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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

THE NEBRASKA METHODIST HOSPITAL

Omaha, NE · CCN 280040 · Rates published

7,425 distinct procedures filed
15 distinct payers
285,878 rate rows
2026-07-31 last MRF observed
Data quality

281,184 of 285,878 rate rows are consumer-grade (98.4%)

4,694 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 2,104
per-diem day rate — not a per-procedure price 1,969
exceeds 10× this hospital's gross charge — excluded from medians 358
template filing: same amount across many unrelated codes — excluded 220
placeholder amount (≤ $0.02) — excluded from medians 35
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bestcare.org/sites/default/files/2026-02/470376604-1427147883_Nebraska-Methodist-Hospital_standardcharges.zip
Found on page https://bestcare.org/patient-resources/billing-and-insurance/patient-estimates-and-pricing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 9dd14d739afe5a6b… · 10,507,384 bytes · first seen 2026-05-18

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
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $50,021.00 $1,285,028.84 $1,285,028.84 nat. median
$135,803
outlier · 9.5×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $50,721.96 $1,184,770.53 $1,184,770.53 nat. median
$68,335
outlier · 17.3×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $36,235.57 $846,282.71 $846,282.71 nat. median
$63,564
outlier · 13.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $473,343.94 $1,731,359.68 $819,709.38 nat. median
$168,055
outlier · 4.9×
24
APR_DRG 		Heart And/or Lung Transplant 2 $220,000.00 $809,943.59 $809,943.59 nat. median
$225,531
outlier · 3.6×
5834
APR_DRG 		Neonate With Ecmo 2 $221,000.00 $733,977.10 $733,977.10 nat. median
$390,362
1.9× median
5833
APR_DRG 		Neonate With Ecmo 2 $221,000.00 $727,070.45 $727,070.45 nat. median
$268,208
outlier · 2.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $221,000.00 $652,464.47 $652,464.47 nat. median
$286,698
outlier · 2.3×
Q2041
HCPCS 		Axicabtagene Ciloleucel Susp 12 $495,761.13 $1,386,000.00 $583,775.71 nat. median
$562,501
1.0× median
7
MS_DRG 		Lung Transplant 10 $141,952.32 $1,230,334.65 $582,509.12 nat. median
$70,649
outlier · 8.2×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $454,651.66 $580,200.59 $580,200.58 nat. median
$202,242
outlier · 2.9×
Q2053
HCPCS 		Brexucabtagene Autoleucel Susp 12 $455,439.60 $1,386,000.00 $559,948.28 nat. median
$513,770
1.1× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $120,000.00 $553,976.59 $553,976.59 nat. median
$136,566
outlier · 4.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $165,000.00 $470,214.92 $470,214.92 nat. median
$198,578
outlier · 2.4×
5832
APR_DRG 		Neonate With Ecmo 2 $219,000.00 $456,253.16 $456,253.16 nat. median
$201,678
outlier · 2.3×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $190,000.00 $412,515.49 $412,515.49 nat. median
$173,018
outlier · 2.4×
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $92,000.00 $408,347.57 $408,347.57 nat. median
$69,772
outlier · 5.9×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $121,000.00 $408,068.38 $408,068.38 nat. median
$168,439
outlier · 2.4×
23
APR_DRG 		Heart And/or Lung Transplant 2 $140,000.00 $407,833.50 $407,833.50 nat. median
$117,894
outlier · 3.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $132,000.00 $399,389.09 $399,389.09 nat. median
$173,134
outlier · 2.3×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $200,000.00 $395,070.49 $395,070.49 nat. median
$155,539
outlier · 2.5×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $120,000.00 $391,283.69 $391,283.69 nat. median
$171,497
outlier · 2.3×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $130,000.00 $388,766.54 $388,766.54 nat. median
$152,383
outlier · 2.6×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $200,000.00 $379,229.74 $379,229.74 nat. median
$149,836
outlier · 2.5×
4404
APR_DRG 		Kidney Transplant 2 $90,000.00 $372,015.09 $372,015.09 nat. median
$76,896
outlier · 4.8×
1612
APR_DRG 		Implantable Heart Assist Systems 2 $176,854.75 $349,030.60 $349,030.60 nat. median
$109,992
outlier · 3.2×
5831
APR_DRG 		Neonate With Ecmo 2 $219,000.00 $342,527.23 $342,527.23 nat. median
$173,909
2.0× median
1611
APR_DRG 		Implantable Heart Assist Systems 2 $117,988.01 $331,980.02 $331,980.02 nat. median
$108,954
outlier · 3.0×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $126,772.99 $322,822.12 $322,822.12 nat. median
$181,762
1.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $132,000.00 $317,043.31 $317,043.31 nat. median
$81,292
