Price Transparencybeta Hospital negotiated rates

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

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Hospital

Sterlington Rehabilitation Hospital

Bastrop, LA · CCN 193069 · Rates published

100 distinct procedures filed
17 distinct payers
3,600 rate rows
2026-05-14 last MRF observed
Data quality

2,000 of 3,600 rate rows are consumer-grade (55.6%)

1,600 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 1,600
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sterlingtonrehab.com/wp-content/uploads/2025/09/STERLNGTON-REHAB-STANDARD-CHARGES.csv
Found on page https://sterlingtonrehab.com/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 08e57a56d294db86… · 21,681,446 bytes · first seen 2026-05-14

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
1001
OTHER 		Amputation Lower Extremity With Motor Score >= 64.50, Tier 1, Tier 2, Tier 3, An… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$17,807
outlier · 0.1×
1002
OTHER 		Amputation Lower Extremity With Motor Score >= 55.50 And Motor Score < 64.50, Ti… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$24,054
outlier · 0.1×
1003
OTHER 		Amputation Lower Extremity With Motor Score >= 47.50 And Motor Score < 55.50, Ti… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$27,901
outlier · 0.1×
1004
OTHER 		Amputation Lower Extremity With Motor Score < 47.50, Tier 1, Tier 2, Tier 3, And… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$35,360
outlier · 0.0×
101
OTHER 		Stroke Motor Score >= 72.50, Tier 1, Tier 2, Tier 3, And No Comorbidity Tier 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$7,470
outlier · 0.2×
102
OTHER 		Stroke With Motor Score >= 63.50 And Motor Score < 72.50, Tier 1, Tier 2, Tier 3… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$8,495
outlier · 0.2×
103
OTHER 		Stroke With Motor Score >= 50.50 And Motor Score < 63.50, Tier 1, Tier 2, Tier 3… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$7,617
outlier · 0.2×
104
OTHER 		Stroke With Motor Score >= 41.50 And Motor Score < 50.50, Tier 1, Tier 2, Tier 3… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$5
outlier · 325.8×
105
OTHER 		Stroke With Motor Score < 41.50 And Age >=84.50, Tier 1, Tier 2, Tier 3, And No… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$2
outlier · 1029.0×
106
OTHER 		Stroke With Motor Score < 41.50 And Age < 84.50, Tier 1, Tier 2, Tier 3, And No… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$41,618
outlier · 0.0×
1101
OTHER 		Amputation Non-lower Extremity With Motor Score >= 58.50, Tier 1, Tier 2, Tier 3… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$6,900
outlier · 0.2×
1102
OTHER 		Amputation Non-lower Extremity With Motor Score >= 52.50 And Motor Score <58.50,… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$7,564
outlier · 0.2×
1103
OTHER 		Amputation Non-lower Extremity With Motor Score < 52.50, Tier 1, Tier 2, Tier 3,… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$12,018
outlier · 0.1×
1201
OTHER 		Osteoarthritis With Motor Score >= 61.50, Tier 1, Tier 2, Tier 3, And No Comorbi… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$15,797
outlier · 0.1×
1202
OTHER 		Osteoarthritis With Motor Score >= 49.50 And Motor Score < 61.50, Tier 1, Tier 2… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$17,756
outlier · 0.1×
1203
OTHER 		Osteoarthritis With Motor Score < 49.50 And Age >= 74.50, Tier 1, Tier 2, Tier 3… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$12
outlier · 137.8×
1204
OTHER 		Osteoarthritis With Motor Score < 49.50 And Age < 74.50, Tier 1, Tier 2, Tier 3,… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$34,070
outlier · 0.0×
1301
OTHER 		Rheumatoid Other Arthritis With Motor Score >= 62.50, Tier 1, Tier 2, Tier 3, An… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$18,502
outlier · 0.1×
1302
OTHER 		Rheumatoid Other Arthritis With Motor Score >= 51.50 And Motor Score < 62.50, Ti… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$20,158
outlier · 0.1×
1303
OTHER 		Rheumatoid Other Arthritis With Motor Score >= 44.50 And Motor Score < 51.50 And… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$28,152
outlier · 0.1×
1304
OTHER 		Rheumatoid Other Arthritis With Motor Score < 44.50 And Age >= 64.50, Tier 1, Ti… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$35,295
outlier · 0.0×
1305
OTHER 		Rheumatoid Other Arthritis With Motor Score < 51.50 And Age < 64.50, Tier 1, Tie… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$30,688
