Price Transparency 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

PENDER MEMORIAL HOSPITAL

Burgaw, NC · CCN 341307 · Rates published

21,384 distinct procedures filed
27 distinct payers
1,131,851 rate rows
2026-05-06 last MRF observed
Data quality

241,111 of 1,131,851 rate rows are consumer-grade (21.3%)

890,740 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 866,609
per-diem day rate — not a per-procedure price 14,515
exceeds 10× this hospital's gross charge — excluded from medians 9,605
placeholder amount (≤ $0.02) — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/560653348_pender-memorial-hospital-incorporated-dba-novant-health-pender-medical-center_standardcharges.json
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint cd9dd5e19482a101… · 266,161,887 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
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 20 $4,520,323.76 $4,520,323.76 $4,520,323.76 nat. median
$2,469,189
1.8× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 20 $1,374,030.00 $1,374,030.00 $1,374,030.00 nat. median
$824,563
1.7× median
822
CPT 		Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 4 $13,626.80 $1,359,228.70 $1,332,577.16 —
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 20 $1,127,511.66 $1,127,511.66 $1,127,511.66 nat. median
$754,974
1.5× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 20 $1,077,636.42 $1,077,636.42 $1,077,636.42 nat. median
$675,122
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 20 $1,027,868.29 $1,027,868.29 $1,027,868.29 nat. median
$625,184
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 20 $1,006,088.03 $1,006,088.03 $1,006,088.03 nat. median
$674,188
1.5× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 20 $992,250.00 $992,250.00 $992,250.00 nat. median
$324,450
outlier · 3.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 20 $979,590.67 $979,590.67 $979,590.67 nat. median
$634,511
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 20 $953,404.97 $953,404.97 $953,404.97 nat. median
$620,080
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $435,139.16 $484,511.02 $443,842.17 nat. median
$370,174
1.2× median
018
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $405,269.70 $405,269.70 $405,269.70 —
001
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $298,084.60 $298,084.60 $298,084.60 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $267,657.17 $314,428.16 $273,010.45 nat. median
$265,286
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $124,649.80 $240,151.86 $235,442.88 nat. median
$108,660
outlier · 2.2×
003
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $234,523.30 $234,523.30 $234,523.30 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $132,196.90 $228,008.63 $223,537.76 nat. median
$117,303
1.9× median
7
MS_DRG 		Lung Transplant 6 $142,452.20 $227,758.44 $223,292.47 nat. median
$122,708
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $206,633.20 $238,146.74 $210,765.97 nat. median
$202,986
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $152,365.40 $194,573.75 $190,758.48 nat. median
$133,176
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $182,393.93 $239,552.61 $186,041.91 nat. median
$206,368
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $113,415.50 $188,690.95 $184,991.03 nat. median
$100,136
1.8× median
004
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $161,700.00 $161,700.00 $161,700.00 —
002
CPT 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $134,685.10 $134,685.10 $134,685.10 —
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $119,615.10 $137,027.63 $134,340.75 nat. median
$102,358
1.3× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 $78,480.60 $134,318.62 $131,684.86 nat. median
$71,240
1.8× median
6
MS_DRG 		Liver Transplant Without Mcc 6 $51,007.00 $133,935.37 $131,309.12 nat. median
$46,260
outlier · 2.8×
014
CPT 		Allogeneic Bone Marrow Transplant 1 $126,069.90 $126,069.90 $126,069.90 —
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 20 $123,190.11 $123,190.11 $123,190.11 nat. median
$69,774
1.8× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 6 $51,715.40 $124,397.14 $121,957.91 nat. median
$45,278
outlier · 2.7×
212
CPT 		Anesth Skull Drainage 1 $118,477.70 $118,477.70 $118,477.70 —
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $86,556.80 $119,167.46 $116,830.78 nat. median
$77,576
1.5× median
10
MS_DRG 		Pancreas Transplant 6 $78,932.70 $117,822.79 $115,512.48 nat. median
$68,882
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $107,610.80 $116,895.11 $114,602.99 nat. median
$93,672
1.2× median
652
MS_DRG 		Kidney Transplant 6 $35,524.50 $116,853.88 $114,562.57 nat. median
$31,494
outlier · 3.6×
215
CPT 		Anesth Skull Repair/fract 1 $112,362.80 $112,362.80 $112,362.80 —
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 20 $111,075.77 $111,075.77 $111,075.77 nat. median
$66,682
1.7× median
216
CPT 		Anesth Head Vessel Surgery 1 $106,758.30 $106,758.30 $106,758.30 —
