Hospital

CEDARS-SINAI MEDICAL CENTER

Los Angeles, CA · CCN 050625 · Rates published

21,821 distinct procedures filed

27 distinct payers

298,009 rate rows

2025-11-26 last MRF observed

Data quality

197,120 of 298,009 rate rows are consumer-grade (66.1%)

100,889 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	77,840
per-diem day rate — not a per-procedure price	8,899
template filing: same amount across many unrelated codes — excluded	8,282
exceeds 10× this hospital's gross charge — excluded from medians	5,856
placeholder amount (≤ $0.02) — excluded from medians	12

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.cedars-sinai.org/content/dam/cedars-sinai/billing-insurance/documents/951644600_CEDARS-SINAI-MEDICAL-CENTER_standardcharges.json
Found on page	https://cedars-sinai.org/price-transparency.html
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-17
Content fingerprint	8c188ab3b0296778… · 883,973,507 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
9138 OTHER	Inj, Hemgenix, Per Tx Dose	2	$4,573,451.01	$4,573,451.01	$4,573,451.01	nat. median $3,746,358 1.2× median
0714 OTHER	Inj Delandistrogene Mox Rokl	2	$4,140,816.36	$4,140,816.36	$4,140,816.36	nat. median $3,316,463 1.2× median
9141 OTHER	Inj Onase Abepar-xioi Treat	2	$2,974,273.78	$4,574,044.23	$4,015,269.60	nat. median $2,588,981 1.6× median
J3399 HCPCS	All Drugs Or Drug Agents Without Specific Rate Set Forth Above Or Herein	1	$3,756,456.00	$4,242,078.00	$3,999,267.00	nat. median $2,468,984 1.6× median
Q2056 HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	1	$822,000.99	$1,323,297.05	$1,083,848.08	nat. median $674,867 1.6× median
C9098 HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	1	$822,000.96	$1,323,297.00	$1,083,848.04	nat. median $57,174 outlier · 19.0×
9194 OTHER	Tisagenlecleucel Car-pos T	2	$658,944.59	$1,102,427.65	$889,575.20	nat. median $566,531 1.6× median
9498 OTHER	Ciltacabtagene Car-pos T	2	$656,367.77	$1,054,253.75	$886,096.49	nat. median $587,650 1.5× median
9422 OTHER	Idecabtagene Vicleucel Car	2	$655,700.55	$1,038,322.62	$885,195.74	nat. median $558,082 1.6× median
9413 OTHER	Lisocabtagene Car Pos T	2	$643,421.11	$1,048,048.32	$868,618.50	nat. median $562,201 1.5× median
9035 OTHER	Axicabtagene Ciloleucel Car+	2	$609,464.69	$993,445.42	$822,777.33	nat. median $532,192 1.5× median
Q2055 HCPCS	Hb Idecabtagene Vicleucel Car+ Viable T Cells	3	$1.00	$1,193,813.15	$789,502.39	nat. median $625,184 1.3× median
9391 OTHER	Brexucabtagene Car Pos T	2	$573,446.93	$911,609.00	$774,153.36	nat. median $489,450 1.6× median
Q2041 HCPCS	Hb Axicabtagene Ciloleucel Car+ Viable T Cells	5	$1.00	$1,346,307.49	$634,416.59	nat. median $634,303 1.0× median
Q2053 HCPCS	Hb Brexucabtagene Autoleucel Car+ Viable T Cells	11	$1.00	$1,061,483.40	$573,446.93	nat. median $619,808 0.9× median
2 APR_DRG	Heart And/Or Lung Transplant	5	$77,825.12	$621,838.12	$534,391.87	nat. median $136,483 outlier · 3.9×
Q2054 HCPCS	Cellular Immunotherapy Hospital Services	2	$1.00	$1,167,631.77	$455,502.69	nat. median $673,137 0.7× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	12	$95,710.00	$745,653.70	$320,653.27	nat. median $265,286 1.2× median
589 APR_DRG	Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk…	4	$277,806.63	$277,806.63	$277,806.63	nat. median $79,557 outlier · 3.5×
30230X1 OTHER	Allogeneic Bone Marrow/Stem Cell/Cord Blood-related	6	$12,954.42	$433,374.24	$272,736.32	nat. median $223,148 1.2× median
30243X1 OTHER	Allogeneic Bone Marrow/Stem Cell/Cord Blood-related	6	$12,954.42	$433,374.24	$272,736.32	nat. median $223,148 1.2× median
30240G1 OTHER	Allogeneic Bone Marrow/Stem Cell- Related	6	$12,954.42	$433,374.24	$272,736.32	nat. median $143,000 1.9× median
30233Y1 OTHER	Allogeneic Bone Marrow/Stem Cell- Related	6	$12,954.42	$433,374.24	$272,736.32	nat. median $155,000 1.8× median
30243Y1 OTHER	Allogeneic Bone Marrow/Stem Cell- Related	6	$12,954.42	$433,374.24	$272,736.32	nat. median $155,000 1.8× median
30233X1 OTHER	Allogeneic Bone Marrow/Stem Cell/Cord Blood-related	6	$12,954.42	$433,374.24	$272,736.32	nat. median $223,148 1.2× median
30243G1 OTHER	Allogeneic Bone Marrow/Stem Cell- Related	6	$12,954.42	$433,374.24	$272,736.32	nat. median $143,000 1.9× median
30240X1 OTHER	Allogeneic Bone Marrow/Stem Cell/Cord Blood-related	6	$12,954.42	$433,374.24	$272,736.32	nat. median $223,148 1.2× median
30240Y1 OTHER	Allogeneic Bone Marrow/Stem Cell- Related	6	$12,954.42	$433,374.24	$272,736.32	nat. median $155,000 1.8× median
