Hospital

Pam Health Rehabilitation Hospital Westminster

Westminster, CO · CCN 063037 · Rates published

2,042 distinct procedures filed

18 distinct payers

65,304 rate rows

2025-09-11 last MRF observed

Data quality

65,241 of 65,304 rate rows are consumer-grade (99.9%)

63 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	38
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	25

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
B0407 LOCAL	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	13	$76,766.68	$127,944.47	$85,296.31	nat. median $79,920 1.1× median
C0407 LOCAL	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	13	$68,267.11	$113,778.51	$75,852.34	nat. median $70,083 1.1× median
B1904 LOCAL	Guillain-barré M <38.50	13	$66,425.93	$110,709.89	$73,806.59	nat. median $68,345 1.1× median
D0407 LOCAL	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	13	$66,269.77	$110,449.62	$73,633.08	nat. median $67,662 1.1× median
B1806 LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	13	$62,483.91	$104,139.86	$69,426.57	nat. median $64,290 1.1× median
A0407 LOCAL	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	13	$60,216.03	$100,360.05	$66,906.70	nat. median $61,956 1.1× median
B0406 LOCAL	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	13	$56,152.36	$93,587.27	$62,391.51	nat. median $59,111 1.1× median
B0404 LOCAL	Traumatic Spinal Cord Injury M <31.50 And A <61.50	13	$55,337.09	$92,228.48	$61,485.65	nat. median $57,695 1.1× median
B0505 LOCAL	Non-traumatic Spinal Cord Injury M <39.50	13	$54,768.75	$91,281.26	$60,854.17	nat. median $56,226 1.1× median
B0106 LOCAL	Stroke M <41.50 And A <84.50	13	$52,773.24	$87,955.40	$58,636.93	nat. median $53,762 1.1× median
C1904 LOCAL	Guillain-barré M <38.50	13	$51,068.23	$85,113.72	$56,742.48	nat. median $52,544 1.1× median
C0406 LOCAL	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	13	$49,935.20	$83,225.34	$55,483.56	nat. median $52,063 1.1× median
C1806 LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	13	$49,846.23	$83,077.05	$55,384.70	nat. median $51,172 1.1× median
C0404 LOCAL	Traumatic Spinal Cord Injury M <31.50 And A <61.50	13	$49,210.71	$82,017.86	$54,678.57	nat. median $50,633 1.1× median
D0406 LOCAL	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	13	$48,473.51	$80,789.19	$53,859.46	nat. median $49,763 1.1× median
B0205 LOCAL	Traumatic Brain Injury M <35.50	13	$47,908.81	$79,848.02	$53,232.01	nat. median $49,196 1.1× median
D0404 LOCAL	Traumatic Spinal Cord Injury M <31.50 And A <61.50	13	$47,770.81	$79,618.02	$53,078.68	nat. median $49,042 1.1× median
D1904 LOCAL	Guillain-barré M <38.50	13	$47,652.80	$79,421.33	$52,947.55	nat. median $49,620 1.1× median
B1705 LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	13	$47,609.22	$79,348.70	$52,899.13	nat. median $48,876 1.1× median
D1806 LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	13	$47,322.32	$78,870.54	$52,580.36	nat. median $48,581 1.1× median
A1904 LOCAL	Guillain-barré M <38.50	13	$46,828.44	$78,047.40	$52,031.60	nat. median $48,824 1.1× median
B0105 LOCAL	Stroke M <41.50 And A >=84.50	13	$46,398.11	$77,330.18	$51,553.45	nat. median $48,375 1.1× median
C0106 LOCAL	Stroke M <41.50 And A <84.50	13	$45,768.03	$76,280.06	$50,853.37	nat. median $46,986 1.1× median
B1903 LOCAL	Guillain-barré M >=38.50 And M <51.50	13	$45,600.98	$76,001.64	$50,667.76	nat. median $46,919 1.1× median
B0604 LOCAL	Neurological M <43.50	13	$45,219.67	$75,366.12	$50,244.08	nat. median $46,423 1.1× median
A0406 LOCAL	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	13	$44,046.69	$73,411.16	$48,940.77	nat. median $45,230 1.1× median
B0405 LOCAL	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	13	$44,006.74	$73,344.57	$48,896.38	nat. median $46,326 1.1× median
B1805 LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	13	$43,997.67	$73,329.45	$48,886.30	nat. median $45,253 1.1× median
A1806 LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	13	$43,876.01	$73,126.68	$48,751.12	nat. median $45,144 1.1× median
A0404 LOCAL	Traumatic Spinal Cord Injury M <31.50 And A <61.50	13	$43,407.55	$72,345.92	$48,230.61	nat. median $44,562 1.1× median
B0305 LOCAL	Non-traumatic Brain Injury M <42.50 And A <78.50	13	$43,296.79	$72,161.31	$48,107.54	nat. median $44,232 1.1× median
A5104 LOCAL	Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More	13	$43,276.82	$72,128.03	$48,085.35	nat. median $44,527 1.1× median
B1604 LOCAL	Pain Syndrome M <43.50	13	$42,624.95	$71,041.59	$47,361.06	nat. median $43,857 1.1× median
C0505 LOCAL	Non-traumatic Spinal Cord Injury M <39.50	13	$42,608.61	$71,014.35	$47,342.90	nat. median $43,704 1.1× median
B0704 LOCAL	Fracture Of Lower Extremity M <41.50	13	$42,258.17	$70,430.28	$46,953.52	nat. median $43,383 1.1× median
B2102 LOCAL	Burns M <52.50	13	$42,082.04	$70,136.73	$46,757.82	nat. median $43,298 1.1× median
