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 UNION

Monroe, NC · CCN 340130 · Rates published

Your selected procedure

You selected 93350 (CPT)

HC ECHO REST & STRESS W/ OR W/O PF

This hospital’s price: $839 across 29 payers · range $268-$1,959

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/11178/560529945-1396790325_the-charlotte-mecklenburg-hospital-authority_standardcharges.csv · observed 2025-12-04

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.

13,947 distinct procedures filed
31 distinct payers
1,551,083 rate rows
2025-12-04 last MRF observed
Data quality

1,408,722 of 1,551,083 rate rows are consumer-grade (90.8%)

142,361 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 137,883
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,250
percent-of-charges filed in the dollar field — excluded from medians 732
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 331
per-diem day rate — not a per-procedure price 94
exceeds 10× this hospital's gross charge — excluded from medians 38
placeholder amount (≤ $0.02) — excluded from medians 21
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11178/560529945-1396790325_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 not_modified · 2026-10-20
Content fingerprint b77c284133587645… · 2,525,971,098 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
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 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
J1413
HCPCS 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 15 $2,080,000.00 $4,848,000.00 $2,928,995.92 nat. median
$3,324,572
0.9× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 15 $1,509,328.83 $4,841,462.49 $2,581,671.56 nat. median
$2,467,386
1.0× median
J1411
HCPCS 		Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 14 $2,275,000.00 $4,945,500.00 $2,556,750.00 nat. median
$3,705,478
0.7× 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 31 $414,453.31 $3,028,697.28 $1,721,575.30 nat. median
$640,950
outlier · 2.7×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 31 $412,006.48 $3,010,816.57 $1,711,411.52 nat. median
$622,450
outlier · 2.7×
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 31 $407,203.29 $2,975,716.35 $1,691,459.82 nat. median
$646,415
outlier · 2.6×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 31 $392,792.40 $2,870,406.00 $1,631,599.20 nat. median
$608,239
outlier · 2.7×
Q2042
HCPCS 		Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 31 $381,363.00 $3,383,140.05 $1,584,123.22 nat. median
$739,258
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 31 $330,720.00 $2,416,800.00 $1,373,760.00 nat. median
$591,721
outlier · 2.3×
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 15 $204,007.03 $515,337.41 $486,227.04 nat. median
$249,036
2.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $272,675.64 $674,991.24 $316,200.95 nat. median
$359,454
0.9× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 30 $1,305.86 $524,046.84 $314,428.10 nat. median
$2,480
outlier · 126.8×
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 30 $5,103.71 $453,533.80 $272,120.28 nat. median
$8,223
outlier · 33.1×
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, Mo… 15 $155,539.37 $383,587.06 $251,566.34 nat. median
$190,559
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $95,610.00 $282,157.92 $234,498.64 nat. median
$110,307
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 15 $103,007.47 $252,901.57 $219,930.67 nat. median
$126,695
1.7× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $209,752.80 $257,050.00 $215,922.00 nat. median
$209,753
1.0× median
7
MS_DRG 		Lung Transplant 15 $95,372.60 $233,908.00 $195,751.27 nat. median
$117,974
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $77,966.06 $249,184.08 $190,605.09 nat. median
$95,038
outlier · 2.0×
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 30 $260.96 $277,612.80 $176,795.52 nat. median
$432
outlier · 408.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $138,869.91 $424,595.42 $172,023.56 nat. median
$198,418
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $80,630.20 $197,232.79 $169,480.67 nat. median
$104,013
1.6× median
77371
CPT 		Hc Radiation Delivery Stereotactic Cranial Cobalt 30 $7,416.09 $210,862.95 $134,286.40 nat. median
$9,408
outlier · 14.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $70,783.72 $172,737.32 $131,779.59 nat. median
$90,551
1.5× median
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 31 $31,206.50 $228,047.50 $129,627.00 nat. median
$68,423
1.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $67,623.86 $164,876.43 $125,954.31 nat. median
$78,268
1.6× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $111,502.61 $136,645.35 $114,782.09 nat. median
$111,503
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $61,355.22 $149,281.73 $114,041.02 nat. median
$78,049
1.5× median
10
MS_DRG 		Pancreas Transplant 15 $58,710.49 $142,702.35 $109,014.83 nat. median
$64,933
