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

ATRIUM HEALTH PINEVILLE

Charlotte, NC · CCN 340098 · Rates published

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You selected 93306 (CPT)

HC ECHOCARDIOGRAM/DOPPLER/COMPLETE

This hospital’s price: $1,542 across 33 payers · range $261-$3,275

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/11171/561398929-1376985135_carolinas-medical-center_standardcharges.csv · observed 2025-12-05

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.

14,245 distinct procedures filed
34 distinct payers
3,374,448 rate rows
2025-12-05 last MRF observed
Data quality

3,090,784 of 3,374,448 rate rows are consumer-grade (91.6%)

283,664 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 274,244
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,759
percent-of-charges filed in the dollar field — excluded from medians 1,622
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 670
per-diem day rate — not a per-procedure price 240
exceeds 10× this hospital's gross charge — excluded from medians 87
placeholder amount (≤ $0.02) — excluded from medians 42
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11172/560529945-1417432840_the-charlotte-mecklenburg-hospital-authority_standardcharges.csv
Found on page https://atriumhealth.org/for-patients-visitors/financial-assistance/pricing
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-30
Content fingerprint 7af0592111d4de28… · 2,530,251,283 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $4,595,100.00 $4,744,215.50 $4,696,462.50 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 13 $1,750,000.00 $4,637,500.00 $3,850,000.00 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 15 $1,600,000.00 $4,848,000.00 $3,492,566.75 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,313,414.63 $4,060,557.14 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $3,004,654.80 $3,682,175.00 $3,093,027.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 16 $27,261.82 $4,725,360.27 $2,618,105.01 nat. median
$2,467,989
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,378,640.00 $2,915,000.00 $2,448,600.00 nat. median
$2,401,965
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 34 $318,810.24 $2,933,054.21 $1,912,861.44 nat. median
$640,950
outlier · 3.0×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 34 $316,928.06 $2,915,738.15 $1,901,568.36 nat. median
$623,527
outlier · 3.0×
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 34 $313,233.30 $2,881,746.36 $1,879,399.80 nat. median
$646,415
outlier · 2.9×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 34 $302,148.00 $2,779,761.60 $1,812,888.00 nat. median
$608,239
outlier · 3.0×
Q2042
HCPCS 		Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 34 $293,356.15 $3,276,304.05 $1,651,218.66 nat. median
$739,658
outlier · 2.2×
Q2053
HCPCS 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 34 $254,400.00 $2,340,480.00 $1,526,400.00 nat. median
$592,235
outlier · 2.6×
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $786,032.40 $963,275.00 $809,151.00 nat. median
$813,967
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $198,244.21 $616,562.45 $448,315.75 nat. median
$248,541
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $265,147.11 $757,989.57 $373,163.70 nat. median
$359,244
1.0× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 33 $1,241.34 $507,497.99 $330,976.95 nat. median
$2,492
outlier · 132.8×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $283,815.00 $347,812.50 $292,162.50 nat. median
$319,951
0.9× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 33 $5,103.71 $439,211.68 $286,442.40 nat. median
$8,223
outlier · 34.8×
J3403
HCPCS 		Revakinagene, Per Implant 5 $262,650.00 $321,875.00 $270,375.00 nat. median
$265,000
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $151,022.84 $430,753.73 $264,989.41 nat. median
$190,359
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $92,634.49 $337,580.73 $243,196.21 nat. median
$110,084
outlier · 2.2×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $209,752.80 $257,050.00 $215,922.00 nat. median
$209,753
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $75,444.22 $298,130.01 $208,903.65 nat. median
$94,943
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $99,841.73 $283,998.87 $205,770.38 nat. median
$126,461
1.6× median
7
MS_DRG 		Lung Transplant 16 $92,403.19 $262,669.81 $183,169.22 nat. median
$117,977
1.6× median
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 33 $234.43 $268,846.08 $178,694.98 nat. median
$432
outlier · 413.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $120,692.28 $476,804.56 $172,251.28 nat. median
$198,115
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $78,039.86 $221,484.95 $158,587.18 nat. median
$103,938
1.5× median
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 34 $24,005.00 $220,846.00 $141,509.47 nat. median
$68,400
outlier · 2.1×
77371
CPT 		Hc Radiation Delivery Stereotactic Cranial Cobalt 33 $2,082.15 $204,204.12 $135,729.15 nat. median
$9,444
outlier · 14.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $68,446.58 $193,977.46 $129,793.77 nat. median
