Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
Hospital

Mesquite Rehabilitation Institute

Mesquite, TX · CCN 673045 · Rates published

342 distinct procedures filed
23 distinct payers
23,359 rate rows
2026-03-17 last MRF observed
Data quality

5,872 of 23,359 rate rows are consumer-grade (25.1%)

17,487 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 16,828
per-diem day rate — not a per-procedure price 659
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mri.ernesthealth.com/wp-content/uploads/sites/13/2025/07/271140632_Mesquite-Rehabilitation-Institute_standard-charges.csv
Found on page https://mri.ernesthealth.com/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint da5cd6bee7536311… · 1,887,115 bytes · first seen 2026-05-08

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
B0106
HCPCS 		Stroke M <41.50 And A <84.50- Tier Tier 1 12 — — $53,762.08 nat. median
$54,601
1.0× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50- Tier Tier 1 12 — — $48,661.32 nat. median
$52,525
0.9× median
C0106
HCPCS 		Stroke M <41.50 And A <84.50- Tier Tier 2 12 — — $46,122.43 nat. median
$48,486
1.0× median
B0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 1 12 — — $43,976.85 nat. median
$47,151
0.9× median
C0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 2 12 — — $43,277.86 nat. median
$46,281
0.9× median
B1004
HCPCS 		Amputation Lower Extremity M <47.50- Tier Tier 1 12 — — $42,438.72 nat. median
$45,558
0.9× median
B0604
HCPCS 		Neurological M <43.50- Tier Tier 1 12 — — $41,455.82 nat. median
$47,224
0.9× median
B0904
HCPCS 		Other Orthopedic M <44.5- Tier Tier 1 12 — — $41,084.45 nat. median
$43,337
0.9× median
B2005
HCPCS 		Miscellaneous M <46.50 And A <77.50- Tier Tier 1 12 — — $40,965.14 nat. median
$42,636
1.0× median
D0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 12 — — $40,885.83 nat. median
$43,056
0.9× median
D0106
HCPCS 		Stroke M <41.50 And A <84.50- Tier Tier 3 12 — — $40,787.03 nat. median
$43,929
0.9× median
B1404
HCPCS 		Cardiac M <45.50- Tier Tier 1 12 — — $39,574.55 nat. median
$41,383
1.0× median
C0205
HCPCS 		Traumatic Brain Injury M <35.50- Tier Tier 2 12 — — $38,881.69 nat. median
$41,763
0.9× median
C1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 2 12 — — $38,429.69 nat. median
$39,029
1.0× median
D0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier Tier 3 12 — — $38,297.17 nat. median
$38,814
1.0× median
A0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50- Tier None 12 — — $37,676.79 nat. median
$39,679
0.9× median
C1004
HCPCS 		Amputation Lower Extremity M <47.50- Tier Tier 2 12 — — $37,273.78 nat. median
$37,855
1.0× median
A0106
HCPCS 		Stroke M <41.50 And A <84.50- Tier None 12 — — $36,494.14 nat. median
$41,668
0.9× median
D0105
HCPCS 		Stroke M <41.50 And A >=84.50- Tier Tier 3 12 — — $36,444.07 nat. median
$38,998
0.9× median
C0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 12 — — $35,183.32 nat. median
$36,207
1.0× median
A0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier None 12 — — $35,061.60 nat. median
$35,266
1.0× median
D1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 12 — — $34,810.78 nat. median
$33,589
1.0× median
D1805
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 12 — — $34,629.03 nat. median
$37,121
0.9× median
B0303
HCPCS 		Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 1 12 — — $34,392.12 nat. median
$35,203
1.0× median
C0604
HCPCS 		Neurological M <43.50- Tier Tier 2 12 — — $34,386.59 nat. median
$35,764
1.0× median
C1504
HCPCS 		Pulmonary M <45.50- Tier Tier 2 12 — — $34,045.40 nat. median
$36,307
0.9× median
D1004
HCPCS 		Amputation Lower Extremity M <47.50- Tier Tier 3 12 — — $33,830.73 nat. median
$34,358
1.0× median
C0704
HCPCS 		Fracture Of Lower Extremity M <41.50- Tier Tier 2 12 — — $33,202.56 nat. median
$34,816
1.0× median
B2003
HCPCS 		Miscellaneous M >=46.50 And M <55.50- Tier Tier 1 12 — — $32,505.43 nat. median
$33,399
1.0× median
C2005
HCPCS 		Miscellaneous M <46.50 And A <77.50- Tier Tier 2 12 — — $32,446.91 nat. median
$34,324
0.9× median
D0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 12 — — $32,319.15 nat. median
$33,755
1.0× median
D0604
HCPCS 		Neurological M <43.50- Tier Tier 3 12 — — $32,101.53 nat. median
$30,918
1.0× median
C0204
HCPCS 		Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 2 12 — — $32,052.26 nat. median
$32,552
1.0× median
D1504
