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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

Jeanes Hospital

Philadelphia, PA · CCN 390080 · Rates published

9,957 distinct procedures filed
41 distinct payers
402,167 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

149,919 of 402,167 rate rows are consumer-grade (37.3%)

252,248 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 248,848
per-diem day rate — not a per-procedure price 3,214
exceeds 10× this hospital's gross charge — excluded from medians 174
placeholder amount (≤ $0.02) — excluded from medians 8
exceeds 3× this hospital's gross charge for a DRG stay — excluded 4

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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://www.templehealth.org/sites/default/files/file/2025-04/232825878_Temple_University%20Hosp_Jeanes_standardcharges.csv
Found on page https://www.templehealth.org/pricing-disclaimer
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint a8d55c4d61756dfc… · 227,095,908 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
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 40 $565,623.84 $1,046,404.10 $806,013.97 nat. median
$754,974
1.1× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 39 $551,318.34 $1,019,938.92 $770,997.21 nat. median
$675,122
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 39 $528,312.43 $977,377.99 $737,892.97 nat. median
$625,184
1.2× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 39 $516,485.97 $955,499.04 $721,488.23 nat. median
$674,188
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 39 $489,517.15 $905,606.73 $683,803.36 nat. median
$634,511
1.1× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 39 $488,051.51 $902,895.29 $682,447.65 nat. median
$620,080
1.1× median
J9266
HCPCS 		Pegaspargase 750 Unit/ml Injection Solution 40 $135,352.65 $835,125.85 $485,239.25 nat. median
$34,109
outlier · 14.2×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 28 $37.71 $762,364.25 $263,571.23 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With McC 24 $28.17 $499,339.45 $196,865.62 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 $23.72 $479,556.40 $165,796.43 nat. median
$206,368
0.8× median
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 40 $41,998.00 $259,127.66 $150,562.83 nat. median
$21,340
outlier · 7.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 $21.43 $433,239.79 $149,783.45 nat. median
$202,986
0.7× median
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 40 $33,889.00 $209,181.51 $121,535.26 nat. median
$509
outlier · 238.7×
J9118
HCPCS 		Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 40 $28,697.25 $177,071.29 $102,884.27 nat. median
$202
outlier · 509.6×
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 40 $27,448.54 $170,630.86 $99,039.70 nat. median
$701
outlier · 141.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 $14.13 $285,637.95 $98,753.25 nat. median
$133,176
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 26 $13.10 $341,759.00 $91,567.26 nat. median
$117,303
0.8× median
7
MS_DRG 		Lung Transplant 28 $13.07 $471,896.00 $91,336.62 nat. median
$122,708
0.7× median
J9281
HCPCS 		Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 40 $24,587.20 $151,703.02 $88,145.11 nat. median
$545
outlier · 161.8×
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Intravenous Solution 40 $24,440.50 $150,797.89 $87,619.20 nat. median
$7,316
outlier · 12.0×
J9229
HCPCS 		Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 40 $23,569.65 $145,424.74 $84,497.20 nat. median
$6,098
outlier · 13.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 27 $10.89 $220,220.19 $76,136.45 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With McC Or Intestinal Transplant 29 $10.65 $532,400.00 $74,427.66 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 27 $10.59 $327,807.00 $74,046.07 nat. median
$99,019
0.7× median
J9350
HCPCS 		Mosunetuzumab-axgb 1 Mg/ml Intravenous Solution 40 $19,064.10 $117,625.50 $68,344.80 nat. median
$1,624
outlier · 42.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 $9.65 $202,268.00 $67,450.64 nat. median
$93,672
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With McC 33 $8.47 $171,299.89 $59,223.30 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 $8.47 $199,722.00 $59,190.45 nat. median
$81,118
0.7× median
C1813
CPT 		Titan Narrow Base Rear Tip Extender Kit 39 $57,323.66 $57,323.66 $57,323.66 nat. median
$10,608
outlier · 5.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 29 $8.06 $200,537.00 $56,338.27 nat. median
$77,576
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 $7.93 $160,275.00 $55,403.16 nat. median
$71,240
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 29 $7.82 $158,008.53 $54,628.09 nat. median
$73,807
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 $7.74 $163,675.00 $54,076.66 nat. median
$74,915
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With McC 30 $7.46 $150,888.80 $52,166.60 nat. median
$72,138
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And McC 27 $7.07 $142,859.41 $49,390.60 nat. median
$68,887
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 30 $6.96 $140,625.65 $48,618.33 nat. median
$66,526
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 29 $6.83 $138,034.08 $47,722.35 nat. median
$64,732
0.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 27 $6.70 $135,535.51 $46,858.52 nat. median
$63,738
