Price Transparency Hospital negotiated rates
Export CSV
Hospital

UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER

Ashland, OH · CCN 360002 · Rates published

8,688 distinct procedures filed
42 distinct payers
1,618,445 rate rows
2025-05-19 last MRF observed · ⚠ 13 mo old
Data quality

1,617,281 of 1,618,445 rate rows are consumer-grade (99.9%)

1,164 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 584
placeholder amount (≤ $0.02) — excluded from medians 232
percent-of-charges filed in the dollar field — excluded from medians 161
exceeds 10× this hospital's gross charge — excluded from medians 154
per-diem day rate — not a per-procedure price 33

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7892/340714535-1902882939_university-hospitals-health-system_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SamaritanMedicalCenter/7892
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 2e6757bc0e687252… · 4,383,336,357 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
S3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 2 $3,990,310.13 $4,508,825.00 $4,249,567.56 nat. median
$3,669,056
1.2× median
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 42 $529,192.86 $4,599,652.50 $1,732,696.90 nat. median
$754,974
outlier · 2.3×
C9399
HCPCS 		Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 42 $2,734.65 $3,379,310.00 $1,568,600.00 nat. median
$2,476
outlier · 633.6×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 42 $526,587.59 $4,362,212.70 $1,567,388.34 nat. median
$625,184
outlier · 2.5×
Q2054
HCPCS 		Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 42 $516,726.08 $4,264,681.68 $1,533,014.15 nat. median
$674,188
outlier · 2.3×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 42 $489,455.96 $4,044,960.00 $1,490,793.68 nat. median
$634,511
outlier · 2.3×
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 42 $460,530.40 $4,044,960.00 $1,490,793.68 nat. median
$620,080
outlier · 2.4×
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 42 $1,231.90 $680,456.90 $498,154.88 nat. median
$2,677
outlier · 186.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $289,980.18 $521,964.32 $289,980.18 nat. median
$370,174
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $280,112.50 $288,351.11 $285,604.90 nat. median
$246,434
1.2× median
5833
APR_DRG 		Neonate With Ecmo 7 $270,979.44 $278,949.43 $276,292.76 nat. median
$244,017
1.1× median
5834
APR_DRG 		Neonate With Ecmo 7 $270,979.44 $278,949.43 $276,292.76 nat. median
$309,665
0.9× median
5832
APR_DRG 		Neonate With Ecmo 7 $257,774.10 $265,355.70 $262,828.50 nat. median
$156,126
1.7× median
5831
APR_DRG 		Neonate With Ecmo 7 $257,774.10 $265,355.70 $262,828.50 nat. median
$145,122
1.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $256,776.82 $264,329.08 $261,811.66 nat. median
$207,730
1.3× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $225,875.60 $232,519.00 $230,304.54 nat. median
$234,738
1.0× median
J7330
HCPCS 		Implant, Maci Final, Product Assembled, Double 42 $55,491.62 $606,646.80 $227,452.95 nat. median
$76,377
outlier · 3.0×
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 42 $65,476.58 $589,289.22 $223,409.26 nat. median
$62,507
outlier · 3.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $216,630.44 $389,934.79 $216,630.44 nat. median
$265,286
0.8× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $198,808.18 $204,655.48 $202,706.38 nat. median
$119,796
1.7× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $198,808.18 $204,655.48 $202,706.38 nat. median
$76,806
outlier · 2.6×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $198,808.18 $204,655.48 $202,706.38 nat. median
$85,406
outlier · 2.4×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $193,133.66 $198,814.07 $196,920.60 nat. median
$187,294
1.1× median
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $179,799.99 $185,088.23 $183,325.48 nat. median
$34,396
outlier · 5.3×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $179,799.99 $185,088.23 $183,325.48 nat. median
$35,675
outlier · 5.1×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $179,799.99 $185,088.23 $183,325.48 nat. median
$66,693
outlier · 2.7×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $179,799.99 $185,088.23 $183,325.48 nat. median
$160,267
1.1× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $179,786.63 $185,074.47 $183,311.86 nat. median
$162,982
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 18 $182,466.66 $328,439.99 $182,466.66 nat. median
$206,368
0.9× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 42 $45,350.22 $401,183.46 $181,314.85 nat. median
$60,368
outlier · 3.0×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $174,492.15 $179,624.28 $177,913.57 nat. median
$150,721
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 18 $164,858.73 $296,745.71 $164,858.73 nat. median
$202,986
0.8× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 42 $484.40 $222,859.41 $163,152.88 nat. median
