Hospital

Uf Health Rehab Hospital

Gainesville, FL · CCN 103046 · Rates published

100 distinct procedures filed

36 distinct payers

6,274 rate rows

2026-09-20 last MRF observed

Data quality

4,857 of 6,274 rate rows are consumer-grade (77.4%)

1,417 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	1,417

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

Source MRF file	https://resources.selectmedical.com/Pricing-Transparency/inpatient-rehabilitation/81-3115273_UF_Health_Rehab_Hospital_standardcharges.csv
Found on page	https://rehabhospital.ufhealth.org/patients-and-caregivers/admissions/pricing-transparency/
Discovered via	Discovered by HANK
Last fetch	success · 2026-09-20
Content fingerprint	a9daf5a381f2fb4e… · 48,919,056 bytes · first seen 2026-09-20

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
1802 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor >23.05 & Motor…	31	$2,185.50	$2,185.50	$2,185.50	nat. median $2,186 1.0× median
1803 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor <23.05.,comorb…	31	$2,185.50	$28,325.41	$2,185.50	nat. median $2,186 1.0× median
201 OTHER	Traumatic Brain Injury With Motor >53.35 & Cognitive >23.5.,comorbidity In Tier…	31	$2,185.50	$2,185.50	$2,185.50	nat. median $2,186 1.0× median
202 OTHER	Traumatic Brain Injury With Motor >44.25 & Motor <53.35 & Cognitive >23.5.,comor…	31	$2,185.50	$2,185.50	$2,185.50	nat. median $2,374 0.9× median
203 OTHER	Traumatic Brain Injury With Motor >44.25 & Cognitive <23.5.,comorbidity In Tier…	31	$2,185.50	$30,817.08	$2,185.50	nat. median $2,374 0.9× median
204 OTHER	Traumatic Brain Injury With Motor >40.65 & Motor <44.25.,comorbidity In Tier 1	31	$2,185.50	$33,127.39	$2,185.50	nat. median $2,374 0.9× median
205 OTHER	Traumatic Brain Injury With Motor >28.75 & Motor <40.65.,comorbidity In Tier 1	31	$2,185.50	$49,498.81	$2,185.50	nat. median $2,374 0.9× median
1804 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score From 12…	31	$2,185.50	$2,185.50	$2,185.50	nat. median $2,186 1.0× median
1805 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50.,c…	31	$2,185.50	$2,185.50	$2,185.50	nat. median $2,186 1.0× median
301 OTHER	Non-traumatic Brain Injury With Motor >41.05.,comorbidity In Tier 1	31	$2,185.50	$18,111.15	$2,185.50	nat. median $2,374 0.9× median
302 OTHER	Non-traumatic Brain Injury With Motor >35.05 & Motor <41.05.,comorbidity In Tier…	31	$2,185.50	$23,859.07	$2,185.50	nat. median $2,374 0.9× median
303 OTHER	Non-traumatic Brain Injury With Motor >26.15 & Motor <35.05.,comorbidity In Tier…	31	$2,185.50	$43,163.69	$2,185.50	nat. median $2,374 0.9× median
304 OTHER	Non-traumatic Brain Injury With Motor <26.15.,comorbidity In Tier 1	31	$2,185.50	$35,951.28	$2,185.50	nat. median $2,374 0.9× median
305 OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50.,comorbidity In Tier 1	31	$2,185.50	$37,429.29	$2,185.50	nat. median $2,374 0.9× median
1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50.,comorbidity In…	31	$2,185.50	$11,189.26	$2,185.50	nat. median $2,186 1.0× median
1801 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor >40.85.,comorb…	31	$2,185.50	$2,185.50	$2,185.50	nat. median $2,186 1.0× median
1204 OTHER	Osteoarthritis With Motor Score From 39 �47.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,154 1.0× median
1301 OTHER	Rheumatoid, Other Arthritis With Motor >36.35.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,154 1.0× median
1302 OTHER	Rheumatoid, Other Arthritis With Motor >26.15 & Motor <36.35.,comorbidity In Tie…	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,154 1.0× median
1303 OTHER	Rheumatoid, Other Arthritis With Motor <26.15.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,154 1.0× median
1304 OTHER	Rheumatoid, Other Arthritis With Motor Score From 12 �35.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,374 0.9× median
