Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

NOVANT HEALTH MEDICAL PARK HOSPITAL

Winston-salem, NC · CCN 340148 · Rates published

Your selected procedure

You selected 93306 (CPT)

ECHO COMPLETE WITH DOPPLER W/CONTRAST OR W & W/O CONTRAST

This hospital’s price: $240 across 9 payers · range $207-$1,060

Source: https://www2.novanthealth.org/Public_Files/regulatory/56-0887181_novant_health_new_hanover_regional_medical_center_standardcharges.csv · observed 2026-03-30

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

20,186 distinct procedures filed
23 distinct payers
1,102,524 rate rows
2026-03-30 last MRF observed
Data quality

709,021 of 1,102,524 rate rows are consumer-grade (64.3%)

393,503 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 367,162
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 26,168
per-diem day rate — not a per-procedure price 122
placeholder amount (≤ $0.02) — excluded from medians 39
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/56-1340424_novant_health_medical_park_hospital_standardcharges.csv
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 633aec51b78f52f2… · 15,669,265 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 1 $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 7 $4,276,596.50 $4,490,426.33 $4,276,596.50 nat. median
$4,505,000
0.9× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,498,423.65 $4,496,025.34 $3,542,153.95 nat. median
$3,705,478
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 23 $2,330,636.50 $4,661,273.00 $3,495,954.75 nat. median
$2,467,386
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 23 $2,213,767.60 $4,427,535.20 $3,320,651.40 nat. median
$2,401,965
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,148,317.94 $4,055,977.72 $3,187,671.92 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 7 $3,083,749.52 $3,978,853.10 $3,122,296.39 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,796,390.98 $3,599,837.74 $2,831,345.87 nat. median
$2,994,107
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 23 $731,549.57 $1,463,099.14 $1,097,324.35 nat. median
$813,967
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 23 $561,725.68 $1,127,511.66 $844,618.67 nat. median
$739,258
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 23 $537,179.39 $1,077,636.42 $807,407.91 nat. median
$646,415
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 23 $534,017.50 $1,068,035.00 $801,026.25 nat. median
$640,950
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 23 $529,061.91 $1,058,123.82 $793,592.86 nat. median
$622,450
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 23 $506,195.40 $1,012,390.80 $759,293.10 nat. median
$608,239
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 23 $464,496.87 $953,404.97 $708,950.92 nat. median
$591,721
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $291,673.04 $1,036,430.38 $708,780.96 nat. median
$359,454
2.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 23 $264,142.73 $992,250.00 $628,196.36 nat. median
$319,951
2.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $189,284.07 $672,601.62 $435,976.18 nat. median
$249,036
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $143,363.07 $509,426.03 $336,576.65 nat. median
$190,559
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $144,209.39 $512,433.35 $297,094.26 nat. median
$198,418
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $93,557.62 $332,447.45 $232,294.90 nat. median
$126,695
1.8× median
7
MS_DRG 		Lung Transplant 12 $87,470.57 $370,986.54 $217,181.33 nat. median
$117,974
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $81,173.46 $371,394.07 $201,546.19 nat. median
$110,307
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $76,539.28 $391,173.69 $190,039.96 nat. median
$104,013
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $73,447.80 $260,989.27 $182,364.10 nat. median
$97,323
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $69,641.04 $307,351.08 $172,912.24 nat. median
$95,038
1.8× median
Q0480
HCPCS 		Dme Pos 23 $111,502.61 $223,005.22 $167,253.92 nat. median
$111,503
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $66,076.75 $234,796.98 $164,062.45 nat. median
$90,551
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $74,441.37 $264,519.82 $151,698.54 nat. median
$93,276
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $60,854.26 $216,239.41 $150,645.39 nat. median
$78,049
1.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 23 $95,081.03 $190,162.06 $142,621.55 nat. median
$96,983
