Hospital

GARRISON MEMORIAL HOSPITAL

Garrison, ND · CCN 351303 · Rates published

2,816 distinct procedures filed

7 distinct payers

188,715 rate rows

2026-02-28 last MRF observed

Data quality

181,375 of 188,715 rate rows are consumer-grade (96.1%)

7,340 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 — reason	Rows
per-diem day rate — not a per-procedure price	6,793
placeholder amount (≤ $0.02) — excluded from medians	400
exceeds 10× this hospital's gross charge — excluded from medians	132
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	15

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.chistalexiushealth.org/content/dam/stalexiushealthorg/documents/financial/price-transparency/450227752_chi-st-alexius-health-garrison_standardcharges.json
Found on page	https://www.chistalexiushealth.org/patients-and-visitors/financial-assistance
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-17
Content fingerprint	13643c0dfdec2140… · 46,473,852 bytes · first seen 2026-05-08

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	$787,573.00	$787,573.00	$787,573.00	nat. median $309,665 outlier · 2.5×
5833 APR_DRG	Neonate With Ecmo	6	$623,773.00	$623,773.00	$623,773.00	nat. median $244,017 outlier · 2.6×
1614 APR_DRG	Implantable Heart Assist Systems	6	$617,675.00	$617,675.00	$617,675.00	nat. median $207,730 outlier · 3.0×
24 APR_DRG	Heart And/or Lung Transplant	6	$596,076.00	$596,076.00	$596,076.00	nat. median $234,738 outlier · 2.5×
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$589,506.00	$589,506.00	$589,506.00	nat. median $246,434 outlier · 2.4×
1613 APR_DRG	Implantable Heart Assist Systems	6	$473,204.00	$473,204.00	$473,204.00	nat. median $119,796 outlier · 4.0×
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$468,908.00	$468,908.00	$468,908.00	nat. median $150,721 outlier · 3.1×
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$462,838.00	$462,838.00	$462,838.00	nat. median $164,279 outlier · 2.8×
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$460,047.00	$460,047.00	$460,047.00	nat. median $151,838 outlier · 3.0×
5832 APR_DRG	Neonate With Ecmo	6	$459,973.00	$459,973.00	$459,973.00	nat. median $156,126 outlier · 2.9×
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	6	$435,587.00	$435,587.00	$435,587.00	nat. median $160,267 outlier · 2.7×
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$422,263.00	$422,263.00	$422,263.00	nat. median $182,736 outlier · 2.3×
4404 APR_DRG	Kidney Transplant	6	$408,727.00	$408,727.00	$408,727.00	nat. median $79,034 outlier · 5.2×
5882 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$407,532.00	$407,532.00	$407,532.00	nat. median $145,336 outlier · 2.8×
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$404,268.00	$404,268.00	$404,268.00	nat. median $162,982 outlier · 2.5×
5831 APR_DRG	Neonate With Ecmo	6	$397,499.00	$397,499.00	$397,499.00	nat. median $145,122 outlier · 2.7×
74 APR_DRG	Allogeneic Bone Marrow Transplant	6	$390,776.00	$390,776.00	$390,776.00	nat. median $187,294 outlier · 2.1×
6024 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	$382,207.00	$382,207.00	$382,207.00	nat. median $118,620 outlier · 3.2×
14 APR_DRG	Liver Transplant And/or Intestinal Transplant	6	$381,048.00	$381,048.00	$381,048.00	nat. median $129,535 outlier · 2.9×
1612 APR_DRG	Implantable Heart Assist Systems	6	$379,939.00	$379,939.00	$379,939.00	nat. median $85,406 outlier · 4.4×
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	$370,869.00	$370,869.00	$370,869.00	nat. median $105,658 outlier · 3.5×
23 APR_DRG	Heart And/or Lung Transplant	6	$368,602.00	$368,602.00	$368,602.00	nat. median $93,528 outlier · 3.9×
1611 APR_DRG	Implantable Heart Assist Systems	6	$360,943.00	$360,943.00	$360,943.00	nat. median $76,806 outlier · 4.7×
5933 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$352,451.00	$352,451.00	$352,451.00	nat. median $108,996 outlier · 3.2×
54 APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	$344,525.00	$344,525.00	$344,525.00	nat. median $68,217 outlier · 5.1×
6034 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	$338,679.00	$338,679.00	$338,679.00	nat. median $109,499 outlier · 3.1×
64 APR_DRG	Pancreas Transplant	6	$336,509.00	$336,509.00	$336,509.00	nat. median $91,748 outlier · 3.7×
6023 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	$336,142.00	$336,142.00	$336,142.00	nat. median $86,492 outlier · 3.9×
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	$332,492.00	$332,492.00	$332,492.00	nat. median $122,924 outlier · 2.7×
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	$332,333.00	$332,333.00	$332,333.00	nat. median $164,834 outlier · 2.0×
6074 APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	$311,954.00	$311,954.00	$311,954.00	nat. median $95,507 outlier · 3.3×
22 APR_DRG	Heart And/or Lung Transplant	6	$273,544.00	$273,544.00	$273,544.00	nat. median $78,029 outlier · 3.5×
