Hospital

IZARD REGIONAL HOSPITAL LLC

Calico Rock, AR · CCN 041306 · Rates published

1,867 distinct procedures filed

3 distinct payers

23,429 rate rows

2026-05-22 last MRF observed

Data quality

21,068 of 23,429 rate rows are consumer-grade (89.9%)

2,361 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	2,343
per-diem day rate — not a per-procedure price	18

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

Source MRF file	https://izardregionalhospital.com/wp-content/uploads/2026/03/863590894_izard-regional-hospital_standardcharges-30-03-2026-15_07_53_158.csv
Found on page	https://izardregionalhospital.com/patients-visitors/price-transparency/
Discovered via	CMS hospital list
Last fetch	success · 2026-06-22
Content fingerprint	2d642f7d9cf662eb… · 19,599,398 bytes · first seen 2026-06-22

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
J3101 OTHER	TNKase IV Powder For Solution 50MG,Drug Waste	3	$19,089.22	$19,089.22	$19,089.22	nat. median $195 outlier · 97.9×
19307 OTHER	Removal Of Breast	3	$14,642.91	$14,642.91	$14,642.91	nat. median $6,274 outlier · 2.3×
19305 OTHER	Mastectomy Radical Inc Pectoral Muscles	3	$14,642.91	$14,642.91	$14,642.91	nat. median $1,805 outlier · 8.1×
19306 OTHER	Mast Rad Urban Type	3	$14,642.91	$14,642.91	$14,642.91	nat. median $2,550 outlier · 5.7×
23412 OTHER	Repair Musculotendinous	3	$13,977.78	$13,977.78	$13,977.78	nat. median $7,029 2.0× median
47564 OTHER	Cholecystectomy W/exp Comn Duc	3	$13,311.14	$13,311.14	$13,311.14	nat. median $8,240 1.6× median
47563 OTHER	Cholecystectomy W/cholangio	3	$13,311.14	$13,311.14	$13,311.14	nat. median $5,844 outlier · 2.3×
27590 OTHER	Amputation Thigh Through Femur	3	$13,311.14	$13,311.14	$13,311.14	nat. median $2,106 outlier · 6.3×
58661 OTHER	Laparoscopy Remove	3	$11,980.68	$11,980.68	$11,980.68	nat. median $6,059 2.0× median
58150 OTHER	Total Abd Hyst W/wo Rem Ovary	3	$11,315.55	$11,315.55	$11,315.55	nat. median $2,515 outlier · 4.5×
49321 OTHER	Laparoscopy Abd W/bx	3	$10,383.30	$10,383.30	$10,383.30	nat. median $5,610 1.9× median
49329 OTHER	Pf Diag Lap	3	$10,383.30	$10,383.30	$10,383.30	nat. median $6,428 1.6× median
55559 OTHER	Laparoscopy Proc Spermatic Cord	3	$9,983.79	$9,983.79	$9,983.79	nat. median $6,256 1.6× median
19302 OTHER	Mastectomy W/removal	3	$9,983.79	$9,983.79	$9,983.79	nat. median $5,876 1.7× median
19301 OTHER	Mastectomy Partial/lumpectomy	3	$9,983.79	$9,983.79	$9,983.79	nat. median $4,051 outlier · 2.5×
19300 OTHER	Mastectomy For Gynecomastia	3	$9,983.79	$9,983.79	$9,983.79	nat. median $3,280 outlier · 3.0×
47379 OTHER	Pf Laparoscopic Procedure Liver	3	$9,983.79	$9,983.79	$9,983.79	nat. median $6,384 1.6× median
19303 OTHER	Mastectomy Simple Complete	3	$9,983.79	$9,983.79	$9,983.79	nat. median $6,489 1.5× median
29870 OTHER	Knee Arthroscopy	3	$9,584.07	$9,584.07	$9,584.07	nat. median $3,036 outlier · 3.2×
49507 OTHER	Prp I/hern Init Bloc	3	$9,318.45	$9,318.45	$9,318.45	nat. median $3,658 outlier · 2.5×
28810 OTHER	Amputation Metatarsal W Toe	3	$9,318.45	$9,318.45	$9,318.45	nat. median $3,149 outlier · 3.0×
57260 OTHER	Anteroposterior Colporrha	3	$9,318.45	$9,318.45	$9,318.45	nat. median $4,873 1.9× median
37785 OTHER	Ligation Excsion Of Vricose Vein Cluster	3	$9,318.45	$9,318.45	$9,318.45	nat. median $2,023 outlier · 4.6×
29879 OTHER	Knee Arthroscopy	3	$9,318.45	$9,318.45	$9,318.45	nat. median $3,279 outlier · 2.8×
36573 OTHER	Insert Picc Wo Port/pump W Imaging	3	$8,981.90	$8,981.90	$8,981.90	nat. median $1,620 outlier · 5.5×
36584 OTHER	Replacement Picc Line	3	$8,981.90	$8,981.90	$8,981.90	nat. median $1,555 outlier · 5.8×
21337 OTHER	Closed Tx Nasal Septal Fx	3	$8,754.87	$8,754.87	$8,754.87	nat. median $3,040 outlier · 2.9×
57250 OTHER	Posterior Colporrhaphy	3	$8,653.32	$8,653.32	$8,653.32	nat. median $4,739 1.8× median
44140 OTHER	Colectomy Part W/anastomosis	3	$8,653.32	$8,653.32	$8,653.32	nat. median $2,151 outlier · 4.0×
44141 OTHER	Colectomy W/skin Level	3	$8,653.32	$8,653.32	$8,653.32	nat. median $3,057 outlier · 2.8×
15951 OTHER	Exc Trochanteric Ulcer W Ostectomy	3	$8,653.32	$8,653.32	$8,653.32	nat. median $2,839 outlier · 3.0×
44143 OTHER	Colectomy W/end & Clos Of Distal Segment	3	$8,653.32	$8,653.32	$8,653.32	nat. median $2,949 outlier · 2.9×
27310 OTHER	Arthrotomy Of Knee	3	$8,253.60	$8,253.60	$8,253.60	nat. median $3,123 outlier · 2.6×
47100 OTHER	Bx Of Liver Wedge	3	$7,986.69	$7,986.69	$7,986.69	nat. median $2,001 outlier · 4.0×
49255 OTHER	Omentectomy,epiplectomy	3	$7,986.69	$7,986.69	$7,986.69	nat. median $3,180 outlier · 2.5×
44950 OTHER	Appendectomy	3	$7,986.69	$7,986.69	$7,986.69	nat. median $5,249 1.5× median
