Hospital

Uh Geauga Medical Center

Chardon, OH · CCN 360192 · Rates published

Your selected procedure

You selected 93350 (CPT)

HC STRESS TTE ONLY - ECHOCARDIOGRAM EXERCISE STRESS TEST

This hospital’s price: $1,225 across 38 payers · range $395-$2,249

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/7902/341924226-1669562864_university-hospitals-health-system_standardcharges.csv · observed 2025-05-16

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

16,794 distinct procedures filed

41 distinct payers

1,958,510 rate rows

2025-05-16 last MRF observed · ⚠ 17 mo old

Data quality

1,953,008 of 1,958,510 rate rows are consumer-grade (99.7%)

5,502 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 — reason	Rows
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	3,744
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	625
placeholder amount (≤ $0.02) — excluded from medians	465
per-diem day rate — not a per-procedure price	401
exceeds 10× this hospital's gross charge — excluded from medians	182
percent-of-charges filed in the dollar field — excluded from medians	80
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	5

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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/7902/341924226-1669562864_university-hospitals-health-system_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/GeaugaMedicalCenter/7902
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-21
Content fingerprint	197db1ebba6b99df… · 4,636,684,963 bytes · first seen 2026-05-15

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	$2,908,192.13	$4,689,178.00	$4,452,464.69	nat. median $3,669,056 1.2× median
J1414 HCPCS	Inj, Beqvez, Per Tx Dose	15	$3,710,000.00	$3,895,500.00	$3,710,000.00	nat. median $3,710,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	15	$3,685,266.67	$3,869,530.00	$3,685,266.67	nat. median $3,705,478 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	15	$3,322,473.30	$3,488,596.96	$3,322,473.30	nat. median $3,324,572 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 $2,994,107 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 $2,467,386 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	18	$2,332,000.00	$4,197,600.00	$2,332,000.00	nat. median $2,401,965 1.0× median
C9399 HCPCS	Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp	41	$1,993.05	$3,069,000.00	$1,550,890.00	nat. median $2,003 outlier · 774.2×
Q2055 HCPCS	Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension	41	$527,622.46	$2,310,120.86	$1,385,912.64	nat. median $622,450 outlier · 2.2×
Q2054 HCPCS	Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2)	41	$516,442.29	$1,901,740.50	$1,355,518.37	nat. median $640,950 outlier · 2.1×
Q2041 HCPCS	Axicabtagene Ciloleucel Intravenous Suspension	41	$502,840.73	$1,849,365.00	$1,318,186.27	nat. median $608,239 outlier · 2.2×
Q2053 HCPCS	Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension	41	$489,399.16	$1,849,365.00	$1,318,186.27	nat. median $591,721 outlier · 2.2×
Q2042 HCPCS	Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension	41	$495,605.10	$2,201,625.00	$1,232,289.43	nat. median $739,258 1.7× median
Q2057 HCPCS	Afamitresgene Autoleucel	18	$770,620.00	$1,387,116.00	$770,620.00	nat. median $813,967 0.9× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	18	$553,169.30	$995,704.74	$553,169.30	nat. median $646,415 0.9× median
J2326 HCPCS	Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution	41	$1,248.60	$617,972.97	$440,477.40	nat. median $2,480 outlier · 177.6×
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	$248,684.67	$244,036.36	nat. median $247,214 1.0× median
5834 APR_DRG	Neonate With Ecmo	7	$231,595.64	$240,589.65	$236,092.65	nat. median $307,206 0.8× median
5833 APR_DRG	Neonate With Ecmo	7	$231,595.64	$240,589.65	$236,092.65	nat. median $244,017 1.0× median
5832 APR_DRG	Neonate With Ecmo	7	$220,328.74	$228,885.20	$224,606.97	nat. median $159,249 1.4× median
5831 APR_DRG	Neonate With Ecmo	7	$220,328.74	$228,885.20	$224,606.97	nat. median $146,500 1.5× median
1614 APR_DRG	Implantable Heart Assist Systems	7	$219,477.85	$228,001.26	$223,739.55	nat. median $202,993 1.1× median
A9543 HCPCS	Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous	41	$56,824.55	$277,144.49	$197,542.43	nat. median $63,528 outlier · 3.1×
24 APR_DRG	Heart And/or Lung Transplant	7	$193,112.66	$200,612.18	$196,862.42	nat. median $241,437 0.8× median
1612 APR_DRG	Implantable Heart Assist Systems	7	$170,018.50	$176,621.16	$173,319.83	nat. median $84,880 outlier · 2.0×
1611 APR_DRG	Implantable Heart Assist Systems	7	$170,018.50	$176,621.16	$173,319.83	nat. median $76,852 outlier · 2.3×
1613 APR_DRG	Implantable Heart Assist Systems	7	$170,018.50	$176,621.16	$173,319.83	nat. median $120,517 1.4× median
74 APR_DRG	Allogeneic Bone Marrow Transplant	7	$165,176.96	$171,591.60	$168,384.28	nat. median $170,082 1.0× median
J9226 HCPCS	Histrelin 50 Mg (65 Mcg/day) Implant Kit	41	$45,212.04	$224,925.38	$160,321.82	nat. median $55,159 outlier · 2.9×
8412 APR_DRG	Extensive Third Degree Burns With Skin Graft	7	$153,800.56	$159,773.40	$156,786.98	nat. median $32,402 outlier · 4.8×
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	7	$153,800.56	$159,773.40	$156,786.98	nat. median $155,939 1.0× median
8411 APR_DRG	Extensive Third Degree Burns With Skin Graft	7	$153,800.56	$159,773.40	$156,786.98	nat. median $31,109 outlier · 5.0×
8413 APR_DRG	Extensive Third Degree Burns With Skin Graft	7	$153,800.56	$159,773.40	$156,786.98	nat. median $61,012 outlier · 2.6×
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	$153,789.15	$159,761.54	$156,775.34	nat. median $165,000 1.0× median
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	$149,271.86	$155,068.83	$152,170.35	nat. median $154,011 1.0× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	$141,790.30	$161,124.88	$151,457.59	nat. median $90,551 1.7× median
218 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	$141,790.30	$161,124.88	$151,457.59	nat. median $59,546 outlier · 2.5×
217 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	$141,790.30	$161,124.88	$151,457.59	nat. median $62,031 outlier · 2.4×
J1823 HCPCS	Inebilizumab-cdon 10 Mg/ml Intravenous Solution	41	$484.40	$202,395.02	$144,262.67	nat. median $818 outlier · 176.4×
J0223 HCPCS	Givosiran 189 Mg/ml Subcutaneous Solution	41	$116.47	$199,987.05	$142,546.33	nat. median $153 outlier · 934.3×
C9150 HCPCS	Lab/Radiology	1	$134,784.00	$149,760.00	$142,272.00	nat. median $1,036 outlier · 137.3×
232 MS_DRG	Coronary Bypass With Ptca Without Mcc	1	$130,876.10	$148,722.38	$139,799.24	nat. median $57,801 outlier · 2.4×
231 MS_DRG	Coronary Bypass With Ptca With Mcc	1	$130,876.10	$148,722.38	$139,799.24	nat. median $77,028 1.8× median
90288 CPT	Botulism Ig IV	1	$131,503.50	$146,115.00	$138,809.25	nat. median $51,570 outlier · 2.7×
J9347 HCPCS	Tremelimumab-actl 20 Mg/ml Intravenous Solution	41	$138.24	$194,162.19	$138,394.49	nat. median $2,868 outlier · 48.3×
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	$131,841.64	$136,961.70	$134,401.67	nat. median $133,164 1.0× median
C9293 HCPCS	Glucarpidase 1,000 Unit Intravenous Solution	41	$52,303.12	$182,452.74	$130,048.26	nat. median $30,297 outlier · 4.3×
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$121,274.51	$125,984.20	$123,629.35	nat. median $175,204 0.7× median

