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

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Hospital

Memorial Hospital Biloxi

Biloxi, MS · CCN 250007 · Rates published

22,862 distinct procedures filed
18 distinct payers
528,527 rate rows
2026-02-18 last MRF observed
Data quality

368,618 of 528,527 rate rows are consumer-grade (69.7%)

159,909 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 159,025
placeholder amount (≤ $0.02) — excluded from medians 514
percent-of-charges filed in the dollar field — excluded from medians 151
per-diem day rate — not a per-procedure price 136
exceeds 10× this hospital's gross charge — excluded from medians 83
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://memorialhealthsystem.pt.panaceainc.com/MRFDownload/memorialhealthsystem/memorialbiloxi
Found on page https://wearememorial.com/about-us/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint bc517282ed6e64bf… · 529,961,699 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 2 $3,899,214.35 $3,977,198.64 $3,938,206.50 nat. median
$4,505,000
0.9× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,282,614.43 $4,526,200.00 $3,765,650.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,659,075.00 $3,659,075.00 $3,659,075.00 nat. median
$3,570,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 2 $3,304,645.40 $3,370,738.31 $3,337,691.85 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $2,961,329.17 $4,021,120.00 $3,328,960.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $2,905,019.35 $3,335,290.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,628,294.64 $3,012,520.00 $2,968,000.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,184,197.45 $4,029,873.17 $2,314,298.59 nat. median
$2,469,189
0.9× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,077,205.68 $2,118,749.79 $2,097,977.73 nat. median
$2,448,600
0.9× median
C9081
HCPCS 		Idecabtagene Car Pos T 1 $756,148.75 $756,148.75 $756,148.75 nat. median
$30,475
outlier · 24.8×
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $686,422.06 $700,150.50 $693,286.28 nat. median
$824,563
0.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $511,072.50 $894,376.88 $574,474.01 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $473,853.52 $848,090.10 $535,103.48 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $449,440.00 $803,236.20 $516,322.99 nat. median
$634,511
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $492,916.66 $887,592.86 $512,267.88 nat. median
$675,122
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $436,213.19 $797,862.00 $502,249.20 nat. median
$620,080
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $482,122.33 $867,106.50 $491,960.65 nat. median
$625,184
0.8× median
0100T
HCPCS 		Prosth Retina Receive&gen 5 $1,782.96 $297,375.98 $282,125.93 nat. median
$11,210
outlier · 25.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 12 $5,801.00 $465,413.66 $264,505.31 nat. median
$370,174
0.7× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $240,833.83 $245,650.50 $243,242.16 nat. median
$324,450
0.7× median
0024
APR_DRG 		3 $232,467.25 $234,791.92 $233,629.59 nat. median
$372,987
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $181,383.29 $382,807.20 $232,231.29 nat. median
$265,286
0.9× median
5834
APR_DRG 		3 $204,766.76 $327,626.80 $206,814.43 nat. median
$309,665
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $154,566.67 $322,392.85 $199,726.23 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $139,875.15 $291,255.44 $176,802.47 nat. median
$202,986
0.9× median
5884
APR_DRG 		3 $167,964.25 $268,742.77 $169,643.89 nat. median
$246,434
0.7× median
5833
APR_DRG 		3 $162,179.28 $259,486.85 $163,801.07 nat. median
$244,017
0.7× median
1614
APR_DRG 		3 $160,593.79 $162,199.73 $161,396.76 nat. median
$207,730
0.8× median
0074
APR_DRG 		3 $152,401.34 $153,925.35 $153,163.35 nat. median
$178,275
0.9× median
0014
APR_DRG 		3 $148,606.97 $150,093.04 $149,350.01 nat. median
$190,591
0.8× median
0023
APR_DRG 		3 $143,753.72 $145,191.26 $144,472.49 nat. median
$167,082
0.9× median
0064
