Hospital

Baylor Scott & White Institute For Rehabilitation

Lakeway, TX · CCN 673058 · Rates published

100 distinct procedures filed

24 distinct payers

4,903 rate rows

2026-05-18 last MRF observed

Data quality

1,959 of 4,903 rate rows are consumer-grade (40.0%)

2,944 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 — reason	Rows
per-diem day rate — not a per-procedure price	2,944

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://resources.selectmedical.com/Pricing-Transparency/HBOP/27-4586141_BSW-Institute-for-Rehabilitation-Lakeway_standardcharges.csv
Found on page	https://www.bswrehab.com/patients-and-caregivers/admissions/price-transparency/
Discovered via	Discovered by HANK
Last fetch	success · 2026-05-18
Content fingerprint	62a759119bdaf82f… · 45,728,505 bytes · first seen 2026-05-18

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
1001 OTHER	Amputation, Lower Extremity With Motor >47.65.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $17,807 outlier · 0.2×
1002 OTHER	Amputation, Lower Extremity With Motor >36.25 & Motor <47.65.,comorbidity In Tie…	15	$3,044.50	$18,560.80	$3,044.50	nat. median $24,054 outlier · 0.1×
1003 OTHER	Amputation, Lower Extremity With Motor <36.25.,comorbidity In Tier 1	15	$3,044.50	$20,641.39	$3,044.50	nat. median $27,901 outlier · 0.1×
1004 OTHER	Amputation, Lower Extremity With Motor Score From 39 �45.,comorbidity In Tier 1	15	$3,044.50	$32,715.74	$3,044.50	nat. median $35,360 outlier · 0.1×
101 OTHER	Stroke With Motor >51.05.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $7,470 outlier · 0.4×
102 OTHER	Stroke With Motor >44.45 & Motor <51.05 & Cognitive >18.5.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $8,495 outlier · 0.4×
103 OTHER	Stroke With Motor >44.45 & Motor <51.05 & Cognitive <18.5.,comorbidity In Tier 1	15	$3,044.50	$26,629.42	$3,044.50	nat. median $7,617 outlier · 0.4×
104 OTHER	Stroke With Motor >38.85 & Motor <44.45.,comorbidity In Tier 1	15	$3,044.50	$30,725.84	$3,044.50	nat. median $5 outlier · 587.7×
105 OTHER	Stroke With Motor >34.25 & Motor <38.85.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $2 outlier · 1856.4×
106 OTHER	Stroke With Motor >30.05 & Motor <34.25.,comorbidity In Tier 1	15	$3,044.50	$40,741.02	$3,044.50	nat. median $41,618 outlier · 0.1×
1101 OTHER	Amputation, Other Extremity With Motor >36.35.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $6,900 outlier · 0.4×
1102 OTHER	Amputation, Other Extremity With Motor <36.35.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $7,564 outlier · 0.4×
1103 OTHER	Lower-lower Extremity With Motor Score From 12 �37.,comorbidity In Tier 1	15	$3,044.50	$28,538.51	$3,044.50	nat. median $12,018 outlier · 0.3×
1201 OTHER	Osteoarthritis With Motor >37.65.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $15,797 outlier · 0.2×
1202 OTHER	Osteoarthritis With Motor >30.75 & Motor <37.65.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $17,756 outlier · 0.2×
1203 OTHER	Osteoarthritis With Motor <30.75.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $12 outlier · 248.5×
1204 OTHER	Osteoarthritis With Motor Score From 39 �47.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $34,070 outlier · 0.1×
1301 OTHER	Rheumatoid, Other Arthritis With Motor >36.35.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $18,502 outlier · 0.2×
1302 OTHER	Rheumatoid, Other Arthritis With Motor >26.15 & Motor <36.35.,comorbidity In Tie…	15	$3,044.50	$3,044.50	$3,044.50	nat. median $20,158 outlier · 0.2×
1303 OTHER	Rheumatoid, Other Arthritis With Motor <26.15.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $28,152 outlier · 0.1×
1304 OTHER	Rheumatoid, Other Arthritis With Motor Score From 12 �35.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $35,295 outlier · 0.1×
