Hospital

Lancaster Rehabilitation Hospital

Lancaster, PA · CCN 393054 · Rates published

9,978 distinct procedures filed

41 distinct payers

506,518 rate rows

2026-03-16 last MRF observed

Data quality

139,302 of 506,518 rate rows are consumer-grade (27.5%)

367,216 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	366,600
exceeds 10× this hospital's gross charge — excluded from medians	385
placeholder amount (≤ $0.02) — excluded from medians	222
percent-of-charges filed in the dollar field — excluded from medians	8
template filing: same amount across many unrelated codes — excluded	1

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

Source MRF file	https://www.lancasterrehabhospital.com/docs/zirflancasterrehabilitationhospitallibraries/mar2026/208092253_lancaster-rehabilitation-hospital_standardcharges.csv.zip
Found on page	https://www.lancasterrehabhospital.com/patient-experience/financial-assistance
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint	f107936ce8199270… · 2,474,823 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	$44,779.79	$80,650.84	$80,650.84	nat. median $86,320 0.9× median
B1904 OTHER	Guillain-barré M <38.50	11	$39,401.26	$75,505.19	$75,505.19	nat. median $80,609 0.9× median
C0407 OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	$39,553.22	$65,922.03	$65,922.03	nat. median $71,021 0.9× median
D0407 OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	$38,512.34	$64,187.24	$64,187.24	nat. median $68,708 0.9× median
B1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	$36,750.24	$63,909.67	$63,909.67	nat. median $68,402 0.9× median
B0406 OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	$32,990.76	$58,893.90	$58,893.90	nat. median $62,870 0.9× median
A0407 OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	$34,849.53	$58,082.56	$58,082.56	nat. median $62,810 0.9× median
B0404 OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	$31,874.77	$56,518.58	$56,518.58	nat. median $60,491 0.9× median
74080532 CDM	Occ/emb Hemorrhag/lymph	12	$32,228.53	$56,399.93	$56,399.93	nat. median $55,326 1.0× median
74080529 CDM	Occ/emb Non Hemorr Venous	12	$32,228.53	$56,399.93	$56,399.93	nat. median $55,326 1.0× median
74080531 CDM	Occ/emb Tumor/organ Infar	12	$32,228.53	$56,399.93	$56,399.93	nat. median $55,326 1.0× median
74080530 CDM	Occ/emb Non Hemorr Art	12	$32,228.53	$56,399.93	$56,399.93	nat. median $55,326 1.0× median
B0505 OTHER	Non-traumatic Spinal Cord Injury M <39.50	11	$32,591.12	$55,588.02	$55,588.02	nat. median $59,495 0.9× median
C1904 OTHER	Guillain-barré M <38.50	11	$30,364.51	$53,362.15	$53,362.15	nat. median $57,113 0.9× median
C1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	$29,647.09	$52,283.91	$52,283.91	nat. median $55,837 0.9× median
B0106 OTHER	Stroke M <41.50 And A <84.50	11	$30,238.73	$50,397.88	$50,397.88	nat. median $54,065 0.9× median
B1903 OTHER	Guillain-barré M >=38.50 And M <51.50	11	$26,949.74	$49,102.57	$49,102.57	nat. median $52,554 0.9× median
B0205 OTHER	Traumatic Brain Injury M <35.50	11	$28,246.71	$48,481.60	$48,481.60	nat. median $51,964 0.9× median
74080268 CDM	Insert Tips	12	$27,593.24	$48,288.18	$48,288.18	nat. median $47,368 1.0× median
C0406 OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	$28,882.92	$48,138.20	$48,138.20	nat. median $51,880 0.9× median
D1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	$27,947.25	$48,097.28	$48,097.28	nat. median $51,478 0.9× median
74080483 CDM	Revise Tips	12	$26,876.59	$47,034.04	$47,034.04	nat. median $46,138 1.0× median
D0406 OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	$28,122.82	$46,871.36	$46,871.36	nat. median $50,515 0.9× median
A1904 OTHER	Guillain-barré M <38.50	11	$27,713.49	$46,403.41	$46,403.41	nat. median $50,010 0.9× median
D1904 OTHER	Guillain-barré M <38.50	11	$27,833.51	$46,389.18	$46,389.18	nat. median $49,901 0.9× median
C0404 OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	$27,718.21	$46,197.02	$46,197.02	nat. median $49,743 0.9× median
B1705 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	11	$27,283.71	$45,472.85	$45,472.85	nat. median $48,669 0.9× median
B2102 OTHER	Burns M <52.50	11	$24,871.80	$45,284.25	$45,284.25	nat. median $48,467 0.9× median
A1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	$25,901.62	$45,143.69	$45,143.69	nat. median $48,628 0.9× median
D0404 OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	$26,989.07	$44,981.78	$44,981.78	nat. median $48,434 0.9× median
B0405 OTHER	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	11	$25,827.29	$44,768.26	$44,768.26	nat. median $47,915 0.9× median
C0106 OTHER	Stroke M <41.50 And A <84.50	11	$26,852.42	$44,754.03	$44,754.03	nat. median $47,971 0.9× median
B0105 OTHER	Stroke M <41.50 And A >=84.50	11	$26,844.94	$44,741.57	$44,741.57	nat. median $47,979 0.9× median
B1805 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	11	$25,992.10	$44,111.71	$44,111.71	nat. median $47,212 0.9× median
B0604 OTHER	Neurological M <43.50	11	$26,153.16	$43,588.61	$43,588.61	nat. median $46,755 0.9× median
C0505 OTHER	Non-traumatic Spinal Cord Injury M <39.50	11	$25,278.99	$42,718.54	$42,718.54	nat. median $45,787 0.9× median
A0406 OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	$25,448.57	$42,414.29	$42,414.29	nat. median $45,990 0.9× median
B0305 OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50	11	$25,300.18	$42,166.97	$42,166.97	nat. median $45,142 0.9× median
B1004 OTHER	Amputation Lower Extremity M <47.50	11	$24,751.15	$42,051.31	$42,051.31	nat. median $45,008 0.9× median
76085035 CDM	Sm153 Lexidron To 150mci	12	$23,900.44	$41,825.76	$41,825.76	nat. median $41,029 1.0× median
B1504 OTHER	Pulmonary M <45.50	11	$24,222.24	$41,679.45	$41,679.45	nat. median $44,609 0.9× median
B0704 OTHER	Fracture Of Lower Extremity M <41.50	11	$24,489.90	$40,816.50	$40,816.50	nat. median $43,748 0.9× median
B1304 OTHER	Rheumatoid Other Arthritis M <44.50 And A >=64.50	11	$23,845.21	$40,766.68	$40,766.68	nat. median $43,632 0.9× median
A0404 OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	$24,422.64	$40,704.41	$40,704.41	nat. median $43,915 0.9× median
B1305 OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50	11	$22,536.40	$40,686.61	$40,686.61	nat. median $43,434 0.9× median
D0106 OTHER	Stroke M <41.50 And A <84.50	11	$24,328.70	$40,547.83	$40,547.83	nat. median $43,510 0.9× median
B0904 OTHER	Other Orthopedic M <44.5	11	$22,974.82	$40,001.59	$40,001.59	nat. median $42,813 0.9× median
D0505 OTHER	Non-traumatic Spinal Cord Injury M <39.50	11	$23,845.09	$39,741.82	$39,741.82	nat. median $42,599 0.9× median
C0105 OTHER	Stroke M <41.50 And A >=84.50	11	$23,806.43	$39,731.14	$39,731.14	nat. median $42,585 0.9× median
B2005 OTHER	Miscellaneous M <46.50 And A <77.50	11	$23,612.36	$39,353.94	$39,353.94	nat. median $42,136 0.9× median

