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

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Hospital

ATRIUM HEALTH UNIVERSITY CITY

Charlotte, NC · CCN 340166 · Rates published

13,947 distinct procedures filed
32 distinct payers
1,785,298 rate rows
2025-12-05 last MRF observed
Data quality

1,644,132 of 1,785,298 rate rows are consumer-grade (92.1%)

141,166 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 137,947
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,741
percent-of-charges filed in the dollar field — excluded from medians 872
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 407
per-diem day rate — not a per-procedure price 135
exceeds 10× this hospital's gross charge — excluded from medians 43
placeholder amount (≤ $0.02) — excluded from medians 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11179/560529945-1346297892_the-charlotte-mecklenburg-hospital-authority_standardcharges.csv
Found on page https://atriumhealth.org/for-patients-visitors/financial-assistance/pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-20
Content fingerprint c822931dfa746853… · 2,703,757,286 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $4,595,100.00 $4,744,215.50 $4,696,462.50 nat. median
$4,505,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,313,414.63 $4,060,557.14 $3,410,868.00 nat. median
$3,248,446
1.0× median
J1413
HCPCS 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 15 $1,600,000.00 $4,852,800.00 $3,382,791.84 nat. median
$3,325,455
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $3,004,654.80 $3,682,175.00 $3,093,027.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 15 $1,161,022.18 $4,725,360.27 $2,581,671.56 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,378,640.00 $2,915,000.00 $2,448,600.00 nat. median
$2,332,000
1.1× median
J1411
HCPCS 		Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 14 $1,750,000.00 $4,637,500.00 $2,262,750.00 nat. median
$3,685,267
0.6× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 32 $318,810.24 $3,092,459.33 $1,949,524.62 nat. median
$579,571
outlier · 3.4×
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 32 $316,928.06 $3,074,202.18 $1,938,015.08 nat. median
$574,037
outlier · 3.4×
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 32 $313,233.30 $3,038,363.01 $1,915,421.63 nat. median
$599,737
outlier · 3.2×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 32 $302,148.00 $2,930,835.60 $1,847,635.02 nat. median
$562,501
outlier · 3.3×
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 32 $293,356.15 $3,454,364.05 $1,823,334.43 nat. median
$621,313
outlier · 2.9×
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 32 $254,400.00 $2,467,680.00 $1,555,656.00 nat. median
$513,770
outlier · 3.0×
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $786,032.40 $963,275.00 $809,151.00 nat. median
$813,967
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $202,121.53 $569,601.35 $504,161.87 nat. median
$186,516
outlier · 2.7×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $269,449.43 $674,991.24 $349,496.20 nat. median
$168,055
outlier · 2.1×
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 32 $1,305.86 $535,079.40 $337,320.67 nat. median
$1,667
outlier · 202.4×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $283,815.00 $347,812.50 $292,162.50 nat. median
$286,598
1.0× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 32 $5,103.71 $463,081.88 $291,932.54 nat. median
$6,067
outlier · 48.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 15 $154,600.15 $383,587.06 $278,055.71 nat. median
$145,435
1.9× median
J3403
HCPCS 		Revakinagene, Per Implant 5 $262,650.00 $321,875.00 $270,375.00 nat. median
$264,195
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $95,840.87 $311,868.55 $234,498.64 nat. median
$72,715
outlier · 3.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 15 $103,093.92 $255,091.72 $233,445.17 nat. median
$97,418
outlier · 2.4×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $209,752.80 $257,050.00 $215,922.00 nat. median
$207,733
1.0× median
7
MS_DRG 		Lung Transplant 15 $95,608.09 $233,908.00 $207,779.96 nat. median
$70,649
outlier · 2.9×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $78,541.40 $275,422.64 $190,605.09 nat. median
$69,922
outlier · 2.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $81,153.53 $197,232.79 $179,895.07 nat. median
$65,418
outlier · 2.7×
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 32 $260.96 $283,457.28 $178,694.98 nat. median
$396
outlier · 451.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $148,877.33 $424,595.42 $170,762.52 nat. median
$131,925
1.3× median
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 32 $24,005.00 $232,848.50 $146,790.58 nat. median
$66,211
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $71,499.29 $172,737.32 $142,966.19 nat. median
$69,822
outlier · 2.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $68,401.13 $164,876.43 $136,861.20 nat. median
$2,633
outlier · 52.0×
77371
