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 BALLANTYNE MEDICAL CENTER

Charlotte, NC · CCN 340195 · Rates published

21,441 distinct procedures filed
29 distinct payers
1,152,855 rate rows
2026-05-06 last MRF observed
Data quality

772,872 of 1,152,855 rate rows are consumer-grade (67.0%)

379,983 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 369,770
exceeds 10× this hospital's gross charge — excluded from medians 9,978
per-diem day rate — not a per-procedure price 173
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/86-3305323_novant_health_ballantyne_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 · 2026-05-17
Content fingerprint de4e5a10bda29b49… · 17,247,326 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
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
576
CPT 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 $57,171.99 $3,683,586.51 $3,508,177.63 —
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
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 9 $34,513.85 $4,934,519.64 $2,117,832.84 —
939
CPT 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 $32,345.92 $2,084,044.93 $1,984,804.69 —
411
CPT 		Cholecystectomy With C.d.e. With Mcc 7 $30,586.42 $1,970,680.87 $1,876,838.92 —
027
CPT 		Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 7 $24,474.97 $1,576,920.63 $1,501,829.17 —
835
CPT 		Acute Leukemia Without Major O.r. Procedures With Cc 7 $22,489.13 $1,448,972.86 $1,379,974.15 —
407
CPT 		Pancreas, Liver And Shunt Procedures Without Cc/mcc 7 $21,639.06 $1,394,202.92 $1,327,812.30 —
507
CPT 		Major Shoulder Or Elbow Joint Procedures With Cc/mcc 7 $21,444.90 $1,381,693.33 $1,315,898.41 —
814
CPT 		Reticuloendothelial And Immunity Disorders With Mcc 7 $21,408.69 $1,379,359.94 $1,313,676.13 —
412
CPT 		Cholecystectomy With C.d.e. With Cc 7 $20,784.97 $1,339,173.71 $1,275,403.53 —
165
CPT 		Major Chest Procedures Without Cc/mcc 7 $18,876.58 $1,216,216.81 $1,158,301.72 —
801
CPT 		Splenic Procedures Without Cc/mcc 7 $18,004.38 $1,160,020.90 $1,104,781.81 —
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
582
CPT 		Mastectomy For Malignancy With Cc/mcc 7 $17,517.48 $1,128,649.72 $1,074,904.49 —
504
CPT 		Foot Procedures With Cc 7 $17,374.63 $1,119,445.77 $1,066,138.83 —
421
CPT 		Hepatobiliary Diagnostic Procedures With Cc 7 $17,198.58 $1,108,102.88 $1,055,336.08 —
585
CPT 		Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 7 $16,941.04 $1,091,509.86 $1,039,533.20 —
830
CPT 		Anesth Repair Of Hernia 7 $15,906.87 $1,024,878.50 $976,074.76 —
410
CPT 		Anesth Correct Heart Rhythm 7 $15,745.91 $1,014,507.86 $966,197.96 —
142
CPT 		Anesth Lens Surgery 7 $15,542.70 $1,001,414.93 $953,728.50 —
154
CPT 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 7 $15,474.29 $997,007.40 $949,530.86 —
583
CPT 		Mastectomy For Malignancy Without Cc/mcc 7 $15,310.31 $986,442.31 $939,468.87 —
615
CPT 		Adrenal And Pituitary Procedures Without Cc/mcc 7 $14,799.27 $953,515.53 $908,110.03 —
708
CPT 		Major Male Pelvic Procedures Without Cc/mcc 7 $14,672.51 $945,348.65 $900,332.05 —
422
CPT 		Hepatobiliary Diagnostic Procedures Without Cc/mcc 7 $14,194.66 $914,560.81 $871,010.30 —
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 22 $562,826.29 $1,127,511.66 $845,168.97 nat. median
$753,246
1.1× median
581
CPT 		Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 7 $13,547.80 $872,883.81 $831,317.91 —
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
825
CPT 		Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 7 $12,991.48 $837,040.28 $797,181.22 —
Q2055
HCPCS 		Idecabtagene Vicleucel Car 22 $530,098.52 $1,060,197.04 $795,147.78 nat. median
$625,184
1.3× median
545
CPT 		Connective Tissue Disorders With Mcc 6 $25,081.59 $1,585,223.93 $793,968.27 —
858
CPT 		Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 7 $12,911.00 $831,854.96 $792,242.82 —
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 22 $507,187.21 $1,014,374.42 $760,780.81 nat. median
$634,303
1.2× median
618
CPT 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 $11,684.69 $752,843.65 $716,993.95 —
821
CPT 		Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 $22,454.93 $1,419,211.59 $711,970.70 —
Q2053
HCPCS 		Brexucabtagene Car Pos T 22 $465,406.97 $953,404.97 $709,405.97 nat. median
$619,808
1.1× median
294
CPT 		Deep Vein Thrombophlebitis With Cc/mcc 7 $11,002.62 $708,898.06 $675,141.01 —
842
CPT 		Anesth Amniocentesis 7 $10,727.98 $691,203.16 $658,288.72 —
018
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $370,637.56 $722,374.82 $654,584.25 —
136
CPT 		Sinus And Mastoid Procedures Without Cc/mcc 7 $10,505.66 $676,878.71 $644,646.39 —
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

