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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Pam Health Rehabilitation Hospital Of Surgar Land

Sugar Land, TX · CCN 673068 · Rates published

7,016 distinct procedures filed
25 distinct payers
107,632 rate rows
2025-09-11 last MRF observed
Data quality

106,912 of 107,632 rate rows are consumer-grade (99.3%)

720 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
per-diem day rate — not a per-procedure price 362
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 262
percent-of-charges filed in the dollar field — excluded from medians 96
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/9709/873373520_pam-health-rehabilitation-hospital-of-sugar-land-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/RehabilitationHospitalofSugarLand/9709
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 439be0dc782f87fb… · 15,660,414 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
1614
APR_DRG 		Implantable Heart Assist Systems 3 $152,022.84 $159,623.98 $152,022.84 nat. median
$207,730
0.7× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $142,421.46 $149,542.53 $142,421.46 nat. median
$164,834
0.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $99,088.76 $104,043.20 $99,088.76 nat. median
$117,173
0.8× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 3 $92,080.74 $96,684.78 $92,080.74 nat. median
$32,636
outlier · 2.8×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $83,400.59 $87,570.62 $83,400.59 nat. median
$105,658
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $83,042.06 $87,194.16 $83,042.06 nat. median
$160,267
0.5× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 $80,046.86 $84,049.20 $80,046.86 nat. median
$73,845
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $79,236.36 $83,198.18 $79,236.36 nat. median
$119,796
0.7× median
B0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 19 $71,321.72 $112,613.24 $75,075.49 nat. median
$79,920
0.9× median
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 $70,600.49 $74,130.51 $70,600.49 nat. median
$73,428
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $70,561.09 $74,089.14 $70,561.09 nat. median
$97,957
0.7× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $69,971.36 $73,469.93 $69,971.36 nat. median
$79,160
0.9× median
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 3 $68,424.59 $71,845.82 $68,424.59 nat. median
$22,749
outlier · 3.0×
C0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 19 $63,425.00 $100,144.74 $66,763.16 nat. median
$70,083
1.0× median
B1904
LOCAL 		Guillain-barré M <38.50 19 $61,714.42 $97,443.83 $64,962.55 nat. median
$68,345
1.0× median
D0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 19 $61,569.34 $97,214.75 $64,809.83 nat. median
$67,662
1.0× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 $61,552.69 $64,630.32 $61,552.69 nat. median
$81,790
0.8× median
B1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 19 $58,052.01 $91,661.07 $61,107.38 nat. median
$64,290
1.0× median
A0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 19 $55,944.98 $88,334.18 $58,889.45 nat. median
$61,956
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 3 $56,958.62 $59,806.55 $56,958.62 nat. median
$85,406
0.7× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $56,307.35 $59,122.72 $56,307.35 nat. median
$60,845
0.9× median
B0406
LOCAL 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 19 $52,169.54 $82,372.97 $54,915.31 nat. median
$59,111
0.9× median
B0404
LOCAL 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 19 $51,412.09 $81,176.99 $54,117.99 nat. median
$57,695
0.9× median
1611
APR_DRG 		Implantable Heart Assist Systems 3 $54,020.08 $56,721.08 $54,020.08 nat. median
$76,806
0.7× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $53,640.39 $56,322.41 $53,640.39 nat. median
$68,217
0.8× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $53,622.15 $56,303.26 $53,622.15 nat. median
$69,926
0.8× median
B0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50 19 $50,884.07 $80,343.27 $53,562.18 nat. median
$56,226
1.0× median
6804
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 $52,238.53 $54,850.46 $52,238.53 nat. median
$66,068
0.8× median
B0106
LOCAL 		Stroke M <41.50 And A <84.50 19 $49,030.09 $77,415.93 $51,610.62 nat. median
$53,762
1.0× median
4414
APR_DRG 		Major Bladder Procedures 3 $50,996.23 $53,546.04 $50,996.23 nat. median
$57,204
0.9× median
C1904
LOCAL 		Guillain-barré M <38.50 19 $47,446.03 $74,914.79 $49,943.19 nat. median
$52,544
1.0× median
C0406
LOCAL 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 19 $46,393.35 $73,252.67 $48,835.11 nat. median
$52,063
0.9× median
