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

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You selected 470 (MS_DRG)

Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc

This hospital’s price: $17,354 across 31 payers · range $13,759-$67,718

Source: https://urldefense.com/v3/__https://hospitalpricedisclosure.com/download.aspx?pi=S5J32lAid*__*wSkByufBjdpw*-*__;KioqKg!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT7jzsU98w$ · 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.

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

1,045,811 of 1,076,857 rate rows are consumer-grade (97.1%)

31,046 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 322
per-diem day rate — not a per-procedure price 322
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.adventhealth.com/sites/default/files/CDM/2025/822567308_AdventHealth-Dade-City_standardcharges.json
Found on page https://www.adventhealth.com/pricelist
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 17454d9af21287c8… · 2,905,628,306 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 40 $24,610.00 $3,144,432.00 $880,441.00 nat. median
$610,161
1.4× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 40 $24,610.00 $2,694,245.00 $719,962.50 nat. median
$691,418
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 40 $24,610.00 $3,075,493.00 $570,675.00 nat. median
$624,417
0.9× 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
$370,165
1.0× median
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
$261,939
0.9× median
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 21 $66,537.00 $358,583.00 $237,661.00 nat. median
$111,860
outlier · 2.1×
5834
APR_DRG 		Neonate With Ecmo 8 $205,319.00 $246,383.00 $218,665.00 nat. median
$311,018
0.7× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 36 $9.00 $660,331.00 $207,637.00 nat. median
$1,032
outlier · 201.1×
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
$205,166
0.9× median
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 21 $51,826.00 $279,300.00 $185,113.50 nat. median
$85,763
outlier · 2.2×
59385-027-01
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 21 $51,826.00 $279,300.00 $185,113.50 nat. median
$87,698
outlier · 2.1×
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
$199,832
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $133,948.00 $160,737.00 $142,654.50 nat. median
$254,667
0.6× median
5833
APR_DRG 		Neonate With Ecmo 8 $133,012.00 $159,615.00 $141,658.00 nat. median
$250,089
0.6× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $88,839.85 $397,369.11 $135,778.39 nat. median
$96,134
1.4× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 36 $584.00 $407,228.00 $128,050.00 nat. median
$896
outlier · 142.8×
24
APR_DRG 		Heart And/or Lung Transplant 8 $118,623.00 $142,347.00 $126,333.00 nat. median
$243,231
0.5× median
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 36 $80.00 $394,381.00 $124,011.00 nat. median
$741
outlier · 167.3×
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
$132,706
0.9× median
38240
CPT 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 40 $2,682.00 $575,605.00 $119,617.00 nat. median
$13,835
outlier · 8.6×
7
MS_DRG 		Lung Transplant 31 $90,254.00 $465,707.00 $112,566.55 nat. median
$122,690
0.9× 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
$119,243
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 31 $90,480.00 $466,883.00 $108,855.98 nat. median
$114,305
1.0× median
5832
APR_DRG 		Neonate With Ecmo 8 $102,129.00 $122,555.00 $108,767.50 nat. median
$169,230
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $101,659.00 $121,991.00 $108,267.00 nat. median
$209,486
0.5× median
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 36 $57.00 $331,441.00 $104,220.00 nat. median
$4,658
outlier · 22.4×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $97,710.00 $117,252.00 $104,061.50 nat. median
$160,171
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
$165,646
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 nat. median
$46,844
outlier · 2.1×
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
$108,240
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 31 $75,378.00 $388,204.00 $94,276.29 nat. median
$100,978
0.9× 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
$168,174
0.6× median
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
$2
outlier · 61842.1×
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
$96,835
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $87,116.00 $104,539.00 $92,778.50 nat. median
$180,995
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
$147,677
0.6× median
C2624
HCPCS 		System Cardiomems Hrt Failure Ptnt 40 $20,868.00 $157,824.00 $91,538.00 nat. median
$32,499
outlier · 2.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 31 $73,705.00 $379,491.00 $90,853.79 nat. median
$99,646
0.9× 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
$168,361
0.5× median
215
MS_DRG 		Other Heart Assist System Implant 31 $73,332.00 $377,546.00 $89,147.61 nat. median
$98,002
0.9× median
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 40 $15,327.00 $221,508.00 $86,322.00 nat. median
$53,130
1.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $80,769.00 $96,923.00 $86,019.50 nat. median
$175,480
outlier · 0.5×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $80,365.00 $96,438.00 $85,588.50 nat. median
$165,599
0.5× 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
$1,956
outlier · 43.7×
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
$92,900
0.9× 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
$156,285
0.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $76,443.00 $91,731.00 $81,411.50 nat. median
$147,847
0.6× median
5831
APR_DRG 		Neonate With Ecmo 8 $74,234.00 $89,081.00 $79,059.50 nat. median
$154,685
0.5× median
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
$109,499
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 31 $63,873.00 $328,266.00 $77,610.95 nat. median
$81,364
1.0× median

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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