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 Charlotte Orthopedic Hospital

Charlotte, NC · CCN 340153 · Rates published

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You selected 93306 (CPT)

TTE W/DOPPLER COMPLETE

This hospital’s price: $240 across 9 payers · range $207-$1,062

Source: https://www2.novanthealth.org/Public_Files/regulatory/560554230_the-presbyterian-hospital-dba-novant-health-charlotte-orthopedic-hospital_standardcharges.json · 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.

20,203 distinct procedures filed
22 distinct payers
1,049,161 rate rows
2026-03-30 last MRF observed
Data quality

675,311 of 1,049,161 rate rows are consumer-grade (64.4%)

373,850 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 348,254
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 25,401
per-diem day rate — not a per-procedure price 144
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/560554230_the-presbyterian-hospital-dba-novant-health-charlotte-orthopedic-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 29b7ba055c82276c… · 283,933,642 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 $4,284,975.80 $4,499,224.59 $4,284,975.80 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,505,278.25 $4,496,025.34 $3,549,094.23 nat. median
$3,703,693
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 22 $2,335,203.01 $4,670,406.02 $3,502,804.52 nat. median
$2,466,282
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 22 $2,218,105.12 $4,436,210.24 $3,327,157.68 nat. median
$2,401,960
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,154,486.56 $4,055,977.72 $3,193,917.64 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 7 $3,089,791.63 $3,978,853.10 $3,128,414.02 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,801,870.06 $3,599,837.74 $2,836,893.44 nat. median
$2,994,107
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 22 $732,982.92 $1,465,965.84 $1,099,474.38 nat. median
$809,217
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 22 $562,826.29 $1,127,511.66 $845,168.97 nat. median
$738,272
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 22 $538,231.91 $1,077,636.42 $807,934.17 nat. median
$646,415
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 22 $535,063.82 $1,070,127.64 $802,595.73 nat. median
$640,950
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 22 $530,098.52 $1,060,197.04 $795,147.78 nat. median
$622,245
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 22 $507,187.21 $1,014,374.42 $760,780.81 nat. median
$608,101
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 22 $465,406.97 $953,404.97 $709,405.97 nat. median
$591,650
1.2× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 22 $264,660.27 $992,250.00 $628,455.14 nat. median
$319,951
2.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $413,334.10 $872,335.74 $482,928.51 nat. median
$359,358
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $268,237.20 $595,872.19 $302,993.68 nat. median
$249,124
1.2× median
7
MS_DRG 		Lung Transplant 12 $123,955.82 $275,360.10 $247,815.66 nat. median
$117,894
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $203,161.88 $451,311.43 $233,477.20 nat. median
$190,557
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $115,032.09 $253,049.55 $230,064.18 nat. median
$110,192
outlier · 2.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $108,464.93 $266,526.40 $216,929.86 nat. median
$103,967
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $132,581.86 $294,522.32 $211,708.61 nat. median
$126,722
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $202,425.43 $453,975.68 $209,470.25 nat. median
$198,433
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $98,689.32 $219,232.16 $197,378.64 nat. median
$94,964
outlier · 2.1×
Q0480
HCPCS 		Dme Pos 22 $111,502.61 $223,005.22 $167,253.92 nat. median
$111,503
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $104,083.95 $231,215.99 $149,094.78 nat. median
$97,414
1.5× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 22 $95,081.03 $190,162.06 $142,621.55 nat. median
$97,020
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $68,290.46 $151,703.00 $136,580.92 nat. median
$66,660
outlier · 2.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $75,318.03 $167,314.29 $129,661.78 nat. median
$74,460
1.7× median
10
MS_DRG 		Pancreas Transplant 12 $68,683.86 $152,576.91 $128,198.69 nat. median
$64,903
