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

20,847 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 · 2026-09-20
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
$3,703,693
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
$2,466,282
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
$2,401,960
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
$2,994,107
0.9× median
820
OTHER 		Anesth Abdominal Wall Surg 6 $66,513.70 $4,425,277.39 $2,178,414.38 nat. median
$695
outlier · 3134.4×
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
$14,124
outlier · 89.8×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 23 $731,549.57 $1,463,099.14 $1,097,324.35 nat. median
$809,217
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
$23,371
outlier · 45.0×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 23 $561,725.68 $1,127,511.66 $844,618.67 nat. median
$738,272
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 23 $537,179.39 $1,077,636.42 $807,407.91 nat. median
$646,415
1.2× 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
$640
outlier · 1256.5×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 23 $534,017.50 $1,068,035.00 $801,026.25 nat. median
$640,950
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 23 $529,061.91 $1,058,123.82 $793,592.86 nat. median
$622,245
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 23 $506,195.40 $1,012,390.80 $759,293.10 nat. median
$608,101
1.2× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $405,269.70 $866,908.73 $754,575.34 nat. median
$297,577
outlier · 2.5×
Q2053
HCPCS 		Brexucabtagene Car Pos T 23 $464,496.87 $953,404.97 $708,950.92 nat. median
$591,650
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
$319,951
2.0× median
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
$13,516
outlier · 43.7×
410
OTHER 		Anesth Correct Heart Rhythm 6 $17,217.20 $1,145,491.62 $563,886.78 nat. median
$190
outlier · 2961.6×
769
OTHER 		Postpartum And Post Abortion Diagnoses With O.r. Procedures 6 $16,982.90 $1,129,903.22 $556,213.14 nat. median
$12,703
outlier · 43.8×
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $298,084.60 $637,630.06 $555,006.43 nat. median
$214,523
outlier · 2.6×
297
OTHER 		Cardiac Arrest, Unexplained With Cc 10 $8,014.60 $890,643.55 $507,834.20 nat. median
$6,914
outlier · 73.5×
124
OTHER 		Anesth Ear Exam 6 $14,540.90 $967,432.52 $476,234.30 nat. median
$8,832
outlier · 53.9×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $385,346.90 $1,036,430.38 $449,597.12 nat. median
$359,358
1.3× 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
$165,355
outlier · 2.6×
546
OTHER 		Anesth Lung Chest Wall Surg 6 $13,192.30 $877,707.70 $432,065.81 nat. median
$9,898
outlier · 43.7×
294
OTHER 		Deep Vein Thrombophlebitis With Cc/mcc 6 $12,030.70 $800,424.34 $394,021.83 nat. median
$12,903
outlier · 30.5×
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×
307
OTHER 		Cardiac Congenital And Valvular Disorders Without Mcc 6 $10,368.60 $689,841.81 $339,585.79 nat. median
$121
outlier · 2798.2×
060
OTHER 		Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 6 $9,871.40 $656,762.19 $323,301.81 nat. median
$7,874
outlier · 41.1×
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
$118,362
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $250,074.63 $672,601.62 $276,550.37 nat. median
$249,124
1.1× median
002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $134,685.10 $288,103.67 $250,771.41 nat. median
$93,296
outlier · 2.7×
014
OTHER 		Allogeneic Bone Marrow Transplant 3 $126,069.90 $269,674.98 $234,730.69 nat. median
$85,882
outlier · 2.7×
7
MS_DRG 		Lung Transplant 12 $115,562.66 $310,817.75 $223,428.56 nat. median
$117,894
1.9× median
212
OTHER 		Anesth Skull Drainage 3 $118,477.70 $253,434.57 $220,594.71 nat. median
$79,063
outlier · 2.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $189,405.62 $509,426.03 $213,498.81 nat. median
$190,557
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $107,243.17 $288,441.62 $209,623.66 nat. median
$110,192
1.9× median
215
OTHER 		Anesth Skull Repair/fract 3 $112,362.80 $240,354.24 $209,209.32 nat. median
$75,009
outlier · 2.8×
216
OTHER 		Anesth Head Vessel Surgery 3 $106,758.30 $228,365.71 $198,774.25 nat. median
$73,728
outlier · 2.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $101,120.68 $271,974.53 $197,656.28 nat. median
$103,967
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $184,778.40 $512,433.35 $195,763.15 nat. median
$198,433
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $123,604.63 $332,447.45 $195,174.46 nat. median
$126,722
1.5× median
453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $97,475.40 $236,949.00 $181,490.33 nat. median
$67,176
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 20,847 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
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
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
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
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
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
013 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 7 3 $128,695.14 $83,651.84 35% off $29,542.70 $63,194.52 $55,005.82 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
