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

CAROLINAS MEDICAL CENTER/BEHAV HEALTH

Charlotte, NC · CCN 340113 · Rates published

14,635 distinct procedures filed
35 distinct payers
3,066,149 rate rows
2025-12-05 last MRF observed
Data quality

2,826,201 of 3,066,149 rate rows are consumer-grade (92.2%)

239,948 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 233,184
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,011
percent-of-charges filed in the dollar field — excluded from medians 1,489
per-diem day rate — not a per-procedure price 164
exceeds 10× this hospital's gross charge — excluded from medians 60
placeholder amount (≤ $0.02) — excluded from medians 40
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://chsprodrsrcegrporg385.blob.core.windows.net/cms-price-transparency/561398929_atrium-health-carolinasmedicalcenter_standardcharges.json
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 · 2026-06-13

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $4,595,100.00 $4,744,215.50 $4,696,462.50 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 13 $3,758,972.00 $4,637,500.00 $3,880,954.33 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 14 $3,382,791.84 $4,894,400.00 $3,537,600.00 nat. median
$3,325,455
1.1× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 16 $27,261.82 $4,725,360.27 $3,445,333.32 nat. median
$2,469,189
1.4× 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
$3,006,423
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,378,640.00 $2,915,000.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 35 $568,464.29 $2,915,738.15 $1,885,721.96 nat. median
$625,184
outlier · 3.0×
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 35 $577,186.32 $2,881,746.36 $1,863,738.14 nat. median
$675,122
outlier · 2.8×
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 35 $573,788.95 $2,933,054.21 $1,853,881.54 nat. median
$674,188
outlier · 2.7×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 35 $543,894.77 $2,779,761.60 $1,775,119.50 nat. median
$634,511
outlier · 2.8×
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 35 $603,560.73 $3,276,304.05 $1,764,537.24 nat. median
$754,974
outlier · 2.3×
Q2053
HCPCS 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 35 $499,090.70 $2,340,480.00 $1,513,680.00 nat. median
$620,080
outlier · 2.4×
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $786,032.40 $963,275.00 $809,151.00 nat. median
$824,563
1.0× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 35 $1,241.34 $507,497.99 $331,390.67 nat. median
$2,677
outlier · 123.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $197,959.00 $1,424,094.65 $323,575.00 nat. median
$265,286
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $267,069.18 $1,897,457.10 $303,863.52 nat. median
$370,174
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $283,815.00 $347,812.50 $292,162.50 nat. median
$324,450
0.9× median
0294
RC 		Cardiac Device 1 $290,579.00 $290,579.00 $290,579.00 nat. median
$128
outlier · 2262.5×
0290
RC 		Cardiac Device 1 $290,579.00 $290,579.00 $290,579.00 nat. median
$50
outlier · 5845.5×
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 35 $5,103.71 $439,211.68 $287,158.51 nat. median
$8,223
outlier · 34.9×
J3403
HCPCS 		Revakinagene, Per Implant 5 $262,650.00 $321,875.00 $270,375.00 nat. median
$265,000
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $109,206.58 $676,867.12 $253,915.67 nat. median
$117,303
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 $175,089.86 $1,089,986.11 $227,668.82 nat. median
$202,986
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $89,809.69 $555,239.69 $219,188.00 nat. median
$100,136
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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 16 $117,338.95 $727,861.05 $200,774.86 nat. median
$133,176
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $92,738.51 $573,604.77 $197,959.00 nat. median
$108,660
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $120,693.54 $1,203,618.83 $193,211.74 nat. median
$206,368
0.9× median
7
MS_DRG 		Lung Transplant 16 $108,945.56 $675,230.52 $178,701.47 nat. median
$122,708
1.5× median
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 33 $234.43 $268,846.08 $175,553.57 nat. median
$415
outlier · 422.6×
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 35 $52,354.91 $220,846.00 $143,378.78 nat. median
$69,774
outlier · 2.1×
77371
CPT 		Hc Radiation Delivery Stereotactic Cranial Cobalt 34 $2,082.15 $204,204.12 $133,509.54 nat. median
$9,046
outlier · 14.8×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 18 $39,662.32 $326,431.78 $131,966.00 nat. median
$56,920
outlier · 2.3×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 18 $39,662.32 $326,431.78 $131,966.00 nat. median
$53,805
outlier · 2.5×
652
MS_DRG 		Kidney Transplant 18 $29,872.66 $370,862.00 $119,165.00 nat. median
$31,494
