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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 →

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Hospital

SAN GORGONIO MEMORIAL HOSPITAL

Banning, CA · CCN 050054 · Rates published

8,755 distinct procedures filed
23 distinct payers
316,423 rate rows
2026-05-17 last MRF observed
Data quality

220,316 of 316,423 rate rows are consumer-grade (69.6%)

96,107 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 41,940
exceeds 10× this hospital's gross charge — excluded from medians 33,511
per-diem day rate — not a per-procedure price 20,587
template filing: same amount across many unrelated codes — excluded 52
placeholder amount (≤ $0.02) — excluded from medians 17
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/8488f242c158e777c19a25c23da04087/charges/mrf
Found on page https://www.cdmpricing.com/8488f242c158e777c19a25c23da04087/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-19
Content fingerprint 15904276179e744e… · 57,816,159 bytes · first seen 2026-05-17

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
18
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $398,552.49 $839,057.88 $419,528.94 —
1
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $259,099.49 $545,472.62 $272,736.31 —
927
CPT 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $197,708.12 $416,227.62 $208,113.81 —
3
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $196,555.43 $413,800.90 $206,900.45 —
4
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $128,720.78 $270,991.12 $135,495.56 —
7
CPT 		Lung Transplant 11 $120,430.28 $253,537.44 $126,768.72 —
14
CPT 		Allogeneic Bone Marrow Transplant 11 $111,853.66 $235,481.38 $117,740.69 —
2
CPT 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $105,541.94 $222,193.56 $111,096.78 —
209
CPT 		Complex Aortic Arch Procedures 10 $105,422.35 $221,941.78 $110,970.89 —
426
CPT 		Non-hypovolemic Sodium Disorders 10 $102,684.60 $216,178.10 $108,089.05 —
212
CPT 		Concomitant Aortic And Mitral Valve Procedures 11 $101,331.37 $213,329.20 $106,664.60 —
5
CPT 		Liver Transplant With Mcc Or Intestinal Transplant 11 $96,146.58 $202,413.86 $101,206.93 —
215
CPT 		Other Heart Assist System Implant 11 $92,894.58 $195,567.54 $97,783.77 —
216
CPT 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $91,292.04 $192,193.76 $96,096.88 —
429
CPT 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $84,179.04 $177,219.04 $88,609.52 —
850
CPT 		Acute Leukemia With Other Procedures 10 $80,958.34 $170,438.60 $85,219.30 —
231
CPT 		Coronary Bypass With Ptca With Mcc 11 $78,846.16 $165,991.92 $82,995.96 —
456
CPT 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $78,602.37 $165,478.68 $82,739.34 —
20
CPT 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $73,684.36 $155,124.96 $77,562.48 —
219
CPT 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $71,931.87 $151,435.52 $75,717.76 —
233
CPT 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $71,627.37 $150,794.46 $75,397.23 —
957
CPT 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $71,394.62 $150,304.46 $75,152.23 —
427
CPT 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $67,702.90 $142,532.42 $71,266.21 —
10
CPT 		Pancreas Transplant 11 $52,217.93 $141,701.58 $70,850.79 —
928
CPT 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 $67,280.65 $141,643.48 $70,821.74 —
19
CPT 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $66,930.16 $140,905.60 $70,452.80 —
275
CPT 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $66,891.51 $140,824.24 $70,412.12 —
870
CPT 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $64,880.52 $136,590.56 $68,295.28 —
268
CPT 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $64,568.65 $135,934.00 $67,967.00 —
955
CPT 		Craniotomy For Multiple Significant Trauma 11 $63,218.19 $133,090.92 $66,545.46 —
317
CPT 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $62,807.89 $132,227.14 $66,113.57 —
447
CPT 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $62,762.82 $132,132.26 $66,066.13 —
218
CPT 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $61,784.92 $130,073.52 $65,036.76 —
217
CPT 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $61,784.92 $130,073.52 $65,036.76 —
573
CPT 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $61,565.05 $129,610.64 $64,805.32 —
207
CPT 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $60,491.49 $127,350.50 $63,675.25 —
266
CPT 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 $57,673.70 $121,418.32 $60,709.16 —
969
CPT 		HIV With Extensive O.r. Procedures With Mcc 11 $57,608.39 $121,280.82 $60,640.41 —
232
CPT 		Coronary Bypass With Ptca Without Mcc 11 $57,068.37 $120,143.94 $60,071.97 —
28
CPT 		Spinal Procedures With Mcc 11 $56,568.85 $119,092.32 $59,546.16 —
276
CPT 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 $56,553.21 $119,059.38 $59,529.69 —
