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

CLEVELAND CLINIC

Cleveland, OH · CCN 360180 · Rates published

25,261 distinct procedures filed
63 distinct payers
2,898,614 rate rows
2025-06-28 last MRF observed · ⚠ 13 mo old
Data quality

1,297,683 of 2,898,614 rate rows are consumer-grade (44.8%)

1,600,931 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 886,352
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 636,825
per-diem day rate — not a per-procedure price 58,932
placeholder amount (≤ $0.02) — excluded from medians 12,801
percent-of-charges filed in the dollar field — excluded from medians 3,267
template filing: same amount across many unrelated codes — excluded 2,273
exceeds 10× this hospital's gross charge — excluded from medians 481

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old.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://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/clevelandclinic
Found on page https://my.clevelandclinic.org/patients/billing-finance/comprehensive-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 2938ea6b16e6f9fb… · 51,348,717 bytes · first seen 2026-05-04

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 16 $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 15 $3,605,000.00 $3,965,500.00 $3,605,000.00 nat. median
$3,710,000
1.0× median
J3394,J3490,J359
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,399,000.00 $3,399,000.00 $3,399,000.00 —
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 16 $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 18 $500,000.00 $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 18 $500,000.00 $4,049,472.00 $2,968,000.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 27 $500,000.00 $4,972,500.00 $2,884,050.00 nat. median
$2,468,984
1.2× median
J3393,J3490,J359
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,884,000.00 $2,884,000.00 $2,884,000.00 —
J3392
HCPCS 		Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 18 $500,000.00 $4,593,600.00 $2,378,043.01 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 40 $500,000.00 $2,848,960.04 $1,552,683.22 nat. median
$753,246
outlier · 2.1×
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 40 $500,000.00 $2,505,866.40 $1,378,226.52 nat. median
$674,867
outlier · 2.0×
Q2041
HCPCS 		Yescarta Intravenous Suspension 40 $459,381.45 $2,417,184.00 $1,329,451.20 nat. median
$634,303
outlier · 2.1×
Q2054
HCPCS 		Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 40 $474,060.62 $2,339,891.68 $1,286,940.42 nat. median
$673,137
1.9× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 40 $449,440.00 $2,217,600.00 $1,219,680.00 nat. median
$619,808
2.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $785,835.12 $785,835.12 $785,835.12 nat. median
$824,563
1.0× median
005-I
MS_DRG 		Intestinal - Adult 2 $563,700.00 $563,700.00 $563,700.00 —
Intest
CPT 		Intestine 1 $563,700.00 $563,700.00 $563,700.00 —
006-LA
MS_DRG 		Liver (Live Donor) - Adult 3 $458,602.00 $561,500.00 $561,500.00 —
005-LA
MS_DRG 		Liver (Live Donor) - Adult 3 $458,602.00 $561,500.00 $561,500.00 —
006-LP
MS_DRG 		Liver (Live Donor) - Pediatric 4 $457,752.00 $560,500.00 $560,500.00 —
005-LP
MS_DRG 		Liver (Live Donor) - Pediatric 4 $457,752.00 $560,500.00 $560,500.00 —
INTESTONLYP
CPT 		Intestine Only-pediatric 1 $540,500.00 $540,500.00 $540,500.00 —
J3490,J3590
HCPCS 		Drugs Unclassified Injection 1 $530,450.00 $530,450.00 $530,450.00 —
005-DA
MS_DRG 		Liver (Deceased Donor) - Adult 3 $397,360.00 $486,600.00 $486,600.00 —
006-DA
MS_DRG 		Liver (Deceased Donor) - Adult 3 $397,360.00 $486,600.00 $486,600.00 —
INTESTONLYA
CPT 		Intestine Only-adult 1 $485,000.00 $485,000.00 $485,000.00 —
014-U
MS_DRG 		Allogeneic Unrelated Bmt ? Adult & Pediatric 3 $481,200.00 $481,200.00 $481,200.00 —
005-CP
MS_DRG 		Liver - Cadaveric Pediactric 1 $471,700.00 $471,700.00 $471,700.00 —
006-DP
MS_DRG 		Liver (Deceased Donor) -pediatric 3 $385,169.00 $471,700.00 $471,700.00 —
006-CP
MS_DRG 		Liver - Cadaveric Pediatric 1 $471,700.00 $471,700.00 $471,700.00 —
005-DP
MS_DRG 		Liver (Deceased Donor) -pediatric 3 $385,169.00 $471,700.00 $471,700.00 —