C1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 19 $46,310.70 $73,122.15 $48,748.10 nat. median
$51,172
1.0× median
C0404
LOCAL 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 19 $45,720.26 $72,189.89 $48,126.59 nat. median
$50,633
1.0× median
1784
APR_DRG 		External Heart Assist Systems 3 $47,763.64 $50,151.82 $47,763.64 nat. median
$63,559
0.8× median
D0406
LOCAL 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 19 $45,035.35 $71,108.45 $47,405.63 nat. median
$49,763
1.0× median
B0205
LOCAL 		Traumatic Brain Injury M <35.50 19 $44,510.70 $70,280.06 $46,853.37 nat. median
$49,196
1.0× median
1674
APR_DRG 		Other Cardiothoracic And Thoracic Vascular Procedures 3 $46,775.66 $49,114.44 $46,775.66 nat. median
$62,356
0.8× median
D0404
LOCAL 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 19 $44,382.49 $70,077.62 $46,718.41 nat. median
$49,042
1.0× median
D1904
LOCAL 		Guillain-barré M <38.50 19 $44,272.84 $69,904.49 $46,602.99 nat. median
$49,620
0.9× median
B1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 19 $44,232.35 $69,840.56 $46,560.37 nat. median
$48,876
1.0× median
6904
APR_DRG 		Acute Leukemia 3 $46,355.59 $48,673.37 $46,355.59 nat. median
$60,471
0.8× median
D1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 19 $43,965.81 $69,419.70 $46,279.80 nat. median
$48,581
1.0× median
434
APR_DRG 		Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 $46,071.63 $48,375.21 $46,071.63 nat. median
$43,470
1.1× median
92
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $46,019.86 $48,320.85 $46,019.86 nat. median
$48,344
1.0× median
A1904
LOCAL 		Guillain-barré M <38.50 19 $43,506.95 $68,695.19 $45,796.79 nat. median
$48,824
0.9× median
B0105
LOCAL 		Stroke M <41.50 And A >=84.50 19 $43,107.14 $68,063.91 $45,375.94 nat. median
$48,375
0.9× median
C0106
LOCAL 		Stroke M <41.50 And A <84.50 19 $42,521.76 $67,139.63 $44,759.75 nat. median
$46,986
1.0× median
91
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $44,630.04 $46,861.54 $44,630.04 nat. median
$47,699
0.9× median
B1903
LOCAL 		Guillain-barré M >=38.50 And M <51.50 19 $42,366.56 $66,894.57 $44,596.38 nat. median
$46,919
1.0× median

Other procedures at this hospital

Browse this hospital's 7,016 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
6904 APR_DRG Acute Leukemia 6 3 — — $46,355.59 $48,673.37 $46,355.59 2025-09-11
B1004 LOCAL Amputation Lower Extremity M <47.50 44 19 — — $38,818.86 $61,292.94 $40,861.96 2025-09-11
C1004 LOCAL Amputation Lower Extremity M <47.50 44 19 — — $32,104.73 $50,691.68 $33,794.45 2025-09-11
D1004 LOCAL Amputation Lower Extremity M <47.50 44 19 — — $29,326.28 $46,304.66 $30,869.77 2025-09-11
A1004 LOCAL Amputation Lower Extremity M <47.50 44 19 — — $26,274.56 $41,486.15 $27,657.43 2025-09-11
B1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50 44 19 — — $30,321.60 $47,876.21 $31,917.47 2025-09-11
C1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50 44 19 — — $25,076.81 $39,594.96 $26,396.64 2025-09-11
B1002 LOCAL Amputation Lower Extremity M >=55.50 And M <64.50 44 19 — — $25,879.81 $40,862.85 $27,241.90 2025-09-11
B1103 LOCAL Amputation Non-lower Extremity M <52.50 44 19 — — $33,833.87 $53,421.90 $35,614.60 2025-09-11
C1103 LOCAL Amputation Non-lower Extremity M <52.50 44 19 — — $27,197.33 $42,943.16 $28,628.77 2025-09-11
D1103 LOCAL Amputation Non-lower Extremity M <52.50 44 19 — — $27,197.33 $42,943.16 $28,628.77 2025-09-11
A1103 LOCAL Amputation Non-lower Extremity M <52.50 44 19 — — $26,647.38 $42,074.81 $28,049.87 2025-09-11
B1102 LOCAL Amputation Non-lower Extremity M >=52.50 And M <58.50 44 19 — — $27,131.53 $42,839.27 $28,559.51 2025-09-11
B2102 LOCAL Burns M <52.50 44 19 — — $39,097.21 $61,732.44 $41,154.96 2025-09-11
D2102 LOCAL Burns M <52.50 44 19 — — $29,709.23 $46,909.31 $31,272.87 2025-09-11
C2102 LOCAL Burns M <52.50 44 19 — — $29,709.23 $46,909.31 $31,272.87 2025-09-11
A2102 LOCAL Burns M <52.50 44 19 — — $25,372.03 $40,061.10 $26,707.40 2025-09-11
B2101 LOCAL Burns M >=52.50 44 19 — — $25,387.21 $40,085.07 $26,723.38 2025-09-11
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 3 — — $28,329.03 $29,745.48 $28,329.03 2025-09-11
B1404 LOCAL Cardiac M <45.50 44 19 — — $36,199.00 $57,156.32 $38,104.21 2025-09-11
C1404 LOCAL Cardiac M <45.50 44 19 — — $28,516.54 $45,026.12 $30,017.41 2025-09-11
D1404 LOCAL Cardiac M <45.50 44 19 — — $26,514.10 $41,864.37 $27,909.58 2025-09-11
A1404 LOCAL Cardiac M <45.50 44 19 — — $24,396.96 $38,521.52 $25,681.01 2025-09-11
B1403 LOCAL Cardiac M >=45.50 And M <55.50 44 19 — — $29,542.22 $46,645.61 $31,097.07 2025-09-11
C1403 LOCAL Cardiac M >=45.50 And M <55.50 44 19 — — $23,273.43 $36,747.53 $24,498.35 2025-09-11
B1402 LOCAL Cardiac M >=55.50 And M <68.50 44 19 — — $24,143.91 $38,121.96 $25,414.64 2025-09-11
