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 BRUNSWICK MEDICAL CENTER

Supply, NC · CCN 340158 · Rates published

21,378 distinct procedures filed
31 distinct payers
1,187,118 rate rows
2026-05-06 last MRF observed
Data quality

710,545 of 1,187,118 rate rows are consumer-grade (59.9%)

476,573 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 466,223
exceeds 10× this hospital's gross charge — excluded from medians 10,199
per-diem day rate — not a per-procedure price 101
placeholder amount (≤ $0.02) — excluded from medians 50
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/204278130_brunswick-community-hospital-llc-dba-novant-health-brunswick-medical-center_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 3740e64f1c4eed9b… · 254,537,128 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
J3391
HCPCS 		Injection, Atidarsagene Autotemcel, Per Treatment 8 $4,729,612.36 $4,966,092.98 $4,776,908.49 nat. median
$4,505,000
1.1× median
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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,869,008.39 $4,496,025.34 $3,946,388.56 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,481,816.31 $4,055,977.72 $3,551,452.64 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 8 $3,410,408.22 $3,978,853.10 $3,478,616.38 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 8 $3,092,610.06 $3,599,837.74 $3,154,462.26 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,577,518.64 $4,520,323.76 $2,648,400.41 nat. median
$2,469,189
1.1× median
802
CPT 		Anesth Fat Layer Removal 7 $44,373.97 $2,751,827.53 $2,620,788.12 —
037
CPT 		Extracranial Procedures With Mcc 7 $43,660.01 $2,707,551.88 $2,578,620.84 —
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 9 $2,448,269.93 $4,896,539.86 $2,503,356.00 nat. median
$2,448,600
1.0× median
411
CPT 		Cholecystectomy With C.d.e. With Mcc 7 $39,324.53 $2,438,689.64 $2,322,561.56 —
468
CPT 		Revision Of Hip Or Knee Replacement Without Cc/mcc 7 $34,528.61 $2,141,272.81 $2,039,307.44 —
288
CPT 		Acute And Subacute Endocarditis With Mcc 7 $33,537.86 $2,079,832.33 $1,980,792.70 —
821
CPT 		Lymphoma And Leukemia With Major O.r. Procedures With Cc 7 $28,869.98 $1,790,356.25 $1,705,101.19 —
415
CPT 		Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 7 $25,555.00 $1,584,779.30 $1,509,313.62 —
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 24 $809,041.93 $1,820,344.34 $1,314,693.14 nat. median
$824,563
1.6× median
583
CPT 		Mastectomy For Malignancy Without Cc/mcc 12 $19,684.25 $2,267,029.85 $1,197,456.79 —
306
CPT 		Cardiac Congenital And Valvular Disorders With Mcc 7 $19,876.97 $1,232,659.60 $1,173,961.52 —
748
CPT 		Female Reproductive System Reconstructive Procedures 7 $18,170.98 $1,126,863.27 $1,073,203.11 —
581
CPT 		Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 12 $17,418.22 $2,006,051.05 $1,059,606.45 —
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 24 $621,228.76 $1,397,764.71 $1,009,496.73 nat. median
$754,974
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 24 $594,082.30 $1,336,685.18 $965,383.74 nat. median
$675,122
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 24 $590,585.48 $1,328,817.33 $959,701.41 nat. median
$674,188
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 24 $585,104.94 $1,316,486.12 $950,795.53 nat. median
$625,184
1.5× median
822
CPT 		Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 7 $16,022.64 $993,635.29 $946,319.32 —
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 24 $559,816.21 $1,259,586.47 $909,701.34 nat. median
$634,511
1.4× median
572
CPT 		Skin Debridement Without Cc/mcc 7 $14,739.59 $914,067.46 $870,540.44 —
Q2053
HCPCS 		Brexucabtagene Car Pos T 24 $513,700.58 $1,155,826.31 $834,763.44 nat. median
$620,080
1.3× median
349
CPT 		Anal And Stomal Procedures Without Cc/mcc 7 $12,621.00 $782,684.30 $745,413.62 —
058
CPT 		Multiple Sclerosis And Cerebellar Ataxia With Mcc 3 $22,348.66 $1,319,942.81 $674,236.94 —
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 24 $292,123.12 $992,250.00 $642,186.56 nat. median
$324,450
2.0× median
830
CPT 		Anesth Repair Of Hernia 3 $20,451.24 $1,207,878.68 $616,993.72 —
018
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $476,523.48 $608,346.66 $608,346.66 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 $368,126.87 $800,695.48 $584,411.18 nat. median
$370,174
1.6× median
658
CPT 		Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 3 $19,147.49 $1,130,877.56 $577,660.96 —
079
CPT 		Hypertensive Encephalopathy Without Cc/mcc 7 $9,581.51 $594,191.98 $565,897.12 —
816
CPT 		Reticuloendothelial And Immunity Disorders Without Cc/mcc 7 $9,185.73 $569,647.87 $542,521.78 —
869
CPT 		Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc 7 $8,933.51 $554,007.02 $527,625.73 —
710
CPT 		Penis Procedures Without Cc/mcc 3 $16,779.28 $991,007.47 $506,214.24 —
001
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $350,493.29 $447,452.08 $447,452.08 —
294
CPT 		Deep Vein Thrombophlebitis With Cc/mcc 3 $14,145.92 $835,477.43 $426,768.30 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $238,899.53 $519,619.15 $379,259.34 nat. median