Other procedures at this hospital

Browse this hospital's 16,794 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	5	2	—	—	$2,908,192.13	$4,689,178.00	$4,452,464.69	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	204	41	$3,080,000.00	$2,310,000.00 25% off	$1,993.05	$3,069,000.00	$1,550,890.00	2025-05-16
Q2055	HCPCS	Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension	140	41	$2,160,425.00	$1,620,318.75 25% off	$527,622.46	$2,310,120.86	$1,385,912.64	2025-05-16
Q2054	HCPCS	Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2)	99	41	$2,113,045.00	$1,584,783.75 25% off	$516,442.29	$1,901,740.50	$1,355,518.37	2025-05-16
Q2041	HCPCS	Axicabtagene Ciloleucel Intravenous Suspension	99	41	$2,054,850.00	$1,541,137.50 25% off	$502,840.73	$1,849,365.00	$1,318,186.27	2025-05-16
Q2053	HCPCS	Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension	99	41	$2,054,850.00	$1,541,137.50 25% off	$489,399.16	$1,849,365.00	$1,318,186.27	2025-05-16
Q2042	HCPCS	Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension	140	41	$1,920,950.00	$1,440,712.50 25% off	$495,605.10	$2,201,625.00	$1,232,289.43	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	99	41	$686,636.63	$514,977.48 25% off	$1,248.60	$617,972.97	$440,477.40	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	$248,684.67	$244,036.36	2025-05-16
5833	APR_DRG	Neonate With Ecmo	7	7	—	—	$231,595.64	$240,589.65	$236,092.65	2025-05-16
5834	APR_DRG	Neonate With Ecmo	7	7	—	—	$231,595.64	$240,589.65	$236,092.65	2025-05-16
5832	APR_DRG	Neonate With Ecmo	7	7	—	—	$220,328.74	$228,885.20	$224,606.97	2025-05-16
5831	APR_DRG	Neonate With Ecmo	7	7	—	—	$220,328.74	$228,885.20	$224,606.97	2025-05-16
1614	APR_DRG	Implantable Heart Assist Systems	7	7	—	—	$219,477.85	$228,001.26	$223,739.55	2025-05-16
A9543	HCPCS	Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous	99	41	$307,938.32	$230,953.74 25% off	$56,824.55	$277,144.49	$197,542.43	2025-05-16
24	APR_DRG	Heart And/or Lung Transplant	7	7	—	—	$193,112.66	$200,612.18	$196,862.42	2025-05-16
1612	APR_DRG	Implantable Heart Assist Systems	7	7	—	—	$170,018.50	$176,621.16	$173,319.83	2025-05-16
1611	APR_DRG	Implantable Heart Assist Systems	7	7	—	—	$170,018.50	$176,621.16	$173,319.83	2025-05-16
1613	APR_DRG	Implantable Heart Assist Systems	7	7	—	—	$170,018.50	$176,621.16	$173,319.83	2025-05-16
74	APR_DRG	Allogeneic Bone Marrow Transplant	7	7	—	—	$165,176.96	$171,591.60	$168,384.28	2025-05-16
J9226	HCPCS	Histrelin 50 Mg (65 Mcg/day) Implant Kit	99	41	$249,917.09	$187,437.82 25% off	$45,212.04	$224,925.38	$160,321.82	2025-05-16
8411	APR_DRG	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$153,800.56	$159,773.40	$156,786.98	2025-05-16
8412	APR_DRG	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$153,800.56	$159,773.40	$156,786.98	2025-05-16
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$153,800.56	$159,773.40	$156,786.98	2025-05-16
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$153,800.56	$159,773.40	$156,786.98	2025-05-16
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$153,789.15	$159,761.54	$156,775.34	2025-05-16
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$149,271.86	$155,068.83	$152,170.35	2025-05-16
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$141,790.30	$161,124.88	$151,457.59	2025-05-16
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$141,790.30	$161,124.88	$151,457.59	2025-05-16
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$141,790.30	$161,124.88	$151,457.59	2025-05-16
J1823	HCPCS	Inebilizumab-cdon 10 Mg/ml Intravenous Solution	99	41	$224,883.36	$168,662.52 25% off	$484.40	$202,395.02	$144,262.67	2025-05-16
J0223	HCPCS	Givosiran 189 Mg/ml Subcutaneous Solution	99	41	$222,207.83	$166,655.88 25% off	$116.47	$199,987.05	$142,546.33	2025-05-16
C9150	HCPCS	Lab/Radiology	2	1	—	—	$134,784.00	$149,760.00	$142,272.00	2025-05-16
231	MS_DRG	Coronary Bypass With Ptca With Mcc	2	1	—	—	$130,876.10	$148,722.38	$139,799.24	2025-05-16
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	2	1	—	—	$130,876.10	$148,722.38	$139,799.24	2025-05-16
90288	CPT	Botulism Ig IV	2	1	—	—	$131,503.50	$146,115.00	$138,809.25	2025-05-16
J9347	HCPCS	Tremelimumab-actl 20 Mg/ml Intravenous Solution	99	41	$215,735.77	$161,801.83 25% off	$138.24	$194,162.19	$138,394.49	2025-05-16
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	7	—	—	$131,841.64	$136,961.70	$134,401.67	2025-05-16
C9293	HCPCS	Glucarpidase 1,000 Unit Intravenous Solution	81	41	$202,725.27	$152,043.96 25% off	$52,303.12	$182,452.74	$130,048.26	2025-05-16
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$121,274.51	$125,984.20	$123,629.35	2025-05-16
