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 →

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Hospital

AKRON CHILDREN'S HOSPITAL

Akron, OH · CCN 363303 · Rates published

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You selected 59510 (HCPCS)

HB FULL ROUT OBSTE CARE CESAREAN DELIV

This hospital’s price: $7,611 across 37 payers · range $2,998-$9,260

Source: https://akronchildrens.pt.panaceainc.com/MRFDownload/akronchildrens/akronchildrenshospital · observed 2025-11-11

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

22,981 distinct procedures filed
44 distinct payers
1,393,063 rate rows
2025-11-11 last MRF observed
Data quality

748,530 of 1,393,063 rate rows are consumer-grade (53.7%)

644,533 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
professional (physician) fee — not the facility price 542,901
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 93,940
template filing: same amount across many unrelated codes — excluded 2,516
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,313
percent-of-charges filed in the dollar field — excluded from medians 1,070
exceeds 10× this hospital's gross charge — excluded from medians 820
placeholder amount (≤ $0.02) — excluded from medians 495
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 410
per-diem day rate — not a per-procedure price 68
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://akronchildrens.pt.panaceainc.com/MRFDownload/akronchildrens/akronchildrenshospital
Found on page https://www.akronchildrens.org/pages/Price-Transparency.html
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 2c3bb3768f8a0996… · 953,319,684 bytes · first seen 2026-05-09

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
J1413
HCPCS 		Delandistrogene Moxeparvo-rokl 14 X 10 Ml IV Kit 37 $880,299.81 $3,361,050.00 $2,432,380.00 nat. median
$3,325,455
0.7× median
J3490
HCPCS 		Pr Drugs Unclassified Injection 43 $71.11 $2,571,146.82 $2,183,784.96 nat. median
$45
outlier · 48810.6×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $523,452.56 $523,452.56 $523,452.56 nat. median
$621,313
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $507,687.00 $507,687.00 $507,687.00 nat. median
$599,737
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $503,454.53 $503,454.53 $503,454.53 nat. median
$574,037
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $496,390.21 $496,390.21 $496,390.21 nat. median
$579,571
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $489,136.91 $489,136.91 $489,136.91 nat. median
$562,501
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $454,612.94 $476,261.17 $454,612.94 nat. median
$286,698
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $449,440.00 $449,440.00 $449,440.00 nat. median
$513,770
0.9× median
5833
APR_DRG 		Neonate With Ecmo 9 $439,771.03 $460,712.51 $439,771.03 nat. median
$268,208
1.6× median
5834
APR_DRG 		Neonate With Ecmo 9 $439,771.03 $460,712.51 $439,771.03 nat. median
$390,362
1.1× median
5831
APR_DRG 		Neonate With Ecmo 9 $418,312.30 $438,231.94 $418,312.30 nat. median
$173,909
outlier · 2.4×
5832
APR_DRG 		Neonate With Ecmo 9 $418,312.30 $438,231.94 $418,312.30 nat. median
$201,678
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 9 $416,691.61 $436,534.07 $416,691.61 nat. median
$202,242
outlier · 2.1×
24
APR_DRG 		Heart And/or Lung Transplant 9 $366,474.82 $383,926.00 $366,474.82 nat. median
$225,531
1.6× median
1612
APR_DRG 		Implantable Heart Assist Systems 9 $322,488.90 $337,845.52 $322,488.90 nat. median
$109,992
outlier · 2.9×
1613
APR_DRG 		Implantable Heart Assist Systems 9 $322,488.90 $337,845.52 $322,488.90 nat. median
$155,539
outlier · 2.1×
1611
APR_DRG 		Implantable Heart Assist Systems 9 $322,488.90 $337,845.52 $322,488.90 nat. median
$108,954
outlier · 3.0×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $313,267.31 $328,184.80 $313,267.31 nat. median
$149,836
outlier · 2.1×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $291,600.11 $305,485.83 $291,600.11 nat. median
$27,312
outlier · 10.7×
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $291,600.11 $305,485.83 $291,600.11 nat. median
$23,507
outlier · 12.4×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $291,600.11 $305,485.83 $291,600.11 nat. median
$54,727
outlier · 5.3×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $291,600.11 $305,485.83 $291,600.11 nat. median
$173,018
1.7× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $291,577.78 $305,462.43 $291,577.78 nat. median
$198,578
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $282,974.18 $296,449.14 $282,974.18 nat. median
$187,567
1.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $249,775.95 $261,670.05 $249,775.95 nat. median
$181,762
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $229,648.79 $240,584.44 $229,648.79 nat. median
$173,134
1.3× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $218,442.89 $228,844.94 $218,442.89 nat. median
$152,383
1.4× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $218,442.89 $228,844.94 $218,442.89 nat. median
$130,862
1.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $211,697.02 $221,777.83 $211,697.02 nat. median
$168,439
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $196,527.49 $205,885.94 $196,527.49 nat. median
$171,497
1.1× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 9 $180,780.93 $189,389.54 $180,780.93 nat. median
$106,926
1.7× median
22
APR_DRG 		Heart And/or Lung Transplant 9 $162,440.74 $170,176.02 $162,440.74 nat. median
$95,481
1.7× median
21
APR_DRG 		Heart And/or Lung Transplant 9 $162,440.74 $170,176.02 $162,440.74 nat. median
$77,825
outlier · 2.1×
23
APR_DRG 		Heart And/or Lung Transplant 9 $162,440.74 $170,176.02 $162,440.74 nat. median
$117,894
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $162,180.13 $169,903.00 $162,180.13 nat. median
$152,792
1.1× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $152,891.53 $160,172.08 $152,891.53 nat. median
$81,292
1.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $147,279.90 $154,293.23 $147,279.90 nat. median
$135,630
1.1× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $144,894.77 $151,794.52 $144,894.77 nat. median
$124,731
1.2× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 $143,298.90 $150,122.65 $143,298.90 nat. median
$100,752
1.4× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 9 $138,756.98 $145,364.45 $138,756.98 nat. median
$50,461
outlier · 2.7×
J9226
HCPCS 		Histrelin Acetate (cpp) 50 Mg Sc Kit 43 $24,636.76 $164,100.22 $136,058.83 nat. median
$57,036
outlier · 2.4×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 $134,550.11 $140,957.26 $134,550.11 nat. median
$75,821
1.8× median
8514
APR_DRG 		Gender Related Procedures 9 $134,283.30 $140,677.75 $134,283.30 nat. median
$56,282
outlier · 2.4×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $132,462.81 $138,770.57 $132,462.81 nat. median
$114,205
1.2× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $129,263.61 $135,419.02 $129,263.61 nat. median
$136,566
0.9× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $124,992.21 $130,944.22 $124,992.21 nat. median
$95,499
1.3× median
84
APR_DRG 		Autologous Bone Marrow Transplant 9 $122,696.44 $128,539.13 $122,696.44 nat. median
$65,108
1.9× median
71
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $122,391.16 $128,219.31 $122,391.16 nat. median
$55,310
outlier · 2.2×
72
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $122,391.16 $128,219.31 $122,391.16 nat. median
$66,446
1.8× median