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC 31 $6.68 $135,013.96 $46,678.21 nat. median
$64,027
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 33 $6.67 $134,785.53 $46,599.23 nat. median
$65,950
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 30 $6.47 $130,734.45 $45,198.66 nat. median
$62,134
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 $6.46 $134,418.00 $45,133.66 nat. median
$64,510
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With McC 30 $6.32 $130,971.38 $44,199.94 nat. median
$60,185
0.7× median
276
MS_DRG 		Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 28 $6.19 $125,219.80 $43,292.08 nat. median
$59,099
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 29 $6.19 $125,058.08 $43,236.17 nat. median
$60,691
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With McC 29 $6.16 $124,488.01 $43,039.08 nat. median
$59,793
0.7× median
28
MS_DRG 		Spinal Procedures With McC 31 $6.08 $122,897.09 $42,489.06 nat. median
$57,823
0.7× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/McC 27 $6.04 $341,759.00 $42,184.34 nat. median
$56,920
0.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 26 $5.99 $190,974.00 $41,869.14 nat. median
$60,726
0.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 $5.94 $120,174.13 $41,547.65 nat. median
$52,278
0.8× median

Other procedures at this hospital

Browse this hospital's 9,957 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 26 26 $86,761.62 $22,465.53 74% off $2.03 $59,303.00 $14,174.90 2025-01-01
J7504 HCPCS Lymphocyte,anti-thymo Immune Globulin 50 Mg/ml Intravenous Solution 40 40 $55,687.60 $55,687.60 $3,968.45 $24,485.34 $14,226.90 2025-01-01
J0270 HCPCS Alprostadil 500 Mcg/ml Injection Solution 39 39 $1,643.93 $1,643.93 $2,680.00 $14,272.32 $14,272.32 2025-01-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC 28 28 $103,256.65 $22,671.69 78% off $2.05 $41,388.19 $14,309.09 2025-01-01
592 MS_DRG Skin Ulcers With McC 30 30 $96,809.48 $19,722.44 80% off $2.06 $41,568.10 $14,371.29 2025-01-01
95829 CPT Hc Electrocorticogram At Surgery 40 40 $7,876.00 $7,876.00 $14,397.98 $14,397.98 $14,397.98 2025-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 28 28 $209,761.61 $21,953.25 90% off $2.07 $42,000.00 $14,501.28 2025-01-01
655 MS_DRG Major Bladder Procedures Without Cc/McC 26 26 $213,303.07 $22,992.77 89% off $2.08 $47,976.00 $14,518.06 2025-01-01
J0896 HCPCS Luspatercept-aamt 25 Mg Subcutaneous Solution 50 40 $46,889.73 $4,061.50 91% off $4,062.00 $75,187.62 $14,562.27 2025-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 30 30 $146,829.91 $23,134.51 84% off $2.09 $42,259.46 $14,610.31 2025-01-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 26 $154,557.74 $23,198.93 85% off $2.10 $47,187.00 $14,652.24 2025-01-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC 30 30 $112,906.99 $23,266.57 79% off $2.10 $54,590.00 $14,696.27 2025-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 29 29 $225,570.54 $23,323.47 90% off $2.11 $42,615.24 $14,733.31 2025-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 30 30 $181,966.36 $23,358.92 87% off $2.11 $42,681.95 $14,756.38 2025-01-01
374 MS_DRG Digestive Malignancy With McC 30 30 $155,915.10 $23,358.92 85% off $2.11 $42,862.00 $14,756.38 2025-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 30 30 $177,919.11 $23,368.57 87% off $2.11 $49,992.00 $14,762.67 2025-01-01
595 MS_DRG Major Skin Disorders With McC 30 30 $89,291.61 $23,398.66 74% off $2.12 $42,756.75 $14,782.24 2025-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 30 30 $270,626.53 $23,460.91 91% off $2.12 $43,870.00 $14,822.77 2025-01-01
333 MS_DRG Rectal Resection With Cc 30 30 $554,834.31 $23,508.17 96% off $2.13 $52,518.00 $14,853.52 2025-01-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 30 30 $180,392.49 $23,575.81 87% off $2.13 $51,325.00 $14,897.55 2025-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 30 30 $220,545.39 $23,618.77 89% off $2.14 $43,171.15 $14,925.51 2025-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/McC 26 26 $175,903.50 $23,620.93 87% off $2.14 $43,175.20 $14,926.91 2025-01-01
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 30 30 $270,404.34 $23,622.01 91% off $2.14 $44,689.00 $14,927.61 2025-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 30 30 $230,262.36 $23,712.19 90% off $2.14 $57,863.00 $14,986.31 2025-01-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 29 29 $109,342.51 $23,728.31 78% off $2.15 $43,377.35 $14,996.80 2025-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 28 28 $224,262.61 $23,757.31 89% off $2.15 $43,431.93 $15,015.67 2025-01-01
314 MS_DRG Other Circulatory System Diagnoses With McC 30 30 $151,517.40 $23,810.97 84% off $2.15 $43,533.00 $15,050.61 2025-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 30 30 $289,699.32 $23,851.78 92% off $2.16 $43,609.82 $15,077.17 2025-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 30 30 $285,541.28 $23,980.62 92% off $2.17 $43,852.40 $15,161.03 2025-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 30 30 $211,347.54 $24,083.72 89% off $2.18 $44,046.46 $15,228.13 2025-01-01
906 MS_DRG Hand Procedures For Injuries 29 29 $297,856.16 $24,122.36 92% off $2.18 $44,119.24 $15,253.29 2025-01-01
935 MS_DRG Non-extensive Burns 30 30 $89,276.41 $24,271.63 73% off $2.20 $44,400.23 $15,350.43 2025-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 26 26 $221,563.05 $24,303.83 89% off $2.20 $48,744.00 $15,371.40 2025-01-01
