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

UH CLEVELAND MEDICAL CENTER

Cleveland, OH · CCN 360137 · Rates published

14,451 distinct procedures filed
44 distinct payers
2,093,880 rate rows
2025-05-16 last MRF observed · ⚠ 13 mo old
Data quality

2,092,196 of 2,093,880 rate rows are consumer-grade (99.9%)

1,684 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 493
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 448
per-diem day rate — not a per-procedure price 289
percent-of-charges filed in the dollar field — excluded from medians 251
exceeds 10× this hospital's gross charge — excluded from medians 203

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old.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

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7901/341567805-1043397292_university-hospitals-health-system_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/ClevelandMedicalCenter/7901
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 71f2639f3e9b99d6… · 4,871,389,959 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
S3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 2 $3,178,721.63 $4,565,185.31 $4,508,825.00 nat. median
$3,669,056
1.2× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 15 $3,710,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 15 $3,685,266.67 $3,869,530.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $3,322,473.30 $3,488,596.96 $3,322,473.30 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 15 $3,286,000.00 $3,450,300.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 15 $2,948,213.33 $3,095,624.00 $2,948,213.33 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 18 $2,423,131.23 $4,361,636.22 $2,423,131.23 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 18 $2,332,000.00 $4,197,600.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
C9399
HCPCS 		Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 44 $2,178.45 $3,069,000.00 $1,705,000.00 nat. median
$2,476
outlier · 688.7×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 44 $527,622.46 $4,943,841.06 $1,655,586.61 nat. median
$625,184
outlier · 2.6×
Q2054
HCPCS 		Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 44 $516,442.29 $4,833,305.90 $1,378,761.86 nat. median
$674,188
outlier · 2.0×
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 44 $489,399.16 $4,584,288.00 $1,340,789.62 nat. median
$620,080
outlier · 2.2×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 44 $502,840.73 $4,584,288.00 $1,340,789.62 nat. median
$634,511
outlier · 2.1×
Q2042
HCPCS 		Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 44 $541,707.90 $4,599,652.50 $1,253,419.88 nat. median
$754,974
1.7× median
Q2057
HCPCS 		Afamitresgene Autoleucel 18 $770,620.00 $1,387,116.00 $770,620.00 nat. median
$824,563
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 18 $553,169.30 $4,564,763.28 $553,169.30 nat. median
$675,122
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $353,545.50 $830,737.56 $532,127.61 nat. median
$370,174
1.4× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 44 $1,248.60 $617,972.97 $448,030.41 nat. median
$2,677
outlier · 167.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $264,696.72 $620,491.31 $397,454.71 nat. median
$265,286
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $390,088.51 $397,663.05 $393,875.78 nat. median
$246,434
1.6× median
5833
APR_DRG 		Neonate With Ecmo 7 $377,389.28 $384,717.23 $381,053.25 nat. median
$244,017
1.6× median
5834
APR_DRG 		Neonate With Ecmo 7 $377,389.28 $384,717.23 $381,053.25 nat. median
$309,665
1.2× median
5832
APR_DRG 		Neonate With Ecmo 7 $359,027.67 $365,999.08 $362,513.37 nat. median
$156,126
outlier · 2.3×
5831
APR_DRG 		Neonate With Ecmo 7 $359,027.67 $365,999.08 $362,513.37 nat. median
$145,122
outlier · 2.5×
1614
APR_DRG 		Implantable Heart Assist Systems 7 $357,640.97 $364,585.45 $361,113.21 nat. median
$207,730
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 21 $223,314.01 $522,565.84 $334,728.71 nat. median
$206,368
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $314,673.76 $320,783.93 $317,728.84 nat. median
$234,738
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 21 $201,985.45 $472,095.28 $302,399.88 nat. median
$202,986
1.5× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $277,037.33 $282,416.69 $279,727.01 nat. median
$76,806
outlier · 3.6×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $277,037.33 $282,416.69 $279,727.01 nat. median
$85,406
outlier · 3.3×
1613
APR_DRG 		Implantable Heart Assist Systems 7 $277,037.33 $282,416.69 $279,727.01 nat. median
$119,796
outlier · 2.3×
C9301
HCPCS 		Apc 18 $278,250.00 $500,850.00 $278,250.00 nat. median
$459,112
0.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $269,147.10 $274,373.25 $271,760.17 nat. median
$187,294
