Price Transparencybeta Hospital negotiated rates

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

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Hospital

UH ST JOHN MEDICAL CENTER

Westlake, OH · CCN 360123 · Rates published

13,679 distinct procedures filed
42 distinct payers
1,743,920 rate rows
2025-05-19 last MRF observed · ⚠ 14 mo old
Data quality

1,742,385 of 1,743,920 rate rows are consumer-grade (99.9%)

1,535 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
placeholder amount (≤ $0.02) — excluded from medians 402
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 370
per-diem day rate — not a per-procedure price 295
exceeds 10× this hospital's gross charge — excluded from medians 221
percent-of-charges filed in the dollar field — excluded from medians 128
template filing: same amount across many unrelated codes — excluded 119

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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/7893/341260978-1841264868_university-hospitals-health-system_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/StJohnMedicalCenter/7893
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-19
Content fingerprint 8f948970911ad7b8… · 4,379,550,018 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
S3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 2 $3,066,001.00 $4,768,082.44 $3,950,857.91 nat. median
$3,669,056
1.1× median
C9399
HCPCS 		Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 42 $2,101.20 $3,069,000.00 $1,478,400.00 nat. median
$2,475
outlier · 597.3×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 42 $527,622.46 $2,310,120.86 $1,429,121.14 nat. median
$625,184
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 42 $516,442.29 $1,901,740.50 $1,397,779.27 nat. median
$673,137
outlier · 2.1×
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 42 $522,498.40 $2,201,625.00 $1,374,792.50 nat. median
$753,246
1.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 42 $502,840.73 $1,849,365.00 $1,359,283.27 nat. median
$634,303
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 42 $489,399.16 $1,849,365.00 $1,359,283.27 nat. median
$619,808
outlier · 2.2×
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 42 $1,248.60 $617,972.97 $454,210.13 nat. median
$2,675
outlier · 169.8×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $10,978.00 $778,790.23 $432,661.24 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $10,978.00 $581,993.86 $323,329.92 nat. median
$265,286
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $10,978.00 $490,332.82 $272,407.12 nat. median
$206,474
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 21 $10,978.00 $443,090.95 $246,161.64 nat. median
$202,976
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $232,613.81 $241,647.36 $237,130.58 nat. median
$246,434
1.0× median
5834
APR_DRG 		Neonate With Ecmo 7 $225,041.66 $233,781.14 $229,411.40 nat. median
$309,665
0.7× median
5833
APR_DRG 		Neonate With Ecmo 7 $225,041.66 $233,781.14 $229,411.40 nat. median
$244,017
0.9× median
5831
APR_DRG 		Neonate With Ecmo 7 $214,093.20 $222,407.50 $218,250.35 nat. median
$144,745
1.5× median
5832
APR_DRG 		Neonate With Ecmo 7 $214,093.20 $222,407.50 $218,250.35 nat. median
$156,126
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $213,266.36 $221,548.55 $217,407.46 nat. median
$207,730
1.0× median
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 42 $56,824.55 $277,144.49 $203,701.20 nat. median
$62,507
outlier · 3.3×
24
APR_DRG 		Heart And/or Lung Transplant 7 $187,646.36 $194,933.60 $191,289.98 nat. median
$234,729
0.8× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $165,204.93 $171,620.66 $168,412.80 nat. median
$76,806
outlier · 2.2×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $165,204.93 $171,620.66 $168,412.80 nat. median
$85,444
2.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $165,204.93 $171,620.66 $168,412.80 nat. median
$119,796
1.4× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 42 $45,212.04 $224,925.38 $165,320.15 nat. median
$60,368
outlier · 2.7×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $160,500.23 $166,733.25 $163,616.74 nat. median
$187,061
0.9× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 21 $10,978.00 $292,540.52 $162,522.51 nat. median
$133,161
1.2× median
J7330
HCPCS 		Implant, Maci Final, Product Assembled, Double 42 $42,637.63 $282,160.80 $159,107.34 nat. median
$76,329
outlier · 2.1×
222
MS_DRG 		DRG Carveouts 1 $145,094.90 $161,216.10 $153,155.50 nat. median
$63,570
outlier · 2.4×
223
MS_DRG 		DRG Carveouts 1 $145,094.90 $161,216.10 $153,155.50 nat. median
$44,728
outlier · 3.4×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $149,445.38 $155,249.08 $152,347.23 nat. median
$160,267
1.0× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $149,445.38 $155,249.08 $152,347.23 nat. median
