Price Transparency 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

UNIVERSITY OF MICHIGAN HEALTH SYSTEM

Ann Arbor, MI · CCN 230046 · Rates published

85,625 distinct procedures filed
43 distinct payers
3,051,335 rate rows
2026-05-06 last MRF observed
Data quality

3,042,471 of 3,051,335 rate rows are consumer-grade (99.7%)

8,864 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
template filing: same amount across many unrelated codes — excluded 8,300
placeholder amount (≤ $0.02) — excluded from medians 480
per-diem day rate — not a per-procedure price 61
exceeds 10× this hospital's gross charge — excluded from medians 23
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.uofmhealth.org/38-6006309_UNIVERSITY-OF-MICHIGAN-HEALTH_standardcharges-1-1-25.zip
Found on page https://www.uofmhealth.org/michigan-medicine-standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 5dd954aa1755d27c… · 10,813,583 bytes · first seen 2026-05-06

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
PX-025005716
OTHER 		Hc-zynteglo(betibeglogene Autotemcel)per Treatment Gene Therapy 5 $2,828,000.00 $4,687,000.00 $4,687,000.00 nat. median
$4,687,000
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 25 $1,982,315.40 $3,805,175.82 $3,623,976.97 nat. median
$3,746,358
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 26 $1,971,935.00 $4,974,900.00 $3,605,000.00 nat. median
$3,605,000
1.0× median
RX-197908
OTHER 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 40 $3,325.00 $4,903,346.10 $2,423,492.90 nat. median
$2,930,736
0.8× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 26 $1,306,571.98 $3,296,287.64 $2,388,614.23 nat. median
$2,588,981
0.9× median
PX-025005501
OTHER 		Hc-kymriah(tisagenlecleucel-car Pos-t) Peds 25 $611,052.15 $2,911,020.00 $2,342,200.00 nat. median
$2,342,200
1.0× median
PX-025005696
OTHER 		Hc-carvykti(ciltacabtagene Autoleucel)car-t Adults 30 Ml 25 $548,158.28 $2,611,582.53 $2,101,273.30 nat. median
$2,101,273
1.0× median
PX-025005700
OTHER 		Hc-carvykti(ciltacabtagene Autoleucel)car-t Adults 70 Ml 25 $548,158.28 $2,611,582.53 $2,101,273.30 nat. median
$2,101,273
1.0× median
PX-025005702
OTHER 		Hc-abecma(idecabtagene Vicleucel) Adults (Cart) 500ml Infusion Bag 25 $523,328.40 $2,493,420.00 $2,006,200.00 nat. median
$2,006,200
1.0× median
PX-025005612
OTHER 		Hc-abecma(idecabtagene Vicleucel) Adults (Cart) 250ml Infusion Bag 25 $523,328.40 $2,493,420.00 $2,006,200.00 nat. median
$2,006,200
1.0× median
PX-025005611
OTHER 		Hc-abecma(idecabtagene Vicleucel) Adults (Cart) 50ml Infusion Bag 25 $523,328.40 $2,493,420.00 $2,006,200.00 nat. median
$2,006,200
1.0× median
PX-025005610
OTHER 		Hc-breyanzi(lisocabtagene Maraleucel) Peds 25 $511,850.85 $2,438,610.00 $1,962,100.00 nat. median
$1,967,706
1.0× median
PX-025005606
OTHER 		Hc-breyanzi(lisocabtagene Maraleucel) Adults 25 $511,850.85 $2,438,610.00 $1,962,100.00 nat. median
$1,967,706
1.0× median
PX-025005608
OTHER 		Hc-tecartus (Brexucabtagene Autoleucel)Adults Per Ther Dose 25 $485,100.00 $2,311,590.00 $1,859,900.00 nat. median
$1,859,900
1.0× median
PX-025005609
OTHER 		Hc-tecartus (Brexucabtagene Autoleucel)Peds Per Ther Dose 25 $485,100.00 $2,311,590.00 $1,859,900.00 nat. median
$1,859,900
1.0× median
PX-025005451
OTHER 		Hc-yescarta(axicabtagene Ciloleucel) Adults 25 $475,860.00 $2,311,155.00 $1,858,221.75 nat. median
$1,862,206
1.0× median
PX-025005452
OTHER 		Hc-yescarta(axicabtagene Ciloleucel) Peds 25 $475,860.00 $2,311,155.00 $1,858,221.75 nat. median
$1,862,206
1.0× median
PX-025005502
OTHER 		Hc-kymriah(tisagenlecleucel-dlbcl-6m) Adults 25 $479,788.09 $2,285,490.00 $1,838,900.00 nat. median
$1,838,900
1.0× median
714
OTHER 		Inj Delandistrogene Mox Rokl 26 $9,661.78 $4,589,127.56 $1,819,023.75 nat. median
$13,041
outlier · 139.5×
748
OTHER 		Inj, Lovotibeglogene Autotem 26 $13,592.28 $4,474,278.06 $1,773,500.07 nat. median
$17,963
outlier · 98.7×
746
OTHER 		Inj, Betibeglogene Autotemce 26 $16,496.91 $4,041,283.41 $1,601,871.03 nat. median
$21,896
outlier · 73.2×
PX-025005713
OTHER 		Hc-omisirge (omidubicel-onlv) Per Dose 40 $461,581.25 $1,690,845.00 $903,727.50 nat. median
$1,251,371
0.7× median
9194
OTHER 		Tisagenlecleucel Car-pos T 26 $289,468.49 $730,286.14 $529,192.86 nat. median
$566,531
0.9× median
9498
OTHER 		Ciltacabtagene Car-pos T 26 $288,336.52 $727,430.34 $527,123.43 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Car 26 $288,043.41 $726,690.88 $526,587.59 nat. median
$558,082
0.9× median
0024
OTHER 		Heart And/or Lung Transplant 9 $517,655.99 $517,655.99 $517,655.99 nat. median
$235,636
outlier · 2.2×
5834
OTHER 		Neonate With Ecmo 9 $516,952.46 $516,952.46 $516,952.46 nat. median
$372,748
1.4× median
9413
OTHER 		Lisocabtagene Car Pos T 26 $282,649.17 $713,081.98 $516,726.08 nat. median
$562,201
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 26 $267,732.41 $675,449.22 $489,455.96 nat. median
$532,192
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 26 $248,554.69 $627,066.67 $454,396.14 nat. median
$489,450
0.9× median
RX-192499
OTHER 		Voretigene Neparvovec-rzyl 1.5x10exp11 Vg/0.3 Ml(final)subretinal Susp 25 $255,000.00 $554,625.00 $446,250.00 nat. median
$520,891
0.9× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $138,489.45 $510,827.48 $370,164.84 nat. median
$386,529
1.0× median
PX-027401212
OTHER 		Hc-luke Arm Shoulder Configuration 25 $15,530.88 $373,927.74 $300,861.40 nat. median
$302,022
1.0× median
5833
OTHER 		Neonate With Ecmo 9 $294,928.44 $294,928.44 $294,928.44 nat. median
$252,069
1.2× median