1305 OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50.,comorbidity In Tier 1	31	$2,134.50	$7,793.58	$2,134.50	nat. median $2,154 1.0× median
1401 OTHER	Cardiac With Motor >48.85.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,154 1.0× median
1402 OTHER	Cardiac With Motor >38.55 & Motor <48.85.,comorbidity In Tier 1	31	$2,134.50	$22,551.41	$2,134.50	nat. median $2,134 1.0× median
1403 OTHER	Cardiac With Motor >31.15 & Motor <38.55.,comorbidity In Tier 1	31	$2,134.50	$31,076.32	$2,134.50	nat. median $2,374 0.9× median
1404 OTHER	Cardiac With Motor <31.15.,comorbidity In Tier 1	31	$2,134.50	$32,995.70	$2,134.50	nat. median $2,154 1.0× median
1501 OTHER	Pulmonary With Motor >49.25.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,154 1.0× median
1502 OTHER	Pulmonary With Motor >39.05 & Motor <49.25.,comorbidity In Tier 1	31	$2,134.50	$13,063.28	$2,134.50	nat. median $1,500 1.4× median
1503 OTHER	Pulmonary With Motor >29.15 & Motor <39.05.,comorbidity In Tier 1	31	$2,134.50	$28,191.57	$2,134.50	nat. median $1,526 1.4× median
1504 OTHER	Pulmonary With Motor <29.15.,comorbidity In Tier 1	31	$2,134.50	$41,630.08	$2,134.50	nat. median $1,526 1.4× median
1601 OTHER	Pain Syndrome With Motor >37.15.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,154 1.0× median
1602 OTHER	Pain Syndrome With Motor >26.75 & Motor <37.15.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,154 1.0× median
1603 OTHER	Pain Syndrome With Motor <26.75.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,154 1.0× median
1604 OTHER	Pain Syndrome M <43.50.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,154 1.0× median
1701 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >39.25.,com…	31	$2,134.50	$2,134.50	$2,134.50	nat. median $1,526 1.4× median
1702 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >31.05 & Mo…	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,154 1.0× median
1703 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >25.55 & Mo…	31	$2,134.50	$38,361.99	$2,134.50	nat. median $2,154 1.0× median
1704 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor <25.55.,com…	31	$2,134.50	$2,134.50	$2,134.50	nat. median $1,526 1.4× median
1705 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50.,comorbidity…	31	$2,134.50	$112,000.00	$2,134.50	nat. median $1,526 1.4× median
1901 OTHER	Guillian Barre With Motor >35.95.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $3,015 0.7× median
1902 OTHER	Guillian Barre With Motor >18.05 & Motor <35.95.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $3,015 0.7× median
1903 OTHER	Guillian Barre With Motor <18.05.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $3,015 0.7× median
1904 OTHER	Guillain-barre M <38.50.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $3,015 0.7× median
2001 OTHER	Miscellaneous With Motor >49.15.,comorbidity In Tier 1	31	$2,134.50	$2,134.50	$2,134.50	nat. median $2,154 1.0× median
2002 OTHER	Miscellaneous With Motor >38.75 & Motor <49.15.,comorbidity In Tier 1	31	$2,134.50	$22,413.65	$2,134.50	nat. median $2,374 0.9× median
2003 OTHER	Miscellaneous With Motor >27.85 & Motor <38.75.,comorbidity In Tier 1	31	$2,134.50	$28,732.41	$2,134.50	nat. median $2,374 0.9× median
2004 OTHER	Miscellaneous With Motor <27.85, Comorbidity In Tier 1	31	$2,134.50	$31,449.95	$2,134.50	nat. median $2,374 0.9× median
2005 OTHER	Miscellaneous With Motor Score From 12 �32 And Patient Is 81 Years Old Or Younge…	31	$2,134.50	$35,528.64	$2,134.50	nat. median $2,374 0.9× median
2101 OTHER	Burns With Motor >0.,comorbidity In Tier 1	31	$2,134.50	$19,931.86	$2,134.50	nat. median $2,154 1.0× median
2102 OTHER	Burns With Motor Score From 12 �45.,comorbidity In Tier 1	31	$2,134.50	$35,943.06	$2,134.50	nat. median $2,154 1.0× median