$798
outlier · 204.4×
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 42 $112.14 $220,207.96 $161,211.78 nat. median
$167
outlier · 964.7×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $154,063.13 $158,594.39 $157,083.97 nat. median
$122,924
1.3× median
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 42 $135.45 $213,794.15 $156,516.30 nat. median
$3,461
outlier · 45.2×
C9293
HCPCS 		Glucarpidase 1,000 Unit/1 Ml IV Injection - Reconstituted 1000 Unit/ml 42 $71,764.75 $200,900.74 $147,077.18 nat. median
$21,340
outlier · 6.9×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $141,677.96 $145,844.96 $144,455.96 nat. median
$182,736
0.8× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $134,782.12 $138,746.30 $137,424.90 nat. median
$124,573
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $134,782.12 $138,746.30 $137,424.90 nat. median
$145,336
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $130,630.57 $134,472.65 $133,191.96 nat. median
$151,838
0.9× median
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 42 $339.03 $169,461.59 $124,060.93 nat. median
$509
outlier · 243.6×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $121,296.01 $124,863.54 $123,674.37 nat. median
$164,279
0.8× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $111,606.12 $114,888.65 $113,794.47 nat. median
$97,957
1.2× median
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 42 $2,337.69 $154,643.11 $113,212.49 nat. median
$4,053
outlier · 27.9×
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 18 $108,745.74 $195,742.33 $108,745.74 nat. median
$133,176
0.8× median
A9606
HCPCS 		Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 42 $165.25 $146,729.94 $107,419.35 nat. median
$266
outlier · 403.1×
21
APR_DRG 		Heart And/or Lung Transplant 7 $100,320.69 $103,271.30 $102,287.76 nat. median
$65,130
1.6× median
22
APR_DRG 		Heart And/or Lung Transplant 7 $100,320.69 $103,271.30 $102,287.76 nat. median
$78,029
1.3× median
23
APR_DRG 		Heart And/or Lung Transplant 7 $100,320.69 $103,271.30 $102,287.76 nat. median
$93,528
1.1× median

Other procedures at this hospital

Browse this hospital's 8,688 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
             
S3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 2 2 — — $3,990,310.13 $4,508,825.00 $4,249,567.56 2025-05-19
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 122 42 $2,446,250.00 $1,834,687.50 25% off $529,192.86 $4,599,652.50 $1,732,696.90 2025-05-19
C9399 HCPCS Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 181 42 $3,080,000.00 $2,310,000.00 25% off $2,734.65 $3,379,310.00 $1,568,600.00 2025-05-19
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 122 42 $2,160,425.00 $1,620,318.75 25% off $526,587.59 $4,362,212.70 $1,567,388.34 2025-05-19
Q2054 HCPCS Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 83 42 $2,113,045.00 $1,584,783.75 25% off $516,726.08 $4,264,681.68 $1,533,014.15 2025-05-19
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 83 42 $2,054,850.00 $1,541,137.50 25% off $460,530.40 $4,044,960.00 $1,490,793.68 2025-05-19
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 83 42 $2,054,850.00 $1,541,137.50 25% off $489,455.96 $4,044,960.00 $1,490,793.68 2025-05-19
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 81 42 $686,636.63 $514,977.48 25% off $1,231.90 $680,456.90 $498,154.88 2025-05-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 18 — — $289,980.18 $521,964.32 $289,980.18 2025-05-19
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $280,112.50 $288,351.11 $285,604.90 2025-05-19
5834 APR_DRG Neonate With Ecmo 7 7 — — $270,979.44 $278,949.43 $276,292.76 2025-05-19
5833 APR_DRG Neonate With Ecmo 7 7 — — $270,979.44 $278,949.43 $276,292.76 2025-05-19
5831 APR_DRG Neonate With Ecmo 7 7 — — $257,774.10 $265,355.70 $262,828.50 2025-05-19
5832 APR_DRG Neonate With Ecmo 7 7 — — $257,774.10 $265,355.70 $262,828.50 2025-05-19
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $256,776.82 $264,329.08 $261,811.66 2025-05-19
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $225,875.60 $232,519.00 $230,304.54 2025-05-19
J7330 HCPCS Implant, Maci Final, Product Assembled, Double 105 42 $313,512.00 $235,134.00 25% off $55,491.62 $606,646.80 $227,452.95 2025-05-19
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 83 42 $307,938.32 $230,953.74 25% off $65,476.58 $589,289.22 $223,409.26 2025-05-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 18 — — $216,630.44 $389,934.79 $216,630.44 2025-05-19
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $198,808.18 $204,655.48 $202,706.38 2025-05-19
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $198,808.18 $204,655.48 $202,706.38 2025-05-19
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $198,808.18 $204,655.48 $202,706.38 2025-05-19
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $193,133.66 $198,814.07 $196,920.60 2025-05-19