$90,512
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $65,367.96 $185,149.98 $124,179.64 nat. median
$78,164
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $77,158.06 $218,956.50 $117,698.11 nat. median
$97,137
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $111,502.61 $136,645.35 $114,782.09 nat. median
$111,503
1.0× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 34 $19,506.95 $179,463.94 $113,335.38 nat. median
$55,159
outlier · 2.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $59,260.52 $167,637.72 $112,433.85 nat. median
$77,936
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 16 $75,061.50 $212,944.89 $107,779.12 nat. median
$93,787
1.1× median
10
MS_DRG 		Pancreas Transplant 16 $56,683.81 $160,249.33 $107,479.48 nat. median
$64,851
1.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $56,363.46 $159,330.80 $106,862.29 nat. median
$66,623
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $74,224.55 $210,545.06 $106,212.18 nat. median
$93,226
1.1× median
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 33 $119.23 $156,849.88 $102,293.40 nat. median
$153
outlier · 670.5×
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 33 $67.04 $154,026.12 $101,288.92 nat. median
$92
outlier · 1099.4×
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 34 $16,472.10 $151,543.32 $98,832.60 nat. median
$30,130
outlier · 3.3×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 5 $95,081.03 $116,520.88 $97,877.54 nat. median
$96,983
1.0× median
J0801
HCPCS 		Corticotropin 80 Unit/ml Injection Gel 34 $4,545.23 $145,878.88 $96,724.04 nat. median
$5,216
outlier · 18.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $57,301.35 $162,020.05 $96,706.26 nat. median
$74,298
1.3× median
834
MS_DRG 		Acute Leukemia With Mcc 16 $39,540.48 $131,612.32 $95,698.13 nat. median
$50,314
1.9× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 16 $38,936.28 $131,167.98 $95,375.05 nat. median
$50,763
1.9× median
652
MS_DRG 		Kidney Transplant 16 $22,325.69 $188,178.28 $95,353.14 nat. median
$29,909
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 14,245 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 4 — — $4,595,100.00 $4,744,215.50 $4,696,462.50 2025-12-05
J1411 HCPCS Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 31 13 — — $1,750,000.00 $4,637,500.00 $3,850,000.00 2025-12-05
J1413 HCPCS Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 37 15 — — $1,600,000.00 $4,848,000.00 $3,492,566.75 2025-12-05
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 5 — — $3,313,414.63 $4,060,557.14 $3,410,868.00 2025-12-05
J3393 HCPCS Inj, Betibeglogene Autotemce 10 5 — — $3,004,654.80 $3,682,175.00 $3,093,027.00 2025-12-05
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 52 16 — — $27,261.82 $4,725,360.27 $2,618,105.01 2025-12-05
J3392 HCPCS Inj, Exagamglogene Autotem 10 5 — — $2,378,640.00 $2,915,000.00 $2,448,600.00 2025-12-05
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 158 34 $3,188,102.40 $1,594,051.20 50% off $318,810.24 $2,933,054.21 $1,912,861.44 2025-12-05
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 158 34 $3,169,280.60 $1,584,640.30 50% off $316,928.06 $2,915,738.15 $1,901,568.36 2025-12-05
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 158 34 $3,132,333.00 $1,566,166.50 50% off $313,233.30 $2,881,746.36 $1,879,399.80 2025-12-05
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 158 34 $3,021,480.00 $1,510,740.00 50% off $302,148.00 $2,779,761.60 $1,812,888.00 2025-12-05
Q2042 HCPCS Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 251 34 $2,933,561.50 $1,466,780.75 50% off $293,356.15 $3,276,304.05 $1,651,218.66 2025-12-05
Q2053 HCPCS Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 158 34 $2,544,000.00 $1,272,000.00 50% off $254,400.00 $2,340,480.00 $1,526,400.00 2025-12-05
Q2057 HCPCS Afamitresgene Autoleucel 10 5 — — $786,032.40 $963,275.00 $809,151.00 2025-12-05
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 38 16 — — $198,244.21 $616,562.45 $448,315.75 2025-12-05
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 38 16 — — $265,147.11 $757,989.57 $373,163.70 2025-12-05
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 153 33 $551,628.25 $275,814.13 50% off $1,241.34 $507,497.99 $330,976.95 2025-12-05
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 5 — — $283,815.00 $347,812.50 $292,162.50 2025-12-05
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 153 33 $477,404.00 $238,702.00 50% off $5,103.71 $439,211.68 $286,442.40 2025-12-05
J3403 HCPCS Revakinagene, Per Implant 10 5 — — $262,650.00 $321,875.00 $270,375.00 2025-12-05
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 16 — — $151,022.84 $430,753.73 $264,989.41 2025-12-05
14 MS_DRG Allogeneic Bone Marrow Transplant 38 16 — — $92,634.49 $337,580.73 $243,196.21 2025-12-05
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 5 — — $209,752.80 $257,050.00 $215,922.00 2025-12-05
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 38 16 — — $75,444.22 $298,130.01 $208,903.65 2025-12-05
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 16 — — $99,841.73 $283,998.87 $205,770.38 2025-12-05
