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 →

Export CSV
Hospital

Uh Geauga Medical Center

Chardon, OH · CCN 360192 · Rates published

16,958 distinct procedures filed
41 distinct payers
1,958,510 rate rows
2025-05-16 last MRF observed · ⚠ 14 mo old
Data quality

1,956,757 of 1,958,510 rate rows are consumer-grade (99.9%)

1,753 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 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

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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 viaDiscovered by HANK
Last fetch not_modified · 2026-05-19
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
$3,710,000
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 41 $1,993.05 $3,069,000.00 $1,550,890.00 nat. median
$2,475
outlier · 626.6×
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
$625,184
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
$673,137
outlier · 2.0×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 41 $502,840.73 $1,849,365.00 $1,318,186.27 nat. median
$634,303
outlier · 2.1×
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
$619,808
outlier · 2.1×
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
$753,246
1.6× 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 $440,477.40 nat. median
$2,675
outlier · 164.6×
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
$246,434
1.0× median
5834
APR_DRG 		Neonate With Ecmo 7 $231,595.64 $240,589.65 $236,092.65 nat. median
$309,665
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
5831
APR_DRG 		Neonate With Ecmo 7 $220,328.74 $228,885.20 $224,606.97 nat. median
$144,745
1.6× median
5832
APR_DRG 		Neonate With Ecmo 7 $220,328.74 $228,885.20 $224,606.97 nat. median
$156,126
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $219,477.85 $228,001.26 $223,739.55 nat. median
$207,730
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
$62,507
outlier · 3.2×
24
APR_DRG 		Heart And/or Lung Transplant 7 $193,112.66 $200,612.18 $196,862.42 nat. median
$234,729
0.8× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $170,018.50 $176,621.16 $173,319.83 nat. median
$76,806
outlier · 2.3×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $170,018.50 $176,621.16 $173,319.83 nat. median
$85,444
outlier · 2.0×
1613
APR_DRG 		Implantable Heart Assist Systems 7 $170,018.50 $176,621.16 $173,319.83 nat. median
$119,796
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $165,176.96 $171,591.60 $168,384.28 nat. median
$187,061
0.9× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 41 $45,212.04 $224,925.38 $160,321.82 nat. median
$60,368
outlier · 2.7×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $153,800.56 $159,773.40 $156,786.98 nat. median
$66,693
outlier · 2.4×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $153,800.56 $159,773.40 $156,786.98 nat. median
$160,267
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
$34,381
outlier · 4.6×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $153,800.56 $159,773.40 $156,786.98 nat. median
$35,675
outlier · 4.4×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $153,789.15 $159,761.54 $156,775.34 nat. median
$162,982
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
$150,721
1.0× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 41 $484.40 $202,395.02 $144,262.67 nat. median
$798
outlier · 180.7×
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 41 $116.47 $199,987.05 $142,546.33 nat. median
$167
outlier · 853.0×
C9150
HCPCS 		Lab/Radiology 1 $134,784.00 $149,760.00 $142,272.00 nat. median
$775
outlier · 183.6×
90288
CPT 		Botulism Ig IV 1 $131,503.50 $146,115.00 $138,809.25 nat. median
$55,037
outlier · 2.5×
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 41 $138.24 $194,162.19 $138,394.49 nat. median
$3,461
outlier · 40.0×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $131,841.64 $136,961.70 $134,401.67 nat. median
$122,924
1.1× median
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 41 $52,303.12 $182,452.74 $130,048.26 nat. median
$21,216
outlier · 6.1×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $121,274.51 $125,984.20 $123,629.35 nat. median
$182,665
0.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $115,390.92 $119,872.12 $117,631.52 nat. median
$124,573
0.9× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $115,390.92 $119,872.12 $117,631.52 nat. median
$145,336
0.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $111,848.79 $116,192.43 $114,020.61 nat. median
$151,838
0.8× median
J9269
HCPCS 		Tagraxofusp-erzs 1000 Mcg/ml Ns IV - Reconstituted 100 Mcg/ml 41 $338.53 $153,900.54 $109,696.88 nat. median
$509
outlier · 215.4×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $103,884.46 $107,918.81 $105,901.64 nat. median
$164,289
0.6× median

