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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

Pam Rehabilitation Hospital Of Allen

Allen, TX · CCN 673025 · Rates published

7,184 distinct procedures filed
36 distinct payers
162,008 rate rows
2025-09-11 last MRF observed · ⚠ 13 mo old
Data quality

156,340 of 162,008 rate rows are consumer-grade (96.5%)

5,668 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 5,146
per-diem day rate — not a per-procedure price 474
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 48

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11144/462071012_post-acute-medical-at-allen-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/RehabAllenRichardson/11144
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 46e66413b2079c33… · 46,566,589 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
1614
APR_DRG 		Implantable Heart Assist Systems 3 $163,244.49 $163,244.49 $163,244.49 nat. median
$202,242
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $152,934.38 $152,934.38 $152,934.38 nat. median
$152,792
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $106,403.05 $106,403.05 $106,403.05 nat. median
$135,803
0.8× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 3 $98,877.73 $98,877.73 $98,877.73 nat. median
$16,170
outlier · 6.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $89,556.85 $89,556.85 $89,556.85 nat. median
$135,630
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $89,171.86 $89,171.86 $89,171.86 nat. median
$173,018
0.5× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 $85,955.57 $85,955.57 $85,955.57 nat. median
$50,461
1.7× median
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 21 $70,928.27 $118,213.79 $85,397.64 nat. median
$90,183
0.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $85,085.23 $85,085.23 $85,085.23 nat. median
$155,539
0.5× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 21 $63,075.12 $105,125.21 $75,942.45 nat. median
$73,713
1.0× median
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 $75,811.90 $75,811.90 $75,811.90 nat. median
$47,145
1.6× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $75,769.59 $75,769.59 $75,769.59 nat. median
$106,926
0.7× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $75,136.34 $75,136.34 $75,136.34 nat. median
$73,618
1.0× median
B1904
HCPCS 		Guillain-barré M <38.50 21 $61,373.98 $102,289.97 $73,894.27 nat. median
$84,429
0.9× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 21 $61,229.70 $102,049.50 $73,720.56 nat. median
$69,540
1.1× median
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 3 $73,475.39 $73,475.39 $73,475.39 nat. median
$14,114
outlier · 5.2×
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 21 $57,731.77 $96,219.62 $69,509.05 nat. median
$71,463
1.0× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 21 $55,636.36 $92,727.27 $66,986.18 nat. median
$64,947
1.0× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 $66,096.24 $66,096.24 $66,096.24 nat. median
$77,606
0.9× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 21 $51,881.75 $86,469.59 $62,465.63 nat. median
$65,854
0.9× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 21 $51,128.48 $85,214.13 $61,558.69 nat. median
$61,232
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 3 $61,163.05 $61,163.05 $61,163.05 nat. median
$109,992
0.6× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 21 $50,603.37 $84,338.96 $60,926.46 nat. median
$60,224
1.0× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $60,463.71 $60,463.71 $60,463.71 nat. median
$68,335
0.9× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50 21 $48,759.62 $81,266.04 $58,706.59 nat. median
$54,601
1.1× median
1611
APR_DRG 		Implantable Heart Assist Systems 3 $58,007.60 $58,007.60 $58,007.60 nat. median
$108,954
0.5× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $57,599.88 $57,599.88 $57,599.88 nat. median
$91,350
0.6× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $57,580.30 $57,580.30 $57,580.30 nat. median
$85,032
0.7× median
C1904
HCPCS 		Guillain-barré M <38.50 21 $47,184.29 $78,640.49 $56,809.89 nat. median
$59,669
1.0× median
6804
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 $56,094.54 $56,094.54 $56,094.54 nat. median
$52,992
1.1× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 21 $46,137.43 $76,895.72 $55,549.46 nat. median
$53,828
1.0× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 21 $46,055.22 $76,758.71 $55,450.49 nat. median
$59,476
0.9× median
4414
APR_DRG 		Major Bladder Procedures 3 $54,760.54 $54,760.54 $54,760.54 nat. median
$43,455
1.3× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 21 $45,468.05 $75,780.08 $54,743.53 nat. median