APR_DRG 		3 $131,237.12 $132,549.49 $131,893.30 nat. median
$98,565
1.3× median
1613
APR_DRG 		3 $123,031.66 $124,261.98 $123,646.82 nat. median
$119,796
1.0× median
6304
APR_DRG 		3 $121,914.67 $195,063.44 $123,133.82 nat. median
$150,721
0.8× median
5832
APR_DRG 		3 $119,591.80 $191,346.89 $120,787.72 nat. median
$156,126
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $93,056.20 $192,026.70 $116,725.72 nat. median
$133,176
0.9× median
8414
APR_DRG 		3 $113,251.39 $114,383.90 $113,817.64 nat. median
$160,267
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $112,091.89 $112,091.89 $112,091.89 nat. median
$111,989
1.0× median
5934
APR_DRG 		3 $109,544.83 $175,271.74 $110,640.28 nat. median
$151,838
0.7× median
5883
APR_DRG 		3 $108,209.03 $173,134.48 $109,291.12 nat. median
$182,736
0.6× median
7
MS_DRG 		Lung Transplant 12 $82,652.47 $177,604.99 $107,994.29 nat. median
$122,708
0.9× median
0022
APR_DRG 		3 $106,680.83 $107,747.64 $107,214.24 nat. median
$140,623
0.8× median
5882
APR_DRG 		3 $105,957.29 $169,531.65 $107,016.86 nat. median
$145,336
0.7× median
5914
APR_DRG 		3 $105,783.57 $169,253.71 $106,841.41 nat. median
$164,279
0.7× median
0114
APR_DRG 		3 $105,647.44 $106,703.91 $106,175.68 nat. median
$197,700
0.5× median
6094
APR_DRG 		3 $105,108.89 $168,174.25 $106,159.98 nat. median
$162,982
0.7× median
5831
APR_DRG 		3 $103,348.87 $165,358.21 $104,382.36 nat. median
$145,122
0.7× median
6314
APR_DRG 		3 $100,908.67 $161,453.84 $101,917.76 nat. median
$122,924
0.8× median
0044
APR_DRG 		3 $100,636.02 $101,642.38 $101,139.20 nat. median
$195,681
0.5× median
1612
APR_DRG 		3 $98,783.50 $99,771.34 $99,277.42 nat. median
$85,406
1.2× median

Other procedures at this hospital

Browse this hospital's 22,862 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 16 12 — — $25,072.91 $54,100.43 $33,220.06 2026-02-18
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 12 — — $25,759.87 $54,138.48 $33,243.10 2026-02-18
0092 APR_DRG — 4 3 — — $33,119.98 $33,451.18 $33,285.58 2026-02-18
5912 APR_DRG — 4 3 — — $32,977.21 $52,763.51 $33,306.98 2026-02-18
1781 APR_DRG — 4 3 — — $33,280.15 $33,612.95 $33,446.55 2026-02-18
5104 APR_DRG — 4 3 — — $33,299.86 $33,632.86 $33,466.36 2026-02-18
2304 APR_DRG — 4 3 — — $33,312.38 $33,645.50 $33,478.94 2026-02-18
3032 APR_DRG — 4 3 — — $33,683.31 $34,020.14 $33,851.72 2026-02-18
6954 APR_DRG — 4 3 — — $33,740.77 $34,078.18 $33,909.47 2026-02-18
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 12 — — $27,033.92 $55,275.97 $33,931.77 2026-02-18
2614 APR_DRG — 4 3 — — $34,051.10 $34,391.61 $34,221.35 2026-02-18
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 16 12 — — $27,659.64 $55,769.28 $34,230.44 2026-02-18
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 12 — — $27,925.23 $55,852.18 $34,280.63 2026-02-18
1764 APR_DRG — 4 3 — — $34,153.81 $34,495.35 $34,324.58 2026-02-18
1304 APR_DRG — 4 3 — — $34,195.45 $34,537.40 $34,366.43 2026-02-18
C9607 HCPCS Des- Cto Coronary Vessel/Graft Initial (inc All Rx) 21 14 $86,125.65 $60,287.96 30% off $7,519.00 $166,222.50 $34,450.26 2026-02-18
C9602 HCPCS Des- Coronary w/Atherectomy Initial Vessel (inc Ptca) 21 14 $86,125.65 $60,287.96 30% off $7,519.00 $166,222.50 $34,450.26 2026-02-18
C9604 HCPCS Des- Coronary Graft Initial (inc All Other Rx) 21 14 $86,125.65 $60,287.96 30% off $7,519.00 $166,222.50 $34,450.26 2026-02-18
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 12 — — $28,682.74 $56,543.91 $34,699.43 2026-02-18
0274 APR_DRG — 4 3 — — $34,586.68 $34,932.55 $34,759.62 2026-02-18
6144 APR_DRG — 4 3 — — $34,555.09 $55,288.12 $34,900.64 2026-02-18
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 12 — — $25,616.75 $56,936.66 $34,937.21 2026-02-18
1814 APR_DRG — 4 3 — — $34,765.74 $35,113.40 $34,939.57 2026-02-18
1622 APR_DRG — 4 3 — — $34,765.74 $35,113.40 $34,939.57 2026-02-18
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 12 — — $28,403.17 $56,950.25 $34,945.44 2026-02-18
140 MS_DRG Major Head And Neck Procedures With Mcc 16 12 — — $26,149.94 $57,474.83 $35,263.04 2026-02-18
