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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.

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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
             
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
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
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
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $786,032.40 $811,539.92 $803,371.35 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
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
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
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
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
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
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
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 4 — — $283,815.00 $293,025.08 $290,075.62 2025-12-01
J3403 HCPCS Revakinagene, Per Implant 4 4 — — $262,650.00 $271,173.25 $268,443.75 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
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 4 — — $209,752.80 $216,559.48 $214,379.70 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
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
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
14 MS_DRG Allogeneic Bone Marrow Transplant 13 12 — — $118,321.24 $303,398.09 $294,561.37 2025-12-01
7 MS_DRG Lung Transplant 13 12 — — $118,035.15 $220,880.00 $214,446.68 2025-12-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $111,502.61 $115,120.97 $113,962.22 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 12 — — $99,179.61 $116,209.74 $112,825.03 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
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 4 — — $95,081.03 $98,166.51 $97,178.41 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
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
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 12 — — $78,199.14 $97,428.11 $94,590.43 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
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
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
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
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
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
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
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 4 — — $68,801.71 $71,034.40 $70,319.39 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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 12 — — $63,932.42 $100,337.78 $97,415.36 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
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
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
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
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
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
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
A9543 HCPCS Y90 Ibritumomab, Rx 4 4 — — $57,961.04 $59,841.93 $59,239.60 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 12 — — $57,693.76 $68,740.80 $66,738.66 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
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 4 — — $56,377.77 $58,207.28 $57,621.40 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 12 — — $56,272.83 $107,547.28 $104,414.88 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 12 — — $55,747.45 $64,108.18 $62,240.98 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
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
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
834 MS_DRG Acute Leukemia With Mcc 13 12 — — $52,653.26 $118,285.56 $114,840.39 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
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
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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 12 — — $51,905.93 $117,886.22 $114,452.68 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
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
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
28 MS_DRG Spinal Procedures With Mcc 13 12 — — $50,738.05 $59,304.63 $54,665.90 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 12 — — $49,881.99 $54,807.79 $53,211.46 2025-12-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,605.45 $51,215.19 $50,699.68 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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 12 — — $49,234.83 $76,808.01 $74,570.91 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
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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 12 — — $47,936.98 $98,843.39 $95,964.49 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
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
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
6 MS_DRG Liver Transplant Without Mcc 13 12 — — $46,774.40 $100,987.03 $98,045.69 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
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
245 MS_DRG Aicd Generator Procedures 13 12 — — $45,213.13 $49,677.88 $48,230.97 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
163 MS_DRG Major Chest Procedures With Mcc 13 12 — — $44,693.68 $57,988.71 $56,299.74 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
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
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
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
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
0266T CPT Apc 4 4 — — $43,655.98 $45,072.65 $44,618.97 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
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
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
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
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
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
471 MS_DRG Cervical Spinal Fusion With Mcc 13 12 — — $41,440.32 $48,364.77 $44,648.39 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
799 MS_DRG Splenic Procedures With Mcc 13 12 — — $40,458.54 $47,447.29 $43,590.61 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
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
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
140 MS_DRG Major Head And Neck Procedures With Mcc 13 12 — — $40,299.68 $44,279.23 $42,989.56 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
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $39,992.59 $41,290.39 $40,874.77 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
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 4 4 — — $39,378.45 $40,656.32 $40,247.09 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
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
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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 12 — — $38,634.49 $43,798.26 $42,522.60 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
901 MS_DRG Wound Debridements For Injuries With Mcc 13 12 — — $38,291.55 $44,544.51 $41,255.86 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
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
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
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
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
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
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
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
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
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
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
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
265 MS_DRG Aicd Lead Procedures 13 12 — — $35,339.36 $38,829.09 $37,698.16 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
264 MS_DRG Other Circulatory System O.r. Procedures 13 12 — — $35,034.87 $58,690.69 $56,981.28 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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 12 — — $34,838.94 $74,152.01 $71,992.27 2025-12-01
332 MS_DRG Rectal Resection With Mcc 13 12 — — $34,805.98 $52,705.59 $51,170.50 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
665 MS_DRG Prostatectomy With Mcc 13 12 — — $34,501.68 $52,171.88 $50,652.33 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
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
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
37 MS_DRG Extracranial Procedures With Mcc 13 12 — — $33,524.61 $88,199.30 $85,630.42 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
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
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
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
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
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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 12 — — $31,791.55 $38,868.02 $37,735.95 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
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
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
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
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
652 MS_DRG Kidney Transplant 13 12 — — $31,361.55 $169,123.79 $164,197.91 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
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 12 — — $31,250.57 $38,550.30 $37,427.49 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
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
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
974 MS_DRG HIV With Major Related Condition With Mcc 13 12 — — $30,622.90 $51,606.77 $50,103.68 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
791 MS_DRG Prematurity With Major Problems 13 12 — — $30,387.05 $41,227.29 $32,739.44 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
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 12 — — $30,277.33 $42,397.17 $32,621.23 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
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
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
472 MS_DRG Cervical Spinal Fusion With Cc 13 12 — — $29,851.29 $37,042.10 $35,963.21 2025-12-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $29,719.96 $30,684.41 $30,375.55 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
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
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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 12 — — $29,546.99 $36,445.60 $35,384.09 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
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
L6700 HCPCS Ue Add Ext Power Myoel 4 4 — — $29,510.19 $30,467.83 $30,161.15 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
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
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
570 MS_DRG Skin Debridement With Mcc 13 12 — — $29,102.40 $31,976.23 $31,044.90 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
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 12 — — $29,056.30 $40,249.39 $39,077.09 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
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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 12 — — $28,897.82 $37,320.18 $31,134.92 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
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 12 — — $28,457.22 $40,045.95 $38,879.58 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
263 MS_DRG Vein Ligation And Stripping 13 12 — — $27,986.47 $40,752.96 $39,566.00 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
849 MS_DRG Radiotherapy 13 12 — — $27,891.09 $40,585.94 $39,403.84 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
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
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
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
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
253 MS_DRG Other Vascular Procedures With Cc 13 12 — — $26,867.22 $34,455.17 $33,451.63 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
545 MS_DRG Connective Tissue Disorders With Mcc 13 12 — — $26,640.94 $36,473.22 $35,410.91 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
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 13 12 — — $26,426.81 $37,691.34 $36,593.55 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
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
35 MS_DRG Carotid Artery Stent Procedures With Cc 13 12 — — $24,455.34 $35,925.70 $34,879.33 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
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
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
314 MS_DRG Other Circulatory System Diagnoses With Mcc 13 12 — — $23,403.71 $33,549.74 $32,572.57 2025-12-01
835 MS_DRG Acute Leukemia With Cc 13 12 — — $23,251.11 $40,156.46 $38,986.87 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
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
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 13 12 — — $22,181.30 $40,741.66 $39,555.02 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
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
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
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
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
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
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
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 13 12 — — $16,302.44 $32,341.67 $31,399.69 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
949 MS_DRG Aftercare With Cc/mcc 13 12 — — $14,088.20 $56,524.45 $54,878.13 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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