Hospital

Rehabilitation Hospital Of Overland Park

Overland Park, KS · CCN 173032 · Rates published

2,271 distinct procedures filed

28 distinct payers

113,115 rate rows

2026-08-06 last MRF observed

Data quality

112,747 of 113,115 rate rows are consumer-grade (99.7%)

368 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	225
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	60
per-diem day rate — not a per-procedure price	36
percent-of-charges filed in the dollar field — excluded from medians	24
exceeds 10× this hospital's gross charge — excluded from medians	18
placeholder amount (≤ $0.02) — excluded from medians	5

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

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/8510/320414398_heartland-rehabilitation-hospital-llc_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/RebahHospitalOverlandPark/8510
Discovered via	Discovered by HANK
Last fetch	success · 2026-11-02
Content fingerprint	0c4584599a7567b1… · 88,033,971 bytes · first seen 2026-11-02

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	$129,317.70	$129,317.70	$129,317.70	nat. median $360,195 outlier · 0.4×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	3	$115,670.72	$115,670.72	$115,670.72	nat. median $197,664 0.6× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	3	$106,701.60	$106,701.60	$106,701.60	nat. median $247,805 outlier · 0.4×
B0407 HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	14	$84,808.32	$167,920.47	$86,080.45	nat. median $85,296 1.0× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	$83,930.86	$83,930.86	$83,930.86	nat. median $190,274 outlier · 0.4×
B1904 HCPCS	Guillain-barr M <38.50	14	$79,397.42	$157,206.89	$80,588.38	nat. median $77,441 1.0× median
C0407 HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	14	$69,320.25	$137,254.10	$70,360.05	nat. median $70,308 1.0× median
D0407 HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	14	$67,496.04	$133,642.16	$68,508.48	nat. median $68,050 1.0× median
B1806 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	14	$67,204.16	$133,064.24	$68,212.22	nat. median $66,938 1.0× median
B0406 HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	14	$61,929.83	$122,621.06	$62,858.78	nat. median $61,679 1.0× median
A0407 HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	14	$61,076.66	$120,931.79	$61,992.81	nat. median $62,424 1.0× median
993 MS_DRG	Birth Weight < 1000 Grams	3	$60,773.52	$60,773.52	$60,773.52	nat. median $55,849 1.1× median
B0404 HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	14	$59,432.06	$117,675.48	$60,323.54	nat. median $60,230 1.0× median
B0505 HCPCS	Non-traumatic Spinal Cord Injury M <39.50	14	$58,453.53	$115,737.99	$59,330.33	nat. median $58,965 1.0× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	$57,874.02	$57,874.02	$57,874.02	nat. median $126,240 outlier · 0.5×
C1904 HCPCS	Guillain-barr M <38.50	14	$56,112.92	$111,103.58	$56,954.61	nat. median $55,344 1.0× median
C1806 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	14	$54,979.10	$108,858.62	$55,803.79	nat. median $53,973 1.0× median
B0106 HCPCS	Stroke M <41.50 And A <84.50	14	$52,995.85	$104,931.78	$53,790.79	nat. median $53,940 1.0× median
B1903 HCPCS	Guillain-barr M >=38.50 And M <51.50	14	$51,633.77	$102,234.86	$52,408.27	nat. median $52,380 1.0× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	3	$52,113.68	$52,113.68	$52,113.68	nat. median $97,029 0.5× median
B0205 HCPCS	Traumatic Brain Injury M <35.50	14	$50,980.79	$100,941.96	$51,745.50	nat. median $51,584 1.0× median
C0406 HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	14	$50,619.69	$100,226.99	$51,378.99	nat. median $51,536 1.0× median
D1806 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	14	$50,576.66	$100,141.79	$51,335.31	nat. median $49,987 1.0× median
D0406 HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	14	$49,287.54	$97,589.33	$50,026.85	nat. median $50,238 1.0× median
A1904 HCPCS	Guillain-barr M <38.50	14	$48,795.47	$96,615.03	$49,527.40	nat. median $49,373 1.0× median
D1904 HCPCS	Guillain-barr M <38.50	14	$48,780.50	$96,585.39	$49,512.21	nat. median $49,664 1.0× median
215 MS_DRG	Other Heart Assist System Implant	3	$49,446.14	$49,446.14	$49,446.14	nat. median $93,531 0.5× median
C0404 HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	14	$48,578.44	$96,185.31	$49,307.12	nat. median $49,810 1.0× median
B1705 HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	14	$47,816.94	$94,677.54	$48,534.19	nat. median $48,683 1.0× median
B2102 HCPCS	Burns M <52.50	14	$47,618.62	$94,284.87	$48,332.90	nat. median $48,307 1.0× median
7 MS_DRG	Lung Transplant	3	$48,286.34	$48,286.34	$48,286.34	nat. median $117,943 outlier · 0.4×
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	3	$48,209.02	$48,209.02	$48,209.02	nat. median $103,911 outlier · 0.5×
A1806 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	14	$47,470.81	$93,992.20	$48,182.87	nat. median $48,032 1.0× median
D0404 HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	14	$47,300.55	$93,655.09	$48,010.06	nat. median $48,579 1.0× median
B0405 HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	14	$47,076.03	$93,210.54	$47,782.17	nat. median $47,679 1.0× median
C0106 HCPCS	Stroke M <41.50 And A <84.50	14	$47,061.06	$93,180.90	$47,766.97	nat. median $47,975 1.0× median
B0105 HCPCS	Stroke M <41.50 And A >=84.50	14	$47,047.96	$93,154.96	$47,753.68	nat. median $48,121 1.0× median
B1805 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	14	$46,385.63	$91,843.55	$47,081.41	nat. median $46,701 1.0× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	$46,971.90	$46,971.90	$46,971.90	nat. median $90,525 0.5× median
B0604 HCPCS	Neurological M <43.50	14	$45,835.56	$90,754.41	$46,523.10	nat. median $46,534 1.0× median
C0505 HCPCS	Non-traumatic Spinal Cord Injury M <39.50	14	$44,920.65	$88,942.89	$45,594.46	nat. median $45,314 1.0× median
A0406 HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	14	$44,600.71	$88,309.41	$45,269.72	nat. median $45,711 1.0× median
B0305 HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	14	$44,340.64	$87,794.47	$45,005.75	nat. median $44,865 1.0× median
B1004 HCPCS	Amputation Lower Extremity M <47.50	14	$44,219.02	$87,553.66	$44,882.30	nat. median $44,606 1.0× median
B1504 HCPCS	Pulmonary M <45.50	14	$43,827.99	$86,779.42	$44,485.41	nat. median $44,609 1.0× median
B0704 HCPCS	Fracture Of Lower Extremity M <41.50	14	$42,920.56	$84,982.71	$43,564.37	nat. median $43,748 1.0× median
B1304 HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	14	$42,868.17	$84,878.98	$43,511.19	nat. median $43,494 1.0× median
A0404 HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	14	$42,802.68	$84,749.31	$43,444.72	nat. median $43,960 1.0× median
B1305 HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	14	$42,783.97	$84,712.26	$43,425.73	nat. median $42,614 1.0× median
D0106 HCPCS	Stroke M <41.50 And A <84.50	14	$42,638.04	$84,423.32	$43,277.61	nat. median $43,282 1.0× median

