Price Transparency 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

ATRIUM HEALTH ANSON

Wadesboro, NC · CCN 340084 · Rates published

13,945 distinct procedures filed
29 distinct payers
1,577,055 rate rows
2025-12-01 last MRF observed
Data quality

1,441,842 of 1,577,055 rate rows are consumer-grade (91.4%)

135,213 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
professional (physician) fee — not the facility price 131,895
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,411
percent-of-charges filed in the dollar field — excluded from medians 783
per-diem day rate — not a per-procedure price 80
exceeds 10× this hospital's gross charge — excluded from medians 27
placeholder amount (≤ $0.02) — excluded from medians 17
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11164/560529945-1659856060_the-charlotte-mecklenburg-hospital-authority_standardcharges.csv
Found on page https://atriumhealth.org/for-patients-visitors/financial-assistance/pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint a046b8b2a1677f38… · 2,391,827,501 bytes · first seen 2026-05-13

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 4 $4,595,100.00 $4,744,215.50 $4,696,462.50 nat. median
$4,505,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,313,414.63 $3,420,938.18 $3,386,504.66 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $3,004,654.80 $3,102,158.79 $3,070,933.95 nat. median
$3,006,423
1.0× median
J1411
HCPCS 		Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 12 $2,618,000.00 $4,637,500.00 $2,693,250.00 nat. median
$3,710,000
0.7× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 14 $1,736,889.18 $4,970,335.95 $2,553,449.25 nat. median
$2,469,189
1.0× median
J1413
HCPCS 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 13 $2,393,600.00 $4,894,400.00 $2,512,000.00 nat. median
$3,325,455
0.8× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,378,640.00 $2,455,829.20 $2,431,110.00 nat. median
$2,448,600
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 29 $476,940.12 $3,028,697.28 $1,752,818.70 nat. median
$674,188
outlier · 2.6×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 29 $474,124.38 $3,010,816.57 $1,742,470.48 nat. median
$625,184
outlier · 2.8×
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 29 $468,597.02 $2,975,716.35 $1,722,156.69 nat. median
$675,122
outlier · 2.6×
Q2042
HCPCS 		Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 29 $438,860.80 $3,383,140.05 $1,713,898.85 nat. median
$754,974
outlier · 2.3×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 29 $452,013.41 $2,870,406.00 $1,661,209.71 nat. median
$634,511
outlier · 2.6×
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 29 $380,582.40 $2,416,800.00 $1,398,691.20 nat. median
$620,080
outlier · 2.3×
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $786,032.40 $811,539.92 $803,371.35 nat. median
$824,563
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $248,942.00 $554,130.78 $537,991.25 nat. median
$265,286
outlier · 2.0×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $318,729.75 $350,203.97 $340,003.99 nat. median
$370,174
0.9× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 28 $1,305.86 $524,046.84 $326,012.30 nat. median
$2,677
outlier · 121.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $118,321.24 $303,398.09 $294,561.37 nat. median
$117,303
outlier · 2.5×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $283,815.00 $293,025.08 $290,075.62 nat. median
$324,450
0.9× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 28 $5,103.71 $453,533.80 $282,145.76 nat. median
$8,223
outlier · 34.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $190,537.42 $278,618.80 $270,503.80 nat. median
$202,986
1.3× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $262,650.00 $271,173.25 $268,443.75 nat. median
$265,000
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $97,059.90 $267,942.06 $260,138.02 nat. median
$100,136
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $127,235.35 $248,163.34 $240,935.37 nat. median
$133,176
1.8× median
7
MS_DRG 		Lung Transplant 12 $118,035.15 $220,880.00 $214,446.68 nat. median
$122,708
1.7× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $209,752.80 $216,559.48 $214,379.70 nat. median
$209,753
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $100,270.24 $191,237.03 $185,667.09 nat. median
$108,660
1.7× median
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 28 $260.96 $277,612.80 $172,704.38 nat. median
$415
outlier · 415.7×
652
MS_DRG 		Kidney Transplant 12 $31,361.55 $169,123.79 $164,197.91 nat. median
$31,494
outlier · 5.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $144,039.91 $217,228.96 $155,190.66 nat. median
$206,368
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $88,405.01 $145,950.66 $141,699.72 nat. median
$93,672
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $84,597.32 $139,970.58 $135,893.82 nat. median
$83,442
1.6× median
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 29 $35,911.48 $228,047.50 $131,979.49 nat. median
