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

SAINT THOMAS RUTHERFORD HOSPITAL

Murfreesboro, TN · CCN 440053 · Rates published

12,011 distinct procedures filed
43 distinct payers
345,254 rate rows
2026-01-01 last MRF observed
Data quality

341,536 of 345,254 rate rows are consumer-grade (98.9%)

3,718 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
per-diem day rate — not a per-procedure price 2,671
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 438
placeholder amount (≤ $0.02) — excluded from medians 379
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 212
template filing: same amount across many unrelated codes — excluded 12
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/620475842_saint-thomas-rutherford-hospital_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-17
Content fingerprint 54b93049575453e8… · 348,852,580 bytes · first seen 2026-05-16

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
0270
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$122
outlier · 2052.2×
0279
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$940
outlier · 265.9×
0672
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$0
0278
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$1,512
outlier · 165.3×
0274
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$264
outlier · 947.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 43 $8,343.00 $814,556.11 $143,443.12 nat. median
$168,055
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 43 $8,343.00 $424,425.61 $101,900.81 nat. median
$186,516
0.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 43 $8,343.00 $363,911.00 $82,813.12 nat. median
$145,435
0.6× median
90288
CPT 		Botulism Ig IV 4 $75,005.70 $75,005.70 $75,005.70 nat. median
$43,548
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 43 $8,343.00 $325,559.68 $70,558.70 nat. median
$131,925
0.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 $18,292.00 $214,572.44 $65,222.98 nat. median
$69,822
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 43 $8,343.00 $234,608.48 $64,236.89 nat. median
$97,418
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 43 $8,343.00 $263,555.00 $60,806.65 nat. median
$65,418
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 43 $8,343.00 $261,886.91 $58,574.47 nat. median
$73,023
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 37 $15,440.00 $132,532.03 $55,101.03 nat. median
$60,505
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 $13,261.00 $269,794.84 $54,927.82 nat. median
$59,651
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 $13,261.00 $237,401.57 $50,188.29 nat. median
$55,923
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 39 $14,128.00 $114,186.43 $49,971.93 nat. median
$55,935
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 43 $8,343.00 $168,180.99 $46,290.12 nat. median
$56,428
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 39 $13,261.00 $137,051.15 $44,956.57 nat. median
$49,569
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 $13,261.00 $153,528.19 $43,810.58 nat. median
$51,518
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 $11,792.00 $137,568.31 $42,978.66 nat. median
$47,458
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 33 $13,261.00 $146,303.26 $42,363.28 nat. median
$2,958
outlier · 14.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 $11,792.00 $125,062.70 $41,689.30 nat. median
$45,446
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 41 $10,900.00 $99,667.42 $39,627.46 nat. median
$43,803
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 41 $10,900.00 $196,214.43 $38,855.82 nat. median
$44,036
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 41 $11,485.00 $99,442.66 $38,540.20 nat. median
$43,299
0.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 41 $10,900.00 $104,507.32 $36,057.84 nat. median
$43,023
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 43 $8,343.00 $139,111.06 $34,316.38 nat. median
$52,327
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 43 $8,343.00 $112,149.03 $33,904.27 nat. median
$41,943
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 $9,564.00 $169,110.57 $33,530.00 nat. median
$42,674
0.8× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 $9,564.00 $123,773.08 $32,765.78 nat. median
$38,832
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 42 $9,230.00 $103,320.25 $32,296.14 nat. median
