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 LAKESIDE

Omaha, NE · CCN 280130 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,853 across 15 payers · range $2,375-$31,107

Source: https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/470757164_chi-health-lakeside_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.

14,398 distinct procedures filed
21 distinct payers
1,421,078 rate rows
2026-02-28 last MRF observed
Data quality

1,392,432 of 1,421,078 rate rows are consumer-grade (98.0%)

28,646 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 13,438
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,720
exceeds 10× this hospital's gross charge — excluded from medians 1,396
placeholder amount (≤ $0.02) — excluded from medians 540
per-diem day rate — not a per-procedure price 392
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 160
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/470757164-1649355132_alegent-creighton-health_standardcharges.json
Found on page https://www.chihealth.com/patients-visitors/financial-assistance
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-02
Content fingerprint c79a57a6ec965936… · 138,540,999 bytes · first seen 2026-07-09

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
$311,018
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
$370,165
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
$254,667
1.8× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $254,507.00 $670,064.00 $462,285.50 nat. median
$243,231
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $216,261.00 $579,363.00 $397,812.00 nat. median
$209,486
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
$261,939
1.5× median
5833
APR_DRG 		Neonate With Ecmo 6 $322,101.00 $429,468.00 $375,784.50 nat. median
$250,089
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
$168,361
outlier · 2.2×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $156,620.00 $584,358.00 $370,489.00 nat. median
$137,901
outlier · 2.7×
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 8 $95,480.80 $507,241.75 $358,053.00 nat. median
$8,133
outlier · 44.0×
5832
APR_DRG 		Neonate With Ecmo 6 $224,625.00 $413,363.00 $318,994.00 nat. median
$169,230
1.9× median
23
APR_DRG 		Heart And/or Lung Transplant 6 $138,093.00 $488,132.00 $313,112.50 nat. median
$116,111
outlier · 2.7×
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
$205,166
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $176,653.00 $438,402.00 $307,527.50 nat. median
$175,480
1.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $165,599.00 $426,417.00 $296,008.00 nat. median
$165,599
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
$165,646
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
$108,751
outlier · 2.5×
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
$199,832
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
$156,285
1.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $196,083.00 $329,254.00 $262,668.50 nat. median
$180,995
1.5× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $72,811.00 $452,230.00 $262,520.50 nat. median
$74,748
outlier · 3.5×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $148,833.00 $341,114.00 $244,973.50 nat. median
$127,600
1.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $176,171.00 $312,770.00 $244,470.50 nat. median
$168,174
1.5× median
4404
APR_DRG 		Kidney Transplant 6 $81,249.00 $395,336.00 $238,292.50 nat. median
$80,513
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
$84,000
outlier · 2.8×
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
$96,420
outlier · 2.4×
64
APR_DRG 		Pancreas Transplant 6 $120,235.00 $338,013.00 $229,124.00 nat. median
$92,994
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
$160,171
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $147,940.00 $304,274.00 $226,107.00 nat. median
$127,938
1.8× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 $88,744.00 $356,265.00 $222,504.50 nat. median
$79,228
outlier · 2.8×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $117,634.00 $314,972.00 $216,303.00 nat. median
$101,315
outlier · 2.1×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $89,525.00 $342,536.00 $216,030.50 nat. median
$89,814
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
$89,188
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
$147,677
1.4× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $176,541.75 $235,389.00 $205,965.38 nat. median
$147,847
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
$71,350
outlier · 2.9×
1612
APR_DRG 		Implantable Heart Assist Systems 6 $120,058.00 $285,564.00 $202,811.00 nat. median
$93,192
outlier · 2.2×
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
$37,247
outlier · 5.4×
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
$123,690
1.6× median
5831
APR_DRG 		Neonate With Ecmo 6 $141,279.00 $249,735.00 $195,507.00 nat. median
$154,685
1.3× 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
$99,613
1.9× median
22
APR_DRG 		Heart And/or Lung Transplant 6 $109,447.00 $269,462.00 $189,454.50 nat. median
$94,014
outlier · 2.0×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $113,875.00 $261,468.00 $187,671.50 nat. median
$112,711
1.7× median
7
MS_DRG 		Lung Transplant 20 $89,361.38 $268,695.00 $179,028.19 nat. median
$122,690
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $87,839.34 $269,373.00 $178,606.17 nat. median
$114,305
1.6× median
1611
APR_DRG 		Implantable Heart Assist Systems 6 $114,071.00 $241,578.00 $177,824.50 nat. median
$82,164
outlier · 2.2×
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
$132,706
1.3× median
914
APR_DRG 		Other Major Head And Neck Procedures 6 $54,830.00 $294,227.00 $174,528.50 nat. median
$50,135
outlier · 3.5×

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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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
             