2.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $93,638.32 $208,011.68 $127,189.32 nat. median
$90,581
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $62,708.23 $139,302.42 $117,045.62 nat. median
$58,118
outlier · 2.0×
J7330
HCPCS 		Cultured Chondrocytes Implnt 20 $96,363.41 $125,750.30 $111,056.85 nat. median
$75,037
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $103,359.93 $234,343.78 $108,129.25 nat. median
$93,270
1.2× median
834
MS_DRG 		Acute Leukemia With Mcc 12 $52,547.84 $112,434.34 $105,095.68 nat. median
$50,391
outlier · 2.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $86,237.46 $191,571.12 $103,977.79 nat. median
$78,037
1.3× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 22 $68,801.71 $137,603.42 $103,202.57 nat. median
$70,178
1.5× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 12 $53,645.72 $119,170.61 $100,130.95 nat. median
$50,788
2.0× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 $52,864.66 $121,721.00 $98,671.95 nat. median
$53,342
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 12 $83,458.94 $211,715.69 $97,688.36 nat. median
$93,917
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $80,688.73 $179,244.96 $92,728.90 nat. median
$77,043
1.2× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 22 $60,248.64 $123,190.11 $91,719.38 nat. median
$68,423
1.3× median
38240
CPT 		Transplt Allo Hct/donor 22 $61,124.89 $122,249.78 $91,687.34 nat. median
$12,855
outlier · 7.1×
90288
CPT 		Botulism Ig IV 20 $91,224.47 $91,224.47 $91,224.47 nat. median
$51,570
1.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 22 $54,049.24 $127,627.61 $90,838.43 nat. median
$63,643
1.4× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 12 $45,000.53 $138,058.98 $90,001.06 nat. median
$42,849
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $64,428.27 $143,123.38 $89,493.78 nat. median
$61,711
1.5× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $62,937.00 $139,810.60 $89,333.70 nat. median
$62,038
1.4× median
6
MS_DRG 		Liver Transplant Without Mcc 12 $44,384.11 $148,644.75 $88,768.22 nat. median
$44,134
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 20,203 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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 — — $4,284,975.80 $4,499,224.59 $4,284,975.80 2026-03-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $3,505,278.25 $4,496,025.34 $3,549,094.23 2026-03-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 53 22 — — $2,335,203.01 $4,670,406.02 $3,502,804.52 2026-03-30
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 54 22 — — $2,218,105.12 $4,436,210.24 $3,327,157.68 2026-03-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,154,486.56 $4,055,977.72 $3,193,917.64 2026-03-30
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 8 7 — — $3,089,791.63 $3,978,853.10 $3,128,414.02 2026-03-30
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 8 7 — — $2,801,870.06 $3,599,837.74 $2,836,893.44 2026-03-30
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 54 22 — — $732,982.92 $1,465,965.84 $1,099,474.38 2026-03-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 54 22 — — $562,826.29 $1,127,511.66 $845,168.97 2026-03-30
Q2056 HCPCS Ciltacabtagene Car-pos T 54 22 — — $538,231.91 $1,077,636.42 $807,934.17 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 54 22 — — $535,063.82 $1,070,127.64 $802,595.73 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 54 22 — — $530,098.52 $1,060,197.04 $795,147.78 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 54 22 — — $507,187.21 $1,014,374.42 $760,780.81 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 54 22 — — $465,406.97 $953,404.97 $709,405.97 2026-03-30
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 54 22 — — $264,660.27 $992,250.00 $628,455.14 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 12 — — $413,334.10 $872,335.74 $482,928.51 2026-03-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 12 — — $268,237.20 $595,872.19 $302,993.68 2026-03-30
7 MS_DRG Lung Transplant 21 12 — — $123,955.82 $275,360.10 $247,815.66 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 12 — — $203,161.88 $451,311.43 $233,477.20 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 21 12 — — $115,032.09 $253,049.55 $230,064.18 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 12 — — $108,464.93 $266,526.40 $216,929.86 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 12 — — $132,581.86 $294,522.32 $211,708.61 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 12 — — $202,425.43 $453,975.68 $209,470.25 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 12 — — $98,689.32 $219,232.16 $197,378.64 2026-03-30
