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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

CHI HEALTH NEBRASKA HEART

Lincoln, NE · CCN 280128 · Rates published

11,287 distinct procedures filed
22 distinct payers
1,521,557 rate rows
2026-09-30 last MRF observed
Data quality

1,457,838 of 1,521,557 rate rows are consumer-grade (95.8%)

63,719 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 46,874
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,692
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2,299
placeholder amount (≤ $0.02) — excluded from medians 1,323
exceeds 10× this hospital's gross charge — excluded from medians 313
per-diem day rate — not a per-procedure price 159
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 59
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/392031968-1699718437_nebraska-heart-hospital_standardcharges.json
Found on page https://www.chihealth.com/patients-visitors/financial-assistance
Discovered viaCMS hospital list
Last fetch success · 2026-11-05
Content fingerprint 2aa405dfe1e70707… · 109,291,130 bytes · first seen 2026-11-05

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 4 $371,506.00 $770,746.00 $539,522.20 nat. median
$309,665
1.7× median
24
APR_DRG 		Heart And/or Lung Transplant 4 $254,507.00 $850,518.00 $504,353.70 nat. median
$243,231
outlier · 2.1×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $286,233.00 $685,150.00 $479,605.00 nat. median
$249,123
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $203,924.00 $609,266.00 $426,486.20 nat. median
$202,660
outlier · 2.1×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $152,095.00 $581,728.00 $407,209.60 nat. median
$137,215
outlier · 3.0×
5833
APR_DRG 		Neonate With Ecmo 4 $273,525.00 $763,493.00 $329,589.26 nat. median
$244,017
1.4× median
5832
APR_DRG 		Neonate With Ecmo 4 $208,771.00 $479,109.00 $311,136.30 nat. median
$159,829
1.9× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $72,811.00 $428,804.00 $300,162.80 nat. median
$73,704
outlier · 4.1×
23
APR_DRG 		Heart And/or Lung Transplant 4 $138,093.00 $428,264.00 $299,784.80 nat. median
$111,079
outlier · 2.7×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $180,767.00 $473,981.00 $287,619.50 nat. median
$165,334
1.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $181,802.00 $433,180.00 $279,359.10 nat. median
$160,390
1.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $161,680.00 $398,227.00 $278,758.90 nat. median
$171,358
1.6× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $166,902.00 $428,510.00 $277,023.60 nat. median
$152,569
1.8× median
4404
APR_DRG 		Kidney Transplant 4 $77,064.00 $390,651.00 $273,455.70 nat. median
$78,303
outlier · 3.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $22,594.51 $796,532.00 $266,243.13 nat. median
$360,195
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 4 $147,940.00 $414,861.00 $254,060.10 nat. median
$121,888
outlier · 2.1×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $196,083.00 $419,396.00 $247,827.60 nat. median
$177,531
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems 4 $117,132.00 $366,515.00 $238,437.00 nat. median
$85,665
outlier · 2.8×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $176,171.00 $493,770.00 $235,421.10 nat. median
$165,846
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $14,662.93 $594,943.00 $235,263.00 nat. median
$247,805
0.9× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $89,525.00 $332,926.00 $233,048.20 nat. median
$89,273
outlier · 2.6×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 $113,103.00 $322,797.00 $225,957.90 nat. median
$95,269
outlier · 2.4×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $148,833.00 $318,634.00 $223,043.80 nat. median
$122,016
1.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $165,599.00 $356,624.00 $221,773.30 nat. median
$165,169
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $178,185.00 $289,982.00 $217,025.00 nat. median
$154,211
1.4× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 $96,960.00 $308,906.00 $214,133.40 nat. median
$96,980
outlier · 2.2×
64
APR_DRG 		Pancreas Transplant 4 $99,055.00 $292,197.00 $204,537.90 nat. median
$92,076
outlier · 2.2×
72
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $71,074.00 $289,566.00 $202,696.20 nat. median
$66,446
outlier · 3.1×
1611
APR_DRG 		Implantable Heart Assist Systems 4 $114,071.00 $348,610.00 $201,709.80 nat. median
$77,137
outlier · 2.6×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $177,446.00 $338,994.00 $199,514.00 nat. median
$138,094
1.4× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $123,752.00 $284,088.00 $198,861.60 nat. median
$119,800
1.7× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $113,875.00 $331,874.00 $196,805.70 nat. median
