Price Transparency 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

CHILDREN'S NEBRASKA

Omaha, NE · CCN 283301 · Rates published

20,724 distinct procedures filed
19 distinct payers
331,680 rate rows
2026-03-31 last MRF observed
Data quality

237,031 of 331,680 rate rows are consumer-grade (71.5%)

94,649 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
professional (physician) fee — not the facility price 48,191
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 44,611
template filing: same amount across many unrelated codes — excluded 1,324
placeholder amount (≤ $0.02) — excluded from medians 315
percent-of-charges filed in the dollar field — excluded from medians 148
exceeds 10× this hospital's gross charge — excluded from medians 39
per-diem day rate — not a per-procedure price 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://childrensnebraska.pt.panaceainc.com/MRFDownload/childrensnebraska/childrensnebraska
Found on page https://www.childrensnebraska.org/hospital-experience/billing-insurance-medical-records/how-much-will-my-childs-care-cost/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 6a5e5ac1026fddd4… · 140,389,960 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 		2 $567,534.57 $607,261.99 $567,534.57 nat. median
$309,665
1.8× median
5884
APR_DRG 		2 $347,604.58 $371,936.90 $347,604.58 nat. median
$246,434
1.4× median
0114
APR_DRG 		2 $324,952.04 $347,698.68 $324,952.04 nat. median
$197,700
1.6× median
0024
APR_DRG 		3 $225,095.09 $347,469.02 $324,737.40 nat. median
$372,987
0.9× median
5833
APR_DRG 		2 $323,229.76 $345,855.84 $323,229.76 nat. median
$244,017
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 $306,983.76 $317,728.33 $311,588.55 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $305,350.96 $316,038.38 $309,931.26 nat. median
$265,286
1.2× median
5832
APR_DRG 		2 $248,180.71 $265,553.36 $248,180.71 nat. median
$156,126
1.6× median
1614
APR_DRG 		2 $242,334.00 $259,297.38 $242,334.00 nat. median
$207,730
1.2× median
6094
APR_DRG 		2 $242,185.08 $259,138.04 $242,185.08 nat. median
$162,982
1.5× median
0113
APR_DRG 		2 $241,833.85 $258,762.22 $241,833.85 nat. median
$128,705
1.9× median
0094
APR_DRG 		2 $237,565.64 $254,195.23 $237,565.64 nat. median
$166,008
1.4× median
6314
APR_DRG 		2 $232,937.97 $249,243.63 $232,937.97 nat. median
$122,924
1.9× median
5883
APR_DRG 		2 $231,504.28 $247,709.58 $231,504.28 nat. median
$182,736
1.3× median
5914
APR_DRG 		2 $227,941.62 $243,897.53 $227,941.62 nat. median
$164,279
1.4× median
5831
APR_DRG 		2 $222,772.73 $238,366.82 $222,772.73 nat. median
$145,122
1.5× median
8414
APR_DRG 		2 $215,562.16 $230,651.51 $215,562.16 nat. median
$160,267
1.3× median
6304
APR_DRG 		2 $211,250.81 $226,038.37 $211,250.81 nat. median
$150,721
1.4× median
5934
APR_DRG 		2 $200,404.67 $214,433.00 $200,404.67 nat. median
$151,838
1.3× median
5882
APR_DRG 		2 $198,374.29 $212,260.49 $198,374.29 nat. median
$145,336
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $193,117.94 $199,877.16 $196,014.73 nat. median
$206,368
0.9× median
0112
APR_DRG 		2 $192,254.40 $205,712.21 $192,254.40 nat. median
$93,442
outlier · 2.1×
0074
APR_DRG 		2 $191,192.48 $204,575.95 $191,192.48 nat. median
$178,275
1.1× median
1613
APR_DRG 		2 $189,752.62 $203,035.30 $189,752.62 nat. median
$119,796
1.6× median
0044
APR_DRG 		2 $182,571.84 $195,351.87 $182,571.84 nat. median
$195,681
0.9× median
0014
APR_DRG 		2 $180,756.10 $193,409.03 $180,756.10 nat. median
$190,591
0.9× median
0023
APR_DRG 		3 $112,741.08 $189,271.71 $176,889.45 nat. median
$167,082
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $171,457.63 $177,458.72 $174,029.51 nat. median
