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 WESLEY CHAPEL

Wesley Chapel, FL · CCN 100319 · Rates published

15,446 distinct procedures filed
40 distinct payers
1,211,775 rate rows
2024-12-15 last MRF observed · ⚠ 18 mo old
Data quality

1,204,096 of 1,211,775 rate rows are consumer-grade (99.4%)

7,679 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 2,823
template filing: same amount across many unrelated codes — excluded 2,653
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,991
per-diem day rate — not a per-procedure price 212

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=d*_*lm2eEAvwpfGr5UZZffMA*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch — · 2026-05-18

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 37 $24,610.00 $3,467,398.00 $1,084,525.00 nat. median
$625,184
1.7× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 37 $24,610.00 $3,391,378.00 $1,060,748.00 nat. median
$673,137
1.6× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 37 $24,610.00 $2,970,972.00 $955,662.50 nat. median
$753,246
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $259,802.00 $1,569,531.00 $379,644.50 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $194,223.00 $1,172,308.00 $283,735.00 nat. median
$265,286
1.1× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 33 $10.00 $693,347.00 $240,360.00 nat. median
$1,033
outlier · 232.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $163,678.00 $987,295.00 $239,064.00 nat. median
$206,474
1.2× median
5834
APR_DRG 		Neonate With Ecmo 7 $205,319.00 $246,383.00 $219,692.00 nat. median
$309,665
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $147,936.00 $891,940.00 $216,040.50 nat. median
$202,976
1.1× median
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 20 $62,837.00 $360,214.00 $203,321.00 nat. median
$111,860
1.8× median
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 20 $54,497.00 $312,403.00 $176,334.00 nat. median
$92,408
1.9× median
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 20 $54,497.00 $312,403.00 $176,334.00 nat. median
$94,327
1.9× median
68382-395-01
NDC 		Ribavirin 6 G In Solr 20 $50,884.00 $291,691.00 $164,643.00 nat. median
$88,073
1.9× median
68382-395-04
NDC 		Ribavirin 6 G In Solr 20 $50,884.00 $291,691.00 $164,643.00 nat. median
$88,073
1.9× median
59385-027-01
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 20 $48,944.00 $280,570.00 $158,366.00 nat. median
$87,698
1.8× median
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 20 $48,944.00 $280,570.00 $158,366.00 nat. median
$87,698
1.8× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 33 $615.00 $427,589.00 $148,231.00 nat. median
$896
outlier · 165.4×
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 33 $84.00 $414,100.00 $143,555.00 nat. median
$736
outlier · 195.1×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $133,948.00 $160,737.00 $143,324.00 nat. median
$246,434
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $97,767.00 $588,062.00 $142,669.00 nat. median
$133,161
1.1× median
5833
APR_DRG 		Neonate With Ecmo 7 $133,012.00 $159,615.00 $142,323.00 nat. median
$244,017
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $90,702.00 $545,271.00 $132,337.00 nat. median
$117,357
1.1× median
7
MS_DRG 		Lung Transplant 22 $90,476.00 $543,897.00 $132,005.50 nat. median
$122,708
1.1× median
38240
CPT 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 37 $2,682.00 $436,291.00 $130,160.50 nat. median
$15,979
outlier · 8.1×
24
APR_DRG 		Heart And/or Lung Transplant 7 $118,623.00 $142,347.00 $126,926.00 nat. median
$234,729
0.5× median
0187-0007-14
NDC 		Ribavirin 6 G In Solr 20 $39,026.00 $223,714.00 $126,274.00 nat. median
$69,528
1.8× median
0781-5893-31
NDC 		Nevirapine ER 400 Mg Po Tb24 20 $38,261.00 $219,333.00 $123,801.00 nat. median
$68,166
1.8× median
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 33 $60.00 $348,013.00 $120,645.00 nat. median
$4,932
outlier · 24.5×
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 37 $32,882.00 $232,596.00 $116,239.00 nat. median
$52,021
outlier · 2.2×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $104,305.00 $125,166.00 $111,607.00 nat. median
$117,173
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $76,397.00 $458,618.00 $111,414.50 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $75,532.00 $453,382.00 $110,150.50 nat. median
$102,358
1.1× median
5832
APR_DRG 		Neonate With Ecmo 7 $102,129.00 $122,555.00 $109,278.00 nat. median
$156,126
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $101,659.00 $121,991.00 $108,775.00 nat. median
$207,730
0.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $73,852.00 $443,207.00 $107,694.00 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 22 $73,477.00 $440,934.00 $107,145.50 nat. median
$99,019
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $72,657.00 $435,965.00 $105,945.50 nat. median
