Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CHI ST ALEXIUS HEALTH DEVILS LAKE

Devils Lake, ND · CCN 351333 · Rates published

3,435 distinct procedures filed
5 distinct payers
74,674 rate rows
2026-02-28 last MRF observed
Data quality

53,216 of 74,674 rate rows are consumer-grade (71.3%)

21,458 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,280
per-diem day rate — not a per-procedure price 8,150
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16
placeholder amount (≤ $0.02) — excluded from medians 8
exceeds 10× this hospital's gross charge — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.chistalexiushealth.org/content/dam/stalexiushealthorg/documents/financial/price-transparency-standard-charges/450227012-1659343093_mercy-hospital-of-devils-lake_standardcharges.json
Found on page https://www.chistalexiushealth.org/patients-and-visitors/financial-assistance
Discovered viaCMS hospital list
Last fetch success · 2026-11-03
Content fingerprint e2de2e9de042e7e5… · 10,118,829 bytes · first seen 2026-07-06

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 1 $727,219.00 $727,219.00 $727,219.00 nat. median
$309,665
outlier · 2.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $596,517.00 $596,517.00 $596,517.00 nat. median
$249,123
outlier · 2.4×
5833
APR_DRG 		Neonate With Ecmo 1 $575,972.00 $575,972.00 $575,972.00 nat. median
$244,017
outlier · 2.4×
1614
APR_DRG 		Implantable Heart Assist Systems 1 $570,341.00 $570,341.00 $570,341.00 nat. median
$202,660
outlier · 2.8×
24
APR_DRG 		Heart And/or Lung Transplant 1 $550,398.00 $550,398.00 $550,398.00 nat. median
$243,231
outlier · 2.3×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $516,431.00 $516,431.00 $516,431.00 nat. median
$165,334
outlier · 3.1×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $465,903.00 $465,903.00 $465,903.00 nat. median
$152,569
outlier · 3.1×
1613
APR_DRG 		Implantable Heart Assist Systems 1 $436,942.00 $436,942.00 $436,942.00 nat. median
$121,888
outlier · 3.6×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $432,973.00 $432,973.00 $432,973.00 nat. median
$154,211
outlier · 2.8×
5832
APR_DRG 		Neonate With Ecmo 1 $424,724.00 $424,724.00 $424,724.00 nat. median
$159,829
outlier · 2.7×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $402,208.00 $402,208.00 $402,208.00 nat. median
$160,390
outlier · 2.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $390,667.00 $390,667.00 $390,667.00 nat. median
$177,531
outlier · 2.2×
4404
APR_DRG 		Kidney Transplant 1 $384,111.00 $384,111.00 $384,111.00 nat. median
$78,303
outlier · 4.9×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $376,302.00 $376,302.00 $376,302.00 nat. median
$145,336
outlier · 2.6×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $373,289.00 $373,289.00 $373,289.00 nat. median
$165,846
outlier · 2.3×
5831
APR_DRG 		Neonate With Ecmo 1 $367,040.00 $367,040.00 $367,040.00 nat. median
$148,245
outlier · 2.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $360,830.00 $360,830.00 $360,830.00 nat. median
$171,358
outlier · 2.1×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $351,848.00 $351,848.00 $351,848.00 nat. median
$137,215
outlier · 2.6×
1612
APR_DRG 		Implantable Heart Assist Systems 1 $350,825.00 $350,825.00 $350,825.00 nat. median
$85,665
outlier · 4.1×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $346,762.00 $346,762.00 $346,762.00 nat. median
$119,800
outlier · 2.9×
23
APR_DRG 		Heart And/or Lung Transplant 1 $340,357.00 $340,357.00 $340,357.00 nat. median
$111,079
outlier · 3.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $338,915.00 $338,915.00 $338,915.00 nat. median
$122,016
outlier · 2.8×
1611
APR_DRG 		Implantable Heart Assist Systems 1 $333,283.00 $333,283.00 $333,283.00 nat. median
$77,137
outlier · 4.3×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $328,429.00 $328,429.00 $328,429.00 nat. median
$165,169
2.0× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $322,605.00 $322,605.00 $322,605.00 nat. median
$82,146
outlier · 3.9×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $312,725.00 $312,725.00 $312,725.00 nat. median
$107,562
outlier · 2.9×
64
APR_DRG 		Pancreas Transplant 1 $310,721.00 $310,721.00 $310,721.00 nat. median
$92,076
outlier · 3.4×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $309,285.00 $309,285.00 $309,285.00 nat. median
$138,094