HCPCS 		Pulmonary M <45.50- Tier Tier 3 12 — — $32,018.54 nat. median
$34,002
0.9× median
C0304
HCPCS 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 12 — — $31,902.35 nat. median
$33,053
1.0× median
A1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 12 — — $31,581.44 nat. median
$33,508
0.9× median
C0904
HCPCS 		Other Orthopedic M <44.5- Tier Tier 2 12 — — $31,213.13 nat. median
$32,826
1.0× median
C1404
HCPCS 		Cardiac M <45.50- Tier Tier 2 12 — — $31,175.70 nat. median
$33,337
0.9× median
D0704
HCPCS 		Fracture Of Lower Extremity M <41.50- Tier Tier 3 12 — — $31,032.97 nat. median
$31,214
1.0× median
C2004
HCPCS 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 12 — — $31,031.67 nat. median
$32,666
0.9× median
C0805
HCPCS 		Replacement Of Lower-extremity Joint M <42.50- Tier Tier 2 12 — — $30,504.38 nat. median
$33,948
0.9× median
A0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier None 12 — — $30,461.97 nat. median
$31,600
1.0× median
D0304
HCPCS 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 3 12 — — $29,305.60 nat. median
$30,932
0.9× median
D0104
HCPCS 		Stroke M >=41.50 And M <50.50- Tier Tier 3 12 — — $29,091.75 nat. median
$31,294
0.9× median
A0704
HCPCS 		Fracture Of Lower Extremity M <41.50- Tier None 12 — — $29,058.47 nat. median
$30,471
1.0× median
D2004
HCPCS 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 12 — — $28,999.45 nat. median
$30,380
1.0× median
A0604
HCPCS 		Neurological M <43.50- Tier None 12 — — $28,951.50 nat. median
$30,256
1.0× median
A0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50- Tier None 12 — — $28,727.66 nat. median
$47,427
0.6× median
D0204
HCPCS 		Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 3 12 — — $28,418.50 nat. median
$29,740
1.0× median
A0304
HCPCS 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier None 12 — — $28,404.22 nat. median
$28,847
1.0× median

Other procedures at this hospital

Browse this hospital's 342 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
             
B0106 HCPCS Stroke M <41.50 And A <84.50- Tier Tier 1 26 12 — — — — $53,762.08 2026-03-17
B0205 HCPCS Traumatic Brain Injury M <35.50- Tier Tier 1 26 12 — — — — $48,661.32 2026-03-17
C0106 HCPCS Stroke M <41.50 And A <84.50- Tier Tier 2 26 12 — — — — $46,122.43 2026-03-17
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 1 26 12 — — — — $43,976.85 2026-03-17
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 2 26 12 — — — — $43,277.86 2026-03-17
B1004 HCPCS Amputation Lower Extremity M <47.50- Tier Tier 1 26 12 — — — — $42,438.72 2026-03-17
B0604 HCPCS Neurological M <43.50- Tier Tier 1 26 12 — — — — $41,455.82 2026-03-17
B0904 HCPCS Other Orthopedic M <44.5- Tier Tier 1 26 12 — — — — $41,084.45 2026-03-17
B2005 HCPCS Miscellaneous M <46.50 And A <77.50- Tier Tier 1 26 12 — — — — $40,965.14 2026-03-17
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 26 12 — — — — $40,885.83 2026-03-17
D0106 HCPCS Stroke M <41.50 And A <84.50- Tier Tier 3 26 12 — — — — $40,787.03 2026-03-17
B1404 HCPCS Cardiac M <45.50- Tier Tier 1 26 12 — — — — $39,574.55 2026-03-17
C0205 HCPCS Traumatic Brain Injury M <35.50- Tier Tier 2 26 12 — — — — $38,881.69 2026-03-17
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 2 26 12 — — — — $38,429.69 2026-03-17
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier Tier 3 26 12 — — — — $38,297.17 2026-03-17
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50- Tier None 26 12 — — — — $37,676.79 2026-03-17
C1004 HCPCS Amputation Lower Extremity M <47.50- Tier Tier 2 26 12 — — — — $37,273.78 2026-03-17
A0106 HCPCS Stroke M <41.50 And A <84.50- Tier None 26 12 — — — — $36,494.14 2026-03-17
D0105 HCPCS Stroke M <41.50 And A >=84.50- Tier Tier 3 26 12 — — — — $36,444.07 2026-03-17
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 26 12 — — — — $35,183.32 2026-03-17
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier None 26 12 — — — — $35,061.60 2026-03-17
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 26 12 — — — — $34,810.78 2026-03-17
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 26 12 — — — — $34,629.03 2026-03-17
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 1 26 12 — — — — $34,392.12 2026-03-17
C0604 HCPCS Neurological M <43.50- Tier Tier 2 26 12 — — — — $34,386.59 2026-03-17
C1504 HCPCS Pulmonary M <45.50- Tier Tier 2 26 12 — — — — $34,045.40 2026-03-17
D1004 HCPCS Amputation Lower Extremity M <47.50- Tier Tier 3 26 12 — — — — $33,830.73 2026-03-17