30230G1 OTHER	Allogeneic Bone Marrow/Stem Cell- Related	6	$12,954.42	$433,374.24	$272,736.32	nat. median $143,000 1.9× median
30230Y1 OTHER	Allogeneic Bone Marrow/Stem Cell- Related	6	$12,954.42	$433,374.24	$272,736.32	nat. median $155,000 1.8× median
30233G1 OTHER	Allogeneic Bone Marrow/Stem Cell- Related	6	$12,954.42	$433,374.24	$272,736.32	nat. median $143,000 1.9× median
33935 CPT	Heart/Lung Transplant	4	$13,030.50	$700,644.02	$266,460.33	nat. median $5,445 outlier · 48.9×
583 APR_DRG	Neonate With Ecmo	4	$264,563.86	$264,563.86	$264,563.86	nat. median $11,771 outlier · 22.5×
1908 OTHER	New Technology - Level 52 ($145,001-$160,000)	2	$189,891.79	$284,119.18	$252,240.64	nat. median $152,962 1.6× median
1907 OTHER	New Technology - Level 52 ($145,001-$160,000)	2	$189,891.79	$284,119.18	$252,240.64	nat. median $153,199 1.6× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	11	$239,520.72	$502,227.81	$244,408.90	nat. median $206,474 1.2× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck With M…	12	$238,117.79	$499,280.38	$242,977.33	nat. median $202,976 1.2× median
1905 OTHER	New Technology - Level 51 ($130,001-$145,000)	2	$171,213.97	$256,173.12	$227,430.17	nat. median $137,903 1.6× median
1906 OTHER	New Technology - Level 51 ($130,001-$145,000)	2	$171,213.97	$256,173.12	$227,430.17	nat. median $138,020 1.6× median
32852 CPT	Outpatient Surgical Group 6	5	$13,030.50	$534,391.87	$223,148.18	nat. median $4,617 outlier · 48.3×
588 APR_DRG	Neonate Birth Weight < 1500g With Major Procedure	4	$217,197.53	$217,197.53	$217,197.53	nat. median $281,646 0.8× median
02YA0Z2 OTHER	Heart Transplant	7	$40,365.43	$700,644.02	$204,474.90	nat. median $26,562 outlier · 7.7×
02YA0Z1 OTHER	Heart Transplant	7	$40,365.43	$700,644.02	$204,474.90	nat. median $105,000 1.9× median
02YA0Z0 OTHER	Heart Transplant	7	$40,365.43	$700,644.02	$204,474.90	nat. median $26,562 outlier · 7.7×
1903 OTHER	New Technology - Level 50 ($115,001-$130,000)	2	$152,536.15	$228,227.07	$202,619.70	nat. median $119,935 1.7× median
1904 OTHER	New Technology - Level 50 ($115,001-$130,000)	2	$152,536.15	$228,227.07	$202,619.70	nat. median $120,174 1.7× median
1901 OTHER	New Technology - Level 49 ($100,001-$115,000)	2	$133,858.33	$200,281.01	$177,809.22	nat. median $105,693 1.7× median
1902 OTHER	New Technology - Level 49 ($100,001-$115,000)	2	$133,858.33	$200,281.01	$177,809.22	nat. median $105,172 1.7× median
238 MS_DRG	Cardiovascular Surgical Procedures	1	$171,620.00	$171,620.00	$171,620.00	nat. median $28,191 outlier · 6.1×
237 MS_DRG	Cardiovascular Surgical Procedures	1	$171,620.00	$171,620.00	$171,620.00	nat. median $35,643 outlier · 4.8×

Other procedures at this hospital

Browse this hospital's 21,821 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

9138	OTHER	Inj, Hemgenix, Per Tx Dose	2	2	—	—	$4,573,451.01	$4,573,451.01	$4,573,451.01	2025-11-26
0714	OTHER	Inj Delandistrogene Mox Rokl	2	2	—	—	$4,140,816.36	$4,140,816.36	$4,140,816.36	2025-11-26
9141	OTHER	Inj Onase Abepar-xioi Treat	5	2	—	—	$2,974,273.78	$4,574,044.23	$4,015,269.60	2025-11-26
J3399	HCPCS	All Drugs Or Drug Agents Without Specific Rate Set Forth Above Or Herein	2	1	—	—	$3,756,456.00	$4,242,078.00	$3,999,267.00	2025-11-26
Q2056	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	4	1	$1,762,460.00	$1,145,599.00 35% off	$822,000.99	$1,323,297.05	$1,083,848.08	2025-11-26
C9098	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	4	1	—	—	$822,000.96	$1,323,297.00	$1,083,848.04	2025-11-26
9194	OTHER	Tisagenlecleucel Car-pos T	5	2	—	—	$658,944.59	$1,102,427.65	$889,575.20	2025-11-26
9498	OTHER	Ciltacabtagene Car-pos T	5	2	—	—	$656,367.77	$1,054,253.75	$886,096.49	2025-11-26
9422	OTHER	Idecabtagene Vicleucel Car	5	2	—	—	$655,700.55	$1,038,322.62	$885,195.74	2025-11-26
9413	OTHER	Lisocabtagene Car Pos T	5	2	—	—	$643,421.11	$1,048,048.32	$868,618.50	2025-11-26
9035	OTHER	Axicabtagene Ciloleucel Car+	5	2	—	—	$609,464.69	$993,445.42	$822,777.33	2025-11-26
Q2055	HCPCS	Hb Idecabtagene Vicleucel Car+ Viable T Cells	6	3	$1,783,580.00	$1,159,327.00 35% off	$1.00	$1,193,813.15	$789,502.39	2025-11-26
9391	OTHER	Brexucabtagene Car Pos T	5	2	—	—	$573,446.93	$911,609.00	$774,153.36	2025-11-26
Q2041	HCPCS	Hb Axicabtagene Ciloleucel Car+ Viable T Cells	12	5	$1,700,090.00	$1,105,058.50 35% off	$1.00	$1,346,307.49	$634,416.59	2025-11-26
