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 GOOD SAMARITAN

Kearney, NE · CCN 280009 · Rates published

11,320 distinct procedures filed
19 distinct payers
477,939 rate rows
2026-02-28 last MRF observed
Data quality

454,271 of 477,939 rate rows are consumer-grade (95.0%)

23,668 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,720
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 9,344
exceeds 10× this hospital's gross charge — excluded from medians 768
placeholder amount (≤ $0.02) — excluded from medians 655
per-diem day rate — not a per-procedure price 148
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 33

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
5834
APR_DRG 		Neonate With Ecmo 3 $360,251.00 $748,990.00 $462,798.01 nat. median
$390,362
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $234,161.40 $763,269.00 $421,403.80 nat. median
$168,055
outlier · 2.5×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $277,198.00 $636,064.00 $378,508.99 nat. median
$286,698
1.3× median
24
APR_DRG 		Heart And/or Lung Transplant 3 $246,814.00 $656,231.00 $370,727.70 nat. median
$225,531
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $209,731.00 $567,402.00 $318,689.91 nat. median
$202,242
1.6× median
5833
APR_DRG 		Neonate With Ecmo 3 $315,451.50 $420,602.00 $318,020.19 nat. median
$268,208
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $184,022.28 $570,098.00 $315,098.83 nat. median
$186,516
1.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $174,990.00 $555,040.00 $296,509.95 nat. median
$171,497
1.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $151,888.00 $572,294.00 $291,313.69 nat. median
$136,566
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $131,924.76 $480,126.00 $265,585.64 nat. median
$131,925
outlier · 2.0×
5832
APR_DRG 		Neonate With Ecmo 3 $217,809.00 $404,830.00 $261,804.79 nat. median
$201,678
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $171,244.00 $429,351.00 $247,484.85 nat. median
$149,836
1.7× median
23
APR_DRG 		Heart And/or Lung Transplant 3 $133,925.00 $478,055.00 $246,902.75 nat. median
$117,894
outlier · 2.1×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $208,862.00 $363,483.00 $241,781.43 nat. median
$173,018
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 14 $97,079.52 $433,754.00 $240,066.65 nat. median
$145,435
1.7× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $160,626.00 $417,614.00 $237,721.38 nat. median
$152,792
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $190,605.00 $254,140.00 $224,457.71 nat. median
$187,567
1.2× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $126,320.00 $412,410.00 $218,445.35 nat. median
$120,079
1.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $189,844.00 $322,456.00 $216,792.22 nat. median
$173,134
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $161,533.00 $360,444.00 $216,740.66 nat. median
$168,439
1.3× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $70,625.00 $442,893.00 $201,750.50 nat. median
$69,772
outlier · 2.9×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $170,585.00 $306,313.00 $201,012.80 nat. median
$198,578
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $144,265.00 $334,072.00 $198,130.83 nat. median
$135,630
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $75,507.44 $220,482.00 $187,658.00 nat. median
$74,509
outlier · 2.5×
4404
APR_DRG 		Kidney Transplant 3 $78,795.00 $387,174.00 $184,981.72 nat. median
$76,896
outlier · 2.4×
1613
APR_DRG 		Implantable Heart Assist Systems 3 $143,472.00 $297,993.00 $184,200.73 nat. median
$155,539
1.2× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 3 $109,476.00 $342,754.00 $183,818.13 nat. median
$99,483
1.8× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $92,696.00 $363,990.00 $183,307.73 nat. median
$85,835
outlier · 2.1×
64
APR_DRG 		Pancreas Transplant 3 $116,598.00 $331,035.00 $183,020.11 nat. median
$92,994
2.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $172,896.75 $230,529.00 $182,656.74 nat. median
$152,383
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $72,639.02 $212,012.00 $180,449.00 nat. median
$2,736
outlier · 66.0×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $171,875.00 $233,635.00 $174,410.00 nat. median
$181,762
1.0× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 $86,003.00 $348,910.00 $174,272.77 nat. median
$65,108
outlier · 2.7×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $114,053.00 $308,469.00 $173,272.64 nat. median
$106,926
1.6× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 3 $105,525.00 $311,595.00 $170,138.25 nat. median
$96,548
1.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $86,757.00 $335,464.00 $169,611.29 nat. median
$81,292
outlier · 2.1×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $148,959.00 $245,404.00 $167,250.79 nat. median
$115,963
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems 3 $116,452.00 $279,669.00 $163,684.14 nat. median