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $56,938.75 $202,326.03 $135,953.47 nat. median
$77,028
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $53,148.87 $194,107.07 $131,963.71 nat. median
$74,370
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $51,862.16 $184,286.88 $124,845.73 nat. median
$72,398
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 12 $67,253.36 $238,977.96 $123,715.32 nat. median
$93,901
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $56,759.76 $247,953.00 $122,550.26 nat. median
$77,632
1.6× median
10
MS_DRG 		Pancreas Transplant 12 $48,467.40 $191,916.80 $120,340.08 nat. median
$64,933
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $48,189.80 $218,786.19 $119,650.80 nat. median
$66,715
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $46,455.95 $165,076.48 $115,345.82 nat. median
$63,873
1.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $45,464.41 $161,553.13 $112,883.91 nat. median
$61,728
1.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 21 $96,363.41 $125,750.30 $111,056.85 nat. median
$75,000
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $46,684.92 $165,890.11 $110,791.59 nat. median
$62,655
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $44,412.07 $157,813.78 $110,271.07 nat. median
$62,031
1.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $44,412.07 $157,813.78 $110,271.07 nat. median
$59,546
1.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $44,250.65 $175,220.35 $109,870.25 nat. median
$58,135
1.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $48,161.43 $171,136.73 $104,334.64 nat. median
$66,649
1.6× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 $45,163.16 $160,482.69 $104,313.70 nat. median
$57,556
1.8× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 23 $68,801.71 $137,603.42 $103,202.57 nat. median
$70,178
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $51,638.59 $183,492.45 $103,099.61 nat. median
$71,748
1.4× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 $41,393.54 $147,087.73 $102,776.33 nat. median
$58,280
1.8× median

Other procedures at this hospital

Browse this hospital's 20,186 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-03-30
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 7 7 — — $4,276,596.50 $4,490,426.33 $4,276,596.50 2026-03-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $3,498,423.65 $4,496,025.34 $3,542,153.95 2026-03-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 55 23 — — $2,330,636.50 $4,661,273.00 $3,495,954.75 2026-03-30
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 56 23 — — $2,213,767.60 $4,427,535.20 $3,320,651.40 2026-03-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,148,317.94 $4,055,977.72 $3,187,671.92 2026-03-30
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 8 7 — — $3,083,749.52 $3,978,853.10 $3,122,296.39 2026-03-30
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 8 7 — — $2,796,390.98 $3,599,837.74 $2,831,345.87 2026-03-30
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 56 23 — — $731,549.57 $1,463,099.14 $1,097,324.35 2026-03-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 56 23 — — $561,725.68 $1,127,511.66 $844,618.67 2026-03-30
Q2056 HCPCS Ciltacabtagene Car-pos T 56 23 — — $537,179.39 $1,077,636.42 $807,407.91 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 56 23 — — $534,017.50 $1,068,035.00 $801,026.25 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 56 23 — — $529,061.91 $1,058,123.82 $793,592.86 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 56 23 — — $506,195.40 $1,012,390.80 $759,293.10 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 56 23 — — $464,496.87 $953,404.97 $708,950.92 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 12 — — $291,673.04 $1,036,430.38 $708,780.96 2026-03-30
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 56 23 — — $264,142.73 $992,250.00 $628,196.36 2026-03-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 12 — — $189,284.07 $672,601.62 $435,976.18 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 12 — — $143,363.07 $509,426.03 $336,576.65 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 12 — — $144,209.39 $512,433.35 $297,094.26 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 12 — — $93,557.62 $332,447.45 $232,294.90 2026-03-30