5834 APR_DRG Neonate With Ecmo 14 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 62 20 — — $234,161.40 $775,375.00 $504,768.20 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 6 — — $286,233.00 $649,473.00 $467,853.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 14 6 — — $254,507.00 $670,064.00 $462,285.50 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 14 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 62 20 — — $184,022.28 $579,140.00 $381,581.14 2026-02-28
5833 APR_DRG Neonate With Ecmo 14 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 14 6 — — $180,767.00 $566,740.00 $373,753.50 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 14 6 — — $156,620.00 $584,358.00 $370,489.00 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 26 8 $596,755.00 $250,637.10 58% off $95,480.80 $507,241.75 $358,053.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 14 6 — — $224,625.00 $413,363.00 $318,994.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 14 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 62 20 — — $131,924.76 $487,741.00 $309,832.88 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 14 6 — — $176,653.00 $438,402.00 $307,527.50 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 6 — — $165,599.00 $426,417.00 $296,008.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 14 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 14 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 … 62 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 14 6 — — $166,902.00 $368,042.00 $267,472.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 6 — — $196,083.00 $329,254.00 $262,668.50 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 14 6 — — $72,811.00 $452,230.00 $262,520.50 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 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 14 6 — — $176,171.00 $312,770.00 $244,470.50 2026-02-28
4404 APR_DRG Kidney Transplant 14 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 14 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… 14 6 — — $113,103.00 $349,979.00 $231,541.00 2026-02-28
64 APR_DRG Pancreas Transplant 14 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 14 6 — — $194,622.75 $259,497.00 $227,059.88 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 14 6 — — $147,940.00 $304,274.00 $226,107.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 14 6 — — $88,744.00 $356,265.00 $222,504.50 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 6 — — $117,634.00 $314,972.00 $216,303.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 14 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… 14 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 14 6 — — $177,446.00 $238,560.00 $208,003.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 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… 14 6 — — $103,782.00 $303,013.00 $203,397.50 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 14 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 14 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 14 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… 14 6 — — $123,752.00 $270,693.00 $197,222.50 2026-02-28
5831 APR_DRG Neonate With Ecmo 14 6 — — $141,279.00 $249,735.00 $195,507.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 14 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… 14 6 — — $96,960.00 $284,488.00 $190,724.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 14 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 14 6 — — $113,875.00 $261,468.00 $187,671.50 2026-02-28
7 MS_DRG Lung Transplant 62 20 — — $89,361.38 $268,695.00 $179,028.19 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 62 20 — — $87,839.34 $269,373.00 $178,606.17 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 14 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… 62 20 — — $63,636.78 $290,513.00 $177,074.89 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 14 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 14 6 — — $66,347.00 $277,273.00 $171,810.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 56 19 — — $74,489.93 $223,979.00 $166,857.42 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 6 — — $100,591.00 $225,450.00 $163,020.50 2026-02-28
63 APR_DRG Pancreas Transplant 14 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… 14 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… 56 19 — — $71,628.33 $215,374.00 $160,447.66 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 6 — — $91,959.00 $227,750.00 $159,854.50 2026-02-28
4403 APR_DRG Kidney Transplant 14 6 — — $50,287.00 $264,222.00 $157,254.50 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 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 14 6 — — $97,663.00 $208,945.00 $153,304.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 14 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 62 20 — — $75,350.12 $226,565.00 $150,957.56 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 14 6 — — $62,955.00 $238,094.00 $150,524.50 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 14 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 14 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… 14 6 — — $70,006.00 $227,342.00 $148,674.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 14 6 — — $74,184.00 $220,132.00 $147,158.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 14 6 — — $95,323.00 $198,785.00 $147,054.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 62 20 — — $72,818.10 $218,952.00 $145,885.05 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 6 — — $74,126.00 $211,509.00 $142,817.50 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 4 — — $122,031.00 $162,708.00 $142,369.50 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 14 6 — — $47,927.00 $235,721.00 $141,824.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 14 6 — — $76,177.00 $207,151.00 $141,664.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 56 19 — — $62,988.81 $189,397.00 $141,094.70 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 14 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 14 6 — — $77,630.00 $192,163.00 $134,896.50 2026-02-28
