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 MIDLANDS

Papillion, NE · CCN 280105 · Rates published

14,398 distinct procedures filed
21 distinct payers
710,797 rate rows
2026-02-28 last MRF observed
Data quality

702,858 of 710,797 rate rows are consumer-grade (98.9%)

7,939 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 6,773
exceeds 10× this hospital's gross charge — excluded from medians 698
placeholder amount (≤ $0.02) — excluded from medians 270
per-diem day rate — not a per-procedure price 198
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/470757164_chi-health-midlands_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 417e9c1b644efb0b… · 138,559,638 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 $764,779.00 $568,142.50 nat. median
$309,665
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $234,161.40 $775,375.00 $504,768.20 nat. median
$370,174
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $286,233.00 $649,473.00 $467,853.00 nat. median
$246,434
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $254,507.00 $670,064.00 $462,285.50 nat. median
$234,729
2.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $216,261.00 $579,363.00 $397,812.00 nat. median
$207,730
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $184,022.28 $579,140.00 $381,581.14 nat. median
$265,286
1.4× median
5833
APR_DRG 		Neonate With Ecmo 6 $322,101.00 $429,468.00 $375,784.50 nat. median
$244,017
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $180,767.00 $566,740.00 $373,753.50 nat. median
$164,289
outlier · 2.3×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $156,620.00 $584,358.00 $370,489.00 nat. median
$129,535
outlier · 2.9×
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 8 $107,415.90 $507,241.75 $358,053.00 nat. median
$8,223
outlier · 43.5×
5832
APR_DRG 		Neonate With Ecmo 6 $224,625.00 $413,363.00 $318,994.00 nat. median
$156,126
outlier · 2.0×
23
APR_DRG 		Heart And/or Lung Transplant 6 $138,093.00 $488,132.00 $313,112.50 nat. median
$93,528
outlier · 3.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $131,924.76 $487,741.00 $309,832.88 nat. median
$206,474
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $176,653.00 $438,402.00 $307,527.50 nat. median
$187,061
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $165,599.00 $426,417.00 $296,008.00 nat. median
$164,834
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $215,384.00 $371,145.00 $293,264.50 nat. median
$160,267
1.8× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $130,511.00 $421,104.00 $275,807.50 nat. median
$102,919
outlier · 2.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 20 $97,079.52 $440,634.00 $268,856.76 nat. median
$202,976
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $166,902.00 $368,042.00 $267,472.00 nat. median
$151,838
1.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $196,083.00 $329,254.00 $262,668.50 nat. median
$182,665
1.4× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $72,811.00 $452,230.00 $262,520.50 nat. median
$68,633
outlier · 3.8×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $148,833.00 $341,114.00 $244,973.50 nat. median
$105,658
outlier · 2.3×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $176,171.00 $312,770.00 $244,470.50 nat. median
$162,982
1.5× median
4404
APR_DRG 		Kidney Transplant 6 $81,249.00 $395,336.00 $238,292.50 nat. median
$79,034
outlier · 3.0×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $95,783.00 $371,663.00 $233,723.00 nat. median
$81,294
outlier · 2.9×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 $113,103.00 $349,979.00 $231,541.00 nat. median
$93,370
outlier · 2.5×
64
APR_DRG 		Pancreas Transplant 6 $120,235.00 $338,013.00 $229,124.00 nat. median
$91,009
outlier · 2.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $194,622.75 $259,497.00 $227,059.88 nat. median
$150,721
1.5× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $147,940.00 $304,274.00 $226,107.00 nat. median
$119,796
1.9× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 $88,744.00 $356,265.00 $222,504.50 nat. median
$79,774
outlier · 2.8×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $117,634.00 $314,972.00 $216,303.00 nat. median
$97,957
outlier · 2.2×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $89,525.00 $342,536.00 $216,030.50 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 $318,164.00 $213,587.50 nat. median
$89,796
outlier · 2.4×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $177,446.00 $238,560.00 $208,003.00 nat. median
$122,924
1.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $176,541.75 $235,389.00 $205,965.38 nat. median
$145,336
1.4× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 $103,782.00 $303,013.00 $203,397.50 nat. median
$69,788
outlier · 2.9×
1612
APR_DRG 		Implantable Heart Assist Systems 6 $120,058.00 $285,564.00 $202,811.00 nat. median
$85,444
