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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

7,206 distinct procedures filed
40 distinct payers
134,564 rate rows
2026-08-11 last MRF observed
Data quality

130,876 of 134,564 rate rows are consumer-grade (97.3%)

3,688 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 3,314
per-diem day rate — not a per-procedure price 330
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 42
exceeds 10× this hospital's gross charge — excluded from medians 2
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 success · 2026-11-03
Content fingerprint 16d7e83c12342d63… · 122,456,605 bytes · first seen 2026-11-03

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
$202,660
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $152,934.38 $152,934.38 $152,934.38 nat. median
$165,169
0.9× 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
$122,909
0.9× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 3 $98,877.73 $98,877.73 $98,877.73 nat. median
$28,745
outlier · 3.4×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $89,556.85 $89,556.85 $89,556.85 nat. median
$122,016
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
$160,390
0.6× median
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 $77,709.38 $170,960.64 $86,343.76 nat. median
$85,296
1.0× 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
$67,082
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $85,085.23 $85,085.23 $85,085.23 nat. median
$121,888
0.7× median
B1904
HCPCS 		Guillain-barr M <38.50 24 $72,751.40 $160,053.08 $80,834.89 nat. median
$77,441
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
$68,030
1.1× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $75,769.59 $75,769.59 $75,769.59 nat. median
$99,544
0.8× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $75,136.34 $75,136.34 $75,136.34 nat. median
$79,816
0.9× median
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 3 $73,475.39 $73,475.39 $73,475.39 nat. median
$20,493
outlier · 3.6×
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 $63,517.75 $139,739.05 $70,575.28 nat. median
$70,308
1.0× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 $61,846.24 $136,061.72 $68,718.04 nat. median
$68,050
1.0× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 24 $61,578.79 $135,473.34 $68,420.88 nat. median
$66,938
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
$80,771
0.8× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 24 $56,745.95 $124,841.10 $63,051.06 nat. median
$61,679
1.0× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 $55,964.20 $123,121.23 $62,182.44 nat. median
$62,424
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 3 $61,163.05 $61,163.05 $61,163.05 nat. median
$85,665
0.7× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 24 $54,457.25 $119,805.96 $60,508.06 nat. median
$60,230
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
$67,440
0.9× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 24 $53,560.64 $117,833.40 $59,511.82 nat. median
$58,965
1.0× median
1611
APR_DRG 		Implantable Heart Assist Systems 3 $58,007.60 $58,007.60 $58,007.60 nat. median
$77,137
0.8× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $57,599.88 $57,599.88 $57,599.88 nat. median
$82,146
0.7× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $57,580.30 $57,580.30 $57,580.30 nat. median
$75,127
0.8× median
C1904
HCPCS 		Guillain-barr M <38.50 24 $51,415.95 $113,115.08 $57,128.83 nat. median
$55,344
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
$64,480
0.9× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 24 $50,377.03 $110,829.47 $55,974.48 nat. median
$53,973
1.0× median
4414
APR_DRG 		Major Bladder Procedures 3 $54,760.54 $54,760.54 $54,760.54 nat. median
$55,439
1.0× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50 24 $48,559.80 $106,831.55 $53,955.33 nat. median
$53,940
1.0× median
B1903
HCPCS 		Guillain-barr M >=38.50 And M <51.50 24 $47,311.72 $104,085.79 $52,568.58 nat. median
$52,380
1.0× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 24 $46,713.40 $102,769.48 $51,903.78 nat. median
$51,584
1.0× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 24 $46,382.54 $102,041.58 $51,536.15 nat. median
$51,536
1.0× median
D1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 24 $46,343.10 $101,954.81 $51,492.33 nat. median
$49,987
1.0× median
1784
APR_DRG 		External Heart Assist Systems 3 $51,289.34 $51,289.34 $51,289.34 nat. median
$63,423
0.8× median
1674