$109,992
1.5× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 3 $100,463.00 $296,757.00 $162,017.69 nat. median
$77,096
outlier · 2.1×
5831
APR_DRG 		Neonate With Ecmo 3 $136,917.00 $244,579.00 $160,860.21 nat. median
$173,909
0.9× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $119,718.00 $265,105.00 $159,871.96 nat. median
$124,731
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 14 $63,636.78 $285,977.00 $158,742.71 nat. median
$97,418
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $63,978.93 $186,440.00 $158,684.00 nat. median
$2,633
outlier · 60.3×
5911
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $65,280.00 $327,591.00 $155,813.03 nat. median
$30,994
outlier · 5.0×
22
APR_DRG 		Heart And/or Lung Transplant 3 $106,171.00 $263,899.00 $152,578.48 nat. median
$95,481
1.6× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 $93,791.00 $278,615.00 $151,845.08 nat. median
$100,752
1.5× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $110,160.00 $256,070.00 $151,657.05 nat. median
$114,205
1.3× median
72
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $68,868.00 $306,021.00 $149,536.21 nat. median
$66,446
outlier · 2.3×
7
MS_DRG 		Lung Transplant 14 $90,414.30 $264,499.00 $148,700.77 nat. median
$70,649
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $87,839.34 $265,167.00 $147,290.80 nat. median
$72,715
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 11,320 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
             
5834 APR_DRG Neonate With Ecmo 4 3 — — $360,251.00 $748,990.00 $462,798.01 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 14 — — $234,161.40 $763,269.00 $421,403.80 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 — — $277,198.00 $636,064.00 $378,508.99 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 4 3 — — $246,814.00 $656,231.00 $370,727.70 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 4 3 — — $209,731.00 $567,402.00 $318,689.91 2026-02-28
5833 APR_DRG Neonate With Ecmo 4 3 — — $315,451.50 $420,602.00 $318,020.19 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 14 — — $184,022.28 $570,098.00 $315,098.83 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 — — $174,990.00 $555,040.00 $296,509.95 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 3 — — $151,888.00 $572,294.00 $291,313.69 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 14 — — $131,924.76 $480,126.00 $265,585.64 2026-02-28
5832 APR_DRG Neonate With Ecmo 4 3 — — $217,809.00 $404,830.00 $261,804.79 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 4 3 — — $171,244.00 $429,351.00 $247,484.85 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 4 3 — — $133,925.00 $478,055.00 $246,902.75 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 3 — — $208,862.00 $363,483.00 $241,781.43 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 22 14 — — $97,079.52 $433,754.00 $240,066.65 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 — — $160,626.00 $417,614.00 $237,721.38 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 3 — — $190,605.00 $254,140.00 $224,457.71 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 — — $126,320.00 $412,410.00 $218,445.35 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 — — $189,844.00 $322,456.00 $216,792.22 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 — — $161,533.00 $360,444.00 $216,740.66 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 3 — — $70,625.00 $442,893.00 $201,750.50 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 3 — — $170,585.00 $306,313.00 $201,012.80 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 — — $144,265.00 $334,072.00 $198,130.83 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 13 — — $75,507.44 $220,482.00 $187,658.00 2026-02-28
4404 APR_DRG Kidney Transplant 4 3 — — $78,795.00 $387,174.00 $184,981.72 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 4 3 — — $143,472.00 $297,993.00 $184,200.73 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 3 — — $109,476.00 $342,754.00 $183,818.13 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 — — $92,696.00 $363,990.00 $183,307.73 2026-02-28
64 APR_DRG Pancreas Transplant 4 3 — — $116,598.00 $331,035.00 $183,020.11 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 — — $172,896.75 $230,529.00 $182,656.74 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 13 — — $72,639.02 $212,012.00 $180,449.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 3 — — $171,875.00 $233,635.00 $174,410.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 3 — — $86,003.00 $348,910.00 $174,272.77 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 3 — — $114,053.00 $308,469.00 $173,272.64 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 3 — — $105,525.00 $311,595.00 $170,138.25 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 4 3 — — $86,757.00 $335,464.00 $169,611.29 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 3 — — $148,959.00 $245,404.00 $167,250.79 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 4 3 — — $116,452.00 $279,669.00 $163,684.14 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 3 — — $100,463.00 $296,757.00 $162,017.69 2026-02-28
