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

RAINBOW BABIES AND CHILDRENS HOSPITAL

Cleveland, OH · CCN 363302 · Rates published

13,911 distinct procedures filed
44 distinct payers
2,400,037 rate rows
2025-05-19 last MRF observed · ⚠ 13 mo old
Data quality

2,398,846 of 2,400,037 rate rows are consumer-grade (100.0%)

1,191 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 641
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 506
per-diem day rate — not a per-procedure price 28
exceeds 10× this hospital's gross charge — excluded from medians 8
percent-of-charges filed in the dollar field — excluded from medians 8

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old.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/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 · 2026-05-15
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 nat. median
$3,669,056
1.1× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 15 $3,710,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 15 $3,685,266.67 $3,869,530.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $3,322,473.30 $3,488,596.96 $3,322,473.30 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 15 $3,286,000.00 $3,450,300.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 15 $2,948,213.33 $3,095,624.00 $2,948,213.33 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 15 $2,423,131.23 $2,544,287.79 $2,423,131.23 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 15 $2,332,000.00 $2,448,600.00 $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 44 $2,572.43 $3,069,000.00 $1,624,700.00 nat. median
$2,476
outlier · 656.3×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 44 $527,622.46 $2,310,120.86 $1,540,080.57 nat. median
$625,184
outlier · 2.5×
Q2054
HCPCS 		Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 44 $516,442.29 $1,901,740.50 $1,375,592.30 nat. median
$674,188
outlier · 2.0×
Q2042
HCPCS 		Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 44 $578,771.12 $2,201,625.00 $1,344,665.00 nat. median
$754,974
1.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 44 $502,840.73 $1,849,365.00 $1,337,707.35 nat. median
$634,511
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 44 $489,399.16 $1,849,365.00 $1,337,707.35 nat. median
$620,080
outlier · 2.2×
Q2057
HCPCS 		Afamitresgene Autoleucel 15 $770,620.00 $809,151.00 $770,620.00 nat. median
$824,563
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 15 $553,169.30 $580,827.76 $553,169.30 nat. median
$675,122
0.8× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 44 $1,248.60 $617,972.97 $447,000.45 nat. median
$2,677
outlier · 167.0×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $390,088.51 $397,663.05 $393,875.78 nat. median
$246,434
1.6× median
5833
APR_DRG 		Neonate With Ecmo 7 $377,389.28 $384,717.23 $381,053.25 nat. median
$244,017
1.6× median
5834
APR_DRG 		Neonate With Ecmo 7 $377,389.28 $384,717.23 $381,053.25 nat. median
$309,665
1.2× median
5831
APR_DRG 		Neonate With Ecmo 7 $359,027.67 $365,999.08 $362,513.37 nat. median
$145,122
outlier · 2.5×
5832
APR_DRG 		Neonate With Ecmo 7 $359,027.67 $365,999.08 $362,513.37 nat. median
$156,126
outlier · 2.3×
1614
APR_DRG 		Implantable Heart Assist Systems 7 $357,640.97 $364,585.45 $361,113.21 nat. median
$207,730
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $353,545.50 $371,222.78 $353,545.50 nat. median
$370,174
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $314,673.76 $320,783.93 $317,728.84 nat. median
$234,738
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $277,037.33 $282,416.69 $279,727.01 nat. median
$119,796
outlier · 2.3×
1611
APR_DRG 		Implantable Heart Assist Systems 7 $277,037.33 $282,416.69 $279,727.01 nat. median
$76,806
outlier · 3.6×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $277,037.33 $282,416.69 $279,727.01 nat. median
$85,406
outlier · 3.3×
C9301
HCPCS 		Apc 15 $278,250.00 $292,162.50 $278,250.00 nat. median
$459,112
0.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $269,147.10 $274,373.25 $271,760.17 nat. median
$187,294
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $264,696.72 $277,931.56 $264,696.72 nat. median
$265,286
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $250,607.03 $255,473.19 $253,040.11 nat. median
$160,267
1.6× median
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $250,607.03 $255,473.19 $253,040.11 nat. median
$35,675
outlier · 7.1×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $250,607.03 $255,473.19 $253,040.11 nat. median
$66,693
outlier · 3.8×
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $250,607.03 $255,473.19 $253,040.11 nat. median
$34,396
outlier · 7.4×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $250,588.44 $255,454.24 $253,021.34 nat. median
