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

VALLEYWISE HEALTH MEDICAL CENTER

Phoenix, AZ · CCN 030022 · Rates published

29,411 distinct procedures filed
24 distinct payers
733,739 rate rows
2025-06-28 last MRF observed · ⚠ 13 mo old
Data quality

491,837 of 733,739 rate rows are consumer-grade (67.0%)

241,902 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 142,382
professional (physician) fee — not the facility price 89,280
placeholder amount (≤ $0.02) — excluded from medians 6,023
template filing: same amount across many unrelated codes — excluded 3,484
per-diem day rate — not a per-procedure price 293
percent-of-charges filed in the dollar field — excluded from medians 239
exceeds 10× this hospital's gross charge — excluded from medians 201

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://valleywise.pt.panaceainc.com/MRFDownload/valleywise/valleywise
Found on page https://valleywisehealth.org/patients/hospital-price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 49742fbad4af4f6c… · 248,763,701 bytes · first seen 2026-05-14

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 14 $3,424,750.00 $4,631,445.28 $4,210,404.80 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $3,159,182.02 $4,988,182.14 $3,990,545.71 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 15 $3,121,700.00 $4,929,000.00 $3,919,330.00 nat. median
$3,286,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 14 $3,489,255.00 $4,526,200.00 $3,672,900.00 nat. median
$3,710,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 15 $2,819,600.00 $4,631,445.28 $3,561,600.00 nat. median
$3,004,655
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 17 $1,142,035.73 $4,777,228.46 $2,866,337.08 nat. median
$2,468,984
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 17 $2,215,400.00 $4,664,000.00 $2,646,540.16 nat. median
$2,448,600
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $1,149,879.09 $1,149,879.09 $1,149,879.09 nat. median
$824,563
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 17 $502,733.22 $1,729,000.00 $725,007.45 nat. median
$753,246
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 17 $500,767.26 $1,729,000.00 $719,508.14 nat. median
$674,867
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 17 $500,258.21 $1,053,175.18 $638,223.14 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 17 $464,983.16 $1,729,000.00 $637,575.58 nat. median
$634,303
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 17 $490,889.78 $1,033,452.16 $625,092.09 nat. median
$673,137
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 17 $1,226.02 $921,060.80 $552,636.48 nat. median
$619,808
0.9× median
8414
APR_DRG 		6 $506,266.07 $556,892.68 $506,266.07 nat. median
$160,267
outlier · 3.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $116,032.37 $1,417,820.87 $449,006.84 nat. median
$370,174
1.2× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $415,190.18 $415,190.18 $415,190.18 nat. median
$459,112
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $293,045.92 $920,108.71 $339,799.18 nat. median
$265,286
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $223,262.18 $424,708.38 $293,048.79 nat. median
$206,474
1.4× median
0024
APR_DRG 		6 $163,504.56 $421,123.95 $281,347.48 nat. median
$372,987
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $221,951.92 $386,123.88 $266,333.81 nat. median
$202,976
1.3× median
5834
APR_DRG 		6 $229,244.48 $277,385.82 $252,168.93 nat. median
$309,665
0.8× median
8424
APR_DRG 		6 $251,761.11 $276,937.22 $251,761.11 nat. median
$80,416
outlier · 3.1×
1614
APR_DRG 		6 $144,108.45 $371,167.14 $247,971.98 nat. median
$207,730
1.2× median
0074
APR_DRG 		6 $124,006.71 $319,392.89 $213,382.27 nat. median
$178,275
1.2× median
5833
APR_DRG 		6 $184,163.20 $222,837.47 $202,579.52 nat. median
$244,017
0.8× median
8413
APR_DRG 		6 $201,108.39 $221,219.23 $201,108.39 nat. median
$66,693
outlier · 3.0×
5884
APR_DRG 		6 $181,589.30 $219,723.05 $199,748.23 nat. median
$246,434
0.8× median
0094
APR_DRG 		6 $112,050.06 $288,597.22 $192,808.09 nat. median
$166,008
1.2× median
0014