outlier · 0.1×
1401
OTHER 		Cardiac With Motor Score >= 68.50, Tier 1, Tier 2, Tier 3, And No Comorbidity Ti… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$6,269
outlier · 0.3×
1402
OTHER 		Cardiac With Motor Score >= 55.50 And Motor Score < 68.50, Tier 1, Tier 2, Tier… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$6,067
outlier · 0.3×
1403
OTHER 		Cardiac With Motor Score >= 45.50 And Motor Score < 55.50, Tier 1, Tier 2, Tier… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$11,993
outlier · 0.1×
1404
OTHER 		Cardiac With Motor Score < 45.50, Tier 1, Tier 2, Tier 3, And No Comorbidity Tie… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$14,506
outlier · 0.1×
1501
OTHER 		Pulmonary With Motor Score >= 68.50, Tier 1, Tier 2, Tier 3, And No Comorbidity… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$18,732
outlier · 0.1×
1502
OTHER 		Pulmonary With Motor Score >= 56.50 And Motor Score < 68.50, Tier 1, Tier 2, Tie… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$78
outlier · 21.6×
1503
OTHER 		Pulmonary With Motor Score >= 45.50 And Motor Score < 56.50, Tier 1, Tier 2, Tie… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$155
outlier · 10.9×
1504
OTHER 		Pulmonary With Motor Score < 45.50, Tier 1, Tier 2, Tier 3, And No Comorbidity T… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$259
outlier · 6.5×
1601
OTHER 		Pain Syndrome With Motor Score >= 65.50, Tier 1, Tier 2, Tier 3, And No Comorbid… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$20,223
outlier · 0.1×
1602
OTHER 		Pain Syndrome With Motor Score >= 58.50 And Motor Score < 65.50, Tier 1, Tier 2,… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$23,699
outlier · 0.1×
1603
OTHER 		Pain Syndrome With Motor Score >= 43.50 And Motor Score < 58.50, Tier 1, Tier 2,… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$31,613
outlier · 0.1×
1604
OTHER 		Pain Syndrome With Motor Score < 43.50, Tier 1, Tier 2, Tier 3, And No Comorbidi… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$44,507
outlier · 0.0×
1701
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 57… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$59
outlier · 28.8×
1702
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 50… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$20,571
outlier · 0.1×
1703
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 41… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$28,818
outlier · 0.1×
1704
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 36… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$2
outlier · 1074.8×
1705
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score < 36.… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$3
outlier · 625.0×
1801
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 67.50… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$11,238
outlier · 0.2×
1802
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 55.50… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$9,939
outlier · 0.2×
1803
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 45.50… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$21,840
outlier · 0.1×
1804
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 40.50… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$31,833
outlier · 0.1×
1805
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 30.50… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$38,125
outlier · 0.0×
1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score < 30.50,… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$52,047
outlier · 0.0×
1901
OTHER 		Guillain-barre With Motor Score >= 66.50, Tier 1, Tier 2, Tier 3, And No Comorbi… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$105,693
outlier · 0.0×
1902
OTHER 		Guillain-barre With Motor Score >= 51.50 And Motor Score < 66.50, Tier 1, Tier 2… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$105,172
outlier · 0.0×
1903
OTHER 		Guillain-barre With Motor Score >= 38.50 And Motor Score < 51.50, Tier 1, Tier 2… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$119,935
outlier · 0.0×
1904
OTHER 		Guillain-barre With Motor Score < 38.50, Tier 1, Tier 2, Tier 3, And No Comorbid… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$120,174
outlier · 0.0×
2001
OTHER 		Miscellaneous With Motor Score >= 66.50, Tier 1, Tier 2, Tier 3, And No Comorbid… 15 $1,687.50 $1,687.50 $1,687.50 nat. median
$5,637
outlier · 0.3×

