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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

TEMECULA VALLEY HOSPITAL

Temecula, CA · CCN 050775 · Rates published

11,358 distinct procedures filed
19 distinct payers
510,444 rate rows
2026-05-08 last MRF observed
Data quality

509,910 of 510,444 rate rows are consumer-grade (99.9%)

534 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
exceeds 10× this hospital's gross charge — excluded from medians 263
per-diem day rate — not a per-procedure price 177
placeholder amount (≤ $0.02) — excluded from medians 54
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 40
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/461246570_temecula-valley-hospital_standardcharges.csv
Found on page https://www.swhtemeculavalley.com/patients-visitors/pricing-guide
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint bbdf6435ccbab752… · 77,510,947 bytes · first seen 2026-11-03

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
773
OTHER 		11 $3,710,000.00 $3,839,850.00 $3,784,200.00 nat. median
$3,646,097
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 11 $3,710,000.00 $3,839,850.00 $3,784,200.00 nat. median
$3,758,972
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 11 $2,403,458.75 $2,487,579.81 $2,451,527.92 nat. median
$2,588,981
0.9× median
9194
OTHER 		Tisagenlecleucel Car-pos T 11 $565,623.84 $585,420.67 $576,936.32 nat. median
$577,862
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 11 $551,318.34 $570,614.48 $562,344.71 nat. median
$587,650
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 11 $528,312.43 $546,803.37 $538,878.68 nat. median
$563,449
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 11 $516,485.97 $534,562.98 $526,815.69 nat. median
$562,201
0.9× median
18
OTHER 		13 $445,425.88 $661,029.96 $503,133.66 nat. median
$380,401
1.3× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 11 $489,517.15 $506,650.25 $499,307.49 nat. median
$533,230
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 11 $488,051.51 $505,133.31 $497,812.54 nat. median
$492,768
1.0× median
1
OTHER 		13 $332,695.79 $493,733.96 $375,798.67 nat. median
$225,321
1.7× median
583-4
OTHER 		6 $309,665.45 $331,342.03 $319,884.41 nat. median
$254,150
1.3× median
927
OTHER 		Factor Viii Recombinant 13 $1.54 $415,813.24 $310,312.40 nat. median
$2
outlier · 183616.8×
3
OTHER 		13 $253,128.63 $375,653.08 $285,923.07 nat. median
$204,908
1.4× median
583-3
OTHER 		6 $269,678.49 $288,555.99 $278,577.88 nat. median
$243,100
1.1× median
588-4
OTHER 		6 $230,970.69 $247,138.63 $238,592.72 nat. median
$236,745
1.0× median
161-4
OTHER 		6 $213,037.56 $227,950.19 $220,067.80 nat. median
$160,594
1.4× median
002-4
OTHER 		6 $206,386.58 $220,833.64 $213,197.33 nat. median
$178,618
1.2× median
4
OTHER 		13 $166,889.43 $247,670.64 $188,511.03 nat. median
$141,414
1.3× median
583-2
OTHER 		6 $169,230.17 $181,076.28 $174,814.77 nat. median
$178,334
1.0× median
14
OTHER 		13 $154,745.36 $229,648.35 $174,793.61 nat. median
$114,398
1.5× median
7
OTHER 		13 $154,355.60 $229,069.93 $174,353.36 nat. median
$149,058
1.2× median
161-3
OTHER 		6 $161,433.16 $172,733.48 $166,760.45 nat. median
$123,032
1.4× median
011-4
OTHER 		6 $160,319.16 $171,541.50 $165,609.69 nat. median
$62,526
outlier · 2.6×
630-4
OTHER 		6 $156,990.16 $167,979.48 $162,170.84 nat. median
$195,063
0.8× median
841-4