$37,725
0.9× median
0888T
OTHER 		Histotripsy Mal Renal Tissue 4 $29,750.85 $36,926.06 $32,200.92 nat. median
$20,540
1.6× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 41 $9,564.00 $77,915.86 $32,135.65 nat. median
$39,159
0.8× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 43 $8,343.00 $146,246.52 $31,142.06 nat. median
$38,173
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 43 $8,343.00 $130,675.06 $30,715.28 nat. median
$47,121
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 39 $8,343.00 $235,027.44 $30,100.07 nat. median
$74,509
outlier · 0.4×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 42 $9,230.00 $106,187.53 $29,339.59 nat. median
$35,986
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 37 $10,900.00 $135,512.77 $29,180.18 nat. median
$43,533
0.7× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 42 $9,230.00 $132,610.58 $29,037.25 nat. median
$34,932
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 43 $8,343.00 $163,655.32 $28,613.51 nat. median
$48,611
0.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 43 $8,343.00 $136,798.03 $28,334.40 nat. median
$47,340
0.6× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 43 $8,343.00 $147,328.85 $28,006.56 nat. median
$34,616
0.8× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 43 $8,343.00 $78,320.29 $27,579.30 nat. median
$36,541
0.8× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 43 $8,343.00 $103,870.14 $27,341.44 nat. median
$32,531
0.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 $8,343.00 $86,899.95 $27,060.41 nat. median
$33,546
0.8× median
245
MS_DRG 		Aicd Generator Procedures 43 $8,343.00 $99,078.25 $26,839.42 nat. median
$32,088
0.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 $8,343.00 $157,351.23 $26,811.49 nat. median
$40,301
0.7× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 43 $8,343.00 $146,595.66 $26,800.26 nat. median
$32,992
0.8× median

Other procedures at this hospital

Browse this hospital's 12,011 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
             
0279 RC — 1 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0278 RC — 1 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0672 RC — 1 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0270 RC — 1 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0274 RC — 1 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 79 43 — — $8,343.00 $814,556.11 $143,443.12 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 78 43 — — $8,343.00 $424,425.61 $101,900.81 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 79 43 — — $8,343.00 $363,911.00 $82,813.12 2026-01-01
90288 CPT Botulism Ig IV 12 4 — — $75,005.70 $75,005.70 $75,005.70 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 79 43 — — $8,343.00 $325,559.68 $70,558.70 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 35 — — $18,292.00 $214,572.44 $65,222.98 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 79 43 — — $8,343.00 $234,608.48 $64,236.89 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 78 43 — — $8,343.00 $263,555.00 $60,806.65 2026-01-01
215 MS_DRG Other Heart Assist System Implant 79 43 — — $8,343.00 $261,886.91 $58,574.47 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 62 37 — — $15,440.00 $132,532.03 $55,101.03 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 64 39 — — $13,261.00 $269,794.84 $54,927.82 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 65 39 — — $13,261.00 $237,401.57 $50,188.29 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 64 39 — — $14,128.00 $114,186.43 $49,971.93 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 79 43 — — $8,343.00 $168,180.99 $46,290.12 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 65 39 — — $13,261.00 $137,051.15 $44,956.57 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 55 35 — — $13,261.00 $153,528.19 $43,810.58 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 41 — — $11,792.00 $137,568.31 $42,978.66 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 44 33 — — $13,261.00 $146,303.26 $42,363.28 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 41 — — $11,792.00 $125,062.70 $41,689.30 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 75 41 — — $10,900.00 $99,667.42 $39,627.46 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 74 41 — — $10,900.00 $196,214.43 $38,855.82 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 73 41 — — $11,485.00 $99,442.66 $38,540.20 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 75 41 — — $10,900.00 $104,507.32 $36,057.84 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 79 43 — — $8,343.00 $139,111.06 $34,316.38 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 79 43 — — $8,343.00 $112,149.03 $33,904.27 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 76 41 — — $9,564.00 $169,110.57 $33,530.00 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 77 41 — — $9,564.00 $123,773.08 $32,765.78 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 78 42 — — $9,230.00 $103,320.25 $32,296.14 2026-01-01
0888T OTHER Histotripsy Mal Renal Tissue 7 4 — — $29,750.85 $36,926.06 $32,200.92 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 77 41 — — $9,564.00 $77,915.86 $32,135.65 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 79 43 — — $8,343.00 $146,246.52 $31,142.06 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 79 43 — — $8,343.00 $130,675.06 $30,715.28 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 72 39 — — $8,343.00 $235,027.44 $30,100.07 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 77 42 — — $9,230.00 $106,187.53 $29,339.59 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 65 37 — — $10,900.00 $135,512.77 $29,180.18 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 78 42 — — $9,230.00 $132,610.58 $29,037.25 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 79 43 — — $8,343.00 $163,655.32 $28,613.51 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 79 43 — — $8,343.00 $136,798.03 $28,334.40 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 79 43 — — $8,343.00 $147,328.85 $28,006.56 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 80 43 — — $8,343.00 $78,320.29 $27,579.30 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 80 43 — — $8,343.00 $103,870.14 $27,341.44 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 79 43 — — $8,343.00 $86,899.95 $27,060.41 2026-01-01
245 MS_DRG Aicd Generator Procedures 79 43 — — $8,343.00 $99,078.25 $26,839.42 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 79 43 — — $8,343.00 $157,351.23 $26,811.49 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 79 43 — — $8,343.00 $146,595.66 $26,800.26 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 79 43 — — $8,343.00 $95,628.41 $26,798.85 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 79 43 — — $8,343.00 $74,145.65 $26,426.02 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 80 43 — — $8,343.00 $159,790.82 $26,413.39 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 77 42 — — $9,230.00 $99,743.79 $25,994.24 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 79 43 — — $8,343.00 $123,709.80 $25,869.34 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 78 43 — — $8,394.50 $86,221.32 $25,501.99 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 79 43 — — $8,343.00 $98,129.04 $25,455.95 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 77 43 — — $8,343.00 $83,040.02 $25,430.10 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 76 41 — — $9,564.00 $83,969.02 $25,384.59 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 79 43 — — $8,343.00 $141,792.86 $25,212.08 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 79 43 — — $8,343.00 $152,685.90 $24,503.51 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 79 43 — — $8,343.00 $90,517.87 $24,162.81 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 79 43 — — $8,343.00 $114,324.58 $24,094.72 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 79 43 — — $8,343.00 $76,150.93 $23,713.19 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 79 43 — — $8,343.00 $92,374.84 $23,574.10 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 79 43 — — $8,343.00 $88,571.44 $23,222.16 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 79 43 — — $8,343.00 $79,317.15 $23,086.37 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 79 43 — — $8,343.00 $89,034.56 $22,988.63 2026-01-01
27447 CPT Total Knee Arthroplasty 38 14 — — $2,118.00 $28,151.00 $22,180.50 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 79 43 — — $8,343.00 $126,099.19 $21,923.80 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 80 43 — — $8,343.00 $94,033.24 $21,836.28 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 79 43 — — $8,343.00 $152,607.35 $21,828.51 2026-01-01