outlier · 2.4×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $153,875.00 $250,577.00 $202,226.00 nat. median
$109,499
1.8× median
5911
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $67,252.00 $334,496.00 $200,874.00 nat. median
$40,526
outlier · 5.0×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $123,752.00 $270,693.00 $197,222.50 nat. median
$118,620
1.7× median
5831
APR_DRG 		Neonate With Ecmo 6 $141,279.00 $249,735.00 $195,507.00 nat. median
$144,745
1.4× median
72
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $71,074.00 $312,471.00 $191,772.50 nat. median
$66,666
outlier · 2.9×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $96,960.00 $284,488.00 $190,724.00 nat. median
$95,507
2.0× median
22
APR_DRG 		Heart And/or Lung Transplant 6 $109,447.00 $269,462.00 $189,454.50 nat. median
$77,804
outlier · 2.4×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $113,875.00 $261,468.00 $187,671.50 nat. median
$108,996
1.7× median
7
MS_DRG 		Lung Transplant 20 $89,402.35 $268,695.00 $179,048.67 nat. median
$122,708
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $87,839.34 $269,373.00 $178,606.17 nat. median
$117,357
1.5× median
1611
APR_DRG 		Implantable Heart Assist Systems 6 $114,071.00 $241,578.00 $177,824.50 nat. median
$76,806
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 20 $63,636.78 $290,513.00 $177,074.89 nat. median
$133,161
1.3× median
914
APR_DRG 		Other Major Head And Neck Procedures 6 $54,830.00 $294,227.00 $174,528.50 nat. median
$42,704
outlier · 4.1×

Other procedures at this hospital

Browse this hospital's 14,398 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate With Ecmo 7 6 — — $371,506.00 $764,779.00 $568,142.50 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 20 — — $234,161.40 $775,375.00 $504,768.20 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $286,233.00 $649,473.00 $467,853.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 7 6 — — $254,507.00 $670,064.00 $462,285.50 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 7 6 — — $216,261.00 $579,363.00 $397,812.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 20 — — $184,022.28 $579,140.00 $381,581.14 2026-02-28
5833 APR_DRG Neonate With Ecmo 7 6 — — $322,101.00 $429,468.00 $375,784.50 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $180,767.00 $566,740.00 $373,753.50 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $156,620.00 $584,358.00 $370,489.00 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 13 8 $596,755.00 $250,637.10 58% off $107,415.90 $507,241.75 $358,053.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 7 6 — — $224,625.00 $413,363.00 $318,994.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 7 6 — — $138,093.00 $488,132.00 $313,112.50 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 20 — — $131,924.76 $487,741.00 $309,832.88 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $176,653.00 $438,402.00 $307,527.50 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $165,599.00 $426,417.00 $296,008.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $215,384.00 $371,145.00 $293,264.50 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $130,511.00 $421,104.00 $275,807.50 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 31 20 — — $97,079.52 $440,634.00 $268,856.76 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $166,902.00 $368,042.00 $267,472.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $196,083.00 $329,254.00 $262,668.50 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $72,811.00 $452,230.00 $262,520.50 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $148,833.00 $341,114.00 $244,973.50 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $176,171.00 $312,770.00 $244,470.50 2026-02-28
4404 APR_DRG Kidney Transplant 7 6 — — $81,249.00 $395,336.00 $238,292.50 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $95,783.00 $371,663.00 $233,723.00 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 $349,979.00 $231,541.00 2026-02-28
64 APR_DRG Pancreas Transplant 7 6 — — $120,235.00 $338,013.00 $229,124.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $194,622.75 $259,497.00 $227,059.88 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 7 6 — — $147,940.00 $304,274.00 $226,107.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 6 — — $88,744.00 $356,265.00 $222,504.50 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $117,634.00 $314,972.00 $216,303.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $89,525.00 $342,536.00 $216,030.50 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 $318,164.00 $213,587.50 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 6 — — $177,446.00 $238,560.00 $208,003.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $176,541.75 $235,389.00 $205,965.38 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 $303,013.00 $203,397.50 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 7 6 — — $120,058.00 $285,564.00 $202,811.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $153,875.00 $250,577.00 $202,226.00 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $67,252.00 $334,496.00 $200,874.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $123,752.00 $270,693.00 $197,222.50 2026-02-28