OTHER 		6 $153,007.58 $163,718.11 $158,056.83 nat. median
$113,251
1.4× median
593-4
OTHER 		6 $151,837.53 $162,466.16 $156,848.17 nat. median
$128,260
1.2× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 11 $152,500.50 $157,838.02 $155,550.51 nat. median
$155,855
1.0× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 11 $152,500.50 $157,838.02 $155,550.51 nat. median
$155,612
1.0× median
591-4
OTHER 		6 $150,323.17 $160,845.79 $155,283.84 nat. median
$134,440
1.2× median
588-3
OTHER 		6 $148,138.20 $158,507.88 $153,026.77 nat. median
$148,138
1.0× median
631-4
OTHER 		6 $147,676.79 $158,014.16 $152,550.12 nat. median
$183,175
0.8× median
609-4
OTHER 		6 $145,988.27 $156,207.45 $150,805.89 nat. median
$168,174
0.9× median
588-2
OTHER 		6 $144,198.66 $154,292.57 $148,957.22 nat. median
$133,956
1.1× median
2
OTHER 		13 $130,153.68 $193,153.30 $147,015.92 nat. median
$108,158
1.4× median
212
OTHER 		13 $128,667.85 $190,948.28 $145,337.60 nat. median
$78,761
1.8× median
5
OTHER 		13 $125,780.06 $186,662.68 $142,075.68 nat. median
$105,071
1.4× median
009-4
OTHER 		6 $137,512.65 $147,138.54 $142,050.57 nat. median
$98,526
1.4× median
583-1
OTHER 		6 $137,045.23 $146,638.40 $141,567.72 nat. median
$161,998
0.9× median
215
OTHER 		13 $125,135.18 $185,705.65 $141,347.25 nat. median
$75,013
1.9× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 11 $137,500.50 $142,313.02 $140,250.51 nat. median
$140,505
1.0× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 11 $137,500.50 $142,313.02 $140,250.51 nat. median
$140,505
1.0× median
426
OTHER 		13 $123,724.95 $183,612.81 $139,754.32 nat. median
$74,561
1.9× median
004-4
OTHER 		6 $134,969.36 $144,417.22 $139,423.35 nat. median
$100,636
1.4× median
007-4
OTHER 		6 $133,615.15 $142,968.21 $138,024.45 nat. median
$133,615
1.0× median
002-3
OTHER 		6 $130,623.46 $139,767.10 $134,934.03 nat. median
$125,034
1.1× median
001-4
OTHER 		6 $129,535.48 $138,602.96 $133,810.15 nat. median
$120,000
1.1× median
161-2
OTHER 		6 $129,460.41 $138,522.64 $133,732.60 nat. median
$98,784
1.4× median
161-1
OTHER 		6 $123,134.72 $131,754.15 $127,198.17 nat. median
$93,844
1.4× median
216
OTHER 		14 $25,277.00 $169,164.48 $126,243.78 nat. median
$73,813
1.7× median

Other procedures at this hospital

Browse this hospital's 11,358 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
             
773 OTHER — 11 11 — — $3,710,000.00 $3,839,850.00 $3,784,200.00 2026-05-08
18 OTHER — 14 13 — — $445,425.88 $661,029.96 $503,133.66 2026-05-08
1 OTHER — 14 13 — — $332,695.79 $493,733.96 $375,798.67 2026-05-08
583-4 OTHER — 6 6 — — $309,665.45 $331,342.03 $319,884.41 2026-05-08
3 OTHER — 14 13 — — $253,128.63 $375,653.08 $285,923.07 2026-05-08
583-3 OTHER — 6 6 — — $269,678.49 $288,555.99 $278,577.88 2026-05-08
588-4 OTHER — 6 6 — — $230,970.69 $247,138.63 $238,592.72 2026-05-08
161-4 OTHER — 6 6 — — $213,037.56 $227,950.19 $220,067.80 2026-05-08
002-4 OTHER — 6 6 — — $206,386.58 $220,833.64 $213,197.33 2026-05-08
4 OTHER — 14 13 — — $166,889.43 $247,670.64 $188,511.03 2026-05-08
583-2 OTHER — 6 6 — — $169,230.17 $181,076.28 $174,814.77 2026-05-08
14 OTHER — 14 13 — — $154,745.36 $229,648.35 $174,793.61 2026-05-08
7 OTHER — 14 13 — — $154,355.60 $229,069.93 $174,353.36 2026-05-08
161-3 OTHER — 6 6 — — $161,433.16 $172,733.48 $166,760.45 2026-05-08
011-4 OTHER — 6 6 — — $160,319.16 $171,541.50 $165,609.69 2026-05-08
630-4 OTHER — 6 6 — — $156,990.16 $167,979.48 $162,170.84 2026-05-08
