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

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Hospital

UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER

Beachwood, OH · CCN 360359 · Rates published

16,653 distinct procedures filed
42 distinct payers
1,943,539 rate rows
2025-05-15 last MRF observed · ⚠ 14 mo old
Data quality

1,939,657 of 1,943,539 rate rows are consumer-grade (99.8%)

3,882 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,502
placeholder amount (≤ $0.02) — excluded from medians 457
template filing: same amount across many unrelated codes — excluded 423
exceeds 10× this hospital's gross charge — excluded from medians 217
per-diem day rate — not a per-procedure price 203
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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/7890/264827222-1609189604_university-hospitals-health-system_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/AhujaMedicalCenter/7890
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint d0e3e82e29f19488… · 4,608,715,946 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
S3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 2 $2,603,846.44 $4,689,178.00 $4,390,468.35 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
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 42 $499,058.18 $2,310,120.86 $1,606,175.69 nat. median
$625,184
outlier · 2.6×
C9399
HCPCS 		Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 42 $1,784.48 $3,069,000.00 $1,569,700.00 nat. median
$2,475
outlier · 634.2×
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 42 $443,739.45 $2,201,625.00 $1,497,105.00 nat. median
$753,246
2.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 42 $488,113.40 $1,901,740.50 $1,351,292.28 nat. median
$673,137
outlier · 2.0×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 42 $474,670.35 $1,849,365.00 $1,314,076.57 nat. median
$634,303
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 42 $474,670.35 $1,849,365.00 $1,314,076.57 nat. median
$619,808
outlier · 2.1×
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 42 $1,248.60 $617,972.97 $439,104.12 nat. median
$2,675
outlier · 164.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $258,122.20 $598,615.27 $424,947.83 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $192,941.73 $447,115.43 $317,400.40 nat. median
$265,286
1.2× median
C9301
HCPCS 		Apc 18 $278,250.00 $500,850.00 $278,250.00 nat. median
$459,112
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $162,582.91 $376,552.00 $267,308.51 nat. median
$206,474
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 21 $146,936.04 $340,183.79 $241,491.27 nat. median
$202,976
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $207,017.85 $215,057.37 $211,037.61 nat. median
$246,434
0.9× median
5833
APR_DRG 		Neonate With Ecmo 7 $200,297.19 $208,075.72 $204,186.45 nat. median
$244,017
0.8× median
5834
APR_DRG 		Neonate With Ecmo 7 $200,297.19 $208,075.72 $204,186.45 nat. median
$309,665
0.7× median
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 42 $56,824.55 $277,144.49 $196,926.55 nat. median
$62,507
outlier · 3.2×
5832
APR_DRG 		Neonate With Ecmo 7 $190,579.90 $197,981.06 $194,280.48 nat. median
$156,126
1.2× median
5831
APR_DRG 		Neonate With Ecmo 7 $190,579.90 $197,981.06 $194,280.48 nat. median
$144,745
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $189,846.05 $197,218.71 $193,532.38 nat. median
$207,730
0.9× median
J7330
HCPCS 		Implant, Maci Final, Product Assembled, Double 42 $36,210.64 $282,160.80 $176,428.88 nat. median
$76,329
outlier · 2.3×
24
APR_DRG 		Heart And/or Lung Transplant 7 $167,107.06 $173,596.65 $170,351.85 nat. median
$234,729
0.7× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 42 $45,212.04 $224,925.38 $159,821.98 nat. median
$60,368
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 21 $97,072.57 $224,285.49 $159,216.84 nat. median
$133,161
1.2× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $147,189.20 $152,905.29 $150,047.25 nat. median
$76,806
2.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $147,189.20 $152,905.29 $150,047.25 nat. median
$119,796
1.3× median
1612
APR_DRG 		Implantable Heart Assist Systems 7 $147,189.20 $152,905.29 $150,047.25 nat. median
$85,444
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $90,050.89 $207,964.87 $147,631.08 nat. median
$117,357
1.3× median
7
MS_DRG 		Lung Transplant 21 $89,825.51 $207,441.06 $147,259.24 nat. median
$122,708
1.2× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $143,013.55 $148,567.48 $145,790.52 nat. median
$187,061
0.8× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 42 $484.40 $202,395.02 $143,812.90 nat. median
