Price Transparencybeta Hospital negotiated rates

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

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Hospital

St Anthony's Rehabilitation Hospital

Lauderdale Lakes, FL · CCN 103027 · Rates published

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You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $7,453 across 3 payers · range $6,776-$7,589

Source: https://www.tampageneralrehabhospital.com/docs/irftghrehabilitationhospitallibraries/financials/aug2025/844952844_tampa-rehabilitation-hospital_standardcharges.csv.zip · observed 2025-08-26

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

6,783 distinct procedures filed
69 distinct payers
195,177 rate rows
2026-07-15 last MRF observed
Data quality

85,281 of 195,177 rate rows are consumer-grade (43.7%)

109,896 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
per-diem day rate — not a per-procedure price 109,886
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7
placeholder amount (≤ $0.02) — excluded from medians 2
percent-of-charges filed in the dollar field — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.catholichealthservices.org/wp-content/uploads/591945163_StAnthony_standardcharges-2026.csv
Found on page https://www.catholichealthservices.org/rehabilitation/pricing-billing-information/st-anthonys/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 38005d68964755e6… · 741,355 bytes · first seen 2026-05-09

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $135,522.46 $151,785.15 $149,074.70 nat. median
$370,165
outlier · 0.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $101,223.91 $113,370.78 $111,346.30 nat. median
$261,939
outlier · 0.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $85,248.83 $95,478.69 $93,773.71 nat. median
$205,166
outlier · 0.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $77,015.31 $86,257.15 $84,716.84 nat. median
$199,832
outlier · 0.4×
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 $73,261.92 $78,390.25 $73,261.92 nat. median
$83,710
0.9× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 $65,926.91 $70,541.80 $65,926.91 nat. median
$70,140
0.9× median
B1904
HCPCS 		Guillain-barré M <38.50 8 $64,462.38 $68,974.75 $64,462.38 nat. median
$73,807
0.9× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 $63,780.34 $68,244.96 $63,780.34 nat. median
$68,033
0.9× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 $60,125.18 $64,333.94 $60,125.18 nat. median
$66,709
0.9× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 $57,946.88 $62,003.16 $57,946.88 nat. median
$62,354
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $50,776.72 $56,869.93 $55,854.39 nat. median
$132,706
outlier · 0.4×
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 $53,974.49 $57,752.70 $53,974.49 nat. median
$60,723
0.9× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 8 $53,320.65 $57,053.09 $53,320.65 nat. median
$58,851
0.9× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 $52,148.67 $55,799.07 $52,148.67 nat. median
$59,953
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $47,081.84 $52,731.66 $51,790.03 nat. median
$114,305
outlier · 0.5×
7
MS_DRG 		Lung Transplant 3 $46,963.26 $52,598.85 $51,659.58 nat. median
$122,690
outlier · 0.4×
B0106
HCPCS 		Stroke M <41.50 And A <84.50 8 $51,043.66 $54,616.71 $51,043.66 nat. median
$54,008
0.9× median
C1904
HCPCS 		Guillain-barré M <38.50 8 $49,677.82 $53,155.27 $49,677.82 nat. median
$54,675
0.9× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 $48,569.28 $51,969.13 $48,569.28 nat. median
$51,388
0.9× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 $48,504.08 $51,899.36 $48,504.08 nat. median
$53,363
0.9× median
74080532
CDM 		Occ/emb Hemorrhag/lymph 13 $39,479.95 $47,939.94 $47,939.94 nat. median
$55,326
0.9× median
74080529
CDM 		Occ/emb Non Hemorr Venous 13 $39,479.95 $47,939.94 $47,939.94 nat. median
$55,326
0.9× median
74080530
CDM 		Occ/emb Non Hemorr Art 13 $39,479.95 $47,939.94 $47,939.94 nat. median
$55,326
0.9× median
74080531
CDM 		Occ/emb Tumor/organ Infar 13 $39,479.95 $47,939.94 $47,939.94 nat. median
$55,326
0.9× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 $46,990.20 $50,279.51 $46,990.20 nat. median
$50,166
0.9× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 $46,926.75 $50,211.62 $46,926.75 nat. median
$49,892
0.9× median
D1904
HCPCS 		Guillain-barré M <38.50 8 $46,322.26 $49,564.81 $46,322.26 nat. median
$49,592
0.9× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 8 $46,212.99 $49,447.90 $46,212.99 nat. median
$51,427
0.9× median
B1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 8 $45,994.46 $49,214.07 $45,994.46 nat. median
$48,833
0.9× median
D1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 $45,723.05 $48,923.66 $45,723.05 nat. median
$49,816
0.9× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 $45,398.77 $48,576.69 $45,398.77 nat. median
$48,684
0.9× median
A1904
HCPCS 		Guillain-barré M <38.50 8 $45,340.61 $48,514.46 $45,340.61 nat. median
$49,305
0.9× median
B0105
HCPCS 		Stroke M <41.50 And A >=84.50 8 $44,891.21 $48,033.59 $44,891.21 nat. median
$47,997
0.9× median
C0106
HCPCS 		Stroke M <41.50 And A <84.50 8 $44,286.71 $47,386.78 $44,286.71 nat. median
$47,992
0.9× median
B1903
HCPCS 		Guillain-barré M >=38.50 And M <51.50 8 $44,091.09 $47,177.47 $44,091.09 nat. median
