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Hospital

LAKE HEALTH BEACHWOOD MEDICAL CENTER

Beachwood, OH · CCN 360367 · Rates published

14,141 distinct procedures filed
41 distinct payers
1,323,378 rate rows
2025-05-16 last MRF observed · ⚠ 13 mo old
Data quality

1,322,800 of 1,323,378 rate rows are consumer-grade (100.0%)

578 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
placeholder amount (≤ $0.02) — excluded from medians 302
exceeds 10× this hospital's gross charge — excluded from medians 97
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 76
percent-of-charges filed in the dollar field — excluded from medians 60
per-diem day rate — not a per-procedure price 43

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11434/371848577-1841789427_university-hospitals-health-system_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/BeachwoodMedicalCenter/11434
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint b61a16b62aa17d0a… · 3,832,066,580 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 1 $4,508,825.00 $4,508,825.00 $4,508,825.00 nat. median
$3,669,056
1.2× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 15 $3,710,000.00 $4,081,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 15 $3,685,266.67 $4,053,793.33 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $3,322,473.30 $3,654,720.62 $3,322,473.30 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 15 $3,286,000.00 $3,614,600.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 15 $2,948,213.33 $3,243,034.67 $2,948,213.33 nat. median
$3,006,423
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
$2,469,189
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 $3,090.00 $3,069,000.00 $1,595,880.00 nat. median
$2,476
outlier · 644.6×
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 41 $306,748.70 $2,201,625.00 $1,594,388.50 nat. median
$754,974
outlier · 2.1×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 41 $279,639.90 $2,310,120.86 $1,469,089.00 nat. median
$625,184
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 41 $273,714.41 $1,901,740.50 $1,436,870.60 nat. median
$674,188
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 41 $266,505.59 $1,849,365.00 $1,397,298.00 nat. median
$634,511
outlier · 2.2×
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 41 $259,381.55 $1,849,365.00 $1,397,298.00 nat. median
$620,080
outlier · 2.3×
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
$675,122
0.8× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 41 $661.76 $617,972.97 $466,912.91 nat. median
$2,677
outlier · 174.4×
C9301
HCPCS 		Apc 18 $278,250.00 $500,850.00 $278,250.00 nat. median
$459,112
0.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $244,850.47 $454,401.53 $257,092.99 nat. median
$370,174
0.7× median
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 41 $30,117.01 $277,144.49 $209,398.06 nat. median
$62,507
outlier · 3.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $189,634.95 $199,116.70 $197,220.35 nat. median
$246,434
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $182,882.78 $339,399.85 $192,026.92 nat. median
$265,286
0.7× median
5833
APR_DRG 		Neonate With Ecmo 7 $183,517.20 $192,693.06 $190,857.89 nat. median
$244,017
0.8× median
5834
APR_DRG 		Neonate With Ecmo 7 $183,517.20 $192,693.06 $190,857.89 nat. median
$309,665
0.6× median
5831
APR_DRG 		Neonate With Ecmo 7 $174,671.65 $183,405.23 $181,658.52 nat. median
$145,122
1.3× median
5832
APR_DRG 		Neonate With Ecmo 7 $174,671.65 $183,405.23 $181,658.52 nat. median
$156,126
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $174,003.62 $182,703.80 $180,963.76 nat. median
$207,730
0.9× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 41 $23,962.38 $224,925.38 $169,943.62 nat. median
$60,368
outlier · 2.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 21 $154,020.36 $285,836.02 $161,721.38 nat. median
$206,368
0.8× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $153,304.54 $160,969.77 $159,436.72 nat. median
$234,738
0.7× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 41 $256.73 $202,395.02 $152,920.68 nat. median
$798
outlier · 191.5×
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 41 $61.73 $199,987.05 $151,101.33 nat. median
$167
outlier · 904.2×
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 41 $73.27 $194,162.19 $146,700.32 nat. median
$3,461
outlier · 42.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 21 $139,144.73 $258,229.35 $146,101.97 nat. median
$202,986
0.7× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $135,173.52 $141,932.20 $140,580.46 nat. median
$76,806
1.8× median
1612
APR_DRG 		Implantable Heart Assist Systems 7 $135,173.52 $141,932.20 $140,580.46 nat. median
$85,406
1.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $135,173.52 $141,932.20 $140,580.46 nat. median
