Price Transparency Hospital negotiated rates

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

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Hospital

RONALD REAGAN UCLA MEDICAL CENTER

Los Angeles, CA · CCN 050262 · Rates published

20,117 distinct procedures filed
112 distinct payers
1,278,493 rate rows
2026-03-29 last MRF observed
Data quality

1,246,896 of 1,278,493 rate rows are consumer-grade (97.5%)

31,597 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 22,103
percent-of-charges filed in the dollar field — excluded from medians 6,260
per-diem day rate — not a per-procedure price 2,243
placeholder amount (≤ $0.02) — excluded from medians 627
template filing: same amount across many unrelated codes — excluded 277
exceeds 10× this hospital's gross charge — excluded from medians 87
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.uclahealth.org/sites/default/files/cms-hpt/956006143_ronald-reagan-ucla-medical-center_standardcharges.json
Found on page https://www.uclahealth.org/patient-resources/billing-insurance/price-transparency/machine-readable-files
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 97215d1ec3a3c1ec… · 499,979,594 bytes · first seen 2026-05-09

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,335,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
71894012404
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 2x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894013006
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 4x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894013407
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 6x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894013708
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 7x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894012203
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 2x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894012905
NDC 		Onasemnogene Abeparvovec-xioi 5x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894013106
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 5x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894013507
NDC 		Onasemnogene Abeparvovec-xioi 7x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894013808
NDC 		Onasemnogene Abeparvovec-xioi 8x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894012504
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 3x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894012002
NDC 		Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894012303
NDC 		Onasemnogene Abeparvovec-xioi 3x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894012604
NDC 		Onasemnogene Abeparvovec-xioi 4x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894012805
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 4x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894014009
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 8x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894013909
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 7x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894014109
NDC 		Onasemnogene Abeparvovec-xioi 9x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894012103
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 1x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894013206
NDC 		Onasemnogene Abeparvovec-xioi 6x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$330
outlier · 13526.8×
71894012705
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 3x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894013608
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 6x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894013307
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 5x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,570,000.00 $4,866,750.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 15 $3,570,000.00 $4,958,415.00 $3,685,266.66 nat. median
$3,710,000
1.0× median
RRUCLA-6362339400-J3394-0892-RR45018-1000-12400000
CDM 		Hb Lyfgenia Lovotibeglogene Autotemcel 73554111101 26 $11,961.00 $4,960,000.00 $3,472,000.00 nat. median
$3,472,000
1.0× median
60923051524_2
NDC 		Delandistrogene Moxeparvo-rokl 24 X 10 Ml IV Kit|discarded Drug Not Administered 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
60923053241
NDC 		Delandistrogene Moxeparvo-rokl 41 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923051120
NDC 		Delandistrogene Moxeparvo-rokl 20 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
60923052433
NDC 		Delandistrogene Moxeparvo-rokl 33 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
60923051423
NDC 		Delandistrogene Moxeparvo-rokl 23 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
60923053847
NDC 		Delandistrogene Moxeparvo-rokl 47 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923055463
NDC 		Delandistrogene Moxeparvo-rokl 63 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923053544
NDC 		Delandistrogene Moxeparvo-rokl 44 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923052130
NDC 		Delandistrogene Moxeparvo-rokl 30 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923050615
NDC 		Delandistrogene Moxeparvo-rokl 15 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
60923050918
NDC 		Delandistrogene Moxeparvo-rokl 18 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923051827
NDC 		Delandistrogene Moxeparvo-rokl 27 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923051524
NDC 		Delandistrogene Moxeparvo-rokl 24 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
60923051322
