Hospital

GUNNISON VALLEY HOSPITAL

Gunnison, CO · CCN 061320 · Rates published

2,648 distinct procedures filed

23 distinct payers

85,077 rate rows

2026-07-10 last MRF observed

Data quality

84,262 of 85,077 rate rows are consumer-grade (99.0%)

815 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	720
per-diem day rate — not a per-procedure price	55
percent-of-charges filed in the dollar field — excluded from medians	38
exceeds 10× this hospital's gross charge — excluded from medians	2

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

Source MRF file	https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbGVHGUNNISONCO&type=CDMWithoutLabel&fileType=CSV
Found on page	https://www.gunnisonvalleyhealth.org/patient-resources/estimates-for-services/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-13
Content fingerprint	06cdad856b0e5470… · 36,142,012 bytes · first seen 2026-07-17

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
Q4104 HCPCS	Integra Bilayer Matrix Wound Dressing (bmwd), Per Square Centimeter	19	$12,447.47	$24,894.94	$21,592.55	nat. median $1,013 outlier · 21.3×
J3245 HCPCS	Injection, Tildrakizumab, 1 Mg	15	$7,177.99	$13,984.00	$11,886.40	nat. median $217 outlier · 54.8×
58670 HCPCS	Destruction Of Fallopian Tubes Using An Endoscope	20	$5,726.64	$13,559.28	$11,414.70	nat. median $6,176 1.8× median
27446 HCPCS	Replacement Of Knee Joint On Side Of Knee	20	$1,052.12	$22,394.96	$11,197.48	nat. median $12,905 0.9× median
27130 HCPCS	Replacement Of Thigh Bone And Hip Joint With Prosthesis	20	$1,164.91	$22,394.96	$11,170.95	nat. median $12,734 0.9× median
47563 HCPCS	Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope	20	$680.98	$18,011.42	$10,764.60	nat. median $6,246 1.7× median
27659 HCPCS	Secondary Repair Of Tendon On Back Of Leg	20	$5,633.04	$11,266.09	$9,924.51	nat. median $5,526 1.8× median
Q4118 HCPCS	Matristem Micromatrix, 1 Mg	15	$4,477.00	$8,722.00	$7,413.70	nat. median $255 outlier · 29.1×
27415 HCPCS	Implantation Of Donor Cartilage Cells Into Knee Joint	20	$1,266.00	$22,394.96	$7,388.20	nat. median $9,751 0.8× median
29867 HCPCS	Repair Of Knee Cartilage And Bone With Donor Cartilage Graft Using An Endoscope	20	$1,186.81	$22,394.96	$7,388.20	nat. median $12,228 0.6× median
44207 HCPCS	Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope	19	$1,640.73	$9,041.00	$7,232.80	nat. median $4,397 1.6× median
29888 HCPCS	Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope	20	$896.28	$11,393.48	$6,963.71	nat. median $7,221 1.0× median
21610 HCPCS	Partial Removal Of Rib And Spine Bone At Joint	20	$3,925.39	$7,850.78	$6,690.19	nat. median $3,399 2.0× median
Q4166 HCPCS	Cytal, Per Square Centimeter	18	$135.40	$8,326.00	$6,660.80	nat. median $753 outlier · 8.8×
59510 HCPCS	Cesarean Delivery With Care Before And After Delivery	19	$2,437.45	$8,208.00	$6,566.40	nat. median $3,349 2.0× median
36558 HCPCS	Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older)	20	$2,817.18	$7,607.74	$6,404.48	nat. median $3,467 1.8× median
59610 HCPCS	Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli…	19	$2,295.06	$7,737.00	$6,189.60	nat. median $3,150 2.0× median
27829 HCPCS	Treatment Of Ligament Tear At Ankle Joint	20	$685.79	$19,351.08	$5,967.63	nat. median $6,837 0.9× median
27416 HCPCS	Implantation Of Self Cartilage Cells Into Knee Bone	20	$908.48	$11,393.48	$5,922.00	nat. median $6,844 0.9× median
49591 HCPCS	Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length	20	$311.66	$18,011.42	$5,821.79	nat. median $3,980 1.5× median
27524 HCPCS	Treatment Of Broken Kneecap With Placement Of Stabilizing Device And/or Removal…	20	$712.71	$11,393.48	$5,696.74	nat. median $7,141 0.8× median
29899 HCPCS	Fusion Of Ankle Joint Using An Endoscope	20	$928.54	$11,393.48	$5,696.74	nat. median $7,165 0.8× median
27690 HCPCS	Transfer Of Tendon And Muscle Rerouting At Lower Leg Or Ankle	20	$618.77	$11,393.48	$5,696.74	nat. median $6,966 0.8× median
29828 HCPCS	Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope	20	$851.03	$11,393.48	$5,696.74	nat. median $7,292 0.8× median
23180 HCPCS	Partial Removal Of Infected Collar Bone	20	$664.10	$11,393.48	$5,696.74	nat. median $5,716 1.0× median
23455 HCPCS	Reattachment Of Shoulder Joint Capsule And Cartilage Without Bone Transfer With…	20	$886.15	$11,393.48	$5,696.74	nat. median $6,733 0.8× median
27695 HCPCS	Primary Repair Of Disrupted Ankle Ligament	20	$473.95	$11,393.48	$5,696.74	nat. median $6,613 0.9× median
28456 HCPCS	Placement Of Stabilizing Device For Broken Foot Joint With Manipulation	20	$397.56	$11,393.48	$5,696.74	nat. median $6,750 0.8× median
27705 HCPCS	Incision Or Partial Removal Of Shin Bone	20	$700.15	$11,393.48	$5,696.74	nat. median $5,893 1.0× median
27422 HCPCS	Repair Of Dislocating Kneecap With Realignment	20	$706.52	$11,393.48	$5,696.74	nat. median $6,837 0.8× median
27566 HCPCS	Treatment Of Dislocated Kneecap	20	$833.20	$11,393.48	$5,696.74	nat. median $6,476 0.9× median
28750 HCPCS	Fusion Of Big Toe At Joint With Foot	20	$544.87	$11,393.48	$5,696.74	nat. median $7,165 0.8× median
27665 HCPCS	Secondary Repair Of Tendon On Front Of Leg	20	$407.39	$11,393.48	$5,696.74	nat. median $6,168 0.9× median
27676 HCPCS	Repair Of Dislocated Lower Leg Tendons By Incision Or Partial Removal Of Lower L…	20	$582.14	$11,393.48	$5,696.74	nat. median $6,837 0.8× median
27438 HCPCS	Repair Of Kneecap With Prosthesis	20	$788.86	$12,366.77	$5,696.74	nat. median $11,428 outlier · 0.5×
23405 HCPCS	Incision Of Shoulder Tendon	20	$582.05	$11,393.48	$5,696.74	nat. median $4,789 1.2× median
27420 HCPCS	Repair Of Dislocating Kneecap	20	$712.72	$11,393.48	$5,696.74	nat. median $5,935 1.0× median
27654 HCPCS	Secondary Repair Of Ruptured Achilles Tendon	20	$686.15	$11,393.48	$5,696.74	nat. median $7,221 0.8× median
27427 HCPCS	Reconstruction Of Ligaments Outside Knee Joint	20	$670.82	$11,393.48	$5,683.26	nat. median $6,955 0.8× median
29827 HCPCS	Repair Of Shoulder Rotator Cuff Using An Endoscope	20	$983.56	$11,393.48	$5,683.26	nat. median $7,413 0.8× median
44143 HCPCS	Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin	19	$1,519.28	$7,039.00	$5,631.20	nat. median $4,010 1.4× median
27236 HCPCS	Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device…	20	$1,095.68	$11,393.48	$5,619.37	nat. median $5,528 1.0× median
44205 HCPCS	Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…	19	$1,220.57	$6,836.00	$5,468.80	nat. median $4,076 1.3× median
27506 HCPCS	Treatment Of Broken Shaft Of Thigh Bone With Implant	20	$1,230.05	$11,393.48	$5,459.85	nat. median $5,550 1.0× median
27650 HCPCS	Repair Of Ruptured Achilles Tendon	20	$634.91	$11,393.48	$5,447.65	nat. median $6,837 0.8× median
44970 HCPCS	Removal Of Appendix Using An Endoscope	20	$576.68	$18,011.42	$5,311.49	nat. median $6,065 0.9× median
44204 HCPCS	Partial Removal Of Large Bowel Using An Endoscope	20	$1,404.54	$6,531.00	$5,192.98	nat. median $4,854 1.1× median
64834 HCPCS	Suture Of Hand Or Foot Common Sensory Nerve	20	$667.73	$10,365.46	$5,182.73	nat. median $4,485 1.2× median
44140 HCPCS	Partial Removal Of Large Bowel With Connection	19	$1,240.90	$6,395.00	$5,116.00	nat. median $3,357 1.5× median
44160 HCPCS	Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…	19	$1,149.71	$6,395.00	$5,116.00	nat. median $3,388 1.5× median