outlier · 2.2×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $309,047.00 $309,047.00 $309,047.00 nat. median
$109,393
outlier · 2.8×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $289,667.00 $289,667.00 $289,667.00 nat. median
$89,743
outlier · 3.2×
4403
APR_DRG 		Kidney Transplant 1 $253,193.00 $253,193.00 $253,193.00 nat. median
$50,208
outlier · 5.0×
22
APR_DRG 		Heart And/or Lung Transplant 1 $252,582.00 $252,582.00 $252,582.00 nat. median
$93,125
outlier · 2.7×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $247,699.00 $247,699.00 $247,699.00 nat. median
$122,978
outlier · 2.0×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $241,337.00 $241,337.00 $241,337.00 nat. median
$99,544
outlier · 2.4×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $230,277.00 $230,277.00 $230,277.00 nat. median
$96,980
outlier · 2.4×
214
APR_DRG 		Open Craniotomy Except Trauma 1 $227,103.00 $227,103.00 $227,103.00 nat. median
$52,729
outlier · 4.3×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $220,505.00 $220,505.00 $220,505.00 nat. median
$103,993
outlier · 2.1×
2604
APR_DRG 		Major Pancreas Liver And Shunt Procedures 1 $218,559.00 $218,559.00 $218,559.00 nat. median
$49,942
outlier · 4.4×
63
APR_DRG 		Pancreas Transplant 1 $218,483.00 $218,483.00 $218,483.00 nat. median
$74,184
outlier · 2.9×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 $217,456.00 $217,456.00 $217,456.00 nat. median
$82,615
outlier · 2.6×
4402
APR_DRG 		Kidney Transplant 1 $217,151.00 $217,151.00 $217,151.00 nat. median
$41,927
outlier · 5.2×
21
APR_DRG 		Heart And/or Lung Transplant 1 $216,531.00 $216,531.00 $216,531.00 nat. median
$73,922
outlier · 2.9×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $213,659.00 $213,659.00 $213,659.00 nat. median
$75,127
outlier · 2.8×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $212,646.00 $212,646.00 $212,646.00 nat. median
$89,273
outlier · 2.4×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $210,974.00 $210,974.00 $210,974.00 nat. median
$86,338
outlier · 2.4×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $209,204.00 $209,204.00 $209,204.00 nat. median
$76,612
outlier · 2.7×
6073
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $207,142.00 $207,142.00 $207,142.00 nat. median
$69,311
outlier · 3.0×
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $203,414.00 $203,414.00 $203,414.00 nat. median
$73,704
outlier · 2.8×
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 1 $203,263.00 $203,263.00 $203,263.00 nat. median
$83,417
outlier · 2.4×
53
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $197,541.00 $197,541.00 $197,541.00 nat. median
$50,803
outlier · 3.9×

Other procedures at this hospital

Browse this hospital's 3,435 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
             
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 2 1 — — $82,060.00 $82,060.00 $82,060.00 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $90,838.00 $90,838.00 $90,838.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $135,684.00 $135,684.00 $135,684.00 2026-02-28
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $74,369.00 $74,369.00 $74,369.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $328,429.00 $328,429.00 $328,429.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $161,271.00 $161,271.00 $161,271.00 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 1 — — $95,450.00 $95,450.00 $95,450.00 2026-02-28
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 1 — — $70,038.00 $70,038.00 $70,038.00 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $117,623.00 $117,623.00 $117,623.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 2 1 — — $147,481.00 $147,481.00 $147,481.00 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 2 1 — — $94,134.00 $94,134.00 $94,134.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 1 — — $118,947.00 $118,947.00 $118,947.00 2026-02-28
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 1 — — $76,310.00 $76,310.00 $76,310.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 1 — — $142,193.00 $142,193.00 $142,193.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $154,413.00 $154,413.00 $154,413.00 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $88,095.00 $88,095.00 $88,095.00 2026-02-28
9102 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $77,293.00 $77,293.00 $77,293.00 2026-02-28