NDC 		Delandistrogene Moxeparvo-rokl 22 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$5
outlier · 647398.8×
60923051827_2
NDC 		Delandistrogene Moxeparvo-rokl 27 X 10 Ml IV Kit|discarded Drug Not Administered 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 8 $3,209,940.00 $4,002,984.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 17 $3,264,000.00 $4,988,182.14 $3,327,859.72 nat. median
$3,325,455
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 8 $3,060,000.00 $3,816,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
RRUCLA-6362339300-J3393-0892-RR45018-1000-11200000
CDM 		Hb Zynteglo Betibeglogene Autotemcel 73554311101 26 $11,961.00 $4,524,800.00 $3,174,640.00 nat. median
$3,174,640
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 17 $2,302,784.67 $3,582,921.35 $2,588,981.22 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 15 $2,244,000.00 $3,498,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
RRUCLA-8918205800-Q2058-0891-RR45018-1000-2100000
CDM 		Hb Aucatzyl Obecabtagene Autoleucel 83047041004 102 $11,961.00 $1,890,000.00 $1,470,000.00 nat. median
$1,470,000
1.0× median
RRUCLA-6363939923-C9399-0891-RR48636-1000-2048280
CDM 		Hb Omisirge Omidubicel-onlv 73441080004 97 $11,961.00 $1,960,203.96 $1,433,796.00 nat. median
$1,433,796
1.0× median
RRUCLA-6363939925-C9399-0891-RR45018-1000-2248000
CDM 		Hb Amtagvi Lifileucel 73776000111 97 $11,961.00 $2,151,336.00 $1,378,305.00 nat. median
$1,378,305
1.0× median

Other procedures at this hospital

Browse this hospital's 20,117 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 9 7 — — $4,335,000.00 $4,505,000.00 $4,505,000.00 2026-03-29
71894013507 NDC Onasemnogene Abeparvovec-xioi 7x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013608 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 6x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012905 NDC Onasemnogene Abeparvovec-xioi 5x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012805 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 4x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012002 NDC Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013407 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 6x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013006 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 4x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894014109 NDC Onasemnogene Abeparvovec-xioi 9x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012504 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 3x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013106 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 5x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012705 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 3x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013909 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 7x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013206 NDC Onasemnogene Abeparvovec-xioi 6x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012303 NDC Onasemnogene Abeparvovec-xioi 3x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012604 NDC Onasemnogene Abeparvovec-xioi 4x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012103 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 1x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013808 NDC Onasemnogene Abeparvovec-xioi 8x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012203 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 2x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012404 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 2x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013708 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 7x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894014009 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 8x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013307 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 5x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
J1414 HCPCS Inj, Beqvez, Per Tx Dose 9 7 — — $3,570,000.00 $4,866,750.00 $3,710,000.00 2026-03-29
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 18 15 — — $3,570,000.00 $4,958,415.00 $3,685,266.66 2026-03-29
RRUCLA-6362339400-J3394-0892-RR45018-1000-12400000 CDM Hb Lyfgenia Lovotibeglogene Autotemcel 73554111101 29 26 — — $11,961.00 $4,960,000.00 $3,472,000.00 2026-03-29
60923052433 NDC Delandistrogene Moxeparvo-rokl 33 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923052130 NDC Delandistrogene Moxeparvo-rokl 30 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923050615 NDC Delandistrogene Moxeparvo-rokl 15 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051524_2 NDC Delandistrogene Moxeparvo-rokl 24 X 10 Ml IV Kit|discarded Drug Not Administered 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923053544 NDC Delandistrogene Moxeparvo-rokl 44 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051322 NDC Delandistrogene Moxeparvo-rokl 22 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923053847 NDC Delandistrogene Moxeparvo-rokl 47 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051827_2 NDC Delandistrogene Moxeparvo-rokl 27 X 10 Ml IV Kit|discarded Drug Not Administered 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923055463 NDC Delandistrogene Moxeparvo-rokl 63 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923050918 NDC Delandistrogene Moxeparvo-rokl 18 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051120 NDC Delandistrogene Moxeparvo-rokl 20 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051827 NDC Delandistrogene Moxeparvo-rokl 27 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051524 NDC Delandistrogene Moxeparvo-rokl 24 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051423 NDC Delandistrogene Moxeparvo-rokl 23 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923053241 NDC Delandistrogene Moxeparvo-rokl 41 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