Other procedures at this hospital

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

Slice
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
             
1001 OTHER Amputation Lower Extremity With Motor Score >= 64.50, Tier 1, Tier 2, Tier 3, An… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1002 OTHER Amputation Lower Extremity With Motor Score >= 55.50 And Motor Score < 64.50, Ti… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1003 OTHER Amputation Lower Extremity With Motor Score >= 47.50 And Motor Score < 55.50, Ti… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1004 OTHER Amputation Lower Extremity With Motor Score < 47.50, Tier 1, Tier 2, Tier 3, And… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
101 OTHER Stroke Motor Score >= 72.50, Tier 1, Tier 2, Tier 3, And No Comorbidity Tier 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
102 OTHER Stroke With Motor Score >= 63.50 And Motor Score < 72.50, Tier 1, Tier 2, Tier 3… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
103 OTHER Stroke With Motor Score >= 50.50 And Motor Score < 63.50, Tier 1, Tier 2, Tier 3… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
104 OTHER Stroke With Motor Score >= 41.50 And Motor Score < 50.50, Tier 1, Tier 2, Tier 3… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
105 OTHER Stroke With Motor Score < 41.50 And Age >=84.50, Tier 1, Tier 2, Tier 3, And No … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
106 OTHER Stroke With Motor Score < 41.50 And Age < 84.50, Tier 1, Tier 2, Tier 3, And No … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1101 OTHER Amputation Non-lower Extremity With Motor Score >= 58.50, Tier 1, Tier 2, Tier 3… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1102 OTHER Amputation Non-lower Extremity With Motor Score >= 52.50 And Motor Score <58.50,… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1103 OTHER Amputation Non-lower Extremity With Motor Score < 52.50, Tier 1, Tier 2, Tier 3,… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1201 OTHER Osteoarthritis With Motor Score >= 61.50, Tier 1, Tier 2, Tier 3, And No Comorbi… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1202 OTHER Osteoarthritis With Motor Score >= 49.50 And Motor Score < 61.50, Tier 1, Tier 2… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1203 OTHER Osteoarthritis With Motor Score < 49.50 And Age >= 74.50, Tier 1, Tier 2, Tier 3… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1204 OTHER Osteoarthritis With Motor Score < 49.50 And Age < 74.50, Tier 1, Tier 2, Tier 3,… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1301 OTHER Rheumatoid Other Arthritis With Motor Score >= 62.50, Tier 1, Tier 2, Tier 3, An… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1302 OTHER Rheumatoid Other Arthritis With Motor Score >= 51.50 And Motor Score < 62.50, Ti… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1303 OTHER Rheumatoid Other Arthritis With Motor Score >= 44.50 And Motor Score < 51.50 And… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1304 OTHER Rheumatoid Other Arthritis With Motor Score < 44.50 And Age >= 64.50, Tier 1, Ti… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1305 OTHER Rheumatoid Other Arthritis With Motor Score < 51.50 And Age < 64.50, Tier 1, Tie… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1401 OTHER Cardiac With Motor Score >= 68.50, Tier 1, Tier 2, Tier 3, And No Comorbidity Ti… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1402 OTHER Cardiac With Motor Score >= 55.50 And Motor Score < 68.50, Tier 1, Tier 2, Tier … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1403 OTHER Cardiac With Motor Score >= 45.50 And Motor Score < 55.50, Tier 1, Tier 2, Tier … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1404 OTHER Cardiac With Motor Score < 45.50, Tier 1, Tier 2, Tier 3, And No Comorbidity Tie… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1501 OTHER Pulmonary With Motor Score >= 68.50, Tier 1, Tier 2, Tier 3, And No Comorbidity … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1502 OTHER Pulmonary With Motor Score >= 56.50 And Motor Score < 68.50, Tier 1, Tier 2, Tie… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1503 OTHER Pulmonary With Motor Score >= 45.50 And Motor Score < 56.50, Tier 1, Tier 2, Tie… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1504 OTHER Pulmonary With Motor Score < 45.50, Tier 1, Tier 2, Tier 3, And No Comorbidity T… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1601 OTHER Pain Syndrome With Motor Score >= 65.50, Tier 1, Tier 