$50,092
1.1× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 21 $44,786.92 $74,644.86 $53,923.45 nat. median
$52,411
1.0× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 21 $44,265.16 $73,775.27 $53,295.25 nat. median
$52,525
1.0× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 21 $44,137.66 $73,562.76 $53,141.74 nat. median
$48,733
1.1× median
D1904
HCPCS 		Guillain-barré M <38.50 21 $44,028.61 $73,381.02 $53,010.45 nat. median
$51,872
1.0× median
B1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 21 $43,988.35 $73,313.91 $52,961.97 nat. median
$50,847
1.0× median
D1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 21 $43,723.28 $72,872.13 $52,642.83 nat. median
$53,782
1.0× median
A1904
HCPCS 		Guillain-barré M <38.50 21 $43,266.95 $72,111.59 $52,093.41 nat. median
$51,888
1.0× median
B0105
HCPCS 		Stroke M <41.50 And A >=84.50 21 $42,869.34 $71,448.90 $51,614.69 nat. median
$48,473
1.1× median
1784
APR_DRG 		External Heart Assist Systems 3 $51,289.34 $51,289.34 $51,289.34 nat. median
$66,229
0.8× median
C0106
HCPCS 		Stroke M <41.50 And A <84.50 21 $42,287.19 $70,478.66 $50,913.78 nat. median
$48,486
1.1× median
B1903
HCPCS 		Guillain-barré M >=38.50 And M <51.50 21 $42,132.85 $70,221.42 $50,727.95 nat. median
$53,197
1.0× median
B0604
HCPCS 		Neurological M <43.50 21 $41,780.54 $69,634.23 $50,303.77 nat. median
$47,224
1.1× median
1674
APR_DRG 		Other Cardiothoracic And Thoracic Vascular Procedures 3 $50,228.43 $50,228.43 $50,228.43 nat. median
$54,029
0.9× median
6904
APR_DRG 		Acute Leukemia 3 $49,777.35 $49,777.35 $49,777.35 nat. median
$48,234
1.0× median
434
APR_DRG 		Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 $49,472.44 $49,472.44 $49,472.44 nat. median
$32,685
1.5× median
92
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $49,416.84 $49,416.84 $49,416.84 nat. median
$45,157
1.1× median

Other procedures at this hospital

Browse this hospital's 7,184 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
             
1614 APR_DRG Implantable Heart Assist Systems 6 3 — — $163,244.49 $163,244.49 $163,244.49 2025-09-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $152,934.38 $152,934.38 $152,934.38 2025-09-11
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $106,403.05 $106,403.05 $106,403.05 2025-09-11
2004 APR_DRG Cardiac Structural And Valvular Disorders 6 3 — — $98,877.73 $98,877.73 $98,877.73 2025-09-11
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $89,556.85 $89,556.85 $89,556.85 2025-09-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $89,171.86 $89,171.86 $89,171.86 2025-09-11
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 3 — — $85,955.57 $85,955.57 $85,955.57 2025-09-11
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 50 21 — — $70,928.27 $118,213.79 $85,397.64 2025-09-11
1613 APR_DRG Implantable Heart Assist Systems 6 3 — — $85,085.23 $85,085.23 $85,085.23 2025-09-11
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 50 21 — — $63,075.12 $105,125.21 $75,942.45 2025-09-11
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 3 — — $75,811.90 $75,811.90 $75,811.90 2025-09-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $75,769.59 $75,769.59 $75,769.59 2025-09-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $75,136.34 $75,136.34 $75,136.34 2025-09-11
B1904 HCPCS Guillain-barré M <38.50 50 21 — — $61,373.98 $102,289.97 $73,894.27 2025-09-11
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 50 21 — — $61,229.70 $102,049.50 $73,720.56 2025-09-11
2464 APR_DRG Gastrointestinal Vascular Insufficiency 6 3 — — $73,475.39 $73,475.39 $73,475.39 2025-09-11
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 50 21 — — $57,731.77 $96,219.62 $69,509.05 2025-09-11
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 50 21 — — $55,636.36 $92,727.27 $66,986.18 2025-09-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $66,096.24 $66,096.24 $66,096.24 2025-09-11
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 50 21 — — $51,881.75 $86,469.59 $62,465.63 2025-09-11
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 50 21 — — $51,128.48 $85,214.13 $61,558.69 2025-09-11
1612 APR_DRG Implantable Heart Assist Systems 6 3 — — $61,163.05 $61,163.05 $61,163.05 2025-09-11
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 50 21 — — $50,603.37 $84,338.96 $60,926.46 2025-09-11
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $60,463.71 $60,463.71 $60,463.71 2025-09-11
B0106 HCPCS Stroke M <41.50 And A <84.50 50 21 — — $48,759.62 $81,266.04 $58,706.59 2025-09-11
1611 APR_DRG Implantable Heart Assist Systems 6 3 — — $58,007.60 $58,007.60 $58,007.60 2025-09-11
