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

AdventHealthManchester

Manchester, KY · CCN 180043 · Rates published

13,980 distinct procedures filed
14 distinct payers
455,277 rate rows
2024-12-15 last MRF observed · ⚠ 18 mo old
Data quality

453,150 of 455,277 rate rows are consumer-grade (99.5%)

2,127 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 1,757
exceeds 10× this hospital's gross charge — excluded from medians 370

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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=es37dT7*__*ta95crXbYUSJaQ*-*
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 — · 2026-05-17

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 14 $179,428.00 $946,983.00 $563,205.50 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 14 $175,495.00 $926,221.00 $550,858.00 nat. median
$674,188
0.8× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 14 $153,740.00 $811,406.00 $517,591.00 nat. median
$754,974
0.7× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 10 $10.00 $731,867.00 $466,854.00 nat. median
$1,033
outlier · 451.7×
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 10 $81.00 $437,105.00 $278,827.00 nat. median
$737
outlier · 378.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $238,212.00 $240,515.00 $238,212.00 nat. median
$370,174
0.6× median
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 10 $58.00 $367,347.00 $234,329.00 nat. median
$4,934
outlier · 47.5×
A9595
HCPCS 		Piflufolastat F 18 9 Mci IV Sosy 13 $554.00 $451,344.00 $220,161.00 nat. median
$897
outlier · 245.4×
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 14 $44,132.00 $447,925.00 $217,823.50 nat. median
$11,688
outlier · 18.6×
A9569
HCPCS 		Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 10 $55.00 $301,501.00 $192,326.00 nat. median
$2,081
outlier · 92.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $179,930.00 $181,650.00 $179,930.00 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $152,784.00 $154,233.00 $152,784.00 nat. median
$206,368
0.7× median
A9591
HCPCS 		Fluoroestradiol F 18 4-100 Mci/ml IV Soln 10 $67.00 $231,561.00 $147,711.00 nat. median
$1,095
outlier · 134.9×
J1950
HCPCS 		Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 13 $1,494.00 $299,899.00 $146,288.00 nat. median
$4,345
outlier · 33.7×
C1827
HCPCS 		Generator Imp Vivistim Vns Ipg 1001 14 $10,202.00 $264,276.00 $143,042.75 nat. median
$28,413
outlier · 5.0×
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 14 $43,949.00 $250,838.00 $142,955.75 nat. median
$52,021
outlier · 2.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $138,793.00 $140,102.00 $138,793.00 nat. median
$202,986
0.7× median
C1824
HCPCS 		Generator Pul Implantable Optimizer Smt F/hrt Fail 14 $40,810.00 $232,921.00 $138,526.50 nat. median
$37,950
outlier · 3.7×
C1822
HCPCS 		Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 14 $34,797.00 $232,921.00 $122,078.00 nat. median
$31,540
outlier · 3.9×
C1823
HCPCS 		Generator Implantable Remede Pul Cent Sleep Apnea 14 $14,126.00 $211,242.00 $114,337.75 nat. median
$26,775
outlier · 4.3×
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 14 $36,090.00 $190,472.00 $113,281.00 nat. median
$111,860
1.0× median
C1816
HCPCS 		System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 14 $3,395.00 $183,649.00 $106,042.50 nat. median
$13,332
outlier · 8.0×
24338-050-08
NDC 		Carmustine In Polifeprosan 7.7 Mg Il Wafr 14 $33,370.00 $176,118.00 $104,744.00 nat. median
$49,264
outlier · 2.1×
C1767
HCPCS 		Stimulator Proclaim Elite 7 Rechrg-free Scs 14 $17,407.00 $350,680.00 $104,346.00 nat. median
$22,478
outlier · 4.6×
A9592
HCPCS 		Copper Cu 64 Dotatate 1 Mci/ml IV Soln 10 $253.00 $161,596.00 $103,081.00 nat. median
$1,740
outlier · 59.2×
C2624
HCPCS 		System Cardiomems Hrt Failure Ptnt 14 $31,314.00 $165,266.00 $98,290.00 nat. median
$32,760
outlier · 3.0×
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 14 $31,299.00 $165,191.00 $98,245.00 nat. median
$94,327
1.0× median
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 14 $31,299.00 $165,191.00 $98,245.00 nat. median
$92,408
1.1× median
C1882
HCPCS 		Defibrillator Consulta 2chb Is1 Df1 Av 35jl 38ml 6 14 $7.00 $269,984.00 $96,303.00 nat. median
$27,112
outlier · 3.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $94,207.00 $95,070.00 $94,207.00 nat. median
$133,176
0.7× median
68382-395-01
NDC 		Ribavirin 6 G In Solr 14 $29,224.00 $154,239.00 $91,731.50 nat. median
$88,073
1.0× median
68382-395-04
NDC 		Ribavirin 6 G In Solr 14 $29,224.00 $154,239.00 $91,731.50 nat. median
$88,073
1.0× median
C2616
HCPCS 		Sphere Embol Sir Msphre 90 14 $16,407.00 $151,970.00 $89,639.75 nat. median
$28,125
outlier · 3.2×
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 14 $28,110.00 $148,359.00 $88,234.50 nat. median
$87,698
1.0× median
59385-027-01
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 14 $28,110.00 $148,359.00 $88,234.50 nat. median
$87,698
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $87,929.00 $88,729.00 $87,929.00 nat. median
$117,303
0.7× median
7
