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 Connerton

Land O' Lakes, FL · CCN 102026 · Rates published

21,997 distinct procedures filed
25 distinct payers
190,067 rate rows
2026-04-01 last MRF observed
Data quality

180,385 of 190,067 rate rows are consumer-grade (94.9%)

9,682 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 9,420
per-diem day rate — not a per-procedure price 262
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.adventhealth.com/sites/default/files/CDM/2022/591113901_AdventHealthConnerton_standardcharges.json
Found on page https://www.adventhealth.com/pricelist
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03

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
59572-515-03
NDC 		Idecabtagene Vicleucel 460000000 Cells IV Susp 4 $690,789.00 $877,192.00 $712,718.00 nat. median
$712,718
1.0× median
59572-515-01
NDC 		Idecabtagene Vicleucel 460000000 Cells IV Susp 4 $690,789.00 $877,192.00 $712,718.00 nat. median
$712,718
1.0× median
59572-515-02
NDC 		Idecabtagene Vicleucel 460000000 Cells IV Susp 4 $690,789.00 $877,192.00 $712,718.00 nat. median
$712,718
1.0× median
73153-900-01
NDC 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 4 $675,644.00 $857,960.00 $697,093.00 nat. median
$697,093
1.0× median
0078-0958-19
NDC 		Tisagenlecleucel IV Infusion (wrapped) 4 $591,889.00 $751,605.00 $610,679.00 nat. median
$610,679
1.0× median
65857-450-05
NDC 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 4 $508,455.00 $645,657.00 $524,596.00 nat. median
$524,596
1.0× median
55513-530-10
NDC 		Filgrastim 300 Mcg/ml Ij Soln 4 $505,854.00 $642,354.00 $521,912.00 nat. median
$521,912
1.0× median
3623824001
CDM 		Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 4 $457,067.00 $580,402.00 $471,577.00 nat. median
$471,577
1.0× median
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 4 $416,317.00 $528,656.00 $429,533.00 nat. median
$111,860
outlier · 3.8×
0078-0818-81
NDC 		Octreotide Acetate 20 Mg IM Kit 4 $379,500.00 $481,905.00 $391,547.00 nat. median
$1,713
outlier · 228.6×
0078-0797-61
NDC 		Octreotide Acetate 20 Mg IM Kit 4 $379,500.00 $481,905.00 $391,547.00 nat. median
$391,547
1.0× median
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 4 $361,059.00 $458,488.00 $372,521.00 nat. median
$92,408
outlier · 4.0×
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 4 $361,059.00 $458,488.00 $372,521.00 nat. median
$92,261
outlier · 4.0×
68382-395-04
NDC 		Ribavirin 6 G In Solr 4 $337,121.00 $428,090.00 $347,823.00 nat. median
$88,073
outlier · 3.9×
68382-395-01
NDC 		Ribavirin 6 G In Solr 4 $337,121.00 $428,090.00 $347,823.00 nat. median
$88,073
outlier · 3.9×
59385-027-01
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 4 $324,268.00 $411,769.00 $334,563.00 nat. median
$87,698
outlier · 3.8×
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 4 $324,268.00 $411,769.00 $334,563.00 nat. median
$85,763
outlier · 3.9×
71258-022-01
NDC 		Piflufolastat F 18 9 Mci IV Sosy 4 $313,565.00 $398,178.00 $323,520.00 nat. median
$323,520
1.0× median
69932-001-30
NDC 		Fluciclovine F 18 9-221 Mci/ml IV Soln 4 $303,673.00 $385,617.00 $313,314.00 nat. median
$313,314
1.0× median
0069-0293-01
NDC 		Filgrastim-aafi 300 Mcg/ml Ij Soln 4 $301,864.00 $383,320.00 $311,447.00 nat. median
$311,447
1.0× median
0069-0293-10
NDC 		Filgrastim-aafi 300 Mcg/ml Ij Soln 4 $301,864.00 $383,320.00 $311,447.00 nat. median
$311,447
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $269,131.00 $595,814.00 $295,908.00 nat. median
$370,165
0.8× median
0187-0007-14
NDC 		Ribavirin 6 G In Solr 4 $258,557.00 $328,326.00 $266,765.00 nat. median
$69,528
outlier · 3.8×
69945-050-40
NDC 		Indium In-111 Pentetreotide IV Kit 4 $255,210.00 $324,076.00 $263,311.00 nat. median
$263,311
1.0× median
0781-5893-31
NDC 		Nevirapine ER 400 Mg Po Tb24 4 $253,494.00 $321,897.00 $261,542.00 nat. median
$68,166
outlier · 3.8×
0074-3663-03
NDC 		Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 4 $229,302.00 $291,178.00 $236,582.00 nat. median
$1,498
outlier · 158.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $201,362.00 $445,367.00 $221,363.00 nat. median
$261,939
0.8× median
47781-153-01
NDC 		Naproxen Sodium ER 375 Mg Po Tb24 4 $210,248.00 $266,982.00 $216,923.00 nat. median
$56,537
outlier · 3.8×
65174-200-05
NDC 		Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 4 $209,464.00 $265,986.00 $216,114.00 nat. median
$216,114
1.0× median
278C183101
CDM 		Kit Imp Aprevo Spine Lvl 1 4 $128,255.00 $313,200.00 $200,448.00 nat. median
$200,448
1.0× median
5834
APR_DRG 		Neonate With Ecmo 2 $178,790.00 $204,331.00 $191,560.50 nat. median
$311,018
0.6× median
67877-230-22
NDC 		Mycophenolate Mofetil 200 Mg/ml Po Susr Bulk 4 $182,880.00 $232,228.00 $188,686.00 nat. median
$19
outlier · 9907.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $169,798.00 $375,294.00 $186,642.00 nat. median
$205,166
0.9× median
0004-0261-29
NDC 		Mycophenolate Mofetil 200 Mg/ml Po Susr Bulk 4 $178,771.00 $227,011.00 $184,446.00 nat. median
$31
outlier · 5934.6×
66658-234-01
NDC 		Anakinra 100 Mg/0.67ml Sc Sosy 4 $178,339.00 $226,462.00 $184,000.00 nat. median
$460
outlier · 400.2×
66658-234-07
NDC 		Anakinra 100 Mg/0.67ml Sc Sosy 4 $178,339.00 $226,462.00 $184,000.00 nat. median
$934
outlier · 197.0×
0187-3013-30
NDC 		Pyridostigmine Bromide ER 180 Mg Po Tbcr 4 $173,616.00 $220,464.00 $179,127.00 nat. median
$45,919
outlier · 3.9×
51167-331-01