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	2	1	—	—	$112,968.34	$125,519.92	$119,244.13	2025-05-16
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$115,390.92	$119,872.12	$117,631.52	2025-05-16
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$115,390.92	$119,872.12	$117,631.52	2025-05-16
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$111,848.79	$116,192.43	$114,020.61	2025-05-16
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	1	—	—	$103,782.28	$117,934.45	$110,858.36	2025-05-16
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	1	—	—	$103,782.28	$117,934.45	$110,858.36	2025-05-16
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	1	—	—	$103,782.28	$117,934.45	$110,858.36	2025-05-16
J9269	HCPCS	Tagraxofusp-erzs 1000 Mcg/ml Ns IV - Reconstituted 100 Mcg/ml	99	41	$171,000.60	$128,250.45 25% off	$338.53	$153,900.54	$109,696.88	2025-05-16
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$103,884.46	$107,918.81	$105,901.64	2025-05-16
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	2	1	—	—	$96,890.17	$110,102.42	$103,496.29	2025-05-16
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	2	1	—	—	$96,292.60	$109,422.85	$102,857.73	2025-05-16
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	2	1	—	—	$96,292.60	$109,422.85	$102,857.73	2025-05-16
J7330	HCPCS	Implant, Maci Final, Product Assembled, Single	120	41	$156,756.00	$117,567.00 25% off	$40,443.05	$282,160.80	$100,558.98	2025-05-16
J0202	HCPCS	Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution	99	41	$156,047.54	$117,035.66 25% off	$2,441.49	$140,442.79	$100,104.50	2025-05-16
Q0480	HCPCS	Driver Pneumatic Vad, Rep	18	18	—	—	$99,999.95	$179,999.91	$99,999.95	2025-05-16
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	7	7	—	—	$95,616.95	$99,330.23	$97,473.59	2025-05-16
A9606	HCPCS	Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln	99	41	$148,062.50	$111,046.88 25% off	$169.06	$133,256.25	$94,982.10	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
23	APR_DRG	Heart And/or Lung Transplant	7	7	—	—	$85,988.13	$89,327.47	$87,657.80	2025-05-16
22	APR_DRG	Heart And/or Lung Transplant	7	7	—	—	$85,988.13	$89,327.47	$87,657.80	2025-05-16
21	APR_DRG	Heart And/or Lung Transplant	7	7	—	—	$85,988.13	$89,327.47	$87,657.80	2025-05-16
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$85,850.80	$89,184.81	$87,517.80	2025-05-16
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	2	1	—	—	$82,870.71	$92,078.91	$87,474.81	2025-05-16
J9359	HCPCS	Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution	99	41	$133,461.89	$100,096.42 25% off	$212.00	$120,115.70	$85,615.80	2025-05-16
Q2043	HCPCS	Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension	99	41	$133,364.40	$100,023.30 25% off	$34,408.02	$120,027.96	$85,553.26	2025-05-16
J1747	HCPCS	Spesolimab-sbzo 60 Mg/ml Intravenous Solution	99	41	$131,667.49	$98,750.62 25% off	$61.43	$118,500.74	$84,464.70	2025-05-16
J2507	HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	99	41	$131,153.51	$98,365.14 25% off	$3,565.32	$118,038.16	$84,134.98	2025-05-16
J9118	HCPCS	Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution	78	39	$128,920.57	$96,690.43 25% off	$196.78	$116,028.51	$82,702.54	2025-05-16
73	APR_DRG	Allogeneic Bone Marrow Transplant	7	7	—	—	$80,974.36	$84,118.99	$82,546.67	2025-05-16
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$78,028.07	$81,058.29	$79,543.18	2025-05-16
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$76,775.32	$79,756.89	$78,266.11	2025-05-16
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	2	1	—	—	$73,044.58	$83,005.52	$78,025.05	2025-05-16
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$75,937.88	$78,886.93	$77,412.41	2025-05-16
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	2	1	—	—	$70,667.60	$80,303.62	$75,485.61	2025-05-16
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	2	1	—	—	$70,667.60	$80,303.62	$75,485.61	2025-05-16
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	7	7	—	—	$73,553.36	$76,409.80	$74,981.58	2025-05-16
J9348	HCPCS	Naxitamab-gqgk 4 Mg/ml Intravenous Solution	99	41	$116,612.85	$87,459.64 25% off	$641.83	$104,951.57	$74,807.15	2025-05-16
J9229	HCPCS	Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln	99	41	$116,476.42	$87,357.32 25% off	$2,658.13	$104,828.78	$74,719.62	2025-05-16
03060	EAPG	Ventricular Assist Device Procedures	7	7	—	—	$72,697.61	$74,470.73	$73,761.48	2025-05-16
J9266	HCPCS	Pegaspargase 750 Unit/ml Injection Solution	99	41	$114,548.67	$85,911.51 25% off	$27,070.53	$103,093.80	$73,482.97	2025-05-16
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$71,344.14	$74,114.79	$72,729.47	2025-05-16