49020 OTHER	Drain Peritoneal Abscess Open	3	$7,986.69	$7,986.69	$7,986.69	nat. median $2,646 outlier · 3.0×
44960 OTHER	Appendectomy Rup Appen W/absce	3	$7,986.69	$7,986.69	$7,986.69	nat. median $2,131 outlier · 3.7×
11011 OTHER	Deb Inc Rem Sjub Subcut Tiss Muscle Fas	3	$7,986.69	$7,986.69	$7,986.69	nat. median $740 outlier · 10.8×
21501 OTHER	I&d Deep Abscess	3	$7,750.60	$7,750.60	$7,750.60	nat. median $2,856 outlier · 2.7×
27372 OTHER	Remove Fb Deep Thigh/knee	3	$7,750.60	$7,750.60	$7,750.60	nat. median $2,612 outlier · 3.0×
49525 OTHER	Repair Ing Hernia Sliding	3	$7,721.07	$7,721.07	$7,721.07	nat. median $3,383 outlier · 2.3×
55040 OTHER	Exc Hydrocele Unilateral	3	$6,921.84	$6,921.84	$6,921.84	nat. median $3,705 1.9× median
92977 OTHER	Thromboly,coronry,iv	3	$6,789.89	$6,789.89	$6,789.89	nat. median $338 outlier · 20.1×
19110 OTHER	Explore Nipple W/wo Exc Duct	3	$6,656.22	$6,656.22	$6,656.22	nat. median $2,006 outlier · 3.3×
36558 OTHER	Insert Central Venous Cath Without Sq Port	3	$6,656.22	$6,656.22	$6,656.22	nat. median $3,027 outlier · 2.2×
46040 OTHER	I & D Ischiorectal Abscess	3	$6,523.41	$6,523.41	$6,523.41	nat. median $1,225 outlier · 5.3×
55250 OTHER	Vasectomy	3	$6,523.41	$6,523.41	$6,523.41	nat. median $2,001 outlier · 3.3×
19101 OTHER	Bx Breast Open Incisional	3	$6,523.41	$6,523.41	$6,523.41	nat. median $3,183 outlier · 2.0×
45020 OTHER	I & D Of Deep Supralevator Pelvir	3	$6,523.41	$6,523.41	$6,523.41	nat. median $2,578 outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 1,867 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

10081	OTHER	I & D Of Pilonidal Cyst Comp	12	3	$3,853.50	$3,853.50	$1,322.06	$5,324.46	$3,323.26	2026-05-22
10121	OTHER	Pf Subcutaneous-complicated	24	3	$2,980.62	$2,980.62	$183.11	$4,992.43	$2,109.32	2026-05-22
10140	OTHER	I & D Hematoma Or Fluid Collect	12	3	$5,388.00	$5,388.00	$1,747.22	$7,546.00	$4,646.61	2026-05-22
10180	OTHER	I & D Complex Post Op Wound	6	3	$4,939.25	$4,939.25	$4,259.61	$4,259.61	$4,259.61	2026-05-22
11010	OTHER	Deb Skin/sq Tissue At Fx Site	6	3	$5,402.75	$5,402.75	$4,659.33	$4,659.33	$4,659.33	2026-05-22
11011	OTHER	Deb Inc Rem Sjub Subcut Tiss Muscle Fas	6	3	$9,261.00	$9,261.00	$7,986.69	$7,986.69	$7,986.69	2026-05-22
11012	OTHER	Deb Skin Subcut Tiss Musc Fascia Mus Bon	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
11401	OTHER	Ex B9 Lesn Trnk/arm/leg 0.6-1	18	3	$4,939.25	$4,939.25	$835.23	$5,771.18	$4,259.61	2026-05-22
11423	OTHER	Ex B9 Lesn Scp/nk/hnd/ft 2.1-3	6	3	$5,556.75	$5,556.75	$4,792.14	$4,792.14	$4,792.14	2026-05-22
11424	OTHER	Ex B9 Lesn Sclp/nk/hnd/ft3.1-4	6	3	$5,866.00	$5,866.00	$5,058.84	$5,058.84	$5,058.84	2026-05-22
11440	OTHER	Ex B9 Lesn Face 0.5 Cm	12	3	$3,186.50	$3,186.50	$1,502.09	$3,993.99	$2,748.04	2026-05-22
11450	OTHER	Ex Hidradenitis Axlry Simp/int	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
11451	OTHER	Ex Sk/sq Tiss Hidr Axly Cmplx	6	3	$2,663.00	$2,663.00	$2,296.57	$2,296.57	$2,296.57	2026-05-22
11462	OTHER	Exc Hidradeniti Inguinl Simple	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
11463	OTHER	Ex Sk/sq Tiss Hidr Ingnl Cmplx	6	3	$6,791.50	$6,791.50	$5,856.99	$5,856.99	$5,856.99	2026-05-22
11470	OTHER	Exc Hidradeniti Perianl Simple	6	3	$2,559.25	$2,559.25	$2,207.10	$2,207.10	$2,207.10	2026-05-22
11471	OTHER	Ex Sk Subc Tiss W/complex Repair	6	3	$6,791.50	$6,791.50	$5,856.99	$5,856.99	$5,856.99	2026-05-22
11600	OTHER	Ex Mal Les Trnk/arm/leg <0.5	12	3	$3,186.50	$3,186.50	$1,502.09	$3,993.99	$2,748.04	2026-05-22
11601	OTHER	Ex Mal Les Trnk/arm/leg 0.6-1	12	3	$3,340.50	$3,340.50	$1,502.09	$4,259.61	$2,880.85	2026-05-22
11602	OTHER	Ex Mal Les Trunk/arm/leg 1.1-2	12	3	$3,108.62	$3,108.62	$835.23	$4,526.52	$2,680.88	2026-05-22
11603	OTHER	Ex Mal Les Trnk/arm/leg 2.1-3	6	3	$5,556.75	$5,556.75	$4,792.14	$4,792.14	$4,792.14	2026-05-22
11604	OTHER	Ex Mal Les Trnk/arm/leg 3.1-4	6	3	$5,866.00	$5,866.00	$5,058.84	$5,058.84	$5,058.84	2026-05-22
11606	OTHER	Exc Malig Lesion Trunk Arms Legs >4.0	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
11620	OTHER	Ex Mal Les Sclp/nk/hnd/ft0.5<	12	3	$4,285.50	$4,285.50	$3,397.64	$3,993.99	$3,695.81	2026-05-22
11621	OTHER	Ex Mal Les Sclp/nk/hnd/ft/.6-1	12	3	$3,340.50	$3,340.50	$1,502.09	$4,259.61	$2,880.85	2026-05-22
11622	OTHER	Ex Mal Les Sclp/nk/hnd/ft1.1-2	6	3	$5,248.75	$5,248.75	$4,526.52	$4,526.52	$4,526.52	2026-05-22
11624	OTHER	Ex Mal Les Sclp/nk/hnd/ft3.1-4	6	3	$5,866.00	$5,866.00	$5,058.84	$5,058.84	$5,058.84	2026-05-22
11640	OTHER	Exc Mal Les Face 0.5 Cm	12	3	$3,186.50	$3,186.50	$1,502.09	$3,993.99	$2,748.04	2026-05-22
11641	OTHER	Exc Mal Les Face 0.6-1.0 Cm	12	3	$3,340.50	$3,340.50	$1,502.09	$4,259.61	$2,880.85	2026-05-22
