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

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $14,212 across 9 payers · range $13,407-$29,764

Source: https://hospitalpricedisclosure.com/download.aspx?pi=d*_*lm2eEAvwpfGr5UZZffMA*-* · 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.

22,410 distinct procedures filed
59 distinct payers
1,324,081 rate rows
2026-04-01 last MRF observed
Data quality

1,297,122 of 1,324,081 rate rows are consumer-grade (98.0%)

26,959 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 20,038
exceeds 10× this hospital's gross charge — excluded from medians 2,823
template filing: same amount across many unrelated codes — excluded 2,653
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 344
per-diem day rate — not a per-procedure price 212
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://HospitalPriceDisclosure.com/download.aspx?pi=d*_*lm2eEAvwpfGr5UZZffMA*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 86f9af197d20f708… · 25,428,266 bytes · first seen 2026-05-13

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
$610,161
1.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 37 $24,610.00 $3,391,378.00 $1,060,748.00 nat. median
$624,417
1.7× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 37 $24,610.00 $2,970,972.00 $955,662.50 nat. median
$691,418
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 38 $259,802.00 $1,842,394.16 $556,943.00 nat. median
$370,165
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 38 $194,223.00 $1,195,639.69 $387,173.00 nat. median
$261,939
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 38 $163,678.00 $987,295.00 $299,419.41 nat. median
$205,166
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 $147,936.00 $905,573.16 $294,577.00 nat. median
$199,832
1.5× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 33 $10.00 $693,347.00 $240,360.00 nat. median
$1,032
outlier · 232.8×
5834
APR_DRG 		Neonate With Ecmo 7 $205,319.00 $246,383.00 $219,692.00 nat. median
$311,018
0.7× 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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 $24,843.54 $590,969.98 $181,260.01 nat. median
$132,706
1.4× median
7
MS_DRG 		Lung Transplant 38 $90,476.00 $552,520.28 $179,631.00 nat. median
$122,690
1.5× 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
$92,261
1.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $124,272.27 $378,071.63 $175,903.23 nat. median
$83,623
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 38 $90,702.00 $545,271.00 $168,539.03 nat. median
$114,305
1.5× 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
209
MS_DRG 		Complex Aortic Arch Procedures 18 $89,418.31 $482,916.60 $164,032.05 nat. median
$96,134
1.7× median
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 20 $48,944.00 $280,570.00 $158,366.00 nat. median
$85,763
1.8× 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
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $107,376.16 $326,668.84 $151,987.34 nat. median
$58,534
outlier · 2.6×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 $76,397.00 $483,471.25 $151,466.00 nat. median
$108,240
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 38 $75,532.00 $463,943.48 $149,737.00 nat. median
$100,978
1.5× 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×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 38 $73,852.00 $443,207.00 $144,594.45 nat. median
$99,646
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 $72,657.00 $470,219.50 $144,577.14 nat. median
$96,835
1.5× median
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 33 $84.00 $414,100.00 $143,555.00 nat. median
$741
outlier · 193.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $133,948.00 $160,737.00 $143,324.00 nat. median
$254,667
0.6× median
5833
APR_DRG 		Neonate With Ecmo 7 $133,012.00 $159,615.00 $142,323.00 nat. median
$250,089
0.6× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $99,418.94 $302,460.72 $140,724.16 nat. median
$51,048
outlier · 2.8×
215
MS_DRG 		Other Heart Assist System Implant 38 $73,477.00 $440,934.00 $135,857.48 nat. median
$98,002
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 $66,993.00 $417,383.16 $132,654.00 nat. median
$92,900
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $93,011.38 $282,967.08 $131,654.48 nat. median
$62,767
outlier · 2.1×
38240
CPT 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 37 $2,682.00 $436,291.00 $130,160.50 nat. median
$13,835
outlier · 9.4×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $89,766.22 $273,094.40 $127,061.07 nat. median
$46,826
outlier · 2.7×
24
APR_DRG 		Heart And/or Lung Transplant 7 $118,623.00 $142,347.00 $126,926.00 nat. median
$243,231
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
850
MS_DRG 		Acute Leukemia With Other Procedures 38 $63,975.00 $383,381.00 $121,440.83 nat. median
$81,364
1.5× median
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 33 $60.00 $348,013.00 $120,645.00 nat. median
$4,658
outlier · 25.9×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $59,349.74 $260,951.94 $119,174.70 nat. median
$57,648