8514	APR_DRG	Gender Related Procedures	7	7	—	—	$71,204.25	$73,969.46	$72,586.86	2025-05-16
J9274	HCPCS	Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution	99	41	$112,071.97	$84,053.98 25% off	$214.76	$100,864.77	$71,894.16	2025-05-16
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$70,248.58	$72,976.68	$71,612.63	2025-05-16
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$68,569.03	$71,231.90	$69,900.46	2025-05-16
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	2	1	—	—	$63,439.30	$72,090.30	$67,764.80	2025-05-16
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$66,326.36	$68,902.14	$67,614.25	2025-05-16
J7311	HCPCS	Fluocinolone 0.59 Mg Intravitreal Implant	99	41	$105,240.36	$78,930.27 25% off	$340.04	$94,716.32	$67,511.69	2025-05-16
J9600	HCPCS	Porfimer 75 Mg Intravenous Solution	99	41	$105,199.05	$78,899.29 25% off	$24,228.42	$94,679.15	$67,485.20	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
84	APR_DRG	Autologous Bone Marrow Transplant	7	7	—	—	$65,120.45	$67,649.40	$66,384.93	2025-05-16
72	APR_DRG	Allogeneic Bone Marrow Transplant	7	7	—	—	$64,960.64	$67,483.38	$66,222.01	2025-05-16
71	APR_DRG	Allogeneic Bone Marrow Transplant	7	7	—	—	$64,960.64	$67,483.38	$66,222.01	2025-05-16
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	7	7	—	—	$64,685.72	$67,197.79	$65,941.75	2025-05-16
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	7	7	—	—	$64,625.30	$67,135.02	$65,880.16	2025-05-16
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	2	1	—	—	$60,226.95	$68,440.28	$64,333.61	2025-05-16
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$62,919.60	$65,363.08	$64,141.34	2025-05-16
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$62,204.10	$64,619.79	$63,411.95	2025-05-16
L8688	HCPCS	Generator, M1000-d, Sentiva Duo	78	41	$102,755.64	$77,066.73 25% off	$26,510.96	$92,480.08	$63,364.26	2025-05-16
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	99	41	$98,446.22	$73,834.67 25% off	$57.81	$88,601.60	$63,153.25	2025-05-16
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	1	—	—	$57,584.50	$65,437.02	$61,510.76	2025-05-16
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	1	—	—	$57,536.32	$65,381.67	$61,458.99	2025-05-16
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	1	—	—	$57,320.05	$65,136.70	$61,228.38	2025-05-16
6091	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$59,883.53	$62,209.10	$61,046.32	2025-05-16
6092	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$59,883.53	$62,209.10	$61,046.32	2025-05-16
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	7	—	—	$59,681.50	$61,999.22	$60,840.36	2025-05-16
J0638	HCPCS	Canakinumab (pf) 150 Mg/ml Subcutaneous Solution	99	41	$94,723.08	$71,042.31 25% off	$136.56	$85,250.77	$60,764.86	2025-05-16
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	4	2	—	—	$44,220.55	$78,896.97	$60,628.90	2025-05-16
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	7	7	—	—	$59,408.12	$61,715.24	$60,561.68	2025-05-16
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$59,294.80	$61,597.51	$60,446.16	2025-05-16
8634	APR_DRG	Neonatal Aftercare	7	7	—	—	$59,209.35	$61,508.75	$60,359.05	2025-05-16
1784	APR_DRG	External Heart Assist Systems	7	7	—	—	$59,189.84	$61,488.47	$60,339.15	2025-05-16
6904	APR_DRG	Acute Leukemia	7	7	—	—	$58,961.12	$61,250.88	$60,106.00	2025-05-16
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	7	7	—	—	$58,616.03	$60,892.38	$59,754.21	2025-05-16
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$57,858.72	$60,105.66	$58,982.19	2025-05-16
A9604	HCPCS	Samarium Sm 153 Lexidronam 5,550 Mbq/3 Ml Intravenous Solution	99	41	$88,888.25	$66,666.19 25% off	$4,314.91	$79,999.43	$57,021.82	2025-05-16
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$55,835.68	$58,004.06	$56,919.87	2025-05-16
J3357	HCPCS	Ustekinumab 90 Mg/ml Subcutaneous Syringe	177	41	$136,810.84	$102,608.13 25% off	$152.39	$123,129.76	$56,776.47	2025-05-16
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	7	—	—	$55,290.93	$57,438.15	$56,364.54	2025-05-16
J9309	HCPCS	Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution	99	41	$86,294.33	$64,720.75 25% off	$132.73	$77,664.90	$55,357.82	2025-05-16
38240	CPT	Transplt Allo Hct/donor	24	18	—	—	$4,469.55	$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	$55,771.01	$54,728.56	2025-05-16
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$53,572.00	$55,652.47	$54,612.23	2025-05-16
J3241	HCPCS	Teprotumumab-trbw 500 Mg Intravenous Solution	99	41	$83,988.16	$62,991.12 25% off	$352.56	$75,589.34	$53,878.40	2025-05-16
