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

SOUTH POINTE HOSPITAL

Warrensville Heights, OH · CCN 360144 · Rates published

23,282 distinct procedures filed
39 distinct payers
1,305,719 rate rows
2025-06-28 last MRF observed · ⚠ 12 mo old
Data quality

856,058 of 1,305,719 rate rows are consumer-grade (65.6%)

449,661 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 394,851
per-diem day rate — not a per-procedure price 42,699
placeholder amount (≤ $0.02) — excluded from medians 8,151
template filing: same amount across many unrelated codes — excluded 2,853
percent-of-charges filed in the dollar field — excluded from medians 838
exceeds 10× this hospital's gross charge — excluded from medians 269

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/southpointe
Found on page https://my.clevelandclinic.org/patients/billing-finance/comprehensive-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint a4940b8bcfaff17c… · 24,019,049 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 14 $3,654,350.00 $4,040,190.00 $3,672,900.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 13 $3,605,000.00 $3,965,500.00 $3,605,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $3,325,454.76 $3,658,000.24 $3,325,454.76 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 14 $3,286,000.00 $4,483,344.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 14 $2,968,000.00 $4,596,480.00 $2,968,000.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 23 $1,698,300.00 $4,948,785.00 $2,740,462.83 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 17 $2,332,000.00 $4,540,800.00 $2,425,280.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 34 $518,240.68 $2,848,960.04 $1,469,677.33 nat. median
$753,246
2.0× median
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 34 $507,495.55 $2,505,866.40 $1,314,326.92 nat. median
$674,867
1.9× median
Q2041
HCPCS 		Yescarta Intravenous Suspension 34 $459,381.45 $2,417,184.00 $1,267,813.00 nat. median
$634,303
2.0× median
Q2054
HCPCS 		Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 34 $474,060.62 $2,339,891.68 $1,227,273.19 nat. median
$673,137
1.8× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 34 $449,440.00 $2,217,600.00 $1,163,131.20 nat. median
$619,808
1.9× median
005-I
MS_DRG 		Intestinal - Adult 2 $563,700.00 $563,700.00 $563,700.00 —
005-LA
MS_DRG 		Liver (Live Donor) - Adult 2 $561,500.00 $561,500.00 $561,500.00 —
006-LA
MS_DRG 		Liver (Live Donor) - Adult 2 $561,500.00 $561,500.00 $561,500.00 —
005-LP
MS_DRG 		Liver (Live Donor) - Pediatric 2 $560,500.00 $560,500.00 $560,500.00 —
006-LP
MS_DRG 		Liver (Live Donor) - Pediatric 2 $560,500.00 $560,500.00 $560,500.00 —
005-DA
MS_DRG 		Liver (Deceased Donor) - Adult 2 $486,600.00 $486,600.00 $486,600.00 —
006-DA
MS_DRG 		Liver (Deceased Donor) - Adult 2 $486,600.00 $486,600.00 $486,600.00 —
014-U
MS_DRG 		Allogeneic Unrelated Bmt ? Adult & Pediatric 2 $481,200.00 $481,200.00 $481,200.00 —
005-DP
MS_DRG 		Liver (Deceased Donor) -pediatric 2 $471,700.00 $471,700.00 $471,700.00 —
006-DP
MS_DRG 		Liver (Deceased Donor) -pediatric 2 $471,700.00 $471,700.00 $471,700.00 —
002-P
MS_DRG 		Heart - Pediatric 2 $444,900.00 $444,900.00 $444,900.00 —
003-P
MS_DRG 		Heart - Pediatric 2 $444,900.00 $444,900.00 $444,900.00 —
007-D
MS_DRG 		Lung (Double) - Adult 2 $433,900.00 $433,900.00 $433,900.00 —
007-S
MS_DRG 		Lung (Single) - Adult 2 $428,300.00 $428,300.00 $428,300.00 —
014-R
MS_DRG 		Allogeneic Related Bmt ? Adult & Pediatric 2 $428,000.00 $428,000.00 $428,000.00 —
002-A
MS_DRG 		Heart - Adult 2 $361,500.00 $361,500.00 $361,500.00 —
001-A
MS_DRG 		Heart - Adult 3 $36,400.00 $361,500.00 $361,500.00 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 16 $282,151.60 $584,548.40 $290,616.15 nat. median
$370,174
0.8× median
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 39 $4,926.00 $859,327.20 $258,915.29 nat. median
$8,223
outlier · 31.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $210,875.89 $436,608.65 $217,202.17 nat. median
$265,286
0.8× median
5884
APR_DRG 		8 $184,812.76 $197,372.85 $191,989.95 nat. median
$246,434
0.8× median
5834
APR_DRG 		8 $178,779.19 $190,929.23 $185,722.07 nat. median
$309,665
0.6× median
5833
APR_DRG 		8 $178,779.19 $190,929.23 $185,722.07 nat. median
$244,017
0.8× median
652-C
MS_DRG 		Kidney Transplant - Cadaveric 1 $185,100.00 $185,100.00 $185,100.00 —