APR_DRG 		Other Cardiothoracic And Thoracic Vascular Procedures 3 $50,228.43 $50,228.43 $50,228.43 nat. median
$61,003
0.8× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 24 $45,161.89 $99,356.16 $50,179.88 nat. median
$50,238
1.0× median
6904
APR_DRG 		Acute Leukemia 3 $49,777.35 $49,777.35 $49,777.35 nat. median
$58,121
0.9× median
A1904
HCPCS 		Guillain-barr M <38.50 24 $44,711.01 $98,364.22 $49,678.90 nat. median
$49,373
1.0× median
D1904
HCPCS 		Guillain-barr M <38.50 24 $44,697.29 $98,334.05 $49,663.66 nat. median
$49,664
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
$43,693
1.1× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 24 $44,512.15 $97,926.72 $49,457.94 nat. median
$49,810
1.0× median
92
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $49,416.84 $49,416.84 $49,416.84 nat. median
$46,931
1.1× median
B1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 24 $43,814.39 $96,391.67 $48,682.66 nat. median
$48,683
1.0× median
B2102
HCPCS 		Burns M <52.50 24 $43,632.67 $95,991.87 $48,480.74 nat. median
$48,307
1.0× median
A1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 24 $43,497.23 $95,693.91 $48,330.26 nat. median
$48,032
1.0× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 24 $43,341.22 $95,350.68 $48,156.91 nat. median
$48,579
1.0× median
B0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 24 $43,135.50 $94,898.09 $47,928.33 nat. median
$47,679
1.0× median

Other procedures at this hospital

Browse this hospital's 7,206 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
             
6904 APR_DRG Acute Leukemia 3 3 — — $49,777.35 $49,777.35 $49,777.35 2026-08-11
B1004 HCPCS Amputation Lower Extremity M <47.50 30 24 — — $40,517.64 $89,138.81 $45,019.60 2026-08-11
C1004 HCPCS Amputation Lower Extremity M <47.50 30 24 — — $33,666.98 $74,067.36 $37,407.76 2026-08-11
D1004 HCPCS Amputation Lower Extremity M <47.50 30 24 — — $30,557.10 $67,225.61 $33,952.33 2026-08-11
A1004 HCPCS Amputation Lower Extremity M <47.50 30 24 — — $28,372.98 $62,420.55 $31,525.53 2026-08-11
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 30 24 — — $30,461.09 $67,014.41 $33,845.66 2026-08-11
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 30 24 — — $25,311.10 $55,684.41 $28,123.44 2026-08-11
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 30 24 — — $25,593.97 $56,306.73 $28,437.74 2026-08-11
B1103 HCPCS Amputation Non-lower Extremity M <52.50 30 24 — — $33,162.96 $72,958.51 $36,847.73 2026-08-11
C1103 HCPCS Amputation Non-lower Extremity M <52.50 30 24 — — $31,395.43 $69,069.94 $34,883.81 2026-08-11
D1103 HCPCS Amputation Non-lower Extremity M <52.50 30 24 — — $27,018.62 $59,440.97 $30,020.69 2026-08-11
A1103 HCPCS Amputation Non-lower Extremity M <52.50 30 24 — — $23,639.58 $52,007.08 $26,266.20 2026-08-11
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 30 24 — — $26,476.88 $58,249.13 $29,418.75 2026-08-11
C1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 30 24 — — $25,065.94 $55,145.06 $27,851.04 2026-08-11
B2102 HCPCS Burns M <52.50 30 24 — — $43,632.67 $95,991.87 $48,480.74 2026-08-11
C2102 HCPCS Burns M <52.50 30 24 — — $36,682.57 $80,701.65 $40,758.41 2026-08-11
D2102 HCPCS Burns M <52.50 30 24 — — $27,663.23 $60,859.10 $30,736.92 2026-08-11
A2102 HCPCS Burns M <52.50 30 24 — — $26,528.30 $58,362.26 $29,475.89 2026-08-11
B2101 HCPCS Burns M >=52.50 30 24 — — $27,534.65 $60,576.22 $30,594.05 2026-08-11
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $30,420.15 $30,420.15 $30,420.15 2026-08-11
B1404 HCPCS Cardiac M <45.50 30 24 — — $36,804.29 $80,969.45 $40,893.66 2026-08-11
C1404 HCPCS Cardiac M <45.50 30 24 — — $29,648.48 $65,226.65 $32,942.75 2026-08-11
D1404 HCPCS Cardiac M <45.50 30 24 — — $27,414.64 $60,312.21 $30,460.71 2026-08-11
A1404 HCPCS Cardiac M <45.50 30 24 — — $25,209.95 $55,461.88 $28,011.05 2026-08-11
B1403 HCPCS Cardiac M >=45.50 And M <55.50 30 24 — — $29,499.33 $64,898.52 $32,777.03 2026-08-11
C1403 HCPCS Cardiac M >=45.50 And M <55.50 30 24 — — $23,763.02 $52,278.63 $26,403.35 2026-08-11
B1402 HCPCS Cardiac M >=55.50 And M <68.50 30 24 — — $24,405.90 $53,692.99 $27,117.67 2026-08-11
2004 APR_DRG Cardiac Structural And Valvular Disorders 3 3 — — $98,877.73 $98,877.73 $98,877.73 2026-08-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $66,096.24 $66,096.24 $66,096.24 2026-08-11
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $37,188.77 $37,188.77 $37,188.77 2026-08-11
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $27,769.28 $27,769.28 $27,769.28 2026-08-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $39,392.76 $39,392.76 $39,392.76 2026-08-11