Other procedures at this hospital

Browse this hospital's 2,271 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

14	MS_DRG	Allogeneic Bone Marrow Transplant	3	3	—	—	$40,206.40	$40,206.40	$40,206.40	2026-08-06
B1004	HCPCS	Amputation Lower Extremity M <47.50	18	14	—	—	$44,219.02	$87,553.66	$44,882.30	2026-08-06
C1004	HCPCS	Amputation Lower Extremity M <47.50	18	14	—	—	$36,742.54	$72,750.23	$37,293.68	2026-08-06
D1004	HCPCS	Amputation Lower Extremity M <47.50	18	14	—	—	$33,348.56	$66,030.15	$33,848.79	2026-08-06
A1004	HCPCS	Amputation Lower Extremity M <47.50	18	14	—	—	$30,964.92	$61,310.54	$31,429.39	2026-08-06
B1003	HCPCS	Amputation Lower Extremity M >=47.50 And M <55.50	18	14	—	—	$33,243.79	$65,822.70	$33,742.44	2026-08-06
C1003	HCPCS	Amputation Lower Extremity M >=47.50 And M <55.50	18	14	—	—	$27,623.33	$54,694.19	$28,037.68	2026-08-06
D1003	HCPCS	Amputation Lower Extremity M >=47.50 And M <55.50	18	14	—	—	$25,071.29	$49,641.15	$25,447.36	2026-08-06
A1003	HCPCS	Amputation Lower Extremity M >=47.50 And M <55.50	18	14	—	—	$23,278.88	$46,092.18	$23,628.07	2026-08-06
B1002	HCPCS	Amputation Lower Extremity M >=55.50 And M <64.50	18	14	—	—	$27,932.04	$55,305.44	$28,351.02	2026-08-06
C1002	HCPCS	Amputation Lower Extremity M >=55.50 And M <64.50	18	14	—	—	$23,209.66	$45,955.13	$23,557.81	2026-08-06
B1103	HCPCS	Amputation Non-lower Extremity M <52.50	18	14	—	—	$36,192.47	$71,661.09	$36,735.35	2026-08-06
C1103	HCPCS	Amputation Non-lower Extremity M <52.50	18	14	—	—	$34,263.48	$67,841.69	$34,777.43	2026-08-06
D1103	HCPCS	Amputation Non-lower Extremity M <52.50	18	14	—	—	$29,486.83	$58,383.92	$29,929.13	2026-08-06
A1103	HCPCS	Amputation Non-lower Extremity M <52.50	18	14	—	—	$25,799.11	$51,082.24	$26,186.10	2026-08-06
B1102	HCPCS	Amputation Non-lower Extremity M >=52.50 And M <58.50	18	14	—	—	$28,895.60	$57,213.29	$29,329.03	2026-08-06
C1102	HCPCS	Amputation Non-lower Extremity M >=52.50 And M <58.50	18	14	—	—	$27,355.77	$54,164.42	$27,766.10	2026-08-06
D1102	HCPCS	Amputation Non-lower Extremity M >=52.50 And M <58.50	18	14	—	—	$23,540.82	$46,610.82	$23,893.93	2026-08-06
B1101	HCPCS	Amputation Non-lower Extremity M >=58.50	18	14	—	—	$25,303.30	$50,100.53	$25,682.85	2026-08-06
C1101	HCPCS	Amputation Non-lower Extremity M >=58.50	18	14	—	—	$23,956.18	$47,433.24	$24,315.53	2026-08-06
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	3	3	—	—	$33,170.28	$33,170.28	$33,170.28	2026-08-06
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	3	3	—	—	$31,391.92	$31,391.92	$31,391.92	2026-08-06
994	MS_DRG	Birth Weight 1000 - 1499 Grams	3	3	—	—	$35,025.96	$35,025.96	$35,025.96	2026-08-06
993	MS_DRG	Birth Weight < 1000 Grams	3	3	—	—	$60,773.52	$60,773.52	$60,773.52	2026-08-06
B2102	HCPCS	Burns M <52.50	18	14	—	—	$47,618.62	$94,284.87	$48,332.90	2026-08-06
C2102	HCPCS	Burns M <52.50	18	14	—	—	$40,033.62	$79,266.57	$40,634.12	2026-08-06
D2102	HCPCS	Burns M <52.50	18	14	—	—	$30,190.33	$59,776.85	$30,643.19	2026-08-06
A2102	HCPCS	Burns M <52.50	18	14	—	—	$28,951.73	$57,324.43	$29,386.00	2026-08-06
B2101	HCPCS	Burns M >=52.50	18	14	—	—	$30,050.00	$59,499.00	$30,500.75	2026-08-06
C2101	HCPCS	Burns M >=52.50	18	14	—	—	$25,264.00	$50,022.72	$25,642.96	2026-08-06
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	3	3	—	—	$34,059.46	$34,059.46	$34,059.46	2026-08-06
276	MS_DRG	Cardiac Defibrillator Implant With Mcc	3	3	—	—	$30,038.82	$30,038.82	$30,038.82	2026-08-06
B1404	HCPCS	Cardiac M <45.50	18	14	—	—	$40,166.46	$79,529.59	$40,768.96	2026-08-06
C1404	HCPCS	Cardiac M <45.50	18	14	—	—	$32,356.94	$64,066.74	$32,842.29	2026-08-06
D1404	HCPCS	Cardiac M <45.50	18	14	—	—	$29,919.03	$59,239.68	$30,367.81	2026-08-06
A1404	HCPCS	Cardiac M <45.50	18	14	—	—	$27,512.94	$54,475.62	$27,925.64	2026-08-06
B1403	HCPCS	Cardiac M >=45.50 And M <55.50	18	14	—	—	$32,194.16	$63,744.44	$32,677.07	2026-08-06
C1403	HCPCS	Cardiac M >=45.50 And M <55.50	18	14	—	—	$25,933.82	$51,348.96	$26,322.83	2026-08-06
D1403	HCPCS	Cardiac M >=45.50 And M <55.50	18	14	—	—	$23,978.63	$47,477.69	$24,338.31	2026-08-06
B1402	HCPCS	Cardiac M >=55.50 And M <68.50	18	14	—	—	$26,635.44	$52,738.17	$27,034.97	2026-08-06
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	3	—	—	$46,971.90	$46,971.90	$46,971.90	2026-08-06
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	3	—	—	$30,812.02	$30,812.02	$30,812.02	2026-08-06
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	3	—	—	$27,564.58	$27,564.58	$27,564.58	2026-08-06
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	3	—	—	$37,306.90	$37,306.90	$37,306.90	2026-08-06