7 MS_DRG Lung Transplant 38 16 — — $92,403.19 $262,669.81 $183,169.22 2025-12-05
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 152 33 $292,224.00 $146,112.00 50% off $234.43 $268,846.08 $178,694.98 2025-12-05
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 38 16 — — $120,692.28 $476,804.56 $172,251.28 2025-12-05
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 16 — — $78,039.86 $221,484.95 $158,587.18 2025-12-05
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 158 34 $240,050.00 $120,025.00 50% off $24,005.00 $220,846.00 $141,509.47 2025-12-05
77371 CPT Hc Radiation Delivery Stereotactic Cranial Cobalt 152 33 $221,961.00 $110,980.50 50% off $2,082.15 $204,204.12 $135,729.15 2025-12-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 16 — — $68,446.58 $193,977.46 $129,793.77 2025-12-05
850 MS_DRG Acute Leukemia With Other Procedures 38 16 — — $65,367.96 $185,149.98 $124,179.64 2025-12-05
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 16 — — $77,158.06 $218,956.50 $117,698.11 2025-12-05
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 5 — — $111,502.61 $136,645.35 $114,782.09 2025-12-05
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 159 34 $195,069.50 $97,534.75 50% off $19,506.95 $179,463.94 $113,335.38 2025-12-05
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 38 16 — — $59,260.52 $167,637.72 $112,433.85 2025-12-05
215 MS_DRG Other Heart Assist System Implant 38 16 — — $75,061.50 $212,944.89 $107,779.12 2025-12-05
10 MS_DRG Pancreas Transplant 38 16 — — $56,683.81 $160,249.33 $107,479.48 2025-12-05
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 38 16 — — $56,363.46 $159,330.80 $106,862.29 2025-12-05
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 16 — — $74,224.55 $210,545.06 $106,212.18 2025-12-05
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 153 33 $170,489.00 $85,244.50 50% off $119.23 $156,849.88 $102,293.40 2025-12-05
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 152 33 $167,419.70 $83,709.85 50% off $67.04 $154,026.12 $101,288.92 2025-12-05
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 149 34 $164,721.00 $82,360.50 50% off $16,472.10 $151,543.32 $98,832.60 2025-12-05
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 10 5 — — $95,081.03 $116,520.88 $97,877.54 2025-12-05
J0801 HCPCS Corticotropin 80 Unit/ml Injection Gel 145 34 $158,564.00 $79,282.00 50% off $4,545.23 $145,878.88 $96,724.04 2025-12-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 16 — — $57,301.35 $162,020.05 $96,706.26 2025-12-05
834 MS_DRG Acute Leukemia With Mcc 38 16 — — $39,540.48 $131,612.32 $95,698.13 2025-12-05
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 38 16 — — $38,936.28 $131,167.98 $95,375.05 2025-12-05
652 MS_DRG Kidney Transplant 38 16 — — $22,325.69 $188,178.28 $95,353.14 2025-12-05
231 MS_DRG Coronary Bypass With Ptca With Mcc 38 16 — — $60,194.90 $170,316.92 $95,133.26 2025-12-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 16 — — $60,161.96 $170,222.45 $94,228.90 2025-12-05
0795T CPT Hc Tcat Insert Perm Dual Chamber Leadls Pm Compl Sys 155 34 $151,770.35 $75,885.18 50% off $261.30 $139,628.72 $92,579.91 2025-12-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 16 — — $53,117.34 $150,022.96 $90,751.17 2025-12-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 38 16 — — $48,659.94 $137,242.00 $90,538.55 2025-12-05
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 16 — — $50,333.14 $142,039.63 $90,182.52 2025-12-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 16 — — $49,558.58 $139,818.69 $87,929.81 2025-12-05
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 16 — — $42,466.99 $119,664.20 $87,878.27 2025-12-05
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 16 — — $55,586.11 $157,101.82 $87,479.88 2025-12-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 16 — — $55,033.04 $155,516.01 $86,071.35 2025-12-05
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 38 16 — — $44,160.49 $124,340.45 $83,394.97 2025-12-05
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 38 16 — — $43,812.12 $123,341.53 $82,727.96 2025-12-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 16 — — $46,128.81 $129,984.25 $81,754.75 2025-12-05
6 MS_DRG Liver Transplant Without Mcc 38 16 — — $34,787.30 $112,364.82 $81,702.87 2025-12-05
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 153 33 $135,076.60 $67,538.30 50% off $331.76 $124,270.47 $81,045.96 2025-12-05
228 MS_DRG Other Cardiothoracic Procedures With Mcc 38 16 — — $35,727.27 $109,979.67 $79,968.57 2025-12-05
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 16 — — $50,583.37 $142,757.17 $77,741.38 2025-12-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 38 16 — — $42,789.43 $120,409.09 $77,565.63 2025-12-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 16 — — $40,786.80 $114,666.80 $77,318.61 2025-12-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 38 16 — — $41,608.32 $117,022.41 $75,904.58 2025-12-05
