Price Transparencybeta Hospital negotiated rates

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

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Hospital

BRIDGEPORT HOSPITAL

Bridgeport, CT · CCN 070010 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC ECHO 2D W/ SPEC/COLOR FLOW M-MODE COMPL

This hospital’s price: $485 across 41 payers · range $112-$1,336

Source: https://www.bridgeporthospital.org/-/media/Files/YNHHS/sc/06-0646554-Bridgeport-Hospital_standard_charges-1.ashx · observed 2026-01-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

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

1,059,105 of 1,292,119 rate rows are consumer-grade (82.0%)

233,014 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 63
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 15
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-2.ashx
Found on page https://www.bridgeporthospital.org/patients-visitors/billing-insurance/Pricing
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-24
Content fingerprint 4da26d4b052ebd44… · 140,969,577 bytes · first seen 2026-05-08

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
$4,011,582
1.1× 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
$4,011,582
1.1× 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… 52 42 $270,305.07 $140,558.64 48% off $27,169.86 $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 52 41 $192,277.74 $99,984.42 48% off $7,167.73 $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 51 41 $145,574.89 $75,698.94 48% off $4,406.53 $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 49 39 $96,776.03 $50,323.54 48% off $5,236.74 $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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