C0704 HCPCS Fracture Of Lower Extremity M <41.50- Tier Tier 2 26 12 — — — — $33,202.56 2026-03-17
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50- Tier Tier 1 26 12 — — — — $32,505.43 2026-03-17
C2005 HCPCS Miscellaneous M <46.50 And A <77.50- Tier Tier 2 26 12 — — — — $32,446.91 2026-03-17
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 26 12 — — — — $32,319.15 2026-03-17
D0604 HCPCS Neurological M <43.50- Tier Tier 3 27 12 — — — — $32,101.53 2026-03-17
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 2 26 12 — — — — $32,052.26 2026-03-17
D1504 HCPCS Pulmonary M <45.50- Tier Tier 3 26 12 — — — — $32,018.54 2026-03-17
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 26 12 — — — — $31,902.35 2026-03-17
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 26 12 — — — — $31,581.44 2026-03-17
C0904 HCPCS Other Orthopedic M <44.5- Tier Tier 2 26 12 — — — — $31,213.13 2026-03-17
C1404 HCPCS Cardiac M <45.50- Tier Tier 2 26 12 — — — — $31,175.70 2026-03-17
D0704 HCPCS Fracture Of Lower Extremity M <41.50- Tier Tier 3 26 12 — — — — $31,032.97 2026-03-17
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 26 12 — — — — $31,031.67 2026-03-17
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50- Tier Tier 2 26 12 — — — — $30,504.38 2026-03-17
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50- Tier None 26 12 — — — — $30,461.97 2026-03-17
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 3 26 12 — — — — $29,305.60 2026-03-17
D0104 HCPCS Stroke M >=41.50 And M <50.50- Tier Tier 3 26 12 — — — — $29,091.75 2026-03-17
A0704 HCPCS Fracture Of Lower Extremity M <41.50- Tier None 26 12 — — — — $29,058.47 2026-03-17
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 26 12 — — — — $28,999.45 2026-03-17
A0604 HCPCS Neurological M <43.50- Tier None 26 12 — — — — $28,951.50 2026-03-17
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50- Tier None 26 12 — — — — $28,727.66 2026-03-17
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 3 26 12 — — — — $28,418.50 2026-03-17
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier None 26 12 — — — — $28,404.22 2026-03-17
D1404 HCPCS Cardiac M <45.50- Tier Tier 3 26 12 — — — — $27,889.29 2026-03-17
C0603 HCPCS Neurological M >=43.50 And M <52.50- Tier Tier 2 26 12 — — — — $27,844.30 2026-03-17
A2005 HCPCS Miscellaneous M <46.50 And A <77.50- Tier None 26 12 — — — — $27,822.80 2026-03-17
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50- Tier Tier 3 26 12 — — — — $27,811.74 2026-03-17
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 2 26 12 — — — — $27,514.81 2026-03-17
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 3 26 12 — — — — $27,052.24 2026-03-17
A0904 HCPCS Other Orthopedic M <44.5- Tier None 26 12 — — — — $26,978.12 2026-03-17
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50- Tier None 26 12 — — — — $26,756.81 2026-03-17
A1404 HCPCS Cardiac M <45.50- Tier None 26 12 — — — — $26,671.97 2026-03-17
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50- Tier None 26 12 — — — — $26,395.33 2026-03-17
D2005 HCPCS Miscellaneous M <46.50 And A <77.50- Tier Tier 3 26 12 — — — — $26,271.67 2026-03-17
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50- Tier None 26 12 — — — — $25,939.79 2026-03-17
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 3 27 12 — — — — $25,746.14 2026-03-17
D0603 HCPCS Neurological M >=43.50 And M <52.50- Tier Tier 3 27 12 — — — — $25,596.76 2026-03-17
A1503 HCPCS Pulmonary M >=45.50 And M <56.50- Tier None 26 12 — — — — $25,521.09 2026-03-17
C1403 HCPCS Cardiac M >=45.50 And M <55.50- Tier Tier 2 26 12 — — — — $25,443.68 2026-03-17
D0903 HCPCS Other Orthopedic M >=44.50 And M <51.50- Tier Tier 3 26 12 — — — — $24,608.22 2026-03-17
A0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier None 26 12 — — — — $24,469.58 2026-03-17
D2003 HCPCS Miscellaneous M >=46.50 And M <55.50- Tier Tier 3 26 12 — — — — $24,254.12 2026-03-17
A0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier None 26 12 — — — — $23,822.56 2026-03-17
A1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50… 26 12 — — — — $23,778.30 2026-03-17
D1403 HCPCS Cardiac M >=45.50 And M <55.50- Tier Tier 3 26 12 — — — — $23,656.57 2026-03-17
D0103 HCPCS Stroke M >=50.50 And M <63.50- Tier Tier 3 26 12 — — — — $23,403.91 2026-03-17
D0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier Tier 3 26 12 — — — — $23,189.97 2026-03-17