5831 APR_DRG Neonate With Ecmo 4 3 — — $136,917.00 $244,579.00 $160,860.21 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $119,718.00 $265,105.00 $159,871.96 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 22 14 — — $63,636.78 $285,977.00 $158,742.71 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 19 13 — — $63,978.93 $186,440.00 $158,684.00 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 — — $65,280.00 $327,591.00 $155,813.03 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 4 3 — — $106,171.00 $263,899.00 $152,578.48 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $93,791.00 $278,615.00 $151,845.08 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 — — $110,160.00 $256,070.00 $151,657.05 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 4 3 — — $68,868.00 $306,021.00 $149,536.21 2026-02-28
7 MS_DRG Lung Transplant 22 14 — — $90,414.30 $264,499.00 $148,700.77 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 22 14 — — $87,839.34 $265,167.00 $147,290.80 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 4 3 — — $110,641.00 $236,590.00 $144,594.96 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 13 — — $58,007.00 $168,805.00 $143,675.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $119,511.75 $159,349.00 $139,430.38 2026-02-28
J0225 HCPCS Vutrisiran 25 Mgm/0.5 Ml Subcutaneous Syringme 11 7 $238,702.00 $145,608.22 39% off $50,127.42 $221,992.86 $138,447.16 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 4 3 — — $53,124.00 $288,153.00 $134,884.99 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 3 — — $64,108.00 $271,549.00 $134,205.41 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 14 — — $73,831.63 $215,533.00 $132,809.71 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 — — $97,311.00 $220,795.00 $131,940.18 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 14 — — $76,369.68 $223,028.00 $130,641.81 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $89,224.00 $227,578.00 $130,399.87 2026-02-28
63 APR_DRG Pancreas Transplant 4 3 — — $74,594.00 $243,025.00 $128,804.35 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 3 — — $89,187.00 $223,048.00 $128,682.43 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 — — $93,453.00 $213,448.00 $127,236.76 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 3 — — $94,658.00 $204,632.00 $124,539.29 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 13 — — $49,522.38 $143,752.00 $122,351.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 13 — — $49,277.69 $143,029.00 $121,736.00 2026-02-28
4403 APR_DRG Kidney Transplant 4 3 — — $48,782.00 $258,767.00 $121,672.54 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 3 — — $82,616.00 $208,742.00 $119,999.33 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 4 3 — — $92,470.00 $194,681.00 $119,702.73 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 3 — — $56,779.00 $242,057.00 $119,444.77 2026-02-28
215 MS_DRG Other Heart Assist System Implant 22 14 — — $51,613.02 $214,428.00 $119,368.26 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 3 — — $68,901.00 $224,991.00 $119,166.63 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 3 — — $60,974.00 $233,178.00 $118,233.62 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 4 3 — — $67,811.00 $222,649.00 $117,737.93 2026-02-28
8634 APR_DRG Neonatal Aftercare 4 3 — — $71,773.00 $215,587.00 $117,090.49 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 13 — — $46,794.47 $135,696.00 $115,495.00 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $71,676.00 $207,142.00 $113,874.63 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 3 — — $73,866.00 $202,875.00 $113,380.46 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 — — $95,384.00 $165,643.00 $110,285.04 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 3 — — $46,425.00 $230,854.00 $110,014.88 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 14 — — $66,989.23 $195,329.00 $109,397.07 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 3 — — $75,065.00 $188,196.00 $108,481.32 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 13 — — $43,296.85 $125,368.00 $106,705.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 13 — — $43,242.02 $125,207.00 $106,567.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 4 3 — — $53,026.00 $212,417.00 $106,434.51 2026-02-28
62 APR_DRG Pancreas Transplant 4 3 — — $65,165.00 $195,308.00 $106,148.82 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 3 — — $78,948.00 $174,252.00 $105,213.24 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 4 3 — — $53,032.00 $206,780.00 $104,323.66 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 — — $85,192.00 $161,433.00 $103,559.33 2026-02-28
