Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

NOVANT HEALTH THOMASVILLE MEDICAL CENTER

Thomasville, NC · CCN 340085 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,607 across 8 payers · range $4,969-$24,903

Source: https://www2.novanthealth.org/Public_Files/regulatory/560636250_novant-health-thomasville-medical-center-llc-dba-novant-health-thomasville-medical-center_standardcharges.json · observed 2026-03-31

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

23,622 distinct procedures filed
34 distinct payers
1,234,968 rate rows
2026-07-17 last MRF observed
Data quality

818,637 of 1,234,968 rate rows are consumer-grade (66.3%)

416,331 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 376,078
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 26,166
exceeds 10× this hospital's gross charge — excluded from medians 9,596
placeholder amount (≤ $0.02) — excluded from medians 4,306
per-diem day rate — not a per-procedure price 151
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 34
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/56-0636250_novant_health_thomasville_medical_center_standardcharges.csv
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 21381794c3bb0578… · 17,520,244 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
J3391
HCPCS 		Injection, Atidarsagene Autotemcel, Per Treatment 7 $4,276,596.50 $4,490,426.33 $4,276,596.50 nat. median
$4,505,000
0.9× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,498,423.65 $4,496,025.34 $3,542,153.95 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 22 $2,330,636.50 $4,661,273.00 $3,495,954.75 nat. median
$2,460,273
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 22 $2,213,767.60 $4,427,535.20 $3,320,651.40 nat. median
$2,405,851
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,148,317.94 $4,055,977.72 $3,187,671.92 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 7 $3,083,749.52 $3,978,853.10 $3,122,296.39 nat. median
$3,286,000
1.0× median
411
OTHER 		Cholecystectomy With C.d.e. With Mcc 5 $33,444.40 $3,143,512.13 $3,051,953.52 nat. median
$27,395
outlier · 111.4×
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,796,390.98 $3,599,837.74 $2,831,345.87 nat. median
$2,997,086
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 22 $731,549.57 $1,463,099.14 $1,097,324.35 nat. median
$809,151
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 22 $561,725.68 $1,127,511.66 $844,618.67 nat. median
$691,418
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 22 $537,179.39 $1,077,636.42 $807,407.91 nat. median
$631,793
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 22 $534,017.50 $1,068,035.00 $801,026.25 nat. median
$624,417
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 22 $529,061.91 $1,058,123.82 $793,592.86 nat. median
$610,161
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $475,010.80 $1,082,791.44 $778,901.12 nat. median
$370,165
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 22 $506,195.40 $1,012,390.80 $759,293.10 nat. median
$588,565
1.3× median
297
OTHER 		Cardiac Arrest, Unexplained With Cc 10 $8,014.60 $1,034,656.44 $740,510.79 nat. median
$6,872
outlier · 107.7×
Q2053
HCPCS 		Brexucabtagene Car Pos T 22 $464,496.87 $953,404.97 $708,950.92 nat. median
$577,541
1.2× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 22 $264,142.73 $992,250.00 $628,196.36 nat. median
$302,242
outlier · 2.1×
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $405,269.70 $795,581.26 $594,604.34 nat. median
$292,434
outlier · 2.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $308,262.90 $702,688.08 $505,475.49 nat. median
$261,939
1.9× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $298,084.60 $619,853.38 $437,344.31 nat. median
$214,447
outlier · 2.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $233,477.20 $532,213.40 $382,845.30 nat. median
$199,832
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $214,658.87 $535,355.24 $375,007.05 nat. median
$205,166
1.8× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $234,523.30 $487,680.54 $344,088.32 nat. median
$163,765
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $152,365.40 $347,318.32 $249,841.86 nat. median
$132,706
1.9× median
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $161,700.00 $336,247.80 $237,243.30 nat. median
$117,224
outlier · 2.0×
7
MS_DRG 		Lung Transplant 22 $142,452.20 $324,721.08 $233,586.64 nat. median
$122,690
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $132,196.90 $301,344.04 $216,770.47 nat. median
$114,305
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $124,649.80 $284,140.36 $204,395.08 nat. median
$108,240
1.9× median
002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $134,685.10 $280,071.54 $197,607.53 nat. median
$91,937
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $119,615.10 $272,663.70 $196,139.40 nat. median
$100,978
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $109,606.41 $276,352.18 $192,979.30 nat. median
$96,835
