Hospital

Rehabilitation Hospital of Fort Myers

Fort Myers, FL · CCN 103069 · Rates published

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You selected 93350 (CPT)

HC Echo Stress

This hospital’s price: $1,927 across 8 payers · range $551-$2,622

Source: https://www.leehealth.org/machine-readable-files-lh-2026/99-2646504_REHAB-HOSPITAL_standardcharges_20260401.zip · observed 2026-03-26

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

9,338 distinct procedures filed

54 distinct payers

174,459 rate rows

2026-03-26 last MRF observed

Data quality

160,211 of 174,459 rate rows are consumer-grade (91.8%)

14,248 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
template filing: same amount across many unrelated codes — excluded	10,499
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	2,016
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	910
placeholder amount (≤ $0.02) — excluded from medians	585
percent-of-charges filed in the dollar field — excluded from medians	145
exceeds 10× this hospital's gross charge — excluded from medians	46
exceeds 3× this hospital's gross charge for a DRG stay — excluded	33
per-diem day rate — not a per-procedure price	11
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	3

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

Source MRF file	https://edge.sitecorecloud.io/encompasshee178-encompasshed9db-prodb258-07da/media/Project/EncompassHealth/encompasshealth/Files/1-price-transparency/854286104_Rehabilitation-Hospital-of-Fort-Myers_standardcharges.csv
Found on page	https://www.encompasshealth.com/locations/fort-myers-rehab/financial-information/price-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-14
Content fingerprint	1abc483a5bf25c22… · 29,808,753 bytes · first seen 2026-05-18

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
J0225 HCPCS	Vutrisiran Sodium 25 Mg/0.5ml Sq Sosy	9	$417,728.50	$668,365.60	$455,324.07	nat. median $8,223 outlier · 55.4×
33947 CPT	Ecmo/Ecls Initiation Veno-arterial	18	$496.25	$309,858.38	$309,858.38	nat. median $3,695 outlier · 83.9×
PX-8110101 CDM	Hc Kidney Acquis/Live Donor	9	$238,501.50	$381,602.40	$279,523.76	nat. median $279,524 1.0× median
20696 CPT	Comp Assist Multiplane Ext Fixation, Initial	10	$238,947.67	$238,947.67	$238,947.67	nat. median $11,583 outlier · 20.6×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With McC	10	$234,570.90	$631,545.42	$238,703.82	nat. median $249,036 1.0× median
63664 CPT	Revision Spinal Neurostim Electrode Plate/Paddle, Incl Fluoro	10	$236,903.30	$236,903.30	$236,903.30	nat. median $11,678 outlier · 20.3×
28705 CPT	Fusion Foot Bones,Pantalar	10	$233,964.89	$233,964.89	$233,964.89	nat. median $12,699 outlier · 18.4×
21246 CPT	Reconstr Jaw,full-sub Implnt	18	$10.20	$227,211.24	$227,211.24	nat. median $6,048 outlier · 37.6×
64568 CPT	Incision Implant Cranial Nerve Stim Electrode/Pulse Gen	18	$10,846.71	$202,932.48	$202,932.48	nat. median $27,694 outlier · 7.3×
PX-8120101 CDM	Hc Kidney Acquis/Cadaver	9	$169,683.50	$271,493.60	$198,869.06	nat. median $181,561 1.1× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	10	$178,099.23	$438,697.50	$181,237.16	nat. median $190,559 1.0× median
63003 CPT	Laminectomy,Thoracic	10	$157,822.04	$157,822.04	$157,822.04	nat. median $7,230 outlier · 21.8×
61885 CPT	Implant Cranial Neurostim/Recvr	10	$153,949.92	$153,949.92	$153,949.92	nat. median $19,863 outlier · 7.8×
63655 CPT	Surg Implnt Neuroelect,Epidural	10	$150,724.11	$150,724.11	$150,724.11	nat. median $18,196 outlier · 8.3×
27465 CPT	Shortening Of Femur	10	$150,122.07	$150,122.07	$150,122.07	nat. median $6,112 outlier · 24.6×
63706 CPT	Repr Myelomenigocele,5+Cm Dia	10	$149,903.51	$149,903.51	$149,903.51	nat. median $3,821 outlier · 39.2×
27745 CPT	Reinforce Tibia	10	$146,588.21	$146,588.21	$146,588.21	nat. median $6,961 outlier · 21.1×
22558 CPT	Lumbar Spine Fusion,Anter Apprch	10	$146,123.14	$146,123.14	$146,123.14	nat. median $8,322 outlier · 17.6×
61783 CPT	Stereotactic Comp Assist Proc,Spinal	10	$145,992.92	$145,992.92	$145,992.92	nat. median $1,641 outlier · 89.0×
36481 CPT	Hc Ir Cath Plmt-portal Vein	10	$0.60	$144,652.17	$144,652.17	nat. median $1,662 outlier · 87.0×
53440 CPT	Correct Male Urin Incontinence	10	$143,521.30	$143,521.30	$143,521.30	nat. median $11,239 outlier · 12.8×
15777 CPT	Implnt Bio Implnt For Soft Tissue Reinforcement	10	$143,458.36	$143,458.36	$143,458.36	nat. median $1,718 outlier · 83.5×
19357 CPT	Breast Reconstruc W Tiss Expandr	10	$143,458.36	$143,458.36	$143,458.36	nat. median $13,795 outlier · 10.4×
64553 CPT	Percut Implnt Neuroelec,Cranial	10	$142,588.17	$142,588.17	$142,588.17	nat. median $11,302 outlier · 12.6×
61880 CPT	Revise/Remove Intracran Neuroelec	10	$140,387.10	$140,387.10	$140,387.10	nat. median $3,572 outlier · 39.3×
27626 CPT	Explor Ankle Jt+Tenosynovectomy	10	$140,241.73	$140,241.73	$140,241.73	nat. median $3,655 outlier · 38.4×
61886 CPT	Imp Stim,Cranial,Subq,>1 Array	10	$138,713.07	$138,713.07	$138,713.07	nat. median $27,176 outlier · 5.1×
27138 CPT	Revise Fem Part Oftotal Hip	10	$138,527.55	$138,527.55	$138,527.55	nat. median $9,872 outlier · 14.0×
63685 CPT	Implant Neurostim/Receiver	10	$137,779.23	$137,779.23	$137,779.23	nat. median $20,965 outlier · 6.6×
19340 CPT	Insert Breast Pros Immed After Excis	10	$135,583.08	$135,583.08	$135,583.08	nat. median $6,660 outlier · 20.4×
53447 CPT	Remove/Replace Ur Sphincter	10	$134,784.67	$134,784.67	$134,784.67	nat. median $14,928 outlier · 9.0×
588 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure,EXTREME	6	$133,975.85	$133,975.85	$133,975.85	nat. median $259,357 0.5× median
37187 CPT	Hc Ir Venous Mech Thrombectomy	10	$0.61	$133,688.71	$133,688.71	nat. median $10,009 outlier · 13.4×
27487 CPT	Revise Knee Joint Replace,All Parts	10	$131,169.11	$131,169.11	$131,169.11	nat. median $11,926 outlier · 11.0×
29907 CPT	Cpt27	10	$129,840.85	$129,840.85	$129,840.85	nat. median $11,345 outlier · 11.4×
27846 CPT	Open Rx Ankle Dislocatn	10	$128,170.49	$128,170.49	$128,170.49	nat. median $6,930 outlier · 18.5×
22325 CPT	Open Post Rx Lumb Vert Fx,1 Lvl	10	$127,390.45	$127,390.45	$127,390.45	nat. median $5,874 outlier · 21.7×
53445 CPT	Insert Uro/Ves Nck Sphincter	10	$126,636.74	$126,636.74	$126,636.74	nat. median $16,031 outlier · 7.9×
64582 CPT	Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor	10	$125,258.63	$125,258.63	$125,258.63	nat. median $28,157 outlier · 4.4×
27457 CPT	Osteotomy Prox Tib,Aftr Epiphy Clos	10	$123,755.52	$123,755.52	$123,755.52	nat. median $5,400 outlier · 22.9×
27702 CPT	Total Ankle Replacement	10	$120,333.60	$120,333.60	$120,333.60	nat. median $15,864 outlier · 7.6×
37282 CPT	Hc Tibial-peronl Pta, Initial, Complex	10	$11,583.29	$120,330.38	$120,330.38	nat. median $15,811 outlier · 7.6×
37298 CPT	Revsc Evasc Imvt Angiop Uni Cplx Les 1st Vsl	10	$11,583.29	$120,330.38	$120,330.38	nat. median $16,301 outlier · 7.4×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	10	$116,850.65	$260,822.55	$118,909.44	nat. median $126,695 0.9× median
22842 CPT	Insert Vert Fix Dev,post,3-6 Sgmts	10	$114,708.80	$114,708.80	$114,708.80	nat. median $2,369 outlier · 48.4×
22632 CPT	Lumb Sp Fusn,Post Interbdy,Ea Addnl	10	$114,708.80	$114,708.80	$114,708.80	nat. median $2,305 outlier · 49.8×
37184 CPT	Hc Ir Thrombctmy Artry,Primary,Initl,Nonintrcranl	10	$17,033.22	$113,080.62	$113,080.62	nat. median $11,061 outlier · 10.2×
49566 CPT	Repair Recurr Incis Hernia,Strang	10	$112,860.96	$112,860.96	$112,860.96	nat. median $4,323 outlier · 26.1×
49561 CPT	Repair Incisional Hernia,Strang	10	$112,860.96	$112,860.96	$112,860.96	nat. median $3,187 outlier · 35.4×
27709 CPT	Osteotomy Tibia & Fibula	10	$111,524.21	$111,524.21	$111,524.21	nat. median $9,823 outlier · 11.4×

