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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

BRIDGEPORT HOSPITAL

Bridgeport, CT · CCN 070010 · Rates published

27,744 distinct procedures filed
43 distinct payers
1,292,119 rate rows
2026-01-01 last MRF observed
Data quality

1,059,119 of 1,292,119 rate rows are consumer-grade (82.0%)

233,000 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
placeholder amount (≤ $0.02) — excluded from medians 230,027
template filing: same amount across many unrelated codes — excluded 2,403
exceeds 10× this hospital's gross charge — excluded from medians 469
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 51
exceeds 3× this hospital's gross charge for a DRG stay — excluded 37
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.bridgeporthospital.org/-/media/Files/YNHHS/sc/06-0646554-Bridgeport-Hospital_standard_charges-1.ashx
Found on page https://www.bridgeporthospital.org/patients-visitors/billing-insurance/Pricing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-05
Content fingerprint 0e383b7b5dd07744… · 112,600,154 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
51167-290-01
CDM 		Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp 27 $4,394,563.90 $4,394,563.90 $4,394,563.90 nat. median
$4,394,564
1.0× median
51167-290-09
CDM 		Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp 27 $4,394,563.90 $4,394,563.90 $4,394,563.90 nat. median
$4,394,564
1.0× median
60923-537-46
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-540-49
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-521-30
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-559-68
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-512-21
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-532-41
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-502-11
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-526-35
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-524-33
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-534-43
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-510-19
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-561-70
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-509-18
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-503-12
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-519-28
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-518-27
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-536-45
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-514-23
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-520-29
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.89 $1,917,627.89 $1,917,627.89 nat. median
$1,917,628
1.0× median
60923-531-40
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-522-31
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-529-38
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-516-25
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-538-47
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-501-10
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-505-14
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-533-42
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-541-50
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-546-55
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-547-56
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-515-24
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-542-51
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-517-26
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-530-39
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-543-52
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-544-53
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-506-15
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-513-22
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-525-34
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-511-20
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-528-37
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-504-13
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-523-32
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-527-36
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-507-16
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-508-17
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-535-44
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median
60923-539-48
CDM 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 $1,917,627.88 $1,917,627.88 $1,917,627.88 nat. median
$1,917,628
1.0× median

Other procedures at this hospital

Browse this hospital's 27,744 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
51167-290-01 CDM Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp 27 27 — — $4,394,563.90 $4,394,563.90 $4,394,563.90 2026-01-01
51167-290-09 CDM Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp 27 27 — — $4,394,563.90 $4,394,563.90 $4,394,563.90 2026-01-01
