Price Transparency 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 REDMOND

Rome, GA · CCN 110168 · Rates published

15,324 distinct procedures filed
18 distinct payers
532,722 rate rows
2024-12-15 last MRF observed · ⚠ 18 mo old
Data quality

528,361 of 532,722 rate rows are consumer-grade (99.2%)

4,361 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 1,619
per-diem day rate — not a per-procedure price 1,539
template filing: same amount across many unrelated codes — excluded 605
exceeds 10× this hospital's gross charge — excluded from medians 598

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=*_*mqQcPyDoMWlMVqThx9H*_*Q*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch — · 2026-05-15

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 17 $503,455.00 $4,927,392.00 $1,467,903.00 nat. median
$625,184
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 17 $496,390.00 $4,819,364.00 $1,435,720.00 nat. median
$674,188
outlier · 2.1×
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 17 $523,453.00 $4,221,941.00 $1,361,570.00 nat. median
$754,974
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $6,000.00 $830,775.00 $329,735.00 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $8,700.00 $620,519.00 $246,285.00 nat. median
$265,286
0.9× median
1614
APR_DRG 		3 $205,744.00 $230,186.00 $211,916.00 nat. median
$207,730
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $8,700.00 $522,590.00 $207,416.00 nat. median
$206,368
1.0× median
5834
APR_DRG 		3 $196,462.00 $219,802.00 $202,356.00 nat. median
$309,665
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $8,700.00 $472,117.00 $187,383.00 nat. median
$202,986
0.9× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 18 $10.00 $684,396.00 $182,493.00 nat. median
$1,033
outlier · 176.6×
0094
APR_DRG 		3 $177,111.00 $198,152.00 $182,424.00 nat. median
$166,008
1.1× median
5833
APR_DRG 		3 $155,602.00 $174,087.00 $160,270.00 nat. median
$244,017
0.7× median
1613
APR_DRG 		3 $150,623.00 $168,517.00 $155,142.00 nat. median
$119,796
1.3× median
0044
APR_DRG 		3 $148,269.00 $165,884.00 $152,717.00 nat. median
$195,681
0.8× median
6304
APR_DRG 		3 $148,116.00 $165,712.00 $152,559.00 nat. median
$150,721
1.0× median
5884
APR_DRG 		3 $145,183.00 $162,431.00 $149,539.00 nat. median
$246,434
0.6× median
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 18 $37,242.00 $301,989.00 $139,155.00 nat. median
$111,860
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $8,700.00 $311,270.00 $123,543.00 nat. median
$133,176
0.9× median
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 18 $32,299.00 $261,906.00 $120,685.00 nat. median
$92,408
1.3× median
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 18 $32,299.00 $261,906.00 $120,685.00 nat. median
$94,327
1.3× median
0024
APR_DRG 		3 $116,808.00 $130,685.00 $120,312.00 nat. median
$372,987
outlier · 0.3×
5832
APR_DRG 		3 $114,741.00 $128,373.00 $118,184.00 nat. median
$156,126
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $6,000.00 $288,620.00 $114,553.00 nat. median
$117,303
1.0× median
7
MS_DRG 		Lung Transplant 13 $8,700.00 $287,893.00 $114,265.00 nat. median
$122,708
0.9× median
68382-395-04
NDC 		Ribavirin 6 G In Solr 18 $30,157.00 $244,542.00 $112,684.00 nat. median
$88,073
1.3× median
68382-395-01
NDC 		Ribavirin 6 G In Solr 18 $30,157.00 $244,542.00 $112,684.00 nat. median
$88,073
1.3× median
13925-522-01
NDC 		Pentamidine Isethionate 300 Mg In Solr 18 $29,989.00 $243,174.00 $112,053.50 nat. median
$83,907
1.3× median
8414
APR_DRG 		3 $108,659.00 $121,567.00 $111,918.00 nat. median
$160,267
0.7× median
5914
APR_DRG 		3 $106,384.00 $119,023.00 $109,576.00 nat. median
$164,279
0.7× median
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 18 $82.00 $408,754.00 $108,993.50 nat. median
$737
outlier · 147.9×
59385-027-01
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 18 $29,008.00 $235,218.00 $108,388.00 nat. median
$87,698
1.2× median
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 18 $29,008.00 $235,218.00 $108,388.00 nat. median
$87,698
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $65,310.00 $230,763.00 $107,644.00 nat. median
$98,905
1.1× median
5883
APR_DRG 		3 $103,820.00 $116,154.00 $106,935.00 nat. median