NDC 		Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 4 $172,787.00 $219,412.00 $178,272.00 nat. median
$46,844
outlier · 3.8×
278C182501
CDM 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 4 $138,121.00 $216,608.00 $172,985.50 nat. median
$172,986
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $153,530.00 $339,178.00 $168,747.00 nat. median
$199,832
0.8× median
72874-001-01
NDC 		Fluoroestradiol F 18 4-100 Mci/ml IV Soln 4 $160,874.00 $204,284.00 $165,981.00 nat. median
$165,981
1.0× median
278C182401
CDM 		Generator Ipg Optimizer Crdc Smart Mn 4 $128,255.00 $201,136.00 $160,629.50 nat. median
$160,630
1.0× median
0078-0697-19
NDC 		Eltrombopag Olamine 25 Mg Po Pack 4 $152,655.00 $193,848.00 $157,502.00 nat. median
$41,240
outlier · 3.8×
0078-0697-61
NDC 		Eltrombopag Olamine 25 Mg Po Pack 4 $152,655.00 $193,848.00 $157,502.00 nat. median
$41,017
outlier · 3.8×
0955-1052-01
NDC 		Sevelamer Carbonate 0.8 G Po Pack 4 $138,363.00 $175,699.00 $142,755.00 nat. median
$36,595
outlier · 3.9×
0955-1052-90
NDC 		Sevelamer Carbonate 0.8 G Po Pack 4 $138,363.00 $175,699.00 $142,755.00 nat. median
$37,207
outlier · 3.8×
3108141601
CDM 		Hc Exome Sequence Analysis Each Comparator Exome 4 $137,214.00 $174,240.00 $141,570.00 nat. median
$141,570
1.0× median
24338-050-08
NDC 		Carmustine In Polifeprosan 7.7 Mg Il Wafr 4 $134,659.00 $170,996.00 $138,934.00 nat. median
$49,264
outlier · 2.8×
0078-0811-81
NDC 		Octreotide Acetate 10 Mg IM Kit 4 $134,585.00 $170,902.00 $138,858.00 nat. median
$138,858
1.0× median
64406-058-01
NDC 		Nusinersen 12 Mg/5ml It Soln 4 $133,522.00 $169,552.00 $137,761.00 nat. median
$137,761
1.0× median

Other procedures at this hospital

Browse this hospital's 21,997 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
             
0004-0261-29 NDC Mycophenolate Mofetil 200 Mg/ml Po Susr Bulk 5 4 $283,763.69 $113,505.48 60% off $178,771.00 $227,011.00 $184,446.00 2024-12-15
0009-0758-01 NDC Methylprednisolone Sodium Succ 500 Mg Ij Solr (wrapped) 5 4 $100,579.45 $40,231.78 60% off $63,365.00 $80,464.00 $65,377.00 2024-12-15
0037-0442-67 NDC Felbamate 600 Mg/5ml Po Susp Bulk 5 4 $99,045.54 $39,618.21 60% off $62,399.00 $79,236.00 $64,380.00 2024-12-15
0069-0293-01 NDC Filgrastim-aafi 300 Mcg/ml Ij Soln 5 4 $479,149.51 $191,659.80 60% off $301,864.00 $383,320.00 $311,447.00 2024-12-15
0069-0293-10 NDC Filgrastim-aafi 300 Mcg/ml Ij Soln 5 4 $479,149.51 $191,659.80 60% off $301,864.00 $383,320.00 $311,447.00 2024-12-15
0074-3663-03 NDC Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 5 4 $363,971.98 $145,588.79 60% off $229,302.00 $291,178.00 $236,582.00 2024-12-15
0078-0182-01 NDC Octreotide Acetate 500 Mcg/ml IV Soln (wrapped) 5 4 $133,768.55 $53,507.42 60% off $84,274.00 $107,015.00 $86,950.00 2024-12-15
0078-0182-61 NDC Octreotide Acetate 500 Mcg/ml IV Soln (wrapped) 5 4 $133,768.55 $53,507.42 60% off $84,274.00 $107,015.00 $86,950.00 2024-12-15
0078-0669-13 NDC Ofatumumab 100 Mg/5ml IV Conc 5 4 $208,420.85 $83,368.34 60% off $131,305.00 $166,737.00 $135,474.00 2024-12-15
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 5 4 $242,310.22 $96,924.09 60% off $152,655.00 $193,848.00 $157,502.00 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 5 4 $242,310.22 $96,924.09 60% off $152,655.00 $193,848.00 $157,502.00 2024-12-15
0078-0797-61 NDC Octreotide Acetate 20 Mg IM Kit 5 4 $602,380.74 $240,952.30 60% off $379,500.00 $481,905.00 $391,547.00 2024-12-15
0078-0811-81 NDC Octreotide Acetate 10 Mg IM Kit 5 4 $213,627.17 $85,450.87 60% off $134,585.00 $170,902.00 $138,858.00 2024-12-15
0078-0818-81 NDC Octreotide Acetate 20 Mg IM Kit 5 4 $602,380.74 $240,952.30 60% off $379,500.00 $481,905.00 $391,547.00 2024-12-15
0078-0958-19 NDC Tisagenlecleucel IV Infusion (wrapped) 5 4 $939,505.94 $375,802.38 60% off $591,889.00 $751,605.00 $610,679.00 2024-12-15
0078-1007-68 NDC Ofatumumab 20 Mg/0.4ml Sc Soaj 5 4 $200,737.96 $80,295.19 60% off $126,465.00 $160,590.00 $130,480.00 2024-12-15
0085-1328-01 NDC Posaconazole 40 Mg/ml Po Susp Bulk 5 4 $109,524.07 $43,809.63 60% off $69,000.00 $87,619.00 $71,191.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 5 4 $410,407.37 $164,162.95 60% off $258,557.00 $328,326.00 $266,765.00 2024-12-15
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 5 4 $275,580.45 $110,232.18 60% off $173,616.00 $220,464.00 $179,127.00 2024-12-15
0270-0091-01 NDC Rubidium-82 (rb-82) Radio-isotope Injection 5 4 $88,001.00 $35,200.40 60% off $55,441.00 $70,401.00 $57,201.00 2024-12-15
0310-0283-60 NDC Quetiapine Fumarate ER 300 Mg Po Tb24 5 4 $170,128.02 $68,051.21 60% off $107,181.00 $136,102.00 $110,583.00 2024-12-15
0591-2720-60 NDC Metformin Hcl ER (osm) 1000 Mg Po Tb24 5 4 $142,123.97 $56,849.59 60% off $89,538.00 $113,699.00 $92,381.00 2024-12-15
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 5 4 $402,371.64 $160,948.65 60% off $253,494.00 $321,897.00 $261,542.00 2024-12-15
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 5 4 $219,623.13 $87,849.25 60% off $138,363.00 $175,699.00 $142,755.00 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 5 4 $219,623.13 $87,849.25 60% off $138,363.00 $175,699.00 $142,755.00 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 8 $0.01 — $201,362.00 $445,367.00 $221,363.00 2026-04-01
10 MS_DRG Pancreas Transplant 9 8 $0.01 — $57,969.00 $127,034.00 $63,630.00 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 $0.01 — $52,971.00 $60,538.00 $56,754.50 2024-12-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 $0.01 — $90,828.00 $103,803.00 $97,315.50 2024-12-15