$69,774
1.9× median
77371
CPT 		Hc Radiation Delivery Stereotactic Cranial Cobalt 28 $7,416.09 $210,862.95 $131,178.95 nat. median
$9,046
outlier · 14.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $77,043.50 $126,730.76 $123,039.62 nat. median
$82,712
1.5× median
10
MS_DRG 		Pancreas Transplant 12 $73,856.53 $121,147.51 $117,618.99 nat. median
$68,882
1.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $73,460.32 $120,450.55 $116,942.32 nat. median
$71,240
1.6× median
834
MS_DRG 		Acute Leukemia With Mcc 12 $52,653.26 $118,285.56 $114,840.39 nat. median
$53,173
outlier · 2.2×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 12 $51,905.93 $117,886.22 $114,452.68 nat. median
$53,171
outlier · 2.2×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $111,502.61 $115,120.97 $113,962.22 nat. median
$111,989
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $99,179.61 $116,209.74 $112,825.03 nat. median
$102,358
1.1× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 29 $29,182.40 $185,316.03 $107,249.21 nat. median
$60,368
1.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 $56,272.83 $107,547.28 $104,414.88 nat. median
$52,278
2.0× median
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 28 $119.71 $161,964.55 $100,759.00 nat. median
$167
outlier · 602.9×
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 28 $67.04 $159,048.72 $98,945.04 nat. median
$94
outlier · 1055.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $74,620.32 $101,680.22 $98,718.70 nat. median
$77,576
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 12 $92,057.22 $101,147.77 $98,201.75 nat. median
$99,019
1.0× median
6
MS_DRG 		Liver Transplant Without Mcc 12 $46,774.40 $100,987.03 $98,045.69 nat. median
$46,260
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $63,932.42 $100,337.78 $97,415.36 nat. median
$64,732
1.5× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 4 $95,081.03 $98,166.51 $97,178.41 nat. median
$96,983
1.0× median

Other procedures at this hospital

Browse this hospital's 13,945 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
             
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 111 28 $48,534.80 $24,267.40 50% off $197.63 $160,316.87 $30,407.05 2025-12-01
34701 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft 64 28 $52,774.60 $26,387.30 50% off $1,132.55 $50,135.87 $31,242.57 2025-12-01
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 65 28 $53,271.20 $26,635.60 50% off $130.00 $50,607.64 $31,483.28 2025-12-01
34702 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft Rpt 63 28 $53,755.20 $26,877.60 50% off $1,664.89 $51,067.44 $31,876.83 2025-12-01
34703 CPT Hc Evasc Rpr Dplmnt Aorto-un-iliac Ndgft 63 28 $53,755.20 $26,877.60 50% off $1,273.02 $51,067.44 $31,876.83 2025-12-01
34706 CPT Hc Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft Rpt 63 28 $53,755.20 $26,877.60 50% off $2,112.83 $51,067.44 $31,876.83 2025-12-01
J1440 HCPCS Fecal Microbiota, Live-jslm 150 Ml Rectal Suspension Enema 65 28 $54,810.00 $27,405.00 50% off $65.12 $52,069.50 $32,392.71 2025-12-01
92943 CPT Hc Cath Prq Trluml Coronry Chronic Occlus Revasc One Vsl 68 29 $55,177.25 $27,588.63 50% off $8,254.52 $52,418.39 $30,336.46 2025-12-01
92937 CPT Hc Cath Prq Trluml Coronary Byp Grft Revasc One Vessel 68 29 $55,177.25 $27,588.63 50% off $8,254.52 $52,418.39 $30,336.46 2025-12-01
92933 CPT Hc Cath Prq Trluml Coronry Stent/ath/angio One Art/brnch 68 29 $55,177.25 $27,588.63 50% off $8,254.52 $52,418.39 $30,336.46 2025-12-01
J1304 HCPCS Tofersen 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution 65 28 $57,204.60 $28,602.30 50% off $162.59 $54,344.37 $33,807.92 2025-12-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 65 28 $57,484.95 $28,742.48 50% off $231.82 $54,610.70 $33,973.61 2025-12-01
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 65 28 $58,261.65 $29,130.83 50% off $77.49 $55,348.57 $34,432.64 2025-12-01
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 157 28 $58,303.00 $29,151.50 50% off $152.39 $107,452.32 $34,573.68 2025-12-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 65 28 $60,528.35 $30,264.18 50% off $201.79 $57,501.93 $35,772.25 2025-12-01
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 65 28 $60,741.85 $30,370.93 50% off $2,478.49 $57,704.76 $35,898.43 2025-12-01
33901 CPT Hc Perq Pulm Art Revasc Init Normal Nat Conn Bil 68 29 $60,757.25 $30,378.63 50% off $9,089.28 $57,719.39 $33,404.33 2025-12-01
33903 CPT Hc Perq Pulm Art Revasc Init Abnormal Conn Bil 68 29 $60,757.25 $30,378.63 50% off $9,089.28 $57,719.39 $33,404.33 2025-12-01
33745 CPT Hc Transcatheter Intracardiac Shunt Creation 64 28 $63,758.65 $31,879.33 50% off $970.73 $60,570.72 $37,745.12 2025-12-01
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 65 28 $64,353.85 $32,176.93 50% off $34.57 $61,136.16 $38,033.13 2025-12-01
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 68 29 $68,873.40 $34,436.70 50% off $10,303.46 $65,429.73 $37,866.60 2025-12-01