$265,286
1.4× median
003
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $275,756.76 $352,040.79 $352,040.79 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $182,009.80 $395,880.97 $288,945.39 nat. median
$206,368
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $180,941.63 $393,557.66 $287,249.65 nat. median
$202,986
1.4× median
004
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $190,129.80 $242,726.40 $242,726.40 —
002
CPT 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $158,365.19 $202,174.58 $202,174.58 —
014
CPT 		Allogeneic Bone Marrow Transplant 1 $148,235.28 $189,242.38 $189,242.38 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $118,081.10 $256,832.66 $187,456.88 nat. median
$133,176
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 $96,601.89 $271,910.18 $184,256.04 nat. median
$108,660
1.7× median

Other procedures at this hospital

Browse this hospital's 21,378 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
             
653 CPT Major Bladder Procedures With Mcc 3 1 $49,774.04 $27,375.72 45% off $70,019.50 $89,389.36 $89,389.36 2026-05-06
622 CPT Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 1 $54,205.76 $29,813.17 45% off $49,480.31 $63,168.31 $63,168.31 2026-05-06
958 CPT Other O.r. Procedures For Multiple Significant Trauma With Cc 3 1 $54,231.33 $29,827.23 45% off $52,315.44 $66,787.74 $66,787.74 2026-05-06
834 CPT Anesth Hernia Repair < 1 Yr 3 1 $55,889.17 $30,739.04 45% off $72,417.47 $92,450.69 $92,450.69 2026-05-06
869 CPT Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc 10 7 $55,942.82 $30,768.55 45% off $8,933.51 $554,007.02 $527,625.73 2026-05-06
356 CPT Other Digestive System O.r. Procedures With Mcc 3 1 $57,200.90 $31,460.50 45% off $55,340.71 $70,649.89 $70,649.89 2026-05-06
907 CPT Other O.r. Procedures For Injuries With Mcc 3 1 $59,387.82 $32,663.30 45% off $48,108.01 $61,416.38 $61,416.38 2026-05-06
166 CPT Other Respiratory System O.r. Procedures With Mcc 3 1 $59,698.53 $32,834.19 45% off $52,483.59 $67,002.39 $67,002.39 2026-05-06
492 CPT Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 1 $67,287.34 $37,008.04 45% off $44,778.80 $57,166.20 $57,166.20 2026-05-06
579 CPT Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 1 $71,957.65 $39,576.71 45% off $43,228.01 $55,186.41 $55,186.41 2026-05-06
335 CPT Peritoneal Adhesiolysis With Mcc 3 1 $75,872.68 $41,729.97 45% off $46,239.05 $59,030.40 $59,030.40 2026-05-06
474 CPT Anesth Surgery Of Rib 3 1 $76,554.74 $42,105.11 45% off $55,652.42 $71,047.83 $71,047.83 2026-05-06
143 CPT Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 1 $76,882.79 $42,285.53 45% off $43,013.31 $54,912.31 $54,912.31 2026-05-06
939 CPT O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 1 $77,987.28 $42,893.00 45% off $41,586.69 $53,091.03 $53,091.03 2026-05-06
349 CPT Anal And Stomal Procedures Without Cc/mcc 10 7 $82,977.11 $45,637.41 45% off $12,621.00 $782,684.30 $745,413.62 2026-05-06
500 CPT Anesth Esophageal Surgery 3 1 $83,282.92 $45,805.61 45% off $41,942.38 $53,545.11 $53,545.11 2026-05-06
264 CPT Other Circulatory System O.r. Procedures 3 1 $83,567.37 $45,962.06 45% off $42,242.44 $53,928.19 $53,928.19 2026-05-06
294 CPT Deep Vein Thrombophlebitis With Cc/mcc 6 3 $84,495.83 $46,472.71 45% off $14,145.92 $835,477.43 $426,768.30 2026-05-06
079 CPT Hypertensive Encephalopathy Without Cc/mcc 10 7 $84,863.65 $46,675.01 45% off $9,581.51 $594,191.98 $565,897.12 2026-05-06
736 CPT Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 1 $88,414.01 $48,627.70 45% off $50,277.04 $64,185.45 $64,185.45 2026-05-06
816 CPT Reticuloendothelial And Immunity Disorders Without Cc/mcc 10 7 $92,047.02 $50,625.86 45% off $9,185.73 $569,647.87 $542,521.78 2026-05-06
572 CPT Skin Debridement Without Cc/mcc 10 7 $93,623.34 $51,492.84 45% off $14,739.59 $914,067.46 $870,540.44 2026-05-06
956 CPT Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 1 $94,063.40 $51,734.87 45% off $50,160.64 $64,036.84 $64,036.84 2026-05-06
710 CPT Penis Procedures Without Cc/mcc 6 3 $99,772.34 $54,874.79 45% off $16,779.28 $991,007.47 $506,214.24 2026-05-06
485 CPT Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 1 $101,548.36 $55,851.60 45% off $42,604.60 $54,390.53 $54,390.53 2026-05-06
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 3 1 $103,106.78 $56,708.73 45% off $47,829.93 $61,061.38 $61,061.38 2026-05-06
239 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 1 $103,188.08 $56,753.44 45% off $62,171.15 $79,369.88 $79,369.88 2026-05-06
273 CPT Percutaneous And Other Intracardiac Procedures With Mcc 3 1 $104,725.63 $57,599.10 45% off $50,403.80 $64,347.26 $64,347.26 2026-05-06
420 CPT Hepatobiliary Diagnostic Procedures With Mcc 3 1 $107,614.51 $59,187.98 45% off $41,399.15 $52,851.61 $52,851.61 2026-05-06
265 CPT Aicd Lead Procedures 3 1 $108,903.98 $59,897.19 45% off $45,710.05 $58,355.06 $58,355.06 2026-05-06
278 CPT Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 1 $109,948.11 $60,471.46 45% off $57,690.81 $73,650.12 $73,650.12 2026-05-06