93656 CPT Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 155 34 $121,044.20 $60,522.10 50% off $261.30 $111,360.66 $73,836.96 2025-12-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 16 — — $41,027.22 $115,356.20 $73,617.13 2025-12-05
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 38 16 — — $47,793.57 $134,757.77 $73,247.55 2025-12-05
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 38 16 — — $38,615.22 $108,440.13 $72,730.65 2025-12-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 38 16 — — $47,533.52 $134,012.09 $72,105.16 2025-12-05
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 16 — — $46,063.59 $129,797.33 $71,656.15 2025-12-05
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 10 5 — — $68,801.71 $84,315.83 $70,825.29 2025-12-05
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 38 16 — — $44,216.57 $124,501.25 $70,113.77 2025-12-05
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 38 16 — — $39,540.48 $111,093.20 $69,900.64 2025-12-05
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 16 — — $36,896.48 $103,511.86 $69,425.16 2025-12-05
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 16 — — $42,498.52 $119,574.98 $69,040.07 2025-12-05
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 38 16 — — $36,776.61 $103,168.17 $68,670.67 2025-12-05
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 38 16 — — $45,127.13 $127,112.11 $67,960.93 2025-12-05
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 16 — — $43,615.85 $122,778.76 $67,819.64 2025-12-05
0408T CPT Hc Insert Or Replace Perm Cardiac Cont Mod Gen+elect 155 34 $110,987.60 $55,493.80 50% off $778.87 $102,108.59 $67,702.44 2025-12-05
0915T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator & Leads 155 34 $110,987.60 $55,493.80 50% off $778.87 $102,108.59 $67,702.44 2025-12-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 16 — — $35,853.47 $100,521.13 $67,667.59 2025-12-05
37 MS_DRG Extracranial Procedures With Mcc 38 16 — — $24,074.56 $98,136.35 $67,003.88 2025-12-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 16 — — $34,119.29 $95,548.64 $66,924.99 2025-12-05
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 153 33 $111,115.60 $55,557.80 50% off $214.57 $102,226.35 $66,669.36 2025-12-05
33288 CPT Hc Rmvl&rplcmt Phrnc Nrv Stim Trnsvns Stim/snsg Ld 155 34 $109,284.20 $54,642.10 50% off $778.87 $100,541.46 $66,663.36 2025-12-05
0409T CPT Hc Insert Or Replace Perm Ccm Pulse Generator Only 155 34 $109,005.70 $54,502.85 50% off $778.87 $100,285.24 $66,493.48 2025-12-05
0414T CPT Hc Removal & Replace Permament Ccm Pulse Generator Only 155 34 $109,005.70 $54,502.85 50% off $778.87 $100,285.24 $66,493.48 2025-12-05
0916T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator Only 155 34 $109,005.70 $54,502.85 50% off $778.87 $100,285.24 $66,493.48 2025-12-05
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 155 34 $109,005.70 $54,502.85 50% off $778.87 $100,285.24 $66,493.48 2025-12-05
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 38 16 — — $46,952.64 $134,239.21 $65,605.49 2025-12-05
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 38 16 — — $38,088.81 $106,930.70 $64,817.99 2025-12-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 16 — — $42,042.22 $118,266.54 $64,254.82 2025-12-05
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 38 16 — — $33,091.69 $92,602.12 $62,848.99 2025-12-05
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 153 33 $104,288.60 $52,144.30 50% off $652.15 $95,945.51 $62,573.16 2025-12-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 16 — — $38,655.17 $108,554.70 $61,533.29 2025-12-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 38 16 — — $38,619.43 $108,452.19 $61,192.60 2025-12-05
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 16 — — $39,377.89 $110,626.91 $60,716.46 2025-12-05
33266 CPT Hc Maze Procedure Without Cardio By 151 33 $99,183.65 $49,591.83 50% off $1,676.23 $91,248.96 $60,650.81 2025-12-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 38 16 — — $32,983.74 $92,292.60 $60,611.70 2025-12-05
0811 RC Hc Kidney Acquistion Live Donor 145 34 $98,460.75 $49,230.38 50% off $311.55 $90,583.89 $60,208.75 2025-12-05
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 153 33 $100,182.50 $50,091.25 50% off $77.95 $92,167.90 $60,109.50 2025-12-05
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 38 16 — — $25,137.22 $82,506.41 $59,992.18 2025-12-05
A9543 HCPCS Y90 Ibritumomab, Rx 9 5 — — $57,961.04 $71,030.69 $59,665.78 2025-12-05
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 153 33 $99,415.25 $49,707.63 50% off $3,476.20 $91,462.03 $59,649.15 2025-12-05
28 MS_DRG Spinal Procedures With Mcc 38 16 — — $42,513.84 $122,191.87 $59,403.29 2025-12-05
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 38 16 — — $39,142.34 $109,951.58 $59,257.86 2025-12-05
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 16 — — $37,924.08 $106,458.37 $58,892.42 2025-12-05
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 38 16 — — $31,126.20 $86,966.36 $58,328.90 2025-12-05
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 38 16 — — $38,849.36 $109,111.44 $58,225.07 2025-12-05
