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

UNIVERSITY OF MICHIGAN HEALTH SYSTEM

Ann Arbor, MI · CCN 230046 · Rates published

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You selected 93306 (CPT)

Pc-Echo Heart Xthoracic,Complete W Doppler_Rvw 1.46_

This hospital’s price: $235 across 43 payers · range $55-$3,191

Source: https://www.uofmhealth.org/38-6006309_UNIVERSITY-OF-MICHIGAN-HEALTH_standardcharges-1-1-25.zip · observed 2026-07-15

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.

15,483 distinct procedures filed
43 distinct payers
1,484,537 rate rows
2026-07-15 last MRF observed
Data quality

1,479,395 of 1,484,537 rate rows are consumer-grade (99.7%)

5,142 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4,745
placeholder amount (≤ $0.02) — excluded from medians 282
template filing: same amount across many unrelated codes — excluded 62
per-diem day rate — not a per-procedure price 49
exceeds 10× this hospital's gross charge — excluded from medians 4
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 · 2026-10-01
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
J3393
HCPCS 		Hc-zynteglo(betibeglogene Autotemcel)per Treatment Gene Therapy 5 $2,828,000.00 $4,687,000.00 $4,687,000.00 nat. median
$2,994,107
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 25 $1,982,315.40 $3,805,175.82 $3,623,976.97 nat. median
$3,758,972
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
$3,646,097
1.0× median
714
OTHER 		Inj Delandistrogene Mox Rokl 26 $1,819,023.75 $4,589,127.56 $3,325,454.76 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Autotem 26 $1,773,500.07 $4,474,278.06 $3,242,230.48 nat. median
$3,252,508
1.0× median
746
OTHER 		Inj, Betibeglogene Autotemce 26 $1,601,871.03 $4,041,283.41 $2,928,466.24 nat. median
$2,939,969
1.0× median
J3399
HCPCS 		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
$2,466,282
1.0× 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
Q2056
HCPCS 		Hc-carvykti(ciltacabtagene Autoleucel)car-t Adults 30 Ml 25 $548,158.28 $2,611,582.53 $2,101,273.30 nat. median
$646,415
outlier · 3.3×
Q2055
HCPCS 		Hc-abecma(idecabtagene Vicleucel) Adults (Cart) 250ml Infusion Bag 25 $523,328.40 $2,493,420.00 $2,006,200.00 nat. median
$622,245
outlier · 3.2×
Q2054
HCPCS 		Hc-breyanzi(lisocabtagene Maraleucel) Adults 25 $511,850.85 $2,438,610.00 $1,962,100.00 nat. median
$640,950
outlier · 3.1×
Q2042
HCPCS 		Hc-kymriah(tisagenlecleucel-car Pos-t) Peds 25 $479,788.09 $2,911,020.00 $1,924,176.00 nat. median
$738,272
outlier · 2.6×
Q2053
HCPCS 		Hc-tecartus (Brexucabtagene Autoleucel)Adults Per Ther Dose 25 $485,100.00 $2,311,590.00 $1,859,900.00 nat. median
$591,650
outlier · 3.1×
Q2041
HCPCS 		Hc-yescarta(axicabtagene Ciloleucel) Adults 25 $475,860.00 $2,311,155.00 $1,858,221.75 nat. median
$608,101
outlier · 3.1×
9194
OTHER 		Tisagenlecleucel Car-pos T 26 $289,468.49 $730,286.14 $529,192.86 nat. median
$577,003
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
$562,826
0.9× median
24
APR_DRG 		Heart And/or Lung Transplant 9 $517,655.99 $517,655.99 $517,655.99 nat. median
$241,915
outlier · 2.1×
5834
APR_DRG 		Neonate With Ecmo 9 $516,952.46 $516,952.46 $516,952.46 nat. median
$307,273
1.7× 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
$533,230
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 26 $248,554.69 $627,066.67 $454,396.14 nat. median
$492,768
0.9× median
J3398
HCPCS 		Voretigene Neparvovec-rzyl 1.5x10exp11 Vg/0.3 Ml(final)subretinal Susp 25 $255,000.00 $554,625.00 $446,250.00 nat. median
$3,393
outlier · 131.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $138,489.45 $510,827.48 $370,164.84 nat. median
$359,358
1.0× median
5833
APR_DRG 		Neonate With Ecmo 9 $294,928.44 $294,928.44 $294,928.44 nat. median
$244,017
1.2× median
23
APR_DRG 		Heart And/or Lung Transplant 9 $280,823.50 $280,823.50 $280,823.50 nat. median
$111,046
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $262,891.92 $501,168.15 $276,728.34 nat. median
$249,124
1.1× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $276,030.06 $276,030.06 $276,030.06 nat. median
$136,728
outlier · 2.0×
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 25 $143,231.39 $656,625.00 $243,160.26 nat. median
$2,487
outlier · 97.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $221,563.03 $506,732.60 $233,224.24 nat. median
$198,433