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $57,599.88 $57,599.88 $57,599.88 2025-09-11
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $57,580.30 $57,580.30 $57,580.30 2025-09-11
C1904 HCPCS Guillain-barré M <38.50 50 21 — — $47,184.29 $78,640.49 $56,809.89 2025-09-11
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 3 — — $56,094.54 $56,094.54 $56,094.54 2025-09-11
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 50 21 — — $46,137.43 $76,895.72 $55,549.46 2025-09-11
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 50 21 — — $46,055.22 $76,758.71 $55,450.49 2025-09-11
4414 APR_DRG Major Bladder Procedures 6 3 — — $54,760.54 $54,760.54 $54,760.54 2025-09-11
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 50 21 — — $45,468.05 $75,780.08 $54,743.53 2025-09-11
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 50 21 — — $44,786.92 $74,644.86 $53,923.45 2025-09-11
B0205 HCPCS Traumatic Brain Injury M <35.50 50 21 — — $44,265.16 $73,775.27 $53,295.25 2025-09-11
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 50 21 — — $44,137.66 $73,562.76 $53,141.74 2025-09-11
D1904 HCPCS Guillain-barré M <38.50 50 21 — — $44,028.61 $73,381.02 $53,010.45 2025-09-11
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 50 21 — — $43,988.35 $73,313.91 $52,961.97 2025-09-11
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 50 21 — — $43,723.28 $72,872.13 $52,642.83 2025-09-11
A1904 HCPCS Guillain-barré M <38.50 50 21 — — $43,266.95 $72,111.59 $52,093.41 2025-09-11
B0105 HCPCS Stroke M <41.50 And A >=84.50 50 21 — — $42,869.34 $71,448.90 $51,614.69 2025-09-11
1784 APR_DRG External Heart Assist Systems 6 3 — — $51,289.34 $51,289.34 $51,289.34 2025-09-11
C0106 HCPCS Stroke M <41.50 And A <84.50 50 21 — — $42,287.19 $70,478.66 $50,913.78 2025-09-11
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 50 21 — — $42,132.85 $70,221.42 $50,727.95 2025-09-11
B0604 HCPCS Neurological M <43.50 50 21 — — $41,780.54 $69,634.23 $50,303.77 2025-09-11
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 3 — — $50,228.43 $50,228.43 $50,228.43 2025-09-11
6904 APR_DRG Acute Leukemia 6 3 — — $49,777.35 $49,777.35 $49,777.35 2025-09-11
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 6 3 — — $49,472.44 $49,472.44 $49,472.44 2025-09-11
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $49,416.84 $49,416.84 $49,416.84 2025-09-11
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 50 21 — — $40,696.77 $67,827.95 $48,998.91 2025-09-11
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 50 21 — — $40,659.86 $67,766.43 $48,954.47 2025-09-11
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 50 21 — — $40,651.47 $67,752.45 $48,944.37 2025-09-11
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 50 21 — — $40,539.07 $67,565.12 $48,809.04 2025-09-11
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 50 21 — — $40,106.23 $66,843.72 $48,287.90 2025-09-11
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 50 21 — — $40,003.89 $66,673.16 $48,164.69 2025-09-11
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 50 21 — — $39,985.44 $66,642.41 $48,142.47 2025-09-11
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $47,924.43 $47,924.43 $47,924.43 2025-09-11
B1604 HCPCS Pain Syndrome M <43.50 50 21 — — $39,383.15 $65,638.59 $47,417.32 2025-09-11
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 50 21 — — $39,368.06 $65,613.44 $47,399.15 2025-09-11
B0704 HCPCS Fracture Of Lower Extremity M <41.50 50 21 — — $39,044.27 $65,073.78 $47,009.30 2025-09-11
B2102 HCPCS Burns M <52.50 50 21 — — $38,881.54 $64,802.57 $46,813.37 2025-09-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $46,630.99 $46,630.99 $46,630.99 2025-09-11
D0106 HCPCS Stroke M <41.50 And A <84.50 50 21 — — $38,643.31 $64,405.52 $46,526.54 2025-09-11
B1004 HCPCS Amputation Lower Extremity M <47.50 50 21 — — $38,604.73 $64,341.21 $46,480.09 2025-09-11
B1504 HCPCS Pulmonary M <45.50 50 21 — — $38,156.79 $63,594.65 $45,940.77 2025-09-11
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 50 21 — — $37,484.05 $62,473.41 $45,130.79 2025-09-11
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 50 21 — — $37,264.27 $62,107.11 $44,866.18 2025-09-11
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 50 21 — — $37,192.13 $61,986.89 $44,779.33 2025-09-11
C0105 HCPCS Stroke M <41.50 And A >=84.50 50 21 — — $37,178.71 $61,964.52 $44,763.17 2025-09-11
A0106 HCPCS Stroke M <41.50 And A <84.50 50 21 — — $36,826.40 $61,377.33 $44,338.98 2025-09-11
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 50 21 — — $36,635.15 $61,058.58 $44,108.72 2025-09-11
C0205 HCPCS Traumatic Brain Injury M <35.50 50 21 — — $36,457.31 $60,762.18 $43,894.60 2025-09-11