Q0480 HCPCS Dme Pos 54 22 — — $111,502.61 $223,005.22 $167,253.92 2026-03-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 12 — — $104,083.95 $231,215.99 $149,094.78 2026-03-30
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 54 22 — — $95,081.03 $190,162.06 $142,621.55 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 12 — — $68,290.46 $151,703.00 $136,580.92 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 12 — — $75,318.03 $167,314.29 $129,661.78 2026-03-30
10 MS_DRG Pancreas Transplant 21 12 — — $68,683.86 $152,576.91 $128,198.69 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $93,638.32 $208,011.68 $127,189.32 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $62,708.23 $139,302.42 $117,045.62 2026-03-30
J7330 HCPCS Cultured Chondrocytes Implnt 47 20 — — $96,363.41 $125,750.30 $111,056.85 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $103,359.93 $234,343.78 $108,129.25 2026-03-30
834 MS_DRG Acute Leukemia With Mcc 21 12 — — $52,547.84 $112,434.34 $105,095.68 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 12 — — $86,237.46 $191,571.12 $103,977.79 2026-03-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 54 22 — — $68,801.71 $137,603.42 $103,202.57 2026-03-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 12 — — $53,645.72 $119,170.61 $100,130.95 2026-03-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 12 — — $52,864.66 $121,721.00 $98,671.95 2026-03-30
215 MS_DRG Other Heart Assist System Implant 21 12 — — $83,458.94 $211,715.69 $97,688.36 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 12 — — $80,688.73 $179,244.96 $92,728.90 2026-03-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 54 22 — — $60,248.64 $123,190.11 $91,719.38 2026-03-30
38240 CPT Transplt Allo Hct/donor 53 22 — — $61,124.89 $122,249.78 $91,687.34 2026-03-30
90288 CPT Botulism Ig IV 46 20 — — $91,224.47 $91,224.47 $91,224.47 2026-03-30
A9543 HCPCS Y90 Ibritumomab, Rx 54 22 — — $54,049.24 $127,627.61 $90,838.43 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 12 — — $45,000.53 $138,058.98 $90,001.06 2026-03-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 12 — — $64,428.27 $143,123.38 $89,493.78 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $62,937.00 $139,810.60 $89,333.70 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 21 12 — — $44,384.11 $148,644.75 $88,768.22 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 12 — — $47,355.18 $105,196.57 $88,720.94 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $46,912.96 $104,214.22 $87,563.73 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 12 — — $56,136.28 $124,703.24 $87,532.12 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 12 — — $65,833.40 $146,244.79 $87,354.72 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $62,937.00 $139,810.60 $87,047.83 2026-03-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $80,435.08 $218,515.00 $85,169.69 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $73,494.61 $163,263.69 $85,063.74 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 21 12 — — $68,452.91 $184,126.95 $84,958.56 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 54 22 — — $52,572.82 $111,075.77 $81,824.29 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 12 — — $54,848.88 $121,843.37 $79,325.60 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 12 — — $58,659.39 $130,308.17 $77,993.03 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 12 — — $58,029.57 $128,909.06 $76,361.71 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 12 — — $66,157.88 $139,625.27 $76,029.80 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 12 — — $70,126.02 $162,559.89 $75,007.23 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 12 — — $50,670.82 $112,562.07 $74,785.46 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 12 — — $68,946.38 $162,021.93 $74,759.02 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 21 12 — — $57,509.83 $127,754.48 $74,631.50 2026-03-30
