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 HUNTERSVILLE MEDICAL CENTER

Huntersville, NC · CCN 340183 · Rates published

20,857 distinct procedures filed
30 distinct payers
2,249,258 rate rows
2026-05-06 last MRF observed
Data quality

1,452,314 of 2,249,258 rate rows are consumer-grade (64.6%)

796,944 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 734,803
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 51,569
exceeds 10× this hospital's gross charge — excluded from medians 10,147
per-diem day rate — not a per-procedure price 300
placeholder amount (≤ $0.02) — excluded from medians 101
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/56-0554230_novant_health_huntersville_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 · 2026-09-20
Content fingerprint 4b76e308b6889b14… · 18,167,120 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 $4,584,642.02 $4,366,325.73 nat. median
$30,962
outlier · 141.0×
J3391
HCPCS 		Injection, Atidarsagene Autotemcel, Per Treatment 7 $4,276,596.50 $4,499,224.59 $4,284,975.80 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,498,423.65 $4,496,025.34 $3,545,581.25 nat. median
$3,685,267
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 23 $2,330,636.50 $4,670,406.02 $3,495,954.75 nat. median
$2,455,111
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 23 $2,213,767.60 $4,436,210.24 $3,320,651.40 nat. median
$2,332,000
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,148,317.94 $4,055,977.72 $3,190,756.23 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 7 $3,083,749.52 $3,978,853.10 $3,125,317.44 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,796,390.98 $3,599,837.74 $2,834,085.41 nat. median
$2,968,000
1.0× median
492
OTHER 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 $34,828.73 $2,792,928.00 $2,659,931.43 nat. median
$18,098
outlier · 147.0×
252
OTHER 		Other Vascular Procedures With Mcc 7 $33,739.23 $2,705,560.77 $2,576,724.54 nat. median
$37,388
outlier · 68.9×
411
OTHER 		Cholecystectomy With C.d.e. With Mcc 7 $30,586.42 $2,452,736.29 $2,335,939.32 nat. median
$17,298
outlier · 135.0×
353
OTHER 		Hernia Procedures Except Inguinal And Femoral With Mcc 7 $29,418.46 $2,359,076.67 $2,246,739.69 nat. median
$32,024
outlier · 70.2×
141
OTHER 		Major Head And Neck Procedures With Cc 11 $20,841.30 $2,556,140.11 $1,591,687.11 nat. median
$2,140
outlier · 743.8×
412
OTHER 		Cholecystectomy With C.d.e. With Cc 11 $20,784.97 $2,524,480.81 $1,587,384.63 nat. median
$11,735
outlier · 135.3×
801
OTHER 		Splenic Procedures Without Cc/mcc 7 $18,004.38 $1,443,777.84 $1,375,026.51 nat. median
$2,154
outlier · 638.4×
582
OTHER 		Mastectomy For Malignancy With Cc/mcc 7 $17,517.48 $1,404,732.83 $1,337,840.79 nat. median
$17,513
outlier · 76.4×
504
OTHER 		Foot Procedures With Cc 7 $17,374.63 $1,393,277.48 $1,326,930.93 nat. median
$2,374
outlier · 558.9×
585
OTHER 		Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 7 $16,941.04 $1,358,508.06 $1,293,817.20 nat. median
$21,802
outlier · 59.3×
512
OTHER 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 7 $16,234.83 $1,301,876.67 $1,239,882.54 nat. median
$9,779
outlier · 126.8×
830
OTHER 		Anesth Repair Of Hernia 7 $15,906.87 $1,275,577.76 $1,214,835.96 nat. median
$79
outlier · 15465.8×
583
OTHER 		Mastectomy For Malignancy Without Cc/mcc 7 $15,310.31 $1,227,739.56 $1,169,275.77 nat. median
$14,696
outlier · 79.6×
517
OTHER 		Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 7 $15,033.66 $1,205,554.90 $1,148,147.52 nat. median
$15,431
outlier · 74.4×
663
OTHER 		Minor Bladder Procedures With Cc 11 $14,677.54 $1,782,690.82 $1,120,949.70 nat. median
$7,894
outlier · 142.0×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 23 $731,549.57 $1,465,965.84 $1,097,324.35 nat. median
$813,967
1.3× median
497
OTHER 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 $14,359.64 $1,151,504.99 $1,096,671.42 nat. median
$6,990
outlier · 156.9×
825
OTHER 		Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 7 $12,991.48 $1,041,791.75 $992,182.62 nat. median
$74
outlier · 13411.5×
822
OTHER 		Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 7 $12,462.33 $999,358.54 $951,770.04 nat. median