7 MS_DRG Lung Transplant 22 12 — — $87,470.57 $370,986.54 $217,181.33 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 22 12 — — $81,173.46 $371,394.07 $201,546.19 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 12 — — $76,539.28 $391,173.69 $190,039.96 2026-03-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 12 — — $73,447.80 $260,989.27 $182,364.10 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 12 — — $69,641.04 $307,351.08 $172,912.24 2026-03-30
Q0480 HCPCS Dme Pos 56 23 — — $111,502.61 $223,005.22 $167,253.92 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 12 — — $66,076.75 $234,796.98 $164,062.45 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 12 — — $74,441.37 $264,519.82 $151,698.54 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 12 — — $60,854.26 $216,239.41 $150,645.39 2026-03-30
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 56 23 — — $95,081.03 $190,162.06 $142,621.55 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 12 — — $56,938.75 $202,326.03 $135,953.47 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 12 — — $53,148.87 $194,107.07 $131,963.71 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $51,862.16 $184,286.88 $124,845.73 2026-03-30
215 MS_DRG Other Heart Assist System Implant 22 12 — — $67,253.36 $238,977.96 $123,715.32 2026-03-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 12 — — $56,759.76 $247,953.00 $122,550.26 2026-03-30
10 MS_DRG Pancreas Transplant 22 12 — — $48,467.40 $191,916.80 $120,340.08 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 12 — — $48,189.80 $218,786.19 $119,650.80 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 12 — — $46,455.95 $165,076.48 $115,345.82 2026-03-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 12 — — $45,464.41 $161,553.13 $112,883.91 2026-03-30
J7330 HCPCS Cultured Chondrocytes Implnt 49 21 — — $96,363.41 $125,750.30 $111,056.85 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 12 — — $46,684.92 $165,890.11 $110,791.59 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 12 — — $44,412.07 $157,813.78 $110,271.07 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 12 — — $44,412.07 $157,813.78 $110,271.07 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 12 — — $44,250.65 $175,220.35 $109,870.25 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 12 — — $48,161.43 $171,136.73 $104,334.64 2026-03-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 12 — — $45,163.16 $160,482.69 $104,313.70 2026-03-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 56 23 — — $68,801.71 $137,603.42 $103,202.57 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 12 — — $51,638.59 $183,492.45 $103,099.61 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 12 — — $41,393.54 $147,087.73 $102,776.33 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 12 — — $41,345.59 $146,917.32 $102,657.26 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 12 — — $51,467.70 $182,885.22 $102,063.06 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 12 — — $40,949.10 $145,508.46 $101,672.83 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 22 12 — — $58,489.55 $207,836.66 $101,471.13 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 12 — — $43,462.41 $154,439.23 $101,085.97 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 22 12 — — $40,582.34 $144,205.21 $100,762.20 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 12 — — $48,757.17 $173,253.62 $99,975.65 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 12 — — $45,130.07 $160,365.08 $99,293.29 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 12 — — $39,613.09 $140,761.06 $98,355.62 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 12 — — $38,704.62 $137,532.93 $96,099.99 2026-03-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 12 — — $37,855.60 $149,898.66 $93,991.94 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 12 — — $37,973.12 $134,933.62 $93,355.04 2026-03-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 12 — — $37,304.44 $147,714.49 $92,623.47 2026-03-30
834 MS_DRG Acute Leukemia With Mcc 22 12 — — $37,080.87 $165,016.88 $92,068.37 2026-03-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 56 23 — — $60,130.83 $123,190.11 $91,660.47 2026-03-30
38240 CPT Transplt Allo Hct/donor 55 23 — — $61,005.36 $122,010.72 $91,508.04 2026-03-30
90288 CPT Botulism Ig IV 48 21 — — $91,224.47 $91,224.47 $91,224.47 2026-03-30
A9543 HCPCS Y90 Ibritumomab, Rx 56 23 — — $53,943.55 $127,627.61 $90,785.58 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 12 — — $35,756.34 $127,056.49 $88,779.67 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 12 — — $35,638.14 $126,636.48 $87,981.82 2026-03-30