J3389 HCPCS Topi Adm Prad Zami Per Treat 10 8 — — $3,209,940.00 $4,002,984.00 $3,335,820.00 2026-03-29
J1413 HCPCS Inj Delandistrogene Mox Rokl 20 17 — — $3,264,000.00 $4,988,182.14 $3,327,859.72 2026-03-29
J3387 HCPCS Inj Elivaldogene Autotemecel 10 8 — — $3,060,000.00 $3,816,000.00 $3,180,000.00 2026-03-29
RRUCLA-6362339300-J3393-0892-RR45018-1000-11200000 CDM Hb Zynteglo Betibeglogene Autotemcel 73554311101 30 26 — — $11,961.00 $4,524,800.00 $3,174,640.00 2026-03-29
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 17 — — $2,302,784.67 $3,582,921.35 $2,588,981.22 2026-03-29
J3392 HCPCS Inj, Exagamglogene Autotem 18 15 — — $2,244,000.00 $3,498,000.00 $2,332,000.00 2026-03-29
RRUCLA-8918205800-Q2058-0891-RR45018-1000-2100000 CDM Hb Aucatzyl Obecabtagene Autoleucel 83047041004 120 102 $2,100,000.00 $1,155,000.00 45% off $11,961.00 $1,890,000.00 $1,470,000.00 2026-03-29
RRUCLA-6363939923-C9399-0891-RR48636-1000-2048280 CDM Hb Omisirge Omidubicel-onlv 73441080004 230 97 $2,048,280.00 $1,126,554.00 45% off $11,961.00 $1,960,203.96 $1,433,796.00 2026-03-29
RRUCLA-6363939925-C9399-0891-RR45018-1000-2248000 CDM Hb Amtagvi Lifileucel 73776000111 230 97 $2,248,000.00 $1,236,400.00 45% off $11,961.00 $2,151,336.00 $1,378,305.00 2026-03-29
RRUCLA-6368204200-Q2042-0891-RR45018-1000-1780600 CDM Hb Kymriah All 00078084619 124 105 $1,780,600.00 $979,330.00 45% off $11,961.00 $1,625,944.83 $1,246,420.00 2026-03-29
RRUCLA-6368205400-Q2054-0891-RR45018-1000-1673754 CDM Hb Breyanzi Dlbcl 73153090001 124 105 $1,673,754.00 $920,564.70 45% off $11,961.00 $1,613,517.56 $1,171,627.80 2026-03-29
RRUCLA-6368204100-Q2041-0891-RR45018-1000-1646700 CDM Hb Yescarta 71287011901 124 105 $1,646,700.00 $905,685.00 45% off $11,961.00 $1,527,391.73 $1,152,690.00 2026-03-29
RRUCLA-6368205502-Q2055-0891-RR45018-1000-1632485 CDM Hb Abecma Mm 50 Ml 59572051501 124 105 $1,632,485.00 $897,866.75 45% off $11,961.00 $1,601,694.54 $1,142,739.50 2026-03-29
RRUCLA-6368205500-Q2055-0891-RR45018-1000-1632485 CDM Hb Abecma Mm 500 Ml 59572051503 124 105 $1,632,485.00 $897,866.75 45% off $11,961.00 $1,601,694.54 $1,142,739.50 2026-03-29
RRUCLA-6368205501-Q2055-0891-RR45018-1000-1632485 CDM Hb Abecma Mm 250 Ml 59572051502 124 105 $1,632,485.00 $897,866.75 45% off $11,961.00 $1,601,694.54 $1,142,739.50 2026-03-29
RRUCLA-6368205300-Q2053-0891-RR45018-1000-1510740 CDM Hb Tecartus Mcl 71287021901 124 105 $1,510,740.00 $830,907.00 45% off $11,961.00 $1,404,722.07 $1,057,518.00 2026-03-29
RRUCLA-6368205302-Q2053-0891-RR45018-1000-1510740 CDM Hb Tecartus All 71287022001 124 105 $1,510,740.00 $830,907.00 45% off $11,961.00 $1,404,722.07 $1,057,518.00 2026-03-29
RRUCLA-6368204201-Q2042-0891-RR45018-1000-1466781 CDM Hb Kymriah Dlbcl 00078095819 124 105 $1,466,781.00 $806,729.55 45% off $11,961.00 $1,625,944.83 $1,026,746.70 2026-03-29
999-HL MS_DRG Heart-lung Adult 1 1 — — $903,260.00 $903,260.00 $903,260.00 2026-03-29
Q2057 HCPCS Afamitresgene Autoleucel 13 11 — — $741,540.00 $2,211,679.40 $770,620.00 2026-03-29
999-LB MS_DRG Liver Small Bowel 3 2 — — $678,338.00 $947,082.00 $718,699.11 2026-03-29
999-SB MS_DRG Small Bowel 1 1 — — $699,458.00 $699,458.00 $699,458.00 2026-03-29
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 17 16 — — $530,623.34 $1,076,407.72 $688,541.58 2026-03-29
Q2056 HCPCS Ciltacabtagene Car-pos T 24 21 — — $99,409.39 $1,686,554.27 $587,649.57 2026-03-29
7-D MS_DRG Lung (Double) 4 3 — — $197,600.00 $908,558.00 $581,931.29 2026-03-29
SOTLK MS_DRG Liver-kidney 4 3 — — $376,356.00 $703,058.00 $570,799.70 2026-03-29
999-CB MS_DRG Cord Blood Related Or Unrelated (single Or Multiple Units) 1 1 — — $541,826.00 $541,826.00 $541,826.00 2026-03-29
005-I MS_DRG Intestinal - Adult & Pediatric 1 1 — — $533,493.00 $533,493.00 $533,493.00 2026-03-29
005-C MS_DRG Liver Transplant - Cadaveric 3 3 — — $422,070.00 $627,863.00 $471,987.00 2026-03-29
005-L MS_DRG Liver Transplant - Living 4 4 — — $297,460.00 $627,863.00 $447,963.50 2026-03-29
7-S MS_DRG Lung (Single) 4 3 — — $161,000.00 $619,177.00 $444,141.47 2026-03-29
007-D MS_DRG Lung (Double) - Adult 1 1 — — $436,420.00 $436,420.00 $436,420.00 2026-03-29
SOTHL MS_DRG Heart/Lung 1 1 — — $423,711.00 $423,711.00 $423,711.00 2026-03-29
007-SOTLD MS_DRG Lung (double) Adult 1 1 — — $416,666.00 $416,666.00 $416,666.00 2026-03-29
010-SOTP MS_DRG Pancreas 3 2 — — $234,148.00 $416,315.69 $392,936.00 2026-03-29
75833060102 NDC Melphalan Hcl 50 Mg Ia Solr 114 96 $547,500.00 $301,125.00 45% off $11,961.00 $492,750.00 $383,250.00 2026-03-29
001-SOTHWHAD MS_DRG Heart-requiring A Heart Assist Device 1 1 — — $382,047.00 $382,047.00 $382,047.00 2026-03-29
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 17 — — $34,020.00 $564,756.02 $366,276.32 2026-03-29
07D MS_DRG Lung Transplant - Double 6 6 — — $115,000.00 $761,082.00 $366,109.00 2026-03-29
RRUCLA-8130000116--0813-RR48623-1000-516371 CDM Hb Organ Acq-small Bowel W Abdominal Wall 137 105 $516,371.00 $284,004.05 45% off $1,132.59 $464,733.90 $361,459.70 2026-03-29
RRUCLA-8130000114--0813-RR48623-1000-516371 CDM Hb Organ Acq-small Bowel 137 105 $516,371.00 $284,004.05 45% off $1,132.59 $464,733.90 $361,459.70 2026-03-29