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 50 21 — — $36,417.05 $60,695.09 $43,846.13 2025-09-11
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 3 — — $43,702.13 $43,702.13 $43,702.13 2025-09-11
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 50 21 — — $36,272.77 $60,454.62 $43,672.42 2025-09-11
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 50 21 — — $36,158.69 $60,264.48 $43,535.06 2025-09-11
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 6 3 — — $43,362.25 $43,362.25 $43,362.25 2025-09-11
B1404 HCPCS Cardiac M <45.50 50 21 — — $35,999.31 $59,998.85 $43,343.17 2025-09-11
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 50 21 — — $35,928.85 $59,881.41 $43,258.33 2025-09-11
B0904 HCPCS Other Orthopedic M <44.5 50 21 — — $35,928.85 $59,881.41 $43,258.33 2025-09-11
234 APR_DRG Spinal Procedures 6 3 — — $42,719.90 $42,719.90 $42,719.90 2025-09-11
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 50 21 — — $35,353.41 $58,922.36 $42,565.51 2025-09-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $42,565.34 $42,565.34 $42,565.34 2025-09-11
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 50 21 — — $35,100.08 $58,500.14 $42,260.50 2025-09-11
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 50 21 — — $34,935.67 $58,226.12 $42,062.55 2025-09-11
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $42,018.46 $42,018.46 $42,018.46 2025-09-11
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 50 21 — — $34,581.68 $57,636.14 $41,636.34 2025-09-11
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 50 21 — — $34,556.52 $57,594.20 $41,606.05 2025-09-11
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $41,492.90 $41,492.90 $41,492.90 2025-09-11
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 50 21 — — $34,407.21 $57,345.35 $41,426.28 2025-09-11
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $41,301.63 $41,301.63 $41,301.63 2025-09-11
B0104 HCPCS Stroke M >=41.50 And M <50.50 50 21 — — $34,283.06 $57,138.44 $41,276.81 2025-09-11
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 50 21 — — $34,272.99 $57,121.65 $41,264.68 2025-09-11
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 50 21 — — $34,192.47 $56,987.45 $41,167.73 2025-09-11
D0105 HCPCS Stroke M <41.50 And A >=84.50 50 21 — — $33,974.37 $56,623.95 $40,905.14 2025-09-11
B1103 HCPCS Amputation Non-lower Extremity M <52.50 50 21 — — $33,647.23 $56,078.72 $40,511.26 2025-09-11
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 50 21 — — $33,529.79 $55,882.98 $40,369.86 2025-09-11
B0603 HCPCS Neurological M >=43.50 And M <52.50 50 21 — — $33,315.05 $55,525.08 $40,111.32 2025-09-11
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 50 21 — — $33,117.08 $55,195.14 $39,872.97 2025-09-11
D0205 HCPCS Traumatic Brain Injury M <35.50 50 21 — — $33,113.73 $55,189.55 $39,868.93 2025-09-11
264 APR_DRG Other Nervous System And Related Procedures 6 3 — — $39,855.38 $39,855.38 $39,855.38 2025-09-11
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $39,448.01 $39,448.01 $39,448.01 2025-09-11
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 50 21 — — $32,746.32 $54,577.20 $39,426.57 2025-09-11
1824 APR_DRG Other Peripheral Vascular Procedures 6 3 — — $39,416.19 $39,416.19 $39,416.19 2025-09-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 3 — — $39,392.76 $39,392.76 $39,392.76 2025-09-11
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 50 21 — — $32,429.24 $54,048.74 $39,044.81 2025-09-11
C1903 HCPCS Guillain-barré M >=38.50 And M <51.50 50 21 — — $32,390.66 $53,984.43 $38,998.35 2025-09-11
A0105 HCPCS Stroke M <41.50 And A >=84.50 50 21 — — $32,378.91 $53,964.86 $38,984.21 2025-09-11
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 3 — — $38,747.96 $38,747.96 $38,747.96 2025-09-11
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 3 — — $38,738.52 $38,738.52 $38,738.52 2025-09-11
2054 APR_DRG Cardiomyopathy 6 3 — — $38,629.08 $38,629.08 $38,629.08 2025-09-11
6954 APR_DRG Chemotherapy For Acute Leukemia 6 3 — — $38,579.42 $38,579.42 $38,579.42 2025-09-11
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $38,539.91 $38,539.91 $38,539.91 2025-09-11
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 50 21 — — $32,004.79 $53,341.32 $38,533.77 2025-09-11
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 50 21 — — $31,961.17 $53,268.62 $38,481.25 2025-09-11
C1004 HCPCS Amputation Lower Extremity M <47.50 50 21 — — $31,927.62 $53,212.70 $38,440.85 2025-09-11
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 50 21 — — $31,894.07 $53,156.78 $38,400.46 2025-09-11
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 50 21 — — $31,786.70 $52,977.83 $38,271.18 2025-09-11