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $179,799.99 $185,088.23 $183,325.48 2025-05-19
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $179,799.99 $185,088.23 $183,325.48 2025-05-19
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $179,799.99 $185,088.23 $183,325.48 2025-05-19
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $179,799.99 $185,088.23 $183,325.48 2025-05-19
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $179,786.63 $185,074.47 $183,311.86 2025-05-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 18 18 — — $182,466.66 $328,439.99 $182,466.66 2025-05-19
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 83 42 $249,917.09 $187,437.82 25% off $45,350.22 $401,183.46 $181,314.85 2025-05-19
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $174,492.15 $179,624.28 $177,913.57 2025-05-19
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 18 18 — — $164,858.73 $296,745.71 $164,858.73 2025-05-19
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 83 42 $224,883.36 $168,662.52 25% off $484.40 $222,859.41 $163,152.88 2025-05-19
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 83 42 $222,207.83 $166,655.88 25% off $112.14 $220,207.96 $161,211.78 2025-05-19
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $154,063.13 $158,594.39 $157,083.97 2025-05-19
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 83 42 $215,735.77 $161,801.83 25% off $135.45 $213,794.15 $156,516.30 2025-05-19
C9293 HCPCS Glucarpidase 1,000 Unit/1 Ml IV Injection - Reconstituted 1000 Unit/ml 64 42 $202,725.27 $152,043.96 25% off $71,764.75 $200,900.74 $147,077.18 2025-05-19
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $141,677.96 $145,844.96 $144,455.96 2025-05-19
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $134,782.12 $138,746.30 $137,424.90 2025-05-19
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $134,782.12 $138,746.30 $137,424.90 2025-05-19
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $130,630.57 $134,472.65 $133,191.96 2025-05-19
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 83 42 $171,000.60 $128,250.45 25% off $339.03 $169,461.59 $124,060.93 2025-05-19
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $121,296.01 $124,863.54 $123,674.37 2025-05-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $111,606.12 $114,888.65 $113,794.47 2025-05-19
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 83 42 $156,047.54 $117,035.66 25% off $2,337.69 $154,643.11 $113,212.49 2025-05-19
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 18 18 — — $108,745.74 $195,742.33 $108,745.74 2025-05-19
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 83 42 $148,062.50 $111,046.88 25% off $165.25 $146,729.94 $107,419.35 2025-05-19
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $100,320.69 $103,271.30 $102,287.76 2025-05-19
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $100,320.69 $103,271.30 $102,287.76 2025-05-19
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $100,320.69 $103,271.30 $102,287.76 2025-05-19
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $100,159.73 $103,105.60 $102,123.64 2025-05-19
14 MS_DRG Allogeneic Bone Marrow Transplant 18 18 — — $100,843.99 $181,519.18 $100,843.99 2025-05-19
7 MS_DRG Lung Transplant 18 18 — — $100,590.37 $181,062.67 $100,590.37 2025-05-19
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 83 42 $133,461.89 $100,096.42 25% off $206.38 $132,260.73 $96,826.60 2025-05-19
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 83 42 $133,364.40 $100,023.30 25% off $47,211.00 $480,839.94 $96,755.87 2025-05-19
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $94,444.31 $97,222.08 $96,296.16 2025-05-19
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 83 42 $131,667.49 $98,750.62 25% off $61.43 $130,482.48 $95,524.76 2025-05-19
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 83 42 $131,153.51 $98,365.14 25% off $3,482.15 $129,973.13 $95,151.87 2025-05-19
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 61 39 $128,920.57 $96,690.43 25% off $655.92 $127,760.28 $93,531.87 2025-05-19
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $90,991.13 $93,667.34 $92,775.27 2025-05-19
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 122 42 $200,850.00 $150,637.50 25% off $186.31 $199,042.35 $92,391.00 2025-05-19
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $89,522.85 $92,155.88 $91,278.20 2025-05-19
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $88,541.32 $91,145.48 $90,277.43 2025-05-19
38230 CPT Hc Bone Marrow Harvest Transplantation Allogeneic 81 42 $122,091.00 $91,568.25 25% off $1,326.81 $120,992.18 $88,577.02 2025-05-19
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $85,746.56 $88,268.51 $87,427.86 2025-05-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 18 — — $84,842.98 $152,717.36 $84,842.98 2025-05-19