CPT 		Hc Radiation Delivery Stereotactic Cranial Cobalt 32 $7,416.09 $215,302.17 $135,729.15 nat. median
$7,491
outlier · 18.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $62,254.89 $149,281.73 $123,916.29 nat. median
$2,596
outlier · 47.7×
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 32 $19,506.95 $189,217.42 $119,285.00 nat. median
$57,036
outlier · 2.1×
10
MS_DRG 		Pancreas Transplant 15 $59,661.79 $142,702.35 $118,454.86 nat. median
$23,080
outlier · 5.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $59,339.42 $141,884.40 $117,775.90 nat. median
$45,605
outlier · 2.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $80,266.13 $194,981.20 $115,974.87 nat. median
$74,509
1.6× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $111,502.61 $136,645.35 $114,782.09 nat. median
$108,243
1.1× median
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 32 $119.71 $165,374.33 $104,254.02 nat. median
$127
outlier · 821.2×
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 32 $67.04 $162,397.11 $102,377.15 nat. median
$76
outlier · 1354.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $60,283.28 $144,279.18 $101,474.72 nat. median
$56,428
1.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 $45,354.66 $110,549.86 $101,168.83 nat. median
$40,584
outlier · 2.5×
215
MS_DRG 		Other Heart Assist System Implant 15 $78,156.25 $189,627.85 $100,943.34 nat. median
$73,023
1.4× median
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 32 $16,472.10 $159,779.37 $100,726.89 nat. median
$57,284
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $77,313.98 $187,490.80 $99,475.78 nat. median
$2,736
outlier · 36.4×
834
MS_DRG 		Acute Leukemia With Mcc 15 $42,409.57 $121,587.93 $98,928.72 nat. median
$37,487
outlier · 2.6×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $51,586.96 $122,214.28 $98,286.03 nat. median
$47,340
outlier · 2.1×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 5 $95,081.03 $116,520.88 $97,877.54 nat. median
$95,583
1.0× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 15 $41,801.51 $121,177.44 $97,385.90 nat. median
$32,772
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 13,947 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 4 — — $4,595,100.00 $4,744,215.50 $4,696,462.50 2025-12-05
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,313,414.63 $4,060,557.14 $3,410,868.00 2025-12-05
J1413 HCPCS Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 21 15 — — $1,600,000.00 $4,852,800.00 $3,382,791.84 2025-12-05
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $3,004,654.80 $3,682,175.00 $3,093,027.00 2025-12-05
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 26 15 — — $1,161,022.18 $4,725,360.27 $2,581,671.56 2025-12-05
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,378,640.00 $2,915,000.00 $2,448,600.00 2025-12-05
J1411 HCPCS Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension 18 14 — — $1,750,000.00 $4,637,500.00 $2,262,750.00 2025-12-05
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 84 32 $3,188,102.40 $1,594,051.20 50% off $318,810.24 $3,092,459.33 $1,949,524.62 2025-12-05
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 84 32 $3,169,280.60 $1,584,640.30 50% off $316,928.06 $3,074,202.18 $1,938,015.08 2025-12-05
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 84 32 $3,132,333.00 $1,566,166.50 50% off $313,233.30 $3,038,363.01 $1,915,421.63 2025-12-05
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 84 32 $3,021,480.00 $1,510,740.00 50% off $302,148.00 $2,930,835.60 $1,847,635.02 2025-12-05
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 134 32 $3,561,200.05 $1,780,600.03 50% off $293,356.15 $3,454,364.05 $1,823,334.43 2025-12-05
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 84 32 $2,544,000.00 $1,272,000.00 50% off $254,400.00 $2,467,680.00 $1,555,656.00 2025-12-05
Q2057 HCPCS Afamitresgene Autoleucel 5 5 — — $786,032.40 $963,275.00 $809,151.00 2025-12-05
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 15 — — $202,121.53 $569,601.35 $504,161.87 2025-12-05
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 15 — — $269,449.43 $674,991.24 $349,496.20 2025-12-05
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 82 32 $551,628.25 $275,814.13 50% off $1,305.86 $535,079.40 $337,320.67 2025-12-05
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 5 — — $283,815.00 $347,812.50 $292,162.50 2025-12-05
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 82 32 $477,404.00 $238,702.00 50% off $5,103.71 $463,081.88 $291,932.54 2025-12-05
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 19 15 — — $154,600.15 $383,587.06 $278,055.71 2025-12-05
J3403 HCPCS Revakinagene, Per Implant 5 5 — — $262,650.00 $321,875.00 $270,375.00 2025-12-05
14 MS_DRG Allogeneic Bone Marrow Transplant 19 15 — — $95,840.87 $311,868.55 $234,498.64 2025-12-05
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 19 15 — — $103,093.92 $255,091.72 $233,445.17 2025-12-05
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 5 — — $209,752.80 $257,050.00 $215,922.00 2025-12-05
7 MS_DRG Lung Transplant 19 15 — — $95,608.09 $233,908.00 $207,779.96 2025-12-05
