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 BERGAN MERCY

Omaha, NE · CCN 280060 · Rates published

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You selected 93350 (CPT)

HC STRESS ECHOCARDIOGRAM

This hospital’s price: $947 across 21 payers · range $222-$2,440

Source: https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/470484764_chi-health-creighton-university-medical-center-bergan-mercy_standardcharges.json · observed 2026-02-28

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

14,405 distinct procedures filed
21 distinct payers
711,275 rate rows
2026-02-28 last MRF observed
Data quality

697,238 of 711,275 rate rows are consumer-grade (98.0%)

14,037 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 6,424
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,360
exceeds 10× this hospital's gross charge — excluded from medians 696
placeholder amount (≤ $0.02) — excluded from medians 270
per-diem day rate — not a per-procedure price 217
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 70
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/470484764_chi-health-creighton-university-medical-center-bergan-mercy_standardcharges.json
Found on page https://www.chihealth.com/patients-visitors/financial-assistance
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-21
Content fingerprint b21624a1d8c2b990… · 138,602,772 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $234,161.40 $891,606.00 $587,946.00 nat. median
$359,454
1.6× median
5834
APR_DRG 		Neonate With Ecmo 3 $371,506.00 $764,779.00 $472,545.12 nat. median
$307,206
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $184,022.28 $665,955.00 $439,147.00 nat. median
$249,036
1.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $286,233.00 $649,473.00 $386,668.88 nat. median
$247,214
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 3 $254,507.00 $670,064.00 $378,527.50 nat. median
$241,437
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $131,924.76 $560,854.00 $369,841.00 nat. median
$198,418
1.9× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 8 $101,448.35 $507,241.75 $358,053.00 nat. median
$8,223
outlier · 43.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 17 $97,079.52 $506,686.00 $334,121.00 nat. median
$190,559
1.8× median
5833
APR_DRG 		Neonate With Ecmo 3 $322,101.00 $429,468.00 $326,326.00 nat. median
$244,017
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $216,261.00 $579,363.00 $325,391.62 nat. median
$202,993
1.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $180,767.00 $566,740.00 $302,911.00 nat. median
$162,342
1.9× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $156,620.00 $584,358.00 $297,444.25 nat. median
$136,566
outlier · 2.2×
5832
APR_DRG 		Neonate With Ecmo 3 $224,625.00 $413,363.00 $267,323.62 nat. median
$159,249
1.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $176,653.00 $438,402.00 $252,727.25 nat. median
$170,082
1.5× median
23
APR_DRG 		Heart And/or Lung Transplant 3 $138,093.00 $488,132.00 $252,096.00 nat. median
$110,944
outlier · 2.3×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $215,384.00 $371,145.00 $246,871.38 nat. median
$155,939
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $165,599.00 $426,417.00 $242,705.88 nat. median
$163,587
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $194,622.75 $259,497.00 $230,353.00 nat. median
$154,011
1.5× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $130,511.00 $421,104.00 $223,169.50 nat. median
$101,406
outlier · 2.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $196,083.00 $329,254.00 $221,511.75 nat. median
$175,204
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $166,902.00 $368,042.00 $221,466.75 nat. median
$151,838
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 17 $63,636.78 $334,061.00 $220,288.00 nat. median
$126,695
1.7× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $72,811.00 $452,230.00 $205,991.75 nat. median
$73,704
outlier · 2.8×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $176,171.00 $312,770.00 $205,374.25 nat. median
$165,000
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $87,839.34 $309,753.00 $204,258.00 nat. median
$110,307
1.9× median
7
MS_DRG 		Lung Transplant 17 $96,596.04 $308,973.00 $203,744.00 nat. median
$117,974
1.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $148,833.00 $341,114.00 $202,334.25 nat. median
$122,016
1.7× median
4404
APR_DRG 		Kidney Transplant 3 $81,249.00 $395,336.00 $188,875.50 nat. median
$78,303
outlier · 2.4×
1613
APR_DRG 		Implantable Heart Assist Systems 3 $147,940.00 $304,274.00 $188,072.75 nat. median
$120,517
1.6× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 3 $113,103.00 $349,979.00 $187,793.62 nat. median
$93,998
2.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $176,541.75 $235,389.00 $187,700.00 nat. median
$145,061
1.3× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $95,783.00 $371,663.00 $187,265.12 nat. median
$82,129
outlier · 2.3×
64
APR_DRG 		Pancreas Transplant 3 $120,235.00 $338,013.00 $186,872.38 nat. median
