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

Weslaco Regional Rehabilitation Hospital Llc

Weslaco, TX · CCN 453091 · Rates published

2,654 distinct procedures filed
48 distinct payers
32,846 rate rows
2026-05-08 last MRF observed
Data quality

5,309 of 32,846 rate rows are consumer-grade (16.2%)

27,537 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 26,944
per-diem day rate — not a per-procedure price 593
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wrrh.ernesthealth.com/wp-content/uploads/sites/30/2024/12/472675786_Weslaco-Regional-Rehabilitation-Hospital_Standard-Charges.csv
Found on page https://wrrh.ernesthealth.com/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 69d7fae03c41d4a5… · 3,896,777 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 1 13 $47,737.08 $47,737.08 $47,737.08 nat. median
$60,224
0.8× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50- Tier Tier 1 13 $45,997.76 $48,563.93 $47,280.85 nat. median
$54,601
0.9× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50- Tier Tier 1 13 $41,757.87 $41,757.87 $41,757.87 nat. median
$52,525
0.8× median
B2005
HCPCS 		Miscellaneous M <46.50 And A <77.50- Tier Tier 1 13 $41,694.04 $41,694.04 $41,694.04 nat. median
$42,636
1.0× median
D0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 13 $41,262.88 $41,262.88 $41,262.88 nat. median
$43,056
1.0× median
B1004
HCPCS 		Amputation Lower Extremity M <47.50- Tier Tier 1 13 $36,418.06 $44,551.81 $40,484.93 nat. median
$45,558
0.9× median
B0604
HCPCS 		Neurological M <43.50- Tier Tier 1 13 $39,413.99 $39,413.99 $39,413.99 nat. median
$47,224
0.8× median
C0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 2 13 $37,138.16 $37,138.16 $37,138.16 nat. median
$46,281
0.8× median
C0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 13 $35,407.32 $35,407.32 $35,407.32 nat. median
$36,207
1.0× median
B1404
HCPCS 		Cardiac M <45.50- Tier Tier 1 13 $33,960.22 $33,960.22 $33,960.22 nat. median
$41,383
0.8× median
B2004
HCPCS 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 1 13 $33,350.91 $33,350.91 $33,350.91 nat. median
$40,733
0.8× median
D1504
HCPCS 		Pulmonary M <45.50- Tier Tier 3 13 $33,250.80 $33,250.80 $33,250.80 nat. median
$34,002
1.0× median
D0105
HCPCS 		Stroke M <41.50 And A >=84.50- Tier Tier 3 13 $32,049.98 $34,011.10 $33,030.54 nat. median
$38,998
0.8× median
D1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 13 $29,872.27 $35,437.48 $32,654.88 nat. median
$33,589
1.0× median
A0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50- Tier None 13 $32,331.69 $32,331.69 $32,331.69 nat. median
$39,679
0.8× median
D0205
HCPCS 		Traumatic Brain Injury M <35.50- Tier Tier 3 13 $31,238.09 $31,238.09 $31,238.09 nat. median
$38,154
0.8× median
D0106
HCPCS 		Stroke M <41.50 And A <84.50- Tier Tier 3 13 $19,074.97 $42,958.92 $31,016.94 nat. median
$43,929
0.7× median
C2005
HCPCS 		Miscellaneous M <46.50 And A <77.50- Tier Tier 2 13 $28,079.14 $33,437.42 $30,758.28 nat. median
$34,324
0.9× median
A0105
HCPCS 		Stroke M <41.50 And A >=84.50- Tier None 13 $30,544.89 $30,544.89 $30,544.89 nat. median
$36,992
0.8× median
B0703
HCPCS 		Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 1 13 $30,150.82 $30,150.82 $30,150.82 nat. median
$35,812
0.8× median
A0205
HCPCS 		Traumatic Brain Injury M <35.50- Tier None 13 $29,410.14 $29,410.14 $29,410.14 nat. median
$35,847
0.8× median
D2005
HCPCS 		Miscellaneous M <46.50 And A <77.50- Tier Tier 3 13 $26,230.62 $31,096.16 $28,663.39 nat. median
$31,799
0.9× median
C0704
HCPCS 		Fracture Of Lower Extremity M <41.50- Tier Tier 2 13 $28,492.21 $28,492.21 $28,492.21 nat. median
$34,816
0.8× median
D0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 13 $27,202.46 $27,734.13 $27,468.29 nat. median
$33,755
0.8× median
C0304
HCPCS 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 13 $27,376.45 $27,376.45 $27,376.45 nat. median
$33,053
0.8× median
C0904
