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

New Braunfels Regional Rehabilitation Hospital

New Braunfels, TX · CCN 673049 · Rates published

2,758 distinct procedures filed
49 distinct payers
35,785 rate rows
2026-05-08 last MRF observed
Data quality

8,698 of 35,785 rate rows are consumer-grade (24.3%)

27,087 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 26,368
per-diem day rate — not a per-procedure price 719
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ernesthealth.com/pricing/2026/273147835_new-braunfels-regional-rehabilitation-hospital_standard-charges.json
Found on page https://nbrrh.ernesthealth.com/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 91777f7c04a79c09… · 12,732,687 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
C0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50- Tier Tier 2 14 $62,044.05 $62,044.05 $62,044.05 nat. median
$70,083
0.9× median
B0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier Tier 1 14 $47,962.56 $48,941.39 $48,451.97 nat. median
$53,762
0.9× median
B0604
LOCAL 		Neurological M <43.50- Tier Tier 1 14 $46,498.27 $46,498.27 $46,498.27 nat. median
$46,423
1.0× median
C1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 2 14 $45,302.37 $45,302.37 $45,302.37 nat. median
$51,172
0.9× median
D0404
LOCAL 		Traumatic Spinal Cord Injury M <31.50 And A <61.50- Tier Tier 3 14 $44,302.20 $44,302.20 $44,302.20 nat. median
$49,042
0.9× median
B1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 1 14 $44,152.33 $44,152.33 $44,152.33 nat. median
$48,876
0.9× median
D1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 3 14 $43,886.27 $43,886.27 $43,886.27 nat. median
$48,581
0.9× median
C0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier Tier 2 14 $42,444.84 $42,444.84 $42,444.84 nat. median
$46,986
0.9× median
D0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 14 $42,394.70 $42,394.70 $42,394.70 nat. median
$41,099
1.0× median
A1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier None 14 $40,690.19 $40,690.19 $40,690.19 nat. median
$45,144
0.9× median
B0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 1 14 $40,153.02 $40,153.02 $40,153.02 nat. median
$44,232
0.9× median
B0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 1 14 $39,189.82 $39,189.82 $39,189.82 nat. median
$43,383
0.9× median
D0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier Tier 3 14 $38,011.62 $38,787.37 $38,399.50 nat. median
$42,703
0.9× median
B1504
LOCAL 		Pulmonary M <45.50- Tier Tier 1 14 $38,299.03 $38,299.03 $38,299.03 nat. median
$43,057
0.9× median
B1004
LOCAL 		Amputation Lower Extremity M <47.50- Tier Tier 1 14 $37,973.67 $37,973.67 $37,973.67 nat. median
$42,470
0.9× median
B2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier Tier 1 14 $37,403.18 $37,403.18 $37,403.18 nat. median
$40,995
0.9× median
C0205
LOCAL 		Traumatic Brain Injury M <35.50- Tier Tier 2 14 $36,593.22 $36,593.22 $36,593.22 nat. median
$40,508
0.9× median
C0405
LOCAL 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier Tier 2 14 $36,293.48 $36,293.48 $36,293.48 nat. median
$40,176
0.9× median
B1703
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50… 14 $36,210.87 $36,210.87 $36,210.87 nat. median
$36,879
1.0× median
B0904
LOCAL 		Other Orthopedic M <44.5- Tier Tier 1 14 $36,062.79 $36,062.79 $36,062.79 nat. median
$40,010
0.9× median
C0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 14 $35,650.95 $35,650.95 $35,650.95 nat. median
$35,561
1.0× median
B2004
LOCAL 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 1 14 $35,485.20 $35,485.20 $35,485.20 nat. median
$39,191
0.9× median
B0303
LOCAL 		Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 1 14 $34,662.07 $34,662.07 $34,662.07 nat. median
$34,839
1.0× median
D0405
LOCAL 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier Tier 3 14 $34,526.31 $34,526.31 $34,526.31 nat. median
$38,816
0.9× median
B0104
LOCAL 		Stroke M >=41.50 And M <50.50- Tier Tier 1 14 $34,410.86 $34,410.86 $34,410.86 nat. median
$38,092
0.9× median
D0105
LOCAL 		Stroke M <41.50 And A >=84.50- Tier Tier 3 14 $34,101.02 $34,101.02 $34,101.02 nat. median
$37,662
0.9× median
D1004
LOCAL 		Amputation Lower Extremity M <47.50- Tier Tier 3 14 $33,830.73 $33,830.73 $33,830.73 nat. median
$32,228
1.0× median
B0603
LOCAL 		Neurological M >=43.50 And M <52.50- Tier Tier 1 14 $33,439.24 $33,439.24 $33,439.24 nat. median
$36,931
0.9× median
C0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 2 14 $30,315.57 $34,117.63 $32,216.60 nat. median
$33,146
1.0× median
D1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 14 $31,783.95 $31,783.95 $31,783.95 nat. median
$34,992