$13
outlier · 74473.4×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 23 $561,725.68 $1,127,511.66 $844,618.67 nat. median
$621,313
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 23 $537,179.39 $1,077,636.42 $807,407.91 nat. median
$599,737
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 23 $534,017.50 $1,070,127.64 $801,026.25 nat. median
$579,571
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 23 $529,061.91 $1,060,197.04 $793,592.86 nat. median
$574,037
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 23 $506,195.40 $1,014,374.42 $759,293.10 nat. median
$562,501
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 23 $464,496.87 $953,404.97 $708,950.92 nat. median
$513,770
1.4× median
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,… 23 $264,142.73 $992,250.00 $628,196.36 nat. median
$286,598
outlier · 2.2×
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×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $352,677.38 $1,036,430.38 $449,597.12 nat. median
$168,055
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×
976
OTHER 		HIV With Major Related Condition Without Cc/mcc 6 $8,503.72 $668,927.31 $333,036.79 nat. median
$4,801
outlier · 69.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $228,873.43 $672,601.62 $276,550.37 nat. median
$186,516
1.5× 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×
7
MS_DRG 		Lung Transplant 12 $105,765.32 $310,817.75 $220,645.51 nat. median
$70,649
outlier · 3.1×
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×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $173,347.91 $509,426.03 $213,498.81 nat. median
$145,435
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $98,151.15 $288,441.62 $204,760.98 nat. median
$72,715
outlier · 2.8×
014
OTHER 		Allogeneic Bone Marrow Transplant 3 $115,296.65 $225,470.29 $203,625.81 nat. median
$77,841
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $113,125.49 $332,447.45 $195,061.30 nat. median
$97,418
outlier · 2.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $92,547.72 $271,974.53 $193,071.21 nat. median
$65,418
outlier · 3.0×
212
OTHER 		Anesth Skull Drainage 3 $108,353.24 $223,028.88 $191,363.03 nat. median
$106
outlier · 1808.2×

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 2 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 $4,584,642.02 $4,366,325.73 2026-05-06
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 14 7 — — $4,276,596.50 $4,499,224.59 $4,284,975.80 2026-03-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 16 7 — — $3,498,423.65 $4,496,025.34 $3,545,581.25 2026-03-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 108 23 — — $2,330,636.50 $4,670,406.02 $3,495,954.75 2026-03-30
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 110 23 — — $2,213,767.60 $4,436,210.24 $3,320,651.40 2026-03-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 7 — — $3,148,317.94 $4,055,977.72 $3,190,756.23 2026-03-30
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 16 7 — — $3,083,749.52 $3,978,853.10 $3,125,317.44 2026-03-30
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 16 7 — — $2,796,390.98 $3,599,837.74 $2,834,085.41 2026-03-30
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 7 $305,698.90 $152,849.45 50% off $34,828.73 $2,792,928.00 $2,659,931.43 2026-05-06
252 OTHER Other Vascular Procedures With Mcc 15 7 $300,304.33 $150,152.16 50% off $33,739.23 $2,705,560.77 $2,576,724.54 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 $2,452,736.29 $2,335,939.32 2026-05-06
353 OTHER Hernia Procedures Except Inguinal And Femoral With Mcc 15 7 $246,218.07 $123,109.03 50% off $29,418.46 $2,359,076.67 $2,246,739.69 2026-05-06
141 OTHER Major Head And Neck Procedures With Cc 21 11 $417,839.57 $208,919.79 50% off $20,841.30 $2,556,140.11 $1,591,687.11 2026-05-06
412 OTHER Cholecystectomy With C.d.e. With Cc 20 11 $252,781.38 $126,390.69 50% off $20,784.97 $2,524,480.81 $1,587,384.63 2026-05-06
801 OTHER Splenic Procedures Without Cc/mcc 15 7 $156,811.62 $78,405.81 50% off $18,004.38 $1,443,777.84 $1,375,026.51 2026-05-06