Other procedures at this hospital

Browse this hospital's 21,441 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-03-30
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 7 7 — — $4,284,975.80 $4,499,224.59 $4,284,975.80 2026-03-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $3,505,278.25 $4,496,025.34 $3,549,094.23 2026-03-30
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 $3,683,586.51 $3,508,177.63 2026-05-06
J3399 HCPCS Inj Onase Abepar-xioi Treat 53 22 — — $2,335,203.01 $4,670,406.02 $3,502,804.52 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
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,154,486.56 $4,055,977.72 $3,193,917.64 2026-03-30
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 8 7 — — $3,089,791.63 $3,978,853.10 $3,128,414.02 2026-03-30
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 8 7 — — $2,801,870.06 $3,599,837.74 $2,836,893.44 2026-03-30
802 CPT Anesth Fat Layer Removal 17 9 $1,409,054.41 $704,527.20 50% off $34,513.85 $4,934,519.64 $2,117,832.84 2026-05-06
939 CPT O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 7 $216,911.11 $108,455.56 50% off $32,345.92 $2,084,044.93 $1,984,804.69 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 $1,970,680.87 $1,876,838.92 2026-05-06
027 CPT Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 15 7 $163,310.50 $81,655.25 50% off $24,474.97 $1,576,920.63 $1,501,829.17 2026-05-06
835 CPT Acute Leukemia Without Major O.r. Procedures With Cc 15 7 $148,521.39 $74,260.69 50% off $22,489.13 $1,448,972.86 $1,379,974.15 2026-05-06
407 CPT Pancreas, Liver And Shunt Procedures Without Cc/mcc 15 7 $141,522.02 $70,761.01 50% off $21,639.06 $1,394,202.92 $1,327,812.30 2026-05-06
507 CPT Major Shoulder Or Elbow Joint Procedures With Cc/mcc 15 7 $150,733.49 $75,366.75 50% off $21,444.90 $1,381,693.33 $1,315,898.41 2026-05-06
814 CPT Reticuloendothelial And Immunity Disorders With Mcc 15 7 $149,272.68 $74,636.34 50% off $21,408.69 $1,379,359.94 $1,313,676.13 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 $1,339,173.71 $1,275,403.53 2026-05-06
165 CPT Major Chest Procedures Without Cc/mcc 15 7 $141,497.74 $70,748.87 50% off $18,876.58 $1,216,216.81 $1,158,301.72 2026-05-06
801 CPT Splenic Procedures Without Cc/mcc 15 7 $156,811.62 $78,405.81 50% off $18,004.38 $1,160,020.90 $1,104,781.81 2026-05-06
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 54 22 — — $732,982.92 $1,465,965.84 $1,099,474.38 2026-03-30
582 CPT Mastectomy For Malignancy With Cc/mcc 15 7 $146,230.22 $73,115.11 50% off $17,517.48 $1,128,649.72 $1,074,904.49 2026-05-06
504 CPT Foot Procedures With Cc 15 7 $113,181.02 $56,590.51 50% off $17,374.63 $1,119,445.77 $1,066,138.83 2026-05-06
421 CPT Hepatobiliary Diagnostic Procedures With Cc 15 7 $131,646.64 $65,823.32 50% off $17,198.58 $1,108,102.88 $1,055,336.08 2026-05-06
585 CPT Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 15 7 $153,790.95 $76,895.48 50% off $16,941.04 $1,091,509.86 $1,039,533.20 2026-05-06
830 CPT Anesth Repair Of Hernia 15 7 $153,523.79 $76,761.89 50% off $15,906.87 $1,024,878.50 $976,074.76 2026-05-06
410 CPT Anesth Correct Heart Rhythm 15 7 $111,595.76 $55,797.88 50% off $15,745.91 $1,014,507.86 $966,197.96 2026-05-06
142 CPT Anesth Lens Surgery 15 7 $115,764.52 $57,882.26 50% off $15,542.70 $1,001,414.93 $953,728.50 2026-05-06
154 CPT Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 15 7 $145,945.99 $72,973.00 50% off $15,474.29 $997,007.40 $949,530.86 2026-05-06
583 CPT Mastectomy For Malignancy Without Cc/mcc 15 7 $136,160.00 $68,080.00 50% off $15,310.31 $986,442.31 $939,468.87 2026-05-06
615 CPT Adrenal And Pituitary Procedures Without Cc/mcc 15 7 $111,311.35 $55,655.67 50% off $14,799.27 $953,515.53 $908,110.03 2026-05-06
708 CPT Major Male Pelvic Procedures Without Cc/mcc 15 7 $110,909.91 $55,454.96 50% off $14,672.51 $945,348.65 $900,332.05 2026-05-06
422 CPT Hepatobiliary Diagnostic Procedures Without Cc/mcc 15 7 $93,201.25 $46,600.62 50% off $14,194.66 $914,560.81 $871,010.30 2026-05-06
Q2042 HCPCS Tisagenlecleucel Car-pos T 54 22 — — $562,826.29 $1,127,511.66 $845,168.97 2026-03-30
581 CPT Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 15 7 $90,657.12 $45,328.56 50% off $13,547.80 $872,883.81 $831,317.91 2026-05-06
Q2056 HCPCS Ciltacabtagene Car-pos T 54 22 — — $538,231.91 $1,077,636.42 $807,934.17 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 54 22 — — $535,063.82 $1,070,127.64 $802,595.73 2026-03-30
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 $837,040.28 $797,181.22 2026-05-06
Q2055 HCPCS Idecabtagene Vicleucel Car 54 22 — — $530,098.52 $1,060,197.04 $795,147.78 2026-03-30