414 CPT Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 1 $110,503.79 $60,777.09 45% off $45,594.94 $58,208.10 $58,208.10 2026-05-06
274 CPT Percutaneous And Other Intracardiac Procedures Without Mcc 3 1 $110,596.53 $60,828.09 45% off $41,916.51 $53,512.09 $53,512.09 2026-05-06
853 CPT Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 1 $112,767.28 $62,022.00 45% off $64,660.95 $82,548.44 $82,548.44 2026-05-06
658 CPT Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 6 3 $113,712.62 $62,541.94 45% off $19,147.49 $1,130,877.56 $577,660.96 2026-05-06
229 CPT Other Cardiothoracic Procedures Without Mcc 3 1 $115,957.20 $63,776.46 45% off $41,124.95 $52,501.56 $52,501.56 2026-05-06
856 CPT Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 1 $117,561.60 $64,658.88 45% off $57,276.93 $73,121.74 $73,121.74 2026-05-06
901 CPT Wound Debridements For Injuries With Mcc 3 1 $118,537.79 $65,195.79 45% off $55,975.77 $71,460.63 $71,460.63 2026-05-06
748 CPT Female Reproductive System Reconstructive Procedures 10 7 $118,964.57 $65,430.52 45% off $18,170.98 $1,126,863.27 $1,073,203.11 2026-05-06
332 CPT Rectal Resection With Mcc 3 1 $119,405.14 $65,672.83 45% off $47,264.72 $60,339.80 $60,339.80 2026-05-06
097 CPT Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 1 $119,926.24 $65,959.43 45% off $47,039.66 $60,052.49 $60,052.49 2026-05-06
252 CPT Other Vascular Procedures With Mcc 3 1 $120,581.77 $66,319.97 45% off $43,378.05 $55,377.95 $55,377.95 2026-05-06
245 CPT Aicd Generator Procedures 3 1 $121,284.04 $66,706.22 45% off $58,609.13 $74,822.48 $74,822.48 2026-05-06
495 CPT Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 1 $121,967.98 $67,082.39 45% off $46,319.24 $59,132.77 $59,132.77 2026-05-06
830 CPT Anesth Repair Of Hernia 6 3 $122,120.21 $67,166.11 45% off $20,451.24 $1,207,878.68 $616,993.72 2026-05-06
242 CPT Permanent Cardiac Pacemaker Implant With Mcc 3 1 $122,627.48 $67,445.11 45% off $44,688.26 $57,050.61 $57,050.61 2026-05-06
574 CPT Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 1 $123,031.88 $67,667.54 45% off $44,050.62 $56,236.57 $56,236.57 2026-05-06
034 CPT Carotid Artery Stent Procedures With Mcc 3 1 $123,155.59 $67,735.58 45% off $50,460.71 $64,419.92 $64,419.92 2026-05-06
826 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 1 $125,106.80 $68,808.74 45% off $59,854.67 $76,412.58 $76,412.58 2026-05-06
576 CPT Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 1 $125,171.23 $68,844.18 45% off $73,505.22 $93,839.35 $93,839.35 2026-05-06
271 CPT Other Major Cardiovascular Procedures With Cc 3 1 $126,395.99 $69,517.80 45% off $44,702.49 $57,068.77 $57,068.77 2026-05-06
739 CPT Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 1 $126,732.03 $69,702.62 45% off $46,773.22 $59,712.35 $59,712.35 2026-05-06
460 CPT Spinal Fusion Except Cervical Without Mcc 3 1 $128,121.42 $70,466.78 45% off $47,311.28 $60,399.24 $60,399.24 2026-05-06
323 CPT Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 1 $128,925.18 $70,908.85 45% off $53,546.76 $68,359.68 $68,359.68 2026-05-06
040 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 1 $130,164.97 $71,590.73 45% off $49,802.37 $63,579.46 $63,579.46 2026-05-06
024 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 1 $131,298.87 $72,214.38 45% off $49,004.34 $62,560.67 $62,560.67 2026-05-06
423 CPT Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 1 $132,315.46 $72,773.50 45% off $50,583.58 $64,576.78 $64,576.78 2026-05-06
058 CPT Multiple Sclerosis And Cerebellar Ataxia With Mcc 6 3 $132,459.88 $72,852.93 45% off $22,348.66 $1,319,942.81 $674,236.94 2026-05-06
319 CPT Other Endovascular Cardiac Valve Procedures With Mcc 3 1 $135,790.31 $74,684.67 45% off $56,416.81 $72,023.69 $72,023.69 2026-05-06
822 CPT Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 10 7 $136,191.64 $74,905.40 45% off $16,022.64 $993,635.29 $946,319.32 2026-05-06
094 CPT Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 1 $136,607.60 $75,134.18 45% off $46,856.00 $59,818.02 $59,818.02 2026-05-06
823 CPT Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 1 $136,792.73 $75,236.00 45% off $58,227.57 $74,335.37 $74,335.37 2026-05-06
820 CPT Anesth Abdominal Wall Surg 3 1 $138,179.19 $75,998.56 45% off $78,208.02 $99,843.11 $99,843.11 2026-05-06
277 CPT Cardiac Defibrillator Implant Without Mcc 3 1 $138,663.99 $76,265.19 45% off $61,855.56 $78,966.99 $78,966.99 2026-05-06
329 CPT Major Small And Large Bowel Procedures With Mcc 3 1 $141,951.86 $78,073.52 45% off $58,420.29 $74,581.40 $74,581.40 2026-05-06
306 CPT Cardiac Congenital And Valvular Disorders With Mcc 10 7 $143,475.84 $78,911.71 45% off $19,876.97 $1,232,659.60 $1,173,961.52 2026-05-06
279 CPT Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 1 $143,972.62 $79,184.94 45% off $41,396.56 $52,848.31 $52,848.31 2026-05-06
228 CPT Other Cardiothoracic Procedures With Mcc 3 1 $147,856.43 $81,321.03 45% off $65,170.55 $83,199.01 $83,199.01 2026-05-06
628 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 1 $148,590.69 $81,724.88 45% off $51,923.54 $66,287.42 $66,287.42 2026-05-06
477 CPT Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 1 $154,672.01 $85,069.60 45% off $43,574.65 $55,628.93 $55,628.93 2026-05-06
