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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

Davis Regional Medical Center

Statesville, NC · CCN 340144 · Rates published

17,490 distinct procedures filed
21 distinct payers
453,773 rate rows
2025-12-31 last MRF observed
Data quality

363,825 of 453,773 rate rows are consumer-grade (80.2%)

89,948 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 89,421
percent-of-charges filed in the dollar field — excluded from medians 398
exceeds 10× this hospital's gross charge — excluded from medians 53
placeholder amount (≤ $0.02) — excluded from medians 50
per-diem day rate — not a per-procedure price 26
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://iredell.pt.panaceainc.com/MRFDownload/iredell/idbhh
Found on page https://www.iredelldavis.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint 5d4506bdf68b51ff… · 373,461,718 bytes · first seen 2026-05-13

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 10 $4,377,500.00 $4,596,375.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 10 $3,710,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 10 $3,685,266.67 $3,869,530.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 10 $3,324,571.90 $3,490,800.50 $3,324,571.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 10 $3,261,355.00 $3,424,422.75 $3,261,355.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $2,950,686.67 $3,098,221.00 $2,950,686.67 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $2,452,115.60 $4,904,231.20 $2,476,636.75 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 12 $2,332,000.00 $4,664,000.00 $2,355,320.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 12 $770,620.00 $1,541,240.00 $778,326.20 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $578,324.58 $1,156,649.16 $584,107.82 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $553,378.83 $1,106,757.66 $558,912.62 nat. median
$674,867
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $541,635.66 $1,083,271.32 $547,052.02 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $541,260.45 $1,082,520.90 $546,673.05 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $533,076.48 $1,066,152.96 $538,407.24 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $489,720.00 $979,440.00 $494,617.20 nat. median
$619,808
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 12 $270,375.00 $540,750.00 $273,078.75 nat. median
$324,450
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $260,688.74 $521,377.48 $268,509.40 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $194,855.54 $389,711.08 $200,701.21 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $164,192.71 $328,385.42 $169,118.49 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $148,389.15 $296,778.30 $152,840.82 nat. median
$202,976
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $98,026.36 $196,052.72 $100,967.15 nat. median
$133,161
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $90,934.35 $181,868.70 $93,662.38 nat. median
$117,357
0.8× median
7
MS_DRG 		Lung Transplant 11 $90,706.73 $181,413.46 $93,427.93 nat. median
$122,708
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $76,573.06 $153,146.12 $78,870.25 nat. median
$108,660
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 11 $75,705.36 $151,410.72 $77,976.52 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $74,018.92 $148,037.84 $76,239.49 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 11 $73,642.32 $147,284.64 $75,851.59 nat. median
$99,019
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $72,818.75 $145,637.50 $75,003.31 nat. median
$98,894
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $67,133.14 $134,266.28 $69,147.13 nat. median
$93,672
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $64,103.76 $128,207.52 $66,026.87 nat. median
$83,470
0.8× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 12 $63,431.05 $126,862.10 $64,065.36 nat. median
$69,774
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $59,013.41 $118,026.82 $60,783.81 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $58,980.99 $117,961.98 $60,750.42 nat. median
$81,118
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $58,093.97 $116,187.94 $59,836.79 nat. median
$82,711
0.7× median
38240
HCPCS 		Transplt Allo Hct/donor 12 $59,142.33 $118,284.66 $59,733.76 nat. median
$15,979
outlier · 3.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $56,166.12 $112,332.24 $57,851.10 nat. median
$77,570