4402 APR_DRG Kidney Transplant 4 3 — — $41,496.00 $216,198.00 $102,029.73 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $67,240.00 $181,062.00 $101,854.45 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $65,979.00 $182,022.00 $101,577.64 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 3 — — $70,234.00 $172,131.00 $100,017.29 2026-02-28
1784 APR_DRG External Heart Assist Systems 4 3 — — $69,864.00 $165,892.00 $97,490.82 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 3 — — $71,909.00 $159,663.00 $96,187.67 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 14 — — $39,893.22 $171,503.00 $95,746.06 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 22 14 — — $45,375.72 $171,408.00 $95,693.71 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 13 — — $38,565.50 $111,397.00 $94,814.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 13 — — $38,335.21 $110,717.00 $94,235.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 3 — — $92,086.00 $127,241.00 $94,218.80 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 4 3 — — $49,667.00 $181,595.00 $93,179.96 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 3 — — $59,367.00 $165,551.00 $92,061.96 2026-02-28
4401 APR_DRG Kidney Transplant 4 3 — — $37,631.00 $194,621.00 $91,986.53 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 14 — — $53,496.96 $163,149.00 $91,148.37 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 3 — — $55,781.00 $166,798.00 $90,718.65 2026-02-28
10 MS_DRG Pancreas Transplant 22 14 — — $22,692.96 $161,366.00 $90,167.13 2026-02-28
6904 APR_DRG Acute Leukemia 4 3 — — $63,992.00 $153,641.00 $89,931.33 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 4 3 — — $45,226.00 $178,868.00 $89,914.63 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 14 — — $41,789.40 $160,441.00 $89,658.13 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 3 — — $63,181.00 $152,875.00 $89,234.53 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 3 — — $52,423.00 $166,891.00 $89,057.74 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 — — $72,015.00 $139,741.00 $88,770.45 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 13 — — $36,139.17 $104,233.00 $88,716.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 3 — — $83,010.00 $124,315.00 $88,538.18 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 14 — — $33,933.36 $158,196.00 $88,422.93 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 3 — — $62,775.00 $149,931.00 $87,925.50 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 — — $67,671.00 $142,687.00 $87,681.48 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 3 — — $65,240.00 $145,645.00 $87,563.07 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 4 3 — — $38,665.00 $181,411.00 $87,554.95 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 14 — — $36,789.36 $156,599.00 $87,544.17 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 4 3 — — $56,707.00 $156,350.00 $87,268.29 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 3 — — $64,716.00 $145,341.00 $87,184.46 2026-02-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 — — $24,890.00 $198,716.00 $87,087.95 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 14 — — $38,133.70 $110,122.00 $86,983.50 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 4 3 — — $51,026.00 $162,759.00 $86,802.76 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 4 3 — — $69,773.00 $136,257.00 $86,331.74 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 13 — — $35,133.00 $101,262.00 $86,187.00 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 3 — — $39,245.00 $176,590.00 $86,039.98 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $62,384.00 $143,243.00 $85,220.04 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 14 — — $37,121.88 $151,068.00 $84,500.20 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 4 3 — — $54,730.00 $149,901.00 $83,851.52 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 3 — — $50,031.00 $154,602.00 $83,241.40 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 — — $54,580.00 $146,660.00 $82,560.40 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 4 3 — — $59,441.00 $139,776.00 $82,433.71 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 4 3 — — $68,178.00 $123,690.00 $80,813.64 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 4 3 — — $58,182.00 $136,880.00 $80,711.91 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 — — $66,077.00 $126,019.00 $80,626.01 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 13 — — $32,724.49 $94,150.00 $80,134.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 4 3 — — $41,992.00 $155,949.00 $79,686.83 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $51,352.00 $143,174.00 $79,623.01 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 4 3 — — $51,487.00 $142,203.00 $79,327.06 2026-02-28