13811-715-30 NDC Venlafaxine Hcl ER 225 Mg Po Tb24 5 4 $107,161.59 $42,864.64 60% off $67,512.00 $85,729.00 $69,655.00 2024-12-15
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 5 4 $203,398.50 $81,359.40 60% off $128,141.00 $162,719.00 $132,209.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 9 8 $0.01 — $94,385.00 $207,878.00 $103,688.00 2026-04-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 $0.01 — $62,549.00 $71,484.00 $67,016.50 2024-12-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 $0.01 — $51,648.00 $59,026.00 $55,337.00 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 2 2 $0.01 — $59,897.00 $68,454.00 $64,175.50 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 2 2 $0.01 — $88,524.00 $101,170.00 $94,847.00 2024-12-15
17772-123-01 NDC Oxcarbazepine ER 600 Mg Po Tb24 5 4 $95,123.74 $38,049.50 60% off $59,928.00 $76,099.00 $61,830.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 8 $0.01 — $269,131.00 $595,814.00 $295,908.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 8 $0.01 — $57,645.00 $126,314.00 $63,273.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 8 $0.01 — $79,602.00 $175,059.00 $87,426.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 8 $0.01 — $58,595.00 $128,423.00 $64,318.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 8 $0.01 — $78,709.00 $173,076.00 $86,444.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 9 8 $0.01 — $76,585.00 $168,361.00 $84,108.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 $0.01 — $69,884.00 $153,486.00 $76,737.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 $0.01 — $56,297.00 $123,322.00 $61,791.00 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 2 2 $0.01 — $58,000.00 $66,286.00 $62,143.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 8 $0.01 — $61,526.00 $134,930.00 $67,543.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 8 $0.01 — $56,857.00 $124,566.00 $62,407.00 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 2 2 $0.01 — $103,295.00 $118,052.00 $110,673.50 2024-12-15
24208-416-01 NDC Fluocinolone Acetonide 0.59 Mg Iz Impl 5 4 $196,088.60 $78,435.44 60% off $123,536.00 $156,871.00 $127,458.00 2024-12-15
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 5 4 $213,745.17 $85,498.07 60% off $134,659.00 $170,996.00 $138,934.00 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 8 $0.01 — $48,701.00 $106,458.00 $53,435.00 2026-04-01
274L861901 CDM Processor Sound Kanso 2 Cp1150 Choc Brn 15 4 $130,560.00 $52,224.00 60% off $62,430.00 $112,640.00 $84,864.00 2024-12-15
274Q047901 CDM Module Pwr Heartmate Ii Cntrlr Tethered Operation 5 4 $94,867.20 $37,946.88 60% off $59,766.00 $75,894.00 $61,664.00 2024-12-15
274Q049501 CDM Charger Batt Heartmate Univ 10 4 $76,179.24 $30,471.69 60% off $42,196.00 $68,304.00 $53,686.00 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 8 $0.01 — $51,536.00 $112,753.00 $56,554.00 2026-04-01
275C172101 CDM Cardioverter Defib Imp Dl Chb 1540 Plat Dr 250 4 $100,385.77 $40,154.31 60% off $38.00 $124,857.00 $68,228.50 2024-12-15
275C172201 CDM Cardioverter Defib Imp Sgl Chb Visia Af MRI Vr Sur 240 4 $95,382.00 $38,152.80 60% off $23,322.00 $135,049.00 $64,834.50 2024-12-15
275C188201 CDM Defibrillator Amplia Quad Crt-d Surescan 2chb Df4 300 4 $121,574.20 $48,629.68 60% off $21.00 $197,371.00 $83,012.50 2024-12-15
278C176701 CDM Generator Imp Infinity Ipg Dbs Sys 5.55x4.95x1.34c 130 4 $131,152.50 $52,461.00 60% off $50,587.00 $245,204.00 $89,486.00 2024-12-15
278C177201 CDM Pump Inf Synchromed Ii Ascenda Cath 20ml 10 4 $83,781.00 $33,512.40 60% off $48,836.00 $72,036.00 $57,628.50 2024-12-15
278C178701 CDM Kit Neurostim Curonix Freedom 8 Chan Scs Perm 2 5 4 $191,835.00 $76,734.00 60% off $120,856.00 $153,468.00 $124,693.00 2024-12-15
278C181601 CDM Disc Tpy F/ Stimulation Sys 15 4 $140,940.00 $56,376.00 60% off $9,866.00 $128,412.00 $91,611.00 2024-12-15
278C181701 CDM Occluder Dct Amplatzer 180deg Crv 6-7fr 8mmx6mm 40 4 $85,410.27 $34,164.11 60% off $32,483.00 $80,416.00 $57,747.00 2024-12-15
278C182001 CDM Implant Ipg Prospera 90 4 $107,192.70 $42,877.08 60% off $4,662.00 $160,077.00 $72,933.00 2024-12-15
278C182201 CDM Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 15 4 $174,021.75 $69,608.70 60% off $101,124.00 $162,864.00 $121,815.00 2024-12-15
278C182301 CDM Generator Implantable Remede Pul Cent Sleep Apnea 10 4 $130,582.50 $52,233.00 60% off $42,922.00 $154,428.00 $88,058.00 2024-12-15
278C182401 CDM Generator Ipg Optimizer Crdc Smart Mn 10 4 $227,500.00 $91,000.00 60% off $128,255.00 $201,136.00 $160,629.50 2024-12-15
278C182501 CDM System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 10 4 $245,000.00 $98,000.00 60% off $138,121.00 $216,608.00 $172,985.50 2024-12-15
278C182701 CDM Generator Imp Vivistim Vns Ipg 1001 10 4 $140,095.00 $56,038.00 60% off $30,999.00 $184,788.00 $92,442.50 2024-12-15
278C183101 CDM Kit Imp Aprevo Spine Lvl 1 25 4 $297,540.00 $119,016.00 60% off $128,255.00 $313,200.00 $200,448.00 2024-12-15
278C183301 CDM Monitor Crdc The Guardian Amsg3-e 5 4 $99,117.50 $39,647.00 60% off $62,444.00 $79,294.00 $64,426.00 2024-12-15
278C261601 CDM Microsphere Gl Therasphere Y-90 15 Gbq 10 4 $175,703.90 $70,281.56 60% off $109,627.00 $141,917.00 $115,307.00 2024-12-15
278C262401 CDM System Cardiomems Hrt Failure Ptnt 5 4 $192,916.50 $77,166.60 60% off $121,537.00 $154,333.00 $125,396.00 2024-12-15