2.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $113,415.50 $258,531.66 $185,973.58 nat. median
$99,646
1.9× median
014
OTHER 		Allogeneic Bone Marrow Transplant 3 $126,069.90 $247,486.67 $184,967.47 nat. median
$85,837
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $107,610.80 $245,299.80 $176,455.30 nat. median
$92,900
1.9× median
212
OTHER 		Anesth Skull Drainage 3 $118,477.70 $246,368.99 $173,828.33 nat. median
$80,994
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 22 $88,502.72 $249,667.80 $169,085.26 nat. median
$98,002
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $88,545.97 $247,953.00 $168,249.48 nat. median
$80,459
outlier · 2.1×
Q0480
HCPCS 		Dme Pos 22 $111,502.61 $223,005.22 $167,253.92 nat. median
$111,503
1.5× median
215
OTHER 		Anesth Skull Repair/fract 3 $112,362.80 $233,653.34 $164,856.66 nat. median
$76,591
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $99,105.60 $225,912.12 $162,508.86 nat. median
$81,124
outlier · 2.0×
216
OTHER 		Anesth Head Vessel Surgery 3 $106,758.30 $221,999.03 $156,633.84 nat. median
$74,644
outlier · 2.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $92,728.90 $211,376.38 $152,052.64 nat. median
$79,040
1.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $72,589.81 $217,133.50 $144,861.65 nat. median
$81,364
1.8× median
453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $97,475.40 $236,949.00 $143,014.13 nat. median
$66,549
outlier · 2.1×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 22 $95,081.03 $190,162.06 $142,621.55 nat. median
$97,404
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $86,556.80 $197,307.02 $141,931.91 nat. median
$77,385
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $84,461.30 $192,530.30 $138,495.80 nat. median
$74,472
1.9× median
020
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $92,976.40 $193,340.20 $136,413.28 nat. median
$71,035
1.9× median

Other procedures at this hospital

Browse this hospital's 23,622 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
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-03-31
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 7 7 — — $4,276,596.50 $4,490,426.33 $4,276,596.50 2026-03-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $3,498,423.65 $4,496,025.34 $3,542,153.95 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 54 22 — — $2,330,636.50 $4,661,273.00 $3,495,954.75 2026-03-31
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 55 22 — — $2,213,767.60 $4,427,535.20 $3,320,651.40 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,148,317.94 $4,055,977.72 $3,187,671.92 2026-03-31
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 8 7 — — $3,083,749.52 $3,978,853.10 $3,122,296.39 2026-03-31
411 OTHER Cholecystectomy With C.d.e. With Mcc 11 5 $319,134.33 $207,437.31 35% off $33,444.40 $3,143,512.13 $3,051,953.52 2026-05-06
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 8 7 — — $2,796,390.98 $3,599,837.74 $2,831,345.87 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 55 22 — — $731,549.57 $1,463,099.14 $1,097,324.35 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 55 22 — — $561,725.68 $1,127,511.66 $844,618.67 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 55 22 — — $537,179.39 $1,077,636.42 $807,407.91 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 55 22 — — $534,017.50 $1,068,035.00 $801,026.25 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 55 22 — — $529,061.91 $1,058,123.82 $793,592.86 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 55 22 — — $475,010.80 $1,082,791.44 $778,901.12 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 55 22 — — $506,195.40 $1,012,390.80 $759,293.10 2026-03-31
297 OTHER Cardiac Arrest, Unexplained With Cc 18 10 $128,073.87 $83,248.02 35% off $8,014.60 $1,034,656.44 $740,510.79 2026-05-06
Q2053 HCPCS Brexucabtagene Car Pos T 55 22 — — $464,496.87 $953,404.97 $708,950.92 2026-03-31
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 55 22 — — $264,142.73 $992,250.00 $628,196.36 2026-03-31
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 3 $2,535,046.84 $1,647,780.45 35% off $405,269.70 $795,581.26 $594,604.34 2026-05-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 55 22 — — $308,262.90 $702,688.08 $505,475.49 2026-03-31
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 5 3 $823,017.41 $534,961.32 35% off $298,084.60 $619,853.38 $437,344.31 2026-05-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 55 22 — — $233,477.20 $532,213.40 $382,845.30 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 55 22 — — $214,658.87 $535,355.24 $375,007.05 2026-03-31
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 3 $505,410.39 $328,516.76 35% off $234,523.30 $487,680.54 $344,088.32 2026-05-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 55 22 — — $152,365.40 $347,318.32 $249,841.86 2026-03-31
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 3 $279,960.16 $181,974.11 35% off $161,700.00 $336,247.80 $237,243.30 2026-05-06
