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 PRESBYTERIAN MEDICAL CENTER

Charlotte, NC · CCN 340053 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,476 across 11 payers · range $3,220-$24,952

Source: https://www2.novanthealth.org/Public_Files/regulatory/560554230_the-presbyterian-hospital-dba-novant-health-presbyterian-medical-center_standardcharges.json · observed 2026-03-31

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

20,870 distinct procedures filed
29 distinct payers
1,239,664 rate rows
2026-05-06 last MRF observed
Data quality

839,434 of 1,239,664 rate rows are consumer-grade (67.7%)

400,230 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 364,426
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 25,401
exceeds 10× this hospital's gross charge — excluded from medians 10,106
per-diem day rate — not a per-procedure price 190
placeholder amount (≤ $0.02) — excluded from medians 62
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 45
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/56-0554230_novant_health_presbyterian_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 0923be1bbc3f97ea… · 22,385,982 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
576
OTHER 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 $57,171.99 $4,584,642.02 $4,366,325.73 nat. median
$42,860
outlier · 101.9×
J3391
HCPCS 		Injection, Atidarsagene Autotemcel, Per Treatment 7 $4,284,975.80 $4,499,224.59 $4,284,975.80 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,505,278.25 $4,496,025.34 $3,549,094.23 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 22 $2,335,203.01 $4,670,406.02 $3,502,804.52 nat. median
$2,460,273
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 22 $2,218,105.12 $4,436,210.24 $3,327,157.68 nat. median
$2,405,851
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,154,486.56 $4,055,977.72 $3,193,917.64 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 7 $3,089,791.63 $3,978,853.10 $3,128,414.02 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,801,870.06 $3,599,837.74 $2,836,893.44 nat. median
$2,997,086
0.9× median
802
OTHER 		Anesth Fat Layer Removal 11 $34,513.85 $4,594,547.95 $2,635,883.64 nat. median
$130
outlier · 20246.4×
939
OTHER 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 $32,345.92 $2,593,830.74 $2,470,314.99 nat. median
$31,153
outlier · 79.3×
411
OTHER 		Cholecystectomy With C.d.e. With Mcc 7 $30,586.42 $2,452,736.29 $2,335,939.32 nat. median
$27,395
outlier · 85.3×
344
OTHER 		Minor Small And Large Bowel Procedures With Mcc 7 $27,568.42 $2,210,721.79 $2,105,449.32 nat. median
$20,126
outlier · 104.6×
835
OTHER 		Acute Leukemia Without Major O.r. Procedures With Cc 7 $22,489.13 $1,803,411.38 $1,717,534.65 nat. median
$4,366
outlier · 393.3×
814
OTHER 		Reticuloendothelial And Immunity Disorders With Mcc 7 $21,408.69 $1,716,770.19 $1,635,019.23 nat. median
$4,272
outlier · 382.7×
412
OTHER 		Cholecystectomy With C.d.e. With Cc 7 $20,784.97 $1,666,753.86 $1,587,384.63 nat. median
$13,301
outlier · 119.3×
789
OTHER 		Neonates, Died Or Transferred To Another Acute Care Facility 7 $20,013.40 $1,467,737.27 $1,397,845.02 nat. median
$14,147
outlier · 98.8×
801
OTHER 		Splenic Procedures Without Cc/mcc 7 $18,004.38 $1,443,777.84 $1,375,026.51 nat. median
$9,863
outlier · 139.4×
582
OTHER 		Mastectomy For Malignancy With Cc/mcc 7 $17,517.48 $1,404,732.83 $1,337,840.79 nat. median
$18,437
outlier · 72.6×
504
OTHER 		Foot Procedures With Cc 7 $17,374.63 $1,393,277.48 $1,326,930.93 nat. median
$17,225
outlier · 77.0×
585
OTHER 		Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 7 $16,941.04 $1,358,508.06 $1,293,817.20 nat. median
$18,554
outlier · 69.7×
830
OTHER 		Anesth Repair Of Hernia 7 $15,906.87 $1,275,577.76 $1,214,835.96 nat. median
$9,616
outlier · 126.3×
813
OTHER 		Anes Upr Lwr Gi Ndsc Px 7 $15,693.60 $1,258,475.40 $1,198,548.00 nat. median
$165
outlier · 7280.7×
154
OTHER 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 7 $15,474.29 $1,240,889.01 $1,181,799.06 nat. median
$14,410
outlier · 82.0×
583
OTHER 		Mastectomy For Malignancy Without Cc/mcc 7 $15,310.31 $1,227,739.56 $1,169,275.77 nat. median
$16,797
outlier · 69.6×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 22 $732,982.92 $1,465,965.84 $1,099,474.38 nat. median
$809,151
1.4× median
502
OTHER 		Soft Tissue Procedures Without Cc/mcc 7 $13,909.96 $1,115,444.83 $1,062,328.41 nat. median
$13,038
outlier · 81.5×
348
OTHER 		Anal And Stomal Procedures With Cc 7 $13,092.08 $1,049,858.90 $999,865.62 nat. median
$12,356
outlier · 80.9×
825
OTHER 		Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 7 $12,991.48 $1,041,791.75 $992,182.62 nat. median
$80
outlier · 12424.0×
489
OTHER 		Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 9 $12,451.26 $1,609,257.54 $950,924.91 nat. median
$11,691
outlier · 81.3×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 22 $562,826.29 $1,127,511.66 $845,168.97 nat. median
$691,418
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 22 $538,231.91 $1,077,636.42 $807,934.17 nat. median
$631,793
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 22 $535,063.82 $1,070,127.64 $802,595.73 nat. median
$624,417