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 15 — — $78,541.40 $275,422.64 $190,605.09 2025-12-05
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 15 — — $81,153.53 $197,232.79 $179,895.07 2025-12-05
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 82 32 $292,224.00 $146,112.00 50% off $260.96 $283,457.28 $178,694.98 2025-12-05
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 15 — — $148,877.33 $424,595.42 $170,762.52 2025-12-05
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 84 32 $240,050.00 $120,025.00 50% off $24,005.00 $232,848.50 $146,790.58 2025-12-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 15 — — $71,499.29 $172,737.32 $142,966.19 2025-12-05
850 MS_DRG Acute Leukemia With Other Procedures 19 15 — — $68,401.13 $164,876.43 $136,861.20 2025-12-05
77371 CPT Hc Radiation Delivery Stereotactic Cranial Cobalt 82 32 $221,961.00 $110,980.50 50% off $7,416.09 $215,302.17 $135,729.15 2025-12-05
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 15 — — $62,254.89 $149,281.73 $123,916.29 2025-12-05
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 84 32 $195,069.50 $97,534.75 50% off $19,506.95 $189,217.42 $119,285.00 2025-12-05
10 MS_DRG Pancreas Transplant 19 15 — — $59,661.79 $142,702.35 $118,454.86 2025-12-05
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 15 — — $59,339.42 $141,884.40 $117,775.90 2025-12-05
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 15 — — $80,266.13 $194,981.20 $115,974.87 2025-12-05
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 5 — — $111,502.61 $136,645.35 $114,782.09 2025-12-05
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 82 32 $170,489.00 $85,244.50 50% off $119.71 $165,374.33 $104,254.02 2025-12-05
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 82 32 $167,419.70 $83,709.85 50% off $67.04 $162,397.11 $102,377.15 2025-12-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 15 — — $60,283.28 $144,279.18 $101,474.72 2025-12-05
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 15 — — $45,354.66 $110,549.86 $101,168.83 2025-12-05
215 MS_DRG Other Heart Assist System Implant 19 15 — — $78,156.25 $189,627.85 $100,943.34 2025-12-05
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 79 32 $164,721.00 $82,360.50 50% off $16,472.10 $159,779.37 $100,726.89 2025-12-05
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 15 — — $77,313.98 $187,490.80 $99,475.78 2025-12-05
834 MS_DRG Acute Leukemia With Mcc 19 15 — — $42,409.57 $121,587.93 $98,928.72 2025-12-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 15 — — $51,586.96 $122,214.28 $98,286.03 2025-12-05
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 5 5 — — $95,081.03 $116,520.88 $97,877.54 2025-12-05
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 15 — — $41,801.51 $121,177.44 $97,385.90 2025-12-05
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 15 — — $63,195.19 $151,667.56 $97,231.21 2025-12-05
J0801 HCPCS Corticotropin 80 Unit/ml Injection Gel 79 32 $158,564.00 $79,282.00 50% off $15,856.40 $153,807.08 $96,961.88 2025-12-05
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 15 — — $53,270.78 $126,486.58 $95,616.51 2025-12-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 15 — — $63,162.04 $151,583.44 $95,507.98 2025-12-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 15 — — $56,072.67 $133,595.74 $95,226.00 2025-12-05
0795T CPT Hc Tcat Insert Perm Dual Chamber Leadls Pm Compl Sys 84 32 $151,770.35 $75,885.18 50% off $15,177.04 $147,217.24 $92,807.57 2025-12-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 15 — — $52,491.30 $124,508.83 $92,285.86 2025-12-05
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 15 — — $47,058.93 $110,725.42 $91,911.34 2025-12-05
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 15 — — $46,708.34 $109,835.88 $91,172.95 2025-12-05
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 15 — — $38,572.14 $101,602.96 $89,192.10 2025-12-05
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 15 — — $58,557.12 $139,899.49 $89,153.98 2025-12-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 15 — — $43,663.79 $102,111.02 $87,426.61 2025-12-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 15 — — $58,000.55 $138,487.32 $87,223.97 2025-12-05
6 MS_DRG Liver Transplant Without Mcc 19 15 — — $37,626.18 $103,806.45 $86,791.95 2025-12-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 15 — — $49,039.72 $115,751.24 $85,816.57 2025-12-05
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 82 32 $135,076.60 $67,538.30 50% off $364.07 $131,024.30 $82,599.34 2025-12-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 15 — — $45,679.15 $107,224.54 $82,090.36 2025-12-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 15 — — $44,490.53 $104,208.69 $80,935.28 2025-12-05
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 15 — — $41,478.43 $96,566.16 $80,157.97 2025-12-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 15 — — $43,905.75 $102,724.93 $77,654.08 2025-12-05
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 15 — — $53,522.61 $127,125.55 $77,581.44 2025-12-05