outlier · 3.9×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $99,000.00 $316,041.77 $316,041.77 nat. median
$114,205
outlier · 2.8×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $207,541.00 $307,397.93 $307,397.93 nat. median
$99,483
outlier · 3.1×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $80,000.00 $307,081.07 $307,081.07 nat. median
$115,963
outlier · 2.6×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $110,000.00 $303,433.87 $303,433.87 nat. median
$135,630
outlier · 2.2×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $139,000.00 $301,705.54 $301,705.54 nat. median
$152,792
2.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $100,000.00 $294,169.61 $294,169.61 nat. median
$100,752
outlier · 2.9×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $88,000.00 $286,533.96 $286,533.96 nat. median
$91,350
outlier · 3.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $246,180.17 $519,925.53 $279,142.47 nat. median
$186,516
1.5× median
64
APR_DRG 		Pancreas Transplant 2 $85,000.00 $278,257.95 $278,257.95 nat. median
$92,994
outlier · 3.0×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $121,997.26 $276,148.51 $276,148.51 nat. median
$187,567
1.5× median
72
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $110,744.75 $275,751.88 $275,751.88 nat. median
$66,446
outlier · 4.2×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $100,000.00 $270,535.89 $270,535.89 nat. median
$124,731
outlier · 2.2×
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 2 $50,000.00 $258,572.78 $258,572.78 nat. median
$130,862
2.0× median
22
APR_DRG 		Heart And/or Lung Transplant 2 $101,036.65 $253,465.36 $253,465.36 nat. median
$95,481
outlier · 2.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $151,830.74 $528,860.02 $250,410.02 nat. median
$97,418
outlier · 2.6×
1784
APR_DRG 		External Heart Assist Systems 2 $141,926.97 $237,263.43 $237,263.43 nat. median
$66,229
outlier · 3.6×
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 $119,052.22 $234,682.03 $234,682.03 nat. median
$65,108
outlier · 3.6×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $91,000.00 $232,488.38 $232,488.38 nat. median
$120,079
1.9× median
4403
APR_DRG 		Kidney Transplant 2 $125,330.00 $232,464.01 $232,464.01 nat. median
$49,483
outlier · 4.7×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $175,359.69 $229,326.44 $229,326.44 nat. median
$106,926
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 7,425 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 10 — — $246,180.17 $519,925.53 $279,142.47 2026-07-31
10 MS_DRG Pancreas Transplant 12 10 — — $78,655.71 $167,888.85 $79,913.04 2026-07-31
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $50,000.00 $147,767.27 $147,767.27 2026-07-31
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 2 — — $18,118.58 $78,866.97 $78,866.97 2026-07-31
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 2 — — $36,235.57 $846,282.71 $846,282.71 2026-07-31
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 2 — — $50,721.96 $1,184,770.53 $1,184,770.53 2026-07-31
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 2 — — $50,021.00 $1,285,028.84 $1,285,028.84 2026-07-31
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $87,000.00 $165,790.59 $165,790.59 2026-07-31
1204 APR_DRG Major Respiratory And Chest Procedures 3 2 — — $79,019.48 $116,788.17 $116,788.17 2026-07-31
1214 APR_DRG Other Respiratory And Chest Procedures 3 2 — — $79,629.29 $129,092.51 $129,092.51 2026-07-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $92,000.00 $408,347.57 $408,347.57 2026-07-31
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $74,097.40 $77,856.56 $77,856.56 2026-07-31
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $90,889.50 $107,091.83 $107,091.83 2026-07-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $120,000.00 $553,976.59 $553,976.59 2026-07-31
14 MS_DRG Allogeneic Bone Marrow Transplant 12 10 — — $89,656.00 $213,786.42 $111,591.07 2026-07-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $175,359.69 $229,326.44 $229,326.44 2026-07-31
1611 APR_DRG Implantable Heart Assist Systems 3 2 — — $117,988.01 $331,980.02 $331,980.02 2026-07-31
1612 APR_DRG Implantable Heart Assist Systems 3 2 — — $176,854.75 $349,030.60 $349,030.60 2026-07-31
1613 APR_DRG Implantable Heart Assist Systems 3 2 — — $200,000.00 $395,070.49 $395,070.49 2026-07-31
1614 APR_DRG Implantable Heart Assist Systems 3 2 — — $454,651.66 $580,200.59 $580,200.58 2026-07-31
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $55,396.28 $95,204.06 $95,204.06 2026-07-31
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $63,791.05 $111,942.22 $111,942.22 2026-07-31
