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

LOYOLA UNIVERSITY MEDICAL CENTER

Maywood, IL · CCN 140276 · Rates published

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You selected 93306 (HCPCS)

Echo Pvi Protocol 2d M-Mode W/ Dopp & Colr Flow

This hospital’s price: $1,129 across 10 payers · range $532-$3,430

Source: https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/loyolauniversitycenter · observed 2026-03-31

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.

35,484 distinct procedures filed
11 distinct payers
713,575 rate rows
2026-03-31 last MRF observed
Data quality

445,591 of 713,575 rate rows are consumer-grade (62.4%)

267,984 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 261,192
placeholder amount (≤ $0.02) — excluded from medians 4,604
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 771
template filing: same amount across many unrelated codes — excluded 468
percent-of-charges filed in the dollar field — excluded from medians 456
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 236
per-diem day rate — not a per-procedure price 137
exceeds 10× this hospital's gross charge — excluded from medians 120
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/loyolauniversitycenter
Found on page https://www.loyolamedicine.org/for-patients/billing-and-insurance/insurance-information/price-estimates-list
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-14
Content fingerprint a11032ff53c86449… · 12,195,363 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,243,770.00 $4,791,353.23 $4,684,118.18 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 8 $3,596,661.73 $4,408,811.15 $4,022,073.33 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $34,189.02 $4,379,419.08 $3,929,952.38 nat. median
$3,703,693
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,161,722.56 $4,997,561.47 $3,569,686.76 nat. median
$3,286,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $34,189.02 $3,950,784.27 $3,545,309.05 nat. median
$3,324,572
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $2,860,544.96 $4,864,551.99 $3,229,647.54 nat. median
$2,994,107
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $2,377,204.94 $3,998,166.53 $2,683,941.06 nat. median
$2,466,282
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $2,260,758.80 $3,847,800.00 $2,552,469.61 nat. median
$2,401,960
1.1× median
5789411101
NDC 		Ciltacabtagene 100000000 Cells Susp 1 Each Flex Cont 5 $3,929.00 $2,239,380.00 $1,628,640.00 nat. median
$742,975
outlier · 2.2×
5789411102
NDC 		Ciltacabtagene 100000000 Cells Susp 1 Each Flex Cont 5 $3,929.00 $2,239,380.00 $1,628,640.00 nat. median
$1,628,640
1.0× median
5957251502
NDC 		Idecabtagene Vicleucel 460000000 Cells Susp 1 Each Flex Cont 5 $3,929.00 $2,138,166.03 $1,555,029.84 nat. median
$1,555,030
1.0× median
5957251503
NDC 		Idecabtagene Vicleucel 460000000 Cells Susp 1 Each Flex Cont 5 $3,929.00 $2,138,166.03 $1,555,029.84 nat. median
$1,555,030
1.0× median
5957251501
NDC 		Idecabtagene Vicleucel 460000000 Cells Susp 1 Each Flex Cont 5 $3,929.00 $2,138,166.03 $1,555,029.84 nat. median
$606,766
outlier · 2.6×
7315390001
NDC 		Lisocabtagene Maraleucel 70000000 Cells/ml Susp 1 Each Box 5 $3,929.00 $2,091,276.33 $1,520,928.24 nat. median
$618,487
outlier · 2.5×
7128721901
NDC 		Brexucabtagene Autoleucel 200 Million Cells Susp 1 Each Flex Cont 5 $3,929.00 $1,981,980.00 $1,441,440.00 nat. median
$577,363
outlier · 2.5×
7128711901
NDC 		Axicabtagene Ciloleucel 200000000 Cells Susp 1 Each Package 5 $3,929.00 $1,981,980.00 $1,441,440.00 nat. median
$627,582
outlier · 2.3×
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $747,078.02 $1,271,523.00 $843,475.19 nat. median
$809,217
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $54,633.56 $954,972.35 $626,971.39 nat. median
$738,272
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $54,633.56 $912,729.35 $599,927.28 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $54,633.56 $852,129.78 $587,196.32 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $54,633.56 $870,577.06 $586,789.54 nat. median
$622,245
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $54,633.56 $829,687.20 $577,917.17 nat. median
$608,101
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $54,633.56 $807,508.61 $530,913.68 nat. median
$591,650
0.9× median
7344180004
NDC 		Omidubicel-onlv IV Suspension Susp 1 Each Flex Cont 5 $3,929.00 $664,592.50 $464,750.00 nat. median
$464,750
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 $387,331.92 $715,751.23 $461,718.52 nat. median
$359,358
1.3× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$459,112
1.0× median
8120006
CDM 		Hc Heart Transplant Acquistion With Preservation Device (Transme 5 $3,929.00 $458,816.22 $320,850.50 nat. median