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	3	—	—	$25,360.96	$25,360.96	$25,360.96	2026-08-06
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$129,317.70	$129,317.70	$129,317.70	2026-08-06
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	3	3	—	—	$28,144.48	$28,144.48	$28,144.48	2026-08-06
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	3	3	—	—	$40,786.30	$40,786.30	$40,786.30	2026-08-06
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	3	3	—	—	$52,113.68	$52,113.68	$52,113.68	2026-08-06
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	3	3	—	—	$37,732.16	$37,732.16	$37,732.16	2026-08-06
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	3	3	—	—	$25,167.66	$25,167.66	$25,167.66	2026-08-06
231	MS_DRG	Coronary Bypass With Ptca With Mcc	3	3	—	—	$39,278.56	$39,278.56	$39,278.56	2026-08-06
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	3	3	—	—	$28,801.70	$28,801.70	$28,801.70	2026-08-06
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	3	3	—	—	$28,453.76	$28,453.76	$28,453.76	2026-08-06
955	MS_DRG	Craniotomy For Multiple Significant Trauma	3	3	—	—	$24,278.48	$24,278.48	$24,278.48	2026-08-06
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	3	3	—	—	$25,167.66	$25,167.66	$25,167.66	2026-08-06
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	3	—	—	$83,930.86	$83,930.86	$83,930.86	2026-08-06
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	3	3	—	—	$35,721.84	$35,721.84	$35,721.84	2026-08-06
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	3	3	—	—	$23,621.26	$23,621.26	$23,621.26	2026-08-06
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	3	3	—	—	$115,670.72	$115,670.72	$115,670.72	2026-08-06
B0704	HCPCS	Fracture Of Lower Extremity M <41.50	18	14	—	—	$42,920.56	$84,982.71	$43,564.37	2026-08-06
C0704	HCPCS	Fracture Of Lower Extremity M <41.50	18	14	—	—	$34,317.73	$67,949.11	$34,832.50	2026-08-06
D0704	HCPCS	Fracture Of Lower Extremity M <41.50	18	14	—	—	$32,592.68	$64,533.51	$33,081.57	2026-08-06
A0704	HCPCS	Fracture Of Lower Extremity M <41.50	18	14	—	—	$29,782.45	$58,969.25	$30,229.18	2026-08-06
B0703	HCPCS	Fracture Of Lower Extremity M >=41.50 And M <52.50	18	14	—	—	$34,759.29	$68,823.39	$35,280.68	2026-08-06
C0703	HCPCS	Fracture Of Lower Extremity M >=41.50 And M <52.50	18	14	—	—	$27,791.71	$55,027.59	$28,208.58	2026-08-06
D0703	HCPCS	Fracture Of Lower Extremity M >=41.50 And M <52.50	18	14	—	—	$26,395.95	$52,263.98	$26,791.89	2026-08-06
A0703	HCPCS	Fracture Of Lower Extremity M >=41.50 And M <52.50	18	14	—	—	$24,120.83	$47,759.24	$24,482.64	2026-08-06
B0702	HCPCS	Fracture Of Lower Extremity M >=52.50 And M <61.50	18	14	—	—	$28,373.59	$56,179.71	$28,799.19	2026-08-06
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	3	3	—	—	$30,386.76	$30,386.76	$30,386.76	2026-08-06
B1904	HCPCS	Guillain-barr M <38.50	18	14	—	—	$79,397.42	$157,206.89	$80,588.38	2026-08-06
C1904	HCPCS	Guillain-barr M <38.50	18	14	—	—	$56,112.92	$111,103.58	$56,954.61	2026-08-06
A1904	HCPCS	Guillain-barr M <38.50	18	14	—	—	$48,795.47	$96,615.03	$49,527.40	2026-08-06
D1904	HCPCS	Guillain-barr M <38.50	18	14	—	—	$48,780.50	$96,585.39	$49,512.21	2026-08-06
B1903	HCPCS	Guillain-barr M >=38.50 And M <51.50	18	14	—	—	$51,633.77	$102,234.86	$52,408.27	2026-08-06
C1903	HCPCS	Guillain-barr M >=38.50 And M <51.50	18	14	—	—	$36,491.83	$72,253.82	$37,039.21	2026-08-06
A1903	HCPCS	Guillain-barr M >=38.50 And M <51.50	18	14	—	—	$31,732.02	$62,829.40	$32,208.00	2026-08-06
D1903	HCPCS	Guillain-barr M >=38.50 And M <51.50	18	14	—	—	$31,724.54	$62,814.59	$32,200.41	2026-08-06
B1902	HCPCS	Guillain-barr M >=51.50 And M <66.50	18	14	—	—	$36,493.70	$72,257.53	$37,041.10	2026-08-06
C1902	HCPCS	Guillain-barr M >=51.50 And M <66.50	18	14	—	—	$25,791.62	$51,067.41	$26,178.49	2026-08-06
B1901	HCPCS	Guillain-barr M >=66.50	18	14	—	—	$25,084.39	$49,667.09	$25,460.65	2026-08-06
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	3	3	—	—	$106,701.60	$106,701.60	$106,701.60	2026-08-06
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	3	3	—	—	$48,209.02	$48,209.02	$48,209.02	2026-08-06
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	3	3	—	—	$30,154.80	$30,154.80	$30,154.80	2026-08-06
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	3	3	—	—	$28,376.44	$28,376.44	$28,376.44	2026-08-06
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	3	3	—	—	$39,046.60	$39,046.60	$39,046.60	2026-08-06
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	3	3	—	—	$40,747.64	$40,747.64	$40,747.64	2026-08-06
7	MS_DRG	Lung Transplant	3	3	—	—	$48,286.34	$48,286.34	$48,286.34	2026-08-06
