Hospital

Atlantic Rehabilitation Institute

Madison, NJ · CCN 313038 · Rates published

7,877 distinct procedures filed

37 distinct payers

310,763 rate rows

2026-03-17 last MRF observed

Data quality

92,367 of 310,763 rate rows are consumer-grade (29.7%)

218,396 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
per-diem day rate — not a per-procedure price	218,322
placeholder amount (≤ $0.02) — excluded from medians	74

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

Source MRF file	https://www.atlanticrehabinstitute.com/docs/zirfatlanticrehabilitationinstitutelibraries/mar2026/814711074_atlantic-rehabilitation-institute_standardcharges.csv.zip
Discovered via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint	f28b9127c0ffb11a… · 1,855,447 bytes · first seen 2026-05-18

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	11	$93,602.32	$102,962.55	$93,602.32	nat. median $86,320 1.1× median
B1904 OTHER	Guillain-barré M <38.50	11	$87,630.34	$96,393.37	$87,630.34	nat. median $80,609 1.1× median
C0407 OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	$76,508.25	$84,159.07	$76,508.25	nat. median $71,021 1.1× median
D0407 OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	$74,494.88	$81,944.36	$74,494.88	nat. median $68,708 1.1× median
B1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	$74,172.74	$81,590.01	$74,172.74	nat. median $68,402 1.1× median
B0406 OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	$68,351.50	$75,186.65	$68,351.50	nat. median $62,870 1.1× median
A0407 OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	$67,409.86	$74,150.85	$67,409.86	nat. median $62,810 1.1× median
B0404 OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	$65,594.73	$72,154.20	$65,594.73	nat. median $60,491 1.1× median
B0505 OTHER	Non-traumatic Spinal Cord Injury M <39.50	11	$64,514.73	$70,966.20	$64,514.73	nat. median $59,495 1.1× median
C1904 OTHER	Guillain-barré M <38.50	11	$61,931.42	$68,124.56	$61,931.42	nat. median $57,113 1.1× median
C1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	$60,680.03	$66,748.03	$60,680.03	nat. median $55,837 1.1× median
74080530 CDM	Occ/emb Non Hemorr Art	11	$59,219.93	$59,219.93	$59,219.93	nat. median $55,326 1.1× median
74080531 CDM	Occ/emb Tumor/organ Infar	11	$59,219.93	$59,219.93	$59,219.93	nat. median $55,326 1.1× median
74080529 CDM	Occ/emb Non Hemorr Venous	11	$59,219.93	$59,219.93	$59,219.93	nat. median $55,326 1.1× median
74080532 CDM	Occ/emb Hemorrhag/lymph	11	$59,219.93	$59,219.93	$59,219.93	nat. median $55,326 1.1× median
B0106 OTHER	Stroke M <41.50 And A <84.50	11	$58,491.13	$64,340.24	$58,491.13	nat. median $54,065 1.1× median
B1903 OTHER	Guillain-barré M >=38.50 And M <51.50	11	$56,987.81	$62,686.59	$56,987.81	nat. median $52,554 1.1× median
B0205 OTHER	Traumatic Brain Injury M <35.50	11	$56,267.12	$61,893.83	$56,267.12	nat. median $51,964 1.1× median
C0406 OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	$55,868.57	$61,455.43	$55,868.57	nat. median $51,880 1.1× median
D1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	$55,821.08	$61,403.19	$55,821.08	nat. median $51,478 1.1× median
D0406 OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	$54,398.29	$59,838.12	$54,398.29	nat. median $50,515 1.1× median
A1904 OTHER	Guillain-barré M <38.50	11	$53,855.20	$59,240.72	$53,855.20	nat. median $50,010 1.1× median
D1904 OTHER	Guillain-barré M <38.50	11	$53,838.68	$59,222.55	$53,838.68	nat. median $49,901 1.1× median
C0404 OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	$53,615.66	$58,977.23	$53,615.66	nat. median $49,743 1.1× median
B1705 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	11	$52,775.21	$58,052.73	$52,775.21	nat. median $48,669 1.1× median
B2102 OTHER	Burns M <52.50	11	$52,556.32	$57,811.95	$52,556.32	nat. median $48,467 1.1× median
A1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	$52,393.18	$57,632.50	$52,393.18	nat. median $48,628 1.1× median
D0404 OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	$52,205.26	$57,425.79	$52,205.26	nat. median $48,434 1.1× median
B0405 OTHER	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	11	$51,957.46	$57,153.21	$51,957.46	nat. median $47,915 1.1× median
C0106 OTHER	Stroke M <41.50 And A <84.50	11	$51,940.94	$57,135.04	$51,940.94	nat. median $47,971 1.1× median
B0105 OTHER	Stroke M <41.50 And A >=84.50	11	$51,926.49	$57,119.14	$51,926.49	nat. median $47,979 1.1× median
B1805 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	11	$51,195.48	$56,315.03	$51,195.48	nat. median $47,212 1.1× median
74080268 CDM	Insert Tips	11	$50,702.59	$50,702.59	$50,702.59	nat. median $47,368 1.1× median
B0604 OTHER	Neurological M <43.50	11	$50,588.37	$55,647.21	$50,588.37	nat. median $46,755 1.1× median
C0505 OTHER	Non-traumatic Spinal Cord Injury M <39.50	11	$49,578.58	$54,536.44	$49,578.58	nat. median $45,787 1.1× median
74080483 CDM	Revise Tips	11	$49,385.74	$49,385.74	$49,385.74	nat. median $46,138 1.1× median
A0406 OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	$49,225.47	$54,148.02	$49,225.47	nat. median $45,990 1.1× median
B0305 OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50	11	$48,938.43	$53,832.28	$48,938.43	nat. median $45,142 1.1× median
B1004 OTHER	Amputation Lower Extremity M <47.50	11	$48,804.21	$53,684.63	$48,804.21	nat. median $45,008 1.1× median
B1504 OTHER	Pulmonary M <45.50	11	$48,372.63	$53,209.89	$48,372.63	nat. median $44,609 1.1× median
B0704 OTHER	Fracture Of Lower Extremity M <41.50	11	$47,371.10	$52,108.21	$47,371.10	nat. median $43,748 1.1× median
B1304 OTHER	Rheumatoid Other Arthritis M <44.50 And A >=64.50	11	$47,313.28	$52,044.61	$47,313.28	nat. median $43,632 1.1× median
A0404 OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	$47,241.00	$51,965.11	$47,241.00	nat. median $43,915 1.1× median
B1305 OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50	11	$47,220.36	$51,942.39	$47,220.36	nat. median $43,434 1.1× median
D0106 OTHER	Stroke M <41.50 And A <84.50	11	$47,059.29	$51,765.21	$47,059.29	nat. median $43,510 1.1× median
B0904 OTHER	Other Orthopedic M <44.5	11	$46,425.33	$51,067.86	$46,425.33	nat. median $42,813 1.1× median
D0505 OTHER	Non-traumatic Spinal Cord Injury M <39.50	11	$46,123.84	$50,736.22	$46,123.84	nat. median $42,599 1.1× median
C0105 OTHER	Stroke M <41.50 And A >=84.50	11	$46,111.45	$50,722.60	$46,111.45	nat. median $42,585 1.1× median
B2005 OTHER	Miscellaneous M <46.50 And A <77.50	11	$45,673.67	$50,241.04	$45,673.67	nat. median $42,136 1.1× median
B0504 OTHER	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	11	$45,407.29	$49,948.01	$45,407.29	nat. median $41,890 1.1× median

