Price Transparency Hospital negotiated rates

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

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Hospital

UHHS MEMORIAL HOSPITAL OF GENEVA

Geneva, OH · CCN 361307 · Rates published

13,325 distinct procedures filed
41 distinct payers
2,233,673 rate rows
2025-05-17 last MRF observed · ⚠ 13 mo old
Data quality

2,231,942 of 2,233,673 rate rows are consumer-grade (99.9%)

1,731 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
percent-of-charges filed in the dollar field — excluded from medians 521
placeholder amount (≤ $0.02) — excluded from medians 491
per-diem day rate — not a per-procedure price 365
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 199
exceeds 10× this hospital's gross charge — excluded from medians 86
template filing: same amount across many unrelated codes — excluded 69

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old.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/7899/340714461-1225128432_university-hospitals-health-system_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/GenevaMedicalCenter/7899
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 2f7355a4b86b6e87… · 4,414,673,884 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 19 $2,254,412.50 $4,508,825.00 $2,254,412.50 nat. median
$3,669,056
0.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 41 $432,085.00 $2,566,800.95 $1,832,040.40 nat. median
$625,184
outlier · 2.9×
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 41 $384,190.00 $2,446,250.00 $1,634,728.45 nat. median
$754,974
outlier · 2.2×
Q2054
HCPCS 		Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 41 $422,609.00 $2,113,045.00 $1,542,522.85 nat. median
$674,188
outlier · 2.3×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 41 $410,970.00 $2,054,850.00 $1,500,040.50 nat. median
$634,511
outlier · 2.4×
Q2053
HCPCS 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 41 $410,970.00 $2,054,850.00 $1,500,040.50 nat. median
$620,080
outlier · 2.4×
C9399
HCPCS 		Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 41 $1,545.00 $3,410,000.00 $682,000.00 nat. median
$2,476
outlier · 275.5×
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 41 $137,327.33 $686,636.63 $501,244.74 nat. median
$2,677
outlier · 187.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $10,978.00 $504,220.14 $408,731.33 nat. median
$370,174
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $304,984.83 $316,828.90 $310,906.87 nat. median
$246,434
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $10,978.00 $376,610.17 $305,288.03 nat. median
$265,286
1.2× median
5833
APR_DRG 		Neonate With Ecmo 7 $295,050.29 $306,508.55 $300,779.42 nat. median
$244,017
1.2× median
5834
APR_DRG 		Neonate With Ecmo 7 $295,050.29 $306,508.55 $300,779.42 nat. median
$309,665
1.0× median
5831
APR_DRG 		Neonate With Ecmo 7 $280,686.10 $291,586.53 $286,136.32 nat. median
$145,122
2.0× median
5832
APR_DRG 		Neonate With Ecmo 7 $280,686.10 $291,586.53 $286,136.32 nat. median
$156,126
1.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $279,601.31 $290,459.61 $285,030.46 nat. median
$207,730
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 7 $10,978.00 $317,173.84 $257,107.71 nat. median
$206,368
1.2× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $245,988.30 $255,541.24 $250,764.77 nat. median
$234,738
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 7 $10,978.00 $286,540.49 $232,275.68 nat. median
$202,986
1.1× median
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 41 $61,587.66 $307,938.32 $224,794.98 nat. median
$62,507
outlier · 3.6×
1611
APR_DRG 		Implantable Heart Assist Systems 7 $216,545.54 $224,955.08 $220,750.31 nat. median
$76,806
outlier · 2.9×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $216,545.54 $224,955.08 $220,750.31 nat. median
$85,406
outlier · 2.6×
1613
APR_DRG 		Implantable Heart Assist Systems 7 $216,545.54 $224,955.08 $220,750.31 nat. median
$119,796
1.8× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $210,373.06 $218,542.89 $214,457.97 nat. median
$187,294
1.1× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $195,869.27 $203,475.84 $199,672.56 nat. median
$66,693
outlier · 3.0×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $195,869.27 $203,475.84 $199,672.56 nat. median
$35,675
outlier · 5.6×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $195,869.27 $203,475.84 $199,672.56 nat. median
$160,267
1.2× median
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $195,869.27 $203,475.84 $199,672.56 nat. median
$34,396
outlier · 5.8×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $195,854.73 $203,460.74 $199,657.73 nat. median
$162,982
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $190,095.64 $197,477.99 $193,786.81 nat. median