outlier · 2.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 38 $57,989.00 $384,394.58 $118,504.31 nat. median
$81,124
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 38 $58,905.00 $359,661.68 $116,474.00 nat. median
$79,040
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 $58,872.00 $358,531.06 $116,409.00 nat. median
$80,459
1.4× median
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 37 $32,882.00 $232,596.00 $116,239.00 nat. median
$53,130
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
$119,243
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 $56,068.00 $335,722.35 $110,352.05 nat. median
$77,385
1.4× median
5832
APR_DRG 		Neonate With Ecmo 7 $102,129.00 $122,555.00 $109,278.00 nat. median
$169,230
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $101,659.00 $121,991.00 $108,775.00 nat. median
$209,486
0.5× median

Other procedures at this hospital

Browse this hospital's 22,410 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 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 69 38 $0.01 — $259,802.00 $1,842,394.16 $556,943.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 69 38 $0.01 — $194,223.00 $1,195,639.69 $387,173.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 69 38 $0.01 — $163,678.00 $987,295.00 $299,419.41 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 69 38 $0.01 — $147,936.00 $905,573.16 $294,577.00 2026-04-01
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
5834 APR_DRG Neonate With Ecmo 9 7 $0.01 — $205,319.00 $246,383.00 $219,692.00 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 71 38 $0.01 — $24,843.54 $590,969.98 $181,260.01 2026-04-01
7 MS_DRG Lung Transplant 69 38 $0.01 — $90,476.00 $552,520.28 $179,631.00 2026-04-01
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
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
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 6 — — $124,272.27 $378,071.63 $175,903.23 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 69 38 $0.01 — $90,702.00 $545,271.00 $168,539.03 2026-04-01
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
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
209 MS_DRG Complex Aortic Arch Procedures 35 18 — — $89,418.31 $482,916.60 $164,032.05 2026-04-01
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
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 16 6 — — $107,376.16 $326,668.84 $151,987.34 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 69 38 $0.01 — $76,397.00 $483,471.25 $151,466.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 69 38 $0.01 — $75,532.00 $463,943.48 $149,737.00 2026-04-01
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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 69 38 $0.01 — $73,852.00 $443,207.00 $144,594.45 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 69 38 $0.01 — $72,657.00 $470,219.50 $144,577.14 2026-04-01
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
5833 APR_DRG Neonate With Ecmo 9 7 $0.01 — $133,012.00 $159,615.00 $142,323.00 2024-12-15
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 16 6 — — $99,418.94 $302,460.72 $140,724.16 2026-04-01
215 MS_DRG Other Heart Assist System Implant 70 38 $0.01 — $73,477.00 $440,934.00 $135,857.48 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 38 $0.01 — $66,993.00 $417,383.16 $132,654.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 6 — — $93,011.38 $282,967.08 $131,654.48 2026-04-01
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
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 16 6 — — $89,766.22 $273,094.40 $127,061.07 2026-04-01
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
850 MS_DRG Acute Leukemia With Other Procedures 69 38 $0.01 — $63,975.00 $383,381.00 $121,440.83 2026-04-01
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
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 18 6 — — $59,349.74 $260,951.94 $119,174.70 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 69 38 $0.01 — $57,989.00 $384,394.58 $118,504.31 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 69 38 $0.01 — $58,905.00 $359,661.68 $116,474.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 69 38 $0.01 — $58,872.00 $358,531.06 $116,409.00 2026-04-01
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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 69 38 $0.01 — $56,068.00 $335,722.35 $110,352.05 2026-04-01
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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 69 38 $0.01 — $54,387.00 $326,182.46 $107,216.28 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 69 38 $0.01 — $53,845.00 $327,594.67 $106,352.00 2026-04-01
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
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 16 6 — — $73,187.05 $222,655.84 $103,593.80 2026-04-01
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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 69 38 $0.01 — $51,967.00 $325,103.03 $102,595.00 2026-04-01
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