D0106 LOCAL	Stroke M <41.50 And A <84.50	13	$41,824.21	$69,707.01	$46,471.34	nat. median $42,703 1.1× median
B1004 LOCAL	Amputation Lower Extremity M <47.50	13	$41,782.44	$69,637.40	$46,424.93	nat. median $42,470 1.1× median
B1504 LOCAL	Pulmonary M <45.50	13	$41,297.63	$68,829.39	$45,886.26	nat. median $43,057 1.1× median
B1704 LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	13	$40,569.52	$67,615.86	$45,077.24	nat. median $41,742 1.1× median
28730 CPT	Fusion Of Foot Bones	18	$40,550.39	$49,239.76	$44,895.07	nat. median $10,278 outlier · 4.4×
B2005 LOCAL	Miscellaneous M <46.50 And A <77.50	13	$40,331.65	$67,219.41	$44,812.94	nat. median $40,995 1.1× median
D0505 LOCAL	Non-traumatic Spinal Cord Injury M <39.50	13	$40,253.57	$67,089.29	$44,726.19	nat. median $41,099 1.1× median
C0105 LOCAL	Stroke M <41.50 And A >=84.50	13	$40,239.05	$67,065.08	$44,710.05	nat. median $41,402 1.1× median
A0106 LOCAL	Stroke M <41.50 And A <84.50	13	$39,857.73	$66,429.56	$44,286.37	nat. median $39,573 1.1× median
B1204 LOCAL	Osteoarthritis M <49.50 And A <74.50	13	$39,650.74	$66,084.57	$44,056.38	nat. median $40,797 1.1× median
C0205 LOCAL	Traumatic Brain Injury M <35.50	13	$39,458.27	$65,763.78	$43,842.52	nat. median $40,508 1.1× median
B0504 LOCAL	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	13	$39,414.69	$65,691.15	$43,794.10	nat. median $41,330 1.1× median
B0304 LOCAL	Non-traumatic Brain Injury M <42.50 And A >=78.50	13	$39,258.53	$65,430.89	$43,620.59	nat. median $41,166 1.1× median
C0405 LOCAL	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	13	$39,135.06	$65,225.10	$43,483.40	nat. median $40,176 1.1× median

Other procedures at this hospital

Browse this hospital's 2,042 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

B0407	LOCAL	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	16	13	—	—	$76,766.68	$127,944.47	$85,296.31	2025-09-11
C0407	LOCAL	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	16	13	—	—	$68,267.11	$113,778.51	$75,852.34	2025-09-11
B1904	LOCAL	Guillain-barré M <38.50	16	13	—	—	$66,425.93	$110,709.89	$73,806.59	2025-09-11
D0407	LOCAL	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	16	13	—	—	$66,269.77	$110,449.62	$73,633.08	2025-09-11
B1806	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	16	13	—	—	$62,483.91	$104,139.86	$69,426.57	2025-09-11
A0407	LOCAL	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	16	13	—	—	$60,216.03	$100,360.05	$66,906.70	2025-09-11
B0406	LOCAL	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	16	13	—	—	$56,152.36	$93,587.27	$62,391.51	2025-09-11
B0404	LOCAL	Traumatic Spinal Cord Injury M <31.50 And A <61.50	16	13	—	—	$55,337.09	$92,228.48	$61,485.65	2025-09-11
B0505	LOCAL	Non-traumatic Spinal Cord Injury M <39.50	16	13	—	—	$54,768.75	$91,281.26	$60,854.17	2025-09-11
B0106	LOCAL	Stroke M <41.50 And A <84.50	16	13	—	—	$52,773.24	$87,955.40	$58,636.93	2025-09-11
C1904	LOCAL	Guillain-barré M <38.50	16	13	—	—	$51,068.23	$85,113.72	$56,742.48	2025-09-11
C0406	LOCAL	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	16	13	—	—	$49,935.20	$83,225.34	$55,483.56	2025-09-11
C1806	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	16	13	—	—	$49,846.23	$83,077.05	$55,384.70	2025-09-11
C0404	LOCAL	Traumatic Spinal Cord Injury M <31.50 And A <61.50	16	13	—	—	$49,210.71	$82,017.86	$54,678.57	2025-09-11
D0406	LOCAL	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	16	13	—	—	$48,473.51	$80,789.19	$53,859.46	2025-09-11
B0205	LOCAL	Traumatic Brain Injury M <35.50	16	13	—	—	$47,908.81	$79,848.02	$53,232.01	2025-09-11
D0404	LOCAL	Traumatic Spinal Cord Injury M <31.50 And A <61.50	16	13	—	—	$47,770.81	$79,618.02	$53,078.68	2025-09-11
D1904	LOCAL	Guillain-barré M <38.50	16	13	—	—	$47,652.80	$79,421.33	$52,947.55	2025-09-11
B1705	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	16	13	—	—	$47,609.22	$79,348.70	$52,899.13	2025-09-11
D1806	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	16	13	—	—	$47,322.32	$78,870.54	$52,580.36	2025-09-11
A1904	LOCAL	Guillain-barré M <38.50	16	13	—	—	$46,828.44	$78,047.40	$52,031.60	2025-09-11
B0105	LOCAL	Stroke M <41.50 And A >=84.50	16	13	—	—	$46,398.11	$77,330.18	$51,553.45	2025-09-11
C0106	LOCAL	Stroke M <41.50 And A <84.50	16	13	—	—	$45,768.03	$76,280.06	$50,853.37	2025-09-11
B1903	LOCAL	Guillain-barré M >=38.50 And M <51.50	16	13	—	—	$45,600.98	$76,001.64	$50,667.76	2025-09-11
B0604	LOCAL	Neurological M <43.50	16	13	—	—	$45,219.67	$75,366.12	$50,244.08	2025-09-11
A0406	LOCAL	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	16	13	—	—	$44,046.69	$73,411.16	$48,940.77	2025-09-11
B0405	LOCAL	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	16	13	—	—	$44,006.74	$73,344.57	$48,896.38	2025-09-11
B1805	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	16	13	—	—	$43,997.67	$73,329.45	$48,886.30	2025-09-11
