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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

Laredo Rehabilitation Hospital, Llc

Laredo, TX · CCN 673059 · Rates published

2,169 distinct procedures filed
20 distinct payers
20,031 rate rows
2026-03-17 last MRF observed
Data quality

4,173 of 20,031 rate rows are consumer-grade (20.8%)

15,858 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 15,440
per-diem day rate — not a per-procedure price 418
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ernesthealth.com/pricing/2026/471104599_laredo-rehabilitation-hospital_standard-charges.json
Found on page https://lrh.ernesthealth.com/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint b7b450dc17875220… · 7,749,722 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
D0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50- Tier Tier 3 11 $58,172.22 $58,172.22 $58,172.22 nat. median
$67,662
0.9× median
B0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 1 11 $57,308.52 $57,308.52 $57,308.52 nat. median
$56,226
1.0× median
B0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier Tier 1 11 $33,107.85 $51,957.74 $42,532.79 nat. median
$53,762
0.8× median
D1904
LOCAL 		Guillain-barré M <38.50- Tier Tier 3 11 $41,830.06 $41,830.06 $41,830.06 nat. median
$49,620
0.8× median
D1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 3 11 $41,539.97 $41,539.97 $41,539.97 nat. median
$48,581
0.9× median
B0604
LOCAL 		Neurological M <43.50- Tier Tier 1 11 $39,694.25 $39,694.25 $39,694.25 nat. median
$46,423
0.9× median
B0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 1 11 $37,094.61 $41,238.21 $39,166.41 nat. median
$43,383
0.9× median
B2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier Tier 1 11 $35,403.49 $40,571.98 $37,987.74 nat. median
$40,995
0.9× median
B1404
LOCAL 		Cardiac M <45.50- Tier Tier 1 11 $34,201.70 $39,379.66 $36,790.68 nat. median
$39,603
0.9× median
B1004
LOCAL 		Amputation Lower Extremity M <47.50- Tier Tier 1 11 $36,677.01 $36,677.01 $36,677.01 nat. median
$42,470
0.9× median
C0604
LOCAL 		Neurological M <43.50- Tier Tier 2 11 $29,123.73 $42,388.74 $35,756.24 nat. median
$34,756
1.0× median
D0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 11 $35,334.96 $35,334.96 $35,334.96 nat. median
$41,099
0.9× median
C0205
LOCAL 		Traumatic Brain Injury M <35.50- Tier Tier 2 11 $34,636.83 $34,636.83 $34,636.83 nat. median
$40,508
0.9× median
C0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 11 $34,454.45 $34,454.45 $34,454.45 nat. median
$35,561
1.0× median
A0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier None 11 $29,151.72 $38,858.12 $34,004.92 nat. median
$39,573
0.9× median
B2004
LOCAL 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 1 11 $32,916.29 $33,588.05 $33,252.17 nat. median
$39,191
0.8× median
B0104
LOCAL 		Stroke M >=41.50 And M <50.50- Tier Tier 1 11 $32,571.15 $32,571.15 $32,571.15 nat. median
$38,092
0.9× median
D0105
LOCAL 		Stroke M <41.50 And A >=84.50- Tier Tier 3 11 $32,277.87 $32,277.87 $32,277.87 nat. median
$37,662
0.9× median
D0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier Tier 3 11 $25,919.22 $36,713.67 $31,316.44 nat. median
$42,703
0.7× median
A0105
LOCAL 		Stroke M <41.50 And A >=84.50- Tier None 11 $30,762.08 $30,762.08 $30,762.08 nat. median
$35,375
0.9× median
A0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50- Tier None 11 $28,262.94 $32,561.59 $30,412.26 nat. median
$37,907
0.8× median
B0703
LOCAL 		Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 1 11 $30,365.21 $30,365.21 $30,365.21 nat. median
$35,512
0.9× median
C1004
LOCAL 		Amputation Lower Extremity M <47.50- Tier Tier 2 11 $30,333.33 $30,333.33 $30,333.33 nat. median
$35,393
0.9× median
D1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 11 $30,084.68 $30,084.68 $30,084.68 nat. median
$34,992
0.9× median
D0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 3 11 $26,638.57 $31,954.24 $29,296.40 nat. median