$98,894
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $97,710.00 $117,252.00 $104,550.00 nat. median
$150,721
0.7× median
13925-522-01
NDC 		Pentamidine Isethionate 300 Mg In Solr 20 $32,170.00 $184,412.00 $104,090.00 nat. median
$83,907
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $96,372.00 $115,646.00 $103,118.00 nat. median
$160,267
0.6× median
C1824
HCPCS 		Generator Pul Implantable Optimizer Smt F/hrt Fail 37 $30,533.00 $215,982.00 $102,782.50 nat. median
$37,950
outlier · 2.7×
47781-153-01
NDC 		Naproxen Sodium ER 375 Mg Po Tb24 20 $31,734.00 $181,915.00 $102,681.00 nat. median
$56,537
1.8× median
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 3 37 $30,533.00 $336,600.00 $102,221.50 nat. median
$11,688
outlier · 8.7×
A9569
HCPCS 		Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 33 $57.00 $285,633.00 $99,019.00 nat. median
$2,079
outlier · 47.6×
58914-501-56
NDC 		Mesalamine 1000 Mg Re Supp 20 $30,231.00 $173,297.00 $97,817.00 nat. median
$57,068
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $66,993.00 $401,659.00 $97,662.00 nat. median
$93,672
1.0× median
C2624
HCPCS 		System Cardiomems Hrt Failure Ptnt 37 $28,910.00 $165,725.00 $97,317.50 nat. median
$32,760
outlier · 3.0×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $88,071.00 $105,685.00 $94,236.00 nat. median
$162,982
0.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $63,975.00 $383,381.00 $93,249.00 nat. median
$83,470
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $87,116.00 $104,539.00 $93,214.00 nat. median
$182,665
0.5× median

Other procedures at this hospital

Browse this hospital's 15,446 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 62 37 $3,852,663.92 $1,541,065.57 60% off $24,610.00 $3,467,398.00 $1,084,525.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 62 37 $3,768,198.21 $1,507,279.28 60% off $24,610.00 $3,391,378.00 $1,060,748.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 62 37 $3,301,079.72 $1,320,431.89 60% off $24,610.00 $2,970,972.00 $955,662.50 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 22 $0.01 — $259,802.00 $1,569,531.00 $379,644.50 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 22 $0.01 — $194,223.00 $1,172,308.00 $283,735.00 2024-12-15
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 53 33 $770,386.00 $308,154.40 60% off $10.00 $693,347.00 $240,360.00 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 22 $0.01 — $163,678.00 $987,295.00 $239,064.00 2024-12-15
5834 APR_DRG Neonate With Ecmo 9 7 $0.01 — $205,319.00 $246,383.00 $219,692.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 22 $0.01 — $147,936.00 $891,940.00 $216,040.50 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 35 20 $400,237.28 $160,094.91 60% off $62,837.00 $360,214.00 $203,321.00 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 35 20 $347,113.89 $138,845.55 60% off $54,497.00 $312,403.00 $176,334.00 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 35 20 $347,113.89 $138,845.55 60% off $54,497.00 $312,403.00 $176,334.00 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 35 20 $324,100.56 $129,640.22 60% off $50,884.00 $291,691.00 $164,643.00 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 35 20 $324,100.56 $129,640.22 60% off $50,884.00 $291,691.00 $164,643.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 35 20 $311,744.24 $124,697.70 60% off $48,944.00 $280,570.00 $158,366.00 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 35 20 $311,744.24 $124,697.70 60% off $48,944.00 $280,570.00 $158,366.00 2024-12-15
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 53 33 $475,098.80 $190,039.52 60% off $615.00 $427,589.00 $148,231.00 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 53 33 $460,111.00 $184,044.40 60% off $84.00 $414,100.00 $143,555.00 2024-12-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $133,948.00 $160,737.00 $143,324.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 22 $0.01 — $97,767.00 $588,062.00 $142,669.00 2024-12-15
5833 APR_DRG Neonate With Ecmo 9 7 $0.01 — $133,012.00 $159,615.00 $142,323.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 34 22 $0.01 — $90,702.00 $545,271.00 $132,337.00 2024-12-15
7 MS_DRG Lung Transplant 34 22 $0.01 — $90,476.00 $543,897.00 $132,005.50 2024-12-15
38240 CPT Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 62 37 $484,767.58 $193,907.03 60% off $2,682.00 $436,291.00 $130,160.50 2024-12-15
24 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $118,623.00 $142,347.00 $126,926.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 35 20 $248,570.65 $99,428.26 60% off $39,026.00 $223,714.00 $126,274.00 2024-12-15