841-4 OTHER — 6 6 — — $153,007.58 $163,718.11 $158,056.83 2026-05-08
593-4 OTHER — 6 6 — — $151,837.53 $162,466.16 $156,848.17 2026-05-08
591-4 OTHER — 6 6 — — $150,323.17 $160,845.79 $155,283.84 2026-05-08
588-3 OTHER — 6 6 — — $148,138.20 $158,507.88 $153,026.77 2026-05-08
631-4 OTHER — 6 6 — — $147,676.79 $158,014.16 $152,550.12 2026-05-08
609-4 OTHER — 6 6 — — $145,988.27 $156,207.45 $150,805.89 2026-05-08
588-2 OTHER — 6 6 — — $144,198.66 $154,292.57 $148,957.22 2026-05-08
2 OTHER — 14 13 — — $130,153.68 $193,153.30 $147,015.92 2026-05-08
212 OTHER — 14 13 — — $128,667.85 $190,948.28 $145,337.60 2026-05-08
5 OTHER — 14 13 — — $125,780.06 $186,662.68 $142,075.68 2026-05-08
009-4 OTHER — 6 6 — — $137,512.65 $147,138.54 $142,050.57 2026-05-08
583-1 OTHER — 6 6 — — $137,045.23 $146,638.40 $141,567.72 2026-05-08
215 OTHER — 14 13 — — $125,135.18 $185,705.65 $141,347.25 2026-05-08
426 OTHER — 14 13 — — $123,724.95 $183,612.81 $139,754.32 2026-05-08
004-4 OTHER — 6 6 — — $134,969.36 $144,417.22 $139,423.35 2026-05-08
007-4 OTHER — 6 6 — — $133,615.15 $142,968.21 $138,024.45 2026-05-08
002-3 OTHER — 6 6 — — $130,623.46 $139,767.10 $134,934.03 2026-05-08
001-4 OTHER — 6 6 — — $129,535.48 $138,602.96 $133,810.15 2026-05-08
161-2 OTHER — 6 6 — — $129,460.41 $138,522.64 $133,732.60 2026-05-08
161-1 OTHER — 6 6 — — $123,134.72 $131,754.15 $127,198.17 2026-05-08
216 OTHER — 17 14 — — $25,277.00 $169,164.48 $126,243.78 2026-05-08
850 OTHER — 14 13 — — $108,801.75 $161,466.18 $122,897.72 2026-05-08
603-4 OTHER — 6 6 — — $113,900.42 $121,873.45 $117,659.13 2026-05-08
602-4 OTHER — 6 6 — — $109,563.52 $117,232.96 $113,179.11 2026-05-08
456 OTHER — 15 13 — — $7,696.00 $148,448.14 $112,979.13 2026-05-08
429 OTHER — 14 13 — — $98,510.83 $146,194.04 $111,273.54 2026-05-08
231 OTHER — 17 14 — — $25,277.00 $148,530.52 $110,845.11 2026-05-08
20 OTHER — 14 13 — — $95,209.65 $141,294.96 $107,544.67 2026-05-08
006-4 OTHER — 6 6 — — $103,208.80 $110,433.42 $106,614.70 2026-05-08
10 OTHER — 14 13 — — $94,169.10 $139,750.74 $106,369.32 2026-05-08
19 OTHER — 14 13 — — $93,629.34 $138,949.71 $105,759.62 2026-05-08
593-3 OTHER — 6 6 — — $102,271.96 $109,431.00 $105,646.93 2026-05-08
233 OTHER — 17 14 — — $25,277.00 $137,005.86 $102,244.50 2026-05-08
591-3 OTHER — 6 6 — — $98,416.50 $105,305.65 $101,664.24 2026-05-08
219 OTHER — 17 14 — — $25,277.00 $135,622.90 $101,212.43 2026-05-08
160-4 OTHER — 6 6 — — $97,139.35 $103,939.10 $100,344.95 2026-05-08
957 OTHER — 14 13 — — $88,159.67 $130,832.50 $99,581.32 2026-05-08
588-1 OTHER — 6 6 — — $95,908.24 $102,621.82 $99,073.21 2026-05-08
002-2 OTHER — 6 6 — — $94,013.54 $100,594.48 $97,115.99 2026-05-08
005-4 OTHER — 6 6 — — $92,671.33 $99,158.32 $95,729.49 2026-05-08
427 OTHER — 14 13 — — $83,889.99 $124,496.13 $94,758.48 2026-05-08
004-3 OTHER — 6 6 — — $89,206.21 $95,450.65 $92,150.02 2026-05-08
955 OTHER — 14 13 — — $80,649.05 $119,686.44 $91,097.65 2026-05-08
447 OTHER — 14 13 — — $79,189.21 $117,519.98 $89,448.68 2026-05-08
011-3 OTHER — 6 6 — — $86,144.46 $92,174.57 $88,987.23 2026-05-08
268 OTHER — 16 14 — — $25,277.00 $116,869.69 $88,081.55 2026-05-08
607-4 OTHER — 6 6 — — $85,169.58 $91,131.45 $87,980.18 2026-05-08
630-3 OTHER — 6 6 — — $85,041.47 $90,994.37 $87,847.84 2026-05-08
303-4 OTHER — 6 6 — — $84,379.87 $90,286.46 $87,164.41 2026-05-08
207 OTHER — 14 13 — — $76,384.10 $113,357.08 $86,280.15 2026-05-08