Other procedures at this hospital

Browse this hospital's 9,338 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

J0225	HCPCS	Vutrisiran Sodium 25 Mg/0.5ml Sq Sosy	9	9	$835,457.00	$167,091.40 80% off	$417,728.50	$668,365.60	$455,324.07	2026-03-26
33947	CPT	Ecmo/Ecls Initiation Veno-arterial	18	18	$516,430.62	$103,286.12 80% off	$496.25	$309,858.38	$309,858.38	2026-03-26
PX-8110101	CDM	Hc Kidney Acquis/Live Donor	9	9	$477,003.00	$95,400.60 80% off	$238,501.50	$381,602.40	$279,523.76	2026-03-26
20696	CPT	Comp Assist Multiplane Ext Fixation, Initial	10	10	$398,246.11	$79,649.22 80% off	$238,947.67	$238,947.67	$238,947.67	2026-03-26
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With McC	10	10	$1,052,575.69	$210,515.14 80% off	$234,570.90	$631,545.42	$238,703.82	2026-03-26
63664	CPT	Revision Spinal Neurostim Electrode Plate/Paddle, Incl Fluoro	10	10	$394,838.84	$78,967.77 80% off	$236,903.30	$236,903.30	$236,903.30	2026-03-26
28705	CPT	Fusion Foot Bones,Pantalar	10	10	$389,941.49	$77,988.30 80% off	$233,964.89	$233,964.89	$233,964.89	2026-03-26
21246	CPT	Reconstr Jaw,full-sub Implnt	18	18	$378,685.41	$75,737.08 80% off	$10.20	$227,211.24	$227,211.24	2026-03-26
64568	CPT	Incision Implant Cranial Nerve Stim Electrode/Pulse Gen	18	18	$338,220.79	$67,644.16 80% off	$10,846.71	$202,932.48	$202,932.48	2026-03-26
PX-8120101	CDM	Hc Kidney Acquis/Cadaver	9	9	$339,367.00	$67,873.40 80% off	$169,683.50	$271,493.60	$198,869.06	2026-03-26
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	10	10	$731,162.50	$146,232.50 80% off	$178,099.23	$438,697.50	$181,237.16	2026-03-26
63003	CPT	Laminectomy,Thoracic	10	10	$263,036.72	$52,607.34 80% off	$157,822.04	$157,822.04	$157,822.04	2026-03-26
61885	CPT	Implant Cranial Neurostim/Recvr	10	10	$256,583.19	$51,316.64 80% off	$153,949.92	$153,949.92	$153,949.92	2026-03-26
63655	CPT	Surg Implnt Neuroelect,Epidural	10	10	$251,206.86	$50,241.37 80% off	$150,724.11	$150,724.11	$150,724.11	2026-03-26
27465	CPT	Shortening Of Femur	10	10	$250,203.45	$50,040.69 80% off	$150,122.07	$150,122.07	$150,122.07	2026-03-26
63706	CPT	Repr Myelomenigocele,5+Cm Dia	10	10	$249,839.17	$49,967.83 80% off	$149,903.51	$149,903.51	$149,903.51	2026-03-26
27745	CPT	Reinforce Tibia	10	10	$244,313.69	$48,862.74 80% off	$146,588.21	$146,588.21	$146,588.21	2026-03-26
22558	CPT	Lumbar Spine Fusion,Anter Apprch	10	10	$243,538.58	$48,707.72 80% off	$146,123.14	$146,123.14	$146,123.14	2026-03-26
61783	CPT	Stereotactic Comp Assist Proc,Spinal	10	10	$243,321.54	$48,664.31 80% off	$145,992.92	$145,992.92	$145,992.92	2026-03-26
36481	CPT	Hc Ir Cath Plmt-portal Vein	16	10	$241,086.96	$48,217.39 80% off	$0.60	$144,652.17	$144,652.17	2026-03-26
53440	CPT	Correct Male Urin Incontinence	10	10	$239,202.18	$47,840.44 80% off	$143,521.30	$143,521.30	$143,521.30	2026-03-26
15777	CPT	Implnt Bio Implnt For Soft Tissue Reinforcement	10	10	$239,097.27	$47,819.45 80% off	$143,458.36	$143,458.36	$143,458.36	2026-03-26
19357	CPT	Breast Reconstruc W Tiss Expandr	10	10	$239,097.27	$47,819.45 80% off	$143,458.36	$143,458.36	$143,458.36	2026-03-26
64553	CPT	Percut Implnt Neuroelec,Cranial	10	10	$237,646.95	$47,529.39 80% off	$142,588.17	$142,588.17	$142,588.17	2026-03-26
61880	CPT	Revise/Remove Intracran Neuroelec	10	10	$233,978.49	$46,795.70 80% off	$140,387.10	$140,387.10	$140,387.10	2026-03-26
27626	CPT	Explor Ankle Jt+Tenosynovectomy	10	10	$233,736.23	$46,747.25 80% off	$140,241.73	$140,241.73	$140,241.73	2026-03-26
61886	CPT	Imp Stim,Cranial,Subq,>1 Array	10	10	$231,188.44	$46,237.69 80% off	$138,713.07	$138,713.07	$138,713.07	2026-03-26
27138	CPT	Revise Fem Part Oftotal Hip	10	10	$230,879.24	$46,175.85 80% off	$138,527.55	$138,527.55	$138,527.55	2026-03-26
63685	CPT	Implant Neurostim/Receiver	10	10	$229,632.04	$45,926.41 80% off	$137,779.23	$137,779.23	$137,779.23	2026-03-26
19340	CPT	Insert Breast Pros Immed After Excis	10	10	$225,971.79	$45,194.36 80% off	$135,583.08	$135,583.08	$135,583.08	2026-03-26
53447	CPT	Remove/Replace Ur Sphincter	10	10	$224,641.12	$44,928.22 80% off	$134,784.67	$134,784.67	$134,784.67	2026-03-26
588	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure,EXTREME	7	6	$1,127,850.32	—	$133,975.85	$133,975.85	$133,975.85	2026-03-26
37187	CPT	Hc Ir Venous Mech Thrombectomy	16	10	$222,814.53	$44,562.91 80% off	$0.61	$133,688.71	$133,688.71	2026-03-26
27487	CPT	Revise Knee Joint Replace,All Parts	10	10	$218,615.18	$43,723.04 80% off	$131,169.11	$131,169.11	$131,169.11	2026-03-26
29907	CPT	Cpt27	10	10	$216,401.43	$43,280.29 80% off	$129,840.85	$129,840.85	$129,840.85	2026-03-26
27846	CPT	Open Rx Ankle Dislocatn	10	10	$213,617.48	$42,723.50 80% off	$128,170.49	$128,170.49	$128,170.49	2026-03-26
22325	CPT	Open Post Rx Lumb Vert Fx,1 Lvl	10	10	$212,317.41	$42,463.48 80% off	$127,390.45	$127,390.45	$127,390.45	2026-03-26
53445	CPT	Insert Uro/Ves Nck Sphincter	10	10	$211,061.24	$42,212.25 80% off	$126,636.74	$126,636.74	$126,636.74	2026-03-26
64582	CPT	Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor	10	10	$208,764.39	$41,752.88 80% off	$125,258.63	$125,258.63	$125,258.63	2026-03-26
27457	CPT	Osteotomy Prox Tib,Aftr Epiphy Clos	10	10	$206,259.20	$41,251.84 80% off	$123,755.52	$123,755.52	$123,755.52	2026-03-26
27702	CPT	Total Ankle Replacement	10	10	$200,556.01	$40,111.20 80% off	$120,333.60	$120,333.60	$120,333.60	2026-03-26
