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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

Cleveland Clinic Rehabilitation Hospitals Llc

Avon, OH · CCN 363038 · Rates published

100 distinct procedures filed
43 distinct payers
27,963 rate rows
2026-07-15 last MRF observed
Data quality

22,792 of 27,963 rate rows are consumer-grade (81.5%)

5,171 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 5,171
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/hospital-standard-charge-files/471069448_cleveland-clinic-rehabilitation-hospital-avon_standardcharges.csv?la=en
Found on page https://my.clevelandclinic.org/patients/billing-finance/comprehensive-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-01
Content fingerprint 7211ed778e29ec15… · 96,968,790 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
1001
OTHER 		Amputation Lower Extremity With Motor Score >= 64.50, No Comorbidity Tier 39 $2,146.00 $29,430.77 $2,146.00 nat. median
$2,154
1.0× median
1002
OTHER 		Amputation Lower Extremity With Motor Score >= 55.50 And Motor Score < 64.50, No… 39 $2,146.00 $36,781.21 $2,146.00 nat. median
$2,154
1.0× median
1003
OTHER 		Amputation Lower Extremity With Motor Score >= 47.50 And Motor Score < 55.50, No… 39 $2,146.00 $59,981.62 $2,146.00 nat. median
$2,154
1.0× median
1004
OTHER 		Amputation Lower Extremity With Motor Score < 47.50, No Comorbidity Tier 39 $1,010.88 $61,418.47 $2,146.00 nat. median
$2,374
0.9× median
101
OTHER 		Stroke Motor Score >= 72.50, No Comorbidity Tier 39 $2,146.00 $22,727.52 $2,146.00 nat. median
$2,374
0.9× median
102
OTHER 		Stroke With Motor Score >= 63.50 And Motor Score < 72.50, No Comorbidity Tier 39 $2,146.00 $32,748.57 $2,146.00 nat. median
$2,374
0.9× median
103
OTHER 		Stroke With Motor Score >= 50.50 And Motor Score < 63.50, No Comorbidity Tier 39 $2,146.00 $35,613.78 $2,146.00 nat. median
$2,886
0.7× median
104
OTHER 		Stroke With Motor Score >= 41.50 And Motor Score < 50.50, No Comorbidity Tier 39 $2,146.00 $54,975.35 $2,146.00 nat. median
$2,374
0.9× median
105
OTHER 		Stroke With Motor Score < 41.50 And Age >=84.50, No Comorbidity Tier 39 $2,146.00 $45,567.46 $2,146.00 nat. median
$2,374
0.9× median
106
OTHER 		Stroke With Motor Score < 41.50 And Age < 84.50, No Comorbidity Tier 39 $2,146.00 $104,912.23 $2,146.00 nat. median
$2,886
0.7× median
1101
OTHER 		Amputation Non-lower Extremity With Motor Score >= 58.50, No Comorbidity Tier 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1102
OTHER 		Amputation Non-lower Extremity With Motor Score >= 52.50 And Motor Score <58.50,… 39 $2,146.00 $22,012.87 $2,146.00 nat. median
$2,374
0.9× median
1103
OTHER 		Amputation Non-lower Extremity With Motor Score < 52.50, No Comorbidity Tier 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1201
OTHER 		Osteoarthritis With Motor Score >= 61.50, No Comorbidity Tier 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1202
OTHER 		Osteoarthritis With Motor Score >= 49.50 And Motor Score < 61.50, No Comorbidity… 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1203
OTHER 		Osteoarthritis With Motor Score < 49.50 And Age >= 74.50, No Comorbidity Tier 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$1,526
1.4× median
1204
OTHER 		Osteoarthritis With Motor Score < 49.50 And Age < 74.50, No Comorbidity Tier 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1301
OTHER 		Rheumatoid Other Arthritis With Motor Score >= 62.50, No Comorbidity Tier 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1302
