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

21,432 distinct procedures filed
29 distinct payers
1,154,845 rate rows
2026-05-06 last MRF observed
Data quality

775,411 of 1,154,845 rate rows are consumer-grade (67.1%)

379,434 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 369,016
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
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/561376368_novant-health-matthews-medical-center-llc-dba-novant-health-matthews-medical-center_standardcharges.json
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 49020dcff5756db3… · 284,604,028 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
576
CPT 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 $57,171.99 $4,554,805.74 $4,337,910.23 —
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
$3,710,000
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
$2,468,984
1.4× median
278
CPT 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 7 $44,871.62 $3,574,854.49 $3,404,623.32 —
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 22 $2,218,105.12 $4,436,210.24 $3,327,157.68 nat. median
$2,448,600
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
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,801,870.06 $3,599,837.74 $2,836,893.44 nat. median
$3,004,655
0.9× median
802
CPT 		Anesth Fat Layer Removal 7 $34,513.85 $2,749,666.12 $2,618,729.64 —
411
CPT 		Cholecystectomy With C.d.e. With Mcc 7 $30,586.42 $2,436,774.19 $2,320,737.32 —
041
CPT 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 7 $22,440.84 $1,787,827.98 $1,702,693.31 —
412
CPT 		Cholecystectomy With C.d.e. With Cc 7 $20,784.97 $1,655,906.84 $1,577,054.13 —
919
CPT 		Complications Of Treatment With Mcc 7 $18,356.48 $1,462,433.19 $1,392,793.51 —
801
CPT 		Splenic Procedures Without Cc/mcc 7 $18,004.38 $1,434,381.91 $1,366,078.01 —
582
CPT 		Mastectomy For Malignancy With Cc/mcc 7 $17,517.48 $1,395,591.00 $1,329,134.29 —
830
CPT 		Anesth Repair Of Hernia 7 $15,906.87 $1,267,276.46 $1,206,929.96 —
841
CPT 		Lymphoma And Non-acute Leukemia With Cc 7 $15,829.41 $1,261,105.18 $1,201,052.55 —
583
CPT 		Mastectomy For Malignancy Without Cc/mcc 7 $15,310.31 $1,219,749.58 $1,161,666.27 —
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 22 $732,982.92 $1,465,965.84 $1,099,474.38 nat. median
$824,563
1.3× median
825
CPT 		Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 7 $12,991.48 $1,035,011.90 $985,725.62 —
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 22 $562,826.29 $1,127,511.66 $845,168.97 nat. median
$753,246
1.1× median
294
CPT 		Deep Vein Thrombophlebitis With Cc/mcc 7 $11,002.62 $876,562.27 $834,821.21 —
Q2056
HCPCS 		Ciltacabtagene Car-pos T 22 $538,231.91 $1,077,636.42 $807,934.17 nat. median
$674,867
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 22 $535,063.82 $1,070,127.64 $802,595.73 nat. median
$673,137
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 22 $530,098.52 $1,060,197.04 $795,147.78 nat. median
$625,184
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 22 $507,187.21 $1,014,374.42 $760,780.81 nat. median
$634,303
1.2× median
880
CPT 		Anesth Abdomen Vessel Surg 7 $9,603.28 $765,078.49 $728,646.18 —
Q2053
HCPCS 		Brexucabtagene Car Pos T 22 $465,406.97 $953,404.97 $709,405.97 nat. median
$619,808
1.1× median
081
CPT 		Nontraumatic Stupor And Coma Without Mcc 7 $9,149.57 $728,932.42 $694,221.35 —
060
CPT 		Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 7 $9,027.84 $719,234.69 $684,985.42 —
845
CPT 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 7 $8,700.89 $693,187.08 $660,178.17 —
018
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $370,637.56 $724,806.44 $654,584.25 —
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
$324,450
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $347,098.60 $872,335.74 $609,717.17 nat. median
$370,174
1.6× median
601
CPT 		Non-malignant Breast Disorders Without Cc/mcc 7 $6,373.01 $507,728.08 $483,550.55 —
001
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $272,611.92 $561,130.71 $481,460.83 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $225,253.03 $595,872.19 $410,562.61 nat. median
$265,286
1.5× median
003
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $214,482.22 $441,479.45 $378,797.77 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $171,612.97 $453,975.68 $312,794.33 nat. median
$206,474
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $170,605.82 $451,311.43 $310,958.62 nat. median
$202,976
1.5× median
004
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $147,882.00 $304,392.90 $261,174.90 —
002
CPT 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $123,175.65 $253,538.58 $217,540.92 —
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $91,083.76 $320,537.19 $205,810.48 nat. median
$108,660
1.9× median
7
MS_DRG 		Lung Transplant 22 $104,092.28 $303,995.35 $204,043.82 nat. median
$122,708
1.7× median
014
CPT 		Allogeneic Bone Marrow Transplant 3 $115,296.65 $225,470.29 $203,625.81 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $111,336.03 $294,522.32 $202,929.17 nat. median
$133,161
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $96,598.56 $304,329.29 $200,463.92 nat. median
$117,357
1.7× median
212
CPT 		Anesth Skull Drainage 3 $108,353.24 $223,028.88 $191,363.03 —

Other procedures at this hospital

Browse this hospital's 21,432 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
001 CPT Heart Transplant Or Implant Of Heart Assist System With Mcc 7 3 $379,557.58 $189,778.79 50% off $272,611.92 $561,130.71 $481,460.83 2026-05-06
002 CPT 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
003 CPT 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
004 CPT 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