APR_DRG 		6 $105,961.91 $272,916.53 $182,332.02 nat. median
$190,591
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $144,844.09 $263,162.76 $175,441.84 nat. median
$133,161
1.3× median
1613
APR_DRG 		6 $100,469.57 $258,770.42 $172,881.18 nat. median
$119,796
1.4× median
0044
APR_DRG 		6 $98,379.18 $253,386.39 $169,284.18 nat. median
$195,681
0.9× median
7
MS_DRG 		Lung Transplant 18 $135,420.24 $425,193.92 $166,295.01 nat. median
$122,708
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $125,671.18 $394,583.71 $163,898.37 nat. median
$117,357
1.4× median
0064
APR_DRG 		6 $87,575.65 $225,560.71 $150,694.21 nat. median
$98,565
1.5× median
0023
APR_DRG 		6 $85,946.00 $221,363.37 $147,890.02 nat. median
$167,082
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $118,496.63 $372,056.99 $147,549.07 nat. median
$108,660
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 3 $118,360.69 $161,292.90 $142,698.38 nat. median
$98,047
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 18 $99,162.47 $357,029.33 $139,110.58 nat. median
$102,358
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $107,816.90 $338,524.65 $138,150.39 nat. median
$100,136
1.4× median
5832
APR_DRG 		6 $124,957.52 $151,198.61 $137,453.27 nat. median
$156,126
0.9× median
5914
APR_DRG 		6 $123,979.69 $150,015.43 $136,377.66 nat. median
$164,289
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 18 $104,120.35 $326,918.18 $135,752.62 nat. median
$99,019
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $115,248.69 $201,618.20 $134,412.13 nat. median
$98,894
1.4× median
6094
APR_DRG 		6 $121,450.13 $146,954.67 $133,595.15 nat. median
$162,982
0.8× median
8411
APR_DRG 		6 $130,689.67 $143,758.64 $130,689.67 nat. median
$34,381
outlier · 3.8×
8412
APR_DRG 		6 $130,689.67 $143,758.64 $130,689.67 nat. median
$35,675
outlier · 3.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $102,298.74 $321,198.67 $129,350.80 nat. median
$93,672
1.4× median
8434
APR_DRG 		6 $125,305.43 $137,835.97 $125,305.43 nat. median
$20,927
outlier · 6.0×

Other procedures at this hospital

Browse this hospital's 29,411 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
             
0013 APR_DRG — 12 6 — — $49,946.03 $128,641.49 $85,943.72 2025-06-28
0014 APR_DRG — 12 6 — — $105,961.91 $272,916.53 $182,332.02 2025-06-28
0021 APR_DRG — 12 6 — — $55,701.56 $74,721.60 $64,600.22 2025-06-28
0022 APR_DRG — 12 6 — — $72,054.22 $96,658.10 $83,565.32 2025-06-28
0023 APR_DRG — 12 6 — — $85,946.00 $221,363.37 $147,890.02 2025-06-28
0024 APR_DRG — 12 6 — — $163,504.56 $421,123.95 $281,347.48 2025-06-28
0042 APR_DRG — 12 6 — — $47,120.34 $63,210.21 $54,648.10 2025-06-28
0043 APR_DRG — 12 6 — — $67,270.68 $173,263.02 $115,754.79 2025-06-28
0044 APR_DRG — 12 6 — — $98,379.18 $253,386.39 $169,284.18 2025-06-28
0053 APR_DRG — 12 6 — — $45,385.28 $116,894.79 $78,095.90 2025-06-28
0054 APR_DRG — 12 6 — — $64,568.06 $166,302.14 $111,104.32 2025-06-28
0061 APR_DRG — 12 6 — — $47,235.21 $63,364.30 $54,781.32 2025-06-28
0062 APR_DRG — 12 6 — — $47,235.21 $63,364.30 $54,781.32 2025-06-28
0063 APR_DRG — 12 6 — — $52,694.09 $135,719.42 $90,672.39 2025-06-28
0064 APR_DRG — 12 6 — — $87,575.65 $225,560.71 $150,694.21 2025-06-28
0072 APR_DRG — 12 6 — — $53,009.67 $71,110.53 $61,478.29 2025-06-28
0073 APR_DRG — 12 6 — — $63,828.34 $164,396.91 $109,831.45 2025-06-28
0074 APR_DRG — 12 6 — — $124,006.71 $319,392.89 $213,382.27 2025-06-28
0083 APR_DRG — 12 6 — — $35,043.76 $90,259.07 $60,300.92 2025-06-28
0084 APR_DRG — 12 6 — — $55,940.77 $144,081.59 $96,259.05 2025-06-28
0093 APR_DRG — 12 6 — — $49,592.58 $127,731.14 $85,335.53 2025-06-28
0094 APR_DRG — 12 6 — — $112,050.06 $288,597.22 $192,808.09 2025-06-28
0204 APR_DRG — 12 6 — — $36,100.32 $92,980.35 $62,118.97 2025-06-28
0214 APR_DRG — 12 6 — — $40,361.27 $103,954.88 $69,450.92 2025-06-28
0224 APR_DRG — 12 6 — — $36,065.61 $92,890.94 $62,059.24 2025-06-28
0234 APR_DRG — 12 6 — — $36,532.03 $94,092.27 $62,861.83 2025-06-28
0264 APR_DRG — 12 6 — — $30,833.31 $79,414.59 $53,055.86 2025-06-28
0274 APR_DRG — 12 6 — — $36,898.74 $95,036.76 $63,492.83 2025-06-28
