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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

NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER

Wilmington, NC · CCN 340141 · Rates published

20,334 distinct procedures filed
23 distinct payers
1,015,080 rate rows
2026-03-30 last MRF observed
Data quality

706,516 of 1,015,080 rate rows are consumer-grade (69.6%)

308,564 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 308,368
per-diem day rate — not a per-procedure price 162
placeholder amount (≤ $0.02) — excluded from medians 34
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/853777599_novant-health-new-hanover-regional-medical-center-llc-dba-novant-health-new-hanover-regional-medical-center_standardcharges.json
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint e7be37f22cd77496… · 357,709,685 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 19 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
J3391
HCPCS 		Injection, Atidarsagene Autotemcel, Per Treatment 9 $4,327,749.87 $4,636,874.87 $4,504,392.73 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,540,269.12 $4,496,025.34 $3,684,769.90 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,185,975.71 $4,055,977.72 $3,316,015.53 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 9 $3,120,634.97 $3,978,853.10 $3,248,007.83 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 9 $2,829,839.27 $3,599,837.74 $2,945,342.91 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $2,358,513.80 $4,813,293.46 $2,478,846.13 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 10 $2,240,246.99 $4,571,932.64 $2,331,685.65 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 23 $740,299.80 $1,820,344.34 $1,280,322.07 nat. median
$824,563
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 23 $568,444.61 $1,397,764.71 $983,104.66 nat. median
$754,974
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 23 $543,604.73 $1,336,685.18 $940,144.95 nat. median
$675,122
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 23 $540,405.02 $1,328,817.33 $934,611.18 nat. median
$674,188
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 23 $535,390.14 $1,316,486.12 $925,938.13 nat. median
$625,184
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 23 $512,250.13 $1,259,586.47 $885,918.30 nat. median
$634,511
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 23 $470,052.83 $1,155,826.31 $812,939.57 nat. median
$620,080
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $246,550.47 $1,012,809.39 $629,679.93 nat. median
$370,174
1.7× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 23 $267,302.20 $992,250.00 $462,289.61 nat. median
$324,450
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $160,001.34 $657,272.55 $408,636.95 nat. median
$265,286
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $121,899.83 $500,754.63 $311,327.23 nat. median
$206,368
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $121,184.43 $497,815.84 $309,500.14 nat. median
$202,986
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 $79,084.01 $324,870.74 $201,977.38 nat. median
$133,176
1.5× median
7
MS_DRG 		Lung Transplant 23 $73,938.65 $303,733.99 $188,836.32 nat. median
$122,708
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $68,615.72 $281,867.83 $175,241.77 nat. median
$117,303
1.5× median
Q0480
HCPCS 		Dme Pos 23 $109,272.56 $223,005.22 $166,138.89 nat. median
$111,989
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 $64,698.46 $265,776.04 $165,237.25 nat. median
$108,660
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 $62,925.10 $258,491.22 $160,708.16 nat. median
$98,905
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 23 $62,085.24 $255,041.14 $158,563.19 nat. median
$102,358
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 23 $58,867.39 $241,822.47 $150,344.93 nat. median
$100,136
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 23 $56,849.09 $233,531.48 $145,190.29 nat. median
$99,019
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $55,854.51 $229,445.79 $142,650.15 nat. median
$93,672
1.5× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 23 $93,179.41 $190,162.06 $141,670.73 nat. median
$96,983
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 $51,439.95 $211,311.16 $131,375.55 nat. median
$82,712
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 23 $49,441.07 $203,099.91 $126,270.49 nat. median
$83,442
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 23 $48,130.18 $197,714.87 $122,922.52 nat. median
$79,312
