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

Ascension Saint Thomas Hickman

Centerville, TN · CCN 443435 · Rates published

19,823 distinct procedures filed
41 distinct payers
681,604 rate rows
2026-01-01 last MRF observed
Data quality

672,470 of 681,604 rate rows are consumer-grade (98.7%)

9,134 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 6,970
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,189
placeholder amount (≤ $0.02) — excluded from medians 613
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 356
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/474063406_saint-thomas-highlands-hospital-llc-_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-17
Content fingerprint 700a041d8f12721b… · 135,517,055 bytes · first seen 2026-05-15

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
0278
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$1,426
outlier · 175.3×
0672
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$49
outlier · 5102.0×
0274
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$305
outlier · 819.6×
0279
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$215
outlier · 1160.9×
0270
RC 		1 $250,000.00 $250,000.00 $250,000.00 nat. median
$131
outlier · 1914.5×
90288
CPT 		Botulism Ig IV 3 $75,005.70 $75,005.70 $75,005.70 nat. median
$52,716
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 37 $8,394.50 $278,276.59 $65,290.09 nat. median
$199,832
outlier · 0.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 37 $8,394.50 $325,559.68 $62,746.21 nat. median
$205,166
outlier · 0.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 37 $8,394.50 $424,425.61 $58,364.41 nat. median
$261,939
outlier · 0.2×
215
MS_DRG 		Other Heart Assist System Implant 37 $8,394.50 $231,894.92 $48,258.25 nat. median
$98,002
outlier · 0.5×
30068092
CDM 		0-arthrosphere 42 Mm 20 $15,810.00 $105,400.00 $43,214.00 nat. median
$28,458
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 $8,394.50 $207,740.48 $40,995.19 nat. median
$132,706
outlier · 0.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 $8,394.50 $238,897.21 $35,369.49 nat. median
$80,459
outlier · 0.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 $8,394.50 $152,832.26 $35,191.34 nat. median
$92,900
outlier · 0.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 37 $8,394.50 $250,000.00 $35,163.04 nat. median
$108,240
outlier · 0.3×
0888T
OTHER 		Histotripsy Mal Renal Tissue 4 $31,325.90 $36,926.06 $34,125.97 nat. median
$18,269
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 37 $8,394.50 $124,406.90 $30,380.49 nat. median
$79,040
outlier · 0.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 $8,394.50 $210,213.70 $29,233.13 nat. median
$74,472
outlier · 0.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 37 $8,394.50 $173,743.42 $29,033.04 nat. median
$60,162
outlier · 0.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 37 $8,394.50 $129,497.98 $28,223.37 nat. median
$54,267
0.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 37 $8,394.50 $114,186.43 $27,204.42 nat. median
$73,475
outlier · 0.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 37 $8,394.50 $123,179.68 $27,055.13 nat. median
$71,485
outlier · 0.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 $8,394.50 $149,743.57 $25,213.62 nat. median
$57,394
outlier · 0.4×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 37 $8,394.50 $141,491.14 $24,436.41 nat. median
$50,071
outlier · 0.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 37 $8,394.50 $101,905.75 $24,178.58 nat. median
$65,792
outlier · 0.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 $8,394.50 $121,813.62 $24,143.13 nat. median
$63,840
outlier · 0.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 37 $8,394.50 $151,220.43 $24,136.03 nat. median
$77,385
outlier · 0.3×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 37 $8,394.50 $130,456.35 $23,465.66 nat. median
$47,266
outlier · 0.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 37 $8,394.50 $144,913.07 $22,558.97 nat. median
$65,958
outlier · 0.3×
1716301
CDM 		Dantrolene 250 Mg/5ml Inj 1 $22,400.05 $22,400.05 $22,400.05 nat. median
$11,752
1.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 37 $8,394.50 $121,131.55 $22,338.92 nat. median
$64,357
outlier · 0.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 37 $8,394.50 $88,253.24 $21,872.24 nat. median
$59,257
outlier · 0.4×
27447