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $83,157.25 $85,603.06 $84,787.79 2025-05-19
8514 APR_DRG Gender Related Procedures 7 7 — — $82,993.29 $85,434.27 $84,620.61 2025-05-19
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 83 42 $116,612.85 $87,459.64 25% off $642.15 $115,563.33 $84,602.62 2025-05-19
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 83 42 $116,476.42 $87,357.32 25% off $2,618.85 $115,428.13 $84,503.64 2025-05-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 18 — — $83,876.22 $150,977.20 $83,876.22 2025-05-19
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $81,873.21 $84,281.24 $83,478.56 2025-05-19
03060 EAPG Ventricular Assist Device Procedures 7 7 — — $81,706.74 $84,109.88 $83,308.84 2025-05-19
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 83 42 $114,548.67 $85,911.51 25% off $27,070.53 $232,033.14 $83,105.06 2025-05-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 18 — — $81,997.22 $147,595.00 $81,997.22 2025-05-19
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 122 42 $177,906.55 $133,429.92 25% off $176.88 $176,305.39 $81,837.01 2025-05-19
215 MS_DRG Other Heart Assist System Implant 18 18 — — $81,577.64 $146,839.75 $81,577.64 2025-05-19
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $79,904.69 $82,254.83 $81,471.45 2025-05-19
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 83 42 $112,071.97 $84,053.98 25% off $214.76 $111,063.32 $81,308.21 2025-05-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 18 — — $80,660.02 $145,188.04 $80,660.02 2025-05-19
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $77,276.17 $79,549.00 $78,791.39 2025-05-19
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $75,862.80 $78,094.05 $77,350.30 2025-05-19
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $75,675.49 $77,901.24 $77,159.33 2025-05-19
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $75,675.49 $77,901.24 $77,159.33 2025-05-19
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $75,353.29 $77,569.56 $76,830.80 2025-05-19
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $75,282.46 $77,496.65 $76,758.58 2025-05-19
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 83 42 $105,240.36 $78,930.27 25% off $333.48 $104,293.20 $76,351.88 2025-05-19
J9600 HCPCS Porfimer 2.5 Mg/ml IV Syringe 83 42 $105,199.05 $78,899.29 25% off $23,870.14 $205,453.44 $76,321.91 2025-05-19
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $73,283.30 $75,438.69 $74,720.22 2025-05-19
L8688 HCPCS Generator, M1000-d, Sentiva Duo 64 42 $102,755.64 $77,066.73 25% off $35,964.47 $101,830.84 $74,549.21 2025-05-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 18 — — $74,325.26 $133,785.47 $74,325.26 2025-05-19
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $72,444.69 $74,575.42 $73,865.18 2025-05-19
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 83 42 $98,446.22 $73,834.67 25% off $59.80 $97,560.20 $71,422.73 2025-05-19
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $69,724.89 $71,775.63 $71,092.05 2025-05-19
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $69,724.89 $71,775.63 $71,092.05 2025-05-19
850 MS_DRG Acute Leukemia With Other Procedures 18 18 — — $70,949.99 $127,709.98 $70,949.99 2025-05-19
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $69,488.09 $71,531.86 $70,850.60 2025-05-19
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $69,167.69 $71,202.03 $70,523.92 2025-05-19
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $69,034.86 $71,065.30 $70,388.49 2025-05-19
8634 APR_DRG Neonatal Aftercare 7 7 — — $68,934.72 $70,962.21 $70,286.38 2025-05-19
1784 APR_DRG External Heart Assist Systems 7 7 — — $68,911.85 $70,938.67 $70,263.07 2025-05-19
6904 APR_DRG Acute Leukemia 7 7 — — $68,643.79 $70,662.72 $69,989.74 2025-05-19
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $68,239.33 $70,246.37 $69,577.35 2025-05-19
33240 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/1 Existing Ld 81 42 $95,796.00 $71,847.00 25% off $20,383.47 $94,933.84 $69,500.00 2025-05-19
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 83 42 $94,723.08 $71,042.31 25% off $127.81 $93,870.57 $68,721.60 2025-05-19
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $67,351.71 $69,332.64 $68,672.33 2025-05-19
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $64,980.62 $66,891.81 $66,254.75 2025-05-19
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $64,342.14 $66,234.56 $65,603.75 2025-05-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 18 — — $65,278.45 $117,501.21 $65,278.45 2025-05-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 18 — — $65,242.32 $117,436.18 $65,242.32 2025-05-19
A9604 HCPCS Samarium Sm 153 Lexidronam 5,550 Mbq/3 Ml Intravenous Solution 83 42 $88,888.25 $66,666.19 25% off $17,259.85 $155,338.65 $64,488.43 2025-05-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 18 — — $64,254.03 $115,657.25 $64,254.03 2025-05-19