0023
OTHER 		Heart And/or Lung Transplant 9 $280,823.50 $280,823.50 $280,823.50 nat. median
$133,752
outlier · 2.1×
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $262,891.92 $501,168.15 $276,728.34 nat. median
$239,422
1.2× median
0014
OTHER 		Liver Transplant And/or Intestinal Transplant 9 $276,030.06 $276,030.06 $276,030.06 nat. median
$147,828
1.9× median
PX-081500009
OTHER 		Hc-i-ubmt-total Marrow Incl Courier 25 $151,116.19 $305,746.71 $246,003.10 nat. median
$256,546
1.0× median
PX-081500008
OTHER 		Hc-i-ubmt-total Pbsc Incl Courier & Cryopreservation 25 $150,609.65 $304,721.85 $245,178.50 nat. median
$255,686
1.0× median
RX-188102
OTHER 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 25 $143,231.39 $656,625.00 $243,160.26 nat. median
$248,566
1.0× median
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $231,104.35 $231,104.35 $231,104.35 nat. median
$243,175
1.0× median
RX-208687
OTHER 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 25 $128,302.33 $259,588.43 $217,815.58 nat. median
$209,349
1.0× median
0064
OTHER 		Pancreas Transplant 9 $217,595.86 $217,595.86 $217,595.86 nat. median
$102,085
outlier · 2.1×
SUP-70284
OTHER 		Cardiowest, Biventricular Pneumatic Assist Device 50cc 23 $131,263.95 $265,580.55 $214,296.03 nat. median
$213,686
1.0× median
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $200,240.09 $384,637.92 $210,779.04 nat. median
$181,005
1.2× median
PX-081200017
OTHER 		Hc-single Lung Acq - Cadaver 25 $126,435.91 $255,812.19 $205,825.90 nat. median
$201,478
1.0× median
PX-081200006
OTHER 		Hc-double Lung Acq - Cadaver 25 $126,435.91 $255,812.19 $205,825.90 nat. median
$201,478
1.0× median
0022
OTHER 		Heart And/or Lung Transplant 9 $205,325.82 $205,325.82 $205,325.82 nat. median
$96,800
outlier · 2.1×
0114
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $202,497.95 $202,497.95 $202,497.95 nat. median
$125,206
1.6× median
0021
OTHER 		Heart And/or Lung Transplant 9 $202,215.13 $202,215.13 $202,215.13 nat. median
$85,030
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 85,625 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
             
PX-025005716 OTHER Hc-zynteglo(betibeglogene Autotemcel)per Treatment Gene Therapy 5 5 — $4,360,000.00 $2,828,000.00 $4,687,000.00 $4,687,000.00 2026-05-06
9138 OTHER Inj, Hemgenix, Per Tx Dose 31 25 — — $1,982,315.40 $3,805,175.82 $3,623,976.97 2026-05-06
773 OTHER Inj, Beqvez, Per Tx Dose 32 26 — — $1,971,935.00 $4,974,900.00 $3,605,000.00 2026-05-06
RX-197908 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 54 40 — $2,254,412.00 $3,325.00 $4,903,346.10 $2,423,492.90 2026-05-06
9141 OTHER Inj Onase Abepar-xioi Treat 32 26 — — $1,306,571.98 $3,296,287.64 $2,388,614.23 2026-05-06
PX-025005501 OTHER Hc-kymriah(tisagenlecleucel-car Pos-t) Peds 33 25 $3,346,000.00 $1,338,400.00 60% off $611,052.15 $2,911,020.00 $2,342,200.00 2026-05-06
PX-025005700 OTHER Hc-carvykti(ciltacabtagene Autoleucel)car-t Adults 70 Ml 33 25 $3,001,819.00 $1,200,727.60 60% off $548,158.28 $2,611,582.53 $2,101,273.30 2026-05-06
PX-025005696 OTHER Hc-carvykti(ciltacabtagene Autoleucel)car-t Adults 30 Ml 33 25 $3,001,819.00 $1,200,727.60 60% off $548,158.28 $2,611,582.53 $2,101,273.30 2026-05-06
PX-025005611 OTHER Hc-abecma(idecabtagene Vicleucel) Adults (Cart) 50ml Infusion Bag 33 25 $2,866,000.00 $1,146,400.00 60% off $523,328.40 $2,493,420.00 $2,006,200.00 2026-05-06
PX-025005612 OTHER Hc-abecma(idecabtagene Vicleucel) Adults (Cart) 250ml Infusion Bag 33 25 $2,866,000.00 $1,146,400.00 60% off $523,328.40 $2,493,420.00 $2,006,200.00 2026-05-06
PX-025005702 OTHER Hc-abecma(idecabtagene Vicleucel) Adults (Cart) 500ml Infusion Bag 33 25 $2,866,000.00 $1,146,400.00 60% off $523,328.40 $2,493,420.00 $2,006,200.00 2026-05-06
PX-025005606 OTHER Hc-breyanzi(lisocabtagene Maraleucel) Adults 33 25 $2,803,000.00 $1,121,200.00 60% off $511,850.85 $2,438,610.00 $1,962,100.00 2026-05-06
PX-025005610 OTHER Hc-breyanzi(lisocabtagene Maraleucel) Peds 33 25 $2,803,000.00 $1,121,200.00 60% off $511,850.85 $2,438,610.00 $1,962,100.00 2026-05-06
PX-025005609 OTHER Hc-tecartus (Brexucabtagene Autoleucel)Peds Per Ther Dose 33 25 $2,657,000.00 $1,062,800.00 60% off $485,100.00 $2,311,590.00 $1,859,900.00 2026-05-06
PX-025005608 OTHER Hc-tecartus (Brexucabtagene Autoleucel)Adults Per Ther Dose 33 25 $2,657,000.00 $1,062,800.00 60% off $485,100.00 $2,311,590.00 $1,859,900.00 2026-05-06
PX-025005452 OTHER Hc-yescarta(axicabtagene Ciloleucel) Peds 34 25 $2,656,500.00 $1,062,600.00 60% off $475,860.00 $2,311,155.00 $1,858,221.75 2026-05-06
PX-025005451 OTHER Hc-yescarta(axicabtagene Ciloleucel) Adults 34 25 $2,656,500.00 $1,062,600.00 60% off $475,860.00 $2,311,155.00 $1,858,221.75 2026-05-06
PX-025005502 OTHER Hc-kymriah(tisagenlecleucel-dlbcl-6m) Adults 33 25 $2,627,000.00 $1,050,800.00 60% off $479,788.09 $2,285,490.00 $1,838,900.00 2026-05-06
714 OTHER Inj Delandistrogene Mox Rokl 57 26 — — $9,661.78 $4,589,127.56 $1,819,023.75 2026-05-06
748 OTHER Inj, Lovotibeglogene Autotem 57 26 — — $13,592.28 $4,474,278.06 $1,773,500.07 2026-05-06
746 OTHER Inj, Betibeglogene Autotemce 57 26 — — $16,496.91 $4,041,283.41 $1,601,871.03 2026-05-06
PX-025005713 OTHER Hc-omisirge (omidubicel-onlv) Per Dose 54 40 $1,943,500.00 $777,400.00 60% off $461,581.25 $1,690,845.00 $903,727.50 2026-05-06
9194 OTHER Tisagenlecleucel Car-pos T 32 26 — — $289,468.49 $730,286.14 $529,192.86 2026-05-06
9498 OTHER Ciltacabtagene Car-pos T 32 26 — — $288,336.52 $727,430.34 $527,123.43 2026-05-06