653 MS_DRG Major Bladder Procedures With Mcc 22 12 — — $35,098.46 $124,718.80 $85,918.15 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 12 — — $35,998.14 $127,915.73 $85,827.23 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 12 — — $39,638.75 $140,852.27 $85,622.23 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 12 — — $35,159.25 $140,763.00 $84,769.28 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 12 — — $36,691.82 $130,380.63 $84,517.89 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 12 — — $40,051.45 $142,318.73 $84,517.89 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 12 — — $33,416.62 $132,817.57 $82,970.37 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 12 — — $33,357.18 $118,531.34 $82,822.79 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 12 — — $33,104.57 $131,085.20 $82,195.57 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 56 23 — — $52,470.01 $111,075.77 $81,772.89 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 12 — — $36,897.15 $131,110.26 $81,406.88 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 12 — — $37,596.23 $133,594.37 $80,375.86 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 12 — — $38,953.18 $138,416.17 $79,581.28 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 12 — — $40,570.86 $144,164.41 $79,136.27 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 12 — — $31,755.04 $202,625.48 $78,844.82 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 12 — — $31,690.20 $112,607.89 $78,683.83 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 12 — — $31,595.64 $112,271.88 $78,449.04 2026-03-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 12 — — $36,949.84 $131,297.47 $77,884.37 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 22 12 — — $31,320.06 $218,161.93 $77,764.81 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 12 — — $30,967.48 $110,039.78 $76,889.39 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 12 — — $40,277.04 $165,570.00 $76,356.88 2026-03-30
245 MS_DRG Aicd Generator Procedures 22 12 — — $30,816.18 $109,502.16 $75,492.72 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 12 — — $38,496.59 $136,793.70 $75,448.55 2026-03-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 12 — — $36,839.06 $130,903.85 $75,092.09 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $36,019.76 $127,992.53 $74,749.42 2026-03-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 12 — — $30,144.12 $107,114.06 $74,551.24 2026-03-30
L7181 HCPCS Dme Pos 56 23 — — $49,605.45 $99,210.90 $74,408.18 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 12 — — $30,710.14 $109,125.35 $73,977.28 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 22 12 — — $30,271.78 $107,567.68 $73,131.82 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 12 — — $29,228.90 $103,861.93 $72,572.66 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 12 — — $33,243.03 $118,125.72 $72,094.81 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 22 12 — — $28,809.46 $102,371.47 $71,531.21 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 12 — — $28,379.20 $100,842.60 $70,462.93 2026-03-30
901 MS_DRG Wound Debridements For Injuries With Mcc 22 12 — — $28,345.43 $100,722.60 $70,379.08 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 22 12 — — $32,614.87 $126,268.00 $70,360.49 2026-03-30
799 MS_DRG Splenic Procedures With Mcc 22 12 — — $30,589.91 $108,698.13 $69,435.72 2026-03-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 12 — — $27,865.19 $99,016.13 $69,186.70 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 12 — — $31,046.51 $110,320.60 $68,588.76 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 12 — — $29,670.64 $105,431.59 $68,533.39 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $28,183.33 $131,817.00 $67,307.85 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 12 — — $30,263.00 $107,536.48 $66,974.15 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 12 — — $48,447.14 $172,151.97 $66,332.47 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 12 — — $40,144.66 $130,708.20 $66,032.29 2026-03-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 12 — — $28,050.94 $99,676.15 $65,744.11 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 12 — — $26,422.46 $93,889.51 $65,604.52 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 12 — — $26,302.91 $104,151.70 $65,307.68 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 12 — — $28,292.75 $100,535.39 $65,241.33 2026-03-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 12 — — $33,686.79 $119,702.59 $64,927.99 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 12 — — $28,995.88 $103,033.89 $64,889.67 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 12 — — $32,156.25 $114,263.96 $64,493.13 2026-03-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 12 — — $26,144.18 $92,900.67 $64,407.11 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 12 — — $25,932.09 $92,147.04 $64,386.98 2026-03-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 12 — — $31,195.10 $110,848.62 $64,346.48 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 55 23 — — $42,718.97 $85,437.94 $64,078.46 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 55 23 — — $42,718.97 $85,437.94 $64,078.46 2026-03-30