Other procedures at this hospital

Browse this hospital's 22,981 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
             
J1413 HCPCS Delandistrogene Moxeparvo-rokl 14 X 10 Ml IV Kit 176 37 $2,599,744.00 $1,949,808.00 25% off $880,299.81 $3,361,050.00 $2,432,380.00 2025-11-11
J3490 HCPCS Pr Drugs Unclassified Injection 53 43 $2,599,744.00 $1,949,808.00 25% off $71.11 $2,571,146.82 $2,183,784.96 2025-11-11
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $523,452.56 $523,452.56 $523,452.56 2025-11-11
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $507,687.00 $507,687.00 $507,687.00 2025-11-11
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $503,454.53 $503,454.53 $503,454.53 2025-11-11
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $496,390.21 $496,390.21 $496,390.21 2025-11-11
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $489,136.91 $489,136.91 $489,136.91 2025-11-11
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $454,612.94 $476,261.17 $454,612.94 2025-11-11
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $449,440.00 $449,440.00 $449,440.00 2025-11-11
5833 APR_DRG Neonate With Ecmo 9 9 — — $439,771.03 $460,712.51 $439,771.03 2025-11-11
5834 APR_DRG Neonate With Ecmo 9 9 — — $439,771.03 $460,712.51 $439,771.03 2025-11-11
5831 APR_DRG Neonate With Ecmo 9 9 — — $418,312.30 $438,231.94 $418,312.30 2025-11-11
5832 APR_DRG Neonate With Ecmo 9 9 — — $418,312.30 $438,231.94 $418,312.30 2025-11-11
1614 APR_DRG Implantable Heart Assist Systems 9 9 — — $416,691.61 $436,534.07 $416,691.61 2025-11-11
24 APR_DRG Heart And/or Lung Transplant 9 9 — — $366,474.82 $383,926.00 $366,474.82 2025-11-11
1612 APR_DRG Implantable Heart Assist Systems 9 9 — — $322,488.90 $337,845.52 $322,488.90 2025-11-11
1611 APR_DRG Implantable Heart Assist Systems 9 9 — — $322,488.90 $337,845.52 $322,488.90 2025-11-11
1613 APR_DRG Implantable Heart Assist Systems 9 9 — — $322,488.90 $337,845.52 $322,488.90 2025-11-11
74 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $313,267.31 $328,184.80 $313,267.31 2025-11-11
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $291,600.11 $305,485.83 $291,600.11 2025-11-11
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $291,600.11 $305,485.83 $291,600.11 2025-11-11
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $291,600.11 $305,485.83 $291,600.11 2025-11-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $291,600.11 $305,485.83 $291,600.11 2025-11-11
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $291,577.78 $305,462.43 $291,577.78 2025-11-11
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $282,974.18 $296,449.14 $282,974.18 2025-11-11
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $249,775.95 $261,670.05 $249,775.95 2025-11-11
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $229,648.79 $240,584.44 $229,648.79 2025-11-11
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $218,442.89 $228,844.94 $218,442.89 2025-11-11
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $218,442.89 $228,844.94 $218,442.89 2025-11-11
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $211,697.02 $221,777.83 $211,697.02 2025-11-11
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $196,527.49 $205,885.94 $196,527.49 2025-11-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $180,780.93 $189,389.54 $180,780.93 2025-11-11
23 APR_DRG Heart And/or Lung Transplant 9 9 — — $162,440.74 $170,176.02 $162,440.74 2025-11-11
22 APR_DRG Heart And/or Lung Transplant 9 9 — — $162,440.74 $170,176.02 $162,440.74 2025-11-11
21 APR_DRG Heart And/or Lung Transplant 9 9 — — $162,440.74 $170,176.02 $162,440.74 2025-11-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $162,180.13 $169,903.00 $162,180.13 2025-11-11
73 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $152,891.53 $160,172.08 $152,891.53 2025-11-11
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $147,279.90 $154,293.23 $147,279.90 2025-11-11
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $144,894.77 $151,794.52 $144,894.77 2025-11-11
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $143,298.90 $150,122.65 $143,298.90 2025-11-11
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 9 9 — — $138,756.98 $145,364.45 $138,756.98 2025-11-11
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 53 43 $165,925.40 $124,444.05 25% off $24,636.76 $164,100.22 $136,058.83 2025-11-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $134,550.11 $140,957.26 $134,550.11 2025-11-11
