|
CMG_1001__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1001__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1001__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1002__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1002__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1002__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1002__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1003__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1003__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1003__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1003__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1004__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1004__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1004__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1004__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Amputation,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_101__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_101__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_101__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_101__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_102__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_102__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_102__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_102__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_103__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_103__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_103__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_103__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_104__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_104__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_104__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_104__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_105__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_105__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_105__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_105__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_106__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_106__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_106__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_106__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Stroke
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1101__Level_1
|
OTHER
|
Inpatient_rehab_per_discharge:_amputation,_non-lower_extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1101__Level_2
|
OTHER
|
Inpatient_rehab_per_discharge:_amputation,_non-lower_extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1101__Level_3
|
OTHER
|
Inpatient_rehab_per_discharge:_amputation,_non-lower_extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1101__Level_4
|
OTHER
|
Inpatient_rehab_per_discharge:_amputation,_non-lower_extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1102__Level_1
|
OTHER
|
Inpatient_rehab_per_discharge:_amputation,_non-lower_extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1102__Level_2
|
OTHER
|
Inpatient_rehab_per_discharge:_amputation,_non-lower_extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1102__Level_3
|
OTHER
|
Inpatient_rehab_per_discharge:_amputation,_non-lower_extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1102__Level_4
|
OTHER
|
Inpatient_rehab_per_discharge:_amputation,_non-lower_extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1103__Level_1
|
OTHER
|
Inpatient_rehab_per_discharge:_amputation,_non-lower_extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1103__Level_2
|
OTHER
|
Inpatient_rehab_per_discharge:_amputation,_non-lower_extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1103__Level_3
|
OTHER
|
Inpatient_rehab_per_discharge:_amputation,_non-lower_extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1103__Level_4
|
OTHER
|
Inpatient_rehab_per_discharge:_amputation,_non-lower_extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1201__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1201__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1201__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1201__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1202__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1202__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1202__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1202__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1203__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1203__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1203__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1203__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1204__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1204__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1204__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1204__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Osteoarthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1301__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1301__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1301__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1301__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1302__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1302__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_1302__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$951.00
|
2026-05-06
|
|
CMG_1302__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$952.00
|
2026-05-06
|
|
CMG_1303__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$953.00
|
2026-05-06
|
|
CMG_1303__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$954.00
|
2026-05-06
|
|
CMG_1303__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$955.00
|
2026-05-06
|
|
CMG_1303__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$956.00
|
2026-05-06
|
|
CMG_1304__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$957.00
|
2026-05-06
|
|
CMG_1304__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$958.00
|
2026-05-06
|
|
CMG_1304__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$959.00
|
2026-05-06
|
|
CMG_1304__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$960.00
|
2026-05-06
|
|
CMG_1305__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$961.00
|
2026-05-06
|
|
CMG_1305__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$962.00
|
2026-05-06
|
|
CMG_1305__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$963.00
|
2026-05-06
|
|
CMG_1305__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Rheumatoid_Arthritis
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$964.00
|
2026-05-06
|
|
CMG_1401__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$965.00
|
2026-05-06
|
|
CMG_1401__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$966.00
|
2026-05-06
|
|
CMG_1401__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$967.00
|
2026-05-06
|
|
CMG_1401__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$968.00
|
2026-05-06
|
|
CMG_1402__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$969.00
|
2026-05-06
|
|
CMG_1402__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$970.00
|
2026-05-06
|
|
CMG_1402__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$971.00
|
2026-05-06
|
|
CMG_1402__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$972.00
|
2026-05-06
|
|
CMG_1403__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$973.00
|
2026-05-06
|
|
CMG_1403__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$974.00
|
2026-05-06
|
|
CMG_1403__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$975.00
|
2026-05-06
|
|
CMG_1403__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$976.00
|
2026-05-06
|
|
CMG_1404__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$977.00
|
2026-05-06
|
|
CMG_1404__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$978.00
|
2026-05-06
|
|
CMG_1404__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$979.00
|
2026-05-06
|
|
CMG_1404__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Cardiac
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$980.00
|
2026-05-06
|
|
CMG_1501__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$981.00
|
2026-05-06
|
|
CMG_1501__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$982.00
|
2026-05-06
|
|
CMG_1501__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$983.00
|
2026-05-06
|
|
CMG_1501__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$984.00
|
2026-05-06
|
|
CMG_1502__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$985.00
|
2026-05-06
|
|
CMG_1502__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$986.00
|
2026-05-06
|
|
CMG_1502__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$987.00
|
2026-05-06
|
|
CMG_1502__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$988.00
|
2026-05-06
|
|
CMG_1503__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$989.00
|
2026-05-06
|
|
CMG_1503__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$990.00
|
2026-05-06
|
|
CMG_1503__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$991.00
|
2026-05-06
|
|
CMG_1503__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$992.00
|
2026-05-06
|
|
CMG_1504__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$993.00
|
2026-05-06
|
|
CMG_1504__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$994.00
|
2026-05-06
|
|
CMG_1504__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$995.00
|
2026-05-06
|
|
CMG_1504__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pulmonary
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$996.00
|
2026-05-06
|
|
CMG_1601__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$997.00
|
2026-05-06
|
|
CMG_1601__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$998.00
|
2026-05-06
|
|
CMG_1601__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$999.00
|
2026-05-06
|
|
CMG_1601__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1602__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1602__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1602__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1602__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1603__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1603__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1603__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1603__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1604__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1604__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1604__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1604__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Pain