1.5× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $250,607.03 $255,473.19 $253,040.11 nat. median
$66,693
outlier · 3.8×
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $250,607.03 $255,473.19 $253,040.11 nat. median
$34,396
outlier · 7.4×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $250,607.03 $255,473.19 $253,040.11 nat. median
$35,675
outlier · 7.1×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $250,607.03 $255,473.19 $253,040.11 nat. median
$160,267
1.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $250,588.44 $255,454.24 $253,021.34 nat. median
$162,982
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $243,226.65 $247,949.50 $245,588.08 nat. median
$150,721
1.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $214,820.70 $218,991.98 $216,906.34 nat. median
$122,924
1.8× median
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 44 $56,824.55 $667,861.12 $200,929.76 nat. median
$62,507
outlier · 3.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $197,599.52 $201,436.40 $199,517.96 nat. median
$182,736
1.1× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 21 $134,015.59 $311,255.64 $199,374.30 nat. median
$133,176
1.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $188,011.05 $191,661.75 $189,836.40 nat. median
$145,336
1.3× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $188,011.05 $191,661.75 $189,836.40 nat. median
$124,573
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $124,444.19 $288,606.45 $184,866.40 nat. median
$117,303
1.6× median
7
MS_DRG 		Lung Transplant 21 $124,136.98 $287,879.53 $184,400.77 nat. median
$122,708
1.5× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $182,238.46 $185,777.07 $184,007.76 nat. median
$151,838
1.2× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $169,259.03 $172,545.62 $170,902.33 nat. median
$164,279
1.0× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 44 $45,212.04 $454,674.59 $163,070.90 nat. median
$60,368
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 14,451 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 15 15 — — $3,710,000.00 $3,895,500.00 $3,710,000.00 2025-05-16
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 15 15 — — $3,685,266.67 $3,869,530.00 $3,685,266.67 2025-05-16
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 15 — — $3,322,473.30 $3,488,596.96 $3,322,473.30 2025-05-16
J3394 HCPCS Inj, Lovotibeglogene Autotem 15 15 — — $3,286,000.00 $3,450,300.00 $3,286,000.00 2025-05-16
S3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 3 2 — — $3,178,721.63 $4,565,185.31 $4,508,825.00 2025-05-16
J3393 HCPCS Inj, Betibeglogene Autotemce 15 15 — — $2,948,213.33 $3,095,624.00 $2,948,213.33 2025-05-16
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 18 — — $2,423,131.23 $4,361,636.22 $2,423,131.23 2025-05-16
J3392 HCPCS Inj, Exagamglogene Autotem 18 18 — — $2,332,000.00 $4,197,600.00 $2,332,000.00 2025-05-16
Q2057 HCPCS Afamitresgene Autoleucel 18 18 — — $770,620.00 $1,387,116.00 $770,620.00 2025-05-16
Q2056 HCPCS Ciltacabtagene Car-pos T 19 18 — — $553,169.30 $4,564,763.28 $553,169.30 2025-05-16
Q2042 HCPCS Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 142 44 $1,920,950.00 $1,440,712.50 25% off $541,707.90 $4,599,652.50 $1,253,419.88 2025-05-16
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 143 44 $2,566,800.95 $1,925,100.72 25% off $527,622.46 $4,943,841.06 $1,655,586.61 2025-05-16
Q2054 HCPCS Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 102 44 $2,113,045.00 $1,584,783.75 25% off $516,442.29 $4,833,305.90 $1,378,761.86 2025-05-16
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 102 44 $2,054,850.00 $1,541,137.50 25% off $502,840.73 $4,584,288.00 $1,340,789.62 2025-05-16
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 102 44 $2,054,850.00 $1,541,137.50 25% off $489,399.16 $4,584,288.00 $1,340,789.62 2025-05-16
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $390,088.51 $397,663.05 $393,875.78 2025-05-16
5834 APR_DRG Neonate With Ecmo 7 7 — — $377,389.28 $384,717.23 $381,053.25 2025-05-16
5833 APR_DRG Neonate With Ecmo 7 7 — — $377,389.28 $384,717.23 $381,053.25 2025-05-16
5831 APR_DRG Neonate With Ecmo 7 7 — — $359,027.67 $365,999.08 $362,513.37 2025-05-16
5832 APR_DRG Neonate With Ecmo 7 7 — — $359,027.67 $365,999.08 $362,513.37 2025-05-16
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $357,640.97 $364,585.45 $361,113.21 2025-05-16
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 21 — — $353,545.50 $830,737.56 $532,127.61 2025-05-16
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $314,673.76 $320,783.93 $317,728.84 2025-05-16
C9301 HCPCS Apc 18 18 — — $278,250.00 $500,850.00 $278,250.00 2025-05-16
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $277,037.33 $282,416.69 $279,727.01 2025-05-16