2004 APR_DRG Cardiac Structural And Valvular Disorders 6 3 — — $92,080.74 $96,684.78 $92,080.74 2025-09-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $61,552.69 $64,630.32 $61,552.69 2025-09-11
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $34,632.37 $36,363.99 $34,632.37 2025-09-11
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $25,860.38 $27,153.40 $25,860.38 2025-09-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 3 — — $36,684.85 $38,519.09 $36,684.85 2025-09-11
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 3 — — $24,568.91 $25,797.36 $24,568.91 2025-09-11
2054 APR_DRG Cardiomyopathy 6 3 — — $35,973.66 $37,772.34 $35,973.66 2025-09-11
6954 APR_DRG Chemotherapy For Acute Leukemia 6 3 — — $35,927.42 $37,723.79 $35,927.42 2025-09-11
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $99,088.76 $104,043.20 $99,088.76 2025-09-11
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $56,307.35 $59,122.72 $56,307.35 2025-09-11
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $39,130.05 $41,086.55 $39,130.05 2025-09-11
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 3 — — $31,728.67 $33,315.10 $31,728.67 2025-09-11
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 3 — — $24,520.39 $25,746.41 $24,520.39 2025-09-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $39,639.34 $41,621.31 $39,639.34 2025-09-11
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 3 — — $36,075.58 $37,879.36 $36,075.58 2025-09-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $43,425.51 $45,596.79 $43,425.51 2025-09-11
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $36,736.30 $38,573.12 $36,736.30 2025-09-11
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $26,653.96 $27,986.66 $26,653.96 2025-09-11
A5104 LOCAL Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 44 19 — — $40,207.24 $63,485.12 $42,323.41 2025-09-11
A5102 LOCAL Expired, Orthopedic, Length Of Stay Is 14 Days Or More 44 19 — — $30,240.62 $47,748.35 $31,832.23 2025-09-11
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 3 — — $33,582.84 $35,261.98 $33,582.84 2025-09-11
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $38,462.50 $40,385.63 $38,462.50 2025-09-11
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 3 — — $36,084.38 $37,888.60 $36,084.38 2025-09-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $83,042.06 $87,194.16 $83,042.06 2025-09-11
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $35,890.62 $37,685.15 $35,890.62 2025-09-11
1784 APR_DRG External Heart Assist Systems 6 3 — — $47,763.64 $50,151.82 $47,763.64 2025-09-11
1783 APR_DRG External Heart Assist Systems 6 3 — — $30,566.15 $32,094.46 $30,566.15 2025-09-11
1782 APR_DRG External Heart Assist Systems 6 3 — — $26,233.89 $27,545.58 $26,233.89 2025-09-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $142,421.46 $149,542.53 $142,421.46 2025-09-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $69,971.36 $73,469.93 $69,971.36 2025-09-11
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $46,019.86 $48,320.85 $46,019.86 2025-09-11
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $44,630.04 $46,861.54 $44,630.04 2025-09-11
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 3 — — $24,843.42 $26,085.59 $24,843.42 2025-09-11
B0704 LOCAL Fracture Of Lower Extremity M <41.50 44 19 — — $39,260.85 $61,990.82 $41,327.21 2025-09-11
C0704 LOCAL Fracture Of Lower Extremity M <41.50 44 19 — — $30,370.52 $47,953.46 $31,968.97 2025-09-11
D0704 LOCAL Fracture Of Lower Extremity M <41.50 44 19 — — $28,769.58 $45,425.66 $30,283.77 2025-09-11
A0704 LOCAL Fracture Of Lower Extremity M <41.50 44 19 — — $26,579.90 $41,968.26 $27,978.84 2025-09-11
B0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 44 19 — — $32,138.46 $50,744.94 $33,829.96 2025-09-11
C0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 44 19 — — $24,860.87 $39,254.01 $26,169.34 2025-09-11
D0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 44 19 — — $23,550.10 $37,184.37 $24,789.58 2025-09-11
B0702 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50 44 19 — — $26,134.54 $41,265.06 $27,510.04 2025-09-11
2464 APR_DRG Gastrointestinal Vascular Insufficiency 6 3 — — $68,424.59 $71,845.82 $68,424.59 2025-09-11
B1904 LOCAL Guillain-barré M <38.50 44 19 — — $61,714.42 $97,443.83 $64,962.55 2025-09-11
C1904 LOCAL Guillain-barré M <38.50 44 19 — — $47,446.03 $74,914.79 $49,943.19 2025-09-11
D1904 LOCAL Guillain-barré M <38.50 44 19 — — $44,272.84 $69,904.49 $46,602.99 2025-09-11
A1904 LOCAL Guillain-barré M <38.50 44 19 — — $43,506.95 $68,695.19 $45,796.79 2025-09-11
B1903 LOCAL Guillain-barré M >=38.50 And M <51.50 44 19 — — $42,366.56 $66,894.57 $44,596.38 2025-09-11