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $80,019.56 $127,884.90 $127,884.90 2026-07-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $110,000.00 $191,205.81 $191,205.81 2026-07-31
163 MS_DRG Major Chest Procedures With Mcc 16 13 — — $49,126.81 $215,070.45 $101,852.64 2026-07-31
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $51,532.04 $72,075.54 $72,075.54 2026-07-31
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $65,200.66 $89,312.25 $89,312.25 2026-07-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $103,812.23 $118,611.77 $118,611.77 2026-07-31
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $51,711.77 $76,148.18 $76,148.18 2026-07-31
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $66,298.31 $91,574.59 $91,574.58 2026-07-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $79,322.46 $121,199.83 $121,199.83 2026-07-31
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $53,388.42 $81,311.00 $81,311.00 2026-07-31
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $85,230.51 $117,962.54 $117,962.54 2026-07-31
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $47,761.52 $74,220.44 $74,220.43 2026-07-31
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $117,063.61 $182,785.77 $182,785.77 2026-07-31
1694 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $93,376.22 $97,743.37 $97,743.37 2026-07-31
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 2 — — $46,577.86 $73,533.54 $73,533.54 2026-07-31
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 2 — — $70,565.66 $103,269.57 $103,269.57 2026-07-31
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 3 2 — — $77,880.75 $82,095.39 $82,095.39 2026-07-31
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 3 2 — — $45,794.74 $71,313.31 $71,313.31 2026-07-31
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 2 — — $61,733.12 $102,764.37 $102,764.37 2026-07-31
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 2 — — $74,435.81 $115,638.17 $115,638.17 2026-07-31
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 3 2 — — $51,565.42 $74,541.73 $74,541.72 2026-07-31
1781 APR_DRG External Heart Assist Systems 3 2 — — $79,337.87 $113,203.01 $113,203.01 2026-07-31
1782 APR_DRG External Heart Assist Systems 3 2 — — $84,311.31 $123,827.77 $123,827.77 2026-07-31
1783 APR_DRG External Heart Assist Systems 3 2 — — $96,737.21 $129,823.72 $129,823.72 2026-07-31
1784 APR_DRG External Heart Assist Systems 3 2 — — $141,926.97 $237,263.43 $237,263.43 2026-07-31
1793 APR_DRG Defibrillator Implants 3 2 — — $66,417.70 $85,100.01 $85,100.01 2026-07-31
1794 APR_DRG Defibrillator Implants 3 2 — — $88,714.74 $137,319.77 $137,319.77 2026-07-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 11 — — $473,343.94 $1,731,359.68 $819,709.38 2026-07-31
1804 APR_DRG Other Circulatory System Procedures 3 2 — — $41,007.45 $77,437.78 $77,437.78 2026-07-31
1814 APR_DRG Lower Extremity Arterial Procedures 3 2 — — $83,978.80 $106,498.00 $106,498.00 2026-07-31
1824 APR_DRG Other Peripheral Vascular And Related Procedures 3 2 — — $90,000.00 $136,178.64 $136,178.64 2026-07-31
1832 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $60,794.66 $80,781.42 $80,781.42 2026-07-31
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $73,871.45 $91,940.19 $91,940.18 2026-07-31
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $115,000.00 $164,625.08 $164,625.08 2026-07-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 10 — — $124,212.39 $406,887.76 $192,664.70 2026-07-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 13 — — $86,253.06 $183,606.79 $87,461.52 2026-07-31
203 APR_DRG Open Craniotomy For Trauma 3 2 — — $42,287.40 $80,537.68 $80,537.68 2026-07-31
204 APR_DRG Open Craniotomy For Trauma 3 2 — — $118,136.87 $123,588.46 $123,588.46 2026-07-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 13 — — $70,533.32 $278,158.28 $131,720.31 2026-07-31
21 APR_DRG Heart And/or Lung Transplant 3 2 — — $50,000.00 $208,373.83 $208,373.83 2026-07-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 13 — — $58,027.46 $165,102.06 $78,587.09 2026-07-31
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 16 13 — — $81,149.64 $208,695.73 $100,990.20 2026-07-31
213 APR_DRG Open Craniotomy Except Trauma 3 2 — — $59,720.12 $79,161.67 $79,161.67 2026-07-31
214 APR_DRG Open Craniotomy Except Trauma 3 2 — — $103,908.51 $158,250.22 $158,250.22 2026-07-31
215 MS_DRG Other Heart Assist System Implant 16 13 — — $77,228.97 $191,094.74 $93,963.78 2026-07-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 13 — — $73,046.55 $187,751.50 $90,875.90 2026-07-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 13 — — $64,244.81 $147,361.93 $74,851.69 2026-07-31
