Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

RAINBOW BABIES AND CHILDRENS HOSPITAL

Cleveland, OH · CCN 363302 · Rates published

13,814 distinct procedures filed
38 distinct payers
1,844,225 rate rows
2025-05-19 last MRF observed · ⚠ 17 mo old
Data quality

1,843,136 of 1,844,225 rate rows are consumer-grade (99.9%)

1,089 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 583
placeholder amount (≤ $0.02) — excluded from medians 477
per-diem day rate — not a per-procedure price 14
exceeds 10× this hospital's gross charge — excluded from medians 8
percent-of-charges filed in the dollar field — excluded from medians 7

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/12952/341567805-1518042175_university-hospitals-health-system_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/RainbowBabiesAndChildrensHospital/12952
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 7d466f4777fb0111… · 4,793,244,546 bytes · first seen 2026-05-06

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 $3,753,596.81 $4,508,825.00 $4,131,210.91 —
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 13 $3,710,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,508,750
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 13 $3,685,266.67 $3,869,530.00 $3,685,266.67 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 13 $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 13 $3,286,000.00 $3,450,300.00 $3,286,000.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 13 $2,948,213.33 $3,095,624.00 $2,948,213.33 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $2,423,131.23 $2,544,287.79 $2,423,131.23 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 13 $2,332,000.00 $2,448,600.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
C9399
HCPCS 		Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 37 $2,572.43 $3,069,000.00 $1,578,500.00 nat. median
$2,102
outlier · 751.0×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 37 $527,622.46 $2,310,120.86 $1,557,666.43 nat. median
$574,037
outlier · 2.7×
Q2054
HCPCS 		Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 36 $516,442.29 $1,901,740.50 $1,394,609.70 nat. median
$579,571
outlier · 2.4×
Q2042
HCPCS 		Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 37 $578,771.12 $2,201,625.00 $1,344,665.00 nat. median
$621,313
outlier · 2.2×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 37 $502,840.73 $1,849,365.00 $1,337,707.35 nat. median
$562,501
outlier · 2.4×
Q2053
HCPCS 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 37 $489,399.16 $1,849,365.00 $1,337,707.35 nat. median
$513,770
outlier · 2.6×
Q2057
HCPCS 		Afamitresgene Autoleucel 13 $770,620.00 $809,151.00 $770,620.00 nat. median
$813,967
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $553,169.30 $580,827.76 $553,169.30 nat. median
$599,737
0.9× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 36 $1,248.60 $617,972.97 $456,613.36 nat. median
$1,667
outlier · 273.9×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $390,088.51 $397,663.05 $397,663.05 nat. median
$286,698
1.4× median
5834
APR_DRG 		Neonate With Ecmo 4 $377,389.28 $384,717.23 $384,717.23 nat. median
$390,362
1.0× median
5833
APR_DRG 		Neonate With Ecmo 4 $377,389.28 $384,717.23 $384,717.23 nat. median
$268,208
1.4× median
5832
APR_DRG 		Neonate With Ecmo 4 $359,027.67 $365,999.08 $365,999.08 nat. median
$201,678
1.8× median
5831
APR_DRG 		Neonate With Ecmo 4 $359,027.67 $365,999.08 $365,999.08 nat. median
$173,909
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 4 $357,640.97 $364,585.45 $364,585.45 nat. median
$202,242
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $353,545.50 $371,222.78 $353,545.50 nat. median
$168,055
outlier · 2.1×
24
APR_DRG 		Heart And/or Lung Transplant 4 $314,673.76 $320,783.93 $320,783.93 nat. median
$225,531
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems 4 $277,037.33 $282,416.69 $282,416.69 nat. median
$155,539
1.8× median
1611
APR_DRG 		Implantable Heart Assist Systems 4 $277,037.33 $282,416.69 $282,416.69 nat. median
$108,954
outlier · 2.6×
1612
APR_DRG 		Implantable Heart Assist Systems 4 $277,037.33 $282,416.69 $282,416.69 nat. median
$109,992
outlier · 2.6×
C9301
HCPCS 		Apc 13 $278,250.00 $292,162.50 $278,250.00 nat. median
$377,029
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $269,147.10 $274,373.25 $274,373.25 nat. median
$149,836
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $264,696.72 $277,931.56 $264,696.72 nat. median
$186,516
1.4× median
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $250,607.03 $255,473.19 $255,473.19 nat. median
$23,507
outlier · 10.9×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $250,607.03 $255,473.19 $255,473.19 nat. median
$27,312
