Price Transparency 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

25,023 distinct procedures filed
31 distinct payers
1,272,647 rate rows
2026-05-06 last MRF observed
Data quality

853,043 of 1,272,647 rate rows are consumer-grade (67.0%)

419,604 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 400,221
exceeds 10× this hospital's gross charge — excluded from medians 19,056
per-diem day rate — not a per-procedure price 176
placeholder amount (≤ $0.02) — excluded from medians 82
template filing: same amount across many unrelated codes — excluded 69
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/561340424_medical-park-hospital-llc-dba-novant-health-medical-park-hospital_standardcharges.json
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 3762b4edb695f35d… · 295,051,487 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
$3,710,000
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
$2,469,189
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
$2,448,600
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,148,317.94 $4,055,977.72 $3,187,671.92 nat. median
$3,325,455
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
$3,006,423
0.9× median
820
CPT 		Anesth Abdominal Wall Surg 6 $66,513.70 $4,570,670.30 $2,247,649.09 —
411
CPT 		Cholecystectomy With C.d.e. With Mcc 6 $33,444.40 $2,298,223.16 $1,130,162.29 —
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 23 $731,549.57 $1,463,099.14 $1,097,324.35 nat. median
$824,563
1.3× median
625
CPT 		Anes Spine Tranthor Without Vent 6 $32,133.20 $2,208,120.47 $1,085,853.86 —
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 23 $561,725.68 $1,127,511.66 $844,618.67 nat. median
$754,974
1.1× median
821
CPT 		Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 $24,553.10 $1,687,233.23 $829,705.05 —
Q2056
HCPCS 		Ciltacabtagene Car-pos T 23 $537,179.39 $1,077,636.42 $807,407.91 nat. median
$675,122
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 23 $534,017.50 $1,068,035.00 $801,026.25 nat. median
$674,188
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 23 $529,061.91 $1,058,123.82 $793,592.86 nat. median
$625,184
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 23 $506,195.40 $1,012,390.80 $759,293.10 nat. median
$634,511
1.2× median
018
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $405,269.70 $866,908.73 $754,575.34 —
810
CPT 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 10 $11,049.50 $1,652,932.88 $723,139.55 —
Q2053
HCPCS 		Brexucabtagene Car Pos T 23 $464,496.87 $953,404.97 $708,950.92 nat. median
$620,080
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $291,673.04 $1,036,430.38 $664,051.71 nat. median
$370,174
1.8× 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
$324,450
1.9× median
410
CPT 		Anesth Correct Heart Rhythm 6 $17,217.20 $1,183,126.85 $581,808.32 —
001
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $298,084.60 $637,630.06 $555,006.43 —
297
CPT 		Cardiac Arrest, Unexplained With Cc 10 $8,014.60 $1,198,931.70 $524,519.14 —
124
CPT 		Anesth Ear Exam 6 $14,540.90 $999,217.60 $491,370.06 —
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $210,351.93 $831,871.32 $468,547.03 nat. median
$424,868
1.1× median
546
CPT 		Anesth Lung Chest Wall Surg 6 $13,192.30 $906,544.87 $445,797.80 —
003
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $234,523.30 $501,666.66 $436,661.06 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $189,284.07 $672,601.62 $430,942.84 nat. median
$265,286
1.6× median
294
CPT 		Deep Vein Thrombophlebitis With Cc/mcc 6 $12,030.70 $826,722.36 $406,544.70 —
136
CPT 		Sinus And Mastoid Procedures Without Cc/mcc 6 $11,487.30 $789,381.15 $388,181.97 —
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $154,718.38 $611,859.29 $344,626.45 nat. median
$263,894
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $144,209.39 $512,433.35 $328,321.37 nat. median
$206,368
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $143,363.07 $509,426.03 $326,394.55 nat. median
$202,986
1.6× median
004
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $161,700.00 $345,891.00 $301,070.70 —
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $121,727.40 $481,391.05 $271,140.92 nat. median
$218,232
1.2× median
002
CPT 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $134,685.10 $288,103.67 $250,771.41 —
014
CPT 		Allogeneic Bone Marrow Transplant 3 $126,069.90 $269,674.98 $234,730.69 —
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 $76,539.28 $391,173.69 $233,856.48 nat. median
$108,660
outlier · 2.2×
730
CPT 		Anesth Abdominal Wall Surg 6 $6,837.60 $469,864.33 $231,058.05 —
7
MS_DRG 		Lung Transplant 23 $87,470.57 $370,986.54 $229,228.55 nat. median
$122,708
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $81,173.46 $371,394.07 $226,283.77 nat. median
$117,303
1.9× median
212
CPT 		Anesth Skull Drainage 3 $118,477.70 $253,434.57 $220,594.71 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 $93,557.62 $332,447.45 $213,002.54 nat. median
$133,176
1.6× median
215
CPT 		Anesth Skull Repair/fract 3 $112,362.80 $240,354.24 $209,209.32 —
216
