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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

STANLY REGIONAL MEDICAL CENTER

Albemarle, NC · CCN 340119 · Rates published

13,842 distinct procedures filed
31 distinct payers
1,669,098 rate rows
2025-12-01 last MRF observed
Data quality

1,532,237 of 1,669,098 rate rows are consumer-grade (91.8%)

136,861 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 132,150
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,364
percent-of-charges filed in the dollar field — excluded from medians 820
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 355
per-diem day rate — not a per-procedure price 121
exceeds 10× this hospital's gross charge — excluded from medians 32
placeholder amount (≤ $0.02) — excluded from medians 19
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11177/560529945-1073988994_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 · 2026-10-20
Content fingerprint aa388bc125925042… · 2,636,960,145 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
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,313,414.63 $3,420,938.18 $3,386,504.66 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $3,004,654.80 $3,102,158.79 $3,070,933.95 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 14 $1,393,226.62 $4,999,361.51 $2,522,626.15 nat. median
$2,467,386
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,378,640.00 $2,455,829.20 $2,431,110.00 nat. median
$2,401,965
1.0× median
J1411
HCPCS 		Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 12 $2,100,000.00 $4,637,500.00 $2,161,250.00 nat. median
$3,705,478
0.6× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 31 $382,572.29 $3,060,578.30 $2,013,286.67 nat. median
$640,950
outlier · 3.1×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 31 $380,313.67 $3,042,509.38 $2,001,400.70 nat. median
$622,450
outlier · 3.2×
J1413
HCPCS 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 13 $1,920,000.00 $4,894,400.00 $1,995,200.00 nat. median
$3,324,572
0.6× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 31 $375,879.96 $3,007,039.68 $1,978,068.29 nat. median
$646,415
outlier · 3.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 31 $362,577.60 $2,900,620.80 $1,908,064.62 nat. median
$608,239
outlier · 3.1×
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 31 $352,027.38 $3,418,752.05 $1,869,630.03 nat. median
$739,258
outlier · 2.5×
Q2053
HCPCS 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 31 $305,280.00 $2,442,240.00 $1,606,536.00 nat. median
$591,721
outlier · 2.7×
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $786,032.40 $811,539.92 $803,371.35 nat. median
$813,967
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $203,308.66 $568,246.24 $535,860.84 nat. median
$249,036
outlier · 2.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $271,739.45 $667,705.12 $348,664.88 nat. median
$359,454
1.0× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 30 $1,305.86 $529,563.12 $348,353.24 nat. median
$2,480
outlier · 140.4×
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 30 $5,103.71 $458,307.84 $301,480.62 nat. median
$8,223
outlier · 36.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $95,287.03 $311,126.60 $293,394.93 nat. median
$110,307
outlier · 2.7×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $283,815.00 $293,025.08 $290,075.62 nat. median
$319,951
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $155,008.85 $379,446.48 $277,394.32 nat. median
$190,559
1.5× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $262,650.00 $271,173.25 $268,443.75 nat. median
$265,000
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $77,704.18 $274,767.39 $259,107.90 nat. median
$95,038
outlier · 2.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $102,658.88 $254,484.84 $247,072.70 nat. median
$126,695
2.0× median
7
MS_DRG 		Lung Transplant 13 $95,050.44 $231,383.10 $219,909.27 nat. median
$117,974
1.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $209,752.80 $216,559.48 $214,379.70 nat. median
$209,753
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $80,359.10 $196,108.44 $190,396.57 nat. median
$104,013
1.8× median
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 30 $260.96 $280,535.04 $184,539.45 nat. median
$432
outlier · 426.7×
652
MS_DRG 		Kidney Transplant 13 $23,372.52 $173,431.91 $163,547.71 nat. median
$29,925
outlier · 5.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $148,523.20 $420,012.17 $161,507.32 nat. median
$198,418
0.8× median
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 31 $28,806.00 $230,448.00 $151,591.58 nat. median
$68,423
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $70,546.71 $170,872.73 $145,309.23 nat. median
$90,551
1.6× median
77371
CPT 		Hc Radiation Delivery Stereotactic Cranial Cobalt 30 $7,416.09 $213,082.56 $140,168.37 nat. median
$9,408
outlier · 14.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $67,397.81 $163,096.69 $139,355.43 nat. median
$78,268