Other procedures at this hospital

Browse this hospital's 7,877 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

74080421	CDM	Nephrostolithotm/pyel<2cm	11	11	$24,448.84	$24,448.84	$24,448.84	$24,448.84	$24,448.84	2026-03-17
A0804	OTHER	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	11	11	$24,453.73	$24,453.73	$24,453.73	$26,899.10	$24,453.73	2026-03-17
B2001	OTHER	Miscellaneous M >=66.50	11	11	$24,540.46	$24,540.46	$24,540.46	$26,994.51	$24,540.46	2026-03-17
C0902	OTHER	Other Orthopedic M >=51.50 And M <63.50	11	11	$24,608.60	$24,608.60	$24,608.60	$27,069.47	$24,608.60	2026-03-17
B0301	OTHER	Non-traumatic Brain Injury M >=65.50	11	11	$24,654.03	$24,654.03	$24,654.03	$27,119.44	$24,654.03	2026-03-17
D1702	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	11	11	$24,697.40	$24,697.40	$24,697.40	$27,167.14	$24,697.40	2026-03-17
D1902	OTHER	Guillain-barré M >=51.50 And M <66.50	11	11	$24,746.96	$24,746.96	$24,746.96	$27,221.66	$24,746.96	2026-03-17
A1902	OTHER	Guillain-barré M >=51.50 And M <66.50	11	11	$24,753.15	$24,753.15	$24,753.15	$27,228.47	$24,753.15	2026-03-17
A0103	OTHER	Stroke M >=50.50 And M <63.50	11	11	$24,895.64	$24,895.64	$24,895.64	$27,385.20	$24,895.64	2026-03-17
D1502	OTHER	Pulmonary M >=56.50 And M <68.50	11	11	$24,914.22	$24,914.22	$24,914.22	$27,405.65	$24,914.22	2026-03-17
A0503	OTHER	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	11	11	$25,036.06	$25,036.06	$25,036.06	$27,539.67	$25,036.06	2026-03-17
C0702	OTHER	Fracture Of Lower Extremity M >=52.50 And M <61.50	11	11	$25,038.13	$25,038.13	$25,038.13	$27,541.94	$25,038.13	2026-03-17
A0903	OTHER	Other Orthopedic M >=44.50 And M <51.50	11	11	$25,166.15	$25,166.15	$25,166.15	$27,682.77	$25,166.15	2026-03-17
74080659	CDM	Plc Stent Bile Duct Ex Ea	11	11	$25,256.27	$25,256.27	$25,256.27	$25,256.27	$25,256.27	2026-03-17
74080581	CDM	Plc Stnt Bile Duct New Ea	11	11	$25,256.27	$25,256.27	$25,256.27	$25,256.27	$25,256.27	2026-03-17
74080661	CDM	Pl St Bile Duct Cth Nw Ea	11	11	$25,256.27	$25,256.27	$25,256.27	$25,256.27	$25,256.27	2026-03-17
74080582	CDM	Pl St Bile Duct Cth Nw Ea	11	11	$25,256.27	$25,256.27	$25,256.27	$25,256.27	$25,256.27	2026-03-17
74080660	CDM	Plc Stnt Bile Duct New Ea	11	11	$25,256.27	$25,256.27	$25,256.27	$25,256.27	$25,256.27	2026-03-17
74080580	CDM	Plc Stent Bile Duct Ex Ea	11	11	$25,256.27	$25,256.27	$25,256.27	$25,256.27	$25,256.27	2026-03-17
A0402	OTHER	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	11	11	$25,259.08	$25,259.08	$25,259.08	$27,784.99	$25,259.08	2026-03-17
C0302	OTHER	Non-traumatic Brain Injury M >=52.50 And M <65.50	11	11	$25,277.67	$25,277.67	$25,277.67	$27,805.43	$25,277.67	2026-03-17
B0701	OTHER	Fracture Of Lower Extremity M >=61.50	11	11	$25,335.49	$25,335.49	$25,335.49	$27,869.03	$25,335.49	2026-03-17
C1302	OTHER	Rheumatoid Other Arthritis M >=51.50 And M <62.50	11	11	$25,358.20	$25,358.20	$25,358.20	$27,894.02	$25,358.20	2026-03-17
B1001	OTHER	Amputation Lower Extremity M >=64.50	11	11	$25,376.78	$25,376.78	$25,376.78	$27,914.46	$25,376.78	2026-03-17
B0102	OTHER	Stroke M >=63.50 And M <72.50	11	11	$25,411.89	$25,411.89	$25,411.89	$27,953.08	$25,411.89	2026-03-17
C0602	OTHER	Neurological M >=52.50 And M <64.50	11	11	$25,475.90	$25,475.90	$25,475.90	$28,023.50	$25,475.90	2026-03-17
76085057	CDM	In111 Satumomab Dx To 6mc	11	11	$25,489.05	$25,489.05	$25,489.05	$25,489.05	$25,489.05	2026-03-17
C1202	OTHER	Osteoarthritis M >=49.50 And M <61.50	11	11	$25,527.53	$25,527.53	$25,527.53	$28,080.28	$25,527.53	2026-03-17
B0901	OTHER	Other Orthopedic M >=63.50	11	11	$25,575.03	$25,575.03	$25,575.03	$28,132.53	$25,575.03	2026-03-17
C1002	OTHER	Amputation Lower Extremity M >=55.50 And M <64.50	11	11	$25,616.33	$25,616.33	$25,616.33	$28,177.96	$25,616.33	2026-03-17
A0603	OTHER	Neurological M >=43.50 And M <52.50	11	11	$25,628.72	$25,628.72	$25,628.72	$28,191.59	$25,628.72	2026-03-17
A1003	OTHER	Amputation Lower Extremity M >=47.50 And M <55.50	11	11	$25,692.73	$25,692.73	$25,692.73	$28,262.00	$25,692.73	2026-03-17
C0803	OTHER	Replacement Of Lower-extremity Joint M >=51.50 And M <57.50	11	11	$25,703.06	$25,703.06	$25,703.06	$28,273.36	$25,703.06	2026-03-17
C0502	OTHER	Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50	11	11	$25,789.78	$25,789.78	$25,789.78	$28,368.76	$25,789.78	2026-03-17
A1803	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	11	11	$25,808.37	$25,808.37	$25,808.37	$28,389.21	$25,808.37	2026-03-17
D0203	OTHER	Traumatic Brain Injury M >=49.50 And M <61.50	11	11	$25,849.67	$25,849.67	$25,849.67	$28,434.64	$25,849.67	2026-03-17
B1301	OTHER	Rheumatoid Other Arthritis M >=62.50	11	11	$25,868.26	$25,868.26	$25,868.26	$28,455.08	$25,868.26	2026-03-17
D1603	OTHER	Pain Syndrome M >=43.50 And M <58.50	11	11	$25,930.21	$25,930.21	$25,930.21	$28,523.23	$25,930.21	2026-03-17
D1102	OTHER	Amputation Non-lower Extremity M >=52.50 And M <58.50	11	11	$25,981.83	$25,981.83	$25,981.83	$28,580.01	$25,981.83	2026-03-17
A0303	OTHER	Non-traumatic Brain Injury M >=42.50 And M <52.50	11	11	$26,087.15	$26,087.15	$26,087.15	$28,695.86	$26,087.15	2026-03-17
D0804	OTHER	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	11	11	$26,099.53	$26,099.53	$26,099.53	$28,709.49	$26,099.53	2026-03-17
B1602	OTHER	Pain Syndrome M >=58.50 And M <65.50	11	11	$26,118.12	$26,118.12	$26,118.12	$28,729.93	$26,118.12	2026-03-17
