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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

HIGH POINT REGIONAL HEALTH SYSTEM

High Point, NC · CCN 340004 · Rates published

3,909 distinct procedures filed
29 distinct payers
946,979 rate rows
2025-10-08 last MRF observed
Data quality

945,786 of 946,979 rate rows are consumer-grade (99.9%)

1,193 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-charges filed in the dollar field — excluded from medians 667
per-diem day rate — not a per-procedure price 218
exceeds 10× this hospital's gross charge — excluded from medians 213
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 95
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11240/560532309_high-point-regional-health_standardcharges.csv
Found on page https://atriumhealth.org/for-patients-visitors/financial-assistance/pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint bb309fcbf7fa7cae… · 2,160,188,326 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
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 14 $1,683,482.16 $4,980,785.15 $3,599,168.76 nat. median
$2,469,189
1.5× median
J1411
HCPCS 		Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 10 $2,537,500.00 $4,690,000.00 $2,563,750.00 nat. median
$3,710,000
0.7× median
J1413
HCPCS 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 12 $2,320,000.00 $4,800,000.00 $2,344,000.00 nat. median
$3,325,455
0.7× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 29 $462,274.85 $3,028,697.28 $1,909,673.33 nat. median
$674,188
outlier · 2.8×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 29 $459,545.69 $3,010,816.57 $1,898,399.08 nat. median
$625,184
outlier · 3.0×
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 29 $454,188.29 $2,975,716.35 $1,876,267.47 nat. median
$675,122
outlier · 2.8×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 29 $438,114.60 $2,870,406.00 $1,809,866.52 nat. median
$634,511
outlier · 2.9×
Q2042
HCPCS 		Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 29 $425,366.42 $3,383,140.05 $1,665,217.14 nat. median
$754,974
outlier · 2.2×
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 29 $368,880.00 $2,416,800.00 $1,523,856.00 nat. median
$620,080
outlier · 2.5×
C9399
HCPCS 		Omidubicel-onlv Intravenous Suspension 29 $27.87 $1,926,600.00 $658,288.80 nat. median
$2,476
outlier · 265.9×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $310,791.18 $538,595.35 $363,874.59 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $160,366.00 $402,285.58 $271,783.81 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $195,499.59 $338,797.17 $228,891.10 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 12 $176,617.82 $306,075.40 $206,784.29 nat. median
$202,986
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 12 $116,445.33 $201,797.60 $136,334.29 nat. median
$133,176
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $107,971.93 $187,113.36 $126,413.63 nat. median
$117,303
1.1× median
7
MS_DRG 		Lung Transplant 12 $107,699.98 $186,642.07 $126,095.23 nat. median
$122,708
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $90,813.35 $160,366.00 $106,324.35 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $89,776.63 $155,581.23 $105,110.56 nat. median
$102,358
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $87,761.71 $152,089.41 $102,751.48 nat. median
$100,136
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 12 $87,311.75 $151,309.64 $102,224.67 nat. median
$99,019
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $86,327.77 $149,604.43 $101,072.63 nat. median
$98,905
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $79,534.72 $137,832.18 $93,119.31 nat. median
$93,672
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $75,915.27 $131,559.75 $88,881.66 nat. median
$83,442
1.1× median
224
MS_DRG 		Carveouts 1 $83,080.00 $83,080.00 $83,080.00 nat. median
$54,196
1.5× median
222
MS_DRG 		Carveouts 1 $83,080.00 $83,080.00 $83,080.00 nat. median
$63,570
1.3× median
225
MS_DRG 		Carveouts 1 $83,080.00 $83,080.00 $83,080.00 nat. median
$48,649
1.7× median
223
MS_DRG 		Carveouts 1 $83,080.00 $83,080.00 $83,080.00 nat. median
$44,728
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $69,833.41 $121,020.00 $81,761.02 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $69,794.68 $120,952.88 $81,715.67 nat. median
$81,118
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $68,734.88 $119,116.28 $80,474.86 nat. median
$82,712
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $66,431.53 $115,124.60 $77,778.09 nat. median
$77,576
1.0× median
10
MS_DRG 		Pancreas Transplant 12 $65,705.49 $113,866.40 $76,928.05 nat. median
$68,882
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $65,328.88 $113,213.73 $76,487.11 nat. median
