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

Greenwood Regional Rehabilitation Hospital, Inc

Greenwood, SC · CCN 423030 · Rates published

2,144 distinct procedures filed
14 distinct payers
19,277 rate rows
2026-03-23 last MRF observed
Data quality

2,015 of 19,277 rate rows are consumer-grade (10.5%)

17,262 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 17,189
per-diem day rate — not a per-procedure price 73
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ernesthealth.com/pricing/2026/205991381_greenwood-regional-rehabilitation-hospital_standard-charges.json
Found on page https://grrh.ernesthealth.com/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint 1d39acf45eecc68b… · 10,347,316 bytes · first seen 2026-05-05

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
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 1 9 $79,047.13 $79,047.13 $79,047.13 nat. median
$66,421
1.2× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50- Tier Tier 2 9 $71,983.14 $71,983.14 $71,983.14 nat. median
$70,140
1.0× median
A1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier None 9 $49,294.37 $49,294.37 $49,294.37 nat. median
$47,794
1.0× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50- Tier Tier 1 9 $46,815.43 $46,815.43 $46,815.43 nat. median
$53,961
0.9× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50- Tier Tier 2 9 $44,297.80 $44,297.80 $44,297.80 nat. median
$51,378
0.9× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50- Tier Tier 3 9 $41,530.20 $41,530.20 $41,530.20 nat. median
$48,664
0.9× median
B0604
HCPCS 		Neurological M <43.50- Tier Tier 1 9 $39,312.34 $40,114.63 $39,713.49 nat. median
$46,491
0.9× median
A0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50- Tier None 9 $39,074.07 $39,074.07 $39,074.07 nat. median
$45,460
0.9× median
C0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 2 9 $37,798.34 $37,798.34 $37,798.34 nat. median
$45,226
0.8× median
C0604
HCPCS 		Neurological M <43.50- Tier Tier 2 9 $30,032.82 $41,740.70 $35,886.76 nat. median
$35,373
1.0× median
B2005
HCPCS 		Miscellaneous M <46.50 And A <77.50- Tier Tier 1 9 $35,778.43 $35,778.43 $35,778.43 nat. median
$41,981
0.9× median
D0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 9 $35,709.17 $35,709.17 $35,709.17 nat. median
$42,098
0.8× median
B0304
HCPCS 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 1 9 $34,826.47 $34,826.47 $34,826.47 nat. median
$41,212
0.8× median
C0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier Tier 2 9 $34,716.94 $34,716.94 $34,716.94 nat. median
$39,644
0.9× median
B1404
HCPCS 		Cardiac M <45.50- Tier Tier 1 9 $34,563.91 $34,563.91 $34,563.91 nat. median
$40,776
0.8× median
B1304
HCPCS 		Rheumatoid Other Arthritis M <44.50 And A >=64.50- Tier Tier 1 9 $34,496.26 $34,496.26 $34,496.26 nat. median
$43,273
0.8× median
D0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier Tier 3 9 $33,700.54 $33,700.54 $33,700.54 nat. median
$38,609
0.9× median
C0304
HCPCS 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 9 $33,314.30 $33,314.30 $33,314.30 nat. median
$32,700
1.0× median
D0105
HCPCS 		Stroke M <41.50 And A >=84.50- Tier Tier 3 9 $31,967.32 $32,619.71 $32,293.51 nat. median
$38,427
0.8× median
B0603
HCPCS 		Neurological M >=43.50 And M <52.50- Tier Tier 1 9 $31,986.68 $31,986.68 $31,986.68 nat. median
$37,050
0.9× median
D0205
HCPCS 		Traumatic Brain Injury M <35.50- Tier Tier 3 9 $31,793.39 $31,793.39 $31,793.39 nat. median
$37,471
0.8× median
D1704
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50… 9 $31,373.38 $31,373.38 $31,373.38 nat. median
$90
outlier · 350.0×
A0105
HCPCS 		Stroke M <41.50 And A >=84.50- Tier None 9 $31,087.87 $31,087.87 $31,087.87 nat. median
$36,596
0.8× median
A0704
HCPCS 		Fracture Of Lower Extremity M <41.50- Tier None 9 $30,926.52 $30,926.52 $30,926.52 nat. median
$30,144
1.0× median
