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 →

Export CSV
Hospital

ADVENTHEALTH HENDERSONVILLE

Hendersonville, NC · CCN 340023 · Rates published

21,483 distinct procedures filed
37 distinct payers
888,831 rate rows
2026-04-01 last MRF observed
Data quality

869,899 of 888,831 rate rows are consumer-grade (97.9%)

18,932 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 14,651
exceeds 10× this hospital's gross charge — excluded from medians 2,106
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
per-diem day rate — not a per-procedure price 176
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 171
template filing: same amount across many unrelated codes — excluded 50
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.adventhealth.com/sites/default/files/CDM/2025/560543246_AdventHealth-Hendersonville_standardcharges.json
Found on page https://www.adventhealth.com/pricelist
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint c43679dff545eb84… · 1,477,114,430 bytes · first seen 2026-05-05

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
52427-273-75
NDC 		Naproxen Sodium ER 500 Mg Po Tb24 21 $142,854.00 $654,118.00 $545,098.50 nat. median
$111,860
outlier · 4.9×
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 21 $269,050.00 $1,767,992.00 $533,922.00 nat. median
$691,418
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 21 $314,004.00 $2,063,407.00 $513,524.00 nat. median
$610,161
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 21 $307,120.00 $2,018,169.00 $506,318.00 nat. median
$624,417
0.8× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 20 $10.00 $693,347.00 $483,802.50 nat. median
$1,032
outlier · 468.7×
58468-0132-2
NDC 		Sevelamer Carbonate 0.8 G Po Pack 21 $123,893.00 $567,297.00 $472,747.50 nat. median
$92,261
outlier · 5.1×
58468-0132-1
NDC 		Sevelamer Carbonate 0.8 G Po Pack 21 $123,893.00 $567,297.00 $472,747.50 nat. median
$92,408
outlier · 5.1×
68382-395-04
NDC 		Ribavirin 6 G In Solr 21 $115,679.00 $529,686.00 $441,405.00 nat. median
$88,073
outlier · 5.0×
68382-395-01
NDC 		Ribavirin 6 G In Solr 21 $115,679.00 $529,686.00 $441,405.00 nat. median
$88,073
outlier · 5.0×
59385-027-01
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 21 $111,269.00 $509,492.00 $424,576.50 nat. median
$87,698
outlier · 4.8×
59385-027-60
NDC 		Buprenorphine Hcl 900 Mcg Bu Film 21 $111,269.00 $509,492.00 $424,576.50 nat. median
$85,763
outlier · 5.0×
0187-0007-14
NDC 		Ribavirin 6 G In Solr 21 $88,721.00 $406,245.00 $338,537.50 nat. median
$69,528
outlier · 4.9×
0781-5893-31
NDC 		Nevirapine ER 400 Mg Po Tb24 21 $86,984.00 $398,291.00 $331,909.00 nat. median
$68,166
outlier · 4.9×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $257,472.00 $782,685.53 $300,917.16 nat. median
$370,165
0.8× median
A9588
HCPCS 		Fluciclovine F 18 9-221 Mci/ml IV Soln 20 $81.00 $414,100.00 $288,950.00 nat. median
$741
outlier · 389.8×
47781-153-01
NDC 		Naproxen Sodium ER 375 Mg Po Tb24 21 $72,145.00 $330,343.00 $275,286.00 nat. median
$56,537
outlier · 4.9×
A9572
HCPCS 		Indium In-111 Pentetreotide IV Kit 20 $58.00 $348,013.00 $242,836.00 nat. median
$4,658
outlier · 52.1×
0187-3013-30
NDC 		Pyridostigmine Bromide ER 180 Mg Po Tbcr 21 $59,575.00 $272,786.00 $227,321.50 nat. median
$45,919
outlier · 5.0×
51167-331-01
NDC 		Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 21 $59,290.00 $271,484.00 $226,236.50 nat. median
$46,844
outlier · 4.8×
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 21 $114,660.00 $393,300.00 $218,150.00 nat. median
$7,752
outlier · 28.1×
0078-0697-61
NDC 		Eltrombopag Olamine 25 Mg Po Pack 21 $52,382.00 $239,853.00 $199,877.50 nat. median
$41,017
outlier · 4.9×
0078-0697-19
NDC 		Eltrombopag Olamine 25 Mg Po Pack 21 $52,382.00 $239,853.00 $199,877.50 nat. median
$41,240
outlier · 4.8×
A9569
HCPCS 		Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 20 $55.00 $285,633.00 $199,308.50 nat. median
$1,956
outlier · 101.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $192,619.00 $509,452.62 $195,867.98 nat. median
$261,939
0.7× median
0955-1052-90
NDC 		Sevelamer Carbonate 0.8 G Po Pack 21 $47,478.00 $217,396.00 $181,163.50 nat. median
$37,207
outlier · 4.9×
0955-1052-01
NDC 		Sevelamer Carbonate 0.8 G Po Pack 21 $47,478.00 $217,396.00 $181,163.50 nat. median
$36,595
outlier · 5.0×
61958-1004-1
NDC 		Ranolazine ER 1000 Mg Po Tb12 21 $42,997.00 $196,877.00 $164,064.00 nat. median
$33,695
outlier · 4.9×
C1827
HCPCS 		Generator Imp Vivistim Vns Ipg 1001 21 $23,985.00 $232,047.00 $162,619.00 nat. median
$26,771
outlier · 6.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $149,622.19 $420,479.00 $162,413.00 nat. median
$205,166
0.8× median
A9591
HCPCS 		Fluoroestradiol F 18 4-100 Mci/ml IV Soln 20 $67.00 $219,373.00 $153,074.00 nat. median
$1,106
outlier · 138.4×
69468-151-04
NDC 		Uridine Triacetate 10 G Po Pack 21 $39,874.00 $182,580.00 $152,150.00 nat. median
$31,248
outlier · 4.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $146,845.00 $386,908.84 $148,753.88 nat. median
$199,832
0.7× median
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 21 $114,240.00 $220,248.00 $148,344.00 nat. median
$53,130
outlier · 2.8×
67546-212-21
NDC 		Nitazoxanide 100 Mg/5ml Po Susr Bulk 21 $37,589.00 $172,116.00 $143,430.00 nat. median
$29,457
outlier · 4.9×
C1824
HCPCS 		Generator Pul Implantable Optimizer Smt F/hrt Fail 21 $106,080.00 $204,516.00 $143,325.00 nat. median
$35,282
outlier · 4.1×
0310-0283-60
