Price Transparency Hospital negotiated rates

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

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Hospital

Vibra Rehabilitation Hospital Of Denver

Thornton, CO · CCN 063035 · Rates published

2,132 distinct procedures filed
13 distinct payers
37,972 rate rows
2026-03-17 last MRF observed
Data quality

4,824 of 37,972 rate rows are consumer-grade (12.7%)

33,148 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 32,156
per-diem day rate — not a per-procedure price 992
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ernesthealth.com/pricing/2026/260893115_denver-regional-rehabilitation-hospital_standard-charges.json
Found on page https://drrh.ernesthealth.com/price-transparency/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint 8549b283ed473c97… · 7,569,279 bytes · first seen 2026-05-14

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
D0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50- Tier Tier 3 11 $67,721.39 $67,721.39 $67,721.39 nat. median
$67,662
1.0× median
B1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 1 11 $63,852.60 $63,852.60 $63,852.60 nat. median
$64,290
1.0× median
B0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 1 11 $54,849.07 $54,849.07 $54,849.07 nat. median
$56,226
1.0× median
B0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier Tier 1 11 $53,929.21 $54,087.03 $54,008.12 nat. median
$53,762
1.0× median
D0406
LOCAL 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50- Tier Tier 3 11 $49,535.31 $49,535.31 $49,535.31 nat. median
$49,763
1.0× median
D1904
LOCAL 		Guillain-barré M <38.50- Tier Tier 3 11 $48,696.61 $48,696.61 $48,696.61 nat. median
$49,620
1.0× median
B0604
LOCAL 		Neurological M <43.50- Tier Tier 1 11 $45,285.99 $46,210.19 $45,748.09 nat. median
$46,423
1.0× median
B1805
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 11 $44,961.42 $44,961.42 $44,961.42 nat. median
$45,253
1.0× median
B0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 1 11 $44,245.18 $44,245.18 $44,245.18 nat. median
$44,232
1.0× median
B0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 1 11 $43,183.82 $43,183.82 $43,183.82 nat. median
$43,383
1.0× median
D0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier Tier 3 11 $41,885.54 $42,740.35 $42,312.94 nat. median
$42,703
1.0× median
C0205
LOCAL 		Traumatic Brain Injury M <35.50- Tier Tier 2 11 $42,213.94 $42,213.94 $42,213.94 nat. median
$40,508
1.0× median
A0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier None 11 $40,730.80 $42,118.46 $41,424.63 nat. median
$39,573
1.0× median
D0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 11 $41,135.31 $41,135.31 $41,135.31 nat. median
$41,099
1.0× median
B0904
LOCAL 		Other Orthopedic M <44.5- Tier Tier 1 11 $39,738.09 $39,738.09 $39,738.09 nat. median
$40,010
1.0× median
B0104
LOCAL 		Stroke M >=41.50 And M <50.50- Tier Tier 1 11 $37,917.82 $37,917.82 $37,917.82 nat. median
$38,092
1.0× median
A0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50- Tier None 11 $37,906.68 $37,906.68 $37,906.68 nat. median
$37,907
1.0× median
A0105
LOCAL 		Stroke M <41.50 And A >=84.50- Tier None 11 $37,391.44 $37,391.44 $37,391.44 nat. median
$35,375
1.1× median
D0205
LOCAL 		Traumatic Brain Injury M <35.50- Tier Tier 3 11 $36,624.51 $36,624.51 $36,624.51 nat. median
$36,592
1.0× median
B2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier Tier 1 11 $31,850.32 $41,215.10 $36,532.71 nat. median
$40,995
0.9× median
C0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 11 $35,398.00 $35,398.00 $35,398.00 nat. median
$35,561
1.0× median
C0604
LOCAL 		Neurological M <43.50- Tier Tier 2 11 $34,596.41 $36,150.25 $35,373.33 nat. median
$34,756
1.0× median
B2003
LOCAL 		Miscellaneous M >=46.50 And M <55.50- Tier Tier 1 11 $33,759.46 $33,759.46 $33,759.46 nat. median
$32,854
1.0× median
A1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 11 $33,720.49 $33,720.49 $33,720.49 nat. median
$31,920
1.1× median
D1004
