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

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Hospital

Adventist HealthCare Rehabilitation

Rockville, MD · CCN 213029 · Rates published

8,777 distinct procedures filed
29 distinct payers
40,881 rate rows
2025-12-31 last MRF observed
Data quality

39,116 of 40,881 rate rows are consumer-grade (95.7%)

1,765 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 1,737
placeholder amount (≤ $0.02) — excluded from medians 28
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.adventisthealthcare.com/app/files/public/90def31e-c6c7-43b7-b30f-6eb68b9d2844/REHAB-Billing-StandardCharges.csv
Found on page https://www.adventisthealthcare.com/patients-visitors/billing-financial/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint ca09e6e5c33ccb0e… · 7,536,336 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
CMG 407, Tier 1
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 $88,750.46 $177,500.92 $88,750.46 nat. median
$88,750
1.0× median
CMG 1904, Tier 1
LOCAL 		Guillain-barr� M <38.50 9 $83,088.04 $166,176.08 $83,088.04 nat. median
$83,088
1.0× median
CMG 407, Tier 2
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 $72,542.46 $145,084.92 $72,542.46 nat. median
$72,542
1.0× median
CMG 407, Tier 3
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 $70,633.45 $141,266.90 $70,633.45 nat. median
$70,633
1.0× median
CMG 1806, Tier 1
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 $70,328.00 $140,656.00 $70,328.00 nat. median
$70,328
1.0× median
CMG 406, Tier 1
LOCAL 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 $64,808.51 $129,617.02 $64,808.51 nat. median
$64,809
1.0× median
CMG 407, No Comorbidity Tier
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 $63,915.68 $127,831.36 $63,915.68 nat. median
$63,916
1.0× median
CMG 404, Tier 1
LOCAL 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 $62,194.63 $124,389.26 $62,194.63 nat. median
$62,195
1.0× median
CMG 505, Tier 1
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50 9 $61,170.62 $122,341.24 $61,170.62 nat. median
$61,171
1.0× median
CMG 1904, Tier 2
LOCAL 		Guillain-barr� M <38.50 9 $58,721.21 $117,442.42 $58,721.21 nat. median
$58,721
1.0× median
CMG 1806, Tier 2
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 $57,534.69 $115,069.38 $57,534.69 nat. median
$57,535
1.0× median
CMG 106, Tier 1
LOCAL 		Stroke M <41.50 And A <84.50 9 $55,459.25 $110,918.50 $55,459.25 nat. median
$55,459
1.0× median
CMG 1903, Tier 1
LOCAL 		Guillain-barr� M >=38.50 And M <51.50 9 $54,033.85 $108,067.70 $54,033.85 nat. median
$54,034
1.0× median
CMG 205, Tier 1
LOCAL 		Traumatic Brain Injury M <35.50 9 $53,350.52 $106,701.04 $53,350.52 nat. median
$53,351
1.0× median
CMG 406, Tier 2
LOCAL 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 $52,972.64 $105,945.28 $52,972.64 nat. median
$52,973
1.0× median
CMG 1806, Tier 3
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 $52,927.60 $105,855.20 $52,927.60 nat. median
$52,928
1.0× median
CMG 406, Tier 3
LOCAL 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 $51,578.57 $103,157.14 $51,578.57 nat. median
$51,579
1.0× median
CMG 1904, No Comorbidity Tier
LOCAL 		Guillain-barr� M <38.50 9 $51,063.63 $102,127.26 $51,063.63 nat. median
$51,064
1.0× median
CMG 1904, Tier 3
LOCAL 		Guillain-barr� M <38.50 9 $51,047.96 $102,095.92 $51,047.96 nat. median
$51,048
1.0× median
CMG 404, Tier 2
LOCAL 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 $50,836.50 $101,673.00 $50,836.50 nat. median
$50,836
1.0× median
CMG 1705, Tier 1
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 9 $50,039.61 $100,079.22 $50,039.61 nat. median
$50,040
1.0× median
CMG 2102, Tier 1
LOCAL 		Burns M <52.50 9 $49,832.07 $99,664.14 $49,832.07 nat. median
$49,832
1.0× median
CMG 1806, No Comorbidity Tier
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 $49,677.39 $99,354.78 $49,677.39 nat. median
$49,677
1.0× median
CMG 404, Tier 3
LOCAL 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 $49,499.21 $98,998.42 $49,499.21 nat. median
$49,499
1.0× median
CMG 405, Tier 1
LOCAL 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 9 $49,264.26 $98,528.52 $49,264.26 nat. median
$49,264
1.0× median
CMG 106, Tier 2
LOCAL 		Stroke M <41.50 And A <84.50 9 $49,248.60 $98,497.20 $49,248.60 nat. median
$49,249
1.0× median
CMG 105, Tier 1
LOCAL 		Stroke M <41.50 And A >=84.50 9 $49,234.89 $98,469.78 $49,234.89 nat. median
$49,235
1.0× median
CMG 1805, Tier 1
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 9 $48,541.77 $97,083.54 $48,541.77 nat. median
$48,542
1.0× median
CMG 604, Tier 1
LOCAL 		Neurological M <43.50 9 $47,966.13 $95,932.26 $47,966.13 nat. median
$47,966
1.0× median
CMG 505, Tier 2
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50 9 $47,008.69 $94,017.38 $47,008.69 nat. median
$47,009
1.0× median
CMG 406, No Comorbidity Tier
LOCAL 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 $46,673.88 $93,347.76 $46,673.88 nat. median
$46,674
1.0× median
CMG 305, Tier 1
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50 9 $46,401.72 $92,803.44 $46,401.72 nat. median
$46,402
1.0× median
CMG 1004, Tier 1
LOCAL 		Amputation Lower Extremity M <47.50 9 $46,274.45 $92,548.90 $46,274.45 nat. median
$46,274
1.0× median
CMG 1504, Tier 1
LOCAL 		Pulmonary M <45.50 9 $45,865.24 $91,730.48 $45,865.24 nat. median
