Hospital

Cobalt Rehabilitation Houston Heights

Houston, TX · CCN 673072 · Rates published

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You selected 93306 (CPT)

Echo Transthoracic 2d

This hospital’s price: $443 across 5 payers · range $413-$502

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/11148/830567637_curahealth-houston-heights-llc_standardcharges.csv · observed 2025-09-11

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

3,204 distinct procedures filed

30 distinct payers

92,321 rate rows

2025-09-11 last MRF observed · ⚠ 13 mo old

Data quality

90,664 of 92,321 rate rows are consumer-grade (98.2%)

1,657 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	1,471
per-diem day rate — not a per-procedure price	162
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	14
percent-of-charges filed in the dollar field — excluded from medians	10

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/11148/830567637_curahealth-houston-heights-llc_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/RehabilitationHospitalofHoustonHeights/11148
Discovered via	CMS hospital list
Last fetch	success · 2026-08-11
Content fingerprint	14a7b6f750d7530f… · 48,501,921 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 $202,993 0.7× median
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	3	$142,421.46	$149,542.53	$142,421.46	nat. median $163,587 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 $124,042 0.8× median
2004 APR_DRG	Cardiac Structural And Valvular Disorders	3	$92,080.74	$96,684.78	$92,080.74	nat. median $28,699 outlier · 3.2×
B0407 HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	23	$75,338.69	$125,564.49	$83,709.66	nat. median $83,710 1.0× median
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	$83,400.59	$87,570.62	$83,400.59	nat. median $122,016 0.7× median
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	3	$83,042.06	$87,194.16	$83,042.06	nat. median $156,153 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 $66,842 1.2× median
1613 APR_DRG	Implantable Heart Assist Systems	3	$79,236.36	$83,198.18	$79,236.36	nat. median $120,517 0.7× median
C0407 HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	23	$66,997.23	$111,662.06	$74,441.37	nat. median $70,140 1.1× median
B1904 HCPCS	Guillain-barré M <38.50	23	$65,190.29	$108,650.49	$72,433.66	nat. median $73,807 1.0× median
D0407 HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	23	$65,037.05	$108,395.09	$72,263.39	nat. median $67,955 1.1× 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 $68,108 1.0× median
1604 APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	3	$70,561.09	$74,089.14	$70,561.09	nat. median $98,624 0.7× median
93 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	3	$69,971.36	$73,469.93	$69,971.36	nat. median $78,898 0.9× median
2464 APR_DRG	Gastrointestinal Vascular Insufficiency	3	$68,424.59	$71,845.82	$68,424.59	nat. median $20,493 outlier · 3.3×
B1806 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	23	$61,321.61	$102,202.68	$68,135.12	nat. median $66,421 1.0× median
A0407 HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	23	$59,095.92	$98,493.20	$65,662.13	nat. median $62,254 1.1× 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 $80,771 0.8× median
B0406 HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	23	$55,107.84	$91,846.40	$61,230.93	nat. median $60,970 1.0× median
B0404 HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	23	$54,307.73	$90,512.88	$60,341.92	nat. median $60,006 1.0× median
B0505 HCPCS	Non-traumatic Spinal Cord Injury M <39.50	23	$53,749.96	$89,583.27	$59,722.18	nat. median $58,851 1.0× median
B0106 HCPCS	Stroke M <41.50 And A <84.50	23	$51,791.56	$86,319.27	$57,546.18	nat. median $54,008 1.1× median
1612 APR_DRG	Implantable Heart Assist Systems	3	$56,958.62	$59,806.55	$56,958.62	nat. median $84,808 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 $67,766 0.8× median
C1904 HCPCS	Guillain-barré M <38.50	23	$50,118.28	$83,530.47	$55,686.98	nat. median $54,675 1.0× median
C0406 HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	23	$49,006.32	$81,677.21	$54,451.47	nat. median $51,378 1.1× median
C1806 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	23	$48,919.01	$81,531.68	$54,354.45	nat. median $53,363 1.0× median
1611 APR_DRG	Implantable Heart Assist Systems	3	$54,020.08	$56,721.08	$54,020.08	nat. median $76,852 0.7× median
C0404 HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	23	$48,295.31	$80,492.19	$53,661.46	nat. median $49,892 1.1× median
54 APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	$53,640.39	$56,322.41	$53,640.39	nat. median $81,668 0.7× median
43 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	$53,622.15	$56,303.26	$53,622.15	nat. median $74,757 0.7× median
D0406 HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	23	$47,571.83	$79,286.39	$52,857.59	nat. median $50,036 1.1× median
B0205 HCPCS	Traumatic Brain Injury M <35.50	23	$47,017.63	$78,362.72	$52,241.81	nat. median $51,427 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 $64,490 0.8× median
D0404 HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	23	$46,882.20	$78,137.00	$52,091.33	nat. median $48,657 1.1× median
D1904 HCPCS	Guillain-barré M <38.50	23	$46,766.38	$77,943.96	$51,962.64	nat. median $49,521 1.0× median
B1705 HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	23	$46,723.61	$77,872.68	$51,915.12	nat. median $48,739 1.1× median
D1806 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	23	$46,442.05	$77,403.42	$51,602.28	nat. median $49,816 1.0× median
A1904 HCPCS	Guillain-barré M <38.50	23	$45,957.35	$76,595.58	$51,063.72	nat. median $49,305 1.0× median
4414 APR_DRG	Major Bladder Procedures	3	$50,996.23	$53,546.04	$50,996.23	nat. median $55,207 0.9× median
B0105 HCPCS	Stroke M <41.50 And A >=84.50	23	$45,535.02	$75,891.71	$50,594.47	nat. median $47,997 1.1× median
C0106 HCPCS	Stroke M <41.50 And A <84.50	23	$44,916.67	$74,861.12	$49,907.41	nat. median $47,968 1.0× median
B1903 HCPCS	Guillain-barré M >=38.50 And M <51.50	23	$44,752.73	$74,587.89	$49,725.26	nat. median $52,085 1.0× median
B0604 HCPCS	Neurological M <43.50	23	$44,378.51	$73,964.19	$49,309.46	nat. median $46,498 1.1× median
A0406 HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	23	$43,227.35	$72,045.59	$48,030.39	nat. median $45,460 1.1× median
B0405 HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	23	$43,188.15	$71,980.25	$47,986.83	nat. median $47,521 1.0× median
B1805 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	23	$43,179.24	$71,965.40	$47,976.93	nat. median $46,202 1.0× median
A1806 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	23	$43,059.84	$71,766.41	$47,844.27	nat. median $47,794 1.0× median
1784 APR_DRG	External Heart Assist Systems	3	$47,763.64	$50,151.82	$47,763.64	nat. median $63,058 0.8× median