$162,982
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $243,226.65 $247,949.50 $245,588.08 nat. median
$150,721
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 15 $223,314.01 $234,479.71 $223,314.01 nat. median
$206,368
1.1× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $214,820.70 $218,991.98 $216,906.34 nat. median
$122,924
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 15 $201,985.45 $212,084.72 $201,985.45 nat. median
$202,986
1.0× median
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 44 $56,824.55 $277,144.49 $200,159.91 nat. median
$62,507
outlier · 3.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $197,599.52 $201,436.40 $199,517.96 nat. median
$182,736
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $188,011.05 $191,661.75 $189,836.40 nat. median
$145,336
1.3× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $188,011.05 $191,661.75 $189,836.40 nat. median
$124,573
1.5× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $182,238.46 $185,777.07 $184,007.76 nat. median
$151,838
1.2× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $169,259.03 $172,545.62 $170,902.33 nat. median
$164,279
1.0× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 44 $45,212.04 $224,925.38 $162,696.03 nat. median
$60,368
outlier · 2.7×
J7330
HCPCS 		Implant, Maci Final, Product Assembled, Double 44 $52,199.75 $282,160.80 $160,674.90 nat. median
$76,377
outlier · 2.1×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $155,785.52 $158,810.48 $157,298.00 nat. median
$97,957
1.6× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 44 $484.40 $202,395.02 $146,399.07 nat. median
$798
outlier · 183.4×

Other procedures at this hospital

Browse this hospital's 13,911 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
             
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 15 — — $52,758.23 $55,396.14 $52,758.23 2025-05-19
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $80,363.26 $81,923.71 $81,143.48 2025-05-19
03060 EAPG Ventricular Assist Device Procedures 7 7 — — $86,251.01 $87,925.78 $87,088.39 2025-05-19
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 222 44 $68,405.39 $51,304.05 25% off $152.39 $123,129.76 $47,883.78 2025-05-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 15 — — $49,056.06 $51,508.86 $49,056.06 2025-05-19
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 98 44 $215,735.77 $161,801.83 25% off $138.24 $194,162.19 $140,443.99 2025-05-19
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $90,066.40 $91,815.27 $90,940.83 2025-05-19
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $65,487.13 $66,758.73 $66,122.93 2025-05-19
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $127,121.01 $129,589.38 $128,355.20 2025-05-19
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $96,591.49 $98,467.06 $97,529.28 2025-05-19
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $50,960.54 $51,950.06 $51,455.30 2025-05-19
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $50,960.54 $51,950.06 $51,455.30 2025-05-19
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 15 15 — — $134,015.59 $140,716.37 $134,015.59 2025-05-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 15 — — $52,710.75 $55,346.29 $52,710.75 2025-05-19
Q2042 HCPCS Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 161 44 $1,920,950.00 $1,440,712.50 25% off $578,771.12 $2,201,625.00 $1,344,665.00 2025-05-19
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 98 44 $83,988.16 $62,991.12 25% off $352.56 $75,589.34 $54,676.29 2025-05-19
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 98 44 $112,071.97 $84,053.98 25% off $214.76 $100,864.77 $72,958.85 2025-05-19
J9269 HCPCS Tagraxofusp-erzs 1000 Mcg/ml Ns IV - Reconstituted 100 Mcg/ml 98 44 $171,000.60 $128,250.45 25% off $338.53 $153,900.54 $111,321.39 2025-05-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 15 — — $49,760.76 $52,248.80 $49,760.76 2025-05-19
28 MS_DRG Spinal Procedures With Mcc 15 15 — — $59,074.32 $62,028.04 $59,074.32 2025-05-19
234 APR_DRG Spinal Procedures 7 7 — — $57,760.84 $58,882.41 $58,321.63 2025-05-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 — — $81,319.79 $85,385.78 $81,319.79 2025-05-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 — — $55,908.36 $58,703.78 $55,908.36 2025-05-19
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $52,641.72 $53,663.89 $53,152.81 2025-05-19
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 98 44 $131,667.49 $98,750.62 25% off $61.43 $118,500.74 $85,715.54 2025-05-19