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 12 $56,824.55 $113,649.10 $57,392.79 nat. median
$62,507
0.9× median
10
MS_DRG 		Pancreas Transplant 11 $55,558.45 $111,116.90 $57,225.20 nat. median
$68,884
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $55,243.23 $110,486.46 $56,900.53 nat. median
$71,271
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 12 $55,945.97 $111,891.94 $56,505.43 nat. median
$66,682
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $54,478.30 $108,956.60 $56,112.65 nat. median
$73,807
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $53,934.09 $107,868.18 $55,552.11 nat. median
$74,915
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $52,049.00 $104,098.00 $53,610.47 nat. median
$72,135
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $49,555.55 $99,111.10 $51,042.22 nat. median
$68,090
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $49,309.31 $98,618.62 $50,788.59 nat. median
$68,886
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $48,547.14 $97,094.28 $50,003.55 nat. median
$66,526
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $47,662.88 $95,325.76 $49,092.77 nat. median
$64,732
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 $46,810.35 $93,620.70 $48,214.66 nat. median
$63,724
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 $46,632.39 $93,264.78 $48,031.36 nat. median
$64,023
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $46,554.45 $93,108.90 $47,951.08 nat. median
$65,950
0.7× median

Other procedures at this hospital

Browse this hospital's 17,490 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 10 10 — — $4,377,500.00 $4,596,375.00 $4,377,500.00 2025-12-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 10 10 — — $3,710,000.00 $3,895,500.00 $3,710,000.00 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 10 — — $3,685,266.67 $3,869,530.00 $3,685,266.67 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 10 — — $3,324,571.90 $3,490,800.50 $3,324,571.90 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 10 — — $3,261,355.00 $3,424,422.75 $3,261,355.00 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 10 10 — — $2,950,686.67 $3,098,221.00 $2,950,686.67 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 12 — — $2,452,115.60 $4,904,231.20 $2,476,636.75 2025-12-31
J3392 HCPCS Inj, Exagamglogene Autotem 12 12 — — $2,332,000.00 $4,664,000.00 $2,355,320.00 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 12 12 — — $770,620.00 $1,541,240.00 $778,326.20 2025-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 12 — — $578,324.58 $1,156,649.16 $584,107.82 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 12 12 — — $553,378.83 $1,106,757.66 $558,912.62 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 12 — — $541,635.66 $1,083,271.32 $547,052.02 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 12 12 — — $541,260.45 $1,082,520.90 $546,673.05 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 12 — — $533,076.48 $1,066,152.96 $538,407.24 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 12 12 — — $489,720.00 $979,440.00 $494,617.20 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 12 — — $270,375.00 $540,750.00 $273,078.75 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 11 — — $260,688.74 $521,377.48 $268,509.40 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 11 — — $194,855.54 $389,711.08 $200,701.21 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 11 — — $164,192.71 $328,385.42 $169,118.49 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 11 — — $148,389.15 $296,778.30 $152,840.82 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 11 — — $98,026.36 $196,052.72 $100,967.15 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 13 11 — — $90,934.35 $181,868.70 $93,662.38 2025-12-31
7 MS_DRG Lung Transplant 13 11 — — $90,706.73 $181,413.46 $93,427.93 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 11 — — $76,573.06 $153,146.12 $78,870.25 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 13 11 — — $75,705.36 $151,410.72 $77,976.52 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 11 — — $74,018.92 $148,037.84 $76,239.49 2025-12-31