1305 OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $30,688 outlier · 0.1×
1401 OTHER	Cardiac With Motor >48.85.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $6,269 outlier · 0.5×
1402 OTHER	Cardiac With Motor >38.55 & Motor <48.85.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $6,252 outlier · 0.5×
1403 OTHER	Cardiac With Motor >31.15 & Motor <38.55.,comorbidity In Tier 1	15	$3,044.50	$6,092.25	$3,044.50	nat. median $11,993 outlier · 0.3×
1404 OTHER	Cardiac With Motor <31.15.,comorbidity In Tier 1	15	$3,044.50	$32,191.22	$3,044.50	nat. median $14,506 outlier · 0.2×
1501 OTHER	Pulmonary With Motor >49.25.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $18,732 outlier · 0.2×
1502 OTHER	Pulmonary With Motor >39.05 & Motor <49.25.,comorbidity In Tier 1	15	$3,044.50	$20,816.00	$3,044.50	nat. median $78 outlier · 39.1×
1503 OTHER	Pulmonary With Motor >29.15 & Motor <39.05.,comorbidity In Tier 1	15	$3,044.50	$23,127.07	$3,044.50	nat. median $155 outlier · 19.6×
1504 OTHER	Pulmonary With Motor <29.15.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $259 outlier · 11.8×
1601 OTHER	Pain Syndrome With Motor >37.15.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $20,223 outlier · 0.2×
1602 OTHER	Pain Syndrome With Motor >26.75 & Motor <37.15.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $23,699 outlier · 0.1×
1603 OTHER	Pain Syndrome With Motor <26.75.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $31,613 outlier · 0.1×
1604 OTHER	Pain Syndrome M <43.50.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $44,507 outlier · 0.1×
1701 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >39.25.,com…	15	$3,044.50	$3,044.50	$3,044.50	nat. median $59 outlier · 52.0×
1702 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >31.05 & Mo…	15	$3,044.50	$3,044.50	$3,044.50	nat. median $20,571 outlier · 0.1×
1703 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >25.55 & Mo…	15	$3,044.50	$3,044.50	$3,044.50	nat. median $28,818 outlier · 0.1×
1704 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor <25.55.,com…	15	$3,044.50	$3,044.50	$3,044.50	nat. median $2 outlier · 1939.2×
1705 OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50.,comorbidity…	15	$3,044.50	$30,754.42	$3,044.50	nat. median $3 outlier · 1127.6×
1801 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor >40.85.,comorb…	15	$3,044.50	$3,044.50	$3,044.50	nat. median $11,238 outlier · 0.3×
1802 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor >23.05 & Motor…	15	$3,044.50	$3,044.50	$3,044.50	nat. median $9,939 outlier · 0.3×
1803 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor <23.05.,comorb…	15	$3,044.50	$3,044.50	$3,044.50	nat. median $21,840 outlier · 0.1×
1804 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score From 12…	15	$3,044.50	$32,268.13	$3,044.50	nat. median $31,833 outlier · 0.1×
1805 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50.,c…	15	$3,044.50	$3,044.50	$3,044.50	nat. median $38,125 outlier · 0.1×
1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50.,comorbidity In…	15	$3,044.50	$3,044.50	$3,044.50	nat. median $52,047 outlier · 0.1×
1901 OTHER	Guillian Barre With Motor >35.95.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $105,693 outlier · 0.0×
1902 OTHER	Guillian Barre With Motor >18.05 & Motor <35.95.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $105,172 outlier · 0.0×
1903 OTHER	Guillian Barre With Motor <18.05.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $119,935 outlier · 0.0×
1904 OTHER	Guillain-barre M <38.50.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $120,174 outlier · 0.0×
2001 OTHER	Miscellaneous With Motor >49.15.,comorbidity In Tier 1	15	$3,044.50	$3,044.50	$3,044.50	nat. median $5,637 0.5× median