014-U MS_DRG Allogeneic Unrelated Bmt ? Adult & Pediatric 2 2 — — $288,536.00 $431,443.00 $359,989.50 2026-03-29
007-S MS_DRG Lung (Single) - Adult 1 1 — — $349,135.00 $349,135.00 $349,135.00 2026-03-29
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 51 34 — — $17,500.00 $698,545.31 $344,353.20 2026-03-29
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 18 — — $28,623.00 $529,075.68 $340,191.29 2026-03-29
005-LK MS_DRG Liver/Kidney Transplant 2 2 — — $130,000.00 $543,998.00 $336,999.00 2026-03-29
014-R MS_DRG Allogeneic Related Bmt ? Adult & Pediatric 2 2 — — $288,536.00 $384,553.00 $336,544.50 2026-03-29
005-SOTLC MS_DRG Liver- Cadaveric 1 1 — — $329,333.00 $329,333.00 $329,333.00 2026-03-29
005-SOTLL MS_DRG Liver - Live Donor 1 1 — — $329,333.00 $329,333.00 $329,333.00 2026-03-29
014-BMTMINIALLO MS_DRG Mini-allogeneic/non-myeloablative 1 1 — — $325,501.00 $325,501.00 $325,501.00 2026-03-29
014-BMTALLOR MS_DRG Allogeneic Blood/Marrow Matched/Mismatched Related 1 1 — — $325,501.00 $325,501.00 $325,501.00 2026-03-29
014-BMTALLOU MS_DRG Allogeneic Blood/Marrow Matched/Mismatched Unrelated 1 1 — — $325,501.00 $325,501.00 $325,501.00 2026-03-29
001-SOTHNHAD MS_DRG Heart -not Requiring A Heart Assist Device 1 1 — — $323,350.00 $323,350.00 $323,350.00 2026-03-29
007-SOTLS MS_DRG Lung (single) Adult 1 1 — — $314,884.00 $314,884.00 $314,884.00 2026-03-29
RRUCLA-8120000120--0812-RR48601-1000-431946 CDM Hb Organ Acq-heart&lung Cadaver 136 105 $431,946.00 $237,570.30 45% off $784.90 $388,751.40 $302,362.20 2026-03-29
64406005801_2 NDC Nusinersen 12 Mg/5ml It Soln 114 96 $426,183.49 $234,400.92 45% off $11,961.00 $383,565.14 $298,328.44 2026-03-29
64406005801 NDC Nusinersen 12 Mg/5ml It Soln|discarded Drug Not Administered 114 96 $426,113.49 $234,362.42 45% off $11,961.00 $383,502.14 $298,279.44 2026-03-29
005-D MS_DRG Liver (Deceased Donor) - Adult & Pediatri 1 1 — — $297,460.00 $297,460.00 $297,460.00 2026-03-29
016-P MS_DRG Pediatric Bmt Autologous Transplant 1 1 — — $284,199.00 $284,199.00 $284,199.00 2026-03-29
016-A MS_DRG Adult Bmt Autologous Transplant 1 1 — — $271,999.00 $271,999.00 $271,999.00 2026-03-29
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $267,750.00 $267,750.00 $267,750.00 2026-03-29
J3403 HCPCS Revakinagene, Per Implant 13 11 — — $255,000.00 $760,550.00 $265,000.00 2026-03-29
999-F MS_DRG Small Bowel Transplant 4 4 — — $160,000.00 $590,901.00 $258,050.00 2026-03-29
008-SOTSPK MS_DRG Simultaneous Pancreas-living Or Cadaveric Kidney 1 1 — — $256,452.00 $256,452.00 $256,452.00 2026-03-29
650-C MS_DRG Kidney Transplant - Cadaveric 3 3 — — $182,821.00 $258,364.00 $253,239.00 2026-03-29
71336100301 NDC Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 115 97 $358,053.00 $196,929.15 45% off $11,961.00 $322,247.70 $250,637.10 2026-03-29
14 MS_DRG Allogeneic Bone Marrow Transplant 27 21 — — $147,674.03 $553,724.37 $248,325.87 2026-03-29
650C MS_DRG Kidney Transplant - Cadaveric Donor 2 1 — — $244,518.00 $244,518.00 $244,518.00 2026-03-29
650L MS_DRG Kidney Transplant - Live Donor 2 1 — — $233,859.00 $233,859.00 $233,859.00 2026-03-29
RRUCLA-2780682488--0278-RR48628-1000-332770 CDM Hb Vad Heartmate3 Lvad Implant Kit With Controller 113 96 $332,770.00 $183,023.50 45% off $1,685.00 $299,493.00 $232,939.00 2026-03-29
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 16 — — $170,203.79 $345,270.66 $230,990.93 2026-03-29
999-S MS_DRG Sequential Autologous Transplants (3 Or 4 Autologous Transplants) 1 1 — — $226,030.00 $226,030.00 $226,030.00 2026-03-29
999-BM MS_DRG Tandem Bone Marrow Transplant Autologous/Autologous 1 1 — — $226,030.00 $226,030.00 $226,030.00 2026-03-29
RRUCLA-2740050760-Q0508-0274-RR48628-1000-321470 CDM Hb Vad Device Heartmate Ii Vad Pt Support & Syst Kit 112 96 $321,470.00 $176,808.50 45% off $1,685.00 $289,323.00 $225,029.00 2026-03-29
7 MS_DRG Lung Transplant 26 25 — — $115,000.00 $322,806.66 $206,981.07 2026-03-29
RRUCLA-2780050700--0278-RR48628-1000-291460 CDM Hb Heartmate Ii Vent Assist Device Vad 113 96 $291,460.00 $160,303.00 45% off $1,685.00 $262,314.00 $204,022.00 2026-03-29
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 13 11 — — $197,880.00 $578,790.09 $201,669.02 2026-03-29
016-BMTAUTO MS_DRG Autologous Blood/Marrow 1 1 — — $196,622.00 $196,622.00 $196,622.00 2026-03-29
RRUCLA-2780502450--0278-RR48628-1000-280400 CDM Hb Vad Device Heartware Hvad Assist Device P100047 113 96 $280,400.00 $154,220.00 45% off $1,685.00 $252,360.00 $196,280.00 2026-03-29
5LT MS_DRG Liver Transplant 10 5 — — $142,000.00 $539,641.00 $188,453.50 2026-03-29
RRUCLA-2740050730-Q0489-0274-RR48628-1000-267480 CDM Hb Vad Device Heartmate Vad Power Units Replacement 113 97 $267,480.00 $147,114.00 45% off $1,685.00 $240,732.00 $187,236.00 2026-03-29
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 18 — — $126,693.77 $628,857.00 $186,237.31 2026-03-29
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $135,426.74 $274,722.92 $183,203.85 2026-03-29
999-D MS_DRG Liver /Kidney Transplant 3 3 — — $80,000.00 $259,200.00 $181,900.00 2026-03-29
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 21 — — $17,500.00 $282,465.17 $181,202.35 2026-03-29
650-SOTKC MS_DRG Kidney - Cadaveric 1 1 — — $179,280.00 $179,280.00 $179,280.00 2026-03-29
650-SOTKLD MS_DRG Kidney - Live Donor 1 1 — — $179,280.00 $179,280.00 $179,280.00 2026-03-29
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 17 — — $73,818.00 $271,056.19 $177,626.14 2026-03-29
RRUCLA-8120000121--0812-RR48612-1000-241798 CDM Hb Organ Acq-pancreas Cadaver Donor 136 105 $241,798.00 $132,988.90 45% off $879.07 $217,618.20 $169,258.60 2026-03-29