218 CPT Anesth Special Head Surgery 3 1 $155,536.49 $85,545.07 45% off $73,681.12 $94,063.91 $94,063.91 2026-05-06
163 CPT Major Chest Procedures With Mcc 3 1 $157,538.98 $86,646.44 45% off $60,965.70 $77,830.96 $77,830.96 2026-05-06
616 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 1 $158,962.03 $87,429.12 45% off $51,188.89 $65,349.54 $65,349.54 2026-05-06
518 CPT Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 1 $159,657.90 $87,811.85 45% off $47,232.38 $60,298.52 $60,298.52 2026-05-06
408 CPT Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 1 $160,989.14 $88,544.03 45% off $48,142.93 $61,460.97 $61,460.97 2026-05-06
455 CPT Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 3 1 $161,066.72 $88,586.70 45% off $59,568.83 $76,047.67 $76,047.67 2026-05-06
454 CPT Anesth Collar Bone Biopsy 3 1 $163,663.83 $90,015.11 45% off $79,108.22 $100,992.35 $100,992.35 2026-05-06
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 1 $164,810.13 $90,645.57 45% off $53,787.33 $68,666.80 $68,666.80 2026-05-06
876 CPT O.r. Procedures With Principal Diagnosis Of Mental Illness 3 1 $166,740.35 $91,707.19 45% off $48,263.22 $61,614.53 $61,614.53 2026-05-06
904 CPT Anesth Perineal Surgery 3 1 $166,953.76 $91,824.57 45% off $42,115.69 $53,766.37 $53,766.37 2026-05-06
016 CPT Autologous Bone Marrow Transplant With Cc/mcc 3 1 $167,758.36 $92,267.10 45% off $79,893.32 $101,994.62 $101,994.62 2026-05-06
799 CPT Splenic Procedures With Mcc 3 1 $169,610.99 $93,286.05 45% off $64,082.80 $81,810.36 $81,810.36 2026-05-06
140 CPT Anesth Procedures On Eye 3 1 $169,961.10 $93,478.61 45% off $48,865.95 $62,383.99 $62,383.99 2026-05-06
236 CPT Coronary Bypass Without Cardiac Catheterization Without Mcc 3 1 $172,881.73 $95,084.95 45% off $52,268.88 $66,728.29 $66,728.29 2026-05-06
011 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 1 $172,946.04 $95,120.32 45% off $66,691.58 $85,140.83 $85,140.83 2026-05-06
969 CPT HIV With Extensive O.r. Procedures With Mcc 3 1 $174,916.76 $96,204.22 45% off $88,890.21 $113,480.37 $113,480.37 2026-05-06
267 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 1 $175,182.92 $96,350.60 45% off $63,120.51 $80,581.86 $80,581.86 2026-05-06
270 CPT Other Major Cardiovascular Procedures With Mcc 3 1 $176,015.60 $96,808.58 45% off $65,405.94 $83,499.53 $83,499.53 2026-05-06
022 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 1 $176,108.63 $96,859.74 45% off $50,736.20 $64,771.62 $64,771.62 2026-05-06
981 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 1 $176,711.05 $97,191.08 45% off $61,312.33 $78,273.48 $78,273.48 2026-05-06
459 CPT Spinal Fusion Except Cervical With Mcc 3 1 $182,382.44 $100,310.34 45% off $85,782.17 $109,512.54 $109,512.54 2026-05-06
469 CPT Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 1 $182,692.76 $100,481.02 45% off $43,067.63 $54,981.66 $54,981.66 2026-05-06
260 CPT Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 1 $182,935.41 $100,614.48 45% off $42,878.80 $54,740.58 $54,740.58 2026-05-06
029 CPT Spinal Procedures With Cc Or Spinal Neurostimulators 3 1 $184,046.23 $101,225.43 45% off $44,340.34 $56,606.44 $56,606.44 2026-05-06
837 CPT Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 1 $187,871.93 $103,329.56 45% off $62,652.30 $79,984.13 $79,984.13 2026-05-06
326 CPT Anesth Larynx/trach < 1 Yr 3 1 $193,414.82 $106,378.15 45% off $65,691.79 $83,864.45 $83,864.45 2026-05-06
415 CPT Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 10 7 $197,666.94 $108,716.82 45% off $25,555.00 $1,584,779.30 $1,509,313.62 2026-05-06
221 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 1 $201,042.71 $110,573.49 45% off $60,124.99 $76,757.68 $76,757.68 2026-05-06
467 CPT Revision Of Hip Or Knee Replacement With Cc 3 1 $201,895.24 $111,042.38 45% off $45,091.80 $57,565.79 $57,565.79 2026-05-06
457 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 1 $202,305.84 $111,268.21 45% off $78,577.93 $100,315.35 $100,315.35 2026-05-06
471 CPT Cervical Spinal Fusion With Mcc 3 1 $203,044.90 $111,674.70 45% off $63,622.35 $81,222.53 $81,222.53 2026-05-06
276 CPT Cardiac Defibrillator Implant With Mcc 3 1 $204,183.78 $112,301.08 45% off $80,322.73 $102,542.82 $102,542.82 2026-05-06
987 CPT Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 1 $206,007.18 $113,303.95 45% off $43,674.24 $55,756.07 $55,756.07 2026-05-06
275 CPT Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 1 $207,517.70 $114,134.73 45% off $91,001.04 $116,175.13 $116,175.13 2026-05-06
288 CPT Acute And Subacute Endocarditis With Mcc 10 7 $209,580.85 $115,269.47 45% off $33,537.86 $2,079,832.33 $1,980,792.70 2026-05-06
405 CPT Pancreas, Liver And Shunt Procedures With Mcc 3 1 $211,432.16 $116,287.69 45% off $71,204.26 $90,901.86 $90,901.86 2026-05-06
870 CPT Anesth Bladder Stone Surg 3 1 $211,808.49 $116,494.67 45% off $90,084.02 $115,004.43 $115,004.43 2026-05-06
821 CPT Lymphoma And Leukemia With Major O.r. Procedures With Cc 10 7 $219,059.73 $120,482.85 45% off $28,869.98 $1,790,356.25 $1,705,101.19 2026-05-06
266 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 1 $219,366.60 $120,651.63 45% off $80,787.06 $103,135.60 $103,135.60 2026-05-06
