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

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Hospital

UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER

Elyria, OH · CCN 360145 · Rates published

16,620 distinct procedures filed
42 distinct payers
1,826,935 rate rows
2025-05-16 last MRF observed · ⚠ 13 mo old
Data quality

1,823,542 of 1,826,935 rate rows are consumer-grade (99.8%)

3,393 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 2,248
placeholder amount (≤ $0.02) — excluded from medians 427
per-diem day rate — not a per-procedure price 303
exceeds 10× this hospital's gross charge — excluded from medians 177
template filing: same amount across many unrelated codes — excluded 150
percent-of-charges filed in the dollar field — excluded from medians 88

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old.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/7903/340714612-1841299039_university-hospitals-health-system_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/ElyriaMedicalCenter/7903
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 23fd87e7251bbdb3… · 4,543,156,467 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 $3,685,964.44 $4,508,825.00 $4,091,758.69 nat. median
$3,669,056
1.1× 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
$3,004,655
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
$2,468,984
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 42 $2,526.08 $3,069,000.00 $1,524,600.00 nat. median
$2,475
outlier · 616.0×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 42 $527,622.46 $2,310,120.86 $1,469,089.00 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 $1,436,870.60 nat. median
$673,137
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 42 $502,840.73 $1,849,365.00 $1,397,298.00 nat. median
$634,303
outlier · 2.2×
Q2053
HCPCS 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 42 $489,399.16 $1,849,365.00 $1,397,298.00 nat. median
$619,808
outlier · 2.3×
Q2042
HCPCS 		Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 42 $578,771.12 $2,201,625.00 $1,306,246.00 nat. median
$753,246
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 $995,704.74 $553,169.30 nat. median
$674,867
0.8× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 41 $1,248.60 $617,972.97 $466,912.91 nat. median
$2,675
outlier · 174.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $248,924.68 $534,578.94 $357,517.34 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $186,110.56 $399,285.65 $281,711.17 nat. median
$265,286
1.1× median
C9301
HCPCS 		Apc 18 $278,250.00 $500,850.00 $278,250.00 nat. median
$459,112
0.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $239,388.05 $244,036.36 $241,712.20 nat. median
$246,434
1.0× median
5833
APR_DRG 		Neonate With Ecmo 7 $231,595.64 $236,092.65 $233,844.15 nat. median
$244,017
1.0× median
5834
APR_DRG 		Neonate With Ecmo 7 $231,595.64 $236,092.65 $233,844.15 nat. median
$309,665
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 21 $156,853.91 $336,270.69 $224,892.14 nat. median
$206,474
1.1× median
5832
APR_DRG 		Neonate With Ecmo 7 $220,328.74 $224,606.97 $222,467.86 nat. median
$156,126
1.4× median
5831
APR_DRG 		Neonate With Ecmo 7 $220,328.74 $224,606.97 $222,467.86 nat. median
$144,745
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $219,477.85 $223,739.55 $221,608.70 nat. median
$207,730
1.1× median
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 42 $56,824.55 $277,144.49 $209,398.06 nat. median
$62,507
outlier · 3.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 21 $141,775.08 $303,792.93 $203,171.57 nat. median
$202,976
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $193,112.66 $196,862.42 $194,987.54 nat. median
$234,729
0.8× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $170,018.50 $173,319.83 $171,669.16 nat. median
$76,806
outlier · 2.2×
1613
APR_DRG 		Implantable Heart Assist Systems 7 $170,018.50 $173,319.83 $171,669.16 nat. median
$119,796
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems 7 $170,018.50 $173,319.83 $171,669.16 nat. median
$85,444
outlier · 2.0×
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 42 $45,212.04 $224,925.38 $169,943.62 nat. median
$60,368
outlier · 2.8×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $165,176.96 $168,384.28 $166,780.62 nat. median
$187,061
0.9× median
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $153,800.56 $156,786.98 $155,293.77 nat. median
$34,381
outlier · 4.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $153,800.56 $156,786.98 $155,293.77 nat. median
$160,267