0.9× median
C0604
LOCAL 		Neurological M <43.50- Tier Tier 2 14 $31,396.65 $31,396.65 $31,396.65 nat. median
$34,756
0.9× median
A0205
LOCAL 		Traumatic Brain Injury M <35.50- Tier None 14 $31,292.25 $31,292.25 $31,292.25 nat. median
$33,234
0.9× median
B0204
LOCAL 		Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 1 14 $30,920.61 $30,920.61 $30,920.61 nat. median
$38,420
0.8× median
B0903
LOCAL 		Other Orthopedic M >=44.50 And M <51.50- Tier Tier 1 14 $30,096.67 $30,096.67 $30,096.67 nat. median
$33,505
0.9× median
C2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier Tier 2 14 $29,876.07 $29,876.07 $29,876.07 nat. median
$32,921
0.9× median
B2003
LOCAL 		Miscellaneous M >=46.50 And M <55.50- Tier Tier 1 14 $29,679.05 $29,679.05 $29,679.05 nat. median
$32,854
0.9× median
D0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 14 $29,508.98 $29,508.98 $29,508.98 nat. median
$32,319
0.9× median
B1403
LOCAL 		Cardiac M >=45.50 And M <55.50- Tier Tier 1 14 $29,488.77 $29,488.77 $29,488.77 nat. median
$32,487
0.9× median
D0604
LOCAL 		Neurological M <43.50- Tier Tier 3 14 $29,310.28 $29,310.28 $29,310.28 nat. median
$32,269
0.9× median
D1504
LOCAL 		Pulmonary M <45.50- Tier Tier 3 14 $29,234.50 $29,234.50 $29,234.50 nat. median
$32,186
0.9× median
C0304
LOCAL 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 14 $29,128.41 $29,128.41 $29,128.41 nat. median
$32,043
0.9× median
C0904
LOCAL 		Other Orthopedic M <44.5- Tier Tier 2 14 $28,884.24 $28,884.24 $28,884.24 nat. median
$31,818
0.9× median
A1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 14 $28,835.41 $28,835.41 $28,835.41 nat. median
$31,920
0.9× median
A1805
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 14 $28,651.86 $28,651.86 $28,651.86 nat. median
$31,725
0.9× median
C0204
LOCAL 		Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 2 14 $28,569.35 $28,569.35 $28,569.35 nat. median
$31,314
0.9× median
C1404
LOCAL 		Cardiac M <45.50- Tier Tier 2 14 $28,464.95 $28,464.95 $28,464.95 nat. median
$30,962
0.9× median
D0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 3 14 $28,143.19 $28,717.54 $28,430.37 nat. median
$31,616
0.9× median
D0504
LOCAL 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 3 14 $26,865.23 $29,837.24 $28,351.24 nat. median
$29,577
1.0× median
C2004
LOCAL 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 14 $28,343.71 $28,343.71 $28,343.71 nat. median
$31,232
0.9× median
C0703
LOCAL 		Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 2 14 $28,193.54 $28,193.54 $28,193.54 nat. median
$28,059
1.0× median

Other procedures at this hospital

Browse this hospital's 2,758 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
C0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50- Tier Tier 2 33 14 — — $62,044.05 $62,044.05 $62,044.05 2026-03-23
B0106 LOCAL Stroke M <41.50 And A <84.50- Tier Tier 1 33 14 — — $47,962.56 $48,941.39 $48,451.97 2026-03-23
B0604 LOCAL Neurological M <43.50- Tier Tier 1 33 14 — — $46,498.27 $46,498.27 $46,498.27 2026-03-23
C1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 2 33 14 — — $45,302.37 $45,302.37 $45,302.37 2026-03-23
D0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50- Tier Tier 3 33 14 — — $44,302.20 $44,302.20 $44,302.20 2026-03-23
B1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 1 33 14 — — $44,152.33 $44,152.33 $44,152.33 2026-03-23
D1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 3 33 14 — — $43,886.27 $43,886.27 $43,886.27 2026-03-23
C0106 LOCAL Stroke M <41.50 And A <84.50- Tier Tier 2 33 14 — — $42,444.84 $42,444.84 $42,444.84 2026-03-23
D0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 33 14 — — $42,394.70 $42,394.70 $42,394.70 2026-03-23
A1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier None 33 14 — — $40,690.19 $40,690.19 $40,690.19 2026-03-23
B0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 1 33 14 — — $40,153.02 $40,153.02 $40,153.02 2026-03-23
B0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 1 33 14 — — $39,189.82 $39,189.82 $39,189.82 2026-03-23
D0106 LOCAL Stroke M <41.50 And A <84.50- Tier Tier 3 33 14 — — $38,011.62 $38,787.37 $38,399.50 2026-03-23
B1504 LOCAL Pulmonary M <45.50- Tier Tier 1 33 14 — — $38,299.03 $38,299.03 $38,299.03 2026-03-23
B1004 LOCAL Amputation Lower Extremity M <47.50- Tier Tier 1 33 14 — — $37,973.67 $37,973.67 $37,973.67 2026-03-23
B2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 1 33 14 — — $37,403.18 $37,403.18 $37,403.18 2026-03-23
C0205 LOCAL Traumatic Brain Injury M <35.50- Tier Tier 2 33 14 — — $36,593.22 $36,593.22 $36,593.22 2026-03-23
C0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier Tier 2 33 14 — — $36,293.48 $36,293.48 $36,293.48 2026-03-23