$71,240
1.1× median
230
MS_DRG 		Carveouts 1 $75,912.00 $75,912.00 $75,912.00 nat. median
$29,793
outlier · 2.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $64,414.95 $111,629.92 $75,417.08 nat. median
$73,807
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $63,764.74 $110,503.11 $74,655.81 nat. median
$74,915
1.0× median
227
MS_DRG 		Carveouts 1 $72,547.00 $72,547.00 $72,547.00 nat. median
$39,020
1.9× median
226
MS_DRG 		Carveouts 1 $72,547.00 $72,547.00 $72,547.00 nat. median
$49,935
1.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $61,512.47 $106,599.97 $72,018.86 nat. median
$72,138
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $58,533.35 $101,437.21 $68,530.90 nat. median
$68,090
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $58,239.15 $100,927.36 $68,186.44 nat. median
$68,887
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $57,328.52 $99,349.25 $67,120.28 nat. median
$66,526
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $56,272.02 $97,518.37 $65,883.33 nat. median
$64,732
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $55,253.43 $95,753.17 $64,690.77 nat. median
$63,738
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 $55,040.81 $95,384.71 $64,441.83 nat. median
$64,027
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $54,947.69 $95,223.33 $64,332.81 nat. median
$65,950
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $53,296.20 $92,361.32 $62,399.23 nat. median
$62,134
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $53,219.55 $96,065.00 $62,309.50 nat. median
$64,510
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $52,118.56 $90,320.49 $61,020.45 nat. median
$60,185
1.0× median

Other procedures at this hospital

Browse this hospital's 3,909 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
             
374 MS_DRG Digestive Malignancy With Mcc 18 12 — — $17,400.05 $30,153.96 $20,371.99 2025-10-08
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 18 12 — — $17,400.05 $30,153.96 $20,371.99 2025-10-08
336 MS_DRG Peritoneal Adhesiolysis With Cc 18 12 — — $17,407.46 $30,166.81 $20,380.67 2025-10-08
595 MS_DRG Major Skin Disorders With Mcc 18 12 — — $17,430.54 $30,206.80 $20,407.69 2025-10-08
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 18 12 — — $17,478.34 $30,289.63 $20,463.65 2025-10-08
333 MS_DRG Rectal Resection With Cc 18 12 — — $17,514.60 $30,352.47 $20,506.11 2025-10-08
412 MS_DRG Cholecystectomy With C.d.e. With Cc 18 12 — — $17,566.52 $30,442.45 $20,566.89 2025-10-08
32 MS_DRG Ventricular Shunt Procedures With Cc 18 12 — — $17,599.48 $30,499.57 $20,605.49 2025-10-08
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 18 12 — — $17,601.13 $30,502.43 $20,607.42 2025-10-08
835 MS_DRG Acute Leukemia With Cc 18 12 — — $17,601.95 $30,503.86 $20,608.38 2025-10-08
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 18 12 — — $17,671.18 $30,623.82 $20,689.43 2025-10-08
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 18 12 — — $17,683.54 $30,645.24 $20,703.90 2025-10-08
141 MS_DRG Major Head And Neck Procedures With Cc 18 12 — — $17,705.79 $30,683.80 $20,729.95 2025-10-08
314 MS_DRG Other Circulatory System Diagnoses With Mcc 18 12 — — $17,746.99 $30,755.21 $20,778.20 2025-10-08
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 18 12 — — $17,778.31 $30,809.48 $20,814.86 2025-10-08
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 18 12 — — $17,877.20 $30,980.86 $20,930.64 2025-10-08
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 18 12 — — $17,956.31 $31,117.96 $21,023.27 2025-10-08
906 MS_DRG Hand Procedures For Injuries 18 12 — — $17,985.98 $31,169.37 $21,058.00 2025-10-08
935 MS_DRG Non-extensive Burns 18 12 — — $18,100.53 $31,367.89 $21,192.12 2025-10-08
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 18 12 — — $18,125.26 $31,410.73 $21,221.06 2025-10-08
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 18 12 — — $18,239.81 $31,609.24 $21,355.18 2025-10-08
30 MS_DRG Spinal Procedures Without Cc/mcc 18 12 — — $18,339.52 $31,782.05 $21,471.93 2025-10-08
0505T CPT Hc Ev Fempop Artl Revsc Tcat Plmt IV St Grf & Clsr 71 29 $35,874.00 $17,937.00 50% off $5,201.73 $34,080.30 $21,488.53 2025-10-08
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 18 12 — — $18,397.21 $31,882.02 $21,539.47 2025-10-08
709 MS_DRG Penis Procedures With Cc/mcc 18 12 — — $18,518.35 $32,091.96 $21,681.30 2025-10-08
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 18 12 — — $18,534.83 $32,120.52 $21,700.60 2025-10-08
357 MS_DRG Other Digestive System O.r. Procedures With Cc 18 12 — — $18,558.73 $32,161.94 $21,728.58 2025-10-08
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 18 12 — — $18,565.32 $41,331.00 $21,736.30 2025-10-08