061 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 3 $111,733.67 $72,626.88 35% off $30,830.80 $65,949.88 $57,404.15 2026-05-06
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
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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 44 12 — — $250,074.63 $672,601.62 $276,550.37 2026-03-30
10 MS_DRG Pancreas Transplant 44 12 — — $64,033.22 $172,223.98 $117,721.59 2026-03-30
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
135 OTHER Sinus And Mastoid Procedures With Cc/mcc 7 3 $74,390.33 $48,353.71 35% off $29,173.10 $62,403.91 $54,317.66 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
14 MS_DRG Allogeneic Bone Marrow Transplant 44 12 — — $107,243.17 $288,441.62 $209,623.66 2026-03-30
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
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 44 12 — — $52,566.08 $142,318.73 $54,369.54 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
164 OTHER Anesth Biopsy Of Nose 7 3 $131,576.43 $85,524.68 35% off $28,054.40 $60,010.91 $52,234.74 2026-05-06
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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 44 12 — — $48,475.78 $130,380.63 $53,611.77 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
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 44 12 — — $385,346.90 $1,036,430.38 $449,597.12 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 44 12 — — $63,666.46 $171,237.53 $124,446.11 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 44 12 — — $101,120.68 $271,974.53 $197,656.28 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 12 — — $70,218.18 $188,859.07 $119,535.37 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 12 — — $57,420.82 $154,439.23 $64,121.31 2026-03-30
208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 3 $104,226.03 $67,746.92 35% off $29,741.80 $63,620.41 $55,376.53 2026-05-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 12 — — $47,239.86 $127,056.49 $68,944.82 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 44 12 — — $97,036.34 $260,989.27 $137,450.68 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
215 MS_DRG Other Heart Assist System Implant 44 12 — — $76,183.16 $238,977.96 $91,295.92 2026-03-30
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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 12 — — $87,297.99 $234,796.98 $117,256.01 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
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 12 — — $58,675.48 $157,813.78 $82,356.86 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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 12 — — $58,675.48 $157,813.78 $80,249.51 2026-03-30
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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 12 — — $68,518.23 $184,286.88 $79,192.71 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
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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 12 — — $44,148.72 $118,742.55 $81,316.68 2026-03-30
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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 12 — — $51,135.02 $137,532.93 $73,130.39 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 44 12 — — $75,225.22 $202,326.03 $86,238.62 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 44 12 — — $54,100.34 $145,508.46 $70,397.97 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 12 — — $64,012.58 $183,492.45 $70,098.99 2026-03-30
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
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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 44 12 — — $52,369.16 $140,852.27 $54,312.27 2026-03-30
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
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
240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 7 3 $102,816.99 $66,831.04 35% off $30,901.20 $66,100.48 $57,535.23 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
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
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
253 OTHER Other Vascular Procedures With Cc 7 3 $100,097.19 $65,063.17 35% off $28,062.10 $60,027.38 $52,249.08 2026-05-06
255 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 7 3 $85,705.16 $55,708.35 35% off $30,221.40 $64,646.32 $56,269.50 2026-05-06
258 OTHER Cardiac Pacemaker Device Replacement With Mcc 7 3 $118,829.71 $77,239.31 35% off $29,794.60 $63,733.36 $55,474.84 2026-05-06
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
263 OTHER Vein Ligation And Stripping 7 3 $141,148.78 $91,746.71 35% off $31,077.20 $66,476.96 $57,862.92 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
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
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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 44 12 — — $54,687.51 $147,087.73 $71,901.88 2026-03-30
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
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
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 12 — — $61,375.77 $165,076.48 $80,532.44 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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 12 — — $47,083.70 $126,636.48 $56,384.38 2026-03-30