CPT 		Anesth Head Vessel Surgery 3 $106,758.30 $228,365.71 $198,774.25 —
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 23 $69,641.04 $307,351.08 $188,496.06 nat. median
$100,136
1.9× median
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $83,929.06 $331,911.30 $186,947.25 nat. median
$150,232
1.2× median

Other procedures at this hospital

Browse this hospital's 25,023 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
             
001 CPT Heart Transplant Or Implant Of Heart Assist System With Mcc 7 3 $823,017.41 $534,961.32 35% off $298,084.60 $637,630.06 $555,006.43 2026-05-06
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 10 6 $916,622.47 $412,480.11 55% off $154,718.38 $611,859.29 $344,626.45 2026-05-06
002 CPT Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 3 $560,181.56 $364,118.01 35% off $134,685.10 $288,103.67 $250,771.41 2026-05-06
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 6 $560,181.56 $252,081.70 55% off $69,907.20 $276,459.53 $155,714.34 2026-05-06
003 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 3 $734,179.01 $477,216.36 35% off $234,523.30 $501,666.66 $436,661.06 2026-05-06
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 6 $678,930.84 $305,518.88 55% off $121,727.40 $481,391.05 $271,140.92 2026-05-06
004 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 3 $467,789.96 $304,063.48 35% off $161,700.00 $345,891.00 $301,070.70 2026-05-06
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 6 $497,916.01 $224,062.20 55% off $83,929.06 $331,911.30 $186,947.25 2026-05-06
011 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 3 $100,943.51 $65,613.28 35% off $56,719.30 $121,327.74 $105,606.18 2026-05-06
012 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 3 $210,843.96 $137,048.58 35% off $44,053.90 $94,235.30 $82,024.36 2026-05-06
014 CPT Allogeneic Bone Marrow Transplant 7 3 $585,410.02 $380,516.52 35% off $126,069.90 $269,674.98 $234,730.69 2026-05-06
014 OTHER Allogeneic Bone Marrow Transplant 10 6 $585,410.02 $263,434.51 55% off $65,435.55 $258,775.66 $145,754.00 2026-05-06
016 CPT Autologous Bone Marrow Transplant With Cc/mcc 7 3 $152,907.81 $99,390.08 35% off $67,947.00 $145,344.81 $126,511.14 2026-05-06
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 10 6 $167,758.36 $75,491.26 55% off $35,267.34 $139,470.48 $78,555.99 2026-05-06
018 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 3 $2,535,046.84 $1,647,780.45 35% off $405,269.70 $866,908.73 $754,575.34 2026-05-06
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 6 $1,645,107.27 $740,298.27 55% off $210,351.93 $831,871.32 $468,547.03 2026-05-06
020 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 3 $390,421.74 $253,774.13 35% off $92,976.40 $198,884.97 $173,113.60 2026-05-06
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 6 $308,224.02 $138,700.81 55% off $48,258.64 $190,846.74 $107,493.39 2026-05-06
021 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 3 $277,582.81 $180,428.83 35% off $67,555.40 $144,507.14 $125,782.01 2026-05-06
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 6 $282,055.26 $126,924.87 55% off $35,064.08 $138,666.67 $78,103.26 2026-05-06
022 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 3 $142,645.35 $92,719.48 35% off $43,149.70 $92,301.13 $80,340.82 2026-05-06
023 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 3 $244,633.59 $159,011.83 35% off $62,356.80 $133,386.86 $116,102.69 2026-05-06
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 6 $234,851.11 $105,683.00 55% off $32,365.79 $127,995.84 $72,092.96 2026-05-06
024 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 3 $148,818.96 $96,732.32 35% off $41,676.80 $89,150.46 $77,598.41 2026-05-06
025 CPT Craniotomy And Endovascular Intracranial Procedures With Mcc 7 3 $158,384.79 $102,950.11 35% off $48,576.00 $103,908.48 $90,444.10 2026-05-06
028 CPT Spinal Procedures With Mcc 7 3 $150,838.11 $98,044.77 35% off $66,287.10 $141,794.13 $123,420.55 2026-05-06
028 OTHER Spinal Procedures With Mcc 10 6 $237,048.26 $106,671.72 55% off $34,405.78 $136,063.31 $76,636.93 2026-05-06
029 CPT Spinal Procedures With Cc Or Spinal Neurostimulators 7 3 $123,382.48 $80,198.61 35% off $37,710.20 $80,665.55 $70,212.96 2026-05-06
031 CPT Ventricular Shunt Procedures With Mcc 7 3 $106,516.33 $69,235.61 35% off $45,282.60 $96,863.60 $84,312.08 2026-05-06
034 CPT Carotid Artery Stent Procedures With Mcc 7 3 $147,936.30 $96,158.60 35% off $42,915.40 $91,799.94 $79,904.57 2026-05-06
037 CPT Extracranial Procedures With Mcc 7 3 $127,742.35 $83,032.53 35% off $37,131.60 $79,427.87 $69,135.66 2026-05-06
040 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 3 $142,711.14 $92,762.24 35% off $42,355.50 $90,602.26 $78,862.09 2026-05-06
094 CPT Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 3 $161,737.77 $105,129.55 35% off $39,849.70 $85,242.13 $74,196.52 2026-05-06
097 CPT Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 3 $148,894.62 $96,781.50 35% off $40,005.90 $85,576.26 $74,487.35 2026-05-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 56 23 — — $189,284.07 $672,601.62 $430,942.84 2026-03-30