60923-512-21 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-503-12 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-520-29 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-536-45 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-518-27 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-502-11 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-526-35 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-524-33 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-521-30 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-561-70 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-559-68 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-514-23 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-537-46 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-510-19 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-532-41 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-509-18 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-519-28 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-540-49 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-534-43 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.01 $2,496,000.01 48% off $1,917,627.89 $1,917,627.89 $1,917,627.89 2026-01-01
60923-552-61 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-557-66 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-531-40 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-549-58 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-530-39 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-523-32 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-513-22 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-506-15 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-560-69 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-539-48 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-504-13 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-507-16 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-527-36 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-554-63 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-541-50 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-544-53 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-533-42 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-543-52 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-551-60 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-542-51 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-517-26 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-538-47 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-555-64 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-522-31 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-525-34 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-501-10 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-508-17 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-515-24 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-511-20 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-553-62 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-547-56 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-556-65 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-529-38 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-545-54 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-546-55 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-535-44 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-548-57 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-516-25 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-558-67 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-528-37 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-505-14 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
60923-550-59 CDM Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 27 27 $4,800,000.00 $2,496,000.00 48% off $1,917,627.88 $1,917,627.88 $1,917,627.88 2026-01-01
71894-133-07 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-138-08 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-136-08 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-141-09 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-140-09 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-122-03 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-129-05 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-135-07 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-124-04 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-121-03 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-131-06 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-126-04 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-137-08 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-123-03 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-130-06 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-127-05 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-128-05 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-134-07 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-125-04 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-132-06 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-120-02 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
