Price Transparencybeta Hospital negotiated rates

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

Helen M Simpson Rehabilitation Hospital

Harrisburg, PA · CCN 393056 · Rates published

100 distinct procedures filed
15 distinct payers
4,607 rate rows
2026-09-20 last MRF observed
Data quality

2,181 of 4,607 rate rows are consumer-grade (47.3%)

2,426 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 2,426
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://resources.selectmedical.com/Pricing-Transparency/inpatient-rehabilitation/47-1551361_Pinnacle_Health_Select_Rehab_standardcharges.csv
Found on page https://www.simpson-rehab.com/patients-and-caregivers/admissions/price-transparency/
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-20
Content fingerprint c9f2b5b01961d6f9… · 70,954,648 bytes · first seen 2026-09-20

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 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1002
OTHER 		Amputation Lower Extremity With Motor Score >= 55.50 And Motor Score < 64.50, No… 12 $1,590.68 $18,772.02 $1,590.68 nat. median
$2,154
0.7× median
1003
OTHER 		Amputation Lower Extremity With Motor Score >= 47.50 And Motor Score < 55.50, No… 12 $1,590.68 $12,555.00 $1,590.68 nat. median
$2,154
0.7× median
1004
OTHER 		Amputation Lower Extremity With Motor Score < 47.50, No Comorbidity Tier 12 $1,590.68 $104,760.96 $1,590.68 nat. median
$2,374
0.7× median
101
OTHER 		Stroke Motor Score >= 72.50, No Comorbidity Tier 12 $1,590.68 $12,194.52 $1,590.68 nat. median
$2,374
0.7× median
102
OTHER 		Stroke With Motor Score >= 63.50 And Motor Score < 72.50, No Comorbidity Tier 12 $1,590.68 $19,904.76 $1,590.68 nat. median
$2,374
0.7× median
103
OTHER 		Stroke With Motor Score >= 50.50 And Motor Score < 63.50, No Comorbidity Tier 12 $1,590.68 $22,930.00 $1,590.68 nat. median
$2,886
0.6× median
104
OTHER 		Stroke With Motor Score >= 41.50 And Motor Score < 50.50, No Comorbidity Tier 12 $1,590.68 $29,560.57 $1,590.68 nat. median
$2,374
0.7× median
105
OTHER 		Stroke With Motor Score < 41.50 And Age >=84.50, No Comorbidity Tier 12 $1,590.68 $26,505.00 $1,590.68 nat. median
$2,374
0.7× median
106
OTHER 		Stroke With Motor Score < 41.50 And Age < 84.50, No Comorbidity Tier 12 $1,590.68 $30,690.00 $1,590.68 nat. median
$2,886
0.6× median
1101
OTHER 		Amputation Non-lower Extremity With Motor Score >= 58.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1102
OTHER 		Amputation Non-lower Extremity With Motor Score >= 52.50 And Motor Score <58.50,… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,374
0.7× median
1103
OTHER 		Amputation Non-lower Extremity With Motor Score < 52.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1201
OTHER 		Osteoarthritis With Motor Score >= 61.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1202
OTHER 		Osteoarthritis With Motor Score >= 49.50 And Motor Score < 61.50, No Comorbidity… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1203
OTHER 		Osteoarthritis With Motor Score < 49.50 And Age >= 74.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$1,526
1.0× median
1204
OTHER 		Osteoarthritis With Motor Score < 49.50 And Age < 74.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1301
OTHER 		Rheumatoid Other Arthritis With Motor Score >= 62.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1302
OTHER 		Rheumatoid Other Arthritis With Motor Score >= 51.50 And Motor Score < 62.50, No… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1303
OTHER 		Rheumatoid Other Arthritis With Motor Score >= 44.50 And Motor Score < 51.50 And… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1304
OTHER 		Rheumatoid Other Arthritis With Motor Score < 44.50 And Age >= 64.50, No Comorbi… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,374
0.7× median
1305
OTHER 		Rheumatoid Other Arthritis With Motor Score < 51.50 And Age < 64.50, No Comorbid… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1401
OTHER 		Cardiac With Motor Score >= 68.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1402
