Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CHI HEALTH ST. ELIZABETH

Lincoln, NE · CCN 280020 · Rates published

11,767 distinct procedures filed
17 distinct payers
457,641 rate rows
2026-02-28 last MRF observed
Data quality

447,769 of 457,641 rate rows are consumer-grade (97.8%)

9,872 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 8,070
exceeds 10× this hospital's gross charge — excluded from medians 1,170
placeholder amount (≤ $0.02) — excluded from medians 569
per-diem day rate — not a per-procedure price 63
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/470379836_chi-health-st-elizabeth_standardcharges.json
Found on page https://www.chihealth.com/patients-visitors/financial-assistance
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 648559a052fd75f9… · 90,481,177 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
5834
APR_DRG 		Neonate With Ecmo 6 $371,506.00 $748,990.00 $560,248.00 nat. median
$309,665
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $234,161.40 $763,269.00 $498,715.20 nat. median
$370,174
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $286,233.00 $636,064.00 $461,148.50 nat. median
$246,434
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $254,507.00 $656,231.00 $455,369.00 nat. median
$234,738
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $216,261.00 $567,402.00 $391,831.50 nat. median
$207,730
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $184,022.28 $570,098.00 $377,060.14 nat. median
$265,286
1.4× median
5833
APR_DRG 		Neonate With Ecmo 6 $326,326.00 $420,602.00 $373,464.00 nat. median
$244,017
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $180,767.00 $555,040.00 $367,903.50 nat. median
$164,279
outlier · 2.2×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $156,620.00 $572,294.00 $364,457.00 nat. median
$129,535
outlier · 2.8×
5832
APR_DRG 		Neonate With Ecmo 6 $224,625.00 $404,830.00 $314,727.50 nat. median
$156,126
outlier · 2.0×
23
APR_DRG 		Heart And/or Lung Transplant 6 $138,093.00 $478,055.00 $308,074.00 nat. median
$93,528
outlier · 3.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $131,924.76 $480,126.00 $306,025.38 nat. median
$206,368
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $176,653.00 $429,351.00 $303,002.00 nat. median
$187,294
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $165,599.00 $417,614.00 $291,606.50 nat. median
$164,834
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $215,384.00 $363,483.00 $289,433.50 nat. median
$160,267
1.8× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $130,511.00 $412,410.00 $271,460.50 nat. median
$102,636
outlier · 2.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 15 $97,079.52 $433,754.00 $265,416.76 nat. median
$202,986
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $166,902.00 $360,444.00 $263,673.00 nat. median
$151,838
1.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $196,083.00 $322,456.00 $259,269.50 nat. median
$182,736
1.4× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $72,811.00 $442,893.00 $257,852.00 nat. median
$68,633
outlier · 3.8×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $148,833.00 $334,072.00 $241,452.50 nat. median
$105,658
outlier · 2.3×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $228,726.00 $254,140.00 $241,433.00 nat. median
$150,721
1.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $176,171.00 $306,313.00 $241,242.00 nat. median
$162,982
1.5× median
4404
APR_DRG 		Kidney Transplant 6 $81,249.00 $387,174.00 $234,211.50 nat. median
$79,034
outlier · 3.0×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $95,783.00 $363,990.00 $229,886.50 nat. median
$81,294
outlier · 2.8×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 $113,103.00 $342,754.00 $227,928.50 nat. median
$93,260
outlier · 2.4×
64
APR_DRG 		Pancreas Transplant 6 $120,235.00 $331,035.00 $225,635.00 nat. median
$91,748
outlier · 2.5×
1613
APR_DRG 		Implantable Heart Assist Systems 6 $147,940.00 $297,993.00 $222,966.50 nat. median
$119,796
1.9× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 $88,744.00 $348,910.00 $218,827.00 nat. median
$79,774
outlier · 2.7×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $117,634.00 $308,469.00 $213,051.50 nat. median
$97,957
outlier · 2.2×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $89,525.00 $335,464.00 $212,494.50 nat. median
$89,273
outlier · 2.4×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 $109,011.00 $311,595.00 $210,303.00 nat. median
$89,790
outlier · 2.3×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $187,700.00 $230,529.00 $209,114.50 nat. median
$145,336
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $177,446.00 $233,635.00 $205,540.50 nat. median
$122,924
1.7× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 $103,782.00 $296,757.00 $200,269.50 nat. median
$69,788
outlier · 2.9×
1612
APR_DRG 		Implantable Heart Assist Systems 6 $120,058.00 $279,669.00 $199,863.50 nat. median