outlier · 3.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $81,913.78 $505,728.67 $118,080.51 nat. median
$93,672
1.3× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $111,502.61 $136,645.35 $114,782.09 nat. median
$111,989
1.0× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 35 $42,544.66 $179,463.94 $114,115.66 nat. median
$60,368
1.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $78,440.00 $483,946.44 $113,242.36 nat. median
$83,442
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $71,548.59 $440,734.12 $102,530.76 nat. median
$82,712
1.2× median
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 35 $119.23 $156,849.88 $102,421.27 nat. median
$167
outlier · 612.9×
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 33 $67.04 $154,026.12 $100,451.82 nat. median
$94
outlier · 1071.1×
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 35 $35,925.65 $151,543.32 $99,079.68 nat. median
$21,340
outlier · 4.6×
10
MS_DRG 		Pancreas Transplant 17 $68,641.10 $422,502.78 $98,503.70 nat. median
$68,882
1.4× median
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
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $68,279.66 $420,236.23 $97,449.79 nat. median
$71,240
1.4× median
834
MS_DRG 		Acute Leukemia With Mcc 16 $49,297.23 $301,207.60 $95,698.13 nat. median
$53,173
1.8× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 17 $48,615.44 $296,932.47 $95,375.05 nat. median
$53,171
1.8× median
J0801
HCPCS 		Corticotropin 80 Unit/ml Injection Gel 35 $4,545.23 $145,878.88 $95,340.57 nat. median
$5,814
outlier · 16.4×

Other procedures at this hospital

Browse this hospital's 14,635 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
             
J1413 HCPCS Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 22 14 — — $3,382,791.84 $4,894,400.00 $3,537,600.00 2025-12-05
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 4 — — $4,595,100.00 $4,744,215.50 $4,696,462.50 2025-12-05
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 42 16 — — $27,261.82 $4,725,360.27 $3,445,333.32 2025-12-05
J1411 HCPCS Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 19 13 — — $3,758,972.00 $4,637,500.00 $3,880,954.33 2025-12-05
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 5 — — $3,313,414.63 $4,060,557.14 $3,410,868.00 2025-12-05
J3393 HCPCS Inj, Betibeglogene Autotemce 9 5 — — $3,004,654.80 $3,682,175.00 $3,093,027.00 2025-12-05
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 224 35 $3,247,380.77 $1,623,690.39 50% off $603,560.73 $3,276,304.05 $1,764,537.24 2025-12-05
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 138 35 $3,188,102.40 $1,594,051.20 50% off $573,788.95 $2,933,054.21 $1,853,881.54 2025-12-05
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 138 35 $3,169,280.60 $1,584,640.30 50% off $568,464.29 $2,915,738.15 $1,885,721.96 2025-12-05
J3392 HCPCS Inj, Exagamglogene Autotem 9 5 — — $2,378,640.00 $2,915,000.00 $2,448,600.00 2025-12-05
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 138 35 $3,132,333.00 $1,566,166.50 50% off $577,186.32 $2,881,746.36 $1,863,738.14 2025-12-05
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 138 35 $3,021,480.00 $1,510,740.00 50% off $543,894.77 $2,779,761.60 $1,775,119.50 2025-12-05
Q2053 HCPCS Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 138 35 $2,544,000.00 $1,272,000.00 50% off $499,090.70 $2,340,480.00 $1,513,680.00 2025-12-05
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 16 — — $267,069.18 $1,897,457.10 $303,863.52 2025-12-05
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 37 18 — — $197,959.00 $1,424,094.65 $323,575.00 2025-12-05
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 16 — — $120,693.54 $1,203,618.83 $193,211.74 2025-12-05
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 21 16 — — $175,089.86 $1,089,986.11 $227,668.82 2025-12-05
Q2057 HCPCS Afamitresgene Autoleucel 9 5 — — $786,032.40 $963,275.00 $809,151.00 2025-12-05
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 21 16 — — $117,338.95 $727,861.05 $200,774.86 2025-12-05
14 MS_DRG Allogeneic Bone Marrow Transplant 54 18 — — $109,206.58 $676,867.12 $253,915.67 2025-12-05
7 MS_DRG Lung Transplant 21 16 — — $108,945.56 $675,230.52 $178,701.47 2025-12-05
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 37 18 — — $92,738.51 $573,604.77 $197,959.00 2025-12-05
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 16 — — $88,622.75 $567,365.70 $94,958.89 2025-12-05
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 18 — — $89,809.69 $555,239.69 $219,188.00 2025-12-05
215 MS_DRG Other Heart Assist System Implant 21 16 — — $77,136.34 $552,531.85 $89,377.85 2025-12-05
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 16 — — $76,014.89 $546,610.02 $88,433.47 2025-12-05
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 134 35 $551,628.25 $275,814.13 50% off $1,241.34 $507,497.99 $331,390.67 2025-12-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 16 — — $81,913.78 $505,728.67 $118,080.51 2025-12-05