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 15 — — $39,748.77 $92,177.52 $76,515.04 2025-12-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 15 — — $36,953.93 $85,086.25 $75,917.08 2025-12-05
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 15 — — $39,628.13 $91,871.46 $75,237.40 2025-12-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 15 — — $38,699.12 $89,514.27 $74,304.31 2025-12-05
93656 CPT Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 84 32 $121,044.20 $60,522.10 50% off $12,104.42 $117,412.87 $74,018.52 2025-12-05
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 15 — — $42,409.57 $98,928.72 $73,406.85 2025-12-05
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 15 — — $50,715.07 $120,002.06 $72,964.45 2025-12-05
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 15 — — $48,974.11 $115,584.79 $72,444.35 2025-12-05
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 15 — — $45,386.39 $106,481.76 $72,444.35 2025-12-05
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 15 — — $47,115.37 $110,868.61 $72,196.20 2025-12-05
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 15 — — $35,919.80 $82,462.38 $71,293.42 2025-12-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 15 — — $50,453.37 $119,338.04 $71,115.90 2025-12-05
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 5 5 — — $68,801.71 $84,315.83 $70,825.29 2025-12-05
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 15 — — $46,510.83 $109,334.73 $68,601.87 2025-12-05
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 15 — — $40,948.68 $95,222.00 $68,014.09 2025-12-05
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 82 32 $111,115.60 $55,557.80 50% off $221.24 $107,782.13 $67,947.19 2025-12-05
0915T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator & Leads 84 32 $110,987.60 $55,493.80 50% off $11,098.76 $107,657.97 $67,868.91 2025-12-05
0408T CPT Hc Insert Or Replace Perm Cardiac Cont Mod Gen+elect 84 32 $110,987.60 $55,493.80 50% off $11,098.76 $107,657.97 $67,868.91 2025-12-05
33288 CPT Hc Rmvl&rplcmt Phrnc Nrv Stim Trnsvns Stim/snsg Ld 84 32 $109,284.20 $54,642.10 50% off $10,928.42 $106,005.67 $66,827.29 2025-12-05
0916T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator Only 84 32 $109,005.70 $54,502.85 50% off $10,900.57 $105,735.53 $66,656.99 2025-12-05
0409T CPT Hc Insert Or Replace Perm Ccm Pulse Generator Only 84 32 $109,005.70 $54,502.85 50% off $10,900.57 $105,735.53 $66,656.99 2025-12-05
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 84 32 $109,005.70 $54,502.85 50% off $10,900.57 $105,735.53 $66,656.99 2025-12-05
0414T CPT Hc Removal & Replace Permament Ccm Pulse Generator Only 84 32 $109,005.70 $54,502.85 50% off $10,900.57 $105,735.53 $66,656.99 2025-12-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 15 — — $35,811.16 $82,186.74 $65,488.76 2025-12-05
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 15 — — $48,031.69 $113,193.59 $65,241.90 2025-12-05
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 15 — — $33,941.83 $77,443.72 $64,284.75 2025-12-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 15 — — $44,927.20 $105,316.59 $63,978.62 2025-12-05
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 82 32 $104,288.60 $52,144.30 50% off $699.72 $101,159.94 $63,772.48 2025-12-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 15 — — $41,518.62 $96,668.18 $63,732.98 2025-12-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 15 — — $41,482.66 $96,576.90 $63,118.88 2025-12-05
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 15 — — $27,914.80 $76,222.23 $62,151.50 2025-12-05
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 15 — — $50,533.07 $119,540.29 $61,444.54 2025-12-05
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 15 — — $33,510.11 $76,348.35 $61,302.68 2025-12-05
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 82 32 $100,182.50 $50,091.25 50% off $83.72 $97,177.03 $61,261.60 2025-12-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 15 — — $30,383.04 $68,414.08 $61,098.69 2025-12-05
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 15 — — $42,245.92 $98,513.48 $61,046.00 2025-12-05
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 82 32 $99,415.25 $49,707.63 50% off $3,734.05 $96,432.79 $60,792.43 2025-12-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 15 — — $34,967.51 $80,046.12 $60,767.58 2025-12-05
33266 CPT Hc Maze Procedure Without Cardio By 81 32 $99,183.65 $49,591.83 50% off $1,700.88 $96,208.14 $60,650.81 2025-12-05
0811 RC Hc Kidney Acquistion Live Donor 79 32 $98,460.75 $49,230.38 50% off $9,846.08 $95,506.93 $60,208.75 2025-12-05
A9543 HCPCS Y90 Ibritumomab, Rx 5 5 — — $57,961.04 $71,030.69 $59,665.78 2025-12-05
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 15 — — $40,782.88 $94,801.40 $59,654.89 2025-12-05
37 MS_DRG Extracranial Procedures With Mcc 19 15 — — $26,845.40 $90,661.70 $59,438.13 2025-12-05
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 15 — — $36,234.42 $83,260.64 $59,408.00 2025-12-05
