Price Transparency 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 →

Export CSV
Hospital

Elkhorn Valley Rehabilitation Hospital Llc

Casper, WY · CCN 533027 · Rates published

2,572 distinct procedures filed
31 distinct payers
20,927 rate rows
2026-05-22 last MRF observed
Data quality

2,564 of 20,927 rate rows are consumer-grade (12.3%)

18,363 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 18,058
per-diem day rate — not a per-procedure price 305
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ernesthealth.com/pricing/2026/260893115_elkhorn-valley-rehabilitation-hospital_standard-charges.json
Found on page https://evrh.ernesthealth.com/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint c71525e1ca7e3367… · 4,322,340 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
C0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50- Tier Tier 2 6 $70,210.38 $70,210.38 $70,210.38 nat. median
$70,083
1.0× median
B0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier Tier 1 6 $51,271.77 $51,271.77 $51,271.77 nat. median
$53,762
1.0× median
D1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 3 6 $45,975.94 $51,226.10 $48,601.02 nat. median
$48,581
1.0× median
C1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 2 6 $48,428.04 $48,428.04 $48,428.04 nat. median
$51,172
0.9× median
B0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 1 6 $43,471.69 $43,471.69 $43,471.69 nat. median
$43,383
1.0× median
A1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier None 6 $42,627.68 $42,627.68 $42,627.68 nat. median
$45,144
0.9× median
D0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 6 $42,327.10 $42,327.10 $42,327.10 nat. median
$41,099
1.0× median
C0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 2 6 $41,396.34 $41,396.34 $41,396.34 nat. median
$43,704
0.9× median
D0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier Tier 3 6 $40,634.25 $40,634.25 $40,634.25 nat. median
$42,703
1.0× median
B2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier Tier 1 6 $39,184.16 $39,184.16 $39,184.16 nat. median
$40,995
1.0× median
A0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier None 6 $38,723.73 $38,723.73 $38,723.73 nat. median
$39,573
1.0× median
C0205
LOCAL 		Traumatic Brain Injury M <35.50- Tier Tier 2 6 $38,335.63 $38,335.63 $38,335.63 nat. median
$40,508
0.9× median
B0904
LOCAL 		Other Orthopedic M <44.5- Tier Tier 1 6 $37,779.94 $37,779.94 $37,779.94 nat. median
$40,010
0.9× median
C1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 2 6 $35,954.10 $35,954.10 $35,954.10 nat. median
$37,992
0.9× median
D0105
LOCAL 		Stroke M <41.50 And A >=84.50- Tier Tier 3 6 $35,724.76 $35,724.76 $35,724.76 nat. median
$37,662
0.9× median
D1805
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 6 $35,357.23 $35,357.23 $35,357.23 nat. median
$34,208
1.0× median
D0205
LOCAL 		Traumatic Brain Injury M <35.50- Tier Tier 3 6 $34,819.78 $34,819.78 $34,819.78 nat. median
$36,592
1.0× median
A0105
LOCAL 		Stroke M <41.50 And A >=84.50- Tier None 6 $34,047.11 $34,047.11 $34,047.11 nat. median
$35,375
1.0× median
C0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 6 $33,653.71 $33,653.71 $33,653.71 nat. median
$35,561
0.9× median
D1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 6 $33,297.36 $33,297.36 $33,297.36 nat. median
$34,992
1.0× median
A1805
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 6 $33,185.54 $33,185.54 $33,185.54 nat. median
$31,725
1.0× median
C0604
LOCAL 		Neurological M <43.50- Tier Tier 2 6 $32,891.62 $32,891.62 $32,891.62 nat. median
$34,756
0.9× median
A0205
LOCAL 		Traumatic Brain Injury M <35.50- Tier None 6 $32,782.25 $32,782.25 $32,782.25 nat. median
$33,234
1.0× median
C1504
LOCAL 		Pulmonary M <45.50- Tier Tier 2 6 $32,565.26 $32,565.26 $32,565.26 nat. median
$34,243
1.0× median
D1903
LOCAL 		Guillain-barré M >=38.50 And M <51.50- Tier Tier 3 6 $31,782.00 $31,782.00 $31,782.00 nat. median
$33,429
1.0× median