025 CPT Craniotomy And Endovascular Intracranial Procedures With Mcc 3 1 $221,101.44 $121,605.79 45% off $57,116.54 $72,916.99 $72,916.99 2026-05-06
031 CPT Ventricular Shunt Procedures With Mcc 3 1 $222,573.24 $122,415.28 45% off $53,244.10 $67,973.30 $67,973.30 2026-05-06
468 CPT Revision Of Hip Or Knee Replacement Without Cc/mcc 10 7 $230,063.87 $126,535.13 45% off $34,528.61 $2,141,272.81 $2,039,307.44 2026-05-06
581 CPT Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 17 12 $230,146.69 $126,580.68 45% off $17,418.22 $2,006,051.05 $1,059,606.45 2026-05-06
234 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 1 $230,196.59 $126,608.12 45% off $67,229.64 $85,827.72 $85,827.72 2026-05-06
458 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 1 $230,899.92 $126,994.96 45% off $58,603.95 $74,815.87 $74,815.87 2026-05-06
023 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 1 $234,851.11 $129,168.11 45% off $73,320.26 $93,603.23 $93,603.23 2026-05-06
028 CPT Spinal Procedures With Mcc 3 1 $237,048.26 $130,376.54 45% off $77,941.58 $99,502.96 $99,502.96 2026-05-06
453 CPT Combined Anterior And Posterior Spinal Fusion With Mcc 3 1 $240,589.29 $132,324.11 45% off $114,613.35 $146,319.44 $146,319.44 2026-05-06
583 CPT Mastectomy For Malignancy Without Cc/mcc 17 12 $242,757.85 $133,516.82 45% off $19,684.25 $2,267,029.85 $1,197,456.79 2026-05-06
235 CPT Coronary Bypass Without Cardiac Catheterization With Mcc 3 1 $244,653.33 $134,559.33 45% off $76,059.68 $97,100.47 $97,100.47 2026-05-06
217 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 1 $252,443.23 $138,843.77 45% off $82,328.79 $105,103.83 $105,103.83 2026-05-06
573 CPT Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 1 $254,149.98 $139,782.49 45% off $80,424.91 $102,673.27 $102,673.27 2026-05-06
220 CPT Anesth Intrcrn Nerve 5 2 $258,189.97 $142,004.48 45% off $90.83 $86,598.84 $67,833.66 2026-05-06
463 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 1 $259,583.70 $142,771.04 45% off $73,254.30 $93,519.01 $93,519.01 2026-05-06
207 CPT Respiratory System Diagnosis With Ventilator Support >96 Hours 3 1 $269,932.79 $148,463.04 45% off $89,348.07 $114,064.90 $114,064.90 2026-05-06
466 CPT Revision Of Hip Or Knee Replacement With Mcc 3 1 $270,900.91 $148,995.50 45% off $67,083.48 $85,641.14 $85,641.14 2026-05-06
012 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 1 $279,909.81 $153,950.40 45% off $51,799.38 $66,128.91 $66,128.91 2026-05-06
957 CPT Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 1 $281,907.22 $155,048.97 45% off $93,545.15 $119,423.04 $119,423.04 2026-05-06
021 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 1 $282,055.26 $155,130.39 45% off $79,432.87 $101,406.80 $101,406.80 2026-05-06
232 CPT Coronary Bypass With Ptca Without Mcc 3 1 $282,652.64 $155,458.95 45% off $76,939.19 $98,223.28 $98,223.28 2026-05-06
037 CPT Extracranial Procedures With Mcc 10 7 $285,786.59 $157,182.62 45% off $43,660.01 $2,707,551.88 $2,578,620.84 2026-05-06
233 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 1 $286,640.00 $157,652.00 45% off $100,880.03 $128,787.00 $128,787.00 2026-05-06
020 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 1 $308,224.02 $169,523.21 45% off $109,323.34 $139,566.03 $139,566.03 2026-05-06
802 CPT Anesth Fat Layer Removal 10 7 $317,005.66 $174,353.11 45% off $44,373.97 $2,751,827.53 $2,620,788.12 2026-05-06
411 CPT Cholecystectomy With C.d.e. With Mcc 10 7 $319,134.33 $175,523.88 45% off $39,324.53 $2,438,689.64 $2,322,561.56 2026-05-06
219 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 1 $334,369.87 $183,903.43 45% off $99,736.66 $127,327.33 $127,327.33 2026-05-06
231 CPT Coronary Bypass With Ptca With Mcc 3 1 $336,734.02 $185,203.71 45% off $104,962.00 $133,998.18 $133,998.18 2026-05-06
268 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 1 $337,769.49 $185,773.22 45% off $88,658.69 $113,184.81 $113,184.81 2026-05-06
216 CPT Anesth Head Vessel Surgery 3 1 $352,099.10 $193,654.50 45% off $125,528.35 $160,253.91 $160,253.91 2026-05-06
456 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 1 $360,601.64 $198,330.90 45% off $109,025.86 $139,186.25 $139,186.25 2026-05-06
212 CPT Anesth Skull Drainage 3 1 $399,350.34 $219,642.69 45% off $139,308.23 $177,845.80 $177,845.80 2026-05-06
955 CPT Craniotomy For Multiple Significant Trauma 3 1 $418,067.28 $229,937.00 45% off $78,770.65 $100,561.38 $100,561.38 2026-05-06
215 CPT Anesth Skull Repair/fract 3 1 $456,141.66 $250,877.91 45% off $132,118.22 $168,666.78 $168,666.78 2026-05-06
004 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 1 $558,024.68 $306,913.57 45% off $190,129.80 $242,726.40 $242,726.40 2026-05-06
002 CPT Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 1 $560,181.56 $308,099.86 45% off $158,365.19 $202,174.58 $202,174.58 2026-05-06
014 CPT Allogeneic Bone Marrow Transplant 3 1 $585,410.02 $321,975.51 45% off $148,235.28 $189,242.38 $189,242.38 2026-05-06
003 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 1 $678,930.84 $373,411.96 45% off $275,756.76 $352,040.79 $352,040.79 2026-05-06