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1701__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1701__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1701__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1701__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1702__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1702__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1702__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1702__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1703__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1703__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1703__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1703__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1704__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1704__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1704__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1704__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1705__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1705__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1705__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1705__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Not_Including_Brain,_Spina…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1801__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1801__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1801__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1801__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1802__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1802__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1802__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1802__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1803__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1803__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1803__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1803__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1804__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1804__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1804__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1804__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1805__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1805__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1805__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1805__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1806__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1806__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1806__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1806__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Major_Multiple_Trauma,_Including_Brain,_Spinal_Co…
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1901__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1901__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1901__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1901__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1902__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1902__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1902__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1902__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1903__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1903__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1903__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1903__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1904__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1904__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1904__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_1904__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Guillain_Barre
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2001__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2001__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2001__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2001__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2002__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2002__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2002__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2002__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2003__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2003__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2003__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2003__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2004__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2004__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2004__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2004__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2005__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2005__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2005__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2005__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Misc
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2101__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Burns
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2101__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Burns
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2101__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Burns
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2101__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Burns
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2102__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Burns
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2102__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Burns
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2102__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Burns
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_2102__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Burns
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_407__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Traumatic_Spinal_Cord_Injury
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_5001__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Short_Stay
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_505__Level_2
|
OTHER
|
Inpatient_rehab_per_discharge:_non-traumatic_spinal_cord_injury
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_505__Level_3
|
OTHER
|
Inpatient_rehab_per_discharge:_non-traumatic_spinal_cord_injury
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_505__Level_4
|
OTHER
|
Inpatient_rehab_per_discharge:_non-traumatic_spinal_cord_injury
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_5101__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Expired,_Orthopedic
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_5102__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Expired,_Orthopedic
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_5103__Level_4
|
OTHER
|
Inpatient_rehab_per_discharge:_expired,_non-orthopedic
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_5104__Level_4
|
OTHER
|
Inpatient_rehab_per_discharge:_expired,_non-orthopedic
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$1,000.00
|
2026-05-06
|
|
CMG_601__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_601__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_601__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_601__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_602__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_602__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_602__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_602__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_603__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_603__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_603__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_603__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_604__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_604__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_604__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_604__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Neurological_Condition
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_701__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_701__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_701__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_701__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_702__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_702__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_702__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_702__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_703__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_703__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_703__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_703__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_704__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_704__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_704__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_704__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Fracture,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_801__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_801__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_801__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_801__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_802__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_802__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_802__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_802__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_803__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_803__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_803__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_803__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_804__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_804__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_804__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_804__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_805__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_805__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_805__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_805__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Joint_Replacement,_Lower_Extremity
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_901__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_901__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_901__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_901__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_902__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_902__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_902__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_902__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_903__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_903__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_903__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_903__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_904__Level_1
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_904__Level_2
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_904__Level_3
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|
|
CMG_904__Level_4
|
OTHER
|
Inpatient_Rehab_Per_Discharge:_Ortho
|
33
|
33
|
$2,000.00
|
$2,000.00
|
$721.00
|
$1,400.00
|
$950.00
|
2026-05-06
|