A1806	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	16	13	—	—	$43,876.01	$73,126.68	$48,751.12	2025-09-11
A0404	LOCAL	Traumatic Spinal Cord Injury M <31.50 And A <61.50	16	13	—	—	$43,407.55	$72,345.92	$48,230.61	2025-09-11
B0305	LOCAL	Non-traumatic Brain Injury M <42.50 And A <78.50	16	13	—	—	$43,296.79	$72,161.31	$48,107.54	2025-09-11
A5104	LOCAL	Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More	16	13	—	—	$43,276.82	$72,128.03	$48,085.35	2025-09-11
B1604	LOCAL	Pain Syndrome M <43.50	16	13	—	—	$42,624.95	$71,041.59	$47,361.06	2025-09-11
C0505	LOCAL	Non-traumatic Spinal Cord Injury M <39.50	16	13	—	—	$42,608.61	$71,014.35	$47,342.90	2025-09-11
B0704	LOCAL	Fracture Of Lower Extremity M <41.50	16	13	—	—	$42,258.17	$70,430.28	$46,953.52	2025-09-11
B2102	LOCAL	Burns M <52.50	16	13	—	—	$42,082.04	$70,136.73	$46,757.82	2025-09-11
D0106	LOCAL	Stroke M <41.50 And A <84.50	16	13	—	—	$41,824.21	$69,707.01	$46,471.34	2025-09-11
B1004	LOCAL	Amputation Lower Extremity M <47.50	16	13	—	—	$41,782.44	$69,637.40	$46,424.93	2025-09-11
B1504	LOCAL	Pulmonary M <45.50	16	13	—	—	$41,297.63	$68,829.39	$45,886.26	2025-09-11
B1704	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	16	13	—	—	$40,569.52	$67,615.86	$45,077.24	2025-09-11
B2005	LOCAL	Miscellaneous M <46.50 And A <77.50	16	13	—	—	$40,331.65	$67,219.41	$44,812.94	2025-09-11
D0505	LOCAL	Non-traumatic Spinal Cord Injury M <39.50	16	13	—	—	$40,253.57	$67,089.29	$44,726.19	2025-09-11
C0105	LOCAL	Stroke M <41.50 And A >=84.50	16	13	—	—	$40,239.05	$67,065.08	$44,710.05	2025-09-11
A0106	LOCAL	Stroke M <41.50 And A <84.50	16	13	—	—	$39,857.73	$66,429.56	$44,286.37	2025-09-11
B1204	LOCAL	Osteoarthritis M <49.50 And A <74.50	16	13	—	—	$39,650.74	$66,084.57	$44,056.38	2025-09-11
C0205	LOCAL	Traumatic Brain Injury M <35.50	16	13	—	—	$39,458.27	$65,763.78	$43,842.52	2025-09-11
B0504	LOCAL	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	16	13	—	—	$39,414.69	$65,691.15	$43,794.10	2025-09-11
B0304	LOCAL	Non-traumatic Brain Injury M <42.50 And A >=78.50	16	13	—	—	$39,258.53	$65,430.89	$43,620.59	2025-09-11
C0405	LOCAL	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	16	13	—	—	$39,135.06	$65,225.10	$43,483.40	2025-09-11
B1404	LOCAL	Cardiac M <45.50	16	13	—	—	$38,962.57	$64,937.61	$43,291.74	2025-09-11
B0904	LOCAL	Other Orthopedic M <44.5	16	13	—	—	$38,886.31	$64,810.52	$43,207.01	2025-09-11
B1304	LOCAL	Rheumatoid Other Arthritis M <44.50 And A >=64.50	16	13	—	—	$38,886.31	$64,810.52	$43,207.01	2025-09-11
B2004	LOCAL	Miscellaneous M <46.50 And A >=77.50	16	13	—	—	$38,263.50	$63,772.50	$42,515.00	2025-09-11
D0405	LOCAL	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	16	13	—	—	$37,989.32	$63,315.53	$42,210.35	2025-09-11
B1203	LOCAL	Osteoarthritis M <49.50 And A >=74.50	16	13	—	—	$37,811.38	$63,018.96	$42,012.64	2025-09-11
B0805	LOCAL	Replacement Of Lower-extremity Joint M <42.50	16	13	—	—	$37,428.25	$62,380.41	$41,586.94	2025-09-11
B0204	LOCAL	Traumatic Brain Injury M >=35.50 And M <49.50	16	13	—	—	$37,401.01	$62,335.02	$41,556.68	2025-09-11
B1305	LOCAL	Rheumatoid Other Arthritis M <51.50 And A <64.50	16	13	—	—	$37,239.41	$62,065.68	$41,377.12	2025-09-11
B0104	LOCAL	Stroke M >=41.50 And M <50.50	16	13	—	—	$37,105.05	$61,841.75	$41,227.83	2025-09-11
A0505	LOCAL	Non-traumatic Spinal Cord Injury M <39.50	16	13	—	—	$37,094.15	$61,823.58	$41,215.72	2025-09-11
C1705	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	16	13	—	—	$37,006.99	$61,678.32	$41,118.88	2025-09-11
D0105	LOCAL	Stroke M <41.50 And A >=84.50	16	13	—	—	$36,770.95	$61,284.92	$40,856.61	2025-09-11
B1103	LOCAL	Amputation Non-lower Extremity M <52.50	16	13	—	—	$36,416.87	$60,694.79	$40,463.19	2025-09-11
B1804	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	16	13	—	—	$36,289.77	$60,482.96	$40,321.97	2025-09-11
B0603	LOCAL	Neurological M >=43.50 And M <52.50	16	13	—	—	$36,057.35	$60,095.58	$40,063.72	2025-09-11
B1703	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	16	13	—	—	$35,843.09	$59,738.49	$39,825.66	2025-09-11
D0205	LOCAL	Traumatic Brain Injury M <35.50	16	13	—	—	$35,839.46	$59,732.43	$39,821.62	2025-09-11
B0403	LOCAL	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	16	13	—	—	$35,441.81	$59,069.69	$39,379.79	2025-09-11
C1805	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	16	13	—	—	$35,098.63	$58,497.72	$38,998.48	2025-09-11
C1903	LOCAL	Guillain-barré M >=38.50 And M <51.50	16	13	—	—	$35,056.87	$58,428.12	$38,952.08	2025-09-11
A0105	LOCAL	Stroke M <41.50 And A >=84.50	16	13	—	—	$35,044.16	$58,406.93	$38,937.95	2025-09-11
C0305	LOCAL	Non-traumatic Brain Injury M <42.50 And A <78.50	16	13	—	—	$34,639.25	$57,732.08	$38,488.05	2025-09-11
B0703	LOCAL	Fracture Of Lower Extremity M >=41.50 And M <52.50	16	13	—	—	$34,592.03	$57,653.39	$38,435.59	2025-09-11
C1004	LOCAL	Amputation Lower Extremity M <47.50	16	13	—	—	$34,555.72	$57,592.86	$38,395.24	2025-09-11
