Price Transparencybeta Hospital negotiated rates

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 →

Export CSV
Hospital

Everest Rehabilitation Hospital Temple

Temple, TX · CCN 673074 · Rates published

17,935 distinct procedures filed
19 distinct payers
368,680 rate rows
2026-03-18 last MRF observed
Data quality

202,763 of 368,680 rate rows are consumer-grade (55.0%)

165,917 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 165,897
placeholder amount (≤ $0.02) — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.templerehabhospital.com/docs/irftemplerehabilitationhospitallibraries/mar2026/921259358_crh-of-temple-llc_standardcharges.csv.zip
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-22
Content fingerprint 4c3723cbe9bee81f… · 2,506,636 bytes · first seen 2026-05-13

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
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 $81,274.46 $85,552.07 $85,552.07 nat. median
$83,710
1.0× median
B1904
HCPCS 		Guillain-barré M <38.50 11 $76,089.02 $80,093.71 $80,093.71 nat. median
$73,807
1.1× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 $66,431.76 $69,928.17 $69,928.17 nat. median
$70,140
1.0× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 $64,683.56 $68,087.96 $68,087.96 nat. median
$67,955
1.0× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 $64,403.84 $67,793.52 $67,793.52 nat. median
$66,421
1.0× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 $59,349.29 $62,472.94 $62,472.94 nat. median
$60,970
1.0× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 $58,531.67 $61,612.29 $61,612.29 nat. median
$62,254
1.0× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 $56,955.60 $59,953.26 $59,953.26 nat. median
$59,982
1.0× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 11 $56,017.84 $58,966.15 $58,966.15 nat. median
$58,851
1.0× median
C1904
HCPCS 		Guillain-barré M <38.50 11 $53,774.76 $56,605.01 $56,605.01 nat. median
$54,675
1.0× median
74080532
CDM 		Occ/emb Hemorrhag/lymph 11 $56,399.93 $56,399.93 $56,399.93 nat. median
$55,326
1.0× median
74080530
CDM 		Occ/emb Non Hemorr Art 11 $56,399.93 $56,399.93 $56,399.93 nat. median
$55,326
1.0× median
74080529
CDM 		Occ/emb Non Hemorr Venous 11 $56,399.93 $56,399.93 $56,399.93 nat. median
$55,326
1.0× median
74080531
CDM 		Occ/emb Tumor/organ Infar 11 $56,399.93 $56,399.93 $56,399.93 nat. median
$55,326
1.0× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 $52,688.19 $55,461.25 $55,461.25 nat. median
$53,054
1.0× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50 11 $50,787.57 $53,460.61 $53,460.61 nat. median
$53,961
1.0× median
B1903
HCPCS 		Guillain-barré M >=38.50 And M <51.50 11 $49,482.25 $52,086.58 $52,086.58 nat. median
$52,085
1.0× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 11 $48,856.48 $51,427.88 $51,427.88 nat. median
$51,427
1.0× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 $48,510.43 $51,063.61 $51,063.61 nat. median
$51,378
1.0× median
D1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 $48,469.19 $51,020.20 $51,020.20 nat. median
$49,816
1.0× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 $47,233.79 $49,719.78 $49,719.78 nat. median
$50,036
1.0× median
A1904
HCPCS 		Guillain-barré M <38.50 11 $46,762.22 $49,223.39 $49,223.39 nat. median
$49,305
1.0× median
D1904
HCPCS 		Guillain-barré M <38.50 11 $46,747.88 $49,208.29 $49,208.29 nat. median
$49,620
1.0× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 $46,554.23 $49,004.45 $49,004.45 nat. median
$49,892
1.0× median
74080268
CDM 		Insert Tips 11 $48,288.18 $48,288.18 $48,288.18 nat. median
$47,368
1.0× median
B1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 11 $45,824.47 $48,236.28 $48,236.28 nat. median
$48,739
1.0× median
B2102
HCPCS 		Burns M <52.50 11 $45,634.41 $48,036.22 $48,036.22 nat. median
$48,035
1.0× median
A1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 $45,492.76 $47,887.11 $47,887.11 nat. median
$47,794
1.0× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 $45,329.59 $47,715.36 $47,715.36 nat. median
$48,664
1.0× median
B0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 11 $45,114.43 $47,488.87 $47,488.87 nat. median
$47,500
1.0× median
C0106
HCPCS 		Stroke M <41.50 And A <84.50 11 $45,100.08 $47,473.77 $47,473.77 nat. median
$47,900
1.0× median
B0105
HCPCS 		Stroke M <41.50 And A >=84.50 11 $45,087.53 $47,460.56 $47,460.56 nat. median
$47,997
1.0× median
74080483
CDM 		Revise Tips 11 $47,034.04 $47,034.04 $47,034.04 nat. median
$46,138
1.0× median
B1805
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 11 $44,452.80 $46,792.42 $46,792.42 nat. median
$46,202
1.0× median
B0604
HCPCS 		Neurological M <43.50 11 $43,925.65 $46,237.53 $46,237.53 nat. median
$46,491
1.0× median
C0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 11 $43,048.86 $45,314.59 $45,314.59 nat. median
$45,226
1.0× median
A0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 $42,742.25 $44,991.84 $44,991.84 nat. median
$45,460
1.0× median
B0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50 11 $42,493.02 $44,729.49 $44,729.49 nat. median
$44,642
1.0× median
B1004
HCPCS 		Amputation Lower Extremity M <47.50 11 $42,376.47 $44,606.81 $44,606.81 nat. median
$44,520
1.0× median
B1504
HCPCS 		Pulmonary M <45.50 11 $42,001.73 $44,212.35 $44,212.35 nat. median
$44,462
1.0× median
B0704