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $62,461.23 $64,298.33 $63,685.96 2025-05-19
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $62,327.49 $64,160.65 $63,549.60 2025-05-19
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 83 42 $77,250.00 $57,937.50 25% off $27,346.50 $556,200.00 $63,354.77 2025-05-19
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $61,478.38 $63,286.57 $62,683.84 2025-05-19
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $61,478.38 $63,286.57 $62,683.84 2025-05-19
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 83 42 $86,294.33 $64,720.75 25% off $129.78 $85,517.68 $62,606.54 2025-05-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 18 — — $62,106.08 $111,790.94 $62,106.08 2025-05-19
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $60,476.36 $62,255.08 $61,662.17 2025-05-19
10 MS_DRG Pancreas Transplant 18 18 — — $61,429.04 $110,572.27 $61,429.04 2025-05-19
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $60,133.98 $61,902.62 $61,313.08 2025-05-19
33289 CPT Hc Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 84 42 $84,298.00 $63,223.50 25% off $10,500.00 $83,539.32 $61,158.20 2025-05-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 18 — — $61,077.81 $109,940.06 $61,077.81 2025-05-19
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 83 42 $83,988.16 $62,991.12 25% off $343.89 $83,232.27 $60,933.41 2025-05-19
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $59,644.11 $61,398.35 $60,813.60 2025-05-19
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 161 42 $68,405.39 $51,304.05 25% off $159.91 $135,579.54 $60,533.99 2025-05-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 18 — — $60,225.55 $108,405.99 $60,225.55 2025-05-19
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $58,975.33 $60,709.90 $60,131.71 2025-05-19
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $58,693.63 $60,419.91 $59,844.48 2025-05-19
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 122 42 $129,891.37 $97,418.53 25% off $220.75 $128,722.35 $59,750.03 2025-05-19
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $58,496.01 $60,216.48 $59,642.99 2025-05-19
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $58,496.01 $60,216.48 $59,642.99 2025-05-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 18 — — $59,619.19 $107,314.54 $59,619.19 2025-05-19
J2502 HCPCS Pasireotide Pamoate 20 Mg IM Suspension 83 42 $82,121.85 $61,591.39 25% off $479.84 $81,382.75 $59,579.40 2025-05-19
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $57,363.81 $59,050.98 $58,488.59 2025-05-19
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $57,073.46 $58,752.09 $58,192.54 2025-05-19
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $56,535.26 $58,198.07 $57,643.80 2025-05-19
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $56,535.26 $58,198.07 $57,643.80 2025-05-19
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $56,535.26 $58,198.07 $57,643.80 2025-05-19
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $56,535.26 $58,198.07 $57,643.80 2025-05-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 18 — — $57,518.89 $103,534.00 $57,518.89 2025-05-19
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $55,532.02 $57,165.32 $56,620.89 2025-05-19
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $53,976.26 $55,563.80 $55,034.62 2025-05-19
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 83 42 $75,752.49 $56,814.37 25% off $190.46 $75,070.72 $54,958.43 2025-05-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 18 — — $54,740.74 $98,533.33 $54,740.74 2025-05-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 18 — — $54,466.38 $98,039.48 $54,466.38 2025-05-19
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $53,100.69 $54,662.48 $54,141.88 2025-05-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 18 18 — — $53,617.19 $96,510.94 $53,617.19 2025-05-19
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $52,258.65 $53,795.67 $53,283.33 2025-05-19
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $52,258.65 $53,795.67 $53,283.33 2025-05-19
8633 APR_DRG Neonatal Aftercare 7 7 — — $52,168.57 $53,702.94 $53,191.49 2025-05-19
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $51,927.56 $53,454.84 $52,945.74 2025-05-19
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $51,927.56 $53,454.84 $52,945.74 2025-05-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 18 — — $52,631.96 $94,737.53 $52,631.96 2025-05-19
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $50,996.14 $52,496.03 $51,996.07 2025-05-19
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $50,899.72 $52,396.77 $51,897.76 2025-05-19
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $50,899.72 $52,396.77 $51,897.76 2025-05-19
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $50,758.63 $52,251.53 $51,753.89 2025-05-19
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $50,758.63 $52,251.53 $51,753.89 2025-05-19