Other procedures at this hospital

Browse this hospital's 2,648 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

Q4104	HCPCS	Integra Bilayer Matrix Wound Dressing (bmwd), Per Square Centimeter	19	19	$25,403.00	$21,592.55	$12,447.47	$24,894.94	$21,592.55	2026-07-10
J3245	HCPCS	Injection, Tildrakizumab, 1 Mg	15	15	$13,984.00	$11,886.40	$7,177.99	$13,984.00	$11,886.40	2026-07-10
58670	HCPCS	Destruction Of Fallopian Tubes Using An Endoscope	20	20	$13,836.00	$11,760.60	$5,726.64	$13,559.28	$11,414.70	2026-07-10
27446	HCPCS	Replacement Of Knee Joint On Side Of Knee	39	20	$22,852.00	$19,424.20	$1,052.12	$22,394.96	$11,197.48	2026-07-10
27130	HCPCS	Replacement Of Thigh Bone And Hip Joint With Prosthesis	73	20	$21,763.00	$18,498.55	$1,164.91	$22,394.96	$11,170.95	2026-07-10
47563	HCPCS	Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope	58	20	$17,503.00	$14,877.55	$680.98	$18,011.42	$10,764.60	2026-07-10
27659	HCPCS	Secondary Repair Of Tendon On Back Of Leg	20	20	$11,496.01	$9,771.61	$5,633.04	$11,266.09	$9,924.51	2026-07-10
Q4118	HCPCS	Matristem Micromatrix, 1 Mg	15	15	$8,722.00	$7,413.70	$4,477.00	$8,722.00	$7,413.70	2026-07-10
29867	HCPCS	Repair Of Knee Cartilage And Bone With Donor Cartilage Graft Using An Endoscope	39	20	$22,852.00	$19,424.20	$1,186.81	$22,394.96	$7,388.20	2026-07-10
27415	HCPCS	Implantation Of Donor Cartilage Cells Into Knee Joint	39	20	$22,852.00	$19,424.20	$1,266.00	$22,394.96	$7,388.20	2026-07-10
44207	HCPCS	Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope	19	19	$9,041.00	$7,684.85	$1,640.73	$9,041.00	$7,232.80	2026-07-10
29888	HCPCS	Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope	73	20	$11,072.00	$9,411.20	$896.28	$11,393.48	$6,963.71	2026-07-10
21610	HCPCS	Partial Removal Of Rib And Spine Bone At Joint	20	20	$8,011.00	$6,809.35	$3,925.39	$7,850.78	$6,690.19	2026-07-10
Q4166	HCPCS	Cytal, Per Square Centimeter	18	18	$8,326.00	$7,077.10	$135.40	$8,326.00	$6,660.80	2026-07-10
59510	HCPCS	Cesarean Delivery With Care Before And After Delivery	19	19	$8,208.00	$6,976.80	$2,437.45	$8,208.00	$6,566.40	2026-07-10
36558	HCPCS	Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older)	20	20	$7,763.00	$6,598.55	$2,817.18	$7,607.74	$6,404.48	2026-07-10
59610	HCPCS	Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli…	19	19	$7,737.00	$6,576.45	$2,295.06	$7,737.00	$6,189.60	2026-07-10
27829	HCPCS	Treatment Of Ligament Tear At Ankle Joint	73	20	$11,626.00	$9,882.10	$685.79	$19,351.08	$5,967.63	2026-07-10
27416	HCPCS	Implantation Of Self Cartilage Cells Into Knee Bone	39	20	$11,626.00	$9,882.10	$908.48	$11,393.48	$5,922.00	2026-07-10
49591	HCPCS	Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length	39	20	$18,379.00	$15,622.15	$311.66	$18,011.42	$5,821.79	2026-07-10
27690	HCPCS	Transfer Of Tendon And Muscle Rerouting At Lower Leg Or Ankle	39	20	$11,626.00	$9,882.10	$618.77	$11,393.48	$5,696.74	2026-07-10
23180	HCPCS	Partial Removal Of Infected Collar Bone	39	20	$11,626.00	$9,882.10	$664.10	$11,393.48	$5,696.74	2026-07-10
27676	HCPCS	Repair Of Dislocated Lower Leg Tendons By Incision Or Partial Removal Of Lower L…	39	20	$11,626.00	$9,882.10	$582.14	$11,393.48	$5,696.74	2026-07-10
27422	HCPCS	Repair Of Dislocating Kneecap With Realignment	39	20	$11,626.00	$9,882.10	$706.52	$11,393.48	$5,696.74	2026-07-10
27705	HCPCS	Incision Or Partial Removal Of Shin Bone	39	20	$11,626.00	$9,882.10	$700.15	$11,393.48	$5,696.74	2026-07-10
23455	HCPCS	Reattachment Of Shoulder Joint Capsule And Cartilage Without Bone Transfer With …	39	20	$11,626.00	$9,882.10	$886.15	$11,393.48	$5,696.74	2026-07-10
27654	HCPCS	Secondary Repair Of Ruptured Achilles Tendon	39	20	$11,626.00	$9,882.10	$686.15	$11,393.48	$5,696.74	2026-07-10
29828	HCPCS	Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope	39	20	$11,626.00	$9,882.10	$851.03	$11,393.48	$5,696.74	2026-07-10
28750	HCPCS	Fusion Of Big Toe At Joint With Foot	39	20	$11,626.00	$9,882.10	$544.87	$11,393.48	$5,696.74	2026-07-10
28456	HCPCS	Placement Of Stabilizing Device For Broken Foot Joint With Manipulation	39	20	$11,626.00	$9,882.10	$397.56	$11,393.48	$5,696.74	2026-07-10
27566	HCPCS	Treatment Of Dislocated Kneecap	39	20	$11,626.00	$9,882.10	$833.20	$11,393.48	$5,696.74	2026-07-10
27665	HCPCS	Secondary Repair Of Tendon On Front Of Leg	39	20	$11,626.00	$9,882.10	$407.39	$11,393.48	$5,696.74	2026-07-10
27695	HCPCS	Primary Repair Of Disrupted Ankle Ligament	39	20	$11,626.00	$9,882.10	$473.95	$11,393.48	$5,696.74	2026-07-10
27420	HCPCS	Repair Of Dislocating Kneecap	39	20	$11,626.00	$9,882.10	$712.72	$11,393.48	$5,696.74	2026-07-10
27524	HCPCS	Treatment Of Broken Kneecap With Placement Of Stabilizing Device And/or Removal …	39	20	$11,626.00	$9,882.10	$712.71	$11,393.48	$5,696.74	2026-07-10
23405	HCPCS	Incision Of Shoulder Tendon	39	20	$11,626.00	$9,882.10	$582.05	$11,393.48	$5,696.74	2026-07-10
29899	HCPCS	Fusion Of Ankle Joint Using An Endoscope	39	20	$11,626.00	$9,882.10	$928.54	$11,393.48	$5,696.74	2026-07-10
27438	HCPCS	Repair Of Kneecap With Prosthesis	39	20	$11,626.00	$9,882.10	$788.86	$12,366.77	$5,696.74	2026-07-10
27427	HCPCS	Reconstruction Of Ligaments Outside Knee Joint	73	20	$11,072.00	$9,411.20	$670.82	$11,393.48	$5,683.26	2026-07-10
29827	HCPCS	Repair Of Shoulder Rotator Cuff Using An Endoscope	73	20	$11,072.00	$9,411.20	$983.56	$11,393.48	$5,683.26	2026-07-10
44143	HCPCS	Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin	19	19	$7,039.00	$5,983.15	$1,519.28	$7,039.00	$5,631.20	2026-07-10
27236	HCPCS	Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device…	54	20	$6,520.00	$5,542.00	$1,095.68	$11,393.48	$5,619.37	2026-07-10