outlier · 9.4×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $250,607.03 $255,473.19 $255,473.19 nat. median
$173,018
1.5× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $250,607.03 $255,473.19 $255,473.19 nat. median
$54,727
outlier · 4.7×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $250,588.44 $255,454.24 $255,454.24 nat. median
$198,578
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $243,226.65 $247,949.50 $247,949.50 nat. median
$187,567
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 12 $223,314.01 $234,479.71 $223,314.01 nat. median
$131,925
1.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $214,820.70 $218,991.98 $218,991.98 nat. median
$181,762
1.2× median
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 36 $56,824.55 $277,144.49 $203,239.29 nat. median
$65,477
outlier · 3.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 12 $201,985.45 $212,084.72 $201,985.45 nat. median
$145,435
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $197,599.52 $201,436.40 $201,436.40 nat. median
$173,134
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $188,011.05 $191,661.75 $191,661.75 nat. median
$152,383
1.3× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $188,011.05 $191,661.75 $191,661.75 nat. median
$130,862
1.5× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $182,238.46 $185,777.07 $185,777.07 nat. median
$168,439
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $169,259.03 $172,545.62 $172,545.62 nat. median
$171,497
1.0× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 36 $45,212.04 $224,925.38 $164,945.28 nat. median
$57,036
outlier · 2.9×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $155,785.52 $158,810.48 $158,810.48 nat. median
$106,926
1.5× median
J7330
HCPCS 		Implant, Maci Final, Product Assembled, Double 37 $52,199.75 $282,160.80 $156,756.00 nat. median
$92,809
1.7× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 36 $484.40 $202,395.02 $149,547.43 nat. median
$562
outlier · 266.0×

Other procedures at this hospital

Browse this hospital's 13,814 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 2 2 — — $3,753,596.81 $4,508,825.00 $4,131,210.91 2025-05-19
J1414 HCPCS Inj, Beqvez, Per Tx Dose 13 13 — — $3,710,000.00 $3,895,500.00 $3,710,000.00 2025-05-19
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 13 13 — — $3,685,266.67 $3,869,530.00 $3,685,266.67 2025-05-19
J1413 HCPCS Inj Delandistrogene Mox Rokl 13 13 — — $3,322,473.30 $3,488,596.96 $3,322,473.30 2025-05-19
J3394 HCPCS Inj, Lovotibeglogene Autotem 13 13 — — $3,286,000.00 $3,450,300.00 $3,286,000.00 2025-05-19
J3393 HCPCS Inj, Betibeglogene Autotemce 13 13 — — $2,948,213.33 $3,095,624.00 $2,948,213.33 2025-05-19
J3399 HCPCS Inj Onase Abepar-xioi Treat 13 13 — — $2,423,131.23 $2,544,287.79 $2,423,131.23 2025-05-19
J3392 HCPCS Inj, Exagamglogene Autotem 13 13 — — $2,332,000.00 $2,448,600.00 $2,332,000.00 2025-05-19
C9399 HCPCS Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 206 37 $3,080,000.00 $2,310,000.00 25% off $2,572.43 $3,069,000.00 $1,578,500.00 2025-05-19
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 125 37 $2,566,800.95 $1,925,100.72 25% off $527,622.46 $2,310,120.86 $1,557,666.43 2025-05-19
Q2054 HCPCS Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 77 36 $2,113,045.00 $1,584,783.75 25% off $516,442.29 $1,901,740.50 $1,394,609.70 2025-05-19
Q2042 HCPCS Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 125 37 $1,920,950.00 $1,440,712.50 25% off $578,771.12 $2,201,625.00 $1,344,665.00 2025-05-19
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 77 37 $2,054,850.00 $1,541,137.50 25% off $502,840.73 $1,849,365.00 $1,337,707.35 2025-05-19
Q2053 HCPCS Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 77 37 $2,054,850.00 $1,541,137.50 25% off $489,399.16 $1,849,365.00 $1,337,707.35 2025-05-19
Q2057 HCPCS Afamitresgene Autoleucel 13 13 — — $770,620.00 $809,151.00 $770,620.00 2025-05-19
Q2056 HCPCS Ciltacabtagene Car-pos T 13 13 — — $553,169.30 $580,827.76 $553,169.30 2025-05-19
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 76 36 $686,636.63 $514,977.48 25% off $1,248.60 $617,972.97 $456,613.36 2025-05-19
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $390,088.51 $397,663.05 $397,663.05 2025-05-19
5833 APR_DRG Neonate With Ecmo 4 4 — — $377,389.28 $384,717.23 $384,717.23 2025-05-19
5834 APR_DRG Neonate With Ecmo 4 4 — — $377,389.28 $384,717.23 $384,717.23 2025-05-19
5831 APR_DRG Neonate With Ecmo 4 4 — — $359,027.67 $365,999.08 $365,999.08 2025-05-19
5832 APR_DRG Neonate With Ecmo 4 4 — — $359,027.67 $365,999.08 $365,999.08 2025-05-19
1614 APR_DRG Implantable Heart Assist Systems 4 4 — — $357,640.97 $364,585.45 $364,585.45 2025-05-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 12 — — $353,545.50 $371,222.78 $353,545.50 2025-05-19