MS_DRG 		Lung Transplant 3 $87,727.00 $88,525.00 $87,727.00 nat. median
$122,708
0.7× median
J2353
HCPCS 		Octreotide Acetate 10 Mg IM Kit 13 $201.00 $496,340.00 $85,861.00 nat. median
$5,975
outlier · 14.4×
J9302
HCPCS 		Ofatumumab 100 Mg/5ml IV Conc 13 $61.00 $171,730.00 $83,768.00 nat. median
$241
outlier · 347.9×
C1820
HCPCS 		Stimulator Nerv Activa Sc 60x55x11mm 27ml 44gm 14 $1,604.00 $228,934.00 $81,354.00 nat. median
$22,013
outlier · 3.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $75,215.00 $75,887.00 $75,215.00 nat. median
$108,660
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $74,446.00 $75,112.00 $74,446.00 nat. median
$102,358
0.7× median
C1721
HCPCS 		Defibrillator Maximo Ii Dr 2chb Is1 Df1 Av 35jl 37 14 $12.00 $170,791.00 $73,994.00 nat. median
$22,210
outlier · 3.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $72,953.00 $73,604.00 $72,953.00 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 3 $72,620.00 $73,267.00 $72,620.00 nat. median
$99,019
0.7× median
L8614
HCPCS 		Electrode Hires Ultra 3d Ci Hifocus Slimj Cochlear 14 $289.00 $173,964.00 $71,976.00 nat. median
$23,402
outlier · 3.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $71,891.00 $72,531.00 $71,891.00 nat. median
$98,905
0.7× median
0187-0007-14
NDC 		Ribavirin 6 G In Solr 14 $22,414.00 $118,295.00 $70,354.50 nat. median
$69,528
1.0× median
C1722
HCPCS 		Defibrillator Secura Vr 1chb Is1 Df1 Av 35jl 37ml 14 $7,676.00 $184,733.00 $69,777.50 nat. median
$20,768
outlier · 3.4×
0781-5893-31
NDC 		Nevirapine ER 400 Mg Po Tb24 14 $21,975.00 $115,979.00 $68,977.00 nat. median
$68,166
1.0× median

Other procedures at this hospital

Browse this hospital's 13,980 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 20 14 $996,823.78 $498,411.89 50% off $179,428.00 $946,983.00 $563,205.50 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 20 14 $974,969.78 $487,484.89 50% off $175,495.00 $926,221.00 $550,858.00 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 20 14 $854,111.18 $427,055.59 50% off $153,740.00 $811,406.00 $517,591.00 2024-12-15
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 15 10 $770,386.00 $385,193.00 50% off $10.00 $731,867.00 $466,854.00 2024-12-15
J2353 HCPCS Octreotide Acetate 10 Mg IM Kit 43 13 $185,284.51 $92,642.26 50% off $201.00 $496,340.00 $85,861.00 2024-12-15
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 19 13 $475,098.80 $237,549.40 50% off $554.00 $451,344.00 $220,161.00 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 68 14 $358,340.00 $179,170.00 50% off $44,132.00 $447,925.00 $217,823.50 2024-12-15
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 15 10 $460,111.00 $230,055.50 50% off $81.00 $437,105.00 $278,827.00 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 15 10 $386,681.14 $193,340.57 50% off $58.00 $367,347.00 $234,329.00 2024-12-15
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 320 14 $155,595.00 $77,797.50 50% off $17,407.00 $350,680.00 $104,346.00 2024-12-15
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 15 10 $317,369.80 $158,684.90 50% off $55.00 $301,501.00 $192,326.00 2024-12-15
J1950 HCPCS Leuprolide Acetate (3 Month) 11.25 Mg IM Kit 19 13 $315,683.43 $157,841.71 50% off $1,494.00 $299,899.00 $146,288.00 2024-12-15
C1882 HCPCS Defibrillator Consulta 2chb Is1 Df1 Av 35jl 38ml 6 728 14 $140,130.40 $70,065.20 50% off $7.00 $269,984.00 $96,303.00 2024-12-15
C1827 HCPCS Generator Imp Vivistim Vns Ipg 1001 32 14 $278,185.00 $139,092.50 50% off $10,202.00 $264,276.00 $143,042.75 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 32 14 $244,160.00 $122,080.00 50% off $43,949.00 $250,838.00 $142,955.75 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 $0.01 — $238,212.00 $240,515.00 $238,212.00 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 32 14 $245,180.00 $122,590.00 50% off $40,810.00 $232,921.00 $138,526.50 2024-12-15
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 44 14 $209,581.75 $104,790.88 50% off $34,797.00 $232,921.00 $122,078.00 2024-12-15
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 15 10 $243,748.00 $121,874.00 50% off $67.00 $231,561.00 $147,711.00 2024-12-15
C1820 HCPCS Stimulator Nerv Activa Sc 60x55x11mm 27ml 44gm 224 14 $123,344.40 $61,672.20 50% off $1,604.00 $228,934.00 $81,354.00 2024-12-15
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 32 14 $222,360.00 $111,180.00 50% off $14,126.00 $211,242.00 $114,337.75 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 20 14 $200,497.28 $100,248.64 50% off $36,090.00 $190,472.00 $113,281.00 2024-12-15
C1722 HCPCS Defibrillator Secura Vr 1chb Is1 Df1 Av 35jl 37ml 584 14 $110,744.00 $55,372.00 50% off $7,676.00 $184,733.00 $69,777.50 2024-12-15
C1816 HCPCS System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 44 14 $169,740.00 $84,870.00 50% off $3,395.00 $183,649.00 $106,042.50 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 $0.01 — $179,930.00 $181,650.00 $179,930.00 2024-12-15
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 20 14 $185,386.85 $92,693.43 50% off $33,370.00 $176,118.00 $104,744.00 2024-12-15
