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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

Summa Rehab Hospital

Akron, OH · CCN 363035 · Rates published

926 distinct procedures filed
43 distinct payers
29,734 rate rows
2026-07-15 last MRF observed
Data quality

6,060 of 29,734 rate rows are consumer-grade (20.4%)

23,674 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 23,205
per-diem day rate — not a per-procedure price 469
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://summarehabhospital.com/wp-content/uploads/sites/41/2026/03/271952573_Summa_Rehabilitation_Hospital_Standard-Charges.csv
Found on page https://summarehabhospital.com/about-us/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 3c2c6e3e6d1ee328… · 12,023,939 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
CMG-0407C
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Spinal Cord Injury 1 $64,265.56 $64,265.56 $64,265.56 nat. median
$71,085
0.9× median
CMG-0407D
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Spinal Cord Injury 1 $61,888.53 $61,888.53 $61,888.53 nat. median
$69,005
0.9× median
CMG-0405B
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Spinal Cord Injury 1 $50,400.00 $50,400.00 $50,400.00 nat. median
$45,823
1.1× median
CMG-1806D
LOCAL 		Inpatient Rehab Per Discharge: Major Multiple Trauma With Brain Or Spinal Cord I… 1 $43,200.00 $43,200.00 $43,200.00 nat. median
$49,275
0.9× median
CMG-0106B
LOCAL 		Inpatient Rehab Per Discharge: Stroke 3 $33,400.32 $52,200.00 $43,200.00 nat. median
$54,951
0.8× median
CMG-0505D
LOCAL 		Inpatient Rehab Per Discharge: Non-traumatic Spinal Cord Injury 4 $32,396.84 $54,000.00 $42,636.00 nat. median
$41,915
1.0× median
CMG-0205B
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 $40,865.34 $40,865.34 $40,865.34 nat. median
$49,886
0.8× median
CMG-0404D
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Spinal Cord Injury 2 $35,153.94 $43,544.21 $39,349.07 nat. median
$49,742
0.8× median
CMG-0205C
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Brain Injury 2 $36,532.31 $40,392.00 $38,462.15 nat. median
$41,087
0.9× median
CMG-0106D
LOCAL 		Inpatient Rehab Per Discharge: Stroke 8 $10,159.45 $76,527.00 $37,755.64 nat. median
$43,550
0.9× median
CMG-0106A
LOCAL 		Inpatient Rehab Per Discharge: Stroke 6 $21,993.75 $56,280.00 $34,450.93 nat. median
$41,503
0.8× median
CMG-0105D
LOCAL 		Inpatient Rehab Per Discharge: Stroke 2 $33,517.57 $34,523.09 $34,020.33 nat. median
$38,289
0.9× median
CMG-1705D
LOCAL 		Inpatient Rehab Per Discharge: Major Multiple Trauma Without Brain Or Spinal Cor… 3 $12,311.33 $59,509.71 $33,436.73 nat. median
$35,687
0.9× median
CMG-0204B
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 $33,111.65 $33,111.65 $33,111.65 nat. median
$38,945
0.9× median
CMG-0105B
LOCAL 		Inpatient Rehab Per Discharge: Stroke 1 $32,738.70 $32,738.70 $32,738.70 nat. median
$48,313
0.7× median
CMG-0105A
LOCAL 		Inpatient Rehab Per Discharge: Stroke 1 $31,590.76 $31,590.76 $31,590.76 nat. median
$36,491
0.9× median
CMG-0205A
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 $30,756.85 $30,756.85 $30,756.85 nat. median
$35,135
0.9× median
CMG-1004C
LOCAL 		Inpatient Rehab Per Discharge: Amputation, Lower Extremity 1 $29,464.85 $31,952.47 $30,708.66 nat. median
$35,982
0.9× median
CMG-0205D
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 $30,561.50 $30,561.50 $30,561.50 nat. median
$37,319
0.8× median
CMG-1403B
LOCAL 		Inpatient Rehab Per Discharge: Cardiac 1 $30,433.44 $30,433.44 $30,433.44 nat. median
$33,110
0.9× median
CMG-1806C
LOCAL 		Inpatient Rehab Per Discharge: Major Multiple Trauma With Brain Or Spinal Cord I… 2 $15,683.57 $45,000.00 $30,341.78 nat. median
$51,904
0.6× median
CMG-1403D
LOCAL 		Inpatient Rehab Per Discharge: Cardiac 1 $30,147.00 $30,147.00 $30,147.00 nat. median
$24,252
1.2× median
CMG-0505A
LOCAL 		Inpatient Rehab Per Discharge: Non-traumatic Spinal Cord Injury 5 $1,800.00 $35,917.31 $29,678.68 nat. median
$38,625
0.8× median
CMG-0604B
LOCAL 		Inpatient Rehab Per Discharge: Neurological 4 $18,131.36 $43,512.54 $29,270.74 nat. median
$47,086
0.6× median
CMG-1004D
LOCAL 		Inpatient Rehab Per Discharge: Amputation, Lower Extremity 5 $11,339.54 $37,800.00 $29,257.47 nat. median
$32,868
0.9× median
CMG-2003A
LOCAL 		Inpatient Rehab Per Discharge: Miscellaneous 1 $29,172.00 $29,172.00 $29,172.00 nat. median
$22,632
1.3× median
CMG-1304D