5831 APR_DRG Neonate With Ecmo 7 6 — — $141,279.00 $249,735.00 $195,507.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $71,074.00 $312,471.00 $191,772.50 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $96,960.00 $284,488.00 $190,724.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 7 6 — — $109,447.00 $269,462.00 $189,454.50 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $113,875.00 $261,468.00 $187,671.50 2026-02-28
7 MS_DRG Lung Transplant 31 20 — — $89,402.35 $268,695.00 $179,048.67 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 31 20 — — $87,839.34 $269,373.00 $178,606.17 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 7 6 — — $114,071.00 $241,578.00 $177,824.50 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 31 20 — — $63,636.78 $290,513.00 $177,074.89 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 7 6 — — $54,830.00 $294,227.00 $174,528.50 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $66,347.00 $277,273.00 $171,810.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 19 — — $74,524.08 $223,979.00 $166,894.99 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $100,591.00 $225,450.00 $163,020.50 2026-02-28
63 APR_DRG Pancreas Transplant 7 6 — — $76,890.00 $248,148.00 $162,519.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $92,261.00 $232,376.00 $162,318.50 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 19 — — $71,661.16 $215,374.00 $160,483.78 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $91,959.00 $227,750.00 $159,854.50 2026-02-28
4403 APR_DRG Kidney Transplant 7 6 — — $50,287.00 $264,222.00 $157,254.50 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $96,446.00 $217,947.00 $157,196.50 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 6 — — $97,663.00 $208,945.00 $153,304.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $58,530.00 $247,159.00 $152,844.50 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 20 — — $75,384.67 $226,565.00 $150,974.83 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 6 — — $62,955.00 $238,094.00 $150,524.50 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 7 6 — — $71,236.00 $229,734.00 $150,485.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 6 — — $85,355.00 $213,143.00 $149,249.00 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 7 6 — — $70,006.00 $227,342.00 $148,674.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 7 6 — — $74,184.00 $220,132.00 $147,158.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 7 6 — — $95,323.00 $198,785.00 $147,054.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 20 — — $72,851.48 $218,952.00 $145,901.74 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $74,126.00 $211,509.00 $142,817.50 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 4 — — $122,031.00 $162,708.00 $142,369.50 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 6 — — $47,927.00 $235,721.00 $141,824.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 6 — — $76,177.00 $207,151.00 $141,664.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 28 19 — — $63,017.69 $189,397.00 $141,126.46 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 7 6 — — $54,725.00 $216,895.00 $135,810.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $77,630.00 $192,163.00 $134,896.50 2026-02-28
215 MS_DRG Other Heart Assist System Implant 31 20 — — $51,613.02 $217,829.00 $134,721.01 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $98,411.00 $169,135.00 $133,773.00 2026-02-28
62 APR_DRG Pancreas Transplant 7 6 — — $67,166.00 $199,425.00 $133,295.50 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $54,753.00 $211,139.00 $132,946.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 20 — — $66,022.21 $198,427.00 $132,224.61 2026-02-28
4402 APR_DRG Kidney Transplant 7 6 — — $42,771.00 $220,756.00 $131,763.50 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $81,547.00 $177,925.00 $129,736.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 19 — — $57,057.21 $171,483.00 $127,778.43 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $69,517.00 $184,879.00 $127,198.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $68,242.00 $185,859.00 $127,050.50 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $87,870.00 $164,836.00 $126,353.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $72,485.00 $175,759.00 $124,122.00 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 $37,153.73 $175,448.16 $123,845.76 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 13 8 $205,870.00 $86,465.40 58% off $37,056.60 $174,989.50 $123,522.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 7 6 — — $72,023.00 $169,389.00 $120,706.00 2026-02-28