Q2053	HCPCS	Hb Brexucabtagene Autoleucel Car+ Viable T Cells	19	11	$1,559,710.00	$1,013,811.50 35% off	$1.00	$1,061,483.40	$573,446.93	2025-11-26
2	APR_DRG	Heart And/Or Lung Transplant	11	5	—	—	$77,825.12	$621,838.12	$534,391.87	2025-11-26
Q2054	HCPCS	Cellular Immunotherapy Hospital Services	8	2	$1,793,840.00	$1,165,996.00 35% off	$1.00	$1,167,631.77	$455,502.69	2025-11-26
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	19	12	$999.00	$649.35 35% off	$95,710.00	$745,653.70	$320,653.27	2025-11-26
589	APR_DRG	Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk…	4	4	—	—	$277,806.63	$277,806.63	$277,806.63	2025-11-26
30240Y1	OTHER	Allogeneic Bone Marrow/Stem Cell- Related	15	6	—	—	$12,954.42	$433,374.24	$272,736.32	2025-11-26
30233Y1	OTHER	Allogeneic Bone Marrow/Stem Cell- Related	15	6	—	—	$12,954.42	$433,374.24	$272,736.32	2025-11-26
30240G1	OTHER	Allogeneic Bone Marrow/Stem Cell- Related	15	6	—	—	$12,954.42	$433,374.24	$272,736.32	2025-11-26
30243Y1	OTHER	Allogeneic Bone Marrow/Stem Cell- Related	15	6	—	—	$12,954.42	$433,374.24	$272,736.32	2025-11-26
30243G1	OTHER	Allogeneic Bone Marrow/Stem Cell- Related	15	6	—	—	$12,954.42	$433,374.24	$272,736.32	2025-11-26
30233X1	OTHER	Allogeneic Bone Marrow/Stem Cell/Cord Blood-related	15	6	—	—	$12,954.42	$433,374.24	$272,736.32	2025-11-26
30243X1	OTHER	Allogeneic Bone Marrow/Stem Cell/Cord Blood-related	15	6	—	—	$12,954.42	$433,374.24	$272,736.32	2025-11-26
30230G1	OTHER	Allogeneic Bone Marrow/Stem Cell- Related	15	6	—	—	$12,954.42	$433,374.24	$272,736.32	2025-11-26
30230Y1	OTHER	Allogeneic Bone Marrow/Stem Cell- Related	15	6	—	—	$12,954.42	$433,374.24	$272,736.32	2025-11-26
30240X1	OTHER	Allogeneic Bone Marrow/Stem Cell/Cord Blood-related	15	6	—	—	$12,954.42	$433,374.24	$272,736.32	2025-11-26
30230X1	OTHER	Allogeneic Bone Marrow/Stem Cell/Cord Blood-related	15	6	—	—	$12,954.42	$433,374.24	$272,736.32	2025-11-26
30233G1	OTHER	Allogeneic Bone Marrow/Stem Cell- Related	15	6	—	—	$12,954.42	$433,374.24	$272,736.32	2025-11-26
33935	CPT	Heart/Lung Transplant	10	4	$8,681.23	$5,642.80 35% off	$13,030.50	$700,644.02	$266,460.33	2025-11-26
583	APR_DRG	Neonate With Ecmo	4	4	—	—	$264,563.86	$264,563.86	$264,563.86	2025-11-26
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	5	2	—	—	$189,891.79	$284,119.18	$252,240.64	2025-11-26
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	5	2	—	—	$189,891.79	$284,119.18	$252,240.64	2025-11-26
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	15	11	—	—	$239,520.72	$502,227.81	$244,408.90	2025-11-26
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck With M…	16	12	—	—	$238,117.79	$499,280.38	$242,977.33	2025-11-26
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	5	2	—	—	$171,213.97	$256,173.12	$227,430.17	2025-11-26
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	5	2	—	—	$171,213.97	$256,173.12	$227,430.17	2025-11-26
32852	CPT	Outpatient Surgical Group 6	12	5	$6,099.75	$3,964.84 35% off	$13,030.50	$534,391.87	$223,148.18	2025-11-26
588	APR_DRG	Neonate Birth Weight < 1500g With Major Procedure	4	4	—	—	$217,197.53	$217,197.53	$217,197.53	2025-11-26
02YA0Z0	OTHER	Heart Transplant	20	7	—	—	$40,365.43	$700,644.02	$204,474.90	2025-11-26
02YA0Z1	OTHER	Heart Transplant	20	7	—	—	$40,365.43	$700,644.02	$204,474.90	2025-11-26
02YA0Z2	OTHER	Heart Transplant	20	7	—	—	$40,365.43	$700,644.02	$204,474.90	2025-11-26
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	5	2	—	—	$152,536.15	$228,227.07	$202,619.70	2025-11-26
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	5	2	—	—	$152,536.15	$228,227.07	$202,619.70	2025-11-26
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	5	2	—	—	$133,858.33	$200,281.01	$177,809.22	2025-11-26
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	5	2	—	—	$133,858.33	$200,281.01	$177,809.22	2025-11-26
237	MS_DRG	Cardiovascular Surgical Procedures	1	1	—	—	$171,620.00	$171,620.00	$171,620.00	2025-11-26
238	MS_DRG	Cardiovascular Surgical Procedures	1	1	—	—	$171,620.00	$171,620.00	$171,620.00	2025-11-26
XW043C7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW033M7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW043K7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW033A7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW033G7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW043J7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW033K7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW033C7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW043M7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW043A7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW033H7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW033N7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW033J7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW043G7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW043N7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