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
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
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
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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 12 — — $63,628.98 $171,136.73 $66,182.02 2026-03-30
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
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 44 12 — — $48,731.65 $144,164.41 $55,074.64 2026-03-30
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
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
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
28 MS_DRG Spinal Procedures With Mcc 44 12 — — $53,615.79 $144,205.21 $68,802.89 2026-03-30
288 OTHER Acute And Subacute Endocarditis With Mcc 7 3 $79,768.01 $51,849.20 35% off $28,523.00 $61,013.29 $53,107.23 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
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
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 44 12 — — $189,405.62 $509,426.03 $213,498.81 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
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 44 12 — — $59,667.79 $160,482.69 $66,168.73 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
321 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 7 3 $100,144.95 $65,094.22 35% off $31,621.70 $67,641.69 $58,876.73 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
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
325 OTHER Coronary Intravascular Lithotripsy Without Intraluminal Device 7 3 $123,314.74 $80,154.58 35% off $29,087.30 $62,220.38 $54,157.91 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
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
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
332 MS_DRG Rectal Resection With Mcc 44 12 — — $32,309.75 $86,900.42 $59,399.89 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 110 23 — — $42,718.97 $85,437.94 $64,078.46 2026-03-30
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
344 OTHER Minor Small And Large Bowel Procedures With Mcc 7 3 $88,273.24 $57,377.61 35% off $30,144.40 $64,481.61 $56,126.13 2026-05-06
347 OTHER Anal And Stomal Procedures With Mcc 7 3 $72,684.72 $47,245.07 35% off $28,040.10 $59,980.32 $52,208.12 2026-05-06
353 OTHER Hernia Procedures Except Inguinal And Femoral With Mcc 7 3 $81,088.76 $52,707.70 35% off $32,167.30 $68,808.78 $59,892.59 2026-05-06
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
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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 44 12 — — $123,604.63 $332,447.45 $195,174.46 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
406 OTHER Anesth Surgery Of Breast 7 3 $150,227.56 $97,647.91 35% off $31,761.40 $67,940.52 $59,136.84 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
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
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
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
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
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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 12 — — $94,349.22 $264,519.82 $101,053.60 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 12 — — $62,180.06 $173,253.62 $66,187.48 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 12 — — $50,168.59 $134,933.62 $59,582.23 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 12 — — $80,398.25 $216,239.41 $96,801.31 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 44 12 — — $49,495.74 $138,416.17 $52,878.65 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 44 12 — — $59,624.06 $160,365.08 $62,984.17 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 44 12 — — $47,559.33 $127,915.73 $54,442.32 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
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
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
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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 12 — — $74,988.75 $247,953.00 $77,736.63 2026-03-30
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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 12 — — $47,020.12 $165,570.00 $54,675.78 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
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
460 OTHER Spinal Fusion Except Cervical Without Mcc 5 3 $161,754.25 $105,140.26 35% off $40,236.90 $115,812.00 $59,034.85 2026-05-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 44 12 — — $49,285.15 $132,557.52 $90,608.00 2026-03-30
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 3 $114,073.01 $74,147.46 35% off $31,309.30 $87,076.00 $58,295.07 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
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 44 12 — — $46,460.78 $136,793.70 $52,258.82 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
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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 44 12 — — $46,451.01 $140,763.00 $53,771.23 2026-03-30
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
468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 7 3 $91,907.47 $59,739.86 35% off $29,365.60 $72,452.00 $54,676.08 2026-05-06
