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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 Humble

Humble, TX · CCN 673051 · Rates published

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You selected 302 (APR_DRG)

PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

This hospital’s price: $12,628 across 3 payers · range $12,628-$13,259

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8508/465646835_clear-lake-institute-for-rehabilitation-llc_standardcharges.csv · observed 2026-08-06

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

7,204 distinct procedures filed
39 distinct payers
156,386 rate rows
2026-08-06 last MRF observed
Data quality

140,844 of 156,386 rate rows are consumer-grade (90.1%)

15,542 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 15,082
per-diem day rate — not a per-procedure price 382
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 51
exceeds 10× this hospital's gross charge — excluded from medians 19
placeholder amount (≤ $0.02) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8508/465646835_clear-lake-institute-for-rehabilitation-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/RehabHospitalOfClearLake/8508
Discovered viaCMS hospital list
Last fetch success · 2026-09-25
Content fingerprint 2040bdcd46e8eb62… · 136,644,433 bytes · first seen 2026-09-25

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 $166,433.07 $174,754.72 $166,433.07 nat. median
$202,242
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $155,921.58 $163,717.66 $155,921.58 nat. median
$152,792
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $108,481.37 $113,905.44 $108,481.37 nat. median
$135,803
0.8× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 3 $100,809.07 $105,849.52 $100,809.07 nat. median
$16,170
outlier · 6.2×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $91,306.12 $95,871.43 $91,306.12 nat. median
$135,630
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $90,913.61 $95,459.29 $90,913.61 nat. median
$173,018
0.5× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 $87,634.50 $92,016.23 $87,634.50 nat. median
$50,461
1.7× median
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 26 $69,901.32 $173,005.77 $87,376.65 nat. median
$90,183
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $86,747.16 $91,084.52 $86,747.16 nat. median
$155,539
0.6× median
B1904
HCPCS 		Guillain-barr M <38.50 26 $65,441.50 $161,967.72 $81,801.88 nat. median
$84,429
1.0× median
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 $77,292.70 $81,157.34 $77,292.70 nat. median
$47,145
1.6× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $77,249.57 $81,112.05 $77,249.57 nat. median
$106,926
0.7× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $76,603.94 $80,434.14 $76,603.94 nat. median
$73,618
1.0× median
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 3 $74,910.55 $78,656.08 $74,910.55 nat. median
$14,114
outlier · 5.3×
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 26 $57,135.63 $141,410.69 $71,419.54 nat. median
$73,713
1.0× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 26 $55,632.06 $137,689.36 $69,540.08 nat. median
$69,540
1.0× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 26 $55,391.49 $137,093.93 $69,239.36 nat. median
$71,463
1.0× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 $67,387.27 $70,756.63 $67,387.27 nat. median
$77,606
0.9× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 26 $51,044.25 $126,334.51 $63,805.31 nat. median
$65,854
1.0× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 26 $50,341.04 $124,594.07 $62,926.30 nat. median
$64,947
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 3 $62,357.72 $65,475.61 $62,357.72 nat. median
$109,992
0.6× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $61,644.72 $64,726.96 $61,644.72 nat. median
$68,335
0.9× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 26 $48,985.51 $121,239.14 $61,231.89 nat. median
$61,232
1.0× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 26 $48,178.98 $119,242.99 $60,223.73 nat. median
$60,224
1.0× median
1611
APR_DRG 		Implantable Heart Assist Systems 3 $59,140.64 $62,097.67 $59,140.64 nat. median
$108,954
0.5× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $58,724.96 $61,661.21 $58,724.96 nat. median
$91,350
0.6× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $58,704.99 $61,640.24 $58,704.99 nat. median
$85,032
0.7× median
C1904
HCPCS 		Guillain-barr M <38.50 26 $46,249.79 $114,468.24 $57,812.24 nat. median
$59,669
1.0× median
6804
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 $57,190.21 $60,049.72 $57,190.21 nat. median
$52,992