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $231,104.35 $231,104.35 $231,104.35 nat. median
$247,214
0.9× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 25 $128,302.33 $259,588.43 $217,815.58 nat. median
$8,223
outlier · 26.5×
64
APR_DRG 		Pancreas Transplant 9 $217,595.86 $217,595.86 $217,595.86 nat. median
$91,239
outlier · 2.4×
3
MS_DRG 		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
$190,557
1.1× median
22
APR_DRG 		Heart And/or Lung Transplant 9 $205,325.82 $205,325.82 $205,325.82 nat. median
$92,229
outlier · 2.2×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $202,497.95 $202,497.95 $202,497.95 nat. median
$124,042
1.6× median
21
APR_DRG 		Heart And/or Lung Transplant 9 $202,215.13 $202,215.13 $202,215.13 nat. median
$73,922
outlier · 2.7×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $190,660.86 $190,660.86 $190,660.86 nat. median
$162,514
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $190,449.72 $190,449.72 $190,449.72 nat. median
$154,011
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $187,505.57 $187,505.57 $187,505.57 nat. median
$133,164
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $178,967.90 $178,967.90 $178,967.90 nat. median
$165,000
1.1× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $178,222.52 $178,222.52 $178,222.52 nat. median
$73,704
outlier · 2.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $176,806.05 $176,806.05 $176,806.05 nat. median
$145,061
1.2× median
63
APR_DRG 		Pancreas Transplant 9 $172,045.48 $172,045.48 $172,045.48 nat. median
$73,635
outlier · 2.3×
1614
APR_DRG 		Implantable Heart Assist Systems 9 $167,694.85 $167,694.85 $167,694.85 nat. median
$202,993
0.8× median
5832
APR_DRG 		Neonate With Ecmo 9 $164,084.05 $164,084.05 $164,084.05 nat. median
$159,249
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $158,596.10 $158,596.10 $158,596.10 nat. median
$175,429
0.9× median
12
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $156,027.63 $156,027.63 $156,027.63 nat. median
$57,065
outlier · 2.7×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $151,727.41 $151,727.41 $151,727.41 nat. median
$120,505
1.3× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $151,031.11 $151,031.11 $151,031.11 nat. median
$67,766
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 15,483 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
             
J3393 HCPCS 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 2026-07-15
9138 OTHER Inj, Hemgenix, Per Tx Dose 31 25 — — $1,982,315.40 $3,805,175.82 $3,623,976.97 2026-07-15
773 OTHER Inj, Beqvez, Per Tx Dose 32 26 — — $1,971,935.00 $4,974,900.00 $3,605,000.00 2026-07-15
714 OTHER Inj Delandistrogene Mox Rokl 32 26 — — $1,819,023.75 $4,589,127.56 $3,325,454.76 2026-07-15
748 OTHER Inj, Lovotibeglogene Autotem 32 26 — — $1,773,500.07 $4,474,278.06 $3,242,230.48 2026-07-15
746 OTHER Inj, Betibeglogene Autotemce 32 26 — — $1,601,871.03 $4,041,283.41 $2,928,466.24 2026-07-15
J3399 HCPCS 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 2026-07-15
9141 OTHER Inj Onase Abepar-xioi Treat 32 26 — — $1,306,571.98 $3,296,287.64 $2,388,614.23 2026-07-15
Q2056 HCPCS 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 2026-07-15
Q2055 HCPCS 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 2026-07-15
Q2054 HCPCS 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 2026-07-15
Q2042 HCPCS Hc-kymriah(tisagenlecleucel-car Pos-t) Peds 66 25 $2,986,500.00 $1,194,600.00 60% off $479,788.09 $2,911,020.00 $1,924,176.00 2026-07-15
Q2053 HCPCS 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 2026-07-15
Q2041 HCPCS 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 2026-07-15
9194 OTHER Tisagenlecleucel Car-pos T 32 26 — — $289,468.49 $730,286.14 $529,192.86 2026-07-15
9498 OTHER Ciltacabtagene Car-pos T 32 26 — — $288,336.52 $727,430.34 $527,123.43 2026-07-15
9422 OTHER Idecabtagene Vicleucel Car 32 26 — — $288,043.41 $726,690.88 $526,587.59 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 9 9 — — $517,655.99 $517,655.99 $517,655.99 2026-07-15
5834 APR_DRG Neonate With Ecmo 9 9 — — $516,952.46 $516,952.46 $516,952.46 2026-07-15
9413 OTHER Lisocabtagene Car Pos T 32 26 — — $282,649.17 $713,081.98 $516,726.08 2026-07-15
9035 OTHER Axicabtagene Ciloleucel Car+ 32 26 — — $267,732.41 $675,449.22 $489,455.96 2026-07-15
9391 OTHER Brexucabtagene Car Pos T 32 26 — — $248,554.69 $627,066.67 $454,396.14 2026-07-15