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 22 $530,098.52 $1,060,197.04 $795,147.78 nat. median
$610,161
1.3× median
810
OTHER 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 $10,105.27 $810,345.22 $771,757.35 nat. median
$925
outlier · 834.2×
197
OTHER 		Interstitial Lung Disease With Cc 11 $10,034.85 $1,335,857.99 $766,379.25 nat. median
$10,021
outlier · 76.5×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 22 $507,187.21 $1,014,374.42 $760,780.81 nat. median
$588,565
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 22 $465,406.97 $953,404.97 $709,405.97 nat. median
$577,541
1.2× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $370,637.56 $724,806.44 $654,584.25 nat. median
$292,434
outlier · 2.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $413,334.10 $872,335.74 $642,834.92 nat. median
$370,165
1.7× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 22 $264,660.27 $992,250.00 $628,455.14 nat. median
$302,242
outlier · 2.1×
564
OTHER 		Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 6 $15,712.71 $1,236,008.00 $615,367.52 nat. median
$14,990
outlier · 41.1×
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $272,611.92 $561,130.71 $481,460.83 nat. median
$214,447
outlier · 2.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $268,237.20 $595,872.19 $432,054.70 nat. median
$261,939
1.6× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $214,482.22 $441,479.45 $378,797.77 nat. median
$163,765
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $202,425.43 $453,975.68 $328,200.55 nat. median
$205,166
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $203,161.88 $451,311.43 $327,236.66 nat. median
$199,832
1.6× median
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $147,882.00 $304,392.90 $261,174.90 nat. median
$117,224
outlier · 2.2×
002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $123,175.65 $253,538.58 $217,540.92 nat. median
$91,937
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $132,581.86 $294,522.32 $213,552.09 nat. median
$132,706
1.6× median

Other procedures at this hospital

Browse this hospital's 20,870 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 1 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-03-31
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 7 $527,344.13 $263,672.06 50% off $57,171.99 $4,584,642.02 $4,366,325.73 2026-05-06
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 7 7 — — $4,284,975.80 $4,499,224.59 $4,284,975.80 2026-03-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $3,505,278.25 $4,496,025.34 $3,549,094.23 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 53 22 — — $2,335,203.01 $4,670,406.02 $3,502,804.52 2026-03-31
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 54 22 — — $2,218,105.12 $4,436,210.24 $3,327,157.68 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,154,486.56 $4,055,977.72 $3,193,917.64 2026-03-31
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 8 7 — — $3,089,791.63 $3,978,853.10 $3,128,414.02 2026-03-31
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 8 7 — — $2,801,870.06 $3,599,837.74 $2,836,893.44 2026-03-31
802 OTHER Anesth Fat Layer Removal 21 11 $2,304,923.59 $1,152,461.79 50% off $34,513.85 $4,594,547.95 $2,635,883.64 2026-05-06
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 7 $262,317.37 $131,158.68 50% off $32,345.92 $2,593,830.74 $2,470,314.99 2026-05-06
411 OTHER Cholecystectomy With C.d.e. With Mcc 15 7 $319,134.33 $159,567.17 50% off $30,586.42 $2,452,736.29 $2,335,939.32 2026-05-06
344 OTHER Minor Small And Large Bowel Procedures With Mcc 15 7 $243,816.09 $121,908.04 50% off $27,568.42 $2,210,721.79 $2,105,449.32 2026-05-06
835 OTHER Acute Leukemia Without Major O.r. Procedures With Cc 15 7 $185,472.35 $92,736.18 50% off $22,489.13 $1,803,411.38 $1,717,534.65 2026-05-06
814 OTHER Reticuloendothelial And Immunity Disorders With Mcc 15 7 $180,888.50 $90,444.25 50% off $21,408.69 $1,716,770.19 $1,635,019.23 2026-05-06
412 OTHER Cholecystectomy With C.d.e. With Cc 15 7 $252,781.38 $126,390.69 50% off $20,784.97 $1,666,753.86 $1,587,384.63 2026-05-06
789 OTHER Neonates, Died Or Transferred To Another Acute Care Facility 12 7 $172,122.08 $86,061.04 50% off $20,013.40 $1,467,737.27 $1,397,845.02 2026-05-06
801 OTHER Splenic Procedures Without Cc/mcc 15 7 $156,811.62 $78,405.81 50% off $18,004.38 $1,443,777.84 $1,375,026.51 2026-05-06
582 OTHER Mastectomy For Malignancy With Cc/mcc 15 7 $146,230.22 $73,115.11 50% off $17,517.48 $1,404,732.83 $1,337,840.79 2026-05-06
504 OTHER Foot Procedures With Cc 15 7 $161,722.05 $80,861.02 50% off $17,374.63 $1,393,277.48 $1,326,930.93 2026-05-06
585 OTHER Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 15 7 $176,849.73 $88,424.86 50% off $16,941.04 $1,358,508.06 $1,293,817.20 2026-05-06
830 OTHER Anesth Repair Of Hernia 15 7 $153,523.79 $76,761.89 50% off $15,906.87 $1,275,577.76 $1,214,835.96 2026-05-06
813 OTHER Anes Upr Lwr Gi Ndsc Px 15 7 $155,574.89 $77,787.45 50% off $15,693.60 $1,258,475.40 $1,198,548.00 2026-05-06
154 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 15 7 $173,455.73 $86,727.86 50% off $15,474.29 $1,240,889.01 $1,181,799.06 2026-05-06
583 OTHER Mastectomy For Malignancy Without Cc/mcc 15 7 $136,160.00 $68,080.00 50% off $15,310.31 $1,227,739.56 $1,169,275.77 2026-05-06