1.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $132,128.29 $136,415.98 $135,042.89 nat. median
$111,503
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $61,150.88 $147,670.32 $126,173.80 nat. median
$78,049
1.6× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 31 $23,408.34 $187,266.72 $123,186.39 nat. median
$55,159
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 13 $58,515.31 $141,161.97 $120,615.09 nat. median
$64,933
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $58,187.65 $140,352.85 $119,921.19 nat. median
$66,715
1.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 4 $114,097.24 $117,799.81 $116,614.09 nat. median
$96,983
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $79,457.16 $192,876.50 $115,699.01 nat. median
$97,323
1.2× median
834
MS_DRG 		Acute Leukemia With Mcc 13 $40,980.49 $121,298.67 $114,385.63 nat. median
$50,371
outlier · 2.3×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 13 $40,362.47 $120,889.15 $113,999.46 nat. median
$50,831
outlier · 2.2×
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 30 $119.71 $163,669.44 $107,663.80 nat. median
$153
outlier · 705.7×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 $43,973.82 $110,286.85 $106,163.65 nat. median
$50,870
outlier · 2.1×
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 30 $67.04 $160,722.91 $105,725.54 nat. median
$92
outlier · 1148.8×
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 31 $19,766.52 $158,132.16 $104,021.31 nat. median
$30,297
outlier · 3.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $59,146.95 $142,721.78 $101,233.35 nat. median
$74,370
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 13 $77,312.73 $187,580.93 $100,703.24 nat. median
$93,901
1.1× median
J0801
HCPCS 		Corticotropin 80 Unit/ml Injection Gel 31 $19,027.68 $152,221.44 $100,133.16 nat. median
$5,212
outlier · 19.2×

Other procedures at this hospital

Browse this hospital's 13,842 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 4 4 — — $4,595,100.00 $4,744,215.50 $4,696,462.50 2025-12-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,313,414.63 $3,420,938.18 $3,386,504.66 2025-12-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 4 — — $3,004,654.80 $3,102,158.79 $3,070,933.95 2025-12-01
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 22 14 — — $1,393,226.62 $4,999,361.51 $2,522,626.15 2025-12-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 4 — — $2,378,640.00 $2,455,829.20 $2,431,110.00 2025-12-01
J1411 HCPCS Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 15 12 — — $2,100,000.00 $4,637,500.00 $2,161,250.00 2025-12-01
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 77 31 $3,188,102.40 $1,594,051.20 50% off $382,572.29 $3,060,578.30 $2,013,286.67 2025-12-01
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 77 31 $3,169,280.60 $1,584,640.30 50% off $380,313.67 $3,042,509.38 $2,001,400.70 2025-12-01
J1413 HCPCS Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 17 13 — — $1,920,000.00 $4,894,400.00 $1,995,200.00 2025-12-01
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 77 31 $3,132,333.00 $1,566,166.50 50% off $375,879.96 $3,007,039.68 $1,978,068.29 2025-12-01
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 77 31 $3,021,480.00 $1,510,740.00 50% off $362,577.60 $2,900,620.80 $1,908,064.62 2025-12-01
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 125 31 $3,561,200.05 $1,780,600.03 50% off $352,027.38 $3,418,752.05 $1,869,630.03 2025-12-01
Q2053 HCPCS Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 77 31 $2,544,000.00 $1,272,000.00 50% off $305,280.00 $2,442,240.00 $1,606,536.00 2025-12-01
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $786,032.40 $811,539.92 $803,371.35 2025-12-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 13 — — $203,308.66 $568,246.24 $535,860.84 2025-12-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 13 — — $271,739.45 $667,705.12 $348,664.88 2025-12-01
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 73 30 $551,628.25 $275,814.13 50% off $1,305.86 $529,563.12 $348,353.24 2025-12-01
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 73 30 $477,404.00 $238,702.00 50% off $5,103.71 $458,307.84 $301,480.62 2025-12-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 13 — — $95,287.03 $311,126.60 $293,394.93 2025-12-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 4 — — $283,815.00 $293,025.08 $290,075.62 2025-12-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 13 — — $155,008.85 $379,446.48 $277,394.32 2025-12-01
J3403 HCPCS Revakinagene, Per Implant 4 4 — — $262,650.00 $271,173.25 $268,443.75 2025-12-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 13 — — $77,704.18 $274,767.39 $259,107.90 2025-12-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 13 — — $102,658.88 $254,484.84 $247,072.70 2025-12-01
7 MS_DRG Lung Transplant 16 13 — — $95,050.44 $231,383.10 $219,909.27 2025-12-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 4 — — $209,752.80 $216,559.48 $214,379.70 2025-12-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 13 — — $80,359.10 $196,108.44 $190,396.57 2025-12-01
