Hospital

ARKANSAS SURGICAL HOSPITAL

No Little Rock, AR · CCN 040147 · Rates published

7,983 distinct procedures filed

140 distinct payers

418,256 rate rows

2026-07-30 last MRF observed

Data quality

398,337 of 418,256 rate rows are consumer-grade (95.2%)

19,919 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
exceeds 10× this hospital's gross charge — excluded from medians	18,801
template filing: same amount across many unrelated codes — excluded	915
placeholder amount (≤ $0.02) — excluded from medians	188
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	15

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

Source MRF file	https://clariti-health.com/csp/clariti/machinereadable/v2/710858717_Arkansas-Surgical-Hospital-LLC_standardcharges.csv
Found on page	https://arksurgicalhospital.com/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-08-14
Content fingerprint	4aec1fc61feed2ed… · 47,185,018 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
4114117 OTHER	Knee Rev Press-fit	19	$1,120.00	$87,967.44	$48,870.80	nat. median $48,871 1.0× median
4112248 OTHER	Maci Graft Implant	19	$1,120.00	$81,387.00	$45,215.00	nat. median $45,215 1.0× median
4114831 OTHER	Fem Whl Con Fs/a Rt	19	$1,120.00	$80,388.00	$44,660.00	nat. median $44,660 1.0× median
4111728 OTHER	Kit Montage Ipg	19	$1,120.00	$75,240.00	$41,800.00	nat. median $41,800 1.0× median
4114373 OTHER	Nipg Stimulator Kit	19	$1,120.00	$74,669.85	$41,483.25	nat. median $41,483 1.0× median
4114811 OTHER	Kit Wavewriter Alpha	19	$1,120.00	$73,260.00	$40,700.00	nat. median $1,621 outlier · 25.1×
4099446 OTHER	Kit Ultrasurg Medtr	19	$1,120.00	$71,280.00	$39,600.00	nat. median $39,600 1.0× median
4114137 OTHER	Kit Novi Boston Scie	19	$1,120.00	$71,280.00	$39,600.00	nat. median $39,600 1.0× median
4111727 OTHER	Kit Montage Ipg Bost	19	$1,120.00	$68,508.00	$38,060.00	nat. median $38,060 1.0× median
4114634 OTHER	Revision Total Knee	19	$1,120.00	$66,150.00	$36,750.00	nat. median $36,750 1.0× median
4114158 OTHER	Psn Knee Rev Cap	19	$1,120.00	$66,150.00	$36,750.00	nat. median $36,750 1.0× median
4114115 OTHER	Hinged Knee Revision	19	$1,120.00	$63,360.00	$35,200.00	nat. median $35,200 1.0× median
4113368 OTHER	Tot Knee Rev W Cones	19	$1,120.00	$63,000.00	$35,000.00	nat. median $35,000 1.0× median
4114290 OTHER	Ipg Kit	19	$1,120.00	$62,540.10	$34,744.50	nat. median $34,744 1.0× median
4110483 OTHER	Ipg Kit	19	$1,120.00	$62,540.10	$34,744.50	nat. median $34,744 1.0× median
22614 CPT	Spine Fus Extra Seg	74	$92.00	$38,407.95	$33,652.68	nat. median $2,017 outlier · 16.7×
63048 CPT	Remv Spinal Lamina	74	$92.00	$38,407.95	$33,652.68	nat. median $3,010 outlier · 11.2×
4110456 OTHER	Battery Proclaim 7 E	19	$1,120.00	$58,806.00	$32,670.00	nat. median $32,670 1.0× median
4110455 OTHER	Battery Proclaim 5 E	19	$1,120.00	$58,806.00	$32,670.00	nat. median $32,670 1.0× median
4111137 OTHER	Stimulator 2x12 Puls	19	$1,120.00	$56,232.00	$31,240.00	nat. median $31,240 1.0× median
4111881 OTHER	Ipg Battery Stimulat	19	$1,120.00	$53,301.60	$29,612.00	nat. median $29,612 1.0× median
4112883 OTHER	Battery Intellislt	19	$1,120.00	$51,480.00	$28,600.00	nat. median $28,600 1.0× median
4097668 OTHER	Tok Knee Rev Exactec	19	$1,120.00	$50,400.00	$28,000.00	nat. median $28,000 1.0× median
4112910 OTHER	Maci Graft Implant 2	19	$1,120.00	$48,744.00	$27,080.00	nat. median $27,080 1.0× median
4113531 OTHER	Maci 2 Membrane #1	19	$1,120.00	$48,744.00	$27,080.00	nat. median $27,080 1.0× median
4111934 OTHER	Plate 4h Lapidus Lt	19	$1,120.00	$48,510.00	$26,950.00	nat. median $26,950 1.0× median
4099555 OTHER	Medtronic Battery	19	$1,120.00	$47,520.00	$26,400.00	nat. median $26,400 1.0× median
4092527 OTHER	Condyle Fem Hemi Med	19	$1,120.00	$46,213.20	$25,674.00	nat. median $25,674 1.0× median
4113364 OTHER	Lt Medial Condyle Fr	19	$1,120.00	$46,213.20	$25,674.00	nat. median $25,674 1.0× median
4093607 OTHER	Patella W Attach Rt	19	$1,120.00	$46,149.75	$25,638.75	nat. median $25,639 1.0× median
4114832 OTHER	Fem Whl Con Fs/a Lt	19	$1,120.00	$46,149.75	$25,638.75	nat. median $25,639 1.0× median
4114793 OTHER	Patella Bn Fs/a Lt	19	$1,120.00	$46,149.75	$25,638.75	nat. median $25,639 1.0× median
4113650 OTHER	Condyle Hemi Fem Lat	19	$1,120.00	$45,979.65	$25,544.25	nat. median $25,544 1.0× median
4098376 OTHER	Reverse Shoulder	19	$1,120.00	$45,360.00	$25,200.00	nat. median $25,200 1.0× median
4092045 OTHER	Condyle Femoral Hemi	19	$1,120.00	$45,243.00	$25,135.00	nat. median $25,135 1.0× median
4111862 OTHER	Lima Reverse Tsa	19	$1,120.00	$44,730.00	$24,850.00	nat. median $24,850 1.0× median
4100954 OTHER	Reverse Tsa Arthrex	19	$1,120.00	$44,100.00	$24,500.00	nat. median $24,500 1.0× median
22614 OTHER	Spine Fus Extra Seg (22614) - Inpatient(drg:460)	68	$114.00	$29,223.79	$23,329.47	nat. median $822 outlier · 28.4×
63048 OTHER	Remv Spinal Lamina (63048) - Inpatient(drg:460)	68	$114.00	$29,223.79	$23,329.47	nat. median $399 outlier · 58.5×
63012 OTHER	Remv Of Spinal Lami (63012)	68	$2,203.00	$45,196.38	$23,133.90	nat. median $6,788 outlier · 3.4×
22856 CPT	Cerv Artific Diskectomy	140	$850.00	$38,343.90	$23,020.03	nat. median $16,588 1.4× median
4110446 OTHER	Total Hip Rev Exac	19	$1,120.00	$40,950.00	$22,750.00	nat. median $22,750 1.0× median
4114189 OTHER	Pcf Decompression	19	$1,120.00	$40,320.00	$22,400.00	nat. median $22,400 1.0× median
27279 OTHER	Arthrodesis Sacroiliac Joint (27279)	68	$30.80	$29,223.79	$22,363.04	nat. median $16,481 1.4× median
22612 OTHER	Lumbar Spine Fus (22612)	68	$30.80	$29,223.79	$22,363.04	nat. median $11,240 2.0× median
4092094 OTHER	Synchromed Medtronic	19	$1,120.00	$39,600.00	$22,000.00	nat. median $22,000 1.0× median
4090481 OTHER	Synchromed 8637-40	19	$1,120.00	$39,600.00	$22,000.00	nat. median $22,000 1.0× median
4114761 OTHER	Total Hip Dual Mobil	19	$1,120.00	$39,600.00	$22,000.00	nat. median $22,000 1.0× median
4112212 OTHER	Broach Body S/o Arco	19	$1,120.00	$38,867.85	$21,593.25	nat. median $21,593 1.0× median
28725 CPT	Fus Of Foot Bnes	140	$850.00	$34,962.90	$20,994.86	nat. median $10,559 2.0× median