LOCAL 		Amputation Lower Extremity M <47.50- Tier Tier 3 11 $32,256.59 $34,729.81 $33,493.20 nat. median
$32,228
1.0× median
D1903
LOCAL 		Guillain-barré M >=38.50 And M <51.50- Tier Tier 3 11 $33,429.28 $33,429.28 $33,429.28 nat. median
$33,429
1.0× median
C0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 2 11 $33,405.16 $33,405.16 $33,405.16 nat. median
$33,146
1.0× median
C2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier Tier 2 11 $32,920.87 $32,920.87 $32,920.87 nat. median
$32,921
1.0× median
D0604
LOCAL 		Neurological M <43.50- Tier Tier 3 11 $32,297.41 $32,297.41 $32,297.41 nat. median
$32,269
1.0× median
D1504
LOCAL 		Pulmonary M <45.50- Tier Tier 3 11 $32,213.91 $32,213.91 $32,213.91 nat. median
$32,186
1.0× median
D2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier Tier 3 11 $32,142.22 $32,142.22 $32,142.22 nat. median
$30,727
1.0× median
B0804
LOCAL 		Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier Tier 1 11 $31,891.05 $31,891.05 $31,891.05 nat. median
$32,109
1.0× median
C0904
LOCAL 		Other Orthopedic M <44.5- Tier Tier 2 11 $31,827.96 $31,827.96 $31,827.96 nat. median
$31,818
1.0× median
D0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 3 11 $31,644.26 $31,644.26 $31,644.26 nat. median
$31,616
1.0× median
C2004
LOCAL 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 11 $31,232.33 $31,232.33 $31,232.33 nat. median
$31,232
1.0× median
D0104
LOCAL 		Stroke M >=41.50 And M <50.50- Tier Tier 3 11 $30,050.36 $31,631.71 $30,841.03 nat. median
$30,024
1.0× median
A0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier None 11 $30,647.84 $30,647.84 $30,647.84 nat. median
$30,648
1.0× median
A0104
LOCAL 		Stroke M >=41.50 And M <50.50- Tier None 11 $30,002.78 $30,002.78 $30,002.78 nat. median
$28,703
1.0× median
D0904
LOCAL 		Other Orthopedic M <44.5- Tier Tier 3 11 $29,666.26 $29,666.26 $29,666.26 nat. median
$29,640
1.0× median
D0504
LOCAL 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 3 11 $29,603.17 $29,603.17 $29,603.17 nat. median
$29,577
1.0× median
D0204
LOCAL 		Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 3 11 $28,591.91 $30,061.23 $29,326.57 nat. median
$28,585
1.0× median
A0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier None 11 $29,235.78 $29,235.78 $29,235.78 nat. median
$29,236
1.0× median
D2004
LOCAL 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 11 $29,176.40 $29,176.40 $29,176.40 nat. median
$29,151
1.0× median
D1404
LOCAL 		Cardiac M <45.50- Tier Tier 3 11 $29,163.41 $29,163.41 $29,163.41 nat. median
$29,138
1.0× median
A0604
LOCAL 		Neurological M <43.50- Tier None 11 $29,128.16 $29,128.16 $29,128.16 nat. median
$28,952
1.0× median
A2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier None 11 $27,992.57 $27,992.57 $27,992.57 nat. median
$27,843
1.0× median
D0805
LOCAL 		Replacement Of Lower-extremity Joint M <42.50- Tier Tier 3 11 $27,981.44 $27,981.44 $27,981.44 nat. median
$27,957
1.0× median
A0304
LOCAL 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier None 11 $27,790.32 $27,790.32 $27,790.32 nat. median
$27,918
1.0× median
C0603
LOCAL 		Neurological M >=43.50 And M <52.50- Tier Tier 2 11 $27,586.21 $27,586.21 $27,586.21 nat. median
$27,713
1.0× median
C0703
LOCAL 		Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 2 11 $27,344.99 $27,344.99 $27,344.99 nat. median
$28,059
1.0× median

Other procedures at this hospital

Browse this hospital's 2,132 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
             
0424 RC Physical Therapy - Evaluation Or Re-evaluation 98 12 — — $38.00 $130.00 $84.00 2026-03-17
0434 RC Occupational Therapy - Evaluation Or Reevaluation 98 12 — — $38.00 $130.00 $84.00 2026-03-17
0444 RC Speech Therapy - Language Pathology - Evaluation Or Reevaluation 98 12 — — $38.00 $130.00 $84.00 2026-03-17
0421 RC Physical Therapy - Visit Charge 98 12 — — $38.00 $130.00 $84.00 2026-03-17
0420 RC Physical Therapy - General Classification 94 12 — — $38.00 $81.00 $59.50 2026-03-17
0430 RC Occupational Therapy - General Classification 94 12 — — $38.00 $81.00 $59.50 2026-03-17