10 MS_DRG Pancreas Transplant 69 38 $0.01 — $55,463.00 $331,820.00 $100,632.02 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 16 6 — — $70,929.18 $215,786.77 $100,397.87 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 69 38 $0.01 — $55,149.00 $329,918.00 $100,055.63 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 16 6 — — $70,410.30 $214,208.17 $99,663.40 2026-04-01
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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 69 38 $0.01 — $49,483.00 $307,981.57 $97,627.00 2026-04-01
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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 69 38 $0.01 — $49,238.00 $304,218.52 $97,136.00 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 69 38 $0.01 — $46,571.00 $306,023.25 $94,695.81 2026-04-01
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 69 38 $0.01 — $47,598.00 $287,182.38 $93,855.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 70 38 $0.01 — $250.00 $294,891.95 $93,465.61 2026-04-01
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
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 69 38 $0.01 — $46,749.00 $285,070.46 $92,156.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 69 38 $0.01 — $46,494.00 $293,445.60 $91,646.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 16 6 — — $64,588.93 $196,497.92 $91,423.46 2026-04-01
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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 69 38 $0.01 — $45,117.00 $274,536.48 $88,892.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 38 $0.01 — $45,053.00 $280,535.17 $88,764.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 69 38 $0.01 — $43,188.00 $285,279.52 $88,394.07 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 38 $0.01 — $41,558.00 $280,535.17 $86,952.78 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 69 38 $0.01 — $42,994.00 $279,515.48 $86,643.00 2026-04-01
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
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 69 38 $0.01 — $44,135.00 $263,205.00 $85,845.11 2026-04-01
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
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
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 69 38 $0.01 — $43,243.00 $257,799.00 $84,236.56 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 69 38 $0.01 — $42,654.00 $258,660.83 $83,964.00 2026-04-01
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
28 MS_DRG Spinal Procedures With Mcc 69 38 $0.01 — $42,453.00 $256,344.12 $83,563.00 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 69 38 $0.01 — $42,153.00 $252,990.65 $82,963.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 35 18 — — $45,600.75 $243,484.89 $82,704.39 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 69 38 $0.01 — $41,844.00 $261,468.19 $82,344.00 2026-04-01
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
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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 69 38 $0.01 — $41,111.00 $250,383.82 $80,878.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 69 38 $0.01 — $40,686.00 $250,221.69 $80,028.00 2026-04-01
5831 APR_DRG Neonate With Ecmo 9 7 $0.01 — $74,234.00 $89,081.00 $79,431.00 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 69 38 $0.01 — $40,116.00 $254,415.66 $79,017.91 2026-04-01
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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 69 38 $0.01 — $39,881.00 $244,483.25 $78,417.00 2026-04-01
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
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 69 38 $0.01 — $42,846.00 $255,397.00 $77,454.55 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $77,304.43 $77,304.43 $77,304.43 2026-04-01
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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 69 38 $0.01 — $38,269.00 $246,053.32 $76,477.51 2026-04-01
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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 69 38 $0.01 — $42,153.00 $251,202.00 $76,182.58 2026-04-01
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
834 MS_DRG Acute Leukemia With Mcc 69 38 $0.01 — $38,659.00 $234,226.58 $75,973.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 69 38 $0.01 — $38,500.00 $239,862.63 $75,654.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 69 38 $0.01 — $37,791.00 $243,169.17 $75,601.33 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 69 38 $0.01 — $38,067.00 $239,120.26 $74,788.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 69 38 $0.01 — $37,981.00 $233,398.88 $74,617.00 2026-04-01
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