215 MS_DRG Other Heart Assist System Implant 62 20 — — $51,613.02 $217,829.00 $134,721.01 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 6 — — $98,411.00 $169,135.00 $133,773.00 2026-02-28
62 APR_DRG Pancreas Transplant 14 6 — — $67,166.00 $199,425.00 $133,295.50 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 14 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… 62 20 — — $65,991.96 $198,427.00 $132,209.48 2026-02-28
4402 APR_DRG Kidney Transplant 14 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 14 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 56 19 — — $57,031.07 $171,483.00 $127,749.68 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 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… 14 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 14 6 — — $87,870.00 $164,836.00 $126,353.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 14 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 26 8 $206,409.59 $86,692.03 58% off $33,025.54 $175,448.16 $123,845.76 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 26 8 $205,870.00 $86,465.40 58% off $32,939.20 $174,989.50 $123,522.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 14 6 — — $72,023.00 $169,389.00 $120,706.00 2026-02-28
4401 APR_DRG Kidney Transplant 14 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 14 6 — — $74,163.00 $163,028.00 $118,595.50 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 14 6 — — $51,198.00 $185,423.00 $118,310.50 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 14 6 — — $61,218.00 $169,041.00 $115,129.50 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 14 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 14 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 14 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 14 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 14 6 — — $94,971.00 $129,923.00 $112,447.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 6 — — $54,107.00 $170,409.00 $112,258.00 2026-02-28
6904 APR_DRG Acute Leukemia 14 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 14 6 — — $65,130.00 $156,098.00 $110,614.00 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 14 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… 62 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 62 20 — — $53,496.96 $165,736.00 $109,616.48 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 14 6 — — $52,640.00 $166,190.00 $109,415.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 14 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 14 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… 56 19 — — $48,566.60 $146,032.00 $108,789.26 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 6 — — $74,241.00 $142,687.00 $108,464.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 19 — — $48,322.49 $145,298.00 $108,242.24 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 14 6 — — $67,384.00 $148,716.00 $108,050.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 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 14 6 — — $66,749.00 $148,405.00 $107,577.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 62 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 14 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 14 6 — — $72,001.00 $139,130.00 $105,565.50 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 14 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 14 6 — — $51,773.00 $157,861.00 $104,817.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 14 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 14 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… 56 19 — — $45,845.17 $137,849.00 $102,693.19 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 62 20 — — $41,789.40 $162,985.00 $102,387.20 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 14 6 — — $61,321.00 $142,722.00 $102,021.50 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 14 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 14 6 — — $34,181.00 $168,172.00 $101,176.50 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 14 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… 14 6 — — $53,119.00 $146,192.00 $99,655.50 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 6 — — $48,122.00 $150,858.00 $99,490.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 14 6 — — $53,125.00 $145,201.00 $99,163.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 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 14 6 — — $70,380.00 $126,297.00 $98,338.50 2026-02-28
1794 APR_DRG Defibrillator Implants 14 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… 62 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 62 20 — — $33,933.36 $160,705.00 $97,319.18 2026-02-28
234 APR_DRG Spinal Procedures 14 6 — — $56,303.00 $137,632.00 $96,967.50 2026-02-28
4414 APR_DRG Major Bladder Procedures 14 6 — — $55,064.00 $136,700.00 $95,882.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 14 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 62 20 — — $37,121.88 $153,464.00 $95,292.94 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 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 14 6 — — $44,284.00 $145,799.00 $95,041.50 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 14 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 56 19 — — $42,355.85 $127,357.00 $94,876.93 2026-02-28
10 MS_DRG Pancreas Transplant 62 20 — — $22,692.96 $163,925.00 $94,855.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 56 19 — — $42,301.15 $127,192.00 $94,754.76 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 14 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 14 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 14 6 — — $52,280.00 $135,540.00 $93,910.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 14 6 — — $57,390.00 $127,051.00 $92,220.50 2026-02-28
