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

COLUMBUS REGIONAL HEALTHCARE SYSTEM

Whiteville, NC · CCN 340068 · Rates published

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You selected 93306 (CPT)

Echocardiogram Complete

This hospital’s price: $1,172 across 33 payers · range $476-$2,066

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/11292/560538020_columbus-regional-healthcare-system,-inc_standardcharges.csv · observed 2025-09-01

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.

13,883 distinct procedures filed
33 distinct payers
437,265 rate rows
2025-09-01 last MRF observed · ⚠ 13 mo old
Data quality

430,936 of 437,265 rate rows are consumer-grade (98.6%)

6,329 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 6,006
percent-of-charges filed in the dollar field — excluded from medians 162
placeholder amount (≤ $0.02) — excluded from medians 160
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://crhealthcare.org/wp-content/uploads/2022/07/560538020_ColumbusRegionalHealthcareSystem_StandardCharges.csv
Found on page https://crhealthcare.org/patients-visitors/crhs-financial-assistance/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-21

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 11 $4,505,000.00 $4,730,250.00 $4,550,050.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 11 $3,685,266.67 $3,869,530.00 $3,722,119.33 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 11 $3,316,462.59 $3,482,285.72 $3,349,627.21 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 11 $3,248,445.72 $3,410,868.00 $3,280,930.17 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 11 $2,945,740.00 $3,093,027.00 $2,975,197.40 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $29,313.79 $2,577,866.14 $2,467,386.16 nat. median
$2,467,386
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 11 $2,332,000.00 $2,448,600.00 $2,355,320.00 nat. median
$2,401,965
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 11 $770,620.00 $809,151.00 $778,326.20 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 11 $591,726.20 $621,312.51 $597,643.46 nat. median
$739,258
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $565,868.95 $594,162.39 $571,527.63 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $562,538.19 $590,665.09 $568,163.57 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $557,317.93 $585,183.83 $562,891.11 nat. median
$622,450
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $533,230.17 $559,891.68 $538,562.47 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $489,304.61 $513,769.84 $494,197.65 nat. median
$591,721
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $196,463.64 $355,420.81 $289,017.92 nat. median
$249,036
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 11 $278,250.00 $292,162.50 $281,032.50 nat. median
$319,951
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $222,657.12 $347,823.64 $263,296.11 nat. median
$359,454
0.7× median
J3403
HCPCS 		Revakinagene, Per Implant 11 $257,500.00 $270,375.00 $260,075.00 nat. median
$265,000
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 11 $205,640.00 $215,922.00 $207,696.40 nat. median
$209,753
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 20 $149,144.26 $178,706.77 $174,052.99 nat. median
$190,559
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $85,060.87 $194,600.26 $144,849.32 nat. median
$110,307
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 20 $97,822.15 $159,172.56 $134,674.51 nat. median
$126,695
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 11 $129,537.54 $136,014.42 $130,832.92 nat. median
$111,503
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $73,177.26 $171,858.68 $126,701.69 nat. median
$95,038
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $100,622.90 $171,971.45 $125,763.54 nat. median
$198,418
0.6× median
7
MS_DRG 		Lung Transplant 20 $91,549.74 $141,672.96 $122,371.81 nat. median
$117,974
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 11 $111,860.04 $117,453.04 $112,978.64 nat. median
$96,983
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $80,285.57 $122,659.89 $106,430.56 nat. median
$104,013
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $69,504.43 $93,613.10 $85,795.84 nat. median
$90,551
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $80,195.10 $91,169.31 $81,799.00 nat. median
$92,678
0.9× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 11 $80,943.19 $84,990.35 $81,752.62 nat. median
$70,178
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $61,686.20 $89,777.46 $79,370.89 nat. median
$78,268