$91,106
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $93,055.77 $257,554.00 $183,126.00 nat. median
$97,323
1.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $177,446.00 $238,560.00 $178,183.00 nat. median
$133,164
1.3× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 $88,744.00 $356,265.00 $177,971.38 nat. median
$78,130
outlier · 2.3×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $117,634.00 $314,972.00 $176,931.50 nat. median
$98,624
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $89,533.66 $247,659.00 $176,091.00 nat. median
$93,276
1.9× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 3 $109,011.00 $318,164.00 $173,817.00 nat. median
$89,188
1.9× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $89,525.00 $342,536.00 $173,213.50 nat. median
$89,273
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $91,476.66 $260,528.00 $171,798.00 nat. median
$104,013
1.7× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $153,875.00 $250,577.00 $170,903.88 nat. median
$107,681
1.6× median
1612
APR_DRG 		Implantable Heart Assist Systems 3 $120,058.00 $285,564.00 $167,115.50 nat. median
$84,880
2.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $90,998.05 $251,773.00 $166,025.00 nat. median
$95,038
1.7× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 3 $103,782.00 $303,013.00 $165,520.88 nat. median
$71,350
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 17 $51,613.02 $250,482.00 $165,174.00 nat. median
$93,901
1.8× median
5831
APR_DRG 		Neonate With Ecmo 3 $141,279.00 $249,735.00 $164,290.12 nat. median
$146,500
1.1× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $123,752.00 $270,693.00 $163,385.88 nat. median
$118,620
1.4× median
5911
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $67,252.00 $334,496.00 $159,062.00 nat. median
$37,247
outlier · 4.3×
22
APR_DRG 		Heart And/or Lung Transplant 3 $109,447.00 $269,462.00 $155,771.75 nat. median
$92,229
1.7× median

Other procedures at this hospital

Browse this hospital's 14,405 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 17 — — $234,161.40 $891,606.00 $587,946.00 2026-02-28
5834 APR_DRG Neonate With Ecmo 4 3 — — $371,506.00 $764,779.00 $472,545.12 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 17 — — $184,022.28 $665,955.00 $439,147.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 — — $286,233.00 $649,473.00 $386,668.88 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 4 3 — — $254,507.00 $670,064.00 $378,527.50 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 17 — — $131,924.76 $560,854.00 $369,841.00 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 13 8 $596,755.00 $250,637.10 58% off $101,448.35 $507,241.75 $358,053.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 28 17 — — $97,079.52 $506,686.00 $334,121.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 4 3 — — $322,101.00 $429,468.00 $326,326.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 4 3 — — $216,261.00 $579,363.00 $325,391.62 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 — — $180,767.00 $566,740.00 $302,911.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 3 — — $156,620.00 $584,358.00 $297,444.25 2026-02-28
5832 APR_DRG Neonate With Ecmo 4 3 — — $224,625.00 $413,363.00 $267,323.62 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 4 3 — — $176,653.00 $438,402.00 $252,727.25 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 4 3 — — $138,093.00 $488,132.00 $252,096.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 3 — — $215,384.00 $371,145.00 $246,871.38 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 — — $165,599.00 $426,417.00 $242,705.88 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 3 — — $194,622.75 $259,497.00 $230,353.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 — — $130,511.00 $421,104.00 $223,169.50 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 — — $196,083.00 $329,254.00 $221,511.75 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 — — $166,902.00 $368,042.00 $221,466.75 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 28 17 — — $63,636.78 $334,061.00 $220,288.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 3 — — $72,811.00 $452,230.00 $205,991.75 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 3 — — $176,171.00 $312,770.00 $205,374.25 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 28 17 — — $87,839.34 $309,753.00 $204,258.00 2026-02-28
7 MS_DRG Lung Transplant 28 17 — — $96,596.04 $308,973.00 $203,744.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 — — $148,833.00 $341,114.00 $202,334.25 2026-02-28
4404 APR_DRG Kidney Transplant 4 3 — — $81,249.00 $395,336.00 $188,875.50 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 4 3 — — $147,940.00 $304,274.00 $188,072.75 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 3 — — $113,103.00 $349,979.00 $187,793.62 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 — — $176,541.75 $235,389.00 $187,700.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 — — $95,783.00 $371,663.00 $187,265.12 2026-02-28