545 CPT Connective Tissue Disorders With Mcc 14 6 $160,858.38 $80,429.19 50% off $25,081.59 $1,585,223.93 $793,968.27 2026-05-06
858 CPT Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 15 7 $95,549.53 $47,774.76 50% off $12,911.00 $831,854.96 $792,242.82 2026-05-06
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 54 22 — — $507,187.21 $1,014,374.42 $760,780.81 2026-03-30
618 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 7 $82,591.97 $41,295.98 50% off $11,684.69 $752,843.65 $716,993.95 2026-05-06
821 CPT Lymphoma And Leukemia With Major O.r. Procedures With Cc 14 6 $142,918.25 $71,459.12 50% off $22,454.93 $1,419,211.59 $711,970.70 2026-05-06
Q2053 HCPCS Brexucabtagene Car Pos T 54 22 — — $465,406.97 $953,404.97 $709,405.97 2026-03-30
294 CPT Deep Vein Thrombophlebitis With Cc/mcc 15 7 $84,495.83 $42,247.92 50% off $11,002.62 $708,898.06 $675,141.01 2026-05-06
842 CPT Anesth Amniocentesis 15 7 $74,171.48 $37,085.74 50% off $10,727.98 $691,203.16 $658,288.72 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 $722,374.82 $654,584.25 2026-05-06
136 CPT Sinus And Mastoid Procedures Without Cc/mcc 15 7 $79,612.20 $39,806.10 50% off $10,505.66 $676,878.71 $644,646.39 2026-05-06
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 54 22 — — $264,660.27 $992,250.00 $628,455.14 2026-03-30
197 CPT Interstitial Lung Disease With Cc 15 7 $88,808.82 $44,404.41 50% off $10,034.85 $646,544.59 $615,756.75 2026-05-06
864 CPT Anesth Removal Of Bladder 15 7 $74,206.37 $37,103.19 50% off $8,880.97 $572,200.06 $544,952.44 2026-05-06
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 12 — — $38,705.37 $871,040.26 $534,253.72 2026-03-30
845 CPT Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 15 7 $57,958.34 $28,979.17 50% off $8,700.89 $560,597.91 $533,902.77 2026-05-06
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 $559,260.91 $481,460.83 2026-05-06
489 CPT Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 14 6 $78,696.39 $39,348.19 50% off $12,451.26 $786,953.18 $394,787.93 2026-05-06
730 CPT Anesth Abdominal Wall Surg 15 7 $47,337.42 $23,668.71 50% off $6,253.30 $402,899.36 $383,713.68 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 $440,008.35 $378,797.77 2026-05-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 12 — — $8,952.25 $595,003.44 $328,623.24 2026-03-30
798 CPT Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 16 8 $59,825.26 $29,912.63 50% off $4,932.00 $541,282.59 $262,585.61 2026-05-06
004 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 3 $501,781.42 $250,890.71 50% off $147,882.00 $303,378.60 $261,174.90 2026-05-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 12 — — $7,099.37 $450,653.45 $253,699.43 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 12 — — $4,601.47 $453,313.82 $228,417.89 2026-03-30
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 $252,693.74 $217,540.92 2026-05-06
7 MS_DRG Lung Transplant 21 12 — — $13,334.80 $279,636.46 $206,115.38 2026-03-30
014 CPT Allogeneic Bone Marrow Transplant 7 3 $585,410.02 $292,705.01 50% off $115,296.65 $224,713.87 $203,625.81 2026-05-06
212 CPT Anesth Skull Drainage 7 3 $522,444.23 $261,222.11 50% off $108,353.24 $222,285.71 $191,363.03 2026-05-06
215 CPT Anesth Skull Repair/fract 7 3 $335,449.71 $167,724.86 50% off $102,760.89 $210,813.04 $181,486.35 2026-05-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 12 — — $12,199.45 $294,852.82 $180,356.93 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 54 22 — — $71,204.31 $279,943.64 $175,573.98 2026-03-30
216 CPT Anesth Head Vessel Surgery 7 3 $520,884.01 $260,442.01 50% off $97,635.32 $200,297.98 $172,434.07 2026-05-06
Q0480 HCPCS Dme Pos 54 22 — — $111,502.61 $223,005.22 $167,253.92 2026-03-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 12 — — $6,707.11 $230,878.89 $164,940.44 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 12 — — $7,965.38 $231,670.32 $164,101.92 2026-03-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 54 22 — — $19,851.25 $298,220.42 $159,035.83 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 $225,159.00 $157,440.49 2026-05-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 22 — — $17,138.62 $294,092.92 $155,615.77 2026-03-30
020 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 3 $389,533.13 $194,766.57 50% off $85,031.14 $174,440.63 $150,173.79 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 $212,092.00 $149,765.15 2026-05-06
231 CPT Coronary Bypass With Ptca With Mcc 7 3 $385,618.76 $192,809.38 50% off $81,638.91 $167,481.50 $144,182.76 2026-05-06
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 54 22 — — $95,081.03 $190,162.06 $142,621.55 2026-03-30