215 MS_DRG Other Heart Assist System Implant 13 11 — — $73,642.32 $147,284.64 $75,851.59 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 11 — — $72,818.75 $145,637.50 $75,003.31 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 11 — — $67,133.14 $134,266.28 $69,147.13 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 13 11 — — $64,103.76 $128,207.52 $66,026.87 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 12 12 — — $63,431.05 $126,862.10 $64,065.36 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 11 — — $59,013.41 $118,026.82 $60,783.81 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 11 — — $58,980.99 $117,961.98 $60,750.42 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 11 — — $58,093.97 $116,187.94 $59,836.79 2025-12-31
38240 HCPCS Transplt Allo Hct/donor 12 12 — — $59,142.33 $118,284.66 $59,733.76 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 11 — — $56,166.12 $112,332.24 $57,851.10 2025-12-31
A9543 HCPCS Y90 Ibritumomab, Rx 12 12 — — $56,824.55 $113,649.10 $57,392.79 2025-12-31
10 MS_DRG Pancreas Transplant 13 11 — — $55,558.45 $111,116.90 $57,225.20 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 11 — — $55,243.23 $110,486.46 $56,900.53 2025-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 12 — — $55,945.97 $111,891.94 $56,505.43 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 11 — — $54,478.30 $108,956.60 $56,112.65 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 11 — — $53,934.09 $107,868.18 $55,552.11 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 11 — — $52,049.00 $104,098.00 $53,610.47 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 11 — — $49,555.55 $99,111.10 $51,042.22 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 11 — — $49,309.31 $98,618.62 $50,788.59 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 11 — — $48,547.14 $97,094.28 $50,003.55 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 11 — — $47,662.88 $95,325.76 $49,092.77 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 11 — — $46,810.35 $93,620.70 $48,214.66 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 11 — — $46,632.39 $93,264.78 $48,031.36 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 11 — — $46,554.45 $93,108.90 $47,951.08 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 11 — — $45,172.19 $90,344.38 $46,527.36 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 11 — — $45,108.04 $90,216.08 $46,461.28 2025-12-31
J9226 HCPCS Supprelin La Implant 12 12 — — $45,560.39 $91,120.78 $46,015.99 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 11 — — $44,186.54 $88,373.08 $45,512.14 2025-12-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 12 12 — — $45,000.50 $90,001.00 $45,450.51 2025-12-31
0266T HCPCS Implt/rpl Crtd Sns Dev Total 12 12 — — $45,000.50 $90,001.00 $45,450.51 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc 13 11 — — $43,290.55 $86,581.10 $44,589.27 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 11 — — $43,235.37 $86,470.74 $44,532.43 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 11 — — $43,040.86 $86,081.72 $44,332.09 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 11 — — $42,892.57 $85,785.14 $44,179.35 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 11 — — $42,699.44 $85,398.88 $43,980.42 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 13 11 — — $42,498.03 $84,996.06 $43,772.97 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 11 — — $42,197.30 $84,394.60 $43,463.22 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 11 — — $42,197.30 $84,394.60 $43,463.22 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 11 — — $41,886.22 $83,772.44 $43,142.81 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 11 — — $41,599.98 $83,199.96 $42,847.98 2025-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 11 — — $41,568.94 $83,137.88 $42,816.01 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 11 — — $41,150.95 $82,301.90 $42,385.48 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 11 — — $40,723.99 $81,447.98 $41,945.71 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 11 — — $40,152.19 $80,304.38 $41,356.76 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 11 — — $39,915.61 $79,831.22 $41,113.08 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 13 11 — — $39,015.48 $78,030.96 $40,185.94 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 11 — — $38,689.23 $77,378.46 $39,849.91 2025-12-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 13 11 — — $38,689.23 $77,378.46 $39,849.91 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 11 — — $38,529.21 $77,058.42 $39,685.09 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 11 — — $38,297.45 $76,594.90 $39,446.37 2025-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 11 — — $38,094.67 $76,189.34 $39,237.51 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 11 — — $38,009.14 $76,018.28 $39,149.41 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 11 — — $37,818.08 $75,636.16 $38,952.62 2025-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 11 — — $37,782.90 $75,565.80 $38,916.39 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 11 — — $37,778.76 $75,557.52 $38,912.12 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 11 — — $37,260.76 $74,521.52 $38,378.58 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 11 — — $37,098.67 $74,197.34 $38,211.63 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 11 — — $36,087.49 $72,174.98 $37,170.11 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 11 — — $35,969.55 $71,939.10 $37,048.64 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 11 — — $35,704.68 $71,409.36 $36,775.82 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 11 — — $35,597.08 $71,194.16 $36,664.99 2025-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 11 — — $35,306.70 $70,613.40 $36,365.90 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 11 — — $35,101.84 $70,203.68 $36,154.90 2025-12-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 11 — — $35,074.94 $70,149.88 $36,127.19 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 11 — — $35,061.15 $70,122.30 $36,112.98 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 11 — — $34,936.99 $69,873.98 $35,985.10 2025-12-31
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 12 12 — — $35,000.50 $70,001.00 $35,350.51 2025-12-31
245 MS_DRG Aicd Generator Procedures 13 11 — — $34,271.38 $68,542.76 $35,299.52 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 13 11 — — $34,067.91 $68,135.82 $35,089.95 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 13 11 — — $34,012.04 $68,024.08 $35,032.40 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 11 — — $33,503.69 $67,007.38 $34,508.80 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 13 11 — — $33,360.91 $66,721.82 $34,361.74 2025-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 11 — — $33,354.70 $66,709.40 $34,355.34 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 11 — — $33,015.35 $66,030.70 $34,005.81 2025-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 11 — — $32,841.53 $65,683.06 $33,826.78 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 11 — — $32,651.16 $65,302.32 $33,630.69 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 13 11 — — $32,356.64 $64,713.28 $33,327.34 2025-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 11 — — $32,343.53 $64,687.06 $33,313.84 2025-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 11 — — $32,242.14 $64,484.28 $33,209.40 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 11 — — $32,237.31 $64,474.62 $33,204.43 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 11 — — $31,683.44 $63,366.88 $32,633.94 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 11 — — $31,497.90 $62,995.80 $32,442.84 2025-12-31
33270 HCPCS Ins/rep Subq Defibrillator 12 12 — — $32,061.58 $64,123.16 $32,382.19 2025-12-31
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 12 12 — — $32,061.58 $64,123.16 $32,382.19 2025-12-31
0408T HCPCS Insj/rplc Cardiac Modulj Sys 12 12 — — $32,061.58 $64,123.16 $32,382.19 2025-12-31
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 12 12 — — $32,061.58 $64,123.16 $32,382.19 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 11 — — $31,412.37 $62,824.74 $32,354.74 2025-12-31
69930 HCPCS Implant Cochlear Device 12 12 — — $31,807.82 $63,615.64 $32,125.90 2025-12-31
33264 HCPCS Removal Replace Icd Gen; Multi Ld Sys 26 21 $73,917.00 $51,741.90 30% off $16,934.38 $66,525.30 $32,061.58 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 13 11 — — $31,124.05 $62,248.10 $32,057.77 2025-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 11 — — $30,864.02 $61,728.04 $31,789.94 2025-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 11 — — $30,409.47 $60,818.94 $31,321.75 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 11 — — $30,348.08 $60,696.16 $31,258.52 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 11 — — $29,987.34 $59,974.68 $30,886.96 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 11 — — $29,943.89 $59,887.78 $30,842.21 2025-12-31
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 12 12 — — $30,473.59 $60,947.18 $30,778.33 2025-12-31
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 12 12 — — $30,473.59 $60,947.18 $30,778.33 2025-12-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 12 12 — — $30,473.59 $60,947.18 $30,778.33 2025-12-31