A0603 HCPCS Neurological M >=43.50 And M <52.50- Tier None 26 12 — — — — $23,084.85 2026-03-17
A0903 HCPCS Other Orthopedic M >=44.50 And M <51.50- Tier None 26 12 — — — — $22,514.96 2026-03-17
A2003 HCPCS Miscellaneous M >=46.50 And M <55.50- Tier None 26 12 — — — — $22,076.03 2026-03-17
A0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier None 26 12 — — — — $21,627.87 2026-03-17
D0205 HCPCS Traumatic Brain Injury M <35.50- Tier Tier 3 26 12 — — — — $21,056.74 2026-03-17
D0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier Tier 3 26 12 — — — — $21,006.34 2026-03-17
A0104 HCPCS Stroke M >=41.50 And M <50.50- Tier None 26 12 — — — — $20,981.21 2026-03-17
D0904 HCPCS Other Orthopedic M <44.5- Tier Tier 3 26 12 — — — — $20,844.42 2026-03-17
A0602 HCPCS Neurological M >=52.50 And M <64.50- Tier None 26 12 — — — — $19,591.78 2026-03-17
A0205 HCPCS Traumatic Brain Injury M <35.50- Tier None 26 12 — — — — $18,359.81 2026-03-17
D2002 HCPCS Miscellaneous M >=55.50 And M <66.50- Tier Tier 3 26 12 — — — — $12,047.49 2026-03-17
0118 RC Room & Board - Private (One Bed) - Rehabilitation 50 14 — — $875.98 $2,450.00 $1,334.30 2026-03-17
0148 RC Room & Board - Deluxe Private - Rehabilitation 39 12 — — $875.98 $2,450.00 $1,316.86 2026-03-17
0138 RC Room & Board - Three And Four Beds - Rehabilitation 47 14 — — $875.98 $2,450.00 $1,300.61 2026-03-17
0158 RC Room & Board - Ward - Rehabilitation 42 13 — — $775.00 $2,450.00 $1,264.42 2026-03-17
0128 RC Room & Board - Semi-private (Two Beds) - Rehabilitation 47 14 — — $875.98 $2,450.00 $1,254.78 2026-03-17
0125 RC Room & Board - Semi-private (Two Beds) - Hospice 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0156 RC Room & Board - Ward - Detoxification 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0155 RC Room & Board - Ward - Hospice 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0154 RC Room & Board - Ward - Psychiatric 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0208 RC Intensive Care Unit - Trauma 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0146 RC Room & Board - Deluxe Private - Detoxification 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0219 RC Coronary Care Unit - Other 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0214 RC Coronary Care Unit - Intermediate Ccu 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0144 RC Room & Board - Deluxe Private - Psychiatric 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0213 RC Coronary Care Unit - Heart Transplant 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0212 RC Coronary Care Unit - Pulmonary Care 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0145 RC Room & Board - Deluxe Private - Hospice 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0211 RC Coronary Care Unit - Myocardial Infarction 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0167 RC Room & Board - Other - Self Care 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0210 RC Coronary Care Unit - General Classification 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0209 RC Intensive Care Unit - Other 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0161 RC Room & Board - Hospital At Home 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0207 RC Intensive Care Unit - Burn Care 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0206 RC Intensive Care Unit - Intermediate ICU 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0204 RC Intensive Care Unit - Psychiatric 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0203 RC Intensive Care Unit - Pediatric 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0116 RC Room & Board - Private (One Bed) - Detoxification 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0202 RC Intensive Care Unit - Medical 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0201 RC Intensive Care Unit - Surgical 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0200 RC Intensive Care Unit - General Classification 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0199 RC Subacute Care - Other 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0115 RC Room & Board - Private (One Bed) - Hospice 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0136 RC Room & Board - Three And Four Beds - Detoxification 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0135 RC Room & Board - Three And Four Beds - Hospice 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0190 