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 $47,978.88 $197,093.34 $122,536.11 nat. median
$81,118
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 $44,926.60 $184,554.84 $114,740.72 nat. median
$77,576
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 $43,838.95 $180,086.85 $111,962.90 nat. median
$74,915
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 $43,649.96 $179,310.52 $111,480.24 nat. median
$73,807
1.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 $43,505.51 $178,717.13 $111,111.32 nat. median
$72,138
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 $41,214.31 $169,305.04 $105,259.68 nat. median
$68,090
1.5× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 23 $60,850.06 $149,625.97 $105,238.01 nat. median
$69,774
1.5× median
10
MS_DRG 		Pancreas Transplant 23 $40,969.37 $168,298.87 $104,634.12 nat. median
$68,882
1.5× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 $40,764.98 $168,228.51 $104,496.74 nat. median
$64,027
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 $40,734.71 $167,334.91 $104,034.81 nat. median
$71,240
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 $40,710.73 $167,236.40 $103,973.57 nat. median
$68,887
1.5× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 23 $67,425.68 $137,603.42 $102,514.55 nat. median
$70,825
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 23 $39,462.65 $162,109.36 $100,786.01 nat. median
$66,526
1.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 $39,269.09 $161,314.27 $100,291.68 nat. median
$65,950
1.5× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 23 $38,430.95 $157,871.22 $98,151.09 nat. median
$64,732
1.5× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 23 $38,176.30 $156,825.17 $97,500.74 nat. median
$60,691
1.6× median

Other procedures at this hospital

Browse this hospital's 20,334 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 54 23 — — $740,299.80 $1,820,344.34 $1,280,322.07 2026-03-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 54 23 — — $568,444.61 $1,397,764.71 $983,104.66 2026-03-30
Q2056 HCPCS Ciltacabtagene Car-pos T 54 23 — — $543,604.73 $1,336,685.18 $940,144.95 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 54 23 — — $540,405.02 $1,328,817.33 $934,611.18 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 54 23 — — $535,390.14 $1,316,486.12 $925,938.13 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 54 23 — — $512,250.13 $1,259,586.47 $885,918.30 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 54 23 — — $470,052.83 $1,155,826.31 $812,939.57 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 54 23 — — $246,550.47 $1,012,809.39 $629,679.93 2026-03-30
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 54 23 — — $267,302.20 $992,250.00 $462,289.61 2026-03-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 23 — — $160,001.34 $657,272.55 $408,636.95 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 54 23 — — $121,899.83 $500,754.63 $311,327.23 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 23 — — $121,184.43 $497,815.84 $309,500.14 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 23 — — $79,084.01 $324,870.74 $201,977.38 2026-03-30
7 MS_DRG Lung Transplant 54 23 — — $73,938.65 $303,733.99 $188,836.32 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 54 23 — — $68,615.72 $281,867.83 $175,241.77 2026-03-30
Q0480 HCPCS Dme Pos 50 23 — — $109,272.56 $223,005.22 $166,138.89 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 23 — — $64,698.46 $265,776.04 $165,237.25 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 23 — — $62,925.10 $258,491.22 $160,708.16 2026-03-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 54 23 — — $62,085.24 $255,041.14 $158,563.19 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 54 23 — — $58,867.39 $241,822.47 $150,344.93 2026-03-30
215 MS_DRG Other Heart Assist System Implant 54 23 — — $56,849.09 $233,531.48 $145,190.29 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 23 — — $55,854.51 $229,445.79 $142,650.15 2026-03-30