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 73 30 $292,224.00 $146,112.00 50% off $260.96 $280,535.04 $184,539.45 2025-12-01
652 MS_DRG Kidney Transplant 16 13 — — $23,372.52 $173,431.91 $163,547.71 2025-12-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 13 — — $148,523.20 $420,012.17 $161,507.32 2025-12-01
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 77 31 $240,050.00 $120,025.00 50% off $28,806.00 $230,448.00 $151,591.58 2025-12-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 13 — — $70,546.71 $170,872.73 $145,309.23 2025-12-01
77371 CPT Hc Radiation Delivery Stereotactic Cranial Cobalt 73 30 $221,961.00 $110,980.50 50% off $7,416.09 $213,082.56 $140,168.37 2025-12-01
850 MS_DRG Acute Leukemia With Other Procedures 16 13 — — $67,397.81 $163,096.69 $139,355.43 2025-12-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $132,128.29 $136,415.98 $135,042.89 2025-12-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 13 — — $61,150.88 $147,670.32 $126,173.80 2025-12-01
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 77 31 $195,069.50 $97,534.75 50% off $23,408.34 $187,266.72 $123,186.39 2025-12-01
10 MS_DRG Pancreas Transplant 16 13 — — $58,515.31 $141,161.97 $120,615.09 2025-12-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 13 — — $58,187.65 $140,352.85 $119,921.19 2025-12-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 4 — — $114,097.24 $117,799.81 $116,614.09 2025-12-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 13 — — $79,457.16 $192,876.50 $115,699.01 2025-12-01
834 MS_DRG Acute Leukemia With Mcc 16 13 — — $40,980.49 $121,298.67 $114,385.63 2025-12-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 13 — — $40,362.47 $120,889.15 $113,999.46 2025-12-01
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 73 30 $170,489.00 $85,244.50 50% off $119.71 $163,669.44 $107,663.80 2025-12-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 13 — — $43,973.82 $110,286.85 $106,163.65 2025-12-01
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 73 30 $167,419.70 $83,709.85 50% off $67.04 $160,722.91 $105,725.54 2025-12-01
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 73 31 $164,721.00 $82,360.50 50% off $19,766.52 $158,132.16 $104,021.31 2025-12-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 13 — — $59,146.95 $142,721.78 $101,233.35 2025-12-01
215 MS_DRG Other Heart Assist System Implant 16 13 — — $77,312.73 $187,580.93 $100,703.24 2025-12-01
J0801 HCPCS Corticotropin 80 Unit/ml Injection Gel 73 31 $158,564.00 $79,282.00 50% off $19,027.68 $152,221.44 $100,133.16 2025-12-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 13 — — $50,308.21 $120,895.05 $99,896.81 2025-12-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 13 — — $76,456.66 $185,466.96 $99,239.17 2025-12-01
6 MS_DRG Liver Transplant Without Mcc 16 13 — — $36,118.74 $103,559.48 $97,657.44 2025-12-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 13 — — $62,106.60 $150,030.40 $96,999.93 2025-12-01
0795T CPT Hc Tcat Insert Perm Dual Chamber Leadls Pm Compl Sys 77 31 $151,770.35 $75,885.18 50% off $18,212.44 $145,699.54 $95,842.98 2025-12-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 13 — — $37,080.19 $101,361.24 $95,584.48 2025-12-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 13 — — $52,019.61 $125,121.24 $95,457.09 2025-12-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 13 — — $62,072.89 $149,947.19 $95,280.80 2025-12-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 13 — — $54,867.39 $132,153.66 $94,999.49 2025-12-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 13 — — $45,706.00 $109,530.21 $93,586.68 2025-12-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 13 — — $45,349.68 $108,650.27 $92,841.52 2025-12-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 13 — — $42,255.25 $101,008.80 $92,530.20 2025-12-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 13 — — $51,227.36 $123,164.83 $92,066.35 2025-12-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 13 — — $57,392.54 $138,389.36 $88,941.92 2025-12-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 13 — — $56,826.85 $136,992.44 $87,016.50 2025-12-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 13 — — $47,719.25 $114,501.78 $85,612.44 2025-12-01
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 73 30 $135,076.60 $67,538.30 50% off $364.07 $129,673.54 $85,300.88 2025-12-01