XW043H7	OTHER	Cellular Immunotherapy Hospital Services	4	2	—	—	$1.00	$185,700.00	$168,330.00	2025-11-26
S2065	HCPCS	Simultaneous Pancreas/Kidney Transplant	7	4	—	—	$95,000.00	$361,443.20	$161,162.23	2025-11-26
0FYG0Z1	OTHER	General Transplant Services	15	6	—	—	$40,365.43	$361,443.20	$161,162.23	2025-11-26
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck Without Major …	15	11	—	—	$155,556.20	$325,826.48	$158,730.82	2025-11-26
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	5	2	—	—	$118,293.48	$176,992.63	$157,133.83	2025-11-26
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	5	2	—	—	$118,293.48	$176,992.63	$157,133.83	2025-11-26
0TY10Z2	OTHER	Kidney Transplant	25	7	—	—	$32,240.00	$631,552.40	$156,122.65	2025-11-26
0TY00Z2	OTHER	Kidney Transplant	25	7	—	—	$32,240.00	$631,552.40	$156,122.65	2025-11-26
30243G0	OTHER	Autologous Bone Marrow/Stem Cell (Single)	11	6	—	—	$12,954.42	$233,190.89	$154,963.84	2025-11-26
30243Y0	OTHER	Autologous Bone Marrow/Stem Cell (Single)	11	6	—	—	$12,954.42	$233,190.89	$154,963.84	2025-11-26
30233Y0	OTHER	Autologous Bone Marrow/Stem Cell (Single)	11	6	—	—	$12,954.42	$233,190.89	$154,963.84	2025-11-26
30233G0	OTHER	Autologous Bone Marrow/Stem Cell (Single)	11	6	—	—	$12,954.42	$233,190.89	$154,963.84	2025-11-26
30230G0	OTHER	Autologous Bone Marrow/Stem Cell (Single)	11	6	—	—	$12,954.42	$233,190.89	$154,963.84	2025-11-26
30230Y0	OTHER	Autologous Bone Marrow/Stem Cell (Single)	11	6	—	—	$12,954.42	$233,190.89	$154,963.84	2025-11-26
30240Y0	OTHER	Autologous Bone Marrow/Stem Cell (Single)	11	6	—	—	$12,954.42	$233,190.89	$154,963.84	2025-11-26
30240G0	OTHER	Autologous Bone Marrow/Stem Cell (Single)	11	6	—	—	$12,954.42	$233,190.89	$154,963.84	2025-11-26
0BYL0Z0	OTHER	General Transplant Services	16	7	—	—	$40,365.43	$534,391.87	$154,217.25	2025-11-26
0BYK0Z0	OTHER	General Transplant Services	16	7	—	—	$40,365.43	$534,391.87	$154,217.25	2025-11-26
0BYK0Z1	OTHER	General Transplant Services	16	7	—	—	$40,365.43	$534,391.87	$154,217.25	2025-11-26
0BYL0Z1	OTHER	General Transplant Services	16	7	—	—	$40,365.43	$534,391.87	$154,217.25	2025-11-26
0BYM0Z1	OTHER	General Transplant Services	16	7	—	—	$40,365.43	$534,391.87	$154,217.25	2025-11-26
0BYM0Z0	OTHER	General Transplant Services	16	7	—	—	$40,365.43	$534,391.87	$154,217.25	2025-11-26
Q2042	HCPCS	Hb Tisagenlecleucel Car+ Viable T Cells	9	6	$1,542,630.00	$1,002,709.50 35% off	$1.00	$1,455,608.61	$150,960.00	2025-11-26
0FY00Z0	OTHER	General Transplant Services	12	7	—	—	$50,490.44	$485,809.05	$148,500.00	2025-11-26
0FY00Z1	OTHER	General Transplant Services	12	7	—	—	$50,490.44	$485,809.05	$148,500.00	2025-11-26
3352	OTHER	Transplants Lung	1	1	—	—	$148,434.50	$148,434.50	$148,434.50	2025-11-26
335	OTHER	Transplants Lung	1	1	—	—	$148,434.50	$148,434.50	$148,434.50	2025-11-26
3351	OTHER	Transplants Lung	1	1	—	—	$148,434.50	$148,434.50	$148,434.50	2025-11-26
7	MS_DRG	Lung Transplant	18	11	—	—	$105,612.00	$274,368.00	$148,434.50	2025-11-26
0FYG0Z0	OTHER	General Transplant Services	16	6	—	—	$40,365.43	$361,443.20	$145,581.11	2025-11-26
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	5	2	—	—	$105,841.60	$158,361.93	$140,593.52	2025-11-26
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	5	2	—	—	$105,841.60	$158,361.93	$140,593.52	2025-11-26
38240	CPT	Outpatient Surgical Group 1	23	7	$126,827.00	$82,437.55 35% off	$9,088.30	$433,374.24	$140,000.00	2025-11-26
0TY10Z1	OTHER	Kidney Transplant	26	7	—	—	$32,240.00	$631,552.40	$138,807.18	2025-11-26
0TY00Z1	OTHER	Kidney Transplant	26	7	—	—	$32,240.00	$631,552.40	$138,807.18	2025-11-26
0TY10Z0	OTHER	Kidney Transplant	26	7	—	—	$32,240.00	$631,552.40	$138,807.18	2025-11-26
0TY00Z0	OTHER	Kidney Transplant	26	7	—	—	$32,240.00	$631,552.40	$138,807.18	2025-11-26
4108	OTHER	Transplants Bone Marrow Allogeneic	1	1	—	—	$137,782.87	$137,782.87	$137,782.87	2025-11-26
4105	OTHER	Transplants Bone Marrow Allogeneic	1	1	—	—	$137,782.87	$137,782.87	$137,782.87	2025-11-26
4103	OTHER	Transplants Bone Marrow Allogeneic	1	1	—	—	$137,782.87	$137,782.87	$137,782.87	2025-11-26
