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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

PAM Health Rehabilitation Hospital of Jupiter

— · CCN 103057 · Rates published

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You selected 302 (APR_DRG)

PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

This hospital’s price: $10,061 across 2 payers

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/10166/853967068_pam-rehabilitation-hospital-of-jupiter-llc_standardcharges.csv · observed 2025-09-11

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.

3,400 distinct procedures filed
19 distinct payers
67,893 rate rows
2025-09-11 last MRF observed
Data quality

67,803 of 67,893 rate rows are consumer-grade (99.9%)

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

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 48
per-diem day rate — not a per-procedure price 30
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
percent-of-charges filed in the dollar field — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10166/853967068_pam-rehabilitation-hospital-of-jupiter-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/PAMHealthRehabilitationHospitalofJupiter/10166
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint 885f12c92d5f023b… · 34,660,273 bytes · first seen 2026-05-13

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
5834
APR_DRG 		Neonate With Ecmo 2 $192,207.36 $192,207.36 $192,207.36 nat. median
$311,018
0.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $125,393.59 $125,393.59 $125,393.59 nat. median
$254,667
outlier · 0.5×
5833
APR_DRG 		Neonate With Ecmo 2 $124,517.93 $124,517.93 $124,517.93 nat. median
$250,089
outlier · 0.5×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $97,644.18 $97,644.18 $97,644.18 nat. median
$119,243
0.8× median
5832
APR_DRG 		Neonate With Ecmo 2 $95,607.08 $95,607.08 $95,607.08 nat. median
$169,230
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $95,167.09 $95,167.09 $95,167.09 nat. median
$209,486
outlier · 0.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $91,470.33 $91,470.33 $91,470.33 nat. median
$160,171
0.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $90,217.23 $90,217.23 $90,217.23 nat. median
$165,646
0.5× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $82,446.63 $82,446.63 $82,446.63 nat. median
$168,174
outlier · 0.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $81,552.64 $81,552.64 $81,552.64 nat. median
$180,995
outlier · 0.5×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $80,942.26 $80,942.26 $80,942.26 nat. median
$147,677
0.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $79,657.89 $79,657.89 $79,657.89 nat. median
$168,361
outlier · 0.5×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $75,232.49 $75,232.49 $75,232.49 nat. median
$165,599
outlier · 0.5×
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 14 $66,797.59 $111,329.31 $74,219.54 nat. median
$83,710
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $73,863.28 $73,863.28 $73,863.28 nat. median
$156,285
outlier · 0.5×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $71,560.89 $71,560.89 $71,560.89 nat. median
$147,847
outlier · 0.5×
5831
APR_DRG 		Neonate With Ecmo 2 $69,493.60 $69,493.60 $69,493.60 nat. median
$154,685
outlier · 0.4×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $68,321.02 $68,321.02 $68,321.02 nat. median
$109,499
0.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $66,782.14 $66,782.14 $66,782.14 nat. median
$127,600
0.5× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 14 $59,401.79 $99,002.99 $66,001.99 nat. median
$70,140
0.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $64,392.40 $64,392.40 $64,392.40 nat. median
$127,938
0.5× median
B1904
HCPCS 		Guillain-barré M <38.50 14 $57,799.71 $96,332.85 $64,221.90 nat. median
$73,807
0.9× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 14 $57,663.83 $96,106.38 $64,070.92 nat. median
$68,033
0.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $61,338.01 $61,338.01 $61,338.01 nat. median
$120,928
0.5× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 14 $54,369.61 $90,616.02 $60,410.68 nat. median
$66,709
0.9× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $59,125.13 $59,125.13 $59,125.13 nat. median
$108,751
0.5× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 14 $52,396.25 $87,327.08 $58,218.05 nat. median
$62,354
0.9× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $56,946.04 $56,946.04 $56,946.04 nat. median
$67,603
0.8× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $55,523.63 $55,523.63 $55,523.63 nat. median
$101,315
0.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $54,849.27 $54,849.27 $54,849.27 nat. median
$123,690
outlier · 0.4×
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 14 $48,860.29 $81,433.82 $54,289.21 nat. median
$60,723
0.9× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 14 $48,150.89 $80,251.49 $53,500.99 nat. median
$59,953
0.9× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 14 $47,656.36 $79,427.27 $52,951.51 nat. median
$58,851
0.9× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $51,688.84 $51,688.84 $51,688.84 nat. median
$93,192
0.6× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $51,226.92 $51,226.92 $51,226.92 nat. median
$112,711
outlier · 0.5×
B0106
HCPCS 		Stroke M <41.50 And A <84.50 14 $45,919.98 $76,533.30 $51,022.20 nat. median
$54,008
0.9× median
C1904
HCPCS 		Guillain-barré M <38.50 14 $44,436.40 $74,060.67 $49,373.78 nat. median
$54,675
0.9× median
1611
APR_DRG 		Implantable Heart Assist Systems 2 $49,247.34 $49,247.34 $49,247.34 nat. median
$82,164
0.6× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $48,983.85 $48,983.85 $48,983.85 nat. median
$96,420
0.5× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $48,895.78 $48,895.78 $48,895.78 nat. median
$63,564
0.8× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 14 $43,450.51 $72,417.51 $48,278.34 nat. median
$51,388
0.9× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 14 $43,373.09 $72,288.48 $48,192.32 nat. median
$53,363
0.9× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 14 $42,820.10 $71,366.84 $47,577.89 nat. median
$49,892
1.0× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $47,538.79 $47,538.79 $47,538.79 nat. median
$89,188
0.5× median
8514
APR_DRG 		Gender Related Procedures 2 $46,902.89 $46,902.89 $46,902.89 nat. median
$66,302
0.7× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 14 $42,178.64 $70,297.73 $46,865.15 nat. median
$50,166
0.9× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $46,525.81 $46,525.81 $46,525.81 nat. median
$71,350
0.7× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 14 $41,687.27 $69,478.79 $46,319.19 nat. median
$51,427
0.9× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 2 $46,203.37 $46,203.37 $46,203.37 nat. median
$83,517
0.6× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 14 $41,567.19 $69,278.66 $46,185.77 nat. median
$48,684
0.9× median