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sing Ld 68 29 $68,873.40 $34,436.70 50% off $10,303.46 $65,429.73 $37,866.60 2025-12-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 65 28 $70,069.55 $35,034.78 50% off $366.38 $66,566.07 $41,411.10 2025-12-01
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 68 29 $74,455.55 $37,227.78 50% off $11,138.55 $70,732.77 $40,935.66 2025-12-01
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 68 29 $75,885.15 $37,942.58 50% off $11,352.42 $72,090.89 $41,721.65 2025-12-01
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 65 28 $76,100.00 $38,050.00 50% off $347.12 $72,295.00 $44,975.10 2025-12-01
93654 CPT Hc Ep Ephys Eval W/ablation Ventricular Tachycardia 68 29 $76,123.95 $38,061.98 50% off $11,388.14 $72,317.75 $41,852.94 2025-12-01
0914T CPT Hc Perq Transcath Thera Rx Balloon Angio, Separate Lesion, 1 Artery/branch 64 29 $79,223.25 $39,611.63 50% off $11,851.80 $75,262.09 $45,188.94 2025-12-01
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 65 28 $80,911.45 $40,455.73 50% off $144.44 $76,865.88 $47,818.67 2025-12-01
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 65 28 $81,970.00 $40,985.00 50% off $221.43 $77,871.50 $48,444.27 2025-12-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 65 28 $82,588.85 $41,294.43 50% off $60.60 $78,459.41 $48,810.01 2025-12-01
0812 RC Hc Cadaver Donor - Pancreas 202 29 $85,226.70 $42,613.35 50% off $11,508.31 $109,180.51 $47,503.18 2025-12-01
93591 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 68 29 $86,855.80 $43,427.90 50% off $12,993.63 $82,513.01 $47,753.32 2025-12-01
93590 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 68 29 $86,855.80 $43,427.90 50% off $12,993.63 $82,513.01 $47,753.32 2025-12-01
0571T CPT Hc Insert/replace Icds W/substernal Electrode 68 29 $87,916.70 $43,958.35 50% off $13,152.34 $83,520.87 $48,336.61 2025-12-01
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 65 28 $88,490.00 $44,245.00 50% off $324.90 $84,065.50 $52,297.59 2025-12-01
J3316 HCPCS Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspension 65 28 $89,190.70 $44,595.35 50% off $3,893.62 $84,731.17 $52,711.70 2025-12-01
93653 CPT Hc Ep Ephys Eval W/ablation Supravent Arrhythmia 68 29 $91,417.45 $45,708.73 50% off $13,676.05 $86,846.58 $50,261.32 2025-12-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 65 28 $91,682.00 $45,841.00 50% off $2,752.01 $87,097.90 $54,184.06 2025-12-01
J9600 HCPCS Porfimer 75 Mg Intravenous Solution 68 29 $91,941.00 $45,970.50 50% off $13,754.37 $87,343.95 $50,549.16 2025-12-01
33277 CPT Hc Ins Phrenic Nrv Stimulator Transvns Sensing Ld 65 28 $94,209.80 $47,104.90 50% off $259.77 $89,499.31 $55,677.99 2025-12-01
0811 RC Hc Kidney Acquistion Live Donor 64 29 $98,460.75 $49,230.38 50% off $14,729.73 $93,537.71 $56,162.01 2025-12-01
33266 CPT Hc Maze Procedure Without Cardio By 63 28 $99,183.65 $49,591.83 50% off $1,725.53 $94,224.47 $58,815.90 2025-12-01
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 65 28 $99,415.25 $49,707.63 50% off $3,734.05 $94,444.49 $58,754.41 2025-12-01
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 65 28 $100,182.50 $50,091.25 50% off $83.72 $95,173.38 $59,207.86 2025-12-01
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 65 28 $104,288.60 $52,144.30 50% off $699.72 $99,074.17 $61,634.56 2025-12-01
0916T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator Only 68 29 $109,005.70 $54,502.85 50% off $16,307.25 $103,555.42 $59,931.33 2025-12-01
0409T CPT Hc Insert Or Replace Perm Ccm Pulse Generator Only 68 29 $109,005.70 $54,502.85 50% off $16,307.25 $103,555.42 $59,931.33 2025-12-01
0414T CPT Hc Removal & Replace Permament Ccm Pulse Generator Only 68 29 $109,005.70 $54,502.85 50% off $16,307.25 $103,555.42 $59,931.33 2025-12-01
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 68 29 $109,005.70 $54,502.85 50% off $16,307.25 $103,555.42 $59,931.33 2025-12-01
33288 CPT Hc Rmvl&rplcmt Phrnc Nrv Stim Trnsvns Stim/snsg Ld 68 29 $109,284.20 $54,642.10 50% off $12,097.72 $103,819.99 $58,267.59 2025-12-01
0408T CPT Hc Insert Or Replace Perm Cardiac Cont Mod Gen+elect 68 29 $110,987.60 $55,493.80 50% off $16,603.74 $105,438.22 $61,020.98 2025-12-01
0915T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator & Leads 68 29 $110,987.60 $55,493.80 50% off $16,603.74 $105,438.22 $61,020.98 2025-12-01
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 65 28 $111,115.60 $55,557.80 50% off $221.24 $105,559.82 $65,669.32 2025-12-01
93656 CPT Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 68 29 $121,044.20 $60,522.10 50% off $18,108.21 $114,991.99 $66,550.10 2025-12-01
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 65 28 $135,076.60 $67,538.30 50% off $364.07 $128,322.77 $79,830.27 2025-12-01
0795T CPT Hc Tcat Insert Perm Dual Chamber Leadls Pm Compl Sys 68 29 $151,770.35 $75,885.18 50% off $18,501.35 $144,181.83 $81,345.25 2025-12-01
J0801 HCPCS Corticotropin 80 Unit/ml Injection Gel 64 29 $158,564.00 $79,282.00 50% off $23,721.17 $150,635.80 $87,178.49 2025-12-01