$150,721
1.3× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 41 $49,983.42 $249,917.09 $182,439.48 nat. median
$60,368
outlier · 3.0×
223
MS_DRG 		DRG Carveouts 1 $175,170.45 $175,170.45 $175,170.45 nat. median
$44,728
outlier · 3.9×
222
MS_DRG 		DRG Carveouts 1 $175,170.45 $175,170.45 $175,170.45 nat. median
$63,570
outlier · 2.8×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $167,873.84 $174,393.21 $171,133.53 nat. median
$122,924
1.4× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 41 $44,976.67 $224,883.36 $164,164.86 nat. median
$798
outlier · 205.6×
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 41 $44,441.57 $222,207.83 $162,211.71 nat. median
$167
outlier · 970.7×
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 41 $43,147.15 $215,735.77 $157,487.11 nat. median
$3,461
outlier · 45.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $154,401.79 $160,397.98 $157,399.88 nat. median
$182,736
0.9× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 7 $10,978.00 $188,918.10 $153,140.94 nat. median
$133,176
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $146,900.79 $152,605.68 $149,753.24 nat. median
$145,336
1.0× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $146,900.79 $152,605.68 $149,753.24 nat. median
$124,573
1.2× median
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 41 $40,545.05 $202,725.27 $147,989.45 nat. median
$21,340
outlier · 6.9×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $142,384.93 $147,914.45 $145,149.69 nat. median
$151,838
1.0× median
224
MS_DRG 		DRG Carveouts 1 $142,045.52 $142,045.52 $142,045.52 nat. median
$54,196
outlier · 2.6×
225
MS_DRG 		DRG Carveouts 1 $142,045.52 $142,045.52 $142,045.52 nat. median
$48,649
outlier · 2.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $10,978.00 $175,171.07 $141,997.31 nat. median
$117,303
1.2× median
7
MS_DRG 		Lung Transplant 7 $10,978.00 $174,729.86 $141,639.65 nat. median
$122,708
1.2× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $132,231.19 $137,366.39 $134,798.79 nat. median
$164,279
0.8× median
454
MS_DRG 		DRG Carveouts 1 $132,158.38 $132,158.38 $132,158.38 nat. median
$62,270
outlier · 2.1×
455
MS_DRG 		DRG Carveouts 1 $132,158.38 $132,158.38 $132,158.38 nat. median
$48,483
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 13,325 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 19 19 — — $2,254,412.50 $4,508,825.00 $2,254,412.50 2025-05-17
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 153 41 $2,566,800.95 $1,925,100.72 25% off $432,085.00 $2,566,800.95 $1,832,040.40 2025-05-17
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 153 41 $2,446,250.00 $1,834,687.50 25% off $384,190.00 $2,446,250.00 $1,634,728.45 2025-05-17
Q2054 HCPCS Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 94 41 $2,113,045.00 $1,584,783.75 25% off $422,609.00 $2,113,045.00 $1,542,522.85 2025-05-17
Q2053 HCPCS Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 94 41 $2,054,850.00 $1,541,137.50 25% off $410,970.00 $2,054,850.00 $1,500,040.50 2025-05-17
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 94 41 $2,054,850.00 $1,541,137.50 25% off $410,970.00 $2,054,850.00 $1,500,040.50 2025-05-17
C9399 HCPCS Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 271 41 $3,080,000.00 $2,310,000.00 25% off $1,545.00 $3,410,000.00 $682,000.00 2025-05-17
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 94 41 $686,636.63 $514,977.48 25% off $137,327.33 $686,636.63 $501,244.74 2025-05-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $10,978.00 $504,220.14 $408,731.33 2025-05-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $304,984.83 $316,828.90 $310,906.87 2025-05-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 7 — — $10,978.00 $376,610.17 $305,288.03 2025-05-17
5833 APR_DRG Neonate With Ecmo 7 7 — — $295,050.29 $306,508.55 $300,779.42 2025-05-17
5834 APR_DRG Neonate With Ecmo 7 7 — — $295,050.29 $306,508.55 $300,779.42 2025-05-17
5831 APR_DRG Neonate With Ecmo 7 7 — — $280,686.10 $291,586.53 $286,136.32 2025-05-17
5832 APR_DRG Neonate With Ecmo 7 7 — — $280,686.10 $291,586.53 $286,136.32 2025-05-17
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $279,601.31 $290,459.61 $285,030.46 2025-05-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 8 7 — — $10,978.00 $317,173.84 $257,107.71 2025-05-17
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $245,988.30 $255,541.24 $250,764.77 2025-05-17
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 8 7 — — $10,978.00 $286,540.49 $232,275.68 2025-05-17
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 94 41 $307,938.32 $230,953.74 25% off $61,587.66 $307,938.32 $224,794.98 2025-05-17