L8614 HCPCS Electrode Hires Ultra 3d Ci Hifocus Slimj Cochlear 152 14 $116,902.50 $58,451.25 50% off $289.00 $173,964.00 $71,976.00 2024-12-15
L8619 HCPCS Abutment Cochlear Dermalock 3mmx8mm Strl 176 14 $91,939.49 $45,969.75 50% off $330.00 $173,964.00 $52,409.00 2024-12-15
J9302 HCPCS Ofatumumab 100 Mg/5ml IV Conc 19 13 $180,768.90 $90,384.45 50% off $61.00 $171,730.00 $83,768.00 2024-12-15
C1721 HCPCS Defibrillator Maximo Ii Dr 2chb Is1 Df1 Av 35jl 37 608 14 $116,760.80 $58,380.40 50% off $12.00 $170,791.00 $73,994.00 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 20 14 $173,964.00 $86,982.00 50% off $31,314.00 $165,266.00 $98,290.00 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 20 14 $173,885.49 $86,942.74 50% off $31,299.00 $165,191.00 $98,245.00 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 20 14 $173,885.49 $86,942.74 50% off $31,299.00 $165,191.00 $98,245.00 2024-12-15
37231 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 29 14 $85,085.87 $42,542.94 50% off $15,315.00 $161,663.00 $51,562.00 2024-12-15
A9592 HCPCS Copper Cu 64 Dotatate 1 Mci/ml IV Soln 15 10 $170,101.00 $85,050.50 50% off $253.00 $161,596.00 $103,081.00 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 20 14 $162,357.12 $81,178.56 50% off $29,224.00 $154,239.00 $91,731.50 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 20 14 $162,357.12 $81,178.56 50% off $29,224.00 $154,239.00 $91,731.50 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 $0.01 — $152,784.00 $154,233.00 $152,784.00 2024-12-15
C2616 HCPCS Sphere Embol Sir Msphre 90 32 14 $159,968.40 $79,984.20 50% off $16,407.00 $151,970.00 $89,639.75 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 20 14 $156,167.31 $78,083.66 50% off $28,110.00 $148,359.00 $88,234.50 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 20 14 $156,167.31 $78,083.66 50% off $28,110.00 $148,359.00 $88,234.50 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 $0.01 — $138,793.00 $140,102.00 $138,793.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 20 14 $124,520.94 $62,260.47 50% off $22,414.00 $118,295.00 $70,354.50 2024-12-15
37227 CPT Hc Revascularize Fem/pop Artery,angioplasty/stent/atherectomy 29 14 $62,141.77 $31,070.88 50% off $11,186.00 $118,069.00 $37,658.00 2024-12-15
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 20 14 $122,082.86 $61,041.43 50% off $21,975.00 $115,979.00 $68,977.00 2024-12-15
37230 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent Initial 29 14 $58,451.40 $29,225.70 50% off $10,521.00 $111,058.00 $35,422.00 2024-12-15
31253 CPT Hc Nasal/sinus Endo Total With Tiss Rem 29 14 $58,344.44 $29,172.22 50% off $6,521.00 $110,854.00 $35,357.00 2024-12-15
24341 CPT Hc Repair Tend/musc Upr Arm/elb Each 29 14 $54,655.25 $27,327.62 50% off $6,816.00 $103,845.00 $33,121.00 2024-12-15
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x0.78x0.78in 20ml 32 14 $108,445.00 $54,222.50 50% off $16,804.00 $103,023.00 $61,271.50 2024-12-15
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 19 13 $106,078.19 $53,039.09 50% off $1,119.00 $100,774.00 $49,157.00 2024-12-15
27446 CPT Hc Knee Arthroplasty Condyle/plateau Medial Or Lateral Comptmnt 29 14 $52,870.37 $26,435.18 50% off $9,517.00 $100,454.00 $32,039.00 2024-12-15
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 20 14 $101,255.84 $50,627.92 50% off $18,226.00 $96,193.00 $57,209.50 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 $0.01 — $94,207.00 $95,070.00 $94,207.00 2024-12-15
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 32 14 $100,001.66 $50,000.83 50% off $14,186.00 $95,002.00 $56,501.00 2024-12-15
33249 CPT Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 32 14 $100,001.66 $50,000.83 50% off $14,953.00 $95,002.00 $56,501.00 2024-12-15
J7311 HCPCS Fluocinolone Acetonide 0.59 Mg Iz Impl 19 13 $98,144.83 $49,072.41 50% off $286.00 $93,238.00 $45,480.00 2024-12-15
27428 CPT Hc Ligament Reconst Knee, Intra-artic (open) 29 14 $48,659.87 $24,329.94 50% off $8,759.00 $92,454.00 $29,488.00 2024-12-15
C2621 HCPCS System Pcmkr Valitude X4 Crtp Nonmri 272 14 $52,320.00 $26,160.00 50% off $4,080.00 $91,528.00 $37,553.50 2024-12-15
77371 CPT Hc Tr Srs 1 Session Multi Cobalt 60 20 14 $93,660.20 $46,830.10 50% off $7,420.00 $88,977.00 $48,198.50 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 $0.01 — $87,929.00 $88,729.00 $87,929.00 2024-12-15
7 MS_DRG Lung Transplant 3 3 $0.01 — $87,727.00 $88,525.00 $87,727.00 2024-12-15
81416 CPT Hc Exome Sequence Analysis Each Comparator Exome 20 14 $92,610.00 $46,305.00 50% off $2,072.00 $87,980.00 $26,857.00 2024-12-15
25609 CPT Hc Open Rx Distal Radius Fx, Intra-articular, 3+ Frag 29 14 $46,177.30 $23,088.65 50% off $6,816.00 $87,737.00 $27,983.00 2024-12-15
27870 CPT Hc Asc Ankle Arthrodesis Open 27870 29 14 $46,090.31 $23,045.16 50% off $8,296.00 $87,572.00 $27,931.00 2024-12-15
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 19 13 $91,874.02 $45,937.01 50% off $147.00 $87,280.00 $42,574.00 2024-12-15
C9773 HCPCS Hc Revasc Tibial/peroneal Art With IV Litho/stent 20 14 $91,588.35 $45,794.18 50% off $10,891.00 $87,009.00 $42,442.00 2024-12-15
