Hospital

California Rehabilitation Institute, Llc

Los Angeles, CA · CCN 053039 · Rates published

100 distinct procedures filed

15 distinct payers

4,817 rate rows

2026-09-21 last MRF observed

Data quality

2,101 of 4,817 rate rows are consumer-grade (43.6%)

2,716 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	2,716

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

Source MRF file	https://resources.selectmedical.com/pricing-transparency/inpatient-rehabilitation/61-1725865_California_Rehab_Institute_standardcharges.csv
Found on page	https://www.californiarehabinstitute.com/patients-and-caregivers/admissions/price-transparency/
Discovered via	Discovered by HANK
Last fetch	success · 2026-09-21
Content fingerprint	8b1a78b7ca777e52… · 38,682,900 bytes · first seen 2026-09-21

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
1001 OTHER	Amputation, Lower Extremity With Motor >47.65.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1002 OTHER	Amputation, Lower Extremity With Motor >36.25 & Motor <47.65.,comorbidity In Tie…	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1003 OTHER	Amputation, Lower Extremity With Motor <36.25.,comorbidity In Tier 1	12	$4,049.00	$48,839.84	$4,049.00	nat. median $2,154 1.9× median
1004 OTHER	Amputation, Lower Extremity With Motor Score From 39 �45.,comorbidity In Tier 1	12	$4,049.00	$64,770.29	$4,049.00	nat. median $2,374 1.7× median
101 OTHER	Stroke With Motor >51.05.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,374 1.7× median
102 OTHER	Stroke With Motor >44.45 & Motor <51.05 & Cognitive >18.5.,comorbidity In Tier 1	12	$4,049.00	$32,878.67	$4,049.00	nat. median $2,374 1.7× median
103 OTHER	Stroke With Motor >44.45 & Motor <51.05 & Cognitive <18.5.,comorbidity In Tier 1	12	$4,049.00	$126,868.00	$4,049.00	nat. median $2,886 1.4× median
104 OTHER	Stroke With Motor >38.85 & Motor <44.45.,comorbidity In Tier 1	12	$4,049.00	$54,996.31	$4,049.00	nat. median $2,374 1.7× median
105 OTHER	Stroke With Motor >34.25 & Motor <38.85.,comorbidity In Tier 1	12	$4,049.00	$65,297.43	$4,049.00	nat. median $2,374 1.7× median
106 OTHER	Stroke With Motor >30.05 & Motor <34.25.,comorbidity In Tier 1	12	$4,049.00	$95,354.34	$4,049.00	nat. median $2,886 1.4× median
1101 OTHER	Amputation, Other Extremity With Motor >36.35.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1102 OTHER	Amputation, Other Extremity With Motor <36.35.,comorbidity In Tier 1	12	$4,049.00	$29,344.14	$4,049.00	nat. median $2,374 1.7× median
1103 OTHER	Lower-lower Extremity With Motor Score From 12 �37.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1201 OTHER	Osteoarthritis With Motor >37.65.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1202 OTHER	Osteoarthritis With Motor >30.75 & Motor <37.65.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1203 OTHER	Osteoarthritis With Motor <30.75.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $1,526 outlier · 2.7×
1204 OTHER	Osteoarthritis With Motor Score From 39 �47.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1301 OTHER	Rheumatoid, Other Arthritis With Motor >36.35.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1302 OTHER	Rheumatoid, Other Arthritis With Motor >26.15 & Motor <36.35.,comorbidity In Tie…	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1303 OTHER	Rheumatoid, Other Arthritis With Motor <26.15.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1304 OTHER	Rheumatoid, Other Arthritis With Motor Score From 12 �35.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,374 1.7× median