457
CPT 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $56,153.03 $118,216.90 $59,108.45 —
790
CPT 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 $55,972.73 $117,837.32 $58,918.66 —
16
CPT 		Autologous Bone Marrow Transplant With Cc/mcc 11 $55,845.78 $117,570.06 $58,785.03 —
235
CPT 		Coronary Bypass Without Cardiac Catheterization With Mcc 11 $55,283.69 $116,386.72 $58,193.36 —
820
CPT 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 $55,248.74 $116,313.14 $58,156.57 —
430
CPT 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 $54,349.97 $114,420.98 $57,210.49 —
23
CPT 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 $54,011.42 $113,708.26 $56,854.13 —
213
CPT 		Endovascular Abdominal Aorta With Iliac Branch Procedures 10 $53,796.13 $113,255.02 $56,627.51 —
463
CPT 		Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 11 $53,728.08 $113,111.74 $56,555.87 —

Other procedures at this hospital

Browse this hospital's 8,755 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
1 CPT Heart Transplant Or Implant Of Heart Assist System With Mcc 12 11 — — $259,099.49 $545,472.62 $272,736.31 2026-05-17
10 CPT Pancreas Transplant 12 11 — — $52,217.93 $141,701.58 $70,850.79 2026-05-17
11 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 11 — — $51,470.53 $108,359.02 $54,179.51 2026-05-17
113 CPT Orbital Procedures With Complication/comorbity 12 11 — — $22,924.74 $48,262.62 $24,131.31 2026-05-17
12 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 11 — — $40,080.75 $84,380.52 $42,190.26 2026-05-17
13 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 12 11 — — $27,806.88 $58,540.80 $29,270.40 2026-05-17
135 CPT Sinus And Mastoid Procedures With Cc/mcc 12 11 — — $21,258.73 $44,755.22 $22,377.61 2026-05-17
14 CPT Allogeneic Bone Marrow Transplant 12 11 — — $111,853.66 $235,481.38 $117,740.69 2026-05-17
140 CPT Major Head And Neck Procedures With Mcc 12 11 — — $40,534.27 $85,335.30 $42,667.65 2026-05-17
141 CPT Major Head And Neck Procedures With Cc 12 11 — — $21,360.85 $44,970.22 $22,485.11 2026-05-17
143 CPT Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 11 — — $35,762.54 $75,289.56 $37,644.78 2026-05-17
146 CPT Ear, Nose, Mouth And Throat Malignancy With Mcc 12 11 — — $20,774.84 $43,736.50 $21,868.25 2026-05-17
16 CPT Autologous Bone Marrow Transplant With Cc/mcc 12 11 — — $55,845.78 $117,570.06 $58,785.03 2026-05-17
163 CPT Major Chest Procedures With Mcc 12 11 — — $42,525.94 $89,528.30 $44,764.15 2026-05-17
164 CPT Major Chest Procedures With Cc 12 11 — — $24,515.34 $51,611.24 $25,805.62 2026-05-17
166 CPT Other Respiratory System O.r. Procedures With Mcc 12 11 — — $35,680.65 $75,117.16 $37,558.58 2026-05-17
17 CPT Autologous Bone Marrow Transplant Without Cc/mcc 12 11 — — $51,269.99 $107,936.82 $53,968.41 2026-05-17
173 CPT Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 12 11 — — $28,677.16 $60,372.96 $30,186.48 2026-05-17
18 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 11 — — $398,552.49 $839,057.88 $419,528.94 2026-05-17
19 CPT Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 11 — — $66,930.16 $140,905.60 $70,452.80 2026-05-17
2 CPT Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 11 — — $105,541.94 $222,193.56 $111,096.78 2026-05-17
20 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 11 — — $73,684.36 $155,124.96 $77,562.48 2026-05-17
207 CPT Respiratory System Diagnosis With Ventilator Support >96 Hours 12 11 — — $60,491.49 $127,350.50 $63,675.25 2026-05-17
208 CPT Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 11 — — $26,582.44 $55,963.04 $27,981.52 2026-05-17
209 CPT Complex Aortic Arch Procedures 11 10 — — $105,422.35 $221,941.78 $110,970.89 2026-05-17
21 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 11 — — $49,995.86 $105,254.44 $52,627.22 2026-05-17
212 CPT Concomitant Aortic And Mitral Valve Procedures 12 11 — — $101,331.37 $213,329.20 $106,664.60 2026-05-17
213 CPT Endovascular Abdominal Aorta With Iliac Branch Procedures 11 10 — — $53,796.13 $113,255.02 $56,627.51 2026-05-17
215 CPT Other Heart Assist System Implant 12 11 — — $92,894.58 $195,567.54 $97,783.77 2026-05-17
216 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 11 — — $91,292.04 $192,193.76 $96,096.88 2026-05-17
217 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 11 — — $61,784.92 $130,073.52 $65,036.76 2026-05-17
218 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 11 — — $61,784.92 $130,073.52 $65,036.76 2026-05-17
219 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 11 — — $71,931.87 $151,435.52 $75,717.76 2026-05-17
22 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 11 — — $30,526.23 $64,265.74 $32,132.87 2026-05-17
220 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 11 — — $50,354.65 $106,009.78 $53,004.89 2026-05-17