002-P
MS_DRG 		Heart - Pediatric 4 $363,339.00 $444,900.00 $444,900.00 —
003-P
MS_DRG 		Heart - Pediatric 2 $444,900.00 $444,900.00 $444,900.00 —
014-UP
MS_DRG 		Allogeneic Unrelated Bmt ? Pediatric 1 $444,062.00 $444,062.00 $444,062.00 —
007-L
MS_DRG 		Lung Transplant 1 $433,900.00 $433,900.00 $433,900.00 —
007-D
MS_DRG 		Lung (Double) - Adult 3 $354,264.00 $433,900.00 $433,900.00 —
007-S
MS_DRG 		Lung (Single) - Adult 3 $349,729.00 $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 —
001-P
MS_DRG 		Heart - Pediatric 2 $363,339.00 $444,900.00 $404,119.50 —
014-RP
MS_DRG 		Allogeneic Related Bmt ? Pediatric 1 $394,880.00 $394,880.00 $394,880.00 —
014-UA
MS_DRG 		Allogeneic Unrelated Bmt ? Adult 1 $392,967.00 $392,967.00 $392,967.00 —
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 45 $4,926.00 $859,327.20 $386,697.24 nat. median
$8,223
outlier · 47.0×
002-A
MS_DRG 		Heart - Adult 4 $295,292.00 $361,500.00 $361,500.00 —
001-A
MS_DRG 		Heart - Adult 5 $36,400.00 $361,500.00 $361,500.00 —
006-L
MS_DRG 		Liver - Live 2 $139,000.00 $561,500.00 $350,250.00 —
005-L
MS_DRG 		Liver - Live 2 $139,000.00 $561,500.00 $350,250.00 —
014-RA
MS_DRG 		Allogeneic Related Bmt ? Adult 1 $349,444.00 $349,444.00 $349,444.00 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 18 $16,500.00 $1,034,047.26 $325,184.19 nat. median
$370,174
0.9× median
005-C
MS_DRG 		Liver - Cadaveric 2 $139,000.00 $486,600.00 $312,800.00 —
006-C
MS_DRG 		Liver - Cadaveric 2 $139,000.00 $486,600.00 $312,800.00 —

Other procedures at this hospital

Browse this hospital's 25,261 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 20 16 — — $3,654,350.00 $4,040,190.00 $3,672,900.00 2025-06-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 19 15 — — $3,605,000.00 $3,965,500.00 $3,605,000.00 2025-06-28
J3394,J3490,J359 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,399,000.00 $3,399,000.00 $3,399,000.00 2025-06-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 20 16 — — $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 22 18 — — $500,000.00 $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 22 18 — — $500,000.00 $4,049,472.00 $2,968,000.00 2025-06-28
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit 49 27 — $4,972,500.00 $500,000.00 $4,972,500.00 $2,884,050.00 2025-06-28
J3393,J3490,J359 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,884,000.00 $2,884,000.00 $2,884,000.00 2025-06-28
J3392 HCPCS Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension 27 18 — — $500,000.00 $4,593,600.00 $2,378,043.01 2025-06-28
Q2042 HCPCS Kymriah 0.2 X 10exp6 To 2.5 X 10exp8 Cell Intravenous Suspension 122 40 $2,848,960.04 $1,851,824.03 35% off $500,000.00 $2,848,960.04 $1,552,683.22 2025-06-28
Q2056 HCPCS Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 73 40 $2,505,866.40 $1,628,813.16 35% off $500,000.00 $2,505,866.40 $1,378,226.52 2025-06-28
Q2041 HCPCS Yescarta Intravenous Suspension 73 40 $2,417,184.00 $1,571,169.60 35% off $459,381.45 $2,417,184.00 $1,329,451.20 2025-06-28
Q2054 HCPCS Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension 73 40 $2,339,891.68 $1,520,929.59 35% off $474,060.62 $2,339,891.68 $1,286,940.42 2025-06-28
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 73 40 $2,217,600.00 $1,441,440.00 35% off $449,440.00 $2,217,600.00 $1,219,680.00 2025-06-28
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $785,835.12 $785,835.12 $785,835.12 2025-06-28
Intest CPT Intestine 1 1 — — $563,700.00 $563,700.00 $563,700.00 2025-06-28
005-I MS_DRG Intestinal - Adult 2 2 — — $563,700.00 $563,700.00 $563,700.00 2025-06-28
005-LA MS_DRG Liver (Live Donor) - Adult 3 3 — — $458,602.00 $561,500.00 $561,500.00 2025-06-28
006-LA MS_DRG Liver (Live Donor) - Adult 3 3 — — $458,602.00 $561,500.00 $561,500.00 2025-06-28
006-LP MS_DRG Liver (Live Donor) - Pediatric 4 4 — — $457,752.00 $560,500.00 $560,500.00 2025-06-28
005-LP MS_DRG Liver (Live Donor) - Pediatric 4 4 — — $457,752.00 $560,500.00 $560,500.00 2025-06-28
INTESTONLYP CPT Intestine Only-pediatric 1 1 — — $540,500.00 $540,500.00 $540,500.00 2025-06-28
J3490,J3590 HCPCS Drugs Unclassified Injection 1 1 — — $530,450.00 $530,450.00 $530,450.00 2025-06-28