$798
outlier · 180.1×
223
MS_DRG 		DRG Carveouts 1 $133,391.45 $151,581.10 $142,486.28 nat. median
$44,728
outlier · 3.2×
222
MS_DRG 		DRG Carveouts 1 $133,391.45 $151,581.10 $142,486.28 nat. median
$63,570
outlier · 2.2×
C9150
HCPCS 		Lab/Radiology 1 $134,784.00 $149,760.00 $142,272.00 nat. median
$775
outlier · 183.6×
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 42 $116.47 $199,987.05 $142,101.91 nat. median
$167
outlier · 850.3×
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 42 $138.24 $194,162.19 $137,963.02 nat. median
$3,461
outlier · 39.9×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $133,201.84 $138,374.72 $135,788.28 nat. median
$35,675
outlier · 3.8×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $133,201.84 $138,374.72 $135,788.28 nat. median
$66,693
outlier · 2.0×
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $133,201.84 $138,374.72 $135,788.28 nat. median
$34,381
outlier · 3.9×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $133,201.84 $138,374.72 $135,788.28 nat. median
$160,267
0.8× median

Other procedures at this hospital

Browse this hospital's 16,653 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 — — $20,984.82 $75,091.07 $41,717.26 2025-05-15
03060 EAPG Ventricular Assist Device Procedures 7 7 — — $67,585.72 $69,234.15 $68,574.78 2025-05-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 21 — — $192,941.73 $447,115.43 $317,400.40 2025-05-15
10 MS_DRG Pancreas Transplant 33 21 — — $55,025.72 $126,555.43 $89,839.76 2025-05-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 21 — — $37,426.40 $85,649.12 $60,801.00 2025-05-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $42,496.18 $44,146.52 $43,321.35 2025-05-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $42,496.18 $44,146.52 $43,321.35 2025-05-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $42,496.18 $44,146.52 $43,321.35 2025-05-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $42,496.18 $44,146.52 $43,321.35 2025-05-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 21 — — $28,601.84 $65,138.03 $46,240.49 2025-05-15
14 MS_DRG Allogeneic Bone Marrow Transplant 33 21 — — $90,050.89 $207,964.87 $147,631.08 2025-05-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $59,692.83 $62,010.99 $60,851.91 2025-05-15
140 MS_DRG Major Head And Neck Procedures With Mcc 33 21 — — $29,458.88 $67,130.09 $47,654.63 2025-05-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 33 21 — — $41,797.03 $95,807.84 $68,012.52 2025-05-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $83,020.65 $86,244.75 $84,632.70 2025-05-15
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $147,189.20 $152,905.29 $150,047.25 2025-05-15
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $147,189.20 $152,905.29 $150,047.25 2025-05-15
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $147,189.20 $152,905.29 $150,047.25 2025-05-15
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $189,846.05 $197,218.71 $193,532.38 2025-05-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $44,291.73 $46,011.80 $45,151.76 2025-05-15
163 MS_DRG Major Chest Procedures With Mcc 33 21 — — $32,053.94 $73,161.83 $51,936.47 2025-05-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $44,783.86 $46,523.04 $45,653.45 2025-05-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 33 21 — — $26,871.32 $61,115.81 $43,385.18 2025-05-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 33 21 — — $41,797.03 $95,807.84 $68,012.52 2025-05-15
1784 APR_DRG External Heart Assist Systems 7 7 — — $51,603.63 $53,607.65 $52,605.64 2025-05-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 21 — — $258,122.20 $598,615.27 $424,947.83 2025-05-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $51,791.88 $53,803.22 $52,797.55 2025-05-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 21 — — $54,713.63 $125,830.03 $89,324.82 2025-05-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 21 — — $75,831.98 $174,915.70 $124,169.98 2025-05-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 21 — — $55,627.35 $127,953.84 $90,832.47 2025-05-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 33 21 — — $44,742.45 $102,653.87 $72,872.41 2025-05-15
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $74,716.15 $77,617.75 $76,166.95 2025-05-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 21 — — $38,323.76 $87,734.83 $62,281.62 2025-05-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 21 — — $74,972.88 $172,918.87 $122,752.47 2025-05-15