CPT 		Total Knee Arthroplasty 12 $2,118.00 $28,151.00 $21,669.50 nat. median
$12,699
1.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 37 $8,394.50 $92,538.85 $21,640.80 nat. median
$57,082
outlier · 0.4×
27446
CPT 		Revision Of Knee Joint 12 $2,118.00 $28,151.00 $21,555.00 nat. median
$12,452
1.7× median
27130
CPT 		Total Hip Arthroplasty 11 $2,118.00 $28,151.00 $21,555.00 nat. median
$13,040
1.7× median
27438
CPT 		Revise Kneecap With Implant 12 $2,187.00 $28,151.00 $21,555.00 nat. median
$11,523
1.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 37 $8,394.50 $95,628.41 $21,128.29 nat. median
$62,911
outlier · 0.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 $8,394.50 $77,039.00 $21,056.42 nat. median
$60,895
outlier · 0.3×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 37 $8,394.50 $88,504.25 $21,038.27 nat. median
$46,754
outlier · 0.4×
30045289
CDM 		Gft Spg Kt Bne Infse Med 5.6 15 $7,451.80 $39,220.00 $20,786.60 nat. median
$173
outlier · 120.2×
27138
CPT 		Revise Hip Joint Replacement 12 $2,118.00 $28,151.00 $20,762.50 nat. median
$9,832
outlier · 2.1×
27132
CPT 		Total Hip Arthroplasty 12 $2,118.00 $28,151.00 $20,762.50 nat. median
$9,832
outlier · 2.1×
27125
CPT 		Partial Hip Replacement 12 $2,118.00 $28,151.00 $20,762.50 nat. median
$5,882
outlier · 3.5×
653
MS_DRG 		Major Bladder Procedures With Mcc 37 $8,394.50 $88,320.86 $20,709.80 nat. median
$51,176
outlier · 0.4×
28
MS_DRG 		Spinal Procedures With Mcc 37 $7,131.23 $85,280.46 $20,591.87 nat. median
$56,970
outlier · 0.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 37 $8,394.50 $115,709.80 $20,539.40 nat. median
$62,218
outlier · 0.3×
245
MS_DRG 		Aicd Generator Procedures 37 $8,394.50 $87,731.54 $20,419.19 nat. median
$44,699
outlier · 0.5×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 37 $8,394.50 $108,367.44 $20,389.06 nat. median
$34,270
0.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 37 $8,394.50 $99,305.42 $20,387.73 nat. median
$60,294
outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 19,823 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
             
0270 RC — 2 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0274 RC — 2 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0278 RC — 2 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0279 RC — 2 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0544U OTHER Nefro Trnsp Mntr 48vrnt Dpcr 8 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0545F OTHER Follow Up Care Plan Mdd Docd 8 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0553T OTHER Perq Tcat Iliac Anast Implt 8 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0569U OTHER Onc Sol Tum Ngs Tmm>20000dmr 8 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0613T OTHER Perq Tcat Intratrl Septl Sht 8 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 8 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0659T OTHER Tcat Intra-c Nfs Supersat O2 10 4 — — $14,749.00 $16,976.00 $15,955.00 2026-01-01
0672 RC — 2 1 — — $250,000.00 $250,000.00 $250,000.00 2026-01-01
0686T OTHER Histotripsy Mal Hepatcel Tis 24 6 — — $14,750.59 $26,376.06 $20,000.80 2026-01-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 8 3 — — $14,749.00 $16,976.00 $16,001.00 2026-01-01
0805T OTHER Tcat S&ivc Prstc Vl Impl Prq 10 4 — — $14,749.00 $16,976.00 $15,955.00 2026-01-01
0888T OTHER Histotripsy Mal Renal Tissue 8 4 — — $31,325.90 $36,926.06 $34,125.97 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 115 37 — — $8,394.50 $424,425.61 $58,364.41 2026-01-01
10 MS_DRG Pancreas Transplant 113 36 — — $8,394.50 $75,491.32 $16,675.00 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 115 37 — — $8,394.50 $80,151.52 $18,832.00 2026-01-01
113 MS_DRG Orbital Procedures With Cc/mcc 115 37 — — $3,255.51 $34,589.15 $15,974.00 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 115 37 — — $7,475.64 $62,742.40 $16,675.00 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 115 37 — — $6,160.63 $51,705.67 $16,559.00 2026-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 115 37 — — $2,662.93 $36,355.61 $15,974.00 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 113 36 — — $8,394.50 $187,247.76 $19,970.00 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 115 37 — — $8,394.50 $76,913.15 $16,582.20 2026-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 115 37 — — $5,082.06 $42,653.32 $15,974.00 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 115 37 — — $6,823.20 $44,571.84 $15,974.00 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 113 36 — — $8,394.50 $98,559.01 $18,884.68 2026-01-01