Other procedures at this hospital

Browse this hospital's 100 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

1802	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor >23.05 & Motor…	46	31	—	—	$2,185.50	$2,185.50	$2,185.50	2026-09-20
1803	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor <23.05.,comorb…	47	31	—	—	$2,185.50	$28,325.41	$2,185.50	2026-09-20
201	OTHER	Traumatic Brain Injury With Motor >53.35 & Cognitive >23.5.,comorbidity In Tier …	46	31	—	—	$2,185.50	$2,185.50	$2,185.50	2026-09-20
202	OTHER	Traumatic Brain Injury With Motor >44.25 & Motor <53.35 & Cognitive >23.5.,comor…	46	31	—	—	$2,185.50	$2,185.50	$2,185.50	2026-09-20
203	OTHER	Traumatic Brain Injury With Motor >44.25 & Cognitive <23.5.,comorbidity In Tier …	50	31	—	—	$2,185.50	$30,817.08	$2,185.50	2026-09-20
204	OTHER	Traumatic Brain Injury With Motor >40.65 & Motor <44.25.,comorbidity In Tier 1	50	31	—	—	$2,185.50	$33,127.39	$2,185.50	2026-09-20
205	OTHER	Traumatic Brain Injury With Motor >28.75 & Motor <40.65.,comorbidity In Tier 1	51	31	—	—	$2,185.50	$49,498.81	$2,185.50	2026-09-20
1804	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score From 12 …	46	31	—	—	$2,185.50	$2,185.50	$2,185.50	2026-09-20
1805	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50.,c…	46	31	—	—	$2,185.50	$2,185.50	$2,185.50	2026-09-20
301	OTHER	Non-traumatic Brain Injury With Motor >41.05.,comorbidity In Tier 1	50	31	—	—	$2,185.50	$18,111.15	$2,185.50	2026-09-20
302	OTHER	Non-traumatic Brain Injury With Motor >35.05 & Motor <41.05.,comorbidity In Tier…	52	31	—	—	$2,185.50	$23,859.07	$2,185.50	2026-09-20
303	OTHER	Non-traumatic Brain Injury With Motor >26.15 & Motor <35.05.,comorbidity In Tier…	54	31	—	—	$2,185.50	$43,163.69	$2,185.50	2026-09-20
304	OTHER	Non-traumatic Brain Injury With Motor <26.15.,comorbidity In Tier 1	51	31	—	—	$2,185.50	$35,951.28	$2,185.50	2026-09-20
305	OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50.,comorbidity In Tier 1	52	31	—	—	$2,185.50	$37,429.29	$2,185.50	2026-09-20
1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50.,comorbidity In …	47	31	—	—	$2,185.50	$11,189.26	$2,185.50	2026-09-20
1801	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor >40.85.,comorb…	46	31	—	—	$2,185.50	$2,185.50	$2,185.50	2026-09-20
1204	OTHER	Osteoarthritis With Motor Score From 39 �47.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1301	OTHER	Rheumatoid, Other Arthritis With Motor >36.35.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1302	OTHER	Rheumatoid, Other Arthritis With Motor >26.15 & Motor <36.35.,comorbidity In Tie…	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1303	OTHER	Rheumatoid, Other Arthritis With Motor <26.15.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1304	OTHER	Rheumatoid, Other Arthritis With Motor Score From 12 �35.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1305	OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50.,comorbidity In Tier 1	47	31	—	—	$2,134.50	$7,793.58	$2,134.50	2026-09-20
1401	OTHER	Cardiac With Motor >48.85.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1402	OTHER	Cardiac With Motor >38.55 & Motor <48.85.,comorbidity In Tier 1	49	31	—	—	$2,134.50	$22,551.41	$2,134.50	2026-09-20