$45,865
1.0× median
CMG 704, Tier 1
LOCAL 		Fracture Of Lower Extremity M <41.50 9 $44,915.63 $89,831.26 $44,915.63 nat. median
$44,916
1.0× median
CMG 1304, Tier 1
LOCAL 		Rheumatoid Other Arthritis M <44.50 And A >=64.50 9 $44,860.80 $89,721.60 $44,860.80 nat. median
$44,861
1.0× median
CMG 404, No Comorbidity Tier
LOCAL 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 $44,792.28 $89,584.56 $44,792.28 nat. median
$44,792
1.0× median
CMG 1305, Tier 1
LOCAL 		Rheumatoid Other Arthritis M <51.50 And A <64.50 9 $44,772.70 $89,545.40 $44,772.70 nat. median
$44,773
1.0× median
CMG 106, Tier 3
LOCAL 		Stroke M <41.50 And A <84.50 9 $44,619.98 $89,239.96 $44,619.98 nat. median
$44,620
1.0× median
CMG 904, Tier 1
LOCAL 		Other Orthopedic M <44.5 9 $44,018.88 $88,037.76 $44,018.88 nat. median
$44,019
1.0× median
CMG 505, Tier 3
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50 9 $43,733.02 $87,466.04 $43,733.02 nat. median
$43,733
1.0× median
CMG 105, Tier 2
LOCAL 		Stroke M <41.50 And A >=84.50 9 $43,721.27 $87,442.54 $43,721.27 nat. median
$43,721
1.0× median
CMG 2005, Tier 1
LOCAL 		Miscellaneous M <46.50 And A <77.50 9 $43,306.18 $86,612.36 $43,306.18 nat. median
$43,306
1.0× median
CMG 504, Tier 1
LOCAL 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 9 $43,053.61 $86,107.22 $43,053.61 nat. median
$43,054
1.0× median
CMG 1704, Tier 1
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 9 $42,983.12 $85,966.24 $42,983.12 nat. median
$42,983
1.0× median
CMG 5104, No Comorbidity Tier
LOCAL 		Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 9 $42,842.15 $85,684.30 $42,842.15 nat. median
$42,842
1.0× median
CMG 205, Tier 2
LOCAL 		Traumatic Brain Injury M <35.50 9 $42,419.23 $84,838.46 $42,419.23 nat. median
$42,419
1.0× median
CMG 304, Tier 1
LOCAL 		Non-traumatic Brain Injury M <42.50 And A >=78.50 9 $42,360.49 $84,720.98 $42,360.49 nat. median
$42,360
1.0× median
CMG 106, No Comorbidity Tier
LOCAL 		Stroke M <41.50 And A <84.50 9 $42,323.29 $84,646.58 $42,323.29 nat. median
$42,323
1.0× median
CMG 1404, Tier 1
LOCAL 		Cardiac M <45.50 9 $42,033.51 $84,067.02 $42,033.51 nat. median
$42,034
1.0× median

Other procedures at this hospital

Browse this hospital's 8,777 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
CMG 407, Tier 1 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 9 — — $88,750.46 $177,500.92 $88,750.46 2025-12-31
CMG 1904, Tier 1 LOCAL Guillain-barr� M <38.50 9 9 — — $83,088.04 $166,176.08 $83,088.04 2025-12-31
CMG 407, Tier 2 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 9 — — $72,542.46 $145,084.92 $72,542.46 2025-12-31
CMG 407, Tier 3 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 9 — — $70,633.45 $141,266.90 $70,633.45 2025-12-31
CMG 1806, Tier 1 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 9 — — $70,328.00 $140,656.00 $70,328.00 2025-12-31
CMG 406, Tier 1 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 9 — — $64,808.51 $129,617.02 $64,808.51 2025-12-31
CMG 407, No Comorbidity Tier LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 9 — — $63,915.68 $127,831.36 $63,915.68 2025-12-31
CMG 404, Tier 1 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 9 — — $62,194.63 $124,389.26 $62,194.63 2025-12-31
CMG 505, Tier 1 LOCAL Non-traumatic Spinal Cord Injury M <39.50 9 9 — — $61,170.62 $122,341.24 $61,170.62 2025-12-31
CMG 1904, Tier 2 LOCAL Guillain-barr� M <38.50 9 9 — — $58,721.21 $117,442.42 $58,721.21 2025-12-31
CMG 1806, Tier 2 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 9 — — $57,534.69 $115,069.38 $57,534.69 2025-12-31
CMG 106, Tier 1 LOCAL Stroke M <41.50 And A <84.50 9 9 — — $55,459.25 $110,918.50 $55,459.25 2025-12-31
CMG 1903, Tier 1 LOCAL Guillain-barr� M >=38.50 And M <51.50 9 9 — — $54,033.85 $108,067.70 $54,033.85 2025-12-31
CMG 205, Tier 1 LOCAL Traumatic Brain Injury M <35.50 9 9 — — $53,350.52 $106,701.04 $53,350.52 2025-12-31
CMG 406, Tier 2 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 9 — — $52,972.64 $105,945.28 $52,972.64 2025-12-31
CMG 1806, Tier 3 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 9 — — $52,927.60 $105,855.20 $52,927.60 2025-12-31
CMG 406, Tier 3 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 9 — — $51,578.57 $103,157.14 $51,578.57 2025-12-31
CMG 1904, No Comorbidity Tier LOCAL Guillain-barr� M <38.50 9 9 — — $51,063.63 $102,127.26 $51,063.63 2025-12-31
CMG 1904, Tier 3 LOCAL Guillain-barr� M <38.50 9 9 — — $51,047.96 $102,095.92 $51,047.96 2025-12-31
CMG 404, Tier 2 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 9 — — $50,836.50 $101,673.00 $50,836.50 2025-12-31
CMG 1705, Tier 1 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 9 9 — — $50,039.61 $100,079.22 $50,039.61 2025-12-31
CMG 2102, Tier 1 LOCAL Burns M <52.50 9 9 — — $49,832.07 $99,664.14 $49,832.07 2025-12-31
CMG 1806, No Comorbidity Tier LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 9 — — $49,677.39 $99,354.78 $49,677.39 2025-12-31
CMG 404, Tier 3 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 9 — — $49,499.21 $98,998.42 $49,499.21 2025-12-31
CMG 405, Tier 1 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 9 9 — — $49,264.26 $98,528.52 $49,264.26 2025-12-31
CMG 106, Tier 2 LOCAL Stroke M <41.50 And A <84.50 9 9 — — $49,248.60 $98,497.20 $49,248.60 2025-12-31
CMG 105, Tier 1 LOCAL Stroke M <41.50 And A >=84.50 9 9 — — $49,234.89 $98,469.78 $49,234.89 2025-12-31