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $63,270.07 $64,498.61 $63,884.34 2025-05-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 15 — — $59,806.91 $62,797.26 $59,806.91 2025-05-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 15 — — $52,705.16 $55,340.42 $52,705.16 2025-05-19
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 99 44 $133,364.40 $100,023.30 25% off $44,410.35 $120,027.96 $86,820.22 2025-05-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 15 — — $50,422.62 $52,943.75 $50,422.62 2025-05-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 15 — — $76,275.29 $80,089.05 $76,275.29 2025-05-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 15 — — $53,131.50 $55,788.08 $53,131.50 2025-05-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 15 15 — — $67,238.21 $70,600.12 $67,238.21 2025-05-19
A9604 HCPCS Samarium Sm 153 Lexidronam 5,550 Mbq/3 Ml Intravenous Solution 99 44 $88,888.25 $66,666.19 25% off $4,314.91 $79,999.43 $57,777.36 2025-05-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 15 — — $49,905.98 $52,401.28 $49,905.98 2025-05-19
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $57,715.15 $58,835.84 $58,275.50 2025-05-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 15 15 — — $62,683.37 $65,817.54 $62,683.37 2025-05-19
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 96 44 $148,062.50 $111,046.88 25% off $169.06 $133,256.25 $96,388.69 2025-05-19
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $119,828.60 $122,155.37 $120,991.99 2025-05-19
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $47,748.75 $48,675.91 $48,212.33 2025-05-19
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $48,759.43 $49,706.21 $49,232.82 2025-05-19
J9600 HCPCS Porfimer 2.5 Mg/ml IV Syringe 99 44 $105,199.05 $78,899.29 25% off $24,228.42 $94,679.15 $68,484.58 2025-05-19
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 98 44 $86,294.33 $64,720.75 25% off $132.73 $77,664.90 $56,177.61 2025-05-19
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $96,776.18 $98,655.33 $97,715.76 2025-05-19
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $68,389.13 $69,717.07 $69,053.10 2025-05-19
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $61,518.55 $62,713.09 $62,115.82 2025-05-19
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $59,820.26 $60,981.82 $60,401.04 2025-05-19
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $54,746.67 $55,809.72 $55,278.19 2025-05-19
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 98 44 $131,153.51 $98,365.14 25% off $3,565.32 $118,038.16 $85,380.94 2025-05-19
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 99 44 $114,548.67 $85,911.51 25% off $27,070.53 $103,093.80 $74,571.18 2025-05-19
J2502 HCPCS Pasireotide Pamoate 40 Mg IM Suspension 98 44 $82,121.85 $61,591.39 25% off $526.94 $73,909.67 $53,461.32 2025-05-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 15 — — $53,016.09 $55,666.89 $53,016.09 2025-05-19
10 MS_DRG Pancreas Transplant 15 15 — — $76,700.72 $80,535.76 $76,700.72 2025-05-19
1214 APR_DRG Other Respiratory And Chest Procedures 7 7 — — $48,124.08 $49,058.53 $48,591.31 2025-05-19
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 7 7 — — $52,289.63 $53,304.96 $52,797.30 2025-05-19
1824 APR_DRG Other Peripheral Vascular And Related Procedures 7 7 — — $52,059.73 $53,070.60 $52,565.17 2025-05-19
294 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $53,244.27 $54,278.14 $53,761.21 2025-05-19
274 APR_DRG Other Open Craniotomy 7 7 — — $54,686.84 $55,748.72 $55,217.78 2025-05-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 15 — — $71,964.34 $75,562.56 $71,964.34 2025-05-19
264 APR_DRG Other Nervous System And Related Procedures 7 7 — — $58,948.70 $60,093.34 $59,521.02 2025-05-19
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $71,509.21 $72,897.74 $72,203.48 2025-05-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 15 — — $50,263.45 $52,776.62 $50,263.45 2025-05-19
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 7 7 — — $50,447.31 $51,426.87 $50,937.09 2025-05-19
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $50,935.99 $51,925.04 $51,430.52 2025-05-19
215 MS_DRG Other Heart Assist System Implant 15 15 — — $101,106.78 $106,162.12 $101,106.78 2025-05-19
2294 APR_DRG Other Digestive System And Abdominal Procedures 7 7 — — $50,525.43 $51,506.51 $51,015.97 2025-05-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 15 — — $48,869.89 $51,313.38 $48,869.89 2025-05-19
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $66,137.98 $67,422.21 $66,780.10 2025-05-19
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $84,691.16 $86,335.65 $85,513.41 2025-05-19
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $55,875.84 $56,960.81 $56,418.33 2025-05-19
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $66,020.85 $67,302.81 $66,661.83 2025-05-19