233 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 3 $373,441.38 $186,720.69 50% off $78,463.98 $160,968.14 $138,575.49 2026-05-06
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 $159,143.75 $137,004.89 2026-05-06
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 $149,264.33 $128,499.83 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 $145,204.84 $125,005.06 2026-05-06
870 CPT Anesth Bladder Stone Surg 7 3 $221,558.95 $110,779.48 50% off $70,066.89 $136,560.79 $123,745.38 2026-05-06
207 CPT Respiratory System Diagnosis With Ventilator Support >96 Hours 7 3 $197,454.51 $98,727.25 50% off $69,494.48 $135,445.16 $122,734.44 2026-05-06
969 CPT HIV With Extensive O.r. Procedures With Mcc 7 3 $354,870.87 $177,435.43 50% off $69,138.36 $141,836.72 $122,105.48 2026-05-06
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 $141,467.30 $121,787.45 2026-05-06
10 MS_DRG Pancreas Transplant 54 22 — — $45,814.55 $193,533.05 $119,673.80 2026-03-30
459 CPT Spinal Fusion Except Cervical With Mcc 7 3 $395,304.14 $197,652.07 50% off $66,720.94 $152,805.00 $117,836.07 2026-05-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $11,682.19 $234,002.12 $116,631.87 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 22 — — $53,822.21 $178,983.64 $116,402.93 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 $131,367.06 $113,092.29 2026-05-06
458 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 5 $286,272.38 $143,136.19 50% off $45,581.86 $2,796,986.30 $111,626.57 2026-05-06
J7330 HCPCS Cultured Chondrocytes Implnt 47 20 — — $96,363.41 $125,750.30 $111,056.85 2026-03-30
266 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 3 $227,120.90 $113,560.45 50% off $62,835.77 $128,907.01 $110,974.46 2026-05-06
790 CPT Anes Iper Upr Abd Nos 4 2 $233,017.32 $116,508.66 50% off $66,001.10 $117,643.96 $110,800.85 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 $128,329.15 $110,476.98 2026-05-06
276 CPT Cardiac Defibrillator Implant With Mcc 7 3 $167,195.54 $83,597.77 50% off $62,474.61 $128,166.11 $110,336.62 2026-05-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 22 — — $12,644.89 $207,708.41 $110,176.65 2026-03-30
016 CPT Autologous Bone Marrow Transplant With Cc/mcc 7 3 $182,058.90 $91,029.45 50% off $62,140.62 $121,112.44 $109,746.76 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 $126,746.21 $109,114.25 2026-05-06
454 CPT Anesth Collar Bone Biopsy 7 3 $315,644.46 $157,822.23 50% off $61,529.98 $200,445.00 $108,668.30 2026-05-06
955 CPT Craniotomy For Multiple Significant Trauma 7 3 $196,896.67 $98,448.33 50% off $61,267.41 $125,689.55 $108,204.58 2026-05-06
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 $171,344.00 $107,939.86 2026-05-06
820 CPT Anesth Abdominal Wall Surg 7 3 $199,473.04 $99,736.52 50% off $60,829.80 $124,791.79 $107,431.72 2026-05-06
028 CPT Spinal Procedures With Mcc 7 3 $299,577.27 $149,788.63 50% off $60,622.57 $124,366.65 $107,065.72 2026-05-06
232 CPT Coronary Bypass With Ptca Without Mcc 7 3 $293,683.61 $146,841.80 50% off $59,842.92 $122,767.21 $105,688.78 2026-05-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 54 22 — — $45,552.14 $164,913.25 $105,232.70 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 $121,363.82 $104,480.62 2026-05-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 54 22 — — $45,409.02 $162,322.89 $103,865.96 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 22 — — $37,666.01 $167,070.36 $102,368.18 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 54 22 — — $11,999.18 $191,291.83 $101,645.51 2026-03-30
218 CPT Anesth Special Head Surgery 7 3 $155,536.49 $77,768.25 50% off $57,308.80 $117,568.49 $101,213.27 2026-05-06
023 CPT 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 $116,992.69 $100,717.57 2026-05-06
463 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 3 $211,405.80 $105,702.90 50% off $56,976.82 $116,887.44 $100,626.96 2026-05-06
834 CPT Anesth Hernia Repair < 1 Yr 7 3 $258,028.09 $129,014.05 50% off $56,325.94 $109,779.59 $99,477.43 2026-05-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $6,499.24 $139,606.77 $98,828.01 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 $113,616.32 $97,810.89 2026-05-06
653 CPT Major Bladder Procedures With Mcc 7 3 $163,840.24 $81,920.12 50% off $54,460.82 $111,725.88 $96,183.43 2026-05-06
215 MS_DRG Other Heart Assist System Implant 21 12 — — $5,575.90 $211,407.02 $94,175.50 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 22 — — $11,539.24 $176,277.00 $93,908.12 2026-03-30
220 CPT Anesth Intrcrn Nerve 7 3 $285,589.84 $142,794.92 50% off $52,760.68 $108,238.05 $93,180.81 2026-05-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $4,832.13 $218,198.00 $92,437.40 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 $107,274.26 $92,351.09 2026-05-06