1626337 CDM Digoxin Immun Fab 40mg/4ml Inj 31 14 $34,265.40 $10,279.62 70% off $6,510.43 $34,265.40 $18,503.32 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 115 37 — — $8,394.50 $78,428.00 $18,991.26 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 115 37 — — $5,010.69 $42,054.33 $16,559.00 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 115 37 — — $8,028.39 $67,381.61 $16,675.00 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 113 36 — — $8,394.50 $79,356.94 $16,957.32 2026-01-01
1716301 CDM Dantrolene 250 Mg/5ml Inj 1 1 $22,400.05 $6,720.02 70% off $22,400.05 $22,400.05 $22,400.05 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 103 32 — — $8,394.50 $59,415.15 $15,974.00 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 115 37 — — $8,394.50 $721,270.94 $20,300.00 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 113 36 — — $8,394.50 $101,516.98 $18,292.00 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 115 37 — — $8,394.50 $250,000.00 $35,163.04 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 115 37 — — $8,394.50 $151,220.43 $24,136.03 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 115 37 — — $8,394.50 $115,709.80 $20,539.40 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 115 37 — — $5,909.01 $37,252.32 $16,559.00 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 80 30 — — $8,394.50 $119,078.44 $15,974.00 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 115 37 — — $8,394.50 $129,497.98 $28,223.37 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 103 32 — — $8,394.50 $208,111.47 $18,292.00 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 80 30 — — $8,394.50 $60,038.94 $15,974.00 2026-01-01
215 MS_DRG Other Heart Assist System Implant 115 37 — — $8,394.50 $231,894.92 $48,258.25 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 117 37 — — $8,394.50 $152,832.26 $35,191.34 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 117 37 — — $8,394.50 $121,813.62 $24,143.13 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 117 37 — — $8,394.50 $77,039.00 $21,056.42 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 117 37 — — $8,394.50 $210,213.70 $29,233.13 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 115 37 — — $8,394.50 $108,367.44 $20,389.06 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 117 37 — — $8,394.50 $109,598.25 $19,970.00 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 117 37 — — $8,394.50 $83,264.29 $19,094.98 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 117 37 — — $8,394.50 $141,491.14 $24,436.41 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 117 37 — — $8,394.50 $63,498.68 $18,292.00 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 115 37 — — $8,394.50 $139,330.94 $20,355.90 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 117 37 — — $8,394.50 $124,406.90 $30,380.49 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 117 37 — — $8,394.50 $88,253.24 $21,872.24 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 117 37 — — $8,394.50 $114,186.43 $27,204.42 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 117 37 — — $8,141.20 $77,915.86 $19,430.86 2026-01-01
23470 CPT Reconstruct Shoulder Joint 59 12 — — $2,118.00 $28,151.00 $19,804.00 2026-01-01
23472 CPT Reconstruct Shoulder Joint 58 11 — — $2,118.00 $28,151.00 $19,804.00 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 117 37 — — $8,394.50 $92,538.85 $21,640.80 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 117 37 — — $7,371.35 $59,795.96 $18,249.01 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 115 37 — — $8,394.50 $135,130.34 $19,352.42 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 115 37 — — $8,394.50 $58,889.10 $16,675.00 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 115 37 — — $6,902.63 $40,880.40 $16,559.00 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 115 37 — — $8,394.50 $66,122.94 $16,675.00 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 115 37 — — $8,394.50 $54,022.62 $15,974.00 2026-01-01