4403 APR_DRG	Kidney Transplant	6	$269,419.00	$269,419.00	$269,419.00	nat. median $49,335 outlier · 5.5×
5881 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$268,254.00	$268,254.00	$268,254.00	nat. median $124,573 outlier · 2.2×
1604 APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	$261,365.00	$261,365.00	$261,365.00	nat. median $97,957 outlier · 2.7×
43 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	$245,388.00	$245,388.00	$245,388.00	nat. median $69,926 outlier · 3.5×
6073 APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	$242,686.00	$242,686.00	$242,686.00	nat. median $68,638 outlier · 3.5×
63 APR_DRG	Pancreas Transplant	6	$236,616.00	$236,616.00	$236,616.00	nat. median $64,159 outlier · 3.7×
3034 APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	$235,503.00	$235,503.00	$235,503.00	nat. median $84,162 outlier · 2.8×
21 APR_DRG	Heart And/or Lung Transplant	6	$234,501.00	$234,501.00	$234,501.00	nat. median $65,130 outlier · 3.6×
53 APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	$233,457.00	$233,457.00	$233,457.00	nat. median $47,204 outlier · 4.9×
4402 APR_DRG	Kidney Transplant	6	$231,070.00	$231,070.00	$231,070.00	nat. median $41,406 outlier · 5.6×
6124 APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	$228,007.00	$228,007.00	$228,007.00	nat. median $66,071 outlier · 3.5×
9114 APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	6	$226,803.00	$226,803.00	$226,803.00	nat. median $52,039 outlier · 4.4×
6303 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$226,566.00	$226,566.00	$226,566.00	nat. median $72,936 outlier · 3.1×
5913 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$224,981.00	$224,981.00	$224,981.00	nat. median $102,636 outlier · 2.2×
73 APR_DRG	Allogeneic Bone Marrow Transplant	6	$224,759.00	$224,759.00	$224,759.00	nat. median $89,273 outlier · 2.5×
5932 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$222,122.00	$222,122.00	$222,122.00	nat. median $86,258 outlier · 2.6×
13 APR_DRG	Liver Transplant And/or Intestinal Transplant	6	$220,296.00	$220,296.00	$220,296.00	nat. median $68,633 outlier · 3.2×
8424 APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	6	$220,133.00	$220,133.00	$220,133.00	nat. median $80,494 outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 2,816 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

11	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$163,928.00	$163,928.00	$163,928.00	2026-02-28
12	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$184,633.00	$184,633.00	$184,633.00	2026-02-28
1203	APR_DRG	Major Respiratory And Chest Procedures	6	6	—	—	$87,230.00	$87,230.00	$87,230.00	2026-02-28
1204	APR_DRG	Major Respiratory And Chest Procedures	6	6	—	—	$121,494.00	$121,494.00	$121,494.00	2026-02-28
1213	APR_DRG	Other Respiratory And Chest Procedures	6	6	—	—	$75,475.00	$75,475.00	$75,475.00	2026-02-28
1214	APR_DRG	Other Respiratory And Chest Procedures	6	6	—	—	$97,571.00	$97,571.00	$97,571.00	2026-02-28
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$220,296.00	$220,296.00	$220,296.00	2026-02-28
1301	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	6	—	—	$82,932.00	$82,932.00	$82,932.00	2026-02-28
1302	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	6	—	—	$84,079.00	$84,079.00	$84,079.00	2026-02-28
1303	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	6	—	—	$134,197.00	$134,197.00	$134,197.00	2026-02-28
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	6	—	—	$191,032.00	$191,032.00	$191,032.00	2026-02-28
1324	APR_DRG	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	6	6	—	—	$72,507.00	$72,507.00	$72,507.00	2026-02-28
1394	APR_DRG	Other Pneumonia	6	6	—	—	$84,340.00	$84,340.00	$84,340.00	2026-02-28
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$381,048.00	$381,048.00	$381,048.00	2026-02-28
1601	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$73,825.00	$73,825.00	$73,825.00	2026-02-28
1602	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$82,099.00	$82,099.00	$82,099.00	2026-02-28
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$140,303.00	$140,303.00	$140,303.00	2026-02-28
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$261,365.00	$261,365.00	$261,365.00	2026-02-28
1611	APR_DRG	Implantable Heart Assist Systems	6	6	—	—	$360,943.00	$360,943.00	$360,943.00	2026-02-28
1612	APR_DRG	Implantable Heart Assist Systems	6	6	—	—	$379,939.00	$379,939.00	$379,939.00	2026-02-28
1613	APR_DRG	Implantable Heart Assist Systems	6	6	—	—	$473,204.00	$473,204.00	$473,204.00	2026-02-28
1614	APR_DRG	Implantable Heart Assist Systems	6	6	—	—	$617,675.00	$617,675.00	$617,675.00	2026-02-28
1621	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$111,870.00	$111,870.00	$111,870.00	2026-02-28
1622	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$121,657.00	$121,657.00	$121,657.00	2026-02-28