11642	OTHER	Exc Mal Les Face 1.1-2.0 Cm	6	3	$5,248.75	$5,248.75	$4,526.52	$4,526.52	$4,526.52	2026-05-22
11755	OTHER	Bx Nail Unit	6	3	$4,631.25	$4,631.25	$3,993.99	$3,993.99	$3,993.99	2026-05-22
11770	OTHER	Exc Cyst Pilonidal Or Sinus Simple	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
11771	OTHER	Exc Cyst Pilonidal Extensive	6	3	$6,637.50	$6,637.50	$5,724.18	$5,724.18	$5,724.18	2026-05-22
11772	OTHER	Exc Cyst Pilonidal Complicated	6	3	$6,947.00	$6,947.00	$5,991.09	$5,991.09	$5,991.09	2026-05-22
12020	OTHER	Treat Superficial Wound Simple Closure	12	3	$2,431.88	$2,431.88	$1,864.29	$2,330.20	$2,097.24	2026-05-22
12035	OTHER	Intmd Rpr S/a/t/ext 12.6-20	12	3	$2,605.12	$2,605.12	$1,997.10	$2,496.22	$2,246.66	2026-05-22
13153	OTHER	Rep Complex Face Addl 5cm	18	3	$4,631.25	$4,631.25	$538.57	$4,527.60	$3,993.99	2026-05-22
13160	OTHER	Closure Secondary Surg Wound	6	3	$4,631.25	$4,631.25	$3,993.99	$3,993.99	$3,993.99	2026-05-22
15260	OTHER	Full Thickness Graft 20 Sq Or Less	6	3	$2,779.00	$2,779.00	$2,396.61	$2,396.61	$2,396.61	2026-05-22
15734	OTHER	Muscle Flab Trunk	6	3	$2,779.00	$2,779.00	$2,396.61	$2,396.61	$2,396.61	2026-05-22
15822	OTHER	Blepharoplasty Upper Lid	6	3	$4,631.25	$4,631.25	$3,993.99	$3,993.99	$3,993.99	2026-05-22
15850	OTHER	Removal Sutures W/anesth Same Surg	6	3	$4,410.00	$4,410.00	$3,803.18	$3,803.18	$3,803.18	2026-05-22
15851	OTHER	Removal Sutures W Anesthesia Other Surge	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
15931	OTHER	Ex Sacral Pres Ulc W/sutures	6	3	$2,559.25	$2,559.25	$2,207.10	$2,207.10	$2,207.10	2026-05-22
15934	OTHER	Ex Sacral Pres Ulc W/skin Flap	6	3	$2,464.00	$2,464.00	$2,124.95	$2,124.95	$2,124.95	2026-05-22
15935	OTHER	Ex Sacral Pres Ulc W/ostectomy	6	3	$2,990.50	$2,990.50	$2,579.01	$2,579.01	$2,579.01	2026-05-22
15936	OTHER	Ex Pres Ulc Sacral W/flap/graf	6	3	$2,779.00	$2,779.00	$2,396.61	$2,396.61	$2,396.61	2026-05-22
15940	OTHER	Exc Ischial Pres Ulc W/suture	6	3	$2,559.25	$2,559.25	$2,207.10	$2,207.10	$2,207.10	2026-05-22
15944	OTHER	Ex Ischil Pres Ulc W/skin Flap	6	3	$2,464.00	$2,464.00	$2,124.95	$2,124.95	$2,124.95	2026-05-22
15945	OTHER	Excis Ischial Pres Ulcr W/oste	6	3	$2,990.50	$2,990.50	$2,579.01	$2,579.01	$2,579.01	2026-05-22
15950	OTHER	Ex Trochanteric Pres Ulcr Sutr	6	3	$2,559.25	$2,559.25	$2,207.10	$2,207.10	$2,207.10	2026-05-22
15951	OTHER	Exc Trochanteric Ulcer W Ostectomy	6	3	$10,034.00	$10,034.00	$8,653.32	$8,653.32	$8,653.32	2026-05-22
15952	OTHER	Ex Troch Pres Ulc W/skin Flaps	6	3	$2,464.00	$2,464.00	$2,124.95	$2,124.95	$2,124.95	2026-05-22
15953	OTHER	Ex Troch Press Ulc W/ostectomy	6	3	$2,990.50	$2,990.50	$2,579.01	$2,579.01	$2,579.01	2026-05-22
19020	OTHER	Mastotomy	6	3	$4,939.25	$4,939.25	$4,259.61	$4,259.61	$4,259.61	2026-05-22
19101	OTHER	Bx Breast Open Incisional	6	3	$7,564.25	$7,564.25	$6,523.41	$6,523.41	$6,523.41	2026-05-22
19110	OTHER	Explore Nipple W/wo Exc Duct	6	3	$7,718.25	$7,718.25	$6,656.22	$6,656.22	$6,656.22	2026-05-22
19300	OTHER	Mastectomy For Gynecomastia	6	3	$11,576.75	$11,576.75	$9,983.79	$9,983.79	$9,983.79	2026-05-22
19301	OTHER	Mastectomy Partial/lumpectomy	6	3	$11,576.75	$11,576.75	$9,983.79	$9,983.79	$9,983.79	2026-05-22
19302	OTHER	Mastectomy W/removal	6	3	$11,576.75	$11,576.75	$9,983.79	$9,983.79	$9,983.79	2026-05-22
19303	OTHER	Mastectomy Simple Complete	6	3	$11,576.75	$11,576.75	$9,983.79	$9,983.79	$9,983.79	2026-05-22
19305	OTHER	Mastectomy Radical Inc Pectoral Muscles	6	3	$16,979.25	$16,979.25	$14,642.91	$14,642.91	$14,642.91	2026-05-22
19306	OTHER	Mast Rad Urban Type	6	3	$16,979.25	$16,979.25	$14,642.91	$14,642.91	$14,642.91	2026-05-22
19307	OTHER	Removal Of Breast	6	3	$16,979.25	$16,979.25	$14,642.91	$14,642.91	$14,642.91	2026-05-22
20100	OTHER	Explore Wound Neck	6	3	$5,789.00	$5,789.00	$4,992.43	$4,992.43	$4,992.43	2026-05-22
20101	OTHER	Exploration Open Wound Chest	6	3	$4,631.25	$4,631.25	$3,993.99	$3,993.99	$3,993.99	2026-05-22
20103	OTHER	Explore Wound Extremity	6	3	$4,785.25	$4,785.25	$4,126.80	$4,126.80	$4,126.80	2026-05-22
20520	OTHER	Rem Fb Muscle Or Tendon	12	3	$4,862.12	$4,862.12	$3,727.29	$4,658.90	$4,193.09	2026-05-22
20525	OTHER	Pf Exc Fb Muscle/tendon Deep	24	3	$5,759.75	$5,759.75	$246.97	$7,750.82	$2,191.89	2026-05-22
20650	OTHER	Insert Wire/pin W Ap Skeleta	6	3	$2,847.75	$2,847.75	$2,455.90	$2,455.90	$2,455.90	2026-05-22
20680	OTHER	Removal Hardware	6	3	$6,637.50	$6,637.50	$5,724.18	$5,724.18	$5,724.18	2026-05-22
21337	OTHER	Closed Tx Nasal Septal Fx	6	3	$10,151.75	$10,151.75	$8,754.87	$8,754.87	$8,754.87	2026-05-22
21501	OTHER	I&d Deep Abscess	6	3	$8,987.25	$8,987.25	$7,750.60	$7,750.60	$7,750.60	2026-05-22