RC Subacute Care - General Classification 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0189 RC Leave Of Absence - Other 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0134 RC Room & Board - Three And Four Beds - Psychiatric 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0185 RC Leave Of Absence - Nursing Home (for Hospitalization) 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0183 RC Leave Of Absence - Therapeutic Leave 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0182 RC Leave Of Absence - Patient Convenience 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0180 RC Leave Of Absence - General Classification 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0124 RC Room & Board - Semi-private (Two Beds) - Psychiatric 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0114 RC Room & Board - Private (One Bed) - Psychiatric 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0126 RC Room & Board - Semi-private (Two Beds) - Detoxification 3 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-17
0194 RC Subacute Care - Level IV 5 2 — — $781.81 $1,100.00 $972.72 2026-03-17
0193 RC Subacute Care - Level Iii 5 2 — — $744.58 $1,100.00 $957.83 2026-03-17
0111 RC Room & Board - Private (One Bed) - Medical/Surgical/GYN 7 3 — — $775.00 $1,100.00 $939.29 2026-03-17
0129 RC Room & Board - Semi-private (Two Beds) - Other 14 3 — — $775.00 $1,100.00 $938.93 2026-03-17
0150 RC Room & Board - Ward - General Classification 14 3 — — $775.00 $1,100.00 $938.93 2026-03-17
0149 RC Room & Board - Deluxe Private - Other 14 3 — — $775.00 $1,100.00 $938.93 2026-03-17
0120 RC Room & Board - Semi-private (Two Beds) - General Classification 14 3 — — $775.00 $1,100.00 $938.93 2026-03-17
0119 RC Room & Board - Private (One Bed) - Other 14 3 — — $775.00 $1,100.00 $938.93 2026-03-17
0140 RC Room & Board - Deluxe Private - General Classification 14 3 — — $775.00 $1,100.00 $938.93 2026-03-17
0139 RC Room & Board - Three And Four Beds - Other 14 3 — — $775.00 $1,100.00 $938.93 2026-03-17
0130 RC Room & Board - Three And Four Beds - General Classification 14 3 — — $775.00 $1,100.00 $938.93 2026-03-17
0159 RC Room & Board - Ward - Other 14 3 — — $775.00 $1,100.00 $938.93 2026-03-17
0157 RC Room & Board - Ward - Oncology 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0101 RC All Inclusive Rate - Room And Board 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0153 RC Room & Board - Ward - Pediatrics 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0123 RC Room & Board - Semi-private (Two Beds) - Pediatric 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0152 RC Room & Board - Ward - Obstetrics (ob) 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0170 RC Nursery - General Classification 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0151 RC Room & Board - Ward - Medical/Surgical/GYN 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0122 RC Room & Board - Semi-private (Two Beds) - Obstetrics (ob) 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0100 RC All Inclusive Rate - Room And Board Plus Ancillary 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0164 RC Room & Board - Other - Sterile Environment 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0121 RC Room & Board - Semi-private (Two Beds) - Medical/Surgical/GYN 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0147 RC Room & Board - Deluxe Private - Oncology 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0143 RC Room & Board - Deluxe Private - Pediatric 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0142 RC Room & Board - Deluxe Private - Obstetrics (ob) 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0169 RC Room & Board - Other - Other 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0141 RC Room & Board - Deluxe Private - Medical/Surgical/GYN 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0117 RC Room & Board - Private (One Bed) - Oncology 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0127 RC Room & Board - Semi-private (Two Beds) - Oncology 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0171 RC Nursery - Newborn - Level I 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0137 RC Room & Board - Three And Four Beds - Oncology 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0133 RC Room & Board - Three And Four Beds - Pediatric 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0132 