Other procedures at this hospital

Browse this hospital's 3,204 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

1614	APR_DRG	Implantable Heart Assist Systems	3	3	—	—	$152,022.84	$159,623.98	$152,022.84	2025-09-11
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$142,421.46	$149,542.53	$142,421.46	2025-09-11
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$99,088.76	$104,043.20	$99,088.76	2025-09-11
2004	APR_DRG	Cardiac Structural And Valvular Disorders	3	3	—	—	$92,080.74	$96,684.78	$92,080.74	2025-09-11
B0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	25	23	—	—	$75,338.69	$125,564.49	$83,709.66	2025-09-11
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$83,400.59	$87,570.62	$83,400.59	2025-09-11
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$83,042.06	$87,194.16	$83,042.06	2025-09-11
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	3	3	—	—	$80,046.86	$84,049.20	$80,046.86	2025-09-11
1613	APR_DRG	Implantable Heart Assist Systems	3	3	—	—	$79,236.36	$83,198.18	$79,236.36	2025-09-11
C0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	25	23	—	—	$66,997.23	$111,662.06	$74,441.37	2025-09-11
B1904	HCPCS	Guillain-barré M <38.50	25	23	—	—	$65,190.29	$108,650.49	$72,433.66	2025-09-11
D0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	25	23	—	—	$65,037.05	$108,395.09	$72,263.39	2025-09-11
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	3	—	—	$70,600.49	$74,130.51	$70,600.49	2025-09-11
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$70,561.09	$74,089.14	$70,561.09	2025-09-11
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$69,971.36	$73,469.93	$69,971.36	2025-09-11
2464	APR_DRG	Gastrointestinal Vascular Insufficiency	3	3	—	—	$68,424.59	$71,845.82	$68,424.59	2025-09-11
B1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	25	23	—	—	$61,321.61	$102,202.68	$68,135.12	2025-09-11
A0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	25	23	—	—	$59,095.92	$98,493.20	$65,662.13	2025-09-11
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$61,552.69	$64,630.32	$61,552.69	2025-09-11
B0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	25	23	—	—	$55,107.84	$91,846.40	$61,230.93	2025-09-11
B0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	25	23	—	—	$54,307.73	$90,512.88	$60,341.92	2025-09-11
B0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	25	23	—	—	$53,749.96	$89,583.27	$59,722.18	2025-09-11
B0106	HCPCS	Stroke M <41.50 And A <84.50	25	23	—	—	$51,791.56	$86,319.27	$57,546.18	2025-09-11
1612	APR_DRG	Implantable Heart Assist Systems	3	3	—	—	$56,958.62	$59,806.55	$56,958.62	2025-09-11
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$56,307.35	$59,122.72	$56,307.35	2025-09-11
C1904	HCPCS	Guillain-barré M <38.50	25	23	—	—	$50,118.28	$83,530.47	$55,686.98	2025-09-11
C0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	25	23	—	—	$49,006.32	$81,677.21	$54,451.47	2025-09-11
C1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	25	23	—	—	$48,919.01	$81,531.68	$54,354.45	2025-09-11
1611	APR_DRG	Implantable Heart Assist Systems	3	3	—	—	$54,020.08	$56,721.08	$54,020.08	2025-09-11
C0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	25	23	—	—	$48,295.31	$80,492.19	$53,661.46	2025-09-11
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$53,640.39	$56,322.41	$53,640.39	2025-09-11
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$53,622.15	$56,303.26	$53,622.15	2025-09-11
D0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	25	23	—	—	$47,571.83	$79,286.39	$52,857.59	2025-09-11
B0205	HCPCS	Traumatic Brain Injury M <35.50	25	23	—	—	$47,017.63	$78,362.72	$52,241.81	2025-09-11
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	3	—	—	$52,238.53	$54,850.46	$52,238.53	2025-09-11
D0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	25	23	—	—	$46,882.20	$78,137.00	$52,091.33	2025-09-11
D1904	HCPCS	Guillain-barré M <38.50	25	23	—	—	$46,766.38	$77,943.96	$51,962.64	2025-09-11
B1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	25	23	—	—	$46,723.61	$77,872.68	$51,915.12	2025-09-11
D1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	25	23	—	—	$46,442.05	$77,403.42	$51,602.28	2025-09-11
A1904	HCPCS	Guillain-barré M <38.50	25	23	—	—	$45,957.35	$76,595.58	$51,063.72	2025-09-11
4414	APR_DRG	Major Bladder Procedures	3	3	—	—	$50,996.23	$53,546.04	$50,996.23	2025-09-11
B0105	HCPCS	Stroke M <41.50 And A >=84.50	25	23	—	—	$45,535.02	$75,891.71	$50,594.47	2025-09-11
C0106	HCPCS	Stroke M <41.50 And A <84.50	25	23	—	—	$44,916.67	$74,861.12	$49,907.41	2025-09-11
