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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ST LUKE'S MCCALL

Mccall, ID · CCN 131312 · Rates published

7,264 distinct procedures filed
28 distinct payers
832,445 rate rows
2026-07-18 last MRF observed
Data quality

802,419 of 832,445 rate rows are consumer-grade (96.4%)

30,026 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 14,626
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,434
placeholder amount (≤ $0.02) — excluded from medians 797
percent-of-charges filed in the dollar field — excluded from medians 466
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 459
per-diem day rate — not a per-procedure price 234
exceeds 10× this hospital's gross charge — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.slhs.org/download/assets/273311774_St-Lukes-McCall-LTD_standardcharges.csv/8ce4df342a2111f1b690eeb323b4f562
Found on page https://stlukesonline.org/en/patients-visitors/billing-and-insurance/price-estimates/price-transparency/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-07-18
Content fingerprint 73b14e28acbf34c4… · 357,288,550 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
38240
CPT 		Transplantation Of Donor Stem Cells Per Donor 21 $96,047.42 $158,975.04 $145,727.12 nat. median
$12,874
outlier · 11.3×
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 21 $84,554.97 $140,013.53 $128,345.74 nat. median
$63,504
outlier · 2.0×
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 21 $83,604.33 $138,440.06 $126,903.39 nat. median
$479
outlier · 264.8×
64568
CPT 		Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 21 $73,080.58 $120,960.96 $110,880.88 nat. median
$27,744
outlier · 4.0×
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 21 $73,080.58 $120,960.96 $110,880.88 nat. median
$43,331
outlier · 2.6×
J9029
HCPCS 		Hc Nadofaragene Firadenovec-vncg, Instill, 75 Ml 21 $41,760.00 $69,120.00 $62,280.00 nat. median
$68,400
0.9× median
93653
CPT 		Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 21 $35,962.90 $59,524.80 $54,564.40 nat. median
$26,661
outlier · 2.0×
93654
CPT 		Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 21 $35,962.90 $59,524.80 $54,564.40 nat. median
$27,040
outlier · 2.0×
93656
CPT 		Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 21 $35,962.90 $59,524.80 $54,564.40 nat. median
$27,253
outlier · 2.0×
J9226
HCPCS 		Hc Histerlin, Implant, 50 Mg 21 $34,926.41 $57,809.22 $51,185.25 nat. median
$55,159
0.9× median
C1826
HCPCS 		Hc Stimulator Spinal Cord Inceptiv 21 $31,326.38 $54,011.00 $48,069.79 nat. median
$28,776
1.7× median
77372
CPT 		Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 21 $31,294.48 $51,797.76 $47,481.28 nat. median
$9,194
outlier · 5.2×
J9229
HCPCS 		Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 21 $30,419.66 $50,464.02 $46,153.97 nat. median
$6,174
outlier · 7.5×
C1736
HCPCS 		Hc Ultrasound Paradise Rdn Price Per Procedure 21 $27,914.24 $46,202.88 $42,352.64 nat. median
$24,413
1.7× median
S2102
HCPCS 		Hc Process Auto Islet Transcon 21 $27,596.40 $45,676.80 $41,870.40 nat. median
$3,676
outlier · 11.4×
C1831
HCPCS 		Hc Aprevo Kit Implant Level 1 Patient Specific 21 $14,476.80 $78,000.00 $41,519.71 nat. median
$7,509
outlier · 5.5×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 21 $20,149.20 $44,872.06 $41,083.44 nat. median
$518
outlier · 79.3×
C1823
HCPCS 		Hc Generator Pulse Imp Remede 21 $24,882.00 $42,900.00 $38,181.00 nat. median
$31,620
1.2× median
67027
CPT 		Implantation Of Eye Drug Delivery System 21 $24,119.30 $39,921.60 $36,594.80 nat. median
$9,501
outlier · 3.9×
A9606
HCPCS 		Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 21 $22,446.00 $37,212.48 $34,111.44 nat. median
$266
outlier · 128.2×
92941
CPT 		Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 21 $20,314.50 $33,624.00 $30,822.00 nat. median
$12,010
outlier · 2.6×
J9298
HCPCS 		Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 21 $19,615.84 $32,581.83 $29,761.96 nat. median
$560
outlier · 53.2×
0238T
OTHER 		Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open… 21 $19,430.00 $32,160.00 $29,480.00 nat. median
$17,559
1.7× median
C9602
HCPCS 		Hc Perc D-e Cor Stent Ather S 21 $19,430.00 $32,160.00 $29,480.00 nat. median
$20,095
1.5× median
92930
CPT 		Insertion Of 2 Stents For 2 Or More Lesions In 2 Or More Coronary Segments Or, W… 21 $19,430.00 $32,160.00 $29,480.00 nat. median
$27,623
1.1× median
92933
CPT 		Percutaneous Transluminal Coronary Atherectomy, With Intracoronary Stent, With C… 21 $19,430.00 $32,160.00 $29,480.00 nat. median
$18,561
1.6× median
C9607
HCPCS 		Hc Perc D-e Cor Revasc Chro Sing 21 $19,430.00 $32,160.00 $29,480.00 nat. median
$20,008
1.5× median
58200
CPT 		Removal Of Uterus Through Abdomen With Partial Removal Of Vagina 21 $19,046.62 $31,525.44 $28,898.32 nat. median
$3,807
outlier · 7.6×
32656
CPT 		Hc Thoracoscopy W/Parietal Pleurectomy 21 $19,046.62 $31,525.44 $28,898.32 nat. median
$2,550
outlier · 11.3×
58575
CPT 		Hc Laps Tot Hyst Resj Mal 21 $19,046.62 $31,525.44 $28,898.32 nat. median
$5,305
outlier · 5.4×
32661
CPT 		Hc Thoracoscopy W/Exc Pericardial Cyst Tumor/Mass 21 $19,046.62 $31,525.44 $28,898.32 nat. median
$2,830
outlier · 10.2×
58150
CPT 		Removal Of Uterus And Cervix Through Abdomen 21 $19,046.62 $31,525.44 $28,898.32 nat. median
$3,304
outlier · 8.7×
43775
CPT 		Partial Removal Of Stomach For Weight Loss Using An Endoscope 21 $19,046.62 $31,525.44 $28,898.32 nat. median