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 50 21 — — $31,665.91 $52,776.51 $38,125.75 2025-09-11
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $37,892.31 $37,892.31 $37,892.31 2025-09-11
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 3 — — $37,765.38 $37,765.38 $37,765.38 2025-09-11
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 50 21 — — $31,285.07 $52,141.79 $37,667.23 2025-09-11
C0604 HCPCS Neurological M <43.50 50 21 — — $31,280.04 $52,133.40 $37,661.17 2025-09-11
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $37,647.54 $37,647.54 $37,647.54 2025-09-11
A0205 HCPCS Traumatic Brain Injury M <35.50 50 21 — — $31,176.03 $51,960.05 $37,535.94 2025-09-11
C1504 HCPCS Pulmonary M <45.50 50 21 — — $30,969.68 $51,616.13 $37,287.49 2025-09-11
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $37,188.77 $37,188.77 $37,188.77 2025-09-11
214 APR_DRG Open Craniotomy Except Trauma 6 3 — — $37,100.65 $37,100.65 $37,100.65 2025-09-11
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 50 21 — — $30,811.98 $51,353.30 $37,097.62 2025-09-11
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 50 21 — — $30,786.81 $51,311.36 $37,067.32 2025-09-11
2304 APR_DRG Major Small Bowel Procedures 6 3 — — $36,966.73 $36,966.73 $36,966.73 2025-09-11
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 50 21 — — $30,660.98 $51,101.64 $36,915.82 2025-09-11
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 50 21 — — $30,635.82 $51,059.70 $36,885.53 2025-09-11
224 APR_DRG Ventricular Shunt Procedures 6 3 — — $36,820.92 $36,820.92 $36,820.92 2025-09-11
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 3 — — $36,619.16 $36,619.16 $36,619.16 2025-09-11
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $36,394.32 $36,394.32 $36,394.32 2025-09-11
D1903 HCPCS Guillain-barré M >=38.50 And M <51.50 50 21 — — $30,224.79 $50,374.65 $36,390.65 2025-09-11
C0704 HCPCS Fracture Of Lower Extremity M <41.50 50 21 — — $30,202.98 $50,338.31 $36,364.39 2025-09-11
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 50 21 — — $30,154.33 $50,257.22 $36,305.81 2025-09-11
A5102 HCPCS Expired, Orthopedic, Length Of Stay Is 14 Days Or More 50 21 — — $30,073.81 $50,123.01 $36,208.86 2025-09-11
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 50 21 — — $29,984.89 $49,974.81 $36,101.80 2025-09-11
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 3 — — $36,061.78 $36,061.78 $36,061.78 2025-09-11
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 50 21 — — $29,765.12 $49,608.53 $35,837.20 2025-09-11
C0104 HCPCS Stroke M >=41.50 And M <50.50 50 21 — — $29,731.55 $49,552.59 $35,796.79 2025-09-11
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 50 21 — — $29,706.39 $49,510.65 $35,766.49 2025-09-11
A1903 HCPCS Guillain-barré M >=38.50 And M <51.50 50 21 — — $29,701.36 $49,502.27 $35,760.44 2025-09-11
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 50 21 — — $29,568.83 $49,281.38 $35,600.87 2025-09-11
C2102 HCPCS Burns M <52.50 50 21 — — $29,545.34 $49,242.23 $35,572.58 2025-09-11
D2102 HCPCS Burns M <52.50 50 21 — — $29,545.34 $49,242.23 $35,572.58 2025-09-11
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 6 3 — — $35,413.13 $35,413.13 $35,413.13 2025-09-11
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 50 21 — — $29,399.38 $48,998.97 $35,396.86 2025-09-11
B1403 HCPCS Cardiac M >=45.50 And M <55.50 50 21 — — $29,379.25 $48,965.42 $35,372.62 2025-09-11
1694 APR_DRG Major Abdominal Vascular Procedures 6 3 — — $35,292.85 $35,292.85 $35,292.85 2025-09-11
C1604 HCPCS Pain Syndrome M <43.50 50 21 — — $29,251.75 $48,752.91 $35,219.10 2025-09-11
D0604 HCPCS Neurological M <43.50 50 21 — — $29,201.42 $48,669.03 $35,158.51 2025-09-11
1204 APR_DRG Major Respiratory And Chest Procedures 6 3 — — $35,149.48 $35,149.48 $35,149.48 2025-09-11
D1004 HCPCS Amputation Lower Extremity M <47.50 50 21 — — $29,164.51 $48,607.52 $35,114.07 2025-09-11
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 50 21 — — $29,135.99 $48,559.98 $35,079.73 2025-09-11
D1504 HCPCS Pulmonary M <45.50 50 21 — — $29,125.92 $48,543.20 $35,067.61 2025-09-11
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 50 21 — — $29,120.89 $48,534.81 $35,061.55 2025-09-11
4834 APR_DRG Penis, Testes And Scrotal Procedures 6 3 — — $35,015.90 $35,015.90 $35,015.90 2025-09-11
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 50 21 — — $29,020.23 $48,367.05 $34,940.36 2025-09-11
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 50 21 — — $28,834.01 $48,056.69 $34,716.15 2025-09-11
C0904 HCPCS Other Orthopedic M <44.5 50 21 — — $28,776.97 $47,961.62 $34,647.47 2025-09-11