$66,693
outlier · 2.3×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $149,445.38 $155,249.08 $152,347.23 nat. median
$35,675
outlier · 4.3×
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $149,445.38 $155,249.08 $152,347.23 nat. median
$34,381
outlier · 4.4×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $149,434.30 $155,237.57 $152,335.93 nat. median
$162,982
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $10,978.00 $271,340.19 $150,744.55 nat. median
$117,357
1.3× median
7
MS_DRG 		Lung Transplant 21 $10,978.00 $270,659.77 $150,366.54 nat. median
$122,708
1.2× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 42 $484.40 $202,395.02 $148,760.34 nat. median
$798
outlier · 186.3×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $145,044.68 $150,677.49 $147,861.08 nat. median
$150,721
1.0× median
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 42 $116.47 $199,987.05 $146,990.48 nat. median
$167
outlier · 879.6×
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 42 $138.24 $194,162.19 $142,709.21 nat. median
$3,461
outlier · 41.2×
C9293
HCPCS 		Glucarpidase 1,000 Unit/1 Ml IV Injection - Reconstituted 1000 Unit/ml 42 $55,141.27 $182,452.74 $134,102.77 nat. median
$21,216
outlier · 6.3×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $128,107.10 $133,082.14 $130,594.62 nat. median
$122,924
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $10,978.00 $228,409.79 $126,894.33 nat. median
$108,660
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $10,978.00 $225,815.94 $125,453.30 nat. median
$102,358
1.2× median
225
MS_DRG 		DRG Carveouts 1 $117,656.67 $130,729.52 $124,193.10 nat. median
$48,704
outlier · 2.5×
224
MS_DRG 		DRG Carveouts 1 $117,656.67 $130,729.52 $124,193.10 nat. median
$54,196
outlier · 2.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $10,978.00 $220,774.61 $122,652.56 nat. median
$100,136
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 21 $10,978.00 $238,244.85 $122,027.12 nat. median
$99,019
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $10,978.00 $217,186.92 $120,659.40 nat. median
$98,894
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $117,838.65 $122,414.91 $120,126.78 nat. median
$182,665
0.7× median

Other procedures at this hospital

Browse this hospital's 13,679 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
             
03060 EAPG Ventricular Assist Device Procedures 7 7 — — $71,547.44 $73,292.50 $72,594.48 2025-05-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 21 — — $10,978.00 $581,993.86 $323,329.92 2025-05-19
10 MS_DRG Pancreas Transplant 28 21 — — $10,978.00 $165,590.37 $91,994.65 2025-05-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 21 — — $10,978.00 $112,453.58 $62,474.21 2025-05-19
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $47,247.40 $49,082.25 $48,164.82 2025-05-19
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $47,247.40 $49,082.25 $48,164.82 2025-05-19
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $47,247.40 $49,082.25 $48,164.82 2025-05-19
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $47,247.40 $49,082.25 $48,164.82 2025-05-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 21 — — $10,978.00 $85,809.94 $47,672.19 2025-05-19
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $39,163.05 $40,683.95 $39,923.50 2025-05-19
14 MS_DRG Allogeneic Bone Marrow Transplant 28 21 — — $10,978.00 $271,340.19 $150,744.55 2025-05-19
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $66,622.83 $69,210.13 $67,916.48 2025-05-19
140 MS_DRG Major Head And Neck Procedures With Mcc 28 21 — — $10,978.00 $88,397.59 $49,109.77 2025-05-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 21 — — $10,978.00 $125,649.63 $69,805.35 2025-05-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $92,906.28 $96,514.29 $94,710.28 2025-05-19
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $165,204.93 $171,620.66 $168,412.80 2025-05-19
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $165,204.93 $171,620.66 $168,412.80 2025-05-19
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $165,204.93 $171,620.66 $168,412.80 2025-05-19
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $213,266.36 $221,548.55 $217,407.46 2025-05-19
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $49,270.44 $51,183.86 $50,227.15 2025-05-19
163 MS_DRG Major Chest Procedures With Mcc 28 21 — — $10,978.00 $96,232.75 $53,462.64 2025-05-19
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $49,824.93 $51,759.88 $50,792.41 2025-05-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 21 — — $10,978.00 $80,585.10 $44,769.50 2025-05-19
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $39,452.25 $40,984.38 $40,218.32 2025-05-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 21 — — $10,978.00 $125,649.63 $69,805.35 2025-05-19