J3398 HCPCS 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 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 23 — — $138,489.45 $510,827.48 $370,164.84 2026-07-15
5833 APR_DRG Neonate With Ecmo 9 9 — — $294,928.44 $294,928.44 $294,928.44 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 9 9 — — $280,823.50 $280,823.50 $280,823.50 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 23 — — $262,891.92 $501,168.15 $276,728.34 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $276,030.06 $276,030.06 $276,030.06 2026-07-15
J2326 HCPCS 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 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 23 — — $221,563.03 $506,732.60 $233,224.24 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $231,104.35 $231,104.35 $231,104.35 2026-07-15
J0225 HCPCS 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 2026-07-15
64 APR_DRG Pancreas Transplant 9 9 — — $217,595.86 $217,595.86 $217,595.86 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 23 — — $200,240.09 $384,637.92 $210,779.04 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 9 9 — — $205,325.82 $205,325.82 $205,325.82 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $202,497.95 $202,497.95 $202,497.95 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 9 9 — — $202,215.13 $202,215.13 $202,215.13 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $190,660.86 $190,660.86 $190,660.86 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $190,449.72 $190,449.72 $190,449.72 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $187,505.57 $187,505.57 $187,505.57 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $178,967.90 $178,967.90 $178,967.90 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $178,222.52 $178,222.52 $178,222.52 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $176,806.05 $176,806.05 $176,806.05 2026-07-15
63 APR_DRG Pancreas Transplant 9 9 — — $172,045.48 $172,045.48 $172,045.48 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 9 9 — — $167,694.85 $167,694.85 $167,694.85 2026-07-15
5832 APR_DRG Neonate With Ecmo 9 9 — — $164,084.05 $164,084.05 $164,084.05 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $158,596.10 $158,596.10 $158,596.10 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $156,027.63 $156,027.63 $156,027.63 2026-07-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $151,727.41 $151,727.41 $151,727.41 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $151,031.11 $151,031.11 $151,031.11 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $150,790.31 $150,790.31 $150,790.31 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $150,789.72 $150,789.72 $150,789.72 2026-07-15
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 32 26 — — $82,306.65 $207,647.49 $150,469.19 2026-07-15
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 32 26 — — $82,306.65 $207,647.49 $150,469.19 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $150,007.65 $150,007.65 $150,007.65 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $149,226.31 $149,226.31 $149,226.31 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $148,751.23 $148,751.23 $148,751.23 2026-07-15
5831 APR_DRG Neonate With Ecmo 9 9 — — $147,419.13 $147,419.13 $147,419.13 2026-07-15
62 APR_DRG Pancreas Transplant 9 9 — — $145,128.40 $145,128.40 $145,128.40 2026-07-15
22632 LOCAL Arthrd Pst Tq 1ntrspc Lm Ea 2 2 — — $141,495.22 $141,495.22 $141,495.22 2026-07-15
Q2043 HCPCS 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 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 23 — — $132,334.26 $192,232.92 $139,299.22 2026-07-15
4404 APR_DRG Kidney Transplant 9 9 — — $137,666.07 $137,666.07 $137,666.07 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $136,961.00 $136,961.00 $136,961.00 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $136,141.93 $136,141.93 $136,141.93 2026-07-15
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 32 26 — — $74,210.94 $187,223.21 $135,668.99 2026-07-15
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 32 26 — — $74,210.94 $187,223.21 $135,668.99 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 25 23 — — $122,771.21 $285,999.39 $129,232.85 2026-07-15
7 MS_DRG Lung Transplant 25 23 — — $122,464.28 $184,872.09 $128,909.77 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $127,457.16 $127,457.16 $127,457.16 2026-07-15