113 MS_DRG Orbital Procedures With Cc/mcc 18 12 — — $18,596.64 $32,227.63 $21,772.96 2025-10-08
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 18 12 — — $18,609.83 $32,250.48 $21,788.40 2025-10-08
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 18 12 — — $18,610.65 $32,251.91 $21,789.37 2025-10-08
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 18 12 — — $18,674.11 $32,361.88 $21,863.66 2025-10-08
36906 CPT Hc Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 72 29 $36,600.00 $18,300.00 50% off $5,307.00 $34,770.00 $21,923.40 2025-10-08
35 MS_DRG Carotid Artery Stent Procedures With Cc 18 12 — — $18,746.63 $32,487.56 $21,948.57 2025-10-08
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 18 12 — — $18,781.24 $32,547.54 $21,989.09 2025-10-08
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 18 12 — — $18,816.68 $32,608.95 $22,030.58 2025-10-08
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 12 — — $18,874.36 $32,708.92 $22,098.12 2025-10-08
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 18 12 — — $18,905.68 $32,763.19 $22,134.78 2025-10-08
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 12 — — $19,023.52 $32,967.41 $22,272.76 2025-10-08
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 18 12 — — $19,058.14 $37,234.00 $22,313.28 2025-10-08
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 18 12 — — $19,076.27 $33,240.00 $22,334.51 2025-10-08
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 18 12 — — $19,120.77 $33,135.94 $22,386.61 2025-10-08
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 18 12 — — $19,272.40 $33,398.72 $22,564.15 2025-10-08
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 12 — — $19,447.94 $33,702.91 $22,769.66 2025-10-08
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 12 — — $19,479.25 $33,757.18 $22,806.32 2025-10-08
347 MS_DRG Anal And Stomal Procedures With Mcc 18 12 — — $19,504.80 $33,801.45 $22,836.24 2025-10-08
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 18 12 — — $19,509.74 $33,810.02 $22,842.02 2025-10-08
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 12 — — $19,584.74 $33,939.98 $22,929.83 2025-10-08
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 18 12 — — $19,755.33 $34,235.61 $23,129.55 2025-10-08
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 18 12 — — $19,755.33 $34,235.61 $23,129.55 2025-10-08
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 18 12 — — $19,786.64 $34,289.88 $23,166.22 2025-10-08
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 18 12 — — $19,869.88 $34,434.12 $23,263.67 2025-10-08
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 18 12 — — $19,932.51 $34,542.66 $23,337.00 2025-10-08
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 18 12 — — $20,009.97 $34,676.91 $23,427.69 2025-10-08
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 12 — — $20,176.44 $34,965.40 $23,622.59 2025-10-08
792 MS_DRG Prematurity Without Major Problems 14 11 — — $20,187.98 $34,985.39 $23,636.10 2025-10-08
33262 CPT Hc Remove/replace Icd Single 73 29 $39,614.00 $19,807.00 50% off $5,744.03 $37,633.30 $23,728.78 2025-10-08
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 18 12 — — $20,337.14 $35,243.89 $23,810.74 2025-10-08
397 MS_DRG Appendix Procedures With Mcc 18 12 — — $20,419.55 $35,386.70 $23,907.23 2025-10-08
33230 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/exist Dual Leads 71 29 $40,070.00 $20,035.00 50% off $5,810.15 $38,066.50 $24,001.93 2025-10-08
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 18 12 — — $20,620.63 $35,735.17 $24,142.65 2025-10-08
56 MS_DRG Degenerative Nervous System Disorders With Mcc 18 12 — — $20,636.29 $35,762.30 $24,160.98 2025-10-08
164 MS_DRG Major Chest Procedures With Cc 18 12 — — $20,742.60 $35,946.54 $24,285.45 2025-10-08
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 12 — — $20,807.70 $36,059.36 $24,361.67 2025-10-08
545 MS_DRG Connective Tissue Disorders With Mcc 18 12 — — $20,824.18 $36,087.92 $24,380.97 2025-10-08
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 18 12 — — $20,891.76 $36,205.03 $24,460.09 2025-10-08
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 18 12 — — $20,999.72 $36,392.12 $24,586.49 2025-10-08
253 MS_DRG Other Vascular Procedures With Cc 18 12 — — $21,039.27 $46,204.00 $24,632.80 2025-10-08
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 18 12 — — $21,045.87 $36,472.09 $24,640.52 2025-10-08
33263 CPT Hc Remove/replace Icd Dual 74 29 $41,220.00 $20,610.00 50% off $5,976.90 $39,159.00 $24,690.78 2025-10-08
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 12 — — $21,297.22 $36,907.68 $24,934.80 2025-10-08
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 18 12 — — $21,332.65 $36,969.09 $24,976.29 2025-10-08