2, Tier 3, And No Comorbid… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1602 OTHER Pain Syndrome With Motor Score >= 58.50 And Motor Score < 65.50, Tier 1, Tier 2,… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1603 OTHER Pain Syndrome With Motor Score >= 43.50 And Motor Score < 58.50, Tier 1, Tier 2,… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1604 OTHER Pain Syndrome With Motor Score < 43.50, Tier 1, Tier 2, Tier 3, And No Comorbidi… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1701 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 57… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 50… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 41… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 36… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score < 36.… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1801 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 67.50… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1802 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 55.50… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 45.50… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 40.50… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 30.50… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score < 30.50,… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1901 OTHER Guillain-barre With Motor Score >= 66.50, Tier 1, Tier 2, Tier 3, And No Comorbi… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1902 OTHER Guillain-barre With Motor Score >= 51.50 And Motor Score < 66.50, Tier 1, Tier 2… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1903 OTHER Guillain-barre With Motor Score >= 38.50 And Motor Score < 51.50, Tier 1, Tier 2… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
1904 OTHER Guillain-barre With Motor Score < 38.50, Tier 1, Tier 2, Tier 3, And No Comorbid… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
2001 OTHER Miscellaneous With Motor Score >= 66.50, Tier 1, Tier 2, Tier 3, And No Comorbid… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
2002 OTHER Miscellaneous With Motor Score >= 55.50 And Motor Score < 66.50, Tier 1, Tier 2,… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
2003 OTHER Miscellaneous With Motor Score >= 46.50 And Motor Score < 55.50, Tier 1, Tier 2,… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
2004 OTHER Miscellaneous With Motor Score < 46.50 And Age >= 77.50, Tier 1, Tier 2, Tier 3,… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
2005 OTHER Miscellaneous With Motor Score < 46.50 And Age < 77.50, Tier 1, Tier 2, Tier 3, … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
201 OTHER Traumatic Brain Injury With Motor Score >= 73.50, Tier 1, Tier 2, Tier 3, And No… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
202 OTHER Traumatic Brain Injury With Motor Score >= 61.50 And Motor Score < 73.50, Tier 1… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
203 OTHER Traumatic Brain Injury With Motor Score >= 49.50 And Motor Score < 61.50, Tier 1… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
204 OTHER Traumatic Brain Injury With Motor Score >= 35.50 And Motor Score < 49.50, Tier 1… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
205 OTHER Traumatic Brain Injury With Motor Score < 35.50, Tier 1, Tier 2, Tier 3, And No … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
2101 OTHER Burns With Motor Score >= 52.50, Tier 1, Tier 2, Tier 3, And No Comorbidity Tier 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
2102 OTHER Burns With Motor Score < 52.50, Tier 1, Tier 2, Tier 3, And No Comorbidity Tier 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
301 OTHER Non-traumatic Brain Injury With Motor Score >= 65.50, Tier 1, Tier 2, Tier 3, An… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
302 OTHER Non-traumatic Brain Injury With Motor Score >= 52.50 And Motor Score < 65.50, Ti… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
303 OTHER Non-traumatic Brain Injury With Motor Score >= 42.50 And Motor Score < 52.50, Ti… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
304 OTHER Non-traumatic Brain Injury With Motor Score < 42.50 And Age >= 78.50, Tier 1, Ti… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
305 OTHER Non-traumatic Brain Injury With Motor Score < 42.50 And Age < 78.50, Tier 1, Tie… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
401 OTHER Traumatic Spinal Cord Injury With Motor Score >= 56.50, Tier 1, Tier 2, Tier 3, … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