4401 APR_DRG Kidney Transplant 7 6 — — $38,787.00 $198,724.00 $118,755.50 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $74,163.00 $163,028.00 $118,595.50 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $51,198.00 $185,423.00 $118,310.50 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $61,218.00 $169,041.00 $115,129.50 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 7 6 — — $46,669.00 $182,638.00 $114,653.50 2026-02-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $25,662.00 $202,905.00 $114,283.50 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 6 — — $57,686.00 $170,314.00 $114,000.00 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 7 6 — — $39,907.00 $185,235.00 $112,571.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $94,971.00 $129,923.00 $112,447.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $54,107.00 $170,409.00 $112,258.00 2026-02-28
6904 APR_DRG Acute Leukemia 7 6 — — $66,052.00 $156,880.00 $111,466.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $65,130.00 $156,098.00 $110,614.00 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 6 — — $40,518.00 $180,312.00 $110,415.00 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 31 20 — — $45,375.72 $174,127.00 $109,751.36 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 20 — — $53,496.96 $165,736.00 $109,616.48 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 7 6 — — $52,640.00 $166,190.00 $109,415.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 7 6 — — $58,513.00 $159,646.00 $109,079.50 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 6 — — $64,749.00 $153,092.00 $108,920.50 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 19 — — $48,588.86 $146,032.00 $108,813.75 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $74,241.00 $142,687.00 $108,464.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 19 — — $48,344.64 $145,298.00 $108,266.61 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 6 — — $67,384.00 $148,716.00 $108,050.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $69,846.00 $145,695.00 $107,770.50 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $66,749.00 $148,405.00 $107,577.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 20 — — $39,893.22 $174,223.00 $107,058.11 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 6 — — $85,689.00 $126,935.00 $106,312.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $72,001.00 $139,130.00 $105,565.50 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $64,344.00 $146,263.00 $105,303.50 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $51,773.00 $157,861.00 $104,817.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 7 6 — — $56,450.00 $153,061.00 $104,755.50 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $56,294.00 $149,751.00 $103,022.50 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 19 — — $45,866.18 $137,849.00 $102,716.30 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 20 — — $41,789.40 $162,985.00 $102,387.20 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 7 6 — — $61,321.00 $142,722.00 $102,021.50 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 7 6 — — $43,332.00 $159,236.00 $101,284.00 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $34,181.00 $168,172.00 $101,176.50 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 7 6 — — $60,072.00 $139,765.00 $99,918.50 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $53,119.00 $146,192.00 $99,655.50 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 6 — — $48,122.00 $150,858.00 $99,490.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 7 6 — — $53,125.00 $145,201.00 $99,163.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $68,168.00 $128,675.00 $98,421.50 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 7 6 — — $70,380.00 $126,297.00 $98,338.50 2026-02-28
1794 APR_DRG Defibrillator Implants 7 6 — — $57,143.00 $139,443.00 $98,293.00 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 20 — — $36,789.36 $159,083.00 $97,936.18 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 20 — — $33,933.36 $160,705.00 $97,319.18 2026-02-28
234 APR_DRG Spinal Procedures 7 6 — — $56,303.00 $137,632.00 $96,967.50 2026-02-28
4414 APR_DRG Major Bladder Procedures 7 6 — — $55,064.00 $136,700.00 $95,882.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 7 6 — — $51,668.00 $138,958.00 $95,313.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 20 — — $37,121.88 $153,464.00 $95,292.94 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $68,134.00 $122,300.00 $95,217.00 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 6 — — $44,284.00 $145,799.00 $95,041.50 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 6 — — $50,332.00 $139,695.00 $95,013.50 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 19 — — $42,375.27 $127,357.00 $94,898.30 2026-02-28