$109,393
1.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $170,206.00 $408,242.00 $189,577.00 nat. median
$145,336
1.3× median
5831
APR_DRG 		Neonate With Ecmo 4 $141,279.00 $359,686.00 $189,480.04 nat. median
$148,245
1.3× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 $95,489.00 $322,464.00 $188,608.50 nat. median
$107,562
1.8× median
22
APR_DRG 		Heart And/or Lung Transplant 4 $109,447.00 $266,163.00 $186,314.10 nat. median
$93,125
outlier · 2.0×
J7330
HCPCS 		Autol Chondrocyte-collagporc 500000 Cell/cm2 (3 X 5 Cm)implant Sheet 13 $25,284.18 $286,065.20 $181,878.84 nat. median
$73,852
outlier · 2.5×
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 $72,131.00 $297,954.00 $172,506.60 nat. median
$78,187
outlier · 2.2×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $130,511.00 $352,181.00 $170,894.50 nat. median
$103,993
1.6× median
4403
APR_DRG 		Kidney Transplant 4 $50,287.00 $244,109.00 $170,876.30 nat. median
$50,208
outlier · 3.4×
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 13 $57,288.48 $489,339.10 $169,478.42 nat. median
$8,221
outlier · 20.6×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $117,351.00 $263,420.00 $168,569.80 nat. median
$99,544
1.7× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $90,565.00 $239,879.00 $167,915.30 nat. median
$89,743
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $11,171.21 $501,049.00 $167,477.16 nat. median
$197,664
0.8× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 $109,011.00 $266,089.00 $164,561.60 nat. median
$90,073
1.8× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $96,446.00 $300,888.00 $164,047.50 nat. median
$82,146
2.0× median
63
APR_DRG 		Pancreas Transplant 4 $76,251.00 $231,328.00 $161,929.60 nat. median
$74,184
outlier · 2.2×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $100,591.00 $225,085.00 $157,559.50 nat. median
$86,338
1.8× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 $103,782.00 $253,418.00 $151,924.50 nat. median
$71,594
outlier · 2.1×
4402
APR_DRG 		Kidney Transplant 4 $42,771.00 $216,627.00 $151,638.90 nat. median
$41,927
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 11,287 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
             
6904 APR_DRG Acute Leukemia 15 4 — — $51,582.00 $160,605.00 $112,423.50 2026-09-30
6903 APR_DRG Acute Leukemia 15 4 — — $34,896.00 $96,871.00 $67,624.20 2026-09-30
850 MS_DRG Acute Leukemia With Other Procedures 62 19 — — $4,530.91 $194,565.00 $87,297.50 2026-09-30
4014 APR_DRG Adrenal Procedures 15 4 — — $44,351.00 $121,026.00 $76,169.70 2026-09-30
74 APR_DRG Allogeneic Bone Marrow Transplant 15 4 — — $161,680.00 $398,227.00 $278,758.90 2026-09-30
73 APR_DRG Allogeneic Bone Marrow Transplant 15 4 — — $89,525.00 $332,926.00 $233,048.20 2026-09-30
72 APR_DRG Allogeneic Bone Marrow Transplant 15 4 — — $71,074.00 $289,566.00 $202,696.20 2026-09-30
71 APR_DRG Allogeneic Bone Marrow Transplant 15 4 — — $54,753.00 $176,582.00 $94,297.00 2026-09-30
14 MS_DRG Allogeneic Bone Marrow Transplant 68 19 — — $6,288.12 $276,723.00 $92,495.50 2026-09-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 57 17 — — $28,571.22 $140,826.00 $70,166.00 2026-09-30
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 15 4 — — $24,360.00 $72,017.00 $50,411.90 2026-09-30
J7330 HCPCS Autol Chondrocyte-collagporc 500000 Cell/cm2 (3 X 5 Cm)implant Sheet 22 13 $348,860.00 $160,475.60 54% off $25,284.18 $286,065.20 $181,878.84 2026-09-30
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 15 4 — — $72,131.00 $297,954.00 $172,506.60 2026-09-30
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 15 4 — — $47,927.00 $197,140.00 $136,266.90 2026-09-30
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 15 4 — — $40,009.00 $150,800.00 $84,354.90 2026-09-30
3634 APR_DRG Breast Procedures Except Mastectomy 15 4 — — $27,858.00 $87,848.00 $61,493.60 2026-09-30
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 15 4 — — $97,663.00 $209,037.00 $146,325.90 2026-09-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 51 17 — — $38,777.34 $149,262.00 $74,369.00 2026-09-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 51 17 — — $35,581.68 $130,832.00 $65,187.00 2026-09-30
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 15 4 — — $31,135.00 $78,276.00 $51,019.20 2026-09-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 57 17 — — $56,696.70 $203,841.00 $101,563.00 2026-09-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 57 17 — — $36,204.90 $136,397.00 $67,959.00 2026-09-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 57 17 — — $32,885.82 $125,655.00 $62,607.00 2026-09-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 59 17 — — $32,892.96 $163,424.00 $81,425.00 2026-09-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 59 17 — — $27,709.32 $111,872.00 $55,740.00 2026-09-30
