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 PALM COAST PARKWAY

Palm Coast, FL · CCN 100363 · Rates published

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You selected 93306 (CPT)

HC TTE W/DOPPLER COMPLETE - TTE COMPLETE

This hospital’s price: $1,246 across 31 payers · range $301-$2,164

Source: https://www.adventhealth.com/sites/default/files/CDM/2025/882288563_AdventHealth-Palm-Coast-Parkway_standardcharges.json · observed 2024-12-15

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.

16,159 distinct procedures filed
43 distinct payers
1,237,857 rate rows
2026-04-01 last MRF observed
Data quality

1,211,650 of 1,237,857 rate rows are consumer-grade (97.9%)

26,207 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 19,023
exceeds 10× this hospital's gross charge — excluded from medians 5,112
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 880
per-diem day rate — not a per-procedure price 158
template filing: same amount across many unrelated codes — excluded 145
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://HospitalPriceDisclosure.com/download.aspx?pi=Bq2z8FAZBWl*_*OEKSmuVm3w*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-27
Content fingerprint b91aa1300a8301d0… · 15,187,239 bytes · first seen 2026-08-01

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 31 $24,610.00 $1,605,267.00 $777,122.00 nat. median
$622,450
1.2× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 31 $24,610.00 $1,570,073.00 $760,085.00 nat. median
$640,950
1.2× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 31 $24,610.00 $1,387,149.00 $665,863.50 nat. median
$739,258
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 28 $236,464.00 $1,605,666.05 $642,430.52 nat. median
$359,454
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 28 $176,619.00 $1,042,012.67 $416,911.56 nat. median
$249,036
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 $148,755.00 $860,450.00 $336,911.00 nat. median
$198,418
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 $134,379.00 $789,216.61 $315,767.30 nat. median
$190,559
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $88,597.00 $515,036.61 $206,067.28 nat. median
$126,695
1.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $123,589.95 $329,493.44 $202,775.42 nat. median
$70,732
outlier · 2.9×
5834
APR_DRG 		Neonate With Ecmo 6 $190,439.00 $228,526.00 $201,865.00 nat. median
$307,206
0.7× median
7
MS_DRG 		Lung Transplant 28 $81,943.00 $481,527.29 $192,660.13 nat. median
$117,974
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 28 $82,150.00 $475,183.00 $186,059.00 nat. median
$110,307
1.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $106,786.60 $284,695.36 $175,205.98 nat. median
$47,543
outlier · 3.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 $69,100.00 $421,350.32 $168,583.19 nat. median
$104,013
1.6× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $84,464.18 $420,866.94 $168,389.79 nat. median
$92,678
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 $65,726.00 $409,801.28 $163,962.39 nat. median
$93,276
1.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $98,873.07 $263,597.72 $162,222.16 nat. median
$39,452
outlier · 4.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 28 $68,306.00 $404,331.66 $161,773.99 nat. median
$97,323
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 28 $66,773.00 $386,235.00 $153,389.31 nat. median
$95,038
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $92,500.69 $246,608.81 $151,766.92 nat. median
$52,712
outlier · 2.9×
215
MS_DRG 		Other Heart Assist System Implant 28 $66,432.00 $384,262.00 $150,459.00 nat. median
$93,901
1.6× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $89,273.35 $238,004.66 $146,471.79 nat. median
$38,225
outlier · 3.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $60,513.00 $363,753.85 $145,538.72 nat. median
$90,551
1.6× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $85,304.04 $227,422.38 $139,959.29 nat. median
$49,540
outlier · 2.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 $52,296.00 $335,003.96 $134,035.82 nat. median
$78,049
1.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $124,240.00 $149,088.00 $131,694.00 nat. median
$247,214
0.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 28 $57,760.00 $334,103.00 $130,819.00 nat. median
$78,268
1.7× median
5833
APR_DRG 		Neonate With Ecmo 6 $123,372.00 $148,046.00 $130,774.00 nat. median
$244,017
0.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 28 $53,133.00 $313,448.97 $125,411.62 nat. median
$77,028
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 $53,103.00 $312,463.62 $125,017.38 nat. median
$77,632
1.6× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 27 $10.00 $221,582.00 $119,825.00 nat. median
