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

UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY

Madison, WI · CCN 520098 · Rates published

Your selected procedure

You selected 93306 (CPT)

HB-Echocardiography 2d W/Color Flow W/Pulse

This hospital’s price: $1,806 across 50 payers · range $558-$2,957

Source: https://bynder.uwhealth.org/m/35d806d784d4cdbd/original/391835630_University-of-Wisconsin-Hospital-and-Clinics-Authority_standardcharges.csv · observed 2026-07-15

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.

7,505 distinct procedures filed
64 distinct payers
750,296 rate rows
2026-07-15 last MRF observed
Data quality

727,505 of 750,296 rate rows are consumer-grade (97.0%)

22,791 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 20,015
per-diem day rate — not a per-procedure price 1,683
template filing: same amount across many unrelated codes — excluded 445
placeholder amount (≤ $0.02) — excluded from medians 425
percent-of-charges filed in the dollar field — excluded from medians 123
exceeds 10× this hospital's gross charge — excluded from medians 73
exceeds 3× this hospital's gross charge for a DRG stay — excluded 14
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bynder.uwhealth.org/m/35d806d784d4cdbd/original/391835630_University-of-Wisconsin-Hospital-and-Clinics-Authority_standardcharges.csv
Found on page https://www.uwhealth.org/billing-insurance/cms-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-28
Content fingerprint b044ce723a95d09c… · 145,434,471 bytes · first seen 2026-05-04

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 10 X 10 Ml IV Kit 42 $2,611,224.48 $4,928,046.20 $3,488,032.70 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 50 $2,276.95 $4,037,680.50 $2,455,110.60 nat. median
$2,467,386
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 50 $507,707.11 $1,009,675.01 $637,689.48 nat. median
$640,950
1.0× median
Q2042
HCPCS 		Tisagenlecleucel 250000000 Cells IV Susp 50 $453,869.94 $902,609.25 $591,726.20 nat. median
$739,258
0.8× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 100000000 Cells IV Susp 50 $457,643.77 $910,114.25 $577,186.32 nat. median
$646,415
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 50 $436,916.36 $868,893.75 $557,921.25 nat. median
$622,450
0.9× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 200000000 Cells IV Susp 50 $441,449.74 $877,909.25 $554,469.00 nat. median
$591,721
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel 200000000 Cells IV Susp 50 $381,259.54 $758,209.25 $533,230.17 nat. median
$608,239
0.9× median
5834
APR_DRG 		Neonate With Ecmo 14 $491,290.59 $491,290.59 $491,290.59 nat. median
$307,206
1.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $300,906.49 $300,906.49 $300,906.49 nat. median
$247,214
1.2× median
J9248
HCPCS 		Melphalan Hcl 50 Mg Arterial Solr 50 $795.00 $476,961.75 $287,683.25 nat. median
$902
outlier · 319.1×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $281,297.25 $281,297.25 $281,297.25 nat. median
$123,836
outlier · 2.3×
24
APR_DRG 		Heart And/or Lung Transplant 14 $281,111.60 $281,111.60 $281,111.60 nat. median
$241,437
1.2× median
5833
APR_DRG 		Neonate With Ecmo 14 $279,806.05 $279,806.05 $279,806.05 nat. median
$244,017
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 $139,000.00 $1,121,457.32 $276,753.82 nat. median
$359,454
0.8× median
5832
APR_DRG 		Neonate With Ecmo 14 $214,839.96 $214,839.96 $214,839.96 nat. median
$159,249
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 14 $209,778.34 $209,778.34 $209,778.34 nat. median
$202,993
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 $209,648.82 $209,648.82 $209,648.82 nat. median
$165,000
1.3× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $209,344.88 $209,344.88 $209,344.88 nat. median
$67,735
outlier · 3.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 14 $205,650.12 $205,650.12 $205,650.12 nat. median
$163,587
1.3× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 $201,644.51 $201,644.51 $201,644.51 nat. median
$133,164
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $200,403.72 $200,403.72 $200,403.72 nat. median
$175,204
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 14 $197,319.43 $197,319.43 $197,319.43 nat. median
$162,342
1.2× median
5831
APR_DRG 		Neonate With Ecmo 14 $192,844.96 $192,844.96 $192,844.96 nat. median
$146,500
1.3× median
J0225
HCPCS 		Vutrisiran Sodium 25 Mg/0.5ml Subcu Sosy 50 $5,003.64 $311,913.74 $188,133.23 nat. median
$8,223
outlier · 22.9×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 14 $186,602.99 $186,602.99 $186,602.99 nat. median
$155,939
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 $182,871.10 $182,871.10 $182,871.10 nat. median
$154,011
1.2× median
J2326
HCPCS 		Nusinersen 12 Mg/5ml It Soln 49 $1,280.25 $341,230.57 $180,672.60 nat. median
$2,480