245 MS_DRG Aicd Generator Procedures 115 37 — — $8,394.50 $87,731.54 $20,419.19 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 117 37 — — $8,394.50 $67,487.00 $17,939.40 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 117 37 — — $8,394.50 $63,115.32 $16,400.57 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 115 37 — — $8,394.50 $55,913.59 $16,559.00 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 115 37 — — $5,830.50 $38,884.67 $16,559.00 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 115 37 — — $8,394.50 $89,008.73 $16,559.00 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 117 37 — — $5,277.98 $46,908.65 $16,559.00 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 117 37 — — $7,361.22 $67,487.00 $16,559.00 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 115 37 — — $8,394.50 $107,986.79 $16,856.77 2026-01-01
263 MS_DRG Vein Ligation And Stripping 115 37 — — $5,093.11 $42,746.06 $16,559.00 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 115 37 — — $7,196.38 $60,398.64 $16,559.00 2026-01-01
265 MS_DRG Aicd Lead Procedures 115 37 — — $5,086.44 $49,273.64 $16,559.00 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 115 37 — — $8,394.50 $173,743.42 $29,033.04 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 115 37 — — $8,394.50 $130,456.35 $23,465.66 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 117 37 — — $8,394.50 $101,905.75 $24,178.58 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 117 37 — — $8,394.50 $75,435.02 $18,832.00 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 115 37 — — $5,602.59 $47,022.02 $16,559.00 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 117 37 — — $8,394.50 $75,925.98 $18,987.03 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 117 37 — — $7,234.83 $60,721.32 $16,559.00 2026-01-01
27125 CPT Partial Hip Replacement 60 12 — — $2,118.00 $28,151.00 $20,762.50 2026-01-01
27130 CPT Total Hip Arthroplasty 58 11 — — $2,118.00 $28,151.00 $21,555.00 2026-01-01
27132 CPT Total Hip Arthroplasty 60 12 — — $2,118.00 $28,151.00 $20,762.50 2026-01-01
27138 CPT Revise Hip Joint Replacement 60 12 — — $2,118.00 $28,151.00 $20,762.50 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 117 37 — — $5,181.75 $43,489.96 $16,559.00 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 117 37 — — $8,172.51 $68,591.17 $16,817.30 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 117 37 — — $5,570.58 $48,140.97 $16,559.00 2026-01-01
27438 CPT Revise Kneecap With Implant 59 12 — — $2,187.00 $28,151.00 $21,555.00 2026-01-01
27446 CPT Revision Of Knee Joint 59 12 — — $2,118.00 $28,151.00 $21,555.00 2026-01-01
27447 CPT Total Knee Arthroplasty 60 12 — — $2,118.00 $28,151.00 $21,669.50 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 103 32 — — $8,394.50 $135,945.73 $18,292.00 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 103 32 — — $8,394.50 $119,993.48 $18,292.00 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 103 32 — — $8,394.50 $62,343.79 $16,675.00 2026-01-01
27700 CPT Revision Of Ankle Joint 29 8 — — $1,682.15 $28,151.00 $19,594.00 2026-01-01
27702 CPT Reconstruct Ankle Joint 28 7 — — $2,118.00 $28,151.00 $19,688.00 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 103 32 — — $8,394.50 $86,183.85 $16,675.00 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 103 32 — — $8,394.50 $61,841.99 $15,974.00 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 115 37 — — $7,131.23 $85,280.46 $20,591.87 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 117 37 — — $5,184.97 $43,517.01 $16,559.00 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 115 37 — — $5,036.25 $42,268.81 $16,559.00 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 115 37 — — $7,015.66 $58,881.86 $16,559.00 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 115 37 — — $8,394.50 $278,276.59 $65,290.09 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 115 37 — — $4,230.26 $34,538.59 $15,974.00 2026-01-01
30045289 CDM Gft Spg Kt Bne Infse Med 5.6 30 15 $39,220.00 $11,766.00 70% off $7,451.80 $39,220.00 $20,786.60 2026-01-01