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 35 20 $243,703.68 $97,481.47 60% off $38,261.00 $219,333.00 $123,801.00 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 53 33 $386,681.14 $154,672.46 60% off $60.00 $348,013.00 $120,645.00 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 121 37 $258,440.00 $103,376.00 60% off $32,882.00 $232,596.00 $116,239.00 2024-12-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $104,305.00 $125,166.00 $111,607.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 22 $0.01 — $76,397.00 $458,618.00 $111,414.50 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 22 $0.01 — $75,532.00 $453,382.00 $110,150.50 2024-12-15
5832 APR_DRG Neonate With Ecmo 9 7 $0.01 — $102,129.00 $122,555.00 $109,278.00 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $101,659.00 $121,991.00 $108,775.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 22 $0.01 — $73,852.00 $443,207.00 $107,694.00 2024-12-15
215 MS_DRG Other Heart Assist System Implant 34 22 $0.01 — $73,477.00 $440,934.00 $107,145.50 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 22 $0.01 — $72,657.00 $435,965.00 $105,945.50 2024-12-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 7 $0.01 — $97,710.00 $117,252.00 $104,550.00 2024-12-15
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 35 20 $204,901.92 $81,960.77 60% off $32,170.00 $184,412.00 $104,090.00 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 7 $0.01 — $96,372.00 $115,646.00 $103,118.00 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 121 37 $194,480.00 $77,792.00 60% off $30,533.00 $215,982.00 $102,782.50 2024-12-15
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 35 20 $202,128.04 $80,851.22 60% off $31,734.00 $181,915.00 $102,681.00 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 3 262 37 $284,240.00 $113,696.00 60% off $30,533.00 $336,600.00 $102,221.50 2024-12-15
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 53 33 $317,369.80 $126,947.92 60% off $57.00 $285,633.00 $99,019.00 2024-12-15
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 35 20 $192,552.22 $77,020.89 60% off $30,231.00 $173,297.00 $97,817.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 22 $0.01 — $66,993.00 $401,659.00 $97,662.00 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 74 37 $184,138.50 $73,655.40 60% off $28,910.00 $165,725.00 $97,317.50 2024-12-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 7 $0.01 — $88,071.00 $105,685.00 $94,236.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 34 22 $0.01 — $63,975.00 $383,381.00 $93,249.00 2024-12-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $87,116.00 $104,539.00 $93,214.00 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 7 $0.01 — $86,464.00 $103,757.00 $92,516.00 2024-12-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $85,092.00 $102,110.00 $91,048.00 2024-12-15
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 62 37 $337,339.76 $134,935.91 60% off $1,211.00 $303,606.00 $90,575.50 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $80,769.00 $96,923.00 $86,423.00 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 7 $0.01 — $80,365.00 $96,438.00 $85,990.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 22 $0.01 — $58,905.00 $352,667.00 $85,832.50 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 22 $0.01 — $58,872.00 $352,471.00 $85,785.50 2024-12-15
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 35 20 $166,910.57 $66,764.23 60% off $26,205.00 $150,220.00 $84,791.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 22 $0.01 — $57,989.00 $347,119.00 $84,493.50 2024-12-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $78,902.00 $94,682.00 $84,425.00 2024-12-15
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 35 20 $166,113.68 $66,445.47 60% off $26,080.00 $149,502.00 $84,386.00 2024-12-15
J7311 HCPCS Fluocinolone Acetonide 0.59 Mg Iz Impl 62 37 $312,108.33 $124,843.33 60% off $316.00 $280,897.00 $83,801.00 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $76,443.00 $91,731.00 $81,794.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 22 $0.01 — $56,068.00 $335,487.00 $81,685.00 2024-12-15
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 35 20 $160,707.87 $64,283.15 60% off $25,231.00 $144,637.00 $81,640.00 2024-12-15
10 MS_DRG Pancreas Transplant 34 22 $0.01 — $55,463.00 $331,820.00 $80,799.50 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 34 22 $0.01 — $55,149.00 $329,918.00 $80,340.00 2024-12-15
5831 APR_DRG Neonate With Ecmo 9 7 $0.01 — $74,234.00 $89,081.00 $79,431.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 22 $0.01 — $54,387.00 $325,303.00 $79,226.00 2024-12-15
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 62 37 $292,164.51 $116,865.80 60% off $158.00 $262,948.00 $78,446.00 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 22 $0.01 — $53,845.00 $322,019.00 $78,433.50 2024-12-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 7 $0.01 — $72,982.00 $87,578.00 $78,090.00 2024-12-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 7 $0.01 — $71,830.00 $86,196.00 $76,858.00 2024-12-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 7 $0.01 — $71,338.00 $85,605.00 $76,332.00 2024-12-15