011 CPT 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
012 CPT 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
014 CPT 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
016 CPT 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
018 CPT 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
020 CPT 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
021 CPT 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
022 CPT 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
023 CPT 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
024 CPT 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
025 CPT 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
028 CPT 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
029 CPT 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
031 CPT 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
034 CPT 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
037 CPT 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
040 CPT 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
041 CPT 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
060 CPT 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
081 CPT 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
094 CPT 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
097 CPT 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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 22 — — $225,253.03 $595,872.19 $410,562.61 2026-03-30
10 MS_DRG Pancreas Transplant 54 22 — — $57,677.49 $157,261.27 $107,469.38 2026-03-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 54 22 — — $43,839.46 $115,970.53 $79,904.99 2026-03-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 54 22 — — $33,887.74 $89,644.81 $61,766.28 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 54 22 — — $96,598.56 $304,329.29 $200,463.92 2026-03-30
140 CPT 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
140 MS_DRG Major Head And Neck Procedures With Mcc 54 22 — — $34,284.01 $90,693.07 $62,488.54 2026-03-30
143 CPT 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
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 54 22 — — $30,114.76 $79,663.96 $54,889.36 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 22 — — $47,662.28 $119,785.87 $83,724.07 2026-03-30
163 CPT 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
163 MS_DRG Major Chest Procedures With Mcc 54 22 — — $36,024.22 $95,296.51 $65,660.37 2026-03-30
166 CPT 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
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 22 — — $30,043.22 $79,474.72 $54,758.97 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 54 22 — — $43,664.23 $109,737.89 $76,701.06 2026-03-30
173 CPT 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
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 54 22 — — $347,098.60 $872,335.74 $609,717.17 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 54 22 — — $57,347.13 $179,278.70 $118,312.91 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 22 — — $91,083.76 $320,537.19 $205,810.48 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 22 — — $63,248.55 $167,314.29 $115,281.42 2026-03-30
207 CPT 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 22 — — $51,721.41 $129,987.37 $90,854.39 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 22 — — $42,550.98 $112,562.07 $77,556.52 2026-03-30
212 CPT 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 54 22 — — $87,404.82 $231,215.99 $159,310.40 2026-03-30
215 CPT 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
215 MS_DRG Other Heart Assist System Implant 54 22 — — $80,033.27 $211,715.69 $145,874.48 2026-03-30
216 CPT 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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 22 — — $78,633.07 $208,011.68 $143,322.38 2026-03-30
217 CPT 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
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 22 — — $52,851.54 $139,810.60 $96,331.07 2026-03-30
218 CPT 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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 22 — — $52,851.54 $139,810.60 $96,331.07 2026-03-30
219 CPT 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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 22 — — $61,717.33 $163,263.69 $112,490.51 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 22 — — $42,864.46 $113,391.33 $78,127.90 2026-03-30
220 CPT Anesth Intrcrn Nerve 9 4 $285,589.84 $142,794.92 50% off $266.00 $108,599.93 $77,997.69 2026-05-06
221 CPT 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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 22 — — $40,512.57 $107,169.77 $73,841.17 2026-03-30
228 CPT 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 22 — — $39,766.66 $108,833.93 $74,300.29 2026-03-30
229 CPT 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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 22 — — $46,059.52 $121,843.37 $83,951.45 2026-03-30
231 CPT 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 22 — — $67,758.61 $179,244.96 $123,501.79 2026-03-30
232 CPT 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 22 — — $48,730.51 $128,909.06 $88,819.79 2026-03-30
233 CPT 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 54 22 — — $61,451.28 $162,559.89 $112,005.59 2026-03-30
234 CPT 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 54 22 — — $43,908.58 $116,153.39 $80,030.99 2026-03-30
235 CPT 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 22 — — $47,171.16 $124,784.04 $85,977.60 2026-03-30
236 CPT 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 54 22 — — $33,669.11 $89,066.45 $61,367.78 2026-03-30