Other procedures at this hospital

Browse this hospital's 100 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

1001	OTHER	Amputation, Lower Extremity With Motor >47.65.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1002	OTHER	Amputation, Lower Extremity With Motor >36.25 & Motor <47.65.,comorbidity In Tie…	20	15	—	—	$3,044.50	$18,560.80	$3,044.50	2026-05-18
1003	OTHER	Amputation, Lower Extremity With Motor <36.25.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$20,641.39	$3,044.50	2026-05-18
1004	OTHER	Amputation, Lower Extremity With Motor Score From 39 �45.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$32,715.74	$3,044.50	2026-05-18
101	OTHER	Stroke With Motor >51.05.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
102	OTHER	Stroke With Motor >44.45 & Motor <51.05 & Cognitive >18.5.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
103	OTHER	Stroke With Motor >44.45 & Motor <51.05 & Cognitive <18.5.,comorbidity In Tier 1	23	15	—	—	$3,044.50	$26,629.42	$3,044.50	2026-05-18
104	OTHER	Stroke With Motor >38.85 & Motor <44.45.,comorbidity In Tier 1	22	15	—	—	$3,044.50	$30,725.84	$3,044.50	2026-05-18
105	OTHER	Stroke With Motor >34.25 & Motor <38.85.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
106	OTHER	Stroke With Motor >30.05 & Motor <34.25.,comorbidity In Tier 1	23	15	—	—	$3,044.50	$40,741.02	$3,044.50	2026-05-18
1101	OTHER	Amputation, Other Extremity With Motor >36.35.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1102	OTHER	Amputation, Other Extremity With Motor <36.35.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1103	OTHER	Lower-lower Extremity With Motor Score From 12 �37.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$28,538.51	$3,044.50	2026-05-18
1201	OTHER	Osteoarthritis With Motor >37.65.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1202	OTHER	Osteoarthritis With Motor >30.75 & Motor <37.65.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1203	OTHER	Osteoarthritis With Motor <30.75.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1204	OTHER	Osteoarthritis With Motor Score From 39 �47.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1301	OTHER	Rheumatoid, Other Arthritis With Motor >36.35.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1302	OTHER	Rheumatoid, Other Arthritis With Motor >26.15 & Motor <36.35.,comorbidity In Tie…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1303	OTHER	Rheumatoid, Other Arthritis With Motor <26.15.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1304	OTHER	Rheumatoid, Other Arthritis With Motor Score From 12 �35.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1305	OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1401	OTHER	Cardiac With Motor >48.85.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1402	OTHER	Cardiac With Motor >38.55 & Motor <48.85.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1403	OTHER	Cardiac With Motor >31.15 & Motor <38.55.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$6,092.25	$3,044.50	2026-05-18
1404	OTHER	Cardiac With Motor <31.15.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$32,191.22	$3,044.50	2026-05-18
1501	OTHER	Pulmonary With Motor >49.25.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1502	OTHER	Pulmonary With Motor >39.05 & Motor <49.25.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$20,816.00	$3,044.50	2026-05-18
1503	OTHER	Pulmonary With Motor >29.15 & Motor <39.05.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$23,127.07	$3,044.50	2026-05-18
1504	OTHER	Pulmonary With Motor <29.15.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1601	OTHER	Pain Syndrome With Motor >37.15.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1602	OTHER	Pain Syndrome With Motor >26.75 & Motor <37.15.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1603	OTHER	Pain Syndrome With Motor <26.75.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1604	OTHER	Pain Syndrome M <43.50.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1701	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >39.25.,com…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1702	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >31.05 & Mo…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1703	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor >25.55 & Mo…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1704	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury With Motor <25.55.,com…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50.,comorbidity …	20	15	—	—	$3,044.50	$30,754.42	$3,044.50	2026-05-18
1801	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor >40.85.,comorb…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1802	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor >23.05 & Motor…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1803	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor <23.05.,comorb…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1804	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury With Motor Score From 12 …	20	15	—	—	$3,044.50	$32,268.13	$3,044.50	2026-05-18
1805	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50.,c…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50.,comorbidity In …	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1901	OTHER	Guillian Barre With Motor >35.95.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1902	OTHER	Guillian Barre With Motor >18.05 & Motor <35.95.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1903	OTHER	Guillian Barre With Motor <18.05.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
1904	OTHER	Guillain-barre M <38.50.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
2001	OTHER	Miscellaneous With Motor >49.15.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
2002	OTHER	Miscellaneous With Motor >38.75 & Motor <49.15.,comorbidity In Tier 1	21	15	—	—	$3,044.50	$18,172.86	$3,044.50	2026-05-18
2003	OTHER	Miscellaneous With Motor >27.85 & Motor <38.75.,comorbidity In Tier 1	21	15	—	—	$3,044.50	$23,194.33	$3,044.50	2026-05-18
2004	OTHER	Miscellaneous With Motor <27.85, Comorbidity In Tier 1	21	15	—	—	$3,044.50	$30,953.13	$3,044.50	2026-05-18