Other procedures at this hospital

Browse this hospital's 16,958 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
             
0266T CPT Apc 20 18 — — $21,690.02 $75,091.07 $41,717.26 2025-05-16
0268T CPT Apc 22 18 — — $8,237.75 $50,850.43 $28,250.24 2025-05-16
03060 EAPG Ventricular Assist Device Procedures 7 7 — — $72,697.61 $74,470.73 $73,761.48 2025-05-16
0408T CPT Insj/rplc Cardiac Modulj Sys 22 18 — — $7,233.69 $53,500.26 $29,722.37 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
0620T CPT Hc Endovascular Venous Arterialization Tibl/prnl Vn 103 41 $42,901.00 $32,175.75 25% off $4,452.69 $58,404.35 $27,520.99 2025-05-16
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 22 18 — — $1,771.20 $50,850.43 $28,250.24 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
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
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
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
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
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $40,310.54 $41,876.00 $41,093.27 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
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $29,378.53 $30,519.44 $29,948.98 2025-05-16
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $27,185.22 $28,240.96 $27,713.09 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
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
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $68,569.03 $71,231.90 $69,900.46 2025-05-16
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $27,537.04 $28,606.44 $28,071.74 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
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $95,616.95 $99,330.23 $97,473.59 2025-05-16
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $170,018.50 $176,621.16 $173,319.83 2025-05-16
1612 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
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $219,477.85 $228,001.26 $223,739.55 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
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
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
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
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
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $26,629.74 $27,663.91 $27,146.83 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
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
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $40,608.16 $42,185.18 $41,396.67 2025-05-16
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $33,526.12 $34,828.10 $34,177.11 2025-05-16
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $26,417.45 $27,443.37 $26,930.41 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
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
1783 APR_DRG External Heart Assist Systems 7 7 — — $35,396.95 $36,771.59 $36,084.27 2025-05-16
1784 APR_DRG External Heart Assist Systems 7 7 — — $59,189.84 $61,488.47 $60,339.15 2025-05-16
1792 APR_DRG Defibrillator Implants 7 7 — — $26,528.10 $27,558.32 $27,043.21 2025-05-16
1793 APR_DRG Defibrillator Implants 7 7 — — $30,231.42 $31,405.45 $30,818.43 2025-05-16
1794 APR_DRG Defibrillator Implants 7 7 — — $40,871.64 $42,458.88 $41,665.26 2025-05-16
1814 APR_DRG Lower Extremity Arterial Procedures 7 7 — — $32,546.15 $33,810.07 $33,178.11 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
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $36,731.53 $38,158.00 $37,444.76 2025-05-16
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $37,773.62 $39,240.56 $38,507.09 2025-05-16
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $41,989.48 $43,620.14 $42,804.81 2025-05-16
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $59,408.12 $61,715.24 $60,561.68 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
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $34,311.20 $35,643.67 $34,977.43 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
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $40,536.29 $42,110.51 $41,323.40 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
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $37,845.31 $39,315.03 $38,580.17 2025-05-16
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $49,336.96 $51,252.96 $50,294.96 2025-05-16
2244 APR_DRG Peritoneal Adhesiolysis 7 7 — — $27,522.70 $28,591.54 $28,057.12 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
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $85,988.13 $89,327.47 $87,657.80 2025-05-16
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $34,404.36 $35,740.45 $35,072.40 2025-05-16
234 APR_DRG Spinal Procedures 7 7 — — $35,467.85 $36,845.25 $36,156.55 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
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $33,920.10 $35,237.39 $34,578.75 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
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $31,280.04 $32,494.80 $31,887.42 2025-05-16
274 APR_DRG Other Open Craniotomy 7 7 — — $33,581.61 $34,885.75 $34,233.68 2025-05-16
294 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $32,696.42 $33,966.19 $33,331.31 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
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
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
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
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $33,618.31 $34,923.88 $34,271.10 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
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
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
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
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 7 7 — — $26,450.95 $27,478.17 $26,964.56 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
33270 CPT Ins/rep Subq Defibrillator 24 18 — — $3,676.07 $53,500.26 $29,722.37 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
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
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
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
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