B1903	HCPCS	Guillain-barré M >=38.50 And M <51.50	25	23	—	—	$44,752.73	$74,587.89	$49,725.26	2025-09-11
B0604	HCPCS	Neurological M <43.50	25	23	—	—	$44,378.51	$73,964.19	$49,309.46	2025-09-11
A0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	25	23	—	—	$43,227.35	$72,045.59	$48,030.39	2025-09-11
B0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	25	23	—	—	$43,188.15	$71,980.25	$47,986.83	2025-09-11
B1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	25	23	—	—	$43,179.24	$71,965.40	$47,976.93	2025-09-11
A1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	25	23	—	—	$43,059.84	$71,766.41	$47,844.27	2025-09-11
1784	APR_DRG	External Heart Assist Systems	3	3	—	—	$47,763.64	$50,151.82	$47,763.64	2025-09-11
A0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	25	23	—	—	$42,600.10	$71,000.16	$47,333.44	2025-09-11
B0305	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	25	23	—	—	$42,491.39	$70,818.99	$47,212.66	2025-09-11
A5104	HCPCS	Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More	25	23	—	—	$42,471.79	$70,786.32	$47,190.88	2025-09-11
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	3	3	—	—	$46,775.66	$49,114.44	$46,775.66	2025-09-11
B1604	HCPCS	Pain Syndrome M <43.50	25	23	—	—	$41,832.06	$69,720.11	$46,480.07	2025-09-11
C0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	25	23	—	—	$41,816.03	$69,693.38	$46,462.25	2025-09-11
6904	APR_DRG	Acute Leukemia	3	3	—	—	$46,355.59	$48,673.37	$46,355.59	2025-09-11
B0704	HCPCS	Fracture Of Lower Extremity M <41.50	25	23	—	—	$41,472.10	$69,120.17	$46,080.11	2025-09-11
434	APR_DRG	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	3	3	—	—	$46,071.63	$48,375.21	$46,071.63	2025-09-11
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$46,019.86	$48,320.85	$46,019.86	2025-09-11
B2102	HCPCS	Burns M <52.50	25	23	—	—	$41,299.25	$68,832.08	$45,888.05	2025-09-11
D0106	HCPCS	Stroke M <41.50 And A <84.50	25	23	—	—	$41,046.20	$68,410.34	$45,606.89	2025-09-11
B1004	HCPCS	Amputation Lower Extremity M <47.50	25	23	—	—	$41,005.22	$68,342.03	$45,561.35	2025-09-11
B1504	HCPCS	Pulmonary M <45.50	25	23	—	—	$40,529.43	$67,549.05	$45,032.70	2025-09-11
28730	CPT	Fusion Of Foot Bones	44	30	$57,929.13	$57,929.13	$40,550.39	$49,239.76	$44,895.07	2025-09-11
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	3	3	—	—	$44,630.04	$46,861.54	$44,630.04	2025-09-11
B1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	25	23	—	—	$39,814.86	$66,358.10	$44,238.73	2025-09-11
B2005	HCPCS	Miscellaneous M <46.50 And A <77.50	25	23	—	—	$39,581.42	$65,969.03	$43,979.35	2025-09-11
D0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	25	23	—	—	$39,504.79	$65,841.32	$43,894.21	2025-09-11
C0105	HCPCS	Stroke M <41.50 And A >=84.50	25	23	—	—	$39,490.53	$65,817.56	$43,878.37	2025-09-11
A0106	HCPCS	Stroke M <41.50 And A <84.50	25	23	—	—	$39,116.31	$65,193.86	$43,462.57	2025-09-11
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$43,425.51	$45,596.79	$43,425.51	2025-09-11
B1204	HCPCS	Osteoarthritis M <49.50 And A <74.50	25	23	—	—	$38,913.17	$64,855.29	$43,236.86	2025-09-11
C0205	HCPCS	Traumatic Brain Injury M <35.50	25	23	—	—	$38,724.28	$64,540.47	$43,026.98	2025-09-11
B0504	HCPCS	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	25	23	—	—	$38,681.51	$64,469.19	$42,979.46	2025-09-11
B0304	HCPCS	Non-traumatic Brain Injury M <42.50 And A >=78.50	25	23	—	—	$38,528.26	$64,213.77	$42,809.18	2025-09-11
C0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	25	23	—	—	$38,407.09	$64,011.81	$42,674.54	2025-09-11
B1404	HCPCS	Cardiac M <45.50	25	23	—	—	$38,237.80	$63,729.66	$42,486.44	2025-09-11
B1304	HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	25	23	—	—	$38,162.95	$63,604.92	$42,403.28	2025-09-11
B0904	HCPCS	Other Orthopedic M <44.5	25	23	—	—	$38,162.95	$63,604.92	$42,403.28	2025-09-11
B2004	HCPCS	Miscellaneous M <46.50 And A >=77.50	25	23	—	—	$37,551.74	$62,586.23	$41,724.15	2025-09-11
D0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	25	23	—	—	$37,282.65	$62,137.76	$41,425.17	2025-09-11
B1203	HCPCS	Osteoarthritis M <49.50 And A >=74.50	25	23	—	—	$37,108.03	$61,846.71	$41,231.14	2025-09-11
B0805	HCPCS	Replacement Of Lower-extremity Joint M <42.50	25	23	—	—	$36,732.02	$61,220.04	$40,813.36	2025-09-11
B0204	HCPCS	Traumatic Brain Injury M >=35.50 And M <49.50	25	23	—	—	$36,705.29	$61,175.49	$40,783.66	2025-09-11
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	3	3	—	—	$40,697.99	$42,732.89	$40,697.99	2025-09-11
B1305	HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	25	23	—	—	$36,546.70	$60,911.16	$40,607.44	2025-09-11