582 OTHER Mastectomy For Malignancy With Cc/mcc 15 7 $146,230.22 $73,115.11 50% off $17,517.48 $1,404,732.83 $1,337,840.79 2026-05-06
504 OTHER Foot Procedures With Cc 15 7 $151,128.25 $75,564.12 50% off $17,374.63 $1,393,277.48 $1,326,930.93 2026-05-06
585 OTHER Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 15 7 $153,790.95 $76,895.48 50% off $16,941.04 $1,358,508.06 $1,293,817.20 2026-05-06
512 OTHER Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 15 7 $138,298.11 $69,149.05 50% off $16,234.83 $1,301,876.67 $1,239,882.54 2026-05-06
830 OTHER Anesth Repair Of Hernia 15 7 $153,523.79 $76,761.89 50% off $15,906.87 $1,275,577.76 $1,214,835.96 2026-05-06
583 OTHER Mastectomy For Malignancy Without Cc/mcc 15 7 $136,160.00 $68,080.00 50% off $15,310.31 $1,227,739.56 $1,169,275.77 2026-05-06
517 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 15 7 $148,255.56 $74,127.78 50% off $15,033.66 $1,205,554.90 $1,148,147.52 2026-05-06
663 OTHER Minor Bladder Procedures With Cc 20 11 $179,677.38 $89,838.69 50% off $14,677.54 $1,782,690.82 $1,120,949.70 2026-05-06
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 110 23 — — $731,549.57 $1,465,965.84 $1,097,324.35 2026-03-30
497 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 7 $126,010.45 $63,005.22 50% off $14,359.64 $1,151,504.99 $1,096,671.42 2026-05-06
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 $1,041,791.75 $992,182.62 2026-05-06
822 OTHER Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 15 7 $115,669.84 $57,834.92 50% off $12,462.33 $999,358.54 $951,770.04 2026-05-06
Q2042 HCPCS Tisagenlecleucel Car-pos T 110 23 — — $561,725.68 $1,127,511.66 $844,618.67 2026-03-30
Q2056 HCPCS Ciltacabtagene Car-pos T 110 23 — — $537,179.39 $1,077,636.42 $807,407.91 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 110 23 — — $534,017.50 $1,070,127.64 $801,026.25 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 110 23 — — $529,061.91 $1,060,197.04 $793,592.86 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 110 23 — — $506,195.40 $1,014,374.42 $759,293.10 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 110 23 — — $464,496.87 $953,404.97 $708,950.92 2026-03-30
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, … 110 23 — — $264,142.73 $992,250.00 $628,196.36 2026-03-30
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
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 43 12 — — $352,677.38 $1,036,430.38 $449,597.12 2026-03-30
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
976 OTHER HIV With Major Related Condition Without Cc/mcc 14 6 $67,509.32 $33,754.66 50% off $8,503.72 $668,927.31 $333,036.79 2026-05-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 43 12 — — $228,873.43 $672,601.62 $276,550.37 2026-03-30
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 3 $78,746.18 $39,373.09 50% off $147,882.00 $304,392.90 $261,174.90 2026-05-06
7 MS_DRG Lung Transplant 43 12 — — $105,765.32 $310,817.75 $220,645.51 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
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 43 12 — — $173,347.91 $509,426.03 $213,498.81 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 43 12 — — $98,151.15 $288,441.62 $204,760.98 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 43 12 — — $113,125.49 $332,447.45 $195,061.30 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 43 12 — — $92,547.72 $271,974.53 $193,071.21 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 43 12 — — $174,371.24 $512,433.35 $190,523.75 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 43 12 — — $84,206.68 $247,462.31 $175,670.30 2026-03-30
216 OTHER Anesth Head Vessel Surgery 7 3 $592,990.25 $296,495.13 50% off $97,635.32 $200,967.65 $172,434.07 2026-05-06
Q0480 HCPCS Dme Pos 110 23 — — $111,502.61 $223,005.22 $167,253.92 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
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 110 23 — — $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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 43 12 — — $88,809.64 $260,989.27 $137,370.99 2026-03-30
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
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