27130 CPT Total Hip Arthroplasty 37 14 — — $1,869.19 $28,151.00 $21,555.00 2026-01-01
27446 CPT Revision Of Knee Joint 37 14 — — $2,118.00 $28,151.00 $21,555.00 2026-01-01
27138 CPT Revise Hip Joint Replacement 37 14 — — $2,118.00 $28,151.00 $21,555.00 2026-01-01
27438 CPT Revise Kneecap With Implant 37 14 — — $2,187.00 $28,151.00 $21,555.00 2026-01-01
27125 CPT Partial Hip Replacement 37 14 — — $2,118.00 $28,151.00 $21,555.00 2026-01-01
27132 CPT Total Hip Arthroplasty 37 14 — — $2,118.00 $28,151.00 $21,555.00 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 79 43 — — $8,343.00 $85,280.46 $21,359.88 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 80 43 — — $8,343.00 $69,868.66 $21,028.46 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 79 43 — — $8,343.00 $86,773.39 $21,006.68 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 79 43 — — $8,343.00 $122,383.08 $20,768.69 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 79 43 — — $8,343.00 $86,288.96 $20,642.61 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 79 43 — — $8,343.00 $76,096.37 $20,300.00 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 79 43 — — $8,343.00 $102,464.87 $20,300.00 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 79 43 — — $8,343.00 $92,715.25 $20,300.00 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 79 43 — — $8,343.00 $93,815.03 $20,300.00 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 80 43 — — $8,343.00 $85,191.37 $20,300.00 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 79 43 — — $8,343.00 $88,970.76 $20,300.00 2026-01-01
791 MS_DRG Prematurity With Major Problems 77 43 — — $8,343.00 $53,990.93 $20,300.00 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 80 43 — — $8,343.00 $66,833.36 $20,300.00 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 79 43 — — $8,343.00 $93,332.78 $20,300.00 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 79 43 — — $8,343.00 $58,100.59 $20,300.00 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 79 43 — — $8,343.00 $49,617.99 $20,300.00 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 79 43 — — $8,343.00 $54,986.85 $20,300.00 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 79 43 — — $8,343.00 $62,454.02 $20,300.00 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 79 43 — — $8,343.00 $66,252.92 $20,300.00 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 79 43 — — $8,343.00 $80,598.05 $20,300.00 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 80 43 — — $8,343.00 $66,754.80 $20,300.00 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 80 43 — — $8,343.00 $77,462.37 $20,300.00 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 79 43 — — $8,343.00 $64,673.08 $20,300.00 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 77 42 — — $8,343.00 $187,247.76 $20,300.00 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 79 43 — — $8,343.00 $58,239.81 $20,300.00 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 79 43 — — $8,343.00 $98,480.36 $20,300.00 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 79 43 — — $8,343.00 $70,857.15 $20,300.00 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 79 43 — — $8,343.00 $159,112.19 $20,300.00 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 79 43 — — $8,343.00 $74,470.71 $20,300.00 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 79 43 — — $8,343.00 $72,144.59 $20,300.00 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 79 43 — — $8,343.00 $121,719.72 $20,300.00 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 79 43 — — $8,343.00 $54,529.67 $20,300.00 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 79 43 — — $8,343.00 $119,725.28 $20,300.00 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 79 43 — — $8,343.00 $59,152.37 $20,300.00 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 79 43 — — $8,343.00 $53,749.49 $20,300.00 2026-01-01
7 MS_DRG Lung Transplant 77 42 — — $8,343.00 $169,598.22 $20,300.00 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 79 43 — — $8,343.00 $66,497.32 $20,300.00 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 79 43 — — $8,343.00 $49,291.46 $20,300.00 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 79 43 — — $8,343.00 $90,437.13 $20,300.00 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 77 42 — — $8,343.00 $101,516.98 $20,300.00 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 80 43 — — $8,343.00 $68,574.67 $20,300.00 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 79 43 — — $8,343.00 $68,491.75 $20,300.00 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 79 43 — — $8,343.00 $101,288.72 $20,300.00 2026-01-01
