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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

UNION HOSPITAL

Dover, OH · CCN 360010 · Rates published

30,282 distinct procedures filed
57 distinct payers
1,783,531 rate rows
2026-06-15 last MRF observed
Data quality

916,689 of 1,783,531 rate rows are consumer-grade (51.4%)

866,842 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
professional (physician) fee — not the facility price 458,300
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 381,449
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 19,375
placeholder amount (≤ $0.02) — excluded from medians 6,499
exceeds 10× this hospital's gross charge — excluded from medians 700
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 302
per-diem day rate — not a per-procedure price 164
percent-of-charges filed in the dollar field — excluded from medians 51
template filing: same amount across many unrelated codes — excluded 2
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 not_modified · 2026-08-17
Content fingerprint 091756929ea3ebb2… · 21,343,515 bytes · first seen 2026-07-31

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 17 $11,989.56 $4,955,500.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 20 $19,406.63 $4,053,793.33 $3,679,083.33 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 10 $19,406.63 $3,893,400.00 $3,605,000.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 17 $11,989.56 $3,669,402.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 20 $19,406.63 $3,660,645.69 $3,326,657.24 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 25 $11,989.56 $4,910,400.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 17 $11,989.56 $3,498,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 25 $11,989.56 $4,850,496.00 $2,968,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 29 $15,308.72 $4,972,500.00 $2,666,650.66 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 25 $11,989.56 $4,794,240.00 $2,425,280.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Tecelra 2.68x 10exp9 To 10x 10exp9 Cell Intravenous Suspension 35 $11,989.56 $3,489,600.00 $1,528,793.76 nat. median
$809,151
1.9× median
Q2042
HCPCS 		Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 37 $11,989.56 $2,905,939.24 $1,237,986.40 nat. median
$691,418
1.8× median
C9301
HCPCS 		Aucatzyl Intravenous Suspension 30 $11,989.56 $2,520,000.00 $1,144,080.00 nat. median
$459,112
outlier · 2.5×
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 37 $11,989.56 $2,665,490.12 $1,122,410.69 nat. median
$631,793
1.8× median
Q2054
HCPCS 		Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 37 $11,989.56 $2,678,006.00 $1,073,804.37 nat. median
$624,417
1.7× median
Q2041
HCPCS 		Yescarta Intravenous Suspension 37 $11,989.56 $2,417,184.00 $1,016,487.18 nat. median
$588,565
1.7× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 37 $11,989.56 $2,217,600.00 $934,849.89 nat. median
$577,541
1.6× median
005-I
OTHER 		Intestinal - Adult 2 $563,700.00 $563,700.00 $563,700.00 nat. median
$563,700
1.0× median
006-LA
OTHER 		Liver (Live Donor) - Adult 2 $561,500.00 $561,500.00 $561,500.00 nat. median
$561,500
1.0× median
005-LA
OTHER 		Liver (Live Donor) - Adult 2 $561,500.00 $561,500.00 $561,500.00 nat. median
$561,500
1.0× median
005-LP
OTHER 		Liver (Live Donor) - Pediatric 2 $560,500.00 $560,500.00 $560,500.00 nat. median
$560,500
1.0× median
006-LP
OTHER 		Liver (Live Donor) - Pediatric 2 $560,500.00 $560,500.00 $560,500.00 nat. median
$560,500
1.0× median
006-DA
OTHER 		Liver (Deceased Donor) - Adult 2 $486,600.00 $486,600.00 $486,600.00 nat. median
$486,600
1.0× median
005-DA
OTHER 		Liver (Deceased Donor) - Adult 2 $486,600.00 $486,600.00 $486,600.00 nat. median
$486,600
1.0× median
014-U
OTHER 		Allogeneic Unrelated Bmt ? Adult & Pediatric 2 $481,200.00 $481,200.00 $481,200.00 nat. median
$288,536
1.7× median
005-DP
OTHER 		Liver (Deceased Donor) -pediatric 2 $471,700.00 $471,700.00 $471,700.00 nat. median
$471,700
1.0× median
006-DP
OTHER 		Liver (Deceased Donor) -pediatric 2 $471,700.00 $471,700.00 $471,700.00 nat. median
$471,700
1.0× median
003-P
OTHER 		Heart - Pediatric 2 $444,900.00 $444,900.00 $444,900.00 nat. median
$444,900
1.0× median
002-P
OTHER 		Heart - Pediatric 2 $444,900.00 $444,900.00 $444,900.00 nat. median
$357,576
1.2× median
007-D
OTHER 		Lung (Double) - Adult 2 $433,900.00 $433,900.00 $433,900.00 nat. median
$433,900
1.0× median
007-S
OTHER 		Lung (Single) - Adult 2 $428,300.00 $428,300.00 $428,300.00 nat. median
$428,300
1.0× median
014-R
OTHER 		Allogeneic Related Bmt ? Adult & Pediatric 2 $428,000.00 $428,000.00 $428,000.00 nat. median
$403,789
1.1× median
J3402
HCPCS 		Ryoncil 6.68 X 10exp6 Cell/ml Intravenous Suspension 35 $11,989.56 $931,200.00 $413,452.80 nat. median
$209,736
2.0× median