61624 HCPCS Embolization- Cns Any Method (ie Coils) 21 14 $70,754.85 $49,528.40 30% off $7,519.00 $136,556.86 $35,377.43 2026-02-18
61630 HCPCS Pta- Intracranial 21 14 $70,754.85 $49,528.40 30% off $1,857.00 $136,556.86 $35,377.43 2026-02-18
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 12 — — $28,558.93 $57,885.25 $35,511.53 2026-02-18
3614 APR_DRG — 4 3 — — $35,352.94 $35,706.47 $35,529.71 2026-02-18
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 12 — — $29,482.19 $57,970.86 $35,563.37 2026-02-18
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 12 — — $5,801.00 $61,793.86 $35,918.91 2026-02-18
0052 APR_DRG — 4 3 — — $35,748.38 $36,105.86 $35,927.12 2026-02-18
0888T HCPCS Histotripsy Mal Renal Tissue 4 3 — — $15,588.40 $56,001.60 $35,950.88 2026-02-18
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 12 — — $30,140.20 $58,681.62 $35,993.68 2026-02-18
6904 APR_DRG — 4 3 — — $35,850.55 $36,209.06 $36,029.81 2026-02-18
1204 APR_DRG — 4 3 — — $36,033.82 $36,394.16 $36,213.99 2026-02-18
6214 APR_DRG — 4 3 — — $35,956.12 $57,529.76 $36,315.68 2026-02-18
0204 APR_DRG — 4 3 — — $36,200.68 $36,562.69 $36,381.68 2026-02-18
1633 APR_DRG — 4 3 — — $36,281.36 $36,644.17 $36,462.76 2026-02-18
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 12 — — $30,036.01 $59,698.15 $36,609.12 2026-02-18
1603 APR_DRG — 4 3 — — $36,478.35 $36,843.13 $36,660.74 2026-02-18
6072 APR_DRG — 4 3 — — $36,330.82 $58,129.33 $36,694.13 2026-02-18
6083 APR_DRG — 4 3 — — $36,368.57 $58,189.70 $36,732.26 2026-02-18
9504 APR_DRG — 4 3 — — $36,551.68 $36,917.20 $36,734.44 2026-02-18
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 12 — — $27,538.15 $53,166.80 $36,774.68 2026-02-18
901 MS_DRG Wound Debridements For Injuries With Mcc 16 12 — — $29,809.03 $60,210.50 $36,919.32 2026-02-18
1653 APR_DRG — 4 3 — — $36,808.56 $37,176.65 $36,992.60 2026-02-18
C1825 HCPCS System Neurostimulator Barostim Neo2 Ipg Model Csl Comb Kt 19 13 $74,025.00 $51,817.50 30% off $11,103.75 $142,868.25 $37,012.50 2026-02-18
0894 APR_DRG — 4 3 — — $36,915.32 $37,284.47 $37,099.90 2026-02-18
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 12 — — $30,396.13 $60,778.56 $37,263.25 2026-02-18
2204 APR_DRG — 4 3 — — $37,167.12 $37,538.79 $37,352.96 2026-02-18
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 12 — — $29,642.61 $60,947.07 $37,365.27 2026-02-18
1782 APR_DRG — 4 3 — — $37,313.14 $37,686.27 $37,499.71 2026-02-18
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 12 — — $30,478.67 $61,312.64 $37,586.60 2026-02-18
6814 APR_DRG — 4 3 — — $37,453.32 $37,827.85 $37,640.58 2026-02-18
6302 APR_DRG — 4 3 — — $37,374.05 $59,798.47 $37,747.79 2026-02-18
7524 APR_DRG — 4 3 — — $37,618.18 $47,649.71 $37,994.36 2026-02-18
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 12 — — $31,067.11 $62,403.92 $38,247.30 2026-02-18
J9600 HCPCS Porfimer 75 Mg Pow 21 14 $62,919.72 $44,043.80 30% off $9,437.96 $121,435.06 $38,248.61 2026-02-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 12 — — $31,900.97 $62,413.43 $38,253.06 2026-02-18
0308T HCPCS Insj Ocular Telescope Prosth 6 6 — — $14,622.78 $47,124.27 $38,337.53 2026-02-18
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 12 — — $30,938.64 $62,613.21 $38,374.01 2026-02-18
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 12 — — $28,636.55 $55,494.77 $38,384.90 2026-02-18
163 MS_DRG Major Chest Procedures With Mcc 16 12 — — $32,007.41 $62,639.03 $38,389.65 2026-02-18
6084 APR_DRG — 4 3 — — $38,187.02 $61,099.22 $38,568.89 2026-02-18
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 12 — — $32,281.21 $63,219.32 $38,740.97 2026-02-18
2604 APR_DRG — 4 3 — — $38,739.65 $39,127.05 $38,933.35 2026-02-18
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 12 — — $30,967.93 $63,594.41 $38,968.06 2026-02-18
6313 APR_DRG — 4 3 — — $38,751.64 $62,002.64 $39,139.16 2026-02-18
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 16 12 — — $32,619.77 $63,936.87 $39,175.40 2026-02-18
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 12 — — $27,901.27 $55,883.44 $39,321.96 2026-02-18
4414 APR_DRG — 4 3 — — $39,231.65 $39,623.97 $39,427.81 2026-02-18