71894-139-09 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 27 $3,483,066.54 $1,811,194.60 48% off $1,391,505.32 $1,391,505.32 $1,391,505.32 2026-01-01
191001 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 27 26 $3,483,066.54 $1,776,363.94 49% off $11.16 $2,814,317.76 $1,314,732.12 2025-01-10
73776-001-11 CDM Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension 27 27 $2,810,000.00 $1,461,200.00 48% off $1,122,611.32 $1,122,611.32 $1,122,611.32 2026-01-01
0078-0846-19 CDM Tisagenlecleucel (kymriah) Infusion- B All 27 27 $2,719,137.50 $1,413,951.50 48% off $1,086,311.23 $1,086,311.23 $1,086,311.23 2026-01-01
0078-0958-19 CDM Tisagenlecleucel (kymriah) Infusion - Fl And Lbcl 27 27 $2,719,137.50 $1,413,951.50 48% off $1,086,311.23 $1,086,311.23 $1,086,311.23 2026-01-01
73153-901-08 CDM Lisocabtagene Maraleucel (breyanzi) Cd8 Injection - Lbcl 27 27 $2,656,752.00 $1,381,511.04 48% off $1,061,387.86 $1,061,387.86 $1,061,387.86 2026-01-01
59572-515-01 CDM Idecabtagene Vicleucel (abecma) Infusion - Mm 27 27 $2,641,562.15 $1,373,612.32 48% off $1,055,319.42 $1,055,319.42 $1,055,319.42 2026-01-01
59572-515-03 CDM Idecabtagene Vicleucel (abecma) Infusion - Mm 27 27 $2,641,562.15 $1,373,612.32 48% off $1,055,319.42 $1,055,319.42 $1,055,319.42 2026-01-01
59572-515-02 CDM Idecabtagene Vicleucel (abecma) Infusion - Mm 27 27 $2,641,562.15 $1,373,612.32 48% off $1,055,319.42 $1,055,319.42 $1,055,319.42 2026-01-01
83047-410-04 CDM Obecabtagene Autoleucel (aucatzyl) - B-all Infusion (drops Charge) 27 27 $2,625,000.00 $1,365,000.00 48% off $1,048,702.75 $1,048,702.75 $1,048,702.75 2026-01-01
57894-111-01 CDM Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 27 27 $2,610,277.50 $1,357,344.30 48% off $1,042,821.02 $1,042,821.02 $1,042,821.02 2026-01-01
57894-111-02 CDM Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 27 27 $2,610,277.50 $1,357,344.30 48% off $1,042,821.02 $1,042,821.02 $1,042,821.02 2026-01-01
187603 CDM Tisagenlecleucel (kymriah) Infusion - Fl And Lbcl 26 26 $2,719,137.50 $1,386,760.13 49% off $87,306.56 $2,197,063.10 $1,029,824.34 2025-01-10
185618 CDM Tisagenlecleucel (kymriah) Infusion- B All 26 26 $2,719,137.50 $1,386,760.13 49% off $50,894.94 $2,197,063.10 $1,012,328.34 2025-01-10
200756 CDM Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 27 26 $2,610,277.50 $1,331,241.53 49% off $83,811.27 $2,109,104.22 $985,285.71 2025-01-10
209472 CDM Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension 26 26 $2,575,000.00 $1,313,250.00 49% off $82,678.57 $2,080,600.00 $975,234.86 2025-01-10
198427 CDM Idecabtagene Vicleucel (abecma) Infusion - Mm 26 26 $2,492,039.75 $1,270,940.27 49% off $80,014.87 $2,013,568.12 $943,815.17 2025-01-10
198001 CDM Lisocabtagene Maraleucel (breyanzi) Cd8 Injection - Lbcl 26 26 $2,437,387.40 $1,243,067.57 49% off $78,260.08 $1,969,409.02 $923,116.56 2025-01-10
71287-219-01 CDM Brexucabtagene Autoleucel (tecartus) Infusion - Mcl 27 27 $2,310,000.00 $1,201,200.00 48% off $922,858.42 $922,858.42 $922,858.42 2026-01-01
71287-220-01 CDM Brexucabtagene Autoleucel (tecartus) Infusion - B-all 27 27 $2,310,000.00 $1,201,200.00 48% off $922,858.42 $922,858.42 $922,858.42 2026-01-01
71287-219-02 CDM Brexucabtagene Autoleucel (tecartus) Infusion - Mcl 27 27 $2,120,000.00 $1,102,400.00 48% off $846,952.31 $846,952.31 $846,952.31 2026-01-01
71287-220-02 CDM Brexucabtagene Autoleucel (tecartus) Infusion - B-all 27 27 $2,120,000.00 $1,102,400.00 48% off $846,952.31 $846,952.31 $846,952.31 2026-01-01
71287-119-01 CDM Axicabtagene Ciloleucel (yescarta) Infusion - Fl And Lbcl 27 27 $2,120,000.00 $1,102,400.00 48% off $846,952.31 $846,952.31 $846,952.31 2026-01-01
71287-119-02 CDM Axicabtagene Ciloleucel (yescarta) Infusion - Fl And Lbcl 27 27 $2,120,000.00 $1,102,400.00 48% off $846,952.31 $846,952.31 $846,952.31 2026-01-01
200118 CDM Brexucabtagene Autoleucel (tecartus) Infusion - B-all 52 26 $2,215,000.00 $1,129,650.00 49% off $68,069.35 $1,866,480.00 $833,215.95 2025-01-10
195977 CDM Brexucabtagene Autoleucel (tecartus) Infusion - Mcl 52 26 $2,215,000.00 $1,129,650.00 49% off $68,069.35 $1,866,480.00 $833,215.95 2025-01-10
184992 CDM Axicabtagene Ciloleucel (yescarta) Infusion - Fl And Lbcl 27 26 $2,120,000.00 $1,081,200.00 49% off $68,069.35 $1,712,960.00 $805,600.00 2025-01-10
3 MS_DRG Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except… 53 42 $936,568.50 $487,015.62 48% off $27,610.93 $531,210.23 $531,210.23 2026-01-01
