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

Your selected procedure

You selected 93306 (CPT)

ECHO TRANSTHOR W/ DOP COMPLETE

This hospital’s price: $1,170 across 30 payers · range $207-$3,300

Source: https://www2.novanthealth.org/Public_Files/regulatory/334072561_novant-health-stokes-medical-center_standardcharges_6-2026.csv · observed 2026-07-17

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.

23,620 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/334072561_novant-health-stokes-medical-center_standardcharges_6-2026.csv
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-02
Content fingerprint 45d6e475458ff77e… · 2,754,463 bytes · first seen 2026-07-17

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
$3,703,693
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
$2,466,282
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
$2,401,960
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
$2,994,107
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
$809,217
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 22 $561,725.68 $1,127,511.66 $844,618.67 nat. median
$738,272
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 22 $537,179.39 $1,077,636.42 $807,407.91 nat. median
$646,415
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 22 $534,017.50 $1,068,035.00 $801,026.25 nat. median
$640,950
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 22 $529,061.91 $1,058,123.82 $793,592.86 nat. median
$622,245
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 22 $506,195.40 $1,012,390.80 $759,293.10 nat. median
$608,101
1.2× median
297
OTHER 		Cardiac Arrest, Unexplained With Cc 10 $8,014.60 $1,034,656.44 $740,510.79 nat. median
$6,914
outlier · 107.1×
Q2053
HCPCS 		Brexucabtagene Car Pos T 22 $464,496.87 $953,404.97 $708,950.92 nat. median
$591,650
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
$319,951
2.0× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $405,269.70 $795,581.26 $594,604.34 nat. median
$297,577
2.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $475,010.80 $1,082,791.44 $541,395.72 nat. median
$359,358
1.5× 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
$214,523
outlier · 2.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $308,262.90 $702,688.08 $351,344.04 nat. median
$249,124
1.4× 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
$165,355
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $214,658.87 $535,355.24 $267,677.62 nat. median
$198,433
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $233,477.20 $532,213.40 $266,106.70 nat. median
$190,557
1.4× 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
$118,362
outlier · 2.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $152,365.40 $347,318.32 $224,503.07 nat. median
$126,722
1.8× median
7
MS_DRG 		Lung Transplant 12 $142,452.20 $324,721.08 $220,645.51 nat. median
$117,894
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $132,196.90 $301,344.04 $204,760.98 nat. median
$110,192
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
$93,296
outlier · 2.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $124,649.80 $284,140.36 $193,071.21 nat. median
$103,967
1.9× median
014
OTHER 		Allogeneic Bone Marrow Transplant 3 $126,069.90 $247,486.67 $184,967.47 nat. median
$85,882
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $113,415.50 $258,531.66 $175,670.30 nat. median
$94,964
1.8× median
212
OTHER 		Anesth Skull Drainage 3 $118,477.70 $246,368.99 $173,828.33 nat. median
$79,063
outlier · 2.2×
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
$75,009
outlier · 2.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $119,615.10 $272,663.70 $158,105.22 nat. median
$97,414
1.6× median
216
OTHER 		Anesth Head Vessel Surgery 3 $106,758.30 $221,999.03 $156,633.84 nat. median
$73,728
outlier · 2.1×
453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $97,475.40 $236,949.00 $143,014.13 nat. median
$67,176
outlier · 2.1×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 22 $95,081.03 $190,162.06 $142,621.55 nat. median
$97,020
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $109,606.41 $276,352.18 $138,176.09 nat. median
$93,270
1.5× 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
456
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $92,723.40 $243,776.00 $136,042.09 nat. median
$72,503
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $107,610.80 $245,299.80 $134,875.92 nat. median
$90,581
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $86,556.80 $197,307.02 $134,068.61 nat. median
$74,460
1.8× median
231
OTHER 		Coronary Bypass With Ptca With Mcc 3 $89,267.20 $185,627.08 $130,971.21 nat. median
$67,297
1.9× median
233
OTHER 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $85,795.60 $178,408.05 $125,877.74 nat. median
$61,105
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 12 $88,502.72 $249,667.80 $124,833.90 nat. median
$93,917
1.3× median
219
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $84,823.20 $176,385.99 $124,451.06 nat. median
$65,387
1.9× median
10
MS_DRG 		Pancreas Transplant 12 $78,932.70 $179,927.80 $122,259.58 nat. median
$64,903
1.9× median