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $277,037.33 $282,416.69 $279,727.01 2025-05-16
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $277,037.33 $282,416.69 $279,727.01 2025-05-16
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $269,147.10 $274,373.25 $271,760.17 2025-05-16
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 21 — — $264,696.72 $620,491.31 $397,454.71 2025-05-16
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $250,607.03 $255,473.19 $253,040.11 2025-05-16
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $250,607.03 $255,473.19 $253,040.11 2025-05-16
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $250,607.03 $255,473.19 $253,040.11 2025-05-16
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $250,607.03 $255,473.19 $253,040.11 2025-05-16
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $250,588.44 $255,454.24 $253,021.34 2025-05-16
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $243,226.65 $247,949.50 $245,588.08 2025-05-16
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 33 21 — — $223,314.01 $522,565.84 $334,728.71 2025-05-16
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $214,820.70 $218,991.98 $216,906.34 2025-05-16
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 33 21 — — $201,985.45 $472,095.28 $302,399.88 2025-05-16
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $197,599.52 $201,436.40 $199,517.96 2025-05-16
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $188,011.05 $191,661.75 $189,836.40 2025-05-16
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $188,011.05 $191,661.75 $189,836.40 2025-05-16
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $182,238.46 $185,777.07 $184,007.76 2025-05-16
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $169,259.03 $172,545.62 $170,902.33 2025-05-16
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $155,785.52 $158,810.48 $157,298.00 2025-05-16
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $140,093.48 $142,813.74 $141,453.61 2025-05-16
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $140,093.48 $142,813.74 $141,453.61 2025-05-16
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $140,093.48 $142,813.74 $141,453.61 2025-05-16
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $139,869.67 $142,585.59 $141,227.63 2025-05-16
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 33 21 — — $134,015.59 $311,255.64 $199,374.30 2025-05-16
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $131,922.55 $134,484.16 $133,203.36 2025-05-16
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $127,121.01 $129,589.38 $128,355.20 2025-05-16
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $125,079.41 $127,508.14 $126,293.77 2025-05-16
14 MS_DRG Allogeneic Bone Marrow Transplant 33 21 — — $124,444.19 $288,606.45 $184,866.40 2025-05-16
7 MS_DRG Lung Transplant 33 21 — — $124,136.98 $287,879.53 $184,400.77 2025-05-16
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $123,714.64 $126,116.87 $124,915.75 2025-05-16
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $119,828.60 $122,155.37 $120,991.99 2025-05-16
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $116,228.26 $118,485.12 $117,356.69 2025-05-16
8514 APR_DRG Gender Related Procedures 7 7 — — $116,000.27 $118,252.70 $117,126.48 2025-05-16
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $114,442.82 $116,665.01 $115,553.91 2025-05-16
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $111,705.66 $113,874.71 $112,790.18 2025-05-16
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $108,050.78 $110,148.85 $109,099.82 2025-05-16
Q4244 HCPCS Drugs 1 1 — — $106,917.30 $106,917.30 $106,917.30 2025-05-16
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $106,085.53 $108,145.44 $107,115.49 2025-05-16
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $105,825.09 $107,879.95 $106,852.52 2025-05-16
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $105,825.09 $107,879.95 $106,852.52 2025-05-16
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $105,377.06 $107,423.22 $106,400.14 2025-05-16
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $105,278.58 $107,322.82 $106,300.70 2025-05-16
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 21 — — $105,062.14 $242,741.95 $155,487.97 2025-05-16
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 21 — — $103,891.09 $239,970.83 $153,712.93 2025-05-16
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $102,498.81 $104,489.08 $103,493.95 2025-05-16
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 33 21 — — $101,615.05 $234,584.98 $150,263.03 2025-05-16
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $101,332.76 $103,300.39 $102,316.57 2025-05-16
215 MS_DRG Other Heart Assist System Implant 33 21 — — $101,106.78 $233,382.25 $149,492.63 2025-05-16