842-4 OTHER — 6 6 — — $83,517.10 $89,363.29 $86,273.16 2026-05-08
162-4 OTHER — 6 6 — — $83,071.70 $88,886.72 $85,813.07 2026-05-08
602-3 OTHER — 6 6 — — $82,767.42 $88,561.14 $85,498.75 2026-05-08
217 OTHER — 17 14 — — $25,277.00 $113,194.07 $84,474.28 2026-05-08
006-3 OTHER — 6 6 — — $81,709.47 $87,429.14 $84,405.89 2026-05-08
969 OTHER — 14 13 — — $74,696.31 $110,852.33 $84,373.69 2026-05-08
317 OTHER — 14 13 — — $73,067.57 $108,435.22 $82,533.95 2026-05-08
573 OTHER — 14 13 — — $72,734.50 $107,940.93 $82,157.72 2026-05-08
593-2 OTHER — 6 6 — — $79,519.50 $85,085.87 $82,143.64 2026-05-08
461 OTHER — 15 13 — — $7,696.00 $107,564.08 $81,863.58 2026-05-08
28 OTHER — 15 13 — — $7,696.00 $106,561.48 $81,100.53 2026-05-08
440-4 OTHER — 6 6 — — $78,303.41 $83,784.65 $80,887.42 2026-05-08
16 OTHER — 14 13 — — $71,290.01 $105,797.26 $80,526.10 2026-05-08
17 OTHER — 14 13 — — $71,290.01 $105,797.26 $80,526.10 2026-05-08
266 OTHER — 14 13 — — $70,757.34 $105,006.74 $79,924.40 2026-05-08
232 OTHER — 17 14 — — $25,277.00 $107,073.29 $79,906.48 2026-05-08
002-1 OTHER — 6 6 — — $77,288.50 $82,698.69 $79,839.02 2026-05-08
007-3 OTHER — 6 6 — — $76,591.87 $81,953.30 $79,119.40 2026-05-08
218 OTHER — 17 14 — — $25,277.00 $104,279.33 $77,821.40 2026-05-08
235 OTHER — 17 14 — — $25,277.00 $103,138.26 $76,969.85 2026-05-08
457 OTHER — 15 13 — — $7,696.00 $100,600.20 $76,563.60 2026-05-08
820 OTHER — 25 13 — — $23.52 $102,053.27 $76,160.15 2026-05-08
001-3 OTHER — 6 6 — — $73,704.27 $78,863.57 $76,136.51 2026-05-08
23 OTHER — 14 13 — — $67,382.94 $99,998.99 $76,112.82 2026-05-08
851-4 OTHER — 6 6 — — $73,525.11 $78,671.87 $75,951.45 2026-05-08
653 OTHER — 14 13 — — $65,841.60 $97,711.59 $74,371.80 2026-05-08
21 OTHER — 14 13 — — $65,282.94 $96,882.51 $73,740.76 2026-05-08
428 OTHER — 14 13 — — $65,008.93 $96,475.86 $73,431.24 2026-05-08
163-4 OTHER — 6 6 — — $70,285.20 $75,205.16 $72,604.61 2026-05-08
8 OTHER — 14 13 — — $64,264.83 $95,371.60 $72,590.75 2026-05-08
405 OTHER — 14 13 — — $64,118.38 $95,154.25 $72,425.32 2026-05-08
834 OTHER — 25 13 — — $128.07 $96,882.51 $72,301.32 2026-05-08
463 OTHER — 14 13 — — $63,791.21 $94,668.73 $72,055.77 2026-05-08
11 OTHER — 14 13 — — $63,730.97 $94,579.34 $71,987.74 2026-05-08
576 OTHER — 14 13 — — $63,723.89 $94,568.82 $71,979.73 2026-05-08
863-4 OTHER — 6 6 — — $67,843.00 $72,592.01 $70,081.82 2026-05-08
178-4 OTHER — 6 6 — — $67,532.72 $72,260.02 $69,761.30 2026-05-08
234 OTHER — 17 14 — — $25,277.00 $93,252.47 $69,592.29 2026-05-08
006-2 OTHER — 6 6 — — $67,118.35 $71,816.64 $69,333.26 2026-05-08
220 OTHER — 17 14 — — $25,277.00 $92,840.56 $69,284.90 2026-05-08
466 OTHER — 15 13 — — $7,696.00 $89,298.15 $67,961.96 2026-05-08
005-3 OTHER — 6 6 — — $65,623.01 $70,216.62 $67,788.57 2026-05-08
326 OTHER — 14 13 — — $59,988.07 $89,024.71 $67,759.91 2026-05-08
165-4 OTHER — 6 6 — — $65,102.54 $69,659.72 $67,250.92 2026-05-08
239 OTHER — 14 13 — — $59,490.83 $88,286.78 $67,198.24 2026-05-08
167-4 OTHER — 6 6 — — $64,981.43 $69,530.13 $67,125.82 2026-05-08
008-4 OTHER — 6 6 — — $64,857.32 $69,397.33 $66,997.61 2026-05-08
611-4 OTHER — 6 6 — — $64,596.08 $69,117.81 $66,727.76 2026-05-08
602-2 OTHER — 6 6 — — $64,209.74 $68,704.42 $66,328.65 2026-05-08
607-3 OTHER — 6 6 — — $64,091.63 $68,578.04 $66,206.65 2026-05-08
609-3 OTHER — 6 6 — — $63,675.26 $68,132.52 $65,776.54 2026-05-08
245 OTHER — 14 13 — — $57,717.99 $85,655.83 $65,195.73 2026-05-08
