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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

ATRIUM HEALTH LINCOLN

Lincolnton, NC · CCN 340145 · Rates published

13,945 distinct procedures filed
28 distinct payers
1,577,565 rate rows
2025-12-01 last MRF observed
Data quality

1,438,152 of 1,577,565 rate rows are consumer-grade (91.2%)

139,413 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 136,902
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,616
percent-of-charges filed in the dollar field — excluded from medians 769
per-diem day rate — not a per-procedure price 70
exceeds 10× this hospital's gross charge — excluded from medians 35
placeholder amount (≤ $0.02) — excluded from medians 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11169/560529945-1326088139_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 · 2026-05-15
Content fingerprint 6970671651e1e57c… · 2,344,218,205 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $4,595,100.00 $4,744,215.50 $4,696,462.50 nat. median
$4,505,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,313,414.63 $4,060,557.14 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $3,004,654.80 $3,682,175.00 $3,093,027.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 15 $1,309,633.02 $4,791,538.54 $2,827,182.62 nat. median
$2,468,984
1.1× median
J1413
HCPCS 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 14 $1,804,800.00 $4,848,000.00 $2,660,800.00 nat. median
$3,325,455
0.8× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,378,640.00 $2,915,000.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
J1411
HCPCS 		Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 13 $1,974,000.00 $4,637,500.00 $2,060,625.00 nat. median
$3,710,000
0.6× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 28 $359,617.95 $3,028,697.28 $1,670,565.66 nat. median
$673,137
outlier · 2.5×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 28 $357,494.85 $3,010,816.57 $1,660,703.03 nat. median
$625,184
outlier · 2.7×
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 28 $353,327.16 $2,975,716.35 $1,641,342.49 nat. median
$674,867
outlier · 2.4×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 28 $340,822.94 $2,870,406.00 $1,583,255.52 nat. median
$634,303
outlier · 2.5×
Q2042
HCPCS 		Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 28 $330,905.74 $3,383,140.05 $1,514,744.48 nat. median
$753,246
outlier · 2.0×
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 28 $286,963.20 $2,416,800.00 $1,333,056.00 nat. median
$619,808
outlier · 2.2×
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $786,032.40 $963,275.00 $809,151.00 nat. median
$824,563
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $263,432.28 $565,227.58 $548,764.62 nat. median
$265,286
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $326,904.30 $363,994.70 $350,280.66 nat. median
$370,174
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $122,748.95 $309,473.82 $300,460.01 nat. median
$117,357
outlier · 2.6×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $283,815.00 $347,812.50 $292,162.50 nat. median
$324,450
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $200,528.40 $284,198.31 $275,920.68 nat. median
$202,976
1.4× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 28 $1,305.86 $524,046.84 $275,814.13 nat. median
$2,675
outlier · 103.1×
J3403
HCPCS 		Revakinagene, Per Implant 5 $262,650.00 $321,875.00 $270,375.00 nat. median
$265,000
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $99,849.70 $273,307.76 $265,347.33 nat. median
$100,136
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $132,349.76 $253,132.96 $245,760.14 nat. median
$133,161
1.8× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 28 $5,103.71 $453,533.80 $238,702.00 nat. median
$8,223
outlier · 29.0×
7
MS_DRG 		Lung Transplant 12 $122,440.81 $225,303.26 $218,741.01 nat. median
$122,708
1.8× 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
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $103,307.35 $195,066.67 $189,385.10 nat. median
$108,660
1.7× median
652
MS_DRG 		Kidney Transplant 12 $29,090.18 $172,510.59 $167,486.00 nat. median
$31,494
outlier · 5.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $147,734.14 $229,124.06 $158,298.36 nat. median
$206,474
0.8× median
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 28 $260.96 $277,612.80 $146,112.00 nat. median
$415
outlier · 352.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $90,528.07 $148,873.41 $144,537.28 nat. median
$93,672
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $86,427.05 $142,773.57 $138,615.11 nat. median
$83,470
1.7× median
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 28 $27,077.64 $228,047.50 $125,786.20 nat. median
$69,774
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $78,291.28 $129,268.62 $125,503.51 nat. median
$82,711
1.5× median
10
MS_DRG 		Pancreas Transplant 12 $74,858.84 $123,573.56 $119,974.33 nat. median