HCPCS 		Other Orthopedic M <44.5- Tier Tier 2 13 $27,146.97 $27,146.97 $27,146.97 nat. median
$32,826
0.8× median
A1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 13 $27,101.07 $27,101.07 $27,101.07 nat. median
$33,508
0.8× median
C1404
HCPCS 		Cardiac M <45.50- Tier Tier 2 13 $26,752.89 $26,752.89 $26,752.89 nat. median
$33,337
0.8× median
D0704
HCPCS 		Fracture Of Lower Extremity M <41.50- Tier Tier 3 13 $26,450.48 $26,990.29 $26,720.38 nat. median
$31,214
0.9× median
C2004
HCPCS 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 13 $26,638.94 $26,638.94 $26,638.94 nat. median
$32,666
0.8× median
B0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 1 13 $26,461.86 $26,461.86 $26,461.86 nat. median
$47,151
0.6× median
A0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier None 13 $26,140.41 $26,140.41 $26,140.41 nat. median
$31,600
0.8× median
D0604
HCPCS 		Neurological M <43.50- Tier Tier 3 13 $24,352.75 $27,547.38 $25,950.06 nat. median
$30,918
0.8× median
D0504
HCPCS 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 3 13 $25,249.39 $25,249.39 $25,249.39 nat. median
$30,303
0.8× median
D0304
HCPCS 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 3 13 $25,148.10 $25,148.10 $25,148.10 nat. median
$30,932
0.8× median
D2004
HCPCS 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 13 $24,885.38 $24,885.38 $24,885.38 nat. median
$30,380
0.8× median
D0904
HCPCS 		Other Orthopedic M <44.5- Tier Tier 3 13 $24,300.63 $25,303.20 $24,801.92 nat. median
$31,008
0.8× median
A1004
HCPCS 		Amputation Lower Extremity M <47.50- Tier None 13 $24,649.57 $24,649.57 $24,649.57 nat. median
$31,429
0.8× median
A0704
HCPCS 		Fracture Of Lower Extremity M <41.50- Tier None 13 $24,272.76 $24,936.03 $24,604.40 nat. median
$30,471
0.8× median
A0104
HCPCS 		Stroke M >=41.50 And M <50.50- Tier None 13 $24,426.42 $24,426.42 $24,426.42 nat. median
$29,682
0.8× median
A0703
HCPCS 		Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier None 13 $24,302.36 $24,302.36 $24,302.36 nat. median
$24,851
1.0× median
D0204
HCPCS 		Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 3 13 $23,899.11 $23,899.11 $23,899.11 nat. median
$29,740
0.8× median
A2005
HCPCS 		Miscellaneous M <46.50 And A <77.50- Tier None 13 $23,875.66 $23,875.66 $23,875.66 nat. median
$273
outlier · 87.6×
A0304
HCPCS 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier None 13 $23,703.15 $23,703.15 $23,703.15 nat. median
$28,847
0.8× median
A2004
HCPCS 		Miscellaneous M <46.50 And A >=77.50- Tier None 13 $23,701.99 $23,701.99 $23,701.99 nat. median
$440
outlier · 53.8×
A0904
HCPCS 		Other Orthopedic M <44.5- Tier None 13 $23,150.81 $23,150.81 $23,150.81 nat. median
$28,288
0.8× median
D0104
HCPCS 		Stroke M >=41.50 And M <50.50- Tier Tier 3 13 $19,500.38 $25,630.80 $22,565.59 nat. median
$31,294
0.7× median
A1404
HCPCS 		Cardiac M <45.50- Tier None 13 $22,430.33 $22,430.33 $22,430.33 nat. median
$27,968
0.8× median
A0805
HCPCS 		Replacement Of Lower-extremity Joint M <42.50- Tier None 13 $22,259.79 $22,259.79 $22,259.79 nat. median
$27,974
0.8× median
D1503
HCPCS 		Pulmonary M >=45.50 And M <56.50- Tier Tier 3 13 $22,186.99 $22,186.99 $22,186.99 nat. median
$27,114
0.8× median

Other procedures at this hospital

Browse this hospital's 2,654 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 1 29 13 — — $47,737.08 $47,737.08 $47,737.08 2026-03-17
B0106 HCPCS Stroke M <41.50 And A <84.50- Tier Tier 1 29 13 — — $45,997.76 $48,563.93 $47,280.85 2026-03-17
B0205 HCPCS Traumatic Brain Injury M <35.50- Tier Tier 1 29 13 — — $41,757.87 $41,757.87 $41,757.87 2026-03-17
B2005 HCPCS Miscellaneous M <46.50 And A <77.50- Tier Tier 1 29 13 — — $41,694.04 $41,694.04 $41,694.04 2026-03-17
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 29 13 — — $41,262.88 $41,262.88 $41,262.88 2026-03-17
B1004 HCPCS Amputation Lower Extremity M <47.50- Tier Tier 1 29 13 — — $36,418.06 $44,551.81 $40,484.93 2026-03-17
B0604 HCPCS Neurological M <43.50- Tier Tier 1 29 13 — — $39,413.99 $39,413.99 $39,413.99 2026-03-17
