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

NOVANT HEALTH FORSYTH MEDICAL CENTER

Winston-salem, NC · CCN 340014 · Rates published

20,849 distinct procedures filed
29 distinct payers
2,389,881 rate rows
2026-05-06 last MRF observed
Data quality

1,581,676 of 2,389,881 rate rows are consumer-grade (66.2%)

808,205 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 745,983
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 52,336
exceeds 10× this hospital's gross charge — excluded from medians 9,474
per-diem day rate — not a per-procedure price 289
placeholder amount (≤ $0.02) — excluded from medians 99
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/56-0928089_novant_health_forsyth_medical_center_standardcharges.csv
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-07-31
Content fingerprint 7024264950ccc444… · 24,671,677 bytes · first seen 2026-05-05

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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
J3391
HCPCS 		Injection, Atidarsagene Autotemcel, Per Treatment 7 $4,276,596.50 $4,490,426.33 $4,276,596.50 nat. median
$4,505,000
0.9× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,498,423.65 $4,496,025.34 $3,542,153.95 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 23 $2,330,636.50 $4,661,273.00 $3,495,954.75 nat. median
$2,460,273
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 23 $2,213,767.60 $4,427,535.20 $3,320,651.40 nat. median
$2,405,851
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,148,317.94 $4,055,977.72 $3,187,671.92 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 7 $3,083,749.52 $3,978,853.10 $3,122,296.39 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,796,390.98 $3,599,837.74 $2,831,345.87 nat. median
$2,997,086
0.9× median
820
OTHER 		Anesth Abdominal Wall Surg 6 $66,513.70 $4,425,277.39 $2,178,414.38 nat. median
$1,965
outlier · 1108.6×
789
OTHER 		Neonates, Died Or Transferred To Another Acute Care Facility 6 $20,013.40 $1,331,527.89 $1,268,121.80 nat. median
$14,147
outlier · 89.6×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 23 $731,549.57 $1,463,099.14 $1,097,324.35 nat. median
$809,151
1.4× median
411
OTHER 		Cholecystectomy With C.d.e. With Mcc 6 $33,444.40 $2,225,116.74 $1,095,349.70 nat. median
$27,395
outlier · 40.0×
625
OTHER 		Anes Spine Tranthor Without Vent 6 $32,133.20 $2,137,880.22 $1,052,406.12 nat. median
$23,704
outlier · 44.4×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 23 $561,725.68 $1,127,511.66 $844,618.67 nat. median
$691,418
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 23 $537,179.39 $1,077,636.42 $807,407.91 nat. median
$631,793
1.3× median
821
OTHER 		Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 $24,553.10 $1,633,562.39 $804,147.50 nat. median
$1,920
outlier · 418.8×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 23 $534,017.50 $1,068,035.00 $801,026.25 nat. median
$624,417
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 23 $529,061.91 $1,058,123.82 $793,592.86 nat. median
$610,161
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 23 $506,195.40 $1,012,390.80 $759,293.10 nat. median
$588,565
1.3× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $405,269.70 $866,908.73 $754,575.34 nat. median
$292,434
outlier · 2.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $385,346.90 $1,036,430.38 $710,888.64 nat. median
$370,165
1.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 23 $464,496.87 $953,404.97 $708,950.92 nat. median
$577,541
1.2× median
843
OTHER 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 $20,466.60 $1,361,680.11 $670,309.06 nat. median
$28,424
outlier · 23.6×
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 23 $264,142.73 $992,250.00 $628,196.36 nat. median
$302,242
outlier · 2.1×
828
OTHER 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 6 $18,044.40 $1,200,526.74 $590,978.70 nat. median
$13,584
outlier · 43.5×
410
OTHER 		Anesth Correct Heart Rhythm 6 $17,217.20 $1,145,491.62 $563,886.78 nat. median
$204
outlier · 2759.6×
769
OTHER 		Postpartum And Post Abortion Diagnoses With O.r. Procedures 6 $16,982.90 $1,129,903.22 $556,213.14 nat. median
$12,817
outlier · 43.4×
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $298,084.60 $637,630.06 $555,006.43 nat. median
$214,447
outlier · 2.6×
297
OTHER 		Cardiac Arrest, Unexplained With Cc 10 $8,014.60 $890,643.55 $507,834.20 nat. median
$6,872
outlier · 73.9×
124
OTHER 		Anesth Ear Exam 6 $14,540.90 $967,432.52 $476,234.30 nat. median
$9,352
outlier · 50.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $250,074.63 $672,601.62 $461,338.12 nat. median
$261,939
1.8× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $234,523.30 $501,666.66 $436,661.06 nat. median
$163,765
outlier · 2.7×
546
OTHER 		Anesth Lung Chest Wall Surg 6 $13,192.30 $877,707.70 $432,065.81 nat. median
$10,108
outlier · 42.7×
294
OTHER 		Deep Vein Thrombophlebitis With Cc/mcc 6 $12,030.70 $800,424.34 $394,021.83 nat. median
$12,859
outlier · 30.6×
136
OTHER 		Sinus And Mastoid Procedures Without Cc/mcc 6 $11,487.30 $764,270.95 $376,224.74 nat. median
$10,090
outlier · 37.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $189,405.62 $509,426.03 $349,415.83 nat. median
$199,832