$31,616
0.9× median
C2004
LOCAL 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 11 $26,828.36 $31,084.76 $28,956.56 nat. median
$31,232
0.9× median
D1304
LOCAL 		Rheumatoid Other Arthritis M <44.50 And A >=64.50- Tier Tier 3 11 $26,939.93 $30,787.60 $28,863.76 nat. median
$31,538
0.9× median
D0504
LOCAL 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 3 11 $28,835.86 $28,835.86 $28,835.86 nat. median
$29,577
1.0× median
C0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 2 11 $28,694.81 $28,694.81 $28,694.81 nat. median
$33,146
0.9× median
D0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 11 $27,931.33 $27,931.33 $27,931.33 nat. median
$32,319
0.9× median
D1504
LOCAL 		Pulmonary M <45.50- Tier Tier 3 11 $27,671.53 $27,671.53 $27,671.53 nat. median
$32,186
0.9× median
C0304
LOCAL 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 11 $27,571.12 $27,571.12 $27,571.12 nat. median
$32,043
0.9× median
D0604
LOCAL 		Neurological M <43.50- Tier Tier 3 11 $27,188.39 $27,743.26 $27,465.83 nat. median
$32,269
0.9× median
C0904
LOCAL 		Other Orthopedic M <44.5- Tier Tier 2 11 $27,340.00 $27,340.00 $27,340.00 nat. median
$31,818
0.9× median
A1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 11 $27,169.82 $27,293.78 $27,231.80 nat. median
$31,920
0.9× median
C0603
LOCAL 		Neurological M >=43.50 And M <52.50- Tier Tier 2 11 $26,909.80 $26,909.80 $26,909.80 nat. median
$27,713
1.0× median
D2004
LOCAL 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 11 $24,561.08 $28,909.23 $26,735.15 nat. median
$29,151
0.9× median
A2004
LOCAL 		Miscellaneous M <46.50 And A >=77.50- Tier None 11 $26,464.06 $26,464.06 $26,464.06 nat. median
$26,395
1.0× median
A0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier None 11 $26,326.29 $26,326.29 $26,326.29 nat. median
$30,648
0.9× median
A1504
LOCAL 		Pulmonary M <45.50- Tier None 11 $25,884.78 $25,884.78 $25,884.78 nat. median
$30,273
0.9× median
D1703
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50… 11 $25,741.33 $25,741.33 $25,741.33 nat. median
$26,346
1.0× median
D1704
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50… 11 $25,636.13 $25,636.13 $25,636.13 nat. median
$29,818
0.9× median
D0104
LOCAL 		Stroke M >=41.50 And M <50.50- Tier Tier 3 11 $25,296.79 $25,813.05 $25,554.92 nat. median
$30,024
0.9× median
B0103
LOCAL 		Stroke M >=50.50 And M <63.50- Tier Tier 1 11 $25,521.37 $25,521.37 $25,521.37 nat. median
$29,914
0.9× median
D0904
LOCAL 		Other Orthopedic M <44.5- Tier Tier 3 11 $25,483.12 $25,483.12 $25,483.12 nat. median
$29,640
0.9× median
D0304
LOCAL 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 3 11 $25,326.92 $25,326.92 $25,326.92 nat. median
$29,475
0.9× median
D2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier Tier 3 11 $24,000.48 $26,417.14 $25,208.81 nat. median
$30,727
0.8× median
C0203
LOCAL 		Traumatic Brain Injury M >=49.50 And M <61.50- Tier Tier 2 11 $25,134.16 $25,134.16 $25,134.16 nat. median
$25,747
1.0× median
A0604
LOCAL 		Neurological M <43.50- Tier None 11 $25,020.89 $25,020.89 $25,020.89 nat. median
$28,952
0.9× median
A0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier None 11 $24,611.07 $25,113.34 $24,862.21 nat. median
$29,236
0.9× median

Other procedures at this hospital

Browse this hospital's 2,169 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
             
D0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50- Tier Tier 3 22 11 — — $58,172.22 $58,172.22 $58,172.22 2026-03-17
B0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 1 22 11 — — $57,308.52 $57,308.52 $57,308.52 2026-03-17
B0106 LOCAL Stroke M <41.50 And A <84.50- Tier Tier 1 22 11 — — $33,107.85 $51,957.74 $42,532.79 2026-03-17
D1904 LOCAL Guillain-barré M <38.50- Tier Tier 3 22 11 — — $41,830.06 $41,830.06 $41,830.06 2026-03-17
D1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier Tier 3 22 11 — — $41,539.97 $41,539.97 $41,539.97 2026-03-17