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $72,065.40 $107,572.40 $105,463.09 nat. median
$59,793
1.8× median
834
MS_DRG 		Acute Leukemia With Mcc 6 $60,388.90 $101,308.22 $99,321.74 nat. median
$53,173
1.9× median
453
CPT 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $97,475.40 $97,475.40 $97,475.40 —
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $93,688.42 $101,087.71 $95,562.23 nat. median
$82,712
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $93,131.70 $123,657.86 $94,994.38 nat. median
$98,905
1.0× median
020
CPT 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $92,976.40 $92,976.40 $92,976.40 —
456
CPT 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $92,723.40 $92,723.40 $92,723.40 —
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 6 $61,650.60 $92,026.74 $90,222.25 nat. median
$53,171
1.7× median
231
CPT 		Coronary Bypass With Ptca With Mcc 1 $89,267.20 $89,267.20 $89,267.20 —
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 $60,753.00 $90,685.82 $88,907.63 nat. median
$55,736
1.6× median
233
CPT 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $85,795.60 $85,795.60 $85,795.60 —
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $83,465.39 $94,583.48 $85,134.74 nat. median
$79,312
1.1× median

Other procedures at this hospital

Browse this hospital's 21,384 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
             
J3399 HCPCS Inj Onase Abepar-xioi Treat 51 20 — — $4,520,323.76 $4,520,323.76 $4,520,323.76 2026-03-30
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 51 20 — — $1,374,030.00 $1,374,030.00 $1,374,030.00 2026-03-30
822 CPT Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 4 4 $136,191.64 $61,286.24 55% off $13,626.80 $1,359,228.70 $1,332,577.16 2026-05-06
Q2042 HCPCS Tisagenlecleucel Car-pos T 51 20 — — $1,127,511.66 $1,127,511.66 $1,127,511.66 2026-03-30
Q2056 HCPCS Ciltacabtagene Car-pos T 51 20 — — $1,077,636.42 $1,077,636.42 $1,077,636.42 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 51 20 — — $1,027,868.29 $1,027,868.29 $1,027,868.29 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 51 20 — — $1,006,088.03 $1,006,088.03 $1,006,088.03 2026-03-30
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 51 20 — — $992,250.00 $992,250.00 $992,250.00 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 51 20 — — $979,590.67 $979,590.67 $979,590.67 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 51 20 — — $953,404.97 $953,404.97 $953,404.97 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $435,139.16 $484,511.02 $443,842.17 2026-03-30
018 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 $1,645,107.27 $740,298.27 55% off $405,269.70 $405,269.70 $405,269.70 2026-05-06
001 CPT Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 $916,622.47 $412,480.11 55% off $298,084.60 $298,084.60 $298,084.60 2026-05-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $267,657.17 $314,428.16 $273,010.45 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $124,649.80 $240,151.86 $235,442.88 2026-03-30
003 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 $678,930.84 $305,518.88 55% off $234,523.30 $234,523.30 $234,523.30 2026-05-06
14 MS_DRG Allogeneic Bone Marrow Transplant 6 6 — — $132,196.90 $228,008.63 $223,537.76 2026-03-30
7 MS_DRG Lung Transplant 6 6 — — $142,452.20 $227,758.44 $223,292.47 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 6 — — $206,633.20 $238,146.74 $210,765.97 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 6 — — $152,365.40 $194,573.75 $190,758.48 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 6 — — $182,393.93 $239,552.61 $186,041.91 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 6 — — $113,415.50 $188,690.95 $184,991.03 2026-03-30
004 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 $497,916.01 $224,062.20 55% off $161,700.00 $161,700.00 $161,700.00 2026-05-06
002 CPT Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 $560,181.56 $252,081.70 55% off $134,685.10 $134,685.10 $134,685.10 2026-05-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 6 — — $119,615.10 $137,027.63 $134,340.75 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 6 — — $78,480.60 $134,318.62 $131,684.86 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 6 6 — — $51,007.00 $133,935.37 $131,309.12 2026-03-30
014 CPT Allogeneic Bone Marrow Transplant 1 1 $585,410.02 $263,434.51 55% off $126,069.90 $126,069.90 $126,069.90 2026-05-06
J9029 HCPCS Instill Adstiladrin, Tx Dose 51 20 — — $123,190.11 $123,190.11 $123,190.11 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 6 — — $51,715.40 $124,397.14 $121,957.91 2026-03-30
212 CPT Anesth Skull Drainage 1 1 $399,350.34 $179,707.65 55% off $118,477.70 $118,477.70 $118,477.70 2026-05-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 6 — — $86,556.80 $119,167.46 $116,830.78 2026-03-30
10 MS_DRG Pancreas Transplant 6 6 — — $78,932.70 $117,822.79 $115,512.48 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 6 — — $107,610.80 $116,895.11 $114,602.99 2026-03-30