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $216,545.54 $224,955.08 $220,750.31 2025-05-17
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $216,545.54 $224,955.08 $220,750.31 2025-05-17
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $216,545.54 $224,955.08 $220,750.31 2025-05-17
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $210,373.06 $218,542.89 $214,457.97 2025-05-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $195,869.27 $203,475.84 $199,672.56 2025-05-17
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $195,869.27 $203,475.84 $199,672.56 2025-05-17
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $195,869.27 $203,475.84 $199,672.56 2025-05-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $195,869.27 $203,475.84 $199,672.56 2025-05-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $195,854.73 $203,460.74 $199,657.73 2025-05-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $190,095.64 $197,477.99 $193,786.81 2025-05-17
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 94 41 $249,917.09 $187,437.82 25% off $49,983.42 $249,917.09 $182,439.48 2025-05-17
223 MS_DRG DRG Carveouts 1 1 — — $175,170.45 $175,170.45 $175,170.45 2025-05-17
222 MS_DRG DRG Carveouts 1 1 — — $175,170.45 $175,170.45 $175,170.45 2025-05-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $167,873.84 $174,393.21 $171,133.53 2025-05-17
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 94 41 $224,883.36 $168,662.52 25% off $44,976.67 $224,883.36 $164,164.86 2025-05-17
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 94 41 $222,207.83 $166,655.88 25% off $44,441.57 $222,207.83 $162,211.71 2025-05-17
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 94 41 $215,735.77 $161,801.83 25% off $43,147.15 $215,735.77 $157,487.11 2025-05-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $154,401.79 $160,397.98 $157,399.88 2025-05-17
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 8 7 — — $10,978.00 $188,918.10 $153,140.94 2025-05-17
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $146,900.79 $152,605.68 $149,753.24 2025-05-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $146,900.79 $152,605.68 $149,753.24 2025-05-17
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 94 41 $202,725.27 $152,043.96 25% off $40,545.05 $202,725.27 $147,989.45 2025-05-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $142,384.93 $147,914.45 $145,149.69 2025-05-17
224 MS_DRG DRG Carveouts 1 1 — — $142,045.52 $142,045.52 $142,045.52 2025-05-17
225 MS_DRG DRG Carveouts 1 1 — — $142,045.52 $142,045.52 $142,045.52 2025-05-17
14 MS_DRG Allogeneic Bone Marrow Transplant 8 7 — — $10,978.00 $175,171.07 $141,997.31 2025-05-17
7 MS_DRG Lung Transplant 8 7 — — $10,978.00 $174,729.86 $141,639.65 2025-05-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $132,231.19 $137,366.39 $134,798.79 2025-05-17
454 MS_DRG DRG Carveouts 1 1 — — $132,158.38 $132,158.38 $132,158.38 2025-05-17
455 MS_DRG DRG Carveouts 1 1 — — $132,158.38 $132,158.38 $132,158.38 2025-05-17
453 MS_DRG DRG Carveouts 1 1 — — $132,158.38 $132,158.38 $132,158.38 2025-05-17
215 MS_DRG Other Heart Assist System Implant 9 8 — — $10,978.00 $258,865.80 $127,656.75 2025-05-17
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 94 41 $171,000.60 $128,250.45 25% off $34,200.12 $171,000.60 $124,830.44 2025-05-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $121,690.95 $126,416.81 $124,053.88 2025-05-17
226 MS_DRG DRG Carveouts 1 1 — — $123,664.20 $123,664.20 $123,664.20 2025-05-17
227 MS_DRG DRG Carveouts 1 1 — — $123,664.20 $123,664.20 $123,664.20 2025-05-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 7 — — $10,978.00 $147,333.39 $119,431.51 2025-05-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 7 — — $10,978.00 $145,651.44 $118,068.09 2025-05-17
230 MS_DRG DRG Carveouts 1 1 — — $117,665.90 $117,665.90 $117,665.90 2025-05-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $10,978.00 $180,137.60 $116,286.10 2025-05-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 7 — — $10,978.00 $142,382.48 $115,418.20 2025-05-17
J7330 HCPCS Implant, Maci Final, Product Assembled, Single 153 41 $156,756.00 $117,567.00 25% off $31,351.20 $313,512.00 $114,431.88 2025-05-17
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 94 41 $156,047.54 $117,035.66 25% off $31,209.51 $156,047.54 $113,914.71 2025-05-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $10,978.00 $140,056.10 $113,532.38 2025-05-17
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $109,415.16 $113,664.29 $111,539.73 2025-05-17
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $109,415.16 $113,664.29 $111,539.73 2025-05-17
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $109,415.16 $113,664.29 $111,539.73 2025-05-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $109,240.07 $113,482.40 $111,361.24 2025-05-17