850 MS_DRG Acute Leukemia With Other Procedures 21 16 — — $78,440.00 $483,946.44 $113,242.36 2025-12-05
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 16 — — $72,602.90 $447,345.06 $79,611.80 2025-12-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 16 — — $72,565.74 $447,112.01 $78,200.84 2025-12-05
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 16 — — $71,548.59 $440,734.12 $102,530.76 2025-12-05
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 135 35 $477,404.00 $238,702.00 50% off $5,103.71 $439,211.68 $287,158.51 2025-12-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 16 — — $69,337.94 $426,872.15 $83,086.34 2025-12-05
10 MS_DRG Pancreas Transplant 22 17 — — $68,641.10 $422,502.78 $98,503.70 2025-12-05
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 16 — — $68,279.66 $420,236.23 $97,449.79 2025-12-05
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 16 — — $67,402.52 $414,736.22 $72,998.26 2025-12-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 16 — — $66,652.61 $410,823.09 $71,417.99 2025-12-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 16 — — $64,616.85 $397,268.74 $77,969.96 2025-12-05
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 16 — — $59,284.22 $379,340.06 $63,761.72 2025-12-05
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 16 — — $61,475.26 $377,569.49 $77,569.90 2025-12-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 16 — — $60,601.26 $372,089.14 $74,814.53 2025-12-05
652 MS_DRG Kidney Transplant 31 18 — — $29,872.66 $370,862.00 $119,165.00 2025-12-05
6 MS_DRG Liver Transplant Without Mcc 30 18 — — $43,933.90 $370,862.00 $84,003.04 2025-12-05
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 31 18 — — $42,020.63 $370,862.00 $63,155.57 2025-12-05
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 31 18 — — $33,045.10 $370,862.00 $61,192.09 2025-12-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 16 — — $59,587.27 $365,731.03 $81,177.68 2025-12-05
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 16 — — $55,756.13 $359,601.13 $60,334.03 2025-12-05
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 16 — — $46,953.14 $358,321.57 $58,405.63 2025-12-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 16 — — $54,343.55 $357,761.12 $59,173.85 2025-12-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 16 — — $56,731.24 $347,822.25 $69,569.98 2025-12-05
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 5 — — $283,815.00 $347,812.50 $292,162.50 2025-12-05
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 16 — — $55,358.69 $347,360.93 $59,316.60 2025-12-05
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 16 — — $49,854.91 $340,735.06 $55,600.98 2025-12-05
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 16 — — $54,573.55 $334,292.63 $59,113.42 2025-12-05
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 16 — — $54,510.27 $333,895.85 $76,049.97 2025-12-05
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 16 — — $31,952.04 $332,497.26 $54,287.23 2025-12-05
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 16 — — $54,117.17 $331,430.98 $75,444.44 2025-12-05
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 16 — — $52,422.45 $330,042.25 $56,170.42 2025-12-05
28 MS_DRG Spinal Procedures With Mcc 21 16 — — $42,514.29 $328,594.17 $53,664.77 2025-12-05
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 40 18 — — $39,662.32 $326,431.78 $131,966.00 2025-12-05
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 40 18 — — $39,662.32 $326,431.78 $131,966.00 2025-12-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 16 — — $52,963.21 $324,195.05 $67,801.14 2025-12-05
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 16 — — $52,634.96 $322,136.75 $59,316.60 2025-12-05
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 16 — — $52,599.38 $321,913.68 $82,016.67 2025-12-05
J3403 HCPCS Revakinagene, Per Implant 9 5 — — $262,650.00 $321,875.00 $270,375.00 2025-12-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 16 — — $48,889.56 $318,908.19 $53,230.60 2025-12-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 16 — — $51,630.48 $315,838.22 $66,847.13 2025-12-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 16 — — $50,974.80 $311,726.71 $63,686.38 2025-12-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 16 — — $50,703.52 $310,025.69 $75,191.46 2025-12-05
653 MS_DRG Major Bladder Procedures With Mcc 21 16 — — $35,546.21 $303,553.50 $49,671.35 2025-12-05
834 MS_DRG Acute Leukemia With Mcc 21 16 — — $49,297.23 $301,207.60 $95,698.13 2025-12-05
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 16 — — $49,297.23 $301,207.60 $59,509.64 2025-12-05
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 16 — — $46,648.59 $300,057.06 $50,558.25 2025-12-05
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 16 — — $44,734.19 $298,390.58 $48,881.71 2025-12-05