NDC 		Quetiapine Fumarate ER 300 Mg Po Tb24 21 $36,778.00 $168,403.00 $140,336.00 nat. median
$27,040
outlier · 5.2×
C1822
HCPCS 		Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 21 $90,405.00 $204,516.00 $135,608.00 nat. median
$32,176
outlier · 4.2×
47335-625-60
NDC 		Ranolazine ER 1000 Mg Po Pack 21 $34,661.00 $158,707.00 $132,256.00 nat. median
$27,162
outlier · 4.9×
C1823
HCPCS 		Generator Implantable Remede Pul Cent Sleep Apnea 21 $33,210.00 $212,058.00 $117,619.00 nat. median
$33,398
outlier · 3.5×
0591-2720-60
NDC 		Metformin Hcl ER (osm) 1000 Mg Po Tb24 21 $30,725.00 $140,683.00 $117,236.00 nat. median
$24,078
outlier · 4.9×
C1816
HCPCS 		System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 21 $8,820.00 $161,253.00 $113,006.50 nat. median
$9,949
outlier · 11.4×
61958-1003-1
NDC 		Ranolazine ER 500 Mg Po Tb12 21 $29,608.00 $135,571.00 $112,976.00 nat. median
$14,370
outlier · 7.9×
A9592
HCPCS 		Copper Cu 64 Dotatate 1 Mci/ml IV Soln 20 $253.00 $153,091.00 $106,823.50 nat. median
$1,673
outlier · 63.9×
59676-565-01
NDC 		Darunavir 100 Mg/ml Po Susp Bulk 21 $27,820.00 $127,382.00 $106,151.50 nat. median
$21,801
outlier · 4.9×
C1767
HCPCS 		Stimulator Activa Pc Octplr 2 Chan 65x49x15mm 39ml 21 $45,225.00 $307,915.00 $103,292.00 nat. median
$23,668
outlier · 4.4×
C2624
HCPCS 		System Cardiomems Hrt Failure Ptnt 21 $81,396.00 $127,121.00 $101,745.00 nat. median
$32,499
outlier · 3.1×
54092-252-90
NDC 		Lanthanum Carbonate 500 Mg Po Chew 21 $26,512.00 $121,392.00 $101,160.00 nat. median
$20,435
outlier · 5.0×
54092-252-45
NDC 		Lanthanum Carbonate 500 Mg Po Chew 21 $26,512.00 $121,392.00 $101,160.00 nat. median
$20,341
outlier · 5.0×
54092-191-12
NDC 		Mesalamine ER 500 Mg Po Cpcr 21 $26,230.00 $120,103.00 $100,086.00 nat. median
$11,874
outlier · 8.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $97,233.00 $253,999.15 $98,193.00 nat. median
$132,706
0.7× median

Other procedures at this hospital

Browse this hospital's 21,483 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
             
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 37 21 $726,797.82 $363,398.91 50% off $142,854.00 $654,118.00 $545,098.50 2024-12-15
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 37 21 $448,416.14 $224,208.07 50% off $269,050.00 $1,767,992.00 $533,922.00 2024-12-15
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 37 21 $523,340.26 $261,670.13 50% off $314,004.00 $2,063,407.00 $513,524.00 2024-12-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 37 21 $511,866.91 $255,933.46 50% off $307,120.00 $2,018,169.00 $506,318.00 2024-12-15
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 24 20 $770,386.00 $385,193.00 50% off $10.00 $693,347.00 $483,802.50 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 37 21 $630,330.07 $315,165.04 50% off $123,893.00 $567,297.00 $472,747.50 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 37 21 $630,330.07 $315,165.04 50% off $123,893.00 $567,297.00 $472,747.50 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 37 21 $588,539.74 $294,269.87 50% off $115,679.00 $529,686.00 $441,405.00 2024-12-15
68382-395-04 NDC Ribavirin 6 G In Solr 37 21 $588,539.74 $294,269.87 50% off $115,679.00 $529,686.00 $441,405.00 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 37 21 $566,101.69 $283,050.84 50% off $111,269.00 $509,492.00 $424,576.50 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 37 21 $566,101.69 $283,050.84 50% off $111,269.00 $509,492.00 $424,576.50 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 37 21 $451,383.58 $225,691.79 50% off $88,721.00 $406,245.00 $338,537.50 2024-12-15
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 37 21 $442,545.56 $221,272.78 50% off $86,984.00 $398,291.00 $331,909.00 2024-12-15
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 25 18 $0.01 — $257,472.00 $782,685.53 $300,917.16 2026-04-01
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 24 20 $460,111.00 $230,055.50 50% off $81.00 $414,100.00 $288,950.00 2024-12-15
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 37 21 $367,047.60 $183,523.80 50% off $72,145.00 $330,343.00 $275,286.00 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 24 20 $386,681.14 $193,340.57 50% off $58.00 $348,013.00 $242,836.00 2024-12-15
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 37 21 $303,095.54 $151,547.77 50% off $59,575.00 $272,786.00 $227,321.50 2024-12-15
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 37 21 $301,648.45 $150,824.22 50% off $59,290.00 $271,484.00 $226,236.50 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 129 21 $279,680.00 $129,526.80 54% off $114,660.00 $393,300.00 $218,150.00 2024-12-15
0078-0697-19 NDC Eltrombopag Olamine 25 Mg Po Pack 37 21 $266,503.60 $133,251.80 50% off $52,382.00 $239,853.00 $199,877.50 2024-12-15
0078-0697-61 NDC Eltrombopag Olamine 25 Mg Po Pack 37 21 $266,503.60 $133,251.80 50% off $52,382.00 $239,853.00 $199,877.50 2024-12-15
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 24 20 $317,369.80 $158,684.90 50% off $55.00 $285,633.00 $199,308.50 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 18 $0.01 — $192,619.00 $509,452.62 $195,867.98 2026-04-01
0955-1052-01 NDC Sevelamer Carbonate 0.8 G Po Pack 37 21 $241,551.43 $120,775.72 50% off $47,478.00 $217,396.00 $181,163.50 2024-12-15
0955-1052-90 NDC Sevelamer Carbonate 0.8 G Po Pack 37 21 $241,551.43 $120,775.72 50% off $47,478.00 $217,396.00 $181,163.50 2024-12-15
61958-1004-1 NDC Ranolazine ER 1000 Mg Po Tb12 37 21 $218,752.33 $109,376.16 50% off $42,997.00 $196,877.00 $164,064.00 2024-12-15