C9774 HCPCS Hc Revasc Tibial/peroneal Art With IV Litho/ather 20 14 $91,588.35 $45,794.18 50% off $11,511.00 $87,009.00 $42,442.00 2024-12-15
C9775 HCPCS Hc Revasc Tibial/peroneal Art With IV Litho/ather/stent 20 14 $91,588.35 $45,794.18 50% off $11,668.00 $87,009.00 $42,442.00 2024-12-15
C1817 HCPCS Occluder Dct Amplatzer Ii 90deg 3x4mm 4fr 104 14 $71,521.44 $35,760.72 50% off $8,369.00 $86,112.00 $42,005.00 2024-12-15
29888 CPT Hc Knee Scope,aid Ant Cruciate Repair 29 14 $44,941.54 $22,470.77 50% off $6,816.00 $85,389.00 $27,235.00 2024-12-15
C1833 HCPCS Monitor Crdc The Guardian Amsg3-e 20 14 $89,380.00 $44,690.00 50% off $16,088.00 $84,911.00 $50,499.50 2024-12-15
33262 CPT Hc Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 32 14 $84,270.87 $42,135.44 50% off $15,169.00 $84,503.00 $49,340.50 2024-12-15
25607 CPT Hc Open Rx Distal Radius Fx, Extra-articular 29 14 $44,392.55 $22,196.28 50% off $6,816.00 $84,346.00 $26,902.00 2024-12-15
C2622 HCPCS Prosthesis Penile Genisis Kt Semi Rgd Malle 9.5x23 44 14 $71,626.08 $35,813.04 50% off $2,577.00 $80,490.00 $40,469.00 2024-12-15
28725 CPT Hc Fusion Foot Bones,subtalar 29 14 $42,009.16 $21,004.58 50% off $7,562.00 $79,817.00 $25,458.00 2024-12-15
27827 CPT Hc Open Treatment Fracture Distal Tibia Only 29 14 $42,009.16 $21,004.58 50% off $7,562.00 $79,817.00 $25,458.00 2024-12-15
A9555 HCPCS Rubidium-82 (rb-82) Radio-isotope Injection 15 10 $84,001.00 $42,000.50 50% off $76.00 $79,801.00 $50,905.00 2024-12-15
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 20 14 $83,613.89 $41,806.95 50% off $15,051.00 $79,433.00 $47,242.00 2024-12-15
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 20 14 $83,214.69 $41,607.35 50% off $14,979.00 $79,054.00 $47,016.50 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 $0.01 — $75,215.00 $75,887.00 $75,215.00 2024-12-15
33240 CPT Hc Insj Implntbl Defib Pulse Gen W/1 Existing Ld 32 14 $79,329.69 $39,664.84 50% off $13,218.00 $75,363.00 $44,821.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 3 $0.01 — $74,446.00 $75,112.00 $74,446.00 2024-12-15
C1875 HCPCS Stent Cor Cp Cov 6.0cm 10 Zig Strl 152 14 $63,185.56 $31,592.78 50% off $9,966.00 $74,434.00 $42,465.50 2024-12-15
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 32 14 $76,768.82 $38,384.41 50% off $13,818.00 $74,000.00 $44,948.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 $0.01 — $72,953.00 $73,604.00 $72,953.00 2024-12-15
215 MS_DRG Other Heart Assist System Implant 3 3 $0.01 — $72,620.00 $73,267.00 $72,620.00 2024-12-15
33289 CPT Hc Rhc W/plc Pressure Sensor 20 14 $76,652.15 $38,326.07 50% off $13,797.00 $72,820.00 $43,308.50 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 $0.01 — $71,891.00 $72,531.00 $71,891.00 2024-12-15
93656 CPT Hc Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 20 14 $75,683.76 $37,841.88 50% off $13,623.00 $71,900.00 $42,761.50 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 20 14 $73,519.56 $36,759.78 50% off $13,234.00 $69,844.00 $41,539.00 2024-12-15
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 20 14 $73,519.56 $36,759.78 50% off $13,234.00 $69,844.00 $41,539.00 2024-12-15
33230 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Dual Leads 20 14 $73,431.05 $36,715.52 50% off $13,218.00 $69,759.00 $41,488.50 2024-12-15
93654 CPT Hc Ephys Eval W/ablation Ventricular Tachycardia 20 14 $72,382.87 $36,191.44 50% off $13,029.00 $68,764.00 $40,896.50 2024-12-15
93582 CPT Hc Cath Percutan Transcath Closure Pat Duct Arteriosus 20 14 $72,334.19 $36,167.10 50% off $13,020.00 $68,717.00 $40,868.50 2024-12-15
93590 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 20 14 $72,334.19 $36,167.10 50% off $13,020.00 $68,717.00 $40,868.50 2024-12-15
0398T CPT Hc MRI Guided Focused US Stereo Lesion Ablate 20 14 $71,584.70 $35,792.35 50% off $12,885.00 $68,005.00 $40,445.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $0.01 — $66,857.00 $67,447.00 $66,857.00 2024-12-15
0237T CPT Hc Trluml Perip Athrc Brchiocph 20 14 $70,590.18 $35,295.09 50% off $10,482.00 $67,061.00 $38,771.50 2024-12-15
0234T CPT Hc Trluml Perip Athrc Renal Art 20 14 $70,590.18 $35,295.09 50% off $10,482.00 $67,061.00 $38,771.50 2024-12-15
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 32 14 $68,511.79 $34,255.89 50% off $11,934.00 $65,086.00 $39,444.00 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 3 3 $0.01 — $64,176.00 $64,738.00 $64,176.00 2024-12-15
33229 CPT Hc Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 32 14 $68,033.29 $34,016.64 50% off $5,859.00 $64,632.00 $30,111.00 2024-12-15
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 20 14 $66,636.21 $33,318.10 50% off $11,995.00 $63,304.00 $37,649.50 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 20 14 $66,636.21 $33,318.10 50% off $11,995.00 $63,304.00 $37,649.50 2024-12-15
J9217 HCPCS Leuprolide Acetate (3 Month) 22.5 Mg IM Kit 19 13 $66,360.81 $33,180.40 50% off $173.00 $63,043.00 $30,752.00 2024-12-15
33270 CPT Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 20 14 $66,011.43 $33,005.71 50% off $11,882.00 $62,711.00 $37,296.50 2024-12-15