B0104	HCPCS	Stroke M >=41.50 And M <50.50	25	23	—	—	$36,414.83	$60,691.38	$40,460.92	2025-09-11
A0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	25	23	—	—	$36,404.14	$60,673.56	$40,449.04	2025-09-11
4474	APR_DRG	Other Kidney, Urinary Tract And Related Procedures	3	3	—	—	$40,381.47	$42,400.54	$40,381.47	2025-09-11
C1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	25	23	—	—	$36,318.60	$60,531.00	$40,354.00	2025-09-11
D0105	HCPCS	Stroke M <41.50 And A >=84.50	25	23	—	—	$36,086.95	$60,144.92	$40,096.61	2025-09-11
234	APR_DRG	Spinal Procedures	3	3	—	—	$39,783.28	$41,772.44	$39,783.28	2025-09-11
B1103	HCPCS	Amputation Non-lower Extremity M <52.50	25	23	—	—	$35,739.46	$59,565.77	$39,710.51	2025-09-11
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	3	3	—	—	$39,639.34	$41,621.31	$39,639.34	2025-09-11
B1804	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	25	23	—	—	$35,614.72	$59,357.87	$39,571.91	2025-09-11
B0603	HCPCS	Neurological M >=43.50 And M <52.50	25	23	—	—	$35,386.62	$58,977.71	$39,318.47	2025-09-11
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$39,130.05	$41,086.55	$39,130.05	2025-09-11
B1703	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	25	23	—	—	$35,176.36	$58,627.26	$39,084.84	2025-09-11
D0205	HCPCS	Traumatic Brain Injury M <35.50	25	23	—	—	$35,172.79	$58,621.32	$39,080.88	2025-09-11
B0403	HCPCS	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	25	23	—	—	$34,782.53	$57,970.89	$38,647.26	2025-09-11
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$38,640.62	$40,572.65	$38,640.62	2025-09-11
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	—	—	$38,462.50	$40,385.63	$38,462.50	2025-09-11
C1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	25	23	—	—	$34,445.74	$57,409.56	$38,273.04	2025-09-11
C1903	HCPCS	Guillain-barré M >=38.50 And M <51.50	25	23	—	—	$34,404.75	$57,341.25	$38,227.50	2025-09-11
A0105	HCPCS	Stroke M <41.50 And A >=84.50	25	23	—	—	$34,392.28	$57,320.46	$38,213.64	2025-09-11
33208	CPT	Ins/Rplc Pacemkr; Atr+vnt	44	30	$48,848.87	$48,848.87	$34,194.21	$41,521.54	$37,857.88	2025-09-11
33207	CPT	Insrt Heart Pm Venticular	44	30	$48,848.87	$48,848.87	$34,194.21	$41,521.54	$37,857.88	2025-09-11
C0305	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	25	23	—	—	$33,994.90	$56,658.17	$37,772.11	2025-09-11
B0703	HCPCS	Fracture Of Lower Extremity M >=41.50 And M <52.50	25	23	—	—	$33,948.57	$56,580.95	$37,720.63	2025-09-11
C1004	HCPCS	Amputation Lower Extremity M <47.50	25	23	—	—	$33,912.93	$56,521.55	$37,681.03	2025-09-11
A0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	25	23	—	—	$33,877.29	$56,462.15	$37,641.43	2025-09-11
B1603	HCPCS	Pain Syndrome M >=43.50 And M <58.50	25	23	—	—	$33,763.24	$56,272.07	$37,514.71	2025-09-11
D1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	25	23	—	—	$33,634.94	$56,058.23	$37,372.15	2025-09-11
264	APR_DRG	Other Nervous System And Related Procedures	3	3	—	—	$37,115.67	$38,971.45	$37,115.67	2025-09-11
B0303	HCPCS	Non-traumatic Brain Injury M >=42.50 And M <52.50	25	23	—	—	$33,230.43	$55,384.05	$36,922.70	2025-09-11
C0604	HCPCS	Neurological M <43.50	25	23	—	—	$33,225.08	$55,375.14	$36,916.76	2025-09-11
A0205	HCPCS	Traumatic Brain Injury M <35.50	25	23	—	—	$33,114.60	$55,191.00	$36,794.00	2025-09-11
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$36,736.30	$38,573.12	$36,736.30	2025-09-11
1824	APR_DRG	Other Peripheral Vascular Procedures	3	3	—	—	$36,706.67	$38,542.00	$36,706.67	2025-09-11
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	—	—	$36,684.85	$38,519.09	$36,684.85	2025-09-11
37236	CPT	Open/Perq Place Stent 1st	44	30	$47,189.05	$47,189.05	$33,032.34	$40,110.69	$36,571.51	2025-09-11
C1504	HCPCS	Pulmonary M <45.50	25	23	—	—	$32,895.41	$54,825.69	$36,550.46	2025-09-11
B1503	HCPCS	Pulmonary M >=45.50 And M <56.50	25	23	—	—	$32,727.91	$54,546.51	$36,364.34	2025-09-11
D1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	25	23	—	—	$32,701.18	$54,501.96	$36,334.64	2025-09-11
B1803	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	25	23	—	—	$32,567.53	$54,279.21	$36,186.14	2025-09-11
B0503	HCPCS	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	25	23	—	—	$32,540.80	$54,234.66	$36,156.44	2025-09-11
7924	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	3	3	—	—	$36,084.38	$37,888.60	$36,084.38	2025-09-11
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	3	3	—	—	$36,075.58	$37,879.36	$36,075.58	2025-09-11
2054	APR_DRG	Cardiomyopathy	3	3	—	—	$35,973.66	$37,772.34	$35,973.66	2025-09-11