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
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 98 44 $98,446.22 $73,834.67 25% off $57.81 $88,601.60 $64,088.49 2025-05-19
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 98 44 $686,636.63 $514,977.48 25% off $1,248.60 $617,972.97 $447,000.45 2025-05-19
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $46,970.15 $47,882.19 $47,426.17 2025-05-19
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 7 7 — — $47,001.74 $47,914.40 $47,458.07 2025-05-19
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 7 7 — — $53,228.34 $54,261.90 $53,745.12 2025-05-19
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 98 44 $75,752.49 $56,814.37 25% off $194.08 $68,177.24 $49,314.87 2025-05-19
5834 APR_DRG Neonate With Ecmo 7 7 — — $377,389.28 $384,717.23 $381,053.25 2025-05-19
5833 APR_DRG Neonate With Ecmo 7 7 — — $377,389.28 $384,717.23 $381,053.25 2025-05-19
5832 APR_DRG Neonate With Ecmo 7 7 — — $359,027.67 $365,999.08 $362,513.37 2025-05-19
5831 APR_DRG Neonate With Ecmo 7 7 — — $359,027.67 $365,999.08 $362,513.37 2025-05-19
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $61,640.16 $62,837.06 $62,238.61 2025-05-19
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $214,820.70 $218,991.98 $216,906.34 2025-05-19
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $82,212.32 $83,808.68 $83,010.50 2025-05-19
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $243,226.65 $247,949.50 $245,588.08 2025-05-19
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $108,050.78 $110,148.85 $109,099.82 2025-05-19
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $71,178.94 $72,561.06 $71,870.00 2025-05-19
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $71,178.94 $72,561.06 $71,870.00 2025-05-19
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $105,377.06 $107,423.22 $106,400.14 2025-05-19
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $86,084.43 $87,755.98 $86,920.20 2025-05-19
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $86,084.43 $87,755.98 $86,920.20 2025-05-19
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $81,937.54 $83,528.56 $82,733.05 2025-05-19
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $81,937.54 $83,528.56 $82,733.05 2025-05-19
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $390,088.51 $397,663.05 $393,875.78 2025-05-19
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $197,599.52 $201,436.40 $199,517.96 2025-05-19
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $188,011.05 $191,661.75 $189,836.40 2025-05-19
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $188,011.05 $191,661.75 $189,836.40 2025-05-19
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $182,238.46 $185,777.07 $184,007.76 2025-05-19
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $114,442.82 $116,665.01 $115,553.91 2025-05-19
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $72,804.30 $74,217.98 $73,511.14 2025-05-19
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $72,804.30 $74,217.98 $73,511.14 2025-05-19
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $169,259.03 $172,545.62 $170,902.33 2025-05-19
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $94,251.12 $96,081.24 $95,166.18 2025-05-19
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $71,375.14 $72,761.06 $72,068.10 2025-05-19
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $71,375.14 $72,761.06 $72,068.10 2025-05-19
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $60,922.36 $62,105.32 $61,513.84 2025-05-19
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $95,485.33 $97,339.41 $96,412.37 2025-05-19
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $50,601.84 $51,584.40 $51,093.12 2025-05-19
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $250,588.44 $255,454.24 $253,021.34 2025-05-19
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $102,498.81 $104,489.08 $103,493.95 2025-05-19
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $97,550.96 $99,445.15 $98,498.06 2025-05-19
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $97,550.96 $99,445.15 $98,498.06 2025-05-19
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $90,954.20 $92,720.30 $91,837.25 2025-05-19
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $57,073.20 $58,181.41 $57,627.30 2025-05-19
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $46,991.63 $47,904.09 $47,447.86 2025-05-19
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $46,323.33 $47,222.82 $46,773.07 2025-05-19
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $46,323.33 $47,222.82 $46,773.07 2025-05-19
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $97,221.69 $99,109.49 $98,165.59 2025-05-19