652 MS_DRG Kidney Transplant 6 6 — — $35,524.50 $116,853.88 $114,562.57 2026-03-30
215 CPT Anesth Skull Repair/fract 1 1 $456,141.66 $205,263.74 55% off $112,362.80 $112,362.80 $112,362.80 2026-05-06
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 51 20 — — $111,075.77 $111,075.77 $111,075.77 2026-03-30
216 CPT Anesth Head Vessel Surgery 1 1 $352,099.10 $158,444.59 55% off $106,758.30 $106,758.30 $106,758.30 2026-05-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $72,065.40 $107,572.40 $105,463.09 2026-03-30
834 MS_DRG Acute Leukemia With Mcc 6 6 — — $60,388.90 $101,308.22 $99,321.74 2026-03-30
453 CPT Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 $240,589.29 $108,265.18 55% off $97,475.40 $97,475.40 $97,475.40 2026-05-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 6 — — $93,688.42 $101,087.71 $95,562.23 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 6 — — $93,131.70 $123,657.86 $94,994.38 2026-03-30
020 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 $308,224.02 $138,700.81 55% off $92,976.40 $92,976.40 $92,976.40 2026-05-06
456 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 $360,601.64 $162,270.74 55% off $92,723.40 $92,723.40 $92,723.40 2026-05-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 6 — — $61,650.60 $92,026.74 $90,222.25 2026-03-30
231 CPT Coronary Bypass With Ptca With Mcc 1 1 $336,734.02 $151,530.31 55% off $89,267.20 $89,267.20 $89,267.20 2026-05-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 6 — — $60,753.00 $90,685.82 $88,907.63 2026-03-30
233 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 $286,640.00 $128,988.00 55% off $85,795.60 $85,795.60 $85,795.60 2026-05-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 6 — — $83,465.39 $94,583.48 $85,134.74 2026-03-30
219 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 $334,369.87 $150,466.44 55% off $84,823.20 $84,823.20 $84,823.20 2026-05-06
J9226 HCPCS Supprelin La Implant 51 20 — — $84,367.38 $84,367.38 $84,367.38 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 6 — — $40,763.80 $83,406.82 $81,771.35 2026-03-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $74,042.10 $82,250.50 $80,637.70 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 6 — — $72,328.30 $82,103.38 $80,493.47 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 6 — — $54,421.40 $81,540.22 $79,941.35 2026-03-30
957 CPT Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 $281,907.22 $126,858.25 55% off $79,557.50 $79,557.50 $79,557.50 2026-05-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $53,913.20 $80,476.67 $78,898.65 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 6 — — $64,512.80 $80,447.62 $78,870.17 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 6 — — $75,656.90 $80,284.57 $78,710.32 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 6 — — $65,378.50 $80,245.21 $78,671.74 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 6 — — $72,328.30 $80,002.52 $78,433.80 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 6 — — $76,646.06 $86,150.53 $78,179.02 2026-03-30
275 CPT Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 $207,517.70 $93,382.96 55% off $77,393.80 $77,393.80 $77,393.80 2026-05-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 6 — — $75,236.81 $94,286.15 $76,741.58 2026-03-30
215 MS_DRG Other Heart Assist System Implant 6 6 — — $75,200.06 $111,717.54 $76,704.10 2026-03-30
870 CPT Anesth Bladder Stone Surg 1 1 $265,190.28 $119,335.63 55% off $76,613.90 $76,613.90 $76,613.90 2026-05-06
207 CPT Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 $252,679.92 $113,705.96 55% off $75,988.00 $75,988.00 $75,988.00 2026-05-06
969 CPT HIV With Extensive O.r. Procedures With Mcc 1 1 $174,916.76 $78,712.54 55% off $75,598.60 $75,598.60 $75,598.60 2026-05-06
268 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 $337,769.49 $151,996.27 55% off $75,401.70 $75,401.70 $75,401.70 2026-05-06
459 CPT Spinal Fusion Except Cervical With Mcc 1 1 $182,382.44 $82,072.10 55% off $72,955.30 $72,955.30 $72,955.30 2026-05-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 6 — — $63,033.30 $72,905.30 $71,475.75 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 6 — — $67,412.40 $71,680.58 $70,275.04 2026-03-30
217 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 $252,443.23 $113,599.45 55% off $70,018.30 $70,018.30 $70,018.30 2026-05-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 6 — — $68,017.85 $77,550.40 $69,378.24 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 6 — — $66,688.60 $70,181.30 $68,805.16 2026-03-30
266 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 $219,366.60 $98,714.97 55% off $68,707.10 $68,707.10 $68,707.10 2026-05-06
573 CPT Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 $254,149.98 $114,367.49 55% off $68,399.10 $68,399.10 $68,399.10 2026-05-06
276 CPT Cardiac Defibrillator Implant With Mcc 1 1 $204,183.78 $91,882.70 55% off $68,312.20 $68,312.20 $68,312.20 2026-05-06