1.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $58,381.70 $141,884.40 $108,389.97 nat. median
$66,715
1.6× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 31 $25,359.04 $185,316.03 $105,337.54 nat. median
$55,159
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $79,725.12 $194,981.20 $104,926.36 nat. median
$97,323
1.1× median
834
MS_DRG 		Acute Leukemia With Mcc 15 $41,114.73 $110,004.67 $98,928.72 nat. median
$50,371
2.0× median
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 31 $21,413.73 $156,484.95 $98,832.60 nat. median
$30,297
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
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 15 $40,494.56 $109,633.29 $97,385.90 nat. median
$50,831
1.9× median
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 30 $119.71 $161,964.55 $97,178.73 nat. median
$153
outlier · 636.9×
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 30 $67.04 $159,048.72 $95,429.23 nat. median
$92
outlier · 1036.9×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 $44,118.46 $106,401.22 $95,312.01 nat. median
$50,870
1.9× median
J0801
HCPCS 		Corticotropin 80 Unit/ml Injection Gel 31 $20,613.32 $150,635.80 $95,138.40 nat. median
$5,212
outlier · 18.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $59,344.33 $144,279.18 $91,807.59 nat. median
$74,370
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 15 $77,573.22 $189,627.85 $91,326.83 nat. median
$93,901
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $50,474.86 $122,214.28 $90,595.49 nat. median
$61,728
1.5× median

Other procedures at this hospital

Browse this hospital's 13,947 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 2025-12-04
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,313,414.63 $4,060,557.14 $3,410,868.00 2025-12-04
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $3,004,654.80 $3,682,175.00 $3,093,027.00 2025-12-04
J1413 HCPCS Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 15 — — $2,080,000.00 $4,848,000.00 $2,928,995.92 2025-12-04
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 26 15 — — $1,509,328.83 $4,841,462.49 $2,581,671.56 2025-12-04
J1411 HCPCS Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 18 14 — — $2,275,000.00 $4,945,500.00 $2,556,750.00 2025-12-04
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,378,640.00 $2,915,000.00 $2,448,600.00 2025-12-04
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 74 31 $3,188,102.40 $1,594,051.20 50% off $414,453.31 $3,028,697.28 $1,721,575.30 2025-12-04
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 74 31 $3,169,280.60 $1,584,640.30 50% off $412,006.48 $3,010,816.57 $1,711,411.52 2025-12-04
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 74 31 $3,132,333.00 $1,566,166.50 50% off $407,203.29 $2,975,716.35 $1,691,459.82 2025-12-04
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 74 31 $3,021,480.00 $1,510,740.00 50% off $392,792.40 $2,870,406.00 $1,631,599.20 2025-12-04
Q2042 HCPCS Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 116 31 $2,933,561.50 $1,466,780.75 50% off $381,363.00 $3,383,140.05 $1,584,123.22 2025-12-04
Q2053 HCPCS Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 74 31 $2,544,000.00 $1,272,000.00 50% off $330,720.00 $2,416,800.00 $1,373,760.00 2025-12-04
Q2057 HCPCS Afamitresgene Autoleucel 5 5 — — $786,032.40 $963,275.00 $809,151.00 2025-12-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 15 — — $204,007.03 $515,337.41 $486,227.04 2025-12-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 15 — — $272,675.64 $674,991.24 $316,200.95 2025-12-04
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 70 30 $551,628.25 $275,814.13 50% off $1,305.86 $524,046.84 $314,428.10 2025-12-04
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 5 — — $283,815.00 $347,812.50 $292,162.50 2025-12-04
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 70 30 $477,404.00 $238,702.00 50% off $5,103.71 $453,533.80 $272,120.28 2025-12-04
J3403 HCPCS Revakinagene, Per Implant 5 5 — — $262,650.00 $321,875.00 $270,375.00 2025-12-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 19 15 — — $155,539.37 $383,587.06 $251,566.34 2025-12-04
14 MS_DRG Allogeneic Bone Marrow Transplant 19 15 — — $95,610.00 $282,157.92 $234,498.64 2025-12-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 19 15 — — $103,007.47 $252,901.57 $219,930.67 2025-12-04
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 5 — — $209,752.80 $257,050.00 $215,922.00 2025-12-04
7 MS_DRG Lung Transplant 19 15 — — $95,372.60 $233,908.00 $195,751.27 2025-12-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 15 — — $77,966.06 $249,184.08 $190,605.09 2025-12-04
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 70 30 $292,224.00 $146,112.00 50% off $260.96 $277,612.80 $176,795.52 2025-12-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 15 — — $138,869.91 $424,595.42 $172,023.56 2025-12-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 15 — — $80,630.20 $197,232.79 $169,480.67 2025-12-04