1794 APR_DRG Defibrillator Implants 4 3 — — $55,405.00 $136,564.00 $79,191.02 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 3 — — $46,626.00 $147,743.00 $78,949.76 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 14 — — $39,357.72 $140,793.00 $78,845.52 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 3 — — $33,101.00 $164,700.00 $78,478.51 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 3 — — $66,059.00 $119,775.00 $78,275.42 2026-02-28
234 APR_DRG Spinal Procedures 4 3 — — $54,562.00 $134,791.00 $78,100.43 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 14 — — $34,874.82 $138,198.00 $77,417.65 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 4 3 — — $62,677.00 $121,357.00 $77,160.76 2026-02-28
4414 APR_DRG Major Bladder Procedures 4 3 — — $53,346.00 $133,878.00 $77,143.98 2026-02-28
1783 APR_DRG External Heart Assist Systems 4 3 — — $50,121.00 $136,089.00 $76,344.48 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 3 — — $48,777.00 $136,811.00 $75,936.51 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 3 — — $68,705.00 $109,917.00 $75,914.90 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 14 — — $20,373.48 $135,174.00 $75,753.67 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 14 — — $32,732.82 $134,946.00 $75,627.81 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 3 — — $47,629.00 $137,297.00 $75,539.02 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 3 — — $50,677.00 $132,741.00 $75,369.76 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 3 — — $42,901.00 $142,789.00 $75,210.88 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 3 — — $66,459.00 $110,281.00 $74,917.17 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 3 — — $55,632.00 $124,428.00 $74,754.66 2026-02-28
0120 EAPG Immunotherapy 9 7 — — $74,273.38 $75,016.12 $74,644.75 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 3 — — $58,576.00 $117,438.00 $73,620.13 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 3 — — $61,264.00 $113,467.00 $73,488.45 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 14 — — $34,410.72 $130,890.00 $73,395.78 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 13 — — $30,034.27 $86,206.00 $73,372.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 14 — — $36,204.90 $130,701.00 $73,292.20 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 4 3 — — $47,258.00 $131,111.00 $73,031.92 2026-02-28
61 APR_DRG Pancreas Transplant 4 3 — — $45,155.00 $133,883.00 $73,009.40 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 14 — — $36,303.84 $127,998.00 $71,804.18 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 3 — — $58,791.00 $112,280.00 $71,794.46 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $44,207.00 $131,582.00 $71,667.79 2026-02-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 3 — — $41,522.00 $134,141.00 $71,271.49 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 4 3 — — $47,075.00 $125,753.00 $70,930.25 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 3 — — $60,027.00 $107,791.00 $70,735.26 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 3 — — $48,160.00 $123,294.00 $70,556.05 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 13 — — $28,828.65 $82,646.00 $70,342.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 14 — — $34,735.08 $124,636.00 $69,954.19 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 14 — — $38,106.18 $124,201.00 $69,714.73 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 14 — — $38,879.34 $123,634.00 $69,402.88 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 22 14 — — $23,216.22 $123,043.00 $69,077.65 2026-02-28
274 APR_DRG Other Open Craniotomy 4 3 — — $52,622.00 $113,327.00 $69,071.74 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 4 3 — — $45,988.00 $121,809.00 $68,902.32 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 14 — — $24,745.20 $122,161.00 $68,592.04 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 14 — — $40,567.44 $122,161.00 $68,592.04 2026-02-28
1782 APR_DRG External Heart Assist Systems 4 3 — — $48,682.00 $116,691.00 $68,343.54 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 — — $51,038.00 $113,182.00 $68,217.44 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 14 — — $38,879.34 $121,248.00 $68,089.73 2026-02-28
8633 APR_DRG Neonatal Aftercare 4 3 — — $42,666.00 $123,420.00 $67,828.83 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 14 — — $32,885.82 $120,408.00 $67,627.50 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 13 — — $27,654.55 $79,179.00 $67,392.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 3 — — $43,529.00 $120,455.00 $67,152.77 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 3 — — $41,825.00 $122,097.00 $66,908.