$119,796
1.2× median
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 41 $81,090.11 $182,452.74 $137,853.18 nat. median
$21,340
outlier · 6.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $131,372.46 $137,941.08 $136,627.36 nat. median
$187,294
0.7× median
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $122,440.95 $128,563.00 $127,338.59 nat. median
$34,396
outlier · 3.7×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $122,440.95 $128,563.00 $127,338.59 nat. median
$66,693
1.9× median
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $122,440.95 $128,563.00 $127,338.59 nat. median
$35,675
outlier · 3.6×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $122,440.95 $128,563.00 $127,338.59 nat. median
$160,267
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $122,431.99 $128,553.59 $127,329.27 nat. median
$162,982
0.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $118,885.51 $124,829.79 $123,640.93 nat. median
$150,721
0.8× median
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 41 $179.42 $153,900.54 $116,280.41 nat. median
$509
outlier · 228.3×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $105,201.20 $110,461.26 $109,409.25 nat. median
$122,924
0.9× median
J7330
HCPCS 		Implant, Maci Final, Product Assembled, Single 41 $62,702.40 $282,160.80 $106,594.08 nat. median
$76,377
1.4× median
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 41 $1,293.99 $140,442.79 $106,112.33 nat. median
$4,053
outlier · 26.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $96,905.03 $101,750.28 $100,781.23 nat. median
$182,736
0.6× median

Other procedures at this hospital

Browse this hospital's 14,141 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
S3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 1 1 — — $4,508,825.00 $4,508,825.00 $4,508,825.00 2025-05-16
J1414 HCPCS Inj, Beqvez, Per Tx Dose 17 15 — — $3,710,000.00 $4,081,000.00 $3,710,000.00 2025-05-16
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 17 15 — — $3,685,266.67 $4,053,793.33 $3,685,266.67 2025-05-16
J1413 HCPCS Inj Delandistrogene Mox Rokl 17 15 — — $3,322,473.30 $3,654,720.62 $3,322,473.30 2025-05-16
J3394 HCPCS Inj, Lovotibeglogene Autotem 17 15 — — $3,286,000.00 $3,614,600.00 $3,286,000.00 2025-05-16
J3393 HCPCS Inj, Betibeglogene Autotemce 17 15 — — $2,948,213.33 $3,243,034.67 $2,948,213.33 2025-05-16
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 18 — — $2,423,131.23 $4,361,636.22 $2,423,131.23 2025-05-16
J3392 HCPCS Inj, Exagamglogene Autotem 20 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 138 41 $3,080,000.00 $2,310,000.00 25% off $3,090.00 $3,069,000.00 $1,595,880.00 2025-05-16
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 105 41 $2,446,250.00 $1,834,687.50 25% off $306,748.70 $2,201,625.00 $1,594,388.50 2025-05-16
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 105 41 $2,160,425.00 $1,620,318.75 25% off $279,639.90 $2,310,120.86 $1,469,089.00 2025-05-16
Q2054 HCPCS Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 80 41 $2,113,045.00 $1,584,783.75 25% off $273,714.41 $1,901,740.50 $1,436,870.60 2025-05-16
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 80 41 $2,054,850.00 $1,541,137.50 25% off $266,505.59 $1,849,365.00 $1,397,298.00 2025-05-16
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 80 41 $2,054,850.00 $1,541,137.50 25% off $259,381.55 $1,849,365.00 $1,397,298.00 2025-05-16
Q2057 HCPCS Afamitresgene Autoleucel 20 18 — — $770,620.00 $1,387,116.00 $770,620.00 2025-05-16
Q2056 HCPCS Ciltacabtagene Car-pos T 20 18 — — $553,169.30 $995,704.74 $553,169.30 2025-05-16
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 80 41 $686,636.63 $514,977.48 25% off $661.76 $617,972.97 $466,912.91 2025-05-16
C9301 HCPCS Apc 20 18 — — $278,250.00 $500,850.00 $278,250.00 2025-05-16
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 21 — — $244,850.47 $454,401.53 $257,092.99 2025-05-16
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 80 41 $307,938.32 $230,953.74 25% off $30,117.01 $277,144.49 $209,398.06 2025-05-16
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $189,634.95 $199,116.70 $197,220.35 2025-05-16
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 21 — — $182,882.78 $339,399.85 $192,026.92 2025-05-16
5833 APR_DRG Neonate With Ecmo 7 7 — — $183,517.20 $192,693.06 $190,857.89 2025-05-16
5834 APR_DRG Neonate With Ecmo 7 7 — — $183,517.20 $192,693.06 $190,857.89 2025-05-16
5831 APR_DRG Neonate With Ecmo 7 7 — — $174,671.65 $183,405.23 $181,658.52 2025-05-16
5832 APR_DRG Neonate With Ecmo 7 7 — — $174,671.65 $183,405.23 $181,658.52 2025-05-16
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $174,003.62 $182,703.80 $180,963.76 2025-05-16
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 80 41 $249,917.09 $187,437.82 25% off $23,962.38 $224,925.38 $169,943.62 2025-05-16