$100,136
1.7× median
5913
APR_DRG 		2 $171,907.47 $183,940.99 $171,907.47 nat. median
$102,636
1.7× median
5881
APR_DRG 		2 $170,035.25 $181,937.72 $170,035.25 nat. median
$124,573
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $74,173.00 $259,209.00 $166,691.00 nat. median
$83,442
2.0× median
5891
APR_DRG 		2 $162,031.84 $173,374.07 $162,031.84 nat. median
$93,260
1.7× median
5892
APR_DRG 		2 $162,031.84 $173,374.07 $162,031.84 nat. median
$89,790
1.8× median
5893
APR_DRG 		2 $162,031.84 $173,374.07 $162,031.84 nat. median
$69,788
outlier · 2.3×
0093
APR_DRG 		2 $159,659.47 $170,835.63 $159,659.47 nat. median
$78,641
outlier · 2.0×
6024
APR_DRG 		2 $150,972.08 $161,540.13 $150,972.08 nat. median
$118,620
1.3× median
5912
APR_DRG 		2 $147,447.41 $157,768.73 $147,447.41 nat. median
$81,294
1.8× median
5933
APR_DRG 		2 $146,602.19 $156,864.34 $146,602.19 nat. median
$108,996
1.3× median
S2055
HCPCS 		Tc Heart Acquisition 13 $9,888.32 $160,403.76 $144,363.38 nat. median
$3,295
outlier · 43.8×
1611
APR_DRG 		2 $139,620.65 $149,394.10 $139,620.65 nat. median
$76,806
1.8× median
1612
APR_DRG 		2 $139,620.65 $149,394.10 $139,620.65 nat. median
$85,406
1.6× median
1604
APR_DRG 		2 $139,112.28 $148,850.14 $139,112.28 nat. median
$97,957
1.4× median
0022
APR_DRG 		3 $95,717.69 $143,323.83 $133,947.50 nat. median
$140,623
1.0× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 3 $128,261.53 $132,750.74 $130,185.47 nat. median
$45,278
outlier · 2.9×
0054
APR_DRG 		2 $127,186.76 $136,089.83 $127,186.76 nat. median
$149,310
0.9× median
0043
APR_DRG 		2 $125,896.84 $134,709.62 $125,896.84 nat. median
$113,567
1.1× median
8
MS_DRG 		Simultaneous Pancreas/kidney Transplant 3 $121,500.77 $125,753.35 $123,323.30 nat. median
$53,171
outlier · 2.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $120,346.58 $124,558.76 $122,151.79 nat. median
$202,986
0.6× median
0073
APR_DRG 		2 $121,600.90 $130,112.96 $121,600.90 nat. median
$98,566
1.2× median
8424
APR_DRG 		2 $120,683.79 $129,131.66 $120,683.79 nat. median
$80,494
1.5× median

Other procedures at this hospital

Browse this hospital's 20,724 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
             
0011 APR_DRG — 5 2 — — $63,714.05 $68,174.03 $63,714.05 2026-03-31
0012 APR_DRG — 5 2 — — $72,523.65 $77,600.31 $72,523.65 2026-03-31
0013 APR_DRG — 5 2 — — $93,844.17 $100,413.26 $93,844.17 2026-03-31
0014 APR_DRG — 5 2 — — $180,756.10 $193,409.03 $180,756.10 2026-03-31
0021 APR_DRG — 8 3 — — $78,045.29 $126,675.64 $118,388.45 2026-03-31
0022 APR_DRG — 8 3 — — $95,717.69 $143,323.83 $133,947.50 2026-03-31
0023 APR_DRG — 8 3 — — $112,741.08 $189,271.71 $176,889.45 2026-03-31
0024 APR_DRG — 8 3 — — $225,095.09 $347,469.02 $324,737.40 2026-03-31
0041 APR_DRG — 5 2 — — $55,661.34 $59,557.63 $55,661.34 2026-03-31
0042 APR_DRG — 5 2 — — $80,453.12 $86,084.84 $80,453.12 2026-03-31
0043 APR_DRG — 5 2 — — $125,896.84 $134,709.62 $125,896.84 2026-03-31
0044 APR_DRG — 5 2 — — $182,571.84 $195,351.87 $182,571.84 2026-03-31
0052 APR_DRG — 5 2 — — $61,546.05 $65,854.27 $61,546.05 2026-03-31
0053 APR_DRG — 5 2 — — $92,302.65 $98,763.84 $92,302.65 2026-03-31
0054 APR_DRG — 5 2 — — $127,186.76 $136,089.83 $127,186.76 2026-03-31
0061 APR_DRG — 5 2 — — $54,486.45 $58,300.50 $54,486.45 2026-03-31
0062 APR_DRG — 5 2 — — $78,444.31 $83,935.41 $78,444.31 2026-03-31
0063 APR_DRG — 5 2 — — $90,991.17 $97,360.55 $90,991.17 2026-03-31
0064 APR_DRG — 5 2 — — $118,069.05 $126,333.88 $118,069.05 2026-03-31
0071 APR_DRG — 5 2 — — $75,591.30 $80,882.69 $75,591.30 2026-03-31
0072 APR_DRG — 5 2 — — $85,632.28 $91,626.54 $85,632.28 2026-03-31