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $26,382.48 $26,382.48 $26,382.48 2026-08-11
2054 APR_DRG Cardiomyopathy 3 3 — — $38,629.08 $38,629.08 $38,629.08 2026-08-11
6954 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $38,579.42 $38,579.42 $38,579.42 2026-08-11
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $106,403.05 $106,403.05 $106,403.05 2026-08-11
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $60,463.71 $60,463.71 $60,463.71 2026-08-11
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $42,018.46 $42,018.46 $42,018.46 2026-08-11
6614 APR_DRG Coagulation And Platelet Disorders 3 3 — — $26,091.20 $26,091.20 $26,091.20 2026-08-11
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $34,070.74 $34,070.74 $34,070.74 2026-08-11
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $26,330.38 $26,330.38 $26,330.38 2026-08-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $42,565.34 $42,565.34 $42,565.34 2026-08-11
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $38,738.52 $38,738.52 $38,738.52 2026-08-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $46,630.99 $46,630.99 $46,630.99 2026-08-11
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $39,448.01 $39,448.01 $39,448.01 2026-08-11
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $28,621.43 $28,621.43 $28,621.43 2026-08-11
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $36,061.78 $36,061.78 $36,061.78 2026-08-11
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $41,301.63 $41,301.63 $41,301.63 2026-08-11
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $38,747.96 $38,747.96 $38,747.96 2026-08-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $89,171.86 $89,171.86 $89,171.86 2026-08-11
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $38,539.91 $38,539.91 $38,539.91 2026-08-11
1784 APR_DRG External Heart Assist Systems 3 3 — — $51,289.34 $51,289.34 $51,289.34 2026-08-11
1783 APR_DRG External Heart Assist Systems 3 3 — — $32,822.41 $32,822.41 $32,822.41 2026-08-11
1782 APR_DRG External Heart Assist Systems 3 3 — — $28,170.36 $28,170.36 $28,170.36 2026-08-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $152,934.38 $152,934.38 $152,934.38 2026-08-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $75,136.34 $75,136.34 $75,136.34 2026-08-11
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $49,416.84 $49,416.84 $49,416.84 2026-08-11
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $47,924.43 $47,924.43 $47,924.43 2026-08-11
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $26,677.25 $26,677.25 $26,677.25 2026-08-11
33276 CPT Fee Schedule 1 1 — — $32,454.62 $32,454.62 $32,454.62 2026-08-11
B0704 HCPCS Fracture Of Lower Extremity M <41.50 30 24 — — $39,327.86 $86,521.29 $43,697.62 2026-08-11
C0704 HCPCS Fracture Of Lower Extremity M <41.50 30 24 — — $31,445.15 $69,179.32 $34,939.05 2026-08-11
D0704 HCPCS Fracture Of Lower Extremity M <41.50 30 24 — — $29,864.48 $65,701.86 $33,182.76 2026-08-11
A0704 HCPCS Fracture Of Lower Extremity M <41.50 30 24 — — $27,289.49 $60,036.87 $30,321.65 2026-08-11
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 24 — — $31,849.74 $70,069.43 $35,388.60 2026-08-11
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 24 — — $25,465.39 $56,023.86 $28,294.88 2026-08-11
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 24 — — $24,186.47 $53,210.22 $26,873.85 2026-08-11
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 30 24 — — $25,998.56 $57,196.83 $28,887.29 2026-08-11
2464 APR_DRG Gastrointestinal Vascular Insufficiency 3 3 — — $73,475.39 $73,475.39 $73,475.39 2026-08-11
B1904 HCPCS Guillain-barr M <38.50 30 24 — — $72,751.40 $160,053.08 $80,834.89 2026-08-11
C1904 HCPCS Guillain-barr M <38.50 30 24 — — $51,415.95 $113,115.08 $57,128.83 2026-08-11
A1904 HCPCS Guillain-barr M <38.50 30 24 — — $44,711.01 $98,364.22 $49,678.90 2026-08-11
D1904 HCPCS Guillain-barr M <38.50 30 24 — — $44,697.29 $98,334.05 $49,663.66 2026-08-11
B1903 HCPCS Guillain-barr M >=38.50 And M <51.50 30 24 — — $47,311.72 $104,085.79 $52,568.58 2026-08-11
C1903 HCPCS Guillain-barr M >=38.50 And M <51.50 30 24 — — $33,437.25 $73,561.95 $37,152.50 2026-08-11
A1903 HCPCS Guillain-barr M >=38.50 And M <51.50 30 24 — — $29,075.87 $63,966.91 $32,306.52 2026-08-11
D1903 HCPCS Guillain-barr M >=38.50 And M <51.50 30 24 — — $29,069.02 $63,951.84 $32,298.91 2026-08-11
B1902 HCPCS Guillain-barr M >=51.50 And M <66.50 30 24 — — $33,438.97 $73,565.73 $37,154.41 2026-08-11
