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

SAINT THOMAS RIVER PARK HOSPITAL

Mcminnville, TN · CCN 440151 · Rates published

22,076 distinct procedures filed
42 distinct payers
675,689 rate rows
2026-01-01 last MRF observed
Data quality

669,178 of 675,689 rate rows are consumer-grade (99.0%)

6,511 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
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 · 2026-05-19
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
0672
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$44
outlier · 5618.0×
0270
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$105
outlier · 2389.4×
0278
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$1,035
outlier · 241.7×
0274
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$183
outlier · 1363.5×
0279
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$191
outlier · 1309.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 37 $8,225.00 $546,981.84 $139,796.77 nat. median
$370,174
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
$265,286
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
$202,986
outlier · 0.4×
90288
CPT 		Botulism Ig IV 3 $75,005.70 $75,005.70 $75,005.70 nat. median
$55,037
1.4× 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
$206,368
outlier · 0.3×
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
$108,660
0.5× 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
$133,176
outlier · 0.4×
215
MS_DRG 		Other Heart Assist System Implant 37 $8,225.00 $231,894.92 $49,516.98 nat. median
$99,019
0.5× 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
$77,576
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 36 $8,225.00 $187,247.76 $43,338.57 nat. median
$117,303
outlier · 0.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 $8,225.00 $189,999.02 $42,104.62 nat. median
$93,672
outlier · 0.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 32 $8,225.00 $141,893.20 $40,118.15 nat. median
$102,358
outlier · 0.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 $8,225.00 $238,897.21 $39,525.36 nat. median
$81,118
outlier · 0.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 36 $8,225.00 $149,802.01 $38,882.65 nat. median
$100,136
outlier · 0.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 37 $8,225.00 $124,406.90 $38,690.53 nat. median
$79,312
outlier · 0.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 $8,225.00 $143,326.53 $36,884.96 nat. median
$74,915
outlier · 0.5×
7
MS_DRG 		Lung Transplant 36 $8,225.00 $169,598.22 $36,473.12 nat. median
$122,708
outlier · 0.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 37 $8,225.00 $173,743.42 $36,427.06 nat. median
$60,726
0.6× median
30032551
CDM 		Mesh Intraabdominal Rect Phasi 20 $13,179.96 $87,866.40 $36,025.22 nat. median
$36,025
1.0× median
0888T
HCPCS 		Histotripsy Mal Renal Tissue 4 $31,325.90 $36,926.06 $34,125.97 nat. median
$18,295
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
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 37 $8,225.00 $114,186.43 $32,548.68 nat. median
$73,807
outlier · 0.4×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 37 $8,225.00 $92,538.85 $32,511.78 nat. median
$57,424
0.6× 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
$5,221
outlier · 6.2×
30517571
CDM 		Neurostimulator Rechger R20 20 $11,667.78 $77,785.20 $31,891.93 nat. median
$1,160
outlier · 27.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 37 $8,225.00 $129,497.98 $31,759.88 nat. median
$54,066
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
$72,138
outlier · 0.4×
30517563
CDM 		Neurostimulator 20 $11,074.14 $73,827.60 $30,269.32 nat. median
$13,881
outlier · 2.2×
30516923
CDM 		Axonics Neurostimulator 20 $11,063.49 $73,756.60 $30,240.21 nat. median
$1,160
outlier · 26.1×
30046137
CDM 		Axonics Neurostimulator 20 $11,063.49 $73,756.60 $30,240.21 nat. median
$30,240
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
$64,027
outlier · 0.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 37 $8,225.00 $101,905.75 $28,928.42 nat. median
$65,950
outlier · 0.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 $8,225.00 $102,097.18 $28,352.95 nat. median
$58,024
outlier · 0.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 37 $8,225.00 $121,131.55 $28,334.40 nat. median
$64,732
outlier · 0.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 $8,225.00 $121,813.62 $27,847.39 nat. median
$64,510
outlier · 0.4×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 $8,225.00 $110,740.18 $27,244.47 nat. median
$61,920
outlier · 0.4×
28
MS_DRG 		Spinal Procedures With Mcc 37 $7,131.23 $85,280.46 $26,118.47 nat. median
$57,823
outlier · 0.5×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 37 $8,225.00 $88,253.24 $25,866.23 nat. median
$59,899
outlier · 0.4×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 37 $8,225.00 $94,997.71 $25,819.16 nat. median
$55,929
outlier · 0.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 37 $8,225.00 $115,709.80 $25,770.29 nat. median
$62,134
outlier · 0.4×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 37 $8,225.00 $130,456.35 $25,438.59 nat. median
$47,651
0.5× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 37 $7,338.66 $83,040.02 $25,430.10 nat. median
$52,278
outlier · 0.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 37 $8,225.00 $94,911.23 $25,367.77 nat. median
$66,526
outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 22,076 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
             