215 MS_DRG Other Heart Assist System Implant 33 21 — — $72,930.29 $168,171.26 $119,382.21 2025-05-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 21 — — $66,485.67 $153,191.91 $108,748.59 2025-05-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 21 — — $44,678.91 $155,883.02 $72,767.62 2025-05-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 21 — — $41,205.64 $155,883.02 $67,036.71 2025-05-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 21 — — $53,417.47 $122,817.34 $87,186.15 2025-05-15
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $74,716.15 $77,617.75 $76,166.95 2025-05-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 33 21 — — $24,686.69 $56,038.04 $39,780.55 2025-05-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 21 — — $36,748.96 $114,093.78 $59,683.22 2025-05-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 21 — — $31,940.58 $114,093.78 $51,749.42 2025-05-15
222 MS_DRG DRG Carveouts 2 1 — — $133,391.45 $151,581.10 $142,486.28 2025-05-15
223 MS_DRG DRG Carveouts 2 1 — — $133,391.45 $151,581.10 $142,486.28 2025-05-15
224 MS_DRG DRG Carveouts 2 1 — — $108,165.17 $122,914.92 $115,540.04 2025-05-15
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $43,105.88 $44,779.90 $43,942.89 2025-05-15
225 MS_DRG DRG Carveouts 2 1 — — $108,165.17 $122,914.92 $115,540.04 2025-05-15
226 MS_DRG DRG Carveouts 2 1 — — $94,169.82 $107,011.02 $100,590.42 2025-05-15
227 MS_DRG DRG Carveouts 2 1 — — $94,169.82 $107,011.02 $100,590.42 2025-05-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 21 — — $34,608.71 $79,099.92 $56,151.82 2025-05-15
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $74,716.15 $77,617.75 $76,166.95 2025-05-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 21 — — $39,537.97 $90,557.05 $64,285.07 2025-05-15
230 MS_DRG DRG Carveouts 2 1 — — $89,602.42 $101,821.45 $95,711.93 2025-05-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 21 — — $58,446.42 $143,881.30 $95,483.91 2025-05-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 21 — — $42,294.18 $143,881.30 $68,832.83 2025-05-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 33 21 — — $53,956.26 $124,069.72 $88,075.20 2025-05-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 21 — — $36,909.44 $105,862.00 $59,948.01 2025-05-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 21 — — $40,761.05 $93,399.91 $66,303.17 2025-05-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 33 21 — — $28,659.21 $77,691.92 $46,335.14 2025-05-15
238 MS_DRG DRG Carveouts 2 1 — — $56,915.17 $64,676.47 $60,795.82 2025-05-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 33 21 — — $34,974.75 $79,950.71 $56,755.79 2025-05-15
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $167,107.06 $173,596.65 $170,351.85 2025-05-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 21 — — $26,539.44 $60,344.38 $42,837.56 2025-05-15
245 MS_DRG Aicd Generator Procedures 33 21 — — $33,949.71 $77,568.18 $55,064.46 2025-05-15
246 MS_DRG DRG Carveouts 2 1 — — $48,458.92 $55,067.10 $51,763.01 2025-05-15
247 MS_DRG DRG Carveouts 2 1 — — $44,442.98 $50,503.80 $47,473.39 2025-05-15
248 MS_DRG DRG Carveouts 2 1 — — $44,551.62 $50,626.80 $47,589.21 2025-05-15
249 MS_DRG DRG Carveouts 2 1 — — $40,859.58 $46,431.48 $43,645.53 2025-05-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 21 — — $31,119.04 $71,373.85 $50,393.88 2025-05-15
264 MS_DRG Other Circulatory System O.r. Procedures 33 21 — — $24,445.62 $55,477.72 $39,382.79 2025-05-15
265 MS_DRG Aicd Lead Procedures 33 21 — — $24,938.01 $56,622.17 $40,195.21 2025-05-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 21 — — $41,489.05 $95,091.97 $67,504.33 2025-05-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 21 — — $32,706.12 $74,677.70 $53,012.56 2025-05-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 21 — — $46,111.00 $105,834.81 $75,130.52 2025-05-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 33 21 — — $28,991.10 $66,042.79 $46,882.77 2025-05-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 21 — — $35,631.04 $81,476.11 $57,838.64 2025-05-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 33 21 — — $27,281.10 $62,068.19 $44,061.26 2025-05-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 21 — — $48,838.54 $125,519.92 $79,630.96 2025-05-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 33 21 — — $42,879.45 $98,323.71 $69,798.50 2025-05-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 33 21 — — $32,345.55 $92,078.91 $52,417.61 2025-05-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 21 — — $34,745.30 $79,417.38 $56,377.18 2025-05-15
28 MS_DRG Spinal Procedures With Mcc 33 21 — — $42,094.80 $96,499.90 $68,503.81 2025-05-15