$85,406
outlier · 2.3×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $153,875.00 $245,404.00 $199,639.50 nat. median
$109,499
1.8× median
5911
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $67,252.00 $327,591.00 $197,421.50 nat. median
$40,550
outlier · 4.9×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $123,752.00 $265,105.00 $194,428.50 nat. median
$118,620
1.6× median
5831
APR_DRG 		Neonate With Ecmo 6 $141,279.00 $244,579.00 $192,929.00 nat. median
$145,122
1.3× median
72
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $71,074.00 $306,021.00 $188,547.50 nat. median
$66,666
outlier · 2.8×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $96,960.00 $278,615.00 $187,787.50 nat. median
$95,507
2.0× median
22
APR_DRG 		Heart And/or Lung Transplant 6 $109,447.00 $263,899.00 $186,673.00 nat. median
$78,029
outlier · 2.4×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $113,875.00 $256,070.00 $184,972.50 nat. median
$108,996
1.7× median
7
MS_DRG 		Lung Transplant 15 $91,578.13 $264,499.00 $178,038.57 nat. median
$122,708
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $87,839.34 $265,167.00 $176,503.17 nat. median
$117,303
1.5× median
1611
APR_DRG 		Implantable Heart Assist Systems 6 $114,071.00 $236,590.00 $175,330.50 nat. median
$76,806
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 15 $63,636.78 $285,977.00 $174,806.89 nat. median
$133,176
1.3× median
914
APR_DRG 		Other Major Head And Neck Procedures 6 $54,830.00 $288,153.00 $171,491.50 nat. median
$42,705
outlier · 4.0×
6084
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 $66,347.00 $271,549.00 $168,948.00 nat. median
$64,613
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 11,767 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
             
0120 EAPG Immunotherapy 7 6 — — $65,239.56 $65,891.95 $65,565.76 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 15 — — $184,022.28 $570,098.00 $377,060.14 2026-02-28
10 MS_DRG Pancreas Transplant 25 15 — — $22,692.96 $161,366.00 $92,029.48 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $51,198.00 $181,595.00 $116,396.50 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 15 — — $22,127.88 $109,208.00 $65,667.94 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $58,530.00 $242,057.00 $150,293.50 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 7 6 — — $53,125.00 $142,203.00 $97,664.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 7 6 — — $43,351.00 $102,120.00 $72,735.50 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $72,811.00 $442,893.00 $257,852.00 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 6 — — $35,944.00 $115,833.00 $75,888.50 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 6 — — $48,122.00 $147,743.00 $97,932.50 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $156,620.00 $572,294.00 $364,457.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 25 15 — — $87,839.34 $265,167.00 $176,503.17 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 15 — — $40,567.44 $122,161.00 $81,364.22 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $53,621.00 $97,928.00 $75,774.50 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $117,634.00 $308,469.00 $213,051.50 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 7 6 — — $114,071.00 $236,590.00 $175,330.50 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 7 6 — — $120,058.00 $279,669.00 $199,863.50 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 7 6 — — $147,940.00 $297,993.00 $222,966.50 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 7 6 — — $216,261.00 $567,402.00 $391,831.50 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $35,591.00 $103,111.00 $69,351.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $42,546.00 $109,099.00 $75,822.50 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $56,294.00 $146,660.00 $101,477.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $87,870.00 $161,433.00 $124,651.50 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $46,680.00 $99,000.00 $72,840.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $74,163.00 $159,663.00 $116,913.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $36,120.00 $85,276.00 $60,698.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $46,171.00 $100,347.00 $73,259.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $68,134.00 $119,775.00 $93,954.50 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 6 — — $37,927.00 $86,470.00 $62,198.50 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 6 — — $60,418.00 $117,438.00 $88,928.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 6 — — $76,177.00 $202,875.00 $139,526.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 7 6 — — $56,450.00 $149,901.00 $103,175.50 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 15 — — $24,745.20 $122,161.00 $73,453.10 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 7 6 — — $40,348.00 $90,887.00 $65,617.50 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 7 6 — — $36,924.00 $95,263.00 $66,093.50 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 6 — — $44,903.00 $120,455.00 $82,679.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 7 6 — — $40,185.00 $105,059.00 $72,622.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 7 6 — — $50,176.00 $116,691.00 $83,433.50 2026-02-28