C0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 2 6 $31,759.07 $31,759.07 $31,759.07 nat. median
$33,146
1.0× median
C2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier Tier 2 6 $31,298.64 $31,298.64 $31,298.64 nat. median
$32,921
1.0× median
C0104
LOCAL 		Stroke M >=41.50 And M <50.50- Tier Tier 2 6 $31,263.36 $31,263.36 $31,263.36 nat. median
$33,035
0.9× median
C1304
LOCAL 		Rheumatoid Other Arthritis M <44.50 And A >=64.50- Tier Tier 2 6 $31,236.90 $31,236.90 $31,236.90 nat. median
$33,081
0.9× median
D0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 3 6 $30,084.94 $32,179.32 $31,132.13 nat. median
$31,616
1.0× median
B2003
LOCAL 		Miscellaneous M >=46.50 And M <55.50- Tier Tier 1 6 $31,092.24 $31,092.24 $31,092.24 nat. median
$32,854
0.9× median
D2102
LOCAL 		Burns M <52.50- Tier Tier 3 6 $31,067.54 $31,067.54 $31,067.54 nat. median
$32,828
0.9× median
D0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 6 $30,914.07 $30,914.07 $30,914.07 nat. median
$32,319
1.0× median
D0604
LOCAL 		Neurological M <43.50- Tier Tier 3 6 $30,705.90 $30,705.90 $30,705.90 nat. median
$32,269
1.0× median
D1504
LOCAL 		Pulmonary M <45.50- Tier Tier 3 6 $30,626.52 $30,626.52 $30,626.52 nat. median
$32,186
1.0× median
C0304
LOCAL 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 6 $30,515.38 $30,515.38 $30,515.38 nat. median
$32,043
1.0× median
C0904
LOCAL 		Other Orthopedic M <44.5- Tier Tier 2 6 $30,259.59 $30,259.59 $30,259.59 nat. median
$31,818
1.0× median
A1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 6 $30,208.43 $30,208.43 $30,208.43 nat. median
$31,920
0.9× median
C0204
LOCAL 		Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 2 6 $29,929.70 $29,929.70 $29,929.70 nat. median
$31,314
1.0× median
C1404
LOCAL 		Cardiac M <45.50- Tier Tier 2 6 $29,820.32 $29,820.32 $29,820.32 nat. median
$30,962
1.0× median
D1304
LOCAL 		Rheumatoid Other Arthritis M <44.50 And A >=64.50- Tier Tier 3 6 $29,816.80 $29,816.80 $29,816.80 nat. median
$31,538
0.9× median
C0504
LOCAL 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 2 6 $29,790.34 $29,790.34 $29,790.34 nat. median
$31,479
0.9× median
A0604
LOCAL 		Neurological M <43.50- Tier None 6 $29,744.19 $29,744.19 $29,744.19 nat. median
$28,952
1.0× median
C2004
LOCAL 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 6 $29,693.31 $29,693.31 $29,693.31 nat. median
$31,232
1.0× median
D2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier Tier 3 6 $29,238.17 $29,238.17 $29,238.17 nat. median
$30,727
1.0× median
D0504
LOCAL 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 3 6 $28,144.43 $29,789.67 $28,967.05 nat. median
$29,577
1.0× median
A1504
LOCAL 		Pulmonary M <45.50- Tier None 6 $28,648.96 $28,648.96 $28,648.96 nat. median
$30,273
0.9× median
D0104
LOCAL 		Stroke M >=41.50 And M <50.50- Tier Tier 3 6 $28,569.58 $28,569.58 $28,569.58 nat. median
$30,024
1.0× median
D1704
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50… 6 $28,373.76 $28,373.76 $28,373.76 nat. median
$29,818
1.0× median
D0904
LOCAL 		Other Orthopedic M <44.5- Tier Tier 3 6 $28,204.41 $28,204.41 $28,204.41 nat. median
$29,640
1.0× median

Other procedures at this hospital

Browse this hospital's 2,572 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
             
C0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50- Tier Tier 2 11 6 — — $70,210.38 $70,210.38 $70,210.38 2026-03-17
B0106 LOCAL Stroke M <41.50 And A <84.50- Tier Tier 1 11 6 — — $51,271.77 $51,271.77 $51,271.77 2026-03-17
D1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 3 11 6 — — $45,975.94 $51,226.10 $48,601.02 2026-03-17
C1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 2 11 6 — — $48,428.04 $48,428.04 $48,428.04 2026-03-17
B0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 1 11 6 — — $43,471.69 $43,471.69 $43,471.69 2026-03-17
A1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier None 11 6 — — $42,627.68 $42,627.68 $42,627.68 2026-03-17
D0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 11 6 — — $42,327.10 $42,327.10 $42,327.10 2026-03-17