Other procedures at this hospital

Browse this hospital's 3,400 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
             
5834 APR_DRG Neonate With Ecmo 2 2 — — $192,207.36 $192,207.36 $192,207.36 2025-09-11
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $125,393.59 $125,393.59 $125,393.59 2025-09-11
5833 APR_DRG Neonate With Ecmo 2 2 — — $124,517.93 $124,517.93 $124,517.93 2025-09-11
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $97,644.18 $97,644.18 $97,644.18 2025-09-11
5832 APR_DRG Neonate With Ecmo 2 2 — — $95,607.08 $95,607.08 $95,607.08 2025-09-11
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $95,167.09 $95,167.09 $95,167.09 2025-09-11
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $91,470.33 $91,470.33 $91,470.33 2025-09-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $90,217.23 $90,217.23 $90,217.23 2025-09-11
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $82,446.63 $82,446.63 $82,446.63 2025-09-11
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $81,552.64 $81,552.64 $81,552.64 2025-09-11
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $80,942.26 $80,942.26 $80,942.26 2025-09-11
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $79,657.89 $79,657.89 $79,657.89 2025-09-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $75,232.49 $75,232.49 $75,232.49 2025-09-11
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 14 — — $66,797.59 $111,329.31 $74,219.54 2025-09-11
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $73,863.28 $73,863.28 $73,863.28 2025-09-11
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $71,560.89 $71,560.89 $71,560.89 2025-09-11
5831 APR_DRG Neonate With Ecmo 2 2 — — $69,493.60 $69,493.60 $69,493.60 2025-09-11
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $68,321.02 $68,321.02 $68,321.02 2025-09-11
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $66,782.14 $66,782.14 $66,782.14 2025-09-11
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 14 — — $59,401.79 $99,002.99 $66,001.99 2025-09-11
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $64,392.40 $64,392.40 $64,392.40 2025-09-11
B1904 HCPCS Guillain-barré M <38.50 15 14 — — $57,799.71 $96,332.85 $64,221.90 2025-09-11
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 14 — — $57,663.83 $96,106.38 $64,070.92 2025-09-11
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $61,338.01 $61,338.01 $61,338.01 2025-09-11
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 14 — — $54,369.61 $90,616.02 $60,410.68 2025-09-11
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $59,125.13 $59,125.13 $59,125.13 2025-09-11
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 14 — — $52,396.25 $87,327.08 $58,218.05 2025-09-11
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $56,946.04 $56,946.04 $56,946.04 2025-09-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $55,523.63 $55,523.63 $55,523.63 2025-09-11
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $54,849.27 $54,849.27 $54,849.27 2025-09-11
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 14 — — $48,860.29 $81,433.82 $54,289.21 2025-09-11
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 14 — — $48,150.89 $80,251.49 $53,500.99 2025-09-11
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 15 14 — — $47,656.36 $79,427.27 $52,951.51 2025-09-11
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $51,688.84 $51,688.84 $51,688.84 2025-09-11
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $51,226.92 $51,226.92 $51,226.92 2025-09-11
B0106 HCPCS Stroke M <41.50 And A <84.50 15 14 — — $45,919.98 $76,533.30 $51,022.20 2025-09-11
C1904 HCPCS Guillain-barré M <38.50 15 14 — — $44,436.40 $74,060.67 $49,373.78 2025-09-11
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $49,247.34 $49,247.34 $49,247.34 2025-09-11
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $48,983.85 $48,983.85 $48,983.85 2025-09-11
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $48,895.78 $48,895.78 $48,895.78 2025-09-11
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 14 — — $43,450.51 $72,417.51 $48,278.34 2025-09-11
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 14 — — $43,373.09 $72,288.48 $48,192.32 2025-09-11
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 14 — — $42,820.10 $71,366.84 $47,577.89 2025-09-11