Other procedures at this hospital

Browse this hospital's 23,620 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-03-31
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
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
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 12 — — $475,010.80 $1,082,791.44 $541,395.72 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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 12 — — $308,262.90 $702,688.08 $351,344.04 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 12 — — $214,658.87 $535,355.24 $267,677.62 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 12 — — $233,477.20 $532,213.40 $266,106.70 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 12 — — $152,365.40 $347,318.32 $224,503.07 2026-03-31
7 MS_DRG Lung Transplant 21 12 — — $142,452.20 $324,721.08 $220,645.51 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 21 12 — — $132,196.90 $301,344.04 $204,760.98 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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 12 — — $124,649.80 $284,140.36 $193,071.21 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 12 — — $113,415.50 $258,531.66 $175,670.30 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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 12 — — $119,615.10 $272,663.70 $158,105.22 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
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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $109,606.41 $276,352.18 $138,176.09 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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $107,610.80 $245,299.80 $134,875.92 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 12 — — $86,556.80 $197,307.02 $134,068.61 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
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
215 MS_DRG Other Heart Assist System Implant 21 12 — — $88,502.72 $249,667.80 $124,833.90 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
10 MS_DRG Pancreas Transplant 21 12 — — $78,932.70 $179,927.80 $122,259.58 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 12 — — $78,480.60 $178,897.24 $121,559.31 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
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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 12 — — $99,105.60 $225,912.12 $112,956.06 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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $72,065.40 $164,273.74 $111,622.75 2026-03-31
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
850 MS_DRG Acute Leukemia With Other Procedures 21 12 — — $72,589.81 $217,133.50 $108,566.75 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 12 — — $92,728.90 $211,376.38 $105,688.19 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $88,545.97 $247,953.00 $105,355.95 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
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
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
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
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
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
J7330 HCPCS Cultured Chondrocytes Implnt 48 20 — — $96,363.41 $96,363.41 $96,363.41 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $84,461.30 $192,530.30 $96,265.15 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 12 — — $74,364.04 $191,700.34 $95,850.17 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 12 — — $73,113.11 $191,065.94 $95,532.97 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 12 — — $61,650.60 $140,533.10 $95,491.17 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 12 — — $74,042.10 $168,779.64 $94,902.27 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $72,328.30 $164,873.02 $94,732.52 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 12 — — $60,753.00 $138,487.02 $94,100.87 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 21 12 — — $60,388.90 $137,657.04 $93,536.92 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 12 — — $64,512.80 $147,057.52 $92,822.07 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 12 — — $75,656.90 $172,460.60 $92,633.94 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $72,328.30 $164,873.02 $92,308.50 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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $72,235.18 $181,003.50 $90,501.75 2026-03-31
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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 12 — — $46,987.31 $179,852.58 $89,926.29 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 12 — — $75,384.68 $178,791.92 $89,395.96 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
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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 12 — — $76,029.80 $173,310.62 $86,655.31 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 12 — — $54,421.40 $124,054.08 $84,293.80 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 12 — — $63,033.30 $143,684.98 $84,119.59 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