Q0480 HCPCS Driver Pneumatic Vad, Rep 18 18 — — $99,999.95 $179,999.91 $99,999.95 2025-05-16
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 21 — — $99,995.31 $230,752.11 $147,807.89 2025-05-16
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $97,550.96 $99,445.15 $98,498.06 2025-05-16
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $97,550.96 $99,445.15 $98,498.06 2025-05-16
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $97,221.69 $99,109.49 $98,165.59 2025-05-16
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $96,776.18 $98,655.33 $97,715.76 2025-05-16
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $96,591.49 $98,467.06 $97,529.28 2025-05-16
8634 APR_DRG Neonatal Aftercare 7 7 — — $96,452.25 $98,325.11 $97,388.68 2025-05-16
1784 APR_DRG External Heart Assist Systems 7 7 — — $96,420.44 $98,292.68 $97,356.56 2025-05-16
6904 APR_DRG Acute Leukemia 7 7 — — $96,047.72 $97,912.72 $96,980.22 2025-05-16
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $95,485.33 $97,339.41 $96,412.37 2025-05-16
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $94,251.12 $96,081.24 $95,166.18 2025-05-16
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 18 18 — — $93,216.70 $167,790.06 $93,216.70 2025-05-16
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 21 — — $92,321.96 $212,594.43 $136,177.02 2025-05-16
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $90,954.20 $92,720.30 $91,837.25 2025-05-16
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $90,066.40 $91,815.27 $90,940.83 2025-05-16
850 MS_DRG Acute Leukemia With Other Procedures 33 21 — — $88,233.50 $202,919.73 $129,979.91 2025-05-16
J9216 HCPCS Interferon Gamma 1-b Inj 1 1 — — $87,934.68 $87,934.68 $87,934.68 2025-05-16
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $87,451.06 $89,149.14 $88,300.10 2025-05-16
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $87,265.09 $88,959.56 $88,112.33 2025-05-16
03060 EAPG Ventricular Assist Device Procedures 7 7 — — $86,251.01 $87,925.78 $87,088.39 2025-05-16
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $86,084.43 $87,755.98 $86,920.20 2025-05-16
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $86,084.43 $87,755.98 $86,920.20 2025-05-16
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $84,691.16 $86,335.65 $85,513.41 2025-05-16
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $84,215.09 $85,850.33 $85,032.71 2025-05-16
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $83,533.95 $85,155.97 $84,344.96 2025-05-16
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $82,604.02 $84,207.98 $83,406.00 2025-05-16
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $82,212.32 $83,808.68 $83,010.50 2025-05-16
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $81,937.54 $83,528.56 $82,733.05 2025-05-16
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $81,937.54 $83,528.56 $82,733.05 2025-05-16
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 21 — — $81,363.53 $186,663.07 $119,566.73 2025-05-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 21 — — $81,319.79 $186,559.54 $119,500.41 2025-05-16
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $80,363.26 $81,923.71 $81,143.48 2025-05-16
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 21 — — $80,122.66 $183,726.74 $117,685.87 2025-05-16
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $79,959.53 $81,512.14 $80,735.83 2025-05-16
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $79,211.19 $80,749.27 $79,980.23 2025-05-16
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $79,211.19 $80,749.27 $79,980.23 2025-05-16
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $79,211.19 $80,749.27 $79,980.23 2025-05-16
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $79,211.19 $80,749.27 $79,980.23 2025-05-16
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $77,816.20 $79,327.20 $78,571.70 2025-05-16
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 21 — — $77,520.83 $177,569.91 $113,742.12 2025-05-16
10 MS_DRG Pancreas Transplant 33 21 — — $76,700.72 $175,629.24 $112,499.03 2025-05-16
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 21 — — $76,275.29 $174,622.56 $111,854.20 2025-05-16
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $75,652.96 $77,121.95 $76,387.46 2025-05-16
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 33 21 — — $75,242.94 $172,179.66 $110,289.40 2025-05-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 21 — — $74,508.48 $170,441.65 $109,176.13 2025-05-16
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $74,435.51 $75,880.86 $75,158.19 2025-05-16
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $73,264.68 $74,687.30 $73,975.99 2025-05-16
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $73,264.68 $74,687.30 $73,975.99 2025-05-16