5894	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$52,847.54	$54,899.87	$53,873.70	2025-05-16
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$52,847.54	$54,899.87	$53,873.70	2025-05-16
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	7	—	—	$51,992.61	$54,011.74	$53,002.17	2025-05-16
6954	APR_DRG	Chemotherapy For Acute Leukemia	7	7	—	—	$51,700.49	$53,708.28	$52,704.38	2025-05-16
J2502	HCPCS	Pasireotide Pamoate 40 Mg IM Suspension	99	41	$82,121.85	$61,591.39 25% off	$526.94	$73,909.67	$52,681.17	2025-05-16
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	7	—	—	$51,282.54	$53,274.09	$52,278.31	2025-05-16
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	2	1	—	—	$48,480.45	$55,091.70	$51,786.07	2025-05-16
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$50,711.92	$52,681.31	$51,696.61	2025-05-16
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	7	—	—	$50,471.57	$52,431.63	$51,451.60	2025-05-16
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$50,302.95	$52,256.47	$51,279.71	2025-05-16
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$50,302.95	$52,256.47	$51,279.71	2025-05-16
224	APR_DRG	Ventricular Shunt Procedures	7	7	—	—	$49,336.96	$51,252.96	$50,294.96	2025-05-16
83	APR_DRG	Autologous Bone Marrow Transplant	7	7	—	—	$49,089.22	$50,995.60	$50,042.41	2025-05-16
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$48,630.04	$50,518.58	$49,574.31	2025-05-16
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$48,630.04	$50,518.58	$49,574.31	2025-05-16
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$48,630.04	$50,518.58	$49,574.31	2025-05-16
111	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$48,630.04	$50,518.58	$49,574.31	2025-05-16
J9029	HCPCS	Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension	99	41	$77,250.00	$57,937.50 25% off	$19,930.50	$172,800.00	$49,555.88	2025-05-16
7924	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	7	7	—	—	$47,774.06	$49,629.36	$48,701.71	2025-05-16
J9298	HCPCS	Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution	99	41	$75,752.49	$56,814.37 25% off	$194.08	$68,177.24	$48,595.22	2025-05-16
L7181	HCPCS	Electronic Elbo Simultaneous	18	18	—	—	$48,370.76	$87,067.37	$48,370.76	2025-05-16
243	MS_DRG	Permanent Cardiac Pacemaker Implant With Cc	4	2	—	—	$40,879.05	$55,734.33	$48,307.51	2025-05-16
244	MS_DRG	Permanent Cardiac Pacemaker Implant Without Cc/mcc	4	2	—	—	$37,696.42	$58,495.76	$47,741.60	2025-05-16
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	7	—	—	$46,446.67	$48,250.42	$47,348.54	2025-05-16
L7180	HCPCS	Electronic Elbow Sequential	18	18	—	—	$46,980.38	$84,564.68	$46,980.38	2025-05-16
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$45,699.62	$47,474.36	$46,586.99	2025-05-16
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	2	1	—	—	$43,240.65	$49,137.48	$46,189.07	2025-05-16
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$44,981.19	$46,728.03	$45,854.61	2025-05-16
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$44,981.19	$46,728.03	$45,854.61	2025-05-16
8633	APR_DRG	Neonatal Aftercare	7	7	—	—	$44,904.33	$46,648.19	$45,776.26	2025-05-16
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$44,698.69	$46,434.57	$45,566.63	2025-05-16
5931	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$44,698.69	$46,434.57	$45,566.63	2025-05-16
J1628	HCPCS	Guselkumab 100 Mg/ml Subcutaneous Syringe	99	41	$70,893.10	$53,169.83 25% off	$70.43	$63,803.79	$45,477.93	2025-05-16
252	MS_DRG	Other Vascular Procedures With Mcc	2	1	—	—	$42,504.70	$48,301.08	$45,402.89	2025-05-16
253	MS_DRG	Other Vascular Procedures With Cc	2	1	—	—	$42,219.75	$47,977.17	$45,098.46	2025-05-16
33276	CPT	Hc Insertion Phrenic Nerve Stimulator System	99	41	$70,201.00	$52,650.75 25% off	$18,111.86	$75,091.07	$45,033.94	2025-05-16
914	APR_DRG	Other Major Head And Neck Procedures	7	7	—	—	$43,904.01	$45,609.02	$44,756.51	2025-05-16
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$43,821.74	$45,523.56	$44,672.65	2025-05-16
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$43,821.74	$45,523.56	$44,672.65	2025-05-16
6301	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$43,701.36	$45,398.50	$44,549.93	2025-05-16
6302	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$43,701.36	$45,398.50	$44,549.93	2025-05-16
J9043	HCPCS	Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution	99	41	$69,344.76	$52,008.57 25% off	$221.71	$62,410.28	$44,484.66	2025-05-16
2004	APR_DRG	Cardiac Structural And Valvular Disorders	7	7	—	—	$42,850.25	$44,514.33	$43,682.29	2025-05-16
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	7	7	—	—	$42,551.61	$44,204.10	$43,377.85	2025-05-16