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 12 — — $73,551.50 $167,661.32 $83,830.66 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 12 — — $71,742.16 $167,538.44 $83,769.22 2026-03-31
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
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $53,913.20 $122,895.62 $83,506.65 2026-03-31
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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 12 — — $67,412.40 $153,667.18 $82,706.48 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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 12 — — $66,688.60 $152,017.28 $80,976.58 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 55 22 — — $53,943.55 $107,887.10 $80,915.32 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 12 — — $70,781.70 $161,347.52 $80,673.76 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 12 — — $51,715.40 $146,402.57 $80,102.45 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 12 — — $67,334.30 $153,489.14 $80,039.82 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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 12 — — $58,231.80 $132,739.92 $79,305.07 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 21 12 — — $66,091.30 $150,655.72 $79,141.81 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 21 12 — — $51,007.00 $157,628.08 $79,005.21 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
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
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
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
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 12 — — $56,612.03 $150,613.10 $75,306.55 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $54,623.73 $165,570.00 $74,761.17 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
L7181 HCPCS Dme Pos 55 22 — — $49,605.45 $99,210.90 $74,408.18 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 12 — — $61,066.52 $148,684.86 $74,342.43 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 12 — — $61,864.44 $147,152.80 $73,576.40 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 12 — — $57,499.69 $144,607.72 $72,303.86 2026-03-31
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
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $53,973.94 $142,912.68 $71,456.34 2026-03-31
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
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $61,842.00 $140,969.40 $70,484.70 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
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
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $58,073.80 $139,570.24 $69,785.12 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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 12 — — $56,273.62 $137,170.60 $68,585.30 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 12 — — $58,818.74 $136,975.02 $68,487.51 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 12 — — $54,256.13 $136,759.38 $68,379.69 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 12 — — $59,755.30 $136,212.74 $68,106.37 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
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $54,008.53 $133,717.82 $66,858.91 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 12 — — $58,625.60 $133,637.58 $66,818.79 2026-03-31
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
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 12 — — $42,836.20 $97,645.50 $66,349.38 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 12 — — $58,039.30 $132,301.12 $66,150.56 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
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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 12 — — $57,259.40 $140,763.00 $65,261.66 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
653 MS_DRG Major Bladder Procedures With Mcc 21 12 — — $57,160.40 $130,297.66 $65,148.83 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
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 12 — — $54,324.60 $123,833.42 $64,698.61 2026-03-31
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
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 12 — — $41,393.00 $94,355.72 $64,113.99 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
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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $44,322.18 $126,381.00 $63,190.50 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 12 — — $40,763.80 $98,161.21 $63,139.42 2026-03-31
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
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
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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 12 — — $46,447.79 $125,057.06 $62,528.53 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
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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 12 — — $52,090.51 $123,409.66 $61,704.83 2026-03-31