21925	OTHER	Biopsy Soft Tissue Back Dee	6	3	$5,789.00	$5,789.00	$4,992.43	$4,992.43	$4,992.43	2026-05-22
23140	OTHER	Removal Of Bone Lesion	6	3	$6,947.00	$6,947.00	$5,991.09	$5,991.09	$5,991.09	2026-05-22
23412	OTHER	Repair Musculotendinous	6	3	$16,208.00	$16,208.00	$13,977.78	$13,977.78	$13,977.78	2026-05-22
23520	OTHER	Treat Clavicle Dislocation	6	3	$5,253.50	$5,253.50	$4,530.62	$4,530.62	$4,530.62	2026-05-22
23570	OTHER	Scapular Fx	6	3	$2,315.25	$2,315.25	$1,996.67	$1,996.67	$1,996.67	2026-05-22
24105	OTHER	Exc Olecranon Bursa	6	3	$6,947.00	$6,947.00	$5,991.09	$5,991.09	$5,991.09	2026-05-22
24655	OTHER	Fx Clos Tx Radial H/nck W/mani	6	3	$5,253.50	$5,253.50	$4,530.62	$4,530.62	$4,530.62	2026-05-22
25071	OTHER	Exc Forearm Les Sc 3 Cm/>	6	3	$3,550.50	$3,550.50	$3,061.95	$3,061.95	$3,061.95	2026-05-22
25076	OTHER	Ex Tumor Forearm/wrist Sub <	6	3	$2,663.00	$2,663.00	$2,296.57	$2,296.57	$2,296.57	2026-05-22
25110	OTHER	Ex Lesn Tendon Forearm/wrist	6	3	$6,947.00	$6,947.00	$5,991.09	$5,991.09	$5,991.09	2026-05-22
25111	OTHER	Exc Of Ganglion Wrist Primary	6	3	$6,020.00	$6,020.00	$5,191.65	$5,191.65	$5,191.65	2026-05-22
25112	OTHER	Exc Of Ganglion Recurrent	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
25505	OTHER	Treat Fracture Of Radius	6	3	$5,253.50	$5,253.50	$4,530.62	$4,530.62	$4,530.62	2026-05-22
25535	OTHER	Treat Fracture Of Ulna	6	3	$3,473.75	$3,473.75	$2,995.76	$2,995.76	$2,995.76	2026-05-22
25565	OTHER	Treat Fx Radius/ulna W/manip	6	3	$5,253.50	$5,253.50	$4,530.62	$4,530.62	$4,530.62	2026-05-22
26011	OTHER	Drainage Finger Abscess Com	6	3	$5,320.00	$5,320.00	$4,587.97	$4,587.97	$4,587.97	2026-05-22
26160	OTHER	Ex Lesion Tendon Jt Hand/fingr	6	3	$2,604.00	$2,604.00	$2,245.69	$2,245.69	$2,245.69	2026-05-22
26180	OTHER	Ex Tendon Finger Flex/ext Ea	6	3	$6,020.00	$6,020.00	$5,191.65	$5,191.65	$5,191.65	2026-05-22
26641	OTHER	Closed Tx Of Carpometacarpal	6	3	$3,473.75	$3,473.75	$2,995.76	$2,995.76	$2,995.76	2026-05-22
26645	OTHER	Treat Thumb Fracture	6	3	$5,253.50	$5,253.50	$4,530.62	$4,530.62	$4,530.62	2026-05-22
26670	OTHER	Treat Hand Dislocation	6	3	$3,473.75	$3,473.75	$2,995.76	$2,995.76	$2,995.76	2026-05-22
26705	OTHER	Treat Knuckle Dislocation	6	3	$5,253.50	$5,253.50	$4,530.62	$4,530.62	$4,530.62	2026-05-22
26742	OTHER	Clsd Tx Articular Fx W/man	6	3	$5,253.50	$5,253.50	$4,530.62	$4,530.62	$4,530.62	2026-05-22
27040	OTHER	Bx Of R Gluteal&inguinal Mass	6	3	$4,168.00	$4,168.00	$3,594.48	$3,594.48	$3,594.48	2026-05-22
27250	OTHER	Treat Hip Dislocation	6	3	$3,281.25	$3,281.25	$2,829.75	$2,829.75	$2,829.75	2026-05-22
27265	OTHER	Post Hip Arthroplasty Dis	6	3	$3,281.25	$3,281.25	$2,829.75	$2,829.75	$2,829.75	2026-05-22
27310	OTHER	Arthrotomy Of Knee	6	3	$9,570.50	$9,570.50	$8,253.60	$8,253.60	$8,253.60	2026-05-22
27372	OTHER	Remove Fb Deep Thigh/knee	6	3	$8,987.25	$8,987.25	$7,750.60	$7,750.60	$7,750.60	2026-05-22
27508	OTHER	Treatment Of Thigh Fracture	6	3	$3,473.75	$3,473.75	$2,995.76	$2,995.76	$2,995.76	2026-05-22
27550	OTHER	Treat Knee Dislocation	6	3	$3,473.75	$3,473.75	$2,995.76	$2,995.76	$2,995.76	2026-05-22
27560	OTHER	Closed Tx Of Patellar Disloca	6	3	$3,473.75	$3,473.75	$2,995.76	$2,995.76	$2,995.76	2026-05-22
27590	OTHER	Amputation Thigh Through Femur	6	3	$15,435.00	$15,435.00	$13,311.14	$13,311.14	$13,311.14	2026-05-22
27752	OTHER	Treatment Of Tibia Fracture	6	3	$5,253.50	$5,253.50	$4,530.62	$4,530.62	$4,530.62	2026-05-22
27840	OTHER	Treat Ankle Dislocation	6	3	$3,473.75	$3,473.75	$2,995.76	$2,995.76	$2,995.76	2026-05-22
28090	OTHER	Ex Lesion Tendon Sheath/foot	6	3	$2,684.00	$2,684.00	$2,314.68	$2,314.68	$2,314.68	2026-05-22
28192	OTHER	Fb Rem Foot Deep	12	3	$6,945.75	$6,945.75	$5,324.46	$6,655.57	$5,990.01	2026-05-22
28400	OTHER	Calcaneal Fx	6	3	$3,473.75	$3,473.75	$2,995.76	$2,995.76	$2,995.76	2026-05-22
28455	OTHER	Treat Midfoot Fracture Each	6	3	$5,253.50	$5,253.50	$4,530.62	$4,530.62	$4,530.62	2026-05-22
28475	OTHER	Treat Metatarsal Fracture	6	3	$3,473.75	$3,473.75	$2,995.76	$2,995.76	$2,995.76	2026-05-22
28495	OTHER	Great Toe Fx With Man	6	3	$2,509.50	$2,509.50	$2,164.19	$2,164.19	$2,164.19	2026-05-22
28810	OTHER	Amputation Metatarsal W Toe	6	3	$10,805.25	$10,805.25	$9,318.45	$9,318.45	$9,318.45	2026-05-22
28820	OTHER	Amp Toe Metatarsophalangl Jt	6	3	$6,947.00	$6,947.00	$5,991.09	$5,991.09	$5,991.09	2026-05-22
28825	OTHER	Amputate Toe Interphalangal Jt	6	3	$7,409.00	$7,409.00	$6,389.52	$6,389.52	$6,389.52	2026-05-22
29870	OTHER	Knee Arthroscopy	6	3	$11,113.25	$11,113.25	$9,584.07	$9,584.07	$9,584.07	2026-05-22
29875	OTHER	Knee Arthro Surgical/lmtd Synv	6	3	$4,838.50	$4,838.50	$4,172.72	$4,172.72	$4,172.72	2026-05-22