22 APR_DRG Heart And/or Lung Transplant 3 2 — — $101,036.65 $253,465.36 $253,465.36 2026-07-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 13 — — $34,828.76 $151,482.24 $71,748.08 2026-07-31
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 2 — — $37,547.61 $81,189.13 $81,189.13 2026-07-31
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 2 — — $67,140.38 $138,303.59 $138,303.59 2026-07-31
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 2 — — $62,638.20 $124,047.78 $124,047.77 2026-07-31
2234 APR_DRG Other Small And Large Bowel Procedures 3 2 — — $25,727.95 $78,016.11 $78,016.10 2026-07-31
224 APR_DRG Ventricular Shunt Procedures 3 2 — — $59,854.92 $103,147.71 $103,147.70 2026-07-31
2244 APR_DRG Peritoneal Adhesiolysis 3 2 — — $80,582.00 $94,362.73 $80,582.00 2026-07-31
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 2 — — $58,717.47 $134,384.91 $134,384.91 2026-07-31
2294 APR_DRG Other Digestive System And Abdominal Procedures 3 2 — — $52,663.07 $110,796.65 $110,796.65 2026-07-31
23 APR_DRG Heart And/or Lung Transplant 3 2 — — $140,000.00 $407,833.50 $407,833.50 2026-07-31
2304 APR_DRG Major Small Bowel Procedures 3 2 — — $66,954.33 $94,732.10 $94,732.10 2026-07-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 13 — — $68,355.79 $161,786.64 $81,068.01 2026-07-31
2314 APR_DRG Major Large Bowel Procedures 3 2 — — $58,910.04 $82,819.96 $82,819.95 2026-07-31
2324 APR_DRG Gastric Fundoplication 3 2 — — $72,187.10 $106,017.17 $106,017.17 2026-07-31
234 APR_DRG Spinal Procedures 3 2 — — $112,443.22 $163,596.91 $163,596.90 2026-07-31
24 APR_DRG Heart And/or Lung Transplant 3 2 — — $220,000.00 $809,943.59 $809,943.59 2026-07-31
244 APR_DRG Open Extracranial Vascular Procedures 3 2 — — $59,786.88 $103,113.75 $103,113.74 2026-07-31
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 2 — — $95,712.74 $149,207.54 $149,207.54 2026-07-31
2614 APR_DRG Major Biliary Tract Procedures 3 2 — — $80,651.19 $121,908.88 $121,908.88 2026-07-31
264 APR_DRG Other Nervous System And Related Procedures 3 2 — — $66,381.76 $95,662.73 $95,662.73 2026-07-31
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 2 — — $71,635.07 $115,888.56 $115,888.56 2026-07-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 13 — — $75,391.42 $269,573.96 $127,656.23 2026-07-31
274 APR_DRG Other Open Craniotomy 3 2 — — $80,417.54 $107,271.31 $107,271.31 2026-07-31
2834 APR_DRG Other Disorders Of The Liver 3 2 — — $20,741.38 $117,488.36 $117,488.36 2026-07-31
2844 APR_DRG Disorders Of Gallbladder And Biliary Tract 3 2 — — $19,238.05 $89,582.58 $89,582.58 2026-07-31
294 APR_DRG Other Percutaneous Intracranial Procedures 3 2 — — $79,589.32 $80,687.14 $79,589.32 2026-07-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 13 — — $180,222.40 $407,354.04 $208,254.47 2026-07-31
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 2 — — $57,248.80 $84,794.23 $84,794.23 2026-07-31
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $81,050.46 $83,828.15 $83,828.15 2026-07-31
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $104,916.30 $115,520.74 $115,520.73 2026-07-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $120,000.00 $175,943.38 $175,943.38 2026-07-31
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 2 — — $85,239.50 $107,993.66 $107,993.66 2026-07-31
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $73,770.46 $87,364.56 $87,364.56 2026-07-31
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $97,000.00 $122,817.36 $122,817.36 2026-07-31
3094 APR_DRG Other Significant Hip And Femur Surgery 3 2 — — $81,539.58 $96,861.48 $96,861.48 2026-07-31
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 3 2 — — $67,408.80 $73,799.44 $73,799.43 2026-07-31
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $52,583.47 $90,338.17 $90,338.16 2026-07-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $86,776.20 $127,446.17 $127,446.17 2026-07-31
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 2 — — $62,344.21 $81,831.71 $81,831.71 2026-07-31
3164 APR_DRG Hand And Wrist Procedures 3 2 — — $47,105.50 $84,526.30 $84,526.30 2026-07-31
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 3 2 — — $47,476.52 $96,726.32 $96,726.32 2026-07-31
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 3 2 — — $56,483.66 $88,007.15 $88,007.14 2026-07-31
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 2 — — $68,163.67 $111,413.63 $111,413.63 2026-07-31
3224 APR_DRG Shoulder And Elbow Joint Replacement 3 2 — — $58,844.57 $86,418.42 $86,418.41 2026-07-31
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 3 2 — — $77,751.09 $98,481.98 $98,481.97 2026-07-31