$52,000
0.8× median
B0604
HCPCS 		Neurological M <43.50 8 $43,798.54 $46,864.43 $43,798.54 nat. median
$46,532
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $39,599.73 $44,351.70 $43,559.71 nat. median
$108,240
outlier · 0.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $39,147.67 $43,845.39 $43,062.43 nat. median
$100,978
outlier · 0.4×
A0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 $42,691.76 $45,680.19 $42,691.76 nat. median
$45,503
0.9× median
B1805
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 8 $42,524.34 $45,501.04 $42,524.34 nat. median
$46,296
0.9× median
A1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 $42,376.30 $45,342.64 $42,376.30 nat. median
$47,794
0.9× median
B0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 8 $42,254.70 $45,212.52 $42,254.70 nat. median
$47,488
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $38,269.04 $42,861.33 $42,095.95 nat. median
$99,646
outlier · 0.4×
A5104
HCPCS 		Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 8 $41,933.94 $44,869.32 $41,933.94 nat. median
$42,669
1.0× median
B0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50 8 $41,903.98 $44,837.26 $41,903.98 nat. median
$44,642
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 3 $38,072.84 $42,641.58 $41,880.12 nat. median
$98,002
outlier · 0.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $37,643.77 $42,161.02 $41,408.15 nat. median
$96,835
outlier · 0.4×
C0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 8 $41,357.65 $44,252.68 $41,357.65 nat. median
$45,229
0.9× median
A0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 $41,246.62 $44,133.88 $41,246.62 nat. median
$44,108
0.9× median
B0704
HCPCS 		Fracture Of Lower Extremity M <41.50 8 $41,066.86 $43,941.54 $41,066.86 nat. median
$43,685
0.9× median

Other procedures at this hospital

Browse this hospital's 6,783 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 $135,522.46 $135,522.46 $135,522.46 $151,785.15 $149,074.70 2025-08-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 $101,223.91 $101,223.91 $101,223.91 $113,370.78 $111,346.30 2025-08-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 $85,248.83 $85,248.83 $85,248.83 $95,478.69 $93,773.71 2025-08-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 $77,015.31 $77,015.31 $77,015.31 $86,257.15 $84,716.84 2025-08-26
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 8 $73,261.92 $73,261.92 $73,261.92 $78,390.25 $73,261.92 2025-08-26
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 8 $65,926.91 $65,926.91 $65,926.91 $70,541.80 $65,926.91 2025-08-26
B1904 HCPCS Guillain-barré M <38.50 8 8 $64,462.38 $64,462.38 $64,462.38 $68,974.75 $64,462.38 2025-08-26
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 8 $63,780.34 $63,780.34 $63,780.34 $68,244.96 $63,780.34 2025-08-26
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 8 $60,125.18 $60,125.18 $60,125.18 $64,333.94 $60,125.18 2025-08-26
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 8 $57,946.88 $57,946.88 $57,946.88 $62,003.16 $57,946.88 2025-08-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 $50,776.72 $50,776.72 $50,776.72 $56,869.93 $55,854.39 2025-08-26
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 8 $53,974.49 $53,974.49 $53,974.49 $57,752.70 $53,974.49 2025-08-26
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 8 8 $53,320.65 $53,320.65 $53,320.65 $57,053.09 $53,320.65 2025-08-26
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 8 $52,148.67 $52,148.67 $52,148.67 $55,799.07 $52,148.67 2025-08-26
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 $47,081.84 $47,081.84 $47,081.84 $52,731.66 $51,790.03 2025-08-26
7 MS_DRG Lung Transplant 3 3 $46,963.26 $46,963.26 $46,963.26 $52,598.85 $51,659.58 2025-08-26
B0106 HCPCS Stroke M <41.50 And A <84.50 8 8 $51,043.66 $51,043.66 $51,043.66 $54,616.71 $51,043.66 2025-08-26
C1904 HCPCS Guillain-barré M <38.50 8 8 $49,677.82 $49,677.82 $49,677.82 $53,155.27 $49,677.82 2025-08-26
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 8 $48,569.28 $48,569.28 $48,569.28 $51,969.13 $48,569.28 2025-08-26
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 8 $48,504.08 $48,504.08 $48,504.08 $51,899.36 $48,504.08 2025-08-26
74080530 CDM Occ/emb Non Hemorr Art 13 13 $56,399.93 $56,399.93 $39,479.95 $47,939.94 $47,939.94 2025-08-26
74080532 CDM Occ/emb Hemorrhag/lymph 13 13 $56,399.93 $56,399.93 $39,479.95 $47,939.94 $47,939.94 2025-08-26
74080529 CDM Occ/emb Non Hemorr Venous 13 13 $56,399.93 $56,399.93 $39,479.95 $47,939.94 $47,939.94 2025-08-26
74080531 CDM Occ/emb Tumor/organ Infar 13 13 $56,399.93 $56,399.93 $39,479.95 $47,939.94 $47,939.94 2025-08-26
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 8 $46,990.20 $46,990.20 $46,990.20 $50,279.51 $46,990.20 2025-08-26
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 8 $46,926.75 $46,926.75 $46,926.75 $50,211.62 $46,926.75 2025-08-26
D1904 HCPCS Guillain-barré M <38.50 8 8 $46,322.26 $46,322.26 $46,322.26 $49,564.81 $46,322.26 2025-08-26
B0205 HCPCS Traumatic Brain Injury M <35.50 8 8 $46,212.99 $46,212.99 $46,212.99 $49,447.90 $46,212.99 2025-08-26
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 8 8 $45,994.46 $45,994.46 $45,994.46 $49,214.07 $45,994.46 2025-08-26
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 8 $45,723.05 $45,723.05 $45,723.05 $48,923.66 $45,723.05 2025-08-26