HCPCS 		Fracture Of Lower Extremity M <41.50 11 $41,132.11 $43,296.96 $43,296.96 nat. median
$43,685
1.0× median
B1304
HCPCS 		Rheumatoid Other Arthritis M <44.50 And A >=64.50 11 $41,081.90 $43,244.11 $43,244.11 nat. median
$43,273
1.0× median
A0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 $41,019.15 $43,178.05 $43,178.05 nat. median
$44,036
1.0× median
B1305
HCPCS 		Rheumatoid Other Arthritis M <51.50 And A <64.50 11 $41,001.22 $43,159.18 $43,159.18 nat. median
$41,688
1.0× median
D0106
HCPCS 		Stroke M <41.50 And A <84.50 11 $40,861.36 $43,011.96 $43,011.96 nat. median
$43,154
1.0× median
B0904
HCPCS 		Other Orthopedic M <44.5 11 $40,310.90 $42,432.53 $42,432.53 nat. median
$42,433
1.0× median
D0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 11 $40,049.12 $42,156.97 $42,156.97 nat. median
$42,098
1.0× median
C0105
HCPCS 		Stroke M <41.50 And A >=84.50 11 $40,038.36 $42,145.64 $42,145.64 nat. median
$42,512
1.0× median
76085035
CDM 		Sm153 Lexidron To 150mci 11 $41,825.76 $41,825.76 $41,825.76 nat. median
$41,029
1.0× median
B2005
HCPCS 		Miscellaneous M <46.50 And A <77.50 11 $39,658.24 $41,745.51 $41,745.51 nat. median
$41,981
1.0× median

Other procedures at this hospital

Browse this hospital's 17,935 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
             
36224 CPT Place Cath Int Carotid Art Bi 11 11 $35,853.69 $35,853.69 $35,853.69 $35,853.69 $35,853.69 2026-03-18
36226 CPT Place Cath Vertebral Art Bi 11 11 $29,036.88 $29,036.88 $29,036.88 $29,036.88 $29,036.88 2026-03-18
36901 CPT Intro Dial Graft 11 11 $28,319.15 $28,319.15 $28,319.15 $28,319.15 $28,319.15 2026-03-18
36907 CPT Pta Central Dial Seg Add On 11 11 $22,581.68 $22,581.68 $22,581.68 $22,581.68 $22,581.68 2026-03-18
74080268 CDM Insert Tips 11 11 $48,288.18 $48,288.18 $48,288.18 $48,288.18 $48,288.18 2026-03-18
74080421 CDM Nephrostolithotm/pyel<2cm 11 11 $23,284.61 $23,284.61 $23,284.61 $23,284.61 $23,284.61 2026-03-18
74080468 CDM Revas Fem Pop Atherectomy 11 11 $25,905.35 $25,905.35 $25,905.35 $25,905.35 $25,905.35 2026-03-18
74080469 CDM Revas Fem Pop Stent Ather 11 11 $25,905.35 $25,905.35 $25,905.35 $25,905.35 $25,905.35 2026-03-18
74080471 CDM Revas Femoral Poplt Stent 11 11 $25,905.35 $25,905.35 $25,905.35 $25,905.35 $25,905.35 2026-03-18
74080477 CDM Revas Tib Peron Ather Add 11 11 $26,002.81 $26,002.81 $26,002.81 $26,002.81 $26,002.81 2026-03-18
74080478 CDM Revas Tib Peron Ather Ini 11 11 $26,002.81 $26,002.81 $26,002.81 $26,002.81 $26,002.81 2026-03-18
74080479 CDM Revas Tib Peron Stent Ini 11 11 $26,002.81 $26,002.81 $26,002.81 $26,002.81 $26,002.81 2026-03-18
74080481 CDM Revas Tib Pr Stnt Ath Ini 11 11 $26,002.81 $26,002.81 $26,002.81 $26,002.81 $26,002.81 2026-03-18
74080483 CDM Revise Tips 11 11 $47,034.04 $47,034.04 $47,034.04 $47,034.04 $47,034.04 2026-03-18
74080525 CDM Stnt Plc Transcth Art Ini 11 11 $38,869.80 $38,869.80 $38,869.80 $38,869.80 $38,869.80 2026-03-18
74080527 CDM Stnt Plc Transc Vein Ini 11 11 $39,032.60 $39,032.60 $39,032.60 $39,032.60 $39,032.60 2026-03-18
74080529 CDM Occ/emb Non Hemorr Venous 11 11 $56,399.93 $56,399.93 $56,399.93 $56,399.93 $56,399.93 2026-03-18
74080530 CDM Occ/emb Non Hemorr Art 11 11 $56,399.93 $56,399.93 $56,399.93 $56,399.93 $56,399.93 2026-03-18
74080531 CDM Occ/emb Tumor/organ Infar 11 11 $56,399.93 $56,399.93 $56,399.93 $56,399.93 $56,399.93 2026-03-18
74080532 CDM Occ/emb Hemorrhag/lymph 11 11 $56,399.93 $56,399.93 $56,399.93 $56,399.93 $56,399.93 2026-03-18
74080547 CDM Verteb Augm Thorac W Imag 11 11 $38,769.13 $38,769.13 $38,769.13 $38,769.13 $38,769.13 2026-03-18
74080548 CDM Verteb Augm Lumbar W Imag 11 11 $38,769.13 $38,769.13 $38,769.13 $38,769.13 $38,769.13 2026-03-18
74080549 CDM Verteb Augm Ea Add W Imag 11 11 $38,769.13 $38,769.13 $38,769.13 $38,769.13 $38,769.13 2026-03-18
74080580 CDM Plc Stent Bile Duct Ex Ea 11 11 $24,053.59 $24,053.59 $24,053.59 $24,053.59 $24,053.59 2026-03-18
74080581 CDM Plc Stnt Bile Duct New Ea 11 11 $24,053.59 $24,053.59 $24,053.59 $24,053.59 $24,053.59 2026-03-18
74080582 CDM Pl St Bile Duct Cth Nw Ea 11 11 $24,053.59 $24,053.59 $24,053.59 $24,053.59 $24,053.59 2026-03-18
74080659 CDM Plc Stent Bile Duct Ex Ea 11 11 $24,053.59 $24,053.59 $24,053.59 $24,053.59 $24,053.59 2026-03-18
74080660 CDM Plc Stnt Bile Duct New Ea 11 11 $24,053.59 $24,053.59 $24,053.59 $24,053.59 $24,053.59 2026-03-18
74080661 CDM Pl St Bile Duct Cth Nw Ea 11 11 $24,053.59 $24,053.59 $24,053.59 $24,053.59 $24,053.59 2026-03-18
76085035 CDM Sm153 Lexidron To 150mci 11 11 $41,825.76 $41,825.76 $41,825.76 $41,825.76 $41,825.76 2026-03-18
76085037 CDM Strontium Sr-89 Thera/mci 11 11 $38,865.52 $38,865.52 $38,865.52 $38,865.52 $38,865.52 2026-03-18
76085056 CDM In-111 Pentetr Dx To 6mci 11 11 $23,220.35 $23,220.35 $23,220.35 $23,220.35 $23,220.35 2026-03-18
76085057 CDM In111 Satumomab Dx To 6mc 11 11 $24,275.29 $24,275.29 $24,275.29 $24,275.29 $24,275.29 2026-03-18
77020083 CDM Liver Tumor Ablat Rf Perc 11 11 $25,297.02 $25,297.02 $25,297.02 $25,297.02 $25,297.02 2026-03-18
92218223 CDM Soliris 10mg/ml Inj 11 11 $23,482.80 $23,482.80 $23,482.80 $23,482.80 $23,482.80 2026-03-18
92218460 CDM Gamunex-c 1 Gm/10 Ml Sol 11 11 $27,997.20 $27,997.20 $27,997.20 $27,997.20 $27,997.20 2026-03-18
92220143 CDM Interferon Beta-1a30mcg/0.5ml 11 11 $25,431.50 $25,431.50 $25,431.50 $25,431.50 $25,431.50 2026-03-18