332 MS_DRG Rectal Resection With Mcc 79 43 — — $8,343.00 $64,969.85 $20,300.00 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 79 43 — — $8,343.00 $68,624.86 $20,300.00 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 79 43 — — $8,343.00 $62,395.40 $20,300.00 2026-01-01
665 MS_DRG Prostatectomy With Mcc 79 43 — — $8,343.00 $46,681.67 $20,300.00 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 79 43 — — $8,343.00 $177,751.68 $20,300.00 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 77 42 — — $8,343.00 $149,802.01 $20,300.00 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 77 42 — — $8,343.00 $98,559.01 $20,300.00 2026-01-01
265 MS_DRG Aicd Lead Procedures 79 43 — — $8,343.00 $49,273.64 $20,300.00 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 79 43 — — $8,343.00 $118,444.39 $20,300.00 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 79 43 — — $8,343.00 $68,210.26 $20,300.00 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 79 43 — — $8,343.00 $97,542.05 $20,300.00 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 79 43 — — $8,343.00 $96,411.72 $20,300.00 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 79 43 — — $8,343.00 $89,481.37 $20,300.00 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 79 43 — — $8,343.00 $185,834.18 $20,300.00 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 79 43 — — $8,343.00 $115,548.74 $20,300.00 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 80 43 — — $8,343.00 $52,800.27 $20,300.00 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 79 43 — — $8,343.00 $55,115.48 $20,300.00 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 79 43 — — $8,343.00 $60,967.87 $20,300.00 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 79 43 — — $8,343.00 $53,780.04 $20,168.40 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 80 43 — — $8,343.00 $69,772.65 $20,135.00 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 80 43 — — $8,343.00 $105,177.22 $20,135.00 2026-01-01
0686T OTHER Histotripsy Mal Hepatcel Tis 15 6 — — $14,750.59 $26,376.06 $20,000.80 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 79 43 — — $8,343.00 $121,953.20 $19,985.85 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 79 43 — — $8,343.00 $66,213.64 $19,970.00 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 79 43 — — $8,343.00 $44,460.29 $19,970.00 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 79 43 — — $8,343.00 $48,767.75 $19,970.00 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 79 43 — — $8,343.00 $61,312.65 $19,970.00 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 79 43 — — $8,343.00 $109,523.96 $19,970.00 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 77 42 — — $8,343.00 $79,518.90 $19,970.00 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 79 43 — — $8,343.00 $56,776.06 $19,897.99 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 79 43 — — $8,343.00 $48,287.69 $19,875.87 2026-01-01
652 MS_DRG Kidney Transplant 79 43 — — $8,343.00 $66,890.09 $19,842.69 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 80 43 — — $8,343.00 $69,340.59 $19,826.15 2026-01-01
23470 CPT Reconstruct Shoulder Joint 37 14 — — $2,118.00 $28,151.00 $19,804.00 2026-01-01
23472 CPT Reconstruct Shoulder Joint 37 14 — — $2,118.00 $28,151.00 $19,804.00 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 79 43 — — $8,343.00 $71,243.38 $19,740.52 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 79 43 — — $8,343.00 $50,995.68 $19,718.95 2026-01-01
27702 CPT Reconstruct Ankle Joint 20 8 — — $1,636.56 $28,151.00 $19,688.00 2026-01-01
27700 CPT Revision Of Ankle Joint 20 8 — — $2,187.00 $28,151.00 $19,688.00 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 80 43 — — $8,343.00 $50,026.82 $19,637.84 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 79 43 — — $8,343.00 $47,570.96 $19,521.54 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 79 43 — — $8,343.00 $86,860.67 $19,443.17 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 72 39 — — $8,343.00 $104,356.75 $19,377.15 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 80 43 — — $8,343.00 $80,355.83 $19,256.83 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 79 43 — — $8,343.00 $62,737.56 $19,243.76 2026-01-01