1784 APR_DRG External Heart Assist Systems 7 7 — — $57,508.74 $59,742.09 $58,625.42 2025-05-19
1794 APR_DRG Defibrillator Implants 7 7 — — $39,708.29 $41,250.36 $40,479.33 2025-05-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 21 — — $10,978.00 $778,790.23 $432,661.24 2025-05-19
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $40,794.54 $42,378.79 $41,586.67 2025-05-19
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $57,720.86 $59,962.45 $58,841.65 2025-05-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 21 — — $10,978.00 $164,648.09 $91,471.16 2025-05-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 21 — — $10,978.00 $228,409.79 $126,894.33 2025-05-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 21 — — $10,978.00 $167,406.89 $93,003.83 2025-05-19
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $41,630.97 $43,247.71 $42,439.34 2025-05-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 28 21 — — $10,978.00 $134,542.55 $74,745.86 2025-05-19
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $83,549.60 $86,794.25 $85,171.93 2025-05-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 21 — — $10,978.00 $115,162.90 $63,979.39 2025-05-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 21 — — $10,978.00 $225,815.94 $125,453.30 2025-05-19
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $39,382.41 $40,911.82 $40,147.12 2025-05-19
215 MS_DRG Other Heart Assist System Implant 30 21 — — $10,978.00 $238,244.85 $122,027.12 2025-05-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 21 — — $10,978.00 $200,190.83 $111,217.13 2025-05-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 21 — — $10,978.00 $165,788.62 $74,639.32 2025-05-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 21 — — $10,978.00 $165,788.62 $68,813.36 2025-05-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 21 — — $10,978.00 $160,734.62 $89,297.01 2025-05-19
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $83,549.60 $86,794.25 $85,171.93 2025-05-19
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 21 — — $10,978.00 $73,989.14 $41,105.08 2025-05-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 21 — — $10,978.00 $121,344.62 $61,337.88 2025-05-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 21 — — $10,978.00 $121,344.62 $53,272.49 2025-05-19
222 MS_DRG DRG Carveouts 2 1 — — $145,094.90 $161,216.10 $153,155.50 2025-05-19
223 MS_DRG DRG Carveouts 2 1 — — $145,094.90 $161,216.10 $153,155.50 2025-05-19
224 MS_DRG DRG Carveouts 2 1 — — $117,656.67 $130,729.52 $124,193.10 2025-05-19
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $47,934.35 $49,795.87 $48,865.11 2025-05-19
225 MS_DRG DRG Carveouts 2 1 — — $117,656.67 $130,729.52 $124,193.10 2025-05-19
226 MS_DRG DRG Carveouts 2 1 — — $102,430.30 $113,811.90 $108,121.10 2025-05-19
227 MS_DRG DRG Carveouts 2 1 — — $102,430.30 $113,811.90 $108,121.10 2025-05-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 21 — — $10,978.00 $108,292.28 $57,747.91 2025-05-19
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $83,549.60 $86,794.25 $85,171.93 2025-05-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 21 — — $10,978.00 $118,828.91 $66,016.06 2025-05-19
230 MS_DRG DRG Carveouts 2 1 — — $97,463.15 $108,292.28 $102,877.71 2025-05-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 21 — — $10,978.00 $175,918.32 $97,732.40 2025-05-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 21 — — $10,978.00 $153,026.35 $70,639.27 2025-05-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 21 — — $10,978.00 $162,361.44 $90,200.80 2025-05-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 21 — — $10,978.00 $112,589.08 $61,607.08 2025-05-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 21 — — $10,978.00 $122,521.77 $68,067.65 2025-05-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 21 — — $10,978.00 $85,983.14 $47,768.41 2025-05-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 21 — — $10,978.00 $105,051.42 $58,361.90 2025-05-19
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $187,646.36 $194,933.60 $191,289.98 2025-05-19
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 21 — — $10,978.00 $79,583.06 $44,212.81 2025-05-19
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 21 — — $10,978.00 $76,599.00 $39,519.72 2025-05-19
245 MS_DRG Aicd Generator Procedures 30 21 — — $10,978.00 $101,956.54 $56,642.52 2025-05-19
246 MS_DRG DRG Carveouts 2 1 — — $52,712.67 $58,569.52 $55,641.10 2025-05-19
247 MS_DRG DRG Carveouts 2 1 — — $48,343.10 $53,714.10 $51,028.60 2025-05-19
248 MS_DRG DRG Carveouts 2 1 — — $48,455.85 $53,840.17 $51,148.01 2025-05-19
249 MS_DRG DRG Carveouts 2 1 — — $44,441.95 $49,379.37 $46,910.66 2025-05-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 21 — — $10,978.00 $93,410.01 $51,894.45 2025-05-19