OTHER 		Rheumatoid Other Arthritis With Motor Score >= 51.50 And Motor Score < 62.50, No… 39 $2,146.00 $20,666.85 $2,146.00 nat. median
$2,154
1.0× median
1303
OTHER 		Rheumatoid Other Arthritis With Motor Score >= 44.50 And Motor Score < 51.50 And… 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1304
OTHER 		Rheumatoid Other Arthritis With Motor Score < 44.50 And Age >= 64.50, No Comorbi… 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,374
0.9× median
1305
OTHER 		Rheumatoid Other Arthritis With Motor Score < 51.50 And Age < 64.50, No Comorbid… 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1401
OTHER 		Cardiac With Motor Score >= 68.50, No Comorbidity Tier 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1402
OTHER 		Cardiac With Motor Score >= 55.50 And Motor Score < 68.50, No Comorbidity Tier 39 $2,146.00 $28,852.92 $2,146.00 nat. median
$2,134
1.0× median
1403
OTHER 		Cardiac With Motor Score >= 45.50 And Motor Score < 55.50, No Comorbidity Tier 39 $2,146.00 $30,910.65 $2,146.00 nat. median
$2,374
0.9× median
1404
OTHER 		Cardiac With Motor Score < 45.50, No Comorbidity Tier 39 $2,146.00 $29,669.99 $2,146.00 nat. median
$2,154
1.0× median
1501
OTHER 		Pulmonary With Motor Score >= 68.50, No Comorbidity Tier 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1502
OTHER 		Pulmonary With Motor Score >= 56.50 And Motor Score < 68.50, No Comorbidity Tier 39 $2,146.00 $31,518.70 $2,146.00 nat. median
$1,500
1.4× median
1503
OTHER 		Pulmonary With Motor Score >= 45.50 And Motor Score < 56.50, No Comorbidity Tier 39 $2,146.00 $38,534.56 $2,146.00 nat. median
$1,526
1.4× median
1504
OTHER 		Pulmonary With Motor Score < 45.50, No Comorbidity Tier 39 $2,146.00 $30,254.06 $2,146.00 nat. median
$1,526
1.4× median
1601
OTHER 		Pain Syndrome With Motor Score >= 65.50, No Comorbidity Tier 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1602
OTHER 		Pain Syndrome With Motor Score >= 58.50 And Motor Score < 65.50, No Comorbidity… 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1603
OTHER 		Pain Syndrome With Motor Score >= 43.50 And Motor Score < 58.50, No Comorbidity… 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,154
1.0× median
1604
OTHER 		Pain Syndrome With Motor Score < 43.50, No Comorbidity Tier 39 $2,146.00 $27,625.12 $2,146.00 nat. median
$2,154
1.0× median
1701
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 57… 39 $2,146.00 $36,116.70 $2,146.00 nat. median
$1,526
1.4× median
1702
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 50… 39 $2,146.00 $50,063.84 $2,146.00 nat. median
$2,154
1.0× median
1703
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 41… 39 $2,146.00 $57,990.31 $2,146.00 nat. median
$2,154
1.0× median
1704
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 36… 39 $2,146.00 $43,866.47 $2,146.00 nat. median
$1,526
1.4× median
1705
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score < 36.… 39 $2,146.00 $33,498.11 $2,146.00 nat. median
$1,526
1.4× median
1801
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 67.50… 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,186
1.0× median
1802
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 55.50… 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$2,186
1.0× median
1803
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 45.50… 39 $2,146.00 $24,295.55 $2,146.00 nat. median
$2,186
1.0× median
1804
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 40.50… 39 $2,146.00 $43,942.93 $2,146.00 nat. median
$2,186
1.0× median
1805
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 30.50… 39 $2,146.00 $33,928.12 $2,146.00 nat. median