Other procedures at this hospital

Browse this hospital's 7,983 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

4114117	OTHER	Knee Rev Press-fit	27	19	$97,741.60	—	$1,120.00	$87,967.44	$48,870.80	2026-07-30
4112248	OTHER	Maci Graft Implant	27	19	$90,430.00	—	$1,120.00	$81,387.00	$45,215.00	2026-07-30
4114831	OTHER	Fem Whl Con Fs/a Rt	27	19	$89,320.00	—	$1,120.00	$80,388.00	$44,660.00	2026-07-30
4111728	OTHER	Kit Montage Ipg	27	19	$83,600.00	—	$1,120.00	$75,240.00	$41,800.00	2026-07-30
4114373	OTHER	Nipg Stimulator Kit	27	19	$82,966.50	—	$1,120.00	$74,669.85	$41,483.25	2026-07-30
4114811	OTHER	Kit Wavewriter Alpha	27	19	$81,400.00	—	$1,120.00	$73,260.00	$40,700.00	2026-07-30
4099446	OTHER	Kit Ultrasurg Medtr	27	19	$79,200.00	—	$1,120.00	$71,280.00	$39,600.00	2026-07-30
4114137	OTHER	Kit Novi Boston Scie	27	19	$79,200.00	—	$1,120.00	$71,280.00	$39,600.00	2026-07-30
4111727	OTHER	Kit Montage Ipg Bost	27	19	$76,120.00	—	$1,120.00	$68,508.00	$38,060.00	2026-07-30
4114634	OTHER	Revision Total Knee	27	19	$73,500.00	—	$1,120.00	$66,150.00	$36,750.00	2026-07-30
4114158	OTHER	Psn Knee Rev Cap	27	19	$73,500.00	—	$1,120.00	$66,150.00	$36,750.00	2026-07-30
4114115	OTHER	Hinged Knee Revision	27	19	$70,400.00	—	$1,120.00	$63,360.00	$35,200.00	2026-07-30
4113368	OTHER	Tot Knee Rev W Cones	27	19	$70,000.00	—	$1,120.00	$63,000.00	$35,000.00	2026-07-30
4110483	OTHER	Ipg Kit	27	19	$69,489.00	—	$1,120.00	$62,540.10	$34,744.50	2026-07-30
4114290	OTHER	Ipg Kit	27	19	$69,489.00	—	$1,120.00	$62,540.10	$34,744.50	2026-07-30
63048	CPT	Remv Spinal Lamina	102	74	$9,675.00	$40,383.22	$92.00	$38,407.95	$33,652.68	2026-05-09
22614	CPT	Spine Fus Extra Seg	102	74	$9,675.00	$40,383.22	$92.00	$38,407.95	$33,652.68	2026-05-09
4110456	OTHER	Battery Proclaim 7 E	27	19	$65,340.00	—	$1,120.00	$58,806.00	$32,670.00	2026-07-30
4110455	OTHER	Battery Proclaim 5 E	27	19	$65,340.00	—	$1,120.00	$58,806.00	$32,670.00	2026-07-30
4111137	OTHER	Stimulator 2x12 Puls	27	19	$62,480.00	—	$1,120.00	$56,232.00	$31,240.00	2026-07-30
4111881	OTHER	Ipg Battery Stimulat	27	19	$59,224.00	—	$1,120.00	$53,301.60	$29,612.00	2026-07-30
4112883	OTHER	Battery Intellislt	27	19	$57,200.00	—	$1,120.00	$51,480.00	$28,600.00	2026-07-30
4097668	OTHER	Tok Knee Rev Exactec	27	19	$56,000.00	—	$1,120.00	$50,400.00	$28,000.00	2026-07-30
4112910	OTHER	Maci Graft Implant 2	27	19	$54,160.00	—	$1,120.00	$48,744.00	$27,080.00	2026-07-30
4113531	OTHER	Maci 2 Membrane #1	27	19	$54,160.00	—	$1,120.00	$48,744.00	$27,080.00	2026-07-30
4111934	OTHER	Plate 4h Lapidus Lt	27	19	$53,900.00	—	$1,120.00	$48,510.00	$26,950.00	2026-07-30
4099555	OTHER	Medtronic Battery	27	19	$52,800.00	—	$1,120.00	$47,520.00	$26,400.00	2026-07-30
4092527	OTHER	Condyle Fem Hemi Med	27	19	$51,348.00	—	$1,120.00	$46,213.20	$25,674.00	2026-07-30
4113364	OTHER	Lt Medial Condyle Fr	27	19	$51,348.00	—	$1,120.00	$46,213.20	$25,674.00	2026-07-30
4114793	OTHER	Patella Bn Fs/a Lt	27	19	$51,277.50	—	$1,120.00	$46,149.75	$25,638.75	2026-07-30
4114832	OTHER	Fem Whl Con Fs/a Lt	27	19	$51,277.50	—	$1,120.00	$46,149.75	$25,638.75	2026-07-30
4093607	OTHER	Patella W Attach Rt	27	19	$51,277.50	—	$1,120.00	$46,149.75	$25,638.75	2026-07-30
4113650	OTHER	Condyle Hemi Fem Lat	27	19	$51,088.50	—	$1,120.00	$45,979.65	$25,544.25	2026-07-30
4098376	OTHER	Reverse Shoulder	27	19	$50,400.00	—	$1,120.00	$45,360.00	$25,200.00	2026-07-30
4092045	OTHER	Condyle Femoral Hemi	27	19	$50,270.00	—	$1,120.00	$45,243.00	$25,135.00	2026-07-30
4111862	OTHER	Lima Reverse Tsa	27	19	$49,700.00	—	$1,120.00	$44,730.00	$24,850.00	2026-07-30
4100954	OTHER	Reverse Tsa Arthrex	27	19	$49,000.00	—	$1,120.00	$44,100.00	$24,500.00	2026-07-30
22614	OTHER	Spine Fus Extra Seg (22614) - Inpatient(drg:460)	81	68	$4,175.00	$29,487.78	$114.00	$29,223.79	$23,329.47	2026-07-30
63048	OTHER	Remv Spinal Lamina (63048) - Inpatient(drg:460)	81	68	$4,175.00	$29,487.78	$114.00	$29,223.79	$23,329.47	2026-07-30
63012	OTHER	Remv Of Spinal Lami (63012)	136	68	$13,075.00	$27,882.25	$2,203.00	$45,196.38	$23,133.90	2026-07-30
22856	CPT	Cerv Artific Diskectomy	275	140	$42,472.69	$40,315.87	$850.00	$38,343.90	$23,020.03	2026-05-09
4110446	OTHER	Total Hip Rev Exac	27	19	$45,500.00	—	$1,120.00	$40,950.00	$22,750.00	2026-07-30
4114189	OTHER	Pcf Decompression	27	19	$44,800.00	—	$1,120.00	$40,320.00	$22,400.00	2026-07-30