1.1× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 26 $45,315.26 $112,155.28 $56,644.08 nat. median
$59,476
1.0× median
4414
APR_DRG 		Major Bladder Procedures 3 $55,830.15 $58,621.66 $55,830.15 nat. median
$43,455
1.3× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50 26 $43,680.62 $108,109.52 $54,600.77 nat. median
$54,601
1.0× median
B1903
HCPCS 		Guillain-barr M >=38.50 And M <51.50 26 $42,557.95 $105,330.93 $53,197.44 nat. median
$53,197
1.0× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 26 $42,019.75 $103,998.89 $52,524.69 nat. median
$52,525
1.0× median
1784
APR_DRG 		External Heart Assist Systems 3 $52,291.15 $54,905.71 $52,291.15 nat. median
$66,229
0.8× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 26 $41,722.12 $103,262.25 $52,152.65 nat. median
$53,828
1.0× median
D1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 26 $41,686.65 $103,174.45 $52,108.31 nat. median
$53,782
1.0× median
1674
APR_DRG 		Other Cardiothoracic And Thoracic Vascular Procedures 3 $51,209.52 $53,770.00 $51,209.52 nat. median
$54,029
0.9× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 26 $40,624.13 $100,544.72 $50,780.16 nat. median
$52,411
1.0× median
6904
APR_DRG 		Acute Leukemia 3 $50,749.63 $53,287.11 $50,749.63 nat. median
$48,234
1.1× median
434
APR_DRG 		Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 $50,438.76 $52,960.70 $50,438.76 nat. median
$32,685
1.5× median
92
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $50,382.07 $52,901.17 $50,382.07 nat. median
$45,157
1.1× median
A1904
HCPCS 		Guillain-barr M <38.50 26 $40,218.55 $99,540.92 $50,273.19 nat. median
$51,888
1.0× median
D1904
HCPCS 		Guillain-barr M <38.50 26 $40,206.22 $99,510.38 $50,257.77 nat. median
$51,872
1.0× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 26 $40,039.66 $99,098.17 $50,049.58 nat. median
$50,092
1.0× median
B1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 26 $39,412.02 $97,544.74 $49,265.02 nat. median
$50,847
1.0× median
B2102
HCPCS 		Burns M <52.50 26 $39,248.55 $97,140.17 $49,060.69 nat. median
$49,061
1.0× median
A1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 26 $39,126.73 $96,838.65 $48,908.41 nat. median
$50,479
1.0× median
91
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $48,860.52 $51,303.55 $48,860.52 nat. median
$43,644
1.1× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 26 $38,986.39 $96,491.32 $48,732.99 nat. median
$48,733
1.0× median

Other procedures at this hospital

Browse this hospital's 7,204 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
             
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $166,433.07 $174,754.72 $166,433.07 2026-08-06
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $155,921.58 $163,717.66 $155,921.58 2026-08-06
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $108,481.37 $113,905.44 $108,481.37 2026-08-06
2004 APR_DRG Cardiac Structural And Valvular Disorders 3 3 — — $100,809.07 $105,849.52 $100,809.07 2026-08-06
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $91,306.12 $95,871.43 $91,306.12 2026-08-06
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $90,913.61 $95,459.29 $90,913.61 2026-08-06
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $87,634.50 $92,016.23 $87,634.50 2026-08-06
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 26 — — $69,901.32 $173,005.77 $87,376.65 2026-08-06
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $86,747.16 $91,084.52 $86,747.16 2026-08-06
B1904 HCPCS Guillain-barr M <38.50 30 26 — — $65,441.50 $161,967.72 $81,801.88 2026-08-06
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $77,292.70 $81,157.34 $77,292.70 2026-08-06
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $77,249.57 $81,112.05 $77,249.57 2026-08-06
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $76,603.94 $80,434.14 $76,603.94 2026-08-06
2464 APR_DRG Gastrointestinal Vascular Insufficiency 3 3 — — $74,910.55 $78,656.08 $74,910.55 2026-08-06
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 26 — — $57,135.63 $141,410.69 $71,419.54 2026-08-06
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 26 — — $55,632.06 $137,689.36 $69,540.08 2026-08-06
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 26 — — $55,391.49 $137,093.93 $69,239.36 2026-08-06
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $67,387.27 $70,756.63 $67,387.27 2026-08-06
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 26 — — $51,044.25 $126,334.51 $63,805.31 2026-08-06
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 26 — — $50,341.04 $124,594.07 $62,926.30 2026-08-06
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $62,357.72 $65,475.61 $62,357.72 2026-08-06