24 APR_DRG Heart And/or Lung Transplant 4 4 — — $314,673.76 $320,783.93 $320,783.93 2025-05-19
1611 APR_DRG Implantable Heart Assist Systems 4 4 — — $277,037.33 $282,416.69 $282,416.69 2025-05-19
1613 APR_DRG Implantable Heart Assist Systems 4 4 — — $277,037.33 $282,416.69 $282,416.69 2025-05-19
1612 APR_DRG Implantable Heart Assist Systems 4 4 — — $277,037.33 $282,416.69 $282,416.69 2025-05-19
C9301 HCPCS Apc 13 13 — — $278,250.00 $292,162.50 $278,250.00 2025-05-19
74 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $269,147.10 $274,373.25 $274,373.25 2025-05-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 12 — — $264,696.72 $277,931.56 $264,696.72 2025-05-19
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $250,607.03 $255,473.19 $255,473.19 2025-05-19
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $250,607.03 $255,473.19 $255,473.19 2025-05-19
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $250,607.03 $255,473.19 $255,473.19 2025-05-19
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $250,607.03 $255,473.19 $255,473.19 2025-05-19
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $250,588.44 $255,454.24 $255,454.24 2025-05-19
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $243,226.65 $247,949.50 $247,949.50 2025-05-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 12 12 — — $223,314.01 $234,479.71 $223,314.01 2025-05-19
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $214,820.70 $218,991.98 $218,991.98 2025-05-19
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 77 36 $307,938.32 $230,953.74 25% off $56,824.55 $277,144.49 $203,239.29 2025-05-19
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 12 12 — — $201,985.45 $212,084.72 $201,985.45 2025-05-19
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $197,599.52 $201,436.40 $201,436.40 2025-05-19
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $188,011.05 $191,661.75 $191,661.75 2025-05-19
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $188,011.05 $191,661.75 $191,661.75 2025-05-19
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $182,238.46 $185,777.07 $185,777.07 2025-05-19
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $169,259.03 $172,545.62 $172,545.62 2025-05-19
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 77 36 $249,917.09 $187,437.82 25% off $45,212.04 $224,925.38 $164,945.28 2025-05-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $155,785.52 $158,810.48 $158,810.48 2025-05-19
J7330 HCPCS Implant, Maci Final, Product Assembled, Double 112 37 $313,512.00 $235,134.00 25% off $52,199.75 $282,160.80 $156,756.00 2025-05-19
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 76 36 $224,883.36 $168,662.52 25% off $484.40 $202,395.02 $149,547.43 2025-05-19
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 76 36 $222,207.83 $166,655.88 25% off $116.47 $199,987.05 $147,768.21 2025-05-19
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 76 36 $215,735.77 $161,801.83 25% off $138.24 $194,162.19 $143,464.29 2025-05-19
22 APR_DRG Heart And/or Lung Transplant 4 4 — — $140,093.48 $142,813.74 $142,813.74 2025-05-19
23 APR_DRG Heart And/or Lung Transplant 4 4 — — $140,093.48 $142,813.74 $142,813.74 2025-05-19
21 APR_DRG Heart And/or Lung Transplant 4 4 — — $140,093.48 $142,813.74 $142,813.74 2025-05-19
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $139,869.67 $142,585.59 $142,585.59 2025-05-19
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 64 36 $202,725.27 $152,043.96 25% off $67,507.51 $182,452.74 $141,907.69 2025-05-19
73 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $131,922.55 $134,484.16 $134,484.16 2025-05-19
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 12 12 — — $134,015.59 $140,716.37 $134,015.59 2025-05-19
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $127,121.01 $129,589.38 $129,589.38 2025-05-19
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $125,079.41 $127,508.14 $127,508.14 2025-05-19
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $123,714.64 $126,116.87 $126,116.87 2025-05-19
14 MS_DRG Allogeneic Bone Marrow Transplant 12 12 — — $124,444.19 $130,666.40 $124,444.19 2025-05-19
7 MS_DRG Lung Transplant 12 12 — — $124,136.98 $130,343.83 $124,136.98 2025-05-19
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $119,828.60 $122,155.37 $122,155.37 2025-05-19
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $116,228.26 $118,485.12 $118,485.12 2025-05-19
8514 APR_DRG Gender Related Procedures 4 4 — — $116,000.27 $118,252.70 $118,252.70 2025-05-19
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $114,442.82 $116,665.01 $116,665.01 2025-05-19
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $111,705.66 $113,874.71 $113,874.71 2025-05-19