27279	OTHER	Arthrodesis Sacroiliac Joint (27279)	136	68	$5,675.00	$28,106.26	$30.80	$29,223.79	$22,363.04	2026-07-30
22612	OTHER	Lumbar Spine Fus (22612)	136	68	$11,200.00	$28,106.26	$30.80	$29,223.79	$22,363.04	2026-07-30
4090481	OTHER	Synchromed 8637-40	27	19	$44,000.00	—	$1,120.00	$39,600.00	$22,000.00	2026-07-30
4092094	OTHER	Synchromed Medtronic	27	19	$44,000.00	—	$1,120.00	$39,600.00	$22,000.00	2026-07-30
4114761	OTHER	Total Hip Dual Mobil	27	19	$44,000.00	—	$1,120.00	$39,600.00	$22,000.00	2026-07-30
4112212	OTHER	Broach Body S/o Arco	27	19	$43,186.50	—	$1,120.00	$38,867.85	$21,593.25	2026-07-30
28725	CPT	Fus Of Foot Bnes	275	140	$20,854.90	$36,760.99	$850.00	$34,962.90	$20,994.86	2026-05-09
22856	OTHER	Cerv Artific Diskectomy (22856)	136	68	$9,350.00	$27,956.32	$30.80	$25,152.06	$20,973.12	2026-07-30
4110192	OTHER	Pump Prometra Ii	27	19	$41,360.00	—	$1,120.00	$37,224.00	$20,680.00	2026-07-30
4114712	OTHER	Pump Prometra Ii 20m	27	19	$41,360.00	—	$1,120.00	$37,224.00	$20,680.00	2026-07-30
4114495	OTHER	Screw 4.5x50 Cortex	27	19	$41,144.95	—	$1,120.00	$37,030.46	$20,572.48	2026-07-30
4112916	OTHER	Screw Locking 4.0x38	27	19	$41,129.16	—	$1,120.00	$37,016.24	$20,564.58	2026-07-30
4112755	OTHER	Humeral Head 52mm	27	19	$41,127.55	—	$1,120.00	$37,014.80	$20,563.78	2026-07-30
4112536	OTHER	Adapter 55mm Femoral	27	19	$40,036.50	—	$1,120.00	$36,032.85	$20,018.25	2026-07-30
28725	OTHER	Fus Of Foot Bnes (28725)	136	68	$5,675.00	$20,613.14	$2,020.00	$29,816.54	$20,017.75	2026-07-30
4113457	OTHER	Broach Body 16x210	27	19	$39,564.00	—	$1,120.00	$35,607.60	$19,782.00	2026-07-30
4111552	OTHER	Femur 57.5 Ssk 360	27	19	$39,543.00	—	$1,120.00	$35,588.70	$19,771.50	2026-07-30
4112001	OTHER	Fem 75mm Ssk R	27	19	$39,543.00	—	$1,120.00	$35,588.70	$19,771.50	2026-07-30
4110110	OTHER	Femur 67.5 Right	27	19	$39,543.00	—	$1,120.00	$35,588.70	$19,771.50	2026-07-30
4100991	OTHER	Femur 65mm Vngrd 360	27	19	$39,543.00	—	$1,120.00	$35,588.70	$19,771.50	2026-07-30
4111705	OTHER	Femur Lg 70mm	27	19	$39,543.00	—	$1,120.00	$35,588.70	$19,771.50	2026-07-30
4111489	OTHER	Ssk 60mm Fem L Vngd	27	19	$39,543.00	—	$1,120.00	$35,588.70	$19,771.50	2026-07-30
4111349	OTHER	Femur 65mm Ssk	27	19	$39,543.00	—	$1,120.00	$35,588.70	$19,771.50	2026-07-30
4110765	OTHER	Femur R 70mm Ssk	27	19	$39,543.00	—	$1,120.00	$35,588.70	$19,771.50	2026-07-30
4110923	OTHER	Femur 67.5 Large	27	19	$39,543.00	—	$1,120.00	$35,588.70	$19,771.50	2026-07-30
63685	CPT	Insrt/redo Spine N Generator	275	140	$86,722.94	$20,773.97 76% off	$850.00	$62,884.24	$19,757.85	2026-05-09
63042	OTHER	Lmnotm Single Lumba (63042)	136	68	$7,500.00	$22,781.40	$2,203.00	$35,517.34	$19,415.23	2026-07-30
4100736	OTHER	Adapter 60mm Femoral	27	19	$37,660.00	—	$1,120.00	$33,894.00	$18,830.00	2026-07-30
4100784	OTHER	Adapter 5.75mm Femor	27	19	$37,660.00	—	$1,120.00	$33,894.00	$18,830.00	2026-07-30
4100481	OTHER	Femur 55 Large	27	19	$37,660.00	—	$1,120.00	$33,894.00	$18,830.00	2026-07-30
4114112	OTHER	Femur 72.5mm Ssk	27	19	$37,380.00	—	$1,120.00	$33,642.00	$18,690.00	2026-07-30
4112395	OTHER	Acros Brch Szb 60mm	27	19	$37,201.50	—	$1,120.00	$33,481.35	$18,600.75	2026-07-30
4099324	OTHER	Total Shoulder	27	19	$37,100.00	—	$1,120.00	$33,390.00	$18,550.00	2026-07-30
4114494	OTHER	Gmrs Distal Fem 65mm	27	19	$35,265.12	—	$1,120.00	$31,738.61	$17,632.56	2026-07-30
4114321	OTHER	Condyle Lt Lat Hemi	27	19	$35,200.00	—	$1,120.00	$31,680.00	$17,600.00	2026-07-30
4114142	OTHER	Condyle Lt Med Hemi	27	19	$35,200.00	—	$1,120.00	$31,680.00	$17,600.00	2026-07-30
4114088	OTHER	Fem Condyle Rt Later	27	19	$35,200.00	—	$1,120.00	$31,680.00	$17,600.00	2026-07-30
4114718	OTHER	Osteochondral Pat Rt	27	19	$35,200.00	—	$1,120.00	$31,680.00	$17,600.00	2026-07-30
4114089	OTHER	Osteoch Trochlea Rt	27	19	$35,200.00	—	$1,120.00	$31,680.00	$17,600.00	2026-07-30
4114008	OTHER	Fem Condyle Medial R	27	19	$35,200.00	—	$1,120.00	$31,680.00	$17,600.00	2026-07-30
22612	CPT	Lumbar Spine Fus	209	140	$33,936.44	$26,724.74 21% off	$850.00	$38,407.95	$17,532.35	2026-05-09
27279	CPT	Arthrodesis Sacroiliac Joint	209	140	$58,654.80	$26,724.74 54% off	$850.00	$38,407.95	$17,532.35	2026-05-09
4097838	OTHER	Primary Should Exact	27	19	$34,650.00	—	$1,120.00	$31,185.00	$17,325.00	2026-07-30
4097631	OTHER	Rvrs Shdr Exactech	27	19	$34,650.00	—	$1,120.00	$31,185.00	$17,325.00	2026-07-30