3244 APR_DRG Elective Hip Joint Replacement 3 2 — — $58,609.64 $94,294.72 $94,294.72 2026-07-31
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 3 2 — — $85,161.18 $92,276.99 $92,276.99 2026-07-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 13 — — $54,668.89 $170,879.16 $80,931.16 2026-07-31
3444 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 3 2 — — $32,326.39 $90,741.44 $90,741.44 2026-07-31
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 2 — — $85,636.19 $116,653.01 $116,653.01 2026-07-31
3624 APR_DRG Mastectomy Procedures 3 2 — — $56,894.48 $83,553.39 $83,553.39 2026-07-31
3634 APR_DRG Breast Procedures Except Mastectomy 3 2 — — $56,967.65 $83,657.53 $83,657.53 2026-07-31
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 3 2 — — $49,768.10 $75,337.20 $75,337.20 2026-07-31
3844 APR_DRG Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue 3 2 — — $27,219.44 $84,414.09 $84,414.09 2026-07-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 13 — — $151,830.74 $528,860.02 $250,410.02 2026-07-31
4014 APR_DRG Adrenal Procedures 3 2 — — $78,475.15 $115,252.62 $115,252.62 2026-07-31
4034 APR_DRG Procedures For Obesity 3 2 — — $76,277.29 $89,283.45 $89,283.45 2026-07-31
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 2 — — $68,672.06 $100,852.14 $100,852.14 2026-07-31
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 2 — — $68,639.96 $134,884.61 $134,884.61 2026-07-31
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $70,000.00 $113,333.74 $113,333.74 2026-07-31
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $70,000.00 $145,513.80 $145,513.80 2026-07-31
4214 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 3 2 — — $29,251.69 $83,817.07 $83,817.07 2026-07-31
424 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 3 2 — — $39,138.24 $81,229.01 $81,229.01 2026-07-31
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $91,000.00 $201,037.32 $201,037.32 2026-07-31
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 2 — — $61,413.45 $79,190.48 $79,190.47 2026-07-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $110,000.00 $303,433.87 $303,433.87 2026-07-31
4401 APR_DRG Kidney Transplant 3 2 — — $71,368.04 $110,029.98 $110,029.98 2026-07-31
4402 APR_DRG Kidney Transplant 3 2 — — $110,950.16 $206,293.20 $206,293.20 2026-07-31
4403 APR_DRG Kidney Transplant 3 2 — — $125,330.00 $232,464.01 $232,464.01 2026-07-31
4404 APR_DRG Kidney Transplant 3 2 — — $90,000.00 $372,015.09 $372,015.09 2026-07-31
4414 APR_DRG Major Bladder Procedures 3 2 — — $92,000.00 $118,578.54 $118,578.54 2026-07-31
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 2 — — $61,467.37 $112,819.67 $112,819.67 2026-07-31
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 3 2 — — $51,534.61 $83,867.91 $83,867.91 2026-07-31
4454 APR_DRG Other Bladder Procedures 3 2 — — $51,384.41 $75,456.85 $75,456.85 2026-07-31
4464 APR_DRG Urethral And Transurethral Procedures 3 2 — — $44,155.33 $104,208.86 $104,208.86 2026-07-31
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 2 — — $55,464.88 $96,482.58 $96,482.58 2026-07-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 13 — — $71,689.55 $161,278.05 $82,622.97 2026-07-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 13 — — $60,539.81 $168,465.64 $80,187.47 2026-07-31
471 MS_DRG Cervical Spinal Fusion With Mcc 16 13 — — $52,929.31 $175,163.81 $82,959.64 2026-07-31
4804 APR_DRG Major Male Pelvic Procedures 3 2 — — $61,930.82 $166,957.03 $166,957.02 2026-07-31
4834 APR_DRG Penis, Testes And Scrotal Procedures 3 2 — — $50,601.29 $74,306.85 $74,306.85 2026-07-31
4844 APR_DRG Other Male Reproductive System And Related Procedures 3 2 — — $60,133.50 $83,675.26 $83,675.26 2026-07-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 10 — — $113,017.51 $241,522.40 $114,947.67 2026-07-31
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 2 — — $60,958.21 $82,760.13 $82,760.13 2026-07-31
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $63,000.00 $99,057.34 $99,057.34 2026-07-31
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 2 — — $77,235.00 $113,431.23 $113,431.23 2026-07-31
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 2 — — $74,052.46 $108,755.90 $108,755.90 2026-07-31
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 2 — — $67,820.90 $92,921.79 $92,921.79 2026-07-31
5144 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $50,000.00 $96,431.62 $96,431.62 2026-07-31
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 2 — — $70,072.69 $85,886.62 $85,886.62 2026-07-31
5193 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 3 2 — — $26,178.27 $72,943.61 $72,943.61 2026-07-31