J9269 HCPCS Tagraxofusp-erzs 1000 Mcg/ml Ns IV - Reconstituted 100 Mcg/ml 76 36 $171,000.60 $128,250.45 25% off $338.53 $153,900.54 $113,715.40 2025-05-19
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $108,050.78 $110,148.85 $110,148.85 2025-05-19
84 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $106,085.53 $108,145.44 $108,145.44 2025-05-19
71 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $105,825.09 $107,879.95 $107,879.95 2025-05-19
72 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $105,825.09 $107,879.95 $107,879.95 2025-05-19
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 4 — — $105,377.06 $107,423.22 $107,423.22 2025-05-19
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $105,278.58 $107,322.82 $107,322.82 2025-05-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 12 — — $105,062.14 $110,315.25 $105,062.14 2025-05-19
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $102,498.81 $104,489.08 $104,489.08 2025-05-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 12 — — $103,891.09 $109,085.64 $103,891.09 2025-05-19
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $101,332.76 $103,300.39 $103,300.39 2025-05-19
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 75 36 $156,047.54 $117,035.66 25% off $2,441.49 $140,442.79 $102,991.38 2025-05-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 12 — — $101,615.05 $106,695.80 $101,615.05 2025-05-19
215 MS_DRG Other Heart Assist System Implant 12 12 — — $101,106.78 $106,162.12 $101,106.78 2025-05-19
Q0480 HCPCS Driver Pneumatic Vad, Rep 13 13 — — $99,999.95 $104,999.95 $99,999.95 2025-05-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 12 — — $99,995.31 $104,995.08 $99,995.31 2025-05-19
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $97,550.96 $99,445.15 $99,445.15 2025-05-19
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $97,550.96 $99,445.15 $99,445.15 2025-05-19
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $97,221.69 $99,109.49 $99,109.49 2025-05-19
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $96,776.18 $98,655.33 $98,655.33 2025-05-19
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $96,591.49 $98,467.06 $98,467.06 2025-05-19
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 76 36 $148,062.50 $111,046.88 25% off $169.06 $133,256.25 $98,461.57 2025-05-19
8634 APR_DRG Neonatal Aftercare 4 4 — — $96,452.25 $98,325.11 $98,325.11 2025-05-19
1784 APR_DRG External Heart Assist Systems 4 4 — — $96,420.44 $98,292.68 $98,292.68 2025-05-19
6904 APR_DRG Acute Leukemia 4 4 — — $96,047.72 $97,912.72 $97,912.72 2025-05-19
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 4 — — $95,485.33 $97,339.41 $97,339.41 2025-05-19
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $94,251.12 $96,081.24 $96,081.24 2025-05-19
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 13 13 — — $93,216.70 $97,877.54 $93,216.70 2025-05-19
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $90,954.20 $92,720.30 $92,720.30 2025-05-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 12 — — $92,321.96 $96,938.06 $92,321.96 2025-05-19
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $90,066.40 $91,815.27 $91,815.27 2025-05-19
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $87,451.06 $89,149.14 $89,149.14 2025-05-19
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $87,265.09 $88,959.56 $88,959.56 2025-05-19
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 64 36 $128,920.57 $96,690.43 25% off $42,930.55 $116,028.51 $88,955.20 2025-05-19
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 76 36 $133,461.89 $100,096.42 25% off $212.00 $120,115.70 $88,752.16 2025-05-19
850 MS_DRG Acute Leukemia With Other Procedures 12 12 — — $88,233.50 $92,645.18 $88,233.50 2025-05-19
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 77 36 $133,364.40 $100,023.30 25% off $44,410.35 $120,027.96 $88,020.50 2025-05-19
03060 EAPG Ventricular Assist Device Procedures 5 5 — — $86,251.01 $87,925.78 $87,925.78 2025-05-19
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $86,084.43 $87,755.98 $87,755.98 2025-05-19
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $86,084.43 $87,755.98 $87,755.98 2025-05-19
38230 CPT Hc Bone Marrow Harvest Transplantation Allogeneic 76 36 $131,958.00 $98,968.50 25% off $1,519.68 $118,762.20 $87,752.07 2025-05-19
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 76 36 $131,667.49 $98,750.62 25% off $61.43 $118,500.74 $87,558.88 2025-05-19
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 76 36 $131,153.51 $98,365.14 25% off $3,565.32 $118,038.16 $87,217.09 2025-05-19
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $84,691.16 $86,335.65 $86,335.65 2025-05-19
6954 APR_DRG Chemotherapy For Acute Leukemia 4 4 — — $84,215.09 $85,850.33 $85,850.33 2025-05-19
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $83,533.95 $85,155.97 $85,155.97 2025-05-19