C0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 9 $30,728.67 $30,728.67 $30,728.67 nat. median
$35,651
0.9× median
D1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 9 $30,403.29 $30,403.29 $30,403.29 nat. median
$71
outlier · 431.0×
A0205
HCPCS 		Traumatic Brain Injury M <35.50- Tier None 9 $29,932.95 $29,932.95 $29,932.95 nat. median
$35,382
0.8× median
C1504
HCPCS 		Pulmonary M <45.50- Tier Tier 2 9 $29,734.82 $29,734.82 $29,734.82 nat. median
$35,729
0.8× median
C0704
HCPCS 		Fracture Of Lower Extremity M <41.50- Tier Tier 2 9 $28,998.70 $28,998.70 $28,998.70 nat. median
$34,601
0.8× median
D0106
HCPCS 		Stroke M <41.50 And A <84.50- Tier Tier 3 9 $20,365.90 $37,102.49 $28,734.19 nat. median
$43,154
0.7× median
C0104
HCPCS 		Stroke M >=41.50 And M <50.50- Tier Tier 2 9 $28,546.08 $28,546.08 $28,546.08 nat. median
$34,009
0.8× median
D0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 9 $28,227.14 $28,227.14 $28,227.14 nat. median
$32,729
0.9× median
D1504
HCPCS 		Pulmonary M <45.50- Tier Tier 3 9 $27,964.59 $27,964.59 $27,964.59 nat. median
$33,251
0.8× median
D0604
HCPCS 		Neurological M <43.50- Tier Tier 3 9 $27,476.33 $28,037.07 $27,756.70 nat. median
$107
outlier · 260.1×
D1004
HCPCS 		Amputation Lower Extremity M <47.50- Tier Tier 3 9 $27,441.60 $28,001.63 $27,721.62 nat. median
$33,575
0.8× median
C0904
HCPCS 		Other Orthopedic M <44.5- Tier Tier 2 9 $27,629.55 $27,629.55 $27,629.55 nat. median
$32,428
0.9× median
A1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 9 $27,582.83 $27,582.83 $27,582.83 nat. median
$32,738
0.8× median
D1304
HCPCS 		Rheumatoid Other Arthritis M <44.50 And A >=64.50- Tier Tier 3 9 $27,524.39 $27,524.39 $27,524.39 nat. median
$32,059
0.9× median
D0704
HCPCS 		Fracture Of Lower Extremity M <41.50- Tier Tier 3 9 $27,470.08 $27,470.08 $27,470.08 nat. median
$30,260
0.9× median
D1503
HCPCS 		Pulmonary M >=45.50 And M <56.50- Tier Tier 3 9 $27,328.34 $27,328.34 $27,328.34 nat. median
$26,786
1.0× median
C0204
HCPCS 		Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 2 9 $27,328.33 $27,328.33 $27,328.33 nat. median
$32,158
0.8× median
C1404
HCPCS 		Cardiac M <45.50- Tier Tier 2 9 $27,228.46 $27,228.46 $27,228.46 nat. median
$32,577
0.8× median
C2004
HCPCS 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 9 $27,112.49 $27,112.49 $27,112.49 nat. median
$32,081
0.8× median
C1403
HCPCS 		Cardiac M >=45.50 And M <55.50- Tier Tier 2 9 $26,930.05 $26,930.05 $26,930.05 nat. median
$26,362
1.0× median
A0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier None 9 $26,605.10 $26,605.10 $26,605.10 nat. median
$31,269
0.9× median
D2005
HCPCS 		Miscellaneous M <46.50 And A <77.50- Tier Tier 3 9 $26,162.97 $26,696.91 $26,429.94 nat. median
$31,377
0.8× median
A1504
HCPCS 		Pulmonary M <45.50- Tier None 9 $26,158.91 $26,158.91 $26,158.91 nat. median
$32,028
0.8× median
D0904
HCPCS 		Other Orthopedic M <44.5- Tier Tier 3 9 $25,753.00 $25,753.00 $25,753.00 nat. median
$30,444
0.8× median
D0304
HCPCS 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 3 9 $25,595.14 $25,595.14 $25,595.14 nat. median
$30,379
0.8× median
D2004
HCPCS 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 9 $25,327.76 $25,327.76 $25,327.76 nat. median
$29,889
0.8× median

Other procedures at this hospital

Browse this hospital's 2,144 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
             
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 1 16 9 — — $79,047.13 $79,047.13 $79,047.13 2026-03-23
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50- Tier Tier 2 16 9 — — $71,983.14 $71,983.14 $71,983.14 2026-03-23
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier None 16 9 — — $49,294.37 $49,294.37 $49,294.37 2026-03-23
B0106 HCPCS Stroke M <41.50 And A <84.50- Tier Tier 1 16 9 — — $46,815.43 $46,815.43 $46,815.43 2026-03-23
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50- Tier Tier 2 16 9 — — $44,297.80 $44,297.80 $44,297.80 2026-03-23