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 $64,122.90 $81,285.41 $76,571.96 nat. median
$78,049
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $73,885.30 $87,587.40 $75,818.57 nat. median
$97,323
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $63,374.06 $88,772.24 $71,028.49 nat. median
$93,276
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 20 $64,309.01 $80,200.45 $67,796.65 nat. median
$93,901
0.7× median
10
MS_DRG 		Pancreas Transplant 20 $51,358.85 $77,704.30 $67,411.33 nat. median
$64,933
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 $51,072.78 $77,257.27 $67,024.25 nat. median
$66,715
1.0× median
652
MS_DRG 		Kidney Transplant 20 $23,893.04 $108,476.40 $66,770.13 nat. median
$29,925
outlier · 2.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 $56,182.87 $65,217.94 $64,014.10 nat. median
$74,370
0.9× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 11 $63,342.28 $66,509.40 $63,975.70 nat. median
$68,423
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 20 $60,088.17 $67,900.15 $62,490.62 nat. median
$77,028
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $59,903.71 $67,686.70 $61,383.11 nat. median
$77,632
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 $54,450.51 $61,375.86 $60,934.24 nat. median
$67,976
0.9× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 20 $40,423.89 $75,612.50 $60,047.23 nat. median
$50,831
1.2× median
834
MS_DRG 		Acute Leukemia With Mcc 20 $39,625.57 $75,868.64 $59,712.24 nat. median
$50,371
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 $51,043.56 $61,496.68 $59,195.96 nat. median
$66,649
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 20 $48,264.40 $64,356.89 $59,005.44 nat. median
$61,728
1.0× median
L7181
HCPCS 		Electronic Elbo Simultaneous 11 $57,614.51 $60,495.24 $58,190.66 nat. median
$50,516
1.2× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 $42,782.66 $68,981.08 $58,125.38 nat. median
$50,870
1.1× median

Other procedures at this hospital

Browse this hospital's 13,883 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 11 11 — — $4,505,000.00 $4,730,250.00 $4,550,050.00 2025-09-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 11 11 — — $3,685,266.67 $3,869,530.00 $3,722,119.33 2025-09-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 11 11 — — $3,316,462.59 $3,482,285.72 $3,349,627.21 2025-09-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 11 11 — — $3,248,445.72 $3,410,868.00 $3,280,930.17 2025-09-01
J3393 HCPCS Inj, Betibeglogene Autotemce 11 11 — — $2,945,740.00 $3,093,027.00 $2,975,197.40 2025-09-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 12 — — $29,313.79 $2,577,866.14 $2,467,386.16 2025-09-01
J3392 HCPCS Inj, Exagamglogene Autotem 11 11 — — $2,332,000.00 $2,448,600.00 $2,355,320.00 2025-09-01
Q2057 HCPCS Afamitresgene Autoleucel 11 11 — — $770,620.00 $809,151.00 $778,326.20 2025-09-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 11 — — $591,726.20 $621,312.51 $597,643.46 2025-09-01
Q2056 HCPCS Ciltacabtagene Car-pos T 11 11 — — $565,868.95 $594,162.39 $571,527.63 2025-09-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 11 — — $562,538.19 $590,665.09 $568,163.57 2025-09-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 11 — — $557,317.93 $585,183.83 $562,891.11 2025-09-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 11 — — $533,230.17 $559,891.68 $538,562.47 2025-09-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 11 — — $489,304.61 $513,769.84 $494,197.65 2025-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 20 — — $196,463.64 $355,420.81 $289,017.92 2025-09-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 11 11 — — $278,250.00 $292,162.50 $281,032.50 2025-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 20 — — $222,657.12 $347,823.64 $263,296.11 2025-09-01
J3403 HCPCS Revakinagene, Per Implant 11 11 — — $257,500.00 $270,375.00 $260,075.00 2025-09-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 11 11 — — $205,640.00 $215,922.00 $207,696.40 2025-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 22 20 — — $149,144.26 $178,706.77 $174,052.99 2025-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 22 20 — — $85,060.87 $194,600.26 $144,849.32 2025-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 22 20 — — $97,822.15 $159,172.56 $134,674.51 2025-09-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 11 — — $129,537.54 $136,014.42 $130,832.92 2025-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 20 — — $73,177.26 $171,858.68 $126,701.69 2025-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 20 — — $100,622.90 $171,971.45 $125,763.54 2025-09-01