Other procedures at this hospital

Browse this hospital's 9,978 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

B0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	13	11	$80,650.84	$80,650.84	$44,779.79	$80,650.84	$80,650.84	2026-03-16
B1904	OTHER	Guillain-barré M <38.50	13	11	$75,505.19	$75,505.19	$39,401.26	$75,505.19	$75,505.19	2026-03-16
C0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	13	11	$65,922.03	$65,922.03	$39,553.22	$65,922.03	$65,922.03	2026-03-16
D0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	13	11	$64,187.24	$64,187.24	$38,512.34	$64,187.24	$64,187.24	2026-03-16
B1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	13	11	$63,909.67	$63,909.67	$36,750.24	$63,909.67	$63,909.67	2026-03-16
B0406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	13	11	$58,893.90	$58,893.90	$32,990.76	$58,893.90	$58,893.90	2026-03-16
A0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	13	11	$58,082.56	$58,082.56	$34,849.53	$58,082.56	$58,082.56	2026-03-16
B0404	OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	13	11	$56,518.58	$56,518.58	$31,874.77	$56,518.58	$56,518.58	2026-03-16
74080532	CDM	Occ/emb Hemorrhag/lymph	14	12	$56,399.93	$56,399.93	$32,228.53	$56,399.93	$56,399.93	2026-03-16
74080529	CDM	Occ/emb Non Hemorr Venous	14	12	$56,399.93	$56,399.93	$32,228.53	$56,399.93	$56,399.93	2026-03-16
74080531	CDM	Occ/emb Tumor/organ Infar	14	12	$56,399.93	$56,399.93	$32,228.53	$56,399.93	$56,399.93	2026-03-16
74080530	CDM	Occ/emb Non Hemorr Art	14	12	$56,399.93	$56,399.93	$32,228.53	$56,399.93	$56,399.93	2026-03-16
B0505	OTHER	Non-traumatic Spinal Cord Injury M <39.50	13	11	$55,588.02	$55,588.02	$32,591.12	$55,588.02	$55,588.02	2026-03-16
C1904	OTHER	Guillain-barré M <38.50	13	11	$53,362.15	$53,362.15	$30,364.51	$53,362.15	$53,362.15	2026-03-16
C1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	13	11	$52,283.91	$52,283.91	$29,647.09	$52,283.91	$52,283.91	2026-03-16
B0106	OTHER	Stroke M <41.50 And A <84.50	13	11	$50,397.88	$50,397.88	$30,238.73	$50,397.88	$50,397.88	2026-03-16
B1903	OTHER	Guillain-barré M >=38.50 And M <51.50	13	11	$49,102.57	$49,102.57	$26,949.74	$49,102.57	$49,102.57	2026-03-16
B0205	OTHER	Traumatic Brain Injury M <35.50	13	11	$48,481.60	$48,481.60	$28,246.71	$48,481.60	$48,481.60	2026-03-16
74080268	CDM	Insert Tips	14	12	$48,288.18	$48,288.18	$27,593.24	$48,288.18	$48,288.18	2026-03-16
C0406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	13	11	$48,138.20	$48,138.20	$28,882.92	$48,138.20	$48,138.20	2026-03-16
D1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	13	11	$48,097.28	$48,097.28	$27,947.25	$48,097.28	$48,097.28	2026-03-16
74080483	CDM	Revise Tips	14	12	$47,034.04	$47,034.04	$26,876.59	$47,034.04	$47,034.04	2026-03-16
D0406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	13	11	$46,871.36	$46,871.36	$28,122.82	$46,871.36	$46,871.36	2026-03-16
A1904	OTHER	Guillain-barré M <38.50	13	11	$46,403.41	$46,403.41	$27,713.49	$46,403.41	$46,403.41	2026-03-16
D1904	OTHER	Guillain-barré M <38.50	13	11	$46,389.18	$46,389.18	$27,833.51	$46,389.18	$46,389.18	2026-03-16
C0404	OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	13	11	$46,197.02	$46,197.02	$27,718.21	$46,197.02	$46,197.02	2026-03-16
B1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	13	11	$45,472.85	$45,472.85	$27,283.71	$45,472.85	$45,472.85	2026-03-16
B2102	OTHER	Burns M <52.50	13	11	$45,284.25	$45,284.25	$24,871.80	$45,284.25	$45,284.25	2026-03-16
A1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	13	11	$45,143.69	$45,143.69	$25,901.62	$45,143.69	$45,143.69	2026-03-16
D0404	OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	13	11	$44,981.78	$44,981.78	$26,989.07	$44,981.78	$44,981.78	2026-03-16
B0405	OTHER	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	13	11	$44,768.26	$44,768.26	$25,827.29	$44,768.26	$44,768.26	2026-03-16
C0106	OTHER	Stroke M <41.50 And A <84.50	13	11	$44,754.03	$44,754.03	$26,852.42	$44,754.03	$44,754.03	2026-03-16
B0105	OTHER	Stroke M <41.50 And A >=84.50	13	11	$44,741.57	$44,741.57	$26,844.94	$44,741.57	$44,741.57	2026-03-16
B1805	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	13	11	$44,111.71	$44,111.71	$25,992.10	$44,111.71	$44,111.71	2026-03-16
B0604	OTHER	Neurological M <43.50	13	11	$43,588.61	$43,588.61	$26,153.16	$43,588.61	$43,588.61	2026-03-16
C0505	OTHER	Non-traumatic Spinal Cord Injury M <39.50	13	11	$42,718.54	$42,718.54	$25,278.99	$42,718.54	$42,718.54	2026-03-16
A0406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	13	11	$42,414.29	$42,414.29	$25,448.57	$42,414.29	$42,414.29	2026-03-16
B0305	OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50	13	11	$42,166.97	$42,166.97	$25,300.18	$42,166.97	$42,166.97	2026-03-16
B1004	OTHER	Amputation Lower Extremity M <47.50	13	11	$42,051.31	$42,051.31	$24,751.15	$42,051.31	$42,051.31	2026-03-16
76085035	CDM	Sm153 Lexidron To 150mci	14	12	$41,825.76	$41,825.76	$23,900.44	$41,825.76	$41,825.76	2026-03-16
B1504	OTHER	Pulmonary M <45.50	13	11	$41,679.45	$41,679.45	$24,222.24	$41,679.45	$41,679.45	2026-03-16
B0704	OTHER	Fracture Of Lower Extremity M <41.50	13	11	$40,816.50	$40,816.50	$24,489.90	$40,816.50	$40,816.50	2026-03-16
B1304	OTHER	Rheumatoid Other Arthritis M <44.50 And A >=64.50	13	11	$40,766.68	$40,766.68	$23,845.21	$40,766.68	$40,766.68	2026-03-16