$320,850
1.0× median
999LL
OTHER 		Solid Organ Transplant ? Liver/Lung 1 $224,796.60 $327,842.65 $320,215.64 nat. median
$320,216
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $126,537.30 $534,606.17 $313,341.07 nat. median
$249,124
1.3× median
8120013
CDM 		Hc Lung Transmedics-double 5 $3,929.00 $444,995.27 $311,185.50 nat. median
$311,186
1.0× median
999LK
OTHER 		Solid Organ Transplant ? Liver/Kidney 1 $222,048.90 $322,668.13 $310,411.17 nat. median
$310,411
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $262,115.21 $414,311.13 $295,936.52 nat. median
$319,951
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $243,885.57 $439,056.00 $290,574.15 nat. median
$198,433
1.5× median
7901004
CDM 		Hc Liver Transmedics 5 $3,929.00 $377,490.69 $263,979.50 nat. median
$263,980
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $220,392.77 $406,750.34 $262,545.12 nat. median
$190,557
1.4× median
999HK
OTHER 		Solid Organ Transplant ? Heart/Kidney 1 $219,552.30 $271,184.01 $260,881.05 nat. median
$260,881
1.0× median
014C
OTHER 		Bone Marrow/Stem Cell Transplant Category C 1 $177,154.20 $257,425.95 $251,252.29 nat. median
$251,252
1.0× median
016C
OTHER 		Bone Marrow/Stem Cell Transplant Category C 1 $177,154.20 $257,425.95 $251,252.29 nat. median
$251,252
1.0× median
017C
OTHER 		Bone Marrow/Stem Cell Transplant Category C 1 $177,154.20 $257,425.95 $251,252.29 nat. median
$251,252
1.0× median
8120012
CDM 		Hc Lung Transmedics-single 5 $3,929.00 $357,027.39 $249,669.50 nat. median
$249,670
1.0× median
999HL
OTHER 		Solid Organ Transplant ? Heart/Lung 1 $168,717.60 $245,169.10 $239,290.54 nat. median
$239,291
1.0× median
8120005
CDM 		Hc Heart Transplant Acquistion With Preservation Device (Sherpap 5 $3,929.00 $335,561.66 $234,658.50 nat. median
$63
outlier · 3743.2×
8120001
CDM 		Heart / Lung Acquisition Cadaver 5 $3,929.00 $333,351.59 $233,113.00 nat. median
$233,113
1.0× median
007B
OTHER 		Solid Organ Transplant ? Bilateral Lung 1 $151,845.30 $220,653.26 $215,359.70 nat. median
$215,360
1.0× median
8120015
CDM 		Hc Lungguard-double 5 $3,929.00 $297,061.05 $207,735.00 nat. median
$207,735
1.0× median
8120003
CDM 		Lung Double Acquisition Cadaver 5 $3,929.00 $288,182.90 $201,526.50 nat. median
$201,526
1.0× median
016B
OTHER 		Bone Marrow/Stem Cell Transplant Category B 1 $139,192.20 $202,262.10 $197,413.93 nat. median
$197,414
1.0× median
017B
OTHER 		Bone Marrow/Stem Cell Transplant Category B 1 $139,192.20 $202,262.10 $197,413.93 nat. median
$197,414
1.0× median
014B
OTHER 		Bone Marrow/Stem Cell Transplant Category B 1 $139,192.20 $202,262.10 $197,413.93 nat. median
$197,414
1.0× median
8140001
CDM 		Heart Acquisition 5 $3,929.00 $274,244.69 $191,779.50 nat. median
$1,035
outlier · 185.3×

Other procedures at this hospital

Browse this hospital's 35,484 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 6 6 — — $4,243,770.00 $4,791,353.23 $4,684,118.18 2026-03-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 8 8 — — $3,596,661.73 $4,408,811.15 $4,022,073.33 2026-03-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 11 8 — — $34,189.02 $4,379,419.08 $3,929,952.38 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 9 — — $3,161,722.56 $4,997,561.47 $3,569,686.76 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 11 8 — — $34,189.02 $3,950,784.27 $3,545,309.05 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 11 10 — — $2,860,544.96 $4,864,551.99 $3,229,647.54 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 10 — — $2,377,204.94 $3,998,166.53 $2,683,941.06 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 11 10 — — $2,260,758.80 $3,847,800.00 $2,552,469.61 2026-03-31
5789411102 NDC Ciltacabtagene 100000000 Cells Susp 1 Each Flex Cont 11 5 $3,132,000.00 $720,360.00 77% off $3,929.00 $2,239,380.00 $1,628,640.00 2026-03-31
5789411101 NDC Ciltacabtagene 100000000 Cells Susp 1 Each Flex Cont 11 5 $3,132,000.00 $720,360.00 77% off $3,929.00 $2,239,380.00 $1,628,640.00 2026-03-31
5957251503 NDC Idecabtagene Vicleucel 460000000 Cells Susp 1 Each Flex Cont 11 5 $2,990,442.00 $687,801.66 77% off $3,929.00 $2,138,166.03 $1,555,029.84 2026-03-31
5957251502 NDC Idecabtagene Vicleucel 460000000 Cells Susp 1 Each Flex Cont 11 5 $2,990,442.00 $687,801.66 77% off $3,929.00 $2,138,166.03 $1,555,029.84 2026-03-31
5957251501 NDC Idecabtagene Vicleucel 460000000 Cells Susp 1 Each Flex Cont 11 5 $2,990,442.00 $687,801.66 77% off $3,929.00 $2,138,166.03 $1,555,029.84 2026-03-31
7315390001 NDC Lisocabtagene Maraleucel 70000000 Cells/ml Susp 1 Each Box 11 5 $2,924,862.00 $672,718.26 77% off $3,929.00 $2,091,276.33 $1,520,928.24 2026-03-31