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 56 23 — — $42,718.97 $85,437.94 $64,078.46 2026-03-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 12 — — $25,416.73 $91,844.96 $63,107.39 2026-03-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 12 — — $28,462.28 $101,137.81 $62,826.14 2026-03-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 12 — — $28,476.47 $101,188.22 $62,755.81 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 12 — — $28,643.97 $101,783.44 $62,706.43 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 12 — — $25,245.85 $89,708.54 $62,683.10 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 22 12 — — $25,030.38 $135,858.01 $62,148.12 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $34,043.43 $120,969.84 $61,956.65 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 12 — — $24,809.51 $88,158.07 $61,599.72 2026-03-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 12 — — $24,508.27 $87,087.63 $60,851.76 2026-03-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 12 — — $24,489.36 $87,020.43 $60,804.81 2026-03-30
332 MS_DRG Rectal Resection With Mcc 22 12 — — $24,455.58 $96,837.56 $60,720.95 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 12 — — $24,395.47 $86,686.81 $60,571.69 2026-03-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 12 — — $24,359.00 $86,557.21 $60,481.13 2026-03-30
J9226 HCPCS Supprelin La Implant 56 23 — — $35,473.35 $85,476.20 $60,474.78 2026-03-30
L7180 HCPCS Dme Pos 56 23 — — $39,992.59 $79,985.18 $59,988.89 2026-03-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 12 — — $24,119.22 $85,705.17 $59,875.02 2026-03-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 12 — — $24,083.42 $85,577.97 $59,796.90 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 12 — — $24,020.60 $85,354.76 $59,640.93 2026-03-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 12 — — $24,063.15 $85,505.96 $59,258.10 2026-03-30
L2006 HCPCS Dme Pos 56 23 — — $39,378.44 $78,756.88 $59,067.66 2026-03-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 12 — — $23,771.37 $84,469.12 $59,022.10 2026-03-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 12 — — $32,450.07 $115,308.00 $58,556.10 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 12 — — $23,555.22 $83,701.09 $58,485.44 2026-03-30
252 MS_DRG Other Vascular Procedures With Mcc 22 12 — — $23,561.30 $83,722.69 $57,974.63 2026-03-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 12 — — $23,333.68 $82,913.85 $57,935.37 2026-03-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 12 — — $24,143.53 $85,791.57 $57,874.57 2026-03-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 12 — — $24,199.59 $85,990.78 $57,724.93 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 12 — — $30,723.65 $109,173.35 $57,543.48 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 12 — — $23,156.72 $82,285.03 $57,495.99 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 12 — — $28,525.10 $101,361.02 $57,256.56 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 12 — — $23,012.85 $81,773.81 $57,138.77 2026-03-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 12 — — $26,080.01 $92,672.66 $56,604.13 2026-03-30
265 MS_DRG Aicd Lead Procedures 22 12 — — $24,438.70 $86,840.42 $56,165.69 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 12 — — $27,155.98 $96,496.02 $55,884.37 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 22 12 — — $22,236.09 $79,013.69 $55,210.17 2026-03-30
A9699 HCPCS Radiopharm Rx Agent Noc 49 21 — — $55,169.68 $55,169.68 $55,169.68 2026-03-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 12 — — $23,820.00 $92,575.00 $55,098.76 2026-03-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 12 — — $21,970.65 $78,070.45 $54,551.08 2026-03-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 22 12 — — $21,874.06 $77,727.24 $54,311.26 2026-03-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 12 — — $21,849.74 $77,640.83 $54,249.64 2026-03-30