221 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 11 — — $47,662.91 $100,342.96 $50,171.48 2026-05-17
228 CPT Other Cardiothoracic Procedures With Comorbity 12 11 — — $46,809.19 $98,545.66 $49,272.83 2026-05-17
229 CPT Other Cardiothoracic Procedures Without Mcc 12 11 — — $30,269.56 $63,725.38 $31,862.69 2026-05-17
23 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 11 — — $54,011.42 $113,708.26 $56,854.13 2026-05-17
231 CPT Coronary Bypass With Ptca With Mcc 12 11 — — $78,846.16 $165,991.92 $82,995.96 2026-05-17
232 CPT Coronary Bypass With Ptca Without Mcc 12 11 — — $57,068.37 $120,143.94 $60,071.97 2026-05-17
233 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 11 — — $71,627.37 $150,794.46 $75,397.23 2026-05-17
234 CPT Coronary Bypass With Cardiac Cath Without Comorbity 12 11 — — $51,549.65 $108,525.58 $54,262.79 2026-05-17
235 CPT Coronary Bypass Without Cardiac Catheterization With Mcc 12 11 — — $55,283.69 $116,386.72 $58,193.36 2026-05-17
236 CPT Coronary Bypass Without Cardiac Catheterization Without Mcc 12 11 — — $39,830.51 $83,853.70 $41,926.85 2026-05-17
239 CPT Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 12 11 — — $46,572.76 $98,047.92 $49,023.96 2026-05-17
24 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 11 — — $37,283.21 $78,490.96 $39,245.48 2026-05-17
240 CPT Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication 12 11 — — $27,518.93 $57,934.58 $28,967.29 2026-05-17
242 CPT Permanent Cardiac Pacemaker Implant With Comorbity 12 11 — — $30,667.90 $64,564.00 $32,282.00 2026-05-17
243 CPT Permanent Cardiac Pacemaker Implant With Complication 12 11 — — $20,899.04 $43,997.98 $21,998.99 2026-05-17
245 CPT Aicd Generator Procedures 12 11 — — $43,267.41 $91,089.28 $45,544.64 2026-05-17
25 CPT Craniotomy And Endovascular Intracranial Procedures With Mcc 12 11 — — $43,123.00 $90,785.26 $45,392.63 2026-05-17
250 CPT Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 12 11 — — $21,373.74 $44,997.34 $22,498.67 2026-05-17
252 CPT Other Vascular Procedures With Comorbity 12 11 — — $33,386.32 $70,287.00 $35,143.50 2026-05-17
253 CPT Other Vascular Procedures With Complication 12 11 — — $25,174.00 $52,997.90 $26,498.95 2026-05-17
255 CPT Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 12 11 — — $26,110.52 $54,969.52 $27,484.76 2026-05-17
258 CPT Cardiac Pacemaker Device Replacement With Mcc 12 11 — — $29,382.89 $63,582.10 $31,791.05 2026-05-17
259 CPT Cardiac Pacemaker Device Replacement Without Mcc 12 11 — — $19,898.14 $41,890.82 $20,945.41 2026-05-17
26 CPT Craniotomy And Endovascular Intracranial Procedures With Cc 12 11 — — $29,898.83 $62,944.90 $31,472.45 2026-05-17
260 CPT Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 11 — — $31,219.87 $65,726.04 $32,863.02 2026-05-17
263 CPT Vein Ligation & Stripping 12 11 — — $29,422.30 $61,941.68 $30,970.84 2026-05-17
264 CPT Other Circulatory System O.r. Procedures 12 11 — — $32,027.57 $67,426.46 $33,713.23 2026-05-17
265 CPT Aicd Lead Procedures 12 11 — — $34,581.32 $72,802.78 $36,401.39 2026-05-17
266 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 11 — — $57,673.70 $121,418.32 $60,709.16 2026-05-17
267 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 11 — — $45,092.59 $94,931.76 $47,465.88 2026-05-17
268 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 11 — — $64,568.65 $135,934.00 $67,967.00 2026-05-17
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 11 — — $40,146.97 $84,519.94 $42,259.97 2026-05-17
27 CPT Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 12 11 — — $24,505.20 $51,589.90 $25,794.95 2026-05-17
270 CPT Other Major Cardiovascular Procedures With Mcc 12 11 — — $49,834.89 $104,915.56 $52,457.78 2026-05-17
271 CPT Other Major Cardiovascular Procedures With Cc 12 11 — — $34,011.87 $71,603.94 $35,801.97 2026-05-17
27130 CPT Replacement Of Thigh Bone And Hip Joint With Prosthesis 68 22 $18,105.25 $3,621.05 80% off $3,672.20 $49,295.34 $32,452.76 2026-05-17
272 CPT Other Major Cardiovascular Procedures Without Cc/mcc 12 11 — — $24,782.10 $52,172.84 $26,086.42 2026-05-17
273 CPT Percutaneous And Other Intracardiac Procedures With Mcc 12 11 — — $39,248.19 $82,627.76 $41,313.88 2026-05-17
274 CPT Percutaneous And Other Intracardiac Procedures Without Mcc 12 11 — — $31,577.72 $66,479.42 $33,239.71 2026-05-17
27447 CPT Replacement Of Knee Joint; Both Sides Of Knee 68 22 $26,137.85 $5,227.57 80% off $15,610.19 $49,295.34 $32,452.76 2026-05-17
275 CPT Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 11 — — $66,891.51 $140,824.24 $70,412.12 2026-05-17
276 CPT Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 11 — — $56,553.21 $119,059.38 $59,529.69 2026-05-17
277 CPT Cardiac Defibrillator Implant Without Mcc 12 11 — — $43,783.51 $92,175.82 $46,087.91 2026-05-17
278 CPT Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 11 — — $48,386.42 $110,530.10 $55,265.05 2026-05-17
