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

CHI HEALTH MERCY COUNCIL BLUFFS

Council Bluffs, IA · CCN 160028 · Rates published

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You selected 93306 (CPT)

HC ECHO W PW CW CF DOPPLER

This hospital’s price: $1,186 across 21 payers · range $243-$2,998

Source: https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/470484764_chi-health-mercy-council-bluffs_standardcharges.json · observed 2026-02-28

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

14,399 distinct procedures filed
23 distinct payers
1,430,628 rate rows
2026-02-28 last MRF observed
Data quality

1,402,328 of 1,430,628 rate rows are consumer-grade (98.0%)

28,300 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,204
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,726
exceeds 10× this hospital's gross charge — excluded from medians 1,396
per-diem day rate — not a per-procedure price 570
placeholder amount (≤ $0.02) — excluded from medians 248
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 156
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/470484764_chi-health-mercy-council-bluffs_standardcharges.json
Found on page https://www.chihealth.com/patients-visitors/financial-assistance
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-21
Content fingerprint 9e2eba4309c66e4c… · 139,982,623 bytes · first seen 2026-05-09

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $273,341.64 $891,606.00 $587,946.00 nat. median
$359,454
1.6× median
5834
APR_DRG 		Neonate With Ecmo 3 $371,506.00 $764,779.00 $472,545.12 nat. median
$307,206
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $206,134.59 $665,955.00 $439,147.00 nat. median
$249,036
1.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $286,233.00 $649,473.00 $386,668.88 nat. median
$247,214
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 3 $254,507.00 $670,064.00 $378,527.50 nat. median
$241,437
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $153,998.58 $560,854.00 $369,841.00 nat. median
$198,418
1.9× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 8 $89,513.25 $507,241.75 $358,053.00 nat. median
$8,223
outlier · 43.5×
1614
APR_DRG 		Implantable Heart Assist Systems 4 $216,261.00 $579,363.00 $351,487.00 nat. median
$202,993
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 17 $113,323.02 $506,686.00 $334,121.00 nat. median
$190,559
1.8× median
5833
APR_DRG 		Neonate With Ecmo 3 $322,101.00 $429,468.00 $326,326.00 nat. median
$244,017
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $180,767.00 $566,740.00 $302,911.00 nat. median
$162,342
1.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $165,599.00 $426,417.00 $298,678.50 nat. median
$163,587
1.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $156,620.00 $584,358.00 $297,444.25 nat. median
$136,566
outlier · 2.2×
5832
APR_DRG 		Neonate With Ecmo 3 $224,625.00 $413,363.00 $267,323.62 nat. median
$159,249
1.7× median
23
APR_DRG 		Heart And/or Lung Transplant 3 $138,093.00 $488,132.00 $252,096.00 nat. median
$110,944
outlier · 2.3×
1613
APR_DRG 		Implantable Heart Assist Systems 4 $147,940.00 $304,274.00 $245,150.25 nat. median
$120,517
outlier · 2.0×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $215,384.00 $371,145.00 $233,917.50 nat. median
$155,939
1.5× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $176,171.00 $312,770.00 $232,409.25 nat. median
$165,000
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $176,653.00 $438,402.00 $222,737.50 nat. median