77371 CPT Hc Radiation Delivery Stereotactic Cranial Cobalt 70 30 $221,961.00 $110,980.50 50% off $7,416.09 $210,862.95 $134,286.40 2025-12-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 15 — — $70,783.72 $172,737.32 $131,779.59 2025-12-04
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 74 31 $240,050.00 $120,025.00 50% off $31,206.50 $228,047.50 $129,627.00 2025-12-04
850 MS_DRG Acute Leukemia With Other Procedures 19 15 — — $67,623.86 $164,876.43 $125,954.31 2025-12-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 5 — — $111,502.61 $136,645.35 $114,782.09 2025-12-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 15 — — $61,355.22 $149,281.73 $114,041.02 2025-12-04
10 MS_DRG Pancreas Transplant 19 15 — — $58,710.49 $142,702.35 $109,014.83 2025-12-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 15 — — $58,381.70 $141,884.40 $108,389.97 2025-12-04
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 74 31 $195,069.50 $97,534.75 50% off $25,359.04 $185,316.03 $105,337.54 2025-12-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 15 — — $79,725.12 $194,981.20 $104,926.36 2025-12-04
834 MS_DRG Acute Leukemia With Mcc 19 15 — — $41,114.73 $110,004.67 $98,928.72 2025-12-04
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 69 31 $164,721.00 $82,360.50 50% off $21,413.73 $156,484.95 $98,832.60 2025-12-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 5 5 — — $95,081.03 $116,520.88 $97,877.54 2025-12-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 15 — — $40,494.56 $109,633.29 $97,385.90 2025-12-04
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 70 30 $170,489.00 $85,244.50 50% off $119.71 $161,964.55 $97,178.73 2025-12-04
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 70 30 $167,419.70 $83,709.85 50% off $67.04 $159,048.72 $95,429.23 2025-12-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 15 — — $44,118.46 $106,401.22 $95,312.01 2025-12-04
J0801 HCPCS Corticotropin 80 Unit/ml Injection Gel 69 31 $158,564.00 $79,282.00 50% off $20,613.32 $150,635.80 $95,138.40 2025-12-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 15 — — $59,344.33 $144,279.18 $91,807.59 2025-12-04
215 MS_DRG Other Heart Assist System Implant 19 15 — — $77,573.22 $189,627.85 $91,326.83 2025-12-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 15 — — $50,474.86 $122,214.28 $90,595.49 2025-12-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 15 — — $76,714.20 $187,490.80 $89,999.08 2025-12-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 15 — — $62,314.26 $151,667.56 $87,968.34 2025-12-04
6 MS_DRG Liver Transplant Without Mcc 19 15 — — $36,236.08 $93,917.16 $86,791.95 2025-12-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 15 — — $37,200.89 $91,923.60 $86,731.02 2025-12-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 15 — — $52,192.22 $126,486.58 $86,569.15 2025-12-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 15 — — $62,280.45 $151,583.44 $86,409.28 2025-12-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 15 — — $55,049.91 $133,595.74 $86,154.16 2025-12-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 15 — — $45,856.67 $110,725.42 $84,586.65 2025-12-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 15 — — $45,499.11 $109,835.88 $83,907.10 2025-12-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 15 — — $51,397.21 $124,508.83 $83,494.12 2025-12-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 15 — — $42,393.92 $102,111.02 $82,365.35 2025-12-04
0795T CPT Hc Tcat Insert Perm Dual Chamber Leadls Pm Compl Sys 74 31 $151,770.35 $75,885.18 50% off $18,501.35 $144,181.83 $81,648.79 2025-12-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 15 — — $57,583.82 $139,899.49 $80,660.60 2025-12-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 15 — — $57,016.17 $138,487.32 $78,914.46 2025-12-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 15 — — $47,876.91 $115,751.24 $77,641.13 2025-12-04
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 70 30 $135,076.60 $67,538.30 50% off $364.07 $128,322.77 $76,993.66 2025-12-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 15 — — $44,449.42 $107,224.54 $75,667.08 2025-12-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 15 — — $43,237.13 $104,208.69 $74,602.38 2025-12-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 15 — — $40,165.04 $96,566.16 $73,769.94 2025-12-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 15 — — $35,550.44 $85,086.25 $71,522.13 2025-12-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 15 — — $42,640.69 $102,724.93 $71,074.94 2025-12-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 5 5 — — $68,801.71 $84,315.83 $70,825.29 2025-12-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 15 — — $38,400.93 $92,177.52 $70,417.32 2025-12-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 15 — — $52,449.06 $127,125.55 $70,190.53 2025-12-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 15 — — $38,277.90 $91,871.46 $69,350.34 2025-12-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 15 — — $37,330.38 $89,514.27 $68,798.80 2025-12-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 15 — — $34,495.74 $82,462.38 $67,166.14 2025-12-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 15 — — $41,114.73 $98,928.72 $66,413.64 2025-12-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 15 — — $49,585.62 $120,002.06 $66,013.39 2025-12-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 15 — — $44,150.83 $106,481.76 $65,542.84 2025-12-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 15 — — $47,810.00 $115,584.79 $65,542.84 2025-12-04