C0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 2 11 6 — — $41,396.34 $41,396.34 $41,396.34 2026-03-17
D0106 LOCAL Stroke M <41.50 And A <84.50- Tier Tier 3 11 6 — — $40,634.25 $40,634.25 $40,634.25 2026-03-17
B2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 1 11 6 — — $39,184.16 $39,184.16 $39,184.16 2026-03-17
A0106 LOCAL Stroke M <41.50 And A <84.50- Tier None 11 6 — — $38,723.73 $38,723.73 $38,723.73 2026-03-17
C0205 LOCAL Traumatic Brain Injury M <35.50- Tier Tier 2 11 6 — — $38,335.63 $38,335.63 $38,335.63 2026-03-17
B0904 LOCAL Other Orthopedic M <44.5- Tier Tier 1 11 6 — — $37,779.94 $37,779.94 $37,779.94 2026-03-17
C1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 2 11 6 — — $35,954.10 $35,954.10 $35,954.10 2026-03-17
D0105 LOCAL Stroke M <41.50 And A >=84.50- Tier Tier 3 11 6 — — $35,724.76 $35,724.76 $35,724.76 2026-03-17
D1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 11 6 — — $35,357.23 $35,357.23 $35,357.23 2026-03-17
D0205 LOCAL Traumatic Brain Injury M <35.50- Tier Tier 3 11 6 — — $34,819.78 $34,819.78 $34,819.78 2026-03-17
A0105 LOCAL Stroke M <41.50 And A >=84.50- Tier None 11 6 — — $34,047.11 $34,047.11 $34,047.11 2026-03-17
C0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 11 6 — — $33,653.71 $33,653.71 $33,653.71 2026-03-17
D1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 11 6 — — $33,297.36 $33,297.36 $33,297.36 2026-03-17
A1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 11 6 — — $33,185.54 $33,185.54 $33,185.54 2026-03-17
C0604 LOCAL Neurological M <43.50- Tier Tier 2 11 6 — — $32,891.62 $32,891.62 $32,891.62 2026-03-17
A0205 LOCAL Traumatic Brain Injury M <35.50- Tier None 11 6 — — $32,782.25 $32,782.25 $32,782.25 2026-03-17
C1504 LOCAL Pulmonary M <45.50- Tier Tier 2 11 6 — — $32,565.26 $32,565.26 $32,565.26 2026-03-17
D1903 LOCAL Guillain-barré M >=38.50 And M <51.50- Tier Tier 3 11 6 — — $31,782.00 $31,782.00 $31,782.00 2026-03-17
C0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 2 11 6 — — $31,759.07 $31,759.07 $31,759.07 2026-03-17
C2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 2 11 6 — — $31,298.64 $31,298.64 $31,298.64 2026-03-17
C0104 LOCAL Stroke M >=41.50 And M <50.50- Tier Tier 2 11 6 — — $31,263.36 $31,263.36 $31,263.36 2026-03-17
C1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50- Tier Tier 2 11 6 — — $31,236.90 $31,236.90 $31,236.90 2026-03-17
D0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 3 11 6 — — $30,084.94 $32,179.32 $31,132.13 2026-03-17
B2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier Tier 1 11 6 — — $31,092.24 $31,092.24 $31,092.24 2026-03-17
D2102 LOCAL Burns M <52.50- Tier Tier 3 11 6 — — $31,067.54 $31,067.54 $31,067.54 2026-03-17
D0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 11 6 — — $30,914.07 $30,914.07 $30,914.07 2026-03-17
D0604 LOCAL Neurological M <43.50- Tier Tier 3 11 6 — — $30,705.90 $30,705.90 $30,705.90 2026-03-17
D1504 LOCAL Pulmonary M <45.50- Tier Tier 3 11 6 — — $30,626.52 $30,626.52 $30,626.52 2026-03-17
C0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 11 6 — — $30,515.38 $30,515.38 $30,515.38 2026-03-17
C0904 LOCAL Other Orthopedic M <44.5- Tier Tier 2 11 6 — — $30,259.59 $30,259.59 $30,259.59 2026-03-17
A1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 11 6 — — $30,208.43 $30,208.43 $30,208.43 2026-03-17
C0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 2 11 6 — — $29,929.70 $29,929.70 $29,929.70 2026-03-17
C1404 LOCAL Cardiac M <45.50- Tier Tier 2 11 6 — — $29,820.32 $29,820.32 $29,820.32 2026-03-17
D1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50- Tier Tier 3 11 6 — — $29,816.80 $29,816.80 $29,816.80 2026-03-17
C0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 2 11 6 — — $29,790.34 $29,790.34 $29,790.34 2026-03-17
A0604 LOCAL Neurological M <43.50- Tier None 11 6 — — $29,744.19 $29,744.19 $29,744.19 2026-03-17
C2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 11 6 — — $29,693.31 $29,693.31 $29,693.31 2026-03-17
