Price Transparency Hospital negotiated rates

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

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Hospital

UNION HOSPITAL

Dover, OH · CCN 360010 · Rates published

22,600 distinct procedures filed
57 distinct payers
1,821,720 rate rows
2026-04-01 last MRF observed
Data quality

828,756 of 1,821,720 rate rows are consumer-grade (45.5%)

992,964 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 563,948
professional (physician) fee — not the facility price 392,977
per-diem day rate — not a per-procedure price 25,531
placeholder amount (≤ $0.02) — excluded from medians 6,905
template filing: same amount across many unrelated codes — excluded 2,401
percent-of-charges filed in the dollar field — excluded from medians 1,035
exceeds 10× this hospital's gross charge — excluded from medians 167
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/union
Found on page https://my.clevelandclinic.org/patients/billing-finance/comprehensive-hospital-charges
Discovered viaDiscovered by HANK
Last fetch success · 2026-05-18
Content fingerprint a5ee6aaf192b14b1… · 27,658,278 bytes · first seen 2026-05-18

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 16 $3,121,965.00 $4,040,190.00 $3,672,900.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 16 $3,064,250.00 $3,965,500.00 $3,605,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 16 $2,826,636.55 $3,658,000.24 $3,325,454.76 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 19 $500,000.00 $4,910,400.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 19 $500,000.00 $4,435,200.00 $2,968,000.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 25 $500,000.00 $4,972,500.00 $2,579,703.37 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 19 $500,000.00 $4,931,520.00 $2,425,280.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 33 $449,813.93 $2,848,960.04 $1,293,427.86 nat. median
$754,974
1.7× median
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 33 $448,054.92 $2,505,866.40 $1,146,433.88 nat. median
$675,122
1.7× median
Q2041
HCPCS 		Yescarta Intravenous Suspension 33 $416,037.57 $2,417,184.00 $1,105,861.68 nat. median
$634,511
1.7× median
Q2054
HCPCS 		Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 33 $439,217.17 $2,339,891.68 $1,070,500.44 nat. median
$674,188
1.6× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 33 $391,450.84 $2,217,600.00 $1,014,552.00 nat. median
$620,080
1.6× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $783,241.21 $783,241.21 $783,241.21 nat. median
$824,563
0.9× median
005-I
MS_DRG 		Intestinal - Adult 2 $563,700.00 $563,700.00 $563,700.00 —
006-LA
MS_DRG 		Liver (Live Donor) - Adult 2 $561,500.00 $561,500.00 $561,500.00 —
005-LA
MS_DRG 		Liver (Live Donor) - Adult 2 $561,500.00 $561,500.00 $561,500.00 —
006-LP
MS_DRG 		Liver (Live Donor) - Pediatric 2 $560,500.00 $560,500.00 $560,500.00 —
005-LP
MS_DRG 		Liver (Live Donor) - Pediatric 2 $560,500.00 $560,500.00 $560,500.00 —
006-DA
MS_DRG 		Liver (Deceased Donor) - Adult 2 $486,600.00 $486,600.00 $486,600.00 —
005-DA
MS_DRG 		Liver (Deceased Donor) - Adult 2 $486,600.00 $486,600.00 $486,600.00 —
014-U
MS_DRG 		Allogeneic Unrelated Bmt ? Adult & Pediatric 2 $481,200.00 $481,200.00 $481,200.00 —
006-DP
MS_DRG 		Liver (Deceased Donor) -pediatric 2 $471,700.00 $471,700.00 $471,700.00 —
005-DP
MS_DRG 		Liver (Deceased Donor) -pediatric 2 $471,700.00 $471,700.00 $471,700.00 —
003-P
MS_DRG 		Heart - Pediatric 2 $444,900.00 $444,900.00 $444,900.00 —
002-P
MS_DRG 		Heart - Pediatric 2 $444,900.00 $444,900.00 $444,900.00 —
007-D
MS_DRG 		Lung (Double) - Adult 2 $433,900.00 $433,900.00 $433,900.00 —
007-S
MS_DRG 		Lung (Single) - Adult 2 $428,300.00 $428,300.00 $428,300.00 —
014-R
MS_DRG 		Allogeneic Related Bmt ? Adult & Pediatric 2 $428,000.00 $428,000.00 $428,000.00 —
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 37 $4,187.10 $859,327.20 $386,697.24 nat. median
$8,223
outlier · 47.0×
001-A
MS_DRG 		Heart - Adult 3 $36,400.00 $361,500.00 $361,500.00 —
002-A
MS_DRG 		Heart - Adult 2 $361,500.00 $361,500.00 $361,500.00 —
C9301
HCPCS 		Obecabtagene Car Pos T 1 $282,807.18 $282,807.18 $282,807.18 nat. median
