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 RIVER PARK HOSPITAL

Mcminnville, TN · CCN 440151 · Rates published

22,074 distinct procedures filed
42 distinct payers
671,915 rate rows
2026-01-01 last MRF observed
Data quality

665,147 of 671,915 rate rows are consumer-grade (99.0%)

6,768 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 5,554
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 539
placeholder amount (≤ $0.02) — excluded from medians 418
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 247
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/474063149_saint-thomas-river-park-hospital-llc_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-29
Content fingerprint fba1de81274f61f5… · 175,953,624 bytes · first seen 2026-05-14

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
$130
outlier · 1929.0×
0672
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$40
outlier · 6250.0×
0279
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$215
outlier · 1164.8×
0274
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$293
outlier · 852.5×
0278
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$1,467
outlier · 170.4×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 37 $8,225.00 $546,981.84 $139,796.77 nat. median
$359,454
outlier · 0.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 37 $8,225.00 $424,425.61 $97,789.86 nat. median
$249,036
outlier · 0.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 37 $8,225.00 $322,234.93 $82,813.12 nat. median
$190,559
outlier · 0.4×
90288
CPT 		Botulism Ig IV 3 $75,005.70 $75,005.70 $75,005.70 nat. median
$51,570
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 37 $8,225.00 $325,559.68 $70,558.70 nat. median
$198,418
outlier · 0.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 $18,292.00 $189,999.02 $68,535.46 nat. median
$90,551
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 32 $15,440.00 $124,406.90 $59,057.43 nat. median
$77,028
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 $14,128.00 $238,897.21 $58,871.78 nat. median
$77,632
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 37 $8,225.00 $250,000.00 $58,586.15 nat. median
$104,013
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 $14,128.00 $143,326.53 $53,791.94 nat. median
$72,398
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 33 $14,128.00 $114,186.43 $53,560.05 nat. median
$71,748
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 $8,225.00 $207,740.48 $51,997.78 nat. median
$126,695
outlier · 0.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 $14,128.00 $89,833.71 $49,953.51 nat. median
$66,649
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 37 $8,225.00 $231,894.92 $49,516.98 nat. median
$93,901
0.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 $14,128.00 $101,905.75 $48,184.57 nat. median
$63,873
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 $14,128.00 $129,548.21 $46,809.35 nat. median
$60,596
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 $11,792.00 $110,740.18 $46,064.64 nat. median
$59,546
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 $11,792.00 $121,813.62 $46,064.64 nat. median
$62,031
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 $11,485.00 $81,138.06 $45,897.21 nat. median
$58,135
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 37 $8,225.00 $151,220.43 $43,520.84 nat. median
$74,370
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 36 $8,225.00 $187,247.76 $43,338.57 nat. median
$110,307
outlier · 0.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 $10,900.00 $173,743.42 $42,933.79 nat. median
$58,280
0.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 36 $10,900.00 $92,538.85 $41,113.71 nat. median
$55,477
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 32 $8,225.00 $141,893.20 $40,118.15 nat. median
$97,323
outlier · 0.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 36 $8,225.00 $149,802.01 $38,882.65 nat. median
$95,038
outlier · 0.4×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 35 $10,900.00 $88,253.24 $38,225.54 nat. median
$57,801
0.7× median
7
MS_DRG 		Lung Transplant 36 $8,225.00 $169,598.22 $36,473.12 nat. median
$117,974
outlier · 0.3×
30032551
CDM 		Mesh Intraabdominal Rect Phasi 20 $13,179.96 $87,866.40 $36,025.22 nat. median
$36,025
1.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 $9,564.00 $77,915.86 $34,443.08 nat. median