37 MS_DRG Extracranial Procedures With Mcc 16 13 — — $25,161.35 $90,446.01 $85,291.32 2025-12-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 4 — — $82,562.05 $85,241.27 $84,383.27 2025-12-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 13 — — $44,303.63 $106,067.11 $83,435.72 2025-12-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 13 — — $43,095.53 $103,083.82 $82,261.71 2025-12-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 13 — — $40,034.08 $95,523.79 $81,619.07 2025-12-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 13 — — $35,435.47 $84,167.80 $80,348.79 2025-12-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 13 — — $42,501.17 $101,616.08 $78,372.11 2025-12-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 13 — — $38,276.08 $91,182.52 $77,909.51 2025-12-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 13 — — $52,275.56 $125,753.30 $77,396.90 2025-12-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 13 — — $37,209.25 $88,548.02 $77,289.38 2025-12-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 13 — — $38,153.49 $90,879.77 $76,470.45 2025-12-01
93656 CPT Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 77 31 $121,044.20 $60,522.10 50% off $14,525.30 $116,202.43 $76,439.41 2025-12-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 13 — — $34,384.40 $81,572.25 $75,455.23 2025-12-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 13 — — $40,980.49 $97,860.85 $73,232.24 2025-12-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 13 — — $49,422.03 $118,706.71 $72,790.89 2025-12-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 13 — — $44,006.06 $105,332.36 $72,272.03 2025-12-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 13 — — $47,652.55 $114,337.12 $72,272.03 2025-12-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 13 — — $45,763.36 $109,671.85 $72,024.48 2025-12-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 13 — — $26,248.28 $76,040.89 $71,707.18 2025-12-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 13 — — $49,156.04 $118,049.86 $70,946.74 2025-12-01
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 73 30 $111,115.60 $55,557.80 50% off $221.24 $106,670.98 $70,169.51 2025-12-01
0915T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator & Leads 77 31 $110,987.60 $55,493.80 50% off $13,318.51 $106,548.10 $70,088.67 2025-12-01
0408T CPT Hc Insert Or Replace Perm Cardiac Cont Mod Gen+elect 77 31 $110,987.60 $55,493.80 50% off $13,318.51 $106,548.10 $70,088.67 2025-12-01
33288 CPT Hc Rmvl&rplcmt Phrnc Nrv Stim Trnsvns Stim/snsg Ld 77 31 $109,284.20 $54,642.10 50% off $12,097.72 $104,912.83 $69,012.97 2025-12-01
0414T CPT Hc Removal & Replace Permament Ccm Pulse Generator Only 77 31 $109,005.70 $54,502.85 50% off $13,080.68 $104,645.47 $68,837.10 2025-12-01
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 77 31 $109,005.70 $54,502.85 50% off $13,080.68 $104,645.47 $68,837.10 2025-12-01
0916T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator Only 77 31 $109,005.70 $54,502.85 50% off $13,080.68 $104,645.47 $68,837.10 2025-12-01
0409T CPT Hc Insert Or Replace Perm Ccm Pulse Generator Only 77 31 $109,005.70 $54,502.85 50% off $13,080.68 $104,645.47 $68,837.10 2025-12-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 13 — — $45,148.92 $108,154.53 $68,438.69 2025-12-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 13 — — $39,495.64 $94,194.14 $67,852.32 2025-12-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 13 — — $34,273.99 $81,299.59 $66,562.03 2025-12-01
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 73 30 $104,288.60 $52,144.30 50% off $699.72 $100,117.06 $65,858.26 2025-12-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 13 — — $32,374.02 $76,607.76 $65,458.04 2025-12-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 13 — — $46,694.69 $111,971.73 $65,086.71 2025-12-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 13 — — $28,756.94 $67,675.59 $64,665.37 2025-12-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 13 — — $43,539.33 $104,179.76 $63,826.44 2025-12-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 13 — — $40,074.95 $95,624.71 $63,581.38 2025-12-01
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 73 30 $100,182.50 $50,091.25 50% off $83.72 $96,175.20 $63,265.25 2025-12-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 13 — — $40,038.39 $95,534.41 $62,968.75 2025-12-01
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 73 30 $99,415.25 $49,707.63 50% off $3,734.05 $95,438.64 $62,780.73 2025-12-01
33266 CPT Hc Maze Procedure Without Cardio By 73 30 $99,183.65 $49,591.83 50% off $1,676.23 $95,216.30 $62,634.47 2025-12-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 13 — — $31,935.24 $75,524.22 $62,307.35 2025-12-01
0811 RC Hc Kidney Acquistion Live Donor 73 31 $98,460.75 $49,230.38 50% off $11,815.29 $94,522.32 $62,177.96 2025-12-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 13 — — $33,416.51 $79,182.07 $61,763.49 2025-12-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 13 — — $49,237.06 $118,249.92 $61,298.38 2025-12-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 13 — — $40,814.15 $97,450.09 $60,900.80 2025-12-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $58,766.80 $60,673.84 $60,063.13 2025-12-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 13 — — $39,327.17 $93,778.07 $59,512.99 2025-12-01
