Price Transparency Hospital negotiated rates

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

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Hospital

NOVANT HEALTH THOMASVILLE MEDICAL CENTER

Thomasville, NC · CCN 340085 · Rates published

21,366 distinct procedures filed
28 distinct payers
1,176,612 rate rows
2026-05-06 last MRF observed
Data quality

790,456 of 1,176,612 rate rows are consumer-grade (67.2%)

386,156 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 376,360
exceeds 10× this hospital's gross charge — excluded from medians 9,596
per-diem day rate — not a per-procedure price 151
placeholder amount (≤ $0.02) — excluded from medians 49
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/560636250_novant-health-thomasville-medical-center-llc-dba-novant-health-thomasville-medical-center_standardcharges.json
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint b8cfe57d15296a85… · 250,315,652 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
$2,469,189
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
$2,448,600
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,148,317.94 $4,055,977.72 $3,187,671.92 nat. median
$3,325,455
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
CPT 		Cholecystectomy With C.d.e. With Mcc 5 $33,444.40 $3,143,512.13 $3,051,953.52 —
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,796,390.98 $3,599,837.74 $2,831,345.87 nat. median
$3,006,423
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
$824,563
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 22 $561,725.68 $1,127,511.66 $844,618.67 nat. median
$754,974
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 22 $537,179.39 $1,077,636.42 $807,407.91 nat. median
$675,122
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 22 $534,017.50 $1,068,035.00 $801,026.25 nat. median
$674,188
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 22 $529,061.91 $1,058,123.82 $793,592.86 nat. median
$625,184
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
$370,174
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 22 $506,195.40 $1,012,390.80 $759,293.10 nat. median
$634,511
1.2× median
297
CPT 		Cardiac Arrest, Unexplained With Cc 10 $8,014.60 $1,034,656.44 $740,510.79 —
Q2053
HCPCS 		Brexucabtagene Car Pos T 22 $464,496.87 $953,404.97 $708,950.92 nat. median
$620,080
1.1× 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
$324,450
1.9× median
018
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $405,269.70 $795,581.26 $594,604.34 —
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
$265,286
1.9× median
001
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $298,084.60 $619,853.38 $437,344.31 —
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
$202,986
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
$206,368
1.8× median
003
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $234,523.30 $487,680.54 $344,088.32 —
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
$133,176
1.9× median
004
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $161,700.00 $336,247.80 $237,243.30 —
7
MS_DRG 		Lung Transplant 22 $142,452.20 $324,721.08 $233,586.64 nat. median
$122,708
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $132,196.90 $301,344.04 $216,770.47 nat. median
$117,303
1.8× 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
$108,660
1.9× median
002
CPT 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $134,685.10 $280,071.54 $197,607.53 —
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $119,615.10 $272,663.70 $196,139.40 nat. median
$102,358
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
$98,905
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
$100,136
1.9× median
014
CPT 		Allogeneic Bone Marrow Transplant 3 $126,069.90 $247,486.67 $184,967.47 —
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
$93,672
1.9× median
212
CPT 		Anesth Skull Drainage 3 $118,477.70 $246,368.99 $173,828.33 —
215
MS_DRG 		Other Heart Assist System Implant 22 $88,502.72 $249,667.80 $169,085.26 nat. median
$99,019
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
$81,118
outlier · 2.1×
Q0480
HCPCS 		Dme Pos 22 $111,502.61 $223,005.22 $167,253.92 nat. median
$111,989
1.5× median
215
CPT 		Anesth Skull Repair/fract 3 $112,362.80 $233,653.34 $164,856.66 —
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $99,105.60 $225,912.12 $162,508.86 nat. median
$82,712
2.0× median
216
CPT 		Anesth Head Vessel Surgery 3 $106,758.30 $221,999.03 $156,633.84 —
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $92,728.90 $211,376.38 $152,052.64 nat. median
$79,312
1.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $72,589.81 $217,133.50 $144,861.65 nat. median
$83,442
1.7× median
453
CPT 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $97,475.40 $236,949.00 $143,014.13 —
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 22 $95,081.03 $190,162.06 $142,621.55 nat. median
$96,983
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
$77,576
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
$74,915
1.8× median
020
CPT 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $92,976.40 $193,340.20 $136,413.28 —

Other procedures at this hospital

Browse this hospital's 21,366 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
             