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $184,778.40 $512,433.35 $348,605.88 nat. median
$205,166
1.7× median
307
OTHER 		Cardiac Congenital And Valvular Disorders Without Mcc 6 $10,368.60 $689,841.81 $339,585.79 nat. median
$142
outlier · 2385.1×
060
OTHER 		Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 6 $9,871.40 $656,762.19 $323,301.81 nat. median
$7,722
outlier · 41.9×
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $161,700.00 $345,891.00 $301,070.70 nat. median
$117,224
outlier · 2.6×
002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $134,685.10 $288,103.67 $250,771.41 nat. median
$91,937
outlier · 2.7×
014
OTHER 		Allogeneic Bone Marrow Transplant 3 $126,069.90 $269,674.98 $234,730.69 nat. median
$85,837
outlier · 2.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 $123,604.63 $332,447.45 $228,026.04 nat. median
$132,706
1.7× median
212
OTHER 		Anesth Skull Drainage 3 $118,477.70 $253,434.57 $220,594.71 nat. median
$80,994
outlier · 2.7×
7
MS_DRG 		Lung Transplant 23 $115,562.66 $310,817.75 $213,190.20 nat. median
$122,690
1.7× median
215
OTHER 		Anesth Skull Repair/fract 3 $112,362.80 $240,354.24 $209,209.32 nat. median
$76,591
outlier · 2.7×
216
OTHER 		Anesth Head Vessel Surgery 3 $106,758.30 $228,365.71 $198,774.25 nat. median
$74,644
outlier · 2.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $107,243.17 $288,441.62 $197,842.39 nat. median
$114,305
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 $101,120.68 $271,974.53 $186,547.61 nat. median
$108,240
1.7× median
453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $97,475.40 $236,949.00 $181,490.33 nat. median
$66,549
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 20,849 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
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 2 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-03-30
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 14 7 — — $4,276,596.50 $4,490,426.33 $4,276,596.50 2026-03-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 16 7 — — $3,498,423.65 $4,496,025.34 $3,542,153.95 2026-03-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 110 23 — — $2,330,636.50 $4,661,273.00 $3,495,954.75 2026-03-30
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 112 23 — — $2,213,767.60 $4,427,535.20 $3,320,651.40 2026-03-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 7 — — $3,148,317.94 $4,055,977.72 $3,187,671.92 2026-03-30
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 16 7 — — $3,083,749.52 $3,978,853.10 $3,122,296.39 2026-03-30
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 16 7 — — $2,796,390.98 $3,599,837.74 $2,831,345.87 2026-03-30
820 OTHER Anesth Abdominal Wall Surg 14 6 $471,771.30 $306,651.34 35% off $66,513.70 $4,425,277.39 $2,178,414.38 2026-05-06
789 OTHER Neonates, Died Or Transferred To Another Acute Care Facility 11 6 $159,295.09 $103,541.81 35% off $20,013.40 $1,331,527.89 $1,268,121.80 2026-05-06
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 112 23 — — $731,549.57 $1,463,099.14 $1,097,324.35 2026-03-30
411 OTHER Cholecystectomy With C.d.e. With Mcc 14 6 $319,134.33 $207,437.31 35% off $33,444.40 $2,225,116.74 $1,095,349.70 2026-05-06
625 OTHER Anes Spine Tranthor Without Vent 14 6 $278,659.55 $181,128.71 35% off $32,133.20 $2,137,880.22 $1,052,406.12 2026-05-06
Q2042 HCPCS Tisagenlecleucel Car-pos T 112 23 — — $561,725.68 $1,127,511.66 $844,618.67 2026-03-30
Q2056 HCPCS Ciltacabtagene Car-pos T 112 23 — — $537,179.39 $1,077,636.42 $807,407.91 2026-03-30
821 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Cc 14 6 $191,221.83 $124,294.19 35% off $24,553.10 $1,633,562.39 $804,147.50 2026-05-06
Q2054 HCPCS Lisocabtagene Mara Car Pos T 112 23 — — $534,017.50 $1,068,035.00 $801,026.25 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 112 23 — — $529,061.91 $1,058,123.82 $793,592.86 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 112 23 — — $506,195.40 $1,012,390.80 $759,293.10 2026-03-30
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 3 $2,535,046.84 $1,647,780.45 35% off $405,269.70 $866,908.73 $754,575.34 2026-05-06
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 112 23 — — $385,346.90 $1,036,430.38 $710,888.64 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 112 23 — — $464,496.87 $953,404.97 $708,950.92 2026-03-30
843 OTHER Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 14 6 $151,057.85 $98,187.60 35% off $20,466.60 $1,361,680.11 $670,309.06 2026-05-06
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 112 23 — — $264,142.73 $992,250.00 $628,196.36 2026-03-30
828 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 6 $133,962.76 $87,075.80 35% off $18,044.40 $1,200,526.74 $590,978.70 2026-05-06
410 OTHER Anesth Correct Heart Rhythm 14 6 $136,148.92 $88,496.80 35% off $17,217.20 $1,145,491.62 $563,886.78 2026-05-06
769 OTHER Postpartum And Post Abortion Diagnoses With O.r. Procedures 14 6 $116,871.00 $75,966.15 35% off $16,982.90 $1,129,903.22 $556,213.14 2026-05-06
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 7 3 $823,017.41 $534,961.32 35% off $298,084.60 $637,630.06 $555,006.43 2026-05-06
297 OTHER Cardiac Arrest, Unexplained With Cc 20 10 $128,073.87 $83,248.02 35% off $8,014.60 $890,643.55 $507,834.20 2026-05-06