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 37 — — $8,225.00 $189,999.02 $42,104.62 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 68 37 — — $8,225.00 $124,406.90 $38,690.53 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 68 37 — — $8,225.00 $143,326.53 $36,884.96 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 68 37 — — $8,225.00 $114,186.43 $32,548.68 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 68 37 — — $8,225.00 $92,538.85 $32,511.78 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 68 37 — — $8,225.00 $101,905.75 $28,928.42 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 37 — — $8,225.00 $121,813.62 $27,847.39 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 37 — — $8,225.00 $110,740.18 $27,244.47 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 68 37 — — $8,225.00 $88,253.24 $25,866.23 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
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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 68 37 — — $8,141.20 $77,915.86 $24,010.60 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
471 MS_DRG Cervical Spinal Fusion With Mcc 68 37 — — $8,225.00 $117,423.66 $23,337.42 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 68 37 — — $8,225.00 $109,598.25 $22,783.10 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 68 37 — — $8,225.00 $75,925.98 $21,900.20 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
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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 68 37 — — $5,570.58 $48,140.97 $20,135.00 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 68 37 — — $7,371.35 $61,867.11 $20,135.00 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
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
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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 68 37 — — $8,172.51 $56,226.49 $19,371.40 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
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 68 37 — — $5,277.98 $46,908.65 $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
619 MS_DRG O.r. Procedures For Obesity With Mcc 68 37 — — $6,359.77 $44,854.30 $18,248.73 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
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 68 37 — — $5,622.61 $37,221.55 $16,889.02 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
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
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
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
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
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
215 MS_DRG Other Heart Assist System Implant 67 37 — — $8,225.00 $231,894.92 $49,516.98 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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 37 — — $8,225.00 $238,897.21 $39,525.36 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 67 37 — — $8,225.00 $173,743.42 $36,427.06 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
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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 37 — — $8,225.00 $102,097.18 $28,352.95 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
28 MS_DRG Spinal Procedures With Mcc 67 37 — — $7,131.23 $85,280.46 $26,118.47 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
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
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
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
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
653 MS_DRG Major Bladder Procedures With Mcc 67 37 — — $8,225.00 $88,320.86 $23,036.62 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
799 MS_DRG Splenic Procedures With Mcc 67 37 — — $8,225.00 $76,347.02 $22,915.33 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 67 37 — — $8,225.00 $88,652.12 $22,886.23 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 67 37 — — $6,952.81 $83,969.02 $22,026.01 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
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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 67 37 — — $8,225.00 $94,026.65 $21,368.98 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
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
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
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
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
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
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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 67 37 — — $5,856.29 $58,239.81 $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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 67 37 — — $8,225.00 $81,138.06 $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
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
652 MS_DRG Kidney Transplant 67 37 — — $7,057.10 $59,229.66 $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
252 MS_DRG Other Vascular Procedures With Mcc 67 37 — — $8,225.00 $85,370.39 $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
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
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
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
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
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
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
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
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
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 67 37 — — $7,516.39 $63,084.40 $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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 67 37 — — $8,225.00 $96,980.98 $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
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 67 37 — — $7,856.88 $54,983.92 $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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 67 37 — — $7,015.66 $58,881.86 $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
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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 67 37 — — $8,225.00 $79,233.73 $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
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
901 MS_DRG Wound Debridements For Injuries With Mcc 67 37 — — $6,569.04 $62,454.02 $19,970.00 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 67 37 — — $8,225.00 $66,130.45 $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
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
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
37 MS_DRG Extracranial Procedures With Mcc 67 37 — — $5,200.39 $47,984.18 $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
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
264 MS_DRG Other Circulatory System O.r. Procedures 67 37 — — $7,196.38 $47,590.01 $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
974 MS_DRG HIV With Major Related Condition With Mcc 67 37 — — $4,954.75 $41,584.81 $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
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
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
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
263 MS_DRG Vein Ligation And Stripping 67 37 — — $5,093.11 $42,746.06 $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
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 67 37 — — $3,534.31 $40,012.95 $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
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
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
503 MS_DRG Foot Procedures With Mcc 67 37 — — $4,272.62 $38,518.34 $18,832.00 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 67 37 — — $3,564.00 $47,570.96 $18,832.00 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
570 MS_DRG Skin Debridement With Mcc 67 37 — — $5,791.82 $41,560.30 $18,544.04 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
