APR-DRG 026

Nervous system-related procedure, highest severity level

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 41efcec26401
Generated: October 17, 2026

Original text from hospital filings

facility

Payers reporting APR-DRG 026

24 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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#
1	UnitedHealthcare fee schedule · inpatient · +2 other terms	10	$31,034	$33,109	$16,402 – $61,533
2	Aetna fee schedule · inpatient	9	$19,397	$20,744	$10,251 – $38,458
3	Blue Cross Blue Shield facility · case rate · inpatient · +4 other terms	9	$29,224	$21,773	$7,372 – $87,672
4	Highmark fee schedule · inpatient · +1 other terms	9	$22,112	$23,648	$11,686 – $43,843
5	Humana facility · case rate · inpatient	9	$8,300	$9,593	$5,573 – $15,694
6	Molina facility · case rate · inpatient · +2 other terms	9	$8,300	$11,132	$5,573 – $35,601
7	Aetna Better Health facility · case rate · inpatient · +1 other terms	6	$8,300	$9,819	$5,573 – $44,206
8	Anthem facility · case rate · inpatient	3	$12,113	$16,351	$8,303 – $64,619
9	Caresource case rate · inpatient · +2 other terms	2	$37,148	$36,264	$28,121 – $40,874
10	Medicaid facility · case rate · inpatient	2	$24,611	$21,332	$10,083 – $34,448
11	Ucare facility · case rate · inpatient	2	$26,966	$23,427	$11,246 – $37,582
12	Amerihealth Caritas facility · case rate · inpatient	1	$12,072	$12,072	$8,303 – $15,842
13	Bcbs Ny case rate · inpatient · +1 other terms	1	$36,979	$36,979	$23,292 – $50,666
14	Carefirst facility · case rate · inpatient	1	$12,113	$12,113	$12,113 – $12,113
15	Cigna case rate · inpatient	1	$31,120	$31,120	$19,601 – $42,638
16	Excellus case rate · inpatient · +1 other terms	1	$18,829	$18,829	$7,408 – $50,666
17	Kaiser other · inpatient · +1 other terms	1	$22,425	$22,425	$13,113 – $39,074
18	Medical Mutual case rate · inpatient	1	$17,621	$17,621	$11,099 – $24,143
19	Premera facility · case rate · inpatient	1	$12,113	$12,113	$12,113 – $12,113
20	Regence facility · case rate · inpatient	1	$12,113	$12,113	$12,113 – $12,113
21	Sanford Health Plan case rate · inpatient	1	$35,279	$35,279	$30,294 – $40,638
22	Superior Healthplan facility · case rate · inpatient	1	$16,120	$16,120	$16,120 – $16,120
23	WellCare case rate · inpatient · +1 other terms	1	$12,573	$12,573	$7,920 – $17,227
24	Wellmark facility · case rate · inpatient	1	$11,746	$11,746	$11,012 – $12,113