B0604 LOCAL Neurological M <43.50- Tier Tier 1 22 11 — — $39,694.25 $39,694.25 $39,694.25 2026-03-17
B0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 1 22 11 — — $37,094.61 $41,238.21 $39,166.41 2026-03-17
B2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 1 22 11 — — $35,403.49 $40,571.98 $37,987.74 2026-03-17
B1404 LOCAL Cardiac M <45.50- Tier Tier 1 22 11 — — $34,201.70 $39,379.66 $36,790.68 2026-03-17
B1004 LOCAL Amputation Lower Extremity M <47.50- Tier Tier 1 22 11 — — $36,677.01 $36,677.01 $36,677.01 2026-03-17
C0604 LOCAL Neurological M <43.50- Tier Tier 2 22 11 — — $29,123.73 $42,388.74 $35,756.24 2026-03-17
D0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 22 11 — — $35,334.96 $35,334.96 $35,334.96 2026-03-17
C0205 LOCAL Traumatic Brain Injury M <35.50- Tier Tier 2 22 11 — — $34,636.83 $34,636.83 $34,636.83 2026-03-17
C0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 22 11 — — $34,454.45 $34,454.45 $34,454.45 2026-03-17
A0106 LOCAL Stroke M <41.50 And A <84.50- Tier None 22 11 — — $29,151.72 $38,858.12 $34,004.92 2026-03-17
B2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 1 22 11 — — $32,916.29 $33,588.05 $33,252.17 2026-03-17
B0104 LOCAL Stroke M >=41.50 And M <50.50- Tier Tier 1 22 11 — — $32,571.15 $32,571.15 $32,571.15 2026-03-17
D0105 LOCAL Stroke M <41.50 And A >=84.50- Tier Tier 3 22 11 — — $32,277.87 $32,277.87 $32,277.87 2026-03-17
D0106 LOCAL Stroke M <41.50 And A <84.50- Tier Tier 3 22 11 — — $25,919.22 $36,713.67 $31,316.44 2026-03-17
A0105 LOCAL Stroke M <41.50 And A >=84.50- Tier None 22 11 — — $30,762.08 $30,762.08 $30,762.08 2026-03-17
A0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier None 22 11 — — $28,262.94 $32,561.59 $30,412.26 2026-03-17
B0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 1 22 11 — — $30,365.21 $30,365.21 $30,365.21 2026-03-17
C1004 LOCAL Amputation Lower Extremity M <47.50- Tier Tier 2 22 11 — — $30,333.33 $30,333.33 $30,333.33 2026-03-17
D1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 22 11 — — $30,084.68 $30,084.68 $30,084.68 2026-03-17
D0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 3 22 11 — — $26,638.57 $31,954.24 $29,296.40 2026-03-17
C2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 22 11 — — $26,828.36 $31,084.76 $28,956.56 2026-03-17
D1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50- Tier Tier 3 22 11 — — $26,939.93 $30,787.60 $28,863.76 2026-03-17
D0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 3 22 11 — — $28,835.86 $28,835.86 $28,835.86 2026-03-17
C0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 2 22 11 — — $28,694.81 $28,694.81 $28,694.81 2026-03-17
D0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 22 11 — — $27,931.33 $27,931.33 $27,931.33 2026-03-17
D1504 LOCAL Pulmonary M <45.50- Tier Tier 3 22 11 — — $27,671.53 $27,671.53 $27,671.53 2026-03-17
C0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 22 11 — — $27,571.12 $27,571.12 $27,571.12 2026-03-17
D0604 LOCAL Neurological M <43.50- Tier Tier 3 22 11 — — $27,188.39 $27,743.26 $27,465.83 2026-03-17
C0904 LOCAL Other Orthopedic M <44.5- Tier Tier 2 22 11 — — $27,340.00 $27,340.00 $27,340.00 2026-03-17
A1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 22 11 — — $27,169.82 $27,293.78 $27,231.80 2026-03-17
C0603 LOCAL Neurological M >=43.50 And M <52.50- Tier Tier 2 22 11 — — $26,909.80 $26,909.80 $26,909.80 2026-03-17
D2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 22 11 — — $24,561.08 $28,909.23 $26,735.15 2026-03-17
A2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier None 22 11 — — $26,464.06 $26,464.06 $26,464.06 2026-03-17
A0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier None 22 11 — — $26,326.29 $26,326.29 $26,326.29 2026-03-17
A1504 LOCAL Pulmonary M <45.50- Tier None 22 11 — — $25,884.78 $25,884.78 $25,884.78 2026-03-17
D1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50… 22 11 — — $25,741.33 $25,741.33 $25,741.33 2026-03-17