279 CPT Hepatic Coma And Other Major Acute Liver Disorders 12 11 — — $34,472.78 $72,574.28 $36,287.14 2026-05-17
28 CPT Spinal Procedures With Mcc 12 11 — — $56,568.85 $119,092.32 $59,546.16 2026-05-17
283 CPT Acute Myocardial Infarction; Expired With Comorbity 13 11 — — $10,038.74 $41,090.96 $20,545.48 2026-05-17
286 CPT Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 12 11 — — $21,652.46 $45,584.12 $22,792.06 2026-05-17
288 CPT Acute & Subacute Endocarditis With Comorbity 12 11 — — $26,191.47 $55,139.94 $27,569.97 2026-05-17
29 CPT Spinal Procedures With Cc Or Spinal Neurostimulators 12 11 — — $32,680.74 $68,801.56 $34,400.78 2026-05-17
3 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 11 — — $196,555.43 $413,800.90 $206,900.45 2026-05-17
30 CPT Spinal Procedures Without Cc/mcc 12 11 — — $21,490.56 $45,243.28 $22,621.64 2026-05-17
31 CPT Ventricular Shunt Procedures With Mcc 12 11 — — $42,513.98 $89,503.12 $44,751.56 2026-05-17
314 CPT Other Circulatory System Diagnoses With Comorbity 12 11 — — $20,478.64 $43,112.92 $21,556.46 2026-05-17
317 CPT Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 10 — — $62,807.89 $132,227.14 $66,113.57 2026-05-17
318 CPT Percutaneous Coronary Atherectomy Without Intraluminal Device 11 10 — — $23,578.82 $49,639.62 $24,819.81 2026-05-17
319 CPT Other Endovascular Cardiac Valve Procedures With Mcc 12 11 — — $42,352.07 $89,162.26 $44,581.13 2026-05-17
32 CPT Ventricular Shunt Procedures With Cc 12 11 — — $20,899.96 $43,999.92 $21,999.96 2026-05-17
320 CPT Other Endovascular Cardiac Valve Procedures Without Mcc 12 11 — — $23,423.37 $49,312.36 $24,656.18 2026-05-17
321 CPT Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 12 11 — — $26,325.78 $55,422.70 $27,711.35 2026-05-17
323 CPT Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 11 — — $41,105.57 $86,538.04 $43,269.02 2026-05-17
324 CPT Non-elective Or Complex Hip Joint Replacement 12 11 — — $30,283.38 $63,754.48 $31,877.24 2026-05-17
325 CPT Coronary Intravascular Lithotripsy Without Intraluminal Device 12 11 — — $28,685.37 $64,904.88 $32,452.44 2026-05-17
326 CPT Stomach; Esophageal & Duodenal Proc With Comorbity 12 11 — — $47,177.16 $99,320.34 $49,660.17 2026-05-17
327 CPT Stomach; Esophageal & Duodenal Proc With Complication 12 11 — — $23,781.22 $50,065.72 $25,032.86 2026-05-17
329 CPT Major Small & Large Bowel Procedures With Comorbity 12 11 — — $43,581.12 $91,749.72 $45,874.86 2026-05-17
330 CPT Major Small & Large Bowel Procedures With Complication 12 11 — — $23,348.83 $49,155.44 $24,577.72 2026-05-17
332 CPT Rectal Resection With Mcc 12 11 — — $34,604.33 $72,851.22 $36,425.61 2026-05-17
333 CPT Rectal Resection With Cc 12 11 — — $22,558.42 $48,090.26 $24,045.13 2026-05-17
335 CPT Peritoneal Adhesiolysis With Mcc 12 11 — — $34,146.20 $71,886.74 $35,943.37 2026-05-17
336 CPT Peritoneal Adhesiolysis With Complication 12 11 — — $20,694.81 $43,568.02 $21,784.01 2026-05-17
34 CPT Carotid Artery Stent Procedures With Mcc 12 11 — — $36,904.18 $77,693.02 $38,846.51 2026-05-17
344 CPT Minor Small & Large Bowel Procedures With Comorbity 12 11 — — $25,056.26 $52,750.02 $26,375.01 2026-05-17
347 CPT Anal & Stomal Procedures With Comorbity 12 11 — — $22,414.19 $47,187.76 $23,593.88 2026-05-17
35 CPT Carotid Artery Stent Procedures With Cc 12 11 — — $23,287.22 $49,025.72 $24,512.86 2026-05-17
350 CPT Inguinal & Femoral Hernia Procedures With Comorbity 12 11 — — $24,220.03 $50,989.54 $25,494.77 2026-05-17
353 CPT Hernia Procedures Except Inguinal & Femoral With Comorbity 12 11 — — $27,992.71 $58,932.02 $29,466.01 2026-05-17
356 CPT Other Digestive System O.r. Procedures With Mcc 12 11 — — $41,707.20 $87,804.64 $43,902.32 2026-05-17
357 CPT Other Digestive System O.r. Procedures With Cc 12 11 — — $22,689.24 $47,766.82 $23,883.41 2026-05-17
359 CPT Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 11 10 — — $32,929.12 $69,324.46 $34,662.23 2026-05-17
360 CPT Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 11 10 — — $23,506.14 $49,486.62 $24,743.31 2026-05-17
37 CPT Extracranial Procedures With Mcc 12 11 — — $31,581.41 $66,487.18 $33,243.59 2026-05-17
374 CPT Digestive Malignancy With Mcc 12 11 — — $20,970.79 $44,149.04 $22,074.52 2026-05-17
397 CPT Appendix Procedures With Mcc 12 11 — — $23,327.69 $49,110.92 $24,555.46 2026-05-17
4 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 11 — — $128,720.78 $270,991.12 $135,495.56 2026-05-17
40 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 11 — — $36,816.78 $77,509.02 $38,754.51 2026-05-17
402 CPT Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 10 — — $38,282.27 $80,594.26 $40,297.13 2026-05-17
405 CPT Pancreas; Liver & Shunt Procedures With Comorbity 12 11 — — $51,621.41 $108,676.66 $54,338.33 2026-05-17
406 CPT Pancreas, Liver And Shunt Procedures With Cc 12 11 — — $27,976.16 $58,897.18 $29,448.59 2026-05-17