650-C
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc - Cadaveric 1 $185,100.00 $185,100.00 $185,100.00 —
651-C
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc - Cadaveric 1 $185,100.00 $185,100.00 $185,100.00 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $177,678.12 $367,703.40 $183,008.46 nat. median
$206,474
0.9× median
5832
APR_DRG 		8 $170,055.35 $181,612.51 $176,659.44 nat. median
$156,126
1.1× median
5831
APR_DRG 		8 $170,055.35 $181,612.51 $176,659.44 nat. median
$144,745
1.2× median
1614
APR_DRG 		8 $169,396.52 $180,908.90 $175,975.02 nat. median
$207,730
0.8× median
650-D
MS_DRG 		Kidney (Deceased) - Adult & Pediatric 2 $175,300.00 $175,300.00 $175,300.00 —
651-D
MS_DRG 		Kidney (Deceased) - Adult & Pediatric 2 $175,300.00 $175,300.00 $175,300.00 —
652-D
MS_DRG 		Kidney (Deceased) - Adult & Pediatric 2 $175,300.00 $175,300.00 $175,300.00 —
652-LD
MS_DRG 		Kidney Transplant - Live Donor 1 $170,100.00 $170,100.00 $170,100.00 —
650-LD
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc - Live Donor 1 $170,100.00 $170,100.00 $170,100.00 —
651-LD
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc - Live Donor 1 $170,100.00 $170,100.00 $170,100.00 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $41,100.00 $332,189.80 $162,976.59 nat. median
$202,976
0.8× median
652-L
MS_DRG 		Kidney (Live Donor) - Adult & Pediatric 2 $161,100.00 $161,100.00 $161,100.00 —

Other procedures at this hospital

Browse this hospital's 23,282 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 16 14 — — $3,654,350.00 $4,040,190.00 $3,672,900.00 2025-06-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 15 13 — — $3,605,000.00 $3,965,500.00 $3,605,000.00 2025-06-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 14 — — $3,325,454.76 $3,658,000.24 $3,325,454.76 2025-06-28
J3394 HCPCS Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension 16 14 — — $3,286,000.00 $4,483,344.00 $3,286,000.00 2025-06-28
J3393 HCPCS Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension 17 14 — — $2,968,000.00 $4,596,480.00 $2,968,000.00 2025-06-28
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 38 23 — $4,972,500.00 $1,698,300.00 $4,948,785.00 $2,740,462.83 2025-06-28
J3392 HCPCS Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 24 17 — — $2,332,000.00 $4,540,800.00 $2,425,280.00 2025-06-28
Q2042 HCPCS Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 94 34 $2,848,960.04 $1,851,824.03 35% off $518,240.68 $2,848,960.04 $1,469,677.33 2025-06-28
Q2056 HCPCS Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 56 34 $2,505,866.40 $1,628,813.16 35% off $507,495.55 $2,505,866.40 $1,314,326.92 2025-06-28
Q2041 HCPCS Yescarta Intravenous Suspension 56 34 $2,417,184.00 $1,571,169.60 35% off $459,381.45 $2,417,184.00 $1,267,813.00 2025-06-28
Q2054 HCPCS Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 56 34 $2,339,891.68 $1,520,929.59 35% off $474,060.62 $2,339,891.68 $1,227,273.19 2025-06-28
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 56 34 $2,217,600.00 $1,441,440.00 35% off $449,440.00 $2,217,600.00 $1,163,131.20 2025-06-28
005-I MS_DRG Intestinal - Adult 2 2 — — $563,700.00 $563,700.00 $563,700.00 2025-06-28
006-LA MS_DRG Liver (Live Donor) - Adult 2 2 — — $561,500.00 $561,500.00 $561,500.00 2025-06-28
005-LA MS_DRG Liver (Live Donor) - Adult 2 2 — — $561,500.00 $561,500.00 $561,500.00 2025-06-28
006-LP MS_DRG Liver (Live Donor) - Pediatric 2 2 — — $560,500.00 $560,500.00 $560,500.00 2025-06-28
005-LP MS_DRG Liver (Live Donor) - Pediatric 2 2 — — $560,500.00 $560,500.00 $560,500.00 2025-06-28
006-DA MS_DRG Liver (Deceased Donor) - Adult 2 2 — — $486,600.00 $486,600.00 $486,600.00 2025-06-28
005-DA MS_DRG Liver (Deceased Donor) - Adult 2 2 — — $486,600.00 $486,600.00 $486,600.00 2025-06-28
014-U MS_DRG Allogeneic Unrelated Bmt ? Adult & Pediatric 2 2 — — $481,200.00 $481,200.00 $481,200.00 2025-06-28
006-DP MS_DRG Liver (Deceased Donor) -pediatric 2 2 — — $471,700.00 $471,700.00 $471,700.00 2025-06-28
005-DP MS_DRG Liver (Deceased Donor) -pediatric 2 2 — — $471,700.00 $471,700.00 $471,700.00 2025-06-28
003-P MS_DRG Heart - Pediatric 2 2 — — $444,900.00 $444,900.00 $444,900.00 2025-06-28
002-P MS_DRG Heart - Pediatric 2 2 — — $444,900.00 $444,900.00 $444,900.00 2025-06-28
007-D MS_DRG Lung (Double) - Adult 2 2 — — $433,900.00 $433,900.00 $433,900.00 2025-06-28