37298	CPT	Revsc Evasc Imvt Angiop Uni Cplx Les 1st Vsl	16	10	$200,550.64	$40,110.13 80% off	$11,583.29	$120,330.38	$120,330.38	2026-03-26
37282	CPT	Hc Tibial-peronl Pta, Initial, Complex	16	10	$200,550.64	$40,110.13 80% off	$11,583.29	$120,330.38	$120,330.38	2026-03-26
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	10	10	$434,704.24	$86,940.85 80% off	$116,850.65	$260,822.55	$118,909.44	2026-03-26
22842	CPT	Insert Vert Fix Dev,post,3-6 Sgmts	10	10	$191,181.34	$38,236.27 80% off	$114,708.80	$114,708.80	$114,708.80	2026-03-26
22632	CPT	Lumb Sp Fusn,Post Interbdy,Ea Addnl	10	10	$191,181.34	$38,236.27 80% off	$114,708.80	$114,708.80	$114,708.80	2026-03-26
37184	CPT	Hc Ir Thrombctmy Artry,Primary,Initl,Nonintrcranl	15	10	$188,467.69	$37,693.54 80% off	$17,033.22	$113,080.62	$113,080.62	2026-03-26
49561	CPT	Repair Incisional Hernia,Strang	10	10	$188,101.60	$37,620.32 80% off	$112,860.96	$112,860.96	$112,860.96	2026-03-26
49566	CPT	Repair Recurr Incis Hernia,Strang	10	10	$188,101.60	$37,620.32 80% off	$112,860.96	$112,860.96	$112,860.96	2026-03-26
27709	CPT	Osteotomy Tibia & Fibula	10	10	$185,873.68	$37,174.74 80% off	$111,524.21	$111,524.21	$111,524.21	2026-03-26
37215	CPT	Hc Evl Comm/Carot Stent W/Dpd	15	10	$185,732.08	$37,146.42 80% off	$9,956.52	$111,439.24	$111,439.24	2026-03-26
27823	CPT	Open Rx Trimalleolar Fx,Fix Post Lip	10	10	$184,782.90	$36,956.58 80% off	$110,869.74	$110,869.74	$110,869.74	2026-03-26
51860	CPT	Repair Bladder Wound/Inj,Simple	10	10	$184,212.87	$36,842.57 80% off	$110,527.73	$110,527.73	$110,527.73	2026-03-26
27454	CPT	Osteotomies Femur Shaft+Intra Rod	10	10	$182,420.74	$36,484.15 80% off	$109,452.45	$109,452.45	$109,452.45	2026-03-26
28735	CPT	Fusion Foot Bones,Midtarsal,Osteotmy	10	10	$181,481.33	$36,296.27 80% off	$108,888.79	$108,888.79	$108,888.79	2026-03-26
37186	CPT	Hc Ir Thrombctmy Artry,2ndary Proc,Nonintrcranl	15	10	$180,062.16	$36,012.43 80% off	$5,361.12	$108,037.29	$108,037.29	2026-03-26
54410	CPT	Remove/Replace Penis Prosth	10	10	$178,027.39	$35,605.48 80% off	$106,816.43	$106,816.43	$106,816.43	2026-03-26
21141	CPT	Reconst Face,Lefort I,1 Piece	10	10	$176,973.86	$35,394.77 80% off	$106,184.32	$106,184.32	$106,184.32	2026-03-26
21199	CPT	Reconst Mandible,Glossal Advancemt	10	10	$176,973.86	$35,394.77 80% off	$106,184.32	$106,184.32	$106,184.32	2026-03-26
54401	CPT	Insert Self-contd Penile Prosthesis	10	10	$176,106.01	$35,221.20 80% off	$105,663.60	$105,663.60	$105,663.60	2026-03-26
27712	CPT	Osteotomies Tib/Fib+Intramed Rod	10	10	$176,079.69	$35,215.94 80% off	$105,647.82	$105,647.82	$105,647.82	2026-03-26
24410	CPT	Osteotomy,Humerus,Multi,Realign Rod	18	18	$176,027.05	$35,205.41 80% off	$27.37	$105,616.23	$105,616.23	2026-03-26
64446	CPT	Inj,Anes Agent,Sciatic Nerve,Cont Inf	16	10	$174,598.27	$34,919.65 80% off	$1,375.92	$104,758.96	$104,758.96	2026-03-26
22630	CPT	Lumbar Spine Fusn,Post Intrbdy	10	10	$174,442.00	$34,888.40 80% off	$104,665.20	$104,665.20	$104,665.20	2026-03-26
22840	CPT	Spine Fixation,Post,Harrington	10	10	$174,442.00	$34,888.40 80% off	$104,665.20	$104,665.20	$104,665.20	2026-03-26
28420	CPT	Open Rx Heel Fracture,Graft	10	10	$173,528.76	$34,705.75 80% off	$104,117.26	$104,117.26	$104,117.26	2026-03-26
33016	CPT	Hc Pericardiocentesis Initial	17	10	$172,992.33	$34,598.47 80% off	$1,296.00	$103,795.40	$103,795.40	2026-03-26
49655	CPT	Lap, Incisional Hernia Repair,Incarcerated	10	10	$172,492.24	$34,498.45 80% off	$103,495.35	$103,495.35	$103,495.35	2026-03-26
36160	CPT	Hc Ir Intro Needle-translumbar Aor	15	10	$171,833.32	$34,366.66 80% off	$396.36	$103,099.99	$103,099.99	2026-03-26
19361	CPT	Breast Reconstruc W Lat Dorsi Flap	10	10	$171,136.23	$34,227.25 80% off	$102,681.74	$102,681.74	$102,681.74	2026-03-26
54405	CPT	Insert Multi-comp Penis Pros	10	10	$168,257.39	$33,651.48 80% off	$100,954.43	$100,954.43	$100,954.43	2026-03-26
50549	CPT	Lap,Renal Procedure,Unlisted	18	18	$166,613.20	$33,322.64 80% off	$12.16	$99,967.92	$99,967.92	2026-03-26
55869	CPT	Laps Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec	10	10	$166,392.54	$33,278.51 80% off	$99,835.52	$99,835.52	$99,835.52	2026-03-26
33249	CPT	Hc Insert Icd Lead W/Pulse Gener	20	10	$155,471.90	$31,094.38 80% off	$29,630.34	$147,544.08	$99,786.84	2026-03-26
58180	CPT	Supracerv Abd Hysterectomy	10	10	$166,299.55	$33,259.91 80% off	$99,779.73	$99,779.73	$99,779.73	2026-03-26
23107	CPT	Explore Shoulder Joint	10	10	$163,651.51	$32,730.30 80% off	$98,190.90	$98,190.90	$98,190.90	2026-03-26
24371	CPT	Revis Elbow Arthrplsty Humeral&Ulna Compnt	18	18	$162,570.88	$32,514.18 80% off	$866.17	$97,542.52	$97,542.52	2026-03-26
37185	CPT	Hc Ir Thrombctmy Arty,Addtnl Vessel,Nonintrcranl	15	10	$161,810.80	$32,362.16 80% off	$3,598.02	$97,086.48	$97,086.48	2026-03-26
29889	CPT	Knee Scope,Aid Post Cruc Repair	10	10	$161,508.70	$32,301.74 80% off	$96,905.22	$96,905.22	$96,905.22	2026-03-26
22600	CPT	Cerv Fusn,Below C2,Post Tech	10	10	$160,536.15	$32,107.23 80% off	$96,321.69	$96,321.69	$96,321.69	2026-03-26
43289	CPT	Lap,Esophagus,Other Proc	10	10	$160,404.77	$32,080.95 80% off	$96,242.87	$96,242.87	$96,242.87	2026-03-26
27165	CPT	Osteotomy/Fix Inter/Subtroch Femur	10	10	$160,217.90	$32,043.58 80% off	$96,130.74	$96,130.74	$96,130.74	2026-03-26
58544	CPT	Lap, Supracervial Hysterectomy With Tube&Ov, >250g	10	10	$158,650.42	$31,730.08 80% off	$95,190.26	$95,190.26	$95,190.26	2026-03-26
50605	CPT	Ureterotomy To Insert Stent	18	18	$158,458.10	$31,691.62 80% off	$437.62	$95,074.86	$95,074.86	2026-03-26