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $82,604.02 $84,207.98 $84,207.98 2025-05-19
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $82,212.32 $83,808.68 $83,808.68 2025-05-19
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $81,937.54 $83,528.56 $83,528.56 2025-05-19
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $81,937.54 $83,528.56 $83,528.56 2025-05-19
224 APR_DRG Ventricular Shunt Procedures 4 4 — — $80,363.26 $81,923.71 $81,923.71 2025-05-19
83 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $79,959.53 $81,512.14 $81,512.14 2025-05-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 12 — — $81,363.53 $85,431.71 $81,363.53 2025-05-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 12 — — $81,319.79 $85,385.78 $81,319.79 2025-05-19
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $79,211.19 $80,749.27 $80,749.27 2025-05-19
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $79,211.19 $80,749.27 $80,749.27 2025-05-19
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $79,211.19 $80,749.27 $80,749.27 2025-05-19
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $79,211.19 $80,749.27 $80,749.27 2025-05-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 12 — — $80,122.66 $84,128.79 $80,122.66 2025-05-19
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $77,816.20 $79,327.20 $79,327.20 2025-05-19
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 76 36 $116,612.85 $87,459.64 25% off $641.83 $104,951.57 $77,547.54 2025-05-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 12 — — $77,520.83 $81,396.87 $77,520.83 2025-05-19
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 76 36 $116,476.42 $87,357.32 25% off $2,658.13 $104,828.78 $77,456.82 2025-05-19
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $75,652.96 $77,121.95 $77,121.95 2025-05-19
10 MS_DRG Pancreas Transplant 12 12 — — $76,700.72 $80,535.76 $76,700.72 2025-05-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 12 — — $76,275.29 $80,089.05 $76,275.29 2025-05-19
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $74,435.51 $75,880.86 $75,880.86 2025-05-19
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 77 36 $114,548.67 $85,911.51 25% off $27,070.53 $103,093.80 $75,602.12 2025-05-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 12 — — $75,242.94 $79,005.09 $75,242.94 2025-05-19
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $73,264.68 $74,687.30 $74,687.30 2025-05-19
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $73,264.68 $74,687.30 $74,687.30 2025-05-19
8633 APR_DRG Neonatal Aftercare 4 4 — — $73,139.42 $74,559.61 $74,559.61 2025-05-19
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 76 36 $112,071.97 $84,053.98 25% off $214.76 $100,864.77 $74,527.86 2025-05-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 12 — — $74,508.48 $78,233.90 $74,508.48 2025-05-19
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $72,804.30 $74,217.98 $74,217.98 2025-05-19
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $72,804.30 $74,217.98 $74,217.98 2025-05-19
0815 RC Hc Cord Blood Procurement 64 36 $104,963.00 $78,722.25 25% off $34,952.68 $94,466.70 $73,474.10 2025-05-19
914 APR_DRG Other Major Head And Neck Procedures 4 4 — — $71,509.21 $72,897.74 $72,897.74 2025-05-19
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $71,375.14 $72,761.06 $72,761.06 2025-05-19
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $71,375.14 $72,761.06 $72,761.06 2025-05-19
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $71,178.94 $72,561.06 $72,561.06 2025-05-19
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $71,178.94 $72,561.06 $72,561.06 2025-05-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 12 — — $71,964.34 $75,562.56 $71,964.34 2025-05-19
L8688 HCPCS Generator, M1000-d, Sentiva Duo 64 36 $102,755.64 $77,066.73 25% off $34,217.63 $92,480.08 $71,928.95 2025-05-19
2004 APR_DRG Cardiac Structural And Valvular Disorders 4 4 — — $69,791.90 $71,147.09 $71,147.09 2025-05-19
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $69,305.21 $70,650.94 $70,650.94 2025-05-19
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $68,887.88 $70,225.51 $70,225.51 2025-05-19
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 76 36 $105,240.36 $78,930.27 25% off $340.04 $94,716.32 $69,984.84 2025-05-19
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $68,389.13 $69,717.07 $69,717.07 2025-05-19
J9600 HCPCS Porfimer 2.5 Mg/ml IV Syringe 77 36 $105,199.05 $78,899.29 25% off $24,228.42 $94,679.15 $69,431.37 2025-05-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 12 — — $68,599.16 $72,029.12 $68,599.16 2025-05-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 12 — — $68,266.84 $71,680.18 $68,266.84 2025-05-19