007-S MS_DRG Lung (Single) - Adult 2 2 — — $428,300.00 $428,300.00 $428,300.00 2025-06-28
014-R MS_DRG Allogeneic Related Bmt ? Adult & Pediatric 2 2 — — $428,000.00 $428,000.00 $428,000.00 2025-06-28
002-A MS_DRG Heart - Adult 2 2 — — $361,500.00 $361,500.00 $361,500.00 2025-06-28
001-A MS_DRG Heart - Adult 3 3 — — $36,400.00 $361,500.00 $361,500.00 2025-06-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 25 16 — — $282,151.60 $584,548.40 $290,616.15 2025-06-28
J0225 HCPCS Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 65 39 $859,327.20 $558,562.68 35% off $4,926.00 $859,327.20 $258,915.29 2025-06-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 16 — — $210,875.89 $436,608.65 $217,202.17 2025-06-28
5884 APR_DRG — 8 8 — — $184,812.76 $197,372.85 $191,989.95 2025-06-28
5834 APR_DRG — 8 8 — — $178,779.19 $190,929.23 $185,722.07 2025-06-28
5833 APR_DRG — 8 8 — — $178,779.19 $190,929.23 $185,722.07 2025-06-28
650-C MS_DRG Kidney Transplant With Hemodialysis With Mcc - Cadaveric 1 1 — — $185,100.00 $185,100.00 $185,100.00 2025-06-28
652-C MS_DRG Kidney Transplant - Cadaveric 1 1 — — $185,100.00 $185,100.00 $185,100.00 2025-06-28
651-C MS_DRG Kidney Transplant With Hemodialysis Without Mcc - Cadaveric 1 1 — — $185,100.00 $185,100.00 $185,100.00 2025-06-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 16 — — $177,678.12 $367,703.40 $183,008.46 2025-06-28
5832 APR_DRG — 8 8 — — $170,055.35 $181,612.51 $176,659.44 2025-06-28
5831 APR_DRG — 8 8 — — $170,055.35 $181,612.51 $176,659.44 2025-06-28
1614 APR_DRG — 8 8 — — $169,396.52 $180,908.90 $175,975.02 2025-06-28
650-D MS_DRG Kidney (Deceased) - Adult & Pediatric 2 2 — — $175,300.00 $175,300.00 $175,300.00 2025-06-28
652-D MS_DRG Kidney (Deceased) - Adult & Pediatric 2 2 — — $175,300.00 $175,300.00 $175,300.00 2025-06-28
651-D MS_DRG Kidney (Deceased) - Adult & Pediatric 2 2 — — $175,300.00 $175,300.00 $175,300.00 2025-06-28
650-LD MS_DRG Kidney Transplant With Hemodialysis With Mcc - Live Donor 1 1 — — $170,100.00 $170,100.00 $170,100.00 2025-06-28
651-LD MS_DRG Kidney Transplant With Hemodialysis Without Mcc - Live Donor 1 1 — — $170,100.00 $170,100.00 $170,100.00 2025-06-28
652-LD MS_DRG Kidney Transplant - Live Donor 1 1 — — $170,100.00 $170,100.00 $170,100.00 2025-06-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 17 — — $41,100.00 $332,189.80 $162,976.59 2025-06-28
651-L MS_DRG Kidney ( Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2025-06-28
652-L MS_DRG Kidney (Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2025-06-28
650-L MS_DRG Kidney ( Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2025-06-28
0024 APR_DRG — 8 8 — — $148,982.24 $159,107.25 $154,767.96 2025-06-28
1613 APR_DRG — 8 8 — — $131,100.69 $140,010.44 $136,191.98 2025-06-28
1612 APR_DRG — 8 8 — — $131,100.69 $140,010.44 $136,191.98 2025-06-28
1611 APR_DRG — 8 8 — — $131,100.69 $140,010.44 $136,191.98 2025-06-28
0074 APR_DRG — 8 8 — — $127,351.93 $136,006.92 $132,297.64 2025-06-28
8414 APR_DRG — 8 8 — — $118,543.31 $126,599.65 $123,146.93 2025-06-28
8413 APR_DRG — 8 8 — — $118,543.31 $126,599.65 $123,146.93 2025-06-28
8411 APR_DRG — 8 8 — — $118,543.31 $126,599.65 $123,146.93 2025-06-28
8412 APR_DRG — 8 8 — — $118,543.31 $126,599.65 $123,146.93 2025-06-28
6094 APR_DRG — 8 8 — — $118,534.48 $126,590.22 $123,137.76 2025-06-28
6304 APR_DRG — 8 8 — — $115,036.80 $122,854.83 $119,504.24 2025-06-28
J2779 HCPCS Susvimo 10 Mg/0.1 Ml Intravitreal Solution 57 34 $288,000.00 $187,200.00 35% off $79.08 $288,000.00 $114,912.00 2025-06-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 17 — — $28,700.00 $219,015.00 $107,632.35 2025-06-28
6314 APR_DRG — 8 8 — — $101,540.76 $108,441.59 $105,484.09 2025-06-28
14 MS_DRG Allogeneic Bone Marrow Transplant 28 18 — — $12,900.00 $4,334,979.46 $102,297.95 2025-06-28
7 MS_DRG Lung Transplant 27 17 — — $26,000.00 $4,868,232.55 $101,060.48 2025-06-28
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $97,225.26 $97,225.26 $97,225.26 2025-06-28
5883 APR_DRG — 8 8 — — $93,358.75 $99,703.52 $96,984.33 2025-06-28
5881 APR_DRG — 8 8 — — $88,803.15 $94,838.32 $92,251.82 2025-06-28
5882 APR_DRG — 8 8 — — $88,803.15 $94,838.32 $92,251.82 2025-06-28
5934 APR_DRG — 8 8 — — $86,060.52 $91,909.29 $89,402.67 2025-06-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 16 — — $82,814.86 $4,055,315.72 $86,127.46 2025-06-28