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	3	3	—	—	$26,520.76	$26,520.76	$26,520.76	2026-08-06
653	MS_DRG	Major Bladder Procedures With Mcc	3	3	—	—	$25,360.96	$25,360.96	$25,360.96	2026-08-06
B1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	18	14	—	—	$67,204.16	$133,064.24	$68,212.22	2026-08-06
C1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	18	14	—	—	$54,979.10	$108,858.62	$55,803.79	2026-08-06
D1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	18	14	—	—	$50,576.66	$100,141.79	$51,335.31	2026-08-06
A1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	18	14	—	—	$47,470.81	$93,992.20	$48,182.87	2026-08-06
B1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	18	14	—	—	$46,385.63	$91,843.55	$47,081.41	2026-08-06
C1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	18	14	—	—	$37,947.46	$75,135.97	$38,516.67	2026-08-06
D1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	18	14	—	—	$34,908.97	$69,119.76	$35,432.60	2026-08-06
A1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	18	14	—	—	$32,764.81	$64,874.32	$33,256.28	2026-08-06
B1804	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	18	14	—	—	$38,664.05	$76,554.82	$39,244.01	2026-08-06
C1804	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	18	14	—	—	$31,630.99	$62,629.36	$32,105.46	2026-08-06
D1804	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	18	14	—	—	$29,097.67	$57,613.39	$29,534.13	2026-08-06
A1804	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	18	14	—	—	$27,310.87	$54,075.52	$27,720.53	2026-08-06
B1803	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	18	14	—	—	$33,105.33	$65,548.55	$33,601.91	2026-08-06
C1803	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	18	14	—	—	$27,082.61	$53,623.57	$27,488.85	2026-08-06
D1803	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	18	14	—	—	$24,914.13	$49,329.98	$25,287.84	2026-08-06
A1803	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	18	14	—	—	$23,383.66	$46,299.65	$23,734.42	2026-08-06
B1802	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50	18	14	—	—	$26,611.12	$52,690.02	$27,010.28	2026-08-06
B1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	18	14	—	—	$47,816.94	$94,677.54	$48,534.19	2026-08-06
C1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	18	14	—	—	$37,881.97	$75,006.30	$38,450.20	2026-08-06
D1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	18	14	—	—	$35,172.78	$69,642.10	$35,700.37	2026-08-06
A1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	18	14	—	—	$32,379.39	$64,111.19	$32,865.08	2026-08-06
B1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	18	14	—	—	$41,073.89	$81,326.30	$41,690.00	2026-08-06
C1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	18	14	—	—	$32,540.29	$64,429.77	$33,028.40	2026-08-06
D1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	18	14	—	—	$30,212.78	$59,821.30	$30,665.97	2026-08-06
A1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	18	14	—	—	$27,814.17	$55,072.06	$28,231.38	2026-08-06
B1703	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	18	14	—	—	$35,694.79	$70,675.68	$36,230.21	2026-08-06
C1703	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	18	14	—	—	$28,278.17	$55,990.78	$28,702.35	2026-08-06
D1703	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	18	14	—	—	$26,255.63	$51,986.15	$26,649.47	2026-08-06
A1703	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	18	14	—	—	$24,171.35	$47,859.27	$24,533.92	2026-08-06
B1702	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	18	14	—	—	$30,422.33	$60,236.21	$30,878.67	2026-08-06
C1702	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	18	14	—	—	$24,100.25	$47,718.50	$24,461.75	2026-08-06
B1701	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50	18	14	—	—	$24,680.26	$48,866.91	$25,050.46	2026-08-06
B2005	HCPCS	Miscellaneous M <46.50 And A <77.50	18	14	—	—	$41,382.60	$81,937.55	$42,003.34	2026-08-06
C2005	HCPCS	Miscellaneous M <46.50 And A <77.50	18	14	—	—	$33,187.66	$65,711.57	$33,685.48	2026-08-06
D2005	HCPCS	Miscellaneous M <46.50 And A <77.50	18	14	—	—	$30,863.88	$61,110.48	$31,326.84	2026-08-06
A2005	HCPCS	Miscellaneous M <46.50 And A <77.50	18	14	—	—	$28,253.85	$55,942.62	$28,677.66	2026-08-06
B2004	HCPCS	Miscellaneous M <46.50 And A >=77.50	18	14	—	—	$39,535.93	$78,281.14	$40,128.97	2026-08-06
C2004	HCPCS	Miscellaneous M <46.50 And A >=77.50	18	14	—	—	$31,705.83	$62,777.54	$32,181.42	2026-08-06
D2004	HCPCS	Miscellaneous M <46.50 And A >=77.50	18	14	—	—	$29,486.83	$58,383.92	$29,929.13	2026-08-06
