Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ADVENTHEALTH CENTRAL TEXAS

Killeen, TX · CCN 450152 · Rates published

28,130 distinct procedures filed
40 distinct payers
954,165 rate rows
2026-04-01 last MRF observed
Data quality

902,617 of 954,165 rate rows are consumer-grade (94.6%)

51,548 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 22,771
per-diem day rate — not a per-procedure price 19,957
exceeds 10× this hospital's gross charge — excluded from medians 7,985
template filing: same amount across many unrelated codes — excluded 670
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 164
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.adventhealth.com/sites/default/files/CDM/2025/742225672_AdventHealth-Central-Texas_standardcharges.json
Found on page https://www.adventhealth.com/pricelist
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 370d2036903fcdff… · 1,762,497,268 bytes · first seen 2026-05-08

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
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $1,843,957.50 $2,121,748.50 $1,982,853.00 nat. median
$30,221
outlier · 65.6×
C9081
HCPCS 		Idecabtagene Car Pos T 1 $1,663,527.25 $1,914,136.55 $1,788,831.90 nat. median
$27,427
outlier · 65.2×
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 28 $820.50 $4,225,483.00 $1,770,572.23 nat. median
$610,161
outlier · 2.9×
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $1,627,044.65 $1,872,157.87 $1,749,601.26 nat. median
$27,935
outlier · 62.6×
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 28 $820.50 $4,132,844.00 $1,731,748.24 nat. median
$624,417
outlier · 2.8×
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $1,479,131.50 $1,701,961.70 $1,590,546.60 nat. median
$27,071
outlier · 58.8×
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 28 $820.50 $3,620,525.00 $1,590,546.60 nat. median
$691,418
outlier · 2.3×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $565,868.94 $2,051,710.20 $905,390.31 nat. median
$631,793
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $533,230.17 $1,569,770.50 $853,168.27 nat. median
$588,565
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,304.61 $1,645,780.44 $782,887.37 nat. median
$577,541
1.4× median
A9520
HCPCS 		Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 25 $10.00 $693,347.00 $385,193.00 nat. median
$1,032
outlier · 373.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $261,491.00 $670,974.35 $327,659.91 nat. median
$370,165
0.9× median
5834
APR_DRG 		Neonate With Ecmo 10 $267,255.00 $489,077.00 $267,255.00 nat. median
$311,018
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $259,986.00 $475,775.00 $259,986.00 nat. median
$175,480
1.5× median
C9074
HCPCS 		Injection, Lumasiran 1 $211,750.00 $243,650.00 $227,700.00 nat. median
$501
outlier · 454.3×
5833
APR_DRG 		Neonate With Ecmo 10 $226,302.00 $414,132.00 $226,302.00 nat. median
$250,089
0.9× median
24
APR_DRG 		Heart And/or Lung Transplant 10 $217,696.00 $398,384.00 $217,696.00 nat. median
$243,231
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $195,312.00 $435,435.36 $213,472.10 nat. median
$261,939
0.8× median
0100T
OTHER 		Prosth Retina Receive&Gen 1 $190,625.63 $219,600.72 $205,113.17 nat. median
$5,118
outlier · 40.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $163,051.42 $331,744.07 $174,148.71 nat. median
$205,166
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $169,168.00 $309,578.00 $169,168.00 nat. median
$254,667
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 10 $164,274.00 $300,621.00 $164,274.00 nat. median
$209,486
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $148,601.00 $329,797.16 $162,259.37 nat. median
$199,832
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $146,989.15 $169,132.97 $158,061.06 nat. median
$75,807
outlier · 2.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $153,899.00 $281,635.00 $153,899.00 nat. median
$165,599
0.9× median
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 2 24 $820.50 $262,627.00 $147,947.00 nat. median
$7,752
outlier · 19.1×
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 24 $820.50 $208,908.00 $134,583.50 nat. median
$53,130
outlier · 2.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 $125,872.00 $230,346.00 $125,872.00 nat. median
$160,171
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 $124,757.00 $228,305.00 $124,757.00 nat. median
$168,174
0.7× median
C1824
HCPCS 		Generator Pul Implantable Optimizer Smt F/hrt Fail 24 $820.50 $193,986.00 $123,397.00 nat. median
$35,282
outlier · 3.5×
C1822
HCPCS 		Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 24 $820.50 $193,986.00 $114,713.00 nat. median
$32,176
outlier · 3.6×
5832
APR_DRG 		Neonate With Ecmo 10 $112,761.00 $206,353.00 $112,761.00 nat. median
$169,230
0.7× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $107,074.00 $195,945.00 $107,074.00 nat. median
$119,243