7 MS_DRG Lung Transplant 55 22 — — $142,452.20 $324,721.08 $233,586.64 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 55 22 — — $132,196.90 $301,344.04 $216,770.47 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 55 22 — — $124,649.80 $284,140.36 $204,395.08 2026-03-31
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 3 $560,181.56 $364,118.01 35% off $134,685.10 $280,071.54 $197,607.53 2026-05-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 55 22 — — $119,615.10 $272,663.70 $196,139.40 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 55 22 — — $109,606.41 $276,352.18 $192,979.30 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 55 22 — — $113,415.50 $258,531.66 $185,973.58 2026-03-31
014 OTHER Allogeneic Bone Marrow Transplant 5 3 $585,410.02 $380,516.52 35% off $126,069.90 $247,486.67 $184,967.47 2026-05-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 22 — — $107,610.80 $245,299.80 $176,455.30 2026-03-31
212 OTHER Anesth Skull Drainage 5 3 $476,284.02 $309,584.61 35% off $118,477.70 $246,368.99 $173,828.33 2026-05-06
215 MS_DRG Other Heart Assist System Implant 55 22 — — $88,502.72 $249,667.80 $169,085.26 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 55 22 — — $88,545.97 $247,953.00 $168,249.48 2026-03-31
Q0480 HCPCS Dme Pos 55 22 — — $111,502.61 $223,005.22 $167,253.92 2026-03-31
215 OTHER Anesth Skull Repair/fract 5 3 $300,382.83 $195,248.84 35% off $112,362.80 $233,653.34 $164,856.66 2026-05-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 55 22 — — $99,105.60 $225,912.12 $162,508.86 2026-03-31
216 OTHER Anesth Head Vessel Surgery 5 3 $467,299.89 $303,744.93 35% off $106,758.30 $221,999.03 $156,633.84 2026-05-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 55 22 — — $92,728.90 $211,376.38 $152,052.64 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 55 22 — — $72,589.81 $217,133.50 $144,861.65 2026-03-31
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 5 3 $347,655.05 $225,975.78 35% off $97,475.40 $236,949.00 $143,014.13 2026-05-06
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 55 22 — — $95,081.03 $190,162.06 $142,621.55 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 55 22 — — $86,556.80 $197,307.02 $141,931.91 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 22 — — $84,461.30 $192,530.30 $138,495.80 2026-03-31
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 3 $390,421.74 $253,774.13 35% off $92,976.40 $193,340.20 $136,413.28 2026-05-06
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 3 $259,271.23 $168,526.30 35% off $92,723.40 $243,776.00 $136,042.09 2026-05-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 55 22 — — $74,364.04 $191,700.34 $133,032.19 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 55 22 — — $73,113.11 $191,065.94 $132,089.52 2026-03-31
231 OTHER Coronary Bypass With Ptca With Mcc 5 3 $318,175.29 $206,813.94 35% off $89,267.20 $185,627.08 $130,971.21 2026-05-06
10 MS_DRG Pancreas Transplant 55 22 — — $78,932.70 $179,927.80 $129,430.25 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 55 22 — — $78,480.60 $178,897.24 $128,688.92 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 55 22 — — $75,384.68 $178,791.92 $127,088.30 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 55 22 — — $72,235.18 $181,003.50 $126,619.34 2026-03-31
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 3 $285,143.52 $185,343.29 35% off $85,795.60 $178,408.05 $125,877.74 2026-05-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 55 22 — — $76,029.80 $173,310.62 $124,670.21 2026-03-31
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 3 $333,683.90 $216,894.53 35% off $84,823.20 $176,385.99 $124,451.06 2026-05-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 55 22 — — $75,656.90 $172,460.60 $124,058.75 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 55 22 — — $74,042.10 $168,779.64 $121,410.87 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 55 22 — — $73,551.50 $167,661.32 $120,606.41 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 55 22 — — $71,742.16 $167,538.44 $119,640.30 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 22 — — $72,328.30 $164,873.02 $118,600.66 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 22 — — $72,328.30 $164,873.02 $118,600.66 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 55 22 — — $72,065.40 $164,273.74 $118,169.57 2026-03-31
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 3 $319,969.41 $207,980.12 35% off $79,557.50 $165,436.20 $116,725.32 2026-05-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 55 22 — — $70,781.70 $161,347.52 $116,064.61 2026-03-31
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 3 $260,179.26 $169,116.52 35% off $77,393.80 $160,936.89 $113,550.78 2026-05-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 55 22 — — $46,987.31 $179,852.58 $113,419.95 2026-03-31
870 OTHER Anesth Bladder Stone Surg 5 3 $116,671.78 $75,836.66 35% off $76,613.90 $150,400.05 $112,406.52 2026-05-06
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 5 3 $140,721.04 $91,468.67 35% off $75,988.00 $149,171.35 $111,488.21 2026-05-06