30068092 CDM 0-arthrosphere 42 Mm 47 20 $105,400.00 $31,620.00 70% off $15,810.00 $105,400.00 $43,214.00 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 115 37 — — $8,394.50 $140,890.23 $18,292.00 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 80 30 — — $8,394.50 $119,533.62 $15,974.00 2026-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 80 30 — — $8,394.50 $25,482.55 $15,974.00 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 115 37 — — $8,394.50 $63,239.42 $16,675.00 2026-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 115 37 — — $7,277.65 $41,645.65 $15,974.00 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 115 37 — — $5,404.83 $45,362.26 $15,974.00 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 103 32 — — $8,394.50 $39,071.17 $15,974.00 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 103 32 — — $8,394.50 $79,993.08 $15,974.00 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 103 32 — — $8,394.50 $57,359.29 $15,974.00 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 103 32 — — $8,394.50 $51,093.16 $15,974.00 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 115 37 — — $8,394.50 $78,799.44 $18,292.00 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 115 37 — — $5,027.27 $42,193.45 $16,530.43 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 115 37 — — $8,368.19 $71,071.45 $18,880.20 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 115 37 — — $4,555.32 $38,232.44 $16,212.56 2026-01-01
332 MS_DRG Rectal Resection With Mcc 115 37 — — $6,854.51 $60,952.08 $17,955.62 2026-01-01
333 MS_DRG Rectal Resection With Cc 115 37 — — $4,568.91 $38,346.44 $15,974.00 2026-01-01
33302290 CDM Lithotripsy (eswl) Bilateral 24 12 $32,951.95 $9,885.59 70% off $6,260.87 $32,951.95 $18,123.57 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 115 37 — — $8,394.50 $76,835.87 $17,232.82 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 115 37 — — $5,856.29 $58,239.81 $18,292.00 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 115 37 — — $8,394.50 $72,484.55 $16,559.00 2026-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 115 37 — — $4,897.20 $36,069.82 $15,974.00 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 115 37 — — $4,373.22 $36,704.07 $16,167.24 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 115 37 — — $5,500.14 $46,162.19 $16,559.00 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 115 37 — — $5,365.92 $45,035.72 $16,559.00 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 115 37 — — $7,611.47 $62,881.88 $16,675.00 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 115 37 — — $4,068.64 $33,023.47 $15,974.00 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 80 30 — — $8,394.50 $36,175.48 $15,974.00 2026-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 80 30 — — $8,394.50 $25,399.43 $15,974.00 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 115 37 — — $5,200.39 $47,984.18 $16,559.00 2026-01-01
374 MS_DRG Digestive Malignancy With Mcc 115 37 — — $4,869.34 $40,867.96 $15,974.00 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 103 32 — — $8,322.55 $43,408.81 $15,974.00 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 115 37 — — $8,394.50 $207,740.48 $40,995.19 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 115 37 — — $8,394.50 $89,688.86 $17,722.14 2026-01-01
40006575 CDM Bronch W/ebus Bx 3 Or >station 26 13 $32,124.50 $9,637.35 70% off $5,004.00 $32,124.50 $16,704.74 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 80 30 — — $8,394.50 $75,591.53 $15,974.00 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 115 37 — — $6,952.81 $83,969.02 $20,300.00 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 115 37 — — $4,979.85 $42,156.68 $16,559.00 2026-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 115 37 — — $4,242.46 $35,606.58 $15,974.00 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 115 37 — — $8,394.50 $157,395.08 $18,545.50 2026-01-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 115 37 — — $5,930.19 $49,771.54 $15,974.00 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 115 37 — — $4,059.43 $34,450.67 $15,974.00 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 115 37 — — $7,856.88 $54,983.92 $16,559.00 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 115 37 — — $8,394.50 $106,014.02 $16,665.53 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 115 37 — — $5,097.49 $42,782.77 $16,139.51 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 115 37 — — $3,310.07 $51,492.11 $16,905.88 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 115 37 — — $6,989.88 $61,234.89 $16,675.00 2026-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 115 37 — — $3,305.47 $33,432.28 $15,974.00 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 80 30 — — $8,394.50 $202,405.68 $15,974.00 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 80 30 — — $8,394.50 $137,238.37 $15,974.00 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 80 30 — — $8,394.50 $106,350.22 $15,974.00 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 