RC Room & Board - Three And Four Beds - Obstetrics (ob) 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0179 RC Nursery - Other 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0113 RC Room & Board - Private (One Bed) - Pediatric 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0174 RC Nursery - Newborn - Level IV 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0131 RC Room & Board - Three And Four Beds - Medical/Surgical/GYN 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0173 RC Nursery - Newborn - Level Iii 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0172 RC Nursery - Newborn - Level Ii 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0160 RC Room & Board - Other - General Classification 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0112 RC Room & Board - Private (One Bed) - Obstetrics (ob) 6 2 — — $775.00 $1,100.00 $937.50 2026-03-17
0110 RC Room & Board - Private (One Bed) - General Classification 15 4 — — $775.00 $1,100.00 $936.33 2026-03-17
0192 RC Subacute Care - Level Ii 5 2 — — $446.75 $1,100.00 $838.70 2026-03-17
0191 RC Subacute Care - Level I 5 2 — — $297.83 $1,100.00 $779.13 2026-03-17
946 MS_DRG Rehabilitation Without Cc/mcc 3 1 — — $775.00 $775.00 $775.00 2026-03-17
945 MS_DRG Rehabilitation With Cc/mcc 3 1 — — $775.00 $775.00 $775.00 2026-03-17
0413 RC Respiratory Services - Hyperbaric Oxygen Therapy 4 2 — — $600.00 $600.00 $600.00 2026-03-17
0807 RC Inpatient Renal Dialysis - Observation/Hourly 11 3 — — $400.00 $600.00 $527.27 2026-03-17
0805 RC Inpatient Renal Dialysis - Treatment 11 3 — — $400.00 $600.00 $527.27 2026-03-17
0808 RC Inpatient Renal Dialysis - Other 11 3 — — $400.00 $600.00 $527.27 2026-03-17
0806 RC Inpatient Renal Dialysis - Continuation 11 3 — — $400.00 $600.00 $527.27 2026-03-17
0800 RC Inpatient Renal Dialysis - General Classification 19 6 — — $300.00 $600.00 $472.22 2026-03-17
0801 RC Inpatient Renal Dialysis - Hemodialysis 20 7 — — $300.00 $600.00 $472.22 2026-03-17
0809 RC Inpatient Renal Dialysis - Other 19 6 — — $300.00 $600.00 $472.22 2026-03-17
0802 RC Inpatient Renal Dialysis - Peritoneal Dialysis (non-capd) 20 7 — — $300.00 $600.00 $472.22 2026-03-17
0803 RC Inpatient Renal Dialysis - Continuous Ambulatory Peritoneal Dialysis (capd) 19 6 — — $300.00 $600.00 $472.22 2026-03-17
0804 RC Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (ccpd) 19 6 — — $300.00 $600.00 $472.22 2026-03-17
92610 HCPCS Evaluate Swallowing Function 51 14 — — — — $351.00 2026-03-17
0822 RC Hemodialysis - Outpatient Or Home - Home Supplies 3 1 — — $300.00 $300.00 $300.00 2026-03-17
0823 RC Hemodialysis - Outpatient Or Home - Home Equipment 3 1 — — $300.00 $300.00 $300.00 2026-03-17
729 MS_DRG Other Male Reproductive System Diagnoses With Cc/mcc 4 1 — — $300.00 $300.00 $300.00 2026-03-17
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 4 1 — — $300.00 $300.00 $300.00 2026-03-17
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 1 — — $300.00 $300.00 $300.00 2026-03-17
91 MS_DRG Other Disorders Of Nervous System With Mcc 4 1 — — $300.00 $300.00 $300.00 2026-03-17
0824 RC Hemodialysis - Outpatient Or Home - Maintenance 100% 3 1 — — $300.00 $300.00 $300.00 2026-03-17
0820 RC Hemodialysis - Outpatient Or Home - General Classification 4 2 — — $300.00 $300.00 $300.00 2026-03-17
0821 RC Hemodialysis - Outpatient Or Home - Hemodialysis Composite Or Other Rate 4 2 — — $300.00 $300.00 $300.00 2026-03-17
0825 RC Hemodialysis - Outpatient Or Home - Support Services 3 1 — — $300.00 $300.00 $300.00 2026-03-17
0829 RC Hemodialysis - Outpatient Or Home - Other Op Hemodialysis 4 2 — — $300.00 $300.00 $300.00 2026-03-17
92522 HCPCS Evaluate Speech Production 52 15 — — $120.00 $150.00 $135.00 2026-03-17
96105 HCPCS Assessment Of Aphasia 52 15 — — $120.00 $150.00 $135.00 2026-03-17
92523 HCPCS Speech Sound Lang Comprehen 53 16 — — $120.00 $150.00 $135.00 2026-03-17