$4,869
outlier · 5.9×
50405
CPT 		Revision Of Kidney/ureter 21 $19,046.62 $31,525.44 $27,913.15 nat. median
$3,680
outlier · 7.6×
22558
CPT 		Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc 21 $18,170.24 $30,074.88 $27,568.64 nat. median
$8,335
outlier · 3.3×
C1882
HCPCS 		Hc Crt-d 5.37x8.08x0.99cm Inogen 21 $10,887.18 $45,431.00 $27,449.84 nat. median
$27,303
1.0× median
44207
CPT 		Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 21 $18,072.22 $29,912.64 $27,419.92 nat. median
$3,950
outlier · 6.9×
35121
CPT 		Repair Of Aneurysm Or Liver, Kidneys, Stomach And/or Intestines Artery With Graf… 21 $17,824.56 $29,502.72 $27,044.16 nat. median
$3,402
outlier · 7.9×
35151
CPT 		Repair Of Aneurysm Or Lower Leg Artery With Graft 21 $17,824.56 $29,502.72 $27,044.16 nat. median
$3,050
outlier · 8.9×
55920
CPT 		Insertion Of Needles Or Tubes Into Pelvic Or Genital Organs For Radiation Therap… 21 $17,240.50 $28,536.00 $26,158.00 nat. median
$5,120
outlier · 5.1×
33418
CPT 		Repair Of Mitral Valve Through The Skin, Initial Prosthesis 21 $17,114.64 $28,327.68 $25,967.04 nat. median
$8,524
outlier · 3.0×
0483T
OTHER 		Insertion Of Artificial Valve Between Left Heart Chambers, Accessed Through The… 21 $17,114.64 $28,327.68 $25,967.04 nat. median
$8,017
outlier · 3.2×
33361
CPT 		Replacement Of Aortic Valve Through The Skin And Femoral Artery 21 $17,114.64 $28,327.68 $25,967.04 nat. median
$9,542
outlier · 2.7×
0569T
CPT 		Hc Ttvr Percutaneous Approach Initial Prosthesis 21 $17,114.64 $28,327.68 $25,967.04 nat. median
$13,002
2.0× median
0646T
CPT 		Hc Ttvi/Rplcmt Prostc Vlv Perq W/r Hrt Cath&Angrph 18 $17,114.64 $28,327.68 $25,967.04 nat. median
$13,444
1.9× median
0570T
CPT 		Hc Ttvr Percutaneous Approach Each Addl Prosthesis 21 $17,114.64 $28,327.68 $25,967.04 nat. median
$7,755
outlier · 3.3×
33419
CPT 		Repair Of Mitral Valve Through The Skin, Additional Prosthesis 21 $17,114.64 $28,327.68 $25,967.04 nat. median
$3,247
outlier · 8.0×
Q4226
HCPCS 		Hc Graft Skin 10x10cm Autologous 21 $9,048.00 $62,400.00 $25,896.00 nat. median
$1,224
outlier · 21.2×
78431
CPT 		Nuclear Medicine Studies Of Blood Flow In Heart Muscle At Rest And With Stress W… 21 $16,707.48 $27,653.76 $25,349.28 nat. median
$2,663
outlier · 9.5×
788
MS_DRG 		Cesarean Section Without Sterilization Without Cc/mcc 2 $25,242.00 $25,242.00 $25,242.00 nat. median
$9,598
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 7,264 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0075T CPT Insertion Of Stents Into Vertebral Artery Via Catheter, Open Or Accessed Through… 36 21 $21,581.00 $21,581.00 $12,516.98 $20,717.76 $18,991.28 2026-07-18
0236T CPT Open Or Percutaneous Catheter Removal Of Plaque From Abdominal Aorta Including R… 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
0237T OTHER Catheter Removal Of Plaque From Upper Arm Artery, Accessed Through The Skin Or O… 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
0238T OTHER Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 36 21 $33,500.00 $33,500.00 $19,430.00 $32,160.00 $29,480.00 2026-07-18
0483T OTHER Insertion Of Artificial Valve Between Left Heart Chambers, Accessed Through The … 36 21 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
0569T CPT Hc Ttvr Percutaneous Approach Initial Prosthesis 36 21 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
0570T CPT Hc Ttvr Percutaneous Approach Each Addl Prosthesis 36 21 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
0646T CPT Hc Ttvi/Rplcmt Prostc Vlv Perq W/r Hrt Cath&Angrph 33 18 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
0795T OTHER Hc Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0796T OTHER Hc Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0797T OTHER Hc Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0801T OTHER Hc Tcat Rmvl&Rplcmt Perm 2chmbr Ldls Pm 2chmbr Sys 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0802T OTHER Hc Tcat Rmvl&Rplcmt Perm 2chmbr Ldls Pm R Atr Cmpnt 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0803T OTHER Hc Tcat Rmvl&Rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0823T OTHER Hc Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0825T OTHER Hc Tcat Rmvl&Rplcmt Perm 1chmbr Ldls Pm R Atrial 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
15013 CPT Hc Preparation Skin Cell Ssp Agrft 1st 25 Sq Cm/< 33 18 $20,301.00 $20,301.00 $11,774.58 $19,488.96 $17,864.88 2026-07-18
19303 CPT Simple Complete Removal Of Breast 72 21 $25,950.00 $25,950.00 $10,034.00 $33,216.00 $18,338.00 2026-07-18
19357 CPT Reconstruction Of Breast Using Tissue Expander 36 21 $21,907.00 $21,907.00 $12,706.06 $21,030.72 $19,278.16 2026-07-18
20696 CPT Placement Of Multiple Direction External Bone Stabilizing Device To Arm Or Leg U… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
21243 CPT Repair Of Hinged Joint Of Upper And Lower Jaw Bones With Prosthesis 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22325 CPT Treatment Of Broken Or Dislocated Lower Spine Bone 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22326 CPT Treatment Of Broken Or Dislocated Upper Spine Bone 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22327 CPT Treatment Of Broken Or Dislocated Middle Spine Bone 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22551 CPT Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne… 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22554 CPT Fusion Of Upper Spine Bones Through Front Of Neck With Partial Removal Of Disc 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22558 CPT Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc 36 21 $31,328.00 $31,328.00 $18,170.24 $30,074.88 $27,568.64 2026-07-18