$182,736
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 13 $8,700.00 $233,393.00 $106,648.00 nat. median
$99,019
1.1× median
0054
APR_DRG 		3 $102,764.00 $114,972.00 $105,847.00 nat. median
$149,310
0.7× median
58914-501-56
NDC 		Mesalamine 1000 Mg Re Supp 18 $28,181.00 $228,518.00 $105,300.00 nat. median
$57,068
1.8× median
5882
APR_DRG 		3 $101,660.00 $113,737.00 $104,710.00 nat. median
$145,336
0.7× median
0114
APR_DRG 		3 $101,363.00 $113,405.00 $104,404.00 nat. median
$197,700
0.5× median
6094
APR_DRG 		3 $100,845.00 $112,826.00 $103,871.00 nat. median
$162,982
0.6× median
5831
APR_DRG 		3 $99,157.00 $110,937.00 $102,132.00 nat. median
$145,122
0.7× median
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 18 $615.00 $422,069.00 $97,675.00 nat. median
$897
outlier · 108.9×
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 18 $21,444.00 $334,400.00 $97,666.00 nat. median
$11,688
outlier · 8.4×
1612
APR_DRG 		3 $94,777.00 $106,036.00 $97,620.00 nat. median
$85,406
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $8,700.00 $242,753.00 $96,349.00 nat. median
$108,660
0.9× median
0074
APR_DRG 		3 $93,542.00 $104,655.00 $96,348.00 nat. median
$178,275
0.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $8,700.00 $239,982.00 $95,249.00 nat. median
$102,358
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $57,433.00 $202,929.00 $94,660.50 nat. median
$83,442
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $8,700.00 $234,596.00 $93,111.50 nat. median
$100,136
0.9× median
1611
APR_DRG 		3 $90,038.00 $100,734.00 $92,739.00 nat. median
$76,806
1.2× median

Other procedures at this hospital

Browse this hospital's 15,324 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 23 17 — $3,967,304.24 $503,455.00 $4,927,392.00 $1,467,903.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 23 17 — $3,880,325.32 $496,390.00 $4,819,364.00 $1,435,720.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 23 17 — $3,399,308.09 $523,453.00 $4,221,941.00 $1,361,570.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 13 $0.01 — $6,000.00 $830,775.00 $329,735.00 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 13 $0.01 — $8,700.00 $620,519.00 $246,285.00 2024-12-15
1614 APR_DRG — 3 3 $0.01 — $205,744.00 $230,186.00 $211,916.00 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 13 $0.01 — $8,700.00 $522,590.00 $207,416.00 2024-12-15
5834 APR_DRG — 3 3 $0.01 — $196,462.00 $219,802.00 $202,356.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 13 $0.01 — $8,700.00 $472,117.00 $187,383.00 2024-12-15
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 24 18 $777,723.00 $388,861.50 50% off $10.00 $684,396.00 $182,493.00 2024-12-15
0094 APR_DRG — 3 3 $0.01 — $177,111.00 $198,152.00 $182,424.00 2024-12-15
5833 APR_DRG — 3 3 $0.01 — $155,602.00 $174,087.00 $160,270.00 2024-12-15
1613 APR_DRG — 3 3 $0.01 — $150,623.00 $168,517.00 $155,142.00 2024-12-15
0044 APR_DRG — 3 3 $0.01 — $148,269.00 $165,884.00 $152,717.00 2024-12-15
6304 APR_DRG — 3 3 $0.01 — $148,116.00 $165,712.00 $152,559.00 2024-12-15
5884 APR_DRG — 3 3 $0.01 — $145,183.00 $162,431.00 $149,539.00 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 24 18 $343,168.76 $171,584.38 50% off $37,242.00 $301,989.00 $139,155.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 13 $0.01 — $8,700.00 $311,270.00 $123,543.00 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 24 18 $297,620.11 $148,810.05 50% off $32,299.00 $261,906.00 $120,685.00 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 24 18 $297,620.11 $148,810.05 50% off $32,299.00 $261,906.00 $120,685.00 2024-12-15
0024 APR_DRG — 3 3 $0.01 — $116,808.00 $130,685.00 $120,312.00 2024-12-15
5832 APR_DRG — 3 3 $0.01 — $114,741.00 $128,373.00 $118,184.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 18 13 $0.01 — $6,000.00 $288,620.00 $114,553.00 2024-12-15
7 MS_DRG Lung Transplant 18 13 $0.01 — $8,700.00 $287,893.00 $114,265.00 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 24 18 $277,888.20 $138,944.10 50% off $30,157.00 $244,542.00 $112,684.00 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 24 18 $277,888.20 $138,944.10 50% off $30,157.00 $244,542.00 $112,684.00 2024-12-15