10 MS_DRG Pancreas Transplant 56 23 — — $48,467.40 $191,916.80 $120,192.10 2026-03-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 56 23 — — $36,839.06 $130,903.85 $83,871.46 2026-03-30
124 CPT Anesth Ear Exam 14 6 $114,908.60 $74,690.59 35% off $14,540.90 $999,217.60 $491,370.06 2026-05-06
136 CPT Sinus And Mastoid Procedures Without Cc/mcc 14 6 $79,612.20 $51,747.93 35% off $11,487.30 $789,381.15 $388,181.97 2026-05-06
14 MS_DRG Allogeneic Bone Marrow Transplant 56 23 — — $81,173.46 $371,394.07 $226,283.77 2026-03-30
140 CPT Anesth Procedures On Eye 7 3 $208,097.47 $135,263.36 35% off $41,559.10 $88,898.69 $77,379.27 2026-05-06
143 CPT Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 3 $207,612.49 $134,948.12 35% off $36,581.60 $78,251.37 $68,111.61 2026-05-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 56 23 — — $40,051.45 $142,318.73 $91,185.09 2026-03-30
163 CPT Major Chest Procedures With Mcc 7 3 $203,086.97 $132,006.53 35% off $51,849.60 $110,911.01 $96,539.24 2026-05-06
163 MS_DRG Major Chest Procedures With Mcc 56 23 — — $30,271.78 $107,567.68 $68,919.73 2026-03-30
166 CPT Other Respiratory System O.r. Procedures With Mcc 7 3 $143,405.95 $93,213.87 35% off $44,635.80 $95,480.03 $83,107.80 2026-05-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 56 23 — — $36,691.82 $130,380.63 $83,536.23 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 56 23 — — $291,673.04 $1,036,430.38 $664,051.71 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 23 — — $48,189.80 $218,786.19 $133,487.99 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 56 23 — — $76,539.28 $391,173.69 $233,856.48 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 56 23 — — $53,148.87 $194,107.07 $123,627.97 2026-03-30
207 CPT Respiratory System Diagnosis With Ventilator Support >96 Hours 7 3 $185,320.91 $120,458.59 35% off $75,988.00 $162,545.24 $141,482.75 2026-05-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 56 23 — — $43,462.41 $154,439.23 $98,950.82 2026-03-30
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 10 6 $252,679.92 $113,705.96 55% off $39,440.95 $155,975.73 $87,852.49 2026-05-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 56 23 — — $35,756.34 $127,056.49 $81,406.41 2026-03-30
212 CPT Anesth Skull Drainage 7 3 $476,284.02 $309,584.61 35% off $118,477.70 $253,434.57 $220,594.71 2026-05-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 56 23 — — $73,447.80 $260,989.27 $167,218.54 2026-03-30
212 OTHER Concomitant Aortic And Mitral Valve�procedures 10 6 $399,350.34 $179,707.65 55% off $61,494.88 $243,191.64 $136,976.38 2026-05-06
215 CPT Anesth Skull Repair/fract 7 3 $300,382.83 $195,248.84 35% off $112,362.80 $240,354.24 $209,209.32 2026-05-06
215 MS_DRG Other Heart Assist System Implant 56 23 — — $67,253.36 $238,977.96 $153,115.66 2026-03-30
215 OTHER Other Heart Assist System Implant 10 6 $456,141.66 $205,263.74 55% off $58,320.99 $230,639.97 $129,906.72 2026-05-06
216 CPT Anesth Head Vessel Surgery 7 3 $467,299.89 $303,744.93 35% off $106,758.30 $228,365.71 $198,774.25 2026-05-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 23 — — $66,076.75 $234,796.98 $150,436.86 2026-03-30
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 $352,099.10 $158,444.59 55% off $55,412.02 $219,135.97 $123,427.15 2026-05-06
217 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 3 $265,579.60 $172,626.74 35% off $70,018.30 $149,775.51 $130,367.71 2026-05-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 23 — — $44,412.07 $157,813.78 $101,112.93 2026-03-30
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 $252,443.23 $113,599.45 55% off $36,342.43 $143,722.11 $80,950.70 2026-05-06
218 CPT Anesth Special Head Surgery 7 3 $155,536.49 $101,098.72 35% off $62,663.70 $134,043.35 $116,674.11 2026-05-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 23 — — $44,412.07 $157,813.78 $101,112.93 2026-03-30
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 $155,536.49 $69,991.42 55% off $32,525.08 $128,625.79 $72,447.79 2026-05-06
219 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 $333,683.90 $216,894.53 35% off $84,823.20 $181,444.54 $157,933.09 2026-05-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 23 — — $51,862.16 $184,286.88 $118,074.52 2026-03-30
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 $334,369.87 $150,466.44 55% off $44,026.79 $174,111.18 $98,067.18 2026-05-06
220 CPT Anesth Intrcrn Nerve 7 3 $231,962.10 $150,775.36 35% off $57,690.60 $123,405.44 $107,414.65 2026-05-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 23 — — $36,019.76 $127,992.53 $82,006.15 2026-03-30
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 $258,189.97 $116,185.49 55% off $29,943.83 $118,417.82 $66,698.20 2026-05-06
221 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 $191,065.44 $124,192.54 35% off $51,134.60 $109,381.56 $95,207.98 2026-05-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 23 — — $34,043.43 $120,969.84 $77,506.63 2026-03-30