8633 APR_DRG Neonatal Aftercare 7 7 — — $73,139.42 $74,559.61 $73,849.52 2025-05-16
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $72,804.30 $74,217.98 $73,511.14 2025-05-16
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $72,804.30 $74,217.98 $73,511.14 2025-05-16
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 21 — — $71,964.34 $164,421.40 $105,319.86 2025-05-16
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $71,509.21 $72,897.74 $72,203.48 2025-05-16
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $71,375.14 $72,761.06 $72,068.10 2025-05-16
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $71,375.14 $72,761.06 $72,068.10 2025-05-16
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $71,178.94 $72,561.06 $71,870.00 2025-05-16
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $71,178.94 $72,561.06 $71,870.00 2025-05-16
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $69,791.90 $71,147.09 $70,469.50 2025-05-16
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $69,305.21 $70,650.94 $69,978.07 2025-05-16
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $68,887.88 $70,225.51 $69,556.70 2025-05-16
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 21 — — $68,599.16 $156,458.28 $100,219.10 2025-05-16
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $68,389.13 $69,717.07 $69,053.10 2025-05-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 21 — — $68,266.84 $155,671.88 $99,715.37 2025-05-16
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 18 18 — — $67,452.66 $121,414.79 $67,452.66 2025-05-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 33 21 — — $67,238.21 $153,237.78 $98,156.22 2025-05-16
1794 APR_DRG Defibrillator Implants 7 7 — — $66,567.37 $67,859.94 $67,213.65 2025-05-16
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $66,137.98 $67,422.21 $66,780.10 2025-05-16
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 21 — — $66,044.82 $150,413.79 $96,347.31 2025-05-16
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $66,020.85 $67,302.81 $66,661.83 2025-05-16
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $65,652.96 $66,927.78 $66,290.37 2025-05-16
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $65,487.13 $66,758.73 $66,122.93 2025-05-16
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $65,464.97 $66,736.13 $66,100.55 2025-05-16
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 33 21 — — $64,894.23 $147,691.13 $94,603.32 2025-05-16
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 33 21 — — $64,654.06 $147,122.81 $94,239.28 2025-05-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 21 — — $64,548.88 $146,873.89 $94,079.84 2025-05-16
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $64,515.31 $65,768.03 $65,141.67 2025-05-16
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $63,270.07 $64,498.61 $63,884.34 2025-05-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 33 21 — — $62,683.37 $142,459.48 $91,252.19 2025-05-16
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 21 — — $62,596.80 $142,254.62 $91,120.97 2025-05-16
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $61,820.80 $63,021.20 $62,421.00 2025-05-16
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $61,820.80 $63,021.20 $62,421.00 2025-05-16
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $61,640.16 $62,837.06 $62,238.61 2025-05-16
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $61,635.39 $62,832.19 $62,233.79 2025-05-16
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $61,518.55 $62,713.09 $62,115.82 2025-05-16
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 21 — — $61,353.11 $139,311.68 $89,235.87 2025-05-16
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $61,314.21 $62,504.78 $61,909.49 2025-05-16
6903 APR_DRG Acute Leukemia 7 7 — — $61,260.38 $62,449.91 $61,855.14 2025-05-16
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $60,922.36 $62,105.32 $61,513.84 2025-05-16
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $60,524.26 $61,699.49 $61,111.88 2025-05-16
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $60,181.43 $61,350.00 $60,765.71 2025-05-16
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 33 21 — — $60,143.89 $136,450.24 $87,402.98 2025-05-16
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $60,077.91 $61,244.47 $60,661.19 2025-05-16
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 33 21 — — $60,069.42 $136,274.02 $87,290.10 2025-05-16
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $59,820.26 $60,981.82 $60,401.04 2025-05-16
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 21 — — $59,806.91 $135,652.83 $86,892.20 2025-05-16
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 21 — — $59,606.76 $135,179.23 $86,588.84 2025-05-16
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 21 — — $59,346.14 $134,562.44 $86,193.76 2025-05-16