J2353 HCPCS Octreotide,microspheres ER 20 Mg Intramuscular Susp, Extended Release 40 40 $57,104.37 $4,297.68 92% off $4,297.60 $26,516.19 $15,406.90 2025-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 30 30 $162,935.01 $24,453.10 85% off $2.21 $45,109.00 $15,468.55 2025-01-01
30 MS_DRG Spinal Procedures Without Cc/McC 29 29 $276,494.10 $24,583.01 91% off $2.23 $44,986.46 $15,553.11 2025-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 30 30 $129,834.55 $24,658.19 81% off $2.23 $48,985.00 $15,602.03 2025-01-01
C1762 CPT Denovo Nt Graft 1 Unit 6 6 $41,958.00 $41,958.00 $15,682.25 $15,682.25 $15,682.25 2025-01-01
709 MS_DRG Penis Procedures With Cc/McC 30 30 $241,348.07 $24,816.03 90% off $2.25 $45,425.13 $15,704.77 2025-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 29 29 $158,973.04 $24,837.50 84% off $2.25 $47,724.00 $15,718.75 2025-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 30 30 $126,717.77 $24,868.65 80% off $2.25 $45,524.18 $15,739.02 2025-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/McC 33 33 $157,676.11 $24,877.24 84% off $2.25 $56,695.00 $15,744.61 2025-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 33 33 $187,018.04 $24,877.24 87% off $2.25 $56,695.00 $15,744.61 2025-01-01
113 MS_DRG Orbital Procedures With Cc/McC 29 29 $136,984.38 $24,918.04 82% off $2.26 $45,617.17 $15,771.17 2025-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 30 30 $242,617.27 $24,935.21 90% off $2.26 $45,649.51 $15,782.35 2025-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/McC 30 30 $245,197.07 $24,936.30 90% off $2.26 $45,651.53 $15,783.05 2025-01-01
93654 CPT Hc Ablation Vt / Comp Ep Eval 40 40 $36,644.00 $25,730.46 30% off $6,365.54 $25,288.00 $15,826.77 2025-01-01
93653 CPT Hc Ablation Svt With Comp Ep Eval 40 40 $36,644.00 $25,730.46 30% off $6,365.54 $25,288.00 $15,826.77 2025-01-01
93656 CPT Hc Ablation Afib, W/Comp Ep Eval 40 40 $35,288.00 $25,730.46 27% off $6,365.54 $25,288.00 $15,826.77 2025-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With McC 29 29 $311,053.98 $25,018.98 92% off $2.27 $45,807.19 $15,836.86 2025-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 30 30 $267,923.64 $25,113.47 91% off $2.27 $46,955.00 $15,898.36 2025-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/McC 29 29 $145,477.98 $25,158.57 83% off $2.28 $52,335.00 $15,927.72 2025-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 30 30 $231,206.22 $25,204.73 89% off $2.28 $48,832.00 $15,957.77 2025-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 30 30 $151,244.25 $25,279.91 83% off $2.29 $47,276.00 $16,006.69 2025-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With McC 30 30 $136,778.19 $25,320.70 81% off $2.29 $46,375.23 $16,033.25 2025-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 30 30 $206,411.41 $25,474.25 88% off $2.31 $47,999.00 $16,133.19 2025-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With McC 33 33 $216,865.30 $25,519.35 88% off $2.31 $63,470.00 $16,162.55 2025-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With McC 26 26 $238,020.56 $25,600.97 89% off $2.32 $46,902.84 $16,215.66 2025-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 28 28 $227,770.87 $18,071.78 92% off $2.34 $47,660.00 $16,344.26 2025-01-01
J0480 HCPCS Basiliximab 20 Mg Intravenous Solution 40 40 $59,384.42 $4,588.77 92% off $4,588.77 $28,312.71 $16,450.74 2025-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 30 $234,532.45 $26,027.25 89% off $2.36 $49,302.00 $16,493.12 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 30 30 $256,769.24 $26,068.06 90% off $2.36 $54,139.00 $16,519.68 2025-01-01
347 MS_DRG Anal And Stomal Procedures With McC 30 30 $255,832.27 $26,101.33 90% off $2.37 $55,699.00 $16,541.34 2025-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/McC 29 29 $299,527.89 $26,107.77 91% off $2.37 $48,115.00 $16,545.54 2025-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 30 30 $308,982.31 $26,205.50 92% off $2.38 $51,721.00 $16,609.14 2025-01-01
56 MS_DRG Degenerative Nervous System Disorders With McC 30 30 $112,674.69 $27,575.64 76% off $2.50 $50,620.38 $16,697.00 2025-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC 30 30 $33,759.78 $26,427.77 22% off $2.40 $48,459.40 $16,753.81 2025-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 29 29 $235,965.85 $26,427.77 89% off $2.40 $50,640.00 $16,753.81 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 27 27 $244,659.48 $26,468.56 89% off $2.40 $48,536.22 $16,780.36 2025-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 30 30 $177,066.57 $26,658.63 85% off $2.42 $52,384.00 $16,904.07 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 30 30 $233,098.89 $26,759.56 89% off $2.43 $56,349.00 $16,969.76 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 30 $129,069.59 $26,976.46 79% off $2.45 $59,784.00 $17,110.94 2025-01-01
792 MS_DRG Prematurity Without Major Problems 27 27 $25,891.48 $25,891.48 $2.45 $49,520.69 $17,120.72 2025-01-01
J9204 HCPCS Mogamulizumab-kpkc 4 Mg/ml Intravenous Solution 40 40 $61,407.21 $4,776.96 92% off $4,777.00 $29,474.09 $17,125.54 2025-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/McC 29 29 $221,609.90 $27,185.84 88% off $2.47 $49,886.58 $17,247.22 2025-01-01
397 MS_DRG Appendix Procedures With McC 28 28 $242,119.55 $27,293.23 89% off $2.48 $50,088.73 $17,317.11 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 33 33 $135,675.01 $27,555.23 80% off $2.50 $50,581.97 $17,487.64 2025-01-01