7 MS_DRG Lung Transplant 22 20 — — $91,549.74 $141,672.96 $122,371.81 2025-09-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 11 11 — — $111,860.04 $117,453.04 $112,978.64 2025-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 20 — — $80,285.57 $122,659.89 $106,430.56 2025-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 20 — — $69,504.43 $93,613.10 $85,795.84 2025-09-01
209 MS_DRG Complex Aortic Arch Procedures 11 11 — — $80,195.10 $91,169.31 $81,799.00 2025-09-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 11 11 — — $80,943.19 $84,990.35 $81,752.62 2025-09-01
850 MS_DRG Acute Leukemia With Other Procedures 22 20 — — $61,686.20 $89,777.46 $79,370.89 2025-09-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 20 — — $64,122.90 $81,285.41 $76,571.96 2025-09-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 20 — — $73,885.30 $87,587.40 $75,818.57 2025-09-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 20 — — $63,374.06 $88,772.24 $71,028.49 2025-09-01
215 MS_DRG Other Heart Assist System Implant 22 20 — — $64,309.01 $80,200.45 $67,796.65 2025-09-01
10 MS_DRG Pancreas Transplant 22 20 — — $51,358.85 $77,704.30 $67,411.33 2025-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 20 — — $51,072.78 $77,257.27 $67,024.25 2025-09-01
652 MS_DRG Kidney Transplant 22 20 — — $23,893.04 $108,476.40 $66,770.13 2025-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 20 — — $56,182.87 $65,217.94 $64,014.10 2025-09-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 11 11 — — $63,342.28 $66,509.40 $63,975.70 2025-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 20 — — $60,088.17 $67,900.15 $62,490.62 2025-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 20 — — $59,903.71 $67,686.70 $61,383.11 2025-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 20 — — $54,450.51 $61,375.86 $60,934.24 2025-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 20 — — $40,423.89 $75,612.50 $60,047.23 2025-09-01
834 MS_DRG Acute Leukemia With Mcc 22 20 — — $39,625.57 $75,868.64 $59,712.24 2025-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 20 — — $51,043.56 $61,496.68 $59,195.96 2025-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 20 — — $48,264.40 $64,356.89 $59,005.44 2025-09-01
L7181 HCPCS Electronic Elbo Simultaneous 11 11 — — $57,614.51 $60,495.24 $58,190.66 2025-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 20 — — $42,782.66 $68,981.08 $58,125.38 2025-09-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 11 — — $56,824.55 $59,665.78 $57,392.79 2025-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 20 — — $54,626.59 $61,579.64 $57,299.38 2025-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 20 — — $49,522.07 $59,312.25 $57,232.92 2025-09-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 20 — — $47,954.00 $60,291.70 $56,811.00 2025-09-01
38240 CPT Transplt Allo Hct/donor 12 12 — — $55,483.79 $108,064.33 $56,316.04 2025-09-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 12 — — $55,272.32 $58,542.51 $56,101.41 2025-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 20 — — $54,856.99 $61,846.25 $56,058.96 2025-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 20 — — $46,201.44 $55,154.42 $53,250.74 2025-09-01
L7180 HCPCS Electronic Elbow Sequential 11 11 — — $52,277.90 $54,891.80 $52,800.68 2025-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 20 — — $41,298.77 $59,611.08 $52,622.72 2025-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 20 — — $39,855.94 $59,811.64 $51,887.26 2025-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 20 — — $35,849.73 $63,398.39 $51,346.81 2025-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 20 — — $44,069.57 $53,752.10 $51,322.14 2025-09-01
6 MS_DRG Liver Transplant Without Mcc 22 20 — — $33,689.35 $64,773.32 $50,778.18 2025-09-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 20 — — $49,425.60 $58,143.51 $50,759.57 2025-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 20 — — $42,234.90 $52,995.77 $49,885.68 2025-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 20 — — $42,919.08 $50,489.96 $49,039.62 2025-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 20 — — $45,306.53 $55,399.28 $47,496.22 2025-09-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 20 — — $46,484.21 $53,818.15 $47,407.11 2025-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 20 — — $46,152.86 $52,961.94 $46,870.06 2025-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 20 — — $46,152.86 $52,961.94 $46,870.06 2025-09-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 20 — — $38,509.87 $50,191.93 $46,340.59 2025-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 20 — — $43,221.85 $48,381.24 $46,197.69 2025-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 20 — — $35,528.18 $52,581.76 $45,799.74 2025-09-01