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	7	7	—	—	$42,295.54	$43,938.08	$43,116.81	2025-05-16
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	7	7	—	—	$41,989.48	$43,620.14	$42,804.81	2025-05-16
C1824	HCPCS	Generator, Pulse, Optimizer Smart Ipg	78	41	$69,000.00	$51,750.00 25% off	$17,802.00	$62,100.00	$42,548.85	2025-05-16
A9572	HCPCS	Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit	99	41	$66,218.70	$49,664.03 25% off	$1,914.61	$59,596.83	$42,479.29	2025-05-16
0266T	CPT	Apc	20	18	—	—	$21,690.02	$75,091.07	$41,717.26	2025-05-16
1794	APR_DRG	Defibrillator Implants	7	7	—	—	$40,871.64	$42,458.88	$41,665.26	2025-05-16
J3245	HCPCS	Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe	99	41	$64,818.73	$48,614.05 25% off	$131.46	$58,336.86	$41,581.21	2025-05-16
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	7	7	—	—	$40,608.16	$42,185.18	$41,396.67	2025-05-16
214	APR_DRG	Open Craniotomy Except Trauma	7	7	—	—	$40,536.29	$42,110.51	$41,323.40	2025-05-16
1204	APR_DRG	Major Respiratory And Chest Procedures	7	7	—	—	$40,310.54	$41,876.00	$41,093.27	2025-05-16
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	7	—	—	$40,208.79	$41,770.30	$40,989.54	2025-05-16
6604	APR_DRG	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	7	7	—	—	$40,195.19	$41,756.17	$40,975.68	2025-05-16
J9321	HCPCS	Epcoritamab-bysp 48 Mg/0.8 Ml Subcutaneous Solution	138	41	$84,223.03	$63,167.28 25% off	$54.86	$75,800.73	$40,427.05	2025-05-16
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	7	7	—	—	$39,612.46	$41,150.81	$40,381.64	2025-05-16
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	7	7	—	—	$38,848.38	$40,357.05	$39,602.71	2025-05-16
321	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	2	1	—	—	$37,296.30	$41,439.99	$39,368.15	2025-05-16
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	20	18	—	—	$38,762.63	$69,772.73	$38,762.63	2025-05-16
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$37,959.08	$39,433.22	$38,696.15	2025-05-16
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$37,959.08	$39,433.22	$38,696.15	2025-05-16
6344	APR_DRG	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	7	7	—	—	$37,848.25	$39,318.08	$38,583.16	2025-05-16
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	7	7	—	—	$37,845.31	$39,315.03	$38,580.17	2025-05-16
1832	APR_DRG	Percutaneous Structural Cardiac Procedures	7	7	—	—	$37,773.62	$39,240.56	$38,507.09	2025-05-16
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$37,648.24	$39,110.31	$38,379.27	2025-05-16
6903	APR_DRG	Acute Leukemia	7	7	—	—	$37,615.21	$39,075.99	$38,345.60	2025-05-16
6224	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$37,407.79	$38,860.52	$38,134.15	2025-05-16
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$37,163.51	$38,606.76	$37,885.13	2025-05-16
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$36,953.15	$38,388.22	$37,670.68	2025-05-16
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	7	—	—	$36,889.64	$38,322.24	$37,605.94	2025-05-16
1831	APR_DRG	Percutaneous Structural Cardiac Procedures	7	7	—	—	$36,731.53	$38,158.00	$37,444.76	2025-05-16
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	7	7	—	—	$36,440.23	$37,855.38	$37,147.80	2025-05-16
272	MS_DRG	Other Major Cardiovascular Procedures Without Cc/mcc	2	1	—	—	$34,721.88	$39,456.35	$37,089.11	2025-05-16
J1305	HCPCS	Evinacumab-dgnb 150 Mg/ml Intravenous Solution	138	41	$57,744.38	$43,308.29 25% off	$186.31	$180,765.00	$37,043.02	2025-05-16
33367	CPT	Hc Cath Replace Aortic Valve W/byp Prq Art/venous Apprch	83	41	$57,653.00	$43,239.75 25% off	$1,771.20	$51,887.70	$36,984.40	2025-05-16
33364	CPT	Hc Cath Replace Aortic Valve Open Iliac Artery Approach	83	41	$57,653.00	$43,239.75 25% off	$1,771.20	$51,887.70	$36,984.40	2025-05-16
264	APR_DRG	Other Nervous System And Related Procedures	7	7	—	—	$36,196.73	$37,602.43	$36,899.58	2025-05-16
472	MS_DRG	Cervical Spinal Fusion With Cc	6	3	—	—	$25,529.76	$42,893.17	$36,692.32	2025-05-16
33902	CPT	Hc Perq P-art Revsc St 1st Abnor Connj Unilateral	103	41	$56,767.00	$42,575.25 25% off	$2,004.64	$51,090.30	$36,416.03	2025-05-16
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$35,618.06	$37,001.28	$36,309.67	2025-05-16
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$35,618.06	$37,001.28	$36,309.67	2025-05-16
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$35,618.06	$37,001.28	$36,309.67	2025-05-16
J1323	HCPCS	Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution	222	41	$67,211.21	$50,408.41 25% off	$182.98	$72,588.11	$36,280.61	2025-05-16
234	APR_DRG	Spinal Procedures	7	7	—	—	$35,467.85	$36,845.25	$36,156.55	2025-05-16