$459,112
0.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $231,113.30 $488,946.45 $271,898.00 nat. median
$370,174
0.7× median
5884
APR_DRG 		6 $237,967.53 $261,764.28 $252,245.59 nat. median
$246,434
1.0× median
5834
APR_DRG 		6 $230,198.62 $253,218.48 $244,010.53 nat. median
$309,665
0.8× median
5833
APR_DRG 		6 $230,198.62 $253,218.48 $244,010.53 nat. median
$244,017
1.0× median
5831
APR_DRG 		6 $218,965.68 $240,862.25 $232,103.62 nat. median
$145,122
1.6× median
5832
APR_DRG 		6 $218,965.68 $240,862.25 $232,103.62 nat. median
$156,126
1.5× median
1614
APR_DRG 		6 $218,117.35 $239,929.09 $231,204.39 nat. median
$207,730
1.1× median
0024
APR_DRG 		6 $191,831.64 $211,014.80 $203,341.54 nat. median
$372,987
0.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $172,665.17 $365,202.01 $203,135.49 nat. median
$265,286
0.8× median
651-C
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc - Cadaveric 1 $185,100.00 $185,100.00 $185,100.00 —
650-C
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc - Cadaveric 1 $185,100.00 $185,100.00 $185,100.00 —
652-C
MS_DRG 		Kidney Transplant - Cadaveric 1 $185,100.00 $185,100.00 $185,100.00 —
1612
APR_DRG 		6 $168,807.10 $185,687.81 $178,935.53 nat. median
$85,406
outlier · 2.1×
1613
APR_DRG 		6 $168,807.10 $185,687.81 $178,935.53 nat. median
$119,796
1.5× median
1611
APR_DRG 		6 $168,807.10 $185,687.81 $178,935.53 nat. median
$76,806
outlier · 2.3×
650-D
MS_DRG 		Kidney (Deceased) - Adult & Pediatric 2 $175,300.00 $175,300.00 $175,300.00 —
651-D
MS_DRG 		Kidney (Deceased) - Adult & Pediatric 2 $175,300.00 $175,300.00 $175,300.00 —
652-D
MS_DRG 		Kidney (Deceased) - Adult & Pediatric 2 $175,300.00 $175,300.00 $175,300.00 —

Other procedures at this hospital

Browse this hospital's 22,600 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 18 16 — — $3,121,965.00 $4,040,190.00 $3,672,900.00 2025-06-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 18 16 — — $3,064,250.00 $3,965,500.00 $3,605,000.00 2025-06-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 16 — — $2,826,636.55 $3,658,000.24 $3,325,454.76 2025-06-28
J3394 HCPCS Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 22 19 — — $500,000.00 $4,910,400.00 $3,286,000.00 2025-06-28
J3393 HCPCS Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 22 19 — — $500,000.00 $4,435,200.00 $2,968,000.00 2025-06-28
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 41 25 — $4,972,500.00 $500,000.00 $4,972,500.00 $2,579,703.37 2025-06-28
J3392 HCPCS Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 30 19 — — $500,000.00 $4,931,520.00 $2,425,280.00 2025-06-28
Q2042 HCPCS Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 91 33 $2,848,960.04 $1,851,824.03 35% off $449,813.93 $2,848,960.04 $1,293,427.86 2025-06-28
Q2056 HCPCS Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 56 33 $2,505,866.40 $1,628,813.16 35% off $448,054.92 $2,505,866.40 $1,146,433.88 2025-06-28
Q2041 HCPCS Yescarta Intravenous Suspension 56 33 $2,417,184.00 $1,571,169.60 35% off $416,037.57 $2,417,184.00 $1,105,861.68 2025-06-28
Q2054 HCPCS Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 56 33 $2,339,891.68 $1,520,929.59 35% off $439,217.17 $2,339,891.68 $1,070,500.44 2025-06-28
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 56 33 $2,217,600.00 $1,441,440.00 35% off $391,450.84 $2,217,600.00 $1,014,552.00 2025-06-28
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $783,241.21 $783,241.21 $783,241.21 2025-06-28
005-I MS_DRG Intestinal - Adult 2 2 — — $563,700.00 $563,700.00 $563,700.00 2025-06-28
006-LA MS_DRG Liver (Live Donor) - Adult 2 2 — — $561,500.00 $561,500.00 $561,500.00 2025-06-28
005-LA MS_DRG Liver (Live Donor) - Adult 2 2 — — $561,500.00 $561,500.00 $561,500.00 2025-06-28
005-LP MS_DRG Liver (Live Donor) - Pediatric 2 2 — — $560,500.00 $560,500.00 $560,500.00 2025-06-28
006-LP MS_DRG Liver (Live Donor) - Pediatric 2 2 — — $560,500.00 $560,500.00 $560,500.00 2025-06-28
005-DA MS_DRG Liver (Deceased Donor) - Adult 2 2 — — $486,600.00 $486,600.00 $486,600.00 2025-06-28
006-DA MS_DRG Liver (Deceased Donor) - Adult 2 2 — — $486,600.00 $486,600.00 $486,600.00 2025-06-28