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $47,538.79 $47,538.79 $47,538.79 2025-09-11
8514 APR_DRG Gender Related Procedures 2 2 — — $46,902.89 $46,902.89 $46,902.89 2025-09-11
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 14 — — $42,178.64 $70,297.73 $46,865.15 2025-09-11
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $46,525.81 $46,525.81 $46,525.81 2025-09-11
B0205 HCPCS Traumatic Brain Injury M <35.50 15 14 — — $41,687.27 $69,478.79 $46,319.19 2025-09-11
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $46,203.37 $46,203.37 $46,203.37 2025-09-11
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 14 — — $41,567.19 $69,278.66 $46,185.77 2025-09-11
D1904 HCPCS Guillain-barré M <38.50 15 14 — — $41,464.49 $69,107.49 $46,071.66 2025-09-11
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 14 — — $41,426.58 $69,044.30 $46,029.53 2025-09-11
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 14 — — $41,176.94 $68,628.23 $45,752.15 2025-09-11
A1904 HCPCS Guillain-barré M <38.50 15 14 — — $40,747.19 $67,911.99 $45,274.66 2025-09-11
28730 CPT Fusion Of Foot Bones 30 19 $57,929.13 $57,929.13 $40,550.39 $49,239.76 $44,895.07 2025-09-11
B0105 HCPCS Stroke M <41.50 And A >=84.50 15 14 — — $40,372.74 $67,287.90 $44,858.60 2025-09-11
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $44,835.60 $44,835.60 $44,835.60 2025-09-11
C0106 HCPCS Stroke M <41.50 And A <84.50 15 14 — — $39,824.50 $66,374.16 $44,249.44 2025-09-11
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 15 14 — — $39,679.14 $66,131.90 $44,087.93 2025-09-11
B0604 HCPCS Neurological M <43.50 15 14 — — $39,347.34 $65,578.91 $43,719.27 2025-09-11
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $43,677.04 $43,677.04 $43,677.04 2025-09-11
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $43,560.21 $43,560.21 $43,560.21 2025-09-11
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 14 — — $38,326.69 $63,877.82 $42,585.21 2025-09-11
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 14 — — $38,291.93 $63,819.89 $42,546.59 2025-09-11
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 14 — — $38,284.03 $63,806.72 $42,537.81 2025-09-11
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 14 — — $38,178.17 $63,630.29 $42,420.19 2025-09-11
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $42,035.35 $42,035.35 $42,035.35 2025-09-11
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 14 — — $37,770.54 $62,950.91 $41,967.27 2025-09-11
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $41,957.35 $41,957.35 $41,957.35 2025-09-11
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $41,876.47 $41,876.47 $41,876.47 2025-09-11
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 15 14 — — $37,674.16 $62,790.27 $41,860.18 2025-09-11
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 15 14 — — $37,656.78 $62,761.31 $41,840.87 2025-09-11
B1604 HCPCS Pain Syndrome M <43.50 15 14 — — $37,089.59 $61,815.98 $41,210.65 2025-09-11
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 15 14 — — $37,075.37 $61,792.28 $41,194.85 2025-09-11
B0704 HCPCS Fracture Of Lower Extremity M <41.50 15 14 — — $36,770.43 $61,284.05 $40,856.03 2025-09-11
B2102 HCPCS Burns M <52.50 15 14 — — $36,617.18 $61,028.63 $40,685.75 2025-09-11
D0106 HCPCS Stroke M <41.50 And A <84.50 15 14 — — $36,392.81 $60,654.69 $40,436.46 2025-09-11
B1004 HCPCS Amputation Lower Extremity M <47.50 15 14 — — $36,356.48 $60,594.14 $40,396.09 2025-09-11
B1504 HCPCS Pulmonary M <45.50 15 14 — — $35,934.63 $59,891.06 $39,927.37 2025-09-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $39,878.55 $39,878.55 $39,878.55 2025-09-11
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 15 14 — — $35,301.07 $58,835.12 $39,223.41 2025-09-11
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 15 14 — — $35,094.09 $58,490.15 $38,993.43 2025-09-11
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 15 14 — — $35,026.16 $58,376.93 $38,917.95 2025-09-11
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $38,906.55 $38,906.55 $38,906.55 2025-09-11
C0105 HCPCS Stroke M <41.50 And A >=84.50 15 14 — — $35,013.51 $58,355.85 $38,903.90 2025-09-11
A0106 HCPCS Stroke M <41.50 And A <84.50 15 14 — — $34,681.72 $57,802.86 $38,535.24 2025-09-11
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 15 14 — — $34,501.61 $57,502.68 $38,335.12 2025-09-11