239 CPT 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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 54 22 — — $39,560.08 $104,650.11 $72,105.10 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 22 — — $31,443.42 $83,178.73 $57,311.07 2026-03-30
242 CPT 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
245 CPT 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
245 MS_DRG Aicd Generator Procedures 54 22 — — $36,672.07 $97,010.31 $66,841.19 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 22 — — $36,545.87 $96,676.48 $66,611.18 2026-03-30
252 CPT 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
260 CPT 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
264 CPT 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
265 CPT 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
266 CPT 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 22 — — $49,259.41 $130,308.17 $89,783.79 2026-03-30
267 CPT 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
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 54 22 — — $38,266.79 $101,228.89 $69,747.84 2026-03-30
268 CPT 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
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 22 — — $55,283.80 $146,244.79 $100,764.29 2026-03-30
269 CPT 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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 54 22 — — $33,945.62 $89,797.90 $61,871.76 2026-03-30
270 CPT 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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 22 — — $42,410.32 $112,189.97 $77,300.15 2026-03-30
271 CPT 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
273 CPT 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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 22 — — $33,160.32 $87,720.51 $60,440.42 2026-03-30
274 CPT 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
275 CPT 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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 54 22 — — $57,313.37 $151,613.70 $104,463.54 2026-03-30
276 CPT 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
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 54 22 — — $48,280.39 $127,718.34 $87,999.37 2026-03-30
277 CPT 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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 54 22 — — $37,123.00 $98,203.17 $67,663.09 2026-03-30
278 CPT 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
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 22 — — $44,740.50 $118,354.11 $81,547.30 2026-03-30
279 CPT 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
28 MS_DRG Spinal Procedures With Mcc 54 22 — — $48,294.05 $127,754.48 $88,024.26 2026-03-30
294 CPT 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
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 22 — — $170,605.82 $451,311.43 $310,958.62 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 22 — — $36,013.77 $95,268.87 $65,641.32 2026-03-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 54 22 — — $53,745.35 $142,175.05 $97,960.20 2026-03-30
319 CPT 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 54 22 — — $35,872.30 $94,894.64 $65,383.47 2026-03-30
323 CPT 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
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 54 22 — — $34,783.17 $92,013.51 $63,398.34 2026-03-30
326 CPT 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 22 — — $40,088.17 $106,047.09 $73,067.63 2026-03-30
329 CPT 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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 22 — — $36,946.16 $97,735.38 $67,340.77 2026-03-30
332 CPT 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
33276 CPT Insj Phrnc Nrv Stim Sys 53 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
335 CPT 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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 54 22 — — $31,112.26 $82,302.69 $56,707.47 2026-03-30
356 CPT 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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 54 22 — — $35,308.84 $93,404.11 $64,356.47 2026-03-30
38240 CPT Transplt Allo Hct/donor 53 22 — — $61,124.89 $122,249.78 $91,687.34 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 22 — — $111,336.03 $294,522.32 $202,929.17 2026-03-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 54 22 — — $31,035.90 $82,100.70 $56,568.30 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 54 22 — — $32,316.34 $85,487.89 $58,902.11 2026-03-30
405 CPT 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 54 22 — — $43,971.28 $116,319.24 $80,145.26 2026-03-30
408 CPT 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
411 CPT 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
412 CPT 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
414 CPT 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
420 CPT 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
423 CPT 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
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 54 22 — — $33,381.36 $88,305.24 $60,843.30 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 22 — — $88,587.19 $234,343.78 $161,465.48 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 22 — — $58,022.31 $153,489.09 $105,755.70 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 22 — — $45,189.02 $119,540.59 $82,364.80 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 54 22 — — $72,418.17 $191,571.12 $131,994.64 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 54 22 — — $46,355.32 $122,625.85 $84,490.59 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 54 22 — — $53,705.97 $142,070.86 $97,888.41 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 54 22 — — $34,087.08 $90,172.13 $62,129.61 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 54 22 — — $42,838.74 $113,323.28 $78,081.01 2026-03-30