466 CPT Revision Of Hip Or Knee Replacement With Mcc 7 3 $220,981.42 $110,490.71 50% off $52,177.20 $117,566.00 $92,150.32 2026-05-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 54 22 — — $32,878.08 $151,392.65 $92,135.37 2026-03-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 54 22 — — $60,248.64 $123,190.11 $91,719.38 2026-03-30
38240 CPT Transplt Allo Hct/donor 53 22 — — $61,124.89 $122,249.78 $91,687.34 2026-03-30
011 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 $106,415.72 $91,611.98 2026-05-06
90288 CPT Botulism Ig IV 46 20 — — $91,224.47 $91,224.47 $91,224.47 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 22 — — $18,982.52 $163,025.67 $91,004.10 2026-03-30
A9543 HCPCS Y90 Ibritumomab, Rx 54 22 — — $54,049.24 $127,627.61 $90,838.43 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 22 — — $41,981.19 $139,606.77 $90,793.98 2026-03-30
326 CPT Anesth Larynx/trach < 1 Yr 7 3 $50,582.14 $25,291.07 50% off $51,094.74 $104,820.40 $90,238.59 2026-05-06
270 CPT Other Major Cardiovascular Procedures With Mcc 7 3 $213,090.49 $106,545.24 50% off $50,872.41 $104,364.30 $89,845.94 2026-05-06
228 CPT Other Cardiothoracic Procedures With Mcc 7 3 $175,082.18 $87,541.09 50% off $50,689.32 $103,988.69 $89,522.58 2026-05-06
853 CPT Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 3 $93,171.95 $46,585.97 50% off $50,292.96 $103,175.55 $88,822.56 2026-05-06
278 CPT Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 5 $279,292.60 $139,646.30 50% off $44,871.62 $2,753,404.92 $88,770.89 2026-05-06
799 CPT Splenic Procedures With Mcc 7 3 $143,626.50 $71,813.25 50% off $49,843.28 $102,253.03 $88,028.38 2026-05-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 12 — — $5,713.33 $121,545.00 $87,904.07 2026-03-30
471 CPT Cervical Spinal Fusion With Mcc 7 3 $228,865.12 $114,432.56 50% off $49,485.14 $114,563.00 $87,395.87 2026-05-06
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 54 22 — — $26,917.81 $146,581.23 $86,749.52 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 $100,717.57 $86,706.51 2026-05-06
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 $94,976.31 $86,063.35 2026-05-06
239 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 3 $161,771.45 $80,885.73 50% off $48,356.41 $99,202.74 $85,402.42 2026-05-06
277 CPT Cardiac Defibrillator Implant Without Mcc 7 3 $145,452.89 $72,726.44 50% off $48,110.94 $98,699.17 $84,968.90 2026-05-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 54 22 — — $39,082.54 $129,967.44 $84,524.99 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 22 — — $22,463.84 $146,031.57 $84,247.71 2026-03-30
981 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 $63,988.46 $31,994.23 50% off $47,688.42 $97,832.38 $84,222.69 2026-05-06
163 CPT Major Chest Procedures With Mcc 7 3 $177,522.30 $88,761.15 50% off $47,418.82 $97,279.28 $83,746.53 2026-05-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 22 — — $38,707.76 $128,721.12 $83,714.44 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 54 22 — — $38,361.07 $127,568.23 $82,964.65 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 54 22 — — $38,350.22 $127,532.13 $82,941.18 2026-03-30
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 $95,937.81 $82,591.68 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 $95,506.47 $82,220.35 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 $127,539.00 $81,827.70 2026-05-06
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 54 22 — — $52,572.82 $111,075.77 $81,824.29 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 54 22 — — $10,831.37 $152,290.77 $81,561.07 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 22 — — $9,432.21 $153,265.32 $81,348.76 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 22 — — $36,828.32 $124,602.12 $80,715.22 2026-03-30
245 CPT Aicd Generator Procedures 7 3 $104,346.33 $52,173.17 50% off $45,585.88 $93,519.03 $80,509.38 2026-05-06
329 CPT Major Small And Large Bowel Procedures With Mcc 7 3 $160,593.73 $80,296.87 50% off $45,439.01 $93,217.72 $80,249.99 2026-05-06
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 54 22 — — $12,946.22 $147,446.55 $80,196.38 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 $92,910.21 $79,985.26 2026-05-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 22 — — $36,586.13 $121,665.73 $79,125.93 2026-03-30
856 CPT Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 3 $136,741.65 $68,370.82 50% off $44,549.70 $91,393.32 $78,679.38 2026-05-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 12 — — $5,080.74 $141,967.77 $78,627.93 2026-03-30