A0404	OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	13	11	$40,704.41	$40,704.41	$24,422.64	$40,704.41	$40,704.41	2026-03-16
B1305	OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50	13	11	$40,686.61	$40,686.61	$22,536.40	$40,686.61	$40,686.61	2026-03-16
D0106	OTHER	Stroke M <41.50 And A <84.50	13	11	$40,547.83	$40,547.83	$24,328.70	$40,547.83	$40,547.83	2026-03-16
B0904	OTHER	Other Orthopedic M <44.5	13	11	$40,001.59	$40,001.59	$22,974.82	$40,001.59	$40,001.59	2026-03-16
D0505	OTHER	Non-traumatic Spinal Cord Injury M <39.50	13	11	$39,741.82	$39,741.82	$23,845.09	$39,741.82	$39,741.82	2026-03-16
C0105	OTHER	Stroke M <41.50 And A >=84.50	13	11	$39,731.14	$39,731.14	$23,806.43	$39,731.14	$39,731.14	2026-03-16
B2005	OTHER	Miscellaneous M <46.50 And A <77.50	13	11	$39,353.94	$39,353.94	$23,612.36	$39,353.94	$39,353.94	2026-03-16
B0504	OTHER	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	13	11	$39,124.41	$39,124.41	$23,449.88	$39,124.41	$39,124.41	2026-03-16
B1704	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	13	11	$39,060.36	$39,060.36	$23,436.21	$39,060.36	$39,060.36	2026-03-16
74080527	CDM	Stnt Plc Transc Vein Ini	14	12	$39,032.60	$39,032.60	$22,304.34	$39,032.60	$39,032.60	2026-03-16
A5104	OTHER	Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More	13	11	$38,932.25	$38,932.25	$23,359.35	$38,932.25	$38,932.25	2026-03-16
74080525	CDM	Stnt Plc Transcth Art Ini	14	12	$38,869.80	$38,869.80	$22,211.32	$38,869.80	$38,869.80	2026-03-16
76085037	CDM	Strontium Sr-89 Thera/mci	14	12	$38,865.52	$38,865.52	$22,208.87	$38,865.52	$38,865.52	2026-03-16
74080547	CDM	Verteb Augm Thorac W Imag	14	12	$38,769.13	$38,769.13	$22,153.79	$38,769.13	$38,769.13	2026-03-16
74080548	CDM	Verteb Augm Lumbar W Imag	14	12	$38,769.13	$38,769.13	$22,153.79	$38,769.13	$38,769.13	2026-03-16
74080549	CDM	Verteb Augm Ea Add W Imag	14	12	$38,769.13	$38,769.13	$22,153.79	$38,769.13	$38,769.13	2026-03-16
C0205	OTHER	Traumatic Brain Injury M <35.50	13	11	$38,547.93	$38,547.93	$23,128.76	$38,547.93	$38,547.93	2026-03-16
B0304	OTHER	Non-traumatic Brain Injury M <42.50 And A >=78.50	13	11	$38,494.55	$38,494.55	$23,096.73	$38,494.55	$38,494.55	2026-03-16
A0106	OTHER	Stroke M <41.50 And A <84.50	13	11	$38,460.74	$38,460.74	$23,076.45	$38,460.74	$38,460.74	2026-03-16
B1404	OTHER	Cardiac M <45.50	13	11	$38,197.41	$38,197.41	$22,918.45	$38,197.41	$38,197.41	2026-03-16
B1204	OTHER	Osteoarthritis M <49.50 And A <74.50	13	11	$38,192.07	$38,192.07	$22,915.24	$38,192.07	$38,192.07	2026-03-16
C2102	OTHER	Burns M <52.50	13	11	$38,071.08	$38,071.08	$19,108.70	$38,071.08	$38,071.08	2026-03-16
B0204	OTHER	Traumatic Brain Injury M >=35.50 And M <49.50	13	11	$37,789.96	$37,789.96	$22,064.58	$37,789.96	$37,789.96	2026-03-16
B2004	OTHER	Miscellaneous M <46.50 And A >=77.50	13	11	$37,597.80	$37,597.80	$22,558.68	$37,597.80	$37,597.80	2026-03-16
B0805	OTHER	Replacement Of Lower-extremity Joint M <42.50	13	11	$37,204.58	$37,204.58	$22,124.90	$37,204.58	$37,204.58	2026-03-16
B1203	OTHER	Osteoarthritis M <49.50 And A >=74.50	13	11	$37,097.82	$37,097.82	$22,258.69	$37,097.82	$37,097.82	2026-03-16
B1804	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	13	11	$36,768.66	$36,768.66	$21,455.95	$36,768.66	$36,768.66	2026-03-16
A0505	OTHER	Non-traumatic Spinal Cord Injury M <39.50	13	11	$36,624.53	$36,624.53	$21,974.72	$36,624.53	$36,624.53	2026-03-16
C0405	OTHER	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	13	11	$36,592.51	$36,592.51	$21,955.50	$36,592.51	$36,592.51	2026-03-16
A5102	OTHER	Expired, Orthopedic, Length Of Stay Is 14 Days Or More	13	11	$36,448.39	$36,448.39	$19,630.07	$36,448.39	$36,448.39	2026-03-16
C1805	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	13	11	$36,087.19	$36,087.19	$20,969.05	$36,087.19	$36,087.19	2026-03-16
C1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	13	11	$36,024.92	$36,024.92	$21,614.95	$36,024.92	$36,024.92	2026-03-16
D0105	OTHER	Stroke M <41.50 And A >=84.50	13	11	$35,996.45	$35,996.45	$21,597.87	$35,996.45	$35,996.45	2026-03-16
B0104	OTHER	Stroke M >=41.50 And M <50.50	13	11	$35,900.37	$35,900.37	$21,540.22	$35,900.37	$35,900.37	2026-03-16
36224	CPT	Place Cath Int Carotid Art Bi	14	12	$35,853.69	$35,853.69	$20,487.82	$35,853.69	$35,853.69	2026-03-16
B1604	OTHER	Pain Syndrome M <43.50	13	11	$35,672.62	$35,672.62	$21,403.57	$35,672.62	$35,672.62	2026-03-16
D0405	OTHER	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	13	11	$35,629.92	$35,629.92	$21,377.95	$35,629.92	$35,629.92	2026-03-16
D0205	OTHER	Traumatic Brain Injury M <35.50	13	11	$35,217.13	$35,217.13	$21,130.28	$35,217.13	$35,217.13	2026-03-16
C1004	OTHER	Amputation Lower Extremity M <47.50	13	11	$34,941.34	$34,941.34	$20,519.85	$34,941.34	$34,941.34	2026-03-16
B0403	OTHER	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	13	11	$34,880.85	$34,880.85	$20,928.12	$34,880.85	$34,880.85	2026-03-16
B1902	OTHER	Guillain-barré M >=51.50 And M <66.50	13	11	$34,704.70	$34,704.70	$17,937.77	$34,704.70	$34,704.70	2026-03-16
C1903	OTHER	Guillain-barré M >=38.50 And M <51.50	13	11	$34,702.92	$34,702.92	$20,768.69	$34,702.92	$34,702.92	2026-03-16
B0603	OTHER	Neurological M >=43.50 And M <52.50	13	11	$34,464.50	$34,464.50	$20,678.70	$34,464.50	$34,464.50	2026-03-16