93656 CPT Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 74 31 $121,044.20 $60,522.10 50% off $15,735.75 $114,991.99 $65,363.87 2025-12-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 15 — — $45,914.23 $110,868.61 $65,318.33 2025-12-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 15 — — $49,318.71 $119,338.04 $64,340.94 2025-12-04
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 70 30 $111,115.60 $55,557.80 50% off $221.24 $105,559.82 $63,335.89 2025-12-04
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 15 — — $26,331.31 $68,960.80 $62,151.50 2025-12-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 15 — — $45,297.67 $109,334.73 $62,066.42 2025-12-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 15 — — $39,624.73 $95,222.00 $61,534.64 2025-12-04
33266 CPT Hc Maze Procedure Without Cardio By 69 30 $99,183.65 $49,591.83 50% off $1,676.23 $94,224.47 $60,502.03 2025-12-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 15 — — $34,384.92 $82,186.74 $60,364.49 2025-12-04
0811 RC Hc Kidney Acquistion Live Donor 69 31 $98,460.75 $49,230.38 50% off $12,799.90 $93,537.71 $60,061.06 2025-12-04
0915T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator & Leads 74 31 $110,987.60 $55,493.80 50% off $14,428.39 $105,438.22 $59,933.31 2025-12-04
0408T CPT Hc Insert Or Replace Perm Cardiac Cont Mod Gen+elect 74 31 $110,987.60 $55,493.80 50% off $14,428.39 $105,438.22 $59,933.31 2025-12-04
A9543 HCPCS Y90 Ibritumomab, Rx 5 5 — — $57,961.04 $71,030.69 $59,665.78 2025-12-04
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 70 30 $104,288.60 $52,144.30 50% off $699.72 $99,074.17 $59,444.50 2025-12-04
37 MS_DRG Extracranial Procedures With Mcc 19 15 — — $25,240.63 $82,024.67 $59,438.13 2025-12-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 15 — — $32,478.35 $77,443.72 $59,161.70 2025-12-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 15 — — $46,848.79 $113,193.59 $59,026.54 2025-12-04
0916T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator Only 74 31 $109,005.70 $54,502.85 50% off $14,170.74 $103,555.42 $58,863.08 2025-12-04
0414T CPT Hc Removal & Replace Permament Ccm Pulse Generator Only 74 31 $109,005.70 $54,502.85 50% off $14,170.74 $103,555.42 $58,863.08 2025-12-04
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 74 31 $109,005.70 $54,502.85 50% off $14,170.74 $103,555.42 $58,863.08 2025-12-04
0409T CPT Hc Insert Or Replace Perm Ccm Pulse Generator Only 74 31 $109,005.70 $54,502.85 50% off $14,170.74 $103,555.42 $58,863.08 2025-12-04
33288 CPT Hc Rmvl&rplcmt Phrnc Nrv Stim Trnsvns Stim/snsg Ld 74 31 $109,284.20 $54,642.10 50% off $12,097.72 $103,819.99 $58,486.16 2025-12-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 5 — — $56,377.77 $69,090.41 $58,035.94 2025-12-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 15 — — $43,682.47 $105,316.59 $57,883.60 2025-12-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 15 — — $40,206.04 $96,668.18 $57,661.37 2025-12-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 15 — — $28,848.71 $68,414.08 $57,561.59 2025-12-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 15 — — $40,169.36 $96,576.90 $57,105.78 2025-12-04
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 70 30 $100,182.50 $50,091.25 50% off $83.72 $95,173.38 $57,104.03 2025-12-04
33277 CPT Hc Ins Phrenic Nrv Stimulator Transvns Sensing Ld 70 30 $94,209.80 $47,104.90 50% off $259.77 $89,499.31 $56,996.93 2025-12-04
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 70 30 $99,415.25 $49,707.63 50% off $3,734.05 $94,444.49 $56,666.69 2025-12-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 15 — — $32,038.05 $76,348.35 $56,505.96 2025-12-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 15 — — $33,524.46 $80,046.12 $56,012.73 2025-12-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 15 — — $49,400.01 $119,540.29 $55,590.94 2025-12-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 15 — — $40,947.82 $98,513.48 $55,230.37 2025-12-04
652 MS_DRG Kidney Transplant 19 15 — — $23,445.60 $157,283.83 $54,972.53 2025-12-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 15 — — $39,455.67 $94,801.40 $53,971.78 2025-12-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 15 — — $34,816.62 $83,260.64 $53,748.41 2025-12-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 15 — — $40,706.08 $97,912.10 $52,963.78 2025-12-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 15 — — $37,889.40 $90,904.96 $52,455.81 2025-12-04