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 24 18 $276,334.37 $138,167.18 50% off $29,989.00 $243,174.00 $112,053.50 2024-12-15
8414 APR_DRG — 3 3 $0.01 — $108,659.00 $121,567.00 $111,918.00 2024-12-15
5914 APR_DRG — 3 3 $0.01 — $106,384.00 $119,023.00 $109,576.00 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 24 18 $464,493.00 $232,246.50 50% off $82.00 $408,754.00 $108,993.50 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 24 18 $267,293.74 $133,646.87 50% off $29,008.00 $235,218.00 $108,388.00 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 24 18 $267,293.74 $133,646.87 50% off $29,008.00 $235,218.00 $108,388.00 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 $0.01 — $65,310.00 $230,763.00 $107,644.00 2024-12-15
5883 APR_DRG — 3 3 $0.01 — $103,820.00 $116,154.00 $106,935.00 2024-12-15
215 MS_DRG Other Heart Assist System Implant 18 13 $0.01 — $8,700.00 $233,393.00 $106,648.00 2024-12-15
0054 APR_DRG — 3 3 $0.01 — $102,764.00 $114,972.00 $105,847.00 2024-12-15
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 24 18 $259,679.27 $129,839.64 50% off $28,181.00 $228,518.00 $105,300.00 2024-12-15
5882 APR_DRG — 3 3 $0.01 — $101,660.00 $113,737.00 $104,710.00 2024-12-15
0114 APR_DRG — 3 3 $0.01 — $101,363.00 $113,405.00 $104,404.00 2024-12-15
6094 APR_DRG — 3 3 $0.01 — $100,845.00 $112,826.00 $103,871.00 2024-12-15
5831 APR_DRG — 3 3 $0.01 — $99,157.00 $110,937.00 $102,132.00 2024-12-15
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 24 18 $479,623.55 $239,811.77 50% off $615.00 $422,069.00 $97,675.00 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 105 18 $288,800.00 $144,400.00 50% off $21,444.00 $334,400.00 $97,666.00 2024-12-15
1612 APR_DRG — 3 3 $0.01 — $94,777.00 $106,036.00 $97,620.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 13 $0.01 — $8,700.00 $242,753.00 $96,349.00 2024-12-15
0074 APR_DRG — 3 3 $0.01 — $93,542.00 $104,655.00 $96,348.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 13 $0.01 — $8,700.00 $239,982.00 $95,249.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 16 12 $0.01 — $57,433.00 $202,929.00 $94,660.50 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 13 $0.01 — $8,700.00 $234,596.00 $93,111.50 2024-12-15
1611 APR_DRG — 3 3 $0.01 — $90,038.00 $100,734.00 $92,739.00 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 24 18 $390,363.81 $195,181.90 50% off $58.00 $343,520.00 $91,599.00 2024-12-15
5934 APR_DRG — 3 3 $0.01 — $88,103.00 $98,570.00 $90,746.00 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2104 Ipg 1036 Csl Kt 25 18 $212,800.00 $106,400.00 50% off $23,094.00 $187,264.00 $90,227.00 2024-12-15
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 24 18 $216,733.22 $108,366.61 50% off $23,521.00 $190,725.00 $87,885.50 2024-12-15
6034 APR_DRG — 3 3 $0.01 — $84,484.00 $94,521.00 $87,019.00 2024-12-15
0064 APR_DRG — 3 3 $0.01 — $83,943.00 $93,916.00 $86,461.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 24 18 $213,127.92 $106,563.96 50% off $23,129.00 $187,553.00 $86,423.50 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 12 $0.01 — $52,001.00 $183,735.00 $85,707.00 2024-12-15
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 24 18 $208,954.92 $104,477.46 50% off $22,676.00 $183,880.00 $84,731.50 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 $0.01 — $8,700.00 $212,604.00 $84,382.50 2024-12-15
C1824 HCPCS Generator Ipg Optimizer Crdc Smart Mn 25 18 $197,600.00 $98,800.00 50% off $21,444.00 $173,888.00 $83,782.00 2024-12-15
0053 APR_DRG — 3 3 $0.01 — $80,233.00 $89,765.00 $82,640.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 13 $0.01 — $8,700.00 $186,672.00 $80,630.00 2024-12-15
6303 APR_DRG — 3 3 $0.01 — $78,220.00 $87,513.00 $80,567.00 2024-12-15
0012 APR_DRG — 3 3 $0.01 — $77,170.00 $86,337.00 $79,485.00 2024-12-15
0014 APR_DRG — 3 3 $0.01 — $77,170.00 $86,337.00 $79,485.00 2024-12-15
0013 APR_DRG — 3 3 $0.01 — $77,170.00 $86,337.00 $79,485.00 2024-12-15
5933 APR_DRG — 3 3 $0.01 — $76,079.00 $85,117.00 $78,361.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 13 $0.01 — $8,700.00 $172,187.00 $77,262.00 2024-12-15
0023 APR_DRG — 3 3 $0.01 — $73,017.00 $81,691.00 $75,207.00 2024-12-15