453 CPT 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
454 CPT 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
455 CPT 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
456 CPT 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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 22 — — $67,545.60 $218,515.00 $143,030.30 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 22 — — $47,930.74 $176,531.00 $112,230.87 2026-03-30
457 CPT 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
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 22 — — $33,538.90 $140,543.00 $87,040.95 2026-03-30
458 CPT 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
459 CPT 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
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 54 22 — — $44,393.27 $121,721.00 $83,057.13 2026-03-30
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 54 22 — — $21,380.79 $96,790.00 $59,085.39 2026-03-30
463 CPT 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
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 22 — — $45,811.95 $121,188.47 $83,500.21 2026-03-30
466 CPT 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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 54 22 — — $41,840.43 $121,125.00 $81,482.71 2026-03-30
467 CPT 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
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 54 22 — — $28,346.42 $89,353.00 $58,849.71 2026-03-30
469 CPT 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
471 CPT 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
471 MS_DRG Cervical Spinal Fusion With Mcc 54 22 — — $38,812.56 $118,033.00 $78,422.78 2026-03-30
474 CPT 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
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 22 — — $34,505.86 $91,279.93 $62,892.89 2026-03-30
477 CPT 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
485 CPT 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
492 CPT 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
495 CPT 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 54 22 — — $82,874.66 $251,850.92 $167,362.79 2026-03-30
500 CPT 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
515 CPT 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
573 CPT 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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 54 22 — — $52,659.43 $143,579.80 $98,119.62 2026-03-30
574 CPT 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
576 CPT 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
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 54 22 — — $39,395.31 $107,414.38 $73,404.85 2026-03-30
579 CPT 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
582 CPT 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
583 CPT 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
6 MS_DRG Liver Transplant Without Mcc 54 22 — — $37,271.70 $178,767.16 $108,019.43 2026-03-30
601 CPT 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
616 CPT 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
620T CPT Evasc Ven Artlz Tibl/prnl Vn 54 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
622 CPT 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
628 CPT 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
64568 CPT Opn Impltj Crnl Nrv Nea&pg 53 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 54 22 — — $37,789.34 $166,036.22 $101,912.78 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 54 22 — — $29,786.81 $111,325.34 $70,556.07 2026-03-30
652 MS_DRG Kidney Transplant 54 22 — — $25,958.37 $155,968.04 $90,963.21 2026-03-30
653 CPT 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
653 MS_DRG Major Bladder Procedures With Mcc 54 22 — — $41,768.09 $110,491.05 $76,129.57 2026-03-30
656 CPT 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
665 CPT 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
673 CPT 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
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 54 22 — — $33,772.00 $89,338.62 $61,555.31 2026-03-30
7 MS_DRG Lung Transplant 54 22 — — $104,092.28 $303,995.35 $204,043.82 2026-03-30
736 CPT 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
739 CPT 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
790 CPT 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 12 — — $47,773.20 $107,105.46 $65,378.50 2026-03-30
791 CPT 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
793 CPT 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
799 CPT 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
799 MS_DRG Splenic Procedures With Mcc 54 22 — — $36,402.80 $96,298.00 $66,350.40 2026-03-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 54 22 — — $45,049.16 $122,830.59 $83,939.88 2026-03-30
801 CPT 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
802 CPT 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
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 54 22 — — $32,023.76 $84,713.92 $58,368.84 2026-03-30
820 CPT 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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 22 — — $47,140.62 $124,703.24 $85,921.93 2026-03-30
823 CPT 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
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 22 — — $36,852.12 $97,486.60 $67,169.36 2026-03-30
825 CPT 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
826 CPT 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
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 54 22 — — $37,599.64 $99,464.06 $68,531.85 2026-03-30
829 CPT 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