D2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 3 11 6 — — $29,238.17 $29,238.17 $29,238.17 2026-03-17
D0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 3 11 6 — — $28,144.43 $29,789.67 $28,967.05 2026-03-17
A1504 LOCAL Pulmonary M <45.50- Tier None 11 6 — — $28,648.96 $28,648.96 $28,648.96 2026-03-17
D0104 LOCAL Stroke M >=41.50 And M <50.50- Tier Tier 3 11 6 — — $28,569.58 $28,569.58 $28,569.58 2026-03-17
D1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50… 11 6 — — $28,373.76 $28,373.76 $28,373.76 2026-03-17
D0904 LOCAL Other Orthopedic M <44.5- Tier Tier 3 11 6 — — $28,204.41 $28,204.41 $28,204.41 2026-03-17
A0104 LOCAL Stroke M >=41.50 And M <50.50- Tier None 11 6 — — $27,227.10 $29,179.47 $28,203.28 2026-03-17
D0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 3 11 6 — — $28,031.53 $28,031.53 $28,031.53 2026-03-17
A0805 LOCAL Replacement Of Lower-extremity Joint M <42.50- Tier None 11 6 — — $27,949.60 $27,949.60 $27,949.60 2026-03-17
A0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier None 11 6 — — $27,795.14 $27,795.14 $27,795.14 2026-03-17
D2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 11 6 — — $27,738.69 $27,738.69 $27,738.69 2026-03-17
D1404 LOCAL Cardiac M <45.50- Tier Tier 3 11 6 — — $27,726.34 $27,726.34 $27,726.34 2026-03-17
A1004 LOCAL Amputation Lower Extremity M <47.50- Tier None 11 6 — — $27,475.84 $27,475.84 $27,475.84 2026-03-17
D0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 3 11 6 — — $27,183.00 $27,183.00 $27,183.00 2026-03-17
D1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50- T… 11 6 — — $26,701.40 $26,701.40 $26,701.40 2026-03-17
A2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier None 11 6 — — $26,613.19 $26,613.19 $26,613.19 2026-03-17
D0805 LOCAL Replacement Of Lower-extremity Joint M <42.50- Tier Tier 3 11 6 — — $26,602.61 $26,602.61 $26,602.61 2026-03-17
A0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier None 11 6 — — $26,420.91 $26,420.91 $26,420.91 2026-03-17
C0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 2 11 6 — — $26,318.59 $26,318.59 $26,318.59 2026-03-17
C0603 LOCAL Neurological M >=43.50 And M <52.50- Tier Tier 2 11 6 — — $26,226.86 $26,226.86 $26,226.86 2026-03-17
D1203 LOCAL Osteoarthritis M <49.50 And A >=74.50- Tier Tier 3 11 6 — — $26,186.28 $26,186.28 $26,186.28 2026-03-17
A0904 LOCAL Other Orthopedic M <44.5- Tier None 11 6 — — $25,805.24 $25,805.24 $25,805.24 2026-03-17
A1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50… 11 6 — — $25,741.73 $25,741.73 $25,741.73 2026-03-17
A0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50- Tier None 11 6 — — $25,593.54 $25,593.54 $25,593.54 2026-03-17
A1404 LOCAL Cardiac M <45.50- Tier None 11 6 — — $25,512.40 $25,512.40 $25,512.40 2026-03-17
C0903 LOCAL Other Orthopedic M >=44.50 And M <51.50- Tier Tier 2 11 6 — — $25,253.07 $25,253.07 $25,253.07 2026-03-17
A2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier None 11 6 — — $25,247.78 $25,247.78 $25,247.78 2026-03-17
D1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50… 11 6 — — $25,069.61 $25,069.61 $25,069.61 2026-03-17
C2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier Tier 2 11 6 — — $24,834.98 $24,834.98 $24,834.98 2026-03-17
D0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 3 11 6 — — $24,626.82 $24,626.82 $24,626.82 2026-03-17
D0603 LOCAL Neurological M >=43.50 And M <52.50- Tier Tier 3 11 6 — — $24,483.93 $24,483.93 $24,483.93 2026-03-17
D0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 3 11 6 — — $24,176.97 $24,176.97 $24,176.97 2026-03-17
D0103 LOCAL Stroke M >=50.50 And M <63.50- Tier Tier 3 11 6 — — $24,085.66 $24,085.66 $24,085.66 2026-03-17
D1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50- Tier Tier 3 11 6 — — $23,954.70 $23,954.70 $23,954.70 2026-03-17
A1203 LOCAL Osteoarthritis M <49.50 And A >=74.50- Tier None 11 6 — — $23,938.82 $23,938.82 $23,938.82 2026-03-17
D0903 LOCAL Other Orthopedic M >=44.50 And M <51.50- Tier Tier 3 11 6 — — $23,538.37 $23,538.37 $23,538.37 2026-03-17