RRUCLA-2780050701--0278-RR48628-1000-238110 CDM Hb Heartmate Electric Vent Assist Devic Vad 113 96 $238,110.00 $130,960.50 45% off $1,685.00 $214,299.00 $166,677.00 2026-03-29
RRUCLA-8170000112--0811-RR48621-1000-237267 CDM Hb Organ Acq-liver Living /related 136 105 $237,267.00 $130,496.85 45% off $879.07 $213,540.30 $166,086.90 2026-03-29
RRUCLA-8170000110--0812-RR48621-1000-237267 CDM Hb Organ Acq-liver Cadaver Donor 136 105 $237,267.00 $130,496.85 45% off $879.07 $213,540.30 $166,086.90 2026-03-29
RRUCLA-8170000113--0812-RR48621-1000-237267 CDM Hb Organ Acq-liver Split Cadaver 136 105 $237,267.00 $130,496.85 45% off $879.07 $213,540.30 $166,086.90 2026-03-29
RRUCLA-8120000110--0812-RR48601-1000-233336 CDM Hb Organ Acq-heart Cadaver Donor 139 105 $233,336.00 $128,334.80 45% off $784.90 $210,002.40 $163,335.20 2026-03-29
07S MS_DRG Lung Transplant - Single 7 7 — — $90,000.00 $525,119.00 $161,000.00 2026-03-29
215 MS_DRG Other Heart Assist System Implant 23 19 — — $17,500.00 $252,661.95 $159,303.83 2026-03-29
999-A MS_DRG Bone Marrow Transplant - Allogeneic 11 11 — — $105,000.00 $862,894.00 $156,600.00 2026-03-29
850 MS_DRG Acute Leukemia With Other Procedures 18 16 — — $106,406.55 $219,786.04 $152,691.27 2026-03-29
RRUCLA-4810240000--0481-RR45700-1000-211050 CDM Hb Cath Lab Ir Hours 24.00 116 97 $211,050.00 $116,077.50 45% off $6,200.00 $189,945.00 $147,735.00 2026-03-29
RRUCLA-4810237500--0481-RR45700-1000-208950 CDM Hb Cath Lab Ir Hours 23.75 116 97 $208,950.00 $114,922.50 45% off $6,200.00 $188,055.00 $146,265.00 2026-03-29
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 16 — — $110,708.52 $224,580.23 $145,986.49 2026-03-29
RRUCLA-4810235000--0481-RR45700-1000-206850 CDM Hb Cath Lab Ir Hours 23.50 116 97 $206,850.00 $113,767.50 45% off $6,200.00 $186,165.00 $144,795.00 2026-03-29
LOU MS_DRG Allogeneic (Unrelated Donor) 2 2 — — $125,000.00 $163,500.00 $144,250.00 2026-03-29
RRUCLA-4810232500--0481-RR45700-1000-204750 CDM Hb Cath Lab Ir Hours 23.25 116 97 $204,750.00 $112,612.50 45% off $6,200.00 $184,275.00 $143,325.00 2026-03-29
RRUCLA-4810230000--0481-RR45700-1000-202650 CDM Hb Cath Lab Ir Hours 23.00 116 97 $202,650.00 $111,457.50 45% off $6,200.00 $182,385.00 $141,855.00 2026-03-29
RRUCLA-4810227500--0481-RR45700-1000-200550 CDM Hb Cath Lab Ir Hours 22.75 116 97 $200,550.00 $110,302.50 45% off $6,200.00 $180,495.00 $140,385.00 2026-03-29
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 16 — — $103,259.63 $209,469.62 $140,138.12 2026-03-29
10 MS_DRG Pancreas Transplant 28 24 — — $40,108.00 $484,786.00 $139,577.88 2026-03-29
RRUCLA-8130000130--0813-RR48602-1000-198610 CDM Hb Organ Acq-lung Single 136 105 $198,610.00 $109,235.50 45% off $784.90 $178,749.00 $139,027.00 2026-03-29
RRUCLA-8130000132--0813-RR48602-1000-198610 CDM Hb Organ Acq-lung Double 136 105 $198,610.00 $109,235.50 45% off $784.90 $178,749.00 $139,027.00 2026-03-29
RRUCLA-8130000133--0813-RR48602-1000-198610 CDM Hb Organ Acq-lung En Bloc 136 105 $198,610.00 $109,235.50 45% off $784.90 $178,749.00 $139,027.00 2026-03-29
RRUCLA-4810225000--0481-RR45700-1000-198450 CDM Hb Cath Lab Ir Hours 22.50 116 97 $198,450.00 $109,147.50 45% off $6,200.00 $178,605.00 $138,915.00 2026-03-29
RRUCLA-4810222500--0481-RR45700-1000-196350 CDM Hb Cath Lab Ir Hours 22.25 116 97 $196,350.00 $107,992.50 45% off $6,200.00 $176,715.00 $137,445.00 2026-03-29
RRUCLA-4810220000--0481-RR45700-1000-194250 CDM Hb Cath Lab Ir Hours 22.00 116 97 $194,250.00 $106,837.50 45% off $6,200.00 $174,825.00 $135,975.00 2026-03-29
999-E MS_DRG Heart/Lung Transplant 5 3 — — $128,000.00 $299,600.00 $135,000.00 2026-03-29
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 26 — — $17,500.00 $210,130.18 $134,827.63 2026-03-29
RRUCLA-4810217500--0481-RR45700-1000-192150 CDM Hb Cath Lab Ir Hours 21.75 116 97 $192,150.00 $105,682.50 45% off $6,200.00 $172,935.00 $134,505.00 2026-03-29
LOR MS_DRG Allogeneic (Related Donor) 2 2 — — $105,000.00 $163,500.00 $134,250.00 2026-03-29
RRUCLA-4810215000--0481-RR45700-1000-190050 CDM Hb Cath Lab Ir Hours 21.50 116 97 $190,050.00 $104,527.50 45% off $6,200.00 $171,045.00 $133,035.00 2026-03-29
RRUCLA-2780050500--0278-RR48628-1000-188660 CDM Hb Vad Device Thoratec Vent Assist Device Vad 113 96 $188,660.00 $103,763.00 45% off $1,685.00 $169,794.00 $132,062.00 2026-03-29
RRUCLA-4810212500--0481-RR45700-1000-187950 CDM Hb Cath Lab Ir Hours 21.25 116 97 $187,950.00 $103,372.50 45% off $6,200.00 $169,155.00 $131,565.00 2026-03-29
RRUCLA-4810210000--0481-RR45700-1000-185850 CDM Hb Cath Lab Ir Hours 21.00 116 97 $185,850.00 $102,217.50 45% off $6,200.00 $167,265.00 $130,095.00 2026-03-29
RRUCLA-4810207500--0481-RR45700-1000-183750 CDM Hb Cath Lab Ir Hours 20.75 116 97 $183,750.00 $101,062.50 45% off $6,200.00 $165,375.00 $128,625.00 2026-03-29
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 17 — — $87,668.82 $189,247.04 $128,524.46 2026-03-29
RRUCLA-2780050501--0278-RR48628-1000-183160 CDM Hb Thoratec Vent Assist Device Ivad 113 96 $183,160.00 $100,738.00 45% off $1,685.00 $164,844.00 $128,212.00 2026-03-29
RRUCLA-4810205000--0481-RR45700-1000-181650 CDM Hb Cath Lab Ir Hours 20.50 116 97 $181,650.00 $99,907.50 45% off $6,200.00 $163,485.00 $127,155.00 2026-03-29
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 16 — — $93,632.11 $189,939.49 $127,072.20 2026-03-29
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 26 — — $25,000.00 $196,143.77 $126,041.90 2026-03-29
999-B MS_DRG Bone Marrow Transplant - Autologous 10 9 — — $80,000.00 $429,373.00 $125,750.00 2026-03-29