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 94 41 $148,062.50 $111,046.88 25% off $29,612.50 $148,062.50 $108,085.62 2025-05-17
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $103,023.09 $107,023.99 $105,023.54 2025-05-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 8 — — $10,978.00 $166,272.42 $102,102.02 2025-05-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $99,266.87 $103,121.89 $101,194.38 2025-05-17
850 MS_DRG Acute Leukemia With Other Procedures 8 7 — — $10,978.00 $123,163.10 $99,838.57 2025-05-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $97,669.74 $101,462.74 $99,566.24 2025-05-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $96,602.08 $100,353.62 $98,477.85 2025-05-17
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 94 41 $133,461.89 $100,096.42 25% off $26,692.38 $133,461.89 $97,427.18 2025-05-17
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 94 41 $133,364.40 $100,023.30 25% off $26,672.88 $133,364.40 $97,356.01 2025-05-17
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 94 41 $131,667.49 $98,750.62 25% off $26,333.50 $131,667.49 $96,117.27 2025-05-17
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 94 41 $131,153.51 $98,365.14 25% off $26,230.70 $131,153.51 $95,742.06 2025-05-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $93,562.06 $97,195.54 $95,378.80 2025-05-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 8 — — $10,978.00 $122,292.75 $94,179.80 2025-05-17
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 94 41 $128,920.57 $96,690.43 25% off $25,784.11 $128,920.57 $94,112.01 2025-05-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $10,978.00 $131,850.88 $93,229.14 2025-05-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $90,745.52 $94,269.62 $92,507.57 2025-05-17
8514 APR_DRG Gender Related Procedures 7 7 — — $90,567.17 $94,084.34 $92,325.75 2025-05-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $89,348.79 $92,818.65 $91,083.72 2025-05-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 7 — — $10,978.00 $111,513.82 $90,395.43 2025-05-17
38230 CPT Hc Bone Marrow Harvest Transplantation Allogeneic 94 41 $122,091.00 $91,568.25 25% off $2,250.90 $122,091.00 $89,126.43 2025-05-17
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $87,207.53 $90,594.23 $88,900.88 2025-05-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 7 — — $10,978.00 $107,776.91 $87,366.20 2025-05-17
03060 EAPG Ventricular Assist Device Procedures 7 7 — — $85,893.84 $87,988.81 $87,150.82 2025-05-17
10 MS_DRG Pancreas Transplant 8 7 — — $10,978.00 $106,599.01 $86,411.38 2025-05-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $84,348.34 $87,624.00 $85,986.17 2025-05-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 7 — — $10,978.00 $105,988.00 $85,916.08 2025-05-17
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 94 41 $116,612.85 $87,459.64 25% off $23,322.57 $116,612.85 $85,127.38 2025-05-17
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 94 41 $116,476.42 $87,357.32 25% off $23,295.28 $116,476.42 $85,027.79 2025-05-17
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $82,810.94 $86,026.90 $84,418.92 2025-05-17
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $82,607.19 $85,815.24 $84,211.22 2025-05-17
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $82,607.19 $85,815.24 $84,211.22 2025-05-17
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $82,256.71 $85,451.14 $83,853.92 2025-05-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $82,179.66 $85,371.11 $83,775.38 2025-05-17
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 94 41 $114,548.67 $85,911.51 25% off $22,909.73 $114,548.67 $83,620.53 2025-05-17
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 94 41 $112,071.97 $84,053.98 25% off $22,414.39 $112,071.97 $81,812.54 2025-05-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $80,005.06 $83,112.06 $81,558.56 2025-05-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $10,978.00 $113,233.20 $81,532.99 2025-05-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 7 — — $10,978.00 $99,796.35 $80,897.00 2025-05-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $79,092.87 $82,164.43 $80,628.65 2025-05-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 8 — — $10,978.00 $120,864.92 $80,337.91 2025-05-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $10,978.00 $180,137.60 $77,811.24 2025-05-17
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $76,134.39 $79,091.06 $77,612.72 2025-05-17