006-DA MS_DRG Liver (Deceased Donor) - Adult 3 3 — — $397,360.00 $486,600.00 $486,600.00 2025-06-28
005-DA MS_DRG Liver (Deceased Donor) - Adult 3 3 — — $397,360.00 $486,600.00 $486,600.00 2025-06-28
INTESTONLYA CPT Intestine Only-adult 1 1 — — $485,000.00 $485,000.00 $485,000.00 2025-06-28
014-U MS_DRG Allogeneic Unrelated Bmt ? Adult & Pediatric 3 3 — — $481,200.00 $481,200.00 $481,200.00 2025-06-28
005-CP MS_DRG Liver - Cadaveric Pediactric 1 1 — — $471,700.00 $471,700.00 $471,700.00 2025-06-28
006-DP MS_DRG Liver (Deceased Donor) -pediatric 3 3 — — $385,169.00 $471,700.00 $471,700.00 2025-06-28
006-CP MS_DRG Liver - Cadaveric Pediatric 1 1 — — $471,700.00 $471,700.00 $471,700.00 2025-06-28
005-DP MS_DRG Liver (Deceased Donor) -pediatric 3 3 — — $385,169.00 $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 4 4 — — $363,339.00 $444,900.00 $444,900.00 2025-06-28
014-UP MS_DRG Allogeneic Unrelated Bmt ? Pediatric 1 1 — — $444,062.00 $444,062.00 $444,062.00 2025-06-28
007-L MS_DRG Lung Transplant 1 1 — — $433,900.00 $433,900.00 $433,900.00 2025-06-28
007-D MS_DRG Lung (Double) - Adult 3 3 — — $354,264.00 $433,900.00 $433,900.00 2025-06-28
007-S MS_DRG Lung (Single) - Adult 3 3 — — $349,729.00 $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
001-P MS_DRG Heart - Pediatric 2 2 — — $363,339.00 $444,900.00 $404,119.50 2025-06-28
014-RP MS_DRG Allogeneic Related Bmt ? Pediatric 1 1 — — $394,880.00 $394,880.00 $394,880.00 2025-06-28
014-UA MS_DRG Allogeneic Unrelated Bmt ? Adult 1 1 — — $392,967.00 $392,967.00 $392,967.00 2025-06-28
J0225 HCPCS Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 85 45 $859,327.20 $558,562.68 35% off $4,926.00 $859,327.20 $386,697.24 2025-06-28
001-A MS_DRG Heart - Adult 5 5 — — $36,400.00 $361,500.00 $361,500.00 2025-06-28
002-A MS_DRG Heart - Adult 4 4 — — $295,292.00 $361,500.00 $361,500.00 2025-06-28
005-L MS_DRG Liver - Live 2 2 — — $139,000.00 $561,500.00 $350,250.00 2025-06-28
006-L MS_DRG Liver - Live 2 2 — — $139,000.00 $561,500.00 $350,250.00 2025-06-28
014-RA MS_DRG Allogeneic Related Bmt ? Adult 1 1 — — $349,444.00 $349,444.00 $349,444.00 2025-06-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 31 18 — — $16,500.00 $1,034,047.26 $325,184.19 2025-06-28
005-C MS_DRG Liver - Cadaveric 2 2 — — $139,000.00 $486,600.00 $312,800.00 2025-06-28
006-C MS_DRG Liver - Cadaveric 2 2 — — $139,000.00 $486,600.00 $312,800.00 2025-06-28
008-KP MS_DRG Kidney Pancreas 1 1 — — $292,000.00 $292,000.00 $292,000.00 2025-06-28
5884 APR_DRG — 8 8 — — $278,061.71 $296,959.11 $288,860.23 2025-06-28
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $283,743.77 $283,743.77 $283,743.77 2025-06-28
5834 APR_DRG — 8 8 — — $268,983.85 $287,264.31 $279,429.83 2025-06-28
5833 APR_DRG — 8 8 — — $268,983.85 $287,264.31 $279,429.83 2025-06-28
5832 APR_DRG — 8 8 — — $255,858.32 $273,246.75 $265,794.57 2025-06-28
5831 APR_DRG — 8 8 — — $255,858.32 $273,246.75 $265,794.57 2025-06-28
1614 APR_DRG — 8 8 — — $254,867.06 $272,188.13 $264,764.81 2025-06-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 35 19 — — $16,500.00 $772,346.62 $243,086.57 2025-06-28
AUTOTBM CPT Autologous/Bone Marrow 1 1 — — $240,500.00 $240,500.00 $240,500.00 2025-06-28
KIDPANC CPT Kidney/Pancreas - Adult & Pediatric 1 1 — — $238,302.00 $238,302.00 $238,302.00 2025-06-28
0024 APR_DRG — 8 8 — — $224,152.58 $239,386.25 $232,857.53 2025-06-28
010 -P MS_DRG Pancreas 1 1 — — $228,000.00 $228,000.00 $228,000.00 2025-06-28
017-P MS_DRG Autologous Bmt - Pediatric 1 1 — — $222,030.00 $222,030.00 $222,030.00 2025-06-28
016-P MS_DRG Autologous Bmt - Pediatric 1 1 — — $222,030.00 $222,030.00 $222,030.00 2025-06-28
1613 APR_DRG — 8 8 — — $197,248.73 $210,653.98 $204,908.87 2025-06-28
1611 APR_DRG — 8 8 — — $197,248.73 $210,653.98 $204,908.87 2025-06-28
1612 APR_DRG — 8 8 — — $197,248.73 $210,653.98 $204,908.87 2025-06-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 18 — — $16,500.00 $650,455.45 $204,848.31 2025-06-28
0074 APR_DRG — 8 8 — — $191,608.51 $204,630.45 $199,049.62 2025-06-28
016-A MS_DRG Autologous Bmt - Adult 1 1 — — $196,483.00 $196,483.00 $196,483.00 2025-06-28