C0205 HCPCS Traumatic Brain Injury M <35.50 15 14 — — $34,334.13 $57,223.55 $38,149.03 2025-09-11
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 14 — — $34,296.21 $57,160.35 $38,106.90 2025-09-11
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 15 14 — — $34,160.34 $56,933.90 $37,955.93 2025-09-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $37,904.72 $37,904.72 $37,904.72 2025-09-11
33208 CPT Ins/Rplc Pacemkr; Atr+vnt 30 19 $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 19 $48,848.87 $48,848.87 $34,194.21 $41,521.54 $37,857.88 2025-09-11
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 14 — — $34,052.90 $56,754.83 $37,836.55 2025-09-11
B1404 HCPCS Cardiac M <45.50 15 14 — — $33,902.80 $56,504.67 $37,669.78 2025-09-11
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 14 — — $33,836.45 $56,394.08 $37,596.05 2025-09-11
B0904 HCPCS Other Orthopedic M <44.5 15 14 — — $33,836.45 $56,394.08 $37,596.05 2025-09-11
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 15 14 — — $33,294.52 $55,490.87 $36,993.91 2025-09-11
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 14 — — $33,055.94 $55,093.23 $36,728.82 2025-09-11
37236 CPT Open/Perq Place Stent 1st 30 19 $47,189.05 $47,189.05 $33,032.34 $40,110.69 $36,571.51 2025-09-11
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 15 14 — — $32,901.10 $54,835.17 $36,556.78 2025-09-11
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 15 14 — — $32,567.73 $54,279.56 $36,186.37 2025-09-11
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 15 14 — — $32,544.04 $54,240.06 $36,160.04 2025-09-11
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 15 14 — — $32,403.42 $54,005.70 $36,003.80 2025-09-11
B0104 HCPCS Stroke M >=41.50 And M <50.50 15 14 — — $32,286.50 $53,810.84 $35,873.89 2025-09-11
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 15 14 — — $32,277.02 $53,795.04 $35,863.36 2025-09-11
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 14 — — $32,201.18 $53,668.64 $35,779.09 2025-09-11
D0105 HCPCS Stroke M <41.50 And A >=84.50 15 14 — — $31,995.78 $53,326.31 $35,550.87 2025-09-11
4404 APR_DRG Kidney Transplant 2 2 — — $35,422.96 $35,422.96 $35,422.96 2025-09-11
B1103 HCPCS Amputation Non-lower Extremity M <52.50 15 14 — — $31,687.70 $52,812.83 $35,208.55 2025-09-11
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 15 14 — — $31,577.09 $52,628.49 $35,085.66 2025-09-11
8634 APR_DRG Neonatal Aftercare 2 2 — — $35,009.21 $35,009.21 $35,009.21 2025-09-11
B0603 HCPCS Neurological M >=43.50 And M <52.50 15 14 — — $31,374.86 $52,291.44 $34,860.96 2025-09-11
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 15 14 — — $31,188.43 $51,980.72 $34,653.81 2025-09-11
D0205 HCPCS Traumatic Brain Injury M <35.50 15 14 — — $31,185.27 $51,975.45 $34,650.30 2025-09-11
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 15 14 — — $30,839.26 $51,398.76 $34,265.84 2025-09-11
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $34,228.81 $34,228.81 $34,228.81 2025-09-11
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $34,068.84 $34,068.84 $34,068.84 2025-09-11
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 14 — — $30,540.65 $50,901.08 $33,934.05 2025-09-11
C1903 HCPCS Guillain-barré M >=38.50 And M <51.50 15 14 — — $30,504.30 $50,840.51 $33,893.67 2025-09-11
A0105 HCPCS Stroke M <41.50 And A >=84.50 15 14 — — $30,493.24 $50,822.07 $33,881.38 2025-09-11
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 15 14 — — $30,140.91 $50,234.85 $33,489.90 2025-09-11
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 15 14 — — $30,099.83 $50,166.39 $33,444.26 2025-09-11
C1004 HCPCS Amputation Lower Extremity M <47.50 15 14 — — $30,068.24 $50,113.73 $33,409.15 2025-09-11
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 14 — — $30,036.64 $50,061.06 $33,374.04 2025-09-11
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 15 14 — — $29,935.52 $49,892.54 $33,261.69 2025-09-11
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 14 — — $29,821.76 $49,702.94 $33,135.29 2025-09-11
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 15 14 — — $29,463.11 $49,105.19 $32,736.79 2025-09-11
C0604 HCPCS Neurological M <43.50 15 14 — — $29,458.37 $49,097.28 $32,731.52 2025-09-11