668 MS_DRG Transurethral Procedures With Mcc 67 37 — — $5,487.48 $46,055.92 $18,411.00 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 67 37 — — $6,989.88 $61,234.89 $18,393.43 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
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
662 MS_DRG Minor Bladder Procedures With Mcc 67 37 — — $4,690.69 $42,930.36 $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
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
665 MS_DRG Prostatectomy With Mcc 67 37 — — $4,925.05 $44,496.77 $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
288 MS_DRG Acute And Subacute Endocarditis With Mcc 67 37 — — $5,036.25 $39,284.69 $18,292.00 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 67 37 — — $4,979.85 $42,156.68 $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
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
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
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
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 67 37 — — $4,931.27 $54,529.67 $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
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
140 MS_DRG Major Head And Neck Procedures With Mcc 67 37 — — $8,225.00 $58,327.73 $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
800 MS_DRG Splenic Procedures With Cc 67 37 — — $6,357.93 $53,361.57 $18,292.00 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
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
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
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
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
849 MS_DRG Radiotherapy 67 37 — — $2,046.41 $36,835.04 $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
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
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
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 67 37 — — $5,500.14 $35,935.02 $16,675.00 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
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
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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 67 37 — — $8,225.00 $54,122.32 $16,675.00 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
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
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
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
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
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
783 MS_DRG Cesarean Section With Sterilization With Mcc 67 37 — — $1,466.72 $33,726.55 $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
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
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
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
14 MS_DRG Allogeneic Bone Marrow Transplant 66 36 — — $8,225.00 $187,247.76 $43,338.57 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
7 MS_DRG Lung Transplant 66 36 — — $8,225.00 $169,598.22 $36,473.12 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 66 36 — — $8,225.00 $101,516.98 $20,581.14 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 66 36 — — $8,225.00 $79,356.94 $18,847.26 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 66 36 — — $8,225.00 $68,747.48 $18,792.69 2026-01-01
10 MS_DRG Pancreas Transplant 66 36 — — $8,225.00 $70,379.22 $18,562.00 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
791 MS_DRG Prematurity With Major Problems 65 37 — — $5,178.98 $53,990.93 $20,300.00 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
792 MS_DRG Prematurity Without Major Problems 65 37 — — $830.40 $34,164.61 $15,974.00 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
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 60 32 — — $8,225.00 $119,993.48 $23,131.43 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 60 32 — — $8,225.00 $89,833.71 $20,135.00 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
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
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
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
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
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
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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 60 32 — — $8,225.00 $36,260.45 $16,617.00 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 60 32 — — $8,225.00 $31,408.79 $16,266.50 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
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
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
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
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
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 49 30 — — $8,225.00 $55,973.25 $16,559.00 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
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
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 49 30 — — $8,225.00 $99,510.23 $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
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
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
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
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 49 30 — — $8,225.00 $129,548.21 $16,559.00 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
81416 CPT Exome Sequence Analysis 37 17 — — $10,800.00 $37,626.11 $16,800.00 2026-01-01
30060156 CDM Frame Salv 180mm Ext Fix 30 15 $42,137.55 $12,641.27 70% off $8,006.13 $42,137.55 $21,911.53 2026-01-01
27447 CPT Total Knee Arthroplasty 30 12 — — $2,118.00 $28,151.00 $21,669.50 2026-01-01
27138 CPT Revise Hip Joint Replacement 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
27446 CPT Revision Of Knee Joint 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
27125 CPT Partial Hip Replacement 30 12 — — $2,118.00 $28,151.00 $20,762.50 2026-01-01
23470 CPT Reconstruct Shoulder Joint 30 12 — — $2,118.00 $28,151.00 $19,793.00 2026-01-01
27130 CPT Total Hip Arthroplasty 29 11 — — $2,118.00 $28,151.00 $21,555.00 2026-01-01
23472 CPT Reconstruct Shoulder Joint 29 11 — — $2,118.00 $28,151.00 $19,804.00 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
33302290 CDM Lithotripsy (eswl) Bilateral 24 12 $32,951.95 $9,885.59 70% off $6,260.87 $32,951.95 $17,958.81 2026-01-01
27700 CPT Revision Of Ankle Joint 15 8 — — $1,682.15 $28,151.00 $19,594.00 2026-01-01
27702 CPT Reconstruct Ankle Joint 14 7 — — $2,118.00 $28,151.00 $19,688.00 2026-01-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 12 6 — — $14,750.59 $26,376.06 $20,000.80 2026-01-01
0569T HCPCS Ttvr Perq Appr 1st Prosth 10 4 — — $14,749.00 $16,976.00 $15,862.50 2026-01-01
0545T HCPCS Tcat Tv Annulus Rcnstj 10 4 — — $14,749.00 $16,976.00 $15,862.50 2026-01-01
0544T HCPCS Tcat Mv Annulus Rcnstj 10 4 — — $14,749.00 $16,976.00 $15,862.50 2026-01-01
0570T HCPCS Ttvr Perq Ea Addl Prosth 10 4 — — $14,749.00 $16,976.00 $15,862.50 2026-01-01
90288 CPT Botulism Ig IV 9 3 — — $75,005.70 $75,005.70 $75,005.70 2026-01-01
0805T HCPCS Tcat S&ivc Prstc Vl Impl Prq 5 4 — — $14,749.00 $16,976.00 $15,955.00 2026-01-01
0659T HCPCS Tcat Intra-c Nfs Supersat O2 5 4 — — $14,749.00 $16,976.00 $15,955.00 2026-01-01
0888T HCPCS Histotripsy Mal Renal Tissue 4 4 — — $31,325.90 $36,926.06 $34,125.97 2026-01-01
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0553T HCPCS Perq Tcat Iliac Anast Implt 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0569U HCPCS Onc Sol Tum Ngs Tmm>20000dmr 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0613T HCPCS Perq Tcat Intratrl Septl Sht 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0544U HCPCS Nefro Trnsp Mntr 48vrnt Dpcr 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0545F HCPCS Follow Up Care Plan Mdd Docd 4 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0632T HCPCS Perq Tcat US Abltj Nrv P-art 4 3 — — $14,749.00 $16,976.00 $16,001.00 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
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
0279 RC — 1 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
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