Hospital

PAM Health Rehabilitation Hospital of Jupiter

— · CCN 103057 · Rates published

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You selected 93306 (CPT)

Echo Transthoracic 2d

This hospital’s price: $1,703 across 6 payers · range $1,589-$1,930

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 · ⚠ 13 mo old

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 — reason	Rows
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

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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 via	CMS 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 $307,206 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 $247,214 0.5× median
5833 APR_DRG	Neonate With Ecmo	2	$124,517.93	$124,517.93	$124,517.93	nat. median $244,017 0.5× median
114 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	$97,644.18	$97,644.18	$97,644.18	nat. median $123,836 0.8× median
5832 APR_DRG	Neonate With Ecmo	2	$95,607.08	$95,607.08	$95,607.08	nat. median $159,249 0.6× median
1614 APR_DRG	Implantable Heart Assist Systems	2	$95,167.09	$95,167.09	$95,167.09	nat. median $202,993 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 $154,011 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 $155,939 0.6× 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 $165,000 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 $175,204 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 $133,164 0.6× 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 $162,342 outlier · 0.5×
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	2	$75,232.49	$75,232.49	$75,232.49	nat. median $163,587 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 $151,838 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 $145,061 outlier · 0.5×
5831 APR_DRG	Neonate With Ecmo	2	$69,493.60	$69,493.60	$69,493.60	nat. median $146,500 outlier · 0.5×
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 $107,681 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 $122,016 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 $120,517 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 $67,955 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 $120,208 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 $66,421 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 $101,406 0.6× 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 $62,254 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 $67,735 0.8× median
1604 APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	2	$55,523.63	$55,523.63	$55,523.63	nat. median $98,624 0.6× 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 $118,620 outlier · 0.5×
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 $60,970 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 $59,982 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 $84,880 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 $108,695 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 $53,961 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 $76,852 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 $93,998 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 $67,994 0.7× 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 $51,378 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 $53,054 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 $69,605 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 $50,036 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 $82,180 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 $48,664 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.

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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