9101 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $72,922.00 $72,922.00 $72,922.00 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $96,533.00 $96,533.00 $96,533.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 1 — — $137,746.00 $137,746.00 $137,746.00 2026-02-28
893 APR_DRG Major Cranial Or Facial Bone Procedures 2 1 — — $97,468.00 $97,468.00 $97,468.00 2026-02-28
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 2 1 — — $85,304.00 $85,304.00 $85,304.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 2 1 — — $159,575.00 $159,575.00 $159,575.00 2026-02-28
8633 APR_DRG Neonatal Aftercare 2 1 — — $102,388.00 $102,388.00 $102,388.00 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 2 1 — — $141,653.00 $141,653.00 $141,653.00 2026-02-28
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 2 1 — — $86,309.00 $86,309.00 $86,309.00 2026-02-28
8502 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 2 1 — — $70,405.00 $70,405.00 $70,405.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 1 — — $203,263.00 $203,263.00 $203,263.00 2026-02-28
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 1 — — $84,589.00 $84,589.00 $84,589.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 1 — — $402,208.00 $402,208.00 $402,208.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 1 — — $147,606.00 $147,606.00 $147,606.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $182,530.00 $182,530.00 $182,530.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $114,936.00 $114,936.00 $114,936.00 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $96,164.00 $96,164.00 $96,164.00 2026-02-28
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $72,263.00 $72,263.00 $72,263.00 2026-02-28
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $68,170.00 $68,170.00 $68,170.00 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $91,423.00 $91,423.00 $91,423.00 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $126,914.00 $126,914.00 $126,914.00 2026-02-28
7604 APR_DRG Other Mental Health Disorders 2 1 — — $77,427.00 $77,427.00 $77,427.00 2026-02-28
7594 APR_DRG Eating Disorders 2 1 — — $127,092.00 $127,092.00 $127,092.00 2026-02-28
7593 APR_DRG Eating Disorders 2 1 — — $75,499.00 $75,499.00 $75,499.00 2026-02-28
7524 APR_DRG Disorders Of Personality And Impulse Control 2 1 — — $89,066.00 $89,066.00 $89,066.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 1 — — $135,822.00 $135,822.00 $135,822.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $360,830.00 $360,830.00 $360,830.00 2026-02-28
734 APR_DRG Orbit And Eye Procedures 2 1 — — $82,937.00 $82,937.00 $82,937.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $212,646.00 $212,646.00 $212,646.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $166,335.00 $166,335.00 $166,335.00 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 2 1 — — $91,495.00 $91,495.00 $91,495.00 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 1 — — $105,347.00 $105,347.00 $105,347.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $148,106.00 $148,106.00 $148,106.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 2 1 — — $117,375.00 $117,375.00 $117,375.00 2026-02-28
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 2 1 — — $83,306.00 $83,306.00 $83,306.00 2026-02-28
6924 APR_DRG Radiotherapy 2 1 — — $79,453.00 $79,453.00 $79,453.00 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 2 1 — — $81,037.00 $81,037.00 $81,037.00 2026-02-28
6904 APR_DRG Acute Leukemia 2 1 — — $138,183.00 $138,183.00 $138,183.00 2026-02-28
6903 APR_DRG Acute Leukemia 2 1 — — $109,800.00 $109,800.00 $109,800.00 2026-02-28
6902 APR_DRG Acute Leukemia 2 1 — — $70,421.00 $70,421.00 $70,421.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 2 1 — — $111,378.00 $111,378.00 $111,378.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 2 1 — — $134,120.00 $134,120.00 $134,120.00 2026-02-28
6803 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 2 1 — — $70,008.00 $70,008.00 $70,008.00 2026-02-28
6614 APR_DRG Coagulation And Platelet Disorders 2 1 — — $107,113.00 $107,113.00 $107,113.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 1 — — $115,134.00 $115,134.00 $115,134.00 2026-02-28
6504 APR_DRG Splenectomy 2 1 — — $97,029.00 $97,029.00 $97,029.00 2026-02-28
6404 APR_DRG Neonate Birth Weight > 2499 Grams Normal Newborn Or Neonate With Other Problem 2 1 — — $70,271.00 $70,271.00 $70,271.00 2026-02-28