22595 CPT Fusion Of First 2 Spine Bones Through Back Of Neck 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22600 CPT Fusion Of Spine In Neck By Posterior Approach 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22610 CPT Fusion Of Spine In Upper Back 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22612 CPT Fusion Of Spine In Lower Back 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22630 CPT Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22632 CPT Fusion Of Lower Back Spine Bone And Partial Removal Of Spine Bone Or Disc Throug… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22633 CPT Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22802 CPT Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 V… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
22804 CPT Hc Arthrodesis Post Fusion 13/> Vert Seg 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
22849 CPT Reinsertion Of Spinal Fixation Device 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22856 CPT Insertion Of Artificial Upper Spine Disc, Anterior Approach 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22867 CPT Placement Of Device To Stabilize Or Reduce Pressure In Lower Spine In 1 Disc Spa… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
23470 CPT Partial Replacement Of Shoulder Joint 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
23616 CPT Treatment Of Broken Upper Arm Bone With Replacement 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
24361 CPT Repair Of Elbow Joint With Replacement Of Lower Portion Of Upper Arm Bone 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
24363 CPT Prosthetic Repair Of Elbow Joint 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
24371 CPT Revision Of Total Elbow Repair (arthroplasty), Upper Arm And Forearm Components 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
24545 CPT Treatment Of Upper Arm Bone Broken At Elbow 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
24546 CPT Treatment Of Broken Upper Arm Bone At Elbow With Extension 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
24579 CPT Treatment Of Broken Elbow 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
24586 CPT Treatment Of Broken Or Dislocated Upper Or Forearm Bones At Elbow 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
24587 CPT Treatment Of Broken Or Dislocated Upper Or Forearm Bones At Elbow With Implant 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
24802 CPT Fusion Of Elbow Joint With Bone Graft From The Patient 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
25365 CPT Incision Or Partial Removal Of Both Forearm Bones 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
25441 CPT Arthroplasty Or Replacement Of The End Of The Forearm Bone On The Thumb Side At … 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
25442 CPT Arthroplasty Or Replacement Of The End Of The Forearm Bone On The Small Finger S… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
25491 CPT Stabilization Of Forearm Bone On Small Finger Side With Device 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
27125 CPT Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
27134 CPT Revision Of Thigh Bone And Hip Joint Prosthesis 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
27137 CPT Revision Of Hip Socket Part Of Hip Prosthesis 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
27138 CPT Revision Of Thigh Bone Prosthesis 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
27278 CPT Arthrodesis, Sacroiliac Joint, Percutaneous Or Minimally Invasive, With Image Gu… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
27279 CPT Fusion Of Pelvic Joint Using Imaging Guidance 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
27280 CPT Fusion Of Sacroiliac Joint Between Spine And Pelvis With Bone Graft, Open Proced… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
27356 CPT Removal Of Cyst Or Growth Of Thigh Bone With Donor Bone Graft 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
27487 CPT Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
27702 CPT Reconstruction Of Ankle Joint With Prosthesis 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
27703 CPT Repair Of Ankle Joint With Revision Of Prosthesis 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
28705 CPT Fusion Of All Bones Of Ankle And Hindfoot 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
29856 CPT Treatment Of Broken Upper Portion Of Lower Leg Bone On Both Sides Using An Endos… 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
29867 CPT Repair Of Knee Cartilage And Bone With Donor Cartilage Graft Using An Endoscope 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
32604 CPT Biopsy Of Heart Sac Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
32607 CPT Biopsy Of Fluid Collection Of Lung Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
32608 CPT Biopsy Of Growth Of Lung Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
32656 CPT Hc Thoracoscopy W/Parietal Pleurectomy 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $28,898.32 2026-07-18
32661 CPT Hc Thoracoscopy W/Exc Pericardial Cyst Tumor/Mass 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $28,898.32 2026-07-18