A0103 HCPCS Stroke M >=50.50 And M <63.50 11 11 $22,754.49 $22,754.49 $21,616.77 $22,754.49 $22,754.49 2026-03-18
A0104 HCPCS Stroke M >=41.50 And M <50.50 11 11 $29,062.19 $29,062.19 $27,609.08 $29,062.19 $29,062.19 2026-03-18
A0105 HCPCS Stroke M <41.50 And A >=84.50 11 11 $36,219.21 $36,219.21 $34,408.25 $36,219.21 $36,219.21 2026-03-18
A0106 HCPCS Stroke M <41.50 And A <84.50 11 11 $40,798.04 $40,798.04 $38,758.14 $40,798.04 $40,798.04 2026-03-18
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 11 11 $27,357.86 $27,357.86 $25,989.97 $27,357.86 $27,357.86 2026-03-18
A0205 HCPCS Traumatic Brain Injury M <35.50 11 11 $35,098.09 $35,098.09 $33,343.19 $35,098.09 $35,098.09 2026-03-18
A0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 11 11 $23,843.52 $23,843.52 $22,651.35 $23,843.52 $23,843.52 2026-03-18
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 11 11 $28,244.94 $28,244.94 $26,832.69 $28,244.94 $28,244.94 2026-03-18
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 11 11 $30,940.15 $30,940.15 $29,393.14 $30,940.15 $30,940.15 2026-03-18
A0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 11 11 $23,086.68 $23,086.68 $21,932.34 $23,086.68 $23,086.68 2026-03-18
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 11 11 $26,646.31 $26,646.31 $25,314.00 $26,646.31 $26,646.31 2026-03-18
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 11 $43,178.05 $43,178.05 $41,019.15 $43,178.05 $43,178.05 2026-03-18
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 11 11 $34,201.58 $34,201.58 $32,491.50 $34,201.58 $34,201.58 2026-03-18
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 11 $44,991.84 $44,991.84 $42,742.25 $44,991.84 $44,991.84 2026-03-18
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 11 $61,612.29 $61,612.29 $58,531.67 $61,612.29 $61,612.29 2026-03-18
A0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 11 11 $22,882.84 $22,882.84 $21,738.70 $22,882.84 $22,882.84 2026-03-18
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 11 11 $27,342.76 $27,342.76 $25,975.63 $27,342.76 $27,342.76 2026-03-18
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 11 11 $38,850.24 $38,850.24 $36,907.73 $38,850.24 $38,850.24 2026-03-18
A0603 HCPCS Neurological M >=43.50 And M <52.50 11 11 $23,424.52 $23,424.52 $22,253.30 $23,424.52 $23,424.52 2026-03-18
A0604 HCPCS Neurological M <43.50 11 11 $29,624.63 $29,624.63 $28,143.40 $29,624.63 $29,624.63 2026-03-18
A0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 11 11 $24,332.36 $24,332.36 $23,115.74 $24,332.36 $24,332.36 2026-03-18
A0704 HCPCS Fracture Of Lower Extremity M <41.50 11 11 $30,043.63 $30,043.63 $28,541.45 $30,043.63 $30,043.63 2026-03-18
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 11 11 $27,837.26 $27,837.26 $26,445.40 $27,837.26 $27,837.26 2026-03-18
A0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 11 11 $23,001.74 $23,001.74 $21,851.66 $23,001.74 $23,001.74 2026-03-18
A0904 HCPCS Other Orthopedic M <44.5 11 11 $27,697.60 $27,697.60 $26,312.72 $27,697.60 $27,697.60 2026-03-18
A1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 11 11 $23,483.03 $23,483.03 $22,308.88 $23,483.03 $23,483.03 2026-03-18
A1004 HCPCS Amputation Lower Extremity M <47.50 11 11 $31,236.47 $31,236.47 $29,674.65 $31,236.47 $31,236.47 2026-03-18
A1103 HCPCS Amputation Non-lower Extremity M <52.50 11 11 $26,025.36 $26,025.36 $24,724.09 $26,025.36 $26,025.36 2026-03-18
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 11 11 $25,849.83 $25,849.83 $24,557.34 $25,849.83 $25,849.83 2026-03-18
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 11 11 $26,612.34 $26,612.34 $25,281.72 $26,612.34 $26,612.34 2026-03-18
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 11 11 $28,775.30 $28,775.30 $27,336.54 $28,775.30 $28,775.30 2026-03-18
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 11 11 $28,718.68 $28,718.68 $27,282.74 $28,718.68 $28,718.68 2026-03-18
A1404 HCPCS Cardiac M <45.50 11 11 $27,754.22 $27,754.22 $26,366.51 $27,754.22 $27,754.22 2026-03-18
A1503 HCPCS Pulmonary M >=45.50 And M <56.50 11 11 $25,377.98 $25,377.98 $24,109.08 $25,377.98 $25,377.98 2026-03-18
A1504 HCPCS Pulmonary M <45.50 11 11 $31,825.34 $31,825.34 $30,234.07 $31,825.34 $31,825.34 2026-03-18
A1604 HCPCS Pain Syndrome M <43.50 11 11 $28,118.49 $28,118.49 $26,712.56 $28,118.49 $28,118.49 2026-03-18
A1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 11 11 $24,383.32 $24,383.32 $23,164.15 $24,383.32 $24,383.32 2026-03-18
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 11 11 $28,058.09 $28,058.09 $26,655.18 $28,058.09 $28,058.09 2026-03-18
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 11 11 $32,663.34 $32,663.34 $31,030.18 $32,663.34 $32,663.34 2026-03-18
A1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 11 11 $23,588.73 $23,588.73 $22,409.29 $23,588.73 $23,588.73 2026-03-18
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 11 11 $27,550.38 $27,550.38 $26,172.86 $27,550.38 $27,550.38 2026-03-18
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 11 11 $33,052.15 $33,052.15 $31,399.54 $33,052.15 $33,052.15 2026-03-18
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 11 $47,887.11 $47,887.11 $45,492.76 $47,887.11 $47,887.11 2026-03-18
A1902 HCPCS Guillain-barré M >=51.50 And M <66.50 11 11 $22,624.26 $22,624.26 $21,493.05 $22,624.26 $22,624.26 2026-03-18