64 APR_DRG Pancreas Transplant 2 1 — — $310,721.00 $310,721.00 $310,721.00 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 2 1 — — $73,643.00 $73,643.00 $73,643.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 1 — — $120,166.00 $120,166.00 $120,166.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 1 — — $133,173.00 $133,173.00 $133,173.00 2026-02-28
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 1 — — $104,036.00 $104,036.00 $104,036.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $309,285.00 $309,285.00 $309,285.00 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $123,986.00 $123,986.00 $123,986.00 2026-02-28
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $70,325.00 $70,325.00 $70,325.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $432,973.00 $432,973.00 $432,973.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $209,204.00 $209,204.00 $209,204.00 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $132,732.00 $132,732.00 $132,732.00 2026-02-28
63 APR_DRG Pancreas Transplant 2 1 — — $218,483.00 $218,483.00 $218,483.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 1 — — $85,216.00 $85,216.00 $85,216.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 1 — — $92,502.00 $92,502.00 $92,502.00 2026-02-28
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 1 — — $69,654.00 $69,654.00 $69,654.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $91,687.00 $91,687.00 $91,687.00 2026-02-28
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $75,523.00 $75,523.00 $75,523.00 2026-02-28
6222 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $71,084.00 $71,084.00 $71,084.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 1 — — $123,560.00 $123,560.00 $123,560.00 2026-02-28
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 1 — — $83,838.00 $83,838.00 $83,838.00 2026-02-28
62 APR_DRG Pancreas Transplant 2 1 — — $189,666.00 $189,666.00 $189,666.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 1 — — $122,721.00 $122,721.00 $122,721.00 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 1 — — $96,010.00 $96,010.00 $96,010.00 2026-02-28
6142 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 1 — — $83,790.00 $83,790.00 $83,790.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 1 — — $152,711.00 $152,711.00 $152,711.00 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 1 — — $99,580.00 $99,580.00 $99,580.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $159,507.00 $159,507.00 $159,507.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $107,524.00 $107,524.00 $107,524.00 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $83,268.00 $83,268.00 $83,268.00 2026-02-28
6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $68,651.00 $68,651.00 $68,651.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $165,372.00 $165,372.00 $165,372.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $122,783.00 $122,783.00 $122,783.00 2026-02-28
61 APR_DRG Pancreas Transplant 2 1 — — $149,085.00 $149,085.00 $149,085.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $373,289.00 $373,289.00 $373,289.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $185,974.00 $185,974.00 $185,974.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $88,335.00 $88,335.00 $88,335.00 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $83,918.00 $83,918.00 $83,918.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 1 — — $135,620.00 $135,620.00 $135,620.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 1 — — $129,160.00 $129,160.00 $129,160.00 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 1 — — $108,765.00 $108,765.00 $108,765.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $230,277.00 $230,277.00 $230,277.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $207,142.00 $207,142.00 $207,142.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $126,135.00 $126,135.00 $126,135.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $312,725.00 $312,725.00 $312,725.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $152,181.00 $152,181.00 $152,181.00 2026-02-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $82,595.00 $82,595.00 $82,595.00 2026-02-28
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $74,335.00 $74,335.00 $74,335.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $346,762.00 $346,762.00 $346,762.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $289,667.00 $289,667.00 $289,667.00 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $187,531.00 $187,531.00 $187,531.00 2026-02-28