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $97,974.00 $215,223.05 $106,714.57 nat. median
$132,706
0.8× median
C1882
HCPCS 		Defibrillator Crdc Protecta Xt 11 $13.00 $243,161.00 $102,155.00 nat. median
$27,675
outlier · 3.7×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $708,800.00 $101,347.65 nat. median
$69,291
1.5× median
C1767
HCPCS 		Stimulator Proclaim Elite 7 Rechrg-free Scs 11 $30,605.00 $256,442.00 $101,171.00 nat. median
$23,668
outlier · 4.3×
7
MS_DRG 		Lung Transplant 19 $90,616.00 $201,220.21 $99,926.07 nat. median
$122,690
0.8× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 10 $99,501.00 $182,087.00 $99,501.00 nat. median
$28,828
outlier · 3.5×
5831
APR_DRG 		Neonate With Ecmo 10 $99,288.00 $181,698.00 $99,288.00 nat. median
$154,685
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $90,845.00 $186,734.13 $97,563.00 nat. median
$114,305
0.9× median
C1816
HCPCS 		System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 24 $820.50 $152,951.00 $96,931.00 nat. median
$9,949
outlier · 9.7×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $87,917.82 $101,059.40 $94,488.61 nat. median
$83,623
1.1× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $91,739.00 $167,883.00 $91,739.00 nat. median
$89,814
1.0× median
C2616
HCPCS 		Sphere Embol Sir Msphre 90 20 $17,177.00 $309,526.00 $91,357.00 nat. median
$26,606
outlier · 3.4×
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $241,591.42 $90,919.28 nat. median
$63,643
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $90,770.00 $166,109.00 $90,770.00 nat. median
$180,995
0.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $90,355.00 $165,350.00 $90,355.00 nat. median
$147,847
0.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $90,122.00 $164,923.00 $90,122.00 nat. median
$127,600
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $89,734.00 $164,214.00 $89,734.00 nat. median
$165,646
0.5× median

Other procedures at this hospital

Browse this hospital's 28,130 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
             
C9098 HCPCS Ciltacabtagene Car Pos T 2 1 — — $1,843,957.50 $2,121,748.50 $1,982,853.00 2026-04-01
C9081 HCPCS Idecabtagene Car Pos T 2 1 — — $1,663,527.25 $1,914,136.55 $1,788,831.90 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 42 28 $4,694,981.46 $2,347,490.73 50% off $820.50 $4,225,483.00 $1,770,572.23 2026-04-01
C9076 HCPCS Lisocabtagene Car Pos T 2 1 — — $1,627,044.65 $1,872,157.87 $1,749,601.26 2026-04-01
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 42 28 $4,592,049.12 $2,296,024.56 50% off $820.50 $4,132,844.00 $1,731,748.24 2026-04-01
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 42 28 $4,022,805.11 $2,011,402.56 50% off $820.50 $3,620,525.00 $1,590,546.60 2026-04-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 2 1 — — $1,479,131.50 $1,701,961.70 $1,590,546.60 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 4 — — $565,868.94 $2,051,710.20 $905,390.31 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 4 — — $533,230.17 $1,569,770.50 $853,168.27 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 4 — — $489,304.61 $1,645,780.44 $782,887.37 2026-04-01
A9520 HCPCS Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection 39 25 $770,386.00 $385,193.00 50% off $10.00 $693,347.00 $385,193.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 18 $0.01 — $261,491.00 $670,974.35 $327,659.91 2026-04-01
5834 APR_DRG Neonate With Ecmo 11 10 $0.01 — $267,255.00 $489,077.00 $267,255.00 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 11 10 $0.01 — $259,986.00 $475,775.00 $259,986.00 2024-12-15
C9074 HCPCS Injection, Lumasiran 2 1 — — $211,750.00 $243,650.00 $227,700.00 2026-04-01
5833 APR_DRG Neonate With Ecmo 11 10 $0.01 — $226,302.00 $414,132.00 $226,302.00 2024-12-15
24 APR_DRG Heart And/or Lung Transplant 11 10 $0.01 — $217,696.00 $398,384.00 $217,696.00 2024-12-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 19 $0.01 — $195,312.00 $435,435.36 $213,472.10 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 2 1 — — $190,625.63 $219,600.72 $205,113.17 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 19 $0.01 — $163,051.42 $331,744.07 $174,148.71 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 10 $0.01 — $169,168.00 $309,578.00 $169,168.00 2024-12-15
1614 APR_DRG Implantable Heart Assist Systems 11 10 $0.01 — $164,274.00 $300,621.00 $164,274.00 2024-12-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 19 $0.01 — $148,601.00 $329,797.16 $162,259.37 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $146,989.15 $169,132.97 $158,061.06 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 10 $0.01 — $153,899.00 $281,635.00 $153,899.00 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 2 37 24 $291,808.00 $145,904.00 50% off $820.50 $262,627.00 $147,947.00 2024-12-15