$170,082
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $196,083.00 $329,254.00 $221,511.75 nat. median
$175,204
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $166,902.00 $368,042.00 $221,466.75 nat. median
$151,838
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 17 $74,284.56 $334,061.00 $220,288.00 nat. median
$126,695
1.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $149,059.00 $259,497.00 $212,487.88 nat. median
$154,011
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems 4 $120,058.00 $285,564.00 $210,884.00 nat. median
$84,880
outlier · 2.5×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $123,752.00 $270,693.00 $206,038.38 nat. median
$118,620
1.7× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $72,811.00 $452,230.00 $205,991.75 nat. median
$73,704
outlier · 2.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $96,205.49 $309,753.00 $204,258.00 nat. median
$110,307
1.9× median
7
MS_DRG 		Lung Transplant 17 $95,964.72 $308,973.00 $203,744.00 nat. median
$117,974
1.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $148,833.00 $341,114.00 $202,334.25 nat. median
$122,016
1.7× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $113,875.00 $261,468.00 $191,302.00 nat. median
$108,695
1.8× median
4404
APR_DRG 		Kidney Transplant 3 $81,249.00 $395,336.00 $188,875.50 nat. median
$78,303
outlier · 2.4×
1611
APR_DRG 		Implantable Heart Assist Systems 4 $114,071.00 $241,578.00 $188,546.25 nat. median
$76,852
outlier · 2.5×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 3 $113,103.00 $349,979.00 $187,793.62 nat. median
$93,998
2.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $176,541.75 $235,389.00 $187,700.00 nat. median
$145,061
1.3× median
64
APR_DRG 		Pancreas Transplant 3 $120,235.00 $338,013.00 $186,872.38 nat. median
$91,106
outlier · 2.1×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 $153,875.00 $250,577.00 $185,878.38 nat. median
$107,681
1.7× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $96,446.00 $221,132.00 $182,218.62 nat. median
$81,521
outlier · 2.2×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $86,770.00 $238,560.00 $177,446.00 nat. median
$133,164
1.3× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $117,634.00 $314,972.00 $176,931.50 nat. median
$98,624
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $80,096.08 $257,554.00 $176,211.38 nat. median
$97,323
1.8× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 3 $109,011.00 $318,164.00 $173,817.00 nat. median
$89,188
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $81,013.95 $260,528.00 $171,798.00 nat. median
$104,013
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $77,042.60 $247,659.00 $169,493.72 nat. median
$93,276
1.8× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $92,261.00 $232,376.00 $166,446.00 nat. median
$88,008
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $78,312.14 $251,773.00 $166,025.00 nat. median
$95,038
1.7× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 3 $103,782.00 $303,013.00 $165,520.88 nat. median
$71,350
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 17 $60,249.36 $250,482.00 $165,174.00 nat. median
$93,901
1.8× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 $96,960.00 $284,488.00 $165,130.50 nat. median
$96,883
1.7× median
5831
APR_DRG 		Neonate With Ecmo 3 $141,279.00 $249,735.00 $164,290.12 nat. median
$146,500
1.1× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $130,511.00 $421,104.00 $163,707.00 nat. median
$101,406
1.6× median