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 3 2 — — $58,859.97 $88,787.11 $88,787.11 2026-07-31
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $60,000.00 $117,362.06 $117,362.06 2026-07-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $77,000.00 $202,900.81 $202,900.81 2026-07-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $88,000.00 $286,533.96 $286,533.96 2026-07-31
5404 APR_DRG Cesarean Section Without Sterilization 3 2 — — $32,931.07 $83,772.16 $83,772.16 2026-07-31
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 3 2 — — $50,701.42 $71,244.62 $71,244.62 2026-07-31
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 3 2 — — $47,393.07 $86,379.85 $86,379.85 2026-07-31
570 MS_DRG Skin Debridement With Mcc 16 13 — — $32,238.57 $269,218.61 $127,488.00 2026-07-31
5831 APR_DRG Neonate With Ecmo 3 2 — — $219,000.00 $342,527.23 $342,527.23 2026-07-31
5832 APR_DRG Neonate With Ecmo 3 2 — — $219,000.00 $456,253.16 $456,253.16 2026-07-31
5833 APR_DRG Neonate With Ecmo 3 2 — — $221,000.00 $727,070.45 $727,070.45 2026-07-31
5834 APR_DRG Neonate With Ecmo 3 2 — — $221,000.00 $733,977.10 $733,977.10 2026-07-31
5881 APR_DRG Female Reproductive System Reconstructive Procedures 3 2 — — $50,000.00 $258,572.78 $258,572.78 2026-07-31
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $130,000.00 $388,766.54 $388,766.54 2026-07-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $132,000.00 $399,389.09 $399,389.09 2026-07-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $221,000.00 $652,464.47 $652,464.47 2026-07-31
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $207,541.00 $307,397.93 $307,397.93 2026-07-31
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $33,354.00 $223,873.35 $223,873.35 2026-07-31
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $87,000.00 $206,680.96 $206,680.96 2026-07-31
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $6,732.00 $72,290.48 $72,290.48 2026-07-31
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $80,000.00 $170,508.03 $170,508.03 2026-07-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $91,000.00 $232,488.38 $232,488.38 2026-07-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $120,000.00 $391,283.69 $391,283.69 2026-07-31
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $1,908.00 $194,861.88 $194,861.88 2026-07-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $79,000.00 $214,347.63 $214,347.63 2026-07-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $99,000.00 $316,041.77 $316,041.77 2026-07-31
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $121,000.00 $408,068.38 $408,068.38 2026-07-31
6 MS_DRG Liver Transplant Without Mcc 12 10 — — $50,828.01 $304,361.87 $144,125.87 2026-07-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $80,000.00 $167,108.99 $167,108.99 2026-07-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $92,000.00 $228,435.69 $228,435.69 2026-07-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $100,000.00 $270,535.89 $270,535.89 2026-07-31
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $38,202.44 $106,283.06 $106,283.06 2026-07-31
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $50,642.37 $116,912.26 $116,912.26 2026-07-31
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $80,000.00 $154,527.68 $154,527.68 2026-07-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $80,000.00 $307,081.07 $307,081.07 2026-07-31
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $70,908.44 $104,388.55 $104,388.55 2026-07-31
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $86,000.00 $221,367.28 $221,367.28 2026-07-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $100,000.00 $294,169.61 $294,169.61 2026-07-31
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $61,000.00 $77,196.26 $77,196.26 2026-07-31
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $70,000.00 $142,074.88 $142,074.88 2026-07-31
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $70,000.00 $145,316.60 $145,316.60 2026-07-31
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $55,130.20 $88,483.54 $88,483.54 2026-07-31
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $66,945.35 $97,543.95 $97,543.94 2026-07-31
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $114,121.14 $145,985.77 $145,985.77 2026-07-31
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $165,000.00 $470,214.92 $470,214.92 2026-07-31
61 APR_DRG Pancreas Transplant 3 2 — — $50,000.00 $150,319.87 $150,319.87 2026-07-31
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $203.40 $136,072.28 $136,072.28 2026-07-31