D1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50… 22 11 — — $25,636.13 $25,636.13 $25,636.13 2026-03-17
D0104 LOCAL Stroke M >=41.50 And M <50.50- Tier Tier 3 22 11 — — $25,296.79 $25,813.05 $25,554.92 2026-03-17
B0103 LOCAL Stroke M >=50.50 And M <63.50- Tier Tier 1 22 11 — — $25,521.37 $25,521.37 $25,521.37 2026-03-17
D0904 LOCAL Other Orthopedic M <44.5- Tier Tier 3 22 11 — — $25,483.12 $25,483.12 $25,483.12 2026-03-17
D0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 3 22 11 — — $25,326.92 $25,326.92 $25,326.92 2026-03-17
D2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 3 22 11 — — $24,000.48 $26,417.14 $25,208.81 2026-03-17
C0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50- Tier Tier 2 22 11 — — $25,134.16 $25,134.16 $25,134.16 2026-03-17
A0604 LOCAL Neurological M <43.50- Tier None 22 11 — — $25,020.89 $25,020.89 $25,020.89 2026-03-17
A0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier None 22 11 — — $24,611.07 $25,113.34 $24,862.21 2026-03-17
D1404 LOCAL Cardiac M <45.50- Tier Tier 3 22 11 — — $24,550.15 $25,051.17 $24,800.66 2026-03-17
A0104 LOCAL Stroke M >=41.50 And M <50.50- Tier None 22 11 — — $24,600.10 $24,600.10 $24,600.10 2026-03-17
B0702 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50- Tier Tier 1 22 11 — — $24,198.70 $24,198.70 $24,198.70 2026-03-17
A2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier None 22 11 — — $24,045.43 $24,045.43 $24,045.43 2026-03-17
D0805 LOCAL Replacement Of Lower-extremity Joint M <42.50- Tier Tier 3 22 11 — — $24,035.87 $24,035.87 $24,035.87 2026-03-17
D0603 LOCAL Neurological M >=43.50 And M <52.50- Tier Tier 3 22 11 — — $21,679.17 $25,345.11 $23,512.14 2026-03-17
B2002 LOCAL Miscellaneous M >=55.50 And M <66.50- Tier Tier 1 22 11 — — $23,458.88 $23,458.88 $23,458.88 2026-03-17
A0904 LOCAL Other Orthopedic M <44.5- Tier None 22 11 — — $22,849.12 $23,315.43 $23,082.28 2026-03-17
A1404 LOCAL Cardiac M <45.50- Tier None 22 11 — — $23,050.84 $23,050.84 $23,050.84 2026-03-17
A0805 LOCAL Replacement Of Lower-extremity Joint M <42.50- Tier None 22 11 — — $22,418.07 $22,418.07 $22,418.07 2026-03-17
D0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 3 22 11 — — $22,250.71 $22,250.71 $22,250.71 2026-03-17
D1403 LOCAL Cardiac M >=45.50 And M <55.50- Tier Tier 3 22 11 — — $20,444.83 $23,508.93 $21,976.88 2026-03-17
D0602 LOCAL Neurological M >=52.50 And M <64.50- Tier Tier 3 22 11 — — $21,313.22 $21,313.22 $21,313.22 2026-03-17
D0903 LOCAL Other Orthopedic M >=44.50 And M <51.50- Tier Tier 3 22 11 — — $20,841.93 $21,267.28 $21,054.60 2026-03-17
D2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier Tier 3 22 11 — — $20,961.25 $20,961.25 $20,961.25 2026-03-17
A0103 LOCAL Stroke M >=50.50 And M <63.50- Tier None 22 11 — — $18,889.42 $22,114.83 $20,502.12 2026-03-17
C0602 LOCAL Neurological M >=52.50 And M <64.50- Tier Tier 2 22 11 — — $20,111.71 $20,111.71 $20,111.71 2026-03-17
A0603 LOCAL Neurological M >=43.50 And M <52.50- Tier None 22 11 — — $19,950.73 $19,950.73 $19,950.73 2026-03-17
A0903 LOCAL Other Orthopedic M >=44.50 And M <51.50- Tier None 22 11 — — $19,069.05 $19,458.21 $19,263.63 2026-03-17
D1702 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50… 22 11 — — $19,061.33 $19,061.33 $19,061.33 2026-03-17
A1403 LOCAL Cardiac M >=45.50 And M <55.50- Tier None 22 11 — — $18,812.69 $18,812.69 $18,812.69 2026-03-17
A0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50- Tier None 22 11 — — $18,643.74 $18,643.74 $18,643.74 2026-03-17
D0902 LOCAL Other Orthopedic M >=51.50 And M <63.50- Tier Tier 3 22 11 — — $17,808.54 $17,808.54 $17,808.54 2026-03-17
D2002 LOCAL Miscellaneous M >=55.50 And M <66.50- Tier Tier 3 22 11 — — $17,504.10 $17,504.10 $17,504.10 2026-03-17
A0803 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50- Tier None 22 11 — — $16,684.84 $16,684.84 $16,684.84 2026-03-17
D0103 LOCAL Stroke M >=50.50 And M <63.50- Tier Tier 3 22 11 — — $12,605.90 $20,226.47 $16,416.19 2026-03-17