CMG 1805, Tier 1 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 9 9 — — $48,541.77 $97,083.54 $48,541.77 2025-12-31
CMG 604, Tier 1 LOCAL Neurological M <43.50 9 9 — — $47,966.13 $95,932.26 $47,966.13 2025-12-31
CMG 505, Tier 2 LOCAL Non-traumatic Spinal Cord Injury M <39.50 9 9 — — $47,008.69 $94,017.38 $47,008.69 2025-12-31
CMG 406, No Comorbidity Tier LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 9 — — $46,673.88 $93,347.76 $46,673.88 2025-12-31
CMG 305, Tier 1 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 9 9 — — $46,401.72 $92,803.44 $46,401.72 2025-12-31
CMG 1004, Tier 1 LOCAL Amputation Lower Extremity M <47.50 9 9 — — $46,274.45 $92,548.90 $46,274.45 2025-12-31
CMG 1504, Tier 1 LOCAL Pulmonary M <45.50 9 9 — — $45,865.24 $91,730.48 $45,865.24 2025-12-31
CMG 704, Tier 1 LOCAL Fracture Of Lower Extremity M <41.50 9 9 — — $44,915.63 $89,831.26 $44,915.63 2025-12-31
CMG 1304, Tier 1 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 9 9 — — $44,860.80 $89,721.60 $44,860.80 2025-12-31
CMG 404, No Comorbidity Tier LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 9 — — $44,792.28 $89,584.56 $44,792.28 2025-12-31
CMG 1305, Tier 1 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 9 9 — — $44,772.70 $89,545.40 $44,772.70 2025-12-31
CMG 106, Tier 3 LOCAL Stroke M <41.50 And A <84.50 9 9 — — $44,619.98 $89,239.96 $44,619.98 2025-12-31
CMG 904, Tier 1 LOCAL Other Orthopedic M <44.5 9 9 — — $44,018.88 $88,037.76 $44,018.88 2025-12-31
CMG 505, Tier 3 LOCAL Non-traumatic Spinal Cord Injury M <39.50 9 9 — — $43,733.02 $87,466.04 $43,733.02 2025-12-31
CMG 105, Tier 2 LOCAL Stroke M <41.50 And A >=84.50 9 9 — — $43,721.27 $87,442.54 $43,721.27 2025-12-31
CMG 2005, Tier 1 LOCAL Miscellaneous M <46.50 And A <77.50 9 9 — — $43,306.18 $86,612.36 $43,306.18 2025-12-31
CMG 504, Tier 1 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 9 9 — — $43,053.61 $86,107.22 $43,053.61 2025-12-31
CMG 1704, Tier 1 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 9 9 — — $42,983.12 $85,966.24 $42,983.12 2025-12-31
CMG 5104, No Comorbidity Tier LOCAL Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 9 9 — — $42,842.15 $85,684.30 $42,842.15 2025-12-31
CMG 205, Tier 2 LOCAL Traumatic Brain Injury M <35.50 9 9 — — $42,419.23 $84,838.46 $42,419.23 2025-12-31
CMG 304, Tier 1 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 9 9 — — $42,360.49 $84,720.98 $42,360.49 2025-12-31
CMG 106, No Comorbidity Tier LOCAL Stroke M <41.50 And A <84.50 9 9 — — $42,323.29 $84,646.58 $42,323.29 2025-12-31
CMG 1404, Tier 1 LOCAL Cardiac M <45.50 9 9 — — $42,033.51 $84,067.02 $42,033.51 2025-12-31
CMG 1204, Tier 1 LOCAL Osteoarthritis M <49.50 And A <74.50 9 9 — — $42,027.63 $84,055.26 $42,027.63 2025-12-31
CMG 2102, Tier 2 LOCAL Burns M <52.50 9 9 — — $41,894.49 $83,788.98 $41,894.49 2025-12-31
CMG 204, Tier 1 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 9 9 — — $41,585.14 $83,170.28 $41,585.14 2025-12-31
CMG 2004, Tier 1 LOCAL Miscellaneous M <46.50 And A >=77.50 9 9 — — $41,373.68 $82,747.36 $41,373.68 2025-12-31
CMG 805, Tier 1 LOCAL Replacement Of Lower-extremity Joint M <42.50 9 9 — — $40,940.97 $81,881.94 $40,940.97 2025-12-31
CMG 1203, Tier 1 LOCAL Osteoarthritis M <49.50 And A >=74.50 9 9 — — $40,823.49 $81,646.98 $40,823.49 2025-12-31
CMG 1804, Tier 1 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 9 9 — — $40,461.27 $80,922.54 $40,461.27 2025-12-31
CMG 505, No Comorbidity Tier LOCAL Non-traumatic Spinal Cord Injury M <39.50 9 9 — — $40,302.67 $80,605.34 $40,302.67 2025-12-31
CMG 405, Tier 2 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 9 9 — — $40,267.43 $80,534.86 $40,267.43 2025-12-31
CMG 5102, No Comorbidity Tier LOCAL Expired, Orthopedic, Length Of Stay Is 14 Days Or More 9 9 — — $40,108.83 $80,217.66 $40,108.83 2025-12-31
CMG 1805, Tier 2 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 9 9 — — $39,711.37 $79,422.74 $39,711.37 2025-12-31
CMG 1705, Tier 2 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 9 9 — — $39,642.84 $79,285.68 $39,642.84 2025-12-31
CMG 105, Tier 3 LOCAL Stroke M <41.50 And A >=84.50 9 9 — — $39,611.51 $79,223.02 $39,611.51 2025-12-31
CMG 104, Tier 1 LOCAL Stroke M >=41.50 And M <50.50 9 9 — — $39,505.78 $79,011.56 $39,505.78 2025-12-31
CMG 1604, Tier 1 LOCAL Pain Syndrome M <43.50 9 9 — — $39,255.16 $78,510.32 $39,255.16 2025-12-31
CMG 405, Tier 3 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 9 9 — — $39,208.17 $78,416.34 $39,208.17 2025-12-31
CMG 205, Tier 3 LOCAL Traumatic Brain Injury M <35.50 9 9 — — $38,753.92 $77,507.84 $38,753.92 2025-12-31
CMG 1004, Tier 2 LOCAL Amputation Lower Extremity M <47.50 9 9 — — $38,450.44 $76,900.88 $38,450.44 2025-12-31
CMG 403, Tier 1 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 9 9 — — $38,383.87 $76,767.74 $38,383.87 2025-12-31
CMG 1902, Tier 1 LOCAL Guillain-barr� M >=51.50 And M <66.50 9 9 — — $38,190.03 $76,380.06 $38,190.03 2025-12-31
CMG 1903, Tier 2 LOCAL Guillain-barr� M >=38.50 And M <51.50 9 9 — — $38,188.07 $76,376.14 $38,188.07 2025-12-31
CMG 603, Tier 1 LOCAL Neurological M >=43.50 And M <52.50 9 9 — — $37,925.71 $75,851.42 $37,925.71 2025-12-31
CMG 1103, Tier 1 LOCAL Amputation Non-lower Extremity M <52.50 9 9 — — $37,874.80 $75,749.60 $37,874.80 2025-12-31
