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

CHI Health Richard Young Behavioral Health

Kearney, NE · CCN 284007 · Rates published

11,320 distinct procedures filed
19 distinct payers
477,939 rate rows
2026-02-28 last MRF observed
Data quality

467,003 of 477,939 rate rows are consumer-grade (97.7%)

10,936 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 9,365
exceeds 10× this hospital's gross charge — excluded from medians 768
placeholder amount (≤ $0.02) — excluded from medians 655
per-diem day rate — not a per-procedure price 148
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/470379755_chi-health-good-samaritan_standardcharges.json
Found on page https://www.chihealth.com/patients-visitors/financial-assistance
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 24daa16cec338537… · 104,878,189 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 7 $360,251.00 $748,990.00 $554,620.50 nat. median
$309,665
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $234,161.40 $763,269.00 $498,715.20 nat. median
$370,174
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $277,198.00 $636,064.00 $456,631.00 nat. median
$246,434
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $246,814.00 $656,231.00 $451,522.50 nat. median
$234,738
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $209,731.00 $567,402.00 $388,566.50 nat. median
$207,730
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $184,022.28 $570,098.00 $377,060.14 nat. median
$265,286
1.4× median
5833
APR_DRG 		Neonate With Ecmo 7 $315,451.50 $420,602.00 $368,026.75 nat. median
$244,017
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $174,990.00 $555,040.00 $365,015.00 nat. median
$164,279
outlier · 2.2×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $151,888.00 $572,294.00 $362,091.00 nat. median
$129,535
outlier · 2.8×
5832
APR_DRG 		Neonate With Ecmo 7 $217,809.00 $404,830.00 $311,319.50 nat. median
$156,126
2.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $131,924.76 $480,126.00 $306,025.38 nat. median
$206,368
1.5× median
23
APR_DRG 		Heart And/or Lung Transplant 7 $133,925.00 $478,055.00 $305,990.00 nat. median
$93,528
outlier · 3.3×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $171,244.00 $429,351.00 $300,297.50 nat. median
$187,294
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $160,626.00 $417,614.00 $289,120.00 nat. median
$164,834
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $208,862.00 $363,483.00 $286,172.50 nat. median
$160,267
1.8× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $126,320.00 $412,410.00 $269,365.00 nat. median
$102,636
outlier · 2.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 17 $97,079.52 $433,754.00 $265,416.76 nat. median
$202,986
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $161,533.00 $360,444.00 $260,988.50 nat. median
$151,838
1.7× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $70,625.00 $442,893.00 $256,759.00 nat. median
$68,633
outlier · 3.7×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $189,844.00 $322,456.00 $256,150.00 nat. median
$182,736
1.4× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $144,265.00 $334,072.00 $239,168.50 nat. median
$105,658
outlier · 2.3×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $170,585.00 $306,313.00 $238,449.00 nat. median
$162,982
1.5× median
4404
APR_DRG 		Kidney Transplant 7 $78,795.00 $387,174.00 $232,984.50 nat. median
$79,034
outlier · 2.9×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $92,696.00 $363,990.00 $228,343.00 nat. median
$81,294
outlier · 2.8×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $109,476.00 $342,754.00 $226,115.00 nat. median
$93,260
outlier · 2.4×
64
APR_DRG 		Pancreas Transplant 7 $116,598.00 $331,035.00 $223,816.50 nat. median
$91,748
outlier · 2.4×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $190,605.00 $254,140.00 $222,372.50 nat. median
$150,721
1.5× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $143,472.00 $297,993.00 $220,732.50 nat. median
$119,796
1.8× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 $86,003.00 $348,910.00 $217,456.50 nat. median
$79,774
outlier · 2.7×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $114,053.00 $308,469.00 $211,261.00 nat. median
$97,957
outlier · 2.2×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $86,757.00 $335,464.00 $211,110.50 nat. median
$89,273
outlier · 2.4×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $105,525.00 $311,595.00 $208,560.00 nat. median
$89,790
outlier · 2.3×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $171,875.00 $233,635.00 $202,755.00 nat. median
$122,924
1.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $172,896.75 $230,529.00 $201,712.88 nat. median
$145,336
1.4× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $100,463.00 $296,757.00 $198,610.00 nat. median
$69,788
outlier · 2.8×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $116,452.00 $279,669.00 $198,060.50 nat. median
$85,406