652 MS_DRG Kidney Transplant 22 12 — — $21,813.27 $190,338.58 $54,160.33 2026-03-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 12 — — $21,797.06 $77,453.63 $54,120.08 2026-03-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 12 — — $21,684.26 $77,052.81 $53,840.01 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 12 — — $21,565.38 $76,630.39 $53,544.85 2026-03-30
264 MS_DRG Other Circulatory System O.r. Procedures 22 12 — — $22,563.68 $80,177.74 $53,454.22 2026-03-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 12 — — $21,525.53 $76,488.79 $53,445.90 2026-03-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 12 — — $21,461.37 $76,260.78 $53,286.58 2026-03-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 12 — — $24,799.38 $88,122.07 $53,216.30 2026-03-30
500 MS_DRG Soft Tissue Procedures With Mcc 22 12 — — $21,376.26 $75,958.36 $53,075.28 2026-03-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 12 — — $24,040.19 $85,424.36 $53,065.16 2026-03-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 12 — — $21,283.05 $75,627.15 $52,843.85 2026-03-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 12 — — $21,272.92 $75,591.15 $52,818.69 2026-03-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 12 — — $21,222.94 $75,413.54 $52,694.59 2026-03-30
L8701 HCPCS Ewh S/d Uprt Micro Sensor 56 23 — — $34,970.13 $69,940.26 $52,455.19 2026-03-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 12 — — $23,447.15 $83,317.07 $52,436.67 2026-03-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 12 — — $21,343.84 $75,843.16 $51,670.52 2026-03-30
263 MS_DRG Vein Ligation And Stripping 22 12 — — $20,650.84 $81,772.75 $51,274.12 2026-03-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 12 — — $20,487.39 $85,110.00 $50,868.28 2026-03-30
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 12 — — $20,398.90 $72,485.42 $50,648.58 2026-03-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 12 — — $21,819.35 $77,532.83 $50,471.91 2026-03-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 22 12 — — $25,305.96 $89,922.15 $50,095.51 2026-03-30
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 12 — — $20,103.74 $71,436.58 $49,915.71 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 12 — — $19,670.78 $69,898.11 $48,840.73 2026-03-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 12 — — $19,601.21 $69,650.90 $48,667.99 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 22 12 — — $19,493.14 $69,266.89 $48,399.67 2026-03-30
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 22 12 — — $19,464.77 $69,166.08 $48,329.23 2026-03-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 12 — — $19,386.42 $68,887.67 $48,134.69 2026-03-30
69930 CPT Implant Cochlear Device 55 23 — — $7,784.82 $63,956.78 $47,967.58 2026-03-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 12 — — $22,233.39 $79,004.09 $47,960.96 2026-03-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 12 — — $21,000.72 $74,623.91 $47,717.04 2026-03-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 12 — — $21,037.87 $74,755.91 $47,675.14 2026-03-30
665 MS_DRG Prostatectomy With Mcc 22 12 — — $21,081.77 $74,911.92 $47,546.45 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 22 12 — — $18,907.54 $67,186.00 $46,945.66 2026-03-30
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 12 — — $18,622.50 $66,173.16 $46,237.94 2026-03-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 12 — — $23,043.24 $81,881.81 $45,975.50 2026-03-30
570 MS_DRG Skin Debridement With Mcc 22 12 — — $19,865.31 $70,589.34 $45,945.31 2026-03-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 22 12 — — $18,561.04 $73,693.00 $45,728.58 2026-03-30
408T OTHER Insj/rplc Cardiac Modulj Sys 56 23 — — $30,442.85 $60,885.70 $45,664.28 2026-03-30
571T OTHER Insj/rplcmt Icds Ss Eltrd 56 23 — — $30,442.85 $60,885.70 $45,664.28 2026-03-30
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 56 23 — — $30,442.85 $60,885.70 $45,664.28 2026-03-30
33270 CPT Ins/rep Subq Defibrillator 55 23 — — $30,442.85 $60,885.70 $45,664.28 2026-03-30
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 55 23 — — $30,442.85 $60,885.70 $45,664.28 2026-03-30
33249 CPT Insj/rplcmt Defib W/lead(s) 55 23 — — $30,442.85 $60,885.70 $45,664.28 2026-03-30
33231 CPT Insrt Pulse Gen W/mult Leads 55 23 — — $30,442.85 $60,885.70 $45,664.28 2026-03-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 12 — — $19,253.36 $68,414.85 $45,414.09 2026-03-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 22 12 — — $18,278.70 $64,951.51 $45,384.33 2026-03-30