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 37 $4,258.12 $859,327.20 $372,475.38 nat. median
$8,133
outlier · 45.8×
001-A
OTHER 		Heart - Adult 3 $36,400.00 $361,500.00 $361,500.00 nat. median
$333,282
1.1× median
002-A
OTHER 		Heart - Adult 2 $361,500.00 $361,500.00 $361,500.00 nat. median
$333,282
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $314,902.42 $346,392.66 $333,796.57 nat. median
$254,667
1.3× median
5833
APR_DRG 		Neonate With Ecmo 6 $304,621.51 $335,083.66 $322,898.81 nat. median
$250,089
1.3× median
5834
APR_DRG 		Neonate With Ecmo 6 $304,621.51 $335,083.66 $322,898.81 nat. median
$311,018
1.0× median
5831
APR_DRG 		Neonate With Ecmo 6 $289,757.47 $318,733.22 $307,142.92 nat. median
$154,685
2.0× median
5832
APR_DRG 		Neonate With Ecmo 6 $289,757.47 $318,733.22 $307,142.92 nat. median
$169,230
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 17 $249,980.39 $619,025.44 $294,094.58 nat. median
$370,165
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 17 $11,989.56 $306,075.00 $278,250.00 nat. median
$302,242
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $256,359.39 $281,995.33 $271,740.95 nat. median
$209,486
1.3× median
J3403
HCPCS 		Revakinagene, Per Implant 17 $11,989.56 $475,277.50 $265,000.00 nat. median
$265,000
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $225,464.73 $248,011.20 $238,992.61 nat. median
$243,231
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $201,971.17 $222,168.29 $214,089.44 nat. median
$168,174
1.3× median
1611
APR_DRG 		Implantable Heart Assist Systems 6 $198,403.46 $218,243.81 $210,307.67 nat. median
$82,164
outlier · 2.6×
1612
APR_DRG 		Implantable Heart Assist Systems 6 $198,403.46 $218,243.81 $210,307.67 nat. median
$93,192
outlier · 2.3×
1613
APR_DRG 		Implantable Heart Assist Systems 6 $198,403.46 $218,243.81 $210,307.67 nat. median
$127,938
1.6× median

Other procedures at this hospital

Browse this hospital's 30,282 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 17 17 — — $11,989.56 $4,955,500.00 $4,505,000.00 2026-06-15
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 24 20 — — $19,406.63 $4,053,793.33 $3,679,083.33 2026-06-15
J1414 HCPCS Inj, Beqvez, Per Tx Dose 13 10 — — $19,406.63 $3,893,400.00 $3,605,000.00 2026-06-15
J3389 HCPCS Topi Adm Prad Zami Per Treat 17 17 — — $11,989.56 $3,669,402.00 $3,335,820.00 2026-06-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 24 20 — — $19,406.63 $3,660,645.69 $3,326,657.24 2026-06-15
J3394 HCPCS Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 29 25 — — $11,989.56 $4,910,400.00 $3,286,000.00 2026-06-15
J3387 HCPCS Inj Elivaldogene Autotemecel 17 17 — — $11,989.56 $3,498,000.00 $3,180,000.00 2026-06-15
J3393 HCPCS Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 30 25 — — $11,989.56 $4,850,496.00 $2,968,000.00 2026-06-15
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 49 29 — $4,972,500.00 $15,308.72 $4,972,500.00 $2,666,650.66 2026-06-15
J3392 HCPCS Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 40 25 — — $11,989.56 $4,794,240.00 $2,425,280.00 2026-06-15
Q2057 HCPCS Tecelra 2.68x 10exp9 To 10x 10exp9 Cell Intravenous Suspension 58 35 $3,489,600.00 $2,268,240.00 35% off $11,989.56 $3,489,600.00 $1,528,793.76 2026-06-15
Q2042 HCPCS Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 102 37 $2,905,939.24 $1,888,860.51 35% off $11,989.56 $2,905,939.24 $1,237,986.40 2026-06-15
C9301 HCPCS Aucatzyl Intravenous Suspension 47 30 $2,520,000.00 $1,638,000.00 35% off $11,989.56 $2,520,000.00 $1,144,080.00 2026-06-15
Q2056 HCPCS Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 65 37 $2,665,490.12 $1,732,568.58 35% off $11,989.56 $2,665,490.12 $1,122,410.69 2026-06-15
Q2054 HCPCS Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 65 37 $2,678,006.00 $1,740,703.90 35% off $11,989.56 $2,678,006.00 $1,073,804.37 2026-06-15
Q2041 HCPCS Yescarta Intravenous Suspension 65 37 $2,417,184.00 $1,571,169.60 35% off $11,989.56 $2,417,184.00 $1,016,487.18 2026-06-15
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 65 37 $2,217,600.00 $1,441,440.00 35% off $11,989.56 $2,217,600.00 $934,849.89 2026-06-15
005-I OTHER Intestinal - Adult 2 2 — — $563,700.00 $563,700.00 $563,700.00 2026-06-15
006-LA OTHER Liver (Live Donor) - Adult 2 2 — — $561,500.00 $561,500.00 $561,500.00 2026-06-15
005-LA OTHER Liver (Live Donor) - Adult 2 2 — — $561,500.00 $561,500.00 $561,500.00 2026-06-15
006-LP OTHER Liver (Live Donor) - Pediatric 2 2 — — $560,500.00 $560,500.00 $560,500.00 2026-06-15
005-LP OTHER Liver (Live Donor) - Pediatric 2 2 — — $560,500.00 $560,500.00 $560,500.00 2026-06-15
006-DA OTHER Liver (Deceased Donor) - Adult 2 2 — — $486,600.00 $486,600.00 $486,600.00 2026-06-15
005-DA OTHER Liver (Deceased Donor) - Adult 2 2 — — $486,600.00 $486,600.00 $486,600.00 2026-06-15
014-U OTHER Allogeneic Unrelated Bmt ? Adult & Pediatric 2 2 — — $481,200.00 $481,200.00 $481,200.00 2026-06-15