LOCAL 		Inpatient Rehab Per Discharge: Rheumatoid Other Arthritis 1 $29,111.24 $29,111.24 $29,111.24 nat. median
$31,957
0.9× median
CMG-0204C
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 $28,231.12 $28,231.12 $28,231.12 nat. median
$32,078
0.9× median
CMG-0305D
LOCAL 		Inpatient Rehab Per Discharge: Non-traumatic Brain Injury 3 $9,000.00 $30,781.03 $28,172.65 nat. median
$33,133
0.9× median
CMG-0603B
LOCAL 		Inpatient Rehab Per Discharge: Neurological 1 $27,986.81 $27,986.81 $27,986.81 nat. median
$37,546
0.7× median
CMG-0103B
LOCAL 		Inpatient Rehab Per Discharge: Stroke 1 $27,826.64 $27,826.64 $27,826.64 nat. median
$30,274
0.9× median
CMG-0704A
LOCAL 		Inpatient Rehab Per Discharge: Fracture Of Lower Extremity 1 $27,455.11 $27,455.11 $27,455.11 nat. median
$29,790
0.9× median
CMG-1404D
LOCAL 		Inpatient Rehab Per Discharge: Cardiac 1 $27,313.98 $27,313.98 $27,313.98 nat. median
$29,716
0.9× median
CMG-0602B
LOCAL 		Inpatient Rehab Per Discharge: Neurological 1 $26,589.01 $26,589.01 $26,589.01 nat. median
$31,864
0.8× median
CMG-0904D
LOCAL 		Inpatient Rehab Per Discharge: Other Orthopedic 4 $18,090.00 $52,364.92 $26,532.74 nat. median
$30,229
0.9× median
CMG-1705A
LOCAL 		Inpatient Rehab Per Discharge: Major Multiple Trauma Without Brain Or Spinal Cor… 1 $26,366.31 $26,366.31 $26,366.31 nat. median
$32,376
0.8× median
CMG-0203B
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 $25,650.51 $25,650.51 $25,650.51 nat. median
$31,401
0.8× median
CMG-0104D
LOCAL 		Inpatient Rehab Per Discharge: Stroke 4 $3,660.23 $31,416.00 $25,501.75 nat. median
$30,620
0.8× median
CMG-1805A
LOCAL 		Inpatient Rehab Per Discharge: Major Multiple Trauma With Brain Or Spinal Cord I… 1 $25,470.14 $25,470.14 $25,470.14 nat. median
$32,170
0.8× median
CMG-0604C
LOCAL 		Inpatient Rehab Per Discharge: Neurological 4 $16,760.00 $29,983.60 $24,819.03 nat. median
$35,252
0.7× median
CMG-0104A
LOCAL 		Inpatient Rehab Per Discharge: Stroke 6 $2,914.23 $33,872.00 $24,486.52 nat. median
$29,181
0.8× median
CMG-0505C
LOCAL 		Inpatient Rehab Per Discharge: Non-traumatic Spinal Cord Injury 2 $15,708.00 $33,114.20 $24,411.10 nat. median
$44,367
0.6× median
CMG-2005A
LOCAL 		Inpatient Rehab Per Discharge: Miscellaneous 3 $23,528.52 $28,254.70 $24,191.80 nat. median
$28,523
0.8× median
CMG-0204D
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Brain Injury 4 $20,050.51 $39,561.79 $23,704.21 nat. median
$29,134
0.8× median
CMG-1804D
LOCAL 		Inpatient Rehab Per Discharge: Major Multiple Trauma With Brain Or Spinal Cord I… 1 $23,704.21 $23,704.21 $23,704.21 nat. median
$28,618
0.8× median
CMG-1704A
LOCAL 		Inpatient Rehab Per Discharge: Major Multiple Trauma Without Brain Or Spinal Cor… 2 $23,031.50 $24,208.60 $23,620.05 nat. median
$27,589
0.9× median
CMG-0204A
LOCAL 		Inpatient Rehab Per Discharge: Traumatic Brain Injury 5 $10,943.12 $34,284.82 $22,608.05 nat. median
$27,430
0.8× median
CMG-0603D
LOCAL 		Inpatient Rehab Per Discharge: Neurological 3 $16,325.98 $23,400.00 $21,832.50 nat. median
$26,241
0.8× median
CMG-0703A
LOCAL 		Inpatient Rehab Per Discharge: Fracture Of Lower Extremity 2 $20,091.53 $22,231.41 $21,161.47 nat. median
$24,386
0.9× median
CMG-0603C
LOCAL 		Inpatient Rehab Per Discharge: Neurological 1 $20,807.51 $20,807.51 $20,807.51 nat. median
$28,109
0.7× median

Other procedures at this hospital

Browse this hospital's 926 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-0407C LOCAL Inpatient Rehab Per Discharge: Traumatic Spinal Cord Injury 1 1 $72,826.22 — $64,265.56 $64,265.56 $64,265.56 2026-07-15
CMG-0407D LOCAL Inpatient Rehab Per Discharge: Traumatic Spinal Cord Injury 1 1 $70,695.50 — $61,888.53 $61,888.53 $61,888.53 2026-07-15
CMG-0405B LOCAL Inpatient Rehab Per Discharge: Traumatic Spinal Cord Injury 1 1 $46,945.67 — $50,400.00 $50,400.00 $50,400.00 2026-07-15
CMG-0106B LOCAL Inpatient Rehab Per Discharge: Stroke 5 3 $56,297.61 — $33,400.32 $52,200.00 $43,200.00 2026-07-15
CMG-1806D LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma With Brain Or Spinal Cord I… 1 1 $50,482.67 — $43,200.00 $43,200.00 $43,200.00 2026-07-15
CMG-0505D LOCAL Inpatient Rehab Per Discharge: Non-traumatic Spinal Cord Injury 5 4 $42,941.85 — $32,396.84 $54,000.00 $42,636.00 2026-07-15
CMG-0205B LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 1 $51,108.33 — $40,865.34 $40,865.34 $40,865.34 2026-07-15