570 MS_DRG Skin Debridement With Mcc 79 43 — — $8,343.00 $54,897.27 $19,224.15 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 79 43 — — $8,343.00 $46,963.16 $18,863.99 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 77 42 — — $8,343.00 $79,356.94 $18,862.53 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 72 39 — — $8,343.00 $57,701.27 $18,858.97 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 80 43 — — $8,343.00 $60,280.51 $18,852.57 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 79 43 — — $8,343.00 $58,393.00 $18,836.54 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 79 43 — — $8,343.00 $51,492.11 $18,832.00 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 79 43 — — $8,230.78 $44,089.41 $18,832.00 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 79 43 — — $8,343.00 $60,042.66 $18,832.00 2026-01-01
10 MS_DRG Pancreas Transplant 77 42 — — $8,343.00 $65,664.34 $18,832.00 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 72 39 — — $8,343.00 $90,338.94 $18,832.00 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 79 43 — — $8,343.00 $52,012.54 $18,832.00 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 79 43 — — $8,343.00 $40,012.95 $18,832.00 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 79 43 — — $8,343.00 $50,860.39 $18,832.00 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 79 43 — — $8,343.00 $47,201.01 $18,832.00 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 61 37 — — $8,343.00 $134,993.43 $18,832.00 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 61 37 — — $8,343.00 $119,371.78 $18,832.00 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 77 42 — — $8,343.00 $68,747.48 $18,832.00 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 79 43 — — $8,343.00 $55,999.37 $18,832.00 2026-01-01
263 MS_DRG Vein Ligation And Stripping 79 43 — — $8,343.00 $48,274.60 $18,832.00 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 61 37 — — $8,343.00 $228,583.70 $18,832.00 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 59 36 — — $9,230.00 $112,380.33 $18,832.00 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 72 39 — — $8,343.00 $97,330.39 $18,706.47 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 72 39 — — $8,343.00 $64,777.82 $18,684.26 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 79 43 — — $8,343.00 $65,425.90 $18,631.95 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 72 39 — — $8,343.00 $69,840.29 $18,562.00 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 80 43 — — $8,343.00 $66,846.45 $18,526.36 2026-01-01
800 MS_DRG Splenic Procedures With Cc 79 43 — — $8,343.00 $60,263.06 $18,363.31 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 79 43 — — $8,343.00 $53,797.49 $18,297.29 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 61 37 — — $8,343.00 $201,012.87 $18,292.00 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 61 37 — — $8,343.00 $85,368.12 $18,292.00 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 61 37 — — $8,343.00 $182,000.23 $18,292.00 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 61 37 — — $8,343.00 $120,104.97 $18,292.00 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 61 37 — — $8,343.00 $154,988.02 $18,292.00 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 77 43 — — $4,231.93 $55,352.37 $18,292.00 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 72 39 — — $8,343.00 $67,099.57 $18,289.79 2026-01-01
503 MS_DRG Foot Procedures With Mcc 79 43 — — $8,343.00 $40,497.59 $18,243.69 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 79 43 — — $8,343.00 $52,817.73 $18,118.19 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 79 43 — — $8,343.00 $55,733.02 $18,021.45 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 79 43 — — $8,343.00 $56,007.96 $17,966.55 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 80 43 — — $8,343.00 $60,140.86 $17,961.97 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 79 43 — — $8,343.00 $79,640.10 $17,869.16 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 79 43 — — $8,343.00 $47,735.62 $17,688.75 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 79 43 — — $8,343.00 $100,520.62 $17,631.23 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 56 35 — — $10,594.00 $52,223.46 $17,615.00 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 79 43 — — $8,343.00 $67,629.83 $17,386.77 2026-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 79 43 — — $8,343.00 $41,012.57 $17,325.98 2026-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 79 43 — — $8,343.00 $80,408.20 $17,239.05 2026-01-01