1403	OTHER	Cardiac With Motor >31.15 & Motor <38.55.,comorbidity In Tier 1	53	31	—	—	$2,134.50	$31,076.32	$2,134.50	2026-09-20
1404	OTHER	Cardiac With Motor <31.15.,comorbidity In Tier 1	49	31	—	—	$2,134.50	$32,995.70	$2,134.50	2026-09-20
1501	OTHER	Pulmonary With Motor >49.25.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1502	OTHER	Pulmonary With Motor >39.05 & Motor <49.25.,comorbidity In Tier 1	47	31	—	—	$2,134.50	$13,063.28	$2,134.50	2026-09-20
1503	OTHER	Pulmonary With Motor >29.15 & Motor <39.05.,comorbidity In Tier 1	47	31	—	—	$2,134.50	$28,191.57	$2,134.50	2026-09-20
1504	OTHER	Pulmonary With Motor <29.15.,comorbidity In Tier 1	47	31	—	—	$2,134.50	$41,630.08	$2,134.50	2026-09-20
1601	OTHER	Pain Syndrome With Motor >37.15.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1602	OTHER	Pain Syndrome With Motor >26.75 & Motor <37.15.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1603	OTHER	Pain Syndrome With Motor <26.75.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1604	OTHER	Pain Syndrome M <43.50.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1701	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >39.25.,com…	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1702	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >31.05 & Mo…	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1703	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >25.55 & Mo…	47	31	—	—	$2,134.50	$38,361.99	$2,134.50	2026-09-20
1704	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor <25.55.,com…	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50.,comorbidity …	49	31	—	—	$2,134.50	$112,000.00	$2,134.50	2026-09-20
1901	OTHER	Guillian Barre With Motor >35.95.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1902	OTHER	Guillian Barre With Motor >18.05 & Motor <35.95.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1903	OTHER	Guillian Barre With Motor <18.05.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1904	OTHER	Guillain-barre M <38.50.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
2001	OTHER	Miscellaneous With Motor >49.15.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
2002	OTHER	Miscellaneous With Motor >38.75 & Motor <49.15.,comorbidity In Tier 1	48	31	—	—	$2,134.50	$22,413.65	$2,134.50	2026-09-20
2003	OTHER	Miscellaneous With Motor >27.85 & Motor <38.75.,comorbidity In Tier 1	56	31	—	—	$2,134.50	$28,732.41	$2,134.50	2026-09-20
2004	OTHER	Miscellaneous With Motor <27.85, Comorbidity In Tier 1	50	31	—	—	$2,134.50	$31,449.95	$2,134.50	2026-09-20
2005	OTHER	Miscellaneous With Motor Score From 12 �32 And Patient Is 81 Years Old Or Younge…	55	31	—	—	$2,134.50	$35,528.64	$2,134.50	2026-09-20
2101	OTHER	Burns With Motor >0.,comorbidity In Tier 1	48	31	—	—	$2,134.50	$19,931.86	$2,134.50	2026-09-20
2102	OTHER	Burns With Motor Score From 12 �45.,comorbidity In Tier 1	51	31	—	—	$2,134.50	$35,943.06	$2,134.50	2026-09-20
401	OTHER	Traumatic Spinal Cord Injury With Motor >48.45.,comorbidity In Tier 1	47	31	—	—	$2,134.50	$11,232.54	$2,134.50	2026-09-20