C1827 HCPCS Generator Imp Vivistim Vns Ipg 1001 60 21 $216,825.00 $100,553.70 54% off $23,985.00 $232,047.00 $162,619.00 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 18 $0.01 — $149,622.19 $420,479.00 $162,413.00 2026-04-01
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 24 20 $243,748.00 $121,874.00 50% off $67.00 $219,373.00 $153,074.00 2024-12-15
69468-151-04 NDC Uridine Triacetate 10 G Po Pack 37 21 $202,866.13 $101,433.06 50% off $39,874.00 $182,580.00 $152,150.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 18 $0.01 — $146,845.00 $386,908.84 $148,753.88 2026-04-01
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 60 21 $198,240.00 $95,200.00 52% off $114,240.00 $220,248.00 $148,344.00 2024-12-15
67546-212-21 NDC Nitazoxanide 100 Mg/5ml Po Susr Bulk 37 21 $191,240.32 $95,620.16 50% off $37,589.00 $172,116.00 $143,430.00 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 60 21 $191,100.00 $88,623.60 54% off $106,080.00 $204,516.00 $143,325.00 2024-12-15
0310-0283-60 NDC Quetiapine Fumarate ER 300 Mg Po Tb24 37 21 $187,114.72 $93,557.36 50% off $36,778.00 $168,403.00 $140,336.00 2024-12-15
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 83 21 $179,170.00 $75,756.14 58% off $90,405.00 $204,516.00 $135,608.00 2024-12-15
47335-625-60 NDC Ranolazine ER 1000 Mg Po Pack 37 21 $176,340.99 $88,170.50 50% off $34,661.00 $158,707.00 $132,256.00 2024-12-15
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 60 21 $156,825.00 $78,412.50 50% off $33,210.00 $212,058.00 $117,619.00 2024-12-15
0591-2720-60 NDC Metformin Hcl ER (osm) 1000 Mg Po Tb24 37 21 $156,314.75 $78,157.38 50% off $30,725.00 $140,683.00 $117,236.00 2024-12-15
C1816 HCPCS System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 83 21 $150,675.00 $66,150.00 56% off $8,820.00 $161,253.00 $113,006.50 2024-12-15
61958-1003-1 NDC Ranolazine ER 500 Mg Po Tb12 37 21 $150,634.23 $75,317.12 50% off $29,608.00 $135,571.00 $112,976.00 2024-12-15
A9592 HCPCS Copper Cu 64 Dotatate 1 Mci/ml IV Soln 24 20 $170,101.00 $85,050.50 50% off $253.00 $153,091.00 $106,823.50 2024-12-15
59676-565-01 NDC Darunavir 100 Mg/ml Po Susp Bulk 37 21 $141,535.77 $70,767.88 50% off $27,820.00 $127,382.00 $106,151.50 2024-12-15
C1767 HCPCS Stimulator Activa Pc Octplr 2 Chan 65x49x15mm 39ml 612 21 $134,080.94 $58,689.75 56% off $45,225.00 $307,915.00 $103,292.00 2024-12-15
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 37 21 $135,660.00 $67,830.00 50% off $81,396.00 $127,121.00 $101,745.00 2024-12-15
54092-252-45 NDC Lanthanum Carbonate 500 Mg Po Chew 37 21 $134,880.42 $67,440.21 50% off $26,512.00 $121,392.00 $101,160.00 2024-12-15
54092-252-90 NDC Lanthanum Carbonate 500 Mg Po Chew 37 21 $134,880.42 $67,440.21 50% off $26,512.00 $121,392.00 $101,160.00 2024-12-15
54092-191-12 NDC Mesalamine ER 500 Mg Po Cpcr 37 21 $133,448.25 $66,724.12 50% off $26,230.00 $120,103.00 $100,086.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 18 $0.01 — $97,233.00 $253,999.15 $98,193.00 2026-04-01
50474-598-66 NDC Levetiracetam ER 500 Mg Po Tb24 37 21 $130,920.90 $65,460.45 50% off $25,733.00 $117,829.00 $98,191.00 2024-12-15
C1882 HCPCS System Defib Quandra Assura Mp Crtd Merlin Cd3369- 1,394 21 $130,699.80 $54,108.05 59% off $16.00 $271,027.00 $95,485.00 2024-12-15
54092-253-90 NDC Lanthanum Carbonate 750 Mg Po Chew 37 21 $126,877.14 $63,438.57 50% off $24,939.00 $114,189.00 $95,157.50 2024-12-15
54092-254-90 NDC Lanthanum Carbonate 1000 Mg Po Chew 37 21 $126,877.14 $63,438.57 50% off $24,939.00 $114,189.00 $95,157.50 2024-12-15
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 37 21 $122,942.56 $61,471.28 50% off $73,766.00 $266,634.00 $92,207.00 2024-12-15
7 MS_DRG Lung Transplant 25 18 $0.01 — $90,022.00 $237,755.38 $91,409.22 2026-04-01
0085-1328-01 NDC Posaconazole 40 Mg/ml Po Susp Bulk 37 21 $120,460.08 $60,230.04 50% off $23,677.00 $108,414.00 $90,345.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 25 18 $0.01 — $84,948.50 $232,773.00 $90,247.00 2026-04-01
J0571 HCPCS Buprenorphine Hcl 300 Mcg Bu Film 37 21 $120,233.82 $60,116.91 50% off $23,633.00 $108,210.00 $90,175.00 2024-12-15
63304-089-13 NDC Mesalamine ER 500 Mg Po Cpcr 37 21 $120,137.54 $60,068.77 50% off $23,614.00 $108,124.00 $90,103.50 2024-12-15
24338-050-08 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 37 21 $118,927.42 $59,463.71 50% off $31,114.00 $107,035.00 $89,195.50 2024-12-15
C2616 HCPCS Microsphere Gl Therasphere Y-90 5 Gbq 62 21 $124,746.00 $61,183.00 51% off $16,407.00 $116,894.00 $89,131.00 2024-12-15
13811-715-30 NDC Venlafaxine Hcl ER 225 Mg Po Tb24 37 21 $117,861.72 $58,930.86 50% off $23,167.00 $106,076.00 $88,396.50 2024-12-15
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 37 21 $115,532.74 $57,766.37 50% off $69,320.00 $250,564.00 $86,649.50 2024-12-15
68180-354-07 NDC Ranolazine ER 500 Mg Po Tb12 37 21 $113,181.31 $56,590.66 50% off $22,247.00 $101,863.00 $84,886.00 2024-12-15
55111-284-48 NDC Fluoxetine Hcl 90 Mg Po Cpdr 37 21 $112,166.52 $56,083.26 50% off $22,047.00 $100,950.00 $84,125.00 2024-12-15
C1820 HCPCS Neurostimulator Scrl Interstim Mic Sys Rechrg 428 21 $104,880.00 $47,124.38 55% off $4,167.00 $201,016.00 $81,917.50 2024-12-15
0037-0442-67 NDC Felbamate 600 Mg/5ml Po Susp Bulk 37 21 $108,935.36 $54,467.68 50% off $21,412.00 $98,042.00 $81,701.50 2024-12-15