001 CPT Heart Transplant Or Implant Of Heart Assist System With Mcc 3 1 $916,622.47 $504,142.36 45% off $350,493.29 $447,452.08 $447,452.08 2026-05-06
018 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 $1,645,107.27 $904,809.00 45% off $476,523.48 $608,346.66 $608,346.66 2026-05-06
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 8 8 — — $4,729,612.36 $4,966,092.98 $4,776,908.49 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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 8 — — $3,869,008.39 $4,496,025.34 $3,946,388.56 2026-03-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 8 — — $3,481,816.31 $4,055,977.72 $3,551,452.64 2026-03-30
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 9 8 — — $3,410,408.22 $3,978,853.10 $3,478,616.38 2026-03-30
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 9 8 — — $3,092,610.06 $3,599,837.74 $3,154,462.26 2026-03-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 8 — — $2,577,518.64 $4,520,323.76 $2,648,400.41 2026-03-30
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 10 9 — — $2,448,269.93 $4,896,539.86 $2,503,356.00 2026-03-30
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 57 24 — — $809,041.93 $1,820,344.34 $1,314,693.14 2026-03-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 57 24 — — $621,228.76 $1,397,764.71 $1,009,496.73 2026-03-30
Q2056 HCPCS Ciltacabtagene Car-pos T 57 24 — — $594,082.30 $1,336,685.18 $965,383.74 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 57 24 — — $590,585.48 $1,328,817.33 $959,701.41 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 57 24 — — $585,104.94 $1,316,486.12 $950,795.53 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 57 24 — — $559,816.21 $1,259,586.47 $909,701.34 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 57 24 — — $513,700.58 $1,155,826.31 $834,763.44 2026-03-30
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 57 24 — — $292,123.12 $992,250.00 $642,186.56 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 57 24 — — $368,126.87 $800,695.48 $584,411.18 2026-03-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 57 24 — — $238,899.53 $519,619.15 $379,259.34 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 57 24 — — $182,009.80 $395,880.97 $288,945.39 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 57 24 — — $180,941.63 $393,557.66 $287,249.65 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 57 24 — — $118,081.10 $256,832.66 $187,456.88 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 57 24 — — $96,601.89 $271,910.18 $184,256.04 2026-03-30
7 MS_DRG Lung Transplant 57 24 — — $110,398.50 $257,877.82 $184,138.16 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 57 24 — — $102,450.79 $258,161.10 $180,305.95 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 57 24 — — $87,895.46 $213,643.94 $150,769.70 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 57 24 — — $93,954.07 $204,355.09 $149,154.58 2026-03-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 57 24 — — $92,700.07 $201,627.56 $147,163.82 2026-03-30
215 MS_DRG Other Heart Assist System Implant 57 24 — — $84,881.93 $184,622.69 $134,752.31 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 57 24 — — $83,396.90 $181,392.68 $132,394.79 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 57 24 — — $76,805.48 $167,056.00 $121,930.74 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 57 24 — — $69,835.64 $160,564.45 $115,200.04 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 57 24 — — $71,863.63 $156,307.21 $114,085.42 2026-03-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 57 24 — — $71,637.72 $155,815.84 $113,726.78 2026-03-30
38240 CPT Transplt Allo Hct/donor 57 24 — — $67,467.60 $151,802.10 $109,634.85 2026-03-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 57 24 — — $66,500.43 $149,625.97 $108,063.20 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 57 24 — — $67,080.34 $145,903.29 $106,491.82 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 57 24 — — $60,821.39 $152,081.28 $106,451.34 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 57 24 — — $65,456.35 $142,371.04 $103,913.70 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 57 24 — — $65,174.18 $141,757.30 $103,465.74 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 57 24 — — $64,958.50 $141,288.19 $103,123.35 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 57 24 — — $61,537.48 $133,847.28 $97,692.38 2026-03-30
10 MS_DRG Pancreas Transplant 57 24 — — $61,171.76 $133,403.99 $97,287.88 2026-03-30
A9543 HCPCS Y90 Ibritumomab, Rx 57 24 — — $59,657.73 $134,229.89 $96,943.81 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 57 24 — — $60,785.59 $132,211.88 $96,498.74 2026-03-30