0214 APR_DRG — 4 3 — — $39,238.88 $39,631.27 $39,435.07 2026-02-18
0520T HCPCS Rmv&rplcmt Pg Wcs Lv Battery 6 6 — — $9,321.89 $45,924.16 $39,518.20 2026-02-18
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 6 6 — — $19,993.72 $45,924.16 $39,518.20 2026-02-18
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 6 6 — — $19,993.72 $45,924.16 $39,518.20 2026-02-18
0515T HCPCS Insj Wcs Lv Compl Sys 6 6 — — $19,993.72 $45,924.16 $39,518.20 2026-02-18
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 16 12 — — $5,801.00 $68,212.41 $39,554.00 2026-02-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 12 — — $32,555.51 $64,605.50 $39,580.22 2026-02-18
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $39,586.55 $39,586.55 $39,586.55 2026-02-18
799 MS_DRG Splenic Procedures With Mcc 16 12 — — $32,941.02 $64,617.73 $39,587.62 2026-02-18
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 12 — — $30,215.07 $64,899.05 $39,757.94 2026-02-18
CDM-1759 CDM Valve 26 Mm Edwards Ultra Resilia Transcatheter Heart Valve 19 13 $79,900.00 $55,930.00 30% off $11,985.00 $154,207.00 $39,950.00 2026-02-18
77540081 CDM Valve 29 Mm Edwards Ultra Resilia Transcatheter Heart Valve 19 13 $79,900.00 $55,930.00 30% off $11,985.00 $154,207.00 $39,950.00 2026-02-18
77540079 CDM Valve 23 Mm Edwards Ultra Resilia Transcatheter Heart Valve 19 13 $79,900.00 $55,930.00 30% off $11,985.00 $154,207.00 $39,950.00 2026-02-18
0234 APR_DRG — 4 3 — — $39,784.23 $40,182.07 $39,983.15 2026-02-18
8504 APR_DRG — 4 3 — — $39,885.91 $40,284.77 $40,085.34 2026-02-18
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $40,203.95 $40,203.95 $40,203.95 2026-02-18
1783 APR_DRG — 4 3 — — $40,049.05 $40,449.54 $40,249.29 2026-02-18
6 MS_DRG Liver Transplant Without Mcc 16 12 — — $33,197.86 $65,900.63 $40,364.34 2026-02-18
471 MS_DRG Cervical Spinal Fusion With Mcc 16 12 — — $33,598.27 $66,010.71 $40,430.98 2026-02-18
77592331-1744 CDM Impella 19 13 $81,082.30 $56,757.61 30% off $12,162.35 $156,488.84 $40,541.15 2026-02-18
245 MS_DRG Aicd Generator Procedures 16 12 — — $31,164.29 $66,411.61 $40,673.70 2026-02-18
0082 APR_DRG — 4 3 — — $40,616.59 $41,022.76 $40,819.68 2026-02-18
9124 APR_DRG — 4 3 — — $40,736.95 $41,144.32 $40,940.63 2026-02-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 12 — — $34,406.20 $67,723.05 $41,467.69 2026-02-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 12 — — $34,278.88 $67,967.67 $41,615.79 2026-02-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 12 — — $30,691.68 $67,994.85 $41,632.25 2026-02-18
0914 APR_DRG — 4 3 — — $41,527.08 $41,942.35 $41,734.71 2026-02-18
8413 APR_DRG — 4 3 — — $41,561.96 $41,977.58 $41,769.77 2026-02-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 12 — — $32,997.50 $68,451.47 $41,908.71 2026-02-18
3124 APR_DRG — 4 3 — — $41,745.67 $42,163.13 $41,954.40 2026-02-18
9114 APR_DRG — 4 3 — — $41,928.25 $42,347.53 $42,137.89 2026-02-18
77592482 CDM Devicecp 3.5l Heart Assist Percutaneous 19 13 $84,507.35 $59,155.15 30% off $12,676.10 $163,099.19 $42,253.68 2026-02-18
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 12 — — $34,809.40 $69,023.61 $42,255.10 2026-02-18
1694 APR_DRG — 4 3 — — $42,047.59 $42,468.07 $42,257.83 2026-02-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 12 — — $35,119.87 $69,235.61 $42,383.46 2026-02-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 12 — — $5,801.00 $73,364.78 $42,472.01 2026-02-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 12 — — $34,662.29 $69,757.47 $42,699.41 2026-02-18
C9606 HCPCS Des- Coronary Acute (ami) Any Vessel/Graft (inc All Rx) 21 14 $86,125.65 $60,287.96 30% off $1,857.00 $166,222.50 $43,062.83 2026-02-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 12 — — $5,801.00 $74,489.04 $43,108.72 2026-02-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 12 — — $5,801.00 $74,489.04 $43,108.72 2026-02-18
6033 APR_DRG — 4 3 — — $42,850.35 $68,560.56 $43,278.85 2026-02-18
6134 APR_DRG — 4 3 — — $42,999.44 $68,799.13 $43,429.43 2026-02-18