J9226 HCPCS Supprelin La Implant 12 12 — — $45,020.65 $51,262.32 $45,695.96 2025-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 20 — — $38,138.92 $49,264.84 $45,666.44 2025-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 20 — — $39,145.10 $57,773.80 $45,414.23 2025-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 20 — — $38,260.71 $47,178.68 $44,702.96 2025-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 20 — — $35,788.49 $49,792.42 $44,567.88 2025-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 20 — — $34,070.76 $51,763.40 $44,550.82 2025-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 20 — — $43,611.60 $48,832.30 $44,090.51 2025-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 20 — — $39,436.26 $44,000.30 $43,521.60 2025-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 20 — — $34,137.57 $48,610.80 $43,026.96 2025-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 20 — — $41,564.33 $49,305.11 $42,975.61 2025-09-01
33276 CPT Insj Phrnc Nrv Stim Sys 11 11 — — $42,216.77 $44,327.61 $42,638.94 2025-09-01
0266T CPT Apc 11 11 — — $42,216.77 $44,327.61 $42,638.94 2025-09-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 11 11 — — $41,135.91 $45,967.25 $41,958.63 2025-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 20 — — $40,759.52 $47,269.70 $41,690.24 2025-09-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 11 11 — — $41,141.33 $43,198.40 $41,552.74 2025-09-01
37 MS_DRG Extracranial Procedures With Mcc 22 20 — — $24,328.74 $56,571.24 $41,296.64 2025-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 20 — — $40,603.02 $45,907.65 $41,022.84 2025-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 20 — — $39,376.42 $43,931.03 $40,566.59 2025-09-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 20 — — $38,891.20 $45,283.41 $39,889.68 2025-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 20 — — $33,407.45 $42,881.51 $39,764.90 2025-09-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 20 — — $37,295.16 $46,452.15 $39,589.56 2025-09-01
28 MS_DRG Spinal Procedures With Mcc 22 20 — — $35,444.41 $48,394.93 $39,495.41 2025-09-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 22 20 — — $27,208.13 $47,561.27 $38,497.17 2025-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 20 — — $38,004.96 $42,954.00 $38,436.21 2025-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 20 — — $33,060.84 $39,790.12 $38,032.16 2025-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 20 — — $33,066.71 $47,761.84 $38,022.53 2025-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 20 — — $31,989.69 $40,140.50 $37,586.01 2025-09-01
63685 CPT 63685 Implant Neuroreceiver 54 33 $76,183.98 $53,328.79 30% off $1,539.91 $73,898.46 $37,543.46 2025-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 20 — — $33,560.57 $38,181.60 $37,524.10 2025-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 20 — — $34,846.39 $44,063.13 $37,322.21 2025-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 20 — — $36,128.14 $40,171.91 $37,263.37 2025-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 20 — — $26,638.60 $52,769.43 $36,943.65 2025-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 20 — — $33,385.27 $44,833.96 $36,918.24 2025-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 20 — — $35,670.88 $39,642.72 $36,611.74 2025-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 20 — — $28,519.41 $42,170.28 $36,583.99 2025-09-01
163 MS_DRG Major Chest Procedures With Mcc 22 20 — — $32,609.13 $37,194.10 $36,484.13 2025-09-01
64580 CPT 64580 - Open Implantation Of Neurostimulator Electrode Array; Neuromuscular 76 33 $53,610.98 $37,527.69 30% off $11,971.33 $52,002.65 $36,375.05 2025-09-01
64590 CPT 64590 - Implant Neuroreceiver 77 33 $53,610.98 $37,527.69 30% off $11,971.33 $52,002.65 $36,294.63 2025-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 20 — — $33,066.71 $43,755.44 $36,291.57 2025-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 20 — — $34,550.99 $38,346.72 $36,221.09 2025-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 20 — — $27,606.24 $41,659.61 $35,802.50 2025-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 20 — — $34,322.62 $40,597.20 $35,560.55 2025-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 20 — — $30,658.91 $36,622.21 $35,072.23 2025-09-01
L6700 HCPCS Ue Add Ext Power Myoel 11 11 — — $34,717.87 $36,453.76 $35,065.05 2025-09-01