0073 APR_DRG — 5 2 — — $121,600.90 $130,112.96 $121,600.90 2026-03-31
0074 APR_DRG — 5 2 — — $191,192.48 $204,575.95 $191,192.48 2026-03-31
0082 APR_DRG — 5 2 — — $46,978.06 $50,266.52 $46,978.06 2026-03-31
0083 APR_DRG — 5 2 — — $59,852.53 $64,042.21 $59,852.53 2026-03-31
0084 APR_DRG — 5 2 — — $85,036.62 $90,989.18 $85,036.62 2026-03-31
0091 APR_DRG — 5 2 — — $58,679.69 $62,787.27 $58,679.69 2026-03-31
0092 APR_DRG — 5 2 — — $80,132.70 $85,741.99 $80,132.70 2026-03-31
0093 APR_DRG — 5 2 — — $159,659.47 $170,835.63 $159,659.47 2026-03-31
0094 APR_DRG — 5 2 — — $237,565.64 $254,195.23 $237,565.64 2026-03-31
0111 APR_DRG — 5 2 — — $94,686.31 $101,314.35 $94,686.31 2026-03-31
0112 APR_DRG — 5 2 — — $192,254.40 $205,712.21 $192,254.40 2026-03-31
0113 APR_DRG — 5 2 — — $241,833.85 $258,762.22 $241,833.85 2026-03-31
0114 APR_DRG — 5 2 — — $324,952.04 $347,698.68 $324,952.04 2026-03-31
0204 APR_DRG — 5 2 — — $55,222.81 $59,088.41 $55,222.81 2026-03-31
0213 APR_DRG — 5 2 — — $44,484.50 $47,598.42 $44,484.50 2026-03-31
0214 APR_DRG — 5 2 — — $63,211.85 $67,636.68 $63,211.85 2026-03-31
0224 APR_DRG — 5 2 — — $49,395.61 $52,853.30 $49,395.61 2026-03-31
0234 APR_DRG — 5 2 — — $57,635.24 $61,669.71 $57,635.24 2026-03-31
0264 APR_DRG — 5 2 — — $44,831.63 $47,969.84 $44,831.63 2026-03-31
0274 APR_DRG — 5 2 — — $53,200.65 $56,924.70 $53,200.65 2026-03-31
0294 APR_DRG — 5 2 — — $45,112.00 $48,269.84 $45,112.00 2026-03-31
0304 APR_DRG — 5 2 — — $48,219.70 $51,595.08 $48,219.70 2026-03-31
0409T HCPCS Insj/rplc Car Modulj Pls Gn 9 6 — — $27,488.52 $48,106.32 $44,959.18 2026-03-31
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 9 6 — — $27,488.52 $48,106.32 $44,959.18 2026-03-31
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 9 6 — — $39,263.92 $64,137.46 $44,959.18 2026-03-31
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 9 6 — — $27,488.52 $48,106.32 $44,959.18 2026-03-31
0894 APR_DRG — 5 2 — — $55,189.95 $59,053.25 $55,189.95 2026-03-31
0914 APR_DRG — 5 2 — — $64,289.17 $68,789.41 $64,289.17 2026-03-31
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 9 6 — — $39,263.92 $64,137.46 $44,959.18 2026-03-31
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 9 6 — — $27,488.52 $48,106.32 $44,959.18 2026-03-31
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 9 6 — — $27,488.52 $48,106.32 $44,959.18 2026-03-31
0924 APR_DRG — 5 2 — — $52,610.12 $56,292.83 $52,610.12 2026-03-31
0951T HCPCS Tot Impl Amei 1st Plmt 4 2 — — $48,255.80 $51,633.71 $48,979.64 2026-03-31
0952T HCPCS Tot Impl Amei Rev/rplc Mstdc 4 2 — — $48,255.80 $51,633.71 $48,979.64 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 3 — — $305,350.96 $316,038.38 $309,931.26 2026-03-31
10 MS_DRG Pancreas Transplant 4 3 — — $64,893.85 $67,165.17 $65,867.26 2026-03-31
1204 APR_DRG — 5 2 — — $56,859.85 $60,840.04 $56,859.85 2026-03-31
1214 APR_DRG — 5 2 — — $47,661.01 $50,997.28 $47,661.01 2026-03-31
12803 CDM Generator Model 1000 Vns 15 12 $64,999.00 — $20,149.69 $57,199.12 $51,999.20 2026-03-31
1304 APR_DRG — 5 2 — — $56,191.27 $60,124.66 $56,191.27 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 4 3 — — $116,838.40 $120,927.80 $118,590.99 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 3 — — $44,714.13 $46,279.15 $45,384.85 2026-03-31
1602 APR_DRG — 5 2 — — $48,306.99 $51,688.48 $48,306.99 2026-03-31
1603 APR_DRG — 5 2 — — $64,478.14 $68,991.61 $64,478.14 2026-03-31
1604 APR_DRG — 5 2 — — $139,112.28 $148,850.14 $139,112.28 2026-03-31
1611 APR_DRG — 5 2 — — $139,620.65 $149,394.10 $139,620.65 2026-03-31
1612 APR_DRG — 5 2 — — $139,620.65 $149,394.10 $139,620.65 2026-03-31
1613 APR_DRG — 5 2 — — $189,752.62 $203,035.30 $189,752.62 2026-03-31