016 CPT Autologous Bone Marrow Transplant With Cc/mcc 1 1 $167,758.36 $75,491.26 55% off $67,947.00 $67,947.00 $67,947.00 2026-05-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 6 — — $66,675.67 $68,680.99 $67,671.76 2026-03-30
021 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 $282,055.26 $126,924.87 55% off $67,555.40 $67,555.40 $67,555.40 2026-05-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 6 — — $58,231.80 $68,732.62 $67,384.88 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 6 6 — — $66,091.30 $68,591.12 $67,329.65 2026-03-30
454 CPT Anesth Collar Bone Biopsy 1 1 $241,069.17 $108,481.13 55% off $67,279.30 $67,279.30 $67,279.30 2026-05-06
955 CPT Craniotomy For Multiple Significant Trauma 1 1 $418,067.28 $188,130.27 55% off $66,992.20 $66,992.20 $66,992.20 2026-05-06
457 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 $202,305.84 $91,037.63 55% off $66,828.30 $66,828.30 $66,828.30 2026-05-06
820 CPT Anesth Abdominal Wall Surg 1 1 $138,179.19 $62,180.64 55% off $66,513.70 $66,513.70 $66,513.70 2026-05-06
028 CPT Spinal Procedures With Mcc 1 1 $237,048.26 $106,671.72 55% off $66,287.10 $66,287.10 $66,287.10 2026-05-06
790 CPT Anes Iper Upr Abd Nos 1 1 $232,280.87 $104,526.39 55% off $66,001.10 $66,001.10 $66,001.10 2026-05-06
232 CPT Coronary Bypass With Ptca Without Mcc 1 1 $282,652.64 $127,193.69 55% off $65,434.60 $65,434.60 $65,434.60 2026-05-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 6 — — $64,053.77 $80,003.09 $65,334.87 2026-03-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 6 — — $64,040.90 $75,022.53 $65,321.76 2026-03-30
J9266 HCPCS Pegaspargase Injection 51 20 — — $65,250.20 $65,250.20 $65,250.20 2026-03-30
235 CPT Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 $244,653.33 $110,094.00 55% off $64,686.60 $64,686.60 $64,686.60 2026-05-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 6 — — $63,186.54 $85,779.14 $64,450.30 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 6 — — $62,123.63 $85,495.28 $63,366.13 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 6 — — $62,059.32 $72,197.33 $63,300.54 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 6 6 — — $61,678.99 $97,159.59 $62,912.60 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 6 — — $42,836.20 $63,941.48 $62,687.69 2026-03-30
218 CPT Anesth Special Head Surgery 1 1 $155,536.49 $69,991.42 55% off $62,663.70 $62,663.70 $62,663.70 2026-05-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 6 — — $61,377.66 $80,992.69 $62,605.25 2026-03-30
576 CPT Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 $125,171.23 $56,327.05 55% off $62,514.10 $62,514.10 $62,514.10 2026-05-06
023 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 $234,851.11 $105,683.00 55% off $62,356.80 $62,356.80 $62,356.80 2026-05-06
463 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 $259,583.70 $116,812.67 55% off $62,300.70 $62,300.70 $62,300.70 2026-05-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 6 — — $60,958.75 $74,967.55 $62,177.95 2026-03-30
834 CPT Anesth Hernia Repair < 1 Yr 1 1 $55,889.17 $25,150.13 55% off $61,589.00 $61,589.00 $61,589.00 2026-05-06
405 CPT Pancreas, Liver And Shunt Procedures With Mcc 1 1 $211,432.16 $95,144.47 55% off $60,557.20 $60,557.20 $60,557.20 2026-05-06
653 CPT Major Bladder Procedures With Mcc 1 1 $123,440.53 $55,548.24 55% off $59,549.60 $59,549.60 $59,549.60 2026-05-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 6 — — $57,666.21 $63,078.84 $58,819.57 2026-03-30
332 MS_DRG Rectal Resection With Mcc 6 6 — — $39,827.70 $59,451.14 $58,285.40 2026-03-30
220 CPT Anesth Intrcrn Nerve 1 1 $258,189.97 $116,185.49 55% off $57,690.60 $57,690.60 $57,690.60 2026-05-06
234 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 $230,196.59 $103,588.46 55% off $57,176.90 $57,176.90 $57,176.90 2026-05-06
466 CPT Revision Of Hip Or Knee Replacement With Mcc 1 1 $172,476.88 $77,614.60 55% off $57,052.60 $57,052.60 $57,052.60 2026-05-06
011 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 $172,946.04 $77,825.72 55% off $56,719.30 $56,719.30 $56,719.30 2026-05-06
326 CPT Anesth Larynx/trach < 1 Yr 1 1 $179,997.02 $80,998.66 55% off $55,869.00 $55,869.00 $55,869.00 2026-05-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 6 — — $54,571.19 $59,200.09 $55,662.64 2026-03-30
270 CPT Other Major Cardiovascular Procedures With Mcc 1 1 $176,015.60 $79,207.02 55% off $55,625.90 $55,625.90 $55,625.90 2026-05-06
228 CPT Other Cardiothoracic Procedures With Mcc 1 1 $147,856.43 $66,535.39 55% off $55,425.70 $55,425.70 $55,425.70 2026-05-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 6 — — $41,393.00 $56,386.05 $55,280.41 2026-03-30
853 CPT Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 $200,462.44 $90,208.10 55% off $54,992.30 $54,992.30 $54,992.30 2026-05-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 6 — — $53,895.96 $55,411.09 $54,649.26 2026-03-30
799 CPT Splenic Procedures With Mcc 1 1 $169,610.99 $76,324.95 55% off $54,500.60 $54,500.60 $54,500.60 2026-05-06