969 OTHER HIV With Extensive O.r. Procedures With Mcc 5 3 $240,415.53 $156,270.10 35% off $75,598.60 $157,203.85 $110,916.89 2026-05-06
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 3 $264,632.86 $172,011.36 35% off $75,401.70 $156,794.41 $110,628.00 2026-05-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 55 22 — — $67,412.40 $153,667.18 $110,539.79 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 55 22 — — $67,334.30 $153,489.14 $110,411.72 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 55 22 — — $54,623.73 $165,570.00 $110,096.87 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 55 22 — — $66,688.60 $152,017.28 $109,352.94 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 55 22 — — $66,091.30 $150,655.72 $108,373.51 2026-03-31
459 OTHER Spinal Fusion Except Cervical With Mcc 5 3 $279,705.55 $181,808.61 35% off $72,955.30 $170,765.00 $107,038.69 2026-05-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 55 22 — — $64,512.80 $147,057.52 $105,785.16 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 55 22 — — $61,066.52 $148,684.86 $104,875.69 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 55 22 — — $61,864.44 $147,152.80 $104,508.62 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 55 22 — — $51,007.00 $157,628.08 $104,317.54 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 55 22 — — $56,612.03 $150,613.10 $103,612.57 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 55 22 — — $63,033.30 $143,684.98 $103,359.14 2026-03-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 55 22 — — $68,801.71 $137,603.42 $103,202.57 2026-03-31
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 $265,579.60 $172,626.74 35% off $70,018.30 $145,599.87 $102,729.58 2026-05-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 55 22 — — $61,842.00 $140,969.40 $101,405.70 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 55 22 — — $61,650.60 $140,533.10 $101,091.85 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 55 22 — — $57,499.69 $144,607.72 $101,053.71 2026-03-31
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 3 $235,300.34 $152,945.22 35% off $68,707.10 $142,873.29 $100,805.81 2026-05-06
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 3 $229,881.32 $149,422.86 35% off $68,399.10 $142,232.82 $100,353.92 2026-05-06
276 OTHER Cardiac Defibrillator Implant With Mcc 5 3 $207,988.33 $135,192.41 35% off $68,312.20 $142,052.11 $100,226.42 2026-05-06
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 5 3 $152,907.81 $99,390.08 35% off $67,947.00 $133,386.14 $99,690.60 2026-05-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 55 22 — — $60,753.00 $138,487.02 $99,620.01 2026-03-31
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 3 $277,582.81 $180,428.83 35% off $67,555.40 $140,478.38 $99,116.05 2026-05-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 55 22 — — $51,715.40 $146,402.57 $99,058.99 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 55 22 — — $60,388.90 $137,657.04 $99,022.97 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 55 22 — — $57,259.40 $140,763.00 $99,011.20 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 55 22 — — $58,073.80 $139,570.24 $98,822.02 2026-03-31
454 OTHER Anesth Collar Bone Biopsy 5 3 $244,688.27 $159,047.38 35% off $67,279.30 $217,061.00 $98,710.97 2026-05-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 55 22 — — $53,973.94 $142,912.68 $98,443.31 2026-03-31
955 OTHER Craniotomy For Multiple Significant Trauma 5 3 $164,330.62 $106,814.91 35% off $66,992.20 $139,307.23 $98,289.74 2026-05-06
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 3 $288,063.35 $187,241.18 35% off $66,828.30 $162,781.00 $98,049.27 2026-05-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 55 22 — — $59,755.30 $136,212.74 $97,984.02 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 55 22 — — $58,818.74 $136,975.02 $97,896.88 2026-03-31
790 OTHER Anes Iper Upr Abd Nos 2 2 $143,043.88 $92,978.52 35% off $66,001.10 $129,566.16 $97,783.63 2026-05-06
820 OTHER Anesth Abdominal Wall Surg 5 3 $471,771.30 $306,651.34 35% off $66,513.70 $138,312.22 $97,587.69 2026-05-06
028 OTHER Spinal Procedures With Mcc 5 3 $150,838.11 $98,044.77 35% off $66,287.10 $137,841.01 $97,255.23 2026-05-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 55 22 — — $56,273.62 $137,170.60 $96,722.11 2026-03-31
J7330 HCPCS Cultured Chondrocytes Implnt 48 20 — — $96,363.41 $96,363.41 $96,363.41 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 55 22 — — $58,625.60 $133,637.58 $96,131.59 2026-03-31
232 OTHER Coronary Bypass With Ptca Without Mcc 5 3 $249,483.66 $162,164.38 35% off $65,434.60 $136,068.28 $96,004.46 2026-05-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 55 22 — — $54,256.13 $136,759.38 $95,507.76 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 55 22 — — $58,231.80 $132,739.92 $95,485.86 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 55 22 — — $58,039.30 $132,301.12 $95,170.21 2026-03-31