870 OTHER Anesth Bladder Stone Surg 7 3 $211,694.80 $105,847.40 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 $115,256.30 $57,628.15 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 $396,421.53 $198,210.76 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 43 12 — — $58,268.85 $171,237.53 $121,559.31 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 43 12 — — $64,265.12 $188,859.07 $119,466.06 2026-03-30
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 43 12 — — $58,604.52 $172,223.98 $117,209.04 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 12 — — $79,896.91 $234,796.98 $117,188.02 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
J7330 HCPCS Cultured Chondrocytes Implnt 96 21 — — $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 $60,570.90 $30,285.45 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
820 OTHER Anesth Abdominal Wall Surg 7 3 $202,627.40 $101,313.70 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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 12 — — $53,505.81 $157,240.15 $107,011.62 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
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 110 23 — — $68,801.71 $137,603.42 $103,202.57 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 $232,808.57 $116,404.28 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 $121,333.65 $60,666.82 50% off $56,976.82 $117,278.24 $100,626.96 2026-05-06
834 OTHER Anesth Hernia Repair < 1 Yr 7 3 $81,517.64 $40,758.82 50% off $56,325.94 $110,149.13 $99,477.43 2026-05-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 12 — — $90,011.02 $264,519.82 $98,349.00 2026-03-30
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 7 3 $209,227.11 $104,613.55 50% off $55,382.31 $113,996.18 $97,810.89 2026-05-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 43 12 — — $73,582.12 $216,239.41 $96,801.31 2026-03-30
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
834 MS_DRG Acute Leukemia With Mcc 43 12 — — $44,836.45 $131,763.09 $93,536.92 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 $211,511.47 $105,755.73 50% off $52,177.20 $117,962.00 $92,150.32 2026-05-06
J9029 HCPCS Instill Adstiladrin, Tx Dose 110 23 — — $60,130.83 $123,190.11 $91,660.47 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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 43 12 — — $45,773.22 $134,516.00 $91,546.44 2026-03-30
38240 CPT Transplt Allo Hct/donor 108 23 — — $61,005.36 $122,249.78 $91,508.04 2026-03-30
90288 CPT Botulism Ig IV 94 21 — — $91,224.47 $91,224.47 $91,224.47 2026-03-30
A9543 HCPCS Y90 Ibritumomab, Rx 110 23 — — $53,943.55 $127,627.61 $90,785.58 2026-03-30
326 OTHER Anesth Larynx/trach < 1 Yr 7 3 $266,843.66 $133,421.83 50% off $51,094.74 $105,170.85 $90,238.59 2026-05-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 43 12 — — $45,106.78 $132,557.52 $90,213.56 2026-03-30
270 OTHER Other Major Cardiovascular Procedures With Mcc 7 3 $173,322.98 $86,661.49 50% off $50,872.41 $104,713.23 $89,845.94 2026-05-06
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
215 MS_DRG Other Heart Assist System Implant 43 12 — — $76,183.16 $238,977.96 $88,852.48 2026-03-30
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 3 $128,574.06 $64,287.03 50% off $50,292.96 $103,520.51 $88,822.56 2026-05-06
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 43 12 — — $68,847.67 $202,326.03 $86,238.62 2026-03-30
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
220 OTHER Anesth Intrcrn Nerve 8 3 $285,589.84 $142,794.92 50% off $85.34 $108,599.93 $85,589.25 2026-05-06
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 3 $162,732.98 $81,366.49 50% off $48,356.41 $99,534.41 $85,402.42 2026-05-06
277 OTHER Cardiac Defibrillator Implant Without Mcc 7 3 $65,488.95 $32,744.47 50% off $48,110.94 $99,029.16 $84,968.90 2026-05-06
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 $150,940.00 $75,470.00 50% off $47,688.42 $98,159.46 $84,222.69 2026-05-06
163 OTHER Major Chest Procedures With Mcc 7 3 $177,522.30 $88,761.15 50% off $47,418.82 $97,604.52 $83,746.53 2026-05-06