006-DP OTHER Liver (Deceased Donor) -pediatric 2 2 — — $471,700.00 $471,700.00 $471,700.00 2026-06-15
005-DP OTHER Liver (Deceased Donor) -pediatric 2 2 — — $471,700.00 $471,700.00 $471,700.00 2026-06-15
002-P OTHER Heart - Pediatric 2 2 — — $444,900.00 $444,900.00 $444,900.00 2026-06-15
003-P OTHER Heart - Pediatric 2 2 — — $444,900.00 $444,900.00 $444,900.00 2026-06-15
007-D OTHER Lung (Double) - Adult 2 2 — — $433,900.00 $433,900.00 $433,900.00 2026-06-15
007-S OTHER Lung (Single) - Adult 2 2 — — $428,300.00 $428,300.00 $428,300.00 2026-06-15
014-R OTHER Allogeneic Related Bmt ? Adult & Pediatric 2 2 — — $428,000.00 $428,000.00 $428,000.00 2026-06-15
J3402 HCPCS Ryoncil 6.68 X 10exp6 Cell/ml Intravenous Suspension 59 35 $931,200.00 $605,280.00 35% off $11,989.56 $931,200.00 $413,452.80 2026-06-15
J0225 HCPCS Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 66 37 $859,327.20 $558,562.68 35% off $4,258.12 $859,327.20 $372,475.38 2026-06-15
002-A OTHER Heart - Adult 2 2 — — $361,500.00 $361,500.00 $361,500.00 2026-06-15
001-A OTHER Heart - Adult 3 3 — — $36,400.00 $361,500.00 $361,500.00 2026-06-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $314,902.42 $346,392.66 $333,796.57 2026-06-15
5833 APR_DRG Neonate With Ecmo 6 6 — — $304,621.51 $335,083.66 $322,898.81 2026-06-15
5834 APR_DRG Neonate With Ecmo 6 6 — — $304,621.51 $335,083.66 $322,898.81 2026-06-15
5832 APR_DRG Neonate With Ecmo 6 6 — — $289,757.47 $318,733.22 $307,142.92 2026-06-15
5831 APR_DRG Neonate With Ecmo 6 6 — — $289,757.47 $318,733.22 $307,142.92 2026-06-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 23 17 — — $249,980.39 $619,025.44 $294,094.58 2026-06-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 17 17 — — $11,989.56 $306,075.00 $278,250.00 2026-06-15
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $256,359.39 $281,995.33 $271,740.95 2026-06-15
J3403 HCPCS Revakinagene, Per Implant 18 17 — — $11,989.56 $475,277.50 $265,000.00 2026-06-15
24 APR_DRG Heart And/or Lung Transplant 6 6 — — $225,464.73 $248,011.20 $238,992.61 2026-06-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $201,971.17 $222,168.29 $214,089.44 2026-06-15
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $198,403.46 $218,243.81 $210,307.67 2026-06-15
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $198,403.46 $218,243.81 $210,307.67 2026-06-15
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $198,403.46 $218,243.81 $210,307.67 2026-06-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $196,011.51 $215,612.66 $207,772.21 2026-06-15
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $192,730.10 $212,003.11 $204,293.91 2026-06-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 17 — — $162,530.56 $401,722.61 $191,212.42 2026-06-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $179,399.88 $197,339.87 $190,163.87 2026-06-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $179,399.88 $197,339.87 $190,163.87 2026-06-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $179,399.88 $197,339.87 $190,163.87 2026-06-15
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $179,399.88 $197,339.87 $190,163.87 2026-06-15
651-C OTHER Kidney Transplant With Hemodialysis Without Mcc - Cadaveric 1 1 — — $185,100.00 $185,100.00 $185,100.00 2026-06-15
650-C OTHER Kidney Transplant With Hemodialysis With Mcc - Cadaveric 1 1 — — $185,100.00 $185,100.00 $185,100.00 2026-06-15
652-C OTHER Kidney Transplant - Cadaveric 1 1 — — $185,100.00 $185,100.00 $185,100.00 2026-06-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $173,015.73 $190,317.30 $183,396.67 2026-06-15
652-D OTHER Kidney (Deceased) - Adult & Pediatric 2 2 — — $175,300.00 $175,300.00 $175,300.00 2026-06-15
650-D OTHER Kidney (Deceased) - Adult & Pediatric 2 2 — — $175,300.00 $175,300.00 $175,300.00 2026-06-15
651-D OTHER Kidney (Deceased) - Adult & Pediatric 2 2 — — $175,300.00 $175,300.00 $175,300.00 2026-06-15
650-LD OTHER Kidney Transplant With Hemodialysis With Mcc - Live Donor 1 1 — — $170,100.00 $170,100.00 $170,100.00 2026-06-15
651-LD OTHER Kidney Transplant With Hemodialysis Without Mcc - Live Donor 1 1 — — $170,100.00 $170,100.00 $170,100.00 2026-06-15
652-LD OTHER Kidney Transplant - Live Donor 1 1 — — $170,100.00 $170,100.00 $170,100.00 2026-06-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $159,073.97 $174,981.37 $168,618.41 2026-06-15
651-L OTHER Kidney ( Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2026-06-15
652-L OTHER Kidney (Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2026-06-15