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
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
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
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
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
480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 7 3 $104,325.95 $67,811.87 35% off $32,437.90 $69,387.62 $60,396.42 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
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
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
498 OTHER Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 7 3 $137,195.99 $89,177.39 35% off $28,721.00 $61,436.83 $53,475.89 2026-05-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 44 12 — — $92,006.98 $247,462.31 $179,842.13 2026-03-30
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
503 OTHER Foot Procedures With Mcc 7 3 $125,224.94 $81,396.21 35% off $29,500.90 $63,105.11 $54,927.99 2026-05-06
510 OTHER Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 3 $85,394.96 $55,506.72 35% off $29,926.60 $64,015.72 $55,720.61 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
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 3 $159,701.01 $103,805.66 35% off $40,169.80 $85,926.85 $58,936.40 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
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
570 OTHER Skin Debridement With Mcc 7 3 $71,254.19 $46,315.23 35% off $32,144.20 $68,759.37 $59,849.58 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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 44 12 — — $58,462.20 $157,240.15 $107,479.79 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
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
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 44 12 — — $43,736.45 $117,633.70 $80,407.30 2026-03-30
577 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 7 3 $150,101.43 $97,565.93 35% off $29,140.10 $62,333.32 $54,256.22 2026-05-06
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
6 MS_DRG Liver Transplant Without Mcc 44 12 — — $41,378.83 $135,672.00 $80,881.43 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
619 OTHER O.r. Procedures For Obesity With Mcc 7 3 $70,329.12 $45,713.93 35% off $28,627.50 $61,236.82 $53,301.80 2026-05-06
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 112 23 — — $42,718.97 $85,437.94 $64,078.46 2026-03-30
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
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
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
64568 CPT Opn Impltj Crnl Nrv Nea&pg 110 23 — — $42,718.97 $85,437.94 $64,078.46 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 44 12 — — $41,953.51 $126,010.10 $82,004.74 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 44 12 — — $33,069.15 $88,942.91 $64,638.86 2026-03-30
652 MS_DRG Kidney Transplant 44 12 — — $28,818.83 $118,369.04 $56,330.94 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
653 MS_DRG Major Bladder Procedures With Mcc 44 12 — — $46,370.70 $124,718.80 $54,602.73 2026-03-30
654 OTHER Major Bladder Procedures With Cc 7 3 $85,118.95 $55,327.32 35% off $30,112.50 $64,413.38 $56,066.74 2026-05-06
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
659 OTHER Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 3 $100,395.84 $65,257.29 35% off $28,477.90 $60,916.82 $53,023.26 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
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
668 OTHER Transurethral Procedures With Mcc 7 3 $115,576.09 $75,124.46 35% off $30,998.00 $66,307.54 $57,715.46 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
7 MS_DRG Lung Transplant 44 12 — — $115,562.66 $310,817.75 $223,428.56 2026-03-30
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
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
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
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
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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 12 — — $53,037.54 $106,075.08 $66,032.29 2026-03-30
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
792 OTHER Anes Iper Upr Abd Prtl Hptc 4 2 $19,861.50 $12,909.97 35% off $27,197.50 $58,177.93 $53,661.90 2026-05-06
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
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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 44 12 — — $50,013.32 $134,516.00 $91,947.23 2026-03-30
800 OTHER Anesth Abdominal Wall Surg 7 3 $78,965.94 $51,327.86 35% off $30,994.70 $66,300.48 $57,709.31 2026-05-06
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
817 OTHER Other Antepartum Diagnoses With O.r. Procedures With Mcc 7 3 $58,449.89 $37,992.43 35% off $30,984.80 $66,279.30 $57,690.88 2026-05-06
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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 12 — — $52,335.25 $140,761.06 $80,695.99 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
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
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
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 44 12 — — $41,742.91 $112,271.88 $53,275.03 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