44205	HCPCS	Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…	19	19	$6,836.00	$5,810.60	$1,220.57	$6,836.00	$5,468.80	2026-07-10
27506	HCPCS	Treatment Of Broken Shaft Of Thigh Bone With Implant	54	20	$6,618.00	$5,625.30	$1,230.05	$11,393.48	$5,459.85	2026-07-10
27650	HCPCS	Repair Of Ruptured Achilles Tendon	73	20	$10,613.00	$9,021.05	$634.91	$11,393.48	$5,447.65	2026-07-10
44970	HCPCS	Removal Of Appendix Using An Endoscope	39	20	$18,379.00	$15,622.15	$576.68	$18,011.42	$5,311.49	2026-07-10
44204	HCPCS	Partial Removal Of Large Bowel Using An Endoscope	39	20	$5,924.00	$5,035.40	$1,404.54	$6,531.00	$5,192.98	2026-07-10
64834	HCPCS	Suture Of Hand Or Foot Common Sensory Nerve	39	20	$10,577.00	$8,990.45	$667.73	$10,365.46	$5,182.73	2026-07-10
44140	HCPCS	Partial Removal Of Large Bowel With Connection	19	19	$6,395.00	$5,435.75	$1,240.90	$6,395.00	$5,116.00	2026-07-10
44160	HCPCS	Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…	19	19	$6,395.00	$5,435.75	$1,149.71	$6,395.00	$5,116.00	2026-07-10
27386	HCPCS	Secondary Suture Of Ruptured Muscle Of Thigh	39	20	$11,626.00	$9,882.10	$819.14	$11,393.48	$5,060.09	2026-07-10
27176	HCPCS	Treatment Of Growth Plate At Top Of Thigh With Pins Inserted Through Skin'	39	20	$22,852.00	$19,424.20	$864.35	$22,394.96	$5,060.09	2026-07-10
27430	HCPCS	Repair Of Muscle Group Above Knee Joint	39	20	$11,626.00	$9,882.10	$706.76	$11,393.48	$5,060.09	2026-07-10
49650	HCPCS	Repair Of Groin Hernia Using An Endoscope	39	20	$18,379.00	$15,622.15	$425.16	$18,011.42	$4,962.00	2026-07-10
25320	HCPCS	Reconstruction Of Wrist Joint	54	20	$5,669.00	$4,818.65	$855.67	$11,393.48	$4,894.05	2026-07-10
44626	HCPCS	Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An…	19	19	$6,796.00	$5,776.60	$1,270.40	$6,524.16	$4,757.20	2026-07-10
27759	HCPCS	Treatment Of Broken Part Of Shin Bone With Rod	54	20	$5,442.00	$4,625.70	$924.41	$22,394.96	$4,698.08	2026-07-10
44202	HCPCS	Partial Removal And Reconnection Of Small Bowel Using An Endoscope	19	19	$5,864.00	$4,984.40	$1,278.98	$5,864.00	$4,691.20	2026-07-10
27405	HCPCS	Primary Repair Of Torn Ligament Or Joint Capsule At Outside Part Of Knee	54	20	$4,896.00	$4,161.60	$645.69	$11,393.48	$4,650.73	2026-07-10
110041_1	CDM	Hb Limited Trauma Activation (level IV Trauma Center) Non-ems Arrival	19	19	$5,470.00	$4,649.50	$2,680.30	$5,360.60	$4,649.50	2026-07-10
G0390	HCPCS	Trauma Response Team Associated With Hospital Critical Care Service	19	19	$5,470.00	$4,649.50	$2,680.30	$5,360.60	$4,649.50	2026-07-10
110043_1	CDM	Hb Full Trauma Activation (level IV Trauma Center) Non-ems Arrival	19	19	$5,470.00	$4,649.50	$2,680.30	$5,360.60	$4,649.50	2026-07-10
23410	HCPCS	Repair Of Acute Torn Shoulder Rotator Cuff	54	20	$5,339.00	$4,538.15	$772.80	$11,393.48	$4,609.16	2026-07-10
14041	HCPCS	Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han…	39	20	$10,032.00	$8,527.20	$663.98	$9,831.36	$4,518.00	2026-07-10
24101	HCPCS	Incision And Exploration Of Elbow Joint	20	20	$5,460.00	$4,641.00	$2,271.28	$5,350.80	$4,504.50	2026-07-10
27758	HCPCS	Treatment Broken Middle Part Of Shin Bone With Plate Or Screws	54	20	$5,067.00	$4,306.95	$841.15	$22,394.96	$4,374.34	2026-07-10
26356	HCPCS	Primary Repair Of Finger Tendon On Underside Of The Hand Without A Graft In Zone…	39	20	$5,790.00	$4,921.50	$768.64	$5,674.20	$4,347.75	2026-07-10
27350	HCPCS	Removal Of Kneecap	39	20	$11,626.00	$9,882.10	$628.66	$11,393.48	$4,306.94	2026-07-10
27664	HCPCS	Primary Repair Of Tendon On Front Of Leg	39	20	$11,626.00	$9,882.10	$351.33	$11,393.48	$4,306.94	2026-07-10
44206	HCPCS	Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin…	19	19	$5,295.00	$4,500.75	$1,590.54	$5,295.00	$4,236.00	2026-07-10
14301	HCPCS	Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm	19	19	$5,205.00	$4,424.25	$776.69	$5,205.00	$4,164.00	2026-07-10
23472	HCPCS	Prosthetic Repair Of Shoulder Joint, Total Shoulder	54	20	$4,818.00	$4,095.30	$1,304.82	$22,394.96	$4,159.38	2026-07-10
47564	HCPCS	Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope	19	19	$5,152.00	$4,379.20	$1,055.45	$5,152.00	$4,121.60	2026-07-10
21930	HCPCS	Removal Of Growth Under Skin Of Back Or Lower Sides, Less Than 3.0 Cm	19	19	$5,105.00	$4,339.25	$355.38	$5,105.00	$4,084.00	2026-07-10
44005	HCPCS	Release Of Intestinal Scar Tissue	19	19	$5,072.00	$4,311.20	$1,011.53	$5,072.00	$4,057.60	2026-07-10
95716	HCPCS	Measurement Of Brain Wave Activity With Video (veeg), 12-26 Hours With Continuou…	20	20	$4,911.00	$4,174.35	$629.33	$4,812.78	$4,051.58	2026-07-10
41805	HCPCS	Removal Of Embedded Foreign Body In Soft Tissue Of Tooth Bearing Bone	39	20	$4,619.00	$3,926.15	$199.92	$6,445.00	$4,049.02	2026-07-10
29846	HCPCS	Removal Or Repair Of Wrist Cartilage Using An Endoscope	39	20	$5,790.00	$4,921.50	$495.35	$5,674.20	$4,040.25	2026-07-10
C2631	HCPCS	Repair Device, Urinary, Incontinence, Without Sling Graft	19	19	$4,743.00	$4,031.55	$2,324.07	$4,648.14	$4,031.55	2026-07-10
29824	HCPCS	Partial Removal Of Collar Bone At Shoulder Using An Endoscope	73	20	$7,844.00	$6,667.40	$648.00	$8,072.26	$4,026.33	2026-07-10
29823	HCPCS	Removal Of Extensive Shoulder Joint Tissue Using An Endoscope	73	20	$7,844.00	$6,667.40	$566.30	$8,072.26	$4,026.33	2026-07-10
58563	HCPCS	Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope	19	19	$5,028.00	$4,273.80	$216.06	$5,028.00	$4,022.40	2026-07-10
27822	HCPCS	Treatment Of 3 Broken Lower Leg Bones At Ankle	54	20	$4,636.00	$3,940.60	$840.01	$11,393.48	$4,002.26	2026-07-10
29891	HCPCS	Removal Of Shin And/or Ankle Bone Defect Using An Endoscope	54	20	$4,955.00	$4,211.75	$643.30	$8,072.26	$4,000.07	2026-07-10