332 MS_DRG Rectal Resection With Mcc 21 12 — — $39,827.70 $90,787.60 $61,689.49 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 12 — — $51,455.80 $117,293.96 $61,579.33 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
471 MS_DRG Cervical Spinal Fusion With Mcc 21 12 — — $50,837.41 $126,268.00 $60,538.86 2026-03-31
J9226 HCPCS Supprelin La Implant 55 22 — — $35,473.35 $85,476.20 $60,474.78 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 12 — — $51,609.80 $117,645.00 $60,421.91 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 12 — — $50,432.80 $114,962.02 $60,306.12 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 12 — — $41,889.51 $120,465.90 $60,232.95 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
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 12 — — $46,598.08 $119,375.16 $59,687.58 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
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 12 — — $41,114.70 $93,721.34 $59,357.17 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
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
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 12 — — $39,913.50 $90,983.18 $58,581.96 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 12 — — $39,729.80 $90,564.44 $58,539.79 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
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
901 MS_DRG Wound Debridements For Injuries With Mcc 21 12 — — $46,162.60 $105,228.06 $57,988.38 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 12 — — $46,492.12 $115,807.04 $57,903.52 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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 12 — — $49,557.29 $115,255.40 $57,627.70 2026-03-31
245 MS_DRG Aicd Generator Procedures 21 12 — — $50,186.40 $114,400.36 $57,200.18 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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 12 — — $41,165.11 $114,056.84 $57,028.42 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 12 — — $50,013.70 $114,006.68 $57,003.34 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
799 MS_DRG Splenic Procedures With Mcc 21 12 — — $49,817.90 $113,560.36 $56,780.18 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 12 — — $47,601.40 $108,507.82 $56,744.04 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
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
163 MS_DRG Major Chest Procedures With Mcc 21 12 — — $49,299.80 $112,379.34 $56,189.67 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 12 — — $48,390.69 $112,346.74 $56,173.37 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 12 — — $49,091.90 $111,905.44 $55,952.72 2026-03-31
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 3 $107,412.61 $69,818.20 35% off $38,083.10 $77,590.00 $55,874.83 2026-05-06
271 OTHER Other Major Cardiovascular Procedures With Cc 5 3 $128,882.94 $83,773.91 35% off $38,018.20 $79,057.12 $55,779.61 2026-05-06
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 5 3 $75,303.96 $48,947.57 35% off $38,006.10 $79,031.96 $55,761.86 2026-05-06
140 MS_DRG Major Head And Neck Procedures With Mcc 21 12 — — $46,918.30 $106,950.70 $55,583.88 2026-03-31
802 OTHER Anesth Fat Layer Removal 5 3 $97,750.84 $63,538.04 35% off $37,738.80 $78,476.12 $55,369.68 2026-05-06
029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 5 3 $123,382.48 $80,198.61 35% off $37,710.20 $78,416.65 $55,327.72 2026-05-06
A9699 HCPCS Radiopharm Rx Agent Noc 48 20 — — $55,169.68 $55,169.68 $55,169.68 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 12 — — $48,320.80 $110,147.70 $55,073.85 2026-03-31
652 MS_DRG Kidney Transplant 21 12 — — $35,524.50 $137,524.94 $55,024.22 2026-03-31
574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 3 $91,510.48 $59,481.81 35% off $37,463.80 $77,904.27 $54,966.21 2026-05-06
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 3 $64,493.69 $41,920.90 35% off $37,143.70 $77,238.64 $54,496.56 2026-05-06
037 OTHER Extracranial Procedures With Mcc 5 3 $127,742.35 $83,032.53 35% off $37,131.60 $77,213.47 $54,478.81 2026-05-06
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 5 3 $126,808.03 $82,425.22 35% off $37,059.00 $77,062.51 $54,372.29 2026-05-06
252 OTHER Other Vascular Procedures With Mcc 5 3 $135,647.87 $88,171.12 35% off $36,891.80 $76,714.82 $54,126.98 2026-05-06
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 3 $45,827.83 $29,788.09 35% off $36,764.20 $76,449.48 $53,939.77 2026-05-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 12 — — $46,884.59 $107,642.76 $53,821.38 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 12 — — $46,217.60 $105,353.44 $53,797.33 2026-03-31
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 3 $176,153.98 $114,500.09 35% off $36,627.80 $83,676.00 $53,739.64 2026-05-06
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 3 $207,612.49 $134,948.12 35% off $36,581.60 $76,069.77 $53,671.86 2026-05-06
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 21 12 — — $40,404.10 $92,101.52 $53,560.92 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 12 — — $45,380.50 $103,445.26 $53,542.58 2026-03-31