164 MS_DRG Major Chest Procedures With Cc 30 30 $225,945.83 $27,714.15 88% off $2.52 $55,241.00 $17,591.08 2025-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 30 $240,929.96 $27,798.98 88% off $2.52 $51,040.85 $17,646.29 2025-01-01
545 MS_DRG Connective Tissue Disorders With McC 30 30 $191,772.93 $27,820.47 85% off $2.53 $53,820.00 $17,660.27 2025-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With McC 29 29 $141,587.01 $27,908.50 80% off $2.54 $56,558.62 $17,717.58 2025-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 30 30 $242,057.38 $28,049.17 88% off $2.55 $51,511.86 $17,809.13 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 30 30 $360,462.37 $28,100.71 92% off $2.55 $54,224.00 $17,842.68 2025-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC 30 30 $120,422.97 $28,109.30 77% off $2.55 $51,625.07 $17,848.27 2025-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 30 30 $177,866.19 $28,436.80 84% off $2.58 $71,813.00 $18,061.43 2025-01-01
J7189 HCPCS Coagulation Factor Viia Recomb 2 Mg (2,000 Mcg) Intravenous Solution 56 40 $57,253.17 $57,253.17 $2,520.00 $77,742.00 $18,068.40 2025-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/McC 28 28 $198,850.60 $28,482.96 86% off $2.59 $54,244.00 $18,091.48 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 29 29 $337,308.58 $28,782.55 91% off $2.62 $55,329.00 $18,286.47 2025-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 33 33 $192,357.05 $28,855.57 85% off $2.62 $58,729.00 $18,334.00 2025-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/McC 29 29 $194,864.71 $29,076.77 85% off $2.64 $54,045.00 $18,477.97 2025-01-01
503 MS_DRG Foot Procedures With McC 30 30 $197,136.49 $29,105.77 85% off $2.65 $53,501.02 $18,496.84 2025-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC 30 30 $208,103.81 $29,142.25 86% off $2.65 $53,569.75 $18,520.60 2025-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without McC 29 29 $259,766.59 $29,177.71 89% off $2.65 $55,810.48 $18,543.67 2025-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 30 30 $173,891.41 $29,279.71 83% off $2.66 $53,828.50 $18,610.06 2025-01-01
849 MS_DRG Radiotherapy 30 30 $438,320.42 $29,368.85 93% off $2.67 $53,996.29 $18,668.07 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 26 $262,910.68 $29,505.21 89% off $2.68 $54,253.02 $18,756.83 2025-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With McC 30 30 $133,726.65 $29,620.11 78% off $2.69 $70,254.00 $18,831.61 2025-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 30 $320,226.84 $29,715.66 91% off $2.70 $58,556.00 $18,893.81 2025-01-01
A9582 CPT Hc Rn I-123,per St Ds, Up 15 Mil 40 40 $5,657.00 $2,074.81 63% off $2,074.81 $35,729.64 $18,902.22 2025-01-01
963 MS_DRG Other Multiple Significant Trauma With McC 30 30 $231,873.35 $29,858.48 87% off $2.72 $57,494.00 $18,986.76 2025-01-01
619 MS_DRG O.r. Procedures For Obesity With McC 29 29 $171,865.40 $29,963.70 83% off $2.73 $69,852.00 $19,055.25 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With McC 30 30 $194,223.00 $30,017.40 85% off $2.73 $57,637.00 $19,090.20 2025-01-01
J9039 HCPCS Blinatumomab 35 Mcg Intravenous Kit 40 40 $70,101.31 $70,101.31 $5,326.30 $32,863.27 $19,094.78 2025-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 30 30 $183,802.62 $30,843.13 83% off $2.81 $59,609.00 $19,627.65 2025-01-01
654 MS_DRG Major Bladder Procedures With Cc 29 29 $259,730.36 $30,990.23 88% off $2.82 $65,781.00 $19,723.39 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 23 23 $170,232.53 $31,255.47 82% off $2.85 $57,548.06 $19,896.02 2025-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 30 30 $587,901.88 $31,376.79 95% off $2.86 $57,776.49 $19,974.99 2025-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC 30 30 $462,836.12 $31,437.99 93% off $2.86 $74,131.00 $20,014.83 2025-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With McC 30 30 $301,619.79 $31,473.43 90% off $2.87 $57,958.43 $20,037.89 2025-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 30 30 $357,151.61 $31,796.65 91% off $2.90 $61,942.00 $20,248.26 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 29 29 $253,437.92 $31,957.70 87% off $2.91 $58,870.12 $20,353.09 2025-01-01
800 MS_DRG Splenectomy With Cc 30 30 $114,426.82 $31,974.90 72% off $2.91 $58,902.47 $20,364.28 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 29 29 $314,724.71 $31,984.56 90% off $2.91 $58,920.66 $20,370.57 2025-01-01
668 MS_DRG Transurethral Procedures With McC 30 30 $135,055.85 $32,001.72 76% off $2.92 $58,953.00 $20,381.75 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 28 28 $227,689.04 $32,181.07 86% off $2.93 $61,754.00 $20,498.46 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 28 28 $474,950.44 $32,266.96 93% off $2.94 $63,825.00 $20,554.37 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 30 $292,119.40 $32,348.57 89% off $2.95 $63,895.00 $20,607.49 2025-01-01
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 40 40 $77,241.78 $5,821.60 92% off $5,760.00 $35,921.74 $20,840.87 2025-01-01
974 MS_DRG HIV With Major Related Condition With McC 30 30 $257,840.66 $32,752.29 87% off $2.99 $60,366.03 $20,870.27 2025-01-01
570 MS_DRG Skin Debridement With McC 30 30 $196,899.45 $29,328.44 85% off $3.01 $60,851.19 $21,038.01 2025-01-01