80 30 — — $8,394.50 $161,157.07 $15,974.00 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 80 30 — — $8,394.50 $105,701.00 $15,974.00 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 80 30 — — $8,394.50 $129,548.21 $15,974.00 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 80 30 — — $8,394.50 $53,796.03 $15,974.00 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 80 30 — — $8,394.50 $99,510.23 $15,974.00 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 80 30 — — $8,394.50 $59,627.69 $15,974.00 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 115 37 — — $8,394.50 $238,897.21 $35,369.49 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 115 37 — — $8,394.50 $149,743.57 $25,213.62 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 115 37 — — $8,394.50 $125,554.36 $20,094.50 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 115 37 — — $8,394.50 $89,034.56 $18,800.27 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 115 37 — — $7,135.15 $59,884.67 $16,559.00 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 115 37 — — $8,394.50 $81,795.82 $19,970.00 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 115 37 — — $6,468.67 $54,290.96 $16,559.00 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 117 37 — — $8,151.56 $78,320.29 $19,970.00 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 117 37 — — $7,042.83 $59,109.86 $16,961.96 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 117 37 — — $6,345.04 $53,253.36 $16,559.00 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 117 37 — — $7,315.64 $61,399.52 $16,559.00 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 117 37 — — $8,394.50 $117,423.66 $19,031.24 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 117 37 — — $8,394.50 $71,153.26 $16,559.00 2026-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 117 37 — — $5,622.61 $47,190.12 $16,559.00 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 115 37 — — $8,394.50 $67,012.02 $16,675.00 2026-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 115 37 — — $7,374.80 $61,896.09 $15,974.00 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 115 37 — — $8,394.50 $53,578.63 $16,559.00 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 115 37 — — $7,306.66 $61,324.16 $16,559.00 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 115 37 — — $6,334.68 $53,166.42 $16,559.00 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 115 37 — — $5,572.43 $34,966.45 $16,559.00 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 115 37 — — $5,814.85 $49,931.56 $16,559.00 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 115 37 — — $7,226.08 $60,647.89 $16,559.00 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 115 37 — — $4,789.69 $40,199.42 $16,559.00 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 115 37 — — $8,394.50 $54,599.64 $16,675.00 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 115 37 — — $5,380.19 $45,155.51 $16,559.00 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 113 36 — — $8,394.50 $149,802.01 $19,970.00 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 115 37 — — $6,985.73 $58,630.68 $16,559.00 2026-01-01
503 MS_DRG Foot Procedures With Mcc 115 37 — — $4,272.62 $38,518.34 $16,559.00 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 115 37 — — $3,534.31 $40,012.95 $16,559.00 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 115 37 — — $8,394.50 $90,730.32 $16,559.00 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 117 37 — — $7,051.12 $59,179.42 $16,675.00 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 117 37 — — $7,052.50 $59,191.01 $15,974.00 2026-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 115 37 — — $3,974.02 $36,625.17 $16,559.00 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 115 37 — — $2,461.49 $33,206.97 $15,974.00 2026-01-01
570 MS_DRG Skin Debridement With Mcc 115 37 — — $5,791.82 $48,610.29 $16,559.00 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 115 37 — — $8,394.50 $88,054.22 $18,292.00 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 115 37 — — $3,564.00 $47,570.96 $16,675.00 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 115 37 — — $5,701.58 $74,145.65 $18,832.00 2026-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 115 37 — — $4,326.95 $37,327.05 $16,559.00 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 115 37 — — $5,990.04 $50,273.91 $16,559.00 2026-01-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 115 37 — — $3,462.02 $29,056.42 $15,974.00 2026-01-01