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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 65 38 $0.01 — $41,528.00 $253,579.43 $74,409.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 69 38 $0.01 — $38,659.00 $230,035.00 $74,240.25 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 69 38 $0.01 — $37,756.00 $232,699.18 $74,167.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 69 38 $0.01 — $35,059.00 $237,481.92 $73,873.60 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $68,785.00 $82,542.00 $73,600.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 69 38 $0.01 — $37,236.00 $233,066.10 $73,126.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 69 38 $0.01 — $38,984.00 $232,004.00 $72,874.31 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 69 38 $0.01 — $37,075.00 $227,523.91 $72,803.00 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $72,736.36 $72,736.36 $72,736.36 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 70 38 $0.01 — $35,950.00 $225,113.34 $72,273.92 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $66,606.00 $79,927.00 $71,268.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 69 38 $0.01 — $36,067.00 $227,387.38 $70,806.97 2026-04-01
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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 69 38 $0.01 — $35,686.00 $222,088.39 $70,025.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 69 38 $0.01 — $35,579.00 $212,787.42 $69,811.00 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 69 38 $0.01 — $35,289.00 $209,984.33 $69,021.92 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 69 38 $0.01 — $37,752.00 $224,542.00 $68,734.43 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 69 38 $0.01 — $34,921.00 $211,080.82 $68,495.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 71 38 $0.01 — $34,055.00 $206,016.49 $67,717.69 2026-04-01
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
0955-1052-01 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
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
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
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 69 38 $0.01 — $35,085.00 $208,390.00 $67,375.50 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 19 7 — — $26,176.50 $156,064.30 $67,191.97 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 69 38 $0.01 — $32,237.00 $215,040.13 $67,055.98 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 75 38 $0.01 — $20,255.31 $210,705.37 $65,739.12 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 69 38 $0.01 — $33,493.00 $199,578.34 $65,601.47 2026-04-01
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
6 MS_DRG Liver Transplant Without Mcc 69 38 $0.01 — $34,000.00 $201,814.00 $65,029.29 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 69 38 $0.01 — $33,007.00 $203,119.53 $64,666.00 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 69 38 $0.01 — $32,834.00 $195,610.49 $64,297.24 2026-04-01
245 MS_DRG Aicd Generator Procedures 69 38 $0.01 — $34,258.00 $203,379.00 $63,983.10 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 70 38 $0.01 — $33,345.00 $200,175.65 $63,941.15 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 69 38 $0.01 — $32,644.00 $197,048.30 $63,940.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 69 38 $0.01 — $33,351.00 $197,885.00 $63,513.29 2026-04-01
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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 69 38 $0.01 — $32,338.00 $200,585.23 $63,327.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 71 38 $0.01 — $31,502.02 $196,109.67 $63,116.00 2026-04-01
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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 69 38 $0.01 — $31,680.00 $194,070.29 $62,012.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 70 38 $0.01 — $32,351.00 $191,826.00 $61,335.60 2026-04-01
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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 70 38 $0.01 — $31,410.00 $193,984.96 $61,065.81 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 69 38 $0.01 — $30,864.00 $190,409.63 $60,379.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 69 38 $0.01 — $31,495.00 $186,644.00 $60,203.63 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 69 38 $0.01 — $29,475.00 $191,160.53 $59,801.58 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 16 6 — — $42,209.44 $128,413.12 $59,746.04 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 16 6 — — $42,007.49 $127,798.74 $59,460.19 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $55,215.00 $66,258.00 $59,080.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 69 38 $0.01 — $31,123.00 $184,389.00 $58,853.12 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 69 38 $0.01 — $29,991.00 $187,418.81 $58,664.88 2026-04-01
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
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 69 38 $0.01 — $29,947.00 $184,628.52 $58,545.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 69 38 $0.01 — $30,350.00 $179,707.00 $58,516.54 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 69 38 $0.01 — $29,740.00 $181,979.02 $58,130.00 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 71 38 $0.01 — $29,468.00 $179,261.26 $57,586.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 70 38 $0.01 — $13,055.61 $180,182.83 $56,827.83 2026-04-01
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