407 CPT Pancreas, Liver And Shunt Procedures Without Cc/mcc 12 11 — — $21,715.02 $45,715.84 $22,857.92 2026-05-17
408 CPT Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 11 — — $34,097.44 $71,784.08 $35,892.04 2026-05-17
409 CPT Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 11 — — $21,232.79 $44,896.62 $22,448.31 2026-05-17
41 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 12 11 — — $21,522.75 $45,311.06 $22,655.53 2026-05-17
411 CPT Cholecystectomy With C.d.e. With Mcc 12 11 — — $31,247.66 $66,704.06 $33,352.03 2026-05-17
412 CPT Cholecystectomy With C.d.e. With Cc 12 11 — — $20,637.78 $43,447.96 $21,723.98 2026-05-17
414 CPT Cholecystectomy Except By Laparoscope Without C.d.e. With Comorbity 12 11 — — $34,069.85 $71,726.00 $35,863.00 2026-05-17
415 CPT Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 12 11 — — $20,308.45 $42,754.64 $21,377.32 2026-05-17
417 CPT Laparoscopic Cholecystectomy Without C.d.e. With Comorbity 12 11 — — $23,249.51 $48,946.34 $24,473.17 2026-05-17
420 CPT Hepatobiliary Diagnostic Procedures With Comorbity 12 11 — — $32,639.35 $68,714.42 $34,357.21 2026-05-17
423 CPT Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 11 — — $39,501.18 $83,160.38 $41,580.19 2026-05-17
424 CPT Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 12 11 — — $21,423.41 $45,101.92 $22,550.96 2026-05-17
426 CPT Non-hypovolemic Sodium Disorders 11 10 — — $102,684.60 $216,178.10 $108,089.05 2026-05-17
427 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $67,702.90 $142,532.42 $71,266.21 2026-05-17
428 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $53,015.10 $111,610.74 $55,805.37 2026-05-17
429 CPT Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 10 — — $84,179.04 $177,219.04 $88,609.52 2026-05-17
430 CPT Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 10 — — $54,349.97 $114,420.98 $57,210.49 2026-05-17
43280 CPT Laparoscopy Fundoplasty 34 22 $6,520.50 $1,304.10 80% off $12,924.51 $40,814.25 $26,869.38 2026-05-17
447 CPT Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 10 — — $62,762.82 $132,132.26 $66,066.13 2026-05-17
448 CPT Multiple Level Spinal Fusion Except Cervical Without Mcc 11 10 — — $40,308.90 $84,860.84 $42,430.42 2026-05-17
450 CPT Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 10 — — $50,325.21 $105,947.82 $52,973.91 2026-05-17
451 CPT Single Level Spinal Fusion Except Cervical Without Mcc 11 10 — — $31,013.80 $65,292.22 $32,646.11 2026-05-17
456 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 11 — — $78,602.37 $165,478.68 $82,739.34 2026-05-17
457 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 11 — — $56,153.03 $118,216.90 $59,108.45 2026-05-17
458 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 11 — — $39,681.49 $83,539.98 $41,769.99 2026-05-17
461 CPT Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 11 — — $52,104.38 $109,693.44 $54,846.72 2026-05-17
462 CPT Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 12 11 — — $25,766.45 $54,245.16 $27,122.58 2026-05-17
463 CPT Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 12 11 — — $53,728.08 $113,111.74 $56,555.87 2026-05-17
464 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 11 — — $29,949.42 $63,051.42 $31,525.71 2026-05-17
466 CPT Revision Of Hip Or Knee Replacement With Comorbity 12 11 — — $49,182.64 $103,542.40 $51,771.20 2026-05-17
467 CPT Revision Of Hip Or Knee Replacement With Complication 12 11 — — $33,738.66 $71,028.76 $35,514.38 2026-05-17
468 CPT Revision Of Hip Or Knee Replacement Without Complication/comorbity 12 11 — — $26,576.00 $55,949.48 $27,974.74 2026-05-17
469 CPT Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 12 11 — — $29,199.68 $61,473.00 $30,736.50 2026-05-17
471 CPT Cervical Spinal Fusion With Mcc 12 11 — — $45,717.23 $96,246.80 $48,123.40 2026-05-17
472 CPT Cervical Spinal Fusion With Cc 12 11 — — $28,398.41 $59,786.12 $29,893.06 2026-05-17
473 CPT Cervical Spinal Fusion Without Cc/mcc 12 11 — — $23,754.54 $50,009.56 $25,004.78 2026-05-17
474 CPT Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 11 — — $40,788.17 $85,869.84 $42,934.92 2026-05-17
475 CPT Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 12 11 — — $22,231.12 $46,802.36 $23,401.18 2026-05-17
477 CPT Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 11 — — $33,076.31 $69,634.34 $34,817.17 2026-05-17
478 CPT Biopsies Of Musculoskeletal System And Connective Tissue With Cc 12 11 — — $23,919.21 $50,356.24 $25,178.12 2026-05-17
480 CPT Hip & Femur Procedures Except Major Joint With Comorbity 12 11 — — $28,087.46 $59,131.50 $29,565.75 2026-05-17
481 CPT Hip & Femur Procedures Except Major Joint With Complication 12 11 — — $20,564.18 $43,293.02 $21,646.51 2026-05-17
483 CPT Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 11 — — $26,795.87 $56,412.36 $28,206.18 2026-05-17
485 CPT Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 11 — — $30,983.44 $65,228.30 $32,614.15 2026-05-17