228 OTHER — 17 14 — — $25,277.00 $87,347.28 $65,185.38 2026-05-08
6 OTHER — 14 13 — — $57,273.90 $84,996.78 $64,694.10 2026-05-08
009-3 OTHER — 6 6 — — $62,271.99 $66,631.03 $64,326.97 2026-05-08
612-4 OTHER — 6 6 — — $62,089.83 $66,436.12 $64,138.79 2026-05-08
011-2 OTHER — 6 6 — — $61,532.33 $65,839.59 $63,562.90 2026-05-08
001-2 OTHER — 6 6 — — $61,493.29 $65,797.82 $63,522.57 2026-05-08
981 OTHER — 14 13 — — $56,148.31 $83,326.36 $63,422.69 2026-05-08
304-4 OTHER — 6 6 — — $61,288.11 $65,578.28 $63,310.62 2026-05-08
267 OTHER — 14 13 — — $55,567.21 $82,463.98 $62,766.30 2026-05-08
826 OTHER — 25 13 — — $87.14 $83,704.96 $62,467.20 2026-05-08
823 OTHER — 14 13 — — $55,269.57 $82,022.28 $62,430.10 2026-05-08
183-4 OTHER — 6 6 — — $60,375.29 $64,601.56 $62,367.67 2026-05-08
007-2 OTHER — 6 6 — — $60,331.25 $64,554.44 $62,322.18 2026-05-08
799 OTHER — 25 13 — — $7.69 $83,342.13 $62,196.43 2026-05-08
277 OTHER — 14 13 — — $54,943.59 $81,538.50 $62,061.89 2026-05-08
163 OTHER — 14 13 — — $54,439.26 $80,790.06 $61,492.22 2026-05-08
650 OTHER — 14 13 — — $54,416.82 $80,756.75 $61,466.87 2026-05-08
329 OTHER — 14 13 — — $54,234.93 $80,486.82 $61,261.41 2026-05-08
591-2 OTHER — 6 6 — — $58,175.31 $62,247.58 $60,095.10 2026-05-08
221 OTHER — 17 14 — — $25,277.00 $80,499.09 $60,074.73 2026-05-08
004-2 OTHER — 6 6 — — $58,078.22 $62,143.70 $59,994.81 2026-05-08
474 OTHER — 14 13 — — $52,968.79 $78,607.82 $59,831.24 2026-05-08
179-4 OTHER — 6 6 — — $57,855.02 $61,904.87 $59,764.24 2026-05-08
910-4 OTHER — 6 6 — — $57,768.95 $61,812.77 $59,675.32 2026-05-08
25 OTHER — 14 13 — — $52,822.34 $78,390.47 $59,665.81 2026-05-08
303-3 OTHER — 6 6 — — $57,689.87 $61,728.17 $59,593.64 2026-05-08
166-4 OTHER — 6 6 — — $57,307.53 $61,319.06 $59,198.68 2026-05-08
319 OTHER — 14 13 — — $51,883.36 $76,997.00 $58,605.18 2026-05-08
680-4 OTHER — 6 6 — — $56,539.84 $60,497.63 $58,405.65 2026-05-08
162-3 OTHER — 6 6 — — $56,264.59 $60,203.11 $58,121.32 2026-05-08
091-4 OTHER — 6 6 — — $55,890.26 $59,802.57 $57,734.63 2026-05-08
933 OTHER — 14 13 — — $51,105.02 $75,841.90 $57,726.00 2026-05-08
458 OTHER — 15 13 — — $7,696.00 $75,685.90 $57,602.12 2026-05-08
006-1 OTHER — 6 6 — — $55,755.13 $59,657.99 $57,595.06 2026-05-08
356 OTHER — 14 13 — — $50,382.18 $74,769.19 $56,909.52 2026-05-08
323 OTHER — 14 13 — — $50,307.77 $74,658.76 $56,825.47 2026-05-08
603-3 OTHER — 6 6 — — $54,999.46 $58,849.42 $56,814.43 2026-05-08
589-1 OTHER — 6 6 — — $54,955.42 $58,802.29 $56,768.94 2026-05-08
001-1 OTHER — 6 6 — — $54,809.28 $58,645.93 $56,617.99 2026-05-08
140 OTHER — 14 13 — — $49,951.08 $74,129.42 $56,422.57 2026-05-08
31 OTHER — 14 13 — — $49,495.18 $73,452.84 $55,907.59 2026-05-08
673 OTHER — 14 13 — — $49,483.37 $73,435.31 $55,894.25 2026-05-08
850-4 OTHER — 6 6 — — $53,958.52 $57,735.62 $55,739.15 2026-05-08
269 OTHER — 16 14 — — $25,277.00 $72,928.75 $54,964.44 2026-05-08
958 OTHER — 14 13 — — $48,540.85 $72,036.57 $54,829.62 2026-05-08
12 OTHER — 14 13 — — $48,468.80 $71,929.65 $54,748.24 2026-05-08
793 OTHER — 25 13 — — $2.02 $73,100.52 $54,553.34 2026-05-08
448 OTHER — 14 13 — — $48,230.22 $71,575.59 $54,478.76 2026-05-08
613-4 OTHER — 6 6 — — $52,627.32 $56,311.23 $54,364.03 2026-05-08
423 OTHER — 14 13 — — $48,040.06 $71,293.39 $54,263.96 2026-05-08
236 OTHER — 17 14 — — $25,277.00 $72,076.89 $53,789.42 2026-05-08
178-3 OTHER — 6 6 — — $51,747.53 $55,369.86 $53,455.20 2026-05-08