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 43 12 — — $54,973.43 $161,553.13 $82,456.60 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 12 — — $53,701.00 $157,813.78 $82,309.11 2026-03-30
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
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+ 110 23 — — $52,470.01 $111,075.77 $81,772.89 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 43 12 — — $40,405.81 $118,742.55 $80,986.43 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 43 12 — — $47,898.29 $140,761.06 $80,649.20 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
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 43 12 — — $56,172.36 $165,076.48 $80,485.74 2026-03-30
329 OTHER Major Small And Large Bowel Procedures With Mcc 7 3 $152,585.89 $76,292.95 50% off $45,439.01 $93,529.38 $80,249.99 2026-05-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 12 — — $53,701.00 $157,813.78 $80,202.98 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 43 12 — — $38,396.71 $127,203.02 $80,102.45 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 43 12 — — $40,028.49 $117,633.70 $80,056.98 2026-03-30
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 3 $174,148.12 $87,074.06 50% off $45,289.11 $93,220.84 $79,985.26 2026-05-06
278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 3 $279,292.60 $139,646.30 50% off $44,871.62 $92,361.50 $79,247.93 2026-05-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 12 — — $62,709.29 $184,286.88 $79,192.71 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 43 12 — — $37,870.75 $136,956.40 $79,005.21 2026-03-30
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 3 $133,281.98 $66,640.99 50% off $44,549.70 $91,698.88 $78,679.38 2026-05-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 12 — — $68,631.24 $247,953.00 $78,472.56 2026-03-30
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
793 OTHER Full Term Neonate With Major Problems 4 2 $10,046.62 $5,023.31 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
850 MS_DRG Acute Leukemia With Other Procedures 43 12 — — $62,485.33 $207,836.66 $77,274.09 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 $126,942.53 $63,471.27 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 $143,612.56 $71,806.28 50% off $43,043.72 $88,599.04 $76,019.66 2026-05-06
791 OTHER Prematurity With Major Problems 4 2 $28,127.39 $14,063.70 50% off $45,074.70 $80,614.05 $75,670.18 2026-05-06
L7181 HCPCS Dme Pos 110 23 — — $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 $180,074.42 $90,037.21 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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 12 — — $46,799.82 $137,532.93 $73,087.98 2026-03-30
166 OTHER Other Respiratory System O.r. Procedures With Mcc 7 3 $66,763.19 $33,381.59 50% off $40,821.47 $84,024.86 $72,094.93 2026-05-06
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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 43 12 — — $50,051.13 $147,087.73 $71,860.19 2026-03-30
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 $152,567.65 $76,283.83 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 43 12 — — $49,513.74 $145,508.46 $70,357.15 2026-03-30
616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 3 $147,622.55 $73,811.27 50% off $39,814.46 $81,952.09 $70,316.46 2026-05-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 43 12 — — $56,449.22 $165,890.11 $70,277.82 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
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 3 $112,474.88 $56,237.44 50% off $39,343.65 $80,983.01 $69,484.96 2026-05-06
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
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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 43 12 — — $43,234.89 $127,056.49 $68,904.84 2026-03-30
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 3 $88,768.92 $44,384.46 50% off $39,014.69 $80,305.89 $68,903.98 2026-05-06
28 MS_DRG Spinal Procedures With Mcc 43 12 — — $49,070.27 $144,205.21 $68,762.99 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 43 12 — — $49,993.15 $146,917.32 $68,680.99 2026-03-30