A0405	LOCAL	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	16	13	—	—	$34,519.40	$57,532.34	$38,354.89	2025-09-11
B1603	LOCAL	Pain Syndrome M >=43.50 And M <58.50	16	13	—	—	$34,403.19	$57,338.66	$38,225.77	2025-09-11
D1705	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	16	13	—	—	$34,272.46	$57,120.77	$38,080.51	2025-09-11
B0303	LOCAL	Non-traumatic Brain Injury M >=42.50 And M <52.50	16	13	—	—	$33,860.29	$56,433.81	$37,622.54	2025-09-11
C0604	LOCAL	Neurological M <43.50	16	13	—	—	$33,854.83	$56,424.72	$37,616.48	2025-09-11
A0205	LOCAL	Traumatic Brain Injury M <35.50	16	13	—	—	$33,742.26	$56,237.10	$37,491.40	2025-09-11
C1504	LOCAL	Pulmonary M <45.50	16	13	—	—	$33,518.92	$55,864.86	$37,243.24	2025-09-11
B1503	LOCAL	Pulmonary M >=45.50 And M <56.50	16	13	—	—	$33,348.24	$55,580.40	$37,053.60	2025-09-11
D1805	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	16	13	—	—	$33,321.01	$55,535.01	$37,023.34	2025-09-11
B1803	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	16	13	—	—	$33,184.82	$55,308.03	$36,872.02	2025-09-11
B0503	LOCAL	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	16	13	—	—	$33,157.58	$55,262.64	$36,841.76	2025-09-11
D1903	LOCAL	Guillain-barré M >=38.50 And M <51.50	16	13	—	—	$32,712.72	$54,521.21	$36,347.47	2025-09-11
C0704	LOCAL	Fracture Of Lower Extremity M <41.50	16	13	—	—	$32,689.12	$54,481.86	$36,321.24	2025-09-11
B1003	LOCAL	Amputation Lower Extremity M >=47.50 And M <55.50	16	13	—	—	$32,636.46	$54,394.10	$36,262.73	2025-09-11
A5102	LOCAL	Expired, Orthopedic, Length Of Stay Is 14 Days Or More	16	13	—	—	$32,549.30	$54,248.84	$36,165.89	2025-09-11
B0903	LOCAL	Other Orthopedic M >=44.50 And M <51.50	16	13	—	—	$32,453.07	$54,088.46	$36,058.97	2025-09-11
C2005	LOCAL	Miscellaneous M <46.50 And A <77.50	16	13	—	—	$32,215.20	$53,692.01	$35,794.67	2025-09-11
C0104	LOCAL	Stroke M >=41.50 And M <50.50	16	13	—	—	$32,178.89	$53,631.48	$35,754.32	2025-09-11
C1304	LOCAL	Rheumatoid Other Arthritis M <44.50 And A >=64.50	16	13	—	—	$32,151.65	$53,586.09	$35,724.06	2025-09-11
A1903	LOCAL	Guillain-barré M >=38.50 And M <51.50	16	13	—	—	$32,146.21	$53,577.02	$35,718.01	2025-09-11
B2003	LOCAL	Miscellaneous M >=46.50 And M <55.50	16	13	—	—	$32,002.76	$53,337.93	$35,558.62	2025-09-11
D2102	LOCAL	Burns M <52.50	16	13	—	—	$31,977.34	$53,295.57	$35,530.38	2025-09-11
C2102	LOCAL	Burns M <52.50	16	13	—	—	$31,977.34	$53,295.57	$35,530.38	2025-09-11
D0305	LOCAL	Non-traumatic Brain Injury M <42.50 And A <78.50	16	13	—	—	$31,819.37	$53,032.28	$35,354.85	2025-09-11
B1403	LOCAL	Cardiac M >=45.50 And M <55.50	16	13	—	—	$31,797.58	$52,995.96	$35,330.64	2025-09-11
C1604	LOCAL	Pain Syndrome M <43.50	16	13	—	—	$31,659.58	$52,765.97	$35,177.31	2025-09-11
D0604	LOCAL	Neurological M <43.50	16	13	—	—	$31,605.11	$52,675.19	$35,116.79	2025-09-11
D1004	LOCAL	Amputation Lower Extremity M <47.50	16	13	—	—	$31,565.16	$52,608.60	$35,072.40	2025-09-11
C1704	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	16	13	—	—	$31,534.30	$52,557.17	$35,038.11	2025-09-11
D1504	LOCAL	Pulmonary M <45.50	16	13	—	—	$31,523.40	$52,539.00	$35,026.00	2025-09-11
C0403	LOCAL	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	16	13	—	—	$31,517.96	$52,529.93	$35,019.95	2025-09-11
C0304	LOCAL	Non-traumatic Brain Injury M <42.50 And A >=78.50	16	13	—	—	$31,409.01	$52,348.35	$34,898.90	2025-09-11
B0804	LOCAL	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	16	13	—	—	$31,207.46	$52,012.43	$34,674.95	2025-09-11
C0904	LOCAL	Other Orthopedic M <44.5	16	13	—	—	$31,145.72	$51,909.54	$34,606.36	2025-09-11
A1705	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	16	13	—	—	$31,093.07	$51,821.78	$34,547.85	2025-09-11
D0704	LOCAL	Fracture Of Lower Extremity M <41.50	16	13	—	—	$30,965.96	$51,609.93	$34,406.62	2025-09-11
A1805	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	16	13	—	—	$30,895.15	$51,491.91	$34,327.94	2025-09-11
C0204	LOCAL	Traumatic Brain Injury M >=35.50 And M <49.50	16	13	—	—	$30,806.17	$51,343.62	$34,229.08	2025-09-11
B1303	LOCAL	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	16	13	—	—	$30,791.65	$51,319.41	$34,212.94	2025-09-11
C1305	LOCAL	Rheumatoid Other Arthritis M <51.50 And A <64.50	16	13	—	—	$30,789.84	$51,316.40	$34,210.93	2025-09-11
C1404	LOCAL	Cardiac M <45.50	16	13	—	—	$30,693.60	$51,156.00	$34,104.00	2025-09-11
D1304	LOCAL	Rheumatoid Other Arthritis M <44.50 And A >=64.50	16	13	—	—	$30,689.96	$51,149.94	$34,099.96	2025-09-11
C0504	LOCAL	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	16	13	—	—	$30,662.73	$51,104.55	$34,069.70	2025-09-11
B0602	LOCAL	Neurological M >=52.50 And M <64.50	16	13	—	—	$30,600.99	$51,001.65	$34,001.10	2025-09-11
D0403	LOCAL	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	16	13	—	—	$30,595.55	$50,992.58	$33,995.05	2025-09-11
C2004	LOCAL	Miscellaneous M <46.50 And A >=77.50	16	13	—	—	$30,562.87	$50,938.11	$33,958.74	2025-09-11