4 MS_DRG Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo… 53 42 $669,555.86 $348,169.05 48% off $14,424.55 $481,716.19 $379,763.92 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 42 $408,772.71 $212,561.81 48% off $22,482.12 $268,548.74 $231,850.90 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 52 42 $373,516.94 $194,228.81 48% off $32,521.77 $262,775.94 $211,854.25 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 $0.01 — $209,266.84 $209,266.84 $209,266.84 2025-01-10
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 27 $347,979.86 $180,949.53 48% off $197,369.93 $197,369.93 $197,369.93 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv Greater Than 96 Hours With Skin … 53 42 $325,397.01 $169,206.44 48% off $14,956.06 $667,742.23 $184,561.21 2026-01-01
215 MS_DRG Other Heart Assist System Implant 53 42 $315,971.04 $164,304.94 48% off $33,071.00 $267,213.66 $179,214.92 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 27 $301,427.03 $156,742.06 48% off $170,965.74 $170,965.74 $170,965.74 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 53 42 $300,984.43 $156,511.90 48% off $18,735.88 $176,004.30 $170,714.70 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 27 $299,052.92 $155,507.52 48% off $29,753.30 $169,619.17 $169,619.17 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 27 $292,239.81 $151,964.70 48% off $39,224.74 $165,754.86 $165,754.86 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 53 42 $286,417.37 $148,937.03 48% off $19,653.70 $162,452.44 $162,452.44 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 27 $285,002.87 $148,201.49 48% off $161,650.15 $161,650.15 $161,650.15 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 53 42 $284,365.42 $147,870.02 48% off $18,869.35 $209,374.90 $161,288.60 2026-01-01
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 $0.01 — $156,207.43 $156,207.43 $156,207.43 2025-01-10
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 53 42 $270,305.07 $140,558.64 48% off $6,334.45 $219,532.46 $153,313.74 2026-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 26 26 $291,173.64 $148,498.56 49% off $29,117.36 $235,268.30 $152,283.81 2025-01-10
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 25 25 $288,728.28 $147,251.42 49% off $28,872.83 $233,292.45 $151,004.89 2025-01-10
471 MS_DRG Cervical Spinal Fusion With Mcc 53 42 $264,162.04 $137,364.26 48% off $17,089.15 $149,829.49 $149,829.49 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 26 26 $280,502.75 $143,056.40 49% off $28,050.28 $226,646.22 $146,702.94 2025-01-10
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 53 42 $257,859.83 $134,087.11 48% off $9,014.06 $146,254.95 $146,254.95 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 27 $251,788.02 $130,929.77 48% off $142,811.10 $142,811.10 $142,811.10 2026-01-01
64406-058-01 CDM Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 27 27 $355,094.63 $184,649.21 48% off $141,862.37 $141,862.37 $141,862.37 2026-01-01
30237-8900-6 CDM Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 27 27 $354,080.00 $184,121.60 48% off $141,457.02 $141,457.02 $141,457.02 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 53 42 $248,477.97 $129,208.54 48% off $19,032.22 $153,780.31 $140,933.67 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours 53 42 $248,125.26 $129,025.14 48% off $24,065.82 $204,566.14 $140,733.62 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours 53 42 $248,038.03 $128,979.77 48% off $26,605.58 $214,973.06 $140,684.14 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 53 42 $244,206.24 $126,987.24 48% off $21,412.57 $173,013.59 $138,510.80 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 27 $240,448.60 $125,033.27 48% off $136,379.52 $136,379.52 $136,379.52 2026-01-01
117423 CDM Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 26 26 $354,080.00 $180,580.80 49% off $325.66 $286,096.64 $131,823.13 2025-01-10
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 42 $229,606.50 $119,395.38 48% off $16,015.38 $194,313.97 $130,230.01 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 26 $242,862.21 $123,859.73 49% off $24,286.22 $196,232.67 $127,016.94 2025-01-10
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 27 $222,762.48 $115,836.49 48% off $126,348.16 $126,348.16 $126,348.16 2026-01-01
245 MS_DRG Aicd Generator Procedures 53 42 $221,237.82 $115,043.67 48% off $12,262.59 $125,483.39 $125,483.39 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc-mcc 1 1 $0.01 — $124,839.93 $124,839.93 $124,839.93 2025-01-10
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 42 $214,058.50 $111,310.42 48% off $15,095.91 $121,974.95 $121,411.37 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 53 42 $214,023.25 $111,292.09 48% off $13,395.49 $121,391.38 $121,391.38 2026-01-01
71336-1003-1 CDM Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 27 27 $298,377.50 $155,156.30 48% off $119,203.54 $119,203.54 $119,203.54 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 53 42 $209,331.92 $108,852.60 48% off $14,735.77 $119,065.00 $118,730.51 2026-01-01