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 27 21 — — $154,020.36 $285,836.02 $161,721.38 2025-05-16
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $153,304.54 $160,969.77 $159,436.72 2025-05-16
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 80 41 $224,883.36 $168,662.52 25% off $256.73 $202,395.02 $152,920.68 2025-05-16
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 80 41 $222,207.83 $166,655.88 25% off $61.73 $199,987.05 $151,101.33 2025-05-16
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 80 41 $215,735.77 $161,801.83 25% off $73.27 $194,162.19 $146,700.32 2025-05-16
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 27 21 — — $139,144.73 $258,229.35 $146,101.97 2025-05-16
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $135,173.52 $141,932.20 $140,580.46 2025-05-16
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $135,173.52 $141,932.20 $140,580.46 2025-05-16
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $135,173.52 $141,932.20 $140,580.46 2025-05-16
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 60 41 $202,725.27 $152,043.96 25% off $81,090.11 $182,452.74 $137,853.18 2025-05-16
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $131,372.46 $137,941.08 $136,627.36 2025-05-16
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $122,440.95 $128,563.00 $127,338.59 2025-05-16
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $122,440.95 $128,563.00 $127,338.59 2025-05-16
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $122,440.95 $128,563.00 $127,338.59 2025-05-16
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $122,440.95 $128,563.00 $127,338.59 2025-05-16
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $122,431.99 $128,553.59 $127,329.27 2025-05-16
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $118,885.51 $124,829.79 $123,640.93 2025-05-16
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 80 41 $171,000.60 $128,250.45 25% off $179.42 $153,900.54 $116,280.41 2025-05-16
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $105,201.20 $110,461.26 $109,409.25 2025-05-16
J7330 HCPCS Implant, Maci Final, Product Assembled, Single 86 41 $156,756.00 $117,567.00 25% off $62,702.40 $282,160.80 $106,594.08 2025-05-16
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 80 41 $156,047.54 $117,035.66 25% off $1,293.99 $140,442.79 $106,112.33 2025-05-16
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $96,905.03 $101,750.28 $100,781.23 2025-05-16
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 80 41 $148,062.50 $111,046.88 25% off $89.60 $133,256.25 $100,682.50 2025-05-16
Q0480 HCPCS Driver Pneumatic Vad, Rep 20 18 — — $99,999.95 $179,999.91 $99,999.95 2025-05-16
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 105 41 $200,850.00 $150,637.50 25% off $98.74 $180,765.00 $96,408.00 2025-05-16
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 27 21 — — $91,739.07 $170,252.37 $96,326.02 2025-05-16
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $92,285.87 $96,900.16 $95,977.30 2025-05-16
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $92,285.87 $96,900.16 $95,977.30 2025-05-16
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 20 18 — — $93,216.70 $167,790.06 $93,216.70 2025-05-16
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $89,504.98 $93,980.23 $93,085.18 2025-05-16
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 80 41 $133,461.89 $100,096.42 25% off $112.36 $120,115.70 $90,754.09 2025-05-16
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 80 41 $133,364.40 $100,023.30 25% off $30,219.06 $120,027.96 $90,687.79 2025-05-16
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 80 41 $131,667.49 $98,750.62 25% off $32.56 $118,500.74 $89,533.90 2025-05-16
14 MS_DRG Allogeneic Bone Marrow Transplant 27 21 — — $85,063.48 $157,863.59 $89,316.65 2025-05-16
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 80 41 $131,153.51 $98,365.14 25% off $1,889.62 $118,038.16 $89,184.38 2025-05-16
7 MS_DRG Lung Transplant 27 21 — — $84,849.22 $157,465.97 $89,091.68 2025-05-16
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 60 41 $128,920.57 $96,690.43 25% off $51,568.23 $116,028.51 $87,665.99 2025-05-16
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $83,252.25 $87,414.86 $86,582.34 2025-05-16
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 105 41 $177,906.55 $133,429.92 25% off $95.51 $160,115.90 $85,395.14 2025-05-16
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $76,761.50 $80,599.58 $79,831.96 2025-05-16
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 80 41 $116,612.85 $87,459.64 25% off $340.17 $104,951.57 $79,296.74 2025-05-16
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 80 41 $116,476.42 $87,357.32 25% off $1,408.81 $104,828.78 $79,203.96 2025-05-16
