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Hospital

Mercy Rehabilitation Hospital South

Saint Louis, MO · CCN 263034 · Rates published

7,339 distinct procedures filed
32 distinct payers
243,584 rate rows
2026-03-16 last MRF observed
Data quality

68,499 of 243,584 rate rows are consumer-grade (28.1%)

175,085 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 175,053
placeholder amount (≤ $0.02) — excluded from medians 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/844372720_mercy-rehabilitation-hospital-south_standardcharges.csv
Found on page https://www.mercy.net/forms/items-and-services-files/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint aba2ff2733b950d3… · 53,045,716 bytes · first seen 2026-05-09

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
B0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 $87,804.87 $91,317.06 $87,804.87 nat. median
$86,320
1.0× median
B1904
OTHER 		Guillain-barré M <38.50 9 $82,202.78 $85,490.89 $82,202.78 nat. median
$80,609
1.0× median
C0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 $71,769.55 $74,640.34 $71,769.55 nat. median
$71,021
1.0× median
D0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 $69,880.88 $72,676.12 $69,880.88 nat. median
$68,708
1.0× median
B1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 $69,578.69 $72,361.84 $69,578.69 nat. median
$68,402
1.0× median
B0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 $64,118.01 $66,682.73 $64,118.01 nat. median
$62,870
1.0× median
A0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 $63,234.69 $65,764.08 $63,234.69 nat. median
$62,810
1.0× median
B0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 $61,531.98 $63,993.26 $61,531.98 nat. median
$60,491
1.0× median
B0505
OTHER 		Non-traumatic Spinal Cord Injury M <39.50 9 $60,518.88 $62,939.63 $60,518.88 nat. median
$59,495
1.0× median
C1904
OTHER 		Guillain-barré M <38.50 9 $58,095.57 $60,419.39 $58,095.57 nat. median
$57,113
1.0× median
C1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 $56,921.68 $59,198.55 $56,921.68 nat. median
$55,837
1.0× median
74080530
CDM 		Occ/emb Non Hemorr Art 9 $56,399.93 $56,399.93 $56,399.93 nat. median
$55,326
1.0× median
74080532
CDM 		Occ/emb Hemorrhag/lymph 9 $56,399.93 $56,399.93 $56,399.93 nat. median
$55,326
1.0× median
74080529
CDM 		Occ/emb Non Hemorr Venous 9 $56,399.93 $56,399.93 $56,399.93 nat. median
$55,326
1.0× median
74080531
CDM 		Occ/emb Tumor/organ Infar 9 $56,399.93 $56,399.93 $56,399.93 nat. median
$55,326
1.0× median
B0106
OTHER 		Stroke M <41.50 And A <84.50 9 $54,868.36 $57,063.09 $54,868.36 nat. median
$54,065
1.0× median
B1903
OTHER 		Guillain-barré M >=38.50 And M <51.50 9 $53,458.15 $55,596.47 $53,458.15 nat. median
$52,554
1.0× median
B0205
OTHER 		Traumatic Brain Injury M <35.50 9 $52,782.10 $54,893.38 $52,782.10 nat. median
$51,964
1.0× median
C0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 $52,408.24 $54,504.57 $52,408.24 nat. median
$51,880
1.0× median
D1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 $52,363.69 $54,458.23 $52,363.69 nat. median
$51,478
1.0× median
D0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 $51,029.03 $53,070.19 $51,029.03 nat. median
$50,515
1.0× median
A1904
OTHER 		Guillain-barré M <38.50 9 $50,519.57 $52,540.35 $50,519.57 nat. median
$50,010
1.0× median
D1904
OTHER 		Guillain-barré M <38.50 9 $50,504.07 $52,524.23 $50,504.07 nat. median
$49,901
1.0× median
C0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 $50,294.86 $52,306.66 $50,294.86 nat. median
$49,743
1.0× median
B1705
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 9 $49,506.46 $51,486.72 $49,506.46 nat. median
$48,669
1.0× median
B2102
OTHER 		Burns M <52.50 9 $49,301.13 $51,273.18 $49,301.13 nat. median
$48,467
1.0× median
A1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 $49,148.10 $51,114.03 $49,148.10 nat. median
$48,628
1.0× median
D0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 $48,971.83 $50,930.70 $48,971.83 nat. median
$48,434
1.0× median
B0405
OTHER 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 9 $48,739.37 $50,688.95 $48,739.37 nat. median
$47,915
1.0× median
C0106
OTHER 		Stroke M <41.50 And A <84.50 9 $48,723.88 $50,672.83 $48,723.88 nat. median
$47,971
1.0× median
B0105
OTHER 		Stroke M <41.50 And A >=84.50 9 $48,710.32 $50,658.73 $48,710.32 nat. median
$47,979
1.0× median
74080268
CDM 		Insert Tips 9 $48,288.18 $48,288.18 $48,288.18 nat. median
$47,368
1.0× median
B1805
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 9 $48,024.58 $49,945.57 $48,024.58 nat. median
$47,212
1.0× median
B0604
OTHER 		Neurological M <43.50 9 $47,455.08 $49,353.28 $47,455.08 nat. median
$46,755
1.0× median
74080483
CDM 		Revise Tips 9 $47,034.04 $47,034.04 $47,034.04 nat. median
$46,138
1.0× median
C0505
OTHER 		Non-traumatic Spinal Cord Injury M <39.50 9 $46,507.83 $48,368.15 $46,507.83 nat. median
$45,787
1.0× median
A0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 $46,176.59 $48,023.65 $46,176.59 nat. median
$45,990
1.0× median
B0305
OTHER 		Non-traumatic Brain Injury M <42.50 And A <78.50 9 $45,907.33 $47,743.63 $45,907.33 nat. median
$45,142
1.0× median
B1004
OTHER 		Amputation Lower Extremity M <47.50 9 $45,781.42 $47,612.68 $45,781.42 nat. median
$45,008
1.0× median
B1504