B1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50… 33 14 — — $36,210.87 $36,210.87 $36,210.87 2026-03-23
B0904 LOCAL Other Orthopedic M <44.5- Tier Tier 1 33 14 — — $36,062.79 $36,062.79 $36,062.79 2026-03-23
C0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 33 14 — — $35,650.95 $35,650.95 $35,650.95 2026-03-23
B2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 1 33 14 — — $35,485.20 $35,485.20 $35,485.20 2026-03-23
B0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 1 33 14 — — $34,662.07 $34,662.07 $34,662.07 2026-03-23
D0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier Tier 3 33 14 — — $34,526.31 $34,526.31 $34,526.31 2026-03-23
B0104 LOCAL Stroke M >=41.50 And M <50.50- Tier Tier 1 33 14 — — $34,410.86 $34,410.86 $34,410.86 2026-03-23
D0105 LOCAL Stroke M <41.50 And A >=84.50- Tier Tier 3 33 14 — — $34,101.02 $34,101.02 $34,101.02 2026-03-23
D1004 LOCAL Amputation Lower Extremity M <47.50- Tier Tier 3 33 14 — — $33,830.73 $33,830.73 $33,830.73 2026-03-23
B0603 LOCAL Neurological M >=43.50 And M <52.50- Tier Tier 1 33 14 — — $33,439.24 $33,439.24 $33,439.24 2026-03-23
C0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 2 33 14 — — $30,315.57 $34,117.63 $32,216.60 2026-03-23
D1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 33 14 — — $31,783.95 $31,783.95 $31,783.95 2026-03-23
C0604 LOCAL Neurological M <43.50- Tier Tier 2 33 14 — — $31,396.65 $31,396.65 $31,396.65 2026-03-23
A0205 LOCAL Traumatic Brain Injury M <35.50- Tier None 33 14 — — $31,292.25 $31,292.25 $31,292.25 2026-03-23
B0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 1 33 14 — — $30,920.61 $30,920.61 $30,920.61 2026-03-23
B0903 LOCAL Other Orthopedic M >=44.50 And M <51.50- Tier Tier 1 33 14 — — $30,096.67 $30,096.67 $30,096.67 2026-03-23
C2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 2 33 14 — — $29,876.07 $29,876.07 $29,876.07 2026-03-23
B2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier Tier 1 33 14 — — $29,679.05 $29,679.05 $29,679.05 2026-03-23
D0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 33 14 — — $29,508.98 $29,508.98 $29,508.98 2026-03-23
B1403 LOCAL Cardiac M >=45.50 And M <55.50- Tier Tier 1 33 14 — — $29,488.77 $29,488.77 $29,488.77 2026-03-23
D0604 LOCAL Neurological M <43.50- Tier Tier 3 33 14 — — $29,310.28 $29,310.28 $29,310.28 2026-03-23
D1504 LOCAL Pulmonary M <45.50- Tier Tier 3 33 14 — — $29,234.50 $29,234.50 $29,234.50 2026-03-23
C0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 33 14 — — $29,128.41 $29,128.41 $29,128.41 2026-03-23
C0904 LOCAL Other Orthopedic M <44.5- Tier Tier 2 33 14 — — $28,884.24 $28,884.24 $28,884.24 2026-03-23
A1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 33 14 — — $28,835.41 $28,835.41 $28,835.41 2026-03-23
A1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 33 14 — — $28,651.86 $28,651.86 $28,651.86 2026-03-23
C0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 2 33 14 — — $28,569.35 $28,569.35 $28,569.35 2026-03-23
C1404 LOCAL Cardiac M <45.50- Tier Tier 2 33 14 — — $28,464.95 $28,464.95 $28,464.95 2026-03-23
D0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 3 33 14 — — $28,143.19 $28,717.54 $28,430.37 2026-03-23
D0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 3 33 14 — — $26,865.23 $29,837.24 $28,351.24 2026-03-23
C2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 33 14 — — $28,343.71 $28,343.71 $28,343.71 2026-03-23
C0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 2 33 14 — — $28,193.54 $28,193.54 $28,193.54 2026-03-23
D1404 LOCAL Cardiac M <45.50- Tier Tier 3 33 14 — — $26,466.14 $29,744.58 $28,105.36 2026-03-23
C0805 LOCAL Replacement Of Lower-extremity Joint M <42.50- Tier Tier 2 33 14 — — $27,852.00 $27,852.00 $27,852.00 2026-03-23
A0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier None 33 14 — — $27,813.27 $27,813.27 $27,813.27 2026-03-23
A0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier None 33 14 — — $26,001.17 $29,608.80 $27,804.99 2026-03-23
D1305 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50- Tier Tier 3 33 14 — — $27,255.90 $27,255.90 $27,255.90 2026-03-23
D0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 3 33 14 — — $25,428.54 $28,450.94 $26,939.74 2026-03-23
D0904 LOCAL Other Orthopedic M <44.5- Tier Tier 3 33 14 — — $26,922.48 $26,922.48 $26,922.48 2026-03-23
C1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50- T… 33 14 — — $26,848.39 $26,848.39 $26,848.39 2026-03-23
C0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier Tier 2 33 14 — — $26,838.33 $26,838.33 $26,838.33 2026-03-23
D0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 3 33 14 — — $26,757.46 $26,757.46 $26,757.46 2026-03-23