$68,884
1.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $74,432.09 $122,862.64 $119,284.11 nat. median
$71,271
1.7× median
834
MS_DRG 		Acute Leukemia With Mcc 12 $52,022.13 $120,654.30 $117,140.09 nat. median
$53,172
outlier · 2.2×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 12 $51,217.23 $120,246.96 $116,744.62 nat. median
$53,167
outlier · 2.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $102,132.71 $118,536.91 $115,084.37 nat. median
$102,358
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $111,502.61 $136,645.35 $114,782.09 nat. median
$111,989
1.0× median
77371
CPT 		Hc Radiation Delivery Stereotactic Cranial Cobalt 28 $7,315.03 $210,862.95 $112,911.56 nat. median
$9,046
outlier · 12.5×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 $55,920.53 $109,700.98 $106,505.80 nat. median
$52,303
outlier · 2.0×
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 28 $22,003.84 $185,316.03 $102,216.42 nat. median
$60,368
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 12 $94,418.23 $103,173.31 $100,800.73 nat. median
$99,019
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $75,681.46 $103,716.43 $100,695.56 nat. median
$77,570
1.3× median
6
MS_DRG 		Liver Transplant Without Mcc 12 $45,690.38 $103,009.35 $100,009.07 nat. median
$46,260
outlier · 2.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $93,045.54 $101,673.33 $99,669.44 nat. median
$98,894
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $64,170.20 $102,347.11 $99,366.12 nat. median
$64,732
1.5× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 12 $46,942.53 $100,822.79 $97,886.20 nat. median
$50,672
1.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 5 $95,081.03 $116,520.88 $97,877.54 nat. median
$96,983
1.0× median

Other procedures at this hospital

Browse this hospital's 13,945 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
             
0266T CPT Apc 5 5 — — $43,061.10 $52,770.96 $44,327.61 2025-12-01
0268T CPT Apc 5 5 — — $29,160.26 $35,735.62 $30,017.92 2025-12-01
0408T CPT Hc Insert Or Replace Perm Cardiac Cont Mod Gen+elect 69 28 $110,987.60 $55,493.80 50% off $12,519.40 $105,438.22 $58,157.50 2025-12-01
0409T CPT Hc Insert Or Replace Perm Ccm Pulse Generator Only 69 28 $109,005.70 $54,502.85 50% off $12,295.84 $103,555.42 $57,118.99 2025-12-01
0414T CPT Hc Removal & Replace Permament Ccm Pulse Generator Only 69 28 $109,005.70 $54,502.85 50% off $12,295.84 $103,555.42 $57,118.99 2025-12-01
0571T CPT Hc Insert/replace Icds W/substernal Electrode 69 28 $87,916.70 $43,958.35 50% off $9,917.00 $83,520.87 $46,068.35 2025-12-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 5 5 — — $29,160.26 $35,735.62 $30,017.92 2025-12-01
0795T CPT Hc Tcat Insert Perm Dual Chamber Leadls Pm Compl Sys 69 28 $151,770.35 $75,885.18 50% off $17,119.70 $144,181.83 $79,527.66 2025-12-01
0811 RC Hc Kidney Acquistion Live Donor 64 28 $98,460.75 $49,230.38 50% off $11,106.37 $93,537.71 $52,322.04 2025-12-01
0812 RC Hc Cadaver Donor - Heart 199 28 $96,848.50 $48,424.25 50% off $8,677.39 $109,180.51 $42,613.35 2025-12-01
0914T CPT Hc Perq Transcath Thera Rx Balloon Angio, Separate Lesion, 1 Artery/branch 64 28 $79,223.25 $39,611.63 50% off $8,936.38 $75,262.09 $42,099.24 2025-12-01
0915T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator & Leads 69 28 $110,987.60 $55,493.80 50% off $12,519.40 $105,438.22 $58,157.50 2025-12-01
0916T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator Only 69 28 $109,005.70 $54,502.85 50% off $12,295.84 $103,555.42 $57,118.99 2025-12-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 12 — — $263,432.28 $565,227.58 $548,764.62 2025-12-01
10 MS_DRG Pancreas Transplant 13 12 — — $74,858.84 $123,573.56 $119,974.33 2025-12-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 12 — — $50,795.17 $64,513.26 $62,634.23 2025-12-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 12 — — $38,729.27 $47,767.53 $46,376.24 2025-12-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 13 12 — — $25,155.36 $31,600.79 $30,680.38 2025-12-01
14 MS_DRG Allogeneic Bone Marrow Transplant 13 12 — — $122,748.95 $309,473.82 $300,460.01 2025-12-01
140 MS_DRG Major Head And Neck Procedures With Mcc 13 12 — — $39,901.13 $45,165.94 $43,850.43 2025-12-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 12 — — $30,268.46 $33,075.15 $32,181.51 2025-12-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 12 — — $48,548.40 $58,613.45 $52,020.01 2025-12-01