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 58 24 $232,120.00 $116,060.00 50% off $820.50 $208,908.00 $134,583.50 2024-12-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 10 $0.01 — $125,872.00 $230,346.00 $125,872.00 2024-12-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 10 $0.01 — $124,757.00 $228,305.00 $124,757.00 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 58 24 $190,670.00 $95,335.00 50% off $820.50 $193,986.00 $123,397.00 2024-12-15
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 58 24 $169,945.00 $84,972.50 50% off $820.50 $193,986.00 $114,713.00 2024-12-15
5832 APR_DRG Neonate With Ecmo 11 10 $0.01 — $112,761.00 $206,353.00 $112,761.00 2024-12-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 10 $0.01 — $107,074.00 $195,945.00 $107,074.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 19 $0.01 — $97,974.00 $215,223.05 $106,714.57 2026-04-01
C1882 HCPCS Defibrillator Crdc Protecta Xt 1,050 11 $143,582.80 $71,791.40 50% off $13.00 $243,161.00 $102,155.00 2024-12-15
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 4 — — $63,342.28 $708,800.00 $101,347.65 2026-04-01
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 441 11 $141,759.00 $70,879.50 50% off $30,605.00 $256,442.00 $101,171.00 2024-12-15
7 MS_DRG Lung Transplant 24 19 $0.01 — $90,616.00 $201,220.21 $99,926.07 2026-04-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 11 10 $0.01 — $99,501.00 $182,087.00 $99,501.00 2024-12-15
5831 APR_DRG Neonate With Ecmo 11 10 $0.01 — $99,288.00 $181,698.00 $99,288.00 2024-12-15
14 MS_DRG Allogeneic Bone Marrow Transplant 24 19 $0.01 — $90,845.00 $186,734.13 $97,563.00 2026-04-01
C1816 HCPCS System Stim Nerv Stimq-4 8 Elect Dl Transm Kt 58 24 $169,945.00 $84,972.50 50% off $820.50 $152,951.00 $96,931.00 2024-12-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $87,917.82 $101,059.40 $94,488.61 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 11 10 $0.01 — $91,739.00 $167,883.00 $91,739.00 2024-12-15
C2616 HCPCS Sphere Embol Sir Msphre 90 70 20 $143,417.00 $71,708.50 50% off $17,177.00 $309,526.00 $91,357.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 4 — — $56,824.55 $241,591.42 $90,919.28 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 10 $0.01 — $90,770.00 $166,109.00 $90,770.00 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 10 $0.01 — $90,355.00 $165,350.00 $90,355.00 2024-12-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 10 $0.01 — $90,122.00 $164,923.00 $90,122.00 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 11 10 $0.01 — $89,734.00 $164,214.00 $89,734.00 2024-12-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 10 $0.01 — $88,838.00 $162,573.00 $88,838.00 2024-12-15
52427-273-75 NDC Naproxen Sodium ER 500 Mg Po Tb24 37 24 $174,831.53 $87,415.76 50% off $820.50 $157,348.00 $88,640.00 2024-12-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 4 — — $55,272.32 $269,734.68 $88,435.72 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 19 $0.01 — $76,408.00 $176,073.51 $87,735.11 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 11 — — $86,440.43 $175,871.51 $87,637.19 2026-04-01
A9595 HCPCS Piflufolastat F 18 9 Mci IV Sosy 42 28 $475,098.80 $237,549.40 50% off $346.49 $427,589.00 $86,645.57 2026-04-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 11 10 $0.01 — $86,498.00 $158,291.00 $86,498.00 2024-12-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 10 $0.01 — $85,723.00 $156,873.00 $85,723.00 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 11 10 $0.01 — $85,622.00 $156,688.00 $85,622.00 2024-12-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 18 $0.01 — $72,634.00 $171,247.41 $85,395.45 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 10 $0.01 — $85,169.00 $155,860.00 $85,169.00 2024-12-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 18 $0.01 — $75,536.00 $168,961.77 $84,287.39 2026-04-01
C2624 HCPCS System Cardiomems Hrt Failure Ptnt 37 24 $165,385.50 $82,692.75 50% off $820.50 $148,847.00 $83,850.00 2024-12-15
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $77,988.63 $89,646.04 $83,817.33 2026-04-01
A9588 HCPCS Fluciclovine F 18 9-221 Mci/ml IV Soln 42 28 $460,111.00 $230,055.50 50% off $82.00 $414,100.00 $83,703.57 2026-04-01
C1721 HCPCS Defibrillator Crdc Protecta Xt Dr 2chb 882 11 $117,258.57 $58,629.28 50% off $24.00 $153,823.00 $82,900.00 2024-12-15
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 42 28 $386,681.14 $193,340.57 50% off $59.00 $348,013.00 $82,124.56 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 19 $0.01 — $73,840.00 $160,204.55 $80,041.94 2026-04-01
215 MS_DRG Other Heart Assist System Implant 24 19 $0.01 — $73,462.00 $154,711.87 $79,214.00 2026-04-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 11 10 $0.01 — $77,982.00 $142,708.00 $77,982.00 2024-12-15
C1722 HCPCS Defibrillator Crdc Protecta Vr 1chb 35jl 37ml 68gm 903 11 $108,184.50 $54,092.25 50% off $21,494.00 $189,129.00 $77,860.00 2024-12-15