B1902	LOCAL	Guillain-barré M >=51.50 And M <66.50	16	13	—	—	$30,223.31	$50,372.19	$33,581.46	2025-09-11
B1702	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	16	13	—	—	$30,163.39	$50,272.32	$33,514.88	2025-09-11
B0203	LOCAL	Traumatic Brain Injury M >=49.50 And M <61.50	16	13	—	—	$30,156.13	$50,260.22	$33,506.81	2025-09-11
C1204	LOCAL	Osteoarthritis M <49.50 And A <74.50	16	13	—	—	$30,145.24	$50,242.07	$33,494.71	2025-09-11
D2005	LOCAL	Miscellaneous M <46.50 And A <77.50	16	13	—	—	$30,094.40	$50,157.33	$33,438.22	2025-09-11
C0805	LOCAL	Replacement Of Lower-extremity Joint M <42.50	16	13	—	—	$30,032.66	$50,054.43	$33,369.62	2025-09-11
A0305	LOCAL	Non-traumatic Brain Injury M <42.50 And A <78.50	16	13	—	—	$29,990.90	$49,984.83	$33,323.22	2025-09-11
A1504	LOCAL	Pulmonary M <45.50	16	13	—	—	$29,487.93	$49,146.56	$32,764.37	2025-09-11
D0104	LOCAL	Stroke M >=41.50 And M <50.50	16	13	—	—	$29,406.22	$49,010.37	$32,673.58	2025-09-11
D1305	LOCAL	Rheumatoid Other Arthritis M <51.50 And A <64.50	16	13	—	—	$29,389.89	$48,983.15	$32,655.43	2025-09-11
B1502	LOCAL	Pulmonary M >=56.50 And M <68.50	16	13	—	—	$29,342.67	$48,904.46	$32,602.97	2025-09-11
D1103	LOCAL	Amputation Non-lower Extremity M <52.50	16	13	—	—	$29,273.67	$48,789.45	$32,526.30	2025-09-11
C1103	LOCAL	Amputation Non-lower Extremity M <52.50	16	13	—	—	$29,273.67	$48,789.45	$32,526.30	2025-09-11
D1704	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	16	13	—	—	$29,204.68	$48,674.46	$32,449.64	2025-09-11
B1102	LOCAL	Amputation Non-lower Extremity M >=52.50 And M <58.50	16	13	—	—	$29,202.86	$48,671.43	$32,447.62	2025-09-11
B1202	LOCAL	Osteoarthritis M >=49.50 And M <61.50	16	13	—	—	$29,186.51	$48,644.19	$32,429.46	2025-09-11
B0103	LOCAL	Stroke M >=50.50 And M <63.50	16	13	—	—	$29,073.94	$48,456.57	$32,304.38	2025-09-11
D0904	LOCAL	Other Orthopedic M <44.5	16	13	—	—	$29,030.36	$48,383.94	$32,255.96	2025-09-11
D0504	LOCAL	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	16	13	—	—	$28,968.62	$48,281.04	$32,187.36	2025-09-11
C1804	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	16	13	—	—	$28,950.47	$48,250.79	$32,167.19	2025-09-11
B0502	LOCAL	Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50	16	13	—	—	$28,926.86	$48,211.44	$32,140.96	2025-09-11
D0304	LOCAL	Non-traumatic Brain Injury M <42.50 And A >=78.50	16	13	—	—	$28,852.42	$48,087.36	$32,058.24	2025-09-11
C1203	LOCAL	Osteoarthritis M <49.50 And A >=74.50	16	13	—	—	$28,745.29	$47,908.82	$31,939.21	2025-09-11
A1103	LOCAL	Amputation Non-lower Extremity M <52.50	16	13	—	—	$28,681.74	$47,802.90	$31,868.60	2025-09-11
D1604	LOCAL	Pain Syndrome M <43.50	16	13	—	—	$28,616.37	$47,693.96	$31,795.97	2025-09-11
A0704	LOCAL	Fracture Of Lower Extremity M <41.50	16	13	—	—	$28,609.11	$47,681.85	$31,787.90	2025-09-11
D2004	LOCAL	Miscellaneous M <46.50 And A >=77.50	16	13	—	—	$28,551.01	$47,585.01	$31,723.34	2025-09-11
A1304	LOCAL	Rheumatoid Other Arthritis M <44.50 And A >=64.50	16	13	—	—	$28,551.01	$47,585.01	$31,723.34	2025-09-11
D1404	LOCAL	Cardiac M <45.50	16	13	—	—	$28,538.29	$47,563.82	$31,709.21	2025-09-11
A0604	LOCAL	Neurological M <43.50	16	13	—	—	$28,503.79	$47,506.32	$31,670.88	2025-09-11
A1004	LOCAL	Amputation Lower Extremity M <47.50	16	13	—	—	$28,280.46	$47,134.10	$31,422.73	2025-09-11
D1204	LOCAL	Osteoarthritis M <49.50 And A <74.50	16	13	—	—	$28,264.11	$47,106.86	$31,404.57	2025-09-11
B0402	LOCAL	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	16	13	—	—	$28,242.32	$47,070.54	$31,380.36	2025-09-11
B0302	LOCAL	Non-traumatic Brain Injury M >=52.50 And M <65.50	16	13	—	—	$28,140.64	$46,901.07	$31,267.38	2025-09-11
B0702	LOCAL	Fracture Of Lower Extremity M >=52.50 And M <61.50	16	13	—	—	$28,129.74	$46,882.91	$31,255.27	2025-09-11
A0104	LOCAL	Stroke M >=41.50 And M <50.50	16	13	—	—	$28,024.43	$46,707.39	$31,138.26	2025-09-11
D0204	LOCAL	Traumatic Brain Injury M >=35.50 And M <49.50	16	13	—	—	$27,979.04	$46,631.73	$31,087.82	2025-09-11
C1703	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	16	13	—	—	$27,861.01	$46,435.02	$30,956.68	2025-09-11
B0803	LOCAL	Replacement Of Lower-extremity Joint M >=51.50 And M <57.50	16	13	—	—	$27,855.57	$46,425.95	$30,950.63	2025-09-11
B1002	LOCAL	Amputation Lower Extremity M >=55.50 And M <64.50	16	13	—	—	$27,855.57	$46,425.95	$30,950.63	2025-09-11
A0403	LOCAL	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	16	13	—	—	$27,801.09	$46,335.15	$30,890.10	2025-09-11
D1804	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	16	13	—	—	$27,483.34	$45,805.56	$30,537.04	2025-09-11
A2005	LOCAL	Miscellaneous M <46.50 And A <77.50	16	13	—	—	$27,392.54	$45,654.24	$30,436.16	2025-09-11
D0805	LOCAL	Replacement Of Lower-extremity Joint M <42.50	16	13	—	—	$27,381.65	$45,636.09	$30,424.06	2025-09-11
A1305	LOCAL	Rheumatoid Other Arthritis M <51.50 And A <64.50	16	13	—	—	$27,341.70	$45,569.51	$30,379.67	2025-09-11