1.0× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $153,800.56 $156,786.98 $155,293.77 nat. median
$66,693
outlier · 2.3×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $153,800.56 $156,786.98 $155,293.77 nat. median
$35,675
outlier · 4.4×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $153,789.15 $156,775.34 $155,282.24 nat. median
$162,982
1.0× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 41 $484.40 $202,395.02 $152,920.68 nat. median
$798
outlier · 191.5×
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 41 $116.47 $199,987.05 $151,101.33 nat. median
$167
outlier · 904.2×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $149,271.86 $152,170.35 $150,721.11 nat. median
$150,721
1.0× median
C9150
HCPCS 		Lab/Radiology 1 $149,760.00 $149,760.00 $149,760.00 nat. median
$775
outlier · 193.3×
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 41 $138.24 $194,162.19 $146,700.32 nat. median
$3,461
outlier · 42.4×
90288
CPT 		Botulism Ig IV 1 $146,115.00 $146,115.00 $146,115.00 nat. median
$55,037
outlier · 2.7×
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 42 $66,291.16 $182,452.74 $137,853.18 nat. median
$21,216
outlier · 6.5×
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 21 $93,721.90 $200,292.75 $133,952.40 nat. median
$133,161
1.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $131,841.64 $134,401.67 $133,121.65 nat. median
$122,924
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $86,955.13 $185,718.02 $124,205.06 nat. median
$117,357
1.1× median

Other procedures at this hospital

Browse this hospital's 16,620 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
             
S3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 6 2 — — $3,685,964.44 $4,508,825.00 $4,091,758.69 2025-05-16
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
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
C9399 HCPCS Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 196 42 $3,080,000.00 $2,310,000.00 25% off $2,526.08 $3,069,000.00 $1,524,600.00 2025-05-16
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 136 42 $2,160,425.00 $1,620,318.75 25% off $527,622.46 $2,310,120.86 $1,469,089.00 2025-05-16
Q2054 HCPCS Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 97 42 $2,113,045.00 $1,584,783.75 25% off $516,442.29 $1,901,740.50 $1,436,870.60 2025-05-16
Q2053 HCPCS Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 97 42 $2,054,850.00 $1,541,137.50 25% off $489,399.16 $1,849,365.00 $1,397,298.00 2025-05-16
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 97 42 $2,054,850.00 $1,541,137.50 25% off $502,840.73 $1,849,365.00 $1,397,298.00 2025-05-16
Q2042 HCPCS Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 136 42 $1,920,950.00 $1,440,712.50 25% off $578,771.12 $2,201,625.00 $1,306,246.00 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 18 18 — — $553,169.30 $995,704.74 $553,169.30 2025-05-16
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 96 41 $686,636.63 $514,977.48 25% off $1,248.60 $617,972.97 $466,912.91 2025-05-16
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 21 — — $248,924.68 $534,578.94 $357,517.34 2025-05-16
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 21 — — $186,110.56 $399,285.65 $281,711.17 2025-05-16
C9301 HCPCS Apc 18 18 — — $278,250.00 $500,850.00 $278,250.00 2025-05-16
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $239,388.05 $244,036.36 $241,712.20 2025-05-16
5834 APR_DRG Neonate With Ecmo 7 7 — — $231,595.64 $236,092.65 $233,844.15 2025-05-16
5833 APR_DRG Neonate With Ecmo 7 7 — — $231,595.64 $236,092.65 $233,844.15 2025-05-16
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 31 21 — — $156,853.91 $336,270.69 $224,892.14 2025-05-16
5831 APR_DRG Neonate With Ecmo 7 7 — — $220,328.74 $224,606.97 $222,467.86 2025-05-16
5832 APR_DRG Neonate With Ecmo 7 7 — — $220,328.74 $224,606.97 $222,467.86 2025-05-16
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $219,477.85 $223,739.55 $221,608.70 2025-05-16
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 97 42 $307,938.32 $230,953.74 25% off $56,824.55 $277,144.49 $209,398.06 2025-05-16
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 31 21 — — $141,775.08 $303,792.93 $203,171.57 2025-05-16
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $193,112.66 $196,862.42 $194,987.54 2025-05-16
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $170,018.50 $173,319.83 $171,669.16 2025-05-16
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $170,018.50 $173,319.83 $171,669.16 2025-05-16
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $170,018.50 $173,319.83 $171,669.16 2025-05-16