$51,598
0.7× median
0888T
OTHER 		Histotripsy Mal Renal Tissue 4 $31,325.90 $36,926.06 $34,125.97 nat. median
$18,269
1.9× median
33300603
CDM 		Mesh Reconstr Gore 30x30cm 20 $12,087.00 $80,580.00 $33,037.80 nat. median
$33,038
1.0× median
30023366
CDM 		Neurostimulator Interstim Ii 20 $11,856.52 $79,043.50 $32,407.83 nat. median
$32,408
1.0× median
30508343
CDM 		Neurostimulator Interstim 20 $11,823.84 $78,825.60 $32,318.50 nat. median
$31,924
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 $9,564.00 $102,097.18 $31,980.63 nat. median
$55,167
0.6× median
30517571
CDM 		Neurostimulator Rechger R20 20 $11,667.78 $77,785.20 $31,891.93 nat. median
$31,503
1.0× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 37 $8,225.00 $129,497.98 $31,759.88 nat. median
$51,514
0.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 37 $8,225.00 $123,179.68 $30,423.75 nat. median
$67,976
outlier · 0.4×
30517563
CDM 		Neurostimulator 20 $11,074.14 $73,827.60 $30,269.32 nat. median
$30,269
1.0× median
30046137
CDM 		Axonics Neurostimulator 20 $11,063.49 $73,756.60 $30,240.21 nat. median
$19,914
1.5× median
30516923
CDM 		Axonics Neurostimulator 20 $11,063.49 $73,756.60 $30,240.21 nat. median
$29,871
1.0× median
30058526
CDM 		Neustim Rech Cntrl Intstm 20 $10,945.62 $72,970.80 $29,918.03 nat. median
$29,918
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 37 $8,225.00 $95,628.41 $28,962.90 nat. median
$61,308
outlier · 0.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 37 $8,225.00 $121,131.55 $28,334.40 nat. median
$61,728
outlier · 0.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 31 $10,900.00 $119,993.48 $27,525.17 nat. median
$56,687
outlier · 0.5×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 36 $9,564.00 $117,423.66 $27,004.35 nat. median
$44,823
0.6× median

Other procedures at this hospital

Browse this hospital's 22,074 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0278 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
0270 RC — 1 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0279 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
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 67 37 — — $8,225.00 $546,981.84 $139,796.77 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 67 37 — — $8,225.00 $424,425.61 $97,789.86 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 67 37 — — $8,225.00 $322,234.93 $82,813.12 2026-01-01
90288 CPT Botulism Ig IV 9 3 — — $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 67 37 — — $8,225.00 $325,559.68 $70,558.70 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 29 — — $18,292.00 $189,999.02 $68,535.46 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 53 32 — — $15,440.00 $124,406.90 $59,057.43 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 34 — — $14,128.00 $238,897.21 $58,871.78 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 67 37 — — $8,225.00 $250,000.00 $58,586.15 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 34 — — $14,128.00 $143,326.53 $53,791.94 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 54 33 — — $14,128.00 $114,186.43 $53,560.05 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 67 37 — — $8,225.00 $207,740.48 $51,997.78 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 45 29 — — $14,128.00 $89,833.71 $49,953.51 2026-01-01
215 MS_DRG Other Heart Assist System Implant 67 37 — — $8,225.00 $231,894.92 $49,516.98 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 55 34 — — $14,128.00 $101,905.75 $48,184.57 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 27 — — $14,128.00 $129,548.21 $46,809.35 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 36 — — $11,792.00 $110,740.18 $46,064.64 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 36 — — $11,792.00 $121,813.62 $46,064.64 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 61 35 — — $11,485.00 $81,138.06 $45,897.21 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 67 37 — — $8,225.00 $151,220.43 $43,520.84 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 66 36 — — $8,225.00 $187,247.76 $43,338.57 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 63 36 — — $10,900.00 $173,743.42 $42,933.79 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 64 36 — — $10,900.00 $92,538.85 $41,113.71 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 60 32 — — $8,225.00 $141,893.20 $40,118.15 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 66 36 — — $8,225.00 $149,802.01 $38,882.65 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 63 35 — — $10,900.00 $88,253.24 $38,225.54 2026-01-01