D0601 LOCAL Neurological M >=64.50- Tier Tier 3 22 11 — — $14,802.46 $14,802.46 $14,802.46 2026-03-17
C2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 2 22 11 — — $5,498.66 $5,498.66 $5,498.66 2026-03-17
0148 RC Room & Board - Deluxe Private - Rehabilitation 8 4 — — $1,650.00 $1,650.00 $1,650.00 2026-03-17
0158 RC Room & Board - Ward - Rehabilitation 8 4 — — $1,650.00 $1,650.00 $1,650.00 2026-03-17
0138 RC Room & Board - Three And Four Beds - Rehabilitation 8 4 — — $1,650.00 $1,650.00 $1,650.00 2026-03-17
0118 RC Room & Board - Private (One Bed) - Rehabilitation 8 4 — — $1,650.00 $1,650.00 $1,650.00 2026-03-17
0128 RC Room & Board - Semi-private (Two Beds) - Rehabilitation 8 4 — — $1,650.00 $1,650.00 $1,650.00 2026-03-17
0800 RC Inpatient Renal Dialysis - General Classification 8 3 — — $550.00 $600.00 $600.00 2026-03-17
0801 RC Inpatient Renal Dialysis - Hemodialysis 8 3 — — $550.00 $600.00 $600.00 2026-03-17
0807 RC Inpatient Renal Dialysis - Observation/Hourly 7 2 — — $600.00 $600.00 $600.00 2026-03-17
0806 RC Inpatient Renal Dialysis - Continuation 7 2 — — $600.00 $600.00 $600.00 2026-03-17
0805 RC Inpatient Renal Dialysis - Treatment 7 2 — — $600.00 $600.00 $600.00 2026-03-17
0804 RC Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (ccpd) 8 3 — — $550.00 $600.00 $600.00 2026-03-17
0802 RC Inpatient Renal Dialysis - Peritoneal Dialysis (non-capd) 8 3 — — $550.00 $600.00 $600.00 2026-03-17
0809 RC Inpatient Renal Dialysis - Other 8 3 — — $550.00 $600.00 $600.00 2026-03-17
0808 RC Inpatient Renal Dialysis - Other 7 2 — — $600.00 $600.00 $600.00 2026-03-17
0803 RC Inpatient Renal Dialysis - Continuous Ambulatory Peritoneal Dialysis (capd) 8 3 — — $550.00 $600.00 $600.00 2026-03-17
92523 HCPCS Speech Sound Lang Comprehen 66 17 — — $120.00 $218.02 $169.01 2026-03-17
97168 HCPCS Ot Re-eval Est Plan Care 65 16 — — $120.00 $150.00 $135.00 2026-03-17
97163 HCPCS Pt Eval High Complex 45 Min 66 17 — — $120.00 $150.00 $135.00 2026-03-17
92524 HCPCS Behavral Qualit Analys Voice 65 16 — — $120.00 $150.00 $135.00 2026-03-17
92522 HCPCS Evaluate Speech Production 65 16 — — $120.00 $150.00 $135.00 2026-03-17
97164 HCPCS Pt Re-eval Est Plan Care 66 17 — — $120.00 $150.00 $135.00 2026-03-17
97167 HCPCS Ot Eval High Complex 60 Min 65 16 — — $120.00 $150.00 $135.00 2026-03-17
96105 HCPCS Assessment Of Aphasia 65 16 — — $120.00 $150.00 $135.00 2026-03-17
92521 HCPCS Evaluation Of Speech Fluency 2 2 — — $120.00 $150.00 $135.00 2026-03-17
97165 HCPCS Ot Eval Low Complex 30 Min 66 17 — — $97.79 $150.00 $123.89 2026-03-17
97166 HCPCS Ot Eval Mod Complex 45 Min 66 17 — — $97.79 $150.00 $123.89 2026-03-17
97161 HCPCS Pt Eval Low Complex 20 Min 66 17 — — $95.34 $150.00 $122.67 2026-03-17
97162 HCPCS Pt Eval Mod Complex 30 Min 66 17 — — $95.34 $150.00 $122.67 2026-03-17
0410 RC Respiratory Services - General Classification 64 15 — — $120.00 $120.00 $120.00 2026-03-17
0424 RC Physical Therapy - Evaluation Or Re-evaluation 68 17 — — $62.00 $150.00 $106.00 2026-03-17
0434 RC Occupational Therapy - Evaluation Or Reevaluation 69 18 — — $62.00 $150.00 $106.00 2026-03-17
0444 RC Speech Therapy - Language Pathology - Evaluation Or Reevaluation 69 18 — — $62.00 $150.00 $106.00 2026-03-17
92605 HCPCS Ex For Nonspeech Device Rx 2 2 — — $90.00 $120.00 $105.00 2026-03-17
92606 HCPCS Non-speech Device Service 2 2 — — $90.00 $120.00 $105.00 2026-03-17
97032 HCPCS Appl Modality 1+estim Ea 15 59 16 — — $90.00 $120.00 $105.00 2026-03-17
97124 HCPCS Massage Therapy 65 16 — — $90.00 $120.00 $105.00 2026-03-17
97113 HCPCS Aquatic Therapy/exercises 65 16 — — $90.00 $120.00 $105.00 2026-03-17
97129 HCPCS Ther Ivntj 1st 15 Min 65 16 — — $90.00 $120.00 $105.00 2026-03-17
97537 HCPCS Community/work Reintegration 65 16 — — $90.00 $120.00 $105.00 2026-03-17
92607 HCPCS Ex For Speech Device Rx 1hr 65 16 — — $90.00 $120.00 $105.00 2026-03-17
92526 HCPCS Oral Function Therapy 66 17 — — $90.00 $120.00 $105.00 2026-03-17
92597 HCPCS Oral Speech Device Eval 2 2 — — $90.00 $120.00 $105.00 2026-03-17