014-U MS_DRG Allogeneic Unrelated Bmt ? Adult & Pediatric 2 2 — — $481,200.00 $481,200.00 $481,200.00 2025-06-28
006-DP MS_DRG Liver (Deceased Donor) -pediatric 2 2 — — $471,700.00 $471,700.00 $471,700.00 2025-06-28
005-DP MS_DRG Liver (Deceased Donor) -pediatric 2 2 — — $471,700.00 $471,700.00 $471,700.00 2025-06-28
002-P MS_DRG Heart - Pediatric 2 2 — — $444,900.00 $444,900.00 $444,900.00 2025-06-28
003-P MS_DRG Heart - Pediatric 2 2 — — $444,900.00 $444,900.00 $444,900.00 2025-06-28
007-D MS_DRG Lung (Double) - Adult 2 2 — — $433,900.00 $433,900.00 $433,900.00 2025-06-28
007-S MS_DRG Lung (Single) - Adult 2 2 — — $428,300.00 $428,300.00 $428,300.00 2025-06-28
014-R MS_DRG Allogeneic Related Bmt ? Adult & Pediatric 2 2 — — $428,000.00 $428,000.00 $428,000.00 2025-06-28
J0225 HCPCS Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 62 37 $859,327.20 $558,562.68 35% off $4,187.10 $859,327.20 $386,697.24 2025-06-28
001-A MS_DRG Heart - Adult 3 3 — — $36,400.00 $361,500.00 $361,500.00 2025-06-28
002-A MS_DRG Heart - Adult 2 2 — — $361,500.00 $361,500.00 $361,500.00 2025-06-28
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $282,807.18 $282,807.18 $282,807.18 2025-06-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 17 — — $231,113.30 $488,946.45 $271,898.00 2026-04-01
5884 APR_DRG — 6 6 — — $237,967.53 $261,764.28 $252,245.59 2025-06-28
5834 APR_DRG — 6 6 — — $230,198.62 $253,218.48 $244,010.53 2025-06-28
5833 APR_DRG — 6 6 — — $230,198.62 $253,218.48 $244,010.53 2025-06-28
5832 APR_DRG — 6 6 — — $218,965.68 $240,862.25 $232,103.62 2025-06-28
5831 APR_DRG — 6 6 — — $218,965.68 $240,862.25 $232,103.62 2025-06-28
1614 APR_DRG — 6 6 — — $218,117.35 $239,929.09 $231,204.39 2025-06-28
0024 APR_DRG — 6 6 — — $191,831.64 $211,014.80 $203,341.54 2025-06-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 17 — — $172,665.17 $365,202.01 $203,135.49 2026-04-01
651-C MS_DRG Kidney Transplant With Hemodialysis Without Mcc - Cadaveric 1 1 — — $185,100.00 $185,100.00 $185,100.00 2025-06-28
650-C MS_DRG Kidney Transplant With Hemodialysis With Mcc - Cadaveric 1 1 — — $185,100.00 $185,100.00 $185,100.00 2025-06-28
652-C MS_DRG Kidney Transplant - Cadaveric 1 1 — — $185,100.00 $185,100.00 $185,100.00 2025-06-28
1611 APR_DRG — 6 6 — — $168,807.10 $185,687.81 $178,935.53 2025-06-28
1612 APR_DRG — 6 6 — — $168,807.10 $185,687.81 $178,935.53 2025-06-28
1613 APR_DRG — 6 6 — — $168,807.10 $185,687.81 $178,935.53 2025-06-28
650-D MS_DRG Kidney (Deceased) - Adult & Pediatric 2 2 — — $175,300.00 $175,300.00 $175,300.00 2025-06-28
652-D MS_DRG Kidney (Deceased) - Adult & Pediatric 2 2 — — $175,300.00 $175,300.00 $175,300.00 2025-06-28
651-D MS_DRG Kidney (Deceased) - Adult & Pediatric 2 2 — — $175,300.00 $175,300.00 $175,300.00 2025-06-28
0074 APR_DRG — 6 6 — — $163,980.15 $180,378.17 $173,818.96 2025-06-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 17 — — $145,442.04 $307,566.10 $171,108.28 2026-04-01
650-LD MS_DRG Kidney Transplant With Hemodialysis With Mcc - Live Donor 1 1 — — $170,100.00 $170,100.00 $170,100.00 2025-06-28
651-LD MS_DRG Kidney Transplant With Hemodialysis Without Mcc - Live Donor 1 1 — — $170,100.00 $170,100.00 $170,100.00 2025-06-28
652-LD MS_DRG Kidney Transplant - Live Donor 1 1 — — $170,100.00 $170,100.00 $170,100.00 2025-06-28
8411 APR_DRG — 6 6 — — $152,638.04 $167,901.84 $161,796.32 2025-06-28
8414 APR_DRG — 6 6 — — $152,638.04 $167,901.84 $161,796.32 2025-06-28
8412 APR_DRG — 6 6 — — $152,638.04 $167,901.84 $161,796.32 2025-06-28
8413 APR_DRG — 6 6 — — $152,638.04 $167,901.84 $161,796.32 2025-06-28
6094 APR_DRG — 6 6 — — $152,626.67 $167,889.34 $161,784.27 2025-06-28
652-L MS_DRG Kidney (Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2025-06-28
651-L MS_DRG Kidney ( Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2025-06-28
650-L MS_DRG Kidney ( Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2025-06-28
6304 APR_DRG — 6 6 — — $148,123.00 $162,935.30 $157,010.38 2025-06-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 18 — — $41,100.00 $277,860.69 $154,601.53 2026-04-01
6314 APR_DRG — 6 6 — — $130,745.32 $143,819.85 $138,590.04 2025-06-28