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 53 33 $243,748.00 $97,499.20 60% off $69.00 $219,373.00 $76,049.00 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 22 $0.01 — $51,967.00 $310,645.00 $75,686.50 2024-12-15
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 35 20 $146,759.92 $58,703.97 60% off $23,041.00 $132,084.00 $74,554.00 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 35 20 $146,759.92 $58,703.97 60% off $23,041.00 $132,084.00 $74,554.00 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $68,785.00 $82,542.00 $73,600.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 22 $0.01 — $49,483.00 $295,600.00 $72,054.50 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 22 $0.01 — $49,238.00 $294,114.00 $71,695.50 2024-12-15
23 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $66,606.00 $79,927.00 $71,268.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 22 $0.01 — $48,479.00 $289,516.00 $70,585.00 2024-12-15
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 168 37 $166,243.00 $66,497.20 60% off $24,074.00 $175,032.00 $70,487.00 2024-12-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 7 $0.01 — $65,522.00 $78,627.00 $70,109.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 22 $0.01 — $47,598.00 $284,180.00 $69,297.00 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 22 $0.01 — $46,749.00 $279,036.00 $68,055.00 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 34 22 $0.01 — $46,571.00 $277,962.00 $67,795.50 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 22 $0.01 — $46,494.00 $277,492.00 $67,682.00 2024-12-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $63,159.00 $75,790.00 $67,580.00 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 35 20 $133,019.13 $53,207.65 60% off $20,884.00 $119,717.00 $67,574.00 2024-12-15
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 35 20 $133,019.13 $53,207.65 60% off $20,884.00 $119,717.00 $67,574.00 2024-12-15
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 97 37 $127,533.72 $51,013.49 60% off $20,023.00 $117,993.00 $67,401.50 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 22 $0.01 — $45,117.00 $269,152.00 $65,668.00 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 22 $0.01 — $45,053.00 $268,765.00 $65,575.00 2024-12-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $60,831.00 $72,997.00 $65,089.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 22 $0.01 — $44,135.00 $263,205.00 $64,232.00 2024-12-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 7 $0.01 — $59,311.00 $71,174.00 $63,463.00 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 22 $0.01 — $43,243.00 $257,799.00 $62,927.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 34 22 $0.01 — $43,188.00 $257,466.00 $62,846.50 2024-12-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $58,591.00 $70,309.00 $62,692.00 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 22 $0.01 — $42,994.00 $256,292.00 $62,563.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 34 22 $0.01 — $42,846.00 $255,397.00 $62,347.50 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 22 $0.01 — $42,654.00 $254,232.00 $62,065.50 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 34 22 $0.01 — $42,453.00 $253,017.00 $61,772.50 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 34 22 $0.01 — $42,153.00 $251,202.00 $61,334.00 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 34 22 $0.01 — $42,153.00 $251,202.00 $61,334.00 2024-12-15
61958-1004-1 NDC Ranolazine ER 1000 Mg Po Tb12 35 20 $120,463.99 $48,185.60 60% off $18,913.00 $108,418.00 $61,196.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 22 $0.01 — $41,844.00 $249,325.00 $60,881.00 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 22 $0.01 — $41,558.00 $247,598.00 $60,464.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 22 $0.01 — $41,111.00 $244,889.00 $59,810.00 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 22 $0.01 — $40,686.00 $242,312.00 $59,187.50 2024-12-15
1612 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $55,215.00 $66,258.00 $59,080.00 2024-12-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $54,722.00 $65,666.00 $58,552.00 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 22 $0.01 — $40,116.00 $238,862.00 $58,354.50 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 22 $0.01 — $39,881.00 $237,435.00 $58,010.00 2024-12-15
69468-151-04 NDC Uridine Triacetate 10 G Po Pack 35 20 $111,715.69 $44,686.28 60% off $17,539.00 $100,544.00 $56,752.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 34 22 $0.01 — $38,984.00 $232,004.00 $56,698.50 2024-12-15