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 69 38 $0.01 — $28,739.00 $180,933.73 $56,694.78 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 69 38 $0.01 — $28,935.00 $178,715.15 $56,521.00 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 69 38 $0.01 — $28,919.00 $179,786.04 $56,489.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 69 38 $0.01 — $28,878.00 $179,875.64 $56,405.00 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 9 7 $0.01 — $52,607.00 $63,128.00 $56,289.00 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
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
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
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 69 38 $0.01 — $28,628.00 $177,187.75 $55,906.00 2026-04-01
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
64 APR_DRG Pancreas Transplant 9 7 $0.01 — $51,673.00 $62,007.00 $55,290.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 69 38 $0.01 — $27,549.00 $176,014.46 $55,200.35 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 69 38 $0.01 — $30,411.00 $180,077.00 $54,612.26 2026-04-01
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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 70 38 $0.01 — $28,053.00 $165,794.00 $54,299.17 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 69 38 $0.01 — $27,681.00 $164,895.96 $54,012.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 69 38 $0.01 — $27,562.00 $171,534.63 $53,839.41 2026-04-01
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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 69 38 $0.01 — $27,400.00 $165,143.42 $53,450.00 2026-04-01
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
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 69 38 $0.01 — $25,312.00 $169,981.63 $52,940.00 2026-04-01
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
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 16 6 — — $37,254.76 $113,339.57 $52,732.85 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 69 38 $0.01 — $26,945.00 $160,548.40 $52,539.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 69 38 $0.01 — $26,803.00 $166,901.21 $52,431.83 2026-04-01
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
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 69 38 $0.01 — $27,792.00 $164,212.00 $52,264.64 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $48,472.00 $58,167.00 $51,866.00 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 69 38 $0.01 — $26,599.00 $164,738.10 $51,848.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 69 38 $0.01 — $27,211.00 $160,691.00 $51,511.55 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 70 38 $0.01 — $27,136.00 $160,242.00 $51,295.74 2026-04-01
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
791 MS_DRG Prematurity With Major Problems 65 38 $0.01 — $28,577.00 $173,177.24 $51,032.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 69 38 $0.01 — $28,034.00 $165,677.00 $50,245.19 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 71 38 $0.01 — $25,307.00 $159,451.90 $50,168.80 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 69 38 $0.01 — $27,736.00 $163,875.00 $50,128.79 2026-04-01
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
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 69 38 $0.01 — $26,392.00 $155,735.00 $49,914.22 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 35 18 — — $27,889.92 $146,707.87 $49,832.19 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 69 38 $0.01 — $25,577.00 $152,352.45 $49,804.00 2026-04-01
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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 69 38 $0.01 — $24,541.00 $158,107.96 $49,760.51 2026-04-01
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
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 69 38 $0.01 — $25,751.00 $151,852.00 $49,356.07 2026-04-01
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
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 69 38 $0.01 — $25,081.00 $156,648.81 $49,317.24 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 69 38 $0.01 — $25,311.00 $154,097.45 $49,270.00 2026-04-01
265 MS_DRG Aicd Lead Procedures 69 38 $0.01 — $25,191.00 $154,370.50 $49,031.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 69 38 $0.01 — $27,238.00 $160,854.00 $48,907.30 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 69 38 $0.01 — $23,369.00 $159,848.69 $48,762.00 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 69 38 $0.01 — $24,871.00 $154,690.49 $48,722.33 2026-04-01
332 MS_DRG Rectal Resection With Mcc 69 38 $0.01 — $24,515.00 $154,477.17 $48,657.52 2026-04-01
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
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 69 38 $0.01 — $24,756.00 $151,998.33 $48,160.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 69 38 $0.01 — $24,739.00 $152,126.32 $48,125.00 2026-04-01
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
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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 69 38 $0.01 — $24,932.00 $146,891.00 $47,781.17 2026-04-01