7128721901 NDC Brexucabtagene Autoleucel 200 Million Cells Susp 1 Each Flex Cont 11 5 $2,772,000.00 $637,560.00 77% off $3,929.00 $1,981,980.00 $1,441,440.00 2026-03-31
7128711901 NDC Axicabtagene Ciloleucel 200000000 Cells Susp 1 Each Package 11 5 $2,772,000.00 $637,560.00 77% off $3,929.00 $1,981,980.00 $1,441,440.00 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 11 10 — — $747,078.02 $1,271,523.00 $843,475.19 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 10 — — $54,633.56 $954,972.35 $626,971.39 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 14 10 — — $54,633.56 $912,729.35 $599,927.28 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 10 — — $54,633.56 $852,129.78 $587,196.32 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 14 10 — — $54,633.56 $870,577.06 $586,789.54 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 10 — — $54,633.56 $829,687.20 $577,917.17 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 14 10 — — $54,633.56 $807,508.61 $530,913.68 2026-03-31
7344180004 NDC Omidubicel-onlv IV Suspension Susp 1 Each Flex Cont 10 5 $929,500.00 $213,785.00 77% off $3,929.00 $664,592.50 $464,750.00 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 18 10 — — $387,331.92 $715,751.23 $461,718.52 2026-03-31
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-31
8120006 CDM Hc Heart Transplant Acquistion With Preservation Device (Transme 10 5 $641,701.00 $147,591.23 77% off $3,929.00 $458,816.22 $320,850.50 2026-03-31
999LL OTHER Solid Organ Transplant ? Liver/Lung 4 1 — — $224,796.60 $327,842.65 $320,215.64 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 10 — — $126,537.30 $534,606.17 $313,341.07 2026-03-31
8120013 CDM Hc Lung Transmedics-double 10 5 $622,371.00 $143,145.33 77% off $3,929.00 $444,995.27 $311,185.50 2026-03-31
999LK OTHER Solid Organ Transplant ? Liver/Kidney 4 1 — — $222,048.90 $322,668.13 $310,411.17 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 9 — — $262,115.21 $414,311.13 $295,936.52 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 10 — — $243,885.57 $439,056.00 $290,574.15 2026-03-31
7901004 CDM Hc Liver Transmedics 10 5 $527,959.00 $121,430.57 77% off $3,929.00 $377,490.69 $263,979.50 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 10 — — $220,392.77 $406,750.34 $262,545.12 2026-03-31
999HK OTHER Solid Organ Transplant ? Heart/Kidney 4 1 — — $219,552.30 $271,184.01 $260,881.05 2026-03-31
014C OTHER Bone Marrow/Stem Cell Transplant Category C 4 1 — — $177,154.20 $257,425.95 $251,252.29 2026-03-31
016C OTHER Bone Marrow/Stem Cell Transplant Category C 4 1 — — $177,154.20 $257,425.95 $251,252.29 2026-03-31
017C OTHER Bone Marrow/Stem Cell Transplant Category C 4 1 — — $177,154.20 $257,425.95 $251,252.29 2026-03-31
8120012 CDM Hc Lung Transmedics-single 10 5 $499,339.00 $114,847.97 77% off $3,929.00 $357,027.39 $249,669.50 2026-03-31
999HL OTHER Solid Organ Transplant ? Heart/Lung 4 1 — — $168,717.60 $245,169.10 $239,290.54 2026-03-31
8120005 CDM Hc Heart Transplant Acquistion With Preservation Device (Sherpap 10 5 $469,317.00 $107,942.91 77% off $3,929.00 $335,561.66 $234,658.50 2026-03-31
8120001 CDM Heart / Lung Acquisition Cadaver 10 5 $466,226.00 $107,231.98 77% off $3,929.00 $333,351.59 $233,113.00 2026-03-31
007B OTHER Solid Organ Transplant ? Bilateral Lung 4 1 — — $151,845.30 $220,653.26 $215,359.70 2026-03-31
8120015 CDM Hc Lungguard-double 10 5 $415,470.00 $95,558.10 77% off $3,929.00 $297,061.05 $207,735.00 2026-03-31
8120003 CDM Lung Double Acquisition Cadaver 10 5 $403,053.00 $92,702.19 77% off $3,929.00 $288,182.90 $201,526.50 2026-03-31
016B OTHER Bone Marrow/Stem Cell Transplant Category B 4 1 — — $139,192.20 $202,262.10 $197,413.93 2026-03-31
017B OTHER Bone Marrow/Stem Cell Transplant Category B 4 1 — — $139,192.20 $202,262.10 $197,413.93 2026-03-31
014B OTHER Bone Marrow/Stem Cell Transplant Category B 4 1 — — $139,192.20 $202,262.10 $197,413.93 2026-03-31
8140001 CDM Heart Acquisition 10 5 $383,559.00 $88,218.57 77% off $3,929.00 $274,244.69 $191,779.50 2026-03-31
5834 APR_DRG Neonate With Ecmo 3 3 — — $185,188.79 $185,188.79 $185,188.79 2026-03-31
7901003 CDM Hc Liver Transplant Acquistion With Preservation Device (Organox 10 5 $368,471.00 $84,748.33 77% off $3,929.00 $263,456.77 $184,235.50 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $135,080.28 $188,850.51 $183,811.84 2026-03-31
007S OTHER Solid Organ Transplant ? Single Lung 4 1 — — $126,537.30 $183,875.22 $179,466.07 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 10 — — $145,525.87 $268,173.27 $173,222.21 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 3 2 — — $118,787.45 $166,072.13 $161,641.21 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 18 10 — — $134,983.23 $248,659.06 $160,643.89 2026-03-31