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 5 3 $218,354.50 $141,930.42 35% off $64,686.60 $134,512.84 $94,907.00 2026-05-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 22 — — $54,008.53 $133,717.82 $93,863.18 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 55 22 — — $57,160.40 $130,297.66 $93,729.03 2026-03-31
218 OTHER Anesth Special Head Surgery 5 3 $155,536.49 $101,098.72 35% off $62,663.70 $130,306.32 $91,939.04 2026-05-06
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 3 $152,613.03 $99,198.47 35% off $62,514.10 $129,995.23 $91,719.55 2026-05-06
J9029 HCPCS Instill Adstiladrin, Tx Dose 55 22 — — $60,130.83 $123,190.11 $91,660.47 2026-03-31
38240 CPT Transplt Allo Hct/donor 55 22 — — $61,005.36 $122,010.72 $91,508.04 2026-03-31
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 3 $244,633.59 $159,011.83 35% off $62,356.80 $129,668.13 $91,488.76 2026-05-06
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 3 $168,586.44 $109,581.19 35% off $62,300.70 $129,551.47 $91,406.45 2026-05-06
834 OTHER Anesth Hernia Repair < 1 Yr 5 3 $197,377.83 $128,295.59 35% off $61,589.00 $120,904.81 $90,362.26 2026-05-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 55 22 — — $54,421.40 $124,054.08 $89,237.74 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 55 22 — — $54,324.60 $123,833.42 $89,079.01 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 55 22 — — $45,898.60 $131,817.00 $88,857.80 2026-03-31
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 5 3 $256,497.49 $166,723.37 35% off $60,557.20 $125,925.94 $88,848.42 2026-05-06
471 MS_DRG Cervical Spinal Fusion With Mcc 55 22 — — $50,837.41 $126,268.00 $88,552.71 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 55 22 — — $53,913.20 $122,895.62 $88,404.41 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 55 22 — — $52,090.51 $123,409.66 $87,750.09 2026-03-31
653 OTHER Major Bladder Procedures With Mcc 5 3 $131,362.64 $85,385.72 35% off $59,549.60 $123,830.69 $87,370.09 2026-05-06
652 MS_DRG Kidney Transplant 55 22 — — $35,524.50 $137,524.94 $86,524.72 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 55 22 — — $46,447.79 $125,057.06 $85,752.43 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 22 — — $44,322.18 $126,381.00 $85,351.59 2026-03-31
220 OTHER Anesth Intrcrn Nerve 5 3 $231,962.10 $150,775.36 35% off $57,690.60 $119,964.98 $84,642.60 2026-05-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 55 22 — — $51,609.80 $117,645.00 $84,627.40 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 55 22 — — $51,455.80 $117,293.96 $84,374.88 2026-03-31
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 3 $214,865.59 $139,662.63 35% off $57,176.90 $118,896.76 $83,888.91 2026-05-06
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 5 3 $80,374.65 $52,243.52 35% off $57,052.60 $138,392.00 $83,706.54 2026-05-06
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 3 $100,943.51 $65,613.28 35% off $56,719.30 $117,945.21 $83,217.53 2026-05-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 55 22 — — $46,598.08 $119,375.16 $82,986.62 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 55 22 — — $50,432.80 $114,962.02 $82,697.41 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 55 22 — — $49,557.29 $115,255.40 $82,406.35 2026-03-31
245 MS_DRG Aicd Generator Procedures 55 22 — — $50,186.40 $114,400.36 $82,293.38 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 55 22 — — $50,013.70 $114,006.68 $82,010.19 2026-03-31
326 OTHER Anesth Larynx/trach < 1 Yr 5 3 $230,108.95 $149,570.81 35% off $55,869.00 $116,177.05 $81,969.98 2026-05-06
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 55 22 — — $52,470.01 $111,075.77 $81,772.89 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 55 22 — — $49,817.90 $113,560.36 $81,689.13 2026-03-31
270 OTHER Other Major Cardiovascular Procedures With Mcc 5 3 $182,631.46 $118,710.45 35% off $55,625.90 $115,671.53 $81,613.31 2026-05-06
228 OTHER Other Cardiothoracic Procedures With Mcc 5 3 $293,267.57 $190,623.92 35% off $55,425.70 $115,255.22 $81,319.58 2026-05-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 55 22 — — $41,889.51 $120,465.90 $81,177.71 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 55 22 — — $46,492.12 $115,807.04 $81,149.58 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 55 22 — — $53,943.55 $107,887.10 $80,915.32 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 55 22 — — $49,299.80 $112,379.34 $80,839.57 2026-03-31
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 3 $122,302.03 $79,496.32 35% off $54,992.30 $114,353.99 $80,683.70 2026-05-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 55 22 — — $49,091.90 $111,905.44 $80,498.67 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 55 22 — — $48,390.69 $112,346.74 $80,368.71 2026-03-31
799 OTHER Splenic Procedures With Mcc 5 3 $187,649.28 $121,972.03 35% off $54,500.60 $113,331.52 $79,962.29 2026-05-06
471 OTHER Cervical Spinal Fusion With Mcc 5 3 $192,589.79 $125,183.36 35% off $54,109.00 $124,141.00 $79,387.74 2026-05-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 55 22 — — $48,320.80 $110,147.70 $79,234.25 2026-03-31