8514 APR_DRG Gender Related Procedures 9 9 — — $134,283.30 $140,677.75 $134,283.30 2025-11-11
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $132,462.81 $138,770.57 $132,462.81 2025-11-11
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $129,263.61 $135,419.02 $129,263.61 2025-11-11
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $124,992.21 $130,944.22 $124,992.21 2025-11-11
84 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $122,696.44 $128,539.13 $122,696.44 2025-11-11
71 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $122,391.16 $128,219.31 $122,391.16 2025-11-11
72 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $122,391.16 $128,219.31 $122,391.16 2025-11-11
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 9 — — $121,867.47 $127,670.69 $121,867.47 2025-11-11
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $121,753.31 $127,551.08 $121,753.31 2025-11-11
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $118,504.46 $124,147.53 $118,504.46 2025-11-11
J9021 HCPCS Asparaginase Erwinia Chry-rywn 10 Mg/0.5ml IM Soln 89 37 $123,739.70 $92,804.78 25% off $157.61 $290,874.09 $117,552.72 2025-11-11
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $117,140.65 $122,718.77 $117,140.65 2025-11-11
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $112,721.57 $118,089.27 $112,721.57 2025-11-11
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $112,721.57 $118,089.27 $112,721.57 2025-11-11
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $112,336.88 $117,686.25 $112,336.88 2025-11-11
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $111,815.68 $117,140.23 $111,815.68 2025-11-11
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $111,599.74 $116,914.02 $111,599.74 2025-11-11
8634 APR_DRG Neonatal Aftercare 9 9 — — $111,437.18 $116,743.72 $111,437.18 2025-11-11
1784 APR_DRG External Heart Assist Devices 9 9 — — $111,399.95 $116,704.71 $111,399.95 2025-11-11
6904 APR_DRG Acute Leukemia 9 9 — — $110,964.38 $116,248.40 $110,964.38 2025-11-11
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 9 — — $110,307.91 $115,560.67 $110,307.91 2025-11-11
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $108,864.66 $114,048.69 $108,864.66 2025-11-11
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $105,011.48 $110,012.02 $105,011.48 2025-11-11
12700041-29-20041 CDM Hb Promote Rf Icd 45 37 $120,612.00 $90,459.00 25% off $41,008.08 $126,642.60 $104,088.16 2025-11-11
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $103,974.03 $108,925.18 $103,974.03 2025-11-11
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $100,917.55 $105,723.15 $100,917.55 2025-11-11
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $100,700.38 $105,495.63 $100,700.38 2025-11-11
5894 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 9 — — $99,320.42 $104,049.97 $99,320.42 2025-11-11
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 9 — — $99,320.42 $104,049.97 $99,320.42 2025-11-11
12705145-29-18370 CDM Hb Atlas+ Hf Icd 45 37 $113,532.00 $85,149.00 25% off $38,600.88 $119,208.60 $97,978.12 2025-11-11
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 9 9 — — $97,692.28 $102,344.30 $97,692.28 2025-11-11
6954 APR_DRG Chemotherapy For Acute Leukemia 9 9 — — $97,135.09 $101,760.57 $97,135.09 2025-11-11
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $96,765.28 $101,373.15 $96,765.28 2025-11-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $96,339.63 $100,927.23 $96,339.63 2025-11-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $95,252.55 $99,788.38 $95,252.55 2025-11-11
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $94,794.63 $99,308.66 $94,794.63 2025-11-11
0454T OTHER Insj/rplcmt Subq Electrode 9 9 — — $92,928.87 $97,439.98 $94,733.31 2025-11-11
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 9 9 — — $92,928.87 $97,439.98 $94,733.31 2025-11-11
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 9 — — $94,474.46 $98,973.25 $94,474.46 2025-11-11
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 9 — — $94,474.46 $98,973.25 $94,474.46 2025-11-11
224 APR_DRG Ventricular Shunt Procedures 9 9 — — $92,634.12 $97,045.27 $92,634.12 2025-11-11
83 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $92,162.55 $96,551.25 $92,162.55 2025-11-11
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $91,287.67 $95,634.70 $91,287.67 2025-11-11