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $93,000.00 $170,359.57 $170,359.57 2026-07-31
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $57,491.44 $130,805.32 $130,805.32 2026-07-31
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $70,000.00 $150,113.80 $150,113.80 2026-07-31
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $89,000.00 $154,113.32 $154,113.32 2026-07-31
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $62,000.00 $101,800.50 $101,800.50 2026-07-31
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $62,000.00 $141,886.54 $141,886.54 2026-07-31
6142 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $50,485.75 $75,009.26 $75,009.26 2026-07-31
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $64,666.60 $151,791.16 $151,791.16 2026-07-31
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $4,296.30 $195,745.99 $195,745.99 2026-07-31
62 APR_DRG Pancreas Transplant 3 2 — — $85,000.00 $180,955.52 $180,955.52 2026-07-31
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 2 — — $275.45 $101,740.67 $101,740.67 2026-07-31
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 2 — — $84,342.12 $135,409.75 $135,409.75 2026-07-31
6222 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $14,813.15 $101,691.93 $101,691.92 2026-07-31
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $16,275.80 $114,020.64 $114,020.64 2026-07-31
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $73,000.00 $213,443.58 $213,443.58 2026-07-31
6231 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 2 — — $16,786.00 $75,261.00 $75,261.00 2026-07-31
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 2 — — $51,630.90 $75,820.24 $75,820.24 2026-07-31
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 2 — — $61,096.35 $89,724.39 $89,724.39 2026-07-31
6252 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 2 — — $1,861.30 $82,511.96 $82,511.96 2026-07-31
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 2 — — $52,141.85 $93,852.42 $93,852.42 2026-07-31
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 2 — — $61,364.67 $135,988.08 $135,988.08 2026-07-31
63 APR_DRG Pancreas Transplant 3 2 — — $85,000.00 $220,292.62 $220,292.62 2026-07-31
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $70,516.88 $88,538.94 $88,538.93 2026-07-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $95,000.00 $166,747.81 $166,747.81 2026-07-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $121,997.26 $276,148.51 $276,148.51 2026-07-31
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $69,308.82 $105,868.71 $105,868.71 2026-07-31
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $126,772.99 $322,822.12 $322,822.12 2026-07-31
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 2 — — $94,617.65 $149,801.38 $149,801.37 2026-07-31
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 2 — — $74,004.96 $109,420.00 $109,420.00 2026-07-31
64 APR_DRG Pancreas Transplant 3 2 — — $85,000.00 $278,257.95 $278,257.95 2026-07-31
6504 APR_DRG Splenectomy 3 2 — — $61,902.58 $91,842.69 $91,842.69 2026-07-31
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 2 — — $68,354.96 $100,386.82 $100,386.82 2026-07-31
653 MS_DRG Major Bladder Procedures With Mcc 16 13 — — $56,959.82 $201,460.49 $95,409.28 2026-07-31
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 3 2 — — $37,868.05 $81,689.90 $81,689.90 2026-07-31
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $87,935.48 $134,374.98 $134,374.98 2026-07-31
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $35,874.82 $80,429.11 $80,429.10 2026-07-31
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $85,235.64 $124,426.03 $124,426.03 2026-07-31
6903 APR_DRG Acute Leukemia 3 2 — — $60,849.86 $91,997.80 $91,997.80 2026-07-31
6904 APR_DRG Acute Leukemia 3 2 — — $115,000.00 $152,943.38 $152,943.38 2026-07-31
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 3 2 — — $29,255.81 $76,994.62 $76,994.61 2026-07-31
6954 APR_DRG Chemotherapy For Acute Leukemia 3 2 — — $52,886.45 $112,493.95 $112,493.95 2026-07-31
7 MS_DRG Lung Transplant 12 10 — — $141,952.32 $1,230,334.65 $582,509.12 2026-07-31
71 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $87,344.93 $128,283.74 $128,283.74 2026-07-31
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 2 — — $75,845.93 $104,700.98 $104,700.98 2026-07-31
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 2 — — $81,972.22 $90,912.06 $90,912.06 2026-07-31
72 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $110,744.75 $275,751.88 $275,751.88 2026-07-31
73 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $132,000.00 $317,043.31 $317,043.31 2026-07-31
734 APR_DRG Orbit And Eye Procedures 3 2 — — $51,904.34 $76,221.30 $76,221.30 2026-07-31