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 80 41 $114,548.67 $85,911.51 25% off $14,347.38 $103,093.80 $77,893.10 2025-05-16
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 80 41 $112,071.97 $84,053.98 25% off $113.82 $100,864.77 $76,208.94 2025-05-16
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 21 — — $71,545.44 $132,776.37 $75,122.71 2025-05-16
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 21 — — $70,728.69 $131,260.60 $74,265.12 2025-05-16
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 21 — — $69,141.27 $128,314.62 $72,598.33 2025-05-16
215 MS_DRG Other Heart Assist System Implant 27 21 — — $68,786.77 $127,656.75 $72,226.11 2025-05-16
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $69,202.00 $72,662.10 $71,970.08 2025-05-16
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $69,202.00 $72,662.10 $71,970.08 2025-05-16
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $69,202.00 $72,662.10 $71,970.08 2025-05-16
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $69,094.18 $72,548.89 $71,857.95 2025-05-16
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 80 41 $105,240.36 $78,930.27 25% off $180.22 $94,716.32 $71,563.45 2025-05-16
J9600 HCPCS Porfimer 2.5 Mg/ml IV Syringe 80 41 $105,199.05 $78,899.29 25% off $12,841.06 $94,679.15 $71,535.35 2025-05-16
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 21 — — $68,011.57 $126,218.09 $71,412.15 2025-05-16
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $65,265.73 $68,529.02 $67,876.36 2025-05-16
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 20 18 — — $67,452.66 $121,414.79 $67,452.66 2025-05-16
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 80 41 $98,446.22 $73,834.67 25% off $30.64 $88,601.60 $66,943.43 2025-05-16
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $62,659.80 $116,286.10 $65,792.79 2025-05-16
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $62,952.63 $66,100.26 $65,470.74 2025-05-16
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $61,969.10 $65,067.56 $64,447.86 2025-05-16
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 80 41 $94,723.08 $71,042.31 25% off $72.38 $85,250.77 $64,411.69 2025-05-16
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $61,311.63 $64,377.21 $63,764.10 2025-05-16
L8688 HCPCS Generator, M1000-d, Sentiva Duo 60 41 $102,755.64 $77,066.73 25% off $34,217.63 $92,480.08 $63,348.86 2025-05-16
850 MS_DRG Acute Leukemia With Other Procedures 27 21 — — $59,808.29 $110,994.18 $62,798.70 2025-05-16
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 105 41 $129,891.37 $97,418.53 25% off $116.77 $116,902.23 $62,347.86 2025-05-16
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $59,439.57 $62,411.55 $61,817.15 2025-05-16
A9604 HCPCS Samarium Sm 153 Lexidronam 5,550 Mbq/3 Ml Intravenous Solution 80 41 $88,888.25 $66,666.19 25% off $2,286.90 $79,999.43 $60,444.01 2025-05-16
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $57,705.13 $60,590.39 $60,013.34 2025-05-16
8514 APR_DRG Gender Related Procedures 7 7 — — $57,595.30 $60,475.07 $59,899.11 2025-05-16
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $56,845.01 $59,687.26 $59,118.81 2025-05-16
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 80 41 $86,294.33 $64,720.75 25% off $70.34 $77,664.90 $58,680.14 2025-05-16
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 21 — — $55,016.82 $102,102.02 $57,767.66 2025-05-16
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $55,526.41 $58,302.73 $57,747.47 2025-05-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 21 — — $54,986.31 $102,045.39 $57,735.63 2025-05-16
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 80 41 $83,988.16 $62,991.12 25% off $186.86 $75,589.34 $57,111.94 2025-05-16
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 21 — — $54,151.37 $100,495.89 $56,858.94 2025-05-16
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $53,765.71 $56,454.00 $55,916.34 2025-05-16
J2502 HCPCS Pasireotide Pamoate 40 Mg IM Suspension 80 41 $82,121.85 $61,591.39 25% off $279.28 $73,909.67 $55,842.86 2025-05-16
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 21 — — $52,336.72 $97,128.19 $54,953.56 2025-05-16
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $52,818.96 $55,459.91 $54,931.72 2025-05-16
38240 CPT Transplt Allo Hct/donor 23 18 — — $6,193.39 $165,152.01 $54,827.31 2025-05-16
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $52,693.50 $55,328.18 $54,801.24 2025-05-16
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $52,693.50 $55,328.18 $54,801.24 2025-05-16
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $52,477.67 $55,101.55 $54,576.78 2025-05-16
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $52,430.22 $55,051.73 $54,527.43 2025-05-16
10 MS_DRG Pancreas Transplant 27 21 — — $51,764.73 $96,066.68 $54,352.97 2025-05-16