912-4 OTHER — 6 6 — — $51,543.35 $55,151.38 $53,244.27 2026-05-08
911-4 OTHER — 6 6 — — $51,481.29 $55,084.98 $53,180.18 2026-05-08
791 OTHER — 25 13 — — $0.09 $71,161.93 $53,106.60 2026-05-08
169-4 OTHER — 6 6 — — $51,367.19 $54,962.89 $53,062.31 2026-05-08
628 OTHER — 14 13 — — $46,602.66 $69,160.23 $52,640.34 2026-05-08
273 OTHER — 14 13 — — $46,184.55 $68,539.74 $52,168.06 2026-05-08
621-4 OTHER — 6 6 — — $50,453.37 $53,985.10 $52,118.32 2026-05-08
841-3 OTHER — 6 6 — — $50,296.23 $53,816.96 $51,956.00 2026-05-08
021-4 OTHER — 6 6 — — $50,285.22 $53,805.18 $51,944.63 2026-05-08
34 OTHER — 14 13 — — $45,929.44 $68,161.13 $51,879.89 2026-05-08
023-4 OTHER — 6 6 — — $50,012.97 $53,513.88 $51,663.40 2026-05-08
616 OTHER — 14 13 — — $45,649.51 $67,745.72 $51,563.71 2026-05-08
166 OTHER — 14 13 — — $45,475.89 $67,488.06 $51,367.58 2026-05-08
956 OTHER — 14 13 — — $45,146.37 $66,999.03 $50,995.37 2026-05-08
120-4 OTHER — 6 6 — — $49,323.35 $52,775.99 $50,951.03 2026-05-08
24 OTHER — 14 13 — — $44,901.88 $66,636.20 $50,719.21 2026-05-08
440-3 OTHER — 6 6 — — $48,930.00 $52,355.10 $50,544.69 2026-05-08
40 OTHER — 14 13 — — $44,552.27 $66,117.37 $50,324.31 2026-05-08
681-4 OTHER — 6 6 — — $48,450.57 $51,842.11 $50,049.43 2026-05-08
220-4 OTHER — 6 6 — — $48,435.55 $51,826.04 $50,033.93 2026-05-08
631-3 OTHER — 6 6 — — $48,430.55 $51,820.69 $50,028.76 2026-05-08
622 OTHER — 14 13 — — $44,196.76 $65,589.78 $49,922.74 2026-05-08
690-4 OTHER — 6 6 — — $48,081.23 $51,446.92 $49,667.92 2026-05-08
260-4 OTHER — 6 6 — — $48,072.23 $51,437.28 $49,658.61 2026-05-08
007-1 OTHER — 6 6 — — $47,581.79 $50,912.51 $49,151.99 2026-05-08
633-4 OTHER — 6 6 — — $47,478.69 $50,802.20 $49,045.49 2026-05-08
089-4 OTHER — 6 6 — — $47,417.64 $50,736.87 $48,982.42 2026-05-08
312-4 OTHER — 6 6 — — $47,271.51 $50,580.51 $48,831.47 2026-05-08
950-4 OTHER — 6 6 — — $47,240.48 $50,547.31 $48,799.42 2026-05-08
020-4 OTHER — 6 6 — — $47,233.47 $50,539.81 $48,792.18 2026-05-08
94 OTHER — 14 13 — — $43,094.80 $63,954.41 $48,678.01 2026-05-08
165-3 OTHER — 6 6 — — $46,725.01 $49,995.77 $48,266.94 2026-05-08
361-4 OTHER — 6 6 — — $46,650.95 $49,916.51 $48,190.43 2026-05-08
607-2 OTHER — 6 6 — — $46,627.93 $49,891.88 $48,166.65 2026-05-08
441-4 OTHER — 6 6 — — $46,514.83 $49,770.86 $48,049.82 2026-05-08
608-4 OTHER — 6 6 — — $46,513.82 $49,769.79 $48,048.78 2026-05-08
163-3 OTHER — 6 6 — — $46,299.63 $49,540.61 $47,827.52 2026-05-08
97 OTHER — 14 13 — — $42,337.71 $62,830.87 $47,822.83 2026-05-08
518 OTHER — 14 13 — — $42,330.62 $62,820.35 $47,814.83 2026-05-08
265 OTHER — 14 13 — — $42,132.20 $62,525.88 $47,590.69 2026-05-08
130-4 OTHER — 6 6 — — $46,004.37 $49,224.67 $47,522.51 2026-05-08
178-2 OTHER — 6 6 — — $45,929.30 $49,144.35 $47,444.97 2026-05-08
160-3 OTHER — 6 6 — — $45,882.26 $49,094.01 $47,396.37 2026-05-08
492 OTHER — 14 13 — — $41,943.22 $62,245.43 $47,377.24 2026-05-08
22 OTHER — 14 13 — — $41,697.55 $61,880.85 $47,099.74 2026-05-08
608-3 OTHER — 6 6 — — $45,476.89 $48,660.27 $46,977.63 2026-05-08
495 OTHER — 14 13 — — $41,581.81 $61,709.08 $46,969.00 2026-05-08
414 OTHER — 14 13 — — $41,383.38 $61,414.61 $46,744.87 2026-05-08
987 OTHER — 14 13 — — $41,370.39 $61,395.33 $46,730.19 2026-05-08
408 OTHER — 14 13 — — $41,353.85 $61,370.79 $46,711.51 2026-05-08
264 OTHER — 14 13 — — $41,280.63 $61,262.11 $46,628.79 2026-05-08
651 OTHER — 14 13 — — $41,013.70 $60,865.98 $46,327.29 2026-05-08