D2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 33 14 — — $26,477.93 $26,477.93 $26,477.93 2026-03-23
A0604 LOCAL Neurological M <43.50- Tier None 33 14 — — $26,434.14 $26,434.14 $26,434.14 2026-03-23
A1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50… 33 14 — — $24,571.73 $28,216.31 $26,394.02 2026-03-23
D0104 LOCAL Stroke M >=41.50 And M <50.50- Tier Tier 3 33 14 — — $21,271.49 $30,812.84 $26,042.17 2026-03-23
A0403 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50- Tier None 33 14 — — $25,782.47 $25,782.47 $25,782.47 2026-03-23
C0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50- Tier Tier 2 33 14 — — $25,486.85 $26,006.99 $25,746.92 2026-03-23
A0104 LOCAL Stroke M >=41.50 And M <50.50- Tier None 34 15 — — $25,469.80 $25,989.59 $25,729.69 2026-03-23
A2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier None 33 14 — — $25,403.59 $25,403.59 $25,403.59 2026-03-23
D0805 LOCAL Replacement Of Lower-extremity Joint M <42.50- Tier Tier 3 33 14 — — $25,393.48 $25,393.48 $25,393.48 2026-03-23
D1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50… 33 14 — — $23,930.16 $26,635.24 $25,282.70 2026-03-23
A0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier None 33 14 — — $25,220.04 $25,220.04 $25,220.04 2026-03-23
C0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 2 33 14 — — $25,122.37 $25,122.37 $25,122.37 2026-03-23
C0603 LOCAL Neurological M >=43.50 And M <52.50- Tier Tier 2 33 14 — — $25,034.81 $25,034.81 $25,034.81 2026-03-23
A0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier None 33 14 — — $24,756.96 $24,756.96 $24,756.96 2026-03-23
A0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50- Tier None 34 15 — — $24,430.28 $24,430.28 $24,430.28 2026-03-23
A1404 LOCAL Cardiac M <45.50- Tier None 33 14 — — $24,352.82 $24,352.82 $24,352.82 2026-03-23
D1403 LOCAL Cardiac M >=45.50 And M <55.50- Tier Tier 3 33 14 — — $24,325.32 $24,325.32 $24,325.32 2026-03-23
B1402 LOCAL Cardiac M >=55.50 And M <68.50- Tier Tier 1 33 14 — — $24,100.23 $24,100.23 $24,100.23 2026-03-23
A2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier None 33 14 — — $23,618.23 $24,100.23 $23,859.23 2026-03-23
C2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier Tier 2 33 14 — — $23,706.20 $23,706.20 $23,706.20 2026-03-23
A0805 LOCAL Replacement Of Lower-extremity Joint M <42.50- Tier None 33 14 — — $23,684.31 $23,684.31 $23,684.31 2026-03-23
A1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50- T… 33 14 — — $23,632.10 $23,632.10 $23,632.10 2026-03-23
D0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 3 33 14 — — $23,507.49 $23,507.49 $23,507.49 2026-03-23
D0603 LOCAL Neurological M >=43.50 And M <52.50- Tier Tier 3 33 14 — — $23,371.10 $23,371.10 $23,371.10 2026-03-23
D1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50- T… 33 14 — — $23,308.79 $23,308.79 $23,308.79 2026-03-23
A0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier None 33 14 — — $21,719.17 $24,469.58 $23,094.38 2026-03-23
D0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 3 33 14 — — $23,078.10 $23,078.10 $23,078.10 2026-03-23
A1203 LOCAL Osteoarthritis M <49.50 And A >=74.50- Tier None 33 14 — — $22,850.77 $22,850.77 $22,850.77 2026-03-23
D1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50- Tier Tier 3 33 14 — — $22,408.60 $22,865.92 $22,637.26 2026-03-23
A0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier None 33 14 — — $6,837.13 $38,287.94 $22,562.53 2026-03-23
D0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier Tier 3 33 14 — — $21,173.58 $23,509.58 $22,341.58 2026-03-23
D0903 LOCAL Other Orthopedic M >=44.50 And M <51.50- Tier Tier 3 33 14 — — $22,019.15 $22,468.52 $22,243.83 2026-03-23
D2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier Tier 3 33 14 — — $22,145.20 $22,145.20 $22,145.20 2026-03-23
A1503 LOCAL Pulmonary M >=45.50 And M <56.50- Tier None 33 14 — — $22,082.90 $22,082.90 $22,082.90 2026-03-23
A0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier None 33 14 — — $21,751.17 $21,751.17 $21,751.17 2026-03-23
A1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50… 33 14 — — $21,710.75 $21,710.75 $21,710.75 2026-03-23
A0904 LOCAL Other Orthopedic M <44.5- Tier None 33 14 — — $18,276.41 $24,632.35 $21,454.38 2026-03-23
A1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50- T… 33 14 — — $21,179.17 $21,611.40 $21,395.28 2026-03-23
C0602 LOCAL Neurological M >=52.50 And M <64.50- Tier Tier 2 33 14 — — $21,247.68 $21,247.68 $21,247.68 2026-03-23
A0603 LOCAL Neurological M >=43.50 And M <52.50- Tier None 33 14 — — $21,077.60 $21,077.60 $21,077.60 2026-03-23