6954	APR_DRG	Chemotherapy For Acute Leukemia	3	3	—	—	$35,927.42	$37,723.79	$35,927.42	2025-09-11
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$35,890.62	$37,685.15	$35,890.62	2025-09-11
D1903	HCPCS	Guillain-barré M >=38.50 And M <51.50	25	23	—	—	$32,104.22	$53,507.03	$35,671.35	2025-09-11
C0704	HCPCS	Fracture Of Lower Extremity M <41.50	25	23	—	—	$32,081.05	$53,468.42	$35,645.61	2025-09-11
B1003	HCPCS	Amputation Lower Extremity M >=47.50 And M <55.50	25	23	—	—	$32,029.37	$53,382.29	$35,588.19	2025-09-11
A5102	HCPCS	Expired, Orthopedic, Length Of Stay Is 14 Days Or More	25	23	—	—	$31,943.84	$53,239.73	$35,493.15	2025-09-11
B0903	HCPCS	Other Orthopedic M >=44.50 And M <51.50	25	23	—	—	$31,849.39	$53,082.32	$35,388.21	2025-09-11
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$35,287.55	$37,051.93	$35,287.55	2025-09-11
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	3	3	—	—	$35,169.34	$36,927.81	$35,169.34	2025-09-11
C2005	HCPCS	Miscellaneous M <46.50 And A <77.50	25	23	—	—	$31,615.95	$52,693.25	$35,128.83	2025-09-11
C0104	HCPCS	Stroke M >=41.50 And M <50.50	25	23	—	—	$31,580.31	$52,633.85	$35,089.23	2025-09-11
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$35,059.60	$36,812.58	$35,059.60	2025-09-11
C1304	HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	25	23	—	—	$31,553.58	$52,589.30	$35,059.53	2025-09-11
A1903	HCPCS	Guillain-barré M >=38.50 And M <51.50	25	23	—	—	$31,548.23	$52,580.39	$35,053.59	2025-09-11
B2003	HCPCS	Miscellaneous M >=46.50 And M <55.50	25	23	—	—	$31,407.45	$52,345.76	$34,897.17	2025-09-11
C2102	HCPCS	Burns M <52.50	25	23	—	—	$31,382.51	$52,304.18	$34,869.45	2025-09-11
D2102	HCPCS	Burns M <52.50	25	23	—	—	$31,382.51	$52,304.18	$34,869.45	2025-09-11
D0305	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	25	23	—	—	$31,227.48	$52,045.80	$34,697.20	2025-09-11
B1403	HCPCS	Cardiac M >=45.50 And M <55.50	25	23	—	—	$31,206.10	$52,010.16	$34,673.44	2025-09-11
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$34,632.37	$36,363.99	$34,632.37	2025-09-11
214	APR_DRG	Open Craniotomy Except Trauma	3	3	—	—	$34,550.31	$36,277.83	$34,550.31	2025-09-11
C1604	HCPCS	Pain Syndrome M <43.50	25	23	—	—	$31,070.66	$51,784.44	$34,522.96	2025-09-11
D0604	HCPCS	Neurological M <43.50	25	23	—	—	$31,017.20	$51,695.34	$34,463.56	2025-09-11
2304	APR_DRG	Major Small Bowel Procedures	3	3	—	—	$34,425.59	$36,146.87	$34,425.59	2025-09-11
D1004	HCPCS	Amputation Lower Extremity M <47.50	25	23	—	—	$30,978.00	$51,630.00	$34,420.00	2025-09-11
C1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	25	23	—	—	$30,947.71	$51,579.51	$34,386.34	2025-09-11
D1504	HCPCS	Pulmonary M <45.50	25	23	—	—	$30,937.01	$51,561.69	$34,374.46	2025-09-11
C0403	HCPCS	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	25	23	—	—	$30,931.67	$51,552.78	$34,368.52	2025-09-11
224	APR_DRG	Ventricular Shunt Procedures	3	3	—	—	$34,289.80	$36,004.29	$34,289.80	2025-09-11
C0304	HCPCS	Non-traumatic Brain Injury M <42.50 And A >=78.50	25	23	—	—	$30,824.75	$51,374.58	$34,249.72	2025-09-11
4424	APR_DRG	Kidney And Urinary Tract Procedures For Malignancy	3	3	—	—	$34,101.90	$35,807.00	$34,101.90	2025-09-11
B0804	HCPCS	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	25	23	—	—	$30,626.95	$51,044.91	$34,029.94	2025-09-11
C0904	HCPCS	Other Orthopedic M <44.5	25	23	—	—	$30,566.36	$50,943.93	$33,962.62	2025-09-11
A1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	25	23	—	—	$30,514.68	$50,857.80	$33,905.20	2025-09-11
9524	APR_DRG	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	—	—	$33,892.52	$35,587.15	$33,892.52	2025-09-11
D0704	HCPCS	Fracture Of Lower Extremity M <41.50	25	23	—	—	$30,389.94	$50,649.90	$33,766.60	2025-09-11
A1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	25	23	—	—	$30,320.45	$50,534.09	$33,689.39	2025-09-11
C0204	HCPCS	Traumatic Brain Injury M >=35.50 And M <49.50	25	23	—	—	$30,233.13	$50,388.56	$33,592.37	2025-09-11
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	3	3	—	—	$33,582.84	$35,261.98	$33,582.84	2025-09-11
B1303	HCPCS	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	25	23	—	—	$30,218.88	$50,364.80	$33,576.53	2025-09-11
C1305	HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	25	23	—	—	$30,217.10	$50,361.83	$33,574.55	2025-09-11
C1404	HCPCS	Cardiac M <45.50	25	23	—	—	$30,122.65	$50,204.42	$33,469.61	2025-09-11
D1304	HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	25	23	—	—	$30,119.09	$50,198.48	$33,465.65	2025-09-11
C0504	HCPCS	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	25	23	—	—	$30,092.36	$50,153.93	$33,435.95	2025-09-11