B2101	LOCAL	Burns M >=52.50	16	13	—	—	$27,325.37	$45,542.28	$30,361.52	2025-09-11
A2102	LOCAL	Burns M <52.50	16	13	—	—	$27,309.02	$45,515.04	$30,343.36	2025-09-11
B1602	LOCAL	Pain Syndrome M >=58.50 And M <65.50	16	13	—	—	$27,241.84	$45,403.07	$30,268.71	2025-09-11
A0304	LOCAL	Non-traumatic Brain Injury M <42.50 And A >=78.50	16	13	—	—	$27,194.63	$45,324.38	$30,216.25	2025-09-11
B0902	LOCAL	Other Orthopedic M >=51.50 And M <63.50	16	13	—	—	$27,176.47	$45,294.12	$30,196.08	2025-09-11
C0303	LOCAL	Non-traumatic Brain Injury M >=42.50 And M <52.50	16	13	—	—	$27,089.32	$45,148.86	$30,099.24	2025-09-11
C1503	LOCAL	Pulmonary M >=45.50 And M <56.50	16	13	—	—	$27,065.71	$45,109.52	$30,073.01	2025-09-11
B1302	LOCAL	Rheumatoid Other Arthritis M >=51.50 And M <62.50	16	13	—	—	$27,065.71	$45,109.52	$30,073.01	2025-09-11
C0603	LOCAL	Neurological M >=43.50 And M <52.50	16	13	—	—	$26,994.90	$44,991.50	$29,994.33	2025-09-11
C1003	LOCAL	Amputation Lower Extremity M >=47.50 And M <55.50	16	13	—	—	$26,991.26	$44,985.44	$29,990.29	2025-09-11
D1203	LOCAL	Osteoarthritis M <49.50 And A >=74.50	16	13	—	—	$26,953.14	$44,921.90	$29,947.93	2025-09-11
C0703	LOCAL	Fracture Of Lower Extremity M >=41.50 And M <52.50	16	13	—	—	$26,758.85	$44,598.08	$29,732.05	2025-09-11
B2002	LOCAL	Miscellaneous M >=55.50 And M <66.50	16	13	—	—	$26,724.35	$44,540.58	$29,693.72	2025-09-11
A0504	LOCAL	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	16	13	—	—	$26,695.30	$44,492.16	$29,661.44	2025-09-11
A0904	LOCAL	Other Orthopedic M <44.5	16	13	—	—	$26,560.93	$44,268.21	$29,512.14	2025-09-11
A1704	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	16	13	—	—	$26,495.56	$44,159.27	$29,439.51	2025-09-11
A1604	LOCAL	Pain Syndrome M <43.50	16	13	—	—	$26,490.11	$44,150.19	$29,433.46	2025-09-11
C1803	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	16	13	—	—	$26,473.77	$44,122.95	$29,415.30	2025-09-11
A0204	LOCAL	Traumatic Brain Injury M >=35.50 And M <49.50	16	13	—	—	$26,343.04	$43,905.06	$29,270.04	2025-09-11
A1404	LOCAL	Cardiac M <45.50	16	13	—	—	$26,259.52	$43,765.86	$29,177.24	2025-09-11
C0903	LOCAL	Other Orthopedic M >=44.50 And M <51.50	16	13	—	—	$25,992.59	$43,320.99	$28,880.66	2025-09-11
A2004	LOCAL	Miscellaneous M <46.50 And A >=77.50	16	13	—	—	$25,987.15	$43,311.92	$28,874.61	2025-09-11
B1402	LOCAL	Cardiac M >=55.50 And M <68.50	16	13	—	—	$25,987.15	$43,311.92	$28,874.61	2025-09-11
A1204	LOCAL	Osteoarthritis M <49.50 And A <74.50	16	13	—	—	$25,840.07	$43,066.79	$28,711.19	2025-09-11
B1802	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50	16	13	—	—	$25,829.18	$43,048.64	$28,699.09	2025-09-11
D1703	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	16	13	—	—	$25,803.76	$43,006.26	$28,670.84	2025-09-11
C0503	LOCAL	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	16	13	—	—	$25,794.68	$42,991.13	$28,660.75	2025-09-11
C2003	LOCAL	Miscellaneous M >=46.50 And M <55.50	16	13	—	—	$25,562.26	$42,603.77	$28,402.51	2025-09-11
C1603	LOCAL	Pain Syndrome M >=43.50 And M <58.50	16	13	—	—	$25,553.19	$42,588.65	$28,392.43	2025-09-11
A0805	LOCAL	Replacement Of Lower-extremity Joint M <42.50	16	13	—	—	$25,538.66	$42,564.44	$28,376.29	2025-09-11
A1804	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	16	13	—	—	$25,482.37	$42,470.61	$28,313.74	2025-09-11
C1303	LOCAL	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	16	13	—	—	$25,460.58	$42,434.30	$28,289.53	2025-09-11
D1503	LOCAL	Pulmonary M >=45.50 And M <56.50	16	13	—	—	$25,455.13	$42,425.22	$28,283.48	2025-09-11
D0703	LOCAL	Fracture Of Lower Extremity M >=41.50 And M <52.50	16	13	—	—	$25,348.01	$42,246.68	$28,164.45	2025-09-11
C0103	LOCAL	Stroke M >=50.50 And M <63.50	16	13	—	—	$25,215.45	$42,025.76	$28,017.17	2025-09-11
D0603	LOCAL	Neurological M >=43.50 And M <52.50	16	13	—	—	$25,200.93	$42,001.55	$28,001.03	2025-09-11
D1803	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	16	13	—	—	$25,133.74	$41,889.57	$27,926.38	2025-09-11
C0402	LOCAL	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	16	13	—	—	$25,115.59	$41,859.32	$27,906.21	2025-09-11
C1403	LOCAL	Cardiac M >=45.50 And M <55.50	16	13	—	—	$25,050.22	$41,750.37	$27,833.58	2025-09-11
C0804	LOCAL	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	16	13	—	—	$25,041.14	$41,735.24	$27,823.49	2025-09-11
B0802	LOCAL	Replacement Of Lower-extremity Joint M >=57.50 And M <63.50	16	13	—	—	$25,026.62	$41,711.03	$27,807.35	2025-09-11
D0303	LOCAL	Non-traumatic Brain Injury M >=42.50 And M <52.50	16	13	—	—	$24,884.98	$41,474.97	$27,649.98	2025-09-11
C0203	LOCAL	Traumatic Brain Injury M >=49.50 And M <61.50	16	13	—	—	$24,837.78	$41,396.30	$27,597.53	2025-09-11
D1003	LOCAL	Amputation Lower Extremity M >=47.50 And M <55.50	16	13	—	—	$24,656.20	$41,093.67	$27,395.78	2025-09-11
A1203	LOCAL	Osteoarthritis M <49.50 And A >=74.50	16	13	—	—	$24,639.86	$41,066.43	$27,377.62	2025-09-11