7 MS_DRG Lung Transplant 66 36 — — $8,225.00 $169,598.22 $36,473.12 2026-01-01
30032551 CDM Mesh Intraabdominal Rect Phasi 47 20 $87,866.40 $26,359.92 70% off $13,179.96 $87,866.40 $36,025.22 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 65 35 — — $9,564.00 $77,915.86 $34,443.08 2026-01-01
0888T OTHER Histotripsy Mal Renal Tissue 4 4 — — $31,325.90 $36,926.06 $34,125.97 2026-01-01
33300603 CDM Mesh Reconstr Gore 30x30cm 47 20 $80,580.00 $24,174.00 70% off $12,087.00 $80,580.00 $33,037.80 2026-01-01
30023366 CDM Neurostimulator Interstim Ii 47 20 $79,043.50 $23,713.05 70% off $11,856.52 $79,043.50 $32,407.83 2026-01-01
30508343 CDM Neurostimulator Interstim 47 20 $78,825.60 $23,647.68 70% off $11,823.84 $78,825.60 $32,318.50 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 65 36 — — $9,564.00 $102,097.18 $31,980.63 2026-01-01
30517571 CDM Neurostimulator Rechger R20 47 20 $77,785.20 $23,335.56 70% off $11,667.78 $77,785.20 $31,891.93 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 67 37 — — $8,225.00 $129,497.98 $31,759.88 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 67 37 — — $8,225.00 $123,179.68 $30,423.75 2026-01-01
30517563 CDM Neurostimulator 47 20 $73,827.60 $22,148.28 70% off $11,074.14 $73,827.60 $30,269.32 2026-01-01
30516923 CDM Axonics Neurostimulator 47 20 $73,756.60 $22,126.98 70% off $11,063.49 $73,756.60 $30,240.21 2026-01-01
30046137 CDM Axonics Neurostimulator 47 20 $73,756.60 $22,126.98 70% off $11,063.49 $73,756.60 $30,240.21 2026-01-01
30058526 CDM Neustim Rech Cntrl Intstm 47 20 $72,970.80 $21,891.24 70% off $10,945.62 $72,970.80 $29,918.03 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 67 37 — — $8,225.00 $95,628.41 $28,962.90 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 67 37 — — $8,225.00 $121,131.55 $28,334.40 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 54 31 — — $10,900.00 $119,993.48 $27,525.17 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 66 36 — — $9,564.00 $117,423.66 $27,004.35 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 67 37 — — $7,131.23 $85,280.46 $26,118.47 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 65 36 — — $9,564.00 $88,320.86 $25,984.09 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 67 37 — — $8,225.00 $94,997.71 $25,819.16 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 67 37 — — $8,225.00 $115,709.80 $25,770.29 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 67 37 — — $8,225.00 $130,456.35 $25,438.59 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 65 37 — — $7,338.66 $83,040.02 $25,430.10 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 64 35 — — $9,457.68 $83,969.02 $25,384.59 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 67 37 — — $8,225.00 $94,911.23 $25,367.77 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 68 37 — — $8,225.00 $92,340.51 $25,025.63 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 36 — — $9,564.00 $109,598.25 $24,789.19 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 68 37 — — $8,151.56 $78,320.29 $24,116.19 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 66 36 — — $8,225.00 $98,559.01 $24,002.66 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 65 36 — — $9,564.00 $94,026.65 $23,945.75 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 67 37 — — $8,225.00 $129,807.13 $23,760.21 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 66 37 — — $8,394.50 $76,347.02 $23,638.47 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 67 37 — — $8,225.00 $81,795.82 $23,574.10 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 66 36 — — $9,564.00 $75,925.98 $23,566.87 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 68 37 — — $8,225.00 $75,435.02 $23,463.93 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 67 37 — — $8,225.00 $80,151.52 $23,113.62 2026-01-01
30026934 CDM Mesh Hernia Rectangle Phasix S 47 20 $56,358.40 $16,907.52 70% off $8,453.76 $56,358.40 $23,106.94 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 67 37 — — $8,225.00 $101,231.82 $22,926.88 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 67 37 — — $8,225.00 $88,652.12 $22,886.23 2026-01-01