9422 OTHER Idecabtagene Vicleucel Car 32 26 — — $288,043.41 $726,690.88 $526,587.59 2026-05-06
0024 OTHER Heart And/or Lung Transplant 9 9 — — $517,655.99 $517,655.99 $517,655.99 2026-05-06
5834 OTHER Neonate With Ecmo 9 9 — — $516,952.46 $516,952.46 $516,952.46 2026-05-06
9413 OTHER Lisocabtagene Car Pos T 32 26 — — $282,649.17 $713,081.98 $516,726.08 2026-05-06
9035 OTHER Axicabtagene Ciloleucel Car+ 32 26 — — $267,732.41 $675,449.22 $489,455.96 2026-05-06
9391 OTHER Brexucabtagene Car Pos T 32 26 — — $248,554.69 $627,066.67 $454,396.14 2026-05-06
RX-192499 OTHER Voretigene Neparvovec-rzyl 1.5x10exp11 Vg/0.3 Ml(final)subretinal Susp 31 25 $637,500.00 $255,000.00 60% off $255,000.00 $554,625.00 $446,250.00 2026-05-06
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 23 — — $138,489.45 $510,827.48 $370,164.84 2026-05-06
PX-027401212 OTHER Hc-luke Arm Shoulder Configuration 31 25 $429,802.00 $171,920.80 60% off $15,530.88 $373,927.74 $300,861.40 2026-05-06
5833 OTHER Neonate With Ecmo 9 9 — — $294,928.44 $294,928.44 $294,928.44 2026-05-06
0023 OTHER Heart And/or Lung Transplant 9 9 — — $280,823.50 $280,823.50 $280,823.50 2026-05-06
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 25 23 — — $262,891.92 $501,168.15 $276,728.34 2026-05-06
0014 OTHER Liver Transplant And/or Intestinal Transplant 9 9 — — $276,030.06 $276,030.06 $276,030.06 2026-05-06
PX-081500009 OTHER Hc-i-ubmt-total Marrow Incl Courier 31 25 $351,433.00 $140,573.20 60% off $151,116.19 $305,746.71 $246,003.10 2026-05-06
PX-081500008 OTHER Hc-i-ubmt-total Pbsc Incl Courier & Cryopreservation 31 25 $350,255.00 $140,102.00 60% off $150,609.65 $304,721.85 $245,178.50 2026-05-06
RX-188102 OTHER Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 31 25 $333,096.25 $133,238.50 60% off $143,231.39 $656,625.00 $243,160.26 2026-05-06
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $231,104.35 $231,104.35 $231,104.35 2026-05-06
RX-208687 OTHER Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 31 25 $298,377.50 $119,351.00 60% off $128,302.33 $259,588.43 $217,815.58 2026-05-06
0064 OTHER Pancreas Transplant 9 9 — — $217,595.86 $217,595.86 $217,595.86 2026-05-06
SUP-70284 OTHER Cardiowest, Biventricular Pneumatic Assist Device 50cc 29 23 $305,265.00 $122,106.00 60% off $131,263.95 $265,580.55 $214,296.03 2026-05-06
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 23 — — $200,240.09 $384,637.92 $210,779.04 2026-05-06
PX-081200006 OTHER Hc-double Lung Acq - Cadaver 31 25 $294,037.00 $117,614.80 60% off $126,435.91 $255,812.19 $205,825.90 2026-05-06
PX-081200017 OTHER Hc-single Lung Acq - Cadaver 31 25 $294,037.00 $117,614.80 60% off $126,435.91 $255,812.19 $205,825.90 2026-05-06
0022 OTHER Heart And/or Lung Transplant 9 9 — — $205,325.82 $205,325.82 $205,325.82 2026-05-06
0114 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $202,497.95 $202,497.95 $202,497.95 2026-05-06
0021 OTHER Heart And/or Lung Transplant 9 9 — — $202,215.13 $202,215.13 $202,215.13 2026-05-06
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $190,660.86 $190,660.86 $190,660.86 2026-05-06
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $190,449.72 $190,449.72 $190,449.72 2026-05-06
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $187,505.57 $187,505.57 $187,505.57 2026-05-06
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $178,967.90 $178,967.90 $178,967.90 2026-05-06
0013 OTHER Liver Transplant And/or Intestinal Transplant 9 9 — — $178,222.52 $178,222.52 $178,222.52 2026-05-06
5882 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $176,806.05 $176,806.05 $176,806.05 2026-05-06
PX-081100002 OTHER Hc-liver Acq - Living 31 25 $252,552.00 $101,020.80 60% off $108,597.36 $219,720.24 $176,786.40 2026-05-06
PX-081200010 OTHER Hc-liver Acq - Cadaver 31 25 $252,552.00 $101,020.80 60% off $108,597.36 $219,720.24 $176,786.40 2026-05-06
SUP-76261 OTHER Kit, Lvad Heartmate Iii Commercial 29 23 $246,000.73 $98,400.29 60% off $105,780.31 $214,020.64 $172,692.51 2026-05-06
0063 OTHER Pancreas Transplant 9 9 — — $172,045.48 $172,045.48 $172,045.48 2026-05-06
PX-081500015 OTHER Hc-n-ubmt-total Marrow Incl Courier & Cryopreservation 31 25 $240,866.00 $96,346.40 60% off $103,572.38 $209,553.42 $168,606.20 2026-05-06
1614 OTHER Implantable Heart Assist Systems 9 9 — — $167,694.85 $167,694.85 $167,694.85 2026-05-06
PX-081500012 OTHER Hc-n-ubmt-total Pbsc Incl Courier & Cryopreservation 31 25 $239,227.00 $95,690.80 60% off $102,867.61 $208,127.49 $167,458.90 2026-05-06
5832 OTHER Neonate With Ecmo 9 9 — — $164,084.05 $164,084.05 $164,084.05 2026-05-06
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $158,596.10 $158,596.10 $158,596.10 2026-05-06
PX-081500024 OTHER Hc-i-ubmt-unlicensed Cbu Shipment 31 25 $224,189.00 $89,675.60 60% off $96,401.27 $195,044.43 $156,932.30 2026-05-06
RX-40821848 OTHER Glucarpidase 1,000 Unit/ml Solution For Intrathecal Use 31 25 $223,060.15 $89,224.06 60% off $95,915.86 $194,062.33 $156,142.11 2026-05-06
0012 OTHER Liver Transplant And/or Intestinal Transplant 9 9 — — $156,027.63 $156,027.63 $156,027.63 2026-05-06
0113 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $151,031.11 $151,031.11 $151,031.11 2026-05-06
5892 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $150,790.31 $150,790.31 $150,790.31 2026-05-06
5893 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $150,789.72 $150,789.72 $150,789.72 2026-05-06
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 32 26 — — $82,306.65 $207,647.49 $150,469.19 2026-05-06
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 32 26 — — $82,306.65 $207,647.49 $150,469.19 2026-05-06