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 4 — — $78,856.00 $200,784.00 $124,071.30 2026-09-30
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 4 — — $56,294.00 $134,291.00 $94,003.70 2026-09-30
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 4 — — $42,546.00 $117,550.00 $82,285.00 2026-09-30
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 4 — — $35,591.00 $99,973.00 $69,981.10 2026-09-30
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 15 4 — — $68,960.00 $136,345.00 $87,187.80 2026-09-30
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 15 4 — — $46,680.00 $93,786.00 $65,650.20 2026-09-30
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 15 4 — — $34,875.00 $75,686.00 $52,980.20 2026-09-30
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 15 4 — — $41,925.00 $112,156.00 $78,509.20 2026-09-30
471 MS_DRG Cervical Spinal Fusion With Mcc 57 17 — — $21,812.70 $102,591.00 $51,116.00 2026-09-30
6954 APR_DRG Chemotherapy For Acute Leukemia 15 4 — — $47,634.00 $118,129.00 $82,690.30 2026-09-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 68 19 — — $22,594.51 $796,532.00 $266,243.13 2026-09-30
6614 APR_DRG Coagulation And Platelet Disorders 15 4 — — $22,694.00 $74,248.00 $51,973.60 2026-09-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 62 19 — — $4,714.09 $176,162.00 $85,240.00 2026-09-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 62 19 — — $3,017.52 $115,542.00 $55,255.50 2026-09-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 62 19 — — $5,689.65 $230,090.00 $107,233.00 2026-09-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 62 19 — — $3,498.58 $130,663.00 $63,242.00 2026-09-30
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 15 4 — — $62,032.00 $127,271.00 $89,089.70 2026-09-30
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 15 4 — — $46,065.00 $96,162.00 $67,313.40 2026-09-30
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 15 4 — — $36,120.00 $79,963.00 $55,974.10 2026-09-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 57 17 — — $31,993.32 $165,090.00 $82,256.00 2026-09-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 57 17 — — $26,662.80 $112,368.00 $55,987.00 2026-09-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 57 17 — — $39,893.22 $178,977.00 $89,175.00 2026-09-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 57 17 — — $33,420.30 $129,022.00 $64,285.00 2026-09-30
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 15 4 — — $55,293.00 $123,872.00 $86,710.40 2026-09-30
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 15 4 — — $37,927.00 $85,384.00 $59,768.80 2026-09-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 57 17 — — $23,735.40 $124,280.00 $61,922.00 2026-09-30
9104 APR_DRG Craniotomy For Multiple Significant Trauma 15 4 — — $58,901.00 $122,324.00 $81,962.30 2026-09-30
9103 APR_DRG Craniotomy For Multiple Significant Trauma 15 4 — — $37,972.00 $79,644.00 $55,750.80 2026-09-30
1794 APR_DRG Defibrillator Implants 15 4 — — $54,525.00 $144,199.00 $100,939.30 2026-09-30
1793 APR_DRG Defibrillator Implants 15 4 — — $41,433.00 $110,827.00 $62,554.10 2026-09-30
1792 APR_DRG Defibrillator Implants 15 4 — — $33,596.00 $73,169.00 $51,218.30 2026-09-30
7524 APR_DRG Disorders Of Personality And Impulse Control 15 4 — — $20,953.00 $89,354.00 $61,569.00 2026-09-30
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 15 4 — — $55,441.00 $128,970.00 $90,279.00 2026-09-30
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 15 4 — — $40,753.00 $91,741.00 $64,218.70 2026-09-30
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 4 — — $78,362.00 $190,474.00 $129,329.90 2026-09-30
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 4 — — $54,171.00 $130,549.00 $84,915.60 2026-09-30
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 4 — — $39,350.00 $100,980.00 $61,618.90 2026-09-30
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 4 — — $34,080.00 $77,640.00 $51,772.00 2026-09-30
7594 APR_DRG Eating Disorders 15 4 — — $30,495.00 $88,851.00 $62,195.70 2026-09-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 68 19 — — $11,105.65 $452,657.00 $151,301.84 2026-09-30
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 7 6 — — $52,389.00 $95,499.00 $62,675.00 2026-09-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 57 17 — — $38,879.34 $126,532.00 $63,044.00 2026-09-30
J9321 HCPCS Epcoritamab-bysp 48 Mg/0.8 Ml Subcutaneous Solution 17 12 $83,755.66 $38,527.61 54% off $18,426.25 $68,679.65 $51,928.51 2026-09-30
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 15 4 — — $56,029.00 $186,414.00 $115,231.50 2026-09-30