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 3 $198,932.54 $129,306.15 35% off $36,467.20 $75,831.88 $53,504.01 2026-05-06
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 12 — — $45,307.14 $106,336.36 $53,168.18 2026-03-31
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 3 $81,066.51 $52,693.23 35% off $36,234.00 $75,346.96 $53,161.87 2026-05-06
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 12 — — $41,369.46 $105,895.06 $52,947.53 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 12 — — $45,342.82 $105,714.52 $52,857.26 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 12 — — $45,393.64 $105,661.86 $52,830.93 2026-03-31
264 OTHER Other Circulatory System O.r. Procedures 5 3 $82,559.28 $53,663.53 35% off $35,926.00 $74,706.48 $52,709.97 2026-05-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 12 — — $42,232.30 $96,268.92 $52,705.70 2026-03-31
904 OTHER Anesth Perineal Surgery 5 3 $102,711.13 $66,762.24 35% off $35,818.20 $74,482.32 $52,551.81 2026-05-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 12 — — $46,076.80 $105,032.48 $52,516.24 2026-03-31
L8701 HCPCS Ewh S/d Uprt Micro Sensor 55 22 — — $34,970.13 $69,940.26 $52,455.19 2026-03-31
500 OTHER Anesth Esophageal Surgery 5 3 $91,157.82 $59,252.58 35% off $35,670.80 $74,175.81 $52,335.55 2026-05-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $45,898.60 $131,817.00 $52,313.14 2026-03-31
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 5 3 $133,898.13 $87,033.78 35% off $35,648.80 $74,130.06 $52,303.27 2026-05-06
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 12 — — $37,712.40 $85,965.76 $52,173.76 2026-03-31
263 MS_DRG Vein Ligation And Stripping 21 12 — — $33,631.40 $76,663.08 $52,091.98 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 12 — — $45,683.00 $104,134.82 $52,067.41 2026-03-31
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 3 $78,441.20 $50,986.78 35% off $35,368.30 $73,546.77 $51,891.73 2026-05-06
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 5 3 $116,251.32 $75,563.35 35% off $35,208.80 $73,215.10 $51,657.71 2026-05-06
279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 3 $208,353.65 $135,429.87 35% off $35,206.60 $73,210.52 $51,654.48 2026-05-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 12 — — $43,030.90 $98,089.32 $51,418.56 2026-03-31
229 OTHER Other Cardiothoracic Procedures Without Mcc 5 3 $131,687.67 $85,596.98 35% off $34,975.60 $72,730.17 $51,315.56 2026-05-06
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 3 $71,434.91 $46,432.69 35% off $34,776.50 $72,316.15 $51,023.45 2026-05-06
829 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 3 $67,660.17 $43,979.11 35% off $34,691.80 $72,140.02 $50,899.18 2026-05-06
656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 5 3 $137,933.90 $89,657.04 35% off $34,513.60 $71,769.46 $50,637.73 2026-05-06
840 OTHER Anesth Surg Lower Abdomen 5 3 $114,275.85 $74,279.30 35% off $34,377.20 $67,485.57 $50,437.60 2026-05-06
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 12 — — $40,378.01 $100,812.42 $50,406.21 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 12 — — $29,223.40 $99,899.72 $49,949.86 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 9 — — $42,513.90 $96,910.82 $49,909.07 2026-03-31
665 OTHER Prostatectomy With Mcc 5 3 $100,236.02 $65,153.42 35% off $33,980.10 $70,660.07 $49,854.98 2026-05-06
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 12 — — $34,951.40 $79,672.04 $49,799.47 2026-03-31
173 OTHER Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 5 3 $129,002.94 $83,851.91 35% off $33,825.00 $70,337.55 $49,627.43 2026-05-06
793 MS_DRG Full Term Neonate With Major Problems 16 12 — — $12,949.38 $104,551.06 $49,529.22 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 12 — — $38,713.40 $88,247.54 $48,930.20 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 12 — — $42,577.70 $97,056.26 $48,528.13 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 12 — — $37,478.10 $85,431.66 $48,443.66 2026-03-31
464 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 3 $43,721.35 $28,418.88 35% off $33,015.40 $68,654.02 $48,439.59 2026-05-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 12 — — $40,898.06 $96,818.04 $48,409.02 2026-03-31
662 OTHER Minor Bladder Procedures With Mcc 5 3 $71,133.88 $46,237.02 35% off $32,963.70 $68,546.52 $48,363.74 2026-05-06
521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 3 $209,968.12 $136,479.28 35% off $32,936.20 $68,489.33 $48,323.39 2026-05-06
791 MS_DRG Prematurity With Major Problems 16 12 — — $27,909.76 $101,777.80 $48,215.44 2026-03-31
69930 CPT Implant Cochlear Device 55 22 — — $31,978.39 $63,956.78 $47,967.58 2026-03-31
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 3 $144,494.17 $93,921.21 35% off $32,654.60 $67,903.76 $47,910.24 2026-05-06
37 MS_DRG Extracranial Procedures With Mcc 21 12 — — $36,213.10 $82,548.10 $47,883.61 2026-03-31
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