D2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier Tier 3 11 6 — — $23,199.66 $23,199.66 $23,199.66 2026-03-17
A1503 LOCAL Pulmonary M >=45.50 And M <56.50- Tier None 11 6 — — $23,134.39 $23,134.39 $23,134.39 2026-03-17
A0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier None 11 6 — — $22,786.86 $22,786.86 $22,786.86 2026-03-17
A1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50… 11 6 — — $22,744.52 $22,744.52 $22,744.52 2026-03-17
D1403 LOCAL Cardiac M >=45.50 And M <55.50- Tier Tier 3 11 6 — — $22,628.09 $22,628.09 $22,628.09 2026-03-17
A0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50- Tier None 11 6 — — $22,287.29 $22,287.29 $22,287.29 2026-03-17
D0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier Tier 3 11 6 — — $22,181.78 $22,181.78 $22,181.78 2026-03-17
A0603 LOCAL Neurological M >=43.50 And M <52.50- Tier None 11 6 — — $22,081.22 $22,081.22 $22,081.22 2026-03-17
D0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50- Tier Tier 3 11 6 — — $21,917.16 $21,917.16 $21,917.16 2026-03-17
C0302 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier Tier 2 11 6 — — $21,874.82 $21,874.82 $21,874.82 2026-03-17
A0903 LOCAL Other Orthopedic M >=44.50 And M <51.50- Tier None 11 6 — — $21,536.12 $21,536.12 $21,536.12 2026-03-17
A1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50- Tier None 11 6 — — $21,462.03 $21,462.03 $21,462.03 2026-03-17
A0103 LOCAL Stroke M >=50.50 And M <63.50- Tier None 11 6 — — $21,333.25 $21,333.25 $21,333.25 2026-03-17
B0301 LOCAL Non-traumatic Brain Injury M >=65.50- Tier Tier 1 11 6 — — $21,146.25 $21,146.25 $21,146.25 2026-03-17
A2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier None 11 6 — — $21,116.26 $21,116.26 $21,116.26 2026-03-17
D0602 LOCAL Neurological M >=52.50 And M <64.50- Tier Tier 3 11 6 — — $20,779.32 $20,779.32 $20,779.32 2026-03-17
C2002 LOCAL Miscellaneous M >=55.50 And M <66.50- Tier Tier 2 11 6 — — $20,738.74 $20,738.74 $20,738.74 2026-03-17
A0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier None 11 6 — — $20,687.59 $20,687.59 $20,687.59 2026-03-17
D1004 LOCAL Amputation Lower Extremity M <47.50- Tier Tier 3 11 6 — — $6,954.04 $33,776.78 $20,365.41 2026-03-17
D0302 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier Tier 3 11 6 — — $20,093.08 $20,093.08 $20,093.08 2026-03-17
D0702 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50- Tier Tier 3 11 6 — — $20,026.05 $20,026.05 $20,026.05 2026-03-17
D0803 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50- Tier Tier 3 11 6 — — $19,798.48 $19,798.48 $19,798.48 2026-03-17
D0902 LOCAL Other Orthopedic M >=51.50 And M <63.50- Tier Tier 3 11 6 — — $19,710.28 $19,710.28 $19,710.28 2026-03-17
D2002 LOCAL Miscellaneous M >=55.50 And M <66.50- Tier Tier 3 11 6 — — $19,373.33 $19,373.33 $19,373.33 2026-03-17
D1402 LOCAL Cardiac M >=55.50 And M <68.50- Tier Tier 3 11 6 — — $18,493.05 $20,092.86 $19,292.96 2026-03-17
A0502 LOCAL Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50- Tier None 11 6 — — $19,032.86 $19,032.86 $19,032.86 2026-03-17
D0102 LOCAL Stroke M >=63.50 And M <72.50- Tier Tier 3 11 6 — — $18,762.56 $18,762.56 $18,762.56 2026-03-17
A0602 LOCAL Neurological M >=52.50 And M <64.50- Tier None 11 6 — — $18,740.02 $18,740.02 $18,740.02 2026-03-17
A0702 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50- Tier None 11 6 — — $18,501.87 $18,501.87 $18,501.87 2026-03-17
A0803 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50- Tier None 11 6 — — $18,466.59 $18,466.59 $18,466.59 2026-03-17
A0902 LOCAL Other Orthopedic M >=51.50 And M <63.50- Tier None 11 6 — — $18,034.38 $18,034.38 $18,034.38 2026-03-17
D0802 LOCAL Replacement Of Lower-extremity Joint M >=57.50 And M <63.50- Tier Tier 3 11 6 — — $17,787.41 $17,787.41 $17,787.41 2026-03-17
A2002 LOCAL Miscellaneous M >=55.50 And M <66.50- Tier None 11 6 — — $17,633.93 $17,633.93 $17,633.93 2026-03-17
A1402 LOCAL Cardiac M >=55.50 And M <68.50- Tier None 11 6 — — $17,016.50 $17,016.50 $17,016.50 2026-03-17