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	10	10	$542,593.23	$108,518.65 80% off	$93,342.31	$325,555.93	$94,986.91	2026-03-26
21743	CPT	Reconst Pectus Excav/Carin With Thoracos	10	10	$158,009.21	$31,601.84 80% off	$6,950.00	$94,805.52	$94,805.52	2026-03-26
25370	CPT	Osteotomy+Rod,Radius Or Ulna	10	10	$157,995.85	$31,599.17 80% off	$94,797.51	$94,797.51	$94,797.51	2026-03-26
J2507	HCPCS	Pegloticase 8 Mg/ml IV Soln	9	9	$173,932.95	$34,786.59 80% off	$86,966.48	$139,146.36	$94,793.46	2026-03-26
27420	CPT	Revision Of Unstable Patella	18	18	$157,658.92	$31,531.78 80% off	$81.09	$94,595.35	$94,595.35	2026-03-26
55866	CPT	Lap,Prostatectomy,Radical,W/Nerve Spare	10	10	$157,303.91	$31,460.78 80% off	$94,382.35	$94,382.35	$94,382.35	2026-03-26
27405	CPT	Repair Collat Ligamt/Capsule,Knee	10	10	$156,903.29	$31,380.66 80% off	$94,141.98	$94,141.98	$94,141.98	2026-03-26
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	10	10	$637,259.50	$127,451.90 80% off	$92,120.45	$382,355.70	$93,743.52	2026-03-26
21181	CPT	Contour Cranial Bone Lesion	10	10	$156,206.31	$31,241.26 80% off	$93,723.79	$93,723.79	$93,723.79	2026-03-26
43644	CPT	Lap Gastric Bypass/roux-en-y	10	10	$153,855.53	$30,771.11 80% off	$92,313.32	$92,313.32	$92,313.32	2026-03-26
44604	CPT	Suture Lrg Intest	10	10	$151,607.29	$30,321.46 80% off	$90,964.38	$90,964.38	$90,964.38	2026-03-26
43647	CPT	Lap Implant/ Replace Gastric Neurostim Antrum	10	10	$151,221.57	$30,244.31 80% off	$90,732.95	$90,732.95	$90,732.95	2026-03-26
37288	CPT	Hc Tibial-peronl Atherectomy, Initial	16	10	$150,927.56	$30,185.51 80% off	$14,528.46	$90,556.54	$90,556.54	2026-03-26
37271	CPT	Hc Fem-pop Atherectomy, Initial	16	10	$150,927.56	$30,185.51 80% off	$15,484.51	$90,556.54	$90,556.54	2026-03-26
58546	CPT	Lap,Myomectomy 5/>,Total Wt >250 Gms	10	10	$150,823.69	$30,164.74 80% off	$90,494.21	$90,494.21	$90,494.21	2026-03-26
21360	CPT	Open Rx Depress Malar Frac	10	10	$150,598.15	$30,119.63 80% off	$90,358.89	$90,358.89	$90,358.89	2026-03-26
21346	CPT	Open Rx Nose/Jaw Fract+Wires	10	10	$150,598.15	$30,119.63 80% off	$90,358.89	$90,358.89	$90,358.89	2026-03-26
27415	CPT	Osteochondral Knee Allograft	10	10	$149,660.71	$29,932.14 80% off	$89,796.43	$89,796.43	$89,796.43	2026-03-26
22633	CPT	Arthdsis Post/Posterolatrl/Postinterbody Lumbar	10	10	$148,931.19	$29,786.24 80% off	$89,358.71	$89,358.71	$89,358.71	2026-03-26
33225	CPT	Hc Ins Lv Ld With New Pcr/Icd	20	10	$142,256.96	$28,451.39 80% off	$1.08	$151,588.15	$88,540.88	2026-03-26
J1162	HCPCS	Digoxin Immune Fab 40 Mg IV Solr	9	9	$162,077.65	$32,415.53 80% off	$81,038.83	$129,662.12	$88,332.32	2026-03-26
62160	CPT	Neuroendoscop,Place/Replace Ventcath	10	10	$146,454.61	$29,290.92 80% off	$87,872.76	$87,872.76	$87,872.76	2026-03-26
26490	CPT	Revise Thumb Tendon	18	18	$145,739.28	$29,147.86 80% off	$3.33	$87,443.57	$87,443.57	2026-03-26
26567	CPT	Correct Finger Deformity	18	18	$145,739.28	$29,147.86 80% off	$3.33	$87,443.57	$87,443.57	2026-03-26
38120	CPT	Lap,Splenectomy	10	10	$144,783.08	$28,956.62 80% off	$86,869.85	$86,869.85	$86,869.85	2026-03-26
27681	CPT	Release Tib/Fib/Ankl Flex Tendon,Mul	10	10	$144,771.79	$28,954.36 80% off	$86,863.07	$86,863.07	$86,863.07	2026-03-26
37258	CPT	Hc Iliac Stent, Initial	16	10	$144,764.36	$28,952.87 80% off	$24,995.74	$86,858.62	$86,858.62	2026-03-26
37273	CPT	Hc Fem-pop Atherectomy, Initial, Complex	16	10	$144,764.36	$28,952.87 80% off	$15,484.51	$86,858.62	$86,858.62	2026-03-26
27479	CPT	Surgery Stop Femur/Tib/Fib Growth	10	10	$144,489.20	$28,897.84 80% off	$86,693.52	$86,693.52	$86,693.52	2026-03-26
215	MS_DRG	Other Heart Assist System Implant	10	10	$380,234.74	$76,046.95 80% off	$84,502.80	$228,140.85	$85,991.66	2026-03-26
28715	CPT	Fusion Foot Bones,Triple	10	10	$142,280.54	$28,456.11 80% off	$85,368.32	$85,368.32	$85,368.32	2026-03-26
50543	CPT	Lap,Partial Nephrectomy	15	10	$141,810.55	$28,362.11 80% off	$11,032.74	$85,086.33	$85,086.33	2026-03-26
44120	CPT	Resect Small Intest,Singl Resec/Anas	10	10	$141,637.18	$28,327.44 80% off	$84,982.30	$84,982.30	$84,982.30	2026-03-26
27514	CPT	Open Rx Femur,Distal End	18	18	$141,244.62	$28,248.92 80% off	$81.09	$84,746.77	$84,746.77	2026-03-26
29895	CPT	Ankle Scope,Part Synovectomy	10	10	$141,051.27	$28,210.25 80% off	$84,630.76	$84,630.76	$84,630.76	2026-03-26
27407	CPT	Repair Cruciate Ligament,Knee	18	18	$140,950.35	$28,190.07 80% off	$81.09	$84,570.21	$84,570.21	2026-03-26
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	10	$515,937.48	$103,187.50 80% off	$83,055.84	$309,562.48	$84,519.20	2026-03-26
27245	CPT	Open Fix Inter/Subtroch Fx,Implnt	10	10	$139,940.33	$27,988.07 80% off	$83,964.20	$83,964.20	$83,964.20	2026-03-26
23655	CPT	Closed Rx Shldr Disloc,Anesthesia	10	10	$139,905.33	$27,981.07 80% off	$5,460.00	$83,943.20	$83,943.20	2026-03-26
27730	CPT	Arrest,Epiphyseal,Open,Distal Tibia	10	10	$139,781.35	$27,956.27 80% off	$83,868.81	$83,868.81	$83,868.81	2026-03-26
54111	CPT	Excis Penile Plaque,Graft <5cm	10	10	$139,493.45	$27,898.69 80% off	$83,696.07	$83,696.07	$83,696.07	2026-03-26
62351	CPT	Implant Spinal Cath W Laminect	10	10	$139,017.46	$27,803.49 80% off	$83,410.48	$83,410.48	$83,410.48	2026-03-26
62350	CPT	Implant Spinal Cath For Pump	10	10	$138,561.78	$27,712.36 80% off	$83,137.07	$83,137.07	$83,137.07	2026-03-26