278L861401 CDM Battery Mod Std Rechrg Nuc7 Wht 60 4 $128,882.97 $51,553.19 60% off $1,476.00 $162,456.00 $88,671.50 2024-12-15
278L861901 CDM Abutment Cochlear Imp Baha Dermalock Ba400 2s Surg 55 4 $111,205.00 $44,482.00 60% off $2,608.00 $162,456.00 $75,732.00 2024-12-15
278Q300101 CDM Hc I-125 Iotrex - 2 Ml 5 4 $129,734.99 $51,894.00 60% off $81,733.00 $103,788.00 $84,328.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 8 $0.01 — $153,530.00 $339,178.00 $168,747.00 2026-04-01
3108141501 CDM Hc Molecular Pathology - Exome Sequence 5 4 $86,757.00 $34,702.80 60% off $54,657.00 $69,406.00 $56,392.00 2024-12-15
3108141601 CDM Hc Exome Sequence Analysis Each Comparator Exome 5 4 $217,800.00 $87,120.00 60% off $137,214.00 $174,240.00 $141,570.00 2024-12-15
3610200T01 CDM Hc Perq Sac Agmntj Uni W/wo Balo/mchnl Dev 1/> Ndl 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3610201T01 CDM Hc Perq Sac Agmntj Bi W/wo Balo/mchnl Dev 2/> Ndls 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3610234T01 CDM Hc Trluml Perip Athrc Renal Art 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3610237T01 CDM Hc Trluml Perip Athrc Brchiocph 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3610238T01 CDM Hc Transluminal Peripheral Atherectomy, Iliac Artery, Each 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
3610275T01 CDM Hc Pild/mild Lumbar Decompress Lss 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3610398T01 CDM Hc MRI Guided Focused US Stereo Lesion Ablate 5 4 $93,352.90 $37,341.16 60% off $58,812.00 $74,682.00 $60,679.00 2024-12-15
3610408T01 CDM Hc Ins/repl Ccm System, Pulse Gen With Tv Electrodes 5 4 $109,896.80 $43,958.72 60% off $69,235.00 $87,917.00 $71,433.00 2024-12-15
3611583001 CDM Hc Excise Excess Skin Tissue,abdomen 5 4 $87,238.89 $34,895.56 60% off $54,961.00 $69,791.00 $56,705.00 2024-12-15
3611929601 CDM Hc Place Postop Breast Cath For Rad 5 4 $83,235.54 $33,294.22 60% off $52,438.00 $66,588.00 $54,103.00 2024-12-15
3612145301 CDM Hc Pbb Closed Rx Mandible Fx+dental Fix 5 4 $84,047.03 $33,618.81 60% off $52,950.00 $67,238.00 $54,631.00 2024-12-15
3612251301 CDM Hc Perq Vert Agmntj Cavity Crtj Uni/bi Cannulation 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612251401 CDM Hc Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Lmbr 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
36122551PB CDM Hc Arthrodesis Ant Interbody Inc Discectomy, Cervical Below C2 5 4 $111,701.27 $44,680.51 60% off $70,372.00 $89,361.00 $72,606.00 2024-12-15
3612341001 CDM Hc Repair Rotator Cuff,acute 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612434001 CDM Hc Repair Of Biceps Tendon At Elbow 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612434101 CDM Hc Repair Tend/musc Upr Arm/elb Each 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612532001 CDM Hc Open Repair Wrist Joint 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612539001 CDM Hc Osteoplasty,radius Or Ulna,shorten 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612540001 CDM Hc Repair Nonunion Radius Or Ulna 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612560701 CDM Hc Open Rx Distal Radius Fx, Extra-articular 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612565201 CDM Hc Open Rx Ulnar Styloid Fx 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612685001 CDM Hc Fusion Mc-p Jt 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612742801 CDM Hc Ligament Reconst Knee, Intra-artic (open) 5 4 $111,701.27 $44,680.51 60% off $70,372.00 $89,361.00 $72,606.00 2024-12-15
3612744601 CDM Hc Knee Arthroplasty Condyle/plateau Medial Or Lateral Comptmnt 5 4 $111,701.27 $44,680.51 60% off $70,372.00 $89,361.00 $72,606.00 2024-12-15
3612765201 CDM Hc Repair/graft Achilles Tendon 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612769501 CDM Hc Repair 1 Collat Ankle Ligmnt,primary 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612769801 CDM Hc Repair Collat Ankle Ligmnt,secondary 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612770501 CDM Hc Osteotomy Tibia 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612772601 CDM Hc Repair Fibula Nonunion/malunion W Int Fixation 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612776601 CDM Hc Open Treatment Medial Malleolus Fracture 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612779201 CDM Hc Open Tx Distal Fibular Fracture Lat Malleolus 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612781401 CDM Hc Open Treatment Bimalleolar Ankle Fracture 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612782201 CDM Hc Open Tx Trimalleolar Ankle Fx Without Fix Pst Lip 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612782701 CDM Hc Open Treatment Fracture Distal Tibia Only 5 4 $111,701.27 $44,680.51 60% off $70,372.00 $89,361.00 $72,606.00 2024-12-15
3612787001 CDM Hc Asc Ankle Arthrodesis Open 27870 5 4 $111,701.27 $44,680.51 60% off $70,372.00 $89,361.00 $72,606.00 2024-12-15
3612829101 CDM Hc Hallux Rigidus W/cheilectomy 1st Mp Jt W/implt 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612829701 CDM Hc Correct Bunion,lapidus Type 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612831001 CDM Hc Osteotomy Prox Phalanx,1st Toe 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612841501 CDM Hc Open Treatment Calcaneal Fracture 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612848501 CDM Hc Open Treatment Metatarsal Fracture Each 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612872501 CDM Hc Fusion Foot Bones,subtalar 5 4 $111,701.27 $44,680.51 60% off $70,372.00 $89,361.00 $72,606.00 2024-12-15