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $76,134.39 $79,091.06 $77,612.72 2025-05-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $75,876.80 $78,823.48 $77,350.14 2025-05-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $75,528.28 $78,461.42 $76,994.85 2025-05-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $10,978.00 $94,963.10 $76,979.06 2025-05-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $75,383.80 $78,311.33 $76,847.57 2025-05-17
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 94 41 $105,240.36 $78,930.27 25% off $21,048.07 $105,240.36 $76,825.46 2025-05-17
J9600 HCPCS Porfimer 2.5 Mg/ml IV Syringe 94 41 $105,199.05 $78,899.29 25% off $21,039.81 $105,199.05 $76,795.30 2025-05-17
8634 APR_DRG Neonatal Aftercare 7 7 — — $75,274.87 $78,198.17 $76,736.52 2025-05-17
1784 APR_DRG External Heart Assist Systems 7 7 — — $75,250.00 $78,172.33 $76,711.16 2025-05-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 7 — — $10,978.00 $125,519.92 $76,592.14 2025-05-17
6904 APR_DRG Acute Leukemia 7 7 — — $74,958.40 $77,869.41 $76,413.91 2025-05-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $74,518.45 $77,412.37 $75,965.41 2025-05-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 8 7 — — $10,978.00 $93,008.41 $75,394.55 2025-05-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $73,552.94 $76,409.36 $74,981.15 2025-05-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 7 — — $10,978.00 $91,294.37 $74,005.11 2025-05-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 8 — — $10,978.00 $166,272.42 $73,603.73 2025-05-17
459 MS_DRG DRG Carveouts 1 1 — — $72,908.25 $72,908.25 $72,908.25 2025-05-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 7 — — $10,978.00 $89,641.84 $72,665.54 2025-05-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 7 — — $10,978.00 $89,296.89 $72,385.92 2025-05-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $70,973.78 $73,730.04 $72,351.91 2025-05-17
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 94 41 $98,446.22 $73,834.67 25% off $19,689.24 $98,446.22 $71,865.74 2025-05-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $10,978.00 $180,137.60 $71,683.12 2025-05-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $70,279.26 $73,008.55 $71,643.90 2025-05-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 8 — — $10,978.00 $89,778.72 $70,898.73 2025-05-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 8 7 — — $10,978.00 $86,466.46 $70,091.51 2025-05-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $68,233.29 $70,883.12 $69,558.21 2025-05-17
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $68,087.81 $70,732.00 $69,409.90 2025-05-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $10,978.00 $76,735.78 $69,154.03 2025-05-17
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 94 41 $94,723.08 $71,042.31 25% off $18,944.62 $94,723.08 $69,147.85 2025-05-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 7 — — $10,978.00 $84,555.89 $68,542.76 2025-05-17
L8688 HCPCS Generator, M1000-d, Sentiva Duo 92 41 $102,755.64 $77,066.73 25% off $20,551.13 $102,755.64 $68,502.04 2025-05-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $67,164.19 $69,772.51 $68,468.35 2025-05-17
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $67,164.19 $69,772.51 $68,468.35 2025-05-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $66,074.24 $68,640.23 $67,357.24 2025-05-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 7 — — $10,978.00 $82,819.13 $67,134.91 2025-05-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 7 — — $10,978.00 $82,712.17 $67,048.20 2025-05-17
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $65,701.82 $68,253.34 $66,977.58 2025-05-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 7 — — $10,978.00 $82,335.13 $66,742.57 2025-05-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $65,168.97 $67,699.80 $66,434.38 2025-05-17
28 MS_DRG Spinal Procedures With Mcc 8 7 — — $10,978.00 $81,282.92 $65,889.62 2025-05-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $64,441.49 $66,944.07 $65,692.78 2025-05-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 8 7 — — $10,978.00 $80,699.98 $65,417.08 2025-05-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 8 7 — — $10,978.00 $80,699.98 $65,417.08 2025-05-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $64,135.06 $66,625.74 $65,380.40 2025-05-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $63,920.10 $66,402.43 $65,161.27 2025-05-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $63,920.10 $66,402.43 $65,161.27 2025-05-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 7 — — $10,978.00 $80,097.00 $64,928.29 2025-05-17
A9604 HCPCS Samarium Sm 153 Lexidronam 5,550 Mbq/3 Ml Intravenous Solution 94 41 $88,888.25 $66,666.19 25% off $17,777.65 $88,888.25 $64,888.43 2025-05-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 7 — — $10,978.00 $79,481.98 $64,429.74 2025-05-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 8 — — $10,978.00 $122,292.75 $64,103.09 2025-05-17