C1902 HCPCS Guillain-barr M >=51.50 And M <66.50 30 24 — — $23,632.72 $51,991.99 $26,258.58 2026-08-11
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 3 — — $30,561.07 $30,561.07 $30,561.07 2026-08-11
69930 CPT Implant Cochlear Device 1 1 — — $25,960.08 $25,960.08 $25,960.08 2026-08-11
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $163,244.49 $163,244.49 $163,244.49 2026-08-11
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $85,085.23 $85,085.23 $85,085.23 2026-08-11
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $61,163.05 $61,163.05 $61,163.05 2026-08-11
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $58,007.60 $58,007.60 $58,007.60 2026-08-11
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $28,122.45 $28,122.45 $28,122.45 2026-08-11
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 3 — — $36,619.16 $36,619.16 $36,619.16 2026-08-11
1814 APR_DRG Lower Extremity Arterial Procedures 3 3 — — $30,654.78 $30,654.78 $30,654.78 2026-08-11
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 3 3 — — $27,003.85 $27,003.85 $27,003.85 2026-08-11
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 3 3 — — $27,280.09 $27,280.09 $27,280.09 2026-08-11
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $35,292.85 $35,292.85 $35,292.85 2026-08-11
2614 APR_DRG Major Biliary Tract Procedures 3 3 — — $29,174.27 $29,174.27 $29,174.27 2026-08-11
4414 APR_DRG Major Bladder Procedures 3 3 — — $54,760.54 $54,760.54 $54,760.54 2026-08-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $75,769.59 $75,769.59 $75,769.59 2026-08-11
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $32,019.56 $32,019.56 $32,019.56 2026-08-11
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $34,640.36 $34,640.36 $34,640.36 2026-08-11
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 3 3 — — $30,460.71 $30,460.71 $30,460.71 2026-08-11
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 24 — — $61,578.79 $135,473.34 $68,420.88 2026-08-11
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 24 — — $50,377.03 $110,829.47 $55,974.48 2026-08-11
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 24 — — $46,343.10 $101,954.81 $51,492.33 2026-08-11
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 24 — — $43,497.23 $95,693.91 $48,330.26 2026-08-11
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 24 — — $42,502.89 $93,506.35 $47,225.43 2026-08-11
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 24 — — $34,771.04 $76,496.29 $38,634.49 2026-08-11
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 24 — — $31,986.89 $70,371.16 $35,540.99 2026-08-11
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 24 — — $30,022.21 $66,048.86 $33,358.01 2026-08-11
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 24 — — $35,427.65 $77,940.82 $39,364.05 2026-08-11
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 24 — — $28,983.29 $63,763.25 $32,203.66 2026-08-11
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 24 — — $26,662.02 $58,656.45 $29,624.47 2026-08-11
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 24 — — $25,024.80 $55,054.55 $27,805.33 2026-08-11
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 30 24 — — $30,334.23 $66,735.31 $33,704.70 2026-08-11
C1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 30 24 — — $24,815.64 $54,594.40 $27,572.93 2026-08-11
B1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 30 24 — — $24,383.62 $53,643.96 $27,092.91 2026-08-11
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 24 — — $43,814.39 $96,391.67 $48,682.66 2026-08-11
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 24 — — $34,711.04 $76,364.28 $38,567.82 2026-08-11
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 24 — — $32,228.61 $70,902.95 $35,809.57 2026-08-11
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 24 — — $29,669.05 $65,271.91 $32,965.61 2026-08-11
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 24 — — $37,635.77 $82,798.69 $41,817.52 2026-08-11
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 24 — — $29,816.49 $65,596.27 $33,129.43 2026-08-11
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 24 — — $27,683.79 $60,904.34 $30,759.77 2026-08-11
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 24 — — $25,485.97 $56,069.13 $28,317.74 2026-08-11
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 24 — — $32,706.93 $71,955.24 $36,341.03 2026-08-11
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 24 — — $25,911.13 $57,004.48 $28,790.14 2026-08-11