0011 OTHER Liver Transplant And/or Intestinal Transplant 9 9 — — $150,007.65 $150,007.65 $150,007.65 2026-05-06
PX-081200012 OTHER Hc-pancreas Acquisition Charge 31 25 $213,661.00 $85,464.40 60% off $91,874.23 $185,885.07 $149,562.70 2026-05-06
5913 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $149,226.31 $149,226.31 $149,226.31 2026-05-06
5891 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $148,751.23 $148,751.23 $148,751.23 2026-05-06
PX-081200007 OTHER Hc-heart Acq - Cadaver 31 25 $211,557.00 $84,622.80 60% off $90,969.51 $184,054.59 $148,089.90 2026-05-06
5831 OTHER Neonate With Ecmo 9 9 — — $147,419.13 $147,419.13 $147,419.13 2026-05-06
PX-081500010 OTHER Hc-n-ubmt-cbu Shipment (Licensed/Unlicensed) 31 25 $209,549.00 $83,819.60 60% off $90,106.07 $182,307.63 $146,684.30 2026-05-06
PX-081500020 OTHER Hc-i-ubmt-total Mnc Apher Incl Courier & Cryopreservation 31 25 $209,358.00 $83,743.20 60% off $90,023.94 $182,141.46 $146,550.60 2026-05-06
0062 OTHER Pancreas Transplant 9 9 — — $145,128.40 $145,128.40 $145,128.40 2026-05-06
PX-062400043 OTHER Hc-lvad Heartmate Iii (g140113/s002) 31 25 $205,485.00 $82,194.00 60% off $88,358.55 $178,771.95 $143,839.50 2026-05-06
22632 OTHER Arthrd Pst Tq 1ntrspc Lm Ea 2 2 — — $141,495.22 $141,495.22 $141,495.22 2026-05-06
RX-117423 OTHER Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 31 25 $200,975.50 $80,390.20 60% off $70,493.25 $174,848.69 $140,682.85 2026-05-06
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 23 — — $132,334.26 $192,232.92 $139,299.22 2026-05-06
4404 OTHER Kidney Transplant 9 9 — — $137,666.07 $137,666.07 $137,666.07 2026-05-06
8414 OTHER Extensive Third Degree Burns With Skin Graft 9 9 — — $136,961.00 $136,961.00 $136,961.00 2026-05-06
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $136,141.93 $136,141.93 $136,141.93 2026-05-06
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 32 26 — — $74,210.94 $187,223.21 $135,668.99 2026-05-06
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 32 26 — — $74,210.94 $187,223.21 $135,668.99 2026-05-06
SUP-50243 OTHER Kit, Lvad Heartmate Ii 29 23 $185,856.80 $74,342.72 60% off $79,918.42 $161,695.42 $130,471.47 2026-05-06
14 OTHER Allogeneic Bone Marrow Transplant 25 23 — — $122,771.21 $285,999.39 $129,232.85 2026-05-06
7 OTHER Lung Transplant 25 23 — — $122,464.28 $184,872.09 $128,909.77 2026-05-06
5912 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $127,457.16 $127,457.16 $127,457.16 2026-05-06
22552 OTHER Arthrd Ant Ntrbd Cervical Ea 2 2 — — $127,105.93 $127,105.93 $127,105.93 2026-05-06
0074 OTHER Allogeneic Bone Marrow Transplant 9 9 — — $126,677.83 $126,677.83 $126,677.83 2026-05-06
PX-036105878 OTHER Hc-insj/rplcmt Icds W/Substernal Electrode 29 23 $179,721.00 $71,888.40 60% off $77,280.03 $156,357.27 $126,164.14 2026-05-06
0094 OTHER Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $125,266.84 $125,266.84 $125,266.84 2026-05-06
20931 OTHER Sp Bone Algrft Struct Add-on 2 2 — — $124,692.64 $124,692.64 $124,692.64 2026-05-06
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 41 26 — — $15,487.00 $166,798.93 $120,868.79 2026-05-06
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 41 26 — — $8,112.99 $166,798.93 $120,868.79 2026-05-06
0112 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $120,332.25 $120,332.25 $120,332.25 2026-05-06
SUP-48078 OTHER Pump, Hvad Heartware Kit 29 23 $168,276.45 $67,310.58 60% off $72,358.87 $146,400.51 $118,130.07 2026-05-06
PX-036102222 OTHER Hc-insert Subq Defibrillator System W/Electrode 31 25 $164,118.00 $65,647.20 60% off $70,570.74 $164,118.00 $115,210.84 2026-05-06
0308T OTHER Insj Ocular Telescope Prosth 2 2 — — $114,053.90 $114,053.90 $114,053.90 2026-05-06
0061 OTHER Pancreas Transplant 9 9 — — $113,951.76 $113,951.76 $113,951.76 2026-05-06
22551 OTHER Arthrd Ant Ntrbdy Cervical 2 2 — — $109,086.02 $109,086.02 $109,086.02 2026-05-06
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 23 — — $103,414.44 $184,534.67 $108,857.31 2026-05-06
22614 OTHER Arthrd Pst Tq 1ntrspc Ea Add 2 2 — — $108,674.32 $108,674.32 $108,674.32 2026-05-06
22630 OTHER Arthrd Pst Tq 1ntrspc Lum 2 2 — — $108,094.97 $108,094.97 $108,094.97 2026-05-06
0044 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $107,841.57 $107,841.57 $107,841.57 2026-05-06
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $107,646.44 $107,646.44 $107,646.44 2026-05-06
212 OTHER Concomitant Aortic And Mitral Valve Procedures 25 23 — — $102,236.97 $194,285.23 $107,617.86 2026-05-06
5933 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $106,257.40 $106,257.40 $106,257.40 2026-05-06
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 41 26 — — $5,705.60 $146,374.66 $106,068.59 2026-05-06
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 41 26 — — $6,396.56 $146,374.66 $106,068.59 2026-05-06
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 25 23 — — $99,962.93 $189,493.79 $105,224.14 2026-05-06
215 OTHER Other Heart Assist System Implant 25 23 — — $99,456.97 $153,454.76 $104,691.55 2026-05-06
426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 23 — — $98,409.70 $142,953.04 $103,589.16 2026-05-06
6034 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $99,762.36 $99,762.36 $99,762.36 2026-05-06
PX-027400951 OTHER Hc-3b5-x3 Adaptive Micrprcssr Cntrlld Swing & Stance Phase Prsth Kn 31 25 $140,434.00 $56,173.60 60% off $2,046.59 $122,177.58 $98,303.80 2026-05-06
8424 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $96,684.76 $96,684.76 $96,684.76 2026-05-06