025 CPT Craniotomy And Endovascular Intracranial Procedures With Mcc 7 3 $203,579.82 $101,789.91 50% off $44,424.96 $91,137.41 $78,459.07 2026-05-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 54 22 — — $14,003.30 $142,914.72 $78,459.01 2026-03-30
834 MS_DRG Acute Leukemia With Mcc 54 22 — — $32,304.89 $124,383.86 $78,344.38 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 12 — — $7,919.80 $161,785.72 $77,799.45 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 $90,020.89 $77,497.88 2026-05-06
850 MS_DRG Acute Leukemia With Other Procedures 21 12 — — $6,977.82 $183,858.50 $77,242.61 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 54 22 — — $33,234.81 $120,951.00 $77,092.90 2026-03-30
901 CPT Wound Debridements For Injuries With Mcc 7 3 $152,629.93 $76,314.97 50% off $43,537.67 $89,317.14 $76,892.02 2026-05-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 22 — — $35,538.41 $118,181.56 $76,859.99 2026-03-30
474 CPT Anesth Surgery Of Rib 7 3 $126,942.53 $63,471.27 50% off $43,286.17 $88,801.19 $76,447.85 2026-05-06
652 MS_DRG Kidney Transplant 54 22 — — $9,223.65 $143,470.46 $76,347.05 2026-03-30
622 CPT Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 5 $241,396.90 $120,698.45 50% off $38,485.54 $2,361,542.88 $76,137.09 2026-05-06
356 CPT Other Digestive System O.r. Procedures With Mcc 7 3 $174,648.66 $87,324.33 50% off $43,043.72 $88,303.81 $76,019.66 2026-05-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 22 — — $12,594.47 $139,417.92 $76,006.20 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 22 — — $21,699.34 $130,118.19 $75,908.76 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 22 — — $32,023.12 $119,607.98 $75,815.55 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 54 22 — — $34,877.59 $115,984.05 $75,430.82 2026-03-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 54 22 — — $34,822.68 $115,801.45 $75,312.07 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 22 — — $29,286.96 $121,011.78 $75,149.37 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 12 — — $5,809.33 $141,863.73 $74,843.73 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 12 — — $6,189.16 $152,731.88 $74,827.48 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 54 22 — — $9,839.67 $139,099.32 $74,469.49 2026-03-30
L7181 HCPCS Dme Pos 54 22 — — $49,605.45 $99,210.90 $74,408.18 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 54 22 — — $30,829.70 $117,862.00 $74,345.85 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 22 — — $7,557.93 $140,340.00 $73,948.96 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 $85,825.19 $73,885.85 2026-05-06
6 MS_DRG Liver Transplant Without Mcc 21 12 — — $5,774.80 $164,442.70 $73,802.49 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 22 — — $34,048.22 $113,226.01 $73,637.12 2026-03-30
323 CPT Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 3 $180,074.42 $90,037.21 50% off $41,648.40 $85,441.32 $73,555.38 2026-05-06
031 CPT Ventricular Shunt Procedures With Mcc 7 3 $120,534.35 $60,267.17 50% off $41,413.00 $84,958.39 $73,139.63 2026-05-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 54 22 — — $34,683.50 $109,574.92 $72,129.21 2026-03-30
166 CPT Other Respiratory System O.r. Procedures With Mcc 7 3 $134,919.64 $67,459.82 50% off $40,821.47 $83,744.88 $72,094.93 2026-05-06
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 $83,476.58 $71,863.96 2026-05-06
236 CPT Coronary Bypass Without Cardiac Catheterization Without Mcc 7 3 $209,043.18 $104,521.59 50% off $40,654.47 $83,402.29 $71,800.00 2026-05-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 22 — — $23,529.43 $119,366.30 $71,447.87 2026-03-30
628 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 3 $139,508.24 $69,754.12 50% off $40,385.87 $82,851.25 $71,325.62 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 $82,653.13 $71,155.06 2026-05-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 22 — — $12,182.87 $129,794.33 $70,988.60 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 22 — — $29,115.70 $112,397.96 $70,756.83 2026-03-30
616 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 3 $171,633.01 $85,816.50 50% off $39,814.46 $81,679.01 $70,316.46 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 $80,956.68 $69,694.61 2026-05-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 22 — — $32,180.06 $107,013.53 $69,596.79 2026-03-30
423 CPT Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 3 $135,702.52 $67,851.26 50% off $39,343.65 $80,713.15 $69,484.96 2026-05-06
034 CPT Carotid Artery Stent Procedures With Mcc 7 3 $146,243.62 $73,121.81 50% off $39,248.08 $80,517.09 $69,316.17 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 $80,426.29 $69,238.00 2026-05-06