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 12 12 — — $30,473.59 $60,947.18 $30,778.33 2025-12-31
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 12 12 — — $30,473.59 $60,947.18 $30,778.33 2025-12-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 12 12 — — $30,473.59 $60,947.18 $30,778.33 2025-12-31
61886 HCPCS Implant Neurostim Arrays 12 12 — — $30,473.59 $60,947.18 $30,778.33 2025-12-31
140 MS_DRG Major Head And Neck Procedures With Mcc 13 11 — — $29,735.59 $59,471.18 $30,627.66 2025-12-31
33249 HCPCS Insert/replace Icd Full System Single 26 21 $47,748.00 $33,423.60 30% off $10,939.07 $64,123.16 $30,355.19 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 11 — — $29,469.34 $58,938.68 $30,353.42 2025-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 11 — — $29,462.44 $58,924.88 $30,346.31 2025-12-31
793 MS_DRG Full Term Neonate With Major Problems 13 11 — — $29,330.70 $58,661.40 $30,210.62 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 11 — — $29,263.11 $58,526.22 $30,141.00 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 11 — — $28,927.89 $57,855.78 $29,795.73 2025-12-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 11 — — $28,912.02 $57,824.04 $29,779.38 2025-12-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 11 — — $28,869.95 $57,739.90 $29,736.05 2025-12-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 11 — — $28,730.62 $57,461.24 $29,592.54 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 11 — — $28,619.57 $57,239.14 $29,478.16 2025-12-31
791 MS_DRG Prematurity With Major Problems 13 11 — — $28,567.84 $57,135.68 $29,424.88 2025-12-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 11 — — $28,042.25 $56,084.50 $28,883.52 2025-12-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 11 — — $28,022.94 $56,045.88 $28,863.63 2025-12-31
J9266 HCPCS Pegaspargase Injection 12 12 — — $28,424.06 $56,848.12 $28,708.30 2025-12-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 11 — — $27,780.14 $55,560.28 $28,613.54 2025-12-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 11 — — $27,724.27 $55,448.54 $28,556.00 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 11 — — $27,669.09 $55,338.18 $28,499.16 2025-12-31
33289 HCPCS Rhc W CardioMem Placement 26 21 $57,057.00 $39,939.90 30% off $13,071.76 $56,856.66 $28,428.33 2025-12-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 11 — — $27,549.08 $55,098.16 $28,375.55 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 11 — — $27,535.97 $55,071.94 $28,362.05 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 11 — — $27,386.99 $54,773.98 $28,208.60 2025-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 11 — — $27,223.52 $54,447.04 $28,040.23 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 11 — — $27,196.62 $54,393.24 $28,012.52 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 11 — — $27,122.12 $54,244.24 $27,935.78 2025-12-31
C9760 HCPCS Non-blind Interatrial Shunt 12 12 — — $27,500.50 $55,001.00 $27,775.50 2025-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 11 — — $26,929.68 $53,859.36 $27,737.57 2025-12-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 11 — — $26,786.90 $53,573.80 $27,590.51 2025-12-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 11 — — $26,582.74 $53,165.48 $27,380.22 2025-12-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 11 — — $26,375.12 $52,750.24 $27,166.37 2025-12-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 11 — — $25,731.59 $51,463.18 $26,503.54 2025-12-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 11 — — $25,557.08 $51,114.16 $26,323.79 2025-12-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 11 — — $25,290.84 $50,581.68 $26,049.57 2025-12-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 11 — — $25,289.46 $50,578.92 $26,048.14 2025-12-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 11 — — $25,285.32 $50,570.64 $26,043.88 2025-12-31
265 MS_DRG Aicd Lead Procedures 13 11 — — $25,169.44 $50,338.88 $25,924.52 2025-12-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 11 — — $25,059.08 $50,118.16 $25,810.85 2025-12-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 11 — — $24,915.61 $49,831.22 $25,663.08 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 13 11 — — $24,909.40 $49,818.80 $25,656.68 2025-12-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 11 — — $24,848.02 $49,696.04 $25,593.46 2025-12-31