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 53 42 $205,357.09 $106,785.68 48% off $9,706.35 $116,476.04 $116,476.04 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 52 42 $204,850.80 $106,522.42 48% off $15,906.90 $128,527.77 $116,188.88 2026-01-01
202241 CDM Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 26 26 $298,377.50 $152,172.53 49% off $37.68 $241,089.02 $111,085.23 2025-01-10
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 26 $209,490.53 $106,840.17 49% off $20,949.05 $169,268.35 $109,563.55 2025-01-10
800 MS_DRG Splenic Procedures With Cc 53 42 $192,277.74 $99,984.42 48% off $5,033.86 $109,057.59 $109,057.59 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 53 42 $187,271.23 $97,381.04 48% off $10,285.09 $106,217.96 $106,217.96 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 27 $186,923.31 $97,200.12 48% off $106,020.62 $106,020.62 $106,020.62 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 52 42 $185,836.15 $96,634.80 48% off $20,156.87 $162,867.51 $105,404.00 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 53 42 $184,669.04 $96,027.90 48% off $10,248.12 $104,742.03 $104,742.03 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 53 42 $183,279.28 $95,305.23 48% off $10,111.34 $103,953.77 $103,953.77 2026-01-01
69866-1030-5 CDM Autol Chondrocyte-collag,porc 500,000 Cell/cm2 (3 X 5 Cm)implant Sheet 27 27 $260,000.00 $135,200.00 48% off $103,871.51 $103,871.51 $103,871.51 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 27 $181,923.13 $94,600.03 48% off $21,735.66 $103,184.58 $103,184.58 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 42 $180,022.77 $93,611.84 48% off $14,572.19 $126,528.30 $102,106.72 2026-01-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 53 42 $179,549.56 $93,365.77 48% off $6,411.33 $105,330.26 $101,838.32 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 27 $175,261.20 $91,135.82 48% off $25,538.58 $99,406.02 $99,406.02 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 53 42 $175,140.07 $91,072.84 48% off $13,536.35 $109,373.71 $99,337.31 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 53 42 $175,022.58 $91,011.74 48% off $17,582.53 $156,773.99 $99,270.67 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 53 42 $173,587.72 $90,265.61 48% off $15,519.60 $156,761.24 $98,456.84 2026-01-01
182699 CDM Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 26 26 $263,607.00 $134,439.57 49% off $8,376.32 $212,994.46 $98,140.25 2025-01-10
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc-mcc 53 42 $172,697.10 $89,802.49 48% off $6,646.24 $97,951.69 $97,951.69 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 53 42 $172,295.47 $89,593.64 48% off $11,641.51 $97,723.89 $97,723.89 2026-01-01
67979-002-01 CDM Histrelin 50 Mg (65 Mcg/day) Implant Kit 27 27 $243,836.85 $126,795.16 48% off $97,414.24 $97,414.24 $97,414.24 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 53 42 $171,383.72 $89,119.53 48% off $6,541.40 $97,206.76 $97,206.76 2026-01-01
182708 CDM Autol Chondrocyte-collag,porc 500,000 Cell/cm2 (3 X 5 Cm)implant Sheet 26 26 $260,000.00 $132,600.00 49% off $3,650.75 $210,080.00 $96,797.38 2025-01-10
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 53 42 $170,490.78 $88,655.21 48% off $15,701.99 $126,872.09 $96,700.29 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 53 42 $170,351.71 $88,582.89 48% off $13,227.02 $106,874.30 $96,621.41 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 53 42 $169,260.00 $88,015.20 48% off $24,275.91 $196,149.35 $96,002.21 2026-01-01
114 MS_DRG Orbital Procedures Without Cc-mcc 1 1 $0.01 — $95,914.30 $95,914.30 $95,914.30 2025-01-10
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 53 42 $167,082.69 $86,883.00 48% off $13,486.06 $138,838.01 $94,767.27 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 52 42 $166,791.93 $86,731.80 48% off $14,905.87 $120,439.39 $94,602.35 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 42 $166,776.11 $86,723.58 48% off $11,980.27 $96,800.57 $94,593.38 2026-01-01
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 52 42 $165,741.10 $86,185.37 48% off $15,533.67 $125,512.02 $94,006.33 2026-01-01
71879-001-01 CDM Dexamethasone (pf) 9 % Intraocular Suspension 27 27 $235,025.00 $122,213.00 48% off $93,893.85 $93,893.85 $93,893.85 2026-01-01
75987-150-01 CDM Inebilizumab-cdon 10 Mg/ml Intravenous Solution 27 27 $228,492.15 $118,815.92 48% off $91,283.94 $91,283.94 $91,283.94 2026-01-01
0187-0010-50 CDM Sodium Benzoate 10 %-sodium Phenylacetate 10 % Intravenous Solution 27 27 $228,303.50 $118,717.82 48% off $91,208.57 $91,208.57 $91,208.57 2026-01-01
160454 CDM Histrelin 50 Mg (65 Mcg/day) Implant Kit 26 26 $243,836.85 $124,356.79 49% off $570.58 $197,020.17 $90,779.88 2025-01-10