CMG-0404D LOCAL Inpatient Rehab Per Discharge: Traumatic Spinal Cord Injury 2 2 $50,961.12 — $35,153.94 $43,544.21 $39,349.07 2026-07-15
CMG-0205C LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 2 2 $42,093.43 — $36,532.31 $40,392.00 $38,462.15 2026-07-15
CMG-0106D LOCAL Inpatient Rehab Per Discharge: Stroke 15 8 $44,617.36 — $10,159.45 $76,527.00 $37,755.64 2026-07-15
CMG-0106A LOCAL Inpatient Rehab Per Discharge: Stroke 8 6 $42,519.58 — $21,993.75 $56,280.00 $34,450.93 2026-07-15
CMG-0105D LOCAL Inpatient Rehab Per Discharge: Stroke 2 2 $39,226.64 — $33,517.57 $34,523.09 $34,020.33 2026-07-15
CMG-1705D LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma Without Brain Or Spinal Cor… 4 3 $36,561.29 — $12,311.33 $59,509.71 $33,436.73 2026-07-15
CMG-0204B LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 1 $39,898.78 — $33,111.65 $33,111.65 $33,111.65 2026-07-15
CMG-0105B LOCAL Inpatient Rehab Per Discharge: Stroke 1 1 $49,496.73 — $32,738.70 $32,738.70 $32,738.70 2026-07-15
CMG-0105A LOCAL Inpatient Rehab Per Discharge: Stroke 1 1 $37,384.53 — $31,590.76 $31,590.76 $31,590.76 2026-07-15
CMG-0205A LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 1 $35,995.68 — $30,756.85 $30,756.85 $30,756.85 2026-07-15
CMG-1004C LOCAL Inpatient Rehab Per Discharge: Amputation, Lower Extremity 2 1 $36,863.47 — $29,464.85 $31,952.47 $30,708.66 2026-07-15
CMG-0205D LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 1 $38,232.95 — $30,561.50 $30,561.50 $30,561.50 2026-07-15
CMG-1403B LOCAL Inpatient Rehab Per Discharge: Cardiac 1 1 $33,921.13 — $30,433.44 $30,433.44 $30,433.44 2026-07-15
CMG-1806C LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma With Brain Or Spinal Cord I… 2 2 $53,175.14 — $15,683.57 $45,000.00 $30,341.78 2026-07-15
CMG-1403D LOCAL Inpatient Rehab Per Discharge: Cardiac 1 1 $24,846.18 — $30,147.00 $30,147.00 $30,147.00 2026-07-15
CMG-0505A LOCAL Inpatient Rehab Per Discharge: Non-traumatic Spinal Cord Injury 7 5 $39,571.43 — $1,800.00 $35,917.31 $29,678.68 2026-07-15
CMG-0604B LOCAL Inpatient Rehab Per Discharge: Neurological 4 4 $48,239.60 — $18,131.36 $43,512.54 $29,270.74 2026-07-15
CMG-1004D LOCAL Inpatient Rehab Per Discharge: Amputation, Lower Extremity 8 5 $33,673.19 — $11,339.54 $37,800.00 $29,257.47 2026-07-15
CMG-2003A LOCAL Inpatient Rehab Per Discharge: Miscellaneous 1 1 $23,186.16 — $29,172.00 $29,172.00 $29,172.00 2026-07-15
CMG-1304D LOCAL Inpatient Rehab Per Discharge: Rheumatoid Other Arthritis 1 1 $32,739.55 — $29,111.24 $29,111.24 $29,111.24 2026-07-15
CMG-0204C LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 1 $32,863.52 — $28,231.12 $28,231.12 $28,231.12 2026-07-15
CMG-0305D LOCAL Inpatient Rehab Per Discharge: Non-traumatic Brain Injury 4 3 $33,944.38 — $9,000.00 $30,781.03 $28,172.65 2026-07-15
CMG-0603B LOCAL Inpatient Rehab Per Discharge: Neurological 1 1 $38,465.39 — $27,986.81 $27,986.81 $27,986.81 2026-07-15
CMG-0103B LOCAL Inpatient Rehab Per Discharge: Stroke 1 1 $31,015.60 — $27,826.64 $27,826.64 $27,826.64 2026-07-15
CMG-0704A LOCAL Inpatient Rehab Per Discharge: Fracture Of Lower Extremity 1 1 $30,519.72 — $27,455.11 $27,455.11 $27,455.11 2026-07-15
CMG-1404D LOCAL Inpatient Rehab Per Discharge: Cardiac 1 1 $30,444.18 — $27,313.98 $27,313.98 $27,313.98 2026-07-15
CMG-0602B LOCAL Inpatient Rehab Per Discharge: Neurological 1 1 $32,644.64 — $26,589.01 $26,589.01 $26,589.01 2026-07-15
CMG-0904D LOCAL Inpatient Rehab Per Discharge: Other Orthopedic 5 4 $30,969.11 — $18,090.00 $52,364.92 $26,532.74 2026-07-15
CMG-1705A LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma Without Brain Or Spinal Cor… 1 1 $33,169.57 — $26,366.31 $26,366.31 $26,366.31 2026-07-15
CMG-0203B LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 1 $32,170.07 — $25,650.51 $25,650.51 $25,650.51 2026-07-15
CMG-0104D LOCAL Inpatient Rehab Per Discharge: Stroke 6 4 $31,370.08 — $3,660.23 $31,416.00 $25,501.75 2026-07-15
CMG-1805A LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma With Brain Or Spinal Cord I… 1 1 $32,958.43 — $25,470.14 $25,470.14 $25,470.14 2026-07-15
CMG-0604C LOCAL Inpatient Rehab Per Discharge: Neurological 5 4 $36,115.78 — $16,760.00 $29,983.60 $24,819.03 2026-07-15
CMG-0104A LOCAL Inpatient Rehab Per Discharge: Stroke 9 6 $29,896.00 — $2,914.23 $33,872.00 $24,486.52 2026-07-15
CMG-0505C LOCAL Inpatient Rehab Per Discharge: Non-traumatic Spinal Cord Injury 2 2 $45,454.17 — $15,708.00 $33,114.20 $24,411.10 2026-07-15