30047664 CDM Robot Lvl 1st 30 Min 27 14 $44,583.30 $13,374.99 70% off $5,004.00 $44,583.30 $22,737.48 2026-01-01
245 MS_DRG Aicd Generator Procedures 67 37 — — $8,225.00 $87,731.54 $22,713.35 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 67 37 — — $8,225.00 $87,842.78 $22,678.36 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 67 37 — — $8,225.00 $78,428.00 $22,658.83 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 67 37 — — $8,225.00 $83,336.01 $22,568.39 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 67 37 — — $8,225.00 $108,367.44 $21,968.94 2026-01-01
30060156 CDM Frame Salv 180mm Ext Fix 29 15 $42,137.55 $12,641.27 70% off $8,006.13 $42,137.55 $21,911.53 2026-01-01
30057260 CDM Impl Mesh Phasix 8x12in 47 20 $53,166.75 $15,950.03 70% off $7,975.01 $53,166.75 $21,798.37 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 67 37 — — $8,225.00 $88,234.69 $21,723.99 2026-01-01
27447 CPT Total Knee Arthroplasty 30 12 — — $2,118.00 $28,151.00 $21,669.50 2026-01-01
27130 CPT Total Hip Arthroplasty 29 11 — — $2,118.00 $28,151.00 $21,555.00 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 68 37 — — $8,225.00 $69,035.00 $20,919.07 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 68 37 — — $8,225.00 $91,974.65 $20,770.23 2026-01-01
27446 CPT Revision Of Knee Joint 30 12 — — $2,118.00 $28,151.00 $20,762.50 2026-01-01
27125 CPT Partial Hip Replacement 30 12 — — $2,118.00 $28,151.00 $20,762.50 2026-01-01
27138 CPT Revise Hip Joint Replacement 30 12 — — $2,118.00 $28,151.00 $20,762.50 2026-01-01
27132 CPT Total Hip Arthroplasty 30 12 — — $2,118.00 $28,151.00 $20,762.50 2026-01-01
27438 CPT Revise Kneecap With Implant 30 12 — — $2,187.00 $28,151.00 $20,762.50 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 67 37 — — $8,225.00 $66,608.14 $20,642.61 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 37 — — $8,225.00 $81,939.78 $20,618.63 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 66 36 — — $8,225.00 $101,516.98 $20,581.14 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 67 37 — — $8,225.00 $71,071.45 $20,467.60 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 67 37 — — $8,225.00 $89,034.56 $20,380.95 2026-01-01
652 MS_DRG Kidney Transplant 67 37 — — $7,057.10 $59,229.66 $20,300.00 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 67 37 — — $5,701.58 $74,145.65 $20,300.00 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 67 37 — — $8,225.00 $140,890.23 $20,300.00 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 67 37 — — $6,240.75 $57,983.39 $20,300.00 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 67 37 — — $5,670.73 $49,523.54 $20,300.00 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 67 37 — — $7,475.64 $62,742.40 $20,300.00 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 67 36 — — $7,577.48 $48,140.97 $20,300.00 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 67 37 — — $8,225.00 $157,395.08 $20,300.00 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 67 37 — — $8,028.39 $67,381.61 $20,300.00 2026-01-01
791 MS_DRG Prematurity With Major Problems 65 37 — — $5,178.98 $53,990.93 $20,300.00 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 67 37 — — $5,856.29 $58,239.81 $20,300.00 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 67 37 — — $6,432.29 $54,343.58 $20,300.00 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 67 37 — — $8,225.00 $164,551.95 $20,300.00 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 67 37 — — $8,225.00 $88,189.30 $20,300.00 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 67 36 — — $8,225.00 $61,867.11 $20,300.00 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 67 37 — — $8,225.00 $85,370.39 $20,300.00 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 68 37 — — $7,361.22 $67,487.00 $20,135.00 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 68 37 — — $8,225.00 $71,153.26 $20,135.00 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 68 37 — — $7,042.83 $59,109.86 $20,135.00 2026-01-01
