 31 $0.01 — $25,381.00 $127,737.00 $31,627.60 2026-04-01
265 MS_DRG Aicd Lead Procedures 56 31 $0.01 — $25,262.00 $127,117.00 $31,576.08 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 56 31 $0.01 — $25,820.00 $130,021.00 $31,530.78 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 56 31 $0.01 — $22,573.00 $127,385.75 $31,418.40 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 56 31 $0.01 — $24,944.00 $127,287.45 $31,399.61 2026-04-01
332 MS_DRG Rectal Resection With Mcc 56 31 $0.01 — $24,589.00 $127,111.91 $31,353.86 2026-04-01
62 APR_DRG Pancreas Transplant 10 8 $0.01 — $29,393.00 $35,271.00 $31,303.00 2024-12-15
C9790 HCPCS Kidney Histotripsy W/image 1 1 — — $31,251.25 $31,251.25 $31,251.25 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 56 31 $0.01 — $22,781.00 $126,609.88 $31,235.51 2026-04-01
C1827 HCPCS Generator Imp Vivistim Vns Ipg 1001 119 40 $135,700.00 $54,280.00 60% off $4,432.00 $122,130.00 $31,075.00 2024-12-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 56 31 $0.01 — $24,812.00 $125,177.52 $31,064.94 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 56 31 $0.01 — $24,829.00 $125,072.20 $31,063.53 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 8 $0.01 — $29,030.00 $34,835.00 $30,916.50 2024-12-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 56 31 $0.01 — $24,422.00 $124,851.02 $30,820.92 2026-04-01
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 63 40 $122,243.20 $48,897.28 60% off $5,079.00 $110,019.00 $30,805.00 2024-12-15
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 $0.01 — $28,790.00 $34,548.00 $30,662.00 2024-12-15
J8501 HCPCS Aprepitant 40 Mg Po Caps 498 36 $84,752.61 $33,901.04 60% off $84.00 $490,147.00 $30,646.00 2024-12-15
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 20 12 — — $20,033.46 $85,036.18 $30,618.14 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 56 31 $0.01 — $24,291.00 $123,808.35 $30,575.14 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 56 31 $0.01 — $25,004.00 $125,774.00 $30,534.61 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 20 12 — — $19,972.36 $84,758.83 $30,524.76 2026-04-01
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 1,175 40 $75,900.00 $30,360.00 60% off $5,614.00 $162,060.00 $30,516.00 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 56 31 $0.01 — $24,563.00 $123,472.00 $30,512.67 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 31 $0.01 — $24,821.00 $124,819.00 $30,503.25 2026-04-01
63685 CPT Hc Implant Spinal Neurostim/receiver 63 40 $76,770.08 $30,708.03 60% off $12,436.00 $69,093.00 $30,474.00 2024-12-15
252 MS_DRG Other Vascular Procedures With Mcc 56 31 $0.01 — $24,327.00 $122,463.75 $30,428.60 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 8 $0.01 — $28,513.00 $34,216.00 $30,366.50 2024-12-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 56 31 $0.01 — $24,385.00 $122,549.00 $30,327.65 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 8 $0.01 — $28,370.00 $34,044.00 $30,214.00 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 56 31 $0.01 — $24,769.00 $124,548.00 $30,105.96 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 8 $0.01 — $28,168.00 $33,801.00 $29,999.00 2024-12-15
C1882 HCPCS Defibrillator Itrevia Vr-t Df4 Sys Hi Engy W/mon 2,665 40 $91,966.50 $36,786.60 60% off $4.00 $168,072.00 $29,972.00 2024-12-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 8 $0.01 — $28,048.00 $33,658.00 $29,871.00 2024-12-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 8 $0.01 — $27,970.00 $33,564.00 $29,788.00 2024-12-15
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