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 21 — — $51,468.02 $95,516.04 $54,041.42 2025-05-16
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 21 — — $50,748.00 $94,179.80 $53,285.40 2025-05-16
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $51,091.09 $53,645.64 $53,134.73 2025-05-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 21 — — $50,235.75 $93,229.14 $52,747.54 2025-05-16
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $50,529.36 $53,055.83 $52,550.53 2025-05-16
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 80 41 $77,250.00 $57,937.50 25% off $30,900.00 $113,824.09 $52,530.00 2025-05-16
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 80 41 $75,752.49 $56,814.37 25% off $102.86 $68,177.24 $51,511.69 2025-05-16
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 21 — — $48,461.34 $89,936.15 $50,884.41 2025-05-16
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $48,707.51 $51,142.89 $50,655.81 2025-05-16
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $48,707.51 $51,142.89 $50,655.81 2025-05-16
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $48,548.89 $50,976.33 $50,490.85 2025-05-16
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $48,334.27 $50,750.98 $50,267.64 2025-05-16
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $48,245.30 $50,657.57 $50,175.11 2025-05-16
8634 APR_DRG Neonatal Aftercare 7 7 — — $48,178.21 $50,587.12 $50,105.34 2025-05-16
1784 APR_DRG External Heart Assist Systems 7 7 — — $48,162.89 $50,571.03 $50,089.41 2025-05-16
6904 APR_DRG Acute Leukemia 7 7 — — $47,983.33 $50,382.50 $49,902.66 2025-05-16
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $47,712.40 $50,098.02 $49,620.90 2025-05-16
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $47,117.84 $49,473.73 $49,002.55 2025-05-16
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 21 — — $46,114.30 $85,580.43 $48,420.02 2025-05-16
L7181 HCPCS Electronic Elbo Simultaneous 20 18 — — $48,370.76 $87,067.37 $48,370.76 2025-05-16
J1628 HCPCS Guselkumab 100 Mg/ml Subcutaneous Syringe 80 41 $70,893.10 $53,169.83 25% off $37.33 $63,803.79 $48,207.31 2025-05-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 21 — — $45,882.52 $85,150.28 $48,176.65 2025-05-16
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 80 41 $70,201.00 $52,650.75 25% off $22,110.15 $75,091.07 $47,736.68 2025-05-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 27 21 — — $45,165.09 $83,818.87 $47,423.34 2025-05-16
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $45,529.57 $47,806.05 $47,350.75 2025-05-16
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 80 41 $69,344.76 $52,008.57 25% off $117.50 $62,410.28 $47,154.43 2025-05-16
L7180 HCPCS Electronic Elbow Sequential 20 18 — — $46,980.38 $84,564.68 $46,980.38 2025-05-16
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $45,101.89 $47,356.98 $46,905.97 2025-05-16
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 21 — — $44,332.76 $82,274.19 $46,549.40 2025-05-16
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 21 — — $43,530.29 $80,784.93 $45,706.80 2025-05-16
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $43,841.97 $46,034.07 $45,595.65 2025-05-16
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 21 — — $43,362.78 $80,474.07 $45,530.92 2025-05-16
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $43,752.38 $45,940.00 $45,502.48 2025-05-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 21 — — $43,289.42 $80,337.91 $45,453.89 2025-05-16
A9572 HCPCS Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit 80 41 $66,218.70 $49,664.03 25% off $1,014.74 $59,596.83 $45,028.71 2025-05-16
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $43,183.61 $45,342.79 $44,910.95 2025-05-16
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $43,183.61 $45,342.79 $44,910.95 2025-05-16
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Solution 130 41 $68,405.39 $51,304.05 25% off $80.77 $123,129.76 $44,645.46 2025-05-16
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $42,512.41 $44,638.03 $44,212.91 2025-05-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 27 21 — — $41,988.32 $77,923.29 $44,087.74 2025-05-16
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 80 41 $64,818.73 $48,614.05 25% off $69.67 $58,336.86 $44,076.74 2025-05-16
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $41,927.94 $77,811.24 $44,024.34 2025-05-16
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $42,283.07 $44,397.22 $43,974.39 2025-05-16
C2624 HCPCS Delivery Sys, Cordella And Pulm Artery Sensor (ide G1900020) 91 41 $71,250.00 $53,437.50 25% off $19,480.50 $64,125.00 $43,925.62 2025-05-16
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $41,954.93 $44,052.68 $43,633.13 2025-05-16
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $41,506.95 $43,582.30 $43,167.23 2025-05-16