outlier · 72.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 31 $179,602.09 $727,780.68 $179,602.09 nat. median
$249,036
0.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 14 $173,481.81 $173,481.81 $173,481.81 nat. median
$151,838
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $171,723.79 $171,723.79 $171,723.79 nat. median
$145,061
1.2× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $166,426.45 $166,426.45 $166,426.45 nat. median
$67,994
outlier · 2.4×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 14 $165,507.72 $165,507.72 $165,507.72 nat. median
$170,082
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 14 $164,260.88 $164,260.88 $164,260.88 nat. median
$120,517
1.4× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 14 $158,044.81 $158,044.81 $158,044.81 nat. median
$122,016
1.3× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 14 $156,472.45 $156,472.45 $156,472.45 nat. median
$136,566
1.1× median
23
APR_DRG 		Heart And/or Lung Transplant 14 $153,125.67 $153,125.67 $153,125.67 nat. median
$110,944
1.4× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 14 $148,813.53 $148,813.53 $148,813.53 nat. median
$101,406
1.5× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $147,191.95 $147,191.95 $147,191.95 nat. median
$120,208
1.2× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 14 $140,264.38 $140,264.38 $140,264.38 nat. median
$93,998
1.5× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 14 $140,264.38 $140,264.38 $140,264.38 nat. median
$71,350
2.0× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 14 $140,264.38 $140,264.38 $140,264.38 nat. median
$89,188
1.6× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 14 $138,210.21 $138,210.21 $138,210.21 nat. median
$78,893
1.8× median
90288
HCPCS 		Botulism Immune Globulin Human 100 Mg IV Solr 38 $65,523.00 $207,489.50 $136,724.66 nat. median
$51,570
outlier · 2.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 $136,029.97 $551,218.44 $136,029.97 nat. median
$190,559
0.7× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 $130,689.44 $130,689.44 $130,689.44 nat. median
$118,620
1.1× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 14 $127,638.83 $127,638.83 $127,638.83 nat. median
$82,129
1.6× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 14 $126,906.61 $126,906.61 $126,906.61 nat. median
$108,695
1.2× median
1611
APR_DRG 		Implantable Heart Assist Systems 14 $120,864.10 $120,864.10 $120,864.10 nat. median
$76,852
1.6× median
1612
APR_DRG 		Implantable Heart Assist Systems 14 $120,864.10 $120,864.10 $120,864.10 nat. median
$84,880
1.4× median

Other procedures at this hospital

Browse this hospital's 7,505 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 10 X 10 Ml IV Kit 50 42 — $3,840,036.00 $2,611,224.48 $4,928,046.20 $3,488,032.70 2026-07-15
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 61 50 $4,250,190.00 $2,550,114.00 40% off $2,276.95 $4,037,680.50 $2,455,110.60 2026-07-15
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 61 50 $1,062,815.80 $637,689.48 40% off $507,707.11 $1,009,675.01 $637,689.48 2026-07-15
Q2042 HCPCS Tisagenlecleucel 250000000 Cells IV Susp 61 50 $950,115.00 $570,069.00 40% off $453,869.94 $902,609.25 $591,726.20 2026-07-15
Q2056 HCPCS Ciltacabtagene Autoleucel 100000000 Cells IV Susp 61 50 $958,015.00 $574,809.00 40% off $457,643.77 $910,114.25 $577,186.32 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 61 50 $914,625.00 $548,775.00 40% off $436,916.36 $868,893.75 $557,921.25 2026-07-15
Q2053 HCPCS Brexucabtagene Autoleucel 200000000 Cells IV Susp 61 50 $924,115.00 $554,469.00 40% off $441,449.74 $877,909.25 $554,469.00 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel 200000000 Cells IV Susp 61 50 $798,115.00 $478,869.00 40% off $381,259.54 $758,209.25 $533,230.17 2026-07-15
5834 APR_DRG Neonate With Ecmo 14 14 — — $491,290.59 $491,290.59 $491,290.59 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 14 — — $300,906.49 $300,906.49 $300,906.49 2026-07-15
J9248 HCPCS Melphalan Hcl 50 Mg Arterial Solr 61 50 $502,065.00 $301,239.00 40% off $795.00 $476,961.75 $287,683.25 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 14 — — $281,297.25 $281,297.25 $281,297.25 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 14 14 — — $281,111.60 $281,111.60 $281,111.60 2026-07-15
5833 APR_DRG Neonate With Ecmo 14 14 — — $279,806.05 $279,806.05 $279,806.05 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 29 $993,440.63 — $139,000.00 $1,121,457.32 $276,753.82 2026-07-15
5832 APR_DRG Neonate With Ecmo 14 14 — — $214,839.96 $214,839.96 $214,839.96 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 14 14 — — $209,778.34 $209,778.34 $209,778.34 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 14 — — $209,648.82 $209,648.82 $209,648.82 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 14 — — $209,344.88 $209,344.88 $209,344.88 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 14 — — $205,650.12 $205,650.12 $205,650.12 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 14 — — $201,644.51 $201,644.51 $201,644.51 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 14 — — $200,403.72 $200,403.72 $200,403.72 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 14 — — $197,319.43 $197,319.43 $197,319.43 2026-07-15