6024 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $96,656.89 $96,656.89 $96,656.89 2026-05-06
PX-036102101 OTHER Hc-remove Pacing Cvdfb Pulse Gen &Replace Plse Gen Dual Lead 31 25 $137,347.00 $54,938.80 60% off $59,059.21 $130,176.35 $96,417.59 2026-05-06
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 23 — — $90,678.91 $167,814.75 $95,451.48 2026-05-06
22858 OTHER Tot Disc Arthrp 2nd Lvl Crv 2 2 — — $94,359.86 $94,359.86 $94,359.86 2026-05-06
RX-177974 OTHER Histrelin 50 Mg (65 Mcg/day) Implant Kit 31 25 $134,110.27 $53,644.11 60% off $57,667.42 $116,675.93 $93,877.19 2026-05-06
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 32 26 — — $51,273.09 $129,354.43 $93,735.09 2026-05-06
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 32 26 — — $51,273.09 $129,354.43 $93,735.09 2026-05-06
PX-027401241 OTHER Hc-pattern Recognition System With Motion Calibration Platform And Consolidated Si… 31 25 $132,400.00 $52,960.00 60% off $15,530.88 $115,188.00 $92,680.00 2026-05-06
22558 OTHER Arthrd Ant Ntrbd Min Dsc Lum 2 2 — — $92,431.63 $92,431.63 $92,431.63 2026-05-06
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $91,845.66 $91,845.66 $91,845.66 2026-05-06
RX-208102 OTHER Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 31 25 $130,805.93 $52,322.37 60% off $56,246.55 $130,805.93 $91,825.76 2026-05-06
5932 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $91,782.20 $91,782.20 $91,782.20 2026-05-06
4403 OTHER Kidney Transplant 9 9 — — $90,995.55 $90,995.55 $90,995.55 2026-05-06
PX-036102098 OTHER Hc-insert Pacing Cvdfb Pulse Gen Only W/Exist Dual Leads 31 25 $129,570.00 $51,828.00 60% off $55,715.10 $129,570.00 $90,958.14 2026-05-06
0093 OTHER Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $90,479.16 $90,479.16 $90,479.16 2026-05-06
1612 OTHER Implantable Heart Assist Systems 9 9 — — $89,385.48 $89,385.48 $89,385.48 2026-05-06
6134 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $88,575.90 $88,575.90 $88,575.90 2026-05-06
PX-027400769 OTHER Hc-robotic Ankle Power Flexion 31 25 $125,915.00 $50,366.00 60% off $2,046.59 $109,546.05 $88,140.50 2026-05-06
RX-185045 OTHER Botulism Immune Globulin, Human 100 Mg Intravenous Solution 29 23 $124,575.00 $49,830.00 60% off $53,567.25 $108,380.25 $87,451.65 2026-05-06
SUP-T84885 OTHER Tissue, Chondrocytes Autologous Cultured Maci 81074 29 23 $124,178.70 $49,671.48 60% off $53,396.84 $108,035.47 $87,173.45 2026-05-06
PX-081100001 OTHER Hc-kidney Acq. Chg-living 31 25 $124,169.00 $49,667.60 60% off $53,392.67 $108,027.03 $86,918.30 2026-05-06
PX-081200009 OTHER Hc-kidney Acq. Chg-cadaver 31 25 $124,169.00 $49,667.60 60% off $53,392.67 $108,027.03 $86,918.30 2026-05-06
6093 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $86,883.79 $86,883.79 $86,883.79 2026-05-06
RX-201868 OTHER Inebilizumab-cdon 10 Mg/ml Intravenous Solution 31 25 $123,785.64 $49,514.26 60% off $49,296.00 $107,693.51 $86,649.95 2026-05-06
SUP-92729 OTHER Tissue, Chondrocytes Autologous Cultured Maci 29 23 $122,792.20 $49,116.88 60% off $52,800.65 $106,829.21 $86,200.12 2026-05-06
27702 OTHER Reconstruct Ankle Joint 2 2 — — $85,782.53 $85,782.53 $85,782.53 2026-05-06
PX-081500019 OTHER Hc-n-ubmt-total Mnc Apher Incl Courier & Cryopreservation 31 25 $120,449.00 $48,179.60 60% off $51,793.07 $104,790.63 $84,314.30 2026-05-06
231 OTHER Coronary Bypass With Ptca With Mcc 25 23 — — $79,731.90 $127,129.47 $83,928.32 2026-05-06
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 23 — — $79,687.25 $115,756.22 $83,881.32 2026-05-06
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 32 26 — — $45,875.95 $115,738.24 $83,868.29 2026-05-06
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 32 26 — — $45,875.95 $115,738.24 $83,868.29 2026-05-06
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 23 — — $78,491.18 $116,348.23 $82,622.29 2026-05-06
4402 OTHER Kidney Transplant 9 9 — — $82,450.41 $82,450.41 $82,450.41 2026-05-06
22612 OTHER Arthrd Pst Tq 1ntrspc Lumbar 2 2 — — $81,768.18 $81,768.18 $81,768.18 2026-05-06
6114 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $80,663.95 $80,663.95 $80,663.95 2026-05-06
SUP-613310 OTHER Zzqs - Valve, Mitral Tmvr Intrepid 43 X 27 Mm For Clinical Trial Duplicate, Plea… 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-613318 OTHER Zzqs - 43mm X 27mm Intrepid Tmvr Mitral Valve, F/Clinical Trial 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-721144 OTHER Zzqs - 42mm Intrepid Transcatheter Mitral Valive (ide) 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-89601 OTHER Device, Ventricular Assist Impella 5.5 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-91107 OTHER Device, Ventricular Impella 5.5 With Smartassist 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-711793 OTHER Zzqs - 42mm Intrepid Transcather Mitral Valve Replacement SystemInvestigational … 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-661124 OTHER Zzqs - 48mm Medtronic Intrepid Transcather Mitral Valve Replacement System 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-613319 OTHER Zzqs - 46mm X 27mm Intrepid Tmvr Mitral Valve, F/Clinical Trial 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-613316 OTHER Zzqs - 50mm X 27mm Intrepid Tmvr Mitral Valve, F/Clinical Trial 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-745685 OTHER Zzqs - Impella 5.5 Temporary Non-roller Type Left Hearth Support Blood Pump 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-743959 OTHER Zzqs - Intrepid Transcatheter Valve, Vl42m (Investigational, Apollo Trial) 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-775628 OTHER Zzqs - 48mm Medtronic Intrepid Tricuspid ValveInvestigational Device 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-745531 OTHER Zzqs - Intrepid Transcatheter Valve (Investigational, Apollo Trial) 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