A0105 LOCAL Stroke M <41.50 And A >=84.50- Tier None 34 15 — — $5,687.43 $36,423.45 $21,055.44 2026-03-23
D0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50- Tier Tier 3 33 14 — — $20,921.00 $20,921.00 $20,921.00 2026-03-23
A0903 LOCAL Other Orthopedic M >=44.50 And M <51.50- Tier None 33 14 — — $20,557.27 $20,557.27 $20,557.27 2026-03-23
A1403 LOCAL Cardiac M >=45.50 And M <55.50- Tier None 33 14 — — $19,875.28 $19,875.28 $19,875.28 2026-03-23
A0702 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50- Tier None 33 14 — — $19,573.65 $19,973.11 $19,773.38 2026-03-23
A0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier None 33 14 — — $19,747.31 $19,747.31 $19,747.31 2026-03-23
A0106 LOCAL Stroke M <41.50 And A <84.50- Tier None 34 15 — — $2,086.67 $36,963.68 $19,525.17 2026-03-23
D0302 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier Tier 3 33 14 — — $19,179.83 $19,179.83 $19,179.83 2026-03-23
A2002 LOCAL Miscellaneous M >=55.50 And M <66.50- Tier None 33 14 — — $19,120.89 $19,120.89 $19,120.89 2026-03-23
D0702 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50- Tier Tier 3 33 14 — — $19,115.84 $19,115.84 $19,115.84 2026-03-23
D2002 LOCAL Miscellaneous M >=55.50 And M <66.50- Tier Tier 3 33 14 — — $18,492.79 $18,492.79 $18,492.79 2026-03-23
A0103 LOCAL Stroke M >=50.50 And M <63.50- Tier None 34 15 — — $13,918.73 $22,882.81 $18,400.77 2026-03-23
A1702 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50… 33 14 — — $18,270.51 $18,270.51 $18,270.51 2026-03-23
D0103 LOCAL Stroke M >=50.50 And M <63.50- Tier Tier 3 33 14 — — $15,304.09 $20,941.54 $18,122.81 2026-03-23
A0302 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier None 33 14 — — $18,076.86 $18,076.86 $18,076.86 2026-03-23
A0102 LOCAL Stroke M >=63.50 And M <72.50- Tier None 34 15 — — $17,826.42 $17,826.42 $17,826.42 2026-03-23
A0803 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50- Tier None 33 14 — — $17,627.25 $17,627.25 $17,627.25 2026-03-23
D2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 3 33 14 — — $6,105.15 $27,909.26 $17,007.21 2026-03-23
D0802 LOCAL Replacement Of Lower-extremity Joint M >=57.50 And M <63.50- Tier Tier 3 33 14 — — $16,978.94 $16,978.94 $16,978.94 2026-03-23
D0902 LOCAL Other Orthopedic M >=51.50 And M <63.50- Tier Tier 3 33 14 — — $14,177.71 $18,814.41 $16,496.06 2026-03-23
A1402 LOCAL Cardiac M >=55.50 And M <68.50- Tier None 33 14 — — $16,243.07 $16,243.07 $16,243.07 2026-03-23
A0802 LOCAL Replacement Of Lower-extremity Joint M >=57.50 And M <63.50- Tier None 33 14 — — $15,835.56 $15,835.56 $15,835.56 2026-03-23
A0902 LOCAL Other Orthopedic M >=51.50 And M <63.50- Tier None 33 14 — — $13,305.99 $17,214.69 $15,260.34 2026-03-23
A2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier None 33 14 — — $6,549.04 $21,882.07 $14,215.56 2026-03-23
A0602 LOCAL Neurological M >=52.50 And M <64.50- Tier None 33 14 — — $9,623.60 $17,888.26 $13,755.93 2026-03-23
A2001 LOCAL Miscellaneous M >=66.50- Tier None 33 14 — — $13,499.97 $13,499.97 $13,499.97 2026-03-23
D0803 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50- Tier Tier 3 33 14 — — $12,762.43 $12,762.43 $12,762.43 2026-03-23
A0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50- Tier None 34 15 — — $2,272.71 $21,876.43 $12,074.57 2026-03-23
D0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50- Tier Tier 3 33 14 — — $4,655.91 $4,655.91 $4,655.91 2026-03-23
0148 RC Room & Board - Deluxe Private - Rehabilitation 11 6 — — $1,600.00 $1,600.00 $1,600.00 2026-03-23
0138 RC Room & Board - Three And Four Beds - Rehabilitation 15 7 — — $1,600.00 $1,600.00 $1,600.00 2026-03-23
0158 RC Room & Board - Ward - Rehabilitation 15 7 — — $1,600.00 $1,600.00 $1,600.00 2026-03-23
0128 RC Room & Board - Semi-private (Two Beds) - Rehabilitation 11 6 — — $1,600.00 $1,600.00 $1,600.00 2026-03-23
0118 RC Room & Board - Private (One Bed) - Rehabilitation 15 7 — — $575.00 $1,512.50 $1,512.50 2026-03-23
0363 RC Operating Room Services - Assessment 1 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
0369 RC Operating Room Services - Other 3 2 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
0365 RC Operating Room Services - Treatment 1 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
128 OTHER R&b - Semi Pvt - Irf 5 4 $1,150.00 — $1,100.00 $1,100.00 $1,100.00 2026-05-08
118 OTHER R&b - Private - Irf 5 4 $1,150.00 — $1,100.00 $1,100.00 $1,100.00 2026-05-08
0481 RC Cardiology - Cardiac Cath Lab 3 2 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
0750 RC Gastro-intestinal (gi) Services - General Classification 2 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
0362 RC Operating Room Services - Organ Transplant - Other Than Kidney 3 2 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