C9293 HCPCS Voraxaze 1000 Unit Intravenous Solution 48 33 $148,226.40 $96,347.16 35% off $902.96 $148,226.40 $83,006.79 2025-06-28
5914 APR_DRG — 8 8 — — $79,893.82 $85,323.50 $82,996.50 2025-06-28
215 MS_DRG Other Heart Assist System Implant 25 16 — — $79,641.82 $164,219.40 $82,031.07 2025-06-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 16 — — $13,964.00 $168,855.45 $81,875.42 2025-06-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 17 — — $27,200.00 $165,065.70 $81,250.30 2025-06-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $17,771.00 $162,368.70 $78,750.18 2025-06-28
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 65 39 $175,562.52 $114,115.64 35% off $16,296.34 $175,562.52 $78,453.65 2025-06-28
1604 APR_DRG — 8 8 — — $73,492.38 $78,487.01 $76,346.46 2025-06-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 17 — — $13,964.00 $283,600.00 $72,594.53 2025-06-28
27879075_IP CDM Tavr Device Kit 1 1 $105,000.00 $68,250.00 35% off $70,245.00 $70,245.00 $70,245.00 2025-06-28
850 MS_DRG Acute Leukemia With Other Procedures 25 16 — — $46,072.00 $142,784.45 $69,314.70 2025-06-28
001-C MS_DRG Deep Brain Stimulation Bilateral 1 1 — — $69,100.00 $69,100.00 $69,100.00 2025-06-28
0021 APR_DRG — 8 8 — — $66,036.89 $70,524.84 $68,601.43 2025-06-28
0022 APR_DRG — 8 8 — — $66,036.89 $70,524.84 $68,601.43 2025-06-28
0023 APR_DRG — 8 8 — — $66,036.89 $70,524.84 $68,601.43 2025-06-28
0094 APR_DRG — 8 8 — — $65,930.56 $70,411.28 $68,490.97 2025-06-28
0454T HCPCS Insj/rplcmt Subq Electrode 8 8 — — $61,469.13 $71,174.79 $67,939.57 2025-06-28
0453T HCPCS Insj/rplcmt Mech-elec Ntrfce 8 8 — — $61,469.13 $71,174.79 $67,939.57 2025-06-28
27879075_OP CDM Tavr Device Kit 1 1 $105,000.00 $68,250.00 35% off $66,675.00 $66,675.00 $66,675.00 2025-06-28
J2777 HCPCS Vabysmo 6 Mg/0.05 Ml Intravitreal Solution 57 34 $164,854.80 $107,155.62 35% off $34.25 $164,854.80 $65,777.07 2025-06-28
27882225_IP CDM Sapien 3 Transcatheter Heart Valve 1 1 $97,500.00 $63,375.00 35% off $65,227.50 $65,227.50 $65,227.50 2025-06-28
27879075 CDM Tavr Device Kit 39 27 $105,000.00 $68,250.00 35% off $22,890.00 $105,000.00 $65,100.00 2025-06-28
A9543 HCPCS Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit 64 39 $148,248.86 $96,361.76 35% off $14,774.74 $148,248.86 $64,611.79 2025-06-28
0073 APR_DRG — 8 8 — — $62,154.78 $66,378.90 $64,568.56 2025-06-28
10 MS_DRG Pancreas Transplant 30 20 — — $10,700.00 $1,615,106.56 $63,967.04 2025-06-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 16 — — $13,964.00 $131,345.45 $63,803.52 2025-06-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 17 — — $13,964.00 $212,600.00 $63,768.42 2025-06-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 18 — — $59,721.66 $1,784,276.68 $63,603.57 2025-06-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 16 — — $17,771.00 $129,279.30 $62,808.08 2025-06-28
0044 APR_DRG — 8 8 — — $59,873.51 $63,942.58 $62,198.69 2025-06-28
27882225_OP CDM Sapien 3 Transcatheter Heart Valve 1 1 $97,500.00 $63,375.00 35% off $61,912.50 $61,912.50 $61,912.50 2025-06-28
J9248 HCPCS Hepzato (62 Mm Catheter) 50 Mg Intra-arterial Solution 65 39 $180,000.00 $117,000.00 35% off $693.50 $180,000.00 $61,560.00 2025-06-28
J0223 HCPCS Givlaari 189 Mg/ml Subcutaneous Solution 57 34 $153,417.60 $99,721.44 35% off $112.02 $153,417.60 $61,213.62 2025-06-28
6024 APR_DRG — 8 8 — — $58,903.52 $62,906.67 $61,191.03 2025-06-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 17 — — $13,964.00 $289,300.00 $60,720.85 2025-06-28
6074 APR_DRG — 8 8 — — $58,255.09 $62,214.17 $60,517.42 2025-06-28
27882225 CDM Sapien 3 Transcatheter Heart Valve 39 27 $97,500.00 $63,375.00 35% off $21,255.00 $97,500.00 $60,450.00 2025-06-28
27881015_IP CDM Mitraclip System 1 1 $90,000.00 $58,500.00 35% off $60,210.00 $60,210.00 $60,210.00 2025-06-28
J9274 HCPCS Kimmtrak 100 Mcg/0.5 Ml Intravenous Solution 65 39 $196,608.00 $127,795.20 35% off $208.93 $196,608.00 $59,237.99 2025-06-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 26 17 — — $13,964.00 $217,200.00 $58,893.49 2025-06-28
8504 APR_DRG — 8 8 — — $56,408.78 $60,242.39 $58,599.42 2025-06-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 17 — — $13,964.00 $193,600.00 $58,304.29 2025-06-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 16 — — $56,263.36 $115,695.10 $57,951.26 2025-06-28