14	MS_DRG	Allogeneic Bone Marrow Transplant	19	12	$12,964.00	$8,426.60 35% off	$104,909.00	$249,480.00	$137,782.87	2025-11-26
4102	OTHER	Transplants Bone Marrow Allogeneic	1	1	—	—	$137,782.87	$137,782.87	$137,782.87	2025-11-26
30243X0	OTHER	General Transplant Services	8	5	—	—	$12,954.42	$223,148.18	$137,481.92	2025-11-26
30240X0	OTHER	General Transplant Services	8	5	—	—	$12,954.42	$223,148.18	$137,481.92	2025-11-26
30233X0	OTHER	General Transplant Services	8	5	—	—	$12,954.42	$223,148.18	$137,481.92	2025-11-26
30230X0	OTHER	General Transplant Services	8	5	—	—	$12,954.42	$223,148.18	$137,481.92	2025-11-26
0812	RC	—	13	2	$664,314.00	$431,804.10 35% off	$68,946.00	$273,640.53	$130,255.00	2025-11-26
336	OTHER	Transplants Heart & Lung	1	1	—	—	$129,944.10	$129,944.10	$129,944.10	2025-11-26
3360	OTHER	Transplants Heart & Lung	1	1	—	—	$129,944.10	$129,944.10	$129,944.10	2025-11-26
3750	OTHER	Transplants Heart	1	1	—	—	$129,944.10	$129,944.10	$129,944.10	2025-11-26
375	OTHER	Transplants Heart	1	1	—	—	$129,944.10	$129,944.10	$129,944.10	2025-11-26
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	19	12	$3,217.90	$2,091.63 35% off	$92,830.69	$274,368.00	$129,944.10	2025-11-26
A9543	HCPCS	Wp Radiopharm, Drug And Vaccine Fee Schedule	4	1	—	—	$98,243.50	$158,157.15	$129,538.81	2025-11-26
0811	RC	—	12	1	$486,948.50	$316,516.53 35% off	$68,946.00	$175,818.92	$127,024.88	2025-11-26
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	5	2	—	—	$93,389.72	$139,731.23	$124,053.20	2025-11-26
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	5	2	—	—	$93,389.72	$139,731.23	$124,053.20	2025-11-26
48554	CPT	Outpatient Surgical Group 1	15	4	—	—	$9,088.30	$485,809.05	$123,970.87	2025-11-26
J7330	HCPCS	Autologous Cultured Chondrocytes,implant	4	1	—	—	$92,368.19	$148,698.79	$121,791.93	2025-11-26
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	23	12	$12,964.00	$8,426.60 35% off	$54,427.00	$750,332.62	$118,275.63	2025-11-26
32851	CPT	Outpatient Surgical Group 5	17	6	—	—	$13,030.50	$534,391.87	$115,000.00	2025-11-26
47135	CPT	Outpatient Surgical Group 9	13	7	$8,681.23	$5,642.80 35% off	$13,030.50	$485,809.05	$115,000.00	2025-11-26
32853	CPT	Outpatient Surgical Group 6	17	6	—	—	$13,030.50	$534,391.87	$115,000.00	2025-11-26
215	MS_DRG	Other Heart Assist System Implant	25	13	$64,536.75	$41,948.89 35% off	$61,503.27	$1,149,104.65	$114,236.85	2025-11-26
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	14	—	—	$61,503.27	$392,482.99	$112,246.59	2025-11-26
223	MS_DRG	Aicd & Pacemaker Implant Revision And Replacement	5	3	—	—	$57,790.67	$171,620.00	$111,128.61	2025-11-26
227	MS_DRG	Aicd & Pacemaker Implant Revision And Replacement	5	3	—	—	$57,790.67	$171,620.00	$111,128.61	2025-11-26
222	MS_DRG	Aicd & Pacemaker Implant Revision And Replacement	5	3	—	—	$57,790.67	$171,620.00	$111,128.61	2025-11-26
161	APR_DRG	Implantable Heart Assist Systems	4	4	—	—	$109,991.74	$109,991.74	$109,991.74	2025-11-26
1596	OTHER	New Technology - Level 45 ($60,001-$70,000)	5	2	—	—	$80,937.84	$121,100.51	$107,512.88	2025-11-26
1582	OTHER	New Technology - Level 45 ($60,001-$70,000)	5	2	—	—	$80,937.84	$121,100.51	$107,512.88	2025-11-26
0717	OTHER	Instill Adstiladrin, Tx Dose	5	2	—	—	$78,888.60	$118,011.14	$104,770.14	2025-11-26
429	MS_DRG	Combined Anterior/posterior Spinal Fusion With Cc	20	13	—	—	$46,127.97	$179,002.73	$103,412.69	2025-11-26
343	MS_DRG	Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc	1	1	—	—	$99,606.23	$99,606.23	$99,606.23	2025-11-26
5244	OTHER	Level 4 Blood Product Exchange And Related Services	5	2	—	—	$73,643.32	$110,187.57	$97,824.38	2025-11-26
231	MS_DRG	Coronary Bypass With Ptca With Mcc	24	13	—	—	$61,503.27	$171,620.00	$96,789.56	2025-11-26
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection O…	21	14	—	—	$46,127.97	$195,827.22	$96,486.79	2025-11-26
230	MS_DRG	Coronary Surgery	10	4	—	—	$61,503.27	$171,620.00	$96,346.95	2025-11-26
02BJ4ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
02BF4ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
02554ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
025L4ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
025M4ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
025K4ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
02BM4ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
02B94ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