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 97 42 $249,917.09 $187,437.82 25% off $45,212.04 $224,925.38 $169,943.62 2025-05-16
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $165,176.96 $168,384.28 $166,780.62 2025-05-16
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $153,800.56 $156,786.98 $155,293.77 2025-05-16
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $153,800.56 $156,786.98 $155,293.77 2025-05-16
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $153,800.56 $156,786.98 $155,293.77 2025-05-16
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $153,800.56 $156,786.98 $155,293.77 2025-05-16
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $153,789.15 $156,775.34 $155,282.24 2025-05-16
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 96 41 $224,883.36 $168,662.52 25% off $484.40 $202,395.02 $152,920.68 2025-05-16
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 96 41 $222,207.83 $166,655.88 25% off $116.47 $199,987.05 $151,101.33 2025-05-16
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $149,271.86 $152,170.35 $150,721.11 2025-05-16
C9150 HCPCS Lab/Radiology 1 1 — — $149,760.00 $149,760.00 $149,760.00 2025-05-16
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 96 41 $215,735.77 $161,801.83 25% off $138.24 $194,162.19 $146,700.32 2025-05-16
90288 CPT Botulism Ig IV 1 1 — — $146,115.00 $146,115.00 $146,115.00 2025-05-16
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 79 42 $202,725.27 $152,043.96 25% off $66,291.16 $182,452.74 $137,853.18 2025-05-16
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 31 21 — — $93,721.90 $200,292.75 $133,952.40 2025-05-16
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $131,841.64 $134,401.67 $133,121.65 2025-05-16
14 MS_DRG Allogeneic Bone Marrow Transplant 31 21 — — $86,955.13 $185,718.02 $124,205.06 2025-05-16
7 MS_DRG Lung Transplant 31 21 — — $86,737.94 $185,250.24 $123,892.22 2025-05-16
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $121,274.51 $123,629.35 $122,451.93 2025-05-16
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $115,390.92 $117,631.52 $116,511.22 2025-05-16
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $115,390.92 $117,631.52 $116,511.22 2025-05-16
J9269 HCPCS Tagraxofusp-erzs 1000 Mcg/ml Ns IV - Reconstituted 100 Mcg/ml 96 41 $171,000.60 $128,250.45 25% off $338.53 $153,900.54 $116,280.41 2025-05-16
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $111,848.79 $114,020.61 $112,934.70 2025-05-16
222 MS_DRG DRG Carveouts 4 2 — — $88,672.75 $121,976.00 $110,250.52 2025-05-16
223 MS_DRG DRG Carveouts 4 2 — — $88,656.35 $121,976.00 $110,241.30 2025-05-16
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 21 — — $73,252.44 $161,892.60 $110,208.02 2025-05-16
J7330 HCPCS Implant, Maci Final, Product Assembled, Single 117 42 $156,756.00 $117,567.00 25% off $51,259.21 $282,160.80 $106,594.08 2025-05-16
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 96 41 $156,047.54 $117,035.66 25% off $2,441.49 $140,442.79 $106,112.33 2025-05-16
215 MS_DRG Other Heart Assist System Implant 33 21 — — $70,456.09 $150,181.29 $105,958.59 2025-05-16
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $103,884.46 $105,901.64 $104,893.05 2025-05-16
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 21 — — $72,424.53 $154,421.03 $103,274.17 2025-05-16
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 21 — — $70,815.43 $150,955.25 $100,956.31 2025-05-16
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 96 41 $148,062.50 $111,046.88 25% off $169.06 $133,256.25 $100,682.50 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… 31 21 — — $69,670.31 $148,488.80 $99,306.79 2025-05-16
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $95,616.95 $97,473.59 $96,545.27 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
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 134 41 $200,850.00 $150,637.50 25% off $186.31 $180,765.00 $92,792.70 2025-05-16
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 96 41 $133,461.89 $100,096.42 25% off $212.00 $120,115.70 $90,754.09 2025-05-16
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 97 42 $133,364.40 $100,023.30 25% off $43,610.16 $120,027.96 $90,687.79 2025-05-16
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 21 — — $64,245.43 $136,804.34 $89,840.22 2025-05-16
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 96 41 $131,667.49 $98,750.62 25% off $61.43 $118,500.74 $89,533.90 2025-05-16
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 96 41 $131,153.51 $98,365.14 25% off $3,565.32 $118,038.16 $89,184.38 2025-05-16
