Price Transparencybeta Hospital negotiated rates

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

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Hospital

NOVANT HEALTH MATTHEWS MEDICAL CENTER

Matthews, NC · CCN 340171 · Rates published

20,857 distinct procedures filed
29 distinct payers
1,154,845 rate rows
2026-05-06 last MRF observed
Data quality

750,241 of 1,154,845 rate rows are consumer-grade (65.0%)

404,604 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 368,773
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 25,401
exceeds 10× this hospital's gross charge — excluded from medians 10,180
per-diem day rate — not a per-procedure price 176
placeholder amount (≤ $0.02) — excluded from medians 62
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/56-1376368_novant_health_matthews_medical_center_standardcharges.csv
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 0b5d427c5d08edeb… · 17,550,621 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,508,750
1.3× median
576
OTHER 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 $57,171.99 $4,554,805.74 $4,337,910.23 nat. median
$30,962
outlier · 140.1×
J3391
HCPCS 		Injection, Atidarsagene Autotemcel, Per Treatment 7 $4,284,975.80 $4,499,224.59 $4,284,975.80 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,505,278.25 $4,496,025.34 $3,549,094.23 nat. median
$3,685,267
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 22 $2,335,203.01 $4,670,406.02 $3,502,804.52 nat. median
$2,455,111
1.4× median
278
OTHER 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 7 $44,871.62 $3,574,854.49 $3,404,623.32 nat. median
$18,382
outlier · 185.2×
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 22 $2,218,105.12 $4,436,210.24 $3,327,157.68 nat. median
$2,332,000
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,154,486.56 $4,055,977.72 $3,193,917.64 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 7 $3,089,791.63 $3,978,853.10 $3,128,414.02 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,801,870.06 $3,599,837.74 $2,836,893.44 nat. median
$2,968,000
1.0× median
802
OTHER 		Anesth Fat Layer Removal 7 $34,513.85 $2,749,666.12 $2,618,729.64 nat. median
$1,500
outlier · 1745.8×
411
OTHER 		Cholecystectomy With C.d.e. With Mcc 7 $30,586.42 $2,436,774.19 $2,320,737.32 nat. median
$17,298
outlier · 134.2×
041
OTHER 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 7 $22,440.84 $1,787,827.98 $1,702,693.31 nat. median
$24,747
outlier · 68.8×
412
OTHER 		Cholecystectomy With C.d.e. With Cc 7 $20,784.97 $1,655,906.84 $1,577,054.13 nat. median
$11,735
outlier · 134.4×
919
OTHER 		Complications Of Treatment With Mcc 7 $18,356.48 $1,462,433.19 $1,392,793.51 nat. median
$7,449
outlier · 187.0×
801
OTHER 		Splenic Procedures Without Cc/mcc 7 $18,004.38 $1,434,381.91 $1,366,078.01 nat. median
$2,154
outlier · 634.2×
582
OTHER 		Mastectomy For Malignancy With Cc/mcc 7 $17,517.48 $1,395,591.00 $1,329,134.29 nat. median
$17,513
outlier · 75.9×
830
OTHER 		Anesth Repair Of Hernia 7 $15,906.87 $1,267,276.46 $1,206,929.96 nat. median
$79
outlier · 15365.1×
841
OTHER 		Lymphoma And Non-acute Leukemia With Cc 7 $15,829.41 $1,261,105.18 $1,201,052.55 nat. median
$52
outlier · 23280.7×
583
OTHER 		Mastectomy For Malignancy Without Cc/mcc 7 $15,310.31 $1,219,749.58 $1,161,666.27 nat. median
$14,696
outlier · 79.0×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 22 $732,982.92 $1,465,965.84 $1,099,474.38 nat. median
$813,967
1.4× median
825
OTHER 		Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 7 $12,991.48 $1,035,011.90 $985,725.62 nat. median
$74
outlier · 13324.2×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 22 $562,826.29 $1,127,511.66 $845,168.97 nat. median
$621,313
1.4× median
294
OTHER 		Deep Vein Thrombophlebitis With Cc/mcc 7 $11,002.62 $876,562.27 $834,821.21 nat. median
$5,959
outlier · 140.1×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 22 $538,231.91 $1,077,636.42 $807,934.17 nat. median
$599,737
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 22 $535,063.82 $1,070,127.64 $802,595.73 nat. median
$579,571
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 22 $530,098.52 $1,060,197.04 $795,147.78 nat. median
$574,037
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 22 $507,187.21 $1,014,374.42 $760,780.81 nat. median
$562,501
1.4× median
880
OTHER 		Anesth Abdomen Vessel Surg 7 $9,603.28 $765,078.49 $728,646.18 nat. median
$17
outlier · 42735.8×
Q2053
HCPCS 		Brexucabtagene Car Pos T 22 $465,406.97 $953,404.97 $709,405.97 nat. median
$513,770
1.4× median
081
OTHER 		Nontraumatic Stupor And Coma Without Mcc 7 $9,149.57 $728,932.42 $694,221.35 nat. median
$2,919
outlier · 237.8×
060
OTHER 		Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 7 $9,027.84 $719,234.69 $684,985.42 nat. median
$5,474
outlier · 125.1×
845
OTHER 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 7 $8,700.89 $693,187.08 $660,178.17 nat. median
$4,505,000
outlier · 0.1×
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $370,637.56 $724,806.44 $654,584.25 nat. median
$149,977
outlier · 4.4×
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 22 $264,660.27 $992,250.00 $628,455.14 nat. median