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 50 23 — — $93,179.41 $190,162.06 $141,670.73 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 54 23 — — $51,439.95 $211,311.16 $131,375.55 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 54 23 — — $49,441.07 $203,099.91 $126,270.49 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 23 — — $48,130.18 $197,714.87 $122,922.52 2026-03-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 23 — — $47,978.88 $197,093.34 $122,536.11 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 23 — — $44,926.60 $184,554.84 $114,740.72 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 23 — — $43,838.95 $180,086.85 $111,962.90 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 54 23 — — $43,649.96 $179,310.52 $111,480.24 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 54 23 — — $43,505.51 $178,717.13 $111,111.32 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 23 — — $41,214.31 $169,305.04 $105,259.68 2026-03-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 54 23 — — $60,850.06 $149,625.97 $105,238.01 2026-03-30
10 MS_DRG Pancreas Transplant 54 23 — — $40,969.37 $168,298.87 $104,634.12 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 54 23 — — $40,764.98 $168,228.51 $104,496.74 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 54 23 — — $40,734.71 $167,334.91 $104,034.81 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 54 23 — — $40,710.73 $167,236.40 $103,973.57 2026-03-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 54 23 — — $67,425.68 $137,603.42 $102,514.55 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 23 — — $39,462.65 $162,109.36 $100,786.01 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 23 — — $39,269.09 $161,314.27 $100,291.68 2026-03-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 54 23 — — $38,430.95 $157,871.22 $98,151.09 2026-03-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 54 23 — — $38,176.30 $156,825.17 $97,500.74 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 54 23 — — $38,148.33 $156,710.25 $97,429.29 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 23 — — $37,541.41 $154,217.09 $95,879.25 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 23 — — $37,541.41 $154,217.09 $95,879.25 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 54 23 — — $37,404.96 $153,656.54 $95,530.75 2026-03-30
A9543 HCPCS Y90 Ibritumomab, Rx 49 23 — — $54,588.77 $134,229.89 $94,409.33 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 23 — — $36,738.66 $150,919.45 $93,829.05 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 54 23 — — $53,097.62 $130,563.25 $91,830.43 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 23 — — $34,989.85 $143,735.49 $89,362.67 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 54 23 — — $34,949.32 $143,568.97 $89,259.15 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 23 — — $34,614.17 $142,192.22 $88,403.20 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 54 23 — — $34,304.15 $140,918.67 $87,611.41 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 54 23 — — $34,294.44 $140,878.80 $87,586.62 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 23 — — $34,046.08 $139,858.55 $86,952.32 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 23 — — $33,855.38 $139,075.18 $86,465.28 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 23 — — $33,506.54 $137,642.14 $85,574.34 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 23 — — $33,484.84 $137,553.02 $85,518.93 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 54 23 — — $32,927.03 $135,261.56 $84,094.29 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 23 — — $32,716.92 $134,398.46 $83,557.69 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 23 — — $32,541.07 $133,676.07 $83,108.57 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 23 — — $32,098.58 $131,858.39 $81,978.49 2026-03-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 54 23 — — $31,999.24 $131,450.29 $81,724.76 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 54 23 — — $26,474.77 $136,754.01 $81,614.39 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 23 — — $31,780.00 $130,549.65 $81,164.82 2026-03-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 54 23 — — $31,533.35 $129,536.44 $80,534.90 2026-03-30
834 MS_DRG Acute Leukemia With Mcc 54 23 — — $31,344.36 $128,760.11 $80,052.24 2026-03-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 54 23 — — $31,233.60 $128,305.11 $79,769.35 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 54 23 — — $31,189.07 $128,122.17 $79,655.62 2026-03-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 54 23 — — $31,139.97 $127,920.46 $79,530.21 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 54 23 — — $31,015.50 $127,409.16 $79,212.33 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 23 — — $30,447.41 $125,075.49 $77,761.45 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 54 23 — — $30,429.14 $125,000.44 $77,714.79 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 23 — — $30,224.74 $124,160.79 $77,192.76 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 23 — — $30,124.82 $123,750.34 $76,937.58 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 54 23 — — $26,842.46 $127,015.04 $76,928.75 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 54 23 — — $29,720.02 $122,087.45 $75,903.74 2026-03-30