22552 LOCAL Arthrd Ant Ntrbd Cervical Ea 2 2 — — $127,105.93 $127,105.93 $127,105.93 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $126,677.83 $126,677.83 $126,677.83 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $125,266.84 $125,266.84 $125,266.84 2026-07-15
20931 LOCAL Sp Bone Algrft Struct Add-on 2 2 — — $124,692.64 $124,692.64 $124,692.64 2026-07-15
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 32 26 — — $66,115.23 $166,798.93 $120,868.79 2026-07-15
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 32 26 — — $66,115.23 $166,798.93 $120,868.79 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $120,332.25 $120,332.25 $120,332.25 2026-07-15
0308T LOCAL Insj Ocular Telescope Prosth 2 2 — — $114,053.90 $114,053.90 $114,053.90 2026-07-15
61 APR_DRG Pancreas Transplant 9 9 — — $113,951.76 $113,951.76 $113,951.76 2026-07-15
22551 LOCAL Arthrd Ant Ntrbdy Cervical 2 2 — — $109,086.02 $109,086.02 $109,086.02 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 23 — — $103,414.44 $184,534.67 $108,857.31 2026-07-15
22614 LOCAL Arthrd Pst Tq 1ntrspc Ea Add 2 2 — — $108,674.32 $108,674.32 $108,674.32 2026-07-15
0811 RC Hc-kidney Acq. Chg-living 62 25 $188,360.50 $75,344.20 60% off $53,392.67 $219,720.24 $108,312.20 2026-07-15
22630 LOCAL Arthrd Pst Tq 1ntrspc Lum 2 2 — — $108,094.97 $108,094.97 $108,094.97 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $107,841.57 $107,841.57 $107,841.57 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $107,646.44 $107,646.44 $107,646.44 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 23 — — $102,236.97 $194,285.23 $107,617.86 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $106,257.40 $106,257.40 $106,257.40 2026-07-15
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 32 26 — — $58,019.52 $146,374.66 $106,068.59 2026-07-15
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 32 26 — — $58,019.52 $146,374.66 $106,068.59 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 23 — — $99,962.93 $189,493.79 $105,224.14 2026-07-15
215 MS_DRG Other Heart Assist System Implant 25 23 — — $99,456.97 $153,454.76 $104,691.55 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 23 — — $98,409.70 $142,953.04 $103,589.16 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 9 9 — — $101,407.02 $101,407.02 $101,407.02 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $99,762.36 $99,762.36 $99,762.36 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $96,684.76 $96,684.76 $96,684.76 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $96,656.89 $96,656.89 $96,656.89 2026-07-15
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 62 25 $167,295.11 $66,918.04 60% off $47,957.93 $194,062.33 $95,915.86 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 23 — — $90,678.91 $167,814.75 $95,451.48 2026-07-15
22858 LOCAL Tot Disc Arthrp 2nd Lvl Crv 2 2 — — $94,359.86 $94,359.86 $94,359.86 2026-07-15
J9226 HCPCS 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 2026-07-15
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 32 26 — — $51,273.09 $129,354.43 $93,735.09 2026-07-15
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 32 26 — — $51,273.09 $129,354.43 $93,735.09 2026-07-15
0571T CPT Insj/Rplcmt Icds W/Substernal Electrode 91 25 $179,721.00 $71,888.40 60% off $1,233.60 $159,040.35 $93,454.92 2026-07-15
22558 LOCAL Arthrd Ant Ntrbd Min Dsc Lum 2 2 — — $92,431.63 $92,431.63 $92,431.63 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $91,845.66 $91,845.66 $91,845.66 2026-07-15
A9607 HCPCS 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 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $91,782.20 $91,782.20 $91,782.20 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 25 23 — — $86,594.94 $132,468.97 $91,152.57 2026-07-15
4403 APR_DRG Kidney Transplant 9 9 — — $90,995.55 $90,995.55 $90,995.55 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $90,479.16 $90,479.16 $90,479.16 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 9 9 — — $89,385.48 $89,385.48 $89,385.48 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $88,575.90 $88,575.90 $88,575.90 2026-07-15
90288 HCPCS 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 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $86,883.79 $86,883.79 $86,883.79 2026-07-15
J1823 HCPCS 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 2026-07-15