10 MS_DRG Pancreas Transplant 31 20 — — $22,692.96 $163,925.00 $94,855.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 19 — — $42,320.55 $127,192.00 $94,776.11 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 6 — — $49,155.00 $140,191.00 $94,673.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $64,693.00 $123,915.00 $94,304.00 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 7 6 — — $52,280.00 $135,540.00 $93,910.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 6 — — $57,390.00 $127,051.00 $92,220.50 2026-02-28
61 APR_DRG Pancreas Transplant 7 6 — — $46,554.00 $136,705.00 $91,629.50 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $70,860.00 $112,234.00 $91,547.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 7 6 — — $48,769.00 $133,875.00 $91,322.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 20 — — $39,357.72 $143,026.00 $91,191.86 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 6 — — $68,614.00 $112,606.00 $90,610.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 6 — — $60,418.00 $119,913.00 $90,165.50 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $45,729.00 $134,356.00 $90,042.50 2026-02-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $42,965.00 $136,969.00 $89,967.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 6 — — $63,253.00 $115,859.00 $89,556.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 7 6 — — $48,599.00 $128,404.00 $88,501.50 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 6 — — $49,809.00 $125,893.00 $87,851.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 7 6 — — $60,662.00 $114,647.00 $87,654.50 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 20 — — $34,874.82 $140,390.00 $87,632.41 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 6 — — $61,991.00 $110,064.00 $86,027.50 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 7 6 — — $47,475.00 $124,377.00 $85,926.00 2026-02-28
8633 APR_DRG Neonatal Aftercare 7 6 — — $44,131.00 $126,022.00 $85,076.50 2026-02-28
274 APR_DRG Other Open Craniotomy 7 6 — — $54,307.00 $115,716.00 $85,011.50 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 20 — — $32,732.82 $137,086.00 $84,909.41 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 20 — — $37,222.02 $111,869.00 $84,827.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 7 6 — — $50,176.00 $119,150.00 $84,663.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 20 — — $36,204.90 $132,774.00 $84,489.45 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 19 — — $37,653.00 $113,164.00 $84,322.80 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $52,642.00 $115,567.00 $84,104.50 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 6 — — $44,903.00 $122,995.00 $83,949.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $43,202.00 $124,671.00 $83,936.50 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 19 — — $37,423.15 $112,473.00 $83,808.46 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 31 20 — — $34,410.72 $132,966.00 $83,688.36 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 6 — — $44,327.00 $122,498.00 $83,412.50 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 20 — — $36,303.84 $130,028.00 $83,165.92 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $46,047.00 $119,781.00 $82,914.00 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $40,056.00 $125,596.00 $82,826.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $44,847.00 $120,742.00 $82,794.50 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 7 6 — — $36,789.00 $128,310.00 $82,549.50 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 31 20 — — $40,567.44 $124,098.00 $82,332.72 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 20 — — $38,879.34 $125,595.00 $82,237.17 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 20 — — $38,106.18 $126,171.00 $82,138.59 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $46,829.00 $117,095.00 $81,962.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 20 — — $38,879.34 $123,171.00 $81,025.17 2026-02-28
2634 APR_DRG Cholecystectomy 7 6 — — $30,860.00 $130,518.00 $80,689.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 20 — — $34,735.08 $126,613.00 $80,674.04 2026-02-28
1793 APR_DRG Defibrillator Implants 7 6 — — $41,533.00 $119,459.00 $80,496.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $52,431.00 $106,634.00 $79,532.50 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 20 — — $20,373.48 $137,318.00 $79,459.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 19 — — $35,231.32 $105,886.00 $78,899.96 2026-02-28
4014 APR_DRG Adrenal Procedures 7 6 — — $54,877.00 $101,196.00 $78,036.50 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 20 — — $35,676.54 $119,706.00 $77,691.27 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 20 — — $32,885.82 $122,318.00 $77,601.91 2026-02-28