252 MS_DRG Other Vascular Procedures With Mcc 30 21 — — $10,978.00 $71,927.26 $39,959.59 2025-05-19
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 21 — — $10,978.00 $71,428.32 $39,682.40 2025-05-19
264 MS_DRG Other Circulatory System O.r. Procedures 28 21 — — $10,978.00 $73,261.28 $40,700.71 2025-05-19
265 MS_DRG Aicd Lead Procedures 28 21 — — $10,978.00 $74,747.92 $41,526.62 2025-05-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 21 — — $10,978.00 $124,719.70 $69,288.72 2025-05-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 21 — — $10,978.00 $98,201.84 $54,556.58 2025-05-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 21 — — $10,978.00 $138,674.54 $77,041.41 2025-05-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 21 — — $10,978.00 $86,985.18 $48,325.10 2025-05-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 21 — — $10,978.00 $107,032.90 $59,462.72 2025-05-19
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 21 — — $10,978.00 $72,215.91 $40,119.95 2025-05-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 21 — — $10,978.00 $81,822.24 $45,456.80 2025-05-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 21 — — $10,978.00 $146,909.70 $81,616.50 2025-05-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 21 — — $10,978.00 $128,917.69 $71,620.94 2025-05-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 21 — — $10,978.00 $97,113.19 $53,951.77 2025-05-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 21 — — $10,978.00 $104,358.62 $57,977.01 2025-05-19
28 MS_DRG Spinal Procedures With Mcc 28 21 — — $10,978.00 $126,548.62 $70,304.79 2025-05-19
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 28 21 — — $10,978.00 $443,090.95 $246,161.64 2025-05-19
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $52,160.57 $54,186.22 $53,173.40 2025-05-19
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $69,319.52 $72,011.54 $70,665.53 2025-05-19
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $41,340.77 $42,946.24 $42,143.50 2025-05-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 21 — — $10,978.00 $87,601.68 $48,667.60 2025-05-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 21 — — $10,978.00 $128,752.74 $71,529.30 2025-05-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 21 — — $10,978.00 $91,770.82 $50,983.79 2025-05-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 21 — — $10,978.00 $89,020.30 $49,455.72 2025-05-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 21 — — $10,978.00 $105,919.47 $58,844.15 2025-05-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 21 — — $10,978.00 $95,876.05 $53,264.47 2025-05-19
332 MS_DRG Rectal Resection With Mcc 28 21 — — $10,978.00 $72,716.98 $40,398.32 2025-05-19
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 93 42 $70,201.00 $52,650.75 25% off $19,094.67 $75,091.07 $46,437.96 2025-05-19
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 21 — — $10,978.00 $75,906.70 $42,170.39 2025-05-19
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 21 — — $10,978.00 $81,376.88 $45,209.38 2025-05-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 21 — — $10,978.00 $89,150.17 $49,527.87 2025-05-19
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 28 21 — — $10,978.00 $292,540.52 $162,522.51 2025-05-19
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 21 — — $10,978.00 $78,972.71 $43,873.73 2025-05-19
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 21 — — $10,978.00 $81,861.41 $45,478.56 2025-05-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 21 — — $10,978.00 $113,129.87 $62,849.93 2025-05-19
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 21 — — $10,978.00 $73,389.11 $40,771.73 2025-05-19
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 21 — — $10,978.00 $73,440.68 $40,800.38 2025-05-19
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 21 — — $10,978.00 $73,970.59 $41,094.77 2025-05-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 21 — — $10,978.00 $85,061.47 $47,256.37 2025-05-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 21 — — $10,978.00 $217,186.92 $120,659.40 2025-05-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 21 — — $10,978.00 $147,645.79 $82,025.44 2025-05-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 21 — — $10,978.00 $114,684.55 $63,713.64 2025-05-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 21 — — $10,978.00 $173,169.83 $96,205.46 2025-05-19
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $57,610.73 $59,848.04 $58,729.39 2025-05-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 21 — — $10,978.00 $113,991.73 $63,328.74 2025-05-19
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $75,814.53 $78,758.78 $77,286.66 2025-05-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 21 — — $10,978.00 $139,439.50 $77,466.39 2025-05-19