017-A MS_DRG Autologous Bmt - Adult 1 1 — — $196,483.00 $196,483.00 $196,483.00 2025-06-28
8413 APR_DRG — 8 8 — — $178,355.41 $190,476.65 $185,281.83 2025-06-28
8412 APR_DRG — 8 8 — — $178,355.41 $190,476.65 $185,281.83 2025-06-28
8411 APR_DRG — 8 8 — — $178,355.41 $190,476.65 $185,281.83 2025-06-28
8414 APR_DRG — 8 8 — — $178,355.41 $190,476.65 $185,281.83 2025-06-28
6094 APR_DRG — 8 8 — — $178,342.13 $190,462.47 $185,268.04 2025-06-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 19 — — $16,500.00 $587,633.04 $185,140.41 2025-06-28
650-C MS_DRG Kidney Transplant With Hemodialysis With Mcc - Cadaveric 4 4 — — $175,300.00 $185,100.00 $185,100.00 2025-06-28
651-C MS_DRG Kidney Transplant With Hemodialysis Without Mcc - Cadaveric 4 4 — — $175,300.00 $185,100.00 $185,100.00 2025-06-28
652-C MS_DRG Kidney Transplant - Cadaveric 4 4 — — $175,300.00 $185,100.00 $185,100.00 2025-06-28
6304 APR_DRG — 8 8 — — $173,079.66 $184,842.35 $179,801.20 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-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
C1841 HCPCS H110002,b,argus Ii Retinal Pros 66 39 $288,116.00 $187,275.40 35% off $209.78 $288,116.00 $172,869.60 2025-06-28
651-LD MS_DRG Kidney Transplant With Hemodialysis Without Mcc - Live Donor 3 3 — — $170,100.00 $170,100.00 $170,100.00 2025-06-28
652-LD MS_DRG Kidney Transplant - Live Donor 3 3 — — $170,100.00 $170,100.00 $170,100.00 2025-06-28
650-LD MS_DRG Kidney Transplant With Hemodialysis With Mcc - Live Donor 3 3 — — $170,100.00 $170,100.00 $170,100.00 2025-06-28
651-DP MS_DRG Kidney (Deceased) - Pediatric 1 1 — — $166,486.00 $166,486.00 $166,486.00 2025-06-28
652-DP MS_DRG Kidney (Deceased) - Pediatric 1 1 — — $166,486.00 $166,486.00 $166,486.00 2025-06-28
650-DP MS_DRG Kidney (Deceased) - Pediatric 1 1 — — $166,486.00 $166,486.00 $166,486.00 2025-06-28
652-A MS_DRG Kidney - Adult 1 1 — — $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
651-L MS_DRG Kidney ( Live Donor) - Adult & Pediatric 2 2 — — $161,100.00 $161,100.00 $161,100.00 2025-06-28
650-A MS_DRG Kidney - Adult 1 1 — — $161,100.00 $161,100.00 $161,100.00 2025-06-28
651-A MS_DRG Kidney - Adult 1 1 — — $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
6314 APR_DRG — 8 8 — — $152,774.08 $163,156.79 $158,707.05 2025-06-28
651-LP MS_DRG Kidney (Live Donor) - Pediatric 1 1 — — $153,120.00 $153,120.00 $153,120.00 2025-06-28
650-LP MS_DRG Kidney ( Live Donor) - Pediatric 1 1 — — $153,120.00 $153,120.00 $153,120.00 2025-06-28
652-LP MS_DRG Kidney (Live Donor) - Pediatric 1 1 — — $153,120.00 $153,120.00 $153,120.00 2025-06-28
5883 APR_DRG — 8 8 — — $140,463.76 $150,009.84 $145,918.66 2025-06-28
J2779 HCPCS Susvimo 10 Mg/0.1 Ml Intravitreal Solution 77 40 $288,000.00 $187,200.00 35% off $79.08 $288,000.00 $144,000.00 2025-06-28
652-DA MS_DRG Kidney (Deceased ) - Adult 1 1 — — $143,039.00 $143,039.00 $143,039.00 2025-06-28
651-DA MS_DRG Kidney (Deceased ) - Adult 1 1 — — $143,039.00 $143,039.00 $143,039.00 2025-06-28
650-DA MS_DRG Kidney (Deceased ) - Adult 1 1 — — $143,039.00 $143,039.00 $143,039.00 2025-06-28
5881 APR_DRG — 8 8 — — $133,609.58 $142,689.84 $138,798.30 2025-06-28
5882 APR_DRG — 8 8 — — $133,609.58 $142,689.84 $138,798.30 2025-06-28
5934 APR_DRG — 8 8 — — $129,483.13 $138,282.96 $134,511.60 2025-06-28
651-LA MS_DRG Kidney ( Live Donor) - Adult 1 1 — — $131,556.00 $131,556.00 $131,556.00 2025-06-28
652-LA MS_DRG Kidney ( Live Donor) - Adult 1 1 — — $131,556.00 $131,556.00 $131,556.00 2025-06-28
650-LA MS_DRG Kidney ( Live Donor) - Adult 1 1 — — $131,556.00 $131,556.00 $131,556.00 2025-06-28
5914 APR_DRG — 8 8 — — $120,204.98 $128,374.25 $124,873.13 2025-06-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 19 — — $16,500.00 $387,430.47 $122,335.24 2025-06-28
81200015 CDM Acquisition Fee Pancreas 55 34 $187,100.00 $121,615.00 35% off $40,787.80 $187,100.00 $121,615.00 2025-06-28
81200005 CDM Acquisition Fee Lung 55 34 $179,200.00 $116,480.00 35% off $39,065.60 $179,200.00 $116,480.00 2025-06-28
14 MS_DRG Allogeneic Bone Marrow Transplant 38 23 — — $12,900.00 $4,334,979.46 $115,193.48 2025-06-28
1604 APR_DRG — 8 8 — — $110,573.63 $118,088.34 $114,867.75 2025-06-28