486 CPT Knee Procedures With Principal Diagnosis Of Infection With Cc 12 11 — — $20,532.91 $43,227.18 $21,613.59 2026-05-17
492 CPT Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity 12 11 — — $35,072.58 $73,837.02 $36,918.51 2026-05-17
493 CPT Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 12 11 — — $24,626.65 $51,845.58 $25,922.79 2026-05-17
494 CPT Lower Extrem & Humer Proc Except Hip; Foot; Femur Without Complication/comorbity 12 11 — — $19,754.65 $41,588.74 $20,794.37 2026-05-17
495 CPT Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 11 — — $34,650.33 $72,948.06 $36,474.03 2026-05-17
498 CPT Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 11 — — $28,324.13 $61,155.36 $30,577.68 2026-05-17
499 CPT Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 12 11 — — $13,991.75 $41,749.44 $20,874.72 2026-05-17
5 CPT Liver Transplant With Mcc Or Intestinal Transplant 12 11 — — $96,146.58 $202,413.86 $101,206.93 2026-05-17
500 CPT Soft Tissue Procedures With Mcc 12 11 — — $30,410.32 $64,021.72 $32,010.86 2026-05-17
503 CPT Foot Procedures With Mcc 12 11 — — $26,972.50 $56,784.20 $28,392.10 2026-05-17
510 CPT Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 12 11 — — $29,082.83 $61,227.02 $30,613.51 2026-05-17
511 CPT Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 12 11 — — $20,425.28 $43,000.60 $21,500.30 2026-05-17
515 CPT Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 11 — — $30,613.63 $64,449.74 $32,224.87 2026-05-17
516 CPT Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 12 11 — — $20,413.31 $42,975.38 $21,487.69 2026-05-17
518 CPT Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 11 — — $35,676.98 $75,109.44 $37,554.72 2026-05-17
519 CPT Back & Neck Proc Exc Spinal Fusion With Complication 12 11 — — $19,696.67 $41,466.68 $20,733.34 2026-05-17
521 CPT Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 11 — — $27,700.18 $58,316.16 $29,158.08 2026-05-17
522 CPT Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 11 — — $20,777.60 $43,742.32 $21,871.16 2026-05-17
545 CPT Connective Tissue Disorders With Mcc 12 11 — — $24,126.19 $50,791.98 $25,395.99 2026-05-17
56 CPT Degenerative Nervous System Disorders With Comorbity 12 11 — — $22,667.17 $47,720.36 $23,860.18 2026-05-17
570 CPT Skin Debridement With Mcc 12 11 — — $28,352.42 $59,689.30 $29,844.65 2026-05-17
573 CPT Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 11 — — $61,565.05 $129,610.64 $64,805.32 2026-05-17
574 CPT Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 11 — — $33,230.87 $69,959.72 $34,979.86 2026-05-17
576 CPT Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 11 — — $46,384.19 $97,650.92 $48,825.46 2026-05-17
577 CPT Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 12 11 — — $25,680.89 $54,065.04 $27,032.52 2026-05-17
579 CPT Other Skin; Subcut Tiss & Breast Proc With Comorbity 12 11 — — $31,088.31 $65,449.08 $32,724.54 2026-05-17
584 CPT Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 12 11 — — $20,989.20 $44,187.80 $22,093.90 2026-05-17
58553 CPT Removal Of Uterus Through Vagina Using An Endoscope; More Than 250.0 34 22 $37,873.93 $7,574.79 80% off $12,924.51 $40,814.25 $26,869.38 2026-05-17
58571 CPT Removal Of Uterus; Tubes; And/or Ovaries Through Abdomen Using An Endoscope; 250… 68 22 $26,515.11 $5,303.02 80% off $2,150.00 $40,814.25 $26,869.38 2026-05-17
595 CPT Major Skin Disorders With Mcc 12 11 — — $20,805.20 $43,800.42 $21,900.21 2026-05-17
6 CPT Liver Transplant Without Mcc 12 11 — — $43,953.70 $92,534.10 $46,267.05 2026-05-17
61 CPT Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 11 — — $26,659.72 $56,125.72 $28,062.86 2026-05-17
614 CPT Adrenal And Pituitary Procedures With Cc/mcc 12 11 — — $21,459.28 $45,177.44 $22,588.72 2026-05-17
616 CPT Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity 12 11 — — $33,378.05 $70,269.58 $35,134.79 2026-05-17
619 CPT O.r. Procedures For Obesity With Mcc 12 11 — — $27,858.40 $58,649.26 $29,324.63 2026-05-17
622 CPT Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 11 — — $34,038.58 $71,660.16 $35,830.08 2026-05-17
625 CPT Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 12 11 — — $29,079.17 $61,219.30 $30,609.65 2026-05-17
628 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 11 — — $35,580.39 $74,906.08 $37,453.04 2026-05-17
629 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 12 11 — — $21,339.69 $44,925.66 $22,462.83 2026-05-17
64 CPT Intracranial Hemorrhage Or Cerebral Infarction With Comorbity 12 11 — — $19,796.04 $41,675.88 $20,837.94 2026-05-17
650 CPT Kidney Transplant With Hemodialysis With Mcc 12 11 — — $44,546.15 $93,781.36 $46,890.68 2026-05-17
651 CPT Kidney Transplant With Hemodialysis Without Mcc 12 11 — — $35,387.20 $74,499.36 $37,249.68 2026-05-17
652 CPT Kidney Transplant 12 11 — — $31,005.51 $65,274.76 $32,637.38 2026-05-17