7 MS_DRG Lung Transplant 18 10 — — $134,644.87 $248,032.76 $160,240.18 2026-03-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $151,905.03 $151,905.03 $151,905.03 2026-03-31
5833 APR_DRG Neonate With Ecmo 3 3 — — $146,673.05 $146,673.05 $146,673.05 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 2 — — $107,552.04 $150,364.34 $146,352.51 2026-03-31
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $145,239.25 $145,239.25 $145,239.25 2026-03-31
7901001 CDM Liver Acquisition Cadaveric 10 5 $287,390.00 $66,099.70 77% off $3,929.00 $205,483.85 $143,695.00 2026-03-31
8120014 CDM Hc Lungguard-single 10 5 $286,287.00 $65,846.01 77% off $3,929.00 $204,695.21 $143,143.50 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 10 — — $113,634.43 $209,142.89 $141,790.48 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 10 — — $109,837.57 $235,360.41 $141,333.35 2026-03-31
24 APR_DRG Heart And/or Lung Transplant 3 3 — — $140,160.21 $140,160.21 $140,160.21 2026-03-31
016A OTHER Bone Marrow/Stem Cell Transplant Category A 4 1 — — $94,904.10 $137,908.02 $134,602.43 2026-03-31
017A OTHER Bone Marrow/Stem Cell Transplant Category A 4 1 — — $94,904.10 $137,908.02 $134,602.43 2026-03-31
014A OTHER Bone Marrow/Stem Cell Transplant Category A 4 1 — — $94,904.10 $137,908.02 $134,602.43 2026-03-31
8120002 CDM Lung Acquisition Cadaver 10 5 $268,702.00 $61,801.46 77% off $3,929.00 $192,121.93 $134,351.00 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 10 — — $112,344.55 $206,755.33 $133,633.90 2026-03-31
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $130,327.56 $130,327.56 $130,327.56 2026-03-31
215 MS_DRG Other Heart Assist System Implant 18 10 — — $109,277.73 $201,078.71 $129,974.92 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $91,589.32 $128,047.48 $124,631.08 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $99,601.51 $183,168.23 $118,430.32 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 2 — — $86,457.11 $120,872.33 $117,647.37 2026-03-31
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $111,268.19 $111,268.19 $111,268.19 2026-03-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $110,258.30 $110,258.30 $110,258.30 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 2 — — $79,773.63 $111,528.42 $108,552.76 2026-03-31
5832 APR_DRG Neonate With Ecmo 3 3 — — $108,157.32 $108,157.32 $108,157.32 2026-03-31
8110001 CDM Kidney Acquisition Cadaver 10 5 $216,000.00 $49,680.00 77% off $3,929.00 $154,440.00 $108,000.00 2026-03-31
0494T OTHER Single Lung Evlp 19 7 $305,886.00 $70,353.78 77% off $4,252.00 $303,387.37 $106,142.44 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 10 — — $81,926.54 $176,522.18 $105,207.04 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 10 — — $87,531.09 $160,826.15 $104,029.23 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $87,482.90 $160,736.95 $103,971.74 2026-03-31
10 MS_DRG Pancreas Transplant 22 10 — — $82,395.12 $151,319.57 $102,588.60 2026-03-31
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $102,423.24 $102,423.24 $102,423.24 2026-03-31
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $99,070.99 $99,070.99 $99,070.99 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 10 — — $83,298.45 $152,991.62 $98,979.31 2026-03-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $97,863.00 $97,863.00 $97,863.00 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $70,975.37 $99,227.91 $96,580.44 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 2 — — $70,542.10 $98,622.17 $95,990.86 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 18 10 — — $80,789.43 $148,347.46 $95,985.82 2026-03-31
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $95,826.91 $95,826.91 $95,826.91 2026-03-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $95,669.41 $95,669.41 $95,669.41 2026-03-31
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $95,546.44 $95,546.44 $95,546.44 2026-03-31
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $95,059.15 $95,059.15 $95,059.15 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $79,980.43 $146,850.01 $95,020.61 2026-03-31
5831 APR_DRG Neonate With Ecmo 3 3 — — $93,467.47 $93,467.47 $93,467.47 2026-03-31
74 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $91,886.79 $91,886.79 $91,886.79 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 10 — — $77,178.15 $141,663.05 $91,677.24 2026-03-31
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $91,260.97 $91,260.97 $91,260.97 2026-03-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $91,014.29 $91,014.29 $91,014.29 2026-03-31
3621387 CDM Heartmate Ii Lvad Sys 11 5 $175,000.00 $40,250.00 77% off $3,929.00 $125,125.00 $91,000.00 2026-03-31