7 MS_DRG Lung Transplant 35 19 — — $16,500.00 $4,868,232.55 $113,207.26 2025-06-28
81200000 CDM Acquisition Fee Intestine 55 34 $173,900.00 $113,035.00 35% off $37,910.20 $173,900.00 $113,035.00 2025-06-28
J7330 HCPCS Cultured Chondrocytes Implnt 17 10 — — $1,092.42 $165,979.44 $106,668.73 2025-06-28
81200120 CDM Acquisition Fee Heart 55 34 $159,200.00 $103,480.00 35% off $34,705.60 $159,200.00 $103,480.00 2025-06-28
0022 APR_DRG — 8 8 — — $99,356.41 $106,108.78 $103,214.91 2025-06-28
0023 APR_DRG — 8 8 — — $99,356.41 $106,108.78 $103,214.91 2025-06-28
0021 APR_DRG — 8 8 — — $99,356.41 $106,108.78 $103,214.91 2025-06-28
0094 APR_DRG — 8 8 — — $99,196.43 $105,937.93 $103,048.71 2025-06-28
0073 APR_DRG — 8 8 — — $93,515.54 $99,870.97 $97,147.22 2025-06-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 18 — — $16,500.00 $4,055,315.72 $97,015.51 2025-06-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 18 — — $8,763.00 $298,699.84 $94,499.72 2025-06-28
0044 APR_DRG — 8 8 — — $90,083.23 $96,205.40 $93,581.61 2025-06-28
215 MS_DRG Other Heart Assist System Implant 34 18 — — $22,000.00 $455,400.00 $93,305.90 2025-06-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 19 — — $16,244.00 $520,404.00 $92,396.64 2025-06-28
6024 APR_DRG — 8 8 — — $88,623.83 $94,646.81 $92,065.53 2025-06-28
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 85 45 $175,562.52 $114,115.64 35% off $17,931.55 $175,562.52 $91,099.39 2025-06-28
6074 APR_DRG — 8 8 — — $87,648.23 $93,604.91 $91,052.05 2025-06-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 18 — — $16,500.00 $393,099.00 $90,899.96 2025-06-28
C9293 HCPCS Voraxaze 1000 Unit Intravenous Solution 67 39 $148,226.40 $96,347.16 35% off $902.96 $148,226.40 $88,935.84 2025-06-28
J9274 HCPCS Kimmtrak 100 Mcg/0.5 Ml Intravenous Solution 85 45 $196,608.00 $127,795.20 35% off $208.93 $196,608.00 $88,473.60 2025-06-28
8504 APR_DRG — 8 8 — — $84,870.35 $90,638.24 $88,166.29 2025-06-28
81200100 CDM Acquisition Fee Liver 55 34 $132,100.00 $85,865.00 35% off $28,797.80 $132,100.00 $85,865.00 2025-06-28
3034 APR_DRG — 8 8 — — $82,296.70 $87,889.68 $85,492.69 2025-06-28
8514 APR_DRG — 8 8 — — $82,133.72 $87,715.63 $85,323.38 2025-06-28
5933 APR_DRG — 8 8 — — $81,020.41 $86,526.65 $84,166.83 2025-06-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 22 — — $8,763.00 $299,842.00 $83,809.69 2025-06-28
J2777 HCPCS Vabysmo 6 Mg/0.05 Ml Intravitreal Solution 77 40 $164,854.80 $107,155.62 35% off $34.25 $164,854.80 $82,427.40 2025-06-28
0014 APR_DRG — 8 8 — — $79,063.79 $84,437.06 $82,134.23 2025-06-28
A9543 HCPCS Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit 85 45 $148,248.86 $96,361.76 35% off $14,774.74 $148,248.86 $80,054.38 2025-06-28
850 MS_DRG Acute Leukemia With Other Procedures 33 18 — — $16,500.00 $252,581.09 $80,031.89 2025-06-28
6303 APR_DRG — 8 8 — — $76,451.15 $81,646.86 $79,420.13 2025-06-28
0084 APR_DRG — 8 8 — — $75,046.33 $80,146.56 $77,960.75 2025-06-28
0071 APR_DRG — 8 8 — — $74,860.15 $79,947.74 $77,767.34 2025-06-28
0072 APR_DRG — 8 8 — — $74,860.15 $79,947.74 $77,767.34 2025-06-28
6334 APR_DRG — 8 8 — — $74,539.88 $79,605.70 $77,434.64 2025-06-28
8424 APR_DRG — 8 8 — — $74,469.48 $79,530.52 $77,361.50 2025-06-28
J0223 HCPCS Givlaari 189 Mg/ml Subcutaneous Solution 77 40 $153,417.60 $99,721.44 35% off $112.02 $153,417.60 $76,708.80 2025-06-28
6093 APR_DRG — 8 8 — — $72,482.41 $77,408.40 $75,297.26 2025-06-28
0453T HCPCS Insj/rplcmt Mech-elec Ntrfce 8 8 — — $67,637.10 $78,316.65 $74,756.80 2025-06-28
0454T HCPCS Insj/rplcmt Subq Electrode 8 8 — — $67,637.10 $78,316.65 $74,756.80 2025-06-28
6023 APR_DRG — 8 8 — — $71,648.87 $76,518.21 $74,431.35 2025-06-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 18 — — $17,243.00 $279,851.00 $73,683.93 2025-06-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 22 — — $16,244.00 $239,699.00 $73,643.51 2025-06-28
C9760 HCPCS Non-blind Interatrial Shunt 74 40 $148,503.00 $96,526.95 35% off $8,051.00 $148,503.00 $73,508.99 2025-06-28
J9269 HCPCS Elzonris 1000 Mcg/ml Intravenous Solution 85 45 $162,031.92 $105,320.75 35% off $326.65 $162,031.92 $72,914.36 2025-06-28