$1,012
outlier · 118.4×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $72,785.21 $194,046.92 $119,419.51 nat. median
$32,619
outlier · 3.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 $50,544.00 $292,585.59 $117,064.14 nat. median
$74,370
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $110,025.00 $132,030.00 $116,627.00 nat. median
$241,437
outlier · 0.5×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $70,539.74 $188,060.46 $115,735.35 nat. median
$34,024
outlier · 3.4×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 $70,023.70 $186,684.69 $114,888.68 nat. median
$31,634
outlier · 3.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 $48,515.00 $285,502.23 $114,230.07 nat. median
$72,398
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 $49,009.00 $284,271.47 $113,737.64 nat. median
$71,748
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 $46,802.00 $283,330.74 $113,361.25 nat. median
$67,976
1.7× median
10
MS_DRG 		Pancreas Transplant 28 $49,993.00 $289,174.00 $113,227.00 nat. median
$64,933
1.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 $49,705.00 $287,509.00 $112,575.00 nat. median
$66,715
1.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 $44,513.00 $268,409.20 $107,391.11 nat. median
$63,648
1.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 28 $41,878.00 $266,702.50 $106,708.26 nat. median
$61,308
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 $44,311.00 $265,129.66 $106,078.96 nat. median
$66,649
1.6× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 $64,234.30 $171,250.02 $105,389.94 nat. median
$38,810
outlier · 2.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 28 $43,621.00 $257,001.46 $102,826.85 nat. median
$62,655
1.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $96,746.00 $116,095.00 $102,550.00 nat. median
$123,836
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 $41,807.00 $255,740.96 $102,322.52 nat. median
$63,873
1.6× median
5832
APR_DRG 		Neonate With Ecmo 6 $94,727.00 $113,673.00 $100,411.00 nat. median
$159,249
0.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 28 $42,815.00 $250,282.49 $100,138.57 nat. median
$61,728
1.6× median

Other procedures at this hospital

Browse this hospital's 16,159 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 58 31 $1,759,389.30 $703,755.72 60% off $24,610.00 $1,605,267.00 $777,122.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 58 31 $1,720,816.99 $688,326.80 60% off $24,610.00 $1,570,073.00 $760,085.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 58 31 $1,507,501.56 $603,000.62 60% off $24,610.00 $1,387,149.00 $665,863.50 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 67 28 $0.01 — $236,464.00 $1,605,666.05 $642,430.52 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 67 28 $0.01 — $176,619.00 $1,042,012.67 $416,911.56 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 67 28 $0.01 — $148,755.00 $860,450.00 $336,911.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 67 28 $0.01 — $134,379.00 $789,216.61 $315,767.30 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 68 28 $0.01 — $88,597.00 $515,036.61 $206,067.28 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 17 6 — — $123,589.95 $329,493.44 $202,775.42 2026-04-01
5834 APR_DRG Neonate With Ecmo 9 6 $0.01 — $190,439.00 $228,526.00 $201,865.00 2024-12-15
7 MS_DRG Lung Transplant 67 28 $0.01 — $81,943.00 $481,527.29 $192,660.13 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 67 28 $0.01 — $82,150.00 $475,183.00 $186,059.00 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 17 6 — — $106,786.60 $284,695.36 $175,205.98 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 67 28 $0.01 — $69,100.00 $421,350.32 $168,583.19 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 36 15 — — $84,464.18 $420,866.94 $168,389.79 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 28 $0.01 — $65,726.00 $409,801.28 $163,962.39 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 17 6 — — $98,873.07 $263,597.72 $162,222.16 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 67 28 $0.01 — $68,306.00 $404,331.66 $161,773.99 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 67 28 $0.01 — $66,773.00 $386,235.00 $153,389.31 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 17 6 — — $92,500.69 $246,608.81 $151,766.92 2026-04-01
215 MS_DRG Other Heart Assist System Implant 67 28 $0.01 — $66,432.00 $384,262.00 $150,459.00 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 17 6 — — $89,273.35 $238,004.66 $146,471.79 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 28 $0.01 — $60,513.00 $363,753.85 $145,538.72 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 17 6 — — $85,304.04 $227,422.38 $139,959.29 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 67 28 $0.01 — $52,296.00 $335,003.96 $134,035.82 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $124,240.00 $149,088.00 $131,694.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 67 28 $0.01 — $57,760.00 $334,103.00 $130,819.00 2026-04-01