92507 HCPCS Speech/hearing Therapy 66 17 — — $73.22 $120.00 $96.61 2026-03-17
0430 RC Occupational Therapy - General Classification 69 18 — — $60.00 $120.00 $90.00 2026-03-17
0440 RC Speech Therapy - Language Pathology - General Classification 69 18 — — $60.00 $120.00 $90.00 2026-03-17
0420 RC Physical Therapy - General Classification 69 18 — — $60.00 $120.00 $90.00 2026-03-17
0442 RC Speech Therapy - Language Pathology - Hourly Charge 3 3 — — $85.00 $85.00 $85.00 2026-03-17
0449 RC Speech Therapy - Language Pathology - Other 2 2 — — $85.00 $85.00 $85.00 2026-03-17
0433 RC Occupational Therapy - Group Rate 2 2 — — $85.00 $85.00 $85.00 2026-03-17
0439 RC Occupational Therapy - Other 2 2 — — $85.00 $85.00 $85.00 2026-03-17
0422 RC Physical Therapy - Hourly Charge 2 2 — — $85.00 $85.00 $85.00 2026-03-17
0423 RC Physical Therapy - Group Rate 2 2 — — $85.00 $85.00 $85.00 2026-03-17
0432 RC Occupational Therapy - Hourly Charge 2 2 — — $85.00 $85.00 $85.00 2026-03-17
0429 RC Physical Therapy - Other 2 2 — — $85.00 $85.00 $85.00 2026-03-17
0443 RC Speech Therapy - Language Pathology - Group Rate 3 3 — — $85.00 $85.00 $85.00 2026-03-17
97530 HCPCS Therapeutic Activities 66 17 — — $33.75 $120.00 $76.88 2026-03-17
97110 HCPCS Therapeutic Exercises 66 17 — — $33.75 $120.00 $76.88 2026-03-17
97112 HCPCS Neuromuscular Reeducation 66 17 — — $31.15 $120.00 $75.58 2026-03-17
97535 HCPCS Self Care Mngment Training 66 17 — — $31.06 $120.00 $75.53 2026-03-17
97116 HCPCS Gait Training Therapy 66 17 — — $28.00 $120.00 $74.00 2026-03-17
97140 HCPCS Manual Therapy 1/> Regions 65 16 — — $26.44 $120.00 $73.22 2026-03-17
0441 RC Speech Therapy - Language Pathology - Visit Charge 5 4 — — $60.00 $85.00 $72.50 2026-03-17
0421 RC Physical Therapy - Visit Charge 66 15 — — $60.00 $85.00 $72.50 2026-03-17
0431 RC Occupational Therapy - Visit Charge 4 3 — — $60.00 $85.00 $66.25 2026-03-17
97761 HCPCS Prosthetic Traing 1st Enc 63 14 — — $33.75 $33.75 $33.75 2026-03-17
36589 HCPCS Removal Tunneled Cv Cath 0 0 — — — — — 2026-03-17
36573 HCPCS Insj Picc Rs&i 5 Yr+ 0 0 — — — — — 2026-03-17
24615 HCPCS Treat Elbow Dislocation 0 0 — — — — — 2026-03-17
36569 HCPCS Insj Picc 5 Yr+ Without Imaging 0 0 — — — — — 2026-03-17
36561 HCPCS Insert Tunneled Cv Cath 0 0 — — — — — 2026-03-17
24516 HCPCS Treat Humerus Fracture 0 0 — — — — — 2026-03-17
15853 HCPCS Removal Sutr/stapl Xreq Anes 0 0 — — — — — 2026-03-17
36558 HCPCS Insert Tunneled Cv Cath 0 0 — — — — — 2026-03-17
36556 HCPCS Insert Non-tunnel Cv Cath 0 0 — — — — — 2026-03-17
24430 HCPCS Repair Of Humerus 0 0 — — — — — 2026-03-17
36514 HCPCS Apheresis Plasma 0 0 — — — — — 2026-03-17
36460 HCPCS Intrauterine Transfusion Ftl 0 0 — — — — — 2026-03-17
24344 HCPCS Reconstruct Elbow Lat Ligmnt 0 0 — — — — — 2026-03-17
15772 HCPCS Grfg Autol Fat Lipo Ea Addl 0 0 — — — — — 2026-03-17
10060 HCPCS I&d Abscess Simple/single 0 0 — — — — — 2026-03-17
36430 HCPCS Transfusion Bld/bld Compnt 0 0 — — — — — 2026-03-17
36415 HCPCS Routine Venipuncture 0 0 — — — — — 2026-03-17
23650 HCPCS Cltx Sho Dslc W/mnpj Wo Anes 0 0 — — — — — 2026-03-17
36248 HCPCS Ins Cath Abd/l-ext Art Addl 0 0 — — — — — 2026-03-17
36247 HCPCS Ins Cath Abd/l-ext Art 3rd 0 0 — — — — — 2026-03-17
23515 HCPCS Optx Clavicular Fx W/int Fix 0 0 — — — — — 2026-03-17
15771 HCPCS Grfg Autol Fat Lipo 50 Cc/< 0 0 — — — — — 2026-03-17
36225 HCPCS Place Cath Subclavian Art 0 0 — — — — — 2026-03-17
36200 HCPCS Place Catheter In Aorta 0 0 — — — — — 2026-03-17
23412 HCPCS Repair Rotator Cuff Chronic 0 0 — — — — — 2026-03-17
36012 HCPCS Place Catheter In Vein 0 0 — — — — — 2026-03-17
33228 HCPCS Remv&replc Pm Gen Dual Lead 0 0 — — — — — 2026-03-17
22552 HCPCS Arthrd Ant Ntrbd Cervical Ea 0 0 — — — — — 2026-03-17
14020 HCPCS Tis Trnfr S/a/l 10 Sq Cm/< 0 0 — — — — — 2026-03-17
10005 HCPCS Fna Bx W/us Gdn 1st Les 0 0 — — — — — 2026-03-17
00410 HCPCS Anesth Correct Heart Rhythm 0 0 — — — — — 2026-03-17