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 8 $45,398.77 $45,398.77 $45,398.77 $48,576.69 $45,398.77 2025-08-26
A1904 HCPCS Guillain-barré M <38.50 8 8 $45,340.61 $45,340.61 $45,340.61 $48,514.46 $45,340.61 2025-08-26
B0105 HCPCS Stroke M <41.50 And A >=84.50 8 8 $44,891.21 $44,891.21 $44,891.21 $48,033.59 $44,891.21 2025-08-26
C0106 HCPCS Stroke M <41.50 And A <84.50 8 8 $44,286.71 $44,286.71 $44,286.71 $47,386.78 $44,286.71 2025-08-26
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 8 8 $44,091.09 $44,091.09 $44,091.09 $47,177.47 $44,091.09 2025-08-26
B0604 HCPCS Neurological M <43.50 8 8 $43,798.54 $43,798.54 $43,798.54 $46,864.43 $43,798.54 2025-08-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 $39,599.73 $39,599.73 $39,599.73 $44,351.70 $43,559.71 2025-08-26
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 3 $39,147.67 $39,147.67 $39,147.67 $43,845.39 $43,062.43 2025-08-26
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 8 $42,691.76 $42,691.76 $42,691.76 $45,680.19 $42,691.76 2025-08-26
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 8 8 $42,524.34 $42,524.34 $42,524.34 $45,501.04 $42,524.34 2025-08-26
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 8 $42,376.30 $42,376.30 $42,376.30 $45,342.64 $42,376.30 2025-08-26
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 8 8 $42,254.70 $42,254.70 $42,254.70 $45,212.52 $42,254.70 2025-08-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 $38,269.04 $38,269.04 $38,269.04 $42,861.33 $42,095.95 2025-08-26
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 8 8 $41,933.94 $41,933.94 $41,933.94 $44,869.32 $41,933.94 2025-08-26
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 8 8 $41,903.98 $41,903.98 $41,903.98 $44,837.26 $41,903.98 2025-08-26
215 MS_DRG Other Heart Assist System Implant 3 3 $38,072.84 $38,072.84 $38,072.84 $42,641.58 $41,880.12 2025-08-26
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 $37,643.77 $37,643.77 $37,643.77 $42,161.02 $41,408.15 2025-08-26
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 8 8 $41,357.65 $41,357.65 $41,357.65 $44,252.68 $41,357.65 2025-08-26
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 8 $41,246.62 $41,246.62 $41,246.62 $44,133.88 $41,246.62 2025-08-26
B0704 HCPCS Fracture Of Lower Extremity M <41.50 8 8 $41,066.86 $41,066.86 $41,066.86 $43,941.54 $41,066.86 2025-08-26
74080268 CDM Insert Tips 13 13 $48,288.18 $48,288.18 $33,801.73 $41,044.96 $41,044.96 2025-08-26
B1604 HCPCS Pain Syndrome M <43.50 8 8 $40,786.64 $40,786.64 $40,786.64 $43,641.70 $40,786.64 2025-08-26
B2102 HCPCS Burns M <52.50 8 8 $40,691.47 $40,691.47 $40,691.47 $43,539.87 $40,691.47 2025-08-26
D0106 HCPCS Stroke M <41.50 And A <84.50 8 8 $40,559.29 $40,559.29 $40,559.29 $43,398.44 $40,559.29 2025-08-26
B1004 HCPCS Amputation Lower Extremity M <47.50 8 8 $40,494.08 $40,494.08 $40,494.08 $43,328.67 $40,494.08 2025-08-26
74080483 CDM Revise Tips 13 13 $47,034.04 $47,034.04 $32,923.83 $39,978.93 $39,978.93 2025-08-26
B1504 HCPCS Pulmonary M <45.50 8 8 $39,628.76 $39,628.76 $39,628.76 $42,402.77 $39,628.76 2025-08-26
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 8 8 $39,218.12 $39,218.12 $39,218.12 $41,963.39 $39,218.12 2025-08-26
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 8 8 $39,078.90 $39,078.90 $39,078.90 $41,814.42 $39,078.90 2025-08-26
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 8 8 $39,054.22 $39,054.22 $39,054.22 $41,788.02 $39,054.22 2025-08-26
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 8 8 $39,011.93 $39,011.93 $39,011.93 $41,742.76 $39,011.93 2025-08-26
C0105 HCPCS Stroke M <41.50 And A >=84.50 8 8 $38,948.48 $38,948.48 $38,948.48 $41,674.87 $38,948.48 2025-08-26
A0106 HCPCS Stroke M <41.50 And A <84.50 8 8 $38,684.12 $38,684.12 $38,684.12 $41,392.01 $38,684.12 2025-08-26
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 8 8 $38,365.14 $38,365.14 $38,365.14 $41,050.69 $38,365.14 2025-08-26
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 8 8 $38,322.84 $38,322.84 $38,322.84 $41,005.44 $38,322.84 2025-08-26
C0205 HCPCS Traumatic Brain Injury M <35.50 8 8 $38,299.93 $38,299.93 $38,299.93 $40,980.92 $38,299.93 2025-08-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $34,681.61 $34,681.61 $34,681.61 $38,843.41 $38,149.78 2025-08-26
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 8 8 $38,081.39 $38,081.39 $38,081.39 $40,747.09 $38,081.39 2025-08-26
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 8 8 $38,023.23 $38,023.23 $38,023.23 $40,684.86 $38,023.23 2025-08-26
B1404 HCPCS Cardiac M <45.50 8 8 $37,697.20 $37,697.20 $37,697.20 $40,336.00 $37,697.20 2025-08-26
B0904 HCPCS Other Orthopedic M <44.5 8 8 $37,587.93 $37,587.93 $37,587.93 $40,219.08 $37,587.93 2025-08-26
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 8 8 $37,053.93 $37,053.93 $37,053.93 $39,647.70 $37,053.93 2025-08-26
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 8 8 $36,870.64 $36,870.64 $36,870.64 $39,451.59 $36,870.64 2025-08-26
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 8 8 $36,786.05 $36,786.05 $36,786.05 $39,361.07 $36,786.05 2025-08-26
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 8 8 $36,525.22 $36,525.22 $36,525.22 $39,081.98 $36,525.22 2025-08-26
850 MS_DRG Acute Leukemia With Other Procedures 3 3 $33,103.33 $33,103.33 $33,103.33 $37,075.73 $36,413.66 2025-08-26