64 APR_DRG Pancreas Transplant 4 3 — — $120,235.00 $338,013.00 $186,872.38 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 16 — — $93,055.77 $257,554.00 $183,126.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 3 — — $177,446.00 $238,560.00 $178,183.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 3 — — $88,744.00 $356,265.00 $177,971.38 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 3 — — $117,634.00 $314,972.00 $176,931.50 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $89,533.66 $247,659.00 $176,091.00 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 3 — — $109,011.00 $318,164.00 $173,817.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 4 3 — — $89,525.00 $342,536.00 $173,213.50 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 17 — — $91,476.66 $260,528.00 $171,798.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 3 — — $153,875.00 $250,577.00 $170,903.88 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 4 3 — — $120,058.00 $285,564.00 $167,115.50 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 17 — — $90,998.05 $251,773.00 $166,025.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 3 — — $103,782.00 $303,013.00 $165,520.88 2026-02-28
215 MS_DRG Other Heart Assist System Implant 28 17 — — $51,613.02 $250,482.00 $165,174.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 4 3 — — $141,279.00 $249,735.00 $164,290.12 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $123,752.00 $270,693.00 $163,385.88 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 — — $67,252.00 $334,496.00 $159,062.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 4 3 — — $109,447.00 $269,462.00 $155,771.75 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $96,960.00 $284,488.00 $155,163.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 — — $113,875.00 $261,468.00 $154,988.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 25 16 — — $78,900.00 $217,788.00 $154,852.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 4 3 — — $71,074.00 $312,471.00 $152,713.62 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 17 — — $70,044.42 $228,171.00 $150,462.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 4 3 — — $114,071.00 $241,578.00 $147,627.25 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $122,031.00 $162,708.00 $142,369.50 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 16 — — $71,567.11 $197,188.00 $140,205.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 4 3 — — $54,830.00 $294,227.00 $137,750.12 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 3 — — $66,347.00 $277,273.00 $137,150.88 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 — — $100,591.00 $225,450.00 $134,839.25 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $92,261.00 $232,376.00 $133,271.50 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 17 — — $39,893.22 $200,340.00 $132,109.00 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 28 17 — — $45,375.72 $200,229.00 $132,036.00 2026-02-28
63 APR_DRG Pancreas Transplant 4 3 — — $76,890.00 $248,148.00 $131,500.50 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 3 — — $91,959.00 $227,750.00 $131,385.75 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 — — $96,446.00 $217,947.00 $129,953.12 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 3 — — $97,663.00 $208,945.00 $127,185.88 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 17 — — $53,496.96 $190,581.00 $125,673.00 2026-02-28
10 MS_DRG Pancreas Transplant 28 17 — — $22,692.96 $188,498.00 $124,300.00 2026-02-28
4403 APR_DRG Kidney Transplant 4 3 — — $50,287.00 $264,222.00 $124,226.75 2026-02-28
J2351 HCPCS Ocrelizumab 920 Mg-hyaluronidase-ocsq 23000 Unit/23 Ml Subcut Soln 13 8 $206,409.59 $86,692.03 58% off $35,089.64 $175,448.16 $123,845.76 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 17 — — $41,789.40 $187,417.00 $123,587.00 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 13 8 $205,870.00 $86,465.40 58% off $34,997.90 $174,989.50 $123,522.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 3 — — $85,355.00 $213,143.00 $122,606.12 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 4 3 — — $95,323.00 $198,785.00 $122,205.88 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 3 — — $58,530.00 $247,159.00 $121,949.62 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 17 — — $33,933.36 $184,795.00 $121,858.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 3 — — $71,236.00 $229,734.00 $121,768.25 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 3 — — $62,955.00 $238,094.00 $120,762.75 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 17 — — $36,789.36 $182,930.00 $120,628.00 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 4 3 — — $70,006.00 $227,342.00 $120,256.25 2026-02-28