D1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 24 — — $24,057.88 $52,927.34 $26,730.98 2026-08-11
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 30 24 — — $27,875.81 $61,326.78 $30,973.12 2026-08-11
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $56,094.54 $56,094.54 $56,094.54 2026-08-11
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $33,211.24 $33,211.24 $33,211.24 2026-08-11
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $35,149.48 $35,149.48 $35,149.48 2026-08-11
2304 APR_DRG Major Small Bowel Procedures 3 3 — — $36,966.73 $36,966.73 $36,966.73 2026-08-11
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $43,702.13 $43,702.13 $43,702.13 2026-08-11
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 24 — — $37,918.64 $83,421.00 $42,131.82 2026-08-11
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 24 — — $30,409.66 $66,901.25 $33,788.51 2026-08-11
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 24 — — $28,280.40 $62,216.89 $31,422.67 2026-08-11
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 24 — — $25,888.84 $56,955.45 $28,765.38 2026-08-11
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 24 — — $36,226.55 $79,698.41 $40,251.72 2026-08-11
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 24 — — $29,051.87 $63,914.12 $32,279.86 2026-08-11
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 24 — — $27,018.62 $59,440.97 $30,020.69 2026-08-11
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 24 — — $24,733.35 $54,413.37 $27,481.50 2026-08-11
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 30 24 — — $29,703.34 $65,347.35 $33,003.71 2026-08-11
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 30 24 — — $23,821.30 $52,406.86 $26,468.11 2026-08-11
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 30 24 — — $25,295.67 $55,650.47 $28,106.30 2026-08-11
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $28,803.26 $28,803.26 $28,803.26 2026-08-11
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 3 — — $49,472.44 $49,472.44 $49,472.44 2026-08-11
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $34,594.55 $34,594.55 $34,594.55 2026-08-11
B0604 HCPCS Neurological M <43.50 30 24 — — $41,998.86 $92,397.49 $46,665.40 2026-08-11
C0604 HCPCS Neurological M <43.50 30 24 — — $31,806.88 $69,975.14 $35,340.98 2026-08-11
D0604 HCPCS Neurological M <43.50 30 24 — — $29,958.78 $65,909.31 $33,287.53 2026-08-11
A0604 HCPCS Neurological M <43.50 30 24 — — $26,908.89 $59,199.56 $29,898.77 2026-08-11
B0603 HCPCS Neurological M >=43.50 And M <52.50 30 24 — — $33,207.53 $73,056.56 $36,897.25 2026-08-11
C0603 HCPCS Neurological M >=43.50 And M <52.50 30 24 — — $25,149.94 $55,329.87 $27,944.38 2026-08-11
D0603 HCPCS Neurological M >=43.50 And M <52.50 30 24 — — $23,687.58 $52,112.67 $26,319.53 2026-08-11
B0602 HCPCS Neurological M >=52.50 And M <64.50 30 24 — — $27,925.52 $61,436.15 $31,028.36 2026-08-11
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 3 — — $28,332.25 $28,332.25 $28,332.25 2026-08-11
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $36,394.32 $36,394.32 $36,394.32 2026-08-11
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 24 — — $40,629.08 $89,383.97 $45,143.42 2026-08-11
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 24 — — $32,201.19 $70,842.62 $35,779.10 2026-08-11
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 24 — — $30,020.50 $66,045.10 $33,356.11 2026-08-11
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 24 — — $28,103.82 $61,828.41 $31,226.47 2026-08-11
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 24 — — $37,090.59 $81,599.30 $41,211.77 2026-08-11
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 24 — — $29,396.46 $64,672.21 $32,662.73 2026-08-11
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 24 — — $27,404.35 $60,289.57 $30,449.28 2026-08-11
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 24 — — $25,655.69 $56,442.51 $28,506.32 2026-08-11
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 30 24 — — $31,307.99 $68,877.59 $34,786.66 2026-08-11
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 30 24 — — $24,813.93 $54,590.64 $27,571.03 2026-08-11
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 30 24 — — $26,478.59 $58,252.89 $29,420.65 2026-08-11
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 24 — — $53,560.64 $117,833.40 $59,511.82 2026-08-11
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 24 — — $41,160.53 $90,553.16 $45,733.92 2026-08-11