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 14 — — $28,051.02 $119,090.00 $66,902.44 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 3 — — $42,976.00 $119,969.00 $66,691.26 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 14 — — $32,418.79 $93,247.00 $66,678.15 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 — — $44,662.00 $117,308.00 $66,544.81 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 22 14 — — $34,076.79 $98,143.00 $66,507.23 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 3 — — $43,507.00 $118,249.00 $66,314.41 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 14 — — $35,676.54 $117,838.00 $66,213.01 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $45,319.00 $114,678.00 $65,890.35 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 3 — — $38,798.00 $123,003.00 $65,719.12 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 22 14 — — $33,524.34 $116,160.00 $65,289.68 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 4 3 — — $35,635.00 $125,661.00 $65,118.55 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 14 — — $33,676.32 $115,466.00 $64,907.65 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 — — $50,793.00 $104,432.00 $64,812.46 2026-02-28
1793 APR_DRG Defibrillator Implants 4 3 — — $40,278.00 $116,993.00 $64,212.76 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 14 — — $38,724.52 $111,867.00 $64,075.06 2026-02-28
4014 APR_DRG Adrenal Procedures 4 3 — — $53,186.00 $99,107.00 $64,024.06 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 22 14 — — $21,088.50 $112,824.00 $63,454.16 2026-02-28
2634 APR_DRG Cholecystectomy 4 3 — — $29,895.00 $127,824.00 $63,030.98 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 3 — — $52,000.00 $97,928.00 $62,983.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 22 14 — — $38,724.52 $111,867.00 $62,927.35 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 4 3 — — $48,823.00 $101,583.00 $62,749.24 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 4 3 — — $45,100.00 $106,277.00 $62,629.38 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 22 14 — — $25,663.20 $109,871.00 $61,829.16 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 — — $41,254.00 $109,099.00 $61,745.40 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 4 3 — — $40,651.00 $109,862.00 $61,727.01 2026-02-28
6903 APR_DRG Acute Leukemia 4 3 — — $37,938.00 $113,438.00 $61,697.94 2026-02-28
4034 APR_DRG Procedures For Obesity 4 3 — — $37,092.00 $114,452.00 $61,650.96 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 14 — — $21,013.02 $109,311.00 $61,520.64 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 14 — — $22,127.88 $109,208.00 $61,463.84 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 14 — — $31,741.38 $109,195.00 $61,457.15 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 3 — — $40,004.00 $109,073.00 $61,104.40 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 3 — — $34,818.00 $115,833.00 $61,020.46 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 4 3 — — $42,413.00 $105,509.00 $60,984.44 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 4 3 — — $35,946.00 $113,442.00 $60,693.48 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 14 — — $29,871.72 $107,676.00 $60,620.69 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 14 — — $29,660.58 $107,200.00 $60,358.96 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 3 — — $44,760.00 $100,347.00 $60,233.93 2026-02-28
2324 APR_DRG Gastric Fundoplication 4 3 — — $46,693.00 $97,562.00 $60,165.71 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 3 — — $45,240.00 $99,390.00 $60,117.45 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 4 3 — — $42,700.00 $102,505.00 $60,002.88 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 3 — — $45,265.00 $99,000.00 $59,983.82 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 3 — — $37,395.00 $109,553.00 $59,966.85 2026-02-28
0246 EAPG No Active Code Description 9 7 — — $59,591.32 $60,187.24 $59,889.28 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 4 3 — — $41,997.00 $102,120.00 $59,503.49 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 4 3 — — $38,973.00 $105,846.00 $59,373.62 2026-02-28
1804 APR_DRG Other Circulatory System Procedures 4 3 — — $35,089.00 $110,890.00 $59,303.69 2026-02-28
1781 APR_DRG External Heart Assist Systems 4 3 — — $38,998.00 $105,059.00 $59,091.12 2026-02-28
6504 APR_DRG Splenectomy 4 3 — — $40,411.00 $102,597.00 $58,881.43 2026-02-28
7594 APR_DRG Eating Disorders 4 3 — — $40,923.00 $63,314.88 $58,626.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 14 — — $29,772.78 $103,887.00 $58,535.71 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 4 3 — — $42,421.00 $98,964.00 $58,534.10 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 14 — — $21,742.32 $103,110.00 $58,108.01 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 22 14 — — $21,029.34 $102,794.00 $57,934.26 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 4 3 — — $48,836.00 $88,349.00 $57,793.06 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 4 3 — — $43,028.00 $95,913.00 $57,696.51 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $34,633.00 $106,867.00 $57,564.79 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 14 — — $28,195.86 $101,942.00 $57,465.35 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 14 — — $19,283.10 $101,341.00 $57,134.57 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 14 — — $23,049.96 $101,221.00 $57,068.85 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 3 — — $41,197.00 $96,271.00 $56,906.11 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 14 — — $33,147.96 $100,857.00 $56,868.38 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 — — $44,662.00 $91,143.00 $56,732.93 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 3 — — $39,117.00 $98,034.00 $56,516.83 2026-02-28