C2624 HCPCS Delivery Sys, Cordella And Pulm Artery Sensor (ide G1900020) 103 42 $71,250.00 $53,437.50 25% off $20,475.00 $70,608.75 $51,691.88 2025-05-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 18 — — $51,682.10 $93,027.78 $51,682.10 2025-05-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 18 — — $51,483.83 $92,670.89 $51,483.83 2025-05-19
J1628 HCPCS Guselkumab 100 Mg/ml Subcutaneous Syringe 83 42 $70,893.10 $53,169.83 25% off $74.47 $70,255.06 $51,432.94 2025-05-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 18 — — $51,396.99 $92,514.58 $51,396.99 2025-05-19
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $49,761.09 $51,224.65 $50,736.80 2025-05-19
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $49,411.06 $50,864.33 $50,379.91 2025-05-19
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 83 42 $69,344.76 $52,008.57 25% off $216.46 $68,720.66 $50,309.62 2025-05-19
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $49,110.94 $50,555.38 $50,073.90 2025-05-19
C1824 HCPCS Generator, Pulse, Optimizer Smart Ipg 64 42 $69,000.00 $51,750.00 25% off $24,150.00 $68,379.00 $50,059.50 2025-05-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 18 18 — — $49,856.91 $89,742.44 $49,856.91 2025-05-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 18 — — $49,785.44 $89,613.79 $49,785.44 2025-05-19
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $48,752.24 $50,186.13 $49,708.16 2025-05-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 18 — — $48,758.72 $87,765.70 $48,758.72 2025-05-19
1794 APR_DRG Defibrillator Implants 7 7 — — $47,442.07 $48,837.42 $48,372.30 2025-05-19
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $47,133.26 $48,519.53 $48,057.44 2025-05-19
A9572 HCPCS Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit 66 42 $66,218.70 $49,664.03 25% off $23,441.42 $65,622.73 $48,041.67 2025-05-19
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $47,049.02 $48,432.81 $47,971.55 2025-05-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 18 — — $47,760.44 $85,968.79 $47,760.44 2025-05-19
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $46,784.44 $48,160.46 $47,701.78 2025-05-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 18 — — $47,698.95 $85,858.11 $47,698.95 2025-05-19
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $46,665.18 $48,037.69 $47,580.19 2025-05-19
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $46,649.24 $48,021.28 $47,563.93 2025-05-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 18 — — $47,482.23 $85,468.01 $47,482.23 2025-05-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 18 — — $47,317.00 $85,170.60 $47,317.00 2025-05-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 18 — — $47,101.82 $84,783.28 $47,101.82 2025-05-19
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 83 42 $64,818.73 $48,614.05 25% off $135.92 $64,235.36 $47,025.99 2025-05-19
28 MS_DRG Spinal Procedures With Mcc 18 18 — — $46,877.42 $84,379.36 $46,877.42 2025-05-19
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $45,966.26 $47,318.21 $46,867.56 2025-05-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 18 — — $46,542.35 $83,776.23 $46,542.35 2025-05-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 18 — — $46,542.35 $83,776.23 $46,542.35 2025-05-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 18 — — $46,195.77 $83,152.39 $46,195.77 2025-05-19
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $45,070.71 $46,396.32 $45,954.45 2025-05-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 18 — — $45,876.84 $82,578.31 $45,876.84 2025-05-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 18 — — $45,842.24 $82,516.03 $45,842.24 2025-05-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 18 — — $45,376.53 $81,677.75 $45,376.53 2025-05-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 18 — — $44,900.85 $80,821.53 $44,900.85 2025-05-19
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $44,028.42 $45,323.38 $44,891.72 2025-05-19
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $44,028.42 $45,323.38 $44,891.72 2025-05-19
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $43,898.52 $45,189.65 $44,759.27 2025-05-19
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $43,895.07 $45,186.10 $44,755.76 2025-05-19
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $43,811.05 $45,099.61 $44,670.09 2025-05-19
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $43,664.10 $44,948.34 $44,520.26 2025-05-19
6903 APR_DRG Acute Leukemia 7 7 — — $43,625.38 $44,908.48 $44,480.78 2025-05-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 18 — — $44,263.75 $79,674.75 $44,263.75 2025-05-19
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $43,382.28 $44,658.23 $44,232.92 2025-05-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 18 — — $44,000.15 $79,200.27 $44,000.15 2025-05-19
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $43,095.98 $44,363.51 $43,941.00 2025-05-19