228 CPT Other Cardiothoracic Procedures With Mcc 7 3 $293,267.57 $190,623.92 35% off $55,425.70 $118,560.61 $103,197.61 2026-05-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 56 23 — — $33,416.62 $132,817.57 $83,117.10 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 23 — — $38,704.62 $137,532.93 $88,118.77 2026-03-30
231 CPT Coronary Bypass With Ptca With Mcc 7 3 $318,175.29 $206,813.94 35% off $89,267.20 $190,950.66 $166,207.41 2026-05-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 56 23 — — $56,938.75 $202,326.03 $129,632.39 2026-03-30
231 OTHER Coronary Bypass With Ptca With Mcc 10 6 $336,734.02 $151,530.31 55% off $46,333.41 $183,233.10 $103,205.05 2026-05-06
232 CPT Coronary Bypass With Ptca Without Mcc 7 3 $249,483.66 $162,164.38 35% off $65,434.60 $139,970.56 $121,833.28 2026-05-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 56 23 — — $40,949.10 $145,508.46 $93,228.78 2026-03-30
232 OTHER Coronary Bypass With Ptca Without Mcc 10 6 $282,652.64 $127,193.69 55% off $33,963.29 $134,313.44 $75,651.32 2026-05-06
233 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 3 $285,143.52 $185,343.29 35% off $85,795.60 $183,524.59 $159,743.61 2026-05-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 56 23 — — $51,638.59 $183,492.45 $117,565.52 2026-03-30
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 6 $286,640.00 $128,988.00 55% off $44,531.51 $176,107.17 $99,191.42 2026-05-06
234 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 3 $214,865.59 $139,662.63 35% off $57,176.90 $122,306.59 $106,458.19 2026-05-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 56 23 — — $36,897.15 $131,110.26 $84,003.71 2026-03-30
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 6 $230,196.59 $103,588.46 55% off $29,677.20 $117,363.38 $66,104.29 2026-05-06
235 CPT Coronary Bypass Without Cardiac Catheterization With Mcc 7 3 $218,354.50 $141,930.42 35% off $64,686.60 $138,370.52 $120,440.57 2026-05-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 56 23 — — $39,638.75 $140,852.27 $90,245.51 2026-03-30
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 10 6 $244,653.33 $110,094.00 55% off $33,575.05 $132,778.07 $74,786.53 2026-05-06
236 CPT Coronary Bypass Without Cardiac Catheterization Without Mcc 7 3 $168,678.80 $109,641.22 35% off $44,453.20 $95,089.44 $82,767.82 2026-05-06
239 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 3 $154,656.29 $100,526.59 35% off $52,874.80 $113,104.00 $98,448.07 2026-05-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 56 23 — — $33,243.03 $118,125.72 $75,684.38 2026-03-30
242 CPT Permanent Cardiac Pacemaker Implant With Mcc 7 3 $134,920.25 $87,698.16 35% off $38,006.10 $81,298.50 $70,763.90 2026-05-06
245 CPT Aicd Generator Procedures 7 3 $120,654.86 $78,425.66 35% off $49,845.40 $106,623.84 $92,807.60 2026-05-06
245 MS_DRG Aicd Generator Procedures 56 23 — — $30,816.18 $109,502.16 $70,159.17 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 56 23 — — $30,710.14 $109,125.35 $69,917.74 2026-03-30
252 CPT Other Vascular Procedures With Mcc 7 3 $135,647.87 $88,171.12 35% off $36,891.80 $78,914.91 $68,689.18 2026-05-06
260 CPT Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 3 $198,932.54 $129,306.15 35% off $36,467.20 $78,006.66 $67,898.61 2026-05-06
264 CPT Other Circulatory System O.r. Procedures 7 3 $82,559.28 $53,663.53 35% off $35,926.00 $76,848.98 $66,890.95 2026-05-06
265 CPT Aicd Lead Procedures 7 3 $113,693.86 $73,901.01 35% off $38,875.10 $83,157.37 $72,381.90 2026-05-06
266 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 3 $235,300.34 $152,945.22 35% off $68,707.10 $146,970.73 $127,926.37 2026-05-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 56 23 — — $41,393.54 $147,087.73 $94,240.63 2026-03-30
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 6 $219,366.60 $98,714.97 55% off $35,661.86 $141,030.69 $79,434.78 2026-05-06
267 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 3 $180,720.11 $117,468.07 35% off $53,682.20 $114,831.11 $99,951.38 2026-05-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 56 23 — — $32,156.25 $114,263.96 $73,210.10 2026-03-30
268 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 3 $264,632.86 $172,011.36 35% off $75,401.70 $161,291.09 $140,391.11 2026-05-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 56 23 — — $46,455.95 $165,076.48 $105,766.21 2026-03-30
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 6 $337,769.49 $151,996.27 55% off $39,136.64 $154,772.27 $87,174.65 2026-05-06
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 3 $177,276.64 $115,229.81 35% off $45,744.60 $97,851.86 $85,172.29 2026-05-06
270 CPT Other Major Cardiovascular Procedures With Mcc 7 3 $182,631.46 $118,710.45 35% off $55,625.90 $118,988.86 $103,570.37 2026-05-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 56 23 — — $35,638.14 $126,636.48 $81,137.31 2026-03-30
271 CPT Other Major Cardiovascular Procedures With Cc 7 3 $128,882.94 $83,773.91 35% off $38,018.20 $81,324.39 $70,786.43 2026-05-06
273 CPT Percutaneous And Other Intracardiac Procedures With Mcc 7 3 $156,894.77 $101,981.60 35% off $42,867.00 $91,696.41 $79,814.46 2026-05-06
274 CPT Percutaneous And Other Intracardiac Procedures Without Mcc 7 3 $133,898.13 $87,033.78 35% off $35,648.80 $76,256.02 $66,374.82 2026-05-06