1783 APR_DRG External Heart Assist Systems 7 6 — — $51,668.00 $136,089.00 $93,878.50 2026-02-28
1784 APR_DRG External Heart Assist Systems 7 6 — — $72,023.00 $165,892.00 $118,957.50 2026-02-28
1793 APR_DRG Defibrillator Implants 7 6 — — $41,533.00 $116,993.00 $79,263.00 2026-02-28
1794 APR_DRG Defibrillator Implants 7 6 — — $57,143.00 $136,564.00 $96,853.50 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 15 — — $234,161.40 $763,269.00 $498,715.20 2026-02-28
1804 APR_DRG Other Circulatory System Procedures 7 6 — — $36,223.00 $110,890.00 $73,556.50 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 7 6 — — $48,769.00 $131,111.00 $89,940.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 7 6 — — $43,332.00 $155,949.00 $99,640.50 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $33,990.00 $86,927.00 $60,458.50 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $41,234.00 $109,073.00 $75,153.50 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $61,218.00 $165,551.00 $113,384.50 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 15 — — $41,789.40 $160,441.00 $101,115.20 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 15 — — $77,359.73 $223,028.00 $150,193.86 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 15 — — $53,496.96 $163,149.00 $108,322.98 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 7 6 — — $52,640.00 $162,759.00 $107,699.50 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 15 — — $34,410.72 $130,890.00 $82,650.36 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 7 6 — — $95,323.00 $194,681.00 $145,002.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 15 — — $39,248.80 $111,867.00 $75,557.90 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 14 — — $76,486.82 $220,482.00 $155,452.00 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 7 6 — — $35,945.00 $87,604.00 $61,774.50 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 7 6 — — $61,321.00 $139,776.00 $100,548.50 2026-02-28
215 MS_DRG Other Heart Assist System Implant 25 15 — — $51,613.02 $214,428.00 $133,020.51 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 15 — — $67,863.22 $195,329.00 $131,596.11 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 15 — — $36,204.90 $130,701.00 $83,452.95 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 15 — — $32,885.82 $120,408.00 $76,646.91 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 15 — — $36,789.36 $156,599.00 $96,694.18 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 7 6 — — $109,447.00 $263,899.00 $186,673.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 15 — — $29,660.58 $107,200.00 $68,430.29 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 7 6 — — $54,725.00 $212,417.00 $133,571.00 2026-02-28
222 MS_DRG No Active Code Description 7 6 — — $46,663.98 $78,272.00 $62,467.99 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 7 6 — — $41,319.00 $85,631.00 $63,475.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 7 6 — — $50,399.00 $88,349.00 $69,374.00 2026-02-28
224 MS_DRG No Active Code Description 7 6 — — $50,552.22 $71,418.00 $60,985.11 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 7 6 — — $34,924.00 $99,796.00 $67,360.00 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 7 6 — — $37,101.00 $113,442.00 $75,271.50 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 15 — — $33,147.96 $100,857.00 $67,002.48 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 7 6 — — $38,855.00 $94,459.00 $66,657.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 7 6 — — $138,093.00 $478,055.00 $308,074.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 15 — — $33,676.32 $115,466.00 $74,571.16 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 7 6 — — $47,475.00 $121,809.00 $84,642.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 15 — — $39,893.22 $171,503.00 $105,698.11 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 7 6 — — $40,235.00 $105,846.00 $73,040.50 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 15 — — $38,879.34 $123,634.00 $81,256.67 2026-02-28
2324 APR_DRG Gastric Fundoplication 7 6 — — $48,203.00 $97,562.00 $72,882.50 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 15 — — $33,933.36 $158,196.00 $96,064.68 2026-02-28