0366 RC Operating Room Services - Continuation 1 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
0367 RC Operating Room Services - Kidney Transplant 1 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
0364 RC Operating Room Services - Evaluation Or Testing 1 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
0368 RC Operating Room Services - Other 1 1 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
0360 RC Operating Room Services - General Classification 3 2 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
0480 RC Cardiology - General Classification 3 2 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
0361 RC Operating Room Services - Minor Surgery 3 2 — — $1,100.00 $1,100.00 $1,100.00 2026-03-23
0809 RC Inpatient Renal Dialysis - Other 11 4 — — $550.00 $600.00 $600.00 2026-03-23
0806 RC Inpatient Renal Dialysis - Continuation 7 2 — — $600.00 $600.00 $600.00 2026-03-23
0805 RC Inpatient Renal Dialysis - Treatment 7 2 — — $600.00 $600.00 $600.00 2026-03-23
0807 RC Inpatient Renal Dialysis - Observation/Hourly 7 2 — — $600.00 $600.00 $600.00 2026-03-23
0803 RC Inpatient Renal Dialysis - Continuous Ambulatory Peritoneal Dialysis (capd) 11 4 — — $550.00 $600.00 $600.00 2026-03-23
0802 RC Inpatient Renal Dialysis - Peritoneal Dialysis (non-capd) 11 4 — — $550.00 $600.00 $600.00 2026-03-23
0804 RC Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (ccpd) 11 4 — — $550.00 $600.00 $600.00 2026-03-23
0808 RC Inpatient Renal Dialysis - Other 7 2 — — $600.00 $600.00 $600.00 2026-03-23
0801 RC Inpatient Renal Dialysis - Hemodialysis 11 4 — — $550.00 $600.00 $600.00 2026-03-23
0800 RC Inpatient Renal Dialysis - General Classification 11 4 — — $550.00 $600.00 $600.00 2026-03-23
0413 RC Respiratory Services - Hyperbaric Oxygen Therapy 4 2 — — $325.00 $325.00 $325.00 2026-03-23
0823 RC Hemodialysis - Outpatient Or Home - Home Equipment 3 1 — — $300.00 $300.00 $300.00 2026-03-23
0822 RC Hemodialysis - Outpatient Or Home - Home Supplies 3 1 — — $300.00 $300.00 $300.00 2026-03-23
0824 RC Hemodialysis - Outpatient Or Home - Maintenance 100% 3 1 — — $300.00 $300.00 $300.00 2026-03-23
0820 RC Hemodialysis - Outpatient Or Home - General Classification 4 2 — — $300.00 $300.00 $300.00 2026-03-23
0821 RC Hemodialysis - Outpatient Or Home - Hemodialysis Composite Or Other Rate 4 2 — — $300.00 $300.00 $300.00 2026-03-23
0825 RC Hemodialysis - Outpatient Or Home - Support Services 3 1 — — $300.00 $300.00 $300.00 2026-03-23
0829 RC Hemodialysis - Outpatient Or Home - Other Op Hemodialysis 4 2 — — $300.00 $300.00 $300.00 2026-03-23
97763 HCPCS Orthc/prostc Mgmt Sbsq Enc 77 19 — — $210.60 $210.60 $210.60 2026-03-23
92524 HCPCS Behavral Qualit Analys Voice 93 21 — — $65.00 $351.00 $208.00 2026-03-23
92523 HCPCS Speech Sound Lang Comprehen 93 22 — — $65.00 $351.00 $208.00 2026-03-23
92610 HCPCS Evaluate Swallowing Function 78 20 — — $60.67 $351.00 $205.84 2026-03-23
96125 HCPCS Cognitive Test By Hc Pro 77 19 — — $87.44 $280.80 $184.12 2026-03-23
97161 HCPCS Pt Eval Low Complex 20 Min 97 22 — — $65.00 $280.80 $172.90 2026-03-23
97162 HCPCS Pt Eval Mod Complex 30 Min 94 22 — — $65.00 $280.80 $172.90 2026-03-23
97113 HCPCS Aquatic Therapy/exercises 82 21 — — $65.00 $280.80 $172.90 2026-03-23
97166 HCPCS Ot Eval Mod Complex 45 Min 93 22 — — $65.00 $280.80 $172.90 2026-03-23
97163 HCPCS Pt Eval High Complex 45 Min 94 22 — — $65.00 $280.80 $172.90 2026-03-23
97165 HCPCS Ot Eval Low Complex 30 Min 91 22 — — $65.00 $280.80 $172.90 2026-03-23
92507 HCPCS Speech/hearing Therapy 93 22 — — $65.00 $280.80 $172.90 2026-03-23
92526 HCPCS Oral Function Therapy 83 22 — — $65.00 $280.80 $172.90 2026-03-23
97167 HCPCS Ot Eval High Complex 60 Min 91 21 — — $65.00 $280.80 $172.90 2026-03-23
97760 HCPCS Orthotic Mgmt&traing 1st Enc 77 19 — — $140.40 $140.40 $140.40 2026-03-23
97542 HCPCS Wheelchair Mngment Training 77 19 — — $140.40 $140.40 $140.40 2026-03-23
0831 RC Peritoneal Dialysis - Outpatient Or Home - Peritoneal/Composite Or Other Rate 4 2 — — $129.00 $129.00 $129.00 2026-03-23