5831 APR_DRG Neonate With Ecmo 14 14 — — $192,844.96 $192,844.96 $192,844.96 2026-07-15
J0225 HCPCS Vutrisiran Sodium 25 Mg/0.5ml Subcu Sosy 61 50 $328,330.25 $196,998.15 40% off $5,003.64 $311,913.74 $188,133.23 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 14 14 — — $186,602.99 $186,602.99 $186,602.99 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 14 — — $182,871.10 $182,871.10 $182,871.10 2026-07-15
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 58 49 $359,190.07 $215,514.04 40% off $1,280.25 $341,230.57 $180,672.60 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 35 31 $1,379,130.91 — $179,602.09 $727,780.68 $179,602.09 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 14 — — $173,481.81 $173,481.81 $173,481.81 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 14 — — $171,723.79 $171,723.79 $171,723.79 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 14 — — $166,426.45 $166,426.45 $166,426.45 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 14 14 — — $165,507.72 $165,507.72 $165,507.72 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 14 14 — — $164,260.88 $164,260.88 $164,260.88 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 14 — — $158,044.81 $158,044.81 $158,044.81 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 14 14 — — $156,472.45 $156,472.45 $156,472.45 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 14 14 — — $153,125.67 $153,125.67 $153,125.67 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 14 — — $148,813.53 $148,813.53 $148,813.53 2026-07-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 14 — — $147,191.95 $147,191.95 $147,191.95 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 14 — — $140,264.38 $140,264.38 $140,264.38 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 14 — — $140,264.38 $140,264.38 $140,264.38 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 14 — — $140,264.38 $140,264.38 $140,264.38 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 14 — — $138,210.21 $138,210.21 $138,210.21 2026-07-15
90288 HCPCS Botulism Immune Globulin Human 100 Mg IV Solr 48 38 $218,410.00 $131,046.00 40% off $65,523.00 $207,489.50 $136,724.66 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 31 $910,398.77 — $136,029.97 $551,218.44 $136,029.97 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $130,689.44 $130,689.44 $130,689.44 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 14 — — $127,638.83 $127,638.83 $127,638.83 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 14 — — $126,906.61 $126,906.61 $126,906.61 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 14 14 — — $120,864.10 $120,864.10 $120,864.10 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 14 14 — — $120,864.10 $120,864.10 $120,864.10 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 14 — — $120,423.73 $120,423.73 $120,423.73 2026-07-15
A9531 HCPCS Sodium Iodide I-131 Thyroid Uptake Po Cap Rad 48 38 $191,400.00 $114,840.00 40% off $57,420.00 $181,830.00 $119,816.40 2026-07-15
0812 RC — 644 38 $206,258.00 $123,754.80 40% off $26,349.60 $279,218.30 $118,514.19 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 31 $432,340.15 — $118,117.12 $554,472.49 $118,117.12 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 14 14 — — $115,952.72 $115,952.72 $115,952.72 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 14 — — $110,100.17 $110,100.17 $110,100.17 2026-07-15
A9513 HCPCS Lutetium Lu 177 Dotatate 370 Mbq/ml IV Soln 61 50 $192,165.40 $115,299.24 40% off $316.99 $182,557.13 $109,534.28 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 14 — — $108,983.71 $108,983.71 $108,983.71 2026-07-15
J9029 HCPCS Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Intravesical Susp 61 50 $189,190.00 $113,514.00 40% off $63,342.28 $179,730.50 $108,405.87 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 14 14 — — $105,264.77 $105,264.77 $105,264.77 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 14 14 — — $104,470.39 $104,470.39 $104,470.39 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 14 14 — — $102,483.56 $102,483.56 $102,483.56 2026-07-15
64 APR_DRG Pancreas Transplant 14 14 — — $102,207.25 $102,207.25 $102,207.25 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 14 — — $102,075.14 $102,075.14 $102,075.14 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $101,023.44 $101,023.44 $101,023.44 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 14 — — $100,803.26 $100,803.26 $100,803.26 2026-07-15