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 24 18 $320,392.36 $160,196.18 50% off $56.00 $281,945.00 $75,180.00 2024-12-15
1624 APR_DRG — 3 3 $0.01 — $72,797.00 $81,445.00 $74,981.00 2024-12-15
81416 CPT Hc Exome Sequence Analysis Each Comparator Exome 23 18 $606,744.00 $303,372.00 50% off $10,800.00 $533,935.00 $74,741.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 13 $0.01 — $8,700.00 $186,568.00 $74,049.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 $0.01 — $44,283.00 $156,465.00 $72,987.00 2024-12-15
1634 APR_DRG — 3 3 $0.01 — $70,600.00 $78,987.00 $72,718.00 2024-12-15
1604 APR_DRG — 3 3 $0.01 — $70,043.00 $78,364.00 $72,144.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 13 $0.01 — $8,700.00 $177,578.00 $70,481.00 2024-12-15
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 24 18 $173,307.46 $86,653.73 50% off $18,808.00 $152,511.00 $70,276.00 2024-12-15
10 MS_DRG Pancreas Transplant 18 13 $0.01 — $8,700.00 $175,637.00 $69,710.50 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 13 $0.01 — $8,700.00 $174,630.00 $69,311.00 2024-12-15
5881 APR_DRG — 3 3 $0.01 — $66,917.00 $74,867.00 $68,924.00 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 12 $0.01 — $41,801.00 $147,698.00 $68,897.00 2024-12-15
6314 APR_DRG — 3 3 $0.01 — $66,528.00 $74,432.00 $68,524.00 2024-12-15
6334 APR_DRG — 3 3 $0.01 — $66,166.00 $74,026.00 $68,150.00 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 13 $0.01 — $8,700.00 $170,449.00 $67,651.50 2024-12-15
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 65 18 $168,910.00 $84,455.00 50% off $16,908.00 $173,888.00 $67,564.00 2024-12-15
9504 APR_DRG — 3 3 $0.01 — $65,038.00 $72,764.00 $66,989.00 2024-12-15
6344 APR_DRG — 3 3 $0.01 — $64,533.00 $72,200.00 $66,469.00 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 13 $0.01 — $8,700.00 $164,429.00 $65,262.00 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 25 18 $151,620.00 $75,810.00 50% off $16,454.00 $133,426.00 $64,287.00 2024-12-15
6024 APR_DRG — 3 3 $0.01 — $62,351.00 $69,758.00 $64,221.00 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 $0.01 — $8,700.00 $142,261.00 $64,121.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 12 $0.01 — $38,570.00 $136,280.00 $63,571.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 13 $0.01 — $8,700.00 $134,569.00 $62,772.50 2024-12-15
0043 APR_DRG — 3 3 $0.01 — $60,595.00 $67,793.00 $62,413.00 2024-12-15
9104 APR_DRG — 3 3 $0.01 — $60,002.00 $67,130.00 $61,802.00 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 13 $0.01 — $8,700.00 $155,679.00 $61,789.00 2024-12-15
5913 APR_DRG — 3 3 $0.01 — $59,460.00 $66,524.00 $61,244.00 2024-12-15
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 24 18 $300,493.02 $150,246.51 50% off $1,211.00 $264,434.00 $61,195.50 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 $0.01 — $8,700.00 $131,057.00 $61,134.50 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 13 $0.01 — $6,000.00 $153,245.00 $60,823.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 13 $0.01 — $8,700.00 $150,421.00 $59,702.50 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 13 $0.01 — $8,700.00 $147,129.00 $58,396.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 13 $0.01 — $8,700.00 $131,971.00 $58,346.50 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 13 $0.01 — $8,700.00 $146,881.00 $58,297.00 2024-12-15
1654 APR_DRG — 3 3 $0.01 — $56,368.00 $63,065.00 $58,059.00 2024-12-15
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 24 18 $143,111.57 $71,555.78 50% off $15,531.00 $125,938.00 $58,031.50 2024-12-15
6023 APR_DRG — 3 3 $0.01 — $56,114.00 $62,780.00 $57,797.00 2024-12-15
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 24 18 $142,428.31 $71,214.15 50% off $15,457.00 $125,337.00 $57,755.00 2024-12-15
0021 APR_DRG — 3 3 $0.01 — $55,825.00 $62,457.00 $57,500.00 2024-12-15
0022 APR_DRG — 3 3 $0.01 — $55,825.00 $62,457.00 $57,500.00 2024-12-15
5932 APR_DRG — 3 3 $0.01 — $55,227.00 $61,787.00 $56,883.00 2024-12-15
J7311 HCPCS Fluocinolone Acetonide 0.59 Mg Iz Impl 24 18 $278,017.70 $139,008.85 50% off $316.00 $244,656.00 $56,618.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 $0.01 — $34,316.00 $121,250.00 $56,560.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 13 $0.01 — $6,000.00 $142,466.00 $56,545.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 12 $0.01 — $34,107.00 $120,510.00 $56,214.00 2024-12-15