C1903 LOCAL Guillain-barré M >=38.50 And M <51.50 44 19 — — $32,570.32 $51,426.83 $34,284.55 2025-09-11
D1903 LOCAL Guillain-barré M >=38.50 And M <51.50 44 19 — — $30,392.45 $47,988.08 $31,992.05 2025-09-11
A1903 LOCAL Guillain-barré M >=38.50 And M <51.50 44 19 — — $29,866.12 $47,157.03 $31,438.02 2025-09-11
B1902 LOCAL Guillain-barré M >=51.50 And M <66.50 44 19 — — $28,079.62 $44,336.24 $29,557.49 2025-09-11
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 6 3 — — $28,460.26 $29,883.27 $28,460.26 2025-09-11
69930 CPT Implant Cochlear Device 2 1 — — $25,960.08 $25,960.08 $25,960.08 2025-09-11
1614 APR_DRG Implantable Heart Assist Systems 6 3 — — $152,022.84 $159,623.98 $152,022.84 2025-09-11
1613 APR_DRG Implantable Heart Assist Systems 6 3 — — $79,236.36 $83,198.18 $79,236.36 2025-09-11
1612 APR_DRG Implantable Heart Assist Systems 6 3 — — $56,958.62 $59,806.55 $56,958.62 2025-09-11
1611 APR_DRG Implantable Heart Assist Systems 6 3 — — $54,020.08 $56,721.08 $54,020.08 2025-09-11
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 3 — — $26,189.28 $27,498.74 $26,189.28 2025-09-11
33276 CPT Insj Phrnc Nrv Stim Sys 2 1 — — $32,454.62 $32,454.62 $32,454.62 2025-09-11
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 3 — — $34,101.90 $35,807.00 $34,101.90 2025-09-11
1814 APR_DRG Lower Extremity Arterial Procedures 6 3 — — $28,547.53 $29,974.91 $28,547.53 2025-09-11
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 6 3 — — $25,147.57 $26,404.95 $25,147.57 2025-09-11
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 6 3 — — $25,404.82 $26,675.06 $25,404.82 2025-09-11
1694 APR_DRG Major Abdominal Vascular Procedures 6 3 — — $32,866.77 $34,510.11 $32,866.77 2025-09-11
2614 APR_DRG Major Biliary Tract Procedures 6 3 — — $27,168.79 $28,527.23 $27,168.79 2025-09-11
4414 APR_DRG Major Bladder Procedures 6 3 — — $50,996.23 $53,546.04 $50,996.23 2025-09-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $70,561.09 $74,089.14 $70,561.09 2025-09-11
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $29,818.49 $31,309.41 $29,818.49 2025-09-11
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 3 — — $32,259.13 $33,872.09 $32,259.13 2025-09-11
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 6 3 — — $28,366.80 $29,785.14 $28,366.80 2025-09-11
B1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 44 19 — — $58,052.01 $91,661.07 $61,107.38 2025-09-11
C1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 44 19 — — $46,310.70 $73,122.15 $48,748.10 2025-09-11
D1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 44 19 — — $43,965.81 $69,419.70 $46,279.80 2025-09-11
A1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 44 19 — — $40,763.94 $64,364.12 $42,909.41 2025-09-11
B1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 44 19 — — $40,876.97 $64,542.59 $43,028.39 2025-09-11
C1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 44 19 — — $32,609.13 $51,488.10 $34,325.40 2025-09-11
D1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 44 19 — — $30,957.58 $48,880.40 $32,586.93 2025-09-11
A1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 44 19 — — $28,703.79 $45,321.78 $30,214.52 2025-09-11
B1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 44 19 — — $33,715.78 $53,235.44 $35,490.29 2025-09-11
C1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 44 19 — — $26,897.05 $42,469.02 $28,312.68 2025-09-11
D1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 44 19 — — $25,533.98 $40,316.81 $26,877.87 2025-09-11
A1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 44 19 — — $23,674.93 $37,381.47 $24,920.98 2025-09-11
B1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 44 19 — — $30,831.06 $48,680.63 $32,453.75 2025-09-11
C1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 44 19 — — $24,596.02 $38,835.83 $25,890.55 2025-09-11
D1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 44 19 — — $23,351.04 $36,870.06 $24,580.04 2025-09-11
B1802 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 44 19 — — $23,997.14 $37,890.23 $25,260.15 2025-09-11
B1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 44 19 — — $44,232.35 $69,840.56 $46,560.37 2025-09-11
C1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 44 19 — — $34,382.13 $54,287.58 $36,191.72 2025-09-11
D1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 44 19 — — $31,841.56 $50,276.15 $33,517.43 2025-09-11
A1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 44 19 — — $28,887.68 $45,612.12 $30,408.08 2025-09-11
B1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 44 19 — — $37,691.97 $59,513.64 $39,675.76 2025-09-11
C1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 44 19 — — $29,297.60 $46,259.37 $30,839.58 2025-09-11