61 APR_DRG Pancreas Transplant 14 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 14 6 — — $70,860.00 $112,234.00 $91,547.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 14 6 — — $48,769.00 $133,875.00 $91,322.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 62 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 14 6 — — $68,614.00 $112,606.00 $90,610.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 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… 14 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 14 6 — — $42,965.00 $136,969.00 $89,967.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 14 6 — — $63,253.00 $115,859.00 $89,556.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 14 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 14 6 — — $49,809.00 $125,893.00 $87,851.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 14 6 — — $60,662.00 $114,647.00 $87,654.50 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 62 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 14 6 — — $61,991.00 $110,064.00 $86,027.50 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 14 6 — — $47,475.00 $124,377.00 $85,926.00 2026-02-28
8633 APR_DRG Neonatal Aftercare 14 6 — — $44,131.00 $126,022.00 $85,076.50 2026-02-28
274 APR_DRG Other Open Craniotomy 14 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 62 20 — — $32,732.82 $137,086.00 $84,909.41 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 62 20 — — $37,204.97 $111,869.00 $84,827.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 14 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… 62 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… 56 19 — — $37,635.75 $113,164.00 $84,303.82 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 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 14 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 14 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 56 19 — — $37,406.00 $112,473.00 $83,789.60 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 62 20 — — $34,410.72 $132,966.00 $83,688.36 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 14 6 — — $44,327.00 $122,498.00 $83,412.50 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 62 20 — — $36,303.84 $130,028.00 $83,165.92 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 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 14 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 14 6 — — $44,847.00 $120,742.00 $82,794.50 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 14 6 — — $36,789.00 $128,310.00 $82,549.50 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 62 20 — — $40,567.44 $124,098.00 $82,332.72 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 62 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 62 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… 14 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 62 20 — — $38,879.34 $123,171.00 $81,025.17 2026-02-28
2634 APR_DRG Cholecystectomy 14 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 62 20 — — $34,735.08 $126,613.00 $80,674.04 2026-02-28
1793 APR_DRG Defibrillator Implants 14 6 — — $41,533.00 $119,459.00 $80,496.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 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 62 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 … 56 19 — — $35,215.18 $105,886.00 $78,882.20 2026-02-28
4014 APR_DRG Adrenal Procedures 14 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 62 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… 62 20 — — $32,885.82 $122,318.00 $77,601.91 2026-02-28
4034 APR_DRG Procedures For Obesity 14 6 — — $38,275.00 $116,865.00 $77,570.00 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 14 6 — — $46,561.00 $108,517.00 $77,539.00 2026-02-28
6903 APR_DRG Acute Leukemia 14 6 — — $39,173.00 $115,829.00 $77,501.00 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 6 — — $35,944.00 $118,275.00 $77,109.50 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 14 6 — — $41,947.00 $112,178.00 $77,062.50 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 14 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 14 6 — — $42,546.00 $111,398.00 $76,972.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 6 — — $53,621.00 $99,993.00 $76,807.00 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 26 8 $127,832.52 $53,689.66 58% off $20,453.21 $108,657.65 $76,699.52 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 56 19 — — $34,211.39 $102,868.00 $76,633.53 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 14 6 — — $37,101.00 $115,833.00 $76,467.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 14 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… 62 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 14 6 — — $43,775.00 $107,733.00 $75,754.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 62 20 — — $37,794.38 $113,641.00 $75,717.69 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 62 20 — — $37,794.38 $113,641.00 $75,717.69 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 20 — — $33,676.32 $117,297.00 $75,486.66 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 14 6 — — $38,592.00 $111,862.00 $75,227.00 2026-02-28
1804 APR_DRG Other Circulatory System Procedures 14 6 — — $36,223.00 $113,228.00 $74,725.50 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 62 20 — — $28,051.02 $120,979.00 $74,515.01 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 62 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… 14 6 — — $44,060.00 $104,666.00 $74,363.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 6 — — $46,171.00 $102,462.00 $74,316.50 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 14 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 14 6 — — $46,782.00 $101,485.00 $74,133.50 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 62 20 — — $23,216.22 $124,995.00 $74,105.61 2026-02-28
2324 APR_DRG Gastric Fundoplication 14 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 14 6 — — $46,680.00 $101,087.00 $73,883.50 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 14 6 — — $43,351.00 $104,273.00 $73,812.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 14 6 — — $40,185.00 $107,274.00 $73,729.50 2026-02-28