3612875501 CDM Hc Fusion Big Toe,i-p Joint 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612980701 CDM Hc Shldr Arthroscop,surg,repair,slap Lesion 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612982701 CDM Hc Shldr Arthroscop,surg,w/rotat Cuff Repr 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3612982801 CDM Hc Arthroscopy Shoulder Surgical Biceps Tenodesis 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3613125301 CDM Hc Nasal/sinus Endo Total With Tiss Rem 5 4 $87,318.20 $34,927.28 60% off $55,010.00 $69,855.00 $56,757.00 2024-12-15
3613125501 CDM Hc Nasal/sinus Ndsc W/total Ethoidectomy 5 4 $87,318.20 $34,927.28 60% off $55,010.00 $69,855.00 $56,757.00 2024-12-15
3613126701 CDM Hc Nasal/sinus Endoscopy,rmv Tiss Maxill Sinus 5 4 $87,318.20 $34,927.28 60% off $55,010.00 $69,855.00 $56,757.00 2024-12-15
3613127601 CDM Hc Nasal/sinus Ndsc W/rmvl Tiss From Frontal Sinus 5 4 $87,318.20 $34,927.28 60% off $55,010.00 $69,855.00 $56,757.00 2024-12-15
3613128701 CDM Hc Nasal/sinus Endoscopy,sphenoidotomy 5 4 $87,318.20 $34,927.28 60% off $55,010.00 $69,855.00 $56,757.00 2024-12-15
3613128801 CDM Hc Nasal/sinus Endoscopy,remv Tiss Sphenoid 5 4 $87,318.20 $34,927.28 60% off $55,010.00 $69,855.00 $56,757.00 2024-12-15
3613129601 CDM Hc Nasal/sinus Endo Dil Frontal 5 4 $87,318.20 $34,927.28 60% off $55,010.00 $69,855.00 $56,757.00 2024-12-15
3613299801 CDM Hc Perq Radiofreq Ablation Tx, Pul Tumor 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3613322101 CDM Hc Ep Ins Pacemaker Pulse Gen Only W/exist Mult Leads 5 4 $117,895.14 $47,158.06 60% off $74,274.00 $94,316.00 $76,632.00 2024-12-15
3613322901 CDM Hc Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 5 4 $117,895.14 $47,158.06 60% off $74,274.00 $94,316.00 $76,632.00 2024-12-15
3613323001 CDM Hc Ep Insj Implntbl Defib Pulse Gen W/exist Dual Leads 5 4 $109,896.80 $43,958.72 60% off $69,235.00 $87,917.00 $71,433.00 2024-12-15
3613323101 CDM Hc Ep Insj Implntbl Defib Pulse Gen W/exist Multileads 5 4 $149,662.36 $59,864.94 60% off $94,287.00 $119,730.00 $97,281.00 2024-12-15
3613324001 CDM Hc Insj Implntbl Defib Pulse Gen W/1 Existing Ld 5 4 $109,896.80 $43,958.72 60% off $69,235.00 $87,917.00 $71,433.00 2024-12-15
3613324901 CDM Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 5 4 $149,662.36 $59,864.94 60% off $94,287.00 $119,730.00 $97,281.00 2024-12-15
3613326201 CDM Hc Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 5 4 $109,896.80 $43,958.72 60% off $69,235.00 $87,917.00 $71,433.00 2024-12-15
3613326301 CDM Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 5 4 $109,896.80 $43,958.72 60% off $69,235.00 $87,917.00 $71,433.00 2024-12-15
3613326401 CDM Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 5 4 $149,662.36 $59,864.94 60% off $94,287.00 $119,730.00 $97,281.00 2024-12-15
3613690501 CDM Hc Perq Thrmbc/nfs Dial Circuit Trluml Balo Angiop 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3613718401 CDM Hc Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3613718701 CDM Hc Percut Mech Thrombectomy, Venous 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3613722101 CDM Hc Revascularize Iliac Artery,angioplasty/stent, Initial Vessel 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3613722501 CDM Hc Revascularize Fem/pop Artery,angioplasty/atherectomy 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3613722601 CDM Hc Revascularize Fem/pop Artery,angioplasty/stent 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3613722801 CDM Hc Revascularize Tibial/peron Artery,angioplasty Initial 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3613722901 CDM Hc Revascularize Tibial/peron Artery,angioplasty/atherectomy Initial 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
3613723001 CDM Hc Revascularize Tibial/peron Artery,angioplasty/stent Initial 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
3613723101 CDM Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
3613723601 CDM Hc Open/perq Placement Intravascular Stent Initial 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3613723801 CDM Hc Open/perq Placement Intravascular Stent Same 1st 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3613724101 CDM Hc Vascular Embolization Or Occlusion Venous Rs&i 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3613724201 CDM Hc Vascular Embolization Or Occlusion Arterial Rs&i 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3613724301 CDM Hc Vascular Embolize/occlude Organ Tumor Infarct 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3613724401 CDM Hc Vascular Embolization Or Occlusion Hemorrhage 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3614218201 CDM Hc Repair Palate Lacer >2.0 Cm/complex 5 4 $84,047.03 $33,618.81 60% off $52,950.00 $67,238.00 $54,631.00 2024-12-15
3614282001 CDM Hc Remove Tonsils/adenoids,<12 Y/o 5 4 $84,047.03 $33,618.81 60% off $52,950.00 $67,238.00 $54,631.00 2024-12-15