$286,598
outlier · 2.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $347,098.60 $872,335.74 $580,792.14 nat. median
$168,055
outlier · 3.5×
601
OTHER 		Non-malignant Breast Disorders Without Cc/mcc 7 $6,373.01 $507,728.08 $483,550.55 nat. median
$2,190
outlier · 220.8×
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $272,611.92 $561,130.71 $481,460.83 nat. median
$177,883
outlier · 2.7×
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $214,482.22 $441,479.45 $378,797.77 nat. median
$119,739
outlier · 3.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $225,253.03 $595,872.19 $357,249.35 nat. median
$186,516
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $170,605.82 $451,311.43 $275,798.99 nat. median
$145,435
1.9× median
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $147,882.00 $304,392.90 $261,174.90 nat. median
$106,489
outlier · 2.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $171,612.97 $453,975.68 $243,446.17 nat. median
$131,925
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $111,336.03 $294,522.32 $222,672.06 nat. median
$97,418
outlier · 2.3×
002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $123,175.65 $253,538.58 $217,540.92 nat. median
$67,041
outlier · 3.2×
7
MS_DRG 		Lung Transplant 12 $104,092.28 $303,995.35 $208,184.56 nat. median
$70,649
outlier · 2.9×
014
OTHER 		Allogeneic Bone Marrow Transplant 3 $115,296.65 $225,470.29 $203,625.81 nat. median
$77,841
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $96,598.56 $304,329.29 $193,197.12 nat. median
$72,715
outlier · 2.7×
212
OTHER 		Anesth Skull Drainage 3 $108,353.24 $223,028.88 $191,363.03 nat. median
$106
outlier · 1808.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $91,083.76 $320,537.19 $182,167.52 nat. median
$65,418
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 20,857 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-03-30
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 7 $527,344.13 $263,672.06 50% off $57,171.99 $4,554,805.74 $4,337,910.23 2026-05-06
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 7 7 — — $4,284,975.80 $4,499,224.59 $4,284,975.80 2026-03-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $3,505,278.25 $4,496,025.34 $3,549,094.23 2026-03-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 53 22 — — $2,335,203.01 $4,670,406.02 $3,502,804.52 2026-03-30
278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 7 $418,477.47 $209,238.73 50% off $44,871.62 $3,574,854.49 $3,404,623.32 2026-05-06
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 54 22 — — $2,218,105.12 $4,436,210.24 $3,327,157.68 2026-03-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,154,486.56 $4,055,977.72 $3,193,917.64 2026-03-30
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 8 7 — — $3,089,791.63 $3,978,853.10 $3,128,414.02 2026-03-30
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 8 7 — — $2,801,870.06 $3,599,837.74 $2,836,893.44 2026-03-30
802 OTHER Anesth Fat Layer Removal 15 7 $1,409,054.41 $704,527.20 50% off $34,513.85 $2,749,666.12 $2,618,729.64 2026-05-06
411 OTHER Cholecystectomy With C.d.e. With Mcc 15 7 $319,134.33 $159,567.17 50% off $30,586.42 $2,436,774.19 $2,320,737.32 2026-05-06
041 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 15 7 $213,751.65 $106,875.83 50% off $22,440.84 $1,787,827.98 $1,702,693.31 2026-05-06
412 OTHER Cholecystectomy With C.d.e. With Cc 15 7 $252,781.38 $126,390.69 50% off $20,784.97 $1,655,906.84 $1,577,054.13 2026-05-06
919 OTHER Complications Of Treatment With Mcc 15 7 $255,531.13 $127,765.57 50% off $18,356.48 $1,462,433.19 $1,392,793.51 2026-05-06
801 OTHER Splenic Procedures Without Cc/mcc 15 7 $156,811.62 $78,405.81 50% off $18,004.38 $1,434,381.91 $1,366,078.01 2026-05-06
582 OTHER Mastectomy For Malignancy With Cc/mcc 15 7 $146,230.22 $73,115.11 50% off $17,517.48 $1,395,591.00 $1,329,134.29 2026-05-06
830 OTHER Anesth Repair Of Hernia 15 7 $153,523.79 $76,761.89 50% off $15,906.87 $1,267,276.46 $1,206,929.96 2026-05-06
841 OTHER Lymphoma And Non-acute Leukemia With Cc 15 7 $151,856.58 $75,928.29 50% off $15,829.41 $1,261,105.18 $1,201,052.55 2026-05-06
583 OTHER Mastectomy For Malignancy Without Cc/mcc 15 7 $136,160.00 $68,080.00 50% off $15,310.31 $1,219,749.58 $1,161,666.27 2026-05-06
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 54 22 — — $732,982.92 $1,465,965.84 $1,099,474.38 2026-03-30
825 OTHER Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 15 7 $113,645.11 $56,822.55 50% off $12,991.48 $1,035,011.90 $985,725.62 2026-05-06
Q2042 HCPCS Tisagenlecleucel Car-pos T 54 22 — — $562,826.29 $1,127,511.66 $845,168.97 2026-03-30
294 OTHER Deep Vein Thrombophlebitis With Cc/mcc 15 7 $156,093.25 $78,046.62 50% off $11,002.62 $876,562.27 $834,821.21 2026-05-06
Q2056 HCPCS Ciltacabtagene Car-pos T 54 22 — — $538,231.91 $1,077,636.42 $807,934.17 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 54 22 — — $535,063.82 $1,070,127.64 $802,595.73 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 54 22 — — $530,098.52 $1,060,197.04 $795,147.78 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 54 22 — — $507,187.21 $1,014,374.42 $760,780.81 2026-03-30