471 CPT Cervical Spinal Fusion With Mcc 1 1 $203,044.90 $91,370.21 55% off $54,109.00 $54,109.00 $54,109.00 2026-05-06
653 MS_DRG Major Bladder Procedures With Mcc 6 6 — — $52,846.84 $58,303.61 $53,903.80 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 6 6 — — $52,691.58 $59,798.11 $53,745.44 2026-03-30
267 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 $175,182.92 $78,832.31 55% off $53,682.20 $53,682.20 $53,682.20 2026-05-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 6 — — $52,565.72 $65,845.69 $53,617.06 2026-03-30
837 CPT Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 $187,871.93 $84,542.37 55% off $53,284.00 $53,284.00 $53,284.00 2026-05-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 6 — — $52,042.08 $58,404.59 $53,082.95 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 6 — — $51,887.74 $66,531.23 $52,925.52 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 6 — — $51,887.74 $60,950.41 $52,925.52 2026-03-30
239 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 $162,469.63 $73,111.33 55% off $52,874.80 $52,874.80 $52,874.80 2026-05-06
277 CPT Cardiac Defibrillator Implant Without Mcc 1 1 $138,663.99 $62,398.79 55% off $52,606.40 $52,606.40 $52,606.40 2026-05-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 6 — — $51,455.80 $53,111.06 $52,277.28 2026-03-30
981 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 $161,934.66 $72,870.60 55% off $52,144.40 $52,144.40 $52,144.40 2026-05-06
163 CPT Major Chest Procedures With Mcc 1 1 $157,538.98 $70,892.54 55% off $51,849.60 $51,849.60 $51,849.60 2026-05-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 — — $50,333.34 $52,642.00 $51,340.03 2026-03-30
221 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 $201,042.71 $90,469.22 55% off $51,134.60 $51,134.60 $51,134.60 2026-05-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 6 — — $49,977.81 $61,291.49 $50,977.39 2026-03-30
826 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 $125,106.80 $56,298.06 55% off $50,904.70 $50,904.70 $50,904.70 2026-05-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 6 — — $50,236.88 $51,441.46 $50,837.22 2026-03-30
455 CPT Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 $187,375.21 $84,318.84 55% off $50,661.60 $50,661.60 $50,661.60 2026-05-06
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 6 — — $41,114.70 $51,444.05 $50,435.31 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $49,344.84 $62,452.76 $50,331.77 2026-03-30
245 CPT Aicd Generator Procedures 1 1 $121,284.04 $54,577.82 55% off $49,845.40 $49,845.40 $49,845.40 2026-05-06
458 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 $230,899.92 $103,904.96 55% off $49,841.00 $49,841.00 $49,841.00 2026-05-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 6 — — $48,857.03 $64,706.86 $49,834.19 2026-03-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 6 — — $39,913.50 $50,772.18 $49,776.62 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 6 — — $39,729.80 $50,735.64 $49,740.79 2026-03-30
329 CPT Major Small And Large Bowel Procedures With Mcc 1 1 $186,778.35 $84,050.26 55% off $49,684.80 $49,684.80 $49,684.80 2026-05-06
823 CPT Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 $136,792.73 $61,556.73 55% off $49,520.90 $49,520.90 $49,520.90 2026-05-06
901 MS_DRG Wound Debridements For Injuries With Mcc 6 6 — — $46,162.60 $50,257.74 $49,272.27 2026-03-30
263 MS_DRG Vein Ligation And Stripping 6 6 — — $33,631.40 $50,202.45 $49,218.07 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 6 — — $48,102.79 $67,394.05 $49,064.88 2026-03-30
278 CPT Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 $109,948.11 $49,476.65 55% off $49,064.40 $49,064.40 $49,064.40 2026-05-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 6 — — $47,815.25 $61,379.01 $48,771.58 2026-03-30
856 CPT Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 $140,352.92 $63,158.82 55% off $48,712.40 $48,712.40 $48,712.40 2026-05-06
025 CPT Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 $221,101.44 $99,495.65 55% off $48,576.00 $48,576.00 $48,576.00 2026-05-06
319 CPT Other Endovascular Cardiac Valve Procedures With Mcc 1 1 $135,790.31 $61,105.64 55% off $47,980.90 $47,980.90 $47,980.90 2026-05-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 6 — — $47,269.55 $48,553.43 $47,908.18 2026-03-30
901 CPT Wound Debridements For Injuries With Mcc 1 1 $118,537.79 $53,342.01 55% off $47,605.80 $47,605.80 $47,605.80 2026-05-06
245 MS_DRG Aicd Generator Procedures 6 6 — — $46,469.39 $51,190.13 $47,398.80 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 6 — — $46,413.35 $66,905.98 $47,341.64 2026-03-30
474 CPT Anesth Surgery Of Rib 1 1 $123,045.13 $55,370.31 55% off $47,330.80 $47,330.80 $47,330.80 2026-05-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 6 — — $46,321.48 $50,073.74 $47,247.94 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 6 6 — — $46,303.11 $47,856.67 $47,073.75 2026-03-30