3614738201 CDM Hc Ablat,open,1+ Liver Tumor(s),percut Rf 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3614738301 CDM Hc Ablation 1/> Liver Tumor Perq Cryoablation 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3614753801 CDM Hc Plmt Bile Duct Stent Prq Existing Access 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3614753901 CDM Hc Plmt Bile Duct Stent Prq New Access Without Sep Cath 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3614754001 CDM Hc Plmt Bile Duct Stent Prq New Access W/sep Cath 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3614755401 CDM Hc Biliary Endoscopy,percut,w/rem, Stone(s) 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3614755601 CDM Hc Biliary Endoscopy Percut,dil+stent 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3614756201 CDM Hc Laparoscopy Surg Cholecystectomy 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3614756301 CDM Hc Laparoscopy, Cholecystectomy With Cholangio, Surg 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3615059201 CDM Hc Perc Radiofreq Ablate Renal Tumor 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3615059301 CDM Hc Ablation Renal Tumor Unilateral Perq Cryotherapy 5 4 $139,509.98 $55,803.99 60% off $87,891.00 $111,608.00 $90,681.00 2024-12-15
3615199201 CDM Hc Laparoscopy Sling Op Stress Incontinence 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3615855201 CDM Hc Lap,vag Hyst,uterus 250gms/<,salp-ooph 5 4 $139,509.98 $55,803.99 60% off $87,891.00 $111,608.00 $90,681.00 2024-12-15
3615857101 CDM Hc Laparoscopy W Tot Hysterectuterus <=250 Gram W Tube/ovary 5 4 $139,509.98 $55,803.99 60% off $87,891.00 $111,608.00 $90,681.00 2024-12-15
3615866101 CDM Hc Lap,rmv Adnexal Structure 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3615866201 CDM Hc Lap,fulgurate/excise Lesions 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3615867001 CDM Hc Asc Oviduct Fulguration Lap 58670 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3616069901 CDM Hc Endocrine Surgery Proc Unlisted 5 4 $82,285.03 $32,914.01 60% off $51,840.00 $65,828.00 $53,485.00 2024-12-15
3616162301 CDM Hc Endovasc Temp Balloon Occlus,head/nck 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3616162601 CDM Hc Percut Cath Occlusn Non Cns Lesn 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
3616304501 CDM Hc Laminectomy Cervcal Single 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3616305601 CDM Hc Decompress Spinal Cord,1 Seg 5 4 $81,796.97 $32,718.79 60% off $51,532.00 $65,438.00 $53,168.00 2024-12-15
3616366401 CDM Hc Revision Spinal Neurostim Electrode Plate/paddle Inc Fluoro 5 4 $93,352.90 $37,341.16 60% off $58,812.00 $74,682.00 $60,679.00 2024-12-15
3616368501 CDM Hc Implant Spinal Neurostim/receiver 5 4 $87,086.07 $34,834.43 60% off $54,864.00 $69,669.00 $56,606.00 2024-12-15
3623824001 CDM Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 5 4 $725,502.51 $290,201.00 60% off $457,067.00 $580,402.00 $471,577.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 8 $0.01 — $101,686.00 $224,085.00 $111,719.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 $0.01 — $75,737.00 $166,479.00 $83,175.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 $0.01 — $51,790.00 $113,316.00 $56,833.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 8 $0.01 — $60,579.00 $132,829.00 $66,501.00 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 $0.01 — $62,120.00 $70,994.00 $66,557.00 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 8 $0.01 — $48,964.00 $107,043.00 $53,725.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 $0.01 — $61,492.00 $134,856.00 $67,506.00 2026-04-01
47335-624-60 NDC Ranolazine ER 500 Mg Po Pack 5 4 $97,828.73 $39,131.49 60% off $61,632.00 $78,263.00 $63,589.00 2024-12-15
47335-625-60 NDC Ranolazine ER 1000 Mg Po Pack 5 4 $160,332.29 $64,132.92 60% off $101,009.00 $128,266.00 $104,216.00 2024-12-15
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 5 4 $333,727.14 $133,490.86 60% off $210,248.00 $266,982.00 $216,923.00 2024-12-15
4803322901 CDM Hc Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 5 4 $117,895.14 $47,158.06 60% off $74,274.00 $94,316.00 $76,632.00 2024-12-15
4803324001 CDM Hc Insj Implntbl Defib Pulse Gen W/1 Existing Ld 5 4 $109,896.80 $43,958.72 60% off $69,235.00 $87,917.00 $71,433.00 2024-12-15
4803324901 CDM Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 5 4 $149,662.36 $59,864.94 60% off $94,287.00 $119,730.00 $97,281.00 2024-12-15
4803326201 CDM Hc Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 5 4 $109,896.80 $43,958.72 60% off $69,235.00 $87,917.00 $71,433.00 2024-12-15
4803326301 CDM Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 5 4 $109,896.80 $43,958.72 60% off $69,235.00 $87,917.00 $71,433.00 2024-12-15
4803326401 CDM Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 5 4 $149,662.36 $59,864.94 60% off $94,287.00 $119,730.00 $97,281.00 2024-12-15
4803327001 CDM Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 5 4 $149,662.36 $59,864.94 60% off $94,287.00 $119,730.00 $97,281.00 2024-12-15
4803327401 CDM Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
4813328901 CDM Hc Rhc W/plc Pressure Sensor 5 4 $93,786.32 $37,514.53 60% off $59,085.00 $75,029.00 $60,961.00 2024-12-15
4819292401 CDM Hc Prq Trluml Coronary Angio/atherect One Art/brnch 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
4819292801 CDM Hc Prq Trluml Coronary Stent W/angio One Art/brnch 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
4819293301 CDM Hc Prq Trluml Coronry Stent/ath/angio One Art/brnch 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
4819293701 CDM Hc Prq Trluml Coronary Byp Grft Revasc One Vessel 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