163 MS_DRG Major Chest Procedures With Mcc 19 15 — — $34,509.39 $82,496.38 $52,358.30 2025-12-04
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 70 30 $91,682.00 $45,841.00 50% off $2,752.01 $87,097.90 $52,258.74 2025-12-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 15 — — $28,699.76 $68,043.59 $52,116.05 2025-12-04
264 MS_DRG Other Circulatory System O.r. Procedures 19 15 — — $26,493.92 $62,556.00 $52,013.66 2025-12-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 15 — — $31,490.56 $74,986.30 $51,553.26 2025-12-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 15 — — $37,586.52 $90,151.44 $51,538.52 2025-12-04
L7181 HCPCS Electronic Elbo Simultaneous 5 5 — — $49,605.45 $60,790.99 $51,064.43 2025-12-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 15 — — $35,196.48 $84,205.66 $50,988.60 2025-12-04
J3316 HCPCS Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspension 70 30 $89,190.70 $44,595.35 50% off $3,893.62 $84,731.17 $50,838.70 2025-12-04
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 70 30 $88,490.00 $44,245.00 50% off $324.90 $84,065.50 $50,439.30 2025-12-04
28 MS_DRG Spinal Procedures With Mcc 19 15 — — $45,087.57 $108,812.11 $50,335.49 2025-12-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 15 — — $32,414.35 $77,284.43 $50,069.03 2025-12-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 15 — — $26,548.60 $62,692.03 $49,713.25 2025-12-04
J9600 HCPCS Porfimer 75 Mg Intravenous Solution 74 31 $91,941.00 $45,970.50 50% off $11,952.33 $87,343.95 $49,648.14 2025-12-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 15 — — $40,405.35 $97,163.96 $49,486.23 2025-12-04
93653 CPT Hc Ep Ephys Eval W/ablation Supravent Arrhythmia 74 31 $91,417.45 $45,708.73 50% off $11,884.27 $86,846.58 $49,365.43 2025-12-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 15 — — $30,727.20 $73,087.30 $49,301.41 2025-12-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 15 — — $27,139.27 $64,161.47 $49,014.97 2025-12-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 15 — — $27,599.01 $65,305.16 $48,993.00 2025-12-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 15 — — $34,389.96 $82,199.27 $48,742.42 2025-12-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 15 — — $33,807.21 $80,749.52 $48,692.53 2025-12-04
0914T CPT Hc Perq Transcath Thera Rx Balloon Angio, Separate Lesion, 1 Artery/branch 69 31 $79,223.25 $39,611.63 50% off $10,299.02 $75,262.09 $48,326.18 2025-12-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 15 — — $37,372.81 $89,619.87 $47,492.90 2025-12-04
0571T CPT Hc Insert/replace Icds W/substernal Electrode 74 31 $87,916.70 $43,958.35 50% off $11,429.17 $83,520.87 $47,475.02 2025-12-04
332 MS_DRG Rectal Resection With Mcc 19 15 — — $26,303.97 $62,083.49 $47,427.54 2025-12-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 15 — — $37,344.76 $89,550.06 $47,411.26 2025-12-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 15 — — $30,009.19 $71,301.06 $47,302.41 2025-12-04
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 70 30 $82,588.85 $41,294.43 50% off $60.60 $78,459.41 $47,075.65 2025-12-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 15 — — $44,773.89 $108,031.75 $46,958.85 2025-12-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 15 — — $44,773.89 $108,031.75 $46,958.85 2025-12-04
665 MS_DRG Prostatectomy With Mcc 19 15 — — $26,051.44 $61,455.26 $46,947.61 2025-12-04
252 MS_DRG Other Vascular Procedures With Mcc 19 15 — — $26,028.44 $61,397.99 $46,903.86 2025-12-04
93591 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 74 31 $86,855.80 $43,427.90 50% off $11,291.25 $82,513.01 $46,902.13 2025-12-04
93590 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 74 31 $86,855.80 $43,427.90 50% off $11,291.25 $82,513.01 $46,902.13 2025-12-04
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 70 30 $81,970.00 $40,985.00 50% off $221.43 $77,871.50 $46,722.90 2025-12-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 7 — — $29,619.97 $70,332.77 $46,605.06 2025-12-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 15 — — $30,932.99 $73,599.19 $46,442.95 2025-12-04
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 70 30 $80,911.45 $40,455.73 50% off $144.44 $76,865.88 $46,119.53 2025-12-04
974 MS_DRG HIV With Major Related Condition With Mcc 19 15 — — $22,832.59 $53,447.60 $45,735.65 2025-12-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 15 — — $36,763.99 $110,220.70 $45,653.78 2025-12-04
0266T CPT Apc 5 5 — — $43,655.98 $53,499.97 $44,939.97 2025-12-04
245 MS_DRG Aicd Generator Procedures 19 15 — — $36,506.62 $87,464.92 $44,854.41 2025-12-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 15 — — $38,001.65 $91,184.17 $44,174.09 2025-12-04