0686T OTHER Histotripsy Mal Hepatcel Tis 12 6 — — $14,750.59 $26,376.06 $20,000.80 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 67 37 — — $8,225.00 $83,071.07 $19,996.94 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 67 37 — — $6,129.78 $51,446.76 $19,970.00 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 67 37 — — $6,160.63 $51,705.67 $19,970.00 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 67 37 — — $6,569.04 $62,454.02 $19,970.00 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 67 37 — — $8,225.00 $66,130.45 $19,970.00 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 67 37 — — $5,433.61 $62,395.40 $19,970.00 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 67 37 — — $8,225.00 $76,835.87 $19,970.00 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 67 37 — — $5,990.04 $50,273.91 $19,970.00 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 67 37 — — $8,225.00 $70,339.84 $19,970.00 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 67 37 — — $8,225.00 $96,980.98 $19,970.00 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 67 37 — — $8,225.00 $72,281.79 $19,970.00 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 67 37 — — $5,673.95 $47,799.55 $19,970.00 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 67 37 — — $8,225.00 $102,315.79 $19,970.00 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 67 37 — — $8,225.00 $79,233.73 $19,970.00 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 67 37 — — $4,989.28 $49,617.99 $19,970.00 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 67 37 — — $8,225.00 $53,714.35 $19,970.00 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 67 37 — — $6,468.67 $54,290.96 $19,970.00 2026-01-01
265 MS_DRG Aicd Lead Procedures 67 37 — — $5,086.44 $49,273.64 $19,970.00 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 67 37 — — $8,225.00 $71,508.47 $19,970.00 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 67 37 — — $8,225.00 $86,371.27 $19,970.00 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 67 37 — — $4,954.75 $41,584.81 $19,970.00 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 67 37 — — $8,225.00 $107,986.79 $19,970.00 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 67 37 — — $7,856.88 $54,983.92 $19,970.00 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 67 37 — — $8,225.00 $90,730.32 $19,970.00 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 67 37 — — $7,226.08 $50,819.53 $19,970.00 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 67 37 — — $7,196.38 $47,590.01 $19,970.00 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 67 37 — — $7,611.47 $63,882.40 $19,970.00 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 67 37 — — $7,516.39 $63,084.40 $19,970.00 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 67 37 — — $8,034.15 $50,744.80 $19,970.00 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 67 37 — — $5,200.39 $47,984.18 $19,970.00 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 67 37 — — $8,225.00 $67,518.09 $19,970.00 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 67 37 — — $7,015.66 $58,881.86 $19,970.00 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 67 37 — — $6,902.63 $57,933.15 $19,969.78 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 67 37 — — $6,985.73 $58,630.68 $19,954.50 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 60 32 — — $8,225.00 $92,405.53 $19,946.15 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 68 37 — — $8,225.00 $60,997.10 $19,914.01 2026-01-01
23472 CPT Reconstruct Shoulder Joint 29 11 — — $2,118.00 $28,151.00 $19,804.00 2026-01-01
23470 CPT Reconstruct Shoulder Joint 30 12 — — $2,118.00 $28,151.00 $19,793.00 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 66 36 — — $8,225.00 $79,518.90 $19,710.81 2026-01-01
27702 CPT Reconstruct Ankle Joint 14 7 — — $2,118.00 $28,151.00 $19,688.00 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 68 37 — — $7,051.12 $52,520.75 $19,628.50 2026-01-01
27700 CPT Revision Of Ankle Joint 15 8 — — $1,682.15 $28,151.00 $19,594.00 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 68 37 — — $7,315.64 $61,399.52 $19,547.38 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 65 35 — — $8,225.00 $47,570.96 $19,521.54 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 68 37 — — $8,172.51 $56,226.49 $19,371.40 2026-01-01
503 MS_DRG Foot Procedures With Mcc 66 36 — — $5,811.90 $38,518.34 $19,192.82 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 65 35 — — $8,225.00 $40,012.95 $19,044.67 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 67 37 — — $7,240.13 $58,447.89 $18,997.05 2026-01-01
