Price Transparency Hospital negotiated rates

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

THOREK MEMORIAL HOSPITAL

Chicago, IL · CCN 140115 · Rates published

1,007 distinct procedures filed
10 distinct payers
23,060 rate rows
2026-05-21 last MRF observed
Data quality

16,682 of 23,060 rate rows are consumer-grade (72.3%)

6,378 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
exceeds 10× this hospital's gross charge — excluded from medians 6,304
per-diem day rate — not a per-procedure price 58
placeholder amount (≤ $0.02) — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://3003156.fs1.hubspotusercontent-na1.net/hubfs/3003156/files/366000085_Thorek-Memorial-Hospital_standardcharges.csv
Found on page https://www.thorek.org/patients-and-visitors/patient-financial-services/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 219db93c5f826cb6… · 579,104 bytes · first seen 2026-05-06

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
250
CPT 		Cochlear Device Implantation 6 $38,539.37 $38,539.37 $38,539.37 —
97
CPT 		Aicd Implant 6 $32,655.22 $32,655.22 $32,655.22 —
224
CPT 		Level IV Nerve Procedures 6 $31,889.37 $31,889.37 $31,889.37 —
465
CPT 		Class Xiii Combined Chemotherapy And Pharmacotherapy 6 $26,721.23 $26,721.23 $26,721.23 —
907
CPT 		Other O.r. Procedures For Injuries With Mcc 4 $22,061.88 $24,513.18 $24,513.18 —
223
CPT 		Level Iii Nerve Procedures 6 $17,616.87 $17,616.87 $17,616.87 —
82
CPT 		Traumatic Stupor And Coma >1 Hour With Mcc 6 $16,954.21 $16,954.21 $16,954.21 —
52
CPT 		Spinal Disorders And Injuries With Cc/mcc 5 $11,533.63 $26,250.75 $15,240.02 —
101
CPT 		Seizures Without Mcc 9 $5,395.21 $15,190.97 $15,190.97 —
336
CPT 		Peritoneal Adhesiolysis With Cc 4 $12,487.40 $13,874.87 $13,874.87 —
47
CPT 		Level Ii Arthroplasty 6 $12,354.55 $12,354.55 $12,354.55 —
27447
CPT 		Total Knee Arthroplasty 5 $2,834.00 $17,719.00 $12,254.12 nat. median
$12,648
1.0× median
99
CPT 		Coronary Angioplasty And Related Procedures 6 $12,168.39 $12,168.39 $12,168.39 —
186
CPT 		Pleural Effusion With Mcc 5 $9,206.14 $16,762.68 $11,795.96 —
915
CPT 		Allergic Reactions With Mcc 5 $10,522.32 $15,167.70 $11,691.46 —
922
CPT 		Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 4 $10,349.72 $13,261.24 $11,499.68 —
58
CPT 		Multiple Sclerosis And Cerebellar Ataxia With Mcc 5 $10,248.88 $14,773.55 $11,387.64 —
86
CPT 		Pacemaker And Other Cardiovascular Device Insertion And Replacement 6 $11,384.22 $11,384.22 $11,384.22 —
334
CPT 		Rectal Resection Without Cc/mcc 5 $9,520.51 $13,723.61 $10,578.33 —
435
CPT 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 $10,438.69 $10,438.69 $10,438.69 —
580
CPT 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 $10,359.80 $10,359.80 $10,359.80 —
464
CPT 		Class Xii Combined Chemotherapy And Pharmacotherapy 6 $9,994.44 $9,994.44 $9,994.44 —
349
CPT 		Anal And Stomal Procedures Without Cc/mcc 10 $5,787.87 $21,985.95 $9,904.37 —
148
CPT 		Level IV Laparoscopy 6 $9,558.95 $9,558.95 $9,558.95 —
175
CPT 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 $8,321.77 $9,246.40 $9,246.40 —
308
CPT 		Cardiac Arrhythmia And Conduction Disorders With Mcc 5 $7,130.74 $12,983.76 $9,136.72 —
388
CPT 		Gastrointestinal Obstruction With Mcc 1 $8,621.30 $8,621.30 $8,621.30 —
502
CPT 		Soft Tissue Procedures Without Cc/mcc 2 $8,201.36 $8,839.23 $8,520.30 —
355
CPT 		Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 10 $624.37 $12,944.70 $8,396.43 —
416
CPT 		Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 10 $325.11 $12,722.40 $8,252.24 —
87
CPT 		Traumatic Stupor And Coma <1 Hour Without Cc/mcc 6 $8,239.69 $8,239.69 $8,239.69 —
989
CPT 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 5 $6,407.70 $11,667.24 $8,210.28 —
189
CPT 		Pulmonary Edema And Respiratory Failure 5 $7,307.50 $10,348.80 $8,119.43 —
182
CPT 		Respiratory Neoplasms Without Cc/mcc 10 $4,738.01 $17,164.99 $8,107.82 —
489
CPT 		Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 10 $168.99 $13,367.16 $7,912.28 —
697
CPT 		Urethral Stricture 5 $6,602.25 $10,574.45 $7,897.69 —
187
CPT 		Pleural Effusion With Cc 5 $5,909.46 $13,450.05 $7,808.50 —
689
CPT 		Kidney And Urinary Tract Infections With Mcc 4 $6,965.85 $7,739.82 $7,739.82 —
947
CPT 		Signs And Symptoms With Mcc 2 $7,423.75 $8,001.14 $7,712.44 —
923
CPT 		Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 5 $5,999.03 $10,923.12 $7,686.64 —
216
CPT 		Level Ii Revision Or Removal Of Neurological Device 6 $7,552.16 $7,552.16 $7,552.16 —
819
CPT 		Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 1 $6,894.72 $8,618.40 $7,541.10 —
96
CPT 		Atrial And Ventricular Recording And Pacing 6 $7,390.62 $7,390.62 $7,390.62 —
22
CPT 		Level Iii Breast Procedures 6 $7,354.79 $7,354.79 $7,354.79 —
812
CPT 		Red Blood Cell Disorders Without Mcc 1 $6,845.32 $7,700.99 $7,273.15 —
743
CPT 		Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 10 $180.21 $11,039.00 $7,160.33 —
572
CPT 		Skin Debridement Without Cc/mcc 10 $252.04 $10,826.20 $7,022.30 —
79
CPT 		Level I Peripheral Vascular And Transcatheter Procedures 6 $7,002.87 $7,002.87 $7,002.87 —
85
CPT 		Level Ii Peripheral Vascular And Transcatheter Procedures 6 $7,002.87 $7,002.87 $7,002.87 —
218
CPT 		Level Ii Nerve Procedures 6 $6,938.75 $6,938.75 $6,938.75 —