595 MS_DRG Major Skin Disorders With Mcc 115 37 — — $3,295.57 $30,535.32 $15,936.17 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 113 36 — — $8,394.50 $68,747.48 $16,859.20 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 115 37 — — $5,880.00 $42,320.79 $16,559.00 2026-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 115 37 — — $5,059.73 $42,465.89 $15,974.00 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 115 37 — — $7,240.13 $60,765.76 $16,842.14 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 117 37 — — $6,359.77 $53,377.03 $16,559.00 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 115 37 — — $8,394.50 $104,879.82 $16,939.51 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 115 37 — — $7,516.39 $63,084.40 $16,559.00 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 115 37 — — $8,394.50 $111,657.97 $16,804.14 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 115 37 — — $4,217.82 $34,387.66 $15,974.00 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 115 37 — — $8,394.50 $87,202.12 $17,342.36 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 115 37 — — $8,394.50 $71,367.74 $16,559.00 2026-01-01
652 MS_DRG Kidney Transplant 115 37 — — $7,057.10 $59,229.66 $16,559.00 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 115 37 — — $8,394.50 $88,320.86 $20,709.80 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 115 37 — — $5,675.79 $42,496.63 $16,559.00 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 115 37 — — $8,394.50 $82,644.06 $16,559.00 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 115 37 — — $7,034.08 $59,036.44 $16,559.00 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 115 37 — — $4,690.69 $42,930.36 $16,559.00 2026-01-01
665 MS_DRG Prostatectomy With Mcc 115 37 — — $4,925.05 $44,496.77 $16,559.00 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 115 37 — — $5,487.48 $40,370.48 $16,559.00 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 115 37 — — $8,034.15 $67,429.92 $16,559.33 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 115 37 — — $3,891.37 $34,880.00 $15,974.00 2026-01-01
7 MS_DRG Lung Transplant 113 36 — — $8,394.50 $169,598.22 $19,970.00 2026-01-01
709 MS_DRG Penis Procedures With Cc/mcc 115 37 — — $3,714.34 $33,876.27 $15,974.00 2026-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 115 37 — — $3,109.55 $30,931.80 $15,974.00 2026-01-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 115 37 — — $3,526.48 $32,570.69 $15,974.00 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 115 37 — — $5,433.61 $62,395.40 $18,292.00 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 115 37 — — $3,434.16 $55,999.37 $16,675.00 2026-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 115 37 — — $2,645.67 $39,671.53 $15,974.00 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 115 37 — — $1,466.72 $33,726.55 $15,974.00 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 111 37 — — $7,338.66 $83,040.02 $20,300.00 2026-01-01
791 MS_DRG Prematurity With Major Problems 111 37 — — $5,178.98 $53,990.93 $18,292.00 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 111 37 — — $1,433.80 $55,352.37 $16,559.00 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 115 37 — — $8,394.50 $76,347.02 $18,832.00 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 113 36 — — $8,394.50 $79,518.90 $18,752.22 2026-01-01
800 MS_DRG Splenic Procedures With Cc 115 37 — — $6,357.93 $53,361.57 $16,559.00 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 115 37 — — $6,432.29 $54,343.58 $16,675.00 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 115 37 — — $3,339.77 $31,912.77 $15,974.00 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 115 37 — — $2,966.82 $29,963.17 $15,974.00 2026-01-01