275 CPT Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 3 $260,179.26 $169,116.52 35% off $77,393.80 $165,552.37 $144,100.22 2026-05-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 23 — — $48,161.43 $171,136.73 $109,649.08 2026-03-30
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 6 $207,517.70 $93,382.96 55% off $40,170.62 $158,861.33 $89,477.79 2026-05-06
276 CPT Cardiac Defibrillator Implant With Mcc 7 3 $207,988.33 $135,192.41 35% off $68,312.20 $146,126.01 $127,191.11 2026-05-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 56 23 — — $40,570.86 $144,164.41 $92,367.63 2026-03-30
276 OTHER Cardiac Defibrillator Implant With Mcc 10 6 $204,183.78 $91,882.70 55% off $35,456.89 $140,220.11 $78,978.22 2026-05-06
277 CPT Cardiac Defibrillator Implant Without Mcc 7 3 $153,492.91 $99,770.39 35% off $52,606.40 $112,529.87 $97,948.33 2026-05-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 56 23 — — $31,195.10 $110,848.62 $71,021.86 2026-03-30
278 CPT Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 3 $222,844.43 $144,848.88 35% off $49,064.40 $104,953.21 $91,353.45 2026-05-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 56 23 — — $37,596.23 $133,594.37 $85,595.30 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 56 23 — — $40,582.34 $144,205.21 $92,393.77 2026-03-30
294 CPT Deep Vein Thrombophlebitis With Cc/mcc 14 6 $84,495.83 $54,922.29 35% off $12,030.70 $826,722.36 $406,544.70 2026-05-06
297 CPT Cardiac Arrest, Unexplained With Cc 20 10 $128,073.87 $83,248.02 35% off $8,014.60 $1,198,931.70 $524,519.14 2026-05-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 23 — — $143,363.07 $509,426.03 $326,394.55 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 56 23 — — $30,263.00 $107,536.48 $68,899.74 2026-03-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 56 23 — — $45,163.16 $160,482.69 $102,822.93 2026-03-30
319 CPT Other Endovascular Cardiac Valve Procedures With Mcc 7 3 $107,980.78 $70,187.51 35% off $47,980.90 $102,635.51 $89,336.07 2026-05-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 56 23 — — $30,144.12 $107,114.06 $68,629.09 2026-03-30
323 CPT Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 3 $210,060.11 $136,539.07 35% off $45,540.00 $97,414.20 $84,791.34 2026-05-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 56 23 — — $29,228.90 $103,861.93 $66,545.41 2026-03-30
326 CPT Anesth Larynx/trach < 1 Yr 7 3 $139,530.85 $90,695.05 35% off $55,869.00 $119,508.87 $104,023.00 2026-05-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 56 23 — — $33,686.79 $119,702.59 $76,694.69 2026-03-30
329 CPT Major Small And Large Bowel Procedures With Mcc 7 3 $52,109.81 $33,871.38 35% off $49,684.80 $106,280.30 $92,508.58 2026-05-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 56 23 — — $31,046.51 $110,320.60 $70,683.55 2026-03-30
332 CPT Rectal Resection With Mcc 7 3 $69,943.78 $45,463.45 35% off $40,197.30 $85,985.68 $74,843.72 2026-05-06
335 CPT Peritoneal Adhesiolysis With Mcc 7 3 $40,927.72 $26,603.02 35% off $39,325.00 $84,119.75 $73,219.57 2026-05-06
356 CPT Other Digestive System O.r. Procedures With Mcc 7 3 $40,693.14 $26,450.54 35% off $47,065.70 $100,677.81 $87,632.05 2026-05-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 56 23 — — $29,670.64 $105,431.59 $67,551.12 2026-03-30
38204 OTHER Mud Bl Donor Search Management (search & Collect) Nhci 22 14 $300,768.00 $135,345.60 55% off $178,355.42 $178,355.42 $178,355.42 2026-05-06
38240 CPT Transplt Allo Hct/donor 55 23 — — $61,005.36 $122,010.72 $91,508.04 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 56 23 — — $93,557.62 $332,447.45 $213,002.54 2026-03-30
405 CPT Pancreas, Liver And Shunt Procedures With Mcc 7 3 $256,497.49 $166,723.37 35% off $60,557.20 $129,537.36 $112,752.00 2026-05-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 56 23 — — $36,949.84 $131,297.47 $84,123.65 2026-03-30
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 10 6 $211,432.16 $95,144.47 55% off $31,431.72 $124,301.91 $70,012.38 2026-05-06
408 CPT Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 3 $221,397.22 $143,908.19 35% off $40,944.20 $87,583.37 $76,234.38 2026-05-06
410 CPT Anesth Correct Heart Rhythm 14 6 $136,148.92 $88,496.80 35% off $17,217.20 $1,183,126.85 $581,808.32 2026-05-06
411 CPT Cholecystectomy With C.d.e. With Mcc 14 6 $319,134.33 $207,437.31 35% off $33,444.40 $2,298,223.16 $1,130,162.29 2026-05-06
414 CPT Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 3 $126,774.84 $82,403.65 35% off $38,777.20 $82,947.96 $72,199.62 2026-05-06
423 CPT Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 3 $153,070.53 $99,495.84 35% off $43,019.90 $92,023.48 $80,099.14 2026-05-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 23 — — $74,441.37 $264,519.82 $169,480.60 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 23 — — $48,757.17 $173,253.62 $111,005.40 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 23 — — $37,973.12 $134,933.62 $86,453.37 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 56 23 — — $60,854.26 $216,239.41 $138,546.83 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 56 23 — — $38,953.18 $138,416.17 $88,684.68 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 56 23 — — $45,130.07 $160,365.08 $102,747.57 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 56 23 — — $35,998.14 $127,915.73 $81,956.93 2026-03-30