880 OTHER Anesth Abdomen Vessel Surg 15 7 $84,839.04 $42,419.52 50% off $9,603.28 $765,078.49 $728,646.18 2026-05-06
Q2053 HCPCS Brexucabtagene Car Pos T 54 22 — — $465,406.97 $953,404.97 $709,405.97 2026-03-30
081 OTHER Nontraumatic Stupor And Coma Without Mcc 15 7 $87,816.88 $43,908.44 50% off $9,149.57 $728,932.42 $694,221.35 2026-05-06
060 OTHER Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 15 7 $87,506.67 $43,753.34 50% off $9,027.84 $719,234.69 $684,985.42 2026-05-06
845 OTHER Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 15 7 $104,468.97 $52,234.49 50% off $8,700.89 $693,187.08 $660,178.17 2026-05-06
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 3 $1,422,622.38 $711,311.19 50% off $370,637.56 $724,806.44 $654,584.25 2026-05-06
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 54 22 — — $264,660.27 $992,250.00 $628,455.14 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 12 — — $347,098.60 $872,335.74 $580,792.14 2026-03-30
601 OTHER Non-malignant Breast Disorders Without Cc/mcc 15 7 $67,719.13 $33,859.57 50% off $6,373.01 $507,728.08 $483,550.55 2026-05-06
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 7 3 $379,557.58 $189,778.79 50% off $272,611.92 $561,130.71 $481,460.83 2026-05-06
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 3 $729,991.50 $364,995.75 50% off $214,482.22 $441,479.45 $378,797.77 2026-05-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 12 — — $225,253.03 $595,872.19 $357,249.35 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 12 — — $170,605.82 $451,311.43 $275,798.99 2026-03-30
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 3 $231,880.76 $115,940.38 50% off $147,882.00 $304,392.90 $261,174.90 2026-05-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 12 — — $171,612.97 $453,975.68 $243,446.17 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 12 — — $111,336.03 $294,522.32 $222,672.06 2026-03-30
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 3 $560,181.56 $280,090.78 50% off $123,175.65 $253,538.58 $217,540.92 2026-05-06
7 MS_DRG Lung Transplant 21 12 — — $104,092.28 $303,995.35 $208,184.56 2026-03-30
014 OTHER Allogeneic Bone Marrow Transplant 7 3 $585,410.02 $292,705.01 50% off $115,296.65 $225,470.29 $203,625.81 2026-05-06
14 MS_DRG Allogeneic Bone Marrow Transplant 21 12 — — $96,598.56 $304,329.29 $193,197.12 2026-03-30
212 OTHER Anesth Skull Drainage 7 3 $522,444.23 $261,222.11 50% off $108,353.24 $223,028.88 $191,363.03 2026-05-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 12 — — $91,083.76 $320,537.19 $182,167.52 2026-03-30
215 OTHER Anesth Skull Repair/fract 7 3 $335,449.71 $167,724.86 50% off $102,760.89 $211,517.86 $181,486.35 2026-05-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 12 — — $87,404.82 $231,215.99 $174,809.64 2026-03-30
216 OTHER Anesth Head Vessel Surgery 7 3 $520,884.01 $260,442.01 50% off $97,635.32 $200,967.65 $172,434.07 2026-05-06
Q0480 HCPCS Dme Pos 54 22 — — $111,502.61 $223,005.22 $167,253.92 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 12 — — $82,874.66 $251,850.92 $165,749.32 2026-03-30
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 7 3 $538,380.91 $269,190.46 50% off $89,145.68 $225,918.00 $157,440.49 2026-05-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $78,633.07 $208,011.68 $152,963.75 2026-03-30
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 3 $389,533.13 $194,766.57 50% off $85,031.14 $175,023.85 $150,173.79 2026-05-06
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 $319,594.81 $159,797.40 50% off $84,799.76 $212,808.00 $149,765.15 2026-05-06
231 OTHER Coronary Bypass With Ptca With Mcc 7 3 $385,618.76 $192,809.38 50% off $81,638.91 $168,041.45 $144,182.76 2026-05-06
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 54 22 — — $95,081.03 $190,162.06 $142,621.55 2026-03-30
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 3 $373,441.38 $186,720.69 50% off $78,463.98 $161,506.32 $138,575.49 2026-05-06
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 $436,167.98 $218,083.99 50% off $77,574.67 $159,675.82 $137,004.89 2026-05-06
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 3 $296,928.86 $148,464.43 50% off $72,758.95 $149,763.38 $128,499.83 2026-05-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 12 — — $63,248.55 $167,314.29 $126,497.10 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 12 — — $72,418.17 $191,571.12 $125,048.49 2026-03-30
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 3 $265,903.43 $132,951.71 50% off $70,780.15 $145,690.31 $125,005.06 2026-05-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $88,587.19 $234,343.78 $124,305.43 2026-03-30
870 OTHER Anesth Bladder Stone Surg 7 3 $258,869.43 $129,434.71 50% off $70,066.89 $137,020.48 $123,745.38 2026-05-06
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 7 3 $196,567.22 $98,283.61 50% off $69,494.48 $135,901.08 $122,734.44 2026-05-06
969 OTHER HIV With Extensive O.r. Procedures With Mcc 7 3 $354,870.87 $177,435.43 50% off $69,138.36 $142,310.93 $122,105.48 2026-05-06
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 3 $278,254.70 $139,127.35 50% off $68,958.28 $141,940.27 $121,787.45 2026-05-06