A0205 HCPCS Traumatic Brain Injury M <35.50 15 14 — — $29,360.41 $48,934.02 $32,622.68 2025-09-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $32,422.49 $32,422.49 $32,422.49 2025-09-11
C1504 HCPCS Pulmonary M <45.50 15 14 — — $29,166.08 $48,610.13 $32,406.75 2025-09-11
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 15 14 — — $29,017.56 $48,362.60 $32,241.73 2025-09-11
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 14 — — $28,993.86 $48,323.10 $32,215.40 2025-09-11
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 15 14 — — $28,875.37 $48,125.61 $32,083.74 2025-09-11
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 15 14 — — $28,851.67 $48,086.12 $32,057.41 2025-09-11
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $31,789.10 $31,789.10 $31,789.10 2025-09-11
D1903 HCPCS Guillain-barré M >=38.50 And M <51.50 15 14 — — $28,464.57 $47,440.95 $31,627.30 2025-09-11
C0704 HCPCS Fracture Of Lower Extremity M <41.50 15 14 — — $28,444.03 $47,406.72 $31,604.48 2025-09-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $31,574.50 $31,574.50 $31,574.50 2025-09-11
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 15 14 — — $28,398.21 $47,330.36 $31,553.57 2025-09-11
A5102 HCPCS Expired, Orthopedic, Length Of Stay Is 14 Days Or More 15 14 — — $28,322.38 $47,203.97 $31,469.31 2025-09-11
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 15 14 — — $28,238.64 $47,064.41 $31,376.27 2025-09-11
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 15 14 — — $28,031.66 $46,719.44 $31,146.29 2025-09-11
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $31,113.67 $31,113.67 $31,113.67 2025-09-11
C0104 HCPCS Stroke M >=41.50 And M <50.50 15 14 — — $28,000.06 $46,666.77 $31,111.18 2025-09-11
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 14 — — $27,976.37 $46,627.28 $31,084.85 2025-09-11
A1903 HCPCS Guillain-barré M >=38.50 And M <51.50 15 14 — — $27,971.63 $46,619.39 $31,079.59 2025-09-11
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 15 14 — — $27,846.81 $46,411.35 $30,940.90 2025-09-11
C2102 HCPCS Burns M <52.50 15 14 — — $27,824.69 $46,374.48 $30,916.32 2025-09-11
D2102 HCPCS Burns M <52.50 15 14 — — $27,824.69 $46,374.48 $30,916.32 2025-09-11
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $30,783.68 $30,783.68 $30,783.68 2025-09-11
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 15 14 — — $27,687.23 $46,145.39 $30,763.59 2025-09-11
B1403 HCPCS Cardiac M >=45.50 And M <55.50 15 14 — — $27,668.28 $46,113.80 $30,742.53 2025-09-11
C1604 HCPCS Pain Syndrome M <43.50 15 14 — — $27,548.20 $45,913.67 $30,609.11 2025-09-11
D0604 HCPCS Neurological M <43.50 15 14 — — $27,500.80 $45,834.66 $30,556.44 2025-09-11
D1004 HCPCS Amputation Lower Extremity M <47.50 15 14 — — $27,466.04 $45,776.73 $30,517.82 2025-09-11
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 15 14 — — $27,439.18 $45,731.97 $30,487.98 2025-09-11
D1504 HCPCS Pulmonary M <45.50 15 14 — — $27,429.70 $45,716.16 $30,477.44 2025-09-11
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 15 14 — — $27,424.96 $45,708.27 $30,472.18 2025-09-11
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 15 14 — — $27,330.17 $45,550.28 $30,366.85 2025-09-11
1784 APR_DRG External Heart Assist Systems 2 2 — — $30,258.13 $30,258.13 $30,258.13 2025-09-11
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $30,178.33 $30,178.33 $30,178.33 2025-09-11
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 15 14 — — $27,154.79 $45,257.99 $30,171.99 2025-09-11
C0904 HCPCS Other Orthopedic M <44.5 15 14 — — $27,101.07 $45,168.45 $30,112.30 2025-09-11
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $30,089.90 $30,089.90 $30,089.90 2025-09-11
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 14 — — $27,055.25 $45,092.09 $30,061.39 2025-09-11
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $30,025.56 $30,025.56 $30,025.56 2025-09-11
D0704 HCPCS Fracture Of Lower Extremity M <41.50 15 14 — — $26,944.65 $44,907.75 $29,938.50 2025-09-11
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 14 — — $26,883.04 $44,805.06 $29,870.04 2025-09-11
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 15 14 — — $26,805.62 $44,676.03 $29,784.02 2025-09-11
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 15 14 — — $26,792.97 $44,654.96 $29,769.97 2025-09-11
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 15 14 — — $26,791.40 $44,652.33 $29,768.22 2025-09-11