C1602 HCPCS Graft Bn Morsel Cerament G Kt Ca Slft Ha W/gntmcn 32 14 $35,943.84 $17,971.92 50% off $6,470.00 $61,608.00 $26,107.50 2024-12-15
93653 CPT Hc Ephys Eval W/ablation Supravent Arrhythmia 20 14 $63,470.46 $31,735.23 50% off $11,425.00 $60,297.00 $35,861.00 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 $0.01 — $59,669.00 $60,187.00 $59,669.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 $0.01 — $59,640.00 $60,158.00 $59,640.00 2024-12-15
93591 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 20 14 $63,008.76 $31,504.38 50% off $11,342.00 $59,858.00 $35,600.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 $0.01 — $58,855.00 $59,364.00 $58,855.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 $0.01 — $57,148.00 $57,641.00 $57,148.00 2024-12-15
61958-1004-1 NDC Ranolazine ER 1000 Mg Po Tb12 20 14 $60,346.80 $30,173.40 50% off $10,862.00 $57,329.00 $34,095.50 2024-12-15
10 MS_DRG Pancreas Transplant 3 3 $0.01 — $56,610.00 $57,097.00 $56,610.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 $0.01 — $56,331.00 $56,815.00 $56,331.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 $0.01 — $55,654.00 $56,131.00 $55,654.00 2024-12-15
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 20 14 $58,989.01 $29,494.50 50% off $10,618.00 $56,040.00 $33,329.00 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $0.01 — $55,172.00 $55,645.00 $55,172.00 2024-12-15
93581 CPT Hc Perc Closure,cong Vsd W/implant 20 14 $58,358.87 $29,179.44 50% off $10,505.00 $55,441.00 $32,973.00 2024-12-15
33221 CPT Hc Ep Ins Pacemaker Pulse Gen Only W/exist Mult Leads 20 14 $57,226.06 $28,613.03 50% off $10,301.00 $54,365.00 $32,333.00 2024-12-15
93580 CPT Hc Perc Clos,cong Interatrial Commun W/impl 20 14 $57,055.34 $28,527.67 50% off $10,270.00 $54,203.00 $32,236.50 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 $0.01 — $53,503.00 $53,959.00 $53,503.00 2024-12-15
A9584 HCPCS Ioflupane I 123 185 Mbq/2.5ml IV Soln 15 10 $56,701.00 $28,350.50 50% off $111.00 $53,866.00 $34,361.00 2024-12-15
0408T CPT Hc Ins/repl Ccm System, Pulse Gen With Tv Electrodes 20 14 $56,505.40 $28,252.70 50% off $10,171.00 $53,680.00 $31,502.50 2024-12-15
69468-151-04 NDC Uridine Triacetate 10 G Po Pack 20 14 $55,964.40 $27,982.20 50% off $10,074.00 $53,166.00 $31,620.00 2024-12-15
22551 CPT Hc Arthrodesis Ant Interbody Inc Discectomy, Cervical Below C2 20 14 $55,536.41 $27,768.20 50% off $9,997.00 $52,760.00 $31,378.50 2024-12-15
Q0479 HCPCS Module Pwr Heartmate Ii Cntrlr Tethered Operation 20 14 $55,036.80 $27,518.40 50% off $9,907.00 $52,285.00 $31,096.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 $0.01 — $51,296.00 $51,730.00 $51,296.00 2024-12-15
33365 CPT Hc Cath Replace Aortic Valve Open Transaortic Approach 20 14 $54,351.85 $27,175.92 50% off $9,783.00 $51,634.00 $30,708.50 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 $0.01 — $51,078.00 $51,510.00 $51,078.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 $0.01 — $50,403.00 $50,828.00 $50,403.00 2024-12-15
36906 CPT Hc Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 20 14 $52,864.78 $26,432.39 50% off $9,516.00 $50,222.00 $29,869.00 2024-12-15
67546-212-21 NDC Nitazoxanide 100 Mg/5ml Po Susr Bulk 20 14 $52,757.28 $26,378.64 50% off $9,496.00 $50,119.00 $29,807.50 2024-12-15
58571 CPT Hc Laparoscopy W Tot Hysterectuterus <=250 Gram W Tube/ovary 20 14 $52,685.64 $26,342.82 50% off $9,483.00 $50,051.00 $29,767.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 $0.01 — $49,620.00 $50,037.00 $49,620.00 2024-12-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 3 $0.01 — $48,866.00 $49,275.00 $48,866.00 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 3 $0.01 — $48,708.00 $49,116.00 $48,708.00 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 $0.01 — $48,639.00 $49,046.00 $48,639.00 2024-12-15
0310-0283-60 NDC Quetiapine Fumarate ER 300 Mg Po Tb24 20 14 $51,619.18 $25,809.59 50% off $9,291.00 $49,038.00 $29,164.50 2024-12-15
77424 CPT Hc Tr Iort Xray Single 20 14 $51,322.81 $25,661.40 50% off $7,420.00 $48,757.00 $28,088.50 2024-12-15
58552 CPT Hc Lap,vag Hyst,uterus 250gms/<,salp-ooph 20 14 $51,134.79 $25,567.40 50% off $9,204.00 $48,578.00 $28,891.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 $0.01 — $47,415.00 $47,810.00 $47,415.00 2024-12-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $0.01 — $47,359.00 $47,753.00 $47,359.00 2024-12-15
33231 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Multileads 20 14 $50,000.83 $25,000.42 50% off $9,000.00 $47,501.00 $30,301.00 2024-12-15
Q0495 HCPCS Charger Batt Heartmate Univ 32 14 $49,533.12 $24,766.56 50% off $4,951.00 $47,056.00 $26,003.50 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 $0.01 — $46,543.00 $46,929.00 $46,543.00 2024-12-15
0483T CPT Hc Cath Tmvi W/prosthetic Valve Percutaneous Approach 15 10 $49,127.40 $24,563.70 50% off $143.00 $46,671.00 $29,771.00 2024-12-15
8120000004 CDM Hc Cadaver Donor - Lung 20 14 $48,659.61 $24,329.80 50% off $8,759.00 $46,227.00 $27,493.00 2024-12-15