A1903 HCPCS Guillain-barré M >=38.50 And M <51.50 11 11 $32,010.30 $32,010.30 $30,409.79 $32,010.30 $32,010.30 2026-03-18
A1904 HCPCS Guillain-barré M <38.50 11 11 $49,223.39 $49,223.39 $46,762.22 $49,223.39 $49,223.39 2026-03-18
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 11 11 $27,229.52 $27,229.52 $25,868.04 $27,229.52 $27,229.52 2026-03-18
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 11 11 $28,501.63 $28,501.63 $27,076.55 $28,501.63 $28,501.63 2026-03-18
A2102 HCPCS Burns M <52.50 11 11 $29,205.63 $29,205.63 $27,745.35 $29,205.63 $29,205.63 2026-03-18
A5102 HCPCS Expired, Orthopedic, Length Of Stay Is 14 Days Or More 11 11 $38,663.39 $38,663.39 $36,730.22 $38,663.39 $38,663.39 2026-03-18
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 11 11 $41,298.20 $41,298.20 $39,233.29 $41,298.20 $41,298.20 2026-03-18
B0102 HCPCS Stroke M >=63.50 And M <72.50 11 11 $23,226.34 $23,226.34 $22,065.03 $23,226.34 $23,226.34 2026-03-18
B0103 HCPCS Stroke M >=50.50 And M <63.50 11 11 $29,817.15 $29,817.15 $28,326.29 $29,817.15 $29,817.15 2026-03-18
B0104 HCPCS Stroke M >=41.50 And M <50.50 11 11 $38,082.07 $38,082.07 $36,177.97 $38,082.07 $38,082.07 2026-03-18
B0105 HCPCS Stroke M <41.50 And A >=84.50 11 11 $47,460.56 $47,460.56 $45,087.53 $47,460.56 $47,460.56 2026-03-18
B0106 HCPCS Stroke M <41.50 And A <84.50 11 11 $53,460.61 $53,460.61 $50,787.57 $53,460.61 $53,460.61 2026-03-18
B0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 11 11 $26,161.25 $26,161.25 $24,853.19 $26,161.25 $26,161.25 2026-03-18
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 11 11 $32,525.56 $32,525.56 $30,899.29 $32,525.56 $32,525.56 2026-03-18
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 11 11 $40,086.49 $40,086.49 $38,082.16 $40,086.49 $40,086.49 2026-03-18
B0205 HCPCS Traumatic Brain Injury M <35.50 11 11 $51,427.88 $51,427.88 $48,856.48 $51,427.88 $51,427.88 2026-03-18
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 11 11 $29,150.89 $29,150.89 $27,693.35 $29,150.89 $29,150.89 2026-03-18
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 11 11 $34,467.70 $34,467.70 $32,744.31 $34,467.70 $34,467.70 2026-03-18
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 11 11 $40,833.90 $40,833.90 $38,792.20 $40,833.90 $40,833.90 2026-03-18
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 11 11 $44,729.49 $44,729.49 $42,493.02 $44,729.49 $44,729.49 2026-03-18
B0401 HCPCS Traumatic Spinal Cord Injury M >=56.50 11 11 $25,570.50 $25,570.50 $24,291.97 $25,570.50 $25,570.50 2026-03-18
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 11 11 $32,057.49 $32,057.49 $30,454.61 $32,057.49 $32,057.49 2026-03-18
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 11 11 $37,000.59 $37,000.59 $35,150.56 $37,000.59 $37,000.59 2026-03-18
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 11 $59,953.26 $59,953.26 $56,955.60 $59,953.26 $59,953.26 2026-03-18
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 11 11 $47,488.87 $47,488.87 $45,114.43 $47,488.87 $47,488.87 2026-03-18
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 11 $62,472.94 $62,472.94 $59,349.29 $62,472.94 $62,472.94 2026-03-18
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 11 $85,552.07 $85,552.07 $81,274.46 $85,552.07 $85,552.07 2026-03-18
B0501 HCPCS Non-traumatic Spinal Cord Injury M >=60.50 11 11 $24,706.07 $24,706.07 $23,470.76 $24,706.07 $24,706.07 2026-03-18
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 11 11 $30,672.14 $30,672.14 $29,138.53 $30,672.14 $30,672.14 2026-03-18
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 11 11 $34,731.93 $34,731.93 $32,995.34 $34,731.93 $34,731.93 2026-03-18
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 11 11 $41,502.04 $41,502.04 $39,426.94 $41,502.04 $41,502.04 2026-03-18
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 11 11 $58,966.15 $58,966.15 $56,017.84 $58,966.15 $58,966.15 2026-03-18
B0601 HCPCS Neurological M >=64.50 11 11 $24,715.50 $24,715.50 $23,479.73 $24,715.50 $24,715.50 2026-03-18
B0602 HCPCS Neurological M >=52.50 And M <64.50 11 11 $30,743.86 $30,743.86 $29,206.67 $30,743.86 $30,743.86 2026-03-18
B0603 HCPCS Neurological M >=43.50 And M <52.50 11 11 $36,558.94 $36,558.94 $34,730.99 $36,558.94 $36,558.94 2026-03-18
B0604 HCPCS Neurological M <43.50 11 11 $46,237.53 $46,237.53 $43,925.65 $46,237.53 $46,237.53 2026-03-18
B0701 HCPCS Fracture Of Lower Extremity M >=61.50 11 11 $23,156.51 $23,156.51 $21,998.69 $23,156.51 $23,156.51 2026-03-18
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 11 11 $28,622.42 $28,622.42 $27,191.30 $28,622.42 $28,622.42 2026-03-18
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 11 11 $35,064.12 $35,064.12 $33,310.91 $35,064.12 $35,064.12 2026-03-18
B0704 HCPCS Fracture Of Lower Extremity M <41.50 11 11 $43,296.96 $43,296.96 $41,132.11 $43,296.96 $43,296.96 2026-03-18
B0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 11 11 $25,344.01 $25,344.01 $24,076.81 $25,344.01 $25,344.01 2026-03-18
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 11 11 $27,892.00 $27,892.00 $26,497.40 $27,892.00 $27,892.00 2026-03-18
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 11 11 $31,685.67 $31,685.67 $30,101.39 $31,685.67 $31,685.67 2026-03-18
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 11 11 $39,465.53 $39,465.53 $37,492.26 $39,465.53 $39,465.53 2026-03-18