L5856 HCPCS Elec Knee-shin Swing/stance 11 11 — — $34,568.35 $36,296.77 $34,914.03 2025-09-01
L6880 HCPCS Elec Hand Ind Art Digits 11 11 — — $34,363.97 $36,082.17 $34,707.61 2025-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 20 — — $33,074.76 $36,638.32 $34,590.02 2025-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 20 — — $31,105.78 $41,927.83 $34,512.83 2025-09-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 20 — — $28,642.59 $37,718.46 $34,448.83 2025-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 20 — — $30,931.76 $35,022.55 $34,437.27 2025-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 20 — — $30,457.08 $35,567.86 $34,432.87 2025-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 20 — — $33,442.76 $38,697.10 $34,295.79 2025-09-01
653 MS_DRG Major Bladder Procedures With Mcc 22 20 — — $29,635.08 $41,855.34 $33,739.68 2025-09-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 20 — — $29,145.11 $34,937.17 $33,361.13 2025-09-01
C1767 HCPCS Recharge Neurostimulator Implant 2x1.7" 14ml 22gm" 65 33 $46,720.00 $32,704.00 30% off $10,432.58 $45,318.40 $33,194.56 2025-09-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 11 11 — — $32,835.37 $34,477.14 $33,163.72 2025-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 20 — — $30,569.84 $33,739.44 $32,847.69 2025-09-01
245 MS_DRG Aicd Generator Procedures 22 20 — — $31,584.83 $36,748.67 $32,516.82 2025-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 20 — — $30,981.23 $36,929.10 $32,290.29 2025-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 20 — — $30,269.03 $37,678.18 $32,254.70 2025-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 20 — — $28,137.28 $33,602.51 $32,116.48 2025-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 20 — — $28,949.23 $38,893.63 $32,114.11 2025-09-01
264 MS_DRG Other Circulatory System O.r. Procedures 22 20 — — $24,666.31 $37,644.35 $32,111.29 2025-09-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 20 — — $25,277.40 $35,979.45 $31,639.71 2025-09-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 20 — — $25,910.77 $34,803.47 $31,423.35 2025-09-01
332 MS_DRG Rectal Resection With Mcc 22 20 — — $26,615.82 $33,805.49 $31,336.71 2025-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 20 — — $30,749.67 $34,855.82 $31,277.75 2025-09-01
799 MS_DRG Splenic Procedures With Mcc 22 20 — — $28,263.38 $36,478.84 $30,724.85 2025-09-01
252 MS_DRG Other Vascular Procedures With Mcc 22 20 — — $25,694.32 $33,612.99 $30,708.07 2025-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 20 — — $29,774.00 $33,958.53 $30,397.93 2025-09-01
0408T CPT Insj/rplc Cardiac Modulj Sys 11 11 — — $30,078.25 $31,582.16 $30,379.03 2025-09-01
33270 CPT Ins/rep Subq Defibrillator 11 11 — — $30,078.25 $31,582.16 $30,379.03 2025-09-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 11 11 — — $30,078.25 $31,582.16 $30,379.03 2025-09-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 11 11 — — $30,078.25 $31,582.16 $30,379.03 2025-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 20 — — $27,919.27 $35,947.23 $30,321.60 2025-09-01
69930 CPT Implant Cochlear Device 12 12 — — $29,840.19 $39,578.56 $30,287.79 2025-09-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 12 12 — — $2,958.27 $31,582.16 $30,228.64 2025-09-01
33249 CPT Insj/rplcmt Defib W/lead(s) 12 12 — — $1,823.59 $31,582.16 $30,228.64 2025-09-01
33231 CPT Insrt Pulse Gen W/mult Leads 12 12 — — $1,539.91 $31,582.16 $30,228.64 2025-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 20 — — $29,193.55 $33,941.62 $30,097.83 2025-09-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 20 — — $29,398.46 $32,383.84 $29,854.67 2025-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 22 20 — — $28,152.41 $34,355.63 $29,751.54 2025-09-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 20 — — $26,167.60 $30,698.80 $29,537.58 2025-09-01
665 MS_DRG Prostatectomy With Mcc 22 20 — — $23,139.27 $33,463.17 $29,155.39 2025-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 20 — — $27,846.61 $33,229.58 $29,110.78 2025-09-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 12 12 — — $28,588.49 $41,400.00 $29,017.32 2025-09-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 20 — — $26,980.53 $29,585.65 $28,948.64 2025-09-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 11 — — $28,315.47 $31,130.53 $28,881.78 2025-09-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 11 11 — — $28,588.49 $30,017.92 $28,874.38 2025-09-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 11 11 — — $28,588.49 $30,017.92 $28,874.38 2025-09-01