0811 RC — 118 38 $149,224.00 $89,534.40 40% off $44,767.20 $152,365.75 $97,834.85 2026-07-15
8513 APR_DRG Gender Related Procedures 14 14 — — $96,400.46 $96,400.46 $96,400.46 2026-07-15
8514 APR_DRG Gender Related Procedures 14 14 — — $96,400.46 $96,400.46 $96,400.46 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 14 — — $95,587.94 $95,587.94 $95,587.94 2026-07-15
0815 RC — 144 38 $128,315.00 $76,989.00 40% off $37,154.10 $173,772.10 $91,867.12 2026-07-15
A9607 HCPCS Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml IV Soln 61 50 $156,453.57 $93,872.14 40% off $255.84 $148,630.89 $90,743.07 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $90,739.60 $90,739.60 $90,739.60 2026-07-15
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Subcu Kit 61 50 $158,262.11 $94,957.27 40% off $45,020.65 $150,349.00 $90,684.19 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 31 $646,344.73 — $88,772.10 $359,720.86 $88,772.10 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 14 — — $84,022.72 $84,022.72 $84,022.72 2026-07-15
7 MS_DRG Lung Transplant 36 32 $989,311.12 — $82,996.41 $336,316.69 $83,411.39 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 14 14 — — $83,249.92 $83,249.92 $83,249.92 2026-07-15
8634 APR_DRG Neonatal Aftercare 14 14 — — $82,177.50 $82,177.50 $82,177.50 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 14 — — $81,965.95 $81,965.95 $81,965.95 2026-07-15
C9293 HCPCS Glucarpidase 1000 Units IV Solr 102 50 $136,298.95 $81,779.37 40% off $427.72 $129,484.00 $81,521.18 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 14 14 — — $81,236.33 $81,236.33 $81,236.33 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 14 — — $80,929.80 $80,929.80 $80,929.80 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 14 — — $80,538.65 $80,538.65 $80,538.65 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 14 — — $79,903.14 $79,903.14 $79,903.14 2026-07-15
J7352 HCPCS Afamelanotide Acetate 16 Mg Subcu Impl 61 50 $136,733.65 $82,040.19 40% off $2,943.42 $129,896.97 $79,305.52 2026-07-15
4404 APR_DRG Kidney Transplant 14 14 — — $79,246.04 $79,246.04 $79,246.04 2026-07-15
J1823 HCPCS Inebilizumab-cdon 100 Mg/10ml IV Soln 61 50 $137,665.01 $82,599.01 40% off $495.55 $130,781.76 $78,882.05 2026-07-15
63 APR_DRG Pancreas Transplant 14 14 — — $78,766.82 $78,766.82 $78,766.82 2026-07-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 14 — — $77,683.18 $77,683.18 $77,683.18 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 36 32 $520,473.30 — $77,021.40 $312,104.86 $77,406.51 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 14 14 — — $74,128.30 $74,128.30 $74,128.30 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant 14 14 — — $73,612.81 $73,612.81 $73,612.81 2026-07-15
J0223 HCPCS Givosiran Sodium 189 Mg/ml Subcu Soln 61 50 $130,446.25 $78,267.75 40% off $117.36 $123,923.94 $73,362.97 2026-07-15
J9347 HCPCS Tremelimumab-actl 300 Mg/15ml IV Soln 61 50 $128,003.14 $76,801.88 40% off $140.90 $121,602.98 $73,345.80 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 14 — — $72,725.17 $72,725.17 $72,725.17 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 35 31 — — $72,624.26 $320,311.00 $72,624.26 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 35 31 — — $72,540.94 $293,949.24 $72,540.94 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $72,506.72 $72,506.72 $72,506.72 2026-07-15
J2351 HCPCS Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-ut/23ml Subcu Soln 61 50 $124,316.35 $74,589.81 40% off $47.23 $118,100.53 $71,233.27 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 14 — — $70,816.05 $70,816.05 $70,816.05 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 31 $326,238.29 — $70,633.66 $286,220.56 $70,633.66 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 35 31 $329,445.32 — $69,690.91 $282,400.38 $69,690.91 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 14 — — $69,644.34 $69,644.34 $69,644.34 2026-07-15
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 14 — — $69,387.89 $69,387.89 $69,387.89 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 14 — — $69,367.16 $69,367.16 $69,367.16 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $69,263.55 $69,263.55 $69,263.55 2026-07-15
A9543 HCPCS Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit 61 50 $119,302.79 $71,581.67 40% off $48,675.54 $113,337.65 $69,195.62 2026-07-15
62 APR_DRG Pancreas Transplant 14 14 — — $67,906.18 $67,906.18 $67,906.18 2026-07-15
1784 APR_DRG External Heart Assist Devices 14 14 — — $67,340.62 $67,340.62 $67,340.62 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 36 32 $669,537.86 — $66,078.86 $267,763.69 $66,409.26 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $66,187.03 $66,187.03 $66,187.03 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 14 14 — — $66,013.47 $66,013.47 $66,013.47 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 14 14 — — $65,435.82 $65,435.82 $65,435.82 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 14 14 — — $64,909.10 $64,909.10 $64,909.10 2026-07-15