653 MS_DRG Major Bladder Procedures With Mcc 54 23 — — $29,668.64 $121,876.37 $75,772.51 2026-03-30
J9226 HCPCS Supprelin La Implant 54 23 — — $43,249.30 $106,346.95 $74,798.12 2026-03-30
L7181 HCPCS Dme Pos 54 23 — — $48,613.34 $99,210.90 $73,912.12 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 23 — — $28,776.82 $118,212.85 $73,494.84 2026-03-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 23 — — $28,475.36 $116,974.48 $72,724.92 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 23 — — $28,246.98 $116,036.32 $72,141.65 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 23 — — $28,196.74 $115,829.92 $72,013.33 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 54 23 — — $28,100.25 $115,433.55 $71,766.90 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 54 23 — — $27,983.21 $114,952.74 $71,467.98 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 54 23 — — $27,569.27 $113,252.33 $70,410.80 2026-03-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 54 23 — — $27,429.96 $112,680.05 $70,055.01 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 54 23 — — $27,181.60 $111,659.80 $69,420.70 2026-03-30
652 MS_DRG Kidney Transplant 54 23 — — $18,438.70 $119,313.05 $68,875.88 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 23 — — $26,787.64 $110,041.48 $68,414.56 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 54 23 — — $26,707.71 $109,713.12 $68,210.41 2026-03-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 54 23 — — $26,369.14 $108,322.30 $67,345.72 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 23 — — $26,243.53 $107,806.31 $67,024.92 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 23 — — $26,176.73 $107,531.90 $66,854.32 2026-03-30
245 MS_DRG Aicd Generator Procedures 54 23 — — $26,048.84 $107,006.53 $66,527.68 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 23 — — $25,970.62 $106,685.21 $66,327.91 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 23 — — $25,959.20 $106,638.30 $66,298.75 2026-03-30
799 MS_DRG Splenic Procedures With Mcc 54 23 — — $25,857.57 $106,220.82 $66,039.20 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 54 23 — — $25,588.66 $105,116.14 $65,352.40 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 23 — — $25,581.24 $105,085.65 $65,333.44 2026-03-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 54 23 — — $25,480.75 $104,672.86 $65,076.81 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 54 23 — — $25,080.52 $103,028.73 $64,054.62 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 54 23 — — $24,707.12 $101,494.84 $63,100.98 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 23 — — $24,510.14 $100,685.68 $62,597.91 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 54 23 — — $24,352.56 $100,038.35 $62,195.46 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 54 23 — — $24,212.68 $99,463.72 $61,838.20 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 54 23 — — $24,112.19 $99,050.93 $61,581.56 2026-03-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 54 23 — — $24,071.08 $98,882.06 $61,476.57 2026-03-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 54 23 — — $24,059.09 $98,832.81 $61,445.95 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 54 23 — — $23,988.87 $98,544.33 $61,266.60 2026-03-30
901 MS_DRG Wound Debridements For Injuries With Mcc 54 23 — — $23,960.32 $98,427.06 $61,193.69 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 54 23 — — $23,915.79 $98,244.12 $61,079.96 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 23 — — $23,823.29 $97,864.16 $60,843.72 2026-03-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 54 23 — — $23,711.39 $97,404.46 $60,557.93 2026-03-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 23 — — $23,554.38 $96,759.48 $60,156.93 2026-03-30
L7180 HCPCS Dme Pos 54 23 — — $39,192.74 $79,985.18 $59,588.96 2026-03-30
L2006 HCPCS Dme Pos 54 23 — — $38,590.87 $78,756.88 $58,673.88 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 54 23 — — $22,954.88 $94,296.81 $58,625.85 2026-03-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 54 23 — — $22,747.06 $93,443.08 $58,095.07 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 23 — — $22,334.84 $91,749.70 $57,042.27 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 54 23 — — $22,233.78 $91,334.57 $56,784.18 2026-03-30