D1701 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50- Tier Tier 3 11 6 — — $16,981.21 $16,981.21 $16,981.21 2026-03-17
A0102 LOCAL Stroke M >=63.50 And M <72.50- Tier None 11 6 — — $16,552.54 $16,552.54 $16,552.54 2026-03-17
D0601 LOCAL Neurological M >=64.50- Tier Tier 3 11 6 — — $16,383.18 $16,383.18 $16,383.18 2026-03-17
C1401 LOCAL Cardiac M >=68.50- Tier Tier 2 11 6 — — $15,682.84 $15,682.84 $15,682.84 2026-03-17
A0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier None 11 6 — — $5,688.34 $22,753.35 $14,220.84 2026-03-17
A0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier None 11 6 — — $2,702.91 $2,702.91 $2,702.91 2026-03-17
0158 RC Room & Board - Ward - Rehabilitation 9 8 — — $1,862.50 $1,862.50 $1,862.50 2026-03-17
0138 RC Room & Board - Three And Four Beds - Rehabilitation 9 8 — — $1,862.50 $1,862.50 $1,862.50 2026-03-17
0148 RC Room & Board - Deluxe Private - Rehabilitation 9 8 — — $1,862.50 $1,862.50 $1,862.50 2026-03-17
0128 RC Room & Board - Semi-private (Two Beds) - Rehabilitation 9 8 — — $1,750.00 $1,750.00 $1,750.00 2026-03-17
0118 RC Room & Board - Private (One Bed) - Rehabilitation 9 8 — — $977.50 $1,713.75 $1,713.75 2026-03-17
128 OTHER R&b - Semi Pvt - Irf 18 8 $1,150.00 — $1,300.00 $1,300.00 $1,300.00 2026-05-22
118 OTHER R&b - Private - Irf 18 8 $1,150.00 — $1,300.00 $1,300.00 $1,300.00 2026-05-22
0808 RC Inpatient Renal Dialysis - Other 1 1 — — $400.00 $400.00 $400.00 2026-03-17
0801 RC Inpatient Renal Dialysis - Hemodialysis 2 2 — — $400.00 $400.00 $400.00 2026-03-17
0809 RC Inpatient Renal Dialysis - Other 2 2 — — $400.00 $400.00 $400.00 2026-03-17
0805 RC Inpatient Renal Dialysis - Treatment 1 1 — — $400.00 $400.00 $400.00 2026-03-17
0804 RC Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (ccpd) 2 2 — — $400.00 $400.00 $400.00 2026-03-17
0806 RC Inpatient Renal Dialysis - Continuation 1 1 — — $400.00 $400.00 $400.00 2026-03-17
0807 RC Inpatient Renal Dialysis - Observation/Hourly 1 1 — — $400.00 $400.00 $400.00 2026-03-17
0800 RC Inpatient Renal Dialysis - General Classification 2 2 — — $400.00 $400.00 $400.00 2026-03-17
0802 RC Inpatient Renal Dialysis - Peritoneal Dialysis (non-capd) 2 2 — — $400.00 $400.00 $400.00 2026-03-17
0803 RC Inpatient Renal Dialysis - Continuous Ambulatory Peritoneal Dialysis (capd) 2 2 — — $400.00 $400.00 $400.00 2026-03-17
0429 RC Physical Therapy - Other 8 2 — — $140.00 $250.00 $222.50 2026-03-17
92524 HCPCS Behavral Qualit Analys Voice 20 14 — — $70.00 $243.75 $156.88 2026-03-17
0413 RC Respiratory Services - Hyperbaric Oxygen Therapy 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0414 RC Respiratory Services - Evaluation Or Testing 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0418 RC Respiratory Services - Other 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0426 RC Physical Therapy - Continuation 2 2 — — $150.00 $150.00 $150.00 2026-03-17
92521 HCPCS Evaluation Of Speech Fluency 1 1 — — $150.00 $150.00 $150.00 2026-03-17
0417 RC Respiratory Services - Observation/Hourly 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0411 RC Respiratory Services - Visit 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0412 RC Respiratory Services - Inhalation Services 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0438 RC Occupational Therapy - Other 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0437 RC Occupational Therapy - Observation/Hourly 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0436 RC Occupational Therapy - Continuation 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0427 RC Physical Therapy - Observation/Hourly 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0419 RC Respiratory Services - Other 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0415 RC Respiratory Services - Treatment 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0416 RC Respiratory Services - Continuation 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0425 RC Physical Therapy - Treatment 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0428 RC Physical Therapy - Other 2 2 — — $150.00 $150.00 $150.00 2026-03-17