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 2 29 13 — — $37,138.16 $37,138.16 $37,138.16 2026-03-17
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 29 13 — — $35,407.32 $35,407.32 $35,407.32 2026-03-17
B1404 HCPCS Cardiac M <45.50- Tier Tier 1 29 13 — — $33,960.22 $33,960.22 $33,960.22 2026-03-17
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50- Tier Tier 1 29 13 — — $33,350.91 $33,350.91 $33,350.91 2026-03-17
D1504 HCPCS Pulmonary M <45.50- Tier Tier 3 29 13 — — $33,250.80 $33,250.80 $33,250.80 2026-03-17
D0105 HCPCS Stroke M <41.50 And A >=84.50- Tier Tier 3 29 13 — — $32,049.98 $34,011.10 $33,030.54 2026-03-17
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 29 13 — — $29,872.27 $35,437.48 $32,654.88 2026-03-17
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50- Tier None 29 13 — — $32,331.69 $32,331.69 $32,331.69 2026-03-17
D0205 HCPCS Traumatic Brain Injury M <35.50- Tier Tier 3 29 13 — — $31,238.09 $31,238.09 $31,238.09 2026-03-17
D0106 HCPCS Stroke M <41.50 And A <84.50- Tier Tier 3 29 13 — — $19,074.97 $42,958.92 $31,016.94 2026-03-17
C2005 HCPCS Miscellaneous M <46.50 And A <77.50- Tier Tier 2 29 13 — — $28,079.14 $33,437.42 $30,758.28 2026-03-17
A0105 HCPCS Stroke M <41.50 And A >=84.50- Tier None 29 13 — — $30,544.89 $30,544.89 $30,544.89 2026-03-17
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 1 29 13 — — $30,150.82 $30,150.82 $30,150.82 2026-03-17
A0205 HCPCS Traumatic Brain Injury M <35.50- Tier None 29 13 — — $29,410.14 $29,410.14 $29,410.14 2026-03-17
D2005 HCPCS Miscellaneous M <46.50 And A <77.50- Tier Tier 3 29 13 — — $26,230.62 $31,096.16 $28,663.39 2026-03-17
C0704 HCPCS Fracture Of Lower Extremity M <41.50- Tier Tier 2 29 13 — — $28,492.21 $28,492.21 $28,492.21 2026-03-17
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 29 13 — — $27,202.46 $27,734.13 $27,468.29 2026-03-17
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 29 13 — — $27,376.45 $27,376.45 $27,376.45 2026-03-17
C0904 HCPCS Other Orthopedic M <44.5- Tier Tier 2 29 13 — — $27,146.97 $27,146.97 $27,146.97 2026-03-17
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 29 13 — — $27,101.07 $27,101.07 $27,101.07 2026-03-17
C1404 HCPCS Cardiac M <45.50- Tier Tier 2 29 13 — — $26,752.89 $26,752.89 $26,752.89 2026-03-17
D0704 HCPCS Fracture Of Lower Extremity M <41.50- Tier Tier 3 29 13 — — $26,450.48 $26,990.29 $26,720.38 2026-03-17
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 29 13 — — $26,638.94 $26,638.94 $26,638.94 2026-03-17
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 1 29 13 — — $26,461.86 $26,461.86 $26,461.86 2026-03-17
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50- Tier None 29 13 — — $26,140.41 $26,140.41 $26,140.41 2026-03-17
D0604 HCPCS Neurological M <43.50- Tier Tier 3 29 13 — — $24,352.75 $27,547.38 $25,950.06 2026-03-17
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 3 29 13 — — $25,249.39 $25,249.39 $25,249.39 2026-03-17
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 3 29 13 — — $25,148.10 $25,148.10 $25,148.10 2026-03-17
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 29 13 — — $24,885.38 $24,885.38 $24,885.38 2026-03-17
D0904 HCPCS Other Orthopedic M <44.5- Tier Tier 3 29 13 — — $24,300.63 $25,303.20 $24,801.92 2026-03-17
A1004 HCPCS Amputation Lower Extremity M <47.50- Tier None 29 13 — — $24,649.57 $24,649.57 $24,649.57 2026-03-17
A0704 HCPCS Fracture Of Lower Extremity M <41.50- Tier None 29 13 — — $24,272.76 $24,936.03 $24,604.40 2026-03-17
A0104 HCPCS Stroke M >=41.50 And M <50.50- Tier None 29 13 — — $24,426.42 $24,426.42 $24,426.42 2026-03-17
A0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier None 29 13 — — $24,302.36 $24,302.36 $24,302.36 2026-03-17
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 3 29 13 — — $23,899.11 $23,899.11 $23,899.11 2026-03-17
A2005 HCPCS Miscellaneous M <46.50 And A <77.50- Tier None 29 13 — — $23,875.66 $23,875.66 $23,875.66 2026-03-17