453 CPT Combined Anterior And Posterior Spinal Fusion With Mcc 7 3 $347,655.05 $225,975.78 35% off $97,475.40 $236,949.00 $181,490.33 2026-05-06
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 10 6 $240,589.29 $108,265.18 55% off $50,593.81 $200,081.55 $112,694.85 2026-05-06
454 CPT Anesth Collar Bone Biopsy 7 3 $244,688.27 $159,047.38 35% off $67,279.30 $217,061.00 $125,267.94 2026-05-06
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 10 6 $241,069.17 $108,481.13 55% off $34,920.77 $138,099.94 $77,784.05 2026-05-06
455 CPT Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 3 $208,462.45 $135,500.59 35% off $50,661.60 $174,654.00 $94,327.29 2026-05-06
456 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 $259,271.23 $168,526.30 35% off $92,723.40 $243,776.00 $172,642.54 2026-05-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 23 — — $56,759.76 $247,953.00 $152,356.38 2026-03-30
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 $360,601.64 $162,270.74 55% off $48,127.32 $190,327.42 $107,200.89 2026-05-06
457 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 $288,063.35 $187,241.18 35% off $66,828.30 $162,781.00 $124,428.22 2026-05-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 23 — — $40,277.04 $165,570.00 $102,923.52 2026-03-30
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 $202,305.84 $91,037.63 55% off $34,686.68 $137,174.20 $77,262.62 2026-05-06
458 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 $284,090.72 $184,658.97 35% off $49,841.00 $129,597.00 $92,799.41 2026-05-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 23 — — $28,183.33 $131,817.00 $80,000.16 2026-03-30
459 CPT Spinal Fusion Except Cervical With Mcc 7 3 $279,705.55 $181,808.61 35% off $72,955.30 $170,765.00 $135,836.14 2026-05-06
459 OTHER Spinal Fusion Except Cervical With Mcc 10 6 $182,382.44 $82,072.10 55% off $37,866.85 $149,750.70 $84,346.27 2026-05-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 56 23 — — $37,304.44 $147,714.49 $92,509.46 2026-03-30
463 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 3 $168,586.44 $109,581.19 35% off $62,300.70 $133,266.86 $115,998.24 2026-05-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 56 23 — — $38,496.59 $136,793.70 $87,645.15 2026-03-30
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 6 $259,583.70 $116,812.67 55% off $32,336.67 $127,880.68 $72,028.10 2026-05-06
466 CPT Revision Of Hip Or Knee Replacement With Mcc 7 3 $187,416.78 $121,820.90 35% off $57,052.60 $138,392.00 $106,226.75 2026-05-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 56 23 — — $35,159.25 $140,763.00 $87,961.12 2026-03-30
467 CPT Revision Of Hip Or Knee Replacement With Cc 7 3 $147,230.76 $95,699.99 35% off $38,349.30 $91,015.00 $71,402.91 2026-05-06
469 CPT Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 3 $142,259.34 $92,468.57 35% off $36,627.80 $83,676.00 $68,197.63 2026-05-06
471 CPT Cervical Spinal Fusion With Mcc 7 3 $192,589.79 $125,183.36 35% off $54,109.00 $124,141.00 $100,746.04 2026-05-06
471 MS_DRG Cervical Spinal Fusion With Mcc 56 23 — — $32,614.87 $126,268.00 $79,441.43 2026-03-30
474 CPT Anesth Surgery Of Rib 7 3 $192,744.55 $125,283.95 35% off $47,330.80 $101,244.88 $88,125.65 2026-05-06
477 CPT Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 3 $126,808.03 $82,425.22 35% off $37,059.00 $79,272.57 $69,000.49 2026-05-06
485 CPT Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 3 $181,545.73 $118,004.73 35% off $36,234.00 $77,507.82 $67,464.41 2026-05-06
492 CPT Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 3 $107,412.61 $69,818.20 35% off $38,083.10 $81,463.21 $70,907.27 2026-05-06
495 CPT Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 3 $189,927.85 $123,453.10 35% off $39,393.20 $84,265.64 $73,346.56 2026-05-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 56 23 — — $69,641.04 $307,351.08 $188,496.06 2026-03-30
500 CPT Anesth Esophageal Surgery 7 3 $162,777.85 $105,805.60 35% off $35,670.80 $76,303.08 $66,415.79 2026-05-06
546 CPT Anesth Lung Chest Wall Surg 14 6 $118,871.16 $77,266.25 35% off $13,192.30 $906,544.87 $445,797.80 2026-05-06
573 CPT Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 3 $229,881.32 $149,422.86 35% off $68,399.10 $146,311.89 $127,352.91 2026-05-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 56 23 — — $44,250.65 $175,220.35 $109,735.50 2026-03-30
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 6 $254,149.98 $114,367.49 55% off $35,501.99 $140,398.48 $79,078.69 2026-05-06
574 CPT Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 3 $71,811.01 $46,677.15 35% off $37,463.80 $80,138.47 $69,754.19 2026-05-06
576 CPT Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 3 $152,613.03 $99,198.47 35% off $62,514.10 $133,723.34 $116,395.57 2026-05-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 56 23 — — $33,104.57 $131,085.20 $82,094.88 2026-03-30