47335-624-60 NDC Ranolazine ER 500 Mg Po Pack 37 21 $107,597.07 $53,798.54 50% off $21,149.00 $96,837.00 $80,697.50 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 18 $0.01 — $76,099.00 $208,584.39 $80,193.92 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 9 — — $80,103.83 $208,350.06 $80,103.83 2026-04-01
17772-123-01 NDC Oxcarbazepine ER 600 Mg Po Tb24 37 21 $104,622.02 $52,311.01 50% off $20,564.00 $94,160.00 $78,466.50 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 18 $0.01 — $72,401.00 $202,985.97 $78,041.51 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 18 $0.01 — $75,244.00 $200,334.53 $77,022.12 2026-04-01
C1721 HCPCS Defibrillator Crt Ilivia Neo 7 Dr-t Df1 Pro MRI 1,164 21 $97,944.00 $43,550.76 56% off $29.00 $171,451.00 $75,570.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 18 $0.01 — $73,116.45 $190,175.89 $73,847.61 2026-04-01
215 MS_DRG Other Heart Assist System Implant 25 18 $0.01 — $70,666.74 $188,466.00 $73,212.00 2026-04-01
C1722 HCPCS Defibrillator Vitality 2 Vr 1chb Bip Is1 Df1 Ventr 1,118 21 $93,093.00 $41,873.83 55% off $18,045.00 $185,447.00 $72,322.50 2024-12-15
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 37 21 $96,426.13 $48,213.06 50% off $57,856.00 $209,125.00 $72,320.00 2024-12-15
L8614 HCPCS Implant Cochlear Synchrony 2 Flex 26 S-vector Mgnt 290 21 $91,162.50 $40,965.75 55% off $988.00 $133,812.00 $71,142.50 2024-12-15
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 49 14 $78,663.16 $39,331.58 50% off $1.00 $170,601.00 $70,797.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 18 $0.01 — $66,800.00 $180,664.32 $69,459.56 2026-04-01
66993-422-85 NDC Lanthanum Carbonate 500 Mg Po Chew 37 21 $88,208.68 $44,104.34 50% off $17,338.00 $79,388.00 $66,156.50 2024-12-15
66993-422-47 NDC Lanthanum Carbonate 500 Mg Po Chew 37 21 $88,208.68 $44,104.34 50% off $17,338.00 $79,388.00 $66,156.50 2024-12-15
L8619 HCPCS Clip Phn Wrels Cochlear Baha 4 Sys 332 19 $81,931.50 $39,037.95 52% off $1,167.00 $133,812.00 $66,084.50 2024-12-15
60687-578-11 NDC Acetazolamide ER 500 Mg Po Cp12 37 21 $85,958.14 $42,979.07 50% off $16,896.00 $77,362.00 $64,468.50 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 18 $0.01 — $57,895.00 $166,727.69 $64,101.38 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 25 18 $0.01 — $61,675.24 $164,026.00 $63,816.00 2026-04-01
52244-300-10 NDC Theophylline ER 300 Mg Po Cp24 37 21 $84,793.15 $42,396.58 50% off $16,667.00 $76,314.00 $63,595.00 2024-12-15
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x1x1in 40ml 60 21 $84,525.00 $39,198.90 54% off $43,659.00 $90,459.00 $63,394.00 2024-12-15
33249 CPT Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 40 21 $100,001.66 $39,000.65 61% off $31,346.00 $90,001.00 $63,177.00 2024-12-15
37231 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 39 21 $85,085.87 $42,542.94 50% off $16,707.00 $153,155.00 $63,049.00 2024-12-15
0074-1940-63 NDC Ritonavir 80 Mg/ml Po Soln Bulk 37 21 $83,637.79 $41,818.90 50% off $16,440.00 $75,274.00 $62,728.50 2024-12-15
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 40 21 $100,001.66 $39,000.65 61% off $31,346.00 $90,001.00 $61,073.75 2024-12-15
68084-917-32 NDC Propafenone Hcl ER 325 Mg Po Cp12 37 21 $80,709.68 $40,354.84 50% off $15,864.00 $72,639.00 $60,532.50 2024-12-15
60687-578-21 NDC Acetazolamide ER 500 Mg Po Cp12 37 21 $80,422.04 $40,211.02 50% off $15,808.00 $72,380.00 $60,316.50 2024-12-15
60687-685-33 NDC Propafenone Hcl ER 325 Mg Po Cp12 37 21 $80,113.94 $40,056.97 50% off $15,747.00 $72,103.00 $60,085.50 2024-12-15
60687-685-32 NDC Propafenone Hcl ER 325 Mg Po Cp12 37 21 $80,113.94 $40,056.97 50% off $15,747.00 $72,103.00 $60,085.50 2024-12-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 18 $0.01 — $58,801.00 $156,278.85 $60,084.14 2026-04-01
33262 CPT Hc Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 40 21 $84,270.87 $34,690.85 59% off $22,459.00 $80,056.00 $59,984.00 2024-12-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 18 $0.01 — $58,769.00 $155,801.20 $59,900.50 2026-04-01
68308-250-10 NDC Erythromycin Base 250 Mg Po Cpep 37 21 $79,423.13 $39,711.57 50% off $15,611.00 $71,481.00 $59,567.50 2024-12-15
53489-141-01 NDC Quinidine Gluconate ER 324 Mg Po Tbcr 37 21 $77,429.46 $38,714.73 50% off $15,220.00 $69,687.00 $58,072.50 2024-12-15
66302-350-02 NDC Treprostinil Diolamine ER 5 Mg Po Tbcr 37 21 $76,484.19 $38,242.09 50% off $15,034.00 $68,836.00 $57,363.50 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 18 $0.01 — $55,996.00 $146,165.25 $56,544.00 2026-04-01
0591-2805-60 NDC Clarithromycin ER 500 Mg Po Tb24 37 21 $75,126.64 $37,563.32 50% off $14,767.00 $67,614.00 $56,345.00 2024-12-15
10 MS_DRG Pancreas Transplant 25 18 $0.01 — $51,392.70 $142,131.00 $55,398.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 18 $0.01 — $51,107.88 $141,323.00 $55,087.00 2026-04-01
49884-211-02 NDC Propafenone Hcl ER 425 Mg Po Cp12 37 21 $73,279.27 $36,639.63 50% off $14,404.00 $65,951.00 $54,959.50 2024-12-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 18 $0.01 — $53,798.00 $142,731.57 $54,875.65 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 18 $0.01 — $54,334.00 $142,134.95 $54,865.00 2026-04-01
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 40 21 $76,768.82 $30,378.83 60% off $22,459.00 $70,105.00 $54,828.00 2024-12-15
51228-00005 NDC Cholecalciferol 25 Mcg /0.028ml Po Liqd 37 21 $73,080.69 $36,540.34 50% off $14,365.00 $65,773.00 $54,810.50 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 18 $0.01 — $51,941.00 $141,678.91 $54,470.94 2026-04-01