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 6 — — $54,444.53 $69,090.41 $58,035.94 2025-12-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 38 16 — — $32,145.40 $89,888.76 $57,672.48 2025-12-05
33277 CPT Hc Ins Phrenic Nrv Stimulator Transvns Sensing Ld 152 33 $94,209.80 $47,104.90 50% off $259.77 $86,673.02 $57,609.29 2025-12-05
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 38 16 — — $36,398.10 $102,082.82 $56,867.90 2025-12-05
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 38 16 — — $33,404.32 $93,498.54 $56,616.32 2025-12-05
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 38 16 — — $30,697.20 $85,736.30 $56,516.26 2025-12-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 38 16 — — $36,103.00 $101,236.65 $56,124.46 2025-12-05
93653 CPT Hc Ep Ephys Eval W/ablation Supravent Arrhythmia 156 34 $91,417.45 $45,708.73 50% off $261.30 $84,104.05 $55,833.21 2025-12-05
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 152 33 $91,682.00 $45,841.00 50% off $2,752.01 $84,347.44 $55,467.61 2025-12-05
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 38 16 — — $39,661.90 $121,315.55 $55,418.37 2025-12-05
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 38 16 — — $39,661.90 $121,315.55 $55,418.37 2025-12-05
163 MS_DRG Major Chest Procedures With Mcc 38 16 — — $33,104.99 $92,640.31 $55,152.03 2025-12-05
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 38 16 — — $33,774.42 $94,559.77 $54,029.46 2025-12-05
J3316 HCPCS Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspension 152 33 $89,190.70 $44,595.35 50% off $3,893.62 $82,055.44 $53,960.38 2025-12-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 38 16 — — $27,589.88 $76,826.42 $53,861.79 2025-12-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 38 16 — — $35,894.81 $100,639.71 $53,807.37 2025-12-05
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 38 16 — — $35,867.46 $100,561.33 $53,765.46 2025-12-05
0571T CPT Hc Insert/replace Icds W/substernal Electrode 155 34 $87,916.70 $43,958.35 50% off $261.30 $80,883.36 $53,629.19 2025-12-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 16 — — $30,163.79 $84,206.77 $53,577.17 2025-12-05
J9600 HCPCS Porfimer 75 Mg Intravenous Solution 159 34 $91,941.00 $45,970.50 50% off $9,194.10 $84,585.72 $53,417.72 2025-12-05
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 7 — — $28,341.30 $78,981.03 $53,167.49 2025-12-05
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 153 33 $88,490.00 $44,245.00 50% off $324.90 $81,410.80 $53,094.00 2025-12-05
93591 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 155 34 $86,855.80 $43,427.90 50% off $778.87 $79,907.34 $52,982.04 2025-12-05
93590 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 155 34 $86,855.80 $43,427.90 50% off $778.87 $79,907.34 $52,982.04 2025-12-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 16 — — $31,063.80 $86,787.48 $52,740.62 2025-12-05
245 MS_DRG Aicd Generator Procedures 38 16 — — $35,050.86 $98,219.79 $52,513.55 2025-12-05
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 16 — — $32,988.63 $92,306.67 $52,160.59 2025-12-05
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 16 — — $36,507.44 $102,396.37 $52,131.93 2025-12-05
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 38 16 — — $29,420.07 $82,074.27 $51,757.16 2025-12-05
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 38 16 — — $32,420.87 $90,678.65 $51,697.24 2025-12-05
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 16 — — $27,444.76 $76,410.37 $51,437.00 2025-12-05
L7181 HCPCS Electronic Elbo Simultaneous 10 5 — — $49,605.45 $60,790.99 $51,064.43 2025-12-05
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 38 16 — — $34,270.68 $95,982.77 $50,729.58 2025-12-05
653 MS_DRG Major Bladder Procedures With Mcc 38 16 — — $35,545.84 $112,043.89 $50,352.18 2025-12-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 38 16 — — $33,597.77 $94,053.27 $50,285.91 2025-12-05
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 38 16 — — $28,720.51 $80,068.39 $49,826.38 2025-12-05
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 153 33 $82,588.85 $41,294.43 50% off $60.60 $75,981.74 $49,553.31 2025-12-05
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 153 33 $81,970.00 $40,985.00 50% off $212.05 $75,412.40 $49,182.00 2025-12-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 38 16 — — $29,620.53 $82,649.10 $48,921.04 2025-12-05
264 MS_DRG Other Circulatory System O.r. Procedures 38 16 — — $25,295.63 $70,248.01 $48,670.45 2025-12-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 38 16 — — $26,372.30 $73,335.22 $48,664.78 2025-12-05
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 153 33 $80,911.45 $40,455.73 50% off $132.97 $74,438.53 $48,546.87 2025-12-05
471 MS_DRG Cervical Spinal Fusion With Mcc 38 16 — — $34,723.20 $97,626.87 $48,517.67 2025-12-05
0914T CPT Hc Perq Transcath Thera Rx Balloon Angio, Separate Lesion, 1 Artery/branch 145 34 $79,223.25 $39,611.63 50% off $778.87 $72,885.39 $48,445.01 2025-12-05
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 38 16 — — $25,924.39 $72,050.90 $48,324.62 2025-12-05
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 38 16 — — $30,653.06 $85,609.68 $47,509.19 2025-12-05