47335-625-60 NDC Ranolazine ER 1000 Mg Po Pack 20 14 $48,647.12 $24,323.56 50% off $8,756.00 $46,215.00 $27,485.50 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 $0.01 — $45,750.00 $46,128.00 $45,750.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 3 $0.01 — $45,701.00 $46,079.00 $45,701.00 2024-12-15
8120000001 CDM Hc Cadaver Donor - Heart 20 14 $48,443.14 $24,221.57 50% off $8,720.00 $46,021.00 $27,370.50 2024-12-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 $0.01 — $45,529.00 $45,905.00 $45,529.00 2024-12-15
92997 CPT Hc Cath Pul Art Balloon Repair,perc,1st Vesl 20 14 $48,289.13 $24,144.56 50% off $8,692.00 $45,875.00 $27,283.50 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 $0.01 — $45,397.00 $45,772.00 $45,397.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 $0.01 — $45,226.00 $45,599.00 $45,226.00 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 3 3 $0.01 — $45,048.00 $45,419.00 $45,048.00 2024-12-15
C9607 HCPCS Hc Ccl Revas Chron Occl W Drug Stent Plcmt Single 20 14 $47,574.78 $23,787.39 50% off $8,563.00 $45,196.00 $26,879.50 2024-12-15
C9602 HCPCS Hc Ccl Ather W/drug Eluting Sngl Stent Maj Cor Vessel 20 14 $47,574.78 $23,787.39 50% off $8,563.00 $45,196.00 $26,879.50 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 3 $0.01 — $44,782.00 $45,150.00 $44,782.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 3 $0.01 — $44,782.00 $45,150.00 $44,782.00 2024-12-15
33477 CPT Hc Cath Tcat Pulmonary Valve Implantation Prq Approach 20 14 $47,291.51 $23,645.76 50% off $8,512.00 $44,927.00 $26,719.50 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 $0.01 — $44,506.00 $44,872.00 $44,506.00 2024-12-15
8120000003 CDM Hc Cadaver Donor - Liver 20 14 $47,058.62 $23,529.31 50% off $8,471.00 $44,706.00 $26,588.50 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $0.01 — $44,253.00 $44,616.00 $44,253.00 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 $0.01 — $44,226.00 $44,589.00 $44,226.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 $0.01 — $43,855.00 $44,215.00 $43,855.00 2024-12-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 $0.01 — $43,477.00 $43,833.00 $43,477.00 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 $0.01 — $42,971.00 $43,322.00 $42,971.00 2024-12-15
33995 CPT Hc Insert Perq Vad R Hrt Venous 20 14 $45,405.18 $22,702.59 50% off $8,173.00 $43,135.00 $25,654.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 $0.01 — $42,762.00 $43,110.00 $42,762.00 2024-12-15
92987 CPT Hc Percut Mitral Valvuloplasty 20 14 $45,303.85 $22,651.92 50% off $8,155.00 $43,039.00 $25,597.00 2024-12-15
A9560 HCPCS Technetium-99 (tc-99) Labeled Red Blood Cells (ultratag) Radio-isotope Injection 15 10 $44,934.70 $22,467.35 50% off $183.00 $42,688.00 $27,230.00 2024-12-15
J9030 HCPCS Bcg Live 50 Mg Is Susr 15 10 $44,566.56 $22,283.28 50% off $46.00 $42,338.00 $27,007.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 3 3 $0.01 — $41,965.00 $42,305.00 $41,965.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 3 3 $0.01 — $41,676.00 $42,014.00 $41,676.00 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 $0.01 — $41,676.00 $42,014.00 $41,676.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 $0.01 — $41,534.00 $41,871.00 $41,534.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 $0.01 — $41,329.00 $41,663.00 $41,329.00 2024-12-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 $0.01 — $41,150.00 $41,482.00 $41,150.00 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 $0.01 — $41,074.00 $41,406.00 $41,074.00 2024-12-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 $0.01 — $40,905.00 $41,235.00 $40,905.00 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 $0.01 — $40,874.00 $41,203.00 $40,874.00 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 $0.01 — $40,870.00 $41,200.00 $40,870.00 2024-12-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 $0.01 — $40,412.00 $40,736.00 $40,412.00 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $0.01 — $40,268.00 $40,591.00 $40,268.00 2024-12-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 3 $0.01 — $39,373.00 $39,687.00 $39,373.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 $0.01 — $39,268.00 $39,582.00 $39,268.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 $0.01 — $39,034.00 $39,345.00 $39,034.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 $0.01 — $38,939.00 $39,249.00 $38,939.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 $0.01 — $38,682.00 $38,989.00 $38,682.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 $0.01 — $38,500.00 $38,806.00 $38,500.00 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 $0.01 — $38,476.00 $38,782.00 $38,476.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 $0.01 — $38,464.00 $38,770.00 $38,464.00 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 $0.01 — $38,354.00 $38,659.00 $38,354.00 2024-12-15