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $91,287.67 $95,634.70 $91,287.67 2025-11-11
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $91,287.67 $95,634.70 $91,287.67 2025-11-11
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $91,287.67 $95,634.70 $91,287.67 2025-11-11
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 9 9 — — $89,657.05 $93,926.44 $89,657.05 2025-11-11
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 9 — — $87,129.21 $91,278.22 $87,129.21 2025-11-11
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 53 43 $105,403.65 $79,052.74 25% off $19,434.44 $104,244.21 $86,430.99 2025-11-11
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $85,705.83 $89,787.06 $85,705.83 2025-11-11
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $84,338.29 $88,354.40 $84,338.29 2025-11-11
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $84,338.29 $88,354.40 $84,338.29 2025-11-11
8633 APR_DRG Neonatal Aftercare 9 9 — — $84,191.86 $88,200.99 $84,191.86 2025-11-11
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $83,858.03 $87,851.27 $83,858.03 2025-11-11
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $83,799.70 $87,790.16 $83,799.70 2025-11-11
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $83,799.70 $87,790.16 $83,799.70 2025-11-11
10278100-29-26655 CDM Hb Cochlear Implant Device 45 37 $97,040.00 $72,780.00 25% off $32,993.60 $101,892.00 $83,745.52 2025-11-11
914 APR_DRG Other Major Head And Neck Procedures 9 9 — — $82,285.73 $86,204.10 $82,285.73 2025-11-11
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $82,129.37 $86,040.30 $82,129.37 2025-11-11
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $82,129.37 $86,040.30 $82,129.37 2025-11-11
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $81,899.79 $85,799.78 $81,899.79 2025-11-11
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $81,899.79 $85,799.78 $81,899.79 2025-11-11
12705830-29-17740 CDM Hb Current Dr Rf Icd 45 37 $93,967.00 $70,475.25 25% off $31,948.78 $98,665.35 $81,093.52 2025-11-11
2004 APR_DRG Cardiac Structural And Valvular Disorders 9 9 — — $80,279.09 $84,101.91 $80,279.09 2025-11-11
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 9 — — $79,710.74 $83,506.49 $79,710.74 2025-11-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 9 — — $79,223.04 $82,995.56 $79,223.04 2025-11-11
1833 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $78,639.78 $82,384.53 $78,639.78 2025-11-11
12705146-29-18369 CDM Hb Atlas+ Ii Dr Icd 45 37 $89,490.00 $67,117.50 25% off $30,426.60 $93,964.50 $77,229.87 2025-11-11
1794 APR_DRG Defibrillator Implants 9 9 — — $76,510.30 $80,153.65 $76,510.30 2025-11-11
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 9 9 — — $76,008.94 $79,628.42 $76,008.94 2025-11-11
214 APR_DRG Open Craniotomy Except Trauma 9 9 — — $75,872.44 $79,485.42 $75,872.44 2025-11-11
1204 APR_DRG Major Respiratory And Chest Procedures 9 9 — — $75,441.83 $79,034.30 $75,441.83 2025-11-11
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $75,248.24 $78,831.49 $75,248.24 2025-11-11
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 9 9 — — $75,222.18 $78,804.19 $75,222.18 2025-11-11
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $74,112.76 $77,641.94 $74,112.76 2025-11-11
12705831-29-17739 CDM Hb Current Vr Rf Icd 45 37 $85,706.00 $64,279.50 25% off $29,140.04 $89,991.30 $73,964.28 2025-11-11
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 9 9 — — $72,657.10 $76,116.96 $72,657.10 2025-11-11
12705144-29-18371 CDM Hb Atlas Ii Vr Icd 45 37 $82,368.00 $61,776.00 25% off $28,005.12 $86,486.40 $71,083.58 2025-11-11
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $70,963.19 $74,342.39 $70,963.19 2025-11-11
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $70,963.19 $74,342.39 $70,963.19 2025-11-11
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 9 9 — — $70,752.22 $74,121.38 $70,752.22 2025-11-11
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 9 9 — — $70,746.02 $74,114.88 $70,746.02 2025-11-11
1832 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $70,609.52 $73,971.88 $70,609.52 2025-11-11
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $70,371.25 $73,722.26 $70,371.25 2025-11-11
6903 APR_DRG Acute Leukemia 9 9 — — $70,307.97 $73,655.97 $70,307.97 2025-11-11
12013571-29-23779 CDM Hbi V.n.s. Generator Model #103 45 37 $81,255.00 $60,941.25 25% off $27,626.70 $85,317.75 $70,123.07 2025-11-11