0812 RC Hc Cadaver Donor - Kidney 195 31 $85,226.70 $42,613.35 50% off $10,000.54 $109,180.51 $44,147.43 2025-12-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 15 — — $35,015.17 $83,754.63 $43,997.21 2025-12-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 15 — — $31,992.74 $76,235.59 $43,668.39 2025-12-04
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 70 30 $76,100.00 $38,050.00 50% off $347.12 $72,295.00 $43,377.00 2025-12-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 15 — — $26,129.15 $61,648.56 $43,214.84 2025-12-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 15 — — $35,705.85 $85,472.85 $42,985.80 2025-12-04
653 MS_DRG Major Bladder Procedures With Mcc 19 15 — — $40,899.45 $99,775.31 $42,674.31 2025-12-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 15 — — $30,872.53 $73,448.84 $42,282.81 2025-12-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 15 — — $29,494.78 $70,021.34 $42,026.56 2025-12-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 15 — — $23,696.68 $55,597.18 $41,735.16 2025-12-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 15 — — $30,916.41 $73,558.02 $41,458.49 2025-12-04
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 15 — — $23,550.63 $55,233.85 $41,184.10 2025-12-04
L7180 HCPCS Electronic Elbow Sequential 5 5 — — $39,992.59 $49,010.53 $41,168.84 2025-12-04
471 MS_DRG Cervical Spinal Fusion With Mcc 19 15 — — $36,294.35 $86,936.93 $41,111.53 2025-12-04
93654 CPT Hc Ep Ephys Eval W/ablation Ventricular Tachycardia 74 31 $76,123.95 $38,061.98 50% off $9,896.11 $72,317.75 $41,106.93 2025-12-04
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 74 31 $75,885.15 $37,942.58 50% off $9,865.07 $72,090.89 $40,977.98 2025-12-04
56 MS_DRG Degenerative Nervous System Disorders With Mcc 19 15 — — $19,364.10 $44,818.88 $40,944.51 2025-12-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 19 15 — — $29,127.14 $69,106.74 $40,930.11 2025-12-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 15 — — $26,747.88 $63,187.81 $40,571.81 2025-12-04
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 5 5 — — $39,378.45 $48,257.90 $40,536.64 2025-12-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 15 — — $24,183.75 $56,808.89 $40,227.12 2025-12-04
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 74 31 $74,455.55 $37,227.78 50% off $9,679.22 $70,732.77 $40,206.00 2025-12-04
799 MS_DRG Splenic Procedures With Mcc 19 15 — — $35,556.91 $85,102.36 $40,137.55 2025-12-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 15 — — $29,325.70 $69,600.73 $40,110.33 2025-12-04
140 MS_DRG Major Head And Neck Procedures With Mcc 19 15 — — $31,775.45 $75,695.07 $39,979.94 2025-12-04
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 70 30 $70,069.55 $35,034.78 50% off $366.38 $66,566.07 $39,939.65 2025-12-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 15 — — $24,335.55 $57,186.54 $39,873.36 2025-12-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 15 — — $32,952.49 $78,623.21 $39,648.85 2025-12-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 15 — — $29,481.11 $69,987.33 $39,545.67 2025-12-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 15 — — $25,991.03 $61,304.91 $39,360.85 2025-12-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 15 — — $24,865.07 $58,503.85 $38,999.15 2025-12-04
33745 CPT Hc Transcatheter Intracardiac Shunt Creation 69 30 $63,758.65 $31,879.33 50% off $970.73 $60,570.72 $38,892.78 2025-12-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 15 — — $29,049.43 $68,913.44 $38,168.03 2025-12-04
901 MS_DRG Wound Debridements For Injuries With Mcc 19 15 — — $33,223.74 $79,297.98 $37,987.75 2025-12-04
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 15 — — $21,951.98 $51,256.87 $37,867.56 2025-12-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 15 — — $29,677.52 $70,475.95 $37,529.67 2025-12-04
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 74 31 $68,873.40 $34,436.70 50% off $8,953.54 $65,429.73 $37,191.64 2025-12-04
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sing Ld 74 31 $68,873.40 $34,436.70 50% off $8,953.54 $65,429.73 $37,191.64 2025-12-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 15 — — $31,282.64 $74,469.04 $36,750.70 2025-12-04
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 70 30 $64,353.85 $32,176.93 50% off $34.57 $61,136.16 $36,681.69 2025-12-04
263 MS_DRG Vein Ligation And Stripping 19 15 — — $20,644.73 $48,004.76 $36,672.35 2025-12-04
849 MS_DRG Radiotherapy 19 15 — — $20,565.60 $47,807.88 $36,521.95 2025-12-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 15 — — $27,133.53 $64,147.15 $36,470.64 2025-12-04
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 15 — — $22,300.20 $52,123.14 $36,461.57 2025-12-04
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 15 — — $21,532.55 $50,213.40 $36,341.38 2025-12-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 15 — — $30,611.37 $72,799.14 $36,336.84 2025-12-04
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 15 — — $20,437.52 $47,489.29 $36,278.57 2025-12-04