650-L OTHER Kidney ( Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2026-06-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $151,311.75 $166,442.93 $160,390.46 2026-06-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $151,311.75 $166,442.93 $160,390.46 2026-06-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $146,638.54 $161,302.39 $155,436.85 2026-06-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 17 — — $124,032.53 $306,059.42 $145,920.62 2026-06-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 18 — — $41,100.00 $304,263.24 $145,070.22 2026-06-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $136,130.87 $149,743.96 $144,298.72 2026-06-15
J9028 HCPCS Anktiva 400 Mcg/0.4 Ml Intravesical Solution 66 37 $322,200.00 $209,430.00 35% off $80.51 $322,200.00 $139,657.59 2026-06-15
J2779 HCPCS Susvimo 10 Mg/0.1 Ml Intravitreal Solution 66 37 $288,000.00 $187,200.00 35% off $64.79 $288,000.00 $124,833.60 2026-06-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $111,221.07 $122,343.18 $117,894.33 2026-06-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $100,366.02 $110,402.62 $106,387.98 2026-06-15
23 APR_DRG Heart And/or Lung Transplant 6 6 — — $99,937.72 $109,931.49 $105,933.99 2026-06-15
22 APR_DRG Heart And/or Lung Transplant 6 6 — — $99,937.72 $109,931.49 $105,933.99 2026-06-15
21 APR_DRG Heart And/or Lung Transplant 6 6 — — $99,937.72 $109,931.49 $105,933.99 2026-06-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $99,777.39 $109,755.13 $105,764.04 2026-06-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $99,260.52 $109,186.57 $105,216.15 2026-06-15
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $94,062.80 $103,469.08 $99,706.57 2026-06-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $91,754.82 $100,930.30 $97,260.11 2026-06-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $90,610.38 $99,671.42 $96,047.01 2026-06-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 18 — — $28,700.00 $198,559.82 $95,024.86 2026-06-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $86,580.01 $95,238.01 $91,774.81 2026-06-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $85,366.85 $93,903.54 $90,488.86 2026-06-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $84,415.57 $92,857.13 $89,480.51 2026-06-15
7 MS_DRG Lung Transplant 24 18 — — $26,000.00 $185,641.12 $88,908.49 2026-06-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $82,778.68 $91,056.55 $87,745.40 2026-06-15
8514 APR_DRG Gender Related Procedures 6 6 — — $82,614.54 $90,875.99 $87,571.42 2026-06-15
J9274 HCPCS Kimmtrak 100 Mcg/0.5 Ml Intravenous Solution 66 37 $201,504.00 $130,977.60 35% off $188.88 $201,504.00 $87,341.91 2026-06-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $82,086.21 $90,294.83 $87,011.38 2026-06-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $81,141.04 $89,255.14 $86,009.50 2026-06-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 6 — — $79,526.29 $87,478.92 $84,297.87 2026-06-15
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $78,080.28 $85,888.31 $82,765.10 2026-06-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $78,080.28 $85,888.31 $82,765.10 2026-06-15
14 MS_DRG Allogeneic Bone Marrow Transplant 25 19 — — $12,900.00 $254,000.00 $82,581.05 2026-06-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $77,813.82 $85,595.20 $82,482.65 2026-06-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $76,408.27 $84,049.10 $80,992.76 2026-06-15
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $75,486.00 $83,034.60 $80,015.16 2026-06-15
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 66 37 $180,653.82 $117,424.98 35% off $19,406.63 $180,653.82 $79,966.41 2026-06-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $75,408.89 $82,949.78 $79,933.42 2026-06-15
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $75,298.18 $82,828.00 $79,816.07 2026-06-15
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $75,298.18 $82,828.00 $79,816.07 2026-06-15
64654 HCPCS Initial Open Implantation Bat Modulation System 56 35 $180,002.00 $117,001.30 35% off $20,581.46 $180,002.00 $79,740.89 2026-06-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $74,905.76 $82,396.34 $79,400.11 2026-06-15
J9248 HCPCS Hepzato (62 Mm Catheter) 50 Mg Intra-arterial Solution 66 37 $181,536.00 $117,998.40 35% off $675.75 $181,536.00 $78,686.78 2026-06-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 17 — — $66,235.87 $162,441.35 $77,924.55 2026-06-15
209 MS_DRG Complex Aortic Arch Procedures 21 17 — — $19,648.00 $133,799.53 $77,836.32 2026-06-15
0459T OTHER Relocaj Rplcmt Aortic Ventr 6 6 — — $73,201.06 $80,521.17 $77,593.12 2026-06-15
0454T OTHER Insj/rplcmt Subq Electrode 6 6 — — $73,201.06 $80,521.17 $77,593.12 2026-06-15
33991 HCPCS Insj Perq Vad L Hrt Artl&ven 6 6 — — $73,201.06 $80,521.17 $77,593.12 2026-06-15
33979 HCPCS Insert Intracorporeal Device 6 6 — — $73,201.06 $80,521.17 $77,593.12 2026-06-15
33975 HCPCS Implant Ventricular Device 6 6 — — $73,201.06 $80,521.17 $77,593.12 2026-06-15
33981 HCPCS Replace Vad Pump Ext 6 6 — — $73,201.06 $80,521.17 $77,593.12 2026-06-15