620T CPT Evasc Ven Artlz Tibl/prnl Vn 54 23 — — $7,185.90 $106,299.36 $56,742.63 2026-03-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 54 23 — — $22,099.61 $90,783.40 $56,441.50 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 54 23 — — $22,066.49 $90,647.36 $56,356.93 2026-03-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 54 23 — — $22,045.37 $90,560.58 $56,302.97 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 49 23 — — $5,724.04 $106,299.36 $56,011.70 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 54 23 — — $21,920.33 $90,046.94 $55,983.64 2026-03-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 54 23 — — $21,484.70 $88,257.40 $54,871.05 2026-03-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 54 23 — — $21,391.06 $87,872.76 $54,631.91 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 23 — — $21,340.25 $87,664.02 $54,502.14 2026-03-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 54 23 — — $21,337.96 $87,654.63 $54,496.29 2026-03-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 54 23 — — $21,278.02 $87,408.37 $54,343.19 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 54 23 — — $21,158.12 $86,915.83 $54,036.97 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 54 23 — — $20,971.42 $86,148.89 $53,560.15 2026-03-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 54 23 — — $20,962.85 $86,113.71 $53,538.28 2026-03-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 54 23 — — $20,716.78 $85,102.84 $52,909.81 2026-03-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 54 23 — — $20,700.79 $85,037.17 $52,868.98 2026-03-30
332 MS_DRG Rectal Resection With Mcc 54 23 — — $20,672.24 $84,919.90 $52,796.07 2026-03-30
265 MS_DRG Aicd Lead Procedures 54 23 — — $20,657.97 $84,861.26 $52,759.61 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 54 23 — — $20,621.43 $84,711.16 $52,666.29 2026-03-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 23 — — $20,590.60 $84,584.51 $52,587.56 2026-03-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 54 23 — — $20,455.85 $84,030.99 $52,243.42 2026-03-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 54 23 — — $20,408.46 $83,836.32 $52,122.39 2026-03-30
L8701 HCPCS Ewh S/d Uprt Micro Sensor 54 23 — — $34,270.73 $69,940.26 $52,105.50 2026-03-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 54 23 — — $20,387.91 $83,751.89 $52,069.90 2026-03-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 54 23 — — $20,357.65 $83,627.58 $51,992.61 2026-03-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 54 23 — — $20,340.52 $83,557.22 $51,948.87 2026-03-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 54 23 — — $20,321.11 $83,477.48 $51,899.29 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 54 23 — — $20,304.55 $83,409.46 $51,857.00 2026-03-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 54 23 — — $20,134.98 $82,712.88 $51,423.93 2026-03-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 54 23 — — $20,093.87 $82,544.01 $51,318.94 2026-03-30
252 MS_DRG Other Vascular Procedures With Mcc 54 23 — — $19,916.31 $81,814.59 $50,865.45 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 54 23 — — $19,911.17 $81,793.48 $50,852.32 2026-03-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 54 23 — — $19,819.82 $81,418.22 $50,619.02 2026-03-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 54 23 — — $19,723.90 $81,024.19 $50,374.04 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 23 — — $19,574.31 $80,409.69 $49,992.00 2026-03-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 54 23 — — $19,478.39 $80,015.67 $49,747.03 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 54 23 — — $19,452.70 $79,910.12 $49,681.41 2026-03-30
408T CPT Insj/rplc Cardiac Modulj Sys 54 23 — — $23,201.00 $75,752.17 $49,476.58 2026-03-30
264 MS_DRG Other Circulatory System O.r. Procedures 54 23 — — $19,073.02 $78,350.43 $48,711.72 2026-03-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 54 23 — — $18,860.06 $77,475.60 $48,167.83 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 54 23 — — $18,796.11 $77,212.91 $48,004.51 2026-03-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 54 23 — — $18,793.83 $77,203.53 $47,998.68 2026-03-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 54 23 — — $18,571.73 $76,291.17 $47,431.45 2026-03-30