1794 APR_DRG Defibrillator Implants 4 4 — — $66,567.37 $67,859.94 $67,859.94 2025-05-19
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 13 13 — — $67,452.66 $70,825.29 $67,452.66 2025-05-19
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $66,137.98 $67,422.21 $67,422.21 2025-05-19
214 APR_DRG Open Craniotomy Except Trauma 4 4 — — $66,020.85 $67,302.81 $67,302.81 2025-05-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 12 12 — — $67,238.21 $70,600.12 $67,238.21 2025-05-19
1204 APR_DRG Major Respiratory And Chest Procedures 4 4 — — $65,652.96 $66,927.78 $66,927.78 2025-05-19
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $65,487.13 $66,758.73 $66,758.73 2025-05-19
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 4 4 — — $65,464.97 $66,736.13 $66,736.13 2025-05-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 12 — — $66,044.82 $69,347.06 $66,044.82 2025-05-19
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $64,515.31 $65,768.03 $65,768.03 2025-05-19
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 76 36 $98,446.22 $73,834.67 25% off $57.81 $88,601.60 $65,466.74 2025-05-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 12 — — $64,894.23 $68,138.94 $64,894.23 2025-05-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 12 — — $64,654.06 $67,886.76 $64,654.06 2025-05-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 12 — — $64,548.88 $67,776.32 $64,548.88 2025-05-19
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 4 4 — — $63,270.07 $64,498.61 $64,498.61 2025-05-19
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $61,820.80 $63,021.20 $63,021.20 2025-05-19
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $61,820.80 $63,021.20 $63,021.20 2025-05-19
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 4 — — $61,640.16 $62,837.06 $62,837.06 2025-05-19
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $61,635.39 $62,832.19 $62,832.19 2025-05-19
1832 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $61,518.55 $62,713.09 $62,713.09 2025-05-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 12 12 — — $62,683.37 $65,817.54 $62,683.37 2025-05-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 12 — — $62,596.80 $65,726.64 $62,596.80 2025-05-19
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 75 36 $94,723.08 $71,042.31 25% off $136.56 $85,250.77 $62,517.23 2025-05-19
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $61,314.21 $62,504.78 $62,504.78 2025-05-19
6903 APR_DRG Acute Leukemia 4 4 — — $61,260.38 $62,449.91 $62,449.91 2025-05-19
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $60,922.36 $62,105.32 $62,105.32 2025-05-19
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $60,524.26 $61,699.49 $61,699.49 2025-05-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 12 — — $61,353.11 $64,420.77 $61,353.11 2025-05-19
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $60,181.43 $61,350.00 $61,350.00 2025-05-19
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $60,077.91 $61,244.47 $61,244.47 2025-05-19
1831 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $59,820.26 $60,981.82 $60,981.82 2025-05-19
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 4 — — $59,345.53 $60,497.87 $60,497.87 2025-05-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 12 — — $60,143.89 $63,151.08 $60,143.89 2025-05-19
264 APR_DRG Other Nervous System And Related Procedures 4 4 — — $58,948.70 $60,093.34 $60,093.34 2025-05-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 12 — — $60,069.42 $63,072.89 $60,069.42 2025-05-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 12 — — $59,806.91 $62,797.26 $59,806.91 2025-05-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 12 — — $59,606.76 $62,587.10 $59,606.76 2025-05-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 12 — — $59,346.14 $62,313.45 $59,346.14 2025-05-19
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $58,005.64 $59,131.97 $59,131.97 2025-05-19
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $58,005.64 $59,131.97 $59,131.97 2025-05-19
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $58,005.64 $59,131.97 $59,131.97 2025-05-19
28 MS_DRG Spinal Procedures With Mcc 12 12 — — $59,074.32 $62,028.04 $59,074.32 2025-05-19
234 APR_DRG Spinal Procedures 4 4 — — $57,760.84 $58,882.41 $58,882.41 2025-05-19
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $57,715.15 $58,835.84 $58,835.84 2025-05-19
1782 APR_DRG External Heart Assist Systems 4 4 — — $57,645.30 $58,764.63 $58,764.63 2025-05-19
1781 APR_DRG External Heart Assist Systems 4 4 — — $57,645.30 $58,764.63 $58,764.63 2025-05-19
1783 APR_DRG External Heart Assist Systems 4 4 — — $57,645.30 $58,764.63 $58,764.63 2025-05-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 12 — — $58,668.45 $61,601.87 $58,668.45 2025-05-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 12 — — $58,668.45 $61,601.87 $58,668.45 2025-05-19