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 33 21 — — $146,936.04 $340,183.79 $241,491.27 2025-05-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $46,856.86 $48,676.55 $47,766.71 2025-05-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $62,086.26 $64,497.37 $63,291.82 2025-05-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 33 21 — — $29,195.27 $66,517.39 $47,219.68 2025-05-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 33 21 — — $42,824.81 $98,196.73 $69,708.36 2025-05-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 33 21 — — $30,576.12 $69,726.91 $49,498.07 2025-05-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 33 21 — — $29,665.11 $67,609.46 $40,379.11 2025-05-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 21 — — $35,262.27 $80,618.97 $57,230.17 2025-05-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 33 21 — — $31,935.80 $72,887.23 $51,741.53 2025-05-15
332 MS_DRG Rectal Resection With Mcc 33 21 — — $24,265.34 $55,058.68 $39,085.31 2025-05-15
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 99 42 $70,201.00 $52,650.75 25% off $16,216.43 $75,091.07 $44,893.54 2025-05-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 33 21 — — $25,321.81 $57,514.23 $40,828.47 2025-05-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 33 21 — — $27,133.58 $61,725.34 $43,817.87 2025-05-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 33 21 — — $29,708.14 $67,709.46 $48,065.91 2025-05-15
38240 CPT Transplt Allo Hct/donor 24 18 — — $4,426.70 $98,689.15 $54,827.31 2025-05-15
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 33 21 — — $97,072.57 $224,285.49 $159,216.84 2025-05-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 21 — — $26,337.29 $59,874.54 $42,504.02 2025-05-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 33 21 — — $27,294.06 $62,098.35 $44,082.67 2025-05-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 21 — — $37,650.41 $86,169.76 $61,170.59 2025-05-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 21 — — $24,487.96 $55,576.13 $39,452.65 2025-05-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 33 21 — — $24,505.04 $55,615.82 $39,480.82 2025-05-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 33 21 — — $24,680.55 $56,023.75 $39,770.41 2025-05-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 21 — — $28,353.93 $64,561.84 $45,831.46 2025-05-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 21 — — $72,114.90 $166,276.02 $118,036.81 2025-05-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 21 — — $49,082.34 $112,741.16 $80,033.22 2025-05-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 21 — — $38,165.33 $87,366.58 $62,020.20 2025-05-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 21 — — $57,536.11 $132,390.34 $93,981.88 2025-05-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $51,694.14 $53,701.68 $52,697.91 2025-05-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 21 — — $37,935.85 $86,833.25 $61,641.59 2025-05-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $67,850.89 $70,485.88 $69,168.38 2025-05-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 33 21 — — $46,364.36 $106,423.70 $75,548.56 2025-05-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 21 — — $28,463.89 $64,817.40 $46,012.88 2025-05-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 33 21 — — $35,747.82 $81,747.54 $58,031.33 2025-05-15
454 MS_DRG DRG Carveouts 2 1 — — $100,638.60 $114,362.32 $107,500.46 2025-05-15
455 MS_DRG DRG Carveouts 2 1 — — $100,638.60 $114,362.32 $107,500.46 2025-05-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 21 — — $58,414.33 $134,431.61 $95,430.95 2025-05-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 21 — — $39,772.21 $91,101.50 $64,671.56 2025-05-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 21 — — $30,065.30 $68,539.61 $48,655.22 2025-05-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 21 — — $42,485.42 $97,407.84 $47,433.56 2025-05-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 21 — — $37,461.23 $85,730.07 $60,858.47 2025-05-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 33 21 — — $35,368.80 $80,866.59 $57,405.95 2025-05-15
471 MS_DRG Cervical Spinal Fusion With Mcc 33 21 — — $33,748.25 $77,099.92 $54,732.06 2025-05-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 33 21 — — $31,203.72 $71,185.64 $50,533.60 2025-05-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 33 21 — — $24,828.75 $56,368.20 $40,014.92 2025-05-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 33 21 — — $24,619.75 $55,882.48 $39,670.12 2025-05-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 33 21 — — $73,303.16 $169,037.93 $119,997.44 2025-05-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 33 21 — — $25,052.73 $56,888.83 $40,384.51 2025-05-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $48,240.96 $50,114.39 $49,177.67 2025-05-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 21 — — $42,632.25 $97,749.11 $69,390.60 2025-05-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 33 21 — — $24,239.38 $54,998.36 $39,042.49 2025-05-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 21 — — $37,422.29 $85,639.60 $60,794.24 2025-05-15