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg IV Solr 109 50 $106,396.49 $63,837.89 40% off $216.90 $101,076.67 $64,901.86 2026-07-15
J9028 HCPCS Nogapendekin Alfa Inbakic-pmln 400 Mcg/0.4ml Intravesical Soln 61 50 $112,885.00 $67,731.00 40% off $94.66 $107,240.75 $64,683.11 2026-07-15
J9228 HCPCS Ipilimumab 200 Mg/40ml IV Soln 61 50 $111,967.47 $67,180.48 40% off $183.48 $106,369.10 $64,157.36 2026-07-15
215 MS_DRG Other Heart Assist System Implant 34 30 $227,088.85 — $63,813.32 $258,583.29 $63,813.32 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 14 — — $63,621.68 $63,621.68 $63,621.68 2026-07-15
J0567 HCPCS Cerliponase Alfa 2 X 150 Mg/5ml Ve Kit 61 50 $110,903.65 $66,542.19 40% off $120.36 $105,358.47 $63,547.79 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 14 14 — — $62,780.67 $62,780.67 $62,780.67 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 31 $479,387.70 — $62,696.89 $254,059.32 $62,696.89 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 14 14 — — $62,336.85 $62,336.85 $62,336.85 2026-07-15
J9282 HCPCS Mitomycin 80 (2 X 40) Mg Intravesical Solr 109 50 $135,640.00 $81,384.00 40% off $284.88 $128,858.00 $61,661.85 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 14 14 — — $60,685.91 $60,685.91 $60,685.91 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 14 14 — — $60,607.33 $60,607.33 $60,607.33 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 14 14 — — $60,428.59 $60,428.59 $60,428.59 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 14 — — $59,266.37 $59,266.37 $59,266.37 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 14 — — $59,199.89 $59,199.89 $59,199.89 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 14 — — $58,737.93 $58,737.93 $58,737.93 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 35 31 $294,759.31 — $57,741.54 $233,979.31 $57,741.54 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 14 — — $57,620.61 $57,620.61 $57,620.61 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 14 14 — — $57,535.99 $57,535.99 $57,535.99 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 14 14 — — $57,476.41 $57,476.41 $57,476.41 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 14 — — $56,799.46 $56,799.46 $56,799.46 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 14 — — $56,718.29 $56,718.29 $56,718.29 2026-07-15
J1747 HCPCS Spesolimab-sbzo 450 Mg/7.5ml IV Soln 61 50 $97,906.87 $58,744.12 40% off $65.73 $93,011.53 $56,100.64 2026-07-15
J9348 HCPCS Naxitamab-gqgk 40 Mg/10ml IV Soln 61 50 $97,862.13 $58,717.28 40% off $686.00 $92,969.02 $56,075.00 2026-07-15
1794 APR_DRG Defibrillator Implants 14 14 — — $55,978.31 $55,978.31 $55,978.31 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 14 — — $55,893.69 $55,893.69 $55,893.69 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 14 — — $55,816.84 $55,816.84 $55,816.84 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 14 14 — — $55,651.92 $55,651.92 $55,651.92 2026-07-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 14 14 — — $55,547.44 $55,547.44 $55,547.44 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 35 31 $245,894.74 — $55,497.78 $224,887.22 $55,497.78 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 14 14 — — $55,153.70 $55,153.70 $55,153.70 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 14 14 — — $54,797.09 $54,797.09 $54,797.09 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 14 14 — — $54,719.38 $54,719.38 $54,719.38 2026-07-15
1783 APR_DRG External Heart Assist Devices 14 14 — — $54,336.86 $54,336.86 $54,336.86 2026-07-15
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 14 — — $54,259.15 $54,259.15 $54,259.15 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 14 — — $54,127.04 $54,127.04 $54,127.04 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 31 $370,977.29 — $54,026.30 $218,924.50 $54,026.30 2026-07-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $54,012.20 $54,012.20 $54,012.20 2026-07-15
4403 APR_DRG Kidney Transplant 14 14 — — $53,877.50 $53,877.50 $53,877.50 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 31 $374,236.68 — $53,856.47 $218,236.30 $53,856.47 2026-07-15
J9118 HCPCS Calaspargase Pegol-mknl 3750 Unit/5ml IV Soln 61 50 $93,982.19 $56,389.31 40% off $82.08 $89,283.08 $53,851.79 2026-07-15
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 61 50 $93,293.35 $55,976.01 40% off $3,660.83 $88,628.68 $53,457.09 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 14 14 — — $53,441.45 $53,441.45 $53,441.45 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 14 — — $53,278.26 $53,278.26 $53,278.26 2026-07-15
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 14 — — $52,935.46 $52,935.46 $52,935.46 2026-07-15