0832 RC Peritoneal Dialysis - Outpatient Or Home - Home Supplies 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0840 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - General … 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0835 RC Peritoneal Dialysis - Outpatient Or Home - Support Services 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0850 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - General Cla… 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0859 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - Other 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0841 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - CAPD/Com… 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0855 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - Support Ser… 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0853 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - Home Equipm… 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0854 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - Maintenance… 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0851 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - CCPD/Compos… 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0845 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - Support … 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0849 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - Other 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0852 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - Home Suppli… 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0842 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - Home Sup… 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0839 RC Peritoneal Dialysis - Outpatient Or Home - Other 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0843 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - Home Equ… 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0833 RC Peritoneal Dialysis - Outpatient Or Home - Home Equipment 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0831 RC Peritoneal Dialysis - Outpatient Or Home - Peritoneal/Composite Or Other Rate 4 2 — — $129.00 $129.00 $129.00 2026-03-17
0834 RC Peritoneal Dialysis - Outpatient Or Home - Maintenance 100% 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0844 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - Maintena… 3 1 — — $129.00 $129.00 $129.00 2026-03-17
0830 RC Peritoneal Dialysis - Outpatient Or Home - General Classification 3 1 — — $129.00 $129.00 $129.00 2026-03-17
97166 HCPCS Ot Eval Mod Complex 45 Min 58 18 — — $90.00 $150.00 $126.52 2026-03-17
92524 HCPCS Behavral Qualit Analys Voice 52 15 — — $120.00 $150.00 $118.52 2026-03-17
97162 HCPCS Pt Eval Mod Complex 30 Min 58 18 — — $90.00 $150.00 $116.79 2026-03-17
97161 HCPCS Pt Eval Low Complex 20 Min 58 18 — — $90.00 $150.00 $115.78 2026-03-17
0448 RC Speech-language Pathology - Other 4 2 — — $110.00 $110.00 $110.00 2026-03-17
0447 RC Speech-language Pathology - Observation/Hourly 4 2 — — $110.00 $110.00 $110.00 2026-03-17
0446 RC Speech-language Pathology - Continuation 4 2 — — $110.00 $110.00 $110.00 2026-03-17
0445 RC Speech-language Pathology - Treatment 4 2 — — $110.00 $110.00 $110.00 2026-03-17
0438 RC Occupational Therapy - Other 4 2 — — $110.00 $110.00 $110.00 2026-03-17
0436 RC Occupational Therapy - Continuation 4 2 — — $110.00 $110.00 $110.00 2026-03-17
0437 RC Occupational Therapy - Observation/Hourly 4 2 — — $110.00 $110.00 $110.00 2026-03-17
0435 RC Occupational Therapy - Treatment 4 2 — — $110.00 $110.00 $110.00 2026-03-17
0428 RC Physical Therapy - Other 4 2 — — $110.00 $110.00 $110.00 2026-03-17
0427 RC Physical Therapy - Observation/Hourly 4 2 — — $110.00 $110.00 $110.00 2026-03-17
0426 RC Physical Therapy - Continuation 4 2 — — $110.00 $110.00 $110.00 2026-03-17
0425 RC Physical Therapy - Treatment 4 2 — — $110.00 $110.00 $110.00 2026-03-17
92526 HCPCS Oral Function Therapy 58 18 — — $77.88 $120.00 $107.18 2026-03-17
97167 HCPCS Ot Eval High Complex 60 Min 57 17 — — $90.00 $150.00 $105.00 2026-03-17
97165 HCPCS Ot Eval Low Complex 30 Min 58 18 — — $90.00 $150.00 $105.00 2026-03-17
97168 HCPCS Ot Re-eval Est Plan Care 57 17 — — $90.00 $150.00 $105.00 2026-03-17
97163 HCPCS Pt Eval High Complex 45 Min 58 18 — — $90.00 $150.00 $105.00 2026-03-17
97164 HCPCS Pt Re-eval Est Plan Care 58 18 — — $90.00 $150.00 $105.00 2026-03-17
92607 HCPCS Ex For Speech Device Rx 1hr 52 15 — — $90.00 $120.00 $105.00 2026-03-17
0449 RC Speech Therapy - Language Pathology - Other 10 4 — — $80.00 $110.00 $100.00 2026-03-17
0439 RC Occupational Therapy - Other 10 4 — — $80.00 $110.00 $100.00 2026-03-17
0429 RC Physical Therapy - Other 10 4 — — $80.00 $110.00 $100.00 2026-03-17
92507 HCPCS Speech/hearing Therapy 61 16 — — $68.42 $120.00 $99.94 2026-03-17
0430 RC Occupational Therapy - General Classification 63 20 — — $80.00 $120.00 $98.00 2026-03-17