5831 APR_DRG Neonate With Ecmo 7 7 — — $190,579.90 $197,981.06 $194,280.48 2025-05-15
5832 APR_DRG Neonate With Ecmo 7 7 — — $190,579.90 $197,981.06 $194,280.48 2025-05-15
5833 APR_DRG Neonate With Ecmo 7 7 — — $200,297.19 $208,075.72 $204,186.45 2025-05-15
5834 APR_DRG Neonate With Ecmo 7 7 — — $200,297.19 $208,075.72 $204,186.45 2025-05-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $100,074.95 $103,961.36 $102,018.16 2025-05-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $100,074.95 $103,961.36 $102,018.16 2025-05-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $105,149.33 $109,232.80 $107,191.07 2025-05-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $207,017.85 $215,057.37 $211,037.61 2025-05-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $43,939.02 $45,645.39 $44,792.20 2025-05-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $43,939.02 $45,645.39 $44,792.20 2025-05-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $46,133.63 $47,925.23 $47,029.43 2025-05-15
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $46,133.63 $47,925.23 $47,029.43 2025-05-15
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $38,349.21 $39,838.50 $39,093.85 2025-05-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $38,349.21 $39,838.50 $39,093.85 2025-05-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $50,455.58 $52,415.02 $51,435.30 2025-05-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $90,151.06 $93,652.07 $91,901.57 2025-05-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $39,105.55 $40,624.21 $39,864.88 2025-05-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $39,105.55 $40,624.21 $39,864.88 2025-05-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $61,141.38 $63,515.80 $62,328.59 2025-05-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $97,020.01 $100,787.77 $98,903.89 2025-05-15
6 MS_DRG Liver Transplant Without Mcc 33 21 — — $33,692.95 $76,971.35 $54,640.79 2025-05-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $39,968.81 $41,521.00 $40,744.90 2025-05-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $54,203.31 $56,308.29 $55,255.80 2025-05-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $66,770.44 $69,363.47 $68,066.95 2025-05-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $39,349.19 $40,877.32 $40,113.26 2025-05-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $39,349.19 $40,877.32 $40,113.26 2025-05-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $46,758.45 $48,574.31 $47,666.38 2025-05-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $66,048.18 $68,613.16 $67,330.67 2025-05-15
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $52,201.90 $54,229.16 $53,215.53 2025-05-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $52,201.90 $54,229.16 $53,215.53 2025-05-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $54,820.40 $56,949.35 $55,884.87 2025-05-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $133,192.00 $138,364.50 $135,778.25 2025-05-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $52,027.66 $54,048.15 $53,037.90 2025-05-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $48,710.79 $50,602.47 $49,656.63 2025-05-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 33 21 — — $26,971.70 $61,349.15 $43,550.82 2025-05-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $51,108.73 $53,093.54 $52,101.14 2025-05-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 33 21 — — $26,131.73 $59,396.77 $42,164.86 2025-05-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 21 — — $27,522.82 $62,630.10 $44,460.15 2025-05-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $57,758.60 $60,001.65 $58,880.13 2025-05-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $129,296.00 $134,317.21 $131,806.61 2025-05-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $44,084.44 $45,796.46 $44,940.45 2025-05-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $114,263.09 $118,700.49 $116,481.79 2025-05-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $56,343.62 $58,531.72 $57,437.67 2025-05-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 33 21 — — $32,040.97 $73,131.67 $51,915.06 2025-05-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 33 21 — — $24,291.28 $55,118.99 $39,128.13 2025-05-15