D0103	OTHER	Stroke M >=50.50 And M <63.50	11	11	$26,246.15	$26,246.15	$26,246.15	$28,870.76	$26,246.15	2026-03-17
C1101	OTHER	Amputation Non-lower Extremity M >=58.50	11	11	$26,440.26	$26,440.26	$26,440.26	$29,084.29	$26,440.26	2026-03-17
D1403	OTHER	Cardiac M >=45.50 And M <55.50	11	11	$26,465.04	$26,465.04	$26,465.04	$29,111.54	$26,465.04	2026-03-17
77020083	CDM	Liver Tumor Ablat Rf Perc	11	11	$26,561.87	$26,561.87	$26,561.87	$26,561.87	$26,561.87	2026-03-17
C1702	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	11	11	$26,599.26	$26,599.26	$26,599.26	$29,259.19	$26,599.26	2026-03-17
C1502	OTHER	Pulmonary M >=56.50 And M <68.50	11	11	$26,603.40	$26,603.40	$26,603.40	$29,263.73	$26,603.40	2026-03-17
A0703	OTHER	Fracture Of Lower Extremity M >=41.50 And M <52.50	11	11	$26,621.98	$26,621.98	$26,621.98	$29,284.18	$26,621.98	2026-03-17
A1703	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	11	11	$26,677.74	$26,677.74	$26,677.74	$29,345.51	$26,677.74	2026-03-17
D2003	OTHER	Miscellaneous M >=46.50 And M <55.50	11	11	$26,683.93	$26,683.93	$26,683.93	$29,352.32	$26,683.93	2026-03-17
D1303	OTHER	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	11	11	$26,853.26	$26,853.26	$26,853.26	$29,538.59	$26,853.26	2026-03-17
B0501	OTHER	Non-traumatic Spinal Cord Injury M >=60.50	11	11	$27,030.85	$27,030.85	$27,030.85	$29,733.94	$27,030.85	2026-03-17
B0601	OTHER	Neurological M >=64.50	11	11	$27,041.17	$27,041.17	$27,041.17	$29,745.29	$27,041.17	2026-03-17
B1501	OTHER	Pulmonary M >=68.50	11	11	$27,057.69	$27,057.69	$27,057.69	$29,763.46	$27,057.69	2026-03-17
D0503	OTHER	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	11	11	$27,167.14	$27,167.14	$27,167.14	$29,883.85	$27,167.14	2026-03-17
74080468	CDM	Revas Fem Pop Atherectomy	11	11	$27,200.62	$27,200.62	$27,200.62	$27,200.62	$27,200.62	2026-03-17
74080471	CDM	Revas Femoral Poplt Stent	11	11	$27,200.62	$27,200.62	$27,200.62	$27,200.62	$27,200.62	2026-03-17
74080469	CDM	Revas Fem Pop Stent Ather	11	11	$27,200.62	$27,200.62	$27,200.62	$27,200.62	$27,200.62	2026-03-17
B1701	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50	11	11	$27,239.42	$27,239.42	$27,239.42	$29,963.36	$27,239.42	2026-03-17
74080479	CDM	Revas Tib Peron Stent Ini	11	11	$27,302.95	$27,302.95	$27,302.95	$27,302.95	$27,302.95	2026-03-17
74080481	CDM	Revas Tib Pr Stnt Ath Ini	11	11	$27,302.95	$27,302.95	$27,302.95	$27,302.95	$27,302.95	2026-03-17
74080478	CDM	Revas Tib Peron Ather Ini	11	11	$27,302.95	$27,302.95	$27,302.95	$27,302.95	$27,302.95	2026-03-17
74080477	CDM	Revas Tib Peron Ather Add	11	11	$27,302.95	$27,302.95	$27,302.95	$27,302.95	$27,302.95	2026-03-17
B1201	OTHER	Osteoarthritis M >=61.50	11	11	$27,355.06	$27,355.06	$27,355.06	$30,090.56	$27,355.06	2026-03-17
D1803	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	11	11	$27,497.54	$27,497.54	$27,497.54	$30,247.29	$27,497.54	2026-03-17
D0903	OTHER	Other Orthopedic M >=44.50 And M <51.50	11	11	$27,584.27	$27,584.27	$27,584.27	$30,342.70	$27,584.27	2026-03-17
D1003	OTHER	Amputation Lower Extremity M >=47.50 And M <55.50	11	11	$27,671.00	$27,671.00	$27,671.00	$30,438.10	$27,671.00	2026-03-17
B1901	OTHER	Guillain-barré M >=66.50	11	11	$27,685.46	$27,685.46	$27,685.46	$30,454.00	$27,685.46	2026-03-17
B0802	OTHER	Replacement Of Lower-extremity Joint M >=57.50 And M <63.50	11	11	$27,728.82	$27,728.82	$27,728.82	$30,501.70	$27,728.82	2026-03-17
A1503	OTHER	Pulmonary M >=45.50 And M <56.50	11	11	$27,765.99	$27,765.99	$27,765.99	$30,542.59	$27,765.99	2026-03-17
D0303	OTHER	Non-traumatic Brain Injury M >=42.50 And M <52.50	11	11	$27,865.11	$27,865.11	$27,865.11	$30,651.62	$27,865.11	2026-03-17
C2101	OTHER	Burns M >=52.50	11	11	$27,883.69	$27,883.69	$27,883.69	$30,672.06	$27,883.69	2026-03-17
D0402	OTHER	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	11	11	$27,914.67	$27,914.67	$27,914.67	$30,706.14	$27,914.67	2026-03-17
B1101	OTHER	Amputation Non-lower Extremity M >=58.50	11	11	$27,927.06	$27,927.06	$27,927.06	$30,719.77	$27,927.06	2026-03-17
B0401	OTHER	Traumatic Spinal Cord Injury M >=56.50	11	11	$27,976.62	$27,976.62	$27,976.62	$30,774.28	$27,976.62	2026-03-17
A1203	OTHER	Osteoarthritis M <49.50 And A >=74.50	11	11	$28,282.24	$28,282.24	$28,282.24	$31,110.46	$28,282.24	2026-03-17
C0203	OTHER	Traumatic Brain Injury M >=49.50 And M <61.50	11	11	$28,294.63	$28,294.63	$28,294.63	$31,124.09	$28,294.63	2026-03-17
C1603	OTHER	Pain Syndrome M >=43.50 And M <58.50	11	11	$28,346.26	$28,346.26	$28,346.26	$31,180.88	$28,346.26	2026-03-17
C1902	OTHER	Guillain-barré M >=51.50 And M <66.50	11	11	$28,466.03	$28,466.03	$28,466.03	$31,312.63	$28,466.03	2026-03-17
A1103	OTHER	Amputation Non-lower Extremity M <52.50	11	11	$28,474.28	$28,474.28	$28,474.28	$31,321.71	$28,474.28	2026-03-17
D0603	OTHER	Neurological M >=43.50 And M <52.50	11	11	$28,532.10	$28,532.10	$28,532.10	$31,385.32	$28,532.10	2026-03-17
C1403	OTHER	Cardiac M >=45.50 And M <55.50	11	11	$28,622.97	$28,622.97	$28,622.97	$31,485.26	$28,622.97	2026-03-17
B0202	OTHER	Traumatic Brain Injury M >=61.50 And M <73.50	11	11	$28,622.97	$28,622.97	$28,622.97	$31,485.26	$28,622.97	2026-03-17
C0402	OTHER	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	11	11	$28,668.40	$28,668.40	$28,668.40	$31,535.23	$28,668.40	2026-03-17