25337	HCPCS	Repair Of Tendons Of Outer Forearm At Wrist Joint	54	20	$4,622.00	$3,928.70	$774.57	$11,393.48	$3,990.18	2026-07-10
47562	HCPCS	Removal Of Gallbladder Using An Endoscope	19	19	$4,962.00	$4,217.70	$629.42	$4,962.00	$3,969.60	2026-07-10
59400	HCPCS	Vaginal Delivery With Care Before And After Delivery	19	19	$4,962.00	$4,217.70	$2,192.31	$4,962.00	$3,969.60	2026-07-10
27487	HCPCS	Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis	19	19	$4,940.00	$4,199.00	$1,576.45	$4,940.00	$3,952.00	2026-07-10
38510	HCPCS	Biopsy Or Removal Of Deep Lymph Nodes Of Neck	39	20	$8,042.00	$6,835.70	$378.88	$7,881.16	$3,940.58	2026-07-10
14061	HCPCS	Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.1-30.0 …	19	19	$4,864.00	$4,134.40	$711.46	$4,864.00	$3,891.20	2026-07-10
44180	HCPCS	Release Of Small Bowel Scar Tissue Using An Endoscope	19	19	$4,851.00	$4,123.35	$858.05	$4,851.00	$3,880.80	2026-07-10
49507	HCPCS	Repair Of Trapped Groin Hernia (5 Years Or Older)	19	19	$4,851.00	$4,123.35	$567.19	$4,851.00	$3,880.80	2026-07-10
25609	HCPCS	Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri…	54	20	$4,457.00	$3,788.45	$979.92	$11,393.48	$3,847.73	2026-07-10
29819	HCPCS	Removal Of Loose Or Foreign Body In Shoulder Joint Using An Endoscope	39	20	$6,287.00	$5,343.95	$557.94	$6,161.26	$3,838.63	2026-07-10
24342	HCPCS	Reinsertion Of Torn Upper Arm Tendon	54	20	$4,441.00	$3,774.85	$723.61	$11,393.48	$3,833.91	2026-07-10
670506_1	CDM	Hb Jada System Intrauterine Haemostatic Suction Catheter	19	19	$4,466.00	$3,796.10	$2,188.34	$4,376.68	$3,796.10	2026-07-10
A0434	HCPCS	Specialty Care Transport (sct)	19	19	$4,455.00	$3,786.75	$2,182.95	$4,365.90	$3,786.75	2026-07-10
29881	HCPCS	Removal Of Knee Cartilage Using An Endoscope	73	20	$5,987.00	$5,088.95	$523.58	$6,161.26	$3,772.20	2026-07-10
29882	HCPCS	Repair Of Inside Or Outside Knee Joint Cartilage Using An Endoscope	73	20	$5,987.00	$5,088.95	$649.21	$6,161.26	$3,772.20	2026-07-10
29877	HCPCS	Removal Or Shaving Of Knee Joint Cartilage Using An Endoscope	69	20	$6,287.00	$5,343.95	$594.67	$6,287.00	$3,772.20	2026-07-10
27535	HCPCS	Treatment Of Broken Side Of Upper End Of Shin Bone	54	20	$4,352.00	$3,699.20	$818.80	$11,393.48	$3,757.08	2026-07-10
29883	HCPCS	Repair Of Inside And Outside Knee Joint Cartilage Using An Endoscope	54	20	$6,123.00	$5,204.55	$793.50	$6,161.26	$3,723.00	2026-07-10
29880	HCPCS	Removal Of Both Knee Cartilages Using An Endoscope	54	20	$6,042.00	$5,135.70	$540.78	$6,161.26	$3,698.70	2026-07-10
29894	HCPCS	Removal Of Loose Or Foreign Body In Ankle Using An Endoscope	39	20	$5,790.00	$4,921.50	$481.56	$5,674.20	$3,697.50	2026-07-10
27447	HCPCS	Replacement Of Knee Joint, Both Sides Of Knee	54	20	$4,275.00	$3,633.75	$1,162.35	$22,394.96	$3,690.61	2026-07-10
23430	HCPCS	Anchoring Of Biceps Tendon	54	20	$4,233.00	$3,598.05	$704.94	$11,393.48	$3,654.35	2026-07-10
33300	HCPCS	Repair Of Wound To Heart	39	20	$3,843.00	$3,266.55	$1,883.07	$14,708.17	$3,650.85	2026-07-10
24341	HCPCS	Repair Of Tendon Or Muscle Of Upper Arm Or Elbow	54	20	$4,197.00	$3,567.45	$646.24	$11,393.48	$3,623.27	2026-07-10
23440	HCPCS	Removal Or Relocation Of Biceps Tendon	39	20	$7,387.00	$6,278.95	$707.79	$7,239.26	$3,619.63	2026-07-10
23485	HCPCS	Incision Or Partial Removal Of Collar Bone With Bone Graft	54	20	$4,181.00	$3,553.85	$877.56	$22,394.96	$3,609.45	2026-07-10
29897	HCPCS	Removal Of Limited Dead Or Infected Tissue Using An Endoscope	39	20	$5,790.00	$4,921.50	$471.33	$5,674.20	$3,537.08	2026-07-10
26746	HCPCS	Treatment Of Broken Finger Or Hand At Base Of Finger	39	20	$7,200.00	$6,120.00	$698.64	$7,130.41	$3,528.00	2026-07-10
28505	HCPCS	Treatment Of Broken Great Toe	39	20	$7,200.00	$6,120.00	$479.17	$7,130.41	$3,528.00	2026-07-10
27605	HCPCS	Incision Of Achilles Tendon Using Local Anesthetic	39	20	$3,694.00	$3,139.90	$176.85	$6,275.00	$3,509.30	2026-07-10
25525	HCPCS	Treatment Of Broken Midpart Of Forearm Bone On Thumb Side And Closed Treatment O…	54	20	$4,043.00	$3,436.55	$746.64	$11,393.48	$3,490.32	2026-07-10
27403	HCPCS	Incision And Repair Of Knee Cartilage	54	20	$4,042.00	$3,435.70	$618.42	$11,393.48	$3,489.46	2026-07-10
27814	HCPCS	Treatment Of Both Broken Lower Leg Bones At Ankle	54	20	$4,042.00	$3,435.70	$722.91	$11,393.48	$3,489.46	2026-07-10
59514	HCPCS	Cesarean Delivery	58	20	$5,333.00	$4,533.05	$801.01	$5,712.42	$3,486.98	2026-07-10
27235	HCPCS	Placement Of Stabilizing Device For Upper End Of Broken Thigh Bone	54	20	$5,424.00	$4,610.40	$842.91	$7,130.41	$3,474.00	2026-07-10
29875	HCPCS	Partial Removal Of Knee Joint Lining Using An Endoscope	73	20	$5,514.00	$4,686.90	$481.34	$5,674.20	$3,474.00	2026-07-10
29844	HCPCS	Partial Removal Of Wrist Joint Lining Using An Endoscope	39	20	$5,790.00	$4,921.50	$478.25	$5,674.20	$3,474.00	2026-07-10
24999	HCPCS	Other Procedure On Upper Arm Or Elbow	20	20	$4,186.00	$3,558.10	$638.03	$4,102.28	$3,453.45	2026-07-10
23929	HCPCS	Other Procedure On Shoulder	35	20	$6,698.00	$5,693.30	$413.72	$6,564.04	$3,438.08	2026-07-10
27310	HCPCS	Incision Of Knee Joint For Exploration, Fluid Drainage, Or Removal Of Foreign Bo…	39	20	$5,260.00	$4,471.00	$696.85	$5,154.80	$3,417.30	2026-07-10
29898	HCPCS	Removal Of Extensive Dead Or Infected Tissue Using An Endoscope	54	20	$5,553.00	$4,720.05	$530.95	$5,674.20	$3,402.90	2026-07-10
27067	HCPCS	Removal Of Cyst Or Growth Of Hip, Pubic, Or Head Of Thigh Bone With Self Bone Gr…	19	19	$4,240.00	$3,604.00	$964.78	$4,240.00	$3,392.00	2026-07-10
14021	HCPCS	Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm	19	19	$4,233.00	$3,598.05	$631.10	$4,233.00	$3,386.40	2026-07-10
26756	HCPCS	Placement Of Stabilizing Device For Broken End Of Finger Or Thumb	39	20	$6,900.00	$5,865.00	$425.40	$7,130.41	$3,381.00	2026-07-10