27881015_OP CDM Mitraclip System 1 1 $90,000.00 $58,500.00 35% off $57,150.00 $57,150.00 $57,150.00 2025-06-28
3034 APR_DRG — 8 8 — — $54,698.21 $58,415.57 $56,822.41 2025-06-28
8514 APR_DRG — 8 8 — — $54,589.90 $58,299.89 $56,709.89 2025-06-28
38240 HCPCS Trnsplj Allogeneic Hematopoietic Cells Per Donor 64 39 $131,220.00 $85,293.00 35% off $1,558.77 $131,220.00 $56,448.36 2025-06-28
5933 APR_DRG — 8 8 — — $53,849.93 $57,509.64 $55,941.19 2025-06-28
27881015 CDM Mitraclip System 39 27 $90,000.00 $58,500.00 35% off $19,620.00 $90,000.00 $55,800.00 2025-06-28
J0177 HCPCS Eylea Hd 8 Mg/0.07 Ml Intravitreal Solution For Injection 57 34 $137,700.00 $89,505.00 35% off $333.70 $137,700.00 $55,768.50 2025-06-28
0014 APR_DRG — 8 8 — — $52,549.48 $56,120.80 $54,590.23 2025-06-28
J0178 HCPCS Eylea 2 Mg/0.05 Ml Intravitreal Syringe 57 34 $136,530.00 $88,744.50 35% off $821.98 $136,530.00 $54,475.47 2025-06-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 17 — — $17,771.00 $269,394.00 $54,367.24 2025-06-28
J9029 HCPCS Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 65 39 $72,000.00 $46,800.00 35% off $15,984.00 $144,556.65 $54,000.00 2025-06-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 16 — — $13,964.00 $109,538.50 $53,297.18 2025-06-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 16 — — $51,514.63 $105,838.65 $53,060.07 2025-06-28
6303 APR_DRG — 8 8 — — $50,812.99 $54,266.30 $52,786.31 2025-06-28
J3357 HCPCS Stelara 45 Mg/0.5 Ml Subcutaneous Solution 99 39 $104,945.34 $68,214.47 35% off $152.57 $104,945.34 $52,472.63 2025-06-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 17 — — $11,984.00 $194,500.00 $52,472.00 2025-06-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 16 — — $50,398.96 $103,522.95 $51,910.93 2025-06-28
0084 APR_DRG — 8 8 — — $49,879.27 $53,269.13 $51,816.33 2025-06-28
0072 APR_DRG — 8 8 — — $49,755.54 $53,136.99 $51,687.79 2025-06-28
0071 APR_DRG — 8 8 — — $49,755.54 $53,136.99 $51,687.79 2025-06-28
6334 APR_DRG — 8 8 — — $49,542.67 $52,909.65 $51,466.66 2025-06-28
8424 APR_DRG — 8 8 — — $49,495.89 $52,859.69 $51,418.06 2025-06-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 17 — — $48,818.04 $148,400.00 $50,770.76 2025-06-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 16 — — $15,763.00 $103,922.85 $50,591.62 2025-06-28
J2778 HCPCS Darvocet-n 50 50 Mg-325 Mg Tab 99 39 $140,400.00 $91,260.00 35% off $137.14 $140,400.00 $50,544.00 2025-06-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 16 — — $13,964.00 $159,178.00 $50,314.57 2025-06-28
6093 APR_DRG — 8 8 — — $48,175.18 $51,449.22 $50,046.06 2025-06-28
6023 APR_DRG — 8 8 — — $47,621.17 $50,857.57 $49,470.54 2025-06-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 16 — — $47,750.90 $98,026.65 $49,183.43 2025-06-28
J9269 HCPCS Elzonris 1000 Mcg/ml Intravenous Solution 65 39 $162,031.92 $105,320.75 35% off $326.65 $162,031.92 $48,820.22 2025-06-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 17 — — $13,964.00 $223,200.00 $48,748.59 2025-06-28
J1930 HCPCS Somatuline Depot 60 Mg/0.2 Ml Subcutaneous Syringe 125 34 $109,584.00 $71,229.60 35% off $48.00 $109,584.00 $48,648.00 2025-06-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 18 — — $45,597.21 $1,120,812.31 $48,561.03 2025-06-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 18 — — $45,597.21 $1,120,812.31 $48,561.03 2025-06-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 16 — — $46,510.51 $95,452.10 $47,905.83 2025-06-28
6092 APR_DRG — 8 8 — — $45,824.39 $48,938.67 $47,603.98 2025-06-28
6091 APR_DRG — 8 8 — — $45,824.39 $48,938.67 $47,603.98 2025-06-28
6114 APR_DRG — 8 8 — — $45,667.95 $48,771.60 $47,441.47 2025-06-28
1834 APR_DRG — 8 8 — — $45,456.29 $48,545.55 $47,221.58 2025-06-28
0043 APR_DRG — 8 8 — — $45,368.54 $48,451.84 $47,130.43 2025-06-28
8634 APR_DRG — 8 8 — — $45,302.38 $48,381.18 $47,061.69 2025-06-28
1784 APR_DRG — 8 8 — — $45,287.27 $48,365.04 $47,046.00 2025-06-28
6904 APR_DRG — 8 8 — — $45,110.18 $48,175.92 $46,862.03 2025-06-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 16 — — $13,964.00 $96,013.20 $46,780.84 2025-06-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 16 — — $17,771.00 $95,889.20 $46,721.10 2025-06-28
6214 APR_DRG — 8 8 — — $44,842.98 $47,890.56 $46,584.45 2025-06-28
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 26 17 — — $13,964.00 $116,800.00 $46,349.96 2025-06-28