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 42 $158,774.32 $82,562.65 48% off $15,835.75 $127,952.86 $90,054.86 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 53 42 $157,914.78 $82,115.69 48% off $16,266.98 $131,437.18 $89,567.34 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 53 42 $157,841.97 $82,077.82 48% off $13,584.66 $109,764.05 $89,526.04 2026-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 26 26 $170,548.80 $86,979.89 49% off $17,054.88 $137,803.43 $89,197.02 2025-01-10
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 52 42 $157,218.34 $81,753.54 48% off $17,071.90 $137,940.94 $89,172.33 2026-01-01
63004-8710-1 CDM Corticotropin 80 Unit/ml Injection Gel 27 27 $219,920.00 $114,358.40 48% off $87,859.32 $87,859.32 $87,859.32 2026-01-01
61755-010-01 CDM Evinacumab-dgnb 150 Mg/ml Intravenous Solution 27 27 $219,348.50 $114,061.22 48% off $87,631.00 $87,631.00 $87,631.00 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 27 $154,381.45 $80,278.35 48% off $87,563.27 $87,563.27 $87,563.27 2026-01-01
187638 CDM Dexamethasone (pf) 9 % Intraocular Suspension 26 26 $235,025.00 $119,862.75 49% off $7,490.80 $189,900.20 $87,499.24 2025-01-10
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 52 42 $152,938.99 $79,528.27 48% off $6,748.62 $86,745.13 $86,745.13 2026-01-01
73372-0116-1 CDM Afamelanotide 16 Mg Subcutaneous Implant 27 27 $216,855.00 $112,764.60 48% off $86,634.83 $86,634.83 $86,634.83 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 53 42 $151,514.69 $78,787.64 48% off $14,368.79 $116,099.84 $85,937.28 2026-01-01
71336-1001-1 CDM Givosiran 189 Mg/ml Subcutaneous Solution 27 27 $213,080.00 $110,801.60 48% off $85,126.70 $85,126.70 $85,126.70 2026-01-01
195568 CDM Inebilizumab-cdon 10 Mg/ml Intravenous Solution 26 26 $228,492.15 $116,531.00 49% off $1,321.46 $184,621.66 $85,067.08 2025-01-10
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc-mcc 53 42 $149,686.96 $77,837.22 48% off $5,431.29 $84,900.62 $84,900.62 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 42 $148,582.31 $77,262.80 48% off $16,070.65 $129,850.84 $84,274.07 2026-01-01
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 53 42 $147,147.17 $76,516.53 48% off $9,897.68 $141,126.14 $83,460.08 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 53 42 $145,943.76 $75,890.76 48% off $6,764.12 $82,777.52 $82,777.52 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 53 42 $145,710.48 $75,769.45 48% off $10,366.63 $83,762.36 $82,645.21 2026-01-01
582 MS_DRG Mastectomy For Malignancy With Cc-mcc 52 42 $145,574.89 $75,698.94 48% off $3,094.68 $82,568.30 $82,568.30 2026-01-01
50633-210-11 CDM Glucarpidase 1,000 Unit Intravenous Solution 27 27 $205,870.00 $107,052.40 48% off $82,246.26 $82,246.26 $82,246.26 2026-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 26 26 $155,741.01 $79,427.92 49% off $15,574.10 $125,838.74 $81,452.55 2025-01-10
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 53 42 $142,959.00 $74,338.68 48% off $15,811.69 $127,758.44 $81,084.60 2026-01-01
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 53 42 $140,433.52 $73,025.43 48% off $8,312.43 $203,619.16 $79,652.18 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 53 42 $140,364.93 $72,989.76 48% off $5,409.70 $79,613.28 $79,613.28 2026-01-01
0310-4535-30 CDM Tremelimumab-actl 20 Mg/ml Intravenous Solution 27 27 $198,900.00 $103,428.00 48% off $79,461.71 $79,461.71 $79,461.71 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 53 42 $140,018.43 $72,809.58 48% off $6,345.55 $116,439.83 $79,416.74 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 53 42 $139,977.91 $72,788.51 48% off $12,978.97 $104,870.09 $79,393.76 2026-01-01
192826 CDM Givosiran 189 Mg/ml Subcutaneous Solution 26 26 $213,080.00 $108,670.80 49% off $6,841.61 $172,168.64 $79,329.17 2025-01-10
510 MS_DRG Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc 53 42 $139,457.41 $72,517.85 48% off $6,724.25 $79,098.54 $79,098.54 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 53 42 $139,237.32 $72,403.41 48% off $16,369.18 $132,262.99 $78,973.71 2026-01-01
50242-554-01 CDM Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 27 27 $197,144.96 $102,515.38 48% off $78,760.56 $78,760.56 $78,760.56 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 27 $138,531.39 $72,036.32 48% off $78,573.32 $78,573.32 $78,573.32 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 53 42 $137,225.79 $71,357.41 48% off $9,625.47 $105,944.03 $77,832.80 2026-01-01
150616 CDM Glucarpidase 1,000 Unit Intravenous Solution 25 25 $205,870.00 $104,993.70 49% off $6,610.11 $166,342.96 $77,708.51 2025-01-10