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 24 — — $38,292.37 $84,243.22 $42,547.08 2026-08-11
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 24 — — $35,288.78 $77,635.32 $39,209.76 2026-08-11
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 24 — — $37,697.49 $82,934.48 $41,886.10 2026-08-11
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 24 — — $28,969.58 $63,733.07 $32,188.42 2026-08-11
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 24 — — $26,950.04 $59,290.09 $29,944.49 2026-08-11
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 24 — — $24,836.21 $54,639.66 $27,595.79 2026-08-11
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 30 24 — — $31,548.01 $69,405.61 $35,053.34 2026-08-11
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 30 24 — — $24,244.75 $53,338.45 $26,938.61 2026-08-11
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 30 24 — — $27,860.38 $61,292.84 $30,955.98 2026-08-11
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $37,100.65 $37,100.65 $37,100.65 2026-08-11
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $31,165.31 $31,165.31 $31,165.31 2026-08-11
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 24 — — $36,799.16 $80,958.14 $40,887.95 2026-08-11
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 24 — — $29,207.88 $64,257.34 $32,453.20 2026-08-11
D1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 24 — — $26,101.42 $57,423.13 $29,001.58 2026-08-11
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 24 — — $24,172.75 $53,180.05 $26,858.61 2026-08-11
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 24 — — $35,744.81 $78,638.57 $39,716.45 2026-08-11
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 24 — — $28,369.55 $62,413.01 $31,521.72 2026-08-11
D1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 24 — — $25,352.24 $55,774.94 $28,169.16 2026-08-11
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 24 — — $23,480.14 $51,656.30 $26,089.04 2026-08-11
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 30 24 — — $26,703.17 $58,746.98 $29,670.19 2026-08-11
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $75,811.90 $75,811.90 $75,811.90 2026-08-11
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $50,228.43 $50,228.43 $50,228.43 2026-08-11
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 3 — — $43,362.25 $43,362.25 $43,362.25 2026-08-11
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $31,486.65 $31,486.65 $31,486.65 2026-08-11
264 APR_DRG Other Nervous System And Related Procedures 3 3 — — $39,855.38 $39,855.38 $39,855.38 2026-08-11
B0904 HCPCS Other Orthopedic M <44.5 30 24 — — $38,542.67 $84,793.88 $42,825.19 2026-08-11
C0904 HCPCS Other Orthopedic M <44.5 30 24 — — $29,194.16 $64,227.16 $32,437.96 2026-08-11
D0904 HCPCS Other Orthopedic M <44.5 30 24 — — $27,577.50 $60,670.51 $30,641.67 2026-08-11
A0904 HCPCS Other Orthopedic M <44.5 30 24 — — $25,158.52 $55,348.74 $27,953.91 2026-08-11
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 30 24 — — $32,007.47 $70,416.42 $35,563.85 2026-08-11
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 30 24 — — $24,243.04 $53,334.69 $26,936.71 2026-08-11
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 30 24 — — $26,972.33 $59,339.12 $29,969.25 2026-08-11
1824 APR_DRG Other Peripheral Vascular Procedures 3 3 — — $39,416.19 $39,416.19 $39,416.19 2026-08-11
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $37,765.38 $37,765.38 $37,765.38 2026-08-11
1214 APR_DRG Other Respiratory And Chest Procedures 3 3 — — $32,803.52 $32,803.52 $32,803.52 2026-08-11
2234 APR_DRG Other Small And Large Bowel Procedures 3 3 — — $27,448.98 $27,448.98 $27,448.98 2026-08-11
B1604 HCPCS Pain Syndrome M <43.50 30 24 — — $34,371.59 $75,617.51 $38,190.66 2026-08-11
C1604 HCPCS Pain Syndrome M <43.50 30 24 — — $30,803.97 $67,768.73 $34,226.63 2026-08-11
D1604 HCPCS Pain Syndrome M <43.50 30 24 — — $28,177.54 $61,990.59 $31,308.38 2026-08-11
A1604 HCPCS Pain Syndrome M <43.50 30 24 — — $25,540.82 $56,189.81 $28,378.69 2026-08-11
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 30 24 — — $26,259.15 $57,770.12 $29,176.83 2026-08-11
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 30 24 — — $23,533.28 $51,773.22 $26,148.09 2026-08-11
4834 APR_DRG Penis, Testes And Scrotal Procedures 3 3 — — $35,015.90 $35,015.90 $35,015.90 2026-08-11
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $29,644.58 $29,644.58 $29,644.58 2026-08-11
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $28,916.56 $28,916.56 $28,916.56 2026-08-11