J9600 HCPCS Photofrin 75 Mg Intravenous Solution 64 39 $111,950.40 $72,767.76 35% off $16,296.34 $111,950.40 $46,224.04 2025-06-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 16 — — $13,964.00 $94,684.85 $46,140.86 2025-06-28
5913 APR_DRG — 8 8 — — $44,256.60 $47,264.33 $45,975.30 2025-06-28
28 MS_DRG Spinal Procedures With Mcc 26 17 — — $13,964.00 $108,100.00 $45,922.80 2025-06-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 17 — — $44,002.10 $207,900.00 $45,762.18 2025-06-28
001-B MS_DRG Deep Brain Stimulation Unilateral 1 1 — — $45,300.00 $45,300.00 $45,300.00 2025-06-28
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 27 18 — — $13,964.00 $173,600.00 $45,260.41 2025-06-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $13,964.00 $92,214.15 $44,950.50 2025-06-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 15 — — $5,351.00 $92,144.40 $44,916.90 2025-06-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 17 — — $13,964.00 $168,400.00 $44,464.35 2025-06-28
6124 APR_DRG — 8 8 — — $42,690.18 $45,591.46 $44,348.05 2025-06-28
J0179 HCPCS Beovu 6 Mg/0.05 Ml Intravitreal Syringe 65 39 $147,062.88 $95,590.87 35% off $325.68 $147,062.88 $44,310.05 2025-06-28
0054 APR_DRG — 8 8 — — $42,268.39 $45,141.00 $43,909.88 2025-06-28
653 MS_DRG Major Bladder Procedures With Mcc 26 17 — — $42,152.35 $144,700.00 $43,838.44 2025-06-28
8 MS_DRG Simultaneous Pancreas/kidney Transplant 30 20 — — $26,000.00 $1,224,682.79 $43,830.51 2025-06-28
471A MS_DRG Bilateral Total Hip Replacement Proc. Of Lower Extremitv 1 1 — — $43,800.00 $43,800.00 $43,800.00 2025-06-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 26 17 — — $41,799.12 $152,300.00 $43,471.08 2025-06-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 17 — — $13,964.00 $158,200.00 $43,383.03 2025-06-28
J7352 HCPCS Scenesse 16 Mg Subcutaneous Implant 64 39 $120,982.00 $78,638.30 35% off $2,873.33 $120,982.00 $43,251.07 2025-06-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 17 — — $13,964.00 $139,200.00 $43,126.88 2025-06-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 17 — — $41,062.81 $128,400.00 $42,705.32 2025-06-28
3033 APR_DRG — 8 8 — — $41,025.80 $43,813.96 $42,619.03 2025-06-28
6073 APR_DRG — 8 8 — — $40,937.44 $43,719.60 $42,527.25 2025-06-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 17 — — $40,855.95 $188,200.00 $42,490.19 2025-06-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 17 — — $17,771.00 $203,786.00 $42,250.26 2025-06-28
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 25 16 — — $40,817.86 $83,636.45 $42,042.40 2025-06-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 16 — — $40,813.38 $83,627.15 $42,037.78 2025-06-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 17 — — $17,771.00 $228,300.00 $41,995.58 2025-06-28
5894 APR_DRG — 8 8 — — $40,376.49 $43,120.53 $41,944.51 2025-06-28
5893 APR_DRG — 8 8 — — $40,376.49 $43,120.53 $41,944.51 2025-06-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 17 — — $13,964.00 $160,500.00 $41,799.12 2025-06-28
33276 HCPCS Insj Phrnc Nrv Stim Sys 24 19 — — $17,282.87 $45,888.99 $41,717.26 2025-06-28
0266T HCPCS Implt/rpl Crtd Sns Dev Total 24 19 — — $17,282.87 $45,888.99 $41,717.26 2025-06-28
6814 APR_DRG — 8 8 — — $39,714.53 $42,413.58 $41,256.85 2025-06-28
6954 APR_DRG — 8 8 — — $39,488.35 $42,172.02 $41,021.87 2025-06-28
3004 APR_DRG — 8 8 — — $39,337.61 $42,011.04 $40,865.28 2025-06-28
1634 APR_DRG — 8 8 — — $39,164.73 $41,826.41 $40,685.69 2025-06-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 26 17 — — $13,964.00 $158,100.00 $40,252.56 2025-06-28
1624 APR_DRG — 8 8 — — $38,722.91 $41,354.57 $40,226.71 2025-06-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 17 — — $13,964.00 $146,600.00 $40,077.07 2025-06-28
6313 APR_DRG — 8 8 — — $38,536.81 $41,155.82 $40,033.39 2025-06-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 17 — — $38,451.34 $144,100.00 $39,989.40 2025-06-28
5892 APR_DRG — 8 8 — — $38,406.26 $41,016.39 $39,897.76 2025-06-28
5891 APR_DRG — 8 8 — — $38,406.26 $41,016.39 $39,897.76 2025-06-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 17 — — $38,136.95 $159,900.00 $39,662.43 2025-06-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 17 — — $37,915.16 $171,600.00 $39,431.76 2025-06-28