CMG-2005A LOCAL Inpatient Rehab Per Discharge: Miscellaneous 3 3 $29,221.92 — $23,528.52 $28,254.70 $24,191.80 2026-07-15
CMG-1804D LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma With Brain Or Spinal Cord I… 1 1 $29,318.77 — $23,704.21 $23,704.21 $23,704.21 2026-07-15
CMG-0204D LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 5 4 $29,847.58 — $20,050.51 $39,561.79 $23,704.21 2026-07-15
CMG-1704A LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma Without Brain Or Spinal Cor… 2 2 $28,265.02 — $23,031.50 $24,208.60 $23,620.05 2026-07-15
CMG-0204A LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 5 5 $28,102.32 — $10,943.12 $34,284.82 $22,608.05 2026-07-15
CMG-0603D LOCAL Inpatient Rehab Per Discharge: Neurological 3 3 $26,883.94 — $16,325.98 $23,400.00 $21,832.50 2026-07-15
CMG-0703A LOCAL Inpatient Rehab Per Discharge: Fracture Of Lower Extremity 2 2 $24,983.71 — $20,091.53 $22,231.41 $21,161.47 2026-07-15
CMG-0603C LOCAL Inpatient Rehab Per Discharge: Neurological 1 1 $28,797.71 — $20,807.51 $20,807.51 $20,807.51 2026-07-15
CMG-0604A LOCAL Inpatient Rehab Per Discharge: Neurological 1 1 $30,407.38 — $20,752.44 $20,752.44 $20,752.44 2026-07-15
CMG-1806A LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma With Brain Or Spinal Cord I… 2 2 $46,806.20 — $12,228.84 $29,172.00 $20,700.42 2026-07-15
CMG-0604D LOCAL Inpatient Rehab Per Discharge: Neurological 7 7 $33,715.80 — $10,903.18 $54,878.20 $20,467.80 2026-07-15
CMG-2005D LOCAL Inpatient Rehab Per Discharge: Miscellaneous 6 5 $32,104.20 — $8,119.55 $34,200.00 $20,343.61 2026-07-15
CMG-1404A LOCAL Inpatient Rehab Per Discharge: Cardiac 1 1 $28,013.21 — $20,292.57 $20,292.57 $20,292.57 2026-07-15
CMG-0405D LOCAL Inpatient Rehab Per Discharge: Traumatic Spinal Cord Injury 1 1 $40,526.38 — $19,992.97 $19,992.97 $19,992.97 2026-07-15
CMG-0904A LOCAL Inpatient Rehab Per Discharge: Other Orthopedic 1 1 $28,334.76 — $19,466.16 $19,466.16 $19,466.16 2026-07-15
CMG-2003D LOCAL Inpatient Rehab Per Discharge: Miscellaneous 3 3 $25,473.78 — $14,710.06 $22,440.00 $19,100.00 2026-07-15
CMG-1003B LOCAL Inpatient Rehab Per Discharge: Amputation, Lower Extremity 1 1 $34,816.03 — $19,036.78 $19,036.78 $19,036.78 2026-07-15
CMG-0102B LOCAL Inpatient Rehab Per Discharge: Stroke 1 1 $24,063.63 — $18,894.17 $18,894.17 $18,894.17 2026-07-15
CMG-0203A LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 2 2 $22,657.35 — $18,258.41 $18,784.36 $18,521.39 2026-07-15
CMG-0103A LOCAL Inpatient Rehab Per Discharge: Stroke 6 6 $23,424.41 — $9,465.52 $32,466.00 $18,503.74 2026-07-15
CMG-0903D LOCAL Inpatient Rehab Per Discharge: Other Orthopedic 2 2 $25,845.69 — $11,341.25 $25,200.00 $18,270.62 2026-07-15
CMG-0504D LOCAL Inpatient Rehab Per Discharge: Non-traumatic Spinal Cord Injury 1 1 $30,903.25 — $18,000.00 $18,000.00 $18,000.00 2026-07-15
CMG-0303A LOCAL Inpatient Rehab Per Discharge: Non-traumatic Brain Injury 2 2 $25,020.51 — $16,200.00 $18,920.00 $17,560.00 2026-07-15
CMG-1004B LOCAL Inpatient Rehab Per Discharge: Amputation, Lower Extremity 1 1 $44,572.82 — $17,507.27 $17,507.27 $17,507.27 2026-07-15
CMG-1402D LOCAL Inpatient Rehab Per Discharge: Cardiac 3 2 $20,305.81 — $15,708.00 $17,918.86 $17,396.96 2026-07-15
CMG-0903A LOCAL Inpatient Rehab Per Discharge: Other Orthopedic 2 2 $23,647.17 — $14,400.00 $20,196.00 $17,298.00 2026-07-15
CMG-0902D LOCAL Inpatient Rehab Per Discharge: Other Orthopedic 3 3 $21,642.35 — $12,600.00 $20,809.96 $16,949.56 2026-07-15
CMG-0502A LOCAL Inpatient Rehab Per Discharge: Non-traumatic Spinal Cord Injury 1 1 $20,898.53 — $16,881.76 $16,881.76 $16,881.76 2026-07-15
CMG-1805B LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma With Brain Or Spinal Cord I… 1 1 $46,935.98 — $16,563.11 $16,563.11 $16,563.11 2026-07-15
CMG-2005B LOCAL Inpatient Rehab Per Discharge: Miscellaneous 1 1 $43,025.14 — $16,200.00 $16,200.00 $16,200.00 2026-07-15
CMG-0103D LOCAL Inpatient Rehab Per Discharge: Stroke 9 6 $24,580.81 — $3,875.56 $29,797.00 $16,200.00 2026-07-15
CMG-0502C LOCAL Inpatient Rehab Per Discharge: Non-traumatic Spinal Cord Injury 1 1 $24,005.52 — $16,012.44 $16,012.44 $16,012.44 2026-07-15
CMG-1703D LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma Without Brain Or Spinal Cor… 5 5 $27,527.02 — $2,377.44 $45,861.15 $15,808.63 2026-07-15
CMG-0305C LOCAL Inpatient Rehab Per Discharge: Non-traumatic Brain Injury 3 2 $36,952.57 — $9,000.00 $19,800.00 $15,795.83 2026-07-15