6504 APR_DRG Splenectomy 14 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… 14 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… 14 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 62 20 — — $31,741.38 $110,927.00 $71,334.19 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 56 19 — — $31,808.60 $95,643.00 $71,251.46 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 14 6 — — $44,424.00 $97,935.00 $71,179.50 2026-02-28
4214 APR_DRG Malnutrition Failure To Thrive And Other Nutritional Disorders 14 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 14 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… 14 6 — — $42,537.00 $98,300.00 $70,418.50 2026-02-28
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 14 6 — — $32,891.00 $107,903.00 $70,397.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 14 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 14 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 62 20 — — $29,871.72 $109,383.00 $69,627.36 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 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 14 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… 62 20 — — $29,660.58 $108,900.00 $69,280.29 2026-02-28
3634 APR_DRG Breast Procedures Except Mastectomy 14 6 — — $36,139.00 $102,074.00 $69,106.50 2026-02-28
3424 APR_DRG Fractures And Dislocations Except Femur Pelvis And Back 14 6 — — $14,995.00 $122,917.00 $68,956.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 62 20 — — $25,663.20 $111,614.00 $68,638.60 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 14 6 — — $34,924.00 $101,900.00 $68,412.00 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 14 6 — — $41,822.00 $94,755.00 $68,288.50 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 14 6 — — $47,526.00 $88,392.00 $67,959.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 62 20 — — $21,088.50 $114,614.00 $67,851.25 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 62 20 — — $33,147.96 $102,457.00 $67,802.48 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 6 — — $35,667.00 $99,861.00 $67,764.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 62 20 — — $29,772.78 $105,534.00 $67,653.39 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 14 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… 62 20 — — $29,525.47 $221,666.00 $67,318.00 2026-02-28
6803 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 14 6 — — $33,297.00 $101,137.00 $67,217.00 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 14 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… 14 6 — — $29,388.00 $104,152.00 $66,770.00 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 14 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 14 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 62 20 — — $22,127.88 $110,940.00 $66,533.94 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 62 20 — — $33,157.69 $99,700.00 $66,428.85 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 14 6 — — $44,421.00 $88,218.00 $66,319.50 2026-02-28
3174 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 14 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 … 62 20 — — $21,013.02 $111,045.00 $66,029.01 2026-02-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 14 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 62 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 14 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 14 6 — — $39,501.00 $91,537.00 $65,519.00 2026-02-28
0120 EAPG Immunotherapy 18 8 — — $65,239.56 $65,239.56 $65,239.56 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 56 19 — — $29,124.78 $87,573.00 $65,239.26 2026-02-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 14 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. … 62 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 14 6 — — $27,573.00 $101,998.00 $64,785.50 2026-02-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 14 6 — — $34,806.00 $94,552.00 $64,679.00 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 14 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 62 20 — — $32,169.64 $96,729.00 $64,449.32 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 14 6 — — $41,319.00 $87,436.00 $64,377.50 2026-02-28
245 MS_DRG Aicd Generator Procedures 62 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 14 6 — — $35,575.00 $92,834.00 $64,204.50 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 14 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… 14 6 — — $29,870.00 $96,843.00 $63,356.50 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 62 20 — — $21,742.32 $104,745.00 $63,243.66 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 62 20 — — $31,503.64 $94,726.00 $63,114.82 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 6 — — $37,927.00 $88,293.00 $63,110.00 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 14 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 62 20 — — $23,049.96 $102,827.00 $62,938.48 2026-02-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 14 6 — — $36,127.00 $89,689.00 $62,908.00 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 62 20 — — $21,029.34 $104,424.00 $62,726.67 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 62 20 — — $25,581.60 $99,866.00 $62,723.80 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 14 6 — — $35,945.00 $89,451.00 $62,698.00 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 14 6 — — $47,526.00 $77,655.00 $62,590.50 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 56 19 — — $27,922.02 $83,957.00 $62,545.22 2026-02-28
6964 APR_DRG Other Chemotherapy 14 6 — — $30,904.00 $93,931.00 $62,417.50 2026-02-28
734 APR_DRG Orbit And Eye Procedures 14 6 — — $39,083.00 $85,235.00 $62,159.00 2026-02-28
460 MS_DRG No Active Code Description 14 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 62 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 14 6 — — $37,420.00 $85,929.00 $61,674.50 2026-02-28
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 14 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 14 6 — — $21,312.00 $101,925.00 $61,618.50 2026-02-28
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