27640	HCPCS	Partial Removal Of Shin Bone	39	20	$6,899.00	$5,864.15	$776.42	$10,098.83	$3,380.51	2026-07-10
26735	HCPCS	Treatment Of Broken Finger At Midportion Or Part Near Hand	39	20	$6,899.00	$5,864.15	$574.81	$7,130.41	$3,380.51	2026-07-10
32556	HCPCS	Drainage Of Fluid From Chest Cavity With Insertion Of Indwelling Tube	39	20	$4,192.00	$3,563.20	$111.32	$4,192.00	$3,353.60	2026-07-10
57425	HCPCS	Surgical Repair Of Vaginal Defect Using An Endoscope	19	19	$4,161.00	$3,536.85	$860.29	$4,161.00	$3,328.80	2026-07-10
36571	HCPCS	Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older)	39	20	$6,610.00	$5,618.50	$294.01	$6,477.80	$3,322.56	2026-07-10
15738	HCPCS	Creation Of Muscle Graft To Leg	19	19	$4,150.00	$3,527.50	$1,155.36	$4,150.00	$3,320.00	2026-07-10
29822	HCPCS	Limited Removal Of Abnormal Shoulder Joint Tissue Using Endoscope	73	20	$6,434.00	$5,468.90	$523.85	$6,620.88	$3,302.57	2026-07-10
27899	HCPCS	Other Procedure On Leg Or Ankle	20	20	$3,950.00	$3,357.50	$638.03	$3,871.00	$3,258.75	2026-07-10
27428	HCPCS	Reconstruction Ligaments Inside Knee Joint	54	20	$3,767.00	$3,201.95	$1,050.11	$11,393.48	$3,252.05	2026-07-10
58573	HCPCS	Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, Mor…	19	19	$4,043.00	$3,436.55	$1,102.46	$4,043.00	$3,234.40	2026-07-10
24685	HCPCS	Treatment Of Broken Forearm Bone On Small Finger Side At Elbow	54	20	$3,725.00	$3,166.25	$567.20	$11,393.48	$3,215.80	2026-07-10
D7830	HCPCS	Tmj Manipulation Under Anest	15	15	$3,778.00	$3,211.30	$1,939.25	$3,778.00	$3,211.30	2026-07-10
29874	HCPCS	Removal Of Loose Or Foreign Body In Knee Joint Using An Endoscope	54	20	$3,994.00	$3,394.90	$512.81	$6,161.26	$3,195.20	2026-07-10
015874_1	CDM	Nursery - Newborn - Level Iii	15	15	$3,543.00	$3,011.55	$2,125.80	$3,472.14	$3,188.70	2026-07-10
28476	HCPCS	Placement Of Stabilizing Device For Broken Foot Bone With Manipulation	39	20	$6,503.00	$5,527.55	$401.31	$7,130.41	$3,186.47	2026-07-10
45378	HCPCS	Diagnostic Exam Of Large Bowel Using A Flexible Endoscope	58	20	$3,830.00	$3,255.50	$165.81	$6,566.98	$3,159.75	2026-07-10
58558	HCPCS	Biopsy Of Lining Of Uterus And/or Removal Of Polyp Using An Endoscope	39	20	$10,016.00	$8,513.60	$203.62	$9,815.68	$3,152.00	2026-07-10
14001	HCPCS	Repair Of Wound Of Trunk By Transferring Skin, 10.1-30.0 Sq Cm	19	19	$3,923.00	$3,334.55	$610.13	$3,923.00	$3,138.40	2026-07-10
20693	HCPCS	Revision Of External Bone Stabilizing Device Under Anesthesia	39	20	$11,626.00	$9,882.10	$437.19	$11,393.48	$3,137.91	2026-07-10
29826	HCPCS	Shaving Of Part Of Shoulder Bone And Repair Of Ligament Using An Endoscope	72	20	$6,076.00	$5,164.60	$137.82	$6,249.46	$3,118.81	2026-07-10
27599	HCPCS	Other Procedure On Thigh Or Knee	20	20	$3,775.00	$3,208.75	$638.03	$3,699.50	$3,114.38	2026-07-10
23462	HCPCS	Reattachment Of Shoulder Joint Capsule With Bone Transfer (coracoid Bone)	54	20	$3,580.00	$3,043.00	$982.42	$11,393.48	$3,090.61	2026-07-10
36561	HCPCS	Insertion Of Central Venous Tube With Port (5 Years Or Older)	19	19	$3,859.00	$3,280.15	$300.34	$3,859.00	$3,087.20	2026-07-10
27329	HCPCS	Extensive Removal Of Growth Of Thigh Or Knee, Less Than 5.0 Cm	39	20	$4,399.00	$3,739.15	$968.25	$4,311.02	$3,079.30	2026-07-10
29806	HCPCS	Repair Of Shoulder Joint Capsule Using An Endoscope	54	20	$3,563.00	$3,028.55	$981.06	$14,663.74	$3,075.94	2026-07-10
14040	HCPCS	Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han…	54	20	$3,713.00	$3,156.05	$556.37	$7,434.28	$3,063.23	2026-07-10
G0289	HCPCS	Arthroscopy, Knee, Surgical, For Removal Of Loose Body, Foreign Body, Debridemen…	38	20	$6,103.00	$5,187.55	$72.23	$7,388.20	$3,061.57	2026-07-10
27385	HCPCS	Primary Suture Of Ruptured Muscle Of Thigh	54	20	$3,541.00	$3,009.85	$601.50	$11,393.48	$3,056.94	2026-07-10
14060	HCPCS	Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm…	19	19	$3,819.00	$3,246.15	$584.45	$3,819.00	$3,055.20	2026-07-10
26420	HCPCS	Repair Of Tendon Of Top Side Of Finger With Graft	39	20	$5,790.00	$4,921.50	$740.22	$5,674.20	$3,041.90	2026-07-10
27125	HCPCS	Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis	19	19	$3,790.00	$3,221.50	$1,041.46	$3,790.00	$3,032.00	2026-07-10
25405	HCPCS	Repair Non-healed Fracture Of Forearm Bone With Patient-derived Bone Graft	54	20	$3,489.00	$2,965.65	$898.79	$11,393.48	$3,012.06	2026-07-10
23130	HCPCS	Partial Removal Or Repair Of Shoulder Bone Near Collar Bone	54	20	$3,489.00	$2,965.65	$600.48	$6,828.64	$3,012.06	2026-07-10
24538	HCPCS	Placement Of Stabilizing Device To Upper Arm Broken At Elbow	54	20	$3,483.00	$2,960.55	$764.14	$11,393.48	$3,006.88	2026-07-10
29807	HCPCS	Repair Of Shoulder Socket Using An Endoscope	54	20	$3,480.00	$2,958.00	$960.32	$11,393.48	$3,004.28	2026-07-10
49505	HCPCS	Repair Of Groin Hernia (5 Years Or Older)	19	19	$3,749.00	$3,186.65	$507.69	$3,749.00	$2,999.20	2026-07-10
27331	HCPCS	Incision Of Knee Joint For Exploration, Biopsy, Or Removal Of Foreign Body	54	20	$3,763.00	$3,198.55	$467.19	$5,674.20	$2,991.20	2026-07-10
29999	HCPCS	Other Procedure On Joint Using An Endoscope	35	20	$5,790.00	$4,921.50	$1,556.84	$5,674.20	$2,972.01	2026-07-10
27620	HCPCS	Incision And Exploration Of Ankle Joint	39	20	$5,790.00	$4,921.50	$443.27	$5,674.20	$2,972.01	2026-07-10
26496	HCPCS	Transfer Of Tendon To Thumb, Palm, Or Wrist	39	20	$5,790.00	$4,921.50	$901.30	$5,674.20	$2,971.20	2026-07-10
23515	HCPCS	Treatment Of Broken Collar Bone	54	20	$3,421.00	$2,907.85	$687.75	$11,393.48	$2,953.35	2026-07-10
27381	HCPCS	Secondary Suture Of Tendon Below Knee	19	19	$3,658.00	$3,109.30	$785.93	$3,658.00	$2,926.40	2026-07-10