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $168,778.00 $168,778.00 $168,778.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $465,903.00 $465,903.00 $465,903.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $309,047.00 $309,047.00 $309,047.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $210,974.00 $210,974.00 $210,974.00 2026-02-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $189,878.00 $189,878.00 $189,878.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $516,431.00 $516,431.00 $516,431.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $220,505.00 $220,505.00 $220,505.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $117,117.00 $117,117.00 $117,117.00 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 2 1 — — $96,751.00 $96,751.00 $96,751.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 2 1 — — $116,546.00 $116,546.00 $116,546.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $596,517.00 $596,517.00 $596,517.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $390,667.00 $390,667.00 $390,667.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $376,302.00 $376,302.00 $376,302.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $247,699.00 $247,699.00 $247,699.00 2026-02-28
5834 APR_DRG Neonate With Ecmo 2 1 — — $727,219.00 $727,219.00 $727,219.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 2 1 — — $575,972.00 $575,972.00 $575,972.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 2 1 — — $424,724.00 $424,724.00 $424,724.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 2 1 — — $367,040.00 $367,040.00 $367,040.00 2026-02-28
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 2 1 — — $76,568.00 $76,568.00 $76,568.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $322,605.00 $322,605.00 $322,605.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $197,541.00 $197,541.00 $197,541.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $128,744.00 $128,744.00 $128,744.00 2026-02-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 2 1 — — $85,326.00 $85,326.00 $85,326.00 2026-02-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 2 1 — — $87,316.00 $87,316.00 $87,316.00 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 2 1 — — $91,005.00 $91,005.00 $91,005.00 2026-02-28
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 2 1 — — $108,871.00 $108,871.00 $108,871.00 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 2 1 — — $94,801.00 $94,801.00 $94,801.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 1 — — $106,761.00 $106,761.00 $106,761.00 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 2 1 — — $118,264.00 $118,264.00 $118,264.00 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $105,427.00 $105,427.00 $105,427.00 2026-02-28
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 2 1 — — $76,386.00 $76,386.00 $76,386.00 2026-02-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 2 1 — — $88,494.00 $88,494.00 $88,494.00 2026-02-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 2 1 — — $89,241.00 $89,241.00 $89,241.00 2026-02-28
4834 APR_DRG Penis Testes And Scrotal Procedures 2 1 — — $80,288.00 $80,288.00 $80,288.00 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 2 1 — — $87,985.00 $87,985.00 $87,985.00 2026-02-28
4694 APR_DRG Acute Kidney Injury 2 1 — — $68,130.00 $68,130.00 $68,130.00 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 2 1 — — $99,346.00 $99,346.00 $99,346.00 2026-02-28
4454 APR_DRG Other Bladder Procedures 2 1 — — $76,400.00 $76,400.00 $76,400.00 2026-02-28
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 2 1 — — $78,284.00 $78,284.00 $78,284.00 2026-02-28
444 APR_DRG Intracranial Hemorrhage 2 1 — — $79,547.00 $79,547.00 $79,547.00 2026-02-28
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 2 1 — — $77,964.00 $77,964.00 $77,964.00 2026-02-28
443 APR_DRG Intracranial Hemorrhage 2 1 — — $71,396.00 $71,396.00 $71,396.00 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 2 1 — — $98,259.00 $98,259.00 $98,259.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 2 1 — — $139,330.00 $139,330.00 $139,330.00 2026-02-28
4404 APR_DRG Kidney Transplant 2 1 — — $384,111.00 $384,111.00 $384,111.00 2026-02-28
4403 APR_DRG Kidney Transplant 2 1 — — $253,193.00 $253,193.00 $253,193.00 2026-02-28