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 21 — — $10,978.00 $85,393.42 $47,440.79 2025-05-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 21 — — $10,978.00 $107,385.46 $59,658.59 2025-05-19
453 MS_DRG DRG Carveouts 2 1 — — $109,467.95 $121,630.60 $115,549.27 2025-05-19
454 MS_DRG DRG Carveouts 2 1 — — $109,467.95 $121,630.60 $115,549.27 2025-05-19
455 MS_DRG DRG Carveouts 2 1 — — $60,596.97 $121,630.60 $91,113.79 2025-05-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 21 — — $10,978.00 $175,821.44 $97,678.58 2025-05-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 21 — — $10,978.00 $119,536.13 $66,408.96 2025-05-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 21 — — $10,978.00 $90,228.51 $50,522.40 2025-05-19
459 MS_DRG DRG Carveouts 3 2 — — $49,320.95 $67,100.60 $63,365.99 2025-05-19
460 MS_DRG DRG Carveouts 3 2 — — $52,503.98 $57,536.32 $54,800.60 2025-05-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 21 — — $10,978.00 $127,728.00 $70,960.00 2025-05-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 21 — — $10,978.00 $112,558.75 $62,532.64 2025-05-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 21 — — $10,978.00 $106,241.13 $59,022.85 2025-05-19
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 21 — — $10,978.00 $71,820.05 $39,900.03 2025-05-19
471 MS_DRG Cervical Spinal Fusion With Mcc 30 21 — — $10,978.00 $101,348.30 $56,304.61 2025-05-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 21 — — $10,978.00 $93,665.68 $52,036.49 2025-05-19
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 21 — — $10,978.00 $72,104.56 $40,058.09 2025-05-19
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 21 — — $10,978.00 $74,418.01 $41,343.34 2025-05-19
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 21 — — $10,978.00 $73,787.06 $40,992.81 2025-05-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 21 — — $10,978.00 $220,774.61 $122,652.56 2025-05-19
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 21 — — $10,978.00 $75,094.31 $41,719.06 2025-05-19
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $39,064.18 $40,581.24 $39,822.71 2025-05-19
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $53,720.03 $55,806.25 $54,763.14 2025-05-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 21 — — $10,978.00 $128,171.30 $71,206.28 2025-05-19
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 21 — — $10,978.00 $72,638.60 $40,354.78 2025-05-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 21 — — $10,978.00 $112,441.21 $62,467.34 2025-05-19
5831 APR_DRG Neonate With Ecmo 7 7 — — $214,093.20 $222,407.50 $218,250.35 2025-05-19
5832 APR_DRG Neonate With Ecmo 7 7 — — $214,093.20 $222,407.50 $218,250.35 2025-05-19
5833 APR_DRG Neonate With Ecmo 7 7 — — $225,041.66 $233,781.14 $229,411.40 2025-05-19
5834 APR_DRG Neonate With Ecmo 7 7 — — $225,041.66 $233,781.14 $229,411.40 2025-05-19
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $112,121.35 $116,475.58 $114,298.46 2025-05-19
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $112,121.35 $116,475.58 $114,298.46 2025-05-19
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $117,838.65 $122,414.91 $120,126.78 2025-05-19
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $232,613.81 $241,647.36 $237,130.58 2025-05-19
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $48,873.04 $50,771.02 $49,822.03 2025-05-19
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $48,873.04 $50,771.02 $49,822.03 2025-05-19
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $51,345.71 $53,339.71 $52,342.71 2025-05-19
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $51,345.71 $53,339.71 $52,342.71 2025-05-19
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $42,575.01 $44,228.41 $43,401.71 2025-05-19
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $42,575.01 $44,228.41 $43,401.71 2025-05-19
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $56,215.24 $58,398.35 $57,306.80 2025-05-19
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $100,940.11 $104,860.12 $102,900.12 2025-05-19
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $43,427.17 $45,113.66 $44,270.42 2025-05-19
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $43,427.17 $45,113.66 $44,270.42 2025-05-19
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $68,254.92 $70,905.59 $69,580.26 2025-05-19
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $108,679.34 $112,899.89 $110,789.62 2025-05-19
6 MS_DRG Liver Transplant Without Mcc 28 21 — — $10,978.00 $101,181.26 $56,211.81 2025-05-19
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $44,399.81 $46,124.07 $45,261.94 2025-05-19
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $60,437.80 $62,784.90 $61,611.35 2025-05-19