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $69,913.34 $73,242.54 $69,913.34 2025-11-11
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $69,447.98 $72,755.02 $69,447.98 2025-11-11
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $69,047.15 $72,335.11 $69,047.15 2025-11-11
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $68,926.77 $72,208.99 $68,926.77 2025-11-11
1831 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $68,625.22 $71,893.09 $68,625.22 2025-11-11
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 9 9 — — $68,070.51 $71,311.97 $68,070.51 2025-11-11
264 APR_DRG Other Nervous System And Related Procedures 9 9 — — $67,606.39 $70,825.74 $67,606.39 2025-11-11
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $66,504.42 $69,671.29 $66,504.42 2025-11-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $66,504.42 $69,671.29 $66,504.42 2025-11-11
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $66,504.42 $69,671.29 $66,504.42 2025-11-11
234 APR_DRG Spinal Procedures 9 9 — — $66,217.75 $69,370.97 $66,217.75 2025-11-11
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 9 — — $66,164.39 $69,315.07 $66,164.39 2025-11-11
1782 APR_DRG External Heart Assist Devices 9 9 — — $66,083.72 $69,230.57 $66,083.72 2025-11-11
1781 APR_DRG External Heart Assist Devices 9 9 — — $66,083.72 $69,230.57 $66,083.72 2025-11-11
1783 APR_DRG External Heart Assist Devices 9 9 — — $66,083.72 $69,230.57 $66,083.72 2025-11-11
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $65,573.69 $68,696.24 $65,573.69 2025-11-11
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $65,414.85 $68,529.85 $65,414.85 2025-11-11
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 9 9 — — $65,195.19 $68,299.73 $65,195.19 2025-11-11
2304 APR_DRG Major Small Bowel Procedures 9 9 — — $64,192.50 $67,249.28 $64,192.50 2025-11-11
204 APR_DRG Open Craniotomy For Trauma 9 9 — — $64,015.05 $67,063.38 $64,015.05 2025-11-11
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $63,979.05 $67,025.67 $63,979.05 2025-11-11
894 APR_DRG Major Cranial Or Facial Bone Procedures 9 9 — — $63,564.57 $66,591.46 $63,564.57 2025-11-11
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 9 — — $63,519.90 $66,544.65 $63,519.90 2025-11-11
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 9 9 — — $63,270.47 $66,283.35 $63,270.47 2025-11-11
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 9 9 — — $62,695.90 $65,681.42 $62,695.90 2025-11-11
274 APR_DRG Other Open Craniotomy 9 9 — — $62,625.16 $65,607.31 $62,625.16 2025-11-11
1694 APR_DRG Major Abdominal Vascular Procedures 9 9 — — $62,519.69 $65,496.82 $62,519.69 2025-11-11
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 9 9 — — $61,407.78 $64,331.96 $61,407.78 2025-11-11
J1322 HCPCS Elosulfase Alfa 5 Mg/5ml IV Soln 53 43 $74,756.88 $56,067.66 25% off $874.38 $73,934.55 $61,300.64 2025-11-11
294 APR_DRG Other Percutaneous Intracranial Procedures 9 9 — — $60,939.94 $63,841.84 $60,939.94 2025-11-11
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 9 9 — — $60,921.33 $63,822.34 $60,921.33 2025-11-11
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $60,719.04 $63,610.43 $60,719.04 2025-11-11
1814 APR_DRG Lower Extremity Vascular Procedures 9 9 — — $60,653.27 $63,541.52 $60,653.27 2025-11-11
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 9 9 — — $60,235.07 $63,103.40 $60,235.07 2025-11-11
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 9 9 — — $59,824.32 $62,673.09 $59,824.32 2025-11-11
1824 APR_DRG Other Peripheral Vascular And Related Procedures 9 9 — — $59,555.02 $62,390.98 $59,555.02 2025-11-11
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $59,078.49 $61,891.75 $59,078.49 2025-11-11
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $58,270.63 $61,045.42 $58,270.63 2025-11-11
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $58,270.63 $61,045.42 $58,270.63 2025-11-11
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 9 9 — — $58,242.08 $61,015.52 $58,242.08 2025-11-11
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 9 — — $57,851.18 $60,606.00 $57,851.18 2025-11-11
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 9 — — $57,797.82 $60,550.09 $57,797.82 2025-11-11
2294 APR_DRG Other Digestive System And Abdominal Procedures 9 9 — — $57,761.83 $60,512.40 $57,761.83 2025-11-11
4474 APR_DRG Other Kidney Urinary Tract And Related Non-percutaneous Procedures 9 9 — — $57,671.24 $60,417.49 $57,671.24 2025-11-11