32663 CPT Hc Thoracoscopy W/Lobectomy Single Lobe 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
32673 CPT Hc Thoracoscopy Resexn Thymus Uni/Bilateral 36 21 $19,399.00 $19,399.00 $11,251.42 $18,623.04 $17,071.12 2026-07-18
32994 CPT Destruction Of Growth Of Lung Using Extreme Cold 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
33221 CPT Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
33229 CPT Removal And Replacement Of Multiple Lead Permanent Pacemaker 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
33230 CPT Insertion Of Defibrillator With Existing Dual Leads 36 21 $19,930.00 $19,930.00 $11,559.40 $19,132.80 $17,538.40 2026-07-18
33231 CPT Insertion Of Defibrillator With Existing Multiple Leads 36 21 $26,474.00 $26,474.00 $15,354.92 $25,415.04 $23,297.12 2026-07-18
33240 CPT Insertion Of Defibrillator With Existing Single Lead 36 21 $19,930.00 $19,930.00 $11,559.40 $19,132.80 $17,538.40 2026-07-18
33249 CPT Insertion Of Implantable Defibrillator System 36 21 $26,474.00 $26,474.00 $15,354.92 $25,415.04 $23,297.12 2026-07-18
33262 CPT Removal And Replacement Of Single Lead Defibrillator 36 21 $19,930.00 $19,930.00 $11,559.40 $19,132.80 $17,538.40 2026-07-18
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 36 21 $19,930.00 $19,930.00 $11,559.40 $19,132.80 $17,538.40 2026-07-18
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 36 21 $26,474.00 $26,474.00 $15,354.92 $25,415.04 $23,297.12 2026-07-18
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 36 21 $26,474.00 $26,474.00 $15,354.92 $25,415.04 $23,297.12 2026-07-18
33274 CPT Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 36 21 $126,001.00 $126,001.00 $73,080.58 $120,960.96 $110,880.88 2026-07-18
33277 CPT Hc Insj Phrenic Nrv Stimulator Transvns Sensing Ld Add-on 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
33288 CPT Hc Rmvl&Rplcmt Phrnc Nrv Stim Trnsvns Stimj/Snsg Ld 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
33361 CPT Replacement Of Aortic Valve Through The Skin And Femoral Artery 36 21 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
33418 CPT Repair Of Mitral Valve Through The Skin, Initial Prosthesis 36 21 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
33419 CPT Repair Of Mitral Valve Through The Skin, Additional Prosthesis 36 21 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
33510 CPT Coronary Artery Bypass Using Vein Graft, 1 Graft 36 21 $25,281.00 $25,281.00 $14,662.98 $24,269.76 $22,247.28 2026-07-18
33533 CPT Coronary Artery Bypass Using Artery Graft, 1 Graft 36 21 $26,546.00 $26,546.00 $15,396.68 $25,484.16 $23,360.48 2026-07-18
34710 CPT Delayed Insertion Of Prosthesis For Repair Of Abdominal Or Groin Artery With Rev… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
35121 CPT Repair Of Aneurysm Or Liver, Kidneys, Stomach And/or Intestines Artery With Graf… 36 21 $30,732.00 $30,732.00 $17,824.56 $29,502.72 $27,044.16 2026-07-18
35151 CPT Repair Of Aneurysm Or Lower Leg Artery With Graft 36 21 $30,732.00 $30,732.00 $17,824.56 $29,502.72 $27,044.16 2026-07-18
36903 CPT Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
36905 CPT Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
36906 CPT Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37182 CPT Insertion Of Shunts To Bypass Blood Flow To Liver With Review By Radiologist 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37184 CPT Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37185 CPT Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37186 CPT Removal Of Blood Clot And Injections To Dissolve Blood Clot From Artery Or Arter… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37187 CPT Removal And Dissolving Of Blood Clot From Vein Using Fluoroscopic Guidance, Init… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37215 CPT Insertion Of Stent And Blood Clot Protection Device In Neck Artery With Review B… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37216 CPT Insertion Of Stent In Neck Artery With Review By Radiologist 36 21 $21,581.00 $21,581.00 $12,516.98 $20,717.76 $18,991.28 2026-07-18
37236 CPT Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37237 CPT Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37238 CPT Insertion Of Stent In Vein With Review By Radiologist, Initial Vein 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37239 CPT Insertion Of Stent In Vein With Review By Radiologist, Each Additional Vein 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37241 CPT Occlusion Of Vein With Review By Radiologist 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37242 CPT Occlusion Of Artery With Review By Radiologist 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37243 CPT Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37244 CPT Occlusion Of Artery Or Vein Bleeding With Review By Radiologist 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37258 CPT Insertion Of Stent Of Artery In Abdomen/pelvis, Straightforward Lesion In Initia… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37259 CPT Insertion Of Stent In Artery Of Abdomen/pelvis Straightforward Lesion In Each Ad… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37260 CPT Insertion Of Stent Artery Of Abdomen/pelvis, Complex Lesion In Initial Vessel 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37261 CPT Insertion Of Stent Artery Of Abdomen/pelvis, Complex Lesion In Each Additional V… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37267 CPT Stent