OTHER 		Cardiac With Motor Score >= 55.50 And Motor Score < 68.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,134
0.7× median
1403
OTHER 		Cardiac With Motor Score >= 45.50 And Motor Score < 55.50, No Comorbidity Tier 12 $1,590.68 $15,345.00 $1,590.68 nat. median
$2,374
0.7× median
1404
OTHER 		Cardiac With Motor Score < 45.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1501
OTHER 		Pulmonary With Motor Score >= 68.50, No Comorbidity Tier 12 $1,590.68 $5,580.00 $1,590.68 nat. median
$2,154
0.7× median
1502
OTHER 		Pulmonary With Motor Score >= 56.50 And Motor Score < 68.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$1,500
1.1× median
1503
OTHER 		Pulmonary With Motor Score >= 45.50 And Motor Score < 56.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$1,526
1.0× median
1504
OTHER 		Pulmonary With Motor Score < 45.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$1,526
1.0× median
1601
OTHER 		Pain Syndrome With Motor Score >= 65.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1602
OTHER 		Pain Syndrome With Motor Score >= 58.50 And Motor Score < 65.50, No Comorbidity… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1603
OTHER 		Pain Syndrome With Motor Score >= 43.50 And Motor Score < 58.50, No Comorbidity… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1604
OTHER 		Pain Syndrome With Motor Score < 43.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× median
1701
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 57… 12 $1,590.68 $13,950.00 $1,590.68 nat. median
$1,526
1.0× median
1702
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 50… 12 $1,590.68 $17,685.00 $1,590.68 nat. median
$2,154
0.7× median
1703
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 41… 12 $1,590.68 $15,955.00 $1,590.68 nat. median
$2,154
0.7× median
1704
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 36… 12 $1,590.68 $26,055.00 $1,590.68 nat. median
$1,526
1.0× median
1705
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score < 36.… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$1,526
1.0× median
1801
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 67.50… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,186
0.7× median
1802
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 55.50… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,186
0.7× median
1803
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 45.50… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,186
0.7× median
1804
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 40.50… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,186
0.7× median
1805
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 30.50… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,186
0.7× median
1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score < 30.50,… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,186
0.7× median
1901
OTHER 		Guillain-barre With Motor Score >= 66.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$3,015
0.5× median
1902
OTHER 		Guillain-barre With Motor Score >= 51.50 And Motor Score < 66.50, No Comorbidity… 12 $1,590.68 $21,795.79 $1,590.68 nat. median
$3,015
0.5× median
1903
OTHER 		Guillain-barre With Motor Score >= 38.50 And Motor Score < 51.50, No Comorbidity… 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$3,015
0.5× median
1904
OTHER 		Guillain-barre With Motor Score < 38.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$3,015
0.5× median
2001
OTHER 		Miscellaneous With Motor Score >= 66.50, No Comorbidity Tier 12 $1,590.68 $1,590.68 $1,590.68 nat. median
$2,154
0.7× 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 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1002 OTHER Amputation Lower Extremity With Motor Score >= 55.50 And Motor Score < 64.50, No… 23 12 — — $1,590.68 $18,772.02 $1,590.68 2026-09-20
1003 OTHER Amputation Lower Extremity With Motor Score >= 47.50 And Motor Score < 55.50, No… 22 12 — — $1,590.68 $12,555.00 $1,590.68 2026-09-20