81416 CPT Exome Sequence Analysis 45 20 — — $9,749.29 $37,626.11 $17,010.00 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 79 43 — — $8,343.00 $55,263.86 $16,965.83 2026-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 79 43 — — $8,343.00 $46,670.75 $16,945.57 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 79 43 — — $8,343.00 $81,859.30 $16,882.16 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 79 43 — — $8,343.00 $44,593.40 $16,858.63 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 72 39 — — $8,343.00 $62,728.83 $16,696.07 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 80 43 — — $8,343.00 $49,114.71 $16,687.38 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 61 37 — — $8,343.00 $103,577.57 $16,675.00 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 61 37 — — $8,343.00 $67,339.61 $16,675.00 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 61 37 — — $8,343.00 $31,466.40 $16,675.00 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 61 37 — — $8,343.00 $89,106.05 $16,675.00 2026-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 79 43 — — $7,808.81 $39,671.53 $16,675.00 2026-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 79 43 — — $8,217.34 $34,163.47 $16,647.98 2026-01-01
849 MS_DRG Radiotherapy 79 43 — — $6,040.08 $36,835.04 $16,647.70 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 79 43 — — $8,343.00 $66,671.88 $16,608.29 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 79 43 — — $8,163.25 $45,398.59 $16,576.91 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 79 43 — — $8,343.00 $47,493.41 $16,497.82 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 79 43 — — $8,343.00 $53,103.59 $16,490.63 2026-01-01
0545T OTHER Tcat Tv Annulus Rcnstj 11 4 — — $14,749.00 $18,117.00 $16,433.00 2026-01-01
0544T OTHER Tcat Mv Annulus Rcnstj 11 4 — — $14,749.00 $18,117.00 $16,433.00 2026-01-01
0569T OTHER Ttvr Perq Appr 1st Prosth 12 4 — — $14,749.00 $18,117.00 $16,433.00 2026-01-01
0570T OTHER Ttvr Perq Ea Addl Prosth 12 4 — — $14,749.00 $18,117.00 $16,433.00 2026-01-01
0659T OTHER Tcat Intra-c Nfs Supersat O2 7 4 — — $14,749.00 $18,117.00 $16,378.00 2026-01-01
0805T OTHER Tcat S&ivc Prstc Vl Impl Prq 7 4 — — $14,749.00 $18,117.00 $16,378.00 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 79 43 — — $8,343.00 $52,132.55 $16,288.01 2026-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 79 43 — — $8,343.00 $37,667.41 $16,221.33 2026-01-01
0569U OTHER Onc Sol Tum Ngs Tmm>20000dmr 6 3 — — $14,749.00 $18,117.00 $16,212.50 2026-01-01
0544U OTHER Nefro Trnsp Mntr 48vrnt Dpcr 6 3 — — $14,749.00 $18,117.00 $16,212.50 2026-01-01
0613T OTHER Perq Tcat Intratrl Septl Sht 6 3 — — $14,749.00 $18,117.00 $16,212.50 2026-01-01
0545F OTHER Follow Up Care Plan Mdd Docd 6 3 — — $14,749.00 $18,117.00 $16,212.50 2026-01-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 6 3 — — $14,749.00 $18,117.00 $16,212.50 2026-01-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 6 3 — — $14,749.00 $18,117.00 $16,212.50 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 79 43 — — $8,292.91 $69,255.49 $16,074.27 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 79 43 — — $8,343.00 $39,227.61 $16,069.69 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 79 43 — — $3,868.77 $38,088.56 $16,047.47 2026-01-01
0553T OTHER Perq Tcat Iliac Anast Implt 5 3 — — $14,749.00 $18,117.00 $16,047.00 2026-01-01
93583 CPT Perq Transcath Septal Reduxn 6 4 — — $614.85 $18,117.00 $16,001.00 2026-01-01
93582 CPT Perq Transcath Closure Pda 6 4 — — $545.55 $18,117.00 $16,001.00 2026-01-01
93580 CPT Transcath Closure Of Asd 6 4 — — $795.82 $18,117.00 $16,001.00 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 79 43 — — $7,839.48 $47,650.52 $15,976.22 2026-01-01
792 MS_DRG Prematurity Without Major Problems 77 43 — — $2,450.96 $34,164.61 $15,974.00 2026-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 80 43 — — $8,343.00 $53,293.43 $15,965.63 2026-01-01