10 MS_DRG Pancreas Transplant 41 25 — — $10,700.00 $1,615,106.56 $72,844.18 2025-06-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 18 — — $16,500.00 $312,988.00 $72,537.35 2025-06-28
6091 APR_DRG — 8 8 — — $68,945.50 $73,631.12 $71,623.00 2025-06-28
6092 APR_DRG — 8 8 — — $68,945.50 $73,631.12 $71,623.00 2025-06-28
6114 APR_DRG — 8 8 — — $68,710.14 $73,379.76 $71,378.49 2025-06-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 36 20 — — $16,500.00 $1,784,276.68 $71,051.79 2025-06-28
1834 APR_DRG — 8 8 — — $68,391.67 $73,039.65 $71,047.66 2025-06-28
0043 APR_DRG — 8 8 — — $68,259.66 $72,898.66 $70,910.52 2025-06-28
8634 APR_DRG — 8 8 — — $68,160.12 $72,792.36 $70,807.11 2025-06-28
1784 APR_DRG — 8 8 — — $68,137.37 $72,768.07 $70,783.49 2025-06-28
6904 APR_DRG — 8 8 — — $67,870.93 $72,483.52 $70,506.70 2025-06-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 37 22 — — $16,244.00 $289,300.00 $70,133.21 2025-06-28
6214 APR_DRG — 8 8 — — $67,468.91 $72,054.18 $70,089.07 2025-06-28
5913 APR_DRG — 8 8 — — $66,586.67 $71,111.98 $69,172.56 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
J0177 HCPCS Eylea Hd 8 Mg/0.07 Ml Intravitreal Solution For Injection 77 40 $137,700.00 $89,505.00 35% off $327.52 $137,700.00 $68,850.00 2025-06-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 37 22 — — $17,243.00 $272,007.00 $68,028.41 2025-06-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 23 — — $8,763.00 $210,646.00 $67,349.74 2025-06-28
6124 APR_DRG — 8 8 — — $64,229.90 $68,595.04 $66,724.27 2025-06-28
0054 APR_DRG — 8 8 — — $63,595.28 $67,917.29 $66,065.00 2025-06-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 18 — — $16,500.00 $204,660.90 $64,998.94 2025-06-28
3033 APR_DRG — 8 8 — — $61,725.74 $65,920.69 $64,122.85 2025-06-28
6073 APR_DRG — 8 8 — — $61,592.81 $65,778.72 $63,984.76 2025-06-28
5894 APR_DRG — 8 8 — — $60,748.83 $64,877.40 $63,108.01 2025-06-28
5893 APR_DRG — 8 8 — — $60,748.83 $64,877.40 $63,108.01 2025-06-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 22 — — $16,500.00 $269,394.00 $62,817.81 2025-06-28
6814 APR_DRG — 8 8 — — $59,752.86 $63,813.74 $62,073.36 2025-06-28
a9699 HCPCS Lutetium Lu 177 Therapeautic 55 34 $99,145.00 $64,444.25 35% off $21,613.61 $99,145.00 $61,866.48 2025-06-28
6954 APR_DRG — 8 8 — — $59,412.55 $63,450.30 $61,719.84 2025-06-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 18 — — $16,500.00 $278,518.00 $61,582.39 2025-06-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 23 — — $16,244.00 $194,500.00 $61,541.40 2025-06-28
3004 APR_DRG — 8 8 — — $59,185.75 $63,208.08 $61,484.22 2025-06-28
1634 APR_DRG — 8 8 — — $58,925.65 $62,930.31 $61,214.03 2025-06-28
1624 APR_DRG — 8 8 — — $58,260.91 $62,220.39 $60,523.47 2025-06-28
6313 APR_DRG — 8 8 — — $57,980.90 $61,921.35 $60,232.59 2025-06-28
5892 APR_DRG — 8 8 — — $57,784.48 $61,711.58 $60,028.54 2025-06-28
5891 APR_DRG — 8 8 — — $57,784.48 $61,711.58 $60,028.54 2025-06-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 18 — — $16,500.00 $187,225.16 $59,529.20 2025-06-28
0224 APR_DRG — 8 8 — — $56,659.13 $60,509.75 $58,859.48 2025-06-28
0083 APR_DRG — 8 8 — — $56,370.53 $60,201.54 $58,559.68 2025-06-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 18 — — $16,500.00 $251,600.00 $58,466.05 2025-06-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 33 18 — — $16,500.00 $183,128.76 $58,244.13 2025-06-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 18 — — $17,243.00 $345,352.00 $58,146.93 2025-06-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 22 — — $16,500.00 $177,324.16 $58,115.88 2025-06-28
0113 APR_DRG — 8 8 — — $55,835.59 $59,630.24 $58,003.96 2025-06-28
0111 APR_DRG — 8 8 — — $55,835.59 $59,630.24 $58,003.96 2025-06-28
0112 APR_DRG — 8 8 — — $55,835.59 $59,630.24 $58,003.96 2025-06-28
0114 APR_DRG — 8 8 — — $55,835.59 $59,630.24 $58,003.96 2025-06-28
L6880 HCPCS Elec Hand Ind Art Digits 58 34 $94,588.71 $61,482.66 35% off $1,030.00 $94,588.71 $57,699.12 2025-06-28
7924 APR_DRG — 8 8 — — $54,838.41 $58,565.29 $56,968.05 2025-06-28
62402130 CDM G140113, Momentum 3 Cap, Nct028982955 55 33 $87,500.00 $56,875.00 35% off $19,075.00 $87,500.00 $56,875.00 2025-06-28