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 15 — — $42,008.90 $97,912.10 $58,540.75 2025-12-05
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 5 — — $56,377.77 $69,090.41 $58,035.94 2025-12-05
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 15 — — $39,247.22 $90,904.96 $57,979.29 2025-12-05
163 MS_DRG Major Chest Procedures With Mcc 19 15 — — $35,933.19 $82,496.38 $57,871.51 2025-12-05
33277 CPT Hc Ins Phrenic Nrv Stimulator Transvns Sensing Ld 82 32 $94,209.80 $47,104.90 50% off $259.77 $91,383.51 $57,609.29 2025-12-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 15 — — $38,950.25 $90,151.44 $56,965.41 2025-12-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 15 — — $32,973.31 $74,986.30 $56,685.29 2025-12-05
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 15 — — $30,237.01 $68,043.59 $56,481.86 2025-12-05
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 15 — — $36,606.86 $84,205.66 $56,357.58 2025-12-05
J9600 HCPCS Porfimer 75 Mg Intravenous Solution 84 32 $91,941.00 $45,970.50 50% off $9,194.10 $89,182.77 $56,221.92 2025-12-05
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 82 32 $91,682.00 $45,841.00 50% off $2,752.01 $88,931.54 $56,063.54 2025-12-05
93653 CPT Hc Ep Ephys Eval W/ablation Supravent Arrhythmia 84 32 $91,417.45 $45,708.73 50% off $9,141.75 $88,674.93 $55,901.77 2025-12-05
28 MS_DRG Spinal Procedures With Mcc 19 15 — — $46,304.85 $108,812.11 $55,635.70 2025-12-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 15 — — $33,879.05 $77,284.43 $55,341.19 2025-12-05
264 MS_DRG Other Circulatory System O.r. Procedures 19 15 — — $28,074.23 $62,556.00 $55,209.84 2025-12-05
652 MS_DRG Kidney Transplant 19 15 — — $25,085.40 $173,845.49 $54,972.53 2025-12-05
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 15 — — $41,714.04 $97,163.96 $54,697.02 2025-12-05
J3316 HCPCS Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspension 82 32 $89,190.70 $44,595.35 50% off $3,893.62 $86,514.98 $54,540.11 2025-12-05
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 15 — — $32,224.86 $73,087.30 $54,492.74 2025-12-05
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 82 32 $88,490.00 $44,245.00 50% off $324.90 $85,835.30 $54,111.64 2025-12-05
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 15 — — $35,816.10 $82,199.27 $53,874.88 2025-12-05
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 15 — — $35,244.71 $80,749.52 $53,819.74 2025-12-05
0571T CPT Hc Insert/replace Icds W/substernal Electrode 84 32 $87,916.70 $43,958.35 50% off $8,791.67 $85,279.20 $53,761.06 2025-12-05
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 15 — — $28,706.98 $64,161.47 $53,259.37 2025-12-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 15 — — $29,157.73 $65,305.16 $53,151.95 2025-12-05
93591 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 84 32 $86,855.80 $43,427.90 50% off $8,685.58 $84,250.13 $53,112.32 2025-12-05
93590 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 84 32 $86,855.80 $43,427.90 50% off $8,685.58 $84,250.13 $53,112.32 2025-12-05
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 15 — — $28,127.83 $62,692.03 $52,768.07 2025-12-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 15 — — $38,740.73 $89,619.87 $52,493.80 2025-12-05
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 15 — — $38,713.20 $89,550.06 $52,403.56 2025-12-05
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 15 — — $31,520.86 $71,301.06 $52,283.25 2025-12-05
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 15 — — $45,997.29 $108,031.75 $51,903.51 2025-12-05
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 15 — — $45,997.29 $108,031.75 $51,903.51 2025-12-05
332 MS_DRG Rectal Resection With Mcc 19 15 — — $27,887.99 $62,083.49 $51,534.48 2025-12-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 15 — — $32,426.60 $73,599.19 $51,333.28 2025-12-05
L7181 HCPCS Electronic Elbo Simultaneous 5 5 — — $49,605.45 $60,790.99 $51,064.43 2025-12-05
665 MS_DRG Prostatectomy With Mcc 19 15 — — $27,640.40 $61,455.26 $51,013.00 2025-12-05
252 MS_DRG Other Vascular Procedures With Mcc 19 15 — — $27,617.83 $61,397.99 $50,965.45 2025-12-05
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 82 32 $82,588.85 $41,294.43 50% off $60.60 $80,111.18 $50,503.08 2025-12-05
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 82 32 $81,970.00 $40,985.00 50% off $221.43 $79,510.90 $50,124.65 2025-12-05
0812 RC Hc Cadaver Donor - Heart 229 32 $96,848.50 $48,424.25 50% off $7,692.72 $111,479.04 $50,002.68 2025-12-05
245 MS_DRG Aicd Generator Procedures 19 15 — — $37,891.43 $87,464.92 $49,577.47 2025-12-05
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 82 32 $80,911.45 $40,455.73 50% off $144.44 $78,484.11 $49,477.35 2025-12-05
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 15 — — $39,357.27 $91,184.17 $48,825.52 2025-12-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 15 — — $36,429.10 $83,754.63 $48,630.01 2025-12-05
974 MS_DRG HIV With Major Related Condition With Mcc 19 15 — — $24,484.39 $53,447.60 $48,546.06 2025-12-05