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$143,219.00	$143,219.00	$143,219.00	2026-02-28
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$201,410.00	$201,410.00	$201,410.00	2026-02-28
1633	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	6	—	—	$107,839.00	$107,839.00	$107,839.00	2026-02-28
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	6	—	—	$183,770.00	$183,770.00	$183,770.00	2026-02-28
1652	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$80,899.00	$80,899.00	$80,899.00	2026-02-28
1653	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$91,643.00	$91,643.00	$91,643.00	2026-02-28
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$128,431.00	$128,431.00	$128,431.00	2026-02-28
1663	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	6	—	—	$79,410.00	$79,410.00	$79,410.00	2026-02-28
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	6	—	—	$138,377.00	$138,377.00	$138,377.00	2026-02-28
1671	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	6	6	—	—	$75,301.00	$75,301.00	$75,301.00	2026-02-28
1672	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	6	6	—	—	$78,273.00	$78,273.00	$78,273.00	2026-02-28
1673	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	6	6	—	—	$107,185.00	$107,185.00	$107,185.00	2026-02-28
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	6	6	—	—	$190,103.00	$190,103.00	$190,103.00	2026-02-28
1692	APR_DRG	Major Abdominal Vascular Procedures	6	6	—	—	$78,636.00	$78,636.00	$78,636.00	2026-02-28
1693	APR_DRG	Major Abdominal Vascular Procedures	6	6	—	—	$102,754.00	$102,754.00	$102,754.00	2026-02-28
1694	APR_DRG	Major Abdominal Vascular Procedures	6	6	—	—	$173,890.00	$173,890.00	$173,890.00	2026-02-28
1703	APR_DRG	Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock	6	6	—	—	$81,103.00	$81,103.00	$81,103.00	2026-02-28
1704	APR_DRG	Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock	6	6	—	—	$114,037.00	$114,037.00	$114,037.00	2026-02-28
1714	APR_DRG	Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock	6	6	—	—	$85,219.00	$85,219.00	$85,219.00	2026-02-28
1744	APR_DRG	Percutaneous Cardiac Intervention With Ami	6	6	—	—	$78,247.00	$78,247.00	$78,247.00	2026-02-28
1763	APR_DRG	Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices	6	6	—	—	$79,312.00	$79,312.00	$79,312.00	2026-02-28
1764	APR_DRG	Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices	6	6	—	—	$131,362.00	$131,362.00	$131,362.00	2026-02-28
1774	APR_DRG	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	6	6	—	—	$82,745.00	$82,745.00	$82,745.00	2026-02-28
1781	APR_DRG	External Heart Assist Systems	6	6	—	—	$128,001.00	$128,001.00	$128,001.00	2026-02-28
1782	APR_DRG	External Heart Assist Systems	6	6	—	—	$143,512.00	$143,512.00	$143,512.00	2026-02-28
1783	APR_DRG	External Heart Assist Systems	6	6	—	—	$154,037.00	$154,037.00	$154,037.00	2026-02-28
1784	APR_DRG	External Heart Assist Systems	6	6	—	—	$195,867.00	$195,867.00	$195,867.00	2026-02-28
1793	APR_DRG	Defibrillator Implants	6	6	—	—	$92,273.00	$92,273.00	$92,273.00	2026-02-28
1794	APR_DRG	Defibrillator Implants	6	6	—	—	$156,654.00	$156,654.00	$156,654.00	2026-02-28
1804	APR_DRG	Other Circulatory System Procedures	6	6	—	—	$83,116.00	$83,116.00	$83,116.00	2026-02-28
1813	APR_DRG	Lower Extremity Arterial Procedures	6	6	—	—	$75,794.00	$75,794.00	$75,794.00	2026-02-28
1814	APR_DRG	Lower Extremity Arterial Procedures	6	6	—	—	$125,822.00	$125,822.00	$125,822.00	2026-02-28
1824	APR_DRG	Other Peripheral Vascular Procedures	6	6	—	—	$102,082.00	$102,082.00	$102,082.00	2026-02-28
1831	APR_DRG	Percutaneous Structural Cardiac Procedures	6	6	—	—	$102,935.00	$102,935.00	$102,935.00	2026-02-28
1832	APR_DRG	Percutaneous Structural Cardiac Procedures	6	6	—	—	$110,913.00	$110,913.00	$110,913.00	2026-02-28
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	6	6	—	—	$123,577.00	$123,577.00	$123,577.00	2026-02-28
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	6	6	—	—	$181,079.00	$181,079.00	$181,079.00	2026-02-28
203	APR_DRG	Open Craniotomy For Trauma	6	6	—	—	$82,508.00	$82,508.00	$82,508.00	2026-02-28
204	APR_DRG	Open Craniotomy For Trauma	6	6	—	—	$129,762.00	$129,762.00	$129,762.00	2026-02-28
21	APR_DRG	Heart And/or Lung Transplant	6	6	—	—	$234,501.00	$234,501.00	$234,501.00	2026-02-28
213	APR_DRG	Open Craniotomy Except Trauma	6	6	—	—	$102,211.00	$102,211.00	$102,211.00	2026-02-28
214	APR_DRG	Open Craniotomy Except Trauma	6	6	—	—	$170,592.00	$170,592.00	$170,592.00	2026-02-28
22	APR_DRG	Heart And/or Lung Transplant	6	6	—	—	$273,544.00	$273,544.00	$273,544.00	2026-02-28
2204	APR_DRG	Major Stomach Esophageal And Duodenal Procedures	6	6	—	—	$103,078.00	$103,078.00	$103,078.00	2026-02-28
2224	APR_DRG	Other Stomach Esophageal And Duodenal Procedures	6	6	—	—	$105,006.00	$105,006.00	$105,006.00	2026-02-28
2234	APR_DRG	Other Small And Large Bowel Procedures	6	6	—	—	$100,924.00	$100,924.00	$100,924.00	2026-02-28