Placement In Artery In Thigh/behind Knee, Straightforward Lesion In Initia… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37269 CPT Stent Placement In Artery In Thigh/behind Knee, Complex Lesion In Initial Vessel 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37271 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Straightfor… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37273 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Complex Les… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37275 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Straightf… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37277 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Complex L… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37280 CPT Balloon Dilation Of Artery In Lower Leg, Straightforward Lesion In Initial Vesse… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37281 CPT Balloon Dilation Of Artery In Lower Leg, Straightforward Lesion In Each Addition… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37282 CPT Balloon Dilation Of Artery In Lower Leg, Complex Lesion In Initial Vessel 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37283 CPT Balloon Dilation Of Artery In Lower Leg, Complex Lesion In Each Additional Vesse… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37284 CPT Stent Placement In Artery In Lower Leg, Straightforward Lesion In Initial Vessel 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37285 CPT Stent Placement In Artery In Lower Leg, Straightforward Lesion In Each Additiona… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37286 CPT Stent Placement In Artery In Lower Leg, Complex Lesion In Initial Vessel 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37287 CPT Stent Placement In Artery In Lower Leg, Complex Lesion In Each Additional Vessel 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37288 CPT Removal Of Plaque With Balloon Dilation In Artery In Lower Leg, Straightforward … 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37290 CPT Removal Of Plaque With Balloon Dilation In Artery In Lower Leg, Complex Lesion I… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
38120 CPT Exam Of Spleen Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
38240 CPT Transplantation Of Donor Stem Cells Per Donor 36 21 $165,599.00 $165,599.00 $96,047.42 $158,975.04 $145,727.12 2026-07-18
38571 CPT Removal Of Lymph Nodes Of Both Sides Of Pelvis Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
38572 CPT Removal Of Lymph Nodes Of Both Sides Of Pelvis And Abdominal Lymph Node Biopsy U… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
38573 CPT Removal Of Lymph Nodes Of Both Sides Of Pelvis With Biopsy And Washing Of Abdome… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43210 CPT Repair Of Muscle At Esophagus And Stomach Using A Flexible Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43280 CPT Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43281 CPT Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43282 CPT Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh Us… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43283 CPT Lengthening Of Esophagus Using An Endoscope 36 21 $21,783.00 $21,783.00 $12,634.14 $20,911.68 $19,169.04 2026-07-18
43284 CPT Insertion Of Magnetic Band Around Base Of Esophagus To Tighten Opening Into Stom… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43647 CPT Implantation Or Replacement Of Neurostimulator Electrodes In Upper Stomach Using… 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
43648 CPT Revision Or Removal Of Neurostimulator Electrodes In Upper Stomach Using An Endo… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43770 CPT Insertion Of Adjustable Stomach Reduction Device Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43775 CPT Partial Removal Of Stomach For Weight Loss Using An Endoscope 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $28,898.32 2026-07-18
44204 CPT Partial Removal Of Large Bowel Using An Endoscope 36 21 $25,960.00 $25,960.00 $15,056.80 $24,921.60 $22,844.80 2026-07-18
44207 CPT Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 36 21 $31,159.00 $31,159.00 $18,072.22 $29,912.64 $27,419.92 2026-07-18
47370 CPT Destruction Of Growths Of Liver Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
47383 CPT Destruction Of Growth Of Liver Through Skin Using Freezing 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
47554 CPT Removal Of Bile Duct Stones Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
47556 CPT Dilation Of Bile Ducts With Stent Insertion Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
47564 CPT Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
50405 CPT Revision Of Kidney/ureter 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $27,913.15 2026-07-18
50541 CPT Destruction Of Cyst Of Kidney Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
50543 CPT Partial Removal Of Kidney Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
50544 CPT Repair Of Kidney Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
50593 CPT Destruction Of Growth Of Kidney By Freezing 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
50947 CPT Repositioning Of Ureter And Insertion Of Stent Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
50948 CPT Repositioning Of Ureter Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
55650 CPT Removal Of Fluid-producing Glands For Sperm Movement 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