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $53,054.94 $54,085.13 $53,570.04 2025-05-19
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $123,714.64 $126,116.87 $124,915.75 2025-05-19
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $87,265.09 $88,959.56 $88,112.33 2025-05-19
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $61,314.21 $62,504.78 $61,909.49 2025-05-19
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $61,820.80 $63,021.20 $62,421.00 2025-05-19
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $61,820.80 $63,021.20 $62,421.00 2025-05-19
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $125,079.41 $127,508.14 $126,293.77 2025-05-19
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $101,332.76 $103,300.39 $102,316.57 2025-05-19
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $74,435.51 $75,880.86 $75,158.19 2025-05-19
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $73,264.68 $74,687.30 $73,975.99 2025-05-19
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $73,264.68 $74,687.30 $73,975.99 2025-05-19
8634 APR_DRG Neonatal Aftercare 7 7 — — $96,452.25 $98,325.11 $97,388.68 2025-05-19
8633 APR_DRG Neonatal Aftercare 7 7 — — $73,139.42 $74,559.61 $73,849.52 2025-05-19
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 98 44 $116,612.85 $87,459.64 25% off $641.83 $104,951.57 $75,914.97 2025-05-19
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 99 44 $77,250.00 $57,937.50 25% off $25,724.25 $69,525.00 $54,075.00 2025-05-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 15 — — $46,935.51 $49,282.29 $46,935.51 2025-05-19
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $53,645.16 $54,686.81 $54,165.99 2025-05-19
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 7 7 — — $47,987.25 $48,919.04 $48,453.14 2025-05-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 15 — — $64,894.23 $68,138.94 $64,894.23 2025-05-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 15 — — $99,995.31 $104,995.08 $99,995.31 2025-05-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 15 — — $68,599.16 $72,029.12 $68,599.16 2025-05-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 15 — — $53,717.98 $56,403.88 $53,717.98 2025-05-19
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $50,158.13 $51,132.07 $50,645.10 2025-05-19
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $61,635.39 $62,832.19 $62,233.79 2025-05-19
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $56,027.68 $57,115.60 $56,571.64 2025-05-19
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $65,652.96 $66,927.78 $66,290.37 2025-05-19
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $55,238.49 $56,311.08 $55,774.78 2025-05-19
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $56,885.26 $57,989.83 $57,437.55 2025-05-19
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $65,464.97 $66,736.13 $66,100.55 2025-05-19
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 7 — — $55,489.91 $56,567.39 $56,028.65 2025-05-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $155,785.52 $158,810.48 $157,298.00 2025-05-19
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $64,515.31 $65,768.03 $65,141.67 2025-05-19
653 MS_DRG Major Bladder Procedures With Mcc 15 15 — — $54,374.26 $57,092.97 $54,374.26 2025-05-19
4414 APR_DRG Major Bladder Procedures 7 7 — — $46,316.78 $47,216.14 $46,766.46 2025-05-19
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $54,596.41 $55,656.53 $55,126.47 2025-05-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 15 — — $56,680.05 $59,514.05 $56,680.05 2025-05-19
7 MS_DRG Lung Transplant 15 15 — — $124,136.98 $130,343.83 $124,136.98 2025-05-19
1814 APR_DRG Lower Extremity Arterial Procedures 7 7 — — $52,999.35 $54,028.46 $53,513.91 2025-05-19
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 98 44 $133,461.89 $100,096.42 25% off $212.00 $120,115.70 $86,883.69 2025-05-19
6 MS_DRG Liver Transplant Without Mcc 15 15 — — $47,621.57 $50,002.65 $47,621.57 2025-05-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 15 — — $101,615.05 $106,695.80 $101,615.05 2025-05-19
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $111,705.66 $113,874.71 $112,790.18 2025-05-19
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $47,837.10 $48,765.98 $48,301.54 2025-05-19
Q2054 HCPCS Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 99 44 $2,113,045.00 $1,584,783.75 25% off $516,442.29 $1,901,740.50 $1,375,592.30 2025-05-19
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 99 44 $307,938.32 $230,953.74 25% off $56,824.55 $277,144.49 $200,159.91 2025-05-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 15 — — $77,520.83 $81,396.87 $77,520.83 2025-05-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 15 — — $53,933.95 $56,630.65 $53,933.95 2025-05-19