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 17 — — $48,615.44 $296,932.47 $95,375.05 2025-12-05
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 16 — — $41,796.99 $296,317.52 $48,517.36 2025-12-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 16 — — $48,298.25 $294,943.67 $52,183.83 2025-12-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 16 — — $48,232.60 $294,690.78 $51,681.02 2025-12-05
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 16 — — $48,253.19 $294,661.02 $66,324.91 2025-12-05
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 16 — — $47,659.20 $290,936.37 $55,689.16 2025-12-05
0294 RC Cardiac Device 1 1 — — $290,579.00 $290,579.00 $290,579.00 2025-12-04
0290 RC Cardiac Device 1 1 — — $290,579.00 $290,579.00 $290,579.00 2025-12-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 16 — — $45,585.57 $289,770.94 $49,013.89 2025-12-05
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 16 — — $46,313.82 $282,500.24 $63,310.46 2025-12-05
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 16 — — $46,178.56 $281,652.18 $62,141.06 2025-12-05
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 16 — — $37,310.26 $279,747.76 $45,874.86 2025-12-05
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 16 — — $44,305.15 $278,974.03 $47,472.78 2025-12-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 16 — — $43,530.39 $276,886.10 $46,892.37 2025-12-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 16 — — $40,113.38 $275,413.05 $45,183.58 2025-12-05
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 16 — — $40,044.43 $275,219.56 $45,152.71 2025-12-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 16 — — $45,136.91 $275,120.54 $62,806.53 2025-12-05
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 16 — — $44,994.54 $274,227.73 $79,968.57 2025-12-05
245 MS_DRG Aicd Generator Procedures 21 16 — — $37,884.86 $269,441.80 $44,231.29 2025-12-05
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 132 33 $292,224.00 $146,112.00 50% off $234.43 $268,846.08 $175,553.57 2025-12-05
471 MS_DRG Cervical Spinal Fusion With Mcc 21 16 — — $34,723.56 $267,978.74 $43,997.94 2025-12-05
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 16 — — $36,306.61 $263,921.78 $43,350.97 2025-12-05
799 MS_DRG Splenic Procedures With Mcc 21 16 — — $33,900.91 $262,895.22 $43,187.24 2025-12-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 16 — — $43,180.12 $262,850.65 $64,133.18 2025-12-05
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 16 — — $42,791.01 $260,410.51 $46,144.94 2025-12-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 16 — — $37,160.86 $259,160.71 $42,591.68 2025-12-05
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 16 — — $42,373.40 $257,791.88 $48,642.59 2025-12-05
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 5 — — $209,752.80 $257,050.00 $215,922.00 2025-12-05
163 MS_DRG Major Chest Procedures With Mcc 21 16 — — $42,035.65 $255,674.12 $47,384.53 2025-12-05
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 16 — — $41,168.75 $254,850.86 $44,112.14 2025-12-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 16 — — $41,898.82 $254,816.20 $54,089.33 2025-12-05
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 16 — — $41,126.61 $250,833.64 $44,066.99 2025-12-05
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 16 — — $23,428.68 $249,499.52 $41,050.94 2025-12-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 16 — — $40,952.88 $248,884.57 $50,189.96 2025-12-05
901 MS_DRG Wound Debridements For Injuries With Mcc 21 16 — — $32,085.15 $246,811.51 $40,622.25 2025-12-05
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 16 — — $33,488.15 $244,941.75 $40,324.09 2025-12-05
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 16 — — $39,802.84 $241,673.39 $53,192.21 2025-12-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 16 — — $39,732.45 $241,231.97 $45,312.73 2025-12-05
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 16 — — $39,318.79 $238,638.14 $50,631.91 2025-12-05
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 16 — — $36,883.13 $238,325.79 $40,158.08 2025-12-05
140 MS_DRG Major Head And Neck Procedures With Mcc 21 16 — — $33,767.80 $236,828.00 $39,030.11 2025-12-05
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 16 — — $25,369.90 $234,913.60 $38,724.79 2025-12-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 16 — — $38,716.89 $234,864.00 $46,194.06 2025-12-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 16 — — $31,040.32 $233,430.69 $38,488.30 2025-12-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 16 — — $38,103.91 $231,020.37 $42,031.10 2025-12-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 16 — — $35,016.61 $230,906.18 $38,263.17 2025-12-05
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 16 — — $35,712.84 $230,603.81 $38,883.89 2025-12-05