A2004	HCPCS	Miscellaneous M <46.50 And A >=77.50	18	14	—	—	$26,992.80	$53,445.74	$27,397.69	2026-08-06
B2003	HCPCS	Miscellaneous M >=46.50 And M <55.50	18	14	—	—	$32,416.81	$64,185.28	$32,903.06	2026-08-06
C2003	HCPCS	Miscellaneous M >=46.50 And M <55.50	18	14	—	—	$25,997.43	$51,474.91	$26,387.39	2026-08-06
D2003	HCPCS	Miscellaneous M >=46.50 And M <55.50	18	14	—	—	$24,176.96	$47,870.38	$24,539.61	2026-08-06
B2002	HCPCS	Miscellaneous M >=55.50 And M <66.50	18	14	—	—	$27,606.49	$54,660.85	$28,020.58	2026-08-06
B0604	HCPCS	Neurological M <43.50	18	14	—	—	$45,835.56	$90,754.41	$46,523.10	2026-08-06
C0604	HCPCS	Neurological M <43.50	18	14	—	—	$34,712.51	$68,730.77	$35,233.20	2026-08-06
D0604	HCPCS	Neurological M <43.50	18	14	—	—	$32,695.58	$64,737.25	$33,186.01	2026-08-06
A0604	HCPCS	Neurological M <43.50	18	14	—	—	$29,367.09	$58,146.84	$29,807.60	2026-08-06
B0603	HCPCS	Neurological M >=43.50 And M <52.50	18	14	—	—	$36,241.11	$71,757.40	$36,784.72	2026-08-06
C0603	HCPCS	Neurological M >=43.50 And M <52.50	18	14	—	—	$27,447.45	$54,345.95	$27,859.16	2026-08-06
D0603	HCPCS	Neurological M >=43.50 And M <52.50	18	14	—	—	$25,851.50	$51,185.97	$26,239.28	2026-08-06
A0603	HCPCS	Neurological M >=43.50 And M <52.50	18	14	—	—	$23,220.88	$45,977.34	$23,569.19	2026-08-06
B0602	HCPCS	Neurological M >=52.50 And M <64.50	18	14	—	—	$30,476.59	$60,343.65	$30,933.74	2026-08-06
B0601	HCPCS	Neurological M >=64.50	18	14	—	—	$24,500.64	$48,511.27	$24,868.15	2026-08-06
B0305	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	18	14	—	—	$44,340.64	$87,794.47	$45,005.75	2026-08-06
C0305	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	18	14	—	—	$35,142.84	$69,582.82	$35,669.99	2026-08-06
D0305	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	18	14	—	—	$32,762.94	$64,870.62	$33,254.39	2026-08-06
A0305	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	18	14	—	—	$30,671.17	$60,728.92	$31,131.24	2026-08-06
B0304	HCPCS	Non-traumatic Brain Injury M <42.50 And A >=78.50	18	14	—	—	$40,478.91	$80,148.24	$41,086.10	2026-08-06
C0304	HCPCS	Non-traumatic Brain Injury M <42.50 And A >=78.50	18	14	—	—	$32,081.90	$63,522.16	$32,563.13	2026-08-06
D0304	HCPCS	Non-traumatic Brain Injury M <42.50 And A >=78.50	18	14	—	—	$29,907.81	$59,217.46	$30,356.43	2026-08-06
A0304	HCPCS	Non-traumatic Brain Injury M <42.50 And A >=78.50	18	14	—	—	$27,999.39	$55,438.79	$28,419.38	2026-08-06
B0303	HCPCS	Non-traumatic Brain Injury M >=42.50 And M <52.50	18	14	—	—	$34,168.06	$67,652.76	$34,680.58	2026-08-06
C0303	HCPCS	Non-traumatic Brain Injury M >=42.50 And M <52.50	18	14	—	—	$27,080.74	$53,619.87	$27,486.95	2026-08-06
D0303	HCPCS	Non-traumatic Brain Injury M >=42.50 And M <52.50	18	14	—	—	$25,247.17	$49,989.40	$25,625.88	2026-08-06
A0303	HCPCS	Non-traumatic Brain Injury M >=42.50 And M <52.50	18	14	—	—	$23,636.24	$46,799.76	$23,990.79	2026-08-06
B0302	HCPCS	Non-traumatic Brain Injury M >=52.50 And M <65.50	18	14	—	—	$28,897.47	$57,216.99	$29,330.93	2026-08-06
B0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	18	14	—	—	$58,453.53	$115,737.99	$59,330.33	2026-08-06
C0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	18	14	—	—	$44,920.65	$88,942.89	$45,594.46	2026-08-06
D0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	18	14	—	—	$41,790.48	$82,745.15	$42,417.34	2026-08-06
A0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	18	14	—	—	$38,512.50	$76,254.75	$39,090.19	2026-08-06
B0504	HCPCS	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	18	14	—	—	$41,141.24	$81,459.66	$41,758.36	2026-08-06
C0504	HCPCS	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	18	14	—	—	$31,616.02	$62,599.72	$32,090.26	2026-08-06
D0504	HCPCS	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	18	14	—	—	$29,411.99	$58,235.74	$29,853.17	2026-08-06
A0504	HCPCS	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	18	14	—	—	$27,105.06	$53,668.02	$27,511.64	2026-08-06
B0503	HCPCS	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	18	14	—	—	$34,429.99	$68,171.38	$34,946.44	2026-08-06
C0503	HCPCS	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	18	14	—	—	$26,459.57	$52,389.95	$26,856.47	2026-08-06
D0503	HCPCS	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	18	14	—	—	$24,614.77	$48,737.24	$24,983.99	2026-08-06
B0502	HCPCS	Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50	18	14	—	—	$30,405.49	$60,202.87	$30,861.57	2026-08-06
C0502	HCPCS	Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50	18	14	—	—	$23,366.82	$46,266.30	$23,717.32	2026-08-06
B0501	HCPCS	Non-traumatic Spinal Cord Injury M >=60.50	18	14	—	—	$24,491.29	$48,492.75	$24,858.66	2026-08-06