L7181 HCPCS Dme Pos 54 22 — — $49,605.45 $99,210.90 $74,408.18 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 12 — — $58,591.43 $130,157.20 $73,998.35 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 12 — — $68,250.26 $151,613.70 $72,510.24 2026-03-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 12 — — $64,001.37 $142,175.05 $72,495.68 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 12 — — $35,470.92 $92,566.93 $70,941.84 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $68,118.49 $153,489.09 $70,821.85 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 12 — — $44,309.49 $152,513.12 $70,371.53 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 12 — — $61,591.21 $129,987.37 $70,252.49 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 12 — — $37,274.23 $78,666.73 $69,572.40 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 12 — — $63,954.47 $142,070.86 $69,006.61 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 12 — — $56,889.58 $113,779.16 $65,378.50 2026-03-30
332 MS_DRG Rectal Resection With Mcc 21 12 — — $34,656.36 $76,986.94 $64,686.62 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 53 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 54 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 53 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $53,812.27 $119,540.59 $63,999.43 2026-03-30
652 MS_DRG Kidney Transplant 21 12 — — $30,911.90 $129,687.30 $61,823.80 2026-03-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 12 — — $36,018.42 $80,012.67 $61,351.61 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 12 — — $50,503.32 $112,189.97 $60,564.50 2026-03-30
J9226 HCPCS Supprelin La Implant 54 22 — — $35,473.35 $85,643.68 $60,558.51 2026-03-30
L7180 HCPCS Dme Pos 54 22 — — $39,992.59 $79,985.18 $59,988.89 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 12 — — $47,270.95 $105,009.45 $59,815.11 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 12 — — $56,172.65 $124,784.04 $59,505.53 2026-03-30
L2006 HCPCS Dme Pos 54 22 — — $39,378.44 $78,756.88 $59,067.66 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 12 — — $53,385.70 $127,718.34 $58,930.89 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 12 — — $56,757.49 $119,785.87 $58,738.04 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 12 — — $51,996.51 $109,737.89 $58,738.04 2026-03-30
653 MS_DRG Major Bladder Procedures With Mcc 21 12 — — $49,738.54 $110,491.05 $58,650.76 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 12 — — $51,013.49 $113,323.28 $58,625.60 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $51,510.72 $176,531.00 $58,504.11 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 12 — — $44,774.64 $99,464.06 $57,788.21 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 12 — — $49,824.68 $121,125.00 $57,757.62 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 12 — — $54,222.77 $122,625.85 $56,581.15 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 12 — — $52,287.49 $116,153.39 $56,575.96 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 12 — — $35,776.26 $79,474.72 $55,974.39 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $50,897.95 $121,188.47 $55,917.93 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 12 — — $44,908.64 $99,761.74 $55,861.22 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $53,278.16 $118,354.11 $55,859.43 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 12 — — $43,884.47 $97,486.60 $55,754.17 2026-03-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 12 — — $34,731.02 $77,152.80 $55,243.36 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 12 — — $34,571.17 $72,961.97 $55,203.60 2026-03-30
A9699 HCPCS Radiopharm Rx Agent Noc 47 20 — — $55,169.68 $55,169.68 $55,169.68 2026-03-30
901 MS_DRG Wound Debridements For Injuries With Mcc 21 12 — — $40,168.72 $89,232.31 $54,683.62 2026-03-30
263 MS_DRG Vein Ligation And Stripping 21 12 — — $29,264.61 $65,009.50 $54,623.46 2026-03-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 12 — — $52,362.15 $116,319.24 $54,127.89 2026-03-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 12 — — $51,164.06 $115,970.53 $53,510.30 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 12 — — $41,420.70 $92,013.51 $52,460.95 2026-03-30
L8701 HCPCS Ewh S/d Uprt Micro Sensor 54 22 — — $34,970.13 $69,940.26 $52,455.19 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $50,930.58 $113,391.33 $52,320.22 2026-03-30