63655	CPT	Implant Neuroelectrodes	280	140	$95,490.25	$23,516.09 75% off	$320.00	$57,069.15	$17,311.64	2026-05-09
4111089	OTHER	Lima Total Shoulder	27	19	$34,300.00	—	$1,120.00	$30,870.00	$17,150.00	2026-07-30
4098576	OTHER	Femur 72.5 Vang	27	19	$34,153.00	—	$1,120.00	$30,737.70	$17,076.50	2026-07-30
4098598	OTHER	Adapter 5.0 Tibial	27	19	$34,153.00	—	$1,120.00	$30,737.70	$17,076.50	2026-07-30
63046	OTHER	Remv Of Spinal Lami (63046)	136	68	$3,800.00	$18,780.27	$2,203.00	$29,223.79	$16,997.26	2026-07-30
63030	OTHER	Decomp Lam Lumbar (63030)	136	68	$6,000.00	$18,780.27	$2,203.00	$29,223.79	$16,997.26	2026-07-30
63045	OTHER	Remv Of Spinal Lami (63045)	136	68	$9,375.00	$18,780.27	$2,203.00	$29,223.79	$16,997.26	2026-07-30
63047	OTHER	Remv Of Spinal Lami (63047)	136	68	$7,500.00	$18,780.27	$2,203.00	$29,223.79	$16,997.26	2026-07-30
22633	CPT	Lumbar Spine Fusion Combined	135	135	$49,898.38	$26,724.74 46% off	$15,899.00	$37,949.06	$16,866.25	2026-05-09
62361	CPT	Implant Spine Infusion Pump	275	140	$9,675.00	$20,773.97	$850.00	$36,471.69	$16,778.09	2026-05-09
4111143	OTHER	Total Elbow Tornier	27	19	$33,000.00	—	$1,120.00	$29,700.00	$16,500.00	2026-07-30
4097817	OTHER	Total Ankle Tornier	27	19	$33,000.00	—	$1,120.00	$29,700.00	$16,500.00	2026-07-30
62362	CPT	Implant Infusion Pum	280	140	$77,561.00	$20,723.18 73% off	$250.00	$46,536.60	$16,493.86	2026-05-09
23470	CPT	Reconstr Shldr Jnt	275	140	$39,048.59	$27,425.57 30% off	$850.00	$26,551.53	$16,367.09	2026-05-09
19357	CPT	Brst Recont	280	140	$9,300.00	$20,567.76	$320.00	$35,902.62	$15,956.72	2026-05-09
4112217	OTHER	1 Lvl Disc Arthoplas	27	19	$31,500.00	—	$1,120.00	$28,350.00	$15,750.00	2026-07-30
4112949	OTHER	Prodisc C 6mm Large	27	19	$31,500.00	—	$1,120.00	$28,350.00	$15,750.00	2026-07-30
4113022	OTHER	Prodics C Med 7 Deep	27	19	$31,500.00	—	$1,120.00	$28,350.00	$15,750.00	2026-07-30
4113122	OTHER	Prodics C Large 7	27	19	$31,500.00	—	$1,120.00	$28,350.00	$15,750.00	2026-07-30
4114598	OTHER	Insert 12mm Sz 4 Tib	27	19	$31,350.00	—	$1,120.00	$28,215.00	$15,675.00	2026-07-30
4112443	OTHER	Wound Matrix 4x10	27	19	$31,240.00	—	$1,120.00	$28,116.00	$15,620.00	2026-07-30
4110675	OTHER	Lima Reverse Tsa	27	19	$31,240.00	—	$1,120.00	$28,116.00	$15,620.00	2026-07-30
22551	OTHER	Neck Spine Fuse&remov Bel C2 (22551)	136	68	$9,375.00	$17,887.12	$1,120.00	$21,812.11	$15,580.08	2026-07-30
4112574	OTHER	Broach Body 16x175mm	27	19	$31,150.00	—	$1,120.00	$28,035.00	$15,575.00	2026-07-30
63020	OTHER	Nk Spine Disk Surg (63020)	136	68	$9,375.00	$18,630.32	$2,203.00	$25,152.06	$15,432.90	2026-07-30
27870	CPT	Fus Of Akl Jnt	275	140	$23,032.19	$26,514.77	$850.00	$26,551.53	$15,421.62	2026-05-09
24515	CPT	Trt Hum Fx	275	140	$33,561.58	$26,514.77 21% off	$850.00	$26,551.53	$15,421.62	2026-05-09
4114412	OTHER	Stem Sz 14 O/s	27	19	$30,592.80	—	$1,120.00	$27,533.52	$15,296.40	2026-07-30
4114709	OTHER	Implant Legion 3 Lt	27	19	$30,437.00	—	$1,120.00	$27,393.30	$15,218.50	2026-07-30
4093851	OTHER	Implant Legion 5 Lt	27	19	$30,437.00	—	$1,120.00	$27,393.30	$15,218.50	2026-07-30
22551	CPT	Neck Spine Fuse&remov Bel C2	275	140	$27,814.84	$27,165.02	$850.00	$26,551.53	$15,205.81	2026-05-09
4113734	OTHER	Cervical Disc 7mm M	27	19	$30,100.00	—	$1,120.00	$27,090.00	$15,050.00	2026-07-30
4113885	OTHER	Cervical Disc 7mm	27	19	$30,100.00	—	$1,120.00	$27,090.00	$15,050.00	2026-07-30
4113481	OTHER	Cervical Disc M6-c 6	27	19	$30,100.00	—	$1,120.00	$27,090.00	$15,050.00	2026-07-30
4113735	OTHER	Cervical Disc 6mm Ml	27	19	$30,100.00	—	$1,120.00	$27,090.00	$15,050.00	2026-07-30
4113896	OTHER	Cervical Disc 7mm Ll	27	19	$30,100.00	—	$1,120.00	$27,090.00	$15,050.00	2026-07-30
4114455	OTHER	Cervical Disc M6 6mm	27	19	$30,100.00	—	$1,120.00	$27,090.00	$15,050.00	2026-07-30
4114198	OTHER	Cervical Disc M6 6mm	27	19	$30,100.00	—	$1,120.00	$27,090.00	$15,050.00	2026-07-30
27599	OTHER	Ampu Fl-up Surg (27599)	136	68	$7,500.00	$20,660.90	$114.00	$37,626.26	$15,015.95	2026-07-30
4112483	OTHER	Wedge Sz8 Plasma X/o	27	19	$29,994.30	—	$1,120.00	$26,994.87	$14,997.15	2026-07-30
4112105	OTHER	Stem Sz16 S/o Std Cl	27	19	$29,751.75	—	$1,120.00	$26,776.58	$14,875.88	2026-07-30
23412	CPT	Rep Rotator Cuff Ch	275	140	$22,609.41	$27,425.57	$850.00	$26,084.10	$14,741.55	2026-05-09
27698	CPT	Rep Of Akl Lig	275	140	$23,037.84	$36,760.99	$850.00	$34,962.90	$14,741.55	2026-05-09