CMG-1003D LOCAL Inpatient Rehab Per Discharge: Amputation, Lower Extremity 4 4 $26,302.83 — $10,637.85 $42,540.36 $15,773.56 2026-07-15
CMG-1804A LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma With Brain Or Spinal Cord I… 2 2 $27,184.16 — $9,743.13 $21,060.49 $15,401.81 2026-07-15
CMG-2001D LOCAL Inpatient Rehab Per Discharge: Miscellaneous 1 1 $17,061.30 — $15,307.10 $15,307.10 $15,307.10 2026-07-15
CMG-0202A LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 2 2 $18,194.45 — $13,446.85 $15,486.31 $14,466.58 2026-07-15
CMG-1402A LOCAL Inpatient Rehab Per Discharge: Cardiac 1 1 $18,684.51 — $14,400.00 $14,400.00 $14,400.00 2026-07-15
CMG-0803D LOCAL Inpatient Rehab Per Discharge: Replacement Of Lower Extremity Joint 1 1 $21,739.20 — $14,190.60 $14,190.60 $14,190.60 2026-07-15
CMG-0203D LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 2 2 $24,065.57 — $7,815.30 $19,769.94 $13,792.62 2026-07-15
CMG-0302D LOCAL Inpatient Rehab Per Discharge: Non-traumatic Brain Injury 2 2 $22,062.68 — $7,841.08 $19,411.22 $13,626.15 2026-07-15
CMG-0303D LOCAL Inpatient Rehab Per Discharge: Non-traumatic Brain Injury 2 2 $26,546.88 — $4,509.51 $22,056.59 $13,283.05 2026-07-15
CMG-0602D LOCAL Inpatient Rehab Per Discharge: Neurological 6 5 $22,816.19 — $10,800.00 $16,200.00 $13,115.19 2026-07-15
CMG-1803A LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma With Brain Or Spinal Cord I… 2 2 $24,859.74 — $7,840.00 $17,952.00 $12,896.00 2026-07-15
CMG-0804A LOCAL Inpatient Rehab Per Discharge: Replacement Of Lower Extremity Joint 3 3 $22,715.46 — $6,030.00 $21,441.77 $12,600.00 2026-07-15
CMG-0203C LOCAL Inpatient Rehab Per Discharge: Traumatic Brain Injury 1 1 $26,496.53 — $11,688.40 $11,688.40 $11,688.40 2026-07-15
CMG-2002D LOCAL Inpatient Rehab Per Discharge: Miscellaneous 2 2 $21,272.38 — $8,190.75 $14,648.97 $11,419.86 2026-07-15
CMG-1003A LOCAL Inpatient Rehab Per Discharge: Amputation, Lower Extremity 1 1 $23,565.82 — $11,370.07 $11,370.07 $11,370.07 2026-07-15
CMG-0102A LOCAL Inpatient Rehab Per Discharge: Stroke 1 1 $18,175.08 — $11,352.00 $11,352.00 $11,352.00 2026-07-15
CMG-0102D LOCAL Inpatient Rehab Per Discharge: Stroke 2 2 $19,069.98 — $7,228.29 $14,304.51 $10,766.40 2026-07-15
CMG-0703D LOCAL Inpatient Rehab Per Discharge: Fracture Of Lower Extremity 3 3 $27,040.83 — $7,975.42 $15,597.54 $9,375.02 2026-07-15
CMG-0305A LOCAL Inpatient Rehab Per Discharge: Non-traumatic Brain Injury 3 3 $31,993.79 — $1,318.45 $37,800.00 $7,358.64 2026-07-15
CMG-1401A LOCAL Inpatient Rehab Per Discharge: Cardiac 1 1 $14,732.99 — $7,319.76 $7,319.76 $7,319.76 2026-07-15
CMG-1701A LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma Without Brain Or Spinal Cor… 1 1 $16,916.01 — $7,250.00 $7,250.00 $7,250.00 2026-07-15
CMG-0802A LOCAL Inpatient Rehab Per Discharge: Replacement Of Lower Extremity Joint 1 1 $18,215.75 — $7,200.00 $7,200.00 $7,200.00 2026-07-15
CMG-0602A LOCAL Inpatient Rehab Per Discharge: Neurological 1 1 $20,576.99 — $7,200.00 $7,200.00 $7,200.00 2026-07-15
CMG-0601D LOCAL Inpatient Rehab Per Discharge: Neurological 1 1 $17,989.12 — $6,755.57 $6,755.57 $6,755.57 2026-07-15
CMG-1704D LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma Without Brain Or Spinal Cor… 1 1 $31,155.07 — $6,390.00 $6,390.00 $6,390.00 2026-07-15
CMG-1703A LOCAL Inpatient Rehab Per Discharge: Major Multiple Trauma Without Brain Or Spinal Cor… 2 2 $24,974.03 — $3,463.24 $7,763.18 $5,613.21 2026-07-15
CMG-0503A LOCAL Inpatient Rehab Per Discharge: Non-traumatic Spinal Cord Injury 1 1 $23,957.09 — $4,912.92 $4,912.92 $4,912.92 2026-07-15
0118 RC — 23 21 $1,100.00 — $2,107.00 $2,107.00 $2,107.00 2026-07-15
0128 RC — 23 21 $1,100.00 — $2,107.00 $2,107.00 $2,107.00 2026-07-15
CMG-0101A LOCAL Inpatient Rehab Per Discharge: Stroke 1 1 $14,322.35 — $1,225.33 $1,225.33 $1,225.33 2026-07-15
97161 CPT Pt Eval Low Complex 1unit 51 32 $260.00 — $185.50 $185.50 $185.50 2026-07-15
97162 CPT Pt Eval Mod Complex 1unit 51 32 $260.00 — $185.50 $185.50 $185.50 2026-07-15
97168 CPT Ot Re Eval 1unit 51 32 $260.00 — $185.50 $185.50 $185.50 2026-07-15
92608 CPT St Aac Gen Device Ea Add 30m 51 32 $130.00 — $185.50 $185.50 $185.50 2026-07-15
97164 CPT Pt Re Eval 1unit 51 32 $260.00 — $185.50 $185.50 $185.50 2026-07-15
92607 CPT St Aac Gen Device Eval 1 Unit 51 32 $260.00 — $185.50 $185.50 $185.50 2026-07-15
97165 CPT Ot Eval Low Complex 1unit 51 32 $260.00 — $185.50 $185.50 $185.50 2026-07-15