33277 CPT Hc Ins Phrenic Nrv Stimulator Transvns Sensing Ld 73 30 $94,209.80 $47,104.90 50% off $259.77 $90,441.41 $59,493.49 2025-12-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 13 — — $34,704.17 $82,361.89 $59,266.69 2025-12-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 4 — — $57,961.04 $59,841.93 $59,239.60 2025-12-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 13 — — $28,608.52 $67,309.10 $58,547.78 2025-12-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 13 — — $26,410.31 $61,880.75 $58,432.76 2025-12-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 13 — — $40,573.25 $96,855.20 $58,401.50 2025-12-01
J9600 HCPCS Porfimer 75 Mg Intravenous Solution 77 31 $91,941.00 $45,970.50 50% off $11,032.92 $88,263.36 $58,060.74 2025-12-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 73 30 $91,682.00 $45,841.00 50% off $2,752.01 $88,014.72 $57,897.18 2025-12-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 13 — — $37,766.33 $89,923.70 $57,841.38 2025-12-01
163 MS_DRG Major Chest Procedures With Mcc 16 13 — — $34,398.01 $81,605.89 $57,733.86 2025-12-01
93653 CPT Hc Ep Ephys Eval W/ablation Supravent Arrhythmia 77 31 $91,417.45 $45,708.73 50% off $10,970.09 $87,760.75 $57,730.12 2025-12-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 4 — — $56,377.77 $58,207.28 $57,621.40 2025-12-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 13 — — $31,389.64 $74,176.87 $56,846.16 2025-12-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 13 — — $37,464.50 $89,178.31 $56,829.91 2025-12-01
J3316 HCPCS Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspension 73 30 $89,190.70 $44,595.35 50% off $3,893.62 $85,623.07 $56,323.93 2025-12-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 13 — — $35,082.73 $83,296.71 $56,223.53 2025-12-01
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 73 30 $88,490.00 $44,245.00 50% off $324.90 $84,950.40 $55,881.43 2025-12-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 13 — — $26,464.80 $62,015.30 $55,848.44 2025-12-01
0571T CPT Hc Insert/replace Icds W/substernal Electrode 77 31 $87,916.70 $43,958.35 50% off $10,550.00 $84,400.03 $55,519.39 2025-12-01
28 MS_DRG Spinal Procedures With Mcc 16 13 — — $44,939.57 $107,637.55 $55,503.37 2025-12-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 13 — — $32,310.21 $76,450.19 $55,209.56 2025-12-01
93591 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 77 31 $86,855.80 $43,427.90 50% off $10,422.70 $83,381.57 $54,849.44 2025-12-01
93590 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 77 31 $86,855.80 $43,427.90 50% off $10,422.70 $83,381.57 $54,849.44 2025-12-01
949 MS_DRG Aftercare With Cc/mcc 16 13 — — $9,087.70 $57,964.31 $54,660.82 2025-12-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 13 — — $40,273.57 $96,115.13 $54,566.91 2025-12-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $53,323.46 $55,053.86 $54,499.71 2025-12-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 13 — — $30,628.93 $72,298.37 $54,363.12 2025-12-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 13 — — $27,053.43 $63,468.88 $54,230.59 2025-12-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 13 — — $27,511.57 $64,600.23 $54,023.05 2025-12-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 13 — — $34,279.00 $81,311.98 $53,746.74 2025-12-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 13 — — $33,698.27 $79,877.88 $53,691.72 2025-12-01
332 MS_DRG Rectal Resection With Mcc 16 13 — — $26,221.02 $61,413.33 $52,473.96 2025-12-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 13 — — $37,251.54 $88,652.48 $52,368.93 2025-12-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 13 — — $37,223.57 $88,583.43 $52,278.92 2025-12-01
252 MS_DRG Other Vascular Procedures With Mcc 16 13 — — $25,946.44 $60,735.23 $52,175.14 2025-12-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 13 — — $29,913.40 $70,531.41 $52,158.89 2025-12-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 73 30 $82,588.85 $41,294.43 50% off $60.60 $79,285.30 $52,154.86 2025-12-01
665 MS_DRG Prostatectomy With Mcc 16 13 — — $25,969.37 $60,791.89 $51,942.59 2025-12-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 13 — — $44,626.98 $106,865.61 $51,780.06 2025-12-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 13 — — $44,626.98 $106,865.61 $51,780.06 2025-12-01
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 73 30 $81,970.00 $40,985.00 50% off $221.43 $78,691.20 $51,764.06 2025-12-01
974 MS_DRG HIV With Major Related Condition With Mcc 16 13 — — $22,761.67 $52,921.36 $51,379.97 2025-12-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 13 — — $30,833.99 $72,804.73 $51,211.18 2025-12-01
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 73 30 $80,911.45 $40,455.73 50% off $144.44 $77,674.99 $51,095.58 2025-12-01
0812 RC Hc Cadaver Donor - Heart 217 31 $96,848.50 $48,424.25 50% off $9,231.26 $110,329.78 $50,797.67 2025-12-01
0914T CPT Hc Perq Transcath Thera Rx Balloon Angio, Separate Lesion, 1 Artery/branch 73 31 $79,223.25 $39,611.63 50% off $9,506.79 $76,054.32 $50,029.48 2025-12-01