332 MS_DRG Rectal Resection With Mcc 67 37 — — $6,854.51 $60,952.08 $18,994.08 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 66 36 — — $8,225.00 $79,356.94 $18,847.26 2026-01-01
263 MS_DRG Vein Ligation And Stripping 67 37 — — $5,093.11 $42,746.06 $18,832.00 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 67 37 — — $8,225.00 $73,130.71 $18,832.00 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 67 37 — — $8,225.00 $53,769.83 $18,832.00 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 67 37 — — $5,117.52 $54,986.85 $18,832.00 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 67 37 — — $5,380.19 $37,867.75 $18,832.00 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 67 37 — — $5,145.14 $46,973.12 $18,832.00 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 67 37 — — $6,619.00 $55,552.68 $18,832.00 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 67 37 — — $5,814.85 $49,931.56 $18,832.00 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 66 36 — — $8,225.00 $68,747.48 $18,792.69 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 68 37 — — $6,345.04 $53,253.36 $18,771.85 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 67 37 — — $7,135.15 $59,884.67 $18,635.19 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 66 36 — — $8,225.00 $61,234.89 $18,612.72 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 66 36 — — $6,380.59 $42,930.36 $18,562.00 2026-01-01
10 MS_DRG Pancreas Transplant 66 36 — — $8,225.00 $70,379.22 $18,562.00 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 66 36 — — $6,773.92 $42,156.68 $18,562.00 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 68 37 — — $7,234.83 $52,232.08 $18,562.00 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 68 37 — — $5,277.98 $46,908.65 $18,562.00 2026-01-01
570 MS_DRG Skin Debridement With Mcc 67 37 — — $5,791.82 $41,560.30 $18,544.04 2026-01-01
30039459 CDM Mesh Hernia Monof P4hb Rect 20 47 20 $45,155.20 $13,546.56 70% off $6,773.28 $45,155.20 $18,513.63 2026-01-01
1626337 CDM Digoxin Immun Fab 40mg/4ml Inj 43 17 $34,265.40 $10,279.62 70% off $6,510.43 $34,265.40 $18,503.32 2026-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 67 37 — — $8,225.00 $71,199.64 $18,476.86 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 60 32 — — $8,225.00 $58,415.61 $18,436.47 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 67 37 — — $5,487.48 $46,055.92 $18,411.00 2026-01-01
33300808 CDM Mesh Reconstr Gore 20x25cm 47 20 $44,764.40 $13,429.32 70% off $6,714.66 $44,764.40 $18,353.40 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 67 37 — — $5,365.92 $45,035.72 $18,297.51 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 67 37 — — $8,225.00 $56,347.83 $18,292.00 2026-01-01
665 MS_DRG Prostatectomy With Mcc 67 37 — — $4,925.05 $44,496.77 $18,292.00 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 67 37 — — $5,094.49 $47,119.65 $18,292.00 2026-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 67 37 — — $4,326.95 $37,327.05 $18,292.00 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 67 37 — — $8,225.00 $58,327.73 $18,292.00 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 67 37 — — $5,880.00 $49,350.32 $18,292.00 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 67 37 — — $8,225.00 $58,533.10 $18,292.00 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 67 37 — — $6,334.68 $44,318.00 $18,292.00 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 67 37 — — $3,310.07 $51,492.11 $18,292.00 2026-01-01
800 MS_DRG Splenic Procedures With Cc 67 37 — — $6,357.93 $53,361.57 $18,292.00 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 67 37 — — $4,931.27 $54,529.67 $18,292.00 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 67 37 — — $8,225.00 $53,251.93 $18,292.00 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 67 37 — — $5,909.01 $49,593.78 $18,292.00 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 67 37 — — $8,225.00 $60,687.35 $18,292.00 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 67 37 — — $3,434.16 $55,999.37 $18,292.00 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 67 37 — — $5,036.25 $39,284.69 $18,292.00 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 68 37 — — $6,359.77 $44,854.30 $18,248.73 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 67 37 — — $5,830.50 $48,934.90 $18,184.02 2026-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 67 37 — — $4,923.90 $39,122.04 $18,162.30 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 67 37 — — $4,704.74 $36,749.72 $18,069.13 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 68 37 — — $5,181.75 $43,489.96 $17,885.58 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 65 37 — — $1,433.80 $55,352.37 $17,840.68 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 67 37 — — $7,034.08 $39,047.31 $17,800.81 2026-01-01