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 43 18 $171,993.77 $85,996.88 50% off $18,665.00 $155,590.00 $56,172.00 2024-12-15
3034 APR_DRG — 3 3 $0.01 — $54,486.00 $60,959.00 $56,121.00 2024-12-15
8424 APR_DRG — 3 3 $0.01 — $54,346.00 $60,802.00 $55,976.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 13 $0.01 — $8,700.00 $139,318.00 $55,295.50 2024-12-15
7114 APR_DRG — 3 3 $0.01 — $53,169.00 $59,486.00 $54,764.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 13 $0.01 — $8,700.00 $117,199.00 $54,670.00 2024-12-15
0214 APR_DRG — 3 3 $0.01 — $52,990.00 $59,286.00 $54,580.00 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 13 $0.01 — $8,700.00 $116,681.00 $54,428.50 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 13 $0.01 — $8,700.00 $136,456.00 $54,159.50 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 13 $0.01 — $8,700.00 $135,659.00 $53,843.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 13 $0.01 — $8,700.00 $135,185.00 $53,655.00 2024-12-15
C2616 HCPCS Sphere Embol Sir Msphre 90 39 17 $139,422.00 $69,711.00 50% off $14,842.00 $122,691.00 $53,290.00 2024-12-15
6022 APR_DRG — 3 3 $0.01 — $51,671.00 $57,809.00 $53,221.00 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 18 13 $0.01 — $8,700.00 $133,925.00 $53,155.00 2024-12-15
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 24 18 $260,252.42 $130,126.21 50% off $158.00 $229,022.00 $53,000.50 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 12 $0.01 — $32,109.00 $113,452.00 $52,922.00 2024-12-15
0073 APR_DRG — 3 3 $0.01 — $51,379.00 $57,483.00 $52,921.00 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 13 $0.01 — $6,000.00 $132,965.00 $52,773.50 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 13 $0.01 — $6,000.00 $132,965.00 $52,773.50 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 13 $0.01 — $8,700.00 $121,761.00 $52,442.50 2024-12-15
38240 CPT Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 23 18 $538,958.42 $269,479.21 50% off $1,856.00 $474,283.00 $52,066.00 2024-12-15
0084 APR_DRG — 3 3 $0.01 — $50,065.00 $56,013.00 $51,567.00 2024-12-15
0083 APR_DRG — 3 3 $0.01 — $50,065.00 $56,013.00 $51,567.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 13 $0.01 — $8,700.00 $129,623.00 $51,447.50 2024-12-15
0113 APR_DRG — 3 3 $0.01 — $49,894.00 $55,821.00 $51,391.00 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 13 $0.01 — $8,700.00 $109,777.00 $51,208.00 2024-12-15
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 24 18 $125,834.16 $62,917.08 50% off $13,656.00 $110,734.00 $51,026.00 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 24 18 $125,834.16 $62,917.08 50% off $13,656.00 $110,734.00 $51,026.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 13 $0.01 — $8,700.00 $125,678.00 $50,936.50 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 13 $0.01 — $8,700.00 $128,259.00 $50,906.50 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 13 $0.01 — $8,700.00 $126,433.00 $50,838.00 2024-12-15
1304 APR_DRG — 3 3 $0.01 — $48,875.00 $54,682.00 $50,342.00 2024-12-15
245 MS_DRG Aicd Generator Procedures 18 13 $0.01 — $8,700.00 $107,651.00 $50,216.50 2024-12-15
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 24 18 $246,069.40 $123,034.70 50% off $68.00 $216,541.00 $50,112.00 2024-12-15
9124 APR_DRG — 3 3 $0.01 — $47,931.00 $53,625.00 $49,369.00 2024-12-15
1784 APR_DRG — 3 3 $0.01 — $47,746.00 $53,418.00 $49,179.00 2024-12-15
C1767 HCPCS Stimulator Pul Gen 1pin L Vagus 7mm 14ml 25gm Ea 525 18 $125,400.00 $62,700.00 50% off $8,458.00 $261,802.00 $49,085.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 18 13 $0.01 — $8,700.00 $122,803.00 $48,740.50 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 13 $0.01 — $8,700.00 $103,640.00 $48,345.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 18 13 $0.01 — $6,000.00 $121,761.00 $48,327.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 12 $0.01 — $6,000.00 $130,958.00 $48,241.50 2024-12-15