1614 APR_DRG — 5 2 — — $242,334.00 $259,297.38 $242,334.00 2026-03-31
1622 APR_DRG — 5 2 — — $51,701.23 $55,320.32 $51,701.23 2026-03-31
1623 APR_DRG — 5 2 — — $68,386.90 $73,173.98 $68,386.90 2026-03-31
1624 APR_DRG — 5 2 — — $93,488.83 $100,033.05 $93,488.83 2026-03-31
1633 APR_DRG — 5 2 — — $58,811.15 $62,927.93 $58,811.15 2026-03-31
1634 APR_DRG — 5 2 — — $81,806.71 $87,533.18 $81,806.71 2026-03-31
1652 APR_DRG — 5 2 — — $44,036.73 $47,119.30 $44,036.73 2026-03-31
1653 APR_DRG — 5 2 — — $54,615.86 $58,438.97 $54,615.86 2026-03-31
1654 APR_DRG — 5 2 — — $73,495.20 $78,639.86 $73,495.20 2026-03-31
1663 APR_DRG — 5 2 — — $48,068.73 $51,433.54 $48,068.73 2026-03-31
1664 APR_DRG — 5 2 — — $65,520.54 $70,106.98 $65,520.54 2026-03-31
1673 APR_DRG — 5 2 — — $45,708.68 $48,908.29 $45,708.68 2026-03-31
1674 APR_DRG — 5 2 — — $72,011.18 $77,051.96 $72,011.18 2026-03-31
1694 APR_DRG — 5 2 — — $58,415.76 $62,504.86 $58,415.76 2026-03-31
1704 APR_DRG — 5 2 — — $48,182.73 $51,555.52 $48,182.73 2026-03-31
1754 APR_DRG — 5 2 — — $44,348.94 $47,453.37 $44,348.94 2026-03-31
1764 APR_DRG — 5 2 — — $46,393.69 $49,641.25 $46,393.69 2026-03-31
1781 APR_DRG — 5 2 — — $45,996.24 $49,215.98 $45,996.24 2026-03-31
1782 APR_DRG — 5 2 — — $51,107.62 $54,685.15 $51,107.62 2026-03-31
1783 APR_DRG — 5 2 — — $62,769.21 $67,163.05 $62,769.21 2026-03-31
1784 APR_DRG — 5 2 — — $77,791.14 $83,236.52 $77,791.14 2026-03-31
1793 APR_DRG — 5 2 — — $49,245.67 $52,692.87 $49,245.67 2026-03-31
1794 APR_DRG — 5 2 — — $64,666.08 $69,192.71 $64,666.08 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 3 — — $306,983.76 $317,728.33 $311,588.55 2026-03-31
1814 APR_DRG — 5 2 — — $48,075.92 $51,441.23 $48,075.92 2026-03-31
1833 APR_DRG — 5 2 — — $50,875.52 $54,436.81 $50,875.52 2026-03-31
1834 APR_DRG — 5 2 — — $70,013.67 $74,914.63 $70,013.67 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 3 — — $64,520.25 $66,778.48 $65,488.06 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 3 — — $89,696.06 $92,835.46 $91,041.51 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 3 — — $68,650.28 $71,053.08 $69,680.04 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $21,978.00 $49,318.71 $47,650.90 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 — — $52,428.04 $89,869.00 $54,000.89 2026-03-31
215 MS_DRG Other Heart Assist System Implant 4 3 — — $79,664.80 $82,453.11 $80,859.79 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $73,587.77 $76,163.38 $74,691.60 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $47,340.79 $48,997.73 $48,050.90 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $47,340.79 $48,997.73 $48,050.90 2026-03-31
2204 APR_DRG — 5 2 — — $56,005.39 $59,925.77 $56,005.39 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $50,834.31 $52,613.53 $51,596.83 2026-03-31
2304 APR_DRG — 5 2 — — $47,375.51 $50,691.80 $47,375.51 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $56,727.38 $58,712.87 $57,578.30 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $43,375.98 $44,894.16 $44,026.62 2026-03-31
2604 APR_DRG — 5 2 — — $58,978.55 $63,107.05 $58,978.55 2026-03-31
2614 APR_DRG — 5 2 — — $54,839.74 $58,678.52 $54,839.74 2026-03-31
2644 APR_DRG — 5 2 — — $46,752.12 $50,024.77 $46,752.12 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 4 3 — — $55,386.79 $57,325.35 $56,217.60 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 4 3 — — $48,341.14 $50,033.11 $49,066.26 2026-03-31
28585 CDM Blood Pump Valves 15ml Berlin 15 12 $78,563.00 — $24,354.53 $69,135.44 $62,850.40 2026-03-31
28586 CDM Blood Pump Valves 25ml Berlin 15 12 $78,563.00 — $24,354.53 $69,135.44 $62,850.40 2026-03-31