B1204	HCPCS	Osteoarthritis M <49.50 And A <74.50	18	14	—	—	$40,160.84	$79,518.46	$40,763.25	2026-08-06
C1204	HCPCS	Osteoarthritis M <49.50 And A <74.50	18	14	—	—	$31,876.09	$63,114.66	$32,354.23	2026-08-06
D1204	HCPCS	Osteoarthritis M <49.50 And A <74.50	18	14	—	—	$28,485.85	$56,401.98	$28,913.14	2026-08-06
A1204	HCPCS	Osteoarthritis M <49.50 And A <74.50	18	14	—	—	$26,380.99	$52,234.36	$26,776.71	2026-08-06
B1203	HCPCS	Osteoarthritis M <49.50 And A >=74.50	18	14	—	—	$39,010.18	$77,240.16	$39,595.33	2026-08-06
C1203	HCPCS	Osteoarthritis M <49.50 And A >=74.50	18	14	—	—	$30,961.18	$61,303.14	$31,425.60	2026-08-06
D1203	HCPCS	Osteoarthritis M <49.50 And A >=74.50	18	14	—	—	$27,668.23	$54,783.10	$28,083.25	2026-08-06
A1203	HCPCS	Osteoarthritis M <49.50 And A >=74.50	18	14	—	—	$25,625.11	$50,737.72	$26,009.49	2026-08-06
B1202	HCPCS	Osteoarthritis M >=49.50 And M <61.50	18	14	—	—	$29,142.57	$57,702.29	$29,579.71	2026-08-06
C1202	HCPCS	Osteoarthritis M >=49.50 And M <61.50	18	14	—	—	$23,129.20	$45,795.82	$23,476.14	2026-08-06
B1201	HCPCS	Osteoarthritis M >=61.50	18	14	—	—	$24,785.03	$49,074.36	$25,156.81	2026-08-06
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	3	3	—	—	$24,394.46	$24,394.46	$24,394.46	2026-08-06
215	MS_DRG	Other Heart Assist System Implant	3	3	—	—	$49,446.14	$49,446.14	$49,446.14	2026-08-06
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	3	3	—	—	$24,471.78	$24,471.78	$24,471.78	2026-08-06
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	3	3	—	—	$28,801.70	$28,801.70	$28,801.70	2026-08-06
B0904	HCPCS	Other Orthopedic M <44.5	18	14	—	—	$42,063.64	$83,286.01	$42,694.60	2026-08-06
C0904	HCPCS	Other Orthopedic M <44.5	18	14	—	—	$31,861.12	$63,085.02	$32,339.03	2026-08-06
D0904	HCPCS	Other Orthopedic M <44.5	18	14	—	—	$30,096.78	$59,591.62	$30,548.23	2026-08-06
A0904	HCPCS	Other Orthopedic M <44.5	18	14	—	—	$27,456.81	$54,364.48	$27,868.66	2026-08-06
B0903	HCPCS	Other Orthopedic M >=44.50 And M <51.50	18	14	—	—	$34,931.42	$69,164.21	$35,455.39	2026-08-06
C0903	HCPCS	Other Orthopedic M >=44.50 And M <51.50	18	14	—	—	$26,457.70	$52,386.25	$26,854.57	2026-08-06
D0903	HCPCS	Other Orthopedic M >=44.50 And M <51.50	18	14	—	—	$24,992.71	$49,485.57	$25,367.60	2026-08-06
B0902	HCPCS	Other Orthopedic M >=51.50 And M <63.50	18	14	—	—	$29,436.32	$58,283.91	$29,877.86	2026-08-06
B0901	HCPCS	Other Orthopedic M >=63.50	18	14	—	—	$23,172.24	$45,881.04	$23,519.83	2026-08-06
B1604	HCPCS	Pain Syndrome M <43.50	18	14	—	—	$37,511.52	$74,272.81	$38,074.19	2026-08-06
C1604	HCPCS	Pain Syndrome M <43.50	18	14	—	—	$33,617.98	$66,563.60	$34,122.25	2026-08-06
D1604	HCPCS	Pain Syndrome M <43.50	18	14	—	—	$30,751.62	$60,888.21	$31,212.89	2026-08-06
A1604	HCPCS	Pain Syndrome M <43.50	18	14	—	—	$27,874.04	$55,190.60	$28,292.15	2026-08-06
B1603	HCPCS	Pain Syndrome M >=43.50 And M <58.50	18	14	—	—	$28,657.98	$56,742.80	$29,087.85	2026-08-06
C1603	HCPCS	Pain Syndrome M >=43.50 And M <58.50	18	14	—	—	$25,683.11	$50,852.56	$26,068.35	2026-08-06
D1603	HCPCS	Pain Syndrome M >=43.50 And M <58.50	18	14	—	—	$23,494.05	$46,518.22	$23,846.46	2026-08-06
B1602	HCPCS	Pain Syndrome M >=58.50 And M <65.50	18	14	—	—	$23,664.31	$46,855.33	$24,019.28	2026-08-06
B1504	HCPCS	Pulmonary M <45.50	18	14	—	—	$43,827.99	$86,779.42	$44,485.41	2026-08-06
C1504	HCPCS	Pulmonary M <45.50	18	14	—	—	$35,240.13	$69,775.46	$35,768.73	2026-08-06
D1504	HCPCS	Pulmonary M <45.50	18	14	—	—	$33,002.43	$65,344.81	$33,497.46	2026-08-06
A1504	HCPCS	Pulmonary M <45.50	18	14	—	—	$31,548.67	$62,466.37	$32,021.90	2026-08-06
B1503	HCPCS	Pulmonary M >=45.50 And M <56.50	18	14	—	—	$34,950.13	$69,201.26	$35,474.38	2026-08-06
C1503	HCPCS	Pulmonary M >=45.50 And M <56.50	18	14	—	—	$28,102.30	$55,642.55	$28,523.83	2026-08-06
D1503	HCPCS	Pulmonary M >=45.50 And M <56.50	18	14	—	—	$26,317.37	$52,108.39	$26,712.13	2026-08-06
A1503	HCPCS	Pulmonary M >=45.50 And M <56.50	18	14	—	—	$25,157.36	$49,811.57	$25,534.72	2026-08-06
B1502	HCPCS	Pulmonary M >=56.50 And M <68.50	18	14	—	—	$29,977.03	$59,354.52	$30,426.68	2026-08-06
C1502	HCPCS	Pulmonary M >=56.50 And M <68.50	18	14	—	—	$24,103.99	$47,725.90	$24,465.55	2026-08-06
B1501	HCPCS	Pulmonary M >=68.50	18	14	—	—	$24,515.61	$48,540.91	$24,883.35	2026-08-06
B0805	HCPCS	Replacement Of Lower-extremity Joint M <42.50	18	14	—	—	$39,122.44	$77,462.43	$39,709.28	2026-08-06
C0805	HCPCS	Replacement Of Lower-extremity Joint M <42.50	18	14	—	—	$32,950.04	$65,241.08	$33,444.29	2026-08-06
D0805	HCPCS	Replacement Of Lower-extremity Joint M <42.50	18	14	—	—	$29,453.16	$58,317.26	$29,894.96	2026-08-06