8634 APR_DRG Neonatal Aftercare 4 3 — — $74,184.00 $220,132.00 $119,641.50 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $61,148.89 $167,922.00 $119,396.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 16 — — $60,848.44 $167,078.00 $118,796.00 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $74,126.00 $211,509.00 $116,378.88 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 17 — — $37,121.88 $176,469.00 $116,368.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 3 — — $76,177.00 $207,151.00 $115,770.12 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 16 — — $57,799.31 $158,513.00 $112,706.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 — — $98,411.00 $169,135.00 $112,631.12 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 3 — — $47,927.00 $235,721.00 $112,358.88 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 3 — — $77,630.00 $192,163.00 $110,876.12 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 4 3 — — $54,725.00 $216,895.00 $108,698.12 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 17 — — $39,357.72 $164,466.00 $108,453.00 2026-02-28
62 APR_DRG Pancreas Transplant 4 3 — — $67,166.00 $199,425.00 $108,367.38 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 3 — — $81,547.00 $177,925.00 $107,495.38 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 4 3 — — $54,753.00 $211,139.00 $106,553.62 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 17 — — $34,874.82 $161,435.00 $106,454.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 — — $87,870.00 $164,836.00 $105,748.50 2026-02-28
4402 APR_DRG Kidney Transplant 4 3 — — $42,771.00 $220,756.00 $104,169.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 16 — — $53,504.61 $146,448.00 $104,128.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 17 — — $20,373.48 $157,903.00 $104,125.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $69,517.00 $184,879.00 $104,088.12 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 16 — — $53,437.28 $146,259.00 $103,993.00 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 17 — — $32,732.82 $157,635.00 $103,949.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $68,242.00 $185,859.00 $103,818.12 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 3 — — $72,485.00 $175,759.00 $102,152.12 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 17 — — $34,410.72 $152,898.00 $100,824.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 17 — — $36,204.90 $152,678.00 $100,679.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 4 3 — — $72,023.00 $169,389.00 $99,532.38 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 17 — — $36,303.84 $149,519.00 $98,596.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 3 — — $74,163.00 $163,028.00 $98,217.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 3 — — $94,971.00 $129,923.00 $96,206.62 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 17 — — $34,735.08 $145,592.00 $96,007.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 17 — — $38,106.18 $145,084.00 $95,672.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 17 — — $38,879.34 $144,422.00 $95,235.00 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 4 3 — — $51,198.00 $185,423.00 $95,132.62 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 28 17 — — $23,216.22 $143,732.00 $94,780.00 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 17 — — $40,567.44 $142,701.00 $94,100.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 17 — — $24,745.20 $142,701.00 $94,100.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 3 — — $61,218.00 $169,041.00 $93,999.38 2026-02-28
4401 APR_DRG Kidney Transplant 4 3 — — $38,787.00 $198,724.00 $93,915.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 17 — — $38,879.34 $141,634.00 $93,397.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 17 — — $32,885.82 $140,653.00 $92,750.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 3 — — $57,686.00 $170,314.00 $92,710.75 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $47,695.02 $130,128.00 $92,524.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 16 — — $47,412.24 $129,334.00 $91,959.00 2026-02-28
6904 APR_DRG Acute Leukemia 4 3 — — $66,052.00 $156,880.00 $91,856.00 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 4 3 — — $46,669.00 $182,638.00 $91,823.75 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 17 — — $28,051.02 $139,114.00 $91,735.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 3 — — $65,130.00 $156,098.00 $91,101.75 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 3 — — $54,107.00 $170,409.00 $90,956.88 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 17 — — $35,676.54 $137,651.00 $90,770.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 — — $74,241.00 $142,687.00 $90,628.12 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 3 — — $85,689.00 $126,935.00 $90,445.12 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 3 — — $64,749.00 $153,092.00 $89,784.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 — — $69,846.00 $145,695.00 $89,558.62 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 28 17 — — $33,524.34 $135,691.00 $89,478.