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 12 — — $21,562.58 $37,367.54 $25,245.48 2025-10-08
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 18 12 — — $21,618.62 $37,464.66 $25,311.09 2025-10-08
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 18 12 — — $21,788.38 $37,758.86 $25,509.85 2025-10-08
503 MS_DRG Foot Procedures With Mcc 18 12 — — $21,810.63 $37,797.42 $25,535.91 2025-10-08
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 18 12 — — $21,838.65 $37,845.98 $25,568.71 2025-10-08
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 18 12 — — $21,865.85 $37,893.10 $25,600.55 2025-10-08
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 18 12 — — $21,944.13 $38,028.78 $25,692.21 2025-10-08
849 MS_DRG Radiotherapy 18 12 — — $22,012.54 $38,147.31 $25,772.30 2025-10-08
263 MS_DRG Vein Ligation And Stripping 18 12 — — $22,103.19 $38,304.41 $25,878.43 2025-10-08
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 12 — — $22,117.20 $38,328.69 $25,894.83 2025-10-08
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 12 — — $22,205.37 $38,481.50 $25,998.07 2025-10-08
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 12 — — $22,278.72 $38,608.61 $26,083.94 2025-10-08
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 12 — — $22,388.32 $38,798.55 $26,212.27 2025-10-08
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 12 — — $22,469.09 $38,938.51 $26,306.83 2025-10-08
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 12 — — $22,510.29 $41,081.00 $26,355.07 2025-10-08
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 18 12 — — $22,550.67 $39,079.90 $26,402.35 2025-10-08
0933T CPT Hc Transcath Implant Wireless L Atrial Pressure Sensor 71 29 $44,758.00 $22,379.00 50% off $6,156.00 $42,520.10 $26,810.04 2025-10-08
33340 CPT Hc Perq Clsr Tcat L Atr Apndge W/endocardial Implnt 71 29 $44,758.00 $22,379.00 50% off $6,156.00 $42,520.10 $26,810.04 2025-10-08
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 18 12 — — $23,120.13 $40,066.75 $27,069.06 2025-10-08
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 18 12 — — $23,144.02 $40,108.16 $27,097.04 2025-10-08
654 MS_DRG Major Bladder Procedures With Cc 18 12 — — $23,256.93 $40,303.82 $27,229.23 2025-10-08
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 18 12 — — $23,460.48 $40,656.57 $27,467.55 2025-10-08
93653 CPT Hc Ep Ephys Eval W/ablation Supravent Arrhythmia 72 29 $46,000.00 $23,000.00 50% off $6,670.00 $43,700.00 $27,554.00 2025-10-08
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 18 12 — — $23,553.60 $40,817.96 $27,576.58 2025-10-08
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 18 12 — — $23,586.57 $40,875.08 $27,615.17 2025-10-08
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 18 12 — — $23,600.58 $40,899.36 $27,631.57 2025-10-08
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 12 — — $23,627.77 $40,946.49 $27,663.42 2025-10-08
472 MS_DRG Cervical Spinal Fusion With Cc 18 12 — — $23,875.83 $41,376.36 $27,953.84 2025-10-08
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 12 — — $23,999.44 $41,590.58 $28,098.57 2025-10-08
800 MS_DRG Splenic Procedures With Cc 18 12 — — $24,012.63 $41,613.43 $28,114.00 2025-10-08
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 18 12 — — $24,020.04 $41,626.29 $28,122.69 2025-10-08
668 MS_DRG Transurethral Procedures With Mcc 18 12 — — $24,033.23 $41,649.14 $28,138.12 2025-10-08
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 12 — — $24,170.85 $41,887.64 $28,299.26 2025-10-08
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 12 — — $24,236.78 $42,001.89 $28,376.44 2025-10-08
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 12 — — $24,299.41 $42,110.43 $28,449.77 2025-10-08
974 MS_DRG HIV With Major Related Condition With Mcc 18 12 — — $24,609.27 $42,647.42 $28,812.56 2025-10-08
570 MS_DRG Skin Debridement With Mcc 18 12 — — $24,807.06 $42,990.17 $29,044.13 2025-10-08
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 12 — — $25,205.92 $43,681.40 $29,511.12 2025-10-08
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 18 12 — — $25,288.33 $43,824.21 $29,607.60 2025-10-08
652 MS_DRG Kidney Transplant 18 12 — — $25,311.41 $43,864.20 $29,634.62 2025-10-08
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 12 — — $25,413.60 $44,041.29 $29,754.26 2025-10-08
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 18 12 — — $25,431.73 $44,072.71 $29,775.49 2025-10-08
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 12 — — $25,484.47 $44,164.11 $29,837.24 2025-10-08
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 12 — — $25,599.02 $75,912.00 $29,971.35 2025-10-08
662 MS_DRG Minor Bladder Procedures With Mcc 18 12 — — $25,708.62 $44,552.57 $30,099.68 2025-10-08
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 12 — — $25,720.16 $44,572.56 $30,113.19 2025-10-08