49521	HCPCS	Repair Of Trapped Or Strangulated Groin Hernia	19	19	$3,653.00	$3,105.05	$681.86	$3,653.00	$2,922.40	2026-07-10
25628	HCPCS	Treatment Of Broken Wrist Bone Located Near Base Of Thumb	54	20	$3,374.00	$2,867.90	$678.44	$11,393.48	$2,912.78	2026-07-10
43253	HCPCS	Injection Of Diagnostic Or Therapeutic Substance Or Marker In Esophagus, Stomach…	20	20	$3,527.00	$2,997.95	$1,317.57	$3,456.46	$2,909.77	2026-07-10
26483	HCPCS	Transfer Of Tendon To Back Of Hand With Graft	39	20	$5,790.00	$4,921.50	$859.26	$5,674.20	$2,867.52	2026-07-10
25608	HCPCS	Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint…	54	20	$3,321.00	$2,822.85	$715.03	$11,393.48	$2,867.02	2026-07-10
28200	HCPCS	Repair Of Tendon On Sole Of Foot	39	20	$7,772.00	$6,606.20	$319.68	$7,616.56	$2,865.31	2026-07-10
27792	HCPCS	Treatment Of Broken Outer Lower Leg Bone At Ankle	54	20	$3,312.00	$2,815.20	$616.77	$11,393.48	$2,859.25	2026-07-10
25606	HCPCS	Placement Of Stabilizing Device For Broken Forearm Bone On Thumb Side At Wrist	39	20	$5,254.00	$4,465.90	$652.65	$7,130.41	$2,855.70	2026-07-10
26485	HCPCS	Transfer Of Tendon To Palm	39	20	$5,790.00	$4,921.50	$831.36	$5,674.20	$2,855.52	2026-07-10
27429	HCPCS	Reconstruction Of Ligaments Inside And Outside Knee Joint	19	19	$3,562.00	$3,027.70	$1,182.94	$3,562.00	$2,849.60	2026-07-10
24410	HCPCS	Incision Or Partial Removal Of Upper Arm Bone With Insertion Of Rod	39	20	$3,468.00	$2,947.80	$984.33	$6,326.18	$2,848.00	2026-07-10
29820	HCPCS	Partial Removal Of Shoulder Joint Lining Using An Endoscope	39	20	$11,626.00	$9,882.10	$508.82	$11,393.48	$2,847.07	2026-07-10
29886	HCPCS	Repair Of Knee Joint By Drilling Cartilage Using An Endoscope	39	20	$6,287.00	$5,343.95	$612.59	$6,161.26	$2,847.07	2026-07-10
29901	HCPCS	Removal Of Dead Or Infected Finger Joint Tissue Using An Endoscope	39	20	$8,237.00	$7,001.45	$533.32	$8,072.26	$2,847.07	2026-07-10
29805	HCPCS	Diagnostic Exam Of Shoulder Using An Endoscope	39	20	$6,287.00	$5,343.95	$455.99	$6,161.26	$2,847.07	2026-07-10
23550	HCPCS	Treatment Of Dislocated Joint Between Collar Bone And Shoulder	73	20	$3,061.00	$2,601.85	$548.72	$11,393.48	$2,846.73	2026-07-10
351246_1	CDM	Room & Board - Semi-private (two Beds) - Medical/surgical/gyn	15	15	$3,155.00	$2,681.75	$1,893.00	$3,091.90	$2,839.50	2026-07-10
23420	HCPCS	Repair Of Complete Tear Of Shoulder Rotator Cuff With Release Of Pressure On Col…	54	20	$3,289.00	$2,795.65	$841.81	$11,393.48	$2,839.39	2026-07-10
27635	HCPCS	Removal Of Cyst Or Growth Of Lower Leg Bone	39	20	$5,790.00	$4,921.50	$553.96	$5,674.20	$2,837.10	2026-07-10
27330	HCPCS	Biopsy Of Membrane Covering Knee Joint	39	20	$5,790.00	$4,921.50	$420.49	$5,674.20	$2,837.10	2026-07-10
27680	HCPCS	Release Of Leg And/or Ankle Tendon	39	20	$5,790.00	$4,921.50	$415.61	$5,674.20	$2,837.10	2026-07-10
23170	HCPCS	Removal Of Dead Bone Fragment From Collar Bone	39	20	$5,790.00	$4,921.50	$549.17	$6,326.18	$2,837.10	2026-07-10
27425	HCPCS	Release Of Ligaments Of Knee Joint	39	20	$5,790.00	$4,921.50	$451.61	$5,674.20	$2,837.10	2026-07-10
29845	HCPCS	Removal Of Entire Wrist Joint Lining Using An Endoscope	39	20	$5,790.00	$4,921.50	$555.03	$5,674.20	$2,837.10	2026-07-10
27734	HCPCS	Fusion Of Lower End Of Growth Plate Of Lower Leg Bone	39	20	$5,790.00	$4,921.50	$629.83	$5,674.20	$2,837.10	2026-07-10
27626	HCPCS	Removal Of Membrane Covering Ankle Joint And Tendon	39	20	$5,790.00	$4,921.50	$500.94	$5,674.20	$2,837.10	2026-07-10
26121	HCPCS	Removal Of Connective Tissue Of Palm	39	20	$5,790.00	$4,921.50	$571.05	$5,674.20	$2,837.10	2026-07-10
28296	HCPCS	Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Toe Area	39	20	$5,790.00	$4,921.50	$493.59	$7,593.39	$2,837.10	2026-07-10
29843	HCPCS	Diagnostic Exam, Washing, And Drainage Of Infected Wrist Using An Endoscope	39	20	$5,790.00	$4,921.50	$477.15	$5,674.20	$2,837.10	2026-07-10
29834	HCPCS	Removal Of Loose Or Foreign Body In Elbow Joint Using An Endoscope	39	20	$5,790.00	$4,921.50	$475.82	$5,674.20	$2,837.10	2026-07-10
27334	HCPCS	Incision Of Knee Joint With Removal Of Cartilage Of Front Or Back Of Knee	39	20	$5,790.00	$4,921.50	$658.06	$5,674.20	$2,837.10	2026-07-10
29840	HCPCS	Diagnostic Exam Of Wrist Using An Endoscope	39	20	$5,790.00	$4,921.50	$448.59	$5,674.20	$2,837.10	2026-07-10
27685	HCPCS	Lengthening Or Shortening Of Tendon Of Leg Or Ankle	39	20	$5,790.00	$4,921.50	$451.93	$5,674.20	$2,837.10	2026-07-10
26910	HCPCS	Amputation Of Finger Or Thumb	39	20	$5,790.00	$4,921.50	$760.61	$5,674.20	$2,837.10	2026-07-10
24332	HCPCS	Release Of Upper Arm Tendon	39	20	$5,790.00	$4,921.50	$598.72	$6,326.18	$2,837.10	2026-07-10
26480	HCPCS	Transfer Of Tendon To Back Of Hand	39	20	$5,790.00	$4,921.50	$679.83	$5,674.20	$2,837.10	2026-07-10
27687	HCPCS	Lengthening Of Calf Muscle	39	20	$5,790.00	$4,921.50	$441.88	$5,674.20	$2,837.10	2026-07-10
28292	HCPCS	Correction Of Bunion	39	20	$5,790.00	$4,921.50	$469.40	$7,593.39	$2,837.10	2026-07-10
23630	HCPCS	Treatment Of Upper Arm Bone, Broken At Shoulder Joint	54	20	$3,286.00	$2,793.10	$743.29	$11,393.48	$2,836.81	2026-07-10
23552	HCPCS	Treatment Of Dislocated Joint Between Collar Bone And Shoulder With Tissue Graft	54	20	$3,286.00	$2,793.10	$567.20	$11,393.48	$2,836.81	2026-07-10
25607	HCPCS	Treatment Of Broken Forearm Bone On Thumb Side Of Wrist, Above Wrist, With Place…	54	20	$3,278.00	$2,786.30	$708.09	$11,393.48	$2,829.89	2026-07-10
49320	HCPCS	Diagnostic Exam Of Abdomen Using An Endoscope	19	19	$3,528.00	$2,998.80	$316.22	$3,528.00	$2,822.40	2026-07-10
59410	HCPCS	Vaginal Delivery With Post Delivery Care	19	19	$3,521.00	$2,992.85	$955.73	$3,521.00	$2,816.80	2026-07-10