6904 APR_DRG Acute Leukemia 14 14 — — $52,503.73 $52,503.73 $52,503.73 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant 14 14 — — $51,812.10 $51,812.10 $51,812.10 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $51,732.66 $51,732.66 $51,732.66 2026-07-15
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg IV Solr 61 50 $89,874.82 $53,924.89 40% off $2,698.05 $85,381.08 $51,498.27 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 14 14 — — $51,054.84 $51,054.84 $51,054.84 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 14 — — $50,910.64 $50,910.64 $50,910.64 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 14 — — $50,796.66 $50,796.66 $50,796.66 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 14 14 — — $50,568.71 $50,568.71 $50,568.71 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 31 $507,669.55 — $50,430.27 $204,352.74 $50,430.27 2026-07-15
234 APR_DRG Spinal Procedures 14 14 — — $49,892.62 $49,892.62 $49,892.62 2026-07-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 14 14 — — $49,757.06 $49,757.06 $49,757.06 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 14 — — $49,738.92 $49,738.92 $49,738.92 2026-07-15
L5999 HCPCS Hb-genium Mpk 48 38 $78,785.00 $47,271.00 40% off $23,635.50 $74,845.75 $49,319.41 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 14 14 — — $49,220.84 $49,220.84 $49,220.84 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 31 $303,319.16 — $49,209.38 $199,405.45 $49,209.38 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 14 — — $49,141.41 $49,141.41 $49,141.41 2026-07-15
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 14 14 — — $49,049.02 $49,049.02 $49,049.02 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 31 $310,408.88 — $48,997.25 $198,545.84 $48,997.25 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 31 $329,377.32 — $48,835.10 $197,888.80 $48,835.10 2026-07-15
J7330 HCPCS Maci One Membrane Autologous Cultured Chondrocytes 48 38 $77,769.60 $46,661.76 40% off $23,330.88 $73,881.12 $48,683.77 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 14 — — $48,642.32 $48,642.32 $48,642.32 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 14 14 — — $48,481.72 $48,481.72 $48,481.72 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 14 14 — — $48,323.71 $48,323.71 $48,323.71 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 14 — — $48,183.83 $48,183.83 $48,183.83 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 14 14 — — $47,803.90 $47,803.90 $47,803.90 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 14 14 — — $47,775.41 $47,775.41 $47,775.41 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 14 14 — — $47,721.87 $47,721.87 $47,721.87 2026-07-15
4284 APR_DRG Genetic Disorders 14 14 — — $47,664.02 $47,664.02 $47,664.02 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 14 14 — — $47,472.33 $47,472.33 $47,472.33 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 14 — — $47,465.42 $47,465.42 $47,465.42 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 14 — — $47,454.20 $47,454.20 $47,454.20 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 14 — — $47,278.05 $47,278.05 $47,278.05 2026-07-15
61 APR_DRG Pancreas Transplant 14 14 — — $47,166.67 $47,166.67 $47,166.67 2026-07-15
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Subcu Sosy 96 38 $77,238.89 $46,343.33 40% off $16,454.71 $94,647.31 $46,621.68 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 14 14 — — $46,367.96 $46,367.96 $46,367.96 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 31 $175,911.16 — $46,263.21 $187,467.04 $46,263.21 2026-07-15
274 APR_DRG Other Open Craniotomy 14 14 — — $46,053.66 $46,053.66 $46,053.66 2026-07-15
J9281 HCPCS Mitomycin 80 (2 X 40) Mg Ul Solr 61 50 $80,350.00 $48,210.00 40% off $318.53 $76,332.50 $46,040.55 2026-07-15
J0638 HCPCS Canakinumab 150 Mg/ml Subcu Soln 61 50 $80,306.32 $48,183.79 40% off $141.60 $76,291.00 $46,015.52 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 35 31 $230,162.73 — $45,969.05 $186,275.02 $45,969.05 2026-07-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 14 — — $45,940.55 $45,940.55 $45,940.55 2026-07-15
4402 APR_DRG Kidney Transplant 14 14 — — $45,914.65 $45,914.65 $45,914.65 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $45,834.34 $45,834.34 $45,834.34 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 31 $257,110.51 — $45,697.95 $185,176.49 $45,697.95 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 14 14 — — $45,541.63 $45,541.63 $45,541.63 2026-07-15
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5ml IV Soln 61 50 $78,902.50 $47,341.50 40% off $217.09 $74,957.38 $45,211.13 2026-07-15
4014 APR_DRG Adrenal Procedures 14 14 — — $45,170.34 $45,170.34 $45,170.34 2026-07-15
5204 APR_DRG Other GYN Procedures For Malignancy 14 14 — — $45,003.69 $45,003.69 $45,003.69 2026-07-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 14 14 — — $44,986.42 $44,986.42 $44,986.42 2026-07-15