27698	CPT	Repair Collat Ankle Ligmnt,Secondary	10	10	$138,311.00	$27,662.20 80% off	$82,986.60	$82,986.60	$82,986.60	2026-03-26
28062	CPT	Rad Excis Plantar Fascia	10	10	$138,311.00	$27,662.20 80% off	$82,986.60	$82,986.60	$82,986.60	2026-03-26
64581	CPT	Implant Neuroelectrodes	18	18	$137,765.00	$27,553.00 80% off	$6.79	$82,659.00	$82,659.00	2026-03-26
37239	CPT	Hc Stent Plcmnt Vein Ea Addtnl	20	10	$133,047.38	$26,609.47 80% off	$3,717.36	$143,251.05	$82,562.73	2026-03-26
CMG 0407-B	OTHER	Inpatient Rehab Per Discharge: Spinal Cord Dysfunction, Traumatic	10	10	—	—	$82,506.84	$94,882.87	$82,506.84	2026-01-01
33340	CPT	Hc Left Atrial Appendage Occlusion	20	10	$129,978.10	$25,995.62 80% off	$7,537.32	$130,081.91	$82,302.16	2026-03-26
49255	CPT	Removal Of Omentum	10	10	$136,951.64	$27,390.33 80% off	$82,170.99	$82,170.99	$82,170.99	2026-03-26
27132	CPT	Conv Prev Hip Surg To Tot Hip Arthroplas	10	10	$136,883.48	$27,376.70 80% off	$82,130.09	$82,130.09	$82,130.09	2026-03-26
28760	CPT	Fusion Big Toe,i-p Jt+Tendn Xfer	18	18	$136,402.66	$27,280.53 80% off	$4.50	$81,841.60	$81,841.60	2026-03-26
64590	CPT	Implant Neurostim/Receiver	10	10	$136,362.89	$27,272.58 80% off	$81,817.74	$81,817.74	$81,817.74	2026-03-26
J2350	HCPCS	Ocrelizumab 300 Mg/10ml IV Soln	10	10	$144,486.75	$28,897.35 80% off	$72,243.38	$115,589.40	$81,707.26	2026-03-26
27450	CPT	Osteotomy Femur Shaft,W Fixatn	10	10	$136,099.84	$27,219.97 80% off	$81,659.90	$81,659.90	$81,659.90	2026-03-26
54400	CPT	Insert Semi-rigid Penile Prosthesis	10	10	$136,046.00	$27,209.20 80% off	$81,627.60	$81,627.60	$81,627.60	2026-03-26
50544	CPT	Lap,Pyeloplasty	15	10	$136,002.31	$27,200.46 80% off	$11,032.74	$81,601.38	$81,601.38	2026-03-26
28606	CPT	Percut Rx Tar-metatar Foot Disloc	10	10	$135,717.10	$27,143.42 80% off	$81,430.26	$81,430.26	$81,430.26	2026-03-26
24363	CPT	Arthroplasty,Elbow,Total Prosth Repl	10	10	$135,680.84	$27,136.17 80% off	$81,408.51	$81,408.51	$81,408.51	2026-03-26
27227	CPT	Open Intern Fix Acetabular Fx	10	10	$135,534.45	$27,106.89 80% off	$81,320.67	$81,320.67	$81,320.67	2026-03-26
24149	CPT	Radical Resect Elbow, Contrac Releas	10	10	$135,431.03	$27,086.21 80% off	$81,258.62	$81,258.62	$81,258.62	2026-03-26
43645	CPT	Lap Gastr Bypass Incl Smll Int Recon	10	10	$134,007.18	$26,801.44 80% off	$80,404.30	$80,404.30	$80,404.30	2026-03-26
63051	CPT	C-laminoplasty W/Graft/Plate, 2 Or More	10	10	$133,658.72	$26,731.74 80% off	$80,195.24	$80,195.24	$80,195.24	2026-03-26
63052	CPT	Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm	10	10	$133,617.73	$26,723.55 80% off	$80,170.63	$80,170.63	$80,170.63	2026-03-26
36261	CPT	Revision Of Infusion Pump	10	10	$132,272.82	$26,454.56 80% off	$79,363.70	$79,363.70	$79,363.70	2026-03-26
49652	CPT	Lap, Ventral Hernia Repair,Reducible	10	10	$131,105.80	$26,221.16 80% off	$78,663.48	$78,663.48	$78,663.48	2026-03-26
20985	CPT	Cpt4	10	10	$130,865.89	$26,173.18 80% off	$78,519.54	$78,519.54	$78,519.54	2026-03-26
27386	CPT	Fix Quad/Hamstr Musc Rupt,Second	10	10	$130,540.06	$26,108.01 80% off	$78,324.04	$78,324.04	$78,324.04	2026-03-26
27700	CPT	Arthroplasty Ankle Joint	10	10	$130,404.79	$26,080.96 80% off	$78,242.88	$78,242.88	$78,242.88	2026-03-26
28730	CPT	Fusion Foot Bones,Midtarsal,Multi	10	10	$130,272.86	$26,054.57 80% off	$78,163.71	$78,163.71	$78,163.71	2026-03-26
21196	CPT	Reconst Mandible,Sag Split+Fixatn	18	18	$129,985.98	$25,997.20 80% off	$8.16	$77,991.59	$77,991.59	2026-03-26
21142	CPT	Reconst Face,Lefort I,2 Pieces	18	18	$129,985.98	$25,997.20 80% off	$8.16	$77,991.59	$77,991.59	2026-03-26
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With McC	10	10	$472,698.01	$94,539.60 80% off	$76,633.46	$283,618.80	$77,983.67	2026-03-26
27427	CPT	Ligmt Revision,knee,extra-artic	10	10	$129,770.93	$25,954.19 80% off	$77,862.55	$77,862.55	$77,862.55	2026-03-26
37238	CPT	Hc Stent Plcmnt Vein Initl	20	10	$124,430.81	$24,886.16 80% off	$3,717.36	$132,911.17	$77,392.79	2026-03-26
CMG 1904-B	OTHER	Inpatient Rehab Per Discharge: Guillian-barre	10	10	—	—	$77,242.77	$88,829.19	$77,242.77	2026-01-01
591	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure,EXTREME	14	6	$680,835.88	—	$66,257.76	$87,854.91	$77,056.33	2026-03-26
23470	CPT	Reconstruct Prox Humeral Implant	10	10	$128,269.22	$25,653.84 80% off	$76,961.54	$76,961.54	$76,961.54	2026-03-26
27418	CPT	Repair Anter Tibial Tubercle	18	18	$128,122.15	$25,624.43 80% off	$81.09	$76,873.29	$76,873.29	2026-03-26
27350	CPT	Part/Full Removal Of Kneecap	10	10	$128,100.62	$25,620.12 80% off	$76,860.38	$76,860.38	$76,860.38	2026-03-26
64468	CPT	Thoracic Fascial Plane Block Bi Injection	15	10	$128,031.90	$25,606.38 80% off	$1,261.98	$76,819.14	$76,819.14	2026-03-26
58553	CPT	Lap,Vag Hyst,Uterus >250gms	18	18	$127,847.12	$25,569.42 80% off	$13.59	$76,708.27	$76,708.27	2026-03-26
43283	CPT	Lap Esophageal Lengthening	10	10	$127,796.75	$25,559.35 80% off	$76,678.05	$76,678.05	$76,678.05	2026-03-26
41827	CPT	Excis Dentoalv Lesn,Complx Rep	18	18	$127,350.31	$25,470.06 80% off	$10.20	$76,410.18	$76,410.18	2026-03-26
36010	CPT	Hc Ir Cath Plmt Svc/Ivc	15	10	$126,429.70	$25,285.94 80% off	$1,528.20	$75,857.82	$75,857.82	2026-03-26
28250	CPT	Divisn Plantar Fascia/Muscle	10	10	$125,854.83	$25,170.97 80% off	$75,512.90	$75,512.90	$75,512.90	2026-03-26
850	MS_DRG	Acute Leukemia With Other Procedures	11	11	$291,342.94	$58,268.59 80% off	$73,725.44	$220,947.14	$75,024.41	2026-03-26