5833 APR_DRG Neonate With Ecmo 9 6 $0.01 — $123,372.00 $148,046.00 $130,774.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 67 28 $0.01 — $53,133.00 $313,448.97 $125,411.62 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 28 $0.01 — $53,103.00 $312,463.62 $125,017.38 2026-04-01
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 50 27 $242,855.70 $97,142.28 60% off $10.00 $221,582.00 $119,825.00 2024-12-15
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 17 6 — — $72,785.21 $194,046.92 $119,419.51 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 67 28 $0.01 — $50,544.00 $292,585.59 $117,064.14 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $110,025.00 $132,030.00 $116,627.00 2024-12-15
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 17 6 — — $70,539.74 $188,060.46 $115,735.35 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 17 6 — — $70,023.70 $186,684.69 $114,888.68 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 28 $0.01 — $48,515.00 $285,502.23 $114,230.07 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 67 28 $0.01 — $49,009.00 $284,271.47 $113,737.64 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 67 28 $0.01 — $46,802.00 $283,330.74 $113,361.25 2026-04-01
10 MS_DRG Pancreas Transplant 67 28 $0.01 — $49,993.00 $289,174.00 $113,227.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 67 28 $0.01 — $49,705.00 $287,509.00 $112,575.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 28 $0.01 — $44,513.00 $268,409.20 $107,391.11 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 67 28 $0.01 — $41,878.00 $266,702.50 $106,708.26 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 67 28 $0.01 — $44,311.00 $265,129.66 $106,078.96 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 17 6 — — $64,234.30 $171,250.02 $105,389.94 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 69 28 $0.01 — $43,621.00 $257,001.46 $102,826.85 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 6 $0.01 — $96,746.00 $116,095.00 $102,550.00 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 67 28 $0.01 — $41,807.00 $255,740.96 $102,322.52 2026-04-01
5832 APR_DRG Neonate With Ecmo 9 6 $0.01 — $94,727.00 $113,673.00 $100,411.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 67 28 $0.01 — $42,815.00 $250,282.49 $100,138.57 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $94,291.00 $113,150.00 $99,949.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 67 28 $0.01 — $38,790.00 $248,624.13 $99,475.06 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 67 28 $0.01 — $42,039.00 $248,441.93 $99,402.16 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 28 $0.01 — $37,304.00 $244,489.38 $97,820.74 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 28 $0.01 — $40,492.00 $244,489.38 $97,820.74 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 67 28 $0.01 — $38,613.00 $243,600.71 $97,465.18 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 6 $0.01 — $90,629.00 $108,754.00 $96,066.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 68 28 $0.01 — $40,556.00 $239,261.45 $95,729.03 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 6 $0.01 — $89,387.00 $107,264.00 $94,750.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 67 28 $0.01 — $37,563.00 $227,872.30 $91,172.21 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 67 28 $0.01 — $39,654.00 $229,374.00 $91,066.58 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 67 28 $0.01 — $38,302.00 $225,425.66 $90,193.30 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 67 28 $0.01 — $38,119.00 $223,406.62 $89,385.48 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 67 28 $0.01 — $38,840.00 $224,663.00 $89,360.19 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 28 $0.01 — $35,987.00 $221,725.95 $88,713.04 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 67 28 $0.01 — $37,846.00 $220,484.04 $88,216.15 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 67 28 $0.01 — $36,895.00 $218,212.15 $87,307.16 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 67 28 $0.01 — $36,507.00 $218,070.86 $87,250.63 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 67 28 $0.01 — $38,481.00 $222,584.00 $87,153.00 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 6 $0.01 — $81,688.00 $98,025.00 $86,589.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 67 28 $0.01 — $34,301.00 $214,438.08 $85,797.15 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 67 28 $0.01 — $37,846.00 $218,914.00 $85,716.00 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $80,802.00 $96,963.00 $85,650.