C2003	OTHER	Miscellaneous M >=46.50 And M <55.50	11	11	$28,693.17	$28,693.17	$28,693.17	$31,562.49	$28,693.17	2026-03-17
C0103	OTHER	Stroke M >=50.50 And M <63.50	11	11	$28,969.88	$28,969.88	$28,969.88	$31,866.87	$28,969.88	2026-03-17
D1703	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	11	11	$28,978.15	$28,978.15	$28,978.15	$31,875.96	$28,978.15	2026-03-17
D1503	OTHER	Pulmonary M >=45.50 And M <56.50	11	11	$29,046.29	$29,046.29	$29,046.29	$31,950.92	$29,046.29	2026-03-17
A1204	OTHER	Osteoarthritis M <49.50 And A <74.50	11	11	$29,116.50	$29,116.50	$29,116.50	$32,028.15	$29,116.50	2026-03-17
D0703	OTHER	Fracture Of Lower Extremity M >=41.50 And M <52.50	11	11	$29,133.02	$29,133.02	$29,133.02	$32,046.32	$29,133.02	2026-03-17
A0403	OTHER	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	11	11	$29,153.67	$29,153.67	$29,153.67	$32,069.04	$29,153.67	2026-03-17
C0804	OTHER	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	11	11	$29,199.10	$29,199.10	$29,199.10	$32,119.01	$29,199.10	2026-03-17
C0903	OTHER	Other Orthopedic M >=44.50 And M <51.50	11	11	$29,201.17	$29,201.17	$29,201.17	$32,121.28	$29,201.17	2026-03-17
C0503	OTHER	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	11	11	$29,203.23	$29,203.23	$29,203.23	$32,123.55	$29,203.23	2026-03-17
C1303	OTHER	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	11	11	$29,306.48	$29,306.48	$29,306.48	$32,237.13	$29,306.48	2026-03-17
B1802	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50	11	11	$29,370.49	$29,370.49	$29,370.49	$32,307.54	$29,370.49	2026-03-17
B1402	OTHER	Cardiac M >=55.50 And M <68.50	11	11	$29,397.34	$29,397.34	$29,397.34	$32,337.07	$29,397.34	2026-03-17
36901	CPT	Intro Dial Graft	11	11	$29,735.11	$29,735.11	$29,735.11	$29,735.11	$29,735.11	2026-03-17
A2004	OTHER	Miscellaneous M <46.50 And A >=77.50	11	11	$29,791.76	$29,791.76	$29,791.76	$32,770.93	$29,791.76	2026-03-17
C0303	OTHER	Non-traumatic Brain Injury M >=42.50 And M <52.50	11	11	$29,888.81	$29,888.81	$29,888.81	$32,877.69	$29,888.81	2026-03-17
C1803	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	11	11	$29,890.88	$29,890.88	$29,890.88	$32,879.96	$29,890.88	2026-03-17
A0504	OTHER	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	11	11	$29,915.65	$29,915.65	$29,915.65	$32,907.22	$29,915.65	2026-03-17
A0204	OTHER	Traumatic Brain Injury M >=35.50 And M <49.50	11	11	$29,932.17	$29,932.17	$29,932.17	$32,925.39	$29,932.17	2026-03-17
A1804	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	11	11	$30,142.81	$30,142.81	$30,142.81	$33,157.09	$30,142.81	2026-03-17
C1102	OTHER	Amputation Non-lower Extremity M >=52.50 And M <58.50	11	11	$30,192.37	$30,192.37	$30,192.37	$33,211.60	$30,192.37	2026-03-17
C0603	OTHER	Neurological M >=43.50 And M <52.50	11	11	$30,293.55	$30,293.55	$30,293.55	$33,322.90	$30,293.55	2026-03-17
A0904	OTHER	Other Orthopedic M <44.5	11	11	$30,303.88	$30,303.88	$30,303.88	$33,334.26	$30,303.88	2026-03-17
A1404	OTHER	Cardiac M <45.50	11	11	$30,365.83	$30,365.83	$30,365.83	$33,402.41	$30,365.83	2026-03-17
A0805	OTHER	Replacement Of Lower-extremity Joint M <42.50	11	11	$30,456.69	$30,456.69	$30,456.69	$33,502.35	$30,456.69	2026-03-17
B2002	OTHER	Miscellaneous M >=55.50 And M <66.50	11	11	$30,469.08	$30,469.08	$30,469.08	$33,515.98	$30,469.08	2026-03-17
C1003	OTHER	Amputation Lower Extremity M >=47.50 And M <55.50	11	11	$30,487.66	$30,487.66	$30,487.66	$33,536.43	$30,487.66	2026-03-17
36226	CPT	Place Cath Vertebral Art Bi	11	11	$30,488.72	$30,488.72	$30,488.72	$30,488.72	$30,488.72	2026-03-17
B0803	OTHER	Replacement Of Lower-extremity Joint M >=51.50 And M <57.50	11	11	$30,516.57	$30,516.57	$30,516.57	$33,568.23	$30,516.57	2026-03-17
D1203	OTHER	Osteoarthritis M <49.50 And A >=74.50	11	11	$30,537.22	$30,537.22	$30,537.22	$33,590.94	$30,537.22	2026-03-17
C0703	OTHER	Fracture Of Lower Extremity M >=41.50 And M <52.50	11	11	$30,673.51	$30,673.51	$30,673.51	$33,740.86	$30,673.51	2026-03-17
A1704	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	11	11	$30,698.29	$30,698.29	$30,698.29	$33,768.12	$30,698.29	2026-03-17
A1604	OTHER	Pain Syndrome M <43.50	11	11	$30,764.37	$30,764.37	$30,764.37	$33,840.81	$30,764.37	2026-03-17
B1002	OTHER	Amputation Lower Extremity M >=55.50 And M <64.50	11	11	$30,828.38	$30,828.38	$30,828.38	$33,911.22	$30,828.38	2026-03-17
A0304	OTHER	Non-traumatic Brain Injury M <42.50 And A >=78.50	11	11	$30,902.72	$30,902.72	$30,902.72	$33,993.00	$30,902.72	2026-03-17
C1503	OTHER	Pulmonary M >=45.50 And M <56.50	11	11	$31,016.30	$31,016.30	$31,016.30	$34,117.93	$31,016.30	2026-03-17
A2005	OTHER	Miscellaneous M <46.50 And A <77.50	11	11	$31,183.56	$31,183.56	$31,183.56	$34,301.92	$31,183.56	2026-03-17
C1703	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	11	11	$31,210.41	$31,210.41	$31,210.41	$34,331.45	$31,210.41	2026-03-17
B0702	OTHER	Fracture Of Lower Extremity M >=52.50 And M <61.50	11	11	$31,315.72	$31,315.72	$31,315.72	$34,447.30	$31,315.72	2026-03-17
A1305	OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50	11	11	$31,421.04	$31,421.04	$31,421.04	$34,563.14	$31,421.04	2026-03-17
D1204	OTHER	Osteoarthritis M <49.50 And A <74.50	11	11	$31,439.63	$31,439.63	$31,439.63	$34,583.59	$31,439.63	2026-03-17
A1304	OTHER	Rheumatoid Other Arthritis M <44.50 And A >=64.50	11	11	$31,482.99	$31,482.99	$31,482.99	$34,631.29	$31,482.99	2026-03-17