Other procedures at this hospital

Browse this hospital's 14,399 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 56 17 — — $273,341.64 $891,606.00 $587,946.00 2026-02-28
5834 APR_DRG Neonate With Ecmo 8 3 — — $371,506.00 $764,779.00 $472,545.12 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 56 17 — — $206,134.59 $665,955.00 $439,147.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 3 — — $286,233.00 $649,473.00 $386,668.88 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 8 3 — — $254,507.00 $670,064.00 $378,527.50 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 17 — — $153,998.58 $560,854.00 $369,841.00 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 26 8 $596,755.00 $250,637.10 58% off $89,513.25 $507,241.75 $358,053.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 12 4 — — $216,261.00 $579,363.00 $351,487.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 56 17 — — $113,323.02 $506,686.00 $334,121.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 8 3 — — $322,101.00 $429,468.00 $326,326.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 3 — — $180,767.00 $566,740.00 $302,911.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 4 — — $165,599.00 $426,417.00 $298,678.50 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 8 3 — — $156,620.00 $584,358.00 $297,444.25 2026-02-28
5832 APR_DRG Neonate With Ecmo 8 3 — — $224,625.00 $413,363.00 $267,323.62 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 8 3 — — $138,093.00 $488,132.00 $252,096.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 12 4 — — $147,940.00 $304,274.00 $245,150.25 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 12 4 — — $215,384.00 $371,145.00 $233,917.50 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 4 — — $176,171.00 $312,770.00 $232,409.25 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 12 4 — — $176,653.00 $438,402.00 $222,737.50 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 3 — — $196,083.00 $329,254.00 $221,511.75 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 3 — — $166,902.00 $368,042.00 $221,466.75 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 56 17 — — $74,284.56 $334,061.00 $220,288.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 4 — — $149,059.00 $259,497.00 $212,487.88 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 12 4 — — $120,058.00 $285,564.00 $210,884.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $123,752.00 $270,693.00 $206,038.38 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 8 3 — — $72,811.00 $452,230.00 $205,991.75 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 56 17 — — $96,205.49 $309,753.00 $204,258.00 2026-02-28
7 MS_DRG Lung Transplant 56 17 — — $95,964.72 $308,973.00 $203,744.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 3 — — $148,833.00 $341,114.00 $202,334.25 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 4 — — $113,875.00 $261,468.00 $191,302.00 2026-02-28
4404 APR_DRG Kidney Transplant 8 3 — — $81,249.00 $395,336.00 $188,875.50 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 12 4 — — $114,071.00 $241,578.00 $188,546.25 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 3 — — $113,103.00 $349,979.00 $187,793.62 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 3 — — $176,541.75 $235,389.00 $187,700.00 2026-02-28
64 APR_DRG Pancreas Transplant 8 3 — — $120,235.00 $338,013.00 $186,872.38 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 4 — — $153,875.00 $250,577.00 $185,878.38 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 4 — — $96,446.00 $221,132.00 $182,218.62 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 4 — — $86,770.00 $238,560.00 $177,446.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 3 — — $117,634.00 $314,972.00 $176,931.50 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 50 16 — — $80,096.08 $257,554.00 $176,211.38 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 3 — — $109,011.00 $318,164.00 $173,817.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 56 17 — — $81,013.95 $260,528.00 $171,798.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 16 — — $77,042.60 $247,659.00 $169,493.72 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $92,261.00 $232,376.00 $166,446.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 56 17 — — $78,312.14 $251,773.00 $166,025.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 3 — — $103,782.00 $303,013.00 $165,520.88 2026-02-28
215 MS_DRG Other Heart Assist System Implant 56 17 — — $60,249.36 $250,482.00 $165,174.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $96,960.00 $284,488.00 $165,130.50 2026-02-28
5831 APR_DRG Neonate With Ecmo 8 3 — — $141,279.00 $249,735.00 $164,290.12 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 4 — — $130,511.00 $421,104.00 $163,707.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 17 — — $71,028.29 $228,171.00 $150,462.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 50 16 — — $67,823.77 $217,788.00 $149,212.30 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 4 — — $100,591.00 $225,450.00 $138,358.50 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 50 16 — — $61,466.54 $197,188.00 $135,226.39 2026-02-28
4402 APR_DRG Kidney Transplant 12 4 — — $42,771.00 $220,756.00 $133,684.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 4 — — $98,411.00 $169,135.00 $132,454.62 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 56 17 — — $46,569.12 $200,340.00 $132,109.00 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 56 17 — — $52,968.60 $200,229.00 $132,036.00 2026-02-28
63 APR_DRG Pancreas Transplant 8 3 — — $76,890.00 $248,148.00 $131,500.50 2026-02-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 4 — — $25,662.00 $202,905.00 $125,780.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 56 17 — — $59,427.24 $190,581.00 $125,673.00 2026-02-28