B0901 HCPCS Other Orthopedic M >=63.50 11 11 $23,375.45 $23,375.45 $22,206.68 $23,375.45 $23,375.45 2026-03-18
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 11 11 $29,694.46 $29,694.46 $28,209.74 $29,694.46 $29,694.46 2026-03-18
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 11 11 $35,237.76 $35,237.76 $33,475.87 $35,237.76 $35,237.76 2026-03-18
B0904 HCPCS Other Orthopedic M <44.5 11 11 $42,432.53 $42,432.53 $40,310.90 $42,432.53 $42,432.53 2026-03-18
B1001 HCPCS Amputation Lower Extremity M >=64.50 11 11 $23,194.26 $23,194.26 $22,034.55 $23,194.26 $23,194.26 2026-03-18
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 11 11 $28,176.99 $28,176.99 $26,768.14 $28,176.99 $28,176.99 2026-03-18
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 11 11 $33,535.32 $33,535.32 $31,858.56 $33,535.32 $33,535.32 2026-03-18
B1004 HCPCS Amputation Lower Extremity M <47.50 11 11 $44,606.81 $44,606.81 $42,376.47 $44,606.81 $44,606.81 2026-03-18
B1101 HCPCS Amputation Non-lower Extremity M >=58.50 11 11 $25,525.20 $25,525.20 $24,248.94 $25,525.20 $25,525.20 2026-03-18
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 11 11 $29,149.01 $29,149.01 $27,691.56 $29,149.01 $29,149.01 2026-03-18
B1103 HCPCS Amputation Non-lower Extremity M <52.50 11 11 $36,509.87 $36,509.87 $34,684.37 $36,509.87 $36,509.87 2026-03-18
B1201 HCPCS Osteoarthritis M >=61.50 11 11 $25,002.39 $25,002.39 $23,752.27 $25,002.39 $25,002.39 2026-03-18
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 11 11 $29,398.14 $29,398.14 $27,928.24 $29,398.14 $29,398.14 2026-03-18
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 11 11 $39,352.29 $39,352.29 $37,384.68 $39,352.29 $39,352.29 2026-03-18
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 11 11 $40,513.04 $40,513.04 $38,487.39 $40,513.04 $40,513.04 2026-03-18
B1301 HCPCS Rheumatoid Other Arthritis M >=62.50 11 11 $23,643.46 $23,643.46 $22,461.29 $23,643.46 $23,643.46 2026-03-18
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 11 11 $28,990.46 $28,990.46 $27,540.94 $28,990.46 $28,990.46 2026-03-18
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 11 11 $33,505.12 $33,505.12 $31,829.87 $33,505.12 $33,505.12 2026-03-18
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 11 11 $43,244.11 $43,244.11 $41,081.90 $43,244.11 $43,244.11 2026-03-18
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 11 11 $43,159.18 $43,159.18 $41,001.22 $43,159.18 $43,159.18 2026-03-18
B1402 HCPCS Cardiac M >=55.50 And M <68.50 11 11 $26,869.03 $26,869.03 $25,525.58 $26,869.03 $26,869.03 2026-03-18
B1403 HCPCS Cardiac M >=45.50 And M <55.50 11 11 $32,476.49 $32,476.49 $30,852.67 $32,476.49 $32,476.49 2026-03-18
B1404 HCPCS Cardiac M <45.50 11 11 $40,518.70 $40,518.70 $38,492.77 $40,518.70 $40,518.70 2026-03-18
B1501 HCPCS Pulmonary M >=68.50 11 11 $24,730.60 $24,730.60 $23,494.07 $24,730.60 $24,730.60 2026-03-18
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 11 11 $30,239.92 $30,239.92 $28,727.93 $30,239.92 $30,239.92 2026-03-18
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 11 11 $35,256.63 $35,256.63 $33,493.80 $35,256.63 $35,256.63 2026-03-18
B1504 HCPCS Pulmonary M <45.50 11 11 $44,212.35 $44,212.35 $42,001.73 $44,212.35 $44,212.35 2026-03-18
B1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 11 11 $23,871.84 $23,871.84 $22,678.24 $23,871.84 $23,871.84 2026-03-18
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 11 11 $28,909.31 $28,909.31 $27,463.84 $28,909.31 $28,909.31 2026-03-18
B1604 HCPCS Pain Syndrome M <43.50 11 11 $37,840.48 $37,840.48 $35,948.46 $37,840.48 $37,840.48 2026-03-18
B1701 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 11 11 $24,896.69 $24,896.69 $23,651.86 $24,896.69 $24,896.69 2026-03-18
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 11 11 $30,689.12 $30,689.12 $29,154.67 $30,689.12 $30,689.12 2026-03-18
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 11 11 $36,007.82 $36,007.82 $34,207.43 $36,007.82 $36,007.82 2026-03-18
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 11 11 $41,434.09 $41,434.09 $39,362.39 $41,434.09 $41,434.09 2026-03-18
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 11 11 $48,236.28 $48,236.28 $45,824.47 $48,236.28 $48,236.28 2026-03-18
B1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 11 11 $26,844.49 $26,844.49 $25,502.27 $26,844.49 $26,844.49 2026-03-18
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 11 11 $33,395.66 $33,395.66 $31,725.87 $33,395.66 $33,395.66 2026-03-18
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 11 11 $39,003.12 $39,003.12 $37,052.96 $39,003.12 $39,003.12 2026-03-18
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 11 11 $46,792.42 $46,792.42 $44,452.80 $46,792.42 $46,792.42 2026-03-18
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 11 $67,793.52 $67,793.52 $64,403.84 $67,793.52 $67,793.52 2026-03-18
B1901 HCPCS Guillain-barré M >=66.50 11 11 $25,304.37 $25,304.37 $24,039.15 $25,304.37 $25,304.37 2026-03-18
B1902 HCPCS Guillain-barré M >=51.50 And M <66.50 11 11 $36,813.74 $36,813.74 $34,973.05 $36,813.74 $36,813.74 2026-03-18
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 11 11 $52,086.58 $52,086.58 $49,482.25 $52,086.58 $52,086.58 2026-03-18
B1904 HCPCS Guillain-barré M <38.50 11 11 $80,093.71 $80,093.71 $76,089.02 $80,093.71 $80,093.71 2026-03-18