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 69 37 $128,920.57 $96,690.43 25% off $218.64 $116,028.51 $87,665.99 2025-05-16
850 MS_DRG Acute Leukemia With Other Procedures 31 21 — — $61,354.96 $130,578.68 $87,328.81 2025-05-16
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $85,988.13 $87,657.80 $86,822.96 2025-05-16
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $85,988.13 $87,657.80 $86,822.96 2025-05-16
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $85,988.13 $87,657.80 $86,822.96 2025-05-16
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $85,850.80 $87,517.80 $86,684.30 2025-05-16
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 134 41 $177,906.55 $133,429.92 25% off $180.22 $160,115.90 $82,014.92 2025-05-16
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $80,974.36 $82,546.67 $81,760.52 2025-05-16
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 96 41 $116,612.85 $87,459.64 25% off $641.83 $104,951.57 $79,296.74 2025-05-16
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 96 41 $116,476.42 $87,357.32 25% off $2,658.13 $104,828.78 $79,203.96 2025-05-16
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 21 — — $55,620.78 $118,228.01 $79,068.89 2025-05-16
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $78,028.07 $79,543.18 $78,785.63 2025-05-16
227 MS_DRG DRG Carveouts 4 2 — — $64,099.40 $85,382.00 $78,301.55 2025-05-16
226 MS_DRG DRG Carveouts 4 2 — — $64,099.40 $85,382.00 $78,301.55 2025-05-16
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 97 42 $114,548.67 $85,911.51 25% off $27,070.53 $103,093.80 $77,893.10 2025-05-16
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 21 — — $56,498.04 $120,117.53 $77,887.70 2025-05-16
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $76,775.32 $78,266.11 $77,520.72 2025-05-16
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $75,937.88 $77,412.41 $76,675.14 2025-05-16
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 21 — — $53,781.34 $114,266.09 $76,419.23 2025-05-16
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 96 41 $112,071.97 $84,053.98 25% off $214.76 $100,864.77 $76,208.94 2025-05-16
10 MS_DRG Pancreas Transplant 31 21 — — $53,201.54 $113,017.28 $75,584.04 2025-05-16
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 21 — — $52,900.77 $112,369.48 $75,150.80 2025-05-16
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $73,553.36 $74,981.58 $74,267.47 2025-05-16
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 33 21 — — $52,170.93 $110,797.47 $74,099.47 2025-05-16
03060 EAPG Ventricular Assist Device Procedures 7 7 — — $73,052.24 $74,470.73 $73,761.48 2025-05-16
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $71,344.14 $72,729.47 $72,036.81 2025-05-16
225 MS_DRG DRG Carveouts 2 1 — — $68,200.42 $75,778.25 $71,989.33 2025-05-16
224 MS_DRG DRG Carveouts 2 1 — — $68,200.42 $75,778.25 $71,989.33 2025-05-16
8514 APR_DRG Gender Related Procedures 7 7 — — $71,204.25 $72,586.86 $71,895.55 2025-05-16
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 96 41 $105,240.36 $78,930.27 25% off $340.04 $94,716.32 $71,563.45 2025-05-16
J9600 HCPCS Porfimer 2.5 Mg/ml IV Syringe 97 42 $105,199.05 $78,899.29 25% off $24,228.42 $94,679.15 $71,535.35 2025-05-16
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $70,248.58 $71,612.63 $70,930.60 2025-05-16
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 21 — — $49,853.03 $105,805.04 $70,760.62 2025-05-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 21 — — $51,651.67 $109,679.06 $69,830.17 2025-05-16
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $68,569.03 $69,900.46 $69,234.74 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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 21 — — $47,473.92 $100,680.77 $67,333.60 2025-05-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 21 — — $47,238.98 $125,519.92 $66,995.16 2025-05-16
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $66,326.36 $67,614.25 $66,970.30 2025-05-16
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 96 41 $98,446.22 $73,834.67 25% off $57.81 $88,601.60 $66,943.43 2025-05-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 21 — — $44,610.46 $94,513.23 $66,682.67 2025-05-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 31 21 — — $46,511.75 $98,608.39 $65,947.62 2025-05-16
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $65,120.45 $66,384.93 $65,752.69 2025-05-16
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $64,960.64 $66,222.01 $65,591.32 2025-05-16
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $64,960.64 $66,222.01 $65,591.32 2025-05-16
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $64,685.72 $65,941.75 $65,313.74 2025-05-16