0451T OTHER Insj/rplcmt Aortic Ventr Sys 6 6 — — $73,201.06 $80,521.17 $77,593.12 2026-06-15
33983 HCPCS Replace Vad Intra W/bp 6 6 — — $73,201.06 $80,521.17 $77,593.12 2026-06-15
33982 HCPCS Replace Vad Intra Without Bp 6 6 — — $73,201.06 $80,521.17 $77,593.12 2026-06-15
0452T OTHER Insj/rplcmt Dev Vasc Seal 6 6 — — $73,201.06 $80,521.17 $77,593.12 2026-06-15
33976 HCPCS Implant Ventricular Device 6 6 — — $73,201.06 $80,521.17 $77,593.12 2026-06-15
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 6 6 — — $73,201.06 $80,521.17 $77,593.12 2026-06-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $72,739.79 $80,013.77 $77,104.18 2026-06-15
5115 OTHER Level 5 Musculoskeletal Procedures 4 1 — — $30,964.35 $139,007.74 $76,999.12 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 17 — — $17,771.00 $130,281.61 $75,816.53 2026-06-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 17 — — $17,771.00 $128,542.74 $74,818.18 2026-06-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $69,753.09 $76,728.40 $73,938.27 2026-06-15
J2777 HCPCS Vabysmo 6 Mg/0.05 Ml Intravitreal Solution 66 37 $168,976.08 $109,834.45 35% off $27.96 $168,976.08 $73,242.68 2026-06-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $68,797.22 $75,676.94 $72,925.05 2026-06-15
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $68,797.22 $75,676.94 $72,925.05 2026-06-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $68,791.88 $75,671.07 $72,919.39 2026-06-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $68,659.03 $75,524.93 $72,778.57 2026-06-15
8634 APR_DRG Neonatal Aftercare 6 6 — — $68,559.02 $75,414.92 $72,672.56 2026-06-15
1784 APR_DRG External Heart Assist Devices 6 6 — — $68,536.11 $75,389.72 $72,648.28 2026-06-15
6904 APR_DRG Acute Leukemia 6 6 — — $68,268.13 $75,094.94 $72,364.22 2026-06-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 18 — — $27,200.00 $147,801.02 $70,993.07 2026-06-15
J9269 HCPCS Elzonris 1000 Mcg/ml Intravenous Solution 66 37 $162,031.92 $105,320.75 35% off $303.47 $162,031.92 $70,232.74 2026-06-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $65,662.40 $72,228.64 $69,602.15 2026-06-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $65,441.00 $71,985.10 $69,367.46 2026-06-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $65,441.00 $71,985.10 $69,367.46 2026-06-15
C9293 HCPCS Voraxaze 1000 Unit Intravenous Solution 57 35 $155,638.80 $101,165.22 35% off $381.39 $155,638.80 $69,103.63 2026-06-15
001-C OTHER Deep Brain Stimulation Bilateral 1 1 — — $69,100.00 $69,100.00 $69,100.00 2026-06-15
215 MS_DRG Other Heart Assist System Implant 23 17 — — $58,304.82 $142,733.60 $68,593.90 2026-06-15
J0223 HCPCS Givlaari 189 Mg/ml Subcutaneous Solution 66 37 $158,018.40 $102,711.96 35% off $102.58 $158,018.40 $68,493.07 2026-06-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $63,967.50 $70,364.25 $67,805.55 2026-06-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 18 — — $17,771.00 $283,600.00 $67,411.62 2026-06-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $62,087.06 $68,295.77 $65,812.28 2026-06-15
J0179 HCPCS Beovu 6 Mg/0.05 Ml Intravitreal Syringe 66 37 $150,004.08 $97,502.65 35% off $299.89 $150,004.08 $65,019.27 2026-06-15
A9543 HCPCS Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit 64 37 $148,248.86 $96,361.76 35% off $14,774.74 $148,248.86 $64,947.82 2026-06-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $60,102.80 $66,113.08 $63,708.97 2026-06-15
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $59,760.00 $65,736.00 $63,345.60 2026-06-15
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $59,532.49 $65,485.74 $63,104.43 2026-06-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $59,366.81 $65,303.49 $62,928.82 2026-06-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $59,270.62 $65,197.68 $62,826.85 2026-06-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 17 — — $17,771.00 $106,502.48 $62,163.98 2026-06-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $58,601.82 $64,462.00 $62,117.93 2026-06-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $58,419.35 $64,261.29 $61,924.51 2026-06-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $58,419.35 $64,261.29 $61,924.51 2026-06-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $58,046.77 $63,851.45 $61,529.57 2026-06-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $58,046.77 $63,851.45 $61,529.57 2026-06-15
J0177 HCPCS Eylea Hd 8 Mg/0.07 Ml Intravitreal Solution For Injection 66 37 $140,454.00 $91,295.10 35% off $260.93 $140,454.00 $60,879.79 2026-06-15
J0178 HCPCS Eylea 2 Mg/0.05 Ml Intravitreal Syringe 66 37 $139,847.76 $90,901.04 35% off $649.32 $139,847.76 $60,617.01 2026-06-15
224 APR_DRG Ventricular Shunt Procedures 6 6 — — $56,990.89 $62,689.98 $60,410.34 2026-06-15