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 29 — — $5,500.00 $243,853.61 $125,733.74 2026-03-29
RRUCLA-4810202500--0481-RR45700-1000-179550 CDM Hb Cath Lab Ir Hours 20.25 116 97 $179,550.00 $98,752.50 45% off $6,200.00 $161,595.00 $125,685.00 2026-03-29
RRUCLA-4810200000--0481-RR45700-1000-177450 CDM Hb Cath Lab Ir Hours 20.00 116 97 $177,450.00 $97,597.50 45% off $6,200.00 $159,705.00 $124,215.00 2026-03-29
RRUCLA-4810197500--0481-RR45700-1000-175350 CDM Hb Cath Lab Ir Hours 19.75 116 97 $175,350.00 $96,442.50 45% off $6,200.00 $157,815.00 $122,745.00 2026-03-29
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 35 28 — — $5,500.00 $190,570.14 $122,480.28 2026-03-29
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $88,701.00 $179,936.38 $122,392.67 2026-03-29
RRUCLA-4810195000--0481-RR45700-1000-173250 CDM Hb Cath Lab Ir Hours 19.50 116 97 $173,250.00 $95,287.50 45% off $6,200.00 $155,925.00 $121,275.00 2026-03-29
RRUCLA-4810192500--0481-RR45700-1000-171150 CDM Hb Cath Lab Ir Hours 19.25 116 97 $171,150.00 $94,132.50 45% off $6,200.00 $154,035.00 $119,805.00 2026-03-29
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 29 — — $5,500.00 $191,395.22 $119,331.76 2026-03-29
RRUCLA-4810190000--0481-RR45700-1000-169050 CDM Hb Cath Lab Ir Hours 19.00 116 97 $169,050.00 $92,977.50 45% off $6,200.00 $152,145.00 $118,335.00 2026-03-29
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 16 — — $88,136.99 $178,792.24 $117,016.99 2026-03-29
RRUCLA-4810187500--0481-RR45700-1000-166950 CDM Hb Cath Lab Ir Hours 18.75 116 97 $166,950.00 $91,822.50 45% off $6,200.00 $150,255.00 $116,865.00 2026-03-29
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 19 — — $64,044.00 $167,784.58 $115,935.92 2026-03-29
8 MS_DRG Simultaneous Pancreas/kidney Transplant 40 33 — — $68,868.43 $656,064.00 $115,922.00 2026-03-29
RRUCLA-4810185000--0481-RR45700-1000-164850 CDM Hb Cath Lab Ir Hours 18.50 116 97 $164,850.00 $90,667.50 45% off $6,200.00 $148,365.00 $115,395.00 2026-03-29
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 16 — — $84,931.09 $172,288.85 $115,263.67 2026-03-29
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 16 — — $82,102.43 $166,550.71 $114,445.77 2026-03-29
0-L MS_DRG Kidney Transplant - Living 7 6 — — $39,000.00 $258,364.00 $114,347.00 2026-03-29
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 20 — — $5,500.00 $177,737.84 $114,280.28 2026-03-29
RRUCLA-4810182500--0481-RR45700-1000-162750 CDM Hb Cath Lab Ir Hours 18.25 116 97 $162,750.00 $89,512.50 45% off $6,200.00 $146,475.00 $113,925.00 2026-03-29
RRUCLA-4810180000--0481-RR45700-1000-160650 CDM Hb Cath Lab Ir Hours 18.00 116 97 $160,650.00 $88,357.50 45% off $6,200.00 $144,585.00 $112,455.00 2026-03-29
69488000301 NDC Lutetium Lu 177 Dotatate 370 Mbq/ml IV Soln 114 96 $159,780.00 $87,879.00 45% off $11,961.00 $143,802.00 $111,846.00 2026-03-29
RRUCLA-4810177500--0481-RR45700-1000-158550 CDM Hb Cath Lab Ir Hours 17.75 116 97 $158,550.00 $87,202.50 45% off $6,200.00 $142,695.00 $110,985.00 2026-03-29
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 21 — — $40,574.00 $171,443.83 $110,258.33 2026-03-29
RRUCLA-4810175000--0481-RR45700-1000-156450 CDM Hb Cath Lab Ir Hours 17.50 116 97 $156,450.00 $86,047.50 45% off $6,200.00 $140,805.00 $109,515.00 2026-03-29
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 16 — — $82,162.64 $166,672.85 $108,430.92 2026-03-29
RRUCLA-4810172500--0481-RR45700-1000-154350 CDM Hb Cath Lab Ir Hours 17.25 116 97 $154,350.00 $84,892.50 45% off $6,200.00 $138,915.00 $108,045.00 2026-03-29
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 16 — — $80,502.55 $163,305.24 $107,939.29 2026-03-29
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 16 — — $79,068.56 $160,396.29 $107,307.37 2026-03-29
RRUCLA-4810170000--0481-RR45700-1000-152250 CDM Hb Cath Lab Ir Hours 17.00 116 97 $152,250.00 $83,737.50 45% off $6,200.00 $137,025.00 $106,575.00 2026-03-29
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 20 — — $72,863.20 $300,499.63 $105,807.15 2026-03-29
RRUCLA-4810167500--0481-RR45700-1000-150150 CDM Hb Cath Lab Ir Hours 16.75 116 97 $150,150.00 $82,582.50 45% off $6,200.00 $135,135.00 $105,105.00 2026-03-29
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 29 — — $5,500.00 $163,900.99 $104,157.43 2026-03-29
RRUCLA-4810165000--0481-RR45700-1000-148050 CDM Hb Cath Lab Ir Hours 16.50 116 97 $148,050.00 $81,427.50 45% off $6,200.00 $133,245.00 $103,635.00 2026-03-29
RRUCLA-4810162500--0481-RR45700-1000-145950 CDM Hb Cath Lab Ir Hours 16.25 116 97 $145,950.00 $80,272.50 45% off $6,200.00 $131,355.00 $102,165.00 2026-03-29
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 16 — — $75,217.55 $152,584.24 $102,081.00 2026-03-29
RRUCLA-4810160000--0481-RR45700-1000-143850 CDM Hb Cath Lab Ir Hours 16.00 116 97 $143,850.00 $79,117.50 45% off $6,200.00 $129,465.00 $100,695.00 2026-03-29
28 MS_DRG Spinal Procedures With Mcc 17 16 — — $73,829.03 $149,767.51 $100,196.57 2026-03-29
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 29 — — $5,500.00 $163,900.99 $99,556.60 2026-03-29
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 16 — — $73,273.62 $148,640.82 $99,442.80 2026-03-29
RRUCLA-4810157500--0481-RR45700-1000-141750 CDM Hb Cath Lab Ir Hours 15.75 116 97 $141,750.00 $77,962.50 45% off $6,200.00 $127,575.00 $99,225.00 2026-03-29
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 18 — — $40,574.00 $149,725.14 $98,700.34 2026-03-29
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 31 24 — — $17,500.00 $152,761.22 $98,319.90 2026-03-29
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 16 — — $72,065.72 $146,190.52 $97,803.52 2026-03-29