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50- Tier Tier 3 16 9 — — $41,530.20 $41,530.20 $41,530.20 2026-03-23
B0604 HCPCS Neurological M <43.50- Tier Tier 1 16 9 — — $39,312.34 $40,114.63 $39,713.49 2026-03-23
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50- Tier None 16 9 — — $39,074.07 $39,074.07 $39,074.07 2026-03-23
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 2 16 9 — — $37,798.34 $37,798.34 $37,798.34 2026-03-23
C0604 HCPCS Neurological M <43.50- Tier Tier 2 16 9 — — $30,032.82 $41,740.70 $35,886.76 2026-03-23
B2005 HCPCS Miscellaneous M <46.50 And A <77.50- Tier Tier 1 16 9 — — $35,778.43 $35,778.43 $35,778.43 2026-03-23
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 16 9 — — $35,709.17 $35,709.17 $35,709.17 2026-03-23
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 1 16 9 — — $34,826.47 $34,826.47 $34,826.47 2026-03-23
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier Tier 2 16 9 — — $34,716.94 $34,716.94 $34,716.94 2026-03-23
B1404 HCPCS Cardiac M <45.50- Tier Tier 1 16 9 — — $34,563.91 $34,563.91 $34,563.91 2026-03-23
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50- Tier Tier 1 16 9 — — $34,496.26 $34,496.26 $34,496.26 2026-03-23
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier Tier 3 16 9 — — $33,700.54 $33,700.54 $33,700.54 2026-03-23
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 16 9 — — $33,314.30 $33,314.30 $33,314.30 2026-03-23
D0105 HCPCS Stroke M <41.50 And A >=84.50- Tier Tier 3 16 9 — — $31,967.32 $32,619.71 $32,293.51 2026-03-23
B0603 HCPCS Neurological M >=43.50 And M <52.50- Tier Tier 1 16 9 — — $31,986.68 $31,986.68 $31,986.68 2026-03-23
D0205 HCPCS Traumatic Brain Injury M <35.50- Tier Tier 3 16 9 — — $31,793.39 $31,793.39 $31,793.39 2026-03-23
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50… 16 9 — — $31,373.38 $31,373.38 $31,373.38 2026-03-23
A0105 HCPCS Stroke M <41.50 And A >=84.50- Tier None 16 9 — — $31,087.87 $31,087.87 $31,087.87 2026-03-23
A0704 HCPCS Fracture Of Lower Extremity M <41.50- Tier None 16 9 — — $30,926.52 $30,926.52 $30,926.52 2026-03-23
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 16 9 — — $30,728.67 $30,728.67 $30,728.67 2026-03-23
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 16 9 — — $30,403.29 $30,403.29 $30,403.29 2026-03-23
A0205 HCPCS Traumatic Brain Injury M <35.50- Tier None 16 9 — — $29,932.95 $29,932.95 $29,932.95 2026-03-23
C1504 HCPCS Pulmonary M <45.50- Tier Tier 2 16 9 — — $29,734.82 $29,734.82 $29,734.82 2026-03-23
C0704 HCPCS Fracture Of Lower Extremity M <41.50- Tier Tier 2 16 9 — — $28,998.70 $28,998.70 $28,998.70 2026-03-23
D0106 HCPCS Stroke M <41.50 And A <84.50- Tier Tier 3 16 9 — — $20,365.90 $37,102.49 $28,734.19 2026-03-23
C0104 HCPCS Stroke M >=41.50 And M <50.50- Tier Tier 2 16 9 — — $28,546.08 $28,546.08 $28,546.08 2026-03-23
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 16 9 — — $28,227.14 $28,227.14 $28,227.14 2026-03-23
D1504 HCPCS Pulmonary M <45.50- Tier Tier 3 16 9 — — $27,964.59 $27,964.59 $27,964.59 2026-03-23
D0604 HCPCS Neurological M <43.50- Tier Tier 3 16 9 — — $27,476.33 $28,037.07 $27,756.70 2026-03-23
D1004 HCPCS Amputation Lower Extremity M <47.50- Tier Tier 3 16 9 — — $27,441.60 $28,001.63 $27,721.62 2026-03-23
C0904 HCPCS Other Orthopedic M <44.5- Tier Tier 2 16 9 — — $27,629.55 $27,629.55 $27,629.55 2026-03-23
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 16 9 — — $27,582.83 $27,582.83 $27,582.83 2026-03-23
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50- Tier Tier 3 16 9 — — $27,524.39 $27,524.39 $27,524.39 2026-03-23
D0704 HCPCS Fracture Of Lower Extremity M <41.50- Tier Tier 3 16 9 — — $27,470.08 $27,470.08 $27,470.08 2026-03-23
D1503 HCPCS Pulmonary M >=45.50 And M <56.50- Tier Tier 3 16 9 — — $27,328.34 $27,328.34 $27,328.34 2026-03-23