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $29,751.29 $29,751.29 $29,751.29 2025-09-11
33217 CPT Insert 2 Electrode Pm-defib 30 19 $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 19 $38,328.90 $38,328.90 $26,830.23 $32,579.57 $29,704.90 2025-09-11
C1404 HCPCS Cardiac M <45.50 15 14 — — $26,707.66 $44,512.77 $29,675.18 2025-09-11
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 14 — — $26,704.49 $44,507.49 $29,671.66 2025-09-11
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 14 — — $26,680.80 $44,468.00 $29,645.33 2025-09-11
B0602 HCPCS Neurological M >=52.50 And M <64.50 15 14 — — $26,627.08 $44,378.46 $29,585.64 2025-09-11
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 15 14 — — $26,622.34 $44,370.57 $29,580.38 2025-09-11
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 15 14 — — $26,593.90 $44,323.17 $29,548.78 2025-09-11
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $29,487.44 $29,487.44 $29,487.44 2025-09-11
B1902 HCPCS Guillain-barré M >=51.50 And M <66.50 15 14 — — $26,298.45 $43,830.75 $29,220.50 2025-09-11
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 15 14 — — $26,246.31 $43,743.86 $29,162.57 2025-09-11
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 15 14 — — $26,239.99 $43,733.31 $29,155.54 2025-09-11
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 15 14 — — $26,230.51 $43,717.52 $29,145.01 2025-09-11
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $29,098.49 $29,098.49 $29,098.49 2025-09-11
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 15 14 — — $26,186.27 $43,643.79 $29,095.86 2025-09-11
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 15 14 — — $26,132.55 $43,554.26 $29,036.17 2025-09-11
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 15 14 — — $26,096.21 $43,493.69 $28,995.79 2025-09-11
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $28,871.31 $28,871.31 $28,871.31 2025-09-11
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $28,840.40 $28,840.40 $28,840.40 2025-09-11
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $28,815.59 $28,815.59 $28,815.59 2025-09-11
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $28,549.95 $28,549.95 $28,549.95 2025-09-11
A1504 HCPCS Pulmonary M <45.50 15 14 — — $25,658.57 $42,764.28 $28,509.52 2025-09-11
D0104 HCPCS Stroke M >=41.50 And M <50.50 15 14 — — $25,587.47 $42,645.78 $28,430.52 2025-09-11
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 15 14 — — $25,573.25 $42,622.08 $28,414.72 2025-09-11
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 15 14 — — $25,532.16 $42,553.61 $28,369.07 2025-09-11
D1103 HCPCS Amputation Non-lower Extremity M <52.50 15 14 — — $25,472.13 $42,453.56 $28,302.37 2025-09-11
C1103 HCPCS Amputation Non-lower Extremity M <52.50 15 14 — — $25,472.13 $42,453.56 $28,302.37 2025-09-11
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 15 14 — — $25,412.09 $42,353.49 $28,235.66 2025-09-11
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 15 14 — — $25,410.51 $42,350.85 $28,233.90 2025-09-11
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 15 14 — — $25,396.29 $42,327.15 $28,218.10 2025-09-11
B0103 HCPCS Stroke M >=50.50 And M <63.50 15 14 — — $25,298.33 $42,163.89 $28,109.26 2025-09-11
D0904 HCPCS Other Orthopedic M <44.5 15 14 — — $25,260.42 $42,100.70 $28,067.13 2025-09-11
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 14 — — $25,206.70 $42,011.16 $28,007.44 2025-09-11
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 15 14 — — $25,190.89 $41,984.82 $27,989.88 2025-09-11
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 15 14 — — $25,170.35 $41,950.59 $27,967.06 2025-09-11
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $27,960.06 $27,960.06 $27,960.06 2025-09-11
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 15 14 — — $25,105.58 $41,842.64 $27,895.09 2025-09-11
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 15 14 — — $25,012.36 $41,687.27 $27,791.51 2025-09-11
A1103 HCPCS Amputation Non-lower Extremity M <52.50 15 14 — — $24,957.06 $41,595.11 $27,730.07 2025-09-11
D1604 HCPCS Pain Syndrome M <43.50 15 14 — — $24,900.18 $41,500.31 $27,666.87 2025-09-11
A0704 HCPCS Fracture Of Lower Extremity M <41.50 15 14 — — $24,893.87 $41,489.78 $27,659.85 2025-09-11