81416 CPT Exome Sequence Analysis 71 17 — — $9,749.29 $37,626.11 $16,800.00 2026-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 115 37 — — $5,828.43 $57,181.00 $15,974.00 2026-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 115 37 — — $5,480.34 $45,996.02 $15,974.00 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 115 37 — — $8,394.50 $86,891.03 $20,288.86 2026-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 115 37 — — $5,038.09 $42,284.26 $15,974.00 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 115 37 — — $8,394.50 $107,780.05 $18,292.00 2026-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 115 37 — — $3,970.57 $34,620.64 $15,974.00 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 115 37 — — $8,394.50 $92,181.11 $19,970.00 2026-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 115 37 — — $5,828.43 $36,597.33 $15,974.00 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 115 37 — — $5,145.14 $46,973.12 $16,559.00 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 115 37 — — $8,394.50 $88,652.12 $20,352.19 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 115 37 — — $8,394.50 $88,504.25 $21,038.27 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 115 37 — — $5,094.49 $47,119.65 $16,559.00 2026-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 115 37 — — $4,923.90 $41,325.89 $16,559.00 2026-01-01
849 MS_DRG Radiotherapy 115 37 — — $2,046.41 $36,835.04 $15,974.00 2026-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 115 37 — — $4,035.49 $33,869.53 $15,974.00 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 80 30 — — $8,394.50 $177,992.33 $15,974.00 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 115 37 — — $8,394.50 $101,231.82 $19,704.84 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 115 37 — — $8,394.50 $76,406.92 $18,543.02 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 115 37 — — $3,575.52 $30,055.89 $15,974.00 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 115 37 — — $8,394.50 $144,913.07 $22,558.97 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 115 37 — — $5,670.73 $49,523.54 $16,559.00 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 115 37 — — $6,569.04 $62,454.02 $18,292.00 2026-01-01
90288 CPT Botulism Ig IV 18 3 — — $75,005.70 $75,005.70 $75,005.70 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 115 37 — — $4,931.27 $54,529.67 $16,615.79 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 115 37 — — $6,240.75 $57,983.39 $18,292.00 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 115 37 — — $8,394.50 $325,559.68 $62,746.21 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 115 37 — — $8,394.50 $95,628.41 $21,128.29 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 115 37 — — $2,788.63 $44,089.41 $15,974.00 2026-01-01
92998 CPT Pul Art Balloon Repr Percut 10 5 — — $304.57 $16,976.00 $15,955.00 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 115 37 — — $6,129.78 $51,446.76 $16,559.00 2026-01-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 115 37 — — $3,388.12 $29,528.88 $15,974.00 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 115 37 — — $4,989.28 $49,617.99 $16,559.00 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 115 37 — — $8,394.50 $53,714.35 $16,675.00 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 115 37 — — $3,665.76 $32,494.49 $15,974.00 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 115 37 — — $4,704.74 $39,486.44 $16,559.00 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 115 37 — — $8,394.50 $121,131.55 $22,338.92 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 115 37 — — $8,394.50 $164,551.95 $17,796.05 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 115 37 — — $8,394.50 $123,179.68 $27,055.13 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 115 37 — — $8,394.50 $83,071.07 $18,292.00 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 115 37 — — $6,619.00 $55,552.68 $16,559.00 2026-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 115 37 — — $2,909.26 $34,163.47 $15,974.00 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 115 37 — — $8,394.50 $46,186.95 $16,559.00 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 115 37 — — $8,394.50 $99,305.42 $20,387.73 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 115 37 — — $5,117.52 $54,986.85 $16,675.00 2026-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 115 37 — — $8,394.50 $71,199.64 $16,559.00 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 115 37 — — $4,954.75 $41,584.81 $16,559.00 2026-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 115 37 — — $3,124.06 $30,931.02 $15,974.00 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 115 37 — — $8,394.50 $67,518.09 $17,953.56 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 115 37 — — $4,138.63 $37,236.20 $16,559.00 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 115 37 — — $5,673.95 $47,799.55 $16,559.00 2026-01-01
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