1004 OTHER Amputation Lower Extremity With Motor Score < 47.50, No Comorbidity Tier 23 12 — — $1,590.68 $104,760.96 $1,590.68 2026-09-20
101 OTHER Stroke Motor Score >= 72.50, No Comorbidity Tier 23 12 — — $1,590.68 $12,194.52 $1,590.68 2026-09-20
102 OTHER Stroke With Motor Score >= 63.50 And Motor Score < 72.50, No Comorbidity Tier 24 12 — — $1,590.68 $19,904.76 $1,590.68 2026-09-20
103 OTHER Stroke With Motor Score >= 50.50 And Motor Score < 63.50, No Comorbidity Tier 26 12 — — $1,590.68 $22,930.00 $1,590.68 2026-09-20
104 OTHER Stroke With Motor Score >= 41.50 And Motor Score < 50.50, No Comorbidity Tier 25 12 — — $1,590.68 $29,560.57 $1,590.68 2026-09-20
105 OTHER Stroke With Motor Score < 41.50 And Age >=84.50, No Comorbidity Tier 22 12 — — $1,590.68 $26,505.00 $1,590.68 2026-09-20
106 OTHER Stroke With Motor Score < 41.50 And Age < 84.50, No Comorbidity Tier 26 12 — — $1,590.68 $30,690.00 $1,590.68 2026-09-20
1101 OTHER Amputation Non-lower Extremity With Motor Score >= 58.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1102 OTHER Amputation Non-lower Extremity With Motor Score >= 52.50 And Motor Score <58.50,… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1103 OTHER Amputation Non-lower Extremity With Motor Score < 52.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1201 OTHER Osteoarthritis With Motor Score >= 61.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1202 OTHER Osteoarthritis With Motor Score >= 49.50 And Motor Score < 61.50, No Comorbidity… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1203 OTHER Osteoarthritis With Motor Score < 49.50 And Age >= 74.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1204 OTHER Osteoarthritis With Motor Score < 49.50 And Age < 74.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1301 OTHER Rheumatoid Other Arthritis With Motor Score >= 62.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1302 OTHER Rheumatoid Other Arthritis With Motor Score >= 51.50 And Motor Score < 62.50, No… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1303 OTHER Rheumatoid Other Arthritis With Motor Score >= 44.50 And Motor Score < 51.50 And… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1304 OTHER Rheumatoid Other Arthritis With Motor Score < 44.50 And Age >= 64.50, No Comorbi… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1305 OTHER Rheumatoid Other Arthritis With Motor Score < 51.50 And Age < 64.50, No Comorbid… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1401 OTHER Cardiac With Motor Score >= 68.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1402 OTHER Cardiac With Motor Score >= 55.50 And Motor Score < 68.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1403 OTHER Cardiac With Motor Score >= 45.50 And Motor Score < 55.50, No Comorbidity Tier 22 12 — — $1,590.68 $15,345.00 $1,590.68 2026-09-20
1404 OTHER Cardiac With Motor Score < 45.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1501 OTHER Pulmonary With Motor Score >= 68.50, No Comorbidity Tier 22 12 — — $1,590.68 $5,580.00 $1,590.68 2026-09-20
1502 OTHER Pulmonary With Motor Score >= 56.50 And Motor Score < 68.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1503 OTHER Pulmonary With Motor Score >= 45.50 And Motor Score < 56.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1504 OTHER Pulmonary With Motor Score < 45.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1601 OTHER Pain Syndrome With Motor Score >= 65.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1602 OTHER Pain Syndrome With Motor Score >= 58.50 And Motor Score < 65.50, No Comorbidity … 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1603 OTHER Pain Syndrome With Motor Score >= 43.50 And Motor Score < 58.50, No Comorbidity … 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1604 OTHER Pain Syndrome With Motor Score < 43.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1701 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 57… 24 12 — — $1,590.68 $13,950.00 $1,590.68 2026-09-20
1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 50… 23 12 — — $1,590.68 $17,685.00 $1,590.68 2026-09-20