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 21 — — $41,060.53 $76,201.49 $43,113.56 2025-05-16
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $41,318.25 $43,384.16 $42,970.98 2025-05-16
03060 EAPG Ventricular Assist Device Procedures 7 7 — — $41,301.43 $43,366.50 $42,953.49 2025-05-16
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $41,185.88 $43,245.17 $42,833.32 2025-05-16
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $41,185.88 $43,245.17 $42,833.32 2025-05-16
C1824 HCPCS Generator, Pulse, Optimizer Smart Ipg 60 41 $69,000.00 $51,750.00 25% off $22,977.00 $62,100.00 $42,538.50 2025-05-16
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 21 — — $40,217.16 $74,636.33 $42,228.02 2025-05-16
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 21 — — $40,165.22 $74,539.93 $42,173.48 2025-05-16
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $40,427.48 $42,448.85 $42,044.58 2025-05-16
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 21 — — $39,982.13 $74,200.15 $41,981.24 2025-05-16
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $40,232.99 $42,244.64 $41,842.31 2025-05-16
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 21 — — $39,842.54 $73,941.10 $41,834.67 2025-05-16
0266T CPT Apc 20 18 — — $41,717.26 $75,091.07 $41,717.26 2025-05-16
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 21 — — $39,660.75 $73,603.73 $41,643.79 2025-05-16
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $39,872.48 $41,866.10 $41,467.38 2025-05-16
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $39,872.48 $41,866.10 $41,467.38 2025-05-16
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $39,872.48 $41,866.10 $41,467.38 2025-05-16
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $39,872.48 $41,866.10 $41,467.38 2025-05-16
28 MS_DRG Spinal Procedures With Mcc 27 21 — — $39,471.18 $73,251.90 $41,444.74 2025-05-16
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 27 21 — — $39,188.10 $72,726.56 $41,147.51 2025-05-16
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 27 21 — — $39,188.10 $72,726.56 $41,147.51 2025-05-16
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 21 — — $38,895.28 $72,183.15 $40,840.04 2025-05-16
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $39,200.46 $41,160.48 $40,768.48 2025-05-16
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $38,625.85 $71,683.12 $40,557.14 2025-05-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 21 — — $38,596.64 $71,628.90 $40,526.47 2025-05-16
J9321 HCPCS Epcoritamab-bysp 48 Mg/0.8 Ml Subcutaneous Solution 105 41 $84,223.03 $63,167.28 25% off $29.08 $75,800.73 $40,427.05 2025-05-16
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 21 — — $38,203.19 $70,898.73 $40,113.35 2025-05-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 21 — — $37,801.30 $70,152.89 $39,691.37 2025-05-16
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $38,158.34 $40,066.26 $39,684.67 2025-05-16
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 21 — — $37,263.07 $69,154.03 $39,126.22 2025-05-16
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $37,571.84 $39,450.43 $39,074.71 2025-05-16
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 21 — — $37,040.38 $68,740.75 $38,892.40 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
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $37,007.80 $38,858.19 $38,488.11 2025-05-16
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $37,007.80 $38,858.19 $38,488.11 2025-05-16
8633 APR_DRG Neonatal Aftercare 7 7 — — $36,947.46 $38,794.83 $38,425.36 2025-05-16
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $36,786.02 $38,625.32 $38,257.46 2025-05-16
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $36,786.02 $38,625.32 $38,257.46 2025-05-16
653 MS_DRG Major Bladder Procedures With Mcc 27 21 — — $36,193.11 $67,168.36 $38,002.77 2025-05-16
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 80 41 $55,748.34 $41,811.26 25% off $131.93 $50,173.51 $37,908.88 2025-05-16
834 MS_DRG Acute Leukemia With Mcc 27 21 — — $35,886.02 $66,598.44 $37,680.32 2025-05-16
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 21 — — $35,886.02 $66,598.44 $37,680.32 2025-05-16
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $36,162.12 $37,970.23 $37,608.60 2025-05-16
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $36,097.53 $37,902.41 $37,541.43 2025-05-16
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $36,097.53 $37,902.41 $37,541.43 2025-05-16
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 21 — — $35,735.39 $66,318.90 $37,522.16 2025-05-16
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $36,003.02 $37,803.17 $37,443.14 2025-05-16
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $36,003.02 $37,803.17 $37,443.14 2025-05-16
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 21 — — $35,517.24 $65,914.05 $37,293.10 2025-05-16