653 CPT Major Bladder Procedures With Mcc 12 11 — — $49,099.84 $103,368.08 $51,684.04 2026-05-17
654 CPT Major Bladder Procedures With Cc 12 11 — — $27,047.93 $56,943.02 $28,471.51 2026-05-17
655 CPT Major Bladder Procedures Without Cc/mcc 12 11 — — $20,767.49 $43,721.04 $21,860.52 2026-05-17
656 CPT Kidney And Ureter Procedures For Neoplasm With Mcc 12 11 — — $30,585.12 $64,389.72 $32,194.86 2026-05-17
659 CPT Kidney & Ureter Procedures For Non-neoplasm With Comorbity 12 11 — — $24,670.80 $51,938.52 $25,969.26 2026-05-17
662 CPT Minor Bladder Procedures With Comorbity 12 11 — — $29,460.01 $62,021.08 $31,010.54 2026-05-17
665 CPT Prostatectomy With Mcc 12 11 — — $30,009.22 $63,177.30 $31,588.65 2026-05-17
668 CPT Transurethral Procedures With Comorbity 12 11 — — $28,158.29 $59,280.62 $29,640.31 2026-05-17
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 12 11 — — $39,948.26 $84,101.60 $42,050.80 2026-05-17
674 CPT Other Kidney & Urinary Tract Procedures With Complication 12 11 — — $22,809.77 $48,020.56 $24,010.28 2026-05-17
7 CPT Lung Transplant 12 11 — — $120,430.28 $253,537.44 $126,768.72 2026-05-17
707 CPT Major Male Pelvic Procedures With Cc/mcc 12 11 — — $19,697.59 $41,468.62 $20,734.31 2026-05-17
709 CPT Penis Procedures With Cc/mcc 12 11 — — $22,703.98 $47,797.86 $23,898.93 2026-05-17
711 CPT Testes Procedures With Cc/mcc 12 11 — — $20,465.75 $43,085.78 $21,542.89 2026-05-17
715 CPT Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 12 11 — — $21,877.86 $46,058.66 $23,029.33 2026-05-17
734 CPT Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 12 11 — — $20,890.77 $43,980.56 $21,990.28 2026-05-17
736 CPT Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 11 — — $34,179.31 $71,956.44 $35,978.22 2026-05-17
737 CPT Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 12 11 — — $20,252.33 $42,636.48 $21,318.24 2026-05-17
739 CPT Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 11 — — $34,255.66 $72,117.18 $36,058.59 2026-05-17
744 CPT D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 12 11 — — $20,146.54 $42,413.76 $21,206.88 2026-05-17
749 CPT Other Female Reproductive System O.r. Procedures With Cc/mcc 12 11 — — $24,916.42 $52,455.62 $26,227.81 2026-05-17
783 CPT Cesarean Section With Sterilization With Mcc 12 11 — — $19,220.49 $50,276.84 $25,138.42 2026-05-17
790 CPT Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 11 — — $55,972.73 $117,837.32 $58,918.66 2026-05-17
791 CPT Prematurity With Major Problems 12 11 — — $38,636.42 $81,339.84 $40,669.92 2026-05-17
792 CPT Prematurity Without Major Problems 12 11 — — $23,827.21 $50,162.54 $25,081.27 2026-05-17
793 CPT Full Term Neonate With Major Problems 12 11 — — $39,653.88 $83,481.86 $41,740.93 2026-05-17
799 CPT Splenic Procedures With Mcc 12 11 — — $42,959.24 $90,440.50 $45,220.25 2026-05-17
8 CPT Simultaneous Pancreas And Kidney Transplant 12 11 — — $52,855.06 $111,273.80 $55,636.90 2026-05-17
800 CPT Splenic Procedures With Cc 12 11 — — $27,140.84 $57,138.62 $28,569.31 2026-05-17
802 CPT Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 11 — — $36,777.97 $79,889.24 $39,944.62 2026-05-17
808 CPT Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 11 — — $21,607.40 $45,489.26 $22,744.63 2026-05-17
814 CPT Reticuloendothelial And Immunity Disorders With Mcc 12 11 — — $20,860.41 $43,916.66 $21,958.33 2026-05-17
817 CPT Other Antepartum Diagnoses With O.r. Procedure With Comorbity 12 11 — — $22,285.39 $46,916.62 $23,458.31 2026-05-17
82 CPT Traumatic Stupor & Coma; Coma >1 Hr With Comorbity 12 11 — — $22,322.19 $46,994.08 $23,497.04 2026-05-17
820 CPT Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 11 — — $55,248.74 $116,313.14 $58,156.57 2026-05-17
821 CPT Lymphoma And Leukemia With Major O.r. Procedures With Cc 12 11 — — $21,889.81 $46,083.82 $23,041.91 2026-05-17
823 CPT Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 11 — — $43,473.48 $91,523.12 $45,761.56 2026-05-17
824 CPT Lymphoma And Non-acute Leukemia With Other Procedures With Cc 12 11 — — $22,138.21 $46,606.76 $23,303.38 2026-05-17
826 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 11 — — $44,329.03 $93,324.28 $46,662.14 2026-05-17
827 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 11 — — $22,557.68 $47,489.86 $23,744.93 2026-05-17
829 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 11 — — $30,366.16 $63,928.76 $31,964.38 2026-05-17
834 CPT Acute Leukemia With Mcc 12 11 — — $51,799.88 $109,052.38 $54,526.19 2026-05-17
835 CPT Acute Leukemia With Cc 12 11 — — $20,484.16 $43,124.54 $21,562.27 2026-05-17
837 CPT Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 11 — — $45,492.75 $95,774.22 $47,887.11 2026-05-17
838 CPT Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 12 11 — — $20,498.86 $43,155.50 $21,577.75 2026-05-17
840 CPT Lymphoma And Non-acute Leukemia With Mcc 12 11 — — $31,055.20 $65,379.36 $32,689.68 2026-05-17