outlier · 2.3×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $148,959.00 $245,404.00 $197,181.50 nat. median
$109,499
1.8× median
5911
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $65,280.00 $327,591.00 $196,435.50 nat. median
$40,550
outlier · 4.8×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $119,718.00 $265,105.00 $192,411.50 nat. median
$118,620
1.6× median
5831
APR_DRG 		Neonate With Ecmo 7 $136,917.00 $244,579.00 $190,748.00 nat. median
$145,122
1.3× median
72
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $68,868.00 $306,021.00 $187,444.50 nat. median
$66,666
outlier · 2.8×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 $93,791.00 $278,615.00 $186,203.00 nat. median
$95,507
1.9× median
22
APR_DRG 		Heart And/or Lung Transplant 7 $106,171.00 $263,899.00 $185,035.00 nat. median
$78,029
outlier · 2.4×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $110,160.00 $256,070.00 $183,115.00 nat. median
$108,996
1.7× median
7
MS_DRG 		Lung Transplant 17 $90,414.30 $264,499.00 $177,456.65 nat. median
$122,708
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $87,839.34 $265,167.00 $176,503.17 nat. median
$117,303
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 17 $63,636.78 $285,977.00 $174,806.89 nat. median
$133,176
1.3× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $110,641.00 $236,590.00 $173,615.50 nat. median
$76,806
outlier · 2.3×
914
APR_DRG 		Other Major Head And Neck Procedures 7 $53,124.00 $288,153.00 $170,638.50 nat. median
$42,705
outlier · 4.0×
6084
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 $64,108.00 $271,549.00 $167,828.50 nat. median
$64,613
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 11,320 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
             
0120 EAPG Immunotherapy 9 7 — — $74,273.38 $75,016.12 $74,644.75 2026-02-28
0246 EAPG No Active Code Description 9 7 — — $59,591.32 $60,187.24 $59,889.28 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 17 — — $184,022.28 $570,098.00 $377,060.14 2026-02-28
10 MS_DRG Pancreas Transplant 28 17 — — $22,692.96 $161,366.00 $92,029.48 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 — — $49,667.00 $181,595.00 $115,631.00 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 17 — — $22,127.88 $109,208.00 $65,667.94 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 — — $56,779.00 $242,057.00 $149,418.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 10 7 — — $51,487.00 $142,203.00 $96,845.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 10 7 — — $41,997.00 $102,120.00 $72,058.50 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 — — $70,625.00 $442,893.00 $256,759.00 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 7 — — $34,818.00 $115,833.00 $75,325.50 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 7 — — $46,626.00 $147,743.00 $97,184.50 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 — — $151,888.00 $572,294.00 $362,091.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 28 17 — — $87,839.34 $265,167.00 $176,503.17 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 17 — — $40,567.44 $122,161.00 $81,364.22 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 7 — — $52,000.00 $97,928.00 $74,964.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 7 — — $114,053.00 $308,469.00 $211,261.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 10 7 — — $110,641.00 $236,590.00 $173,615.50 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 10 7 — — $116,452.00 $279,669.00 $198,060.50 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 10 7 — — $143,472.00 $297,993.00 $220,732.50 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 10 7 — — $209,731.00 $567,402.00 $388,566.50 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 7 — — $34,511.00 $103,111.00 $68,811.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 7 — — $41,254.00 $109,099.00 $75,176.50 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 7 — — $54,580.00 $146,660.00 $100,620.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 7 — — $85,192.00 $161,433.00 $123,312.50 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 28 17 — — $25,560.18 $93,286.00 $59,423.09 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 7 — — $45,265.00 $99,000.00 $72,132.50 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 7 — — $71,909.00 $159,663.00 $115,786.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 7 — — $35,016.00 $85,276.00 $60,146.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 7 — — $44,760.00 $100,347.00 $72,553.50 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 7 — — $66,059.00 $119,775.00 $92,917.00 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 7 — — $36,770.00 $86,470.00 $61,620.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 7 — — $58,576.00 $117,438.00 $88,007.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 7 — — $73,866.00 $202,875.00 $138,370.50 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 10 7 — — $54,730.00 $149,901.00 $102,315.50 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 17 — — $24,745.20 $122,161.00 $73,453.10 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 10 7 — — $39,099.00 $90,887.00 $64,993.00 2026-02-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 10 7 — — $30,847.00 $88,308.00 $59,577.50 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 10 7 — — $35,796.00 $95,263.00 $65,529.50 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 10 7 — — $43,529.00 $120,455.00 $81,992.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 10 7 — — $38,998.00 $105,059.00 $72,028.50 2026-02-28