332 OTHER — 14 13 — — $40,968.82 $60,799.37 $46,276.59 2026-05-08
574 OTHER — 14 13 — — $40,923.93 $60,732.77 $46,225.89 2026-05-08
027-4 OTHER — 6 6 — — $44,581.09 $47,701.76 $46,052.26 2026-05-08
477 OTHER — 14 13 — — $40,618.03 $60,278.79 $45,880.35 2026-05-08
665 OTHER — 14 13 — — $40,554.25 $60,184.14 $45,808.31 2026-05-08
252 OTHER — 14 13 — — $40,516.45 $60,128.05 $45,765.62 2026-05-08
467 OTHER — 15 13 — — $7,696.00 $60,036.91 $45,692.17 2026-05-08
614-4 OTHER — 6 6 — — $44,074.63 $47,159.86 $45,529.09 2026-05-08
271 OTHER — 16 14 — — $25,277.00 $60,373.44 $45,501.85 2026-05-08
162-2 OTHER — 6 6 — — $43,960.53 $47,037.77 $45,411.22 2026-05-08
261-4 OTHER — 6 6 — — $43,736.33 $46,797.87 $45,179.62 2026-05-08
005-2 OTHER — 6 6 — — $43,531.14 $46,578.32 $44,967.68 2026-05-08
242 OTHER — 16 14 — — $6,229.00 $59,454.98 $44,809.62 2026-05-08
29 OTHER — 15 13 — — $7,696.00 $58,836.24 $44,778.38 2026-05-08
181-4 OTHER — 6 6 — — $43,342.97 $46,376.98 $44,773.29 2026-05-08
740-4 OTHER — 6 6 — — $43,255.90 $46,283.81 $44,683.34 2026-05-08
440-2 OTHER — 6 6 — — $43,019.68 $46,031.06 $44,439.33 2026-05-08
176-4 OTHER — 6 6 — — $42,891.57 $45,893.98 $44,306.99 2026-05-08
37 OTHER — 14 13 — — $39,223.15 $58,208.74 $44,304.76 2026-05-08
401-4 OTHER — 6 6 — — $42,748.44 $45,740.83 $44,159.14 2026-05-08
143 OTHER — 14 13 — — $38,998.74 $57,875.70 $44,051.28 2026-05-08
579 OTHER — 14 13 — — $38,496.77 $57,130.76 $43,484.28 2026-05-08
656 OTHER — 14 13 — — $38,480.24 $57,106.22 $43,465.60 2026-05-08
510-4 OTHER — 6 6 — — $42,072.83 $45,017.93 $43,461.24 2026-05-08
004-1 OTHER — 6 6 — — $42,036.80 $44,979.38 $43,424.01 2026-05-08
178-1 OTHER — 6 6 — — $41,988.76 $44,927.97 $43,374.38 2026-05-08
303-2 OTHER — 6 6 — — $41,862.64 $44,793.03 $43,244.11 2026-05-08
469 OTHER — 16 13 — — $7,696.00 $57,293.77 $43,180.78 2026-05-08
485 OTHER — 14 13 — — $38,023.15 $56,427.89 $42,949.29 2026-05-08
901 OTHER Alpha 1 Proteinase Inhibitor 25 13 — — $5.09 $77,657.80 $57,954.34 2026-05-08
736 OTHER Amphotericin B Liposome Inj 25 13 — — $23.98 $69,018.25 $51,506.83 2026-05-08
9035 OTHER Axicabtagene Ciloleucel Car+ 11 11 — — $489,517.15 $506,650.25 $499,307.49 2026-05-08
90288 CPT Botulism Ig IV 2 2 — — $499.80 $105,348.91 $52,924.36 2026-05-08
9391 OTHER Brexucabtagene Car Pos T 11 11 — — $488,051.51 $505,133.31 $497,812.54 2026-05-08
9498 OTHER Ciltacabtagene Car-pos T 11 11 — — $551,318.34 $570,614.48 $562,344.71 2026-05-08
C1882 HCPCS Defib Concerto C154dwk 369 10 $100,759.00 — $0.30 $242,271.90 $45,857.22 2026-05-08
802 OTHER Etoposide Oral 50 Mg 24 16 $3,445.00 — $1,023.16 $62,834.37 $46,891.93 2026-05-08
928 OTHER Factor Ix Complex 25 13 — — $1.66 $117,067.76 $87,365.13 2026-05-08
927 OTHER Factor Viii Recombinant 25 13 — — $1.54 $415,813.24 $310,312.40 2026-05-08
876 OTHER Gallium Gozellix 1 Millicuri 14 13 — — $46,412.51 $68,878.03 $52,425.54 2026-05-08
C1825 HCPCS Generator Cvrx Barostim Neo2 11 10 $151,402.00 — $3,925.00 $136,261.80 $44,966.39 2026-05-08
9422 OTHER Idecabtagene Vicleucel Car 11 11 — — $528,312.43 $546,803.37 $538,878.68 2026-05-08
C1767 HCPCS Implantable Generator Inspire 71 10 $107,450.00 — $3,925.00 $154,687.50 $44,110.80 2026-05-08
9141 OTHER Inj Onase Abepar-xioi Treat 11 11 — — $2,403,458.75 $2,487,579.81 $2,451,527.92 2026-05-08
853 OTHER Inj Zenocutuzumab-zbco 1 Mg 14 13 — — $59,070.35 $87,662.79 $66,723.29 2026-05-08