0440 RC Speech Therapy - Language Pathology - General Classification 94 12 — — $38.00 $81.00 $59.50 2026-03-17
0410 RC Respiratory Services - General Classification 80 11 — — $38.00 $38.00 $38.00 2026-03-17
B0106 LOCAL Stroke M <41.50 And A <84.50- Tier Tier 1 40 11 — — $53,929.21 $54,087.03 $54,008.12 2026-03-17
D0106 LOCAL Stroke M <41.50 And A <84.50- Tier Tier 3 40 11 — — $41,885.54 $42,740.35 $42,312.94 2026-03-17
A0106 LOCAL Stroke M <41.50 And A <84.50- Tier None 40 11 — — $40,730.80 $42,118.46 $41,424.63 2026-03-17
B0104 LOCAL Stroke M >=41.50 And M <50.50- Tier Tier 1 40 11 — — $37,917.82 $37,917.82 $37,917.82 2026-03-17
A0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier None 40 11 — — $37,906.68 $37,906.68 $37,906.68 2026-03-17
B2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 1 40 11 — — $31,850.32 $41,215.10 $36,532.71 2026-03-17
B2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier Tier 1 40 11 — — $33,759.46 $33,759.46 $33,759.46 2026-03-17
D1004 LOCAL Amputation Lower Extremity M <47.50- Tier Tier 3 40 11 — — $32,256.59 $34,729.81 $33,493.20 2026-03-17
D0104 LOCAL Stroke M >=41.50 And M <50.50- Tier Tier 3 40 11 — — $30,050.36 $31,631.71 $30,841.03 2026-03-17
D0904 LOCAL Other Orthopedic M <44.5- Tier Tier 3 40 11 — — $29,666.26 $29,666.26 $29,666.26 2026-03-17
D0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 3 40 11 — — $28,591.91 $30,061.23 $29,326.57 2026-03-17
A0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50- Tier None 40 11 — — $26,920.07 $26,920.07 $26,920.07 2026-03-17
D0603 LOCAL Neurological M >=43.50 And M <52.50- Tier Tier 3 40 11 — — $25,752.94 $25,752.94 $25,752.94 2026-03-17
A0103 LOCAL Stroke M >=50.50 And M <63.50- Tier None 40 11 — — $22,438.96 $23,490.94 $22,964.95 2026-03-17
A0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50- Tier None 40 11 — — $19,429.65 $19,429.65 $19,429.65 2026-03-17
D0102 LOCAL Stroke M >=63.50 And M <72.50- Tier Tier 3 40 11 — — $18,267.72 $18,267.72 $18,267.72 2026-03-17
D0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50- Tier Tier 3 38 11 — — $67,721.39 $67,721.39 $67,721.39 2026-03-17
B1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 1 38 11 — — $63,852.60 $63,852.60 $63,852.60 2026-03-17
B0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 1 38 11 — — $54,849.07 $54,849.07 $54,849.07 2026-03-17
D0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50- Tier Tier 3 38 11 — — $49,535.31 $49,535.31 $49,535.31 2026-03-17
D1904 LOCAL Guillain-barré M <38.50- Tier Tier 3 38 11 — — $48,696.61 $48,696.61 $48,696.61 2026-03-17
B0604 LOCAL Neurological M <43.50- Tier Tier 1 38 11 — — $45,285.99 $46,210.19 $45,748.09 2026-03-17
B1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 38 11 — — $44,961.42 $44,961.42 $44,961.42 2026-03-17
B0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 1 38 11 — — $44,245.18 $44,245.18 $44,245.18 2026-03-17
B0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 1 38 11 — — $43,183.82 $43,183.82 $43,183.82 2026-03-17
C0205 LOCAL Traumatic Brain Injury M <35.50- Tier Tier 2 38 11 — — $42,213.94 $42,213.94 $42,213.94 2026-03-17
D0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 38 11 — — $41,135.31 $41,135.31 $41,135.31 2026-03-17
B0904 LOCAL Other Orthopedic M <44.5- Tier Tier 1 38 11 — — $39,738.09 $39,738.09 $39,738.09 2026-03-17
A0105 LOCAL Stroke M <41.50 And A >=84.50- Tier None 38 11 — — $37,391.44 $37,391.44 $37,391.44 2026-03-17
D0205 LOCAL Traumatic Brain Injury M <35.50- Tier Tier 3 38 11 — — $36,624.51 $36,624.51 $36,624.51 2026-03-17
C0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 38 11 — — $35,398.00 $35,398.00 $35,398.00 2026-03-17
C0604 LOCAL Neurological M <43.50- Tier Tier 2 38 11 — — $34,596.41 $36,150.25 $35,373.33 2026-03-17
A1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 38 11 — — $33,720.49 $33,720.49 $33,720.49 2026-03-17
D1903 LOCAL Guillain-barré M >=38.50 And M <51.50- Tier Tier 3 38 11 — — $33,429.28 $33,429.28 $33,429.28 2026-03-17