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 3 — — $34,640.36 $34,640.36 $34,640.36 2025-09-11
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 3 — — $34,594.55 $34,594.55 $34,594.55 2025-09-11
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 50 21 — — $28,728.32 $47,880.53 $34,588.89 2025-09-11
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 3 — — $34,585.81 $34,585.81 $34,585.81 2025-09-11
D0704 HCPCS Fracture Of Lower Extremity M <41.50 50 21 — — $28,610.88 $47,684.81 $34,447.50 2025-09-11
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 50 21 — — $28,545.45 $47,575.76 $34,368.73 2025-09-11
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 50 21 — — $28,463.25 $47,438.75 $34,269.75 2025-09-11
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 50 21 — — $28,449.82 $47,416.37 $34,253.58 2025-09-11
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 50 21 — — $28,448.15 $47,413.58 $34,251.57 2025-09-11
C1404 HCPCS Cardiac M <45.50 50 21 — — $28,359.23 $47,265.38 $34,144.51 2025-09-11
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 50 21 — — $28,355.88 $47,259.80 $34,140.48 2025-09-11
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 50 21 — — $28,330.71 $47,217.86 $34,110.18 2025-09-11
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 3 — — $34,070.74 $34,070.74 $34,070.74 2025-09-11
B0602 HCPCS Neurological M >=52.50 And M <64.50 50 21 — — $28,273.67 $47,122.79 $34,041.50 2025-09-11
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 50 21 — — $28,268.63 $47,114.39 $34,035.43 2025-09-11
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 50 21 — — $28,238.44 $47,064.06 $33,999.08 2025-09-11
B1902 HCPCS Guillain-barré M >=51.50 And M <66.50 50 21 — — $27,924.71 $46,541.19 $33,621.36 2025-09-11
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 50 21 — — $27,869.36 $46,448.93 $33,554.70 2025-09-11
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 50 21 — — $27,862.64 $46,437.74 $33,546.62 2025-09-11
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 50 21 — — $27,852.58 $46,420.97 $33,534.51 2025-09-11
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 50 21 — — $27,805.60 $46,342.67 $33,477.94 2025-09-11
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 50 21 — — $27,748.56 $46,247.60 $33,409.26 2025-09-11
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 50 21 — — $27,709.97 $46,183.29 $33,362.81 2025-09-11
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 3 — — $33,211.24 $33,211.24 $33,211.24 2025-09-11
1783 APR_DRG External Heart Assist Systems 6 3 — — $32,822.41 $32,822.41 $32,822.41 2025-09-11
1214 APR_DRG Other Respiratory And Chest Procedures 6 3 — — $32,803.52 $32,803.52 $32,803.52 2025-09-11
A1504 HCPCS Pulmonary M <45.50 50 21 — — $27,245.26 $45,408.77 $32,803.29 2025-09-11
D0104 HCPCS Stroke M >=41.50 And M <50.50 50 21 — — $27,169.77 $45,282.95 $32,712.40 2025-09-11
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 50 21 — — $27,154.67 $45,257.78 $32,694.22 2025-09-11
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 50 21 — — $27,111.05 $45,185.09 $32,641.71 2025-09-11
D1103 HCPCS Amputation Non-lower Extremity M <52.50 50 21 — — $27,047.30 $45,078.83 $32,564.94 2025-09-11
C1103 HCPCS Amputation Non-lower Extremity M <52.50 50 21 — — $27,047.30 $45,078.83 $32,564.94 2025-09-11
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 50 21 — — $26,983.55 $44,972.58 $32,488.19 2025-09-11
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 50 21 — — $26,981.87 $44,969.78 $32,486.17 2025-09-11
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 50 21 — — $26,966.77 $44,944.62 $32,467.99 2025-09-11
33276 CPT Insj Phrnc Nrv Stim Sys 2 1 — — $32,454.62 $32,454.62 $32,454.62 2025-09-11
B0103 HCPCS Stroke M >=50.50 And M <63.50 50 21 — — $26,862.75 $44,771.25 $32,342.75 2025-09-11
D0904 HCPCS Other Orthopedic M <44.5 50 21 — — $26,822.49 $44,704.16 $32,294.28 2025-09-11
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 50 21 — — $26,765.45 $44,609.09 $32,225.60 2025-09-11
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 50 21 — — $26,748.68 $44,581.13 $32,205.41 2025-09-11
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 50 21 — — $26,726.86 $44,544.77 $32,179.14 2025-09-11
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 50 21 — — $26,658.08 $44,430.14 $32,096.33 2025-09-11
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $32,019.56 $32,019.56 $32,019.56 2025-09-11
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 50 21 — — $26,559.10 $44,265.17 $31,977.16 2025-09-11
2244 APR_DRG Peritoneal Adhesiolysis 6 3 — — $31,968.50 $31,968.50 $31,968.50 2025-09-11