OTHER 		Pulmonary M <45.50 9 $45,376.57 $47,191.63 $45,376.57 nat. median
$44,609
1.0× median
B0704
OTHER 		Fracture Of Lower Extremity M <41.50 9 $44,437.07 $46,214.56 $44,437.07 nat. median
$43,748
1.0× median
B1304
OTHER 		Rheumatoid Other Arthritis M <44.50 And A >=64.50 9 $44,382.84 $46,158.15 $44,382.84 nat. median
$43,632
1.0× median
A0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 $44,315.04 $46,087.64 $44,315.04 nat. median
$43,915
1.0× median
B1305
OTHER 		Rheumatoid Other Arthritis M <51.50 And A <64.50 9 $44,295.67 $46,067.49 $44,295.67 nat. median
$43,434
1.0× median
D0106
OTHER 		Stroke M <41.50 And A <84.50 9 $44,144.57 $45,910.35 $44,144.57 nat. median
$43,510
1.0× median
B0904
OTHER 		Other Orthopedic M <44.5 9 $43,549.88 $45,291.88 $43,549.88 nat. median
$42,813
1.0× median
D0505
OTHER 		Non-traumatic Spinal Cord Injury M <39.50 9 $43,267.07 $44,997.75 $43,267.07 nat. median
$42,599
1.0× median
C0105
OTHER 		Stroke M <41.50 And A >=84.50 9 $43,255.44 $44,985.66 $43,255.44 nat. median
$42,585
1.0× median
B2005
OTHER 		Miscellaneous M <46.50 And A <77.50 9 $42,844.78 $44,558.57 $42,844.78 nat. median
$42,136
1.0× median
B0504
OTHER 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 9 $42,594.89 $44,298.69 $42,594.89 nat. median
$41,890
1.0× median

Other procedures at this hospital

Browse this hospital's 7,339 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
             
76085056 CDM In-111 Pentetr Dx To 6mci 9 9 $23,220.35 $23,220.35 $23,220.35 $23,220.35 $23,220.35 2026-03-16
74080421 CDM Nephrostolithotm/pyel<2cm 9 9 $23,284.61 $23,284.61 $23,284.61 $23,284.61 $23,284.61 2026-03-16
A2003 OTHER Miscellaneous M >=46.50 And M <55.50 9 9 $22,915.89 $22,915.89 $22,915.89 $23,832.53 $22,915.89 2026-03-16
C2002 OTHER Miscellaneous M >=55.50 And M <66.50 9 9 $22,921.70 $22,921.70 $22,921.70 $23,838.57 $22,921.70 2026-03-16
A0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 9 9 $22,939.14 $22,939.14 $22,939.14 $23,856.70 $22,939.14 2026-03-16
B2001 OTHER Miscellaneous M >=66.50 9 9 $23,020.50 $23,020.50 $23,020.50 $23,941.32 $23,020.50 2026-03-16
C0902 OTHER Other Orthopedic M >=51.50 And M <63.50 9 9 $23,084.42 $23,084.42 $23,084.42 $24,007.80 $23,084.42 2026-03-16
B0301 OTHER Non-traumatic Brain Injury M >=65.50 9 9 $23,127.04 $23,127.04 $23,127.04 $24,052.12 $23,127.04 2026-03-16
74080580 CDM Plc Stent Bile Duct Ex Ea 9 9 $24,053.59 $24,053.59 $24,053.59 $24,053.59 $24,053.59 2026-03-16
74080660 CDM Plc Stnt Bile Duct New Ea 9 9 $24,053.59 $24,053.59 $24,053.59 $24,053.59 $24,053.59 2026-03-16
74080659 CDM Plc Stent Bile Duct Ex Ea 9 9 $24,053.59 $24,053.59 $24,053.59 $24,053.59 $24,053.59 2026-03-16
74080581 CDM Plc Stnt Bile Duct New Ea 9 9 $24,053.59 $24,053.59 $24,053.59 $24,053.59 $24,053.59 2026-03-16
74080582 CDM Pl St Bile Duct Cth Nw Ea 9 9 $24,053.59 $24,053.59 $24,053.59 $24,053.59 $24,053.59 2026-03-16
74080661 CDM Pl St Bile Duct Cth Nw Ea 9 9 $24,053.59 $24,053.59 $24,053.59 $24,053.59 $24,053.59 2026-03-16
D1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 9 9 $23,167.72 $23,167.72 $23,167.72 $24,094.42 $23,167.72 2026-03-16
D1902 OTHER Guillain-barré M >=51.50 And M <66.50 9 9 $23,214.21 $23,214.21 $23,214.21 $24,142.77 $23,214.21 2026-03-16
A1902 OTHER Guillain-barré M >=51.50 And M <66.50 9 9 $23,220.02 $23,220.02 $23,220.02 $24,148.82 $23,220.02 2026-03-16
76085057 CDM In111 Satumomab Dx To 6mc 9 9 $24,275.29 $24,275.29 $24,275.29 $24,275.29 $24,275.29 2026-03-16
A0103 OTHER Stroke M >=50.50 And M <63.50 9 9 $23,353.68 $23,353.68 $23,353.68 $24,287.82 $23,353.68 2026-03-16
D1502 OTHER Pulmonary M >=56.50 And M <68.50 9 9 $23,371.11 $23,371.11 $23,371.11 $24,305.96 $23,371.11 2026-03-16
A0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 9 9 $23,485.40 $23,485.40 $23,485.40 $24,424.82 $23,485.40 2026-03-16
C0702 OTHER Fracture Of Lower Extremity M >=52.50 And M <61.50 9 9 $23,487.34 $23,487.34 $23,487.34 $24,426.83 $23,487.34 2026-03-16
A0903 OTHER Other Orthopedic M >=44.50 And M <51.50 9 9 $23,607.44 $23,607.44 $23,607.44 $24,551.74 $23,607.44 2026-03-16
A0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 9 9 $23,694.61 $23,694.61 $23,694.61 $24,642.39 $23,694.61 2026-03-16
C0302 OTHER Non-traumatic Brain Injury M >=52.50 And M <65.50 9 9 $23,712.04 $23,712.04 $23,712.04 $24,660.52 $23,712.04 2026-03-16
B0701 OTHER Fracture Of Lower Extremity M >=61.50 9 9 $23,766.28 $23,766.28 $23,766.28 $24,716.93 $23,766.28 2026-03-16
C1302 OTHER Rheumatoid Other Arthritis M >=51.50 And M <62.50 9 9 $23,787.59 $23,787.59 $23,787.59 $24,739.09 $23,787.59 2026-03-16
B1001 OTHER Amputation Lower Extremity M >=64.50 9 9 $23,805.02 $23,805.02 $23,805.02 $24,757.22 $23,805.02 2026-03-16
B0102 OTHER Stroke M >=63.50 And M <72.50 9 9 $23,837.95 $23,837.95 $23,837.95 $24,791.47 $23,837.95 2026-03-16
C0602 OTHER Neurological M >=52.50 And M <64.50 9 9 $23,898.00 $23,898.00 $23,898.00 $24,853.92 $23,898.00 2026-03-16
C1202 OTHER Osteoarthritis M >=49.50 And M <61.50 9 9 $23,946.43 $23,946.43 $23,946.43 $24,904.29 $23,946.43 2026-03-16
B0901 OTHER Other Orthopedic M >=63.50 9 9 $23,990.98 $23,990.98 $23,990.98 $24,950.62 $23,990.98 2026-03-16
C1002 OTHER Amputation Lower Extremity M >=55.50 And M <64.50 9 9 $24,029.73 $24,029.73 $24,029.73 $24,990.91 $24,029.73 2026-03-16