402	OTHER	Traumatic Spinal Cord Injury With Motor >30.35 & Motor <48.45.,comorbidity In Ti…	49	31	—	—	$2,134.50	$26,855.67	$2,134.50	2026-09-20
403	OTHER	Traumatic Spinal Cord Injury With Motor >16.05 & Motor <30.35.,comorbidity In Ti…	49	31	—	—	$2,134.50	$52,406.60	$2,134.50	2026-09-20
404	OTHER	Traumatic Spinal Cord Injury With Motor <16.05 & Age >63.5.,comorbidity In Tier …	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
405	OTHER	Traumatic Spinal Cord Injury With Motor <16.05 & Age <63.5.,comorbidity In Tier …	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50.,comorbidity I…	47	31	—	—	$2,134.50	$51,819.31	$2,134.50	2026-09-20
407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
5001	OTHER	Short-stay Cases, Length Of Stay Is 3 Days Or Fewer.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
501	OTHER	Non-traumatic Spinal Cord Injury With Motor >51.35.,comorbidity In Tier 1	51	31	—	—	$2,134.50	$18,220.40	$2,134.50	2026-09-20
502	OTHER	Non-traumatic Spinal Cord Injury With Motor >40.15 & Motor <51.35.,comorbidity I…	52	31	—	—	$2,134.50	$24,469.26	$2,134.50	2026-09-20
503	OTHER	Non-traumatic Spinal Cord Injury With Motor >31.25 & Motor <40.15.,comorbidity I…	49	31	—	—	$2,134.50	$25,518.46	$2,134.50	2026-09-20
504	OTHER	Non-traumatic Spinal Cord Injury With Motor >29.25 & Motor <31.25.,comorbidity I…	56	31	—	—	$2,134.50	$34,189.28	$2,134.50	2026-09-20
505	OTHER	Non-traumatic Spinal Cord Injury With Motor >23.75 & Motor <29.25.,comorbidity I…	58	31	—	—	$2,134.50	$46,934.93	$2,134.50	2026-09-20
5101	OTHER	Expired, Orthopedic, Length Of Stay Is 13 Days Or Fewer.	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
5102	OTHER	Expired, Orthopedic, Length Of Stay Is 14 Days Or More.	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
5103	OTHER	Expired, Not Orthopedic, Length Of Stay Is 15 Days Or Fewer.	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
5104	OTHER	Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More.	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
601	OTHER	Neurological With Motor >47.75.,comorbidity In Tier 1	47	31	—	—	$2,134.50	$24,913.12	$2,134.50	2026-09-20
602	OTHER	Neurological With Motor >37.35 & Motor <47.75.,comorbidity In Tier 1	52	31	—	—	$2,134.50	$24,040.28	$2,134.50	2026-09-20
603	OTHER	Neurological With Motor >25.85 & Motor <37.35.,comorbidity In Tier 1	52	31	—	—	$2,134.50	$40,612.12	$2,134.50	2026-09-20
604	OTHER	Neurological With Motor <25.85.,comorbidity In Tier 1	56	31	—	—	$2,134.50	$41,188.99	$2,134.50	2026-09-20
701	OTHER	Fracture Of Lower Extremity With Motor >42.15.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
702	OTHER	Fracture Of Lower Extremity With Motor >34.15 & Motor <42.15.,comorbidity In Tie…	49	31	—	—	$2,134.50	$23,168.80	$2,134.50	2026-09-20
703	OTHER	Fracture Of Lower Extremity With Motor >28.15 & Motor <34.15.,comorbidity In Tie…	51	31	—	—	$2,134.50	$33,030.38	$2,134.50	2026-09-20
704	OTHER	Fracture Of Lower Extremity With Motor <28.15.,comorbidity In Tier 1	52	31	—	—	$2,134.50	$36,413.04	$2,134.50	2026-09-20
801	OTHER	Replacement Of Lower Extremity Joint With Motor >49.55.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