SUP-678264 OTHER Zzqs - Set Impella 5.5 With Smartassist Set US 29 23 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,554.50 2026-05-06
PX-062400106 OTHER Hc-intrpid Tmvr System Ide G160020 31 25 $114,750.00 $45,900.00 60% off $49,342.50 $99,832.50 $80,325.00 2026-05-06
4401 OTHER Kidney Transplant 9 9 — — $80,097.27 $80,097.27 $80,097.27 2026-05-06
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 23 — — $75,891.61 $150,182.76 $79,885.91 2026-05-06
RX-9685 OTHER Corticotropin 80 Unit/ml Injection Gel 31 25 $114,012.25 $45,604.90 60% off $49,025.27 $99,190.66 $79,808.58 2026-05-06
RX-199872 OTHER Givosiran 189 Mg/ml Subcutaneous Solution 31 25 $113,781.25 $45,512.50 60% off $40,170.00 $98,989.69 $79,646.88 2026-05-06
PX-062400040 OTHER Hc-gore Tag Thoracic Branch Endopros (g140060) 31 25 $113,324.00 $45,329.60 60% off $48,729.32 $98,591.88 $79,326.80 2026-05-06
10 OTHER Pancreas Transplant 25 23 — — $72,548.42 $109,054.97 $79,025.34 2026-05-06
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 23 — — $74,647.17 $120,473.00 $78,575.97 2026-05-06
PX-036102100 OTHER Hc-remove Pacing Cvdfb Pulse Gen &Replace Plse Gen Sngl Lead 31 25 $111,704.00 $44,681.60 60% off $48,032.72 $105,871.87 $78,416.21 2026-05-06
SUP-48117 OTHER Pump, Vad Blood Excor 25ml With Pu Valves 29 23 $111,297.30 $44,518.92 60% off $47,857.84 $96,828.65 $78,130.70 2026-05-06
SUP-68445 OTHER Pump, Vad Blood Excor 10ml With Pu Valves 29 23 $111,297.30 $44,518.92 60% off $47,857.84 $96,828.65 $78,130.70 2026-05-06
RX-157528 OTHER Glucarpidase 1,000 Unit Intravenous Solution 31 25 $111,530.08 $44,612.03 60% off $47,957.93 $97,031.17 $78,071.06 2026-05-06
1611 OTHER Implantable Heart Assist Systems 9 9 — — $77,923.23 $77,923.23 $77,923.23 2026-05-06
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 23 — — $73,615.72 $106,936.52 $77,490.23 2026-05-06
SUP-771304 OTHER Zzqs - 48mm, System, Valve Replacement Evoque 29 23 $109,650.00 $43,860.00 60% off $47,149.50 $95,395.50 $76,974.30 2026-05-06
SUP-769134 OTHER Zzqs - 44mm Evoque Tricuspid Valve Replacement System 29 23 $109,650.00 $43,860.00 60% off $47,149.50 $95,395.50 $76,974.30 2026-05-06
SUP-771305 OTHER Zzqs - 52mm, System, Valve Replacement Evoque 29 23 $109,650.00 $43,860.00 60% off $47,149.50 $95,395.50 $76,974.30 2026-05-06
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 23 — — $72,882.81 $121,834.97 $76,718.75 2026-05-06
PX-036102102 OTHER Hc-remove Pacing Cvdfb Pulse Gen &Replace Plse Gen Multi Lead 31 25 $108,528.00 $43,411.20 60% off $46,667.04 $108,528.00 $76,186.66 2026-05-06
PX-027003000 OTHER Hc-theresphere Source 1 Dose - Yttrium-90 31 25 $108,796.00 $43,518.40 60% off $46,782.28 $94,652.52 $76,157.20 2026-05-06
6074 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $75,133.29 $75,133.29 $75,133.29 2026-05-06
RX-217801 OTHER Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 29 23 $106,803.32 $42,721.33 60% off $45,925.43 $92,918.89 $74,975.93 2026-05-06
SUP-721096 OTHER Zzqs - 29mm Sapien 3 Tpv Kit With Alterra Adaptive Prestent (Clinical Trial) 29 23 $105,825.00 $42,330.00 60% off $45,504.75 $92,067.75 $74,289.15 2026-05-06
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 23 — — $70,340.92 $130,405.56 $74,043.07 2026-05-06
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 32 26 — — $40,478.82 $102,122.06 $74,001.49 2026-05-06
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 32 26 — — $40,478.82 $102,122.06 $74,001.49 2026-05-06
RX-211125 OTHER Lenacapavir 309 Mg/ml Subcutaneous Solution 31 25 $105,641.25 $42,256.50 60% off $36,496.45 $91,907.89 $73,948.88 2026-05-06
0043 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $73,826.69 $73,826.69 $73,826.69 2026-05-06
24361 OTHER Reconstruct Elbow Joint 2 2 — — $72,111.24 $72,111.24 $72,111.24 2026-05-06
22633 OTHER Arthrd Cmbn 1ntrspc Lumbar 2 2 — — $72,109.49 $72,109.49 $72,109.49 2026-05-06
6023 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $71,806.00 $71,806.00 $71,806.00 2026-05-06
6334 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 9 9 — — $71,558.08 $71,558.08 $71,558.08 2026-05-06
6022 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $71,039.71 $71,039.71 $71,039.71 2026-05-06
SUP-T88642 OTHER Pump, Vad Blood Excor 30ml With Pu Valves 29 23 $101,178.90 $40,471.56 60% off $43,506.93 $88,025.64 $71,027.59 2026-05-06
0054 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $70,982.18 $70,982.18 $70,982.18 2026-05-06
23474 OTHER Revis Reconst Shoulder Joint 2 2 — — $70,913.54 $70,913.54 $70,913.54 2026-05-06
22867 OTHER Insj Stablj Dev W/dcmprn 2 2 — — $70,733.35 $70,733.35 $70,733.35 2026-05-06
22869 OTHER Insj Stablj Dev Without Dcmprn 2 2 — — $70,733.35 $70,733.35 $70,733.35 2026-05-06
PX-027401239 OTHER Hc-ossur I-digits Myoelectric One To Five Digit Part Hand Pros Device Custom Fab 29 23 $100,595.00 $40,238.00 60% off $43,255.85 $87,517.65 $70,617.69 2026-05-06
427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 23 — — $66,946.14 $97,248.08 $70,469.62 2026-05-06
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 23 — — $66,646.65 $116,845.17 $70,154.37 2026-05-06
25442 OTHER Reconstruct Wrist Joint 2 2 — — $69,762.05 $69,762.05 $69,762.05 2026-05-06