4819294301 CDM Hc Prq Trluml Coronry Chronic Occlus Revasc One Vsl 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
4819298701 CDM Hc Percut Mitral Valvuloplasty 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
4819299001 CDM Hc Percut Pulmonary Valvuloplasty 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
4819299701 CDM Hc Cath Pul Art Balloon Repair,perc,1st Vesl 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
4819358001 CDM Hc Perc Clos,cong Interatrial Commun W/impl 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
4819358101 CDM Hc Perc Closure,cong Vsd W/implant 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
4819358201 CDM Hc Cath Percutan Transcath Closure Pat Duct Arteriosus 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
4819359001 CDM Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
4819359101 CDM Hc Cath Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
481C960201 CDM Hc Ccl Ather W/drug Eluting Sngl Stent Maj Cor Vessel 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
481C960401 CDM Hc Ccl Revas Cor Graft W Drug Stent Plcmt Single 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
481C960701 CDM Hc Ccl Revas Chron Occl W Drug Stent Plcmt Single 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
481C977201 CDM Hc Revasc Tibial/peroneal Art With IV Litho 5 4 $105,645.17 $42,258.07 60% off $66,556.00 $84,516.00 $68,669.00 2024-12-15
481C977301 CDM Hc Revasc Tibial/peroneal Art With IV Litho/stent 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
481C977401 CDM Hc Revasc Tibial/peroneal Art With IV Litho/ather 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
481C977501 CDM Hc Revasc Tibial/peroneal Art With IV Litho/ather/stent 5 4 $138,669.63 $55,467.85 60% off $87,362.00 $110,936.00 $90,135.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 8 $0.01 — $76,973.00 $169,222.00 $84,534.00 2026-04-01
50474-598-66 NDC Levetiracetam ER 500 Mg Po Tb24 5 4 $119,035.30 $47,614.12 60% off $74,992.00 $95,228.00 $77,373.00 2024-12-15
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 5 4 $274,264.72 $109,705.89 60% off $172,787.00 $219,412.00 $178,272.00 2024-12-15
51715-100-04 NDC Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 5 4 $126,598.14 $50,639.26 60% off $79,757.00 $101,279.00 $82,289.00 2024-12-15
51715-100-10 NDC Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 5 4 $130,141.15 $52,056.46 60% off $81,989.00 $104,113.00 $84,592.00 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 5 4 $660,820.36 $264,328.14 60% off $416,317.00 $528,656.00 $429,533.00 2024-12-15
54092-191-12 NDC Mesalamine ER 500 Mg Po Cpcr 5 4 $121,333.22 $48,533.29 60% off $76,440.00 $97,067.00 $78,867.00 2024-12-15
54092-252-45 NDC Lanthanum Carbonate 500 Mg Po Chew 5 4 $122,635.38 $49,054.15 60% off $77,260.00 $98,108.00 $79,713.00 2024-12-15
54092-252-90 NDC Lanthanum Carbonate 500 Mg Po Chew 5 4 $122,635.38 $49,054.15 60% off $77,260.00 $98,108.00 $79,713.00 2024-12-15
54092-253-90 NDC Lanthanum Carbonate 750 Mg Po Chew 5 4 $115,358.62 $46,143.45 60% off $72,676.00 $92,287.00 $74,983.00 2024-12-15
54092-254-90 NDC Lanthanum Carbonate 1000 Mg Po Chew 5 4 $115,358.62 $46,143.45 60% off $72,676.00 $92,287.00 $74,983.00 2024-12-15
55111-284-48 NDC Fluoxetine Hcl 90 Mg Po Cpdr 5 4 $101,983.38 $40,793.35 60% off $64,250.00 $81,587.00 $66,289.00 2024-12-15
55513-530-10 NDC Filgrastim 300 Mcg/ml Ij Soln 5 4 $802,942.15 $321,176.86 60% off $505,854.00 $642,354.00 $521,912.00 2024-12-15
57894-060-03 NDC Ustekinumab 45 Mg/0.5ml Sc Sosy 5 4 $183,559.02 $73,423.61 60% off $115,642.00 $146,847.00 $119,313.00 2024-12-15
5831 APR_DRG Neonate With Ecmo 2 2 $0.01 — $64,642.00 $73,877.00 $69,259.50 2024-12-15
5832 APR_DRG Neonate With Ecmo 2 2 $0.01 — $88,933.00 $101,638.00 $95,285.50 2024-12-15
5833 APR_DRG Neonate With Ecmo 2 2 $0.01 — $115,826.00 $132,372.00 $124,099.00 2024-12-15
5834 APR_DRG Neonate With Ecmo 2 2 $0.01 — $178,790.00 $204,331.00 $191,560.50 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 5 4 $573,109.65 $229,243.86 60% off $361,059.00 $458,488.00 $372,521.00 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 5 4 $573,109.65 $229,243.86 60% off $361,059.00 $458,488.00 $372,521.00 2024-12-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 $0.01 — $57,056.00 $65,207.00 $61,131.50 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 $0.01 — $66,565.00 $76,075.00 $71,320.00 2024-12-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 $0.01 — $75,860.00 $86,697.00 $81,278.50 2024-12-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 $0.01 — $116,640.00 $133,303.00 $124,971.50 2024-12-15
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 5 4 $191,139.44 $76,455.78 60% off $120,418.00 $152,912.00 $124,241.00 2024-12-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 $0.01 — $54,998.00 $62,855.00 $58,926.50 2024-12-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 $0.01 — $74,097.00 $84,682.00 $79,389.50 2024-12-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 $0.01 — $68,707.00 $78,522.00 $73,614.50 2024-12-15
59385-023-01 NDC Buprenorphine Hcl 300 Mcg Bu Film 5 4 $109,318.36 $43,727.34 60% off $68,871.00 $87,455.00 $71,057.00 2024-12-15
59385-023-60 NDC Buprenorphine Hcl 300 Mcg Bu Film 5 4 $109,318.36 $43,727.34 60% off $68,871.00 $87,455.00 $71,057.00 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 5 4 $514,711.72 $205,884.69 60% off $324,268.00 $411,769.00 $334,563.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 5 4 $514,711.72 $205,884.69 60% off $324,268.00 $411,769.00 $334,563.00 2024-12-15