$2,186
1.0× median
1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score < 30.50,… 39 $2,146.00 $81,060.92 $2,146.00 nat. median
$2,186
1.0× median
1901
OTHER 		Guillain-barre With Motor Score >= 66.50, No Comorbidity Tier 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$3,015
0.7× median
1902
OTHER 		Guillain-barre With Motor Score >= 51.50 And Motor Score < 66.50, No Comorbidity… 39 $2,146.00 $30,772.65 $2,146.00 nat. median
$3,015
0.7× median
1903
OTHER 		Guillain-barre With Motor Score >= 38.50 And Motor Score < 51.50, No Comorbidity… 39 $2,146.00 $2,146.00 $2,146.00 nat. median
$3,015
0.7× median
1904
OTHER 		Guillain-barre With Motor Score < 38.50, No Comorbidity Tier 39 $2,146.00 $58,813.69 $2,146.00 nat. median
$3,015
0.7× median
2001
OTHER 		Miscellaneous With Motor Score >= 66.50, No Comorbidity Tier 39 $2,146.00 $22,026.36 $2,146.00 nat. median
$2,154
1.0× median

Other procedures at this hospital

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

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1001 OTHER Amputation Lower Extremity With Motor Score >= 64.50, No Comorbidity Tier 224 39 — — $2,146.00 $29,430.77 $2,146.00 2026-07-15
1002 OTHER Amputation Lower Extremity With Motor Score >= 55.50 And Motor Score < 64.50, No… 230 39 — — $2,146.00 $36,781.21 $2,146.00 2026-07-15
1003 OTHER Amputation Lower Extremity With Motor Score >= 47.50 And Motor Score < 55.50, No… 234 39 — — $2,146.00 $59,981.62 $2,146.00 2026-07-15
1004 OTHER Amputation Lower Extremity With Motor Score < 47.50, No Comorbidity Tier 247 39 — — $1,010.88 $61,418.47 $2,146.00 2026-07-15
101 OTHER Stroke Motor Score >= 72.50, No Comorbidity Tier 219 39 — — $2,146.00 $22,727.52 $2,146.00 2026-07-15
102 OTHER Stroke With Motor Score >= 63.50 And Motor Score < 72.50, No Comorbidity Tier 251 39 — — $2,146.00 $32,748.57 $2,146.00 2026-07-15
103 OTHER Stroke With Motor Score >= 50.50 And Motor Score < 63.50, No Comorbidity Tier 282 39 — — $2,146.00 $35,613.78 $2,146.00 2026-07-15
104 OTHER Stroke With Motor Score >= 41.50 And Motor Score < 50.50, No Comorbidity Tier 275 39 — — $2,146.00 $54,975.35 $2,146.00 2026-07-15
105 OTHER Stroke With Motor Score < 41.50 And Age >=84.50, No Comorbidity Tier 243 39 — — $2,146.00 $45,567.46 $2,146.00 2026-07-15
106 OTHER Stroke With Motor Score < 41.50 And Age < 84.50, No Comorbidity Tier 316 39 — — $2,146.00 $104,912.23 $2,146.00 2026-07-15
1101 OTHER Amputation Non-lower Extremity With Motor Score >= 58.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1102 OTHER Amputation Non-lower Extremity With Motor Score >= 52.50 And Motor Score <58.50,… 217 39 — — $2,146.00 $22,012.87 $2,146.00 2026-07-15
1103 OTHER Amputation Non-lower Extremity With Motor Score < 52.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1201 OTHER Osteoarthritis With Motor Score >= 61.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1202 OTHER Osteoarthritis With Motor Score >= 49.50 And Motor Score < 61.50, No Comorbidity… 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1203 OTHER Osteoarthritis With Motor Score < 49.50 And Age >= 74.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1204 OTHER Osteoarthritis With Motor Score < 49.50 And Age < 74.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1301 OTHER Rheumatoid Other Arthritis With Motor Score >= 62.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1302 OTHER Rheumatoid Other Arthritis With Motor Score >= 51.50 And Motor Score < 62.50, No… 217 39 — — $2,146.00 $20,666.85 $2,146.00 2026-07-15