D0402	LOCAL	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	16	13	—	—	$24,380.20	$40,633.67	$27,089.11	2025-09-11
D0503	LOCAL	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	16	13	—	—	$24,369.31	$40,615.52	$27,077.01	2025-09-11
D1303	LOCAL	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	16	13	—	—	$24,302.12	$40,503.54	$27,002.36	2025-09-11
B1701	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50	16	13	—	—	$24,278.52	$40,464.20	$26,976.13	2025-09-11
D0903	LOCAL	Other Orthopedic M >=44.50 And M <51.50	16	13	—	—	$24,227.68	$40,379.46	$26,919.64	2025-09-11
B0202	LOCAL	Traumatic Brain Injury M >=61.50 And M <73.50	16	13	—	—	$24,214.97	$40,358.28	$26,905.52	2025-09-11
B0601	LOCAL	Neurological M >=64.50	16	13	—	—	$24,125.99	$40,209.99	$26,806.66	2025-09-11
B1201	LOCAL	Osteoarthritis M >=61.50	16	13	—	—	$24,107.84	$40,179.74	$26,786.49	2025-09-11
D2003	LOCAL	Miscellaneous M >=46.50 And M <55.50	16	13	—	—	$23,879.05	$39,798.42	$26,532.28	2025-09-11
C1502	LOCAL	Pulmonary M >=56.50 And M <68.50	16	13	—	—	$23,815.50	$39,692.51	$26,461.67	2025-09-11
A1503	LOCAL	Pulmonary M >=45.50 And M <56.50	16	13	—	—	$23,811.87	$39,686.45	$26,457.63	2025-09-11
B1601	LOCAL	Pain Syndrome M >=65.50	16	13	—	—	$23,771.93	$39,619.88	$26,413.25	2025-09-11
C1102	LOCAL	Amputation Non-lower Extremity M >=52.50 And M <58.50	16	13	—	—	$23,474.14	$39,123.57	$26,082.38	2025-09-11
D1102	LOCAL	Amputation Non-lower Extremity M >=52.50 And M <58.50	16	13	—	—	$23,474.14	$39,123.57	$26,082.38	2025-09-11
A0303	LOCAL	Non-traumatic Brain Injury M >=42.50 And M <52.50	16	13	—	—	$23,454.16	$39,090.27	$26,060.18	2025-09-11
C1702	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	16	13	—	—	$23,446.90	$39,078.17	$26,052.11	2025-09-11
A0703	LOCAL	Fracture Of Lower Extremity M >=41.50 And M <52.50	16	13	—	—	$23,419.67	$39,032.78	$26,021.85	2025-09-11
A1703	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	16	13	—	—	$23,410.58	$39,017.64	$26,011.76	2025-09-11
A1803	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	16	13	—	—	$23,303.46	$38,839.10	$25,892.73	2025-09-11
D1403	LOCAL	Cardiac M >=45.50 And M <55.50	16	13	—	—	$23,290.75	$38,817.92	$25,878.61	2025-09-11
C1902	LOCAL	Guillain-barré M >=51.50 And M <66.50	16	13	—	—	$23,236.27	$38,727.12	$25,818.08	2025-09-11
B1501	LOCAL	Pulmonary M >=68.50	16	13	—	—	$23,130.96	$38,551.61	$25,701.07	2025-09-11
D1603	LOCAL	Pain Syndrome M >=43.50 And M <58.50	16	13	—	—	$23,096.46	$38,494.10	$25,662.73	2025-09-11
B0501	LOCAL	Non-traumatic Spinal Cord Injury M >=60.50	16	13	—	—	$23,058.33	$38,430.56	$25,620.37	2025-09-11
D0103	LOCAL	Stroke M >=50.50 And M <63.50	16	13	—	—	$23,041.99	$38,403.32	$25,602.21	2025-09-11
C1002	LOCAL	Amputation Lower Extremity M >=55.50 And M <64.50	16	13	—	—	$23,036.54	$38,394.24	$25,596.16	2025-09-11
A1102	LOCAL	Amputation Non-lower Extremity M >=52.50 And M <58.50	16	13	—	—	$23,000.23	$38,333.72	$25,555.81	2025-09-11
B1101	LOCAL	Amputation Non-lower Extremity M >=58.50	16	13	—	—	$22,969.36	$38,282.27	$25,521.51	2025-09-11
C0602	LOCAL	Neurological M >=52.50 And M <64.50	16	13	—	—	$22,911.26	$38,185.43	$25,456.95	2025-09-11
D0804	LOCAL	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	16	13	—	—	$22,831.36	$38,052.27	$25,368.18	2025-09-11
B0701	LOCAL	Fracture Of Lower Extremity M >=61.50	16	13	—	—	$22,773.26	$37,955.43	$25,303.62	2025-09-11
A0603	LOCAL	Neurological M >=43.50 And M <52.50	16	13	—	—	$22,727.86	$37,879.77	$25,253.18	2025-09-11
A1303	LOCAL	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	16	13	—	—	$22,608.02	$37,680.03	$25,120.02	2025-09-11
D0203	LOCAL	Traumatic Brain Injury M >=49.50 And M <61.50	16	13	—	—	$22,559.00	$37,598.33	$25,065.55	2025-09-11
B0102	LOCAL	Stroke M >=63.50 And M <72.50	16	13	—	—	$22,557.18	$37,595.30	$25,063.53	2025-09-11
C0302	LOCAL	Non-traumatic Brain Injury M >=52.50 And M <65.50	16	13	—	—	$22,515.42	$37,525.70	$25,017.13	2025-09-11
C0502	LOCAL	Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50	16	13	—	—	$22,502.71	$37,504.52	$25,003.01	2025-09-11
A0503	LOCAL	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	16	13	—	—	$22,457.31	$37,428.86	$24,952.57	2025-09-11
D1502	LOCAL	Pulmonary M >=56.50 And M <68.50	16	13	—	—	$22,397.39	$37,328.99	$24,885.99	2025-09-11
C1302	LOCAL	Rheumatoid Other Arthritis M >=51.50 And M <62.50	16	13	—	—	$22,379.24	$37,298.73	$24,865.82	2025-09-11
C0803	LOCAL	Replacement Of Lower-extremity Joint M >=51.50 And M <57.50	16	13	—	—	$22,352.00	$37,253.33	$24,835.55	2025-09-11
C1202	LOCAL	Osteoarthritis M >=49.50 And M <61.50	16	13	—	—	$22,188.58	$36,980.97	$24,653.98	2025-09-11
A0903	LOCAL	Other Orthopedic M >=44.50 And M <51.50	16	13	—	—	$22,166.79	$36,944.66	$24,629.77	2025-09-11
A0402	LOCAL	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	16	13	—	—	$22,154.09	$36,923.48	$24,615.65	2025-09-11
A1003	LOCAL	Amputation Lower Extremity M >=47.50 And M <55.50	16	13	—	—	$22,090.53	$36,817.55	$24,545.03	2025-09-11