22846	CPT	Insert Vert Fix Dev,ant,4-7 Sgmts	10	10	$124,787.46	$24,957.49 80% off	$74,872.48	$74,872.48	$74,872.48	2026-03-26
27705	CPT	Osteotomy Tibia	10	10	$124,759.80	$24,951.96 80% off	$74,855.88	$74,855.88	$74,855.88	2026-03-26
50541	CPT	Lap,Ablation Of Renal Cysts	10	10	$124,388.07	$24,877.61 80% off	$74,632.85	$74,632.85	$74,632.85	2026-03-26
22554	CPT	Cerv Spine Fusn,Anter,Below C2	10	10	$123,745.67	$24,749.13 80% off	$74,247.40	$74,247.40	$74,247.40	2026-03-26
63075	CPT	Disk Surg,Anter,Cervical,Single Lvl	10	10	$123,745.67	$24,749.13 80% off	$74,247.40	$74,247.40	$74,247.40	2026-03-26
64561	CPT	Implant Neuroelectrodes	10	10	$123,633.30	$24,726.66 80% off	$74,179.98	$74,179.98	$74,179.98	2026-03-26
25420	CPT	Repair Nonunion Radius And Ulna W/Graft	10	10	$123,522.51	$24,704.50 80% off	$74,113.51	$74,113.51	$74,113.51	2026-03-26
27665	CPT	Repair Exten Leg Tendn,Second,Ea	10	10	$123,067.46	$24,613.49 80% off	$73,840.48	$73,840.48	$73,840.48	2026-03-26
43284	CPT	Laps Esophgl Sphnctr Agmntj Plmt Dev Crrpl	10	10	$122,770.32	$24,554.06 80% off	$73,662.20	$73,662.20	$73,662.20	2026-03-26
43775	CPT	Lap, Gast Restrict Proc, Longitudinal Gastrectomy	10	10	$122,724.39	$24,544.88 80% off	$73,634.63	$73,634.63	$73,634.63	2026-03-26
22552	CPT	Arthrodesis Ant Interbody Inc Discectomy, Cervical Below C2 Each Addl	10	10	$122,653.76	$24,530.75 80% off	$73,592.26	$73,592.26	$73,592.26	2026-03-26
29883	CPT	Knee Scope,Med+Lat Menis Repair	10	10	$122,224.26	$24,444.85 80% off	$73,334.55	$73,334.55	$73,334.55	2026-03-26
27278	CPT	Pr Arthrd Si Jt Prq W/Plmt Iartic Implt Wo Tfxj Dev	18	18	$122,215.74	$24,443.15 80% off	$5.05	$73,329.45	$73,329.45	2026-03-26
23929	CPT	Shoulder Surg Proc Unlisted	10	10	$121,997.91	$24,399.58 80% off	$73,198.74	$73,198.74	$73,198.74	2026-03-26
35701	CPT	Exploration, Carotid Artery	18	18	$121,992.87	$24,398.57 80% off	$43.34	$73,195.73	$73,195.73	2026-03-26
231	MS_DRG	Coronary Bypass With Ptca With McC	10	10	$513,994.32	$102,798.86 80% off	$71,818.34	$308,396.59	$73,083.71	2026-03-26
24435	CPT	Repair Non/Malunion Humerus,Graft	10	10	$121,556.54	$24,311.31 80% off	$72,933.93	$72,933.93	$72,933.93	2026-03-26
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	10	$386,163.89	$77,232.78 80% off	$71,598.22	$231,698.33	$72,859.71	2026-03-26
27558	CPT	Open Rx Knee Disloc+Lig Repr+Augmt	10	10	$121,395.42	$24,279.08 80% off	$72,837.26	$72,837.26	$72,837.26	2026-03-26
43633	CPT	Remv Stomach,part,distal,roux-en-y	10	10	$121,314.62	$24,262.92 80% off	$72,788.77	$72,788.77	$72,788.77	2026-03-26
43282	CPT	Lap, Repair Paraesophageal Hernia, Incl Fundoplasty With Mesh	18	18	$120,896.62	$24,179.32 80% off	$31.08	$72,537.98	$72,537.98	2026-03-26
63005	CPT	Laminectomy,Lumbar	10	10	$120,814.43	$24,162.89 80% off	$72,488.65	$72,488.65	$72,488.65	2026-03-26
23472	CPT	Reconstr Total Shoulder Implant	10	10	$120,704.25	$24,140.85 80% off	$72,422.55	$72,422.55	$72,422.55	2026-03-26
22856	CPT	Total Disc Arthroplasty, Cervical, Single	10	10	$120,696.22	$24,139.24 80% off	$72,417.74	$72,417.74	$72,417.74	2026-03-26
19303	CPT	Mastectomy, Simple, Complete	10	10	$119,631.09	$23,926.22 80% off	$71,778.65	$71,778.65	$71,778.65	2026-03-26
20930	CPT	Spin Bone Allogrft Morselized	10	10	$119,237.39	$23,847.48 80% off	$71,542.43	$71,542.43	$71,542.43	2026-03-26
64892	CPT	Nerve Graft,Arm/Leg,One,Up To 4cm	10	10	$118,768.86	$23,753.77 80% off	$71,261.32	$71,261.32	$71,261.32	2026-03-26
49905	CPT	Omental Flap	10	10	$118,648.67	$23,729.73 80% off	$71,189.21	$71,189.21	$71,189.21	2026-03-26
44204	CPT	Lap,Surg,Colectomy, Partial, W/Anast	10	10	$118,648.67	$23,729.73 80% off	$71,189.21	$71,189.21	$71,189.21	2026-03-26
62362	CPT	Insert Infusn Pump,Programmable	10	10	$118,365.04	$23,673.01 80% off	$71,019.02	$71,019.02	$71,019.02	2026-03-26
43279	CPT	Lap, Esophagomyotomy W Fundoplasty	10	10	$118,312.35	$23,662.47 80% off	$70,987.41	$70,987.41	$70,987.41	2026-03-26
J9266	HCPCS	Pegaspargase 750 Unit/ml Inj Soln	9	9	$130,209.65	$26,041.93 80% off	$65,104.83	$104,167.72	$70,964.26	2026-03-26
50548	CPT	Nephrectomy, W/Part. Uretectomy	18	18	$118,129.59	$23,625.92 80% off	$27.37	$70,877.76	$70,877.76	2026-03-26
50434	CPT	Hc Ir Nephrostomy To Nephroureteral Cath Exch W/Orw/O Nephrostogrm	19	10	$118,058.66	$23,611.73 80% off	$3,158.46	$70,835.20	$70,835.20	2026-03-26
28086	CPT	Synovectomy Flex Tendn Sheath,Foot	10	10	$117,048.86	$23,409.77 80% off	$70,229.32	$70,229.32	$70,229.32	2026-03-26
29916	CPT	Arthroscopy Hip W/Labral Repair	10	10	$116,869.15	$23,373.83 80% off	$70,121.49	$70,121.49	$70,121.49	2026-03-26
20936	CPT	Spin Bone Autogrft Local	18	18	$116,583.45	$23,316.69 80% off	$36.30	$69,950.07	$69,950.07	2026-03-26
23405	CPT	Incise Tendon/Muscle,Shldr,Single	10	10	$116,338.47	$23,267.69 80% off	$69,803.09	$69,803.09	$69,803.09	2026-03-26
27393	CPT	Lengthen Hamstr Tendon,Single	10	10	$116,268.58	$23,253.72 80% off	$69,761.15	$69,761.15	$69,761.15	2026-03-26
28725	CPT	Fusion Foot Bones,Subtalar	10	10	$116,256.17	$23,251.23 80% off	$69,753.71	$69,753.71	$69,753.71	2026-03-26
30630	CPT	Repair Nasal Septum Perforatn	10	10	$115,940.97	$23,188.19 80% off	$69,564.59	$69,564.59	$69,564.59	2026-03-26
27435	CPT	Post Capsular Release,Knee	10	10	$115,528.55	$23,105.71 80% off	$69,317.13	$69,317.13	$69,317.13	2026-03-26
58291	CPT	Vag Hyst,Uterus >250 Gms,Rem Tube/Ovary	18	18	$115,440.68	$23,088.14 80% off	$27.37	$69,264.40	$69,264.40	2026-03-26