10 MS_DRG Pancreas Transplant 56 17 — — $26,490.42 $188,498.00 $124,300.00 2026-02-28
4403 APR_DRG Kidney Transplant 8 3 — — $50,287.00 $264,222.00 $124,226.75 2026-02-28
J2351 HCPCS Ocrelizumab 920 Mg-hyaluronidase-ocsq 23000 Unit/23 Ml Subcut Soln 26 8 $206,409.59 $86,692.03 58% off $30,961.44 $175,448.16 $123,845.76 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 4 — — $69,846.00 $151,801.00 $123,618.12 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 17 — — $48,781.50 $187,417.00 $123,587.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 12 4 — — $72,023.00 $169,389.00 $123,453.38 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 56 17 — — $39,611.70 $184,795.00 $121,858.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 4 — — $91,959.00 $227,750.00 $121,516.50 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 12 4 — — $89,525.00 $342,536.00 $120,740.00 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 17 — — $42,945.06 $182,930.00 $120,628.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 4 — — $87,870.00 $164,836.00 $119,264.50 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 56 17 — — $43,332.66 $176,469.00 $116,368.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 16 — — $52,434.50 $167,922.00 $115,355.90 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $74,126.00 $211,509.00 $115,274.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 50 16 — — $52,174.02 $167,078.00 $114,782.85 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 12 4 — — $64,344.00 $146,263.00 $114,540.62 2026-02-28
6904 APR_DRG Acute Leukemia 12 4 — — $66,052.00 $156,880.00 $114,243.50 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 4 — — $48,122.00 $150,858.00 $114,095.75 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 12 4 — — $88,489.00 $269,462.00 $109,447.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 50 16 — — $49,530.59 $158,513.00 $108,967.30 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 4 — — $94,971.00 $131,694.00 $108,566.62 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 56 17 — — $45,942.84 $164,466.00 $108,453.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 4 — — $88,744.00 $356,265.00 $107,702.00 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 30 9 $205,870.00 $86,465.40 58% off $384.80 $174,989.50 $107,052.40 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 12 4 — — $56,450.00 $153,061.00 $106,910.50 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 56 17 — — $40,710.24 $161,435.00 $106,454.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 12 4 — — $52,640.00 $166,190.00 $105,911.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 56 17 — — $23,782.32 $157,903.00 $104,125.00 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 56 17 — — $38,209.20 $157,635.00 $103,949.00 2026-02-28
4401 APR_DRG Kidney Transplant 12 4 — — $38,787.00 $198,724.00 $103,379.00 2026-02-28
62 APR_DRG Pancreas Transplant 12 4 — — $67,166.00 $199,425.00 $102,912.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 12 4 — — $71,074.00 $312,471.00 $101,087.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 56 17 — — $40,168.62 $152,898.00 $100,824.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 50 16 — — $45,807.31 $146,448.00 $100,776.09 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 17 — — $42,262.68 $152,678.00 $100,679.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 50 16 — — $45,748.94 $146,259.00 $100,647.67 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 12 4 — — $76,177.00 $207,151.00 $100,589.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 12 4 — — $64,749.00 $153,092.00 $100,425.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 4 — — $74,241.00 $142,687.00 $99,550.50 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 4 — — $77,630.00 $192,163.00 $99,143.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 56 17 — — $42,377.94 $149,519.00 $98,596.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 4 — — $65,130.00 $156,098.00 $98,099.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 4 — — $68,168.00 $128,675.00 $97,674.12 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 4 — — $77,221.00 $208,945.00 $97,663.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 4 — — $81,547.00 $177,925.00 $97,429.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 56 17 — — $40,547.04 $145,592.00 $96,007.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 4 — — $73,138.00 $371,663.00 $95,783.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 56 17 — — $44,481.18 $145,084.00 $95,672.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 12 4 — — $75,858.00 $198,785.00 $95,323.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 56 17 — — $45,182.02 $144,422.00 $95,235.00 2026-02-28
234 APR_DRG Spinal Procedures 12 4 — — $56,303.00 $137,632.00 $95,177.50 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 56 17 — — $27,101.40 $143,732.00 $94,780.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 12 4 — — $61,218.00 $169,041.00 $94,477.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 4 — — $85,355.00 $213,143.00 $94,115.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 56 17 — — $28,885.38 $142,701.00 $94,100.00 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 56 17 — — $44,650.85 $142,701.00 $94,100.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 56 17 — — $44,321.79 $141,634.00 $93,397.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $68,242.00 $185,859.00 $93,383.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 12 4 — — $51,668.00 $138,958.00 $93,121.50 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 17 — — $38,387.70 $140,653.00 $92,750.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 4 — — $85,689.00 $126,935.00 $92,483.62 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 56 17 — — $40,311.04 $128,638.00 $91,900.00 2026-02-28