J7330 HCPCS Cultured Chondrocytes Implnt 49 21 — — $96,363.41 $96,363.41 $96,363.41 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 57 24 — — $39,529.73 $151,647.34 $95,588.54 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 57 24 — — $58,028.11 $130,563.25 $94,295.68 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 57 24 — — $58,922.05 $128,158.60 $93,540.32 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 57 24 — — $58,633.06 $127,530.02 $93,081.54 2026-03-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 57 24 — — $57,381.61 $124,808.06 $91,094.84 2026-03-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 57 24 — — $57,001.41 $123,981.08 $90,491.24 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 57 24 — — $40,078.73 $140,847.75 $90,463.24 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 57 24 — — $56,959.63 $123,890.23 $90,424.93 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 57 24 — — $45,204.53 $132,996.20 $89,100.37 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 57 24 — — $56,053.44 $121,919.21 $88,986.32 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 57 24 — — $56,053.44 $121,919.21 $88,986.32 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 57 24 — — $55,849.70 $121,798.07 $88,823.88 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 57 24 — — $54,854.85 $119,312.21 $87,083.53 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 57 24 — — $52,243.69 $113,632.79 $82,938.24 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 57 24 — — $52,183.16 $113,501.14 $82,842.15 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 57 24 — — $51,682.75 $112,412.73 $82,047.74 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 57 24 — — $51,219.85 $111,405.90 $81,312.88 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 57 24 — — $51,205.36 $111,374.38 $81,289.87 2026-03-30
834 MS_DRG Acute Leukemia With Mcc 57 24 — — $46,800.57 $114,705.49 $80,753.03 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 57 24 — — $50,834.53 $110,567.80 $80,701.16 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 57 24 — — $50,549.80 $109,948.50 $80,249.15 2026-03-30
652 MS_DRG Kidney Transplant 57 24 — — $27,531.00 $132,306.95 $79,918.98 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 57 24 — — $50,028.93 $108,815.58 $79,422.26 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 57 24 — — $49,996.54 $108,745.12 $79,370.83 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 57 24 — — $49,163.66 $106,933.57 $78,048.62 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 57 24 — — $48,849.94 $106,251.22 $77,550.58 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 57 24 — — $48,587.38 $105,680.13 $77,133.76 2026-03-30
J9226 HCPCS Supprelin La Implant 57 24 — — $47,265.31 $106,346.95 $76,806.13 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 57 24 — — $47,244.16 $106,299.36 $76,771.76 2026-03-30
620T CPT Evasc Ven Artlz Tibl/prnl Vn 57 24 — — $47,244.16 $106,299.36 $76,771.76 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 57 24 — — $47,244.16 $106,299.36 $76,771.76 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 57 24 — — $47,926.70 $104,243.12 $76,084.91 2026-03-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 57 24 — — $47,778.37 $104,196.61 $75,987.49 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 57 24 — — $47,451.02 $103,208.48 $75,329.75 2026-03-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 57 24 — — $47,082.74 $102,678.36 $74,880.55 2026-03-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 57 24 — — $46,635.19 $101,434.01 $74,034.60 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 57 24 — — $46,568.69 $101,289.38 $73,929.04 2026-03-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 57 24 — — $46,495.38 $101,129.92 $73,812.65 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 57 24 — — $46,309.54 $100,725.71 $73,517.62 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 57 24 — — $45,461.32 $98,880.78 $72,171.05 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 57 24 — — $45,434.04 $98,821.44 $72,127.74 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 57 24 — — $45,128.85 $98,157.64 $71,643.24 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 57 24 — — $44,979.66 $97,833.15 $71,406.40 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 57 24 — — $44,375.25 $96,518.53 $70,446.89 2026-03-30
653 MS_DRG Major Bladder Procedures With Mcc 57 24 — — $44,298.53 $96,351.65 $70,325.09 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 57 24 — — $42,640.52 $93,455.39 $68,047.96 2026-03-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 57 24 — — $42,516.83 $92,476.37 $67,496.60 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 57 24 — — $42,175.84 $92,323.31 $67,249.57 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 57 24 — — $42,100.82 $91,571.52 $66,836.17 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 57 24 — — $41,956.75 $91,258.16 $66,607.46 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 57 24 — — $41,781.99 $91,119.11 $66,450.55 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 14 — — $50,667.44 $101,334.88 $66,032.29 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 57 24 — — $41,163.94 $89,533.76 $65,348.85 2026-03-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 57 24 — — $40,300.15 $89,081.33 $64,690.74 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 57 24 — — $40,585.10 $88,274.75 $64,429.93 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 57 24 — — $39,996.89 $86,995.36 $63,496.12 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 57 24 — — $39,877.54 $86,735.77 $63,306.65 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 57 24 — — $31,591.39 $94,436.76 $63,014.07 2026-03-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 57 24 — — $39,372.02 $85,636.23 $62,504.12 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 57 24 — — $39,184.47 $85,228.30 $62,206.39 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 57 24 — — $39,084.73 $85,011.36 $62,048.04 2026-03-30