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $64,625.30 $65,880.16 $65,252.73 2025-05-16
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 21 — — $45,668.05 $96,791.15 $64,732.28 2025-05-16
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 21 — — $43,230.38 $95,700.00 $64,585.46 2025-05-16
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 96 41 $94,723.08 $71,042.31 25% off $136.56 $85,250.77 $64,411.69 2025-05-16
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 21 — — $44,854.62 $95,039.12 $63,560.56 2025-05-16
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $62,919.60 $64,141.34 $63,530.47 2025-05-16
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 21 — — $44,684.82 $94,673.41 $63,315.97 2025-05-16
L8688 HCPCS Generator, M1000-d, Sentiva Duo 72 42 $102,755.64 $77,066.73 25% off $33,601.09 $92,480.08 $63,202.43 2025-05-16
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $62,204.10 $63,411.95 $62,808.02 2025-05-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 31 21 — — $43,291.59 $91,672.56 $61,309.06 2025-05-16
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 21 — — $40,932.23 $86,590.82 $61,093.11 2025-05-16
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $59,883.53 $61,046.32 $60,464.92 2025-05-16
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $59,883.53 $61,046.32 $60,464.92 2025-05-16
A9604 HCPCS Samarium Sm 153 Lexidronam 5,550 Mbq/3 Ml Intravenous Solution 97 42 $88,888.25 $66,666.19 25% off $4,314.91 $79,999.43 $60,444.01 2025-05-16
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $59,681.50 $60,840.36 $60,260.93 2025-05-16
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $59,408.12 $60,561.68 $59,984.90 2025-05-16
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 21 — — $42,351.12 $89,646.95 $59,954.36 2025-05-16
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $59,294.80 $60,446.16 $59,870.48 2025-05-16
8634 APR_DRG Neonatal Aftercare 7 7 — — $59,209.35 $60,359.05 $59,784.20 2025-05-16
1784 APR_DRG External Heart Assist Systems 7 7 — — $59,189.84 $60,339.15 $59,764.49 2025-05-16
6904 APR_DRG Acute Leukemia 7 7 — — $58,961.12 $60,106.00 $59,533.56 2025-05-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 21 — — $28,922.42 $120,050.91 $59,290.47 2025-05-16
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $58,616.03 $59,754.21 $59,185.12 2025-05-16
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 31 21 — — $41,496.24 $87,805.62 $58,722.91 2025-05-16
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 96 41 $86,294.33 $64,720.75 25% off $132.73 $77,664.90 $58,680.14 2025-05-16
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 21 — — $41,443.60 $87,692.22 $58,647.07 2025-05-16
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $57,858.72 $58,982.19 $58,420.45 2025-05-16
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 21 — — $41,258.00 $87,292.49 $58,379.74 2025-05-16
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 21 — — $39,454.76 $83,408.54 $58,270.22 2025-05-16
28 MS_DRG Spinal Procedures With Mcc 31 21 — — $40,740.08 $86,176.91 $57,633.66 2025-05-16
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 31 21 — — $40,453.12 $85,558.88 $57,220.33 2025-05-16
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 31 21 — — $40,453.12 $85,558.88 $57,220.33 2025-05-16
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 96 41 $83,988.16 $62,991.12 25% off $352.56 $75,589.34 $57,111.94 2025-05-16
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 21 — — $40,156.31 $84,919.59 $56,792.78 2025-05-16
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 21 — — $39,883.19 $95,700.00 $56,399.36 2025-05-16
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $55,835.68 $56,919.87 $56,377.78 2025-05-16
J2502 HCPCS Pasireotide Pamoate 40 Mg IM Suspension 96 41 $82,121.85 $61,591.39 25% off $526.94 $73,909.67 $55,842.86 2025-05-16
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $55,290.93 $56,364.54 $55,827.73 2025-05-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 21 — — $39,047.38 $82,531.10 $55,195.40 2025-05-16
38240 CPT Transplt Allo Hct/donor 24 18 — — $3,181.67 $98,689.15 $54,827.31 2025-05-16
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $53,686.11 $54,728.56 $54,207.34 2025-05-16
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $53,572.00 $54,612.23 $54,092.12 2025-05-16
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 21 — — $38,276.07 $80,869.79 $54,084.35 2025-05-16
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $52,847.54 $53,873.70 $53,360.62 2025-05-16