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 153 41 $177,906.55 $133,429.92 25% off $8,895.35 $177,906.55 $64,046.36 2025-05-17
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $62,688.55 $65,123.06 $63,905.80 2025-05-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $10,978.00 $131,850.88 $63,819.94 2025-05-17
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $62,372.71 $64,794.95 $63,583.83 2025-05-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 7 — — $10,978.00 $77,844.15 $63,102.08 2025-05-17
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 94 41 $86,294.33 $64,720.75 25% off $17,258.87 $86,294.33 $62,994.86 2025-05-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $61,787.29 $64,186.80 $62,987.04 2025-05-17
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $61,787.29 $64,186.80 $62,987.04 2025-05-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $61,787.29 $64,186.80 $62,987.04 2025-05-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $61,787.29 $64,186.80 $62,987.04 2025-05-17
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $60,695.99 $63,053.12 $61,874.56 2025-05-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 8 — — $10,978.00 $91,118.40 $61,847.52 2025-05-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 7 — — $10,978.00 $76,277.19 $61,831.88 2025-05-17
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 94 41 $83,988.16 $62,991.12 25% off $16,797.63 $83,988.16 $61,311.36 2025-05-17
653 MS_DRG Major Bladder Procedures With Mcc 8 7 — — $10,978.00 $74,532.40 $60,417.51 2025-05-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $59,003.70 $61,295.11 $60,149.41 2025-05-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 8 — — $10,978.00 $117,665.90 $60,043.78 2025-05-17
J2502 HCPCS Pasireotide Pamoate 20 Mg IM Suspension 94 41 $82,121.85 $61,591.39 25% off $16,424.37 $82,121.85 $59,948.95 2025-05-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 7 — — $10,978.00 $73,900.00 $59,904.88 2025-05-17
834 MS_DRG Acute Leukemia With Mcc 8 7 — — $10,978.00 $73,900.00 $59,904.88 2025-05-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $10,978.00 $73,589.82 $59,653.43 2025-05-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 7 — — $10,978.00 $73,140.59 $59,289.28 2025-05-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $58,051.30 $60,305.72 $59,178.51 2025-05-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 7 — — $10,978.00 $72,747.51 $58,970.64 2025-05-17
245 MS_DRG Aicd Generator Procedures 9 8 — — $10,978.00 $65,336.52 $58,881.05 2025-05-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 7 — — $10,978.00 $72,581.72 $58,836.25 2025-05-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 7 — — $10,978.00 $72,211.37 $58,536.04 2025-05-17
248 MS_DRG DRG Carveouts 1 1 — — $58,499.82 $58,499.82 $58,499.82 2025-05-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 7 — — $10,978.00 $72,143.18 $58,480.76 2025-05-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 7 — — $10,978.00 $72,135.16 $58,474.26 2025-05-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $57,135.38 $59,354.23 $58,244.80 2025-05-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $57,135.38 $59,354.23 $58,244.80 2025-05-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 9 8 — — $10,978.00 $79,777.10 $58,175.92 2025-05-17
8633 APR_DRG Neonatal Aftercare 7 7 — — $57,037.38 $59,252.43 $58,144.91 2025-05-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $56,775.22 $58,980.08 $57,877.65 2025-05-17
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $56,775.22 $58,980.08 $57,877.65 2025-05-17
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $55,762.08 $57,927.60 $56,844.84 2025-05-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $55,657.19 $57,818.64 $56,737.92 2025-05-17
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $55,657.19 $57,818.64 $56,737.92 2025-05-17
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 212 41 $68,405.39 $51,304.05 25% off $13,131.02 $136,810.84 $56,619.93 2025-05-17
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $55,503.71 $57,659.20 $56,581.46 2025-05-17
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $55,503.71 $57,659.20 $56,581.46 2025-05-17
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 94 41 $77,250.00 $57,937.50 25% off $15,450.00 $77,250.00 $56,392.50 2025-05-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 7 — — $10,978.00 $68,856.84 $55,816.78 2025-05-17
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $54,418.64 $56,531.98 $55,475.31 2025-05-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $10,978.00 $131,850.88 $55,336.24 2025-05-17