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 17 16 — — $67,865.74 $146,678.81 $97,785.87 2026-03-29
RRUCLA-4810155000--0481-RR45700-1000-139650 CDM Hb Cath Lab Ir Hours 15.50 116 97 $139,650.00 $76,807.50 45% off $6,200.00 $125,685.00 $97,755.00 2026-03-29
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 26 — — $17,500.00 $154,581.00 $97,271.81 2026-03-29
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 20 — — $25,000.00 $142,837.87 $97,005.00 2026-03-29
RRUCLA-4810152500--0481-RR45700-1000-137550 CDM Hb Cath Lab Ir Hours 15.25 123 104 $137,550.00 $75,652.50 45% off $6,200.00 $123,795.00 $96,285.00 2026-03-29
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 18 — — $66,751.23 $144,282.48 $96,188.31 2026-03-29
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 16 — — $70,865.20 $143,755.18 $95,950.16 2026-03-29
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 15 — — $73,032.78 $148,152.26 $95,374.72 2026-03-29
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $69,082.24 $140,138.30 $95,145.21 2026-03-29
999-C MS_DRG Simultaneous Liver/Kidney Transplant 5 5 — — $70,000.00 $424,311.00 $95,000.00 2026-03-29
67979000201 NDC Histrelin Acetate (cpp) 50 Mg Sc Kit 122 104 $135,537.57 $74,545.66 45% off $11,961.00 $121,983.81 $94,876.30 2026-03-29
RRUCLA-4810150000--0481-RR45700-1000-135450 CDM Hb Cath Lab Ir Hours 15.00 123 104 $135,450.00 $74,497.50 45% off $6,200.00 $121,905.00 $94,815.00 2026-03-29
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 16 — — $70,034.54 $142,070.13 $94,738.53 2026-03-29
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 28 — — $5,500.00 $154,581.00 $94,181.68 2026-03-29
UTO MS_DRG Autologous 4 4 — — $71,155.00 $129,500.00 $93,800.00 2026-03-29
RRUCLA-4810147500--0481-RR45700-1000-133350 CDM Hb Cath Lab Ir Hours 14.75 123 104 $133,350.00 $73,342.50 45% off $6,200.00 $120,015.00 $93,345.00 2026-03-29
RRUCLA-4810145000--0481-RR45700-1000-131250 CDM Hb Cath Lab Ir Hours 14.50 123 104 $131,250.00 $72,187.50 45% off $6,200.00 $118,125.00 $91,875.00 2026-03-29
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 17 16 — — $67,459.01 $136,845.47 $91,551.55 2026-03-29
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 16 — — $67,220.63 $136,361.90 $91,228.03 2026-03-29
RRUCLA-8110000112--0811-RR48611-1000-130129 CDM Hb Organ Acq-kidney Living 137 105 $130,129.00 $71,570.95 45% off $308.79 $117,116.10 $91,090.30 2026-03-29
RRUCLA-8120000111--0812-RR48611-1000-130129 CDM Hb Organ Acq-kidney Cadaver Donor 137 105 $130,129.00 $71,570.95 45% off $308.79 $117,116.10 $91,090.30 2026-03-29
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 17 16 — — $67,019.11 $135,953.10 $90,954.54 2026-03-29
RRUCLA-4810142500--0481-RR45700-1000-129150 CDM Hb Cath Lab Ir Hours 14.25 123 104 $129,150.00 $71,032.50 45% off $6,200.00 $116,235.00 $90,405.00 2026-03-29
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 16 — — $65,489.27 $132,849.71 $89,621.38 2026-03-29
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 16 — — $68,396.58 $138,747.39 $89,364.89 2026-03-29
69488001061 NDC Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml IV Soln 114 96 $127,500.00 $70,125.00 45% off $11,961.00 $114,750.00 $89,250.00 2026-03-29
RRUCLA-2744749911-L7499-0274-RR47704-1000-127280 CDM Hb Prsth Partl Hand Myoelectric I-digits Custom Fab 112 96 $127,280.00 $70,004.00 45% off $1,685.00 $114,552.00 $89,096.00 2026-03-29
RRUCLA-4810140000--0481-RR45700-1000-127050 CDM Hb Cath Lab Ir Hours 14.00 123 104 $127,050.00 $69,877.50 45% off $6,200.00 $114,345.00 $88,935.00 2026-03-29
653 MS_DRG Major Bladder Procedures With Mcc 17 16 — — $63,852.53 $133,315.92 $88,877.27 2026-03-29
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 35 28 — — $5,500.00 $154,581.00 $87,716.29 2026-03-29
RRUCLA-4810137500--0481-RR45700-1000-124950 CDM Hb Cath Lab Ir Hours 13.75 123 104 $124,950.00 $68,722.50 45% off $6,200.00 $112,455.00 $87,465.00 2026-03-29
RRUCLA-2780050130--0278-RR48628-1000-124910 CDM Hb Vad Device Abiomed Ab5000 Vad Assist Device P900023 113 96 $124,910.00 $68,700.50 45% off $1,685.00 $112,419.00 $87,437.00 2026-03-29
RRUCLA-2787050267--0278-RR48628-1000-124550 CDM Hb Berlin Vad Vent Assist 113 96 $124,550.00 $68,502.50 45% off $1,685.00 $112,095.00 $87,185.00 2026-03-29
RRUCLA-6247050267--0624-RR48628-1000-124550 CDM Hb Berlin Vad Vent Assist Ide G050262a3 114 97 $124,550.00 $68,502.50 45% off $1,685.00 $112,095.00 $87,185.00 2026-03-29
RRUCLA-8130000131--0813-RR48629-1000-124460 CDM Hb Organ Acq-limb R&l Hand Cadaver Donor 122 104 $124,460.00 $68,453.00 45% off $11,961.00 $112,014.00 $87,122.00 2026-03-29
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 16 — — $63,963.12 $129,753.81 $86,807.12 2026-03-29
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 26 — — $25,000.00 $132,191.45 $86,576.80 2026-03-29
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 16 — — $60,225.16 $129,053.39 $86,035.59 2026-03-29
RRUCLA-4810135000--0481-RR45700-1000-122850 CDM Hb Cath Lab Ir Hours 13.50 123 104 $122,850.00 $67,567.50 45% off $6,200.00 $110,565.00 $85,995.00 2026-03-29
RRUCLA-8153820400-38204-0815-RR48636-1000-122516 CDM Hb Organ Acq-bmt Stem Cell?allo 122 104 $122,516.00 $67,383.80 45% off $11,961.00 $110,264.40 $85,761.20 2026-03-29
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 29 — — $5,500.00 $154,581.00 $85,647.18 2026-03-29
RRUCLA-4810132500--0481-RR45700-1000-120750 CDM Hb Cath Lab Ir Hours 13.25 123 104 $120,750.00 $66,412.50 45% off $6,200.00 $108,675.00 $84,525.00 2026-03-29