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 15 — — $21,035.39 $48,976.63 $36,157.69 2025-12-04
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 19 15 — — $20,221.69 $46,952.35 $36,054.32 2025-12-04
L8701 HCPCS Ewh S/d Uprt Micro Sensor 5 5 — — $34,970.13 $42,855.55 $35,998.66 2025-12-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 15 — — $24,402.46 $57,352.99 $35,935.46 2025-12-04
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 19 15 — — $15,827.26 $37,889.43 $35,749.14 2025-12-04
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 19 15 — — $15,659.61 $42,028.39 $35,603.10 2025-12-04
835 MS_DRG Acute Leukemia With Cc 19 15 — — $16,715.06 $38,228.77 $35,588.00 2025-12-04
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 15 — — $21,829.67 $50,952.60 $35,155.36 2025-12-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 15 — — $23,802.43 $55,860.28 $35,094.13 2025-12-04
265 MS_DRG Aicd Lead Procedures 19 15 — — $27,012.65 $63,846.46 $35,058.98 2025-12-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 15 — — $23,353.48 $54,743.43 $34,807.26 2025-12-04
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 70 30 $60,741.85 $30,370.93 50% off $2,478.49 $57,704.76 $34,622.85 2025-12-04
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 70 30 $60,528.35 $30,264.18 50% off $201.79 $57,501.93 $34,501.16 2025-12-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 15 — — $23,596.66 $55,348.39 $34,309.50 2025-12-04
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Solution 156 30 $58,303.00 $29,151.50 50% off $152.39 $107,452.32 $34,101.99 2025-12-04
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 19 15 — — $19,350.44 $44,784.88 $34,031.70 2025-12-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 15 — — $26,957.03 $80,268.06 $33,613.68 2025-12-04
472 MS_DRG Cervical Spinal Fusion With Cc 19 15 — — $22,192.28 $51,854.67 $33,445.50 2025-12-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 15 — — $27,137.83 $64,157.89 $33,421.69 2025-12-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 15 — — $26,538.52 $62,666.97 $33,330.98 2025-12-04
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 70 30 $58,261.65 $29,130.83 50% off $77.49 $55,348.57 $33,209.14 2025-12-04
545 MS_DRG Connective Tissue Disorders With Mcc 19 15 — — $19,528.13 $45,226.96 $32,931.86 2025-12-04
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 15 — — $21,939.75 $51,226.44 $32,906.91 2025-12-04
33903 CPT Hc Perq Pulm Art Revasc Init Abnormal Conn Bil 74 31 $60,757.25 $30,378.63 50% off $7,898.44 $57,719.39 $32,808.92 2025-12-04
33901 CPT Hc Perq Pulm Art Revasc Init Normal Nat Conn Bil 74 31 $60,757.25 $30,378.63 50% off $7,898.44 $57,719.39 $32,808.92 2025-12-04
34706 CPT Hc Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft Rpt 69 30 $53,755.20 $26,877.60 50% off $2,052.46 $51,067.44 $32,790.67 2025-12-04
34702 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft Rpt 69 30 $53,755.20 $26,877.60 50% off $1,617.32 $51,067.44 $32,790.67 2025-12-04
34703 CPT Hc Evasc Rpr Dplmnt Aorto-un-iliac Ndgft 69 30 $53,755.20 $26,877.60 50% off $1,236.65 $51,067.44 $32,790.67 2025-12-04
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 70 30 $57,484.95 $28,742.48 50% off $231.82 $54,610.70 $32,766.42 2025-12-04
J1304 HCPCS Tofersen 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution 70 30 $57,204.60 $28,602.30 50% off $162.59 $54,344.37 $32,606.62 2025-12-04
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 15 — — $21,553.42 $50,265.30 $32,408.02 2025-12-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 15 — — $29,735.78 $70,620.93 $32,333.18 2025-12-04
34701 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft 69 30 $52,774.60 $26,387.30 50% off $1,116.14 $50,135.87 $32,192.51 2025-12-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 15 — — $26,897.54 $63,560.09 $32,135.89 2025-12-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 15 — — $22,507.41 $52,638.61 $32,103.01 2025-12-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 15 — — $22,562.07 $52,774.63 $32,022.50 2025-12-04
33231 CPT Insrt Pulse Gen W/mult Leads 5 5 — — $31,103.64 $38,117.21 $32,018.46 2025-12-04
35 MS_DRG Carotid Artery Stent Procedures With Cc 19 15 — — $17,714.39 $40,714.83 $31,838.56 2025-12-04
69930 CPT Implant Cochlear Device 5 5 — — $30,857.47 $37,815.52 $31,765.04 2025-12-04
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 19 15 — — $14,703.46 $33,318.36 $31,688.90 2025-12-04
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 19 15 — — $18,002.18 $41,430.75 $31,650.26 2025-12-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 15 — — $29,190.59 $75,004.20 $31,497.74 2025-12-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 15 — — $28,486.82 $67,513.80 $31,412.49 2025-12-04
793 MS_DRG Full Term Neonate With Major Problems 19 15 — — $13,140.23 $74,644.44 $31,353.15 2025-12-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 15 — — $26,677.39 $63,012.40 $31,336.52 2025-12-04