4284 APR_DRG Genetic Disorders 9 9 — — $57,604.23 $60,347.29 $57,604.23 2025-11-11
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 9 — — $57,332.46 $60,062.57 $57,332.46 2025-11-11
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $57,101.65 $59,820.77 $57,101.65 2025-11-11
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 9 9 — — $57,096.68 $59,815.57 $57,096.68 2025-11-11
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 9 9 — — $56,618.91 $59,315.05 $56,618.91 2025-11-11
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 9 9 — — $56,355.82 $59,039.43 $56,355.82 2025-11-11
1793 APR_DRG Defibrillator Implants 9 9 — — $56,245.38 $58,923.73 $56,245.38 2025-11-11
81 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $55,968.64 $58,633.82 $55,968.64 2025-11-11
82 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $55,968.64 $58,633.82 $55,968.64 2025-11-11
38211 HCPCS Hb Stem Cell Purging 53 43 $66,338.00 $49,753.50 25% off $2,154.22 $65,608.28 $55,723.92 2025-11-11
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 9 9 — — $55,698.11 $58,350.40 $55,698.11 2025-11-11
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $55,681.98 $58,333.51 $55,681.98 2025-11-11
1214 APR_DRG Other Respiratory And Chest Procedures 9 9 — — $54,956.01 $57,572.97 $54,956.01 2025-11-11
00008010001 NDC Inotuzumab Ozogamicin 0.9 Mg IV Solr 45 37 $63,530.18 $47,647.64 25% off $21,600.26 $66,706.69 $54,826.55 2025-11-11
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 9 9 — — $54,795.93 $57,405.26 $54,795.93 2025-11-11
4484 APR_DRG Other Kidney Urinary Tract And Related Percutaneous Procedures 9 9 — — $54,653.22 $57,255.76 $54,653.22 2025-11-11
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $54,620.96 $57,221.96 $54,620.96 2025-11-11
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 9 9 — — $54,516.71 $57,112.75 $54,516.71 2025-11-11
5204 APR_DRG Other GYN Procedures For Malignancy 9 9 — — $54,388.90 $56,978.85 $54,388.90 2025-11-11
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 9 9 — — $53,644.32 $56,198.81 $53,644.32 2025-11-11
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $53,643.08 $56,197.52 $53,643.08 2025-11-11
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $53,631.91 $56,185.81 $53,631.91 2025-11-11
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 9 9 — — $53,607.09 $56,159.81 $53,607.09 2025-11-11
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 9 — — $52,851.34 $55,368.07 $52,851.34 2025-11-11
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 9 — — $52,851.34 $55,368.07 $52,851.34 2025-11-11
4414 APR_DRG Major Bladder Procedures 9 9 — — $52,843.90 $55,360.27 $52,843.90 2025-11-11
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg IV Solr 44 36 $61,159.81 $45,869.86 25% off $674.37 $60,487.05 $52,689.18 2025-11-11
93453 HCPCS Pr R & L Hrt Cath W/njx L Ventriculog Img S&i 53 43 $62,618.00 $46,963.50 25% off $2,654.15 $61,929.20 $52,599.12 2025-11-11
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $52,300.35 $54,790.85 $52,300.35 2025-11-11
7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 9 9 — — $51,664.99 $54,125.23 $51,664.99 2025-11-11
33741 HCPCS Pr Tas Congenital Cardiac Anomalies Any Method 53 43 $60,890.00 $45,667.50 25% off $19,473.42 $60,220.21 $51,147.60 2025-11-11
0211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 5 1 — — $20,892.31 $53,693.22 $51,127.65 2025-11-11
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $51,112.76 $53,546.70 $51,112.76 2025-11-11
2244 APR_DRG Peritoneal Adhesiolysis 9 9 — — $51,085.45 $53,518.09 $51,085.45 2025-11-11
12780003-29-16576 CDM Hb Melody Transcatheter Pulmonic Valve - 16mm Bvj 45 37 $59,102.00 $44,326.50 25% off $20,094.68 $62,057.10 $51,005.03 2025-11-11
12780004-29-16575 CDM Hb Melody Transcatheter Pulmonic Valve - 18mm Bvj 45 37 $59,102.00 $44,326.50 25% off $20,094.68 $62,057.10 $51,005.03 2025-11-11
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 9 — — $50,442.64 $52,844.67 $50,442.64 2025-11-11
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $50,189.48 $52,579.45 $50,189.48 2025-11-11
8624 APR_DRG Other Aftercare And Convalescence 9 9 — — $50,108.81 $52,494.95 $50,108.81 2025-11-11
6964 APR_DRG Other Chemotherapy 9 9 — — $49,962.38 $52,341.54 $49,962.38 2025-11-11
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $49,945.01 $52,323.35 $49,945.01 2025-11-11