74 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $200,000.00 $379,229.74 $379,229.74 2026-07-31
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 2 — — $79,405.91 $116,621.99 $116,621.99 2026-07-31
7513 APR_DRG Major Depressive Disorders And Other Or Unspecified Psychoses 3 2 — — $22,909.72 $100,082.01 $100,082.01 2026-07-31
7514 APR_DRG Major Depressive Disorders And Other Or Unspecified Psychoses 3 2 — — $28,851.15 $76,161.48 $76,161.47 2026-07-31
7524 APR_DRG Disorders Of Personality And Impulse Control 3 2 — — $50,000.00 $85,091.15 $85,091.15 2026-07-31
7544 APR_DRG Depression Except Major Depressive Disorder 3 2 — — $25,906.11 $205,372.42 $205,372.41 2026-07-31
7594 APR_DRG Eating Disorders 3 2 — — $30,803.55 $84,612.54 $84,612.54 2026-07-31
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 2 — — $59,098.76 $110,384.51 $110,384.51 2026-07-31
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 3 2 — — $64,219.83 $81,019.30 $81,019.30 2026-07-31
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 3 2 — — $43,341.40 $72,228.44 $72,228.43 2026-07-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 10 — — $61,434.26 $295,220.90 $139,798.26 2026-07-31
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $58,189.83 $114,758.50 $114,758.50 2026-07-31
824 APR_DRG Eye Infections And Other Eye Disorders 3 2 — — $28,495.53 $114,554.64 $114,554.64 2026-07-31
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $66,193.04 $185,380.48 $185,380.47 2026-07-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 13 — — $52,661.86 $220,920.38 $104,622.17 2026-07-31
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $119,052.22 $234,682.03 $234,682.03 2026-07-31
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $90,519.76 $135,602.53 $135,602.53 2026-07-31
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $190,000.00 $412,515.49 $412,515.49 2026-07-31
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $70,066.26 $88,665.24 $88,665.24 2026-07-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $120,000.00 $199,065.26 $199,065.26 2026-07-31
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 2 — — $110,174.74 $147,751.76 $147,751.76 2026-07-31
8633 APR_DRG Neonatal Aftercare 3 2 — — $6,728.90 $103,548.77 $103,548.76 2026-07-31
8634 APR_DRG Neonatal Aftercare 3 2 — — $124,496.82 $151,875.37 $151,875.36 2026-07-31
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 3 2 — — $47,934.83 $95,399.06 $95,399.05 2026-07-31
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $87,130.53 $127,840.58 $127,840.58 2026-07-31
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $50,000.00 $87,145.20 $87,145.20 2026-07-31
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $75,844.62 $80,687.14 $75,844.62 2026-07-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $111,503.48 $117,832.61 $111,503.49 2026-07-31
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 2 — — $48,716.67 $82,963.98 $82,963.98 2026-07-31
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 2 — — $132,497.46 $177,521.04 $177,521.03 2026-07-31
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 2 — — $84,175.23 $124,002.82 $124,002.82 2026-07-31
914 APR_DRG Other Major Head And Neck Procedures 3 2 — — $102,593.90 $156,987.22 $156,987.21 2026-07-31
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $59,643.74 $91,731.90 $91,731.90 2026-07-31
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 2 — — $79,271.11 $94,038.55 $94,038.55 2026-07-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 13 — — $158,938.88 $409,758.80 $198,086.68 2026-07-31
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $114,307.29 $215,280.48 $215,280.48 2026-07-31
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $139,000.00 $301,705.54 $301,705.54 2026-07-31
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $110,010.42 $228,167.57 $228,167.57 2026-07-31
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $86,228.02 $203,208.80 $203,208.80 2026-07-31
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $58,540.13 $83,205.51 $83,205.50 2026-07-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 13 — — $67,098.02 $383,310.36 $181,502.45 2026-07-31
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 3 2 — — $60,826.75 $80,393.66 $80,393.66 2026-07-31
Q2041 HCPCS Axicabtagene Ciloleucel Susp 20 12 $1,386,000.00 $498,960.00 64% off $495,761.13 $1,386,000.00 $583,775.71 2026-07-31
Q2053 HCPCS Brexucabtagene Autoleucel Susp 20 12 $1,386,000.00 $498,960.00 64% off $455,439.60 $1,386,000.00 $559,948.28 2026-07-31
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