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 67 28 $0.01 — $35,772.00 $213,069.74 $85,249.67 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 6 $0.01 — $80,197.00 $96,237.00 $85,009.00 2024-12-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 36 15 — — $42,586.55 $212,199.66 $84,901.55 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 67 28 $0.01 — $33,865.00 $211,924.51 $84,791.46 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 17 6 — — $51,016.73 $136,011.70 $83,703.73 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 $0.01 — $78,925.00 $94,710.00 $83,660.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 28 $0.01 — $34,521.00 $209,042.83 $83,638.49 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 67 28 $0.01 — $34,117.00 $208,395.84 $83,379.63 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 67 28 $0.01 — $31,371.00 $206,968.01 $82,808.36 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 67 28 $0.01 — $34,657.00 $204,130.95 $81,673.24 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 67 28 $0.01 — $34,039.00 $203,409.60 $81,384.63 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 67 28 $0.01 — $33,359.00 $203,119.57 $81,268.59 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 67 28 $0.01 — $33,833.00 $202,799.80 $81,140.65 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $74,916.00 $89,899.00 $79,410.00 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 28 $0.01 — $33,211.00 $198,289.50 $79,336.07 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 67 28 $0.01 — $32,292.00 $198,170.52 $79,288.46 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 67 28 $0.01 — $34,953.00 $202,182.00 $79,165.00 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 6 $0.01 — $74,540.00 $89,448.00 $79,013.00 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 67 28 $0.01 — $34,659.00 $200,481.00 $78,755.86 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 73 28 $0.01 — $585.00 $196,188.66 $78,495.52 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 $0.01 — $73,184.00 $87,820.00 $77,575.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 69 29 $0.01 — $7,502.66 $193,552.39 $77,440.74 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 67 28 $0.01 — $33,829.00 $195,678.00 $76,618.00 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $70,902.00 $85,083.00 $75,156.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 28 $0.01 — $28,796.00 $187,409.76 $74,983.06 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 67 28 $0.01 — $31,846.00 $185,446.49 $74,197.55 2026-04-01
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 50 27 $149,769.93 $59,907.97 60% off $615.00 $136,650.00 $73,896.50 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 67 28 $0.01 — $31,246.00 $183,959.17 $73,602.47 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 68 28 $0.01 — $31,582.00 $183,003.57 $73,220.13 2026-04-01
5831 APR_DRG Neonate With Ecmo 9 6 $0.01 — $68,854.00 $82,625.00 $72,985.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 67 28 $0.01 — $30,456.00 $179,545.55 $71,836.57 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 6 $0.01 — $67,692.00 $81,231.00 $71,754.00 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 50 27 $145,045.20 $58,018.08 60% off $84.00 $132,339.00 $71,565.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 67 28 $0.01 — $31,395.00 $181,602.00 $71,473.57 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 67 28 $0.01 — $29,499.00 $177,020.83 $70,826.42 2026-04-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 6 $0.01 — $66,624.00 $79,949.00 $70,621.00 2024-12-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 6 $0.01 — $66,168.00 $79,401.00 $70,138.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 67 28 $0.01 — $28,888.00 $174,812.16 $69,942.73 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 78 29 $0.01 — $696.30 $183,631.96 $69,911.32 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 69 28 $0.01 — $16,296.37 $174,455.20 $69,799.91 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 67 28 $0.01 — $29,943.00 $173,934.64 $69,591.63 2026-04-01