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $59,345.53 $60,497.87 $59,921.70 2025-05-16
28 MS_DRG Spinal Procedures With Mcc 33 21 — — $59,074.32 $133,919.23 $85,781.75 2025-05-16
264 APR_DRG Other Nervous System And Related Procedures 7 7 — — $58,948.70 $60,093.34 $59,521.02 2025-05-16
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 33 21 — — $58,668.45 $132,958.81 $85,166.55 2025-05-16
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 33 21 — — $58,668.45 $132,958.81 $85,166.55 2025-05-16
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 21 — — $58,248.59 $131,965.34 $84,530.19 2025-05-16
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $58,005.64 $59,131.97 $58,568.81 2025-05-16
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $58,005.64 $59,131.97 $58,568.81 2025-05-16
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $58,005.64 $59,131.97 $58,568.81 2025-05-16
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 21 — — $57,862.29 $131,051.18 $83,944.62 2025-05-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 21 — — $57,820.42 $130,952.05 $89,005.55 2025-05-16
234 APR_DRG Spinal Procedures 7 7 — — $57,760.84 $58,882.41 $58,321.63 2025-05-16
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $57,715.15 $58,835.84 $58,275.50 2025-05-16
1783 APR_DRG External Heart Assist Systems 7 7 — — $57,645.30 $58,764.63 $58,204.96 2025-05-16
1782 APR_DRG External Heart Assist Systems 7 7 — — $57,645.30 $58,764.63 $58,204.96 2025-05-16
1781 APR_DRG External Heart Assist Systems 7 7 — — $57,645.30 $58,764.63 $58,204.96 2025-05-16
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 21 — — $57,256.28 $129,617.16 $83,026.06 2025-05-16
C9293 HCPCS Glucarpidase 1,000 Unit/1 Ml IV Injection - Reconstituted 1000 Unit/ml 84 44 $202,725.27 $152,043.96 25% off $57,168.53 $182,452.74 $132,278.23 2025-05-16
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $57,073.20 $58,181.41 $57,627.30 2025-05-16
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $56,885.26 $57,989.83 $57,437.55 2025-05-16
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 100 44 $307,938.32 $230,953.74 25% off $56,824.55 $667,861.12 $200,929.76 2025-05-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 21 — — $56,680.05 $128,253.62 $82,152.65 2025-05-16
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $56,027.68 $57,115.60 $56,571.64 2025-05-16
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 21 — — $55,908.36 $126,427.50 $80,982.93 2025-05-16
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $55,875.84 $56,960.81 $56,418.33 2025-05-16
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $55,845.11 $56,929.48 $56,387.29 2025-05-16
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 21 — — $55,589.07 $125,671.94 $80,498.96 2025-05-16
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 7 — — $55,489.91 $56,567.39 $56,028.65 2025-05-16
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $55,452.02 $56,528.76 $55,990.39 2025-05-16
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $55,238.49 $56,311.08 $55,774.78 2025-05-16
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $54,746.67 $55,809.72 $55,278.19 2025-05-16
274 APR_DRG Other Open Craniotomy 7 7 — — $54,686.84 $55,748.72 $55,217.78 2025-05-16
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $54,596.41 $55,656.53 $55,126.47 2025-05-16
653 MS_DRG Major Bladder Procedures With Mcc 33 21 — — $54,374.26 $122,797.29 $78,657.61 2025-05-16
460 MS_DRG DRG 460 2 1 — — $54,349.00 $60,388.00 $57,368.50 2025-05-16
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 21 — — $53,933.95 $121,755.36 $77,990.20 2025-05-16
834 MS_DRG Acute Leukemia With Mcc 33 21 — — $53,933.95 $121,755.36 $77,990.20 2025-05-16
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 21 — — $53,717.98 $121,244.31 $77,662.85 2025-05-16
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $53,645.16 $54,686.81 $54,165.99 2025-05-16
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 21 — — $53,405.18 $120,504.17 $77,188.76 2025-05-16
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 33 21 — — $53,131.50 $119,856.55 $76,773.92 2025-05-16
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 21 — — $53,016.09 $119,583.40 $76,598.96 2025-05-16
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 21 — — $52,758.23 $118,973.23 $76,208.11 2025-05-16
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 21 — — $52,710.75 $118,860.89 $76,136.15 2025-05-16
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 21 — — $52,705.16 $118,847.67 $76,127.68 2025-05-16
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 21 — — $52,006.06 $117,193.37 $75,068.02 2025-05-16
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 21 — — $51,787.30 $116,675.71 $74,736.44 2025-05-16