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $61,644.72 $64,726.96 $61,644.72 2026-08-06
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 26 — — $48,985.51 $121,239.14 $61,231.89 2026-08-06
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 26 — — $48,178.98 $119,242.99 $60,223.73 2026-08-06
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $59,140.64 $62,097.67 $59,140.64 2026-08-06
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $58,724.96 $61,661.21 $58,724.96 2026-08-06
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $58,704.99 $61,640.24 $58,704.99 2026-08-06
C1904 HCPCS Guillain-barr M <38.50 30 26 — — $46,249.79 $114,468.24 $57,812.24 2026-08-06
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $57,190.21 $60,049.72 $57,190.21 2026-08-06
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 26 — — $45,315.26 $112,155.28 $56,644.08 2026-08-06
4414 APR_DRG Major Bladder Procedures 3 3 — — $55,830.15 $58,621.66 $55,830.15 2026-08-06
B0106 HCPCS Stroke M <41.50 And A <84.50 30 26 — — $43,680.62 $108,109.52 $54,600.77 2026-08-06
B1903 HCPCS Guillain-barr M >=38.50 And M <51.50 30 26 — — $42,557.95 $105,330.93 $53,197.44 2026-08-06
B0205 HCPCS Traumatic Brain Injury M <35.50 30 26 — — $42,019.75 $103,998.89 $52,524.69 2026-08-06
1784 APR_DRG External Heart Assist Systems 3 3 — — $52,291.15 $54,905.71 $52,291.15 2026-08-06
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 26 — — $41,722.12 $103,262.25 $52,152.65 2026-08-06
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 26 — — $41,686.65 $103,174.45 $52,108.31 2026-08-06
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $51,209.52 $53,770.00 $51,209.52 2026-08-06
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 26 — — $40,624.13 $100,544.72 $50,780.16 2026-08-06
6904 APR_DRG Acute Leukemia 3 3 — — $50,749.63 $53,287.11 $50,749.63 2026-08-06
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 3 — — $50,438.76 $52,960.70 $50,438.76 2026-08-06
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $50,382.07 $52,901.17 $50,382.07 2026-08-06
A1904 HCPCS Guillain-barr M <38.50 30 26 — — $40,218.55 $99,540.92 $50,273.19 2026-08-06
D1904 HCPCS Guillain-barr M <38.50 30 26 — — $40,206.22 $99,510.38 $50,257.77 2026-08-06
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 26 — — $40,039.66 $99,098.17 $50,049.58 2026-08-06
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 26 — — $39,412.02 $97,544.74 $49,265.02 2026-08-06
B2102 HCPCS Burns M <52.50 30 26 — — $39,248.55 $97,140.17 $49,060.69 2026-08-06
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 26 — — $39,126.73 $96,838.65 $48,908.41 2026-08-06
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $48,860.52 $51,303.55 $48,860.52 2026-08-06
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 26 — — $38,986.39 $96,491.32 $48,732.99 2026-08-06
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 26 — — $38,801.34 $96,033.31 $48,501.67 2026-08-06
C0106 HCPCS Stroke M <41.50 And A <84.50 30 26 — — $38,789.00 $96,002.78 $48,486.25 2026-08-06
B0105 HCPCS Stroke M <41.50 And A >=84.50 30 26 — — $38,778.21 $95,976.06 $48,472.76 2026-08-06
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 26 — — $38,232.30 $94,624.93 $47,790.37 2026-08-06
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $47,541.81 $49,918.90 $47,541.81 2026-08-06
B0604 HCPCS Neurological M <43.50 30 26 — — $37,778.91 $93,502.81 $47,223.64 2026-08-06
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 26 — — $37,024.82 $91,636.42 $46,281.02 2026-08-06
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 26 — — $36,761.11 $90,983.75 $45,951.39 2026-08-06
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 26 — — $36,546.76 $90,453.23 $45,683.45 2026-08-06
B1004 HCPCS Amputation Lower Extremity M <47.50 30 26 — — $36,446.52 $90,205.14 $45,558.15 2026-08-06
B1504 HCPCS Pulmonary M <45.50 30 26 — — $36,124.22 $89,407.43 $45,155.27 2026-08-06
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $44,555.74 $46,783.53 $44,555.74 2026-08-06
B0704 HCPCS Fracture Of Lower Extremity M <41.50 30 26 — — $35,376.29 $87,556.31 $44,220.36 2026-08-06
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 3 — — $44,209.22 $46,419.68 $44,209.22 2026-08-06
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 26 — — $35,333.10 $87,449.43 $44,166.38 2026-08-06
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 26 — — $35,279.14 $87,315.86 $44,098.92 2026-08-06
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 26 — — $35,263.71 $87,277.69 $44,079.64 2026-08-06
D0106 HCPCS Stroke M <41.50 And A <84.50 30 26 — — $35,143.42 $86,979.97 $43,929.28 2026-08-06
234 APR_DRG Spinal Procedures 3 3 — — $43,554.33 $45,732.05 $43,554.33 2026-08-06