245 MS_DRG Aicd Generator Procedures 67 28 $0.01 — $30,641.00 $177,238.00 $69,398.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 67 28 $0.01 — $30,405.00 $175,874.00 $68,984.65 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 17 6 — — $41,977.68 $111,913.39 $68,873.25 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 67 28 $0.01 — $29,172.00 $171,729.69 $68,709.42 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 17 6 — — $41,776.84 $111,377.96 $68,543.74 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 71 28 $0.01 — $28,793.00 $170,911.66 $68,382.13 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 67 28 $0.01 — $29,341.00 $170,476.62 $68,208.07 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 69 28 $0.01 — $28,288.00 $169,134.31 $67,671.01 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 67 28 $0.01 — $28,042.00 $169,059.95 $67,641.26 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $63,800.00 $76,560.00 $67,628.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 67 28 $0.01 — $29,813.00 $172,450.00 $67,523.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 67 28 $0.01 — $26,276.00 $166,598.43 $66,656.40 2026-04-01
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 225 17 $145,160.00 $58,064.00 60% off $22,645.00 $169,837.00 $66,621.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 67 28 $0.01 — $27,543.00 $165,944.01 $66,394.56 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 72 28 $0.01 — $150.00 $167,169.00 $66,065.87 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $61,779.00 $74,134.00 $65,485.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 71 28 $0.01 — $9,918.28 $163,337.48 $65,351.69 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 6 $0.01 — $60,774.00 $72,928.00 $64,420.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 67 28 $0.01 — $26,708.00 $160,905.71 $64,378.73 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 67 28 $0.01 — $28,120.00 $162,654.00 $63,865.47 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 67 28 $0.01 — $26,518.00 $158,596.65 $63,454.87 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 67 28 $0.01 — $25,604.00 $157,685.67 $63,090.38 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 67 28 $0.01 — $27,780.00 $160,688.00 $62,918.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 67 28 $0.01 — $26,088.00 $157,031.25 $62,828.55 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 67 28 $0.01 — $25,731.00 $156,763.53 $62,721.43 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 67 28 $0.01 — $25,769.00 $156,685.44 $62,690.19 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 69 28 $0.01 — $18,348.27 $156,228.09 $62,507.20 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 67 28 $0.01 — $25,783.00 $155,752.15 $62,316.78 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 $0.01 — $58,581.00 $70,297.00 $62,096.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 28 $0.01 — $27,074.00 $156,607.00 $62,075.77 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 68 28 $0.01 — $25,503.00 $154,421.00 $61,784.18 2026-04-01
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 90 17 $119,420.00 $47,768.00 60% off $24,387.00 $117,268.00 $61,448.50 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 67 28 $0.01 — $27,131.00 $156,934.00 $61,448.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 67 28 $0.01 — $24,518.00 $153,398.47 $61,375.06 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 17 6 — — $37,050.21 $98,776.64 $60,788.69 2026-04-01
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 50 27 $121,897.31 $48,758.92 60% off $60.00 $111,219.00 $60,144.50 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 67 28 $0.01 — $24,638.00 $149,494.25 $59,812.98 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 6 $0.01 — $56,422.00 $67,706.00 $59,807.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 67 28 $0.01 — $22,477.00 $148,140.79 $59,271.46 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 6 $0.01 — $55,013.00 $66,015.00 $58,313.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 67 28 $0.01 — $23,837.00 $145,456.18 $58,197.34 2026-04-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $54,345.00 $65,213.00 $57,605.00 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 67 28 $0.01 — $24,383.00 $143,924.24 $57,584.40 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 67 28 $0.01 — $24,640.00 $143,708.58 $57,498.12 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 68 28 $0.01 — $23,651.00 $143,571.00 $57,443.07 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 68 28 $0.01 — $24,979.00 $144,486.00 $57,117.27 2026-04-01
C1824 HCPCS Generator Ipg Optimizer Crdc Smart Mn 90 17 $110,890.00 $44,356.00 60% off $22,645.00 $108,891.00 $57,059.50 2024-12-15
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 94 31 $98,946.53 $39,578.61 60% off $14,380.00 $101,237.00 $56,845.00 2024-12-15