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 33 21 — — $50,422.62 $113,446.40 $72,667.91 2025-05-16
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 21 — — $50,263.45 $113,069.72 $72,426.63 2025-05-16
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 21 — — $49,760.76 $111,880.21 $71,664.69 2025-05-16
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 33 21 — — $49,368.85 $110,952.83 $71,070.66 2025-05-16
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 21 — — $49,092.37 $110,298.60 $70,651.59 2025-05-16
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 21 — — $49,056.06 $110,212.69 $70,596.56 2025-05-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 21 — — $49,037.46 $110,168.64 $70,568.34 2025-05-16
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 21 — — $48,869.89 $109,772.13 $70,314.36 2025-05-16
245 MS_DRG Aicd Generator Procedures 33 21 — — $47,971.59 $107,646.43 $68,952.75 2025-05-16
6 MS_DRG Liver Transplant Without Mcc 33 21 — — $47,621.57 $106,818.18 $68,422.21 2025-05-16
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 21 — — $46,935.51 $105,194.71 $67,382.31 2025-05-16
799 MS_DRG Splenic Procedures With Mcc 33 21 — — $46,742.80 $104,738.73 $67,090.23 2025-05-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 21 — — $46,734.47 $104,718.91 $67,077.53 2025-05-16
0812 RC Hc Cadaver Donor - Pancreas 304 44 $203,840.00 $152,880.00 25% off $46,338.24 $242,424.00 $123,588.40 2025-05-16
0811 RC Hc Live Donor - Kidney 128 44 $164,320.00 $123,240.00 25% off $46,338.24 $183,456.00 $107,218.80 2025-05-16
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 21 — — $46,276.44 $103,635.13 $66,383.32 2025-05-16
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 21 — — $46,041.84 $103,080.03 $66,027.75 2025-05-16
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 33 21 — — $45,784.94 $102,472.05 $65,638.31 2025-05-16
163 MS_DRG Major Chest Procedures With Mcc 33 21 — — $45,387.43 $101,531.46 $65,035.81 2025-05-16
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 33 21 — — $45,369.74 $101,489.60 $65,009.00 2025-05-16
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 21 — — $45,232.91 $101,165.79 $64,801.59 2025-05-16
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 33 21 — — $45,226.39 $101,150.37 $64,791.71 2025-05-16
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 102 44 $249,917.09 $187,437.82 25% off $45,212.04 $454,674.59 $163,070.90 2025-05-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 21 — — $44,478.90 $99,381.52 $63,658.68 2025-05-16
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 33 21 — — $44,228.48 $98,788.97 $63,279.12 2025-05-16
J7330 HCPCS Implant, Maci Final, Product Assembled, Single 124 44 $156,756.00 $117,567.00 25% off $44,205.19 $687,533.04 $102,283.29 2025-05-16
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 21 — — $44,113.04 $98,515.82 $63,104.15 2025-05-16
901 MS_DRG Wound Debridements For Injuries With Mcc 33 21 — — $43,723.93 $97,595.05 $62,514.36 2025-05-16
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 33 21 — — $43,372.99 $96,764.60 $61,982.41 2025-05-16
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 33 21 — — $42,759.53 $95,312.95 $61,052.56 2025-05-16
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 21 — — $42,676.67 $95,116.90 $60,926.98 2025-05-16
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 33 21 — — $42,189.82 $93,964.84 $60,189.03 2025-05-16
140 MS_DRG Major Head And Neck Procedures With Mcc 33 21 — — $41,850.05 $93,160.82 $59,674.01 2025-05-16
31 MS_DRG Ventricular Shunt Procedures With Mcc 33 21 — — $41,490.72 $92,310.54 $59,129.37 2025-05-16
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 21 — — $41,481.43 $92,288.51 $59,115.26 2025-05-16
793 MS_DRG Full Term Neonate With Major Problems 33 21 — — $41,303.60 $91,867.77 $62,440.73 2025-05-16
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 33 21 — — $41,212.38 $91,651.90 $58,707.48 2025-05-16
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 33 21 — — $40,760.00 $90,581.34 $58,021.73 2025-05-16
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 21 — — $40,738.58 $90,530.67 $57,989.28 2025-05-16
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 21 — — $40,681.79 $90,396.30 $57,903.21 2025-05-16
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 21 — — $40,493.75 $89,951.34 $57,618.19 2025-05-16
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 21 — — $40,343.88 $89,596.69 $57,391.01 2025-05-16
791 MS_DRG Prematurity With Major Problems 33 21 — — $40,274.07 $89,431.48 $60,784.82 2025-05-16
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 33 21 — — $39,564.71 $87,752.94 $56,210.01 2025-05-16
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 33 21 — — $39,538.66 $87,691.27 $56,170.50 2025-05-16