163 MS_DRG Major Chest Procedures With Mcc 13 12 — — $43,449.36 $59,149.97 $57,427.15 2025-12-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 12 — — $36,363.16 $43,119.00 $41,863.11 2025-12-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 12 — — $48,548.40 $58,613.45 $52,020.01 2025-12-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 12 — — $29,064.03 $32,129.82 $31,194.00 2025-12-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 12 — — $326,904.30 $363,994.70 $350,280.66 2025-12-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 12 — — $74,432.09 $122,862.64 $119,284.11 2025-12-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 12 — — $103,307.35 $195,066.67 $189,385.10 2025-12-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 12 — — $75,681.46 $103,716.43 $100,695.56 2025-12-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 12 — — $60,798.44 $87,712.37 $85,157.63 2025-12-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 12 — — $25,470.97 $31,491.91 $30,574.67 2025-12-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 12 — — $52,022.13 $75,028.50 $72,843.20 2025-12-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 12 — — $102,132.71 $118,536.91 $115,084.37 2025-12-01
215 MS_DRG Other Heart Assist System Implant 13 12 — — $94,418.23 $103,173.31 $100,800.73 2025-12-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 12 — — $90,528.07 $148,873.41 $144,537.28 2025-12-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 12 — — $60,711.58 $74,044.74 $71,888.09 2025-12-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 12 — — $55,962.54 $74,044.74 $71,888.09 2025-12-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 12 — — $72,659.86 $89,150.86 $86,554.23 2025-12-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 12 — — $33,376.08 $45,834.60 $44,499.60 2025-12-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 12 — — $49,868.89 $60,972.74 $59,196.84 2025-12-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 12 — — $43,294.38 $55,065.05 $53,461.21 2025-12-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 12 — — $46,942.53 $100,822.79 $97,886.20 2025-12-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 12 — — $29,416.05 $47,148.84 $45,775.57 2025-12-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 12 — — $53,682.32 $94,799.81 $92,038.64 2025-12-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 12 — — $79,535.97 $99,379.17 $96,484.62 2025-12-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 12 — — $57,450.94 $70,117.37 $68,075.12 2025-12-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 12 — — $73,396.58 $91,123.51 $88,469.42 2025-12-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 12 — — $50,088.32 $69,516.61 $67,491.85 2025-12-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 12 — — $55,354.66 $65,391.99 $63,487.36 2025-12-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 12 — — $38,807.71 $52,467.30 $50,939.13 2025-12-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 12 — — $47,443.03 $58,223.85 $56,528.00 2025-12-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 12 — — $35,909.36 $59,983.86 $58,236.75 2025-12-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 12 — — $27,603.65 $41,191.19 $39,991.44 2025-12-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 12 — — $32,083.77 $35,101.60 $34,079.22 2025-12-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 13 12 — — $21,446.51 $30,909.08 $30,008.82 2025-12-01
245 MS_DRG Aicd Generator Procedures 13 12 — — $46,041.46 $50,672.71 $49,196.80 2025-12-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 12 — — $42,171.06 $63,278.44 $61,435.37 2025-12-01
252 MS_DRG Other Vascular Procedures With Mcc 13 12 — — $32,442.33 $53,454.91 $51,897.97 2025-12-01
253 MS_DRG Other Vascular Procedures With Cc 13 12 — — $24,249.62 $35,145.15 $34,121.50 2025-12-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 12 — — $26,607.34 $41,055.41 $39,859.62 2025-12-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 12 — — $28,970.66 $39,322.30 $38,176.98 2025-12-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 12 — — $30,867.48 $33,729.71 $32,818.39 2025-12-01
263 MS_DRG Vein Ligation And Stripping 13 12 — — $25,455.09 $41,569.06 $40,358.31 2025-12-01
264 MS_DRG Other Circulatory System O.r. Procedures 13 12 — — $33,046.48 $59,866.01 $58,122.34 2025-12-01
265 MS_DRG Aicd Lead Procedures 13 12 — — $33,719.71 $39,606.66 $38,453.07 2025-12-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 12 — — $56,350.05 $85,482.25 $82,992.47 2025-12-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 12 — — $44,341.09 $57,602.59 $55,924.84 2025-12-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 12 — — $62,669.67 $72,686.94 $70,569.84 2025-12-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 12 — — $37,994.71 $41,517.83 $40,396.08 2025-12-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 13 12 — — $23,454.07 $31,128.12 $30,221.48 2025-12-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 12 — — $48,340.35 $78,346.13 $76,064.20 2025-12-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 12 — — $32,573.07 $48,820.47 $47,398.51 2025-12-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 13 12 — — $23,775.26 $38,446.13 $37,326.34 2025-12-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 12 — — $36,923.40 $44,675.34 $43,374.12 2025-12-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 12 — — $29,553.32 $39,646.37 $38,491.62 2025-12-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 12 — — $66,399.05 $97,798.49 $94,949.98 2025-12-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 12 — — $58,251.16 $73,791.11 $71,641.85 2025-12-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 12 — — $43,848.09 $60,720.40 $58,951.84 2025-12-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 12 — — $47,129.27 $53,561.23 $52,001.19 2025-12-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 12 — — $30,332.07 $40,596.83 $39,414.40 2025-12-01