0304 APR_DRG — 12 6 — — $33,207.73 $85,530.15 $57,141.59 2025-06-28
0894 APR_DRG — 12 6 — — $38,282.87 $98,601.73 $65,874.55 2025-06-28
0914 APR_DRG — 12 6 — — $38,487.99 $99,130.05 $66,227.51 2025-06-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 18 — — $293,045.92 $920,108.71 $339,799.18 2025-06-28
10 MS_DRG Pancreas Transplant 27 18 — — $75,036.29 $235,599.76 $106,318.02 2025-06-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 18 — — $57,033.52 $179,074.47 $77,385.27 2025-06-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 18 — — $44,086.71 $138,423.93 $62,877.91 2025-06-28
1204 APR_DRG — 12 6 — — $34,186.02 $88,049.86 $58,824.98 2025-06-28
1304 APR_DRG — 12 6 — — $32,178.94 $82,880.40 $55,371.33 2025-06-28
14 MS_DRG Allogeneic Bone Marrow Transplant 27 18 — — $125,671.18 $394,583.71 $163,898.37 2025-06-28
140 MS_DRG Major Head And Neck Procedures With Mcc 28 18 — — $44,602.24 $140,042.59 $64,286.88 2025-06-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 18 — — $35,076.30 $123,012.12 $53,876.21 2025-06-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 27 18 — — $62,006.87 $194,689.84 $84,570.46 2025-06-28
1603 APR_DRG — 12 6 — — $32,308.33 $83,213.65 $55,593.97 2025-06-28
1604 APR_DRG — 12 6 — — $68,107.59 $175,418.58 $117,194.90 2025-06-28
1611 APR_DRG — 12 6 — — $70,368.40 $94,396.63 $81,610.18 2025-06-28
1612 APR_DRG — 12 6 — — $70,368.40 $94,396.63 $81,610.18 2025-06-28
1613 APR_DRG — 12 6 — — $100,469.57 $258,770.42 $172,881.18 2025-06-28
1614 APR_DRG — 12 6 — — $144,108.45 $371,167.14 $247,971.98 2025-06-28
1623 APR_DRG — 12 6 — — $38,540.38 $99,264.98 $66,317.65 2025-06-28
1624 APR_DRG — 12 6 — — $59,422.86 $153,050.12 $102,250.81 2025-06-28
163 MS_DRG Major Chest Procedures With Mcc 28 18 — — $46,866.18 $147,150.94 $68,553.09 2025-06-28
1633 APR_DRG — 12 6 — — $31,482.14 $81,085.72 $54,172.32 2025-06-28
1634 APR_DRG — 12 6 — — $49,431.64 $127,316.61 $85,058.58 2025-06-28
1653 APR_DRG — 12 6 — — $31,140.05 $80,204.63 $53,583.68 2025-06-28
1654 APR_DRG — 12 6 — — $45,620.71 $117,501.14 $78,501.00 2025-06-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 18 — — $39,085.13 $122,719.90 $60,033.02 2025-06-28
1664 APR_DRG — 12 6 — — $39,314.81 $101,259.61 $67,650.24 2025-06-28
1674 APR_DRG — 12 6 — — $47,839.86 $123,216.81 $82,319.57 2025-06-28
1694 APR_DRG — 12 6 — — $38,465.90 $99,073.16 $66,189.50 2025-06-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 27 18 — — $56,805.56 $178,358.71 $84,570.46 2025-06-28
1764 APR_DRG — 12 6 — — $32,982.40 $84,949.81 $56,753.87 2025-06-28
1783 APR_DRG — 12 6 — — $35,017.26 $90,190.79 $60,255.31 2025-06-28
1784 APR_DRG — 12 6 — — $49,928.36 $128,595.97 $85,913.32 2025-06-28
1794 APR_DRG — 12 6 — — $39,116.63 $100,749.17 $67,309.22 2025-06-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 18 — — $116,032.37 $1,417,820.87 $449,006.84 2025-06-28
1814 APR_DRG — 12 6 — — $33,510.05 $86,308.83 $57,661.82 2025-06-28
1834 APR_DRG — 12 6 — — $44,006.20 $113,342.81 $75,722.87 2025-06-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 18 — — $74,606.51 $234,250.32 $105,804.96 2025-06-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 18 — — $118,496.63 $372,056.99 $147,549.07 2025-06-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 18 — — $82,284.04 $258,356.31 $107,307.11 2025-06-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 18 — — $67,287.66 $211,270.51 $89,412.61 2025-06-28
209 MS_DRG Complex Aortic Arch Procedures 3 3 — — $118,360.69 $161,292.90 $142,698.38 2025-06-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 18 — — $55,357.27 $173,811.34 $78,860.48 2025-06-28
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 28 18 — — $99,162.47 $357,029.33 $139,110.58 2025-06-28
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 3 3 — — $59,677.05 $81,323.33 $71,948.03 2025-06-28