33302290 CDM Lithotripsy (eswl) Bilateral 23 12 $32,951.95 $9,885.59 70% off $6,260.87 $32,951.95 $17,794.05 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 60 32 — — $8,225.00 $54,506.96 $17,769.11 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 67 37 — — $4,789.69 $34,071.16 $17,767.18 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 67 37 — — $5,675.79 $42,496.63 $17,649.97 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 67 37 — — $5,572.43 $34,966.45 $17,477.22 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 60 32 — — $8,225.00 $59,415.15 $17,425.50 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 60 32 — — $8,225.00 $61,841.99 $17,425.50 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 60 32 — — $8,225.00 $57,359.29 $17,425.50 2026-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 67 37 — — $3,974.02 $36,625.17 $17,386.07 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 67 37 — — $8,225.00 $48,081.15 $17,236.99 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 67 37 — — $7,306.66 $41,811.64 $17,228.44 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 67 37 — — $5,027.27 $38,238.47 $17,123.36 2026-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 68 37 — — $5,622.61 $37,221.55 $16,889.02 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 60 32 — — $8,225.00 $55,544.95 $16,857.01 2026-01-01
81416 CPT Exome Sequence Analysis 37 17 — — $10,800.00 $37,626.11 $16,800.00 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 67 37 — — $4,555.32 $38,232.44 $16,794.09 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 67 37 — — $5,097.49 $42,782.77 $16,718.43 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 67 37 — — $5,010.69 $38,672.20 $16,675.00 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 67 37 — — $8,225.00 $54,122.32 $16,675.00 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 67 37 — — $6,823.20 $44,571.84 $16,675.00 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 68 37 — — $7,052.50 $44,888.00 $16,675.00 2026-01-01
849 MS_DRG Radiotherapy 67 37 — — $2,046.41 $36,835.04 $16,675.00 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 47 29 — — $9,564.00 $99,510.23 $16,675.00 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 67 37 — — $8,225.00 $49,420.94 $16,675.00 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 67 37 — — $5,500.14 $35,935.02 $16,675.00 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 67 37 — — $5,602.59 $36,805.41 $16,675.00 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 67 37 — — $4,138.63 $37,236.20 $16,675.00 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 45 29 — — $10,594.00 $55,973.25 $16,675.00 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 67 37 — — $4,373.22 $34,245.53 $16,675.00 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 60 32 — — $8,225.00 $36,260.45 $16,617.00 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 49 30 — — $8,225.00 $109,879.06 $16,559.00 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 49 30 — — $8,225.00 $177,992.33 $16,559.00 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 49 30 — — $8,225.00 $64,084.24 $16,559.00 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 49 30 — — $8,225.00 $202,405.68 $16,559.00 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 49 30 — — $8,225.00 $75,591.53 $16,559.00 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 49 30 — — $8,225.00 $137,238.37 $16,559.00 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 67 37 — — $2,788.63 $44,089.41 $16,559.00 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 49 30 — — $8,225.00 $59,627.69 $16,559.00 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 67 37 — — $5,404.83 $35,807.54 $16,559.00 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 49 30 — — $8,225.00 $119,533.62 $16,559.00 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 49 30 — — $8,225.00 $33,725.76 $16,559.00 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 49 30 — — $8,225.00 $111,014.72 $16,559.00 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 49 30 — — $8,225.00 $105,701.00 $16,559.00 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 49 30 — — $8,225.00 $53,796.03 $16,559.00 2026-01-01