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 16 — — $25,348.91 $70,400.77 $47,391.53 2025-12-05
799 MS_DRG Splenic Procedures With Mcc 38 16 — — $33,900.56 $95,566.73 $47,368.22 2025-12-05
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 38 16 — — $31,588.14 $88,290.89 $46,791.49 2025-12-05
332 MS_DRG Rectal Resection With Mcc 38 16 — — $25,110.57 $69,717.40 $46,759.42 2025-12-05
93654 CPT Hc Ep Ephys Eval W/ablation Ventricular Tachycardia 155 34 $76,123.95 $38,061.98 50% off $261.30 $70,034.03 $46,435.61 2025-12-05
252 MS_DRG Other Vascular Procedures With Mcc 38 16 — — $24,842.12 $68,947.61 $46,367.68 2025-12-05
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 155 34 $75,885.15 $37,942.58 50% off $400.74 $69,814.34 $46,289.94 2025-12-05
665 MS_DRG Prostatectomy With Mcc 38 16 — — $24,864.55 $69,011.93 $46,286.09 2025-12-05
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 38 16 — — $29,561.66 $82,480.27 $45,891.33 2025-12-05
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 153 33 $76,100.00 $38,050.00 50% off $319.83 $70,012.00 $45,660.00 2025-12-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 38 16 — — $29,604.43 $82,602.87 $45,459.29 2025-12-05
140 MS_DRG Major Head And Neck Procedures With Mcc 38 16 — — $30,441.36 $85,002.69 $45,446.98 2025-12-05
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 38 16 — — $31,951.70 $123,773.66 $45,325.19 2025-12-05
0266T CPT Apc 9 5 — — $43,655.98 $53,499.97 $44,939.97 2025-12-05
901 MS_DRG Wound Debridements For Injuries With Mcc 38 16 — — $31,852.40 $89,048.62 $44,831.13 2025-12-05
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 38 16 — — $28,219.33 $78,631.31 $44,717.90 2025-12-05
0812 RC Hc Cadaver Donor - Kidney 424 34 $85,226.70 $42,613.35 50% off $311.55 $105,732.70 $44,520.08 2025-12-05
271 MS_DRG Other Major Cardiovascular Procedures With Cc 38 16 — — $24,940.25 $69,229.00 $44,454.37 2025-12-05
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 42 16 — — $23,708.67 $65,697.60 $44,225.51 2025-12-05
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 38 16 — — $27,861.15 $77,604.25 $43,825.09 2025-12-05
34 MS_DRG Carotid Artery Stent Procedures With Mcc 38 16 — — $28,054.60 $78,158.98 $43,511.14 2025-12-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 38 16 — — $29,961.20 $83,625.91 $43,371.24 2025-12-05
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 38 16 — — $28,206.02 $78,593.12 $43,308.79 2025-12-05
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 159 34 $74,455.55 $37,227.78 50% off $7,445.56 $68,499.11 $43,258.67 2025-12-05
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 38 16 — — $29,307.22 $81,750.67 $42,882.82 2025-12-05
974 MS_DRG HIV With Major Related Condition With Mcc 38 16 — — $21,728.46 $60,019.63 $42,795.96 2025-12-05
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 38 16 — — $25,543.07 $70,957.51 $42,736.65 2025-12-05
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 38 16 — — $28,397.36 $79,141.82 $42,318.71 2025-12-05
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 38 16 — — $27,785.44 $77,387.18 $42,209.60 2025-12-05
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 153 33 $70,069.55 $35,034.78 50% off $336.41 $64,463.99 $42,041.73 2025-12-05
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sing Ld 156 34 $68,873.40 $34,436.70 50% off $778.87 $63,363.53 $41,668.40 2025-12-05
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 156 34 $68,873.40 $34,436.70 50% off $778.87 $63,363.53 $41,668.40 2025-12-05
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 38 16 — — $24,805.67 $68,843.09 $41,461.07 2025-12-05
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 38 16 — — $22,570.32 $62,433.52 $41,442.83 2025-12-05
L7180 HCPCS Electronic Elbow Sequential 10 5 — — $39,992.59 $49,010.53 $41,168.84 2025-12-05
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 38 16 — — $23,044.86 $63,794.23 $41,162.67 2025-12-05
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 38 16 — — $23,192.77 $64,218.31 $41,132.24 2025-12-05
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 38 16 — — $22,428.02 $62,025.51 $41,035.77 2025-12-05
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 10 5 — — $39,378.45 $48,257.90 $40,536.64 2025-12-05
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 38 16 — — $25,918.78 $72,034.82 $39,821.65 2025-12-05
33745 CPT Hc Transcatheter Intracardiac Shunt Creation 152 33 $63,758.65 $31,879.33 50% off $778.87 $58,657.96 $38,988.42 2025-12-05
265 MS_DRG Aicd Lead Procedures 38 16 — — $25,801.02 $71,697.15 $38,935.39 2025-12-05
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 153 33 $64,353.85 $32,176.93 50% off $32.93 $59,205.54 $38,612.31 2025-12-05
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 38 16 — — $25,922.99 $72,046.88 $38,520.11 2025-12-05
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 38 16 — — $27,308.92 $79,304.62 $38,163.74 2025-12-05
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 38 16 — — $25,688.86 $71,375.57 $37,925.08 2025-12-05