CMG 105, No Comorbidity Tier LOCAL Stroke M <41.50 And A >=84.50 9 9 — — $37,573.27 $75,146.54 $37,573.27 2025-12-31
CMG 1703, Tier 1 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 9 9 — — $37,353.98 $74,707.96 $37,353.98 2025-12-31
CMG 1504, Tier 2 LOCAL Pulmonary M <45.50 9 9 — — $36,878.20 $73,756.40 $36,878.20 2025-12-31
CMG 1705, Tier 3 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 9 9 — — $36,807.71 $73,615.42 $36,807.71 2025-12-31
CMG 305, Tier 2 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 9 9 — — $36,776.38 $73,552.76 $36,776.38 2025-12-31
CMG 1503, Tier 1 LOCAL Pulmonary M >=45.50 And M <56.50 9 9 — — $36,574.71 $73,149.42 $36,574.71 2025-12-31
CMG 903, Tier 1 LOCAL Other Orthopedic M >=44.50 And M <51.50 9 9 — — $36,555.13 $73,110.26 $36,555.13 2025-12-31
CMG 1805, Tier 3 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 9 9 — — $36,531.64 $73,063.28 $36,531.64 2025-12-31
CMG 205, No Comorbidity Tier LOCAL Traumatic Brain Injury M <35.50 9 9 — — $36,410.24 $72,820.48 $36,410.24 2025-12-31
CMG 703, Tier 1 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 9 9 — — $36,375.00 $72,750.00 $36,375.00 2025-12-31
CMG 604, Tier 2 LOCAL Neurological M <43.50 9 9 — — $36,326.05 $72,652.10 $36,326.05 2025-12-31
CMG 503, Tier 1 LOCAL Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 9 9 — — $36,030.40 $72,060.80 $36,030.40 2025-12-31
CMG 704, Tier 2 LOCAL Fracture Of Lower Extremity M <41.50 9 9 — — $35,912.92 $71,825.84 $35,912.92 2025-12-31
CMG 1304, Tier 2 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 9 9 — — $35,865.93 $71,731.86 $35,865.93 2025-12-31
CMG 1103, Tier 2 LOCAL Amputation Non-lower Extremity M <52.50 9 9 — — $35,856.14 $71,712.28 $35,856.14 2025-12-31
CMG 1305, Tier 2 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 9 9 — — $35,793.49 $71,586.98 $35,793.49 2025-12-31
CMG 303, Tier 1 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 9 9 — — $35,756.29 $71,512.58 $35,756.29 2025-12-31
CMG 405, No Comorbidity Tier LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 9 9 — — $35,480.21 $70,960.42 $35,480.21 2025-12-31
CMG 1604, Tier 2 LOCAL Pain Syndrome M <43.50 9 9 — — $35,180.64 $70,361.28 $35,180.64 2025-12-31
CMG 104, Tier 2 LOCAL Stroke M >=41.50 And M <50.50 9 9 — — $35,082.75 $70,165.50 $35,082.75 2025-12-31
CMG 1004, Tier 3 LOCAL Amputation Lower Extremity M <47.50 9 9 — — $34,898.70 $69,797.40 $34,898.70 2025-12-31
CMG 1003, Tier 1 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50 9 9 — — $34,789.05 $69,578.10 $34,789.05 2025-12-31
CMG 1303, Tier 1 LOCAL Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 9 9 — — $34,757.73 $69,515.46 $34,757.73 2025-12-31
CMG 2005, Tier 2 LOCAL Miscellaneous M <46.50 And A <77.50 9 9 — — $34,730.31 $69,460.62 $34,730.31 2025-12-31
CMG 1803, Tier 1 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 9 9 — — $34,644.16 $69,288.32 $34,644.16 2025-12-31
CMG 1504, Tier 3 LOCAL Pulmonary M <45.50 9 9 — — $34,536.48 $69,072.96 $34,536.48 2025-12-31
CMG 805, Tier 2 LOCAL Replacement Of Lower-extremity Joint M <42.50 9 9 — — $34,481.65 $68,963.30 $34,481.65 2025-12-31
CMG 1805, No Comorbidity Tier LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 9 9 — — $34,287.81 $68,575.62 $34,287.81 2025-12-31
CMG 305, Tier 3 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 9 9 — — $34,285.86 $68,571.72 $34,285.86 2025-12-31
CMG 604, Tier 3 LOCAL Neurological M <43.50 9 9 — — $34,215.37 $68,430.74 $34,215.37 2025-12-31
CMG 704, Tier 3 LOCAL Fracture Of Lower Extremity M <41.50 9 9 — — $34,107.68 $68,215.36 $34,107.68 2025-12-31
CMG 1704, Tier 2 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 9 9 — — $34,052.86 $68,105.72 $34,052.86 2025-12-31
CMG 2003, Tier 1 LOCAL Miscellaneous M >=46.50 And M <55.50 9 9 — — $33,923.63 $67,847.26 $33,923.63 2025-12-31
CMG 1705, No Comorbidity Tier LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 9 9 — — $33,884.47 $67,768.94 $33,884.47 2025-12-31
CMG 1404, Tier 2 LOCAL Cardiac M <45.50 9 9 — — $33,860.98 $67,721.96 $33,860.98 2025-12-31
CMG 203, Tier 1 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50 9 9 — — $33,741.54 $67,483.08 $33,741.54 2025-12-31
CMG 1403, Tier 1 LOCAL Cardiac M >=45.50 And M <55.50 9 9 — — $33,690.64 $67,381.28 $33,690.64 2025-12-31
CMG 304, Tier 2 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 9 9 — — $33,573.16 $67,146.32 $33,573.16 2025-12-31
CMG 1204, Tier 2 LOCAL Osteoarthritis M <49.50 And A <74.50 9 9 — — $33,357.78 $66,715.56 $33,357.78 2025-12-31
CMG 904, Tier 2 LOCAL Other Orthopedic M <44.5 9 9 — — $33,342.12 $66,684.24 $33,342.12 2025-12-31
CMG 402, Tier 1 LOCAL Traumatic Spinal Cord Injury M >=47.50 And M <56.50 9 9 — — $33,255.97 $66,511.94 $33,255.97 2025-12-31
CMG 1903, No Comorbidity Tier LOCAL Guillain-barr� M >=38.50 And M <51.50 9 9 — — $33,207.02 $66,414.04 $33,207.02 2025-12-31
CMG 1903, Tier 3 LOCAL Guillain-barr� M >=38.50 And M <51.50 9 9 — — $33,199.19 $66,398.38 $33,199.19 2025-12-31
CMG 2004, Tier 2 LOCAL Miscellaneous M <46.50 And A >=77.50 9 9 — — $33,179.61 $66,359.22 $33,179.61 2025-12-31
CMG 1804, Tier 2 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 9 9 — — $33,101.29 $66,202.58 $33,101.29 2025-12-31
CMG 504, Tier 2 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 9 9 — — $33,085.63 $66,171.26 $33,085.63 2025-12-31
CMG 204, Tier 2 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 9 9 — — $33,064.09 $66,128.18 $33,064.09 2025-12-31