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 15 4 — — $27,968.00 $87,120.00 $60,984.00 2026-09-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 68 19 — — $11,171.21 $501,049.00 $167,477.16 2026-09-30
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 15 4 — — $46,570.00 $239,598.00 $128,265.30 2026-09-30
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 15 4 — — $41,770.00 $117,246.00 $81,139.80 2026-09-30
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 15 4 — — $181,802.00 $433,180.00 $279,359.10 2026-09-30
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 15 4 — — $59,447.00 $146,993.00 $99,677.20 2026-09-30
1784 APR_DRG External Heart Assist Systems 15 4 — — $65,308.00 $249,149.00 $141,435.00 2026-09-30
1783 APR_DRG External Heart Assist Systems 15 4 — — $51,668.00 $136,327.00 $95,428.90 2026-09-30
1782 APR_DRG External Heart Assist Systems 15 4 — — $42,791.00 $130,031.00 $91,021.70 2026-09-30
1781 APR_DRG External Heart Assist Systems 15 4 — — $38,424.00 $118,874.00 $83,211.80 2026-09-30
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 4 — — $165,599.00 $356,624.00 $221,773.30 2026-09-30
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 4 — — $74,241.00 $226,065.00 $119,333.00 2026-09-30
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 4 — — $46,047.00 $100,176.00 $69,132.57 2026-09-30
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 4 — — $46,047.00 $91,511.00 $64,057.70 2026-09-30
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 15 4 — — $44,591.00 $113,356.00 $69,124.30 2026-09-30
5144 APR_DRG Female Reproductive System Reconstructive Procedures 15 4 — — $35,689.00 $101,262.00 $65,529.00 2026-09-30
2324 APR_DRG Gastric Fundoplication 15 4 — — $33,985.00 $111,328.00 $74,982.60 2026-09-30
3164 APR_DRG Hand And Wrist Procedures 15 4 — — $27,653.00 $77,226.00 $54,058.20 2026-09-30
0424T CPT Hc Ins Rplc Nstim System Sleep Apnea Complete 51 13 $94,161.00 $43,314.06 54% off $20,715.42 $77,212.02 $65,912.70 2026-09-30
33276 CPT Hc Insj Phrnc Nrv Stim Sys 42 13 $94,161.00 $43,314.06 54% off $20,715.42 $77,212.02 $65,912.70 2026-09-30
24 APR_DRG Heart And/or Lung Transplant 15 4 — — $254,507.00 $850,518.00 $504,353.70 2026-09-30
23 APR_DRG Heart And/or Lung Transplant 15 4 — — $138,093.00 $428,264.00 $299,784.80 2026-09-30
22 APR_DRG Heart And/or Lung Transplant 15 4 — — $109,447.00 $266,163.00 $186,314.10 2026-09-30
21 APR_DRG Heart And/or Lung Transplant 15 4 — — $95,323.00 $218,812.00 $149,624.10 2026-09-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 68 19 — — $14,662.93 $594,943.00 $235,263.00 2026-09-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 68 19 — — $5,929.13 $232,747.00 $92,373.49 2026-09-30
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 15 4 — — $33,863.00 $96,875.00 $63,385.00 2026-09-30
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 15 4 — — $27,750.00 $100,178.00 $66,599.10 2026-09-30
0120 EAPG Immunotherapy 39 13 — — $65,239.56 $65,891.95 $65,565.76 2026-09-30
1614 APR_DRG Implantable Heart Assist Systems 15 4 — — $203,924.00 $609,266.00 $426,486.20 2026-09-30
1613 APR_DRG Implantable Heart Assist Systems 15 4 — — $147,940.00 $414,861.00 $254,060.10 2026-09-30
1612 APR_DRG Implantable Heart Assist Systems 15 4 — — $117,132.00 $366,515.00 $238,437.00 2026-09-30
1611 APR_DRG Implantable Heart Assist Systems 15 4 — — $114,071.00 $348,610.00 $201,709.80 2026-09-30
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 15 4 — — $39,598.00 $121,936.00 $76,962.20 2026-09-30
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 15 4 — — $39,181.00 $121,431.00 $85,001.70 2026-09-30
3104 APR_DRG Intervertebral Disc Excision And Decompression 15 4 — — $32,286.00 $77,496.00 $54,247.20 2026-09-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 68 19 — — $4,117.19 $170,258.00 $56,909.40 2026-09-30
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 15 4 — — $37,084.00 $118,471.00 $82,929.70 2026-09-30
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 15 4 — — $31,797.00 $77,876.00 $54,513.20 2026-09-30
4404 APR_DRG Kidney Transplant 15 4 — — $77,064.00 $390,651.00 $273,455.70 2026-09-30
4403 APR_DRG Kidney Transplant 15 4 — — $50,287.00 $244,109.00 $170,876.30 2026-09-30
4402 APR_DRG Kidney Transplant 15 4 — — $42,771.00 $216,627.00 $151,638.90 2026-09-30
4401 APR_DRG Kidney Transplant 15 4 — — $38,787.00 $166,198.00 $80,879.40 2026-09-30
14 APR_DRG Liver Transplant And/or Intestinal Transplant 15 4 — — $152,095.00 $581,728.00 $407,209.60 2026-09-30
13 APR_DRG Liver Transplant And/or Intestinal Transplant 15 4 — — $72,811.00 $428,804.00 $300,162.80 2026-09-30
12 APR_DRG Liver Transplant And/or Intestinal Transplant 15 4 — — $58,530.00 $206,706.00 $121,867.20 2026-09-30