1611 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $52,607.00 $63,128.00 $56,289.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 34 22 $0.01 — $38,659.00 $230,035.00 $56,223.50 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 22 $0.01 — $38,659.00 $230,035.00 $56,223.50 2024-12-15
0008-0423-03 NDC Antivenin Micrurus Fulvius IV Solr 35 20 $110,600.69 $44,240.28 60% off $17,364.00 $99,541.00 $56,185.00 2024-12-15
0008-0423-01 NDC Antivenin Micrurus Fulvius IV Solr 35 20 $110,600.69 $44,240.28 60% off $17,364.00 $99,541.00 $56,185.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 22 $0.01 — $38,500.00 $229,070.00 $55,990.50 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $52,325.00 $62,790.00 $55,988.00 2024-12-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 $0.01 — $52,231.00 $62,678.00 $55,888.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 22 $0.01 — $38,269.00 $227,671.00 $55,652.50 2024-12-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 34 22 $0.01 — $38,067.00 $226,448.00 $55,357.50 2024-12-15
64 APR_DRG Pancreas Transplant 9 7 $0.01 — $51,673.00 $62,007.00 $55,290.00 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 22 $0.01 — $37,981.00 $225,932.00 $55,232.50 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 22 $0.01 — $37,791.00 $224,779.00 $54,954.00 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 22 $0.01 — $37,756.00 $224,567.00 $54,903.00 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 22 $0.01 — $37,752.00 $224,542.00 $54,897.00 2024-12-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $50,782.00 $60,938.00 $54,337.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 22 $0.01 — $37,236.00 $221,416.00 $54,142.50 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 22 $0.01 — $37,075.00 $220,438.00 $53,906.50 2024-12-15
8514 APR_DRG Gender Related Procedures 9 7 $0.01 — $50,103.00 $60,123.00 $53,610.00 2024-12-15
67546-212-21 NDC Nitazoxanide 100 Mg/5ml Po Susr Bulk 35 20 $105,313.52 $42,125.41 60% off $16,534.00 $94,782.00 $53,499.00 2024-12-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 7 $0.01 — $49,700.00 $59,640.00 $53,179.00 2024-12-15
A9592 HCPCS Copper Cu 64 Dotatate 1 Mci/ml IV Soln 53 33 $170,101.00 $68,040.40 60% off $269.00 $153,091.00 $53,072.00 2024-12-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 7 $0.01 — $49,355.00 $59,226.00 $52,810.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 34 22 $0.01 — $36,067.00 $214,337.00 $52,433.50 2024-12-15
0310-0283-60 NDC Quetiapine Fumarate ER 300 Mg Po Tb24 35 20 $103,041.62 $41,216.65 60% off $16,178.00 $92,737.00 $52,345.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 22 $0.01 — $35,950.00 $213,625.00 $52,261.50 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 22 $0.01 — $35,686.00 $212,027.00 $51,875.00 2024-12-15
22 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $48,472.00 $58,167.00 $51,866.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 22 $0.01 — $35,579.00 $211,378.00 $51,718.50 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 22 $0.01 — $35,289.00 $209,626.00 $51,295.50 2024-12-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 7 $0.01 — $47,894.00 $57,473.00 $51,247.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 34 22 $0.01 — $35,085.00 $208,390.00 $50,997.50 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 22 $0.01 — $35,059.00 $208,227.00 $50,958.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 22 $0.01 — $35,045.00 $208,144.00 $50,937.50 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 22 $0.01 — $34,921.00 $207,395.00 $50,757.00 2024-12-15
C1833 HCPCS Monitor Crdc The Guardian Amsg3-e 74 37 $94,607.50 $37,843.00 60% off $14,853.00 $85,147.00 $50,000.00 2024-12-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 7 $0.01 — $46,657.00 $55,988.00 $49,923.00 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 7 $0.01 — $46,532.00 $55,838.00 $49,789.00 2024-12-15
245 MS_DRG Aicd Generator Procedures 34 22 $0.01 — $34,258.00 $203,379.00 $49,787.00 2024-12-15
81416 CPT Hc Exome Sequence Analysis Each Comparator Exome 62 37 $185,220.00 $74,088.00 60% off $1,242.00 $166,698.00 $49,731.50 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 34 22 $0.01 — $34,055.00 $202,151.00 $49,490.50 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 34 22 $0.01 — $34,000.00 $201,814.00 $49,409.50 2024-12-15
47335-625-60 NDC Ranolazine ER 1000 Mg Po Pack 35 20 $97,108.68 $38,843.47 60% off $15,246.00 $87,398.00 $49,331.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 22 $0.01 — $33,493.00 $198,747.00 $48,669.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 34 22 $0.01 — $33,351.00 $197,885.00 $48,461.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 22 $0.01 — $33,345.00 $197,848.00 $48,452.00 2024-12-15