63001	CPT	Remv Of Spinal Lami	275	140	$21,285.83	$32,627.62	$850.00	$31,031.70	$14,741.55	2026-05-09
27638	CPT	Remv/grft Leg Bne L	275	140	$22,875.92	$36,760.99	$850.00	$34,962.90	$14,741.55	2026-05-09
23585	CPT	Trt Scapula Fx	275	140	$33,166.92	$27,425.57	$850.00	$26,084.10	$14,741.55	2026-05-09
28103	CPT	Remv/grft Foot Les	275	140	$21,652.00	$36,760.99	$850.00	$34,962.90	$14,741.55	2026-05-09
20900	CPT	Remv Of Bne For Grf	280	140	$9,300.00	$22,416.88	$320.00	$34,962.90	$14,741.55	2026-05-09
28300	CPT	In Of Hl Bne	280	140	$15,696.66	$22,416.88	$250.00	$34,962.90	$14,741.55	2026-05-09
63005	CPT	Remv Of Spinal Lami	275	140	$17,685.49	$33,135.46	$850.00	$31,514.70	$14,741.55	2026-05-09
27814	CPT	Trt Of Akl Fx	275	140	$29,576.90	$26,514.77	$850.00	$25,217.85	$14,741.55	2026-05-09
27766	CPT	Trt Of Akl Fx	280	140	$11,063.00	$22,416.88	$250.00	$34,962.90	$14,741.55	2026-05-09
27335	CPT	Remv Knee Jnt Lin	275	140	$26,824.67	$29,472.38	$850.00	$28,030.80	$14,741.55	2026-05-09
63020	CPT	Nk Spine Disk Surg	280	140	$21,063.24	$24,194.32	$320.00	$38,343.90	$14,741.55	2026-05-09
24515	OTHER	Trt Hum Fx (24515)	136	68	$13,050.00	$17,263.47	$2,020.00	$24,483.91	$14,717.51	2026-07-30
27870	OTHER	Fus Of Akl Jnt (27870)	136	68	$7,500.00	$17,263.47	$2,020.00	$28,974.71	$14,717.51	2026-07-30
23470	OTHER	Reconstr Shldr Jnt (23470)	136	68	$9,350.00	$17,192.21	$1,120.00	$21,812.11	$14,604.77	2026-07-30
28715	CPT	Fus Of Foot Bnes	280	140	$16,269.19	$20,275.67	$320.00	$26,551.53	$14,504.42	2026-05-09
20690	CPT	App Bne Fix Dev	275	140	$9,675.00	$24,626.93	$850.00	$23,422.35	$14,504.42	2026-05-09
4113115	OTHER	Liner Extcov G7 36	27	19	$29,008.00	—	$1,120.00	$26,107.20	$14,504.00	2026-07-30
4113171	OTHER	Liner 10 Deg	27	19	$29,008.00	—	$1,120.00	$26,107.20	$14,504.00	2026-07-30
28715	OTHER	Fus Of Foot Bnes (28715)	125	68	$5,300.00	$15,924.41	$2,020.00	$29,816.54	$14,483.97	2026-07-30
63001	OTHER	Remv Of Spinal Lami (63001)	136	68	$9,375.00	$16,059.35	$2,203.00	$22,443.23	$14,392.18	2026-07-30
4096434	OTHER	Shoulder Rev Aeq	27	19	$28,600.00	—	$1,120.00	$25,740.00	$14,300.00	2026-07-30
63005	OTHER	Remv Of Spinal Lami (63005)	136	68	$7,500.00	$15,731.27	$2,203.00	$21,787.97	$14,140.43	2026-07-30
4113524	OTHER	Stem 17x245 Std Rev	27	19	$28,000.00	—	$1,120.00	$25,200.00	$14,000.00	2026-07-30
4113307	OTHER	Stem Rev Mono 17x195	27	19	$28,000.00	—	$1,120.00	$25,200.00	$14,000.00	2026-07-30
4112850	OTHER	Liner Gp4 32mm	27	19	$27,580.00	—	$1,120.00	$24,822.00	$13,790.00	2026-07-30
4112624	OTHER	Graft Sm Proc Cr 17	27	19	$27,571.50	—	$1,120.00	$24,814.35	$13,785.75	2026-07-30
4100998	OTHER	Knee Oxford Biomet	27	19	$27,300.00	—	$1,120.00	$24,570.00	$13,650.00	2026-07-30
4114569	OTHER	Persona Uni Kn Cemtd	27	19	$27,300.00	—	$1,120.00	$24,570.00	$13,650.00	2026-07-30
4112646	OTHER	Med Mis L Lv W Mon	27	19	$27,300.00	—	$1,120.00	$24,570.00	$13,650.00	2026-07-30
4122675	OTHER	Broach Body Offset	27	19	$27,145.80	—	$1,120.00	$24,431.22	$13,572.90	2026-07-30
4113086	OTHER	Body Brch Std 16x210	27	19	$27,145.80	—	$1,120.00	$24,431.22	$13,572.90	2026-07-30
63688	OTHER	Revise/remove Neuroreceiver (63688)	136	68	$5,650.00	$16,725.69	$615.00	$29,223.79	$13,447.03	2026-07-30
4099800	OTHER	2 Level Mis Lum Fus	27	19	$26,796.00	—	$1,120.00	$24,116.40	$13,398.00	2026-07-30
4113191	OTHER	Med Mis 2level	27	19	$26,670.00	—	$1,120.00	$24,003.00	$13,335.00	2026-07-30
4114358	OTHER	Femoral Comp Med Lt	27	19	$26,664.00	—	$1,120.00	$23,997.60	$13,332.00	2026-07-30
4113758	OTHER	Persona Diff Primary	27	19	$26,600.00	—	$1,120.00	$23,940.00	$13,300.00	2026-07-30
28300	OTHER	In Of Hl Bne (28300)	136	68	$5,650.00	$16,687.32	$1,100.00	$23,169.32	$13,298.65	2026-07-30
4114866	OTHER	Cage Vbr 16-25 Sm 0d	27	19	$26,400.00	—	$1,120.00	$23,760.00	$13,200.00	2026-07-30
27766	OTHER	Trt Of Akl Fx (27766)	136	68	$3,825.00	$16,687.32	$1,380.00	$23,169.32	$13,101.24	2026-07-30
27698	OTHER	Rep Of Akl Lig (27698)	136	68	$5,650.00	$16,687.32	$1,100.00	$23,169.32	$13,101.24	2026-07-30
27638	OTHER	Remv/grft Leg Bne L (27638)	136	68	$7,500.00	$16,687.32	$1,380.00	$23,169.32	$13,101.24	2026-07-30
20900	OTHER	Remv Of Bne For Grf (20900)	136	68	$3,800.00	$16,687.32	$1,380.00	$23,169.32	$13,101.24	2026-07-30
28103	OTHER	Remv/grft Foot Les (28103)	136	68	$5,650.00	$16,687.32	$1,380.00	$23,169.32	$13,101.24	2026-07-30