CMG 1504, No Comorbidity Tier LOCAL Pulmonary M <45.50 9 9 — — $33,015.14 $66,030.28 $33,015.14 2025-12-31
CMG 804, Tier 1 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 9 9 — — $32,870.25 $65,740.50 $32,870.25 2025-12-31
CMG 1304, Tier 3 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 9 9 — — $32,862.42 $65,724.84 $32,862.42 2025-12-31
CMG 1305, Tier 3 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 9 9 — — $32,795.85 $65,591.70 $32,795.85 2025-12-31
CMG 1004, No Comorbidity Tier LOCAL Amputation Lower Extremity M <47.50 9 9 — — $32,404.26 $64,808.52 $32,404.26 2025-12-31
CMG 1203, Tier 2 LOCAL Osteoarthritis M <49.50 And A >=74.50 9 9 — — $32,400.34 $64,800.68 $32,400.34 2025-12-31
CMG 2005, Tier 3 LOCAL Miscellaneous M <46.50 And A <77.50 9 9 — — $32,298.53 $64,597.06 $32,298.53 2025-12-31
CMG 1604, Tier 3 LOCAL Pain Syndrome M <43.50 9 9 — — $32,181.05 $64,362.10 $32,181.05 2025-12-31
CMG 305, No Comorbidity Tier LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 9 9 — — $32,096.86 $64,193.72 $32,096.86 2025-12-31
CMG 602, Tier 1 LOCAL Neurological M >=52.50 And M <64.50 9 9 — — $31,893.23 $63,786.46 $31,893.23 2025-12-31
CMG 1702, Tier 1 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 9 9 — — $31,836.45 $63,672.90 $31,836.45 2025-12-31
CMG 502, Tier 1 LOCAL Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 9 9 — — $31,818.83 $63,637.66 $31,818.83 2025-12-31
CMG 104, Tier 3 LOCAL Stroke M >=41.50 And M <50.50 9 9 — — $31,785.54 $63,571.08 $31,785.54 2025-12-31
CMG 1704, Tier 3 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 9 9 — — $31,617.16 $63,234.32 $31,617.16 2025-12-31
CMG 2102, Tier 3 LOCAL Burns M <52.50 9 9 — — $31,593.66 $63,187.32 $31,593.66 2025-12-31
CMG 904, Tier 3 LOCAL Other Orthopedic M <44.5 9 9 — — $31,495.76 $62,991.52 $31,495.76 2025-12-31
CMG 2101, Tier 1 LOCAL Burns M >=52.50 9 9 — — $31,446.81 $62,893.62 $31,446.81 2025-12-31
CMG 403, Tier 2 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 9 9 — — $31,374.37 $62,748.74 $31,374.37 2025-12-31
CMG 1502, Tier 1 LOCAL Pulmonary M >=56.50 And M <68.50 9 9 — — $31,370.45 $62,740.90 $31,370.45 2025-12-31
CMG 1404, Tier 3 LOCAL Cardiac M <45.50 9 9 — — $31,309.76 $62,619.52 $31,309.76 2025-12-31
CMG 304, Tier 3 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 9 9 — — $31,298.01 $62,596.02 $31,298.01 2025-12-31
CMG 704, No Comorbidity Tier LOCAL Fracture Of Lower Extremity M <41.50 9 9 — — $31,166.82 $62,333.64 $31,166.82 2025-12-31
CMG 103, Tier 1 LOCAL Stroke M >=50.50 And M <63.50 9 9 — — $30,931.87 $61,863.74 $30,931.87 2025-12-31
CMG 1103, Tier 3 LOCAL Amputation Non-lower Extremity M <52.50 9 9 — — $30,857.47 $61,714.94 $30,857.47 2025-12-31
CMG 2004, Tier 3 LOCAL Miscellaneous M <46.50 And A >=77.50 9 9 — — $30,857.47 $61,714.94 $30,857.47 2025-12-31
CMG 805, Tier 3 LOCAL Replacement Of Lower-extremity Joint M <42.50 9 9 — — $30,822.22 $61,644.44 $30,822.22 2025-12-31
CMG 902, Tier 1 LOCAL Other Orthopedic M >=51.50 And M <63.50 9 9 — — $30,804.60 $61,609.20 $30,804.60 2025-12-31
CMG 504, Tier 3 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 9 9 — — $30,779.15 $61,558.30 $30,779.15 2025-12-31
CMG 604, No Comorbidity Tier LOCAL Neurological M <43.50 9 9 — — $30,732.16 $61,464.32 $30,732.16 2025-12-31
CMG 403, Tier 3 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 9 9 — — $30,548.11 $61,096.22 $30,548.11 2025-12-31
CMG 1202, Tier 1 LOCAL Osteoarthritis M >=49.50 And M <61.50 9 9 — — $30,497.20 $60,994.40 $30,497.20 2025-12-31
CMG 1804, Tier 3 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 9 9 — — $30,450.21 $60,900.42 $30,450.21 2025-12-31
CMG 2102, No Comorbidity Tier LOCAL Burns M <52.50 9 9 — — $30,297.49 $60,594.98 $30,297.49 2025-12-31
CMG 302, Tier 1 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50 9 9 — — $30,240.71 $60,481.42 $30,240.71 2025-12-31
CMG 1102, Tier 1 LOCAL Amputation Non-lower Extremity M >=52.50 And M <58.50 9 9 — — $30,238.75 $60,477.50 $30,238.75 2025-12-31
CMG 204, Tier 3 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 9 9 — — $30,207.42 $60,414.84 $30,207.42 2025-12-31
CMG 104, No Comorbidity Tier LOCAL Stroke M >=41.50 And M <50.50 9 9 — — $30,148.68 $60,297.36 $30,148.68 2025-12-31
CMG 1302, Tier 1 LOCAL Rheumatoid Other Arthritis M >=51.50 And M <62.50 9 9 — — $30,074.28 $60,148.56 $30,074.28 2025-12-31
CMG 1603, Tier 1 LOCAL Pain Syndrome M >=43.50 And M <58.50 9 9 — — $29,990.09 $59,980.18 $29,990.09 2025-12-31
CMG 1304, No Comorbidity Tier LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 9 9 — — $29,851.07 $59,702.14 $29,851.07 2025-12-31
CMG 1204, Tier 3 LOCAL Osteoarthritis M <49.50 And A <74.50 9 9 — — $29,809.96 $59,619.92 $29,809.96 2025-12-31
CMG 1305, No Comorbidity Tier LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 9 9 — — $29,792.34 $59,584.68 $29,792.34 2025-12-31
CMG 702, Tier 1 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50 9 9 — — $29,692.48 $59,384.96 $29,692.48 2025-12-31
CMG 1703, Tier 2 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 9 9 — — $29,592.62 $59,185.24 $29,592.62 2025-12-31
CMG 2005, No Comorbidity Tier LOCAL Miscellaneous M <46.50 And A <77.50 9 9 — — $29,567.17 $59,134.34 $29,567.17 2025-12-31
CMG 1503, Tier 2 LOCAL Pulmonary M >=45.50 And M <56.50 9 9 — — $29,408.58 $58,817.16 $29,408.58 2025-12-31