459 OTHER Spinal Fusion Except Cervical With Mcc 7 3 $395,304.14 $197,652.07 50% off $66,720.94 $153,321.00 $117,836.07 2026-05-06
10 MS_DRG Pancreas Transplant 21 12 — — $57,677.49 $157,261.27 $115,354.98 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 12 — — $57,347.13 $179,278.70 $114,694.26 2026-03-30
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 3 $323,839.21 $161,919.60 50% off $64,034.92 $131,806.27 $113,092.29 2026-05-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 12 — — $67,758.61 $179,244.96 $111,403.54 2026-03-30
J7330 HCPCS Cultured Chondrocytes Implnt 47 20 — — $96,363.41 $125,750.30 $111,056.85 2026-03-30
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 3 $227,120.90 $113,560.45 50% off $62,835.77 $129,337.99 $110,974.46 2026-05-06
790 OTHER Anes Iper Upr Abd Nos 4 2 $71,400.85 $35,700.43 50% off $66,001.10 $118,039.97 $110,800.85 2026-05-06
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 3 $195,995.12 $97,997.56 50% off $62,554.09 $128,758.20 $110,476.98 2026-05-06
276 OTHER Cardiac Defibrillator Implant With Mcc 7 3 $167,195.54 $83,597.77 50% off $62,474.61 $128,594.61 $110,336.62 2026-05-06
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 7 3 $182,058.90 $91,029.45 50% off $62,140.62 $121,520.12 $109,746.76 2026-05-06
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 3 $216,642.08 $108,321.04 50% off $61,782.48 $127,169.97 $109,114.25 2026-05-06
454 OTHER Anesth Collar Bone Biopsy 7 3 $315,644.46 $157,822.23 50% off $61,529.98 $201,120.00 $108,668.30 2026-05-06
955 OTHER Craniotomy For Multiple Significant Trauma 7 3 $196,896.67 $98,448.33 50% off $61,267.41 $126,109.77 $108,204.58 2026-05-06
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 $260,847.58 $130,423.79 50% off $61,117.52 $171,921.00 $107,939.86 2026-05-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 12 — — $54,103.84 $143,123.38 $107,629.35 2026-03-30
820 OTHER Anesth Abdominal Wall Surg 7 3 $199,473.04 $99,736.52 50% off $60,829.80 $125,209.02 $107,431.72 2026-05-06
028 OTHER Spinal Procedures With Mcc 7 3 $299,577.27 $149,788.63 50% off $60,622.57 $124,782.45 $107,065.72 2026-05-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $52,851.54 $139,810.60 $105,703.08 2026-03-30
232 OTHER Coronary Bypass With Ptca Without Mcc 7 3 $293,683.61 $146,841.80 50% off $59,842.92 $123,177.66 $105,688.78 2026-05-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $52,659.43 $143,579.80 $105,318.86 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 12 — — $55,283.80 $146,244.79 $105,056.82 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $52,851.54 $139,810.60 $104,687.74 2026-03-30
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 7 3 $281,802.42 $140,901.21 50% off $59,158.84 $121,769.58 $104,480.62 2026-05-06
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 54 22 — — $68,801.71 $137,603.42 $103,202.57 2026-03-30
215 MS_DRG Other Heart Assist System Implant 21 12 — — $80,033.27 $211,715.69 $102,379.04 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $61,717.33 $163,263.69 $102,301.59 2026-03-30
218 OTHER Anesth Special Head Surgery 7 3 $155,536.49 $77,768.25 50% off $57,308.80 $117,961.57 $101,213.27 2026-05-06
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 3 $226,646.19 $113,323.10 50% off $57,028.13 $117,383.84 $100,717.57 2026-05-06
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 3 $233,200.82 $116,600.41 50% off $56,976.82 $117,278.24 $100,626.96 2026-05-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $67,545.60 $218,515.00 $100,420.63 2026-03-30
834 OTHER Anesth Hernia Repair < 1 Yr 7 3 $43,243.79 $21,621.90 50% off $56,325.94 $110,149.13 $99,477.43 2026-05-06
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 7 3 $312,571.16 $156,285.58 50% off $55,382.31 $113,996.18 $97,810.89 2026-05-06
653 OTHER Major Bladder Procedures With Mcc 7 3 $163,840.24 $81,920.12 50% off $54,460.82 $112,099.42 $96,183.43 2026-05-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 12 — — $47,140.62 $124,703.24 $94,281.24 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 12 — — $49,259.41 $130,308.17 $93,798.02 2026-03-30
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 3 $269,939.03 $134,969.51 50% off $52,290.87 $107,632.92 $92,351.09 2026-05-06
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 7 3 $220,981.42 $110,490.71 50% off $52,177.20 $117,962.00 $92,150.32 2026-05-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 12 — — $46,059.52 $121,843.37 $92,119.04 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 12 — — $48,730.51 $128,909.06 $91,836.13 2026-03-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 54 22 — — $60,248.64 $123,190.11 $91,719.38 2026-03-30
38240 CPT Transplt Allo Hct/donor 53 22 — — $61,124.89 $122,249.78 $91,687.34 2026-03-30
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 3 $263,938.22 $131,969.11 50% off $51,872.38 $106,771.50 $91,611.98 2026-05-06
90288 CPT Botulism Ig IV 46 20 — — $91,224.47 $91,224.47 $91,224.47 2026-03-30
A9543 HCPCS Y90 Ibritumomab, Rx 54 22 — — $54,049.24 $127,627.61 $90,838.43 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 12 — — $55,556.29 $139,625.27 $90,785.29 2026-03-30