L8614 HCPCS Processor Sound Nuc 7 Cp100 Wht 270 25 $111,137.81 $55,568.91 50% off $723.00 $156,681.00 $77,676.50 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 11 10 $0.01 — $77,670.00 $142,136.00 $77,670.00 2024-12-15
58468-0132-2 NDC Sevelamer Carbonate 0.8 G Po Pack 37 24 $151,626.37 $75,813.18 50% off $820.50 $136,464.00 $76,875.00 2024-12-15
58468-0132-1 NDC Sevelamer Carbonate 0.8 G Po Pack 37 24 $151,626.37 $75,813.18 50% off $820.50 $136,464.00 $76,875.00 2024-12-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 11 10 $0.01 — $76,290.00 $139,611.00 $76,290.00 2024-12-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 11 10 $0.01 — $76,247.00 $139,533.00 $76,247.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 19 $0.01 — $66,918.00 $152,005.15 $76,066.92 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 10 $0.01 — $75,610.00 $138,367.00 $75,610.00 2024-12-15
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $69,124.89 $79,457.38 $74,291.14 2026-04-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 11 10 $0.01 — $73,939.00 $135,308.00 $73,939.00 2024-12-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 10 $0.01 — $73,557.00 $134,610.00 $73,557.00 2024-12-15
J9226 HCPCS Supprelin La Implant 5 4 — — $45,020.65 $162,798.16 $72,033.04 2026-04-01
68382-395-04 NDC Ribavirin 6 G In Solr 37 24 $141,573.77 $70,786.88 50% off $820.50 $127,416.00 $71,778.00 2024-12-15
68382-395-01 NDC Ribavirin 6 G In Solr 37 24 $141,573.77 $70,786.88 50% off $820.50 $127,416.00 $71,778.00 2024-12-15
64 APR_DRG Pancreas Transplant 11 10 $0.01 — $71,385.00 $130,635.00 $71,385.00 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 10 $0.01 — $71,380.00 $130,624.00 $71,380.00 2024-12-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 10 $0.01 — $71,166.00 $130,234.00 $71,166.00 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 18 $0.01 — $57,832.00 $139,991.16 $70,242.62 2026-04-01
C1820 HCPCS Stimulator Neurostim Gastric Enterra Ii 336 11 $99,480.00 $49,740.00 50% off $2,776.00 $190,666.00 $70,148.00 2024-12-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 10 $0.01 — $69,181.00 $126,602.00 $69,181.00 2024-12-15
59385-027-01 NDC Buprenorphine Hcl 900 Mcg Bu Film 37 24 $136,176.33 $68,088.17 50% off $820.50 $122,559.00 $69,041.00 2024-12-15
59385-027-60 NDC Buprenorphine Hcl 900 Mcg Bu Film 37 24 $136,176.33 $68,088.17 50% off $820.50 $122,559.00 $69,041.00 2024-12-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $64,038.79 $73,611.04 $68,824.91 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 22 18 $0.01 — $63,873.00 $134,551.31 $68,348.71 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $62,503.24 $71,845.96 $67,174.60 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 10 $0.01 — $66,513.00 $121,719.00 $66,513.00 2024-12-15
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $61,353.60 $70,596.48 $65,975.04 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 19 $0.01 — $58,756.00 $130,983.79 $65,875.90 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 19 $0.01 — $58,723.00 $130,572.03 $65,676.28 2026-04-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 10 $0.01 — $65,422.00 $119,721.00 $65,422.00 2024-12-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 11 10 $0.01 — $64,891.00 $118,750.00 $64,891.00 2024-12-15
L8619 HCPCS Processor Sound Nuc7 Blk 310 24 $95,335.00 $47,667.50 50% off $820.50 $156,681.00 $64,394.50 2024-12-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 11 10 $0.01 — $62,125.00 $113,689.00 $62,125.00 2024-12-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 19 $0.01 — $55,894.00 $122,265.41 $61,649.29 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 11 10 $0.01 — $61,638.00 $112,798.00 $61,638.00 2024-12-15
1612 APR_DRG Implantable Heart Assist Systems 11 10 $0.01 — $61,549.00 $112,634.00 $61,549.00 2024-12-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $57,244.25 $65,800.88 $61,522.57 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 10 $0.01 — $60,845.00 $111,346.00 $60,845.00 2024-12-15
A9569 HCPCS Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection 42 28 $317,369.80 $158,684.90 50% off $56.00 $285,633.00 $60,338.56 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $56,103.10 $64,489.15 $60,296.12 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 19 $0.01 — $53,650.00 $119,305.43 $60,214.31 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 19 $0.01 — $54,197.00 $118,791.12 $59,964.97 2026-04-01
8634 APR_DRG Neonatal Aftercare 11 10 $0.01 — $59,901.00 $109,619.00 $59,901.00 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 19 $0.01 — $51,755.00 $118,398.01 $59,774.39 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 10 $0.01 — $59,326.00 $108,566.00 $59,326.00 2024-12-15
C1823 HCPCS Generator Implantable Remede Pul Cent Sleep Apnea 58 24 $211,395.00 $105,697.50 50% off $820.50 $190,256.00 $59,017.00 2024-12-15