38240 CPT Transplt Allo Hct/donor 24 18 — — $4,469.55 $98,689.15 $54,827.31 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
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
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
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
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
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
4414 APR_DRG Major Bladder Procedures 7 7 — — $28,445.64 $29,550.33 $28,997.99 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
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
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
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
5831 APR_DRG Neonate With Ecmo 7 7 — — $220,328.74 $228,885.20 $224,606.97 2025-05-16
5832 APR_DRG Neonate With Ecmo 7 7 — — $220,328.74 $228,885.20 $224,606.97 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $27,052.48 $28,103.06 $27,577.77 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
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
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
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $26,923.92 $27,969.51 $27,446.72 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
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
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $28,160.40 $29,254.00 $28,707.20 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
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
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
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
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
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
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
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
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
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
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
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
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
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $28,449.66 $29,554.50 $29,002.08 2025-05-16
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $28,449.66 $29,554.50 $29,002.08 2025-05-16
61886 CPT Implant Neurostim Arrays 26 19 — — $2,453.36 $50,850.43 $28,250.24 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
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
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
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
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
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
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
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
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
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
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
64568 CPT Opn Impltj Crnl Nrv Nea&pg 24 18 — — $3,241.41 $50,850.43 $28,250.24 2025-05-16
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 22 18 — — $2,115.13 $50,850.43 $28,250.24 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
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
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
6903 APR_DRG Acute Leukemia 7 7 — — $37,615.21 $39,075.99 $38,345.60 2025-05-16
6904 APR_DRG Acute Leukemia 7 7 — — $58,961.12 $61,250.88 $60,106.00 2025-05-16
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $51,700.49 $53,708.28 $52,704.38 2025-05-16
6964 APR_DRG Other Chemotherapy 7 7 — — $26,932.74 $27,978.67 $27,455.70 2025-05-16
69930 CPT Implant Cochlear Device 26 19 — — $4,964.60 $60,699.98 $29,487.12 2025-05-16
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $64,960.64 $67,483.38 $66,222.01 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
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
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $64,960.64 $67,483.38 $66,222.01 2025-05-16
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $80,974.36 $84,118.99 $82,546.67 2025-05-16
734 APR_DRG Orbit And Eye Procedures 7 7 — — $26,473.32 $27,501.41 $26,987.36 2025-05-16
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $165,176.96 $171,591.60 $168,384.28 2025-05-16
7504 APR_DRG Schizophrenia 7 7 — — $27,827.03 $28,907.69 $28,367.36 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
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
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $49,089.22 $50,995.60 $50,042.41 2025-05-16
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $65,120.45 $67,649.40 $66,384.93 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
8413 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
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
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
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
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
8514 APR_DRG Gender Related Procedures 7 7 — — $71,204.25 $73,969.46 $72,586.86 2025-05-16
8624 APR_DRG Other Aftercare And Convalescence 7 7 — — $27,009.83 $28,058.76 $27,534.30 2025-05-16
8633 APR_DRG Neonatal Aftercare 7 7 — — $44,904.33 $46,648.19 $45,776.26 2025-05-16
8634 APR_DRG Neonatal Aftercare 7 7 — — $59,209.35 $61,508.75 $60,359.05 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
90288 CPT Botulism Ig IV 2 1 — — $131,503.50 $146,115.00 $138,809.25 2025-05-16
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $35,618.06 $37,001.28 $36,309.67 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
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
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
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $43,904.01 $45,609.02 $44,756.51 2025-05-16
92 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
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
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $85,850.80 $89,184.81 $87,517.80 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
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
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
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
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
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