28 MS_DRG Spinal Procedures With Mcc 13 12 — — $52,039.34 $59,033.78 $55,760.58 2025-12-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 13 12 — — $21,077.67 $35,450.01 $34,417.49 2025-12-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 12 — — $200,528.40 $284,198.31 $275,920.68 2025-12-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 12 — — $31,053.86 $40,823.83 $33,274.47 2025-12-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 13 12 — — $20,519.29 $34,221.59 $33,224.85 2025-12-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 12 — — $58,176.48 $95,882.20 $93,089.51 2025-12-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 12 — — $40,990.96 $44,791.91 $43,487.29 2025-12-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 13 12 — — $22,025.43 $35,875.29 $34,830.37 2025-12-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 12 — — $26,992.98 $39,715.54 $38,558.78 2025-12-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 12 — — $40,183.10 $49,332.84 $47,895.96 2025-12-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 13 12 — — $30,245.22 $45,045.54 $43,733.53 2025-12-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 12 — — $27,135.83 $37,175.44 $36,092.66 2025-12-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 12 — — $47,836.14 $59,260.13 $57,534.10 2025-12-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 12 — — $43,287.84 $68,194.68 $66,208.43 2025-12-01
332 MS_DRG Rectal Resection With Mcc 13 12 — — $32,799.96 $53,761.05 $52,195.19 2025-12-01
33231 CPT Insrt Pulse Gen W/mult Leads 5 5 — — $30,679.82 $37,597.81 $31,582.16 2025-12-01
33266 CPT Hc Maze Procedure Without Cardio By 67 28 $99,183.65 $49,591.83 50% off $1,676.23 $94,224.47 $50,454.72 2025-12-01
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 69 28 $75,885.15 $37,942.58 50% off $8,559.84 $72,090.89 $39,763.82 2025-12-01
33277 CPT Hc Ins Phrenic Nrv Stimulator Transvns Sensing Ld 67 28 $94,209.80 $47,104.90 50% off $259.77 $89,499.31 $47,924.53 2025-12-01
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 69 28 $109,005.70 $54,502.85 50% off $12,295.84 $103,555.42 $57,118.99 2025-12-01
33288 CPT Hc Rmvl&rplcmt Phrnc Nrv Stim Trnsvns Stim/snsg Ld 69 28 $109,284.20 $54,642.10 50% off $11,932.87 $103,819.99 $57,264.92 2025-12-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 12 — — $29,638.97 $35,355.74 $31,758.40 2025-12-01
33745 CPT Hc Transcatheter Intracardiac Shunt Creation 67 28 $63,758.65 $31,879.33 50% off $970.73 $60,570.72 $32,434.03 2025-12-01
33901 CPT Hc Perq Pulm Art Revasc Init Normal Nat Conn Bil 69 28 $60,757.25 $30,378.63 50% off $6,853.42 $57,719.39 $31,836.80 2025-12-01
33903 CPT Hc Perq Pulm Art Revasc Init Abnormal Conn Bil 69 28 $60,757.25 $30,378.63 50% off $6,853.42 $57,719.39 $31,836.80 2025-12-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 12 — — $36,721.72 $45,313.25 $43,993.45 2025-12-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 13 12 — — $21,651.93 $36,645.13 $35,577.80 2025-12-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 12 — — $40,241.94 $63,835.64 $61,976.35 2025-12-01
37 MS_DRG Extracranial Procedures With Mcc 13 12 — — $31,419.88 $89,965.54 $87,345.18 2025-12-01
374 MS_DRG Digestive Malignancy With Mcc 13 12 — — $20,126.18 $31,167.83 $30,260.03 2025-12-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 12 — — $132,349.76 $253,132.96 $245,760.14 2025-12-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 12 — — $32,475.79 $36,789.28 $34,798.08 2025-12-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 12 — — $36,941.13 $47,478.04 $46,095.18 2025-12-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 12 — — $51,101.44 $55,905.35 $54,277.03 2025-12-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 12 — — $26,634.42 $36,611.83 $35,545.46 2025-12-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 13 12 — — $20,354.02 $30,983.38 $30,080.95 2025-12-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 12 — — $33,104.37 $37,654.51 $36,557.78 2025-12-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 12 — — $25,962.11 $40,847.90 $39,658.15 2025-12-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 12 — — $29,934.37 $34,202.74 $32,074.93 2025-12-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 13 12 — — $27,999.00 $34,450.49 $30,001.16 2025-12-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 12 — — $37,566.84 $41,050.28 $39,854.64 2025-12-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 12 — — $93,045.54 $101,673.33 $99,669.44 2025-12-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 12 — — $66,732.40 $79,295.31 $76,985.73 2025-12-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 12 — — $51,805.48 $62,394.59 $60,577.27 2025-12-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 12 — — $78,291.28 $129,268.62 $125,503.51 2025-12-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 12 — — $51,491.76 $59,833.99 $58,091.25 2025-12-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 12 — — $63,016.08 $74,576.33 $72,404.20 2025-12-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 12 — — $38,540.65 $55,696.55 $54,074.32 2025-12-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 12 — — $48,500.03 $79,820.50 $77,495.62 2025-12-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 12 — — $29,226.49 $46,526.30 $45,171.17 2025-12-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 12 — — $79,492.09 $97,617.88 $94,774.63 2025-12-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 12 — — $54,002.59 $80,294.44 $77,955.77 2025-12-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 12 — — $40,730.27 $56,563.75 $54,916.26 2025-12-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 12 — — $57,712.39 $95,118.76 $92,348.31 2025-12-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 13 12 — — $27,151.72 $42,779.55 $41,533.54 2025-12-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 12 — — $50,842.81 $65,140.92 $63,243.61 2025-12-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 12 — — $27,943.52 $36,176.31 $35,122.63 2025-12-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 12 — — $45,669.38 $49,904.14 $48,687.40 2025-12-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 12 — — $32,393.77 $44,466.55 $43,171.41 2025-12-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 13 12 — — $24,906.04 $41,497.33 $40,288.67 2025-12-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 12 — — $30,932.46 $44,057.93 $42,774.69 2025-12-01
471 MS_DRG Cervical Spinal Fusion With Mcc 13 12 — — $42,503.15 $47,251.16 $45,542.48 2025-12-01
472 MS_DRG Cervical Spinal Fusion With Cc 13 12 — — $27,463.60 $37,783.89 $36,683.38 2025-12-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 13 12 — — $22,516.57 $30,783.55 $29,886.94 2025-12-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 12 — — $28,677.73 $43,659.10 $30,728.42 2025-12-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 12 — — $27,872.57 $36,267.25 $35,210.92 2025-12-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 13 12 — — $24,204.80 $33,660.54 $32,680.14 2025-12-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 12 — — $30,471.18 $34,185.73 $33,190.02 2025-12-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 13 12 — — $20,214.89 $33,038.00 $32,075.73 2025-12-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 12 — — $33,223.68 $36,304.40 $35,246.99 2025-12-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 12 — — $32,397.25 $35,401.34 $34,370.23 2025-12-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 12 — — $99,849.70 $273,307.76 $265,347.33 2025-12-01
500 MS_DRG Soft Tissue Procedures With Mcc 13 12 — — $29,349.42 $32,070.89 $31,136.79 2025-12-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 12 — — $27,098.49 $35,295.02 $34,267.01 2025-12-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 12 — — $29,286.27 $38,759.96 $37,631.03 2025-12-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 12 — — $33,876.59 $41,201.44 $40,001.39 2025-12-01
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 13 12 — — $19,202.69 $41,557.54 $40,347.12 2025-12-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 12 — — $27,627.00 $32,503.85 $31,557.14 2025-12-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 12 — — $20,095.38 $32,503.85 $31,557.14 2025-12-01
545 MS_DRG Connective Tissue Disorders With Mcc 13 12 — — $24,005.91 $37,203.62 $36,120.02 2025-12-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 13 12 — — $17,744.18 $36,543.94 $35,479.55 2025-12-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 13 12 — — $23,793.02 $47,125.78 $45,753.18 2025-12-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 13 12 — — $12,870.96 $32,989.33 $32,028.47 2025-12-01
570 MS_DRG Skin Debridement With Mcc 13 12 — — $28,518.73 $32,616.58 $31,666.58 2025-12-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 12 — — $39,110.68 $59,792.49 $41,907.42 2025-12-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 12 — — $28,539.40 $33,827.72 $30,580.21 2025-12-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 13 12 — — $19,055.19 $30,946.23 $30,044.88 2025-12-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 12 — — $50,789.56 $83,621.04 $81,185.48 2025-12-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 12 — — $25,274.89 $34,143.46 $33,148.98 2025-12-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 13 12 — — $16,762.83 $32,261.75 $31,322.09 2025-12-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 13 12 — — $15,749.71 $32,261.75 $31,322.09 2025-12-01