27702 LOCAL Reconstruct Ankle Joint 2 2 — — $85,782.53 $85,782.53 $85,782.53 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 23 — — $79,731.90 $127,129.47 $83,928.32 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 23 — — $79,687.25 $115,756.22 $83,881.32 2026-07-15
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 32 26 — — $45,875.95 $115,738.24 $83,868.29 2026-07-15
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 32 26 — — $45,875.95 $115,738.24 $83,868.29 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 23 — — $78,491.18 $116,348.23 $82,622.29 2026-07-15
4402 APR_DRG Kidney Transplant 9 9 — — $82,450.41 $82,450.41 $82,450.41 2026-07-15
22612 LOCAL Arthrd Pst Tq 1ntrspc Lumbar 2 2 — — $81,768.18 $81,768.18 $81,768.18 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $80,663.95 $80,663.95 $80,663.95 2026-07-15
4401 APR_DRG Kidney Transplant 9 9 — — $80,097.27 $80,097.27 $80,097.27 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 23 — — $75,891.61 $150,182.76 $79,885.91 2026-07-15
J0801 HCPCS 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 2026-07-15
J0223 HCPCS 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 2026-07-15
10 MS_DRG Pancreas Transplant 25 23 — — $72,548.42 $109,054.97 $79,025.34 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 23 — — $74,647.17 $120,473.00 $78,575.97 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 9 9 — — $77,923.23 $77,923.23 $77,923.23 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 23 — — $73,615.72 $106,936.52 $77,490.23 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 23 — — $72,882.81 $121,834.97 $76,718.75 2026-07-15
C2616 HCPCS 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 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $75,133.29 $75,133.29 $75,133.29 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 23 — — $70,340.92 $130,405.56 $74,043.07 2026-07-15
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 32 26 — — $40,478.82 $102,122.06 $74,001.49 2026-07-15
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 32 26 — — $40,478.82 $102,122.06 $74,001.49 2026-07-15
J1961 HCPCS 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 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $73,826.69 $73,826.69 $73,826.69 2026-07-15
24361 LOCAL Reconstruct Elbow Joint 2 2 — — $72,111.24 $72,111.24 $72,111.24 2026-07-15
22633 LOCAL Arthrd Cmbn 1ntrspc Lumbar 2 2 — — $72,109.49 $72,109.49 $72,109.49 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $71,806.00 $71,806.00 $71,806.00 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 9 — — $71,558.08 $71,558.08 $71,558.08 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $71,039.71 $71,039.71 $71,039.71 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $70,982.18 $70,982.18 $70,982.18 2026-07-15
23474 LOCAL Revis Reconst Shoulder Joint 2 2 — — $70,913.54 $70,913.54 $70,913.54 2026-07-15
22869 LOCAL Insj Stablj Dev Without Dcmprn 2 2 — — $70,733.35 $70,733.35 $70,733.35 2026-07-15
22867 LOCAL Insj Stablj Dev W/dcmprn 2 2 — — $70,733.35 $70,733.35 $70,733.35 2026-07-15
0274 RC 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 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 23 — — $66,946.14 $97,248.08 $70,469.62 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 23 — — $66,646.65 $116,845.17 $70,154.37 2026-07-15
25442 LOCAL Reconstruct Wrist Joint 2 2 — — $69,762.05 $69,762.05 $69,762.05 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 23 — — $65,623.57 $109,740.84 $69,077.44 2026-07-15
23472 LOCAL Reconstruct Shoulder Joint 2 2 — — $68,626.01 $68,626.01 $68,626.01 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $67,941.36 $67,941.36 $67,941.36 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 23 — — $64,427.49 $154,456.81 $67,818.41 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $67,253.36 $67,253.36 $67,253.36 2026-07-15
27125 LOCAL Partial Hip Replacement 2 2 — — $66,845.59 $66,845.59 $66,845.59 2026-07-15
27130 LOCAL Total Hip Arthroplasty 2 2 — — $66,845.59 $66,845.59 $66,845.59 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 23 — — $63,276.98 $91,918.14 $66,607.35 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 23 — — $63,037.95 $101,023.00 $66,355.74 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 23 — — $62,932.85 $93,930.94 $66,245.11 2026-07-15