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $52,847.54 $53,873.70 $53,360.62 2025-05-16
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 21 — — $35,742.97 $75,413.84 $53,207.32 2025-05-16
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 21 — — $35,588.31 $75,080.72 $52,972.30 2025-05-16
653 MS_DRG Major Bladder Procedures With Mcc 31 21 — — $37,417.22 $79,019.96 $52,847.21 2025-05-16
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 97 42 $77,250.00 $57,937.50 25% off $25,260.75 $172,800.00 $52,530.00 2025-05-16
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $51,992.61 $53,002.17 $52,497.39 2025-05-16
834 MS_DRG Acute Leukemia With Mcc 31 21 — — $37,105.94 $78,349.48 $52,398.80 2025-05-16
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 21 — — $37,105.94 $78,349.48 $52,398.80 2025-05-16
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $51,700.49 $52,704.38 $52,202.44 2025-05-16
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 21 — — $36,953.26 $78,020.62 $52,178.87 2025-05-16
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 31 21 — — $36,732.12 $77,544.34 $51,860.34 2025-05-16
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $51,282.54 $52,278.31 $51,780.42 2025-05-16
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 21 — — $36,538.62 $77,127.59 $51,581.63 2025-05-16
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 96 41 $75,752.49 $56,814.37 25% off $194.08 $68,177.24 $51,511.69 2025-05-16
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 21 — — $36,457.03 $76,951.82 $51,464.08 2025-05-16
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $50,711.92 $51,696.61 $51,204.26 2025-05-16
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 21 — — $36,274.72 $76,559.18 $51,201.48 2025-05-16
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 21 — — $36,241.17 $76,486.88 $51,153.13 2025-05-16
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 21 — — $36,237.21 $76,478.38 $51,147.44 2025-05-16
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 21 — — $34,510.97 $72,760.28 $51,066.52 2025-05-16
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $50,471.57 $51,451.60 $50,961.58 2025-05-16
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $50,302.95 $51,279.71 $50,791.33 2025-05-16
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $50,302.95 $51,279.71 $50,791.33 2025-05-16
455 MS_DRG DRG Carveouts 2 1 — — $47,712.72 $53,014.02 $50,363.37 2025-05-16
453 MS_DRG DRG Carveouts 2 1 — — $47,712.72 $53,014.02 $50,363.37 2025-05-16
454 MS_DRG DRG Carveouts 2 1 — — $47,712.72 $53,014.02 $50,363.37 2025-05-16
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 21 — — $33,525.77 $70,638.28 $49,837.98 2025-05-16
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $49,336.96 $50,294.96 $49,815.96 2025-05-16
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $49,089.22 $50,042.41 $49,565.82 2025-05-16
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $48,630.04 $49,574.31 $49,102.18 2025-05-16
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $48,630.04 $49,574.31 $49,102.18 2025-05-16
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $48,630.04 $49,574.31 $49,102.18 2025-05-16
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $48,630.04 $49,574.31 $49,102.18 2025-05-16
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 31 21 — — $34,623.51 $73,002.67 $48,822.95 2025-05-16
L7181 HCPCS Electronic Elbo Simultaneous 18 18 — — $48,370.76 $87,067.37 $48,370.76 2025-05-16
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $47,774.06 $48,701.71 $48,237.88 2025-05-16
J1628 HCPCS Guselkumab 100 Mg/ml Subcutaneous Syringe 96 41 $70,893.10 $53,169.83 25% off $70.43 $63,803.79 $48,207.31 2025-05-16
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 21 — — $34,155.60 $71,994.83 $48,148.92 2025-05-16
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 21 — — $33,878.51 $71,398.06 $47,749.81 2025-05-16
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 97 42 $70,201.00 $52,650.75 25% off $22,955.73 $75,091.07 $47,736.68 2025-05-16
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 21 — — $33,683.04 $70,977.06 $47,468.26 2025-05-16
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 21 — — $33,657.38 $70,921.78 $47,431.28 2025-05-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 21 — — $33,644.23 $70,893.43 $47,412.32 2025-05-16
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 96 41 $69,344.76 $52,008.57 25% off $221.71 $62,410.28 $47,154.43 2025-05-16
L7180 HCPCS Electronic Elbow Sequential 18 18 — — $46,980.38 $84,564.68 $46,980.38 2025-05-16