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 8 8 $36,197.41 $36,197.41 $36,197.41 $38,731.23 $36,197.41 2025-08-26
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 8 8 $36,098.72 $36,098.72 $36,098.72 $38,625.63 $36,098.72 2025-08-26
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 8 8 $36,015.89 $36,015.89 $36,015.89 $38,537.00 $36,015.89 2025-08-26
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 8 8 $35,966.54 $35,966.54 $35,966.54 $38,484.20 $35,966.54 2025-08-26
B0104 HCPCS Stroke M >=41.50 And M <50.50 8 8 $35,931.30 $35,931.30 $35,931.30 $38,446.49 $35,931.30 2025-08-26
D0105 HCPCS Stroke M <41.50 And A >=84.50 8 8 $35,670.46 $35,670.46 $35,670.46 $38,167.40 $35,670.46 2025-08-26
76085035 CDM Sm153 Lexidron To 150mci 13 13 $41,825.76 $41,825.76 $29,278.03 $35,551.89 $35,551.89 2025-08-26
B1103 HCPCS Amputation Non-lower Extremity M <52.50 8 8 $35,316.23 $35,316.23 $35,316.23 $37,788.36 $35,316.23 2025-08-26
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 8 8 $35,102.98 $35,102.98 $35,102.98 $37,560.19 $35,102.98 2025-08-26
B0603 HCPCS Neurological M >=43.50 And M <52.50 8 8 $34,917.93 $34,917.93 $34,917.93 $37,362.19 $34,917.93 2025-08-26
D0205 HCPCS Traumatic Brain Injury M <35.50 8 8 $34,801.61 $34,801.61 $34,801.61 $37,237.73 $34,801.61 2025-08-26
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 8 8 $34,657.10 $34,657.10 $34,657.10 $37,083.10 $34,657.10 2025-08-26
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 8 8 $34,306.39 $34,306.39 $34,306.39 $36,707.83 $34,306.39 2025-08-26
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 8 8 $34,239.42 $34,239.42 $34,239.42 $36,636.17 $34,239.42 2025-08-26
A0105 HCPCS Stroke M <41.50 And A >=84.50 8 8 $34,022.64 $34,022.64 $34,022.64 $36,404.23 $34,022.64 2025-08-26
C1903 HCPCS Guillain-barré M >=38.50 And M <51.50 8 8 $33,978.58 $33,978.58 $33,978.58 $36,357.09 $33,978.58 2025-08-26
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 8 8 $33,613.77 $33,613.77 $33,613.77 $35,966.74 $33,613.77 2025-08-26
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 8 8 $33,582.05 $33,582.05 $33,582.05 $35,932.79 $33,582.05 2025-08-26
C1004 HCPCS Amputation Lower Extremity M <47.50 8 8 $33,571.48 $33,571.48 $33,571.48 $35,921.48 $33,571.48 2025-08-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 $30,451.30 $30,451.30 $30,451.30 $34,105.45 $33,496.43 2025-08-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 $30,434.41 $30,434.41 $30,434.41 $34,086.54 $33,477.85 2025-08-26
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 8 8 $33,421.67 $33,421.67 $33,421.67 $35,761.19 $33,421.67 2025-08-26
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 8 8 $33,263.06 $33,263.06 $33,263.06 $35,591.47 $33,263.06 2025-08-26
74080527 CDM Stnt Plc Transc Vein Ini 13 13 $39,032.60 $39,032.60 $27,322.82 $33,177.71 $33,177.71 2025-08-26
74080525 CDM Stnt Plc Transcth Art Ini 13 13 $38,869.80 $38,869.80 $27,208.86 $33,039.33 $33,039.33 2025-08-26
76085037 CDM Strontium Sr-89 Thera/mci 13 13 $38,865.52 $38,865.52 $27,205.86 $33,035.69 $33,035.69 2025-08-26
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 $29,972.28 $29,972.28 $29,972.28 $33,568.95 $32,969.51 2025-08-26
74080548 CDM Verteb Augm Lumbar W Imag 13 13 $38,769.13 $38,769.13 $27,138.39 $32,953.76 $32,953.76 2025-08-26
74080547 CDM Verteb Augm Thorac W Imag 13 13 $38,769.13 $38,769.13 $27,138.39 $32,953.76 $32,953.76 2025-08-26
74080549 CDM Verteb Augm Ea Add W Imag 13 13 $38,769.13 $38,769.13 $27,138.39 $32,953.76 $32,953.76 2025-08-26
C0604 HCPCS Neurological M <43.50 8 8 $32,880.62 $32,880.62 $32,880.62 $35,182.27 $32,880.62 2025-08-26
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 8 8 $32,861.24 $32,861.24 $32,861.24 $35,161.53 $32,861.24 2025-08-26
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 8 8 $32,847.14 $32,847.14 $32,847.14 $35,146.44 $32,847.14 2025-08-26
A0205 HCPCS Traumatic Brain Injury M <35.50 8 8 $32,781.93 $32,781.93 $32,781.93 $35,076.67 $32,781.93 2025-08-26
C1504 HCPCS Pulmonary M <45.50 8 8 $32,378.35 $32,378.35 $32,378.35 $34,644.83 $32,378.35 2025-08-26
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 8 8 $32,337.81 $32,337.81 $32,337.81 $34,601.46 $32,337.81 2025-08-26
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 8 8 $32,263.79 $32,263.79 $32,263.79 $34,522.26 $32,263.79 2025-08-26
A5102 HCPCS Expired, Orthopedic, Length Of Stay Is 14 Days Or More 8 8 $32,115.75 $32,115.75 $32,115.75 $34,363.86 $32,115.75 2025-08-26
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 8 8 $32,103.42 $32,103.42 $32,103.42 $34,350.66 $32,103.42 2025-08-26
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 8 8 $32,038.21 $32,038.21 $32,038.21 $34,280.88 $32,038.21 2025-08-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 $28,967.89 $28,967.89 $28,967.89 $32,444.03 $31,864.67 2025-08-26
C0704 HCPCS Fracture Of Lower Extremity M <41.50 8 8 $31,733.32 $31,733.32 $31,733.32 $33,954.65 $31,733.32 2025-08-26
D1903 HCPCS Guillain-barré M >=38.50 And M <51.50 8 8 $31,682.21 $31,682.21 $31,682.21 $33,899.96 $31,682.21 2025-08-26
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 8 8 $31,648.73 $31,648.73 $31,648.73 $33,864.14 $31,648.73 2025-08-26
10 MS_DRG Pancreas Transplant 3 3 $28,651.29 $28,651.29 $28,651.29 $32,089.45 $31,516.42 2025-08-26