0859 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - Other 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0854 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - Maintenance… 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0853 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - Home Equipm… 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0855 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - Support Ser… 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0849 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - Other 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0845 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - Support … 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0850 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - General Cla… 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0843 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - Home Equ… 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0842 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - Home Sup… 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0844 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - Maintena… 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0851 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - CCPD/Compos… 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0839 RC Peritoneal Dialysis - Outpatient Or Home - Other 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0835 RC Peritoneal Dialysis - Outpatient Or Home - Support Services 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0840 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - General … 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0833 RC Peritoneal Dialysis - Outpatient Or Home - Home Equipment 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0832 RC Peritoneal Dialysis - Outpatient Or Home - Home Supplies 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0834 RC Peritoneal Dialysis - Outpatient Or Home - Maintenance 100% 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0841 RC Continuous Ambulatory Peritoneal Dialysis (capd) - Outpatient Or Home - CAPD/Com… 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0852 RC Continuous Cycling Peritoneal Dialysis (ccpd) - Outpatient Or Home - Home Suppli… 3 1 — — $129.00 $129.00 $129.00 2026-03-23
0830 RC Peritoneal Dialysis - Outpatient Or Home - General Classification 3 1 — — $129.00 $129.00 $129.00 2026-03-23
97130 HCPCS Ther Ivntj Ea Addl 15 Min 77 19 — — $42.21 $210.60 $126.41 2026-03-23
97535 HCPCS Self Care Mngment Training 92 22 — — $28.58 $216.00 $122.29 2026-03-23
0410 RC Respiratory Services - General Classification 80 22 — — $120.00 $120.00 $120.00 2026-03-23
0428 RC Physical Therapy - Other 4 2 — — $110.00 $110.00 $110.00 2026-03-23
0436 RC Occupational Therapy - Continuation 4 2 — — $110.00 $110.00 $110.00 2026-03-23
0437 RC Occupational Therapy - Observation/Hourly 4 2 — — $110.00 $110.00 $110.00 2026-03-23
0446 RC Speech-language Pathology - Continuation 4 2 — — $110.00 $110.00 $110.00 2026-03-23
0435 RC Occupational Therapy - Treatment 4 2 — — $110.00 $110.00 $110.00 2026-03-23
0447 RC Speech-language Pathology - Observation/Hourly 4 2 — — $110.00 $110.00 $110.00 2026-03-23
0445 RC Speech-language Pathology - Treatment 4 2 — — $110.00 $110.00 $110.00 2026-03-23
0427 RC Physical Therapy - Observation/Hourly 4 2 — — $110.00 $110.00 $110.00 2026-03-23
0425 RC Physical Therapy - Treatment 4 2 — — $110.00 $110.00 $110.00 2026-03-23
0438 RC Occupational Therapy - Other 4 2 — — $110.00 $110.00 $110.00 2026-03-23
0426 RC Physical Therapy - Continuation 4 2 — — $110.00 $110.00 $110.00 2026-03-23
0448 RC Speech-language Pathology - Other 4 2 — — $110.00 $110.00 $110.00 2026-03-23
0424 RC Physical Therapy - Evaluation Or Re-evaluation 94 24 — — $65.00 $150.00 $107.50 2026-03-23
0444 RC Speech Therapy - Language Pathology - Evaluation Or Reevaluation 90 24 — — $65.00 $150.00 $107.50 2026-03-23
0434 RC Occupational Therapy - Evaluation Or Reevaluation 94 24 — — $65.00 $150.00 $107.50 2026-03-23
97168 HCPCS Ot Re-eval Est Plan Care 88 21 — — $65.00 $150.00 $107.50 2026-03-23
97164 HCPCS Pt Re-eval Est Plan Care 92 22 — — $65.00 $150.00 $107.50 2026-03-23
96105 HCPCS Assessment Of Aphasia 82 21 — — $65.00 $150.00 $107.50 2026-03-23
92522 HCPCS Evaluate Speech Production 88 21 — — $65.00 $150.00 $107.50 2026-03-23
0422 RC Physical Therapy - Hourly Charge 8 4 — — $85.00 $110.00 $93.75 2026-03-23
0432 RC Occupational Therapy - Hourly Charge 8 4 — — $85.00 $110.00 $93.75 2026-03-23
0442 RC Speech Therapy - Language Pathology - Hourly Charge 8 4 — — $85.00 $110.00 $93.75 2026-03-23
424 OTHER Pt Eval High Complex 1unit 24 18 $260.00 — $77.90 $92.50 $92.50 2026-05-08
434 OTHER Ot Eval High Complex 1unit 22 17 $260.00 — $77.90 $92.50 $92.50 2026-05-08
420 OTHER Pt Adl Slf Care Trn 15min 22 17 $100.00 — $77.90 $92.50 $92.50 2026-05-08
421 OTHER Pt Ther Ex 15min 24 18 $65.00 — $77.90 $92.50 $92.50 2026-05-08
440 OTHER St Cog Tx Ea Addl 15min 22 17 $65.00 — $77.90 $92.50 $92.50 2026-05-08
444 OTHER St Aphasia Assessment 1unit 21 16 $260.00 — $77.90 $92.50 $92.50 2026-05-08
0440 RC Speech Therapy - Language Pathology - General Classification 94 24 — — $65.00 $120.00 $92.50 2026-03-23