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 3 $180,720.11 $117,468.07 35% off $53,682.20 $111,629.69 $78,761.55 2026-05-06
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 3 $178,634.87 $116,112.67 35% off $53,284.00 $104,601.34 $78,177.32 2026-05-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 55 22 — — $47,601.40 $108,507.82 $78,054.61 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 55 22 — — $41,165.11 $114,056.84 $77,610.98 2026-03-31
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 3 $154,656.29 $100,526.59 35% off $52,874.80 $109,950.74 $77,576.95 2026-05-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 12 — — $65,378.50 $149,030.88 $77,496.05 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 55 22 — — $46,884.59 $107,642.76 $77,263.68 2026-03-31
277 OTHER Cardiac Defibrillator Implant Without Mcc 5 3 $153,492.91 $99,770.39 35% off $52,606.40 $109,392.62 $77,183.15 2026-05-06
140 MS_DRG Major Head And Neck Procedures With Mcc 55 22 — — $46,918.30 $106,950.70 $76,934.50 2026-03-31
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 3 $106,816.56 $69,430.76 35% off $52,144.40 $108,431.91 $76,505.32 2026-05-06
163 OTHER Major Chest Procedures With Mcc 5 3 $203,086.97 $132,006.53 35% off $51,849.60 $107,818.89 $76,072.79 2026-05-06
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 55 22 — — $45,307.14 $106,336.36 $75,821.75 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 55 22 — — $46,217.60 $105,353.44 $75,785.52 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 55 22 — — $46,162.60 $105,228.06 $75,695.33 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 55 22 — — $46,076.80 $105,032.48 $75,554.64 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 55 22 — — $45,342.82 $105,714.52 $75,528.67 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 55 22 — — $45,393.64 $105,661.86 $75,527.75 2026-03-31
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 3 $191,065.44 $124,192.54 35% off $51,134.60 $106,332.08 $75,023.76 2026-05-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 55 22 — — $45,683.00 $104,134.82 $74,908.91 2026-03-31
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 3 $187,250.94 $121,713.11 35% off $50,904.70 $105,854.01 $74,686.45 2026-05-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 55 22 — — $45,380.50 $103,445.26 $74,412.88 2026-03-31
L7181 HCPCS Dme Pos 55 22 — — $49,605.45 $99,210.90 $74,408.18 2026-03-31
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 5 3 $208,462.45 $135,500.59 35% off $50,661.60 $174,654.00 $74,329.78 2026-05-06
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 55 22 — — $41,369.46 $105,895.06 $73,632.26 2026-03-31
245 OTHER Aicd Generator Procedures 5 3 $120,654.86 $78,425.66 35% off $49,845.40 $103,651.24 $73,132.26 2026-05-06
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 3 $284,090.72 $184,658.97 35% off $49,841.00 $129,597.00 $73,125.81 2026-05-06
329 OTHER Major Small And Large Bowel Procedures With Mcc 5 3 $143,229.77 $93,099.35 35% off $49,684.80 $103,317.28 $72,896.64 2026-05-06
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 3 $83,219.22 $54,092.50 35% off $49,520.90 $102,976.46 $72,656.16 2026-05-06
278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 3 $222,844.43 $144,848.88 35% off $49,064.40 $102,027.19 $71,986.40 2026-05-06
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 3 $245,073.83 $159,297.99 35% off $48,712.40 $101,295.22 $71,469.95 2026-05-06
025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 5 3 $158,384.79 $102,950.11 35% off $48,576.00 $101,011.58 $71,269.82 2026-05-06
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 55 22 — — $40,378.01 $100,812.42 $70,595.21 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 55 22 — — $43,030.90 $98,089.32 $70,560.11 2026-03-31
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 5 3 $107,980.78 $70,187.51 35% off $47,980.90 $99,774.10 $70,396.70 2026-05-06
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 55 22 — — $42,836.20 $97,645.50 $70,240.85 2026-03-31
901 OTHER Wound Debridements For Injuries With Mcc 5 3 $179,903.64 $116,937.37 35% off $47,605.80 $98,994.10 $69,846.36 2026-05-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 55 22 — — $42,577.70 $97,056.26 $69,816.98 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 55 22 — — $42,513.90 $96,910.82 $69,712.36 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 55 22 — — $40,763.80 $98,161.21 $69,462.51 2026-03-31
474 OTHER Anesth Surgery Of Rib 5 3 $192,744.55 $125,283.95 35% off $47,330.80 $98,422.25 $69,442.89 2026-05-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 55 22 — — $42,232.30 $96,268.92 $69,250.61 2026-03-31
356 OTHER Other Digestive System O.r. Procedures With Mcc 5 3 $210,852.13 $137,053.89 35% off $47,065.70 $97,870.98 $69,053.94 2026-05-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 55 22 — — $40,898.06 $96,818.04 $68,858.05 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 55 22 — — $41,393.00 $94,355.72 $67,874.36 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 55 22 — — $41,114.70 $93,721.34 $67,418.02 2026-03-31