A9604 HCPCS Samarium Sm 153 Lexidronam 5,550 Mbq/3 Ml Intravenous Solution 77 36 $88,888.25 $66,666.19 25% off $4,314.91 $79,999.43 $58,666.25 2025-05-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 12 — — $58,248.59 $61,161.02 $58,248.59 2025-05-19
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $57,073.20 $58,181.41 $58,181.41 2025-05-19
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $56,885.26 $57,989.83 $57,989.83 2025-05-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 12 — — $57,862.29 $60,755.40 $57,862.29 2025-05-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 12 — — $57,820.42 $60,711.44 $57,820.42 2025-05-19
0424T CPT Hc Insj/rplc Nstim System Sleep Apnea Complete 64 36 $82,501.00 $61,875.75 25% off $14,352.00 $74,250.90 $57,750.70 2025-05-19
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 76 36 $86,294.33 $64,720.75 25% off $132.73 $77,664.90 $57,385.73 2025-05-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 12 — — $57,256.28 $60,119.09 $57,256.28 2025-05-19
2304 APR_DRG Major Small Bowel Procedures 4 4 — — $56,027.68 $57,115.60 $57,115.60 2025-05-19
204 APR_DRG Open Craniotomy For Trauma 4 4 — — $55,875.84 $56,960.81 $56,960.81 2025-05-19
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $55,845.11 $56,929.48 $56,929.48 2025-05-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 12 — — $56,680.05 $59,514.05 $56,680.05 2025-05-19
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 4 — — $55,489.91 $56,567.39 $56,567.39 2025-05-19
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $55,452.02 $56,528.76 $56,528.76 2025-05-19
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 4 — — $55,238.49 $56,311.08 $56,311.08 2025-05-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 12 — — $55,908.36 $58,703.78 $55,908.36 2025-05-19
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 76 36 $83,988.16 $62,991.12 25% off $352.56 $75,589.34 $55,852.13 2025-05-19
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $54,746.67 $55,809.72 $55,809.72 2025-05-19
274 APR_DRG Other Open Craniotomy 4 4 — — $54,686.84 $55,748.72 $55,748.72 2025-05-19
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $54,596.41 $55,656.53 $55,656.53 2025-05-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 12 — — $55,589.07 $58,368.52 $55,589.07 2025-05-19
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $53,645.16 $54,686.81 $54,686.81 2025-05-19
J2502 HCPCS Pasireotide Pamoate 40 Mg IM Suspension 76 36 $82,121.85 $61,591.39 25% off $526.94 $73,909.67 $54,611.03 2025-05-19
653 MS_DRG Major Bladder Procedures With Mcc 12 12 — — $54,374.26 $57,092.97 $54,374.26 2025-05-19
294 APR_DRG Other Percutaneous Intracranial Procedures 4 4 — — $53,244.27 $54,278.14 $54,278.14 2025-05-19
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 4 4 — — $53,228.34 $54,261.90 $54,261.90 2025-05-19
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $53,054.94 $54,085.13 $54,085.13 2025-05-19
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 77 36 $77,250.00 $57,937.50 25% off $25,724.25 $69,525.00 $54,075.00 2025-05-19
1814 APR_DRG Lower Extremity Arterial Procedures 4 4 — — $52,999.35 $54,028.46 $54,028.46 2025-05-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 12 — — $53,933.95 $56,630.65 $53,933.95 2025-05-19
834 MS_DRG Acute Leukemia With Mcc 12 12 — — $53,933.95 $56,630.65 $53,933.95 2025-05-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 12 — — $53,717.98 $56,403.88 $53,717.98 2025-05-19
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 4 — — $52,641.72 $53,663.89 $53,663.89 2025-05-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 12 — — $53,405.18 $56,075.44 $53,405.18 2025-05-19
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 4 4 — — $52,289.63 $53,304.96 $53,304.96 2025-05-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 12 — — $53,131.50 $55,788.08 $53,131.50 2025-05-19
1824 APR_DRG Other Peripheral Vascular And Related Procedures 4 4 — — $52,059.73 $53,070.60 $53,070.60 2025-05-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 12 — — $53,016.09 $55,666.89 $53,016.09 2025-05-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 12 — — $52,758.23 $55,396.14 $52,758.23 2025-05-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 12 — — $52,710.75 $55,346.29 $52,710.75 2025-05-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 12 — — $52,705.16 $55,340.42 $52,705.16 2025-05-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 12 — — $52,006.06 $54,606.36 $52,006.06 2025-05-19
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $50,960.54 $51,950.06 $51,950.06 2025-05-19