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 14 — — $44,809.41 $44,809.41 $44,809.41 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 14 — — $44,755.01 $44,755.01 $44,755.01 2026-07-15
4414 APR_DRG Major Bladder Procedures 14 14 — — $44,548.65 $44,548.65 $44,548.65 2026-07-15
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 61 50 $77,518.60 $46,511.16 40% off $59.41 $73,642.67 $44,418.16 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 31 $337,245.85 — $44,296.97 $179,499.45 $44,296.97 2026-07-15
1782 APR_DRG External Heart Assist Devices 14 14 — — $44,242.12 $44,242.12 $44,242.12 2026-07-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 14 — — $44,163.54 $44,163.54 $44,163.54 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 31 $336,501.00 — $44,079.70 $178,619.06 $44,079.70 2026-07-15
J9600 HCPCS Porfimer Sodium 75 Mg IV Solr 102 50 $74,487.82 $44,692.69 40% off $24,228.42 $70,763.43 $44,059.11 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 14 14 — — $44,040.93 $44,040.93 $44,040.93 2026-07-15
38240 CPT Hb-transplant Bmt/Psc Allogenic 61 50 $54,726.00 $32,835.60 40% off $22,328.21 $65,548.79 $43,780.80 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 35 31 $471,011.24 — $43,138.88 $174,806.67 $43,138.88 2026-07-15
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 14 14 — — $43,109.25 $43,109.25 $43,109.25 2026-07-15
4401 APR_DRG Kidney Transplant 14 14 — — $42,968.51 $42,968.51 $42,968.51 2026-07-15
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 14 14 — — $42,921.88 $42,921.88 $42,921.88 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 35 31 $185,462.76 — $42,853.04 $173,648.41 $42,853.04 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 35 31 $298,742.39 — $42,821.64 $173,521.15 $42,821.64 2026-07-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 14 14 — — $42,787.18 $42,787.18 $42,787.18 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 14 14 — — $42,759.55 $42,759.55 $42,759.55 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 14 14 — — $42,631.76 $42,631.76 $42,631.76 2026-07-15
1793 APR_DRG Defibrillator Implants 14 14 — — $42,630.03 $42,630.03 $42,630.03 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 35 31 — — $42,473.00 $220,928.00 $42,473.00 2026-07-15
33947 CPT Hb-ecmo Initiation, Veno-arterial 48 38 $67,477.00 $40,486.20 40% off $20,243.10 $64,103.15 $42,240.60 2026-07-15
33946 CPT Hb-ecmo Initiation, Veno-venous 48 38 $67,477.00 $40,486.20 40% off $20,243.10 $64,103.15 $42,240.60 2026-07-15
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 14 14 — — $42,198.30 $42,198.30 $42,198.30 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 14 14 — — $42,191.39 $42,191.39 $42,191.39 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 31 $130,664.82 — $42,140.37 $170,760.54 $42,140.37 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 31 $235,976.08 — $42,140.37 $170,760.54 $42,140.37 2026-07-15
8633 APR_DRG Neonatal Aftercare 14 14 — — $42,038.56 $42,038.56 $42,038.56 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 31 $239,221.84 — $41,987.20 $170,139.86 $41,987.20 2026-07-15
J1961 HCPCS Lenacapavir Sodium 463.5 Mg/1.5ml Subcu Soln 61 50 $73,240.00 $43,944.00 40% off $22.15 $69,578.00 $41,966.52 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 14 — — $41,871.91 $41,871.91 $41,871.91 2026-07-15
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 14 — — $41,817.51 $41,817.51 $41,817.51 2026-07-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 14 14 — — $41,741.53 $41,741.53 $41,741.53 2026-07-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 14 14 — — $41,709.58 $41,709.58 $41,709.58 2026-07-15
1814 APR_DRG Lower Extremity Vascular Procedures 14 14 — — $41,617.19 $41,617.19 $41,617.19 2026-07-15
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 14 — — $41,611.15 $41,611.15 $41,611.15 2026-07-15
J7169 HCPCS Coag Fact Xa Inactivated-zhzo 10 Mg/ml Extemp Infusion Low-dose 102 50 $41,364.59 $24,818.75 40% off $131.38 $82,623.25 $41,364.59 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 14 14 — — $41,257.99 $41,257.99 $41,257.99 2026-07-15
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 14 14 — — $41,241.58 $41,241.58 $41,241.58 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 31 $297,140.44 — $41,239.28 $167,109.16 $41,239.28 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 14 14 — — $41,010.18 $41,010.18 $41,010.18 2026-07-15
J7311 HCPCS Fluocinolone Acetonide 0.59 Mg Intravitreal Impl 61 50 $71,458.75 $42,875.25 40% off $340.31 $67,885.81 $40,945.86 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant 14 14 — — $40,666.52 $40,666.52 $40,666.52 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 14 — — $40,650.97 $40,650.97 $40,650.97 2026-07-15