234 APR_DRG Spinal Procedures 7 6 — — $56,303.00 $134,791.00 $95,547.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 15 — — $29,871.72 $107,676.00 $68,773.86 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 15 — — $28,051.02 $119,090.00 $73,570.51 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 15 — — $28,195.86 $101,942.00 $65,068.93 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 7 6 — — $254,507.00 $656,231.00 $455,369.00 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 7 6 — — $36,750.00 $89,714.00 $63,232.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 25 15 — — $28,196.88 $98,904.00 $63,550.44 2026-02-28
2524 APR_DRG Malfunction Reaction And Complication Of Gastrointestinal Device Or Procedure 7 6 — — $21,312.00 $99,821.00 $60,566.50 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 7 6 — — $58,513.00 $156,350.00 $107,431.50 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 7 6 — — $48,599.00 $125,753.00 $87,176.00 2026-02-28
2634 APR_DRG Cholecystectomy 7 6 — — $30,860.00 $127,824.00 $79,342.00 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 7 6 — — $46,561.00 $106,277.00 $76,419.00 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 7 6 — — $46,669.00 $178,868.00 $112,768.50 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 15 — — $38,879.34 $121,248.00 $80,063.67 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 15 — — $32,689.98 $95,218.00 $63,953.99 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 15 — — $32,732.82 $134,946.00 $83,839.41 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 15 — — $29,772.78 $103,887.00 $66,829.89 2026-02-28
274 APR_DRG Other Open Craniotomy 7 6 — — $54,307.00 $113,327.00 $83,817.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 14 — — $49,932.55 $143,029.00 $100,843.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 14 — — $43,877.71 $125,368.00 $88,392.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 14 — — $33,174.53 $94,150.00 $66,381.00 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 14 — — $35,612.84 $101,262.00 $71,395.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 25 15 — — $23,216.22 $123,043.00 $73,129.61 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 7 6 — — $41,947.00 $109,862.00 $75,904.50 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 25 15 — — $97,079.52 $433,754.00 $265,416.76 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $35,575.00 $90,917.00 $63,246.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $44,847.00 $118,249.00 $81,548.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $65,130.00 $152,875.00 $109,002.50 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $91,959.00 $223,048.00 $157,503.50 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 6 — — $44,327.00 $119,969.00 $82,148.00 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $42,742.00 $94,053.00 $68,397.50 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $66,749.00 $145,341.00 $106,045.00 2026-02-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 7 6 — — $37,878.00 $92,125.00 $65,001.50 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 7 6 — — $38,277.00 $88,988.00 $63,632.50 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 7 6 — — $70,380.00 $123,690.00 $97,035.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 14 — — $43,822.20 $125,207.00 $88,278.00 2026-02-28
3174 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 7 6 — — $34,700.00 $95,729.00 $65,214.50 2026-02-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 7 6 — — $36,127.00 $87,837.00 $61,982.00 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 7 6 — — $44,060.00 $102,505.00 $73,282.50 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 14 — — $30,451.04 $86,206.00 $60,780.00 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 25 15 — — $21,029.34 $102,794.00 $61,911.67 2026-02-28
3424 APR_DRG Fractures And Dislocations Except Femur Pelvis And Back 7 6 — — $14,995.00 $120,379.00 $67,687.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 6 — — $63,253.00 $113,467.00 $88,360.00 2026-02-28
3634 APR_DRG Breast Procedures Except Mastectomy 7 6 — — $36,139.00 $99,966.00 $68,052.50 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 25 15 — — $63,636.78 $285,977.00 $174,806.89 2026-02-28
4014 APR_DRG Adrenal Procedures 7 6 — — $54,877.00 $99,107.00 $76,992.00 2026-02-28
4034 APR_DRG Procedures For Obesity 7 6 — — $38,275.00 $114,452.00 $76,363.50 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 7 6 — — $50,390.00 $101,583.00 $75,986.50 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 25 15 — — $25,663.20 $109,871.00 $67,767.10 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 7 6 — — $44,424.00 $95,913.00 $70,168.50 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $52,642.00 $113,182.00 $82,912.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $68,168.00 $126,019.00 $97,093.50 2026-02-28