59572-515-01 NDC Idecabtagene Vicleucel 460000000 Cells IV Susp 5 4 $1,096,489.80 $438,595.92 60% off $690,789.00 $877,192.00 $712,718.00 2024-12-15
59572-515-02 NDC Idecabtagene Vicleucel 460000000 Cells IV Susp 5 4 $1,096,489.80 $438,595.92 60% off $690,789.00 $877,192.00 $712,718.00 2024-12-15
59572-515-03 NDC Idecabtagene Vicleucel 460000000 Cells IV Susp 5 4 $1,096,489.80 $438,595.92 60% off $690,789.00 $877,192.00 $712,718.00 2024-12-15
59676-565-01 NDC Darunavir 100 Mg/ml Po Susp Bulk 5 4 $128,686.58 $51,474.63 60% off $81,073.00 $102,949.00 $83,646.00 2024-12-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 $0.01 — $51,020.00 $58,309.00 $54,664.50 2024-12-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 $0.01 — $63,552.00 $72,631.00 $68,091.50 2024-12-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 $0.01 — $76,691.00 $87,647.00 $82,169.00 2024-12-15
61958-1003-1 NDC Ranolazine ER 500 Mg Po Tb12 5 4 $136,959.11 $54,783.64 60% off $86,284.00 $109,567.00 $89,023.00 2024-12-15
61958-1004-1 NDC Ranolazine ER 1000 Mg Po Tb12 5 4 $198,893.66 $79,557.46 60% off $125,303.00 $159,115.00 $129,281.00 2024-12-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 $0.01 — $85,085.00 $97,240.00 $91,162.50 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 $0.01 — $75,292.00 $86,048.00 $80,670.00 2024-12-15
63304-089-13 NDC Mesalamine ER 500 Mg Po Cpcr 5 4 $109,230.82 $43,692.33 60% off $68,815.00 $87,385.00 $71,000.00 2024-12-15
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 5 4 $159,528.81 $63,811.52 60% off $100,503.00 $127,623.00 $103,694.00 2024-12-15
64406-058-01 NDC Nusinersen 12 Mg/5ml It Soln 5 4 $211,940.09 $84,776.04 60% off $133,522.00 $169,552.00 $137,761.00 2024-12-15
65174-200-05 NDC Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 5 4 $332,482.60 $132,993.04 60% off $209,464.00 $265,986.00 $216,114.00 2024-12-15
65857-450-05 NDC Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 5 4 $807,071.00 $322,828.40 60% off $508,455.00 $645,657.00 $524,596.00 2024-12-15
66658-234-01 NDC Anakinra 100 Mg/0.67ml Sc Sosy 5 4 $283,077.16 $113,230.86 60% off $178,339.00 $226,462.00 $184,000.00 2024-12-15
66658-234-07 NDC Anakinra 100 Mg/0.67ml Sc Sosy 5 4 $283,077.16 $113,230.86 60% off $178,339.00 $226,462.00 $184,000.00 2024-12-15
66689-307-08 NDC Mycophenolate Mofetil 200 Mg/ml Po Susr Bulk 5 4 $87,761.63 $35,104.65 60% off $55,290.00 $70,209.00 $57,045.00 2024-12-15
67457-813-50 NDC Daptomycin 500 Mg IV Solr 5 4 $146,851.90 $58,740.76 60% off $92,517.00 $117,482.00 $95,454.00 2024-12-15
67546-212-21 NDC Nitazoxanide 100 Mg/5ml Po Susr Bulk 5 4 $173,879.10 $69,551.64 60% off $109,544.00 $139,103.00 $113,021.00 2024-12-15
67877-230-22 NDC Mycophenolate Mofetil 200 Mg/ml Po Susr Bulk 5 4 $290,285.42 $116,114.17 60% off $182,880.00 $232,228.00 $188,686.00 2024-12-15
68180-354-07 NDC Ranolazine ER 500 Mg Po Tb12 5 4 $102,906.05 $41,162.42 60% off $64,831.00 $82,325.00 $66,889.00 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 5 4 $535,112.92 $214,045.17 60% off $337,121.00 $428,090.00 $347,823.00 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 5 4 $535,112.92 $214,045.17 60% off $337,121.00 $428,090.00 $347,823.00 2024-12-15
69238-1595-2 NDC Mycophenolate Mofetil 200 Mg/ml Po Susr Bulk 5 4 $92,620.10 $37,048.04 60% off $58,351.00 $74,096.00 $60,203.00 2024-12-15
69468-151-04 NDC Uridine Triacetate 10 G Po Pack 5 4 $184,449.56 $73,779.82 60% off $116,203.00 $147,560.00 $119,892.00 2024-12-15
69932-001-30 NDC Fluciclovine F 18 9-221 Mci/ml IV Soln 5 4 $482,021.00 $192,808.40 60% off $303,673.00 $385,617.00 $313,314.00 2024-12-15
69945-050-40 NDC Indium In-111 Pentetreotide IV Kit 5 4 $405,094.48 $162,037.79 60% off $255,210.00 $324,076.00 $263,311.00 2024-12-15
69945-064-01 NDC Copper Cu 64 Dotatate 1 Mci/ml IV Soln 5 4 $178,201.00 $71,280.40 60% off $112,267.00 $142,561.00 $115,831.00 2024-12-15
7 MS_DRG Lung Transplant 9 8 $0.01 — $94,151.00 $207,358.00 $103,430.00 2026-04-01
71258-022-01 NDC Piflufolastat F 18 9 Mci IV Sosy 5 4 $497,722.51 $199,089.00 60% off $313,565.00 $398,178.00 $323,520.00 2024-12-15
72874-001-01 NDC Fluoroestradiol F 18 4-100 Mci/ml IV Soln 5 4 $255,355.00 $102,142.00 60% off $160,874.00 $204,284.00 $165,981.00 2024-12-15
73153-900-01 NDC Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 5 4 $1,072,450.40 $428,980.16 60% off $675,644.00 $857,960.00 $697,093.00 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 $0.01 — $70,333.00 $80,381.00 $75,357.00 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 $0.01 — $83,919.00 $95,908.00 $89,913.50 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 9 8 $0.01 — $66,766.00 $146,563.00 $73,307.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 8 $0.01 — $50,752.00 $111,012.00 $55,691.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 8 $0.01 — $169,798.00 $375,294.00 $186,642.00 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 8 $0.01 — $48,781.00 $106,636.00 $53,523.00 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 $0.01 — $69,981.00 $79,978.00 $74,979.50 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 8 $0.01 — $49,842.00 $108,991.00 $54,690.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 8 $0.01 — $54,357.00 $119,014.00 $59,656.00 2026-04-01
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