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 21 — — $35,326.35 $65,559.81 $37,092.67 2025-05-16
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 21 — — $35,245.86 $65,410.41 $37,008.15 2025-05-16
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 80 41 $54,394.88 $40,796.16 25% off $36.39 $48,955.39 $36,988.51 2025-05-16
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 21 — — $35,066.01 $65,076.65 $36,819.31 2025-05-16
J0222 HCPCS Patisiran (lipid Complex) 2 Mg/ml Intravenous Solution 80 41 $54,127.53 $40,595.65 25% off $52.49 $48,714.78 $36,806.72 2025-05-16
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 21 — — $35,032.90 $65,015.20 $36,784.55 2025-05-16
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 21 — — $35,029.00 $65,007.97 $36,780.45 2025-05-16
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $35,334.82 $37,101.56 $36,748.21 2025-05-16
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $35,100.36 $36,855.38 $36,504.37 2025-05-16
J9999 HCPCS Dinutuximab 3.5 Mg/ml Intravenous Solution 60 41 $53,505.93 $40,129.45 25% off $21,402.37 $48,155.34 $36,384.04 2025-05-16
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $34,899.32 $36,644.29 $36,295.29 2025-05-16
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 21 — — $34,541.42 $64,103.09 $36,268.49 2025-05-16
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 80 41 $53,157.57 $39,868.18 25% off $15.33 $47,841.81 $36,147.14 2025-05-16
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 21 — — $34,388.84 $63,819.94 $36,108.28 2025-05-16
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $34,659.04 $36,391.99 $36,045.40 2025-05-16
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 80 41 $51,934.30 $38,950.73 25% off $17.53 $46,740.87 $35,315.32 2025-05-16
1794 APR_DRG Defibrillator Implants 7 7 — — $33,781.43 $35,470.50 $35,132.69 2025-05-16
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 21 — — $33,437.04 $62,053.55 $35,108.89 2025-05-16
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 21 — — $33,326.02 $61,847.52 $34,992.32 2025-05-16
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $33,574.58 $35,253.31 $34,917.56 2025-05-16
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $33,518.15 $35,194.06 $34,858.88 2025-05-16
J9153 HCPCS Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution 80 41 $51,168.11 $38,376.09 25% off $131.98 $46,051.30 $34,794.32 2025-05-16
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 80 41 $51,075.18 $38,306.39 25% off $123.55 $45,967.66 $34,731.12 2025-05-16
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 21 — — $33,076.71 $61,384.84 $34,730.55 2025-05-16
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $33,340.92 $35,007.97 $34,674.56 2025-05-16
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 21 — — $32,975.43 $61,196.87 $34,624.20 2025-05-16
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $33,261.04 $34,924.09 $34,591.48 2025-05-16
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $33,250.36 $34,912.88 $34,580.37 2025-05-16
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 21 — — $32,702.09 $60,689.61 $34,337.19 2025-05-16
L8701 HCPCS Ewh S/d Uprt Micro Sensor 20 18 — — $34,284.44 $61,711.99 $34,284.44 2025-05-16
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 21 — — $32,509.26 $60,331.75 $34,134.72 2025-05-16
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 21 — — $32,483.94 $60,284.76 $34,108.14 2025-05-16
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $32,792.87 $34,432.51 $34,104.58 2025-05-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 21 — — $32,470.96 $60,260.66 $34,094.51 2025-05-16
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 21 — — $32,354.09 $60,043.78 $33,971.79 2025-05-16
J2427 HCPCS Paliperidone Palmitate (3 Month) 819 Mg/2.63 Ml Intramuscular Syringe 80 41 $49,881.54 $37,411.16 25% off $6.72 $44,893.39 $33,919.45 2025-05-16
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $32,192.98 $33,802.63 $33,480.70 2025-05-16
245 MS_DRG Aicd Generator Procedures 27 21 — — $31,727.57 $58,881.05 $33,313.95 2025-05-16
J9037 HCPCS Belantamab Mafodotin-blmf 100 Mg Intravenous Solution 60 41 $48,825.25 $36,618.94 25% off $19,530.10 $43,942.73 $33,201.18 2025-05-16
J7314 HCPCS Fluocinolone 0.18 Mg Intravitreal Implant 80 41 $48,734.16 $36,550.62 25% off $278.02 $43,860.74 $33,139.22 2025-05-16
6 MS_DRG Liver Transplant Without Mcc 27 21 — — $31,483.45 $58,428.01 $33,057.62 2025-05-16
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 105 41 $54,479.59 $40,859.70 25% off $47.38 $49,031.63 $32,796.78 2025-05-16
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $31,494.81 $33,069.55 $32,754.60 2025-05-16
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $31,494.81 $33,069.55 $32,754.60 2025-05-16