00310453530 NDC Tremelimumab-actl 300 Mg/15ml IV Soln 114 96 $119,340.00 $65,637.00 45% off $11,961.00 $107,406.00 $83,538.00 2026-03-29
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 36 — — $12,497.00 $131,521.12 $83,312.84 2026-03-29
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 16 — — $61,284.37 $124,319.77 $83,171.68 2026-03-29
00003712511_2 NDC Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 114 96 $118,654.96 $65,260.23 45% off $11,961.00 $106,789.46 $83,058.47 2026-03-29
RRUCLA-4810130000--0481-RR45700-1000-118650 CDM Hb Cath Lab Ir Hours 13.00 123 104 $118,650.00 $65,257.50 45% off $6,200.00 $106,785.00 $83,055.00 2026-03-29
00003712511 NDC Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln|discarded Drug Not Administered 114 96 $118,584.96 $65,221.73 45% off $11,961.00 $106,726.46 $83,009.47 2026-03-29
38240 HCPCS Transplt Allo Hct/donor 21 20 — — $68,276.45 $232,186.86 $82,660.87 2026-03-29
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 25 21 — — $47,670.00 $118,671.37 $82,599.47 2026-03-29
RRUCLA-2744718100-L7181-0274-RR47704-1000-117770 CDM Hb Electronic Elbow Microprocessor Simul Control 112 96 $117,770.00 $64,773.50 45% off $1,685.00 $105,993.00 $82,439.00 2026-03-29
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 16 — — $60,684.73 $123,103.35 $82,357.87 2026-03-29
RRUCLA-2744599901-L5999-0274-RR47704-1000-117540 CDM Hb Prosth Knee System Genium Ottobock 112 96 $117,540.00 $64,647.00 45% off $1,685.00 $105,786.00 $82,278.00 2026-03-29
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 16 — — $60,477.06 $122,682.08 $82,076.04 2026-03-29
24338005008 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 114 96 $117,011.71 $64,356.44 45% off $11,961.00 $105,310.54 $81,908.20 2026-03-29
RRUCLA-2780698635--0278-RR48628-1000-116560 CDM Hb Vad Device Impella 5.5 W/smartassist Abiomed 113 96 $116,560.00 $64,108.00 45% off $1,685.00 $104,904.00 $81,592.00 2026-03-29
RRUCLA-4810127500--0481-RR45700-1000-116550 CDM Hb Cath Lab Ir Hours 12.75 123 104 $116,550.00 $64,102.50 45% off $6,200.00 $104,895.00 $81,585.00 2026-03-29
6 MS_DRG Liver Transplant Without Mcc 18 17 — — $56,978.71 $116,070.87 $81,223.17 2026-03-29
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 29 — — $5,500.00 $154,581.00 $80,986.49 2026-03-29
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 19 — — $57,770.05 $271,081.00 $80,901.44 2026-03-29
471 MS_DRG Cervical Spinal Fusion With Mcc 17 16 — — $59,334.29 $120,363.89 $80,525.14 2026-03-29
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 16 — — $59,034.47 $119,827.03 $80,118.24 2026-03-29
RRUCLA-4810125000--0481-RR45700-1000-114450 CDM Hb Cath Lab Ir Hours 12.50 123 104 $114,450.00 $62,947.50 45% off $6,200.00 $103,005.00 $80,115.00 2026-03-29
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 26 — — $17,500.00 $154,581.00 $79,508.32 2026-03-29
RRUCLA-4810122500--0481-RR45700-1000-112350 CDM Hb Cath Lab Ir Hours 12.25 123 104 $112,350.00 $61,792.50 45% off $6,200.00 $101,115.00 $78,645.00 2026-03-29
RRUCLA-2744200600-L2006-0274-RR47704-1000-111810 CDM Hb Kafo Stance Microprocessor Control Cust 112 96 $111,810.00 $61,495.50 45% off $1,685.00 $100,629.00 $78,267.00 2026-03-29
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 16 — — $57,652.09 $116,951.42 $78,242.15 2026-03-29
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 16 — — $57,480.06 $116,602.44 $78,008.68 2026-03-29
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 26 — — $25,000.00 $130,239.00 $77,185.15 2026-03-29
RRUCLA-4810120000--0481-RR45700-1000-110250 CDM Hb Cath Lab Ir Hours 12.00 123 104 $110,250.00 $60,637.50 45% off $6,200.00 $99,225.00 $77,175.00 2026-03-29
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 19 — — $54,839.40 $111,245.68 $77,161.92 2026-03-29
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 16 — — $56,481.06 $114,575.90 $76,652.89 2026-03-29
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 16 — — $56,337.29 $114,284.26 $76,457.78 2026-03-29
RRUCLA-2744718000-L7180-0274-RR47704-1000-108480 CDM Hb Electronic Elbow Microprocessor Seq Control 112 96 $108,480.00 $59,664.00 45% off $1,685.00 $97,632.00 $75,936.00 2026-03-29
799 MS_DRG Splenic Procedures With Mcc 17 16 — — $55,650.40 $113,826.68 $75,884.45 2026-03-29
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 16 — — $55,893.70 $113,384.40 $75,855.76 2026-03-29
RRUCLA-4810117500--0481-RR45700-1000-108150 CDM Hb Cath Lab Ir Hours 11.75 123 104 $108,150.00 $59,482.50 45% off $6,200.00 $97,335.00 $75,705.00 2026-03-29
81481080301 NDC Nogapendekin Alfa Inbakic-pmln 400 Mcg/0.4ml Is Soln 114 96 $107,400.00 $59,070.00 45% off $11,961.00 $96,660.00 $75,180.00 2026-03-29
7BC MS_DRG Breast Cancer 2 2 — — $75,000.00 $75,000.00 $75,000.00 2026-03-29
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 18 — — $40,574.00 $115,124.29 $74,269.44 2026-03-29
RRUCLA-4810115000--0481-RR45700-1000-106050 CDM Hb Cath Lab Ir Hours 11.50 123 104 $106,050.00 $58,327.50 45% off $6,200.00 $95,445.00 $74,235.00 2026-03-29
163 MS_DRG Major Chest Procedures With Mcc 30 25 — — $17,500.00 $154,581.00 $73,697.43 2026-03-29
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 26 — — $25,000.00 $130,239.00 $73,636.83 2026-03-29
245 MS_DRG Aicd Generator Procedures 33 26 — — $17,500.00 $131,258.00 $73,375.85 2026-03-29
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 16 — — $53,978.02 $109,498.32 $73,255.91 2026-03-29
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 21 — — $40,574.00 $131,258.00 $73,115.57 2026-03-29
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