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 $80,224.03 $69,063.88 2026-05-06
956 CPT Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 3 $125,538.44 $62,769.22 50% off $39,014.69 $80,038.29 $68,903.98 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 $79,466.62 $68,411.83 2026-05-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 22 — — $31,587.57 $105,043.20 $68,315.38 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 54 22 — — $31,423.48 $104,497.53 $67,960.51 2026-03-30
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 $78,193.25 $67,315.61 2026-05-06
037 CPT Extracranial Procedures With Mcc 12 5 $212,361.45 $106,180.72 50% off $33,958.54 $2,083,757.88 $67,181.19 2026-05-06
140 CPT Anesth Procedures On Eye 7 3 $215,724.74 $107,862.37 50% off $38,007.69 $77,972.43 $67,125.50 2026-05-06
876 CPT O.r. Procedures With Principal Diagnosis Of Mental Illness 7 3 $85,835.62 $42,917.81 50% off $37,538.89 $77,010.70 $66,297.56 2026-05-06
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 $76,818.76 $66,132.33 2026-05-06
907 CPT Other O.r. Procedures For Injuries With Mcc 7 3 $144,159.82 $72,079.91 50% off $37,418.17 $76,763.04 $66,084.36 2026-05-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 54 22 — — $9,664.95 $122,447.07 $66,056.01 2026-03-30
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 7 3 $148,394.68 $74,197.34 50% off $37,201.88 $76,319.32 $65,702.37 2026-05-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 22 — — $6,341.09 $124,521.43 $65,431.26 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 12 — — $5,810.02 $98,523.19 $65,378.50 2026-03-30
332 CPT Rectal Resection With Mcc 7 3 $100,019.93 $50,009.96 50% off $36,762.26 $75,417.44 $64,925.95 2026-05-06
653 MS_DRG Major Bladder Procedures With Mcc 21 12 — — $5,374.25 $110,329.96 $64,884.12 2026-03-30
097 CPT Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 3 $151,222.26 $75,611.13 50% off $36,587.21 $71,308.70 $64,616.80 2026-05-06
094 CPT Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 3 $111,333.87 $55,666.94 50% off $36,444.36 $71,030.28 $64,364.51 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 $74,633.20 $64,250.80 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
64568 CPT Opn Impltj Crnl Nrv Nea&pg 53 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 53 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 54 22 — — $8,336.92 $118,996.87 $63,666.89 2026-03-30
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 $73,908.81 $63,627.18 2026-05-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 54 22 — — $29,165.42 $98,059.99 $63,612.71 2026-03-30
335 CPT Peritoneal Adhesiolysis With Mcc 7 3 $130,752.65 $65,376.32 50% off $35,964.50 $73,780.85 $63,517.03 2026-05-06
245 MS_DRG Aicd Generator Procedures 54 22 — — $29,129.46 $96,868.88 $62,999.17 2026-03-30
265 CPT Aicd Lead Procedures 7 3 $92,742.32 $46,371.16 50% off $35,553.05 $72,936.76 $62,790.35 2026-05-06
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 22 — — $29,029.22 $96,535.53 $62,782.38 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 54 22 — — $12,394.20 $113,158.07 $62,776.14 2026-03-30
414 CPT Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 3 $156,463.73 $78,231.87 50% off $35,463.51 $72,753.08 $62,632.23 2026-05-06
799 MS_DRG Splenic Procedures With Mcc 54 22 — — $28,031.45 $96,157.60 $62,094.53 2026-03-30
467 CPT Revision Of Hip Or Knee Replacement With Cc 7 3 $136,402.32 $68,201.16 50% off $35,072.18 $86,726.00 $61,941.09 2026-05-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 22 — — $28,606.56 $95,129.98 $61,868.27 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 22 — — $11,256.09 $112,026.40 $61,641.25 2026-03-30
492 CPT Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 3 $128,197.04 $64,098.52 50% off $34,828.73 $73,369.00 $61,511.13 2026-05-06
271 CPT Other Major Cardiovascular Procedures With Cc 7 3 $169,012.11 $84,506.05 50% off $34,769.37 $71,329.06 $61,406.31 2026-05-06
242 CPT Permanent Cardiac Pacemaker Implant With Mcc 7 3 $117,353.43 $58,676.71 50% off $34,758.31 $71,306.35 $61,386.76 2026-05-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 22 — — $16,727.71 $105,892.48 $61,310.10 2026-03-30
029 CPT Spinal Procedures With Cc Or Spinal Neurostimulators 7 3 $191,697.62 $95,848.81 50% off $34,487.69 $70,751.19 $60,908.83 2026-05-06
J9226 HCPCS Supprelin La Implant 54 22 — — $35,473.35 $85,643.68 $60,558.51 2026-03-30
574 CPT Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 3 $115,441.15 $57,720.57 50% off $34,262.35 $70,288.90 $60,510.85 2026-05-06
987 CPT Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 $54,065.07 $27,032.53 50% off $33,969.60 $69,688.33 $59,993.83 2026-05-06