29877	OTHER	Knee Arthroscopy Debride/shave	6	3	$3,330.75	$3,330.75	$2,872.44	$2,872.44	$2,872.44	2026-05-22
29879	OTHER	Knee Arthroscopy	6	3	$10,805.25	$10,805.25	$9,318.45	$9,318.45	$9,318.45	2026-05-22
29881	OTHER	Knee Arthro W/menistmy Medial	6	3	$4,924.00	$4,924.00	$4,246.46	$4,246.46	$4,246.46	2026-05-22
31603	OTHER	Incision Of Windpipe	6	3	$7,525.00	$7,525.00	$6,489.56	$6,489.56	$6,489.56	2026-05-22
31605	OTHER	Tracheostomy,cricothy	6	3	$7,525.00	$7,525.00	$6,489.56	$6,489.56	$6,489.56	2026-05-22
31624	OTHER	Bronchoscopy Rigid Or Flexible	6	3	$4,322.00	$4,322.00	$3,727.29	$3,727.29	$3,727.29	2026-05-22
31625	OTHER	Bronchoscopy W Function & Bx	6	3	$4,322.00	$4,322.00	$3,727.29	$3,727.29	$3,727.29	2026-05-22
31629	OTHER	Bronchoscopy W/needle Aspirate	6	3	$4,322.00	$4,322.00	$3,727.29	$3,727.29	$3,727.29	2026-05-22
31635	OTHER	Bronchoscopy With Removal Of Fb	6	3	$4,322.00	$4,322.00	$3,727.29	$3,727.29	$3,727.29	2026-05-22
36556	OTHER	Pf Insert Central Cath >5	24	3	$4,886.75	$4,886.75	$84.25	$8,487.74	$3,415.59	2026-05-22
36558	OTHER	Insert Central Venous Cath Without Sq Port	6	3	$7,718.25	$7,718.25	$6,656.22	$6,656.22	$6,656.22	2026-05-22
36573	OTHER	Insert Picc Wo Port/pump W Imaging	6	3	$10,415.00	$10,415.00	$8,981.90	$8,981.90	$8,981.90	2026-05-22
36584	OTHER	Replacement Picc Line	6	3	$10,415.00	$10,415.00	$8,981.90	$8,981.90	$8,981.90	2026-05-22
36590	OTHER	Removal Tunneled Cv	12	3	$5,070.50	$5,070.50	$3,154.23	$5,591.37	$4,372.80	2026-05-22
37785	OTHER	Ligation Excsion Of Vricose Vein Cluster	6	3	$10,805.25	$10,805.25	$9,318.45	$9,318.45	$9,318.45	2026-05-22
37799	OTHER	Pf Suture Scalp Hematoma Bleeder	6	3	$428.50	$428.50	$2,107.71	$2,107.71	$2,107.71	2026-05-22
38525	OTHER	Bx Or Ex Lymph Node Deep Axily	6	3	$4,988.25	$4,988.25	$4,301.87	$4,301.87	$4,301.87	2026-05-22
40800	OTHER	Drainage Of Mouth Lesion	6	3	$5,596.50	$5,596.50	$4,826.42	$4,826.42	$4,826.42	2026-05-22
40804	OTHER	Removal Of Embedded Fb Mouth	6	3	$3,046.00	$3,046.00	$2,626.87	$2,626.87	$2,626.87	2026-05-22
40831	OTHER	Repair Mouth Laceration	6	3	$5,789.00	$5,789.00	$4,992.43	$4,992.43	$4,992.43	2026-05-22
42820	OTHER	Remove Tonsils & Adenoids <12	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
42821	OTHER	Remove Tonsils & Adenoids >12	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
42825	OTHER	Tonsillectomy < 12 Age	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
42826	OTHER	Tonsillectomy > 12 Age	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
43217	OTHER	Esophagoscopy W/snare	6	3	$3,704.50	$3,704.50	$3,194.76	$3,194.76	$3,194.76	2026-05-22
43220	OTHER	Eg W/balloon Dilation	6	3	$3,704.50	$3,704.50	$3,194.76	$3,194.76	$3,194.76	2026-05-22
43236	OTHER	Upper Gi W/directed Inj	6	3	$3,396.50	$3,396.50	$2,929.14	$2,929.14	$2,929.14	2026-05-22
43247	OTHER	Egd With Fb Rem(s)	6	3	$3,550.50	$3,550.50	$3,061.95	$3,061.95	$3,061.95	2026-05-22
43250	OTHER	Egd With Lesn Rem By Forceps	6	3	$3,550.50	$3,550.50	$3,061.95	$3,061.95	$3,061.95	2026-05-22
43251	OTHER	Upper Gi Scope W/snare	6	3	$3,550.50	$3,550.50	$3,061.95	$3,061.95	$3,061.95	2026-05-22
44140	OTHER	Colectomy Part W/anastomosis	6	3	$10,034.00	$10,034.00	$8,653.32	$8,653.32	$8,653.32	2026-05-22
44141	OTHER	Colectomy W/skin Level	6	3	$10,034.00	$10,034.00	$8,653.32	$8,653.32	$8,653.32	2026-05-22
44143	OTHER	Colectomy W/end & Clos Of Distal Segment	6	3	$10,034.00	$10,034.00	$8,653.32	$8,653.32	$8,653.32	2026-05-22
44147	OTHER	Colectomy Abd&transanal Approa	6	3	$6,752.25	$6,752.25	$5,823.14	$5,823.14	$5,823.14	2026-05-22
44389	OTHER	Colonoscopy Thru Stoma W/bx	6	3	$2,450.00	$2,450.00	$2,112.88	$2,112.88	$2,112.88	2026-05-22
44950	OTHER	Appendectomy	6	3	$9,261.00	$9,261.00	$7,986.69	$7,986.69	$7,986.69	2026-05-22
44955	OTHER	Appendectomy W/major Procedure	6	3	$2,495.00	$2,495.00	$2,151.69	$2,151.69	$2,151.69	2026-05-22
44960	OTHER	Appendectomy Rup Appen W/absce	6	3	$9,261.00	$9,261.00	$7,986.69	$7,986.69	$7,986.69	2026-05-22
45020	OTHER	I & D Of Deep Supralevator Pelvir	6	3	$7,564.25	$7,564.25	$6,523.41	$6,523.41	$6,523.41	2026-05-22
45331	OTHER	Sigmoid Flex W/bx	6	3	$2,469.75	$2,469.75	$2,129.91	$2,129.91	$2,129.91	2026-05-22
45338	OTHER	Flex Sig W/tumor/polyp By Snar	6	3	$2,315.75	$2,315.75	$1,997.10	$1,997.10	$1,997.10	2026-05-22
45381	OTHER	Colnscpy W Sumbucos Inj	6	3	$6,064.50	$6,064.50	$5,230.02	$5,230.02	$5,230.02	2026-05-22
45384	OTHER	Colonoscopy Flex With Lesn Rem By Forceps	6	3	$3,087.00	$3,087.00	$2,662.23	$2,662.23	$2,662.23	2026-05-22
45388	OTHER	Colonoscopy With Lesn Ablation	6	3	$2,650.25	$2,650.25	$2,285.58	$2,285.58	$2,285.58	2026-05-22
45541	OTHER	Proctopexy Legs For Prolaspel Perineal	6	3	$7,409.00	$7,409.00	$6,389.52	$6,389.52	$6,389.52	2026-05-22