040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 3 $117,946.79 $58,973.40 50% off $38,736.03 $79,732.30 $68,411.83 2026-05-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 43 12 — — $62,438.96 $183,492.45 $68,222.86 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 43 12 — — $62,232.33 $182,885.22 $67,997.09 2026-03-30
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 3 $241,396.90 $120,698.45 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
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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 12 — — $58,234.55 $171,136.73 $66,808.56 2026-03-30
876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 7 3 $85,835.62 $42,917.81 50% off $37,538.89 $77,268.17 $66,297.56 2026-05-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 43 12 — — $54,609.18 $160,482.69 $66,168.73 2026-03-30
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 $80,619.44 $40,309.72 50% off $37,418.17 $77,019.69 $66,084.36 2026-05-06
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 7 3 $109,069.39 $54,534.69 50% off $37,201.88 $76,574.49 $65,702.37 2026-05-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 31 12 — — $48,541.04 $106,075.08 $65,378.50 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 $61,551.67 $30,775.83 50% off $36,587.21 $71,548.73 $64,616.80 2026-05-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 12 — — $58,954.88 $173,253.62 $64,416.04 2026-03-30
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 3 $75,086.65 $37,543.33 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 43 12 — — $52,552.71 $154,439.23 $64,121.31 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 108 23 — — $1,401.65 $85,605.36 $64,078.46 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 108 23 — — $42,718.97 $85,605.36 $64,078.46 2026-03-30
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 110 23 — — $42,718.97 $85,605.36 $64,078.46 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 43 12 — — $40,446.68 $172,151.97 $64,006.45 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
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 43 12 — — $31,804.24 $93,464.69 $63,608.48 2026-03-30
335 OTHER Peritoneal Adhesiolysis With Mcc 7 3 $103,092.80 $51,546.40 50% off $35,964.50 $74,027.52 $63,517.03 2026-05-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 43 12 — — $30,265.57 $88,942.91 $63,139.42 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 43 12 — — $54,569.16 $160,365.08 $62,984.17 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 $68,461.77 $34,230.88 50% off $35,463.51 $72,996.32 $62,632.23 2026-05-06
467 OTHER Revision Of Hip Or Knee Replacement With Cc 7 3 $162,505.99 $81,253.00 50% off $35,072.18 $87,019.00 $61,941.09 2026-05-06
271 OTHER Other Major Cardiovascular Procedures With Cc 7 3 $111,989.64 $55,994.82 50% off $34,769.37 $71,567.53 $61,406.31 2026-05-06
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 7 3 $113,815.38 $56,907.69 50% off $34,758.31 $71,544.76 $61,386.76 2026-05-06
802 OTHER Anesth Fat Layer Removal 7 3 $93,772.64 $46,886.32 50% off $34,513.85 $71,041.58 $60,955.02 2026-05-06
029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 7 3 $91,083.53 $45,541.76 50% off $34,487.69 $70,987.74 $60,908.83 2026-05-06
574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 3 $221,162.42 $110,581.21 50% off $34,262.35 $70,523.90 $60,510.85 2026-05-06
J9226 HCPCS Supprelin La Implant 110 23 — — $35,473.35 $85,643.68 $60,474.78 2026-03-30
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 $95,327.12 $47,663.56 50% off $33,969.60 $69,921.33 $59,993.83 2026-05-06
L7180 HCPCS Dme Pos 110 23 — — $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
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 3 $121,892.05 $60,946.02 50% off $33,892.14 $69,761.88 $59,857.02 2026-05-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 12 — — $45,915.32 $134,933.62 $59,582.23 2026-03-30
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 3 $166,436.21 $83,218.10 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 $128,607.91 $64,303.96 50% off $33,497.79 $79,533.00 $59,160.56 2026-05-06
332 MS_DRG Rectal Resection With Mcc 43 12 — — $29,570.55 $86,900.42 $59,141.10 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