C0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 2 38 11 — — $33,405.16 $33,405.16 $33,405.16 2026-03-17
C2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 2 38 11 — — $32,920.87 $32,920.87 $32,920.87 2026-03-17
D0604 LOCAL Neurological M <43.50- Tier Tier 3 38 11 — — $32,297.41 $32,297.41 $32,297.41 2026-03-17
D1504 LOCAL Pulmonary M <45.50- Tier Tier 3 38 11 — — $32,213.91 $32,213.91 $32,213.91 2026-03-17
D2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 3 38 11 — — $32,142.22 $32,142.22 $32,142.22 2026-03-17
B0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier Tier 1 38 11 — — $31,891.05 $31,891.05 $31,891.05 2026-03-17
C0904 LOCAL Other Orthopedic M <44.5- Tier Tier 2 38 11 — — $31,827.96 $31,827.96 $31,827.96 2026-03-17
D0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 3 38 11 — — $31,644.26 $31,644.26 $31,644.26 2026-03-17
C2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 38 11 — — $31,232.33 $31,232.33 $31,232.33 2026-03-17
A0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier None 38 11 — — $30,647.84 $30,647.84 $30,647.84 2026-03-17
A0104 LOCAL Stroke M >=41.50 And M <50.50- Tier None 38 11 — — $30,002.78 $30,002.78 $30,002.78 2026-03-17
D0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 3 38 11 — — $29,603.17 $29,603.17 $29,603.17 2026-03-17
A0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier None 38 11 — — $29,235.78 $29,235.78 $29,235.78 2026-03-17
D2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 38 11 — — $29,176.40 $29,176.40 $29,176.40 2026-03-17
D1404 LOCAL Cardiac M <45.50- Tier Tier 3 38 11 — — $29,163.41 $29,163.41 $29,163.41 2026-03-17
A0604 LOCAL Neurological M <43.50- Tier None 38 11 — — $29,128.16 $29,128.16 $29,128.16 2026-03-17
A2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier None 38 11 — — $27,992.57 $27,992.57 $27,992.57 2026-03-17
D0805 LOCAL Replacement Of Lower-extremity Joint M <42.50- Tier Tier 3 38 11 — — $27,981.44 $27,981.44 $27,981.44 2026-03-17
A0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier None 38 11 — — $27,790.32 $27,790.32 $27,790.32 2026-03-17
C0603 LOCAL Neurological M >=43.50 And M <52.50- Tier Tier 2 38 11 — — $27,586.21 $27,586.21 $27,586.21 2026-03-17
C0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 2 38 11 — — $27,344.99 $27,344.99 $27,344.99 2026-03-17
A0904 LOCAL Other Orthopedic M <44.5- Tier None 38 11 — — $27,142.74 $27,142.74 $27,142.74 2026-03-17
A2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier None 38 11 — — $26,556.39 $26,556.39 $26,556.39 2026-03-17
D1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50… 38 11 — — $26,368.98 $26,368.98 $26,368.98 2026-03-17
A0805 LOCAL Replacement Of Lower-extremity Joint M <42.50- Tier None 38 11 — — $26,098.07 $26,098.07 $26,098.07 2026-03-17
D0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 3 38 11 — — $25,903.24 $25,903.24 $25,903.24 2026-03-17
D0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 3 38 11 — — $25,430.08 $25,430.08 $25,430.08 2026-03-17
D0903 LOCAL Other Orthopedic M >=44.50 And M <51.50- Tier Tier 3 38 11 — — $24,758.38 $24,758.38 $24,758.38 2026-03-17
D2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier Tier 3 38 11 — — $24,402.11 $24,402.11 $24,402.11 2026-03-17
A0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier None 38 11 — — $23,967.92 $23,967.92 $23,967.92 2026-03-17
A0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier None 38 11 — — $23,932.66 $23,932.66 $23,932.66 2026-03-17
D0103 LOCAL Stroke M >=50.50 And M <63.50- Tier Tier 3 38 11 — — $23,546.71 $23,546.71 $23,546.71 2026-03-17
D0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier Tier 3 38 11 — — $23,331.47 $23,331.47 $23,331.47 2026-03-17
A0603 LOCAL Neurological M >=43.50 And M <52.50- Tier None 38 11 — — $23,225.71 $23,225.71 $23,225.71 2026-03-17
D0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50- Tier Tier 3 38 11 — — $23,053.14 $23,053.14 $23,053.14 2026-03-17
C0502 LOCAL Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50- Tier Tier 2 38 11 — — $22,995.62 $22,995.62 $22,995.62 2026-03-17