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 2 16 9 — — $27,328.33 $27,328.33 $27,328.33 2026-03-23
C1404 HCPCS Cardiac M <45.50- Tier Tier 2 16 9 — — $27,228.46 $27,228.46 $27,228.46 2026-03-23
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 16 9 — — $27,112.49 $27,112.49 $27,112.49 2026-03-23
C1403 HCPCS Cardiac M >=45.50 And M <55.50- Tier Tier 2 16 9 — — $26,930.05 $26,930.05 $26,930.05 2026-03-23
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50- Tier None 16 9 — — $26,605.10 $26,605.10 $26,605.10 2026-03-23
D2005 HCPCS Miscellaneous M <46.50 And A <77.50- Tier Tier 3 16 9 — — $26,162.97 $26,696.91 $26,429.94 2026-03-23
A1504 HCPCS Pulmonary M <45.50- Tier None 16 9 — — $26,158.91 $26,158.91 $26,158.91 2026-03-23
D0904 HCPCS Other Orthopedic M <44.5- Tier Tier 3 16 9 — — $25,753.00 $25,753.00 $25,753.00 2026-03-23
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 3 16 9 — — $25,595.14 $25,595.14 $25,595.14 2026-03-23
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 16 9 — — $25,327.76 $25,327.76 $25,327.76 2026-03-23
A0604 HCPCS Neurological M <43.50- Tier None 16 9 — — $25,285.88 $25,285.88 $25,285.88 2026-03-23
D1404 HCPCS Cardiac M <45.50- Tier Tier 3 16 9 — — $24,810.15 $25,316.48 $25,063.31 2026-03-23
D0104 HCPCS Stroke M >=41.50 And M <50.50- Tier Tier 3 16 9 — — $23,993.75 $26,086.43 $25,040.09 2026-03-23
D1403 HCPCS Cardiac M >=45.50 And M <55.50- Tier Tier 3 16 9 — — $24,899.76 $24,899.76 $24,899.76 2026-03-23
A0104 HCPCS Stroke M >=41.50 And M <50.50- Tier None 16 9 — — $24,860.63 $24,860.63 $24,860.63 2026-03-23
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 3 16 9 — — $24,820.36 $24,820.36 $24,820.36 2026-03-23
A0106 HCPCS Stroke M <41.50 And A <84.50- Tier None 16 9 — — $13,827.58 $35,358.02 $24,592.80 2026-03-23
A2005 HCPCS Miscellaneous M <46.50 And A <77.50- Tier None 16 9 — — $24,300.08 $24,300.08 $24,300.08 2026-03-23
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50- Tier Tier 3 16 9 — — $24,290.42 $24,290.42 $24,290.42 2026-03-23
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier None 16 9 — — $24,124.51 $24,124.51 $24,124.51 2026-03-23
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 2 16 9 — — $24,031.09 $24,031.09 $24,031.09 2026-03-23
C0603 HCPCS Neurological M >=43.50 And M <52.50- Tier Tier 2 16 9 — — $23,947.33 $23,947.33 $23,947.33 2026-03-23
D1203 HCPCS Osteoarthritis M <49.50 And A >=74.50- Tier Tier 3 16 9 — — $23,910.28 $23,910.28 $23,910.28 2026-03-23
A0904 HCPCS Other Orthopedic M <44.5- Tier None 16 9 — — $23,562.35 $23,562.35 $23,562.35 2026-03-23
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50- Tier None 16 9 — — $23,369.06 $23,369.06 $23,369.06 2026-03-23
A1404 HCPCS Cardiac M <45.50- Tier None 16 9 — — $23,294.96 $23,294.96 $23,294.96 2026-03-23
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50- Tier None 16 9 — — $23,053.35 $23,053.35 $23,053.35 2026-03-23
A1403 HCPCS Cardiac M >=45.50 And M <55.50- Tier None 16 9 — — $22,898.60 $22,898.60 $22,898.60 2026-03-23
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50- Tier None 16 9 — — $22,655.49 $22,655.49 $22,655.49 2026-03-23
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 3 16 9 — — $22,486.36 $22,486.36 $22,486.36 2026-03-23
D0603 HCPCS Neurological M >=43.50 And M <52.50- Tier Tier 3 16 9 — — $22,355.88 $22,355.88 $22,355.88 2026-03-23
D0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 3 16 9 — — $22,075.61 $22,075.61 $22,075.61 2026-03-23
D0903 HCPCS Other Orthopedic M >=44.50 And M <51.50- Tier Tier 3 16 9 — — $21,492.51 $21,492.51 $21,492.51 2026-03-23
D2003 HCPCS Miscellaneous M >=46.50 And M <55.50- Tier Tier 3 16 9 — — $21,183.24 $21,183.24 $21,183.24 2026-03-23
C2005 HCPCS Miscellaneous M <46.50 And A <77.50- Tier Tier 2 16 9 — — $13,467.38 $28,578.29 $21,022.83 2026-03-23
A0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier None 16 9 — — $20,775.72 $20,775.72 $20,775.72 2026-03-23