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier None 29 13 — — $23,703.15 $23,703.15 $23,703.15 2026-03-17
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50- Tier None 29 13 — — $23,701.99 $23,701.99 $23,701.99 2026-03-17
A0904 HCPCS Other Orthopedic M <44.5- Tier None 29 13 — — $23,150.81 $23,150.81 $23,150.81 2026-03-17
D0104 HCPCS Stroke M >=41.50 And M <50.50- Tier Tier 3 29 13 — — $19,500.38 $25,630.80 $22,565.59 2026-03-17
A1404 HCPCS Cardiac M <45.50- Tier None 29 13 — — $22,430.33 $22,430.33 $22,430.33 2026-03-17
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50- Tier None 29 13 — — $22,259.79 $22,259.79 $22,259.79 2026-03-17
D1503 HCPCS Pulmonary M >=45.50 And M <56.50- Tier Tier 3 29 13 — — $22,186.99 $22,186.99 $22,186.99 2026-03-17
D2003 HCPCS Miscellaneous M >=46.50 And M <55.50- Tier Tier 3 29 13 — — $22,057.61 $22,057.61 $22,057.61 2026-03-17
D0603 HCPCS Neurological M >=43.50 And M <52.50- Tier Tier 3 29 13 — — $21,965.42 $21,965.42 $21,965.42 2026-03-17
C1502 HCPCS Pulmonary M >=56.50 And M <68.50- Tier Tier 2 29 13 — — $20,757.87 $20,757.87 $20,757.87 2026-03-17
D1403 HCPCS Cardiac M >=45.50 And M <55.50- Tier Tier 3 29 13 — — $20,300.48 $20,300.48 $20,300.48 2026-03-17
A0106 HCPCS Stroke M <41.50 And A <84.50- Tier None 29 13 — — $5,286.59 $34,740.46 $20,013.53 2026-03-17
D0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier Tier 3 29 13 — — $19,900.08 $19,900.08 $19,900.08 2026-03-17
A0603 HCPCS Neurological M >=43.50 And M <52.50- Tier None 29 13 — — $19,809.87 $19,809.87 $19,809.87 2026-03-17
D1004 HCPCS Amputation Lower Extremity M <47.50- Tier Tier 3 29 13 — — $5,664.35 $33,599.53 $19,631.94 2026-03-17
D1404 HCPCS Cardiac M <45.50- Tier Tier 3 29 13 — — $13,744.34 $24,874.30 $19,309.32 2026-03-17
D0903 HCPCS Other Orthopedic M >=44.50 And M <51.50- Tier Tier 3 29 13 — — $17,463.48 $21,117.12 $19,290.30 2026-03-17
A0103 HCPCS Stroke M >=50.50 And M <63.50- Tier None 29 13 — — $19,138.83 $19,138.83 $19,138.83 2026-03-17
A2003 HCPCS Miscellaneous M >=46.50 And M <55.50- Tier None 29 13 — — $18,944.16 $18,944.16 $18,944.16 2026-03-17
D0602 HCPCS Neurological M >=52.50 And M <64.50- Tier Tier 3 29 13 — — $18,641.88 $18,641.88 $18,641.88 2026-03-17
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50- Tier Tier 3 29 13 — — $13,227.64 $23,866.16 $18,546.90 2026-03-17
D0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier Tier 3 29 13 — — $18,026.23 $18,026.23 $18,026.23 2026-03-17
D0902 HCPCS Other Orthopedic M >=51.50 And M <63.50- Tier Tier 3 29 13 — — $17,682.80 $17,682.80 $17,682.80 2026-03-17
D2002 HCPCS Miscellaneous M >=55.50 And M <66.50- Tier Tier 3 29 13 — — $17,380.52 $17,380.52 $17,380.52 2026-03-17
A0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier None 29 13 — — $16,989.61 $16,989.61 $16,989.61 2026-03-17
D1402 HCPCS Cardiac M >=55.50 And M <68.50- Tier Tier 3 29 13 — — $16,590.78 $16,590.78 $16,590.78 2026-03-17
A0902 HCPCS Other Orthopedic M >=51.50 And M <63.50- Tier None 29 13 — — $16,179.30 $16,179.30 $16,179.30 2026-03-17
A2002 HCPCS Miscellaneous M >=55.50 And M <66.50- Tier None 29 13 — — $15,820.04 $15,820.04 $15,820.04 2026-03-17
A1402 HCPCS Cardiac M >=55.50 And M <68.50- Tier None 29 13 — — $15,266.12 $15,266.12 $15,266.12 2026-03-17
D1701 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50- Tier Tier 3 29 13 — — $14,929.77 $14,929.77 $14,929.77 2026-03-17
A0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50- Tier None 29 13 — — $14,883.12 $14,883.12 $14,883.12 2026-03-17
A0102 HCPCS Stroke M >=63.50 And M <72.50- Tier None 29 13 — — $14,849.88 $14,849.88 $14,849.88 2026-03-17
A0604 HCPCS Neurological M <43.50- Tier None 29 13 — — $2,329.15 $2,329.15 $2,329.15 2026-03-17
0138 RC Room & Board - Three And Four Beds - Rehabilitation 10 5 — — $1,650.00 $1,650.00 $1,650.00 2026-03-17
0158 RC Room & Board - Ward - Rehabilitation 10 5 — — $1,650.00 $1,650.00 $1,650.00 2026-03-17