PX-036100461 OTHER Hc-insert/replace Perm Defib System With Leads 31 25 $99,220.00 $39,688.00 60% off $42,664.60 $99,220.00 $69,652.44 2026-05-06
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 25 23 — — $65,623.57 $109,740.84 $69,077.44 2026-05-06
SUP-T81024 OTHER Pump, Vad Blood Excor 15ml With Pu Valves 29 23 $98,231.10 $39,292.44 60% off $42,239.37 $85,461.06 $68,958.23 2026-05-06
23472 OTHER Reconstruct Shoulder Joint 2 2 — — $68,626.01 $68,626.01 $68,626.01 2026-05-06
PX-64999.47 OTHER Pc-selective Neurectomy Bilateral_Rvw 122.1_ 29 23 $97,216.00 $38,886.40 60% off $38,886.40 $84,577.92 $68,051.20 2026-05-06
SUP-720443 OTHER Zzqs - 44mm Evoque Tricuspid Valve Replacement System (Investigational Device) 29 23 $96,900.00 $38,760.00 60% off $41,667.00 $84,303.00 $68,023.80 2026-05-06
SUP-720250 OTHER Zzqs - System, Valve Replacement Evoque 48mm Duplicate, Please Transition To Cat… 29 23 $96,900.00 $38,760.00 60% off $41,667.00 $84,303.00 $68,023.80 2026-05-06
SUP-720446 OTHER Zzqs - 48mm Evoque Tricuspid Valve Replacement System (Investigational Device) 29 23 $96,900.00 $38,760.00 60% off $41,667.00 $84,303.00 $68,023.80 2026-05-06
SUP-720452 OTHER Zzqs - 52mm Evoque Tricuspid Valve Replacement System (Investigational Device) 29 23 $96,900.00 $38,760.00 60% off $41,667.00 $84,303.00 $68,023.80 2026-05-06
SUP-720249 OTHER Zzqs - System, Valve Replacement Evoque 44mm Duplicate, Please Transition To Cat… 29 23 $96,900.00 $38,760.00 60% off $41,667.00 $84,303.00 $68,023.80 2026-05-06
SUP-720220 OTHER Zzqs - System, Valve Replacement Evoque 52mm Duplicate, Please Transition To Cat… 29 23 $96,900.00 $38,760.00 60% off $41,667.00 $84,303.00 $68,023.80 2026-05-06
SUP-751702 OTHER Zzqs - 56mm Evoque Tricuspid Valve Replacement System (clinical Trial) 29 23 $96,900.00 $38,760.00 60% off $41,667.00 $84,303.00 $68,023.80 2026-05-06
0073 OTHER Allogeneic Bone Marrow Transplant 9 9 — — $67,941.36 $67,941.36 $67,941.36 2026-05-06
PX-062400118 OTHER Hc-evoque Tricsupid Valve Replcnt Sys Ide G190289 31 25 $96,900.00 $38,760.00 60% off $41,667.00 $84,303.00 $67,830.00 2026-05-06
955 OTHER Craniotomy For Multiple Significant Trauma 25 23 — — $64,427.49 $154,456.81 $67,818.41 2026-05-06
SUP-T82392 OTHER Kit, Symmetry Vns 31 25 $96,836.25 $38,734.50 60% off $41,639.59 $84,247.54 $67,785.38 2026-05-06
0072 OTHER Allogeneic Bone Marrow Transplant 9 9 — — $67,253.36 $67,253.36 $67,253.36 2026-05-06
27125 OTHER Partial Hip Replacement 2 2 — — $66,845.59 $66,845.59 $66,845.59 2026-05-06
27130 OTHER Total Hip Arthroplasty 2 2 — — $66,845.59 $66,845.59 $66,845.59 2026-05-06
PX-081500038 OTHER Hc-n-rbmt-pbsc Collection 31 25 $95,481.00 $38,192.40 60% off $41,056.83 $83,068.47 $66,836.70 2026-05-06
PX-081500037 OTHER Hc-n-rbmt-marrow Collection 31 25 $95,481.00 $38,192.40 60% off $41,056.83 $83,068.47 $66,836.70 2026-05-06
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 23 — — $63,276.98 $91,918.14 $66,607.35 2026-05-06
PX-027401182 OTHER Hc-microprocessor Control Knee Ankle Foot Orthosis 31 25 $94,666.00 $37,866.40 60% off $546.21 $82,359.42 $66,266.20 2026-05-06
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 23 — — $62,932.85 $93,930.94 $66,245.11 2026-05-06
RX-149487 OTHER Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 32 25 $94,298.27 $37,719.31 60% off $36,022.00 $82,039.49 $66,008.79 2026-05-06
1643 OTHER Y90 Ibritumomab, Rx 32 26 — — $35,815.69 $90,357.68 $65,476.58 2026-05-06
23616 OTHER Optx Prx Hmrl Fx Fix Rpr Rpl 2 2 — — $65,445.53 $65,445.53 $65,445.53 2026-05-06
6033 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $65,329.94 $65,329.94 $65,329.94 2026-05-06
21243 OTHER Reconstruction Of Jaw Joint 2 2 — — $65,285.06 $65,285.06 $65,285.06 2026-05-06
5814 OTHER Neonate, Transferred < 5 Days Old, Born Here 9 9 — — $65,275.37 $65,275.37 $65,275.37 2026-05-06
27440 OTHER Revision Of Knee Joint 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-05-06
27446 OTHER Revision Of Knee Joint 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-05-06
27441 OTHER Revision Of Knee Joint 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-05-06
27447 OTHER Total Knee Arthroplasty 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-05-06
27443 OTHER Revision Of Knee Joint 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-05-06
27445 OTHER Revision Of Knee Joint 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-05-06
27442 OTHER Revision Of Knee Joint 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-05-06
6124 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $65,026.86 $65,026.86 $65,026.86 2026-05-06
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 25 23 — — $61,077.35 $112,810.38 $64,291.95 2026-05-06
PX-027006435 OTHER Hc-viacord Blood-peds 31 25 $91,800.00 $36,720.00 60% off $39,474.00 $79,866.00 $64,260.00 2026-05-06
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 23 — — $60,981.55 $112,444.33 $64,191.11 2026-05-06
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 32 26 — — $35,081.68 $88,505.88 $64,134.69 2026-05-06
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 32 26 — — $35,081.68 $88,505.88 $64,134.69 2026-05-06
22856 OTHER Tot Disc Arthrp 1ntrspc Crv 2 2 — — $64,050.99 $64,050.99 $64,050.99 2026-05-06
SUP-T84775 OTHER Implant, Pelvic Patient Specific Lt 31 25 $90,474.00 $36,189.60 60% off $38,903.82 $78,712.38 $63,331.80 2026-05-06
SUP-T85531 OTHER Implant, Pelvic Tav Custom 31 25 $90,474.00 $36,189.60 60% off $38,903.82 $78,712.38 $63,331.80 2026-05-06