55867	CPT	Laps Surg Prst8ect Smpl Stot Robotic Assistance	10	10	$115,288.61	$23,057.72 80% off	$69,173.16	$69,173.16	$69,173.16	2026-03-26
21206	CPT	Reconst Maxilla,Segmental	10	10	$115,232.93	$23,046.59 80% off	$69,139.76	$69,139.76	$69,139.76	2026-03-26
28020	CPT	Explor Tarsal/Tarsometatar Jt	10	10	$115,118.54	$23,023.71 80% off	$69,071.12	$69,071.12	$69,071.12	2026-03-26
23462	CPT	Repair Shldr Capsu,Ant,Coracoid Xfer	10	10	$114,987.19	$22,997.44 80% off	$68,992.32	$68,992.32	$68,992.32	2026-03-26
24666	CPT	Open Rx Radial Head Fx,Prosth Implnt	10	10	$114,963.03	$22,992.61 80% off	$68,977.82	$68,977.82	$68,977.82	2026-03-26
27507	CPT	Open Rx Femur Fx+Plate/Screw	10	10	$114,923.48	$22,984.70 80% off	$68,954.09	$68,954.09	$68,954.09	2026-03-26
58290	CPT	Vag Hyst,Uterus >250 Gms	18	18	$114,772.60	$22,954.52 80% off	$7.90	$68,863.56	$68,863.56	2026-03-26
27097	CPT	Hamstring Recession,Prox	10	10	$114,025.85	$22,805.17 80% off	$68,415.51	$68,415.51	$68,415.51	2026-03-26
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC	10	10	$501,529.79	$100,305.96 80% off	$67,157.71	$300,917.88	$68,340.96	2026-03-26
29894	CPT	Ankle Scope,Remvl Loose Body	10	10	$113,613.85	$22,722.77 80% off	$68,168.31	$68,168.31	$68,168.31	2026-03-26
54416	CPT	Remv/Repl Penis Contain Pros	18	18	$113,548.08	$22,709.62 80% off	$6.89	$68,128.85	$68,128.85	2026-03-26
24546	CPT	Open Rx Hum Supracondy Fx,Inter Extn	10	10	$113,407.69	$22,681.54 80% off	$68,044.62	$68,044.62	$68,044.62	2026-03-26
24400	CPT	Osteotomy Humerus	10	10	$113,406.74	$22,681.35 80% off	$68,044.04	$68,044.04	$68,044.04	2026-03-26
64449	CPT	N Block Inj, Lumbar Plexus	10	10	$113,015.94	$22,603.19 80% off	$67,809.57	$67,809.57	$67,809.57	2026-03-26
23430	CPT	Repair Biceps Long Tendon	10	10	$112,660.36	$22,532.07 80% off	$67,596.21	$67,596.21	$67,596.21	2026-03-26
CMG 0407-C	OTHER	Inpatient Rehab Per Discharge: Spinal Cord Dysfunction, Traumatic	10	10	—	—	$67,439.08	$77,554.94	$67,439.08	2026-01-01
27692	CPT	Xfer Addnl Lower Leg Tendon	10	10	$111,628.85	$22,325.77 80% off	$66,977.31	$66,977.31	$66,977.31	2026-03-26
22845	CPT	Insert Vert Fix Dev,ant,2-3 Sgmts	10	10	$111,595.32	$22,319.06 80% off	$66,957.20	$66,957.20	$66,957.20	2026-03-26
24110	CPT	Excis/Curet Benign Humerus Lesn	10	10	$111,294.17	$22,258.83 80% off	$66,776.51	$66,776.51	$66,776.51	2026-03-26
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	10	$447,709.95	$89,541.99 80% off	$65,575.36	$268,625.97	$66,730.73	2026-03-26
27447	CPT	Total Knee Arthroplasty	10	10	$111,192.66	$22,238.53 80% off	$66,715.60	$66,715.60	$66,715.60	2026-03-26
49657	CPT	Lap, Recurrent Incisional Hernia Repair,Incarcerated	10	10	$110,878.91	$22,175.78 80% off	$66,527.35	$66,527.35	$66,527.35	2026-03-26
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC	10	10	$372,091.58	$74,418.32 80% off	$65,300.41	$223,254.95	$66,450.94	2026-03-26
64447	CPT	Inj,Anes Agent,Femoral Nerve,Single	10	10	$110,660.00	$22,132.00 80% off	$66,396.00	$66,396.00	$66,396.00	2026-03-26
61605	CPT	Resect Infratemp Fossa/Extradurl	10	10	$110,635.42	$22,127.08 80% off	$66,381.26	$66,381.26	$66,381.26	2026-03-26
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With McC	9	9	$370,440.64	$74,088.13 80% off	$65,090.29	$222,264.39	$66,237.12	2026-03-26
28297	CPT	Correct Bunion,Lapidus Type	10	10	$109,962.25	$21,992.45 80% off	$65,977.35	$65,977.35	$65,977.35	2026-03-26
27781	CPT	Closed Rx Prox/Shaft Fib Fx,Manip	10	10	$109,914.37	$21,982.87 80% off	$65,948.62	$65,948.62	$65,948.62	2026-03-26
27279	CPT	Arthrodesis Sacroiliac Joint Percutaneous	10	10	$109,844.92	$21,968.98 80% off	$65,906.96	$65,906.96	$65,906.96	2026-03-26
CMG 0407-D	OTHER	Inpatient Rehab Per Discharge: Spinal Cord Dysfunction, Traumatic	10	10	—	—	$65,664.36	$75,514.02	$65,664.36	2026-01-01
64517	CPT	Hc Hypogastric Nerve Block	15	10	$109,299.29	$21,859.86 80% off	$1,213.38	$65,579.57	$65,579.57	2026-03-26
37281	CPT	Hc Tibial-peronl Pta, Ea Addtnl Lesion	16	10	$109,183.55	$21,836.71 80% off	$8,687.33	$65,510.13	$65,510.13	2026-03-26
37267	CPT	Hc Fem-pop Stent, Initial	16	10	$109,183.55	$21,836.71 80% off	$25,579.42	$65,510.13	$65,510.13	2026-03-26
21044	CPT	Remv Malig Jaw Bone Lesion	10	10	$109,006.72	$21,801.34 80% off	$65,404.04	$65,404.04	$65,404.04	2026-03-26
20902	CPT	Remv Bone For Graft Major	10	10	$108,988.82	$21,797.76 80% off	$65,393.29	$65,393.29	$65,393.29	2026-03-26
CMG 1806-B	OTHER	Inpatient Rehab Per Discharge: Major Mult. Trauma With Brain Or Spinal Cord Inj.	10	10	—	—	$65,380.41	$75,187.47	$65,380.41	2026-01-01
29888	CPT	Knee Scope,Aid Ant Cruciate Repair	10	10	$108,825.83	$21,765.17 80% off	$65,295.50	$65,295.50	$65,295.50	2026-03-26
22853	CPT	Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd	10	10	$108,682.92	$21,736.58 80% off	$65,209.75	$65,209.75	$65,209.75	2026-03-26
45400	CPT	Lap, Surg Proctopexy	10	10	$108,553.53	$21,710.71 80% off	$65,132.11	$65,132.11	$65,132.11	2026-03-26
38232	CPT	Bone Marrow Harvest Transplantation Autologous	10	10	$108,540.59	$21,708.12 80% off	$65,124.36	$65,124.36	$65,124.36	2026-03-26
27871	CPT	Fusion Of Tibiofibular Joint	10	10	$108,540.59	$21,708.12 80% off	$65,124.36	$65,124.36	$65,124.36	2026-03-26
43659	CPT	Lap,Stomach,Other,without Tube	18	18	$108,416.60	$21,683.32 80% off	$31.00	$65,049.96	$65,049.96	2026-03-26
58545	CPT	Lap,Myomectomy 1-4,tot Wt 250 Gms	10	10	$108,304.66	$21,660.93 80% off	$64,982.79	$64,982.79	$64,982.79	2026-03-26