326 OTHER Anesth Larynx/trach < 1 Yr 7 3 $193,391.17 $96,695.58 50% off $51,094.74 $105,170.85 $90,238.59 2026-05-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 12 — — $45,049.16 $122,830.59 $90,098.32 2026-03-30
270 OTHER Other Major Cardiovascular Procedures With Mcc 7 3 $257,595.59 $128,797.80 50% off $50,872.41 $104,713.23 $89,845.94 2026-05-06
28 MS_DRG Spinal Procedures With Mcc 21 12 — — $48,294.05 $127,754.48 $89,755.30 2026-03-30
228 OTHER Other Cardiothoracic Procedures With Mcc 7 3 $175,082.18 $87,541.09 50% off $50,689.32 $104,336.36 $89,522.58 2026-05-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 12 — — $49,202.34 $130,157.20 $88,993.84 2026-03-30
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 3 $148,837.23 $74,418.62 50% off $50,292.96 $103,520.51 $88,822.56 2026-05-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 12 — — $44,393.27 $121,721.00 $88,786.54 2026-03-30
834 MS_DRG Acute Leukemia With Mcc 21 12 — — $44,127.21 $135,218.83 $88,254.42 2026-03-30
799 OTHER Splenic Procedures With Mcc 7 3 $143,626.50 $71,813.25 50% off $49,843.28 $102,594.90 $88,028.38 2026-05-06
471 OTHER Cervical Spinal Fusion With Mcc 7 3 $228,865.12 $114,432.56 50% off $49,485.14 $114,950.00 $87,395.87 2026-05-06
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 3 $188,781.06 $94,390.53 50% off $49,094.81 $101,054.30 $86,706.51 2026-05-06
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 3 $191,830.67 $95,915.33 50% off $48,730.64 $95,296.01 $86,063.35 2026-05-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 12 — — $57,313.37 $151,613.70 $85,494.31 2026-03-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 12 — — $53,745.35 $142,175.05 $85,477.15 2026-03-30
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 3 $290,977.41 $145,488.70 50% off $48,356.41 $99,534.41 $85,402.42 2026-05-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 12 — — $42,550.98 $112,562.07 $85,101.96 2026-03-30
277 OTHER Cardiac Defibrillator Implant Without Mcc 7 3 $145,452.89 $72,726.44 50% off $48,110.94 $99,029.16 $84,968.90 2026-05-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 12 — — $61,451.28 $162,559.89 $84,336.80 2026-03-30
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 $137,449.96 $68,724.98 50% off $47,688.42 $98,159.46 $84,222.69 2026-05-06
850 MS_DRG Acute Leukemia With Other Procedures 21 12 — — $69,604.11 $184,126.95 $83,971.15 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 12 — — $61,247.92 $162,021.93 $83,818.90 2026-03-30
163 OTHER Major Chest Procedures With Mcc 7 3 $119,661.71 $59,830.86 50% off $47,418.82 $97,604.52 $83,746.53 2026-05-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 12 — — $51,721.41 $129,987.37 $82,832.27 2026-03-30
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 $270,892.14 $135,446.07 50% off $46,764.92 $96,258.56 $82,591.68 2026-05-06
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 3 $225,839.95 $112,919.97 50% off $46,554.66 $95,825.78 $82,220.35 2026-05-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $58,022.31 $153,489.09 $81,922.45 2026-03-30
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 3 $228,645.41 $114,322.70 50% off $46,332.34 $127,969.00 $81,827.70 2026-05-06
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 54 22 — — $52,572.82 $111,075.77 $81,824.29 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 12 — — $53,705.97 $142,070.86 $81,363.31 2026-03-30
245 OTHER Aicd Generator Procedures 7 3 $104,346.33 $52,173.17 50% off $45,585.88 $93,831.70 $80,509.38 2026-05-06
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 $286,272.38 $143,136.19 50% off $45,581.86 $136,872.00 $80,502.28 2026-05-06
329 OTHER Major Small And Large Bowel Procedures With Mcc 7 3 $165,709.61 $82,854.80 50% off $45,439.01 $93,529.38 $80,249.99 2026-05-06
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 3 $180,542.55 $90,271.27 50% off $45,289.11 $93,220.84 $79,985.26 2026-05-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 12 — — $39,766.66 $108,833.93 $79,533.32 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $39,395.31 $107,414.38 $78,790.62 2026-03-30
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 3 $112,934.65 $56,467.33 50% off $44,549.70 $91,698.88 $78,679.38 2026-05-06
025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 7 3 $203,579.82 $101,789.91 50% off $44,424.96 $91,442.11 $78,459.07 2026-05-06
220 OTHER Anesth Intrcrn Nerve 9 4 $285,589.84 $142,794.92 50% off $266.00 $108,599.93 $77,997.69 2026-05-06
793 OTHER Full Term Neonate With Major Problems 4 2 $9,320.21 $4,660.11 50% off $46,302.30 $82,809.56 $77,731.04 2026-05-06
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 7 3 $132,314.12 $66,157.06 50% off $43,880.71 $90,321.86 $77,497.88 2026-05-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $45,189.02 $119,540.59 $76,968.67 2026-03-30
901 OTHER Wound Debridements For Injuries With Mcc 7 3 $152,629.93 $76,314.97 50% off $43,537.67 $89,615.75 $76,892.02 2026-05-06
474 OTHER Anesth Surgery Of Rib 7 3 $96,539.27 $48,269.63 50% off $43,286.17 $89,098.08 $76,447.85 2026-05-06