500 MS_DRG Soft Tissue Procedures With Mcc 18 12 — — $26,113.26 $45,253.79 $30,573.42 2025-10-08
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 12 — — $26,156.93 $45,329.48 $30,624.56 2025-10-08
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 18 12 — — $26,209.68 $45,420.88 $30,686.31 2025-10-08
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 12 — — $26,280.55 $45,543.70 $30,769.29 2025-10-08
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 12 — — $26,330.82 $45,630.82 $30,828.15 2025-10-08
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 12 — — $26,407.46 $45,763.64 $30,917.88 2025-10-08
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 12 — — $26,530.25 $45,976.43 $31,061.64 2025-10-08
33270 CPT Hc Insert/replace Subq Defibrillator 71 29 $52,014.00 $26,007.00 50% off $6,156.00 $49,413.30 $31,156.38 2025-10-08
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 12 — — $26,849.18 $46,529.13 $31,435.04 2025-10-08
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 12 — — $26,860.72 $46,549.12 $31,448.55 2025-10-08
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 12 — — $26,937.36 $46,681.94 $31,538.28 2025-10-08
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 12 — — $27,210.96 $47,156.08 $31,858.61 2025-10-08
37 MS_DRG Extracranial Procedures With Mcc 18 12 — — $27,367.54 $47,427.43 $32,041.94 2025-10-08
33264 CPT Hc Remove/replace Icd Biv 74 29 $53,533.00 $26,766.50 50% off $6,156.00 $50,856.35 $32,066.26 2025-10-08
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 12 — — $27,662.56 $47,938.71 $32,387.35 2025-10-08
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 12 — — $27,953.47 $48,442.85 $32,727.95 2025-10-08
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 12 — — $26,712.00 $48,645.65 $32,864.96 2025-10-08
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 12 — — $28,227.07 $48,916.99 $33,048.28 2025-10-08
252 MS_DRG Other Vascular Procedures With Mcc 18 12 — — $28,269.93 $48,991.26 $33,098.45 2025-10-08
665 MS_DRG Prostatectomy With Mcc 18 12 — — $28,296.30 $49,036.96 $33,129.33 2025-10-08
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 12 — — $28,340.80 $49,114.08 $33,181.43 2025-10-08
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 12 — — $28,385.30 $49,191.20 $33,233.53 2025-10-08
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 12 — — $28,554.24 $49,483.97 $33,431.33 2025-10-08
332 MS_DRG Rectal Resection With Mcc 18 12 — — $28,585.56 $49,538.24 $33,467.99 2025-10-08
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 12 — — $28,616.87 $49,592.51 $33,504.66 2025-10-08
264 MS_DRG Other Circulatory System O.r. Procedures 18 12 — — $28,803.12 $49,915.27 $33,722.72 2025-10-08
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 12 — — $28,854.21 $50,003.82 $33,782.54 2025-10-08
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 12 — — $28,865.75 $50,023.81 $33,796.05 2025-10-08
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 12 — — $28,874.82 $50,039.52 $33,806.66 2025-10-08
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 12 — — $29,013.26 $50,279.45 $33,968.76 2025-10-08
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 12 — — $29,086.61 $50,406.55 $34,054.63 2025-10-08
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 12 — — $29,094.03 $50,419.41 $34,063.31 2025-10-08
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 12 — — $29,265.44 $50,716.46 $34,264.00 2025-10-08
33249 CPT Hc Implant Aicd Dual Chamber W Lea 71 29 $57,216.00 $28,608.00 50% off $6,156.00 $54,355.20 $34,272.39 2025-10-08
265 MS_DRG Aicd Lead Procedures 18 12 — — $29,397.30 $50,944.97 $34,418.38 2025-10-08
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 12 — — $29,535.74 $51,184.90 $34,580.47 2025-10-08
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 12 — — $29,540.69 $51,193.46 $34,586.26 2025-10-08
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 12 — — $29,542.34 $51,196.32 $34,588.19 2025-10-08
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 12 — — $29,860.44 $51,747.59 $34,960.63 2025-10-08
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 12 — — $30,068.94 $52,108.91 $35,204.74 2025-10-08
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 12 — — $30,837.82 $53,441.37 $36,104.95 2025-10-08
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 12 — — $31,085.88 $53,871.25 $36,395.37 2025-10-08
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $31,329.81 $54,293.98 $36,680.97 2025-10-08
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 12 — — $31,500.40 $54,589.61 $36,880.69 2025-10-08
93654 CPT Hc Ep Ephys Eval W/ablation Ventricular Tachycardia 71 29 $61,637.00 $30,818.50 50% off $8,937.37 $58,555.15 $36,920.57 2025-10-08