55866 CPT Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
55867 CPT Simple Surgical Subtotal Removal Of Prostate Using Laparoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
55868 CPT Hc Lap Srg Prst8ct Lymph Nod Bx 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
55869 CPT Hc Lap Srg Prst8ct Bi Pl Lmphad 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
55920 CPT Insertion Of Needles Or Tubes Into Pelvic Or Genital Organs For Radiation Therap… 36 21 $29,725.00 $29,725.00 $17,240.50 $28,536.00 $26,158.00 2026-07-18
57423 CPT Repair Of Vaginal Defect Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
57425 CPT Surgical Repair Of Vaginal Defect Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58150 CPT Removal Of Uterus And Cervix Through Abdomen 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $28,898.32 2026-07-18
58200 CPT Removal Of Uterus Through Abdomen With Partial Removal Of Vagina 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $28,898.32 2026-07-18
58541 CPT Partial Removal Of Uterus With Retention Of Cervix Using An Endoscope, 250.0 G O… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58542 CPT Partial Removal Of Uterus, Tubes, And/or Ovaries With Retention Of Cervix Using … 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58543 CPT Partial Removal Of Uterus With Retention Of Cervix Using An Endoscope, More Than… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58544 CPT Partial Removal Of Uterus, Tubes, And/or Ovaries With Retention Of Cervix Using … 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58546 CPT Removal Of Growth Of Uterus Using An Endoscope, More Than 250.0 G 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58552 CPT Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.… 32 19 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58553 CPT Removal Of Uterus Through Vagina Using An Endoscope, More Than 250.0 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
58554 CPT Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, More… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
58570 CPT Removal Of Uterus Through Abdomen Using An Endoscope, 250.0 G Or Less 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
58571 CPT Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
58572 CPT Removal Of Uterus Through Abdomen Using An Endoscope, More Than 250.0 G 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58573 CPT Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, Mor… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58575 CPT Hc Laps Tot Hyst Resj Mal 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $28,898.32 2026-07-18
58673 CPT Repair Of Uterine Tube Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
58674 CPT Destruction Of Growth Of Uterus Using An Endoscope With Ultrasound Guidance And … 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
58954 CPT Removal Of Lining Of Abdomen, Uterus, Ovaries, Fallopian Tubes, And Lymph Nodes … 36 21 $23,644.00 $23,644.00 $13,713.52 $22,698.24 $20,806.72 2026-07-18
60505 CPT Explore Parathyroid Glands 36 21 $19,399.00 $19,399.00 $11,251.42 $18,623.04 $17,071.12 2026-07-18
60650 CPT Removal Or Exploration Of Adrenal Gland Through Abdomen Using An Endoscope 36 21 $23,419.00 $23,419.00 $13,583.02 $22,482.24 $20,608.72 2026-07-18
61623 CPT Balloon Occlusion Of Head Or Neck Artery With Review By Radiologist 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
61624 CPT Occlusion Of Central Nervous System Or Spinal Cord Artery 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
61626 CPT Occlusion Of Head Or Neck Artery 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
61642 CPT Balloon Dilation Of Additional Blood Vessel Spasm In Head In Different Vessel Fa… 36 21 $20,653.00 $20,653.00 $11,978.74 $19,826.88 $18,174.64 2026-07-18
61645 CPT Removal Of Blood Clot And Injection To Dissolve Blood Clot From Head Artery Usin… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
61715 CPT Hc Mrgfus Stereotactic Ablation Target Intracranial 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
61867 CPT Removal Of Skull Bone With Computer-assisted Insertion Of Neurostimulator Electr… 36 21 $19,764.00 $19,764.00 $11,463.12 $18,973.44 $17,392.32 2026-07-18
61888 CPT Removal Of Brain Neurostimulator Device 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
63664 CPT Revision Of Spinal Neurostimulator Electrode Plate Using Fluoroscopic Guidance 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
64553 CPT Insertion Of Cranial Nerve Neurostimulator Electrode 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
64568 CPT Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 36 21 $126,001.00 $126,001.00 $73,080.58 $120,960.96 $110,880.88 2026-07-18
64569 CPT Revision Of Cranial Nerve Neurostimulator Electrodes 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
64575 CPT Insertion Of Peripheral Nerve Neurostimulator Electrode 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
64583 CPT Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Electrode And Breat… 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
64628 CPT Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower … 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
65770 CPT Insertion Of Cornea Prosthesis 36 21 $22,094.00 $22,094.00 $12,814.52 $21,210.24 $19,442.72 2026-07-18