CMG 304, No Comorbidity Tier LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 9 9 — — $29,300.89 $58,601.78 $29,300.89 2025-12-31
CMG 1002, Tier 1 LOCAL Amputation Lower Extremity M >=55.50 And M <64.50 9 9 — — $29,230.40 $58,460.80 $29,230.40 2025-12-31
CMG 1604, No Comorbidity Tier LOCAL Pain Syndrome M <43.50 9 9 — — $29,169.70 $58,339.40 $29,169.70 2025-12-31
CMG 1704, No Comorbidity Tier LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 9 9 — — $29,107.05 $58,214.10 $29,107.05 2025-12-31
CMG 703, Tier 2 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 9 9 — — $29,083.55 $58,167.10 $29,083.55 2025-12-31
CMG 1203, Tier 3 LOCAL Osteoarthritis M <49.50 And A >=74.50 9 9 — — $28,954.33 $57,908.66 $28,954.33 2025-12-31
CMG 803, Tier 1 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 9 9 — — $28,934.75 $57,869.50 $28,934.75 2025-12-31
CMG 1003, Tier 2 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50 9 9 — — $28,907.34 $57,814.68 $28,907.34 2025-12-31
CMG 2002, Tier 1 LOCAL Miscellaneous M >=55.50 And M <66.50 9 9 — — $28,889.72 $57,779.44 $28,889.72 2025-12-31
CMG 805, No Comorbidity Tier LOCAL Replacement Of Lower-extremity Joint M <42.50 9 9 — — $28,877.97 $57,755.94 $28,877.97 2025-12-31
CMG 1404, No Comorbidity Tier LOCAL Cardiac M <45.50 9 9 — — $28,791.82 $57,583.64 $28,791.82 2025-12-31
CMG 904, No Comorbidity Tier LOCAL Other Orthopedic M <44.5 9 9 — — $28,733.08 $57,466.16 $28,733.08 2025-12-31
CMG 603, Tier 2 LOCAL Neurological M >=43.50 And M <52.50 9 9 — — $28,723.29 $57,446.58 $28,723.29 2025-12-31
CMG 1102, Tier 2 LOCAL Amputation Non-lower Extremity M >=52.50 And M <58.50 9 9 — — $28,627.35 $57,254.70 $28,627.35 2025-12-31
CMG 1804, No Comorbidity Tier LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 9 9 — — $28,580.36 $57,160.72 $28,580.36 2025-12-31
CMG 204, No Comorbidity Tier LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 9 9 — — $28,380.65 $56,761.30 $28,380.65 2025-12-31
CMG 504, No Comorbidity Tier LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 9 9 — — $28,364.98 $56,729.96 $28,364.98 2025-12-31
CMG 1803, Tier 2 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 9 9 — — $28,341.49 $56,682.98 $28,341.49 2025-12-31
CMG 303, Tier 2 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 9 9 — — $28,339.53 $56,679.06 $28,339.53 2025-12-31
CMG 2004, No Comorbidity Tier LOCAL Miscellaneous M <46.50 And A >=77.50 9 9 — — $28,247.50 $56,495.00 $28,247.50 2025-12-31
CMG 1402, Tier 1 LOCAL Cardiac M >=55.50 And M <68.50 9 9 — — $27,873.53 $55,747.06 $27,873.53 2025-12-31
CMG 1802, Tier 1 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 9 9 — — $27,848.08 $55,696.16 $27,848.08 2025-12-31
CMG 1303, Tier 2 LOCAL Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 9 9 — — $27,787.38 $55,574.76 $27,787.38 2025-12-31
CMG 503, Tier 2 LOCAL Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 9 9 — — $27,689.49 $55,378.98 $27,689.49 2025-12-31
CMG 903, Tier 2 LOCAL Other Orthopedic M >=44.50 And M <51.50 9 9 — — $27,687.53 $55,375.06 $27,687.53 2025-12-31
CMG 804, Tier 2 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 9 9 — — $27,685.57 $55,371.14 $27,685.57 2025-12-31
CMG 403, No Comorbidity Tier LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 9 9 — — $27,642.49 $55,284.98 $27,642.49 2025-12-31
CMG 703, Tier 3 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 9 9 — — $27,622.92 $55,245.84 $27,622.92 2025-12-31
CMG 1204, No Comorbidity Tier LOCAL Osteoarthritis M <49.50 And A <74.50 9 9 — — $27,607.25 $55,214.50 $27,607.25 2025-12-31
CMG 1503, Tier 3 LOCAL Pulmonary M >=45.50 And M <56.50 9 9 — — $27,540.68 $55,081.36 $27,540.68 2025-12-31
CMG 1703, Tier 3 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 9 9 — — $27,476.07 $54,952.14 $27,476.07 2025-12-31
CMG 103, Tier 2 LOCAL Stroke M >=50.50 And M <63.50 9 9 — — $27,468.24 $54,936.48 $27,468.24 2025-12-31
CMG 2003, Tier 2 LOCAL Miscellaneous M >=46.50 And M <55.50 9 9 — — $27,205.87 $54,411.74 $27,205.87 2025-12-31
CMG 402, Tier 2 LOCAL Traumatic Spinal Cord Injury M >=47.50 And M <56.50 9 9 — — $27,182.37 $54,364.74 $27,182.37 2025-12-31
CMG 202, Tier 1 LOCAL Traumatic Brain Injury M >=61.50 And M <73.50 9 9 — — $27,139.30 $54,278.60 $27,139.30 2025-12-31
CMG 1403, Tier 2 LOCAL Cardiac M >=45.50 And M <55.50 9 9 — — $27,139.30 $54,278.60 $27,139.30 2025-12-31
CMG 603, Tier 3 LOCAL Neurological M >=43.50 And M <52.50 9 9 — — $27,053.15 $54,106.30 $27,053.15 2025-12-31
CMG 1103, No Comorbidity Tier LOCAL Amputation Non-lower Extremity M <52.50 9 9 — — $26,998.33 $53,996.66 $26,998.33 2025-12-31
CMG 1902, Tier 2 LOCAL Guillain-barr� M >=51.50 And M <66.50 9 9 — — $26,990.49 $53,980.98 $26,990.49 2025-12-31
CMG 1603, Tier 2 LOCAL Pain Syndrome M >=43.50 And M <58.50 9 9 — — $26,876.93 $53,753.86 $26,876.93 2025-12-31
CMG 203, Tier 2 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50 9 9 — — $26,827.98 $53,655.96 $26,827.98 2025-12-31
CMG 1203, No Comorbidity Tier LOCAL Osteoarthritis M <49.50 And A >=74.50 9 9 — — $26,816.24 $53,632.48 $26,816.24 2025-12-31
CMG 401, Tier 1 LOCAL Traumatic Spinal Cord Injury M >=56.50 9 9 — — $26,526.46 $53,052.92 $26,526.46 2025-12-31
CMG 1101, Tier 1 LOCAL Amputation Non-lower Extremity M >=58.50 9 9 — — $26,479.47 $52,958.94 $26,479.47 2025-12-31