1782 APR_DRG External Heart Assist Systems 10 7 — — $48,682.00 $116,691.00 $82,686.50 2026-02-28
1783 APR_DRG External Heart Assist Systems 10 7 — — $50,121.00 $136,089.00 $93,105.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 10 7 — — $69,864.00 $165,892.00 $117,878.00 2026-02-28
1793 APR_DRG Defibrillator Implants 10 7 — — $40,278.00 $116,993.00 $78,635.50 2026-02-28
1794 APR_DRG Defibrillator Implants 10 7 — — $55,405.00 $136,564.00 $95,984.50 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 17 — — $234,161.40 $763,269.00 $498,715.20 2026-02-28
1804 APR_DRG Other Circulatory System Procedures 10 7 — — $35,089.00 $110,890.00 $72,989.50 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 10 7 — — $47,258.00 $131,111.00 $89,184.50 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 10 7 — — $41,992.00 $155,949.00 $98,970.50 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 10 7 — — $32,985.00 $86,927.00 $59,956.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 10 7 — — $40,004.00 $109,073.00 $74,538.50 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 7 — — $59,367.00 $165,551.00 $112,459.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 17 — — $41,789.40 $160,441.00 $101,115.20 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 17 — — $76,369.68 $223,028.00 $149,698.84 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 17 — — $53,496.96 $163,149.00 $108,322.98 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 10 7 — — $51,026.00 $162,759.00 $106,892.50 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 17 — — $34,410.72 $130,890.00 $82,650.36 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 10 7 — — $92,470.00 $194,681.00 $143,575.50 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 17 — — $38,724.52 $111,867.00 $75,295.76 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 16 — — $75,507.44 $220,482.00 $147,994.72 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 10 7 — — $34,842.00 $87,604.00 $61,223.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 10 7 — — $59,441.00 $139,776.00 $99,608.50 2026-02-28
215 MS_DRG Other Heart Assist System Implant 28 17 — — $51,613.02 $214,428.00 $133,020.51 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 17 — — $66,989.23 $195,329.00 $131,159.11 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 17 — — $36,204.90 $130,701.00 $83,452.95 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 17 — — $32,885.82 $120,408.00 $76,646.91 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 17 — — $36,789.36 $156,599.00 $96,694.18 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 10 7 — — $106,171.00 $263,899.00 $185,035.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 17 — — $29,660.58 $107,200.00 $68,430.29 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 10 7 — — $53,026.00 $212,417.00 $132,721.50 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 10 7 — — $40,028.00 $85,631.00 $62,829.50 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 10 7 — — $48,836.00 $88,349.00 $68,592.50 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 10 7 — — $33,819.00 $99,796.00 $66,807.50 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 10 7 — — $35,946.00 $113,442.00 $74,694.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 17 — — $33,147.96 $100,857.00 $67,002.48 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 10 7 — — $37,649.00 $94,459.00 $66,054.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 10 7 — — $133,925.00 $478,055.00 $305,990.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 17 — — $33,676.32 $115,466.00 $74,571.16 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 10 7 — — $45,988.00 $121,809.00 $83,898.50 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 17 — — $39,893.22 $171,503.00 $105,698.11 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 10 7 — — $38,973.00 $105,846.00 $72,409.50 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 17 — — $38,879.34 $123,634.00 $81,256.67 2026-02-28
2324 APR_DRG Gastric Fundoplication 10 7 — — $46,693.00 $97,562.00 $72,127.50 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 17 — — $33,933.36 $158,196.00 $96,064.68 2026-02-28