0224 APR_DRG — 8 8 — — $37,658.29 $40,217.60 $39,120.75 2025-06-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 16 — — $15,763.00 $95,704.00 $38,982.30 2025-06-28
0083 APR_DRG — 8 8 — — $37,466.48 $40,012.74 $38,921.49 2025-06-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 16 — — $14,362.00 $120,149.00 $38,854.60 2025-06-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 17 — — $13,964.00 $120,500.00 $38,567.84 2025-06-28
0111 APR_DRG — 8 8 — — $37,110.93 $39,633.03 $38,552.13 2025-06-28
0114 APR_DRG — 8 8 — — $37,110.93 $39,633.03 $38,552.13 2025-06-28
0113 APR_DRG — 8 8 — — $37,110.93 $39,633.03 $38,552.13 2025-06-28
0112 APR_DRG — 8 8 — — $37,110.93 $39,633.03 $38,552.13 2025-06-28
6 MS_DRG Liver Transplant Without Mcc 26 16 — — $36,735.26 $1,609,905.30 $38,204.67 2025-06-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 16 — — $13,964.00 $77,551.15 $37,886.04 2025-06-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 17 — — $11,984.00 $124,000.00 $37,871.10 2025-06-28
7924 APR_DRG — 8 8 — — $36,448.16 $38,925.22 $37,863.62 2025-06-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 17 — — $13,964.00 $185,200.00 $37,736.68 2025-06-28
C9766 HCPCS Revasc Endov W/ivl W/atherectomy Incl Angioplasty 56 34 $90,220.00 $58,643.00 35% off $5,688.00 $90,220.00 $37,666.85 2025-06-28
Q5128 HCPCS Cimerli 0.5 Mg/0.05 Ml Intravitreal Solution 65 39 $97,920.00 $63,648.00 35% off $201.01 $97,920.00 $37,650.24 2025-06-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 16 — — $36,184.89 $74,020.25 $37,270.44 2025-06-28
799 MS_DRG Splenic Procedures With Mcc 25 16 — — $36,030.31 $73,699.40 $37,111.22 2025-06-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 16 — — $36,023.58 $73,685.45 $37,104.29 2025-06-28
245 MS_DRG Aicd Generator Procedures 26 17 — — $13,964.00 $120,547.00 $37,016.05 2025-06-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 17 — — $35,467.99 $112,000.00 $36,886.71 2025-06-28
9504 APR_DRG — 8 8 — — $35,420.37 $37,827.58 $36,795.92 2025-06-28
471 MS_DRG Cervical Spinal Fusion With Mcc 26 17 — — $13,964.00 $125,500.00 $36,795.75 2025-06-28
471B MS_DRG Bilateral Total Knee Replacement Proc. Of Low Extr 1 1 — — $36,700.00 $36,700.00 $36,700.00 2025-06-28
163 MS_DRG Major Chest Procedures With Mcc 26 17 — — $34,943.00 $119,500.00 $36,340.72 2025-06-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 16 — — $34,928.82 $622,206.65 $36,325.97 2025-06-28
6022 APR_DRG — 8 8 — — $34,841.94 $37,209.84 $36,195.03 2025-06-28
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 26 17 — — $13,964.00 $159,600.00 $35,656.17 2025-06-28
6034 APR_DRG — 8 8 — — $34,285.67 $36,615.77 $35,617.15 2025-06-28
6033 APR_DRG — 8 8 — — $34,285.67 $36,615.77 $35,617.15 2025-06-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 17 — — $34,214.15 $103,500.00 $35,582.71 2025-06-28
8633 APR_DRG — 8 8 — — $34,226.16 $36,552.21 $35,555.33 2025-06-28
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 64 39 $99,288.57 $64,537.57 35% off $1,210.10 $99,288.57 $35,495.67 2025-06-28
J0202 HCPCS Lemtrada 12 Mg/1.2 Ml Intravenous Solution 65 39 $117,798.96 $76,569.32 35% off $2,337.69 $117,798.96 $35,492.83 2025-06-28
2994 APR_DRG — 8 8 — — $34,090.62 $36,407.46 $35,414.53 2025-06-28
J9281 HCPCS Jelmyto 40 Mg X 2 Intra-pyelocalyceal Kit 65 39 $117,504.00 $76,377.60 35% off $300.59 $117,504.00 $35,403.96 2025-06-28
5931 APR_DRG — 8 8 — — $34,066.93 $36,382.16 $35,389.92 2025-06-28
5932 APR_DRG — 8 8 — — $34,066.93 $36,382.16 $35,389.92 2025-06-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 16 — — $13,964.00 $117,356.00 $35,261.88 2025-06-28
0620T HCPCS Endovascular Venous Arterialization Tibl/prnl Vn 67 39 $82,502.00 $53,626.30 35% off $5,834.00 $82,502.00 $35,042.61 2025-06-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 16 — — $34,013.27 $69,512.85 $35,033.67 2025-06-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 17 — — $13,964.00 $127,500.00 $34,819.04 2025-06-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 17 — — $11,984.00 $117,800.00 $34,813.81 2025-06-28
0914 APR_DRG — 8 8 — — $33,451.62 $35,725.03 $34,750.71 2025-06-28
33902 HCPCS Perq P-art Revsc St 1st Abnor Connj Unilateral 67 39 $90,220.00 $58,643.00 35% off $5,291.34 $90,220.00 $34,689.59 2025-06-28
5912 APR_DRG — 8 8 — — $33,387.92 $35,657.01 $34,684.54 2025-06-28
5911 APR_DRG — 8 8 — — $33,387.92 $35,657.01 $34,684.54 2025-06-28