77371 CPT Hc Tr Srs 1 Session Multi Cobalt 60 27 16 $93,660.20 $46,830.10 50% off $7,420.00 $84,294.00 $59,006.00 2024-12-15
38240 HCPCS Transplt Allo Hct/donor 6 5 — — $4,826.69 $101,100.40 $58,547.71 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 11 10 $0.01 — $58,373.00 $106,823.00 $58,373.00 2024-12-15
81416 CPT Hc Exome Sequence Analysis Each Comparator Exome 27 16 $92,610.00 $46,305.00 50% off $12,000.00 $127,797.00 $58,344.00 2024-12-15
4404 APR_DRG Kidney Transplant 11 10 $0.01 — $58,229.00 $106,559.00 $58,229.00 2024-12-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 10 $0.01 — $57,963.00 $106,072.00 $57,963.00 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 10 $0.01 — $57,943.00 $106,036.00 $57,943.00 2024-12-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 18 $0.01 — $54,486.16 $110,857.41 $57,802.32 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 18 $0.01 — $49,248.00 $112,162.61 $56,751.51 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $52,793.68 $60,685.06 $56,739.37 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 11 10 $0.01 — $56,448.00 $103,300.00 $56,448.00 2024-12-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 10 $0.01 — $56,448.00 $103,300.00 $56,448.00 2024-12-15
10 MS_DRG Pancreas Transplant 24 19 $0.01 — $37,160.63 $111,496.03 $56,428.36 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 24 19 $0.01 — $46,310.00 $111,449.41 $56,405.76 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 11 10 $0.01 — $56,288.00 $103,007.00 $56,288.00 2024-12-15
13925-522-01 NDC Pentamidine Isethionate 300 Mg In Solr 37 24 $110,911.79 $55,455.90 50% off $820.50 $99,821.00 $56,232.00 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 18 $0.01 — $49,001.00 $110,792.16 $56,087.13 2026-04-01
4414 APR_DRG Major Bladder Procedures 11 10 $0.01 — $55,106.00 $100,844.00 $55,106.00 2024-12-15
0187-0007-14 NDC Ribavirin 6 G In Solr 37 24 $108,581.08 $54,290.54 50% off $820.50 $97,723.00 $55,051.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 19 $0.01 — $48,235.00 $107,395.55 $54,440.47 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 19 $0.01 — $46,231.00 $106,868.81 $54,185.11 2026-04-01
0781-5893-31 NDC Nevirapine ER 400 Mg Po Tb24 37 24 $106,455.10 $53,227.55 50% off $820.50 $95,810.00 $53,973.00 2024-12-15
23 APR_DRG Heart And/or Lung Transplant 11 10 $0.01 — $53,618.00 $98,122.00 $53,618.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 19 $0.01 — $47,346.00 $104,587.83 $53,079.31 2026-04-01
58914-501-56 NDC Mesalamine 1000 Mg Re Supp 37 24 $104,227.09 $52,113.54 50% off $820.50 $93,804.00 $52,843.00 2024-12-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 18 $0.01 — $42,895.00 $103,894.84 $52,743.35 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 18 $0.01 — $46,489.00 $103,818.70 $52,706.44 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $48,872.10 $56,177.30 $52,524.70 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 11 10 $0.01 — $52,499.00 $96,073.00 $52,499.00 2024-12-15
33262 CPT Hc Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 59 24 $84,270.87 $42,135.44 50% off $16,178.00 $77,543.00 $52,298.00 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 19 $0.01 — $41,251.00 $102,167.01 $51,905.71 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 19 $0.01 — $44,777.00 $102,167.01 $51,905.71 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 19 $0.01 — $42,699.00 $101,795.65 $51,725.68 2026-04-01
1784 APR_DRG External Heart Assist Systems 11 10 $0.01 — $51,613.00 $94,451.00 $51,613.00 2024-12-15
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 5 — — $4,826.69 $70,795.51 $51,576.32 2026-04-01
33240 CPT Hc Insj Implntbl Defib Pulse Gen W/1 Existing Ld 59 24 $79,329.69 $39,664.84 50% off $16,654.00 $77,543.00 $51,088.00 2024-12-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 19 $0.01 — $44,842.00 $99,982.37 $50,846.61 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 10 $0.01 — $50,828.00 $93,015.00 $50,828.00 2024-12-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 11 10 $0.01 — $50,770.00 $92,908.00 $50,770.00 2024-12-15
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 59 24 $86,158.74 $43,079.37 50% off $21,766.00 $77,543.00 $50,756.00 2024-12-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 11 10 $0.01 — $50,545.00 $92,498.00 $50,545.00 2024-12-15
6904 APR_DRG Acute Leukemia 11 10 $0.01 — $50,091.00 $91,667.00 $50,091.00 2024-12-15
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 11 10 $0.01 — $49,784.00 $91,105.00 $49,784.00 2024-12-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 10 $0.01 — $49,728.00 $91,003.00 $49,728.00 2024-12-15
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 59 24 $76,768.82 $38,384.41 50% off $16,336.00 $77,543.00 $49,439.00 2024-12-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 19 $0.01 — $41,539.00 $95,223.08 $48,539.34 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 19 $0.01 — $43,851.00 $95,112.76 $48,485.85 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $44,985.10 $51,709.28 $48,347.19 2026-04-01