224	APR_DRG	Ventricular Shunt Procedures	6	6	—	—	$115,329.00	$115,329.00	$115,329.00	2026-02-28
2244	APR_DRG	Peritoneal Adhesiolysis	6	6	—	—	$96,169.00	$96,169.00	$96,169.00	2026-02-28
2274	APR_DRG	Hernia Procedures Except Inguinal Femoral And Umbilical	6	6	—	—	$98,789.00	$98,789.00	$98,789.00	2026-02-28
2294	APR_DRG	Other Digestive System And Abdominal Procedures	6	6	—	—	$117,794.00	$117,794.00	$117,794.00	2026-02-28
23	APR_DRG	Heart And/or Lung Transplant	6	6	—	—	$368,602.00	$368,602.00	$368,602.00	2026-02-28
2304	APR_DRG	Major Small Bowel Procedures	6	6	—	—	$135,425.00	$135,425.00	$135,425.00	2026-02-28
2324	APR_DRG	Gastric Fundoplication	6	6	—	—	$105,256.00	$105,256.00	$105,256.00	2026-02-28
233	APR_DRG	Spinal Procedures	6	6	—	—	$101,217.00	$101,217.00	$101,217.00	2026-02-28
2334	APR_DRG	Appendectomy With Complex Principal Diagnosis	6	6	—	—	$74,362.00	$74,362.00	$74,362.00	2026-02-28
234	APR_DRG	Spinal Procedures	6	6	—	—	$152,621.00	$152,621.00	$152,621.00	2026-02-28
24	APR_DRG	Heart And/or Lung Transplant	6	6	—	—	$596,076.00	$596,076.00	$596,076.00	2026-02-28
2414	APR_DRG	Peptic Ulcer And Gastritis	6	6	—	—	$78,825.00	$78,825.00	$78,825.00	2026-02-28
244	APR_DRG	Open Extracranial Vascular Procedures	6	6	—	—	$100,917.00	$100,917.00	$100,917.00	2026-02-28
2484	APR_DRG	Major Gastrointestinal And Peritoneal Infections	6	6	—	—	$73,609.00	$73,609.00	$73,609.00	2026-02-28
2604	APR_DRG	Major Pancreas Liver And Shunt Procedures	6	6	—	—	$184,294.00	$184,294.00	$184,294.00	2026-02-28
2614	APR_DRG	Major Biliary Tract Procedures	6	6	—	—	$130,966.00	$130,966.00	$130,966.00	2026-02-28
263	APR_DRG	Other Nervous System And Related Procedures	6	6	—	—	$73,612.00	$73,612.00	$73,612.00	2026-02-28
2634	APR_DRG	Cholecystectomy	6	6	—	—	$74,827.00	$74,827.00	$74,827.00	2026-02-28
264	APR_DRG	Other Nervous System And Related Procedures	6	6	—	—	$103,454.00	$103,454.00	$103,454.00	2026-02-28
2644	APR_DRG	Other Hepatobiliary Pancreas And Abdominal Procedures	6	6	—	—	$120,790.00	$120,790.00	$120,790.00	2026-02-28
273	APR_DRG	Other Open Craniotomy	6	6	—	—	$80,681.00	$80,681.00	$80,681.00	2026-02-28
274	APR_DRG	Other Open Craniotomy	6	6	—	—	$128,042.00	$128,042.00	$128,042.00	2026-02-28
294	APR_DRG	Other Percutaneous Intracranial Procedures	6	6	—	—	$109,820.00	$109,820.00	$109,820.00	2026-02-28
303	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	6	6	—	—	$92,558.00	$92,558.00	$92,558.00	2026-02-28
3031	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$96,513.00	$96,513.00	$96,513.00	2026-02-28
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$127,529.00	$127,529.00	$127,529.00	2026-02-28
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$179,644.00	$179,644.00	$179,644.00	2026-02-28
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$235,503.00	$235,503.00	$235,503.00	2026-02-28
304	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	6	6	—	—	$125,888.00	$125,888.00	$125,888.00	2026-02-28
3042	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	6	—	—	$76,775.00	$76,775.00	$76,775.00	2026-02-28
3043	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	6	—	—	$94,560.00	$94,560.00	$94,560.00	2026-02-28
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	6	—	—	$183,890.00	$183,890.00	$183,890.00	2026-02-28
3054	APR_DRG	Amputation Of Lower Limb Except Toes	6	6	—	—	$93,534.00	$93,534.00	$93,534.00	2026-02-28
3084	APR_DRG	Hip And Femur Fracture Repair	6	6	—	—	$78,921.00	$78,921.00	$78,921.00	2026-02-28
3094	APR_DRG	Other Significant Hip And Femur Surgery	6	6	—	—	$106,996.00	$106,996.00	$106,996.00	2026-02-28
3104	APR_DRG	Intervertebral Disc Excision And Decompression	6	6	—	—	$93,421.00	$93,421.00	$93,421.00	2026-02-28
3123	APR_DRG	Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses	6	6	—	—	$79,173.00	$79,173.00	$79,173.00	2026-02-28
3124	APR_DRG	Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses	6	6	—	—	$160,563.00	$160,563.00	$160,563.00	2026-02-28
3134	APR_DRG	Knee And Lower Leg Procedures Except Foot	6	6	—	—	$106,306.00	$106,306.00	$106,306.00	2026-02-28
3154	APR_DRG	Shoulder Upper Arm And Forearm Procedures Except Joint Replacement	6	6	—	—	$99,628.00	$99,628.00	$99,628.00	2026-02-28
3164	APR_DRG	Hand And Wrist Procedures	6	6	—	—	$79,916.00	$79,916.00	$79,916.00	2026-02-28
3174	APR_DRG	Tendon Muscle And Other Soft Tissue Procedures	6	6	—	—	$81,538.00	$81,538.00	$81,538.00	2026-02-28
3204	APR_DRG	Other Musculoskeletal System And Connective Tissue Procedures	6	6	—	—	$85,819.00	$85,819.00	$85,819.00	2026-02-28
3213	APR_DRG	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	6	6	—	—	$72,131.00	$72,131.00	$72,131.00	2026-02-28
3214	APR_DRG	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	6	6	—	—	$128,203.00	$128,203.00	$128,203.00	2026-02-28
3224	APR_DRG	Shoulder And Elbow Joint Replacement	6	6	—	—	$89,906.00	$89,906.00	$89,906.00	2026-02-28