97166 CPT Ot Eval Mod Complex 1unit 51 32 $260.00 — $185.50 $185.50 $185.50 2026-07-15
92522 CPT St Eval Sound Production 1unit 51 32 $150.00 — $185.50 $185.50 $185.50 2026-07-15
92610 CPT St Swallow Eval 1unit 51 32 $325.00 — $185.50 $185.50 $185.50 2026-07-15
92523 CPT St Eval Snd/lan/comp/exp 1unit 51 32 $325.00 — $185.50 $185.50 $185.50 2026-07-15
96105 CPT St Aphasia Assessment 1unit 50 32 $260.00 — $185.50 $185.50 $185.50 2026-07-15
97167 CPT Ot Eval High Complex 1unit 51 32 $260.00 — $185.50 $185.50 $185.50 2026-07-15
96125 CPT St Cog Perf Eval 1unit 51 32 $260.00 — $185.50 $185.50 $185.50 2026-07-15
97163 CPT Pt Eval High Complex 1unit 51 32 $260.00 — $185.50 $185.50 $185.50 2026-07-15
92524 CPT St Eval Voice/resonance 1unit 51 32 $325.00 — $185.50 $185.50 $185.50 2026-07-15
92521 CPT St Eval Speech Fluency 1unit 51 32 $325.00 — $185.50 $185.50 $185.50 2026-07-15
97537 CPT Ot Comm Reint 15min 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97036 CPT Ot Hubbard Tank 15 Min 50 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97014 CPT Ot Estim Unatt/nonwound 1unit 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
92507 CPT St Speech Tx 1unit 50 32 $260.00 — $155.00 $155.00 $155.00 2026-07-15
20560 CPT Ot Dry Ndl 1or2 Muscles 1unit 100 32 $130.00 — $155.00 $155.00 $155.00 2026-07-15
95992 CPT Ot Canalith Reposition 1unit 100 32 $130.00 — $155.00 $155.00 $155.00 2026-07-15
97016 CPT Ot Vasopneumatic 1unit 100 32 $130.00 — $155.00 $155.00 $155.00 2026-07-15
96113 CPT Ot Mcr Dig E/m Svc 11-20 Min 50 32 $130.00 — $155.00 $155.00 $155.00 2026-07-15
97026 CPT Ot Infrared 1unit 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97113 CPT Ot Aquatic Therapy 15min 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97112 CPT Ot Neuro Re-ed 15min 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97022 CPT Ot Whirlpool 15min 100 32 $94.00 — $155.00 $155.00 $155.00 2026-07-15
97542 CPT Ot Wheelchair Mgt 15m 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97530 CPT Ot Ther Act 15min 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97552 CPT Ot Group Caregiver Trng 1 Unit 100 32 $41.92 — $155.00 $155.00 $155.00 2026-07-15
G0283 HCPCS Ot Mcr Estim Unatended 1unit 60 24 $85.00 — $155.00 $155.00 $155.00 2026-07-15
98972 CPT Ot TeleHealth Svc 21+ Min 150 32 $274.00 — $155.00 $155.00 $155.00 2026-07-15
97551 CPT Ot Caregiver Trng, Addl 15 Min 150 32 $95.60 — $155.00 $155.00 $155.00 2026-07-15
97130 CPT Ot Cog Tx Ea Addl 15min 100 32 $85.00 — $155.00 $155.00 $155.00 2026-07-15
29131 CPT Ot Dyn Finger Splint 50 32 $130.00 — $155.00 $155.00 $155.00 2026-07-15
29130 CPT Ot Stat Finger Splint 50 32 $130.00 — $155.00 $155.00 $155.00 2026-07-15
G2063 HCPCS Ot Mcr Dig E/m Svc 21+ Min 90 24 $274.00 — $155.00 $155.00 $155.00 2026-07-15
G2061 HCPCS Pt Mcr Dig E/m Svc 5-10 Min 60 24 $84.75 — $155.00 $155.00 $155.00 2026-07-15
98970 CPT Ot TeleHealth Svc 5-10 M 150 32 $84.75 — $155.00 $155.00 $155.00 2026-07-15
29126 CPT Ot Dyn Shrt Arm Spl Frarm-hnd 50 32 $195.00 — $155.00 $155.00 $155.00 2026-07-15
98971 CPT Ot TeleHealth Svc 11-20 M 150 32 $169.55 — $155.00 $155.00 $155.00 2026-07-15
G2062 HCPCS Pt Mcr Dig E/m Svc 11-20 Min 60 24 $169.55 — $155.00 $155.00 $155.00 2026-07-15
97750 CPT Ot Phy Prfm Test 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97550 CPT Ot Caregvr Trn 1st 30m 1 Unit 150 32 $178.12 — $155.00 $155.00 $155.00 2026-07-15
97752 CPT Pt Group Caregiver Trng 1 Unit 50 32 $41.92 — $155.00 $155.00 $155.00 2026-07-15
97533 CPT Ot Sens Intg 15min 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
29125 CPT Ot Stat Shrt Arm Spl Frarm-hnd 50 32 $130.00 — $155.00 $155.00 $155.00 2026-07-15
97535 CPT Ot Adl Slf Care Trn 15min 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97760 CPT Ot Init Orth Fit/trn 15min 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97129 CPT Ot Cog Tx Initial 15min 100 32 $85.00 — $155.00 $155.00 $155.00 2026-07-15
97140 CPT Pt Manual Therapy 15min 50 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97116 CPT Pt Gait Trn 15min 50 32 $65.00 — $155.00 $155.00 $155.00 2026-07-15
29105 CPT Ot Stat Long Arm Spl Shldr-hnd 50 32 $195.00 — $155.00 $155.00 $155.00 2026-07-15