0118 RC Room & Board - Private (One Bed) - Rehabilitation 10 5 — — $1,650.00 $1,650.00 $1,650.00 2026-03-17
0148 RC Room & Board - Deluxe Private - Rehabilitation 10 5 — — $1,650.00 $1,650.00 $1,650.00 2026-03-17
0128 RC Room & Board - Semi-private (Two Beds) - Rehabilitation 10 5 — — $1,625.00 $1,625.00 $1,625.00 2026-03-17
128 OTHER R&b - Semi Pvt - Irf 7 6 $2,065.00 — $1,125.00 $1,125.00 $1,125.00 2026-05-08
118 OTHER R&b - Private - Irf 7 6 $2,065.00 — $1,125.00 $1,125.00 $1,125.00 2026-05-08
0803 RC Inpatient Renal Dialysis - Continuous Ambulatory Peritoneal Dialysis (capd) 9 4 — — $450.00 $600.00 $600.00 2026-03-17
0802 RC Inpatient Renal Dialysis - Peritoneal Dialysis (non-capd) 9 4 — — $450.00 $600.00 $600.00 2026-03-17
0800 RC Inpatient Renal Dialysis - General Classification 9 4 — — $450.00 $600.00 $600.00 2026-03-17
0808 RC Inpatient Renal Dialysis - Other 7 2 — — $600.00 $600.00 $600.00 2026-03-17
0805 RC Inpatient Renal Dialysis - Treatment 7 2 — — $600.00 $600.00 $600.00 2026-03-17
0801 RC Inpatient Renal Dialysis - Hemodialysis 9 4 — — $450.00 $600.00 $600.00 2026-03-17
0809 RC Inpatient Renal Dialysis - Other 9 4 — — $450.00 $600.00 $600.00 2026-03-17
0804 RC Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (ccpd) 9 4 — — $450.00 $600.00 $600.00 2026-03-17
0806 RC Inpatient Renal Dialysis - Continuation 7 2 — — $600.00 $600.00 $600.00 2026-03-17
0807 RC Inpatient Renal Dialysis - Observation/Hourly 7 2 — — $600.00 $600.00 $600.00 2026-03-17
92523 HCPCS Speech Sound Lang Comprehen 77 21 — — $120.00 $351.00 $235.50 2026-03-17
97165 HCPCS Ot Eval Low Complex 30 Min 77 21 — — $97.79 $280.80 $189.29 2026-03-17
97166 HCPCS Ot Eval Mod Complex 45 Min 77 21 — — $97.79 $280.80 $189.29 2026-03-17
97162 HCPCS Pt Eval Mod Complex 30 Min 77 21 — — $90.57 $280.80 $185.69 2026-03-17
92507 HCPCS Speech/hearing Therapy 77 21 — — $73.22 $280.80 $177.01 2026-03-17
97110 HCPCS Therapeutic Exercises 77 21 — — $56.00 $280.80 $168.40 2026-03-17
92521 HCPCS Evaluation Of Speech Fluency 2 2 — — $120.00 $150.00 $135.00 2026-03-17
96105 HCPCS Assessment Of Aphasia 74 20 — — $120.00 $150.00 $135.00 2026-03-17
97167 HCPCS Ot Eval High Complex 60 Min 74 20 — — $120.00 $150.00 $135.00 2026-03-17
97168 HCPCS Ot Re-eval Est Plan Care 74 20 — — $120.00 $150.00 $135.00 2026-03-17
97163 HCPCS Pt Eval High Complex 45 Min 77 21 — — $120.00 $150.00 $135.00 2026-03-17
97164 HCPCS Pt Re-eval Est Plan Care 77 21 — — $120.00 $150.00 $135.00 2026-03-17
92524 HCPCS Behavral Qualit Analys Voice 74 20 — — $120.00 $150.00 $135.00 2026-03-17
92522 HCPCS Evaluate Speech Production 74 20 — — $120.00 $150.00 $135.00 2026-03-17
97161 HCPCS Pt Eval Low Complex 20 Min 77 21 — — $116.19 $150.00 $133.09 2026-03-17
97530 HCPCS Therapeutic Activities 77 21 — — $33.49 $210.60 $122.05 2026-03-17
0410 RC Respiratory Services - General Classification 75 19 — — $120.00 $120.00 $120.00 2026-03-17
0424 RC Physical Therapy - Evaluation Or Re-evaluation 84 23 — — $62.00 $150.00 $106.00 2026-03-17
0434 RC Occupational Therapy - Evaluation Or Reevaluation 84 23 — — $62.00 $150.00 $106.00 2026-03-17
0444 RC Speech Therapy - Language Pathology - Evaluation Or Reevaluation 81 22 — — $62.00 $150.00 $106.00 2026-03-17
92606 HCPCS Non-speech Device Service 2 2 — — $90.00 $120.00 $105.00 2026-03-17
92605 HCPCS Ex For Nonspeech Device Rx 2 2 — — $90.00 $120.00 $105.00 2026-03-17
97535 HCPCS Self Care Mngment Training 77 21 — — $90.00 $120.00 $105.00 2026-03-17
97537 HCPCS Community/work Reintegration 74 20 — — $90.00 $120.00 $105.00 2026-03-17
97129 HCPCS Ther Ivntj 1st 15 Min 74 20 — — $90.00 $120.00 $105.00 2026-03-17
97032 HCPCS Appl Modality 1+estim Ea 15 73 19 — — $90.00 $120.00 $105.00 2026-03-17
92607 HCPCS Ex For Speech Device Rx 1hr 74 20 — — $90.00 $120.00 $105.00 2026-03-17
97113 HCPCS Aquatic Therapy/exercises 74 20 — — $90.00 $120.00 $105.00 2026-03-17
92526 HCPCS Oral Function Therapy 77 21 — — $90.00 $120.00 $105.00 2026-03-17