33240 CPT Hc Insj Implntbl Defib Pulse Gen W/1 Existing Ld 40 21 $79,329.69 $30,938.58 61% off $22,459.00 $71,397.00 $53,692.00 2024-12-15
66302-350-10 NDC Treprostinil Diolamine ER 5 Mg Po Tbcr 37 21 $71,547.43 $35,773.72 50% off $14,063.00 $64,393.00 $53,660.50 2024-12-15
A9555 HCPCS Rubidium-82 (rb-82) Radio-isotope Injection 24 20 $84,001.00 $42,000.50 50% off $76.00 $75,601.00 $52,753.00 2024-12-15
C1833 HCPCS Monitor Crdc The Guardian Amsg3-e 37 21 $69,700.00 $34,850.00 50% off $41,820.00 $65,313.00 $52,275.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 18 $0.01 — $49,484.00 $134,445.66 $51,689.99 2026-04-01
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 40 21 $68,511.79 $26,719.60 61% off $39,781.00 $61,661.00 $51,384.00 2024-12-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 25 18 $0.01 — $46,605.00 $133,618.34 $51,371.91 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 18 $0.01 — $49,242.00 $132,855.88 $51,078.77 2026-04-01
50268-042-11 NDC Acetazolamide ER 500 Mg Po Cp12 37 21 $67,905.64 $33,952.82 50% off $13,348.00 $61,115.00 $50,929.00 2024-12-15
50268-042-12 NDC Acetazolamide ER 500 Mg Po Cp12 37 21 $67,905.64 $33,952.82 50% off $13,348.00 $61,115.00 $50,929.00 2024-12-15
60687-674-32 NDC Propafenone Hcl ER 225 Mg Po Cp12 37 21 $67,766.03 $33,883.02 50% off $13,320.00 $60,989.00 $50,824.50 2024-12-15
60687-674-33 NDC Propafenone Hcl ER 225 Mg Po Cp12 37 21 $67,766.03 $33,883.02 50% off $13,320.00 $60,989.00 $50,824.50 2024-12-15
54092-189-81 NDC Mesalamine ER 250 Mg Po Cpcr 37 21 $66,726.21 $33,363.11 50% off $13,116.00 $60,054.00 $50,045.00 2024-12-15
65862-930-90 NDC Sevelamer Carbonate 0.8 G Po Pack 37 21 $66,206.30 $33,103.15 50% off $13,014.00 $59,586.00 $49,655.00 2024-12-15
65862-930-08 NDC Sevelamer Carbonate 0.8 G Po Pack 37 21 $66,206.30 $33,103.15 50% off $13,014.00 $59,586.00 $49,655.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 18 $0.01 — $48,491.00 $128,915.70 $49,563.90 2026-04-01
68084-756-35 NDC Niacin ER 500 Mg Po Tbcr (wrapped) 37 21 $65,859.69 $32,929.84 50% off $12,946.00 $59,274.00 $49,395.00 2024-12-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 18 $0.01 — $46,528.00 $128,304.68 $49,328.98 2026-04-01
66302-350-01 NDC Treprostinil Diolamine ER 5 Mg Po Tbcr 37 21 $65,019.65 $32,509.82 50% off $12,780.00 $58,518.00 $48,765.00 2024-12-15
0115-1365-30 NDC Sevelamer Carbonate 0.8 G Po Pack 37 21 $64,973.91 $32,486.96 50% off $12,771.00 $58,477.00 $48,730.50 2024-12-15
0115-1365-29 NDC Sevelamer Carbonate 0.8 G Po Pack 37 21 $64,973.91 $32,486.96 50% off $12,771.00 $58,477.00 $48,730.50 2024-12-15
51862-194-60 NDC Clarithromycin ER 500 Mg Po Tb24 37 21 $64,680.26 $32,340.13 50% off $12,714.00 $58,212.00 $48,510.00 2024-12-15
33289 CPT Hc Rhc W/plc Pressure Sensor 27 21 $76,652.15 $38,326.07 50% off $27,692.00 $69,148.00 $48,420.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 18 $0.01 — $47,620.00 $125,658.68 $48,311.68 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 18 $0.01 — $43,258.00 $124,854.76 $48,002.60 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 18 $0.01 — $46,780.00 $124,766.46 $47,968.65 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 18 $0.01 — $45,103.00 $122,850.43 $47,232.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 18 $0.01 — $41,647.00 $122,850.43 $47,232.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 18 $0.01 — $43,067.00 $122,419.65 $47,066.38 2026-04-01
33270 CPT Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 27 21 $66,011.43 $33,005.71 50% off $31,346.00 $78,271.00 $46,802.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 18 $0.01 — $45,166.00 $120,316.17 $46,257.66 2026-04-01
37227 CPT Hc Revascularize Fem/pop Artery,angioplasty/stent/atherectomy 39 21 $62,141.77 $31,070.88 50% off $16,707.00 $111,855.00 $46,047.00 2024-12-15
C2622 HCPCS Prosthesis Penile Tactra Malle Rear Tp Extndr 11mm 83 21 $58,155.12 $26,828.87 54% off $7,110.00 $61,913.00 $45,943.00 2024-12-15
77371 CPT Hc Tr Srs 1 Session Multi Cobalt 60 27 21 $93,660.20 $46,830.10 50% off $7,420.00 $84,294.00 $45,857.00 2024-12-15
C1817 HCPCS Occluder Sept Ampltz Pfo Cvd 45deg 18x18mm 8fr 198 21 $64,348.40 $26,217.59 59% off $21,755.00 $66,237.00 $45,700.00 2024-12-15
93656 CPT Hc Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 27 21 $75,683.76 $37,841.88 50% off $22,629.00 $68,115.00 $45,410.00 2024-12-15
43598-478-90 NDC Sevelamer Carbonate 0.8 G Po Pack 37 21 $60,159.91 $30,079.96 50% off $11,825.00 $54,144.00 $45,120.00 2024-12-15
43598-478-01 NDC Sevelamer Carbonate 0.8 G Po Pack 37 21 $60,159.91 $30,079.96 50% off $11,825.00 $54,144.00 $45,120.00 2024-12-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 18 $0.01 — $44,085.84 $114,667.27 $44,526.70 2026-04-01
33230 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Dual Leads 27 21 $73,431.05 $36,715.52 50% off $22,459.00 $66,088.00 $44,273.50 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 18 $0.01 — $41,929.00 $114,795.27 $44,135.05 2026-04-01
93654 CPT Hc Ephys Eval W/ablation Ventricular Tachycardia 27 21 $72,382.87 $36,191.44 50% off $22,629.00 $65,145.00 $43,887.00 2024-12-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 18 $0.01 — $43,290.99 $112,599.86 $43,723.90 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 18 $0.01 — $42,730.00 $113,609.24 $43,679.06 2026-04-01
47781-335-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 37 21 $57,957.03 $28,978.51 50% off $11,392.00 $52,161.00 $43,467.50 2024-12-15