356 CPT Other Digestive System O.r. Procedures With Mcc 1 1 $161,492.10 $72,671.44 55% off $47,065.70 $47,065.70 $47,065.70 2026-05-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 6 — — $46,101.00 $61,195.00 $47,023.04 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 6 — — $45,890.62 $59,834.02 $46,808.46 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 6 — — $45,861.22 $63,948.39 $46,778.47 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 6 — — $45,416.59 $51,013.97 $46,324.94 2026-03-30
793 CPT Full Term Neonate With Major Problems 1 1 $21,596.56 $9,718.45 55% off $46,302.30 $46,302.30 $46,302.30 2026-05-06
163 MS_DRG Major Chest Procedures With Mcc 6 6 — — $44,897.53 $50,285.80 $45,795.51 2026-03-30
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 $164,810.13 $74,164.56 55% off $45,744.60 $45,744.60 $45,744.60 2026-05-06
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 6 — — $44,814.85 $47,141.95 $45,711.17 2026-03-30
323 CPT Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 $128,925.18 $58,016.33 55% off $45,540.00 $45,540.00 $45,540.00 2026-05-06
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 6 6 — — $40,404.10 $46,420.52 $45,510.29 2026-03-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 6 — — $44,602.64 $46,288.11 $45,437.60 2026-03-30
031 CPT Ventricular Shunt Procedures With Mcc 1 1 $222,573.24 $100,157.96 55% off $45,282.60 $45,282.60 $45,282.60 2026-05-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 6 — — $44,260.89 $55,221.47 $45,146.13 2026-03-30
791 CPT Prematurity With Major Problems 1 1 $47,742.27 $21,484.02 55% off $45,074.70 $45,074.70 $45,074.70 2026-05-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 6 — — $42,232.30 $45,679.31 $44,783.62 2026-03-30
166 CPT Other Respiratory System O.r. Procedures With Mcc 1 1 $130,129.00 $58,558.05 55% off $44,635.80 $44,635.80 $44,635.80 2026-05-06
958 CPT Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 $184,373.86 $82,968.24 55% off $44,492.80 $44,492.80 $44,492.80 2026-05-06
236 CPT Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 $172,881.73 $77,796.78 55% off $44,453.20 $44,453.20 $44,453.20 2026-05-06
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 — — $37,712.40 $45,218.28 $44,331.63 2026-03-30
628 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 $148,590.69 $66,865.81 55% off $44,159.50 $44,159.50 $44,159.50 2026-05-06
471 MS_DRG Cervical Spinal Fusion With Mcc 6 6 — — $43,196.15 $54,178.01 $44,060.09 2026-03-30
012 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 $279,909.81 $125,959.41 55% off $44,053.90 $44,053.90 $44,053.90 2026-05-06
616 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 $115,832.04 $52,124.42 55% off $43,534.70 $43,534.70 $43,534.70 2026-05-06
799 MS_DRG Splenic Procedures With Mcc 6 6 — — $42,628.40 $50,814.26 $43,480.99 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 6 — — $42,833.27 $43,891.52 $43,360.43 2026-03-30
022 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 $176,108.63 $79,248.88 55% off $43,149.70 $43,149.70 $43,149.70 2026-05-06
423 CPT Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 $132,315.46 $59,541.96 55% off $43,019.90 $43,019.90 $43,019.90 2026-05-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 6 — — $42,108.43 $51,572.73 $42,950.62 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 — — $42,513.90 $43,364.18 $42,939.04 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 6 — — $42,074.44 $49,287.22 $42,915.95 2026-03-30
034 CPT Carotid Artery Stent Procedures With Mcc 1 1 $123,155.59 $55,420.02 55% off $42,915.40 $42,915.40 $42,915.40 2026-05-06
273 CPT Percutaneous And Other Intracardiac Procedures With Mcc 1 1 $104,725.63 $47,126.53 55% off $42,867.00 $42,867.00 $42,867.00 2026-05-06
736 CPT Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 $88,414.01 $39,786.30 55% off $42,759.20 $42,759.20 $42,759.20 2026-05-06
956 CPT Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 $233,212.78 $104,945.75 55% off $42,660.20 $42,660.20 $42,660.20 2026-05-06
040 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 $130,164.97 $58,574.24 55% off $42,355.50 $42,355.50 $42,355.50 2026-05-06
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 6 — — $34,951.40 $43,160.52 $42,314.22 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 6 — — $41,322.05 $46,816.57 $42,148.51 2026-03-30
622 CPT Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 $159,469.58 $71,761.31 55% off $42,081.60 $42,081.60 $42,081.60 2026-05-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 6 — — $41,117.18 $50,271.21 $41,939.55 2026-03-30
024 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 $131,298.87 $59,084.49 55% off $41,676.80 $41,676.80 $41,676.80 2026-05-06
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 6 — — $38,713.40 $42,407.13 $41,575.60 2026-03-30
140 CPT Anesth Procedures On Eye 1 1 $169,961.10 $76,482.50 55% off $41,559.10 $41,559.10 $41,559.10 2026-05-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 6 — — $40,362.03 $46,596.66 $41,169.29 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 6 — — $37,478.10 $41,985.46 $41,162.20 2026-03-30