0435 RC Occupational Therapy - Treatment 2 2 — — $150.00 $150.00 $150.00 2026-03-17
97162 HCPCS Pt Eval Mod Complex 30 Min 23 15 — — $70.00 $221.00 $145.50 2026-03-17
97166 HCPCS Ot Eval Mod Complex 45 Min 23 15 — — $70.00 $221.00 $145.50 2026-03-17
92507 HCPCS Speech/hearing Therapy 23 15 — — $70.00 $221.00 $145.50 2026-03-17
96125 HCPCS Cognitive Test By Hc Pro 19 13 — — $70.00 $221.00 $145.50 2026-03-17
97165 HCPCS Ot Eval Low Complex 30 Min 23 15 — — $70.00 $221.00 $145.50 2026-03-17
0431 RC Occupational Therapy - Visit Charge 4 2 — — $140.00 $145.00 $142.50 2026-03-17
0432 RC Occupational Therapy - Hourly Charge 4 2 — — $140.00 $145.00 $142.50 2026-03-17
0442 RC Speech Therapy - Language Pathology - Hourly Charge 4 2 — — $140.00 $145.00 $142.50 2026-03-17
0439 RC Occupational Therapy - Other 4 2 — — $140.00 $145.00 $142.50 2026-03-17
0433 RC Occupational Therapy - Group Rate 4 2 — — $140.00 $145.00 $142.50 2026-03-17
0441 RC Speech Therapy - Language Pathology - Visit Charge 4 2 — — $140.00 $145.00 $142.50 2026-03-17
0443 RC Speech Therapy - Language Pathology - Group Rate 4 2 — — $140.00 $145.00 $142.50 2026-03-17
0449 RC Speech Therapy - Language Pathology - Other 4 2 — — $140.00 $140.00 $140.00 2026-03-17
0422 RC Physical Therapy - Hourly Charge 5 2 — — $120.00 $140.00 $135.00 2026-03-17
0423 RC Physical Therapy - Group Rate 5 2 — — $120.00 $140.00 $135.00 2026-03-17
97161 HCPCS Pt Eval Low Complex 20 Min 23 15 — — $70.00 $195.00 $132.50 2026-03-17
97163 HCPCS Pt Eval High Complex 45 Min 23 15 — — $70.00 $195.00 $132.50 2026-03-17
97533 HCPCS Sensory Integration 17 12 — — $120.00 $120.00 $120.00 2026-03-17
97130 HCPCS Ther Ivntj Ea Addl 15 Min 19 13 — — $70.00 $165.75 $117.88 2026-03-17
97164 HCPCS Pt Re-eval Est Plan Care 23 15 — — $70.00 $150.00 $110.00 2026-03-17
97168 HCPCS Ot Re-eval Est Plan Care 21 14 — — $70.00 $150.00 $110.00 2026-03-17
97167 HCPCS Ot Eval High Complex 60 Min 21 14 — — $70.00 $150.00 $110.00 2026-03-17
440 OTHER St Cog Tx Ea Addl 15min 10 3 $126.00 — $110.00 $110.00 $110.00 2026-05-22
434 OTHER Ot Eval High Complex 1unit 10 3 $260.00 — $110.00 $110.00 $110.00 2026-05-22
444 OTHER St Aphasia Assessment 1unit 10 3 $260.00 — $110.00 $110.00 $110.00 2026-05-22
420 OTHER Pt Adl Slf Care Trn 15min 10 3 $122.89 — $110.00 $110.00 $110.00 2026-05-22
424 OTHER Pt Eval High Complex 1unit 22 9 $260.00 — $110.00 $110.00 $110.00 2026-05-22
430 OTHER Ot Adl Slf Care Trn 15min 10 3 $111.00 — $110.00 $110.00 $110.00 2026-05-22
0444 RC Speech Therapy - Language Pathology - Evaluation Or Reevaluation 23 14 — — $70.00 $150.00 $110.00 2026-03-17
0434 RC Occupational Therapy - Evaluation Or Reevaluation 25 15 — — $70.00 $150.00 $110.00 2026-03-17
0440 RC Speech Therapy - Language Pathology - General Classification 28 15 — — $70.00 $140.00 $110.00 2026-03-17
0430 RC Occupational Therapy - General Classification 28 15 — — $70.00 $140.00 $110.00 2026-03-17
0421 RC Physical Therapy - Visit Charge 24 14 — — $70.00 $140.00 $110.00 2026-03-17
0420 RC Physical Therapy - General Classification 28 15 — — $70.00 $140.00 $110.00 2026-03-17
0410 RC Respiratory Services - General Classification 21 14 — — $70.00 $110.00 $110.00 2026-03-17
0424 RC Physical Therapy - Evaluation Or Re-evaluation 25 15 — — $70.00 $150.00 $110.00 2026-03-17
96105 HCPCS Assessment Of Aphasia 20 14 — — $70.00 $150.00 $110.00 2026-03-17
92523 HCPCS Speech Sound Lang Comprehen 22 15 — — $70.00 $150.00 $110.00 2026-03-17
92522 HCPCS Evaluate Speech Production 20 14 — — $70.00 $150.00 $110.00 2026-03-17
97537 HCPCS Community/work Reintegration 18 13 — — $90.00 $120.00 $105.00 2026-03-17
29130 HCPCS Application Of Finger Splint 16 12 — — $97.50 $97.50 $97.50 2026-03-17
97113 HCPCS Aquatic Therapy/exercises 21 14 — — $70.00 $120.00 $95.00 2026-03-17
97124 HCPCS Massage Therapy 21 14 — — $70.00 $120.00 $95.00 2026-03-17