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 54 22 — — $732,982.92 $1,465,965.84 $1,099,474.38 2026-03-31
502 OTHER Soft Tissue Procedures Without Cc/mcc 15 7 $156,950.67 $78,475.33 50% off $13,909.96 $1,115,444.83 $1,062,328.41 2026-05-06
348 OTHER Anal And Stomal Procedures With Cc 15 7 $117,099.60 $58,549.80 50% off $13,092.08 $1,049,858.90 $999,865.62 2026-05-06
825 OTHER Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 15 7 $113,645.11 $56,822.55 50% off $12,991.48 $1,041,791.75 $992,182.62 2026-05-06
489 OTHER Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 17 9 $163,027.11 $81,513.55 50% off $12,451.26 $1,609,257.54 $950,924.91 2026-05-06
Q2042 HCPCS Tisagenlecleucel Car-pos T 54 22 — — $562,826.29 $1,127,511.66 $845,168.97 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 54 22 — — $538,231.91 $1,077,636.42 $807,934.17 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 54 22 — — $535,063.82 $1,070,127.64 $802,595.73 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 54 22 — — $530,098.52 $1,060,197.04 $795,147.78 2026-03-31
810 OTHER Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 15 7 $94,323.24 $47,161.62 50% off $10,105.27 $810,345.22 $771,757.35 2026-05-06
197 OTHER Interstitial Lung Disease With Cc 21 11 $191,581.94 $95,790.97 50% off $10,034.85 $1,335,857.99 $766,379.25 2026-05-06
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 54 22 — — $507,187.21 $1,014,374.42 $760,780.81 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 54 22 — — $465,406.97 $953,404.97 $709,405.97 2026-03-31
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 3 $1,422,622.38 $711,311.19 50% off $370,637.56 $724,806.44 $654,584.25 2026-05-06
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 54 22 — — $413,334.10 $872,335.74 $642,834.92 2026-03-31
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 54 22 — — $264,660.27 $992,250.00 $628,455.14 2026-03-31
564 OTHER Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 14 6 $124,343.73 $62,171.86 50% off $15,712.71 $1,236,008.00 $615,367.52 2026-05-06
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 7 3 $379,557.58 $189,778.79 50% off $272,611.92 $561,130.71 $481,460.83 2026-05-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 22 — — $268,237.20 $595,872.19 $432,054.70 2026-03-31
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 3 $729,991.50 $364,995.75 50% off $214,482.22 $441,479.45 $378,797.77 2026-05-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 54 22 — — $202,425.43 $453,975.68 $328,200.55 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 22 — — $203,161.88 $451,311.43 $327,236.66 2026-03-31
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 3 $542,758.88 $271,379.44 50% off $147,882.00 $304,392.90 $261,174.90 2026-05-06
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 3 $560,181.56 $280,090.78 50% off $123,175.65 $253,538.58 $217,540.92 2026-05-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 22 — — $132,581.86 $294,522.32 $213,552.09 2026-03-31
014 OTHER Allogeneic Bone Marrow Transplant 7 3 $585,410.02 $292,705.01 50% off $115,296.65 $225,470.29 $203,625.81 2026-05-06
7 MS_DRG Lung Transplant 54 22 — — $123,955.82 $275,360.10 $199,657.96 2026-03-31
212 OTHER Anesth Skull Drainage 7 3 $522,444.23 $261,222.11 50% off $108,353.24 $223,028.88 $191,363.03 2026-05-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 22 — — $108,464.93 $266,526.40 $187,495.67 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 54 22 — — $115,032.09 $253,049.55 $184,040.82 2026-03-31
215 OTHER Anesth Skull Repair/fract 7 3 $343,409.96 $171,704.98 50% off $102,760.89 $211,517.86 $181,486.35 2026-05-06
216 OTHER Anesth Head Vessel Surgery 7 3 $508,866.30 $254,433.15 50% off $97,635.32 $200,967.65 $172,434.07 2026-05-06
38240 CPT Trnsplj Allogeneic Hematopoietic Cells Per Donor 54 22 $276,154.00 $138,077.00 50% off $48,106.02 $267,869.38 $171,215.48 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 22 — — $103,359.93 $234,343.78 $168,851.86 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 54 22 — — $104,083.95 $231,215.99 $167,649.97 2026-03-31
Q0480 HCPCS Dme Pos 54 22 — — $111,502.61 $223,005.22 $167,253.92 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 54 22 — — $98,689.32 $219,232.16 $158,960.74 2026-03-31
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 7 3 $629,606.03 $314,803.01 50% off $89,145.68 $225,918.00 $157,440.49 2026-05-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 22 — — $93,638.32 $208,011.68 $150,825.00 2026-03-31
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 3 $389,533.13 $194,766.57 50% off $85,031.14 $175,023.85 $150,173.79 2026-05-06
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 $284,298.47 $142,149.24 50% off $84,799.76 $212,808.00 $149,765.15 2026-05-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 22 — — $80,435.08 $218,515.00 $149,475.04 2026-03-31
215 MS_DRG Other Heart Assist System Implant 54 22 — — $83,458.94 $211,715.69 $147,587.32 2026-03-31
231 OTHER Coronary Bypass With Ptca With Mcc 7 3 $385,618.76 $192,809.38 50% off $81,638.91 $168,041.45 $144,182.76 2026-05-06
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 54 22 — — $95,081.03 $190,162.06 $142,621.55 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 54 22 — — $86,237.46 $191,571.12 $138,904.29 2026-03-31