6 MS_DRG Liver Transplant Without Mcc 13 12 — — $45,690.38 $103,009.35 $100,009.07 2025-12-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 12 — — $30,368.10 $37,684.89 $32,539.67 2025-12-01
61886 CPT Implant Neurostim Arrays 5 5 — — $29,160.26 $35,735.62 $30,017.92 2025-12-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 12 — — $33,427.65 $38,462.89 $35,818.01 2025-12-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 13 12 — — $18,985.15 $46,097.19 $44,754.55 2025-12-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 5 5 — — $29,160.26 $35,735.62 $30,017.92 2025-12-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 5 5 — — $29,160.26 $35,735.62 $30,017.92 2025-12-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 12 — — $43,431.63 $77,306.01 $75,054.37 2025-12-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 12 — — $32,835.44 $75,636.95 $73,433.92 2025-12-01
652 MS_DRG Kidney Transplant 13 12 — — $29,090.18 $172,510.59 $167,486.00 2025-12-01
653 MS_DRG Major Bladder Procedures With Mcc 13 12 — — $43,510.11 $54,166.28 $46,621.44 2025-12-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 12 — — $30,832.56 $35,265.56 $34,238.41 2025-12-01
665 MS_DRG Prostatectomy With Mcc 13 12 — — $32,472.22 $53,216.65 $51,666.65 2025-12-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 12 — — $39,531.35 $58,240.50 $56,544.17 2025-12-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 13 12 — — $21,965.67 $31,070.48 $30,165.51 2025-12-01
69930 CPT Implant Cochlear Device 5 5 — — $30,436.99 $37,300.24 $31,332.20 2025-12-01
7 MS_DRG Lung Transplant 13 12 — — $122,440.81 $225,303.26 $218,741.01 2025-12-01
709 MS_DRG Penis Procedures With Cc/mcc 13 12 — — $21,393.30 $34,828.76 $33,814.33 2025-12-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 12 — — $37,178.31 $42,397.83 $41,162.94 2025-12-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 12 — — $32,016.27 $38,802.22 $34,305.70 2025-12-01
77371 CPT Hc Radiation Delivery Stereotactic Cranial Cobalt 67 28 $221,961.00 $110,980.50 50% off $7,315.03 $210,862.95 $112,911.56 2025-12-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 12 — — $55,920.53 $109,700.98 $106,505.80 2025-12-01
791 MS_DRG Prematurity With Major Problems 13 12 — — $31,166.40 $39,563.82 $33,395.05 2025-12-01
799 MS_DRG Splenic Procedures With Mcc 13 12 — — $41,496.19 $46,263.00 $44,463.52 2025-12-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 12 — — $51,217.23 $120,246.96 $116,744.62 2025-12-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 12 — — $33,884.06 $55,560.77 $53,942.49 2025-12-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 13 12 — — $22,075.85 $31,019.24 $30,115.77 2025-12-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 12 — — $54,776.68 $84,279.45 $81,824.70 2025-12-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 12 — — $44,105.79 $49,704.31 $48,256.61 2025-12-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 12 — — $44,440.87 $48,561.72 $47,147.29 2025-12-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 12 — — $22,446.55 $30,946.23 $30,044.88 2025-12-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 12 — — $29,205.96 $34,885.12 $33,869.05 2025-12-01
834 MS_DRG Acute Leukemia With Mcc 13 12 — — $52,022.13 $120,654.30 $117,140.09 2025-12-01
835 MS_DRG Acute Leukemia With Cc 13 12 — — $20,354.94 $40,960.62 $39,767.59 2025-12-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 12 — — $47,165.69 $53,653.45 $52,090.73 2025-12-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 12 — — $29,781.98 $32,543.56 $31,595.69 2025-12-01
849 MS_DRG Radiotherapy 13 12 — — $25,352.38 $41,398.70 $40,192.91 2025-12-01
850 MS_DRG Acute Leukemia With Other Procedures 13 12 — — $86,427.05 $142,773.57 $138,615.11 2025-12-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 12 — — $47,110.61 $79,185.15 $76,878.78 2025-12-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 12 — — $42,538.04 $55,008.69 $53,406.49 2025-12-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 12 — — $65,367.27 $94,324.58 $91,577.26 2025-12-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 4 — — $37,103.62 $38,307.67 $37,922.09 2025-12-01
901 MS_DRG Wound Debridements For Injuries With Mcc 13 12 — — $39,273.62 $43,136.60 $42,082.01 2025-12-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 12 — — $36,464.00 $46,239.37 $44,892.59 2025-12-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 12 — — $37,608.78 $53,438.25 $51,881.80 2025-12-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 13 12 — — $17,432.32 $30,823.26 $29,925.49 2025-12-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 12 — — $147,734.14 $229,124.06 $158,298.36 2025-12-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 12 — — $57,472.68 $64,812.29 $61,582.45 2025-12-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 12 — — $40,813.39 $67,063.61 $65,110.30 2025-12-01