PX-027005656 OTHER Hc-mitraclip With Delivery System 29 23 $89,996.00 $35,998.40 60% off $38,698.28 $78,296.52 $63,177.19 2026-05-06
PX-027401225 OTHER Hc-myoelctrc Artic Hand-powrd Thumb-gestr Cntrl 31 25 $90,167.00 $36,066.80 60% off $15,530.88 $78,445.29 $63,116.90 2026-05-06
PX-062400074 OTHER Hc-tambe Aortic Component Ide G150071 31 25 $89,950.00 $35,980.00 60% off $38,678.50 $78,256.50 $62,965.00 2026-05-06
SUP-80153 OTHER Kit, Neurostimulator Rns (rns-320-k) 31 25 $89,887.50 $35,955.00 60% off $38,651.63 $78,202.13 $62,921.25 2026-05-06
SUP-70376 OTHER Neurostimulator, Rns 31 25 $89,887.50 $35,955.00 60% off $38,651.63 $78,202.13 $62,921.25 2026-05-06
969 OTHER HIV With Extensive O.r. Procedures With Mcc 25 23 — — $59,739.90 $115,147.82 $62,884.11 2026-05-06
0053 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $62,864.42 $62,864.42 $62,864.42 2026-05-06
SUP-727333 OTHER Zzqs - Trilogy Heart Valve 27mm 29 23 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,653.50 2026-05-06
SUP-735463 OTHER Zzqs - 66 - 74mm Apr, 21 - 23.6mm Adr Triology Transcatheter Heart Valve 29 23 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,653.50 2026-05-06
SUP-718106 OTHER Zzqs - 31mm X 20mm X 16cm Thoracoabdominal Branch Endoprosthesis (investigationa… 29 23 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,653.50 2026-05-06
SUP-681286 OTHER Zzqs - 37mm X 20mm X 16cm ThoracoAbdoMinal Branch Endoprosthesis (investigationa… 29 23 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,653.50 2026-05-06
SUP-709827 OTHER Zzqs - Pascal Transcatheter Mitral Valve Repair Guiding Sheath 29 23 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,653.50 2026-05-06
SUP-766938 OTHER Zzqs - Relay Pro 36x22x250 Endovascular Stent-graft System 29 23 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,653.50 2026-05-06
SUP-705842 OTHER Zzqs - Size 25, JenaValve Pericardial Transcatheter Heart Valve 29 23 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,653.50 2026-05-06
SUP-718104 OTHER Zzqs - 25mm Size JenaValve Trilogy Transcatheter Heart Valve (thv) 29 23 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,653.50 2026-05-06
SUP-696817 OTHER Zzqs - Size 27, JenaValve Pericardial Transcatheter Heart ValveInvestigational D… 29 23 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,653.50 2026-05-06
SUP-677749 OTHER Zzqs - Pascal Transcatheter Mitral Valve Repair Guiding Sheath 29 23 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,653.50 2026-05-06
SUP-681083 OTHER Zzqs - Size 23, JenaValve Pericardial Transcatheter Heart ValveInvestigational D… 29 23 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,653.50 2026-05-06
PX-027005613 OTHER Hc-sapien Transcatheter Heart Valve Kit 29mm 29 23 $89,074.00 $35,629.60 60% off $38,301.82 $77,494.38 $62,529.95 2026-05-06
SUP-73002 OTHER Graft, Taa Plex 12/8/10 X 32-34 X 30 X 40 X 100mm Trial 31 25 $89,250.00 $35,700.00 60% off $652.47 $77,647.50 $62,475.00 2026-05-06
PX-062400112 OTHER Hc-jenavalve Transfemoral Pericardial Tavr System Ide G150035 31 25 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,475.00 2026-05-06
PX-062400105 OTHER Hc-pascal System Ide G180266 31 25 $89,250.00 $35,700.00 60% off $38,377.50 $77,647.50 $62,475.00 2026-05-06
24371 OTHER Revise Reconst Elbow Joint 2 2 — — $62,425.10 $62,425.10 $62,425.10 2026-05-06
24363 OTHER Replace Elbow Joint 2 2 — — $62,425.10 $62,425.10 $62,425.10 2026-05-06
RX-197268 OTHER Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 31 25 $88,410.28 $35,364.11 60% off $38,016.42 $76,916.94 $61,887.20 2026-05-06
PX-027401229 OTHER Hc-l7499 Mcpdriver 2 Digits With Strap 31 25 $88,317.00 $35,326.80 60% off $15,530.88 $76,835.79 $61,821.90 2026-05-06
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 2 2 — — $61,665.18 $61,665.18 $61,665.18 2026-05-06
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 2 2 — — $61,665.18 $61,665.18 $61,665.18 2026-05-06
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 2 2 — — $61,665.18 $61,665.18 $61,665.18 2026-05-06
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 2 2 — — $61,665.18 $61,665.18 $61,665.18 2026-05-06
276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 23 — — $58,531.73 $115,174.40 $61,612.35 2026-05-06
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 23 — — $58,457.33 $84,916.96 $61,534.03 2026-05-06
SUP-T85862 OTHER Prosthesis, Femoral Growing Distal Left 150mm 31 25 $87,606.27 $35,042.51 60% off $37,670.70 $76,217.45 $61,324.39 2026-05-06
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 23 — — $58,195.04 $105,753.09 $61,257.94 2026-05-06
6254 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 9 9 — — $61,070.89 $61,070.89 $61,070.89 2026-05-06
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 23 — — $57,998.79 $90,689.62 $61,051.36 2026-05-06
SUP-742882 OTHER Zzqs - 29mm Edwards Sapien 3 Ultra Resilia Transcatheter Heart Valve (thv) Kit, … 29 23 $86,700.00 $34,680.00 60% off $37,281.00 $75,429.00 $60,863.40 2026-05-06
SUP-742880 OTHER Zzqs - 23mm Ultra Resilia Transcatheter Heart Valve Kit With Edwards Commander D… 29 23 $86,700.00 $34,680.00 60% off $37,281.00 $75,429.00 $60,863.40 2026-05-06
SUP-742883 OTHER Zzqs - 20mm Ultra Resilia Transcatheter Heart Valve Kit With Edwards Commander D… 29 23 $86,700.00 $34,680.00 60% off $37,281.00 $75,429.00 $60,863.40 2026-05-06
SUP-742884 OTHER Zzqs - 26mm Ultra Resilia Transcatheter Heart Valve Kit With Edwards Commander D… 29 23 $86,700.00 $34,680.00 60% off $37,281.00 $75,429.00 $60,863.40 2026-05-06
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