11 APR_DRG Liver Transplant And/or Intestinal Transplant 15 4 — — $51,198.00 $155,170.00 $108,619.00 2026-09-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 68 19 — — $5,394.76 $224,926.00 $107,629.42 2026-09-30
6 MS_DRG Liver Transplant Without Mcc 68 19 — — $2,426.22 $102,420.00 $51,030.00 2026-09-30
1814 APR_DRG Lower Extremity Arterial Procedures 15 4 — — $40,737.00 $111,964.00 $78,283.10 2026-09-30
7 MS_DRG Lung Transplant 68 19 — — $6,775.93 $276,026.00 $97,543.06 2026-09-30
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 15 4 — — $32,506.00 $107,309.00 $56,596.40 2026-09-30
1694 APR_DRG Major Abdominal Vascular Procedures 15 4 — — $49,278.00 $128,009.00 $71,848.00 2026-09-30
2614 APR_DRG Major Biliary Tract Procedures 15 4 — — $46,656.00 $128,016.00 $89,611.20 2026-09-30
4414 APR_DRG Major Bladder Procedures 15 4 — — $43,727.00 $124,519.00 $87,163.30 2026-09-30
653 MS_DRG Major Bladder Procedures With Mcc 57 17 — — $21,088.50 $117,741.00 $57,068.00 2026-09-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 4 — — $117,351.00 $263,420.00 $168,569.80 2026-09-30
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 4 — — $51,607.50 $83,627.00 $55,856.90 2026-09-30
894 APR_DRG Major Cranial Or Facial Bone Procedures 15 4 — — $46,769.00 $134,245.00 $93,971.50 2026-09-30
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 15 4 — — $23,250.00 $85,782.00 $60,047.40 2026-09-30
2314 APR_DRG Major Large Bowel Procedures 15 4 — — $35,592.00 $90,388.00 $60,878.30 2026-09-30
4804 APR_DRG Major Male Pelvic Procedures 12 3 — — $32,479.00 $93,707.00 $75,857.40 2026-09-30
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 15 4 — — $57,542.00 $141,106.00 $98,774.20 2026-09-30
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 15 4 — — $49,942.00 $156,682.00 $109,677.40 2026-09-30
1204 APR_DRG Major Respiratory And Chest Procedures 15 4 — — $48,130.00 $122,639.00 $85,847.30 2026-09-30
2304 APR_DRG Major Small Bowel Procedures 15 4 — — $40,312.00 $104,020.00 $69,634.60 2026-09-30
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 15 4 — — $47,538.00 $181,395.00 $101,662.40 2026-09-30
2203 APR_DRG Major Stomach Esophageal And Duodenal Procedures 15 4 — — $28,306.00 $85,256.00 $59,679.20 2026-09-30
4214 APR_DRG Malnutrition Failure To Thrive And Other Nutritional Disorders 15 4 — — $17,968.00 $101,584.00 $61,611.20 2026-09-30
3624 APR_DRG Mastectomy Procedures 15 4 — — $26,777.00 $87,739.00 $61,417.30 2026-09-30
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 15 4 — — $49,979.00 $192,133.00 $85,724.80 2026-09-30
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 15 4 — — $36,605.00 $213,389.00 $94,535.10 2026-09-30
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 15 4 — — $33,036.00 $154,917.00 $50,855.00 2026-09-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 19 — — $5,766.62 $221,251.00 $105,706.00 2026-09-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 19 — — $3,776.99 $150,016.00 $70,506.00 2026-09-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 19 — — $2,941.60 $116,252.00 $54,766.00 2026-09-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 51 17 — — $45,079.56 $141,610.00 $70,557.00 2026-09-30
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 15 4 — — $52,177.00 $130,215.00 $91,150.50 2026-09-30
8634 APR_DRG Neonatal Aftercare 15 4 — — $74,184.00 $184,102.00 $111,638.80 2026-09-30
8633 APR_DRG Neonatal Aftercare 15 4 — — $42,079.00 $108,736.00 $76,115.20 2026-09-30
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 4 — — $95,489.00 $322,464.00 $188,608.50 2026-09-30
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 4 — — $54,663.00 $162,269.00 $113,588.30 2026-09-30
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 4 — — $42,965.00 $122,769.00 $85,938.30 2026-09-30
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $123,752.00 $284,088.00 $198,861.60 2026-09-30
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $90,565.00 $239,879.00 $167,915.30 2026-09-30
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $72,383.00 $176,891.00 $122,836.00 2026-09-30
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 15 4 — — $58,540.00 $231,891.00 $106,817.20 2026-09-30
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 15 4 — — $50,149.00 $149,192.00 $104,434.40 2026-09-30
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 15 4 — — $34,556.00 $81,063.00 $56,744.10 2026-09-30
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $96,960.00 $308,906.00 $214,133.40 2026-09-30
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $68,242.00 $232,457.00 $139,895.10 2026-09-30
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $51,775.00 $122,264.00 $76,732.60 2026-09-30
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 15 4 — — $81,790.00 $148,994.00 $95,544.00 2026-09-30