97110 CPT Ot Ther Ex 15min 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97124 CPT Ot Massage 15min 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97761 CPT Ot Init Pros Trn 15min 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97032 CPT Pt Estim Manual/attend 15min 84 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97018 CPT Ot Parrafin Bath 1unit 100 32 $85.00 — $155.00 $155.00 $155.00 2026-07-15
97033 CPT Ot Iontophoresis 15min 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
96112 CPT Ot Mcr Dig E/m Svc 5-10 Min 50 32 $260.00 — $155.00 $155.00 $155.00 2026-07-15
29065 CPT Ot Appl Cast Shl-hand 50 32 $195.00 — $155.00 $155.00 $155.00 2026-07-15
97012 CPT Pt Traction Mech 1unit 50 32 $65.00 — $155.00 $155.00 $155.00 2026-07-15
97034 CPT Ot Contrast Bath 15min 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
92526 CPT St Swallow Tx 1unit 50 32 $260.00 — $155.00 $155.00 $155.00 2026-07-15
92609 CPT St Speech Gen Device Tx 1 Unit 50 32 $260.00 — $155.00 $155.00 $155.00 2026-07-15
90913 CPT Pt Biofeed Peri/rectal Ea 15m 50 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
92508 CPT St Group Therapy 1unit 50 32 $55.00 — $155.00 $155.00 $155.00 2026-07-15
90901 CPT Ot Biofeedback 1 Unit 150 32 $130.00 — $155.00 $155.00 $155.00 2026-07-15
20561 CPT Ot Dry Ndl 3+ Muscles 1unit 100 32 $130.00 — $155.00 $155.00 $155.00 2026-07-15
90912 CPT Pt Biofeed Peri/rectal Int 15m 50 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
97035 CPT Pt Ultrasound 15min 84 32 $65.00 — $155.00 $155.00 $155.00 2026-07-15
97763 CPT Ot Ortho/pros Fit/train 100 32 $105.00 — $155.00 $155.00 $155.00 2026-07-15
73060 CPT Xr Humerus Left 0 0 $129.40 — — — — 2026-07-15
73030 CPT Xr Shoulder 2v Lt 0 0 $136.76 — — — — 2026-07-15
70480 CPT CT Iac Wo 0 0 $1,129.20 — — — — 2026-07-15
73000 CPT Xr Clavicle Left 0 0 $111.05 — — — — 2026-07-15
82435 CPT Chloride 0 0 $43.70 — — — — 2026-07-15
72220 CPT Xr Sacrum-coccyx 2 View 0 0 $129.40 — — — — 2026-07-15
70470 CPT CT Head W/wo 0 0 $1,362.52 — — — — 2026-07-15
72197 CPT Mr Pelvis W/wo 0 0 $2,828.92 — — — — 2026-07-15
72196 CPT Mr Pelvis W 0 0 $2,291.84 — — — — 2026-07-15
70460 CPT CT Head W 0 0 $1,126.16 — — — — 2026-07-15
72195 CPT MRI Pelvis Wo 0 0 $1,823.36 — — — — 2026-07-15
72194 CPT CT Pelvis W Without 0 0 $1,656.72 — — — — 2026-07-15
70450 CPT CT Head Wo 0 0 $864.28 — — — — 2026-07-15
16036 CPT Wc Escharotomy Burn Each >1 0 0 $321.00 — — — — 2026-07-15
12042 CPT Wc Neck/hands/feet 2.6-7.5cm 0 0 $1,486.00 — — — — 2026-07-15
72193 CPT CT Pelvis W 0 0 $1,294.04 — — — — 2026-07-15
72192 CPT CT Pelvis Wo 0 0 $1,068.15 — — — — 2026-07-15
70336 CPT MRI Tmj Without 0 0 $1,420.36 — — — — 2026-07-15
72190 CPT Xr Pelvis 3 Views 0 0 $185.84 — — — — 2026-07-15
72170 CPT Xr Pelvis 1-2 Views 0 0 $120.40 — — — — 2026-07-15
70260 CPT Xr Skull Ap Lateral 0 0 $208.44 — — — — 2026-07-15
16035 CPT Wc Escharotomy Burn Initial 0 0 $1,486.00 — — — — 2026-07-15
72159 CPT MRI Angio Spine W/wo 0 0 $2,693.36 — — — — 2026-07-15
72158 CPT MRI Spine Lumbar W/wo 0 0 $2,855.64 — — — — 2026-07-15
70250 CPT Xr Skull Ap Lateral <4 View 0 0 $163.68 — — — — 2026-07-15
72157 CPT Mr Spine Thoracic W/wo 0 0 $2,900.44 — — — — 2026-07-15
72156 CPT Mr Spine Cervical W/wo 0 0 $2,900.44 — — — — 2026-07-15
70220 CPT Xr Nasal Bones 4v 0 0 $171.12 — — — — 2026-07-15
16030 CPT Wc Burn Debride >10% Bsa 0 0 $1,486.00 — — — — 2026-07-15
12041 CPT Wc Neck/hands/feet <2.5cm 0 0 $1,486.00 — — — — 2026-07-15
11721 CPT Wc Debridement Nails 6+ 0 0 $199.00 — — — — 2026-07-15
72149 CPT MRI Spine Lumbar With 0 0 $2,303.72 — — — — 2026-07-15
72148 CPT Mr Spine Lumbar Wo 0 0 $1,826.32 — — — — 2026-07-15
70210 CPT Xr Nasal Bones 3v 0 0 $136.80 — — — — 2026-07-15
80177 CPT Keppra (levetiracetam) 0 0 $321.60 — — — — 2026-07-15
80170 CPT Gentamicin Random Level 0 0 $155.85 — — — — 2026-07-15
72147 CPT Mr Spine Thoracic W 0 0 $2,314.32 — — — — 2026-07-15
80164 CPT Valproic Acid 0 0 $128.80 — — — — 2026-07-15
80178 CPT Lithium 0 0 $62.85 — — — — 2026-07-15
80184 CPT Phenobarbital 0 0 $108.90 — — — — 2026-07-15
80185 CPT Phenytoin (dilantin) 0 0 $126.05 — — — — 2026-07-15
80186 CPT Phenytoin Free 0 0 $130.90 — — — — 2026-07-15
80187 CPT Drug Assay Posaconazole 0 0 $81.33 — — — — 2026-07-15
80197 CPT Tacrolimus 0 0 $130.55 — — — — 2026-07-15
80202 CPT Vancomycin Random 0 0 $128.80 — — — — 2026-07-15
80299 CPT Fk506 (prograf) 0 0 $130.20 — — — — 2026-07-15
81001 CPT Urinalysis Complete (ua) 0 0 $30.10 — — — — 2026-07-15
82024 CPT Acth 0 0 $367.25 — — — — 2026-07-15
82040 CPT Albumin Serum 0 0 $47.05 — — — — 2026-07-15