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 40 40 $74,943.33 $5,996.52 92% off $5,397.60 $36,997.79 $21,197.69 2025-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 26 $464,323.08 $33,529.71 93% off $3.06 $63,737.00 $21,376.27 2025-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 27 27 $158,063.12 $33,637.09 79% off $3.07 $62,031.75 $21,446.16 2025-01-01
652 MS_DRG Kidney Transplant 24 24 $823,281.71 $33,667.17 96% off $3.07 $178,206.00 $21,465.73 2025-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 30 $151,112.38 $33,800.32 78% off $3.08 $72,700.00 $21,552.39 2025-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without McC 28 28 $245,004.14 $33,823.94 86% off $3.09 $68,055.39 $21,567.77 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 25 25 $371,412.03 $33,892.66 91% off $3.09 $68,461.00 $21,612.49 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without McC 29 29 $426,455.26 $34,041.91 92% off $3.11 $94,734.00 $21,709.64 2025-01-01
662 MS_DRG Minor Bladder Procedures With McC 26 26 $170,762.33 $34,184.73 80% off $3.12 $63,804.00 $21,802.59 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 30 30 $269,729.46 $34,199.76 87% off $3.12 $63,091.02 $21,812.38 2025-01-01
500 MS_DRG Soft Tissue Procedures With McC 29 29 $301,824.28 $34,711.95 88% off $3.17 $68,853.00 $22,145.75 2025-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 30 30 $39,183.56 $34,768.85 $3.17 $64,162.41 $22,182.79 2025-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/McC 28 28 $174,942.42 $34,837.59 80% off $3.18 $64,291.79 $22,227.52 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 26 26 $336,450.46 $34,929.92 90% off $3.19 $65,961.00 $22,287.62 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 27 27 $237,665.07 $34,995.43 85% off $3.20 $64,588.95 $22,330.26 2025-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 28 $248,160.52 $35,095.28 86% off $3.20 $64,776.95 $22,395.25 2025-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 30 30 $427,116.39 $35,255.27 92% off $3.22 $65,730.00 $22,499.39 2025-01-01
J2277 HCPCS Motixafortide 62 Mg Subcutaneous Solution 80 40 $80,460.02 $6,267.17 92% off $6,254.56 $38,746.24 $22,500.40 2025-01-01
C1896 CPT Electrode Emblem S-icd 4 4 $36,000.00 $36,000.00 $22,601.59 $22,601.59 $22,601.59 2025-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 30 30 $241,800.11 $35,670.83 85% off $3.26 $73,307.00 $22,769.86 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 30 30 $253,260.16 $35,685.87 86% off $3.26 $65,888.77 $22,779.64 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 33 33 $298,668.98 $35,785.73 88% off $3.27 $72,008.00 $22,844.64 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 28 28 $333,991.69 $36,142.20 89% off $3.30 $66,747.91 $23,076.67 2025-01-01
37 MS_DRG Extracranial Procedures With McC 26 26 $372,738.31 $36,346.23 90% off $3.32 $67,131.99 $23,209.46 2025-01-01
Q0224 HCPCS Pemivibart 125 Mg/ml Intravenous Solution (eua) 40 40 $8,743.41 $8,743.41 $5,890.50 $40,620.20 $23,255.35 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 31 31 $471,512.00 $36,730.64 92% off $3.36 $67,855.69 $23,459.66 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 33 33 $238,423.10 $37,109.69 84% off $3.39 $79,096.00 $23,706.37 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 29 29 $438,105.50 $37,262.16 91% off $3.41 $79,549.00 $23,805.61 2025-01-01
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 40 40 $118,091.34 $6,678.00 94% off $6,501.00 $41,203.26 $23,852.13 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 33 33 $335,511.37 $37,466.18 89% off $3.43 $72,700.00 $23,938.40 2025-01-01
252 MS_DRG Other Vascular Procedures With McC 30 30 $359,844.07 $37,522.01 90% off $3.43 $69,345.54 $23,974.74 2025-01-01
665 MS_DRG Prostatectomy With McC 26 26 $212,062.29 $37,556.38 82% off $3.43 $69,410.22 $23,997.11 2025-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 30 30 $358,412.51 $37,614.37 90% off $3.44 $69,519.39 $24,034.85 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 33 33 $290,288.14 $37,672.34 87% off $3.44 $69,628.55 $24,072.59 2025-01-01
J1300 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 40 40 $88,882.66 $6,738.99 92% off $6,724.77 $41,579.01 $24,151.89 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 30 $242,370.07 $37,892.47 84% off $3.46 $70,042.95 $24,215.86 2025-01-01
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 20 10 $87,261.31 $6,622.56 92% off $6,617.64 $149,823.03 $24,264.68 2025-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without McC 28 28 $898,796.84 $37,974.07 96% off $3.47 $178,206.00 $24,268.98 2025-01-01
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 40 40 $88,934.38 $6,769.56 92% off $6,770.40 $41,773.37 $24,271.88 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 30 30 $205,429.18 $33,322.90 84% off $3.50 $70,653.45 $24,426.93 2025-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 30 $75,945.39 $38,283.33 50% off $3.50 $82,758.00 $24,470.26 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 29 29 $332,028.22 $38,298.35 88% off $3.50 $70,807.08 $24,480.04 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With McC 30 30 $334,465.05 $38,310.15 89% off $3.50 $75,491.00 $24,487.73 2025-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 27 $464,318.09 $38,490.54 92% off $3.52 $71,168.93 $24,605.14 2025-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With McC 30 30 $94,790.75 $38,586.12 59% off $3.53 $73,529.00 $24,667.35 2025-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 27 $261,119.64 $38,595.80 85% off $3.53 $95,431.00 $24,673.64 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 30 30 $312,937.09 $38,819.13 88% off $3.55 $71,787.51 $24,819.00 2025-01-01