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 15 4 — — $44,965.00 $106,900.00 $74,830.00 2026-09-30
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 15 4 — — $83,471.00 $178,894.00 $125,225.80 2026-09-30
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 15 4 — — $44,800.00 $142,889.00 $94,758.30 2026-09-30
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 15 4 — — $55,653.00 $205,552.00 $128,195.10 2026-09-30
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 15 4 — — $37,672.00 $159,395.00 $75,345.30 2026-09-30
6142 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 15 4 — — $21,790.00 $78,767.00 $53,667.90 2026-09-30
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $65,936.00 $161,834.00 $113,283.80 2026-09-30
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $45,729.00 $157,634.00 $101,128.50 2026-09-30
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $32,190.00 $137,358.00 $82,134.00 2026-09-30
6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $22,211.00 $80,522.00 $50,880.90 2026-09-30
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 4 — — $176,171.00 $493,770.00 $235,421.10 2026-09-30
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 4 — — $71,821.00 $153,299.00 $107,309.30 2026-09-30
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 4 — — $43,202.00 $104,266.00 $71,701.00 2026-09-30
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 15 4 — — $46,261.00 $94,219.00 $62,715.60 2026-09-30
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 15 4 — — $34,727.00 $79,618.00 $52,200.90 2026-09-30
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 15 4 — — $64,185.00 $142,193.00 $99,535.10 2026-09-30
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 15 4 — — $32,593.00 $106,837.00 $63,330.30 2026-09-30
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 15 4 — — $56,913.00 $142,800.00 $84,758.40 2026-09-30
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 15 4 — — $26,585.00 $98,554.00 $68,987.80 2026-09-30
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $42,557.00 $224,136.00 $88,137.00 2026-09-30
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $25,977.00 $119,732.00 $63,734.40 2026-09-30
6222 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 15 4 — — $20,164.00 $106,786.00 $53,527.50 2026-09-30
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 4 — — $180,767.00 $473,981.00 $287,619.50 2026-09-30
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 4 — — $130,511.00 $352,181.00 $170,894.50 2026-09-30
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 4 — — $95,783.00 $310,832.00 $134,514.00 2026-09-30
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 4 — — $1,731.10 $279,749.00 $67,252.00 2026-09-30
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 4 — — $166,902.00 $428,510.00 $277,023.60 2026-09-30
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 4 — — $113,875.00 $331,874.00 $196,805.70 2026-09-30
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 4 — — $100,591.00 $225,085.00 $157,559.50 2026-09-30
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 4 — — $25,662.00 $204,623.00 $143,236.10 2026-09-30
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 4 — — $286,233.00 $685,150.00 $479,605.00 2026-09-30
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 4 — — $196,083.00 $419,396.00 $247,827.60 2026-09-30
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 4 — — $170,206.00 $408,242.00 $189,577.00 2026-09-30
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 4 — — $122,470.20 $271,526.00 $147,812.49 2026-09-30
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 15 4 — — $113,103.00 $322,797.00 $225,957.90 2026-09-30
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 15 4 — — $109,011.00 $266,089.00 $164,561.60 2026-09-30
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 15 4 — — $103,782.00 $253,418.00 $151,924.50 2026-09-30
5894 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 15 4 — — $5,123.00 $77,458.00 $53,138.40 2026-09-30
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 15 4 — — $23,473.00 $72,177.00 $50,523.90 2026-09-30
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 15 4 — — $62,955.00 $199,124.00 $110,114.20 2026-09-30
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 4 — — $178,185.00 $289,982.00 $217,025.00 2026-09-30
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 4 — — $94,971.00 $175,101.00 $99,204.22 2026-09-30
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 4 — — $44,786.00 $93,865.00 $71,568.60 2026-09-30
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 4 — — $177,446.00 $338,994.00 $199,514.00 2026-09-30
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 4 — — $58,497.00 $111,172.00 $77,820.40 2026-09-30