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 64 29 $164,721.00 $82,360.50 50% off $24,642.26 $156,484.95 $93,956.86 2025-12-01
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 65 28 $167,419.70 $83,709.85 50% off $67.04 $159,048.72 $98,945.04 2025-12-01
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 65 28 $170,489.00 $85,244.50 50% off $119.71 $161,964.55 $100,759.00 2025-12-01
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 68 29 $195,069.50 $97,534.75 50% off $29,182.40 $185,316.03 $107,249.21 2025-12-01
77371 CPT Hc Radiation Delivery Stereotactic Cranial Cobalt 65 28 $221,961.00 $110,980.50 50% off $7,416.09 $210,862.95 $131,178.95 2025-12-01
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 68 29 $240,050.00 $120,025.00 50% off $35,911.48 $228,047.50 $131,979.49 2025-12-01
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 65 28 $292,224.00 $146,112.00 50% off $260.96 $277,612.80 $172,704.38 2025-12-01
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 65 28 $477,404.00 $238,702.00 50% off $5,103.71 $453,533.80 $282,145.76 2025-12-01
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 65 28 $551,628.25 $275,814.13 50% off $1,305.86 $524,046.84 $326,012.30 2025-12-01
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 68 29 $2,544,000.00 $1,272,000.00 50% off $380,582.40 $2,416,800.00 $1,398,691.20 2025-12-01
Q2042 HCPCS Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 114 29 $2,933,561.50 $1,466,780.75 50% off $438,860.80 $3,383,140.05 $1,713,898.85 2025-12-01
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 68 29 $3,021,480.00 $1,510,740.00 50% off $452,013.41 $2,870,406.00 $1,661,209.71 2025-12-01
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 68 29 $3,132,333.00 $1,566,166.50 50% off $468,597.02 $2,975,716.35 $1,722,156.69 2025-12-01
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 68 29 $3,169,280.60 $1,584,640.30 50% off $474,124.38 $3,010,816.57 $1,742,470.48 2025-12-01
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 68 29 $3,188,102.40 $1,594,051.20 50% off $476,940.12 $3,028,697.28 $1,752,818.70 2025-12-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 4 — — $4,595,100.00 $4,744,215.50 $4,696,462.50 2025-12-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,313,414.63 $3,420,938.18 $3,386,504.66 2025-12-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 4 — — $3,004,654.80 $3,102,158.79 $3,070,933.95 2025-12-01
J1411 HCPCS Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 15 12 — — $2,618,000.00 $4,637,500.00 $2,693,250.00 2025-12-01
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 22 14 — — $1,736,889.18 $4,970,335.95 $2,553,449.25 2025-12-01
J1413 HCPCS Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 17 13 — — $2,393,600.00 $4,894,400.00 $2,512,000.00 2025-12-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 4 — — $2,378,640.00 $2,455,829.20 $2,431,110.00 2025-12-01
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $786,032.40 $811,539.92 $803,371.35 2025-12-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 12 — — $248,942.00 $554,130.78 $537,991.25 2025-12-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 12 — — $318,729.75 $350,203.97 $340,003.99 2025-12-01
14 MS_DRG Allogeneic Bone Marrow Transplant 13 12 — — $118,321.24 $303,398.09 $294,561.37 2025-12-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 4 — — $283,815.00 $293,025.08 $290,075.62 2025-12-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 12 — — $190,537.42 $278,618.80 $270,503.80 2025-12-01
J3403 HCPCS Revakinagene, Per Implant 4 4 — — $262,650.00 $271,173.25 $268,443.75 2025-12-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 12 — — $97,059.90 $267,942.06 $260,138.02 2025-12-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 12 — — $127,235.35 $248,163.34 $240,935.37 2025-12-01
7 MS_DRG Lung Transplant 13 12 — — $118,035.15 $220,880.00 $214,446.68 2025-12-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 4 — — $209,752.80 $216,559.48 $214,379.70 2025-12-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 12 — — $100,270.24 $191,237.03 $185,667.09 2025-12-01
652 MS_DRG Kidney Transplant 13 12 — — $31,361.55 $169,123.79 $164,197.91 2025-12-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 12 — — $144,039.91 $217,228.96 $155,190.66 2025-12-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 12 — — $88,405.01 $145,950.66 $141,699.72 2025-12-01
850 MS_DRG Acute Leukemia With Other Procedures 13 12 — — $84,597.32 $139,970.58 $135,893.82 2025-12-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 12 — — $77,043.50 $126,730.76 $123,039.62 2025-12-01
10 MS_DRG Pancreas Transplant 13 12 — — $73,856.53 $121,147.51 $117,618.99 2025-12-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 12 — — $73,460.32 $120,450.55 $116,942.32 2025-12-01