3023789006 NDC Sipuleucel-t Min 50 Mu Autol Cd54 Cells Per Infusion 11 5 $174,074.58 $40,037.15 77% off $3,929.00 $124,463.32 $90,518.78 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 2 — — $66,410.54 $92,846.00 $90,368.80 2026-03-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $89,599.08 $89,599.08 $89,599.08 2026-03-31
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $89,338.73 $89,338.73 $89,338.73 2026-03-31
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $89,105.33 $89,105.33 $89,105.33 2026-03-31
3621431 CDM Hw Hvad - Sterile Implant Kit #5400 11 5 $168,400.00 $38,732.00 77% off $3,929.00 $120,406.00 $87,568.00 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 10 — — $73,105.46 $134,124.59 $86,818.15 2026-03-31
23 APR_DRG Heart And/or Lung Transplant 3 3 — — $86,673.03 $86,673.03 $86,673.03 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 10 — — $71,972.45 $132,027.41 $85,466.37 2026-03-31
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $84,871.47 $84,871.47 $84,871.47 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 10 — — $70,657.95 $129,594.31 $83,898.06 2026-03-31
8110002 CDM Kidney Acquisition Donor 10 5 $165,027.00 $37,956.21 77% off $3,929.00 $117,994.31 $82,513.50 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 10 — — $69,010.21 $126,544.38 $81,932.17 2026-03-31
7901002 CDM Liver Acquisition Living Donor 10 5 $163,264.00 $37,550.72 77% off $3,929.00 $116,733.76 $81,632.00 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 10 — — $69,126.08 $927,476.00 $81,615.20 2026-03-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $79,636.46 $79,636.46 $79,636.46 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 10 — — $66,955.41 $122,740.99 $79,480.60 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $66,860.05 $122,564.48 $79,366.83 2026-03-31
64 APR_DRG Pancreas Transplant 3 3 — — $79,126.39 $79,126.39 $79,126.39 2026-03-31
8110003 CDM Pancreas Acquisition Cadaver 10 5 $155,994.00 $35,878.62 77% off $3,929.00 $111,535.71 $77,997.00 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 10 — — $65,490.19 $120,028.89 $77,732.46 2026-03-31
3621004 CDM Hvad Heartware Pump 11 5 $149,300.00 $34,339.00 77% off $3,929.00 $106,749.50 $77,636.00 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 10 — — $64,158.26 $117,563.52 $76,143.35 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $63,787.08 $116,876.48 $75,700.50 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 18 10 — — $63,566.63 $116,468.43 $75,437.48 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 10 — — $63,279.54 $115,937.02 $75,094.95 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 18 10 — — $62,980.13 $115,382.83 $74,737.74 2026-03-31
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $74,614.73 $74,614.73 $74,614.73 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 10 — — $62,533.08 $114,555.35 $74,204.36 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 10 — — $62,533.08 $114,555.35 $74,204.36 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 18 10 — — $62,070.65 $113,699.39 $73,652.64 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $61,645.13 $112,911.76 $73,144.96 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 10 — — $60,977.62 $111,676.23 $72,348.56 2026-03-31
8 MS_DRG Simultaneous Pancreas/kidney Transplant 22 10 — — $56,434.31 $176,522.18 $72,211.48 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $52,656.73 $73,617.34 $71,653.17 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 10 — — $60,342.93 $110,501.43 $71,591.32 2026-03-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $71,014.28 $71,014.28 $71,014.28 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $59,492.92 $108,928.07 $70,577.18 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 10 — — $59,141.23 $108,277.09 $70,157.57 2026-03-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 14 10 — — $34,189.02 $104,338.76 $68,766.67 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 2 — — $50,447.82 $70,529.14 $68,647.37 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 18 10 — — $57,803.14 $105,800.33 $68,561.12 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 9 — — $61,598.99 $107,172.85 $68,266.92 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 10 — — $57,318.15 $104,902.63 $67,982.49 2026-03-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 18 10 — — $57,318.15 $104,902.63 $67,982.49 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 10 — — $56,307.16 $103,031.30 $66,776.28 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 10 — — $56,023.14 $102,505.58 $66,437.42 2026-03-31