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $74,597.18 $77,494.16 $76,045.67 2025-05-19
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $43,701.68 $45,398.84 $44,550.26 2025-05-19
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $43,701.68 $45,398.84 $44,550.26 2025-05-19
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $52,049.69 $54,071.04 $53,060.36 2025-05-19
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $73,783.41 $76,648.79 $75,216.10 2025-05-19
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $58,182.83 $60,442.35 $59,312.59 2025-05-19
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $58,182.83 $60,442.35 $59,312.59 2025-05-19
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $61,133.09 $63,507.19 $62,320.14 2025-05-19
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $149,434.30 $155,237.57 $152,335.93 2025-05-19
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $57,986.50 $60,238.40 $59,112.45 2025-05-19
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $54,249.39 $56,356.16 $55,302.78 2025-05-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 21 — — $10,978.00 $80,888.20 $44,937.89 2025-05-19
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $56,951.16 $59,162.86 $58,057.01 2025-05-19
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 21 — — $10,978.00 $78,352.13 $43,528.96 2025-05-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 21 — — $10,978.00 $82,552.16 $45,862.31 2025-05-19
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $42,458.02 $44,106.88 $43,282.45 2025-05-19
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $42,458.02 $44,106.88 $43,282.45 2025-05-19
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $64,443.55 $66,946.21 $65,694.88 2025-05-19
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $145,044.68 $150,677.49 $147,861.08 2025-05-19
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $49,036.88 $50,941.22 $49,989.05 2025-05-19
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $128,107.10 $133,082.14 $130,594.62 2025-05-19
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $62,849.29 $65,290.04 $64,069.67 2025-05-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 21 — — $10,978.00 $96,193.57 $53,440.87 2025-05-19
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 21 — — $10,978.00 $72,795.35 $40,441.86 2025-05-19
653 MS_DRG Major Bladder Procedures With Mcc 28 21 — — $10,978.00 $116,138.16 $64,521.20 2025-05-19
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $39,050.96 $40,567.50 $39,809.23 2025-05-19
665 MS_DRG Prostatectomy With Mcc 28 21 — — $10,978.00 $71,993.23 $39,996.24 2025-05-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 21 — — $10,978.00 $87,581.07 $48,656.15 2025-05-19
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $50,514.94 $52,476.68 $51,495.81 2025-05-19
6904 APR_DRG Acute Leukemia 7 7 — — $57,286.49 $59,511.21 $58,398.85 2025-05-19
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $50,231.07 $52,181.79 $51,206.43 2025-05-19
7 MS_DRG Lung Transplant 28 21 — — $10,978.00 $270,659.77 $150,366.54 2025-05-19
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $63,116.43 $65,567.56 $64,341.99 2025-05-19
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $63,116.43 $65,567.56 $64,341.99 2025-05-19
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $78,677.54 $81,732.98 $80,205.26 2025-05-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 21 — — $10,978.00 $82,385.12 $45,769.51 2025-05-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 21 — — $10,978.00 $83,277.94 $46,265.52 2025-05-19
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $160,500.23 $166,733.25 $163,616.74 2025-05-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 21 — — $10,978.00 $123,771.28 $68,761.82 2025-05-19
791 MS_DRG Prematurity With Major Problems 27 21 — — $10,978.00 $84,906.83 $47,170.46 2025-05-19
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $46,415.61 $48,218.16 $47,316.89 2025-05-19
793 MS_DRG Full Term Neonate With Major Problems 27 21 — — $10,978.00 $87,187.25 $48,437.36 2025-05-19
799 MS_DRG Splenic Procedures With Mcc 28 21 — — $10,978.00 $99,234.83 $55,130.46 2025-05-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 21 — — $10,978.00 $113,385.51 $62,991.95 2025-05-19
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 21 — — $10,978.00 $75,110.81 $41,728.23 2025-05-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 21 — — $10,978.00 $121,245.43 $67,358.57 2025-05-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 21 — — $10,978.00 $97,682.20 $54,267.89 2025-05-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 21 — — $10,978.00 $99,661.68 $55,367.60 2025-05-19
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $47,693.61 $49,545.79 $48,619.70 2025-05-19