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 38 16 — — $20,870.49 $57,559.52 $37,909.19 2025-12-05
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 38 16 — — $23,257.96 $64,405.24 $37,852.90 2025-12-05
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 38 16 — — $25,339.08 $70,372.63 $37,624.97 2025-12-05
56 MS_DRG Degenerative Nervous System Disorders With Mcc 38 16 — — $18,349.16 $51,405.82 $37,565.16 2025-12-05
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 38 16 — — $21,209.76 $58,532.31 $37,548.41 2025-12-05
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 38 16 — — $26,531.29 $75,815.44 $37,071.36 2025-12-05
33903 CPT Hc Perq Pulm Art Revasc Init Abnormal Conn Bil 155 34 $60,757.25 $30,378.63 50% off $314.06 $55,896.67 $37,061.92 2025-12-05
33901 CPT Hc Perq Pulm Art Revasc Init Normal Nat Conn Bil 155 34 $60,757.25 $30,378.63 50% off $314.06 $55,896.67 $37,061.92 2025-12-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 38 16 — — $26,155.88 $80,012.11 $37,050.91 2025-12-05
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 38 16 — — $25,474.38 $70,760.54 $36,981.71 2025-12-05
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 38 16 — — $22,673.36 $62,728.98 $36,966.68 2025-12-05
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 38 16 — — $20,461.84 $56,387.74 $36,767.75 2025-12-05
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 38 16 — — $22,235.95 $61,474.80 $36,664.51 2025-12-05
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 38 16 — — $20,751.32 $57,217.83 $36,466.61 2025-12-05
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 38 16 — — $24,572.94 $68,175.81 $36,450.43 2025-12-05
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 153 33 $60,741.85 $30,370.93 50% off $2,388.87 $55,882.50 $36,445.11 2025-12-05
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 153 33 $60,528.35 $30,264.18 50% off $192.99 $55,686.08 $36,317.01 2025-12-05
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 38 16 — — $14,739.92 $50,283.81 $36,224.91 2025-12-05
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 38 16 — — $19,977.47 $54,998.90 $36,210.38 2025-12-05
263 MS_DRG Vein Ligation And Stripping 38 16 — — $19,596.85 $53,907.53 $36,155.51 2025-12-05
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 38 16 — — $22,472.87 $62,154.15 $36,140.18 2025-12-05
791 MS_DRG Prematurity With Major Problems 38 16 — — $25,461.57 $81,599.93 $36,067.39 2025-12-05
849 MS_DRG Radiotherapy 38 16 — — $19,519.74 $53,686.44 $36,007.28 2025-12-05
L8701 HCPCS Ewh S/d Uprt Micro Sensor 10 5 — — $34,970.13 $42,855.55 $35,998.66 2025-12-05
31 MS_DRG Ventricular Shunt Procedures With Mcc 38 16 — — $25,369.64 $84,226.87 $35,937.16 2025-12-05
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 248 33 $168,754.60 $84,377.30 50% off $182.93 $155,254.23 $35,915.75 2025-12-05
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 38 16 — — $19,394.97 $53,328.68 $35,768.09 2025-12-05
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 38 16 — — $19,184.68 $52,725.71 $35,493.25 2025-12-05
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 38 16 — — $24,672.48 $68,461.21 $35,235.46 2025-12-05
472 MS_DRG Cervical Spinal Fusion With Cc 38 16 — — $21,104.60 $58,230.82 $35,230.08 2025-12-05
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 38 16 — — $24,809.40 $77,682.64 $35,143.56 2025-12-05
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 38 16 — — $23,633.67 $65,482.54 $35,107.29 2025-12-05
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Solution 343 33 $58,303.00 $29,151.50 50% off $152.39 $104,059.08 $34,981.80 2025-12-05
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 153 33 $58,261.65 $29,130.83 50% off $77.49 $53,600.72 $34,956.99 2025-12-05
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 38 16 — — $20,858.57 $57,525.35 $34,662.76 2025-12-05
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 38 16 — — $23,362.39 $64,704.71 $34,594.60 2025-12-05
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 38 16 — — $23,941.39 $66,364.89 $34,551.68 2025-12-05
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 247 33 $95,050.05 $47,525.03 50% off $33.57 $87,446.05 $34,503.17 2025-12-05
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 153 33 $57,484.95 $28,742.48 50% off $221.08 $52,886.15 $34,490.97 2025-12-05
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 38 16 — — $24,455.06 $70,422.88 $34,355.85 2025-12-05
J1304 HCPCS Tofersen 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution 153 33 $57,204.60 $28,602.30 50% off $161.32 $52,628.23 $34,322.76 2025-12-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 38 16 — — $24,213.73 $72,826.72 $34,299.77 2025-12-05
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 38 16 — — $20,482.16 $56,446.03 $34,137.24 2025-12-05
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 38 16 — — $23,150.00 $64,095.71 $33,996.35 2025-12-05
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 38 16 — — $22,412.59 $61,981.30 $33,981.42 2025-12-05
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 38 16 — — $21,411.63 $59,111.16 $33,904.03 2025-12-05