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 3 $373,441.38 $186,720.69 50% off $78,463.98 $161,506.32 $138,575.49 2026-05-06
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 $436,167.98 $218,083.99 50% off $77,574.67 $159,675.82 $137,004.89 2026-05-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 22 — — $80,688.73 $179,244.96 $129,966.85 2026-03-31
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 3 $301,140.91 $150,570.45 50% off $72,758.95 $149,763.38 $128,499.83 2026-05-06
850 MS_DRG Acute Leukemia With Other Procedures 54 22 — — $68,452.91 $184,126.95 $126,289.93 2026-03-31
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 3 $265,903.43 $132,951.71 50% off $70,780.15 $145,690.31 $125,005.06 2026-05-06
870 OTHER Anesth Bladder Stone Surg 7 3 $207,129.65 $103,564.82 50% off $70,066.89 $137,020.48 $123,745.38 2026-05-06
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 7 3 $205,540.96 $102,770.48 50% off $69,494.48 $135,901.08 $122,734.44 2026-05-06
969 OTHER HIV With Extensive O.r. Procedures With Mcc 7 3 $354,870.87 $177,435.43 50% off $69,138.36 $142,310.93 $122,105.48 2026-05-06
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 3 $290,397.50 $145,198.75 50% off $68,958.28 $141,940.27 $121,787.45 2026-05-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 22 — — $75,318.03 $167,314.29 $121,316.16 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 22 — — $73,494.61 $163,263.69 $118,379.15 2026-03-31
459 OTHER Spinal Fusion Except Cervical With Mcc 7 3 $385,066.24 $192,533.12 50% off $66,720.94 $153,321.00 $117,836.07 2026-05-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 54 22 — — $70,126.02 $162,559.89 $116,342.96 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 54 22 — — $68,946.38 $162,021.93 $115,484.15 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 22 — — $51,510.72 $176,531.00 $114,020.86 2026-03-31
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 3 $323,839.21 $161,919.60 50% off $64,034.92 $131,806.27 $113,092.29 2026-05-06
J7330 HCPCS Cultured Chondrocytes Implnt 47 20 — — $96,363.41 $125,750.30 $111,056.85 2026-03-31
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 3 $227,120.90 $113,560.45 50% off $62,835.77 $129,337.99 $110,974.46 2026-05-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 22 — — $68,118.49 $153,489.09 $110,803.79 2026-03-31
790 OTHER Anes Iper Upr Abd Nos 4 2 $284,175.04 $142,087.52 50% off $66,001.10 $118,039.97 $110,800.85 2026-05-06
10 MS_DRG Pancreas Transplant 54 22 — — $68,683.86 $152,576.91 $110,630.38 2026-03-31
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 3 $195,995.12 $97,997.56 50% off $62,554.09 $128,758.20 $110,476.98 2026-05-06
276 OTHER Cardiac Defibrillator Implant With Mcc 7 3 $167,195.54 $83,597.77 50% off $62,474.61 $128,594.61 $110,336.62 2026-05-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 54 22 — — $68,290.46 $151,703.00 $109,996.73 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 54 22 — — $68,250.26 $151,613.70 $109,931.98 2026-03-31
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 7 3 $182,058.90 $91,029.45 50% off $62,140.62 $121,520.12 $109,746.76 2026-05-06
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 3 $216,642.08 $108,321.04 50% off $61,782.48 $127,169.97 $109,114.25 2026-05-06
454 OTHER Anesth Collar Bone Biopsy 7 3 $244,924.06 $122,462.03 50% off $61,529.98 $201,120.00 $108,668.30 2026-05-06
955 OTHER Craniotomy For Multiple Significant Trauma 7 3 $196,896.67 $98,448.33 50% off $61,267.41 $126,109.77 $108,204.58 2026-05-06
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 $277,271.87 $138,635.93 50% off $61,117.52 $171,921.00 $107,939.86 2026-05-06
820 OTHER Anesth Abdominal Wall Surg 7 3 $199,186.28 $99,593.14 50% off $60,829.80 $125,209.02 $107,431.72 2026-05-06
028 OTHER Spinal Procedures With Mcc 7 3 $304,192.60 $152,096.30 50% off $60,622.57 $124,782.45 $107,065.72 2026-05-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 22 — — $65,833.40 $146,244.79 $106,039.10 2026-03-31
232 OTHER Coronary Bypass With Ptca Without Mcc 7 3 $293,683.61 $146,841.80 50% off $59,842.92 $123,177.66 $105,688.78 2026-05-06
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 7 3 $281,802.42 $140,901.21 50% off $59,158.84 $121,769.58 $104,480.62 2026-05-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 54 22 — — $64,428.27 $143,123.38 $103,775.82 2026-03-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 54 22 — — $68,801.71 $137,603.42 $103,202.57 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 54 22 — — $64,001.37 $142,175.05 $103,088.21 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 54 22 — — $63,954.47 $142,070.86 $103,012.66 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 22 — — $66,157.88 $139,625.27 $102,891.57 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 22 — — $62,937.00 $139,810.60 $101,373.80 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 22 — — $62,937.00 $139,810.60 $101,373.80 2026-03-31
218 OTHER Anesth Special Head Surgery 7 3 $155,536.49 $77,768.25 50% off $57,308.80 $117,961.57 $101,213.27 2026-05-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 54 22 — — $62,708.23 $139,302.42 $101,005.32 2026-03-31