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 1,249 37 $123,420.00 $49,368.00 60% off $12,043.00 $263,524.00 $48,326.00 2024-12-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $44,903.00 $53,883.00 $48,046.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 22 $0.01 — $33,007.00 $195,800.00 $47,957.50 2024-12-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 7 $0.01 — $44,820.00 $53,783.00 $47,957.00 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 7 $0.01 — $44,733.00 $53,680.00 $47,865.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 22 $0.01 — $32,834.00 $194,751.00 $47,704.00 2024-12-15
21 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $44,578.00 $53,493.00 $47,698.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 22 $0.01 — $32,644.00 $193,603.00 $47,427.00 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 34 22 $0.01 — $32,351.00 $191,826.00 $46,998.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 34 22 $0.01 — $32,338.00 $191,747.00 $46,979.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 22 $0.01 — $32,237.00 $191,135.00 $46,831.00 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 22 $0.01 — $32,232.00 $191,106.00 $46,824.00 2024-12-15
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 121 37 $184,110.00 $73,644.00 60% off $10,202.00 $165,699.00 $46,396.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 22 $0.01 — $31,680.00 $187,764.00 $46,017.00 2024-12-15
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 35 20 $90,271.29 $36,108.51 60% off $14,173.00 $81,244.00 $45,858.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 22 $0.01 — $31,495.00 $186,644.00 $45,747.00 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 22 $0.01 — $31,410.00 $186,128.00 $45,622.50 2024-12-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 7 $0.01 — $42,599.00 $51,119.00 $45,581.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 34 22 $0.01 — $31,123.00 $184,389.00 $45,202.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 22 $0.01 — $30,864.00 $182,820.00 $44,823.50 2024-12-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $41,561.00 $49,873.00 $44,470.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 22 $0.01 — $41,528.00 $247,411.00 $44,387.00 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 34 22 $0.01 — $30,411.00 $180,077.00 $44,161.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 22 $0.01 — $30,350.00 $179,707.00 $44,071.50 2024-12-15
J1324 HCPCS Enfuvirtide 90 Mg Sc Solr 62 37 $83,235.53 $33,294.21 60% off $13,068.00 $74,912.00 $43,990.00 2024-12-15
0591-2720-60 NDC Metformin Hcl ER (osm) 1000 Mg Po Tb24 35 20 $86,080.52 $34,432.21 60% off $13,515.00 $77,472.00 $43,729.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 22 $0.01 — $29,991.00 $177,530.00 $43,546.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 34 22 $0.01 — $29,947.00 $177,268.00 $43,482.50 2024-12-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 7 $0.01 — $40,490.00 $48,589.00 $43,325.00 2024-12-15
50593 CPT Hc Ablation Renal Tumor Unilateral Perq Cryotherapy 93 37 $93,218.03 $37,287.21 60% off $4,477.00 $167,792.00 $43,216.00 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 34 22 $0.01 — $29,740.00 $176,011.00 $43,179.50 2024-12-15
37231 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 93 37 $92,656.53 $37,062.61 60% off $7,047.00 $166,782.00 $42,956.00 2024-12-15
84 APR_DRG Autologous Bone Marrow Transplant 9 7 $0.01 — $40,033.00 $48,039.00 $42,835.00 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 22 $0.01 — $29,475.00 $174,404.00 $42,791.50 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 22 $0.01 — $29,468.00 $174,363.00 $42,781.50 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 22 $0.01 — $29,269.00 $173,160.00 $42,491.00 2024-12-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $39,475.00 $47,370.00 $42,238.00 2024-12-15
61958-1003-1 NDC Ranolazine ER 500 Mg Po Tb12 35 20 $82,952.34 $33,180.94 60% off $13,024.00 $74,657.00 $42,140.00 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 34 22 $0.01 — $28,935.00 $171,137.00 $42,003.00 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 22 $0.01 — $28,919.00 $171,042.00 $41,979.50 2024-12-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 34 22 $0.01 — $28,878.00 $170,788.00 $41,918.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 34 22 $0.01 — $28,739.00 $169,947.00 $41,715.50 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 22 $0.01 — $28,628.00 $169,277.00 $41,553.50 2024-12-15
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 62 37 $153,705.15 $61,482.06 60% off $614.00 $138,335.00 $41,270.00 2024-12-15
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x0.78x0.78in 20ml 121 37 $86,020.00 $34,408.00 60% off $11,626.00 $77,418.00 $41,099.00 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 22 $0.01 — $28,053.00 $165,794.00 $40,712.50 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 34 22 $0.01 — $28,034.00 $165,677.00 $40,684.00 2024-12-15