62401485 CDM G140113,hrtmt Iii,nct02224755 55 33 $87,500.00 $56,875.00 35% off $19,075.00 $87,500.00 $56,875.00 2025-06-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 22 — — $8,763.00 $229,093.00 $56,343.18 2025-06-28
J9029 HCPCS Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 85 45 $72,000.00 $46,800.00 35% off $17,280.00 $144,556.65 $56,304.00 2025-06-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 19 — — $16,500.00 $173,405.98 $56,021.92 2025-06-28
9504 APR_DRG — 8 8 — — $53,292.05 $56,913.84 $55,361.64 2025-06-28
6022 APR_DRG — 8 8 — — $52,421.77 $55,984.41 $54,457.56 2025-06-28
J7352 HCPCS Scenesse 16 Mg Subcutaneous Implant 85 45 $120,982.00 $78,638.30 35% off $2,873.33 $120,982.00 $54,441.90 2025-06-28
J9600 HCPCS Photofrin 75 Mg Intravenous Solution 85 45 $111,950.40 $72,767.76 35% off $17,931.55 $111,950.40 $54,407.89 2025-06-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 35 20 — — $16,500.00 $1,120,812.31 $54,294.72 2025-06-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 35 20 — — $16,500.00 $1,120,812.31 $54,294.72 2025-06-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc 33 18 — — $16,500.00 $259,111.00 $54,076.67 2025-06-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 18 — — $16,500.00 $202,235.00 $54,007.86 2025-06-28
J1930 HCPCS Somatuline Depot 60 Mg/0.2 Ml Subcutaneous Syringe 173 40 $109,584.00 $71,229.60 35% off $40.33 $109,584.00 $53,837.88 2025-06-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 18 — — $16,500.00 $168,851.69 $53,765.29 2025-06-28
6034 APR_DRG — 8 8 — — $51,584.82 $55,090.59 $53,588.11 2025-06-28
6033 APR_DRG — 8 8 — — $51,584.82 $55,090.59 $53,588.11 2025-06-28
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 37 22 — — $16,244.00 $167,991.00 $53,580.36 2025-06-28
8633 APR_DRG — 8 8 — — $51,495.28 $54,994.96 $53,495.10 2025-06-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 18 — — $17,243.00 $231,979.00 $53,339.52 2025-06-28
2994 APR_DRG — 8 8 — — $51,291.35 $54,777.17 $53,283.25 2025-06-28
5932 APR_DRG — 8 8 — — $51,255.71 $54,739.11 $53,246.23 2025-06-28
5931 APR_DRG — 8 8 — — $51,255.71 $54,739.11 $53,246.23 2025-06-28
28 MS_DRG Spinal Procedures With Mcc 37 22 — — $16,244.00 $149,477.00 $53,088.35 2025-06-28
J0202 HCPCS Lemtrada 12 Mg/1.2 Ml Intravenous Solution 85 45 $117,798.96 $76,569.32 35% off $2,337.69 $117,798.96 $53,009.53 2025-06-28
J9281 HCPCS Jelmyto 40 Mg X 2 Intra-pyelocalyceal Kit 85 45 $117,504.00 $76,377.60 35% off $300.59 $117,504.00 $52,876.80 2025-06-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 37 22 — — $18,500.00 $207,900.00 $52,402.31 2025-06-28
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 39 23 — — $17,243.00 $298,716.00 $52,325.39 2025-06-28
0914 APR_DRG — 8 8 — — $50,329.94 $53,750.42 $52,284.50 2025-06-28
5912 APR_DRG — 8 8 — — $50,234.10 $53,648.07 $52,184.94 2025-06-28
5911 APR_DRG — 8 8 — — $50,234.10 $53,648.07 $52,184.94 2025-06-28
6302 APR_DRG — 8 8 — — $50,093.85 $53,498.29 $52,039.25 2025-06-28
6301 APR_DRG — 8 8 — — $50,093.85 $53,498.29 $52,039.25 2025-06-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 18 — — $17,243.00 $216,872.00 $51,968.43 2025-06-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 18 — — $16,244.00 $163,000.47 $51,929.72 2025-06-28
27879765 CDM Sapien 3 Tpv Kit With Alterra Adaptive Prestent 57 33 $83,000.00 $53,950.00 35% off $1,030.00 $83,000.00 $51,460.00 2025-06-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 22 — — $17,243.00 $234,722.00 $51,408.46 2025-06-28
2004 APR_DRG — 8 8 — — $49,102.35 $52,439.40 $51,009.23 2025-06-28
3044 APR_DRG — 8 8 — — $48,754.44 $52,067.85 $50,647.82 2025-06-28
0571T HCPCS Insj/rplcmt Icds W/substernal Electrode 89 45 $94,038.00 $61,124.70 35% off $10,924.00 $94,038.00 $50,620.66 2025-06-28
62400645 CDM G090243, Heartware Vent Asst 55 33 $77,846.00 $50,599.90 35% off $16,970.43 $77,846.00 $50,599.90 2025-06-28
9104 APR_DRG — 8 8 — — $48,456.12 $51,749.26 $50,337.91 2025-06-28
653 MS_DRG Major Bladder Procedures With Mcc 37 22 — — $18,500.00 $178,400.00 $50,207.78 2025-06-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 22 — — $18,814.00 $219,724.00 $50,162.96 2025-06-28