B0602	HCPCS	Neurological M >=52.50 And M <64.50	25	23	—	—	$30,031.77	$50,052.95	$33,368.63	2025-09-11
D0403	HCPCS	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	25	23	—	—	$30,026.42	$50,044.04	$33,362.69	2025-09-11
C2004	HCPCS	Miscellaneous M <46.50 And A >=77.50	25	23	—	—	$29,994.35	$49,990.58	$33,327.05	2025-09-11
3154	APR_DRG	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	3	3	—	—	$32,978.79	$34,627.73	$32,978.79	2025-09-11
B1902	HCPCS	Guillain-barré M >=51.50 And M <66.50	25	23	—	—	$29,661.11	$49,435.19	$32,956.79	2025-09-11
B1702	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	25	23	—	—	$29,602.31	$49,337.18	$32,891.45	2025-09-11
B0203	HCPCS	Traumatic Brain Injury M >=49.50 And M <61.50	25	23	—	—	$29,595.18	$49,325.30	$32,883.53	2025-09-11
C1204	HCPCS	Osteoarthritis M <49.50 And A <74.50	25	23	—	—	$29,584.49	$49,307.48	$32,871.65	2025-09-11
1694	APR_DRG	Major Abdominal Vascular Procedures	3	3	—	—	$32,866.77	$34,510.11	$32,866.77	2025-09-11
D2005	HCPCS	Miscellaneous M <46.50 And A <77.50	25	23	—	—	$29,534.59	$49,224.32	$32,816.21	2025-09-11
C0805	HCPCS	Replacement Of Lower-extremity Joint M <42.50	25	23	—	—	$29,474.00	$49,123.34	$32,748.89	2025-09-11
1204	APR_DRG	Major Respiratory And Chest Procedures	3	3	—	—	$32,733.26	$34,369.92	$32,733.26	2025-09-11
A0305	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	25	23	—	—	$29,433.02	$49,055.03	$32,703.35	2025-09-11
4834	APR_DRG	Penis, Testes And Scrotal Procedures	3	3	—	—	$32,608.86	$34,239.30	$32,608.86	2025-09-11
894	APR_DRG	Major Cranial Or Facial Bone Procedures	3	3	—	—	$32,259.13	$33,872.09	$32,259.13	2025-09-11
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	3	3	—	—	$32,216.47	$33,827.29	$32,216.47	2025-09-11
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	3	—	—	$32,208.33	$33,818.75	$32,208.33	2025-09-11
A1504	HCPCS	Pulmonary M <45.50	25	23	—	—	$28,939.41	$48,232.35	$32,154.90	2025-09-11
D0104	HCPCS	Stroke M >=41.50 And M <50.50	25	23	—	—	$28,859.22	$48,098.70	$32,065.80	2025-09-11
D1305	HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	25	23	—	—	$28,843.18	$48,071.97	$32,047.98	2025-09-11
B1502	HCPCS	Pulmonary M >=56.50 And M <68.50	25	23	—	—	$28,796.85	$47,994.75	$31,996.50	2025-09-11
C1103	HCPCS	Amputation Non-lower Extremity M <52.50	25	23	—	—	$28,729.13	$47,881.89	$31,921.26	2025-09-11
D1103	HCPCS	Amputation Non-lower Extremity M <52.50	25	23	—	—	$28,729.13	$47,881.89	$31,921.26	2025-09-11
D1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	25	23	—	—	$28,661.42	$47,769.03	$31,846.02	2025-09-11
B1102	HCPCS	Amputation Non-lower Extremity M >=52.50 And M <58.50	25	23	—	—	$28,659.64	$47,766.06	$31,844.04	2025-09-11
B1202	HCPCS	Osteoarthritis M >=49.50 And M <61.50	25	23	—	—	$28,643.60	$47,739.33	$31,826.22	2025-09-11
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	3	—	—	$31,728.67	$33,315.10	$31,728.67	2025-09-11
B0103	HCPCS	Stroke M >=50.50 And M <63.50	25	23	—	—	$28,533.11	$47,555.19	$31,703.46	2025-09-11
D0904	HCPCS	Other Orthopedic M <44.5	25	23	—	—	$28,490.35	$47,483.91	$31,655.94	2025-09-11
D0504	HCPCS	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	25	23	—	—	$28,429.77	$47,382.95	$31,588.63	2025-09-11
C1804	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	25	23	—	—	$28,411.95	$47,353.25	$31,568.83	2025-09-11
B0502	HCPCS	Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50	25	23	—	—	$28,388.78	$47,314.64	$31,543.09	2025-09-11
D0304	HCPCS	Non-traumatic Brain Injury M <42.50 And A >=78.50	25	23	—	—	$28,315.72	$47,192.87	$31,461.91	2025-09-11
C1203	HCPCS	Osteoarthritis M <49.50 And A >=74.50	25	23	—	—	$28,210.58	$47,017.64	$31,345.09	2025-09-11
A1103	HCPCS	Amputation Non-lower Extremity M <52.50	25	23	—	—	$28,148.21	$46,913.69	$31,275.79	2025-09-11
D1604	HCPCS	Pain Syndrome M <43.50	25	23	—	—	$28,084.06	$46,806.77	$31,204.51	2025-09-11
A0704	HCPCS	Fracture Of Lower Extremity M <41.50	25	23	—	—	$28,076.93	$46,794.89	$31,196.59	2025-09-11
A1304	HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	25	23	—	—	$28,019.91	$46,699.85	$31,133.23	2025-09-11
D2004	HCPCS	Miscellaneous M <46.50 And A >=77.50	25	23	—	—	$28,019.91	$46,699.85	$31,133.23	2025-09-11
D1404	HCPCS	Cardiac M <45.50	25	23	—	—	$28,007.43	$46,679.06	$31,119.37	2025-09-11
A0604	HCPCS	Neurological M <43.50	25	23	—	—	$27,973.58	$46,622.63	$31,081.75	2025-09-11
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	3	3	—	—	$30,928.26	$32,474.67	$30,928.26	2025-09-11
A1004	HCPCS	Amputation Lower Extremity M <47.50	25	23	—	—	$27,754.39	$46,257.32	$30,838.21	2025-09-11