2005	OTHER	Miscellaneous With Motor Score From 12 �32 And Patient Is 81 Years Old Or Younge…	21	15	—	—	$2,064.92	$26,973.20	$3,044.50	2026-05-18
201	OTHER	Traumatic Brain Injury With Motor >53.35 & Cognitive >23.5.,comorbidity In Tier …	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
202	OTHER	Traumatic Brain Injury With Motor >44.25 & Motor <53.35 & Cognitive >23.5.,comor…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
203	OTHER	Traumatic Brain Injury With Motor >44.25 & Cognitive <23.5.,comorbidity In Tier …	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
204	OTHER	Traumatic Brain Injury With Motor >40.65 & Motor <44.25.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
205	OTHER	Traumatic Brain Injury With Motor >28.75 & Motor <40.65.,comorbidity In Tier 1	21	15	—	—	$3,044.50	$46,433.03	$3,044.50	2026-05-18
2101	OTHER	Burns With Motor >0.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
2102	OTHER	Burns With Motor Score From 12 �45.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
301	OTHER	Non-traumatic Brain Injury With Motor >41.05.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
302	OTHER	Non-traumatic Brain Injury With Motor >35.05 & Motor <41.05.,comorbidity In Tier…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
303	OTHER	Non-traumatic Brain Injury With Motor >26.15 & Motor <35.05.,comorbidity In Tier…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
304	OTHER	Non-traumatic Brain Injury With Motor <26.15.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$28,563.38	$3,044.50	2026-05-18
305	OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
401	OTHER	Traumatic Spinal Cord Injury With Motor >48.45.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
402	OTHER	Traumatic Spinal Cord Injury With Motor >30.35 & Motor <48.45.,comorbidity In Ti…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
403	OTHER	Traumatic Spinal Cord Injury With Motor >16.05 & Motor <30.35.,comorbidity In Ti…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
404	OTHER	Traumatic Spinal Cord Injury With Motor <16.05 & Age >63.5.,comorbidity In Tier …	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
405	OTHER	Traumatic Spinal Cord Injury With Motor <16.05 & Age <63.5.,comorbidity In Tier …	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50.,comorbidity I…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.50.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
5001	OTHER	Short-stay Cases, Length Of Stay Is 3 Days Or Fewer.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
501	OTHER	Non-traumatic Spinal Cord Injury With Motor >51.35.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$18,562.93	$3,044.50	2026-05-18
502	OTHER	Non-traumatic Spinal Cord Injury With Motor >40.15 & Motor <51.35.,comorbidity I…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
503	OTHER	Non-traumatic Spinal Cord Injury With Motor >31.25 & Motor <40.15.,comorbidity I…	20	15	—	—	$3,044.50	$23,140.83	$3,044.50	2026-05-18
504	OTHER	Non-traumatic Spinal Cord Injury With Motor >29.25 & Motor <31.25.,comorbidity I…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
505	OTHER	Non-traumatic Spinal Cord Injury With Motor >23.75 & Motor <29.25.,comorbidity I…	22	15	—	—	$3,044.50	$46,911.53	$3,044.50	2026-05-18
5101	OTHER	Expired, Orthopedic, Length Of Stay Is 13 Days Or Fewer.	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
5102	OTHER	Expired, Orthopedic, Length Of Stay Is 14 Days Or More.	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
5103	OTHER	Expired, Not Orthopedic, Length Of Stay Is 15 Days Or Fewer.	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
5104	OTHER	Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More.	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
601	OTHER	Neurological With Motor >47.75.,comorbidity In Tier 1	21	15	—	—	$3,044.50	$16,378.00	$3,044.50	2026-05-18
602	OTHER	Neurological With Motor >37.35 & Motor <47.75.,comorbidity In Tier 1	23	15	—	—	$3,044.50	$23,939.41	$3,044.50	2026-05-18
603	OTHER	Neurological With Motor >25.85 & Motor <37.35.,comorbidity In Tier 1	22	15	—	—	$3,044.50	$26,331.83	$3,044.50	2026-05-18
604	OTHER	Neurological With Motor <25.85.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$34,321.44	$3,044.50	2026-05-18
701	OTHER	Fracture Of Lower Extremity With Motor >42.15.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$17,914.88	$3,044.50	2026-05-18
702	OTHER	Fracture Of Lower Extremity With Motor >34.15 & Motor <42.15.,comorbidity In Tie…	20	15	—	—	$3,044.50	$17,403.24	$3,044.50	2026-05-18
703	OTHER	Fracture Of Lower Extremity With Motor >28.15 & Motor <34.15.,comorbidity In Tie…	23	15	—	—	$3,044.50	$27,959.66	$3,044.50	2026-05-18
704	OTHER	Fracture Of Lower Extremity With Motor <28.15.,comorbidity In Tier 1	22	15	—	—	$3,044.50	$40,536.03	$3,044.50	2026-05-18
801	OTHER	Replacement Of Lower Extremity Joint With Motor >49.55.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
802	OTHER	Replacement Of Lower Extremity Joint With Motor >37.05 & Motor <49.55.,comorbidi…	20	15	—	—	$3,044.50	$15,898.35	$3,044.50	2026-05-18
803	OTHER	Replacement Of Lower Extremity Joint With Motor >28.65 & Motor <37.05 & Age >83.…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
804	OTHER	Replacement Of Lower Extremity Joint With Motor >28.65 & Motor <37.05 & Age <83.…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
805	OTHER	Replacement Of Lower Extremity Joint With Motor >22.05 & Motor <28.65.,comorbidi…	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
901	OTHER	Other Orthopedic With Motor >44.75.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
902	OTHER	Other Orthopedic With Motor >34.35 & Motor <44.75.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$18,151.58	$3,044.50	2026-05-18
903	OTHER	Other Orthopedic With Motor >24.15 & Motor <34.35.,comorbidity In Tier 1	19	15	—	—	$3,044.50	$3,044.50	$3,044.50	2026-05-18
904	OTHER	Other Orthopedic With Motor <24.15.,comorbidity In Tier 1	20	15	—	—	$3,044.50	$24,761.12	$3,044.50	2026-05-18

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