A1103 HCPCS Amputation Non-lower Extremity M <52.50 50 21 — — $26,500.37 $44,167.29 $31,906.45 2025-09-11
D1604 HCPCS Pain Syndrome M <43.50 50 21 — — $26,439.98 $44,066.64 $31,833.74 2025-09-11
A0704 HCPCS Fracture Of Lower Extremity M <41.50 50 21 — — $26,433.27 $44,055.45 $31,825.66 2025-09-11
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 50 21 — — $26,379.59 $43,965.98 $31,761.02 2025-09-11
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 50 21 — — $26,379.59 $43,965.98 $31,761.02 2025-09-11
D1404 HCPCS Cardiac M <45.50 50 21 — — $26,367.84 $43,946.40 $31,746.88 2025-09-11
A0604 HCPCS Neurological M <43.50 50 21 — — $26,335.97 $43,893.29 $31,708.51 2025-09-11
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 3 — — $31,656.95 $31,656.95 $31,656.95 2025-09-11
914 APR_DRG Other Major Head And Neck Procedures 6 3 — — $31,486.65 $31,486.65 $31,486.65 2025-09-11
A1004 HCPCS Amputation Lower Extremity M <47.50 50 21 — — $26,129.61 $43,549.35 $31,460.05 2025-09-11
D1204 HCPCS Osteoarthritis M <49.50 And A <74.50 50 21 — — $26,114.52 $43,524.20 $31,441.88 2025-09-11
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 50 21 — — $26,094.38 $43,490.64 $31,417.64 2025-09-11
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 50 21 — — $26,000.43 $43,334.06 $31,304.52 2025-09-11
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 50 21 — — $25,990.37 $43,317.29 $31,292.41 2025-09-11
A0104 HCPCS Stroke M >=41.50 And M <50.50 50 21 — — $25,893.06 $43,155.11 $31,175.25 2025-09-11
204 APR_DRG Open Craniotomy For Trauma 6 3 — — $31,165.31 $31,165.31 $31,165.31 2025-09-11
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 50 21 — — $25,851.12 $43,085.21 $31,124.75 2025-09-11
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 50 21 — — $25,742.07 $42,903.45 $30,993.45 2025-09-11
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 50 21 — — $25,737.04 $42,895.07 $30,987.40 2025-09-11
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 50 21 — — $25,737.04 $42,895.07 $30,987.40 2025-09-11
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $30,953.40 $30,953.40 $30,953.40 2025-09-11
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 50 21 — — $25,686.71 $42,811.19 $30,926.80 2025-09-11
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $30,893.96 $30,893.96 $30,893.96 2025-09-11
1814 APR_DRG Lower Extremity Arterial Procedures 6 3 — — $30,654.78 $30,654.78 $30,654.78 2025-09-11
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 50 21 — — $25,393.12 $42,321.87 $30,573.32 2025-09-11
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 6 3 — — $30,561.07 $30,561.07 $30,561.07 2025-09-11
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 50 21 — — $25,309.23 $42,182.06 $30,472.32 2025-09-11
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 6 3 — — $30,460.71 $30,460.71 $30,460.71 2025-09-11
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 50 21 — — $25,299.17 $42,165.29 $30,460.20 2025-09-11
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 3 — — $30,420.15 $30,420.15 $30,420.15 2025-09-11
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 50 21 — — $25,262.26 $42,103.77 $30,415.76 2025-09-11
B2101 HCPCS Burns M >=52.50 50 21 — — $25,247.16 $42,078.60 $30,397.58 2025-09-11
A2102 HCPCS Burns M <52.50 50 21 — — $25,232.07 $42,053.45 $30,379.41 2025-09-11
B1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 50 21 — — $25,169.99 $41,949.99 $30,304.67 2025-09-11
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 50 21 — — $25,126.37 $41,877.29 $30,252.15 2025-09-11
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 50 21 — — $25,109.60 $41,849.33 $30,231.95 2025-09-11
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 50 21 — — $25,029.06 $41,715.11 $30,134.99 2025-09-11
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 50 21 — — $25,007.26 $41,678.76 $30,108.74 2025-09-11
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 50 21 — — $25,007.26 $41,678.76 $30,108.74 2025-09-11
C0603 HCPCS Neurological M >=43.50 And M <52.50 50 21 — — $24,941.83 $41,569.71 $30,029.96 2025-09-11
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 50 21 — — $24,938.47 $41,564.12 $30,025.92 2025-09-11
D1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 50 21 — — $24,903.24 $41,505.41 $29,983.50 2025-09-11
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 50 21 — — $24,723.73 $41,206.22 $29,767.37 2025-09-11
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 50 21 — — $24,691.86 $41,153.10 $29,729.00 2025-09-11
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 50 21 — — $24,665.01 $41,108.36 $29,696.68 2025-09-11
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 3 — — $29,644.58 $29,644.58 $29,644.58 2025-09-11