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $49,385.33 $51,737.02 $49,385.33 2025-11-11
1792 APR_DRG Defibrillator Implants 9 9 — — $49,191.74 $51,534.21 $49,191.74 2025-11-11
734 APR_DRG Orbit And Eye Procedures 9 9 — — $49,087.51 $51,425.01 $49,087.51 2025-11-11
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 9 9 — — $49,044.07 $51,379.50 $49,044.07 2025-11-11
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 9 9 — — $48,980.78 $51,313.20 $48,980.78 2025-11-11
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $48,581.19 $50,894.58 $48,581.19 2025-11-11
6311 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $48,581.19 $50,894.58 $48,581.19 2025-11-11
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 9 9 — — $48,433.52 $50,739.88 $48,433.52 2025-11-11
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $48,227.52 $50,524.07 $48,227.52 2025-11-11
9103 APR_DRG Craniotomy For Multiple Significant Trauma 9 9 — — $48,035.17 $50,322.56 $48,035.17 2025-11-11
213 APR_DRG Open Craniotomy Except Trauma 9 9 — — $47,863.91 $50,143.15 $47,863.91 2025-11-11
4403 APR_DRG Kidney Transplant 9 9 — — $47,429.58 $49,688.13 $47,429.58 2025-11-11
4404 APR_DRG Kidney Transplant 9 9 — — $47,429.58 $49,688.13 $47,429.58 2025-11-11
2234 APR_DRG Other Small And Large Bowel Procedures 9 9 — — $47,228.55 $49,477.53 $47,228.55 2025-11-11
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 9 9 — — $47,165.25 $49,411.22 $47,165.25 2025-11-11
4854 APR_DRG Prostatectomy Procedures 9 9 — — $47,080.87 $49,322.81 $47,080.87 2025-11-11
1791 APR_DRG Defibrillator Implants 9 9 — — $47,029.99 $49,269.52 $47,029.99 2025-11-11
8632 APR_DRG Neonatal Aftercare 9 9 — — $46,919.54 $49,153.81 $46,919.54 2025-11-11
50633021011 NDC Glucarpidase 1000 Units IV Solr 45 37 $54,159.25 $40,619.44 25% off $18,414.15 $56,867.21 $46,739.43 2025-11-11
2614 APR_DRG Major Biliary Tract Procedures 9 9 — — $46,550.97 $48,767.69 $46,550.97 2025-11-11
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 9 9 — — $45,988.82 $48,178.77 $45,988.82 2025-11-11
3094 APR_DRG Other Significant Hip And Femur Surgery 9 9 — — $45,982.62 $48,172.27 $45,982.62 2025-11-11
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $45,970.21 $48,159.27 $45,970.21 2025-11-11
0094U OTHER Genome Rapid Sequence Alys 5 1 — — $18,735.62 $48,150.53 $45,849.80 2025-11-11
244 APR_DRG Open Extracranial Vascular Procedures 9 9 — — $45,733.18 $47,910.95 $45,733.18 2025-11-11
2484 APR_DRG Major Gastrointestinal And Peritoneal Infections 9 9 — — $45,687.26 $47,862.85 $45,687.26 2025-11-11
2613 APR_DRG Major Biliary Tract Procedures 9 9 — — $45,419.22 $47,582.04 $45,419.22 2025-11-11
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $45,271.55 $47,427.34 $45,271.55 2025-11-11
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $45,271.55 $47,427.34 $45,271.55 2025-11-11
2314 APR_DRG Major Large Bowel Procedures 9 9 — — $45,236.80 $47,390.94 $45,236.80 2025-11-11
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 9 9 — — $45,123.88 $47,272.63 $45,123.88 2025-11-11
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 9 9 — — $45,097.82 $47,245.33 $45,097.82 2025-11-11
3613 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 9 9 — — $45,097.82 $47,245.33 $45,097.82 2025-11-11
6614 APR_DRG Coagulation And Platelet Disorders 9 9 — — $45,043.20 $47,188.12 $45,043.20 2025-11-11
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $45,039.49 $47,184.23 $45,039.49 2025-11-11
8154 APR_DRG Other Injury Poisoning And Toxic Effect Diagnoses 9 9 — — $45,003.49 $47,146.52 $45,003.49 2025-11-11
893 APR_DRG Major Cranial Or Facial Bone Procedures 9 9 — — $44,966.27 $47,107.52 $44,966.27 2025-11-11
4034 APR_DRG Procedures For Obesity 9 9 — — $44,734.21 $46,864.41 $44,734.21 2025-11-11
33463 HCPCS Pr Valvuloplasty Tricuspid Valve Without Ring Insertion 45 37 $51,811.00 $38,858.25 25% off $17,615.74 $54,401.55 $44,712.89 2025-11-11
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $44,659.76 $46,786.41 $44,659.76 2025-11-11
984 APR_DRG Other Ear Nose Mouth Throat Craniofacial And Neck Procedures 9 9 — — $44,451.27 $46,567.99 $44,451.27 2025-11-11
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 9 — — $44,380.54 $46,493.90 $44,380.54 2025-11-11
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 9 9 — — $44,252.71 $46,359.98 $44,252.71 2025-11-11
233 APR_DRG Spinal Procedures 9 9 — — $44,229.14 $46,335.29 $44,229.14 2025-11-11