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $43,396.75 $45,566.59 $43,396.75 2026-08-06
B0904 HCPCS Other Orthopedic M <44.5 30 26 — — $34,669.99 $85,808.23 $43,337.49 2026-08-06
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 26 — — $34,444.85 $85,251.00 $43,056.06 2026-08-06
C0105 HCPCS Stroke M <41.50 And A >=84.50 30 26 — — $34,435.59 $85,228.09 $43,044.49 2026-08-06
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $42,839.18 $44,981.14 $42,839.18 2026-08-06
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 26 — — $34,108.66 $84,418.94 $42,635.83 2026-08-06
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 26 — — $33,909.73 $83,926.58 $42,387.16 2026-08-06
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 26 — — $33,854.21 $83,789.16 $42,317.76 2026-08-06
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $42,303.36 $44,418.53 $42,303.36 2026-08-06
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $42,108.35 $44,213.77 $42,108.35 2026-08-06
C0205 HCPCS Traumatic Brain Injury M <35.50 30 26 — — $33,410.08 $82,689.95 $41,762.60 2026-08-06
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 26 — — $33,363.82 $82,575.44 $41,704.77 2026-08-06
A0106 HCPCS Stroke M <41.50 And A <84.50 30 26 — — $33,334.51 $82,502.92 $41,668.14 2026-08-06
B1404 HCPCS Cardiac M <45.50 30 26 — — $33,106.28 $81,938.04 $41,382.85 2026-08-06
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 26 — — $33,101.66 $81,926.60 $41,377.07 2026-08-06
C2102 HCPCS Burns M <52.50 30 26 — — $32,996.79 $81,667.06 $41,245.99 2026-08-06
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 26 — — $32,753.14 $81,064.01 $40,941.42 2026-08-06
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 26 — — $32,586.58 $80,651.80 $40,733.23 2026-08-06
264 APR_DRG Other Nervous System And Related Procedures 3 3 — — $40,633.86 $42,665.55 $40,633.86 2026-08-06
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 26 — — $32,245.78 $79,808.30 $40,307.22 2026-08-06
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $40,218.53 $42,229.46 $40,218.53 2026-08-06
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 26 — — $32,153.25 $79,579.29 $40,191.56 2026-08-06
1824 APR_DRG Other Peripheral Vascular Procedures 3 3 — — $40,186.09 $42,195.39 $40,186.09 2026-08-06
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $40,162.20 $42,170.31 $40,162.20 2026-08-06
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 26 — — $31,867.96 $78,873.20 $39,834.95 2026-08-06
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 26 — — $31,743.05 $78,564.04 $39,678.81 2026-08-06
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 26 — — $31,715.29 $78,495.34 $39,644.11 2026-08-06
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $39,504.81 $41,480.05 $39,504.81 2026-08-06
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $39,495.18 $41,469.94 $39,495.18 2026-08-06
2054 APR_DRG Cardiomyopathy 3 3 — — $39,383.60 $41,352.78 $39,383.60 2026-08-06
6954 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $39,332.98 $41,299.63 $39,332.98 2026-08-06
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $39,292.69 $41,257.32 $39,292.69 2026-08-06
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 26 — — $31,277.33 $77,411.39 $39,096.66 2026-08-06
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 26 — — $31,223.35 $77,277.80 $39,029.19 2026-08-06
D0105 HCPCS Stroke M <41.50 And A >=84.50 30 26 — — $31,198.68 $77,216.73 $38,998.35 2026-08-06
B0104 HCPCS Stroke M >=41.50 And M <50.50 30 26 — — $31,115.40 $77,010.62 $38,894.25 2026-08-06
B1604 HCPCS Pain Syndrome M <43.50 30 26 — — $30,918.01 $76,522.07 $38,647.51 2026-08-06
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $38,632.45 $40,564.07 $38,632.45 2026-08-06
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 26 — — $30,881.00 $76,430.48 $38,601.25 2026-08-06
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $38,503.04 $40,428.19 $38,503.04 2026-08-06
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $38,382.90 $40,302.05 $38,382.90 2026-08-06
D0205 HCPCS Traumatic Brain Injury M <35.50 30 26 — — $30,523.22 $75,544.98 $38,154.03 2026-08-06
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $37,915.16 $39,810.92 $37,915.16 2026-08-06
C1004 HCPCS Amputation Lower Extremity M <47.50 30 26 — — $30,284.20 $74,953.40 $37,855.25 2026-08-06
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $37,825.32 $39,716.59 $37,825.32 2026-08-06
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 26 — — $30,231.77 $74,823.63 $37,789.71 2026-08-06
2304 APR_DRG Major Small Bowel Procedures 3 3 — — $37,688.78 $39,573.22 $37,688.78 2026-08-06