B1103	OTHER	Amputation Non-lower Extremity M <52.50	13	11	$34,418.24	$34,418.24	$20,650.94	$34,418.24	$34,418.24	2026-03-16
A0105	OTHER	Stroke M <41.50 And A >=84.50	13	11	$34,144.23	$34,144.23	$20,486.54	$34,144.23	$34,144.23	2026-03-16
B1703	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	13	11	$33,944.95	$33,944.95	$20,366.97	$33,944.95	$33,944.95	2026-03-16
C1504	OTHER	Pulmonary M <45.50	13	11	$33,512.59	$33,512.59	$19,790.58	$33,512.59	$33,512.59	2026-03-16
D1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	13	11	$33,448.53	$33,448.53	$20,069.12	$33,448.53	$33,448.53	2026-03-16
C0305	OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50	13	11	$33,420.07	$33,420.07	$20,052.04	$33,420.07	$33,420.07	2026-03-16
B1503	OTHER	Pulmonary M >=45.50 And M <56.50	13	11	$33,236.80	$33,236.80	$19,582.68	$33,236.80	$33,236.80	2026-03-16
B0903	OTHER	Other Orthopedic M >=44.50 And M <51.50	13	11	$33,219.01	$33,219.01	$19,174.41	$33,219.01	$33,219.01	2026-03-16
D1805	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	13	11	$33,197.66	$33,197.66	$19,765.80	$33,197.66	$33,197.66	2026-03-16
A0205	OTHER	Traumatic Brain Injury M <35.50	13	11	$33,087.34	$33,087.34	$19,852.41	$33,087.34	$33,087.34	2026-03-16
B0703	OTHER	Fracture Of Lower Extremity M >=41.50 And M <52.50	13	11	$33,055.32	$33,055.32	$19,833.19	$33,055.32	$33,055.32	2026-03-16
C0604	OTHER	Neurological M <43.50	13	11	$33,010.83	$33,010.83	$19,806.50	$33,010.83	$33,010.83	2026-03-16
B0503	OTHER	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	13	11	$32,742.16	$32,742.16	$19,645.30	$32,742.16	$32,742.16	2026-03-16
C0704	OTHER	Fracture Of Lower Extremity M <41.50	13	11	$32,635.41	$32,635.41	$19,396.32	$32,635.41	$32,635.41	2026-03-16
C1304	OTHER	Rheumatoid Other Arthritis M <44.50 And A >=64.50	13	11	$32,592.70	$32,592.70	$19,092.54	$32,592.70	$32,592.70	2026-03-16
C1103	OTHER	Amputation Non-lower Extremity M <52.50	13	11	$32,583.81	$32,583.81	$17,483.19	$32,583.81	$32,583.81	2026-03-16
C1305	OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50	13	11	$32,526.87	$32,526.87	$18,045.49	$32,526.87	$32,526.87	2026-03-16
B0303	OTHER	Non-traumatic Brain Injury M >=42.50 And M <52.50	13	11	$32,493.07	$32,493.07	$19,495.84	$32,493.07	$32,493.07	2026-03-16
A0405	OTHER	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	13	11	$32,242.19	$32,242.19	$19,345.31	$32,242.19	$32,242.19	2026-03-16
C1604	OTHER	Pain Syndrome M <43.50	13	11	$31,969.96	$31,969.96	$18,872.79	$31,969.96	$31,969.96	2026-03-16
C0104	OTHER	Stroke M >=41.50 And M <50.50	13	11	$31,881.00	$31,881.00	$19,055.92	$31,881.00	$31,881.00	2026-03-16
D1004	OTHER	Amputation Lower Extremity M <47.50	13	11	$31,713.74	$31,713.74	$18,727.37	$31,713.74	$31,713.74	2026-03-16
B1003	OTHER	Amputation Lower Extremity M >=47.50 And M <55.50	13	11	$31,614.10	$31,614.10	$18,968.46	$31,614.10	$31,614.10	2026-03-16
B1303	OTHER	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	13	11	$31,585.64	$31,585.64	$18,803.85	$31,585.64	$31,585.64	2026-03-16
C2005	OTHER	Miscellaneous M <46.50 And A <77.50	13	11	$31,560.73	$31,560.73	$18,936.44	$31,560.73	$31,560.73	2026-03-16
B1803	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	13	11	$31,482.44	$31,482.44	$18,889.46	$31,482.44	$31,482.44	2026-03-16
D1504	OTHER	Pulmonary M <45.50	13	11	$31,384.58	$31,384.58	$18,690.74	$31,384.58	$31,384.58	2026-03-16
C0805	OTHER	Replacement Of Lower-extremity Joint M <42.50	13	11	$31,334.76	$31,334.76	$17,905.45	$31,334.76	$31,334.76	2026-03-16
A1805	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	13	11	$31,158.61	$31,158.61	$18,319.10	$31,158.61	$31,158.61	2026-03-16
D0305	OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50	13	11	$31,156.83	$31,156.83	$18,694.10	$31,156.83	$31,156.83	2026-03-16
D0604	OTHER	Neurological M <43.50	13	11	$31,092.78	$31,092.78	$18,655.67	$31,092.78	$31,092.78	2026-03-16
D0704	OTHER	Fracture Of Lower Extremity M <41.50	13	11	$30,994.92	$30,994.92	$18,380.51	$30,994.92	$30,994.92	2026-03-16
C1704	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	13	11	$30,945.10	$30,945.10	$18,567.06	$30,945.10	$30,945.10	2026-03-16
B2003	OTHER	Miscellaneous M >=46.50 And M <55.50	13	11	$30,827.67	$30,827.67	$18,496.60	$30,827.67	$30,827.67	2026-03-16
A1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	13	11	$30,792.08	$30,792.08	$18,465.61	$30,792.08	$30,792.08	2026-03-16
C1404	OTHER	Cardiac M <45.50	13	11	$30,770.73	$30,770.73	$18,201.69	$30,770.73	$30,770.73	2026-03-16
B0203	OTHER	Traumatic Brain Injury M >=49.50 And M <61.50	13	11	$30,662.19	$30,662.19	$17,796.66	$30,662.19	$30,662.19	2026-03-16
B1403	OTHER	Cardiac M >=45.50 And M <55.50	13	11	$30,615.93	$30,615.93	$18,369.56	$30,615.93	$30,615.93	2026-03-16
C0304	OTHER	Non-traumatic Brain Injury M <42.50 And A >=78.50	13	11	$30,509.18	$30,509.18	$18,305.51	$30,509.18	$30,509.18	2026-03-16
C1204	OTHER	Osteoarthritis M <49.50 And A <74.50	13	11	$30,313.46	$30,313.46	$17,923.77	$30,313.46	$30,313.46	2026-03-16
C0904	OTHER	Other Orthopedic M <44.5	13	11	$30,299.22	$30,299.22	$18,179.53	$30,299.22	$30,299.22	2026-03-16
B0402	OTHER	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	13	11	$30,220.93	$30,220.93	$16,640.80	$30,220.93	$30,220.93	2026-03-16
A1903	OTHER	Guillain-barré M >=38.50 And M <51.50	13	11	$30,176.45	$30,176.45	$18,105.87	$30,176.45	$30,176.45	2026-03-16