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	7	—	—	$35,439.82	$36,816.12	$36,127.97	2025-05-16
1783	APR_DRG	External Heart Assist Systems	7	7	—	—	$35,396.95	$36,771.59	$36,084.27	2025-05-16
1781	APR_DRG	External Heart Assist Systems	7	7	—	—	$35,396.95	$36,771.59	$36,084.27	2025-05-16
1782	APR_DRG	External Heart Assist Systems	7	7	—	—	$35,396.95	$36,771.59	$36,084.27	2025-05-16
C2624	HCPCS	Delivery System, Cardiomems Pa Sensor, Includes Cm2000, Cm1000	125	41	$58,500.00	$43,875.00 25% off	$15,093.00	$64,125.00	$36,074.03	2025-05-16
J9042	HCPCS	Brentuximab Vedotin 50 Mg/10 Ml IV Injection - Reconstituted 5 Mg/ml	99	41	$55,748.34	$41,811.26 25% off	$248.93	$50,173.51	$35,762.56	2025-05-16
6123	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$35,045.90	$36,406.91	$35,726.41	2025-05-16
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	7	—	—	$34,930.59	$36,287.11	$35,608.85	2025-05-16
481	MS_DRG	Hip And Femur Procedures Except Major Joint With Cc	2	1	—	—	$32,859.45	$37,340.75	$35,100.10	2025-05-16
2304	APR_DRG	Major Small Bowel Procedures	7	7	—	—	$34,404.36	$35,740.45	$35,072.40	2025-05-16
204	APR_DRG	Open Craniotomy For Trauma	7	7	—	—	$34,311.20	$35,643.67	$34,977.43	2025-05-16
8423	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	7	7	—	—	$34,292.33	$35,624.07	$34,958.20	2025-05-16
J2329	HCPCS	Ublituximab-xiiy 25 Mg/ml Intravenous Solution	99	41	$54,394.88	$40,796.16 25% off	$68.66	$48,955.39	$34,894.32	2025-05-16
471	MS_DRG	Cervical Spinal Fusion With Mcc	4	2	—	—	$24,082.45	$48,896.60	$34,893.83	2025-05-16
894	APR_DRG	Major Cranial Or Facial Bone Procedures	7	7	—	—	$34,074.38	$35,397.65	$34,736.02	2025-05-16
J0222	HCPCS	Patisiran (lipid Complex) 2 Mg/ml Intravenous Solution	99	41	$54,127.53	$40,595.65 25% off	$99.04	$48,714.78	$34,722.81	2025-05-16
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	7	7	—	—	$34,051.12	$35,373.49	$34,712.31	2025-05-16
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	7	7	—	—	$33,920.10	$35,237.39	$34,578.75	2025-05-16
J9999	HCPCS	Dinutuximab 3.5 Mg/ml Intravenous Solution	81	41	$53,505.93	$40,129.45 25% off	$13,804.53	$48,155.34	$34,324.06	2025-05-16
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	18	18	—	—	$34,284.44	$61,711.99	$34,284.44	2025-05-16
304	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	7	7	—	—	$33,618.31	$34,923.88	$34,271.10	2025-05-16
274	APR_DRG	Other Open Craniotomy	7	7	—	—	$33,581.61	$34,885.75	$34,233.68	2025-05-16
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	2	1	—	—	$32,003.57	$36,368.02	$34,185.79	2025-05-16
1694	APR_DRG	Major Abdominal Vascular Procedures	7	7	—	—	$33,526.12	$34,828.10	$34,177.11	2025-05-16
J9119	HCPCS	Cemiplimab-rwlc 50 Mg/ml Intravenous Solution	99	41	$53,157.57	$39,868.18 25% off	$28.92	$47,841.81	$34,100.58	2025-05-16
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	7	7	—	—	$32,942.42	$34,221.74	$33,582.08	2025-05-16
294	APR_DRG	Other Percutaneous Intracranial Procedures	7	7	—	—	$32,696.42	$33,966.19	$33,331.31	2025-05-16
504	APR_DRG	Non-bacterial Infections Of Nervous System Except Viral Meningitis	7	7	—	—	$32,686.65	$33,956.03	$33,321.34	2025-05-16
J1640	HCPCS	Hemin 350 Mg Intravenous Powder For Solution	99	41	$51,934.30	$38,950.73 25% off	$33.07	$46,740.87	$33,315.86	2025-05-16
254	MS_DRG	Other Vascular Procedures Without Cc/mcc	2	1	—	—	$31,172.30	$35,422.98	$33,297.64	2025-05-16
6113	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	7	—	—	$32,580.25	$33,845.50	$33,212.88	2025-05-16
1814	APR_DRG	Lower Extremity Arterial Procedures	7	7	—	—	$32,546.15	$33,810.07	$33,178.11	2025-05-16
3214	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	7	7	—	—	$32,326.69	$33,582.10	$32,954.40	2025-05-16
J9153	HCPCS	Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution	99	41	$51,168.11	$38,376.09 25% off	$249.02	$46,051.30	$32,824.35	2025-05-16
J9203	HCPCS	Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln	99	41	$51,075.18	$38,306.39 25% off	$233.12	$45,967.66	$32,764.72	2025-05-16
4054	APR_DRG	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	7	7	—	—	$32,110.65	$33,357.67	$32,734.16	2025-05-16
1824	APR_DRG	Other Peripheral Vascular And Related Procedures	7	7	—	—	$31,969.57	$33,211.11	$32,590.34	2025-05-16
0915T	CPT	Hc Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds	99	41	$50,016.00	$37,512.00 25% off	$12,904.13	$53,500.26	$32,085.26	2025-05-16
J9307	HCPCS	Pralatrexate 40 Mg/2 Ml (20 Mg/ml) Intravenous Solution	138	41	$65,058.36	$48,793.77 25% off	$373.77	$58,552.52	$32,011.91	2025-05-16
J2427	HCPCS	Paliperidone Palmitate (3 Month) 819 Mg/2.63 Ml Intramuscular Syringe	99	41	$49,881.54	$37,411.16 25% off	$12.67	$44,893.39	$31,999.01	2025-05-16