876 CPT O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 $166,740.35 $75,033.16 55% off $41,046.50 $41,046.50 $41,046.50 2026-05-06
408 CPT Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 $160,989.14 $72,445.11 55% off $40,944.20 $40,944.20 $40,944.20 2026-05-06
907 CPT Other O.r. Procedures For Injuries With Mcc 1 1 $164,625.05 $74,081.27 55% off $40,914.50 $40,914.50 $40,914.50 2026-05-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 6 — — $40,053.35 $46,998.34 $40,854.44 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 6 — — $39,924.74 $80,477.69 $40,723.26 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 6 6 — — $36,213.10 $41,500.07 $40,686.32 2026-03-30
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 1 1 $112,044.15 $50,419.87 55% off $40,678.00 $40,678.00 $40,678.00 2026-05-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 6 — — $39,865.95 $43,429.25 $40,663.28 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 6 — — $39,837.47 $48,166.34 $40,634.24 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 6 — — $39,594.02 $53,416.18 $40,385.92 2026-03-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 6 — — $39,503.99 $51,819.57 $40,294.09 2026-03-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 6 — — $39,466.32 $55,958.63 $40,255.67 2026-03-30
460 CPT Spinal Fusion Except Cervical Without Mcc 1 1 $171,365.72 $77,114.57 55% off $40,236.90 $40,236.90 $40,236.90 2026-05-06
332 CPT Rectal Resection With Mcc 1 1 $119,405.14 $53,732.31 55% off $40,197.30 $40,197.30 $40,197.30 2026-05-06
518 CPT Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 $159,657.90 $71,846.06 55% off $40,169.80 $40,169.80 $40,169.80 2026-05-06
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $39,670.40 $40,467.44 $40,068.88 2026-03-30
097 CPT Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 $119,926.24 $53,966.81 55% off $40,005.90 $40,005.90 $40,005.90 2026-05-06
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 6 — — $29,260.00 $40,747.62 $39,948.63 2026-03-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 6 — — $39,221.60 $40,612.68 $39,911.18 2026-03-30
094 CPT Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 $136,607.60 $61,473.42 55% off $39,849.70 $39,849.70 $39,849.70 2026-05-06
739 CPT Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 $126,732.03 $57,029.41 55% off $39,779.30 $39,779.30 $39,779.30 2026-05-06
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 6 — — $35,780.80 $40,493.68 $39,699.66 2026-03-30
495 CPT Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 $194,127.87 $87,357.54 55% off $39,393.20 $39,393.20 $39,393.20 2026-05-06
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 6 — — $38,570.61 $47,279.96 $39,342.04 2026-03-30
335 CPT Peritoneal Adhesiolysis With Mcc 1 1 $114,575.89 $51,559.15 55% off $39,325.00 $39,325.00 $39,325.00 2026-05-06
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 6 — — $38,527.43 $47,303.52 $39,298.00 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 6 — — $38,497.12 $47,581.78 $39,267.08 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 6 — — $38,355.64 $39,901.69 $39,121.04 2026-03-30
J9266 CPT Oncaspar 750 Unit/ml Ij Soln 28 16 $63,055.89 $28,375.15 55% off $27,070.53 $39,031.60 $39,031.60 2026-05-06
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 6 — — $38,265.61 $40,680.35 $39,030.94 2026-03-30
265 CPT Aicd Lead Procedures 1 1 $108,903.98 $49,006.79 55% off $38,875.10 $38,875.10 $38,875.10 2026-05-06
414 CPT Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 $139,513.07 $62,780.88 55% off $38,777.20 $38,777.20 $38,777.20 2026-05-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 6 — — $37,660.20 $56,551.04 $38,413.43 2026-03-30
467 CPT Revision Of Hip Or Knee Replacement With Cc 1 1 $134,875.52 $60,693.99 55% off $38,349.30 $38,349.30 $38,349.30 2026-05-06
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 6 — — $37,338.67 $40,065.50 $38,085.46 2026-03-30
492 CPT Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 $146,125.13 $65,756.31 55% off $38,083.10 $38,083.10 $38,083.10 2026-05-06
271 CPT Other Major Cardiovascular Procedures With Cc 1 1 $126,395.99 $56,878.20 55% off $38,018.20 $38,018.20 $38,018.20 2026-05-06
242 CPT Permanent Cardiac Pacemaker Implant With Mcc 1 1 $122,627.48 $55,182.36 55% off $38,006.10 $38,006.10 $38,006.10 2026-05-06
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 6 — — $35,498.10 $38,650.50 $37,892.63 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 6 — — $37,148.50 $39,128.63 $37,891.49 2026-03-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 6 — — $29,768.20 $38,640.19 $37,882.52 2026-03-30
802 CPT Anesth Fat Layer Removal 1 1 $81,771.75 $36,797.29 55% off $37,738.80 $37,738.80 $37,738.80 2026-05-06
029 CPT Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 $184,046.23 $82,820.81 55% off $37,710.20 $37,710.20 $37,710.20 2026-05-06
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 6 — — $36,883.92 $38,760.61 $37,621.62 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 6 6 — — $30,792.30 $38,371.26 $37,618.86 2026-03-30