1794 APR_DRG Defibrillator Implants 12 4 — — $57,143.00 $139,443.00 $91,829.50 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 56 17 — — $32,744.04 $139,114.00 $91,735.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 12 4 — — $54,753.00 $211,139.00 $91,424.50 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 12 4 — — $54,830.00 $294,227.00 $91,039.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 56 17 — — $41,645.58 $137,651.00 $90,770.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 12 4 — — $58,513.00 $159,646.00 $89,827.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 16 — — $40,770.70 $130,128.00 $89,695.54 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 12 4 — — $50,332.00 $139,695.00 $89,514.50 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 56 17 — — $39,134.34 $135,691.00 $89,478.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $69,517.00 $184,879.00 $89,367.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 50 16 — — $40,525.55 $129,334.00 $89,156.21 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 17 — — $39,310.80 $134,880.00 $88,943.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 12 4 — — $72,485.00 $175,759.00 $88,600.50 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 12 4 — — $64,693.00 $123,915.00 $87,951.00 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 12 4 — — $70,006.00 $227,342.00 $87,440.50 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 4 — — $68,134.00 $122,300.00 $87,176.50 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 56 17 — — $24,616.68 $131,795.00 $86,909.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 12 4 — — $61,321.00 $142,722.00 $86,749.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 56 17 — — $40,939.97 $130,676.00 $86,171.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 56 17 — — $40,939.97 $130,676.00 $86,171.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 12 4 — — $57,371.00 $220,132.00 $85,849.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 12 4 — — $67,384.00 $148,716.00 $85,699.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 12 4 — — $70,380.00 $126,297.00 $85,058.50 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 12 4 — — $54,725.00 $216,895.00 $84,784.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 12 4 — — $60,072.00 $139,765.00 $84,635.50 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 56 17 — — $29,957.40 $128,345.00 $84,634.00 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 56 17 — — $24,528.96 $127,690.00 $84,202.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 12 4 — — $58,530.00 $247,159.00 $84,191.00 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 56 17 — — $25,830.48 $127,570.00 $84,123.00 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 56 17 — — $37,052.52 $127,556.00 $84,113.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 50 16 — — $38,187.82 $121,759.00 $84,013.21 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 12 4 — — $71,236.00 $229,734.00 $83,840.50 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 4 — — $66,347.00 $277,273.00 $83,716.50 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 56 17 — — $34,870.74 $125,780.00 $82,942.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 17 — — $34,623.90 $125,225.00 $82,576.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 12 4 — — $50,176.00 $119,150.00 $82,368.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 12 4 — — $72,001.00 $139,130.00 $82,334.50 2026-02-28
4414 APR_DRG Major Bladder Procedures 12 4 — — $55,064.00 $136,700.00 $82,168.50 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 12 4 — — $53,125.00 $145,201.00 $81,680.00 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 50 16 — — $37,116.73 $118,288.00 $81,656.81 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 4 — — $70,860.00 $112,234.00 $81,098.75 2026-02-28
5894 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 12 4 — — $19,251.00 $445,411.00 $81,039.88 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 4 — — $66,749.00 $148,405.00 $80,996.50 2026-02-28
61 APR_DRG Pancreas Transplant 12 4 — — $46,554.00 $136,705.00 $80,893.50 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 4 — — $74,163.00 $163,028.00 $80,874.50 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 12 4 — — $47,927.00 $235,721.00 $80,575.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 4 — — $54,107.00 $170,409.00 $80,297.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 56 17 — — $34,754.46 $121,354.00 $80,024.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $46,829.00 $117,095.00 $79,657.50 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 56 17 — — $25,379.64 $120,447.00 $79,425.00 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 56 17 — — $24,547.32 $120,078.00 $79,182.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 4 — — $60,418.00 $119,913.00 $79,138.00 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 56 17 — — $32,913.36 $119,082.00 $78,526.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 4 — — $56,294.00 $149,751.00 $78,372.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 56 17 — — $22,509.36 $118,380.00 $78,063.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 17 — — $26,906.58 $118,241.00 $77,971.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 56 17 — — $36,970.81 $117,815.00 $77,690.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 12 4 — — $63,253.00 $115,859.00 $77,502.50 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 12 4 — — $48,769.00 $133,875.00 $77,149.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $53,119.00 $146,192.00 $76,974.00 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 26 8 $127,832.52 $53,689.66 58% off $19,174.88 $108,657.65 $76,699.52 2026-02-28