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 14 — — $24,843.30 $41,405.51 $27,603.67 2025-09-11
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 15 14 — — $24,843.30 $41,405.51 $27,603.67 2025-09-11
D1404 HCPCS Cardiac M <45.50 15 14 — — $24,832.24 $41,387.07 $27,591.38 2025-09-11
A0604 HCPCS Neurological M <43.50 15 14 — — $24,802.23 $41,337.05 $27,558.03 2025-09-11
A1004 HCPCS Amputation Lower Extremity M <47.50 15 14 — — $24,607.89 $41,013.15 $27,342.10 2025-09-11
D1204 HCPCS Osteoarthritis M <49.50 And A <74.50 15 14 — — $24,593.67 $40,989.45 $27,326.30 2025-09-11
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 15 14 — — $24,574.71 $40,957.85 $27,305.23 2025-09-11
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 15 14 — — $24,486.24 $40,810.40 $27,206.93 2025-09-11
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 15 14 — — $24,476.75 $40,794.59 $27,196.39 2025-09-11
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $27,175.71 $27,175.71 $27,175.71 2025-09-11
A0104 HCPCS Stroke M >=41.50 And M <50.50 15 14 — — $24,385.11 $40,641.86 $27,094.57 2025-09-11
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 15 14 — — $24,345.62 $40,576.04 $27,050.69 2025-09-11
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $26,951.76 $26,951.76 $26,951.76 2025-09-11
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 15 14 — — $24,242.92 $40,404.87 $26,936.58 2025-09-11
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 15 14 — — $24,238.18 $40,396.97 $26,931.31 2025-09-11
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 15 14 — — $24,238.18 $40,396.97 $26,931.31 2025-09-11
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 15 14 — — $24,190.78 $40,317.96 $26,878.64 2025-09-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $26,692.58 $26,692.58 $26,692.58 2025-09-11
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 15 14 — — $23,914.29 $39,857.15 $26,571.43 2025-09-11
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $26,558.14 $26,558.14 $26,558.14 2025-09-11
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 15 14 — — $23,835.29 $39,725.48 $26,483.65 2025-09-11
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 15 14 — — $23,825.81 $39,709.68 $26,473.12 2025-09-11
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 15 14 — — $23,791.05 $39,651.75 $26,434.50 2025-09-11
B2101 HCPCS Burns M >=52.50 15 14 — — $23,776.83 $39,628.05 $26,418.70 2025-09-11
A2102 HCPCS Burns M <52.50 15 14 — — $23,762.61 $39,604.35 $26,402.90 2025-09-11
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $26,369.06 $26,369.06 $26,369.06 2025-09-11
B1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 15 14 — — $23,704.16 $39,506.93 $26,337.95 2025-09-11
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 15 14 — — $23,663.07 $39,438.45 $26,292.30 2025-09-11
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 15 14 — — $23,647.28 $39,412.13 $26,274.75 2025-09-11
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $26,256.91 $26,256.91 $26,256.91 2025-09-11
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 15 14 — — $23,571.43 $39,285.72 $26,190.48 2025-09-11
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $26,183.94 $26,183.94 $26,183.94 2025-09-11
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 15 14 — — $23,550.89 $39,251.49 $26,167.66 2025-09-11
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 15 14 — — $23,550.89 $39,251.49 $26,167.66 2025-09-11
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $26,149.43 $26,149.43 $26,149.43 2025-09-11
C0603 HCPCS Neurological M >=43.50 And M <52.50 15 14 — — $23,489.28 $39,148.80 $26,099.20 2025-09-11
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 15 14 — — $23,486.12 $39,143.54 $26,095.69 2025-09-11
D1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 15 14 — — $23,452.94 $39,088.23 $26,058.82 2025-09-11
6904 APR_DRG Acute Leukemia 2 2 — — $26,010.31 $26,010.31 $26,010.31 2025-09-11
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 15 14 — — $23,283.88 $38,806.47 $25,870.98 2025-09-11
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $25,840.64 $25,840.64 $25,840.64 2025-09-11
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 15 14 — — $23,253.87 $38,756.45 $25,837.63 2025-09-11
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $25,822.67 $25,822.67 $25,822.67 2025-09-11