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 3 $232,875.55 $116,437.78 50% off $57,028.13 $117,383.84 $100,717.57 2026-05-06
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 3 $263,131.46 $131,565.73 50% off $56,976.82 $117,278.24 $100,626.96 2026-05-06
834 OTHER Anesth Hernia Repair < 1 Yr 7 3 $291,001.45 $145,500.72 50% off $56,325.94 $110,149.13 $99,477.43 2026-05-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 54 22 — — $44,309.49 $152,513.12 $98,411.30 2026-03-31
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 7 3 $321,183.16 $160,591.58 50% off $55,382.31 $113,996.18 $97,810.89 2026-05-06
6 MS_DRG Liver Transplant Without Mcc 54 22 — — $44,384.11 $148,644.75 $96,514.43 2026-03-31
653 OTHER Major Bladder Procedures With Mcc 7 3 $145,106.88 $72,553.44 50% off $54,460.82 $112,099.42 $96,183.43 2026-05-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 22 — — $61,591.21 $129,987.37 $95,789.29 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 22 — — $58,659.39 $130,308.17 $94,483.78 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 54 22 — — $58,591.43 $130,157.20 $94,374.32 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 22 — — $58,029.57 $128,909.06 $93,469.32 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 54 22 — — $57,509.83 $127,754.48 $92,632.15 2026-03-31
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 3 $269,939.03 $134,969.51 50% off $52,290.87 $107,632.92 $92,351.09 2026-05-06
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 7 3 $229,660.97 $114,830.48 50% off $52,177.20 $117,962.00 $92,150.32 2026-05-06
J9029 HCPCS Instill Adstiladrin, Tx Dose 54 22 — — $60,248.64 $123,190.11 $91,719.38 2026-03-31
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 3 $271,357.78 $135,678.89 50% off $51,872.38 $106,771.50 $91,611.98 2026-05-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 54 22 — — $45,000.53 $138,058.98 $91,529.76 2026-03-31
90288 CPT Botulism Ig IV 46 20 — — $91,224.47 $91,224.47 $91,224.47 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 54 22 — — $54,049.24 $127,627.61 $90,838.43 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 54 22 — — $53,385.70 $127,718.34 $90,552.02 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 22 — — $56,172.65 $124,784.04 $90,478.35 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 22 — — $56,136.28 $124,703.24 $90,419.76 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 22 — — $39,939.00 $140,543.00 $90,241.00 2026-03-31
326 OTHER Anesth Larynx/trach < 1 Yr 7 3 $231,329.22 $115,664.61 50% off $51,094.74 $105,170.85 $90,238.59 2026-05-06
270 OTHER Other Major Cardiovascular Procedures With Mcc 7 3 $220,235.71 $110,117.86 50% off $50,872.41 $104,713.23 $89,845.94 2026-05-06
228 OTHER Other Cardiothoracic Procedures With Mcc 7 3 $188,764.71 $94,382.36 50% off $50,689.32 $104,336.36 $89,522.58 2026-05-06
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 3 $225,431.49 $112,715.75 50% off $50,292.96 $103,520.51 $88,822.56 2026-05-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 54 22 — — $54,222.77 $122,625.85 $88,424.31 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 22 — — $54,848.88 $121,843.37 $88,346.12 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 22 — — $56,757.49 $119,785.87 $88,271.68 2026-03-31
799 OTHER Splenic Procedures With Mcc 7 3 $126,405.76 $63,202.88 50% off $49,843.28 $102,594.90 $88,028.38 2026-05-06
471 OTHER Cervical Spinal Fusion With Mcc 7 3 $279,926.56 $139,963.28 50% off $49,485.14 $114,950.00 $87,395.87 2026-05-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 54 22 — — $52,864.66 $121,721.00 $87,292.83 2026-03-31
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 3 $188,781.06 $94,390.53 50% off $49,094.81 $101,054.30 $86,706.51 2026-05-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 22 — — $53,812.27 $119,540.59 $86,676.43 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 54 22 — — $53,645.72 $119,170.61 $86,408.16 2026-03-31
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 3 $191,830.67 $95,915.33 50% off $48,730.64 $95,296.01 $86,063.35 2026-05-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 22 — — $50,897.95 $121,188.47 $86,043.21 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 22 — — $53,278.16 $118,354.11 $85,816.13 2026-03-31
220 OTHER Anesth Intrcrn Nerve 8 3 $285,589.84 $142,794.92 50% off $633.47 $108,599.93 $85,589.25 2026-05-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 54 22 — — $49,824.68 $121,125.00 $85,474.84 2026-03-31
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 3 $136,886.53 $68,443.27 50% off $48,356.41 $99,534.41 $85,402.42 2026-05-06
277 OTHER Cardiac Defibrillator Implant Without Mcc 7 3 $148,530.94 $74,265.47 50% off $48,110.94 $99,029.16 $84,968.90 2026-05-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 54 22 — — $52,362.15 $116,319.24 $84,340.70 2026-03-31
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 $191,058.74 $95,529.37 50% off $47,688.42 $98,159.46 $84,222.69 2026-05-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 54 22 — — $52,287.49 $116,153.39 $84,220.44 2026-03-31