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 18 10 — — $55,970.84 $102,408.79 $66,375.02 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $55,964.69 $102,397.40 $66,367.69 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 18 10 — — $55,194.66 $100,972.08 $65,448.96 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $54,953.70 $100,526.07 $65,161.48 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 22 10 — — $50,365.26 $235,360.41 $64,356.09 2026-03-31
22 APR_DRG Heart And/or Lung Transplant 3 3 — — $64,320.79 $64,320.79 $64,320.79 2026-03-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $63,709.02 $63,709.02 $63,709.02 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 10 — — $53,275.20 $97,419.21 $63,158.88 2026-03-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $63,076.74 $63,076.74 $63,076.74 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 10 — — $52,881.47 $96,690.41 $62,689.12 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 10 — — $52,721.52 $96,394.34 $62,498.29 2026-03-31
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $62,283.56 $62,283.56 $62,283.56 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 10 — — $52,289.85 $95,595.33 $61,983.26 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 10 — — $51,985.32 $95,031.65 $61,619.93 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 14 10 — — $51,473.36 $93,760.51 $61,604.45 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 10 — — $51,945.32 $94,957.63 $61,572.22 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 10 — — $51,924.82 $94,919.67 $61,547.75 2026-03-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $61,456.98 $61,456.98 $61,456.98 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 10 — — $51,740.26 $94,578.05 $61,327.55 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 10 — — $34,189.02 $94,078.22 $60,651.96 2026-03-31
245 MS_DRG Aicd Generator Procedures 18 10 — — $50,750.80 $92,746.58 $60,147.04 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 10 — — $47,884.94 $88,260.02 $60,074.26 2026-03-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $59,980.29 $59,980.29 $59,980.29 2026-03-31
6797900201 NDC Histrelin Implant 50 Mg Sq Kit 11 5 $115,081.24 $26,468.69 77% off $3,929.00 $82,283.09 $59,842.24 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 18 10 — — $50,448.31 $92,186.70 $59,786.15 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 10 — — $49,609.58 $90,634.21 $58,785.46 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 18 10 — — $49,397.34 $90,241.35 $58,532.24 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 10 — — $49,388.10 $90,224.27 $58,521.22 2026-03-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $57,922.19 $57,922.19 $57,922.19 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 18 10 — — $48,883.64 $89,290.50 $57,919.35 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 10 — — $48,625.25 $88,812.23 $57,611.07 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 10 — — $48,342.25 $88,288.41 $57,273.43 2026-03-31
38240 HCPCS Trnsplj Allogeneic Hematopoietic Cells Per Donor 22 10 $91,360.00 $21,012.80 77% off $902.83 $90,627.19 $56,806.67 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 18 10 — — $47,904.43 $87,478.01 $56,751.07 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $47,734.21 $87,162.96 $56,547.99 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 10 — — $47,727.04 $87,149.67 $56,539.42 2026-03-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $56,047.77 $56,047.77 $56,047.77 2026-03-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $55,996.53 $55,996.53 $55,996.53 2026-03-31
63 APR_DRG Pancreas Transplant 3 3 — — $55,637.51 $55,637.51 $55,637.51 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 10 — — $46,903.68 $85,625.66 $55,557.08 2026-03-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $55,375.27 $55,375.27 $55,375.27 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 10 — — $46,627.86 $85,115.12 $55,228.01 2026-03-31
21 APR_DRG Heart And/or Lung Transplant 3 3 — — $55,139.97 $55,139.97 $55,139.97 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 10 — — $46,500.72 $84,879.78 $55,076.32 2026-03-31
Q2040 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $54,633.56 $54,633.56 $54,633.56 2026-03-31
C9098 HCPCS Ciltacabtagene Car Pos T 3 3 — — $54,633.56 $54,633.56 $54,633.56 2026-03-31
C9076 HCPCS Lisocabtagene Car Pos T 3 3 — — $54,633.56 $54,633.56 $54,633.56 2026-03-31
C9081 HCPCS Idecabtagene Car Pos T 3 3 — — $54,633.56 $54,633.56 $54,633.56 2026-03-31
C9073 HCPCS Brexucabtagene Autoleucel Ca 3 3 — — $54,633.56 $54,633.56 $54,633.56 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 18 10 — — $46,072.13 $84,086.46 $54,564.96 2026-03-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $54,545.27 $54,545.27 $54,545.27 2026-03-31