92597 HCPCS Oral Speech Device Eval 2 2 — — $90.00 $120.00 $105.00 2026-03-17
0429 RC Physical Therapy - Other 8 5 — — $85.00 $110.00 $97.50 2026-03-17
0422 RC Physical Therapy - Hourly Charge 9 6 — — $85.00 $110.00 $97.50 2026-03-17
0433 RC Occupational Therapy - Group Rate 9 6 — — $85.00 $110.00 $97.50 2026-03-17
0432 RC Occupational Therapy - Hourly Charge 9 6 — — $85.00 $110.00 $97.50 2026-03-17
430 OTHER Ot Adl Slf Care Trn 15min 23 14 $100.00 — $75.00 $110.00 $97.50 2026-05-08
434 OTHER Ot Eval High Complex 1unit 23 14 $260.00 — $75.00 $110.00 $97.50 2026-05-08
440 OTHER St Cog Tx Ea Addl 15min 23 14 $65.00 — $75.00 $110.00 $97.50 2026-05-08
420 OTHER Pt Adl Slf Care Trn 15min 23 14 $100.00 — $75.00 $110.00 $97.50 2026-05-08
424 OTHER Pt Eval High Complex 1unit 25 16 $260.00 — $75.00 $110.00 $97.50 2026-05-08
444 OTHER St Aphasia Assessment 1unit 21 13 $260.00 — $75.00 $110.00 $97.50 2026-05-08
0449 RC Speech Therapy - Language Pathology - Other 8 5 — — $85.00 $110.00 $97.50 2026-03-17
0442 RC Speech Therapy - Language Pathology - Hourly Charge 9 6 — — $85.00 $110.00 $97.50 2026-03-17
0443 RC Speech Therapy - Language Pathology - Group Rate 9 6 — — $85.00 $110.00 $97.50 2026-03-17
0439 RC Occupational Therapy - Other 8 5 — — $85.00 $110.00 $97.50 2026-03-17
0423 RC Physical Therapy - Group Rate 9 6 — — $85.00 $110.00 $97.50 2026-03-17
97124 HCPCS Massage Therapy 74 20 — — $70.20 $120.00 $95.10 2026-03-17
0430 RC Occupational Therapy - General Classification 84 23 — — $60.00 $120.00 $90.00 2026-03-17
0440 RC Speech Therapy - Language Pathology - General Classification 84 23 — — $60.00 $120.00 $90.00 2026-03-17
0289 RC Oncology - Other 3 1 — — $90.00 $90.00 $90.00 2026-03-17
0420 RC Physical Therapy - General Classification 84 23 — — $60.00 $120.00 $90.00 2026-03-17
0260 RC IV Therapy - General Classification 6 3 — — $90.00 $90.00 $90.00 2026-03-17
0269 RC IV Therapy - Other 6 3 — — $90.00 $90.00 $90.00 2026-03-17
0280 RC Oncology - General Classification 3 1 — — $90.00 $90.00 $90.00 2026-03-17
0441 RC Speech Therapy - Language Pathology - Visit Charge 11 6 — — $60.00 $110.00 $85.00 2026-03-17
0431 RC Occupational Therapy - Visit Charge 11 6 — — $60.00 $110.00 $85.00 2026-03-17
0421 RC Physical Therapy - Visit Charge 82 21 — — $60.00 $110.00 $85.00 2026-03-17
97112 HCPCS Neuromuscular Reeducation 77 21 — — $29.59 $140.40 $85.00 2026-03-17
97116 HCPCS Gait Training Therapy 77 21 — — $26.60 $120.00 $73.30 2026-03-17
97140 HCPCS Manual Therapy 1/> Regions 74 20 — — $26.44 $120.00 $73.22 2026-03-17
97763 HCPCS Orthc/prostc Mgmt Sbsq Enc 72 18 — — $48.23 $48.23 $48.23 2026-03-17
36589 HCPCS Removal Tunneled Cv Cath 0 0 — — — — — 2026-03-17
36573 HCPCS Insj Picc Rs&i 5 Yr+ 0 0 — — — — — 2026-03-17
24615 HCPCS Treat Elbow Dislocation 0 0 — — — — — 2026-03-17
36569 HCPCS Insj Picc 5 Yr+ Without Imaging 0 0 — — — — — 2026-03-17
36561 HCPCS Insert Tunneled Cv Cath 0 0 — — — — — 2026-03-17
24516 HCPCS Treat Humerus Fracture 0 0 — — — — — 2026-03-17
15853 HCPCS Removal Sutr/stapl Xreq Anes 0 0 — — — — — 2026-03-17
36558 HCPCS Insert Tunneled Cv Cath 0 0 — — — — — 2026-03-17
36556 HCPCS Insert Non-tunnel Cv Cath 0 0 — — — — — 2026-03-17
24430 HCPCS Repair Of Humerus 0 0 — — — — — 2026-03-17
36514 HCPCS Apheresis Plasma 0 0 — — — — — 2026-03-17
36460 HCPCS Intrauterine Transfusion Ftl 0 0 — — — — — 2026-03-17
24344 HCPCS Reconstruct Elbow Lat Ligmnt 0 0 — — — — — 2026-03-17
15772 HCPCS Grfg Autol Fat Lipo Ea Addl 0 0 — — — — — 2026-03-17
10060 HCPCS I&d Abscess Simple/single 0 0 — — — — — 2026-03-17
36430 HCPCS Transfusion Bld/bld Compnt 0 0 — — — — — 2026-03-17
36415 HCPCS Routine Venipuncture 0 0 — — — — — 2026-03-17
23650 HCPCS Cltx Sho Dslc W/mnpj Wo Anes 0 0 — — — — — 2026-03-17
36248 HCPCS Ins Cath Abd/l-ext Art Addl 0 0 — — — — — 2026-03-17
36247 HCPCS Ins Cath Abd/l-ext Art 3rd 0 0 — — — — — 2026-03-17
23515 HCPCS Optx Clavicular Fx W/int Fix 0 0 — — — — — 2026-03-17