1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 41… 22 12 — — $1,590.68 $15,955.00 $1,590.68 2026-09-20
1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score >= 36… 22 12 — — $1,590.68 $26,055.00 $1,590.68 2026-09-20
1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor Score < 36.… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1801 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 67.50… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1802 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 55.50… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 45.50… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 40.50… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score >= 30.50… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score < 30.50,… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1901 OTHER Guillain-barre With Motor Score >= 66.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1902 OTHER Guillain-barre With Motor Score >= 51.50 And Motor Score < 66.50, No Comorbidity… 22 12 — — $1,590.68 $21,795.79 $1,590.68 2026-09-20
1903 OTHER Guillain-barre With Motor Score >= 38.50 And Motor Score < 51.50, No Comorbidity… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
1904 OTHER Guillain-barre With Motor Score < 38.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
2001 OTHER Miscellaneous With Motor Score >= 66.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
2002 OTHER Miscellaneous With Motor Score >= 55.50 And Motor Score < 66.50, No Comorbidity … 23 12 — — $1,590.68 $10,667.58 $1,590.68 2026-09-20
2003 OTHER Miscellaneous With Motor Score >= 46.50 And Motor Score < 55.50, No Comorbidity … 24 12 — — $1,590.68 $27,934.22 $1,590.68 2026-09-20
2004 OTHER Miscellaneous With Motor Score < 46.50 And Age >= 77.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
2005 OTHER Miscellaneous With Motor Score < 46.50 And Age < 77.50, No Comorbidity Tier 22 12 — — $1,590.68 $10,179.60 $1,590.68 2026-09-20
201 OTHER Traumatic Brain Injury With Motor Score >= 73.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
202 OTHER Traumatic Brain Injury With Motor Score >= 61.50 And Motor Score < 73.50, No Com… 22 12 — — $1,590.68 $18,194.00 $1,590.68 2026-09-20
203 OTHER Traumatic Brain Injury With Motor Score >= 49.50 And Motor Score < 61.50, No Com… 22 12 — — $1,590.68 $25,369.38 $1,590.68 2026-09-20
204 OTHER Traumatic Brain Injury With Motor Score >= 35.50 And Motor Score < 49.50, No Com… 22 12 — — $1,590.68 $36,388.00 $1,590.68 2026-09-20
205 OTHER Traumatic Brain Injury With Motor Score < 35.50, No Comorbidity Tier 23 12 — — $1,590.68 $28,795.00 $1,590.68 2026-09-20
2101 OTHER Burns With Motor Score >= 52.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
2102 OTHER Burns With Motor Score < 52.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
301 OTHER Non-traumatic Brain Injury With Motor Score >= 65.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
302 OTHER Non-traumatic Brain Injury With Motor Score >= 52.50 And Motor Score < 65.50, No… 22 12 — — $1,590.68 $16,540.00 $1,590.68 2026-09-20
303 OTHER Non-traumatic Brain Injury With Motor Score >= 42.50 And Motor Score < 52.50, No… 23 12 — — $1,590.68 $19,848.00 $1,590.68 2026-09-20
304 OTHER Non-traumatic Brain Injury With Motor Score < 42.50 And Age >= 78.50, No Comorbi… 23 12 — — $1,590.68 $26,505.00 $1,590.68 2026-09-20
305 OTHER Non-traumatic Brain Injury With Motor Score < 42.50 And Age < 78.50, No Comorbid… 23 12 — — $1,590.68 $18,194.00 $1,590.68 2026-09-20
401 OTHER Traumatic Spinal Cord Injury With Motor Score >= 56.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
402 OTHER Traumatic Spinal Cord Injury With Motor Score >= 47.50 And Motor Score < 56.50, … 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
403 OTHER Traumatic Spinal Cord Injury With Motor Score >= 41.50 And Motor Score < 47.50, … 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
404 OTHER Traumatic Spinal Cord Injury With Motor Score < 31.50 And Age < 61.50, No Comorb… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