B1603	OTHER	Pain Syndrome M >=43.50 And M <58.50	11	11	$31,629.60	$31,629.60	$31,629.60	$34,792.57	$31,629.60	2026-03-17
B1302	OTHER	Rheumatoid Other Arthritis M >=51.50 And M <62.50	11	11	$31,718.40	$31,718.40	$31,718.40	$34,890.24	$31,718.40	2026-03-17
A0104	OTHER	Stroke M >=41.50 And M <50.50	11	11	$31,796.87	$31,796.87	$31,796.87	$34,976.56	$31,796.87	2026-03-17
D0204	OTHER	Traumatic Brain Injury M >=35.50 And M <49.50	11	11	$31,858.82	$31,858.82	$31,858.82	$35,044.70	$31,858.82	2026-03-17
B1102	OTHER	Amputation Non-lower Extremity M >=52.50 And M <58.50	11	11	$31,891.86	$31,891.86	$31,891.86	$35,081.05	$31,891.86	2026-03-17
B0302	OTHER	Non-traumatic Brain Injury M >=52.50 And M <65.50	11	11	$31,893.92	$31,893.92	$31,893.92	$35,083.32	$31,893.92	2026-03-17
A2102	OTHER	Burns M <52.50	11	11	$31,953.81	$31,953.81	$31,953.81	$35,149.19	$31,953.81	2026-03-17
D1804	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	11	11	$32,114.88	$32,114.88	$32,114.88	$35,326.37	$32,114.88	2026-03-17
B1202	OTHER	Osteoarthritis M >=49.50 And M <61.50	11	11	$32,164.44	$32,164.44	$32,164.44	$35,380.88	$32,164.44	2026-03-17
D0403	OTHER	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	11	11	$32,218.13	$32,218.13	$32,218.13	$35,439.94	$32,218.13	2026-03-17
A0604	OTHER	Neurological M <43.50	11	11	$32,412.24	$32,412.24	$32,412.24	$35,653.46	$32,412.24	2026-03-17
D0504	OTHER	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	11	11	$32,461.80	$32,461.80	$32,461.80	$35,707.98	$32,461.80	2026-03-17
B0902	OTHER	Other Orthopedic M >=51.50 And M <63.50	11	11	$32,488.65	$32,488.65	$32,488.65	$35,737.51	$32,488.65	2026-03-17
D0805	OTHER	Replacement Of Lower-extremity Joint M <42.50	11	11	$32,507.23	$32,507.23	$32,507.23	$35,757.95	$32,507.23	2026-03-17
D2004	OTHER	Miscellaneous M <46.50 And A >=77.50	11	11	$32,544.40	$32,544.40	$32,544.40	$35,798.84	$32,544.40	2026-03-17
D1103	OTHER	Amputation Non-lower Extremity M <52.50	11	11	$32,544.40	$32,544.40	$32,544.40	$35,798.84	$32,544.40	2026-03-17
B0103	OTHER	Stroke M >=50.50 And M <63.50	11	11	$32,622.87	$32,622.87	$32,622.87	$35,885.16	$32,622.87	2026-03-17
A0704	OTHER	Fracture Of Lower Extremity M <41.50	11	11	$32,870.67	$32,870.67	$32,870.67	$36,157.74	$32,870.67	2026-03-17
D0304	OTHER	Non-traumatic Brain Injury M <42.50 And A >=78.50	11	11	$33,009.03	$33,009.03	$33,009.03	$36,309.93	$33,009.03	2026-03-17
D1404	OTHER	Cardiac M <45.50	11	11	$33,021.42	$33,021.42	$33,021.42	$36,323.56	$33,021.42	2026-03-17
B1502	OTHER	Pulmonary M >=56.50 And M <68.50	11	11	$33,085.43	$33,085.43	$33,085.43	$36,393.97	$33,085.43	2026-03-17
C0403	OTHER	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	11	11	$33,089.56	$33,089.56	$33,089.56	$36,398.52	$33,089.56	2026-03-17
B2101	OTHER	Burns M >=52.50	11	11	$33,165.96	$33,165.96	$33,165.96	$36,482.56	$33,165.96	2026-03-17
D0904	OTHER	Other Orthopedic M <44.5	11	11	$33,217.59	$33,217.59	$33,217.59	$36,539.35	$33,217.59	2026-03-17
D2102	OTHER	Burns M <52.50	11	11	$33,320.84	$33,320.84	$33,320.84	$36,652.92	$33,320.84	2026-03-17
D1704	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	11	11	$33,345.62	$33,345.62	$33,345.62	$36,680.18	$33,345.62	2026-03-17
D0104	OTHER	Stroke M >=41.50 And M <50.50	11	11	$33,523.21	$33,523.21	$33,523.21	$36,875.53	$33,523.21	2026-03-17
B0502	OTHER	Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50	11	11	$33,558.32	$33,558.32	$33,558.32	$36,914.15	$33,558.32	2026-03-17
B1702	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	11	11	$33,576.90	$33,576.90	$33,576.90	$36,934.59	$33,576.90	2026-03-17
B0602	OTHER	Neurological M >=52.50 And M <64.50	11	11	$33,636.79	$33,636.79	$33,636.79	$37,000.46	$33,636.79	2026-03-17
A0305	OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50	11	11	$33,851.54	$33,851.54	$33,851.54	$37,236.70	$33,851.54	2026-03-17
D1604	OTHER	Pain Syndrome M <43.50	11	11	$33,940.34	$33,940.34	$33,940.34	$37,334.37	$33,940.34	2026-03-17
D2005	OTHER	Miscellaneous M <46.50 And A <77.50	11	11	$34,064.24	$34,064.24	$34,064.24	$37,470.66	$34,064.24	2026-03-17
C1203	OTHER	Osteoarthritis M <49.50 And A >=74.50	11	11	$34,171.62	$34,171.62	$34,171.62	$37,588.78	$34,171.62	2026-03-17
A1004	OTHER	Amputation Lower Extremity M <47.50	11	11	$34,175.75	$34,175.75	$34,175.75	$37,593.32	$34,175.75	2026-03-17
D1305	OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50	11	11	$34,588.75	$34,588.75	$34,588.75	$38,047.63	$34,588.75	2026-03-17
D1304	OTHER	Rheumatoid Other Arthritis M <44.50 And A >=64.50	11	11	$34,658.96	$34,658.96	$34,658.96	$38,124.86	$34,658.96	2026-03-17
B0804	OTHER	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	11	11	$34,667.22	$34,667.22	$34,667.22	$38,133.94	$34,667.22	2026-03-17
A1504	OTHER	Pulmonary M <45.50	11	11	$34,820.03	$34,820.03	$34,820.03	$38,302.03	$34,820.03	2026-03-17
C0204	OTHER	Traumatic Brain Injury M >=35.50 And M <49.50	11	11	$34,871.65	$34,871.65	$34,871.65	$38,358.82	$34,871.65	2026-03-17
C0504	OTHER	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	11	11	$34,894.37	$34,894.37	$34,894.37	$38,383.81	$34,894.37	2026-03-17
C1804	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	11	11	$34,910.89	$34,910.89	$34,910.89	$38,401.98	$34,910.89	2026-03-17
C2004	OTHER	Miscellaneous M <46.50 And A >=77.50	11	11	$34,993.49	$34,993.49	$34,993.49	$38,492.84	$34,993.49	2026-03-17