15771 HCPCS Grfg Autol Fat Lipo 50 Cc/< 0 0 — — — — — 2026-03-17
36225 HCPCS Place Cath Subclavian Art 0 0 — — — — — 2026-03-17
36200 HCPCS Place Catheter In Aorta 0 0 — — — — — 2026-03-17
23412 HCPCS Repair Rotator Cuff Chronic 0 0 — — — — — 2026-03-17
36012 HCPCS Place Catheter In Vein 0 0 — — — — — 2026-03-17
33228 HCPCS Remv&replc Pm Gen Dual Lead 0 0 — — — — — 2026-03-17
22552 HCPCS Arthrd Ant Ntrbd Cervical Ea 0 0 — — — — — 2026-03-17
14020 HCPCS Tis Trnfr S/a/l 10 Sq Cm/< 0 0 — — — — — 2026-03-17
10005 HCPCS Fna Bx W/us Gdn 1st Les 0 0 — — — — — 2026-03-17
00350 HCPCS Anesth Neck Vessel Surgery 0 0 — — — — — 2026-03-17
33227 HCPCS Remove&replace Pm Gen Singl 0 0 — — — — — 2026-03-17
33207 HCPCS Insert Heart Pm Ventricular 0 0 — — — — — 2026-03-17
22548 HCPCS Arthrd Ant Toral/xoral C1-c2 0 0 — — — — — 2026-03-17
32555 HCPCS Aspirate Pleura With Imaging 0 0 — — — — — 2026-03-17
32408 HCPCS Core Ndl Bx Lng/med Perq 0 0 — — — — — 2026-03-17
22515 HCPCS Perq Vertebral Augmentation 0 0 — — — — — 2026-03-17
14000 HCPCS Tis Trnfr Trunk 10 Sq Cm/< 0 0 — — — — — 2026-03-17
31500 HCPCS Insert Emergency Airway 0 0 — — — — — 2026-03-17
31288 HCPCS Nasal/sinus Endoscopy Surg 0 0 — — — — — 2026-03-17
22514 HCPCS Perq Vertebral Augmentation 0 0 — — — — — 2026-03-17
31276 HCPCS Nsl/sins Ndsc Frnt Tiss Rmvl 0 0 — — — — — 2026-03-17
31267 HCPCS Endoscopy Maxillary Sinus 0 0 — — — — — 2026-03-17
22513 HCPCS Perq Vertebral Augmentation 0 0 — — — — — 2026-03-17
12032 HCPCS Intmd Rpr S/a/t/ext 2.6-7.5 0 0 — — — — — 2026-03-17
00921 HCPCS Anesth Vasectomy 0 0 — — — — — 2026-03-17
51798 HCPCS US Urine Capacity Measure 0 0 — — — — — 2026-03-17
31259 HCPCS Nsl/sins Ndsc Sphn Tiss Rmvl 0 0 — — — — — 2026-03-17
51702 HCPCS Insert Temp Bladder Cath 0 0 — — — — — 2026-03-17
51102 HCPCS Drain Bl W/cath Insertion 0 0 — — — — — 2026-03-17
31257 HCPCS Nsl/sins Ndsc Tot W/sphendt 0 0 — — — — — 2026-03-17
22224 HCPCS Osteot Dsc Ant 1vrt Sgm Lmbr 0 0 — — — — — 2026-03-17
52204 HCPCS Cystoscopy W/biopsy(s) 0 0 — — — — — 2026-03-17
52224 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52234 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52235 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52240 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52310 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52317 HCPCS Remove Bladder Stone 0 0 — — — — — 2026-03-17
52332 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52356 HCPCS Cysto/uretero W/lithotripsy 0 0 — — — — — 2026-03-17
52601 HCPCS Prostatectomy (turp) 0 0 — — — — — 2026-03-17
53445 HCPCS Insert Uro/ves Nck Sphincter 0 0 — — — — — 2026-03-17
54161 HCPCS Circum 28 Days Or Older 0 0 — — — — — 2026-03-17
55040 HCPCS Removal Of Hydrocele 0 0 — — — — — 2026-03-17
55700 HCPCS Biopsy Of Prostate 0 0 — — — — — 2026-03-17
55880 HCPCS Abltj Mal Prst8 Tiss Hifu 0 0 — — — — — 2026-03-17
57260 HCPCS Cmbn Ant Pst Colprhy 0 0 — — — — — 2026-03-17
57288 HCPCS Repair Bladder Defect 0 0 — — — — — 2026-03-17
57461 HCPCS Conz Of Cervix W/scope Leep 0 0 — — — — — 2026-03-17
57522 HCPCS Conization Of Cervix 0 0 — — — — — 2026-03-17
58120 HCPCS Dilation And Curettage 0 0 — — — — — 2026-03-17
58301 HCPCS Remove Intrauterine Device 0 0 — — — — — 2026-03-17
58550 HCPCS Laparo-asst Vag Hysterectomy 0 0 — — — — — 2026-03-17
58552 HCPCS Laparo-vag Hyst Incl T/o 0 0 — — — — — 2026-03-17
58554 HCPCS Laparo-vag Hyst W/t/o Compl 0 0 — — — — — 2026-03-17
58558 HCPCS Hysteroscopy Biopsy 0 0 — — — — — 2026-03-17
58561 HCPCS Hysteroscopy Remove Myoma 0 0 — — — — — 2026-03-17
58563 HCPCS Hysteroscopy Ablation 0 0 — — — — — 2026-03-17
58570 HCPCS Tlh Uterus 250 G Or Less 0 0 — — — — — 2026-03-17
58571 HCPCS Tlh W/t/o 250 G Or Less 0 0 — — — — — 2026-03-17
58661 HCPCS Laparoscopy Remove Adnexa 0 0 — — — — — 2026-03-17
58662 HCPCS Laparoscopy Excise Lesions 0 0 — — — — — 2026-03-17
59012 HCPCS Fetal Cord Puncture Prenatal 0 0 — — — — — 2026-03-17
59025 HCPCS Fetal Non-stress Test 0 0 — — — — — 2026-03-17