46040	OTHER	I & D Ischiorectal Abscess	6	3	$7,564.25	$7,564.25	$6,523.41	$6,523.41	$6,523.41	2026-05-22
46050	OTHER	Pf Abscess Perianal	24	3	$3,901.25	$3,901.25	$100.53	$5,657.99	$2,360.67	2026-05-22
46230	OTHER	Ex Mult Extnl Papila/tag Anus	6	3	$5,248.75	$5,248.75	$4,526.52	$4,526.52	$4,526.52	2026-05-22
46255	OTHER	Hemorhoidectomy Intl&extl Sngl	6	3	$3,001.75	$3,001.75	$2,588.71	$2,588.71	$2,588.71	2026-05-22
46270	OTHER	Anal Fistulectomy/fistulotomy	6	3	$7,409.00	$7,409.00	$6,389.52	$6,389.52	$6,389.52	2026-05-22
46280	OTHER	Surgical Tx Of Anal Fistula	6	3	$7,409.00	$7,409.00	$6,389.52	$6,389.52	$6,389.52	2026-05-22
46320	OTHER	Pf Thrombosed Hemorrhoid (phy)	24	3	$2,792.38	$2,792.38	$112.72	$6,537.42	$2,237.37	2026-05-22
46946	OTHER	Ligation Internal Hemorrhoids Mult Prcdr	6	3	$5,402.75	$5,402.75	$4,659.33	$4,659.33	$4,659.33	2026-05-22
47001	OTHER	Needle Bx Liver	6	3	$2,933.00	$2,933.00	$2,529.42	$2,529.42	$2,529.42	2026-05-22
47100	OTHER	Bx Of Liver Wedge	6	3	$9,261.00	$9,261.00	$7,986.69	$7,986.69	$7,986.69	2026-05-22
47379	OTHER	Pf Laparoscopic Procedure Liver	6	3	$4,721.00	$4,721.00	$9,983.79	$9,983.79	$9,983.79	2026-05-22
47563	OTHER	Cholecystectomy W/cholangio	6	3	$15,435.00	$15,435.00	$13,311.14	$13,311.14	$13,311.14	2026-05-22
47564	OTHER	Cholecystectomy W/exp Comn Duc	6	3	$15,435.00	$15,435.00	$13,311.14	$13,311.14	$13,311.14	2026-05-22
47605	OTHER	Cholecystectomy Open W/cholang	6	3	$4,110.50	$4,110.50	$3,544.90	$3,544.90	$3,544.90	2026-05-22
47610	OTHER	Cholecystectomy W/exp Cmn Duc	6	3	$4,522.00	$4,522.00	$3,899.77	$3,899.77	$3,899.77	2026-05-22
49000	OTHER	Exploratory Laparotomy W/wo Bx	6	3	$2,385.75	$2,385.75	$2,057.47	$2,057.47	$2,057.47	2026-05-22
49020	OTHER	Drain Peritoneal Abscess Open	6	3	$9,261.00	$9,261.00	$7,986.69	$7,986.69	$7,986.69	2026-05-22
49082	OTHER	Abd Paracentesis Wo Imaging Guidance	6	3	$2,779.00	$2,779.00	$2,396.61	$2,396.61	$2,396.61	2026-05-22
49255	OTHER	Omentectomy,epiplectomy	6	3	$9,261.00	$9,261.00	$7,986.69	$7,986.69	$7,986.69	2026-05-22
49321	OTHER	Laparoscopy Abd W/bx	6	3	$12,040.00	$12,040.00	$10,383.30	$10,383.30	$10,383.30	2026-05-22
49322	OTHER	Lap Abd W/aspirate Cavity/cyst	6	3	$4,662.00	$4,662.00	$4,020.51	$4,020.51	$4,020.51	2026-05-22
49329	OTHER	Pf Diag Lap	6	3	$840.00	$840.00	$10,383.30	$10,383.30	$10,383.30	2026-05-22
49507	OTHER	Prp I/hern Init Bloc	6	3	$10,805.25	$10,805.25	$9,318.45	$9,318.45	$9,318.45	2026-05-22
49521	OTHER	Repair Rec Ingl Hernia Str	6	3	$3,718.50	$3,718.50	$3,206.83	$3,206.83	$3,206.83	2026-05-22
49525	OTHER	Repair Ing Hernia Sliding	6	3	$8,953.00	$8,953.00	$7,721.07	$7,721.07	$7,721.07	2026-05-22
49568	OTHER	Implem Of Mesh Hernia Rpr	12	3	$4,692.50	$4,692.50	$272.19	$5,515.05	$2,893.62	2026-05-22
49570	OTHER	Repair Epigastric Hernia Reduc	6	3	$4,629.00	$4,629.00	$3,992.05	$3,992.05	$3,992.05	2026-05-22
49587	OTHER	Rpr Umbil Hernia, Bloc >5yrs	6	3	$6,505.00	$6,505.00	$5,609.91	$5,609.91	$5,609.91	2026-05-22
49653	OTHER	Laparoscopy Surgical Repair Ventral Umb	12	3	$11,403.50	$11,403.50	$953.90	$8,557.60	$4,755.75	2026-05-22
49654	OTHER	Lap Incisional Herina Repair	12	3	$6,014.06	$6,014.06	$865.06	$8,557.60	$4,711.33	2026-05-22
52000	OTHER	Cystourethroscopy (sep Proc)	6	3	$6,483.50	$6,483.50	$5,591.37	$5,591.37	$5,591.37	2026-05-22
52204	OTHER	Cystourethroscopy W Bx	6	3	$6,483.50	$6,483.50	$5,591.37	$5,591.37	$5,591.37	2026-05-22
52265	OTHER	Cysto W Dilation Of Bladder	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
52281	OTHER	Cysto W/dilation	6	3	$6,483.50	$6,483.50	$5,591.37	$5,591.37	$5,591.37	2026-05-22
54150	OTHER	Circumcision Clamp	6	3	$3,326.50	$3,326.50	$2,868.77	$2,868.77	$2,868.77	2026-05-22
54163	OTHER	Circumcision Adult	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
55040	OTHER	Exc Hydrocele Unilateral	6	3	$8,026.25	$8,026.25	$6,921.84	$6,921.84	$6,921.84	2026-05-22
55250	OTHER	Vasectomy	6	3	$7,564.25	$7,564.25	$6,523.41	$6,523.41	$6,523.41	2026-05-22
55559	OTHER	Laparoscopy Proc Spermatic Cord	6	3	$11,576.75	$11,576.75	$9,983.79	$9,983.79	$9,983.79	2026-05-22
57210	OTHER	Colpoperineorrhaphy Suture Of Injury	6	3	$5,094.75	$5,094.75	$4,393.71	$4,393.71	$4,393.71	2026-05-22
57250	OTHER	Posterior Colporrhaphy	6	3	$10,034.00	$10,034.00	$8,653.32	$8,653.32	$8,653.32	2026-05-22
57260	OTHER	Anteroposterior Colporrha	6	3	$10,805.25	$10,805.25	$9,318.45	$9,318.45	$9,318.45	2026-05-22
57410	OTHER	Pelvic Examination Under Anesthesia	6	3	$4,631.25	$4,631.25	$3,993.99	$3,993.99	$3,993.99	2026-05-22
57558	OTHER	Dilate/curetage Cervical Stump	6	3	$2,373.00	$2,373.00	$2,046.48	$2,046.48	$2,046.48	2026-05-22