D1903	OTHER	Guillain-barré M >=38.50 And M <51.50	11	11	$35,014.14	$35,014.14	$35,014.14	$38,515.55	$35,014.14	2026-03-17
A1903	OTHER	Guillain-barré M >=38.50 And M <51.50	11	11	$35,022.40	$35,022.40	$35,022.40	$38,524.64	$35,022.40	2026-03-17
B0402	OTHER	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	11	11	$35,074.03	$35,074.03	$35,074.03	$38,581.43	$35,074.03	2026-03-17
C0904	OTHER	Other Orthopedic M <44.5	11	11	$35,164.89	$35,164.89	$35,164.89	$38,681.37	$35,164.89	2026-03-17
C1204	OTHER	Osteoarthritis M <49.50 And A <74.50	11	11	$35,181.40	$35,181.40	$35,181.40	$38,699.55	$35,181.40	2026-03-17
C0304	OTHER	Non-traumatic Brain Injury M <42.50 And A >=78.50	11	11	$35,408.56	$35,408.56	$35,408.56	$38,949.41	$35,408.56	2026-03-17
B1403	OTHER	Cardiac M >=45.50 And M <55.50	11	11	$35,532.46	$35,532.46	$35,532.46	$39,085.70	$35,532.46	2026-03-17
B0203	OTHER	Traumatic Brain Injury M >=49.50 And M <61.50	11	11	$35,586.14	$35,586.14	$35,586.14	$39,144.76	$35,586.14	2026-03-17
C1404	OTHER	Cardiac M <45.50	11	11	$35,712.11	$35,712.11	$35,712.11	$39,283.32	$35,712.11	2026-03-17
A1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	11	11	$35,736.89	$35,736.89	$35,736.89	$39,310.58	$35,736.89	2026-03-17
B2003	OTHER	Miscellaneous M >=46.50 And M <55.50	11	11	$35,778.19	$35,778.19	$35,778.19	$39,356.01	$35,778.19	2026-03-17
C1704	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	11	11	$35,914.48	$35,914.48	$35,914.48	$39,505.93	$35,914.48	2026-03-17
D0704	OTHER	Fracture Of Lower Extremity M <41.50	11	11	$35,972.30	$35,972.30	$35,972.30	$39,569.53	$35,972.30	2026-03-17
D0604	OTHER	Neurological M <43.50	11	11	$36,085.88	$36,085.88	$36,085.88	$39,694.46	$36,085.88	2026-03-17
D0305	OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50	11	11	$36,160.21	$36,160.21	$36,160.21	$39,776.24	$36,160.21	2026-03-17
A1805	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	11	11	$36,162.28	$36,162.28	$36,162.28	$39,778.51	$36,162.28	2026-03-17
C0805	OTHER	Replacement Of Lower-extremity Joint M <42.50	11	11	$36,366.71	$36,366.71	$36,366.71	$40,003.39	$36,366.71	2026-03-17
D1504	OTHER	Pulmonary M <45.50	11	11	$36,424.54	$36,424.54	$36,424.54	$40,066.99	$36,424.54	2026-03-17
B1803	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	11	11	$36,538.11	$36,538.11	$36,538.11	$40,191.92	$36,538.11	2026-03-17
C2005	OTHER	Miscellaneous M <46.50 And A <77.50	11	11	$36,628.97	$36,628.97	$36,628.97	$40,291.87	$36,628.97	2026-03-17
B1303	OTHER	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	11	11	$36,657.88	$36,657.88	$36,657.88	$40,323.67	$36,657.88	2026-03-17
B1003	OTHER	Amputation Lower Extremity M >=47.50 And M <55.50	11	11	$36,690.92	$36,690.92	$36,690.92	$40,360.01	$36,690.92	2026-03-17
D1004	OTHER	Amputation Lower Extremity M <47.50	11	11	$36,806.56	$36,806.56	$36,806.56	$40,487.22	$36,806.56	2026-03-17
C0104	OTHER	Stroke M >=41.50 And M <50.50	11	11	$37,000.67	$37,000.67	$37,000.67	$40,700.74	$37,000.67	2026-03-17
C1604	OTHER	Pain Syndrome M <43.50	11	11	$37,103.92	$37,103.92	$37,103.92	$40,814.31	$37,103.92	2026-03-17
A0405	OTHER	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	11	11	$37,419.86	$37,419.86	$37,419.86	$41,161.85	$37,419.86	2026-03-17
36224	CPT	Place Cath Int Carotid Art Bi	11	11	$37,646.37	$37,646.37	$37,646.37	$37,646.37	$37,646.37	2026-03-17
B0303	OTHER	Non-traumatic Brain Injury M >=42.50 And M <52.50	11	11	$37,711.03	$37,711.03	$37,711.03	$41,482.13	$37,711.03	2026-03-17
C1305	OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50	11	11	$37,750.26	$37,750.26	$37,750.26	$41,525.29	$37,750.26	2026-03-17
C1103	OTHER	Amputation Non-lower Extremity M <52.50	11	11	$37,816.35	$37,816.35	$37,816.35	$41,597.98	$37,816.35	2026-03-17
C1304	OTHER	Rheumatoid Other Arthritis M <44.50 And A >=64.50	11	11	$37,826.67	$37,826.67	$37,826.67	$41,609.34	$37,826.67	2026-03-17
C0704	OTHER	Fracture Of Lower Extremity M <41.50	11	11	$37,876.23	$37,876.23	$37,876.23	$41,663.85	$37,876.23	2026-03-17
B0503	OTHER	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	11	11	$38,000.13	$38,000.13	$38,000.13	$41,800.14	$38,000.13	2026-03-17
C0604	OTHER	Neurological M <43.50	11	11	$38,311.94	$38,311.94	$38,311.94	$42,143.14	$38,311.94	2026-03-17
B0703	OTHER	Fracture Of Lower Extremity M >=41.50 And M <52.50	11	11	$38,363.57	$38,363.57	$38,363.57	$42,199.93	$38,363.57	2026-03-17
A0205	OTHER	Traumatic Brain Injury M <35.50	11	11	$38,400.74	$38,400.74	$38,400.74	$42,240.81	$38,400.74	2026-03-17
D1805	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	11	11	$38,528.77	$38,528.77	$38,528.77	$42,381.65	$38,528.77	2026-03-17
B0903	OTHER	Other Orthopedic M >=44.50 And M <51.50	11	11	$38,553.55	$38,553.55	$38,553.55	$42,408.90	$38,553.55	2026-03-17
B1503	OTHER	Pulmonary M >=45.50 And M <56.50	11	11	$38,574.20	$38,574.20	$38,574.20	$42,431.62	$38,574.20	2026-03-17
C0305	OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50	11	11	$38,786.89	$38,786.89	$38,786.89	$42,665.58	$38,786.89	2026-03-17
D1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	11	11	$38,819.93	$38,819.93	$38,819.93	$42,701.93	$38,819.93	2026-03-17
C1504	OTHER	Pulmonary M <45.50	11	11	$38,894.28	$38,894.28	$38,894.28	$42,783.70	$38,894.28	2026-03-17
B1703	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	11	11	$39,396.07	$39,396.07	$39,396.07	$43,335.68	$39,396.07	2026-03-17