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 16 — — $37,877.70 $229,601.94 $44,176.30 2025-12-05
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 16 — — $30,690.77 $228,803.36 $37,750.35 2025-12-05
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 16 — — $37,088.37 $224,652.28 $42,808.84 2025-12-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 16 — — $26,156.16 $224,513.47 $37,066.21 2025-12-05
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 7 — — $36,660.48 $221,969.24 $53,167.49 2025-12-05
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 16 — — $35,496.41 $221,106.24 $38,034.25 2025-12-05
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 138 35 $240,050.00 $120,025.00 50% off $52,354.91 $220,846.00 $143,378.78 2025-12-05
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 21 16 — — $34,570.33 $218,571.92 $37,290.77 2025-12-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 16 — — $35,812.58 $216,652.56 $52,548.02 2025-12-05
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 16 — — $35,648.85 $215,625.95 $47,576.83 2025-12-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 16 — — $34,438.73 $208,037.82 $43,899.96 2025-12-05
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 16 — — $33,933.31 $204,868.72 $44,068.61 2025-12-05
77371 CPT Hc Radiation Delivery Stereotactic Cranial Cobalt 134 34 $221,961.00 $110,980.50 50% off $2,082.15 $204,204.12 $133,509.54 2025-12-05
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 16 — — $33,283.97 $200,797.00 $45,383.30 2025-12-05
264 MS_DRG Other Circulatory System O.r. Procedures 21 16 — — $33,223.85 $200,420.05 $47,483.31 2025-12-05
332 MS_DRG Rectal Resection With Mcc 21 16 — — $33,015.04 $199,110.68 $42,641.14 2025-12-05
271 MS_DRG Other Major Cardiovascular Procedures With Cc 21 16 — — $32,822.85 $197,905.52 $38,722.46 2025-12-05
665 MS_DRG Prostatectomy With Mcc 21 16 — — $32,737.42 $197,369.93 $42,209.35 2025-12-05
252 MS_DRG Other Vascular Procedures With Mcc 21 16 — — $32,712.11 $197,211.27 $42,398.32 2025-12-05
37 MS_DRG Extracranial Procedures With Mcc 21 16 — — $31,846.04 $191,780.46 $67,261.70 2025-12-05
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 16 — — $30,148.70 $181,137.36 $37,396.60 2025-12-05
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 16 — — $29,988.12 $180,130.59 $36,902.83 2025-12-05
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 139 35 $195,069.50 $97,534.75 50% off $42,544.66 $179,463.94 $114,115.66 2025-12-05
974 MS_DRG HIV With Major Related Condition With Mcc 21 16 — — $29,198.78 $175,181.00 $41,752.11 2025-12-05
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 134 35 $170,489.00 $85,244.50 50% off $119.23 $156,849.88 $102,421.27 2025-12-05
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 220 34 $168,754.60 $84,377.30 50% off $182.93 $155,254.23 $38,827.84 2025-12-05
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 131 33 $167,419.70 $83,709.85 50% off $67.04 $154,026.12 $100,451.82 2025-12-05
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 129 35 $164,721.00 $82,360.50 50% off $35,925.65 $151,543.32 $99,079.68 2025-12-05
56 MS_DRG Degenerative Nervous System Disorders With Mcc 21 16 — — $25,385.69 $151,271.15 $37,378.27 2025-12-05
J0801 HCPCS Corticotropin 80 Unit/ml Injection Gel 124 35 $158,564.00 $79,282.00 50% off $4,545.23 $145,878.88 $95,340.57 2025-12-05
0795T CPT Hc Tcat Insert Perm Dual Chamber Leadls Pm Compl Sys 137 35 $151,770.35 $75,885.18 50% off $261.30 $139,628.72 $91,289.87 2025-12-05
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 5 — — $111,502.61 $136,645.35 $114,782.09 2025-12-05
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 133 35 $135,076.60 $67,538.30 50% off $331.76 $124,270.47 $81,045.96 2025-12-05
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 5 — — $95,081.03 $116,520.88 $97,877.54 2025-12-05
93656 CPT Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 138 34 $121,044.20 $60,522.10 50% off $261.30 $111,360.66 $71,113.47 2025-12-05
0812 RC Hc Cadaver Donor - Liver 382 34 $85,226.70 $42,613.35 50% off $311.55 $105,732.70 $48,009.06 2025-12-05
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 134 34 $111,115.60 $55,557.80 50% off $214.57 $102,226.35 $66,752.70 2025-12-05
0915T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator & Leads 137 35 $110,987.60 $55,493.80 50% off $778.87 $102,108.59 $66,759.04 2025-12-05
0408T CPT Hc Insert Or Replace Perm Cardiac Cont Mod Gen+elect 136 34 $110,987.60 $55,493.80 50% off $778.87 $102,108.59 $66,759.04 2025-12-05
33288 CPT Hc Rmvl&rplcmt Phrnc Nrv Stim Trnsvns Stim/snsg Ld 137 35 $109,284.20 $54,642.10 50% off $778.87 $100,541.46 $65,570.52 2025-12-05
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 137 35 $109,005.70 $54,502.85 50% off $778.87 $100,285.24 $65,566.93 2025-12-05
0414T CPT Hc Removal & Replace Permament Ccm Pulse Generator Only 136 34 $109,005.70 $54,502.85 50% off $778.87 $100,285.24 $65,485.17 2025-12-05