3234	APR_DRG	Non-elective Or Complex Hip Joint Replacement	6	6	—	—	$104,030.00	$104,030.00	$104,030.00	2026-02-28
3244	APR_DRG	Elective Hip Joint Replacement	6	6	—	—	$90,195.00	$90,195.00	$90,195.00	2026-02-28
3253	APR_DRG	Non-elective Or Complex Knee Joint Replacement	6	6	—	—	$80,064.00	$80,064.00	$80,064.00	2026-02-28
3254	APR_DRG	Non-elective Or Complex Knee Joint Replacement	6	6	—	—	$131,592.00	$131,592.00	$131,592.00	2026-02-28
3264	APR_DRG	Elective Knee Joint Replacement	6	6	—	—	$76,475.00	$76,475.00	$76,475.00	2026-02-28
3464	APR_DRG	Connective Tissue Disorders	6	6	—	—	$102,339.00	$102,339.00	$102,339.00	2026-02-28
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	6	6	—	—	$135,975.00	$135,975.00	$135,975.00	2026-02-28
3624	APR_DRG	Mastectomy Procedures	6	6	—	—	$99,863.00	$99,863.00	$99,863.00	2026-02-28
3634	APR_DRG	Breast Procedures Except Mastectomy	6	6	—	—	$80,703.00	$80,703.00	$80,703.00	2026-02-28
3644	APR_DRG	Other Skin Subcutaneous Tissue And Related Procedures	6	6	—	—	$109,487.00	$109,487.00	$109,487.00	2026-02-28
4013	APR_DRG	Adrenal Procedures	6	6	—	—	$74,733.00	$74,733.00	$74,733.00	2026-02-28
4014	APR_DRG	Adrenal Procedures	6	6	—	—	$125,479.00	$125,479.00	$125,479.00	2026-02-28
403	APR_DRG	Spinal Disorders And Injuries	6	6	—	—	$85,040.00	$85,040.00	$85,040.00	2026-02-28
4034	APR_DRG	Procedures For Obesity	6	6	—	—	$99,343.00	$99,343.00	$99,343.00	2026-02-28
404	APR_DRG	Spinal Disorders And Injuries	6	6	—	—	$137,864.00	$137,864.00	$137,864.00	2026-02-28
4044	APR_DRG	Thyroid Parathyroid And Thyroglossal Procedures	6	6	—	—	$123,311.00	$123,311.00	$123,311.00	2026-02-28
4054	APR_DRG	Other Procedures For Endocrine Nutritional And Metabolic Disorders	6	6	—	—	$124,170.00	$124,170.00	$124,170.00	2026-02-28
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$121,607.00	$121,607.00	$121,607.00	2026-02-28
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$170,200.00	$170,200.00	$170,200.00	2026-02-28
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$245,388.00	$245,388.00	$245,388.00	2026-02-28
434	APR_DRG	Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies	6	6	—	—	$75,162.00	$75,162.00	$75,162.00	2026-02-28
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$370,869.00	$370,869.00	$370,869.00	2026-02-28
4401	APR_DRG	Kidney Transplant	6	6	—	—	$113,020.00	$113,020.00	$113,020.00	2026-02-28
4402	APR_DRG	Kidney Transplant	6	6	—	—	$231,070.00	$231,070.00	$231,070.00	2026-02-28
4403	APR_DRG	Kidney Transplant	6	6	—	—	$269,419.00	$269,419.00	$269,419.00	2026-02-28
4404	APR_DRG	Kidney Transplant	6	6	—	—	$408,727.00	$408,727.00	$408,727.00	2026-02-28
4414	APR_DRG	Major Bladder Procedures	6	6	—	—	$150,893.00	$150,893.00	$150,893.00	2026-02-28
4424	APR_DRG	Kidney And Urinary Tract Procedures For Malignancy	6	6	—	—	$112,322.00	$112,322.00	$112,322.00	2026-02-28
443	APR_DRG	Intracranial Hemorrhage	6	6	—	—	$80,066.00	$80,066.00	$80,066.00	2026-02-28
4434	APR_DRG	Kidney And Urinary Tract Procedures For Non-malignancy	6	6	—	—	$88,058.00	$88,058.00	$88,058.00	2026-02-28
444	APR_DRG	Intracranial Hemorrhage	6	6	—	—	$89,208.00	$89,208.00	$89,208.00	2026-02-28
4444	APR_DRG	Renal Dialysis Access Device Procedures And Vessel Repair	6	6	—	—	$83,901.00	$83,901.00	$83,901.00	2026-02-28
4454	APR_DRG	Other Bladder Procedures	6	6	—	—	$82,740.00	$82,740.00	$82,740.00	2026-02-28
4474	APR_DRG	Other Kidney Urinary Tract And Related Procedures	6	6	—	—	$107,504.00	$107,504.00	$107,504.00	2026-02-28
4694	APR_DRG	Acute Kidney Injury	6	6	—	—	$77,447.00	$77,447.00	$77,447.00	2026-02-28
4804	APR_DRG	Major Male Pelvic Procedures	6	6	—	—	$95,286.00	$95,286.00	$95,286.00	2026-02-28
4834	APR_DRG	Penis Testes And Scrotal Procedures	6	6	—	—	$86,951.00	$86,951.00	$86,951.00	2026-02-28
4844	APR_DRG	Other Male Reproductive System And Related Procedures	6	6	—	—	$96,647.00	$96,647.00	$96,647.00	2026-02-28
494	APR_DRG	Bacterial And Tuberculous Infections Of Nervous System	6	6	—	—	$97,241.00	$97,241.00	$97,241.00	2026-02-28
504	APR_DRG	Non-bacterial Infections Of Nervous System Except Viral Meningitis	6	6	—	—	$92,662.00	$92,662.00	$92,662.00	2026-02-28
51	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$114,176.00	$114,176.00	$114,176.00	2026-02-28
5104	APR_DRG	Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu…	6	6	—	—	$128,077.00	$128,077.00	$128,077.00	2026-02-28
5114	APR_DRG	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	6	6	—	—	$115,620.00	$115,620.00	$115,620.00	2026-02-28
5124	APR_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	6	6	—	—	$102,669.00	$102,669.00	$102,669.00	2026-02-28
5134	APR_DRG	Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	6	6	—	—	$77,186.00	$77,186.00	$77,186.00	2026-02-28
5144	APR_DRG	Female Reproductive System Reconstructive Procedures	6	6	—	—	$98,556.00	$98,556.00	$98,556.00	2026-02-28