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 3 — — $67,384.00 $148,716.00 $89,460.50 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 4 3 — — $39,907.00 $185,235.00 $89,416.62 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 4 3 — — $58,513.00 $159,646.00 $89,123.75 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 3 — — $66,749.00 $148,405.00 $89,026.38 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 17 — — $33,676.32 $134,880.00 $88,943.00 2026-02-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 — — $25,662.00 $202,905.00 $88,920.38 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 4 3 — — $52,640.00 $166,190.00 $88,641.25 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 4 3 — — $72,001.00 $139,130.00 $88,174.25 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 3 — — $40,518.00 $180,312.00 $87,876.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $64,344.00 $146,263.00 $87,020.62 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 17 — — $47,164.81 $128,638.00 $86,983.50 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 28 17 — — $21,088.50 $131,795.00 $86,909.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 16 — — $44,715.74 $121,759.00 $86,573.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 17 — — $42,130.08 $130,676.00 $86,171.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 28 17 — — $39,064.98 $130,676.00 $86,171.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 4 3 — — $56,450.00 $153,061.00 $85,622.88 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 3 — — $51,773.00 $157,861.00 $85,084.38 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 28 17 — — $25,663.20 $128,345.00 $84,634.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 — — $56,294.00 $149,751.00 $84,303.62 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 17 — — $21,013.02 $127,690.00 $84,202.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 4 3 — — $61,321.00 $142,722.00 $84,181.25 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 17 — — $22,127.88 $127,570.00 $84,123.00 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 17 — — $31,741.38 $127,556.00 $84,113.00 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 16 — — $43,480.27 $118,288.00 $84,105.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 17 — — $29,871.72 $125,780.00 $82,942.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 17 — — $29,660.58 $125,225.00 $82,576.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 4 3 — — $70,380.00 $126,297.00 $82,551.38 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 4 3 — — $60,072.00 $139,765.00 $82,447.88 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 — — $68,168.00 $128,675.00 $82,337.12 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $53,119.00 $146,192.00 $81,381.50 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 4 3 — — $43,332.00 $159,236.00 $81,379.50 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 4 3 — — $53,125.00 $145,201.00 $81,012.88 2026-02-28
1794 APR_DRG Defibrillator Implants 4 3 — — $57,143.00 $139,443.00 $80,862.62 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 3 — — $48,122.00 $150,858.00 $80,632.75 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 3 — — $34,181.00 $168,172.00 $80,155.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 17 — — $29,772.78 $121,354.00 $80,024.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 3 — — $68,134.00 $122,300.00 $79,929.50 2026-02-28
234 APR_DRG Spinal Procedures 4 3 — — $56,303.00 $137,632.00 $79,763.50 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 17 — — $21,742.32 $120,447.00 $79,425.00 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 28 17 — — $21,029.34 $120,078.00 $79,182.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 4 3 — — $64,693.00 $123,915.00 $78,814.62 2026-02-28
4414 APR_DRG Major Bladder Procedures 4 3 — — $55,064.00 $136,700.00 $78,794.50 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 17 — — $28,195.86 $119,082.00 $78,526.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 16 — — $40,522.87 $109,980.00 $78,198.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 17 — — $19,283.10 $118,380.00 $78,063.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 17 — — $23,049.96 $118,241.00 $77,971.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 4 3 — — $51,668.00 $138,958.00 $77,943.25 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 17 — — $33,147.96 $117,815.00 $77,690.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 3 — — $50,332.00 $139,695.00 $77,551.62 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 3 — — $70,860.00 $112,234.00 $77,517.75 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 3 — — $49,155.00 $140,191.00 $77,149.12 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 3 — — $52,280.00 $135,540.00 $76,967.50 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 3 — — $44,284.00 $145,799.00 $76,816.62 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 13 8 $127,832.52 $53,689.66 58% off $21,731.53 $108,657.65 $76,699.52 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 3 — — $68,614.00 $112,606.00 $76,534.25 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 3 — — $57,390.00 $127,051.00 $76,339.12 2026-02-28