245 MS_DRG Aicd Generator Procedures 21 12 — — $43,670.06 $97,010.31 $51,572.91 2026-03-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 12 — — $42,717.67 $94,894.64 $51,408.76 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 21 12 — — $40,826.30 $90,693.07 $51,388.37 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 21 12 — — $35,157.92 $78,101.13 $50,508.48 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 12 — — $43,519.78 $96,676.48 $50,404.48 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 12 — — $47,109.18 $104,650.11 $50,104.28 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 21 12 — — $42,898.58 $95,296.51 $49,828.43 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 12 — — $40,216.58 $89,338.62 $49,736.66 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 12 — — $36,748.74 $81,635.04 $49,702.00 2026-03-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 12 — — $39,488.17 $87,720.51 $49,501.14 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $41,796.25 $107,169.77 $49,449.52 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 12 — — $32,815.72 $72,898.07 $49,200.37 2026-03-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 12 — — $43,800.73 $106,047.09 $48,931.50 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 21 12 — — $46,219.01 $118,033.00 $48,898.97 2026-03-30
799 MS_DRG Splenic Procedures With Mcc 21 12 — — $43,349.41 $96,298.00 $48,256.27 2026-03-30
69930 CPT Implant Cochlear Device 53 22 — — $32,041.04 $64,082.08 $48,061.56 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 12 — — $43,996.46 $97,735.38 $47,667.65 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 12 — — $42,046.70 $93,404.11 $47,629.17 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 12 — — $37,443.65 $83,178.73 $47,537.45 2026-03-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 12 — — $39,502.22 $97,051.66 $47,135.10 2026-03-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 12 — — $30,413.21 $67,561.06 $46,961.39 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 12 — — $43,942.45 $101,228.89 $46,708.32 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 12 — — $42,886.14 $95,268.87 $46,545.53 2026-03-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 12 — — $33,686.75 $71,095.40 $46,141.66 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 12 — — $39,939.00 $140,543.00 $45,879.43 2026-03-30
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 54 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 53 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
33270 CPT Ins/rep Subq Defibrillator 53 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
33249 CPT Insj/rplcmt Defib W/lead(s) 53 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
33231 CPT Insrt Pulse Gen W/mult Leads 53 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
408T OTHER Insj/rplc Cardiac Modulj Sys 54 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
571T OTHER Insj/rplcmt Icds Ss Eltrd 54 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 12 — — $39,751.39 $88,305.24 $45,683.00 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 12 — — $32,611.84 $72,445.17 $45,682.85 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 12 — — $40,094.06 $89,066.45 $45,341.26 2026-03-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 12 — — $43,842.53 $98,203.17 $45,312.22 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 21 12 — — $31,511.09 $69,999.92 $45,154.72 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 12 — — $41,090.48 $91,279.93 $45,096.87 2026-03-30
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 53 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
61886 CPT Implant Neurostim Arrays 53 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
61885 CPT Insrt/redo Neurostim 1 Array 53 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 54 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 53 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 53 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
908T OTHER Open Implantation Of Integrated Neurostimulation System, Vagus Nerve, Including … 54 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 53 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
909T OTHER Replacement Of Integrated Neurostimulation System, Vagus Nerve, Including Analys… 54 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 12 — — $38,819.11 $96,719.01 $44,627.40 2026-03-30
L5856 HCPCS Dme Pos 54 22 — — $29,719.96 $59,439.92 $44,579.94 2026-03-30
L6880 HCPCS Dme Pos 54 22 — — $29,579.67 $59,159.34 $44,369.50 2026-03-30