37230 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent Initial 39 21 $58,451.40 $29,225.70 50% off $16,707.00 $105,213.00 $43,312.00 2024-12-15
28 MS_DRG Spinal Procedures With Mcc 25 18 $0.01 — $42,532.00 $112,630.50 $43,302.77 2026-04-01
31253 CPT Hc Nasal/sinus Endo Total With Tiss Rem 39 21 $58,344.44 $29,172.22 50% off $6,521.00 $105,020.00 $43,233.00 2024-12-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 18 $0.01 — $40,221.00 $111,815.79 $42,989.54 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 18 $0.01 — $39,939.70 $109,678.00 $42,921.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 18 $0.01 — $41,617.00 $111,462.50 $42,853.71 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 25 18 $0.01 — $42,236.00 $111,213.77 $42,758.08 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 18 $0.01 — $41,205.00 $110,112.48 $42,334.67 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 18 $0.01 — $40,784.00 $110,043.97 $42,308.33 2026-04-01
0115-1404-08 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 37 21 $56,353.97 $28,176.98 50% off $11,077.00 $50,719.00 $42,265.50 2024-12-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 25 18 $0.01 — $39,311.16 $107,896.00 $42,236.00 2026-04-01
Q0479 HCPCS Module Pwr Heartmate Ii Cntrlr Tethered Operation 37 21 $58,320.00 $29,160.00 50% off $14,203.00 $75,583.00 $41,990.00 2024-12-15
93582 CPT Hc Cath Percutan Transcath Closure Pat Duct Arteriosus 27 21 $72,334.19 $36,167.10 50% off $16,707.00 $65,101.00 $41,718.00 2024-12-15
93590 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 27 21 $72,334.19 $36,167.10 50% off $16,707.00 $65,101.00 $41,718.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 18 $0.01 — $38,394.00 $108,282.96 $41,631.28 2026-04-01
35046-05829 NDC Cyanocobalamin 5000 Mcg Po Tbdp 37 21 $55,365.17 $27,682.58 50% off $10,883.00 $49,829.00 $41,524.00 2024-12-15
49884-210-02 NDC Propafenone Hcl ER 325 Mg Po Cp12 37 21 $55,309.81 $27,654.90 50% off $10,872.00 $49,779.00 $41,482.50 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 18 $0.01 — $39,988.00 $107,619.65 $41,376.26 2026-04-01
0378-8200-01 NDC Ketoprofen ER 200 Mg Po Cp24 37 21 $55,105.21 $27,552.61 50% off $10,832.00 $49,595.00 $41,329.00 2024-12-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 9 — — $41,214.11 $107,197.90 $41,214.11 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 18 $0.01 — $37,922.00 $107,064.49 $41,162.82 2026-04-01
52244-400-10 NDC Theophylline ER 400 Mg Po Cp24 37 21 $54,460.14 $27,230.07 50% off $10,705.00 $49,014.00 $40,845.00 2024-12-15
33365 CPT Hc Cath Replace Aortic Valve Open Transaortic Approach 27 21 $54,351.85 $27,175.92 50% off $32,611.00 $48,917.00 $40,764.00 2024-12-15
0254-1016-36 NDC Posaconazole 40 Mg/ml Po Susp Bulk 37 21 $54,277.21 $27,138.60 50% off $10,669.00 $48,849.00 $40,707.50 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 18 $0.01 — $38,622.00 $105,667.60 $40,625.76 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 18 $0.01 — $38,194.00 $105,353.97 $40,505.18 2026-04-01
24341 CPT Hc Repair Tend/musc Upr Arm/elb Each 39 21 $54,655.25 $27,327.62 50% off $6,816.00 $98,379.00 $40,500.00 2024-12-15
68682-301-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 37 21 $53,659.09 $26,829.54 50% off $10,547.00 $48,293.00 $40,244.00 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 18 $0.01 — $35,219.00 $104,661.82 $40,239.07 2026-04-01
93653 CPT Hc Ephys Eval W/ablation Supravent Arrhythmia 27 21 $63,470.46 $31,735.23 50% off $22,629.00 $57,123.00 $39,876.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 25 18 $0.01 — $38,780.00 $103,286.54 $39,710.32 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 18 $0.01 — $38,110.00 $102,936.86 $39,575.88 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 18 $0.01 — $37,373.00 $102,796.28 $39,521.83 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 18 $0.01 — $37,887.00 $102,641.29 $39,462.24 2026-04-01
27446 CPT Hc Knee Arthroplasty Condyle/plateau Medial Or Lateral Comptmnt 39 21 $52,870.37 $26,435.18 50% off $12,540.00 $95,167.00 $39,177.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 25 18 $0.01 — $37,676.41 $99,744.00 $39,101.00 2026-04-01
36906 CPT Hc Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 37 21 $64,893.22 $32,446.61 50% off $16,707.00 $58,404.00 $38,936.00 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 18 $0.01 — $38,351.38 $99,751.94 $38,780.00 2026-04-01
0398T CPT Hc MRI Guided Focused US Stereo Lesion Ablate 27 21 $71,584.70 $35,792.35 50% off $12,979.00 $64,426.00 $38,702.50 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 18 $0.01 — $37,213.00 $100,454.89 $38,621.64 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 18 $0.01 — $36,217.00 $100,397.22 $38,599.47 2026-04-01
C1875 HCPCS Stent G-armor Cov 5.2cm Lgth 10 Zig 290 21 $50,403.37 $21,847.48 57% off $25,906.00 $57,254.00 $38,527.00 2024-12-15
24979-041-13 NDC Megestrol Acetate 625 Mg/5ml Po Susp Bulk 37 21 $51,062.66 $25,531.33 50% off $10,037.00 $45,956.00 $38,297.00 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 18 $0.01 — $36,101.00 $99,436.49 $38,230.10 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 18 $0.01 — $35,630.71 $96,575.00 $37,883.00 2026-04-01
93591 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 27 21 $63,008.76 $31,504.38 50% off $16,707.00 $56,708.00 $37,805.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 18 $0.01 — $35,840.00 $98,158.57 $37,738.78 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $37,294.29 $37,294.29 $37,294.29 2026-04-01