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
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
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
C9047 HCPCS Caplacizumab-yhdp 11 Mg Injection Kit 81 41 $41,996.56 $31,497.42 25% off $10,835.11 $37,796.90 $26,940.79 2025-05-16
C9150 HCPCS Lab/Radiology 2 1 — — $134,784.00 $149,760.00 $142,272.00 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
C9301 HCPCS Apc 18 18 — — $278,250.00 $500,850.00 $278,250.00 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
C9604 HCPCS Hc Perc Drug Elut Cor Recasc Through Cabg Single 101 41 $42,282.00 $31,711.50 25% off $10,513.16 $38,053.80 $27,123.90 2025-05-16
C9606 HCPCS Hc Perc Drug Elute Cor Revasc W/ami Single 83 41 $45,139.00 $33,854.25 25% off $1,771.20 $40,625.10 $28,956.67 2025-05-16
C9607 HCPCS Hc Perc Drug Elut Cor Rebasc Chro Single 101 41 $42,282.00 $31,711.50 25% off $10,707.15 $38,053.80 $27,123.90 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
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
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
J0584 HCPCS Burosumab-twza 30 Mg/ml Subcutaneous Solution 177 41 $42,394.80 $31,796.10 25% off $469.74 $57,232.98 $27,556.62 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
J0896 HCPCS Luspatercept-aamt 75 Mg Subcutaneous Solution 138 41 $57,106.50 $42,829.88 25% off $41.24 $51,395.85 $27,411.12 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
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
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
J1414 HCPCS Inj, Beqvez, Per Tx Dose 15 15 — — $3,710,000.00 $3,895,500.00 $3,710,000.00 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
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
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
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
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
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 99 41 $43,456.07 $32,592.06 25% off $24.37 $39,110.46 $27,877.06 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
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
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
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
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
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
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
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
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
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 99 41 $42,667.19 $32,000.40 25% off $21.16 $38,400.47 $27,371.00 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
J3393 HCPCS Inj, Betibeglogene Autotemce 15 15 — — $2,948,213.33 $3,095,624.00 $2,948,213.33 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
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 18 — — $2,423,131.23 $4,361,636.22 $2,423,131.23 2025-05-16
J7170 HCPCS Emicizumab-kxwh 105 Mg/0.7 Ml Subcutaneous Solution 216 41 $55,027.60 $41,270.70 25% off $51.98 $70,749.76 $28,091.59 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
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
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
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
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
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
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
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
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
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
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
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
J9228 HCPCS Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution 138 41 $44,476.74 $33,357.56 25% off $180.22 $160,115.90 $28,531.83 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
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
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
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
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
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
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
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
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
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
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
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
J9381 HCPCS Teplizumab-mzwv 1 Mg/ml Intravenous Solution 99 41 $42,796.50 $32,097.38 25% off $37.31 $38,516.85 $27,453.96 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
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
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 18 18 — — $93,216.70 $167,790.06 $93,216.70 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
L5856 HCPCS Elec Knee-shin Swing/stance 18 18 — — $28,980.18 $52,164.32 $28,980.18 2025-05-16
L6700 HCPCS Ue Add Ext Power Myoel 18 18 — — $28,931.56 $52,076.81 $28,931.56 2025-05-16
L6880 HCPCS Elec Hand Ind Art Digits 18 18 — — $28,843.34 $51,918.01 $28,843.34 2025-05-16
L7180 HCPCS Electronic Elbow Sequential 18 18 — — $46,980.38 $84,564.68 $46,980.38 2025-05-16
L7181 HCPCS Electronic Elbo Simultaneous 18 18 — — $48,370.76 $87,067.37 $48,370.76 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
L8701 HCPCS Ewh S/d Uprt Micro Sensor 18 18 — — $34,284.44 $61,711.99 $34,284.44 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
Q0480 HCPCS Driver Pneumatic Vad, Rep 18 18 — — $99,999.95 $179,999.91 $99,999.95 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
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
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
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
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
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
Q2056 HCPCS Ciltacabtagene Car-pos T 18 18 — — $553,169.30 $995,704.74 $553,169.30 2025-05-16
Q2057 HCPCS Afamitresgene Autoleucel 18 18 — — $770,620.00 $1,387,116.00 $770,620.00 2025-05-16
Q4244 HCPCS Lab/Radiology 2 1 — — $28,296.70 $31,440.78 $29,868.74 2025-05-16
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
See an error in this hospital's data? Submit a correction