A0105	OTHER	Stroke M <41.50 And A >=84.50	11	11	$39,627.35	$39,627.35	$39,627.35	$43,590.08	$39,627.35	2026-03-17
B1103	OTHER	Amputation Non-lower Extremity M <52.50	11	11	$39,945.36	$39,945.36	$39,945.36	$43,939.90	$39,945.36	2026-03-17
B0603	OTHER	Neurological M >=43.50 And M <52.50	11	11	$39,999.05	$39,999.05	$39,999.05	$43,998.96	$39,999.05	2026-03-17
C1903	OTHER	Guillain-barré M >=38.50 And M <51.50	11	11	$40,275.76	$40,275.76	$40,275.76	$44,303.34	$40,275.76	2026-03-17
B1902	OTHER	Guillain-barré M >=51.50 And M <66.50	11	11	$40,277.82	$40,277.82	$40,277.82	$44,305.61	$40,277.82	2026-03-17
B0403	OTHER	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	11	11	$40,482.26	$40,482.26	$40,482.26	$44,530.49	$40,482.26	2026-03-17
C1004	OTHER	Amputation Lower Extremity M <47.50	11	11	$40,552.47	$40,552.47	$40,552.47	$44,607.72	$40,552.47	2026-03-17
74080549	CDM	Verteb Augm Ea Add W Imag	11	11	$40,707.59	$40,707.59	$40,707.59	$40,707.59	$40,707.59	2026-03-17
74080548	CDM	Verteb Augm Lumbar W Imag	11	11	$40,707.59	$40,707.59	$40,707.59	$40,707.59	$40,707.59	2026-03-17
74080547	CDM	Verteb Augm Thorac W Imag	11	11	$40,707.59	$40,707.59	$40,707.59	$40,707.59	$40,707.59	2026-03-17
76085037	CDM	Strontium Sr-89 Thera/mci	11	11	$40,808.80	$40,808.80	$40,808.80	$40,808.80	$40,808.80	2026-03-17
74080525	CDM	Stnt Plc Transcth Art Ini	11	11	$40,813.29	$40,813.29	$40,813.29	$40,813.29	$40,813.29	2026-03-17
D0205	OTHER	Traumatic Brain Injury M <35.50	11	11	$40,872.54	$40,872.54	$40,872.54	$44,959.80	$40,872.54	2026-03-17
74080527	CDM	Stnt Plc Transc Vein Ini	11	11	$40,984.23	$40,984.23	$40,984.23	$40,984.23	$40,984.23	2026-03-17
D0405	OTHER	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	11	11	$41,351.63	$41,351.63	$41,351.63	$45,486.79	$41,351.63	2026-03-17
B1604	OTHER	Pain Syndrome M <43.50	11	11	$41,401.18	$41,401.18	$41,401.18	$45,541.30	$41,401.18	2026-03-17
B0104	OTHER	Stroke M >=41.50 And M <50.50	11	11	$41,665.50	$41,665.50	$41,665.50	$45,832.06	$41,665.50	2026-03-17
D0105	OTHER	Stroke M <41.50 And A >=84.50	11	11	$41,777.01	$41,777.01	$41,777.01	$45,954.72	$41,777.01	2026-03-17
C1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	11	11	$41,810.06	$41,810.06	$41,810.06	$45,991.06	$41,810.06	2026-03-17
C1805	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	11	11	$41,882.33	$41,882.33	$41,882.33	$46,070.56	$41,882.33	2026-03-17
A5102	OTHER	Expired, Orthopedic, Length Of Stay Is 14 Days Or More	11	11	$42,301.53	$42,301.53	$42,301.53	$46,531.68	$42,301.53	2026-03-17
C0405	OTHER	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	11	11	$42,468.79	$42,468.79	$42,468.79	$46,715.67	$42,468.79	2026-03-17
A0505	OTHER	Non-traumatic Spinal Cord Injury M <39.50	11	11	$42,505.96	$42,505.96	$42,505.96	$46,756.56	$42,505.96	2026-03-17
B1804	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	11	11	$42,673.22	$42,673.22	$42,673.22	$46,940.55	$42,673.22	2026-03-17
B1203	OTHER	Osteoarthritis M <49.50 And A >=74.50	11	11	$43,055.25	$43,055.25	$43,055.25	$47,360.78	$43,055.25	2026-03-17
B0805	OTHER	Replacement Of Lower-extremity Joint M <42.50	11	11	$43,179.15	$43,179.15	$43,179.15	$47,497.07	$43,179.15	2026-03-17
B2004	OTHER	Miscellaneous M <46.50 And A >=77.50	11	11	$43,635.51	$43,635.51	$43,635.51	$47,999.07	$43,635.51	2026-03-17
B0204	OTHER	Traumatic Brain Injury M >=35.50 And M <49.50	11	11	$43,858.54	$43,858.54	$43,858.54	$48,244.39	$43,858.54	2026-03-17
76085035	CDM	Sm153 Lexidron To 150mci	11	11	$43,917.05	$43,917.05	$43,917.05	$43,917.05	$43,917.05	2026-03-17
C2102	OTHER	Burns M <52.50	11	11	$44,184.81	$44,184.81	$44,184.81	$48,603.29	$44,184.81	2026-03-17
B1204	OTHER	Osteoarthritis M <49.50 And A <74.50	11	11	$44,325.22	$44,325.22	$44,325.22	$48,757.75	$44,325.22	2026-03-17
B1404	OTHER	Cardiac M <45.50	11	11	$44,331.42	$44,331.42	$44,331.42	$48,764.56	$44,331.42	2026-03-17
A0106	OTHER	Stroke M <41.50 And A <84.50	11	11	$44,637.04	$44,637.04	$44,637.04	$49,100.74	$44,637.04	2026-03-17
B0304	OTHER	Non-traumatic Brain Injury M <42.50 And A >=78.50	11	11	$44,676.28	$44,676.28	$44,676.28	$49,143.90	$44,676.28	2026-03-17
C0205	OTHER	Traumatic Brain Injury M <35.50	11	11	$44,738.22	$44,738.22	$44,738.22	$49,212.05	$44,738.22	2026-03-17
A5104	OTHER	Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More	11	11	$45,184.26	$45,184.26	$45,184.26	$49,702.69	$45,184.26	2026-03-17
B1704	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	11	11	$45,332.94	$45,332.94	$45,332.94	$49,866.24	$45,332.94	2026-03-17
B0504	OTHER	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	11	11	$45,407.29	$45,407.29	$45,407.29	$49,948.01	$45,407.29	2026-03-17
B2005	OTHER	Miscellaneous M <46.50 And A <77.50	11	11	$45,673.67	$45,673.67	$45,673.67	$50,241.04	$45,673.67	2026-03-17
C0105	OTHER	Stroke M <41.50 And A >=84.50	11	11	$46,111.45	$46,111.45	$46,111.45	$50,722.60	$46,111.45	2026-03-17
D0505	OTHER	Non-traumatic Spinal Cord Injury M <39.50	11	11	$46,123.84	$46,123.84	$46,123.84	$50,736.22	$46,123.84	2026-03-17
B0904	OTHER	Other Orthopedic M <44.5	11	11	$46,425.33	$46,425.33	$46,425.33	$51,067.86	$46,425.33	2026-03-17
D0106	OTHER	Stroke M <41.50 And A <84.50	11	11	$47,059.29	$47,059.29	$47,059.29	$51,765.21	$47,059.29	2026-03-17