228 MS_DRG Other Cardiothoracic Procedures With Mcc 53 42 $136,909.04 $71,192.70 48% off $23,931.30 $193,364.94 $77,653.14 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 52 42 $136,890.09 $71,182.85 48% off $15,796.33 $127,634.33 $77,642.39 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 53 42 $136,463.36 $70,960.95 48% off $13,895.21 $112,273.31 $77,400.36 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 27 $136,195.06 $70,821.43 48% off $77,248.18 $77,248.18 $77,248.18 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 53 42 $135,945.06 $70,691.43 48% off $17,510.26 $141,482.86 $77,106.38 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 53 42 $134,452.78 $69,915.44 48% off $22,114.35 $178,683.94 $76,259.97 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 53 42 $134,400.19 $69,888.10 48% off $12,720.25 $102,779.58 $76,230.15 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 53 42 $134,383.62 $69,879.48 48% off $7,991.96 $76,220.75 $76,220.75 2026-01-01
283 MS_DRG Acute Myocardial Infarction Expired With Mcc 53 42 $133,037.57 $69,179.54 48% off $11,133.95 $89,962.33 $75,457.29 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 53 42 $132,384.99 $68,840.20 48% off $15,617.28 $126,187.59 $75,087.15 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 53 42 $131,987.38 $68,633.44 48% off $5,019.56 $74,861.63 $74,861.63 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 53 42 $131,552.71 $68,407.41 48% off $12,353.08 $174,829.03 $74,615.09 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 $0.01 — $74,502.79 $74,502.79 $74,502.79 2025-01-10
265 MS_DRG Aicd Lead Procedures 25 25 $141,848.59 $72,342.78 49% off $14,184.86 $114,613.66 $74,186.81 2025-01-10
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 53 42 $129,099.61 $67,131.80 48% off $9,984.23 $80,672.56 $73,223.73 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc-mcc 53 42 $128,513.31 $66,826.92 48% off $13,714.85 $110,815.99 $72,891.18 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 53 42 $127,511.71 $66,306.09 48% off $11,578.34 $93,553.00 $72,323.09 2026-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc-mcc 26 26 $133,484.14 $68,076.91 49% off $13,348.41 $134,800.21 $72,058.05 2025-01-10
47133 CPT Hc Liver Transplant Cadaverc 53 42 $180,000.00 $93,600.00 48% off $5,779.47 $145,440.00 $71,911.05 2026-01-01
47135 CPT Hc Split Liver Trnspl Cadavr 53 42 $180,000.00 $93,600.00 48% off $5,779.47 $145,440.00 $71,911.05 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 53 42 $125,266.90 $65,138.79 48% off $8,749.34 $71,049.86 $71,049.86 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 53 42 $123,450.04 $64,194.02 48% off $10,156.55 $82,064.94 $70,019.35 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 53 42 $122,954.33 $63,936.25 48% off $10,160.56 $82,097.31 $69,738.20 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 52 42 $122,776.69 $63,843.88 48% off $24,283.52 $196,210.81 $69,637.44 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 27 $122,667.73 $63,787.22 48% off $69,575.64 $69,575.64 $69,575.64 2026-01-01
0003-2328-22 CDM Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 27 27 $174,062.40 $90,512.45 48% off $69,538.94 $69,538.94 $69,538.94 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 52 42 $122,074.22 $63,478.60 48% off $19,316.21 $156,074.94 $69,239.01 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 53 42 $122,021.04 $63,450.94 48% off $12,255.95 $99,028.10 $69,208.85 2026-01-01
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 53 42 $120,058.45 $62,430.40 48% off $13,428.16 $108,499.54 $68,095.69 2026-01-01
33945 CPT Hc Heart Transplant 53 42 $170,000.00 $88,400.00 48% off $5,458.39 $137,360.00 $67,915.99 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 26 $129,688.60 $66,141.18 49% off $12,968.86 $104,788.38 $67,827.14 2025-01-10
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 53 42 $118,540.35 $61,640.98 48% off $12,785.85 $103,309.69 $67,234.64 2026-01-01
81100008 OTHER Hc Liver Transplant Live 26 26 $180,000.00 $91,800.00 49% off $5,779.47 $145,440.00 $67,013.57 2025-01-10
37 MS_DRG Extracranial Procedures With Mcc 52 42 $117,699.36 $61,203.67 48% off $19,862.60 $160,489.83 $66,757.64 2026-01-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 53 42 $117,258.51 $60,974.42 48% off $12,578.98 $101,638.15 $66,507.60 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 53 42 $116,726.49 $60,697.78 48% off $9,934.64 $80,271.90 $66,205.84 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 53 42 $116,118.69 $60,381.72 48% off $9,325.16 $75,347.32 $65,861.10 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 53 42 $115,919.05 $60,277.90 48% off $9,719.28 $78,531.79 $65,747.87 2026-01-01
162409 CDM Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 26 26 $174,062.40 $88,771.82 49% off $5,588.83 $140,642.42 $64,803.01 2025-01-10
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 52 42 $113,443.12 $58,990.42 48% off $10,526.18 $85,051.53 $64,343.56 2026-01-01