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $56,889.35 $62,578.29 $60,302.71 2026-06-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $56,889.35 $62,578.29 $60,302.71 2026-06-15
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $56,730.55 $62,403.61 $60,134.39 2026-06-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $56,730.55 $62,403.61 $60,134.39 2026-06-15
83 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $56,700.77 $62,370.85 $60,102.82 2026-06-15
850 MS_DRG Acute Leukemia With Other Procedures 23 17 — — $50,819.70 $124,133.93 $59,787.88 2026-06-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $56,162.52 $61,778.77 $59,532.28 2026-06-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $56,162.52 $61,778.77 $59,532.28 2026-06-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $56,162.52 $61,778.77 $59,532.28 2026-06-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $56,162.52 $61,778.77 $59,532.28 2026-06-15
38240 HCPCS Trnsplj Allogeneic Hematopoietic Cells Per Donor 63 37 $131,220.00 $85,293.00 35% off $1,856.26 $131,220.00 $59,509.30 2026-06-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 6 — — $55,159.32 $60,675.25 $58,468.88 2026-06-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 17 — — $17,771.00 $99,649.85 $58,229.60 2026-06-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 18 — — $17,771.00 $212,600.00 $58,049.75 2026-06-15
92930 HCPCS Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 56 35 $129,228.00 $83,998.20 35% off $6,301.23 $129,228.00 $57,248.00 2026-06-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $53,604.13 $58,964.54 $56,820.38 2026-06-15
8633 APR_DRG Neonatal Aftercare 6 6 — — $51,796.99 $56,976.69 $54,904.81 2026-06-15
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $51,591.62 $56,750.78 $54,687.11 2026-06-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 18 — — $17,771.00 $289,300.00 $54,421.46 2026-06-15
914 APR_DRG Other Major Head And Neck Procedures 6 6 — — $50,624.30 $55,686.73 $53,661.76 2026-06-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 18 — — $17,771.00 $193,600.00 $53,128.56 2026-06-15
J7352 HCPCS Scenesse 16 Mg Subcutaneous Implant 64 37 $120,982.00 $78,638.30 35% off $2,501.91 $120,982.00 $53,002.21 2026-06-15
J9281 HCPCS Jelmyto 40 Mg X 2 Intra-pyelocalyceal Kit 66 37 $122,136.00 $79,388.40 35% off $275.32 $122,136.00 $52,939.85 2026-06-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 24 18 — — $17,771.00 $217,200.00 $52,903.91 2026-06-15
J9029 HCPCS Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 66 37 $73,080.00 $47,502.00 35% off $19,406.63 $226,485.08 $52,836.84 2026-06-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 17 — — $44,822.37 $109,231.27 $52,732.20 2026-06-15
27879075 CDM Tavr Device Kit 42 26 $105,000.00 $68,250.00 35% off $22,890.00 $105,000.00 $52,500.00 2026-06-15
2004 APR_DRG Cardiac Structural And Valvular Disorders 6 6 — — $49,389.76 $54,328.74 $52,353.15 2026-06-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $49,154.61 $54,070.07 $52,103.88 2026-06-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $49,154.61 $54,070.07 $52,103.88 2026-06-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $49,040.09 $53,944.10 $51,982.49 2026-06-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 6 6 — — $49,008.79 $53,909.67 $51,949.32 2026-06-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $48,744.63 $53,619.09 $51,669.31 2026-06-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $48,740.05 $53,614.06 $51,664.45 2026-06-15
J0202 HCPCS Lemtrada 12 Mg/1.2 Ml Intravenous Solution 66 37 $118,976.96 $77,335.02 35% off $2,080.04 $118,976.96 $51,570.56 2026-06-15
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $48,427.79 $53,270.57 $51,333.46 2026-06-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $48,381.22 $53,219.34 $51,284.10 2026-06-15
10 MS_DRG Pancreas Transplant 27 21 — — $10,700.00 $240,800.00 $51,208.97 2026-06-15
J3357 HCPCS Stelara 45 Mg/0.5 Ml Subcutaneous Solution 97 33 $104,945.34 $68,214.47 35% off $159.91 $104,945.34 $51,003.44 2026-06-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 19 — — $42,022.73 $292,000.00 $50,921.67 2026-06-15
J2778 HCPCS Darvocet-n 50 50 Mg-325 Mg Tab 106 37 $140,400.00 $91,260.00 35% off $55.62 $140,400.00 $50,775.66 2026-06-15
J9229 HCPCS Besponsa 0.9 Mg(0.25 Mg/ml Initial Concentration) Intravenous Solution 66 37 $117,092.48 $76,110.11 35% off $2,394.25 $117,092.48 $50,753.74 2026-06-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 18 — — $17,771.00 $269,394.00 $50,008.61 2026-06-15
1794 APR_DRG Defibrillator Implants 6 6 — — $47,071.10 $51,778.21 $49,895.37 2026-06-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 17 — — $42,242.53 $102,820.65 $49,697.09 2026-06-15
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $46,762.66 $51,438.93 $49,568.42 2026-06-15