245 MS_DRG Aicd Generator Procedures 56 17 — — $32,914.38 $115,534.00 $76,186.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 4 — — $51,773.00 $157,861.00 $76,040.50 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 12 4 — — $42,501.00 $127,051.00 $76,024.50 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 50 16 — — $34,552.83 $109,980.00 $76,016.23 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 12 4 — — $57,686.00 $170,314.00 $75,754.50 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 56 17 — — $29,862.54 $114,836.00 $75,726.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 56 17 — — $35,992.38 $114,645.00 $75,600.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 12 4 — — $43,332.00 $159,236.00 $75,329.00 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 12 4 — — $34,181.00 $168,172.00 $75,269.50 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 12 4 — — $44,903.00 $122,995.00 $74,987.50 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 4 — — $35,944.00 $118,275.00 $74,920.50 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 12 4 — — $51,198.00 $185,423.00 $74,750.50 2026-02-28
274 APR_DRG Other Open Craniotomy 12 4 — — $54,307.00 $115,716.00 $74,748.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 12 4 — — $48,599.00 $128,404.00 $74,649.50 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 56 17 — — $35,454.65 $112,902.00 $74,451.00 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 56 17 — — $24,533.04 $112,413.00 $74,128.00 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 17 — — $30,361.32 $112,392.00 $74,114.00 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 12 4 — — $41,947.00 $112,178.00 $73,797.50 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 56 17 — — $34,938.07 $111,229.00 $73,347.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 4 — — $52,431.00 $106,634.00 $73,283.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 12 4 — — $40,185.00 $107,274.00 $72,959.50 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 56 17 — — $30,501.06 $110,633.00 $72,954.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 12 4 — — $44,327.00 $122,498.00 $72,817.00 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 4 — — $46,047.00 $119,781.00 $72,608.00 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 56 17 — — $34,227.41 $108,926.00 $72,121.08 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 56 17 — — $29,837.04 $108,971.00 $71,858.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 17 — — $29,563.68 $108,578.00 $71,599.00 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 56 17 — — $24,703.38 $108,562.00 $71,588.00 2026-02-28
4014 APR_DRG Adrenal Procedures 12 4 — — $54,877.00 $101,196.00 $71,521.00 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 12 4 — — $47,475.00 $124,377.00 $71,163.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 12 4 — — $60,662.00 $114,647.00 $71,070.50 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 12 4 — — $44,284.00 $145,799.00 $70,970.50 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 12 4 — — $38,277.00 $90,864.00 $70,373.00 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 56 17 — — $18,682.32 $106,663.00 $70,336.00 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 4 — — $66,489.00 $334,496.00 $70,204.50 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 56 17 — — $18,062.16 $106,027.00 $69,917.00 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 56 17 — — $27,580.80 $105,734.00 $69,724.00 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 50 16 — — $31,689.05 $100,701.00 $69,715.91 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 4 — — $61,991.00 $110,064.00 $69,139.50 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 56 17 — — $31,209.96 $104,746.00 $69,072.00 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 12 4 — — $43,785.00 $101,050.00 $68,623.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 12 4 — — $50,091.00 $112,606.00 $68,614.00 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 56 17 — — $31,602.66 $103,855.00 $68,484.00 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 12 4 — — $44,421.00 $88,218.00 $68,468.75 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 12 4 — — $62,955.00 $238,094.00 $68,308.50 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 12 4 — — $40,471.00 $100,101.00 $67,933.50 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 4 — — $49,809.00 $125,893.00 $67,710.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 56 17 — — $16,531.14 $102,297.00 $67,457.00 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 12 4 — — $44,424.00 $97,935.00 $67,403.50 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 56 17 — — $32,116.61 $221,666.00 $67,318.00 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 12 4 — — $46,669.00 $182,638.00 $66,911.00 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 50 16 — — $30,405.63 $96,542.00 $66,892.39 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 56 17 — — $23,392.68 $100,850.00 $66,503.00 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 12 4 — — $46,561.00 $108,517.00 $66,133.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 56 17 — — $23,386.56 $99,987.00 $65,934.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 12 4 — — $43,775.00 $107,733.00 $65,902.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 4 — — $45,729.00 $134,356.00 $65,844.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 12 4 — — $42,537.00 $98,300.00 $65,484.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 56 17 — — $17,323.68 $99,074.00 $65,332.00 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 56 17 — — $18,661.92 $99,051.00 $65,316.00 2026-02-28