57800	OTHER	Dilate Cervical Canal Instrmtl	6	3	$2,658.75	$2,658.75	$2,292.91	$2,292.91	$2,292.91	2026-05-22
58120	OTHER	D&c Diagnostic/therapeutic	6	3	$6,174.00	$6,174.00	$5,324.46	$5,324.46	$5,324.46	2026-05-22
58150	OTHER	Total Abd Hyst W/wo Rem Ovary	6	3	$13,121.00	$13,121.00	$11,315.55	$11,315.55	$11,315.55	2026-05-22
58660	OTHER	Laparoscopy W/lysis Adhesions	6	3	$6,153.00	$6,153.00	$5,306.35	$5,306.35	$5,306.35	2026-05-22
58661	OTHER	Laparoscopy Remove	6	3	$13,892.25	$13,892.25	$11,980.68	$11,980.68	$11,980.68	2026-05-22
59414	OTHER	Delivery Of Placenta ER	12	3	$5,147.00	$5,147.00	$87.57	$8,349.76	$4,218.66	2026-05-22
62272	OTHER	Drainage Spinal Fluid	6	3	$2,702.00	$2,702.00	$2,330.20	$2,330.20	$2,330.20	2026-05-22
64721	OTHER	Carpal Tunnel	6	3	$6,020.00	$6,020.00	$5,191.65	$5,191.65	$5,191.65	2026-05-22
67938	OTHER	Removal Eyelid Foreign Body	6	3	$3,858.75	$3,858.75	$3,327.79	$3,327.79	$3,327.79	2026-05-22
67961	OTHER	Exc Repair Of Eyelid	6	3	$4,939.25	$4,939.25	$4,259.61	$4,259.61	$4,259.61	2026-05-22
69110	OTHER	Ex Extl Ear Partical/simpl Rep	6	3	$4,631.25	$4,631.25	$3,993.99	$3,993.99	$3,993.99	2026-05-22
70450	OTHER	CT Head Wo/c	6	3	$4,459.00	$4,459.00	$3,845.44	$3,845.44	$3,845.44	2026-05-22
70460	OTHER	CT Head W/c	6	3	$5,117.00	$5,117.00	$4,412.90	$4,412.90	$4,412.90	2026-05-22
70470	OTHER	CT Head W/wo C	6	3	$4,882.50	$4,882.50	$4,210.67	$4,210.67	$4,210.67	2026-05-22
70480	OTHER	CT Orbit/ear/fossa Wo/c	6	3	$3,412.50	$3,412.50	$2,942.94	$2,942.94	$2,942.94	2026-05-22
70482	OTHER	CT Orbit/ear/fossa W/wo C	6	3	$3,347.75	$3,347.75	$2,887.10	$2,887.10	$2,887.10	2026-05-22
70486	OTHER	CT Facial Bones Wo/c	6	3	$3,183.25	$3,183.25	$2,745.23	$2,745.23	$2,745.23	2026-05-22
70487	OTHER	CT Facial Bones W/c	6	3	$3,412.50	$3,412.50	$2,942.94	$2,942.94	$2,942.94	2026-05-22
70488	OTHER	CT Facial Bones W/wo C	12	3	$2,522.62	$2,522.62	$1,463.92	$2,887.10	$2,175.51	2026-05-22
70491	OTHER	CT Neck W/c	6	3	$2,793.00	$2,793.00	$2,408.68	$2,408.68	$2,408.68	2026-05-22
70492	OTHER	CT Neck W/wo C	6	3	$3,045.00	$3,045.00	$2,626.01	$2,626.01	$2,626.01	2026-05-22
70496	OTHER	CTA Circle Of Willis	12	3	$4,260.75	$4,260.75	$3,412.73	$3,936.21	$3,674.47	2026-05-22
70498	OTHER	CTA Carotid W/contrast Only	12	3	$3,746.50	$3,746.50	$2,525.75	$3,936.21	$3,230.98	2026-05-22
70551	OTHER	Mr Brain Without	6	3	$2,699.00	$2,699.00	$2,327.62	$2,327.62	$2,327.62	2026-05-22
70552	OTHER	Mr Brain W/c	6	3	$2,917.00	$2,917.00	$2,515.62	$2,515.62	$2,515.62	2026-05-22
70553	OTHER	Mr Brain W/wo	6	3	$2,925.00	$2,925.00	$2,522.52	$2,522.52	$2,522.52	2026-05-22
71250	OTHER	CT Thorax Wo/c	6	3	$3,090.50	$3,090.50	$2,665.25	$2,665.25	$2,665.25	2026-05-22
71260	OTHER	CT Thorax W/c	6	3	$3,365.25	$3,365.25	$2,902.19	$2,902.19	$2,902.19	2026-05-22
71270	OTHER	CT Thorax W/wo C	6	3	$3,543.75	$3,543.75	$3,056.13	$3,056.13	$3,056.13	2026-05-22
71275	OTHER	CTA Pulmonary Embolism	12	3	$3,374.88	$3,374.88	$1,731.91	$4,089.07	$2,910.49	2026-05-22
71550	OTHER	Mr Chest Without	6	3	$2,670.00	$2,670.00	$2,302.61	$2,302.61	$2,302.61	2026-05-22
71552	OTHER	Mr Chest W/wo	6	3	$2,813.00	$2,813.00	$2,425.93	$2,425.93	$2,425.93	2026-05-22
71555	OTHER	MRA Chest W/wo	6	3	$4,049.00	$4,049.00	$3,491.86	$3,491.86	$3,491.86	2026-05-22
72125	OTHER	CT Spine Cervical Wo/c	6	3	$3,298.75	$3,298.75	$2,844.84	$2,844.84	$2,844.84	2026-05-22
72126	OTHER	CT Spine Cervical W/c	6	3	$3,755.50	$3,755.50	$3,238.74	$3,238.74	$3,238.74	2026-05-22
72127	OTHER	CT Spine Cervical W/wo C	6	3	$3,580.50	$3,580.50	$3,087.82	$3,087.82	$3,087.82	2026-05-22
72128	OTHER	CT Spine Thoracic Wo/c	6	3	$3,543.75	$3,543.75	$3,056.13	$3,056.13	$3,056.13	2026-05-22
72129	OTHER	CT Spine Thoracic W/c	6	3	$3,580.50	$3,580.50	$3,087.82	$3,087.82	$3,087.82	2026-05-22
72130	OTHER	CT Spine Thoracic W/wo C	6	3	$3,580.50	$3,580.50	$3,087.82	$3,087.82	$3,087.82	2026-05-22
72131	OTHER	CT Spine Lumbar Wo/c	6	3	$3,543.75	$3,543.75	$3,056.13	$3,056.13	$3,056.13	2026-05-22
72132	OTHER	CT Spine Lumbar W/c	6	3	$3,580.50	$3,580.50	$3,087.82	$3,087.82	$3,087.82	2026-05-22
72133	OTHER	CT Spine Lumbar W/wo C	6	3	$3,543.75	$3,543.75	$3,056.13	$3,056.13	$3,056.13	2026-05-22
72141	OTHER	Mr C Spine Without	6	3	$2,475.00	$2,475.00	$2,134.44	$2,134.44	$2,134.44	2026-05-22
72142	OTHER	Mr C Spine W/c	6	3	$2,587.00	$2,587.00	$2,231.03	$2,231.03	$2,231.03	2026-05-22
72146	OTHER	Mr T Spine Without	6	3	$2,475.00	$2,475.00	$2,134.44	$2,134.44	$2,134.44	2026-05-22
72147	OTHER	Mr T Spine W/c	6	3	$2,587.00	$2,587.00	$2,231.03	$2,231.03	$2,231.03	2026-05-22
72148	OTHER	Mr L Spine Without	6	3	$2,475.00	$2,475.00	$2,134.44	$2,134.44	$2,134.44	2026-05-22
72149	OTHER	Mr L Spine W/c	6	3	$2,587.00	$2,587.00	$2,231.03	$2,231.03	$2,231.03	2026-05-22