D1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 44 19 — — $27,133.23 $42,841.94 $28,561.29 2025-09-11
A1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 44 19 — — $24,616.27 $38,867.79 $25,911.86 2025-09-11
B1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 44 19 — — $33,300.79 $52,580.19 $35,053.46 2025-09-11
C1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 44 19 — — $25,884.87 $40,870.85 $27,247.23 2025-09-11
D1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 44 19 — — $23,973.53 $37,852.94 $25,235.29 2025-09-11
B1702 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 44 19 — — $28,023.95 $44,248.34 $29,498.89 2025-09-11
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 3 — — $52,238.53 $54,850.46 $52,238.53 2025-09-11
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 3 — — $30,928.26 $32,474.67 $30,928.26 2025-09-11
1204 APR_DRG Major Respiratory And Chest Procedures 6 3 — — $32,733.26 $34,369.92 $32,733.26 2025-09-11
2304 APR_DRG Major Small Bowel Procedures 6 3 — — $34,425.59 $36,146.87 $34,425.59 2025-09-11
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 3 — — $40,697.99 $42,732.89 $40,697.99 2025-09-11
B2005 LOCAL Miscellaneous M <46.50 And A <77.50 44 19 — — $37,470.97 $59,164.70 $39,443.13 2025-09-11
C2005 LOCAL Miscellaneous M <46.50 And A <77.50 44 19 — — $29,930.22 $47,258.24 $31,505.49 2025-09-11
D2005 LOCAL Miscellaneous M <46.50 And A <77.50 44 19 — — $27,959.84 $44,147.12 $29,431.41 2025-09-11
A2005 LOCAL Miscellaneous M <46.50 And A <77.50 44 19 — — $25,449.63 $40,183.62 $26,789.08 2025-09-11
B2004 LOCAL Miscellaneous M <46.50 And A >=77.50 44 19 — — $35,549.51 $56,130.81 $37,420.54 2025-09-11
C2004 LOCAL Miscellaneous M <46.50 And A >=77.50 44 19 — — $28,395.07 $44,834.33 $29,889.55 2025-09-11
D2004 LOCAL Miscellaneous M <46.50 And A >=77.50 44 19 — — $26,525.91 $41,883.02 $27,922.01 2025-09-11
A2004 LOCAL Miscellaneous M <46.50 And A >=77.50 44 19 — — $24,143.91 $38,121.96 $25,414.64 2025-09-11
B2003 LOCAL Miscellaneous M >=46.50 And M <55.50 44 19 — — $29,732.84 $46,946.60 $31,297.73 2025-09-11
C2003 LOCAL Miscellaneous M >=46.50 And M <55.50 44 19 — — $23,749.16 $37,498.68 $24,999.12 2025-09-11
B2002 LOCAL Miscellaneous M >=55.50 And M <66.50 44 19 — — $24,828.82 $39,203.40 $26,135.60 2025-09-11
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $26,823.29 $28,164.45 $26,823.29 2025-09-11
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 6 3 — — $46,071.63 $48,375.21 $46,071.63 2025-09-11
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 3 — — $32,216.47 $33,827.29 $32,216.47 2025-09-11
B0604 LOCAL Neurological M <43.50 44 19 — — $42,012.30 $66,335.21 $44,223.47 2025-09-11
C0604 LOCAL Neurological M <43.50 44 19 — — $31,453.55 $49,663.50 $33,109.00 2025-09-11
D0604 LOCAL Neurological M <43.50 44 19 — — $29,363.40 $46,363.26 $30,908.84 2025-09-11
A0604 LOCAL Neurological M <43.50 44 19 — — $26,482.06 $41,813.78 $27,875.85 2025-09-11
B0603 LOCAL Neurological M >=43.50 And M <52.50 44 19 — — $33,499.85 $52,894.50 $35,263.00 2025-09-11
C0603 LOCAL Neurological M >=43.50 And M <52.50 44 19 — — $25,080.18 $39,600.29 $26,400.19 2025-09-11
D0603 LOCAL Neurological M >=43.50 And M <52.50 44 19 — — $23,413.45 $36,968.61 $24,645.74 2025-09-11
B0602 LOCAL Neurological M >=52.50 And M <64.50 44 19 — — $28,430.51 $44,890.28 $29,926.85 2025-09-11
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 6 3 — — $26,384.66 $27,703.89 $26,384.66 2025-09-11
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $33,892.52 $35,587.15 $33,892.52 2025-09-11
B0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 44 19 — — $40,225.79 $63,514.41 $42,342.94 2025-09-11
C0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 44 19 — — $32,182.32 $50,814.20 $33,876.13 2025-09-11
D0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 44 19 — — $29,562.46 $46,677.57 $31,118.38 2025-09-11
A0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 44 19 — — $27,863.68 $43,995.29 $29,330.19 2025-09-11
B0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 44 19 — — $36,473.98 $57,590.49 $38,393.66 2025-09-11
C0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 44 19 — — $29,181.21 $46,075.59 $30,717.06 2025-09-11
D0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 44 19 — — $26,805.95 $42,325.19 $28,216.79 2025-09-11
A0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 44 19 — — $25,265.74 $39,893.28 $26,595.52 2025-09-11
B0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 44 19 — — $31,458.61 $49,671.50 $33,114.33 2025-09-11
C0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 44 19 — — $25,167.90 $39,738.80 $26,492.53 2025-09-11
D0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 44 19 — — $23,119.92 $36,505.14 $24,336.76 2025-09-11