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 15 4 — — $39,443.00 $85,366.00 $59,756.20 2026-09-30
5834 APR_DRG Neonate With Ecmo 15 4 — — $371,506.00 $770,746.00 $539,522.20 2026-09-30
5833 APR_DRG Neonate With Ecmo 15 4 — — $273,525.00 $763,493.00 $329,589.26 2026-09-30
5832 APR_DRG Neonate With Ecmo 15 4 — — $208,771.00 $479,109.00 $311,136.30 2026-09-30
5831 APR_DRG Neonate With Ecmo 15 4 — — $141,279.00 $359,686.00 $189,480.04 2026-09-30
0246 EAPG No Active Code Description 39 13 — — $52,343.27 $52,866.70 $52,604.99 2026-09-30
224 MS_DRG No Active Code Description 8 4 — — $47,998.00 $51,543.44 $50,552.22 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 15 4 — — $33,388.00 $140,647.00 $61,161.80 2026-09-30
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 15 4 — — $27,439.00 $75,847.00 $53,092.90 2026-09-30
214 APR_DRG Open Craniotomy Except Trauma 15 4 — — $53,471.00 $166,178.00 $107,425.80 2026-09-30
213 APR_DRG Open Craniotomy Except Trauma 15 4 — — $35,945.00 $83,127.00 $58,188.90 2026-09-30
204 APR_DRG Open Craniotomy For Trauma 15 4 — — $46,686.00 $138,989.00 $90,846.00 2026-09-30
244 APR_DRG Open Extracranial Vascular Procedures 15 4 — — $32,503.00 $99,047.00 $68,950.80 2026-09-30
734 APR_DRG Orbit And Eye Procedures 15 4 — — $32,279.00 $80,040.00 $56,028.00 2026-09-30
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 15 4 — — $48,298.00 $130,659.00 $91,461.30 2026-09-30
4454 APR_DRG Other Bladder Procedures 15 4 — — $27,177.00 $79,237.00 $55,465.90 2026-09-30
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 15 4 — — $60,711.00 $191,942.00 $134,359.40 2026-09-30
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 15 4 — — $38,497.00 $77,938.00 $53,090.10 2026-09-30
1804 APR_DRG Other Circulatory System Procedures 15 4 — — $33,628.00 $94,695.00 $56,921.90 2026-09-30
2294 APR_DRG Other Digestive System And Abdominal Procedures 15 4 — — $34,937.00 $116,347.00 $72,597.60 2026-09-30
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 15 4 — — $33,783.00 $84,421.00 $51,500.70 2026-09-30
5184 APR_DRG Other Female Reproductive System And Related Procedures 15 4 — — $35,023.00 $90,189.00 $63,132.30 2026-09-30
215 MS_DRG Other Heart Assist System Implant 68 19 — — $5,209.80 $223,773.00 $74,796.70 2026-09-30
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 15 4 — — $39,668.00 $152,745.00 $85,185.80 2026-09-30
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 15 4 — — $37,468.00 $101,316.00 $70,921.20 2026-09-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 59 17 — — $24,229.00 $108,414.00 $54,017.00 2026-09-30
914 APR_DRG Other Major Head And Neck Procedures 15 4 — — $54,591.00 $246,070.00 $115,395.70 2026-09-30
4844 APR_DRG Other Male Reproductive System And Related Procedures 15 4 — — $34,474.00 $87,867.00 $59,544.00 2026-09-30
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 15 4 — — $32,240.00 $92,416.00 $64,691.20 2026-09-30
264 APR_DRG Other Nervous System And Related Procedures 15 4 — — $38,150.00 $100,455.00 $70,318.50 2026-09-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 68 19 — — $3,986.96 $157,651.00 $52,695.43 2026-09-30
274 APR_DRG Other Open Craniotomy 15 4 — — $45,043.00 $112,645.00 $78,851.50 2026-09-30
294 APR_DRG Other Percutaneous Intracranial Procedures 15 4 — — $38,226.00 $93,817.00 $58,503.20 2026-09-30
1824 APR_DRG Other Peripheral Vascular Procedures 15 4 — — $35,220.00 $143,000.00 $100,100.00 2026-09-30
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 15 4 — — $39,956.00 $141,642.00 $73,715.40 2026-09-30
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 15 4 — — $41,432.00 $105,416.00 $73,791.20 2026-09-30
1214 APR_DRG Other Respiratory And Chest Procedures 15 4 — — $40,516.00 $135,559.00 $78,485.40 2026-09-30
3094 APR_DRG Other Significant Hip And Femur Surgery 15 4 — — $34,495.00 $101,714.00 $68,392.80 2026-09-30
2234 APR_DRG Other Small And Large Bowel Procedures 15 4 — — $33,752.00 $81,924.00 $57,346.80 2026-09-30
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 15 4 — — $35,291.00 $112,922.00 $65,812.50 2026-09-30
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 57 17 — — $24,295.38 $114,660.00 $57,129.00 2026-09-30
64 APR_DRG Pancreas Transplant 15 4 — — $99,055.00 $292,197.00 $204,537.90 2026-09-30
63 APR_DRG Pancreas Transplant 15 4 — — $76,251.00 $231,328.00 $161,929.60 2026-09-30
62 APR_DRG Pancreas Transplant 15 4 — — $65,702.00 $190,020.00 $133,014.00 2026-09-30
61 APR_DRG Pancreas Transplant 15 4 — — $45,743.00 $157,850.00 $102,897.00 2026-09-30
10 MS_DRG Pancreas Transplant 68 19 — — $3,754.54 $168,398.00 $56,287.44 2026-09-30
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 12 3 — — $43,785.00 $119,114.00 $79,719.85 2026-09-30
4834 APR_DRG Penis Testes And Scrotal Procedures 15 4 — — $34,845.00 $78,029.00 $54,620.30 2026-09-30