CMG 402, Tier 3 LOCAL Traumatic Spinal Cord Injury M >=47.50 And M <56.50 9 9 — — $26,467.72 $52,935.44 $26,467.72 2025-12-31
CMG 2101, Tier 2 LOCAL Burns M >=52.50 9 9 — — $26,438.35 $52,876.70 $26,438.35 2025-12-31
CMG 303, Tier 3 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 9 9 — — $26,420.73 $52,841.46 $26,420.73 2025-12-31
CMG 1503, No Comorbidity Tier LOCAL Pulmonary M >=45.50 And M <56.50 9 9 — — $26,326.74 $52,653.48 $26,326.74 2025-12-31
CMG 802, Tier 1 LOCAL Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 9 9 — — $26,291.50 $52,583.00 $26,291.50 2025-12-31
CMG 1901, Tier 1 LOCAL Guillain-barr� M >=66.50 9 9 — — $26,250.38 $52,500.76 $26,250.38 2025-12-31
CMG 1003, Tier 3 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50 9 9 — — $26,236.68 $52,473.36 $26,236.68 2025-12-31
CMG 903, Tier 3 LOCAL Other Orthopedic M >=44.50 And M <51.50 9 9 — — $26,154.44 $52,308.88 $26,154.44 2025-12-31
CMG 1803, Tier 3 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 9 9 — — $26,072.21 $52,144.42 $26,072.21 2025-12-31
CMG 1201, Tier 1 LOCAL Osteoarthritis M >=61.50 9 9 — — $25,937.11 $51,874.22 $25,937.11 2025-12-31
CMG 1701, Tier 1 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 9 9 — — $25,827.46 $51,654.92 $25,827.46 2025-12-31
CMG 503, Tier 3 LOCAL Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 9 9 — — $25,758.94 $51,517.88 $25,758.94 2025-12-31
CMG 1501, Tier 1 LOCAL Pulmonary M >=68.50 9 9 — — $25,655.16 $51,310.32 $25,655.16 2025-12-31
CMG 601, Tier 1 LOCAL Neurological M >=64.50 9 9 — — $25,639.50 $51,279.00 $25,639.50 2025-12-31
CMG 501, Tier 1 LOCAL Non-traumatic Spinal Cord Injury M >=60.50 9 9 — — $25,629.71 $51,259.42 $25,629.71 2025-12-31
CMG 1303, Tier 3 LOCAL Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 9 9 — — $25,461.33 $50,922.66 $25,461.33 2025-12-31
CMG 2003, Tier 3 LOCAL Miscellaneous M >=46.50 And M <55.50 9 9 — — $25,300.77 $50,601.54 $25,300.77 2025-12-31
CMG 1703, No Comorbidity Tier LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 9 9 — — $25,294.90 $50,589.80 $25,294.90 2025-12-31
CMG 703, No Comorbidity Tier LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 9 9 — — $25,242.03 $50,484.06 $25,242.03 2025-12-31
CMG 1502, Tier 2 LOCAL Pulmonary M >=56.50 And M <68.50 9 9 — — $25,224.41 $50,448.82 $25,224.41 2025-12-31
CMG 1702, Tier 2 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 9 9 — — $25,220.50 $50,441.00 $25,220.50 2025-12-31
CMG 1403, Tier 3 LOCAL Cardiac M >=45.50 And M <55.50 9 9 — — $25,093.23 $50,186.46 $25,093.23 2025-12-31
CMG 1101, Tier 2 LOCAL Amputation Non-lower Extremity M >=58.50 9 9 — — $25,069.73 $50,139.46 $25,069.73 2025-12-31
CMG 103, Tier 3 LOCAL Stroke M >=50.50 And M <63.50 9 9 — — $24,885.69 $49,771.38 $24,885.69 2025-12-31
CMG 1602, Tier 1 LOCAL Pain Syndrome M >=58.50 And M <65.50 9 9 — — $24,764.29 $49,528.58 $24,764.29 2025-12-31
CMG 804, Tier 3 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 9 9 — — $24,746.67 $49,493.34 $24,746.67 2025-12-31
CMG 303, No Comorbidity Tier LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 9 9 — — $24,734.92 $49,469.84 $24,734.92 2025-12-31
CMG 1102, Tier 3 LOCAL Amputation Non-lower Extremity M >=52.50 And M <58.50 9 9 — — $24,635.07 $49,270.14 $24,635.07 2025-12-31
CMG 1603, Tier 3 LOCAL Pain Syndrome M >=43.50 And M <58.50 9 9 — — $24,586.12 $49,172.24 $24,586.12 2025-12-31
CMG 1301, Tier 1 LOCAL Rheumatoid Other Arthritis M >=62.50 9 9 — — $24,527.38 $49,054.76 $24,527.38 2025-12-31
CMG 203, Tier 3 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50 9 9 — — $24,509.76 $49,019.52 $24,509.76 2025-12-31
CMG 1803, No Comorbidity Tier LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 9 9 — — $24,470.60 $48,941.20 $24,470.60 2025-12-31
CMG 502, Tier 2 LOCAL Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 9 9 — — $24,452.98 $48,905.96 $24,452.98 2025-12-31
CMG 803, Tier 2 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 9 9 — — $24,370.74 $48,741.48 $24,370.74 2025-12-31
CMG 1003, No Comorbidity Tier LOCAL Amputation Lower Extremity M >=47.50 And M <55.50 9 9 — — $24,360.95 $48,721.90 $24,360.95 2025-12-31
CMG 603, No Comorbidity Tier LOCAL Neurological M >=43.50 And M <52.50 9 9 — — $24,300.26 $48,600.52 $24,300.26 2025-12-31
CMG 1002, Tier 2 LOCAL Amputation Lower Extremity M >=55.50 And M <64.50 9 9 — — $24,288.51 $48,577.02 $24,288.51 2025-12-31
CMG 901, Tier 1 LOCAL Other Orthopedic M >=63.50 9 9 — — $24,249.35 $48,498.70 $24,249.35 2025-12-31
CMG 1202, Tier 2 LOCAL Osteoarthritis M >=49.50 And M <61.50 9 9 — — $24,204.32 $48,408.64 $24,204.32 2025-12-31
CMG 602, Tier 2 LOCAL Neurological M >=52.50 And M <64.50 9 9 — — $24,155.37 $48,310.74 $24,155.37 2025-12-31
CMG 102, Tier 1 LOCAL Stroke M >=63.50 And M <72.50 9 9 — — $24,094.67 $48,189.34 $24,094.67 2025-12-31
CMG 1001, Tier 1 LOCAL Amputation Lower Extremity M >=64.50 9 9 — — $24,061.38 $48,122.76 $24,061.38 2025-12-31
CMG 1302, Tier 2 LOCAL Rheumatoid Other Arthritis M >=51.50 And M <62.50 9 9 — — $24,043.76 $48,087.52 $24,043.76 2025-12-31
CMG 701, Tier 1 LOCAL Fracture Of Lower Extremity M >=61.50 9 9 — — $24,022.22 $48,044.44 $24,022.22 2025-12-31
CMG 302, Tier 2 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50 9 9 — — $23,967.40 $47,934.80 $23,967.40 2025-12-31
CMG 402, No Comorbidity Tier LOCAL Traumatic Spinal Cord Injury M >=47.50 And M <56.50 9 9 — — $23,949.78 $47,899.56 $23,949.78 2025-12-31