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 11 11 $27,848.59 $27,848.59 $26,456.16 $27,848.59 $27,848.59 2026-03-18
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 11 11 $32,701.09 $32,701.09 $31,066.04 $32,701.09 $32,701.09 2026-03-18
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 11 11 $39,882.65 $39,882.65 $37,888.52 $39,882.65 $39,882.65 2026-03-18
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 11 11 $41,745.51 $41,745.51 $39,658.24 $41,745.51 $41,745.51 2026-03-18
B2101 HCPCS Burns M >=52.50 11 11 $30,313.53 $30,313.53 $28,797.85 $30,313.53 $30,313.53 2026-03-18
B2102 HCPCS Burns M <52.50 11 11 $48,036.22 $48,036.22 $45,634.41 $48,036.22 $48,036.22 2026-03-18
C0103 HCPCS Stroke M >=50.50 And M <63.50 11 11 $26,478.33 $26,478.33 $25,154.42 $26,478.33 $26,478.33 2026-03-18
C0104 HCPCS Stroke M >=41.50 And M <50.50 11 11 $33,818.43 $33,818.43 $32,127.51 $33,818.43 $33,818.43 2026-03-18
C0105 HCPCS Stroke M <41.50 And A >=84.50 11 11 $42,145.64 $42,145.64 $40,038.36 $42,145.64 $42,145.64 2026-03-18
C0106 HCPCS Stroke M <41.50 And A <84.50 11 11 $47,473.77 $47,473.77 $45,100.08 $47,473.77 $47,473.77 2026-03-18
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 11 11 $25,861.15 $25,861.15 $24,568.10 $25,861.15 $25,861.15 2026-03-18
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 11 11 $31,872.52 $31,872.52 $30,278.90 $31,872.52 $31,872.52 2026-03-18
C0205 HCPCS Traumatic Brain Injury M <35.50 11 11 $40,890.52 $40,890.52 $38,845.99 $40,890.52 $40,890.52 2026-03-18
C0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 11 11 $23,103.66 $23,103.66 $21,948.48 $23,103.66 $23,103.66 2026-03-18
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 11 11 $27,318.23 $27,318.23 $25,952.32 $27,318.23 $27,318.23 2026-03-18
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 11 11 $32,363.25 $32,363.25 $30,745.09 $32,363.25 $32,363.25 2026-03-18
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 11 11 $35,451.03 $35,451.03 $33,678.48 $35,451.03 $35,451.03 2026-03-18
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 11 11 $26,202.77 $26,202.77 $24,892.64 $26,202.77 $26,202.77 2026-03-18
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 11 11 $30,243.70 $30,243.70 $28,731.51 $30,243.70 $30,243.70 2026-03-18
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 11 $49,004.45 $49,004.45 $46,554.23 $49,004.45 $49,004.45 2026-03-18
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 11 11 $38,816.27 $38,816.27 $36,875.45 $38,816.27 $38,816.27 2026-03-18
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 11 $51,063.61 $51,063.61 $48,510.43 $51,063.61 $51,063.61 2026-03-18
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 11 $69,928.17 $69,928.17 $66,431.76 $69,928.17 $69,928.17 2026-03-18
C0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 11 11 $23,571.74 $23,571.74 $22,393.15 $23,571.74 $23,571.74 2026-03-18
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 11 11 $26,691.61 $26,691.61 $25,357.03 $26,691.61 $26,691.61 2026-03-18
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 11 11 $31,893.29 $31,893.29 $30,298.62 $31,893.29 $31,893.29 2026-03-18
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 11 11 $45,314.59 $45,314.59 $43,048.86 $45,314.59 $45,314.59 2026-03-18
C0602 HCPCS Neurological M >=52.50 And M <64.50 11 11 $23,284.85 $23,284.85 $22,120.61 $23,284.85 $23,284.85 2026-03-18
C0603 HCPCS Neurological M >=43.50 And M <52.50 11 11 $27,688.16 $27,688.16 $26,303.75 $27,688.16 $27,688.16 2026-03-18
C0604 HCPCS Neurological M <43.50 11 11 $35,016.93 $35,016.93 $33,266.09 $35,016.93 $35,016.93 2026-03-18
C0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 11 11 $22,884.72 $22,884.72 $21,740.49 $22,884.72 $22,884.72 2026-03-18
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 11 11 $28,035.44 $28,035.44 $26,633.67 $28,035.44 $28,035.44 2026-03-18
C0704 HCPCS Fracture Of Lower Extremity M <41.50 11 11 $34,618.69 $34,618.69 $32,887.76 $34,618.69 $34,618.69 2026-03-18
C0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 11 11 $23,492.47 $23,492.47 $22,317.84 $23,492.47 $23,492.47 2026-03-18
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 11 11 $26,687.84 $26,687.84 $25,353.44 $26,687.84 $26,687.84 2026-03-18
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 11 11 $33,239.00 $33,239.00 $31,577.05 $33,239.00 $33,239.00 2026-03-18
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 11 11 $26,689.72 $26,689.72 $25,355.24 $26,689.72 $26,689.72 2026-03-18
C0904 HCPCS Other Orthopedic M <44.5 11 11 $32,140.53 $32,140.53 $30,533.51 $32,140.53 $32,140.53 2026-03-18
C1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 11 11 $23,413.20 $23,413.20 $22,242.54 $23,413.20 $23,413.20 2026-03-18
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 11 11 $27,865.57 $27,865.57 $26,472.29 $27,865.57 $27,865.57 2026-03-18
C1004 HCPCS Amputation Lower Extremity M <47.50 11 11 $37,064.76 $37,064.76 $35,211.52 $37,064.76 $37,064.76 2026-03-18
C1101 HCPCS Amputation Non-lower Extremity M >=58.50 11 11 $24,166.27 $24,166.27 $22,957.96 $24,166.27 $24,166.27 2026-03-18
C1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 11 11 $27,595.68 $27,595.68 $26,215.89 $27,595.68 $27,595.68 2026-03-18