215 MS_DRG Other Heart Assist System Implant 28 18 — — $104,120.35 $326,918.18 $135,752.62 2025-06-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 18 — — $102,298.74 $321,198.67 $129,350.80 2025-06-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 18 — — $68,757.91 $215,886.82 $89,308.20 2025-06-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 18 — — $68,757.91 $215,886.82 $86,524.14 2025-06-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — — $80,291.98 $252,101.62 $103,674.10 2025-06-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 18 — — $33,226.07 $130,322.97 $56,441.55 2025-06-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — — $55,765.09 $175,091.82 $76,271.56 2025-06-28
2204 APR_DRG — 12 6 — — $35,998.08 $92,717.00 $61,943.03 2025-06-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — — $52,705.37 $165,484.89 $68,366.73 2025-06-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 18 — — $51,734.96 $162,437.98 $72,753.06 2025-06-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 18 — — $59,921.75 $188,142.94 $80,856.61 2025-06-28
2304 APR_DRG — 12 6 — — $31,064.95 $80,011.18 $53,454.44 2025-06-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 18 — — $88,151.46 $276,778.91 $112,935.37 2025-06-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 18 — — $63,396.61 $199,053.35 $85,387.78 2025-06-28
2324 APR_DRG — 12 6 — — $41,666.50 $107,316.66 $71,696.88 2025-06-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 18 — — $79,945.86 $251,014.85 $104,559.90 2025-06-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 18 — — $57,123.45 $179,356.83 $76,535.39 2025-06-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 18 — — $61,367.95 $192,683.74 $82,867.35 2025-06-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 18 — — $43,802.28 $137,530.87 $62,972.22 2025-06-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 18 — — $50,602.57 $161,594.18 $73,354.82 2025-06-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 18 — — $40,906.74 $128,439.41 $59,487.40 2025-06-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 18 — — $33,387.11 $104,829.20 $54,887.75 2025-06-28
245 MS_DRG Aicd Generator Procedures 28 18 — — $47,709.02 $149,797.28 $71,669.67 2025-06-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 17 — — $47,544.84 $104,103.55 $67,016.13 2025-06-28
252 MS_DRG Other Vascular Procedures With Mcc 28 18 — — $36,477.15 $114,531.35 $55,318.86 2025-06-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 18 — — $28,742.09 $106,799.18 $55,047.17 2025-06-28
2604 APR_DRG — 12 6 — — $42,394.86 $109,192.62 $72,950.18 2025-06-28
2614 APR_DRG — 12 6 — — $33,316.29 $85,809.76 $57,328.39 2025-06-28
264 MS_DRG Other Circulatory System O.r. Procedures 28 18 — — $31,647.35 $109,681.92 $56,045.24 2025-06-28
265 MS_DRG Aicd Lead Procedures 28 18 — — $37,835.52 $118,796.36 $56,854.70 2025-06-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 18 — — $64,084.68 $201,213.76 $84,064.13 2025-06-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 18 — — $49,783.69 $156,311.35 $69,625.26 2025-06-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 18 — — $71,922.20 $225,822.09 $91,662.47 2025-06-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 18 — — $44,162.00 $138,660.33 $63,517.84 2025-06-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 18 — — $55,174.27 $173,236.76 $74,433.72 2025-06-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 18 — — $37,188.23 $116,764.00 $55,476.04 2025-06-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 18 — — $43,140.35 $135,452.54 $60,706.63 2025-06-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 18 — — $74,562.59 $234,112.42 $96,146.48 2025-06-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc 28 18 — — $62,811.02 $197,214.70 $86,349.92 2025-06-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 18 — — $48,295.65 $151,639.21 $69,032.48 2025-06-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 18 — — $39,467.36 $182,755.04 $72,977.60 2025-06-28
28 MS_DRG Spinal Procedures With Mcc 28 18 — — $62,828.79 $197,270.51 $85,059.95 2025-06-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 18 — — $35,675.10 $112,013.06 $54,491.44 2025-06-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 17 — — $221,951.92 $386,123.88 $266,333.81 2025-06-28
3033 APR_DRG — 12 6 — — $45,918.61 $118,268.44 $79,013.61 2025-06-28