22523	CPT	Kyphoplasty Thor 1	158	140	$26,028.00	$16,498.18 37% off	$850.00	$15,691.20	$13,014.00	2026-05-09
4113444	OTHER	Femur Rev Sl	27	19	$25,836.80	—	$1,120.00	$23,253.12	$12,918.40	2026-07-30
4098514	OTHER	Femure 62.5	27	19	$25,616.50	—	$1,120.00	$23,054.85	$12,808.25	2026-07-30
4113733	OTHER	Total Hip With Ox Head	27	19	$25,550.00	—	$1,120.00	$22,995.00	$12,775.00	2026-07-30
4114107	OTHER	Pcf 3 Lvl Nexxt Spin	27	19	$25,550.00	—	$1,120.00	$22,995.00	$12,775.00	2026-07-30
63017	CPT	Remv Of Spinal Lami	275	140	$29,538.41	$21,733.34 26% off	$850.00	$20,670.30	$12,665.51	2026-05-09
27427	CPT	Recont Knee	275	140	$31,830.33	$23,256.86 27% off	$850.00	$22,119.30	$12,623.76	2026-05-09
27350	CPT	Remv Of Kncap	275	140	$22,814.12	$23,256.86	$850.00	$22,119.30	$12,623.76	2026-05-09
4113856	OTHER	Femur Std Cem Sz 5	27	19	$25,080.00	—	$1,120.00	$22,572.00	$12,540.00	2026-07-30
4113598	OTHER	Femur Cemented Std 7	27	19	$25,080.00	—	$1,120.00	$22,572.00	$12,540.00	2026-07-30
4099785	OTHER	2 Lvl Olf	27	19	$24,906.00	—	$1,120.00	$22,415.40	$12,453.00	2026-07-30
4113184	OTHER	Cone Body 50mm	27	19	$24,750.00	—	$1,120.00	$22,275.00	$12,375.00	2026-07-30
28730	OTHER	Fus Of Foot Bnes (28730)	136	68	$5,675.00	$15,447.30	$2,020.00	$34,672.11	$12,279.02	2026-07-30
24366	OTHER	Reconstr Hd Of Rad (24366)	136	68	$9,350.00	$15,447.30	$1,120.00	$22,970.65	$12,279.02	2026-07-30
27827	OTHER	Trt Lwer Leg Fx (27827)	136	68	$11,225.00	$15,447.30	$1,380.00	$28,974.71	$12,279.02	2026-07-30
27447	OTHER	Total Knee Arthroplasty (27447)	136	68	$22,353.20	$15,447.30 31% off	$1,120.00	$28,974.71	$12,279.02	2026-07-30
27446	OTHER	Rev Of Knee Jnt (27446)	136	68	$9,375.00	$15,447.30	$1,120.00	$27,805.61	$12,279.02	2026-07-30
27442	OTHER	Rev Of Knee Jnt (27442)	136	68	$9,350.00	$15,447.30	$1,871.00	$27,805.61	$12,279.02	2026-07-30
23615	OTHER	Trt Hum Fx (23615)	136	68	$11,200.00	$15,447.30	$2,020.00	$21,812.11	$12,279.02	2026-07-30
27428	OTHER	Recont Knee (27428)	136	68	$9,350.00	$15,447.30	$2,020.00	$27,805.61	$12,279.02	2026-07-30
27440	OTHER	Rev Of Knee Jnt (27440)	136	68	$9,350.00	$15,447.30	$1,871.00	$27,805.61	$12,279.02	2026-07-30
28737	OTHER	Rev Of Foot Bnes (28737)	136	68	$5,650.00	$15,447.30	$2,203.00	$37,279.40	$12,279.02	2026-07-30
24545	OTHER	Trt Hum Fx (24545)	136	68	$14,900.00	$15,447.30	$2,020.00	$24,483.91	$12,279.02	2026-07-30
22554	OTHER	Neck Spine Fusion (22554)	136	68	$9,375.00	$15,447.30	$1,120.00	$21,812.11	$12,279.02	2026-07-30
27759	OTHER	Trt Of Tibia Fx (27759)	136	68	$11,200.00	$15,447.30	$2,020.00	$28,974.71	$12,279.02	2026-07-30
27415	OTHER	Osteochondral Knee Allograft (27415)	136	68	$11,200.00	$15,447.30	$1,120.00	$27,805.61	$12,279.02	2026-07-30
29889	OTHER	Knee Arthscpy/surg (29889)	136	68	$11,200.00	$15,447.30	$1,380.00	$37,279.40	$12,279.02	2026-07-30
27356	OTHER	Remv Femur Les/grft (27356)	136	68	$7,500.00	$15,447.30	$1,607.00	$27,805.61	$12,279.02	2026-07-30
27130	OTHER	Total Hip Arthroplasty (27130)	136	68	$9,350.00	$15,447.30	$1,120.00	$27,805.61	$12,279.02	2026-07-30
4100611	OTHER	Total Hip Stryker	27	19	$24,500.00	—	$1,120.00	$22,050.00	$12,250.00	2026-07-30
4099872	OTHER	Total Hip	27	19	$24,500.00	—	$1,120.00	$22,050.00	$12,250.00	2026-07-30
4114293	OTHER	Total Hip Mulit Hole	27	19	$24,500.00	—	$1,120.00	$22,050.00	$12,250.00	2026-07-30
4099273	OTHER	Total Knee Pat Fem	27	19	$24,500.00	—	$1,120.00	$22,050.00	$12,250.00	2026-07-30
27335	OTHER	Remv Knee Jnt Lin (27335)	136	68	$11,200.00	$14,956.49	$1,607.00	$20,750.49	$12,171.94	2026-07-30
63664	OTHER	Revise Spine Eltrd Plate (63664)	136	68	$9,375.00	$14,778.80	$2,203.00	$21,812.11	$12,133.88	2026-07-30
27130	CPT	Total Hip Arthroplasty	280	140	$48,506.64	$18,349.19 62% off	$320.00	$28,878.98	$12,110.57	2026-05-09
29807	CPT	Shldr Arthscpy/surg	275	140	$20,502.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27033	CPT	In Of Hip Tend	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
63003	CPT	Remv Of Spinal Lami	275	140	$21,515.89	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
23552	CPT	Trt Clavicle Dis	275	140	$26,986.00	$20,773.97 23% off	$850.00	$19,757.85	$12,110.57	2026-05-09
29820	CPT	Shldr Arthscpy/surg	275	140	$13,350.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
23515	CPT	Trt Clavicle Fx	275	140	$28,262.32	$20,773.97 26% off	$850.00	$19,757.85	$12,110.57	2026-05-09