J9266 HCPCS Pegaspargase Injection 54 23 — — $27,305.71 $67,142.79 $47,224.25 2026-03-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 54 23 — — $18,490.09 $75,955.78 $47,222.93 2026-03-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 54 23 — — $18,469.53 $75,871.34 $47,170.43 2026-03-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 54 23 — — $18,443.84 $75,765.80 $47,104.82 2026-03-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 54 23 — — $18,425.00 $75,688.40 $47,056.70 2026-03-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 54 23 — — $18,329.65 $75,296.72 $46,813.18 2026-03-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 54 23 — — $17,772.48 $75,540.64 $46,656.56 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 54 23 — — $18,229.16 $74,883.93 $46,556.54 2026-03-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 54 23 — — $18,195.48 $74,745.55 $46,470.51 2026-03-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 54 23 — — $18,177.78 $74,672.85 $46,425.32 2026-03-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 54 23 — — $18,141.24 $74,522.74 $46,331.99 2026-03-30
33289 CPT Tcat Impl Wrls P-art Prs Snr 49 23 — — $23,201.00 $69,222.83 $46,211.92 2026-03-30
500 MS_DRG Soft Tissue Procedures With Mcc 54 23 — — $18,069.30 $74,227.22 $46,148.26 2026-03-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 54 23 — — $18,041.89 $74,114.64 $46,078.26 2026-03-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 54 23 — — $17,990.51 $73,903.55 $45,947.03 2026-03-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 54 23 — — $17,981.94 $73,868.37 $45,925.15 2026-03-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 54 23 — — $17,939.69 $73,694.81 $45,817.25 2026-03-30
665 MS_DRG Prostatectomy With Mcc 54 23 — — $17,820.37 $73,204.62 $45,512.50 2026-03-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 23 — — $17,783.26 $73,052.17 $45,417.71 2026-03-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 54 23 — — $17,751.85 $72,923.18 $45,337.51 2026-03-30
69930 CPT Implant Cochlear Device 49 23 — — $10,404.50 $79,573.12 $44,988.81 2026-03-30
662 MS_DRG Minor Bladder Procedures With Mcc 54 23 — — $17,479.51 $71,804.42 $44,641.96 2026-03-30
263 MS_DRG Vein Ligation And Stripping 54 23 — — $17,456.10 $71,708.26 $44,582.18 2026-03-30
L5856 HCPCS Dme Pos 54 23 — — $29,125.56 $59,439.92 $44,282.74 2026-03-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 54 23 — — $17,317.93 $71,140.67 $44,229.30 2026-03-30
C9760 HCPCS Non-blind Interatrial Shunt 54 23 — — $23,201.00 $64,961.17 $44,081.08 2026-03-30
L6880 HCPCS Dme Pos 54 23 — — $28,988.08 $59,159.34 $44,073.71 2026-03-30
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 54 23 — — $17,245.42 $70,842.81 $44,044.11 2026-03-30
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 54 23 — — $17,243.14 $70,833.43 $44,038.29 2026-03-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 54 23 — — $17,224.30 $70,756.03 $43,990.17 2026-03-30
L6700 HCPCS Upper Extremity Addition, External Powered Feature, Myoelectronic Control Module… 50 23 — — $28,919.99 $59,020.38 $43,970.18 2026-03-30
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 54 23 — — $16,993.64 $69,808.49 $43,401.07 2026-03-30
571T CPT Insj/rplcmt Icds Ss Eltrd 54 23 — — $10,404.50 $75,752.17 $43,078.33 2026-03-30
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 54 23 — — $10,404.50 $75,752.17 $43,078.33 2026-03-30
33249 CPT Insj/rplcmt Defib W/lead(s) 49 23 — — $1,718.50 $75,752.17 $43,078.33 2026-03-30
472 MS_DRG Cervical Spinal Fusion With Cc 54 23 — — $16,820.64 $69,097.83 $42,959.24 2026-03-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 54 23 — — $16,809.22 $69,050.92 $42,930.07 2026-03-30
570 MS_DRG Skin Debridement With Mcc 54 23 — — $16,792.09 $68,980.56 $42,886.32 2026-03-30
668 MS_DRG Transurethral Procedures With Mcc 54 23 — — $16,671.62 $68,485.68 $42,578.65 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 54 23 — — $16,627.66 $68,305.08 $42,466.37 2026-03-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 54 23 — — $16,568.85 $68,063.51 $42,316.18 2026-03-30
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 54 23 — — $16,558.58 $68,021.29 $42,289.93 2026-03-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 54 23 — — $16,485.49 $67,721.08 $42,103.29 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 54 23 — — $16,477.50 $67,688.24 $42,082.87 2026-03-30
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 54 23 — — $16,453.52 $67,589.74 $42,021.63 2026-03-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 54 23 — — $16,387.29 $67,317.67 $41,852.48 2026-03-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 54 23 — — $16,274.82 $66,855.63 $41,565.22 2026-03-30