356 OTHER Other Digestive System O.r. Procedures With Mcc 7 3 $140,233.17 $70,116.58 50% off $43,043.72 $88,599.04 $76,019.66 2026-05-06
791 OTHER Prematurity With Major Problems 4 2 $25,082.49 $12,541.24 50% off $45,074.70 $80,614.05 $75,670.18 2026-05-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 12 — — $37,789.34 $166,036.22 $75,578.68 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 21 12 — — $37,271.70 $178,767.16 $74,543.40 2026-03-30
L7181 HCPCS Dme Pos 54 22 — — $49,605.45 $99,210.90 $74,408.18 2026-03-30
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 3 $226,780.71 $113,390.36 50% off $41,835.52 $86,112.13 $73,885.85 2026-05-06
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 3 $186,520.96 $93,260.48 50% off $41,648.40 $85,726.98 $73,555.38 2026-05-06
031 OTHER Ventricular Shunt Procedures With Mcc 7 3 $120,534.35 $60,267.17 50% off $41,413.00 $85,242.44 $73,139.63 2026-05-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 12 — — $42,410.32 $112,189.97 $72,837.66 2026-03-30
166 OTHER Other Respiratory System O.r. Procedures With Mcc 7 3 $147,597.98 $73,798.99 50% off $40,821.47 $84,024.86 $72,094.93 2026-05-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 12 — — $39,695.92 $105,009.45 $71,936.42 2026-03-30
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 7 3 $199,811.86 $99,905.93 50% off $40,690.69 $83,755.67 $71,863.96 2026-05-06
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 7 3 $209,043.18 $104,521.59 50% off $40,654.47 $83,681.13 $71,800.00 2026-05-06
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 3 $105,654.53 $52,827.27 50% off $40,385.87 $83,128.25 $71,325.62 2026-05-06
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 3 $179,450.40 $89,725.20 50% off $40,289.29 $82,929.46 $71,155.06 2026-05-06
653 MS_DRG Major Bladder Procedures With Mcc 21 12 — — $41,768.09 $110,491.05 $70,536.12 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 12 — — $42,838.74 $113,323.28 $70,328.89 2026-03-30
616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 3 $167,467.84 $83,733.92 50% off $39,814.46 $81,952.09 $70,316.46 2026-05-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 12 — — $47,171.16 $124,784.04 $70,160.91 2026-03-30
022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 3 $121,286.37 $60,643.18 50% off $39,462.36 $81,227.35 $69,694.61 2026-05-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 12 — — $37,599.64 $99,464.06 $69,498.77 2026-03-30
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 3 $135,702.52 $67,851.26 50% off $39,343.65 $80,983.01 $69,484.96 2026-05-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 12 — — $41,840.43 $121,125.00 $69,461.98 2026-03-30
034 OTHER Carotid Artery Stent Procedures With Mcc 7 3 $146,243.62 $73,121.81 50% off $39,248.08 $80,786.29 $69,316.17 2026-05-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 12 — — $43,664.23 $109,737.89 $69,255.99 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 12 — — $47,662.28 $119,785.87 $69,255.99 2026-03-30
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 7 3 $131,674.86 $65,837.43 50% off $39,203.82 $80,695.18 $69,238.00 2026-05-06
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 3 $125,577.40 $62,788.70 50% off $39,105.23 $80,492.25 $69,063.88 2026-05-06
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 3 $127,501.12 $63,750.56 50% off $39,014.69 $80,305.89 $68,903.98 2026-05-06
040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 3 $141,436.16 $70,718.08 50% off $38,736.03 $79,732.30 $68,411.83 2026-05-06
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 3 $232,006.05 $116,003.02 50% off $38,485.54 $79,216.70 $67,969.44 2026-05-06
024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 3 $162,255.73 $81,127.86 50% off $38,115.33 $78,454.68 $67,315.61 2026-05-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 12 — — $37,712.17 $99,761.74 $67,181.29 2026-03-30
140 OTHER Anesth Procedures On Eye 7 3 $215,724.74 $107,862.37 50% off $38,007.69 $78,233.12 $67,125.50 2026-05-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 12 — — $36,852.12 $97,486.60 $67,052.54 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 12 — — $43,908.58 $116,153.39 $66,706.75 2026-03-30
876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 7 3 $237,363.85 $118,681.92 50% off $37,538.89 $77,268.17 $66,297.56 2026-05-06
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 3 $125,799.83 $62,899.92 50% off $37,445.33 $77,075.60 $66,132.33 2026-05-06
907 OTHER Other O.r. Procedures For Injuries With Mcc 7 3 $77,736.50 $38,868.25 50% off $37,418.17 $77,019.69 $66,084.36 2026-05-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $44,740.50 $118,354.11 $65,861.91 2026-03-30
901 MS_DRG Wound Debridements For Injuries With Mcc 21 12 — — $33,731.81 $89,232.31 $65,765.05 2026-03-30
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 7 3 $128,609.21 $64,304.60 50% off $37,201.88 $76,574.49 $65,702.37 2026-05-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 12 — — $48,280.39 $127,718.34 $65,488.22 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 12 — — $47,773.20 $107,105.46 $65,378.50 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 12 — — $46,355.32 $122,625.85 $65,210.81 2026-03-30