234 APR_DRG Spinal Procedures 10 7 — — $54,562.00 $134,791.00 $94,676.50 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 17 — — $29,871.72 $107,676.00 $68,773.86 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 17 — — $28,051.02 $119,090.00 $73,570.51 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 17 — — $28,195.86 $101,942.00 $65,068.93 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 10 7 — — $246,814.00 $656,231.00 $451,522.50 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 10 7 — — $35,612.00 $89,714.00 $62,663.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 28 17 — — $28,196.88 $98,904.00 $63,550.44 2026-02-28
2524 APR_DRG Malfunction Reaction And Complication Of Gastrointestinal Device Or Procedure 10 7 — — $20,634.00 $99,821.00 $60,227.50 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 10 7 — — $56,707.00 $156,350.00 $106,528.50 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 10 7 — — $47,075.00 $125,753.00 $86,414.00 2026-02-28
2634 APR_DRG Cholecystectomy 10 7 — — $29,895.00 $127,824.00 $78,859.50 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 10 7 — — $45,100.00 $106,277.00 $75,688.50 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 10 7 — — $45,226.00 $178,868.00 $112,047.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 17 — — $38,879.34 $121,248.00 $80,063.67 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 17 — — $32,689.98 $95,218.00 $63,953.99 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 17 — — $32,732.82 $134,946.00 $83,839.41 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 17 — — $29,772.78 $103,887.00 $66,829.89 2026-02-28
274 APR_DRG Other Open Craniotomy 10 7 — — $52,622.00 $113,327.00 $82,974.50 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 16 — — $49,277.69 $143,029.00 $96,153.35 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 16 — — $43,296.85 $125,368.00 $84,332.43 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 16 — — $32,724.49 $94,150.00 $63,437.25 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 16 — — $35,133.00 $101,262.00 $68,197.50 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 28 17 — — $23,216.22 $123,043.00 $73,129.61 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 10 7 — — $40,651.00 $109,862.00 $75,256.50 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 28 17 — — $97,079.52 $433,754.00 $265,416.76 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 7 — — $34,516.00 $90,917.00 $62,716.50 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 7 — — $43,507.00 $118,249.00 $80,878.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 7 — — $63,181.00 $152,875.00 $108,028.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 7 — — $89,187.00 $223,048.00 $156,117.50 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 7 — — $42,976.00 $119,969.00 $81,472.50 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 7 — — $41,451.00 $94,053.00 $67,752.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 7 — — $64,716.00 $145,341.00 $105,028.50 2026-02-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 10 7 — — $36,679.00 $92,125.00 $64,402.00 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 10 7 — — $37,075.00 $88,988.00 $63,031.50 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 10 7 — — $68,178.00 $123,690.00 $95,934.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 16 — — $43,242.02 $125,207.00 $84,224.51 2026-02-28
3174 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 10 7 — — $33,604.00 $95,729.00 $64,666.50 2026-02-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 10 7 — — $34,997.00 $87,837.00 $61,417.00 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 10 7 — — $42,700.00 $102,505.00 $72,602.50 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 28 17 — — $21,029.34 $102,794.00 $61,911.67 2026-02-28
3424 APR_DRG Fractures And Dislocations Except Femur Pelvis And Back 10 7 — — $14,513.00 $120,379.00 $67,446.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 7 — — $61,264.00 $113,467.00 $87,365.50 2026-02-28
3634 APR_DRG Breast Procedures Except Mastectomy 10 7 — — $35,019.00 $99,966.00 $67,492.50 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 28 17 — — $63,636.78 $285,977.00 $174,806.89 2026-02-28
4014 APR_DRG Adrenal Procedures 10 7 — — $53,186.00 $99,107.00 $76,146.50 2026-02-28
4034 APR_DRG Procedures For Obesity 10 7 — — $37,092.00 $114,452.00 $75,772.00 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 10 7 — — $48,823.00 $101,583.00 $75,203.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 28 17 — — $25,663.20 $109,871.00 $67,767.10 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 10 7 — — $43,028.00 $95,913.00 $69,470.50 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 — — $51,038.00 $113,182.00 $82,110.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 — — $66,077.00 $126,019.00 $96,048.00 2026-02-28