33289 CPT Hc Rhc W/plc Pressure Sensor 27 16 $76,652.15 $38,326.07 50% off $27,595.00 $68,987.00 $48,291.00 2024-12-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 10 $0.01 — $48,227.00 $88,255.00 $48,227.00 2024-12-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 19 $0.01 — $42,356.00 $94,200.68 $48,043.68 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 19 $0.01 — $42,154.00 $93,356.97 $47,634.66 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 18 $0.01 — $42,950.00 $93,330.55 $47,621.85 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 19 $0.01 — $39,796.00 $92,654.65 $47,294.18 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 11 10 $0.01 — $47,213.00 $86,400.00 $47,213.00 2024-12-15
33363 CPT Hc Replace Aortic Valve Open Axillry Artry Approach 42 11 $68,511.79 $34,255.89 50% off $23,869.00 $61,661.00 $47,184.50 2024-12-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 18 $0.01 — $41,220.00 $92,350.10 $47,146.54 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 19 $0.01 — $41,851.00 $92,135.68 $47,042.58 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 10 $0.01 — $46,925.00 $85,873.00 $46,925.00 2024-12-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 10 $0.01 — $46,607.00 $85,291.00 $46,607.00 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 19 $0.01 — $42,178.54 $85,816.37 $46,584.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 19 $0.01 — $40,800.00 $91,186.31 $46,582.33 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 19 $0.01 — $40,370.00 $91,127.26 $46,553.71 2026-04-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 10 $0.01 — $46,151.00 $84,456.00 $46,151.00 2024-12-15
63 APR_DRG Pancreas Transplant 11 10 $0.01 — $46,132.00 $84,421.00 $46,132.00 2024-12-15
C2622 HCPCS Prosthesis Penile Tactra Malle Rear Tp Extndr 9.5m 121 24 $76,669.40 $38,334.70 50% off $820.50 $72,494.00 $45,913.00 2024-12-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 18 $0.01 — $37,931.00 $89,609.20 $45,817.76 2026-04-01
93582 CPT Hc Cath Percutan Transcath Closure Pat Duct Arteriosus 27 16 $72,334.19 $36,167.10 50% off $16,707.00 $65,101.00 $45,571.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 19 $0.01 — $39,558.00 $89,037.40 $45,540.56 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 11 — — $43,582.97 $88,673.81 $45,364.29 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 19 $0.01 — $37,449.00 $88,558.83 $45,308.55 2026-04-01
47781-153-01 NDC Naproxen Sodium ER 375 Mg Po Tb24 37 24 $88,294.19 $44,147.10 50% off $820.50 $79,465.00 $44,765.00 2024-12-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 18 $0.01 — $38,164.00 $87,354.64 $44,724.77 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 19 $0.01 — $37,727.00 $87,084.27 $44,593.70 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 19 $0.01 — $41,485.88 $84,407.08 $44,570.90 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 18 $0.01 — $34,692.00 $86,487.62 $44,304.44 2026-04-01
A9591 HCPCS Fluoroestradiol F 18 4-100 Mci/ml IV Soln 42 28 $243,748.00 $121,874.00 50% off $2.89 $219,373.00 $44,284.75 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 4 — — $20,080.00 $70,795.51 $44,247.19 2026-04-01
63323-877-15 NDC Pentamidine Isethionate 300 Mg In Solr 37 24 $86,990.24 $43,495.12 50% off $820.50 $78,291.00 $44,104.00 2024-12-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 11 10 $0.01 — $43,978.00 $80,479.00 $43,978.00 2024-12-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 11 10 $0.01 — $43,738.00 $80,041.00 $43,738.00 2024-12-15
834 MS_DRG Acute Leukemia With Mcc 24 19 $0.01 — $38,325.00 $85,302.07 $43,729.69 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 11 10 $0.01 — $43,636.00 $79,853.00 $43,636.00 2024-12-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 19 $0.01 — $37,641.00 $85,000.63 $43,583.56 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 19 $0.01 — $36,889.00 $84,879.43 $43,524.80 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 19 $0.01 — $37,414.00 $84,745.81 $43,460.02 2026-04-01
0398T CPT Hc MRI Guided Focused US Stereo Lesion Ablate 27 16 $71,584.70 $35,792.35 50% off $12,979.00 $64,426.00 $43,452.00 2024-12-15
64568 HCPCS Inc For Vagus N Elect Impl 6 5 — — $8,715.36 $70,795.51 $43,089.09 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 11 10 $0.01 — $43,073.00 $78,824.00 $43,073.00 2024-12-15
234 APR_DRG Spinal Procedures 11 10 $0.01 — $42,989.00 $78,670.00 $42,989.00 2024-12-15
C9089 HCPCS Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl 60 25 $69,033.59 $34,516.80 50% off $3.77 $63,869.00 $42,938.50 2026-04-01