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 12 — — $31,730.32 $54,988.06 $37,149.89 2025-10-08
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 12 — — $31,819.33 $55,142.30 $37,254.09 2025-10-08
93656 CPT Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 74 29 $62,230.00 $31,115.00 50% off $9,023.35 $59,118.50 $37,275.77 2025-10-08
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 12 — — $31,851.47 $55,198.00 $37,291.72 2025-10-08
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 12 — — $32,046.78 $55,536.47 $37,520.39 2025-10-08
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 12 — — $32,224.78 $56,070.00 $37,728.80 2025-10-08
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 12 — — $32,240.44 $55,872.08 $37,747.14 2025-10-08
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 12 — — $32,383.83 $56,120.58 $37,915.02 2025-10-08
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 12 — — $32,449.76 $56,234.83 $37,992.21 2025-10-08
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 12 — — $32,516.51 $56,350.51 $38,070.36 2025-10-08
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 12 — — $32,806.60 $56,853.22 $38,409.99 2025-10-08
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 12 — — $32,829.67 $56,893.21 $38,437.01 2025-10-08
249 MS_DRG Carveouts 1 1 — — $38,815.00 $38,815.00 $38,815.00 2025-10-08
247 MS_DRG Carveouts 1 1 — — $38,815.00 $38,815.00 $38,815.00 2025-10-08
791 MS_DRG Prematurity With Major Problems 14 11 — — $33,457.64 $57,981.46 $39,172.23 2025-10-08
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 12 — — $33,519.44 $58,088.57 $39,244.59 2025-10-08
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 12 — — $33,652.12 $58,318.51 $39,399.94 2025-10-08
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 12 — — $33,818.59 $58,606.99 $39,594.84 2025-10-08
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 12 — — $33,868.86 $58,694.11 $39,653.69 2025-10-08
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 12 — — $33,887.82 $67,992.00 $39,675.88 2025-10-08
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 12 — — $34,288.33 $59,421.04 $40,144.81 2025-10-08
793 MS_DRG Full Term Neonate With Major Problems 14 11 — — $34,369.09 $59,561.00 $40,239.36 2025-10-08
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 12 — — $34,526.49 $59,833.77 $40,423.65 2025-10-08
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 12 — — $34,534.73 $59,848.05 $40,433.30 2025-10-08
140 MS_DRG Major Head And Neck Procedures With Mcc 18 12 — — $34,852.84 $60,399.32 $40,805.73 2025-10-08
246 MS_DRG Carveouts 1 1 — — $40,820.00 $40,820.00 $40,820.00 2025-10-08
248 MS_DRG Carveouts 1 1 — — $40,820.00 $40,820.00 $40,820.00 2025-10-08
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 12 — — $35,101.72 $60,830.62 $41,097.12 2025-10-08
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 12 — — $35,153.63 $60,920.59 $41,157.91 2025-10-08
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $35,584.64 $61,667.52 $41,662.53 2025-10-08
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 12 — — $35,657.98 $61,794.62 $41,748.40 2025-10-08
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 12 — — $36,201.06 $62,735.77 $42,384.24 2025-10-08
901 MS_DRG Wound Debridements For Injuries With Mcc 18 12 — — $36,511.75 $63,274.19 $42,747.99 2025-10-08
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 12 — — $36,856.22 $63,871.15 $43,151.30 2025-10-08
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 12 — — $36,958.41 $64,048.24 $43,270.94 2025-10-08
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 12 — — $37,180.10 $64,432.42 $43,530.49 2025-10-08
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 12 — — $37,841.85 $65,579.22 $44,305.27 2025-10-08
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $37,847.62 $78,553.00 $44,312.02 2025-10-08
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 12 — — $37,968.76 $65,799.15 $44,453.86 2025-10-08
163 MS_DRG Major Chest Procedures With Mcc 18 12 — — $37,984.42 $65,826.29 $44,472.19 2025-10-08
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 12 — — $38,336.31 $66,436.11 $44,884.18 2025-10-08
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 12 — — $38,563.76 $66,830.28 $45,150.48 2025-10-08
77301 CPT Hc Imrt Planning 76 29 $76,006.00 $38,003.00 50% off $679.00 $72,205.70 $45,223.57 2025-10-08
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 12 — — $38,771.43 $98,231.00 $45,393.63 2025-10-08
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 71 29 $75,885.00 $37,942.50 50% off $6,156.00 $72,090.75 $45,455.11 2025-10-08
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 12 — — $39,176.89 $67,892.82 $45,868.34 2025-10-08