C2621 HCPCS Pacemaker Allure Quadra Mp Pul Gen Crt-p Lv 520 21 $49,191.59 $20,396.38 59% off $9,591.00 $91,881.00 $37,232.50 2024-12-15
Q0495 HCPCS Charger Batt Heartware 4 Slot With Ac Adpt Pwr Cord 60 21 $52,488.00 $23,123.88 56% off $4,951.00 $68,024.00 $37,136.00 2024-12-15
0237T CPT Hc Trluml Perip Athrc Brchiocph 27 21 $70,590.18 $35,295.09 50% off $10,482.00 $63,531.00 $37,006.50 2024-12-15
0234T CPT Hc Trluml Perip Athrc Renal Art 27 21 $70,590.18 $35,295.09 50% off $10,482.00 $63,531.00 $37,006.50 2024-12-15
66993-114-60 NDC Propafenone Hcl ER 225 Mg Po Cp12 37 21 $48,984.21 $24,492.11 50% off $9,629.00 $44,086.00 $36,738.50 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 18 $0.01 — $32,429.00 $95,180.89 $36,593.96 2026-04-01
8120000004 CDM Hc Cadaver Donor - Lung 27 21 $48,659.61 $24,329.80 50% off $29,196.00 $43,794.00 $36,495.00 2024-12-15
8120000001 CDM Hc Cadaver Donor - Heart 27 21 $48,443.14 $24,221.57 50% off $29,066.00 $43,599.00 $36,332.50 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 18 $0.01 — $35,734.00 $94,229.21 $36,228.07 2026-04-01
C1602 HCPCS Graft Bn Cerament G With Gntmcn 10ml 60 21 $50,571.60 $20,535.04 59% off $16,818.00 $47,389.00 $36,133.50 2024-12-15
27428 CPT Hc Ligament Reconst Knee, Intra-artic (open) 39 21 $48,659.87 $24,329.94 50% off $12,540.00 $87,588.00 $36,057.00 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 18 $0.01 — $35,084.00 $93,508.21 $35,950.87 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 18 $0.01 — $33,742.86 $93,349.60 $35,889.89 2026-04-01
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 27 21 $58,989.01 $29,494.50 50% off $18,565.00 $53,090.00 $35,827.50 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 18 $0.01 — $35,448.00 $93,044.97 $35,790.00 2026-04-01
A9584 HCPCS Ioflupane I 123 185 Mbq/2.5ml IV Soln 24 20 $56,701.00 $28,350.50 50% off $111.00 $51,031.00 $35,608.50 2024-12-15
33477 CPT Hc Cath Tcat Pulmonary Valve Implantation Prq Approach 27 21 $47,291.51 $23,645.76 50% off $28,375.00 $42,562.00 $35,468.50 2024-12-15
33231 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Multileads 27 21 $50,000.83 $25,000.42 50% off $30,000.00 $78,271.00 $35,451.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 18 $0.01 — $34,959.21 $90,928.91 $35,308.80 2026-04-01
8120000003 CDM Hc Cadaver Donor - Liver 27 21 $47,058.62 $23,529.31 50% off $28,235.00 $42,353.00 $35,294.00 2024-12-15
471 MS_DRG Cervical Spinal Fusion With Mcc 25 18 $0.01 — $34,227.00 $91,368.71 $35,128.30 2026-04-01
61958-0802-3 NDC Ambrisentan 10 Mg Po Tabs 37 21 $46,787.39 $23,393.70 50% off $9,197.00 $42,109.00 $35,090.50 2024-12-15
33221 CPT Hc Ep Ins Pacemaker Pulse Gen Only W/exist Mult Leads 27 21 $57,226.06 $28,613.03 50% off $18,565.00 $51,503.00 $35,034.00 2024-12-15
93581 CPT Hc Perc Closure,cong Vsd W/implant 27 21 $58,358.87 $29,179.44 50% off $16,707.00 $52,523.00 $35,015.00 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 18 $0.01 — $33,191.00 $90,144.83 $34,657.76 2026-04-01
52244-200-10 NDC Theophylline ER 200 Mg Po Cp24 37 21 $45,987.50 $22,993.75 50% off $9,040.00 $41,389.00 $34,491.00 2024-12-15
245 MS_DRG Aicd Generator Procedures 25 18 $0.01 — $33,282.87 $87,588.00 $34,428.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 18 $0.01 — $32,529.00 $89,074.16 $34,246.12 2026-04-01
25609 CPT Hc Open Rx Distal Radius Fx, Intra-articular, 3+ Frag 39 21 $46,177.30 $23,088.65 50% off $6,816.00 $83,119.00 $34,217.00 2024-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 18 $0.01 — $24,939.47 $88,901.14 $34,179.60 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 25 18 $0.01 — $33,799.84 $87,913.38 $34,172.00 2026-04-01
27870 CPT Hc Asc Ankle Arthrodesis Open 27870 39 21 $46,090.31 $23,045.16 50% off $12,540.00 $82,963.00 $34,153.00 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 18 $0.01 — $33,672.00 $88,648.79 $34,082.58 2026-04-01
33995 CPT Hc Insert Perq Vad R Hrt Venous 27 21 $45,405.18 $22,702.59 50% off $27,243.00 $40,865.00 $34,054.00 2024-12-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 2 — — $27,291.10 $50,721.54 $33,768.33 2026-04-01
8110000001 CDM Hc Living Donor - Kidney 27 21 $44,930.90 $22,465.45 50% off $26,959.00 $40,438.00 $33,698.50 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 18 $0.01 — $32,832.00 $87,579.94 $33,671.64 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 25 18 $0.01 — $33,050.72 $85,964.92 $33,531.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 18 $0.01 — $18,344.59 $87,183.39 $33,519.18 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 18 $0.01 — $33,019.00 $86,972.50 $33,438.10 2026-04-01
29888 CPT Hc Knee Scope,aid Ant Cruciate Repair 39 21 $44,941.54 $22,470.77 50% off $6,816.00 $80,895.00 $33,302.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 18 $0.01 — $31,878.00 $86,321.81 $33,187.93 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 18 $0.01 — $31,611.00 $86,285.76 $33,174.07 2026-04-01
25607 CPT Hc Open Rx Distal Radius Fx, Extra-articular 39 21 $44,392.55 $22,196.28 50% off $6,816.00 $79,907.00 $32,895.00 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 25 18 $0.01 — $32,542.00 $85,115.96 $32,855.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 18 $0.01 — $29,697.00 $85,092.55 $32,715.32 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 18 $0.01 — $31,071.00 $84,775.30 $32,593.35 2026-04-01
0408T CPT Hc Ins/repl Ccm System, Pulse Gen With Tv Electrodes 29 21 $56,505.40 $28,252.70 50% off $25,586.00 $78,271.00 $32,286.00 2024-12-15