J2779 HCPCS Susvimo 10 Mg/0.1 Ml Intravitreal Solution 56 33 $288,000.00 $187,200.00 35% off $67.22 $288,000.00 $131,760.00 2025-06-28
5883 APR_DRG — 6 6 — — $120,210.05 $132,231.06 $127,422.65 2025-06-28
5882 APR_DRG — 6 6 — — $114,344.19 $125,778.61 $121,204.84 2025-06-28
5881 APR_DRG — 6 6 — — $114,344.19 $125,778.61 $121,204.84 2025-06-28
5934 APR_DRG — 6 6 — — $110,812.74 $121,894.01 $117,461.51 2025-06-28
C9150 HCPCS Xe129 Xenon, Diagnostic 2 1 — — $109,720.00 $109,720.00 $109,720.00 2025-06-28
5914 APR_DRG — 6 6 — — $102,872.42 $113,159.66 $109,044.76 2025-06-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 18 — — $28,700.00 $183,195.45 $101,997.80 2026-04-01
1604 APR_DRG — 6 6 — — $94,629.83 $104,092.81 $100,307.62 2025-06-28
14 MS_DRG Allogeneic Bone Marrow Transplant 24 19 — — $12,900.00 $254,000.00 $94,590.22 2026-04-01
7 MS_DRG Lung Transplant 23 18 — — $26,000.00 $169,436.99 $94,352.48 2026-04-01
0023 APR_DRG — 6 6 — — $85,030.04 $93,533.04 $90,131.84 2025-06-28
0022 APR_DRG — 6 6 — — $85,030.04 $93,533.04 $90,131.84 2025-06-28
0021 APR_DRG — 6 6 — — $85,030.04 $93,533.04 $90,131.84 2025-06-28
0094 APR_DRG — 6 6 — — $84,893.12 $93,382.43 $89,986.71 2025-06-28
J9274 HCPCS Kimmtrak 100 Mcg/0.5 Ml Intravenous Solution 62 37 $196,608.00 $127,795.20 35% off $182.55 $196,608.00 $88,473.60 2025-06-28
0073 APR_DRG — 6 6 — — $80,031.38 $88,034.52 $84,833.26 2025-06-28
0044 APR_DRG — 6 6 — — $77,093.98 $84,803.38 $81,719.62 2025-06-28
J9248 HCPCS Hepzato (62 Mm Catheter) 50 Mg Intra-arterial Solution 62 37 $180,000.00 $117,000.00 35% off $657.73 $180,000.00 $81,000.00 2025-06-28
6024 APR_DRG — 6 6 — — $75,845.00 $83,429.50 $80,395.70 2025-06-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 17 — — $67,651.43 $142,870.41 $79,589.92 2026-04-01
6074 APR_DRG — 6 6 — — $75,010.09 $82,511.10 $79,510.70 2025-06-28
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 62 37 $175,562.52 $114,115.64 35% off $15,826.96 $175,562.52 $79,062.10 2025-06-28
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 22 17 — — $17,771.00 $119,898.26 $78,683.60 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 4 1 — — $30,964.35 $139,007.74 $76,999.12 2026-04-01
8504 APR_DRG — 6 6 — — $72,632.75 $79,896.03 $76,990.71 2025-06-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 18 — — $27,200.00 $138,069.47 $76,922.12 2026-04-01
215 MS_DRG Other Heart Assist System Implant 22 17 — — $65,049.45 $137,361.58 $76,528.76 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 17 — — $17,771.00 $115,292.25 $75,668.55 2026-04-01
J2777 HCPCS Vabysmo 6 Mg/0.05 Ml Intravitreal Solution 56 33 $164,854.80 $107,155.62 35% off $29.11 $164,854.80 $75,421.07 2025-06-28
3034 APR_DRG — 6 6 — — $70,430.20 $77,473.22 $74,656.01 2025-06-28
8514 APR_DRG — 6 6 — — $70,290.72 $77,319.79 $74,508.17 2025-06-28
C9293 HCPCS Voraxaze 1000 Unit Intravenous Solution 46 30 $148,226.40 $96,347.16 35% off $12,484.93 $148,226.40 $74,113.20 2025-06-28
5933 APR_DRG — 6 6 — — $69,337.93 $76,271.72 $73,498.21 2025-06-28
J9269 HCPCS Elzonris 1000 Mcg/ml Intravenous Solution 62 37 $162,031.92 $105,320.75 35% off $288.18 $162,031.92 $72,914.36 2025-06-28
0014 APR_DRG — 6 6 — — $67,663.45 $74,429.80 $71,723.26 2025-06-28
J0223 HCPCS Givlaari 189 Mg/ml Subcutaneous Solution 56 33 $153,417.60 $99,721.44 35% off $95.32 $153,417.60 $70,188.55 2025-06-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 18 — — $17,771.00 $283,600.00 $69,729.96 2026-04-01
6303 APR_DRG — 6 6 — — $65,427.53 $71,970.28 $69,353.18 2025-06-28
001-C MS_DRG Deep Brain Stimulation Bilateral 1 1 — — $69,100.00 $69,100.00 $69,100.00 2025-06-28
0084 APR_DRG — 6 6 — — $64,225.26 $70,647.79 $68,078.77 2025-06-28
0071 APR_DRG — 6 6 — — $64,065.94 $70,472.53 $67,909.90 2025-06-28
0072 APR_DRG — 6 6 — — $64,065.94 $70,472.53 $67,909.90 2025-06-28
6334 APR_DRG — 6 6 — — $63,791.85 $70,171.04 $67,619.36 2025-06-28
8424 APR_DRG — 6 6 — — $63,731.60 $70,104.76 $67,555.49 2025-06-28
A9543 HCPCS Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit 62 37 $148,248.86 $96,361.76 35% off $12,558.53 $148,248.86 $67,008.49 2025-06-28
850 MS_DRG Acute Leukemia With Other Procedures 22 17 — — $56,580.91 $119,432.28 $66,565.78 2026-04-01