C1103 HCPCS Amputation Non-lower Extremity M <52.50 11 11 $34,563.96 $34,563.96 $32,835.76 $34,563.96 $34,563.96 2026-03-18
C1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 11 11 $23,332.04 $23,332.04 $22,165.44 $23,332.04 $23,332.04 2026-03-18
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 11 11 $31,232.70 $31,232.70 $29,671.06 $31,232.70 $31,232.70 2026-03-18
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 11 11 $32,155.63 $32,155.63 $30,547.85 $32,155.63 $32,155.63 2026-03-18
C1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 11 11 $23,177.27 $23,177.27 $22,018.41 $23,177.27 $23,177.27 2026-03-18
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 11 11 $26,785.98 $26,785.98 $25,446.68 $26,785.98 $26,785.98 2026-03-18
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 11 11 $34,573.39 $34,573.39 $32,844.72 $34,573.39 $34,573.39 2026-03-18
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 11 11 $34,503.56 $34,503.56 $32,778.38 $34,503.56 $34,503.56 2026-03-18
C1403 HCPCS Cardiac M >=45.50 And M <55.50 11 11 $26,161.25 $26,161.25 $24,853.19 $26,161.25 $26,161.25 2026-03-18
C1404 HCPCS Cardiac M <45.50 11 11 $32,640.70 $32,640.70 $31,008.66 $32,640.70 $32,640.70 2026-03-18
C1502 HCPCS Pulmonary M >=56.50 And M <68.50 11 11 $24,315.37 $24,315.37 $23,099.61 $24,315.37 $24,315.37 2026-03-18
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 11 11 $28,348.75 $28,348.75 $26,931.31 $28,348.75 $28,348.75 2026-03-18
C1504 HCPCS Pulmonary M <45.50 11 11 $35,549.18 $35,549.18 $33,771.72 $35,549.18 $35,549.18 2026-03-18
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 11 11 $25,908.34 $25,908.34 $24,612.92 $25,908.34 $25,908.34 2026-03-18
C1604 HCPCS Pain Syndrome M <43.50 11 11 $33,912.80 $33,912.80 $32,217.16 $33,912.80 $33,912.80 2026-03-18
C1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 11 11 $24,311.60 $24,311.60 $23,096.02 $24,311.60 $24,311.60 2026-03-18
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 11 11 $28,526.16 $28,526.16 $27,099.86 $28,526.16 $28,526.16 2026-03-18
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 11 11 $32,825.66 $32,825.66 $31,184.38 $32,825.66 $32,825.66 2026-03-18
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 11 11 $38,214.19 $38,214.19 $36,303.48 $38,214.19 $38,214.19 2026-03-18
C1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 11 11 $27,320.12 $27,320.12 $25,954.11 $27,320.12 $27,320.12 2026-03-18
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 11 11 $31,908.38 $31,908.38 $30,312.97 $31,908.38 $31,908.38 2026-03-18
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 11 11 $38,280.25 $38,280.25 $36,366.23 $38,280.25 $38,280.25 2026-03-18
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 11 $55,461.25 $55,461.25 $52,688.19 $55,461.25 $55,461.25 2026-03-18
C1902 HCPCS Guillain-barré M >=51.50 And M <66.50 11 11 $26,017.81 $26,017.81 $24,716.92 $26,017.81 $26,017.81 2026-03-18
C1903 HCPCS Guillain-barré M >=38.50 And M <51.50 11 11 $36,811.85 $36,811.85 $34,971.26 $36,811.85 $36,811.85 2026-03-18
C1904 HCPCS Guillain-barré M <38.50 11 11 $56,605.01 $56,605.01 $53,774.76 $56,605.01 $56,605.01 2026-03-18
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 11 11 $26,225.42 $26,225.42 $24,914.15 $26,225.42 $26,225.42 2026-03-18
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 11 11 $31,983.88 $31,983.88 $30,384.69 $31,983.88 $31,983.88 2026-03-18
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 11 11 $33,478.70 $33,478.70 $31,804.77 $33,478.70 $33,478.70 2026-03-18
C2101 HCPCS Burns M >=52.50 11 11 $25,485.56 $25,485.56 $24,211.28 $25,485.56 $25,485.56 2026-03-18
C2102 HCPCS Burns M <52.50 11 11 $40,384.70 $40,384.70 $38,365.46 $40,384.70 $40,384.70 2026-03-18
D0103 HCPCS Stroke M >=50.50 And M <63.50 11 11 $23,988.85 $23,988.85 $22,789.41 $23,988.85 $23,988.85 2026-03-18
D0104 HCPCS Stroke M >=41.50 And M <50.50 11 11 $30,640.05 $30,640.05 $29,108.05 $30,640.05 $30,640.05 2026-03-18
D0105 HCPCS Stroke M <41.50 And A >=84.50 11 11 $38,183.99 $38,183.99 $36,274.79 $38,183.99 $38,183.99 2026-03-18
D0106 HCPCS Stroke M <41.50 And A <84.50 11 11 $43,011.96 $43,011.96 $40,861.36 $43,011.96 $43,011.96 2026-03-18
D0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 11 11 $23,626.47 $23,626.47 $22,445.15 $23,626.47 $23,626.47 2026-03-18
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 11 11 $29,118.81 $29,118.81 $27,662.87 $29,118.81 $29,118.81 2026-03-18
D0205 HCPCS Traumatic Brain Injury M <35.50 11 11 $37,357.31 $37,357.31 $35,489.44 $37,357.31 $37,357.31 2026-03-18
D0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 11 11 $25,468.58 $25,468.58 $24,195.15 $25,468.58 $25,468.58 2026-03-18
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 11 11 $30,170.09 $30,170.09 $28,661.58 $30,170.09 $30,170.09 2026-03-18
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 11 11 $33,050.26 $33,050.26 $31,397.75 $33,050.26 $33,050.26 2026-03-18
D0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 11 11 $25,513.87 $25,513.87 $24,238.18 $25,513.87 $25,513.87 2026-03-18
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 11 11 $29,447.21 $29,447.21 $27,974.85 $29,447.21 $29,447.21 2026-03-18
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 11 $47,715.36 $47,715.36 $45,329.59 $47,715.36 $47,715.36 2026-03-18