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 3 $177,276.64 $115,229.81 35% off $45,744.60 $95,123.82 $67,115.65 2026-05-06
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 3 $210,060.11 $136,539.07 35% off $45,540.00 $94,698.36 $66,815.46 2026-05-06
031 OTHER Ventricular Shunt Procedures With Mcc 5 3 $106,516.33 $69,235.61 35% off $45,282.60 $94,163.11 $66,437.81 2026-05-06
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 55 22 — — $40,404.10 $92,101.52 $66,252.81 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 55 22 — — $38,792.60 $92,575.00 $65,683.80 2026-03-31
166 OTHER Other Respiratory System O.r. Procedures With Mcc 5 3 $19,627.10 $12,757.61 35% off $44,635.80 $92,818.12 $65,488.83 2026-05-06
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 55 22 — — $39,913.50 $90,983.18 $65,448.34 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 55 22 — — $39,882.70 $90,912.98 $65,397.84 2026-03-31
332 MS_DRG Rectal Resection With Mcc 55 22 — — $39,827.70 $90,787.60 $65,307.65 2026-03-31
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 5 3 $189,752.68 $123,339.24 35% off $44,492.80 $92,520.76 $65,279.03 2026-05-06
265 MS_DRG Aicd Lead Procedures 55 22 — — $39,800.20 $90,724.92 $65,262.56 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 55 22 — — $38,450.25 $92,063.90 $65,257.07 2026-03-31
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 5 3 $168,678.80 $109,641.22 35% off $44,453.20 $92,438.41 $65,220.93 2026-05-06
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 55 22 — — $39,729.80 $90,564.44 $65,147.12 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 55 22 — — $39,670.40 $90,429.04 $65,049.72 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 55 22 — — $35,837.02 $93,944.50 $64,890.76 2026-03-31
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 3 $121,005.01 $78,653.25 35% off $44,159.50 $91,827.67 $64,790.02 2026-05-06
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 3 $210,843.96 $137,048.58 35% off $44,053.90 $91,608.08 $64,635.08 2026-05-06
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 55 22 — — $39,410.80 $89,837.28 $64,624.04 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 55 22 — — $29,223.40 $99,899.72 $64,561.56 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 55 22 — — $39,319.50 $89,629.16 $64,474.33 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 55 22 — — $39,279.90 $89,538.88 $64,409.39 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 55 22 — — $39,221.60 $89,406.00 $64,313.80 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 55 22 — — $39,188.60 $89,330.78 $64,259.69 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 55 22 — — $39,119.30 $89,172.80 $64,146.05 2026-03-31
33276 CPT Insj Phrnc Nrv Stim Sys 55 22 — — $42,718.97 $85,437.94 $64,078.46 2026-03-31
64568 CPT Opn Impltj Crnl Nrv Nea&pg 55 22 — — $42,718.97 $85,437.94 $64,078.46 2026-03-31
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 55 22 — — $42,718.97 $85,437.94 $64,078.46 2026-03-31
616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 3 $92,609.52 $60,196.19 35% off $43,534.70 $90,528.43 $63,873.32 2026-05-06
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 55 22 — — $38,341.05 $89,245.52 $63,793.29 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 55 22 — — $38,713.40 $88,247.54 $63,480.47 2026-03-31
022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 3 $142,645.35 $92,719.48 35% off $43,149.70 $89,727.84 $63,308.46 2026-05-06
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 3 $153,070.53 $99,495.84 35% off $43,019.90 $89,457.93 $63,118.02 2026-05-06
034 OTHER Carotid Artery Stent Procedures With Mcc 5 3 $147,936.30 $96,158.60 35% off $42,915.40 $89,240.62 $62,964.69 2026-05-06
252 MS_DRG Other Vascular Procedures With Mcc 55 22 — — $38,371.30 $87,467.72 $62,919.51 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 55 22 — — $38,361.40 $87,445.16 $62,903.28 2026-03-31
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 5 3 $156,894.77 $101,981.60 35% off $42,867.00 $89,139.98 $62,893.68 2026-05-06
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 3 $95,585.45 $62,130.54 35% off $42,759.20 $88,915.81 $62,735.52 2026-05-06
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 55 22 — — $31,922.05 $93,448.02 $62,685.04 2026-03-31
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 3 $111,823.46 $72,685.25 35% off $42,660.20 $88,709.95 $62,590.27 2026-05-06
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 55 22 — — $37,886.95 $87,043.96 $62,465.46 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 55 22 — — $38,000.60 $86,622.72 $62,311.66 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 55 22 — — $30,581.37 $93,711.30 $62,146.33 2026-03-31
040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 3 $67,056.68 $43,586.84 35% off $42,355.50 $88,076.34 $62,143.22 2026-05-06