001 CPT 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
002 CPT 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
003 CPT 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
004 CPT 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
011 CPT 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
012 CPT 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
014 CPT 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
016 CPT 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
018 CPT 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
020 CPT 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
021 CPT 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
022 CPT 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
023 CPT 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
024 CPT 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
025 CPT 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
028 CPT 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
031 CPT 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
034 CPT 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
040 CPT 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
094 CPT 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
097 CPT 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
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
10 MS_DRG Pancreas Transplant 55 22 — — $78,932.70 $179,927.80 $129,430.25 2026-03-31
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
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
14 MS_DRG Allogeneic Bone Marrow Transplant 55 22 — — $132,196.90 $301,344.04 $216,770.47 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 55 22 — — $46,918.30 $106,950.70 $76,934.50 2026-03-31
140 CPT 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
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 55 22 — — $61,066.52 $148,684.86 $104,875.69 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
163 CPT 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
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
166 CPT 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 55 22 — — $59,755.30 $136,212.74 $97,984.02 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 55 22 — — $78,480.60 $178,897.24 $128,688.92 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
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
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
207 CPT 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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 55 22 — — $119,615.10 $272,663.70 $196,139.40 2026-03-31
212 CPT 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
215 CPT 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
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
216 CPT 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
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
217 CPT 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
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
218 CPT 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
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
219 CPT 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
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
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
220 CPT 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
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
221 CPT 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 55 22 — — $54,421.40 $124,054.08 $89,237.74 2026-03-31
228 CPT 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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 55 22 — — $34,644.50 $78,972.46 $56,808.48 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 55 22 — — $92,728.90 $211,376.38 $152,052.64 2026-03-31
231 CPT 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 55 22 — — $66,688.60 $152,017.28 $109,352.94 2026-03-31
232 CPT 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 55 22 — — $74,364.04 $191,700.34 $133,032.19 2026-03-31
233 CPT 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
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
234 CPT 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 55 22 — — $61,864.44 $147,152.80 $104,508.62 2026-03-31
235 CPT 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 55 22 — — $46,076.80 $105,032.48 $75,554.64 2026-03-31
236 CPT 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
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
239 CPT 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
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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 55 22 — — $35,120.80 $80,058.18 $57,589.49 2026-03-31
245 MS_DRG Aicd Generator Procedures 55 22 — — $50,186.40 $114,400.36 $82,293.38 2026-03-31
245 CPT 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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 55 22 — — $50,013.70 $114,006.68 $82,010.19 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 55 22 — — $38,371.30 $87,467.72 $62,919.51 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
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
264 MS_DRG Other Circulatory System O.r. Procedures 55 22 — — $36,746.60 $83,764.20 $60,255.40 2026-03-31
265 MS_DRG Aicd Lead Procedures 55 22 — — $39,800.20 $90,724.92 $65,262.56 2026-03-31
265 CPT 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
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
266 CPT 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
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
267 CPT 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
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
268 CPT 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
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
269 CPT 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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 55 22 — — $58,039.30 $132,301.12 $95,170.21 2026-03-31
270 CPT 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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 55 22 — — $39,119.30 $89,172.80 $64,146.05 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 55 22 — — $45,380.50 $103,445.26 $74,412.88 2026-03-31
273 CPT 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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 55 22 — — $34,653.12 $82,538.06 $58,595.59 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
275 CPT 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
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
276 CPT 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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 55 22 — — $46,492.12 $115,807.04 $81,149.58 2026-03-31
277 CPT 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
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
278 CPT 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
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
28 MS_DRG Spinal Procedures With Mcc 55 22 — — $66,091.30 $150,655.72 $108,373.51 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
297 CPT 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
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 55 22 — — $48,390.69 $112,346.74 $80,368.71 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 55 22 — — $49,091.90 $111,905.44 $80,498.67 2026-03-31
319 CPT 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
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
323 CPT 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
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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 55 22 — — $35,314.40 $80,499.50 $57,906.95 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
326 CPT 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
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
329 CPT 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
332 MS_DRG Rectal Resection With Mcc 55 22 — — $39,827.70 $90,787.60 $65,307.65 2026-03-31
332 CPT 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
33276 CPT Insj Phrnc Nrv Stim Sys 55 22 — — $42,718.97 $85,437.94 $64,078.46 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 55 22 — — $39,279.90 $89,538.88 $64,409.39 2026-03-31
335 CPT 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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 55 22 — — $42,577.70 $97,056.26 $69,816.98 2026-03-31
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
356 CPT 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
37 MS_DRG Extracranial Procedures With Mcc 55 22 — — $36,213.10 $82,548.10 $59,380.60 2026-03-31
38240 CPT Transplt Allo Hct/donor 55 22 — — $61,005.36 $122,010.72 $91,508.04 2026-03-31
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
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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 55 22 — — $56,273.62 $137,170.60 $96,722.11 2026-03-31
405 CPT 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
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
408 CPT 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
411 CPT 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
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 55 22 — — $31,170.62 $82,828.92 $56,999.77 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
414 CPT 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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 55 22 — — $37,478.10 $85,431.66 $61,454.88 2026-03-31