L7180 HCPCS Dme Pos 54 22 — — $39,992.59 $79,985.18 $59,988.89 2026-03-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 12 — — $5,383.92 $116,149.66 $59,880.60 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 $69,529.42 $59,857.02 2026-05-06
252 CPT Other Vascular Procedures With Mcc 7 3 $140,632.83 $70,316.41 50% off $33,739.23 $69,215.72 $59,586.96 2026-05-06
579 CPT Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 3 $30,424.89 $15,212.44 50% off $33,622.53 $68,976.32 $59,380.87 2026-05-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 54 22 — — $21,822.96 $96,907.54 $59,365.25 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 22 — — $13,776.09 $104,856.36 $59,316.22 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 22 — — $27,408.79 $91,146.85 $59,277.82 2026-03-30
469 CPT Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 3 $149,532.80 $74,766.40 50% off $33,497.79 $79,266.00 $59,160.56 2026-05-06
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 $68,633.73 $59,085.94 2026-05-06
L2006 HCPCS Dme Pos 54 22 — — $39,378.44 $78,756.88 $59,067.66 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 12 — — $4,290.01 $102,404.94 $58,981.51 2026-03-30
260 CPT Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 3 $201,500.35 $100,750.18 50% off $33,350.91 $68,419.10 $58,901.16 2026-05-06
485 CPT Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 3 $137,383.51 $68,691.76 50% off $33,137.64 $67,981.57 $58,524.50 2026-05-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 22 — — $18,789.84 $97,592.89 $58,191.36 2026-03-30
264 CPT Other Circulatory System O.r. Procedures 7 3 $198,231.85 $99,115.92 50% off $32,855.96 $67,403.71 $58,027.02 2026-05-06
904 CPT Anesth Perineal Surgery 7 3 $59,882.71 $29,941.36 50% off $32,757.37 $67,201.46 $57,852.91 2026-05-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 54 22 — — $26,744.15 $88,936.60 $57,840.38 2026-03-30
500 CPT Anesth Esophageal Surgery 7 3 $157,258.93 $78,629.47 50% off $32,622.57 $66,924.91 $57,614.83 2026-05-06
274 CPT Percutaneous And Other Intracardiac Procedures Without Mcc 7 3 $117,171.38 $58,585.69 50% off $32,602.45 $66,883.63 $57,579.29 2026-05-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 54 22 — — $13,964.62 $101,081.31 $57,522.96 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 22 — — $17,903.81 $96,578.00 $57,240.90 2026-03-30
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 54 22 — — $18,399.37 $95,657.77 $57,028.57 2026-03-30
468 CPT Revision Of Hip Or Knee Replacement Without Cc/mcc 12 5 $167,189.67 $83,594.83 50% off $26,856.18 $1,647,944.08 $56,951.78 2026-05-06
420 CPT Hepatobiliary Diagnostic Procedures With Mcc 7 3 $139,752.20 $69,876.10 50% off $32,200.05 $66,058.11 $56,868.61 2026-05-06
279 CPT Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 3 $183,738.63 $91,869.31 50% off $32,198.04 $66,053.98 $56,865.06 2026-05-06
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 54 22 — — $16,983.25 $96,649.00 $56,816.12 2026-03-30
229 CPT Other Cardiothoracic Procedures Without Mcc 7 3 $94,833.35 $47,416.68 50% off $31,986.78 $65,620.58 $56,491.95 2026-05-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 22 — — $24,987.29 $87,592.62 $56,289.96 2026-03-30
515 CPT Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 3 $128,588.93 $64,294.46 50% off $31,804.69 $65,247.04 $56,170.37 2026-05-06
829 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 3 $109,633.79 $54,816.90 50% off $31,727.23 $65,088.12 $56,033.56 2026-05-06
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 54 22 — — $22,516.21 $89,223.00 $55,869.61 2026-03-30
656 CPT Kidney And Ureter Procedures For Neoplasm With Mcc 7 3 $161,668.61 $80,834.31 50% off $31,564.26 $64,753.79 $55,745.74 2026-05-06
840 CPT Anesth Surg Lower Abdomen 7 3 $139,468.83 $69,734.42 50% off $31,439.51 $61,275.80 $55,525.43 2026-05-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 54 22 — — $6,729.21 $104,062.28 $55,395.75 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 54 22 — — $21,555.01 $89,208.37 $55,381.69 2026-03-30
A9699 HCPCS Radiopharm Rx Agent Noc 47 20 — — $55,169.68 $55,169.68 $55,169.68 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 22 — — $10,584.14 $99,616.30 $55,100.22 2026-03-30
665 CPT Prostatectomy With Mcc 7 3 $112,547.09 $56,273.55 50% off $31,076.35 $63,752.85 $54,884.04 2026-05-06
173 CPT Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 3 $152,540.84 $76,270.42 50% off $30,934.50 $63,461.85 $54,633.53 2026-05-06
460 CPT Spinal Fusion Except Cervical Without Mcc 5 3 $208,243.12 $104,121.56 50% off $36,798.47 $105,101.00 $54,400.29 2026-05-06
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