5184	APR_DRG	Other Female Reproductive System And Related Procedures	6	6	—	—	$94,565.00	$94,565.00	$94,565.00	2026-02-28
5194	APR_DRG	Uterine And Adnexa Procedures For Leiomyoma	6	6	—	—	$92,406.00	$92,406.00	$92,406.00	2026-02-28
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$135,432.00	$135,432.00	$135,432.00	2026-02-28
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$233,457.00	$233,457.00	$233,457.00	2026-02-28
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$344,525.00	$344,525.00	$344,525.00	2026-02-28
5484	APR_DRG	Postpartum And Post Abortion Diagnosis With O.r. Procedure	6	6	—	—	$75,077.00	$75,077.00	$75,077.00	2026-02-28
5831	APR_DRG	Neonate With Ecmo	6	6	—	—	$397,499.00	$397,499.00	$397,499.00	2026-02-28
5832	APR_DRG	Neonate With Ecmo	6	6	—	—	$459,973.00	$459,973.00	$459,973.00	2026-02-28
5833	APR_DRG	Neonate With Ecmo	6	6	—	—	$623,773.00	$623,773.00	$623,773.00	2026-02-28
5834	APR_DRG	Neonate With Ecmo	6	6	—	—	$787,573.00	$787,573.00	$787,573.00	2026-02-28
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$268,254.00	$268,254.00	$268,254.00	2026-02-28
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$407,532.00	$407,532.00	$407,532.00	2026-02-28
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$422,263.00	$422,263.00	$422,263.00	2026-02-28
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$589,506.00	$589,506.00	$589,506.00	2026-02-28
5891	APR_DRG	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	6	6	—	—	$126,218.00	$126,218.00	$126,218.00	2026-02-28
5892	APR_DRG	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	6	6	—	—	$104,780.00	$104,780.00	$104,780.00	2026-02-28
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$126,836.00	$126,836.00	$126,836.00	2026-02-28
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$224,981.00	$224,981.00	$224,981.00	2026-02-28
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$462,838.00	$462,838.00	$462,838.00	2026-02-28
5931	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$199,910.00	$199,910.00	$199,910.00	2026-02-28
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$222,122.00	$222,122.00	$222,122.00	2026-02-28
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$352,451.00	$352,451.00	$352,451.00	2026-02-28
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$460,047.00	$460,047.00	$460,047.00	2026-02-28
6021	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$191,460.00	$191,460.00	$191,460.00	2026-02-28
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$212,732.00	$212,732.00	$212,732.00	2026-02-28
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$336,142.00	$336,142.00	$336,142.00	2026-02-28
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$382,207.00	$382,207.00	$382,207.00	2026-02-28
6031	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$73,183.00	$73,183.00	$73,183.00	2026-02-28
6032	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$81,316.00	$81,316.00	$81,316.00	2026-02-28
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$164,811.00	$164,811.00	$164,811.00	2026-02-28
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$338,679.00	$338,679.00	$338,679.00	2026-02-28
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$133,384.00	$133,384.00	$133,384.00	2026-02-28
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$242,686.00	$242,686.00	$242,686.00	2026-02-28
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$311,954.00	$311,954.00	$311,954.00	2026-02-28
6082	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	6	—	—	$109,022.00	$109,022.00	$109,022.00	2026-02-28
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	6	—	—	$139,880.00	$139,880.00	$139,880.00	2026-02-28
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	6	—	—	$146,875.00	$146,875.00	$146,875.00	2026-02-28
6091	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$90,884.00	$90,884.00	$90,884.00	2026-02-28
6092	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$95,667.00	$95,667.00	$95,667.00	2026-02-28
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$201,408.00	$201,408.00	$201,408.00	2026-02-28
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$404,268.00	$404,268.00	$404,268.00	2026-02-28
61	APR_DRG	Pancreas Transplant	6	6	—	—	$161,459.00	$161,459.00	$161,459.00	2026-02-28
6112	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	6	—	—	$76,023.00	$76,023.00	$76,023.00	2026-02-28
6113	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	6	—	—	$141,064.00	$141,064.00	$141,064.00	2026-02-28
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	6	—	—	$178,233.00	$178,233.00	$178,233.00	2026-02-28
6121	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$77,827.00	$77,827.00	$77,827.00	2026-02-28
6122	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$138,995.00	$138,995.00	$138,995.00	2026-02-28