124 OTHER Anesth Ear Exam 14 6 $114,908.60 $74,690.59 35% off $14,540.90 $967,432.52 $476,234.30 2026-05-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 112 23 — — $250,074.63 $672,601.62 $461,338.12 2026-03-30
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 3 $739,499.21 $480,674.49 35% off $234,523.30 $501,666.66 $436,661.06 2026-05-06
546 OTHER Anesth Lung Chest Wall Surg 14 6 $118,871.16 $77,266.25 35% off $13,192.30 $877,707.70 $432,065.81 2026-05-06
294 OTHER Deep Vein Thrombophlebitis With Cc/mcc 14 6 $84,495.83 $54,922.29 35% off $12,030.70 $800,424.34 $394,021.83 2026-05-06
136 OTHER Sinus And Mastoid Procedures Without Cc/mcc 14 6 $79,612.20 $51,747.93 35% off $11,487.30 $764,270.95 $376,224.74 2026-05-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 112 23 — — $189,405.62 $509,426.03 $349,415.83 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 112 23 — — $184,778.40 $512,433.35 $348,605.88 2026-03-30
307 OTHER Cardiac Congenital And Valvular Disorders Without Mcc 14 6 $71,854.21 $46,705.24 35% off $10,368.60 $689,841.81 $339,585.79 2026-05-06
060 OTHER Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 14 6 $74,363.84 $48,336.50 35% off $9,871.40 $656,762.19 $323,301.81 2026-05-06
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 3 $526,359.44 $342,133.64 35% off $161,700.00 $345,891.00 $301,070.70 2026-05-06
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 3 $560,181.56 $364,118.01 35% off $134,685.10 $288,103.67 $250,771.41 2026-05-06
014 OTHER Allogeneic Bone Marrow Transplant 7 3 $585,410.02 $380,516.52 35% off $126,069.90 $269,674.98 $234,730.69 2026-05-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 112 23 — — $123,604.63 $332,447.45 $228,026.04 2026-03-30
212 OTHER Anesth Skull Drainage 7 3 $476,284.02 $309,584.61 35% off $118,477.70 $253,434.57 $220,594.71 2026-05-06
7 MS_DRG Lung Transplant 112 23 — — $115,562.66 $310,817.75 $213,190.20 2026-03-30
215 OTHER Anesth Skull Repair/fract 7 3 $300,382.83 $195,248.84 35% off $112,362.80 $240,354.24 $209,209.32 2026-05-06
216 OTHER Anesth Head Vessel Surgery 7 3 $467,299.89 $303,744.93 35% off $106,758.30 $228,365.71 $198,774.25 2026-05-06
14 MS_DRG Allogeneic Bone Marrow Transplant 112 23 — — $107,243.17 $288,441.62 $197,842.39 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 112 23 — — $101,120.68 $271,974.53 $186,547.61 2026-03-30
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 7 3 $347,655.05 $225,975.78 35% off $97,475.40 $236,949.00 $181,490.33 2026-05-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 112 23 — — $94,349.22 $264,519.82 $179,434.52 2026-03-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 112 23 — — $97,036.34 $260,989.27 $179,012.80 2026-03-30
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 3 $390,421.74 $253,774.13 35% off $92,976.40 $198,884.97 $173,113.60 2026-05-06
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 $259,271.23 $168,526.30 35% off $92,723.40 $243,776.00 $172,642.54 2026-05-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 112 23 — — $92,006.98 $247,462.31 $169,734.64 2026-03-30
Q0480 HCPCS Dme Pos 112 23 — — $111,502.61 $223,005.22 $167,253.92 2026-03-30
231 OTHER Coronary Bypass With Ptca With Mcc 7 3 $318,175.29 $206,813.94 35% off $89,267.20 $190,950.66 $166,207.41 2026-05-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 112 23 — — $74,988.75 $247,953.00 $161,470.88 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 112 23 — — $87,297.99 $234,796.98 $161,047.48 2026-03-30
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 3 $287,189.67 $186,673.28 35% off $85,795.60 $183,524.59 $159,743.61 2026-05-06
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 $333,683.90 $216,894.53 35% off $84,823.20 $181,444.54 $157,933.09 2026-05-06
215 MS_DRG Other Heart Assist System Implant 112 23 — — $76,183.16 $238,977.96 $157,580.56 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 112 23 — — $80,398.25 $216,239.41 $148,318.83 2026-03-30
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 3 $319,969.41 $207,980.12 35% off $79,557.50 $170,180.73 $148,128.83 2026-05-06
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 3 $260,179.26 $169,116.52 35% off $77,393.80 $165,552.37 $144,100.22 2026-05-06
870 OTHER Anesth Bladder Stone Surg 7 3 $239,276.38 $155,529.65 35% off $76,613.90 $163,884.10 $142,648.12 2026-05-06
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 112 23 — — $95,081.03 $190,162.06 $142,621.55 2026-03-30
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 7 3 $197,423.08 $128,325.00 35% off $75,988.00 $162,545.24 $141,482.75 2026-05-06
969 OTHER HIV With Extensive O.r. Procedures With Mcc 7 3 $240,415.53 $156,270.10 35% off $75,598.60 $161,712.28 $140,757.72 2026-05-06
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 3 $264,632.86 $172,011.36 35% off $75,401.70 $161,291.09 $140,391.11 2026-05-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 112 23 — — $75,225.22 $202,326.03 $138,775.62 2026-03-30
459 OTHER Spinal Fusion Except Cervical With Mcc 7 3 $279,705.55 $181,808.61 35% off $72,955.30 $170,765.00 $135,836.14 2026-05-06
850 MS_DRG Acute Leukemia With Other Procedures 112 23 — — $62,485.33 $207,836.66 $135,160.99 2026-03-30
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 3 $265,579.60 $172,626.74 35% off $70,018.30 $149,775.51 $130,367.71 2026-05-06