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $42,849.41 $44,109.69 $43,689.60 2025-05-19
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $42,774.98 $44,033.06 $43,613.70 2025-05-19
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $42,589.67 $43,842.31 $43,424.76 2025-05-19
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $42,248.26 $43,490.85 $43,076.65 2025-05-19
653 MS_DRG Major Bladder Procedures With Mcc 18 18 — — $42,997.24 $77,395.03 $42,997.24 2025-05-19
264 APR_DRG Other Nervous System And Related Procedures 7 7 — — $41,962.86 $43,197.06 $42,785.66 2025-05-19
834 MS_DRG Acute Leukemia With Mcc 18 18 — — $42,633.75 $76,740.75 $42,633.75 2025-05-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 18 — — $42,633.75 $76,740.75 $42,633.75 2025-05-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 18 — — $42,455.45 $76,419.81 $42,455.45 2025-05-19
J9350 HCPCS Mosunetuzumab-axgb 1 Mg/ml Intravenous Solution 122 42 $98,373.24 $73,779.93 25% off $635.47 $97,487.88 $42,300.50 2025-05-19
J9316 HCPCS Pertuzumab 1,200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln 122 42 $70,291.17 $52,718.38 25% off $64.58 $69,658.55 $42,266.76 2025-05-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 18 — — $42,197.24 $75,955.03 $42,197.24 2025-05-19
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $41,284.63 $42,498.89 $42,094.14 2025-05-19
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $41,284.63 $42,498.89 $42,094.14 2025-05-19
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $41,284.63 $42,498.89 $42,094.14 2025-05-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 18 — — $41,971.30 $75,548.34 $41,971.30 2025-05-19
234 APR_DRG Spinal Procedures 7 7 — — $41,108.58 $42,317.66 $41,914.63 2025-05-19
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $41,075.72 $42,283.83 $41,881.12 2025-05-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 18 — — $41,876.01 $75,376.82 $41,876.01 2025-05-19
1783 APR_DRG External Heart Assist Systems 7 7 — — $41,025.48 $42,232.11 $41,829.90 2025-05-19
1782 APR_DRG External Heart Assist Systems 7 7 — — $41,025.48 $42,232.11 $41,829.90 2025-05-19
1781 APR_DRG External Heart Assist Systems 7 7 — — $41,025.48 $42,232.11 $41,829.90 2025-05-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 18 — — $41,663.13 $74,993.63 $41,663.13 2025-05-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 18 — — $41,623.93 $74,923.07 $41,623.93 2025-05-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 18 — — $41,619.32 $74,914.78 $41,619.32 2025-05-19
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $40,614.03 $41,808.56 $41,410.39 2025-05-19
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $40,478.87 $41,669.43 $41,272.58 2025-05-19
33902 CPT Hc Perq P-art Revsc St 1st Abnor Connj Unilateral 84 42 $56,767.00 $42,575.25 25% off $10,500.00 $56,256.10 $41,184.46 2025-05-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 18 — — $41,042.19 $73,875.94 $41,042.19 2025-05-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 18 — — $40,861.58 $73,550.84 $40,861.58 2025-05-19
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $39,862.12 $41,034.54 $40,643.73 2025-05-19
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $39,752.92 $40,922.12 $40,532.39 2025-05-19
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $39,730.82 $40,899.37 $40,509.85 2025-05-19
J9042 HCPCS Brentuximab Vedotin 50 Mg/10 Ml IV Injection - Reconstituted 5 Mg/ml 83 42 $55,748.34 $41,811.26 25% off $239.86 $55,246.60 $40,445.42 2025-05-19
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 7 — — $39,475.36 $40,636.40 $40,249.38 2025-05-19
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $39,448.11 $40,608.35 $40,221.60 2025-05-19
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $39,294.55 $40,450.27 $40,065.03 2025-05-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 18 — — $39,734.96 $71,522.93 $39,734.96 2025-05-19
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $38,940.84 $40,086.15 $39,704.38 2025-05-19
274 APR_DRG Other Open Craniotomy 7 7 — — $38,897.81 $40,041.87 $39,660.51 2025-05-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 18 — — $39,603.54 $71,286.37 $39,603.54 2025-05-19
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $38,832.78 $39,974.92 $39,594.20 2025-05-19
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 83 42 $54,394.88 $40,796.16 25% off $69.44 $53,905.33 $39,463.49 2025-05-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 18 — — $39,308.44 $70,755.19 $39,308.44 2025-05-19
J0222 HCPCS Patisiran (lipid Complex) 2 Mg/ml Intravenous Solution 83 42 $54,127.53 $40,595.65 25% off $98.88 $53,640.38 $39,269.52 2025-05-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 18 — — $39,188.55 $70,539.39 $39,188.55 2025-05-19
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $38,148.65 $39,270.67 $38,896.67 2025-05-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 18 — — $38,865.02 $69,957.04 $38,865.02 2025-05-19