D1903	OTHER	Guillain-barré M >=38.50 And M <51.50	13	11	$30,169.34	$30,169.34	$18,101.60	$30,169.34	$30,169.34	2026-03-16
C2004	OTHER	Miscellaneous M <46.50 And A >=77.50	13	11	$30,151.54	$30,151.54	$18,090.93	$30,151.54	$30,151.54	2026-03-16
C1804	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	13	11	$30,080.37	$30,080.37	$17,309.75	$30,080.37	$30,080.37	2026-03-16
C0504	OTHER	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	13	11	$30,066.14	$30,066.14	$18,039.68	$30,066.14	$30,066.14	2026-03-16
C0204	OTHER	Traumatic Brain Injury M >=35.50 And M <49.50	13	11	$30,046.57	$30,046.57	$18,027.94	$30,046.57	$30,046.57	2026-03-16
A1504	OTHER	Pulmonary M <45.50	13	11	$30,002.08	$30,002.08	$17,453.02	$30,002.08	$30,002.08	2026-03-16
B0804	OTHER	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	13	11	$29,870.42	$29,870.42	$17,922.25	$29,870.42	$29,870.42	2026-03-16
D1304	OTHER	Rheumatoid Other Arthritis M <44.50 And A >=64.50	13	11	$29,863.30	$29,863.30	$17,917.98	$29,863.30	$29,863.30	2026-03-16
D1305	OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50	13	11	$29,802.81	$29,802.81	$17,248.35	$29,802.81	$29,802.81	2026-03-16
A1004	OTHER	Amputation Lower Extremity M <47.50	13	11	$29,446.95	$29,446.95	$16,735.60	$29,446.95	$29,446.95	2026-03-16
C1203	OTHER	Osteoarthritis M <49.50 And A >=74.50	13	11	$29,443.39	$29,443.39	$17,083.54	$29,443.39	$29,443.39	2026-03-16
D2005	OTHER	Miscellaneous M <46.50 And A <77.50	13	11	$29,350.87	$29,350.87	$17,610.52	$29,350.87	$29,350.87	2026-03-16
D1604	OTHER	Pain Syndrome M <43.50	13	11	$29,244.11	$29,244.11	$16,946.73	$29,244.11	$29,244.11	2026-03-16
A0305	OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50	13	11	$29,167.61	$29,167.61	$17,500.56	$29,167.61	$29,167.61	2026-03-16
36226	CPT	Place Cath Vertebral Art Bi	14	12	$29,036.88	$29,036.88	$16,592.50	$29,036.88	$29,036.88	2026-03-16
B0602	OTHER	Neurological M >=52.50 And M <64.50	13	11	$28,982.56	$28,982.56	$17,389.54	$28,982.56	$28,982.56	2026-03-16
B1702	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	13	11	$28,930.96	$28,930.96	$17,358.58	$28,930.96	$28,930.96	2026-03-16
B0502	OTHER	Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50	13	11	$28,914.95	$28,914.95	$17,206.34	$28,914.95	$28,914.95	2026-03-16
D0104	OTHER	Stroke M >=41.50 And M <50.50	13	11	$28,884.70	$28,884.70	$17,330.82	$28,884.70	$28,884.70	2026-03-16
D1704	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	13	11	$28,731.68	$28,731.68	$17,239.01	$28,731.68	$28,731.68	2026-03-16
D2102	OTHER	Burns M <52.50	13	11	$28,710.33	$28,710.33	$17,226.20	$28,710.33	$28,710.33	2026-03-16
D0904	OTHER	Other Orthopedic M <44.5	13	11	$28,621.37	$28,621.37	$17,172.82	$28,621.37	$28,621.37	2026-03-16
B2101	OTHER	Burns M >=52.50	13	11	$28,576.89	$28,576.89	$16,340.26	$28,576.89	$28,576.89	2026-03-16
C0403	OTHER	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	13	11	$28,511.05	$28,511.05	$17,106.63	$28,511.05	$28,511.05	2026-03-16
B1502	OTHER	Pulmonary M >=56.50 And M <68.50	13	11	$28,507.50	$28,507.50	$17,104.50	$28,507.50	$28,507.50	2026-03-16
D1404	OTHER	Cardiac M <45.50	13	11	$28,452.34	$28,452.34	$16,909.03	$28,452.34	$28,452.34	2026-03-16
D0304	OTHER	Non-traumatic Brain Injury M <42.50 And A >=78.50	13	11	$28,441.66	$28,441.66	$17,065.00	$28,441.66	$28,441.66	2026-03-16
A0704	OTHER	Fracture Of Lower Extremity M <41.50	13	11	$28,322.45	$28,322.45	$16,975.82	$28,322.45	$28,322.45	2026-03-16
36901	CPT	Intro Dial Graft	14	12	$28,319.15	$28,319.15	$16,182.37	$28,319.15	$28,319.15	2026-03-16
B0103	OTHER	Stroke M >=50.50 And M <63.50	13	11	$28,108.94	$28,108.94	$16,865.36	$28,108.94	$28,108.94	2026-03-16
D1103	OTHER	Amputation Non-lower Extremity M <52.50	13	11	$28,041.33	$28,041.33	$16,824.80	$28,041.33	$28,041.33	2026-03-16
D2004	OTHER	Miscellaneous M <46.50 And A >=77.50	13	11	$28,041.33	$28,041.33	$16,824.80	$28,041.33	$28,041.33	2026-03-16
D0805	OTHER	Replacement Of Lower-extremity Joint M <42.50	13	11	$28,009.30	$28,009.30	$16,236.85	$28,009.30	$28,009.30	2026-03-16
B0902	OTHER	Other Orthopedic M >=51.50 And M <63.50	13	11	$27,993.29	$27,993.29	$16,065.57	$27,993.29	$27,993.29	2026-03-16
D0504	OTHER	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	13	11	$27,970.16	$27,970.16	$16,782.09	$27,970.16	$27,970.16	2026-03-16
A0604	OTHER	Neurological M <43.50	13	11	$27,927.45	$27,927.45	$16,756.47	$27,927.45	$27,927.45	2026-03-16
D0403	OTHER	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	13	11	$27,760.20	$27,760.20	$16,656.12	$27,760.20	$27,760.20	2026-03-16
B1202	OTHER	Osteoarthritis M >=49.50 And M <61.50	13	11	$27,713.94	$27,713.94	$16,628.36	$27,713.94	$27,713.94	2026-03-16
D1804	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	13	11	$27,671.24	$27,671.24	$16,316.56	$27,671.24	$27,671.24	2026-03-16
A2102	OTHER	Burns M <52.50	13	11	$27,532.45	$27,532.45	$16,118.36	$27,532.45	$27,532.45	2026-03-16
B0302	OTHER	Non-traumatic Brain Injury M >=52.50 And M <65.50	13	11	$27,480.86	$27,480.86	$16,488.51	$27,480.86	$27,480.86	2026-03-16
B1102	OTHER	Amputation Non-lower Extremity M >=52.50 And M <58.50	13	11	$27,479.08	$27,479.08	$16,487.45	$27,479.08	$27,479.08	2026-03-16
D0204	OTHER	Traumatic Brain Injury M >=35.50 And M <49.50	13	11	$27,450.61	$27,450.61	$16,470.37	$27,450.61	$27,450.61	2026-03-16