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 6 $125,171.23 $56,327.05 55% off $32,447.43 $128,318.71 $72,274.82 2026-05-06
579 CPT Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 3 $107,934.43 $70,157.38 35% off $36,764.20 $78,641.97 $68,451.60 2026-05-06
6 MS_DRG Liver Transplant Without Mcc 56 23 — — $31,320.06 $218,161.93 $124,740.99 2026-03-30
616 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 3 $107,369.95 $69,790.47 35% off $43,534.70 $93,124.68 $81,057.65 2026-05-06
622 CPT Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 3 $156,988.00 $102,042.20 35% off $42,081.60 $90,016.37 $78,352.11 2026-05-06
625 CPT Anes Spine Tranthor Without Vent 14 6 $278,659.55 $181,128.71 35% off $32,133.20 $2,208,120.47 $1,085,853.86 2026-05-06
628 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 3 $121,005.01 $78,653.25 35% off $44,159.50 $94,461.18 $82,220.97 2026-05-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 56 23 — — $31,755.04 $202,625.48 $117,190.26 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 56 23 — — $25,030.38 $135,858.01 $80,444.20 2026-03-30
652 MS_DRG Kidney Transplant 56 23 — — $21,813.27 $190,338.58 $106,075.93 2026-03-30
653 CPT Major Bladder Procedures With Mcc 7 3 $131,362.64 $85,385.72 35% off $59,549.60 $127,382.01 $110,875.94 2026-05-06
653 MS_DRG Major Bladder Procedures With Mcc 56 23 — — $35,098.46 $124,718.80 $79,908.63 2026-03-30
653 OTHER Major Bladder Procedures With Mcc 10 6 $123,440.53 $55,548.24 55% off $30,908.73 $122,233.67 $68,847.46 2026-05-06
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 7 3 $109,629.42 $71,259.12 35% off $40,678.00 $87,013.94 $75,738.74 2026-05-06
7 MS_DRG Lung Transplant 56 23 — — $87,470.57 $370,986.54 $229,228.55 2026-03-30
730 CPT Anesth Abdominal Wall Surg 14 6 $47,337.42 $30,769.32 35% off $6,837.60 $469,864.33 $231,058.05 2026-05-06
736 CPT Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 3 $95,585.45 $62,130.54 35% off $42,759.20 $91,465.82 $79,613.74 2026-05-06
739 CPT Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 3 $69,158.33 $44,952.91 35% off $39,779.30 $85,091.54 $74,065.44 2026-05-06
790 CPT Anes Iper Upr Abd Nos 4 2 $143,043.88 $92,978.52 35% off $66,001.10 $141,182.35 $130,223.17 2026-05-06
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 5 $232,280.87 $104,526.39 55% off $34,257.33 $135,476.26 $89,407.49 2026-05-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 12 — — $40,144.66 $130,708.20 $66,032.29 2026-03-30
791 CPT Prematurity With Major Problems 4 2 $44,579.24 $28,976.51 35% off $45,074.70 $96,418.88 $88,934.43 2026-05-06
793 CPT Full Term Neonate With Major Problems 4 2 $21,973.00 $14,282.45 35% off $46,302.30 $99,044.83 $91,356.54 2026-05-06
799 CPT Splenic Procedures With Mcc 7 3 $187,649.28 $121,972.03 35% off $54,500.60 $116,581.74 $101,475.16 2026-05-06
799 MS_DRG Splenic Procedures With Mcc 56 23 — — $30,589.91 $108,698.13 $69,644.02 2026-03-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 56 23 — — $37,855.60 $149,898.66 $93,877.13 2026-03-30
802 CPT Anesth Fat Layer Removal 7 3 $97,750.84 $63,538.04 35% off $37,738.80 $80,726.72 $70,266.21 2026-05-06
810 CPT Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 20 10 $249,320.14 $162,058.09 35% off $11,049.50 $1,652,932.88 $723,139.55 2026-05-06
820 CPT Anesth Abdominal Wall Surg 14 6 $471,771.30 $306,651.34 35% off $66,513.70 $4,570,670.30 $2,247,649.09 2026-05-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 56 23 — — $39,613.09 $140,761.06 $90,187.07 2026-03-30
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 6 $138,179.19 $62,180.64 55% off $34,523.39 $136,528.44 $76,898.91 2026-05-06
821 CPT Lymphoma And Leukemia With Major O.r. Procedures With Cc 14 6 $191,221.83 $124,294.19 35% off $24,553.10 $1,687,233.23 $829,705.05 2026-05-06
823 CPT Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 3 $183,132.78 $119,036.31 35% off $49,520.90 $105,929.71 $92,203.41 2026-05-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 56 23 — — $30,967.48 $110,039.78 $70,503.63 2026-03-30
826 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 3 $187,250.94 $121,713.11 35% off $50,904.70 $108,889.78 $94,779.92 2026-05-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 56 23 — — $31,595.64 $112,271.88 $71,933.76 2026-03-30
834 CPT Anesth Hernia Repair < 1 Yr 7 3 $197,377.83 $128,295.59 35% off $61,589.00 $131,744.47 $114,673.12 2026-05-06
834 MS_DRG Acute Leukemia With Mcc 56 23 — — $37,080.87 $165,016.88 $101,048.88 2026-03-30
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 10 6 $55,889.17 $25,150.13 55% off $31,967.27 $126,419.82 $71,205.29 2026-05-06
837 CPT Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 3 $178,634.87 $116,112.67 35% off $53,284.00 $113,979.32 $99,209.96 2026-05-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 56 23 — — $32,450.07 $115,308.00 $73,879.04 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 56 23 — — $58,489.55 $207,836.66 $133,163.11 2026-03-30