A0603 OTHER Neurological M >=43.50 And M <52.50 9 9 $24,041.35 $24,041.35 $24,041.35 $25,003.00 $24,041.35 2026-03-16
A1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 9 9 $24,101.40 $24,101.40 $24,101.40 $25,065.45 $24,101.40 2026-03-16
C0803 OTHER Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 9 9 $24,111.08 $24,111.08 $24,111.08 $25,075.53 $24,111.08 2026-03-16
C0502 OTHER Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 9 9 $24,192.44 $24,192.44 $24,192.44 $25,160.14 $24,192.44 2026-03-16
A1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 9 9 $24,209.88 $24,209.88 $24,209.88 $25,178.27 $24,209.88 2026-03-16
D0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 9 9 $24,248.62 $24,248.62 $24,248.62 $25,218.56 $24,248.62 2026-03-16
B1301 OTHER Rheumatoid Other Arthritis M >=62.50 9 9 $24,266.05 $24,266.05 $24,266.05 $25,236.69 $24,266.05 2026-03-16
77020083 CDM Liver Tumor Ablat Rf Perc 9 9 $25,297.02 $25,297.02 $25,297.02 $25,297.02 $25,297.02 2026-03-16
D1603 OTHER Pain Syndrome M >=43.50 And M <58.50 9 9 $24,324.16 $24,324.16 $24,324.16 $25,297.13 $24,324.16 2026-03-16
D1102 OTHER Amputation Non-lower Extremity M >=52.50 And M <58.50 9 9 $24,372.59 $24,372.59 $24,372.59 $25,347.50 $24,372.59 2026-03-16
A0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 9 9 $24,471.38 $24,471.38 $24,471.38 $25,450.24 $24,471.38 2026-03-16
D0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 9 9 $24,483.01 $24,483.01 $24,483.01 $25,462.33 $24,483.01 2026-03-16
B1602 OTHER Pain Syndrome M >=58.50 And M <65.50 9 9 $24,500.44 $24,500.44 $24,500.44 $25,480.46 $24,500.44 2026-03-16
D0103 OTHER Stroke M >=50.50 And M <63.50 9 9 $24,620.54 $24,620.54 $24,620.54 $25,605.36 $24,620.54 2026-03-16
C1101 OTHER Amputation Non-lower Extremity M >=58.50 9 9 $24,802.63 $24,802.63 $24,802.63 $25,794.73 $24,802.63 2026-03-16
D1403 OTHER Cardiac M >=45.50 And M <55.50 9 9 $24,825.87 $24,825.87 $24,825.87 $25,818.91 $24,825.87 2026-03-16
74080471 CDM Revas Femoral Poplt Stent 9 9 $25,905.35 $25,905.35 $25,905.35 $25,905.35 $25,905.35 2026-03-16
74080468 CDM Revas Fem Pop Atherectomy 9 9 $25,905.35 $25,905.35 $25,905.35 $25,905.35 $25,905.35 2026-03-16
74080469 CDM Revas Fem Pop Stent Ather 9 9 $25,905.35 $25,905.35 $25,905.35 $25,905.35 $25,905.35 2026-03-16
C1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 9 9 $24,951.79 $24,951.79 $24,951.79 $25,949.86 $24,951.79 2026-03-16
C1502 OTHER Pulmonary M >=56.50 And M <68.50 9 9 $24,955.66 $24,955.66 $24,955.66 $25,953.89 $24,955.66 2026-03-16
A0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 9 9 $24,973.09 $24,973.09 $24,973.09 $25,972.02 $24,973.09 2026-03-16
74080478 CDM Revas Tib Peron Ather Ini 9 9 $26,002.81 $26,002.81 $26,002.81 $26,002.81 $26,002.81 2026-03-16
74080479 CDM Revas Tib Peron Stent Ini 9 9 $26,002.81 $26,002.81 $26,002.81 $26,002.81 $26,002.81 2026-03-16
74080477 CDM Revas Tib Peron Ather Add 9 9 $26,002.81 $26,002.81 $26,002.81 $26,002.81 $26,002.81 2026-03-16
74080481 CDM Revas Tib Pr Stnt Ath Ini 9 9 $26,002.81 $26,002.81 $26,002.81 $26,002.81 $26,002.81 2026-03-16
A1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 9 9 $25,025.39 $25,025.39 $25,025.39 $26,026.41 $25,025.39 2026-03-16
D2003 OTHER Miscellaneous M >=46.50 And M <55.50 9 9 $25,031.21 $25,031.21 $25,031.21 $26,032.45 $25,031.21 2026-03-16
D1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 9 9 $25,190.05 $25,190.05 $25,190.05 $26,197.65 $25,190.05 2026-03-16
B0501 OTHER Non-traumatic Spinal Cord Injury M >=60.50 9 9 $25,356.64 $25,356.64 $25,356.64 $26,370.90 $25,356.64 2026-03-16
B0601 OTHER Neurological M >=64.50 9 9 $25,366.32 $25,366.32 $25,366.32 $26,380.98 $25,366.32 2026-03-16
B1501 OTHER Pulmonary M >=68.50 9 9 $25,381.82 $25,381.82 $25,381.82 $26,397.09 $25,381.82 2026-03-16
D0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 9 9 $25,484.49 $25,484.49 $25,484.49 $26,503.87 $25,484.49 2026-03-16
B1701 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 9 9 $25,552.29 $25,552.29 $25,552.29 $26,574.38 $25,552.29 2026-03-16
B1201 OTHER Osteoarthritis M >=61.50 9 9 $25,660.76 $25,660.76 $25,660.76 $26,687.19 $25,660.76 2026-03-16
D1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 9 9 $25,794.42 $25,794.42 $25,794.42 $26,826.20 $25,794.42 2026-03-16
D0903 OTHER Other Orthopedic M >=44.50 And M <51.50 9 9 $25,875.78 $25,875.78 $25,875.78 $26,910.81 $25,875.78 2026-03-16
D1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 9 9 $25,957.14 $25,957.14 $25,957.14 $26,995.43 $25,957.14 2026-03-16
B1901 OTHER Guillain-barré M >=66.50 9 9 $25,970.70 $25,970.70 $25,970.70 $27,009.53 $25,970.70 2026-03-16
B0802 OTHER Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 9 9 $26,011.38 $26,011.38 $26,011.38 $27,051.83 $26,011.38 2026-03-16
A1503 OTHER Pulmonary M >=45.50 And M <56.50 9 9 $26,046.25 $26,046.25 $26,046.25 $27,088.10 $26,046.25 2026-03-16
D0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 9 9 $26,139.23 $26,139.23 $26,139.23 $27,184.80 $26,139.23 2026-03-16
C2101 OTHER Burns M >=52.50 9 9 $26,156.66 $26,156.66 $26,156.66 $27,202.93 $26,156.66 2026-03-16
D0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 9 9 $26,185.72 $26,185.72 $26,185.72 $27,233.15 $26,185.72 2026-03-16
B1101 OTHER Amputation Non-lower Extremity M >=58.50 9 9 $26,197.34 $26,197.34 $26,197.34 $27,245.23 $26,197.34 2026-03-16