J0179 HCPCS Beovu 6 Mg/0.05 Ml Intravitreal Syringe 62 37 $147,062.88 $95,590.87 35% off $282.68 $147,062.88 $66,178.30 2025-06-28
6093 APR_DRG — 6 6 — — $62,031.05 $68,234.16 $65,752.91 2025-06-28
6023 APR_DRG — 6 6 — — $61,317.70 $67,449.47 $64,996.76 2025-06-28
J0177 HCPCS Eylea Hd 8 Mg/0.07 Ml Intravitreal Solution For Injection 56 33 $137,700.00 $89,505.00 35% off $283.65 $137,700.00 $62,997.75 2025-06-28
0453T HCPCS Insj/rplcmt Mech-elec Ntrfce 6 6 — — $59,698.67 $65,668.54 $62,683.60 2025-06-28
0454T HCPCS Insj/rplcmt Subq Electrode 6 6 — — $59,698.67 $65,668.54 $62,683.60 2025-06-28
6092 APR_DRG — 6 6 — — $59,004.13 $64,904.54 $62,544.38 2025-06-28
6091 APR_DRG — 6 6 — — $59,004.13 $64,904.54 $62,544.38 2025-06-28
J0178 HCPCS Eylea 2 Mg/0.05 Ml Intravitreal Syringe 56 33 $136,530.00 $88,744.50 35% off $698.68 $136,530.00 $62,462.48 2025-06-28
6114 APR_DRG — 6 6 — — $58,802.70 $64,682.97 $62,330.86 2025-06-28
1834 APR_DRG — 6 6 — — $58,530.16 $64,383.18 $62,041.97 2025-06-28
0043 APR_DRG — 6 6 — — $58,417.17 $64,258.89 $61,922.20 2025-06-28
8634 APR_DRG — 6 6 — — $58,331.99 $64,165.19 $61,831.91 2025-06-28
1784 APR_DRG — 6 6 — — $58,312.53 $64,143.78 $61,811.29 2025-06-28
6904 APR_DRG — 6 6 — — $58,084.51 $63,892.96 $61,569.58 2025-06-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 17 — — $17,771.00 $93,263.74 $61,248.92 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 18 — — $17,771.00 $212,600.00 $61,215.06 2026-04-01
6214 APR_DRG — 6 6 — — $57,740.46 $63,514.51 $61,204.89 2025-06-28
5913 APR_DRG — 6 6 — — $56,985.42 $62,683.96 $60,404.54 2025-06-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 17 — — $17,771.00 $91,796.64 $60,288.58 2026-04-01
38240 HCPCS Trnsplj Allogeneic Hematopoietic Cells Per Donor 62 37 $131,220.00 $85,293.00 35% off $1,513.87 $131,220.00 $60,110.96 2025-06-28
10 MS_DRG Pancreas Transplant 26 21 — — $10,700.00 $240,800.00 $58,504.84 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 18 — — $17,771.00 $289,300.00 $58,274.94 2026-04-01
6124 APR_DRG — 6 6 — — $54,968.49 $60,465.34 $58,266.60 2025-06-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 19 — — $48,714.34 $292,000.00 $58,170.65 2026-04-01
0054 APR_DRG — 6 6 — — $54,425.37 $59,867.91 $57,690.90 2025-06-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 18 — — $17,771.00 $217,200.00 $56,512.02 2026-04-01
3033 APR_DRG — 6 6 — — $52,825.40 $58,107.94 $55,994.93 2025-06-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 18 — — $17,771.00 $193,600.00 $55,943.59 2026-04-01
6073 APR_DRG — 6 6 — — $52,711.63 $57,982.79 $55,874.32 2025-06-28
5893 APR_DRG — 6 6 — — $51,989.35 $57,188.29 $55,108.71 2025-06-28
5894 APR_DRG — 6 6 — — $51,989.35 $57,188.29 $55,108.71 2025-06-28
J7352 HCPCS Scenesse 16 Mg Subcutaneous Implant 62 37 $120,982.00 $78,638.30 35% off $2,442.33 $120,982.00 $54,683.87 2025-06-28
27879075 CDM Tavr Device Kit 40 26 $105,000.00 $68,250.00 35% off $22,890.00 $105,000.00 $54,631.50 2025-06-28
6814 APR_DRG — 6 6 — — $51,137.00 $56,250.70 $54,205.22 2025-06-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 17 — — $45,878.44 $96,773.35 $53,974.63 2026-04-01
J9029 HCPCS Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 62 37 $72,000.00 $46,800.00 35% off $15,826.96 $110,662.31 $53,925.78 2025-06-28
6954 APR_DRG — 6 6 — — $50,845.76 $55,930.34 $53,896.51 2025-06-28
3004 APR_DRG — 6 6 — — $50,651.66 $55,716.83 $53,690.76 2025-06-28
1634 APR_DRG — 6 6 — — $50,429.06 $55,471.97 $53,454.80 2025-06-28
J0202 HCPCS Lemtrada 12 Mg/1.2 Ml Intravenous Solution 62 37 $117,798.96 $76,569.32 35% off $1,987.04 $117,798.96 $53,009.53 2025-06-28
J9281 HCPCS Jelmyto 40 Mg X 2 Intra-pyelocalyceal Kit 62 37 $117,504.00 $76,377.60 35% off $261.24 $117,504.00 $52,876.80 2025-06-28
1624 APR_DRG — 6 6 — — $49,860.17 $54,846.19 $52,851.78 2025-06-28
6313 APR_DRG — 6 6 — — $49,620.54 $54,582.59 $52,597.78 2025-06-28
5892 APR_DRG — 6 6 — — $49,452.44 $54,397.68 $52,419.58 2025-06-28
5891 APR_DRG — 6 6 — — $49,452.44 $54,397.68 $52,419.58 2025-06-28
J2778 HCPCS Darvocet-n 50 50 Mg-325 Mg Tab 98 37 $140,400.00 $91,260.00 35% off $91.89 $140,400.00 $52,263.90 2025-06-28