3034 APR_DRG — 12 6 — — $59,794.61 $154,007.60 $102,890.49 2025-06-28
3044 APR_DRG — 12 6 — — $42,822.78 $110,294.79 $73,686.52 2025-06-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 18 — — $46,852.59 $147,108.26 $63,853.53 2025-06-28
3124 APR_DRG — 12 6 — — $42,396.12 $109,195.87 $72,952.35 2025-06-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 17 — — $54,652.39 $129,390.15 $86,260.10 2025-06-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 18 — — $46,668.55 $146,530.40 $66,123.60 2025-06-28
3214 APR_DRG — 12 6 — — $32,230.69 $83,013.70 $55,460.38 2025-06-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 18 — — $45,251.62 $142,081.52 $64,625.93 2025-06-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 18 — — $52,153.24 $163,751.30 $73,827.47 2025-06-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 18 — — $48,065.60 $150,916.88 $68,358.87 2025-06-28
332 MS_DRG Rectal Resection With Mcc 28 18 — — $37,861.66 $118,878.44 $55,748.85 2025-06-28
33276 HCPCS Insj Phrnc Nrv Stim Sys 34 18 — — $554.42 $95,924.87 $55,156.80 2025-06-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 18 — — $37,340.90 $117,243.36 $57,485.65 2025-06-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 18 — — $40,475.91 $127,086.69 $60,464.13 2025-06-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 18 — — $45,935.51 $144,228.80 $64,696.66 2025-06-28
3614 APR_DRG — 12 6 — — $35,780.96 $92,157.79 $61,569.43 2025-06-28
37 MS_DRG Extracranial Procedures With Mcc 28 18 — — $34,425.49 $108,089.52 $54,089.52 2025-06-28
38240 HCPCS Transplt Allo Hct/donor 34 18 — — $206.31 $126,070.16 $63,035.08 2025-06-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 17 — — $144,844.09 $263,162.76 $175,441.84 2025-06-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 18 — — $40,376.57 $126,774.78 $59,155.08 2025-06-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 17 — — $42,042.37 $91,091.96 $60,727.97 2025-06-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 18 — — $57,205.02 $179,612.93 $77,753.51 2025-06-28
4054 APR_DRG — 12 6 — — $32,048.29 $82,543.90 $55,146.51 2025-06-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 18 — — $37,285.48 $117,069.34 $56,114.85 2025-06-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 18 — — $37,254.11 $116,970.85 $56,142.91 2025-06-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 18 — — $35,628.04 $111,865.31 $56,431.44 2025-06-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 18 — — $43,427.92 $136,355.45 $62,470.38 2025-06-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 — — $115,248.69 $201,618.20 $134,412.13 2025-06-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 — — $75,484.90 $144,820.92 $96,547.28 2025-06-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 — — $58,789.25 $117,900.02 $78,600.01 2025-06-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 17 — — $94,213.39 $165,667.53 $112,653.92 2025-06-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 17 — — $60,306.56 $117,334.19 $78,222.79 2025-06-28
4403 APR_DRG — 12 6 — — $34,133.64 $87,914.94 $58,734.83 2025-06-28
4404 APR_DRG — 12 6 — — $52,538.19 $135,317.90 $90,404.14 2025-06-28
4414 APR_DRG — 12 6 — — $35,382.07 $91,130.40 $60,883.05 2025-06-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 17 — — $69,869.49 $138,118.49 $92,078.99 2025-06-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 17 — — $44,346.05 $93,976.70 $62,651.13 2025-06-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 17 — — $55,731.63 $111,938.55 $74,625.70 2025-06-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 18 — — $87,874.35 $275,908.83 $111,888.79 2025-06-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 18 — — $62,356.14 $195,786.46 $81,241.70 2025-06-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 18 — — $43,632.88 $136,998.98 $65,283.83 2025-06-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 18 — — $57,754.01 $181,336.66 $85,702.13 2025-06-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 18 — — $52,676.06 $187,131.68 $77,442.52 2025-06-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 18 — — $54,432.87 $170,908.90 $74,002.61 2025-06-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 18 — — $36,877.66 $115,788.86 $55,260.48 2025-06-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 18 — — $31,718.17 $99,589.06 $53,503.48 2025-06-28