4214 APR_DRG Malnutrition Failure To Thrive And Other Nutritional Disorders 10 7 — — $18,939.00 $118,957.00 $68,948.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $72,639.02 $212,012.00 $142,325.51 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $49,522.38 $143,752.00 $96,637.19 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 16 — — $38,565.50 $111,397.00 $74,981.25 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 16 — — $58,007.00 $168,805.00 $113,406.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 — — $95,384.00 $165,643.00 $130,513.50 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 16 — — $38,335.21 $110,717.00 $74,526.10 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 7 — — $144,265.00 $334,072.00 $239,168.50 2026-02-28
4401 APR_DRG Kidney Transplant 10 7 — — $37,631.00 $194,621.00 $116,126.00 2026-02-28
4402 APR_DRG Kidney Transplant 10 7 — — $41,496.00 $216,198.00 $128,847.00 2026-02-28
4403 APR_DRG Kidney Transplant 10 7 — — $48,782.00 $258,767.00 $153,774.50 2026-02-28
4404 APR_DRG Kidney Transplant 10 7 — — $78,795.00 $387,174.00 $232,984.50 2026-02-28
4414 APR_DRG Major Bladder Procedures 10 7 — — $53,346.00 $133,878.00 $93,612.00 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 10 7 — — $37,395.00 $109,553.00 $73,474.00 2026-02-28
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 10 7 — — $35,962.00 $84,432.00 $60,197.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 16 — — $46,794.47 $135,696.00 $91,245.24 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 10 7 — — $40,509.00 $92,799.00 $66,654.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 16 — — $36,139.17 $104,233.00 $70,186.09 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 28 17 — — $45,375.72 $171,408.00 $108,391.86 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 28 17 — — $33,524.34 $116,160.00 $74,842.17 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 17 — — $38,106.18 $124,201.00 $81,153.59 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 17 — — $21,013.02 $109,311.00 $65,162.01 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 17 — — $21,742.32 $103,110.00 $62,426.16 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 28 17 — — $25,581.60 $98,307.00 $61,944.30 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 10 7 — — $31,465.00 $98,701.00 $65,083.00 2026-02-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 10 7 — — $33,707.00 $92,600.00 $63,153.50 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 17 — — $73,831.63 $215,533.00 $144,682.32 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $34,550.00 $97,799.00 $66,174.50 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 10 7 — — $42,421.00 $98,964.00 $70,692.50 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 10 7 — — $42,413.00 $105,509.00 $73,961.00 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 10 7 — — $36,258.00 $84,155.00 $60,206.50 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 10 7 — — $37,674.00 $85,262.00 $61,468.00 2026-02-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 10 7 — — $39,378.00 $87,369.00 $63,373.50 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $50,793.00 $104,432.00 $77,612.50 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $67,671.00 $142,687.00 $105,179.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $93,453.00 $213,448.00 $153,450.50 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 17 — — $34,735.08 $124,636.00 $79,685.54 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 17 — — $31,741.38 $109,195.00 $70,468.19 2026-02-28
5831 APR_DRG Neonate With Ecmo 10 7 — — $136,917.00 $244,579.00 $190,748.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 10 7 — — $217,809.00 $404,830.00 $311,319.50 2026-02-28
5833 APR_DRG Neonate With Ecmo 10 7 — — $315,451.50 $420,602.00 $368,026.75 2026-02-28
5834 APR_DRG Neonate With Ecmo 10 7 — — $360,251.00 $748,990.00 $554,620.50 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $119,511.75 $159,349.00 $139,430.38 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 — — $172,896.75 $230,529.00 $201,712.88 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 — — $189,844.00 $322,456.00 $256,150.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 7 — — $277,198.00 $636,064.00 $456,631.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 7 — — $109,476.00 $342,754.00 $226,115.00 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 7 — — $105,525.00 $311,595.00 $208,560.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 7 — — $100,463.00 $296,757.00 $198,610.00 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 — — $65,280.00 $327,591.00 $196,435.50 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 — — $92,696.00 $363,990.00 $228,343.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 — — $126,320.00 $412,410.00 $269,365.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 7 — — $174,990.00 $555,040.00 $365,015.00 2026-02-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 — — $24,890.00 $198,716.00 $111,803.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 — — $97,311.00 $220,795.00 $159,053.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 — — $110,160.00 $256,070.00 $183,115.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 7 — — $161,533.00 $360,444.00 $260,988.50 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 28 17 — — $34,076.79 $98,143.00 $66,109.90 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $71,676.00 $207,142.00 $139,409.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $89,224.00 $227,578.00 $158,401.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $119,718.00 $265,105.00 $192,411.50 2026-02-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 7 — — $41,522.00 $134,141.00 $87,831.50 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 7 — — $75,065.00 $188,196.00 $131,630.50 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 7 — — $148,959.00 $245,404.00 $197,181.50 2026-02-28