0120 EAPG Immunotherapy 18 8 — — $65,239.56 $65,239.56 $65,239.56 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 4 — — $35,667.00 $99,861.00 $65,079.50 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 56 17 — — $21,738.24 $98,367.00 $64,866.00 2026-02-28
7594 APR_DRG Eating Disorders 12 4 — — $41,785.50 $82,200.00 $64,802.00 2026-02-28
6504 APR_DRG Splenectomy 12 4 — — $41,694.00 $104,760.00 $64,433.50 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 4 — — $44,847.00 $120,742.00 $64,425.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 50 16 — — $29,155.78 $92,492.00 $64,142.72 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 56 17 — — $27,062.64 $97,218.00 $64,108.00 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 56 17 — — $23,871.06 $97,164.00 $64,072.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 4 — — $52,642.00 $115,567.00 $64,049.50 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 56 17 — — $19,102.56 $97,020.00 $63,977.00 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 12 4 — — $34,924.00 $101,900.00 $63,757.50 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 12 4 — — $50,390.00 $103,724.00 $63,715.00 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 12 4 — — $41,822.00 $94,755.00 $63,518.00 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 56 17 — — $25,821.30 $96,161.00 $63,411.00 2026-02-28
4034 APR_DRG Procedures For Obesity 12 4 — — $38,275.00 $116,865.00 $62,517.50 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 12 4 — — $40,348.00 $92,803.00 $62,334.00 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 56 17 — — $21,211.92 $94,183.00 $62,106.00 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 56 17 — — $27,984.72 $94,116.00 $62,063.00 2026-02-28
6903 APR_DRG Acute Leukemia 12 4 — — $39,173.00 $115,829.00 $62,013.00 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 4 — — $40,056.00 $125,596.00 $61,990.50 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 4 — — $42,742.00 $96,036.00 $61,930.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 56 17 — — $15,339.78 $93,284.00 $61,514.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 3 — — $949.00 $162,708.00 $61,490.00 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 4 — — $46,782.00 $101,485.00 $61,471.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 56 17 — — $29,341.11 $93,093.00 $61,388.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 12 4 — — $41,234.00 $111,372.00 $61,344.00 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 56 17 — — $8,829.12 $92,904.00 $61,263.00 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 56 17 — — $18,636.42 $92,447.00 $60,962.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 4 — — $46,171.00 $102,462.00 $60,883.50 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 56 17 — — $17,950.98 $91,937.00 $60,625.00 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 56 17 — — $15,216.36 $91,376.00 $60,256.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 4 — — $42,546.00 $111,398.00 $60,205.00 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 56 17 — — $20,116.44 $91,284.00 $60,195.00 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 12 4 — — $38,592.00 $111,862.00 $60,193.00 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 56 17 — — $22,758.24 $91,029.00 $60,027.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 12 4 — — $48,203.00 $99,618.00 $59,993.50 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 12 4 — — $52,280.00 $135,540.00 $59,869.50 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 56 17 — — $28,500.58 $90,369.00 $59,592.00 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 4 — — $46,047.00 $93,065.00 $59,589.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 12 4 — — $43,351.00 $104,273.00 $59,494.00 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 4 — — $35,591.00 $105,285.00 $59,409.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 17 — — $25,085.88 $89,880.00 $59,269.00 2026-02-28
224 MS_DRG No Active Code Description 6 3 — — $59,010.06 $60,167.12 $59,010.06 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 4 — — $46,680.00 $101,087.00 $58,893.00 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 56 17 — — $19,936.92 $89,180.00 $58,807.00 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 12 4 — — $41,319.00 $87,436.00 $58,688.00 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 12 4 — — $49,155.00 $140,191.00 $58,679.50 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 12 4 — — $39,907.00 $185,235.00 $58,637.00 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 56 17 — — $26,454.72 $88,468.00 $58,338.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 12 4 — — $50,399.00 $90,211.00 $58,264.00 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 12 4 — — $37,416.00 $75,404.00 $57,993.00 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 12 4 — — $37,766.00 $77,591.00 $57,937.62 2026-02-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 12 4 — — $31,832.00 $90,169.00 $57,646.50 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 12 4 — — $35,568.00 $79,373.00 $57,543.38 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 12 4 — — $36,750.00 $91,605.00 $57,522.00 2026-02-28
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