D1204	HCPCS	Osteoarthritis M <49.50 And A <74.50	25	23	—	—	$27,738.35	$46,230.59	$30,820.39	2025-09-11
B0402	HCPCS	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	25	23	—	—	$27,716.97	$46,194.95	$30,796.63	2025-09-11
B0302	HCPCS	Non-traumatic Brain Injury M >=52.50 And M <65.50	25	23	—	—	$27,617.18	$46,028.63	$30,685.75	2025-09-11
B0702	HCPCS	Fracture Of Lower Extremity M >=52.50 And M <61.50	25	23	—	—	$27,606.48	$46,010.81	$30,673.87	2025-09-11
1783	APR_DRG	External Heart Assist Systems	3	3	—	—	$30,566.15	$32,094.46	$30,566.15	2025-09-11
A0104	HCPCS	Stroke M >=41.50 And M <50.50	25	23	—	—	$27,503.13	$45,838.55	$30,559.03	2025-09-11
1214	APR_DRG	Other Respiratory And Chest Procedures	3	3	—	—	$30,548.56	$32,075.99	$30,548.56	2025-09-11
D0204	HCPCS	Traumatic Brain Injury M >=35.50 And M <49.50	25	23	—	—	$27,458.59	$45,764.31	$30,509.54	2025-09-11
C1703	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	25	23	—	—	$27,342.76	$45,571.26	$30,380.84	2025-09-11
B1002	HCPCS	Amputation Lower Extremity M >=55.50 And M <64.50	25	23	—	—	$27,337.41	$45,562.35	$30,374.90	2025-09-11
B0803	HCPCS	Replacement Of Lower-extremity Joint M >=51.50 And M <57.50	25	23	—	—	$27,337.41	$45,562.35	$30,374.90	2025-09-11
A0403	HCPCS	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	25	23	—	—	$27,283.95	$45,473.25	$30,315.50	2025-09-11
D1804	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	25	23	—	—	$26,972.10	$44,953.50	$29,969.00	2025-09-11
A2005	HCPCS	Miscellaneous M <46.50 And A <77.50	25	23	—	—	$26,883.00	$44,805.00	$29,870.00	2025-09-11
D0805	HCPCS	Replacement Of Lower-extremity Joint M <42.50	25	23	—	—	$26,872.31	$44,787.18	$29,858.12	2025-09-11
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$29,818.49	$31,309.41	$29,818.49	2025-09-11
A1305	HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	25	23	—	—	$26,833.10	$44,721.84	$29,814.56	2025-09-11
B2101	HCPCS	Burns M >=52.50	25	23	—	—	$26,817.07	$44,695.11	$29,796.74	2025-09-11
A2102	HCPCS	Burns M <52.50	25	23	—	—	$26,801.03	$44,668.38	$29,778.92	2025-09-11
2244	APR_DRG	Peritoneal Adhesiolysis	3	3	—	—	$29,770.95	$31,259.50	$29,770.95	2025-09-11
B1602	HCPCS	Pain Syndrome M >=58.50 And M <65.50	25	23	—	—	$26,735.09	$44,558.49	$29,705.66	2025-09-11
33217	CPT	Insert 2 Electrode Pm-defib	44	30	$38,328.90	$38,328.90	$26,830.23	$32,579.57	$29,704.90	2025-09-11
33216	CPT	Insert 1 Electrode Pm-defib	44	30	$38,328.90	$38,328.90	$26,830.23	$32,579.57	$29,704.90	2025-09-11
A0304	HCPCS	Non-traumatic Brain Injury M <42.50 And A >=78.50	25	23	—	—	$26,688.76	$44,481.27	$29,654.18	2025-09-11
B0902	HCPCS	Other Orthopedic M >=51.50 And M <63.50	25	23	—	—	$26,670.94	$44,451.57	$29,634.38	2025-09-11
C0303	HCPCS	Non-traumatic Brain Injury M >=42.50 And M <52.50	25	23	—	—	$26,585.41	$44,309.01	$29,539.34	2025-09-11
B1302	HCPCS	Rheumatoid Other Arthritis M >=51.50 And M <62.50	25	23	—	—	$26,562.24	$44,270.40	$29,513.60	2025-09-11
C1503	HCPCS	Pulmonary M >=45.50 And M <56.50	25	23	—	—	$26,562.24	$44,270.40	$29,513.60	2025-09-11
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	3	3	—	—	$29,480.80	$30,954.84	$29,480.80	2025-09-11
C0603	HCPCS	Neurological M >=43.50 And M <52.50	25	23	—	—	$26,492.75	$44,154.59	$29,436.39	2025-09-11
C1003	HCPCS	Amputation Lower Extremity M >=47.50 And M <55.50	25	23	—	—	$26,489.19	$44,148.65	$29,432.43	2025-09-11
D1203	HCPCS	Osteoarthritis M <49.50 And A >=74.50	25	23	—	—	$26,451.77	$44,086.28	$29,390.85	2025-09-11
914	APR_DRG	Other Major Head And Neck Procedures	3	3	—	—	$29,322.22	$30,788.33	$29,322.22	2025-09-11
C0703	HCPCS	Fracture Of Lower Extremity M >=41.50 And M <52.50	25	23	—	—	$26,261.09	$43,768.49	$29,178.99	2025-09-11
B2002	HCPCS	Miscellaneous M >=55.50 And M <66.50	25	23	—	—	$26,227.23	$43,712.06	$29,141.37	2025-09-11
A0504	HCPCS	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	25	23	—	—	$26,198.72	$43,664.54	$29,109.69	2025-09-11
204	APR_DRG	Open Craniotomy For Trauma	3	3	—	—	$29,022.96	$30,474.11	$29,022.96	2025-09-11
A0904	HCPCS	Other Orthopedic M <44.5	25	23	—	—	$26,066.85	$43,444.76	$28,963.17	2025-09-11
A1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	25	23	—	—	$26,002.70	$43,337.84	$28,891.89	2025-09-11
A1604	HCPCS	Pain Syndrome M <43.50	25	23	—	—	$25,997.36	$43,328.93	$28,885.95	2025-09-11
C1803	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	25	23	—	—	$25,981.32	$43,302.20	$28,868.13	2025-09-11
51	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$28,825.62	$30,266.90	$28,825.62	2025-09-11