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
423 CPT 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
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
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
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
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
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
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
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
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
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
453 CPT 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
454 CPT 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
455 CPT 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
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
456 CPT 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
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
457 CPT 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
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
458 CPT 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
459 CPT 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
460 CPT 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
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
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
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
463 CPT 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
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
466 CPT 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
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
467 CPT 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
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
471 MS_DRG Cervical Spinal Fusion With Mcc 55 22 — — $50,837.41 $126,268.00 $88,552.71 2026-03-31
471 CPT 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
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
474 CPT 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
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
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
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
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
495 CPT 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 55 22 — — $113,415.50 $258,531.66 $185,973.58 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
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
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
518 CPT 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
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
573 CPT 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
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
576 CPT 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
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
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
6 MS_DRG Liver Transplant Without Mcc 55 22 — — $51,007.00 $157,628.08 $104,317.54 2026-03-31
616 CPT 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
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
620T CPT Evasc Ven Artlz Tibl/prnl Vn 55 22 — — $42,718.97 $85,437.94 $64,078.46 2026-03-31
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
622 CPT 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
628 CPT 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
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
64568 CPT Opn Impltj Crnl Nrv Nea&pg 55 22 — — $42,718.97 $85,437.94 $64,078.46 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 55 22 — — $51,715.40 $146,402.57 $99,058.99 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
652 MS_DRG Kidney Transplant 55 22 — — $35,524.50 $137,524.94 $86,524.72 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
653 CPT 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
665 MS_DRG Prostatectomy With Mcc 55 22 — — $34,333.20 $78,262.84 $56,298.02 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
673 CPT 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
7 MS_DRG Lung Transplant 55 22 — — $142,452.20 $324,721.08 $233,586.64 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
736 CPT 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
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
739 CPT 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
790 CPT 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 12 — — $65,378.50 $149,030.88 $77,496.05 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 55 22 — — $49,817.90 $113,560.36 $81,689.13 2026-03-31
799 CPT 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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 55 22 — — $61,650.60 $140,533.10 $101,091.85 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
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
820 CPT 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
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
823 CPT 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
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
826 CPT 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
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
834 MS_DRG Acute Leukemia With Mcc 55 22 — — $60,388.90 $137,657.04 $99,022.97 2026-03-31
834 CPT 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
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
837 CPT 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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 55 22 — — $35,583.90 $81,113.82 $58,348.86 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
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
853 CPT 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
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
856 CPT 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
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
870 CPT 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
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
876 CPT 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
901 MS_DRG Wound Debridements For Injuries With Mcc 55 22 — — $46,162.60 $105,228.06 $75,695.33 2026-03-31
901 CPT 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
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 55 22 — — $40,404.10 $92,101.52 $66,252.81 2026-03-31
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
907 CPT 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
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
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
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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 55 22 — — $74,042.10 $168,779.64 $121,410.87 2026-03-31
955 CPT 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
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
956 CPT 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
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
957 CPT 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
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
958 CPT 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
969 CPT 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
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
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
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
981 CPT 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
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
A9543 HCPCS Y90 Ibritumomab, Rx 55 22 — — $53,943.55 $107,887.10 $80,915.32 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
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,148,317.94 $4,055,977.72 $3,187,671.92 2026-03-31
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
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 55 22 — — $2,213,767.60 $4,427,535.20 $3,320,651.40 2026-03-31
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 8 7 — — $2,796,390.98 $3,599,837.74 $2,831,345.87 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
J3399 HCPCS Inj Onase Abepar-xioi Treat 54 22 — — $2,330,636.50 $4,661,273.00 $3,495,954.75 2026-03-31
J7330 HCPCS Cultured Chondrocytes Implnt 48 20 — — $96,363.41 $96,363.41 $96,363.41 2026-03-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 55 22 — — $60,130.83 $123,190.11 $91,660.47 2026-03-31
J9226 HCPCS Supprelin La Implant 55 22 — — $35,473.35 $85,476.20 $60,474.78 2026-03-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 55 22 — — $95,081.03 $190,162.06 $142,621.55 2026-03-31
L2006 HCPCS Dme Pos 55 22 — — $39,378.44 $78,756.88 $59,067.66 2026-03-31
L7180 HCPCS Dme Pos 55 22 — — $39,992.59 $79,985.18 $59,988.89 2026-03-31
L7181 HCPCS Dme Pos 55 22 — — $49,605.45 $99,210.90 $74,408.18 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
Q0480 HCPCS Dme Pos 55 22 — — $111,502.61 $223,005.22 $167,253.92 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 55 22 — — $506,195.40 $1,012,390.80 $759,293.10 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 55 22 — — $561,725.68 $1,127,511.66 $844,618.67 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 55 22 — — $52,470.01 $111,075.77 $81,772.89 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 55 22 — — $464,496.87 $953,404.97 $708,950.92 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
Q2056 HCPCS Ciltacabtagene Car-pos T 55 22 — — $537,179.39 $1,077,636.42 $807,407.91 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
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
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