0914T CPT Hc Perq Transcath Thera Rx Balloon Angio, Separate Lesion, 1 Artery/branch 79 32 $79,223.25 $39,611.63 50% off $7,922.33 $76,846.55 $48,445.01 2025-12-05
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 15 — — $33,465.68 $76,235.59 $48,266.57 2025-12-05
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 15 — — $37,106.30 $85,472.85 $47,512.11 2025-12-05
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 15 — — $27,716.56 $61,648.56 $46,883.30 2025-12-05
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 15 — — $39,413.33 $110,220.70 $46,860.00 2025-12-05
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 15 — — $32,367.36 $73,448.84 $46,735.09 2025-12-05
93654 CPT Hc Ep Ephys Eval W/ablation Ventricular Tachycardia 84 32 $76,123.95 $38,061.98 50% off $7,612.40 $73,840.23 $46,549.79 2025-12-05
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 82 32 $76,100.00 $38,050.00 50% off $347.12 $73,817.00 $46,535.15 2025-12-05
653 MS_DRG Major Bladder Procedures With Mcc 19 15 — — $42,743.24 $99,775.31 $46,517.03 2025-12-05
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 15 — — $31,016.50 $70,021.34 $46,451.86 2025-12-05
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 84 32 $75,885.15 $37,942.58 50% off $7,588.52 $73,608.60 $46,403.77 2025-12-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 15 — — $32,410.38 $73,558.02 $45,823.98 2025-12-05
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 84 32 $74,455.55 $37,227.78 50% off $7,445.56 $72,221.88 $45,529.57 2025-12-05
471 MS_DRG Cervical Spinal Fusion With Mcc 19 15 — — $37,683.31 $86,936.93 $45,440.48 2025-12-05
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 15 — — $25,331.59 $55,597.18 $45,278.00 2025-12-05
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 19 15 — — $30,656.03 $69,106.74 $45,239.96 2025-12-05
0266T CPT Apc 5 5 — — $43,655.98 $53,499.97 $44,939.97 2025-12-05
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 15 — — $28,323.23 $63,187.81 $44,843.93 2025-12-05
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 15 — — $25,188.40 $55,233.85 $44,680.16 2025-12-05
799 MS_DRG Splenic Procedures With Mcc 19 15 — — $36,960.27 $85,102.36 $44,363.94 2025-12-05
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 15 — — $30,850.74 $69,600.73 $44,333.86 2025-12-05
140 MS_DRG Major Head And Neck Procedures With Mcc 19 15 — — $33,252.64 $75,695.07 $44,189.74 2025-12-05
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 15 — — $34,406.70 $78,623.21 $43,823.79 2025-12-05
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 15 — — $31,003.08 $69,987.33 $43,709.74 2025-12-05
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 15 — — $25,809.14 $56,808.89 $43,641.95 2025-12-05
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 15 — — $27,581.15 $61,304.91 $43,505.46 2025-12-05
56 MS_DRG Degenerative Nervous System Disorders With Mcc 19 15 — — $21,083.61 $47,490.45 $43,460.51 2025-12-05
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 15 — — $25,957.98 $57,186.54 $43,258.15 2025-12-05
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 15 — — $26,477.18 $58,503.85 $43,105.67 2025-12-05
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 82 32 $70,069.55 $35,034.78 50% off $366.38 $67,967.46 $42,847.53 2025-12-05
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 15 — — $30,579.83 $68,913.44 $42,187.04 2025-12-05
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sing Ld 84 32 $68,873.40 $34,436.70 50% off $6,887.34 $66,807.20 $42,116.08 2025-12-05
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 84 32 $68,873.40 $34,436.70 50% off $6,887.34 $66,807.20 $42,116.08 2025-12-05
901 MS_DRG Wound Debridements For Injuries With Mcc 19 15 — — $34,672.64 $79,297.98 $41,987.77 2025-12-05
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 15 — — $31,195.65 $70,475.95 $41,481.45 2025-12-05
L7180 HCPCS Electronic Elbow Sequential 5 5 — — $39,992.59 $49,010.53 $41,168.84 2025-12-05
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 15 — — $23,620.97 $51,256.87 $41,082.08 2025-12-05
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 7 — — $31,139.24 $70,332.77 $40,634.03 2025-12-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 15 — — $32,769.44 $74,469.04 $40,620.47 2025-12-05
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 5 5 — — $39,378.45 $48,257.90 $40,536.64 2025-12-05
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 15 — — $28,701.32 $64,147.15 $40,310.91 2025-12-05
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 15 — — $32,111.28 $72,799.14 $40,163.03 2025-12-05
263 MS_DRG Vein Ligation And Stripping 19 15 — — $22,339.25 $48,004.76 $39,847.96 2025-12-05
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 15 — — $26,023.61 $57,352.99 $39,719.38 2025-12-05
849 MS_DRG Radiotherapy 19 15 — — $22,261.63 $47,807.88 $39,684.53 2025-12-05
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 15 — — $23,962.38 $52,123.14 $39,556.74 2025-12-05
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 15 — — $23,209.72 $50,213.40 $39,426.35 2025-12-05