B0401 OTHER Traumatic Spinal Cord Injury M >=56.50 9 9 $26,243.83 $26,243.83 $26,243.83 $27,293.58 $26,243.83 2026-03-16
A1203 OTHER Osteoarthritis M <49.50 And A >=74.50 9 9 $26,530.52 $26,530.52 $26,530.52 $27,591.74 $26,530.52 2026-03-16
C0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 9 9 $26,542.14 $26,542.14 $26,542.14 $27,603.83 $26,542.14 2026-03-16
C1603 OTHER Pain Syndrome M >=43.50 And M <58.50 9 9 $26,590.57 $26,590.57 $26,590.57 $27,654.19 $26,590.57 2026-03-16
C1902 OTHER Guillain-barré M >=51.50 And M <66.50 9 9 $26,702.92 $26,702.92 $26,702.92 $27,771.04 $26,702.92 2026-03-16
A1103 OTHER Amputation Non-lower Extremity M <52.50 9 9 $26,710.67 $26,710.67 $26,710.67 $27,779.10 $26,710.67 2026-03-16
D0603 OTHER Neurological M >=43.50 And M <52.50 9 9 $26,764.91 $26,764.91 $26,764.91 $27,835.51 $26,764.91 2026-03-16
B0202 OTHER Traumatic Brain Injury M >=61.50 And M <73.50 9 9 $26,850.14 $26,850.14 $26,850.14 $27,924.15 $26,850.14 2026-03-16
C1403 OTHER Cardiac M >=45.50 And M <55.50 9 9 $26,850.14 $26,850.14 $26,850.14 $27,924.15 $26,850.14 2026-03-16
C0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 9 9 $26,892.76 $26,892.76 $26,892.76 $27,968.47 $26,892.76 2026-03-16
C2003 OTHER Miscellaneous M >=46.50 And M <55.50 9 9 $26,916.00 $26,916.00 $26,916.00 $27,992.64 $26,916.00 2026-03-16
C0103 OTHER Stroke M >=50.50 And M <63.50 9 9 $27,175.58 $27,175.58 $27,175.58 $28,262.60 $27,175.58 2026-03-16
D1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 9 9 $27,183.32 $27,183.32 $27,183.32 $28,270.66 $27,183.32 2026-03-16
D1503 OTHER Pulmonary M >=45.50 And M <56.50 9 9 $27,247.25 $27,247.25 $27,247.25 $28,337.14 $27,247.25 2026-03-16
A1204 OTHER Osteoarthritis M <49.50 And A <74.50 9 9 $27,313.11 $27,313.11 $27,313.11 $28,405.63 $27,313.11 2026-03-16
D0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 9 9 $27,328.61 $27,328.61 $27,328.61 $28,421.75 $27,328.61 2026-03-16
A0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 9 9 $27,347.98 $27,347.98 $27,347.98 $28,441.90 $27,347.98 2026-03-16
C0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 9 9 $27,390.59 $27,390.59 $27,390.59 $28,486.22 $27,390.59 2026-03-16
C0903 OTHER Other Orthopedic M >=44.50 And M <51.50 9 9 $27,392.53 $27,392.53 $27,392.53 $28,488.23 $27,392.53 2026-03-16
C0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 9 9 $27,394.47 $27,394.47 $27,394.47 $28,490.25 $27,394.47 2026-03-16
C1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 9 9 $27,491.32 $27,491.32 $27,491.32 $28,590.98 $27,491.32 2026-03-16
B1802 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 9 9 $27,551.37 $27,551.37 $27,551.37 $28,653.43 $27,551.37 2026-03-16
B1402 OTHER Cardiac M >=55.50 And M <68.50 9 9 $27,576.56 $27,576.56 $27,576.56 $28,679.62 $27,576.56 2026-03-16
A2004 OTHER Miscellaneous M <46.50 And A >=77.50 9 9 $27,946.54 $27,946.54 $27,946.54 $29,064.40 $27,946.54 2026-03-16
C0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 9 9 $28,037.59 $28,037.59 $28,037.59 $29,159.09 $28,037.59 2026-03-16
C1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 9 9 $28,039.52 $28,039.52 $28,039.52 $29,161.10 $28,039.52 2026-03-16
A0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 9 9 $28,062.77 $28,062.77 $28,062.77 $29,185.28 $28,062.77 2026-03-16
A0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 9 9 $28,078.26 $28,078.26 $28,078.26 $29,201.40 $28,078.26 2026-03-16
A1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 9 9 $28,275.85 $28,275.85 $28,275.85 $29,406.88 $28,275.85 2026-03-16
C1102 OTHER Amputation Non-lower Extremity M >=52.50 And M <58.50 9 9 $28,322.34 $28,322.34 $28,322.34 $29,455.23 $28,322.34 2026-03-16
C0603 OTHER Neurological M >=43.50 And M <52.50 9 9 $28,417.26 $28,417.26 $28,417.26 $29,553.95 $28,417.26 2026-03-16
A0904 OTHER Other Orthopedic M <44.5 9 9 $28,426.94 $28,426.94 $28,426.94 $29,564.02 $28,426.94 2026-03-16
A1404 OTHER Cardiac M <45.50 9 9 $28,485.06 $28,485.06 $28,485.06 $29,624.46 $28,485.06 2026-03-16
A0805 OTHER Replacement Of Lower-extremity Joint M <42.50 9 9 $28,570.29 $28,570.29 $28,570.29 $29,713.10 $28,570.29 2026-03-16
B2002 OTHER Miscellaneous M >=55.50 And M <66.50 9 9 $28,581.91 $28,581.91 $28,581.91 $29,725.19 $28,581.91 2026-03-16
C1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 9 9 $28,599.34 $28,599.34 $28,599.34 $29,743.32 $28,599.34 2026-03-16
B0803 OTHER Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 9 9 $28,626.46 $28,626.46 $28,626.46 $29,771.52 $28,626.46 2026-03-16
D1203 OTHER Osteoarthritis M <49.50 And A >=74.50 9 9 $28,645.83 $28,645.83 $28,645.83 $29,791.67 $28,645.83 2026-03-16
C0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 9 9 $28,773.68 $28,773.68 $28,773.68 $29,924.63 $28,773.68 2026-03-16
A1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 9 9 $28,796.93 $28,796.93 $28,796.93 $29,948.81 $28,796.93 2026-03-16
A1604 OTHER Pain Syndrome M <43.50 9 9 $28,858.92 $28,858.92 $28,858.92 $30,013.27 $28,858.92 2026-03-16
B1002 OTHER Amputation Lower Extremity M >=55.50 And M <64.50 9 9 $28,918.97 $28,918.97 $28,918.97 $30,075.72 $28,918.97 2026-03-16
A0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 9 9 $28,988.70 $28,988.70 $28,988.70 $30,148.25 $28,988.70 2026-03-16