0268T CPT Apc 11 11 — — $28,588.49 $30,017.92 $28,874.38 2025-09-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 11 11 — — $28,588.49 $30,017.92 $28,874.38 2025-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 22 20 — — $26,749.58 $33,802.27 $28,804.85 2025-09-01
61886 CPT Implant Neurostim Arrays 12 12 — — $1,823.59 $30,017.92 $28,731.44 2025-09-01
J9266 HCPCS Pegaspargase Injection 12 12 — — $28,424.06 $29,845.26 $28,621.28 2025-09-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 20 — — $28,244.23 $31,177.25 $28,493.43 2025-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 20 — — $25,878.50 $34,016.52 $28,458.05 2025-09-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 20 — — $26,670.10 $29,226.41 $28,451.42 2025-09-01
L8614 HCPCS Cochlear Device 11 11 — — $27,812.64 $29,203.27 $28,090.77 2025-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 20 — — $25,587.08 $33,451.09 $28,066.75 2025-09-01
974 MS_DRG HIV With Major Related Condition With Mcc 22 20 — — $21,502.27 $33,100.71 $28,028.51 2025-09-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 20 — — $25,960.87 $28,405.63 $27,838.75 2025-09-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 20 — — $23,899.29 $29,256.21 $27,510.08 2025-09-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 20 — — $23,336.24 $29,647.67 $27,378.28 2025-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 20 — — $26,876.53 $30,105.98 $27,271.90 2025-09-01
Q0483 HCPCS Monitor Elec Vad, Rep 11 11 — — $26,966.90 $28,315.25 $27,236.57 2025-09-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 20 — — $23,530.44 $28,821.26 $27,081.06 2025-09-01
L5858 HCPCS Stance Phase Only 11 11 — — $26,723.96 $28,060.16 $26,991.20 2025-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 20 — — $21,151.04 $36,088.99 $26,968.87 2025-09-01
33289 CPT Tcat Impl Wrls P-art Prs Snr 12 12 — — $289.83 $28,003.24 $26,803.10 2025-09-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 20 — — $23,346.67 $28,325.09 $26,728.83 2025-09-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 20 — — $25,681.28 $30,102.76 $26,667.62 2025-09-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 20 — — $26,294.26 $28,791.45 $26,660.19 2025-09-01
C9760 HCPCS Non-blind Interatrial Shunt 11 11 — — $25,799.32 $27,089.29 $26,057.31 2025-09-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 20 — — $25,304.44 $29,048.40 $26,022.00 2025-09-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 20 — — $22,526.78 $27,704.07 $25,946.62 2025-09-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 11 11 — — $25,348.40 $27,696.82 $25,855.37 2025-09-01
L6975 HCPCS Interscap-thor Myoelectronic 11 11 — — $25,573.88 $26,852.57 $25,829.62 2025-09-01
265 MS_DRG Aicd Lead Procedures 22 20 — — $24,687.25 $29,143.44 $25,751.74 2025-09-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 20 — — $24,406.70 $26,607.02 $25,656.31 2025-09-01
791 MS_DRG Prematurity With Major Problems 22 20 — — $21,227.68 $32,693.95 $25,540.70 2025-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 20 — — $19,532.63 $34,577.94 $25,499.68 2025-09-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 20 — — $23,284.75 $25,816.05 $25,449.44 2025-09-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 11 11 — — $25,092.86 $26,347.50 $25,343.79 2025-09-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 20 — — $22,119.52 $31,100.73 $25,302.21 2025-09-01
263 MS_DRG Vein Ligation And Stripping 22 20 — — $22,695.22 $26,139.05 $25,268.41 2025-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 20 — — $22,767.84 $30,018.18 $25,161.51 2025-09-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 20 — — $23,534.33 $29,091.89 $25,147.93 2025-09-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 20 — — $23,470.46 $28,719.77 $24,954.93 2025-09-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 20 — — $24,325.96 $26,513.59 $24,930.04 2025-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 20 — — $22,628.91 $29,573.56 $24,899.33 2025-09-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 20 — — $23,055.74 $25,043.61 $24,618.13 2025-09-01
J9600 HCPCS Porfimer Sodium Injection 12 12 — — $24,228.42 $25,439.84 $24,591.85 2025-09-01