1303 APR_DRG — 3 3 $0.01 — $46,243.00 $51,737.00 $47,631.00 2024-12-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 13 $0.01 — $8,700.00 $119,862.00 $47,573.50 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 13 $0.01 — $8,700.00 $119,589.00 $47,465.00 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 13 $0.01 — $8,700.00 $118,979.00 $47,223.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 13 $0.01 — $8,700.00 $101,170.00 $47,193.50 2024-12-15
0042 APR_DRG — 3 3 $0.01 — $45,814.00 $51,256.00 $47,188.00 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 13 $0.01 — $8,700.00 $118,866.00 $47,178.00 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 13 $0.01 — $8,700.00 $118,853.00 $47,172.50 2024-12-15
1664 APR_DRG — 3 3 $0.01 — $45,560.00 $50,973.00 $46,927.00 2024-12-15
2204 APR_DRG — 3 3 $0.01 — $45,214.00 $50,586.00 $46,571.00 2024-12-15
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 24 18 $114,052.63 $57,026.31 50% off $12,377.00 $100,366.00 $46,248.00 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 24 18 $114,052.63 $57,026.31 50% off $12,377.00 $100,366.00 $46,248.00 2024-12-15
C1882 HCPCS Defibrillator Promote+ 2chb Is1 Df1 36jl 43ml 82gm 1,205 18 $121,167.80 $60,583.90 50% off $8.00 $216,248.00 $46,241.00 2024-12-15
4404 APR_DRG — 3 3 $0.01 — $44,714.00 $50,026.00 $46,055.00 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 13 $0.01 — $8,700.00 $98,520.00 $45,957.00 2024-12-15
6074 APR_DRG — 3 3 $0.01 — $44,115.00 $49,356.00 $45,439.00 2024-12-15
1674 APR_DRG — 3 3 $0.01 — $43,989.00 $49,215.00 $45,309.00 2024-12-15
6114 APR_DRG — 3 3 $0.01 — $43,974.00 $49,198.00 $45,293.00 2024-12-15
1633 APR_DRG — 3 3 $0.01 — $43,963.00 $49,186.00 $45,282.00 2024-12-15
3033 APR_DRG — 3 3 $0.01 — $43,891.00 $49,105.00 $45,207.00 2024-12-15
3032 APR_DRG — 3 3 $0.01 — $43,891.00 $49,105.00 $45,207.00 2024-12-15
3031 APR_DRG — 3 3 $0.01 — $43,891.00 $49,105.00 $45,207.00 2024-12-15
0063 APR_DRG — 3 3 $0.01 — $43,686.00 $48,875.00 $44,996.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 13 $0.01 — $8,700.00 $113,075.00 $44,879.50 2024-12-15
0093 APR_DRG — 3 3 $0.01 — $43,569.00 $48,744.00 $44,876.00 2024-12-15
6093 APR_DRG — 3 3 $0.01 — $43,376.00 $48,529.00 $44,677.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 13 $0.01 — $8,700.00 $112,229.00 $44,544.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 13 $0.01 — $8,700.00 $111,885.00 $44,407.50 2024-12-15
8634 APR_DRG — 3 3 $0.01 — $43,110.00 $48,232.00 $44,404.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 13 $0.01 — $8,700.00 $95,121.00 $44,318.50 2024-12-15
1603 APR_DRG — 3 3 $0.01 — $42,846.00 $47,936.00 $44,132.00 2024-12-15
1794 APR_DRG — 3 3 $0.01 — $42,785.00 $47,868.00 $44,068.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 13 $0.01 — $8,700.00 $110,958.00 $44,039.50 2024-12-15
4403 APR_DRG — 3 3 $0.01 — $42,708.00 $47,781.00 $43,989.00 2024-12-15
1824 APR_DRG — 3 3 $0.01 — $42,588.00 $47,648.00 $43,866.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 13 $0.01 — $6,000.00 $110,304.00 $43,779.50 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 13 $0.01 — $8,700.00 $110,218.00 $43,745.50 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 13 $0.01 — $8,700.00 $110,174.00 $43,728.00 2024-12-15
0304 APR_DRG — 3 3 $0.01 — $42,445.00 $47,487.00 $43,718.00 2024-12-15
0072 APR_DRG — 3 3 $0.01 — $42,104.00 $47,106.00 $43,367.00 2024-12-15
0914 APR_DRG — 3 3 $0.01 — $41,922.00 $46,903.00 $43,180.00 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 13 $0.01 — $8,700.00 $92,315.00 $43,062.50 2024-12-15
0913 APR_DRG — 3 3 $0.01 — $41,373.00 $46,289.00 $42,615.00 2024-12-15
6134 APR_DRG — 3 3 $0.01 — $41,256.00 $46,158.00 $42,494.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 18 13 $0.01 — $8,700.00 $107,001.00 $42,469.00 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 18 13 $0.01 — $8,700.00 $106,823.00 $42,398.50 2024-12-15
6033 APR_DRG — 3 3 $0.01 — $41,113.00 $45,997.00 $42,347.00 2024-12-15
0011 APR_DRG — 3 3 $0.01 — $40,893.00 $45,751.00 $42,120.00 2024-12-15
1834 APR_DRG — 3 3 $0.01 — $40,839.00 $45,690.00 $42,064.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 12 $0.01 — $25,459.00 $89,955.00 $41,961.50 2024-12-15
7104 APR_DRG — 3 3 $0.01 — $40,730.00 $45,569.00 $41,952.00 2024-12-15