0916T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator Only 136 34 $109,005.70 $54,502.85 50% off $778.87 $100,285.24 $64,858.39 2025-12-05
0409T CPT Hc Insert Or Replace Perm Ccm Pulse Generator Only 136 34 $109,005.70 $54,502.85 50% off $778.87 $100,285.24 $64,858.39 2025-12-05
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 135 35 $104,288.60 $52,144.30 50% off $652.15 $95,945.51 $62,729.60 2025-12-05
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 134 35 $100,182.50 $50,091.25 50% off $77.95 $92,167.90 $60,184.64 2025-12-05
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 134 35 $99,415.25 $49,707.63 50% off $3,476.20 $91,462.03 $59,723.71 2025-12-05
33266 CPT Hc Maze Procedure Without Cardio By 131 34 $99,183.65 $49,591.83 50% off $1,676.23 $91,248.96 $59,658.97 2025-12-05
B0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 3 — — $88,182.44 $90,776.04 $89,479.24 2025-12-05
0811 RC Hc Kidney Acquistion Live Donor 126 35 $98,460.75 $49,230.38 50% off $311.55 $90,583.89 $59,224.14 2025-12-05
33277 CPT Hc Ins Phrenic Nrv Stimulator Transvns Sensing Ld 134 34 $94,209.80 $47,104.90 50% off $259.77 $86,673.02 $56,667.19 2025-12-05
J9600 HCPCS Porfimer 75 Mg Intravenous Solution 139 35 $91,941.00 $45,970.50 50% off $20,052.33 $84,585.72 $54,649.36 2025-12-05
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 133 34 $91,682.00 $45,841.00 50% off $2,752.01 $84,347.44 $55,146.72 2025-12-05
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 5 — — $68,801.71 $84,315.83 $70,825.29 2025-12-05
93653 CPT Hc Ep Ephys Eval W/ablation Supravent Arrhythmia 139 35 $91,417.45 $45,708.73 50% off $261.30 $84,104.05 $54,850.47 2025-12-05
J3316 HCPCS Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspension 134 35 $89,190.70 $44,595.35 50% off $3,893.62 $82,055.44 $53,648.21 2025-12-05
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 134 35 $88,490.00 $44,245.00 50% off $324.90 $81,410.80 $53,160.37 2025-12-05
0571T CPT Hc Insert/replace Icds W/substernal Electrode 137 35 $87,916.70 $43,958.35 50% off $261.30 $80,883.36 $52,881.89 2025-12-05
C0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 3 — — $78,418.92 $80,725.35 $79,572.14 2025-12-05
949 MS_DRG Aftercare With Cc/mcc 21 16 — — $11,594.93 $80,592.79 $43,106.13 2025-12-05
93591 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 137 35 $86,855.80 $43,427.90 50% off $778.87 $79,907.34 $52,243.76 2025-12-05
93590 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 137 35 $86,855.80 $43,427.90 50% off $778.87 $79,907.34 $52,243.76 2025-12-05
B1904 LOCAL Guillain-barré M <38.50 3 3 — — $76,303.95 $78,548.18 $77,426.06 2025-12-05
D0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 3 — — $76,124.57 $78,363.53 $77,244.05 2025-12-05
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 134 35 $82,588.85 $41,294.43 50% off $60.60 $75,981.74 $49,615.25 2025-12-05
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 133 34 $81,970.00 $40,985.00 50% off $212.05 $75,412.40 $49,182.00 2025-12-05
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 135 35 $80,911.45 $40,455.73 50% off $132.97 $74,438.53 $48,668.24 2025-12-05
B1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 3 3 — — $71,775.73 $73,886.78 $72,831.25 2025-12-05
0914T CPT Hc Perq Transcath Thera Rx Balloon Angio, Separate Lesion, 1 Artery/branch 125 35 $79,223.25 $39,611.63 50% off $778.87 $72,885.39 $47,652.79 2025-12-05
A0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 3 3 — — $69,170.59 $71,205.02 $70,187.80 2025-12-05
A9543 HCPCS Y90 Ibritumomab, Rx 9 5 — — $57,961.04 $71,030.69 $59,665.78 2025-12-05
93654 CPT Hc Ep Ephys Eval W/ablation Ventricular Tachycardia 136 34 $76,123.95 $38,061.98 50% off $261.30 $70,034.03 $45,788.56 2025-12-05
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 133 34 $76,100.00 $38,050.00 50% off $319.83 $70,012.00 $45,660.00 2025-12-05
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 137 35 $75,885.15 $37,942.58 50% off $400.74 $69,814.34 $45,644.92 2025-12-05
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 6 — — $54,444.53 $69,090.41 $57,621.40 2025-12-05
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 139 35 $74,455.55 $37,227.78 50% off $16,238.76 $68,499.11 $44,673.33 2025-12-05
B0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 3 3 — — $64,502.63 $66,399.76 $65,451.20 2025-12-05
B0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 3 3 — — $63,566.11 $65,435.71 $64,500.91 2025-12-05
B0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 3 3 — — $62,913.26 $64,763.65 $63,838.46 2025-12-05
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 134 34 $70,069.55 $35,034.78 50% off $336.41 $64,463.99 $42,094.28 2025-12-05
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 137 35 $68,873.40 $34,436.70 50% off $778.87 $63,363.53 $41,427.35 2025-12-05
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sing Ld 136 34 $68,873.40 $34,436.70 50% off $778.87 $63,363.53 $41,081.87 2025-12-05