J9999 HCPCS Dinutuximab 3.5 Mg/ml Intravenous Solution 64 42 $53,505.93 $40,129.45 25% off $18,941.10 $53,024.38 $38,818.56 2025-05-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 18 — — $38,636.77 $69,546.19 $38,636.77 2025-05-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 18 — — $38,606.80 $69,492.24 $38,606.80 2025-05-19
294 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $37,860.34 $38,973.88 $38,602.70 2025-05-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 18 — — $38,591.43 $69,464.57 $38,591.43 2025-05-19
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 7 7 — — $37,848.89 $38,962.09 $38,591.02 2025-05-19
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 83 42 $53,157.57 $39,868.18 25% off $28.24 $52,679.15 $38,565.82 2025-05-19
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $37,724.17 $38,833.70 $38,463.86 2025-05-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 18 — — $38,453.09 $69,215.56 $38,453.09 2025-05-19
1814 APR_DRG Lower Extremity Arterial Procedures 7 7 — — $37,684.20 $38,792.55 $38,423.10 2025-05-19
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $37,426.99 $38,527.79 $38,160.86 2025-05-19
C1882 HCPCS Defibrillator, Crtd Crome Hf MRI Is1 Df4 Usa 844 42 $46,245.00 $34,683.75 25% off $13,173.62 $58,142.96 $38,064.60 2025-05-19
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 7 7 — — $37,173.78 $38,267.12 $37,902.68 2025-05-19
1824 APR_DRG Other Peripheral Vascular And Related Procedures 7 7 — — $37,008.44 $38,096.92 $37,734.09 2025-05-19
245 MS_DRG Aicd Generator Procedures 18 18 — — $37,711.49 $67,880.68 $37,711.49 2025-05-19
J1640 HCPCS Hemin Intravenous Solution 350 Mg/50 Ml - Reconstituted 7 Mg/ml 83 42 $51,934.30 $38,950.73 25% off $32.20 $51,466.89 $37,678.33 2025-05-19
471 MS_DRG Cervical Spinal Fusion With Mcc 18 18 — — $37,484.79 $67,472.62 $37,484.79 2025-05-19
6 MS_DRG Liver Transplant Without Mcc 18 18 — — $37,422.52 $67,360.54 $37,422.52 2025-05-19
J9153 HCPCS Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution 83 42 $51,168.11 $38,376.09 25% off $242.50 $50,707.60 $37,122.46 2025-05-19
C1820 HCPCS Generator, Pulse Precision, Spectra Kit 884 42 $49,815.00 $37,361.25 25% off $2,384.55 $83,741.38 $37,074.57 2025-05-19
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 83 42 $51,075.18 $38,306.39 25% off $229.67 $50,615.50 $37,055.04 2025-05-19
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $36,217.93 $37,283.16 $36,928.08 2025-05-19
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $36,217.93 $37,283.16 $36,928.08 2025-05-19
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $36,200.27 $37,264.98 $36,910.08 2025-05-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 18 — — $36,856.15 $66,341.07 $36,856.15 2025-05-19
799 MS_DRG Splenic Procedures With Mcc 18 18 — — $36,697.07 $66,054.73 $36,697.07 2025-05-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 18 — — $36,690.15 $66,042.27 $36,690.15 2025-05-19
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $35,959.96 $37,017.60 $36,665.05 2025-05-19
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $35,927.24 $36,983.92 $36,631.69 2025-05-19
2294 APR_DRG Other Digestive System And Abdominal Procedures 7 7 — — $35,905.00 $36,961.03 $36,609.02 2025-05-19
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 7 7 — — $35,848.82 $36,903.20 $36,551.74 2025-05-19
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $35,640.84 $36,689.10 $36,339.68 2025-05-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 18 — — $36,312.04 $65,361.67 $36,312.04 2025-05-19
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $35,498.18 $36,542.25 $36,194.23 2025-05-19
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $35,495.62 $36,539.61 $36,191.62 2025-05-19
J2427 HCPCS Paliperidone Palmitate (3 Month) 819 Mg/2.63 Ml Intramuscular Syringe 83 42 $49,881.54 $37,411.16 25% off $12.66 $49,432.61 $36,189.06 2025-05-19
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 164 42 $52,894.01 $39,670.51 25% off $49.97 $52,417.96 $36,127.42 2025-05-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 18 — — $36,118.39 $65,013.10 $36,118.39 2025-05-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 18 — — $35,906.28 $64,631.30 $35,906.28 2025-05-19
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 7 7 — — $35,201.62 $36,236.96 $35,891.85 2025-05-19
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 198 42 $46,694.11 $35,020.59 25% off $178.85 $79,927.57 $35,876.64 2025-05-19
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $35,039.50 $36,070.07 $35,726.55 2025-05-19
1793 APR_DRG Defibrillator Implants 7 7 — — $34,971.24 $35,999.81 $35,656.95 2025-05-19
163 MS_DRG Major Chest Procedures With Mcc 18 18 — — $35,578.12 $64,040.62 $35,578.12 2025-05-19
See an error in this hospital's data? Submit a correction