653 MS_DRG Major Bladder Procedures With Mcc 33 21 — — $38,646.77 $88,485.63 $62,814.59 2025-05-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 21 — — $29,188.45 $66,501.52 $47,208.41 2025-05-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $45,396.28 $47,159.24 $46,277.76 2025-05-15
6904 APR_DRG Acute Leukemia 7 7 — — $51,406.36 $53,402.73 $52,404.54 2025-05-15
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $45,144.33 $46,897.51 $46,020.92 2025-05-15
7 MS_DRG Lung Transplant 33 21 — — $89,825.51 $207,441.06 $147,259.24 2025-05-15
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $56,580.72 $58,778.03 $57,679.38 2025-05-15
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $56,580.72 $58,778.03 $57,679.38 2025-05-15
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $70,391.95 $73,125.62 $71,758.79 2025-05-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 33 21 — — $27,467.51 $62,501.52 $44,368.88 2025-05-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 33 21 — — $27,763.21 $63,188.83 $44,856.78 2025-05-15
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $143,013.55 $148,567.48 $145,790.52 2025-05-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 21 — — $41,174.91 $94,361.81 $66,986.01 2025-05-15
791 MS_DRG Prematurity With Major Problems 33 21 — — $28,302.71 $64,442.79 $45,746.95 2025-05-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $41,757.93 $43,379.60 $42,568.76 2025-05-15
793 MS_DRG Full Term Neonate With Major Problems 33 21 — — $29,058.00 $66,198.35 $46,993.19 2025-05-15
799 MS_DRG Splenic Procedures With Mcc 33 21 — — $33,048.26 $75,472.94 $53,577.09 2025-05-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 33 21 — — $37,735.07 $86,366.58 $61,310.31 2025-05-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 33 21 — — $25,058.21 $56,901.53 $40,393.53 2025-05-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 21 — — $40,338.33 $92,417.37 $65,605.68 2025-05-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 21 — — $32,534.02 $74,277.70 $52,728.61 2025-05-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 21 — — $33,189.61 $75,801.51 $53,810.33 2025-05-15
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $42,892.22 $44,557.94 $43,725.08 2025-05-15
834 MS_DRG Acute Leukemia With Mcc 33 21 — — $38,323.76 $87,734.83 $62,281.62 2025-05-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 21 — — $34,771.92 $79,479.29 $56,421.13 2025-05-15
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $56,718.56 $58,921.22 $57,819.89 2025-05-15
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $133,201.84 $138,374.72 $135,788.28 2025-05-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $133,201.84 $138,374.72 $135,788.28 2025-05-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $133,201.84 $138,374.72 $135,788.28 2025-05-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $133,201.84 $138,374.72 $135,788.28 2025-05-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $56,291.50 $58,477.58 $57,384.54 2025-05-15
850 MS_DRG Acute Leukemia With Other Procedures 33 21 — — $63,486.31 $146,220.49 $103,799.69 2025-05-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $63,991.62 $66,476.74 $65,234.18 2025-05-15
8514 APR_DRG Gender Related Procedures 7 7 — — $61,965.60 $64,372.03 $63,168.82 2025-05-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 21 — — $34,731.66 $79,385.63 $56,354.65 2025-05-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 21 — — $31,387.41 $71,612.63 $50,836.71 2025-05-15
8633 APR_DRG Neonatal Aftercare 7 7 — — $39,282.90 $40,808.45 $40,045.68 2025-05-15
8634 APR_DRG Neonatal Aftercare 7 7 — — $51,620.46 $53,625.14 $52,622.80 2025-05-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 33 21 — — $48,083.91 $110,420.52 $78,385.84 2025-05-15
901 MS_DRG Wound Debridements For Injuries With Mcc 33 21 — — $30,833.57 $70,325.33 $49,922.87 2025-05-15
90288 CPT Botulism Ig IV 2 1 — — $131,503.50 $146,115.00 $138,809.25 2025-05-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 33 21 — — $26,945.09 $61,287.24 $43,506.87 2025-05-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 33 21 — — $27,782.33 $63,233.27 $44,888.33 2025-05-15