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 21 — — $39,210.98 $86,915.88 $55,673.83 2025-05-16
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 33 21 — — $39,135.58 $86,737.45 $55,559.54 2025-05-16
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 33 21 — — $38,899.13 $86,177.94 $55,201.14 2025-05-16
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 33 21 — — $38,881.45 $86,136.09 $55,174.33 2025-05-16
34 MS_DRG Carotid Artery Stent Procedures With Mcc 33 21 — — $38,680.37 $85,660.28 $54,869.56 2025-05-16
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 33 21 — — $38,459.75 $85,138.22 $54,535.15 2025-05-16
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 33 21 — — $38,423.46 $85,052.31 $54,480.12 2025-05-16
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 33 21 — — $38,322.90 $84,814.41 $54,327.73 2025-05-16
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 21 — — $38,063.18 $84,199.83 $53,934.06 2025-05-16
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 102 44 $133,364.40 $100,023.30 25% off $37,608.76 $544,951.93 $87,020.27 2025-05-16
0815 RC Hc Cord Blood Procurement 84 44 $104,963.00 $78,722.25 25% off $29,599.57 $94,466.70 $68,488.36 2025-05-16
L8688 HCPCS Generator, M1000-d, Sentiva Duo 82 44 $102,755.64 $77,066.73 25% off $28,977.09 $92,480.08 $63,364.26 2025-05-16
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 102 44 $114,548.67 $85,911.51 25% off $27,070.53 $262,970.89 $74,743.01 2025-05-16
J9600 HCPCS Porfimer 2.5 Mg/ml IV Syringe 102 44 $105,199.05 $78,899.29 25% off $24,228.42 $232,847.23 $68,642.38 2025-05-16
A9604 HCPCS Samarium Sm 153 Lexidronam 5,550 Mbq/3 Ml Intravenous Solution 100 44 $88,888.25 $66,666.19 25% off $4,314.91 $176,050.47 $57,999.58 2025-05-16
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 102 44 $131,153.51 $98,365.14 25% off $3,565.32 $118,038.16 $85,577.66 2025-05-16
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 102 44 $116,476.42 $87,357.32 25% off $2,658.13 $104,828.78 $76,000.87 2025-05-16
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 102 44 $156,047.54 $117,035.66 25% off $2,441.49 $140,442.79 $101,821.02 2025-05-16
C9399 HCPCS Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 216 44 $3,080,000.00 $2,310,000.00 25% off $2,178.45 $3,069,000.00 $1,705,000.00 2025-05-16
38230 CPT Hc Bone Marrow Harvest Transplantation Allogeneic 102 44 $131,958.00 $98,968.50 25% off $1,519.68 $118,762.20 $86,102.60 2025-05-16
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 102 44 $686,636.63 $514,977.48 25% off $1,248.60 $617,972.97 $448,030.41 2025-05-16
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 81 44 $128,920.57 $96,690.43 25% off $655.92 $116,028.51 $84,120.67 2025-05-16
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 102 44 $116,612.85 $87,459.64 25% off $641.83 $104,951.57 $76,089.88 2025-05-16
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 102 44 $224,883.36 $168,662.52 25% off $484.40 $202,395.02 $146,736.39 2025-05-16
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 102 44 $83,988.16 $62,991.12 25% off $352.56 $75,589.34 $54,802.27 2025-05-16
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 102 44 $105,240.36 $78,930.27 25% off $340.04 $94,716.32 $68,669.34 2025-05-16
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 102 44 $171,000.60 $128,250.45 25% off $338.53 $153,900.54 $111,577.89 2025-05-16
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 102 44 $112,071.97 $84,053.98 25% off $214.76 $100,864.77 $73,126.96 2025-05-16
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 102 44 $133,461.89 $100,096.42 25% off $212.00 $120,115.70 $87,083.88 2025-05-16
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 143 44 $200,850.00 $150,637.50 25% off $186.31 $180,765.00 $106,450.50 2025-05-16
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 100 44 $148,062.50 $111,046.88 25% off $169.06 $133,256.25 $96,610.78 2025-05-16
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 102 44 $215,735.77 $161,801.83 25% off $138.24 $194,162.19 $140,767.59 2025-05-16
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 102 44 $94,723.08 $71,042.31 25% off $136.56 $85,250.77 $61,806.81 2025-05-16
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 102 44 $86,294.33 $64,720.75 25% off $132.73 $77,664.90 $56,307.05 2025-05-16
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 102 44 $222,207.83 $166,655.88 25% off $116.47 $199,987.05 $144,990.61 2025-05-16
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 102 44 $131,667.49 $98,750.62 25% off $61.43 $118,500.74 $85,913.04 2025-05-16
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 102 44 $98,446.22 $73,834.67 25% off $57.81 $88,601.60 $64,236.16 2025-05-16
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