2244 APR_DRG Peritoneal Adhesiolysis 3 3 — — $31,968.50 $31,968.50 $31,968.50 2026-08-11
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $85,955.57 $85,955.57 $85,955.57 2026-08-11
B1504 HCPCS Pulmonary M <45.50 30 24 — — $40,159.33 $88,350.53 $44,621.48 2026-08-11
C1504 HCPCS Pulmonary M <45.50 30 24 — — $32,290.34 $71,038.74 $35,878.15 2026-08-11
D1504 HCPCS Pulmonary M <45.50 30 24 — — $30,239.94 $66,527.86 $33,599.93 2026-08-11
A1504 HCPCS Pulmonary M <45.50 30 24 — — $28,907.87 $63,597.30 $32,119.85 2026-08-11
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 24 — — $32,024.60 $70,454.12 $35,582.89 2026-08-11
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 24 — — $25,749.98 $56,649.96 $28,611.09 2026-08-11
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 24 — — $24,114.46 $53,051.80 $26,793.84 2026-08-11
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 30 24 — — $27,467.78 $60,429.12 $30,519.76 2026-08-11
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 24 — — $35,847.68 $78,864.89 $39,830.75 2026-08-11
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 24 — — $30,191.93 $66,422.25 $33,546.59 2026-08-11
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 24 — — $26,987.76 $59,373.07 $29,986.40 2026-08-11
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 24 — — $25,285.38 $55,627.84 $28,094.87 2026-08-11
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 30 24 — — $28,781.00 $63,318.20 $31,978.89 2026-08-11
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 30 24 — — $24,241.32 $53,330.90 $26,934.80 2026-08-11
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 30 24 — — $25,335.10 $55,737.22 $28,150.11 2026-08-11
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $34,585.81 $34,585.81 $34,585.81 2026-08-11
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 24 — — $39,279.86 $86,415.69 $43,644.29 2026-08-11
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 24 — — $31,404.00 $69,088.79 $34,893.33 2026-08-11
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 24 — — $28,774.14 $63,303.11 $31,971.27 2026-08-11
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 24 — — $26,137.42 $57,502.33 $29,041.58 2026-08-11
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 24 — — $39,202.71 $86,245.97 $43,558.57 2026-08-11
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 24 — — $31,340.57 $68,949.24 $34,822.85 2026-08-11
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 24 — — $28,715.85 $63,174.87 $31,906.50 2026-08-11
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 24 — — $26,086.00 $57,389.19 $28,984.44 2026-08-11
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 30 24 — — $30,433.66 $66,954.06 $33,815.18 2026-08-11
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 30 24 — — $24,330.47 $53,527.04 $27,033.86 2026-08-11
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 30 24 — — $26,332.87 $57,932.31 $29,258.74 2026-08-11
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 3 — — $35,413.13 $35,413.13 $35,413.13 2026-08-11
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $31,656.95 $31,656.95 $31,656.95 2026-08-11
234 APR_DRG Spinal Procedures 3 3 — — $42,719.90 $42,719.90 $42,719.90 2026-08-11
B0106 HCPCS Stroke M <41.50 And A <84.50 30 24 — — $48,559.80 $106,831.55 $53,955.33 2026-08-11
C0106 HCPCS Stroke M <41.50 And A <84.50 30 24 — — $43,121.78 $94,867.92 $47,913.09 2026-08-11
D0106 HCPCS Stroke M <41.50 And A <84.50 30 24 — — $39,068.99 $85,951.78 $43,409.99 2026-08-11
A0106 HCPCS Stroke M <41.50 And A <84.50 30 24 — — $37,058.02 $81,527.65 $41,175.58 2026-08-11
B0105 HCPCS Stroke M <41.50 And A >=84.50 30 24 — — $43,109.78 $94,841.52 $47,899.76 2026-08-11
C0105 HCPCS Stroke M <41.50 And A >=84.50 30 24 — — $38,282.09 $84,220.59 $42,535.65 2026-08-11
D0105 HCPCS Stroke M <41.50 And A >=84.50 30 24 — — $34,683.61 $76,303.93 $38,537.34 2026-08-11
A0105 HCPCS Stroke M <41.50 And A >=84.50 30 24 — — $32,898.94 $72,377.67 $36,554.38 2026-08-11
B0104 HCPCS Stroke M >=41.50 And M <50.50 30 24 — — $34,591.03 $76,100.27 $38,434.48 2026-08-11
C0104 HCPCS Stroke M >=41.50 And M <50.50 30 24 — — $30,718.25 $67,580.15 $34,131.39 2026-08-11
D0104 HCPCS Stroke M >=41.50 And M <50.50 30 24 — — $27,831.23 $61,228.71 $30,923.59 2026-08-11
A0104 HCPCS Stroke M >=41.50 And M <50.50 30 24 — — $26,398.01 $58,075.62 $29,331.12 2026-08-11
B0103 HCPCS Stroke M >=50.50 And M <63.50 30 24 — — $27,083.76 $59,584.28 $30,093.07 2026-08-11