668 MS_DRG Transurethral Procedures With Mcc 22 12 — — $19,722.79 $70,082.92 $45,354.24 2026-03-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 12 — — $18,219.26 $64,740.30 $45,236.75 2026-03-30
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 55 23 — — $29,927.69 $59,855.38 $44,891.54 2026-03-30
61886 CPT Implant Neurostim Arrays 55 23 — — $29,927.69 $59,855.38 $44,891.54 2026-03-30
61885 CPT Insrt/redo Neurostim 1 Array 55 23 — — $29,927.69 $59,855.38 $44,891.54 2026-03-30
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 55 23 — — $893.48 $59,855.38 $44,891.54 2026-03-30
909T OTHER Replacement Of Integrated Neurostimulation System, Vagus Nerve, Including Analys… 56 23 — — $29,927.69 $59,855.38 $44,891.54 2026-03-30
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 56 23 — — $29,927.69 $59,855.38 $44,891.54 2026-03-30
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 55 23 — — $29,927.69 $59,855.38 $44,891.54 2026-03-30
908T OTHER Open Implantation Of Integrated Neurostimulation System, Vagus Nerve, Including … 56 23 — — $29,927.69 $59,855.38 $44,891.54 2026-03-30
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 55 23 — — $29,927.69 $59,855.38 $44,891.54 2026-03-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 12 — — $25,172.22 $89,446.93 $44,622.88 2026-03-30
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 12 — — $17,966.65 $88,568.00 $44,609.53 2026-03-30
L5856 HCPCS Dme Pos 56 23 — — $29,719.96 $59,439.92 $44,579.94 2026-03-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 22 12 — — $17,903.84 $63,619.45 $44,453.57 2026-03-30
L6880 HCPCS Dme Pos 56 23 — — $29,579.67 $59,159.34 $44,369.50 2026-03-30
L6700 HCPCS Upper Extremity Addition, External Powered Feature, Myoelectronic Control Module… 56 23 — — $29,510.19 $59,020.38 $44,265.29 2026-03-30
C1826 HCPCS Gen, Neuro, Clo Loop, Rechg 1 1 — — $43,652.70 $43,652.70 $43,652.70 2026-03-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 12 — — $22,311.74 $79,282.50 $43,572.48 2026-03-30
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 12 — — $18,722.47 $66,528.37 $43,340.09 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 9 — — $26,105.00 $92,761.46 $42,939.04 2026-03-30
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 22 12 — — $17,342.55 $61,624.97 $42,807.21 2026-03-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 12 — — $25,243.14 $89,698.94 $42,748.79 2026-03-30
662 MS_DRG Minor Bladder Procedures With Mcc 22 12 — — $20,678.53 $73,479.06 $42,674.19 2026-03-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 12 — — $20,376.61 $72,406.22 $42,575.43 2026-03-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 12 — — $18,377.32 $65,301.92 $42,380.90 2026-03-30
164 MS_DRG Major Chest Procedures With Cc 22 12 — — $17,048.06 $60,578.52 $42,274.62 2026-03-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 12 — — $19,502.60 $69,300.49 $41,908.04 2026-03-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 22 12 — — $16,831.24 $59,808.09 $41,790.41 2026-03-30
33289 CPT Tcat Impl Wrls P-art Prs Snr 55 23 — — $27,818.88 $55,637.76 $41,728.32 2026-03-30
253 MS_DRG Other Vascular Procedures With Cc 22 12 — — $17,531.67 $62,297.00 $41,421.71 2026-03-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 12 — — $26,910.13 $95,622.38 $41,254.98 2026-03-30
963 MS_DRG Other Multiple Significant Trauma With Mcc 22 12 — — $18,465.12 $65,613.93 $40,796.22 2026-03-30
503 MS_DRG Foot Procedures With Mcc 22 12 — — $18,852.15 $66,989.19 $40,600.19 2026-03-30
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 12 — — $20,401.60 $72,495.02 $40,512.40 2026-03-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 22 12 — — $16,246.31 $57,729.61 $40,338.08 2026-03-30
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 22 12 — — $17,420.90 $61,903.38 $40,260.51 2026-03-30
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 22 12 — — $17,420.90 $61,903.38 $40,260.51 2026-03-30
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 12 — — $19,589.05 $69,607.70 $39,893.89 2026-03-30
472 MS_DRG Cervical Spinal Fusion With Cc 22 12 — — $19,899.08 $75,313.00 $39,868.45 2026-03-30
20696 CPT App Mltpln Uni Xtrnl Fix 1st 55 23 — — $26,316.24 $52,632.48 $39,474.36 2026-03-30
960T OTHER Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 56 23 — — $26,316.24 $52,632.48 $39,474.36 2026-03-30
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 55 23 — — $26,316.24 $52,632.48 $39,474.36 2026-03-30