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $50,960.54 $51,950.06 $51,950.06 2025-05-19
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 4 4 — — $50,935.99 $51,925.04 $51,925.04 2025-05-19
33477 CPT Hc Cath Tcat Pulmonary Valve Implantation Prq Approach 65 37 $73,994.00 $55,495.50 25% off $14,352.00 $66,594.60 $51,795.80 2025-05-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 12 — — $51,787.30 $54,376.67 $51,787.30 2025-05-19
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 4 — — $50,601.84 $51,584.40 $51,584.40 2025-05-19
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $50,556.34 $51,538.02 $51,538.02 2025-05-19
2294 APR_DRG Other Digestive System And Abdominal Procedures 4 4 — — $50,525.43 $51,506.51 $51,506.51 2025-05-19
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 4 4 — — $50,447.31 $51,426.87 $51,426.87 2025-05-19
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $50,158.13 $51,132.07 $51,132.07 2025-05-19
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $49,959.76 $50,929.85 $50,929.85 2025-05-19
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 4 — — $49,956.21 $50,926.23 $50,926.23 2025-05-19
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 4 4 — — $49,547.40 $50,509.48 $50,509.48 2025-05-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 12 — — $50,422.62 $52,943.75 $50,422.62 2025-05-19
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 76 36 $75,752.49 $56,814.37 25% off $194.08 $68,177.24 $50,375.40 2025-05-19
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 4 — — $49,321.98 $50,279.69 $50,279.69 2025-05-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 12 — — $50,263.45 $52,776.62 $50,263.45 2025-05-19
1793 APR_DRG Defibrillator Implants 4 4 — — $49,227.06 $50,182.92 $50,182.92 2025-05-19
82 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $48,990.95 $49,942.23 $49,942.23 2025-05-19
81 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $48,990.95 $49,942.23 $49,942.23 2025-05-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 12 — — $49,905.98 $52,401.28 $49,905.98 2025-05-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 12 — — $49,760.76 $52,248.80 $49,760.76 2025-05-19
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 4 — — $48,759.43 $49,706.21 $49,706.21 2025-05-19
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $48,745.84 $49,692.36 $49,692.36 2025-05-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 12 — — $49,368.85 $51,837.29 $49,368.85 2025-05-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 12 — — $49,092.37 $51,546.99 $49,092.37 2025-05-19
1214 APR_DRG Other Respiratory And Chest Procedures 4 4 — — $48,124.08 $49,058.53 $49,058.53 2025-05-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 12 — — $49,056.06 $51,508.86 $49,056.06 2025-05-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 12 — — $49,037.46 $51,489.33 $49,037.46 2025-05-19
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 4 4 — — $47,987.25 $48,919.04 $48,919.04 2025-05-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 12 — — $48,869.89 $51,313.38 $48,869.89 2025-05-19
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $47,837.10 $48,765.98 $48,765.98 2025-05-19
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $47,748.75 $48,675.91 $48,675.91 2025-05-19
L7181 HCPCS Electronic Elbo Simultaneous 13 13 — — $48,370.76 $50,789.30 $48,370.76 2025-05-19
C1824 HCPCS Generator, Pulse, Optimizer Smart Ipg 64 36 $69,000.00 $51,750.00 25% off $22,977.00 $62,100.00 $48,300.00 2025-05-19
245 MS_DRG Aicd Generator Procedures 12 12 — — $47,971.59 $50,370.17 $47,971.59 2025-05-19
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 4 — — $47,001.74 $47,914.40 $47,914.40 2025-05-19
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $47,000.59 $47,913.22 $47,913.22 2025-05-19
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $46,991.63 $47,904.09 $47,904.09 2025-05-19
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 170 36 $68,405.39 $51,304.05 25% off $152.39 $123,129.76 $47,883.78 2025-05-19
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $46,970.15 $47,882.19 $47,882.19 2025-05-19
471 MS_DRG Cervical Spinal Fusion With Mcc 12 12 — — $47,696.98 $50,081.83 $47,696.98 2025-05-19
6 MS_DRG Liver Transplant Without Mcc 12 12 — — $47,621.57 $50,002.65 $47,621.57 2025-05-19
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $46,323.33 $47,222.82 $47,222.82 2025-05-19
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $46,323.33 $47,222.82 $47,222.82 2025-05-19
4414 APR_DRG Major Bladder Procedures 4 4 — — $46,316.78 $47,216.14 $47,216.14 2025-05-19
J1628 HCPCS Guselkumab 100 Mg/ml Subcutaneous Syringe 76 36 $70,893.10 $53,169.83 25% off $70.43 $63,803.79 $47,143.91 2025-05-19
See an error in this hospital's data? Submit a correction