799 MS_DRG Splenic Procedures With Mcc 18 12 — — $39,184.31 $67,905.68 $45,877.02 2025-10-08
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 12 — — $39,354.90 $68,201.30 $46,076.75 2025-10-08
6 MS_DRG Liver Transplant Without Mcc 18 12 — — $39,962.26 $69,253.85 $46,787.85 2025-10-08
471 MS_DRG Cervical Spinal Fusion With Mcc 18 12 — — $40,029.01 $69,369.53 $46,866.00 2025-10-08
245 MS_DRG Aicd Generator Procedures 18 12 — — $40,272.12 $69,790.83 $47,150.63 2025-10-08
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 12 — — $41,067.38 $75,912.00 $48,081.72 2025-10-08
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 12 — — $41,215.71 $71,426.07 $48,255.39 2025-10-08
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 12 — — $41,232.20 $71,454.63 $48,274.69 2025-10-08
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 12 — — $41,264.34 $71,510.33 $48,312.32 2025-10-08
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 12 — — $41,509.09 $71,934.49 $48,598.88 2025-10-08
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 12 — — $41,856.04 $72,535.74 $49,005.09 2025-10-08
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 12 — — $41,984.60 $72,758.53 $49,155.60 2025-10-08
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 12 — — $42,301.05 $73,306.94 $49,526.11 2025-10-08
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 12 — — $42,441.97 $73,551.15 $49,691.10 2025-10-08
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $43,650.10 $78,553.00 $51,105.58 2025-10-08
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 12 — — $43,843.77 $77,281.00 $51,332.32 2025-10-08
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $44,462.67 $77,052.98 $52,056.93 2025-10-08
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 12 — — $44,467.61 $77,061.55 $52,062.72 2025-10-08
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 12 — — $44,509.64 $77,134.38 $52,111.93 2025-10-08
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 12 — — $44,737.92 $77,529.98 $52,379.19 2025-10-08
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 12 — — $44,840.11 $77,707.07 $52,498.83 2025-10-08
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 12 — — $45,082.39 $78,126.95 $52,782.50 2025-10-08
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $45,359.29 $78,606.80 $53,106.69 2025-10-08
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 12 — — $45,550.48 $78,938.13 $53,330.54 2025-10-08
834 MS_DRG Acute Leukemia With Mcc 18 12 — — $45,550.48 $78,938.13 $53,330.54 2025-10-08
653 MS_DRG Major Bladder Procedures With Mcc 18 12 — — $45,940.28 $79,613.65 $53,786.92 2025-10-08
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $47,015.73 $81,477.39 $55,046.06 2025-10-08
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $47,298.40 $81,967.24 $55,377.00 2025-10-08
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 12 — — $47,981.57 $83,151.18 $56,176.87 2025-10-08
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 12 — — $48,491.69 $84,035.20 $56,774.12 2025-10-08
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 11 — — $48,991.10 $84,900.66 $57,358.82 2025-10-08
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $49,028.18 $96,065.00 $57,402.24 2025-10-08
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 12 — — $49,370.18 $130,825.00 $57,802.65 2025-10-08
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 12 — — $49,741.85 $86,201.71 $58,237.80 2025-10-08
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 12 — — $49,741.85 $86,201.71 $58,237.80 2025-10-08
28 MS_DRG Spinal Procedures With Mcc 18 12 — — $50,101.16 $86,824.38 $58,658.48 2025-10-08
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 12 — — $50,341.80 $91,668.00 $58,940.22 2025-10-08
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 12 — — $50,572.54 $87,641.28 $59,210.38 2025-10-08
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $50,749.73 $87,948.33 $59,417.82 2025-10-08
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 12 — — $50,982.12 $88,351.07 $59,689.91 2025-10-08
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 12 — — $51,048.05 $88,465.32 $59,767.10 2025-10-08
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 12 — — $52,118.56 $90,320.49 $61,020.45 2025-10-08
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $53,219.55 $96,065.00 $62,309.50 2025-10-08
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 12 — — $53,296.20 $92,361.32 $62,399.23 2025-10-08
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 12 — — $54,947.69 $95,223.33 $64,332.81 2025-10-08
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 12 — — $55,040.81 $95,384.71 $64,441.83 2025-10-08
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 12 — — $55,253.43 $95,753.17 $64,690.77 2025-10-08