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
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
834 MS_DRG Acute Leukemia With Mcc 44 12 — — $48,989.78 $131,763.09 $95,758.24 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
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
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
849 OTHER Radiotherapy 7 3 $45,141.95 $29,342.27 35% off $29,605.40 $63,328.64 $55,122.56 2026-05-06
850 MS_DRG Acute Leukemia With Other Procedures 44 12 — — $62,485.33 $207,836.66 $79,399.12 2026-03-30
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
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 12 — — $44,070.19 $118,531.34 $55,548.90 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
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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 12 — — $61,678.28 $165,890.11 $70,277.82 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
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
90288 CPT Botulism Ig IV 96 21 — — $91,224.47 $91,224.47 $91,224.47 2026-03-30
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
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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 44 12 — — $184,778.40 $512,433.35 $195,763.15 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 44 12 — — $40,446.68 $172,151.97 $65,766.62 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 44 12 — — $34,750.36 $93,464.69 $63,886.60 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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 44 12 — — $60,065.78 $161,553.13 $82,504.43 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
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 44 12 — — $33,579.58 $90,315.76 $56,560.13 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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 44 12 — — $62,935.78 $182,885.22 $69,867.01 2026-03-30
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
959 OTHER Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 7 3 $139,065.02 $90,392.27 35% off $27,856.40 $59,587.37 $51,866.08 2026-05-06
963 OTHER Other Multiple Significant Trauma With Mcc 7 3 $98,418.20 $63,971.83 35% off $30,077.30 $64,338.08 $56,001.20 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
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 44 12 — — $54,624.16 $146,917.32 $68,786.01 2026-03-30
970 OTHER HIV With Extensive O.r. Procedures Without Mcc 7 3 $108,328.34 $70,413.42 35% off $30,575.60 $65,403.99 $56,928.99 2026-05-06
974 OTHER HIV With Major Related Condition With Mcc 7 3 $140,656.82 $91,426.93 35% off $32,081.50 $68,625.24 $59,732.84 2026-05-06
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
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 12 — — $41,867.84 $112,607.89 $52,005.72 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
A9543 HCPCS Y90 Ibritumomab, Rx 112 23 — — $53,943.55 $127,627.61 $90,785.58 2026-03-30
A9699 HCPCS Radiopharm Rx Agent Noc 98 21 — — $55,169.68 $55,169.68 $55,169.68 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
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 7 — — $3,148,317.94 $4,055,977.72 $3,187,671.92 2026-03-30
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
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 112 23 — — $2,213,767.60 $4,427,535.20 $3,320,651.40 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
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 16 7 — — $3,083,749.52 $3,978,853.10 $3,122,296.39 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
J7330 HCPCS Cultured Chondrocytes Implnt 98 21 — — $96,363.41 $125,750.30 $111,056.85 2026-03-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 112 23 — — $60,130.83 $123,190.11 $91,660.47 2026-03-30
J9226 HCPCS Supprelin La Implant 112 23 — — $35,473.35 $85,476.20 $60,474.78 2026-03-30
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 112 23 — — $95,081.03 $190,162.06 $142,621.55 2026-03-30
L2006 HCPCS Dme Pos 112 23 — — $39,378.44 $78,756.88 $59,067.66 2026-03-30
L7180 HCPCS Dme Pos 112 23 — — $39,992.59 $79,985.18 $59,988.89 2026-03-30
L7181 HCPCS Dme Pos 112 23 — — $49,605.45 $99,210.90 $74,408.18 2026-03-30
L8701 HCPCS Ewh S/d Uprt Micro Sensor 112 23 — — $34,970.13 $69,940.26 $52,455.19 2026-03-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 112 23 — — $68,801.71 $137,603.42 $103,202.57 2026-03-30
Q0480 HCPCS Dme Pos 112 23 — — $111,502.61 $223,005.22 $167,253.92 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 112 23 — — $506,195.40 $1,012,390.80 $759,293.10 2026-03-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 112 23 — — $561,725.68 $1,127,511.66 $844,618.67 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 112 23 — — $52,470.01 $111,075.77 $81,772.89 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 112 23 — — $464,496.87 $953,404.97 $708,950.92 2026-03-30
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
Q2056 HCPCS Ciltacabtagene Car-pos T 112 23 — — $537,179.39 $1,077,636.42 $807,407.91 2026-03-30
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
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
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