4404 APR_DRG Kidney Transplant 9 7 $0.01 — $37,839.00 $45,407.00 $40,488.00 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 34 22 $0.01 — $27,792.00 $164,212.00 $40,330.50 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 34 22 $0.01 — $27,736.00 $163,875.00 $40,249.00 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 34 22 $0.01 — $27,681.00 $163,542.00 $40,168.50 2024-12-15
8634 APR_DRG Neonatal Aftercare 9 7 $0.01 — $37,397.00 $44,877.00 $40,015.00 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 22 $0.01 — $27,562.00 $162,818.00 $39,993.50 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 22 $0.01 — $27,549.00 $162,739.00 $39,975.00 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 22 $0.01 — $27,400.00 $161,840.00 $39,758.00 2024-12-15
59676-565-01 NDC Darunavir 100 Mg/ml Po Susp Bulk 35 20 $77,941.95 $31,176.78 60% off $12,237.00 $70,148.00 $39,595.00 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 22 $0.01 — $27,238.00 $160,854.00 $39,519.50 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 34 22 $0.01 — $27,211.00 $160,691.00 $39,480.50 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 34 22 $0.01 — $27,136.00 $160,242.00 $39,372.00 2024-12-15
63 APR_DRG Pancreas Transplant 9 7 $0.01 — $36,709.00 $44,050.00 $39,278.00 2024-12-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 7 $0.01 — $36,564.00 $43,877.00 $39,123.00 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 34 22 $0.01 — $26,945.00 $159,081.00 $39,091.50 2024-12-15
C2616 HCPCS Sphere Embol Sir Msphre 90 121 37 $169,324.35 $67,729.74 60% off $7,779.00 $152,392.00 $38,945.00 2024-12-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 7 $0.01 — $36,393.00 $43,672.00 $38,940.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 22 $0.01 — $26,803.00 $158,219.00 $38,883.50 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 34 22 $0.01 — $26,599.00 $156,987.00 $38,586.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 22 $0.01 — $26,392.00 $155,735.00 $38,284.00 2024-12-15
54092-252-45 NDC Lanthanum Carbonate 500 Mg Po Chew 35 20 $74,276.94 $29,710.78 60% off $11,661.00 $66,849.00 $37,733.00 2024-12-15
54092-252-90 NDC Lanthanum Carbonate 500 Mg Po Chew 35 20 $74,276.94 $29,710.78 60% off $11,661.00 $66,849.00 $37,733.00 2024-12-15
C1882 HCPCS Defibrillator Crdc Protecta Xt 2,831 37 $116,025.40 $46,410.16 60% off $5.00 $211,776.00 $37,632.00 2024-12-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 22 $0.01 — $25,751.00 $151,852.00 $37,346.50 2024-12-15
54092-191-12 NDC Mesalamine ER 500 Mg Po Cpcr 35 20 $73,488.27 $29,395.31 60% off $11,538.00 $66,139.00 $37,332.00 2024-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 22 $0.01 — $25,577.00 $150,799.00 $37,092.00 2024-12-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 7 $0.01 — $34,634.00 $41,561.00 $37,059.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 22 $0.01 — $25,312.00 $149,192.00 $36,704.00 2024-12-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 22 $0.01 — $25,311.00 $149,184.00 $36,702.00 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 34 22 $0.01 — $25,307.00 $149,159.00 $36,696.00 2024-12-15
50474-598-66 NDC Levetiracetam ER 500 Mg Po Tb24 35 20 $72,096.50 $28,838.60 60% off $11,319.00 $64,887.00 $36,625.00 2024-12-15
265 MS_DRG Aicd Lead Procedures 34 22 $0.01 — $25,191.00 $148,460.00 $36,527.50 2024-12-15
L8614 HCPCS Electrode Hires Ultra 3d Ci Hifocus Slimj Cochlear 585 37 $123,739.69 $49,495.88 60% off $351.00 $174,447.00 $36,445.00 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 22 $0.01 — $25,081.00 $147,794.00 $36,366.00 2024-12-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 7 $0.01 — $33,958.00 $40,749.00 $36,335.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 22 $0.01 — $24,939.00 $146,928.00 $36,157.00 2024-12-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 34 22 $0.01 — $24,932.00 $146,891.00 $36,148.00 2024-12-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 7 $0.01 — $33,728.00 $40,474.00 $36,089.00 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 22 $0.01 — $24,871.00 $146,520.00 $36,059.00 2024-12-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 7 $0.01 — $33,602.00 $40,323.00 $35,955.00 2024-12-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 22 $0.01 — $24,756.00 $145,821.00 $35,890.00 2024-12-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 22 $0.01 — $24,748.00 $145,775.00 $35,879.00 2024-12-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 34 22 $0.01 — $24,739.00 $145,717.00 $35,864.50 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 34 22 $0.01 — $24,696.00 $145,459.00 $35,803.00 2024-12-15
C1816 HCPCS System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 168 37 $134,640.00 $53,856.00 60% off $2,349.00 $138,006.00 $35,676.00 2024-12-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 34 22 $0.01 — $24,541.00 $144,519.00 $35,575.50 2024-12-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $33,236.00 $39,883.00 $35,563.00 2024-12-15