471 MS_DRG Cervical Spinal Fusion With Mcc 28 18 — — $50,493.72 $158,540.71 $71,338.48 2025-06-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 18 — — $40,370.21 $140,948.79 $67,155.35 2025-06-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 18 — — $36,124.75 $113,424.88 $55,415.41 2025-06-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 18 — — $33,745.78 $105,955.37 $52,948.87 2025-06-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 18 — — $37,192.45 $120,549.64 $56,675.07 2025-06-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 18 — — $36,043.14 $119,042.61 $56,331.52 2025-06-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 18 — — $107,816.90 $338,524.65 $138,150.39 2025-06-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 18 — — $25,412.66 $122,706.77 $57,043.31 2025-06-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 18 — — $43,581.15 $215,102.12 $85,943.51 2025-06-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 18 — — $34,336.95 $113,976.48 $55,706.19 2025-06-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 18 — — $44,455.57 $160,921.10 $77,378.53 2025-06-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 18 — — $33,422.25 $106,329.67 $53,399.07 2025-06-28
5831 APR_DRG — 12 6 — — $98,731.53 $119,465.16 $108,604.68 2025-06-28
5832 APR_DRG — 12 6 — — $124,957.52 $151,198.61 $137,453.27 2025-06-28
5833 APR_DRG — 12 6 — — $184,163.20 $222,837.47 $202,579.52 2025-06-28
5834 APR_DRG — 12 6 — — $229,244.48 $277,385.82 $252,168.93 2025-06-28
5881 APR_DRG — 12 6 — — $53,437.19 $64,659.00 $58,780.91 2025-06-28
5882 APR_DRG — 12 6 — — $53,437.19 $64,659.00 $58,780.91 2025-06-28
5883 APR_DRG — 12 6 — — $110,689.66 $133,934.49 $121,758.63 2025-06-28
5884 APR_DRG — 12 6 — — $181,589.30 $219,723.05 $199,748.23 2025-06-28
5891 APR_DRG — 12 6 — — $76,572.66 $92,652.92 $84,229.93 2025-06-28
5892 APR_DRG — 12 6 — — $73,863.92 $89,375.34 $81,250.31 2025-06-28
5893 APR_DRG — 12 6 — — $67,149.02 $81,250.31 $73,863.92 2025-06-28
5912 APR_DRG — 12 6 — — $66,656.41 $80,654.26 $73,322.05 2025-06-28
5913 APR_DRG — 12 6 — — $73,681.65 $89,154.80 $81,049.82 2025-06-28
5914 APR_DRG — 12 6 — — $123,979.69 $150,015.43 $136,377.66 2025-06-28
5932 APR_DRG — 12 6 — — $61,746.92 $74,713.78 $67,921.61 2025-06-28
5933 APR_DRG — 12 6 — — $71,280.79 $86,249.76 $78,408.87 2025-06-28
5934 APR_DRG — 12 6 — — $102,929.20 $124,544.33 $113,222.12 2025-06-28
6 MS_DRG Liver Transplant Without Mcc 27 18 — — $48,489.11 $152,246.62 $71,247.54 2025-06-28
6022 APR_DRG — 12 6 — — $48,669.95 $58,890.65 $53,536.95 2025-06-28
6023 APR_DRG — 12 6 — — $54,304.19 $65,708.07 $59,734.61 2025-06-28
6024 APR_DRG — 12 6 — — $79,651.48 $96,378.29 $87,616.63 2025-06-28
6034 APR_DRG — 12 6 — — $96,423.65 $116,672.62 $106,066.02 2025-06-28
6074 APR_DRG — 12 6 — — $66,402.71 $80,347.28 $73,042.98 2025-06-28
6084 APR_DRG — 12 6 — — $58,821.43 $71,173.93 $64,703.57 2025-06-28
6093 APR_DRG — 12 6 — — $48,568.97 $58,768.45 $53,425.86 2025-06-28
6094 APR_DRG — 12 6 — — $121,450.13 $146,954.67 $133,595.15 2025-06-28
6114 APR_DRG — 12 6 — — $53,518.47 $64,757.35 $58,870.32 2025-06-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 18 — — $36,467.74 $114,501.80 $60,198.06 2025-06-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 18 — — $37,218.55 $116,859.21 $58,817.15 2025-06-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 18 — — $35,052.61 $122,362.02 $61,104.07 2025-06-28
6303 APR_DRG — 12 6 — — $52,068.97 $63,003.45 $57,275.86 2025-06-28
6304 APR_DRG — 12 6 — — $104,285.72 $126,185.73 $114,714.29 2025-06-28
6314 APR_DRG — 12 6 — — $108,280.18 $131,019.02 $119,108.20 2025-06-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 18 — — $49,162.54 $154,361.07 $68,531.76 2025-06-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 18 — — $38,751.55 $121,672.53 $55,791.51 2025-06-28
6514 APR_DRG — 12 6 — — $41,742.24 $107,511.73 $71,827.20 2025-06-28