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 14 14 — — $40,550.81 $40,550.81 $40,550.81 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 14 14 — — $40,471.37 $40,471.37 $40,471.37 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 14 14 — — $40,325.45 $40,325.45 $40,325.45 2026-07-15
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 14 14 — — $40,161.39 $40,161.39 $40,161.39 2026-07-15
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 14 14 — — $40,065.55 $40,065.55 $40,065.55 2026-07-15
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg IV Solr 61 50 $69,907.79 $41,944.67 40% off $136.67 $66,412.40 $40,057.16 2026-07-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 14 14 — — $40,042.23 $40,042.23 $40,042.23 2026-07-15
4034 APR_DRG Procedures For Obesity 14 14 — — $39,954.16 $39,954.16 $39,954.16 2026-07-15
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 14 — — $39,905.81 $39,905.81 $39,905.81 2026-07-15
1781 APR_DRG External Heart Assist Devices 14 14 — — $39,817.73 $39,817.73 $39,817.73 2026-07-15
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 14 14 — — $39,763.33 $39,763.33 $39,763.33 2026-07-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 14 14 — — $39,763.33 $39,763.33 $39,763.33 2026-07-15
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 14 14 — — $39,568.19 $39,568.19 $39,568.19 2026-07-15
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 14 14 — — $39,315.20 $39,315.20 $39,315.20 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 31 $201,883.98 — $39,276.24 $159,154.55 $39,276.24 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 35 31 $254,874.78 — $39,230.74 $158,970.16 $39,230.74 2026-07-15
J9210 HCPCS Emapalumab-lzsg 10 Mg/2ml IV Soln 143 50 $68,207.50 $40,924.50 40% off $384.85 $108,784.88 $39,082.90 2026-07-15
294 APR_DRG Other Percutaneous Intracranial Procedures 14 14 — — $39,050.98 $39,050.98 $39,050.98 2026-07-15
4844 APR_DRG Other Male Reproductive System And Related Procedures 14 14 — — $39,048.39 $39,048.39 $39,048.39 2026-07-15
9103 APR_DRG Craniotomy For Multiple Significant Trauma 14 14 — — $39,008.67 $39,008.67 $39,008.67 2026-07-15
4854 APR_DRG Prostatectomy Procedures 14 14 — — $38,956.86 $38,956.86 $38,956.86 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 31 $420,016.83 — $38,854.54 $157,445.72 $38,854.54 2026-07-15
264 APR_DRG Other Nervous System And Related Procedures 14 14 — — $38,809.21 $38,809.21 $38,809.21 2026-07-15
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 61 50 $67,686.07 $40,611.64 40% off $359.19 $64,301.77 $38,784.12 2026-07-15
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcu Sosy 61 50 $67,470.40 $40,482.24 40% off $127.45 $64,096.88 $38,660.54 2026-07-15
213 APR_DRG Open Craniotomy Except Trauma 14 14 — — $38,507.86 $38,507.86 $38,507.86 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 35 31 $166,645.21 — $38,506.53 $156,035.55 $38,506.53 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 35 31 $187,556.70 — $38,495.64 $155,991.40 $38,495.64 2026-07-15
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 14 14 — — $38,391.29 $38,391.29 $38,391.29 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 31 $240,316.89 — $38,216.85 $154,861.71 $38,216.85 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 36 32 $173,976.08 — $38,002.80 $156,412.00 $38,192.81 2026-07-15
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 14 — — $38,121.03 $38,121.03 $38,121.03 2026-07-15
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 14 — — $38,117.57 $38,117.57 $38,117.57 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 31 $166,709.09 — $38,091.24 $154,352.70 $38,091.24 2026-07-15
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 14 14 — — $38,025.18 $38,025.18 $38,025.18 2026-07-15
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 14 14 — — $37,906.89 $37,906.89 $37,906.89 2026-07-15
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 14 14 — — $37,706.57 $37,706.57 $37,706.57 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 31 $226,799.86 — $37,611.21 $152,407.54 $37,611.21 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 31 $226,571.36 — $37,586.86 $152,308.86 $37,586.86 2026-07-15
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 14 — — $37,573.59 $37,573.59 $37,573.59 2026-07-15
6504 APR_DRG Splenic Procedures 14 14 — — $37,556.32 $37,556.32 $37,556.32 2026-07-15
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 14 14 — — $37,516.60 $37,516.60 $37,516.60 2026-07-15
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 14 — — $37,293.83 $37,293.83 $37,293.83 2026-07-15
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 14 — — $37,217.85 $37,217.85 $37,217.85 2026-07-15
913 APR_DRG Other Major Head And Neck Procedures 14 14 — — $37,185.90 $37,185.90 $37,185.90 2026-07-15
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 14 — — $37,012.34 $37,012.34 $37,012.34 2026-07-15
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