800 MS_DRG Splenic Procedures With Cc 54 23 — — $16,040.16 $65,891.67 $40,965.92 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 54 23 — — $15,982.49 $65,654.78 $40,818.64 2026-03-30
33270 CPT Ins/rep Subq Defibrillator 49 23 — — $5,724.04 $75,752.17 $40,738.11 2026-03-30
33231 CPT Insrt Pulse Gen W/mult Leads 49 23 — — $5,724.04 $75,752.17 $40,738.11 2026-03-30
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 49 23 — — $5,724.04 $75,752.17 $40,738.11 2026-03-30
503 MS_DRG Foot Procedures With Mcc 54 23 — — $15,935.67 $65,462.46 $40,699.07 2026-03-30
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 54 23 — — $15,826.05 $65,012.14 $40,419.10 2026-03-30
J9600 HCPCS Porfimer Sodium Injection 54 23 — — $5,555.93 $57,231.92 $40,253.54 2026-03-30
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 54 23 — — $15,741.55 $64,665.02 $40,203.29 2026-03-30
674T CPT Laps Insj Nw/rpcmt Prm Isdss 54 23 — — $5,724.04 $74,470.28 $40,097.16 2026-03-30
61886 CPT Implant Neurostim Arrays 49 23 — — $5,724.04 $74,470.28 $40,097.16 2026-03-30
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 49 23 — — $5,724.04 $74,470.28 $40,097.16 2026-03-30
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 49 23 — — $5,724.04 $74,470.28 $40,097.16 2026-03-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 54 23 — — $15,693.59 $64,468.01 $40,080.80 2026-03-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 54 23 — — $15,689.60 $64,451.59 $40,070.60 2026-03-30
963 MS_DRG Other Multiple Significant Trauma With Mcc 54 23 — — $15,608.52 $64,118.55 $39,863.54 2026-03-30
61885 CPT Insrt/redo Neurostim 1 Array 49 23 — — $1,850.56 $74,470.28 $39,710.79 2026-03-30
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 49 23 — — $4,951.29 $74,470.28 $39,710.79 2026-03-30
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 49 23 — — $4,951.29 $74,470.28 $39,710.79 2026-03-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 54 23 — — $15,534.30 $63,813.64 $39,673.97 2026-03-30
849 MS_DRG Radiotherapy 54 23 — — $15,469.78 $63,548.61 $39,509.19 2026-03-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 54 23 — — $15,450.94 $63,471.21 $39,461.07 2026-03-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 54 23 — — $15,400.70 $63,264.82 $39,332.76 2026-03-30
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 54 23 — — $15,187.16 $62,387.64 $38,787.40 2026-03-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 54 23 — — $15,134.07 $62,169.52 $38,651.79 2026-03-30
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 54 23 — — $15,058.13 $61,857.58 $38,457.86 2026-03-30
253 MS_DRG Other Vascular Procedures With Cc 54 23 — — $14,819.47 $60,877.20 $37,848.33 2026-03-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 54 23 — — $14,801.78 $60,804.50 $37,803.14 2026-03-30
515T CPT Insj Wcs Lv Compl Sys 54 23 — — $21,831.22 $53,681.42 $37,756.32 2026-03-30
414T CPT Rmvl & Rpl Car Modulj Pls Gn 54 23 — — $21,831.22 $53,681.42 $37,756.32 2026-03-30
409T CPT Insj/rplc Car Modulj Pls Gn 54 23 — — $21,831.22 $53,681.42 $37,756.32 2026-03-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 54 23 — — $14,746.39 $60,576.99 $37,661.69 2026-03-30
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 54 23 — — $14,725.84 $60,492.56 $37,609.20 2026-03-30
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 54 23 — — $14,725.84 $60,492.56 $37,609.20 2026-03-30
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 54 23 — — $14,659.61 $60,220.49 $37,440.05 2026-03-30
22630 CPT Arthrd Pst Tq 1ntrspc Lum 49 23 — — $9,366.14 $65,483.75 $37,424.94 2026-03-30
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 49 23 — — $9,366.14 $65,483.75 $37,424.94 2026-03-30
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 51 23 — — $2,441.08 $65,483.75 $37,424.94 2026-03-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 54 23 — — $14,576.25 $59,878.06 $37,227.15 2026-03-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 54 23 — — $14,507.17 $59,594.27 $37,050.72 2026-03-30
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 54 23 — — $14,479.76 $59,481.69 $36,980.72 2026-03-30
164 MS_DRG Major Chest Procedures With Cc 54 23 — — $14,410.68 $59,197.90 $36,804.29 2026-03-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 54 23 — — $14,404.40 $59,172.10 $36,788.25 2026-03-30
93653 CPT Compre Ep Eval Tx Svt 54 23 — — $1,768.36 $63,079.67 $36,742.08 2026-03-30