163 OTHER Major Chest Procedures With Mcc 7 3 $183,023.36 $91,511.68 50% off $47,418.82 $97,604.52 $83,746.53 2026-05-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 54 22 — — $51,164.06 $115,970.53 $83,567.29 2026-03-31
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 $270,892.14 $135,446.07 50% off $46,764.92 $96,258.56 $82,591.68 2026-05-06
834 MS_DRG Acute Leukemia With Mcc 54 22 — — $52,547.84 $112,434.34 $82,491.09 2026-03-31
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 3 $225,839.95 $112,919.97 50% off $46,554.66 $95,825.78 $82,220.35 2026-05-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 54 22 — — $51,013.49 $113,323.28 $82,168.38 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 22 — — $50,930.58 $113,391.33 $82,160.96 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 54 22 — — $46,219.01 $118,033.00 $82,126.01 2026-03-31
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 3 $201,500.39 $100,750.20 50% off $46,332.34 $127,969.00 $81,827.70 2026-05-06
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 54 22 — — $52,572.82 $111,075.77 $81,824.29 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 22 — — $50,670.82 $112,562.07 $81,616.45 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 22 — — $50,503.32 $112,189.97 $81,346.65 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 54 22 — — $51,996.51 $109,737.89 $80,867.20 2026-03-31
245 OTHER Aicd Generator Procedures 7 3 $104,346.33 $52,173.17 50% off $45,585.88 $93,831.70 $80,509.38 2026-05-06
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 $300,004.04 $150,002.02 50% off $45,581.86 $136,872.00 $80,502.28 2026-05-06
652 MS_DRG Kidney Transplant 54 22 — — $30,911.90 $129,687.30 $80,299.60 2026-03-31
329 OTHER Major Small And Large Bowel Procedures With Mcc 7 3 $159,725.96 $79,862.98 50% off $45,439.01 $93,529.38 $80,249.99 2026-05-06
653 MS_DRG Major Bladder Procedures With Mcc 54 22 — — $49,738.54 $110,491.05 $80,114.79 2026-03-31
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 3 $189,776.91 $94,888.45 50% off $45,289.11 $93,220.84 $79,985.26 2026-05-06
278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 3 $140,107.72 $70,053.86 50% off $44,871.62 $92,361.50 $79,247.93 2026-05-06
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 3 $152,700.32 $76,350.16 50% off $44,549.70 $91,698.88 $78,679.38 2026-05-06
025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 7 3 $203,579.82 $101,789.91 50% off $44,424.96 $91,442.11 $78,459.07 2026-05-06
793 OTHER Full Term Neonate With Major Problems 4 2 $35,310.62 $17,655.31 50% off $46,302.30 $82,809.56 $77,731.04 2026-05-06
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 7 3 $132,314.12 $66,157.06 50% off $43,880.71 $90,321.86 $77,497.88 2026-05-06
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 5 $302,326.71 $151,163.35 50% off $39,014.69 $2,979,621.06 $77,317.74 2026-05-06
901 OTHER Wound Debridements For Injuries With Mcc 7 3 $152,629.93 $76,314.97 50% off $43,537.67 $89,615.75 $76,892.02 2026-05-06
474 OTHER Anesth Surgery Of Rib 7 3 $129,918.89 $64,959.44 50% off $43,286.17 $89,098.08 $76,447.85 2026-05-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 22 — — $47,355.18 $105,196.57 $76,275.88 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 22 — — $47,270.95 $105,009.45 $76,140.20 2026-03-31
356 OTHER Other Digestive System O.r. Procedures With Mcc 7 3 $206,449.44 $103,224.72 50% off $43,043.72 $88,599.04 $76,019.66 2026-05-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 54 22 — — $47,109.18 $104,650.11 $75,879.65 2026-03-31
791 OTHER Prematurity With Major Problems 4 2 $65,191.11 $32,595.55 50% off $45,074.70 $80,614.05 $75,670.18 2026-05-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 54 22 — — $46,912.96 $104,214.22 $75,563.59 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 22 — — $43,800.73 $106,047.09 $74,923.91 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 22 — — $41,796.25 $107,169.77 $74,483.01 2026-03-31
L7181 HCPCS Dme Pos 54 22 — — $49,605.45 $99,210.90 $74,408.18 2026-03-31
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 3 $232,971.69 $116,485.84 50% off $41,835.52 $86,112.13 $73,885.85 2026-05-06
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 3 $180,774.52 $90,387.26 50% off $41,648.40 $85,726.98 $73,555.38 2026-05-06
031 OTHER Ventricular Shunt Procedures With Mcc 7 3 $120,534.35 $60,267.17 50% off $41,413.00 $85,242.44 $73,139.63 2026-05-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 54 22 — — $43,942.45 $101,228.89 $72,585.67 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 22 — — $44,908.64 $99,761.74 $72,335.19 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 54 22 — — $44,774.64 $99,464.06 $72,119.35 2026-03-31
166 OTHER Other Respiratory System O.r. Procedures With Mcc 7 3 $150,816.58 $75,408.29 50% off $40,821.47 $84,024.86 $72,094.93 2026-05-06
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 7 3 $202,639.01 $101,319.51 50% off $40,690.69 $83,755.67 $71,863.96 2026-05-06
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 7 3 $209,043.18 $104,521.59 50% off $40,654.47 $83,681.13 $71,800.00 2026-05-06
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 3 $101,479.31 $50,739.65 50% off $40,385.87 $83,128.25 $71,325.62 2026-05-06