834 MS_DRG Acute Leukemia With Mcc 13 12 — — $52,653.26 $118,285.56 $114,840.39 2025-12-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 12 — — $51,905.93 $117,886.22 $114,452.68 2025-12-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $111,502.61 $115,120.97 $113,962.22 2025-12-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 12 — — $99,179.61 $116,209.74 $112,825.03 2025-12-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 12 — — $56,272.83 $107,547.28 $104,414.88 2025-12-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 12 — — $74,620.32 $101,680.22 $98,718.70 2025-12-01
215 MS_DRG Other Heart Assist System Implant 13 12 — — $92,057.22 $101,147.77 $98,201.75 2025-12-01
6 MS_DRG Liver Transplant Without Mcc 13 12 — — $46,774.40 $100,987.03 $98,045.69 2025-12-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 12 — — $63,932.42 $100,337.78 $97,415.36 2025-12-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 4 — — $95,081.03 $98,166.51 $97,178.41 2025-12-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 12 — — $90,718.85 $99,677.23 $96,774.05 2025-12-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 12 — — $47,936.98 $98,843.39 $95,964.49 2025-12-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 12 — — $78,199.14 $97,428.11 $94,590.43 2025-12-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 12 — — $66,001.86 $95,878.46 $93,085.92 2025-12-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 12 — — $78,158.40 $95,701.40 $92,914.01 2025-12-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 12 — — $69,445.44 $95,418.84 $92,639.69 2025-12-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 12 — — $58,367.40 $93,999.80 $91,261.98 2025-12-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 12 — — $57,936.52 $93,251.35 $90,535.32 2025-12-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 12 — — $54,194.72 $92,938.65 $90,231.74 2025-12-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 12 — — $65,043.86 $92,472.76 $89,779.41 2025-12-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 12 — — $72,498.88 $89,334.53 $86,732.59 2025-12-01
37 MS_DRG Extracranial Procedures With Mcc 13 12 — — $33,524.61 $88,199.30 $85,630.42 2025-12-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 12 — — $71,814.83 $87,400.61 $84,855.00 2025-12-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 12 — — $60,801.83 $85,990.36 $83,485.82 2025-12-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 12 — — $56,671.63 $83,804.02 $81,363.16 2025-12-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 12 — — $55,210.79 $82,624.83 $80,218.32 2025-12-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 12 — — $51,508.87 $81,979.36 $79,591.64 2025-12-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 12 — — $45,948.18 $80,703.47 $78,352.92 2025-12-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 12 — — $54,492.07 $78,718.07 $76,425.34 2025-12-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 12 — — $49,383.08 $78,253.42 $75,974.23 2025-12-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 12 — — $66,311.37 $77,738.55 $75,474.35 2025-12-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 12 — — $48,093.05 $77,630.55 $75,369.49 2025-12-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 12 — — $49,234.83 $76,808.01 $74,570.91 2025-12-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 12 — — $44,677.21 $75,788.30 $73,580.90 2025-12-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 12 — — $34,838.94 $74,152.01 $71,992.27 2025-12-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 12 — — $52,653.26 $73,555.50 $71,413.14 2025-12-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 12 — — $62,860.87 $73,112.21 $70,982.76 2025-12-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 12 — — $56,311.82 $72,591.06 $70,476.78 2025-12-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 12 — — $60,721.19 $72,591.06 $70,476.78 2025-12-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 4 — — $68,801.71 $71,034.40 $70,319.39 2025-12-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 12 — — $58,436.76 $72,342.41 $70,235.38 2025-12-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 12 — — $62,539.22 $71,259.92 $69,184.41 2025-12-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 12 — — $57,693.76 $68,740.80 $66,738.66 2025-12-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 12 — — $50,857.77 $68,151.83 $66,166.85 2025-12-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 12 — — $44,543.71 $66,855.85 $64,908.62 2025-12-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 12 — — $42,246.25 $65,746.99 $63,832.05 2025-12-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 12 — — $59,498.60 $65,374.02 $63,469.95 2025-12-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 12 — — $37,872.43 $64,950.82 $63,059.07 2025-12-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 12 — — $55,747.45 $64,108.18 $62,240.98 2025-12-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 12 — — $51,558.28 $63,862.05 $62,002.01 2025-12-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 12 — — $51,514.07 $63,246.71 $61,404.59 