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $46,446.67 $47,348.54 $46,897.60 2025-05-16
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 172 41 $68,405.39 $51,304.05 25% off $152.39 $123,129.76 $46,515.67 2025-05-16
245 MS_DRG Aicd Generator Procedures 33 21 — — $32,890.68 $69,270.39 $46,326.86 2025-05-16
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $45,699.62 $46,586.99 $46,143.30 2025-05-16
6 MS_DRG Liver Transplant Without Mcc 31 21 — — $32,643.23 $68,737.41 $45,970.42 2025-05-16
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 21 — — $30,954.50 $65,100.11 $45,930.59 2025-05-16
J9350 HCPCS Mosunetuzumab-axgb 1 Mg/ml Intravenous Solution 135 42 $98,373.24 $73,779.93 25% off $640.96 $88,535.92 $45,448.44 2025-05-16
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $44,981.19 $45,854.61 $45,417.90 2025-05-16
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $44,981.19 $45,854.61 $45,417.90 2025-05-16
8633 APR_DRG Neonatal Aftercare 7 7 — — $44,904.33 $45,776.26 $45,340.30 2025-05-16
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 21 — — $32,158.19 $67,692.71 $45,271.74 2025-05-16
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $44,698.69 $45,566.63 $45,132.66 2025-05-16
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $44,698.69 $45,566.63 $45,132.66 2025-05-16
799 MS_DRG Splenic Procedures With Mcc 31 21 — — $32,021.95 $67,399.29 $45,075.50 2025-05-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 21 — — $32,016.05 $67,386.53 $45,066.97 2025-05-16
A9572 HCPCS Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit 96 41 $66,218.70 $49,664.03 25% off $1,914.61 $59,596.83 $45,028.71 2025-05-16
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 21 — — $31,692.24 $66,689.12 $44,600.56 2025-05-16
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 21 — — $31,526.40 $66,331.91 $44,361.66 2025-05-16
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $43,904.01 $44,756.51 $44,330.26 2025-05-16
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $43,821.74 $44,672.65 $44,247.20 2025-05-16
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $43,821.74 $44,672.65 $44,247.20 2025-05-16
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $43,701.36 $44,549.93 $44,125.64 2025-05-16
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $43,701.36 $44,549.93 $44,125.64 2025-05-16
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 31 21 — — $31,344.76 $92,078.91 $44,100.01 2025-05-16
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 96 41 $64,818.73 $48,614.05 25% off $131.46 $58,336.86 $44,076.74 2025-05-16
163 MS_DRG Major Chest Procedures With Mcc 31 21 — — $31,063.74 $65,335.41 $43,695.22 2025-05-16
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 31 21 — — $31,051.23 $65,308.48 $43,677.20 2025-05-16
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 21 — — $30,949.90 $65,090.18 $43,531.21 2025-05-16
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $42,850.25 $43,682.29 $43,266.27 2025-05-16
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 21 — — $25,719.30 $86,987.72 $43,172.31 2025-05-16
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $42,551.61 $43,377.85 $42,964.73 2025-05-16
230 MS_DRG DRG Carveouts 2 1 — — $40,644.32 $45,160.48 $42,902.40 2025-05-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 21 — — $30,421.42 $63,951.93 $42,769.97 2025-05-16
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $42,295.54 $43,116.81 $42,706.18 2025-05-16
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 21 — — $30,244.38 $63,570.62 $42,514.96 2025-05-16
C1824 HCPCS Generator, Pulse, Optimizer Smart Ipg 72 42 $69,000.00 $51,750.00 25% off $22,563.00 $62,100.00 $42,440.18 2025-05-16
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 21 — — $30,162.77 $71,373.85 $42,397.40 2025-05-16
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $41,989.48 $42,804.81 $42,397.15 2025-05-16
901 MS_DRG Wound Debridements For Injuries With Mcc 31 21 — — $29,887.67 $62,802.34 $42,001.14 2025-05-16
0266T CPT Apc 23 18 — — $3,181.67 $75,091.07 $41,717.26 2025-05-16
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 31 21 — — $29,639.58 $62,267.94 $41,643.74 2025-05-16
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 33 21 — — $28,112.09 $58,977.92 $41,611.16 2025-05-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 21 — — $39,853.59 $79,481.98 $41,447.74 2025-05-16
1794 APR_DRG Defibrillator Implants 7 7 — — $40,871.64 $41,665.26 $41,268.45 2025-05-16
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 33 21 — — $27,792.25 $58,289.02 $41,125.11 2025-05-16