B0106 LOCAL Stroke M <41.50 And A <84.50 3 3 — — $60,621.00 $62,403.97 $61,512.48 2025-12-05
L7181 HCPCS Electronic Elbo Simultaneous 9 5 — — $49,605.45 $60,790.99 $51,064.43 2025-12-05
C1904 LOCAL Guillain-barré M <38.50 3 3 — — $58,662.45 $60,387.82 $59,525.14 2025-12-05
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 135 35 $64,353.85 $32,176.93 50% off $32.93 $59,205.54 $38,708.85 2025-12-05
C0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 3 3 — — $57,360.92 $59,048.01 $58,204.47 2025-12-05
C1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 3 3 — — $57,258.72 $58,942.80 $58,100.76 2025-12-05
33745 CPT Hc Transcatheter Intracardiac Shunt Creation 134 35 $63,758.65 $31,879.33 50% off $778.87 $58,657.96 $38,350.83 2025-12-05
C0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 3 3 — — $56,528.71 $58,191.32 $57,360.01 2025-12-05
D0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 3 3 — — $55,681.87 $57,319.57 $56,500.72 2025-12-05
B0205 LOCAL Traumatic Brain Injury M <35.50 3 3 — — $55,033.20 $56,651.83 $55,842.51 2025-12-05
D0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 3 3 — — $54,874.68 $56,488.65 $55,681.66 2025-12-05
D1904 LOCAL Guillain-barré M <38.50 3 3 — — $54,739.11 $56,349.08 $55,544.09 2025-12-05
B1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 3 3 — — $54,689.04 $56,297.55 $55,493.29 2025-12-05
D1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 3 3 — — $54,359.49 $55,958.30 $55,158.90 2025-12-05
A1904 LOCAL Guillain-barré M <38.50 3 3 — — $53,792.17 $55,374.29 $54,583.23 2025-12-05
B0105 LOCAL Stroke M <41.50 And A >=84.50 3 3 — — $53,297.84 $54,865.42 $54,081.63 2025-12-05
C0106 LOCAL Stroke M <41.50 And A <84.50 3 3 — — $52,574.07 $54,120.37 $53,347.22 2025-12-05
B1903 LOCAL Guillain-barré M >=38.50 And M <51.50 3 3 — — $52,382.18 $53,922.83 $53,152.51 2025-12-05
0266T CPT Apc 9 5 — — $43,655.98 $53,499.97 $45,900.51 2025-12-05
B0604 LOCAL Neurological M <43.50 3 3 — — $51,944.16 $53,471.93 $52,708.05 2025-12-05
A0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 3 3 — — $50,596.75 $52,084.89 $51,340.82 2025-12-05
B0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 3 3 — — $50,550.86 $52,037.65 $51,294.26 2025-12-05
B1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 3 3 — — $50,540.44 $52,026.92 $51,283.68 2025-12-05
A1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 3 3 — — $50,400.69 $51,883.06 $51,141.88 2025-12-05
A0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 3 3 — — $49,862.56 $51,329.10 $50,595.83 2025-12-05
B0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 3 3 — — $49,735.33 $51,198.14 $50,466.73 2025-12-05
A5104 LOCAL Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 3 3 — — $49,712.38 $51,174.51 $50,443.45 2025-12-05
B1604 LOCAL Pain Syndrome M <43.50 3 3 — — $48,963.59 $50,403.70 $49,683.64 2025-12-05
C0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 3 3 — — $48,944.82 $50,384.38 $49,664.60 2025-12-05
B0704 LOCAL Fracture Of Lower Extremity M <41.50 3 3 — — $48,542.27 $49,969.98 $49,256.13 2025-12-05
B2102 LOCAL Burns M <52.50 3 3 — — $48,339.94 $49,761.71 $49,050.82 2025-12-05
D0106 LOCAL Stroke M <41.50 And A <84.50 3 3 — — $48,043.76 $49,456.82 $48,750.29 2025-12-05
B1004 LOCAL Amputation Lower Extremity M <47.50 3 3 — — $47,995.79 $49,407.44 $48,701.61 2025-12-05
L7180 HCPCS Electronic Elbow Sequential 9 5 — — $39,992.59 $49,010.53 $41,168.84 2025-12-05
B1504 LOCAL Pulmonary M <45.50 3 3 — — $47,438.89 $48,834.16 $48,136.53 2025-12-05
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 9 5 — — $39,378.45 $48,257.90 $40,536.64 2025-12-05
B1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 3 3 — — $46,602.49 $47,973.16 $47,287.83 2025-12-05
B2005 LOCAL Miscellaneous M <46.50 And A <77.50 3 3 — — $46,329.26 $47,691.88 $47,010.57 2025-12-05
D0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 3 3 — — $46,239.57 $47,599.56 $46,919.56 2025-12-05
C0105 LOCAL Stroke M <41.50 And A >=84.50 3 3 — — $46,222.88 $47,582.38 $46,902.63 2025-12-05
A0106 LOCAL Stroke M <41.50 And A <84.50 3 3 — — $45,784.87 $47,131.49 $46,458.18 2025-12-05
B1204 LOCAL Osteoarthritis M <49.50 And A <74.50 3 3 — — $45,547.09 $46,886.71 $46,216.90 2025-12-05
C0205 LOCAL Traumatic Brain Injury M <35.50 3 3 — — $45,326.00 $46,659.11 $45,992.55 2025-12-05
B0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 3 3 — — $45,275.94 $46,607.59 $45,941.77 2025-12-05
B0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 3 3 — — $45,096.57 $46,422.94 $45,759.75 2025-12-05
C0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 3 3 — — $44,954.74 $46,276.93 $45,615.83 2025-12-05
B1404 LOCAL Cardiac M <45.50 3 3 — — $44,756.58 $46,072.95 $45,414.77 2025-12-05
B0904 LOCAL Other Orthopedic M <44.5 3 3 — — $44,668.98 $45,982.78 $45,325.88 2025-12-05