790 OTHER Anes Iper Upr Abd Nos 4 2 $143,750.48 $93,437.81 35% off $66,001.10 $141,182.35 $130,223.17 2026-05-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 112 23 — — $70,218.18 $188,859.07 $129,538.62 2026-03-30
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 3 $235,300.34 $152,945.22 35% off $68,707.10 $146,970.73 $127,926.37 2026-05-06
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 3 $229,881.32 $149,422.86 35% off $68,399.10 $146,311.89 $127,352.91 2026-05-06
276 OTHER Cardiac Defibrillator Implant With Mcc 7 3 $202,099.13 $131,364.44 35% off $68,312.20 $146,126.01 $127,191.11 2026-05-06
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 7 3 $152,907.81 $99,390.08 35% off $67,947.00 $145,344.81 $126,511.14 2026-05-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 112 23 — — $68,518.23 $184,286.88 $126,402.55 2026-03-30
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 3 $277,582.81 $180,428.83 35% off $67,555.40 $144,507.14 $125,782.01 2026-05-06
454 OTHER Anesth Collar Bone Biopsy 7 3 $244,688.27 $159,047.38 35% off $67,279.30 $217,061.00 $125,267.94 2026-05-06
955 OTHER Craniotomy For Multiple Significant Trauma 7 3 $164,330.62 $106,814.91 35% off $66,992.20 $143,302.41 $124,733.39 2026-05-06
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 $294,035.55 $191,123.11 35% off $66,828.30 $162,781.00 $124,428.22 2026-05-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 112 23 — — $64,012.58 $183,492.45 $123,752.51 2026-03-30
028 OTHER Spinal Procedures With Mcc 7 3 $150,838.11 $98,044.77 35% off $66,287.10 $141,794.13 $123,420.55 2026-05-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 112 23 — — $62,935.78 $182,885.22 $122,910.50 2026-03-30
232 OTHER Coronary Bypass With Ptca Without Mcc 7 3 $249,483.66 $162,164.38 35% off $65,434.60 $139,970.56 $121,833.28 2026-05-06
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 7 3 $218,354.50 $141,930.42 35% off $64,686.60 $138,370.52 $120,440.57 2026-05-06
10 MS_DRG Pancreas Transplant 112 23 — — $64,033.22 $172,223.98 $118,128.60 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 112 23 — — $62,180.06 $173,253.62 $117,716.84 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 112 23 — — $63,666.46 $171,237.53 $117,451.99 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 112 23 — — $63,628.98 $171,136.73 $117,382.85 2026-03-30
218 OTHER Anesth Special Head Surgery 7 3 $155,536.49 $101,098.72 35% off $62,663.70 $134,043.35 $116,674.11 2026-05-06
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 3 $152,613.03 $99,198.47 35% off $62,514.10 $133,723.34 $116,395.57 2026-05-06
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 3 $245,083.32 $159,304.16 35% off $62,356.80 $133,386.86 $116,102.69 2026-05-06
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 3 $195,423.96 $127,025.57 35% off $62,300.70 $133,266.86 $115,998.24 2026-05-06
834 OTHER Anesth Hernia Repair < 1 Yr 7 3 $198,792.24 $129,214.96 35% off $61,589.00 $131,744.47 $114,673.12 2026-05-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 112 23 — — $61,678.28 $165,890.11 $113,784.20 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 112 23 — — $61,375.77 $165,076.48 $113,226.12 2026-03-30
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 7 3 $256,497.49 $166,723.37 35% off $60,557.20 $129,537.36 $112,752.00 2026-05-06
J7330 HCPCS Cultured Chondrocytes Implnt 98 21 — — $96,363.41 $125,750.30 $111,056.85 2026-03-30
653 OTHER Major Bladder Procedures With Mcc 7 3 $131,362.64 $85,385.72 35% off $59,549.60 $127,382.01 $110,875.94 2026-05-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 112 23 — — $60,065.78 $161,553.13 $110,809.46 2026-03-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 112 23 — — $59,667.79 $160,482.69 $110,075.24 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 112 23 — — $59,624.06 $160,365.08 $109,994.57 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 112 23 — — $58,675.48 $157,813.78 $108,244.63 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 112 23 — — $58,675.48 $157,813.78 $108,244.63 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 112 23 — — $58,462.20 $157,240.15 $107,851.18 2026-03-30
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 4 $322,722.25 $209,769.46 35% off $49,841.00 $3,158,107.00 $106,614.43 2026-05-06
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 3 $214,883.25 $139,674.11 35% off $57,176.90 $122,306.59 $106,458.19 2026-05-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 112 23 — — $40,446.68 $172,151.97 $106,299.32 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 112 23 — — $47,020.12 $165,570.00 $106,295.06 2026-03-30
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 7 3 $223,303.86 $145,147.51 35% off $57,052.60 $138,392.00 $106,226.75 2026-05-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 112 23 — — $57,420.82 $154,439.23 $105,930.02 2026-03-30
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 3 $100,943.51 $65,613.28 35% off $56,719.30 $121,327.74 $105,606.18 2026-05-06
326 OTHER Anesth Larynx/trach < 1 Yr 7 3 $213,752.50 $138,939.13 35% off $55,869.00 $119,508.87 $104,023.00 2026-05-06
270 OTHER Other Major Cardiovascular Procedures With Mcc 7 3 $183,872.69 $119,517.25 35% off $55,625.90 $118,988.86 $103,570.37 2026-05-06