245 MS_DRG Aicd Generator Procedures 3 3 $0.01 — $37,765.00 $38,063.00 $37,765.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 $0.01 — $37,585.00 $37,881.00 $37,585.00 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 3 3 $0.01 — $37,535.00 $37,832.00 $37,535.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 $0.01 — $37,085.00 $37,377.00 $37,085.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 3 3 $0.01 — $36,959.00 $37,249.00 $36,959.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 $0.01 — $36,953.00 $37,244.00 $36,953.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 $0.01 — $36,653.00 $36,940.00 $36,653.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 $0.01 — $36,499.00 $36,785.00 $36,499.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 $0.01 — $36,331.00 $36,615.00 $36,331.00 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 3 3 $0.01 — $36,070.00 $36,351.00 $36,070.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 $0.01 — $36,058.00 $36,340.00 $36,058.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $0.01 — $35,969.00 $36,249.00 $35,969.00 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 $0.01 — $35,964.00 $36,245.00 $35,964.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 $0.01 — $35,474.00 $35,749.00 $35,474.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 $0.01 — $35,310.00 $35,584.00 $35,310.00 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 $0.01 — $35,234.00 $35,507.00 $35,234.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 $0.01 — $34,979.00 $35,249.00 $34,979.00 2024-12-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 $0.01 — $34,748.00 $35,017.00 $34,748.00 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 3 $0.01 — $34,346.00 $34,610.00 $34,346.00 2024-12-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 $0.01 — $34,292.00 $34,555.00 $34,292.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 $0.01 — $33,972.00 $34,233.00 $33,972.00 2024-12-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 3 $0.01 — $33,934.00 $34,194.00 $33,934.00 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 $0.01 — $33,749.00 $34,008.00 $33,749.00 2024-12-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 $0.01 — $33,514.00 $33,770.00 $33,514.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 $0.01 — $33,508.00 $33,764.00 $33,508.00 2024-12-15
793 MS_DRG Full Term Neonate With Major Problems 3 3 $0.01 — $33,391.00 $33,646.00 $33,391.00 2024-12-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 $0.01 — $33,331.00 $33,585.00 $33,331.00 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 $0.01 — $33,034.00 $33,286.00 $33,034.00 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 $0.01 — $33,020.00 $33,271.00 $33,020.00 2024-12-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 $0.01 — $32,983.00 $33,234.00 $32,983.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 $0.01 — $32,860.00 $33,109.00 $32,860.00 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 $0.01 — $32,761.00 $33,010.00 $32,761.00 2024-12-15
791 MS_DRG Prematurity With Major Problems 3 3 $0.01 — $32,716.00 $32,964.00 $32,716.00 2024-12-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 $0.01 — $32,250.00 $32,494.00 $32,250.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 3 $0.01 — $32,233.00 $32,476.00 $32,233.00 2024-12-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 $0.01 — $32,018.00 $32,259.00 $32,018.00 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 $0.01 — $31,969.00 $32,209.00 $31,969.00 2024-12-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 3 $0.01 — $31,920.00 $32,160.00 $31,920.00 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 $0.01 — $31,814.00 $32,053.00 $31,814.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 3 $0.01 — $31,802.00 $32,041.00 $31,802.00 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 $0.01 — $31,670.00 $31,908.00 $31,670.00 2024-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 $0.01 — $31,526.00 $31,762.00 $31,526.00 2024-12-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 3 $0.01 — $31,502.00 $31,738.00 $31,502.00 2024-12-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 $0.01 — $31,436.00 $31,671.00 $31,436.00 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 $0.01 — $31,265.00 $31,499.00 $31,265.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 $0.01 — $31,139.00 $31,371.00 $31,139.00 2024-12-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 $0.01 — $30,958.00 $31,189.00 $30,958.00 2024-12-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 $0.01 — $30,774.00 $31,003.00 $30,774.00 2024-12-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 $0.01 — $30,205.00 $30,428.00 $30,205.00 2024-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 $0.01 — $30,050.00 $30,272.00 $30,050.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 $0.01 — $29,815.00 $30,033.00 $29,815.00 2024-12-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 $0.01 — $29,813.00 $30,032.00 $29,813.00 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 $0.01 — $29,810.00 $30,029.00 $29,810.00 2024-12-15