B1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 3 3 — — $44,668.98 $45,982.78 $45,325.88 2025-12-05
B2004 LOCAL Miscellaneous M <46.50 And A >=77.50 3 3 — — $43,953.55 $45,246.31 $44,599.93 2025-12-05
D0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 3 3 — — $43,638.61 $44,922.10 $44,280.35 2025-12-05
B1203 LOCAL Osteoarthritis M <49.50 And A >=74.50 3 3 — — $43,434.20 $44,711.68 $44,072.94 2025-12-05
B0805 LOCAL Replacement Of Lower-extremity Joint M <42.50 3 3 — — $42,994.10 $44,258.63 $43,626.37 2025-12-05
B0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 3 3 — — $42,962.82 $44,226.43 $43,594.62 2025-12-05
B1305 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 3 3 — — $42,777.18 $44,035.33 $43,406.25 2025-12-05
B0104 LOCAL Stroke M >=41.50 And M <50.50 3 3 — — $42,622.83 $43,876.44 $43,249.64 2025-12-05
A0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 3 3 — — $42,610.32 $43,863.56 $43,236.94 2025-12-05
C1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 3 3 — — $42,510.20 $43,760.50 $43,135.35 2025-12-05
D0105 LOCAL Stroke M <41.50 And A >=84.50 3 3 — — $42,239.05 $43,481.37 $42,860.21 2025-12-05
B1103 LOCAL Amputation Non-lower Extremity M <52.50 3 3 — — $41,832.32 $43,062.68 $42,447.50 2025-12-05
B1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 3 3 — — $41,686.32 $42,912.39 $42,299.35 2025-12-05
B0603 LOCAL Neurological M >=43.50 And M <52.50 3 3 — — $41,419.34 $42,637.56 $42,028.45 2025-12-05
B1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 3 3 — — $41,173.22 $42,384.20 $41,778.71 2025-12-05
D0205 LOCAL Traumatic Brain Injury M <35.50 3 3 — — $41,169.05 $42,379.90 $41,774.47 2025-12-05
B0403 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 3 3 — — $40,712.26 $41,909.68 $41,310.97 2025-12-05
C1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 3 3 — — $40,318.05 $41,503.88 $40,910.96 2025-12-05
C1903 LOCAL Guillain-barré M >=38.50 And M <51.50 3 3 — — $40,270.08 $41,454.49 $40,862.29 2025-12-05
A0105 LOCAL Stroke M <41.50 And A >=84.50 3 3 — — $40,255.47 $41,439.46 $40,847.47 2025-12-05
C0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 3 3 — — $39,790.35 $40,960.66 $40,375.51 2025-12-05
B0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 3 3 — — $39,736.12 $40,904.83 $40,320.47 2025-12-05
C1004 LOCAL Amputation Lower Extremity M <47.50 3 3 — — $39,694.40 $40,861.88 $40,278.14 2025-12-05
A0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 3 3 — — $39,652.68 $40,818.94 $40,235.81 2025-12-05
B1603 LOCAL Pain Syndrome M >=43.50 And M <58.50 3 3 — — $39,519.20 $40,681.53 $40,100.36 2025-12-05
D1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 3 3 — — $39,369.02 $40,526.93 $39,947.98 2025-12-05
B0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 3 3 — — $38,895.55 $40,039.53 $39,467.54 2025-12-05
C0604 LOCAL Neurological M <43.50 3 3 — — $38,889.30 $40,033.10 $39,461.20 2025-12-05
A0205 LOCAL Traumatic Brain Injury M <35.50 3 3 — — $38,759.98 $39,899.98 $39,329.98 2025-12-05
C1504 LOCAL Pulmonary M <45.50 3 3 — — $38,503.43 $39,635.88 $39,069.66 2025-12-05
B1503 LOCAL Pulmonary M >=45.50 And M <56.50 3 3 — — $38,307.36 $39,434.05 $38,870.71 2025-12-05
D1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 3 3 — — $38,276.07 $39,401.84 $38,838.95 2025-12-05
B1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 3 3 — — $38,119.64 $39,240.81 $38,680.23 2025-12-05
B0503 LOCAL Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 3 3 — — $38,088.36 $39,208.61 $38,648.48 2025-12-05
D1903 LOCAL Guillain-barré M >=38.50 And M <51.50 3 3 — — $37,577.34 $38,682.56 $38,129.95 2025-12-05
C0704 LOCAL Fracture Of Lower Extremity M <41.50 3 3 — — $37,550.23 $38,654.65 $38,102.44 2025-12-05
B1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50 3 3 — — $37,489.74 $38,592.38 $38,041.06 2025-12-05
A5102 LOCAL Expired, Orthopedic, Length Of Stay Is 14 Days Or More 3 3 — — $37,389.62 $38,489.31 $37,939.47 2025-12-05
B0903 LOCAL Other Orthopedic M >=44.50 And M <51.50 3 3 — — $37,279.07 $38,375.52 $37,827.29 2025-12-05
C2005 LOCAL Miscellaneous M <46.50 And A <77.50 3 3 — — $37,005.83 $38,094.24 $37,550.04 2025-12-05
C0104 LOCAL Stroke M >=41.50 And M <50.50 3 3 — — $36,964.13 $38,051.31 $37,507.72 2025-12-05
C1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 3 3 — — $36,932.83 $38,019.09 $37,475.96 2025-12-05
A1903 LOCAL Guillain-barré M >=38.50 And M <51.50 3 3 — — $36,926.58 $38,012.66 $37,469.62 2025-12-05
B2003 LOCAL Miscellaneous M >=46.50 And M <55.50 3 3 — — $36,761.80 $37,843.03 $37,302.41 2025-12-05
C2102 LOCAL Burns M <52.50 3 3 — — $36,732.60 $37,812.97 $37,272.78 2025-12-05
D2102 LOCAL Burns M <52.50 3 3 — — $36,732.60 $37,812.97 $37,272.78 2025-12-05
D0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 3 3 — — $36,551.14 $37,626.17 $37,088.66 2025-12-05
B1403 LOCAL Cardiac M >=45.50 And M <55.50 3 3 — — $36,526.11 $37,600.41 $37,063.26 2025-12-05
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