A0104	OTHER	Stroke M >=41.50 And M <50.50	13	11	$27,397.23	$27,397.23	$16,438.34	$27,397.23	$27,397.23	2026-03-16
B1302	OTHER	Rheumatoid Other Arthritis M >=51.50 And M <62.50	13	11	$27,329.62	$27,329.62	$16,397.77	$27,329.62	$27,329.62	2026-03-16
B1603	OTHER	Pain Syndrome M >=43.50 And M <58.50	13	11	$27,253.11	$27,253.11	$16,351.87	$27,253.11	$27,253.11	2026-03-16
A1304	OTHER	Rheumatoid Other Arthritis M <44.50 And A >=64.50	13	11	$27,126.78	$27,126.78	$16,276.07	$27,126.78	$27,126.78	2026-03-16
D1204	OTHER	Osteoarthritis M <49.50 And A <74.50	13	11	$27,089.42	$27,089.42	$16,253.65	$27,089.42	$27,089.42	2026-03-16
A1305	OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50	13	11	$27,073.40	$27,073.40	$15,997.71	$27,073.40	$27,073.40	2026-03-16
B0702	OTHER	Fracture Of Lower Extremity M >=52.50 And M <61.50	13	11	$26,982.66	$26,982.66	$16,189.60	$26,982.66	$26,982.66	2026-03-16
C1703	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	13	11	$26,891.92	$26,891.92	$16,135.15	$26,891.92	$26,891.92	2026-03-16
A2005	OTHER	Miscellaneous M <46.50 And A <77.50	13	11	$26,868.79	$26,868.79	$16,121.27	$26,868.79	$26,868.79	2026-03-16
C1503	OTHER	Pulmonary M >=45.50 And M <56.50	13	11	$26,724.67	$26,724.67	$15,999.86	$26,724.67	$26,724.67	2026-03-16
A0304	OTHER	Non-traumatic Brain Injury M <42.50 And A >=78.50	13	11	$26,626.81	$26,626.81	$15,976.08	$26,626.81	$26,626.81	2026-03-16
B1002	OTHER	Amputation Lower Extremity M >=55.50 And M <64.50	13	11	$26,562.75	$26,562.75	$15,937.65	$26,562.75	$26,562.75	2026-03-16
A1604	OTHER	Pain Syndrome M <43.50	13	11	$26,507.59	$26,507.59	$15,771.49	$26,507.59	$26,507.59	2026-03-16
A1704	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	13	11	$26,450.66	$26,450.66	$15,744.56	$26,450.66	$26,450.66	2026-03-16
C0703	OTHER	Fracture Of Lower Extremity M >=41.50 And M <52.50	13	11	$26,429.31	$26,429.31	$15,857.58	$26,429.31	$26,429.31	2026-03-16
D1203	OTHER	Osteoarthritis M <49.50 And A >=74.50	13	11	$26,311.87	$26,311.87	$15,787.12	$26,311.87	$26,311.87	2026-03-16
B0803	OTHER	Replacement Of Lower-extremity Joint M >=51.50 And M <57.50	13	11	$26,294.08	$26,294.08	$15,776.45	$26,294.08	$26,294.08	2026-03-16
C1003	OTHER	Amputation Lower Extremity M >=47.50 And M <55.50	13	11	$26,269.17	$26,269.17	$15,761.50	$26,269.17	$26,269.17	2026-03-16
B2002	OTHER	Miscellaneous M >=55.50 And M <66.50	13	11	$26,253.16	$26,253.16	$15,751.90	$26,253.16	$26,253.16	2026-03-16
A0805	OTHER	Replacement Of Lower-extremity Joint M <42.50	13	11	$26,242.48	$26,242.48	$15,128.40	$26,242.48	$26,242.48	2026-03-16
A1404	OTHER	Cardiac M <45.50	13	11	$26,164.19	$26,164.19	$15,564.67	$26,164.19	$26,164.19	2026-03-16
A0904	OTHER	Other Orthopedic M <44.5	13	11	$26,110.82	$26,110.82	$15,666.49	$26,110.82	$26,110.82	2026-03-16
C0603	OTHER	Neurological M >=43.50 And M <52.50	13	11	$26,101.92	$26,101.92	$15,661.15	$26,101.92	$26,101.92	2026-03-16
C1102	OTHER	Amputation Non-lower Extremity M >=52.50 And M <58.50	13	11	$26,014.74	$26,014.74	$14,022.10	$26,014.74	$26,014.74	2026-03-16
74080477	CDM	Revas Tib Peron Ather Add	14	12	$26,002.81	$26,002.81	$14,858.75	$26,002.81	$26,002.81	2026-03-16
74080481	CDM	Revas Tib Pr Stnt Ath Ini	14	12	$26,002.81	$26,002.81	$14,858.75	$26,002.81	$26,002.81	2026-03-16
74080479	CDM	Revas Tib Peron Stent Ini	14	12	$26,002.81	$26,002.81	$14,858.75	$26,002.81	$26,002.81	2026-03-16
74080478	CDM	Revas Tib Peron Ather Ini	14	12	$26,002.81	$26,002.81	$14,858.75	$26,002.81	$26,002.81	2026-03-16
A1804	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	13	11	$25,972.03	$25,972.03	$15,123.01	$25,972.03	$25,972.03	2026-03-16
74080471	CDM	Revas Femoral Poplt Stent	14	12	$25,905.35	$25,905.35	$14,803.06	$25,905.35	$25,905.35	2026-03-16
74080468	CDM	Revas Fem Pop Atherectomy	14	12	$25,905.35	$25,905.35	$14,803.06	$25,905.35	$25,905.35	2026-03-16
74080469	CDM	Revas Fem Pop Stent Ather	14	12	$25,905.35	$25,905.35	$14,803.06	$25,905.35	$25,905.35	2026-03-16
A0204	OTHER	Traumatic Brain Injury M >=35.50 And M <49.50	13	11	$25,790.55	$25,790.55	$15,474.33	$25,790.55	$25,790.55	2026-03-16
A0504	OTHER	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	13	11	$25,776.31	$25,776.31	$15,465.79	$25,776.31	$25,776.31	2026-03-16
C1803	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	13	11	$25,754.96	$25,754.96	$15,452.98	$25,754.96	$25,754.96	2026-03-16
C0303	OTHER	Non-traumatic Brain Injury M >=42.50 And M <52.50	13	11	$25,753.18	$25,753.18	$15,451.91	$25,753.18	$25,753.18	2026-03-16
A2004	OTHER	Miscellaneous M <46.50 And A >=77.50	13	11	$25,669.56	$25,669.56	$15,401.73	$25,669.56	$25,669.56	2026-03-16
B1402	OTHER	Cardiac M >=55.50 And M <68.50	13	11	$25,329.72	$25,329.72	$15,197.83	$25,329.72	$25,329.72	2026-03-16
B1802	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50	13	11	$25,306.59	$25,306.59	$15,183.95	$25,306.59	$25,306.59	2026-03-16
77020083	CDM	Liver Tumor Ablat Rf Perc	14	12	$25,297.02	$25,297.02	$14,455.44	$25,297.02	$25,297.02	2026-03-16
C1303	OTHER	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	13	11	$25,251.43	$25,251.43	$15,056.22	$25,251.43	$25,251.43	2026-03-16
C0503	OTHER	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	13	11	$25,162.46	$25,162.46	$15,097.48	$25,162.46	$25,162.46	2026-03-16
C0903	OTHER	Other Orthopedic M >=44.50 And M <51.50	13	11	$25,160.69	$25,160.69	$15,096.41	$25,160.69	$25,160.69	2026-03-16