L2006 HCPCS Dme Pos 110 23 — — $39,378.44 $78,756.88 $59,067.66 2026-03-30
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 3 $127,456.67 $63,728.34 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 $137,383.51 $68,691.76 50% off $33,137.64 $68,208.86 $58,524.50 2026-05-06
264 OTHER Other Circulatory System O.r. Procedures 7 3 $237,262.06 $118,631.03 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
500 OTHER Anesth Esophageal Surgery 7 3 $213,085.76 $106,542.88 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 $117,171.38 $58,585.69 50% off $32,602.45 $67,107.25 $57,579.29 2026-05-06
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 3 $126,098.60 $63,049.30 50% off $32,345.92 $66,579.22 $57,126.24 2026-05-06
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 7 3 $216,969.88 $108,484.94 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 $183,738.63 $91,869.31 50% off $32,198.04 $66,274.82 $56,865.06 2026-05-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 43 12 — — $30,732.72 $90,315.76 $56,527.34 2026-03-30
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 43 12 — — $43,091.96 $126,636.48 $56,384.38 2026-03-30
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 3 $117,393.59 $58,696.79 50% off $31,804.69 $65,465.18 $56,170.37 2026-05-06
829 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 3 $90,612.66 $45,306.33 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 $188,075.13 $94,037.56 50% off $31,564.26 $64,970.28 $55,745.74 2026-05-06
840 OTHER Anesth Surg Lower Abdomen 7 3 $102,379.24 $51,189.62 50% off $31,439.51 $61,482.06 $55,525.43 2026-05-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 43 12 — — $40,333.94 $118,531.34 $55,411.09 2026-03-30
A9699 HCPCS Radiopharm Rx Agent Noc 96 21 — — $55,169.68 $55,169.68 $55,169.68 2026-03-30
652 MS_DRG Kidney Transplant 43 12 — — $26,375.58 $119,489.63 $55,024.22 2026-03-30
665 OTHER Prostatectomy With Mcc 7 3 $142,470.26 $71,235.13 50% off $31,076.35 $63,965.99 $54,884.04 2026-05-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 43 12 — — $47,929.33 $140,852.27 $54,826.44 2026-03-30
173 OTHER Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 3 $110,393.19 $55,196.60 50% off $30,934.50 $63,674.03 $54,633.53 2026-05-06
653 MS_DRG Major Bladder Procedures With Mcc 43 12 — — $42,439.41 $124,718.80 $54,602.73 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 43 12 — — $43,527.27 $127,915.73 $54,442.32 2026-03-30
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 43 12 — — $48,428.33 $142,318.73 $54,119.30 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 43 12 — — $42,512.92 $140,763.00 $53,771.23 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 43 12 — — $44,366.03 $130,380.63 $53,611.77 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 43 12 — — $48,731.65 $144,164.41 $53,600.62 2026-03-30
464 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 3 $168,211.76 $84,105.88 50% off $30,194.08 $62,149.99 $53,325.87 2026-05-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 12 — — $38,203.97 $112,271.88 $53,244.14 2026-03-30
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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 12 — — $47,020.12 $176,531.00 $53,212.44 2026-03-30
521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 7 3 $129,330.90 $64,665.45 50% off $30,121.65 $62,000.90 $53,197.95 2026-05-06
C1900 HCPCS Lead, Coronary Venous 1 1 — — $53,072.40 $53,072.40 $53,072.40 2026-03-30
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 7 3 $139,903.35 $69,951.68 50% off $29,864.12 $61,470.80 $52,743.12 2026-05-06
472 OTHER Anesth Chest Wall Repair 7 3 $142,804.18 $71,402.09 50% off $29,731.32 $65,323.00 $52,508.59 2026-05-06
026 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 7 3 $152,717.85 $76,358.92 50% off $29,708.19 $61,149.84 $52,467.73 2026-05-06
L8701 HCPCS Ewh S/d Uprt Micro Sensor 110 23 — — $34,970.13 $69,940.26 $52,455.19 2026-03-30
480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 7 3 $109,010.12 $54,505.06 50% off $29,665.93 $61,062.87 $52,393.11 2026-05-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 12 — — $38,318.31 $112,607.89 $52,005.72 2026-03-30