73 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $54,151.33 $54,151.33 $54,151.33 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $39,793.97 $55,634.41 $54,150.04 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 10 — — $45,685.57 $83,370.95 $54,103.77 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 10 — — $45,009.86 $78,005.35 $53,297.59 2026-03-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $53,274.28 $53,274.28 $53,274.28 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $44,918.60 $81,951.32 $53,188.71 2026-03-31
4404 APR_DRG Kidney Transplant 3 3 — — $52,643.90 $52,643.90 $52,643.90 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 10 — — $44,382.35 $80,958.72 $52,548.91 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 10 — — $44,317.76 $80,839.15 $52,471.85 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 18 10 — — $44,008.09 $80,265.99 $52,102.39 2026-03-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $51,799.87 $51,799.87 $51,799.87 2026-03-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $51,761.91 $51,761.91 $51,761.91 2026-03-31
6948801061 NDC Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml Soln 1 Each Vial 11 5 $99,456.83 $22,875.07 77% off $3,929.00 $71,111.63 $51,717.55 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 10 — — $43,612.32 $79,533.40 $51,630.19 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 10 — — $43,602.06 $79,514.42 $51,617.96 2026-03-31
C9031 HCPCS Lutetium Lu 177 Dotatate, Tx 3 3 — — $51,473.36 $51,473.36 $51,473.36 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 10 — — $43,305.74 $78,965.93 $51,264.42 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 10 — — $42,807.41 $78,043.55 $50,669.87 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 10 — — $42,783.83 $77,999.89 $50,641.73 2026-03-31
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 18 10 — — $42,721.28 $77,884.12 $50,567.11 2026-03-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $50,495.48 $50,495.48 $50,495.48 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 10 — — $42,349.08 $77,195.18 $50,123.04 2026-03-31
J9226 HCPCS Supprelin La Implant 14 10 — — $34,189.02 $74,599.87 $49,392.78 2026-03-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $49,288.24 $49,288.24 $49,288.24 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 10 — — $41,490.87 $75,606.64 $49,099.11 2026-03-31
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 18 10 — — $41,462.16 $75,553.50 $49,064.86 2026-03-31
1784 APR_DRG External Heart Assist Systems 3 3 — — $48,959.20 $48,959.20 $48,959.20 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 10 — — $41,101.24 $74,885.44 $48,634.24 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 10 — — $41,018.18 $74,731.71 $48,535.15 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 10 — — $40,936.15 $74,579.88 $48,437.29 2026-03-31
62 APR_DRG Pancreas Transplant 3 3 — — $48,298.85 $48,298.85 $48,298.85 2026-03-31
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 18 10 — — $40,738.26 $74,213.58 $48,201.18 2026-03-31
0266T OTHER Implt/rpl Crtd Sns Dev Total 12 9 — — $27,607.65 $68,956.85 $48,152.52 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 12 9 — — $27,607.65 $68,956.85 $48,152.52 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 16 9 — — $43,406.22 $75,185.77 $48,104.83 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 10 — — $40,516.78 $73,803.64 $47,936.94 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 10 — — $40,273.78 $73,353.84 $47,647.02 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 10 — — $40,233.79 $73,279.82 $47,599.30 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 10 — — $40,123.05 $73,074.84 $47,467.18 2026-03-31
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $47,358.79 $47,358.79 $47,358.79 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 10 — — $39,836.98 $72,545.33 $47,125.88 2026-03-31
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $47,030.51 $47,030.51 $47,030.51 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 10 — — $39,624.73 $72,152.46 $46,872.65 2026-03-31
791 MS_DRG Prematurity With Major Problems 16 9 — — $42,272.18 $73,191.88 $46,848.04 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 10 — — $39,321.23 $71,590.69 $46,510.54 2026-03-31
84 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $46,481.74 $46,481.74 $46,481.74 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 10 — — $39,012.59 $71,019.42 $46,142.32 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 22 10 — — $36,249.28 $88,260.02 $46,085.24 2026-03-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $45,072.98 $45,072.98 $45,072.98 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 10 — — $38,055.94 $69,248.68 $45,000.94 2026-03-31