C0804	OTHER	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	13	11	$25,158.91	$25,158.91	$14,937.73	$25,158.91	$25,158.91	2026-03-16
A0403	OTHER	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	13	11	$25,119.76	$25,119.76	$15,071.86	$25,119.76	$25,119.76	2026-03-16
D0703	OTHER	Fracture Of Lower Extremity M >=41.50 And M <52.50	13	11	$25,101.97	$25,101.97	$15,044.37	$25,101.97	$25,101.97	2026-03-16
A1204	OTHER	Osteoarthritis M <49.50 And A <74.50	13	11	$25,087.74	$25,087.74	$15,052.64	$25,087.74	$25,087.74	2026-03-16
D1503	OTHER	Pulmonary M >=45.50 And M <56.50	13	11	$25,027.24	$25,027.24	$15,016.34	$25,027.24	$25,027.24	2026-03-16
D1703	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	13	11	$24,968.52	$24,968.52	$14,981.11	$24,968.52	$24,968.52	2026-03-16
C0103	OTHER	Stroke M >=50.50 And M <63.50	13	11	$24,961.41	$24,961.41	$14,931.27	$24,961.41	$24,961.41	2026-03-16
C2003	OTHER	Miscellaneous M >=46.50 And M <55.50	13	11	$24,722.98	$24,722.98	$14,833.79	$24,722.98	$24,722.98	2026-03-16
C0402	OTHER	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	13	11	$24,701.63	$24,701.63	$14,820.98	$24,701.63	$24,701.63	2026-03-16
C1403	OTHER	Cardiac M >=45.50 And M <55.50	13	11	$24,662.49	$24,662.49	$14,797.49	$24,662.49	$24,662.49	2026-03-16
B0202	OTHER	Traumatic Brain Injury M >=61.50 And M <73.50	13	11	$24,662.49	$24,662.49	$14,246.16	$24,662.49	$24,662.49	2026-03-16
D0603	OTHER	Neurological M >=43.50 And M <52.50	13	11	$24,584.20	$24,584.20	$14,750.52	$24,584.20	$24,584.20	2026-03-16
A1103	OTHER	Amputation Non-lower Extremity M <52.50	13	11	$24,534.38	$24,534.38	$14,720.63	$24,534.38	$24,534.38	2026-03-16
C1902	OTHER	Guillain-barré M >=51.50 And M <66.50	13	11	$24,527.26	$24,527.26	$13,823.89	$24,527.26	$24,527.26	2026-03-16
C1603	OTHER	Pain Syndrome M >=43.50 And M <58.50	13	11	$24,424.07	$24,424.07	$14,654.44	$24,424.07	$24,424.07	2026-03-16
C0203	OTHER	Traumatic Brain Injury M >=49.50 And M <61.50	13	11	$24,379.58	$24,379.58	$14,627.75	$24,379.58	$24,379.58	2026-03-16
A1203	OTHER	Osteoarthritis M <49.50 And A >=74.50	13	11	$24,368.91	$24,368.91	$14,621.35	$24,368.91	$24,368.91	2026-03-16
76085057	CDM	In111 Satumomab Dx To 6mc	14	12	$24,275.29	$24,275.29	$13,871.59	$24,275.29	$24,275.29	2026-03-16
B0401	OTHER	Traumatic Spinal Cord Injury M >=56.50	13	11	$24,105.58	$24,105.58	$13,017.06	$24,105.58	$24,105.58	2026-03-16
B1101	OTHER	Amputation Non-lower Extremity M >=58.50	13	11	$24,062.87	$24,062.87	$13,553.51	$24,062.87	$24,062.87	2026-03-16
74080582	CDM	Pl St Bile Duct Cth Nw Ea	14	12	$24,053.59	$24,053.59	$13,744.91	$24,053.59	$24,053.59	2026-03-16
74080660	CDM	Plc Stnt Bile Duct New Ea	14	12	$24,053.59	$24,053.59	$13,744.91	$24,053.59	$24,053.59	2026-03-16
74080661	CDM	Pl St Bile Duct Cth Nw Ea	14	12	$24,053.59	$24,053.59	$13,744.91	$24,053.59	$24,053.59	2026-03-16
74080581	CDM	Plc Stnt Bile Duct New Ea	14	12	$24,053.59	$24,053.59	$13,744.91	$24,053.59	$24,053.59	2026-03-16
74080580	CDM	Plc Stent Bile Duct Ex Ea	14	12	$24,053.59	$24,053.59	$13,744.91	$24,053.59	$24,053.59	2026-03-16
74080659	CDM	Plc Stent Bile Duct Ex Ea	14	12	$24,053.59	$24,053.59	$13,744.91	$24,053.59	$24,053.59	2026-03-16
D0402	OTHER	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	13	11	$24,052.20	$24,052.20	$14,431.32	$24,052.20	$24,052.20	2026-03-16
C2101	OTHER	Burns M >=52.50	13	11	$24,025.51	$24,025.51	$12,553.85	$24,025.51	$24,025.51	2026-03-16
D0303	OTHER	Non-traumatic Brain Injury M >=42.50 And M <52.50	13	11	$24,009.50	$24,009.50	$14,405.70	$24,009.50	$24,009.50	2026-03-16
A1503	OTHER	Pulmonary M >=45.50 And M <56.50	13	11	$23,924.09	$23,924.09	$14,110.43	$23,924.09	$23,924.09	2026-03-16
B0802	OTHER	Replacement Of Lower-extremity Joint M >=57.50 And M <63.50	13	11	$23,892.06	$23,892.06	$14,335.24	$23,892.06	$23,892.06	2026-03-16
B1901	OTHER	Guillain-barré M >=66.50	13	11	$23,854.70	$23,854.70	$11,147.01	$23,854.70	$23,854.70	2026-03-16
D1003	OTHER	Amputation Lower Extremity M >=47.50 And M <55.50	13	11	$23,842.24	$23,842.24	$14,305.35	$23,842.24	$23,842.24	2026-03-16
D0903	OTHER	Other Orthopedic M >=44.50 And M <51.50	13	11	$23,767.52	$23,767.52	$14,260.51	$23,767.52	$23,767.52	2026-03-16
D1803	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	13	11	$23,692.79	$23,692.79	$14,215.67	$23,692.79	$23,692.79	2026-03-16
B1201	OTHER	Osteoarthritis M >=61.50	13	11	$23,570.02	$23,570.02	$14,142.01	$23,570.02	$23,570.02	2026-03-16
B1701	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50	13	11	$23,470.38	$23,470.38	$14,082.23	$23,470.38	$23,470.38	2026-03-16
D0503	OTHER	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	13	11	$23,408.10	$23,408.10	$14,044.86	$23,408.10	$23,408.10	2026-03-16
B1501	OTHER	Pulmonary M >=68.50	13	11	$23,313.80	$23,313.80	$13,599.83	$23,313.80	$23,313.80	2026-03-16
B0601	OTHER	Neurological M >=64.50	13	11	$23,299.57	$23,299.57	$13,979.74	$23,299.57	$23,299.57	2026-03-16
B0501	OTHER	Non-traumatic Spinal Cord Injury M >=60.50	13	11	$23,290.67	$23,290.67	$13,744.18	$23,290.67	$23,290.67	2026-03-16
74080421	CDM	Nephrostolithotm/pyel<2cm	14	12	$23,284.61	$23,284.61	$13,305.49	$23,284.61	$23,284.61	2026-03-16
76085056	CDM	In-111 Pentetr Dx To 6mci	14	12	$23,220.35	$23,220.35	$13,268.77	$23,220.35	$23,220.35	2026-03-16