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 94 41 $75,752.49 $56,814.37 25% off $15,150.50 $75,752.49 $55,299.32 2025-05-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $54,037.90 $56,136.46 $55,087.18 2025-05-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 7 — — $10,978.00 $67,906.23 $55,046.20 2025-05-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $53,711.43 $55,797.31 $54,754.37 2025-05-17
471 MS_DRG Cervical Spinal Fusion With Mcc 9 8 — — $10,978.00 $64,942.10 $54,666.32 2025-05-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 7 — — $10,978.00 $67,343.35 $54,589.93 2025-05-17
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $53,321.25 $55,391.97 $54,356.61 2025-05-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 7 — — $10,978.00 $66,946.26 $54,268.03 2025-05-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 7 — — $10,978.00 $66,894.12 $54,225.76 2025-05-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 7 — — $10,978.00 $66,867.38 $54,204.09 2025-05-17
249 MS_DRG DRG Carveouts 1 1 — — $53,653.62 $53,653.62 $53,653.62 2025-05-17
1794 APR_DRG Defibrillator Implants 7 7 — — $51,896.11 $53,911.49 $52,903.80 2025-05-17
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $51,560.19 $53,562.53 $52,561.36 2025-05-17
6 MS_DRG Liver Transplant Without Mcc 8 7 — — $10,978.00 $64,833.80 $52,555.63 2025-05-17
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $51,468.56 $53,467.34 $52,467.95 2025-05-17
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $51,180.76 $53,168.36 $52,174.56 2025-05-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $51,051.04 $53,033.61 $52,042.33 2025-05-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $10,978.00 $72,823.17 $52,027.58 2025-05-17
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $51,033.70 $53,015.59 $52,024.64 2025-05-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 7 — — $10,978.00 $63,848.44 $51,756.87 2025-05-17
J1628 HCPCS Guselkumab 100 Mg/ml Subcutaneous Syringe 94 41 $70,893.10 $53,169.83 25% off $14,178.62 $70,893.10 $51,751.96 2025-05-17
799 MS_DRG Splenic Procedures With Mcc 8 7 — — $10,978.00 $63,571.68 $51,532.52 2025-05-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 7 — — $10,978.00 $63,559.64 $51,522.77 2025-05-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $50,290.78 $52,243.82 $51,267.30 2025-05-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 7 — — $10,978.00 $62,901.84 $50,989.54 2025-05-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 8 7 — — $10,978.00 $62,564.92 $50,716.43 2025-05-17
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 94 41 $69,344.76 $52,008.57 25% off $13,868.95 $69,344.76 $50,621.68 2025-05-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 7 — — $10,978.00 $92,078.91 $50,417.29 2025-05-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $49,316.65 $51,231.86 $50,274.25 2025-05-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 8 — — $10,978.00 $75,128.40 $50,132.27 2025-05-17
163 MS_DRG Major Chest Procedures With Mcc 8 7 — — $10,978.00 $61,625.00 $49,954.51 2025-05-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 7 — — $10,978.00 $61,599.60 $49,933.92 2025-05-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 7 — — $10,978.00 $61,393.70 $49,767.01 2025-05-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 8 — — $10,978.00 $89,778.72 $49,546.69 2025-05-17
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $48,182.89 $50,054.07 $49,118.48 2025-05-17
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $48,182.89 $50,054.07 $49,118.48 2025-05-17
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $48,041.58 $49,907.27 $48,974.43 2025-05-17
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $48,037.84 $49,903.39 $48,970.61 2025-05-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 7 — — $10,978.00 $60,320.09 $48,896.72 2025-05-17
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $47,946.44 $49,808.44 $48,877.44 2025-05-17
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $47,786.59 $49,642.38 $48,714.49 2025-05-17
6903 APR_DRG Acute Leukemia 7 7 — — $47,744.49 $49,598.64 $48,671.56 2025-05-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 7 — — $10,978.00 $59,960.44 $48,605.18 2025-05-17
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $47,480.04 $49,323.93 $48,401.99 2025-05-17
A9572 HCPCS Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit 94 41 $66,218.70 $49,664.03 25% off $13,243.74 $66,218.70 $48,339.65 2025-05-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 9 8 — — $10,978.00 $68,114.80 $48,296.81 2025-05-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 7 — — $10,978.00 $71,373.85 $48,142.07 2025-05-17