J3357 HCPCS Stelara 45 Mg/0.5 Ml Subcutaneous Solution 100 37 $104,945.34 $68,214.47 35% off $135.92 $104,945.34 $51,423.19 2025-06-28
0224 APR_DRG — 6 6 — — $48,489.35 $53,338.29 $51,398.71 2025-06-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 18 — — $17,771.00 $269,394.00 $51,370.23 2026-04-01
0083 APR_DRG — 6 6 — — $48,242.36 $53,066.60 $51,136.90 2025-06-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 17 — — $17,771.00 $77,779.40 $51,113.04 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 19 — — $42,769.41 $194,500.00 $51,071.71 2026-04-01
27882225 CDM Sapien 3 Transcatheter Heart Valve 40 26 $97,500.00 $63,375.00 35% off $21,255.00 $97,500.00 $50,729.25 2025-06-28
0114 APR_DRG — 6 6 — — $47,784.56 $52,563.02 $50,651.64 2025-06-28
0113 APR_DRG — 6 6 — — $47,784.56 $52,563.02 $50,651.64 2025-06-28
0112 APR_DRG — 6 6 — — $47,784.56 $52,563.02 $50,651.64 2025-06-28
0111 APR_DRG — 6 6 — — $47,784.56 $52,563.02 $50,651.64 2025-06-28
J9600 HCPCS Photofrin 75 Mg Intravenous Solution 62 37 $111,950.40 $72,767.76 35% off $15,826.96 $111,950.40 $50,601.58 2025-06-28
7924 APR_DRG — 6 6 — — $46,931.16 $51,624.28 $49,747.03 2025-06-28
J9229 HCPCS Besponsa 0.9 Mg(0.25 Mg/ml Initial Concentration) Intravenous Solution 62 37 $109,958.40 $71,472.96 35% off $2,226.02 $109,958.40 $49,481.28 2025-06-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 17 — — $41,984.34 $88,528.91 $49,393.34 2026-04-01
J1930 HCPCS Somatuline Depot 60 Mg/0.2 Ml Subcutaneous Syringe 128 33 $109,584.00 $71,229.60 35% off $40.20 $109,584.00 $49,359.86 2025-06-28
J2507 HCPCS Krystexxa 8 Mg/ml Intravenous Solution 62 37 $108,080.82 $70,252.53 35% off $2,959.83 $108,080.82 $48,636.37 2025-06-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 17 — — $17,771.00 $73,791.93 $48,502.88 2026-04-01
9504 APR_DRG — 6 6 — — $45,607.77 $50,168.55 $48,344.24 2025-06-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 17 — — $41,069.45 $86,591.94 $48,317.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 17 — — $17,771.00 $73,383.61 $48,235.59 2026-04-01
6022 APR_DRG — 6 6 — — $44,862.98 $49,349.28 $47,554.76 2025-06-28
27881015 CDM Mitraclip System 40 26 $90,000.00 $58,500.00 35% off $19,620.00 $90,000.00 $46,827.00 2025-06-28
6033 APR_DRG — 6 6 — — $44,146.71 $48,561.38 $46,795.51 2025-06-28
6034 APR_DRG — 6 6 — — $44,146.71 $48,561.38 $46,795.51 2025-06-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 18 — — $39,773.06 $148,400.00 $46,791.83 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 18 — — $17,771.00 $223,200.00 $46,724.83 2026-04-01
8633 APR_DRG — 6 6 — — $44,070.09 $48,477.10 $46,714.29 2025-06-28
2994 APR_DRG — 6 6 — — $43,895.57 $48,285.13 $46,529.31 2025-06-28
5932 APR_DRG — 6 6 — — $43,865.07 $48,251.58 $46,496.97 2025-06-28
5931 APR_DRG — 6 6 — — $43,865.07 $48,251.58 $46,496.97 2025-06-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 17 — — $38,897.97 $81,994.55 $45,762.32 2026-04-01
0914 APR_DRG — 6 6 — — $43,072.78 $47,380.06 $45,657.15 2025-06-28
5912 APR_DRG — 6 6 — — $42,990.76 $47,289.84 $45,570.21 2025-06-28
5911 APR_DRG — 6 6 — — $42,990.76 $47,289.84 $45,570.21 2025-06-28
6302 APR_DRG — 6 6 — — $42,870.73 $47,157.80 $45,442.97 2025-06-28
6301 APR_DRG — 6 6 — — $42,870.73 $47,157.80 $45,442.97 2025-06-28
001-B MS_DRG Deep Brain Stimulation Unilateral 1 1 — — $45,300.00 $45,300.00 $45,300.00 2025-06-28
J9359 HCPCS Zynlonta 10 Mg Intravenous Solution 62 37 $99,959.04 $64,973.38 35% off $175.42 $99,959.04 $44,981.57 2025-06-28
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 62 37 $99,288.57 $64,537.57 35% off $1,047.12 $99,288.57 $44,878.43 2025-06-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc 22 17 — — $17,771.00 $68,175.57 $44,826.47 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 17 — — $17,771.00 $68,087.52 $44,768.83 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 17 — — $37,880.82 $79,841.06 $44,565.67 2026-04-01
2004 APR_DRG — 6 6 — — $42,022.20 $46,224.42 $44,543.53 2025-06-28