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 14 — — $23,228.59 $38,714.31 $25,809.54 2025-09-11
A0904 HCPCS Other Orthopedic M <44.5 15 14 — — $23,111.67 $38,519.45 $25,679.63 2025-09-11
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 15 14 — — $23,054.79 $38,424.65 $25,616.43 2025-09-11
A1604 HCPCS Pain Syndrome M <43.50 15 14 — — $23,050.05 $38,416.76 $25,611.17 2025-09-11
C1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 15 14 — — $23,035.83 $38,393.06 $25,595.37 2025-09-11
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 15 14 — — $22,922.07 $38,203.46 $25,468.97 2025-09-11
A1404 HCPCS Cardiac M <45.50 15 14 — — $22,849.40 $38,082.33 $25,388.22 2025-09-11
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $25,369.74 $25,369.74 $25,369.74 2025-09-11
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $25,293.90 $25,293.90 $25,293.90 2025-09-11
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 15 14 — — $22,617.14 $37,695.23 $25,130.15 2025-09-11
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 15 14 — — $22,612.40 $37,687.34 $25,124.89 2025-09-11
B1402 HCPCS Cardiac M >=55.50 And M <68.50 15 14 — — $22,612.40 $37,687.34 $25,124.89 2025-09-11
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $25,033.28 $25,033.28 $25,033.28 2025-09-11
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $24,994.10 $24,994.10 $24,994.10 2025-09-11
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 15 14 — — $22,484.42 $37,474.04 $24,982.69 2025-09-11
B1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 15 14 — — $22,474.94 $37,458.24 $24,972.16 2025-09-11
D1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 15 14 — — $22,452.82 $37,421.37 $24,947.58 2025-09-11
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 15 14 — — $22,444.92 $37,408.20 $24,938.80 2025-09-11
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $24,880.87 $24,880.87 $24,880.87 2025-09-11
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 15 14 — — $22,242.69 $37,071.15 $24,714.10 2025-09-11
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 15 14 — — $22,234.79 $37,057.98 $24,705.32 2025-09-11
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 15 14 — — $22,222.15 $37,036.92 $24,691.28 2025-09-11
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 15 14 — — $22,173.17 $36,955.29 $24,636.86 2025-09-11
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 15 14 — — $22,154.21 $36,923.69 $24,615.79 2025-09-11
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 15 14 — — $22,149.47 $36,915.78 $24,610.52 2025-09-11
7594 APR_DRG Eating Disorders 2 2 — — $24,554.83 $24,554.83 $24,554.83 2025-09-11
1794 APR_DRG Defibrillator Implants 2 2 — — $24,521.76 $24,521.76 $24,521.76 2025-09-11
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $24,513.85 $24,513.85 $24,513.85 2025-09-11
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 15 14 — — $22,056.26 $36,760.43 $24,506.95 2025-09-11
C0103 HCPCS Stroke M >=50.50 And M <63.50 15 14 — — $21,940.92 $36,568.20 $24,378.80 2025-09-11
D0603 HCPCS Neurological M >=43.50 And M <52.50 15 14 — — $21,928.28 $36,547.13 $24,364.75 2025-09-11
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $24,305.00 $24,305.00 $24,305.00 2025-09-11
D1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 15 14 — — $21,869.82 $36,449.70 $24,299.80 2025-09-11
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 15 14 — — $21,854.02 $36,423.36 $24,282.24 2025-09-11
C1403 HCPCS Cardiac M >=45.50 And M <55.50 15 14 — — $21,797.14 $36,328.56 $24,219.04 2025-09-11
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $24,215.49 $24,215.49 $24,215.49 2025-09-11
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 15 14 — — $21,789.24 $36,315.41 $24,210.27 2025-09-11
B0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 15 14 — — $21,776.60 $36,294.33 $24,196.22 2025-09-11
D0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 15 14 — — $21,653.36 $36,088.94 $24,059.29 2025-09-11
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 15 14 — — $21,612.29 $36,020.48 $24,013.65 2025-09-11
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 — — $23,982.56 $23,982.56 $23,982.56 2025-09-11
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $23,868.61 $23,868.61 $23,868.61 2025-09-11
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