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$31,295.11	$32,510.45	$31,902.78	2025-05-16
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$31,295.11	$32,510.45	$31,902.78	2025-05-16
2644	APR_DRG	Other Hepatobiliary, Pancreas And Abdominal Procedures	7	7	—	—	$31,280.04	$32,494.80	$31,887.42	2025-05-16
6213	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	7	7	—	—	$31,075.01	$32,281.80	$31,678.41	2025-05-16
3043	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	7	7	—	—	$31,047.08	$32,252.80	$31,649.94	2025-05-16
2294	APR_DRG	Other Digestive System And Abdominal Procedures	7	7	—	—	$31,028.11	$32,233.09	$31,630.60	2025-05-16
4474	APR_DRG	Other Kidney, Urinary Tract And Related Procedures	7	7	—	—	$30,980.18	$32,183.29	$31,581.73	2025-05-16
9514	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	7	—	—	$30,802.74	$31,998.96	$31,400.85	2025-05-16
0571T	CPT	Hc Insj/rplcmt Icds W/substernal Electrode	103	41	$48,900.00	$36,675.00 25% off	$1,519.51	$53,500.26	$31,369.35	2025-05-16
J9037	HCPCS	Belantamab Mafodotin-blmf 100 Mg Intravenous Solution	78	39	$48,825.25	$36,618.94 25% off	$114.40	$43,942.73	$31,321.40	2025-05-16
1633	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	7	—	—	$30,681.01	$31,872.51	$31,276.76	2025-05-16
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	7	7	—	—	$30,678.83	$31,870.24	$31,274.53	2025-05-16
J7314	HCPCS	Fluocinolone 0.18 Mg Intravitreal Implant	99	41	$48,734.16	$36,550.62 25% off	$524.57	$43,860.74	$31,262.96	2025-05-16
1324	APR_DRG	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	7	7	—	—	$30,427.98	$31,609.65	$31,018.82	2025-05-16
1764	APR_DRG	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	7	7	—	—	$30,289.66	$31,465.96	$30,877.81	2025-05-16
1793	APR_DRG	Defibrillator Implants	7	7	—	—	$30,231.42	$31,405.45	$30,818.43	2025-05-16
81	APR_DRG	Autologous Bone Marrow Transplant	7	7	—	—	$30,086.54	$31,254.95	$30,670.74	2025-05-16
82	APR_DRG	Autologous Bone Marrow Transplant	7	7	—	—	$30,086.54	$31,254.95	$30,670.74	2025-05-16
470	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	4	2	—	—	$22,716.06	$40,765.27	$30,556.62	2025-05-16
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	4	2	—	—	$22,716.06	$40,765.27	$30,556.62	2025-05-16
7114	APR_DRG	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	7	7	—	—	$29,944.47	$31,107.36	$30,525.92	2025-05-16
3031	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$29,936.14	$31,098.70	$30,517.42	2025-05-16
1214	APR_DRG	Other Respiratory And Chest Procedures	7	7	—	—	$29,554.61	$30,702.37	$30,128.49	2025-05-16
J9316	HCPCS	Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln	138	41	$46,858.93	$35,144.20 25% off	$62.99	$63,262.05	$30,060.01	2025-05-16
434	APR_DRG	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	7	7	—	—	$29,470.65	$30,615.14	$30,042.89	2025-05-16
93654	CPT	Hc Ep Ephys Eval W/ablation Ventricular Tachycardia	103	41	$46,795.00	$35,096.25 25% off	$7,233.69	$42,115.50	$30,018.99	2025-05-16
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$29,378.53	$30,519.44	$29,948.98	2025-05-16
8503	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	7	7	—	—	$29,324.31	$30,463.11	$29,893.71	2025-05-16
Q4244	HCPCS	Lab/Radiology	2	1	—	—	$28,296.70	$31,440.78	$29,868.74	2025-05-16
33270	CPT	Ins/rep Subq Defibrillator	24	18	—	—	$3,676.07	$53,500.26	$29,722.37	2025-05-16
0408T	CPT	Insj/rplc Cardiac Modulj Sys	22	18	—	—	$7,233.69	$53,500.26	$29,722.37	2025-05-16
33287	CPT	Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator	99	41	$46,154.00	$34,615.50 25% off	$11,907.73	$50,850.43	$29,607.79	2025-05-16
63685	CPT	Hc Insj/rplcmt Spinal Npg/rcvr Pocket Crtj&connj	99	41	$46,154.00	$34,615.50 25% off	$1,857.44	$50,850.43	$29,607.79	2025-05-16
J9144	HCPCS	Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln	99	41	$46,047.73	$34,535.80 25% off	$52.99	$41,442.96	$29,539.62	2025-05-16
J1632	HCPCS	Brexanolone 5 Mg/ml Intravenous Solution	78	39	$46,041.00	$34,530.75 25% off	$193.10	$41,436.90	$29,535.30	2025-05-16
69930	CPT	Implant Cochlear Device	26	19	—	—	$4,964.60	$60,699.98	$29,487.12	2025-05-16
3254	APR_DRG	Non-elective Or Complex Knee Joint Replacement	7	7	—	—	$28,865.94	$29,986.94	$29,426.44	2025-05-16
1622	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$28,865.22	$29,986.20	$29,425.71	2025-05-16
6122	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$28,859.73	$29,980.50	$29,420.12	2025-05-16
9524	APR_DRG	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	7	7	—	—	$28,846.55	$29,966.81	$29,406.68	2025-05-16

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