61635 HCPCS Stent- Intracranial (inc Pta) 21 14 $86,900.90 $60,830.63 30% off $1,857.00 $167,718.74 $43,450.45 2026-02-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 12 — — $35,911.72 $71,982.15 $44,046.32 2026-02-18
1623 APR_DRG — 4 3 — — $43,866.14 $44,304.80 $44,085.47 2026-02-18
6804 APR_DRG — 4 3 — — $43,922.74 $44,361.97 $44,142.35 2026-02-18
6124 APR_DRG — 4 3 — — $43,827.26 $70,123.64 $44,265.53 2026-02-18
4401 APR_DRG — 4 3 — — $44,076.91 $44,517.68 $44,297.29 2026-02-18
1794 APR_DRG — 4 3 — — $44,105.36 $44,546.41 $44,325.89 2026-02-18
9104 APR_DRG — 4 3 — — $44,380.87 $44,824.68 $44,602.78 2026-02-18
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 12 — — $37,048.00 $73,322.13 $44,857.58 2026-02-18
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 16 12 — — $35,323.95 $73,330.28 $44,862.52 2026-02-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 12 — — $37,084.55 $73,399.59 $44,904.49 2026-02-18
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 5 — — $40,083.75 $78,750.88 $45,000.50 2026-02-18
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 12 — — $37,262.17 $73,776.03 $45,132.40 2026-02-18
1664 APR_DRG — 4 3 — — $44,924.65 $45,373.90 $45,149.28 2026-02-18
8 MS_DRG Simultaneous Pancreas/kidney Transplant 16 12 — — $36,025.55 $73,944.55 $45,234.42 2026-02-18
8634 APR_DRG — 4 3 — — $44,932.43 $71,891.87 $45,381.75 2026-02-18
0093 APR_DRG — 4 3 — — $45,409.63 $45,863.73 $45,636.68 2026-02-18
6114 APR_DRG — 4 3 — — $45,832.12 $73,331.41 $46,290.44 2026-02-18
653 MS_DRG Major Bladder Procedures With Mcc 16 12 — — $37,036.68 $75,758.81 $46,332.85 2026-02-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 12 — — $5,801.00 $79,811.72 $46,342.81 2026-02-18
1834 APR_DRG — 4 3 — — $46,195.76 $46,657.72 $46,426.74 2026-02-18
3033 APR_DRG — 4 3 — — $46,360.73 $46,824.34 $46,592.54 2026-02-18
C9760 HCPCS Non-blind Interatrial Shunt 6 6 — — $24,495.80 $53,625.98 $46,604.68 2026-02-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 12 — — $37,894.41 $75,116.01 $46,918.96 2026-02-18
77525996 CDM Anterior Deluxe System V5-2.5k 19 13 $94,000.00 $65,800.00 30% off $14,100.00 $181,420.00 $47,000.00 2026-02-18
3044 APR_DRG — 4 3 — — $46,996.52 $47,466.49 $47,231.50 2026-02-18
6073 APR_DRG — 4 3 — — $46,919.47 $75,071.12 $47,388.66 2026-02-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 12 — — $38,735.42 $77,532.31 $47,406.59 2026-02-18
0042 APR_DRG — 4 3 — — $47,347.52 $47,821.00 $47,584.26 2026-02-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 12 — — $39,254.42 $77,998.45 $47,695.82 2026-02-18
6022 APR_DRG — 4 3 — — $47,244.06 $75,590.50 $47,716.50 2026-02-18
77535869 CDM Device Vntrc Ast Impella 5.5 Smartassist Cath 1001000 19 13 $96,350.00 $67,445.00 30% off $14,452.50 $185,955.50 $48,175.00 2026-02-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 12 — — $39,785.99 $79,125.06 $48,370.90 2026-02-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 12 — — $35,475.75 $69,989.86 $48,410.94 2026-02-18
0083 APR_DRG — 4 3 — — $48,544.38 $49,029.82 $48,787.10 2026-02-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 12 — — $40,145.27 $79,966.28 $48,880.20 2026-02-18
0053 APR_DRG — 4 3 — — $48,838.14 $49,326.52 $49,082.33 2026-02-18
1674 APR_DRG — 4 3 — — $49,022.12 $49,512.34 $49,267.23 2026-02-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 12 — — $38,921.14 $80,850.99 $49,415.83 2026-02-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 12 — — $5,801.00 $85,850.17 $49,542.99 2026-02-18
4402 APR_DRG — 4 3 — — $49,361.83 $49,855.45 $49,608.64 2026-02-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 18 12 — — $35,600.86 $72,301.52 $49,754.94 2026-02-18
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 16 12 — — $40,866.44 $81,414.97 $49,757.29 2026-02-18
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $49,867.61 $49,867.61 $49,867.61 2026-02-18
1654 APR_DRG — 4 3 — — $49,838.33 $50,336.71 $50,087.52 2026-02-18
0266T HCPCS Implt/rpl Crtd Sns Dev Total 6 6 — — $40,083.75 $58,623.79 $50,471.73 2026-02-18
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 6 6 — — $27,144.05 $58,623.79 $50,471.73 2026-02-18