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 55 22 — — $37,712.40 $85,965.76 $61,839.08 2026-03-31
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 3 $156,988.00 $102,042.20 35% off $42,081.60 $87,506.77 $61,741.36 2026-05-06
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 55 22 — — $37,478.10 $85,431.66 $61,454.88 2026-03-31
024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 3 $148,818.96 $96,732.32 35% off $41,676.80 $86,665.01 $61,147.44 2026-05-06
140 OTHER Anesth Procedures On Eye 5 3 $208,097.47 $135,263.36 35% off $41,559.10 $86,420.26 $60,974.76 2026-05-06
J9226 HCPCS Supprelin La Implant 55 22 — — $35,473.35 $85,476.20 $60,474.78 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 55 22 — — $36,746.60 $83,764.20 $60,255.40 2026-03-31
876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 5 3 $95,918.54 $62,347.05 35% off $41,046.50 $85,354.33 $60,222.68 2026-05-06
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 3 $221,397.22 $143,908.19 35% off $40,944.20 $85,141.60 $60,072.59 2026-05-06
907 OTHER Other O.r. Procedures For Injuries With Mcc 5 3 $116,279.29 $75,581.54 35% off $40,914.50 $85,079.84 $60,029.01 2026-05-06
L7180 HCPCS Dme Pos 55 22 — — $39,992.59 $79,985.18 $59,988.89 2026-03-31
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 5 3 $109,629.42 $71,259.12 35% off $40,678.00 $84,588.05 $59,682.02 2026-05-06
37 MS_DRG Extracranial Procedures With Mcc 55 22 — — $36,213.10 $82,548.10 $59,380.60 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 55 22 — — $33,138.38 $85,544.50 $59,341.44 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 55 22 — — $33,365.20 $85,110.00 $59,237.60 2026-03-31
L2006 HCPCS Dme Pos 55 22 — — $39,378.44 $78,756.88 $59,067.66 2026-03-31
460 OTHER Spinal Fusion Except Cervical Without Mcc 5 3 $159,139.21 $103,440.48 35% off $40,236.90 $115,812.00 $59,034.85 2026-05-06
332 OTHER Rectal Resection With Mcc 5 3 $81,830.01 $53,189.50 35% off $40,197.30 $83,588.46 $58,976.75 2026-05-06
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 55 22 — — $29,260.00 $88,568.00 $58,914.00 2026-03-31
097 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 3 $57,419.01 $37,322.35 35% off $40,005.90 $78,535.22 $58,695.93 2026-05-06
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 55 22 — — $35,780.80 $81,562.66 $58,671.73 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 55 22 — — $34,653.12 $82,538.06 $58,595.59 2026-03-31
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 3 $161,737.77 $105,129.55 35% off $39,849.70 $78,228.58 $58,466.76 2026-05-06
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 55 22 — — $35,623.50 $81,204.10 $58,413.80 2026-03-31
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 3 $119,705.60 $77,808.64 35% off $39,779.30 $82,719.25 $58,363.47 2026-05-06
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 55 22 — — $35,583.90 $81,113.82 $58,348.86 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 55 22 — — $35,534.40 $81,000.98 $58,267.69 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 55 22 — — $35,498.10 $80,918.24 $58,208.17 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 55 22 — — $35,314.40 $80,499.50 $57,906.95 2026-03-31
495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 3 $189,927.85 $123,453.10 35% off $39,393.20 $81,916.37 $57,796.99 2026-05-06
335 OTHER Peritoneal Adhesiolysis With Mcc 5 3 $141,868.04 $92,214.23 35% off $39,325.00 $81,774.55 $57,696.93 2026-05-06
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 55 22 — — $35,120.80 $80,058.18 $57,589.49 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 55 22 — — $35,055.90 $79,910.24 $57,483.07 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 55 22 — — $34,951.40 $79,672.04 $57,311.72 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 55 22 — — $34,812.80 $79,356.10 $57,084.45 2026-03-31
265 OTHER Aicd Lead Procedures 5 3 $113,693.86 $73,901.01 35% off $38,875.10 $80,839.00 $57,036.84 2026-05-06
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 55 22 — — $31,170.62 $82,828.92 $56,999.77 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 55 22 — — $34,760.00 $79,235.74 $56,997.87 2026-03-31
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 5 3 $126,774.84 $82,403.65 35% off $38,777.20 $80,635.42 $56,893.20 2026-05-06
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 55 22 — — $34,661.00 $79,010.06 $56,835.53 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 55 22 — — $34,644.50 $78,972.46 $56,808.48 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 55 22 — — $34,563.10 $78,786.90 $56,675.00 2026-03-31
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 3 $159,701.01 $103,805.66 35% off $40,169.80 $74,792.52 $56,321.71 2026-05-06
665 MS_DRG Prostatectomy With Mcc 55 22 — — $34,333.20 $78,262.84 $56,298.02 2026-03-31
467 OTHER Revision Of Hip Or Knee Replacement With Cc 5 3 $196,081.97 $127,453.28 35% off $38,349.30 $91,015.00 $56,265.40 2026-05-06
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