A9543 HCPCS Hc Rp Zevalin Y 90 Up To 40mci 21 13 $78,035.00 $47,601.35 39% off $16,387.35 $151,610.41 $56,490.37 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 3 — — $41,451.00 $94,053.00 $56,202.63 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 — — $34,511.00 $103,111.00 $56,094.68 2026-02-28
245 MS_DRG Aicd Generator Procedures 22 14 — — $28,196.88 $98,904.00 $55,793.57 2026-02-28
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 3 — — $31,878.00 $105,675.00 $55,726.51 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 4 3 — — $46,003.00 $86,567.00 $55,694.14 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 22 14 — — $25,581.60 $98,307.00 $55,465.01 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 4 3 — — $40,509.00 $92,799.00 $55,256.67 2026-02-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 13 — — $22,803.25 $64,854.00 $55,199.00 2026-02-28
3634 APR_DRG Breast Procedures Except Mastectomy 4 3 — — $35,019.00 $99,966.00 $55,171.85 2026-02-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 13 — — $22,739.51 $64,666.00 $55,039.00 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 14 — — $31,595.52 $96,651.00 $54,553.93 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 4 3 — — $33,819.00 $99,796.00 $54,502.10 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 4 3 — — $37,649.00 $94,459.00 $54,434.87 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 22 14 — — $21,016.08 $96,232.00 $54,323.38 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 14 — — $26,008.98 $96,214.00 $54,313.35 2026-02-28
4214 APR_DRG Malnutrition Failure To Thrive And Other Nutritional Disorders 4 3 — — $18,939.00 $118,957.00 $54,173.07 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 4 3 — — $43,030.00 $86,396.00 $54,128.65 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 — — $34,550.00 $97,799.00 $54,122.38 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 3 — — $46,547.00 $81,601.00 $54,106.61 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 4 3 — — $39,099.00 $90,887.00 $53,827.62 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 3 — — $35,796.00 $95,263.00 $53,800.60 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 14 — — $32,689.98 $95,218.00 $53,765.37 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 14 — — $26,129.34 $94,708.00 $53,484.71 2026-02-28
6803 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 4 3 — — $32,263.00 $99,049.00 $53,436.19 2026-02-28
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 13 — — $21,991.73 $62,458.00 $53,159.00 2026-02-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 3 — — $36,679.00 $92,125.00 $53,069.77 2026-02-28
652 MS_DRG Kidney Transplant 22 14 — — $21,891.67 $87,109.36 $52,946.00 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 4 3 — — $31,465.00 $98,701.00 $52,902.70 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 3 — — $38,175.00 $89,647.00 $52,896.00 2026-02-28
3174 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 4 3 — — $33,604.00 $95,729.00 $52,868.40 2026-02-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 13 — — $21,872.47 $62,105.00 $52,860.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 22 14 — — $25,560.18 $93,286.00 $52,701.71 2026-02-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 4 3 — — $39,378.00 $87,369.00 $52,649.26 2026-02-28
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $28,384.00 $102,002.00 $52,584.67 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 14 — — $25,325.58 $92,950.00 $52,516.82 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 14 — — $21,162.96 $92,935.00 $52,509.02 2026-02-28
3424 APR_DRG Fractures And Dislocations Except Femur Pelvis And Back 4 3 — — $14,513.00 $120,379.00 $52,471.19 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 4 3 — — $40,028.00 $85,631.00 $52,325.76 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 4 3 — — $37,075.00 $88,988.00 $52,093.38 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 4 3 — — $46,003.00 $76,052.00 $51,751.01 2026-02-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 4 3 — — $33,707.00 $92,600.00 $51,747.04 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 4 3 — — $35,612.00 $89,714.00 $51,626.81 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 14 — — $16,004.82 $91,310.00 $51,614.65 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 3 — — $34,516.00 $90,917.00 $51,524.46 2026-02-28
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