82042 CPT Albumin, Body Fluid 0 0 $49.20 — — — — 2026-07-15
82043 CPT Microalbumin,urine Rand 0 0 $55.00 — — — — 2026-07-15
82088 CPT Aldosterone,plasma 0 0 $387.50 — — — — 2026-07-15
82103 CPT Alpha-1 Anti-trypsin 0 0 $127.75 — — — — 2026-07-15
82105 CPT Afp Tumor Marker 0 0 $159.50 — — — — 2026-07-15
82140 CPT Ammonia 0 0 $138.55 — — — — 2026-07-15
82150 CPT Amylase 0 0 $61.65 — — — — 2026-07-15
82232 CPT Beta-2-microglobulin 0 0 $153.80 — — — — 2026-07-15
82247 CPT Bilirubin, Total 0 0 $47.70 — — — — 2026-07-15
82248 CPT Bilirubin, Direct 0 0 $47.70 — — — — 2026-07-15
82270 CPT Fecal Occult,stool 0 0 $30.95 — — — — 2026-07-15
82271 CPT Occult Blood, Gastric 0 0 $24.76 — — — — 2026-07-15
82306 CPT Vitamin D 25-oh, Total 0 0 $281.50 — — — — 2026-07-15
82310 CPT Calcium 0 0 $49.05 — — — — 2026-07-15
82330 CPT Calcium, Ionized 0 0 $129.95 — — — — 2026-07-15
82340 CPT Calcium, Urine 0 0 $57.35 — — — — 2026-07-15
82390 CPT Ceruloplasmin 0 0 $102.15 — — — — 2026-07-15
80162 CPT Digoxin 0 0 $126.25 — — — — 2026-07-15
82465 CPT Cholesterol 0 0 $41.40 — — — — 2026-07-15
82486 CPT Drugs Of Abuse Screen 0 0 $150.60 — — — — 2026-07-15
82533 CPT Cortisol 0 0 $155.05 — — — — 2026-07-15
82540 CPT Creatinine, Serum 0 0 $35.24 — — — — 2026-07-15
82542 CPT Heparin Dep Platelet Antibody 0 0 $137.36 — — — — 2026-07-15
82550 CPT Ck (cpk) 0 0 $61.95 — — — — 2026-07-15
82553 CPT Ckmb Screen (fractionation) 0 0 $109.80 — — — — 2026-07-15
72146 CPT Mr Spine Thoracic Without 0 0 $1,851.72 — — — — 2026-07-15
70160 CPT Xr Nasal Bones 0 0 $145.72 — — — — 2026-07-15
16025 CPT Wc Burn Debride 5-10% Bsa 0 0 $835.00 — — — — 2026-07-15
80156 CPT Tegretol Level (carbamzapine) 0 0 $138.45 — — — — 2026-07-15
80076 CPT Hepatic Function Panel 0 0 $77.65 — — — — 2026-07-15
72142 CPT Mr Spine Cervical W 0 0 $2,332.16 — — — — 2026-07-15
80074 CPT Acute Hepatitis Panel 0 0 $266.96 — — — — 2026-07-15
80069 CPT Renal Function Panel (rfp) 0 0 $82.55 — — — — 2026-07-15
72141 CPT Mr Spine Cervical Wo 0 0 $1,851.72 — — — — 2026-07-15
70150 CPT Xr Facial Bones >3 View 0 0 $188.96 — — — — 2026-07-15
80061 CPT Lipid Panel 0 0 $78.28 — — — — 2026-07-15
80053 CPT Complete Metabolic Panel (cmp) 0 0 $100.50 — — — — 2026-07-15
72133 CPT CT Spine Lumbar W/wo 0 0 $954.42 — — — — 2026-07-15
80051 CPT Electrolyte Panel (lytes) 0 0 $66.70 — — — — 2026-07-15
80048 CPT Basic Metabolic Panel (bmp) 0 0 $80.45 — — — — 2026-07-15
72132 CPT CT Spine Lumbar With Contrast 0 0 $1,363.96 — — — — 2026-07-15
70140 CPT Xr Facial Bones <3 View 0 0 $133.92 — — — — 2026-07-15
16020 CPT Wc Burn Debride <5% Bsa 0 0 $835.00 — — — — 2026-07-15
12034 CPT Wc Scalp/trunk/leg/ar 7.6-12.5 0 0 $1,486.00 — — — — 2026-07-15
78813 CPT PET Scan Whoe Bdy 0 0 $1.00 — — — — 2026-07-15
78812 CPT PET Scan-skull To Thigh 0 0 $4,567.80 — — — — 2026-07-15
72131 CPT CT Spine Lumbar Wo 0 0 $1,072.48 — — — — 2026-07-15
78811 CPT PET Scan Ltd Head 0 0 $1.00 — — — — 2026-07-15
78609 CPT PET Brain Perfusion 0 0 $3,768.85 — — — — 2026-07-15
72130 CPT CT Spine Thoracic W/wo 0 0 $1,200.20 — — — — 2026-07-15
70110 CPT Xr Mandible >4 Views 0 0 $180.16 — — — — 2026-07-15
78608 CPT PET Brain Metabolic 0 0 $4,474.60 — — — — 2026-07-15
78492 CPT PET Myocard Rest/str 0 0 $5,309.30 — — — — 2026-07-15
72128 CPT CT Spine Thoracic Wo 0 0 $1,072.48 — — — — 2026-07-15
78226 CPT Nm Hepatobiliary Imino.(HIDA) 0 0 $1,274.88 — — — — 2026-07-15
77075 CPT Xr Bone Survey Complete 0 0 $392.00 — — — — 2026-07-15
72127 CPT CT Spine Cervical W/wo 0 0 $1,198.64 — — — — 2026-07-15
70100 CPT Xr Mandible <4 Views 0 0 $279.00 — — — — 2026-07-15
15275 CPT Wc Apply High Cost Ss Foot 0 0 $7,332.00 — — — — 2026-07-15
77011 CPT CT Scan For Localization 0 0 $555.00 — — — — 2026-07-15
76942 CPT US Guided Thoracentesis 0 0 $867.04 — — — — 2026-07-15
72126 CPT CT Spine Cervical W 0 0 $1,015.96 — — — — 2026-07-15
76937 CPT US Guide Vascular Access 0 0 $153.28 — — — — 2026-07-15
76882 CPT US Ext Non Vascular Lt 0 0 $132.56 — — — — 2026-07-15
72125 CPT CT Spine Cervical Wo 0 0 $1,072.48 — — — — 2026-07-15
43241 CPT Egd W/tube Placement 0 0 $6,768.95 — — — — 2026-07-15
76881 CPT US Upper Ext Lt 0 0 $318.42 — — — — 2026-07-15
76870 CPT US Scrotum 0 0 $545.96 — — — — 2026-07-15
72114 CPT Xr Lumbar Spine Flex/ext 0 0 $328.68 — — — — 2026-07-15
76857 CPT US Pelvic Limited 0 0 $358.44 — — — — 2026-07-15
76856 CPT US Pelvic Complete 0 0 $549.04 — — — — 2026-07-15
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