4402 APR_DRG Kidney Transplant 2 1 — — $217,151.00 $217,151.00 $217,151.00 2026-02-28
4401 APR_DRG Kidney Transplant 2 1 — — $104,358.00 $104,358.00 $104,358.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $338,915.00 $338,915.00 $338,915.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $213,659.00 $213,659.00 $213,659.00 2026-02-28
4214 APR_DRG Malnutrition Failure To Thrive And Other Nutritional Disorders 2 1 — — $97,312.00 $97,312.00 $97,312.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $157,911.00 $157,911.00 $157,911.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $112,287.00 $112,287.00 $112,287.00 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 2 1 — — $119,982.00 $119,982.00 $119,982.00 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 2 1 — — $113,861.00 $113,861.00 $113,861.00 2026-02-28
404 APR_DRG Spinal Disorders And Injuries 2 1 — — $131,511.00 $131,511.00 $131,511.00 2026-02-28
4034 APR_DRG Procedures For Obesity 2 1 — — $91,731.00 $91,731.00 $91,731.00 2026-02-28
403 APR_DRG Spinal Disorders And Injuries 2 1 — — $81,121.00 $81,121.00 $81,121.00 2026-02-28
4014 APR_DRG Adrenal Procedures 2 1 — — $115,863.00 $115,863.00 $115,863.00 2026-02-28
4013 APR_DRG Adrenal Procedures 2 1 — — $69,007.00 $69,007.00 $69,007.00 2026-02-28
3644 APR_DRG Other Skin Subcutaneous Tissue And Related Procedures 2 1 — — $70,875.00 $70,875.00 $70,875.00 2026-02-28
3634 APR_DRG Breast Procedures Except Mastectomy 2 1 — — $74,520.00 $74,520.00 $74,520.00 2026-02-28
3624 APR_DRG Mastectomy Procedures 2 1 — — $92,210.00 $92,210.00 $92,210.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 1 — — $125,554.00 $125,554.00 $125,554.00 2026-02-28
3464 APR_DRG Connective Tissue Disorders 2 1 — — $93,133.00 $93,133.00 $93,133.00 2026-02-28
3264 APR_DRG Elective Knee Joint Replacement 2 1 — — $70,613.00 $70,613.00 $70,613.00 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 1 — — $108,605.00 $108,605.00 $108,605.00 2026-02-28
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 1 — — $80,148.00 $80,148.00 $80,148.00 2026-02-28
3244 APR_DRG Elective Hip Joint Replacement 2 1 — — $78,805.00 $78,805.00 $78,805.00 2026-02-28
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 2 1 — — $95,670.00 $95,670.00 $95,670.00 2026-02-28
3224 APR_DRG Shoulder And Elbow Joint Replacement 2 1 — — $83,015.00 $83,015.00 $83,015.00 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 2 1 — — $101,985.00 $101,985.00 $101,985.00 2026-02-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 2 1 — — $89,515.00 $89,515.00 $89,515.00 2026-02-28
3174 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 2 1 — — $82,689.00 $82,689.00 $82,689.00 2026-02-28
3164 APR_DRG Hand And Wrist Procedures 2 1 — — $73,791.00 $73,791.00 $73,791.00 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 2 1 — — $90,302.00 $90,302.00 $90,302.00 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 2 1 — — $96,419.00 $96,419.00 $96,419.00 2026-02-28
3133 APR_DRG Knee And Lower Leg Procedures Except Foot 2 1 — — $75,865.00 $75,865.00 $75,865.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 2 1 — — $148,258.00 $148,258.00 $148,258.00 2026-02-28
3123 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 2 1 — — $109,862.00 $109,862.00 $109,862.00 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 2 1 — — $86,261.00 $86,261.00 $86,261.00 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 2 1 — — $98,795.00 $98,795.00 $98,795.00 2026-02-28
3084 APR_DRG Hip And Femur Fracture Repair 2 1 — — $75,911.00 $75,911.00 $75,911.00 2026-02-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 2 1 — — $117,695.00 $117,695.00 $117,695.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $173,041.00 $173,041.00 $173,041.00 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $70,171.00 $70,171.00 $70,171.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $140,864.00 $140,864.00 $140,864.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $217,456.00 $217,456.00 $217,456.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $164,647.00 $164,647.00 $164,647.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $117,805.00 $117,805.00 $117,805.00 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $86,453.00 $86,453.00 $86,453.00 2026-02-28
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $102,123.00 $102,123.00 $102,123.00 2026-02-28