405 OTHER Traumatic Spinal Cord Injury With Motor Score >= 31.50 And Motor Score < 41.50, … 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
406 OTHER Traumatic Spinal Cord Injury With Motor Score >= 24.50 And Motor Score < 31.50 A… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
407 OTHER Traumatic Spinal Cord Injury With Motor Score < 24.50 And Age >= 61.50, No Comor… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
5001 OTHER Short-stay Cases, Length Of Stay Is 3 Days Or Fewer 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
501 OTHER Non-traumatic Spinal Cord Injury With Motor Score >= 60.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
502 OTHER Non-traumatic Spinal Cord Injury With Motor Score >= 53.50 And Motor Score < 60… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
503 OTHER Non-traumatic Spinal Cord Injury With Motor Score >= 48.50 And Motor Score < 53.… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
504 OTHER Non-traumatic Spinal Cord Injury With Motor Score >= 39.50 And Motor Score < 48.… 22 12 — — $1,590.68 $21,502.00 $1,590.68 2026-09-20
505 OTHER Non-traumatic Spinal Cord Injury With Motor Score < 39.50, No Comorbidity Tier 22 12 — — $1,590.68 $37,665.00 $1,590.68 2026-09-20
5101 OTHER Expired, Orthopedic, Length Of Stay Is 13 Days Or Fewer 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
5102 OTHER Expired, Orthopedic, Length Of Stay Is 14 Days Or More 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
5103 OTHER Expired, Not Orthopedic, Length Of Stay Is 15 Days Or Fewer 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
601 OTHER Neurological With Motor Score >= 64.50, No Comorbidity Tier 22 12 — — $1,590.68 $8,270.00 $1,590.68 2026-09-20
602 OTHER Neurological With Motor Score >= 52.50 And Motor Score < 64.50, No Comorbidity T… 25 12 — — $1,590.68 $16,740.00 $1,590.68 2026-09-20
603 OTHER Neurological With Motor Score >= 43.50 And Motor Score < 52.50, No Comorbidity T… 25 12 — — $1,590.68 $35,477.08 $1,590.68 2026-09-20
604 OTHER Neurological With Motor Score < 43.50, No Comorbidity Tier 28 12 — — $1,590.68 $99,481.02 $1,590.68 2026-09-20
701 OTHER Fracture Of Lower Extremity With Motor Score >= 61.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
702 OTHER Fracture Of Lower Extremity With Motor Score >= 52.50 And Motor Score < 61.50, N… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
703 OTHER Fracture Of Lower Extremity With Motor Score >= 41.50 And Motor Score < 52.50, N… 22 12 — — $1,590.68 $18,832.50 $1,590.68 2026-09-20
704 OTHER Fracture Of Lower Extremity With Motor Score < 41.50, No Comorbidity Tier 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
801 OTHER Replacement Of Lower-extremity Joint With Motor Score >= 63.50, No Comorbidity T… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
802 OTHER Replacement Of Lower-extremity Joint With Motor Score >= 57.50 And Motor Score <… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
803 OTHER Replacement Of Lower-extremity Joint With Motor Score >= 51.50 And Motor Score <… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
804 OTHER Replacement Of Lower-extremity Joint With Motor Score >= 42.50 And Motor Score <… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
805 OTHER Replacement Of Lower-extremity Joint With Motor Score < 42.50, No Comorbidity Ti… 21 12 — — $1,590.68 $1,590.68 $1,590.68 2026-09-20
901 OTHER Other Orthopedic With Motor Score >= 63.50, No Comorbidity Tier 22 12 — — $1,590.68 $8,370.00 $1,590.68 2026-09-20
902 OTHER Other Orthopedic With Motor Score >= 51.50 And Motor Score < 63.50, No Comorbidi… 24 12 — — $1,590.68 $20,677.39 $1,590.68 2026-09-20
903 OTHER Other Orthopedic With Motor Score >= 44.50 And Motor Score < 51.50, No Comorbidi… 22 12 — — $1,590.68 $13,930.00 $1,590.68 2026-09-20
904 OTHER Other Orthopedic With Motor Score < 44.50, No Comorbidity Tier 25 12 — — $1,590.68 $18,135.00 $1,590.68 2026-09-20
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