0234T CPT Hc Trluml Perip Athrc Renal Art 27 16 $70,590.18 $35,295.09 50% off $10,482.00 $63,531.00 $42,848.00 2024-12-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 11 10 $0.01 — $42,834.00 $78,386.00 $42,834.00 2024-12-15
C1827 HCPCS Generator Imp Vivistim Vns Ipg 1001 58 24 $244,555.00 $122,277.50 50% off $820.50 $220,100.00 $42,623.00 2024-12-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 19 $0.01 — $36,726.00 $82,861.05 $42,546.30 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 18 $0.01 — $35,710.00 $82,811.32 $42,522.20 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 24 19 $0.01 — $38,653.00 $80,741.66 $42,469.00 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 10 $0.01 — $42,283.00 $77,379.00 $42,283.00 2024-12-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 10 $0.01 — $42,282.00 $77,375.00 $42,282.00 2024-12-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 19 $0.01 — $38,325.00 $88,884.36 $42,252.53 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 4 1 — — $19,924.96 $70,614.07 $42,161.22 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 4 1 — — $19,924.96 $70,614.07 $42,161.22 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 19 $0.01 — $35,591.00 $81,983.15 $42,120.70 2026-04-01
31253 CPT Hc Nasal/sinus Endo Total With Tiss Rem 57 24 $58,344.44 $29,172.22 50% off $1,630.00 $105,020.00 $42,008.00 2024-12-15
A9555 HCPCS Rubidium-82 (rb-82) Radio-isotope Injection 39 25 $84,001.00 $42,000.50 50% off $82.00 $75,601.00 $42,001.00 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 10 $0.01 — $41,755.00 $76,411.00 $41,755.00 2024-12-15
62 APR_DRG Pancreas Transplant 11 10 $0.01 — $41,726.00 $76,358.00 $41,726.00 2024-12-15
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x1x1in 40ml 37 24 $82,071.00 $41,035.50 50% off $820.50 $73,864.00 $41,610.00 2024-12-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 19 $0.01 — $35,325.00 $80,881.51 $41,586.63 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 11 10 $0.01 — $41,562.00 $76,059.00 $41,562.00 2024-12-15
61 APR_DRG Pancreas Transplant 11 10 $0.01 — $41,187.00 $75,372.00 $41,187.00 2024-12-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 19 $0.01 — $37,410.00 $76,154.85 $41,157.00 2026-04-01
C1875 HCPCS Stent G-armor Cov 5.2cm Lgth 10 Zig 247 24 $60,036.18 $30,018.09 50% off $820.50 $67,039.00 $40,632.00 2024-12-15
33270 CPT Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 38 24 $66,011.43 $33,005.71 50% off $21,944.00 $59,410.00 $40,542.00 2024-12-15
71 APR_DRG Allogeneic Bone Marrow Transplant 11 10 $0.01 — $40,474.00 $74,068.00 $40,474.00 2024-12-15
0571T OTHER Insj/rplcmt Icds Ss Eltrd 5 4 — — $31,531.90 $50,451.04 $40,353.30 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 19 $0.01 — $31,844.00 $78,314.63 $40,342.23 2026-04-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 11 10 $0.01 — $40,178.00 $73,527.00 $40,178.00 2024-12-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 10 $0.01 — $40,131.00 $73,440.00 $40,131.00 2024-12-15
264 APR_DRG Other Nervous System And Related Procedures 11 10 $0.01 — $40,107.00 $73,395.00 $40,107.00 2024-12-15
37231 CPT Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 57 24 $55,657.32 $27,828.66 50% off $8,649.00 $100,183.00 $40,073.00 2024-12-15
37227 CPT Hc Revascularize Fem/pop Artery,angioplasty/stent/atherectomy 57 24 $55,657.32 $27,828.66 50% off $9,227.00 $100,183.00 $40,073.00 2024-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 19 $0.01 — $35,217.00 $77,494.22 $39,944.50 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 10 $0.01 — $39,934.00 $73,078.00 $39,934.00 2024-12-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $37,013.90 $42,546.58 $39,780.24 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 10 $0.01 — $39,697.00 $72,645.00 $39,697.00 2024-12-15
1824 APR_DRG Other Peripheral Vascular Procedures 11 10 $0.01 — $39,665.00 $72,586.00 $39,665.00 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 19 $0.01 — $34,553.00 $76,872.70 $39,643.19 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 11 10 $0.01 — $39,641.00 $72,543.00 $39,641.00 2024-12-15
C2621 HCPCS Pacemaker Dig Viva Crt-p 15ml 26gm 57x59x6mm 483 11 $57,959.45 $28,979.73 50% off $8,329.00 $82,435.00 $39,583.00 2024-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 19 $0.01 — $34,678.00 $76,735.97 $39,576.90 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 19 $0.01 — $34,925.00 $76,473.37 $39,449.60 2026-04-01
24341 CPT Hc Repair Tend/musc Upr Arm/elb Each 57 24 $54,655.25 $27,327.62 50% off $2,399.00 $98,379.00 $39,352.00 2024-12-15
0424T OTHER Insj/rplc Nstim Apnea Compl 2 1 — — $36,398.43 $41,930.99 $39,164.71 2026-04-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 2 1 — — $36,398.43 $41,930.99 $39,164.71 2026-04-01
0316T OTHER Replc Vagus Nerve Pls Gen 2 1 — — $36,398.43 $41,930.99 $39,164.71 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 1 — — $36,398.43 $41,930.99 $39,164.71 2026-04-01