02BG4ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
02594ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
025H4ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
025G4ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
02BH4ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
02T84ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
02574ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
025J4ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
02584ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
02B84ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
025F4ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
02564ZZ	OTHER	Cardiac Ablation	2	1	—	—	$81,017.27	$109,776.63	$95,396.95	2025-11-26
9273	OTHER	Sipuleucel-t Auto Cd54+	5	2	—	—	$68,504.30	$102,976.25	$91,422.18	2025-11-26
0203	RC	—	1	1	$15,292.00	$9,939.80 35% off	$91,001.73	$91,001.73	$91,001.73	2025-11-26
1595	OTHER	New Technology - Level 44 ($50,001-$60,000)	5	2	—	—	$68,485.96	$102,469.81	$90,972.57	2025-11-26
1581	OTHER	New Technology - Level 44 ($50,001-$60,000)	5	2	—	—	$68,485.96	$102,469.81	$90,972.57	2025-11-26
20	MS_DRG	Intracranial Vascular Procedures With Pdx Hemorrhage With Mcc	18	13	—	—	$88,571.34	$375,392.48	$90,378.92	2025-11-26
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	25	14	—	—	$61,503.27	$282,409.49	$88,202.44	2025-11-26
233	MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	24	13	—	—	$61,503.27	$171,620.00	$87,824.27	2025-11-26
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	16	12	—	—	$85,784.51	$217,381.02	$87,535.21	2025-11-26
593	APR_DRG	Neonate Birth Weight 750-999g Without Major Procedure	4	4	—	—	$87,475.21	$87,475.21	$87,475.21	2025-11-26
0174	RC	—	1	1	$56,768.00	$36,899.20 35% off	$86,910.92	$86,910.92	$86,910.92	2025-11-26
Q2043	HCPCS	All Drugs Or Drug Agents Without Specific Rate Set Forth Above Or Herein	6	2	—	—	$54,800.10	$151,325.99	$85,424.27	2025-11-26
5283	OTHER	Transplants Pancreas	1	1	—	—	$82,460.18	$82,460.18	$82,460.18	2025-11-26
5282	OTHER	Transplants Pancreas	1	1	—	—	$82,460.18	$82,460.18	$82,460.18	2025-11-26
5280	OTHER	Transplants Pancreas	1	1	—	—	$82,460.18	$82,460.18	$82,460.18	2025-11-26
528	OTHER	Transplants Pancreas	1	1	—	—	$82,460.18	$82,460.18	$82,460.18	2025-11-26
10	MS_DRG	Pancreas Transplant	15	11	—	—	$80,810.97	$168,793.99	$82,460.18	2025-11-26
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	15	11	—	—	$80,777.38	$168,723.42	$82,425.90	2025-11-26
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	19	13	—	—	$57,790.67	$171,620.00	$81,942.62	2025-11-26
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	24	13	—	—	$61,503.27	$171,620.00	$80,913.04	2025-11-26
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	25	14	—	—	$61,503.27	$243,258.74	$80,913.04	2025-11-26
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	24	13	—	—	$61,503.27	$171,620.00	$80,913.04	2025-11-26
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	24	13	—	—	$61,503.27	$171,620.00	$80,558.67	2025-11-26
33945	CPT	Heart Transplant	13	6	$37,207.00	$24,184.55 35% off	$13,030.50	$621,838.12	$80,000.00	2025-11-26
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	22	12	—	—	$61,503.27	$161,788.84	$79,985.41	2025-11-26
453	MS_DRG	Spine Surgery	6	4	—	—	$46,127.97	$155,120.00	$79,717.67	2025-11-26
459	MS_DRG	Spine Surgery	6	4	—	—	$46,127.97	$155,120.00	$79,717.67	2025-11-26
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	16	12	—	—	$77,856.19	$162,586.27	$79,445.09	2025-11-26
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	24	13	—	—	$61,503.27	$171,620.00	$79,284.20	2025-11-26
0BYM0Z2	OTHER	Organ Transplants - Heart/Lung - Adult	1	1	—	—	$77,825.12	$77,825.12	$77,825.12	2025-11-26
32854	CPT	Outpatient Surgical Group 7	16	5	$8,681.23	$5,642.80 35% off	$13,030.50	$534,391.87	$77,639.86	2025-11-26
955	MS_DRG	Craniotomy For Multiple Significant Trauma	16	12	—	—	$1,222.89	$158,335.67	$77,380.57	2025-11-26
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	25	14	—	—	$55,861.56	$171,620.00	$76,952.15	2025-11-26
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	13	—	—	$60,176.73	$171,620.00	$75,764.30	2025-11-26
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	15	11	—	—	$73,820.93	$154,108.58	$75,327.48	2025-11-26
11	APR_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	4	4	—	—	$74,625.74	$74,625.74	$74,625.74	2025-11-26
1142	OTHER	Supprelin La Implant	5	2	—	—	$56,469.54	$83,876.64	$74,465.58	2025-11-26