1305 OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1401 OTHER	Cardiac With Motor >48.85.,comorbidity In Tier 1	12	$4,049.00	$27,629.12	$4,049.00	nat. median $2,154 1.9× median
1402 OTHER	Cardiac With Motor >38.55 & Motor <48.85.,comorbidity In Tier 1	12	$4,049.00	$49,000.00	$4,049.00	nat. median $2,134 1.9× median
1403 OTHER	Cardiac With Motor >31.15 & Motor <38.55.,comorbidity In Tier 1	12	$4,049.00	$47,353.28	$4,049.00	nat. median $2,374 1.7× median
1404 OTHER	Cardiac With Motor <31.15.,comorbidity In Tier 1	12	$4,049.00	$87,393.33	$4,049.00	nat. median $2,154 1.9× median
1501 OTHER	Pulmonary With Motor >49.25.,comorbidity In Tier 1	12	$4,049.00	$22,932.28	$4,049.00	nat. median $2,154 1.9× median
1502 OTHER	Pulmonary With Motor >39.05 & Motor <49.25.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $1,500 outlier · 2.7×
1503 OTHER	Pulmonary With Motor >29.15 & Motor <39.05.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $1,526 outlier · 2.7×
1504 OTHER	Pulmonary With Motor <29.15.,comorbidity In Tier 1	12	$4,049.00	$73,535.56	$4,049.00	nat. median $1,526 outlier · 2.7×
1601 OTHER	Pain Syndrome With Motor >37.15.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1602 OTHER	Pain Syndrome With Motor >26.75 & Motor <37.15.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1603 OTHER	Pain Syndrome With Motor <26.75.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1604 OTHER	Pain Syndrome M <43.50.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1701 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >39.25.,com…	12	$4,049.00	$30,616.64	$4,049.00	nat. median $1,526 outlier · 2.7×
1702 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >31.05 & Mo…	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,154 1.9× median
1703 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >25.55 & Mo…	12	$4,049.00	$38,198.02	$4,049.00	nat. median $2,154 1.9× median
1704 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor <25.55.,com…	12	$4,049.00	$40,611.19	$4,049.00	nat. median $1,526 outlier · 2.7×
1705 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50.,comorbidity…	12	$4,049.00	$4,049.00	$4,049.00	nat. median $1,526 outlier · 2.7×
1801 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor >40.85.,comorb…	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,186 1.9× median
1802 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor >23.05 & Motor…	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,186 1.9× median
1803 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor <23.05.,comorb…	12	$4,049.00	$32,793.36	$4,049.00	nat. median $2,186 1.9× median
1804 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score From 12…	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,186 1.9× median
1805 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50.,c…	12	$4,049.00	$4,049.00	$4,049.00	nat. median $2,186 1.9× median
1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50.,comorbidity In…	12	$4,049.00	$110,277.61	$4,049.00	nat. median $2,186 1.9× median
1901 OTHER	Guillian Barre With Motor >35.95.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $3,015 1.3× median
1902 OTHER	Guillian Barre With Motor >18.05 & Motor <35.95.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $3,015 1.3× median
1903 OTHER	Guillian Barre With Motor <18.05.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $3,015 1.3× median
1904 OTHER	Guillain-barre M <38.50.,comorbidity In Tier 1	12	$4,049.00	$4,049.00	$4,049.00	nat. median $3,015 1.3× median
2001 OTHER	Miscellaneous With Motor >49.15.,comorbidity In Tier 1	12	$4,049.00	$144,500.00	$4,049.00	nat. median $2,154 1.9× median