A0805	HCPCS	Replacement Of Lower-extremity Joint M <42.50	18	14	—	—	$27,595.26	$54,638.61	$28,009.19	2026-08-06
B0804	HCPCS	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	18	14	—	—	$31,410.21	$62,192.22	$31,881.36	2026-08-06
C0804	HCPCS	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	18	14	—	—	$26,455.83	$52,382.54	$26,852.67	2026-08-06
D0804	HCPCS	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	18	14	—	—	$23,647.47	$46,821.99	$24,002.18	2026-08-06
B0803	HCPCS	Replacement Of Lower-extremity Joint M >=51.50 And M <57.50	18	14	—	—	$27,649.52	$54,746.05	$28,064.26	2026-08-06
C0803	HCPCS	Replacement Of Lower-extremity Joint M >=51.50 And M <57.50	18	14	—	—	$23,288.24	$46,110.72	$23,637.57	2026-08-06
B0802	HCPCS	Replacement Of Lower-extremity Joint M >=57.50 And M <63.50	18	14	—	—	$25,123.68	$49,744.89	$25,500.53	2026-08-06
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	3	3	—	—	$33,479.56	$33,479.56	$33,479.56	2026-08-06
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	3	3	—	—	$23,853.22	$23,853.22	$23,853.22	2026-08-06
B1304	HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	18	14	—	—	$42,868.17	$84,878.98	$43,511.19	2026-08-06
C1304	HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	18	14	—	—	$34,272.83	$67,860.20	$34,786.92	2026-08-06
D1304	HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	18	14	—	—	$31,402.73	$62,177.41	$31,873.77	2026-08-06
A1304	HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	18	14	—	—	$28,525.14	$56,479.78	$28,953.01	2026-08-06
B1305	HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	18	14	—	—	$42,783.97	$84,712.26	$43,425.73	2026-08-06
C1305	HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	18	14	—	—	$34,203.60	$67,723.13	$34,716.65	2026-08-06
D1305	HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	18	14	—	—	$31,339.12	$62,051.46	$31,809.21	2026-08-06
A1305	HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	18	14	—	—	$28,469.01	$56,368.64	$28,896.04	2026-08-06
B1303	HCPCS	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	18	14	—	—	$33,213.85	$65,763.42	$33,712.06	2026-08-06
C1303	HCPCS	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	18	14	—	—	$26,553.12	$52,575.18	$26,951.42	2026-08-06
D1303	HCPCS	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	18	14	—	—	$24,330.38	$48,174.15	$24,695.33	2026-08-06
B1302	HCPCS	Rheumatoid Other Arthritis M >=51.50 And M <62.50	18	14	—	—	$28,738.44	$56,902.11	$29,169.51	2026-08-06
B1301	HCPCS	Rheumatoid Other Arthritis M >=62.50	18	14	—	—	$23,437.92	$46,407.08	$23,789.49	2026-08-06
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	3	3	—	—	$31,894.50	$31,894.50	$31,894.50	2026-08-06
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	3	3	—	—	$31,469.24	$31,469.24	$31,469.24	2026-08-06
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	3	3	—	—	$24,935.70	$24,935.70	$24,935.70	2026-08-06
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	3	3	—	—	$27,293.96	$27,293.96	$27,293.96	2026-08-06
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	3	3	—	—	$30,541.40	$30,541.40	$30,541.40	2026-08-06
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	3	—	—	$38,814.64	$38,814.64	$38,814.64	2026-08-06
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	3	—	—	$27,951.18	$27,951.18	$27,951.18	2026-08-06
28	MS_DRG	Spinal Procedures With Mcc	3	3	—	—	$27,835.20	$27,835.20	$27,835.20	2026-08-06
B0106	HCPCS	Stroke M <41.50 And A <84.50	18	14	—	—	$52,995.85	$104,931.78	$53,790.79	2026-08-06
C0106	HCPCS	Stroke M <41.50 And A <84.50	18	14	—	—	$47,061.06	$93,180.90	$47,766.97	2026-08-06
D0106	HCPCS	Stroke M <41.50 And A <84.50	18	14	—	—	$42,638.04	$84,423.32	$43,277.61	2026-08-06
A0106	HCPCS	Stroke M <41.50 And A <84.50	18	14	—	—	$40,443.36	$80,077.85	$41,050.01	2026-08-06
B0105	HCPCS	Stroke M <41.50 And A >=84.50	18	14	—	—	$47,047.96	$93,154.96	$47,753.68	2026-08-06
C0105	HCPCS	Stroke M <41.50 And A >=84.50	18	14	—	—	$41,779.25	$82,722.92	$42,405.94	2026-08-06
D0105	HCPCS	Stroke M <41.50 And A >=84.50	18	14	—	—	$37,852.04	$74,947.04	$38,419.82	2026-08-06
A0105	HCPCS	Stroke M <41.50 And A >=84.50	18	14	—	—	$35,904.34	$71,090.59	$36,442.90	2026-08-06
B0104	HCPCS	Stroke M >=41.50 And M <50.50	18	14	—	—	$37,751.01	$74,747.00	$38,317.28	2026-08-06
C0104	HCPCS	Stroke M >=41.50 And M <50.50	18	14	—	—	$33,524.43	$66,378.37	$34,027.29	2026-08-06
D0104	HCPCS	Stroke M >=41.50 And M <50.50	18	14	—	—	$30,373.68	$60,139.89	$30,829.28	2026-08-06
A0104	HCPCS	Stroke M >=41.50 And M <50.50	18	14	—	—	$28,809.53	$57,042.87	$29,241.67	2026-08-06