J1951 HCPCS Fensolvi 45 Mg Subcutaneous Syringe 62 37 $98,795.04 $64,216.78 35% off $119.53 $98,795.04 $44,457.77 2025-06-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 18 — — $17,771.00 $116,800.00 $44,410.77 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 24 19 — — $37,131.88 $240,500.00 $44,339.84 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 24 19 — — $37,131.88 $240,500.00 $44,339.84 2026-04-01
3044 APR_DRG — 6 6 — — $41,724.46 $45,896.91 $44,227.93 2025-06-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 17 — — $17,771.00 $67,232.35 $44,209.05 2026-04-01
Q5128 HCPCS Cimerli 0.5 Mg/0.05 Ml Intravitreal Solution 62 37 $97,920.00 $63,648.00 35% off $149.16 $97,920.00 $44,064.00 2025-06-28
28 MS_DRG Spinal Procedures With Mcc 23 18 — — $17,771.00 $108,100.00 $43,998.68 2026-04-01
9104 APR_DRG — 6 6 — — $41,469.15 $45,616.07 $43,957.30 2025-06-28
471A MS_DRG Bilateral Total Hip Replacement Proc. Of Lower Extremitv 1 1 — — $43,800.00 $43,800.00 $43,800.00 2025-06-28
1833 APR_DRG — 6 6 — — $41,164.03 $45,280.43 $43,633.87 2025-06-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 19 — — $17,771.00 $173,600.00 $43,359.65 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 17 — — $17,771.00 $65,478.00 $43,060.67 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 17 — — $36,574.01 $65,428.47 $43,028.25 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 18 — — $17,771.00 $168,400.00 $42,591.66 2026-04-01
1794 APR_DRG — 6 6 — — $40,049.55 $44,054.51 $42,452.52 2025-06-28
1674 APR_DRG — 6 6 — — $39,786.87 $43,765.56 $42,174.08 2025-06-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 18 — — $35,823.85 $207,900.00 $42,145.70 2026-04-01
0214 APR_DRG — 6 6 — — $39,715.21 $43,686.73 $42,098.12 2025-06-28
C9766 HCPCS Revasc Endov W/ivl W/atherectomy Incl Angioplasty 56 33 $90,220.00 $58,643.00 35% off $14,102.90 $90,220.00 $41,862.08 2025-06-28
1204 APR_DRG — 6 6 — — $39,490.15 $43,439.17 $41,859.56 2025-06-28
0053 APR_DRG — 6 6 — — $39,388.70 $43,327.57 $41,752.03 2025-06-28
6604 APR_DRG — 6 6 — — $39,375.14 $43,312.65 $41,737.65 2025-06-28
0266T HCPCS Implt/rpl Crtd Sns Dev Total 24 20 — — $16,785.08 $45,737.52 $41,579.56 2025-06-28
33276 HCPCS Insj Phrnc Nrv Stim Sys 24 20 — — $16,785.08 $45,737.52 $41,579.56 2025-06-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 18 — — $17,771.00 $158,200.00 $41,548.46 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 18 — — $17,771.00 $139,200.00 $41,301.35 2026-04-01
1603 APR_DRG — 6 6 — — $38,794.17 $42,673.59 $41,121.82 2025-06-28
33902 HCPCS Perq P-art Revsc St 1st Abnor Connj Unilateral 63 37 $90,220.00 $58,643.00 35% off $5,138.93 $90,220.00 $40,959.88 2025-06-28
36837 HCPCS Perq Av Fistula Creation Uxtr Sep Access Sites 62 37 $90,220.00 $58,643.00 35% off $2,760.39 $90,220.00 $40,779.44 2025-06-28
36836 HCPCS Perq Av Fistula Creation Uxtr Single Access 62 37 $90,220.00 $58,643.00 35% off $2,760.39 $90,220.00 $40,779.44 2025-06-28
653 MS_DRG Major Bladder Procedures With Mcc 23 18 — — $34,306.99 $144,700.00 $40,361.17 2026-04-01
3124 APR_DRG — 6 6 — — $38,032.39 $41,835.63 $40,314.34 2025-06-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 23 18 — — $34,017.34 $152,300.00 $40,020.40 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 18 — — $17,771.00 $160,500.00 $40,020.40 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 21 — — $26,000.00 $308,400.00 $39,990.37 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 18 — — $17,771.00 $203,786.00 $39,853.26 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 23 18 — — $17,771.00 $228,300.00 $39,611.19 2026-04-01
6084 APR_DRG — 6 6 — — $37,145.78 $40,860.36 $39,374.53 2025-06-28
6083 APR_DRG — 6 6 — — $37,145.78 $40,860.36 $39,374.53 2025-06-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 18 — — $33,413.54 $128,400.00 $39,310.05 2026-04-01
6344 APR_DRG — 6 6 — — $37,035.27 $40,738.80 $39,257.38 2025-06-28
2204 APR_DRG — 6 6 — — $37,032.35 $40,735.59 $39,254.29 2025-06-28
1832 APR_DRG — 6 6 — — $36,960.88 $40,656.97 $39,178.53 2025-06-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 18 — — $33,243.92 $188,200.00 $39,110.49 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 17 — — $33,212.68 $69,957.84 $39,073.74 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 17 — — $33,209.01 $69,950.06 $39,069.42 2026-04-01