4034 APR_DRG Procedures For Obesity 7 6 — — $38,275.00 $116,865.00 $77,570.00 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 7 6 — — $46,561.00 $108,517.00 $77,539.00 2026-02-28
6903 APR_DRG Acute Leukemia 7 6 — — $39,173.00 $115,829.00 $77,501.00 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 6 — — $35,944.00 $118,275.00 $77,109.50 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 7 6 — — $41,947.00 $112,178.00 $77,062.50 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 7 6 — — $50,390.00 $103,724.00 $77,057.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $42,546.00 $111,398.00 $76,972.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $53,621.00 $99,993.00 $76,807.00 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 13 8 $127,832.52 $53,689.66 58% off $23,009.86 $108,657.65 $76,699.52 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 19 — — $34,227.08 $102,868.00 $76,650.79 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 7 6 — — $37,101.00 $115,833.00 $76,467.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $41,234.00 $111,372.00 $76,303.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 31 20 — — $33,524.34 $118,002.00 $75,763.17 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 7 6 — — $43,775.00 $107,733.00 $75,754.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 31 20 — — $37,811.71 $113,641.00 $75,726.35 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 20 — — $37,811.71 $113,641.00 $75,726.35 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 20 — — $33,676.32 $117,297.00 $75,486.66 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 7 6 — — $38,592.00 $111,862.00 $75,227.00 2026-02-28
1804 APR_DRG Other Circulatory System Procedures 7 6 — — $36,223.00 $113,228.00 $74,725.50 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 20 — — $28,051.02 $120,979.00 $74,515.01 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 31 20 — — $24,745.20 $124,098.00 $74,421.60 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 7 6 — — $44,060.00 $104,666.00 $74,363.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $46,171.00 $102,462.00 $74,316.50 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 7 6 — — $40,235.00 $108,077.00 $74,156.00 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 6 — — $46,782.00 $101,485.00 $74,133.50 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 31 20 — — $23,216.22 $124,995.00 $74,105.61 2026-02-28
2324 APR_DRG Gastric Fundoplication 7 6 — — $48,203.00 $99,618.00 $73,910.50 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $46,680.00 $101,087.00 $73,883.50 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 7 6 — — $43,351.00 $104,273.00 $73,812.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 7 6 — — $40,185.00 $107,274.00 $73,729.50 2026-02-28
6504 APR_DRG Splenectomy 7 6 — — $41,694.00 $104,760.00 $73,227.00 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $35,827.00 $109,120.00 $72,473.50 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 7 6 — — $43,785.00 $101,050.00 $72,417.50 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 20 — — $31,741.38 $110,927.00 $71,334.19 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 19 — — $31,823.19 $95,643.00 $71,267.51 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 7 6 — — $44,424.00 $97,935.00 $71,179.50 2026-02-28
4214 APR_DRG Malnutrition Failure To Thrive And Other Nutritional Disorders 7 6 — — $19,571.00 $121,464.00 $70,517.50 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $35,591.00 $105,285.00 $70,438.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 6 — — $42,537.00 $98,300.00 $70,418.50 2026-02-28
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 6 — — $32,891.00 $107,903.00 $70,397.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 7 6 — — $50,399.00 $90,211.00 $70,305.00 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 6 — — $40,471.00 $100,101.00 $70,286.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 20 — — $29,871.72 $109,383.00 $69,627.36 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $46,047.00 $93,065.00 $69,556.00 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $42,742.00 $96,036.00 $69,389.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 20 — — $29,660.58 $108,900.00 $69,280.29 2026-02-28
3634 APR_DRG Breast Procedures Except Mastectomy 7 6 — — $36,139.00 $102,074.00 $69,106.50 2026-02-28
3424 APR_DRG Fractures And Dislocations Except Femur Pelvis And Back 7 6 — — $14,995.00 $122,917.00 $68,956.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 31 20 — — $25,663.20 $111,614.00 $68,638.60 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 7 6 — — $34,924.00 $101,900.00 $68,412.00 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 7 6 — — $41,822.00 $94,755.00 $68,288.50 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $47,526.00 $88,392.00 $67,959.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 31 20 — — $21,088.50 $114,614.00 $67,851.25 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 20 — — $33,147.96 $102,457.00 $67,802.48 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $35,667.00 $99,861.00 $67,764.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 20 — — $29,772.78 $105,534.00 $67,653.39 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 7 6 — — $38,855.00 $96,450.00 $67,652.50 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 31 20 — — $29,539.01 $221,666.00 $67,318.00 2026-02-28