4214 APR_DRG Malnutrition Failure To Thrive And Other Nutritional Disorders 7 6 — — $19,571.00 $118,957.00 $69,264.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 14 — — $73,582.92 $212,012.00 $149,480.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 14 — — $50,180.26 $143,752.00 $101,353.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 14 — — $39,087.82 $111,397.00 $78,541.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 14 — — $58,769.86 $168,805.00 $119,017.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $98,411.00 $165,643.00 $132,027.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 14 — — $38,854.67 $110,717.00 $78,062.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $148,833.00 $334,072.00 $241,452.50 2026-02-28
4401 APR_DRG Kidney Transplant 7 6 — — $38,787.00 $194,621.00 $116,704.00 2026-02-28
4402 APR_DRG Kidney Transplant 7 6 — — $42,771.00 $216,198.00 $129,484.50 2026-02-28
4403 APR_DRG Kidney Transplant 7 6 — — $50,287.00 $258,767.00 $154,527.00 2026-02-28
4404 APR_DRG Kidney Transplant 7 6 — — $81,249.00 $387,174.00 $234,211.50 2026-02-28
4414 APR_DRG Major Bladder Procedures 7 6 — — $55,064.00 $133,878.00 $94,471.00 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 7 6 — — $38,592.00 $109,553.00 $74,072.50 2026-02-28
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 7 6 — — $37,129.00 $84,432.00 $60,780.50 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 14 — — $47,418.60 $135,696.00 $95,673.00 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 7 6 — — $41,822.00 $92,799.00 $67,310.50 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 14 — — $36,631.47 $104,233.00 $73,490.00 2026-02-28
453 MS_DRG No Active Code Description 7 6 — — $40,574.58 $91,351.00 $65,962.79 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 25 15 — — $45,375.72 $171,408.00 $108,391.86 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 25 15 — — $33,524.34 $116,160.00 $74,842.17 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 15 — — $38,106.18 $124,201.00 $81,153.59 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 15 — — $21,013.02 $109,311.00 $65,162.01 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 15 — — $21,742.32 $103,110.00 $62,426.16 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 25 15 — — $25,581.60 $98,307.00 $61,944.30 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 7 6 — — $32,479.00 $98,701.00 $65,590.00 2026-02-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 7 6 — — $34,806.00 $92,600.00 $63,703.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 15 — — $74,790.28 $215,533.00 $145,161.64 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $35,667.00 $97,799.00 $66,733.00 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 7 6 — — $43,785.00 $98,964.00 $71,374.50 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 7 6 — — $43,775.00 $105,509.00 $74,642.00 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 7 6 — — $37,420.00 $84,155.00 $60,787.50 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 7 6 — — $38,891.00 $85,262.00 $62,076.50 2026-02-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 7 6 — — $40,650.00 $87,369.00 $64,009.50 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $52,431.00 $104,432.00 $78,431.50 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $69,846.00 $142,687.00 $106,266.50 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $96,446.00 $213,448.00 $154,947.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 15 — — $34,735.08 $124,636.00 $79,685.54 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 15 — — $31,741.38 $109,195.00 $70,468.19 2026-02-28
5831 APR_DRG Neonate With Ecmo 7 6 — — $141,279.00 $244,579.00 $192,929.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 7 6 — — $224,625.00 $404,830.00 $314,727.50 2026-02-28
5833 APR_DRG Neonate With Ecmo 7 6 — — $326,326.00 $420,602.00 $373,464.00 2026-02-28
5834 APR_DRG Neonate With Ecmo 7 6 — — $371,506.00 $748,990.00 $560,248.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 4 — — $143,414.10 $159,349.00 $151,381.55 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $187,700.00 $230,529.00 $209,114.50 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $196,083.00 $322,456.00 $259,269.50 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $286,233.00 $636,064.00 $461,148.50 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $113,103.00 $342,754.00 $227,928.50 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $109,011.00 $311,595.00 $210,303.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $103,782.00 $296,757.00 $200,269.50 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $67,252.00 $327,591.00 $197,421.50 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $95,783.00 $363,990.00 $229,886.50 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $130,511.00 $412,410.00 $271,460.50 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $180,767.00 $555,040.00 $367,903.50 2026-02-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $25,662.00 $198,716.00 $112,189.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $100,591.00 $220,795.00 $160,693.