1594	OTHER	New Technology - Level 43 ($40,001-$50,000)	5	2	—	—	$56,034.08	$83,839.10	$74,432.24	2025-11-26
1580	OTHER	New Technology - Level 43 ($40,001-$50,000)	5	2	—	—	$56,034.08	$83,839.10	$74,432.24	2025-11-26
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	16	12	—	—	$72,514.28	$241,973.94	$73,994.17	2025-11-26
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	13	—	—	$56,900.61	$171,620.00	$72,577.30	2025-11-26
00519	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00459	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00458	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00457	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00456	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00472	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00455	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00454	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00453	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00030	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00028	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00520	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00518	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00473	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00471	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00460	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
00029	CPT	Spine Surgery	4	1	—	—	$72,263.82	$72,263.82	$72,263.82	2025-11-26
02BK0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02B54ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02BL4ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02BL0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02BM0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02BK4ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02T80ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02B50ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02BH0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02BJ0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02BF0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02BG0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02B90ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02B70ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02B80ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02B60ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02B64ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02B74ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
025L0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
025K0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
025M0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
025G0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
025H0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02590ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
025F0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02570ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02580ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02560ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
025J0ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
02550ZZ	OTHER	Cardiac Ablation	4	2	—	—	$54,839.00	$109,776.63	$70,927.14	2025-11-26
460	MS_DRG	Spine Surgery	8	6	—	—	$36,142.79	$155,120.00	$70,651.17	2025-11-26
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	16	12	—	—	$69,084.76	$171,973.64	$70,494.65	2025-11-26
969	MS_DRG	HIV With Extensive O.r. Procedure With Mcc	15	11	—	—	$69,005.26	$143,991.34	$70,413.53	2025-11-26
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	25	14	—	—	$51,375.08	$243,314.76	$69,972.31	2025-11-26
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Mcc Or Chemot…	25	14	—	—	$54,913.12	$140,683.62	$69,972.31	2025-11-26
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	23	13	—	—	$59,544.13	$349,793.25	$69,873.21	2025-11-26
602	APR_DRG	Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo…	4	4	—	—	$69,334.78	$69,334.78	$69,334.78	2025-11-26
28	MS_DRG	Spinal Procedures With Mcc	21	14	—	—	$46,127.97	$166,775.54	$69,122.50	2025-11-26
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	20	14	—	—	$57,790.67	$257,005.30	$69,103.07	2025-11-26
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection O…	20	13	—	—	$46,127.97	$155,120.00	$68,606.08	2025-11-26
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	15	11	—	—	$67,014.51	$139,808.95	$68,382.15	2025-11-26