C1882 HCPCS Icd Pacemaker, Bi-v Quadra Assura (ddqp+) Cd3265-40q 112 13 $106,195.00 $74,336.50 30% off $9,470.99 $134,257.50 $25,574.69 2025-12-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 11 — — $24,732.14 $49,464.28 $25,474.10 2025-12-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 11 — — $24,724.55 $49,449.10 $25,466.29 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 11 — — $24,714.89 $49,429.78 $25,456.34 2025-12-31
264 MS_DRG Other Circulatory System O.r. Procedures 13 11 — — $24,672.13 $49,344.26 $25,412.29 2025-12-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 11 — — $24,516.25 $49,032.50 $25,251.74 2025-12-31
332 MS_DRG Rectal Resection With Mcc 13 11 — — $24,490.04 $48,980.08 $25,224.74 2025-12-31
C1822 HCPCS Kit, Nevro Ipg/charger/remote 14 13 $110,000.00 $77,000.00 30% off $25,201.00 $99,000.00 $25,201.00 2025-12-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 11 — — $24,463.83 $48,927.66 $25,197.74 2025-12-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 11 — — $24,322.43 $48,644.86 $25,052.10 2025-12-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 11 — — $24,285.18 $48,570.36 $25,013.74 2025-12-31
665 MS_DRG Prostatectomy With Mcc 13 11 — — $24,247.93 $48,495.86 $24,975.37 2025-12-31
252 MS_DRG Other Vascular Procedures With Mcc 13 11 — — $24,225.86 $48,451.72 $24,952.64 2025-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 11 — — $24,189.99 $48,379.98 $24,915.69 2025-12-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 11 — — $24,058.94 $48,117.88 $24,780.71 2025-12-31
93656 HCPCS Compre Ep Eval Abltj Atr Fib 12 12 — — $24,532.30 $49,064.60 $24,777.62 2025-12-31
93653 HCPCS Compre Ep Eval Tx Svt 12 12 — — $24,532.30 $49,064.60 $24,777.62 2025-12-31
93654 HCPCS Compre Ep Eval Tx Vt 12 12 — — $24,532.30 $49,064.60 $24,777.62 2025-12-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 11 — — $23,961.00 $47,922.00 $24,679.83 2025-12-31
J9600 HCPCS Porfimer Sodium Injection 12 12 — — $24,228.42 $48,456.84 $24,470.71 2025-12-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 11 — — $23,717.52 $47,435.04 $24,429.05 2025-12-31
37 MS_DRG Extracranial Procedures With Mcc 13 11 — — $23,470.59 $46,941.18 $24,174.71 2025-12-31
C2624 HCPCS System, Cardiomems Sensor And Delivery 14 13 $105,000.00 $73,500.00 30% off $24,055.50 $94,500.00 $24,055.50 2025-12-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 11 — — $23,339.53 $46,679.06 $24,039.72 2025-12-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 11 — — $23,110.54 $46,221.08 $23,799.40 2025-12-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 11 — — $23,046.39 $46,092.78 $23,731.69 2025-12-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 11 — — $23,036.73 $46,073.46 $23,721.50 2025-12-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 11 — — $22,769.80 $45,539.60 $23,439.72 2025-12-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 11 — — $22,667.03 $45,334.06 $23,331.24 2025-12-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 13 11 — — $22,602.88 $45,205.76 $23,263.52 2025-12-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 11 — — $22,560.80 $45,121.60 $23,219.11 2025-12-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 13 11 — — $22,501.49 $45,002.98 $23,156.49 2025-12-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 11 — — $22,457.34 $44,914.68 $23,109.89 2025-12-31
500 MS_DRG Soft Tissue Procedures With Mcc 13 11 — — $22,420.79 $44,841.58 $23,071.30 2025-12-31
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 12 12 — — $22,500.50 $45,001.00 $22,725.50 2025-12-31
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 12 12 — — $22,500.50 $45,001.00 $22,725.50 2025-12-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 11 — — $22,091.77 $44,183.54 $22,724.00 2025-12-31
662 MS_DRG Minor Bladder Procedures With Mcc 13 11 — — $22,082.12 $44,164.24 $22,713.81 2025-12-31
0409T HCPCS Insj/rplc Car Modulj Pls Gn 12 12 — — $22,446.19 $44,892.38 $22,670.65 2025-12-31
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 12 12 — — $22,446.19 $44,892.38 $22,670.65 2025-12-31
0515T HCPCS Insj Wcs Lv Compl Sys 12 12 — — $22,446.19 $44,892.38 $22,670.65 2025-12-31
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 12 12 — — $22,446.19 $44,892.38 $22,670.65 2025-12-31
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 12 12 — — $22,446.19 $44,892.38 $22,670.65 2025-12-31
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 12 12 — — $22,446.19 $44,892.38 $22,670.65 2025-12-31