33227 HCPCS Remove&replace Pm Gen Singl 0 0 — — — — — 2026-03-17
33207 HCPCS Insert Heart Pm Ventricular 0 0 — — — — — 2026-03-17
22548 HCPCS Arthrd Ant Toral/xoral C1-c2 0 0 — — — — — 2026-03-17
32555 HCPCS Aspirate Pleura With Imaging 0 0 — — — — — 2026-03-17
32408 HCPCS Core Ndl Bx Lng/med Perq 0 0 — — — — — 2026-03-17
22515 HCPCS Perq Vertebral Augmentation 0 0 — — — — — 2026-03-17
14000 HCPCS Tis Trnfr Trunk 10 Sq Cm/< 0 0 — — — — — 2026-03-17
31500 HCPCS Insert Emergency Airway 0 0 — — — — — 2026-03-17
31288 HCPCS Nasal/sinus Endoscopy Surg 0 0 — — — — — 2026-03-17
22514 HCPCS Perq Vertebral Augmentation 0 0 — — — — — 2026-03-17
31276 HCPCS Nsl/sins Ndsc Frnt Tiss Rmvl 0 0 — — — — — 2026-03-17
31267 HCPCS Endoscopy Maxillary Sinus 0 0 — — — — — 2026-03-17
22513 HCPCS Perq Vertebral Augmentation 0 0 — — — — — 2026-03-17
12032 HCPCS Intmd Rpr S/a/t/ext 2.6-7.5 0 0 — — — — — 2026-03-17
0671T HCPCS Insj Ant Sgm Aq DRG Dev 1+ 0 0 — — — — — 2026-03-17
31259 HCPCS Nsl/sins Ndsc Sphn Tiss Rmvl 0 0 — — — — — 2026-03-17
31257 HCPCS Nsl/sins Ndsc Tot W/sphendt 0 0 — — — — — 2026-03-17
22224 HCPCS Osteot Dsc Ant 1vrt Sgm Lmbr 0 0 — — — — — 2026-03-17
31256 HCPCS Exploration Maxillary Sinus 0 0 — — — — — 2026-03-17
50435 HCPCS Exchange Nephrostomy Cath 0 0 — — — — — 2026-03-17
31254 HCPCS Nsl/sins Ndsc W/prtl Ethmdct 0 0 — — — — — 2026-03-17
21931 HCPCS Exc Back Les Sc 3 Cm/> 0 0 — — — — — 2026-03-17
12013 HCPCS Rpr F/e/e/n/l/m 2.6-5.0 Cm 0 0 — — — — — 2026-03-17
49651 HCPCS Lap Ing Hernia Repair Recur 0 0 — — — — — 2026-03-17
49650 HCPCS Lap Ing Hernia Repair Init 0 0 — — — — — 2026-03-17
50543 HCPCS Laparo Partial Nephrectomy 0 0 — — — — — 2026-03-17
50590 HCPCS Fragmenting Of Kidney Stone 0 0 — — — — — 2026-03-17
50949 HCPCS Unlisted Laps Px Ureter 0 0 — — — — — 2026-03-17
51102 HCPCS Drain Bl W/cath Insertion 0 0 — — — — — 2026-03-17
51702 HCPCS Insert Temp Bladder Cath 0 0 — — — — — 2026-03-17
51798 HCPCS US Urine Capacity Measure 0 0 — — — — — 2026-03-17
52204 HCPCS Cystoscopy W/biopsy(s) 0 0 — — — — — 2026-03-17
52224 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52234 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52235 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52240 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52310 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52317 HCPCS Remove Bladder Stone 0 0 — — — — — 2026-03-17
52332 HCPCS Cystoscopy And Treatment 0 0 — — — — — 2026-03-17
52356 HCPCS Cysto/uretero W/lithotripsy 0 0 — — — — — 2026-03-17
52601 HCPCS Prostatectomy (turp) 0 0 — — — — — 2026-03-17
53445 HCPCS Insert Uro/ves Nck Sphincter 0 0 — — — — — 2026-03-17
54161 HCPCS Circum 28 Days Or Older 0 0 — — — — — 2026-03-17
55040 HCPCS Removal Of Hydrocele 0 0 — — — — — 2026-03-17
55700 HCPCS Biopsy Of Prostate 0 0 — — — — — 2026-03-17
55880 HCPCS Abltj Mal Prst8 Tiss Hifu 0 0 — — — — — 2026-03-17
57260 HCPCS Cmbn Ant Pst Colprhy 0 0 — — — — — 2026-03-17
57288 HCPCS Repair Bladder Defect 0 0 — — — — — 2026-03-17
57461 HCPCS Conz Of Cervix W/scope Leep 0 0 — — — — — 2026-03-17
57522 HCPCS Conization Of Cervix 0 0 — — — — — 2026-03-17
58120 HCPCS Dilation And Curettage 0 0 — — — — — 2026-03-17
58301 HCPCS Remove Intrauterine Device 0 0 — — — — — 2026-03-17
58550 HCPCS Laparo-asst Vag Hysterectomy 0 0 — — — — — 2026-03-17
58552 HCPCS Laparo-vag Hyst Incl T/o 0 0 — — — — — 2026-03-17
58554 HCPCS Laparo-vag Hyst W/t/o Compl 0 0 — — — — — 2026-03-17
58558 HCPCS Hysteroscopy Biopsy 0 0 — — — — — 2026-03-17
58561 HCPCS Hysteroscopy Remove Myoma 0 0 — — — — — 2026-03-17
58563 HCPCS Hysteroscopy Ablation 0 0 — — — — — 2026-03-17
58570 HCPCS Tlh Uterus 250 G Or Less 0 0 — — — — — 2026-03-17
58571 HCPCS Tlh W/t/o 250 G Or Less 0 0 — — — — — 2026-03-17
58661 HCPCS Laparoscopy Remove Adnexa 0 0 — — — — — 2026-03-17
58662 HCPCS Laparoscopy Excise Lesions 0 0 — — — — — 2026-03-17
59012 HCPCS Fetal Cord Puncture Prenatal 0 0 — — — — — 2026-03-17
59025 HCPCS Fetal Non-stress Test 0 0 — — — — — 2026-03-17