22630 CPT Arthrd Pst Tq 1ntrspc Lum 55 23 — — $26,316.24 $52,632.48 $39,474.36 2026-03-30
21243 CPT Reconstruction Of Jaw Joint 55 23 — — $26,316.24 $52,632.48 $39,474.36 2026-03-30
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 55 23 — — $26,316.24 $52,632.48 $39,474.36 2026-03-30
27702 CPT Reconstruct Ankle Joint 55 23 — — $26,316.24 $52,632.48 $39,474.36 2026-03-30
956T OTHER Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp … 56 23 — — $26,316.24 $52,632.48 $39,474.36 2026-03-30
113 MS_DRG Orbital Procedures With Cc/mcc 22 12 — — $15,880.22 $56,428.75 $39,429.12 2026-03-30
397 MS_DRG Appendix Procedures With Mcc 22 12 — — $16,176.06 $57,479.99 $39,323.76 2026-03-30
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 22 12 — — $15,784.31 $56,087.94 $39,190.98 2026-03-30
C9760 HCPCS Non-blind Interatrial Shunt 56 23 — — $26,106.22 $52,212.44 $39,159.33 2026-03-30
56 MS_DRG Degenerative Nervous System Disorders With Mcc 22 12 — — $15,691.10 $60,127.97 $38,959.55 2026-03-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 22 12 — — $16,605.64 $59,006.46 $38,898.79 2026-03-30
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 12 — — $15,610.72 $55,471.11 $38,759.98 2026-03-30
791 MS_DRG Prematurity With Major Problems 16 12 — — $27,416.03 $54,832.06 $38,627.94 2026-03-30
347 MS_DRG Anal And Stomal Procedures With Mcc 22 12 — — $15,505.35 $55,096.70 $38,498.36 2026-03-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 22 12 — — $17,162.20 $60,984.14 $38,496.26 2026-03-30
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 22 12 — — $15,500.63 $55,079.89 $38,486.62 2026-03-30
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 22 12 — — $15,437.81 $54,856.69 $38,330.65 2026-03-30
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 22 12 — — $15,370.94 $54,619.08 $38,164.63 2026-03-30
93654 CPT Compre Ep Eval Tx Vt 56 23 — — $25,350.10 $50,700.20 $38,025.15 2026-03-30
93653 CPT Compre Ep Eval Tx Svt 56 23 — — $25,350.10 $50,700.20 $38,025.15 2026-03-30
93656 CPT Compre Ep Eval Abltj Atr Fib 56 23 — — $25,350.10 $50,700.20 $38,025.15 2026-03-30
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 22 12 — — $15,302.72 $54,376.67 $37,995.24 2026-03-30
J9266 HCPCS Pegaspargase Injection 56 23 — — $9,903.59 $65,250.20 $37,576.89 2026-03-30
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 22 12 — — $15,120.36 $53,728.64 $37,542.44 2026-03-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 12 — — $21,504.60 $76,414.38 $37,223.26 2026-03-30
709 MS_DRG Penis Procedures With Cc/mcc 22 12 — — $15,718.12 $55,852.73 $37,194.39 2026-03-30
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 22 12 — — $14,946.09 $53,109.41 $37,109.76 2026-03-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 12 — — $18,565.76 $65,971.55 $36,738.12 2026-03-30
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 22 12 — — $14,777.91 $52,511.79 $36,593.04 2026-03-30
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 22 12 — — $15,795.79 $56,128.74 $36,507.55 2026-03-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 22 12 — — $17,040.63 $60,552.12 $36,500.07 2026-03-30
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 22 12 — — $14,657.00 $52,082.17 $36,391.99 2026-03-30
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 22 12 — — $16,610.37 $59,023.26 $36,202.28 2026-03-30
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 22 12 — — $14,392.91 $51,143.73 $35,736.25 2026-03-30
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 22 12 — — $14,850.86 $52,771.00 $35,714.46 2026-03-30
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 22 12 — — $14,303.75 $50,826.92 $35,514.89 2026-03-30
655 MS_DRG Major Bladder Procedures Without Cc/mcc 22 12 — — $14,296.32 $50,800.52 $35,496.44 2026-03-30
412 MS_DRG Cholecystectomy With C.d.e. With Cc 22 12 — — $14,201.08 $50,462.10 $35,259.98 2026-03-30
L8614 HCPCS Dme Pos 56 23 — — $23,437.87 $46,875.74 $35,156.81 2026-03-30
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 22 12 — — $14,124.08 $50,188.49 $35,068.79 2026-03-30
835 MS_DRG Acute Leukemia With Cc 22 12 — — $14,088.29 $61,513.87 $34,979.91 2026-03-30
314 MS_DRG Other Circulatory System Diagnoses With Mcc 22 12 — — $14,084.23 $50,046.89 $34,969.85 2026-03-30
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 22 12 — — $14,138.27 $50,238.89 $34,925.01 2026-03-30
Q0483 HCPCS Dme Pos 56 23 — — $23,212.40 $46,424.80 $34,818.60 2026-03-30
374 MS_DRG Digestive Malignancy With Mcc 22 12 — — $14,445.59 $51,330.94 $34,795.67 2026-03-30
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