1303 OTHER Rheumatoid Other Arthritis With Motor Score >= 44.50 And Motor Score < 51.50 And… 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1304 OTHER Rheumatoid Other Arthritis With Motor Score < 44.50 And Age >= 64.50, No Comorbi… 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1305 OTHER Rheumatoid Other Arthritis With Motor Score < 51.50 And Age < 64.50, No Comorbid… 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1401 OTHER Cardiac With Motor Score >= 68.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1402 OTHER Cardiac With Motor Score >= 55.50 And Motor Score < 68.50, No Comorbidity Tier 225 39 — — $2,146.00 $28,852.92 $2,146.00 2026-07-15
1403 OTHER Cardiac With Motor Score >= 45.50 And Motor Score < 55.50, No Comorbidity Tier 227 39 — — $2,146.00 $30,910.65 $2,146.00 2026-07-15
1404 OTHER Cardiac With Motor Score < 45.50, No Comorbidity Tier 229 39 — — $2,146.00 $29,669.99 $2,146.00 2026-07-15
1501 OTHER Pulmonary With Motor Score >= 68.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1502 OTHER Pulmonary With Motor Score >= 56.50 And Motor Score < 68.50, No Comorbidity Tier 220 39 — — $2,146.00 $31,518.70 $2,146.00 2026-07-15
1503 OTHER Pulmonary With Motor Score >= 45.50 And Motor Score < 56.50, No Comorbidity Tier 223 39 — — $2,146.00 $38,534.56 $2,146.00 2026-07-15
1504 OTHER Pulmonary With Motor Score < 45.50, No Comorbidity Tier 218 39 — — $2,146.00 $30,254.06 $2,146.00 2026-07-15
1601 OTHER Pain Syndrome With Motor Score >= 65.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1602 OTHER Pain Syndrome With Motor Score >= 58.50 And Motor Score < 65.50, No Comorbidity … 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1603 OTHER Pain Syndrome With Motor Score >= 43.50 And Motor Score < 58.50, No Comorbidity … 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1604 OTHER Pain Syndrome With Motor Score < 43.50, No Comorbidity Tier 217 39 — — $2,146.00 $27,625.12 $2,146.00 2026-07-15
1701 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 57… 225 39 — — $2,146.00 $36,116.70 $2,146.00 2026-07-15
1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 50… 226 39 — — $2,146.00 $50,063.84 $2,146.00 2026-07-15
1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 41… 227 39 — — $2,146.00 $57,990.31 $2,146.00 2026-07-15
1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 36… 222 39 — — $2,146.00 $43,866.47 $2,146.00 2026-07-15
1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score < 36.… 218 39 — — $2,146.00 $33,498.11 $2,146.00 2026-07-15
1801 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 67.50… 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1802 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 55.50… 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 45.50… 218 39 — — $2,146.00 $24,295.55 $2,146.00 2026-07-15
1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 40.50… 219 39 — — $2,146.00 $43,942.93 $2,146.00 2026-07-15
1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 30.50… 219 39 — — $2,146.00 $33,928.12 $2,146.00 2026-07-15
1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score < 30.50,… 220 39 — — $2,146.00 $81,060.92 $2,146.00 2026-07-15
1901 OTHER Guillain-barre With Motor Score >= 66.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1902 OTHER Guillain-barre With Motor Score >= 51.50 And Motor Score < 66.50, No Comorbidity… 220 39 — — $2,146.00 $30,772.65 $2,146.00 2026-07-15
1903 OTHER Guillain-barre With Motor Score >= 38.50 And Motor Score < 51.50, No Comorbidity… 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