B0103	HCPCS	Stroke M >=50.50 And M <63.50	18	14	—	—	$29,557.93	$58,524.70	$30,001.30	2026-08-06
C0103	HCPCS	Stroke M >=50.50 And M <63.50	18	14	—	—	$26,248.15	$51,971.34	$26,641.87	2026-08-06
D0103	HCPCS	Stroke M >=50.50 And M <63.50	18	14	—	—	$23,780.31	$47,085.01	$24,137.01	2026-08-06
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	3	—	—	$57,874.02	$57,874.02	$57,874.02	2026-08-06
B0205	HCPCS	Traumatic Brain Injury M <35.50	18	14	—	—	$50,980.79	$100,941.96	$51,745.50	2026-08-06
C0205	HCPCS	Traumatic Brain Injury M <35.50	18	14	—	—	$40,535.04	$80,259.38	$41,143.07	2026-08-06
D0205	HCPCS	Traumatic Brain Injury M <35.50	18	14	—	—	$37,032.54	$73,324.43	$37,588.03	2026-08-06
A0205	HCPCS	Traumatic Brain Injury M <35.50	18	14	—	—	$34,792.97	$68,890.08	$35,314.87	2026-08-06
B0204	HCPCS	Traumatic Brain Injury M >=35.50 And M <49.50	18	14	—	—	$39,738.00	$78,681.24	$40,334.07	2026-08-06
C0204	HCPCS	Traumatic Brain Injury M >=35.50 And M <49.50	18	14	—	—	$31,595.44	$62,558.97	$32,069.37	2026-08-06
D0204	HCPCS	Traumatic Brain Injury M >=35.50 And M <49.50	18	14	—	—	$28,865.66	$57,154.01	$29,298.65	2026-08-06
A0204	HCPCS	Traumatic Brain Injury M >=35.50 And M <49.50	18	14	—	—	$27,120.03	$53,697.66	$27,526.83	2026-08-06
B0203	HCPCS	Traumatic Brain Injury M >=49.50 And M <61.50	18	14	—	—	$32,242.80	$63,840.74	$32,726.44	2026-08-06
C0203	HCPCS	Traumatic Brain Injury M >=49.50 And M <61.50	18	14	—	—	$25,636.33	$50,759.93	$26,020.88	2026-08-06
D0203	HCPCS	Traumatic Brain Injury M >=49.50 And M <61.50	18	14	—	—	$23,421.08	$46,373.74	$23,772.40	2026-08-06
B0202	HCPCS	Traumatic Brain Injury M >=61.50 And M <73.50	18	14	—	—	$25,933.82	$51,348.96	$26,322.83	2026-08-06
B0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	18	14	—	—	$84,808.32	$167,920.47	$86,080.45	2026-08-06
C0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	18	14	—	—	$69,320.25	$137,254.10	$70,360.05	2026-08-06
D0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	18	14	—	—	$67,496.04	$133,642.16	$68,508.48	2026-08-06
A0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	18	14	—	—	$61,076.66	$120,931.79	$61,992.81	2026-08-06
B0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	18	14	—	—	$59,432.06	$117,675.48	$60,323.54	2026-08-06
C0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	18	14	—	—	$48,578.44	$96,185.31	$49,307.12	2026-08-06
D0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	18	14	—	—	$47,300.55	$93,655.09	$48,010.06	2026-08-06
A0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	18	14	—	—	$42,802.68	$84,749.31	$43,444.72	2026-08-06
B0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	18	14	—	—	$61,929.83	$122,621.06	$62,858.78	2026-08-06
C0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	18	14	—	—	$50,619.69	$100,226.99	$51,378.99	2026-08-06
D0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	18	14	—	—	$49,287.54	$97,589.33	$50,026.85	2026-08-06
A0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	18	14	—	—	$44,600.71	$88,309.41	$45,269.72	2026-08-06
B0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	18	14	—	—	$47,076.03	$93,210.54	$47,782.17	2026-08-06
C0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	18	14	—	—	$38,478.82	$76,188.06	$39,056.00	2026-08-06
D0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	18	14	—	—	$37,466.61	$74,183.89	$38,028.61	2026-08-06
A0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	18	14	—	—	$33,904.25	$67,130.42	$34,412.82	2026-08-06
B0403	HCPCS	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	18	14	—	—	$36,678.93	$72,624.28	$37,229.12	2026-08-06
C0403	HCPCS	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	18	14	—	—	$29,980.78	$59,361.94	$30,430.49	2026-08-06
D0403	HCPCS	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	18	14	—	—	$29,191.22	$57,798.62	$29,629.09	2026-08-06
A0403	HCPCS	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	18	14	—	—	$26,414.66	$52,301.03	$26,810.88	2026-08-06
B0402	HCPCS	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	18	14	—	—	$31,778.80	$62,922.02	$32,255.48	2026-08-06
C0402	HCPCS	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	18	14	—	—	$25,974.98	$51,430.46	$26,364.60	2026-08-06
D0402	HCPCS	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	18	14	—	—	$25,292.07	$50,078.30	$25,671.45	2026-08-06
B0401	HCPCS	Traumatic Spinal Cord Injury M >=56.50	18	14	—	—	$25,348.20	$50,189.44	$25,728.43	2026-08-06
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	3	3	—	—	$26,056.84	$26,056.84	$26,056.84	2026-08-06

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