265 MS_DRG Aicd Lead Procedures 33 33 $259,944.63 $38,990.95 85% off $3.57 $72,110.95 $24,930.83 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 33 33 $560,280.90 $39,171.34 93% off $3.58 $72,450.56 $25,048.24 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 30 30 $764,021.91 $39,177.78 95% off $3.58 $72,462.69 $25,052.43 2025-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With McC 30 30 $202,957.29 $39,179.92 81% off $3.58 $72,466.73 $25,053.83 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With McC 30 30 $235,876.23 $39,594.40 83% off $3.62 $91,072.00 $25,323.60 2025-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 26 26 $229,550.63 $39,866.06 83% off $3.65 $73,758.47 $25,500.42 2025-01-01
A9557 CPT Hc Rn Tc99m Neuro(U/T 25mci)P/Dz 40 40 $4,593.00 $4,593.00 $26,141.26 $26,141.26 $26,141.26 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 30 $211,967.37 $36,403.85 83% off $3.74 $80,804.00 $26,152.49 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 28 28 $348,026.33 $41,191.10 88% off $3.77 $80,620.00 $26,362.85 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 26 $308,986.63 $41,508.95 87% off $3.80 $79,560.00 $26,569.73 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 29 29 $366,338.27 $40,405.49 89% off $3.82 $77,928.00 $26,714.40 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With McC 29 29 $365,434.74 $42,030.80 88% off $3.85 $77,833.81 $26,909.39 2025-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/McC 30 30 $179,983.77 $42,146.77 77% off $3.86 $78,052.14 $26,984.87 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 29 29 $408,492.49 $42,188.64 90% off $3.87 $88,374.00 $27,012.12 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With McC 30 30 $341,398.94 $42,443.13 88% off $3.89 $78,610.07 $27,177.76 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 30 30 $369,594.79 $42,675.06 88% off $3.91 $79,046.71 $27,328.72 2025-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 27 $385,809.35 $42,695.47 89% off $3.91 $86,523.95 $27,342.00 2025-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC 27 27 $304,581.79 $42,968.21 86% off $3.94 $94,172.00 $27,519.52 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 30 30 $353,562.95 $43,055.18 88% off $3.95 $79,762.33 $27,576.13 2025-01-01
C1776 CPT Bf Humeral Stem 8mm X 130mm 8 8 $23,310.00 $23,310.00 $27,786.02 $27,786.02 $27,786.02 2025-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 30 30 $222,425.32 $43,433.15 80% off $3.98 $80,473.89 $27,822.14 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With McC 26 26 $212,422.96 $43,463.21 80% off $3.98 $80,530.50 $27,841.71 2025-01-01
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 40 40 $103,995.87 $103,995.87 $7,886.00 $48,656.62 $28,271.31 2025-01-01
J2267 HCPCS Mirikizumab-mrkz 100 Mg/ml Subcutaneous Pen Injector 48 40 $137,649.78 $137,649.78 $7,908.00 $73,188.54 $28,350.18 2025-01-01
791 MS_DRG Prematurity With Major Problems 28 28 $97,246.03 $44,281.43 54% off $4.06 $82,070.88 $28,374.26 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 30 30 $452,669.78 $44,361.96 90% off $4.07 $89,118.00 $28,426.68 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 30 30 $363,090.56 $44,751.75 88% off $4.10 $82,956.30 $28,680.38 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 30 $340,084.02 $44,817.25 87% off $4.11 $83,079.61 $28,723.01 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 33 33 $401,404.43 $44,841.94 89% off $4.11 $83,126.10 $28,739.08 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 33 33 $373,753.46 $45,363.79 88% off $4.16 $84,108.55 $29,078.74 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 23 23 $20,229.82 $20,229.82 $4.17 $54,830.47 $29,147.23 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 29 29 $146,769.77 $45,674.11 69% off $4.19 $84,692.76 $29,280.72 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With McC 30 30 $317,999.14 $45,684.85 86% off $4.19 $88,124.00 $29,287.71 2025-01-01
140 MS_DRG Major Head And Neck Procedures With McC 25 25 $296,009.45 $46,099.32 84% off $4.23 $85,493.28 $29,557.48 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 27 27 $223,440.13 $46,423.62 79% off $4.26 $86,103.77 $29,768.55 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With McC 30 30 $190,261.68 $30,432.37 84% off $4.27 $86,231.13 $29,812.58 2025-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 30 $461,017.87 $47,148.42 90% off $4.33 $87,468.28 $30,240.30 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With McC 29 29 $480,907.17 $47,856.03 90% off $4.39 $88,800.45 $30,700.87 2025-01-01
901 MS_DRG Wound Debridements For Injuries With McC 28 28 $836,026.32 $48,260.85 94% off $4.43 $89,562.56 $30,964.35 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 30 30 $370,253.07 $48,709.70 87% off $4.47 $92,118.00 $31,256.49 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 26 26 $434,616.51 $48,842.83 89% off $4.48 $90,658.21 $31,343.15 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 30 30 $489,874.39 $49,131.68 90% off $4.51 $102,319.00 $31,531.15 2025-01-01
J9037 HCPCS Belantamab Mafodotin-blmf 100 Mg Intravenous Solution 40 40 $112,782.90 $9,356.00 92% off $8,346.00 $55,554.68 $31,950.34 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 30 30 $360,263.66 $49,993.92 86% off $4.59 $107,838.00 $32,092.36 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 30 $368,334.60 $49,207.48 87% off $4.59 $98,433.00 $32,097.25 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With McC 28 28 $1,275,990.10 $50,159.28 96% off $4.61 $178,206.00 $32,199.99 2025-01-01