A0903 LOCAL Other Orthopedic M >=44.50 And M <51.50- Tier None 38 11 — — $22,652.35 $22,652.35 $22,652.35 2026-03-17
D0602 LOCAL Neurological M >=52.50 And M <64.50- Tier Tier 3 38 11 — — $22,639.45 $22,639.45 $22,639.45 2026-03-17
A2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier None 38 11 — — $22,210.73 $22,210.73 $22,210.73 2026-03-17
D0302 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier Tier 3 38 11 — — $21,134.52 $21,134.52 $21,134.52 2026-03-17
D0803 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50- Tier Tier 3 38 11 — — $20,824.65 $20,824.65 $20,824.65 2026-03-17
D2002 LOCAL Miscellaneous M >=55.50 And M <66.50- Tier Tier 3 38 11 — — $20,377.46 $20,377.46 $20,377.46 2026-03-17
A0502 LOCAL Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50- Tier None 38 11 — — $20,019.35 $20,019.35 $20,019.35 2026-03-17
D0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 38 11 — — $6,694.54 $32,516.36 $19,605.45 2026-03-17
A0902 LOCAL Other Orthopedic M >=51.50 And M <63.50- Tier None 38 11 — — $18,969.11 $18,969.11 $18,969.11 2026-03-17
D0802 LOCAL Replacement Of Lower-extremity Joint M >=57.50 And M <63.50- Tier Tier 3 38 11 — — $18,709.34 $18,709.34 $18,709.34 2026-03-17
A2002 LOCAL Miscellaneous M >=55.50 And M <66.50- Tier None 38 11 — — $18,547.91 $18,547.91 $18,547.91 2026-03-17
D0501 LOCAL Non-traumatic Spinal Cord Injury M >=60.50- Tier Tier 3 38 11 — — $18,235.88 $18,235.88 $18,235.88 2026-03-17
A0102 LOCAL Stroke M >=63.50 And M <72.50- Tier None 38 11 — — $17,410.47 $17,410.47 $17,410.47 2026-03-17
D2001 LOCAL Miscellaneous M >=66.50- Tier Tier 3 38 11 — — $16,343.53 $16,343.53 $16,343.53 2026-03-17
D1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 38 11 — — $7,122.42 $7,122.42 $7,122.42 2026-03-17
D0801 LOCAL Replacement Of Lower-extremity Joint M >=63.50- Tier Tier 3 38 11 — — $6,417.88 $6,417.88 $6,417.88 2026-03-17
A0302 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier None 38 11 — — $6,337.91 $6,337.91 $6,337.91 2026-03-17
A0205 LOCAL Traumatic Brain Injury M <35.50- Tier None 38 11 — — $5,032.51 $5,032.51 $5,032.51 2026-03-17
0441 RC Speech Therapy - Language Pathology - Visit Charge 34 4 — — $38.00 $130.00 $81.00 2026-03-17
0431 RC Occupational Therapy - Visit Charge 34 4 — — $38.00 $130.00 $81.00 2026-03-17
0433 RC Occupational Therapy - Group Rate 30 4 — — $38.00 $81.00 $59.50 2026-03-17
0423 RC Physical Therapy - Group Rate 30 4 — — $38.00 $81.00 $59.50 2026-03-17
0432 RC Occupational Therapy - Hourly Charge 30 4 — — $38.00 $81.00 $59.50 2026-03-17
0422 RC Physical Therapy - Hourly Charge 30 4 — — $38.00 $81.00 $59.50 2026-03-17
0442 RC Speech Therapy - Language Pathology - Hourly Charge 30 4 — — $38.00 $81.00 $59.50 2026-03-17
0443 RC Speech Therapy - Language Pathology - Group Rate 30 4 — — $38.00 $81.00 $59.50 2026-03-17
0429 RC Physical Therapy - Other 26 4 — — $38.00 $81.00 $70.00 2026-03-17
0439 RC Occupational Therapy - Other 26 4 — — $38.00 $81.00 $70.00 2026-03-17
0449 RC Speech Therapy - Language Pathology - Other 26 4 — — $38.00 $81.00 $70.00 2026-03-17
0801 RC Inpatient Renal Dialysis - Hemodialysis 16 2 — — $464.00 $507.00 $464.00 2026-03-17
0416 RC Respiratory Services - Continuation 16 2 — — $38.00 $38.00 $38.00 2026-03-17
0415 RC Respiratory Services - Treatment 16 2 — — $38.00 $38.00 $38.00 2026-03-17
0413 RC Respiratory Services - Hyperbaric Oxygen Therapy 16 2 — — $38.00 $38.00 $38.00 2026-03-17
0417 RC Respiratory Services - Observation/Hourly 16 2 — — $38.00 $38.00 $38.00 2026-03-17
0412 RC Respiratory Services - Inhalation Services 16 2 — — $38.00 $38.00 $38.00 2026-03-17
0414 RC Respiratory Services - Evaluation Or Testing 16 2 — — $38.00 $38.00 $38.00 2026-03-17
0418 RC Respiratory Services - Other 16 2 — — $38.00 $38.00 $38.00 2026-03-17
0411 RC Respiratory Services - Visit 16 2 — — $38.00 $38.00 $38.00 2026-03-17
0419 RC Respiratory Services - Other 16 2 — — $38.00 $38.00 $38.00 2026-03-17
0446 RC Speech-language Pathology - Continuation 12 2 — — $38.00 $38.00 $38.00 2026-03-17