C0602 HCPCS Neurological M >=52.50 And M <64.50- Tier Tier 2 16 9 — — $20,324.70 $20,324.70 $20,324.70 2026-03-23
D0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier Tier 3 16 9 — — $20,253.83 $20,253.83 $20,253.83 2026-03-23
A0603 HCPCS Neurological M >=43.50 And M <52.50- Tier None 16 9 — — $20,162.01 $20,162.01 $20,162.01 2026-03-23
A0903 HCPCS Other Orthopedic M >=44.50 And M <51.50- Tier None 16 9 — — $19,664.29 $19,664.29 $19,664.29 2026-03-23
A2003 HCPCS Miscellaneous M >=46.50 And M <55.50- Tier None 16 9 — — $19,280.92 $19,280.92 $19,280.92 2026-03-23
A0902 HCPCS Other Orthopedic M >=51.50 And M <63.50- Tier None 16 9 — — $16,466.91 $16,466.91 $16,466.91 2026-03-23
0148 RC Room & Board - Deluxe Private - Rehabilitation 6 2 — — $1,195.00 $1,195.00 $1,195.00 2026-03-23
0118 RC Room & Board - Private (One Bed) - Rehabilitation 6 2 — — $1,195.00 $1,195.00 $1,195.00 2026-03-23
0158 RC Room & Board - Ward - Rehabilitation 6 2 — — $1,195.00 $1,195.00 $1,195.00 2026-03-23
0138 RC Room & Board - Three And Four Beds - Rehabilitation 6 2 — — $1,172.00 $1,172.00 $1,172.00 2026-03-23
0128 RC Room & Board - Semi-private (Two Beds) - Rehabilitation 6 2 — — $1,106.50 $1,106.50 $1,106.50 2026-03-23
0801 RC Inpatient Renal Dialysis - Hemodialysis 3 1 — — $500.00 $549.00 $549.00 2026-03-23
G0155 HCPCS Hhcp-svs Of Csw,ea 15 Min 3 1 — — $188.00 $188.00 $188.00 2026-03-23
97165 HCPCS Ot Eval Low Complex 30 Min 21 10 — — $150.00 $150.00 $150.00 2026-03-23
97162 HCPCS Pt Eval Mod Complex 30 Min 21 10 — — $150.00 $150.00 $150.00 2026-03-23
97167 HCPCS Ot Eval High Complex 60 Min 20 9 — — $150.00 $150.00 $150.00 2026-03-23
96105 HCPCS Assessment Of Aphasia 20 9 — — $150.00 $150.00 $150.00 2026-03-23
97163 HCPCS Pt Eval High Complex 45 Min 21 10 — — $150.00 $150.00 $150.00 2026-03-23
92524 HCPCS Behavral Qualit Analys Voice 20 9 — — $150.00 $150.00 $150.00 2026-03-23
97164 HCPCS Pt Re-eval Est Plan Care 21 10 — — $150.00 $150.00 $150.00 2026-03-23
97168 HCPCS Ot Re-eval Est Plan Care 20 9 — — $150.00 $150.00 $150.00 2026-03-23
97161 HCPCS Pt Eval Low Complex 20 Min 21 10 — — $150.00 $150.00 $150.00 2026-03-23
0444 RC Speech Therapy - Language Pathology - Evaluation Or Reevaluation 21 10 — — $150.00 $150.00 $150.00 2026-03-23
0424 RC Physical Therapy - Evaluation Or Re-evaluation 21 10 — — $150.00 $150.00 $150.00 2026-03-23
0434 RC Occupational Therapy - Evaluation Or Reevaluation 21 10 — — $150.00 $150.00 $150.00 2026-03-23
92521 HCPCS Evaluation Of Speech Fluency 1 1 — — $150.00 $150.00 $150.00 2026-03-23
97166 HCPCS Ot Eval Mod Complex 45 Min 21 10 — — $150.00 $150.00 $150.00 2026-03-23
92522 HCPCS Evaluate Speech Production 20 9 — — $150.00 $150.00 $150.00 2026-03-23
92523 HCPCS Speech Sound Lang Comprehen 21 10 — — $150.00 $150.00 $150.00 2026-03-23
97530 HCPCS Therapeutic Activities 21 10 — — $90.00 $90.00 $90.00 2026-03-23
97140 HCPCS Manual Therapy 1/> Regions 20 9 — — $90.00 $90.00 $90.00 2026-03-23
97116 HCPCS Gait Training Therapy 21 10 — — $90.00 $90.00 $90.00 2026-03-23
97110 HCPCS Therapeutic Exercises 21 10 — — $90.00 $90.00 $90.00 2026-03-23
92607 HCPCS Ex For Speech Device Rx 1hr 18 9 — — $90.00 $90.00 $90.00 2026-03-23
97032 HCPCS Appl Modality 1+estim Ea 15 18 9 — — $90.00 $90.00 $90.00 2026-03-23
92606 HCPCS Non-speech Device Service 1 1 — — $90.00 $90.00 $90.00 2026-03-23
97124 HCPCS Massage Therapy 20 9 — — $90.00 $90.00 $90.00 2026-03-23
92605 HCPCS Ex For Nonspeech Device Rx 1 1 — — $90.00 $90.00 $90.00 2026-03-23
0440 RC Speech Therapy - Language Pathology - General Classification 21 10 — — $90.00 $90.00 $90.00 2026-03-23
0420 RC Physical Therapy - General Classification 21 10 — — $90.00 $90.00 $90.00 2026-03-23
0430 RC Occupational Therapy - General Classification 21 10 — — $90.00 $90.00 $90.00 2026-03-23
97535 HCPCS Self Care Mngment Training 21 10 — — $90.00 $90.00 $90.00 2026-03-23