72187-0401-1 CDM Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 27 27 $160,745.95 $83,587.89 48% off $64,218.94 $64,218.94 $64,218.94 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 53 42 $112,851.83 $58,682.95 48% off $14,191.33 $128,394.65 $64,008.18 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 53 42 $112,011.31 $58,245.88 48% off $12,468.41 $100,744.78 $63,531.45 2026-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 53 42 $111,964.04 $58,221.30 48% off $7,885.35 $63,713.61 $63,504.64 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 53 42 $110,791.67 $57,611.67 48% off $10,992.58 $91,274.87 $62,839.69 2026-01-01
754 MS_DRG Malignancy Female Reproductive System With Mcc 53 42 $110,735.50 $57,582.46 48% off $6,906.08 $102,355.64 $62,807.82 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 53 42 $107,825.64 $56,069.33 48% off $17,173.79 $213,864.12 $61,157.39 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 53 42 $107,773.85 $56,042.40 48% off $5,989.80 $61,128.01 $61,128.01 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 53 42 $107,611.62 $55,958.04 48% off $5,562.65 $61,036.00 $61,036.00 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 53 42 $107,246.61 $55,768.24 48% off $6,846.21 $60,828.97 $60,828.97 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 42 $107,094.96 $55,689.38 48% off $3,814.19 $72,871.43 $60,742.95 2026-01-01
885 MS_DRG Psychoses 53 42 $106,999.99 $55,640.00 48% off $11,095.95 $89,655.25 $60,689.09 2026-01-01
190379 CDM Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 26 26 $160,745.95 $81,980.43 49% off $992.52 $129,882.73 $59,845.33 2025-01-10
58468-0200-1 CDM Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 27 27 $147,248.70 $76,569.32 48% off $58,826.71 $58,826.71 $58,826.71 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 $0.01 — $58,580.72 $58,580.72 $58,580.72 2025-01-10
413 MS_DRG Cholecystectomy With C.d.e. Without Cc-mcc 53 42 $103,227.70 $53,678.40 48% off $8,381.44 $67,722.04 $58,549.49 2026-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc-mcc 53 42 $102,955.89 $53,537.06 48% off $15,024.30 $121,396.38 $58,395.32 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc-mcc 53 42 $102,498.28 $53,299.10 48% off $13,463.97 $108,788.91 $58,135.77 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 27 27 $102,445.37 $53,271.59 48% off $58,105.77 $58,105.77 $58,105.77 2026-01-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc-mcc 1 1 $0.01 — $58,010.37 $58,010.37 $58,010.37 2025-01-10
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 26 26 $109,839.42 $56,018.11 49% off $10,983.94 $88,750.25 $57,446.02 2025-01-10
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 52 42 $100,011.74 $52,006.10 48% off $9,910.21 $80,074.52 $56,725.44 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 53 42 $99,986.18 $51,992.81 48% off $10,742.71 $86,801.12 $56,710.94 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 53 42 $99,980.75 $51,989.99 48% off $10,461.18 $84,526.34 $56,707.86 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 53 42 $99,781.40 $51,886.33 48% off $4,827.21 $56,594.79 $56,594.79 2026-01-01
296 MS_DRG Cardiac Arrest Unexplained With Mcc 53 42 $98,940.29 $51,448.95 48% off $9,025.74 $72,927.98 $56,117.72 2026-01-01
0006-5088-01 CDM Sotatercept-csrk 60 Mg Subcutaneous 1 Syringe Kit 27 27 $140,000.00 $72,800.00 48% off $55,930.81 $55,930.81 $55,930.81 2026-01-01
0006-5087-01 CDM Sotatercept-csrk 45 Mg Subcutaneous 1 Syringe Kit 27 27 $140,000.00 $72,800.00 48% off $55,930.81 $55,930.81 $55,930.81 2026-01-01
75987-080-10 CDM Pegloticase 8 Mg/ml Intravenous Solution 27 27 $139,802.80 $72,697.46 48% off $55,852.03 $55,852.03 $55,852.03 2026-01-01
709 MS_DRG Penis Procedures With Cc-mcc 52 42 $96,776.03 $50,323.54 48% off $2,204.74 $54,890.18 $54,890.18 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 53 42 $96,639.21 $50,252.39 48% off $17,744.67 $143,376.94 $54,812.58 2026-01-01
69488-003-01 CDM Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 27 27 $137,000.00 $71,240.00 48% off $54,732.30 $54,732.30 $54,732.30 2026-01-01
69488-003-70 CDM Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 27 27 $137,000.00 $71,240.00 48% off $54,732.30 $54,732.30 $54,732.30 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 53 42 $96,202.36 $50,025.23 48% off $9,100.27 $126,465.07 $54,564.80 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 53 42 $95,718.06 $49,773.39 48% off $8,953.20 $72,341.85 $54,290.12 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 53 42 $95,436.58 $49,627.02 48% off $15,977.72 $129,099.98 $54,130.47 2026-01-01
79952-110-01 CDM Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 27 27 $135,116.30 $70,260.48 48% off $53,979.75 $53,979.75 $53,979.75 2026-01-01
57894-061-03 CDM Ustekinumab 90 Mg/ml Subcutaneous Syringe 27 27 $134,968.20 $70,183.46 48% off $53,920.58 $53,920.58 $53,920.58 2026-01-01
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