402 OTHER Traumatic Spinal Cord Injury With Motor Score >= 47.50 And Motor Score < 56.50, … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
403 OTHER Traumatic Spinal Cord Injury With Motor Score >= 41.50 And Motor Score < 47.50, … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
404 OTHER Traumatic Spinal Cord Injury With Motor Score < 31.50 And Age < 61.50, Tier 1, T… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
405 OTHER Traumatic Spinal Cord Injury With Motor Score >= 31.50 And Motor Score < 41.50, … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
406 OTHER Traumatic Spinal Cord Injury With Motor Score >= 24.50 And Motor Score < 31.50 A… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
407 OTHER Traumatic Spinal Cord Injury With Motor Score < 24.50 And Age >= 61.50, Tier 1, … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
5001 OTHER Short-stay Cases, Length Of Stay Is 3 Days Or Fewer 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
501 OTHER Non-traumatic Spinal Cord Injury With Motor Score >= 60.50, Tier 1, Tier 2, Tie… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
502 OTHER Non-traumatic Spinal Cord Injury With Motor Score >= 53.50 And Motor Score < 60… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
503 OTHER Non-traumatic Spinal Cord Injury With Motor Score >= 48.50 And Motor Score < 53.… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
504 OTHER Non-traumatic Spinal Cord Injury With Motor Score >= 39.50 And Motor Score < 48.… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
505 OTHER Non-traumatic Spinal Cord Injury With Motor Score < 39.50, Tier 1, Tier 2, Tier … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
5101 OTHER Expired, Orthopedic, Length Of Stay Is 13 Days Or Fewer 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
5102 OTHER Expired, Orthopedic, Length Of Stay Is 14 Days Or More 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
5103 OTHER Expired, Not Orthopedic, Length Of Stay Is 15 Days Or Fewer 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
601 OTHER Neurological With Motor Score >= 64.50, Tier 1, Tier 2, Tier 3, And No Comorbidi… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
602 OTHER Neurological With Motor Score >= 52.50 And Motor Score < 64.50, Tier 1, Tier 2, … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
603 OTHER Neurological With Motor Score >= 43.50 And Motor Score < 52.50, Tier 1, Tier 2, … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
604 OTHER Neurological With Motor Score < 43.50, Tier 1, Tier 2, Tier 3, And No Comorbidit… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
701 OTHER Fracture Of Lower Extremity With Motor Score >= 61.50, Tier 1, Tier 2, Tier 3, A… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
702 OTHER Fracture Of Lower Extremity With Motor Score >= 52.50 And Motor Score < 61.50, T… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
703 OTHER Fracture Of Lower Extremity With Motor Score >= 41.50 And Motor Score < 52.50, T… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
704 OTHER Fracture Of Lower Extremity With Motor Score < 41.50, Tier 1, Tier 2, Tier 3, An… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
801 OTHER Replacement Of Lower-extremity Joint With Motor Score >= 63.50, Tier 1, Tier 2, … 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
802 OTHER Replacement Of Lower-extremity Joint With Motor Score >= 57.50 And Motor Score <… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
803 OTHER Replacement Of Lower-extremity Joint With Motor Score >= 51.50 And Motor Score <… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
804 OTHER Replacement Of Lower-extremity Joint With Motor Score >= 42.50 And Motor Score <… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
805 OTHER Replacement Of Lower-extremity Joint With Motor Score < 42.50, Tier 1, Tier 2, T… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
901 OTHER Other Orthopedic With Motor Score >= 63.50, Tier 1, Tier 2, Tier 3, And No Comor… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
902 OTHER Other Orthopedic With Motor Score >= 51.50 And Motor Score < 63.50, Tier 1, Tier… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
903 OTHER Other Orthopedic With Motor Score >= 44.50 And Motor Score < 51.50, Tier 1, Tier… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
904 OTHER Other Orthopedic With Motor Score < 44.50, Tier 1, Tier 2, Tier 3, And No Comorb… 20 15 — — $1,687.50 $1,687.50 $1,687.50 2026-05-14
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