570 OTHER Skin Debridement With Mcc 7 3 $69,056.04 $34,528.02 50% off $29,397.33 $60,510.00 $51,918.73 2026-05-06
625 OTHER Anes Spine Tranthor Without Vent 7 3 $85,347.83 $42,673.92 50% off $29,387.27 $60,489.29 $51,900.96 2026-05-06
974 OTHER HIV With Major Related Condition With Mcc 7 3 $87,299.19 $43,649.59 50% off $29,339.99 $57,376.30 $51,817.46 2026-05-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 43 12 — — $44,614.31 $131,110.26 $51,638.38 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 43 12 — — $30,526.09 $89,708.54 $51,572.95 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 12 — — $45,459.60 $133,594.37 $51,467.04 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 43 12 — — $47,100.37 $138,416.17 $51,463.41 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 43 12 — — $37,444.43 $110,039.78 $51,441.46 2026-03-30
406 OTHER Anesth Surgery Of Breast 7 3 $163,392.90 $81,696.45 50% off $29,047.24 $59,789.39 $51,300.44 2026-05-06
321 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 7 3 $114,981.27 $57,490.64 50% off $28,919.48 $59,526.41 $51,074.79 2026-05-06
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 43 12 — — $29,634.25 $87,087.63 $50,899.40 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 43 12 — — $29,497.86 $86,686.81 $50,862.77 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 12 — — $46,460.78 $136,793.70 $50,860.17 2026-03-30
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 3 $172,354.98 $86,177.49 50% off $28,633.78 $94,262.00 $50,570.21 2026-05-06
901 MS_DRG Wound Debridements For Injuries With Mcc 43 12 — — $34,273.97 $100,722.60 $50,383.67 2026-03-30
263 OTHER Vein Ligation And Stripping 7 3 $105,043.22 $52,521.61 50% off $28,421.51 $58,501.42 $50,195.33 2026-05-06
668 OTHER Transurethral Procedures With Mcc 7 3 $135,814.25 $67,907.12 50% off $28,349.08 $58,352.33 $50,067.41 2026-05-06
800 OTHER Anesth Abdominal Wall Surg 7 3 $134,200.54 $67,100.27 50% off $28,346.06 $58,346.11 $50,062.08 2026-05-06
817 OTHER Other Antepartum Diagnoses With O.r. Procedures With Mcc 7 3 $53,387.49 $26,693.74 50% off $28,337.01 $58,327.48 $50,046.09 2026-05-06
263 MS_DRG Vein Ligation And Stripping 43 12 — — $24,970.03 $73,380.66 $49,940.06 2026-03-30
240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 7 3 $128,916.87 $64,458.44 50% off $28,260.55 $58,170.10 $49,911.06 2026-05-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 43 12 — — $44,678.01 $131,297.47 $49,871.66 2026-03-30
061 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 3 $76,865.32 $38,432.66 50% off $28,196.17 $55,139.48 $49,797.35 2026-05-06
970 OTHER HIV With Extensive O.r. Procedures Without Mcc 7 3 $57,229.80 $28,614.90 50% off $27,962.78 $57,557.18 $49,385.15 2026-05-06
255 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 7 3 $109,558.80 $54,779.40 50% off $27,638.84 $56,890.41 $48,813.06 2026-05-06
344 OTHER Minor Small And Large Bowel Procedures With Mcc 7 3 $103,259.71 $51,629.86 50% off $27,568.42 $56,745.46 $48,688.69 2026-05-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 43 12 — — $44,544.07 $130,903.85 $48,670.32 2026-03-30
654 OTHER Major Bladder Procedures With Cc 7 3 $66,629.49 $33,314.74 50% off $27,539.25 $56,685.41 $48,637.16 2026-05-06
963 OTHER Other Multiple Significant Trauma With Mcc 7 3 $114,158.43 $57,079.22 50% off $27,507.06 $53,791.88 $48,580.31 2026-05-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 43 12 — — $35,342.22 $103,861.93 $48,553.43 2026-03-30
510 OTHER Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 3 $93,707.98 $46,853.99 50% off $27,369.24 $56,335.46 $48,336.90 2026-05-06
258 OTHER Cardiac Pacemaker Device Replacement With Mcc 7 3 $70,054.77 $35,027.38 50% off $27,248.52 $56,086.98 $48,123.70 2026-05-06
208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 3 $83,208.92 $41,604.46 50% off $27,200.23 $53,191.86 $48,038.41 2026-05-06
245 MS_DRG Aicd Generator Procedures 43 12 — — $37,261.49 $109,502.16 $48,013.38 2026-03-30
69930 CPT Implant Cochlear Device 108 23 — — $31,978.39 $64,082.08 $47,967.58 2026-03-30
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