6123	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$160,350.00	$160,350.00	$160,350.00	2026-02-28
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$228,007.00	$228,007.00	$228,007.00	2026-02-28
6133	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	6	—	—	$107,846.00	$107,846.00	$107,846.00	2026-02-28
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	6	—	—	$165,385.00	$165,385.00	$165,385.00	2026-02-28
6143	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	6	6	—	—	$104,193.00	$104,193.00	$104,193.00	2026-02-28
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	6	6	—	—	$132,905.00	$132,905.00	$132,905.00	2026-02-28
62	APR_DRG	Pancreas Transplant	6	6	—	—	$205,406.00	$205,406.00	$205,406.00	2026-02-28
6213	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	6	6	—	—	$97,326.00	$97,326.00	$97,326.00	2026-02-28
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	6	6	—	—	$153,952.00	$153,952.00	$153,952.00	2026-02-28
6222	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$87,608.00	$87,608.00	$87,608.00	2026-02-28
6223	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$91,838.00	$91,838.00	$91,838.00	2026-02-28
6224	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$99,365.00	$99,365.00	$99,365.00	2026-02-28
6233	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	6	6	—	—	$75,253.00	$75,253.00	$75,253.00	2026-02-28
6234	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	6	6	—	—	$100,178.00	$100,178.00	$100,178.00	2026-02-28
6254	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	6	6	—	—	$92,288.00	$92,288.00	$92,288.00	2026-02-28
63	APR_DRG	Pancreas Transplant	6	6	—	—	$236,616.00	$236,616.00	$236,616.00	2026-02-28
6302	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$143,747.00	$143,747.00	$143,747.00	2026-02-28
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$226,566.00	$226,566.00	$226,566.00	2026-02-28
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$468,908.00	$468,908.00	$468,908.00	2026-02-28
6312	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$74,359.00	$74,359.00	$74,359.00	2026-02-28
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$144,899.00	$144,899.00	$144,899.00	2026-02-28
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$332,492.00	$332,492.00	$332,492.00	2026-02-28
6333	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	6	6	—	—	$113,300.00	$113,300.00	$113,300.00	2026-02-28
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	6	6	—	—	$206,421.00	$206,421.00	$206,421.00	2026-02-28
6344	APR_DRG	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	6	6	—	—	$105,022.00	$105,022.00	$105,022.00	2026-02-28
6364	APR_DRG	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	6	6	—	—	$79,897.00	$79,897.00	$79,897.00	2026-02-28
64	APR_DRG	Pancreas Transplant	6	6	—	—	$336,509.00	$336,509.00	$336,509.00	2026-02-28
6504	APR_DRG	Splenectomy	6	6	—	—	$111,244.00	$111,244.00	$111,244.00	2026-02-28
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	6	6	—	—	$124,688.00	$124,688.00	$124,688.00	2026-02-28
6614	APR_DRG	Coagulation And Platelet Disorders	6	6	—	—	$99,704.00	$99,704.00	$99,704.00	2026-02-28
6803	APR_DRG	Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	6	6	—	—	$72,149.00	$72,149.00	$72,149.00	2026-02-28
6804	APR_DRG	Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	6	6	—	—	$159,637.00	$159,637.00	$159,637.00	2026-02-28
6814	APR_DRG	Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	6	6	—	—	$131,355.00	$131,355.00	$131,355.00	2026-02-28
6903	APR_DRG	Acute Leukemia	6	6	—	—	$128,425.00	$128,425.00	$128,425.00	2026-02-28
6904	APR_DRG	Acute Leukemia	6	6	—	—	$141,267.00	$141,267.00	$141,267.00	2026-02-28
6913	APR_DRG	Lymphoma Myeloma And Non-acute Leukemia	6	6	—	—	$72,507.00	$72,507.00	$72,507.00	2026-02-28
6914	APR_DRG	Lymphoma Myeloma And Non-acute Leukemia	6	6	—	—	$77,320.00	$77,320.00	$77,320.00	2026-02-28
6924	APR_DRG	Radiotherapy	6	6	—	—	$86,047.00	$86,047.00	$86,047.00	2026-02-28
6944	APR_DRG	Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior	6	6	—	—	$88,580.00	$88,580.00	$88,580.00	2026-02-28
6954	APR_DRG	Chemotherapy For Acute Leukemia	6	6	—	—	$130,383.00	$130,383.00	$130,383.00	2026-02-28
71	APR_DRG	Allogeneic Bone Marrow Transplant	6	6	—	—	$160,398.00	$160,398.00	$160,398.00	2026-02-28
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	6	6	—	—	$108,457.00	$108,457.00	$108,457.00	2026-02-28
7114	APR_DRG	Post-operative Post-trauma Other Device Infections With O.r. Procedure	6	6	—	—	$98,217.00	$98,217.00	$98,217.00	2026-02-28
72	APR_DRG	Allogeneic Bone Marrow Transplant	6	6	—	—	$180,140.00	$180,140.00	$180,140.00	2026-02-28
7204	APR_DRG	Septicemia And Disseminated Infections	6	6	—	—	$75,155.00	$75,155.00	$75,155.00	2026-02-28
73	APR_DRG	Allogeneic Bone Marrow Transplant	6	6	—	—	$224,759.00	$224,759.00	$224,759.00	2026-02-28
734	APR_DRG	Orbit And Eye Procedures	6	6	—	—	$89,821.00	$89,821.00	$89,821.00	2026-02-28