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 15 4 — — $36,924.00 $107,912.00 $73,215.90 2026-09-30
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 15 4 — — $40,696.00 $113,404.00 $79,382.80 2026-09-30
1834 APR_DRG Percutaneous Structural Cardiac Procedures 15 4 — — $58,967.00 $172,872.00 $121,010.40 2026-09-30
1833 APR_DRG Percutaneous Structural Cardiac Procedures 15 4 — — $41,234.00 $96,546.00 $67,582.20 2026-09-30
1832 APR_DRG Percutaneous Structural Cardiac Procedures 15 4 — — $33,990.00 $84,828.00 $59,379.60 2026-09-30
2244 APR_DRG Peritoneal Adhesiolysis 15 4 — — $33,289.00 $85,221.00 $59,233.30 2026-09-30
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 15 4 — — $40,348.00 $108,443.00 $69,852.60 2026-09-30
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 15 4 — — $31,832.00 $86,208.00 $60,345.60 2026-09-30
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 15 4 — — $38,658.00 $95,466.00 $66,401.10 2026-09-30
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 15 4 — — $28,558.00 $74,814.00 $51,511.50 2026-09-30
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 15 4 — — $53,867.00 $190,133.00 $108,607.10 2026-09-30
4034 APR_DRG Procedures For Obesity 15 4 — — $38,275.00 $97,737.00 $65,629.20 2026-09-30
6924 APR_DRG Radiotherapy 15 4 — — $28,574.00 $74,173.00 $50,662.50 2026-09-30
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 15 4 — — $47,739.00 $126,167.00 $78,719.90 2026-09-30
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 15 4 — — $35,944.00 $98,916.00 $57,229.90 2026-09-30
3224 APR_DRG Shoulder And Elbow Joint Replacement 15 4 — — $28,829.00 $90,748.00 $63,523.60 2026-09-30
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 15 4 — — $33,925.00 $85,931.00 $59,292.00 2026-09-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 68 19 — — $2,932.50 $114,921.00 $59,405.00 2026-09-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 68 19 — — $3,733.04 $167,433.00 $55,964.81 2026-09-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 51 17 — — $34,627.09 $108,775.00 $54,197.00 2026-09-30
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 15 4 — — $48,226.00 $133,831.00 $93,681.70 2026-09-30
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 15 4 — — $47,021.00 $122,497.00 $85,747.90 2026-09-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 57 17 — — $34,735.08 $130,067.00 $64,806.00 2026-09-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 57 17 — — $45,375.72 $178,878.00 $89,125.00 2026-09-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 57 17 — — $33,524.34 $121,222.00 $60,398.00 2026-09-30
234 APR_DRG Spinal Procedures 15 4 — — $48,892.00 $148,729.00 $103,595.40 2026-09-30
6504 APR_DRG Splenectomy 15 4 — — $36,702.00 $96,444.00 $67,510.80 2026-09-30
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 57 17 — — $19,647.24 $107,274.00 $53,449.00 2026-09-30
3174 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 15 4 — — $30,914.00 $101,572.00 $71,100.40 2026-09-30
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 15 4 — — $39,272.00 $105,904.00 $74,132.80 2026-09-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 68 19 — — $7,247.46 $298,440.00 $99,754.34 2026-09-30
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 4 — — $148,833.00 $318,634.00 $223,043.80 2026-09-30
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 4 — — $98,411.00 $211,108.00 $127,306.80 2026-09-30
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 4 — — $67,992.00 $152,803.00 $96,853.50 2026-09-30
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 4 — — $47,205.00 $119,011.00 $83,307.70 2026-09-30
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 4 — — $96,446.00 $300,888.00 $164,047.50 2026-09-30
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 4 — — $69,846.00 $213,065.00 $109,664.10 2026-09-30
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 4 — — $52,326.00 $123,241.00 $80,262.90 2026-09-30
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 4 — — $27,529.00 $104,020.00 $72,814.00 2026-09-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 19 — — $2,912.40 $105,675.00 $51,875.00 2026-09-30
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 15 4 — — $34,176.00 $93,235.00 $61,930.80 2026-09-30
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 15 4 — — $37,420.00 $97,577.00 $64,678.50 2026-09-30
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 15 4 — — $42,243.00 $114,204.00 $79,942.80 2026-09-30
224 APR_DRG Ventricular Shunt Procedures 15 4 — — $41,926.00 $108,315.00 $67,901.40 2026-09-30
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 49 13 $238,702.00 $109,802.92 54% off $57,288.48 $489,339.10 $169,478.42 2026-09-30
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