C0103 HCPCS Stroke M >=50.50 And M <63.50 30 24 — — $24,051.02 $52,912.25 $26,723.36 2026-08-11
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $89,556.85 $89,556.85 $89,556.85 2026-08-11
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $57,580.30 $57,580.30 $57,580.30 2026-08-11
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $37,647.54 $37,647.54 $37,647.54 2026-08-11
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $30,893.96 $30,893.96 $30,893.96 2026-08-11
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $57,599.88 $57,599.88 $57,599.88 2026-08-11
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $41,492.90 $41,492.90 $41,492.90 2026-08-11
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $37,892.31 $37,892.31 $37,892.31 2026-08-11
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $30,953.40 $30,953.40 $30,953.40 2026-08-11
B0205 HCPCS Traumatic Brain Injury M <35.50 30 24 — — $46,713.40 $102,769.48 $51,903.78 2026-08-11
C0205 HCPCS Traumatic Brain Injury M <35.50 30 24 — — $37,142.03 $81,712.46 $41,268.92 2026-08-11
D0205 HCPCS Traumatic Brain Injury M <35.50 30 24 — — $33,932.71 $74,651.96 $37,703.01 2026-08-11
A0205 HCPCS Traumatic Brain Injury M <35.50 30 24 — — $31,880.60 $70,137.32 $35,422.89 2026-08-11
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 24 — — $36,411.71 $80,105.75 $40,457.45 2026-08-11
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 24 — — $28,950.72 $63,691.59 $32,167.47 2026-08-11
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 24 — — $26,449.44 $58,188.77 $29,388.27 2026-08-11
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 24 — — $24,849.93 $54,669.84 $27,611.03 2026-08-11
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 30 24 — — $29,543.90 $64,996.57 $32,826.55 2026-08-11
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 30 24 — — $23,490.42 $51,678.93 $26,100.47 2026-08-11
B0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 30 24 — — $23,763.02 $52,278.63 $26,403.35 2026-08-11
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 24 — — $77,709.38 $170,960.64 $86,343.76 2026-08-11
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 24 — — $63,517.75 $139,739.05 $70,575.28 2026-08-11
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 24 — — $61,846.24 $136,061.72 $68,718.04 2026-08-11
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 24 — — $55,964.20 $123,121.23 $62,182.44 2026-08-11
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 24 — — $54,457.25 $119,805.96 $60,508.06 2026-08-11
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 24 — — $44,512.15 $97,926.72 $49,457.94 2026-08-11
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 24 — — $43,341.22 $95,350.68 $48,156.91 2026-08-11
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 24 — — $39,219.86 $86,283.69 $43,577.62 2026-08-11
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 24 — — $56,745.95 $124,841.10 $63,051.06 2026-08-11
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 24 — — $46,382.54 $102,041.58 $51,536.15 2026-08-11
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 24 — — $45,161.89 $99,356.16 $50,179.88 2026-08-11
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 24 — — $40,867.37 $89,908.22 $45,408.19 2026-08-11
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 24 — — $43,135.50 $94,898.09 $47,928.33 2026-08-11
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 24 — — $35,257.92 $77,567.43 $39,175.47 2026-08-11
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 24 — — $34,330.45 $75,526.98 $38,144.94 2026-08-11
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 24 — — $31,066.26 $68,345.78 $34,518.07 2026-08-11
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 24 — — $33,608.69 $73,939.12 $37,342.99 2026-08-11
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 24 — — $27,471.21 $60,436.67 $30,523.57 2026-08-11
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 24 — — $26,747.75 $58,845.05 $29,719.72 2026-08-11
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 24 — — $24,203.61 $53,247.94 $26,892.90 2026-08-11
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 30 24 — — $29,118.74 $64,061.22 $32,354.15 2026-08-11
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 30 24 — — $23,800.73 $52,361.60 $26,445.25 2026-08-11
224 APR_DRG Ventricular Shunt Procedures 3 3 — — $36,820.92 $36,820.92 $36,820.92 2026-08-11
7234 APR_DRG Viral Illness 3 3 — — $26,967.13 $26,967.13 $26,967.13 2026-08-11
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