1904 OTHER Guillain-barre With Motor Score < 38.50, No Comorbidity Tier 219 39 — — $2,146.00 $58,813.69 $2,146.00 2026-07-15
2001 OTHER Miscellaneous With Motor Score >= 66.50, No Comorbidity Tier 225 39 — — $2,146.00 $22,026.36 $2,146.00 2026-07-15
2002 OTHER Miscellaneous With Motor Score >= 55.50 And Motor Score < 66.50, No Comorbidity … 253 39 — — $2,146.00 $46,364.75 $2,146.00 2026-07-15
2003 OTHER Miscellaneous With Motor Score >= 46.50 And Motor Score < 55.50, No Comorbidity … 241 39 — — $2,146.00 $44,462.02 $2,146.00 2026-07-15
2004 OTHER Miscellaneous With Motor Score < 46.50 And Age >= 77.50, No Comorbidity Tier 238 39 — — $2,146.00 $52,448.84 $2,146.00 2026-07-15
2005 OTHER Miscellaneous With Motor Score < 46.50 And Age < 77.50, No Comorbidity Tier 262 39 — — $2,146.00 $198,626.17 $2,146.00 2026-07-15
201 OTHER Traumatic Brain Injury With Motor Score >= 73.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
202 OTHER Traumatic Brain Injury With Motor Score >= 61.50 And Motor Score < 73.50, No Com… 235 39 — — $2,146.00 $35,819.46 $2,146.00 2026-07-15
203 OTHER Traumatic Brain Injury With Motor Score >= 49.50 And Motor Score < 61.50, No Com… 244 39 — — $2,146.00 $47,445.30 $2,146.00 2026-07-15
204 OTHER Traumatic Brain Injury With Motor Score >= 35.50 And Motor Score < 49.50, No Com… 236 39 — — $2,146.00 $94,141.26 $2,146.00 2026-07-15
205 OTHER Traumatic Brain Injury With Motor Score < 35.50, No Comorbidity Tier 239 39 — — $2,146.00 $53,441.96 $2,146.00 2026-07-15
2101 OTHER Burns With Motor Score >= 52.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
2102 OTHER Burns With Motor Score < 52.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
301 OTHER Non-traumatic Brain Injury With Motor Score >= 65.50, No Comorbidity Tier 225 39 — — $2,146.00 $25,136.83 $2,146.00 2026-07-15
302 OTHER Non-traumatic Brain Injury With Motor Score >= 52.50 And Motor Score < 65.50, No… 241 39 — — $2,146.00 $35,777.98 $2,146.00 2026-07-15
303 OTHER Non-traumatic Brain Injury With Motor Score >= 42.50 And Motor Score < 52.50, No… 248 39 — — $2,146.00 $44,516.58 $2,146.00 2026-07-15
304 OTHER Non-traumatic Brain Injury With Motor Score < 42.50 And Age >= 78.50, No Comorbi… 229 39 — — $2,146.00 $57,988.13 $2,146.00 2026-07-15
305 OTHER Non-traumatic Brain Injury With Motor Score < 42.50 And Age < 78.50, No Comorbid… 254 39 — — $2,146.00 $58,607.52 $2,146.00 2026-07-15
401 OTHER Traumatic Spinal Cord Injury With Motor Score >= 56.50, No Comorbidity Tier 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
402 OTHER Traumatic Spinal Cord Injury With Motor Score >= 47.50 And Motor Score < 56.50, … 222 39 — — $2,146.00 $31,427.21 $2,146.00 2026-07-15
403 OTHER Traumatic Spinal Cord Injury With Motor Score >= 41.50 And Motor Score < 47.50, … 218 39 — — $2,146.00 $39,364.04 $2,146.00 2026-07-15
404 OTHER Traumatic Spinal Cord Injury With Motor Score < 31.50 And Age < 61.50, No Comorb… 224 39 — — $2,146.00 $96,300.51 $2,146.00 2026-07-15
405 OTHER Traumatic Spinal Cord Injury With Motor Score >= 31.50 And Motor Score < 41.50, … 223 39 — — $2,146.00 $55,735.12 $2,146.00 2026-07-15
406 OTHER Traumatic Spinal Cord Injury With Motor Score >= 24.50 And Motor Score < 31.50 A… 220 39 — — $2,146.00 $32,295.74 $2,146.00 2026-07-15
407 OTHER Traumatic Spinal Cord Injury With Motor Score < 24.50 And Age >= 61.50, No Comor… 222 39 — — $2,146.00 $58,365.10 $2,146.00 2026-07-15
5001 OTHER Short-stay Cases, Length Of Stay Is 3 Days Or Fewer 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