0420 RC Physical Therapy - General Classification 63 20 — — $80.00 $120.00 $98.00 2026-03-17
0443 RC Speech Therapy - Language Pathology - Group Rate 15 6 — — $80.00 $110.00 $96.92 2026-03-17
0442 RC Speech Therapy - Language Pathology - Hourly Charge 15 6 — — $80.00 $110.00 $96.92 2026-03-17
0441 RC Speech Therapy - Language Pathology - Visit Charge 15 6 — — $80.00 $110.00 $96.92 2026-03-17
0433 RC Occupational Therapy - Group Rate 15 6 — — $80.00 $110.00 $96.92 2026-03-17
0432 RC Occupational Therapy - Hourly Charge 15 6 — — $80.00 $110.00 $96.92 2026-03-17
0431 RC Occupational Therapy - Visit Charge 15 6 — — $80.00 $110.00 $96.92 2026-03-17
0423 RC Physical Therapy - Group Rate 15 6 — — $80.00 $110.00 $96.92 2026-03-17
0422 RC Physical Therapy - Hourly Charge 15 6 — — $80.00 $110.00 $96.92 2026-03-17
0421 RC Physical Therapy - Visit Charge 62 18 — — $80.00 $110.00 $96.92 2026-03-17
0410 RC Respiratory Services - General Classification 56 16 — — $90.00 $120.00 $96.00 2026-03-17
97535 HCPCS Self Care Mngment Training 58 18 — — $90.00 $120.00 $95.00 2026-03-17
97537 HCPCS Community/work Reintegration 57 17 — — $90.00 $120.00 $95.00 2026-03-17
97129 HCPCS Ther Ivntj 1st 15 Min 57 17 — — $90.00 $120.00 $95.00 2026-03-17
97113 HCPCS Aquatic Therapy/exercises 57 17 — — $90.00 $120.00 $95.00 2026-03-17
0444 RC Speech Therapy - Language Pathology - Evaluation Or Reevaluation 68 19 — — $80.00 $150.00 $94.35 2026-03-17
0434 RC Occupational Therapy - Evaluation Or Reevaluation 72 20 — — $80.00 $150.00 $94.35 2026-03-17
0424 RC Physical Therapy - Evaluation Or Re-evaluation 72 20 — — $80.00 $150.00 $94.35 2026-03-17
0440 RC Speech Therapy - Language Pathology - General Classification 71 20 — — $80.00 $120.00 $91.74 2026-03-17
97110 HCPCS Therapeutic Exercises 66 18 — — $20.51 $120.00 $91.31 2026-03-17
92521 HCPCS Evaluation Of Speech Fluency 10 3 — — $80.00 $150.00 $91.00 2026-03-17
97799 HCPCS Unlisted Physcl Med/rehab Px 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97763 HCPCS Orthc/prostc Mgmt Sbsq Enc 55 15 — — $90.00 $90.00 $90.00 2026-03-17
97755 HCPCS Assistive Technology Assess 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97760 HCPCS Orthotic Mgmt&traing 1st Enc 55 15 — — $90.00 $90.00 $90.00 2026-03-17
97761 HCPCS Prosthetic Traing 1st Enc 55 15 — — $90.00 $90.00 $90.00 2026-03-17
97533 HCPCS Sensory Integration 55 15 — — $90.00 $90.00 $90.00 2026-03-17
97542 HCPCS Wheelchair Mngment Training 55 15 — — $90.00 $90.00 $90.00 2026-03-17
97170 HCPCS Athletic Trn Eval Mod Cmplx 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97171 HCPCS Athletic Trn Eval High Cmplx 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97172 HCPCS Athletic Trn Re-eval Plan Cr 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97545 HCPCS Work Hardening 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97169 HCPCS Athletic Trn Eval Low Cmplx 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97155 HCPCS Adapt Behavior Tx Phys/qhp 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97156 HCPCS Fam Adapt Bhv Tx Gdn Phy/qhp 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97154 HCPCS Grp Adapt Bhv Tx By Tech 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97157 HCPCS Mult Fam Adapt Bhv Tx Gdn 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97151 HCPCS Bhv Id Assmt By Phys/qhp 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97152 HCPCS Bhv Id Suprt Assmt By 1 Tech 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97153 HCPCS Adaptive Behavior Tx By Tech 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97158 HCPCS Grp Adapt Bhv Tx By Phy/qhp 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97130 HCPCS Ther Ivntj Ea Addl 15 Min 55 15 — — $90.00 $90.00 $90.00 2026-03-17
97139 HCPCS Unlisted Therapeutic Px 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97150 HCPCS Group Therapeutic Procedures 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97546 HCPCS Work Hardening Add-on 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97035 HCPCS App Mdlty 1+ultrasound Ea 15 55 15 — — $90.00 $90.00 $90.00 2026-03-17
97036 HCPCS App Mdlty 1+hubbrd Tnk Ea 15 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97034 HCPCS App Mdlty 1+cntrst Bth Ea 15 5 2 — — $90.00 $90.00 $90.00 2026-03-17
97037 HCPCS Appl Modality 1+lllt Po Pain 5 2 — — $90.00 $90.00 $90.00 2026-03-17
See an error in this hospital's data? Submit a correction