653 MS_DRG Major Bladder Procedures With Mcc 28 18 — — $54,338.75 $170,613.40 $79,391.51 2025-06-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 28 18 — — $33,293.00 $104,533.71 $53,383.35 2025-06-28
665 MS_DRG Prostatectomy With Mcc 28 18 — — $28,941.15 $102,478.36 $55,354.79 2025-06-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 18 — — $27,960.09 $137,951.13 $63,842.30 2025-06-28
6804 APR_DRG — 12 6 — — $46,082.08 $118,689.47 $79,294.90 2025-06-28
6814 APR_DRG — 12 6 — — $40,739.96 $104,930.25 $70,102.55 2025-06-28
6904 APR_DRG — 12 6 — — $43,647.08 $112,417.84 $75,104.91 2025-06-28
6954 APR_DRG — 12 6 — — $39,830.46 $102,587.74 $68,537.54 2025-06-28
7 MS_DRG Lung Transplant 27 18 — — $135,420.24 $425,193.92 $166,295.01 2025-06-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 18 — — $37,378.55 $117,361.56 $61,013.13 2025-06-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 18 — — $34,284.82 $117,634.07 $61,499.25 2025-06-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 18 — — $1,000.00 $125,321.54 $83,547.69 2025-06-28
791 MS_DRG Prematurity With Major Problems 26 18 — — $1,000.00 $93,579.26 $62,386.17 2025-06-28
7924 APR_DRG — 12 6 — — $32,098.78 $82,673.94 $55,233.40 2025-06-28
793 MS_DRG Full Term Neonate With Major Problems 26 18 — — $1,000.00 $95,441.81 $63,627.87 2025-06-28
799 MS_DRG Splenic Procedures With Mcc 28 18 — — $47,358.71 $148,697.37 $70,187.72 2025-06-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 18 — — $58,607.30 $184,015.83 $77,892.72 2025-06-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 18 — — $39,915.23 $130,809.96 $57,052.29 2025-06-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 18 — — $61,328.21 $192,558.98 $82,172.40 2025-06-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 18 — — $47,943.25 $150,532.74 $69,342.34 2025-06-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 18 — — $48,915.75 $153,586.21 $70,420.12 2025-06-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 28 18 — — $57,407.88 $180,249.89 $78,860.48 2025-06-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 18 — — $50,238.57 $157,739.58 $73,021.38 2025-06-28
8411 APR_DRG — 12 6 — — $130,689.67 $143,758.64 $130,689.67 2025-06-28
8412 APR_DRG — 12 6 — — $130,689.67 $143,758.64 $130,689.67 2025-06-28
8413 APR_DRG — 12 6 — — $201,108.39 $221,219.23 $201,108.39 2025-06-28
8414 APR_DRG — 12 6 — — $506,266.07 $556,892.68 $506,266.07 2025-06-28
8422 APR_DRG — 12 6 — — $55,571.43 $61,128.57 $55,571.43 2025-06-28
8423 APR_DRG — 12 6 — — $102,507.40 $112,758.14 $102,507.40 2025-06-28
8424 APR_DRG — 12 6 — — $251,761.11 $276,937.22 $251,761.11 2025-06-28
8434 APR_DRG — 12 6 — — $125,305.43 $137,835.97 $125,305.43 2025-06-28
8444 APR_DRG — 12 6 — — $68,194.58 $75,014.04 $68,194.58 2025-06-28
850 MS_DRG Acute Leukemia With Other Procedures 25 17 — — $78,674.04 $180,340.49 $120,226.99 2025-06-28
8504 APR_DRG — 12 6 — — $40,219.26 $103,589.12 $69,206.56 2025-06-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 18 — — $51,642.94 $162,149.05 $72,955.15 2025-06-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 18 — — $47,565.76 $149,347.47 $67,457.35 2025-06-28
8634 APR_DRG — 12 6 — — $64,885.53 $167,119.82 $111,650.60 2025-06-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 18 — — $72,276.69 $226,935.13 $94,905.91 2025-06-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 17 — — $35,052.61 $126,896.26 $60,923.31 2025-06-28
901 MS_DRG Wound Debridements For Injuries With Mcc 28 18 — — $38,884.41 $137,786.97 $66,546.85 2025-06-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 28 18 — — $32,813.24 $120,598.89 $60,154.27 2025-06-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 18 — — $40,147.56 $126,055.74 $61,530.69 2025-06-28
9104 APR_DRG — 12 6 — — $45,093.06 $116,142.13 $77,593.06 2025-06-28
9114 APR_DRG — 12 6 — — $44,266.24 $114,012.57 $76,170.32 2025-06-28