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 8 8 $31,370.27 $31,370.27 $31,370.27 $33,566.19 $31,370.27 2025-08-26
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 $28,487.07 $28,487.07 $28,487.07 $31,905.52 $31,335.78 2025-08-26
D2102 HCPCS Burns M <52.50 8 8 $31,262.76 $31,262.76 $31,262.76 $33,451.16 $31,262.76 2025-08-26
C2102 HCPCS Burns M <52.50 8 8 $31,262.76 $31,262.76 $31,262.76 $33,451.16 $31,262.76 2025-08-26
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 8 8 $31,248.67 $31,248.67 $31,248.67 $33,436.07 $31,248.67 2025-08-26
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 8 8 $31,236.33 $31,236.33 $31,236.33 $33,422.87 $31,236.33 2025-08-26
C0104 HCPCS Stroke M >=41.50 And M <50.50 8 8 $31,176.41 $31,176.41 $31,176.41 $33,358.76 $31,176.41 2025-08-26
A1903 HCPCS Guillain-barré M >=38.50 And M <51.50 8 8 $31,010.75 $31,010.75 $31,010.75 $33,181.50 $31,010.75 2025-08-26
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 8 8 $30,996.65 $30,996.65 $30,996.65 $33,166.41 $30,996.65 2025-08-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 $28,088.55 $28,088.55 $28,088.55 $31,459.17 $30,897.40 2025-08-26
C1604 HCPCS Pain Syndrome M <43.50 8 8 $30,876.80 $30,876.80 $30,876.80 $33,038.18 $30,876.80 2025-08-26
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 8 8 $30,855.66 $30,855.66 $30,855.66 $33,015.55 $30,855.66 2025-08-26
B1403 HCPCS Cardiac M >=45.50 And M <55.50 8 8 $30,838.03 $30,838.03 $30,838.03 $32,996.69 $30,838.03 2025-08-26
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 8 8 $30,809.83 $30,809.83 $30,809.83 $32,966.52 $30,809.83 2025-08-26
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 8 8 $30,764.01 $30,764.01 $30,764.01 $32,917.49 $30,764.01 2025-08-26
D0604 HCPCS Neurological M <43.50 8 8 $30,679.42 $30,679.42 $30,679.42 $32,826.98 $30,679.42 2025-08-26
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 8 8 $30,667.08 $30,667.08 $30,667.08 $32,813.78 $30,667.08 2025-08-26
D1004 HCPCS Amputation Lower Extremity M <47.50 8 8 $30,638.88 $30,638.88 $30,638.88 $32,783.61 $30,638.88 2025-08-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $27,805.02 $27,805.02 $27,805.02 $31,141.62 $30,585.52 2025-08-26
D1504 HCPCS Pulmonary M <45.50 8 8 $30,578.96 $30,578.96 $30,578.96 $32,719.49 $30,578.96 2025-08-26
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 8 8 $30,517.28 $30,517.28 $30,517.28 $32,653.49 $30,517.28 2025-08-26
36224 CPT Place Cath Int Carotid Art Bi 13 13 $35,853.69 $35,853.69 $25,097.58 $30,475.63 $30,475.63 2025-08-26
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 8 8 $30,210.63 $30,210.63 $30,210.63 $32,325.37 $30,210.63 2025-08-26
C0904 HCPCS Other Orthopedic M <44.5 8 8 $30,207.10 $30,207.10 $30,207.10 $32,321.60 $30,207.10 2025-08-26
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 8 8 $30,198.29 $30,198.29 $30,198.29 $32,312.17 $30,198.29 2025-08-26
D0704 HCPCS Fracture Of Lower Extremity M <41.50 8 8 $30,071.40 $30,071.40 $30,071.40 $32,176.40 $30,071.40 2025-08-26
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 8 8 $29,970.94 $29,970.94 $29,970.94 $32,068.91 $29,970.94 2025-08-26
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 8 8 $29,918.07 $29,918.07 $29,918.07 $32,012.34 $29,918.07 2025-08-26
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 8 8 $29,858.15 $29,858.15 $29,858.15 $31,948.22 $29,858.15 2025-08-26
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 8 8 $29,807.04 $29,807.04 $29,807.04 $31,893.54 $29,807.04 2025-08-26
C1404 HCPCS Cardiac M <45.50 8 8 $29,778.85 $29,778.85 $29,778.85 $31,863.36 $29,778.85 2025-08-26
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 8 8 $29,757.70 $29,757.70 $29,757.70 $31,840.74 $29,757.70 2025-08-26
B0602 HCPCS Neurological M >=52.50 And M <64.50 8 8 $29,648.43 $29,648.43 $29,648.43 $31,723.82 $29,648.43 2025-08-26
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 8 8 $29,648.43 $29,648.43 $29,648.43 $31,723.82 $29,648.43 2025-08-26
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 8 8 $29,523.30 $29,523.30 $29,523.30 $31,589.93 $29,523.30 2025-08-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 $26,822.90 $26,822.90 $26,822.90 $30,041.65 $29,505.19 2025-08-26
B1902 HCPCS Guillain-barré M >=51.50 And M <66.50 8 8 $29,347.06 $29,347.06 $29,347.06 $31,401.36 $29,347.06 2025-08-26
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 8 8 $29,324.15 $29,324.15 $29,324.15 $31,376.84 $29,324.15 2025-08-26
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 8 8 $29,294.19 $29,294.19 $29,294.19 $31,344.79 $29,294.19 2025-08-26
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 8 8 $29,213.12 $29,213.12 $29,213.12 $31,258.04 $29,213.12 2025-08-26
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 8 8 $29,160.25 $29,160.25 $29,160.25 $31,201.47 $29,160.25 2025-08-26
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 8 8 $29,116.19 $29,116.19 $29,116.19 $31,154.33 $29,116.19 2025-08-26
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 8 8 $29,100.33 $29,100.33 $29,100.33 $31,137.35 $29,100.33 2025-08-26
D1103 HCPCS Amputation Non-lower Extremity M <52.50 8 8 $28,603.34 $28,603.34 $28,603.34 $30,605.58 $28,603.34 2025-08-26
C1103 HCPCS Amputation Non-lower Extremity M <52.50 8 8 $28,603.34 $28,603.34 $28,603.34 $30,605.58 $28,603.34 2025-08-26