245 MS_DRG Aicd Generator Procedures 16 13 — — $36,388.33 $86,520.79 $49,459.55 2025-12-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 13 — — $37,878.19 $90,199.89 $48,709.39 2025-12-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 13 — — $34,902.04 $82,850.55 $48,514.34 2025-12-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 13 — — $31,890.08 $75,412.68 $48,151.76 2025-12-01
93654 CPT Hc Ep Ephys Eval W/ablation Ventricular Tachycardia 77 31 $76,123.95 $38,061.98 50% off $9,134.87 $73,078.99 $48,072.28 2025-12-01
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 73 30 $76,100.00 $38,050.00 50% off $347.12 $73,056.00 $48,057.15 2025-12-01
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 77 31 $75,885.15 $37,942.58 50% off $9,106.22 $72,849.74 $47,921.47 2025-12-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 13 — — $26,046.80 $60,983.10 $47,651.65 2025-12-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 13 — — $35,590.34 $84,550.23 $47,399.10 2025-12-01
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 77 31 $74,455.55 $37,227.78 50% off $8,934.67 $71,477.33 $47,018.68 2025-12-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 13 — — $30,773.76 $72,656.01 $46,623.93 2025-12-01
653 MS_DRG Major Bladder Procedures With Mcc 16 13 — — $41,319.62 $98,698.29 $46,406.38 2025-12-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 13 — — $29,400.78 $69,265.50 $46,341.37 2025-12-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 13 — — $23,622.75 $54,997.04 $46,020.05 2025-12-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 13 — — $30,817.49 $72,764.01 $45,714.98 2025-12-01
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 121 30 $168,754.60 $84,377.30 50% off $197.63 $162,004.42 $45,622.71 2025-12-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 13 — — $23,477.21 $54,637.63 $45,412.42 2025-12-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 13 — — $36,176.80 $85,998.50 $45,332.40 2025-12-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 16 13 — — $19,305.19 $47,377.46 $45,166.32 2025-12-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 13 — — $29,034.41 $68,360.78 $45,132.35 2025-12-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 13 — — $26,663.39 $62,505.73 $44,737.27 2025-12-01
0266T CPT Apc 4 4 — — $43,655.98 $45,072.65 $44,618.97 2025-12-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 13 — — $24,108.13 $56,195.67 $44,357.19 2025-12-01
799 MS_DRG Splenic Procedures With Mcc 16 13 — — $35,441.92 $84,183.73 $44,258.41 2025-12-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 73 30 $70,069.55 $35,034.78 50% off $366.38 $67,266.77 $44,248.92 2025-12-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 13 — — $29,232.29 $68,849.43 $44,228.41 2025-12-01
140 MS_DRG Major Head And Neck Procedures With Mcc 16 13 — — $31,673.56 $74,877.99 $44,084.63 2025-12-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 13 — — $24,259.40 $56,569.25 $43,967.10 2025-12-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 13 — — $32,846.51 $77,774.52 $43,719.55 2025-12-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 16 13 — — $15,613.52 $46,343.37 $43,702.18 2025-12-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 13 — — $29,387.15 $69,231.86 $43,605.77 2025-12-01
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sing Ld 77 31 $68,873.40 $34,436.70 50% off $8,264.81 $66,118.46 $43,493.55 2025-12-01
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 77 31 $68,873.40 $34,436.70 50% off $8,264.81 $66,118.46 $43,493.55 2025-12-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 13 — — $25,909.14 $60,643.17 $43,401.98 2025-12-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 13 — — $24,787.09 $57,872.33 $43,003.14 2025-12-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 4 4 — — $41,964.16 $43,325.93 $42,889.84 2025-12-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 13 — — $39,319.57 $109,030.93 $42,756.96 2025-12-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 13 — — $28,956.97 $68,169.56 $42,086.69 2025-12-01
901 MS_DRG Wound Debridements For Injuries With Mcc 16 13 — — $33,116.81 $78,442.00 $41,887.90 2025-12-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 13 — — $21,884.10 $50,703.58 $41,755.37 2025-12-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 13 — — $29,582.87 $69,715.21 $41,382.79 2025-12-01
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 73 30 $64,353.85 $32,176.93 50% off $34.57 $61,779.70 $40,639.46 2025-12-01
263 MS_DRG Vein Ligation And Stripping 16 13 — — $20,581.39 $47,486.58 $40,573.86 2025-12-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 13 — — $31,182.44 $73,665.19 $40,523.85 2025-12-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 16 13 — — $20,159.80 $46,445.53 $40,503.84 2025-12-01
849 MS_DRG Radiotherapy 16 13 — — $20,502.51 $47,291.83 $40,407.57 2025-12-01