265 MS_DRG Aicd Lead Procedures 3 3 $0.01 — $29,707.00 $29,925.00 $29,707.00 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 $0.01 — $29,609.00 $29,826.00 $29,609.00 2024-12-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 3 $0.01 — $29,482.00 $29,698.00 $29,482.00 2024-12-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 $0.01 — $29,477.00 $29,692.00 $29,477.00 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 $0.01 — $29,423.00 $29,638.00 $29,423.00 2024-12-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 $0.01 — $29,320.00 $29,534.00 $29,320.00 2024-12-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 $0.01 — $29,313.00 $29,527.00 $29,313.00 2024-12-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 $0.01 — $29,305.00 $29,518.00 $29,305.00 2024-12-15
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 $0.01 — $29,267.00 $29,480.00 $29,267.00 2024-12-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 $0.01 — $29,129.00 $29,341.00 $29,129.00 2024-12-15
332 MS_DRG Rectal Resection With Mcc 3 3 $0.01 — $29,106.00 $29,317.00 $29,106.00 2024-12-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 3 $0.01 — $29,082.00 $29,294.00 $29,082.00 2024-12-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 $0.01 — $28,957.00 $29,168.00 $28,957.00 2024-12-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 $0.01 — $28,924.00 $29,134.00 $28,924.00 2024-12-15
665 MS_DRG Prostatectomy With Mcc 3 3 $0.01 — $28,891.00 $29,101.00 $28,891.00 2024-12-15
252 MS_DRG Other Vascular Procedures With Mcc 3 3 $0.01 — $28,872.00 $29,081.00 $28,872.00 2024-12-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 $0.01 — $28,840.00 $29,049.00 $28,840.00 2024-12-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 $0.01 — $28,724.00 $28,932.00 $28,724.00 2024-12-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 $0.01 — $28,637.00 $28,844.00 $28,637.00 2024-12-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 $0.01 — $28,422.00 $28,627.00 $28,422.00 2024-12-15
37 MS_DRG Extracranial Procedures With Mcc 3 3 $0.01 — $28,203.00 $28,406.00 $28,203.00 2024-12-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 3 $0.01 — $28,087.00 $28,289.00 $28,087.00 2024-12-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 $0.01 — $27,884.00 $28,084.00 $27,884.00 2024-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 $0.01 — $27,828.00 $28,027.00 $27,828.00 2024-12-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 $0.01 — $27,819.00 $28,018.00 $27,819.00 2024-12-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 3 $0.01 — $27,583.00 $27,779.00 $27,583.00 2024-12-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 $0.01 — $27,492.00 $27,687.00 $27,492.00 2024-12-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 3 $0.01 — $27,435.00 $27,630.00 $27,435.00 2024-12-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 $0.01 — $27,398.00 $27,592.00 $27,398.00 2024-12-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 3 3 $0.01 — $27,345.00 $27,539.00 $27,345.00 2024-12-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 $0.01 — $27,306.00 $27,500.00 $27,306.00 2024-12-15
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 $0.01 — $27,274.00 $27,467.00 $27,274.00 2024-12-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 3 $0.01 — $26,982.00 $27,173.00 $26,982.00 2024-12-15
662 MS_DRG Minor Bladder Procedures With Mcc 3 3 $0.01 — $26,974.00 $27,164.00 $26,974.00 2024-12-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 3 $0.01 — $26,893.00 $27,082.00 $26,893.00 2024-12-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 $0.01 — $26,808.00 $26,997.00 $26,808.00 2024-12-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 3 $0.01 — $26,769.00 $26,957.00 $26,769.00 2024-12-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 $0.01 — $26,755.00 $26,944.00 $26,755.00 2024-12-15
652 MS_DRG Kidney Transplant 3 3 $0.01 — $26,680.00 $26,867.00 $26,680.00 2024-12-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 3 3 $0.01 — $26,662.00 $26,850.00 $26,662.00 2024-12-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 $0.01 — $26,601.00 $26,788.00 $26,601.00 2024-12-15
570 MS_DRG Skin Debridement With Mcc 3 3 $0.01 — $26,306.00 $26,490.00 $26,306.00 2024-12-15
974 MS_DRG HIV With Major Related Condition With Mcc 3 3 $0.01 — $26,159.00 $26,342.00 $26,159.00 2024-12-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 $0.01 — $25,930.00 $26,110.00 $25,930.00 2024-12-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 $0.01 — $25,883.00 $26,063.00 $25,883.00 2024-12-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 $0.01 — $25,834.00 $26,014.00 $25,834.00 2024-12-15
668 MS_DRG Transurethral Procedures With Mcc 3 3 $0.01 — $25,732.00 $25,911.00 $25,732.00 2024-12-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 $0.01 — $25,723.00 $25,901.00 $25,723.00 2024-12-15
800 MS_DRG Splenic Procedures With Cc 3 3 $0.01 — $25,717.00 $25,895.00 $25,717.00 2024-12-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 $0.01 — $25,707.00 $25,885.00 $25,707.00 2024-12-15
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 $0.01 — $25,616.00 $25,793.00 $25,616.00 2024-12-15
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