0430 RC Occupational Therapy - General Classification 94 24 — — $65.00 $120.00 $92.50 2026-03-23
430 OTHER Ot Adl Slf Care Trn 15min 22 17 $100.00 — $77.90 $92.50 $92.50 2026-05-08
0420 RC Physical Therapy - General Classification 94 24 — — $65.00 $120.00 $92.50 2026-03-23
97537 HCPCS Community/work Reintegration 82 21 — — $65.00 $120.00 $92.50 2026-03-23
92607 HCPCS Ex For Speech Device Rx 1hr 82 21 — — $65.00 $120.00 $92.50 2026-03-23
0449 RC Speech Therapy - Language Pathology - Other 12 5 — — $85.00 $110.00 $90.00 2026-03-23
0443 RC Speech Therapy - Language Pathology - Group Rate 12 5 — — $85.00 $110.00 $90.00 2026-03-23
0439 RC Occupational Therapy - Other 12 5 — — $85.00 $110.00 $90.00 2026-03-23
0431 RC Occupational Therapy - Visit Charge 15 6 — — $65.00 $110.00 $90.00 2026-03-23
0429 RC Physical Therapy - Other 12 5 — — $85.00 $110.00 $90.00 2026-03-23
0433 RC Occupational Therapy - Group Rate 12 5 — — $85.00 $110.00 $90.00 2026-03-23
0441 RC Speech Therapy - Language Pathology - Visit Charge 15 6 — — $65.00 $110.00 $90.00 2026-03-23
0423 RC Physical Therapy - Group Rate 12 5 — — $85.00 $110.00 $90.00 2026-03-23
92606 HCPCS Non-speech Device Service 9 4 — — $65.00 $120.00 $90.00 2026-03-23
92605 HCPCS Ex For Nonspeech Device Rx 9 4 — — $65.00 $120.00 $90.00 2026-03-23
92597 HCPCS Oral Speech Device Eval 9 4 — — $65.00 $120.00 $90.00 2026-03-23
0421 RC Physical Therapy - Visit Charge 92 22 — — $65.00 $110.00 $87.50 2026-03-23
97110 HCPCS Therapeutic Exercises 96 22 — — $33.03 $140.40 $86.72 2026-03-23
97116 HCPCS Gait Training Therapy 97 22 — — $25.20 $140.40 $82.80 2026-03-23
92521 HCPCS Evaluation Of Speech Fluency 26 5 — — $65.00 $150.00 $82.65 2026-03-23
97530 HCPCS Therapeutic Activities 114 22 — — $23.91 $140.40 $82.16 2026-03-23
97112 HCPCS Neuromuscular Reeducation 115 22 — — $22.04 $140.40 $81.22 2026-03-23
97032 HCPCS Appl Modality 1+estim Ea 15 92 21 — — $20.66 $140.40 $80.53 2026-03-23
97124 HCPCS Massage Therapy 90 21 — — $27.90 $120.00 $73.95 2026-03-23
97140 HCPCS Manual Therapy 1/> Regions 93 21 — — $23.80 $120.00 $71.90 2026-03-23
97129 HCPCS Ther Ivntj 1st 15 Min 82 21 — — $14.73 $120.00 $67.36 2026-03-23
97035 HCPCS App Mdlty 1+ultrasound Ea 15 77 19 — — $12.16 $70.20 $41.18 2026-03-23
95992 HCPCS Canalith Repositioning Proc 77 19 — — $30.36 $30.36 $30.36 2026-03-23
97014 HCPCS Electric Stimulation Therapy 23 2 — — $8.05 $8.05 $8.05 2026-03-23
66180 HCPCS Aqueous Shunt Eye W/graft 0 0 — — — — — 2026-03-23
66170 HCPCS Glaucoma Surgery 0 0 — — — — — 2026-03-23
36589 HCPCS Removal Tunneled Cv Cath 0 0 — — — — — 2026-03-23
65820 HCPCS Relieve Inner Eye Pressure 0 0 — — — — — 2026-03-23
65756 HCPCS Corneal Trnspl Endothelial 0 0 — — — — — 2026-03-23
36573 HCPCS Insj Picc Rs&i 5 Yr+ 0 0 — — — — — 2026-03-23
24615 HCPCS Treat Elbow Dislocation 0 0 — — — — — 2026-03-23
65755 HCPCS Corneal Transplant 0 0 — — — — — 2026-03-23
65730 HCPCS Corneal Transplant 0 0 — — — — — 2026-03-23
36569 HCPCS Insj Picc 5 Yr+ Without Imaging 0 0 — — — — — 2026-03-23
65426 HCPCS Removal Of Eye Lesion 0 0 — — — — — 2026-03-23
64721 HCPCS Carpal Tunnel Surgery 0 0 — — — — — 2026-03-23
36561 HCPCS Insert Tunneled Cv Cath 0 0 — — — — — 2026-03-23
24516 HCPCS Treat Humerus Fracture 0 0 — — — — — 2026-03-23
15853 HCPCS Removal Sutr/stapl Xreq Anes 0 0 — — — — — 2026-03-23
64718 HCPCS Revise Ulnar Nerve At Elbow 0 0 — — — — — 2026-03-23
64450 HCPCS Njx Aa&/strd Other Pn/branch 0 0 — — — — — 2026-03-23
36558 HCPCS Insert Tunneled Cv Cath 0 0 — — — — — 2026-03-23
62328 HCPCS Dx Lmbr Spi Pnxr W/fluor/ct 0 0 — — — — — 2026-03-23
62270 HCPCS Dx Lmbr Spi Pnxr 0 0 — — — — — 2026-03-23
36556 HCPCS Insert Non-tunnel Cv Cath 0 0 — — — — — 2026-03-23
24430 HCPCS Repair Of Humerus 0 0 — — — — — 2026-03-23
61782 HCPCS Scan Proc Cranial Extra 0 0 — — — — — 2026-03-23
60220 HCPCS Partial Removal Of Thyroid 0 0 — — — — — 2026-03-23
36514 HCPCS Apheresis Plasma 0 0 — — — — — 2026-03-23
59897 HCPCS Unlisted Fetal Invas Px W/us 0 0 — — — — — 2026-03-23
59820 HCPCS Care Of Miscarriage 0 0 — — — — — 2026-03-23
36460 HCPCS Intrauterine Transfusion Ftl 0 0 — — — — — 2026-03-23
24344 HCPCS Reconstruct Elbow Lat Ligmnt 0 0 — — — — — 2026-03-23
15772 HCPCS Grfg Autol Fat Lipo Ea Addl 0 0 — — — — — 2026-03-23
10060 HCPCS I&d Abscess Simple/single 0 0 — — — — — 2026-03-23
59025 HCPCS Fetal Non-stress Test 0 0 — — — — — 2026-03-23
59012 HCPCS Fetal Cord Puncture Prenatal 0 0 — — — — — 2026-03-23
36430 HCPCS Transfusion Bld/bld Compnt 0 0 — — — — — 2026-03-23
58662 HCPCS Laparoscopy Excise Lesions 0 0 — — — — — 2026-03-23
See an error in this hospital's data? Submit a correction