834 MS_DRG Acute Leukemia With Mcc 28 21 — — $10,978.00 $115,162.90 $63,979.39 2025-05-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 21 — — $10,978.00 $104,439.02 $58,021.68 2025-05-19
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $63,271.73 $65,728.88 $64,500.30 2025-05-19
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $149,445.38 $155,249.08 $152,347.23 2025-05-19
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $149,445.38 $155,249.08 $152,347.23 2025-05-19
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $149,445.38 $155,249.08 $152,347.23 2025-05-19
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $149,445.38 $155,249.08 $152,347.23 2025-05-19
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $62,790.57 $65,229.04 $64,009.81 2025-05-19
850 MS_DRG Acute Leukemia With Other Procedures 28 21 — — $10,978.00 $191,135.03 $106,186.13 2025-05-19
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $71,466.29 $74,241.68 $72,853.99 2025-05-19
8514 APR_DRG Gender Related Procedures 7 7 — — $69,183.58 $71,870.32 $70,526.95 2025-05-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 21 — — $10,978.00 $104,317.38 $57,954.10 2025-05-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 21 — — $10,978.00 $94,220.33 $52,344.63 2025-05-19
8633 APR_DRG Neonatal Aftercare 7 7 — — $43,627.00 $45,321.25 $44,474.13 2025-05-19
8634 APR_DRG Neonatal Aftercare 7 7 — — $57,527.70 $59,761.79 $58,644.75 2025-05-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 28 21 — — $10,978.00 $144,631.31 $80,350.73 2025-05-19
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 18 — — $30,014.28 $82,220.17 $45,677.87 2025-05-19
901 MS_DRG Wound Debridements For Injuries With Mcc 28 21 — — $10,978.00 $92,548.13 $51,415.63 2025-05-19
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 28 21 — — $10,978.00 $80,807.80 $44,893.22 2025-05-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 21 — — $10,978.00 $83,335.66 $46,297.59 2025-05-19
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $41,091.94 $42,687.75 $41,889.84 2025-05-19
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $42,654.96 $44,311.46 $43,483.21 2025-05-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 28 21 — — $10,978.00 $490,332.82 $272,407.12 2025-05-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 21 — — $10,978.00 $138,907.55 $77,170.86 2025-05-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 28 21 — — $10,978.00 $90,412.06 $50,228.92 2025-05-19
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $83,416.16 $86,655.62 $85,035.89 2025-05-19
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 21 — — $10,978.00 $76,428.36 $42,460.20 2025-05-19
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $45,125.74 $46,878.20 $46,001.97 2025-05-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 21 — — $10,978.00 $141,987.98 $78,882.21 2025-05-19
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 21 — — $10,978.00 $80,009.84 $44,449.91 2025-05-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 21 — — $10,978.00 $155,099.50 $86,166.39 2025-05-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 21 — — $10,978.00 $85,935.69 $47,742.05 2025-05-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 21 — — $10,978.00 $131,596.09 $73,108.94 2025-05-19
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 21 — — $10,978.00 $75,106.69 $41,725.94 2025-05-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 21 — — $10,978.00 $99,216.29 $55,120.16 2025-05-19
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 21 — — $10,978.00 $73,417.99 $40,787.77 2025-05-19
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 93 42 $307,938.32 $230,953.74 25% off $56,824.55 $277,144.49 $203,701.20 2025-05-19
A9572 HCPCS Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit 93 42 $66,218.70 $49,664.03 25% off $1,914.61 $59,596.83 $43,803.67 2025-05-19
A9604 HCPCS Samarium Sm 153 Lexidronam 5,550 Mbq/3 Ml Intravenous Solution 93 42 $88,888.25 $66,666.19 25% off $4,314.91 $79,999.43 $58,799.58 2025-05-19
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 93 42 $148,062.50 $111,046.88 25% off $169.06 $133,256.25 $97,943.35 2025-05-19
C1824 HCPCS Generator, Pulse, Optimizer Smart Ipg 73 42 $69,000.00 $51,750.00 25% off $18,768.00 $62,100.00 $42,548.85 2025-05-19
C9293 HCPCS Glucarpidase 1,000 Unit/1 Ml IV Injection - Reconstituted 1000 Unit/ml 76 42 $202,725.27 $152,043.96 25% off $55,141.27 $182,452.74 $134,102.77 2025-05-19
C9399 HCPCS Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 193 42 $3,080,000.00 $2,310,000.00 25% off $2,101.20 $3,069,000.00 $1,478,400.00 2025-05-19
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 93 42 $156,047.54 $117,035.66 25% off $2,441.49 $140,442.79 $103,225.45 2025-05-19
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 93 42 $222,207.83 $166,655.88 25% off $116.47 $199,987.05 $146,990.48 2025-05-19