332 OTHER Rectal Resection With Mcc 7 3 $100,019.93 $50,009.96 50% off $36,762.26 $75,669.59 $64,925.95 2026-05-06
097 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 3 $142,790.00 $71,395.00 50% off $36,587.21 $71,548.73 $64,616.80 2026-05-06
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 3 $135,592.34 $67,796.17 50% off $36,444.36 $71,269.38 $64,364.51 2026-05-06
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 3 $87,231.88 $43,615.94 50% off $36,379.98 $74,882.72 $64,250.80 2026-05-06
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 54 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 53 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 53 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 12 — — $43,971.28 $116,319.24 $63,820.32 2026-03-30
495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 3 $187,520.08 $93,760.04 50% off $36,026.87 $74,155.91 $63,627.18 2026-05-06
335 OTHER Peritoneal Adhesiolysis With Mcc 7 3 $78,337.87 $39,168.94 50% off $35,964.50 $74,027.52 $63,517.03 2026-05-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $47,930.74 $176,531.00 $63,188.17 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 12 — — $34,783.17 $92,013.51 $63,091.97 2026-03-30
265 OTHER Aicd Lead Procedures 7 3 $92,742.32 $46,371.16 50% off $35,553.05 $73,180.61 $62,790.35 2026-05-06
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 3 $231,642.60 $115,821.30 50% off $35,463.51 $72,996.32 $62,632.23 2026-05-06
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 12 — — $31,301.15 $85,344.43 $62,602.30 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $45,811.95 $121,188.47 $62,436.49 2026-03-30
245 MS_DRG Aicd Generator Procedures 21 12 — — $36,672.07 $97,010.31 $62,023.96 2026-03-30
467 OTHER Revision Of Hip Or Knee Replacement With Cc 7 3 $172,749.72 $86,374.86 50% off $35,072.18 $87,019.00 $61,941.09 2026-05-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 12 — — $35,872.30 $94,894.64 $61,826.55 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 21 12 — — $34,284.01 $90,693.07 $61,802.03 2026-03-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 12 — — $43,839.46 $115,970.53 $61,532.27 2026-03-30
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 3 $107,809.83 $53,904.92 50% off $34,828.73 $73,616.00 $61,511.13 2026-05-06
271 OTHER Other Major Cardiovascular Procedures With Cc 7 3 $218,811.50 $109,405.75 50% off $34,769.37 $71,567.53 $61,406.31 2026-05-06
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 7 3 $113,783.63 $56,891.81 50% off $34,758.31 $71,544.76 $61,386.76 2026-05-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $42,864.46 $113,391.33 $61,251.47 2026-03-30
029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 7 3 $191,697.62 $95,848.81 50% off $34,487.69 $70,987.74 $60,908.83 2026-05-06
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 12 — — $36,545.87 $96,676.48 $60,618.76 2026-03-30
J9226 HCPCS Supprelin La Implant 54 22 — — $35,473.35 $85,643.68 $60,558.51 2026-03-30
574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 3 $71,709.26 $35,854.63 50% off $34,262.35 $70,523.90 $60,510.85 2026-05-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 12 — — $30,246.58 $80,012.67 $60,493.16 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 12 — — $30,043.22 $79,474.72 $60,086.44 2026-03-30
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 $112,364.96 $56,182.48 50% off $33,969.60 $69,921.33 $59,993.83 2026-05-06
L7180 HCPCS Dme Pos 54 22 — — $39,992.59 $79,985.18 $59,988.89 2026-03-30
037 OTHER Extracranial Procedures With Mcc 7 3 $212,361.45 $106,180.72 50% off $33,958.54 $69,898.55 $59,974.29 2026-05-06
163 MS_DRG Major Chest Procedures With Mcc 21 12 — — $36,024.22 $95,296.51 $59,925.97 2026-03-30
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 3 $115,081.33 $57,540.66 50% off $33,892.14 $69,761.88 $59,857.02 2026-05-06
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 12 — — $33,772.00 $89,338.62 $59,815.61 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 12 — — $30,859.87 $81,635.04 $59,773.92 2026-03-30
252 OTHER Other Vascular Procedures With Mcc 7 3 $179,546.56 $89,773.28 50% off $33,739.23 $69,447.14 $59,586.96 2026-05-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 12 — — $29,786.81 $111,325.34 $59,573.62 2026-03-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 12 — — $33,160.32 $87,720.51 $59,532.36 2026-03-30
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 3 $71,321.88 $35,660.94 50% off $33,622.53 $69,206.94 $59,380.87 2026-05-06
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 3 $138,988.95 $69,494.47 50% off $33,497.79 $79,533.00 $59,160.56 2026-05-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 12 — — $53,288.64 $152,513.12 $59,094.70 2026-03-30
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 3 $128,774.21 $64,387.10 50% off $33,455.54 $68,863.20 $59,085.94 2026-05-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 12 — — $39,560.08 $104,650.11 $59,076.22 2026-03-30
L2006 HCPCS Dme Pos 54 22 — — $39,378.44 $78,756.88 $59,067.66 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 21 12 — — $29,523.97 $78,101.13 $59,047.94 2026-03-30