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 112 23 — — $68,801.71 $137,603.42 $103,202.57 2026-03-30
228 OTHER Other Cardiothoracic Procedures With Mcc 7 3 $293,267.57 $190,623.92 35% off $55,425.70 $118,560.61 $103,197.61 2026-05-06
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 3 $181,083.58 $117,704.33 35% off $54,992.30 $117,633.53 $102,390.66 2026-05-06
799 OTHER Splenic Procedures With Mcc 7 3 $187,649.28 $121,972.03 35% off $54,500.60 $116,581.74 $101,475.16 2026-05-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 112 23 — — $54,687.51 $147,087.73 $100,887.62 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 112 23 — — $54,624.16 $146,917.32 $100,770.74 2026-03-30
471 OTHER Cervical Spinal Fusion With Mcc 7 3 $193,796.19 $125,967.53 35% off $54,109.00 $124,141.00 $100,746.04 2026-05-06
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 3 $180,720.11 $117,468.07 35% off $53,682.20 $114,831.11 $99,951.38 2026-05-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 112 23 — — $54,100.34 $145,508.46 $99,804.40 2026-03-30
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 3 $178,634.87 $116,112.67 35% off $53,284.00 $113,979.32 $99,209.96 2026-05-06
28 MS_DRG Spinal Procedures With Mcc 112 23 — — $53,615.79 $144,205.21 $98,910.50 2026-03-30
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 3 $154,656.29 $100,526.59 35% off $52,874.80 $113,104.00 $98,448.07 2026-05-06
277 OTHER Cardiac Defibrillator Implant Without Mcc 7 3 $153,922.42 $100,049.57 35% off $52,606.40 $112,529.87 $97,948.33 2026-05-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 112 23 — — $52,566.08 $142,318.73 $97,442.40 2026-03-30
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 $194,153.99 $126,200.09 35% off $52,144.40 $111,541.61 $97,088.13 2026-05-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 112 23 — — $52,369.16 $140,852.27 $96,610.71 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 112 23 — — $52,335.25 $140,761.06 $96,548.15 2026-03-30
163 OTHER Major Chest Procedures With Mcc 7 3 $196,680.52 $127,842.34 35% off $51,849.60 $110,911.01 $96,539.24 2026-05-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 112 23 — — $48,731.65 $144,164.41 $96,448.03 2026-03-30
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 $191,065.44 $124,192.54 35% off $51,134.60 $109,381.56 $95,207.98 2026-05-06
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 3 $187,250.94 $121,713.11 35% off $50,904.70 $108,889.78 $94,779.92 2026-05-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 112 23 — — $51,135.02 $137,532.93 $94,333.98 2026-03-30
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 3 $208,462.45 $135,500.59 35% off $50,661.60 $174,654.00 $94,327.29 2026-05-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 112 23 — — $49,495.74 $138,416.17 $93,955.96 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 112 23 — — $46,451.01 $140,763.00 $93,607.01 2026-03-30
245 OTHER Aicd Generator Procedures 7 3 $120,654.86 $78,425.66 35% off $49,845.40 $106,623.84 $92,807.60 2026-05-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 112 23 — — $50,168.59 $134,933.62 $92,551.10 2026-03-30
329 OTHER Major Small And Large Bowel Procedures With Mcc 7 3 $163,157.47 $106,052.36 35% off $49,684.80 $106,280.30 $92,508.58 2026-05-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 112 23 — — $50,013.32 $134,516.00 $92,264.66 2026-03-30
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 3 $189,377.38 $123,095.29 35% off $49,520.90 $105,929.71 $92,203.41 2026-05-06
J9029 HCPCS Instill Adstiladrin, Tx Dose 112 23 — — $60,130.83 $123,190.11 $91,660.47 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 112 23 — — $49,670.65 $133,594.37 $91,632.51 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 112 23 — — $46,460.78 $136,793.70 $91,627.24 2026-03-30
38240 CPT Transplt Allo Hct/donor 111 23 $276,154.00 $165,692.40 40% off $51,281.79 $267,869.38 $91,508.04 2026-03-30
793 OTHER Full Term Neonate With Major Problems 4 2 $23,268.78 $15,124.71 35% off $46,302.30 $99,044.83 $91,356.54 2026-05-06
278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 3 $222,844.43 $144,848.88 35% off $49,064.40 $104,953.21 $91,353.45 2026-05-06
90288 CPT Botulism Ig IV 96 21 — — $91,224.47 $91,224.47 $91,224.47 2026-03-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 112 23 — — $49,285.15 $132,557.52 $90,921.34 2026-03-30
A9543 HCPCS Y90 Ibritumomab, Rx 112 23 — — $53,943.55 $127,627.61 $90,785.58 2026-03-30
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 3 $230,859.26 $150,058.52 35% off $48,712.40 $104,200.25 $90,698.06 2026-05-06
025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 7 3 $158,384.79 $102,950.11 35% off $48,576.00 $103,908.48 $90,444.10 2026-05-06
834 MS_DRG Acute Leukemia With Mcc 112 23 — — $48,989.78 $131,763.09 $90,376.43 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 112 23 — — $48,747.06 $131,110.26 $89,928.66 2026-03-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 112 23 — — $48,440.34 $131,297.47 $89,868.90 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 112 23 — — $48,475.78 $130,380.63 $89,428.21 2026-03-30
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 7 3 $107,980.78 $70,187.51 35% off $47,980.90 $102,635.51 $89,336.07 2026-05-06