B1902 HCPCS Guillain-barr M >=51.50 And M <66.50 30 26 — — $30,079.10 $74,445.76 $37,598.87 2026-08-06
C1903 HCPCS Guillain-barr M >=38.50 And M <51.50 30 26 — — $30,077.55 $74,441.94 $37,596.94 2026-08-06
224 APR_DRG Ventricular Shunt Procedures 3 3 — — $37,540.12 $39,417.13 $37,540.12 2026-08-06
B0603 HCPCS Neurological M >=43.50 And M <52.50 30 26 — — $29,870.91 $73,930.51 $37,338.64 2026-08-06
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 3 — — $37,334.42 $39,201.14 $37,334.42 2026-08-06
B1103 HCPCS Amputation Non-lower Extremity M <52.50 30 26 — — $29,830.82 $73,831.27 $37,288.52 2026-08-06
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $37,105.19 $38,960.45 $37,105.19 2026-08-06
A0105 HCPCS Stroke M <41.50 And A >=84.50 30 26 — — $29,593.33 $73,243.49 $36,991.66 2026-08-06
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 26 — — $29,420.61 $72,816.00 $36,775.76 2026-08-06
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $36,766.15 $38,604.46 $36,766.15 2026-08-06
C1504 HCPCS Pulmonary M <45.50 30 26 — — $29,045.87 $71,888.53 $36,307.34 2026-08-06
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 26 — — $28,990.36 $71,751.14 $36,237.95 2026-08-06
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 26 — — $28,965.68 $71,690.06 $36,207.10 2026-08-06
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 3 — — $36,104.84 $37,910.08 $36,104.84 2026-08-06
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 26 — — $28,806.85 $71,296.95 $36,008.56 2026-08-06
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 30 26 — — $28,791.42 $71,258.77 $35,989.28 2026-08-06
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $35,982.20 $37,781.31 $35,982.20 2026-08-06
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 26 — — $28,772.92 $71,212.98 $35,966.15 2026-08-06
A0205 HCPCS Traumatic Brain Injury M <35.50 30 26 — — $28,677.30 $70,976.33 $35,846.63 2026-08-06
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $35,836.04 $37,627.84 $35,836.04 2026-08-06
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 26 — — $28,649.55 $70,907.64 $35,811.94 2026-08-06
C0604 HCPCS Neurological M <43.50 30 26 — — $28,610.99 $70,812.21 $35,763.74 2026-08-06
4834 APR_DRG Penis, Testes And Scrotal Procedures 3 3 — — $35,699.85 $37,484.84 $35,699.85 2026-08-06
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 30 26 — — $28,378.14 $70,235.89 $35,472.67 2026-08-06
C0704 HCPCS Fracture Of Lower Extremity M <41.50 30 26 — — $28,285.61 $70,006.88 $35,357.01 2026-08-06
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $35,316.97 $37,082.82 $35,316.97 2026-08-06
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 26 — — $28,248.60 $69,915.29 $35,310.75 2026-08-06
C1103 HCPCS Amputation Non-lower Extremity M <52.50 30 26 — — $28,240.89 $69,896.20 $35,301.11 2026-08-06
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $35,270.27 $37,033.78 $35,270.27 2026-08-06
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $35,261.36 $37,024.43 $35,261.36 2026-08-06
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 26 — — $28,191.54 $69,774.05 $35,239.42 2026-08-06
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 30 26 — — $28,162.24 $69,701.54 $35,202.80 2026-08-06
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 26 — — $27,944.80 $69,163.38 $34,931.00 2026-08-06
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $34,736.23 $36,473.04 $34,736.23 2026-08-06
C1604 HCPCS Pain Syndrome M <43.50 30 26 — — $27,708.86 $68,579.42 $34,636.07 2026-08-06
C0104 HCPCS Stroke M >=41.50 And M <50.50 30 26 — — $27,631.74 $68,388.57 $34,539.68 2026-08-06
D1004 HCPCS Amputation Lower Extremity M <47.50 30 26 — — $27,486.79 $68,029.81 $34,358.49 2026-08-06
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 30 26 — — $27,400.43 $67,816.07 $34,250.54 2026-08-06
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 30 26 — — $27,375.75 $67,754.99 $34,219.69 2026-08-06
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 26 — — $27,354.17 $67,701.57 $34,192.71 2026-08-06
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 30 26 — — $27,286.31 $67,533.62 $34,107.89 2026-08-06
D1504 HCPCS Pulmonary M <45.50 30 26 — — $27,201.50 $67,323.70 $34,001.87 2026-08-06
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 26 — — $27,158.32 $67,216.84 $33,947.90 2026-08-06
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $33,859.94 $35,552.94 $33,859.94 2026-08-06
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 26 — — $27,005.65 $66,838.98 $33,757.06 2026-08-06
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 26 — — $27,004.10 $66,835.16 $33,755.13 2026-08-06