1643 OTHER Y90 Ibritumomab, Rx 32 26 — — $35,815.69 $90,357.68 $65,476.58 2026-07-15
23616 LOCAL Optx Prx Hmrl Fx Fix Rpr Rpl 2 2 — — $65,445.53 $65,445.53 $65,445.53 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $65,329.94 $65,329.94 $65,329.94 2026-07-15
21243 LOCAL Reconstruction Of Jaw Joint 2 2 — — $65,285.06 $65,285.06 $65,285.06 2026-07-15
5814 APR_DRG Neonate, Transferred < 5 Days Old, Born Here 9 9 — — $65,275.37 $65,275.37 $65,275.37 2026-07-15
27446 LOCAL Revision Of Knee Joint 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-07-15
27443 LOCAL Revision Of Knee Joint 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-07-15
27441 LOCAL Revision Of Knee Joint 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-07-15
27440 LOCAL Revision Of Knee Joint 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-07-15
27447 LOCAL Total Knee Arthroplasty 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-07-15
27445 LOCAL Revision Of Knee Joint 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-07-15
27442 LOCAL Revision Of Knee Joint 2 2 — — $65,184.83 $65,184.83 $65,184.83 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $65,026.86 $65,026.86 $65,026.86 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 23 — — $61,077.35 $112,810.38 $64,291.95 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 23 — — $60,981.55 $112,444.33 $64,191.11 2026-07-15
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 32 26 — — $35,081.68 $88,505.88 $64,134.69 2026-07-15
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 32 26 — — $35,081.68 $88,505.88 $64,134.69 2026-07-15
22856 LOCAL Tot Disc Arthrp 1ntrspc Crv 2 2 — — $64,050.99 $64,050.99 $64,050.99 2026-07-15
717 OTHER Instill Adstiladrin, Tx Dose 32 26 — — $34,655.06 $87,429.59 $63,354.77 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 23 — — $59,739.90 $115,147.82 $62,884.11 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $62,864.42 $62,864.42 $62,864.42 2026-07-15
24363 LOCAL Replace Elbow Joint 2 2 — — $62,425.10 $62,425.10 $62,425.10 2026-07-15
24371 LOCAL Revise Reconst Elbow Joint 2 2 — — $62,425.10 $62,425.10 $62,425.10 2026-07-15
J9269 HCPCS 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 2026-07-15
0801T LOCAL Tcat Rmv&rpl 2chmbr Ldls Pm 2 2 — — $61,665.18 $61,665.18 $61,665.18 2026-07-15
0795T LOCAL Tcat Ins 2chmbr Ldls Pm Cmpl 2 2 — — $61,665.18 $61,665.18 $61,665.18 2026-07-15
0802T LOCAL Tcat Rmv&rpl2chmb Ldls Pm Ra 2 2 — — $61,665.18 $61,665.18 $61,665.18 2026-07-15
0796T LOCAL Tcat Ins 2chmbr Ldls Pm Ra 2 2 — — $61,665.18 $61,665.18 $61,665.18 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 23 — — $58,531.73 $115,174.40 $61,612.35 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 23 — — $58,457.33 $84,916.96 $61,534.03 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 23 — — $58,195.04 $105,753.09 $61,257.94 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 9 9 — — $61,070.89 $61,070.89 $61,070.89 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 23 — — $57,998.79 $90,689.62 $61,051.36 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 23 — — $57,734.65 $112,125.31 $60,773.32 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $60,534.72 $60,534.72 $60,534.72 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 25 23 — — $57,463.07 $83,472.67 $60,487.44 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $60,295.71 $60,295.71 $60,295.71 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $60,233.43 $60,233.43 $60,233.43 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 23 — — $57,057.56 $93,096.58 $60,060.59 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 23 — — $57,057.56 $181,964.10 $60,060.59 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $59,917.31 $59,917.31 $59,917.31 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 23 — — $56,638.10 $100,892.12 $59,619.05 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 23 — — $56,253.97 $90,436.04 $59,214.71 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 23 — — $56,215.84 $124,436.21 $59,174.57 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 23 — — $55,646.63 $85,121.08 $58,575.40 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $58,398.38 $58,398.38 $58,398.38 2026-07-15