245 MS_DRG Aicd Generator Procedures 57 24 — — $38,893.77 $84,596.02 $61,744.89 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 57 24 — — $38,776.98 $84,342.00 $61,559.49 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 57 24 — — $38,759.93 $84,304.91 $61,532.42 2026-03-30
799 MS_DRG Splenic Procedures With Mcc 57 24 — — $38,608.19 $83,974.86 $61,291.53 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 57 24 — — $38,206.67 $83,101.54 $60,654.11 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 57 24 — — $38,195.59 $83,077.43 $60,636.51 2026-03-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 57 24 — — $38,045.55 $82,751.09 $60,398.32 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 57 24 — — $37,447.96 $81,451.30 $59,449.63 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 57 24 — — $36,890.43 $80,238.65 $58,564.54 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 57 24 — — $36,596.33 $79,598.95 $58,097.64 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 57 24 — — $36,361.04 $79,087.19 $57,724.11 2026-03-30
69930 CPT Implant Cochlear Device 57 24 — — $35,365.83 $79,573.12 $57,469.47 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 57 24 — — $36,152.18 $78,632.91 $57,392.54 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 57 24 — — $36,002.14 $78,306.57 $57,154.36 2026-03-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 57 24 — — $35,940.77 $78,173.07 $57,056.92 2026-03-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 57 24 — — $35,922.86 $78,134.13 $57,028.50 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 57 24 — — $35,818.01 $77,906.07 $56,862.04 2026-03-30
901 MS_DRG Wound Debridements For Injuries With Mcc 57 24 — — $35,775.38 $77,813.36 $56,794.37 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 57 24 — — $35,708.89 $77,668.73 $56,688.81 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 57 24 — — $35,570.79 $77,368.35 $56,469.57 2026-03-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 57 24 — — $35,403.70 $77,004.93 $56,204.32 2026-03-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 57 24 — — $35,169.27 $76,495.02 $55,832.14 2026-03-30
A9699 HCPCS Radiopharm Rx Agent Noc 49 21 — — $55,169.68 $55,169.68 $55,169.68 2026-03-30
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 57 24 — — $33,667.63 $75,752.17 $54,709.90 2026-03-30
571T CPT Insj/rplcmt Icds Ss Eltrd 57 24 — — $33,667.63 $75,752.17 $54,709.90 2026-03-30
408T CPT Insj/rplc Cardiac Modulj Sys 57 24 — — $33,667.63 $75,752.17 $54,709.90 2026-03-30
33270 CPT Ins/rep Subq Defibrillator 57 24 — — $33,667.63 $75,752.17 $54,709.90 2026-03-30
33249 CPT Insj/rplcmt Defib W/lead(s) 57 24 — — $33,667.63 $75,752.17 $54,709.90 2026-03-30
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 57 24 — — $33,667.63 $75,752.17 $54,709.90 2026-03-30
33231 CPT Insrt Pulse Gen W/mult Leads 57 24 — — $33,667.63 $75,752.17 $54,709.90 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 57 24 — — $34,274.16 $74,548.11 $54,411.14 2026-03-30
674T CPT Laps Insj Nw/rpcmt Prm Isdss 57 24 — — $33,097.90 $74,470.28 $53,784.09 2026-03-30
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 57 24 — — $33,097.90 $74,470.28 $53,784.09 2026-03-30
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 57 24 — — $652.19 $74,470.28 $53,784.09 2026-03-30
909T CPT Replacement Of Integrated Neurostimulation System, Vagus Nerve, Including Analys… 57 24 — — $33,097.90 $74,470.28 $53,784.09 2026-03-30
908T CPT Open Implantation Of Integrated Neurostimulation System, Vagus Nerve, Including … 57 24 — — $33,097.90 $74,470.28 $53,784.09 2026-03-30
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 57 24 — — $33,097.90 $74,470.28 $53,784.09 2026-03-30
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 57 24 — — $33,097.90 $74,470.28 $53,784.09 2026-03-30
61885 CPT Insrt/redo Neurostim 1 Array 57 24 — — $33,097.90 $74,470.28 $53,784.09 2026-03-30
61886 CPT Implant Neurostim Arrays 57 24 — — $33,097.90 $74,470.28 $53,784.09 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 57 24 — — $33,348.36 $72,534.45 $52,941.40 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 57 24 — — $33,197.47 $72,397.27 $52,797.37 2026-03-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 57 24 — — $32,997.13 $71,770.52 $52,383.82 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 57 24 — — $32,947.69 $71,662.98 $52,305.33 2026-03-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 57 24 — — $32,916.15 $71,594.37 $52,255.26 2026-03-30
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