B0302 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50 44 19 — — $26,144.66 $41,281.04 $27,520.69 2025-09-11
B0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 44 19 — — $50,884.07 $80,343.27 $53,562.18 2025-09-11
C0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 44 19 — — $39,586.43 $62,504.90 $41,669.93 2025-09-11
D0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 44 19 — — $37,398.43 $59,050.16 $39,366.77 2025-09-11
A0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 44 19 — — $34,463.11 $54,415.44 $36,276.96 2025-09-11
B0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 44 19 — — $36,619.05 $57,819.56 $38,546.37 2025-09-11
C0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 44 19 — — $28,487.86 $44,980.83 $29,987.22 2025-09-11
D0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 44 19 — — $26,913.92 $42,495.66 $28,330.44 2025-09-11
A0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 44 19 — — $24,801.83 $39,160.79 $26,107.19 2025-09-11
B0503 LOCAL Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 44 19 — — $30,805.75 $48,640.67 $32,427.11 2025-09-11
C0503 LOCAL Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 44 19 — — $23,965.09 $37,839.62 $25,226.41 2025-09-11
B0502 LOCAL Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 44 19 — — $26,875.12 $42,434.40 $28,289.60 2025-09-11
214 APR_DRG Open Craniotomy Except Trauma 6 3 — — $34,550.31 $36,277.83 $34,550.31 2025-09-11
204 APR_DRG Open Craniotomy For Trauma 6 3 — — $29,022.96 $30,474.11 $29,022.96 2025-09-11
B1204 LOCAL Osteoarthritis M <49.50 And A <74.50 44 19 — — $36,838.36 $58,165.83 $38,777.22 2025-09-11
C1204 LOCAL Osteoarthritis M <49.50 And A <74.50 44 19 — — $28,007.07 $44,221.70 $29,481.13 2025-09-11
D1204 LOCAL Osteoarthritis M <49.50 And A <74.50 44 19 — — $26,259.38 $41,462.18 $27,641.45 2025-09-11
A1204 LOCAL Osteoarthritis M <49.50 And A <74.50 44 19 — — $24,007.27 $37,906.22 $25,270.81 2025-09-11
B1203 LOCAL Osteoarthritis M <49.50 And A >=74.50 44 19 — — $35,129.46 $55,467.57 $36,978.38 2025-09-11
C1203 LOCAL Osteoarthritis M <49.50 And A >=74.50 44 19 — — $26,706.42 $42,168.03 $28,112.02 2025-09-11
D1203 LOCAL Osteoarthritis M <49.50 And A >=74.50 44 19 — — $25,041.38 $39,539.03 $26,359.35 2025-09-11
B1202 LOCAL Osteoarthritis M >=49.50 And M <61.50 44 19 — — $27,116.35 $42,815.30 $28,543.53 2025-09-11
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 3 — — $70,600.49 $74,130.51 $70,600.49 2025-09-11
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 3 — — $46,775.66 $49,114.44 $46,775.66 2025-09-11
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 6 3 — — $40,381.47 $42,400.54 $40,381.47 2025-09-11
914 APR_DRG Other Major Head And Neck Procedures 6 3 — — $29,322.22 $30,788.33 $29,322.22 2025-09-11
264 APR_DRG Other Nervous System And Related Procedures 6 3 — — $37,115.67 $38,971.45 $37,115.67 2025-09-11
B0904 LOCAL Other Orthopedic M <44.5 44 19 — — $36,128.15 $57,044.45 $38,029.63 2025-09-11
C0904 LOCAL Other Orthopedic M <44.5 44 19 — — $28,936.59 $45,689.36 $30,459.57 2025-09-11
D0904 LOCAL Other Orthopedic M <44.5 44 19 — — $26,971.27 $42,586.22 $28,390.81 2025-09-11
A0904 LOCAL Other Orthopedic M <44.5 44 19 — — $24,676.99 $38,963.67 $25,975.78 2025-09-11
B0903 LOCAL Other Orthopedic M >=44.50 And M <51.50 44 19 — — $30,151.21 $47,607.18 $31,738.12 2025-09-11
C0903 LOCAL Other Orthopedic M >=44.50 And M <51.50 44 19 — — $24,148.97 $38,129.96 $25,419.97 2025-09-11
B0902 LOCAL Other Orthopedic M >=51.50 And M <63.50 44 19 — — $25,248.88 $39,866.66 $26,577.77 2025-09-11
1824 APR_DRG Other Peripheral Vascular Procedures 6 3 — — $36,706.67 $38,542.00 $36,706.67 2025-09-11
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 3 — — $35,169.34 $36,927.81 $35,169.34 2025-09-11
1214 APR_DRG Other Respiratory And Chest Procedures 6 3 — — $30,548.56 $32,075.99 $30,548.56 2025-09-11
2234 APR_DRG Other Small And Large Bowel Procedures 6 3 — — $25,562.10 $26,840.21 $25,562.10 2025-09-11
B1604 LOCAL Pain Syndrome M <43.50 44 19 — — $39,601.61 $62,528.87 $41,685.91 2025-09-11
C1604 LOCAL Pain Syndrome M <43.50 44 19 — — $29,414.00 $46,443.17 $30,962.11 2025-09-11
D1604 LOCAL Pain Syndrome M <43.50 44 19 — — $26,586.64 $41,978.91 $27,985.94 2025-09-11
A1604 LOCAL Pain Syndrome M <43.50 44 19 — — $24,611.20 $38,859.80 $25,906.53 2025-09-11
B1603 LOCAL Pain Syndrome M >=43.50 And M <58.50 44 19 — — $31,963.02 $50,467.92 $33,645.28 2025-09-11
C1603 LOCAL Pain Syndrome M >=43.50 And M <58.50 44 19 — — $23,740.73 $37,485.36 $24,990.24 2025-09-11
B1602 LOCAL Pain Syndrome M >=58.50 And M <65.50 44 19 — — $25,309.61 $39,962.54 $26,641.69 2025-09-11
4834 APR_DRG Penis, Testes And Scrotal Procedures 6 3 — — $32,608.86 $34,239.30 $32,608.86 2025-09-11