67027 CPT Implantation Of Eye Drug Delivery System 36 21 $41,585.00 $41,585.00 $24,119.30 $39,921.60 $36,594.80 2026-07-18
69716 CPT Implantation Of Cochlear Stimulating System Into Mastoid Bone Of Skull With Magn… 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
69719 CPT Replacement Of Cochlear Stimulating System Into Mastoid Bone Of Skull With Magne… 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
69729 CPT Implantation Of Cochlear Stimulating System Outside Mastoid Bone Of Skull With M… 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
69730 CPT Replacement Of Cochlear Stimulating System Outside Mastoid Bone Of Skull With Ma… 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
69930 CPT Insertion Of Cochlear Device 36 21 $21,891.00 $21,891.00 $12,696.78 $21,015.36 $19,264.08 2026-07-18
77372 CPT Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 36 21 $53,956.00 $53,956.00 $31,294.48 $51,797.76 $47,481.28 2026-07-18
78431 CPT Nuclear Medicine Studies Of Blood Flow In Heart Muscle At Rest And With Stress W… 36 21 $28,806.00 $28,806.00 $16,707.48 $27,653.76 $25,349.28 2026-07-18
78432 CPT Nuclear Medicine Study Of Heart Muscle With Metabolic And Blood Flow Evaluation … 36 21 $23,686.00 $23,686.00 $13,737.88 $22,738.56 $20,843.68 2026-07-18
78433 CPT Nuclear Medicine Study Of Heart Muscle With Metabolic And Blood Flow Evaluation … 36 21 $24,966.00 $24,966.00 $14,480.28 $23,967.36 $21,970.08 2026-07-18
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 2 2 $56,794.43 $56,794.43 $25,242.00 $25,242.00 $25,242.00 2026-07-18
92924 CPT Percutaneous Transluminal Coronary Atherectomy, With Coronary Angioplasty When P… 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92928 CPT Percutaneous Transcatheter Placement Of Intracoronary Stent(s), With Coronary An… 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92930 CPT Insertion Of 2 Stents For 2 Or More Lesions In 2 Or More Coronary Segments Or, W… 36 21 $33,500.00 $33,500.00 $19,430.00 $32,160.00 $29,480.00 2026-07-18
92933 CPT Percutaneous Transluminal Coronary Atherectomy, With Intracoronary Stent, With C… 36 21 $33,500.00 $33,500.00 $19,430.00 $32,160.00 $29,480.00 2026-07-18
92937 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92941 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 36 21 $35,025.00 $35,025.00 $20,314.50 $33,624.00 $30,822.00 2026-07-18
92943 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92987 CPT Balloon Dilation Repair Of Mitral Valve 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92990 CPT Balloon Dilation Repair Of Pulmonary Valve 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92997 CPT Balloon Dilation Of Pulmonary Artery, Single Vessel 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92998 CPT Balloon Dilation Of Pulmonary Artery, Each Additional Vessel 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
93451 CPT Insertion Of Tube In Right Heart Chambers For Measurement 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93452 CPT Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93453 CPT Insertion Of Tube In Right And Left Heart Chambers For Diagnosis With Review By … 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93454 CPT Insertion Of Tube In Coronary Artery For Diagnosis With Review By Radiologist 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93455 CPT Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93456 CPT Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93457 CPT Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93458 CPT Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis … 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93459 CPT Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft … 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93460 CPT Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93461 CPT Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass … 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93462 CPT Insertion Of Tube In Left Heart Chamber Through Heart Septum 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93580 CPT Repair Of Congenital Abnormality In Wall Between Upper Heart Chambers With Impla… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
93581 CPT Repair Of Congenital Abnormality In Wall Between Lower Heart Chambers With Impla… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
93582 CPT Hc Perq Transcath Closure Pda 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
93590 CPT Repair Of Leak Adjacent To Mitral Valve, First Closure Device 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
93593 CPT Insertion Of Catheter Into Right Side Of Heart For Evaluation Of Congenital Hear… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93594 CPT Insertion Of Catheter Into Right Side Of Heart For Evaluation Of Congenital Hear… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93595 CPT Insertion Of Catheter Into Left Side Of Heart For Evaluation Of Congenital Heart… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93596 CPT Insertion Of Catheter Into Right And Left Sides Of Heart For Evaluation Of Conge… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93597 CPT Insertion Of Catheter Into Right And Left Sides Of Heart For Evaluation Of Conge… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93600 CPT Recording Of Upper Heart Rhythm 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93602 CPT Recording Of Upper Heart Chamber Rhythm 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93610 