843 CPT Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 12 11 — — $19,647.00 $41,362.10 $20,681.05 2026-05-17
846 CPT Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 12 11 — — $25,145.48 $52,937.86 $26,468.93 2026-05-17
849 CPT Radiotherapy 12 11 — — $26,221.82 $55,203.84 $27,601.92 2026-05-17
85 CPT Traumatic Stupor And Coma <1 Hour With Mcc 12 11 — — $22,196.16 $46,728.76 $23,364.38 2026-05-17
850 CPT Acute Leukemia With Other Procedures 11 10 — — $80,958.34 $170,438.60 $85,219.30 2026-05-17
853 CPT Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 12 11 — — $46,728.25 $98,375.26 $49,187.63 2026-05-17
854 CPT Infectious & Parasitic Diseases With O.r. Procedure With Complication 12 11 — — $19,677.36 $41,426.02 $20,713.01 2026-05-17
856 CPT Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 12 11 — — $43,141.37 $90,823.94 $45,411.97 2026-05-17
857 CPT Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 12 11 — — $20,996.54 $44,203.24 $22,101.62 2026-05-17
867 CPT Other Infectious And Parasitic Diseases Diagnoses With Mcc 12 11 — — $20,552.24 $43,267.88 $21,633.94 2026-05-17
870 CPT Septicemia Or Severe Sepsis With Mv >96 Hours 12 11 — — $64,880.52 $136,590.56 $68,295.28 2026-05-17
876 CPT O.r. Procedures With Principal Diagnosis Of Mental Illness 12 11 — — $36,850.83 $77,580.70 $38,790.35 2026-05-17
886 CPT Behavioral And Developmental Disorders 12 11 — — $18,243.08 $42,921.18 $21,460.59 2026-05-17
901 CPT Wound Debridements For Injuries With Mcc 12 11 — — $39,902.27 $84,004.78 $42,002.39 2026-05-17
904 CPT Skin Grafts For Injuries With Cc/mcc 12 11 — — $35,086.37 $73,866.04 $36,933.02 2026-05-17
907 CPT Other O.r. Procedures For Injuries With Comorbity 12 11 — — $36,615.32 $77,084.88 $38,542.44 2026-05-17
908 CPT Other O.r. Procedures For Injuries With Cc 12 11 — — $19,650.68 $41,369.86 $20,684.93 2026-05-17
927 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 11 — — $197,708.12 $416,227.62 $208,113.81 2026-05-17
928 CPT Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 11 — — $67,280.65 $141,643.48 $70,821.74 2026-05-17
929 CPT Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 12 11 — — $30,925.47 $65,106.26 $32,553.13 2026-05-17
933 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 11 — — $32,891.14 $78,148.14 $39,074.07 2026-05-17
934 CPT Full Thickness Burn Without Skin Graft Or Inhalation Injury 12 11 — — $21,632.23 $45,541.54 $22,770.77 2026-05-17
935 CPT Non-extensive Burns 12 11 — — $20,246.80 $42,624.84 $21,312.42 2026-05-17
939 CPT O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 11 — — $34,676.09 $73,002.30 $36,501.15 2026-05-17
94 CPT Bacterial & Tuberculous Infections Of Nervous System With Comorbity 12 11 — — $33,672.43 $70,889.32 $35,444.66 2026-05-17
940 CPT O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 12 11 — — $22,794.13 $47,987.64 $23,993.82 2026-05-17
941 CPT O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 12 11 — — $19,949.67 $41,999.30 $20,999.65 2026-05-17
95 CPT Bacterial And Tuberculous Infections Of Nervous System With Cc 12 11 — — $25,023.15 $52,680.32 $26,340.16 2026-05-17
955 CPT Craniotomy For Multiple Significant Trauma 12 11 — — $63,218.19 $133,090.92 $66,545.46 2026-05-17
956 CPT Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma 12 11 — — $35,913.41 $75,607.18 $37,803.59 2026-05-17
957 CPT Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 11 — — $71,394.62 $150,304.46 $75,152.23 2026-05-17
958 CPT Other O.r. Procedures For Multiple Significant Trauma With Cc 12 11 — — $40,061.42 $84,339.84 $42,169.92 2026-05-17
959 CPT Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 12 11 — — $27,471.48 $59,747.40 $29,873.70 2026-05-17
96 CPT Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 12 11 — — $23,645.39 $52,680.32 $26,340.16 2026-05-17
963 CPT Other Multiple Significant Trauma With Mcc 12 11 — — $26,445.37 $55,674.46 $27,837.23 2026-05-17
969 CPT HIV With Extensive O.r. Procedures With Mcc 12 11 — — $57,608.39 $121,280.82 $60,640.41 2026-05-17
97 CPT Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 11 — — $34,522.46 $72,678.86 $36,339.43 2026-05-17
970 CPT HIV With Extensive O.r. Procedures Without Mcc 12 11 — — $25,558.54 $53,807.46 $26,903.73 2026-05-17
974 CPT HIV With Major Related Condition With Mcc 12 11 — — $27,845.53 $58,622.16 $29,311.08 2026-05-17
98 CPT Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Complication 12 11 — — $22,407.75 $47,174.22 $23,587.11 2026-05-17
981 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 12 11 — — $44,457.82 $93,595.42 $46,797.71 2026-05-17
982 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 12 11 — — $23,912.76 $50,342.66 $25,171.33 2026-05-17
987 CPT Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 12 11 — — $32,835.28 $69,126.90 $34,563.45 2026-05-17
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