21 APR_DRG Heart And/or Lung Transplant 9 7 $0.01 — $44,578.00 $53,493.00 $47,698.00 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 69 38 $0.01 — $24,488.00 $148,107.28 $47,625.00 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 69 38 $0.01 — $22,699.00 $153,867.06 $47,323.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 69 38 $0.01 — $24,311.00 $147,390.51 $47,269.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 69 38 $0.01 — $24,251.00 $148,828.32 $47,151.00 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 72 38 $0.01 — $24,748.00 $146,272.69 $47,122.47 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 69 38 $0.01 — $22,490.00 $154,809.95 $46,874.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 69 38 $0.01 — $24,696.00 $145,459.00 $46,848.57 2026-04-01
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
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 2 2 — — $39,983.25 $52,564.41 $46,273.83 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 69 38 $0.01 — $23,745.00 $145,555.91 $46,138.00 2026-04-01
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
37 MS_DRG Extracranial Procedures With Mcc 69 38 $0.01 — $23,499.00 $140,457.45 $45,646.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 69 38 $0.01 — $24,085.00 $141,759.00 $45,617.27 2026-04-01
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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 72 38 $0.01 — $24,348.00 $151,729.54 $45,371.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 72 38 $0.01 — $24,216.00 $150,462.39 $45,120.00 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 66 38 $0.01 — $1,030.52 $177,895.98 $45,016.63 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 16 6 — — $31,680.22 $96,380.24 $44,842.28 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 69 38 $0.01 — $23,076.00 $138,170.60 $44,800.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 69 38 $0.01 — $23,067.00 $135,836.83 $44,649.61 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 69 38 $0.01 — $24,939.00 $146,928.00 $44,559.86 2026-04-01
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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 69 38 $0.01 — $22,126.00 $140,440.38 $44,393.26 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 69 38 $0.01 — $22,801.00 $137,684.22 $44,249.00 2026-04-01
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
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 69 38 $0.01 — $22,635.00 $134,437.42 $43,917.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 69 38 $0.01 — $22,593.00 $138,017.01 $43,833.00 2026-04-01
665 MS_DRG Prostatectomy With Mcc 69 38 $0.01 — $24,273.00 $142,900.00 $43,771.71 2026-04-01
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
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 69 38 $0.01 — $22,534.00 $137,415.43 $43,715.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 69 38 $0.01 — $21,885.00 $137,825.02 $43,598.74 2026-04-01
652 MS_DRG Kidney Transplant 69 38 $0.01 — $21,785.00 $137,786.62 $43,587.08 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 69 38 $0.01 — $22,453.00 $135,026.19 $43,554.00 2026-04-01
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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 71 38 $0.01 — $22,178.07 $141,168.00 $43,111.40 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 69 38 $0.01 — $21,929.00 $135,969.09 $43,034.94 2026-04-01
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
662 MS_DRG Minor Bladder Procedures With Mcc 69 38 $0.01 — $22,116.00 $130,618.90 $42,879.00 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant 9 7 $0.01 — $40,033.00 $48,039.00 $42,835.00 2024-12-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 69 38 $0.01 — $22,025.00 $134,373.42 $42,696.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 69 38 $0.01 — $21,870.00 $134,821.40 $42,686.27 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 69 38 $0.01 — $20,347.00 $136,971.72 $42,267.00 2026-04-01
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
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 69 38 $0.01 — $20,941.00 $132,888.68 $42,099.13 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 69 38 $0.01 — $21,697.00 $132,654.02 $42,040.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 70 38 $0.01 — $23,140.00 $136,037.00 $41,878.80 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 69 38 $0.01 — $21,766.00 $127,709.00 $41,741.03 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 69 38 $0.01 — $19,958.00 $134,057.70 $41,432.00 2026-04-01
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
570 MS_DRG Skin Debridement With Mcc 69 38 $0.01 — $21,364.00 $125,482.03 $41,245.99 2026-04-01
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
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 69 38 $0.01 — $20,319.00 $128,869.63 $40,878.18 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 69 38 $0.01 — $20,381.00 $128,852.57 $40,873.00 2026-04-01
4404 APR_DRG Kidney Transplant 9 7 $0.01 — $37,839.00 $45,407.00 $40,488.00 2024-12-15
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