C1503 OTHER Pulmonary M >=45.50 And M <56.50 9 9 $29,095.24 $29,095.24 $29,095.24 $30,259.05 $29,095.24 2026-03-16
A2005 OTHER Miscellaneous M <46.50 And A <77.50 9 9 $29,252.15 $29,252.15 $29,252.15 $30,422.23 $29,252.15 2026-03-16
C1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 9 9 $29,277.33 $29,277.33 $29,277.33 $30,448.42 $29,277.33 2026-03-16
B0702 OTHER Fracture Of Lower Extremity M >=52.50 And M <61.50 9 9 $29,376.12 $29,376.12 $29,376.12 $30,551.17 $29,376.12 2026-03-16
A1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 9 9 $29,474.91 $29,474.91 $29,474.91 $30,653.91 $29,474.91 2026-03-16
D1204 OTHER Osteoarthritis M <49.50 And A <74.50 9 9 $29,492.35 $29,492.35 $29,492.35 $30,672.04 $29,492.35 2026-03-16
A1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 9 9 $29,533.03 $29,533.03 $29,533.03 $30,714.35 $29,533.03 2026-03-16
B1603 OTHER Pain Syndrome M >=43.50 And M <58.50 9 9 $29,670.56 $29,670.56 $29,670.56 $30,857.38 $29,670.56 2026-03-16
B1302 OTHER Rheumatoid Other Arthritis M >=51.50 And M <62.50 9 9 $29,753.86 $29,753.86 $29,753.86 $30,944.01 $29,753.86 2026-03-16
A0104 OTHER Stroke M >=41.50 And M <50.50 9 9 $29,827.47 $29,827.47 $29,827.47 $31,020.56 $29,827.47 2026-03-16
D0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 9 9 $29,885.58 $29,885.58 $29,885.58 $31,081.00 $29,885.58 2026-03-16
B1102 OTHER Amputation Non-lower Extremity M >=52.50 And M <58.50 9 9 $29,916.57 $29,916.57 $29,916.57 $31,113.24 $29,916.57 2026-03-16
B0302 OTHER Non-traumatic Brain Injury M >=52.50 And M <65.50 9 9 $29,918.51 $29,918.51 $29,918.51 $31,115.25 $29,918.51 2026-03-16
A2102 OTHER Burns M <52.50 9 9 $29,974.69 $29,974.69 $29,974.69 $31,173.67 $29,974.69 2026-03-16
D1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 9 9 $30,125.78 $30,125.78 $30,125.78 $31,330.81 $30,125.78 2026-03-16
B1202 OTHER Osteoarthritis M >=49.50 And M <61.50 9 9 $30,172.27 $30,172.27 $30,172.27 $31,379.16 $30,172.27 2026-03-16
D0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 9 9 $30,222.63 $30,222.63 $30,222.63 $31,431.54 $30,222.63 2026-03-16
A0604 OTHER Neurological M <43.50 9 9 $30,404.72 $30,404.72 $30,404.72 $31,620.91 $30,404.72 2026-03-16
D0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 9 9 $30,451.21 $30,451.21 $30,451.21 $31,669.26 $30,451.21 2026-03-16
B0902 OTHER Other Orthopedic M >=51.50 And M <63.50 9 9 $30,476.39 $30,476.39 $30,476.39 $31,695.45 $30,476.39 2026-03-16
D0805 OTHER Replacement Of Lower-extremity Joint M <42.50 9 9 $30,493.83 $30,493.83 $30,493.83 $31,713.58 $30,493.83 2026-03-16
D2004 OTHER Miscellaneous M <46.50 And A >=77.50 9 9 $30,528.70 $30,528.70 $30,528.70 $31,749.84 $30,528.70 2026-03-16
D1103 OTHER Amputation Non-lower Extremity M <52.50 9 9 $30,528.70 $30,528.70 $30,528.70 $31,749.84 $30,528.70 2026-03-16
B0103 OTHER Stroke M >=50.50 And M <63.50 9 9 $30,602.31 $30,602.31 $30,602.31 $31,826.40 $30,602.31 2026-03-16
A0704 OTHER Fracture Of Lower Extremity M <41.50 9 9 $30,834.76 $30,834.76 $30,834.76 $32,068.15 $30,834.76 2026-03-16
D0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 9 9 $30,964.54 $30,964.54 $30,964.54 $32,203.13 $30,964.54 2026-03-16
D1404 OTHER Cardiac M <45.50 9 9 $30,976.17 $30,976.17 $30,976.17 $32,215.21 $30,976.17 2026-03-16
B1502 OTHER Pulmonary M >=56.50 And M <68.50 9 9 $31,036.22 $31,036.22 $31,036.22 $32,277.66 $31,036.22 2026-03-16
C0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 9 9 $31,040.09 $31,040.09 $31,040.09 $32,281.69 $31,040.09 2026-03-16
B2101 OTHER Burns M >=52.50 9 9 $31,111.76 $31,111.76 $31,111.76 $32,356.23 $31,111.76 2026-03-16
D0904 OTHER Other Orthopedic M <44.5 9 9 $31,160.19 $31,160.19 $31,160.19 $32,406.60 $31,160.19 2026-03-16
D2102 OTHER Burns M <52.50 9 9 $31,257.05 $31,257.05 $31,257.05 $32,507.33 $31,257.05 2026-03-16
D1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 9 9 $31,280.29 $31,280.29 $31,280.29 $32,531.50 $31,280.29 2026-03-16
D0104 OTHER Stroke M >=41.50 And M <50.50 9 9 $31,446.88 $31,446.88 $31,446.88 $32,704.76 $31,446.88 2026-03-16
B0502 OTHER Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 9 9 $31,479.81 $31,479.81 $31,479.81 $32,739.00 $31,479.81 2026-03-16
B1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 9 9 $31,497.25 $31,497.25 $31,497.25 $32,757.14 $31,497.25 2026-03-16
B0602 OTHER Neurological M >=52.50 And M <64.50 9 9 $31,553.42 $31,553.42 $31,553.42 $32,815.56 $31,553.42 2026-03-16
A0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 9 9 $31,754.88 $31,754.88 $31,754.88 $33,025.08 $31,754.88 2026-03-16
D1604 OTHER Pain Syndrome M <43.50 9 9 $31,838.18 $31,838.18 $31,838.18 $33,111.70 $31,838.18 2026-03-16
D2005 OTHER Miscellaneous M <46.50 And A <77.50 9 9 $31,954.40 $31,954.40 $31,954.40 $33,232.58 $31,954.40 2026-03-16
C1203 OTHER Osteoarthritis M <49.50 And A >=74.50 9 9 $32,055.13 $32,055.13 $32,055.13 $33,337.34 $32,055.13 2026-03-16
A1004 OTHER Amputation Lower Extremity M <47.50 9 9 $32,059.01 $32,059.01 $32,059.01 $33,341.37 $32,059.01 2026-03-16
D1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 9 9 $32,446.42 $32,446.42 $32,446.42 $33,744.28 $32,446.42 2026-03-16
D1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 9 9 $32,512.29 $32,512.29 $32,512.29 $33,812.78 $32,512.29 2026-03-16