64892	HCPCS	Graft Of Arm Or Leg Nerve, 4.0 Cm Or Less	19	19	$3,506.00	$2,980.10	$958.57	$3,506.00	$2,804.80	2026-07-10
014909_1	CDM	Room & Board - Semi-private (two Beds) - General Classification	15	15	$3,095.00	$2,630.75	$1,857.00	$3,033.10	$2,785.50	2026-07-10
27380	HCPCS	Primary Suture Of Tendon Below Knee	54	20	$3,223.00	$2,739.55	$609.35	$11,393.48	$2,782.41	2026-07-10
27245	HCPCS	Treatment Of Broken Neck Of Thigh Bone With Bone Implant	19	19	$3,474.00	$2,952.90	$1,123.97	$3,474.00	$2,779.20	2026-07-10
29871	HCPCS	Exam, Washing, And Drainage Of Infected Knee Joint Using An Endoscope	54	20	$3,208.00	$2,726.80	$498.69	$6,161.26	$2,769.47	2026-07-10
81162	HCPCS	Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat…	20	20	$3,354.00	$2,850.90	$1,643.46	$3,286.92	$2,767.05	2026-07-10
26418	HCPCS	Repair Of Tendon On Top Side Of Finger	73	20	$3,950.00	$3,357.50	$652.16	$7,103.04	$2,765.00	2026-07-10
24665	HCPCS	Treatment Of Broken Forearm Bone On Thumb Side At Elbow	54	20	$3,188.00	$2,709.80	$566.68	$11,393.48	$2,752.20	2026-07-10
27766	HCPCS	Treatment Of Inside Portion Of Broken Shin Bone At Ankle	54	20	$3,182.00	$2,704.70	$589.51	$11,393.48	$2,747.02	2026-07-10
25515	HCPCS	Treatment Of Broken Midpart Of Forearm Bone On Thumb Side	54	20	$3,181.00	$2,703.85	$643.17	$11,393.48	$2,746.15	2026-07-10
14020	HCPCS	Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.0 Sq Cm Or Less	19	19	$3,421.00	$2,907.85	$515.31	$3,421.00	$2,736.80	2026-07-10
24586	HCPCS	Treatment Of Broken Or Dislocated Upper Or Forearm Bones At Elbow	19	19	$3,396.00	$2,886.60	$996.24	$3,396.00	$2,716.80	2026-07-10
44625	HCPCS	Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An…	19	19	$3,380.00	$2,873.00	$931.14	$3,380.00	$2,704.00	2026-07-10
26952	HCPCS	Amputation Of Finger Or Thumb With Tissue Flap	73	20	$5,254.00	$4,465.90	$687.81	$8,862.14	$2,696.88	2026-07-10
26765	HCPCS	Treatment Of Broken End Of Finger Or Thumb	73	20	$5,254.00	$4,465.90	$497.29	$7,130.41	$2,696.88	2026-07-10
26785	HCPCS	Treatment Of Dislocated Finger Joint	73	20	$5,254.00	$4,465.90	$473.78	$7,850.78	$2,696.88	2026-07-10
25260	HCPCS	Primary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist	54	20	$3,264.00	$2,774.40	$545.64	$5,674.20	$2,692.80	2026-07-10
26843	HCPCS	Fusion Of Hand Joint	39	20	$11,626.00	$9,882.10	$790.31	$11,393.48	$2,682.00	2026-07-10
27536	HCPCS	Treatment Of Broken Shin Bone On Both Sides Of Upper End	19	19	$3,352.00	$2,849.20	$1,097.20	$3,352.00	$2,681.60	2026-07-10
15734	HCPCS	Creation Of Muscle Graft To Trunk	19	19	$3,346.00	$2,844.10	$1,389.53	$3,346.00	$2,676.80	2026-07-10
29837	HCPCS	Removal Of Elbow Joint Tissue Using An Endoscope	39	20	$5,460.00	$4,641.00	$513.55	$5,350.80	$2,675.40	2026-07-10
15240	HCPCS	Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen…	39	20	$3,185.00	$2,707.25	$712.56	$3,334.00	$2,667.20	2026-07-10
59515	HCPCS	Cesarean Delivery With Care After Delivery	19	19	$3,281.00	$2,788.85	$1,194.99	$3,281.00	$2,624.80	2026-07-10
014901_1	CDM	Room & Board - Semi-private (two Beds) - Medical/surgical/gyn	15	15	$2,916.00	$2,478.60	$1,749.60	$2,857.68	$2,624.40	2026-07-10
016250_1	CDM	Room & Board - Semi-private (two Beds) - Obstetrics (ob)	15	15	$2,916.00	$2,478.60	$1,749.60	$2,857.68	$2,624.40	2026-07-10
27137	HCPCS	Revision Of Hip Socket Part Of Hip Prosthesis	19	19	$3,268.00	$2,777.80	$1,319.04	$3,268.00	$2,614.40	2026-07-10
49000	HCPCS	Exploration Of Abdominal Cavity	19	19	$3,255.00	$2,766.75	$725.76	$3,255.00	$2,604.00	2026-07-10
54700	HCPCS	Incision And Drainage Of Sperm Reservoir, Testis, And/or Scrotal Area	39	20	$5,284.00	$4,491.40	$179.14	$5,178.32	$2,589.16	2026-07-10
27305	HCPCS	Incision Of Connective Tissue Between Thigh And Knee	39	20	$5,254.00	$4,465.90	$471.70	$5,148.92	$2,574.46	2026-07-10
28122	HCPCS	Partial Removal Of Foot Or Heel Bone	39	20	$5,254.00	$4,465.90	$424.63	$7,593.39	$2,574.46	2026-07-10
28250	HCPCS	Incision Of Connective Tissue And Muscle Of Sole Of Foot	39	20	$5,254.00	$4,465.90	$393.43	$5,148.92	$2,574.46	2026-07-10
28008	HCPCS	Incision Of Connective Tissue Of Foot And/or Toe	39	20	$5,254.00	$4,465.90	$282.06	$5,148.92	$2,574.46	2026-07-10
27607	HCPCS	Incision Of Leg Or Ankle Bone	39	20	$5,254.00	$4,465.90	$573.26	$5,148.92	$2,574.46	2026-07-10
27656	HCPCS	Repair Of Connective Tissue Defect Of Leg	39	20	$5,254.00	$4,465.90	$327.79	$5,148.92	$2,574.46	2026-07-10
28313	HCPCS	Reconstruction Of Soft Tissue Angular Deformity Of Toe	39	20	$5,254.00	$4,465.90	$353.55	$5,148.92	$2,574.46	2026-07-10
28104	HCPCS	Removal Of Cyst Or Growth Of Foot Bone	39	20	$5,254.00	$4,465.90	$346.11	$5,148.92	$2,574.46	2026-07-10
28825	HCPCS	Amputation Of Toe At Toe Joint	39	20	$5,254.00	$4,465.90	$156.87	$5,148.92	$2,574.46	2026-07-10
26706	HCPCS	Placement Of Stabilizing Device For Dislocated Hand Joint At Base Of Finger With…	39	20	$5,254.00	$4,465.90	$427.53	$7,130.41	$2,574.46	2026-07-10
27390	HCPCS	Repair Of Hamstring Tendon	39	20	$5,254.00	$4,465.90	$428.50	$5,148.92	$2,574.46	2026-07-10
27347	HCPCS	Removal Of Growth Of Knee Cartilage Or Capsule	39	20	$5,254.00	$4,465.90	$516.48	$5,148.92	$2,574.46	2026-07-10
28208	HCPCS	Repair Of Tendon Of Top Side Of Foot	39	20	$5,254.00	$4,465.90	$316.51	$5,148.92	$2,574.46	2026-07-10
28120	HCPCS	Partial Removal Of Infected Foot Or Heel Bone	39	20	$5,254.00	$4,465.90	$477.15	$5,148.92	$2,574.46	2026-07-10
28240	HCPCS	Release Or Lengthening Of Tendon In Foot	39	20	$5,254.00	$4,465.90	$282.87	$5,148.92	$2,574.46	2026-07-10
28110	HCPCS	Removal Of Bunion At Fifth Toe Joint	39	20	$5,254.00	$4,465.90	$288.81	$7,593.39	$2,574.46	2026-07-10
28286	HCPCS	Correction Of Fifth Toe Joint Deformity	39	20	$5,254.00	$4,465.90	$283.95	$5,148.92	$2,574.46	2026-07-10