93590 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 69 28 $86,855.80 $43,427.90 50% off $9,797.33 $82,513.01 $45,512.44 2025-12-01
93591 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 69 28 $86,855.80 $43,427.90 50% off $9,797.33 $82,513.01 $45,512.44 2025-12-01
93653 CPT Hc Ep Ephys Eval W/ablation Supravent Arrhythmia 69 28 $91,417.45 $45,708.73 50% off $10,311.89 $86,846.58 $47,902.74 2025-12-01
93654 CPT Hc Ep Ephys Eval W/ablation Ventricular Tachycardia 69 28 $76,123.95 $38,061.98 50% off $8,586.78 $72,317.75 $39,888.95 2025-12-01
93656 CPT Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 69 28 $121,044.20 $60,522.10 50% off $13,653.79 $114,991.99 $63,427.16 2025-12-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 12 — — $30,048.20 $45,445.19 $44,121.54 2025-12-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 12 — — $34,480.71 $55,348.14 $53,736.05 2025-12-01
949 MS_DRG Aftercare With Cc/mcc 13 12 — — $10,486.17 $57,656.39 $55,977.07 2025-12-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 13 12 — — $22,794.86 $30,651.61 $29,758.85 2025-12-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 12 — — $64,170.20 $102,347.11 $99,366.12 2025-12-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 12 — — $36,102.63 $66,251.50 $64,321.84 2025-12-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 12 — — $70,107.93 $97,329.66 $94,494.81 2025-12-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 12 — — $38,786.22 $46,836.29 $45,472.12 2025-12-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 12 — — $59,464.11 $66,683.17 $64,740.94 2025-12-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 12 — — $33,882.18 $37,756.99 $36,657.27 2025-12-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 12 — — $25,186.18 $41,124.58 $39,926.77 2025-12-01
974 MS_DRG HIV With Major Related Condition With Mcc 13 12 — — $28,294.63 $52,640.23 $51,107.02 2025-12-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 12 — — $44,800.51 $82,319.61 $79,921.95 2025-12-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 12 — — $33,117.43 $57,218.31 $55,551.75 2025-12-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 5 — — $57,961.04 $71,030.69 $59,665.78 2025-12-01
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 67 28 $292,224.00 $146,112.00 50% off $260.96 $277,612.80 $146,112.00 2025-12-01
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 64 28 $164,721.00 $82,360.50 50% off $18,580.53 $156,484.95 $87,532.74 2025-12-01
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 69 28 $68,873.40 $34,436.70 50% off $7,768.92 $65,429.73 $36,089.66 2025-12-01
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sing Ld 69 28 $68,873.40 $34,436.70 50% off $7,768.92 $65,429.73 $36,089.66 2025-12-01
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 67 28 $60,741.85 $30,370.93 50% off $2,478.49 $57,704.76 $30,370.93 2025-12-01
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 67 28 $170,489.00 $85,244.50 50% off $119.71 $161,964.55 $85,244.50 2025-12-01
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 67 28 $477,404.00 $238,702.00 50% off $5,103.71 $453,533.80 $238,702.00 2025-12-01
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 67 28 $80,911.45 $40,455.73 50% off $144.44 $76,865.88 $40,455.73 2025-12-01
J0801 HCPCS Corticotropin 80 Unit/ml Injection Gel 64 28 $158,564.00 $79,282.00 50% off $17,886.02 $150,635.80 $84,260.91 2025-12-01
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 112 28 $168,754.60 $84,377.30 50% off $197.63 $160,316.87 $41,254.58 2025-12-01
J1411 HCPCS Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 16 13 — — $1,974,000.00 $4,637,500.00 $2,060,625.00 2025-12-01
J1413 HCPCS Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 19 14 — — $1,804,800.00 $4,848,000.00 $2,660,800.00 2025-12-01
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 67 28 $167,419.70 $83,709.85 50% off $67.04 $159,048.72 $83,709.85 2025-12-01
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 67 28 $551,628.25 $275,814.13 50% off $1,305.86 $524,046.84 $275,814.13 2025-12-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 67 28 $82,588.85 $41,294.43 50% off $60.60 $78,459.41 $41,294.43 2025-12-01
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 67 28 $99,415.25 $49,707.63 50% off $3,734.05 $94,444.49 $49,707.63 2025-12-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 67 28 $70,069.55 $35,034.78 50% off $366.38 $66,566.07 $35,034.78 2025-12-01
J3316 HCPCS Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspension 67 28 $89,190.70 $44,595.35 50% off $3,893.62 $84,731.17 $44,595.35 2025-12-01