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 12 — — $25,460.80 $96,790.00 $44,336.00 2026-03-30
L6700 HCPCS Upper Extremity Addition, External Powered Feature, Myoelectronic Control Module… 54 22 — — $29,510.19 $59,020.38 $44,265.29 2026-03-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 12 — — $37,049.30 $82,302.69 $44,244.24 2026-03-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 12 — — $34,128.96 $75,815.35 $44,189.18 2026-03-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 12 — — $31,134.92 $69,164.29 $44,059.70 2026-03-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $34,519.49 $76,682.88 $44,031.15 2026-03-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 12 — — $40,334.31 $89,600.16 $43,662.76 2026-03-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 12 — — $40,354.41 $89,644.81 $43,613.88 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 12 — — $40,591.79 $90,172.13 $43,579.57 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 21 12 — — $34,039.94 $75,617.61 $42,568.07 2026-03-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 12 — — $34,704.22 $77,093.26 $42,468.15 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 9 — — $36,993.78 $82,179.37 $42,131.27 2026-03-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 12 — — $30,888.93 $68,617.83 $42,054.20 2026-03-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 12 — — $25,903.02 $54,667.95 $42,042.99 2026-03-30
33289 CPT Tcat Impl Wrls P-art Prs Snr 53 22 — — $27,873.38 $55,746.76 $41,810.07 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 21 12 — — $26,794.14 $59,521.52 $41,750.37 2026-03-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 21 12 — — $34,179.69 $75,928.05 $41,439.40 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 12 — — $39,011.81 $89,797.90 $41,433.91 2026-03-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 12 — — $30,729.08 $68,262.74 $41,319.09 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 12 — — $33,380.45 $74,152.59 $41,228.35 2026-03-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 12 — — $33,066.50 $73,455.16 $40,934.72 2026-03-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 21 12 — — $30,998.05 $68,860.23 $40,794.02 2026-03-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 12 — — $34,100.25 $75,751.56 $40,692.06 2026-03-30
56 MS_DRG Degenerative Nervous System Disorders With Mcc 21 12 — — $22,236.09 $46,928.94 $40,164.94 2026-03-30
835 MS_DRG Acute Leukemia With Cc 21 12 — — $19,964.71 $42,135.25 $39,929.42 2026-03-30
793 MS_DRG Full Term Neonate With Major Problems 15 12 — — $12,211.39 $79,820.58 $39,910.29 2026-03-30
252 MS_DRG Other Vascular Procedures With Mcc 21 12 — — $33,389.07 $74,171.72 $39,778.52 2026-03-30
20696 CPT App Mltpln Uni Xtrnl Fix 1st 53 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
21243 CPT Reconstruction Of Jaw Joint 53 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 53 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
960T OTHER Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 54 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
22630 CPT Arthrd Pst Tq 1ntrspc Lum 53 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 53 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
27702 CPT Reconstruct Ankle Joint 53 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
956T OTHER Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp … 54 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 12 — — $38,076.86 $85,487.89 $39,445.22 2026-03-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 12 — — $34,214.15 $76,004.59 $39,432.89 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 12 — — $30,560.62 $67,888.51 $39,427.79 2026-03-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 12 — — $34,293.59 $76,181.08 $39,410.80 2026-03-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 12 — — $36,958.36 $82,100.70 $39,338.60 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 21 12 — — $27,624.01 $58,300.09 $39,286.07 2026-03-30
C9760 HCPCS Non-blind Interatrial Shunt 54 22 — — $26,157.38 $52,314.76 $39,236.07 2026-03-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 21 12 — — $25,371.78 $56,361.83 $39,169.84 2026-03-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 12 — — $27,557.96 $84,713.92 $39,088.10 2026-03-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 12 — — $30,075.33 $66,810.47 $39,083.18 2026-03-30