61958-1004-1 NDC Ranolazine ER 1000 Mg Po Tb12 24 18 $103,287.70 $51,643.85 50% off $11,209.00 $90,893.00 $41,883.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 13 $0.01 — $8,700.00 $105,199.00 $41,754.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 18 13 $0.01 — $8,700.00 $104,743.00 $41,573.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 13 $0.01 — $8,700.00 $104,724.00 $41,564.50 2024-12-15
6073 APR_DRG — 3 3 $0.01 — $40,330.00 $45,121.00 $41,540.00 2024-12-15
3124 APR_DRG — 3 3 $0.01 — $40,053.00 $44,811.00 $41,255.00 2024-12-15
0071 APR_DRG — 3 3 $0.01 — $40,013.00 $44,766.00 $41,213.00 2024-12-15
1833 APR_DRG — 3 3 $0.01 — $39,988.00 $44,738.00 $41,187.00 2024-12-15
8413 APR_DRG — 3 3 $0.01 — $39,876.00 $44,614.00 $41,073.00 2024-12-15
0894 APR_DRG — 3 3 $0.01 — $39,797.00 $44,525.00 $40,991.00 2024-12-15
0893 APR_DRG — 3 3 $0.01 — $39,797.00 $44,525.00 $40,991.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 13 $0.01 — $8,700.00 $103,085.00 $40,914.50 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 13 $0.01 — $8,700.00 $102,477.00 $40,673.00 2024-12-15
3044 APR_DRG — 3 3 $0.01 — $39,373.00 $44,050.00 $40,554.00 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 18 13 $0.01 — $8,700.00 $101,536.00 $40,300.00 2024-12-15
6903 APR_DRG — 3 3 $0.01 — $39,124.00 $43,772.00 $40,298.00 2024-12-15
6904 APR_DRG — 3 3 $0.01 — $39,124.00 $43,772.00 $40,298.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 13 $0.01 — $8,700.00 $101,494.00 $40,283.00 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 12 $0.01 — $24,391.00 $86,182.00 $40,201.50 2024-12-15
1783 APR_DRG — 3 3 $0.01 — $38,979.00 $43,610.00 $40,149.00 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 13 $0.01 — $8,700.00 $101,155.00 $40,148.50 2024-12-15
1623 APR_DRG — 3 3 $0.01 — $38,928.00 $43,553.00 $40,096.00 2024-12-15
0062 APR_DRG — 3 3 $0.01 — $38,813.00 $43,424.00 $39,977.00 2024-12-15
0061 APR_DRG — 3 3 $0.01 — $38,813.00 $43,424.00 $39,977.00 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 13 $0.01 — $8,700.00 $85,664.00 $39,960.00 2024-12-15
0008-0423-03 NDC Antivenin Micrurus Fulvius IV Solr 24 18 $98,393.34 $49,196.67 50% off $10,678.00 $86,586.00 $39,898.50 2024-12-15
0008-0423-01 NDC Antivenin Micrurus Fulvius IV Solr 24 18 $98,393.34 $49,196.67 50% off $10,678.00 $86,586.00 $39,898.50 2024-12-15
6032 APR_DRG — 3 3 $0.01 — $38,706.00 $43,304.00 $39,867.00 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 13 $0.01 — $8,700.00 $90,585.00 $39,742.50 2024-12-15
1653 APR_DRG — 3 3 $0.01 — $38,319.00 $42,871.00 $39,468.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 13 $0.01 — $8,700.00 $99,386.00 $39,446.50 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 13 $0.01 — $8,700.00 $98,793.00 $39,211.50 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 13 $0.01 — $8,700.00 $83,748.00 $39,066.00 2024-12-15
1302 APR_DRG — 3 3 $0.01 — $37,910.00 $42,413.00 $39,047.00 2024-12-15
69468-151-04 NDC Uridine Triacetate 10 G Po Pack 24 18 $95,786.80 $47,893.40 50% off $10,395.00 $84,292.00 $38,841.50 2024-12-15
6804 APR_DRG — 3 3 $0.01 — $37,701.00 $42,180.00 $38,832.00 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 13 $0.01 — $8,700.00 $83,096.00 $38,762.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 18 13 $0.01 — $8,700.00 $97,599.00 $38,737.50 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 13 $0.01 — $8,700.00 $96,769.00 $38,408.00 2024-12-15
Q3001 HCPCS Hc I-125 Iotrex - 2 Ml 25 18 $120,471.27 $60,235.64 50% off $718.00 $106,015.00 $38,274.00 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 13 $0.01 — $6,000.00 $95,317.00 $37,831.50 2024-12-15
7404 APR_DRG — 3 3 $0.01 — $36,693.00 $41,052.00 $37,793.00 2024-12-15
6084 APR_DRG — 3 3 $0.01 — $36,639.00 $40,991.00 $37,738.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 13 $0.01 — $8,700.00 $93,969.00 $37,296.50 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 13 $0.01 — $8,700.00 $93,830.00 $37,241.50 2024-12-15
2604 APR_DRG — 3 3 $0.01 — $36,136.00 $40,429.00 $37,220.00 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 18 13 $0.01 — $8,700.00 $93,165.00 $36,977.50 2024-12-15