33745 CPT Hc Transcatheter Intracardiac Shunt Creation 73 30 $63,758.65 $31,879.33 50% off $970.73 $61,208.30 $40,263.58 2025-12-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 13 — — $27,047.70 $63,454.72 $40,215.03 2025-12-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 13 — — $22,231.11 $51,560.50 $40,205.03 2025-12-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 13 — — $20,374.88 $46,976.68 $40,140.01 2025-12-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 13 — — $21,466.10 $49,671.38 $40,072.50 2025-12-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 13 — — $30,513.49 $72,013.32 $40,067.50 2025-12-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 13 — — $20,970.68 $48,447.96 $39,869.96 2025-12-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 13 — — $24,326.09 $56,733.90 $39,624.90 2025-12-01
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 16 13 — — $15,780.57 $41,779.48 $39,398.39 2025-12-01
835 MS_DRG Acute Leukemia With Cc 16 13 — — $16,665.31 $41,179.37 $38,898.04 2025-12-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 13 — — $21,762.22 $50,402.59 $38,764.71 2025-12-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 13 — — $23,728.14 $55,257.31 $38,697.20 2025-12-01
265 MS_DRG Aicd Lead Procedures 16 13 — — $26,927.24 $63,157.28 $38,658.44 2025-12-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 13 — — $23,280.75 $54,152.51 $38,380.88 2025-12-01
33903 CPT Hc Perq Pulm Art Revasc Init Abnormal Conn Bil 77 31 $60,757.25 $30,378.63 50% off $7,290.87 $58,326.96 $38,368.21 2025-12-01
33901 CPT Hc Perq Pulm Art Revasc Init Normal Nat Conn Bil 77 31 $60,757.25 $30,378.63 50% off $7,290.87 $58,326.96 $38,368.21 2025-12-01
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 73 30 $60,741.85 $30,370.93 50% off $2,478.49 $58,312.18 $38,358.48 2025-12-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 73 30 $60,528.35 $30,264.18 50% off $201.79 $58,107.22 $38,223.65 2025-12-01
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 121 30 $95,050.05 $47,525.03 50% off $33.57 $91,248.05 $38,040.00 2025-12-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 13 — — $23,523.08 $54,750.94 $37,832.01 2025-12-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 16 13 — — $19,291.57 $44,301.45 $37,525.69 2025-12-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 13 — — $22,123.57 $51,294.93 $36,879.30 2025-12-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 13 — — $27,051.99 $63,465.34 $36,853.05 2025-12-01
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 73 30 $58,261.65 $29,130.83 50% off $77.49 $55,931.18 $36,792.23 2025-12-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 13 — — $26,454.76 $61,990.52 $36,753.03 2025-12-01
545 MS_DRG Connective Tissue Disorders With Mcc 16 13 — — $19,468.64 $44,738.76 $36,312.93 2025-12-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 73 30 $57,484.95 $28,742.48 50% off $231.82 $55,185.55 $36,301.75 2025-12-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 13 — — $21,871.92 $50,673.48 $36,285.42 2025-12-01
L6700 HCPCS Ue Add Ext Power Myoel 4 4 — — $35,412.23 $36,561.39 $36,193.38 2025-12-01
J1304 HCPCS Tofersen 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution 73 30 $57,204.60 $28,602.30 50% off $162.59 $54,916.42 $36,124.71 2025-12-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $35,259.72 $36,403.93 $36,037.50 2025-12-01
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $35,051.25 $36,188.70 $35,824.44 2025-12-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 16 13 — — $17,661.19 $40,275.33 $35,767.81 2025-12-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 13 — — $21,486.90 $49,722.72 $35,735.30 2025-12-01
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 169 30 $58,303.00 $29,151.50 50% off $152.39 $108,583.39 $35,713.79 2025-12-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 13 — — $29,640.95 $69,858.62 $35,652.78 2025-12-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 13 — — $26,812.53 $62,874.00 $35,435.24 2025-12-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 13 — — $22,437.59 $52,070.41 $35,398.98 2025-12-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 13 — — $22,492.09 $52,204.96 $35,310.21 2025-12-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 13 — — $17,947.96 $40,983.53 $35,016.40 2025-12-01
92937 CPT Hc Cath Prq Trluml Coronary Byp Grft Revasc One Vessel 77 31 $55,177.25 $27,588.63 50% off $6,621.27 $52,970.16 $34,844.43 2025-12-01
92933 CPT Hc Cath Prq Trluml Coronry Stent/ath/angio One Art/brnch 77 31 $55,177.25 $27,588.63 50% off $6,621.27 $52,970.16 $34,844.43 2025-12-01
92943 CPT Hc Cath Prq Trluml Coronry Chronic Occlus Revasc One Vsl 77 31 $55,177.25 $27,588.63 50% off $6,621.27 $52,970.16 $34,844.43 2025-12-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 16 13 — — $14,660.68 $36,739.10 $34,645.28 2025-12-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 13 — — $28,396.32 $66,785.03 $34,637.56 2025-12-01