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $49,321.98 $50,279.69 $49,800.84 2025-05-19
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 98 44 $116,476.42 $87,357.32 25% off $2,658.13 $104,828.78 $75,826.15 2025-05-19
J3394 HCPCS Inj, Lovotibeglogene Autotem 15 15 — — $3,286,000.00 $3,450,300.00 $3,286,000.00 2025-05-19
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 15 15 — — $3,685,266.67 $3,869,530.00 $3,685,266.67 2025-05-19
J3392 HCPCS Inj, Exagamglogene Autotem 15 15 — — $2,332,000.00 $2,448,600.00 $2,332,000.00 2025-05-19
J3393 HCPCS Inj, Betibeglogene Autotemce 15 15 — — $2,948,213.33 $3,095,624.00 $2,948,213.33 2025-05-19
J1414 HCPCS Inj, Beqvez, Per Tx Dose 15 15 — — $3,710,000.00 $3,895,500.00 $3,710,000.00 2025-05-19
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 15 — — $2,423,131.23 $2,544,287.79 $2,423,131.23 2025-05-19
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 15 — — $3,322,473.30 $3,488,596.96 $3,322,473.30 2025-05-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 15 — — $49,037.46 $51,489.33 $49,037.46 2025-05-19
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $49,956.21 $50,926.23 $50,441.22 2025-05-19
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 98 44 $224,883.36 $168,662.52 25% off $484.40 $202,395.02 $146,399.07 2025-05-19
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $357,640.97 $364,585.45 $361,113.21 2025-05-19
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $277,037.33 $282,416.69 $279,727.01 2025-05-19
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $277,037.33 $282,416.69 $279,727.01 2025-05-19
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $277,037.33 $282,416.69 $279,727.01 2025-05-19
J7330 HCPCS Implant, Maci Final, Product Assembled, Double 144 44 $313,512.00 $235,134.00 25% off $52,199.75 $282,160.80 $160,674.90 2025-05-19
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 161 44 $2,566,800.95 $1,925,100.72 25% off $527,622.46 $2,310,120.86 $1,540,080.57 2025-05-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 15 — — $61,353.11 $64,420.77 $61,353.11 2025-05-19
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 99 44 $249,917.09 $187,437.82 25% off $45,212.04 $224,925.38 $162,696.03 2025-05-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 15 — — $105,062.14 $110,315.25 $105,062.14 2025-05-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 15 — — $264,696.72 $277,931.56 $264,696.72 2025-05-19
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $314,673.76 $320,783.93 $317,728.84 2025-05-19
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $140,093.48 $142,813.74 $141,453.61 2025-05-19
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $140,093.48 $142,813.74 $141,453.61 2025-05-19
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $140,093.48 $142,813.74 $141,453.61 2025-05-19
0424T CPT Hc Insj/rplc Nstim System Sleep Apnea Complete 84 44 $82,501.00 $61,875.75 25% off $14,352.00 $74,250.90 $55,646.93 2025-05-19
0815 RC Hc Cord Blood Procurement 84 44 $104,963.00 $78,722.25 25% off $34,952.68 $94,466.70 $70,797.55 2025-05-19
33477 CPT Hc Cath Tcat Pulmonary Valve Implantation Prq Approach 84 44 $73,994.00 $55,495.50 25% off $14,352.00 $66,594.60 $49,908.96 2025-05-19
38230 CPT Hc Bone Marrow Harvest Transplantation Allogeneic 98 44 $131,958.00 $98,968.50 25% off $1,519.68 $118,762.20 $85,904.66 2025-05-19
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 84 44 $202,725.27 $152,043.96 25% off $67,507.51 $182,452.74 $136,738.20 2025-05-19
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 98 44 $222,207.83 $166,655.88 25% off $116.47 $199,987.05 $144,657.30 2025-05-19
L8688 HCPCS Generator, M1000-d, Sentiva Duo 84 44 $102,755.64 $77,066.73 25% off $34,217.63 $92,480.08 $69,308.68 2025-05-19
8514 APR_DRG Gender Related Procedures 7 7 — — $116,000.27 $118,252.70 $117,126.48 2025-05-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 15 — — $64,654.06 $67,886.76 $64,654.06 2025-05-19
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 98 44 $105,240.36 $78,930.27 25% off $340.04 $94,716.32 $68,511.47 2025-05-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 15 — — $57,820.42 $60,711.44 $57,820.42 2025-05-19
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $139,869.67 $142,585.59 $141,227.63 2025-05-19
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $58,005.64 $59,131.97 $58,568.81 2025-05-19
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $58,005.64 $59,131.97 $58,568.81 2025-05-19
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $58,005.64 $59,131.97 $58,568.81 2025-05-19