33249 CPT Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 94 31 $98,946.50 $39,578.60 60% off $14,380.00 $101,237.00 $56,845.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 67 28 $0.01 — $24,961.00 $144,384.00 $56,534.00 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 67 28 $0.01 — $24,746.00 $143,136.00 $56,045.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 68 28 $0.01 — $23,967.00 $139,919.63 $55,982.15 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 67 28 $0.01 — $24,689.00 $142,810.00 $55,918.00 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 67 28 $0.01 — $20,704.00 $139,309.83 $55,738.17 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 69 28 $0.01 — $24,148.00 $139,680.00 $55,605.76 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 67 28 $0.01 — $22,472.00 $138,964.03 $55,599.81 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 67 28 $0.01 — $21,773.00 $137,792.76 $55,131.19 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 67 28 $0.01 — $24,235.00 $140,184.00 $54,889.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 67 28 $0.01 — $24,210.00 $140,039.00 $54,833.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 67 28 $0.01 — $22,267.00 $136,521.10 $54,622.39 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $51,213.00 $61,456.00 $54,286.00 2024-12-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 67 28 $0.01 — $19,902.00 $134,918.52 $53,981.19 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 67 28 $0.01 — $22,074.00 $134,814.40 $53,939.54 2026-04-01
332 MS_DRG Rectal Resection With Mcc 67 28 $0.01 — $21,749.00 $134,628.49 $53,865.15 2026-04-01
265 MS_DRG Aicd Lead Procedures 67 28 $0.01 — $22,366.00 $134,535.53 $53,827.96 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 $0.01 — $50,756.00 $60,907.00 $53,801.00 2024-12-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 68 28 $0.01 — $22,479.00 $134,297.56 $53,732.75 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 68 28 $0.01 — $20,092.00 $134,096.77 $53,448.21 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 67 28 $0.01 — $23,477.00 $135,799.00 $53,172.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 70 28 $0.01 — $22,724.00 $132,776.77 $53,124.28 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 67 28 $0.01 — $21,954.00 $132,579.70 $53,045.43 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 67 28 $0.01 — $21,970.00 $132,468.16 $53,000.80 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 71 29 $0.01 — $15,090.44 $132,233.90 $52,907.08 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 72 28 $0.01 — $12,306.35 $131,129.57 $52,465.23 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 67 28 $0.01 — $22,878.00 $132,331.00 $52,358.11 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 68 28 $0.01 — $21,509.00 $129,705.46 $51,895.44 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 9 6 $0.01 — $48,794.00 $58,553.00 $51,722.00 2024-12-15
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 17 6 — — $31,506.27 $83,996.40 $51,692.70 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 67 28 $0.01 — $21,726.00 $129,077.07 $51,644.02 2026-04-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 6 $0.01 — $48,533.00 $58,240.00 $51,445.00 2024-12-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 67 28 $0.01 — $21,563.00 $128,452.39 $51,394.08 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 6 $0.01 — $48,446.00 $58,135.00 $51,353.00 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 45 17 $93,964.50 $37,585.80 60% off $21,424.00 $83,553.00 $51,305.00 2024-12-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 36 15 — — $25,659.83 $127,857.46 $51,156.05 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 69 28 $0.01 — $9,531.12 $127,478.20 $51,004.31 2026-04-01
64 APR_DRG Pancreas Transplant 9 6 $0.01 — $47,928.00 $57,513.00 $50,803.00 2024-12-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 67 28 $0.01 — $21,047.00 $126,853.52 $50,754.37 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 67 28 $0.01 — $22,130.00 $128,008.00 $50,687.43 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 67 28 $0.01 — $22,138.00 $128,051.00 $50,139.00 2026-04-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 6 $0.01 — $47,101.00 $56,522.00 $49,927.00 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 69 28 $0.01 — $21,915.00 $126,764.00 $49,698.11 2026-04-01
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 50 27 $100,047.74 $40,019.09 60% off $57.00 $91,284.00 $49,363.50 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 36 17 $79,265.46 $31,706.19 60% off $18,073.00 $72,322.00 $49,343.00 2024-12-15
8514 APR_DRG Gender Related Procedures 9 6 $0.01 — $46,471.00 $55,766.00 $49,260.00 2024-12-15
37 MS_DRG Extracranial Procedures With Mcc 67 28 $0.01 — $20,823.00 $122,410.15 $48,976.57 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 67 28 $0.01 — $19,569.00 $122,395.28 $48,970.62 2026-04-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 6 $0.01 — $46,098.00 $55,317.00 $48,864.00 2024-12-15