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $28,384.00 $102,002.00 $65,193.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $51,352.00 $143,174.00 $97,263.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $65,979.00 $182,022.00 $124,000.50 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $93,791.00 $278,615.00 $186,203.00 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 7 — — $38,175.00 $89,647.00 $63,911.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 7 — — $50,031.00 $154,602.00 $102,316.50 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 7 — — $64,108.00 $271,549.00 $167,828.50 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 7 — — $41,825.00 $122,097.00 $81,961.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 7 — — $78,948.00 $174,252.00 $126,600.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 7 — — $170,585.00 $306,313.00 $238,449.00 2026-02-28
61 APR_DRG Pancreas Transplant 10 7 — — $45,155.00 $133,883.00 $89,519.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 7 — — $48,160.00 $123,294.00 $85,727.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 7 — — $82,616.00 $208,742.00 $145,679.00 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $34,633.00 $106,867.00 $70,750.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $44,207.00 $131,582.00 $87,894.50 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $67,240.00 $181,062.00 $124,151.00 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 7 — — $45,240.00 $99,390.00 $72,315.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 7 — — $83,010.00 $124,315.00 $103,662.50 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 7 — — $39,117.00 $98,034.00 $68,575.50 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 7 — — $55,781.00 $166,798.00 $111,289.50 2026-02-28
62 APR_DRG Pancreas Transplant 10 7 — — $65,165.00 $195,308.00 $130,236.50 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 7 — — $65,240.00 $145,645.00 $105,442.50 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 10 7 — — $45,319.00 $114,678.00 $79,998.50 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 10 7 — — $46,547.00 $81,601.00 $64,074.00 2026-02-28
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 7 — — $26,650.00 $99,893.00 $63,271.50 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 7 — — $66,459.00 $110,281.00 $88,370.00 2026-02-28
63 APR_DRG Pancreas Transplant 10 7 — — $74,594.00 $243,025.00 $158,809.50 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 7 — — $68,705.00 $109,917.00 $89,311.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 7 — — $92,086.00 $127,241.00 $109,663.50 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 7 — — $190,605.00 $254,140.00 $222,372.50 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 7 — — $60,027.00 $107,791.00 $83,909.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 7 — — $171,875.00 $233,635.00 $202,755.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 7 — — $60,974.00 $233,178.00 $147,076.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 10 7 — — $41,197.00 $96,271.00 $68,734.00 2026-02-28
64 APR_DRG Pancreas Transplant 10 7 — — $116,598.00 $331,035.00 $223,816.50 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 17 — — $32,418.79 $93,247.00 $62,832.89 2026-02-28
6504 APR_DRG Splenectomy 10 7 — — $40,411.00 $102,597.00 $71,504.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 10 7 — — $58,791.00 $112,280.00 $85,535.50 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 28 17 — — $21,088.50 $112,824.00 $66,956.25 2026-02-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 10 7 — — $28,934.00 $94,844.00 $61,889.00 2026-02-28
6803 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 7 — — $32,263.00 $99,049.00 $65,656.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 7 — — $69,773.00 $136,257.00 $103,015.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 7 — — $62,677.00 $121,357.00 $92,017.00 2026-02-28
6903 APR_DRG Acute Leukemia 10 7 — — $37,938.00 $113,438.00 $75,688.00 2026-02-28
6904 APR_DRG Acute Leukemia 10 7 — — $63,992.00 $153,641.00 $108,816.50 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 10 7 — — $35,635.00 $125,661.00 $80,648.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 10 7 — — $58,182.00 $136,880.00 $97,531.00 2026-02-28
6964 APR_DRG Other Chemotherapy 10 7 — — $29,936.00 $91,992.00 $60,964.00 2026-02-28