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 2 1 — — $36,398.43 $41,930.99 $39,164.71 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 1 — — $36,398.43 $41,930.99 $39,164.71 2026-04-01
0312T OTHER Laps Impltj Nstim Vagus 2 1 — — $36,398.43 $41,930.99 $39,164.71 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 11 10 $0.01 — $38,992.00 $71,356.00 $38,992.00 2024-12-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 11 10 $0.01 — $38,983.00 $71,339.00 $38,983.00 2024-12-15
2054 APR_DRG Cardiomyopathy 11 10 $0.01 — $38,873.00 $71,137.00 $38,873.00 2024-12-15
6954 APR_DRG Chemotherapy For Acute Leukemia 11 10 $0.01 — $38,823.00 $71,046.00 $38,823.00 2024-12-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 11 10 $0.01 — $38,783.00 $70,973.00 $38,783.00 2024-12-15
J9600 HCPCS Porfimer Sodium Injection 5 4 — — $24,228.42 $96,003.42 $38,765.47 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 19 $0.01 — $33,679.00 $75,028.34 $38,749.06 2026-04-01
C1817 HCPCS Occluder Sept Amplatzer 45deg 38x4 12fr Strl Lf 168 11 $54,216.60 $27,108.30 50% off $5,578.00 $72,372.00 $38,738.00 2024-12-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 19 $0.01 — $34,719.00 $74,649.21 $38,565.26 2026-04-01
69930 HCPCS Implant Cochlear Device 6 5 — — $8,715.36 $52,995.79 $38,247.56 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 19 $0.01 — $32,621.00 $73,973.31 $38,237.58 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 10 $0.01 — $38,131.00 $69,780.00 $38,131.00 2024-12-15
27446 CPT Hc Knee Arthroplasty Condyle/plateau Medial Or Lateral Comptmnt 57 24 $52,870.37 $26,435.18 50% off $7,074.00 $95,167.00 $38,067.00 2024-12-15
33365 CPT Hc Cath Replace Aortic Valve Open Transaortic Approach 21 11 $54,351.85 $27,175.92 50% off $19,567.00 $48,917.00 $38,046.00 2024-12-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 11 10 $0.01 — $38,004.00 $69,546.00 $38,004.00 2024-12-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 10 $0.01 — $37,885.00 $69,329.00 $37,885.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 18 $0.01 — $31,946.00 $73,050.35 $37,790.14 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 19 $0.01 — $32,962.00 $72,901.19 $37,717.83 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 19 $0.01 — $33,112.00 $72,683.66 $37,612.37 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 11 10 $0.01 — $37,487.00 $68,601.00 $37,487.00 2024-12-15
245 MS_DRG Aicd Generator Procedures 24 19 $0.01 — $33,884.00 $70,890.57 $37,435.00 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 10 $0.01 — $37,423.00 $68,485.00 $37,423.00 2024-12-15
214 APR_DRG Open Craniotomy Except Trauma 11 10 $0.01 — $37,335.00 $68,322.00 $37,335.00 2024-12-15
6 MS_DRG Liver Transplant Without Mcc 24 19 $0.01 — $33,623.00 $72,049.71 $37,305.03 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 11 10 $0.01 — $37,200.00 $68,076.00 $37,200.00 2024-12-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 18 $0.01 — $32,255.00 $71,762.25 $37,165.68 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 11 10 $0.01 — $37,053.00 $67,807.00 $37,053.00 2024-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 19 $0.01 — $2,421.90 $71,420.42 $36,999.96 2026-04-01
33230 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Dual Leads 38 24 $73,431.05 $36,715.52 50% off $16,993.00 $66,088.00 $36,973.00 2024-12-15
0187-3013-30 NDC Pyridostigmine Bromide ER 180 Mg Po Tbcr 37 24 $72,910.62 $36,455.31 50% off $820.50 $65,620.00 $36,966.00 2024-12-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 19 $0.01 — $32,446.00 $71,238.62 $36,911.82 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 6 5 — — $8,715.36 $50,451.04 $36,888.56 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 5 — — $8,715.36 $50,451.04 $36,888.56 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 6 5 — — $8,715.36 $50,451.04 $36,888.56 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 6 5 — — $8,715.36 $50,451.04 $36,888.56 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 11 10 $0.01 — $36,850.00 $67,436.00 $36,850.00 2024-12-15
51167-331-01 NDC Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose) 37 24 $72,562.53 $36,281.26 50% off $820.50 $65,306.00 $36,789.00 2024-12-15
93581 CPT Hc Perc Closure,cong Vsd W/implant 27 16 $58,358.87 $29,179.44 50% off $16,707.00 $52,523.00 $36,766.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 19 $0.01 — $31,282.00 $70,677.70 $36,639.89 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 19 $0.01 — $31,010.00 $70,646.62 $36,624.83 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 11 10 $0.01 — $36,624.00 $67,022.00 $36,624.00 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 24 19 $0.01 — $32,969.00 $70,370.05 $36,490.74 2026-04-01
93590 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 38 24 $72,334.19 $36,167.10 50% off $801.00 $65,101.00 $36,420.00 2024-12-15
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