28 MS_DRG Spinal Procedures With Mcc 16 12 — — $41,113.79 $82,620.41 $50,487.11 2026-02-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 12 — — $40,597.91 $83,017.23 $50,727.36 2026-02-18
77592600 CDM Set Vntrc Ast Impella Rp Rt Hrt Pmp Strl Lf Disp 19 13 $102,227.42 $71,559.19 30% off $15,334.11 $197,298.92 $51,113.71 2026-02-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 12 — — $41,939.83 $83,689.94 $51,134.64 2026-02-18
90288 HCPCS Botulism Ig IV 1 1 — — $51,140.25 $51,140.25 $51,140.25 2026-02-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 12 — — $37,530.20 $74,344.10 $51,422.70 2026-02-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 12 — — $42,171.95 $84,181.90 $51,432.49 2026-02-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 12 — — $37,745.65 $74,800.72 $51,738.54 2026-02-18
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 16 12 — — $41,801.97 $83,397.75 $52,036.70 2026-02-18
0113 APR_DRG — 4 3 — — $52,002.27 $52,522.29 $52,262.28 2026-02-18
38240 HCPCS Transplt Allo Hct/donor 11 8 — — $40,487.70 $80,002.61 $52,680.44 2026-02-18
77535848 CDM Device Ventricular Assist Impella 5.5 Smartassist Catheter 05500 19 13 $105,750.00 $74,025.00 30% off $15,862.50 $204,097.50 $52,875.00 2026-02-18
6093 APR_DRG — 4 3 — — $52,365.58 $83,784.94 $52,889.24 2026-02-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 12 — — $43,004.89 $85,947.24 $53,098.48 2026-02-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 12 — — $43,371.68 $87,762.86 $53,600.54 2026-02-18
7594 APR_DRG — 4 3 — — $53,679.19 $67,993.61 $54,215.98 2026-02-18
J9226 HCPCS Supprelin La Implant 9 7 — — $40,582.46 $84,712.54 $54,382.65 2026-02-18
1784 APR_DRG — 4 3 — — $54,135.54 $54,676.90 $54,406.22 2026-02-18
1634 APR_DRG — 4 3 — — $54,499.12 $55,044.11 $54,771.62 2026-02-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 12 — — $45,206.18 $90,612.68 $55,325.93 2026-02-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 12 — — $45,278.64 $90,766.25 $55,418.90 2026-02-18
0312T HCPCS Laps Impltj Nstim Vagus 4 4 — — $45,326.01 $58,623.79 $55,617.44 2026-02-18
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 4 4 — — $45,326.01 $58,623.79 $55,617.44 2026-02-18
0316T HCPCS Replc Vagus Nerve Pls Gen 4 4 — — $45,326.01 $58,623.79 $55,617.44 2026-02-18
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 4 4 — — $45,326.01 $58,623.79 $55,617.44 2026-02-18
0424T HCPCS Insj/rplc Nstim Apnea Compl 4 4 — — $45,326.01 $58,623.79 $55,617.44 2026-02-18
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 6 6 — — $28,558.53 $65,416.71 $56,306.60 2026-02-18
5932 APR_DRG — 4 3 — — $55,833.73 $89,333.98 $56,392.07 2026-02-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 12 — — $41,540.48 $92,796.60 $56,648.15 2026-02-18
8424 APR_DRG — 4 3 — — $57,233.90 $57,806.24 $57,520.07 2026-02-18
4403 APR_DRG — 4 3 — — $57,554.17 $58,129.71 $57,841.94 2026-02-18
7404 APR_DRG — 4 3 — — $57,365.77 $72,663.26 $57,939.43 2026-02-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 12 — — $42,120.66 $84,073.18 $58,152.16 2026-02-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 12 — — $47,767.19 $96,040.53 $58,612.15 2026-02-18
6303 APR_DRG — 4 3 — — $58,906.49 $94,250.41 $59,495.55 2026-02-18
C9084 HCPCS Loncastuximab Tesirine 10 Mg Inj 19 13 $119,850.00 $83,895.00 30% off $423.59 $231,310.50 $59,925.00 2026-02-18
6074 APR_DRG — 4 3 — — $60,311.63 $96,498.59 $60,914.75 2026-02-18
3034 APR_DRG — 4 3 — — $61,230.01 $61,842.31 $61,536.16 2026-02-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 12 — — $49,144.22 $101,438.48 $61,880.26 2026-02-18
33361 HCPCS Transcatheter Aortic Valve Replacement 21 14 $124,753.23 $87,327.26 30% off $1,857.00 $240,773.73 $62,376.62 2026-02-18
6023 APR_DRG — 4 3 — — $61,916.78 $99,066.83 $62,535.95 2026-02-18
5913 APR_DRG — 4 3 — — $61,973.26 $99,157.23 $62,592.99 2026-02-18
J9029 HCPCS Instill Adstiladrin, Tx Dose 5 3 — — $56,500.57 $75,396.00 $62,727.00 2026-02-18
0071 APR_DRG — 4 3 — — $62,554.84 $63,180.39 $62,867.61 2026-02-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 12 — — $45,444.07 $91,116.87 $63,024.18 2026-02-18