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $113,875.00 $256,070.00 $184,972.50 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $166,902.00 $360,444.00 $263,673.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 25 15 — — $34,543.57 $98,143.00 $66,343.29 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $74,126.00 $207,142.00 $140,634.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $92,261.00 $227,578.00 $159,919.50 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $123,752.00 $265,105.00 $194,428.50 2026-02-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $42,965.00 $134,141.00 $88,553.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $77,630.00 $188,196.00 $132,913.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $153,875.00 $245,404.00 $199,639.50 2026-02-28
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $29,388.00 $102,002.00 $65,695.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $53,119.00 $143,174.00 $98,146.50 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $68,242.00 $182,022.00 $125,132.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $96,960.00 $278,615.00 $187,787.50 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $39,501.00 $89,647.00 $64,574.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $51,773.00 $154,602.00 $103,187.50 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $66,347.00 $271,549.00 $168,948.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $43,202.00 $122,097.00 $82,649.50 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $81,547.00 $174,252.00 $127,899.50 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $176,171.00 $306,313.00 $241,242.00 2026-02-28
61 APR_DRG Pancreas Transplant 7 6 — — $46,554.00 $133,883.00 $90,218.50 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 6 — — $49,809.00 $123,294.00 $86,551.50 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 6 — — $85,355.00 $208,742.00 $147,048.50 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $35,827.00 $106,867.00 $71,347.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $45,729.00 $131,582.00 $88,655.50 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $69,517.00 $181,062.00 $125,289.50 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 6 — — $46,782.00 $99,390.00 $73,086.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 6 — — $85,689.00 $124,315.00 $105,002.00 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 6 — — $40,471.00 $98,034.00 $69,252.50 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 6 — — $57,686.00 $166,798.00 $112,242.00 2026-02-28
62 APR_DRG Pancreas Transplant 7 6 — — $67,166.00 $195,308.00 $131,237.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 6 — — $67,384.00 $145,645.00 $106,514.50 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $46,829.00 $114,678.00 $80,753.50 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 7 6 — — $48,083.00 $81,601.00 $64,842.00 2026-02-28
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 6 — — $27,573.00 $99,893.00 $63,733.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 6 — — $68,614.00 $110,281.00 $89,447.50 2026-02-28
63 APR_DRG Pancreas Transplant 7 6 — — $76,890.00 $243,025.00 $159,957.50 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $70,860.00 $109,917.00 $90,388.50 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $94,971.00 $127,241.00 $111,106.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $228,726.00 $254,140.00 $241,433.00 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 6 — — $61,991.00 $107,791.00 $84,891.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 6 — — $177,446.00 $233,635.00 $205,540.50 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 6 — — $62,955.00 $233,178.00 $148,066.50 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 6 — — $42,537.00 $96,271.00 $69,404.00 2026-02-28
64 APR_DRG Pancreas Transplant 7 6 — — $120,235.00 $331,035.00 $225,635.00 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 15 — — $32,865.06 $93,247.00 $63,056.03 2026-02-28
6504 APR_DRG Splenectomy 7 6 — — $41,694.00 $102,597.00 $72,145.50 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 7 6 — — $60,662.00 $112,280.00 $86,471.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 25 15 — — $21,088.50 $112,824.00 $66,956.25 2026-02-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 6 — — $29,870.00 $94,844.00 $62,357.00 2026-02-28
6803 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $33,297.00 $99,049.00 $66,173.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $72,001.00 $136,257.00 $104,129.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $64,693.00 $121,357.00 $93,025.00 2026-02-28
6903 APR_DRG Acute Leukemia 7 6 — — $39,173.00 $113,438.00 $76,305.50 2026-02-28
6904 APR_DRG Acute Leukemia 7 6 — — $66,052.00 $153,641.00 $109,846.50 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 7 6 — — $36,789.00 $125,661.00 $81,225.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 7 6 — — $60,072.00 $136,880.00 $98,476.00 2026-02-28