245 MS_DRG Aicd Generator Procedures 28 17 — — $28,196.88 $115,534.00 $76,186.00 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 28 17 — — $25,581.60 $114,836.00 $75,726.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 28 17 — — $42,183.35 $114,645.00 $75,600.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 3 — — $60,418.00 $119,913.00 $75,176.38 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 3 — — $63,253.00 $115,859.00 $75,073.62 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 4 3 — — $48,769.00 $133,875.00 $74,587.62 2026-02-28
61 APR_DRG Pancreas Transplant 4 3 — — $46,554.00 $136,705.00 $74,541.38 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 17 — — $31,595.52 $112,902.00 $74,451.00 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 28 17 — — $21,016.08 $112,413.00 $74,128.00 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 17 — — $26,008.98 $112,392.00 $74,114.00 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 17 — — $32,689.98 $111,229.00 $73,347.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 3 — — $60,662.00 $114,647.00 $73,323.62 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $45,729.00 $134,356.00 $73,248.00 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 17 — — $26,129.34 $110,633.00 $72,954.00 2026-02-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 3 — — $42,965.00 $136,969.00 $72,845.88 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 4 3 — — $48,599.00 $128,404.00 $72,451.00 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 3 — — $61,991.00 $110,064.00 $72,269.50 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 3 — — $49,809.00 $125,893.00 $72,114.38 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 28 17 — — $25,560.18 $108,971.00 $71,858.00 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 17 — — $40,147.52 $108,926.00 $71,828.00 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 16 — — $37,219.58 $100,701.00 $71,601.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 17 — — $25,325.58 $108,578.00 $71,599.00 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 17 — — $21,162.96 $108,562.00 $71,588.00 2026-02-28
274 APR_DRG Other Open Craniotomy 4 3 — — $54,307.00 $115,716.00 $70,547.00 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 4 3 — — $47,475.00 $124,377.00 $70,378.88 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 17 — — $16,004.82 $106,663.00 $70,336.00 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 17 — — $15,473.40 $106,027.00 $69,917.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 4 3 — — $50,176.00 $119,150.00 $69,769.25 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 17 — — $23,627.28 $105,734.00 $69,724.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 — — $52,642.00 $115,567.00 $69,658.62 2026-02-28
8633 APR_DRG Neonatal Aftercare 4 3 — — $44,131.00 $126,022.00 $69,323.75 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 28 17 — — $26,736.24 $104,746.00 $69,072.00 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 16 — — $35,739.20 $96,542.00 $68,644.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 3 — — $44,903.00 $122,995.00 $68,574.62 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 17 — — $27,072.84 $103,855.00 $68,484.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 3 — — $43,202.00 $124,671.00 $68,352.62 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 3 — — $44,327.00 $122,498.00 $68,100.25 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 — — $46,047.00 $119,781.00 $67,941.38 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 3 — — $44,847.00 $120,742.00 $67,701.75 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 17 — — $14,161.68 $102,297.00 $67,457.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $46,829.00 $117,095.00 $67,325.12 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 28 17 — — $32,954.16 $221,666.00 $67,318.00 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 3 — — $40,056.00 $125,596.00 $67,126.50 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 4 3 — — $36,789.00 $128,310.00 $66,510.75 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 17 — — $20,038.92 $100,850.00 $66,503.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 — — $52,431.00 $106,634.00 $66,203.25 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 28 17 — — $20,033.82 $99,987.00 $65,934.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 16 — — $34,297.53 $92,492.00 $65,764.00 2026-02-28
1793 APR_DRG Defibrillator Implants 4 3 — — $41,533.00 $119,459.00 $65,563.62 2026-02-28
4014 APR_DRG Adrenal Procedures 4 3 — — $54,877.00 $101,196.00 $65,387.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 17 — — $14,839.98 $99,074.00 $65,332.00 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 17 — — $15,986.46 $99,051.00 $65,316.00 2026-02-28