28587 CDM Blood Pump Valves 30ml Berlin 15 12 $78,563.00 — $24,354.53 $69,135.44 $62,850.40 2026-03-31
2992 APR_DRG — 5 2 — — $46,098.94 $49,325.87 $46,098.94 2026-03-31
2993 APR_DRG — 5 2 — — $62,678.83 $67,066.35 $62,678.83 2026-03-31
2994 APR_DRG — 5 2 — — $80,156.32 $85,767.26 $80,156.32 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 3 — — $120,346.58 $124,558.76 $122,151.79 2026-03-31
3004 APR_DRG — 5 2 — — $61,150.66 $65,431.21 $61,150.66 2026-03-31
3032 APR_DRG — 5 2 — — $46,959.57 $50,246.74 $46,959.57 2026-03-31
3033 APR_DRG — 5 2 — — $64,567.49 $69,087.21 $64,567.49 2026-03-31
3034 APR_DRG — 5 2 — — $93,036.95 $99,549.54 $93,036.95 2026-03-31
3043 APR_DRG — 5 2 — — $48,370.67 $51,756.62 $48,370.67 2026-03-31
3044 APR_DRG — 5 2 — — $65,614.00 $70,206.98 $65,614.00 2026-03-31
3124 APR_DRG — 5 2 — — $56,660.61 $60,626.85 $56,660.61 2026-03-31
3214 APR_DRG — 5 2 — — $49,427.45 $52,887.37 $49,427.45 2026-03-31
32613 CDM Blood Pump Pu Valves 15 12 $78,563.00 — $24,354.53 $69,135.44 $62,850.40 2026-03-31
32623 CDM P10p-001 15 12 $78,563.00 — $24,354.53 $69,135.44 $62,850.40 2026-03-31
33230 HCPCS Insrt Pulse Gen W/Dual Leads 23 16 $55,352.00 — $17,159.12 $48,709.76 $44,959.18 2026-03-31
33231 HCPCS Insrt Pulse Gen W/Mult Leads 23 16 $95,070.00 — $29,471.70 $83,661.60 $68,450.40 2026-03-31
33240 HCPCS Insrt Pulse Gen W/Singl Lead 23 16 $61,123.00 — $18,948.13 $53,788.24 $46,453.48 2026-03-31
33249 HCPCS Insj/Rplcmt Defib W/Lead(S) 23 16 $82,461.00 — $25,562.91 $72,565.68 $62,670.36 2026-03-31
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 23 16 $74,251.00 — $23,017.81 $65,340.88 $53,460.72 2026-03-31
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 23 16 $83,302.00 — $25,823.62 $73,305.76 $59,977.44 2026-03-31
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 23 16 $83,682.00 — $25,941.42 $73,640.16 $63,598.32 2026-03-31
33270 HCPCS Ins/Rep Subq Defibrillator 23 16 $95,612.00 — $29,639.72 $84,138.56 $68,840.64 2026-03-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 23 16 $74,901.00 — $23,219.31 $65,912.88 $56,924.76 2026-03-31
3614 APR_DRG — 5 2 — — $55,128.33 $58,987.31 $55,128.33 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 9 6 — — $9,000.38 $128,527.04 $72,428.11 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 3 — — $98,157.18 $101,592.73 $99,629.55 2026-03-31
4014 APR_DRG — 5 2 — — $52,179.81 $55,832.40 $52,179.81 2026-03-31
4034 APR_DRG — 5 2 — — $46,154.40 $49,385.21 $46,154.40 2026-03-31
4044 APR_DRG — 5 2 — — $46,283.80 $49,523.67 $46,283.80 2026-03-31
4054 APR_DRG — 5 2 — — $46,843.52 $50,122.57 $46,843.52 2026-03-31
4284 APR_DRG — 5 2 — — $55,061.57 $58,915.88 $55,061.57 2026-03-31
4401 APR_DRG — 5 2 — — $49,636.96 $53,111.55 $49,636.96 2026-03-31
4402 APR_DRG — 5 2 — — $53,040.44 $56,753.27 $53,040.44 2026-03-31
4403 APR_DRG — 5 2 — — $62,239.28 $66,596.03 $62,239.28 2026-03-31
4404 APR_DRG — 5 2 — — $91,543.69 $97,951.75 $91,543.69 2026-03-31
4414 APR_DRG — 5 2 — — $51,462.97 $55,065.38 $51,462.97 2026-03-31
4424 APR_DRG — 5 2 — — $43,789.22 $46,854.47 $43,789.22 2026-03-31
4474 APR_DRG — 5 2 — — $43,926.84 $47,001.72 $43,926.84 2026-03-31
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 4 3 — — $72,128.34 $74,652.86 $73,210.27 2026-03-31
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 4 3 — — $49,784.30 $51,526.77 $50,531.07 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $70,609.49 $73,080.85 $71,668.64 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $47,576.02 $177,011.00 $49,003.31 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $47,576.02 $49,241.20 $48,289.66 2026-03-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 3 — — $53,984.34 $55,873.81 $54,794.11 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 4 3 — — $49,950.34 $51,698.63 $50,699.60 2026-03-31