D0604 HCPCS Neurological M <43.50 30 26 — — $26,948.58 $66,697.75 $33,685.73 2026-08-06
D0704 HCPCS Fracture Of Lower Extremity M <41.50 30 26 — — $26,863.77 $66,487.83 $33,579.71 2026-08-06
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 26 — — $26,820.59 $66,380.97 $33,525.74 2026-08-06
1783 APR_DRG External Heart Assist Systems 3 3 — — $33,463.51 $35,136.69 $33,463.51 2026-08-06
1214 APR_DRG Other Respiratory And Chest Procedures 3 3 — — $33,444.26 $35,116.47 $33,444.26 2026-08-06
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 30 26 — — $26,718.81 $66,129.05 $33,398.51 2026-08-06
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 26 — — $26,687.97 $66,052.72 $33,359.96 2026-08-06
C1404 HCPCS Cardiac M <45.50 30 26 — — $26,669.46 $66,006.92 $33,336.83 2026-08-06
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 30 26 — — $26,575.39 $65,774.10 $33,219.24 2026-08-06
B1403 HCPCS Cardiac M >=45.50 And M <55.50 30 26 — — $26,535.30 $65,674.86 $33,169.12 2026-08-06
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 26 — — $26,442.77 $65,445.85 $33,053.46 2026-08-06
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 26 — — $26,273.14 $65,026.01 $32,841.42 2026-08-06
C0904 HCPCS Other Orthopedic M <44.5 30 26 — — $26,260.80 $64,995.48 $32,826.00 2026-08-06
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 30 26 — — $26,192.94 $64,827.54 $32,741.18 2026-08-06
A1903 HCPCS Guillain-barr M >=38.50 And M <51.50 30 26 — — $26,154.39 $64,732.12 $32,692.99 2026-08-06
D1903 HCPCS Guillain-barr M >=38.50 And M <51.50 30 26 — — $26,148.22 $64,716.85 $32,685.28 2026-08-06
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 26 — — $26,132.81 $64,678.70 $32,666.01 2026-08-06
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $32,644.98 $34,277.23 $32,644.98 2026-08-06
2244 APR_DRG Peritoneal Adhesiolysis 3 3 — — $32,592.93 $34,222.58 $32,592.93 2026-08-06
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 26 — — $26,071.12 $64,526.02 $32,588.90 2026-08-06
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 26 — — $26,058.78 $64,495.49 $32,573.48 2026-08-06
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 26 — — $26,041.82 $64,453.49 $32,552.27 2026-08-06
A1504 HCPCS Pulmonary M <45.50 30 26 — — $26,003.26 $64,358.08 $32,504.08 2026-08-06
33276 CPT Fee Schedule 3 3 — — $32,454.62 $34,077.35 $32,454.62 2026-08-06
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 30 26 — — $25,889.15 $64,075.65 $32,361.44 2026-08-06
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 26 — — $25,882.98 $64,060.39 $32,353.73 2026-08-06
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 26 — — $25,830.55 $63,930.62 $32,288.19 2026-08-06
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $32,275.29 $33,889.05 $32,275.29 2026-08-06
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $32,101.67 $33,706.75 $32,101.67 2026-08-06
A1004 HCPCS Amputation Lower Extremity M <47.50 30 26 — — $25,522.13 $63,167.27 $31,902.66 2026-08-06
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 26 — — $25,519.04 $63,159.62 $31,898.80 2026-08-06
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 26 — — $25,438.85 $62,961.15 $31,798.56 2026-08-06
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $31,774.04 $33,362.74 $31,774.04 2026-08-06
D1604 HCPCS Pain Syndrome M <43.50 30 26 — — $25,346.32 $62,732.14 $31,682.90 2026-08-06
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 26 — — $25,280.01 $62,568.02 $31,600.01 2026-08-06
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $31,558.00 $33,135.90 $31,558.00 2026-08-06
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $31,497.40 $33,072.27 $31,497.40 2026-08-06
B0602 HCPCS Neurological M >=52.50 And M <64.50 30 26 — — $25,119.63 $62,171.09 $31,399.54 2026-08-06
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 30 26 — — $25,074.91 $62,060.41 $31,343.64 2026-08-06
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 30 26 — — $25,061.03 $62,026.05 $31,326.29 2026-08-06
D0104 HCPCS Stroke M >=41.50 And M <50.50 30 26 — — $25,034.82 $61,961.17 $31,293.52 2026-08-06
1814 APR_DRG Lower Extremity Arterial Procedures 3 3 — — $31,253.55 $32,816.23 $31,253.55 2026-08-06
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 3 — — $31,158.01 $32,715.91 $31,158.01 2026-08-06
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 26 — — $24,902.19 $61,632.93 $31,127.74 2026-08-06
D2102 HCPCS Burns M <52.50 30 26 — — $24,883.69 $61,587.13 $31,104.61 2026-08-06
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 3 3 — — $31,055.69 $32,608.47 $31,055.69 2026-08-06
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $31,014.33 $32,565.05 $31,014.33 2026-08-06