332 MS_DRG Rectal Resection With Mcc 34 22 $0.01 — $24,515.00 $144,360.00 $35,537.50 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 22 $0.01 — $24,488.00 $144,202.00 $35,499.00 2024-12-15
54092-253-90 NDC Lanthanum Carbonate 750 Mg Po Chew 35 20 $69,869.66 $27,947.86 60% off $10,970.00 $62,883.00 $35,494.00 2024-12-15
54092-254-90 NDC Lanthanum Carbonate 1000 Mg Po Chew 35 20 $69,869.66 $27,947.86 60% off $10,970.00 $62,883.00 $35,494.00 2024-12-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 34 22 $0.01 — $24,348.00 $143,349.00 $35,293.50 2024-12-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 34 22 $0.01 — $24,311.00 $143,124.00 $35,239.00 2024-12-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 7 $0.01 — $32,884.00 $39,460.00 $35,186.00 2024-12-15
665 MS_DRG Prostatectomy With Mcc 34 22 $0.01 — $24,273.00 $142,900.00 $35,184.50 2024-12-15
252 MS_DRG Other Vascular Procedures With Mcc 34 22 $0.01 — $24,251.00 $142,766.00 $35,152.50 2024-12-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 34 22 $0.01 — $24,216.00 $142,550.00 $35,100.50 2024-12-15
J0571 HCPCS Buprenorphine Hcl 300 Mcg Bu Film 62 37 $66,211.27 $26,484.51 60% off $10,395.00 $59,590.00 $34,992.50 2024-12-15
C9047 HCPCS Caplacizumab-yhdp 11 Mg Ij Kit 62 37 $130,020.60 $52,008.24 60% off $768.00 $117,019.00 $34,910.50 2024-12-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 34 22 $0.01 — $24,085.00 $141,759.00 $34,909.50 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 34 22 $0.01 — $23,988.00 $141,168.00 $34,766.50 2024-12-15
27428 CPT Hc Ligament Reconst Knee, Intra-artic (open) 93 37 $74,636.76 $29,854.70 60% off $4,943.00 $134,346.00 $34,602.00 2024-12-15
27827 CPT Hc Open Treatment Fracture Distal Tibia Only 93 37 $74,636.76 $29,854.70 60% off $3,490.00 $134,346.00 $34,602.00 2024-12-15
27446 CPT Hc Knee Arthroplasty Condyle/plateau Medial Or Lateral Comptmnt 93 37 $74,636.76 $29,854.70 60% off $6,053.00 $134,346.00 $34,602.00 2024-12-15
28725 CPT Hc Fusion Foot Bones,subtalar 93 37 $74,636.76 $29,854.70 60% off $3,717.00 $134,346.00 $34,602.00 2024-12-15
27870 CPT Hc Asc Ankle Arthrodesis Open 27870 93 37 $74,636.76 $29,854.70 60% off $4,943.00 $134,346.00 $34,602.00 2024-12-15
1784 APR_DRG External Heart Assist Systems 9 7 $0.01 — $32,322.00 $38,787.00 $34,585.00 2024-12-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 7 $0.01 — $32,237.00 $38,684.00 $34,494.00 2024-12-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 22 $0.01 — $23,745.00 $139,699.00 $34,412.00 2024-12-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 7 $0.01 — $32,143.00 $38,571.00 $34,393.00 2024-12-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $32,074.00 $38,489.00 $34,319.00 2024-12-15
37 MS_DRG Extracranial Procedures With Mcc 34 22 $0.01 — $23,499.00 $138,209.00 $34,052.00 2024-12-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 7 $0.01 — $31,781.00 $38,137.00 $34,006.00 2024-12-15
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 62 37 $64,975.69 $25,990.28 60% off $9,361.00 $58,478.00 $33,919.50 2024-12-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 7 $0.01 — $31,655.00 $37,985.00 $33,870.00 2024-12-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 34 22 $0.01 — $23,369.00 $137,418.00 $33,861.50 2024-12-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 7 $0.01 — $31,499.00 $37,799.00 $33,704.00 2024-12-15
0085-1328-01 NDC Posaconazole 40 Mg/ml Po Susp Bulk 35 20 $66,335.87 $26,534.35 60% off $10,415.00 $59,702.00 $33,699.00 2024-12-15
63304-089-13 NDC Mesalamine ER 500 Mg Po Cpcr 35 20 $66,158.26 $26,463.30 60% off $10,387.00 $59,542.00 $33,608.00 2024-12-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 34 22 $0.01 — $23,140.00 $136,037.00 $33,527.50 2024-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 22 $0.01 — $23,076.00 $135,650.00 $33,434.00 2024-12-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 22 $0.01 — $23,067.00 $135,591.00 $33,420.00 2024-12-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 7 $0.01 — $31,084.00 $37,300.00 $33,259.00 2024-12-15
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 97 37 $100,001.66 $40,000.66 60% off $12,207.00 $90,001.00 $33,227.00 2024-12-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 34 22 $0.01 — $22,801.00 $133,981.00 $33,031.00 2024-12-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 7 $0.01 — $30,841.00 $37,009.00 $33,000.00 2024-12-15
13811-715-30 NDC Venlafaxine Hcl ER 225 Mg Po Tb24 35 20 $64,904.99 $25,962.00 60% off $10,190.00 $58,414.00 $32,972.00 2024-12-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 7 $0.01 — $30,808.00 $36,969.00 $32,964.00 2024-12-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 7 $0.01 — $30,781.00 $36,938.00 $32,936.00 2024-12-15
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