2025-12-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 12 — — $41,715.66 $62,582.39 $60,759.63 2025-12-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 12 — — $56,035.52 $64,669.83 $60,373.47 2025-12-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 12 — — $43,506.81 $62,036.12 $60,229.27 2025-12-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 12 — — $52,452.13 $61,169.63 $59,388.01 2025-12-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 4 — — $57,961.04 $59,841.93 $59,239.60 2025-12-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 12 — — $50,654.05 $59,775.70 $58,034.68 2025-12-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 12 — — $45,063.88 $59,528.31 $57,794.50 2025-12-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 4 — — $56,377.77 $58,207.28 $57,621.40 2025-12-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 12 — — $37,692.97 $58,806.23 $57,093.45 2025-12-01
264 MS_DRG Other Circulatory System O.r. Procedures 13 12 — — $35,034.87 $58,690.69 $56,981.28 2025-12-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 12 — — $52,160.82 $58,659.30 $56,950.80 2025-12-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 12 — — $48,766.67 $58,096.71 $56,404.59 2025-12-01
163 MS_DRG Major Chest Procedures With Mcc 13 12 — — $44,693.68 $57,988.71 $56,299.74 2025-12-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 12 — — $41,055.92 $57,097.09 $55,434.09 2025-12-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 12 — — $48,401.68 $57,080.77 $55,418.24 2025-12-01
949 MS_DRG Aftercare With Cc/mcc 13 12 — — $14,088.20 $56,524.45 $54,878.13 2025-12-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 12 — — $45,521.63 $56,471.71 $54,826.92 2025-12-01
28 MS_DRG Spinal Procedures With Mcc 13 12 — — $50,738.05 $59,304.63 $54,665.90 2025-12-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 12 — — $35,100.76 $56,094.97 $54,461.16 2025-12-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 12 — — $42,169.08 $55,453.26 $53,838.14 2025-12-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 12 — — $49,881.99 $54,807.79 $53,211.46 2025-12-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 12 — — $40,136.07 $54,603.09 $53,012.73 2025-12-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 12 — — $35,812.53 $54,469.98 $52,883.49 2025-12-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 12 — — $36,366.51 $54,261.52 $52,681.10 2025-12-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 12 — — $44,549.76 $53,983.99 $52,411.66 2025-12-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 12 — — $43,847.53 $53,928.73 $52,358.01 2025-12-01
332 MS_DRG Rectal Resection With Mcc 13 12 — — $34,805.98 $52,705.59 $51,170.50 2025-12-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 12 — — $47,872.72 $52,600.10 $51,068.08 2025-12-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 12 — — $47,334.40 $58,914.36 $50,998.76 2025-12-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 12 — — $47,334.40 $58,914.36 $50,998.76 2025-12-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 12 — — $47,790.43 $52,509.69 $50,980.30 2025-12-01
252 MS_DRG Other Vascular Procedures With Mcc 13 12 — — $34,473.95 $52,405.46 $50,879.10 2025-12-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 12 — — $39,270.84 $52,389.13 $50,863.25 2025-12-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,605.45 $51,215.19 $50,699.68 2025-12-01
665 MS_DRG Prostatectomy With Mcc 13 12 — — $34,501.68 $52,171.88 $50,652.33 2025-12-01
974 MS_DRG HIV With Major Related Condition With Mcc 13 12 — — $30,622.90 $51,606.77 $50,103.68 2025-12-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 12 — — $40,384.02 $51,437.24 $49,939.09 2025-12-01
245 MS_DRG Aicd Generator Procedures 13 12 — — $45,213.13 $49,677.88 $48,230.97 2025-12-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 12 — — $44,527.37 $50,488.84 $47,974.42 2025-12-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 12 — — $44,349.07 $48,728.50 $47,309.24 2025-12-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 12 — — $41,661.06 $48,364.32 $46,955.67 2025-12-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 12 — — $34,595.31 $47,862.00 $46,467.98 2025-12-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 12 — — $43,329.58 $47,632.57 $46,221.70 2025-12-01
653 MS_DRG Major Bladder Procedures With Mcc 13 12 — — $42,422.10 $54,785.29 $45,706.17 2025-12-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 12 — — $40,311.21 $46,829.74 $45,465.78 2025-12-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 12 — — $38,650.96 $46,545.93 $45,190.24 2025-12-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 12 — — $31,664.12 $46,223.19 $44,876.90 2025-12-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 13 12 — — $26,443.29 $46,200.59 $44,854.96 2025-12-01
471 MS_DRG Cervical Spinal Fusion With Mcc 13 12 — — $41,440.32 $48,364.77 $44,648.39 2025-12-01