D0904 HCPCS Other Orthopedic M <44.5 30 26 — — $24,806.58 $61,396.28 $31,008.22 2026-08-06
B2101 HCPCS Burns M >=52.50 30 26 — — $24,768.02 $61,300.86 $30,960.03 2026-08-06
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 26 — — $24,710.97 $61,159.65 $30,888.71 2026-08-06
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 30 26 — — $24,707.88 $61,152.00 $30,884.85 2026-08-06
D1404 HCPCS Cardiac M <45.50 30 26 — — $24,660.08 $61,033.70 $30,825.10 2026-08-06
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 26 — — $24,650.82 $61,010.79 $30,813.53 2026-08-06
A0704 HCPCS Fracture Of Lower Extremity M <41.50 30 26 — — $24,547.50 $60,755.07 $30,684.38 2026-08-06
B0103 HCPCS Stroke M >=50.50 And M <63.50 30 26 — — $24,362.45 $60,297.06 $30,453.06 2026-08-06
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 26 — — $24,303.85 $60,152.02 $30,379.81 2026-08-06
D1103 HCPCS Amputation Non-lower Extremity M <52.50 30 26 — — $24,303.85 $60,152.02 $30,379.81 2026-08-06
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 26 — — $24,276.09 $60,083.32 $30,345.11 2026-08-06
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 30 26 — — $24,262.21 $60,048.96 $30,327.76 2026-08-06
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 26 — — $24,242.16 $59,999.35 $30,302.70 2026-08-06
A0604 HCPCS Neurological M <43.50 30 26 — — $24,205.15 $59,907.75 $30,256.44 2026-08-06
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $30,223.61 $31,734.79 $30,223.61 2026-08-06
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 26 — — $24,060.19 $59,548.98 $30,075.24 2026-08-06
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 30 26 — — $24,020.10 $59,449.74 $30,025.12 2026-08-06
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 26 — — $23,983.09 $59,358.14 $29,978.86 2026-08-06
A2102 HCPCS Burns M <52.50 30 26 — — $23,862.80 $59,060.43 $29,828.50 2026-08-06
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 30 26 — — $23,818.08 $58,949.75 $29,772.60 2026-08-06
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 30 26 — — $23,816.54 $58,945.93 $29,770.67 2026-08-06
2614 APR_DRG Major Biliary Tract Procedures 3 3 — — $29,744.11 $31,231.32 $29,744.11 2026-08-06
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 26 — — $23,791.86 $58,884.86 $29,739.83 2026-08-06
A0104 HCPCS Stroke M >=41.50 And M <50.50 30 26 — — $23,745.60 $58,770.36 $29,682.00 2026-08-06
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 30 26 — — $23,687.00 $58,625.33 $29,608.75 2026-08-06
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 30 26 — — $23,620.69 $58,461.20 $29,525.86 2026-08-06
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $29,481.37 $30,955.44 $29,481.37 2026-08-06
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 26 — — $23,511.20 $58,190.22 $29,389.00 2026-08-06
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $29,365.87 $30,834.16 $29,365.87 2026-08-06
D1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 26 — — $23,478.82 $58,110.07 $29,348.52 2026-08-06
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 26 — — $23,464.94 $58,075.72 $29,331.17 2026-08-06
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 30 26 — — $23,386.29 $57,881.06 $29,232.86 2026-08-06
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $29,180.48 $30,639.50 $29,180.48 2026-08-06
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 26 — — $23,307.64 $57,686.41 $29,134.55 2026-08-06
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 26 — — $23,287.59 $57,636.79 $29,109.49 2026-08-06
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 26 — — $23,162.68 $57,327.63 $28,953.35 2026-08-06
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 3 — — $28,885.66 $30,329.94 $28,885.66 2026-08-06
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 26 — — $23,077.86 $57,117.71 $28,847.33 2026-08-06
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 30 26 — — $23,022.34 $56,980.30 $28,777.93 2026-08-06
1782 APR_DRG External Heart Assist Systems 3 3 — — $28,720.59 $30,156.62 $28,720.59 2026-08-06
A1604 HCPCS Pain Syndrome M <43.50 30 26 — — $22,974.54 $56,861.98 $28,718.17 2026-08-06
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $28,671.75 $30,105.34 $28,671.75 2026-08-06
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 26 — — $22,925.19 $56,739.85 $28,656.49 2026-08-06
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 26 — — $22,906.69 $56,694.05 $28,633.36 2026-08-06
D1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 26 — — $22,804.90 $56,442.14 $28,506.13 2026-08-06
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 30 26 — — $22,789.48 $56,403.96 $28,486.85 2026-08-06