59820 HCPCS Care Of Miscarriage 0 0 — — — — — 2026-03-17
59897 HCPCS Unlisted Fetal Invas Px W/us 0 0 — — — — — 2026-03-17
60220 HCPCS Partial Removal Of Thyroid 0 0 — — — — — 2026-03-17
61782 HCPCS Scan Proc Cranial Extra 0 0 — — — — — 2026-03-17
62270 HCPCS Dx Lmbr Spi Pnxr 0 0 — — — — — 2026-03-17
62328 HCPCS Dx Lmbr Spi Pnxr W/fluor/ct 0 0 — — — — — 2026-03-17
64450 HCPCS Njx Aa&/strd Other Pn/branch 0 0 — — — — — 2026-03-17
64718 HCPCS Revise Ulnar Nerve At Elbow 0 0 — — — — — 2026-03-17
64721 HCPCS Carpal Tunnel Surgery 0 0 — — — — — 2026-03-17
65426 HCPCS Removal Of Eye Lesion 0 0 — — — — — 2026-03-17
65730 HCPCS Corneal Transplant 0 0 — — — — — 2026-03-17
65755 HCPCS Corneal Transplant 0 0 — — — — — 2026-03-17
65756 HCPCS Corneal Trnspl Endothelial 0 0 — — — — — 2026-03-17
65820 HCPCS Relieve Inner Eye Pressure 0 0 — — — — — 2026-03-17
66170 HCPCS Glaucoma Surgery 0 0 — — — — — 2026-03-17
66180 HCPCS Aqueous Shunt Eye W/graft 0 0 — — — — — 2026-03-17
31237 HCPCS Nsl/sins Ndsc Surg Bx Polypc 0 0 — — — — — 2026-03-17
49594 HCPCS Rpr Aa Hrn 1st 3-10 Ncr/strn 0 0 — — — — — 2026-03-17
49592 HCPCS Rpr Aa Hrn 1st < 3 Ncr/strn 0 0 — — — — — 2026-03-17
30801 HCPCS Ablate Inf Turbinate Superf 0 0 — — — — — 2026-03-17
21552 HCPCS Exc Neck Les Sc 3 Cm/> 0 0 — — — — — 2026-03-17
49591 HCPCS Rpr Aa Hrn 1st < 3 Cm Rdc 0 0 — — — — — 2026-03-17
49520 HCPCS Rerepair Ing Hernia Reduce 0 0 — — — — — 2026-03-17
30520 HCPCS Repair Of Nasal Septum 0 0 — — — — — 2026-03-17
49507 HCPCS Prp I/hern Init Block >5 Yr 0 0 — — — — — 2026-03-17
49505 HCPCS Prp I/hern Init Reduc >5 Yr 0 0 — — — — — 2026-03-17
30140 HCPCS Resect Inferior Turbinate 0 0 — — — — — 2026-03-17
21014 HCPCS Exc Face Tum Deep 2 Cm/> 0 0 — — — — — 2026-03-17
12011 HCPCS Rpr F/e/e/n/l/m 2.5 Cm/< 0 0 — — — — — 2026-03-17
00921 HCPCS Anesth Vasectomy 0 0 — — — — — 2026-03-17
00402 HCPCS Anesth Surgery Of Breast 0 0 — — — — — 2026-03-17
00320 HCPCS Anesth Neck Organ 1yr/> 0 0 — — — — — 2026-03-17
49422 HCPCS Remove Tunneled Ip Cath 0 0 — — — — — 2026-03-17
49324 HCPCS Lap Insert Tunnel Ip Cath 0 0 — — — — — 2026-03-17
30130 HCPCS Excise Inferior Turbinate 0 0 — — — — — 2026-03-17
49322 HCPCS Laparoscopy Aspiration 0 0 — — — — — 2026-03-17
49083 HCPCS Abd Paracentesis W/imaging 0 0 — — — — — 2026-03-17
29881 HCPCS Knee Arthroscopy/surgery 0 0 — — — — — 2026-03-17
20985 HCPCS Cptr-asst Dir Ms Px 0 0 — — — — — 2026-03-17
47563 HCPCS Laparo Cholecystectomy/graph 0 0 — — — — — 2026-03-17
47562 HCPCS Laparoscopic Cholecystectomy 0 0 — — — — — 2026-03-17
29880 HCPCS Knee Arthroscopy/surgery 0 0 — — — — — 2026-03-17
47000 HCPCS Needle Biopsy Of Liver 0 0 — — — — — 2026-03-17
46924 HCPCS Destruction Anal Lesion(s) 0 0 — — — — — 2026-03-17
29828 HCPCS Sho Arthrs Srg Bicp Tenodsis 0 0 — — — — — 2026-03-17
20680 HCPCS Removal Of Implant Deep 0 0 — — — — — 2026-03-17
12004 HCPCS Rpr S/n/ax/gen/trk7.6-12.5cm 0 0 — — — — — 2026-03-17
46607 HCPCS Diagnostic Anoscopy & Biopsy 0 0 — — — — — 2026-03-17
46260 HCPCS Remove In/ex Hem Groups 2+ 0 0 — — — — — 2026-03-17
29827 HCPCS Sho Arthrs Srg Rt8tr Cuf Rpr 0 0 — — — — — 2026-03-17
46255 HCPCS Remove Int/ext Hem 1 Group 0 0 — — — — — 2026-03-17
45388 HCPCS Colonoscopy W/ablation 0 0 — — — — — 2026-03-17
29826 HCPCS Sho Arthrs Srg Decompression 0 0 — — — — — 2026-03-17
20610 HCPCS Drain/inj Joint/bursa Without US 0 0 — — — — — 2026-03-17
45385 HCPCS Colonoscopy W/lesion Removal 0 0 — — — — — 2026-03-17
45381 HCPCS Colonoscopy Submucous Njx 0 0 — — — — — 2026-03-17
29822 HCPCS Sho Arthrs Srg Lmtd Dbrdmt 0 0 — — — — — 2026-03-17
45380 HCPCS Colonoscopy And Biopsy 0 0 — — — — — 2026-03-17
45378 HCPCS Diagnostic Colonoscopy 0 0 — — — — — 2026-03-17
29805 HCPCS Sho Arthrs Dx +- Synovial Bx 0 0 — — — — — 2026-03-17
20561 HCPCS Ndl Insj Without Njx 3+ Musc 0 0 — — — — — 2026-03-17
12002 HCPCS Rpr S/n/ax/gen/trnk2.6-7.5cm 0 0 — — — — — 2026-03-17
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