74	APR_DRG	Allogeneic Bone Marrow Transplant	6	6	—	—	$390,776.00	$390,776.00	$390,776.00	2026-02-28
7404	APR_DRG	Mental Illness Diagnosis With O.r. Procedure	6	6	—	—	$147,093.00	$147,093.00	$147,093.00	2026-02-28
7524	APR_DRG	Disorders Of Personality And Impulse Control	6	6	—	—	$96,458.00	$96,458.00	$96,458.00	2026-02-28
7594	APR_DRG	Eating Disorders	6	6	—	—	$137,640.00	$137,640.00	$137,640.00	2026-02-28
7923	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	6	6	—	—	$76,486.00	$76,486.00	$76,486.00	2026-02-28
7924	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	6	6	—	—	$153,224.00	$153,224.00	$153,224.00	2026-02-28
7934	APR_DRG	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	6	6	—	—	$105,311.00	$105,311.00	$105,311.00	2026-02-28
81	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	6	6	—	—	$78,260.00	$78,260.00	$78,260.00	2026-02-28
82	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	6	6	—	—	$104,145.00	$104,145.00	$104,145.00	2026-02-28
83	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	6	6	—	—	$117,294.00	$117,294.00	$117,294.00	2026-02-28
84	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	6	6	—	—	$186,805.00	$186,805.00	$186,805.00	2026-02-28
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$159,854.00	$159,854.00	$159,854.00	2026-02-28
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$435,587.00	$435,587.00	$435,587.00	2026-02-28
8423	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	6	6	—	—	$91,504.00	$91,504.00	$91,504.00	2026-02-28
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	6	6	—	—	$220,133.00	$220,133.00	$220,133.00	2026-02-28
8502	APR_DRG	Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…	6	6	—	—	$81,153.00	$81,153.00	$81,153.00	2026-02-28
8503	APR_DRG	Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…	6	6	—	—	$99,487.00	$99,487.00	$99,487.00	2026-02-28
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…	6	6	—	—	$153,408.00	$153,408.00	$153,408.00	2026-02-28
8633	APR_DRG	Neonatal Aftercare	6	6	—	—	$110,885.00	$110,885.00	$110,885.00	2026-02-28
8634	APR_DRG	Neonatal Aftercare	6	6	—	—	$177,668.00	$177,668.00	$177,668.00	2026-02-28
8904	APR_DRG	HIV With Multiple Major HIV Related Conditions	6	6	—	—	$132,964.00	$132,964.00	$132,964.00	2026-02-28
893	APR_DRG	Major Cranial Or Facial Bone Procedures	6	6	—	—	$110,487.00	$110,487.00	$110,487.00	2026-02-28
894	APR_DRG	Major Cranial Or Facial Bone Procedures	6	6	—	—	$135,888.00	$135,888.00	$135,888.00	2026-02-28
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$104,545.00	$104,545.00	$104,545.00	2026-02-28
9101	APR_DRG	Craniotomy For Multiple Significant Trauma	6	6	—	—	$78,973.00	$78,973.00	$78,973.00	2026-02-28
9102	APR_DRG	Craniotomy For Multiple Significant Trauma	6	6	—	—	$83,495.00	$83,495.00	$83,495.00	2026-02-28
9103	APR_DRG	Craniotomy For Multiple Significant Trauma	6	6	—	—	$125,209.00	$125,209.00	$125,209.00	2026-02-28
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	6	6	—	—	$155,456.00	$155,456.00	$155,456.00	2026-02-28
9113	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	6	6	—	—	$74,131.00	$74,131.00	$74,131.00	2026-02-28
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	6	6	—	—	$226,803.00	$226,803.00	$226,803.00	2026-02-28
9123	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	6	6	—	—	$115,268.00	$115,268.00	$115,268.00	2026-02-28
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	6	6	—	—	$134,775.00	$134,775.00	$134,775.00	2026-02-28
913	APR_DRG	Other Major Head And Neck Procedures	6	6	—	—	$101,945.00	$101,945.00	$101,945.00	2026-02-28
914	APR_DRG	Other Major Head And Neck Procedures	6	6	—	—	$159,722.00	$159,722.00	$159,722.00	2026-02-28
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$127,386.00	$127,386.00	$127,386.00	2026-02-28
924	APR_DRG	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	6	6	—	—	$109,289.00	$109,289.00	$109,289.00	2026-02-28
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$174,655.00	$174,655.00	$174,655.00	2026-02-28
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$332,333.00	$332,333.00	$332,333.00	2026-02-28
9503	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	6	—	—	$83,401.00	$83,401.00	$83,401.00	2026-02-28
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	6	—	—	$152,165.00	$152,165.00	$152,165.00	2026-02-28
9514	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	6	—	—	$88,458.00	$88,458.00	$88,458.00	2026-02-28
9524	APR_DRG	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	6	6	—	—	$88,469.00	$88,469.00	$88,469.00	2026-02-28
984	APR_DRG	Other Ear Nose Mouth And Throat Procedures	6	6	—	—	$88,143.00	$88,143.00	$88,143.00	2026-02-28
J0225	HCPCS	Vutrisiran 25 Mgm/0.5 Ml Subcutaneous Syringme	10	7	$238,702.00	$162,317.36 32% off	$119,351.00	$226,766.90	$189,768.09	2026-02-28

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