4844 APR_DRG — 5 2 — — $45,107.89 $48,265.44 $45,107.89 2026-03-31
4854 APR_DRG — 5 2 — — $45,003.14 $48,153.36 $45,003.14 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $171,457.63 $177,458.72 $174,029.51 2026-03-31
5114 APR_DRG — 5 2 — — $49,799.23 $53,285.18 $49,799.23 2026-03-31
5124 APR_DRG — 5 2 — — $47,641.50 $50,976.41 $47,641.50 2026-03-31
5204 APR_DRG — 5 2 — — $51,987.76 $55,626.90 $51,987.76 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $50,127.79 $51,882.28 $50,879.71 2026-03-31
5831 APR_DRG — 5 2 — — $222,772.73 $238,366.82 $222,772.73 2026-03-31
5832 APR_DRG — 5 2 — — $248,180.71 $265,553.36 $248,180.71 2026-03-31
5833 APR_DRG — 5 2 — — $323,229.76 $345,855.84 $323,229.76 2026-03-31
5834 APR_DRG — 5 2 — — $567,534.57 $607,261.99 $567,534.57 2026-03-31
5881 APR_DRG — 5 2 — — $170,035.25 $181,937.72 $170,035.25 2026-03-31
5882 APR_DRG — 5 2 — — $198,374.29 $212,260.49 $198,374.29 2026-03-31
5883 APR_DRG — 5 2 — — $231,504.28 $247,709.58 $231,504.28 2026-03-31
5884 APR_DRG — 5 2 — — $347,604.58 $371,936.90 $347,604.58 2026-03-31
5891 APR_DRG — 5 2 — — $162,031.84 $173,374.07 $162,031.84 2026-03-31
5892 APR_DRG — 5 2 — — $162,031.84 $173,374.07 $162,031.84 2026-03-31
5893 APR_DRG — 5 2 — — $162,031.84 $173,374.07 $162,031.84 2026-03-31
5912 APR_DRG — 5 2 — — $147,447.41 $157,768.73 $147,447.41 2026-03-31
5913 APR_DRG — 5 2 — — $171,907.47 $183,940.99 $171,907.47 2026-03-31
5914 APR_DRG — 5 2 — — $227,941.62 $243,897.53 $227,941.62 2026-03-31
5931 APR_DRG — 5 2 — — $89,738.23 $96,019.91 $89,738.23 2026-03-31
5932 APR_DRG — 5 2 — — $117,916.03 $126,170.15 $117,916.03 2026-03-31
5933 APR_DRG — 5 2 — — $146,602.19 $156,864.34 $146,602.19 2026-03-31
5934 APR_DRG — 5 2 — — $200,404.67 $214,433.00 $200,404.67 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 4 3 — — $75,150.58 $77,780.88 $76,277.85 2026-03-31
6021 APR_DRG — 5 2 — — $62,394.35 $66,761.95 $62,394.35 2026-03-31
6022 APR_DRG — 5 2 — — $83,759.03 $89,622.16 $83,759.03 2026-03-31
6023 APR_DRG — 5 2 — — $104,821.78 $112,159.30 $104,821.78 2026-03-31
6024 APR_DRG — 5 2 — — $150,972.08 $161,540.13 $150,972.08 2026-03-31
6032 APR_DRG — 5 2 — — $51,018.27 $54,589.55 $51,018.27 2026-03-31
6033 APR_DRG — 5 2 — — $62,527.86 $66,904.81 $62,527.86 2026-03-31
6034 APR_DRG — 5 2 — — $110,422.01 $118,151.55 $110,422.01 2026-03-31
6072 APR_DRG — 5 2 — — $59,761.13 $63,944.41 $59,761.13 2026-03-31
6073 APR_DRG — 5 2 — — $80,012.54 $85,613.42 $80,012.54 2026-03-31
6074 APR_DRG — 5 2 — — $116,702.11 $124,871.26 $116,702.11 2026-03-31
6083 APR_DRG — 5 2 — — $57,457.56 $61,479.59 $57,457.56 2026-03-31
6084 APR_DRG — 5 2 — — $66,562.95 $71,222.36 $66,562.95 2026-03-31
6091 APR_DRG — 5 2 — — $44,033.65 $47,116.01 $44,033.65 2026-03-31
6092 APR_DRG — 5 2 — — $54,818.17 $58,655.44 $54,818.17 2026-03-31
6093 APR_DRG — 5 2 — — $84,011.68 $89,892.50 $84,011.68 2026-03-31
6094 APR_DRG — 5 2 — — $242,185.08 $259,138.04 $242,185.08 2026-03-31
6113 APR_DRG — 5 2 — — $51,763.88 $55,387.35 $51,763.88 2026-03-31
6114 APR_DRG — 5 2 — — $97,061.77 $103,856.09 $97,061.77 2026-03-31
6123 APR_DRG — 5 2 — — $52,948.01 $56,654.37 $52,948.01 2026-03-31
6124 APR_DRG — 5 2 — — $76,459.12 $81,811.26 $76,459.12 2026-03-31
6133 APR_DRG — 5 2 — — $51,968.25 $55,606.03 $51,968.25 2026-03-31
6134 APR_DRG — 5 2 — — $96,170.33 $102,902.25 $96,170.33 2026-03-31
6144 APR_DRG — 5 2 — — $64,167.98 $68,659.74 $64,167.98 2026-03-31
6214 APR_DRG — 5 2 — — $74,982.29 $80,231.05 $74,982.29 2026-03-31