CPT Insertion Of Temporary Pacemaker Electrode For Diagnostic Upper Heart Pacing 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93612 CPT Insertion Of Temporary Pacemaker Electrode For Diagnostic Lower Heart Pacing 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93619 CPT Insertion Of Catheters For Recording And Pacing Of Right Heart Chambers Rhythm 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93620 CPT Insertion Of Catheters For Recording And Pacing Of Right Heart Chambers Rhythm A… 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93621 CPT Insertion Of Catheters For Recording And Pacing Of Left Upper Heart Chamber Rhyt… 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93650 CPT Destruction Of Heart Conduction Tissue To Create Heart Block 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93653 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 36 21 $62,005.00 $62,005.00 $35,962.90 $59,524.80 $54,564.40 2026-07-18
93654 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 36 21 $62,005.00 $62,005.00 $35,962.90 $59,524.80 $54,564.40 2026-07-18
93656 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 36 21 $62,005.00 $62,005.00 $35,962.90 $59,524.80 $54,564.40 2026-07-18
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 72 21 $144,176.90 $144,176.90 $83,604.33 $138,440.06 $126,903.39 2026-07-18
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 72 21 $145,815.93 $145,815.93 $84,554.97 $140,013.53 $128,345.74 2026-07-18
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 72 21 $38,731.50 $38,731.50 $22,446.00 $37,212.48 $34,111.44 2026-07-18
C1721 HCPCS Hc Crtd Cobalt Hf MRI Is1 Df1 612 21 $26,516.00 $26,516.00 $9,151.24 $38,370.00 $22,663.52 2026-07-18
C1722 HCPCS Hc Defib Card .99cm 5.37x7.36cm Dynagen 972 21 $23,977.00 $23,977.00 $8,420.44 $36,965.00 $21,162.12 2026-07-18
C1736 HCPCS Hc Ultrasound Paradise Rdn Price Per Procedure 36 21 $48,128.00 $48,128.00 $27,914.24 $46,202.88 $42,352.64 2026-07-18
C1767 HCPCS Hc Device Infinity 5 Ipg 864 21 $26,910.00 $26,910.00 $103.82 $62,592.00 $19,308.20 2026-07-18
C1772 HCPCS Hc Baclofen Pump Synchromed 36 21 $19,848.00 $19,848.00 $11,511.84 $19,848.00 $17,664.72 2026-07-18
C1820 HCPCS Hc Device Implant Sacral Neuromodulation 1,008 21 $25,818.00 $25,818.00 $614.22 $62,592.00 $20,653.00 2026-07-18
C1823 HCPCS Hc Generator Pulse Imp Remede 36 21 $42,900.00 $42,900.00 $24,882.00 $42,900.00 $38,181.00 2026-07-18
C1826 HCPCS Hc Stimulator Spinal Cord Inceptiv 36 21 $54,011.00 $54,011.00 $31,326.38 $54,011.00 $48,069.79 2026-07-18
C1831 HCPCS Hc Aprevo Kit Implant Level 1 Patient Specific 216 21 $54,600.00 $54,600.00 $14,476.80 $78,000.00 $41,519.71 2026-07-18
C1882 HCPCS Hc Crt-d 5.37x8.08x0.99cm Inogen 828 21 $31,699.00 $31,699.00 $10,887.18 $45,431.00 $27,449.84 2026-07-18
C2616 HCPCS Hc Sir-sphere Y90 5ml Vial 72 21 $29,163.50 $29,163.50 $15,552.70 $31,512.00 $25,207.85 2026-07-18
C9600 HCPCS Hc Perc Drug-el Cor Stent Sing 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 36 21 $33,500.00 $33,500.00 $19,430.00 $32,160.00 $29,480.00 2026-07-18
C9604 HCPCS Hc Perc D-e Cor Revasc T Cabg S 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
C9606 HCPCS Hc Perc D-e Cor Revasc W Ami S 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sing 36 21 $33,500.00 $33,500.00 $19,430.00 $32,160.00 $29,480.00 2026-07-18
C9764 HCPCS Hc Revasc Intravasc Lithotripsy 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
C9772 HCPCS Hc Revasc Lithotrip Tibi/Perone 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
J0841 HCPCS Antivenin Crotalidae (equine) 120 Mg Solution For Injection 78 21 $28,386.50 $28,386.50 $16,460.40 $55,756.56 $24,985.84 2026-07-18
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 78 21 $23,436.82 $23,436.82 $10,144.80 $22,505.59 $20,618.68 2026-07-18
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 78 21 $46,713.73 $46,713.73 $20,149.20 $44,872.06 $41,083.44 2026-07-18
J3245 HCPCS Hc Tildrakizumab, Inj, 1mg 117 21 $38,617.10 $38,617.10 $125.01 $37,084.90 $22,405.46 2026-07-18
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 114 21 $32,904.71 $32,904.71 $215.32 $31,697.00 $19,533.28 2026-07-18
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 78 21 $21,793.21 $21,793.21 $7,257.60 $20,978.60 $19,125.66 2026-07-18
J9029 HCPCS Hc Nadofaragene Firadenovec-vncg, Instill, 75 Ml 36 21 $72,000.00 $72,000.00 $41,760.00 $69,120.00 $62,280.00 2026-07-18
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 78 21 $24,220.98 $24,220.98 $14,013.66 $23,309.26 $21,262.10 2026-07-18
J9226 HCPCS Hc Histerlin, Implant, 50 Mg 39 21 $60,217.94 $60,217.94 $34,926.41 $57,809.22 $51,185.25 2026-07-18
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 78 21 $52,507.19 $52,507.19 $30,419.66 $50,464.02 $46,153.97 2026-07-18
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 78 21 $33,879.91 $33,879.91 $19,615.84 $32,581.83 $29,761.96 2026-07-18
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 78 21 $20,377.69 $20,377.69 $11,550.00 $19,619.70 $17,880.01 2026-07-18
Q4226 HCPCS Hc Graft Skin 10x10cm Autologous 72 21 $39,000.00 $39,000.00 $9,048.00 $62,400.00 $25,896.00 2026-07-18
S2102 HCPCS Hc Process Auto Islet Transcon 36 21 $47,580.00 $47,580.00 $27,596.40 $45,676.80 $41,870.40 2026-07-18
S2112 HCPCS Hc Knee Arthroscp Harv 36 21 $21,022.00 $21,022.00 $12,192.76 $20,181.12 $18,499.36 2026-07-18
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