214 APR_DRG Open Craniotomy Except Trauma 6 6 — — $46,678.67 $51,346.54 $49,479.39 2026-06-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 17 — — $17,771.00 $84,288.46 $49,410.00 2026-06-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 19 — — $40,737.42 $194,500.00 $49,364.17 2026-06-15
J1930 HCPCS Somatuline Depot 60 Mg/0.2 Ml Subcutaneous Syringe 146 37 $101,184.00 $65,769.60 35% off $30.07 $113,976.00 $49,263.51 2026-06-15
1204 APR_DRG Major Respiratory And Chest Procedures 6 6 — — $46,413.75 $51,055.13 $49,198.57 2026-06-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $46,294.65 $50,924.12 $49,072.33 2026-06-15
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 6 6 — — $46,278.61 $50,906.47 $49,055.32 2026-06-15
J9600 HCPCS Photofrin 75 Mg Intravenous Solution 64 37 $111,950.40 $72,767.76 35% off $19,406.63 $111,950.40 $49,045.47 2026-06-15
37287 HCPCS Revsc Evasc Tpvt St Plmt Uni Cplx Les Ea Add Vsl 47 30 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $48,891.26 2026-06-15
37293 HCPCS Revsc Evasc Tpvt St Athrc Uni Sf Les Ea Addl Vsl 47 30 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $48,891.26 2026-06-15
37285 HCPCS Revsc Evasc Tpvt St Plmt Uni Sf Les Ea Addl Vsl 47 30 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $48,891.26 2026-06-15
37289 HCPCS Revsc Evasc Tpvt Athrc Uni Sf Les Ea Addl Vsl 47 30 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $48,891.26 2026-06-15
37295 HCPCS Revsc Evsc Tpvt St Athrc Uni Cplx Les Ea Add Vsl 47 30 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $48,891.26 2026-06-15
37276 HCPCS Revsc Evasc Fpvt St Athrc Uni Sf Les Ea Addl Vsl 47 30 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $48,891.26 2026-06-15
37272 HCPCS Revsc Evasc Fpvt Athrc Uni Sf Les Ea Addl Vsl 47 30 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $48,891.26 2026-06-15
37291 HCPCS Revsc Evasc Tpvt Athrc Uni Cplx Les Ea Addl Vsl 47 30 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $48,891.26 2026-06-15
37274 HCPCS Revsc Evasc Fpvt Athrc Uni Cplx Les Ea Addl Vsl 47 30 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $48,891.26 2026-06-15
37278 HCPCS Revsc Evsc Fpvt St Athrc Uni Cplx Les Ea Add Vsl 47 30 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $48,891.26 2026-06-15
27882225 CDM Sapien 3 Transcatheter Heart Valve 42 26 $97,500.00 $63,375.00 35% off $21,255.00 $97,500.00 $48,750.00 2026-06-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $45,596.07 $50,155.68 $48,331.83 2026-06-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $45,312.06 $49,843.27 $48,030.78 2026-06-15
37286 HCPCS Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 56 35 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $47,706.67 2026-06-15
37288 HCPCS Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl 56 35 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $47,706.67 2026-06-15
37271 HCPCS Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl 56 35 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $47,706.67 2026-06-15
37284 HCPCS Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl 56 35 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $47,706.67 2026-06-15
37294 HCPCS Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl 56 35 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $47,706.67 2026-06-15
37277 HCPCS Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 56 35 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $47,706.67 2026-06-15
37290 HCPCS Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 56 35 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $47,706.67 2026-06-15
37275 HCPCS Revsc Evasc Fpvt St Athrc Uni Sf Les 1st Vsl 56 35 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $47,706.67 2026-06-15
37273 HCPCS Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl 56 35 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $47,706.67 2026-06-15
37292 HCPCS Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 56 35 $107,690.00 $69,998.50 35% off $9,054.39 $107,690.00 $47,706.67 2026-06-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 17 — — $17,771.00 $81,303.66 $47,696.31 2026-06-15
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $44,700.52 $49,170.57 $47,382.56 2026-06-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 17 — — $39,694.99 $96,490.32 $46,699.99 2026-06-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 23 17 — — $17,771.00 $79,041.12 $46,397.29 2026-06-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 17 — — $17,771.00 $78,983.19 $46,364.04 2026-06-15
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 64 37 $105,335.25 $68,467.91 35% off $1,093.22 $105,335.25 $46,147.37 2026-06-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 6 — — $43,524.77 $47,877.25 $46,136.26 2026-06-15
1832 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $43,440.79 $47,784.87 $46,047.24 2026-06-15