23462	CPT	Rep Shldr Capsule	275	140	$24,869.66	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
29806	CPT	Shldr Arthscpy/surg	275	140	$21,764.70	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
19307	CPT	Mast Mod Rad	275	140	$30,903.80	$20,773.97 33% off	$850.00	$19,757.85	$12,110.57	2026-05-09
23420	CPT	Rep Of Shldr	275	140	$19,257.12	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
23415	CPT	Rel Of Shldr Lig	275	140	$21,287.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
19302	CPT	P-mastectomy W/ln Removal	275	140	$13,325.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
26531	CPT	Revs Knuckle With I	275	140	$32,824.72	$20,773.97 37% off	$850.00	$19,757.85	$12,110.57	2026-05-09
23410	CPT	Rep Of Tend(s)	275	140	$26,201.54	$20,773.97 21% off	$850.00	$19,757.85	$12,110.57	2026-05-09
28750	CPT	Fus Of Big Toe Jnt	280	140	$22,891.89	$14,423.37 37% off	$250.00	$19,757.85	$12,110.57	2026-05-09
19126	CPT	Ex Addl Brst Les	168	140	$9,675.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
28755	CPT	Fus Of Big Toe Jnt	280	140	$22,871.12	$14,423.37 37% off	$250.00	$19,757.85	$12,110.57	2026-05-09
27652	CPT	Rep/grft Achl Tend	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
23107	CPT	Expl Trt Shldr Jnt	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28760	CPT	Fus Of Big Toe Jnt	275	140	$16,400.60	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28202	CPT	Rep/grft Of Foot Te	275	140	$17,617.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
23105	CPT	Remv Shldr Jnt Lin	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28737	CPT	Rev Of Foot Bnes	275	140	$20,915.09	$20,773.97	$850.00	$26,551.53	$12,110.57	2026-05-09
28615	CPT	Rep Foot Dis	275	140	$11,130.55	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
26125	CPT	Rel Palm Contr	173	140	$9,675.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
28730	CPT	Fus Of Foot Bnes	275	140	$19,933.60	$20,773.97	$850.00	$26,551.53	$12,110.57	2026-05-09
22554	CPT	Neck Spine Fusion	275	140	$26,783.92	$20,773.97 22% off	$850.00	$26,551.53	$12,110.57	2026-05-09
29888	CPT	Knee Arthscpy/surg	275	140	$29,531.45	$20,773.97 30% off	$850.00	$19,757.85	$12,110.57	2026-05-09
27654	CPT	Rep Of Achl Tend	275	140	$19,668.33	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
63015	CPT	Remv Of Spinal Lami	275	140	$24,300.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28322	CPT	Rep Of Metats	275	140	$10,633.35	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28415	CPT	Trt Hl Fx	275	140	$18,464.20	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
22515	CPT	Kyphoplsty Add Level	168	140	$6,507.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
62350	CPT	Implant Spinal Cana	275	140	$48,810.89	$20,773.97 57% off	$850.00	$19,757.85	$12,110.57	2026-05-09
22514	CPT	Kyphoplasty Lum 1	275	140	$35,895.00	$20,773.97 42% off	$850.00	$21,537.00	$12,110.57	2026-05-09
28445	CPT	Trt Akl Fx	275	140	$10,307.32	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
22513	CPT	Kyphoplasty Thor 1	275	140	$37,990.93	$20,773.97 45% off	$850.00	$22,794.56	$12,110.57	2026-05-09
25628	CPT	Trt Wrist Bne Fx	275	140	$15,914.84	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
25609	CPT	Treat Fx Radial 3+ Frag	275	140	$22,972.31	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
23615	CPT	Trt Hum Fx	275	140	$38,599.86	$20,773.97 46% off	$850.00	$26,551.53	$12,110.57	2026-05-09
25608	CPT	Treat Fx Rad Intra-articul	275	140	$53,757.43	$20,773.97 61% off	$850.00	$31,804.46	$12,110.57	2026-05-09
25607	CPT	Treat Fx Rad Extra-articul	275	140	$20,547.55	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
29855	CPT	Tibial Arthscpy/sur	280	140	$23,236.37	$14,423.37 38% off	$320.00	$19,757.85	$12,110.57	2026-05-09
29861	CPT	Hip Arthscpy/surg	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
22102	CPT	Remv Part Lumbar Ve	275	140	$13,325.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
25575	CPT	Trt Fx Rad/ulna	275	140	$21,162.04	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
25545	CPT	Trt Fx Of Ulna	275	140	$17,342.16	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
21462	CPT	Trt Lwer Jaw Fx	275	140	$20,625.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
25320	CPT	Rep/revs Wrist Jnt	275	140	$27,925.00	$20,773.97 26% off	$850.00	$19,757.85	$12,110.57	2026-05-09
