D0404 — Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5
$49,615
All-payer median here
$99,229
Cash / self-pay here
3
payer/plan-name variants
Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.