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Solution 157 28 $58,303.00 $29,151.50 50% off $152.39 $107,452.32 $30,609.08 2025-12-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 4 — — $4,595,100.00 $4,744,215.50 $4,696,462.50 2025-12-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,378,640.00 $2,915,000.00 $2,448,600.00 2025-12-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $3,004,654.80 $3,682,175.00 $3,093,027.00 2025-12-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,313,414.63 $4,060,557.14 $3,410,868.00 2025-12-01
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 28 15 — — $1,309,633.02 $4,791,538.54 $2,827,182.62 2025-12-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 5 — — $209,752.80 $257,050.00 $215,922.00 2025-12-01
J3403 HCPCS Revakinagene, Per Implant 5 5 — — $262,650.00 $321,875.00 $270,375.00 2025-12-01
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 67 28 $76,100.00 $38,050.00 50% off $347.12 $72,295.00 $38,050.00 2025-12-01
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 69 28 $240,050.00 $120,025.00 50% off $27,077.64 $228,047.50 $125,786.20 2025-12-01
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 67 28 $100,182.50 $50,091.25 50% off $83.72 $95,173.38 $50,091.25 2025-12-01
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 69 28 $195,069.50 $97,534.75 50% off $22,003.84 $185,316.03 $102,216.42 2025-12-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 67 28 $91,682.00 $45,841.00 50% off $2,752.01 $87,097.90 $45,841.00 2025-12-01
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 69 28 $74,455.55 $37,227.78 50% off $8,398.59 $70,732.77 $39,014.71 2025-12-01
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 67 28 $135,076.60 $67,538.30 50% off $364.07 $128,322.77 $67,538.30 2025-12-01
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 67 28 $81,970.00 $40,985.00 50% off $221.43 $77,871.50 $40,985.00 2025-12-01
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 67 28 $88,490.00 $44,245.00 50% off $324.90 $84,065.50 $44,245.00 2025-12-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 67 28 $60,528.35 $30,264.18 50% off $201.79 $57,501.93 $30,264.18 2025-12-01
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 67 28 $64,353.85 $32,176.93 50% off $34.57 $61,136.16 $32,176.93 2025-12-01
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 67 28 $104,288.60 $52,144.30 50% off $699.72 $99,074.17 $52,144.30 2025-12-01
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 67 28 $111,115.60 $55,557.80 50% off $221.24 $105,559.82 $55,557.80 2025-12-01
J9600 HCPCS Porfimer 75 Mg Intravenous Solution 69 28 $91,941.00 $45,970.50 50% off $10,370.94 $87,343.95 $48,177.08 2025-12-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 5 5 — — $95,081.03 $116,520.88 $97,877.54 2025-12-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 5 5 — — $39,378.45 $48,257.90 $40,536.64 2025-12-01
L5856 HCPCS Elec Knee-shin Swing/stance 5 5 — — $29,719.96 $36,421.53 $30,594.08 2025-12-01
L6700 HCPCS Ue Add Ext Power Myoel 5 5 — — $29,510.19 $36,164.45 $30,378.14 2025-12-01
L6880 HCPCS Elec Hand Ind Art Digits 5 5 — — $29,579.67 $36,249.60 $30,449.66 2025-12-01
L7180 HCPCS Electronic Elbow Sequential 5 5 — — $39,992.59 $49,010.53 $41,168.84 2025-12-01
L7181 HCPCS Electronic Elbo Simultaneous 5 5 — — $49,605.45 $60,790.99 $51,064.43 2025-12-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 5 5 — — $34,970.13 $42,855.55 $35,998.66 2025-12-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 5 5 — — $68,801.71 $84,315.83 $70,825.29 2025-12-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 5 — — $111,502.61 $136,645.35 $114,782.09 2025-12-01
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 69 28 $3,021,480.00 $1,510,740.00 50% off $340,822.94 $2,870,406.00 $1,583,255.52 2025-12-01
Q2042 HCPCS Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension 114 28 $2,933,561.50 $1,466,780.75 50% off $330,905.74 $3,383,140.05 $1,514,744.48 2025-12-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 5 — — $56,377.77 $69,090.41 $58,035.94 2025-12-01
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 69 28 $2,544,000.00 $1,272,000.00 50% off $286,963.20 $2,416,800.00 $1,333,056.00 2025-12-01
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 69 28 $3,188,102.40 $1,594,051.20 50% off $359,617.95 $3,028,697.28 $1,670,565.66 2025-12-01
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 69 28 $3,169,280.60 $1,584,640.30 50% off $357,494.85 $3,010,816.57 $1,660,703.03 2025-12-01
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 69 28 $3,132,333.00 $1,566,166.50 50% off $353,327.16 $2,975,716.35 $1,641,342.49 2025-12-01
Q2057 HCPCS Afamitresgene Autoleucel 5 5 — — $786,032.40 $963,275.00 $809,151.00 2025-12-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 5 — — $283,815.00 $347,812.50 $292,162.50 2025-12-01
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