97129 HCPCS Ther Ivntj 1st 15 Min 20 9 — — $90.00 $90.00 $90.00 2026-03-23
97537 HCPCS Community/work Reintegration 18 9 — — $90.00 $90.00 $90.00 2026-03-23
97112 HCPCS Neuromuscular Reeducation 21 10 — — $90.00 $90.00 $90.00 2026-03-23
92526 HCPCS Oral Function Therapy 21 10 — — $90.00 $90.00 $90.00 2026-03-23
92507 HCPCS Speech/hearing Therapy 21 10 — — $90.00 $90.00 $90.00 2026-03-23
92597 HCPCS Oral Speech Device Eval 1 1 — — $90.00 $90.00 $90.00 2026-03-23
97113 HCPCS Aquatic Therapy/exercises 20 9 — — $90.00 $90.00 $90.00 2026-03-23
0771 RC Preventive Care Services - Vaccine Administration 1 1 — — $20.50 $20.50 $20.50 2026-03-23
G0008 HCPCS Admin Influenza Virus Vac 4 3 — — $20.50 $20.50 $20.50 2026-03-23
36589 HCPCS Removal Tunneled Cv Cath 0 0 — — — — — 2026-03-23
36573 HCPCS Insj Picc Rs&i 5 Yr+ 0 0 — — — — — 2026-03-23
24615 HCPCS Treat Elbow Dislocation 0 0 — — — — — 2026-03-23
36569 HCPCS Insj Picc 5 Yr+ Without Imaging 0 0 — — — — — 2026-03-23
36561 HCPCS Insert Tunneled Cv Cath 0 0 — — — — — 2026-03-23
24516 HCPCS Treat Humerus Fracture 0 0 — — — — — 2026-03-23
15853 HCPCS Removal Sutr/stapl Xreq Anes 0 0 — — — — — 2026-03-23
36558 HCPCS Insert Tunneled Cv Cath 0 0 — — — — — 2026-03-23
36556 HCPCS Insert Non-tunnel Cv Cath 0 0 — — — — — 2026-03-23
24430 HCPCS Repair Of Humerus 0 0 — — — — — 2026-03-23
36514 HCPCS Apheresis Plasma 0 0 — — — — — 2026-03-23
36460 HCPCS Intrauterine Transfusion Ftl 0 0 — — — — — 2026-03-23
24344 HCPCS Reconstruct Elbow Lat Ligmnt 0 0 — — — — — 2026-03-23
15772 HCPCS Grfg Autol Fat Lipo Ea Addl 0 0 — — — — — 2026-03-23
10060 HCPCS I&d Abscess Simple/single 0 0 — — — — — 2026-03-23
36430 HCPCS Transfusion Bld/bld Compnt 0 0 — — — — — 2026-03-23
36415 HCPCS Routine Venipuncture 0 0 — — — — — 2026-03-23
23650 HCPCS Cltx Sho Dslc W/mnpj Wo Anes 0 0 — — — — — 2026-03-23
36248 HCPCS Ins Cath Abd/l-ext Art Addl 0 0 — — — — — 2026-03-23
36247 HCPCS Ins Cath Abd/l-ext Art 3rd 0 0 — — — — — 2026-03-23
23515 HCPCS Optx Clavicular Fx W/int Fix 0 0 — — — — — 2026-03-23
15771 HCPCS Grfg Autol Fat Lipo 50 Cc/< 0 0 — — — — — 2026-03-23
36225 HCPCS Place Cath Subclavian Art 0 0 — — — — — 2026-03-23
36200 HCPCS Place Catheter In Aorta 0 0 — — — — — 2026-03-23
23412 HCPCS Repair Rotator Cuff Chronic 0 0 — — — — — 2026-03-23
36012 HCPCS Place Catheter In Vein 0 0 — — — — — 2026-03-23
33228 HCPCS Remv&replc Pm Gen Dual Lead 0 0 — — — — — 2026-03-23
22552 HCPCS Arthrd Ant Ntrbd Cervical Ea 0 0 — — — — — 2026-03-23
14020 HCPCS Tis Trnfr S/a/l 10 Sq Cm/< 0 0 — — — — — 2026-03-23
10005 HCPCS Fna Bx W/us Gdn 1st Les 0 0 — — — — — 2026-03-23
00350 HCPCS Anesth Neck Vessel Surgery 0 0 — — — — — 2026-03-23
33227 HCPCS Remove&replace Pm Gen Singl 0 0 — — — — — 2026-03-23
33207 HCPCS Insert Heart Pm Ventricular 0 0 — — — — — 2026-03-23
22548 HCPCS Arthrd Ant Toral/xoral C1-c2 0 0 — — — — — 2026-03-23
32555 HCPCS Aspirate Pleura With Imaging 0 0 — — — — — 2026-03-23
32408 HCPCS Core Ndl Bx Lng/med Perq 0 0 — — — — — 2026-03-23
22515 HCPCS Perq Vertebral Augmentation 0 0 — — — — — 2026-03-23
14000 HCPCS Tis Trnfr Trunk 10 Sq Cm/< 0 0 — — — — — 2026-03-23
31500 HCPCS Insert Emergency Airway 0 0 — — — — — 2026-03-23
31288 HCPCS Nasal/sinus Endoscopy Surg 0 0 — — — — — 2026-03-23
22514 HCPCS Perq Vertebral Augmentation 0 0 — — — — — 2026-03-23
31276 HCPCS Nsl/sins Ndsc Frnt Tiss Rmvl 0 0 — — — — — 2026-03-23
31267 HCPCS Endoscopy Maxillary Sinus 0 0 — — — — — 2026-03-23
22513 HCPCS Perq Vertebral Augmentation 0 0 — — — — — 2026-03-23
12032 HCPCS Intmd Rpr S/a/t/ext 2.6-7.5 0 0 — — — — — 2026-03-23
00921 HCPCS Anesth Vasectomy 0 0 — — — — — 2026-03-23
31259 HCPCS Nsl/sins Ndsc Sphn Tiss Rmvl 0 0 — — — — — 2026-03-23
31257 HCPCS Nsl/sins Ndsc Tot W/sphendt 0 0 — — — — — 2026-03-23
22224 HCPCS Osteot Dsc Ant 1vrt Sgm Lmbr 0 0 — — — — — 2026-03-23
31256 HCPCS Exploration Maxillary Sinus 0 0 — — — — — 2026-03-23