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $43,865.54 $45,954.37 $43,865.54 2025-11-11
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 9 9 — — $43,802.25 $45,888.07 $43,802.25 2025-11-11
1763 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 9 9 — — $43,495.73 $45,566.95 $43,495.73 2025-11-11
913 APR_DRG Other Major Head And Neck Procedures 9 9 — — $43,470.91 $45,540.96 $43,470.91 2025-11-11
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 9 — — $43,278.56 $45,339.45 $43,278.56 2025-11-11
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 9 9 — — $42,968.32 $45,014.43 $42,968.32 2025-11-11
3002 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $42,814.44 $44,853.23 $42,814.44 2025-11-11
1804 APR_DRG Other Circulatory System Procedures 9 9 — — $42,645.67 $44,676.41 $42,645.67 2025-11-11
1314 APR_DRG Cystic Fibrosis - Pulmonary Disease 9 9 — — $42,361.49 $44,378.71 $42,361.49 2025-11-11
3464 APR_DRG Connective Tissue Disorders 9 9 — — $42,248.57 $44,260.40 $42,248.57 2025-11-11
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 9 9 — — $42,138.12 $44,144.69 $42,138.12 2025-11-11
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 9 9 — — $42,128.18 $44,134.29 $42,128.18 2025-11-11
8513 APR_DRG Gender Related Procedures 9 9 — — $42,093.44 $44,097.89 $42,093.44 2025-11-11
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 9 9 — — $41,918.47 $43,914.59 $41,918.47 2025-11-11
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $41,731.08 $43,718.28 $41,731.08 2025-11-11
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $41,731.08 $43,718.28 $41,731.08 2025-11-11
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 9 9 — — $41,599.54 $43,580.47 $41,599.54 2025-11-11
1693 APR_DRG Major Abdominal Vascular Procedures 9 9 — — $41,362.51 $43,332.16 $41,362.51 2025-11-11
12071132-29-23167 CDM Hbi Baclofen Pump 45 37 $47,541.00 $35,655.75 25% off $16,163.94 $49,918.05 $41,027.88 2025-11-11
3174 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 9 9 — — $40,873.57 $42,819.93 $40,873.57 2025-11-11
12027597-29-23718 CDM Hbi Baclofen Pump 40cc 45 37 $47,324.00 $35,493.00 25% off $16,090.16 $49,690.20 $40,840.61 2025-11-11
0267U OTHER Rare Do Id Opt Gen Mapg&seq 5 1 — — $16,652.88 $42,797.91 $40,752.94 2025-11-11
4444 APR_DRG Renal Dialysis Access Device Procedures 9 9 — — $40,704.80 $42,643.13 $40,704.80 2025-11-11
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 9 9 — — $40,614.21 $42,548.22 $40,614.21 2025-11-11
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 9 — — $40,518.66 $42,448.12 $40,518.66 2025-11-11
3084 APR_DRG Hip And Femur Fracture Repair 9 9 — — $40,281.63 $42,199.81 $40,281.63 2025-11-11
93452 HCPCS Pr L Hrt Cath W/njx L Ventriculography Img S&i 53 43 $47,908.00 $35,931.00 25% off $2,654.15 $47,381.01 $40,242.72 2025-11-11
2991 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $40,115.34 $42,025.60 $40,115.34 2025-11-11
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 9 9 — — $40,032.21 $41,938.50 $40,032.21 2025-11-11
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 9 9 — — $40,001.18 $41,906.00 $40,001.18 2025-11-11
424 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 9 9 — — $39,932.93 $41,834.50 $39,932.93 2025-11-11
7584 APR_DRG Disorders Of Impulse Control & Development 9 9 — — $39,867.16 $41,765.59 $39,867.16 2025-11-11
93582 HCPCS Pr Percutan Transcath Closure Pat Duct Arteriosus 53 43 $47,460.00 $35,595.00 25% off $16,136.40 $46,937.94 $39,866.40 2025-11-11
403 APR_DRG Spinal Disorders And Injuries 9 9 — — $39,828.68 $41,725.29 $39,828.68 2025-11-11
404 APR_DRG Spinal Disorders And Injuries 9 9 — — $39,828.68 $41,725.29 $39,828.68 2025-11-11
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $39,792.70 $41,687.59 $39,792.70 2025-11-11
8604 APR_DRG Rehabilitation 9 9 — — $39,761.67 $41,655.09 $39,761.67 2025-11-11
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 9 9 — — $39,682.25 $41,571.88 $39,682.25 2025-11-11
7583 APR_DRG Disorders Of Impulse Control & Development 9 9 — — $39,563.12 $41,447.08 $39,563.12 2025-11-11
00078107068 NDC Secukinumab 300 Mg/2ml Sc Soaj 45 37 $45,762.28 $34,321.71 25% off $15,559.18 $48,050.39 $39,492.85 2025-11-11
12 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $39,318.65 $41,190.96 $39,318.65 2025-11-11
11 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $39,318.65 $41,190.96 $39,318.65 2025-11-11
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