901 MS_DRG Wound Debridements For Injuries With Mcc 25 16 — — $33,608.52 $68,672.75 $34,616.78 2025-06-28
6301 APR_DRG — 8 8 — — $33,294.71 $35,557.46 $34,587.71 2025-06-28
6302 APR_DRG — 8 8 — — $33,294.71 $35,557.46 $34,587.71 2025-06-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 17 — — $13,964.00 $135,700.00 $33,920.67 2025-06-28
2004 APR_DRG — 8 8 — — $32,635.70 $34,853.67 $33,903.11 2025-06-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 16 — — $32,834.87 $67,066.95 $33,819.92 2025-06-28
36836 HCPCS Perq Av Fistula Creation Uxtr Single Access 64 39 $90,220.00 $58,643.00 35% off $2,842.25 $90,220.00 $33,697.17 2025-06-28
36837 HCPCS Perq Av Fistula Creation Uxtr Sep Access Sites 64 39 $90,220.00 $58,643.00 35% off $2,842.25 $90,220.00 $33,697.17 2025-06-28
3044 APR_DRG — 8 8 — — $32,404.47 $34,606.72 $33,662.90 2025-06-28
9104 APR_DRG — 8 8 — — $32,206.19 $34,394.97 $33,456.92 2025-06-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 18 — — $16,400.00 $97,400.00 $33,349.18 2025-06-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 16 — — $17,771.00 $68,088.40 $33,326.99 2025-06-28
1833 APR_DRG — 8 8 — — $31,969.22 $34,141.89 $33,210.75 2025-06-28
J9229 HCPCS Besponsa 0.9 Mg(0.25 Mg/ml Initial Concentration) Intravenous Solution 65 39 $109,958.40 $71,472.96 35% off $2,580.15 $109,958.40 $33,130.47 2025-06-28
27818685_IP CDM Watchman Device Cap Ea Add 1 1 $49,500.00 $32,175.00 35% off $33,115.50 $33,115.50 $33,115.50 2025-06-28
27818680_IP CDM Watchman Device Cap 1-3 Units 1 1 $49,500.00 $32,175.00 35% off $33,115.50 $33,115.50 $33,115.50 2025-06-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 17 — — $31,809.55 $64,938.80 $33,081.93 2025-06-28
140 MS_DRG Major Head And Neck Procedures With Mcc 25 16 — — $32,105.27 $65,552.60 $33,068.43 2025-06-28
C1824 HCPCS Generator, Cardiac Contractility Modulation (implantable) 126 30 $52,000.00 $33,800.00 35% off $204.00 $63,250.00 $32,778.62 2025-06-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 17 — — $13,964.00 $145,800.00 $32,768.40 2025-06-28
J2507 HCPCS Krystexxa 8 Mg/ml Intravenous Solution 65 39 $108,080.82 $70,252.53 35% off $3,391.91 $108,080.82 $32,564.75 2025-06-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 16 — — $13,964.00 $66,020.70 $32,330.79 2025-06-28
1794 APR_DRG — 8 8 — — $31,103.69 $33,217.54 $32,311.60 2025-06-28
Q5124 HCPCS Byooviz 0.5 Mg/0.05 Ml Intravitreal Solution 65 39 $83,800.80 $54,470.52 35% off $149.75 $83,800.80 $32,221.41 2025-06-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 16 — — $31,213.62 $63,701.90 $32,150.03 2025-06-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 17 — — $30,896.99 $111,300.00 $32,132.87 2025-06-28
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 25 16 — — $31,168.07 $63,607.35 $32,103.11 2025-06-28
1674 APR_DRG — 8 8 — — $30,899.68 $32,999.66 $32,099.67 2025-06-28
0214 APR_DRG — 8 8 — — $30,844.03 $32,940.23 $32,041.86 2025-06-28
1204 APR_DRG — 8 8 — — $30,669.24 $32,753.56 $31,860.28 2025-06-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 17 — — $13,964.00 $79,700.00 $31,817.01 2025-06-28
0053 APR_DRG — 8 8 — — $30,590.45 $32,669.42 $31,778.43 2025-06-28
J2781 HCPCS Syfovre (pf) 15 Mg/0.1 Ml Intravitreal Solution 57 34 $79,628.40 $51,758.46 35% off $147.36 $79,628.40 $31,771.73 2025-06-28
6604 APR_DRG — 8 8 — — $30,579.93 $32,658.18 $31,767.50 2025-06-28
793 MS_DRG Full Term Neonate With Major Problems 20 15 — — $5,351.00 $64,642.75 $31,666.91 2025-06-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 16 — — $13,964.00 $101,681.00 $31,593.73 2025-06-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 17 — — $17,771.00 $132,220.00 $31,482.48 2025-06-28
27818685_OP CDM Watchman Device Cap Ea Add 1 1 $49,500.00 $32,175.00 35% off $31,432.50 $31,432.50 $31,432.50 2025-06-28
27818680_OP CDM Watchman Device Cap 1-3 Units 1 1 $49,500.00 $32,175.00 35% off $31,432.50 $31,432.50 $31,432.50 2025-06-28
1603 APR_DRG — 8 8 — — $30,128.73 $32,176.31 $31,298.77 2025-06-28
27881005_IP CDM Watchman Device Nct 02699957 1 1 $46,750.00 $30,387.50 35% off $31,275.75 $31,275.75 $31,275.75 2025-06-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 17 — — $13,964.00 $130,900.00 $31,230.80 2025-06-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 16 — — $30,271.94 $61,747.35 $31,180.10 2025-06-28
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