21453	CPT	Trt Lwer Jaw Fx	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
21196	CPT	Reconst Lwr Jaw W/fixation	262	140	$24,275.00	$20,773.97	$320.00	$19,757.85	$12,110.57	2026-05-09
21120	CPT	Recont Of Chin	275	140	$20,650.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28485	CPT	Trt Metat Fx	275	140	$17,479.88	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28299	CPT	Corec Of Bunion	275	140	$17,020.45	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
13133	CPT	Rep Wnd/les Add-on	168	140	$9,675.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
29828	CPT	Arthroscopy Biceps Tenodesis	275	140	$18,873.29	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27822	CPT	Trt Of Akl Fx	275	140	$28,591.88	$20,773.97 27% off	$850.00	$19,757.85	$12,110.57	2026-05-09
24685	CPT	Trt Ulnar Fx	275	140	$30,304.23	$20,773.97 31% off	$850.00	$19,757.85	$12,110.57	2026-05-09
24665	CPT	Trt Rad Fx	275	140	$29,421.53	$20,773.97 29% off	$850.00	$19,757.85	$12,110.57	2026-05-09
24545	CPT	Trt Hum Fx	275	140	$48,223.28	$20,773.97 57% off	$850.00	$26,551.53	$12,110.57	2026-05-09
28297	CPT	Corec Of Bunion	280	140	$23,558.58	$14,423.37 39% off	$250.00	$26,551.53	$12,110.57	2026-05-09
24366	CPT	Reconstr Hd Of Rad	275	140	$38,213.27	$20,773.97 46% off	$850.00	$26,551.53	$12,110.57	2026-05-09
27566	CPT	Trt Kncap Dis	275	140	$13,350.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27447	CPT	Total Knee Arthroplasty	280	140	$49,130.39	$18,349.19 63% off	$320.00	$29,253.23	$12,110.57	2026-05-09
27446	CPT	Rev Of Knee Jnt	275	140	$36,003.47	$20,773.97 42% off	$850.00	$26,551.53	$12,110.57	2026-05-09
27442	CPT	Rev Of Knee Jnt	275	140	$35,702.70	$20,773.97 42% off	$850.00	$26,551.53	$12,110.57	2026-05-09
27827	CPT	Trt Lwer Leg Fx	280	140	$36,389.17	$18,349.19 50% off	$320.00	$26,551.53	$12,110.57	2026-05-09
29914	CPT	Hip Arthro W/femoroplasty	275	140	$35,386.14	$20,773.97 41% off	$850.00	$20,781.68	$12,110.57	2026-05-09
13102	CPT	Rep Wnd/les Add-on	168	140	$9,675.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
27428	CPT	Recont Knee	275	140	$32,447.80	$20,773.97 36% off	$850.00	$26,551.53	$12,110.57	2026-05-09
62310	CPT	Inject Spine C/t	87	85	$1,345.00	$20,773.97	$672.50	$12,110.57	$12,110.57	2026-05-09
24342	CPT	Rep Of Ruptured Ten	275	140	$21,098.80	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27759	CPT	Trt Of Tibia Fx	275	140	$40,235.03	$20,773.97 48% off	$850.00	$26,551.53	$12,110.57	2026-05-09
27420	CPT	Rev Of Unstable Knc	275	140	$16,975.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
24341	CPT	Rep Arm Tend/musc	280	140	$20,831.62	$14,423.37 31% off	$250.00	$19,757.85	$12,110.57	2026-05-09
27416	CPT	Osteochondral Knee Autograft	275	140	$15,936.28	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27415	CPT	Osteochondral Knee Allograft	275	140	$66,030.52	$20,773.97 69% off	$850.00	$39,168.31	$12,110.57	2026-05-09
24340	CPT	Rep Of Biceps Tend	275	140	$29,806.33	$20,773.97 30% off	$850.00	$19,757.85	$12,110.57	2026-05-09
27412	CPT	Autochondrocyte Implant Knee	275	140	$123,698.98	$20,773.97 83% off	$850.00	$73,769.39	$12,110.57	2026-05-09
27792	CPT	Trt Of Akl Fx	275	140	$23,482.73	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27440	CPT	Rev Of Knee Jnt	275	140	$28,523.00	$20,773.97 27% off	$850.00	$26,551.53	$12,110.57	2026-05-09
24149	CPT	Radical Resection Of Elbow	275	140	$20,625.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27386	CPT	Rep/grft Of Thgh Mu	275	140	$29,963.78	$20,773.97 31% off	$850.00	$19,757.85	$12,110.57	2026-05-09
28291	CPT	Corrj Halux Rigdus W/implt	275	140	$20,026.88	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27524	CPT	Trt Kncap Fx	275	140	$24,096.33	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
65760	CPT	Rev Of Cornea	168	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27705	CPT	In Of Tibia	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27356	CPT	Remv Femur Les/grft	275	140	$18,003.50	$20,773.97	$850.00	$26,551.53	$12,110.57	2026-05-09
64857	CPT	Rep Arm/leg Nrv	275	140	$16,975.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
64636	CPT	Rf Facet Lumbar Add	101	99	$1,470.00	$20,773.97	$92.00	$14,524.82	$12,110.57	2026-05-09
64787	CPT	Impl Nrv End	173	140	$9,675.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09

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