113 MS_DRG Orbital Procedures With Cc/mcc 67 37 — — $3,255.51 $34,589.15 $16,471.12 2026-01-01
333 MS_DRG Rectal Resection With Cc 67 37 — — $4,568.91 $31,372.07 $16,408.77 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 67 37 — — $3,891.37 $34,880.00 $16,383.55 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 67 37 — — $3,665.76 $32,494.49 $16,371.64 2026-01-01
709 MS_DRG Penis Procedures With Cc/mcc 67 37 — — $3,714.34 $33,876.27 $16,302.99 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 67 37 — — $4,068.64 $33,023.47 $16,291.78 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 60 32 — — $8,225.00 $31,408.79 $16,266.50 2026-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 67 37 — — $2,909.26 $34,163.47 $16,262.22 2026-01-01
30059255 CDM Nail Phantom 10x250mm 47 20 $39,585.00 $11,875.50 70% off $5,937.75 $39,585.00 $16,229.85 2026-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 67 37 — — $5,828.43 $36,597.33 $16,191.60 2026-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 67 37 — — $2,645.67 $39,671.53 $16,189.07 2026-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 67 37 — — $4,897.20 $41,101.76 $16,082.31 2026-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 67 37 — — $3,124.06 $30,931.02 $16,077.40 2026-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 67 37 — — $5,480.34 $33,087.94 $16,012.25 2026-01-01
0544U OTHER Nefro Trnsp Mntr 48vrnt Dpcr 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0545F OTHER Follow Up Care Plan Mdd Docd 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0553T OTHER Perq Tcat Iliac Anast Implt 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0613T OTHER Perq Tcat Intratrl Septl Sht 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0569U OTHER Onc Sol Tum Ngs Tmm>20000dmr 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 67 37 — — $5,828.43 $57,181.00 $15,984.23 2026-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 49 30 — — $8,225.00 $23,679.45 $15,974.00 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 67 37 — — $2,461.49 $33,206.97 $15,974.00 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 67 37 — — $1,466.72 $33,726.55 $15,974.00 2026-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 49 30 — — $8,225.00 $23,756.92 $15,974.00 2026-01-01
792 MS_DRG Prematurity Without Major Problems 65 37 — — $830.40 $34,164.61 $15,974.00 2026-01-01
0805T OTHER Tcat S&ivc Prstc Vl Impl Prq 5 4 — — $14,749.00 $16,976.00 $15,955.00 2026-01-01
0659T OTHER Tcat Intra-c Nfs Supersat O2 5 4 — — $14,749.00 $16,976.00 $15,955.00 2026-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 67 37 — — $7,374.80 $42,201.59 $15,942.89 2026-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 67 37 — — $4,035.49 $33,795.68 $15,916.27 2026-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 67 37 — — $3,970.57 $34,620.64 $15,872.14 2026-01-01
0569T OTHER Ttvr Perq Appr 1st Prosth 10 4 — — $14,749.00 $16,976.00 $15,862.50 2026-01-01
0570T OTHER Ttvr Perq Ea Addl Prosth 10 4 — — $14,749.00 $16,976.00 $15,862.50 2026-01-01
0544T OTHER Tcat Mv Annulus Rcnstj 10 4 — — $14,749.00 $16,976.00 $15,862.50 2026-01-01
0545T OTHER Tcat Tv Annulus Rcnstj 10 4 — — $14,749.00 $16,976.00 $15,862.50 2026-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 67 37 — — $5,038.09 $31,578.68 $15,682.98 2026-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 67 37 — — $3,109.55 $30,931.80 $15,673.87 2026-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 67 37 — — $4,242.46 $31,005.75 $15,549.87 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 68 37 — — $5,184.97 $43,517.01 $15,502.24 2026-01-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 67 37 — — $3,388.12 $29,528.88 $15,486.82 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 67 37 — — $3,339.77 $31,912.77 $15,467.91 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 67 37 — — $4,059.43 $34,450.67 $15,403.45 2026-01-01
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