B0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 9 9 $32,520.03 $32,520.03 $32,520.03 $33,820.84 $32,520.03 2026-03-16
A1504 OTHER Pulmonary M <45.50 9 9 $32,663.38 $32,663.38 $32,663.38 $33,969.92 $32,663.38 2026-03-16
C0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 9 9 $32,711.81 $32,711.81 $32,711.81 $34,020.28 $32,711.81 2026-03-16
C0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 9 9 $32,733.12 $32,733.12 $32,733.12 $34,042.44 $32,733.12 2026-03-16
C1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 9 9 $32,748.61 $32,748.61 $32,748.61 $34,058.56 $32,748.61 2026-03-16
C2004 OTHER Miscellaneous M <46.50 And A >=77.50 9 9 $32,826.10 $32,826.10 $32,826.10 $34,139.14 $32,826.10 2026-03-16
D1903 OTHER Guillain-barré M >=38.50 And M <51.50 9 9 $32,845.47 $32,845.47 $32,845.47 $34,159.29 $32,845.47 2026-03-16
A1903 OTHER Guillain-barré M >=38.50 And M <51.50 9 9 $32,853.22 $32,853.22 $32,853.22 $34,167.34 $32,853.22 2026-03-16
B0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 9 9 $32,901.64 $32,901.64 $32,901.64 $34,217.71 $32,901.64 2026-03-16
C0904 OTHER Other Orthopedic M <44.5 9 9 $32,986.88 $32,986.88 $32,986.88 $34,306.35 $32,986.88 2026-03-16
C1204 OTHER Osteoarthritis M <49.50 And A <74.50 9 9 $33,002.37 $33,002.37 $33,002.37 $34,322.47 $33,002.37 2026-03-16
C0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 9 9 $33,215.45 $33,215.45 $33,215.45 $34,544.07 $33,215.45 2026-03-16
B1403 OTHER Cardiac M >=45.50 And M <55.50 9 9 $33,331.68 $33,331.68 $33,331.68 $34,664.95 $33,331.68 2026-03-16
B0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 9 9 $33,382.04 $33,382.04 $33,382.04 $34,717.33 $33,382.04 2026-03-16
C1404 OTHER Cardiac M <45.50 9 9 $33,500.21 $33,500.21 $33,500.21 $34,840.22 $33,500.21 2026-03-16
A1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 9 9 $33,523.45 $33,523.45 $33,523.45 $34,864.39 $33,523.45 2026-03-16
B2003 OTHER Miscellaneous M >=46.50 And M <55.50 9 9 $33,562.19 $33,562.19 $33,562.19 $34,904.68 $33,562.19 2026-03-16
C1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 9 9 $33,690.04 $33,690.04 $33,690.04 $35,037.64 $33,690.04 2026-03-16
D0704 OTHER Fracture Of Lower Extremity M <41.50 9 9 $33,744.28 $33,744.28 $33,744.28 $35,094.05 $33,744.28 2026-03-16
D0604 OTHER Neurological M <43.50 9 9 $33,850.82 $33,850.82 $33,850.82 $35,204.86 $33,850.82 2026-03-16
D0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 9 9 $33,920.56 $33,920.56 $33,920.56 $35,277.38 $33,920.56 2026-03-16
A1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 9 9 $33,922.50 $33,922.50 $33,922.50 $35,279.40 $33,922.50 2026-03-16
C0805 OTHER Replacement Of Lower-extremity Joint M <42.50 9 9 $34,114.27 $34,114.27 $34,114.27 $35,478.84 $34,114.27 2026-03-16
D1504 OTHER Pulmonary M <45.50 9 9 $34,168.51 $34,168.51 $34,168.51 $35,535.25 $34,168.51 2026-03-16
B1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 9 9 $34,275.05 $34,275.05 $34,275.05 $35,646.05 $34,275.05 2026-03-16
C2005 OTHER Miscellaneous M <46.50 And A <77.50 9 9 $34,360.28 $34,360.28 $34,360.28 $35,734.69 $34,360.28 2026-03-16
B1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 9 9 $34,387.40 $34,387.40 $34,387.40 $35,762.90 $34,387.40 2026-03-16
B1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 9 9 $34,418.39 $34,418.39 $34,418.39 $35,795.13 $34,418.39 2026-03-16
D1004 OTHER Amputation Lower Extremity M <47.50 9 9 $34,526.87 $34,526.87 $34,526.87 $35,907.95 $34,526.87 2026-03-16
C0104 OTHER Stroke M >=41.50 And M <50.50 9 9 $34,708.96 $34,708.96 $34,708.96 $36,097.32 $34,708.96 2026-03-16
C1604 OTHER Pain Syndrome M <43.50 9 9 $34,805.81 $34,805.81 $34,805.81 $36,198.05 $34,805.81 2026-03-16
A0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 9 9 $35,102.19 $35,102.19 $35,102.19 $36,506.28 $35,102.19 2026-03-16
B0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 9 9 $35,375.32 $35,375.32 $35,375.32 $36,790.33 $35,375.32 2026-03-16
C1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 9 9 $35,412.13 $35,412.13 $35,412.13 $36,828.61 $35,412.13 2026-03-16
C1103 OTHER Amputation Non-lower Extremity M <52.50 9 9 $35,474.11 $35,474.11 $35,474.11 $36,893.08 $35,474.11 2026-03-16
C1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 9 9 $35,483.80 $35,483.80 $35,483.80 $36,903.15 $35,483.80 2026-03-16
C0704 OTHER Fracture Of Lower Extremity M <41.50 9 9 $35,530.29 $35,530.29 $35,530.29 $36,951.50 $35,530.29 2026-03-16
B0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 9 9 $35,646.51 $35,646.51 $35,646.51 $37,072.37 $35,646.51 2026-03-16
C0604 OTHER Neurological M <43.50 9 9 $35,939.02 $35,939.02 $35,939.02 $37,376.58 $35,939.02 2026-03-16
B0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 9 9 $35,987.44 $35,987.44 $35,987.44 $37,426.94 $35,987.44 2026-03-16
A0205 OTHER Traumatic Brain Injury M <35.50 9 9 $36,022.31 $36,022.31 $36,022.31 $37,463.20 $36,022.31 2026-03-16
D1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 9 9 $36,142.41 $36,142.41 $36,142.41 $37,588.11 $36,142.41 2026-03-16
B0903 OTHER Other Orthopedic M >=44.50 And M <51.50 9 9 $36,165.66 $36,165.66 $36,165.66 $37,612.28 $36,165.66 2026-03-16
B1503 OTHER Pulmonary M >=45.50 And M <56.50 9 9 $36,185.03 $36,185.03 $36,185.03 $37,632.43 $36,185.03 2026-03-16
C0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 9 9 $36,384.55 $36,384.55 $36,384.55 $37,839.93 $36,384.55 2026-03-16