6803 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $33,297.00 $101,137.00 $67,217.00 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 7 6 — — $36,924.00 $97,271.00 $67,097.50 2026-02-28
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $29,388.00 $104,152.00 $66,770.00 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 7 6 — — $32,479.00 $100,781.00 $66,630.00 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 7 6 — — $40,348.00 $92,803.00 $66,575.50 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 20 — — $22,127.88 $110,940.00 $66,533.94 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 31 20 — — $33,172.90 $99,700.00 $66,436.45 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 7 6 — — $44,421.00 $88,218.00 $66,319.50 2026-02-28
3174 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 7 6 — — $34,700.00 $97,747.00 $66,223.50 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 20 — — $21,013.02 $111,045.00 $66,029.01 2026-02-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 7 6 — — $37,878.00 $94,067.00 $65,972.50 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 20 — — $28,195.86 $103,559.00 $65,877.43 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 7 6 — — $48,083.00 $83,321.00 $65,702.00 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $39,501.00 $91,537.00 $65,519.00 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 19 — — $29,138.13 $87,573.00 $65,253.94 2026-02-28
0120 EAPG Immunotherapy 9 8 — — $65,239.56 $65,239.56 $65,239.56 2026-02-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 7 6 — — $40,650.00 $89,211.00 $64,930.50 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 20 — — $31,595.52 $98,184.00 $64,889.76 2026-02-28
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 6 — — $27,573.00 $101,998.00 $64,785.50 2026-02-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 7 6 — — $34,806.00 $94,552.00 $64,679.00 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 7 6 — — $38,277.00 $90,864.00 $64,570.50 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 20 — — $32,184.39 $96,729.00 $64,456.69 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 7 6 — — $41,319.00 $87,436.00 $64,377.50 2026-02-28
245 MS_DRG Aicd Generator Procedures 31 20 — — $28,196.88 $100,473.00 $64,334.94 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $35,575.00 $92,834.00 $64,204.50 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 7 6 — — $36,750.00 $91,605.00 $64,177.50 2026-02-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 6 — — $29,870.00 $96,843.00 $63,356.50 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 20 — — $21,742.32 $104,745.00 $63,243.66 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 31 20 — — $31,518.08 $94,726.00 $63,122.04 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 6 — — $37,927.00 $88,293.00 $63,110.00 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 7 6 — — $38,891.00 $87,059.00 $62,975.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 20 — — $23,049.96 $102,827.00 $62,938.48 2026-02-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 7 6 — — $36,127.00 $89,689.00 $62,908.00 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 31 20 — — $21,029.34 $104,424.00 $62,726.67 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 31 20 — — $25,581.60 $99,866.00 $62,723.80 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 7 6 — — $35,945.00 $89,451.00 $62,698.00 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $47,526.00 $77,655.00 $62,590.50 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 19 — — $27,934.82 $83,957.00 $62,559.31 2026-02-28
6964 APR_DRG Other Chemotherapy 7 6 — — $30,904.00 $93,931.00 $62,417.50 2026-02-28
734 APR_DRG Orbit And Eye Procedures 7 6 — — $39,083.00 $85,235.00 $62,159.00 2026-02-28
460 MS_DRG No Active Code Description 7 7 — — $19,687.02 $104,546.00 $62,116.51 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 20 — — $26,008.98 $97,740.00 $61,874.49 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 7 6 — — $37,420.00 $85,929.00 $61,674.50 2026-02-28
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 7 6 — — $37,129.00 $86,212.00 $61,670.50 2026-02-28
2524 APR_DRG Malfunction Reaction And Complication Of Gastrointestinal Device Or Procedure 7 6 — — $21,312.00 $101,925.00 $61,618.50 2026-02-28
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