0061 APR_DRG — 4 3 — — $62,968.21 $63,597.89 $63,283.05 2026-02-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 12 — — $52,066.54 $105,152.63 $64,128.94 2026-02-18
0011 APR_DRG — 4 3 — — $63,931.79 $64,571.11 $64,251.45 2026-02-18
1624 APR_DRG — 4 3 — — $64,045.67 $64,686.13 $64,365.90 2026-02-18
C1824 HCPCS Generator Optimzer Smart Implantable Pulse 19 13 $129,213.48 $90,449.44 30% off $19,382.02 $249,382.02 $64,606.74 2026-02-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 16 12 — — $52,572.46 $106,224.88 $64,778.12 2026-02-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 12 — — $53,283.57 $107,732.01 $65,690.60 2026-02-18
10 MS_DRG Pancreas Transplant 16 12 — — $33,042.76 $108,353.07 $66,066.61 2026-02-18
0054 APR_DRG — 4 3 — — $66,321.18 $66,984.39 $66,652.79 2026-02-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 12 — — $47,996.11 $96,525.69 $66,765.38 2026-02-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 12 — — $54,141.51 $109,550.35 $66,791.49 2026-02-18
1604 APR_DRG — 4 3 — — $67,954.36 $68,633.90 $68,294.13 2026-02-18
C1605 HCPCS Pacemaker Aveir Dr Leadless Pacemaker System Bundle 19 13 $136,871.50 $95,810.05 30% off $20,530.73 $264,162.00 $68,435.75 2026-02-18
0043 APR_DRG — 4 3 — — $68,867.98 $69,556.66 $69,212.32 2026-02-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 12 — — $56,758.31 $115,096.43 $70,149.29 2026-02-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 12 — — $55,019.93 $115,160.30 $70,187.96 2026-02-18
5881 APR_DRG — 4 3 — — $69,745.48 $111,592.78 $70,442.93 2026-02-18
0072 APR_DRG — 4 3 — — $70,253.57 $70,956.11 $70,604.84 2026-02-18
5933 APR_DRG — 4 3 — — $70,444.62 $112,711.39 $71,149.07 2026-02-18
0012 APR_DRG — 4 3 — — $72,006.41 $72,726.47 $72,366.44 2026-02-18
A9543 HCPCS Y90 Ibritumomab, Rx 14 8 — — $50,615.90 $116,598.00 $73,170.08 2026-02-18
J9274 HCPCS Tebentafusp Tebn 100 Mcg/0.5 Ml Sol 26 15 $185,986.80 $130,190.76 30% off $193.37 $358,954.52 $74,394.72 2026-02-18
J0223 HCPCS Givosiran 189 mg/mL Sol 21 14 $189,911.25 $132,937.88 30% off $104.39 $366,528.71 $75,964.50 2026-02-18
0084 APR_DRG — 4 3 — — $77,093.53 $77,864.47 $77,479.00 2026-02-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 12 — — $55,933.71 $113,348.75 $78,401.64 2026-02-18
6024 APR_DRG — 4 3 — — $78,521.72 $125,634.78 $79,306.94 2026-02-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 12 — — $64,336.83 $131,158.45 $79,873.83 2026-02-18
0062 APR_DRG — 4 3 — — $80,107.54 $80,908.62 $80,508.08 2026-02-18
0013 APR_DRG — 4 3 — — $85,914.11 $86,773.25 $86,343.68 2026-02-18
850 MS_DRG Acute Leukemia With Other Procedures 15 12 — — $61,520.61 $125,189.72 $86,591.86 2026-02-18
215 MS_DRG Other Heart Assist System Implant 16 12 — — $68,995.95 $143,983.33 $87,638.49 2026-02-18
4404 APR_DRG — 4 3 — — $87,313.90 $88,187.04 $87,750.47 2026-02-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 12 — — $69,895.91 $144,725.35 $88,087.73 2026-02-18
6034 APR_DRG — 4 3 — — $88,055.37 $140,888.59 $88,935.92 2026-02-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 12 — — $72,305.85 $148,048.10 $90,099.45 2026-02-18
0073 APR_DRG — 4 3 — — $89,814.04 $90,712.18 $90,263.11 2026-02-18
0021 APR_DRG — 4 3 — — $91,454.13 $92,368.67 $91,911.40 2026-02-18
14 MS_DRG Allogeneic Bone Marrow Transplant 16 12 — — $5,801.00 $161,689.31 $92,493.80 2026-02-18
0063 APR_DRG — 4 3 — — $92,278.93 $93,201.72 $92,740.32 2026-02-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 12 — — $73,112.50 $149,757.72 $93,044.60 2026-02-18
1611 APR_DRG — 4 3 — — $93,844.33 $94,782.77 $94,313.55 2026-02-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 12 — — $69,622.36 $142,360.69 $98,468.76 2026-02-18
0094 APR_DRG — 4 3 — — $98,525.65 $99,510.91 $99,018.28 2026-02-18
1612 APR_DRG — 4 3 — — $98,783.50 $99,771.34 $99,277.42 2026-02-18
0044 APR_DRG — 4 3 — — $100,636.02 $101,642.38 $101,139.20 2026-02-18
6314 APR_DRG — 4 3 — — $100,908.67 $161,453.84 $101,917.76 2026-02-18
5831 APR_DRG — 4 3 — — $103,348.87 $165,358.21 $104,382.36 2026-02-18
6094 APR_DRG — 4 3 — — $105,108.89 $168,174.25 $106,159.98 2026-02-18