802	OTHER	Replacement Of Lower Extremity Joint With Motor >37.05 & Motor <49.55.,comorbidi…	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
803	OTHER	Replacement Of Lower Extremity Joint With Motor >28.65 & Motor <37.05 & Age >83.…	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
804	OTHER	Replacement Of Lower Extremity Joint With Motor >28.65 & Motor <37.05 & Age <83.…	51	31	—	—	$2,134.50	$27,389.73	$2,134.50	2026-09-20
805	OTHER	Replacement Of Lower Extremity Joint With Motor >22.05 & Motor <28.65.,comorbidi…	48	31	—	—	$2,134.50	$30,197.29	$2,134.50	2026-09-20
901	OTHER	Other Orthopedic With Motor >44.75.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
902	OTHER	Other Orthopedic With Motor >34.35 & Motor <44.75.,comorbidity In Tier 1	50	31	—	—	$2,134.50	$22,503.45	$2,134.50	2026-09-20
903	OTHER	Other Orthopedic With Motor >24.15 & Motor <34.35.,comorbidity In Tier 1	47	31	—	—	$2,134.50	$22,596.05	$2,134.50	2026-09-20
1001	OTHER	Amputation, Lower Extremity With Motor >47.65.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
904	OTHER	Other Orthopedic With Motor <24.15.,comorbidity In Tier 1	50	31	—	—	$2,134.50	$98,000.00	$2,134.50	2026-09-20
1002	OTHER	Amputation, Lower Extremity With Motor >36.25 & Motor <47.65.,comorbidity In Tie…	49	31	—	—	$2,134.50	$30,703.92	$2,134.50	2026-09-20
1003	OTHER	Amputation, Lower Extremity With Motor <36.25.,comorbidity In Tier 1	51	31	—	—	$2,134.50	$34,760.73	$2,134.50	2026-09-20
1004	OTHER	Amputation, Lower Extremity With Motor Score From 39 �45.,comorbidity In Tier 1	53	31	—	—	$2,134.50	$46,655.91	$2,134.50	2026-09-20
101	OTHER	Stroke With Motor >51.05.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
102	OTHER	Stroke With Motor >44.45 & Motor <51.05 & Cognitive >18.5.,comorbidity In Tier 1	48	31	—	—	$2,134.50	$20,021.61	$2,134.50	2026-09-20
103	OTHER	Stroke With Motor >44.45 & Motor <51.05 & Cognitive <18.5.,comorbidity In Tier 1	57	31	—	—	$2,134.50	$58,945.29	$2,134.50	2026-09-20
104	OTHER	Stroke With Motor >38.85 & Motor <44.45.,comorbidity In Tier 1	57	31	—	—	$2,134.50	$33,028.32	$2,134.50	2026-09-20
105	OTHER	Stroke With Motor >34.25 & Motor <38.85.,comorbidity In Tier 1	51	31	—	—	$2,134.50	$40,846.43	$2,134.50	2026-09-20
106	OTHER	Stroke With Motor >30.05 & Motor <34.25.,comorbidity In Tier 1	65	31	—	—	$2,134.50	$58,131.63	$2,134.50	2026-09-20
1101	OTHER	Amputation, Other Extremity With Motor >36.35.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1102	OTHER	Amputation, Other Extremity With Motor <36.35.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1103	OTHER	Lower-lower Extremity With Motor Score From 12 �37.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1201	OTHER	Osteoarthritis With Motor >37.65.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1202	OTHER	Osteoarthritis With Motor >30.75 & Motor <37.65.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20
1203	OTHER	Osteoarthritis With Motor <30.75.,comorbidity In Tier 1	46	31	—	—	$2,134.50	$2,134.50	$2,134.50	2026-09-20

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