A0904 HCPCS Other Orthopedic M <44.5 50 21 — — $24,540.87 $40,901.45 $29,547.20 2025-09-11
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 50 21 — — $24,480.47 $40,800.78 $29,474.48 2025-09-11
A1604 HCPCS Pain Syndrome M <43.50 50 21 — — $24,475.44 $40,792.40 $29,468.43 2025-09-11
C1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 50 21 — — $24,460.34 $40,767.23 $29,450.24 2025-09-11
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 50 21 — — $24,339.55 $40,565.91 $29,304.81 2025-09-11
A1404 HCPCS Cardiac M <45.50 50 21 — — $24,262.37 $40,437.29 $29,211.90 2025-09-11
2614 APR_DRG Major Biliary Tract Procedures 6 3 — — $29,174.27 $29,174.27 $29,174.27 2025-09-11
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 3 — — $28,916.56 $28,916.56 $28,916.56 2025-09-11
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 50 21 — — $24,015.75 $40,026.26 $28,914.97 2025-09-11
B1402 HCPCS Cardiac M >=55.50 And M <68.50 50 21 — — $24,010.72 $40,017.87 $28,908.91 2025-09-11
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 50 21 — — $24,010.72 $40,017.87 $28,908.91 2025-09-11
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $28,803.26 $28,803.26 $28,803.26 2025-09-11
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 50 21 — — $23,874.83 $39,791.39 $28,745.30 2025-09-11
B1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 50 21 — — $23,864.77 $39,774.62 $28,733.18 2025-09-11
D1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 50 21 — — $23,841.28 $39,735.47 $28,704.90 2025-09-11
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 50 21 — — $23,832.89 $39,721.49 $28,694.80 2025-09-11
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $28,621.43 $28,621.43 $28,621.43 2025-09-11
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 50 21 — — $23,618.15 $39,363.59 $28,436.25 2025-09-11
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 50 21 — — $23,609.76 $39,349.61 $28,426.15 2025-09-11
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 50 21 — — $23,596.34 $39,327.24 $28,410.00 2025-09-11
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 50 21 — — $23,544.33 $39,240.56 $28,347.38 2025-09-11
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 6 3 — — $28,332.25 $28,332.25 $28,332.25 2025-09-11
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 50 21 — — $23,524.20 $39,207.00 $28,323.14 2025-09-11
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 50 21 — — $23,519.17 $39,198.62 $28,317.08 2025-09-11
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 50 21 — — $23,420.19 $39,033.65 $28,197.91 2025-09-11
1782 APR_DRG External Heart Assist Systems 6 3 — — $28,170.36 $28,170.36 $28,170.36 2025-09-11
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 3 — — $28,122.45 $28,122.45 $28,122.45 2025-09-11
C0103 HCPCS Stroke M >=50.50 And M <63.50 50 21 — — $23,297.72 $38,829.53 $28,050.45 2025-09-11
D0603 HCPCS Neurological M >=43.50 And M <52.50 50 21 — — $23,284.30 $38,807.16 $28,034.29 2025-09-11
D1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 50 21 — — $23,222.22 $38,703.71 $27,959.56 2025-09-11
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 50 21 — — $23,205.45 $38,675.75 $27,939.36 2025-09-11
C1403 HCPCS Cardiac M >=45.50 And M <55.50 50 21 — — $23,145.05 $38,575.08 $27,866.64 2025-09-11
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 50 21 — — $23,136.66 $38,561.10 $27,856.54 2025-09-11
B0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 50 21 — — $23,123.24 $38,538.74 $27,840.38 2025-09-11
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $27,769.28 $27,769.28 $27,769.28 2025-09-11
D0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 50 21 — — $22,992.38 $38,320.64 $27,682.83 2025-09-11
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 50 21 — — $22,948.77 $38,247.95 $27,630.32 2025-09-11
2234 APR_DRG Other Small And Large Bowel Procedures 6 3 — — $27,448.98 $27,448.98 $27,448.98 2025-09-11
D1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 50 21 — — $22,781.00 $37,968.33 $27,428.32 2025-09-11
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 50 21 — — $22,765.90 $37,943.16 $27,410.14 2025-09-11
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 6 3 — — $27,280.09 $27,280.09 $27,280.09 2025-09-11
D0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 50 21 — — $22,525.99 $37,543.32 $27,121.29 2025-09-11
D0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 50 21 — — $22,515.93 $37,526.55 $27,109.18 2025-09-11
D1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 50 21 — — $22,453.85 $37,423.08 $27,034.43 2025-09-11
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