0114 APR_DRG — 4 3 — — $105,647.44 $106,703.91 $106,175.68 2026-02-18
5914 APR_DRG — 4 3 — — $105,783.57 $169,253.71 $106,841.41 2026-02-18
5882 APR_DRG — 4 3 — — $105,957.29 $169,531.65 $107,016.86 2026-02-18
0022 APR_DRG — 4 3 — — $106,680.83 $107,747.64 $107,214.24 2026-02-18
7 MS_DRG Lung Transplant 16 12 — — $82,652.47 $177,604.99 $107,994.29 2026-02-18
5883 APR_DRG — 4 3 — — $108,209.03 $173,134.48 $109,291.12 2026-02-18
5934 APR_DRG — 4 3 — — $109,544.83 $175,271.74 $110,640.28 2026-02-18
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $112,091.89 $112,091.89 $112,091.89 2026-02-18
8414 APR_DRG — 4 3 — — $113,251.39 $114,383.90 $113,817.64 2026-02-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 12 — — $93,056.20 $192,026.70 $116,725.72 2026-02-18
5832 APR_DRG — 4 3 — — $119,591.80 $191,346.89 $120,787.72 2026-02-18
6304 APR_DRG — 4 3 — — $121,914.67 $195,063.44 $123,133.82 2026-02-18
1613 APR_DRG — 4 3 — — $123,031.66 $124,261.98 $123,646.82 2026-02-18
0064 APR_DRG — 4 3 — — $131,237.12 $132,549.49 $131,893.30 2026-02-18
0023 APR_DRG — 4 3 — — $143,753.72 $145,191.26 $144,472.49 2026-02-18
0014 APR_DRG — 4 3 — — $148,606.97 $150,093.04 $149,350.01 2026-02-18
0074 APR_DRG — 4 3 — — $152,401.34 $153,925.35 $153,163.35 2026-02-18
1614 APR_DRG — 4 3 — — $160,593.79 $162,199.73 $161,396.76 2026-02-18
5833 APR_DRG — 4 3 — — $162,179.28 $259,486.85 $163,801.07 2026-02-18
5884 APR_DRG — 4 3 — — $167,964.25 $268,742.77 $169,643.89 2026-02-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 12 — — $139,875.15 $291,255.44 $176,802.47 2026-02-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 12 — — $154,566.67 $322,392.85 $199,726.23 2026-02-18
5834 APR_DRG — 4 3 — — $204,766.76 $327,626.80 $206,814.43 2026-02-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 12 — — $181,383.29 $382,807.20 $232,231.29 2026-02-18
0024 APR_DRG — 4 3 — — $232,467.25 $234,791.92 $233,629.59 2026-02-18
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 2 — — $240,833.83 $245,650.50 $243,242.16 2026-02-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 16 12 — — $5,801.00 $465,413.66 $264,505.31 2026-02-18
0100T HCPCS Prosth Retina Receive&gen 5 5 — — $1,782.96 $297,375.98 $282,125.93 2026-02-18
Q2055 HCPCS Idecabtagene Vicleucel Car 13 8 — — $482,122.33 $867,106.50 $491,960.65 2026-02-18
Q2053 HCPCS Brexucabtagene Car Pos T 14 8 — — $436,213.19 $797,862.00 $502,249.20 2026-02-18
Q2056 HCPCS Ciltacabtagene Car-pos T 10 5 — — $492,916.66 $887,592.86 $512,267.88 2026-02-18
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 8 — — $449,440.00 $803,236.20 $516,322.99 2026-02-18
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 8 — — $473,853.52 $848,090.10 $535,103.48 2026-02-18
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 8 — — $511,072.50 $894,376.88 $574,474.01 2026-02-18
Q2057 HCPCS Afamitresgene Autoleucel 2 2 — — $686,422.06 $700,150.50 $693,286.28 2026-02-18
C9081 HCPCS Idecabtagene Car Pos T 1 1 — — $756,148.75 $756,148.75 $756,148.75 2026-02-18
J3392 HCPCS Inj, Exagamglogene Autotem 2 2 — — $2,077,205.68 $2,118,749.79 $2,097,977.73 2026-02-18
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 5 — — $2,184,197.45 $4,029,873.17 $2,314,298.59 2026-02-18
J3393 HCPCS Inj, Betibeglogene Autotemce 7 5 — — $2,628,294.64 $3,012,520.00 $2,968,000.00 2026-02-18
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 5 — — $2,905,019.35 $3,335,290.00 $3,286,000.00 2026-02-18
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 5 — — $2,961,329.17 $4,021,120.00 $3,328,960.00 2026-02-18
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 2 — — $3,304,645.40 $3,370,738.31 $3,337,691.85 2026-02-18
C9172 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,659,075.00 $3,659,075.00 $3,659,075.00 2026-02-18
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 3 — — $3,282,614.43 $4,526,200.00 $3,765,650.00 2026-02-18
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 2 — — $3,899,214.35 $3,977,198.64 $3,938,206.50 2026-02-18
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