0447 RC Speech-language Pathology - Observation/Hourly 12 2 — — $38.00 $38.00 $38.00 2026-03-17
0445 RC Speech-language Pathology - Treatment 12 2 — — $38.00 $38.00 $38.00 2026-03-17
0437 RC Occupational Therapy - Observation/Hourly 12 2 — — $38.00 $38.00 $38.00 2026-03-17
0436 RC Occupational Therapy - Continuation 12 2 — — $38.00 $38.00 $38.00 2026-03-17
0438 RC Occupational Therapy - Other 12 2 — — $38.00 $38.00 $38.00 2026-03-17
0427 RC Physical Therapy - Observation/Hourly 12 2 — — $38.00 $38.00 $38.00 2026-03-17
0425 RC Physical Therapy - Treatment 12 2 — — $38.00 $38.00 $38.00 2026-03-17
0426 RC Physical Therapy - Continuation 12 2 — — $38.00 $38.00 $38.00 2026-03-17
0428 RC Physical Therapy - Other 12 2 — — $38.00 $38.00 $38.00 2026-03-17
0448 RC Speech-language Pathology - Other 12 2 — — $38.00 $38.00 $38.00 2026-03-17
0435 RC Occupational Therapy - Treatment 12 2 — — $38.00 $38.00 $38.00 2026-03-17
0128 RC Room & Board - Semi-private (Two Beds) - Rehabilitation 10 3 — — $1,108.73 $1,193.50 $1,126.47 2026-03-17
0138 RC Room & Board - Three And Four Beds - Rehabilitation 6 2 — — $1,262.50 $1,262.50 $1,262.50 2026-03-17
0158 RC Room & Board - Ward - Rehabilitation 6 2 — — $1,262.50 $1,262.50 $1,262.50 2026-03-17
0148 RC Room & Board - Deluxe Private - Rehabilitation 6 2 — — $1,262.50 $1,262.50 $1,262.50 2026-03-17
0118 RC Room & Board - Private (One Bed) - Rehabilitation 6 2 — — $1,108.73 $1,262.50 $1,126.47 2026-03-17
0800 RC Inpatient Renal Dialysis - General Classification 6 2 — — $525.00 $525.00 $525.00 2026-03-17
0804 RC Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (ccpd) 6 2 — — $525.00 $525.00 $525.00 2026-03-17
0809 RC Inpatient Renal Dialysis - Other 6 2 — — $525.00 $525.00 $525.00 2026-03-17
0803 RC Inpatient Renal Dialysis - Continuous Ambulatory Peritoneal Dialysis (capd) 6 2 — — $525.00 $525.00 $525.00 2026-03-17
0802 RC Inpatient Renal Dialysis - Peritoneal Dialysis (non-capd) 6 2 — — $525.00 $525.00 $525.00 2026-03-17
36589 HCPCS Removal Tunneled Cv Cath 0 0 — — — — — 2026-03-17
36573 HCPCS Insj Picc Rs&i 5 Yr+ 0 0 — — — — — 2026-03-17
24615 HCPCS Treat Elbow Dislocation 0 0 — — — — — 2026-03-17
36569 HCPCS Insj Picc 5 Yr+ Without Imaging 0 0 — — — — — 2026-03-17
36561 HCPCS Insert Tunneled Cv Cath 0 0 — — — — — 2026-03-17
24516 HCPCS Treat Humerus Fracture 0 0 — — — — — 2026-03-17
15853 HCPCS Removal Sutr/stapl Xreq Anes 0 0 — — — — — 2026-03-17
36558 HCPCS Insert Tunneled Cv Cath 0 0 — — — — — 2026-03-17
36556 HCPCS Insert Non-tunnel Cv Cath 0 0 — — — — — 2026-03-17
24430 HCPCS Repair Of Humerus 0 0 — — — — — 2026-03-17
36514 HCPCS Apheresis Plasma 0 0 — — — — — 2026-03-17
36460 HCPCS Intrauterine Transfusion Ftl 0 0 — — — — — 2026-03-17
24344 HCPCS Reconstruct Elbow Lat Ligmnt 0 0 — — — — — 2026-03-17
15772 HCPCS Grfg Autol Fat Lipo Ea Addl 0 0 — — — — — 2026-03-17
10060 HCPCS I&d Abscess Simple/single 0 0 — — — — — 2026-03-17
36430 HCPCS Transfusion Bld/bld Compnt 0 0 — — — — — 2026-03-17
36415 HCPCS Routine Venipuncture 0 0 — — — — — 2026-03-17
23650 HCPCS Cltx Sho Dslc W/mnpj Wo Anes 0 0 — — — — — 2026-03-17
36248 HCPCS Ins Cath Abd/l-ext Art Addl 0 0 — — — — — 2026-03-17
36247 HCPCS Ins Cath Abd/l-ext Art 3rd 0 0 — — — — — 2026-03-17
23515 HCPCS Optx Clavicular Fx W/int Fix 0 0 — — — — — 2026-03-17
15771 HCPCS Grfg Autol Fat Lipo 50 Cc/< 0 0 — — — — — 2026-03-17
36225 HCPCS Place Cath Subclavian Art 0 0 — — — — — 2026-03-17
36200 HCPCS Place Catheter In Aorta 0 0 — — — — — 2026-03-17
23412 HCPCS Repair Rotator Cuff Chronic 0 0 — — — — — 2026-03-17
36012 HCPCS Place Catheter In Vein 0 0 — — — — — 2026-03-17
33228 HCPCS Remv&replc Pm Gen Dual Lead 0 0 — — — — — 2026-03-17
22552 HCPCS Arthrd Ant Ntrbd Cervical Ea 0 0 — — — — — 2026-03-17
14020 HCPCS Tis Trnfr S/a/l 10 Sq Cm/< 0 0 — — — — — 2026-03-17
10005 HCPCS Fna Bx W/us Gdn 1st Les 0 0 — — — — — 2026-03-17
00410 HCPCS Anesth Correct Heart Rhythm 0 0 — — — — — 2026-03-17
33227 HCPCS Remove&replace Pm Gen Singl 0 0 — — — — — 2026-03-17
33207 HCPCS Insert Heart Pm Ventricular 0 0 — — — — — 2026-03-17