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 15 — — $21,910.98 $51,154.85 $31,242.41 2025-12-04
J1440 HCPCS Fecal Microbiota, Live-jslm 150 Ml Rectal Suspension Enema 70 30 $54,810.00 $27,405.00 50% off $65.12 $52,069.50 $31,241.70 2025-12-04
249 MS_DRG Cardiac 1 1 — — $31,218.10 $31,218.10 $31,218.10 2025-12-04
247 MS_DRG Cardiac 1 1 — — $31,218.10 $31,218.10 $31,218.10 2025-12-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 15 — — $24,788.08 $58,312.34 $31,216.33 2025-12-04
253 MS_DRG Other Vascular Procedures With Cc 19 15 — — $19,715.92 $45,694.10 $31,109.74 2025-12-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 15 — — $25,752.15 $60,710.69 $31,071.19 2025-12-04
791 MS_DRG Prematurity With Major Problems 19 15 — — $29,296.37 $72,664.90 $31,006.78 2025-12-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 15 — — $29,989.06 $71,250.94 $30,968.01 2025-12-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 15 — — $23,534.80 $55,194.47 $30,879.57 2025-12-04
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 19 15 — — $17,271.93 $39,614.09 $30,800.20 2025-12-04
709 MS_DRG Penis Procedures With Cc/mcc 19 15 — — $17,515.09 $40,219.05 $30,724.60 2025-12-04
L5856 HCPCS Elec Knee-shin Swing/stance 5 5 — — $29,719.96 $36,421.53 $30,594.08 2025-12-04
L6880 HCPCS Elec Hand Ind Art Digits 5 5 — — $29,579.67 $36,249.60 $30,449.66 2025-12-04
61886 CPT Implant Neurostim Arrays 5 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-04
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 5 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-04
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 5 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-04
64568 CPT Opn Impltj Crnl Nrv Nea&pg 5 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-04
0268T CPT Apc 5 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-04
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 113 30 $48,534.80 $24,267.40 50% off $197.63 $160,316.87 $30,407.05 2025-12-04
L6700 HCPCS Ue Add Ext Power Myoel 5 5 — — $29,510.19 $36,164.45 $30,378.14 2025-12-04
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 70 30 $53,271.20 $26,635.60 50% off $130.00 $50,607.64 $30,364.58 2025-12-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 15 — — $24,509.65 $57,619.68 $30,260.48 2025-12-04
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 15 — — $20,505.89 $47,659.33 $30,223.06 2025-12-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 15 — — $28,545.98 $69,176.54 $29,961.27 2025-12-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 15 — — $25,854.33 $60,964.85 $29,856.83 2025-12-04
34710 CPT Hc Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl 69 30 $48,866.00 $24,433.00 50% off $718.70 $46,422.70 $29,808.26 2025-12-04
92943 CPT Hc Cath Prq Trluml Coronry Chronic Occlus Revasc One Vsl 74 31 $55,177.25 $27,588.63 50% off $7,173.04 $52,418.39 $29,795.72 2025-12-04
92937 CPT Hc Cath Prq Trluml Coronary Byp Grft Revasc One Vessel 74 31 $55,177.25 $27,588.63 50% off $7,173.04 $52,418.39 $29,795.72 2025-12-04
92933 CPT Hc Cath Prq Trluml Coronry Stent/ath/angio One Art/brnch 74 31 $55,177.25 $27,588.63 50% off $7,173.04 $52,418.39 $29,795.72 2025-12-04
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 15 — — $19,681.37 $45,608.19 $29,795.60 2025-12-04
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 113 30 $47,550.00 $23,775.00 50% off $33.57 $90,297.55 $29,790.08 2025-12-04
314 MS_DRG Other Circulatory System Diagnoses With Mcc 19 15 — — $16,841.67 $38,543.77 $29,732.90 2025-12-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 15 — — $25,103.92 $59,098.07 $29,277.42 2025-12-04
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 19 15 — — $16,607.14 $37,960.29 $28,999.07 2025-12-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 15 — — $26,556.52 $62,711.71 $28,954.27 2025-12-04
34845 CPT Hc Viscer And Infrarenal Abdom Aorta 1 Prosthesis 69 31 $47,419.35 $23,709.68 50% off $6,164.52 $45,048.38 $28,925.80 2025-12-04
34841 CPT Hc Endovasc Repair Visceral Aorta With 1 Graft 69 31 $47,419.35 $23,709.68 50% off $6,164.52 $45,048.38 $28,925.80 2025-12-04
34846 CPT Hc Rep Visc Ao Fen+uni/mod 2 Visc 69 31 $47,419.35 $23,709.68 50% off $6,164.52 $45,048.38 $28,925.80 2025-12-04
34705 CPT Hc Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft 69 30 $47,419.35 $23,709.68 50% off $1,374.92 $45,048.38 $28,925.80 2025-12-04
570 MS_DRG Skin Debridement With Mcc 19 15 — — $23,005.27 $53,877.16 $28,871.50 2025-12-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 15 — — $24,291.67 $57,077.36 $28,806.87 2025-12-04
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 19 15 — — $16,515.05 $36,421.60 $28,771.72 2025-12-04
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 15 — — $22,318.19 $52,167.88 $28,771.72 2025-12-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 15 — — $27,416.98 $64,852.34 $28,668.54 2025-12-04
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