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$28,770.27	$30,208.78	$28,770.27	2025-09-11
A0204	HCPCS	Traumatic Brain Injury M >=35.50 And M <49.50	25	23	—	—	$25,853.01	$43,088.36	$28,725.57	2025-09-11
A1404	HCPCS	Cardiac M <45.50	25	23	—	—	$25,771.04	$42,951.74	$28,634.49	2025-09-11
1814	APR_DRG	Lower Extremity Arterial Procedures	3	3	—	—	$28,547.53	$29,974.91	$28,547.53	2025-09-11
2274	APR_DRG	Hernia Procedures Except Inguinal, Femoral And Umbilical	3	3	—	—	$28,460.26	$29,883.27	$28,460.26	2025-09-11
6604	APR_DRG	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	3	3	—	—	$28,366.80	$29,785.14	$28,366.80	2025-09-11
C0903	HCPCS	Other Orthopedic M >=44.50 And M <51.50	25	23	—	—	$25,509.10	$42,515.16	$28,343.44	2025-09-11
B1402	HCPCS	Cardiac M >=55.50 And M <68.50	25	23	—	—	$25,503.75	$42,506.25	$28,337.50	2025-09-11
A2004	HCPCS	Miscellaneous M <46.50 And A >=77.50	25	23	—	—	$25,503.75	$42,506.25	$28,337.50	2025-09-11
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	3	3	—	—	$28,329.03	$29,745.48	$28,329.03	2025-09-11
A1204	HCPCS	Osteoarthritis M <49.50 And A <74.50	25	23	—	—	$25,359.41	$42,265.68	$28,177.12	2025-09-11
B1802	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50	25	23	—	—	$25,348.72	$42,247.86	$28,165.24	2025-09-11
D1703	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	25	23	—	—	$25,323.77	$42,206.28	$28,137.52	2025-09-11
C0503	HCPCS	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	25	23	—	—	$25,314.86	$42,191.43	$28,127.62	2025-09-11
C2003	HCPCS	Miscellaneous M >=46.50 And M <55.50	25	23	—	—	$25,086.76	$41,811.27	$27,874.18	2025-09-11
C1603	HCPCS	Pain Syndrome M >=43.50 And M <58.50	25	23	—	—	$25,077.85	$41,796.42	$27,864.28	2025-09-11
A0805	HCPCS	Replacement Of Lower-extremity Joint M <42.50	25	23	—	—	$25,063.60	$41,772.66	$27,848.44	2025-09-11
A1804	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	25	23	—	—	$25,008.35	$41,680.59	$27,787.06	2025-09-11
C1303	HCPCS	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	25	23	—	—	$24,986.97	$41,644.95	$27,763.30	2025-09-11
D1503	HCPCS	Pulmonary M >=45.50 And M <56.50	25	23	—	—	$24,981.62	$41,636.04	$27,757.36	2025-09-11
D0703	HCPCS	Fracture Of Lower Extremity M >=41.50 And M <52.50	25	23	—	—	$24,876.49	$41,460.81	$27,640.54	2025-09-11
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	3	3	—	—	$27,606.77	$28,987.11	$27,606.77	2025-09-11
C0103	HCPCS	Stroke M >=50.50 And M <63.50	25	23	—	—	$24,746.40	$41,244.00	$27,496.00	2025-09-11
D0603	HCPCS	Neurological M >=43.50 And M <52.50	25	23	—	—	$24,732.14	$41,220.24	$27,480.16	2025-09-11
D1803	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	25	23	—	—	$24,666.21	$41,110.35	$27,406.90	2025-09-11
C0402	HCPCS	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	25	23	—	—	$24,648.39	$41,080.65	$27,387.10	2025-09-11
C1403	HCPCS	Cardiac M >=45.50 And M <55.50	25	23	—	—	$24,584.25	$40,973.75	$27,315.83	2025-09-11
C0804	HCPCS	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	25	23	—	—	$24,575.34	$40,958.90	$27,305.93	2025-09-11
B0802	HCPCS	Replacement Of Lower-extremity Joint M >=57.50 And M <63.50	25	23	—	—	$24,561.08	$40,935.14	$27,290.09	2025-09-11
2614	APR_DRG	Major Biliary Tract Procedures	3	3	—	—	$27,168.79	$28,527.23	$27,168.79	2025-09-11
D0303	HCPCS	Non-traumatic Brain Injury M >=42.50 And M <52.50	25	23	—	—	$24,422.09	$40,703.48	$27,135.65	2025-09-11
C0203	HCPCS	Traumatic Brain Injury M >=49.50 And M <61.50	25	23	—	—	$24,375.75	$40,626.26	$27,084.17	2025-09-11
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	3	3	—	—	$26,928.79	$28,275.23	$26,928.79	2025-09-11
D1003	HCPCS	Amputation Lower Extremity M >=47.50 And M <55.50	25	23	—	—	$24,197.55	$40,329.26	$26,886.17	2025-09-11
A1203	HCPCS	Osteoarthritis M <49.50 And A >=74.50	25	23	—	—	$24,181.52	$40,302.53	$26,868.35	2025-09-11
9514	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	—	—	$26,823.29	$28,164.45	$26,823.29	2025-09-11
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$26,653.96	$27,986.66	$26,653.96	2025-09-11
D0402	HCPCS	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	25	23	—	—	$23,926.69	$39,877.82	$26,585.21	2025-09-11
D0503	HCPCS	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	25	23	—	—	$23,916.00	$39,860.00	$26,573.33	2025-09-11
D1303	HCPCS	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	25	23	—	—	$23,850.06	$39,750.11	$26,500.07	2025-09-11
B1701	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50	25	23	—	—	$23,826.90	$39,711.50	$26,474.33	2025-09-11

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