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $31,407.79 $32,978.18 $32,664.10 2025-05-16
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $31,405.49 $32,975.76 $32,661.71 2025-05-16
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $31,349.21 $32,916.67 $32,603.18 2025-05-16
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 21 — — $31,004.95 $57,540.00 $32,555.20 2025-05-16
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $31,250.77 $32,813.31 $32,500.80 2025-05-16
471 MS_DRG Cervical Spinal Fusion With Mcc 27 21 — — $25,257.96 $58,525.61 $32,482.12 2025-05-16
6903 APR_DRG Acute Leukemia 7 7 — — $31,224.84 $32,786.08 $32,473.83 2025-05-16
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 21 18 — — $4,475.35 $58,404.35 $32,446.86 2025-05-16
799 MS_DRG Splenic Procedures With Mcc 27 21 — — $30,870.55 $57,290.59 $32,414.08 2025-05-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 21 — — $30,864.72 $57,279.74 $32,407.96 2025-05-16
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $31,061.99 $32,615.09 $32,304.47 2025-05-16
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $30,870.22 $32,413.73 $32,105.03 2025-05-16
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 21 — — $30,545.28 $56,686.93 $32,072.54 2025-05-16
J9307 HCPCS Pralatrexate 40 Mg/2 Ml (20 Mg/ml) Intravenous Solution 105 41 $65,058.36 $48,793.77 25% off $198.10 $58,552.52 $32,011.91 2025-05-16
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $30,705.06 $32,240.31 $31,933.26 2025-05-16
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 21 — — $30,381.66 $56,383.30 $31,900.74 2025-05-16
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $30,655.19 $32,187.95 $31,881.40 2025-05-16
J9316 HCPCS Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln 105 41 $46,858.93 $35,144.20 25% off $33.39 $63,262.05 $31,864.08 2025-05-16
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $30,531.07 $32,057.62 $31,752.31 2025-05-16
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 21 — — $30,202.48 $56,050.74 $31,712.60 2025-05-16
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $30,302.37 $31,817.49 $31,514.46 2025-05-16
163 MS_DRG Major Chest Procedures With Mcc 27 21 — — $29,925.24 $55,536.25 $31,421.50 2025-05-16
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 21 — — $29,912.91 $55,513.36 $31,408.56 2025-05-16
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 81 41 $46,154.00 $34,615.50 25% off $18,461.60 $85,095.97 $31,384.72 2025-05-16
264 APR_DRG Other Nervous System And Related Procedures 7 7 — — $30,111.21 $31,616.77 $31,315.66 2025-05-16
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 80 41 $46,047.73 $34,535.80 25% off $28.09 $41,442.96 $31,312.46 2025-05-16
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 21 — — $29,817.47 $55,336.24 $31,308.34 2025-05-16
J1632 HCPCS Brexanolone 5 Mg/ml Intravenous Solution 60 41 $46,041.00 $34,530.75 25% off $18,416.40 $41,436.90 $31,307.88 2025-05-16
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 21 — — $29,812.93 $55,327.80 $31,303.58 2025-05-16
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $29,656.90 $31,139.75 $30,843.18 2025-05-16
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $29,656.90 $31,139.75 $30,843.18 2025-05-16
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $29,656.90 $31,139.75 $30,843.18 2025-05-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 21 — — $29,291.58 $54,360.27 $30,756.16 2025-05-16
234 APR_DRG Spinal Procedures 7 7 — — $29,538.97 $31,015.92 $30,720.53 2025-05-16
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $29,516.95 $30,992.80 $30,697.63 2025-05-16
1783 APR_DRG External Heart Assist Systems 7 7 — — $29,483.30 $30,957.47 $30,662.63 2025-05-16
1782 APR_DRG External Heart Assist Systems 7 7 — — $29,483.30 $30,957.47 $30,662.63 2025-05-16
1781 APR_DRG External Heart Assist Systems 7 7 — — $29,483.30 $30,957.47 $30,662.63 2025-05-16
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 21 — — $29,116.93 $54,036.15 $30,572.78 2025-05-16
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 21 — — $29,036.42 $53,886.74 $30,488.24 2025-05-16
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $29,207.70 $30,668.09 $30,376.01 2025-05-16
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 130 41 $44,850.92 $33,638.19 25% off $20.96 $47,604.61 $30,291.81 2025-05-16
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $29,117.16 $30,573.02 $30,281.85 2025-05-16
901 MS_DRG Wound Debridements For Injuries With Mcc 27 21 — — $28,765.03 $53,383.09 $30,203.28 2025-05-16
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 21 — — $28,520.27 $52,928.85 $29,946.28 2025-05-16
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $28,704.03 $30,139.23 $29,852.19 2025-05-16
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