791 OTHER Prematurity With Major Problems 4 2 $46,974.92 $30,533.70 35% off $45,074.70 $96,418.88 $88,934.43 2026-05-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 112 23 — — $46,703.68 $130,903.85 $88,803.76 2026-03-30
901 OTHER Wound Debridements For Injuries With Mcc 7 3 $210,048.46 $136,531.50 35% off $47,605.80 $101,833.13 $88,637.67 2026-05-06
6 MS_DRG Liver Transplant Without Mcc 112 23 — — $41,378.83 $135,672.00 $88,525.41 2026-03-30
474 OTHER Anesth Surgery Of Rib 7 3 $192,744.55 $125,283.95 35% off $47,330.80 $101,244.88 $88,125.65 2026-05-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 112 23 — — $47,559.33 $127,915.73 $87,737.53 2026-03-30
356 OTHER Other Digestive System O.r. Procedures With Mcc 7 3 $211,102.13 $137,216.39 35% off $47,065.70 $100,677.81 $87,632.05 2026-05-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 112 23 — — $46,490.56 $127,992.53 $87,241.54 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 112 23 — — $47,239.86 $127,056.49 $87,148.18 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 112 23 — — $47,083.70 $126,636.48 $86,860.09 2026-03-30
653 MS_DRG Major Bladder Procedures With Mcc 112 23 — — $46,370.70 $124,718.80 $85,544.75 2026-03-30
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 3 $177,276.64 $115,229.81 35% off $45,744.60 $97,851.86 $85,172.29 2026-05-06
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 3 $244,350.61 $158,827.89 35% off $45,540.00 $97,414.20 $84,791.34 2026-05-06
471 MS_DRG Cervical Spinal Fusion With Mcc 112 23 — — $43,089.48 $126,268.00 $84,678.74 2026-03-30
220 OTHER Anesth Intrcrn Nerve 9 4 $231,962.10 $150,775.36 35% off $44.34 $123,405.44 $84,642.60 2026-05-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 112 23 — — $37,234.70 $131,817.00 $84,525.85 2026-03-30
031 OTHER Ventricular Shunt Procedures With Mcc 7 3 $106,516.33 $69,235.61 35% off $45,282.60 $96,863.60 $84,312.08 2026-05-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 112 23 — — $41,953.51 $126,010.10 $83,981.80 2026-03-30
166 OTHER Other Respiratory System O.r. Procedures With Mcc 7 3 $151,781.85 $98,658.20 35% off $44,635.80 $95,480.03 $83,107.80 2026-05-06
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 7 3 $189,752.68 $123,339.24 35% off $44,492.80 $95,174.14 $82,841.55 2026-05-06
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 7 3 $168,678.80 $109,641.22 35% off $44,453.20 $95,089.44 $82,767.82 2026-05-06
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 3 $121,005.01 $78,653.25 35% off $44,159.50 $94,461.18 $82,220.97 2026-05-06
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 3 $210,843.96 $137,048.58 35% off $44,053.90 $94,235.30 $82,024.36 2026-05-06
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 112 23 — — $52,470.01 $111,075.77 $81,772.89 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 112 23 — — $44,148.72 $118,742.55 $81,445.63 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 112 23 — — $44,070.19 $118,531.34 $81,300.76 2026-03-30
616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 3 $104,607.99 $67,995.20 35% off $43,534.70 $93,124.68 $81,057.65 2026-05-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 112 23 — — $43,919.38 $118,125.72 $81,022.55 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 112 23 — — $43,736.45 $117,633.70 $80,685.07 2026-03-30
022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 3 $142,645.35 $92,719.48 35% off $43,149.70 $92,301.13 $80,340.82 2026-05-06
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 3 $153,070.53 $99,495.84 35% off $43,019.90 $92,023.48 $80,099.14 2026-05-06
034 OTHER Carotid Artery Stent Procedures With Mcc 7 3 $147,936.30 $96,158.60 35% off $42,915.40 $91,799.94 $79,904.57 2026-05-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 112 23 — — $39,982.27 $119,702.59 $79,842.43 2026-03-30
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 7 3 $157,646.71 $102,470.36 35% off $42,867.00 $91,696.41 $79,814.46 2026-05-06
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 3 $95,585.45 $62,130.54 35% off $42,759.20 $91,465.82 $79,613.74 2026-05-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 112 23 — — $38,152.54 $120,969.84 $79,561.19 2026-03-30
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 3 $97,549.96 $63,407.48 35% off $42,660.20 $91,254.05 $79,429.41 2026-05-06
040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 3 $148,530.72 $96,544.97 35% off $42,355.50 $90,602.26 $78,862.09 2026-05-06
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 3 $132,426.89 $86,077.48 35% off $42,081.60 $90,016.37 $78,352.11 2026-05-06
024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 3 $148,818.96 $96,732.32 35% off $41,676.80 $89,150.46 $77,598.41 2026-05-06
140 OTHER Anesth Procedures On Eye 7 3 $208,097.47 $135,263.36 35% off $41,559.10 $88,898.69 $77,379.27 2026-05-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 112 23 — — $41,867.84 $112,607.89 $77,237.87 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 112 23 — — $40,111.64 $114,263.96 $77,187.80 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 112 23 — — $41,742.91 $112,271.88 $77,007.40 2026-03-30