L7181 HCPCS Hc-electric Elbow Mircoprocessor Control Simultaneous 31 25 $83,067.00 $33,226.80 60% off $35,718.81 $83,067.00 $58,313.03 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 23 — — $55,070.91 $91,984.10 $57,969.38 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 23 — — $54,299.88 $89,959.55 $57,157.77 2026-07-15
8513 APR_DRG Gender Related Procedures 9 9 — — $56,968.41 $56,968.41 $56,968.41 2026-07-15
8514 APR_DRG Gender Related Procedures 9 9 — — $56,968.41 $56,968.41 $56,968.41 2026-07-15
0803T LOCAL Tcat Rmv&rpl2chmb Ldls Pm Rv 2 2 — — $56,854.67 $56,854.67 $56,854.67 2026-07-15
0797T LOCAL Tcat Ins 2chmbr Ldls Pm Rv 2 2 — — $56,854.67 $56,854.67 $56,854.67 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 23 — — $53,980.86 $92,129.30 $56,821.96 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 25 23 — — $52,767.11 $76,651.18 $55,544.33 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $55,225.29 $55,225.29 $55,225.29 2026-07-15
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 31 25 $78,736.90 $31,494.76 60% off $28,096.72 $68,501.10 $55,115.83 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $55,087.10 $55,087.10 $55,087.10 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 23 — — $52,330.91 $109,773.56 $55,085.17 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 25 23 — — $52,327.19 $150,902.60 $55,081.25 2026-07-15
9273 OTHER Sipuleucel-t Auto Cd54+ 32 26 — — $30,093.33 $75,921.01 $55,015.23 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 23 — — $52,125.36 $75,718.94 $54,868.80 2026-07-15
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 31 25 $78,217.29 $31,286.92 60% off $28,717.80 $68,049.04 $54,752.10 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 23 — — $51,798.90 $81,781.60 $54,525.16 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $54,383.09 $54,383.09 $54,383.09 2026-07-15
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 32 26 — — $29,684.54 $74,889.69 $54,267.89 2026-07-15
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 32 26 — — $29,684.54 $74,889.69 $54,267.89 2026-07-15
8634 APR_DRG Neonatal Aftercare 9 9 — — $54,238.97 $54,238.97 $54,238.97 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 23 — — $51,526.39 $79,301.01 $54,238.31 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 23 — — $51,411.06 $77,059.69 $54,116.91 2026-07-15
20808 LOCAL Replantation Hand Complete 2 2 — — $53,940.82 $53,940.82 $53,940.82 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 23 — — $51,153.43 $88,920.69 $53,845.72 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 23 — — $51,106.00 $84,615.97 $53,795.79 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 23 — — $51,099.48 $93,168.16 $53,788.93 2026-07-15
0786T LOCAL Insj/rplcmt Prq Ra Sac Nstim 2 2 — — $53,618.59 $53,618.59 $53,618.59 2026-07-15
0784T LOCAL Ins/rplmt Eltrd Ra Spi Nstim 2 2 — — $53,618.59 $53,618.59 $53,618.59 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 23 — — $50,401.93 $80,918.61 $53,054.66 2026-07-15
22554 LOCAL Arthrd Ant Ntrbd Min Dsc Crv 2 2 — — $53,019.68 $53,019.68 $53,019.68 2026-07-15
27279 LOCAL Arthrd Si Jt Perq/min Nvas 2 2 — — $53,019.68 $53,019.68 $53,019.68 2026-07-15
24370 LOCAL Revise Reconst Elbow Joint 2 2 — — $53,019.68 $53,019.68 $53,019.68 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 23 — — $50,182.43 $90,953.42 $52,823.61 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $52,274.62 $52,274.62 $52,274.62 2026-07-15
22600 LOCAL Arthrd Pst Tq 1ntrspc Crv 2 2 — — $52,246.35 $52,246.35 $52,246.35 2026-07-15
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 31 25 $74,313.97 $29,725.59 60% off $31,955.01 $64,653.15 $52,019.78 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $51,940.71 $51,940.71 $51,940.71 2026-07-15
0238T LOCAL Trluml Perip Athrc Iliac Art 2 2 — — $51,865.87 $51,865.87 $51,865.87 2026-07-15
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 32 25 $73,887.99 $29,555.20 60% off $14,502.60 $64,282.55 $51,721.59 2026-07-15
22548 LOCAL Arthrd Ant Toral/xoral C1-c2 2 2 — — $51,586.82 $51,586.82 $51,586.82 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 23 — — $48,818.94 $70,915.94 $51,388.36 2026-07-15
5244 OTHER Level 4 Blood Product Exchange And Related Services 32 26 — — $28,100.84 $70,894.26 $51,372.65 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 9 — — $51,303.72 $51,303.72 $51,303.72 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 23 — — $48,661.76 $85,360.35 $51,222.90 2026-07-15