265 MS_DRG Aicd Lead Procedures 21 12 — — $34,632.43 $76,933.79 $39,033.90 2026-03-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 12 — — $30,504.15 $67,763.05 $38,990.40 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 21 12 — — $27,875.75 $61,924.23 $38,975.10 2026-03-30
791 MS_DRG Prematurity With Major Problems 15 12 — — $26,319.18 $77,703.30 $38,851.65 2026-03-30
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 12 — — $28,489.30 $63,287.19 $38,747.74 2026-03-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 12 — — $29,032.97 $81,666.00 $38,374.58 2026-03-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 12 — — $33,755.66 $89,353.00 $38,292.40 2026-03-30
93654 CPT Compre Ep Eval Tx Vt 54 22 — — $25,399.77 $50,799.54 $38,099.65 2026-03-30
93656 CPT Compre Ep Eval Abltj Atr Fib 54 22 — — $25,399.77 $50,799.54 $38,099.65 2026-03-30
93653 CPT Compre Ep Eval Tx Svt 54 22 — — $25,399.77 $50,799.54 $38,099.65 2026-03-30
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 21 12 — — $27,583.81 $61,275.71 $37,778.13 2026-03-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 12 — — $30,160.52 $66,999.71 $37,723.07 2026-03-30
J9266 HCPCS Pegaspargase Injection 54 22 — — $9,903.59 $65,250.20 $37,576.89 2026-03-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 12 — — $30,963.59 $65,348.21 $37,551.78 2026-03-30
500 MS_DRG Soft Tissue Procedures With Mcc 21 12 — — $30,292.61 $67,293.14 $37,287.71 2026-03-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 12 — — $30,146.16 $66,967.82 $37,272.42 2026-03-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 12 — — $35,143.56 $75,590.00 $36,984.13 2026-03-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 12 — — $34,067.70 $75,679.27 $36,879.10 2026-03-30
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 21 12 — — $28,907.58 $64,216.39 $36,760.60 2026-03-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 12 — — $33,794.67 $79,663.96 $36,757.98 2026-03-30
264 MS_DRG Other Circulatory System O.r. Procedures 21 12 — — $31,975.32 $71,031.18 $36,746.60 2026-03-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 12 — — $28,838.54 $73,837.84 $36,666.74 2026-03-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 12 — — $30,102.80 $79,242.95 $36,563.72 2026-03-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 12 — — $33,227.30 $73,812.38 $36,442.31 2026-03-30
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 21 12 — — $26,390.22 $55,696.18 $35,371.94 2026-03-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 12 — — $30,246.67 $67,191.08 $35,205.75 2026-03-30
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 12 — — $22,122.18 $49,143.05 $35,200.65 2026-03-30
L8614 HCPCS Dme Pos 54 22 — — $23,437.87 $46,875.74 $35,156.81 2026-03-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 12 — — $30,920.52 $68,688.00 $35,076.84 2026-03-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 12 — — $27,472.78 $61,029.06 $35,070.15 2026-03-30
Q0483 HCPCS Dme Pos 54 22 — — $23,212.40 $46,424.80 $34,818.60 2026-03-30
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 21 12 — — $21,427.27 $47,599.35 $34,774.47 2026-03-30
L5858 HCPCS Dme Pos 54 22 — — $23,009.05 $46,018.10 $34,513.57 2026-03-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 21 12 — — $23,851.79 $52,985.27 $34,313.63 2026-03-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 12 — — $27,777.16 $61,705.23 $33,898.66 2026-03-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 12 — — $31,249.82 $72,540.85 $33,471.28 2026-03-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 21 12 — — $31,507.26 $69,991.42 $33,331.79 2026-03-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 21 12 — — $29,760.42 $66,110.92 $33,162.28 2026-03-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $29,813.07 $66,227.87 $33,133.16 2026-03-30
665 MS_DRG Prostatectomy With Mcc 21 12 — — $29,875.28 $66,366.08 $33,043.72 2026-03-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 12 — — $25,818.78 $57,354.82 $32,992.27 2026-03-30
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 53 22 — — $21,615.45 $43,230.90 $32,423.17 2026-03-30
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 53 22 — — $21,615.45 $43,230.90 $32,423.17 2026-03-30
33230 CPT Insrt Pulse Gen W/dual Leads 53 22 — — $21,615.45 $43,230.90 $32,423.17 2026-03-30
33240 CPT Insrt Pulse Gen W/singl Lead 53 22 — — $21,615.45 $43,230.90 $32,423.17 2026-03-30