876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 7 3 $46,461.33 $30,199.86 35% off $41,046.50 $87,802.20 $76,424.85 2026-05-06
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 3 $221,397.22 $143,908.19 35% off $40,944.20 $87,583.37 $76,234.38 2026-05-06
907 OTHER Other O.r. Procedures For Injuries With Mcc 7 3 $149,419.73 $97,122.82 35% off $40,914.50 $87,519.84 $76,179.08 2026-05-06
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 7 3 $109,118.68 $70,927.14 35% off $40,678.00 $87,013.94 $75,738.74 2026-05-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 112 23 — — $36,058.50 $115,308.00 $75,683.25 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 112 23 — — $41,017.42 $110,320.60 $75,669.01 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 112 23 — — $40,913.01 $110,039.78 $75,476.40 2026-03-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 112 23 — — $40,020.43 $110,848.62 $75,434.52 2026-03-30
245 MS_DRG Aicd Generator Procedures 112 23 — — $40,713.12 $109,502.16 $75,107.64 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 112 23 — — $40,573.02 $109,125.35 $74,849.18 2026-03-30
332 OTHER Rectal Resection With Mcc 7 3 $114,138.51 $74,190.03 35% off $40,197.30 $85,985.68 $74,843.72 2026-05-06
799 MS_DRG Splenic Procedures With Mcc 112 23 — — $40,414.18 $108,698.13 $74,556.15 2026-03-30
097 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 3 $156,517.58 $101,736.43 35% off $40,005.90 $85,576.26 $74,487.35 2026-05-06
L7181 HCPCS Dme Pos 112 23 — — $49,605.45 $99,210.90 $74,408.18 2026-03-30
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 3 $158,873.04 $103,267.47 35% off $39,849.70 $85,242.13 $74,196.52 2026-05-06
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 3 $129,815.05 $84,379.78 35% off $39,779.30 $85,091.54 $74,065.44 2026-05-06
163 MS_DRG Major Chest Procedures With Mcc 112 23 — — $39,993.88 $107,567.68 $73,780.78 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 112 23 — — $39,982.28 $107,536.48 $73,759.38 2026-03-30
652 MS_DRG Kidney Transplant 112 23 — — $28,818.83 $118,369.04 $73,593.93 2026-03-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 112 23 — — $39,825.22 $107,114.06 $73,469.64 2026-03-30
495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 3 $189,927.85 $123,453.10 35% off $39,393.20 $84,265.64 $73,346.56 2026-05-06
335 OTHER Peritoneal Adhesiolysis With Mcc 7 3 $126,113.61 $81,973.85 35% off $39,325.00 $84,119.75 $73,219.57 2026-05-06
265 OTHER Aicd Lead Procedures 7 3 $113,693.86 $73,901.01 35% off $38,875.10 $83,157.37 $72,381.90 2026-05-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 112 23 — — $39,199.68 $105,431.59 $72,315.63 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 112 23 — — $35,434.94 $109,173.35 $72,304.15 2026-03-30
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 3 $138,380.81 $89,947.53 35% off $38,777.20 $82,947.96 $72,199.62 2026-05-06
467 OTHER Revision Of Hip Or Knee Replacement With Cc 7 3 $189,592.53 $123,235.14 35% off $38,349.30 $91,015.00 $71,402.91 2026-05-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 112 23 — — $38,616.07 $103,861.93 $71,239.00 2026-03-30
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 3 $111,152.37 $72,249.04 35% off $38,083.10 $81,463.21 $70,907.27 2026-05-06
271 OTHER Other Major Cardiovascular Procedures With Cc 7 3 $128,882.94 $83,773.91 35% off $38,018.20 $81,324.39 $70,786.43 2026-05-06
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 7 3 $134,076.27 $87,149.58 35% off $38,006.10 $81,298.50 $70,763.90 2026-05-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 112 23 — — $38,308.21 $103,033.89 $70,671.05 2026-03-30
802 OTHER Anesth Fat Layer Removal 7 3 $109,080.63 $70,902.41 35% off $37,738.80 $80,726.72 $70,266.21 2026-05-06
140 MS_DRG Major Head And Neck Procedures With Mcc 112 23 — — $38,061.92 $102,371.47 $70,216.70 2026-03-30
029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 7 3 $123,382.48 $80,198.61 35% off $37,710.20 $80,665.55 $70,212.96 2026-05-06
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 112 23 — — $37,843.29 $101,783.44 $69,813.37 2026-03-30
574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 3 $96,435.35 $62,682.98 35% off $37,463.80 $80,138.47 $69,754.19 2026-05-06
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 112 23 — — $37,621.98 $101,188.22 $69,405.10 2026-03-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 112 23 — — $37,603.24 $101,137.81 $69,370.52 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 112 23 — — $37,493.48 $100,842.60 $69,168.04 2026-03-30
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 $139,855.37 $90,905.99 35% off $37,143.70 $79,453.75 $69,158.19 2026-05-06
037 OTHER Extracranial Procedures With Mcc 7 3 $127,742.35 $83,032.53 35% off $37,131.60 $79,427.87 $69,135.66 2026-05-06
901 MS_DRG Wound Debridements For Injuries With Mcc 112 23 — — $37,448.86 $100,722.60 $69,085.73 2026-03-30
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 3 $130,066.56 $84,543.27 35% off $37,059.00 $79,272.57 $69,000.49 2026-05-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 112 23 — — $37,379.26 $100,535.39 $68,957.32 2026-03-30
252 OTHER Other Vascular Procedures With Mcc 7 3 $137,196.52 $89,177.74 35% off $36,891.80 $78,914.91 $68,689.18 2026-05-06
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 112 23 — — $35,610.84 $101,361.02 $68,485.93 2026-03-30