0266T CPT Apc 4 4 — — $43,655.98 $45,072.65 $44,618.97 2025-12-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 12 — — $40,364.06 $45,916.78 $44,579.41 2025-12-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 12 — — $31,488.12 $45,612.88 $44,284.36 2025-12-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 12 — — $38,207.95 $45,331.58 $44,011.26 2025-12-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 13 12 — — $21,979.28 $45,192.19 $43,875.93 2025-12-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 12 — — $35,340.89 $44,934.75 $43,625.99 2025-12-01
799 MS_DRG Splenic Procedures With Mcc 13 12 — — $40,458.54 $47,447.29 $43,590.61 2025-12-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 12 — — $32,251.06 $44,552.99 $43,255.35 2025-12-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 12 — — $38,447.24 $44,423.64 $43,129.77 2025-12-01
140 MS_DRG Major Head And Neck Procedures With Mcc 13 12 — — $40,299.68 $44,279.23 $42,989.56 2025-12-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 13 12 — — $32,433.98 $44,161.18 $42,874.95 2025-12-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 12 — — $39,965.94 $44,207.05 $42,817.58 2025-12-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 12 — — $38,634.49 $43,798.26 $42,522.60 2025-12-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 12 — — $34,428.87 $43,593.56 $42,323.86 2025-12-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 12 — — $33,072.06 $43,192.97 $41,934.93 2025-12-01
901 MS_DRG Wound Debridements For Injuries With Mcc 13 12 — — $38,291.55 $44,544.51 $41,255.86 2025-12-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 12 — — $38,132.68 $60,009.06 $41,084.70 2025-12-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 12 — — $38,114.31 $42,272.47 $41,041.25 2025-12-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $39,992.59 $41,290.39 $40,874.77 2025-12-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 13 12 — — $29,561.73 $41,939.69 $40,718.16 2025-12-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 12 — — $37,829.81 $41,565.46 $40,354.83 2025-12-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 4 4 — — $39,378.45 $40,656.32 $40,247.09 2025-12-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 12 — — $37,044.61 $42,129.54 $39,912.40 2025-12-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 4 — — $38,801.82 $40,060.98 $39,657.75 2025-12-01
263 MS_DRG Vein Ligation And Stripping 13 12 — — $27,986.47 $40,752.96 $39,566.00 2025-12-01
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 13 12 — — $22,181.30 $40,741.66 $39,555.02 2025-12-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 13 12 — — $27,476.69 $40,682.64 $39,497.72 2025-12-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 12 — — $36,627.45 $41,294.40 $39,462.93 2025-12-01
849 MS_DRG Radiotherapy 13 12 — — $27,891.09 $40,585.94 $39,403.84 2025-12-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 12 — — $35,805.59 $40,392.55 $39,216.08 2025-12-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 12 — — $29,981.35 $40,382.50 $39,206.33 2025-12-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 12 — — $27,736.79 $40,317.20 $39,142.93 2025-12-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 12 — — $29,056.30 $40,249.39 $39,077.09 2025-12-01
835 MS_DRG Acute Leukemia With Cc 13 12 — — $23,251.11 $40,156.46 $38,986.87 2025-12-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 12 — — $28,457.22 $40,045.95 $38,879.58 2025-12-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 12 — — $32,514.62 $39,799.82 $38,640.61 2025-12-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 12 — — $29,414.34 $38,935.83 $37,801.79 2025-12-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 12 — — $31,791.55 $38,868.02 $37,735.95 2025-12-01
265 MS_DRG Aicd Lead Procedures 13 12 — — $35,339.36 $38,829.09 $37,698.16 2025-12-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 12 — — $31,250.57 $38,550.30 $37,427.49 2025-12-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 12 — — $31,543.60 $37,999.01 $36,892.26 2025-12-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 13 12 — — $26,426.81 $37,691.34 $36,593.55 2025-12-01
472 MS_DRG Cervical Spinal Fusion With Cc 13 12 — — $29,851.29 $37,042.10 $35,963.21 2025-12-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 12 — — $33,688.98 $37,015.72 $35,937.61 2025-12-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 12 — — $33,597.54 $36,915.26 $35,840.07 2025-12-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 4 4 — — $34,970.13 $36,104.94 $35,741.53 2025-12-01