409T OTHER Insj/rplc Car Modulj Pls Gn 54 22 — — $21,615.45 $43,230.90 $32,423.17 2026-03-30
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 54 22 — — $21,615.45 $43,230.90 $32,423.17 2026-03-30
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 54 22 — — $21,615.45 $43,230.90 $32,423.17 2026-03-30
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 54 22 — — $21,615.45 $43,230.90 $32,423.17 2026-03-30
515T OTHER Insj Wcs Lv Compl Sys 54 22 — — $21,615.45 $43,230.90 $32,423.17 2026-03-30
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 54 22 — — $21,615.45 $43,230.90 $32,423.17 2026-03-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 21 12 — — $29,394.20 $70,238.07 $32,408.76 2026-03-30
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 21 12 — — $17,200.40 $38,209.61 $32,105.24 2026-03-30
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 21 12 — — $20,770.65 $46,140.71 $32,022.65 2026-03-30
L5973 HCPCS Dme Pos 54 22 — — $21,299.94 $42,599.88 $31,949.91 2026-03-30
570 MS_DRG Skin Debridement With Mcc 21 12 — — $28,151.42 $62,536.61 $31,930.96 2026-03-30
655 MS_DRG Major Bladder Procedures Without Cc/mcc 21 12 — — $20,259.52 $45,005.27 $31,692.31 2026-03-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 21 12 — — $19,317.79 $68,483.87 $31,599.35 2026-03-30
668 MS_DRG Transurethral Procedures With Mcc 21 12 — — $27,949.45 $62,087.96 $31,520.18 2026-03-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 21 12 — — $26,303.11 $64,638.00 $31,414.99 2026-03-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 12 — — $27,284.22 $60,610.18 $31,355.50 2026-03-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 12 — — $25,110.99 $67,697.14 $31,236.33 2026-03-30
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 21 12 — — $19,408.60 $43,114.99 $30,300.60 2026-03-30
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 21 12 — — $22,368.18 $49,689.50 $30,300.60 2026-03-30
54416 CPT Remv/repl Penis Contain Pros 53 22 — — $20,140.85 $40,281.70 $30,211.28 2026-03-30
54411 CPT Remov/replc Penis Pros Comp 53 22 — — $20,140.85 $40,281.70 $30,211.28 2026-03-30
54417 CPT Remv/replc Penis Pros Compl 53 22 — — $20,140.85 $40,281.70 $30,211.28 2026-03-30
54401 CPT Insert Self-contd Prosthesis 53 22 — — $20,140.85 $40,281.70 $30,211.28 2026-03-30
54405 CPT Insert Multi-comp Penis Pros 53 22 — — $20,140.85 $40,281.70 $30,211.28 2026-03-30
54410 CPT Remove/replace Penis Prosth 53 22 — — $20,140.85 $40,281.70 $30,211.28 2026-03-30
53445 CPT Insert Uro/ves Nck Sphincter 53 22 — — $20,140.85 $40,281.70 $30,211.28 2026-03-30
53444 CPT Insert Tandem Cuff 53 22 — — $20,140.85 $40,281.70 $30,211.28 2026-03-30
53447 CPT Remove/replace Ur Sphincter 53 22 — — $20,140.85 $40,281.70 $30,211.28 2026-03-30
L6975 HCPCS Dme Pos 54 22 — — $20,131.45 $40,262.90 $30,197.17 2026-03-30
Q0489 HCPCS Dme Pos 54 22 — — $20,123.89 $40,247.78 $30,185.83 2026-03-30
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 21 12 — — $26,531.88 $58,938.91 $30,120.39 2026-03-30
662 MS_DRG Minor Bladder Procedures With Mcc 21 12 — — $29,076.10 $65,096.67 $30,036.45 2026-03-30
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 21 12 — — $21,966.16 $46,359.27 $29,709.25 2026-03-30
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 21 12 — — $27,405.02 $64,224.89 $29,634.20 2026-03-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 12 — — $28,876.00 $64,146.22 $29,597.90 2026-03-30
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 21 12 — — $24,576.37 $54,594.88 $29,462.51 2026-03-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 12 — — $26,042.76 $57,852.37 $29,453.78 2026-03-30
412 MS_DRG Cholecystectomy With C.d.e. With Cc 21 12 — — $20,124.56 $44,705.46 $29,394.20 2026-03-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 21 12 — — $23,022.88 $51,143.89 $29,284.09 2026-03-30
164 MS_DRG Major Chest Procedures With Cc 21 12 — — $24,159.05 $53,667.81 $29,226.99 2026-03-30
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 21 12 — — $18,440.90 $40,965.30 $29,000.65 2026-03-30
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 21 12 — — $16,505.49 $36,665.92 $29,000.65 2026-03-30
472 MS_DRG Cervical Spinal Fusion With Cc 21 12 — — $27,164.40 $67,075.00 $28,904.25 2026-03-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 21 12 — — $22,585.51 $62,600.40 $28,884.63 2026-03-30
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