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 3 $193,580.98 $96,790.49 50% off $40,289.29 $82,929.46 $71,155.06 2026-05-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 54 22 — — $43,842.53 $98,203.17 $71,022.85 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 22 — — $43,996.46 $97,735.38 $70,865.92 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 22 — — $43,884.47 $97,486.60 $70,685.54 2026-03-31
245 MS_DRG Aicd Generator Procedures 54 22 — — $43,670.06 $97,010.31 $70,340.18 2026-03-31
616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 3 $210,483.37 $105,241.69 50% off $39,814.46 $81,952.09 $70,316.46 2026-05-06
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 22 — — $43,519.78 $96,676.48 $70,098.13 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 54 22 — — $43,349.41 $96,298.00 $69,823.71 2026-03-31
022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 3 $121,286.37 $60,643.18 50% off $39,462.36 $81,227.35 $69,694.61 2026-05-06
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 3 $151,187.62 $75,593.81 50% off $39,343.65 $80,983.01 $69,484.96 2026-05-06
034 OTHER Carotid Artery Stent Procedures With Mcc 7 3 $146,243.62 $73,121.81 50% off $39,248.08 $80,786.29 $69,316.17 2026-05-06
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 7 3 $131,674.86 $65,837.43 50% off $39,203.82 $80,695.18 $69,238.00 2026-05-06
163 MS_DRG Major Chest Procedures With Mcc 54 22 — — $42,898.58 $95,296.51 $69,097.54 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 22 — — $42,886.14 $95,268.87 $69,077.51 2026-03-31
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 3 $125,577.40 $62,788.70 50% off $39,105.23 $80,492.25 $69,063.88 2026-05-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 54 22 — — $42,717.67 $94,894.64 $68,806.15 2026-03-31
040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 3 $162,947.26 $81,473.63 50% off $38,736.03 $79,732.30 $68,411.83 2026-05-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 54 22 — — $39,502.22 $97,051.66 $68,276.94 2026-03-31
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 3 $260,178.60 $130,089.30 50% off $38,485.54 $79,216.70 $67,969.44 2026-05-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 22 — — $38,819.11 $96,719.01 $67,769.06 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 54 22 — — $42,046.70 $93,404.11 $67,725.40 2026-03-31
024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 3 $163,237.08 $81,618.54 50% off $38,115.33 $78,454.68 $67,315.61 2026-05-06
140 OTHER Anesth Procedures On Eye 7 3 $215,724.74 $107,862.37 50% off $38,007.69 $78,233.12 $67,125.50 2026-05-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 54 22 — — $41,420.70 $92,013.51 $66,717.10 2026-03-31
876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 7 3 $82,061.04 $41,030.52 50% off $37,538.89 $77,268.17 $66,297.56 2026-05-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 22 — — $41,090.48 $91,279.93 $66,185.21 2026-03-31
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 3 $125,799.83 $62,899.92 50% off $37,445.33 $77,075.60 $66,132.33 2026-05-06
907 OTHER Other O.r. Procedures For Injuries With Mcc 7 3 $160,500.88 $80,250.44 50% off $37,418.17 $77,019.69 $66,084.36 2026-05-06
140 MS_DRG Major Head And Neck Procedures With Mcc 54 22 — — $40,826.30 $90,693.07 $65,759.68 2026-03-31
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 7 3 $146,903.91 $73,451.96 50% off $37,201.88 $76,574.49 $65,702.37 2026-05-06
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 54 22 — — $40,591.79 $90,172.13 $65,381.96 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 12 — — $56,889.58 $113,779.16 $65,378.50 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 54 22 — — $40,354.41 $89,644.81 $64,999.61 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 54 22 — — $40,334.31 $89,600.16 $64,967.24 2026-03-31
332 OTHER Rectal Resection With Mcc 7 3 $100,019.93 $50,009.96 50% off $36,762.26 $75,669.59 $64,925.95 2026-05-06
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 54 22 — — $40,216.58 $89,338.62 $64,777.60 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 54 22 — — $40,168.72 $89,232.31 $64,700.51 2026-03-31
097 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 3 $170,309.92 $85,154.96 50% off $36,587.21 $71,548.73 $64,616.80 2026-05-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 54 22 — — $40,094.06 $89,066.45 $64,580.25 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 54 22 — — $39,011.81 $89,797.90 $64,404.86 2026-03-31
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 3 $148,502.18 $74,251.09 50% off $36,444.36 $71,269.38 $64,364.51 2026-05-06
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 3 $87,231.88 $43,615.94 50% off $36,379.98 $74,882.72 $64,250.80 2026-05-06
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 54 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-31
64568 CPT Opn Impltj Crnl Nrv Nea&pg 53 22 — — $4,311.09 $85,605.36 $64,204.02 2026-03-31
33276 CPT Insj Phrnc Nrv Stim Sys 53 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 54 22 — — $39,751.39 $88,305.24 $64,028.32 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 54 22 — — $35,470.92 $92,566.93 $64,018.93 2026-03-31