30435	CPT	Revis Nose,Secondary,Intermediate	10	10	$108,270.96	$21,654.19 80% off	$64,962.57	$64,962.57	$64,962.57	2026-03-26
58572	CPT	Laparoscopy Total Hysterectomy Uterus > 250 Gram	10	10	$108,270.78	$21,654.16 80% off	$64,962.46	$64,962.46	$64,962.46	2026-03-26
27130	CPT	Total Hip Arthroplasty	10	10	$108,058.87	$21,611.77 80% off	$64,835.32	$64,835.32	$64,835.32	2026-03-26
23473	CPT	Revis Shoulder Arthrplsty Humeral/Glenoid Compnt	10	10	$108,026.80	$21,605.36 80% off	$64,816.08	$64,816.08	$64,816.08	2026-03-26
35011	CPT	Repr Dfct Art Axillo-brach	10	10	$108,001.08	$21,600.22 80% off	$64,800.64	$64,800.64	$64,800.64	2026-03-26
28260	CPT	Capsulotomy Midfoot Jt,Med Release	10	10	$107,886.08	$21,577.22 80% off	$64,731.64	$64,731.64	$64,731.64	2026-03-26
28585	CPT	Open Rx Talotarsal Dislocation	10	10	$107,886.08	$21,577.22 80% off	$64,731.64	$64,731.64	$64,731.64	2026-03-26
50545	CPT	Lap, Radical Nephrectomy	10	10	$107,760.37	$21,552.07 80% off	$64,656.22	$64,656.22	$64,656.22	2026-03-26
51992	CPT	Lap,Sling Operation	10	10	$107,699.03	$21,539.81 80% off	$64,619.42	$64,619.42	$64,619.42	2026-03-26
43281	CPT	Lap, Repair Paraesophageal Hernia, Incl Fundoplasty Without Mesh	10	10	$107,674.84	$21,534.97 80% off	$64,604.90	$64,604.90	$64,604.90	2026-03-26
27330	CPT	Biopsy Synovium Knee Joint	10	10	$107,271.11	$21,454.22 80% off	$64,362.67	$64,362.67	$64,362.67	2026-03-26
27416	CPT	Cpt17	18	18	$107,106.40	$21,421.28 80% off	$81.09	$64,263.84	$64,263.84	2026-03-26
22551	CPT	Arthrodesis Ant Interbody Inc Discectomy, Cervical Below C2	10	10	$107,093.53	$21,418.71 80% off	$64,256.11	$64,256.11	$64,256.11	2026-03-26
22855	CPT	Remove Spine Fix Dev,Anterior	10	10	$107,093.53	$21,418.71 80% off	$64,256.11	$64,256.11	$64,256.11	2026-03-26
58200	CPT	Total Abd Hysterec+Ltd Nodes	10	10	$106,882.08	$21,376.42 80% off	$64,129.25	$64,129.25	$64,129.25	2026-03-26
27680	CPT	Release Tib/Fib/Ankle Flex Tendon,Ea	10	10	$106,666.43	$21,333.29 80% off	$63,999.86	$63,999.86	$63,999.86	2026-03-26
28300	CPT	Osteotomy Heel Bone	10	10	$106,434.09	$21,286.82 80% off	$63,860.46	$63,860.46	$63,860.46	2026-03-26
50081	CPT	Percut Remv Kid Stone,2+ Cm	10	10	$106,426.93	$21,285.39 80% off	$63,856.15	$63,856.15	$63,856.15	2026-03-26
L6814	HCPCS	Hc Kt.imp.hires.3d.w/hi-foc	9	9	$117,016.00	$23,403.20 80% off	$40,885.39	$93,612.80	$63,773.72	2026-03-26
27437	CPT	Arthroplasty Patella	18	18	$105,889.23	$21,177.85 80% off	$81.09	$63,533.54	$63,533.54	2026-03-26
27566	CPT	Open Rx Kneecap Dislocatn	18	18	$105,889.23	$21,177.85 80% off	$81.09	$63,533.54	$63,533.54	2026-03-26
232	MS_DRG	Coronary Bypass With Ptca Without McC	16	16	$123,058.74	$24,611.75 80% off	$52,154.97	$154,687.24	$63,491.82	2026-03-26
42500	CPT	Repair Salivary Duct Simple	10	10	$105,328.44	$21,065.69 80% off	$63,197.07	$63,197.07	$63,197.07	2026-03-26
28740	CPT	Fusion Foot Bone,Midtarsal,1 Jt	10	10	$105,307.17	$21,061.43 80% off	$63,184.31	$63,184.31	$63,184.31	2026-03-26
28114	CPT	Full Excis 2 - 5 Metatarsal Heads	10	10	$105,220.75	$21,044.15 80% off	$63,132.45	$63,132.45	$63,132.45	2026-03-26
36225	CPT	Hc Evl Angio Vert Unilat W/wo Arch Non-sel	15	10	$105,211.37	$21,042.27 80% off	$6,950.00	$63,126.82	$63,126.82	2026-03-26
29806	CPT	Shldr Arthroscop,Surg,Capsulorrhaphy	10	10	$105,113.34	$21,022.67 80% off	$63,068.00	$63,068.00	$63,068.00	2026-03-26
36200	CPT	Hc Ir Cath Plcmt Periph Aorta	17	10	$105,105.65	$21,021.13 80% off	$0.59	$63,063.39	$63,063.39	2026-03-26
20703	CPT	Removal Intramedullary Drug Delivery Device	10	10	$104,906.31	$20,981.26 80% off	$62,943.79	$62,943.79	$62,943.79	2026-03-26
27446	CPT	Plasty Knee,Med Or Lat Compartmt	10	10	$104,845.70	$20,969.14 80% off	$62,907.42	$62,907.42	$62,907.42	2026-03-26
609	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure,EXTREME	14	6	$1,205,641.27	—	$32,380.23	$93,344.39	$62,862.31	2026-03-26
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	10	10	$337,703.57	$67,540.71 80% off	$61,756.98	$202,622.14	$62,845.08	2026-03-26
36224	CPT	Hc Evl Angio Cerebral Unilat Wwo Arch Slect	15	10	$104,525.38	$20,905.08 80% off	$9,986.22	$62,715.22	$62,715.22	2026-03-26
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC	16	16	$140,893.59	$28,178.72 80% off	$6,734.00	$183,011.44	$62,544.80	2026-03-26
35301	CPT	Thromboendartectmy Neck,Neck Incis	10	10	$104,145.14	$20,829.03 80% off	$62,487.08	$62,487.08	$62,487.08	2026-03-26
57530	CPT	Removal Of Cervix	10	10	$104,008.34	$20,801.67 80% off	$62,405.00	$62,405.00	$62,405.00	2026-03-26
57425	CPT	Laparoscopy, Surg, Colpopexy	10	10	$104,004.17	$20,800.83 80% off	$62,402.50	$62,402.50	$62,402.50	2026-03-26
49402	CPT	Remove Peritoneal Foreign Body	10	10	$103,922.90	$20,784.58 80% off	$62,353.74	$62,353.74	$62,353.74	2026-03-26
24340	CPT	Repair Of Biceps Tendon At Elbow	18	18	$103,916.37	$20,783.27 80% off	$10.20	$62,349.82	$62,349.82	2026-03-26
22634	CPT	Arthdsis Post/Posterlatrl/Postintrbdyadl Spc/Seg	10	10	$103,864.67	$20,772.93 80% off	$62,318.81	$62,318.81	$62,318.81	2026-03-26
23474	CPT	Revis Shoulder Arthrplsty Humeral&Glenoid Compnt	10	10	$103,799.81	$20,759.96 80% off	$62,279.89	$62,279.89	$62,279.89	2026-03-26
11011	CPT	Debride Assoc Fx/Disloc Skin/Muscle	10	10	$103,682.57	$20,736.51 80% off	$62,209.54	$62,209.54	$62,209.54	2026-03-26
24370	CPT	Revis Elbow Arthrplsty Humeral/Ulna Compnt	10	10	$103,534.50	$20,706.90 80% off	$62,120.70	$62,120.70	$62,120.70	2026-03-26

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