Other procedures at this hospital

Browse this hospital's 100 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

1003	OTHER	Amputation, Lower Extremity With Motor <36.25.,comorbidity In Tier 1	20	12	—	—	$4,049.00	$48,839.84	$4,049.00	2026-09-21
1002	OTHER	Amputation, Lower Extremity With Motor >36.25 & Motor <47.65.,comorbidity In Tie…	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1001	OTHER	Amputation, Lower Extremity With Motor >47.65.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1004	OTHER	Amputation, Lower Extremity With Motor Score From 39 �45.,comorbidity In Tier 1	21	12	—	—	$4,049.00	$64,770.29	$4,049.00	2026-09-21
1102	OTHER	Amputation, Other Extremity With Motor <36.35.,comorbidity In Tier 1	20	12	—	—	$4,049.00	$29,344.14	$4,049.00	2026-09-21
1101	OTHER	Amputation, Other Extremity With Motor >36.35.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
2101	OTHER	Burns With Motor >0.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
2102	OTHER	Burns With Motor Score From 12 �45.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1404	OTHER	Cardiac With Motor <31.15.,comorbidity In Tier 1	23	12	—	—	$4,049.00	$87,393.33	$4,049.00	2026-09-21
1403	OTHER	Cardiac With Motor >31.15 & Motor <38.55.,comorbidity In Tier 1	21	12	—	—	$4,049.00	$47,353.28	$4,049.00	2026-09-21
1402	OTHER	Cardiac With Motor >38.55 & Motor <48.85.,comorbidity In Tier 1	25	12	—	—	$4,049.00	$49,000.00	$4,049.00	2026-09-21
1401	OTHER	Cardiac With Motor >48.85.,comorbidity In Tier 1	20	12	—	—	$4,049.00	$27,629.12	$4,049.00	2026-09-21
5103	OTHER	Expired, Not Orthopedic, Length Of Stay Is 15 Days Or Fewer.	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
5104	OTHER	Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More.	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
5101	OTHER	Expired, Orthopedic, Length Of Stay Is 13 Days Or Fewer.	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
5102	OTHER	Expired, Orthopedic, Length Of Stay Is 14 Days Or More.	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
704	OTHER	Fracture Of Lower Extremity With Motor <28.15.,comorbidity In Tier 1	21	12	—	—	$4,049.00	$39,836.83	$4,049.00	2026-09-21
703	OTHER	Fracture Of Lower Extremity With Motor >28.15 & Motor <34.15.,comorbidity In Tie…	23	12	—	—	$4,049.00	$53,306.58	$4,049.00	2026-09-21
702	OTHER	Fracture Of Lower Extremity With Motor >34.15 & Motor <42.15.,comorbidity In Tie…	24	12	—	—	$4,049.00	$39,260.31	$4,049.00	2026-09-21
701	OTHER	Fracture Of Lower Extremity With Motor >42.15.,comorbidity In Tier 1	20	12	—	—	$4,049.00	$27,546.38	$4,049.00	2026-09-21
1904	OTHER	Guillain-barre M <38.50.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1903	OTHER	Guillian Barre With Motor <18.05.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1902	OTHER	Guillian Barre With Motor >18.05 & Motor <35.95.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1901	OTHER	Guillian Barre With Motor >35.95.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1103	OTHER	Lower-lower Extremity With Motor Score From 12 �37.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50.,comorbidity In …	20	12	—	—	$4,049.00	$110,277.61	$4,049.00	2026-09-21
1805	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50.,c…	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1803	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor <23.05.,comorb…	21	12	—	—	$4,049.00	$32,793.36	$4,049.00	2026-09-21
1802	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor >23.05 & Motor…	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1801	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor >40.85.,comorb…	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1804	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score From 12 …	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50.,comorbidity …	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1704	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor <25.55.,com…	20	12	—	—	$4,049.00	$40,611.19	$4,049.00	2026-09-21
1703	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >25.55 & Mo…	20	12	—	—	$4,049.00	$38,198.02	$4,049.00	2026-09-21