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $47,168.61 $49,000.40 $48,084.51 2025-05-17
901 MS_DRG Wound Debridements For Injuries With Mcc 8 7 — — $10,978.00 $59,235.79 $48,017.75 2025-05-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $46,900.41 $48,721.79 $47,811.10 2025-05-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $46,819.44 $48,637.67 $47,728.56 2025-05-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 7 — — $10,978.00 $58,731.74 $47,609.17 2025-05-17
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $46,617.88 $48,428.29 $47,523.08 2025-05-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 4 — — $34,046.05 $51,084.80 $47,347.75 2025-05-17
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 94 41 $64,818.73 $48,614.05 25% off $12,963.75 $64,818.73 $47,317.68 2025-05-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $46,246.50 $48,042.48 $47,144.49 2025-05-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 9 8 — — $10,978.00 $80,597.80 $47,115.20 2025-05-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 8 7 — — $10,978.00 $57,850.65 $46,894.94 2025-05-17
264 APR_DRG Other Nervous System And Related Procedures 7 7 — — $45,936.06 $47,719.99 $46,828.03 2025-05-17
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 153 41 $129,891.37 $97,418.53 25% off $7,084.99 $129,891.37 $46,760.89 2025-05-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 7 — — $10,978.00 $57,032.41 $46,231.65 2025-05-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $45,198.32 $46,953.59 $46,075.95 2025-05-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $45,198.32 $46,953.59 $46,075.95 2025-05-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $45,198.32 $46,953.59 $46,075.95 2025-05-17
C1824 HCPCS Generator, Pulse, Optimizer Smart Ipg 92 41 $69,000.00 $51,750.00 25% off $13,800.00 $69,000.00 $45,998.85 2025-05-17
234 APR_DRG Spinal Procedures 7 7 — — $45,006.81 $46,754.65 $45,880.73 2025-05-17
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $44,971.07 $46,717.52 $45,844.29 2025-05-17
140 MS_DRG Major Head And Neck Procedures With Mcc 8 7 — — $10,978.00 $56,544.40 $45,836.07 2025-05-17
1781 APR_DRG External Heart Assist Systems 7 7 — — $44,916.43 $46,660.75 $45,788.59 2025-05-17
1782 APR_DRG External Heart Assist Systems 7 7 — — $44,916.43 $46,660.75 $45,788.59 2025-05-17
1783 APR_DRG External Heart Assist Systems 7 7 — — $44,916.43 $46,660.75 $45,788.59 2025-05-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 7 — — $10,978.00 $56,028.32 $45,417.73 2025-05-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 7 — — $10,978.00 $56,014.95 $45,406.88 2025-05-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $44,468.87 $46,195.82 $45,332.34 2025-05-17
793 MS_DRG Full Term Neonate With Major Problems 8 7 — — $10,978.00 $55,759.59 $45,199.88 2025-05-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $44,321.85 $46,043.08 $45,182.47 2025-05-17
460 MS_DRG DRG Carveouts 3 2 — — $40,382.59 $59,543.27 $44,869.32 2025-05-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 7 — — $10,978.00 $54,948.03 $44,542.01 2025-05-17
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $43,650.97 $45,346.15 $44,498.56 2025-05-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 7 — — $10,978.00 $54,866.47 $44,475.90 2025-05-17
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $43,532.19 $45,222.76 $44,377.47 2025-05-17
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $43,508.14 $45,197.77 $44,352.96 2025-05-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 7 — — $10,978.00 $54,596.40 $44,256.97 2025-05-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 7 — — $10,978.00 $54,381.14 $44,082.48 2025-05-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 7 — — $43,230.26 $44,909.11 $44,069.69 2025-05-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $43,200.62 $44,878.31 $44,039.47 2025-05-17
791 MS_DRG Prematurity With Major Problems 8 7 — — $10,978.00 $54,280.86 $44,001.20 2025-05-17
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $43,033.59 $44,704.79 $43,869.19 2025-05-17
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $42,648.84 $44,305.10 $43,476.97 2025-05-17
274 APR_DRG Other Open Craniotomy 7 7 — — $42,602.04 $44,256.48 $43,429.26 2025-05-17
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $42,531.29 $44,182.99 $43,357.14 2025-05-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 7 — — $10,978.00 $53,262.07 $43,175.34 2025-05-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 7 — — $10,978.00 $53,224.63 $43,144.99 2025-05-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 7 — — $10,978.00 $52,754.01 $42,763.49 2025-05-17
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