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 15 — — $22,136.07 $47,489.29 $39,420.08 2025-12-05
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 82 32 $64,353.85 $32,176.93 50% off $34.57 $62,423.23 $39,352.38 2025-12-05
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 15 — — $22,722.26 $48,976.63 $39,227.07 2025-12-05
33745 CPT Hc Transcatheter Intracardiac Shunt Creation 82 32 $63,758.65 $31,879.33 50% off $970.73 $61,845.89 $38,988.42 2025-12-05
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 19 15 — — $21,924.45 $46,952.35 $38,974.37 2025-12-05
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 15 — — $25,435.29 $55,860.28 $38,789.46 2025-12-05
265 MS_DRG Aicd Lead Procedures 19 15 — — $28,582.82 $63,846.46 $38,750.61 2025-12-05
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 15 — — $23,501.04 $50,952.60 $38,517.20 2025-12-05
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 15 — — $24,995.09 $54,743.43 $38,472.39 2025-12-05
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 15 — — $25,233.53 $55,348.39 $37,922.21 2025-12-05
835 MS_DRG Acute Leukemia With Cc 19 15 — — $18,486.28 $41,277.57 $37,774.85 2025-12-05
33903 CPT Hc Perq Pulm Art Revasc Init Abnormal Conn Bil 84 32 $60,757.25 $30,378.63 50% off $6,075.73 $58,934.53 $37,153.06 2025-12-05
33901 CPT Hc Perq Pulm Art Revasc Init Normal Nat Conn Bil 84 32 $60,757.25 $30,378.63 50% off $6,075.73 $58,934.53 $37,153.06 2025-12-05
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 82 32 $60,741.85 $30,370.93 50% off $2,478.49 $58,919.59 $37,143.64 2025-12-05
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 82 32 $60,528.35 $30,264.18 50% off $201.79 $58,712.50 $37,013.08 2025-12-05
472 MS_DRG Cervical Spinal Fusion With Cc 19 15 — — $23,856.57 $51,854.67 $36,967.23 2025-12-05
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 15 — — $28,705.56 $64,157.89 $36,940.91 2025-12-05
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 19 15 — — $21,070.20 $44,784.88 $36,920.61 2025-12-05
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 15 — — $28,117.96 $62,666.97 $36,840.65 2025-12-05
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 15 — — $23,608.98 $51,226.44 $36,371.94 2025-12-05
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 19 15 — — $17,615.81 $41,879.11 $36,020.13 2025-12-05
L8701 HCPCS Ewh S/d Uprt Micro Sensor 5 5 — — $34,970.13 $42,855.55 $35,998.66 2025-12-05
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 15 — — $23,230.16 $50,265.30 $35,820.51 2025-12-05
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 15 — — $31,252.80 $70,620.93 $35,737.79 2025-12-05
545 MS_DRG Connective Tissue Disorders With Mcc 19 15 — — $21,244.44 $45,226.96 $35,727.40 2025-12-05
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 82 32 $58,261.65 $29,130.83 50% off $77.49 $56,513.80 $35,627.00 2025-12-05
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 19 15 — — $17,451.45 $46,453.89 $35,603.10 2025-12-05
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 15 — — $28,469.96 $63,560.09 $35,519.72 2025-12-05
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 15 — — $24,165.54 $52,638.61 $35,483.38 2025-12-05
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 15 — — $24,219.16 $52,774.63 $35,394.40 2025-12-05
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 82 32 $57,484.95 $28,742.48 50% off $231.82 $55,760.40 $35,152.04 2025-12-05
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 15 — — $28,899.64 $80,268.06 $35,054.97 2025-12-05
J1304 HCPCS Tofersen 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution 82 32 $57,204.60 $28,602.30 50% off $162.59 $55,488.46 $34,980.61 2025-12-05
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 15 — — $30,028.22 $67,513.80 $34,720.15 2025-12-05
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 15 — — $28,254.10 $63,012.40 $34,636.18 2025-12-05
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 184 32 $58,303.00 $29,151.50 50% off $152.39 $109,714.47 $34,582.71 2025-12-05
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 15 — — $23,580.76 $51,154.85 $34,532.16 2025-12-05
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 15 — — $26,401.69 $58,312.34 $34,503.34 2025-12-05
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 19 15 — — $19,748.26 $41,430.75 $34,390.98 2025-12-05
253 MS_DRG Other Vascular Procedures With Cc 19 15 — — $21,428.55 $45,694.10 $34,385.53 2025-12-05
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 15 — — $27,346.94 $60,710.69 $34,342.92 2025-12-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 15 — — $31,501.11 $71,250.94 $34,228.87 2025-12-05
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 15 — — $25,172.87 $55,194.47 $34,131.12 2025-12-05
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 15 — — $31,294.16 $75,004.20 $33,863.95 2025-12-05
35 MS_DRG Carotid Artery Stent Procedures With Cc 19 15 — — $19,466.11 $40,714.83 $33,796.70 2025-12-05
92937 CPT Hc Cath Prq Trluml Coronary Byp Grft Revasc One Vessel 84 32 $55,177.25 $27,588.63 50% off $5,517.73 $53,521.93 $33,740.89 2025-12-05