31254 HCPCS Nsl/sins Ndsc W/prtl Ethmdct 0 0 — — — — — 2026-03-23
21931 HCPCS Exc Back Les Sc 3 Cm/> 0 0 — — — — — 2026-03-23
12013 HCPCS Rpr F/e/e/n/l/m 2.6-5.0 Cm 0 0 — — — — — 2026-03-23
31237 HCPCS Nsl/sins Ndsc Surg Bx Polypc 0 0 — — — — — 2026-03-23
30801 HCPCS Ablate Inf Turbinate Superf 0 0 — — — — — 2026-03-23
21552 HCPCS Exc Neck Les Sc 3 Cm/> 0 0 — — — — — 2026-03-23
30520 HCPCS Repair Of Nasal Septum 0 0 — — — — — 2026-03-23
30140 HCPCS Resect Inferior Turbinate 0 0 — — — — — 2026-03-23
21014 HCPCS Exc Face Tum Deep 2 Cm/> 0 0 — — — — — 2026-03-23
12011 HCPCS Rpr F/e/e/n/l/m 2.5 Cm/< 0 0 — — — — — 2026-03-23
00730 HCPCS Anesth Abdominal Wall Surg 0 0 — — — — — 2026-03-23
00320 HCPCS Anesth Neck Organ 1yr/> 0 0 — — — — — 2026-03-23
0671T CPT Insj Ant Sgm Aq DRG Dev 1+ 0 0 — — — — — 2026-03-23
49505 HCPCS Prp I/hern Init Reduc >5 Yr 0 0 — — — — — 2026-03-23
49507 HCPCS Prp I/hern Init Block >5 Yr 0 0 — — — — — 2026-03-23
49520 HCPCS Rerepair Ing Hernia Reduce 0 0 — — — — — 2026-03-23
49591 HCPCS Rpr Aa Hrn 1st < 3 Cm Rdc 0 0 — — — — — 2026-03-23
49592 HCPCS Rpr Aa Hrn 1st < 3 Ncr/strn 0 0 — — — — — 2026-03-23
49594 HCPCS Rpr Aa Hrn 1st 3-10 Ncr/strn 0 0 — — — — — 2026-03-23
49650 HCPCS Lap Ing Hernia Repair Init 0 0 — — — — — 2026-03-23
49651 HCPCS Lap Ing Hernia Repair Recur 0 0 — — — — — 2026-03-23
50435 HCPCS Exchange Nephrostomy Cath 0 0 — — — — — 2026-03-23
50543 HCPCS Laparo Partial Nephrectomy 0 0 — — — — — 2026-03-23
50590 HCPCS Fragmenting Of Kidney Stone 0 0 — — — — — 2026-03-23
50949 HCPCS Unlisted Laps Px Ureter 0 0 — — — — — 2026-03-23
51102 HCPCS Drain Bl W/cath Insertion 0 0 — — — — — 2026-03-23
51702 HCPCS Insert Temp Bladder Cath 0 0 — — — — — 2026-03-23
51798 HCPCS US Urine Capacity Measure 0 0 — — — — — 2026-03-23
52204 HCPCS Cystoscopy W/biopsy(s) 0 0 — — — — — 2026-03-23
52224 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-23
52234 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-23
52235 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-23
52240 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-23
52310 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-23
52317 HCPCS Remove Bladder Stone 0 0 — — — — — 2026-03-23
52332 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-23
52356 HCPCS Cysto/uretero W/lithotripsy 0 0 — — — — — 2026-03-23
52601 HCPCS Prostatectomy (turp) 0 0 — — — — — 2026-03-23
53445 HCPCS Insert Uro/ves Nck Sphincter 0 0 — — — — — 2026-03-23
54161 HCPCS Circum 28 Days Or Older 0 0 — — — — — 2026-03-23
55040 HCPCS Removal Of Hydrocele 0 0 — — — — — 2026-03-23
55700 HCPCS Biopsy Of Prostate 0 0 — — — — — 2026-03-23
55880 HCPCS Abltj Mal Prst8 Tiss Hifu 0 0 — — — — — 2026-03-23
57260 HCPCS Cmbn Ant Pst Colprhy 0 0 — — — — — 2026-03-23
57288 HCPCS Repair Bladder Defect 0 0 — — — — — 2026-03-23
57461 HCPCS Conz Of Cervix W/scope Leep 0 0 — — — — — 2026-03-23
57522 HCPCS Conization Of Cervix 0 0 — — — — — 2026-03-23
58120 HCPCS Dilation And Curettage 0 0 — — — — — 2026-03-23
58301 HCPCS Remove Intrauterine Device 0 0 — — — — — 2026-03-23
58550 HCPCS Laparo-asst Vag Hysterectomy 0 0 — — — — — 2026-03-23
58552 HCPCS Laparo-vag Hyst Incl T/o 0 0 — — — — — 2026-03-23
58554 HCPCS Laparo-vag Hyst W/t/o Compl 0 0 — — — — — 2026-03-23
58558 HCPCS Hysteroscopy Biopsy 0 0 — — — — — 2026-03-23
58561 HCPCS Hysteroscopy Remove Myoma 0 0 — — — — — 2026-03-23
58563 HCPCS Hysteroscopy Ablation 0 0 — — — — — 2026-03-23
58570 HCPCS Tlh Uterus 250 G Or Less 0 0 — — — — — 2026-03-23
58571 HCPCS Tlh W/t/o 250 G Or Less 0 0 — — — — — 2026-03-23
58661 HCPCS Laparoscopy Remove Adnexa 0 0 — — — — — 2026-03-23
58662 HCPCS Laparoscopy Excise Lesions 0 0 — — — — — 2026-03-23
59012 HCPCS Fetal Cord Puncture Prenatal 0 0 — — — — — 2026-03-23
59025 HCPCS Fetal Non-stress Test 0 0 — — — — — 2026-03-23
59820 HCPCS Care Of Miscarriage 0 0 — — — — — 2026-03-23