3657004 CDM Ab Pump Set Abiomed 10 5 $90,000.00 $20,700.00 77% off $3,929.00 $64,350.00 $45,000.00 2026-03-31
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 3 3 — — $44,945.15 $44,945.15 $44,945.15 2026-03-31
0454T OTHER Insj/rplcmt Subq Electrode 3 3 — — $44,945.15 $44,945.15 $44,945.15 2026-03-31
0459T OTHER Relocaj Rplcmt Aortic Ventr 3 3 — — $44,945.15 $44,945.15 $44,945.15 2026-03-31
33981 HCPCS Replace Vad Pump Ext 3 3 — — $44,945.15 $44,945.15 $44,945.15 2026-03-31
33979 HCPCS Insert Intracorporeal Device 3 3 — — $44,945.15 $44,945.15 $44,945.15 2026-03-31
33982 HCPCS Replace Vad Intra Without Bp 3 3 — — $44,945.15 $44,945.15 $44,945.15 2026-03-31
33983 HCPCS Replace Vad Intra W/bp 3 3 — — $44,945.15 $44,945.15 $44,945.15 2026-03-31
0451T OTHER Insj/rplcmt Aortic Ventr Sys 3 3 — — $44,945.15 $44,945.15 $44,945.15 2026-03-31
33975 HCPCS Implant Ventricular Device 3 3 — — $44,945.15 $44,945.15 $44,945.15 2026-03-31
0452T OTHER Insj/rplcmt Dev Vasc Seal 3 3 — — $44,945.15 $44,945.15 $44,945.15 2026-03-31
33976 HCPCS Implant Ventricular Device 3 3 — — $44,945.15 $44,945.15 $44,945.15 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 10 — — $37,796.54 $68,768.51 $44,691.44 2026-03-31
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $44,335.20 $44,335.20 $44,335.20 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 10 — — $37,400.75 $68,035.92 $44,219.24 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 10 — — $37,398.70 $68,032.12 $44,216.79 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 10 — — $37,392.55 $68,020.74 $44,209.45 2026-03-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $44,168.60 $44,168.60 $44,168.60 2026-03-31
265 MS_DRG Aicd Lead Procedures 18 10 — — $37,220.29 $67,701.89 $44,003.93 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 10 — — $37,056.23 $67,398.22 $43,808.19 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 10 — — $36,842.96 $67,003.46 $43,553.74 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 10 — — $36,833.73 $66,986.38 $43,542.73 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 10 — — $36,742.47 $66,817.47 $43,433.85 2026-03-31
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $43,414.50 $43,414.50 $43,414.50 2026-03-31
5801059 CDM Periph Bld Stm Cell Procur Primary Internatl 10 5 $86,528.00 $19,901.44 77% off $3,929.00 $61,867.52 $43,264.00 2026-03-31
5801060 CDM Periph Bld Stm Cell Procur Secondary Internatl 10 5 $86,528.00 $19,901.44 77% off $3,929.00 $61,867.52 $43,264.00 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 10 — — $36,570.21 $66,498.62 $43,228.33 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 10 — — $36,558.93 $66,477.74 $43,214.88 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 10 — — $36,544.59 $66,451.17 $43,197.75 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 18 10 — — $36,481.01 $66,333.50 $43,121.90 2026-03-31
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $42,820.19 $42,820.19 $42,820.19 2026-03-31
332 MS_DRG Rectal Resection With Mcc 18 10 — — $36,210.31 $65,832.46 $42,798.94 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 10 — — $36,171.36 $65,760.34 $42,752.46 2026-03-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $42,727.20 $42,727.20 $42,727.20 2026-03-31
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $42,503.29 $42,503.29 $42,503.29 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 10 — — $35,961.16 $65,371.27 $42,501.68 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 10 — — $35,905.79 $65,268.78 $42,435.62 2026-03-31
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $42,433.08 $42,433.08 $42,433.08 2026-03-31
665 MS_DRG Prostatectomy With Mcc 18 10 — — $35,850.42 $65,166.29 $42,369.56 2026-03-31
72 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $42,357.56 $42,357.56 $42,357.56 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 18 10 — — $35,817.61 $65,105.56 $42,330.41 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 10 — — $35,764.29 $65,006.87 $42,266.79 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 10 — — $35,569.47 $64,646.27 $42,034.36 2026-03-31
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $41,928.33 $41,928.33 $41,928.33 2026-03-31
0003232822 NDC Ipilimumab 1 Mg Inj 11 5 $80,539.71 $18,524.13 77% off $3,929.00 $57,585.89 $41,880.65 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 10 — — $35,423.88 $64,376.77 $41,860.65 2026-03-31
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $41,779.18 $41,779.18 $41,779.18 2026-03-31
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