1833 APR_DRG — 8 8 — — $48,099.59 $51,368.49 $49,967.53 2025-06-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 22 — — $16,952.00 $178,158.00 $49,867.92 2025-06-28
8 MS_DRG Simultaneous Pancreas/kidney Transplant 40 24 — — $16,500.00 $1,224,682.79 $49,500.99 2025-06-28
J9229 HCPCS Besponsa 0.9 Mg(0.25 Mg/ml Initial Concentration) Intravenous Solution 85 45 $109,958.40 $71,472.96 35% off $2,580.15 $109,958.40 $49,481.28 2025-06-28
38240 HCPCS Trnsplj Allogeneic Hematopoietic Cells Per Donor 131 45 $131,220.00 $85,293.00 35% off $304.15 $131,220.00 $49,469.94 2025-06-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 38 22 — — $16,244.00 $152,300.00 $49,063.65 2025-06-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 22 — — $16,500.00 $206,546.00 $48,861.10 2025-06-28
62406205 CDM G230034 Arise Ii Cap Secondary Arm Nct05800743 55 33 $75,000.00 $48,750.00 35% off $16,350.00 $75,000.00 $48,750.00 2025-06-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 22 — — $21,000.00 $188,200.00 $48,669.76 2025-06-28
1794 APR_DRG — 8 8 — — $46,797.34 $49,977.74 $48,614.71 2025-06-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 36 22 — — $16,500.00 $228,300.00 $48,567.75 2025-06-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 38 22 — — $16,244.00 $225,857.00 $48,338.57 2025-06-28
1674 APR_DRG — 8 8 — — $46,490.40 $49,649.94 $48,295.85 2025-06-28
0214 APR_DRG — 8 8 — — $46,406.66 $49,560.51 $48,208.86 2025-06-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 38 23 — — $16,244.00 $148,849.53 $48,202.81 2025-06-28
Q5128 HCPCS Cimerli 0.5 Mg/0.05 Ml Intravitreal Solution 85 45 $97,920.00 $63,648.00 35% off $149.66 $97,920.00 $47,980.80 2025-06-28
62401485_IP CDM G140113,hrtmt Iii,nct02224755 1 1 $87,500.00 $56,875.00 35% off $47,950.00 $47,950.00 $47,950.00 2025-06-28
62402130_IP CDM G140113, Momentum 3 Cap, Nct028982955 1 1 $87,500.00 $56,875.00 35% off $47,950.00 $47,950.00 $47,950.00 2025-06-28
1204 APR_DRG — 8 8 — — $46,143.68 $49,279.66 $47,935.67 2025-06-28
0053 APR_DRG — 8 8 — — $46,025.15 $49,153.07 $47,812.53 2025-06-28
6604 APR_DRG — 8 8 — — $46,009.31 $49,136.15 $47,796.08 2025-06-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 24 — — $8,763.00 $313,809.00 $47,745.70 2025-06-28
C1827 HCPCS Optimizer Smart Mini 58 34 $78,000.00 $50,700.00 35% off $1,030.00 $78,000.00 $47,580.00 2025-06-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 18 — — $16,500.00 $147,950.18 $47,208.32 2025-06-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 18 — — $16,500.00 $175,100.00 $47,203.16 2025-06-28
1603 APR_DRG — 8 8 — — $45,330.44 $48,411.15 $47,090.85 2025-06-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 37 22 — — $17,243.00 $196,512.00 $46,557.18 2025-06-28
3124 APR_DRG — 8 8 — — $44,440.31 $47,460.52 $46,166.15 2025-06-28
27879765_IP CDM Sapien 3 Tpv Kit With Alterra Adaptive Prestent 1 1 $83,000.00 $53,950.00 35% off $45,484.00 $45,484.00 $45,484.00 2025-06-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 37 22 — — $22,000.00 $187,507.00 $45,443.97 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
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 22 — — $16,244.00 $303,867.00 $45,128.56 2025-06-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 18 — — $16,500.00 $193,263.00 $45,094.06 2025-06-28
6083 APR_DRG — 8 8 — — $43,404.32 $46,354.13 $45,089.93 2025-06-28
6084 APR_DRG — 8 8 — — $43,404.32 $46,354.13 $45,089.93 2025-06-28
J9359 HCPCS Zynlonta 10 Mg Intravenous Solution 85 45 $99,959.04 $64,973.38 35% off $200.49 $99,959.04 $44,981.57 2025-06-28
6344 APR_DRG — 8 8 — — $43,275.20 $46,216.24 $44,955.79 2025-06-28
2204 APR_DRG — 8 8 — — $43,271.78 $46,212.58 $44,952.24 2025-06-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 18 — — $17,243.00 $186,137.00 $44,946.97 2025-06-28
1832 APR_DRG — 8 8 — — $43,188.27 $46,123.40 $44,865.49 2025-06-28
6072 APR_DRG — 8 8 — — $43,042.20 $45,967.39 $44,713.74 2025-06-28
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 85 45 $99,288.57 $64,537.57 35% off $1,210.10 $99,288.57 $44,679.86 2025-06-28
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