J1440 HCPCS Fecal Microbiota, Live-jslm 150 Ml Rectal Suspension Enema 73 30 $54,810.00 $27,405.00 50% off $65.12 $52,617.60 $34,612.51 2025-12-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 16 13 — — $17,220.24 $39,186.48 $34,601.31 2025-12-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 13 — — $26,593.13 $62,332.22 $34,553.79 2025-12-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 13 — — $21,843.25 $50,602.66 $34,450.02 2025-12-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 13 — — $24,710.39 $57,682.89 $34,421.27 2025-12-01
253 MS_DRG Other Vascular Procedures With Cc 16 13 — — $19,655.77 $45,200.87 $34,303.74 2025-12-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 13 — — $25,671.12 $60,055.36 $34,261.23 2025-12-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 13 — — $29,893.33 $70,481.83 $34,147.46 2025-12-01
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 121 30 $142,084.90 $71,042.45 50% off $187.15 $136,401.50 $34,136.45 2025-12-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 13 — — $23,461.43 $54,598.68 $34,049.93 2025-12-01
709 MS_DRG Penis Procedures With Cc/mcc 16 13 — — $17,462.57 $39,784.91 $33,994.92 2025-12-01
34702 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft Rpt 73 30 $53,755.20 $26,877.60 50% off $1,617.32 $51,604.99 $33,946.41 2025-12-01
34703 CPT Hc Evasc Rpr Dplmnt Aorto-un-iliac Ndgft 73 30 $53,755.20 $26,877.60 50% off $1,236.65 $51,604.99 $33,946.41 2025-12-01
34706 CPT Hc Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft Rpt 73 30 $53,755.20 $26,877.60 50% off $2,052.46 $51,604.99 $33,946.41 2025-12-01
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 73 30 $53,271.20 $26,635.60 50% off $130.00 $51,140.35 $33,640.76 2025-12-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 16 13 — — $16,791.48 $38,127.72 $33,402.29 2025-12-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 13 — — $24,432.91 $56,997.71 $33,367.29 2025-12-01
34701 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft 73 30 $52,774.60 $26,387.30 50% off $1,116.14 $50,663.62 $33,327.16 2025-12-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 13 — — $20,443.00 $47,144.87 $33,326.03 2025-12-01
791 MS_DRG Prematurity With Major Problems 16 13 — — $30,459.73 $71,880.53 $33,241.01 2025-12-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 13 — — $31,219.72 $74,194.57 $33,120.98 2025-12-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 13 — — $25,772.93 $60,306.77 $32,922.19 2025-12-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 13 — — $19,621.36 $45,115.88 $32,854.67 2025-12-01
36906 CPT Hc Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 77 31 $51,463.50 $25,731.75 50% off $6,175.62 $49,404.96 $32,499.20 2025-12-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 13 — — $29,062.36 $68,429.83 $32,389.57 2025-12-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 13 — — $25,025.13 $58,460.14 $32,283.30 2025-12-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 16 13 — — $16,557.76 $37,550.53 $32,247.04 2025-12-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 13 — — $26,472.68 $62,034.78 $31,926.97 2025-12-01
570 MS_DRG Skin Debridement With Mcc 16 13 — — $22,933.74 $53,295.59 $31,835.70 2025-12-01
33231 CPT Insrt Pulse Gen W/mult Leads 4 4 — — $31,103.64 $32,112.99 $31,789.75 2025-12-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 13 — — $24,215.68 $56,461.25 $31,764.44 2025-12-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 13 — — $22,249.04 $51,604.76 $31,725.68 2025-12-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 16 13 — — $16,465.99 $37,323.91 $31,725.68 2025-12-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 13 — — $27,330.18 $64,152.30 $31,611.90 2025-12-01
69930 CPT Implant Cochlear Device 4 4 — — $30,857.47 $31,858.82 $31,538.15 2025-12-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 13 — — $23,352.45 $54,329.56 $31,360.60 2025-12-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 13 — — $28,830.90 $79,401.61 $31,351.33 2025-12-01
500 MS_DRG Soft Tissue Procedures With Mcc 16 13 — — $24,070.12 $56,101.83 $31,303.09 2025-12-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 16 13 — — $10,918.83 $33,165.51 $31,275.35 2025-12-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 16 13 — — $13,907.13 $32,434.05 $31,247.19 2025-12-01
34710 CPT Hc Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl 73 30 $48,866.00 $24,433.00 50% off $718.70 $46,911.36 $30,858.88 2025-12-01
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 73 30 $48,850.00 $24,425.00 50% off $263.81 $46,896.00 $30,848.78 2025-12-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 16 13 — — $20,351.24 $46,918.25 $30,844.23 2025-12-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 13 — — $20,593.58 $47,516.68 $30,737.96 2025-12-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 16 13 — — $13,129.24 $32,434.05 $30,585.58 2025-12-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 7 5 — — $29,525.53 $69,573.57 $30,483.66 2025-12-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 13 — — $26,193.78 $61,346.05 $30,439.15 2025-12-01
374 MS_DRG Digestive Malignancy With Mcc 16 13 — — $16,489.65 $37,382.34 $30,421.64 2025-12-01
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