97535 HCPCS Self Care Mngment Training 23 15 — — $70.00 $120.00 $95.00 2026-03-17
97542 HCPCS Wheelchair Mngment Training 20 13 — — $70.00 $120.00 $95.00 2026-03-17
97112 HCPCS Neuromuscular Reeducation 23 15 — — $70.00 $120.00 $95.00 2026-03-17
92526 HCPCS Oral Function Therapy 23 15 — — $70.00 $120.00 $95.00 2026-03-17
92606 HCPCS Non-speech Device Service 1 1 — — $90.00 $90.00 $90.00 2026-03-17
97032 HCPCS Appl Modality 1+estim Ea 15 17 13 — — $90.00 $90.00 $90.00 2026-03-17
92605 HCPCS Ex For Nonspeech Device Rx 1 1 — — $90.00 $90.00 $90.00 2026-03-17
92607 HCPCS Ex For Speech Device Rx 1hr 17 13 — — $90.00 $90.00 $90.00 2026-03-17
92597 HCPCS Oral Speech Device Eval 1 1 — — $90.00 $90.00 $90.00 2026-03-17
97140 HCPCS Manual Therapy 1/> Regions 21 14 — — $55.25 $120.00 $87.62 2026-03-17
97116 HCPCS Gait Training Therapy 23 15 — — $55.25 $120.00 $87.62 2026-03-17
97129 HCPCS Ther Ivntj 1st 15 Min 21 14 — — $48.75 $120.00 $84.38 2026-03-17
97530 HCPCS Therapeutic Activities 23 15 — — $34.53 $120.00 $77.27 2026-03-17
97110 HCPCS Therapeutic Exercises 23 15 — — $28.70 $120.00 $74.35 2026-03-17
97760 HCPCS Orthotic Mgmt&traing 1st Enc 19 13 — — $70.00 $70.00 $70.00 2026-03-17
97750 HCPCS Physical Performance Test 19 13 — — $70.00 $70.00 $70.00 2026-03-17
97763 HCPCS Orthc/prostc Mgmt Sbsq Enc 19 13 — — $70.00 $70.00 $70.00 2026-03-17
92610 HCPCS Evaluate Swallowing Function 21 14 — — $70.00 $70.00 $70.00 2026-03-17
92609 HCPCS Use Of Speech Device Service 19 13 — — $70.00 $70.00 $70.00 2026-03-17
92612 HCPCS Endoscopy Swallow (fees) Vid 19 13 — — $70.00 $70.00 $70.00 2026-03-17
97035 HCPCS App Mdlty 1+ultrasound Ea 15 19 13 — — $48.75 $70.00 $59.38 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
59025 HCPCS Fetal Non-stress Test 0 0 — — — — — 2026-03-17
59012 HCPCS Fetal Cord Puncture Prenatal 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
36430 HCPCS Transfusion Bld/bld Compnt 0 0 — — — — — 2026-03-17
58662 HCPCS Laparoscopy Excise Lesions 0 0 — — — — — 2026-03-17
58661 HCPCS Laparoscopy Remove Adnexa 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
58571 HCPCS Tlh W/t/o 250 G Or Less 0 0 — — — — — 2026-03-17
58570 HCPCS Tlh Uterus 250 G Or Less 0 0 — — — — — 2026-03-17
36248 HCPCS Ins Cath Abd/l-ext Art Addl 0 0 — — — — — 2026-03-17
58563 HCPCS Hysteroscopy Ablation 0 0 — — — — — 2026-03-17
58561 HCPCS Hysteroscopy Remove Myoma 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
58558 HCPCS Hysteroscopy Biopsy 0 0 — — — — — 2026-03-17
58554 HCPCS Laparo-vag Hyst W/t/o Compl 0 0 — — — — — 2026-03-17
36225 HCPCS Place Cath Subclavian Art 0 0 — — — — — 2026-03-17
58552 HCPCS Laparo-vag Hyst Incl T/o 0 0 — — — — — 2026-03-17
58550 HCPCS Laparo-asst Vag Hysterectomy 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
58301 HCPCS Remove Intrauterine Device 0 0 — — — — — 2026-03-17
58120 HCPCS Dilation And Curettage 0 0 — — — — — 2026-03-17
36012 HCPCS Place Catheter In Vein 0 0 — — — — — 2026-03-17
57522 HCPCS Conization Of Cervix 0 0 — — — — — 2026-03-17
57461 HCPCS Conz Of Cervix W/scope Leep 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
00410 HCPCS Anesth Correct Heart Rhythm 0 0 — — — — — 2026-03-17
57288 HCPCS Repair Bladder Defect 0 0 — — — — — 2026-03-17
57260 HCPCS Cmbn Ant Pst Colprhy 0 0 — — — — — 2026-03-17
33227 HCPCS Remove&replace Pm Gen Singl 0 0 — — — — — 2026-03-17
55880 HCPCS Abltj Mal Prst8 Tiss Hifu 0 0 — — — — — 2026-03-17
55700 HCPCS Biopsy Of Prostate 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
55040 HCPCS Removal Of Hydrocele 0 0 — — — — — 2026-03-17
54161 HCPCS Circum 28 Days Or Older 0 0 — — — — — 2026-03-17
32555 HCPCS Aspirate Pleura With Imaging 0 0 — — — — — 2026-03-17
53445 HCPCS Insert Uro/ves Nck Sphincter 0 0 — — — — — 2026-03-17
52601 HCPCS Prostatectomy (turp) 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
52356 HCPCS Cysto/uretero W/lithotripsy 0 0 — — — — — 2026-03-17
See an error in this hospital's data? Submit a correction