CMG 903, No Comorbidity Tier LOCAL Other Orthopedic M >=44.50 And M <51.50 9 9 — — $23,861.67 $47,723.34 $23,861.67 2025-12-31
CMG 702, Tier 2 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50 9 9 — — $23,740.28 $47,480.56 $23,740.28 2025-12-31
CMG 503, No Comorbidity Tier LOCAL Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 9 9 — — $23,738.32 $47,476.64 $23,738.32 2025-12-31
CMG 1502, Tier 3 LOCAL Pulmonary M >=56.50 And M <68.50 9 9 — — $23,622.80 $47,245.60 $23,622.80 2025-12-31
CMG 103, No Comorbidity Tier LOCAL Stroke M >=50.50 And M <63.50 9 9 — — $23,605.18 $47,210.36 $23,605.18 2025-12-31
CMG 1902, No Comorbidity Tier LOCAL Guillain-barr� M >=51.50 And M <66.50 9 9 — — $23,470.08 $46,940.16 $23,470.08 2025-12-31
CMG 1902, Tier 3 LOCAL Guillain-barr� M >=51.50 And M <66.50 9 9 — — $23,464.21 $46,928.42 $23,464.21 2025-12-31
CMG 1702, Tier 3 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 9 9 — — $23,417.21 $46,834.42 $23,417.21 2025-12-31
CMG 301, Tier 1 LOCAL Non-traumatic Brain Injury M >=65.50 9 9 — — $23,376.10 $46,752.20 $23,376.10 2025-12-31
CMG 902, Tier 2 LOCAL Other Orthopedic M >=51.50 And M <63.50 9 9 — — $23,333.02 $46,666.04 $23,333.02 2025-12-31
CMG 2001, Tier 1 LOCAL Miscellaneous M >=66.50 9 9 — — $23,268.41 $46,536.82 $23,268.41 2025-12-31
CMG 804, No Comorbidity Tier LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 9 9 — — $23,186.18 $46,372.36 $23,186.18 2025-12-31
CMG 2002, Tier 2 LOCAL Miscellaneous M >=55.50 And M <66.50 9 9 — — $23,168.55 $46,337.10 $23,168.55 2025-12-31
CMG 2003, No Comorbidity Tier LOCAL Miscellaneous M >=46.50 And M <55.50 9 9 — — $23,162.68 $46,325.36 $23,162.68 2025-12-31
CMG 1303, No Comorbidity Tier LOCAL Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 9 9 — — $23,127.44 $46,254.88 $23,127.44 2025-12-31
CMG 1403, No Comorbidity Tier LOCAL Cardiac M >=45.50 And M <55.50 9 9 — — $23,076.53 $46,153.06 $23,076.53 2025-12-31
CMG 801, Tier 1 LOCAL Replacement Of Lower-extremity Joint M >=63.50 9 9 — — $23,066.74 $46,133.48 $23,066.74 2025-12-31
CMG 203, No Comorbidity Tier LOCAL Traumatic Brain Injury M >=49.50 And M <61.50 9 9 — — $23,027.58 $46,055.16 $23,027.58 2025-12-31
CMG 1802, Tier 2 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 9 9 — — $22,782.84 $45,565.68 $22,782.84 2025-12-31
CMG 602, Tier 3 LOCAL Neurological M >=52.50 And M <64.50 9 9 — — $22,749.55 $45,499.10 $22,749.55 2025-12-31
CMG 502, Tier 3 LOCAL Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 9 9 — — $22,747.59 $45,495.18 $22,747.59 2025-12-31
CMG 1502, No Comorbidity Tier LOCAL Pulmonary M >=56.50 And M <68.50 9 9 — — $22,583.12 $45,166.24 $22,583.12 2025-12-31
CMG 702, Tier 3 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50 9 9 — — $22,545.92 $45,091.84 $22,545.92 2025-12-31
CMG 1402, Tier 2 LOCAL Cardiac M >=55.50 And M <68.50 9 9 — — $22,453.90 $44,907.80 $22,453.90 2025-12-31
CMG 302, Tier 3 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50 9 9 — — $22,344.25 $44,688.50 $22,344.25 2025-12-31
CMG 1603, No Comorbidity Tier LOCAL Pain Syndrome M >=43.50 And M <58.50 9 9 — — $22,285.51 $44,571.02 $22,285.51 2025-12-31
CMG 1602, Tier 2 LOCAL Pain Syndrome M >=58.50 And M <65.50 9 9 — — $22,193.49 $44,386.98 $22,193.49 2025-12-31
CMG 802, Tier 2 LOCAL Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 9 9 — — $22,144.54 $44,289.08 $22,144.54 2025-12-31
CMG 1002, Tier 3 LOCAL Amputation Lower Extremity M >=55.50 And M <64.50 9 9 — — $22,044.68 $44,089.36 $22,044.68 2025-12-31
CMG 902, Tier 3 LOCAL Other Orthopedic M >=51.50 And M <63.50 9 9 — — $22,040.77 $44,081.54 $22,040.77 2025-12-31
CMG 1302, Tier 3 LOCAL Rheumatoid Other Arthritis M >=51.50 And M <62.50 9 9 — — $22,030.98 $44,061.96 $22,030.98 2025-12-31
CMG 1801, Tier 1 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=67.50 9 9 — — $21,907.63 $43,815.26 $21,907.63 2025-12-31
CMG 1401, Tier 1 LOCAL Cardiac M >=68.50 9 9 — — $21,880.22 $43,760.44 $21,880.22 2025-12-31
CMG 803, Tier 3 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 9 9 — — $21,784.28 $43,568.56 $21,784.28 2025-12-31
CMG 401, Tier 2 LOCAL Traumatic Spinal Cord Injury M >=56.50 9 9 — — $21,682.46 $43,364.92 $21,682.46 2025-12-31
CMG 1202, Tier 3 LOCAL Osteoarthritis M >=49.50 And M <61.50 9 9 — — $21,629.60 $43,259.20 $21,629.60 2025-12-31
CMG 202, Tier 2 LOCAL Traumatic Brain Injury M >=61.50 And M <73.50 9 9 — — $21,578.69 $43,157.38 $21,578.69 2025-12-31
CMG 1101, Tier 3 LOCAL Amputation Non-lower Extremity M >=58.50 9 9 — — $21,574.77 $43,149.54 $21,574.77 2025-12-31
CMG 1702, No Comorbidity Tier LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 9 9 — — $21,557.15 $43,114.30 $21,557.15 2025-12-31
CMG 1102, No Comorbidity Tier LOCAL Amputation Non-lower Extremity M >=52.50 And M <58.50 9 9 — — $21,555.19 $43,110.38 $21,555.19 2025-12-31
CMG 2002, Tier 3 LOCAL Miscellaneous M >=55.50 And M <66.50 9 9 — — $21,545.40 $43,090.80 $21,545.40 2025-12-31
CMG 102, Tier 2 LOCAL Stroke M >=63.50 And M <72.50 9 9 — — $21,396.60 $42,793.20 $21,396.60 2025-12-31
CMG 401, Tier 3 LOCAL Traumatic Spinal Cord Injury M >=56.50 9 9 — — $21,112.69 $42,225.38 $21,112.69 2025-12-31
CMG 502, No Comorbidity Tier LOCAL Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 9 9 — — $20,963.89 $41,927.78 $20,963.89 2025-12-31
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