501 OTHER Non-traumatic Spinal Cord Injury With Motor Score >= 60.50, No Comorbidity Tier 222 39 — — $2,146.00 $24,354.85 $2,146.00 2026-07-15
502 OTHER Non-traumatic Spinal Cord Injury With Motor Score >= 53.50 And Motor Score < 60… 234 39 — — $2,146.00 $41,880.83 $2,146.00 2026-07-15
503 OTHER Non-traumatic Spinal Cord Injury With Motor Score >= 48.50 And Motor Score < 53.… 232 39 — — $2,146.00 $52,976.13 $2,146.00 2026-07-15
504 OTHER Non-traumatic Spinal Cord Injury With Motor Score >= 39.50 And Motor Score < 48.… 250 39 — — $2,146.00 $56,149.10 $2,146.00 2026-07-15
505 OTHER Non-traumatic Spinal Cord Injury With Motor Score < 39.50, No Comorbidity Tier 256 39 — — $2,146.00 $82,262.48 $2,146.00 2026-07-15
5101 OTHER Expired, Orthopedic, Length Of Stay Is 13 Days Or Fewer 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
5102 OTHER Expired, Orthopedic, Length Of Stay Is 14 Days Or More 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
5103 OTHER Expired, Not Orthopedic, Length Of Stay Is 15 Days Or Fewer 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
601 OTHER Neurological With Motor Score >= 64.50, No Comorbidity Tier 220 39 — — $2,146.00 $22,528.61 $2,146.00 2026-07-15
602 OTHER Neurological With Motor Score >= 52.50 And Motor Score < 64.50, No Comorbidity T… 246 39 — — $2,146.00 $73,725.94 $2,146.00 2026-07-15
603 OTHER Neurological With Motor Score >= 43.50 And Motor Score < 52.50, No Comorbidity T… 248 39 — — $2,146.00 $67,019.55 $2,146.00 2026-07-15
604 OTHER Neurological With Motor Score < 43.50, No Comorbidity Tier 255 39 — — $2,146.00 $95,147.12 $2,146.00 2026-07-15
701 OTHER Fracture Of Lower Extremity With Motor Score >= 61.50, No Comorbidity Tier 219 39 — — $2,146.00 $16,110.55 $2,146.00 2026-07-15
702 OTHER Fracture Of Lower Extremity With Motor Score >= 52.50 And Motor Score < 61.50, N… 233 39 — — $2,146.00 $28,448.22 $2,146.00 2026-07-15
703 OTHER Fracture Of Lower Extremity With Motor Score >= 41.50 And Motor Score < 52.50, N… 238 39 — — $2,146.00 $54,683.38 $2,146.00 2026-07-15
704 OTHER Fracture Of Lower Extremity With Motor Score < 41.50, No Comorbidity Tier 225 39 — — $2,146.00 $57,193.29 $2,146.00 2026-07-15
801 OTHER Replacement Of Lower-extremity Joint With Motor Score >= 63.50, No Comorbidity T… 222 39 — — $2,146.00 $19,578.47 $2,146.00 2026-07-15
802 OTHER Replacement Of Lower-extremity Joint With Motor Score >= 57.50 And Motor Score <… 216 39 — — $2,146.00 $2,146.00 $2,146.00 2026-07-15
803 OTHER Replacement Of Lower-extremity Joint With Motor Score >= 51.50 And Motor Score <… 218 39 — — $2,146.00 $16,260.82 $2,146.00 2026-07-15
804 OTHER Replacement Of Lower-extremity Joint With Motor Score >= 42.50 And Motor Score <… 217 39 — — $2,146.00 $22,069.96 $2,146.00 2026-07-15
805 OTHER Replacement Of Lower-extremity Joint With Motor Score < 42.50, No Comorbidity Ti… 218 39 — — $2,146.00 $26,470.99 $2,146.00 2026-07-15
901 OTHER Other Orthopedic With Motor Score >= 63.50, No Comorbidity Tier 219 39 — — $2,146.00 $20,844.74 $2,146.00 2026-07-15
902 OTHER Other Orthopedic With Motor Score >= 51.50 And Motor Score < 63.50, No Comorbidi… 240 39 — — $2,146.00 $47,894.84 $2,146.00 2026-07-15
903 OTHER Other Orthopedic With Motor Score >= 44.50 And Motor Score < 51.50, No Comorbidi… 231 39 — — $2,146.00 $32,897.91 $2,146.00 2026-07-15
904 OTHER Other Orthopedic With Motor Score < 44.50, No Comorbidity Tier 239 39 — — $2,146.00 $59,836.46 $2,146.00 2026-07-15
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