6072 APR_DRG — 6 6 — — $36,835.87 $40,519.46 $39,046.02 2025-06-28
6903 APR_DRG — 6 6 — — $36,802.94 $40,483.23 $39,011.12 2025-06-28
6224 APR_DRG — 6 6 — — $36,596.15 $40,255.77 $38,791.92 2025-06-28
3032 APR_DRG — 6 6 — — $36,352.61 $39,987.87 $38,533.76 2025-06-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 18 — — $17,771.00 $158,100.00 $38,528.37 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 18 — — $17,771.00 $146,600.00 $38,359.07 2026-04-01
1623 APR_DRG — 6 6 — — $36,142.87 $39,757.16 $38,311.44 2025-06-28
1654 APR_DRG — 6 6 — — $36,079.55 $39,687.51 $38,244.32 2025-06-28
1831 APR_DRG — 6 6 — — $35,921.92 $39,514.11 $38,077.24 2025-06-28
9114 APR_DRG — 6 6 — — $35,631.50 $39,194.65 $37,769.40 2025-06-28
Q5124 HCPCS Byooviz 0.5 Mg/0.05 Ml Intravitreal Solution 62 37 $83,800.80 $54,470.52 35% off $86.97 $83,800.80 $37,710.36 2025-06-28
0264 APR_DRG — 6 6 — — $35,388.74 $38,927.61 $37,512.07 2025-06-28
0620T HCPCS Endovascular Venous Arterialization Tibl/prnl Vn 63 37 $82,502.00 $53,626.30 35% off $7,384.25 $82,502.00 $37,455.91 2025-06-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 17 — — $17,771.00 $56,682.00 $37,302.90 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 17 — — $18,982.00 $56,493.80 $37,179.70 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 18 — — $17,771.00 $120,500.00 $36,903.05 2026-04-01
0092 APR_DRG — 6 6 — — $34,811.81 $38,292.99 $36,900.52 2025-06-28
0093 APR_DRG — 6 6 — — $34,811.81 $38,292.99 $36,900.52 2025-06-28
0091 APR_DRG — 6 6 — — $34,811.81 $38,292.99 $36,900.52 2025-06-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 18 — — $31,272.07 $144,100.00 $36,790.67 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 19 — — $19,356.00 $174,714.33 $36,774.35 2026-04-01
0234 APR_DRG — 6 6 — — $34,662.05 $38,128.26 $36,741.77 2025-06-28
1304 APR_DRG — 6 6 — — $34,634.10 $38,097.51 $36,712.15 2025-06-28
471B MS_DRG Bilateral Total Knee Replacement Proc. Of Low Extr 1 1 — — $36,700.00 $36,700.00 $36,700.00 2025-06-28
1783 APR_DRG — 6 6 — — $34,591.37 $38,050.51 $36,666.85 2025-06-28
1781 APR_DRG — 6 6 — — $34,591.37 $38,050.51 $36,666.85 2025-06-28
1782 APR_DRG — 6 6 — — $34,591.37 $38,050.51 $36,666.85 2025-06-28
61715 HCPCS Mrgfus Stereotactic Ablation Target Intracranial 62 37 $80,808.00 $52,525.20 35% off $3,699.40 $80,808.00 $36,525.21 2025-06-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 18 — — $31,014.26 $159,900.00 $36,487.36 2026-04-01
J2781 HCPCS Syfovre (pf) 15 Mg/0.1 Ml Intravitreal Solution 56 33 $79,628.40 $51,758.46 35% off $125.26 $79,628.40 $36,429.99 2025-06-28
2993 APR_DRG — 6 6 — — $34,324.61 $37,757.07 $36,384.08 2025-06-28
6123 APR_DRG — 6 6 — — $34,241.38 $37,665.52 $36,295.86 2025-06-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 18 — — $30,832.38 $171,600.00 $36,273.39 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 17 — — $17,771.00 $55,066.32 $36,245.29 2026-04-01
6804 APR_DRG — 6 6 — — $34,126.40 $37,539.04 $36,173.99 2025-06-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 18 — — $17,771.00 $185,200.00 $36,101.20 2026-04-01
2304 APR_DRG — 6 6 — — $33,601.77 $36,961.95 $35,617.88 2025-06-28
0204 APR_DRG — 6 6 — — $33,508.88 $36,859.77 $35,519.41 2025-06-28
8423 APR_DRG — 6 6 — — $33,490.07 $36,839.08 $35,499.47 2025-06-28
245 MS_DRG Aicd Generator Procedures 23 18 — — $17,771.00 $74,200.00 $35,405.98 2026-04-01
0894 APR_DRG — 6 6 — — $33,272.78 $36,600.06 $35,269.15 2025-06-28
1664 APR_DRG — 6 6 — — $33,249.60 $36,574.56 $35,244.57 2025-06-28
471 MS_DRG Cervical Spinal Fusion With Mcc 23 18 — — $17,771.00 $125,500.00 $35,193.45 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 22 17 — — $29,864.83 $62,869.88 $35,135.09 2026-04-01
2604 APR_DRG — 6 6 — — $33,118.97 $36,430.87 $35,106.11 2025-06-28
0304 APR_DRG — 6 6 — — $32,818.10 $36,099.91 $34,787.19 2025-06-28
0274 APR_DRG — 6 6 — — $32,781.50 $36,059.65 $34,748.40 2025-06-28
1694 APR_DRG — 6 6 — — $32,726.17 $35,998.79 $34,689.74 2025-06-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 17 — — $29,413.51 $61,914.36 $34,604.13 2026-04-01
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