93654 CPT Compre Ep Eval Tx Vt 54 23 — — $10,404.50 $63,079.67 $36,742.08 2026-03-30
93656 CPT Compre Ep Eval Abltj Atr Fib 54 23 — — $4,257.16 $63,079.67 $36,742.08 2026-03-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 54 23 — — $14,227.40 $58,445.02 $36,336.21 2026-03-30
27702 CPT Reconstruct Ankle Joint 49 23 — — $7,039.00 $65,483.75 $36,261.38 2026-03-30
545 MS_DRG Connective Tissue Disorders With Mcc 54 23 — — $14,169.17 $58,205.79 $36,187.48 2026-03-30
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 54 23 — — $14,040.70 $57,678.08 $35,859.39 2026-03-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 54 23 — — $14,036.71 $57,661.66 $35,849.18 2026-03-30
21243 CPT Reconstruction Of Jaw Joint 49 23 — — $6,041.00 $65,483.75 $35,762.38 2026-03-30
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 54 23 — — $13,955.06 $57,326.27 $35,640.67 2026-03-30
956T CPT Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp … 54 23 — — $5,724.04 $65,483.75 $35,603.89 2026-03-30
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 54 23 — — $13,938.50 $57,258.25 $35,598.38 2026-03-30
20696 CPT App Mltpln Uni Xtrnl Fix 1st 49 23 — — $5,102.00 $65,483.75 $35,292.88 2026-03-30
960T CPT Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 54 23 — — $4,951.29 $65,483.75 $35,217.52 2026-03-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 54 23 — — $13,732.96 $56,413.91 $35,073.43 2026-03-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 54 23 — — $13,686.72 $56,223.93 $34,955.32 2026-03-30
L8614 HCPCS Dme Pos 54 23 — — $22,969.11 $46,875.74 $34,922.43 2026-03-30
397 MS_DRG Appendix Procedures With Mcc 54 23 — — $13,673.59 $56,169.98 $34,921.79 2026-03-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 54 23 — — $13,648.46 $56,066.79 $34,857.62 2026-03-30
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 54 23 — — $13,625.06 $55,970.63 $34,797.85 2026-03-30
Q0483 HCPCS Dme Pos 50 23 — — $22,748.15 $46,424.80 $34,586.47 2026-03-30
L5858 HCPCS Dme Pos 54 23 — — $22,548.87 $46,018.10 $34,283.49 2026-03-30
113 MS_DRG Orbital Procedures With Cc/mcc 54 23 — — $13,423.51 $55,142.70 $34,283.11 2026-03-30
333 MS_DRG Rectal Resection With Cc 54 23 — — $13,372.70 $54,933.96 $34,153.33 2026-03-30
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 54 23 — — $13,352.14 $54,849.52 $34,100.83 2026-03-30
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 54 23 — — $13,342.44 $54,809.65 $34,076.04 2026-03-30
709 MS_DRG Penis Procedures With Cc/mcc 54 23 — — $13,286.48 $54,579.80 $33,933.14 2026-03-30
357 MS_DRG Other Digestive System O.r. Procedures With Cc 54 23 — — $13,277.35 $54,542.28 $33,909.82 2026-03-30
56 MS_DRG Degenerative Nervous System Disorders With Mcc 54 23 — — $13,263.65 $54,485.99 $33,874.82 2026-03-30
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 54 23 — — $13,195.70 $54,206.88 $33,701.29 2026-03-30
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 40 19 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-03-30
J7330 HCPCS Cultured Chondrocytes Implnt 40 19 — — $96,363.41 $96,363.41 $96,363.41 2026-03-30
A9699 HCPCS Radiopharm Rx Agent Noc 40 19 — — $55,169.68 $55,169.68 $55,169.68 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 14 — — $33,934.18 $103,976.54 $66,032.29 2026-03-30
793 MS_DRG Full Term Neonate With Major Problems 18 14 — — $11,234.55 $72,943.64 $36,836.54 2026-03-30
791 MS_DRG Prematurity With Major Problems 18 14 — — $23,174.70 $71,008.80 $35,859.44 2026-03-30
38240 CPT Transplt Allo Hct/donor 13 11 — — $6,041.00 $151,802.10 $64,254.86 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 13 11 — — $4,951.29 $106,299.36 $44,994.43 2026-03-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 10 — — $2,358,513.80 $4,813,293.46 $2,478,846.13 2026-03-30
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 11 10 — — $2,240,246.99 $4,571,932.64 $2,331,685.65 2026-03-30
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 9 9 — — $4,327,749.87 $4,636,874.87 $4,504,392.73 2026-03-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 9 — — $3,540,269.12 $4,496,025.34 $3,684,769.90 2026-03-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 9 — — $3,185,975.71 $4,055,977.72 $3,316,015.53 2026-03-30
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 10 9 — — $3,120,634.97 $3,978,853.10 $3,248,007.83 2026-03-30
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 10 9 — — $2,829,839.27 $3,599,837.74 $2,945,342.91 2026-03-30
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