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 3 $201,500.35 $100,750.18 50% off $33,350.91 $68,647.85 $58,901.16 2026-05-06
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 3 $210,619.73 $105,309.87 50% off $33,137.64 $68,208.86 $58,524.50 2026-05-06
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 12 — — $29,165.48 $77,152.80 $58,330.96 2026-03-30
332 MS_DRG Rectal Resection With Mcc 21 12 — — $29,102.79 $79,351.04 $58,205.58 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 12 — — $29,031.25 $72,961.97 $58,062.50 2026-03-30
264 OTHER Other Circulatory System O.r. Procedures 7 3 $101,776.45 $50,888.22 50% off $32,855.96 $67,629.06 $58,027.02 2026-05-06
904 OTHER Anesth Perineal Surgery 7 3 $59,882.71 $29,941.36 50% off $32,757.37 $67,426.13 $57,852.91 2026-05-06
471 MS_DRG Cervical Spinal Fusion With Mcc 21 12 — — $38,812.56 $118,033.00 $57,655.08 2026-03-30
500 OTHER Anesth Esophageal Surgery 7 3 $94,053.29 $47,026.65 50% off $32,622.57 $67,148.66 $57,614.83 2026-05-06
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 7 3 $47,066.38 $23,533.19 50% off $32,602.45 $67,107.25 $57,579.29 2026-05-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 12 — — $31,443.42 $83,178.73 $57,170.74 2026-03-30
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 3 $216,911.11 $108,455.56 50% off $32,345.92 $66,579.22 $57,126.24 2026-05-06
799 MS_DRG Splenic Procedures With Mcc 21 12 — — $36,402.80 $96,298.00 $56,897.30 2026-03-30
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 7 3 $139,752.20 $69,876.10 50% off $32,200.05 $66,278.97 $56,868.61 2026-05-06
279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 3 $152,466.51 $76,233.25 50% off $32,198.04 $66,274.82 $56,865.06 2026-05-06
229 OTHER Other Cardiothoracic Procedures Without Mcc 7 3 $94,833.35 $47,416.68 50% off $31,986.78 $65,839.98 $56,491.95 2026-05-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 12 — — $36,946.16 $97,735.38 $56,203.28 2026-03-30
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 3 $71,830.72 $35,915.36 50% off $31,804.69 $65,465.18 $56,170.37 2026-05-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 12 — — $35,308.84 $93,404.11 $56,157.91 2026-03-30
829 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 3 $109,633.79 $54,816.90 50% off $31,727.23 $65,305.74 $56,033.56 2026-05-06
656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 7 3 $110,070.93 $55,035.47 50% off $31,564.26 $64,970.28 $55,745.74 2026-05-06
840 OTHER Anesth Surg Lower Abdomen 7 3 $61,104.29 $30,552.14 50% off $31,439.51 $61,482.06 $55,525.43 2026-05-06
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 12 — — $28,288.55 $71,095.40 $55,492.09 2026-03-30
A9699 HCPCS Radiopharm Rx Agent Noc 47 20 — — $55,169.68 $55,169.68 $55,169.68 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 12 — — $33,538.90 $140,543.00 $55,153.67 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 12 — — $27,557.10 $72,898.07 $55,114.20 2026-03-30
665 OTHER Prostatectomy With Mcc 7 3 $112,547.09 $56,273.55 50% off $31,076.35 $63,965.99 $54,884.04 2026-05-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 12 — — $36,013.77 $95,268.87 $54,880.23 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 12 — — $27,385.90 $72,445.17 $54,771.80 2026-03-30
173 OTHER Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 3 $132,220.49 $66,110.24 50% off $30,934.50 $63,674.03 $54,633.53 2026-05-06
460 OTHER Spinal Fusion Except Cervical Without Mcc 5 3 $208,243.12 $104,121.56 50% off $36,798.47 $105,455.00 $54,400.29 2026-05-06
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 3 $134,517.09 $67,258.55 50% off $36,737.11 $69,990.40 $54,309.57 2026-05-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 12 — — $33,381.36 $88,305.24 $53,872.31 2026-03-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 12 — — $40,088.17 $106,047.09 $53,730.33 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 12 — — $33,669.11 $89,066.45 $53,460.31 2026-03-30
464 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 3 $91,236.17 $45,618.09 50% off $30,194.08 $62,149.99 $53,325.87 2026-05-06
662 OTHER Minor Bladder Procedures With Mcc 7 3 $105,865.20 $52,932.60 50% off $30,146.80 $62,052.67 $53,242.37 2026-05-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 12 — — $31,112.26 $82,302.69 $53,210.17 2026-03-30
521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 7 3 $137,780.97 $68,890.49 50% off $30,121.65 $62,000.90 $53,197.95 2026-05-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 12 — — $34,505.86 $91,279.93 $53,172.16 2026-03-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 12 — — $28,659.90 $75,815.35 $53,143.95 2026-03-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $28,987.85 $76,682.88 $52,953.90 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 21 12 — — $26,461.54 $69,999.92 $52,923.08 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 12 — — $38,266.79 $101,228.89 $52,847.22 2026-03-30
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 7 3 $134,871.11 $67,435.56 50% off $29,864.12 $61,470.80 $52,743.12 2026-05-06
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