1702	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >31.05 & Mo…	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1701	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >39.25.,com…	20	12	—	—	$4,049.00	$30,616.64	$4,049.00	2026-09-21
2004	OTHER	Miscellaneous With Motor <27.85, Comorbidity In Tier 1	23	12	—	—	$4,049.00	$43,415.00	$4,049.00	2026-09-21
2003	OTHER	Miscellaneous With Motor >27.85 & Motor <38.75.,comorbidity In Tier 1	24	12	—	—	$4,049.00	$41,245.15	$4,049.00	2026-09-21
2002	OTHER	Miscellaneous With Motor >38.75 & Motor <49.15.,comorbidity In Tier 1	28	12	—	—	$4,049.00	$51,000.00	$4,049.00	2026-09-21
2001	OTHER	Miscellaneous With Motor >49.15.,comorbidity In Tier 1	22	12	—	—	$4,049.00	$144,500.00	$4,049.00	2026-09-21
2005	OTHER	Miscellaneous With Motor Score From 12 �32 And Patient Is 81 Years Old Or Younge…	25	12	—	—	$4,049.00	$68,050.70	$4,049.00	2026-09-21
604	OTHER	Neurological With Motor <25.85.,comorbidity In Tier 1	29	12	—	—	$4,049.00	$59,435.74	$4,049.00	2026-09-21
603	OTHER	Neurological With Motor >25.85 & Motor <37.35.,comorbidity In Tier 1	28	12	—	—	$4,049.00	$84,000.00	$4,049.00	2026-09-21
602	OTHER	Neurological With Motor >37.35 & Motor <47.75.,comorbidity In Tier 1	23	12	—	—	$4,049.00	$30,076.21	$4,049.00	2026-09-21
601	OTHER	Neurological With Motor >47.75.,comorbidity In Tier 1	22	12	—	—	$4,049.00	$22,327.25	$4,049.00	2026-09-21
305	OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50.,comorbidity In Tier 1	25	12	—	—	$4,049.00	$860,200.00	$4,049.00	2026-09-21
304	OTHER	Non-traumatic Brain Injury With Motor <26.15.,comorbidity In Tier 1	24	12	—	—	$4,049.00	$53,635.75	$4,049.00	2026-09-21
303	OTHER	Non-traumatic Brain Injury With Motor >26.15 & Motor <35.05.,comorbidity In Tier…	25	12	—	—	$4,049.00	$65,819.53	$4,049.00	2026-09-21
302	OTHER	Non-traumatic Brain Injury With Motor >35.05 & Motor <41.05.,comorbidity In Tier…	25	12	—	—	$4,049.00	$40,939.42	$4,049.00	2026-09-21
301	OTHER	Non-traumatic Brain Injury With Motor >41.05.,comorbidity In Tier 1	22	12	—	—	$4,049.00	$42,000.00	$4,049.00	2026-09-21
505	OTHER	Non-traumatic Spinal Cord Injury With Motor >23.75 & Motor <29.25.,comorbidity I…	22	12	—	—	$4,049.00	$52,986.07	$4,049.00	2026-09-21
504	OTHER	Non-traumatic Spinal Cord Injury With Motor >29.25 & Motor <31.25.,comorbidity I…	24	12	—	—	$4,049.00	$59,880.97	$4,049.00	2026-09-21
503	OTHER	Non-traumatic Spinal Cord Injury With Motor >31.25 & Motor <40.15.,comorbidity I…	22	12	—	—	$4,049.00	$52,867.32	$4,049.00	2026-09-21
502	OTHER	Non-traumatic Spinal Cord Injury With Motor >40.15 & Motor <51.35.,comorbidity I…	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
501	OTHER	Non-traumatic Spinal Cord Injury With Motor >51.35.,comorbidity In Tier 1	20	12	—	—	$4,049.00	$20,311.98	$4,049.00	2026-09-21
1203	OTHER	Osteoarthritis With Motor <30.75.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1202	OTHER	Osteoarthritis With Motor >30.75 & Motor <37.65.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1201	OTHER	Osteoarthritis With Motor >37.65.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1204	OTHER	Osteoarthritis With Motor Score From 39 �47.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
904	OTHER	Other Orthopedic With Motor <24.15.,comorbidity In Tier 1	21	12	—	—	$4,049.00	$48,270.97	$4,049.00	2026-09-21
903	OTHER	Other Orthopedic With Motor >24.15 & Motor <34.35.,comorbidity In Tier 1	21	12	—	—	$4,049.00	$34,912.03	$4,049.00	2026-09-21
902	OTHER	Other Orthopedic With Motor >34.35 & Motor <44.75.,comorbidity In Tier 1	27	12	—	—	$4,049.00	$268,100.00	$4,049.00	2026-09-21
901	OTHER	Other Orthopedic With Motor >44.75.,comorbidity In Tier 1	23	12	—	—	$4,049.00	$80,750.00	$4,049.00	2026-09-21
1604	OTHER	Pain Syndrome M <43.50.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1603	OTHER	Pain Syndrome With Motor <26.75.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1602	OTHER	Pain Syndrome With Motor >26.75 & Motor <37.15.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1601	OTHER	Pain Syndrome With Motor >37.15.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1504	OTHER	Pulmonary With Motor <29.15.,comorbidity In Tier 1	20	12	—	—	$4,049.00	$73,535.56	$4,049.00	2026-09-21