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 3 — — $27,606.77 $28,987.11 $27,606.77 2025-09-11
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 3 — — $26,928.79 $28,275.23 $26,928.79 2025-09-11
2244 APR_DRG Peritoneal Adhesiolysis 6 3 — — $29,770.95 $31,259.50 $29,770.95 2025-09-11
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 3 — — $80,046.86 $84,049.20 $80,046.86 2025-09-11
B1504 LOCAL Pulmonary M <45.50 44 19 — — $38,368.44 $60,581.75 $40,387.83 2025-09-11
C1504 LOCAL Pulmonary M <45.50 44 19 — — $31,141.47 $49,170.74 $32,780.49 2025-09-11
D1504 LOCAL Pulmonary M <45.50 44 19 — — $29,287.48 $46,243.40 $30,828.93 2025-09-11
A1504 LOCAL Pulmonary M <45.50 44 19 — — $27,396.39 $43,257.47 $28,838.31 2025-09-11
B1503 LOCAL Pulmonary M >=45.50 And M <56.50 44 19 — — $30,982.89 $48,920.36 $32,613.57 2025-09-11
C1503 LOCAL Pulmonary M >=45.50 And M <56.50 44 19 — — $25,145.98 $39,704.18 $26,469.45 2025-09-11
D1503 LOCAL Pulmonary M >=45.50 And M <56.50 44 19 — — $23,649.63 $37,341.53 $24,894.35 2025-09-11
B1502 LOCAL Pulmonary M >=56.50 And M <68.50 44 19 — — $27,261.44 $43,044.38 $28,696.25 2025-09-11
B0805 LOCAL Replacement Of Lower-extremity Joint M <42.50 44 19 — — $34,773.51 $54,905.54 $36,603.69 2025-09-11
C0805 LOCAL Replacement Of Lower-extremity Joint M <42.50 44 19 — — $27,902.48 $44,056.55 $29,371.03 2025-09-11
D0805 LOCAL Replacement Of Lower-extremity Joint M <42.50 44 19 — — $25,439.51 $40,167.65 $26,778.43 2025-09-11
A0805 LOCAL Replacement Of Lower-extremity Joint M <42.50 44 19 — — $23,727.23 $37,464.05 $24,976.03 2025-09-11
B0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 44 19 — — $28,993.95 $45,779.93 $30,519.95 2025-09-11
C0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 44 19 — — $23,265.01 $36,734.22 $24,489.48 2025-09-11
B0803 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 44 19 — — $25,879.81 $40,862.85 $27,241.90 2025-09-11
B0802 LOCAL Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 44 19 — — $23,251.51 $36,712.91 $24,475.27 2025-09-11
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 3 — — $32,208.33 $33,818.75 $32,208.33 2025-09-11
B1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 44 19 — — $36,128.15 $57,044.45 $38,029.63 2025-09-11
C1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 44 19 — — $29,871.17 $47,165.01 $31,443.34 2025-09-11
D1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 44 19 — — $28,513.17 $45,020.79 $30,013.86 2025-09-11
A1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 44 19 — — $26,525.91 $41,883.02 $27,922.01 2025-09-11
B1305 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 44 19 — — $34,598.07 $54,628.53 $36,419.02 2025-09-11
C1305 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 44 19 — — $28,605.94 $45,167.28 $30,111.52 2025-09-11
D1305 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 44 19 — — $27,305.30 $43,113.63 $28,742.42 2025-09-11
A1305 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 44 19 — — $25,402.39 $40,109.04 $26,739.36 2025-09-11
B1303 LOCAL Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 44 19 — — $28,607.64 $45,169.95 $30,113.30 2025-09-11
C1303 LOCAL Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 44 19 — — $23,654.70 $37,349.52 $24,899.68 2025-09-11
B1302 LOCAL Rheumatoid Other Arthritis M >=51.50 And M <62.50 44 19 — — $25,145.98 $39,704.18 $26,469.45 2025-09-11
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 6 3 — — $32,978.79 $34,627.73 $32,978.79 2025-09-11
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 3 — — $29,480.80 $30,954.84 $29,480.80 2025-09-11
234 APR_DRG Spinal Procedures 6 3 — — $39,783.28 $41,772.44 $39,783.28 2025-09-11
B0106 LOCAL Stroke M <41.50 And A <84.50 44 19 — — $49,030.09 $77,415.93 $51,610.62 2025-09-11
C0106 LOCAL Stroke M <41.50 And A <84.50 44 19 — — $42,521.76 $67,139.63 $44,759.75 2025-09-11
D0106 LOCAL Stroke M <41.50 And A <84.50 44 19 — — $38,857.66 $61,354.20 $40,902.80 2025-09-11
A0106 LOCAL Stroke M <41.50 And A <84.50 44 19 — — $37,030.68 $58,469.49 $38,979.66 2025-09-11
B0105 LOCAL Stroke M <41.50 And A >=84.50 44 19 — — $43,107.14 $68,063.91 $45,375.94 2025-09-11
C0105 LOCAL Stroke M <41.50 And A >=84.50 44 19 — — $37,384.94 $59,028.86 $39,352.57 2025-09-11
D0105 LOCAL Stroke M <41.50 And A >=84.50 44 19 — — $34,162.83 $53,941.31 $35,960.87 2025-09-11
A0105 LOCAL Stroke M <41.50 And A >=84.50 44 19 — — $32,558.51 $51,408.18 $34,272.12 2025-09-11
B0104 LOCAL Stroke M >=41.50 And M <50.50 44 19 — — $34,473.23 $54,431.42 $36,287.61 2025-09-11
C0104 LOCAL Stroke M >=41.50 And M <50.50 44 19 — — $29,896.48 $47,204.97 $31,469.98 2025-09-11
D0104 LOCAL Stroke M >=41.50 And M <50.50 44 19 — — $27,320.48 $43,137.60 $28,758.40 2025-09-11