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 30 26 — — $22,767.90 $56,350.54 $28,459.87 2026-08-06
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 30 26 — — $22,754.02 $56,316.19 $28,442.52 2026-08-06
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 26 — — $22,744.76 $56,293.28 $28,430.95 2026-08-06
A1404 HCPCS Cardiac M <45.50 30 26 — — $22,676.91 $56,125.36 $28,346.14 2026-08-06
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $28,311.69 $29,727.27 $28,311.69 2026-08-06
A0904 HCPCS Other Orthopedic M <44.5 30 26 — — $22,630.65 $56,010.85 $28,288.31 2026-08-06
C0603 HCPCS Neurological M >=43.50 And M <52.50 30 26 — — $22,622.94 $55,991.77 $28,278.67 2026-08-06
C1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 30 26 — — $22,547.37 $55,804.74 $28,184.21 2026-08-06
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 26 — — $22,510.36 $55,713.14 $28,137.95 2026-08-06
2234 APR_DRG Other Small And Large Bowel Procedures 3 3 — — $27,985.13 $29,384.39 $27,985.13 2026-08-06
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 26 — — $22,353.06 $55,323.83 $27,941.33 2026-08-06
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 26 — — $22,340.73 $55,293.30 $27,925.91 2026-08-06
C1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 30 26 — — $22,322.22 $55,247.50 $27,902.78 2026-08-06
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 30 26 — — $22,320.68 $55,243.68 $27,900.85 2026-08-06
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 3 3 — — $27,812.94 $29,203.59 $27,812.94 2026-08-06
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 26 — — $22,248.20 $55,064.30 $27,810.25 2026-08-06
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 3 3 — — $27,531.30 $28,907.87 $27,531.30 2026-08-06
7234 APR_DRG Viral Illness 3 3 — — $27,493.87 $28,868.56 $27,493.87 2026-08-06
B1402 HCPCS Cardiac M >=55.50 And M <68.50 30 26 — — $21,953.66 $54,335.30 $27,442.07 2026-08-06
B1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 30 26 — — $21,933.61 $54,285.68 $27,417.01 2026-08-06
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 30 26 — — $21,885.80 $54,167.36 $27,357.25 2026-08-06
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 30 26 — — $21,808.70 $53,976.52 $27,260.87 2026-08-06
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 30 26 — — $21,807.15 $53,972.70 $27,258.94 2026-08-06
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 30 26 — — $21,805.61 $53,968.88 $27,257.01 2026-08-06
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 26 — — $21,771.68 $53,884.91 $27,214.60 2026-08-06
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $27,198.33 $28,558.25 $27,198.33 2026-08-06
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 26 — — $21,756.26 $53,846.75 $27,195.33 2026-08-06
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 26 — — $21,743.93 $53,816.22 $27,179.91 2026-08-06
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 26 — — $21,691.50 $53,686.45 $27,114.37 2026-08-06
D1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 26 — — $21,640.60 $53,560.49 $27,050.75 2026-08-06
C0103 HCPCS Stroke M >=50.50 And M <63.50 30 26 — — $21,634.43 $53,545.22 $27,043.04 2026-08-06
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $26,897.79 $28,242.68 $26,897.79 2026-08-06
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $26,844.68 $28,186.91 $26,844.68 2026-08-06
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 30 26 — — $21,427.79 $53,033.79 $26,784.74 2026-08-06
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 30 26 — — $21,409.29 $52,987.99 $26,761.61 2026-08-06
C1403 HCPCS Cardiac M >=45.50 And M <55.50 30 26 — — $21,375.36 $52,904.02 $26,719.20 2026-08-06
B0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 30 26 — — $21,375.36 $52,904.02 $26,719.20 2026-08-06
D0603 HCPCS Neurological M >=43.50 And M <52.50 30 26 — — $21,307.50 $52,736.07 $26,634.38 2026-08-06
6614 APR_DRG Coagulation And Platelet Disorders 3 3 — — $26,600.83 $27,930.87 $26,600.83 2026-08-06
A1103 HCPCS Amputation Non-lower Extremity M <52.50 30 26 — — $21,264.33 $52,629.21 $26,580.41 2026-08-06
C1902 HCPCS Guillain-barr M >=51.50 And M <66.50 30 26 — — $21,258.16 $52,613.95 $26,572.70 2026-08-06
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 30 26 — — $21,168.71 $52,392.56 $26,460.89 2026-08-06
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 30 26 — — $21,130.16 $52,297.15 $26,412.70 2026-08-06
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 26 — — $21,120.90 $52,274.24 $26,401.13 2026-08-06
1781 APR_DRG External Heart Assist Systems 3 3 — — $26,327.75 $27,644.14 $26,327.75 2026-08-06
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