B0801	LOCAL	Replacement Of Lower-extremity Joint M >=63.50	16	13	—	—	$22,074.19	$36,790.32	$24,526.88	2025-09-11
B1001	LOCAL	Amputation Lower Extremity M >=64.50	16	13	—	—	$21,988.85	$36,648.08	$24,432.05	2025-09-11
A0103	LOCAL	Stroke M >=50.50 And M <63.50	16	13	—	—	$21,957.98	$36,596.63	$24,397.75	2025-09-11
B0401	LOCAL	Traumatic Spinal Cord Injury M >=56.50	16	13	—	—	$21,898.06	$36,496.77	$24,331.18	2025-09-11
B0901	LOCAL	Other Orthopedic M >=63.50	16	13	—	—	$21,819.98	$36,366.63	$24,244.42	2025-09-11
C0902	LOCAL	Other Orthopedic M >=51.50 And M <63.50	16	13	—	—	$21,767.33	$36,278.88	$24,185.92	2025-09-11
B0301	LOCAL	Non-traumatic Brain Injury M >=65.50	16	13	—	—	$21,765.51	$36,275.85	$24,183.90	2025-09-11
C0702	LOCAL	Fracture Of Lower Extremity M >=52.50 And M <61.50	16	13	—	—	$21,760.07	$36,266.78	$24,177.85	2025-09-11
A2003	LOCAL	Miscellaneous M >=46.50 And M <55.50	16	13	—	—	$21,734.64	$36,224.40	$24,149.60	2025-09-11
D1702	LOCAL	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	16	13	—	—	$21,714.67	$36,191.12	$24,127.41	2025-09-11
D1902	LOCAL	Guillain-barré M >=51.50 And M <66.50	16	13	—	—	$21,681.98	$36,136.64	$24,091.09	2025-09-11
B2001	LOCAL	Miscellaneous M >=66.50	16	13	—	—	$21,433.22	$35,722.04	$23,814.69	2025-09-11
A1403	LOCAL	Cardiac M >=45.50 And M <55.50	16	13	—	—	$21,431.41	$35,719.02	$23,812.68	2025-09-11
D0602	LOCAL	Neurological M >=52.50 And M <64.50	16	13	—	—	$21,387.83	$35,646.39	$23,764.26	2025-09-11
A1603	LOCAL	Pain Syndrome M >=43.50 And M <58.50	16	13	—	—	$21,380.57	$35,634.29	$23,756.19	2025-09-11
D1302	LOCAL	Rheumatoid Other Arthritis M >=51.50 And M <62.50	16	13	—	—	$21,362.41	$35,604.02	$23,736.01	2025-09-11
C2002	LOCAL	Miscellaneous M >=55.50 And M <66.50	16	13	—	—	$21,346.07	$35,576.78	$23,717.85	2025-09-11
A1902	LOCAL	Guillain-barré M >=51.50 And M <66.50	16	13	—	—	$21,306.12	$35,510.21	$23,673.47	2025-09-11
A0804	LOCAL	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	16	13	—	—	$21,293.42	$35,489.03	$23,659.35	2025-09-11
D0502	LOCAL	Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50	16	13	—	—	$21,260.73	$35,434.55	$23,623.03	2025-09-11
A0203	LOCAL	Traumatic Brain Injury M >=49.50 And M <61.50	16	13	—	—	$21,238.94	$35,398.23	$23,598.82	2025-09-11
D1002	LOCAL	Amputation Lower Extremity M >=55.50 And M <64.50	16	13	—	—	$21,044.66	$35,074.43	$23,382.95	2025-09-11
A1502	LOCAL	Pulmonary M >=56.50 And M <68.50	16	13	—	—	$20,952.05	$34,920.08	$23,280.05	2025-09-11
D1202	LOCAL	Osteoarthritis M >=49.50 And M <61.50	16	13	—	—	$20,804.98	$34,674.96	$23,116.64	2025-09-11
C2101	LOCAL	Burns M >=52.50	16	13	—	—	$20,763.21	$34,605.35	$23,070.23	2025-09-11
D2101	LOCAL	Burns M >=52.50	16	13	—	—	$20,763.21	$34,605.35	$23,070.23	2025-09-11
D0302	LOCAL	Non-traumatic Brain Injury M >=52.50 And M <65.50	16	13	—	—	$20,681.50	$34,469.16	$22,979.44	2025-09-11
D0702	LOCAL	Fracture Of Lower Extremity M >=52.50 And M <61.50	16	13	—	—	$20,612.50	$34,354.17	$22,902.78	2025-09-11
C1802	LOCAL	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50	16	13	—	—	$20,605.24	$34,342.07	$22,894.71	2025-09-11
B1401	LOCAL	Cardiac M >=68.50	16	13	—	—	$20,490.85	$34,151.42	$22,767.61	2025-09-11
C1402	LOCAL	Cardiac M >=55.50 And M <68.50	16	13	—	—	$20,472.69	$34,121.15	$22,747.43	2025-09-11
D0803	LOCAL	Replacement Of Lower-extremity Joint M >=51.50 And M <57.50	16	13	—	—	$20,378.27	$33,963.78	$22,642.52	2025-09-11
D0902	LOCAL	Other Orthopedic M >=51.50 And M <63.50	16	13	—	—	$20,287.48	$33,812.46	$22,541.64	2025-09-11
C1602	LOCAL	Pain Syndrome M >=58.50 And M <65.50	16	13	—	—	$20,234.83	$33,724.71	$22,483.14	2025-09-11
C0802	LOCAL	Replacement Of Lower-extremity Joint M >=57.50 And M <63.50	16	13	—	—	$20,082.30	$33,470.51	$22,313.67	2025-09-11
C0202	LOCAL	Traumatic Brain Injury M >=61.50 And M <73.50	16	13	—	—	$19,944.31	$33,240.51	$22,160.34	2025-09-11
D2002	LOCAL	Miscellaneous M >=55.50 And M <66.50	16	13	—	—	$19,940.67	$33,234.45	$22,156.30	2025-09-11
28730	CPT	Fusion Of Foot Bones	30	18	$57,929.13	$57,929.13	$40,550.39	$49,239.76	$44,895.07	2025-09-11
33208	CPT	Ins/Rplc Pacemkr; Atr+vnt	30	18	$48,848.87	$48,848.87	$34,194.21	$41,521.54	$37,857.88	2025-09-11
33207	CPT	Insrt Heart Pm Venticular	30	18	$48,848.87	$48,848.87	$34,194.21	$41,521.54	$37,857.88	2025-09-11
37236	CPT	Open/Perq Place Stent 1st	30	18	$47,189.05	$47,189.05	$33,032.34	$40,110.69	$36,571.51	2025-09-11
33217	CPT	Insert 2 Electrode Pm-defib	30	18	$38,328.90	$38,328.90	$26,830.23	$32,579.57	$29,704.90	2025-09-11
33216	CPT	Insert 1 Electrode Pm-defib	30	18	$38,328.90	$38,328.90	$26,830.23	$32,579.57	$29,704.90	2025-09-11
27893	CPT	Decompression Of Leg	30	18	$29,426.43	$29,426.43	$20,598.50	$25,012.47	$22,805.49	2025-09-11
24685	CPT	Treat Ulnar Fracture	30	18	$29,426.43	$29,426.43	$20,598.50	$25,012.47	$22,805.49	2025-09-11

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