1784 APR_DRG External Heart Assist Systems 7 7 — — $96,420.44 $98,292.68 $97,356.56 2025-05-19
1782 APR_DRG External Heart Assist Systems 7 7 — — $57,645.30 $58,764.63 $58,204.96 2025-05-19
1783 APR_DRG External Heart Assist Systems 7 7 — — $57,645.30 $58,764.63 $58,204.96 2025-05-19
1781 APR_DRG External Heart Assist Systems 7 7 — — $57,645.30 $58,764.63 $58,204.96 2025-05-19
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $250,607.03 $255,473.19 $253,040.11 2025-05-19
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $250,607.03 $255,473.19 $253,040.11 2025-05-19
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $250,607.03 $255,473.19 $253,040.11 2025-05-19
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $250,607.03 $255,473.19 $253,040.11 2025-05-19
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $77,816.20 $79,327.20 $78,571.70 2025-05-19
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $75,652.96 $77,121.95 $76,387.46 2025-05-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 15 15 — — $223,314.01 $234,479.71 $223,314.01 2025-05-19
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $59,345.53 $60,497.87 $59,921.70 2025-05-19
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 15 15 — — $67,452.66 $70,825.29 $67,452.66 2025-05-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 15 — — $58,248.59 $61,161.02 $58,248.59 2025-05-19
L7180 HCPCS Electronic Elbow Sequential 15 15 — — $46,980.38 $49,329.40 $46,980.38 2025-05-19
L7181 HCPCS Electronic Elbo Simultaneous 15 15 — — $48,370.76 $50,789.30 $48,370.76 2025-05-19
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 15 15 — — $201,985.45 $212,084.72 $201,985.45 2025-05-19
Q0480 HCPCS Driver Pneumatic Vad, Rep 15 15 — — $99,999.95 $104,999.95 $99,999.95 2025-05-19
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $116,228.26 $118,485.12 $117,356.69 2025-05-19
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $87,451.06 $89,149.14 $88,300.10 2025-05-19
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $60,524.26 $61,699.49 $61,111.88 2025-05-19
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $48,745.84 $49,692.36 $49,219.10 2025-05-19
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $69,305.21 $70,650.94 $69,978.07 2025-05-19
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $50,556.34 $51,538.02 $51,047.18 2025-05-19
1794 APR_DRG Defibrillator Implants 7 7 — — $66,567.37 $67,859.94 $67,213.65 2025-05-19
1793 APR_DRG Defibrillator Implants 7 7 — — $49,227.06 $50,182.92 $49,704.99 2025-05-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 15 — — $55,589.07 $58,368.52 $55,589.07 2025-05-19
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $68,887.88 $70,225.51 $69,556.70 2025-05-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 15 — — $66,044.82 $69,347.06 $66,044.82 2025-05-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 15 — — $57,256.28 $60,119.09 $57,256.28 2025-05-19
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $55,452.02 $56,528.76 $55,990.39 2025-05-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 15 — — $59,346.14 $62,313.45 $59,346.14 2025-05-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 15 — — $81,363.53 $85,431.71 $81,363.53 2025-05-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 15 — — $52,006.06 $54,606.36 $52,006.06 2025-05-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 15 — — $75,242.94 $79,005.09 $75,242.94 2025-05-19
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $60,077.91 $61,244.47 $60,661.19 2025-05-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 15 — — $60,069.42 $63,072.89 $60,069.42 2025-05-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 15 — — $103,891.09 $109,085.64 $103,891.09 2025-05-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 15 — — $53,405.18 $56,075.44 $53,405.18 2025-05-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 15 — — $80,122.66 $84,128.79 $80,122.66 2025-05-19
Q2056 HCPCS Ciltacabtagene Car-pos T 15 15 — — $553,169.30 $580,827.76 $553,169.30 2025-05-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 15 — — $353,545.50 $371,222.78 $353,545.50 2025-05-19
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $79,211.19 $80,749.27 $79,980.23 2025-05-19
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $79,211.19 $80,749.27 $79,980.23 2025-05-19
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $79,211.19 $80,749.27 $79,980.23 2025-05-19
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $79,211.19 $80,749.27 $79,980.23 2025-05-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 15 — — $49,092.37 $51,546.99 $49,092.37 2025-05-19
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $84,215.09 $85,850.33 $85,032.71 2025-05-19