574 CPT Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 $123,031.88 $55,364.35 55% off $37,463.80 $37,463.80 $37,463.80 2026-05-06
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 6 — — $36,665.28 $39,972.37 $37,398.60 2026-03-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 6 — — $35,314.40 $37,974.89 $37,230.26 2026-03-30
987 CPT Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 $128,106.88 $57,648.09 55% off $37,143.70 $37,143.70 $37,143.70 2026-05-06
037 CPT Extracranial Procedures With Mcc 1 1 $285,786.59 $128,603.96 55% off $37,131.60 $37,131.60 $37,131.60 2026-05-06
477 CPT Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 $154,672.01 $69,602.40 55% off $37,059.00 $37,059.00 $37,059.00 2026-05-06
835 MS_DRG Acute Leukemia With Cc 6 6 — — $22,943.80 $37,764.99 $37,024.48 2026-03-30
252 CPT Other Vascular Procedures With Mcc 1 1 $120,581.77 $54,261.79 55% off $36,891.80 $36,891.80 $36,891.80 2026-05-06
579 CPT Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 $92,151.59 $41,468.21 55% off $36,764.20 $36,764.20 $36,764.20 2026-05-06
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 6 — — $35,623.50 $37,492.31 $36,757.15 2026-03-30
469 CPT Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 $100,572.37 $45,257.57 55% off $36,627.80 $36,627.80 $36,627.80 2026-05-06
143 CPT Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 $76,882.79 $34,597.26 55% off $36,581.60 $36,581.60 $36,581.60 2026-05-06
252 MS_DRG Other Vascular Procedures With Mcc 6 6 — — $35,842.14 $39,138.73 $36,559.01 2026-03-30
260 CPT Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 $182,935.41 $82,320.93 55% off $36,467.20 $36,467.20 $36,467.20 2026-05-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 6 — — $35,593.18 $53,904.25 $36,305.07 2026-03-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 6 — — $35,530.71 $40,105.89 $36,241.35 2026-03-30
485 CPT Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 $101,548.36 $45,696.76 55% off $36,234.00 $36,234.00 $36,234.00 2026-05-06
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 6 — — $25,554.10 $36,914.15 $36,190.32 2026-03-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 6 — — $35,438.85 $40,199.02 $36,147.64 2026-03-30
264 CPT Other Circulatory System O.r. Procedures 1 1 $99,352.09 $44,708.44 55% off $35,926.00 $35,926.00 $35,926.00 2026-05-06
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 6 — — $35,151.30 $47,384.30 $35,854.34 2026-03-30
904 CPT Anesth Perineal Surgery 1 1 $166,953.76 $75,129.19 55% off $35,818.20 $35,818.20 $35,818.20 2026-05-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 6 — — $34,977.67 $51,036.41 $35,677.24 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 6 — — $35,120.80 $36,236.66 $35,674.67 2026-03-30
500 CPT Anesth Esophageal Surgery 1 1 $83,282.92 $37,477.31 55% off $35,670.80 $35,670.80 $35,670.80 2026-05-06
274 CPT Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 $110,596.53 $49,768.44 55% off $35,648.80 $35,648.80 $35,648.80 2026-05-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 6 — — $34,750.76 $43,322.66 $35,445.79 2026-03-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 6 — — $35,055.90 $35,834.67 $35,444.51 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 6 6 — — $31,746.00 $36,106.41 $35,398.42 2026-03-30
939 CPT O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 $77,987.28 $35,094.27 55% off $35,368.30 $35,368.30 $35,368.30 2026-05-06
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 6 — — $29,157.70 $35,999.59 $35,293.69 2026-03-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 6 — — $34,563.10 $35,919.94 $35,234.99 2026-03-30
420 CPT Hepatobiliary Diagnostic Procedures With Mcc 1 1 $107,614.51 $48,426.53 55% off $35,208.80 $35,208.80 $35,208.80 2026-05-06
279 CPT Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 $143,972.62 $64,787.68 55% off $35,206.60 $35,206.60 $35,206.60 2026-05-06
265 MS_DRG Aicd Lead Procedures 6 6 — — $34,481.58 $40,596.20 $35,171.23 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 6 — — $32,035.30 $35,820.61 $35,118.23 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $34,308.87 $45,110.01 $34,995.07 2026-03-30
229 CPT Other Cardiothoracic Procedures Without Mcc 1 1 $115,957.20 $52,180.74 55% off $34,975.60 $34,975.60 $34,975.60 2026-05-06
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 6 — — $32,740.40 $35,611.65 $34,913.36 2026-03-30
515 CPT Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 $111,458.01 $50,156.11 55% off $34,776.50 $34,776.50 $34,776.50 2026-05-06
829 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 $103,833.09 $46,724.89 55% off $34,691.80 $34,691.80 $34,691.80 2026-05-06
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 6 — — $33,990.09 $35,354.22 $34,665.46 2026-03-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 6 — — $33,365.20 $35,268.69 $34,577.13 2026-03-30
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