238 MS_DRG DRG Carveouts 2 1 — — $41,039.00 $41,039.00 $41,039.00 2025-05-16
237 MS_DRG DRG Carveouts 2 1 — — $41,039.00 $41,039.00 $41,039.00 2025-05-16
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 31 21 — — $29,205.87 $61,333.81 $41,019.01 2025-05-16
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $40,608.16 $41,396.67 $41,002.42 2025-05-16
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $40,536.29 $41,323.40 $40,929.84 2025-05-16
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $40,310.54 $41,093.27 $40,701.91 2025-05-16
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $40,208.79 $40,989.54 $40,599.17 2025-05-16
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $40,195.19 $40,975.68 $40,585.44 2025-05-16
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 21 — — $28,803.10 $60,466.30 $40,438.84 2025-05-16
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 21 — — $28,922.42 $81,356.00 $40,426.89 2025-05-16
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 31 21 — — $28,761.65 $60,377.00 $40,379.11 2025-05-16
140 MS_DRG Major Head And Neck Procedures With Mcc 31 21 — — $28,562.88 $59,948.91 $40,092.82 2025-05-16
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $39,612.46 $40,381.64 $39,997.05 2025-05-16
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 21 — — $28,308.85 $59,401.76 $39,726.89 2025-05-16
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 21 — — $28,302.28 $59,387.58 $39,717.41 2025-05-16
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $38,848.38 $39,602.71 $39,225.54 2025-05-16
33367 CPT Hc Cath Replace Aortic Valve W/byp Prq Art/venous Apprch 84 42 $57,653.00 $43,239.75 25% off $1,757.87 $51,887.70 $39,204.04 2025-05-16
33364 CPT Hc Cath Replace Aortic Valve Open Iliac Artery Approach 84 42 $57,653.00 $43,239.75 25% off $1,757.87 $51,887.70 $39,204.04 2025-05-16
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 33 21 — — $26,464.16 $55,428.50 $39,106.91 2025-05-16
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 21 — — $27,777.10 $58,256.42 $38,960.90 2025-05-16
J9321 HCPCS Epcoritamab-bysp 48 Mg/0.8 Ml Subcutaneous Solution 134 41 $84,223.03 $63,167.28 25% off $54.86 $75,800.73 $38,911.04 2025-05-16
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 21 — — $27,736.95 $58,169.95 $38,903.08 2025-05-16
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 19 18 — — $38,762.63 $69,772.73 $38,762.63 2025-05-16
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 31 21 — — $27,604.01 $57,883.61 $38,711.58 2025-05-16
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 21 — — $27,498.06 $57,655.40 $38,558.95 2025-05-16
J9316 HCPCS Pertuzumab 1,200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln 134 41 $70,291.17 $52,718.38 25% off $62.99 $63,262.05 $38,519.56 2025-05-16
246 MS_DRG DRG Carveouts 4 2 — — $35,487.55 $39,430.72 $38,355.00 2025-05-16
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $37,959.08 $38,696.15 $38,327.62 2025-05-16
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $37,959.08 $38,696.15 $38,327.62 2025-05-16
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $37,848.25 $38,583.16 $38,215.70 2025-05-16
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $37,845.31 $38,580.17 $38,212.74 2025-05-16
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $37,773.62 $38,507.09 $38,140.36 2025-05-16
33902 CPT Hc Perq P-art Revsc St 1st Abnor Connj Unilateral 102 41 $56,767.00 $42,575.25 25% off $2,227.38 $51,090.30 $38,033.89 2025-05-16
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $37,648.24 $38,379.27 $38,013.76 2025-05-16
6903 APR_DRG Acute Leukemia 7 7 — — $37,615.21 $38,345.60 $37,980.40 2025-05-16
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 96 41 $55,748.34 $41,811.26 25% off $248.93 $50,173.51 $37,908.88 2025-05-16
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $37,407.79 $38,134.15 $37,770.97 2025-05-16
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 31 21 — — $26,947.22 $56,468.95 $37,765.48 2025-05-16
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 21 — — $26,928.78 $56,429.26 $37,738.93 2025-05-16
247 MS_DRG DRG Carveouts 4 2 — — $32,831.77 $38,595.00 $37,537.38 2025-05-16
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $37,163.51 $37,885.13 $37,524.32 2025-05-16
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 21 — — $26,697.13 $55,930.30 $37,405.24 2025-05-16
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 21 — — $26,643.83 $55,815.48 $37,328.45 2025-05-16
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $36,953.15 $37,670.68 $37,311.91 2025-05-16
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