27880805 CDM Pascal Precision Ace Implant System 42 26 $91,800.00 $59,670.00 35% off $20,012.40 $91,800.00 $45,900.00 2026-06-15
27882245 CDM Pascal Precision Transcatheter Valve System 42 26 $91,800.00 $59,670.00 35% off $20,012.40 $91,800.00 $45,900.00 2026-06-15
6903 APR_DRG Acute Leukemia 6 6 — — $43,255.26 $47,580.79 $45,850.57 2026-06-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 17 — — $17,771.00 $77,726.62 $45,642.59 2026-06-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 18 — — $17,771.00 $223,200.00 $45,642.59 2026-06-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 17 — — $38,658.32 $93,914.32 $45,480.38 2026-06-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 18 — — $37,985.10 $148,400.00 $45,358.68 2026-06-15
001-B OTHER Deep Brain Stimulation Unilateral 1 1 — — $45,300.00 $45,300.00 $45,300.00 2026-06-15
J9359 HCPCS Zynlonta 10 Mg Intravenous Solution 66 37 $104,507.16 $67,929.65 35% off $188.04 $104,507.16 $45,298.63 2026-06-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $42,726.18 $46,998.80 $45,289.75 2026-06-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $42,479.58 $46,727.54 $45,028.35 2026-06-15
27881015 CDM Mitraclip System 42 26 $90,000.00 $58,500.00 35% off $19,620.00 $90,000.00 $45,000.00 2026-06-15
J1951 HCPCS Fensolvi 45 Mg Subcutaneous Syringe 66 37 $103,734.78 $67,427.61 35% off $118.89 $103,734.78 $44,963.84 2026-06-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $42,405.52 $46,646.07 $44,949.86 2026-06-15
1831 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $42,220.00 $46,442.00 $44,753.20 2026-06-15
33902 HCPCS Perq P-art Revsc St 1st Abnor Connj Unilateral 65 37 $103,251.00 $67,113.15 35% off $6,301.23 $103,251.00 $44,707.68 2026-06-15
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $42,058.90 $46,264.79 $44,582.43 2026-06-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $41,878.72 $46,066.59 $44,391.45 2026-06-15
264 APR_DRG Other Nervous System And Related Procedures 6 6 — — $41,593.19 $45,752.51 $44,088.78 2026-06-15
471A OTHER Bilateral Total Hip Replacement Proc. Of Lower Extremitv 1 1 — — $43,800.00 $43,800.00 $43,800.00 2026-06-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $40,915.22 $45,006.74 $43,370.14 2026-06-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $40,915.22 $45,006.74 $43,370.14 2026-06-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $40,915.22 $45,006.74 $43,370.14 2026-06-15
234 APR_DRG Spinal Procedures 6 6 — — $40,738.86 $44,812.75 $43,183.19 2026-06-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $40,706.03 $44,776.63 $43,148.39 2026-06-15
1783 APR_DRG External Heart Assist Devices 6 6 — — $40,656.41 $44,722.05 $43,095.79 2026-06-15
1781 APR_DRG External Heart Assist Devices 6 6 — — $40,656.41 $44,722.05 $43,095.79 2026-06-15
1782 APR_DRG External Heart Assist Devices 6 6 — — $40,656.41 $44,722.05 $43,095.79 2026-06-15
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $40,342.62 $44,376.88 $42,763.18 2026-06-15
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 25 19 — — $17,771.00 $173,600.00 $42,609.52 2026-06-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 17 — — $36,177.13 $87,748.84 $42,561.33 2026-06-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $40,109.76 $44,120.74 $42,516.35 2026-06-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 19 — — $35,071.82 $240,500.00 $42,498.79 2026-06-15
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $40,072.35 $44,079.59 $42,476.69 2026-06-15
Q5128 HCPCS Cimerli 0.5 Mg/0.05 Ml Intravitreal Solution 66 37 $97,920.00 $63,648.00 35% off $70.84 $97,920.00 $42,443.43 2026-06-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 17 — — $17,771.00 $71,665.99 $42,162.94 2026-06-15
J9038 HCPCS Niktimvo 50 Mg/ml Intravenous Solution 59 35 $94,500.00 $61,425.00 35% off $47.30 $94,500.00 $41,863.50 2026-06-15
2304 APR_DRG Major Small Bowel Procedures 6 6 — — $39,492.87 $43,442.16 $41,862.44 2026-06-15
28 MS_DRG Spinal Procedures With Mcc 24 18 — — $17,771.00 $108,100.00 $41,794.41 2026-06-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 17 — — $17,771.00 $71,004.02 $41,782.87 2026-06-15
204 APR_DRG Open Craniotomy For Trauma 6 6 — — $39,383.70 $43,322.07 $41,746.72 2026-06-15
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $39,361.56 $43,297.72 $41,723.26 2026-06-15
33276 HCPCS Insj Phrnc Nrv Stim Sys 24 20 — — $20,581.46 $45,838.50 $41,625.46 2026-06-15
0266T OTHER Implt/rpl Crtd Sns Dev Total 13 10 — — $20,581.46 $44,905.93 $41,579.56 2026-06-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 18 — — $17,771.00 $158,200.00 $41,487.64 2026-06-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 — — $39,106.56 $43,017.22 $41,452.96 2026-06-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 18 — — $34,697.41 $207,900.00 $41,432.79 2026-06-15
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