22548 HCPCS Arthrd Ant Toral/xoral C1-c2 0 0 — — — — — 2026-03-17
32555 HCPCS Aspirate Pleura With Imaging 0 0 — — — — — 2026-03-17
32408 HCPCS Core Ndl Bx Lng/med Perq 0 0 — — — — — 2026-03-17
22515 HCPCS Perq Vertebral Augmentation 0 0 — — — — — 2026-03-17
14000 HCPCS Tis Trnfr Trunk 10 Sq Cm/< 0 0 — — — — — 2026-03-17
31500 HCPCS Insert Emergency Airway 0 0 — — — — — 2026-03-17
31288 HCPCS Nasal/sinus Endoscopy Surg 0 0 — — — — — 2026-03-17
22514 HCPCS Perq Vertebral Augmentation 0 0 — — — — — 2026-03-17
31276 HCPCS Nsl/sins Ndsc Frnt Tiss Rmvl 0 0 — — — — — 2026-03-17
31267 HCPCS Endoscopy Maxillary Sinus 0 0 — — — — — 2026-03-17
22513 HCPCS Perq Vertebral Augmentation 0 0 — — — — — 2026-03-17
12032 HCPCS Intmd Rpr S/a/t/ext 2.6-7.5 0 0 — — — — — 2026-03-17
0671T HCPCS Insj Ant Sgm Aq DRG Dev 1+ 0 0 — — — — — 2026-03-17
31259 HCPCS Nsl/sins Ndsc Sphn Tiss Rmvl 0 0 — — — — — 2026-03-17
31257 HCPCS Nsl/sins Ndsc Tot W/sphendt 0 0 — — — — — 2026-03-17
22224 HCPCS Osteot Dsc Ant 1vrt Sgm Lmbr 0 0 — — — — — 2026-03-17
31256 HCPCS Exploration Maxillary Sinus 0 0 — — — — — 2026-03-17
31254 HCPCS Nsl/sins Ndsc W/prtl Ethmdct 0 0 — — — — — 2026-03-17
21931 HCPCS Exc Back Les Sc 3 Cm/> 0 0 — — — — — 2026-03-17
12013 HCPCS Rpr F/e/e/n/l/m 2.6-5.0 Cm 0 0 — — — — — 2026-03-17
49651 HCPCS Lap Ing Hernia Repair Recur 0 0 — — — — — 2026-03-17
49650 HCPCS Lap Ing Hernia Repair Init 0 0 — — — — — 2026-03-17
31237 HCPCS Nsl/sins Ndsc Surg Bx Polypc 0 0 — — — — — 2026-03-17
49594 HCPCS Rpr Aa Hrn 1st 3-10 Ncr/strn 0 0 — — — — — 2026-03-17
49592 HCPCS Rpr Aa Hrn 1st < 3 Ncr/strn 0 0 — — — — — 2026-03-17
30801 HCPCS Ablate Inf Turbinate Superf 0 0 — — — — — 2026-03-17
50435 HCPCS Exchange Nephrostomy Cath 0 0 — — — — — 2026-03-17
50543 HCPCS Laparo Partial Nephrectomy 0 0 — — — — — 2026-03-17
50590 HCPCS Fragmenting Of Kidney Stone 0 0 — — — — — 2026-03-17
50949 HCPCS Unlisted Laps Px Ureter 0 0 — — — — — 2026-03-17
51102 HCPCS Drain Bl W/cath Insertion 0 0 — — — — — 2026-03-17
51702 HCPCS Insert Temp Bladder Cath 0 0 — — — — — 2026-03-17
51798 HCPCS US Urine Capacity Measure 0 0 — — — — — 2026-03-17
52204 HCPCS Cystoscopy W/biopsy(s) 0 0 — — — — — 2026-03-17
52224 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52234 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52235 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52240 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52310 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52317 HCPCS Remove Bladder Stone 0 0 — — — — — 2026-03-17
52332 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52356 HCPCS Cysto/uretero W/lithotripsy 0 0 — — — — — 2026-03-17
52601 HCPCS Prostatectomy (turp) 0 0 — — — — — 2026-03-17
53445 HCPCS Insert Uro/ves Nck Sphincter 0 0 — — — — — 2026-03-17
54161 HCPCS Circum 28 Days Or Older 0 0 — — — — — 2026-03-17
55040 HCPCS Removal Of Hydrocele 0 0 — — — — — 2026-03-17
55700 HCPCS Biopsy Of Prostate 0 0 — — — — — 2026-03-17
55880 HCPCS Abltj Mal Prst8 Tiss Hifu 0 0 — — — — — 2026-03-17
57260 HCPCS Cmbn Ant Pst Colprhy 0 0 — — — — — 2026-03-17
57288 HCPCS Repair Bladder Defect 0 0 — — — — — 2026-03-17
57461 HCPCS Conz Of Cervix W/scope Leep 0 0 — — — — — 2026-03-17
57522 HCPCS Conization Of Cervix 0 0 — — — — — 2026-03-17
58120 HCPCS Dilation And Curettage 0 0 — — — — — 2026-03-17
58301 HCPCS Remove Intrauterine Device 0 0 — — — — — 2026-03-17
58550 HCPCS Laparo-asst Vag Hysterectomy 0 0 — — — — — 2026-03-17
58552 HCPCS Laparo-vag Hyst Incl T/o 0 0 — — — — — 2026-03-17
58554 HCPCS Laparo-vag Hyst W/t/o Compl 0 0 — — — — — 2026-03-17
58558 HCPCS Hysteroscopy Biopsy 0 0 — — — — — 2026-03-17
58561 HCPCS Hysteroscopy Remove Myoma 0 0 — — — — — 2026-03-17
58563 HCPCS Hysteroscopy Ablation 0 0 — — — — — 2026-03-17
58570 HCPCS Tlh Uterus 250 G Or Less 0 0 — — — — — 2026-03-17
58571 HCPCS Tlh W/t/o 250 G Or Less 0 0 — — — — — 2026-03-17
58661 HCPCS Laparoscopy Remove Adnexa 0 0 — — — — — 2026-03-17
58662 HCPCS Laparoscopy Excise Lesions 0 0 — — — — — 2026-03-17