545 MS_DRG Connective Tissue Disorders With Mcc 13 12 — — $26,640.94 $36,473.22 $35,410.91 2025-12-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 12 — — $29,546.99 $36,445.60 $35,384.09 2025-12-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 12 — — $32,591.76 $40,205.07 $35,114.83 2025-12-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 12 — — $32,392.89 $36,673.93 $34,900.57 2025-12-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 13 12 — — $24,455.34 $35,925.70 $34,879.33 2025-12-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 12 — — $29,081.44 $35,893.05 $34,847.63 2025-12-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 13 12 — — $20,827.10 $35,826.49 $34,783.01 2025-12-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 12 — — $30,231.03 $35,555.24 $34,519.66 2025-12-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 12 — — $30,296.93 $35,466.08 $34,433.10 2025-12-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 13 12 — — $24,802.12 $35,170.97 $34,146.58 2025-12-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 12 — — $31,663.71 $38,651.20 $34,114.93 2025-12-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 12 — — $31,587.13 $36,400.04 $34,032.42 2025-12-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 12 — — $31,319.68 $35,248.94 $33,744.27 2025-12-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 13 12 — — $23,922.16 $34,754.04 $33,741.80 2025-12-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 12 — — $31,215.68 $40,520.16 $33,632.22 2025-12-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 12 — — $29,512.31 $34,602.09 $33,594.28 2025-12-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 12 — — $31,465.98 $34,573.21 $33,566.24 2025-12-01
253 MS_DRG Other Vascular Procedures With Cc 13 12 — — $26,867.22 $34,455.17 $33,451.63 2025-12-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 12 — — $31,126.53 $34,200.24 $33,204.13 2025-12-01
709 MS_DRG Penis Procedures With Cc/mcc 13 12 — — $24,215.19 $34,144.98 $33,150.48 2025-12-01
791 MS_DRG Prematurity With Major Problems 13 12 — — $30,387.05 $41,227.29 $32,739.44 2025-12-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 12 — — $30,502.49 $33,703.11 $32,643.78 2025-12-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 12 — — $30,277.33 $42,397.17 $32,621.23 2025-12-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 13 12 — — $23,403.71 $33,549.74 $32,572.57 2025-12-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 12 — — $27,819.14 $33,473.14 $32,498.20 2025-12-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 12 — — $30,095.61 $35,376.04 $32,425.44 2025-12-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 13 12 — — $26,825.59 $32,999.70 $32,038.56 2025-12-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 12 — — $29,608.72 $39,482.72 $31,900.86 2025-12-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 12 — — $29,511.57 $34,442.46 $31,796.19 2025-12-01
33231 CPT Insrt Pulse Gen W/mult Leads 4 4 — — $31,103.64 $32,112.99 $31,789.75 2025-12-01
69930 CPT Implant Cochlear Device 4 4 — — $30,857.47 $31,858.82 $31,538.15 2025-12-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 13 12 — — $23,121.07 $32,389.39 $31,446.02 2025-12-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 12 — — $29,185.83 $36,249.65 $31,445.23 2025-12-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 13 12 — — $16,302.44 $32,341.67 $31,399.69 2025-12-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 12 — — $29,037.25 $33,431.89 $31,285.15 2025-12-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 12 — — $28,897.82 $37,320.18 $31,134.92 2025-12-01
570 MS_DRG Skin Debridement With Mcc 13 12 — — $29,102.40 $31,976.23 $31,044.90 2025-12-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 12 — — $29,001.82 $31,865.72 $30,937.61 2025-12-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 12 — — $23,010.10 $31,865.72 $30,937.61 2025-12-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 12 — — $28,668.09 $32,354.19 $30,887.41 2025-12-01
500 MS_DRG Soft Tissue Procedures With Mcc 13 12 — — $28,615.51 $33,250.19 $30,830.76 2025-12-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 13 12 — — $19,915.91 $31,628.38 $30,707.17 2025-12-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 13 12 — — $18,975.26 $31,628.38 $30,707.17 2025-12-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $29,719.96 $30,684.41 $30,375.55 2025-12-01
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $29,579.67 $30,539.56 $30,232.17 2025-12-01
61886 CPT Implant Neurostim Arrays 4 4 — — $29,563.10 $30,522.45 $30,215.22 2025-12-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 4 4 — — $29,563.10 $30,522.45 $30,215.22 2025-12-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 4 4 — — $29,563.10 $30,522.45 $30,215.22 2025-12-01
0268T CPT Apc 4 4 — — $29,563.10 $30,522.45 $30,215.22 2025-12-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 4 4 — — $29,563.10 $30,522.45 $30,215.22 2025-12-01
L6700 HCPCS Ue Add Ext Power Myoel 4 4 — — $29,510.19 $30,467.83 $30,161.15 2025-12-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 12 — — $27,960.62 $45,029.64 $30,125.17 2025-12-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 13 12 — — $27,708.18 $30,980.39 $30,078.06 2025-12-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 12 — — $27,825.75 $35,901.46 $29,979.86 2025-12-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 12 — — $28,001.21 $30,873.65 $29,974.43 2025-12-01
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