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 11 11 $37,795.18 $37,795.18 $35,905.43 $37,795.18 $37,795.18 2026-03-18
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 11 $49,719.78 $49,719.78 $47,233.79 $49,719.78 $49,719.78 2026-03-18
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 11 $68,087.96 $68,087.96 $64,683.56 $68,087.96 $68,087.96 2026-03-18
D0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 11 11 $24,830.63 $24,830.63 $23,589.10 $24,830.63 $24,830.63 2026-03-18
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 11 11 $29,669.93 $29,669.93 $28,186.43 $29,669.93 $29,669.93 2026-03-18
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 11 11 $42,156.97 $42,156.97 $40,049.12 $42,156.97 $42,156.97 2026-03-18
D0603 HCPCS Neurological M >=43.50 And M <52.50 11 11 $26,078.21 $26,078.21 $24,774.30 $26,078.21 $26,078.21 2026-03-18
D0604 HCPCS Neurological M <43.50 11 11 $32,982.32 $32,982.32 $31,333.20 $32,982.32 $32,982.32 2026-03-18
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 11 11 $26,627.44 $26,627.44 $25,296.07 $26,627.44 $26,627.44 2026-03-18
D0704 HCPCS Fracture Of Lower Extremity M <41.50 11 11 $32,878.51 $32,878.51 $31,234.58 $32,878.51 $32,878.51 2026-03-18
D0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 11 11 $23,854.85 $23,854.85 $22,662.11 $23,854.85 $23,854.85 2026-03-18
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 11 11 $29,711.45 $29,711.45 $28,225.88 $29,711.45 $29,711.45 2026-03-18
D0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 11 11 $25,211.89 $25,211.89 $23,951.29 $25,211.89 $25,211.89 2026-03-18
D0904 HCPCS Other Orthopedic M <44.5 11 11 $30,360.72 $30,360.72 $28,842.68 $30,360.72 $30,360.72 2026-03-18
D1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 11 11 $25,291.16 $25,291.16 $24,026.60 $25,291.16 $25,291.16 2026-03-18
D1004 HCPCS Amputation Lower Extremity M <47.50 11 11 $33,641.02 $33,641.02 $31,958.97 $33,641.02 $33,641.02 2026-03-18
D1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 11 11 $23,747.27 $23,747.27 $22,559.90 $23,747.27 $23,747.27 2026-03-18
D1103 HCPCS Amputation Non-lower Extremity M <52.50 11 11 $29,745.42 $29,745.42 $28,258.15 $29,745.42 $29,745.42 2026-03-18
D1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 11 11 $27,910.87 $27,910.87 $26,515.33 $27,910.87 $27,910.87 2026-03-18
D1204 HCPCS Osteoarthritis M <49.50 And A <74.50 11 11 $28,735.67 $28,735.67 $27,298.88 $28,735.67 $28,735.67 2026-03-18
D1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 11 11 $24,543.75 $24,543.75 $23,316.56 $24,543.75 $24,543.75 2026-03-18
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 11 11 $31,678.12 $31,678.12 $30,094.22 $31,678.12 $31,678.12 2026-03-18
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 11 11 $31,613.95 $31,613.95 $30,033.25 $31,613.95 $31,613.95 2026-03-18
D1403 HCPCS Cardiac M >=45.50 And M <55.50 11 11 $24,188.92 $24,188.92 $22,979.47 $24,188.92 $24,188.92 2026-03-18
D1404 HCPCS Cardiac M <45.50 11 11 $30,181.41 $30,181.41 $28,672.34 $30,181.41 $30,181.41 2026-03-18
D1502 HCPCS Pulmonary M >=56.50 And M <68.50 11 11 $22,771.48 $22,771.48 $21,632.91 $22,771.48 $22,771.48 2026-03-18
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 11 11 $26,548.17 $26,548.17 $25,220.76 $26,548.17 $26,548.17 2026-03-18
D1504 HCPCS Pulmonary M <45.50 11 11 $33,291.85 $33,291.85 $31,627.26 $33,291.85 $33,291.85 2026-03-18
D1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 11 11 $23,700.08 $23,700.08 $22,515.08 $23,700.08 $23,700.08 2026-03-18
D1604 HCPCS Pain Syndrome M <43.50 11 11 $31,021.31 $31,021.31 $29,470.24 $31,021.31 $31,021.31 2026-03-18
D1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 11 11 $26,485.88 $26,485.88 $25,161.59 $26,485.88 $26,485.88 2026-03-18
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 11 11 $30,477.74 $30,477.74 $28,953.85 $30,477.74 $30,477.74 2026-03-18
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 11 11 $35,481.23 $35,481.23 $33,707.17 $35,481.23 $35,481.23 2026-03-18
D1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 11 11 $25,132.62 $25,132.62 $23,875.99 $25,132.62 $25,132.62 2026-03-18
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 11 11 $29,352.84 $29,352.84 $27,885.20 $29,352.84 $29,352.84 2026-03-18
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 11 11 $35,215.11 $35,215.11 $33,454.35 $35,215.11 $35,215.11 2026-03-18
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 11 $51,020.20 $51,020.20 $48,469.19 $51,020.20 $51,020.20 2026-03-18
D1902 HCPCS Guillain-barré M >=51.50 And M <66.50 11 11 $22,618.60 $22,618.60 $21,487.67 $22,618.60 $22,618.60 2026-03-18
D1903 HCPCS Guillain-barré M >=38.50 And M <51.50 11 11 $32,002.75 $32,002.75 $30,402.62 $32,002.75 $32,002.75 2026-03-18
D1904 HCPCS Guillain-barré M <38.50 11 11 $49,208.29 $49,208.29 $46,747.88 $49,208.29 $49,208.29 2026-03-18
D2003 HCPCS Miscellaneous M >=46.50 And M <55.50 11 11 $24,388.98 $24,388.98 $23,169.53 $24,388.98 $24,388.98 2026-03-18
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 11 11 $29,745.42 $29,745.42 $28,258.15 $29,745.42 $29,745.42 2026-03-18
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 11 11 $31,134.55 $31,134.55 $29,577.82 $31,134.55 $31,134.55 2026-03-18
D2102 HCPCS Burns M <52.50 11 11 $30,455.09 $30,455.09 $28,932.33 $30,455.09 $30,455.09 2026-03-18
See an error in this hospital's data? Submit a correction