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 12 — — $56,272.02 $97,518.37 $65,883.33 2025-10-08
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 12 — — $57,328.52 $99,349.25 $67,120.28 2025-10-08
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 12 — — $58,239.15 $100,927.36 $68,186.44 2025-10-08
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $58,533.35 $101,437.21 $68,530.90 2025-10-08
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 12 — — $61,512.47 $106,599.97 $72,018.86 2025-10-08
227 MS_DRG Carveouts 1 1 — — $72,547.00 $72,547.00 $72,547.00 2025-10-08
226 MS_DRG Carveouts 1 1 — — $72,547.00 $72,547.00 $72,547.00 2025-10-08
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $63,764.74 $110,503.11 $74,655.81 2025-10-08
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 12 — — $64,414.95 $111,629.92 $75,417.08 2025-10-08
230 MS_DRG Carveouts 1 1 — — $75,912.00 $75,912.00 $75,912.00 2025-10-08
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 12 — — $65,328.88 $113,213.73 $76,487.11 2025-10-08
10 MS_DRG Pancreas Transplant 18 12 — — $65,705.49 $113,866.40 $76,928.05 2025-10-08
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 12 — — $66,431.53 $115,124.60 $77,778.09 2025-10-08
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 12 — — $68,734.88 $119,116.28 $80,474.86 2025-10-08
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $69,794.68 $120,952.88 $81,715.67 2025-10-08
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 12 — — $69,833.41 $121,020.00 $81,761.02 2025-10-08
224 MS_DRG Carveouts 1 1 — — $83,080.00 $83,080.00 $83,080.00 2025-10-08
222 MS_DRG Carveouts 1 1 — — $83,080.00 $83,080.00 $83,080.00 2025-10-08
225 MS_DRG Carveouts 1 1 — — $83,080.00 $83,080.00 $83,080.00 2025-10-08
223 MS_DRG Carveouts 1 1 — — $83,080.00 $83,080.00 $83,080.00 2025-10-08
850 MS_DRG Acute Leukemia With Other Procedures 18 12 — — $75,915.27 $131,559.75 $88,881.66 2025-10-08
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $79,534.72 $137,832.18 $93,119.31 2025-10-08
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $86,327.77 $149,604.43 $101,072.63 2025-10-08
215 MS_DRG Other Heart Assist System Implant 18 12 — — $87,311.75 $151,309.64 $102,224.67 2025-10-08
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 12 — — $87,761.71 $152,089.41 $102,751.48 2025-10-08
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 12 — — $89,776.63 $155,581.23 $105,110.56 2025-10-08
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 12 — — $90,813.35 $160,366.00 $106,324.35 2025-10-08
7 MS_DRG Lung Transplant 18 12 — — $107,699.98 $186,642.07 $126,095.23 2025-10-08
14 MS_DRG Allogeneic Bone Marrow Transplant 18 12 — — $107,971.93 $187,113.36 $126,413.63 2025-10-08
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 18 12 — — $116,445.33 $201,797.60 $136,334.29 2025-10-08
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 18 12 — — $176,617.82 $306,075.40 $206,784.29 2025-10-08
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 12 — — $195,499.59 $338,797.17 $228,891.10 2025-10-08
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 12 — — $160,366.00 $402,285.58 $271,783.81 2025-10-08
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 12 — — $310,791.18 $538,595.35 $363,874.59 2025-10-08
C9399 HCPCS Omidubicel-onlv Intravenous Suspension 111 29 $2,028,000.00 $1,014,000.00 50% off $27.87 $1,926,600.00 $658,288.80 2025-10-08
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 71 29 $2,544,000.00 $1,272,000.00 50% off $368,880.00 $2,416,800.00 $1,523,856.00 2025-10-08
Q2042 HCPCS Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 111 29 $2,933,561.50 $1,466,780.75 50% off $425,366.42 $3,383,140.05 $1,665,217.14 2025-10-08
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 71 29 $3,021,480.00 $1,510,740.00 50% off $438,114.60 $2,870,406.00 $1,809,866.52 2025-10-08
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 71 29 $3,132,333.00 $1,566,166.50 50% off $454,188.29 $2,975,716.35 $1,876,267.47 2025-10-08
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 71 29 $3,169,280.60 $1,584,640.30 50% off $459,545.69 $3,010,816.57 $1,898,399.08 2025-10-08
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 71 29 $3,188,102.40 $1,594,051.20 50% off $462,274.85 $3,028,697.28 $1,909,673.33 2025-10-08
J1413 HCPCS Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 12 12 — — $2,320,000.00 $4,800,000.00 $2,344,000.00 2025-10-08
J1411 HCPCS Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 10 10 — — $2,537,500.00 $4,690,000.00 $2,563,750.00 2025-10-08
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 24 14 — — $1,683,482.16 $4,980,785.15 $3,599,168.76 2025-10-08
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