A1504 HCPCS Pulmonary M <45.50 8 8 $28,554.00 $28,554.00 $28,554.00 $30,552.77 $28,554.00 2025-08-26
D0104 HCPCS Stroke M >=41.50 And M <50.50 8 8 $28,552.23 $28,552.23 $28,552.23 $30,550.89 $28,552.23 2025-08-26
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 8 8 $28,361.90 $28,361.90 $28,361.90 $30,347.23 $28,361.90 2025-08-26
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 8 8 $28,324.89 $28,324.89 $28,324.89 $30,307.63 $28,324.89 2025-08-26
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 8 8 $28,319.60 $28,319.60 $28,319.60 $30,301.97 $28,319.60 2025-08-26
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 8 8 $28,242.05 $28,242.05 $28,242.05 $30,219.00 $28,242.05 2025-08-26
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 8 8 $28,219.14 $28,219.14 $28,219.14 $30,194.48 $28,219.14 2025-08-26
D0904 HCPCS Other Orthopedic M <44.5 8 8 $28,173.32 $28,173.32 $28,173.32 $30,145.45 $28,173.32 2025-08-26
B0103 HCPCS Stroke M >=50.50 And M <63.50 8 8 $28,153.94 $28,153.94 $28,153.94 $30,124.71 $28,153.94 2025-08-26
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 8 8 $28,150.41 $28,150.41 $28,150.41 $30,120.94 $28,150.41 2025-08-26
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 8 8 $28,143.36 $28,143.36 $28,143.36 $30,113.40 $28,143.36 2025-08-26
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 8 8 $28,116.93 $28,116.93 $28,116.93 $30,085.11 $28,116.93 2025-08-26
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 $25,523.84 $25,523.84 $25,523.84 $28,586.70 $28,076.22 2025-08-26
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 8 8 $28,041.14 $28,041.14 $28,041.14 $30,004.02 $28,041.14 2025-08-26
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 8 8 $27,949.50 $27,949.50 $27,949.50 $29,905.97 $27,949.50 2025-08-26
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 $25,395.55 $25,395.55 $25,395.55 $28,443.01 $27,935.10 2025-08-26
A1103 HCPCS Amputation Non-lower Extremity M <52.50 8 8 $27,882.53 $27,882.53 $27,882.53 $29,834.31 $27,882.53 2025-08-26
A0704 HCPCS Fracture Of Lower Extremity M <41.50 8 8 $27,773.26 $27,773.26 $27,773.26 $29,717.39 $27,773.26 2025-08-26
D1604 HCPCS Pain Syndrome M <43.50 8 8 $27,725.68 $27,725.68 $27,725.68 $29,666.48 $27,725.68 2025-08-26
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 8 8 $27,716.87 $27,716.87 $27,716.87 $29,657.05 $27,716.87 2025-08-26
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 8 8 $27,693.96 $27,693.96 $27,693.96 $29,632.53 $27,693.96 2025-08-26
A0604 HCPCS Neurological M <43.50 8 8 $27,679.86 $27,679.86 $27,679.86 $29,617.45 $27,679.86 2025-08-26
D1404 HCPCS Cardiac M <45.50 8 8 $27,664.00 $27,664.00 $27,664.00 $29,600.48 $27,664.00 2025-08-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 $24,998.46 $24,998.46 $24,998.46 $27,998.28 $27,498.31 2025-08-26
D1204 HCPCS Osteoarthritis M <49.50 And A <74.50 8 8 $27,396.11 $27,396.11 $27,396.11 $29,313.84 $27,396.11 2025-08-26
A1004 HCPCS Amputation Lower Extremity M <47.50 8 8 $27,380.25 $27,380.25 $27,380.25 $29,296.87 $27,380.25 2025-08-26
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 8 8 $27,318.57 $27,318.57 $27,318.57 $29,230.87 $27,318.57 2025-08-26
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 8 8 $27,241.03 $27,241.03 $27,241.03 $29,147.90 $27,241.03 2025-08-26
A0104 HCPCS Stroke M >=41.50 And M <50.50 8 8 $27,232.21 $27,232.21 $27,232.21 $29,138.47 $27,232.21 2025-08-26
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 8 8 $27,225.16 $27,225.16 $27,225.16 $29,130.93 $27,225.16 2025-08-26
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 8 8 $27,184.63 $27,184.63 $27,184.63 $29,087.55 $27,184.63 2025-08-26
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 8 8 $27,167.01 $27,167.01 $27,167.01 $29,068.70 $27,167.01 2025-08-26
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 8 8 $27,100.04 $27,100.04 $27,100.04 $28,997.04 $27,100.04 2025-08-26
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 8 8 $27,082.41 $27,082.41 $27,082.41 $28,978.18 $27,082.41 2025-08-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 $24,537.77 $24,537.77 $24,537.77 $27,482.30 $26,991.55 2025-08-26
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 8 8 $26,969.62 $26,969.62 $26,969.62 $28,857.49 $26,969.62 2025-08-26
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 8 8 $26,929.09 $26,929.09 $26,929.09 $28,814.12 $26,929.09 2025-08-26
B2101 HCPCS Burns M >=52.50 8 8 $26,733.46 $26,733.46 $26,733.46 $28,604.80 $26,733.46 2025-08-26
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 8 8 $26,694.69 $26,694.69 $26,694.69 $28,563.32 $26,694.69 2025-08-26
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 8 8 $26,599.52 $26,599.52 $26,599.52 $28,461.49 $26,599.52 2025-08-26
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 8 8 $26,564.27 $26,564.27 $26,564.27 $28,423.77 $26,564.27 2025-08-26
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 3 $24,093.61 $24,093.61 $24,093.61 $26,984.84 $26,502.97 2025-08-26
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 8 8 $26,444.43 $26,444.43 $26,444.43 $28,295.54 $26,444.43 2025-08-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 3 $24,000.89 $24,000.89 $24,000.89 $26,881.00 $26,400.98 2025-08-26
A2102 HCPCS Burns M <52.50 8 8 $26,370.41 $26,370.41 $26,370.41 $28,216.34 $26,370.41 2025-08-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 $23,960.29 $23,960.29 $23,960.29 $26,835.52 $26,356.32 2025-08-26