9124 APR_DRG — 12 6 — — $41,516.92 $106,931.39 $71,439.48 2025-06-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 17 — — $223,262.18 $424,708.38 $293,048.79 2025-06-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 17 — — $75,004.92 $137,684.01 $95,001.97 2025-06-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 17 — — $35,577.52 $98,075.63 $65,383.75 2025-06-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 18 — — $36,802.37 $115,552.46 $57,769.69 2025-06-28
9504 APR_DRG — 12 6 — — $35,704.59 $91,961.09 $61,438.02 2025-06-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 17 — — $70,387.11 $140,199.95 $94,401.30 2025-06-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 17 — — $39,349.69 $89,579.69 $59,719.79 2025-06-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 17 — — $79,681.29 $150,908.69 $100,901.18 2025-06-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 17 — — $44,064.75 $94,419.59 $62,946.39 2025-06-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 18 — — $64,010.43 $200,980.64 $87,808.29 2025-06-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 18 — — $31,583.36 $118,586.23 $57,050.04 2025-06-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 18 — — $49,062.15 $154,045.87 $70,177.62 2025-06-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 18 — — $35,801.42 $112,564.66 $56,130.56 2025-06-28
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $415,190.18 $415,190.18 $415,190.18 2025-06-28
E0194 HCPCS Air Fluidized Bed 4 2 — — $22,296.12 $170,853.20 $107,124.96 2025-06-28
E0766 HCPCS Elec Stim Cancer Treatment 1 1 — — $78,768.03 $78,768.03 $78,768.03 2025-06-28
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 17 14 — — $3,489,255.00 $4,526,200.00 $3,672,900.00 2025-06-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 28 15 — — $3,159,182.02 $4,988,182.14 $3,990,545.71 2025-06-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 27 14 — — $3,424,750.00 $4,631,445.28 $4,210,404.80 2025-06-28
J3392 HCPCS Inj, Exagamglogene Autotem 32 17 — — $2,215,400.00 $4,664,000.00 $2,646,540.16 2025-06-28
J3393 HCPCS Inj, Betibeglogene Autotemce 30 15 — — $2,819,600.00 $4,631,445.28 $3,561,600.00 2025-06-28
J3394 HCPCS Inj, Lovotibeglogene Autotem 28 15 — — $3,121,700.00 $4,929,000.00 $3,919,330.00 2025-06-28
J3399 HCPCS Inj Onase Abepar-xioi Treat 35 17 — — $1,142,035.73 $4,777,228.46 $2,866,337.08 2025-06-28
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $58,966.38 $59,013.25 $58,989.82 2025-06-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 37 18 — — $60,187.03 $152,398.40 $77,350.49 2025-06-28
J9226 HCPCS Supprelin La Implant 37 18 — — $43,082.71 $194,737.88 $55,219.40 2025-06-28
K0606 HCPCS Aed Garment W Elec Analysis 4 2 — — $17,253.32 $119,080.40 $74,663.41 2025-06-28
L5783 HCPCS Add Low Ext Mec Limb Vol Lam 4 2 — — $1,296.85 $94,996.92 $59,563.07 2025-06-28
L5841 HCPCS Addition Endoskletl Knee-shi 4 2 — — $1,572.21 $90,829.84 $56,950.31 2025-06-28
L6880 HCPCS Elec Hand Ind Art Digits 4 2 — — $10,599.87 $108,212.32 $67,849.12 2025-06-28
L7181 HCPCS Electronic Elbo Simultaneous 14 7 — — $17,776.13 $177,397.80 $53,965.57 2025-06-28
L8701 HCPCS Ewh S/d Uprt Micro Sensor 4 2 — — $14,396.82 $161,025.04 $100,962.70 2025-06-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 2 — — $28,324.91 $161,025.04 $100,962.70 2025-06-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 7 — — $55,753.92 $398,752.52 $121,303.12 2025-06-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 35 17 — — $464,983.16 $1,729,000.00 $637,575.58 2025-06-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 35 17 — — $502,733.22 $1,729,000.00 $725,007.45 2025-06-28
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 37 18 — — $52,264.47 $233,702.76 $67,754.53 2025-06-28
Q2053 HCPCS Brexucabtagene Car Pos T 35 17 — — $1,226.02 $921,060.80 $552,636.48 2025-06-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 32 17 — — $490,889.78 $1,033,452.16 $625,092.09 2025-06-28
Q2055 HCPCS Idecabtagene Vicleucel Car 32 17 — — $500,258.21 $1,053,175.18 $638,223.14 2025-06-28
Q2056 HCPCS Ciltacabtagene Car-pos T 35 17 — — $500,767.26 $1,729,000.00 $719,508.14 2025-06-28
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $1,149,879.09 $1,149,879.09 $1,149,879.09 2025-06-28
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