8120000005 CDM Hc Cadaver Donor - Pancreas 27 21 $42,906.21 $21,453.10 50% off $25,744.00 $38,616.00 $32,180.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 18 $0.01 — $30,208.00 $83,511.79 $32,107.57 2026-04-01
C9602 HCPCS Hc Ccl Ather W/drug Eluting Sngl Stent Maj Cor Vessel 37 21 $45,221.75 $22,610.88 50% off $16,707.00 $42,817.00 $32,062.00 2024-12-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 18 $0.01 — $31,415.27 $81,711.12 $31,729.42 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 18 $0.01 — $30,165.00 $82,332.96 $31,654.35 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 25 18 $0.01 — $30,747.93 $79,975.37 $31,327.00 2026-04-01
22551 CPT Hc Arthrodesis Ant Interbody Inc Discectomy, Cervical Below C2 27 21 $55,536.41 $27,768.20 50% off $12,540.00 $49,983.00 $31,312.00 2024-12-15
27827 CPT Hc Open Treatment Fracture Distal Tibia Only 39 21 $42,009.16 $21,004.58 50% off $12,540.00 $75,616.00 $31,312.00 2024-12-15
28725 CPT Hc Fusion Foot Bones,subtalar 39 21 $42,009.16 $21,004.58 50% off $12,540.00 $75,616.00 $31,312.00 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 25 18 $0.01 — $29,960.00 $81,213.65 $31,224.01 2026-04-01
C9607 HCPCS Hc Ccl Revas Chron Occl W Drug Stent Plcmt Single 37 21 $43,573.03 $21,786.52 50% off $16,707.00 $42,817.00 $31,209.00 2024-12-15
34708 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft Rpt 39 21 $41,561.10 $20,780.55 50% off $24,937.00 $74,810.00 $31,171.00 2024-12-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 18 $0.01 — $28,970.00 $80,772.05 $31,054.23 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 18 $0.01 — $29,494.00 $80,454.81 $30,932.26 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 18 $0.01 — $29,107.00 $80,325.02 $30,882.36 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 18 $0.01 — $29,148.00 $80,287.17 $30,867.81 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 18 $0.01 — $30,563.00 $79,542.77 $30,856.00 2026-04-01
0483T CPT Hc Cath Tmvi W/prosthetic Valve Percutaneous Approach 24 20 $49,127.40 $24,563.70 50% off $143.00 $44,215.00 $30,852.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 18 $0.01 — $29,691.00 $80,065.46 $30,782.57 2026-04-01
37229 CPT Hc Revascularize Tibial/peron Artery,angioplasty/atherectomy Initial 49 21 $49,729.05 $24,864.52 50% off $6,992.00 $89,512.00 $30,731.50 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 18 $0.01 — $29,164.00 $79,834.76 $30,693.87 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 18 $0.01 — $28,652.33 $77,693.00 $30,623.00 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 27 18 $0.01 — $9,677.91 $79,488.69 $30,560.82 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 18 $0.01 — $28,860.00 $79,189.47 $30,445.78 2026-04-01
8120000002 CDM Hc Cadaver Donor - Kidney 27 21 $40,516.88 $20,258.44 50% off $24,310.00 $36,465.00 $30,387.50 2024-12-15
37238 CPT Hc Open/perq Placement Intravascular Stent Same 1st 39 21 $40,880.15 $20,440.08 50% off $10,482.00 $73,584.00 $30,292.00 2024-12-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 18 $0.01 — $27,793.00 $78,693.80 $30,255.21 2026-04-01
35355 CPT Hc Thromboendarterectomy With Without Patch Graft Iliofemoral 39 21 $40,255.77 $20,127.88 50% off $24,153.00 $72,460.00 $30,191.50 2024-12-15
0074-3399-30 NDC Ritonavir 100 Mg Po Pack 37 21 $39,743.74 $19,871.87 50% off $7,812.00 $35,769.00 $29,807.50 2024-12-15
791 MS_DRG Prematurity With Major Problems 25 18 $0.01 — $28,809.00 $77,495.18 $29,794.38 2026-04-01
28415 CPT Hc Open Treatment Calcaneal Fracture 39 21 $40,164.60 $20,082.30 50% off $6,816.00 $72,296.00 $29,762.00 2024-12-15
10370-175-11 NDC Fluvoxamine Maleate ER 100 Mg Po Cp24 37 21 $39,459.71 $19,729.86 50% off $7,757.00 $35,514.00 $29,595.00 2024-12-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 18 $0.01 — $27,806.00 $76,801.24 $29,527.58 2026-04-01
49884-113-09 NDC Propafenone Hcl ER 225 Mg Po Cp12 37 21 $39,062.56 $19,531.28 50% off $7,678.00 $35,156.00 $29,297.00 2024-12-15
33229 CPT Hc Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 40 21 $68,033.29 $26,532.98 61% off $18,565.00 $61,230.00 $29,297.00 2024-12-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 18 $0.01 — $25,581.00 $76,145.13 $29,275.33 2026-04-01
29828 CPT Hc Arthroscopy Shoulder Surgical Biceps Tenodesis 39 21 $39,479.28 $19,739.64 50% off $6,816.00 $71,063.00 $29,254.00 2024-12-15
93580 CPT Hc Perc Clos,cong Interatrial Commun W/impl 27 21 $44,909.10 $22,454.55 50% off $16,707.00 $41,718.00 $29,212.50 2024-12-15
33991 CPT Hc Cath Insj Perq Vad Trnsptal W/image Art&venous Access 27 21 $38,725.32 $19,362.66 50% off $23,235.00 $34,853.00 $29,044.00 2024-12-15
68180-819-42 NDC Lanthanum Carbonate 500 Mg Po Chew 37 21 $38,648.56 $19,324.28 50% off $7,597.00 $34,784.00 $28,986.50 2024-12-15
68180-819-52 NDC Lanthanum Carbonate 500 Mg Po Chew 37 21 $38,648.56 $19,324.28 50% off $7,597.00 $34,784.00 $28,986.50 2024-12-15
37226 CPT Hc Revascularize Fem/pop Artery,angioplasty/stent 39 21 $39,102.75 $19,551.38 50% off $10,482.00 $70,385.00 $28,975.00 2024-12-15
34701 CPT Hc Ccl Evasc Rpr A-ao Non-ruptre 27 21 $38,507.46 $19,253.73 50% off $23,104.00 $34,657.00 $28,880.50 2024-12-15
25608 CPT Hc Open Rx Distal Radius Fx, Intra-articular, 2 Frag 39 21 $38,918.61 $19,459.30 50% off $6,816.00 $70,053.00 $28,839.00 2024-12-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 18 $0.01 — $27,055.00 $74,843.75 $28,774.99 2026-04-01
See an error in this hospital's data? Submit a correction