907 OTHER Inj, Cyclophos (baxter) 5mg 14 13 — — $47,051.48 $69,826.29 $53,147.31 2026-05-08
9138 OTHER Inj, Hemgenix, Per Tx Dose 11 11 — — $3,710,000.00 $3,839,850.00 $3,784,200.00 2026-05-08
739 OTHER Inj, Rykindo, 0.5 Mg 25 13 — — $13.03 $69,777.22 $52,073.22 2026-05-08
837 OTHER Inj, Treosulfan, 50 Mg 14 13 — — $59,140.04 $87,766.20 $66,802.01 2026-05-08
870 OTHER Inj. Calaspargase Pegol-mknl 14 13 — — $82,163.22 $121,933.53 $92,807.99 2026-05-08
5244 OTHER Level 4 Blood Product Exchange And Related Services 11 11 — — $59,142.33 $61,212.31 $60,325.18 2026-05-08
9413 OTHER Lisocabtagene Car Pos T 11 11 — — $516,485.97 $534,562.98 $526,815.69 2026-05-08
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 11 11 — — $45,000.50 $46,575.52 $45,900.51 2026-05-08
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 11 11 — — $45,000.50 $46,575.52 $45,900.51 2026-05-08
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 11 11 — — $55,000.50 $56,925.52 $56,100.51 2026-05-08
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 11 11 — — $55,000.50 $56,925.52 $56,100.51 2026-05-08
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 11 11 — — $65,000.50 $67,275.52 $66,300.51 2026-05-08
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 11 11 — — $65,000.50 $67,275.52 $66,300.51 2026-05-08
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 11 11 — — $75,000.50 $77,625.52 $76,500.51 2026-05-08
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 11 11 — — $75,000.50 $77,625.52 $76,500.51 2026-05-08
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 11 11 — — $85,000.50 $87,975.52 $86,700.51 2026-05-08
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 11 11 — — $85,000.50 $87,975.52 $86,700.51 2026-05-08
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 11 11 — — $95,000.50 $98,325.52 $96,900.51 2026-05-08
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 11 11 — — $95,000.50 $98,325.52 $96,900.51 2026-05-08
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 11 11 — — $107,500.50 $111,263.02 $109,650.51 2026-05-08
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 11 11 — — $107,500.50 $111,263.02 $109,650.51 2026-05-08
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 11 11 — — $122,500.50 $126,788.02 $124,950.51 2026-05-08
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 11 11 — — $122,500.50 $126,788.02 $124,950.51 2026-05-08
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 11 11 — — $137,500.50 $142,313.02 $140,250.51 2026-05-08
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 11 11 — — $137,500.50 $142,313.02 $140,250.51 2026-05-08
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 11 11 — — $152,500.50 $157,838.02 $155,550.51 2026-05-08
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 11 11 — — $152,500.50 $157,838.02 $155,550.51 2026-05-08
856 OTHER Porfimer Sodium Injection 25 13 — — $24,228.42 $79,079.32 $59,015.19 2026-05-08
9273 OTHER Sipuleucel-t Auto Cd54+ 11 11 — — $55,536.50 $57,480.28 $56,647.23 2026-05-08
1142 OTHER Supprelin La Implant 11 11 — — $45,261.80 $46,845.96 $46,167.03 2026-05-08
904 OTHER Testosterone Pellet 75 Mg 14 13 — — $45,603.45 $67,677.36 $51,511.67 2026-05-08
9194 OTHER Tisagenlecleucel Car-pos T 11 11 — — $565,623.84 $585,420.67 $576,936.32 2026-05-08
1643 OTHER Y90 Ibritumomab, Rx 11 11 — — $56,824.55 $58,813.41 $57,961.04 2026-05-08
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