665 MS_DRG Prostatectomy With Mcc 67 28 $0.01 — $21,529.00 $124,533.00 $48,761.00 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 6 $0.01 — $45,778.00 $54,934.00 $48,525.00 2024-12-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 68 28 $0.01 — $21,363.00 $123,568.00 $48,391.91 2026-04-01
33262 CPT Hc Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 94 31 $113,884.08 $45,553.63 60% off $14,380.00 $103,908.00 $48,313.50 2024-12-15
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 94 31 $113,884.08 $45,553.63 60% off $14,380.00 $103,908.00 $48,313.50 2024-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 67 28 $0.01 — $20,436.00 $120,417.15 $48,179.16 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 68 28 $0.01 — $3,508.38 $120,283.29 $48,125.61 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 67 28 $0.01 — $19,350.00 $120,115.96 $48,058.66 2026-04-01
652 MS_DRG Kidney Transplant 67 28 $0.01 — $19,258.00 $120,082.50 $48,045.27 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 67 28 $0.01 — $20,214.00 $119,993.26 $48,009.57 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 67 28 $0.01 — $19,942.00 $119,759.01 $47,915.84 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 67 28 $0.01 — $17,946.00 $119,372.30 $47,761.12 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $44,959.00 $53,951.00 $47,657.00 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 71 28 $0.01 — $21,270.00 $123,031.00 $47,499.29 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 57 26 $0.01 — $37,278.00 $220,997.16 $47,456.78 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 70 28 $0.01 — $20,428.00 $118,383.24 $47,365.39 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 6 $0.01 — $44,423.00 $53,308.00 $47,088.00 2024-12-15
500 MS_DRG Soft Tissue Procedures With Mcc 67 28 $0.01 — $19,868.00 $117,676.76 $47,082.73 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 67 28 $0.01 — $19,336.00 $117,498.28 $47,011.32 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 67 28 $0.01 — $20,034.00 $117,163.63 $46,877.43 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 67 28 $0.01 — $19,477.00 $117,107.86 $46,855.11 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 67 28 $0.01 — $17,591.00 $116,832.70 $46,745.02 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 67 28 $0.01 — $17,159.00 $122,826.60 $46,661.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 67 28 $0.01 — $20,495.00 $118,552.00 $46,419.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 28 $0.01 — $2,500.00 $115,813.89 $46,337.39 2026-04-01
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 135 17 $84,899.50 $33,959.80 60% off $17,855.00 $88,315.00 $46,270.00 2024-12-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 67 28 $0.01 — $19,178.00 $115,609.38 $46,255.57 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 70 28 $0.01 — $7,305.14 $118,498.50 $45,929.60 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 6 $0.01 — $43,275.00 $51,930.00 $45,872.00 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 6 $0.01 — $43,159.00 $51,791.00 $45,749.00 2024-12-15
263 MS_DRG Vein Ligation And Stripping 67 28 $0.01 — $16,817.00 $113,683.30 $45,484.94 2026-04-01
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 58 31 $105,402.04 $42,160.82 60% off $614.00 $96,169.00 $45,028.00 2024-12-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 67 28 $0.01 — $17,921.00 $112,311.25 $44,935.98 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 67 28 $0.01 — $17,977.00 $112,296.38 $44,930.03 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 70 28 $0.01 — $7,362.73 $113,835.75 $44,923.97 2026-04-01
C1882 HCPCS Defibrillator Amplia Quad Crt-d Is-4 Df-1 Suresca 2,700 17 $86,081.60 $34,432.64 60% off $5.00 $155,332.00 $44,595.00 2024-12-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 67 28 $0.01 — $19,241.00 $111,294.00 $44,279.90 2026-04-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $41,649.00 $49,978.00 $44,147.00 2024-12-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 6 $0.01 — $41,571.00 $49,885.00 $44,066.00 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 6 $0.01 — $41,491.00 $49,789.00 $43,981.00 2024-12-15
472 MS_DRG Cervical Spinal Fusion With Cc 67 28 $0.01 — $18,166.00 $109,544.84 $43,829.13 2026-04-01
21 APR_DRG Heart And/or Lung Transplant 9 6 $0.01 — $41,347.00 $49,616.00 $43,828.00 2024-12-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 67 28 $0.01 — $16,577.00 $109,470.47 $43,799.38 2026-04-01