59012 HCPCS Fetal Cord Puncture Prenatal 0 0 — — — — — 2026-03-17
59025 HCPCS Fetal Non-stress Test 0 0 — — — — — 2026-03-17
59820 HCPCS Care Of Miscarriage 0 0 — — — — — 2026-03-17
59897 HCPCS Unlisted Fetal Invas Px W/us 0 0 — — — — — 2026-03-17
60220 HCPCS Partial Removal Of Thyroid 0 0 — — — — — 2026-03-17
61782 HCPCS Scan Proc Cranial Extra 0 0 — — — — — 2026-03-17
62270 HCPCS Dx Lmbr Spi Pnxr 0 0 — — — — — 2026-03-17
62328 HCPCS Dx Lmbr Spi Pnxr W/fluor/ct 0 0 — — — — — 2026-03-17
64450 HCPCS Njx Aa&/strd Other Pn/branch 0 0 — — — — — 2026-03-17
64718 HCPCS Revise Ulnar Nerve At Elbow 0 0 — — — — — 2026-03-17
64721 HCPCS Carpal Tunnel Surgery 0 0 — — — — — 2026-03-17
65426 HCPCS Removal Of Eye Lesion 0 0 — — — — — 2026-03-17
65730 HCPCS Corneal Transplant 0 0 — — — — — 2026-03-17
65755 HCPCS Corneal Transplant 0 0 — — — — — 2026-03-17
65756 HCPCS Corneal Trnspl Endothelial 0 0 — — — — — 2026-03-17
65820 HCPCS Relieve Inner Eye Pressure 0 0 — — — — — 2026-03-17
66170 HCPCS Glaucoma Surgery 0 0 — — — — — 2026-03-17
66180 HCPCS Aqueous Shunt Eye W/graft 0 0 — — — — — 2026-03-17
21552 HCPCS Exc Neck Les Sc 3 Cm/> 0 0 — — — — — 2026-03-17
49591 HCPCS Rpr Aa Hrn 1st < 3 Cm Rdc 0 0 — — — — — 2026-03-17
49520 HCPCS Rerepair Ing Hernia Reduce 0 0 — — — — — 2026-03-17
30520 HCPCS Repair Of Nasal Septum 0 0 — — — — — 2026-03-17
49507 HCPCS Prp I/hern Init Block >5 Yr 0 0 — — — — — 2026-03-17
49505 HCPCS Prp I/hern Init Reduc >5 Yr 0 0 — — — — — 2026-03-17
30140 HCPCS Resect Inferior Turbinate 0 0 — — — — — 2026-03-17
21014 HCPCS Exc Face Tum Deep 2 Cm/> 0 0 — — — — — 2026-03-17
12011 HCPCS Rpr F/e/e/n/l/m 2.5 Cm/< 0 0 — — — — — 2026-03-17
00921 HCPCS Anesth Vasectomy 0 0 — — — — — 2026-03-17
00402 HCPCS Anesth Surgery Of Breast 0 0 — — — — — 2026-03-17
00320 HCPCS Anesth Neck Organ 1yr/> 0 0 — — — — — 2026-03-17
49422 HCPCS Remove Tunneled Ip Cath 0 0 — — — — — 2026-03-17
49324 HCPCS Lap Insert Tunnel Ip Cath 0 0 — — — — — 2026-03-17
30130 HCPCS Excise Inferior Turbinate 0 0 — — — — — 2026-03-17
49322 HCPCS Laparoscopy Aspiration 0 0 — — — — — 2026-03-17
49083 HCPCS Abd Paracentesis W/imaging 0 0 — — — — — 2026-03-17
29881 HCPCS Knee Arthroscopy/surgery 0 0 — — — — — 2026-03-17
20985 HCPCS Cptr-asst Dir Ms Px 0 0 — — — — — 2026-03-17
47563 HCPCS Laparo Cholecystectomy/graph 0 0 — — — — — 2026-03-17
47562 HCPCS Laparoscopic Cholecystectomy 0 0 — — — — — 2026-03-17
29880 HCPCS Knee Arthroscopy/surgery 0 0 — — — — — 2026-03-17
47000 HCPCS Needle Biopsy Of Liver 0 0 — — — — — 2026-03-17
46924 HCPCS Destruction Anal Lesion(s) 0 0 — — — — — 2026-03-17
29828 HCPCS Sho Arthrs Srg Bicp Tenodsis 0 0 — — — — — 2026-03-17
20680 HCPCS Removal Of Implant Deep 0 0 — — — — — 2026-03-17
12004 HCPCS Rpr S/n/ax/gen/trk7.6-12.5cm 0 0 — — — — — 2026-03-17
46607 HCPCS Diagnostic Anoscopy & Biopsy 0 0 — — — — — 2026-03-17
46260 HCPCS Remove In/ex Hem Groups 2+ 0 0 — — — — — 2026-03-17
29827 HCPCS Sho Arthrs Srg Rt8tr Cuf Rpr 0 0 — — — — — 2026-03-17
46255 HCPCS Remove Int/ext Hem 1 Group 0 0 — — — — — 2026-03-17
45388 HCPCS Colonoscopy W/ablation 0 0 — — — — — 2026-03-17
29826 HCPCS Sho Arthrs Srg Decompression 0 0 — — — — — 2026-03-17
20610 HCPCS Drain/inj Joint/bursa Without US 0 0 — — — — — 2026-03-17
45385 HCPCS Colonoscopy W/lesion Removal 0 0 — — — — — 2026-03-17
45381 HCPCS Colonoscopy Submucous Njx 0 0 — — — — — 2026-03-17
29822 HCPCS Sho Arthrs Srg Lmtd Dbrdmt 0 0 — — — — — 2026-03-17
45380 HCPCS Colonoscopy And Biopsy 0 0 — — — — — 2026-03-17
45378 HCPCS Diagnostic Colonoscopy 0 0 — — — — — 2026-03-17
29805 HCPCS Sho Arthrs Dx +- Synovial Bx 0 0 — — — — — 2026-03-17
20561 HCPCS Ndl Insj Without Njx 3+ Musc 0 0 — — — — — 2026-03-17
12002 HCPCS Rpr S/n/ax/gen/trnk2.6-7.5cm 0 0 — — — — — 2026-03-17
00730 HCPCS Anesth Abdominal Wall Surg 0 0 — — — — — 2026-03-17
45300 HCPCS Proctosigmoidoscopy Dx 0 0 — — — — — 2026-03-17
44970 HCPCS Laparoscopy Appendectomy 0 0 — — — — — 2026-03-17
29515 HCPCS Application Lower Leg Splint 0 0 — — — — — 2026-03-17
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