6224 APR_DRG — 5 2 — — $49,582.53 $53,053.31 $49,582.53 2026-03-31
6234 APR_DRG — 5 2 — — $53,563.18 $57,312.60 $53,563.18 2026-03-31
6254 APR_DRG — 5 2 — — $66,465.38 $71,117.96 $66,465.38 2026-03-31
6302 APR_DRG — 5 2 — — $53,070.22 $56,785.14 $53,070.22 2026-03-31
6303 APR_DRG — 5 2 — — $116,446.39 $124,597.64 $116,446.39 2026-03-31
6304 APR_DRG — 5 2 — — $211,250.81 $226,038.37 $211,250.81 2026-03-31
6313 APR_DRG — 5 2 — — $68,463.92 $73,256.39 $68,463.92 2026-03-31
6314 APR_DRG — 5 2 — — $232,937.97 $249,243.63 $232,937.97 2026-03-31
6334 APR_DRG — 5 2 — — $76,258.85 $81,596.97 $76,258.85 2026-03-31
6344 APR_DRG — 5 2 — — $46,256.08 $49,494.01 $46,256.08 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 3 — — $128,261.53 $132,750.74 $130,185.47 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 3 — — $59,688.57 $61,777.70 $60,583.90 2026-03-31
6514 APR_DRG — 5 2 — — $48,739.36 $52,151.12 $48,739.36 2026-03-31
652 MS_DRG Kidney Transplant 4 3 — — $107,599.95 $111,365.99 $109,213.96 2026-03-31
6804 APR_DRG — 5 2 — — $67,852.86 $72,602.56 $67,852.86 2026-03-31
6814 APR_DRG — 5 2 — — $56,767.42 $60,741.14 $56,767.42 2026-03-31
6904 APR_DRG — 5 2 — — $60,651.53 $64,897.14 $60,651.53 2026-03-31
6954 APR_DRG — 5 2 — — $55,822.58 $59,730.16 $55,822.58 2026-03-31
69930 HCPCS Implant Cochlear Device 9 6 — — $38,953.16 $67,372.56 $48,255.80 2026-03-31
7 MS_DRG Lung Transplant 4 3 — — $117,946.20 $122,074.37 $119,715.41 2026-03-31
7104 APR_DRG — 5 2 — — $46,583.69 $49,844.55 $46,583.69 2026-03-31
7114 APR_DRG — 5 2 — — $45,417.02 $48,596.21 $45,417.02 2026-03-31
7404 APR_DRG — 5 2 — — $57,479.13 $61,502.67 $57,479.13 2026-03-31
7924 APR_DRG — 5 2 — — $49,247.73 $52,695.07 $49,247.73 2026-03-31
8 MS_DRG Simultaneous Pancreas/kidney Transplant 4 3 — — $121,500.77 $125,753.35 $123,323.30 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 — — $47,393.69 $49,052.49 $48,104.60 2026-03-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 5 4 — — $45,702.00 $51,587.43 $49,842.90 2026-03-31
8411 APR_DRG — 5 2 — — $45,933.60 $49,148.95 $45,933.60 2026-03-31
8412 APR_DRG — 5 2 — — $45,933.60 $49,148.95 $45,933.60 2026-03-31
8413 APR_DRG — 5 2 — — $70,104.04 $75,011.32 $70,104.04 2026-03-31
8414 APR_DRG — 5 2 — — $215,562.16 $230,651.51 $215,562.16 2026-03-31
8423 APR_DRG — 5 2 — — $48,747.58 $52,159.91 $48,747.58 2026-03-31
8424 APR_DRG — 5 2 — — $120,683.79 $129,131.66 $120,683.79 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $74,173.00 $259,209.00 $166,691.00 2026-03-31
8504 APR_DRG — 5 2 — — $63,301.19 $67,732.27 $63,301.19 2026-03-31
8513 APR_DRG — 5 2 — — $111,361.71 $119,157.03 $111,361.71 2026-03-31
8514 APR_DRG — 5 2 — — $111,361.71 $119,157.03 $111,361.71 2026-03-31
8633 APR_DRG — 5 2 — — $48,562.72 $51,962.11 $48,562.72 2026-03-31
8634 APR_DRG — 5 2 — — $94,930.74 $101,575.89 $94,930.74 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $51,031.28 $52,817.40 $51,796.76 2026-03-31
9103 APR_DRG — 5 2 — — $45,061.67 $48,215.99 $45,061.67 2026-03-31
9104 APR_DRG — 5 2 — — $69,807.24 $74,693.75 $69,807.24 2026-03-31
9114 APR_DRG — 5 2 — — $66,396.57 $71,044.33 $66,396.57 2026-03-31
9124 APR_DRG — 5 2 — — $61,735.02 $66,056.47 $61,735.02 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 3 — — $193,117.94 $199,877.16 $196,014.73 2026-03-31
93590 HCPCS Perq Transcath Cls Mitral 23 16 $63,900.00 — $19,809.00 $56,232.00 $46,008.00 2026-03-31
93653 HCPCS Ep & Ablate Supravent Arrhyt 23 16 $62,650.00 — $19,421.50 $55,132.00 $47,614.00 2026-03-31
93654 HCPCS Ep & Ablate Ventric Tachy 23 16 $68,441.00 — $21,216.71 $60,228.08 $52,015.16 2026-03-31