B1305	OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50	11	11	$47,220.36	$47,220.36	$47,220.36	$51,942.39	$47,220.36	2026-03-17
A0404	OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	11	$47,241.00	$47,241.00	$47,241.00	$51,965.11	$47,241.00	2026-03-17
B1304	OTHER	Rheumatoid Other Arthritis M <44.50 And A >=64.50	11	11	$47,313.28	$47,313.28	$47,313.28	$52,044.61	$47,313.28	2026-03-17
B0704	OTHER	Fracture Of Lower Extremity M <41.50	11	11	$47,371.10	$47,371.10	$47,371.10	$52,108.21	$47,371.10	2026-03-17
B1504	OTHER	Pulmonary M <45.50	11	11	$48,372.63	$48,372.63	$48,372.63	$53,209.89	$48,372.63	2026-03-17
B1004	OTHER	Amputation Lower Extremity M <47.50	11	11	$48,804.21	$48,804.21	$48,804.21	$53,684.63	$48,804.21	2026-03-17
B0305	OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50	11	11	$48,938.43	$48,938.43	$48,938.43	$53,832.28	$48,938.43	2026-03-17
A0406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	11	$49,225.47	$49,225.47	$49,225.47	$54,148.02	$49,225.47	2026-03-17
74080483	CDM	Revise Tips	11	11	$49,385.74	$49,385.74	$49,385.74	$49,385.74	$49,385.74	2026-03-17
C0505	OTHER	Non-traumatic Spinal Cord Injury M <39.50	11	11	$49,578.58	$49,578.58	$49,578.58	$54,536.44	$49,578.58	2026-03-17
B0604	OTHER	Neurological M <43.50	11	11	$50,588.37	$50,588.37	$50,588.37	$55,647.21	$50,588.37	2026-03-17
74080268	CDM	Insert Tips	11	11	$50,702.59	$50,702.59	$50,702.59	$50,702.59	$50,702.59	2026-03-17
B1805	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	11	11	$51,195.48	$51,195.48	$51,195.48	$56,315.03	$51,195.48	2026-03-17
B0105	OTHER	Stroke M <41.50 And A >=84.50	11	11	$51,926.49	$51,926.49	$51,926.49	$57,119.14	$51,926.49	2026-03-17
C0106	OTHER	Stroke M <41.50 And A <84.50	11	11	$51,940.94	$51,940.94	$51,940.94	$57,135.04	$51,940.94	2026-03-17
B0405	OTHER	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	11	11	$51,957.46	$51,957.46	$51,957.46	$57,153.21	$51,957.46	2026-03-17
D0404	OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	11	$52,205.26	$52,205.26	$52,205.26	$57,425.79	$52,205.26	2026-03-17
A1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	11	$52,393.18	$52,393.18	$52,393.18	$57,632.50	$52,393.18	2026-03-17
B2102	OTHER	Burns M <52.50	11	11	$52,556.32	$52,556.32	$52,556.32	$57,811.95	$52,556.32	2026-03-17
B1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	11	11	$52,775.21	$52,775.21	$52,775.21	$58,052.73	$52,775.21	2026-03-17
C0404	OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	11	$53,615.66	$53,615.66	$53,615.66	$58,977.23	$53,615.66	2026-03-17
D1904	OTHER	Guillain-barré M <38.50	11	11	$53,838.68	$53,838.68	$53,838.68	$59,222.55	$53,838.68	2026-03-17
A1904	OTHER	Guillain-barré M <38.50	11	11	$53,855.20	$53,855.20	$53,855.20	$59,240.72	$53,855.20	2026-03-17
D0406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	11	$54,398.29	$54,398.29	$54,398.29	$59,838.12	$54,398.29	2026-03-17
D1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	11	$55,821.08	$55,821.08	$55,821.08	$61,403.19	$55,821.08	2026-03-17
C0406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	11	$55,868.57	$55,868.57	$55,868.57	$61,455.43	$55,868.57	2026-03-17
B0205	OTHER	Traumatic Brain Injury M <35.50	11	11	$56,267.12	$56,267.12	$56,267.12	$61,893.83	$56,267.12	2026-03-17
B1903	OTHER	Guillain-barré M >=38.50 And M <51.50	11	11	$56,987.81	$56,987.81	$56,987.81	$62,686.59	$56,987.81	2026-03-17
B0106	OTHER	Stroke M <41.50 And A <84.50	11	11	$58,491.13	$58,491.13	$58,491.13	$64,340.24	$58,491.13	2026-03-17
74080531	CDM	Occ/emb Tumor/organ Infar	11	11	$59,219.93	$59,219.93	$59,219.93	$59,219.93	$59,219.93	2026-03-17
74080529	CDM	Occ/emb Non Hemorr Venous	11	11	$59,219.93	$59,219.93	$59,219.93	$59,219.93	$59,219.93	2026-03-17
74080532	CDM	Occ/emb Hemorrhag/lymph	11	11	$59,219.93	$59,219.93	$59,219.93	$59,219.93	$59,219.93	2026-03-17
74080530	CDM	Occ/emb Non Hemorr Art	11	11	$59,219.93	$59,219.93	$59,219.93	$59,219.93	$59,219.93	2026-03-17
C1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	11	$60,680.03	$60,680.03	$60,680.03	$66,748.03	$60,680.03	2026-03-17
C1904	OTHER	Guillain-barré M <38.50	11	11	$61,931.42	$61,931.42	$61,931.42	$68,124.56	$61,931.42	2026-03-17
B0505	OTHER	Non-traumatic Spinal Cord Injury M <39.50	11	11	$64,514.73	$64,514.73	$64,514.73	$70,966.20	$64,514.73	2026-03-17
B0404	OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	11	$65,594.73	$65,594.73	$65,594.73	$72,154.20	$65,594.73	2026-03-17
A0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	11	$67,409.86	$67,409.86	$67,409.86	$74,150.85	$67,409.86	2026-03-17
B0406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	11	$68,351.50	$68,351.50	$68,351.50	$75,186.65	$68,351.50	2026-03-17
B1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	11	$74,172.74	$74,172.74	$74,172.74	$81,590.01	$74,172.74	2026-03-17
D0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	11	$74,494.88	$74,494.88	$74,494.88	$81,944.36	$74,494.88	2026-03-17
C0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	11	$76,508.25	$76,508.25	$76,508.25	$84,159.07	$76,508.25	2026-03-17
B1904	OTHER	Guillain-barré M <38.50	11	11	$87,630.34	$87,630.34	$87,630.34	$96,393.37	$87,630.34	2026-03-17
B0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	11	$93,602.32	$93,602.32	$93,602.32	$102,962.55	$93,602.32	2026-03-17

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