471 MS_DRG Cervical Spinal Fusion With Mcc 15 15 — — $47,696.98 $50,081.83 $47,696.98 2025-05-19
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $83,533.95 $85,155.97 $84,344.96 2025-05-19
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $49,959.76 $50,929.85 $50,444.80 2025-05-19
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $82,604.02 $84,207.98 $83,406.00 2025-05-19
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $60,181.43 $61,350.00 $60,765.71 2025-05-19
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $47,000.59 $47,913.22 $47,456.91 2025-05-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 15 — — $74,508.48 $78,233.90 $74,508.48 2025-05-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 15 — — $51,787.30 $54,376.67 $51,787.30 2025-05-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 15 — — $92,321.96 $96,938.06 $92,321.96 2025-05-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 15 — — $62,596.80 $65,726.64 $62,596.80 2025-05-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 15 — — $57,862.29 $60,755.40 $57,862.29 2025-05-19
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $69,791.90 $71,147.09 $70,469.50 2025-05-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 15 — — $60,143.89 $63,151.08 $60,143.89 2025-05-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 15 — — $68,266.84 $71,680.18 $68,266.84 2025-05-19
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 98 44 $94,723.08 $71,042.31 25% off $136.56 $85,250.77 $61,664.73 2025-05-19
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 84 44 $128,920.57 $96,690.43 25% off $42,930.55 $116,028.51 $86,956.93 2025-05-19
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $105,278.58 $107,322.82 $106,300.70 2025-05-19
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $55,845.11 $56,929.48 $56,387.29 2025-05-19
Q2053 HCPCS Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 99 44 $2,054,850.00 $1,541,137.50 25% off $489,399.16 $1,849,365.00 $1,337,707.35 2025-05-19
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 7 7 — — $49,547.40 $50,509.48 $50,028.44 2025-05-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 15 — — $59,606.76 $62,587.10 $59,606.76 2025-05-19
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 15 15 — — $93,216.70 $97,877.54 $93,216.70 2025-05-19
C9399 HCPCS Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 270 44 $3,080,000.00 $2,310,000.00 25% off $2,572.43 $3,069,000.00 $1,624,700.00 2025-05-19
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 99 44 $2,054,850.00 $1,541,137.50 25% off $502,840.73 $1,849,365.00 $1,337,707.35 2025-05-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 15 — — $58,668.45 $61,601.87 $58,668.45 2025-05-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 15 — — $58,668.45 $61,601.87 $58,668.45 2025-05-19
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $106,085.53 $108,145.44 $107,115.49 2025-05-19
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $79,959.53 $81,512.14 $80,735.83 2025-05-19
81 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $48,990.95 $49,942.23 $49,466.59 2025-05-19
82 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $48,990.95 $49,942.23 $49,466.59 2025-05-19
C9301 HCPCS Apc 15 15 — — $278,250.00 $292,162.50 $278,250.00 2025-05-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 15 — — $64,548.88 $67,776.32 $64,548.88 2025-05-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 15 — — $49,368.85 $51,837.29 $49,368.85 2025-05-19
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $269,147.10 $274,373.25 $271,760.17 2025-05-19
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $131,922.55 $134,484.16 $133,203.36 2025-05-19
14 MS_DRG Allogeneic Bone Marrow Transplant 15 15 — — $124,444.19 $130,666.40 $124,444.19 2025-05-19
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $105,825.09 $107,879.95 $106,852.52 2025-05-19
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $105,825.09 $107,879.95 $106,852.52 2025-05-19
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 98 44 $156,047.54 $117,035.66 25% off $2,441.49 $140,442.79 $101,586.95 2025-05-19
245 MS_DRG Aicd Generator Procedures 15 15 — — $47,971.59 $50,370.17 $47,971.59 2025-05-19
Q2057 HCPCS Afamitresgene Autoleucel 15 15 — — $770,620.00 $809,151.00 $770,620.00 2025-05-19
850 MS_DRG Acute Leukemia With Other Procedures 15 15 — — $88,233.50 $92,645.18 $88,233.50 2025-05-19
834 MS_DRG Acute Leukemia With Mcc 15 15 — — $53,933.95 $56,630.65 $53,933.95 2025-05-19
6904 APR_DRG Acute Leukemia 7 7 — — $96,047.72 $97,912.72 $96,980.22 2025-05-19
6903 APR_DRG Acute Leukemia 7 7 — — $61,260.38 $62,449.91 $61,855.14 2025-05-19
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