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml [crhs] 51 33 $68,165.30 $47,715.71 30% off $59.41 $66,120.34 $24,539.51 2025-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 20 — — $22,066.03 $29,203.85 $24,455.67 2025-09-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 20 — — $23,596.55 $25,669.46 $24,372.66 2025-09-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 20 — — $21,255.18 $25,901.43 $24,317.39 2025-09-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 20 — — $21,806.54 $28,858.31 $24,175.49 2025-09-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 22 20 — — $20,616.09 $30,177.66 $24,145.04 2025-09-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 20 — — $19,929.28 $26,900.21 $24,045.19 2025-09-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 22 20 — — $17,584.45 $29,633.17 $24,042.91 2025-09-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 22 20 — — $20,541.77 $26,093.94 $23,999.99 2025-09-01
849 MS_DRG Radiotherapy 22 20 — — $20,273.81 $26,031.92 $23,814.21 2025-09-01
472 MS_DRG Cervical Spinal Fusion With Cc 22 20 — — $21,920.56 $23,758.89 $23,640.49 2025-09-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 11 11 — — $23,378.84 $24,547.78 $23,612.63 2025-09-01
L6970 HCPCS Interscapular-thor Switch CT 11 11 — — $23,340.59 $24,507.62 $23,574.00 2025-09-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 20 — — $23,171.84 $25,858.74 $23,568.21 2025-09-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 22 20 — — $19,771.99 $25,859.55 $23,438.40 2025-09-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 20 — — $20,388.54 $28,695.60 $23,389.93 2025-09-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 20 — — $20,352.47 $24,973.54 $23,335.14 2025-09-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 20 — — $20,187.34 $28,762.46 $23,317.33 2025-09-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 20 — — $20,683.96 $28,089.89 $23,277.25 2025-09-01
J9228 HCPCS Ipilimumab Inj 50mg/10ml Vial [crhs] 90 33 $28,770.23 $20,139.17 30% off $183.48 $100,978.59 $23,245.90 2025-09-01
93654 CPT Compre Ep Eval Tx Vt 12 12 — — $1,539.91 $24,165.47 $23,129.81 2025-09-01
93653 CPT Compre Ep Eval Tx Svt 12 12 — — $1,539.91 $24,165.47 $23,129.81 2025-09-01
93656 CPT Compre Ep Eval Abltj Atr Fib 12 12 — — $1,539.91 $24,165.47 $23,129.81 2025-09-01
949 MS_DRG Aftercare With Cc/mcc 22 20 — — $9,582.65 $36,254.92 $23,059.27 2025-09-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 20 — — $21,601.09 $23,360.18 $22,921.21 2025-09-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 20 — — $22,549.07 $25,087.91 $22,921.03 2025-09-01
L6965 HCPCS Shldr Disartic Myoelectronic 11 11 — — $22,680.77 $23,814.81 $22,907.58 2025-09-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 20 — — $21,981.40 $25,644.49 $22,875.15 2025-09-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 20 — — $21,879.19 $25,716.98 $22,854.93 2025-09-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 20 — — $21,685.31 $23,457.64 $22,787.40 2025-09-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 20 — — $21,308.32 $25,993.26 $22,686.34 2025-09-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 20 — — $21,744.26 $25,452.79 $22,672.72 2025-09-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 20 — — $21,024.09 $26,200.26 $22,632.40 2025-09-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 20 — — $19,438.42 $27,961.02 $22,593.30 2025-09-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 22 20 — — $15,412.20 $28,986.38 $22,465.41 2025-09-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 20 — — $18,542.58 $28,668.22 $22,446.99 2025-09-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 20 — — $21,999.76 $24,329.16 $22,316.12 2025-09-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 22 20 — — $19,184.57 $24,175.32 $22,263.74 2025-09-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 20 — — $20,284.74 $26,056.08 $22,197.18 2025-09-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 20 — — $19,070.34 $27,443.10 $22,183.88 2025-09-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 20 — — $18,704.67 $27,479.35 $22,015.08 2025-09-01
64628 CPT 64628trml Dstrj Ios Bvn 1st 2 L/s 76 33 $32,167.05 $22,516.94 30% off $7,182.90 $31,202.04 $21,825.34 2025-09-01
500 MS_DRG Soft Tissue Procedures With Mcc 22 20 — — $19,990.12 $25,491.45 $21,804.61 2025-09-01
62362 CPT 62362 Imp Spine Inf Pump 54 33 $44,185.30 $30,929.71 30% off $1,539.91 $42,859.74 $21,774.51 2025-09-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 20 — — $17,867.92 $27,825.70 $21,742.66 2025-09-01
545 MS_DRG Connective Tissue Disorders With Mcc 22 20 — — $18,688.31 $23,394.01 $21,589.35 2025-09-01
253 MS_DRG Other Vascular Procedures With Cc 22 20 — — $19,481.06 $22,099.63 $21,406.54 2025-09-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 22 20 — — $18,634.40 $26,085.08 $21,377.25 2025-09-01
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 11 11 — — $21,108.62 $22,164.05 $21,319.71 2025-09-01