D1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 9 9 $36,415.54 $36,415.54 $36,415.54 $37,872.16 $36,415.54 2026-03-16
C1504 OTHER Pulmonary M <45.50 9 9 $36,485.28 $36,485.28 $36,485.28 $37,944.69 $36,485.28 2026-03-16
B1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 9 9 $36,955.99 $36,955.99 $36,955.99 $38,434.23 $36,955.99 2026-03-16
A0105 OTHER Stroke M <41.50 And A >=84.50 9 9 $37,172.95 $37,172.95 $37,172.95 $38,659.87 $37,172.95 2026-03-16
74080549 CDM Verteb Augm Ea Add W Imag 9 9 $38,769.13 $38,769.13 $38,769.13 $38,769.13 $38,769.13 2026-03-16
74080547 CDM Verteb Augm Thorac W Imag 9 9 $38,769.13 $38,769.13 $38,769.13 $38,769.13 $38,769.13 2026-03-16
74080548 CDM Verteb Augm Lumbar W Imag 9 9 $38,769.13 $38,769.13 $38,769.13 $38,769.13 $38,769.13 2026-03-16
76085037 CDM Strontium Sr-89 Thera/mci 9 9 $38,865.52 $38,865.52 $38,865.52 $38,865.52 $38,865.52 2026-03-16
74080525 CDM Stnt Plc Transcth Art Ini 9 9 $38,869.80 $38,869.80 $38,869.80 $38,869.80 $38,869.80 2026-03-16
B1103 OTHER Amputation Non-lower Extremity M <52.50 9 9 $37,471.26 $37,471.26 $37,471.26 $38,970.11 $37,471.26 2026-03-16
B0603 OTHER Neurological M >=43.50 And M <52.50 9 9 $37,521.63 $37,521.63 $37,521.63 $39,022.49 $37,521.63 2026-03-16
74080527 CDM Stnt Plc Transc Vein Ini 9 9 $39,032.60 $39,032.60 $39,032.60 $39,032.60 $39,032.60 2026-03-16
C1903 OTHER Guillain-barré M >=38.50 And M <51.50 9 9 $37,781.20 $37,781.20 $37,781.20 $39,292.45 $37,781.20 2026-03-16
B1902 OTHER Guillain-barré M >=51.50 And M <66.50 9 9 $37,783.14 $37,783.14 $37,783.14 $39,294.46 $37,783.14 2026-03-16
B0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 9 9 $37,974.91 $37,974.91 $37,974.91 $39,493.90 $37,974.91 2026-03-16
C1004 OTHER Amputation Lower Extremity M <47.50 9 9 $38,040.77 $38,040.77 $38,040.77 $39,562.40 $38,040.77 2026-03-16
D0205 OTHER Traumatic Brain Injury M <35.50 9 9 $38,341.02 $38,341.02 $38,341.02 $39,874.66 $38,341.02 2026-03-16
D0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 9 9 $38,790.43 $38,790.43 $38,790.43 $40,342.04 $38,790.43 2026-03-16
B1604 OTHER Pain Syndrome M <43.50 9 9 $38,836.92 $38,836.92 $38,836.92 $40,390.39 $38,836.92 2026-03-16
B0104 OTHER Stroke M >=41.50 And M <50.50 9 9 $39,084.87 $39,084.87 $39,084.87 $40,648.26 $39,084.87 2026-03-16
D0105 OTHER Stroke M <41.50 And A >=84.50 9 9 $39,189.47 $39,189.47 $39,189.47 $40,757.05 $39,189.47 2026-03-16
C1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 9 9 $39,220.46 $39,220.46 $39,220.46 $40,789.28 $39,220.46 2026-03-16
C1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 9 9 $39,288.26 $39,288.26 $39,288.26 $40,859.79 $39,288.26 2026-03-16
A5102 OTHER Expired, Orthopedic, Length Of Stay Is 14 Days Or More 9 9 $39,681.49 $39,681.49 $39,681.49 $41,268.75 $39,681.49 2026-03-16
C0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 9 9 $39,838.40 $39,838.40 $39,838.40 $41,431.93 $39,838.40 2026-03-16
A0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 9 9 $39,873.27 $39,873.27 $39,873.27 $41,468.20 $39,873.27 2026-03-16
B1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 9 9 $40,030.17 $40,030.17 $40,030.17 $41,631.38 $40,030.17 2026-03-16
76085035 CDM Sm153 Lexidron To 150mci 9 9 $41,825.76 $41,825.76 $41,825.76 $41,825.76 $41,825.76 2026-03-16
B1203 OTHER Osteoarthritis M <49.50 And A >=74.50 9 9 $40,388.54 $40,388.54 $40,388.54 $42,004.08 $40,388.54 2026-03-16
B0805 OTHER Replacement Of Lower-extremity Joint M <42.50 9 9 $40,504.76 $40,504.76 $40,504.76 $42,124.95 $40,504.76 2026-03-16
B2004 OTHER Miscellaneous M <46.50 And A >=77.50 9 9 $40,932.86 $40,932.86 $40,932.86 $42,570.17 $40,932.86 2026-03-16
B0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 9 9 $41,142.07 $41,142.07 $41,142.07 $42,787.75 $41,142.07 2026-03-16
C2102 OTHER Burns M <52.50 9 9 $41,448.13 $41,448.13 $41,448.13 $43,106.05 $41,448.13 2026-03-16
B1204 OTHER Osteoarthritis M <49.50 And A <74.50 9 9 $41,579.85 $41,579.85 $41,579.85 $43,243.05 $41,579.85 2026-03-16
B1404 OTHER Cardiac M <45.50 9 9 $41,585.66 $41,585.66 $41,585.66 $43,249.09 $41,585.66 2026-03-16
A0106 OTHER Stroke M <41.50 And A <84.50 9 9 $41,872.35 $41,872.35 $41,872.35 $43,547.25 $41,872.35 2026-03-16
B0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 9 9 $41,909.16 $41,909.16 $41,909.16 $43,585.52 $41,909.16 2026-03-16
C0205 OTHER Traumatic Brain Injury M <35.50 9 9 $41,967.27 $41,967.27 $41,967.27 $43,645.96 $41,967.27 2026-03-16
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 9 9 $42,385.69 $42,385.69 $42,385.69 $44,081.11 $42,385.69 2026-03-16
B1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 9 9 $42,525.16 $42,525.16 $42,525.16 $44,226.16 $42,525.16 2026-03-16
B0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 9 9 $42,594.89 $42,594.89 $42,594.89 $44,298.69 $42,594.89 2026-03-16
B2005 OTHER Miscellaneous M <46.50 And A <77.50 9 9 $42,844.78 $42,844.78 $42,844.78 $44,558.57 $42,844.78 2026-03-16
C0105 OTHER Stroke M <41.50 And A >=84.50 9 9 $43,255.44 $43,255.44 $43,255.44 $44,985.66 $43,255.44 2026-03-16
D0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 9 9 $43,267.07 $43,267.07 $43,267.07 $44,997.75 $43,267.07 2026-03-16
B0904 OTHER Other Orthopedic M <44.5 9 9 $43,549.88 $43,549.88 $43,549.88 $45,291.88 $43,549.88 2026-03-16