C1721 HCPCS Icd Pacemaker, Unify Quadra 378 13 $87,225.00 $61,057.50 30% off $10,244.47 $144,022.50 $22,645.85 2025-12-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 11 — — $21,990.38 $43,980.76 $22,616.97 2025-12-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 11 — — $21,894.51 $43,789.02 $22,515.76 2025-12-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 11 — — $21,850.36 $43,700.72 $22,469.17 2025-12-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 11 — — $21,835.19 $43,670.38 $22,453.15 2025-12-31
33263 HCPCS Removal Replace Icd Gen; Dual Ld Sys 26 21 $73,917.00 $51,741.90 30% off $16,934.38 $66,525.30 $22,446.19 2025-12-31
33262 HCPCS Removal Replace Icd Gen; Single Ld Sys 26 21 $73,185.00 $51,229.50 30% off $16,766.68 $65,866.50 $22,446.19 2025-12-31
652 MS_DRG Kidney Transplant 13 11 — — $21,749.66 $43,499.32 $22,362.86 2025-12-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 11 — — $21,730.35 $43,460.70 $22,342.48 2025-12-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 11 — — $21,661.37 $43,322.74 $22,269.67 2025-12-31
570 MS_DRG Skin Debridement With Mcc 13 11 — — $21,327.53 $42,655.06 $21,917.27 2025-12-31
C1767 HCPCS Neurostimulator, Interstim Ii 70 13 $82,500.00 $57,750.00 30% off $13,379.44 $97,200.00 $21,879.05 2025-12-31
974 MS_DRG HIV With Major Related Condition With Mcc 13 11 — — $21,161.99 $42,323.98 $21,742.52 2025-12-31
63655 HCPCS Implant Neuroelectrodes 12 12 — — $21,444.39 $42,888.78 $21,658.83 2025-12-31
61885 HCPCS Insrt/redo Neurostim 1 Array 12 12 — — $21,444.39 $42,888.78 $21,658.83 2025-12-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 12 12 — — $21,444.39 $42,888.78 $21,658.83 2025-12-31
64590 HCPCS Ins/rpl Prph Sac/gstr Npg/r 12 12 — — $21,444.39 $42,888.78 $21,658.83 2025-12-31
0680T HCPCS Insj/rplcmt Pg Only Isdss 12 12 — — $21,444.39 $42,888.78 $21,658.83 2025-12-31
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 12 12 — — $21,444.39 $42,888.78 $21,658.83 2025-12-31
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 12 12 — — $21,444.39 $42,888.78 $21,658.83 2025-12-31
64580 HCPCS Opn Impltj Nea Neuromuscular 12 12 — — $21,444.39 $42,888.78 $21,658.83 2025-12-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 11 — — $20,902.65 $41,805.30 $21,468.76 2025-12-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 11 — — $20,850.22 $41,700.44 $21,413.42 2025-12-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 11 — — $20,795.04 $41,590.08 $21,355.17 2025-12-31
668 MS_DRG Transurethral Procedures With Mcc 13 11 — — $20,679.86 $41,359.72 $21,233.58 2025-12-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 11 — — $20,668.82 $41,337.64 $21,221.93 2025-12-31
800 MS_DRG Splenic Procedures With Cc 13 11 — — $20,662.61 $41,325.22 $21,215.38 2025-12-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 11 — — $20,651.58 $41,303.16 $21,203.73 2025-12-31
472 MS_DRG Cervical Spinal Fusion With Cc 13 11 — — $20,548.11 $41,096.22 $21,094.51 2025-12-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 11 — — $20,340.50 $40,681.00 $20,875.36 2025-12-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 13 11 — — $20,317.74 $40,635.48 $20,851.33 2025-12-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 11 — — $20,306.01 $40,612.02 $20,838.95 2025-12-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 11 — — $20,278.42 $40,556.84 $20,809.83 2025-12-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 11 — — $20,200.48 $40,400.96 $20,727.55 2025-12-31
L8683 HCPCS Stimulator , Pns Freedom Curonix 2 Lead Bundle Channel A andB, 14 13 $90,000.00 $63,000.00 30% off $20,619.00 $81,000.00 $20,619.00 2025-12-31
654 MS_DRG Major Bladder Procedures With Cc 13 11 — — $20,030.11 $40,060.22 $20,547.71 2025-12-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 11 — — $19,935.62 $39,871.24 $20,447.96 2025-12-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 11 — — $19,915.61 $39,831.22 $20,426.85 2025-12-31
54416 HCPCS Remv/repl Penis Contain Pros 12 12 — — $20,128.56 $40,257.12 $20,329.85 2025-12-31
54410 HCPCS Remove/replace Penis Prosth 12 12 — — $20,128.56 $40,257.12 $20,329.85 2025-12-31
54411 HCPCS Remov/replc Penis Pros Comp 12 12 — — $20,128.56 $40,257.12 $20,329.85 2025-12-31
54401 HCPCS Insert Self-contd Prosthesis 12 12 — — $20,128.56 $40,257.12 $20,329.85 2025-12-31
53447 HCPCS Remove/replace Ur Sphincter 12 12 — — $20,128.56 $40,257.12 $20,329.85 2025-12-31
54405 HCPCS Insert Multi-comp Penis Pros 12 12 — — $20,128.56 $40,257.12 $20,329.85 2025-12-31
53444 HCPCS Insert Tandem Cuff 12 12 — — $20,128.56 $40,257.12 $20,329.85 2025-12-31
53445 HCPCS Insert Uro/ves Nck Sphincter 12 12 — — $20,128.56 $40,257.12 $20,329.85 2025-12-31