72156	OTHER	Mr C Spine W/wo	6	3	$2,699.00	$2,699.00	$2,327.62	$2,327.62	$2,327.62	2026-05-22
72157	OTHER	Mr T Spine W/wo	6	3	$2,699.00	$2,699.00	$2,327.62	$2,327.62	$2,327.62	2026-05-22
72158	OTHER	Mr L Spine W/wo	6	3	$2,699.00	$2,699.00	$2,327.62	$2,327.62	$2,327.62	2026-05-22
72192	OTHER	CT Pelvis Wo/c	6	3	$2,954.00	$2,954.00	$2,547.53	$2,547.53	$2,547.53	2026-05-22
72193	OTHER	CT Pelvis W/c	6	3	$6,669.25	$6,669.25	$5,751.56	$5,751.56	$5,751.56	2026-05-22
72194	OTHER	CT Pelvis W/wo C	6	3	$6,669.25	$6,669.25	$5,751.56	$5,751.56	$5,751.56	2026-05-22
72195	OTHER	Mr Pelvis Without	6	3	$2,352.00	$2,352.00	$2,028.36	$2,028.36	$2,028.36	2026-05-22
72197	OTHER	Mr Pelvis W/without	6	3	$2,426.00	$2,426.00	$2,092.18	$2,092.18	$2,092.18	2026-05-22
73200	OTHER	CT Upper Ext Wo/c LT,Left Side	12	3	$3,412.50	$3,412.50	$2,942.94	$2,942.94	$2,942.94	2026-05-22
73201	OTHER	CT Upper Ext W/c LT,Left Side	12	3	$3,412.50	$3,412.50	$2,942.94	$2,942.94	$2,942.94	2026-05-22
73202	OTHER	CT Upper Ext W/wo C LT,Left Side	12	3	$3,325.00	$3,325.00	$2,867.48	$2,867.48	$2,867.48	2026-05-22
73218	OTHER	Mr Upper Ext Without Lt	12	3	$2,481.00	$2,481.00	$2,139.61	$2,139.61	$2,139.61	2026-05-22
73220	OTHER	Mr Upper Ext W/wo Lt	12	3	$2,363.00	$2,363.00	$2,037.85	$2,037.85	$2,037.85	2026-05-22
73700	OTHER	CT Lower Ext Wo/c LT,Left Side	12	3	$3,183.25	$3,183.25	$2,745.23	$2,745.23	$2,745.23	2026-05-22
73701	OTHER	CT Lower Ext W/c LT,Left Side	12	3	$3,326.75	$3,326.75	$2,868.99	$2,868.99	$2,868.99	2026-05-22
73702	OTHER	CT Lower Ext W/wo C LT,Left Side	12	3	$3,347.75	$3,347.75	$2,887.10	$2,887.10	$2,887.10	2026-05-22
73720	OTHER	Mr Lower Ext W/wo Lt	12	3	$2,352.00	$2,352.00	$2,028.36	$2,028.36	$2,028.36	2026-05-22
74150	OTHER	CT Abd Only Without	6	3	$6,669.25	$6,669.25	$5,751.56	$5,751.56	$5,751.56	2026-05-22
74160	OTHER	CT Abd Only W/c	6	3	$6,580.00	$6,580.00	$5,674.59	$5,674.59	$5,674.59	2026-05-22
74170	OTHER	CT Abd Only W/wo C	6	3	$6,669.25	$6,669.25	$5,751.56	$5,751.56	$5,751.56	2026-05-22
74175	OTHER	CTA Abdomen Aorta	6	3	$4,329.50	$4,329.50	$3,733.76	$3,733.76	$3,733.76	2026-05-22
74176	OTHER	CT Abd Pelvis Without C	6	3	$6,368.25	$6,368.25	$5,491.98	$5,491.98	$5,491.98	2026-05-22
74177	OTHER	CT Abd Pelvis W/c	6	3	$6,102.25	$6,102.25	$5,262.58	$5,262.58	$5,262.58	2026-05-22
74178	OTHER	CT Abd Pelvis W/wo C	6	3	$6,783.00	$6,783.00	$5,849.66	$5,849.66	$5,849.66	2026-05-22
74181	OTHER	Mr Abd Without	6	3	$3,000.00	$3,000.00	$2,587.20	$2,587.20	$2,587.20	2026-05-22
74183	OTHER	Mr Abd W/wo	6	3	$3,000.00	$3,000.00	$2,587.20	$2,587.20	$2,587.20	2026-05-22
74185	OTHER	MRA Abd W/wo	6	3	$2,857.00	$2,857.00	$2,463.88	$2,463.88	$2,463.88	2026-05-22
74220	OTHER	Dr Esophagus Single Contrast	6	3	$2,552.50	$2,552.50	$2,201.28	$2,201.28	$2,201.28	2026-05-22
74230	OTHER	Dr Swallowing Func W/cine/vid	6	3	$2,552.50	$2,552.50	$2,201.28	$2,201.28	$2,201.28	2026-05-22
74240	OTHER	Dr Up Gi Trc Sing Cont	6	3	$2,552.50	$2,552.50	$2,201.28	$2,201.28	$2,201.28	2026-05-22
74246	OTHER	Dr Up Gi Trc Dbl Cont	6	3	$2,552.50	$2,552.50	$2,201.28	$2,201.28	$2,201.28	2026-05-22
74250	OTHER	Dr Small Bowel Sing Cont Study	6	3	$2,552.50	$2,552.50	$2,201.28	$2,201.28	$2,201.28	2026-05-22
74270	OTHER	Dr Colon Sing Cont Study	6	3	$2,552.50	$2,552.50	$2,201.28	$2,201.28	$2,201.28	2026-05-22
74280	OTHER	Dr Colon Dbl Air Contrast	6	3	$2,552.50	$2,552.50	$2,201.28	$2,201.28	$2,201.28	2026-05-22
74400	OTHER	Dr Uro IV W/wo Kub W/wo Tomo	6	3	$3,240.00	$3,240.00	$2,794.18	$2,794.18	$2,794.18	2026-05-22
74430	OTHER	Dr Cystography Minimum 3 Views Rs&i	6	3	$3,240.00	$3,240.00	$2,794.18	$2,794.18	$2,794.18	2026-05-22
75635	OTHER	CTA Abdominal Aorta	18	3	$4,564.25	$4,564.25	$2,525.75	$4,089.07	$3,936.21	2026-05-22
81270	OTHER	Jak2	6	3	$2,702.00	$2,702.00	$2,330.20	$2,330.20	$2,330.20	2026-05-22
87902	OTHER	Hepatitis C Genotype DNA	6	3	$3,796.25	$3,796.25	$3,273.89	$3,273.89	$3,273.89	2026-05-22
87903	OTHER	Infectious Agent Pheno Analysis 1-10 DRG	6	3	$3,562.50	$3,562.50	$3,072.30	$3,072.30	$3,072.30	2026-05-22
92977	OTHER	Thromboly,coronry,iv	6	3	$7,873.25	$7,873.25	$6,789.89	$6,789.89	$6,789.89	2026-05-22
G0104	OTHER	Flex Sigmoid, Screening	6	3	$2,926.00	$2,926.00	$2,523.38	$2,523.38	$2,523.38	2026-05-22
G0120	OTHER	Colonoscopy Screen Barium Enm	6	3	$2,315.75	$2,315.75	$1,997.10	$1,997.10	$1,997.10	2026-05-22
J2760	OTHER	Phentolamine (regitine) 5 Mg Inj	12	3	$4,895.25	$4,895.25	$4,221.66	$4,221.66	$4,221.66	2026-05-22
J3101	OTHER	TNKase IV Powder For Solution 50MG,Drug Waste	12	3	$22,135.00	$22,135.00	$19,089.22	$19,089.22	$19,089.22	2026-05-22

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