D0106 OTHER Stroke M <41.50 And A <84.50 9 9 $44,144.57 $44,144.57 $44,144.57 $45,910.35 $44,144.57 2026-03-16
B1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 9 9 $44,295.67 $44,295.67 $44,295.67 $46,067.49 $44,295.67 2026-03-16
A0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 9 $44,315.04 $44,315.04 $44,315.04 $46,087.64 $44,315.04 2026-03-16
B1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 9 9 $44,382.84 $44,382.84 $44,382.84 $46,158.15 $44,382.84 2026-03-16
B0704 OTHER Fracture Of Lower Extremity M <41.50 9 9 $44,437.07 $44,437.07 $44,437.07 $46,214.56 $44,437.07 2026-03-16
74080483 CDM Revise Tips 9 9 $47,034.04 $47,034.04 $47,034.04 $47,034.04 $47,034.04 2026-03-16
B1504 OTHER Pulmonary M <45.50 9 9 $45,376.57 $45,376.57 $45,376.57 $47,191.63 $45,376.57 2026-03-16
B1004 OTHER Amputation Lower Extremity M <47.50 9 9 $45,781.42 $45,781.42 $45,781.42 $47,612.68 $45,781.42 2026-03-16
B0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 9 9 $45,907.33 $45,907.33 $45,907.33 $47,743.63 $45,907.33 2026-03-16
A0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 9 $46,176.59 $46,176.59 $46,176.59 $48,023.65 $46,176.59 2026-03-16
74080268 CDM Insert Tips 9 9 $48,288.18 $48,288.18 $48,288.18 $48,288.18 $48,288.18 2026-03-16
C0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 9 9 $46,507.83 $46,507.83 $46,507.83 $48,368.15 $46,507.83 2026-03-16
B0604 OTHER Neurological M <43.50 9 9 $47,455.08 $47,455.08 $47,455.08 $49,353.28 $47,455.08 2026-03-16
B1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 9 9 $48,024.58 $48,024.58 $48,024.58 $49,945.57 $48,024.58 2026-03-16
B0105 OTHER Stroke M <41.50 And A >=84.50 9 9 $48,710.32 $48,710.32 $48,710.32 $50,658.73 $48,710.32 2026-03-16
C0106 OTHER Stroke M <41.50 And A <84.50 9 9 $48,723.88 $48,723.88 $48,723.88 $50,672.83 $48,723.88 2026-03-16
B0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 9 9 $48,739.37 $48,739.37 $48,739.37 $50,688.95 $48,739.37 2026-03-16
D0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 9 $48,971.83 $48,971.83 $48,971.83 $50,930.70 $48,971.83 2026-03-16
A1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 9 $49,148.10 $49,148.10 $49,148.10 $51,114.03 $49,148.10 2026-03-16
B2102 OTHER Burns M <52.50 9 9 $49,301.13 $49,301.13 $49,301.13 $51,273.18 $49,301.13 2026-03-16
B1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 9 9 $49,506.46 $49,506.46 $49,506.46 $51,486.72 $49,506.46 2026-03-16
C0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 9 $50,294.86 $50,294.86 $50,294.86 $52,306.66 $50,294.86 2026-03-16
D1904 OTHER Guillain-barré M <38.50 9 9 $50,504.07 $50,504.07 $50,504.07 $52,524.23 $50,504.07 2026-03-16
A1904 OTHER Guillain-barré M <38.50 9 9 $50,519.57 $50,519.57 $50,519.57 $52,540.35 $50,519.57 2026-03-16
D0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 9 $51,029.03 $51,029.03 $51,029.03 $53,070.19 $51,029.03 2026-03-16
D1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 9 $52,363.69 $52,363.69 $52,363.69 $54,458.23 $52,363.69 2026-03-16
C0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 9 $52,408.24 $52,408.24 $52,408.24 $54,504.57 $52,408.24 2026-03-16
B0205 OTHER Traumatic Brain Injury M <35.50 9 9 $52,782.10 $52,782.10 $52,782.10 $54,893.38 $52,782.10 2026-03-16
B1903 OTHER Guillain-barré M >=38.50 And M <51.50 9 9 $53,458.15 $53,458.15 $53,458.15 $55,596.47 $53,458.15 2026-03-16
74080529 CDM Occ/emb Non Hemorr Venous 9 9 $56,399.93 $56,399.93 $56,399.93 $56,399.93 $56,399.93 2026-03-16
74080531 CDM Occ/emb Tumor/organ Infar 9 9 $56,399.93 $56,399.93 $56,399.93 $56,399.93 $56,399.93 2026-03-16
74080532 CDM Occ/emb Hemorrhag/lymph 9 9 $56,399.93 $56,399.93 $56,399.93 $56,399.93 $56,399.93 2026-03-16
74080530 CDM Occ/emb Non Hemorr Art 9 9 $56,399.93 $56,399.93 $56,399.93 $56,399.93 $56,399.93 2026-03-16
B0106 OTHER Stroke M <41.50 And A <84.50 9 9 $54,868.36 $54,868.36 $54,868.36 $57,063.09 $54,868.36 2026-03-16
C1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 9 $56,921.68 $56,921.68 $56,921.68 $59,198.55 $56,921.68 2026-03-16
C1904 OTHER Guillain-barré M <38.50 9 9 $58,095.57 $58,095.57 $58,095.57 $60,419.39 $58,095.57 2026-03-16
B0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 9 9 $60,518.88 $60,518.88 $60,518.88 $62,939.63 $60,518.88 2026-03-16
B0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 9 9 $61,531.98 $61,531.98 $61,531.98 $63,993.26 $61,531.98 2026-03-16
A0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 9 $63,234.69 $63,234.69 $63,234.69 $65,764.08 $63,234.69 2026-03-16
B0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 9 9 $64,118.01 $64,118.01 $64,118.01 $66,682.73 $64,118.01 2026-03-16
B1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 9 9 $69,578.69 $69,578.69 $69,578.69 $72,361.84 $69,578.69 2026-03-16
D0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 9 $69,880.88 $69,880.88 $69,880.88 $72,676.12 $69,880.88 2026-03-16
C0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 9 $71,769.55 $71,769.55 $71,769.55 $74,640.34 $71,769.55 2026-03-16
B1904 OTHER Guillain-barré M <38.50 9 9 $82,202.78 $82,202.78 $82,202.78 $85,490.89 $82,202.78 2026-03-16
B0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 9 9 $87,804.87 $87,804.87 $87,804.87 $91,317.06 $87,804.87 2026-03-16
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