163 MS_DRG Major Chest Procedures With McC 30 30 $274,838.22 $50,179.69 82% off $4.61 $106,896.00 $32,213.27 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without McC 27 27 $349,746.41 $50,638.19 86% off $4.65 $94,038.16 $32,511.69 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 29 29 $506,443.98 $50,934.55 90% off $4.68 $94,769.00 $32,704.59 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 30 30 $431,541.93 $51,205.15 88% off $4.70 $143,395.00 $32,880.71 2025-01-01
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 40 40 $102,687.83 $9,253.98 91% off $9,249.48 $57,095.95 $33,172.71 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 30 30 $432,888.70 $51,733.43 88% off $4.75 $106,122.00 $33,224.56 2025-01-01
799 MS_DRG Splenectomy With McC 30 30 $256,595.19 $51,743.09 80% off $4.75 $106,468.00 $33,230.85 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 26 $271,070.87 $51,965.37 81% off $4.78 $108,102.00 $33,375.52 2025-01-01
471 MS_DRG Cervical Spinal Fusion With McC 29 29 $763,667.89 $52,843.72 93% off $4.86 $103,507.00 $33,947.22 2025-01-01
245 MS_DRG Aicd Generator Procedures 33 33 $287,364.27 $53,160.47 82% off $4.89 $98,786.66 $34,153.39 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With McC 30 30 $671,001.66 $54,196.68 92% off $4.98 $155,279.00 $34,827.82 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 30 30 $274,486.14 $51,033.54 81% off $5.00 $110,584.00 $34,953.62 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 28 $107,204.63 $54,411.42 49% off $5.00 $101,141.71 $34,967.60 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 30 $325,967.66 $54,453.31 83% off $5.01 $137,264.00 $34,994.85 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 30 30 $436,167.68 $54,772.21 87% off $5.04 $101,820.93 $35,202.42 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 26 26 $303,672.65 $55,224.29 82% off $5.08 $114,361.00 $35,496.66 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 33 33 $802,218.54 $55,391.78 93% off $5.09 $109,405.00 $35,605.68 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 33 33 $423,176.85 $55,804.11 87% off $5.13 $103,763.60 $35,874.06 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 31 $723,201.29 $57,561.89 92% off $5.30 $110,557.00 $37,018.14 2025-01-01
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 40 40 $134,851.13 $10,335.33 92% off $10,335.15 $63,767.88 $37,051.51 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 33 33 $652,775.28 $57,814.22 91% off $5.32 $107,547.84 $37,182.38 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With McC 30 30 $256,607.26 $58,620.63 77% off $5.40 $109,065.99 $37,707.25 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 30 30 $426,954.98 $58,627.06 86% off $5.40 $109,078.12 $37,711.44 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 30 $340,864.11 $58,681.83 83% off $5.40 $113,295.00 $37,747.08 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 30 30 $305,990.61 $55,551.71 82% off $5.43 $117,632.00 $37,940.68 2025-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 28 $1,696,256.43 $59,112.43 97% off $5.44 $197,018.00 $38,027.34 2025-01-01
J9153 HCPCS Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution 40 40 $142,460.46 $142,460.46 $10,670.00 $65,833.90 $38,251.95 2025-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 27 $1,309,500.21 $83,121.47 94% off $5.50 $111,265.38 $38,467.64 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With McC 30 30 $528,786.72 $60,038.01 89% off $5.53 $112,000.00 $38,629.78 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 29 $255,857.10 $60,038.01 77% off $5.53 $151,969.00 $38,629.78 2025-01-01
653 MS_DRG Major Bladder Procedures With McC 26 26 $354,096.47 $59,953.31 83% off $5.57 $123,092.00 $38,960.36 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 30 $543,670.95 $61,947.18 89% off $5.71 $115,328.60 $39,872.41 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 30 $266,003.20 $62,315.49 77% off $5.74 $146,701.00 $40,112.13 2025-01-01
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 40 40 $145,724.18 $145,724.18 $11,270.00 $69,535.90 $40,402.95 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 29 29 $216,151.77 $63,205.64 71% off $5.82 $117,697.79 $40,691.51 2025-01-01
C1817 CPT Lvad Kit Heartmate 3 7 7 $951,858.00 $951,858.00 $40,888.15 $40,888.15 $40,888.15 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 33 33 $664,107.82 $63,870.32 90% off $5.88 $121,246.00 $41,124.12 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 24 $804,586.75 $64,521.02 92% off $5.94 $120,174.13 $41,547.65 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 26 26 $560,649.28 $65,014.96 88% off $5.99 $190,974.00 $41,869.14 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/McC 27 27 $400,714.73 $65,499.22 84% off $6.04 $341,759.00 $42,184.34 2025-01-01