495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 3 $187,520.08 $93,760.04 50% off $36,026.87 $74,155.91 $63,627.18 2026-05-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 22 — — $39,488.17 $87,720.51 $63,604.34 2026-03-31
335 OTHER Peritoneal Adhesiolysis With Mcc 7 3 $172,379.21 $86,189.61 50% off $35,964.50 $74,027.52 $63,517.03 2026-05-06
265 OTHER Aicd Lead Procedures 7 3 $92,742.32 $46,371.16 50% off $35,553.05 $73,180.61 $62,790.35 2026-05-06
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 3 $125,852.29 $62,926.14 50% off $35,463.51 $72,996.32 $62,632.23 2026-05-06
467 OTHER Revision Of Hip Or Knee Replacement With Cc 7 3 $168,163.27 $84,081.63 50% off $35,072.18 $87,019.00 $61,941.09 2026-05-06
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 54 22 — — $38,076.86 $85,487.89 $61,782.38 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 54 22 — — $33,755.66 $89,353.00 $61,554.33 2026-03-31
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 3 $170,639.94 $85,319.97 50% off $34,828.73 $73,616.00 $61,511.13 2026-05-06
271 OTHER Other Major Cardiovascular Procedures With Cc 7 3 $171,822.01 $85,911.01 50% off $34,769.37 $71,567.53 $61,406.31 2026-05-06
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 7 3 $119,794.04 $59,897.02 50% off $34,758.31 $71,544.76 $61,386.76 2026-05-06
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 54 22 — — $25,460.80 $96,790.00 $61,125.40 2026-03-31
029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 7 3 $219,647.24 $109,823.62 50% off $34,487.69 $70,987.74 $60,908.83 2026-05-06
J9226 HCPCS Supprelin La Implant 54 22 — — $35,473.35 $85,643.68 $60,558.51 2026-03-31
574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 3 $78,023.14 $39,011.57 50% off $34,262.35 $70,523.90 $60,510.85 2026-05-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 22 — — $37,443.65 $83,178.73 $60,311.19 2026-03-31
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 $150,913.16 $75,456.58 50% off $33,969.60 $69,921.33 $59,993.83 2026-05-06
L7180 HCPCS Dme Pos 54 22 — — $39,992.59 $79,985.18 $59,988.89 2026-03-31
037 OTHER Extracranial Procedures With Mcc 7 3 $251,863.10 $125,931.55 50% off $33,958.54 $69,898.55 $59,974.29 2026-05-06
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 3 $113,500.63 $56,750.32 50% off $33,892.14 $69,761.88 $59,857.02 2026-05-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 54 22 — — $37,049.30 $82,302.69 $59,676.00 2026-03-31
252 OTHER Other Vascular Procedures With Mcc 7 3 $133,694.93 $66,847.46 50% off $33,739.23 $69,447.14 $59,586.96 2026-05-06
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 54 22 — — $36,993.78 $82,179.37 $59,586.57 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 54 22 — — $36,958.36 $82,100.70 $59,529.53 2026-03-31
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 3 $85,398.03 $42,699.02 50% off $33,622.53 $69,206.94 $59,380.87 2026-05-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 54 22 — — $36,748.74 $81,635.04 $59,191.89 2026-03-31
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 3 $109,936.61 $54,968.31 50% off $33,497.79 $79,533.00 $59,160.56 2026-05-06
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 3 $128,774.21 $64,387.10 50% off $33,455.54 $68,863.20 $59,085.94 2026-05-06
L2006 HCPCS Dme Pos 54 22 — — $39,378.44 $78,756.88 $59,067.66 2026-03-31
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 3 $226,181.58 $113,090.79 50% off $33,350.91 $68,647.85 $58,901.16 2026-05-06
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 3 $131,348.47 $65,674.24 50% off $33,137.64 $68,208.86 $58,524.50 2026-05-06
264 OTHER Other Circulatory System O.r. Procedures 7 3 $244,102.69 $122,051.34 50% off $32,855.96 $67,629.06 $58,027.02 2026-05-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 54 22 — — $36,018.42 $80,012.67 $58,015.54 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 54 22 — — $37,274.23 $78,666.73 $57,970.48 2026-03-31
904 OTHER Anesth Perineal Surgery 7 3 $45,892.15 $22,946.08 50% off $32,757.37 $67,426.13 $57,852.91 2026-05-06
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 22 — — $35,776.26 $79,474.72 $57,625.49 2026-03-31
500 OTHER Anesth Esophageal Surgery 7 3 $146,831.45 $73,415.73 50% off $32,622.57 $67,148.66 $57,614.83 2026-05-06
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 7 3 $117,443.11 $58,721.55 50% off $32,602.45 $67,107.25 $57,579.29 2026-05-06
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 7 3 $120,447.77 $60,223.89 50% off $32,200.05 $66,278.97 $56,868.61 2026-05-06
279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 3 $200,543.76 $100,271.88 50% off $32,198.04 $66,274.82 $56,865.06 2026-05-06
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 54 22 — — $33,794.67 $79,663.96 $56,729.32 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 54 22 — — $35,157.92 $78,101.13 $56,629.53 2026-03-31
229 OTHER Other Cardiothoracic Procedures Without Mcc 7 3 $94,833.35 $47,416.68 50% off $31,986.78 $65,839.98 $56,491.95 2026-05-06
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 3 $145,164.91 $72,582.46 50% off $31,804.69 $65,465.18 $56,170.37 2026-05-06
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 54 22 — — $27,557.96 $84,713.92 $56,135.94 2026-03-31
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