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $38,420.16 $39,912.21 $39,166.19 2025-05-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 33 21 — — $162,582.91 $376,552.00 $267,308.51 2025-05-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 33 21 — — $46,188.15 $106,014.18 $75,257.85 2025-05-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 33 21 — — $30,126.08 $68,680.88 $48,755.51 2025-05-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $74,597.71 $77,494.71 $76,046.21 2025-05-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 33 21 — — $25,494.58 $57,915.82 $41,113.55 2025-05-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $40,613.11 $42,190.31 $41,401.71 2025-05-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 21 — — $47,208.43 $108,385.61 $76,941.28 2025-05-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 21 — — $26,680.79 $60,672.96 $43,070.80 2025-05-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 21 — — $51,551.06 $118,479.25 $84,106.61 2025-05-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 21 — — $28,643.48 $65,234.86 $46,309.23 2025-05-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 21 — — $43,766.55 $100,385.61 $71,262.21 2025-05-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 33 21 — — $25,056.84 $56,898.36 $40,391.27 2025-05-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 21 — — $33,042.12 $75,458.65 $53,566.95 2025-05-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 21 — — $24,497.53 $55,598.36 $39,468.42 2025-05-15
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 99 42 $307,938.32 $230,953.74 25% off $56,824.55 $277,144.49 $196,926.55 2025-05-15
A9572 HCPCS Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit 98 42 $66,218.70 $49,664.03 25% off $1,914.61 $59,596.83 $42,346.86 2025-05-15
A9604 HCPCS Samarium Sm 153 Lexidronam 5,550 Mbq/3 Ml Intravenous Solution 99 42 $88,888.25 $66,666.19 25% off $4,314.91 $79,999.43 $56,844.04 2025-05-15
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 98 42 $148,062.50 $111,046.88 25% off $169.06 $133,256.25 $94,685.97 2025-05-15
C1824 HCPCS Generator, Pulse, Optimizer Smart Ipg 78 42 $69,000.00 $51,750.00 25% off $15,939.00 $62,100.00 $42,548.85 2025-05-15
C2624 HCPCS Delivery Sys, Cordella And Pulm Artery Sensor (ide G1900020) 122 42 $71,250.00 $53,437.50 25% off $13,513.50 $64,125.00 $40,620.94 2025-05-15
C9150 HCPCS Lab/Radiology 2 1 — — $134,784.00 $149,760.00 $142,272.00 2025-05-15
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 81 42 $202,725.27 $152,043.96 25% off $46,829.54 $182,452.74 $129,642.81 2025-05-15
C9301 HCPCS Apc 18 18 — — $278,250.00 $500,850.00 $278,250.00 2025-05-15
C9399 HCPCS Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 204 42 $3,080,000.00 $2,310,000.00 25% off $1,784.48 $3,069,000.00 $1,569,700.00 2025-05-15
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 98 42 $156,047.54 $117,035.66 25% off $2,441.49 $140,442.79 $99,792.40 2025-05-15
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 98 42 $222,207.83 $166,655.88 25% off $116.47 $199,987.05 $142,101.91 2025-05-15
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 98 42 $94,723.08 $71,042.31 25% off $136.56 $85,250.77 $60,575.41 2025-05-15
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 137 42 $129,891.37 $97,418.53 25% off $220.32 $116,902.23 $62,347.86 2025-05-15
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 15 15 — — $3,685,266.67 $3,869,530.00 $3,685,266.67 2025-05-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 15 — — $3,322,473.30 $3,488,596.96 $3,322,473.30 2025-05-15
J1414 HCPCS Inj, Beqvez, Per Tx Dose 15 15 — — $3,710,000.00 $3,895,500.00 $3,710,000.00 2025-05-15
J1628 HCPCS Guselkumab 100 Mg/ml Subcutaneous Syringe 98 42 $70,893.10 $53,169.83 25% off $70.43 $63,803.79 $45,336.14 2025-05-15
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 98 42 $131,667.49 $98,750.62 25% off $61.43 $118,500.74 $84,201.36 2025-05-15
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 98 42 $224,883.36 $168,662.52 25% off $484.40 $202,395.02 $143,812.90 2025-05-15
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 98 42 $686,636.63 $514,977.48 25% off $1,248.60 $617,972.97 $439,104.12 2025-05-15
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 98 42 $98,446.22 $73,834.67 25% off $57.81 $88,601.60 $62,956.36 2025-05-15
J2502 HCPCS Pasireotide Pamoate 40 Mg IM Suspension 98 42 $82,121.85 $61,591.39 25% off $526.94 $73,909.67 $52,516.93 2025-05-15
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 98 42 $131,153.51 $98,365.14 25% off $3,565.32 $118,038.16 $83,872.67 2025-05-15
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 98 42 $83,988.16 $62,991.12 25% off $352.56 $75,589.34 $53,710.43 2025-05-15
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 98 42 $64,818.73 $48,614.05 25% off $131.46 $58,336.86 $41,451.58 2025-05-15
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Solution 176 42 $65,655.09 $49,241.32 25% off $152.39 $123,129.76 $41,986.43 2025-05-15