27345	HCPCS	Removal Of Cyst Of Back Of Knee	39	20	$5,254.00	$4,465.90	$476.02	$5,148.92	$2,574.46	2026-07-10
28289	HCPCS	Correction Of Rigid Deformity Of First Joint Of Big Toe	39	20	$5,254.00	$4,465.90	$447.35	$7,593.39	$2,574.46	2026-07-10
28525	HCPCS	Treatment Of Broken Toe	39	20	$5,254.00	$4,465.90	$394.43	$7,130.41	$2,574.46	2026-07-10
26230	HCPCS	Partial Removal Of Hand Bone	39	20	$5,254.00	$4,465.90	$479.31	$5,148.92	$2,574.46	2026-07-10
27306	HCPCS	Incision Of Tendon Of Thigh Or Hamstring Muscle	39	20	$5,254.00	$4,465.90	$333.32	$5,148.92	$2,574.46	2026-07-10
26445	HCPCS	Release Of Tendon Of Top Of Hand Or Finger	39	20	$5,254.00	$4,465.90	$628.22	$5,148.92	$2,568.00	2026-07-10
13160	HCPCS	Extensive Or Complicated Repair Of Surface Wound Reopening	73	20	$4,110.00	$3,493.50	$748.00	$5,291.02	$2,563.10	2026-07-10
27827	HCPCS	Treatment Of Broken Shin Bone At Lower Weight Bearing Joint	19	19	$3,198.00	$2,718.30	$1,067.70	$3,198.00	$2,558.40	2026-07-10
45171	HCPCS	Removal Of Growth Of Rectum Through Anus	19	19	$3,198.00	$2,718.30	$622.55	$3,198.00	$2,558.40	2026-07-10
25545	HCPCS	Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side	54	20	$2,945.00	$2,503.25	$538.97	$11,393.48	$2,542.42	2026-07-10
20692	HCPCS	Placement Of Multiple Direction External Bone Stabilizing Device To Arm Or Leg	19	19	$3,176.00	$2,699.60	$1,058.89	$3,176.00	$2,540.80	2026-07-10
20924	HCPCS	Tendon Graft	39	20	$11,626.00	$9,882.10	$477.09	$11,393.48	$2,540.54	2026-07-10
20902	HCPCS	Harvest Of Graft From Large Bone	39	20	$11,626.00	$9,882.10	$241.69	$11,393.48	$2,540.54	2026-07-10
23474	HCPCS	Revision Of Total Shoulder Repair, Total Shoulder	19	19	$2,969.00	$2,523.65	$1,523.99	$2,969.00	$2,523.65	2026-07-10
26951	HCPCS	Amputation Of Finger Or Thumb With Direct Closure	73	20	$3,353.00	$2,850.05	$722.89	$5,148.92	$2,513.70	2026-07-10
26410	HCPCS	Repair Of Tendon On Top Of Hand	73	20	$4,186.00	$3,558.10	$620.27	$4,414.90	$2,511.60	2026-07-10
44602	HCPCS	Suture Of Tear Of Hole In Small Bowel	19	19	$3,136.00	$2,665.60	$1,274.28	$3,136.00	$2,508.80	2026-07-10
C8929	HCPCS	Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi…	20	20	$3,032.00	$2,577.20	$615.56	$2,971.36	$2,501.40	2026-07-10
23412	HCPCS	Repair Of Chronic Torn Shoulder Rotator Cuff	54	20	$2,877.00	$2,445.45	$799.28	$11,393.48	$2,483.72	2026-07-10
27602	HCPCS	Incision Of Connective Tissue Of Front And/or Side And Back Of Lower Leg To Reli…	54	20	$2,871.00	$2,440.35	$441.30	$5,674.20	$2,478.53	2026-07-10
25270	HCPCS	Primary Repair Of Tendon Or Muscle Of Top Side Of Forearm Or Wrist	54	20	$2,993.00	$2,544.05	$425.01	$5,674.20	$2,469.23	2026-07-10
26541	HCPCS	Repair Of Ligament Of Finger Or Hand To Finger Joint With Graft	54	20	$2,860.00	$2,431.00	$820.28	$5,674.20	$2,469.04	2026-07-10
14000	HCPCS	Repair Of Wound Of Trunk By Transferring Skin, 10.0 Sq Cm Or Less	19	19	$3,077.00	$2,615.45	$473.96	$3,077.00	$2,461.60	2026-07-10
28297	HCPCS	Correction Of Bunion With Forefoot And Midfoot Bone Fusion	19	19	$3,077.00	$2,615.45	$571.44	$3,077.00	$2,461.60	2026-07-10
28485	HCPCS	Treatment Of Broken Midportion Of Foot	54	20	$2,841.00	$2,414.85	$554.56	$11,393.48	$2,452.64	2026-07-10
28238	HCPCS	Reconstruction Of Ankle Tendon With Removal Of Extra Ankle Joint Bone	54	20	$2,832.00	$2,407.20	$466.20	$11,393.48	$2,444.86	2026-07-10
25447	HCPCS	Replacement Of Joint Between Wrist And Fingers Using Tissue	54	20	$2,829.00	$2,404.65	$718.11	$6,828.64	$2,442.28	2026-07-10
45172	HCPCS	Removal Of Growth Of Rectum Through Anus With Removal Of A Portion Of Muscle	39	20	$4,545.00	$3,863.25	$804.85	$4,454.10	$2,436.75	2026-07-10
26125	HCPCS	Removal Of Connective Tissue Of Palm And Release Of Finger, Each Additional Digi…	39	20	$4,964.00	$4,219.40	$226.80	$4,864.72	$2,432.36	2026-07-10
93306	HCPCS	Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…	58	20	$3,032.00	$2,577.20	$68.85	$3,032.00	$2,425.60	2026-07-10
C8928	HCPCS	Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi…	20	20	$2,904.00	$2,468.40	$615.56	$2,845.92	$2,395.80	2026-07-10
26608	HCPCS	Treatment Of Broken Finger Bone With Stabilizing Device Accessed Through Skin	54	20	$2,763.00	$2,348.55	$474.48	$7,130.41	$2,385.30	2026-07-10
95782	HCPCS	Sleep Study In Sleep Lab (younger Than 6 Years)	20	20	$2,887.00	$2,453.95	$1,005.83	$2,829.26	$2,381.77	2026-07-10
95783	HCPCS	Sleep Study In Sleep Lab With Continuous Airway Pressure (younger Than 6 Years)	20	20	$2,887.00	$2,453.95	$1,005.83	$2,829.26	$2,381.77	2026-07-10
44340	HCPCS	Simple Revision Of Superficial Scar Tissue From Surgically Created Opening Of La…	19	19	$2,977.00	$2,530.45	$611.37	$2,977.00	$2,381.60	2026-07-10
27540	HCPCS	Treatment Of Broken Shin Bone At Knee	54	20	$2,750.00	$2,337.50	$770.18	$11,393.48	$2,374.07	2026-07-10
23075	HCPCS	Removal Of Growth Under Skin Of Shoulder Area, Less Than 3.0 Cm	54	20	$3,921.00	$3,332.85	$326.06	$3,921.00	$2,370.00	2026-07-10
24546	HCPCS	Treatment Of Broken Upper Arm Bone At Elbow With Extension	19	19	$2,945.00	$2,503.25	$961.01	$2,945.00	$2,356.00	2026-07-10
64831	HCPCS	Suture Of Hand Or Foot Digital Nerve, First Digital Nerve	39	20	$5,995.00	$5,095.75	$653.25	$5,875.10	$2,354.00	2026-07-10
27030	HCPCS	Incision And Drainage Of Hip Joint	19	19	$2,934.00	$2,493.90	$866.06	$2,934.00	$2,347.20	2026-07-10
23473	HCPCS	Revision Of Total Shoulder Repair	19	19	$2,749.00	$2,336.65	$1,411.06	$2,749.00	$2,336.65	2026-07-10
59160	HCPCS	Scraping Of Lining Of Uterus After Delivery	39	20	$4,725.00	$4,016.25	$165.51	$4,630.50	$2,315.25	2026-07-10

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