570 MS_DRG Skin Debridement With Mcc 67 28 $0.01 — $18,877.00 $109,358.92 $43,754.74 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 17 6 — — $26,631.80 $71,000.94 $43,695.09 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 67 28 $0.01 — $18,286.00 $108,574.36 $43,440.84 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 72 28 $0.01 — $18,442.00 $108,288.05 $43,326.29 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 67 28 $0.01 — $18,390.00 $107,905.07 $43,173.05 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 67 28 $0.01 — $17,609.00 $107,838.14 $43,146.28 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 67 28 $0.01 — $15,831.00 $112,173.67 $43,051.00 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 67 28 $0.01 — $17,096.00 $107,362.19 $42,955.85 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 67 28 $0.01 — $18,724.00 $108,305.00 $42,935.02 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 67 28 $0.01 — $16,616.00 $107,153.97 $42,872.54 2026-04-01
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 36 17 $68,744.99 $27,498.00 60% off $15,674.00 $62,723.00 $42,794.00 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 36 17 $68,744.99 $27,498.00 60% off $15,674.00 $62,723.00 $42,794.00 2024-12-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 69 28 $0.01 — $15,306.35 $106,722.65 $42,699.97 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 67 28 $0.01 — $18,260.00 $105,990.14 $42,406.89 2026-04-01
33240 CPT Hc Insj Implntbl Defib Pulse Gen W/1 Existing Ld 94 31 $83,458.55 $33,383.42 60% off $14,380.00 $76,148.00 $42,120.00 2024-12-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 6 $0.01 — $39,512.00 $47,414.00 $41,882.00 2024-12-15
800 MS_DRG Splenic Procedures With Cc 67 28 $0.01 — $18,270.00 $105,679.00 $41,795.44 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 67 28 $0.01 — $17,695.00 $104,086.37 $41,645.19 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 17 6 — — $25,337.51 $67,550.36 $41,571.55 2026-04-01
503 MS_DRG Foot Procedures With Mcc 68 28 $0.01 — $16,595.00 $103,781.47 $41,523.19 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 67 28 $0.01 — $15,978.00 $103,067.56 $41,237.56 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 68 28 $0.01 — $374.83 $102,517.25 $41,017.38 2026-04-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 6 $0.01 — $38,549.00 $46,258.00 $40,861.00 2024-12-15
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 80 23 $69,725.12 $27,890.05 60% off $9,361.00 $63,617.00 $40,738.50 2024-12-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 67 28 $0.01 — $17,035.00 $101,650.89 $40,670.74 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 67 28 $0.01 — $17,956.00 $103,866.00 $40,669.00 2026-04-01
34708 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft Rpt 76 23 $62,489.49 $24,995.80 60% off $9,941.00 $114,031.00 $40,618.00 2024-12-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 67 28 $0.01 — $17,850.00 $103,253.00 $40,477.34 2026-04-01
849 MS_DRG Radiotherapy 67 28 $0.01 — $16,748.00 $100,747.34 $40,309.23 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 68 28 $0.01 — $17,127.00 $100,624.63 $40,260.14 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 67 28 $0.01 — $16,406.00 $100,297.42 $40,129.22 2026-04-01
68382-395-01 NDC Ribavirin 6 G In Solr 36 17 $64,187.46 $25,674.99 60% off $14,635.00 $58,565.00 $39,956.50 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 36 17 $64,187.46 $25,674.99 60% off $14,635.00 $58,565.00 $39,956.50 2024-12-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 6 $0.01 — $37,556.00 $45,067.00 $39,809.00 2024-12-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 70 28 $0.01 — $376.86 $102,204.91 $39,614.26 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 70 28 $0.01 — $16,449.00 $102,178.88 $39,604.18 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 67 28 $0.01 — $16,696.00 $98,560.98 $39,434.46 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant 9 6 $0.01 — $37,131.00 $44,558.00 $39,359.00 2024-12-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 67 28 $0.01 — $16,637.00 $98,066.44 $39,236.60 2026-04-01
37235 CPT Hc Ccl Tib/per Revasc Stnt And Arthrectomy Addl 76 23 $60,297.57 $24,119.03 60% off $7,047.00 $110,031.00 $39,193.00 2024-12-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 6 $0.01 — $36,614.00 $43,937.00 $38,811.00 2024-12-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 67 28 $0.01 — $16,013.00 $96,396.93 $38,568.62 2026-04-01
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 36 17 $61,898.41 $24,759.36 60% off $14,113.00 $56,476.00 $38,532.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 36 17 $61,740.44 $24,696.18 60% off $14,077.00 $56,332.00 $38,433.50 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 36 17 $61,740.44 $24,696.18 60% off $14,077.00 $56,332.00 $38,433.50 2024-12-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 67 28 $0.01 — $16,895.00 $97,729.00 $38,424.32 2026-04-01
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