A0104 LOCAL Stroke M >=41.50 And M <50.50 44 19 — — $26,036.70 $41,110.58 $27,407.05 2025-09-11
B0103 LOCAL Stroke M >=50.50 And M <63.50 44 19 — — $27,011.76 $42,650.15 $28,433.43 2025-09-11
C0103 LOCAL Stroke M >=50.50 And M <63.50 44 19 — — $23,426.95 $36,989.93 $24,659.95 2025-09-11
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $83,400.59 $87,570.62 $83,400.59 2025-09-11
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $53,622.15 $56,303.26 $53,622.15 2025-09-11
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $35,059.60 $36,812.58 $35,059.60 2025-09-11
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $28,770.27 $30,208.78 $28,770.27 2025-09-11
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $53,640.39 $56,322.41 $53,640.39 2025-09-11
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $38,640.62 $40,572.65 $38,640.62 2025-09-11
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $35,287.55 $37,051.93 $35,287.55 2025-09-11
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $28,825.62 $30,266.90 $28,825.62 2025-09-11
B0205 LOCAL Traumatic Brain Injury M <35.50 44 19 — — $44,510.70 $70,280.06 $46,853.37 2025-09-11
C0205 LOCAL Traumatic Brain Injury M <35.50 44 19 — — $36,659.54 $57,883.49 $38,588.99 2025-09-11
D0205 LOCAL Traumatic Brain Injury M <35.50 44 19 — — $33,297.41 $52,574.87 $35,049.91 2025-09-11
A0205 LOCAL Traumatic Brain Injury M <35.50 44 19 — — $31,348.96 $49,498.37 $32,998.91 2025-09-11
B0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 44 19 — — $34,748.21 $54,865.59 $36,577.06 2025-09-11
C0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 44 19 — — $28,621.13 $45,191.27 $30,127.51 2025-09-11
D0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 44 19 — — $25,994.52 $41,043.98 $27,362.65 2025-09-11
A0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 44 19 — — $24,474.56 $38,644.04 $25,762.69 2025-09-11
B0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50 44 19 — — $28,017.19 $44,237.67 $29,491.78 2025-09-11
B0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 44 19 — — $71,321.72 $112,613.24 $75,075.49 2025-09-11
C0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 44 19 — — $63,425.00 $100,144.74 $66,763.16 2025-09-11
D0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 44 19 — — $61,569.34 $97,214.75 $64,809.83 2025-09-11
A0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 44 19 — — $55,944.98 $88,334.18 $58,889.45 2025-09-11
B0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 44 19 — — $51,412.09 $81,176.99 $54,117.99 2025-09-11
C0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 44 19 — — $45,720.26 $72,189.89 $48,126.59 2025-09-11
D0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 44 19 — — $44,382.49 $70,077.62 $46,718.41 2025-09-11
A0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 44 19 — — $40,328.70 $63,676.89 $42,451.26 2025-09-11
B0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 44 19 — — $52,169.54 $82,372.97 $54,915.31 2025-09-11
C0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 44 19 — — $46,393.35 $73,252.67 $48,835.11 2025-09-11
D0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 44 19 — — $45,035.35 $71,108.45 $47,405.63 2025-09-11
A0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 44 19 — — $40,922.51 $64,614.50 $43,076.33 2025-09-11
B0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 44 19 — — $40,885.40 $64,555.89 $43,037.26 2025-09-11
C0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 44 19 — — $36,359.26 $57,409.37 $38,272.91 2025-09-11
D0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 44 19 — — $35,294.78 $55,728.60 $37,152.40 2025-09-11
A0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 44 19 — — $32,070.98 $50,638.40 $33,758.93 2025-09-11
B0403 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 44 19 — — $32,927.97 $51,991.53 $34,661.02 2025-09-11
C0403 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 44 19 — — $29,282.42 $46,235.40 $30,823.60 2025-09-11
D0403 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 44 19 — — $28,425.44 $44,882.28 $29,921.52 2025-09-11
A0403 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 44 19 — — $25,829.20 $40,782.95 $27,188.63 2025-09-11
B0402 LOCAL Traumatic Spinal Cord Injury M >=47.50 And M <56.50 44 19 — — $26,239.13 $41,430.21 $27,620.14 2025-09-11
C0402 LOCAL Traumatic Spinal Cord Injury M >=47.50 And M <56.50 44 19 — — $23,334.17 $36,843.42 $24,562.28 2025-09-11
224 APR_DRG Ventricular Shunt Procedures 6 3 — — $34,289.80 $36,004.29 $34,289.80 2025-09-11
7234 APR_DRG Viral Illness 6 3 — — $25,113.37 $26,369.04 $25,113.37 2025-09-11
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