302 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $93,163.00 $93,163.00 $93,163.00 2026-02-28
301 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $69,526.00 $69,526.00 $69,526.00 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 2 1 — — $99,584.00 $99,584.00 $99,584.00 2026-02-28
274 APR_DRG Other Open Craniotomy 2 1 — — $126,105.00 $126,105.00 $126,105.00 2026-02-28
273 APR_DRG Other Open Craniotomy 2 1 — — $74,500.00 $74,500.00 $74,500.00 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 2 1 — — $112,263.00 $112,263.00 $112,263.00 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 2 1 — — $96,297.00 $96,297.00 $96,297.00 2026-02-28
2634 APR_DRG Cholecystectomy 2 1 — — $95,392.00 $95,392.00 $95,392.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 2 1 — — $120,931.00 $120,931.00 $120,931.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 2 1 — — $218,559.00 $218,559.00 $218,559.00 2026-02-28
2603 APR_DRG Major Pancreas Liver And Shunt Procedures 2 1 — — $74,852.00 $74,852.00 $74,852.00 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 2 1 — — $95,602.00 $95,602.00 $95,602.00 2026-02-28
2414 APR_DRG Peptic Ulcer And Gastritis 2 1 — — $75,184.00 $75,184.00 $75,184.00 2026-02-28
2404 APR_DRG Digestive Malignancy 2 1 — — $93,994.00 $93,994.00 $93,994.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 2 1 — — $550,398.00 $550,398.00 $550,398.00 2026-02-28
234 APR_DRG Spinal Procedures 2 1 — — $145,667.00 $145,667.00 $145,667.00 2026-02-28
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 2 1 — — $76,472.00 $76,472.00 $76,472.00 2026-02-28
233 APR_DRG Spinal Procedures 2 1 — — $79,509.00 $79,509.00 $79,509.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 2 1 — — $97,190.00 $97,190.00 $97,190.00 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 2 1 — — $99,592.00 $99,592.00 $99,592.00 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 2 1 — — $120,799.00 $120,799.00 $120,799.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 2 1 — — $340,357.00 $340,357.00 $340,357.00 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 2 1 — — $127,312.00 $127,312.00 $127,312.00 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 2 1 — — $137,017.00 $137,017.00 $137,017.00 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 2 1 — — $90,502.00 $90,502.00 $90,502.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 2 1 — — $106,492.00 $106,492.00 $106,492.00 2026-02-28
2234 APR_DRG Other Small And Large Bowel Procedures 2 1 — — $93,189.00 $93,189.00 $93,189.00 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 2 1 — — $96,959.00 $96,959.00 $96,959.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 2 1 — — $101,951.00 $101,951.00 $101,951.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 2 1 — — $252,582.00 $252,582.00 $252,582.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 2 1 — — $227,103.00 $227,103.00 $227,103.00 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 2 1 — — $95,904.00 $95,904.00 $95,904.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 2 1 — — $216,531.00 $216,531.00 $216,531.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 2 1 — — $118,308.00 $118,308.00 $118,308.00 2026-02-28
203 APR_DRG Open Craniotomy For Trauma 2 1 — — $70,966.00 $70,966.00 $70,966.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $164,062.00 $164,062.00 $164,062.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $118,198.00 $118,198.00 $118,198.00 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $109,746.00 $109,746.00 $109,746.00 2026-02-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $91,407.00 $91,407.00 $91,407.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 2 1 — — $98,894.00 $98,894.00 $98,894.00 2026-02-28
1823 APR_DRG Other Peripheral Vascular Procedures 2 1 — — $81,181.00 $81,181.00 $81,181.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 2 1 — — $106,663.00 $106,663.00 $106,663.00 2026-02-28
1813 APR_DRG Lower Extremity Arterial Procedures 2 1 — — $71,038.00 $71,038.00 $71,038.00 2026-02-28
1804 APR_DRG Other Circulatory System Procedures 2 1 — — $70,363.00 $70,363.00 $70,363.00 2026-02-28
1794 APR_DRG Defibrillator Implants 2 1 — — $125,432.00 $125,432.00 $125,432.00 2026-02-28
1793 APR_DRG Defibrillator Implants 2 1 — — $106,729.00 $106,729.00 $106,729.00 2026-02-28