1503	OTHER	Pulmonary With Motor >29.15 & Motor <39.05.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1502	OTHER	Pulmonary With Motor >39.05 & Motor <49.25.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1501	OTHER	Pulmonary With Motor >49.25.,comorbidity In Tier 1	20	12	—	—	$4,049.00	$22,932.28	$4,049.00	2026-09-21
805	OTHER	Replacement Of Lower Extremity Joint With Motor >22.05 & Motor <28.65.,comorbidi…	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
804	OTHER	Replacement Of Lower Extremity Joint With Motor >28.65 & Motor <37.05 & Age <83.…	20	12	—	—	$4,049.00	$44,701.71	$4,049.00	2026-09-21
803	OTHER	Replacement Of Lower Extremity Joint With Motor >28.65 & Motor <37.05 & Age >83.…	20	12	—	—	$4,049.00	$32,844.96	$4,049.00	2026-09-21
802	OTHER	Replacement Of Lower Extremity Joint With Motor >37.05 & Motor <49.55.,comorbidi…	20	12	—	—	$4,049.00	$21,967.02	$4,049.00	2026-09-21
801	OTHER	Replacement Of Lower Extremity Joint With Motor >49.55.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1305	OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1303	OTHER	Rheumatoid, Other Arthritis With Motor <26.15.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1302	OTHER	Rheumatoid, Other Arthritis With Motor >26.15 & Motor <36.35.,comorbidity In Tie…	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1301	OTHER	Rheumatoid, Other Arthritis With Motor >36.35.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
1304	OTHER	Rheumatoid, Other Arthritis With Motor Score From 12 �35.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
5001	OTHER	Short-stay Cases, Length Of Stay Is 3 Days Or Fewer.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
106	OTHER	Stroke With Motor >30.05 & Motor <34.25.,comorbidity In Tier 1	29	12	—	—	$4,049.00	$95,354.34	$4,049.00	2026-09-21
105	OTHER	Stroke With Motor >34.25 & Motor <38.85.,comorbidity In Tier 1	26	12	—	—	$4,049.00	$65,297.43	$4,049.00	2026-09-21
104	OTHER	Stroke With Motor >38.85 & Motor <44.45.,comorbidity In Tier 1	25	12	—	—	$4,049.00	$54,996.31	$4,049.00	2026-09-21
103	OTHER	Stroke With Motor >44.45 & Motor <51.05 & Cognitive <18.5.,comorbidity In Tier 1	29	12	—	—	$4,049.00	$126,868.00	$4,049.00	2026-09-21
102	OTHER	Stroke With Motor >44.45 & Motor <51.05 & Cognitive >18.5.,comorbidity In Tier 1	24	12	—	—	$4,049.00	$32,878.67	$4,049.00	2026-09-21
101	OTHER	Stroke With Motor >51.05.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
205	OTHER	Traumatic Brain Injury With Motor >28.75 & Motor <40.65.,comorbidity In Tier 1	23	12	—	—	$4,049.00	$58,272.00	$4,049.00	2026-09-21
204	OTHER	Traumatic Brain Injury With Motor >40.65 & Motor <44.25.,comorbidity In Tier 1	23	12	—	—	$4,049.00	$65,550.95	$4,049.00	2026-09-21
203	OTHER	Traumatic Brain Injury With Motor >44.25 & Cognitive <23.5.,comorbidity In Tier …	21	12	—	—	$4,049.00	$44,263.07	$4,049.00	2026-09-21
202	OTHER	Traumatic Brain Injury With Motor >44.25 & Motor <53.35 & Cognitive >23.5.,comor…	22	12	—	—	$4,049.00	$23,712.60	$4,049.00	2026-09-21
201	OTHER	Traumatic Brain Injury With Motor >53.35 & Cognitive >23.5.,comorbidity In Tier …	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50.,comorbidity In Tier 1	21	12	—	—	$4,049.00	$89,383.27	$4,049.00	2026-09-21
406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50.,comorbidity I…	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
405	OTHER	Traumatic Spinal Cord Injury With Motor <16.05 & Age <63.5.,comorbidity In Tier …	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
404	OTHER	Traumatic Spinal Cord Injury With Motor <16.05 & Age >63.5.,comorbidity In Tier …	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
403	OTHER	Traumatic Spinal Cord Injury With Motor >16.05 & Motor <30.35.,comorbidity In Ti…	20	12	—	—	$4,049.00	$46,495.72	$4,049.00	2026-09-21
402	OTHER	Traumatic Spinal Cord Injury With Motor >30.35 & Motor <48.45.,comorbidity In Ti…	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21
401	OTHER	Traumatic Spinal Cord Injury With Motor >48.45.,comorbidity In Tier 1	19	12	—	—	$4,049.00	$4,049.00	$4,049.00	2026-09-21

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