J9228 HCPCS Ipilimumab 200 Mg/40 Ml IV Inj [imh] 26 21 $87,769.71 $61,438.80 30% off $183.41 $78,992.74 $20,108.04 2025-12-31
C1820 HCPCS Kit, Implant Pulse Generator 140 13 $86,500.00 $60,550.00 30% off $208.48 $90,000.00 $19,931.70 2025-12-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 11 — — $19,439.00 $38,878.00 $19,923.73 2025-12-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 11 — — $19,405.20 $38,810.40 $19,888.05 2025-12-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 13 11 — — $19,370.71 $38,741.42 $19,851.65 2025-12-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 13 11 — — $19,303.12 $38,606.24 $19,780.29 2025-12-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 11 — — $19,211.38 $38,422.76 $19,683.46 2025-12-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 13 11 — — $19,149.99 $38,299.98 $19,618.65 2025-12-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 11 — — $19,076.19 $38,152.38 $19,540.75 2025-12-31
263 MS_DRG Vein Ligation And Stripping 13 11 — — $19,064.46 $38,128.92 $19,528.37 2025-12-31
849 MS_DRG Radiotherapy 13 11 — — $18,988.59 $37,977.18 $19,448.28 2025-12-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 11 — — $18,931.34 $37,862.68 $19,387.85 2025-12-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 11 — — $18,865.81 $37,731.62 $19,318.68 2025-12-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 13 11 — — $18,843.05 $37,686.10 $19,294.65 2025-12-31
503 MS_DRG Foot Procedures With Mcc 13 11 — — $18,819.60 $37,639.20 $19,269.89 2025-12-31
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 12 12 — — $19,071.16 $38,142.32 $19,261.87 2025-12-31
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 12 12 — — $19,071.16 $38,142.32 $19,261.87 2025-12-31
0525T HCPCS Insj/rplcmt Compl Iims 12 12 — — $19,071.16 $38,142.32 $19,261.87 2025-12-31
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 12 12 — — $19,071.16 $38,142.32 $19,261.87 2025-12-31
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 12 12 — — $19,071.16 $38,142.32 $19,261.87 2025-12-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 13 11 — — $18,800.98 $37,601.96 $19,250.24 2025-12-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 13 11 — — $18,658.89 $37,317.78 $19,100.25 2025-12-31
0823T HCPCS Implant Ppm Leadless - Insert - Atrial Only 26 21 $60,000.00 $42,000.00 30% off $13,746.00 $54,000.00 $19,071.16 2025-12-31
0796T HCPCS Implant Ppm Leadless - Upgrade - Atrial Added 26 21 $70,000.00 $49,000.00 30% off $16,037.00 $63,000.00 $19,071.16 2025-12-31
0797T HCPCS Implant Ppm Leadless - Upgrade - Vent Added 26 21 $70,000.00 $49,000.00 30% off $16,037.00 $63,000.00 $19,071.16 2025-12-31
0795T HCPCS Implant Ppm Leadless - Insert - Dual System 26 21 $70,000.00 $49,000.00 30% off $16,037.00 $63,000.00 $19,071.16 2025-12-31
33229 HCPCS Removal Replace Ppm Gen; Multi Ld Sys 26 21 $34,815.00 $24,370.50 30% off $7,976.12 $38,142.32 $19,071.16 2025-12-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 11 — — $18,611.99 $37,223.98 $19,050.74 2025-12-31
L8682 HCPCS Stimulator , Pns Freedom Curonix 1 Lead Bundle Channel A, T 28 13 $82,500.00 $57,750.00 30% off $17,010.68 $74,250.00 $18,900.75 2025-12-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 13 11 — — $18,419.55 $36,839.10 $18,847.60 2025-12-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 13 11 — — $18,389.89 $36,779.78 $18,816.29 2025-12-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 13 11 — — $18,179.51 $36,359.02 $18,594.22 2025-12-31
253 MS_DRG Other Vascular Procedures With Cc 13 11 — — $18,173.99 $36,347.98 $18,588.39 2025-12-31
23472 HCPCS Reconstruct Shoulder Joint 12 12 — — $18,390.05 $36,780.10 $18,573.95 2025-12-31
27278 HCPCS Arthrd Si Jt Plmt Iartic Dev 12 12 — — $18,390.05 $36,780.10 $18,573.95 2025-12-31
27279 HCPCS Arthrd Si Jt Plmt Tartclr Dv 12 12 — — $18,390.05 $36,780.10 $18,573.95 2025-12-31
24361 HCPCS Reconstruct Elbow Joint 12 12 — — $18,390.05 $36,780.10 $18,573.95 2025-12-31
24371 HCPCS Revise Reconst Elbow Joint 12 12 — — $18,390.05 $36,780.10 $18,573.95 2025-12-31
25442 HCPCS Arthrp W/prostc Dstl Ulna 12 12 — — $18,390.05 $36,780.10 $18,573.95 2025-12-31
25446 HCPCS Arthrp W/prostc Dst Rds&crps 12 12 — — $18,390.05 $36,780.10 $18,573.95 2025-12-31
C8003 HCPCS Imp Extar Knee Shck Absrb 12 12 — — $18,390.05 $36,780.10 $18,573.95 2025-12-31
24363 HCPCS Replace Elbow Joint 12 12 — — $18,390.05 $36,780.10 $18,573.95 2025-12-31
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