853 CPT Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 3 $175,197.84 $113,878.60 35% off $54,992.30 $117,633.53 $102,390.66 2026-05-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 23 — — $33,357.18 $118,531.34 $75,944.26 2026-03-30
856 CPT Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 3 $200,460.18 $130,299.12 35% off $48,712.40 $104,200.25 $90,698.06 2026-05-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 56 23 — — $30,723.65 $109,173.35 $69,948.50 2026-03-30
870 CPT Anesth Bladder Stone Surg 7 3 $234,651.30 $152,523.35 35% off $76,613.90 $163,884.10 $142,648.12 2026-05-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 56 23 — — $46,684.92 $165,890.11 $106,287.51 2026-03-30
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 10 6 $265,190.28 $119,335.63 55% off $39,765.82 $157,260.48 $88,576.12 2026-05-06
876 CPT O.r. Procedures With Principal Diagnosis Of Mental Illness 7 3 $83,554.24 $54,310.26 35% off $41,046.50 $87,802.20 $76,424.85 2026-05-06
901 CPT Wound Debridements For Injuries With Mcc 7 3 $59,324.38 $38,560.85 35% off $47,605.80 $101,833.13 $88,637.67 2026-05-06
90288 CPT Botulism Ig IV 48 21 — — $91,224.47 $91,224.47 $91,224.47 2026-03-30
904 CPT Anesth Perineal Surgery 7 3 $102,711.13 $66,762.24 35% off $35,818.20 $76,618.39 $66,690.23 2026-05-06
907 CPT Other O.r. Procedures For Injuries With Mcc 7 3 $86,192.15 $56,024.90 35% off $40,914.50 $87,519.84 $76,179.08 2026-05-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 23 — — $144,209.39 $512,433.35 $328,321.37 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 56 23 — — $48,447.14 $172,151.97 $110,299.55 2026-03-30
955 CPT Craniotomy For Multiple Significant Trauma 7 3 $164,330.62 $106,814.91 35% off $66,992.20 $143,302.41 $124,733.39 2026-05-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 56 23 — — $45,464.41 $161,553.13 $103,508.77 2026-03-30
955 OTHER Craniotomy For Multiple Significant Trauma 10 6 $418,067.28 $188,130.27 55% off $34,771.75 $137,510.63 $77,452.12 2026-05-06
956 CPT Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 3 $93,730.01 $60,924.51 35% off $42,660.20 $91,254.05 $79,429.41 2026-05-06
957 CPT Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 3 $319,969.41 $207,980.12 35% off $79,557.50 $170,180.73 $148,128.83 2026-05-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 56 23 — — $51,467.70 $182,885.22 $117,176.46 2026-03-30
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 6 $281,907.22 $126,858.25 55% off $41,293.67 $163,302.62 $91,979.32 2026-05-06
958 CPT Other O.r. Procedures For Multiple Significant Trauma With Cc 7 3 $189,752.68 $123,339.24 35% off $44,492.80 $95,174.14 $82,841.55 2026-05-06
969 CPT HIV With Extensive O.r. Procedures With Mcc 7 3 $240,415.53 $156,270.10 35% off $75,598.60 $161,712.28 $140,757.72 2026-05-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 56 23 — — $41,345.59 $146,917.32 $94,131.46 2026-03-30
969 OTHER HIV With Extensive O.r. Procedures With Mcc 10 6 $174,916.76 $78,712.54 55% off $39,238.84 $155,176.44 $87,402.29 2026-05-06
981 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 $192,965.93 $125,427.85 35% off $52,144.40 $111,541.61 $97,088.13 2026-05-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 23 — — $31,690.20 $112,607.89 $72,149.04 2026-03-30
987 CPT Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 $127,632.95 $82,961.42 35% off $37,143.70 $79,453.75 $69,158.19 2026-05-06
A9543 HCPCS Y90 Ibritumomab, Rx 56 23 — — $53,943.55 $127,627.61 $90,785.58 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
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,148,317.94 $4,055,977.72 $3,187,671.92 2026-03-30
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
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 56 23 — — $2,213,767.60 $4,427,535.20 $3,320,651.40 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
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 8 7 — — $3,083,749.52 $3,978,853.10 $3,122,296.39 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
J7330 HCPCS Cultured Chondrocytes Implnt 49 21 — — $96,363.41 $125,750.30 $111,056.85 2026-03-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 56 23 — — $60,130.83 $123,190.11 $91,660.47 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
L7181 HCPCS Dme Pos 56 23 — — $49,605.45 $99,210.90 $74,408.18 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
Q0480 HCPCS Dme Pos 56 23 — — $111,502.61 $223,005.22 $167,253.92 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 56 23 — — $506,195.40 $1,012,390.80 $759,293.10 2026-03-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 56 23 — — $561,725.68 $1,127,511.66 $844,618.67 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 56 23 — — $52,470.01 $111,075.77 $81,772.89 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 56 23 — — $464,496.87 $953,404.97 $708,950.92 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
Q2056 HCPCS Ciltacabtagene Car-pos T 56 23 — — $537,179.39 $1,077,636.42 $807,407.91 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
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
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