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 3 $123,161.14 $80,054.74 35% off $36,764.20 $78,641.97 $68,451.60 2026-05-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 112 23 — — $37,059.79 $99,676.15 $68,367.97 2026-03-30
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 3 $171,782.86 $111,658.86 35% off $36,627.80 $83,676.00 $68,197.63 2026-05-06
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 3 $207,612.49 $134,948.12 35% off $36,581.60 $78,251.37 $68,111.61 2026-05-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 112 23 — — $36,814.39 $99,016.13 $67,915.26 2026-03-30
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 3 $202,076.85 $131,349.95 35% off $36,467.20 $78,006.66 $67,898.61 2026-05-06
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 3 $216,257.56 $140,567.42 35% off $36,234.00 $77,507.82 $67,464.41 2026-05-06
264 OTHER Other Circulatory System O.r. Procedures 7 3 $81,807.41 $53,174.82 35% off $35,926.00 $76,848.98 $66,890.95 2026-05-06
904 OTHER Anesth Perineal Surgery 7 3 $102,711.13 $66,762.24 35% off $35,818.20 $76,618.39 $66,690.23 2026-05-06
500 OTHER Anesth Esophageal Surgery 7 3 $174,714.52 $113,564.44 35% off $35,670.80 $76,303.08 $66,415.79 2026-05-06
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 7 3 $134,819.30 $87,632.54 35% off $35,648.80 $76,256.02 $66,374.82 2026-05-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 12 — — $53,037.54 $106,075.08 $66,032.29 2026-03-30
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 3 $78,441.20 $50,986.78 35% off $35,368.30 $75,656.01 $65,852.56 2026-05-06
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 112 23 — — $34,757.40 $96,496.02 $65,626.71 2026-03-30
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 7 3 $121,620.15 $79,053.10 35% off $35,208.80 $75,314.82 $65,555.58 2026-05-06
279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 3 $208,353.65 $135,429.87 35% off $35,206.60 $75,310.12 $65,551.49 2026-05-06
229 OTHER Other Cardiothoracic Procedures Without Mcc 7 3 $131,687.67 $85,596.98 35% off $34,975.60 $74,815.99 $65,121.39 2026-05-06
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 3 $101,433.84 $65,932.00 35% off $34,776.50 $74,390.10 $64,750.68 2026-05-06
829 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 3 $70,775.00 $46,003.75 35% off $34,691.80 $74,208.91 $64,592.98 2026-05-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 112 23 — — $34,908.31 $93,889.51 $64,398.91 2026-03-30
656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 7 3 $141,554.86 $92,010.66 35% off $34,513.60 $73,827.73 $64,261.19 2026-05-06
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 112 23 — — $34,750.36 $93,464.69 $64,107.53 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 110 23 — — $42,718.97 $85,437.94 $64,078.46 2026-03-30
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 112 23 — — $42,718.97 $85,437.94 $64,078.46 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 110 23 — — $42,718.97 $85,437.94 $64,078.46 2026-03-30
840 OTHER Anesth Surg Lower Abdomen 7 3 $121,783.74 $79,159.43 35% off $34,377.20 $73,535.96 $64,007.22 2026-05-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 112 23 — — $34,540.66 $92,900.67 $63,720.67 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 112 23 — — $34,488.90 $92,761.46 $63,625.18 2026-03-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 112 23 — — $34,455.88 $92,672.66 $63,564.27 2026-03-30
665 OTHER Prostatectomy With Mcc 7 3 $100,236.02 $65,153.42 35% off $33,980.10 $72,686.52 $63,267.86 2026-05-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 112 23 — — $34,260.45 $92,147.04 $63,203.75 2026-03-30
173 OTHER Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 3 $129,642.47 $84,267.61 35% off $33,825.00 $72,354.75 $62,979.07 2026-05-06
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 112 23 — — $31,470.04 $92,575.00 $62,022.52 2026-03-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 112 23 — — $33,579.58 $90,315.76 $61,947.67 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 112 23 — — $33,353.81 $89,708.54 $61,531.18 2026-03-30
464 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 3 $97,468.81 $63,354.73 35% off $33,015.40 $70,622.94 $61,471.67 2026-05-06
662 OTHER Minor Bladder Procedures With Mcc 7 3 $71,133.88 $46,237.02 35% off $32,963.70 $70,512.35 $61,375.41 2026-05-06
521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 7 3 $112,155.75 $72,901.24 35% off $32,936.20 $70,453.53 $61,324.21 2026-05-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 112 23 — — $33,069.15 $88,942.91 $61,006.03 2026-03-30
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 7 3 $152,364.09 $99,036.66 35% off $32,654.60 $69,851.16 $60,799.90 2026-05-06
472 OTHER Anesth Chest Wall Repair 7 3 $115,377.06 $74,995.09 35% off $32,509.40 $74,045.00 $60,529.55 2026-05-06
026 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 7 3 $101,781.96 $66,158.27 35% off $32,484.10 $69,486.44 $60,482.44 2026-05-06
J9226 HCPCS Supprelin La Implant 112 23 — — $35,473.35 $85,476.20 $60,474.78 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 112 23 — — $32,777.35 $88,158.07 $60,467.71 2026-03-30
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