7 MS_DRG Lung Transplant 28 17 — — $90,414.30 $264,499.00 $177,456.65 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 10 7 — — $53,032.00 $206,780.00 $129,906.00 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 10 7 — — $42,901.00 $142,789.00 $92,845.00 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 10 7 — — $43,030.00 $86,396.00 $64,713.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 10 7 — — $68,868.00 $306,021.00 $187,444.50 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 10 7 — — $86,757.00 $335,464.00 $211,110.50 2026-02-28
734 APR_DRG Orbit And Eye Procedures 10 7 — — $37,861.00 $83,475.00 $60,668.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 10 7 — — $171,244.00 $429,351.00 $300,297.50 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 10 7 — — $68,901.00 $224,991.00 $146,946.00 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 10 7 — — $47,629.00 $137,297.00 $92,463.00 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 10 7 — — $38,665.00 $181,411.00 $110,038.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 17 — — $38,133.70 $110,122.00 $79,010.99 2026-02-28
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 7 — — $31,878.00 $105,675.00 $68,776.50 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 7 — — $39,245.00 $176,590.00 $107,917.50 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 17 — — $35,676.54 $117,838.00 $76,757.27 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 17 — — $26,129.34 $94,708.00 $60,418.67 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 17 — — $31,595.52 $96,651.00 $64,123.26 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 7 — — $46,425.00 $230,854.00 $138,639.50 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 28 17 — — $38,724.52 $111,867.00 $75,295.76 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 17 — — $19,283.10 $101,341.00 $60,312.05 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 7 — — $86,003.00 $348,910.00 $217,456.50 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 10 7 — — $46,003.00 $76,052.00 $61,027.50 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 10 7 — — $46,003.00 $86,567.00 $66,285.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 7 — — $70,234.00 $172,131.00 $121,182.50 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 7 — — $208,862.00 $363,483.00 $286,172.50 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 7 — — $94,658.00 $204,632.00 $149,645.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 25 16 — — $63,978.93 $186,440.00 $125,209.46 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 10 7 — — $67,811.00 $222,649.00 $145,230.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 17 — — $23,049.96 $101,221.00 $62,135.48 2026-02-28
8633 APR_DRG Neonatal Aftercare 10 7 — — $42,666.00 $123,420.00 $83,043.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 10 7 — — $71,773.00 $215,587.00 $143,680.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 17 — — $39,357.72 $140,793.00 $90,075.36 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 10 7 — — $48,777.00 $136,811.00 $92,794.00 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 7 — — $44,662.00 $91,143.00 $67,902.50 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 7 — — $62,384.00 $143,243.00 $102,813.50 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 7 — — $62,775.00 $149,931.00 $106,353.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 7 — — $55,632.00 $124,428.00 $90,030.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 10 7 — — $53,124.00 $288,153.00 $170,638.50 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 7 — — $44,662.00 $117,308.00 $80,985.00 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 10 7 — — $50,677.00 $132,741.00 $91,709.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 17 — — $131,924.76 $480,126.00 $306,025.38 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 17 — — $20,373.48 $135,174.00 $77,773.74 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 7 — — $72,015.00 $139,741.00 $105,878.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 7 — — $160,626.00 $417,614.00 $289,120.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 7 — — $52,423.00 $166,891.00 $109,657.00 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 7 — — $38,798.00 $123,003.00 $80,900.50 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 10 7 — — $33,101.00 $164,700.00 $98,900.50 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 17 — — $34,874.82 $138,198.00 $86,536.41 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 17 — — $37,121.88 $151,068.00 $94,094.94 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 17 — — $36,303.84 $127,998.00 $82,150.92 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 17 — — $26,008.98 $96,214.00 $61,111.49 2026-02-28
J0225 HCPCS Vutrisiran 25 Mgm/0.5 Ml Subcutaneous Syringme 11 7 $238,702.00 $145,608.22 39% off $50,127.42 $221,992.86 $138,447.16 2026-02-28
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