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 16 — — $21,464.91 $59,263.91 $33,899.46 2025-12-05
92943 CPT Hc Cath Prq Trluml Coronry Chronic Occlus Revasc One Vsl 155 34 $55,177.25 $27,588.63 50% off $261.30 $50,763.07 $33,658.12 2025-12-05
92937 CPT Hc Cath Prq Trluml Coronary Byp Grft Revasc One Vessel 155 34 $55,177.25 $27,588.63 50% off $261.30 $50,763.07 $33,658.12 2025-12-05
92933 CPT Hc Cath Prq Trluml Coronry Stent/ath/angio One Art/brnch 155 34 $55,177.25 $27,588.63 50% off $261.30 $50,763.07 $33,658.12 2025-12-05
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 38 16 — — $18,335.84 $50,291.72 $33,585.38 2025-12-05
500 MS_DRG Soft Tissue Procedures With Mcc 38 16 — — $23,007.70 $63,687.70 $33,502.58 2025-12-05
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 38 16 — — $23,428.44 $90,137.99 $33,232.82 2025-12-05
545 MS_DRG Connective Tissue Disorders With Mcc 38 16 — — $18,508.96 $50,788.16 $33,214.12 2025-12-05
J1440 HCPCS Fecal Microbiota, Live-jslm 150 Ml Rectal Suspension Enema 152 33 $54,810.00 $27,405.00 50% off $65.12 $50,425.20 $33,160.05 2025-12-05
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 38 16 — — $23,315.43 $69,641.03 $33,027.30 2025-12-05
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 38 16 — — $22,306.05 $61,675.79 $32,975.18 2025-12-05
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 38 16 — — $20,830.54 $57,444.95 $32,973.33 2025-12-05
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 38 16 — — $14,903.24 $45,331.86 $32,961.76 2025-12-05
34706 CPT Hc Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft Rpt 151 33 $53,755.20 $26,877.60 50% off $2,052.46 $49,454.78 $32,871.31 2025-12-05
34702 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft Rpt 151 33 $53,755.20 $26,877.60 50% off $1,617.32 $49,454.78 $32,871.31 2025-12-05
34703 CPT Hc Evasc Rpr Dplmnt Aorto-un-iliac Ndgft 151 33 $53,755.20 $26,877.60 50% off $1,236.65 $49,454.78 $32,871.31 2025-12-05
835 MS_DRG Acute Leukemia With Cc 38 16 — — $15,768.22 $44,680.73 $32,557.09 2025-12-05
253 MS_DRG Other Vascular Procedures With Cc 38 16 — — $18,691.92 $51,312.75 $32,498.78 2025-12-05
570 MS_DRG Skin Debridement With Mcc 38 16 — — $21,896.69 $60,502.01 $32,453.68 2025-12-05
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 38 16 — — $22,873.95 $70,939.42 $32,401.91 2025-12-05
949 MS_DRG Aftercare With Cc/mcc 38 16 — — $8,359.81 $62,892.84 $32,396.25 2025-12-05
34701 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft 151 33 $52,774.60 $26,387.30 50% off $1,116.14 $48,552.63 $32,271.67 2025-12-05
33231 CPT Insrt Pulse Gen W/mult Leads 10 6 — — $1,432.11 $38,117.21 $32,018.46 2025-12-05
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 153 33 $53,271.20 $26,635.60 50% off $130.00 $49,009.50 $31,962.72 2025-12-05
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 38 16 — — $21,227.28 $58,582.56 $31,884.29 2025-12-05
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 38 16 — — $19,461.57 $53,519.62 $31,835.71 2025-12-05
69930 CPT Implant Cochlear Device 10 6 — — $30,857.47 $37,815.52 $31,811.93 2025-12-05
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 38 16 — — $22,435.34 $67,466.31 $31,780.60 2025-12-05
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 38 16 — — $22,351.06 $65,510.68 $31,661.22 2025-12-05
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 38 16 — — $22,240.93 $75,210.46 $31,505.21 2025-12-05
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 38 16 — — $18,658.26 $51,216.27 $31,385.43 2025-12-05
247 MS_DRG Cardiac 2 1 — — $31,218.10 $31,218.10 $31,218.10 2025-12-05
249 MS_DRG Cardiac 2 1 — — $31,218.10 $31,218.10 $31,218.10 2025-12-05
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 38 16 — — $17,022.24 $46,525.17 $31,203.72 2025-12-05
36906 CPT Hc Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 158 34 $51,463.50 $25,731.75 50% off $5,146.35 $47,346.42 $30,878.10 2025-12-05
35 MS_DRG Carotid Artery Stent Procedures With Cc 38 16 — — $16,741.86 $45,721.21 $30,778.04 2025-12-05
L5856 HCPCS Elec Knee-shin Swing/stance 10 5 — — $29,719.96 $36,421.53 $30,594.08 2025-12-05
64568 CPT Opn Impltj Crnl Nrv Nea&pg 10 6 — — $29,563.10 $38,502.00 $30,477.53 2025-12-05
J9210 HCPCS Emapalumab-lzsg 5 Mg/ml Intravenous Solution 248 33 $135,105.40 $67,552.70 50% off $392.54 $124,296.97 $30,466.26 2025-12-05
L6880 HCPCS Elec Hand Ind Art Digits 10 5 — — $29,579.67 $36,249.60 $30,449.66 2025-12-05
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 9 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-05
0268T CPT Apc 9 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-05
61886 CPT Implant Neurostim Arrays 10 6 — — $1,695.94 $36,229.29 $30,432.60 2025-12-05
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 9 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-05
L6700 HCPCS Ue Add Ext Power Myoel 10 5 — — $29,510.19 $36,164.45 $30,378.14 2025-12-05
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 38 16 — — $21,431.70 $69,120.46 $30,358.90 2025-12-05
709 MS_DRG Penis Procedures With Cc/mcc 38 16 — — $16,547.69 $45,164.46 $30,292.28 2025-12-05
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