1792 APR_DRG Defibrillator Implants 2 1 — — $69,035.00 $69,035.00 $69,035.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 2 1 — — $164,659.00 $164,659.00 $164,659.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 2 1 — — $137,290.00 $137,290.00 $137,290.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 2 1 — — $133,061.00 $133,061.00 $133,061.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 2 1 — — $118,194.00 $118,194.00 $118,194.00 2026-02-28
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 2 1 — — $80,194.00 $80,194.00 $80,194.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 1 — — $121,295.00 $121,295.00 $121,295.00 2026-02-28
1763 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 1 — — $76,742.00 $76,742.00 $76,742.00 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 1 — — $72,309.00 $72,309.00 $72,309.00 2026-02-28
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 2 1 — — $75,577.00 $75,577.00 $75,577.00 2026-02-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 2 1 — — $80,294.00 $80,294.00 $80,294.00 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 2 1 — — $105,297.00 $105,297.00 $105,297.00 2026-02-28
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 2 1 — — $74,888.00 $74,888.00 $74,888.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 2 1 — — $195,857.00 $195,857.00 $195,857.00 2026-02-28
1693 APR_DRG Major Abdominal Vascular Procedures 2 1 — — $82,657.00 $82,657.00 $82,657.00 2026-02-28
1692 APR_DRG Major Abdominal Vascular Procedures 2 1 — — $74,670.00 $74,670.00 $74,670.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $167,466.00 $167,466.00 $167,466.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $94,493.00 $94,493.00 $94,493.00 2026-02-28
1672 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $75,156.00 $75,156.00 $75,156.00 2026-02-28
1671 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $72,305.00 $72,305.00 $72,305.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $134,823.00 $134,823.00 $134,823.00 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $75,216.00 $75,216.00 $75,216.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $124,249.00 $124,249.00 $124,249.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $87,859.00 $87,859.00 $87,859.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $76,798.00 $76,798.00 $76,798.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $178,871.00 $178,871.00 $178,871.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $110,311.00 $110,311.00 $110,311.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $190,112.00 $190,112.00 $190,112.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $96,737.00 $96,737.00 $96,737.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $76,668.00 $76,668.00 $76,668.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 2 1 — — $570,341.00 $570,341.00 $570,341.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 2 1 — — $436,942.00 $436,942.00 $436,942.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 2 1 — — $350,825.00 $350,825.00 $350,825.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 2 1 — — $333,283.00 $333,283.00 $333,283.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $241,337.00 $241,337.00 $241,337.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $129,551.00 $129,551.00 $129,551.00 2026-02-28
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $76,099.00 $76,099.00 $76,099.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $351,848.00 $351,848.00 $351,848.00 2026-02-28
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 2 1 — — $76,622.00 $76,622.00 $76,622.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $190,551.00 $190,551.00 $190,551.00 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $141,973.00 $141,973.00 $141,973.00 2026-02-28
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $71,354.00 $71,354.00 $71,354.00 2026-02-28
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $71,338.00 $71,338.00 $71,338.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $203,414.00 $203,414.00 $203,414.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 2 1 — — $99,460.00 $99,460.00 $99,460.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 2 1 — — $115,697.00 $115,697.00 $115,697.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $170,486.00 $170,486.00 $170,486.00 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $151,368.00 $151,368.00 $151,368.00 2026-02-28
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