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 8 8 $26,322.83 $26,322.83 $26,322.83 $28,165.43 $26,322.83 2025-08-26
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 8 8 $26,284.06 $26,284.06 $26,284.06 $28,123.94 $26,284.06 2025-08-26
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 8 8 $26,240.00 $26,240.00 $26,240.00 $28,076.80 $26,240.00 2025-08-26
C0603 HCPCS Neurological M >=43.50 And M <52.50 8 8 $26,213.56 $26,213.56 $26,213.56 $28,048.51 $26,213.56 2025-08-26
B1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 8 8 $26,199.46 $26,199.46 $26,199.46 $28,033.42 $26,199.46 2025-08-26
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 8 8 $26,176.55 $26,176.55 $26,176.55 $28,008.91 $26,176.55 2025-08-26
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 8 8 $26,173.03 $26,173.03 $26,173.03 $28,005.14 $26,173.03 2025-08-26
D1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 8 8 $26,111.34 $26,111.34 $26,111.34 $27,939.14 $26,111.34 2025-08-26
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 8 8 $25,973.88 $25,973.88 $25,973.88 $27,792.05 $25,973.88 2025-08-26
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 8 8 $25,913.96 $25,913.96 $25,913.96 $27,727.93 $25,913.96 2025-08-26
C1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 8 8 $25,898.10 $25,898.10 $25,898.10 $27,710.96 $25,898.10 2025-08-26
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 8 8 $25,891.05 $25,891.05 $25,891.05 $27,703.42 $25,891.05 2025-08-26
A1604 HCPCS Pain Syndrome M <43.50 8 8 $25,802.93 $25,802.93 $25,802.93 $27,609.13 $25,802.93 2025-08-26
A0904 HCPCS Other Orthopedic M <44.5 8 8 $25,785.30 $25,785.30 $25,785.30 $27,590.28 $25,785.30 2025-08-26
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 8 8 $25,758.87 $25,758.87 $25,758.87 $27,561.99 $25,758.87 2025-08-26
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 8 8 $25,607.30 $25,607.30 $25,607.30 $27,399.82 $25,607.30 2025-08-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 $23,240.14 $23,240.14 $23,240.14 $26,028.96 $25,564.16 2025-08-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $23,206.72 $23,206.72 $23,206.72 $25,991.53 $25,527.39 2025-08-26
A1404 HCPCS Cardiac M <45.50 8 8 $25,464.55 $25,464.55 $25,464.55 $27,247.07 $25,464.55 2025-08-26
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 8 8 $25,237.21 $25,237.21 $25,237.21 $27,003.81 $25,237.21 2025-08-26
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 8 8 $25,209.01 $25,209.01 $25,209.01 $26,973.64 $25,209.01 2025-08-26
B1402 HCPCS Cardiac M >=55.50 And M <68.50 8 8 $25,175.52 $25,175.52 $25,175.52 $26,937.81 $25,175.52 2025-08-26
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 8 8 $25,112.08 $25,112.08 $25,112.08 $26,869.92 $25,112.08 2025-08-26
D1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 8 8 $25,062.73 $25,062.73 $25,062.73 $26,817.12 $25,062.73 2025-08-26
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 8 8 $25,025.72 $25,025.72 $25,025.72 $26,777.52 $25,025.72 2025-08-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 $22,726.63 $22,726.63 $22,726.63 $25,453.82 $24,999.29 2025-08-26
B1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 8 8 $24,909.40 $24,909.40 $24,909.40 $26,653.06 $24,909.40 2025-08-26
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 8 8 $24,877.68 $24,877.68 $24,877.68 $26,619.12 $24,877.68 2025-08-26
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 8 8 $24,801.90 $24,801.90 $24,801.90 $26,538.03 $24,801.90 2025-08-26
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 8 8 $24,750.79 $24,750.79 $24,750.79 $26,483.35 $24,750.79 2025-08-26
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 8 8 $24,741.98 $24,741.98 $24,741.98 $26,473.92 $24,741.98 2025-08-26
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 8 8 $24,722.59 $24,722.59 $24,722.59 $26,453.17 $24,722.59 2025-08-26
36226 CPT Place Cath Vertebral Art Bi 13 13 $29,036.88 $29,036.88 $20,325.82 $24,681.35 $24,681.35 2025-08-26
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 8 8 $24,632.71 $24,632.71 $24,632.71 $26,357.00 $24,632.71 2025-08-26
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 8 8 $24,613.33 $24,613.33 $24,613.33 $26,336.26 $24,613.33 2025-08-26
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 8 8 $24,498.77 $24,498.77 $24,498.77 $26,213.68 $24,498.77 2025-08-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 $22,259.82 $22,259.82 $22,259.82 $24,931.00 $24,485.81 2025-08-26
D0603 HCPCS Neurological M >=43.50 And M <52.50 8 8 $24,458.24 $24,458.24 $24,458.24 $26,170.31 $24,458.24 2025-08-26
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 3 $22,231.08 $22,231.08 $22,231.08 $24,898.80 $24,454.18 2025-08-26
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 8 8 $24,438.85 $24,438.85 $24,438.85 $26,149.57 $24,438.85 2025-08-26
C0103 HCPCS Stroke M >=50.50 And M <63.50 8 8 $24,428.28 $24,428.28 $24,428.28 $26,138.26 $24,428.28 2025-08-26
D1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 8 8 $24,412.41 $24,412.41 $24,412.41 $26,121.28 $24,412.41 2025-08-26
C1403 HCPCS Cardiac M >=45.50 And M <55.50 8 8 $24,359.54 $24,359.54 $24,359.54 $26,064.71 $24,359.54 2025-08-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 $22,129.74 $22,129.74 $22,129.74 $24,785.31 $24,342.71 2025-08-26