830 CPT 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
834 CPT 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
834 MS_DRG Acute Leukemia With Mcc 54 22 — — $44,127.21 $135,218.83 $89,673.02 2026-03-30
837 CPT 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
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 54 22 — — $38,616.43 $97,051.66 $67,834.04 2026-03-30
840 CPT 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
841 CPT 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
845 CPT 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
850 MS_DRG Acute Leukemia With Other Procedures 54 22 — — $69,604.11 $184,126.95 $126,865.53 2026-03-30
853 CPT 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
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 22 — — $39,695.92 $105,009.45 $72,352.68 2026-03-30
856 CPT 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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 22 — — $36,561.95 $96,719.01 $66,640.48 2026-03-30
870 CPT 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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 22 — — $55,556.29 $139,625.27 $97,590.78 2026-03-30
876 CPT 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
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 54 22 — — $31,065.64 $82,179.37 $56,622.50 2026-03-30
880 CPT 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
901 CPT 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
901 MS_DRG Wound Debridements For Injuries With Mcc 54 22 — — $33,731.81 $89,232.31 $61,482.06 2026-03-30
90288 CPT Botulism Ig IV 46 20 — — $91,224.47 $91,224.47 $91,224.47 2026-03-30
904 CPT 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
907 CPT 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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 54 22 — — $30,859.87 $81,635.04 $56,247.46 2026-03-30
919 CPT 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 54 22 — — $171,612.97 $453,975.68 $312,794.33 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 54 22 — — $53,288.64 $152,513.12 $102,900.88 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 54 22 — — $31,301.15 $85,344.43 $58,322.79 2026-03-30
939 CPT 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
955 CPT 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 54 22 — — $54,103.84 $143,123.38 $98,613.61 2026-03-30
956 CPT 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
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 54 22 — — $30,246.58 $80,012.67 $55,129.62 2026-03-30
957 CPT 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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 54 22 — — $61,247.92 $162,021.93 $111,634.93 2026-03-30
958 CPT 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
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 54 22 — — $33,870.86 $89,600.16 $61,735.51 2026-03-30
969 CPT 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
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 54 22 — — $49,202.34 $130,157.20 $89,679.77 2026-03-30
981 CPT 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
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 22 — — $37,712.17 $99,761.74 $68,736.96 2026-03-30
987 CPT 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
A9543 HCPCS Y90 Ibritumomab, Rx 54 22 — — $54,049.24 $127,627.61 $90,838.43 2026-03-30
A9699 HCPCS Radiopharm Rx Agent Noc 47 20 — — $55,169.68 $55,169.68 $55,169.68 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
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,154,486.56 $4,055,977.72 $3,193,917.64 2026-03-30
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-03-30
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 7 7 — — $4,284,975.80 $4,499,224.59 $4,284,975.80 2026-03-30
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 54 22 — — $2,218,105.12 $4,436,210.24 $3,327,157.68 2026-03-30
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 8 7 — — $2,801,870.06 $3,599,837.74 $2,836,893.44 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
J3399 HCPCS Inj Onase Abepar-xioi Treat 53 22 — — $2,335,203.01 $4,670,406.02 $3,502,804.52 2026-03-30
J7330 HCPCS Cultured Chondrocytes Implnt 47 20 — — $96,363.41 $125,750.30 $111,056.85 2026-03-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 54 22 — — $60,248.64 $123,190.11 $91,719.38 2026-03-30
J9226 HCPCS Supprelin La Implant 54 22 — — $35,473.35 $85,643.68 $60,558.51 2026-03-30
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 54 22 — — $95,081.03 $190,162.06 $142,621.55 2026-03-30
L2006 HCPCS Dme Pos 54 22 — — $39,378.44 $78,756.88 $59,067.66 2026-03-30
L7180 HCPCS Dme Pos 54 22 — — $39,992.59 $79,985.18 $59,988.89 2026-03-30
L7181 HCPCS Dme Pos 54 22 — — $49,605.45 $99,210.90 $74,408.18 2026-03-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 54 22 — — $68,801.71 $137,603.42 $103,202.57 2026-03-30
Q0480 HCPCS Dme Pos 54 22 — — $111,502.61 $223,005.22 $167,253.92 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 54 22 — — $507,187.21 $1,014,374.42 $760,780.81 2026-03-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 54 22 — — $562,826.29 $1,127,511.66 $845,168.97 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 54 22 — — $52,572.82 $111,075.77 $81,824.29 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 54 22 — — $465,406.97 $953,404.97 $709,405.97 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
Q2056 HCPCS Ciltacabtagene Car-pos T 54 22 — — $538,231.91 $1,077,636.42 $807,934.17 2026-03-30
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 54 22 — — $732,982.92 $1,465,965.84 $1,099,474.38 2026-03-30
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
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