59897 HCPCS Unlisted Fetal Invas Px W/us 0 0 — — — — — 2026-03-23
60220 HCPCS Partial Removal Of Thyroid 0 0 — — — — — 2026-03-23
61782 HCPCS Scan Proc Cranial Extra 0 0 — — — — — 2026-03-23
62270 HCPCS Dx Lmbr Spi Pnxr 0 0 — — — — — 2026-03-23
62328 HCPCS Dx Lmbr Spi Pnxr W/fluor/ct 0 0 — — — — — 2026-03-23
64450 HCPCS Njx Aa&/strd Other Pn/branch 0 0 — — — — — 2026-03-23
64718 HCPCS Revise Ulnar Nerve At Elbow 0 0 — — — — — 2026-03-23
64721 HCPCS Carpal Tunnel Surgery 0 0 — — — — — 2026-03-23
65426 HCPCS Removal Of Eye Lesion 0 0 — — — — — 2026-03-23
65730 HCPCS Corneal Transplant 0 0 — — — — — 2026-03-23
65755 HCPCS Corneal Transplant 0 0 — — — — — 2026-03-23
65756 HCPCS Corneal Trnspl Endothelial 0 0 — — — — — 2026-03-23
65820 HCPCS Relieve Inner Eye Pressure 0 0 — — — — — 2026-03-23
66170 HCPCS Glaucoma Surgery 0 0 — — — — — 2026-03-23
66180 HCPCS Aqueous Shunt Eye W/graft 0 0 — — — — — 2026-03-23
49422 HCPCS Remove Tunneled Ip Cath 0 0 — — — — — 2026-03-23
49324 HCPCS Lap Insert Tunnel Ip Cath 0 0 — — — — — 2026-03-23
30130 HCPCS Excise Inferior Turbinate 0 0 — — — — — 2026-03-23
49322 HCPCS Laparoscopy Aspiration 0 0 — — — — — 2026-03-23
49083 HCPCS Abd Paracentesis W/imaging 0 0 — — — — — 2026-03-23
29881 HCPCS Knee Arthroscopy/surgery 0 0 — — — — — 2026-03-23
20985 HCPCS Cptr-asst Dir Ms Px 0 0 — — — — — 2026-03-23
47563 HCPCS Laparo Cholecystectomy/graph 0 0 — — — — — 2026-03-23
47562 HCPCS Laparoscopic Cholecystectomy 0 0 — — — — — 2026-03-23
29880 HCPCS Knee Arthroscopy/surgery 0 0 — — — — — 2026-03-23
47000 HCPCS Needle Biopsy Of Liver 0 0 — — — — — 2026-03-23
46924 HCPCS Destruction Anal Lesion(s) 0 0 — — — — — 2026-03-23
29828 HCPCS Sho Arthrs Srg Bicp Tenodsis 0 0 — — — — — 2026-03-23
20680 HCPCS Removal Of Implant Deep 0 0 — — — — — 2026-03-23
12004 HCPCS Rpr S/n/ax/gen/trk7.6-12.5cm 0 0 — — — — — 2026-03-23
46607 HCPCS Diagnostic Anoscopy & Biopsy 0 0 — — — — — 2026-03-23
46260 HCPCS Remove In/ex Hem Groups 2+ 0 0 — — — — — 2026-03-23
29827 HCPCS Sho Arthrs Srg Rt8tr Cuf Rpr 0 0 — — — — — 2026-03-23
46255 HCPCS Remove Int/ext Hem 1 Group 0 0 — — — — — 2026-03-23
45388 HCPCS Colonoscopy W/ablation 0 0 — — — — — 2026-03-23
29826 HCPCS Sho Arthrs Srg Decompression 0 0 — — — — — 2026-03-23
20610 HCPCS Drain/inj Joint/bursa Without US 0 0 — — — — — 2026-03-23
45385 HCPCS Colonoscopy W/lesion Removal 0 0 — — — — — 2026-03-23
45381 HCPCS Colonoscopy Submucous Njx 0 0 — — — — — 2026-03-23
29822 HCPCS Sho Arthrs Srg Lmtd Dbrdmt 0 0 — — — — — 2026-03-23
45380 HCPCS Colonoscopy And Biopsy 0 0 — — — — — 2026-03-23
45378 HCPCS Diagnostic Colonoscopy 0 0 — — — — — 2026-03-23
29805 HCPCS Sho Arthrs Dx +- Synovial Bx 0 0 — — — — — 2026-03-23
20561 HCPCS Ndl Insj Without Njx 3+ Musc 0 0 — — — — — 2026-03-23
12002 HCPCS Rpr S/n/ax/gen/trnk2.6-7.5cm 0 0 — — — — — 2026-03-23
00450 HCPCS Anesth Surgery Of Shoulder 0 0 — — — — — 2026-03-23
45300 HCPCS Proctosigmoidoscopy Dx 0 0 — — — — — 2026-03-23
44970 HCPCS Laparoscopy Appendectomy 0 0 — — — — — 2026-03-23
29515 HCPCS Application Lower Leg Splint 0 0 — — — — — 2026-03-23
43762 HCPCS Rplc Gtube No Revj Trc 0 0 — — — — — 2026-03-23
43761 HCPCS Reposition Gastrostomy Tube 0 0 — — — — — 2026-03-23
29505 HCPCS Application Long Leg Splint 0 0 — — — — — 2026-03-23
20560 HCPCS Ndl Insj Without Njx 1 Or 2 Musc 0 0 — — — — — 2026-03-23
43280 HCPCS Laparoscopy Fundoplasty 0 0 — — — — — 2026-03-23
43246 HCPCS Egd Place Gastrostomy Tube 0 0 — — — — — 2026-03-23
29130 HCPCS Application Of Finger Splint 0 0 — — — — — 2026-03-23
43244 HCPCS Egd Varices Ligation 0 0 — — — — — 2026-03-23
43239 HCPCS Egd Biopsy Single/multiple 0 0 — — — — — 2026-03-23
29126 HCPCS Apply Forearm Splint 0 0 — — — — — 2026-03-23
20225 HCPCS Bone Biopsy Trocar/ndl Deep 0 0 — — — — — 2026-03-23
12001 HCPCS Rpr S/n/ax/gen/trnk 2.5cm/< 0 0 — — — — — 2026-03-23
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