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 93 42 $94,723.08 $71,042.31 25% off $136.56 $85,250.77 $62,659.32 2025-05-19
J1628 HCPCS Guselkumab 100 Mg/ml Subcutaneous Syringe 93 42 $70,893.10 $53,169.83 25% off $70.43 $63,803.79 $46,895.79 2025-05-19
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 93 42 $131,667.49 $98,750.62 25% off $61.43 $118,500.74 $87,098.04 2025-05-19
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 93 42 $224,883.36 $168,662.52 25% off $484.40 $202,395.02 $148,760.34 2025-05-19
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 93 42 $686,636.63 $514,977.48 25% off $1,248.60 $617,972.97 $454,210.13 2025-05-19
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 93 42 $98,446.22 $73,834.67 25% off $57.81 $88,601.60 $65,122.18 2025-05-19
J2502 HCPCS Pasireotide Pamoate 20 Mg IM Suspension 93 42 $82,121.85 $61,591.39 25% off $526.94 $73,909.67 $54,323.61 2025-05-19
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 93 42 $131,153.51 $98,365.14 25% off $3,565.32 $118,038.16 $86,758.04 2025-05-19
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 93 42 $83,988.16 $62,991.12 25% off $352.56 $75,589.34 $55,558.17 2025-05-19
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 93 42 $64,818.73 $48,614.05 25% off $131.46 $58,336.86 $42,877.59 2025-05-19
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 171 42 $68,405.39 $51,304.05 25% off $152.39 $123,129.76 $45,250.17 2025-05-19
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 93 42 $105,240.36 $78,930.27 25% off $340.04 $94,716.32 $69,616.49 2025-05-19
J7330 HCPCS Implant, Maci Final, Product Assembled, Double 116 42 $313,512.00 $235,134.00 25% off $42,637.63 $282,160.80 $159,107.34 2025-05-19
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 93 42 $77,250.00 $57,937.50 25% off $21,012.00 $113,824.09 $51,100.88 2025-05-19
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 93 42 $69,344.76 $52,008.57 25% off $221.71 $62,410.28 $45,871.56 2025-05-19
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 76 42 $128,920.57 $96,690.43 25% off $35,066.40 $116,028.51 $85,280.96 2025-05-19
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 93 42 $249,917.09 $187,437.82 25% off $45,212.04 $224,925.38 $165,320.15 2025-05-19
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 93 42 $116,476.42 $87,357.32 25% off $2,658.13 $104,828.78 $77,049.15 2025-05-19
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 93 42 $114,548.67 $85,911.51 25% off $27,070.53 $103,093.80 $75,773.95 2025-05-19
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 93 42 $171,000.60 $128,250.45 25% off $338.53 $153,900.54 $113,116.90 2025-05-19
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 93 42 $112,071.97 $84,053.98 25% off $214.76 $100,864.77 $74,135.60 2025-05-19
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 93 42 $75,752.49 $56,814.37 25% off $194.08 $68,177.24 $50,110.27 2025-05-19
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 93 42 $86,294.33 $64,720.75 25% off $132.73 $77,664.90 $57,083.70 2025-05-19
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 93 42 $215,735.77 $161,801.83 25% off $138.24 $194,162.19 $142,709.21 2025-05-19
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 93 42 $116,612.85 $87,459.64 25% off $641.83 $104,951.57 $77,139.40 2025-05-19
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 93 42 $133,461.89 $100,096.42 25% off $212.00 $120,115.70 $88,285.04 2025-05-19
J9600 HCPCS Porfimer 2.5 Mg/ml IV Syringe 93 42 $105,199.05 $78,899.29 25% off $24,228.42 $94,679.15 $69,589.18 2025-05-19
L8688 HCPCS Generator, M1000-d, Sentiva Duo 73 42 $102,755.64 $77,066.73 25% off $27,949.53 $92,480.08 $63,364.26 2025-05-19
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 93 42 $2,054,850.00 $1,541,137.50 25% off $502,840.73 $1,849,365.00 $1,359,283.27 2025-05-19
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 132 42 $2,446,250.00 $1,834,687.50 25% off $522,498.40 $2,201,625.00 $1,374,792.50 2025-05-19
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 93 42 $133,364.40 $100,023.30 25% off $36,275.12 $120,027.96 $88,220.55 2025-05-19
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 93 42 $2,054,850.00 $1,541,137.50 25% off $489,399.16 $1,849,365.00 $1,359,283.27 2025-05-19
Q2054 HCPCS Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 93 42 $2,113,045.00 $1,584,783.75 25% off $516,442.29 $1,901,740.50 $1,397,779.27 2025-05-19
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 132 42 $2,160,425.00 $1,620,318.75 25% off $527,622.46 $2,310,120.86 $1,429,121.14 2025-05-19
S3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 6 2 — — $3,066,001.00 $4,768,082.44 $3,950,857.91 2025-05-19
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