265 MS_DRG Aicd Lead Procedures 18 13 $0.01 — $8,700.00 $78,582.00 $36,656.50 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 13 $0.01 — $8,700.00 $92,293.00 $36,631.00 2024-12-15
6072 APR_DRG — 3 3 $0.01 — $35,554.00 $39,778.00 $36,620.00 2024-12-15
67546-212-21 NDC Nitazoxanide 100 Mg/5ml Po Susr Bulk 24 18 $90,297.50 $45,148.75 50% off $9,799.00 $79,462.00 $36,615.50 2024-12-15
9114 APR_DRG — 3 3 $0.01 — $35,545.00 $39,768.00 $36,611.00 2024-12-15
6814 APR_DRG — 3 3 $0.01 — $35,522.00 $39,742.00 $36,588.00 2024-12-15
C1721 HCPCS Defibrillator Teligen Dr 2chb Bip Is1 Df1 31.5ml 7 996 18 $100,960.60 $50,480.30 50% off $14.00 $136,798.00 $36,569.50 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 13 $0.01 — $8,700.00 $91,656.00 $36,378.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 13 $0.01 — $8,700.00 $77,771.00 $36,278.00 2024-12-15
1782 APR_DRG — 3 3 $0.01 — $35,130.00 $39,303.00 $36,184.00 2024-12-15
C1820 HCPCS Stimulator Activa Rc Octplr 2 Chan 54x54x9mm 22ml 365 18 $108,680.00 $54,340.00 50% off $779.00 $170,912.00 $36,045.00 2024-12-15
2304 APR_DRG — 3 3 $0.01 — $34,951.00 $39,103.00 $35,999.00 2024-12-15
6083 APR_DRG — 3 3 $0.01 — $34,893.00 $39,038.00 $35,940.00 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 13 $0.01 — $8,700.00 $90,535.00 $35,933.50 2024-12-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 13 $0.01 — $8,700.00 $90,400.00 $35,880.00 2024-12-15
0310-0283-60 NDC Quetiapine Fumarate ER 300 Mg Po Tb24 24 18 $88,349.54 $44,174.77 50% off $9,588.00 $77,748.00 $35,825.50 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 13 $0.01 — $8,700.00 $89,601.00 $35,563.00 2024-12-15
6214 APR_DRG — 3 3 $0.01 — $34,497.00 $38,596.00 $35,532.00 2024-12-15
7594 APR_DRG — 3 3 $0.01 — $34,335.00 $38,414.00 $35,365.00 2024-12-15
A9592 HCPCS Copper Cu 64 Dotatate 1 Mci/ml IV Soln 24 18 $171,721.00 $85,860.50 50% off $255.00 $151,114.00 $34,971.00 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 13 $0.01 — $8,700.00 $74,722.00 $34,856.00 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 13 $0.01 — $8,700.00 $87,757.00 $34,831.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 13 $0.01 — $8,700.00 $87,695.00 $34,806.50 2024-12-15
C1722 HCPCS Defibrillator Teligen Vr 1chb Bip Is1 Df1 31.5ml 7 965 18 $95,758.00 $47,879.00 50% off $4,447.00 $147,965.00 $34,724.00 2024-12-15
C1816 HCPCS System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 65 18 $136,800.00 $68,400.00 50% off $1,650.00 $137,104.00 $34,634.00 2024-12-15
1673 APR_DRG — 3 3 $0.01 — $33,624.00 $37,618.00 $34,633.00 2024-12-15
1694 APR_DRG — 3 3 $0.01 — $33,531.00 $37,514.00 $34,537.00 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 13 $0.01 — $8,700.00 $86,920.00 $34,498.50 2024-12-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 13 $0.01 — $8,700.00 $73,945.00 $34,493.50 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 13 $0.01 — $8,700.00 $86,741.00 $34,428.00 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 13 $0.01 — $8,700.00 $86,565.00 $34,357.50 2024-12-15
3043 APR_DRG — 3 3 $0.01 — $33,294.00 $37,250.00 $34,293.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 13 $0.01 — $8,700.00 $86,140.00 $34,189.00 2024-12-15
0274 APR_DRG — 3 3 $0.01 — $33,184.00 $37,126.00 $34,180.00 2024-12-15
6124 APR_DRG — 3 3 $0.01 — $33,161.00 $37,100.00 $34,155.00 2024-12-15
6144 APR_DRG — 3 3 $0.01 — $33,154.00 $37,092.00 $34,148.00 2024-12-15
0052 APR_DRG — 3 3 $0.01 — $33,133.00 $37,069.00 $34,127.00 2024-12-15
793 MS_DRG Full Term Neonate With Major Problems 16 12 $0.01 — $6,000.00 $91,872.00 $33,843.50 2024-12-15
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x1x1in 40ml 45 18 $87,400.00 $43,700.00 50% off $8,165.00 $76,912.00 $33,824.00 2024-12-15
3614 APR_DRG — 3 3 $0.01 — $32,823.00 $36,723.00 $33,808.00 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 13 $0.01 — $8,700.00 $85,142.00 $33,793.00 2024-12-15
47335-625-60 NDC Ranolazine ER 1000 Mg Po Pack 24 18 $83,262.57 $41,631.29 50% off $9,036.00 $73,271.00 $33,763.00 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 13 $0.01 — $8,700.00 $85,056.00 $33,759.00 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 13 $0.01 — $8,700.00 $84,818.00 $33,664.50 2024-12-15
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