59820 HCPCS Care Of Miscarriage 0 0 — — — — — 2026-03-17
59897 HCPCS Unlisted Fetal Invas Px W/us 0 0 — — — — — 2026-03-17
60220 HCPCS Partial Removal Of Thyroid 0 0 — — — — — 2026-03-17
61782 HCPCS Scan Proc Cranial Extra 0 0 — — — — — 2026-03-17
62270 HCPCS Dx Lmbr Spi Pnxr 0 0 — — — — — 2026-03-17
62328 HCPCS Dx Lmbr Spi Pnxr W/fluor/ct 0 0 — — — — — 2026-03-17
64450 HCPCS Njx Aa&/strd Other Pn/branch 0 0 — — — — — 2026-03-17
64718 HCPCS Revise Ulnar Nerve At Elbow 0 0 — — — — — 2026-03-17
64721 HCPCS Carpal Tunnel Surgery 0 0 — — — — — 2026-03-17
65426 HCPCS Removal Of Eye Lesion 0 0 — — — — — 2026-03-17
65730 HCPCS Corneal Transplant 0 0 — — — — — 2026-03-17
65755 HCPCS Corneal Transplant 0 0 — — — — — 2026-03-17
65756 HCPCS Corneal Trnspl Endothelial 0 0 — — — — — 2026-03-17
65820 HCPCS Relieve Inner Eye Pressure 0 0 — — — — — 2026-03-17
66170 HCPCS Glaucoma Surgery 0 0 — — — — — 2026-03-17
66180 HCPCS Aqueous Shunt Eye W/graft 0 0 — — — — — 2026-03-17
50949 HCPCS Unlisted Laps Px Ureter 0 0 — — — — — 2026-03-17
50590 HCPCS Fragmenting Of Kidney Stone 0 0 — — — — — 2026-03-17
31256 HCPCS Exploration Maxillary Sinus 0 0 — — — — — 2026-03-17
50543 HCPCS Laparo Partial Nephrectomy 0 0 — — — — — 2026-03-17
50435 HCPCS Exchange Nephrostomy Cath 0 0 — — — — — 2026-03-17
31254 HCPCS Nsl/sins Ndsc W/prtl Ethmdct 0 0 — — — — — 2026-03-17
21931 HCPCS Exc Back Les Sc 3 Cm/> 0 0 — — — — — 2026-03-17
12013 HCPCS Rpr F/e/e/n/l/m 2.6-5.0 Cm 0 0 — — — — — 2026-03-17
49651 HCPCS Lap Ing Hernia Repair Recur 0 0 — — — — — 2026-03-17
49650 HCPCS Lap Ing Hernia Repair Init 0 0 — — — — — 2026-03-17
31237 HCPCS Nsl/sins Ndsc Surg Bx Polypc 0 0 — — — — — 2026-03-17
49594 HCPCS Rpr Aa Hrn 1st 3-10 Ncr/strn 0 0 — — — — — 2026-03-17
49592 HCPCS Rpr Aa Hrn 1st < 3 Ncr/strn 0 0 — — — — — 2026-03-17
30801 HCPCS Ablate Inf Turbinate Superf 0 0 — — — — — 2026-03-17
21552 HCPCS Exc Neck Les Sc 3 Cm/> 0 0 — — — — — 2026-03-17
49591 HCPCS Rpr Aa Hrn 1st < 3 Cm Rdc 0 0 — — — — — 2026-03-17
49520 HCPCS Rerepair Ing Hernia Reduce 0 0 — — — — — 2026-03-17
30520 HCPCS Repair Of Nasal Septum 0 0 — — — — — 2026-03-17
49507 HCPCS Prp I/hern Init Block >5 Yr 0 0 — — — — — 2026-03-17
49505 HCPCS Prp I/hern Init Reduc >5 Yr 0 0 — — — — — 2026-03-17
30140 HCPCS Resect Inferior Turbinate 0 0 — — — — — 2026-03-17
21014 HCPCS Exc Face Tum Deep 2 Cm/> 0 0 — — — — — 2026-03-17
12011 HCPCS Rpr F/e/e/n/l/m 2.5 Cm/< 0 0 — — — — — 2026-03-17
00730 HCPCS Anesth Abdominal Wall Surg 0 0 — — — — — 2026-03-17
00320 HCPCS Anesth Neck Organ 1yr/> 0 0 — — — — — 2026-03-17
0671T CPT Insj Ant Sgm Aq DRG Dev 1+ 0 0 — — — — — 2026-03-17
49422 HCPCS Remove Tunneled Ip Cath 0 0 — — — — — 2026-03-17
49324 HCPCS Lap Insert Tunnel Ip Cath 0 0 — — — — — 2026-03-17
30130 HCPCS Excise Inferior Turbinate 0 0 — — — — — 2026-03-17
49322 HCPCS Laparoscopy Aspiration 0 0 — — — — — 2026-03-17
49083 HCPCS Abd Paracentesis W/imaging 0 0 — — — — — 2026-03-17
29881 HCPCS Knee Arthroscopy/surgery 0 0 — — — — — 2026-03-17
20985 HCPCS Cptr-asst Dir Ms Px 0 0 — — — — — 2026-03-17
47563 HCPCS Laparo Cholecystectomy/graph 0 0 — — — — — 2026-03-17
47562 HCPCS Laparoscopic Cholecystectomy 0 0 — — — — — 2026-03-17
29880 HCPCS Knee Arthroscopy/surgery 0 0 — — — — — 2026-03-17
47000 HCPCS Needle Biopsy Of Liver 0 0 — — — — — 2026-03-17
46924 HCPCS Destruction Anal Lesion(s) 0 0 — — — — — 2026-03-17
29828 HCPCS Sho Arthrs Srg Bicp Tenodsis 0 0 — — — — — 2026-03-17
20680 HCPCS Removal Of Implant Deep 0 0 — — — — — 2026-03-17
12004 HCPCS Rpr S/n/ax/gen/trk7.6-12.5cm 0 0 — — — — — 2026-03-17
46607 HCPCS Diagnostic Anoscopy & Biopsy 0 0 — — — — — 2026-03-17
46260 HCPCS Remove In/ex Hem Groups 2+ 0 0 — — — — — 2026-03-17
29827 HCPCS Sho Arthrs Srg Rt8tr Cuf Rpr 0 0 — — — — — 2026-03-17
46255 HCPCS Remove Int/ext Hem 1 Group 0 0 — — — — — 2026-03-17
45388 HCPCS Colonoscopy W/ablation 0 0 — — — — — 2026-03-17
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