B0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 8 8 $24,273.19 $24,273.19 $24,273.19 $25,972.31 $24,273.19 2025-08-26
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 $22,052.48 $22,052.48 $22,052.48 $24,698.77 $24,257.72 2025-08-26
D0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 8 8 $24,186.83 $24,186.83 $24,186.83 $25,879.91 $24,186.83 2025-08-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 $21,951.86 $21,951.86 $21,951.86 $24,586.08 $24,147.04 2025-08-26
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 8 8 $24,132.20 $24,132.20 $24,132.20 $25,821.45 $24,132.20 2025-08-26
36901 CPT Intro Dial Graft 13 13 $28,319.15 $28,319.15 $19,823.40 $24,071.28 $24,071.28 2025-08-26
28 MS_DRG Spinal Procedures With Mcc 3 3 $21,846.93 $21,846.93 $21,846.93 $24,468.56 $24,031.62 2025-08-26
D1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 8 8 $23,947.15 $23,947.15 $23,947.15 $25,623.45 $23,947.15 2025-08-26
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 8 8 $23,933.05 $23,933.05 $23,933.05 $25,608.36 $23,933.05 2025-08-26
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 3 $21,690.25 $21,690.25 $21,690.25 $24,293.08 $23,859.27 2025-08-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 3 $21,690.25 $21,690.25 $21,690.25 $24,293.08 $23,859.27 2025-08-26
D0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 8 8 $23,700.42 $23,700.42 $23,700.42 $25,359.44 $23,700.42 2025-08-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 $21,528.18 $21,528.18 $21,528.18 $24,111.56 $23,681.00 2025-08-26
D0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 8 8 $23,645.78 $23,645.78 $23,645.78 $25,300.99 $23,645.78 2025-08-26
D1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 8 8 $23,545.33 $23,545.33 $23,545.33 $25,193.50 $23,545.33 2025-08-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $21,379.05 $21,379.05 $21,379.05 $23,944.53 $23,516.95 2025-08-26
D0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 8 8 $23,511.84 $23,511.84 $23,511.84 $25,157.67 $23,511.84 2025-08-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 $21,362.88 $21,362.88 $21,362.88 $23,926.42 $23,499.16 2025-08-26
B1701 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 8 8 $23,460.73 $23,460.73 $23,460.73 $25,102.98 $23,460.73 2025-08-26
B0601 HCPCS Neurological M >=64.50 8 8 $23,369.09 $23,369.09 $23,369.09 $25,004.92 $23,369.09 2025-08-26
B0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 8 8 $23,307.41 $23,307.41 $23,307.41 $24,938.92 $23,307.41 2025-08-26
B1201 HCPCS Osteoarthritis M >=61.50 8 8 $23,261.58 $23,261.58 $23,261.58 $24,889.89 $23,261.58 2025-08-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 $21,145.11 $21,145.11 $21,145.11 $23,682.52 $23,259.62 2025-08-26
D2003 HCPCS Miscellaneous M >=46.50 And M <55.50 8 8 $23,185.80 $23,185.80 $23,185.80 $24,808.81 $23,185.80 2025-08-26
A1503 HCPCS Pulmonary M >=45.50 And M <56.50 8 8 $23,085.35 $23,085.35 $23,085.35 $24,701.32 $23,085.35 2025-08-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 $20,922.67 $20,922.67 $20,922.67 $23,433.39 $23,014.93 2025-08-26
C1502 HCPCS Pulmonary M >=56.50 And M <68.50 8 8 $22,995.47 $22,995.47 $22,995.47 $24,605.15 $22,995.47 2025-08-26
D1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 8 8 $22,940.83 $22,940.83 $22,940.83 $24,546.69 $22,940.83 2025-08-26
C1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 8 8 $22,940.83 $22,940.83 $22,940.83 $24,546.69 $22,940.83 2025-08-26
A0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 8 8 $22,808.65 $22,808.65 $22,808.65 $24,405.26 $22,808.65 2025-08-26
C1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 8 8 $22,801.60 $22,801.60 $22,801.60 $24,397.72 $22,801.60 2025-08-26
A1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 8 8 $22,762.83 $22,762.83 $22,762.83 $24,356.23 $22,762.83 2025-08-26
A0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 8 8 $22,732.87 $22,732.87 $22,732.87 $24,324.17 $22,732.87 2025-08-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 $20,624.76 $20,624.76 $20,624.76 $23,099.74 $22,687.24 2025-08-26
D1403 HCPCS Cardiac M >=45.50 And M <55.50 8 8 $22,628.89 $22,628.89 $22,628.89 $24,212.91 $22,628.89 2025-08-26
A1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 8 8 $22,627.13 $22,627.13 $22,627.13 $24,211.03 $22,627.13 2025-08-26
C1902 HCPCS Guillain-barré M >=51.50 And M <66.50 8 8 $22,616.55 $22,616.55 $22,616.55 $24,199.71 $22,616.55 2025-08-26
B1601 HCPCS Pain Syndrome M >=65.50 8 8 $22,591.88 $22,591.88 $22,591.88 $24,173.31 $22,591.88 2025-08-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 $20,501.51 $20,501.51 $20,501.51 $22,961.69 $22,551.66 2025-08-26
B0501 HCPCS Non-traumatic Spinal Cord Injury M >=60.50 8 8 $22,486.14 $22,486.14 $22,486.14 $24,060.17 $22,486.14 2025-08-26
D0103 HCPCS Stroke M >=50.50 And M <63.50 8 8 $22,371.58 $22,371.58 $22,371.58 $23,937.60 $22,371.58 2025-08-26
A1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 8 8 $22,362.77 $22,362.77 $22,362.77 $23,928.17 $22,362.77 2025-08-26
C1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 8 8 $22,359.25 $22,359.25 $22,359.25 $23,924.40 $22,359.25 2025-08-26
D1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 8 8 $22,338.10 $22,338.10 $22,338.10 $23,901.77 $22,338.10 2025-08-26
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