28 MS_DRG Spinal Procedures With McC 31 31 $538,271.61 $65,967.42 88% off $6.08 $122,897.09 $42,489.06 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With McC 29 29 $651,279.09 $66,812.47 90% off $6.16 $124,488.01 $43,039.08 2025-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 29 29 $429,323.55 $67,115.28 84% off $6.19 $125,058.08 $43,236.17 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 28 28 $405,973.17 $67,201.17 83% off $6.19 $125,219.80 $43,292.08 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With McC 30 30 $344,233.19 $68,596.00 80% off $6.32 $130,971.38 $44,199.94 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 30 $784,713.85 $70,030.57 91% off $6.46 $134,418.00 $45,133.66 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 30 $411,437.56 $70,130.44 83% off $6.47 $130,734.45 $45,198.66 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 33 33 $759,233.52 $72,282.27 90% off $6.67 $134,785.53 $46,599.23 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC 31 31 $346,505.98 $72,403.61 79% off $6.68 $135,013.96 $46,678.21 2025-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 27 27 $1,035,188.83 $72,680.64 93% off $6.70 $135,535.51 $46,858.52 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 29 29 $426,332.33 $74,007.83 83% off $6.83 $138,034.08 $47,722.35 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 30 $375,661.99 $75,384.40 80% off $6.96 $140,625.65 $48,618.33 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 27 27 $634,807.76 $76,570.92 88% off $7.07 $142,859.41 $49,390.60 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 30 30 $490,964.16 $80,835.97 84% off $7.46 $150,888.80 $52,166.60 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 30 $999,692.61 $83,770.59 92% off $7.74 $163,675.00 $54,076.66 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 29 29 $743,975.65 $84,617.81 89% off $7.82 $158,008.53 $54,628.09 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 29 $2,263,969.99 $109,132.86 95% off $7.93 $160,275.00 $55,403.16 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 29 29 $496,688.36 $87,245.33 82% off $8.06 $200,537.00 $56,338.27 2025-01-01
C1813 CPT Titan Narrow Base Rear Tip Extender Kit 39 39 $3,906.00 $3,906.00 $57,323.66 $57,323.66 $57,323.66 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 30 $434,556.64 $91,627.41 79% off $8.47 $199,722.00 $59,190.45 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With McC 33 33 $733,480.92 $91,677.88 88% off $8.47 $171,299.89 $59,223.30 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 31 $1,411,513.30 $104,318.37 93% off $9.65 $202,268.00 $67,450.64 2025-01-01
J9350 HCPCS Mosunetuzumab-axgb 1 Mg/ml Intravenous Solution 40 40 $250,180.60 $19,232.10 92% off $19,064.10 $117,625.50 $68,344.80 2025-01-01
215 MS_DRG Other Heart Assist System Implant 27 27 $723,588.62 $114,451.59 84% off $10.59 $327,807.00 $74,046.07 2025-01-01
5 MS_DRG Liver Transplant With McC Or Intestinal Transplant 29 29 $1,231,196.44 $115,037.86 91% off $10.65 $532,400.00 $74,427.66 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 27 $2,965,799.90 $231,697.07 92% off $10.89 $220,220.19 $76,136.45 2025-01-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 40 40 $307,526.83 $23,569.62 92% off $23,569.65 $145,424.74 $84,497.20 2025-01-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 40 40 $317,729.75 $317,729.75 $24,440.50 $150,797.89 $87,619.20 2025-01-01
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 40 40 $316,492.50 $24,587.36 92% off $24,587.20 $151,703.02 $88,145.11 2025-01-01
7 MS_DRG Lung Transplant 28 28 $1,892,709.56 $141,016.80 93% off $13.07 $471,896.00 $91,336.62 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 26 26 $1,098,593.04 $141,371.14 87% off $13.10 $341,759.00 $91,567.26 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 30 $1,173,781.14 $152,411.69 87% off $14.13 $285,637.95 $98,753.25 2025-01-01
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 80 40 $368,220.57 $27,551.07 93% off $27,448.54 $170,630.86 $99,039.70 2025-01-01
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 40 40 $327,025.44 $327,025.44 $28,697.25 $177,071.29 $102,884.27 2025-01-01
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 40 40 $347,864.46 $33,903.40 90% off $33,889.00 $209,181.51 $121,535.26 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 30 $1,164,732.13 $230,814.49 80% off $21.43 $433,239.79 $149,783.45 2025-01-01
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 40 40 $561,039.40 $561,039.40 $41,998.00 $259,127.66 $150,562.83 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 25 $1,738,668.86 $255,416.83 85% off $23.72 $479,556.40 $165,796.43 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With McC 24 24 $2,873,713.64 $303,151.53 89% off $28.17 $499,339.45 $196,865.62 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 28 28 — $626,763.51 $37.71 $762,364.25 $263,571.23 2025-01-01
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 40 40 $277,162.38 $135,352.67 51% off $135,352.65 $835,125.85 $485,239.25 2025-01-01
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 39 39 — — $488,051.51 $902,895.29 $682,447.65 2025-01-01
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 39 39 — $489,455.96 $489,517.15 $905,606.73 $683,803.36 2025-01-01
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 39 39 — — $516,485.97 $955,499.04 $721,488.23 2025-01-01
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension 39 39 — — $528,312.43 $977,377.99 $737,892.97 2025-01-01
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 39 39 — — $551,318.34 $1,019,938.92 $770,997.21 2025-01-01
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 40 40 $4,189,120.00 $4,189,120.00 $565,623.84 $1,046,404.10 $806,013.97 2025-01-01
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