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 11 11 — — $21,108.62 $22,164.05 $21,319.71 2025-09-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 22 20 — — $19,864.55 $21,469.75 $21,316.26 2025-09-01
0515T CPT Insj Wcs Lv Compl Sys 11 11 — — $21,057.67 $22,110.55 $21,268.25 2025-09-01
0409T CPT Insj/rplc Car Modulj Pls Gn 11 11 — — $21,057.67 $22,110.55 $21,268.25 2025-09-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 11 11 — — $21,057.67 $22,110.55 $21,268.25 2025-09-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 11 11 — — $21,057.67 $22,110.55 $21,268.25 2025-09-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 11 11 — — $21,057.67 $22,110.55 $21,268.25 2025-09-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 11 11 — — $21,057.67 $22,110.55 $21,268.25 2025-09-01
J1440 HCPCS Rebyota Fecal Microbiota, Live Jslm Sus 150ml Ea [crhs] 73 33 $31,972.50 $22,380.75 30% off $63.84 $31,013.33 $21,261.72 2025-09-01
570 MS_DRG Skin Debridement With Mcc 22 20 — — $20,330.25 $23,689.62 $21,197.69 2025-09-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 20 — — $20,026.85 $23,973.95 $21,167.50 2025-09-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 20 — — $20,708.11 $22,326.77 $21,166.09 2025-09-01
835 MS_DRG Acute Leukemia With Cc 22 20 — — $15,932.81 $25,756.45 $21,165.82 2025-09-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 12 12 — — $2,958.27 $22,110.55 $21,162.96 2025-09-01
33240 CPT Insrt Pulse Gen W/singl Lead 12 12 — — $1,539.91 $22,110.55 $21,162.96 2025-09-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 12 12 — — $2,958.27 $22,110.55 $21,162.96 2025-09-01
33230 CPT Insrt Pulse Gen W/dual Leads 12 12 — — $1,539.91 $22,110.55 $21,162.96 2025-09-01
64575 CPT 64575 Incision For Implantation Of Neurostimulator Electrode Array; Peripheral N… 76 33 $31,175.78 $21,823.05 30% off $6,961.55 $30,240.51 $21,152.76 2025-09-01
64553 CPT 64553 - Percutaneous Implantation Of Neurostimulator Electrode Array; Cranial Ne… 76 33 $31,175.78 $21,823.05 30% off $6,961.55 $30,240.51 $21,152.76 2025-09-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 11 11 — — $20,938.16 $21,985.07 $21,147.54 2025-09-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 11 11 — — $20,899.38 $21,944.35 $21,108.37 2025-09-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 22 20 — — $18,053.56 $23,042.83 $21,048.00 2025-09-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 20 — — $20,259.99 $23,118.54 $20,915.53 2025-09-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 22 20 — — $18,156.55 $22,558.74 $20,867.68 2025-09-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 22 20 — — $19,697.11 $23,211.98 $20,671.97 2025-09-01
61885 CPT Insrt/redo Neurostim 1 Array 12 12 — — $20,117.84 $39,100.00 $20,419.61 2025-09-01
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 11 11 — — $20,117.84 $21,123.73 $20,319.02 2025-09-01
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 11 11 — — $20,117.84 $21,123.73 $20,319.02 2025-09-01
0680T CPT Insj/rplcmt Pg Only Isdss 11 11 — — $20,117.84 $21,123.73 $20,319.02 2025-09-01
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 11 11 — — $20,117.84 $21,123.73 $20,319.02 2025-09-01
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 22 20 — — $14,022.29 $26,131.80 $20,313.33 2025-09-01
709 MS_DRG Penis Procedures With Cc/mcc 22 20 — — $17,612.30 $21,900.67 $20,226.59 2025-09-01
63655 CPT Implant Neuroelectrodes 12 12 — — $1,539.91 $21,123.73 $20,218.43 2025-09-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 20 — — $19,629.24 $22,139.90 $20,174.54 2025-09-01
793 MS_DRG Full Term Neonate With Major Problems 22 20 — — $9,521.20 $33,584.79 $20,020.70 2025-09-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 22 20 — — $16,816.74 $22,291.33 $19,959.88 2025-09-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 20 — — $18,796.48 $22,207.56 $19,783.72 2025-09-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 20 — — $16,940.15 $24,325.94 $19,762.61 2025-09-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 22 20 — — $18,975.05 $20,321.15 $19,573.68 2025-09-01
L6960 HCPCS Shldr Disartic Switch Contro 11 11 — — $19,277.39 $20,241.26 $19,470.16 2025-09-01
503 MS_DRG Foot Procedures With Mcc 22 20 — — $17,923.81 $22,481.42 $19,461.85 2025-09-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 20 — — $16,944.14 $23,374.68 $19,353.64 2025-09-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 22 20 — — $18,407.12 $19,663.89 $19,342.24 2025-09-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 22 20 — — $19,105.48 $20,774.63 $19,320.47 2025-09-01
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