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 31 25 $70,638.34 $28,255.34 60% off $30,374.49 $61,455.36 $51,011.13 2026-07-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $50,988.78 $50,988.78 $50,988.78 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 23 — — $48,303.67 $70,167.44 $50,845.97 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 23 — — $48,158.59 $74,020.82 $50,693.25 2026-07-15
27487 LOCAL Revise/replace Knee Joint 2 2 — — $50,615.11 $50,615.11 $50,615.11 2026-07-15
J1951 HCPCS Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe 31 25 $71,874.72 $28,749.89 60% off $30,906.13 $62,531.01 $50,312.30 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 23 — — $47,766.10 $69,386.54 $50,280.10 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 23 — — $47,489.85 $82,775.47 $49,989.32 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 23 — — $47,453.58 $80,513.70 $49,951.14 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 23 — — $47,440.57 $68,913.67 $49,937.44 2026-07-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $49,847.66 $49,847.66 $49,847.66 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 23 — — $47,267.57 $104,299.09 $49,755.34 2026-07-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $49,425.96 $49,425.96 $49,425.96 2026-07-15
27415 LOCAL Osteochondral Knee Allograft 2 2 — — $49,330.43 $49,330.43 $49,330.43 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $49,164.40 $49,164.40 $49,164.40 2026-07-15
24366 LOCAL Reconstruct Head Of Radius 2 2 — — $48,964.23 $48,964.23 $48,964.23 2026-07-15
245 MS_DRG Aicd Generator Procedures 25 23 — — $46,370.97 $74,873.59 $48,811.55 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 25 23 — — $46,096.60 $66,961.38 $48,522.74 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 25 23 — — $46,021.27 $72,898.12 $48,443.44 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 23 — — $45,335.81 $65,856.22 $47,721.90 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 9 9 — — $47,605.74 $47,605.74 $47,605.74 2026-07-15
L2006 HCPCS Hc-knee, Ankle, Foot Device, Any Mtrl, Swing & Stance Microprocessor Ctrl Adjust… 29 23 $67,738.00 $27,095.20 60% off $29,127.34 $58,932.06 $47,552.08 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 25 23 — — $45,143.28 $65,576.55 $47,519.24 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 23 — — $45,141.42 $90,061.80 $47,517.28 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $47,480.00 $47,480.00 $47,480.00 2026-07-15
L7180 HCPCS Hc-electronic Elbow Seq Cntrol 54 40 $91,408.00 $36,563.20 60% off $39,305.44 $91,408.00 $47,164.51 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 23 — — $44,677.30 $84,671.18 $47,028.74 2026-07-15
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 31 25 $66,991.79 $26,796.72 60% off $28,806.47 $58,282.86 $46,894.25 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 23 — — $44,442.93 $78,006.53 $46,782.03 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 9 9 — — $46,714.90 $46,714.90 $46,714.90 2026-07-15
C1824 HCPCS Zzqs - Optimizer Smart Mini Ipg System 29 23 $66,300.00 $26,520.00 60% off $28,509.00 $57,681.00 $46,542.60 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 23 — — $44,191.81 $92,106.80 $46,517.69 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 25 23 — — $43,789.08 $63,609.40 $46,093.77 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 23 — — $43,771.41 $157,035.55 $46,075.17 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 23 — — $43,634.69 $80,847.03 $45,931.25 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 23 — — $43,629.11 $63,377.02 $45,925.38 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 9 9 — — $45,884.56 $45,884.56 $45,884.56 2026-07-15
26556 LOCAL Toe Joint Transfer 2 2 — — $45,671.69 $45,671.69 $45,671.69 2026-07-15
25446 LOCAL Wrist Replacement 2 2 — — $45,445.45 $45,445.45 $45,445.45 2026-07-15
1142 OTHER Supprelin La Implant 32 26 — — $24,806.57 $62,583.30 $45,350.22 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 23 — — $42,881.33 $66,478.86 $45,138.24 2026-07-15
20696 LOCAL App Mltpln Uni Xtrnl Fix 1st 2 2 — — $44,966.90 $44,966.90 $44,966.90 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 23 — — $42,631.14 $65,495.22 $44,874.88 2026-07-15
26551 LOCAL Great Toe-hand Transfer 2 2 — — $44,787.75 $44,787.75 $44,787.75 2026-07-15
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