92943 CPT Hc Cath Prq Trluml Coronry Chronic Occlus Revasc One Vsl 84 32 $55,177.25 $27,588.63 50% off $5,517.73 $53,521.93 $33,740.89 2025-12-05
92933 CPT Hc Cath Prq Trluml Coronry Stent/ath/angio One Art/brnch 84 32 $55,177.25 $27,588.63 50% off $5,517.73 $53,521.93 $33,740.89 2025-12-05
J1440 HCPCS Fecal Microbiota, Live-jslm 150 Ml Rectal Suspension Enema 82 32 $54,810.00 $27,405.00 50% off $65.12 $53,165.70 $33,516.32 2025-12-05
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 15 — — $26,128.70 $57,619.68 $33,446.84 2025-12-05
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 15 — — $22,203.08 $47,659.33 $33,405.49 2025-12-05
709 MS_DRG Penis Procedures With Cc/mcc 19 15 — — $19,270.70 $40,219.05 $33,385.16 2025-12-05
791 MS_DRG Prematurity With Major Problems 19 15 — — $31,407.57 $72,664.90 $33,320.26 2025-12-05
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 19 15 — — $16,513.96 $36,826.72 $33,224.43 2025-12-05
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 15 — — $27,447.12 $60,964.85 $33,000.68 2025-12-05
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 15 — — $21,394.69 $45,608.19 $32,933.01 2025-12-05
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 19 15 — — $19,032.27 $39,614.09 $32,883.00 2025-12-05
34702 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft Rpt 81 32 $53,755.20 $26,877.60 50% off $1,641.11 $52,142.54 $32,871.31 2025-12-05
34703 CPT Hc Evasc Rpr Dplmnt Aorto-un-iliac Ndgft 81 32 $53,755.20 $26,877.60 50% off $1,254.83 $52,142.54 $32,871.31 2025-12-05
34706 CPT Hc Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft Rpt 81 32 $53,755.20 $26,877.60 50% off $2,082.65 $52,142.54 $32,871.31 2025-12-05
793 MS_DRG Full Term Neonate With Major Problems 19 15 — — $14,087.16 $74,644.44 $32,838.57 2025-12-05
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 82 32 $53,271.20 $26,635.60 50% off $130.00 $51,673.06 $32,575.33 2025-12-05
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 15 — — $30,603.09 $69,176.54 $32,466.80 2025-12-05
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 15 — — $26,711.36 $59,098.07 $32,360.27 2025-12-05
34701 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft 81 32 $52,774.60 $26,387.30 50% off $1,132.55 $51,191.36 $32,271.67 2025-12-05
J7699 HCPCS Ribavirin 6 Gram Solution For Inhalation 130 32 $106,502.40 $53,251.20 50% off $0.98 $103,307.33 $32,035.92 2025-12-05
33231 CPT Insrt Pulse Gen W/mult Leads 5 5 — — $31,103.64 $38,117.21 $32,018.46 2025-12-05
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 15 — — $28,135.58 $62,711.71 $32,003.09 2025-12-05
314 MS_DRG Other Circulatory System Diagnoses With Mcc 19 15 — — $18,610.42 $38,543.77 $31,994.55 2025-12-05
570 MS_DRG Skin Debridement With Mcc 19 15 — — $24,653.69 $53,877.16 $31,911.61 2025-12-05
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 15 — — $25,914.97 $57,077.36 $31,840.17 2025-12-05
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 15 — — $23,980.03 $52,167.88 $31,801.32 2025-12-05
69930 CPT Implant Cochlear Device 5 5 — — $30,857.47 $37,815.52 $31,765.04 2025-12-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 15 — — $28,979.26 $64,852.34 $31,687.27 2025-12-05
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 19 15 — — $18,380.46 $37,960.29 $31,510.21 2025-12-05
36906 CPT Hc Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 84 32 $51,463.50 $25,731.75 50% off $5,146.35 $49,919.60 $31,469.93 2025-12-05
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 15 — — $25,065.64 $54,922.42 $31,435.37 2025-12-05
500 MS_DRG Soft Tissue Procedures With Mcc 19 15 — — $25,771.76 $56,714.03 $31,377.72 2025-12-05
249 MS_DRG Cardiac 1 1 — — $31,218.10 $31,218.10 $31,218.10 2025-12-05
247 MS_DRG Cardiac 1 1 — — $31,218.10 $31,218.10 $31,218.10 2025-12-05
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 19 15 — — $18,290.18 $36,421.60 $31,214.12 2025-12-05
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 19 15 — — $22,112.80 $47,430.23 $30,917.78 2025-12-05
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 15 — — $22,351.24 $48,035.19 $30,811.25 2025-12-05
L5856 HCPCS Elec Knee-shin Swing/stance 5 5 — — $29,719.96 $36,421.53 $30,594.08 2025-12-05
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 15 — — $27,861.19 $62,015.47 $30,511.72 2025-12-05
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 19 15 — — $20,827.54 $44,169.18 $30,455.33 2025-12-05
L6880 HCPCS Elec Hand Ind Art Digits 5 5 — — $29,579.67 $36,249.60 $30,449.66 2025-12-05
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 5 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-05
64568 CPT Opn Impltj Crnl Nrv Nea&pg 5 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-05
0268T CPT Apc 5 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-05
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 5 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-05
61886 CPT Implant Neurostim Arrays 5 5 — — $29,563.10 $36,229.29 $30,432.60 2025-12-05
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