0120 EAPG Immunotherapy 9 8 — — $65,239.56 $65,239.56 $65,239.56 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 17 — — $18,622.14 $98,367.00 $64,866.00 2026-02-28
2634 APR_DRG Cholecystectomy 4 3 — — $30,860.00 $130,518.00 $64,374.25 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 3 — — $53,621.00 $99,993.00 $64,307.88 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 17 — — $23,183.58 $97,218.00 $64,108.00 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 4 3 — — $50,390.00 $103,724.00 $64,091.50 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 17 — — $20,449.98 $97,164.00 $64,072.00 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 17 — — $16,363.86 $97,020.00 $63,977.00 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 4 3 — — $46,561.00 $108,517.00 $63,974.38 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 17 — — $22,119.72 $96,161.00 $63,411.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 — — $42,546.00 $111,398.00 $63,047.25 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 4 3 — — $41,947.00 $112,178.00 $63,040.25 2026-02-28
6903 APR_DRG Acute Leukemia 4 3 — — $39,173.00 $115,829.00 $63,022.38 2026-02-28
4034 APR_DRG Procedures For Obesity 4 3 — — $38,275.00 $116,865.00 $62,961.88 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 3 — — $41,234.00 $111,372.00 $62,381.50 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 3 — — $35,944.00 $118,275.00 $62,325.12 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 4 3 — — $43,775.00 $107,733.00 $62,287.38 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 17 — — $18,171.30 $94,183.00 $62,106.00 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 17 — — $23,973.06 $94,116.00 $62,063.00 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 4 3 — — $37,101.00 $115,833.00 $61,987.88 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 28 17 — — $13,140.66 $93,284.00 $61,514.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 3 — — $46,171.00 $102,462.00 $61,508.75 2026-02-28
2324 APR_DRG Gastric Fundoplication 4 3 — — $48,203.00 $99,618.00 $61,458.25 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 3 — — $46,782.00 $101,485.00 $61,447.88 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 17 — — $26,711.76 $93,093.00 $61,388.00 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 4 3 — — $44,060.00 $104,666.00 $61,279.75 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 17 — — $7,563.30 $92,904.00 $61,263.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 3 — — $46,680.00 $101,087.00 $61,247.62 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 3 — — $38,592.00 $111,862.00 $61,244.25 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 17 — — $15,965.04 $92,447.00 $60,962.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 4 3 — — $43,351.00 $104,273.00 $60,777.88 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 4 3 — — $40,235.00 $108,077.00 $60,646.38 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 17 — — $15,377.52 $91,937.00 $60,625.00 2026-02-28
1804 APR_DRG Other Circulatory System Procedures 4 3 — — $36,223.00 $113,228.00 $60,572.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 4 3 — — $40,185.00 $107,274.00 $60,320.25 2026-02-28
7594 APR_DRG Eating Disorders 4 3 — — $41,785.50 $64,802.00 $60,258.00 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 28 17 — — $13,035.60 $91,376.00 $60,256.00 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 28 17 — — $17,232.90 $91,284.00 $60,195.00 2026-02-28
6504 APR_DRG Splenectomy 4 3 — — $41,694.00 $104,760.00 $60,132.00 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 17 — — $19,496.28 $91,029.00 $60,027.00 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 4 3 — — $43,785.00 $101,050.00 $59,786.25 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 28 17 — — $30,487.80 $90,369.00 $59,592.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 17 — — $21,490.38 $89,880.00 $59,269.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 4 3 — — $50,399.00 $90,211.00 $59,028.62 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 4 3 — — $44,424.00 $97,935.00 $58,937.62 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 3 — — $35,827.00 $109,120.00 $58,833.50 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 28 17 — — $17,078.88 $89,180.00 $58,807.00 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 28 17 — — $22,662.36 $88,468.00 $58,338.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 3 — — $42,537.00 $98,300.00 $58,131.00 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 — — $46,047.00 $93,065.00 $57,922.88 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 3 — — $40,471.00 $100,101.00 $57,773.38 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 3 — — $42,742.00 $96,036.00 $57,384.50 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 — — $35,591.00 $105,285.00 $57,277.38 2026-02-28
0424T CPT Hc Ins Rplc Nstim System Sleep Apnea Complete 15 9 $93,281.00 $39,178.02 58% off $15,857.77 $79,288.85 $56,955.00 2026-02-28
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