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc Or T-cell Immunotherapy	20	12	$12,964.00	$8,426.60 35% off	$66,859.99	$162,639.21	$68,224.48	2025-11-26
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedure With Mcc	15	11	—	—	$54,455.00	$116,521.85	$67,482.99	2025-11-26
430	MS_DRG	Combined Anterior/posterior Spinal Fusion Without Cc/mcc	20	13	—	—	$46,127.97	$155,120.00	$66,366.76	2025-11-26
02583ZF	OTHER	Intracardiac Ablation (eps Performed Separately)	5	1	—	—	$41,999.85	$65,796.36	$65,796.36	2025-11-26
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal System And Conn…	16	12	—	—	$1,654.00	$134,069.34	$65,594.42	2025-11-26
31	MS_DRG	Ventricular Shunt Procedures With Mcc	24	13	—	—	$50,633.86	$140,683.62	$64,584.01	2025-11-26
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	17	12	$12,964.00	$8,426.60 35% off	$63,219.97	$233,665.00	$64,510.18	2025-11-26
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	17	12	—	—	$57,081.53	$109,730.96	$63,577.89	2025-11-26
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	24	13	—	—	$47,367.81	$171,620.00	$63,377.42	2025-11-26
834	MS_DRG	Acute Leukemia Without Major O.r. Procedure With Mcc	15	11	—	—	$61,935.72	$129,138.92	$63,199.72	2025-11-26
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	15	11	—	—	$61,718.51	$128,682.57	$62,978.07	2025-11-26
11	MS_DRG	Tracheostomy For Face, Mouth & Neck Diagnoses Or Laryngectomy With Mcc	15	11	—	—	$61,534.88	$128,296.79	$62,790.70	2025-11-26
4107	OTHER	Transplants Bone Marrow Autologous	1	1	—	—	$62,541.63	$62,541.63	$62,541.63	2025-11-26
4106	OTHER	Transplants Bone Marrow Stem Cell	1	1	—	—	$62,541.63	$62,541.63	$62,541.63	2025-11-26
4109	OTHER	Transplants Bone Marrow Autologous	1	1	—	—	$62,541.63	$62,541.63	$62,541.63	2025-11-26
4100	OTHER	Transplants Bone Marrow Stem Cell	1	1	—	—	$62,541.63	$62,541.63	$62,541.63	2025-11-26
4101	OTHER	Transplants Bone Marrow Autologous	1	1	—	—	$62,541.63	$62,541.63	$62,541.63	2025-11-26
4104	OTHER	Transplants Bone Marrow Autologous	1	1	—	—	$62,541.63	$62,541.63	$62,541.63	2025-11-26
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	17	12	$12,964.00	$8,426.60 35% off	$61,290.80	$157,365.00	$62,541.63	2025-11-26
410	OTHER	Transplants Bone Marrow Stem Cell	1	1	—	—	$62,541.63	$62,541.63	$62,541.63	2025-11-26
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Pdx Without Mcc	25	14	—	—	$44,267.47	$140,683.62	$60,980.69	2025-11-26
21	MS_DRG	Intracranial Vascular Procedures With Pdx Hemorrhage With Cc	18	13	—	—	$59,740.07	$200,426.22	$60,959.25	2025-11-26
3762	OTHER	Cardio Vascular Surgery	3	2	—	—	$54,839.00	$129,944.10	$60,837.00	2025-11-26
3765	OTHER	Cardio Vascular Surgery	3	2	—	—	$54,839.00	$129,944.10	$60,837.00	2025-11-26
3751	OTHER	Cardio Vascular Surgery	3	2	—	—	$54,839.00	$129,944.10	$60,837.00	2025-11-26
3766	OTHER	Cardio Vascular Surgery	3	2	—	—	$54,839.00	$129,944.10	$60,837.00	2025-11-26
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	15	11	—	—	$58,080.00	$103,420.89	$59,949.27	2025-11-26
653	MS_DRG	Major Bladder Procedures With Mcc	15	11	—	—	$58,649.52	$122,234.92	$59,846.45	2025-11-26
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	22	12	—	—	$47,752.97	$99,342.33	$58,769.96	2025-11-26
609	APR_DRG	Neonate Birth Weight 1500-2499g With Major Procedure	4	4	—	—	$58,218.57	$58,218.57	$58,218.57	2025-11-26
509	MS_DRG	Surgical	1	1	—	—	$58,080.00	$58,080.00	$58,080.00	2025-11-26
491	MS_DRG	Orthopedic Surgery - Joints (Elbow, Hip, Knees, Lower Extremity, Shoulder, Wrist…	1	1	—	—	$58,080.00	$58,080.00	$58,080.00	2025-11-26
484	MS_DRG	Orthopedic Surgery - Joints (Elbow, Hip, Knees, Lower Extremity, Shoulder, Wrist…	1	1	—	—	$58,080.00	$58,080.00	$58,080.00	2025-11-26
490	MS_DRG	Orthopedic Surgery - Joints (Elbow, Hip, Knees, Lower Extremity, Shoulder, Wrist…	1	1	—	—	$58,080.00	$58,080.00	$58,080.00	2025-11-26
1593	OTHER	New Technology - Level 42 ($30,001-$40,000)	5	2	—	—	$43,582.20	$65,208.40	$57,891.93	2025-11-26
1579	OTHER	New Technology - Level 42 ($30,001-$40,000)	5	2	—	—	$43,582.20	$65,208.40	$57,891.93	2025-11-26
02120ZC	OTHER	Cardio Vascular Surgery	2	1	—	—	$54,839.00	$60,837.00	$57,838.00	2025-11-26
02120Z9	OTHER	Cardio Vascular Surgery	2	1	—	—	$54,839.00	$60,837.00	$57,838.00	2025-11-26
02120ZF	OTHER	Cardio Vascular Surgery	2	1	—	—	$54,839.00	$60,837.00	$57,838.00	2025-11-26
02120Z3	OTHER	Cardio Vascular Surgery	2	1	—	—	$54,839.00	$60,837.00	$57,838.00	2025-11-26

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