D1303	OTHER	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	13	11	$23,137.65	$23,137.65	$13,882.59	$23,137.65	$23,137.65	2026-03-16
D2003	OTHER	Miscellaneous M >=46.50 And M <55.50	13	11	$22,991.75	$22,991.75	$13,795.05	$22,991.75	$22,991.75	2026-03-16
A1703	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	13	11	$22,986.41	$22,986.41	$13,791.85	$22,986.41	$22,986.41	2026-03-16
A0703	OTHER	Fracture Of Lower Extremity M >=41.50 And M <52.50	13	11	$22,938.37	$22,938.37	$13,763.02	$22,938.37	$22,938.37	2026-03-16
C1502	OTHER	Pulmonary M >=56.50 And M <68.50	13	11	$22,922.36	$22,922.36	$13,753.42	$22,922.36	$22,922.36	2026-03-16
C1702	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	13	11	$22,918.80	$22,918.80	$13,751.28	$22,918.80	$22,918.80	2026-03-16
D1403	OTHER	Cardiac M >=45.50 And M <55.50	13	11	$22,803.15	$22,803.15	$13,681.89	$22,803.15	$22,803.15	2026-03-16
C1101	OTHER	Amputation Non-lower Extremity M >=58.50	13	11	$22,781.80	$22,781.80	$10,976.81	$22,781.80	$22,781.80	2026-03-16
D0103	OTHER	Stroke M >=50.50 And M <63.50	13	11	$22,614.55	$22,614.55	$13,568.73	$22,614.55	$22,614.55	2026-03-16
36907	CPT	Pta Central Dial Seg Add On	14	12	$22,581.68	$22,581.68	$12,903.82	$22,581.68	$22,581.68	2026-03-16
B1602	OTHER	Pain Syndrome M >=58.50 And M <65.50	13	11	$22,504.23	$22,504.23	$13,502.54	$22,504.23	$22,504.23	2026-03-16
D0804	OTHER	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	13	11	$22,488.22	$22,488.22	$13,492.93	$22,488.22	$22,488.22	2026-03-16
A0303	OTHER	Non-traumatic Brain Injury M >=42.50 And M <52.50	13	11	$22,477.54	$22,477.54	$13,486.53	$22,477.54	$22,477.54	2026-03-16
D1102	OTHER	Amputation Non-lower Extremity M >=52.50 And M <58.50	13	11	$22,386.80	$22,386.80	$13,432.08	$22,386.80	$22,386.80	2026-03-16
76085053	CDM	In-111 Capromab To 10mci	14	12	$22,383.90	$22,383.90	$12,790.80	$22,383.90	$22,383.90	2026-03-16
D1603	OTHER	Pain Syndrome M >=43.50 And M <58.50	13	11	$22,342.32	$22,342.32	$13,405.39	$22,342.32	$22,342.32	2026-03-16
B1301	OTHER	Rheumatoid Other Arthritis M >=62.50	13	11	$22,288.94	$22,288.94	$12,092.81	$22,288.94	$22,288.94	2026-03-16
D0203	OTHER	Traumatic Brain Injury M >=49.50 And M <61.50	13	11	$22,272.93	$22,272.93	$13,363.76	$22,272.93	$22,272.93	2026-03-16
A1803	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	13	11	$22,237.34	$22,237.34	$13,342.40	$22,237.34	$22,237.34	2026-03-16
C0502	OTHER	Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50	13	11	$22,221.33	$22,221.33	$13,332.80	$22,221.33	$22,221.33	2026-03-16
C0803	OTHER	Replacement Of Lower-extremity Joint M >=51.50 And M <57.50	13	11	$22,146.60	$22,146.60	$13,287.96	$22,146.60	$22,146.60	2026-03-16
A1003	OTHER	Amputation Lower Extremity M >=47.50 And M <55.50	13	11	$22,137.70	$22,137.70	$13,080.61	$22,137.70	$22,137.70	2026-03-16
A0603	OTHER	Neurological M >=43.50 And M <52.50	13	11	$22,082.54	$22,082.54	$13,249.53	$22,082.54	$22,082.54	2026-03-16
C1002	OTHER	Amputation Lower Extremity M >=55.50 And M <64.50	13	11	$22,071.87	$22,071.87	$13,243.12	$22,071.87	$22,071.87	2026-03-16
B0901	OTHER	Other Orthopedic M >=63.50	13	11	$22,036.28	$22,036.28	$12,894.25	$22,036.28	$22,036.28	2026-03-16
C1202	OTHER	Osteoarthritis M >=49.50 And M <61.50	13	11	$21,995.36	$21,995.36	$13,197.22	$21,995.36	$21,995.36	2026-03-16
C0602	OTHER	Neurological M >=52.50 And M <64.50	13	11	$21,950.88	$21,950.88	$13,170.53	$21,950.88	$21,950.88	2026-03-16
B0102	OTHER	Stroke M >=63.50 And M <72.50	13	11	$21,895.72	$21,895.72	$13,137.43	$21,895.72	$21,895.72	2026-03-16
B1001	OTHER	Amputation Lower Extremity M >=64.50	13	11	$21,865.47	$21,865.47	$12,991.20	$21,865.47	$21,865.47	2026-03-16
C1302	OTHER	Rheumatoid Other Arthritis M >=51.50 And M <62.50	13	11	$21,849.46	$21,849.46	$13,109.68	$21,849.46	$21,849.46	2026-03-16
B0701	OTHER	Fracture Of Lower Extremity M >=61.50	13	11	$21,829.89	$21,829.89	$13,097.93	$21,829.89	$21,829.89	2026-03-16
C0302	OTHER	Non-traumatic Brain Injury M >=52.50 And M <65.50	13	11	$21,780.07	$21,780.07	$13,068.04	$21,780.07	$21,780.07	2026-03-16
A0402	OTHER	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	13	11	$21,764.06	$21,764.06	$13,058.43	$21,764.06	$21,764.06	2026-03-16
A0903	OTHER	Other Orthopedic M >=44.50 And M <51.50	13	11	$21,683.99	$21,683.99	$13,010.39	$21,683.99	$21,683.99	2026-03-16
C0702	OTHER	Fracture Of Lower Extremity M >=52.50 And M <61.50	13	11	$21,573.67	$21,573.67	$12,902.87	$21,573.67	$21,573.67	2026-03-16
A0503	OTHER	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	13	11	$21,571.89	$21,571.89	$12,943.14	$21,571.89	$21,571.89	2026-03-16
D1502	OTHER	Pulmonary M >=56.50 And M <68.50	13	11	$21,466.92	$21,466.92	$12,880.15	$21,466.92	$21,466.92	2026-03-16
74080376	CDM	Extrm Vein Ablat Rf 1st	14	12	$21,462.84	$21,462.84	$12,264.48	$21,462.84	$21,462.84	2026-03-16
A0103	OTHER	Stroke M >=50.50 And M <63.50	13	11	$21,450.90	$21,450.90	$12,870.54	$21,450.90	$21,450.90	2026-03-16
74080508	CDM	Translum Ather Renal Art	14	12	$21,362.17	$21,362.17	$12,206.95	$21,362.17	$21,362.17	2026-03-16
74080511	CDM	Translum Athr Visceral Ea	14	12	$21,362.17	$21,362.17	$12,206.95	$21,362.17	$21,362.17	2026-03-16
74080509	CDM	Translum Atherec Brach Ea	14	12	$21,362.17	$21,362.17	$12,206.95	$21,362.17	$21,362.17	2026-03-16

See an error in this hospital's data? Submit a correction