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 23 16 $67,257.00 — $20,849.67 $59,186.16 $51,115.32 2026-03-31
9504 APR_DRG — 5 2 — — $54,831.53 $58,669.74 $54,831.53 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $53,601.77 $55,477.86 $54,405.80 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 3 — — $43,084.58 $44,592.56 $43,730.85 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 3 — — $43,777.26 $45,309.49 $44,433.93 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 3 — — $51,480.59 $53,282.44 $52,252.80 2026-03-31
9998 CDM Valve Pulmonary Melody 16mm 15 12 $70,588.00 — $21,882.28 $62,117.44 $56,470.40 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $72,980.81 $113,649.08 $75,170.23 2026-03-31
G0448 HCPCS Place Perm Pacing Cardiovert 4 2 — — $44,959.18 $48,106.32 $45,633.57 2026-03-31
J1299 HCPCS Inj, Eculizumab, 2 Mg 5 3 — — $90.04 $51,268.08 $47,914.09 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 2 — — $47,914.09 $51,268.08 $48,632.80 2026-03-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 2 — — $47,914.09 $51,268.08 $48,632.80 2026-03-31
J2351 HCPCS Inj Ocrelizumab 1mg Hya-ocsq 5 3 — — $94.08 $51,268.08 $47,914.09 2026-03-31
J3387 HCPCS Inj Elivaldogene Autotemecel 4 2 — — $90,961.76 $97,329.08 $92,326.18 2026-03-31
J3389 HCPCS Topi Adm Prad Zami Per Treat 4 2 — — $90,961.76 $97,329.08 $92,326.18 2026-03-31
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 2 — — $90,961.76 $97,329.08 $92,326.18 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 5 3 — — $90,961.76 $4,664,000.00 $93,690.61 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 4 2 — — $90,961.76 $97,329.08 $92,326.18 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 2 — — $90,961.76 $97,329.08 $92,326.18 2026-03-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 3 — — $90,961.76 $403,338.04 $93,690.61 2026-03-31
J3403 HCPCS Revakinagene, Per Implant 5 3 — — $90,961.76 $530,000.00 $93,690.61 2026-03-31
J7172 HCPCS Inj Marstacim-hncq, 0.5 Mg 5 3 — — $100.94 $51,268.08 $47,914.09 2026-03-31
J7174 HCPCS Injection Fitusiran 0.04 Mg 5 3 — — $265.24 $51,268.08 $47,914.09 2026-03-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 9 6 — — $47,914.09 $128,549.58 $60,768.00 2026-03-31
J9226 HCPCS Supprelin La Implant 9 6 — — $47,914.09 $86,370.66 $49,351.51 2026-03-31
J9376 HCPCS Inj Pozelimab-bbfg, 1 Mg 5 3 — — $183.46 $51,268.08 $47,914.09 2026-03-31
J9600 HCPCS Porfimer Sodium Injection 9 6 — — $22,590.50 $51,268.08 $47,914.09 2026-03-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 3 — — $90,900.76 $94,082.29 $92,264.27 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 3 — — $90,961.76 $1,064,384.48 $93,690.61 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 3 — — $90,961.76 $1,133,062.60 $93,690.61 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $47,914.09 $108,808.20 $49,351.51 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 5 3 — — $90,961.76 $978,900.40 $93,690.61 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 3 — — $90,961.76 $1,124,402.48 $93,690.61 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 5 3 — — $90,961.76 $1,116,163.44 $93,690.61 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 5 3 — — $90,961.76 $1,175,299.14 $93,690.61 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 5 3 — — $90,961.76 $1,541,240.00 $93,690.61 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 3 — — $90,961.76 $556,500.00 $93,690.61 2026-03-31
S2055 HCPCS Tc Heart Acquisition 19 13 $182,277.00 — $9,888.32 $160,403.76 $144,363.38 2026-03-31
S2235 HCPCS Implant Auditory Brain Imp 4 2 — — $48,255.80 $51,633.71 $48,979.64 2026-03-31
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