6964 APR_DRG Other Chemotherapy 7 6 — — $30,904.00 $91,992.00 $61,448.00 2026-02-28
7 MS_DRG Lung Transplant 25 15 — — $91,578.13 $264,499.00 $178,038.57 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $54,753.00 $206,780.00 $130,766.50 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 6 — — $44,284.00 $142,789.00 $93,536.50 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 7 6 — — $44,421.00 $86,396.00 $65,408.50 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $71,074.00 $306,021.00 $188,547.50 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $89,525.00 $335,464.00 $212,494.50 2026-02-28
734 APR_DRG Orbit And Eye Procedures 7 6 — — $39,083.00 $83,475.00 $61,279.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $176,653.00 $429,351.00 $303,002.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 7 6 — — $71,236.00 $224,991.00 $148,113.50 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 6 — — $49,155.00 $137,297.00 $93,226.00 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 7 6 — — $39,907.00 $181,411.00 $110,659.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 15 — — $38,650.67 $110,122.00 $77,642.00 2026-02-28
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 6 — — $32,891.00 $105,675.00 $69,283.00 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 6 — — $40,518.00 $176,590.00 $108,554.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 15 — — $35,676.54 $117,838.00 $76,757.27 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 15 — — $26,129.34 $94,708.00 $60,418.67 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 15 — — $31,595.52 $96,651.00 $64,123.26 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 6 — — $47,927.00 $230,854.00 $139,390.50 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 25 15 — — $39,064.98 $111,867.00 $75,465.99 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 6 — — $88,744.00 $348,910.00 $218,827.00 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $47,526.00 $76,052.00 $61,789.00 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $47,526.00 $86,567.00 $67,046.50 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $72,485.00 $172,131.00 $122,308.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $215,384.00 $363,483.00 $289,433.50 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 6 — — $97,663.00 $204,632.00 $151,147.50 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 21 14 — — $64,815.68 $186,440.00 $131,450.00 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 7 6 — — $70,006.00 $222,649.00 $146,327.50 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 15 — — $23,049.96 $101,221.00 $62,135.48 2026-02-28
8633 APR_DRG Neonatal Aftercare 7 6 — — $44,131.00 $123,420.00 $83,775.50 2026-02-28
8634 APR_DRG Neonatal Aftercare 7 6 — — $74,184.00 $215,587.00 $144,885.50 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 15 — — $39,357.72 $140,793.00 $90,075.36 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 6 — — $50,332.00 $136,811.00 $93,571.50 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $46,047.00 $91,143.00 $68,595.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $64,344.00 $143,243.00 $103,793.50 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 6 — — $64,749.00 $149,931.00 $107,340.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 6 — — $57,390.00 $124,428.00 $90,909.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 7 6 — — $54,830.00 $288,153.00 $171,491.50 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $46,047.00 $117,308.00 $81,677.50 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 7 6 — — $52,280.00 $132,741.00 $92,510.50 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 15 — — $131,924.76 $480,126.00 $306,025.38 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 15 — — $20,373.48 $135,174.00 $77,773.74 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $74,241.00 $139,741.00 $106,991.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $165,599.00 $417,614.00 $291,606.50 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $54,107.00 $166,891.00 $110,499.00 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $40,056.00 $123,003.00 $81,529.50 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $34,181.00 $164,700.00 $99,440.50 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 15 — — $34,874.82 $138,198.00 $86,536.41 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 15 — — $37,121.88 $151,068.00 $94,094.94 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 15 — — $36,303.84 $127,998.00 $82,150.92 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 15 — — $26,008.98 $96,214.00 $61,111.49 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 10 6 $238,702.00 $119,351.00 50% off $54,901.46 $202,896.70 $142,027.69 2026-02-28
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