92998 CPT Pul Art Balloon Repr Percut 7 5 — — $304.57 $18,117.00 $15,955.00 2026-01-01
93581 CPT Transcath Closure Of Vsd 7 5 — — $1,068.85 $18,117.00 $15,955.00 2026-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 61 37 — — $8,343.00 $22,165.39 $15,832.42 2026-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 61 37 — — $8,343.00 $22,093.09 $15,780.78 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 79 43 — — $8,343.00 $51,229.16 $15,721.95 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 79 43 — — $8,343.00 $43,177.21 $15,669.01 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 72 39 — — $8,322.55 $49,023.06 $15,653.98 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 79 43 — — $8,252.90 $41,451.17 $15,625.22 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 79 43 — — $8,343.00 $48,316.06 $15,598.42 2026-01-01
113 MS_DRG Orbital Procedures With Cc/mcc 79 43 — — $8,102.13 $34,589.15 $15,584.00 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 79 43 — — $8,343.00 $36,884.04 $15,584.00 2026-01-01
333 MS_DRG Rectal Resection With Cc 79 43 — — $7,381.16 $43,305.96 $15,584.00 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 79 43 — — $8,343.00 $34,745.58 $15,580.37 2026-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 79 43 — — $8,343.00 $55,244.23 $15,560.09 2026-01-01
709 MS_DRG Penis Procedures With Cc/mcc 79 43 — — $8,343.00 $35,206.00 $15,515.03 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 79 43 — — $7,779.47 $38,564.25 $15,504.36 2026-01-01
999 MS_DRG Ungroupable 41 18 — — $8,343.00 $20,300.00 $15,440.00 2026-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 79 43 — — $6,940.77 $30,931.02 $15,440.00 2026-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 79 43 — — $7,974.32 $69,901.39 $15,440.00 2026-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 79 43 — — $8,343.00 $46,417.63 $15,440.00 2026-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 79 43 — — $7,978.03 $51,944.89 $15,440.00 2026-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 79 43 — — $8,343.00 $57,181.00 $15,440.00 2026-01-01
998 MS_DRG Principal Diagnosis Invalid As Discharge Diagnosis 41 18 — — $8,343.00 $20,300.00 $15,440.00 2026-01-01
92972 CPT Perq Trluml Coronry Lithotrp 10 7 — — $10,471.00 $18,117.00 $15,352.00 2026-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 79 43 — — $7,586.09 $38,250.03 $15,295.50 2026-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 79 43 — — $8,094.72 $37,634.68 $15,253.08 2026-01-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 19 13 — — $1,869.19 $22,196.00 $15,244.00 2026-01-01
33281 CPT Reposg Phrnc Nrv Stim Trnsvn 1 1 — — $15,244.00 $15,244.00 $15,244.00 2026-01-01
33279 CPT Rmvl Phrnc Nrv Stim Transvns 1 1 — — $15,244.00 $15,244.00 $15,244.00 2026-01-01
33277 CPT Insj Phrnc Nrv Stim Transvns 1 1 — — $15,244.00 $15,244.00 $15,244.00 2026-01-01
33278 CPT Rmvl Phrnc Nrv Stim Sys 1 1 — — $15,244.00 $15,244.00 $15,244.00 2026-01-01
33280 CPT Rmvl Phrnc Nrv Stim Pg Only 1 1 — — $15,244.00 $15,244.00 $15,244.00 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 1 1 — — $15,244.00 $15,244.00 $15,244.00 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 79 43 — — $7,088.57 $33,206.97 $15,184.66 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 80 43 — — $8,254.38 $49,145.26 $15,114.57 2026-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 79 43 — — $8,343.00 $47,753.08 $15,071.31 2026-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 79 43 — — $8,058.79 $30,931.80 $15,062.56 2026-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 79 43 — — $7,477.55 $40,211.74 $14,943.39 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 80 43 — — $8,343.00 $104,542.23 $14,909.97 2026-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 79 43 — — $8,343.00 $47,958.19 $14,899.50 2026-01-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 79 43 — — $6,457.70 $32,113.97 $14,882.80 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 79 43 — — $7,885.41 $31,912.77 $14,864.62 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 79 43 — — $8,343.00 $38,476.97 $14,841.00 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 79 43 — — $7,902.83 $40,096.09 $14,841.00 2026-01-01
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