J3392 HCPCS Inj, Exagamglogene Autotem 18 18 — — $2,332,000.00 $4,197,600.00 $2,332,000.00 2025-05-15
J3393 HCPCS Inj, Betibeglogene Autotemce 15 15 — — $2,948,213.33 $3,095,624.00 $2,948,213.33 2025-05-15
J3394 HCPCS Inj, Lovotibeglogene Autotem 15 15 — — $3,286,000.00 $3,450,300.00 $3,286,000.00 2025-05-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 18 — — $2,423,131.23 $4,361,636.22 $2,423,131.23 2025-05-15
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 98 42 $105,240.36 $78,930.27 25% off $340.04 $94,716.32 $67,301.21 2025-05-15
J7330 HCPCS Implant, Maci Final, Product Assembled, Double 120 42 $313,512.00 $235,134.00 25% off $36,210.64 $282,160.80 $176,428.88 2025-05-15
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 99 42 $77,250.00 $57,937.50 25% off $17,844.75 $172,800.00 $49,401.38 2025-05-15
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 98 42 $69,344.76 $52,008.57 25% off $221.71 $62,410.28 $44,345.97 2025-05-15
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 73 36 $128,920.57 $96,690.43 25% off $196.78 $116,028.51 $82,444.71 2025-05-15
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 99 42 $249,917.09 $187,437.82 25% off $45,212.04 $224,925.38 $159,821.98 2025-05-15
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 137 42 $177,906.55 $133,429.92 25% off $180.22 $160,115.90 $85,395.14 2025-05-15
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 98 42 $116,476.42 $87,357.32 25% off $2,658.13 $104,828.78 $74,486.67 2025-05-15
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 99 42 $114,548.67 $85,911.51 25% off $26,460.74 $103,093.80 $73,253.88 2025-05-15
J9269 HCPCS Tagraxofusp-erzs 1000 Mcg/ml Ns IV - Reconstituted 100 Mcg/ml 98 42 $171,000.60 $128,250.45 25% off $338.53 $153,900.54 $109,354.88 2025-05-15
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 98 42 $112,071.97 $84,053.98 25% off $214.76 $100,864.77 $71,670.02 2025-05-15
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 98 42 $75,752.49 $56,814.37 25% off $194.08 $68,177.24 $48,443.71 2025-05-15
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 98 42 $86,294.33 $64,720.75 25% off $132.73 $77,664.90 $55,185.22 2025-05-15
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 98 42 $215,735.77 $161,801.83 25% off $138.24 $194,162.19 $137,963.02 2025-05-15
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 98 42 $116,612.85 $87,459.64 25% off $641.83 $104,951.57 $74,573.92 2025-05-15
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 98 42 $133,461.89 $100,096.42 25% off $212.00 $120,115.70 $85,348.88 2025-05-15
J9600 HCPCS Porfimer 75 Mg Intravenous Solution 99 42 $105,199.05 $78,899.29 25% off $24,228.42 $94,679.15 $67,274.79 2025-05-15
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 18 18 — — $93,216.70 $167,790.06 $93,216.70 2025-05-15
L7180 HCPCS Electronic Elbow Sequential 18 18 — — $46,980.38 $84,564.68 $46,980.38 2025-05-15
L7181 HCPCS Electronic Elbo Simultaneous 18 18 — — $48,370.76 $87,067.37 $48,370.76 2025-05-15
L8688 HCPCS Generator, M1000-d, Sentiva Duo 78 42 $102,755.64 $77,066.73 25% off $23,736.55 $92,480.08 $63,364.26 2025-05-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 18 18 — — $67,452.66 $121,414.79 $67,452.66 2025-05-15
Q0480 HCPCS Driver Pneumatic Vad, Rep 18 18 — — $99,999.95 $179,999.91 $99,999.95 2025-05-15
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 99 42 $2,054,850.00 $1,541,137.50 25% off $474,670.35 $1,849,365.00 $1,314,076.57 2025-05-15
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 140 42 $2,446,250.00 $1,834,687.50 25% off $443,739.45 $2,201,625.00 $1,497,105.00 2025-05-15
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 99 42 $133,364.40 $100,023.30 25% off $30,807.18 $120,027.96 $85,286.54 2025-05-15
Q2053 HCPCS Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 99 42 $2,054,850.00 $1,541,137.50 25% off $474,670.35 $1,849,365.00 $1,314,076.57 2025-05-15
Q2054 HCPCS Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 99 42 $2,113,045.00 $1,584,783.75 25% off $488,113.40 $1,901,740.50 $1,351,292.28 2025-05-15
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 140 42 $2,566,800.95 $1,925,100.72 25% off $499,058.18 $2,310,120.86 $1,606,175.69 2025-05-15
Q2056 HCPCS Ciltacabtagene Car-pos T 18 18 — — $553,169.30 $995,704.74 $553,169.30 2025-05-15
Q2057 HCPCS Afamitresgene Autoleucel 18 18 — — $770,620.00 $1,387,116.00 $770,620.00 2025-05-15
S3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 4 2 — — $2,603,846.44 $4,689,178.00 $4,390,468.35 2025-05-15
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