Other procedures at this hospital

Browse this hospital's 1,007 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
             
19083 CPT Bx Breast 1St Lesion US Imag 2 1 $4,914.00 $4,914.00 $3,194.10 $3,194.10 $3,194.10 2026-05-21
27447 CPT Total Knee Arthroplasty 16 5 $4,360.00 $4,360.00 $2,834.00 $17,719.00 $12,254.12 2026-05-21
77295 CPT 3-d Radiotherapy Plan 10 3 $4,121.00 $4,121.00 $1,243.34 $1,336.92 $1,336.92 2026-05-21
10005 OTHER Fna Bx W/Us Gdn 1St Les 16 5 $4,011.00 $4,011.00 $513.00 $1,500.00 $678.85 2026-05-21
10009 CPT Fna Bx W/Ct Gdn 1St Les 16 5 $3,675.00 $3,675.00 $513.00 $1,500.00 $678.85 2026-05-21
73721 CPT MRI Jnt Of Lwr Extre Without Contrast 4 1 $2,814.00 $2,814.00 $1,250.00 $1,250.00 $1,250.00 2026-05-21
46930 CPT Destroy Internal Hemorrhoids 16 5 $2,769.00 $2,769.00 $1,058.89 $1,500.00 $1,138.59 2026-05-21
73221 CPT MRI Joint Upr Extrem Without Contrast 4 1 $2,766.25 $2,766.25 $1,250.00 $1,250.00 $1,250.00 2026-05-21
58661 CPT Laparoscopy Remove Adnexa 16 5 $2,616.00 $2,616.00 $1,104.00 $5,567.19 $5,372.34 2026-05-21
47562 CPT Laparoscopic Cholecystectomy 16 5 $2,616.00 $2,616.00 $1,700.40 $5,567.19 $5,372.34 2026-05-21
78452 CPT Ht Muscle Image Spect Mult 14 4 $2,616.00 $2,616.00 $1,274.15 $1,592.72 $1,370.06 2026-05-21
907 CPT Other O.r. Procedures For Injuries With Mcc 12 4 $2,473.00 — $22,061.88 $24,513.18 $24,513.18 2026-05-21
49650 CPT Lap Ing Hernia Repair Init 4 1 $2,290.00 $2,290.00 $1,190.80 $1,786.20 $1,488.50 2026-05-21
45380 CPT Colonoscopy And Biopsy 20 5 $2,105.00 $2,105.00 $664.95 $2,500.00 $1,138.59 2026-05-21
45378 CPT Diagnostic Colonoscopy 20 5 $2,023.00 $2,023.00 $687.00 $2,500.00 $881.83 2026-05-21
81 CPT Nontraumatic Stupor And Coma Without Mcc 48 10 $1,994.00 — $686.57 $12,278.25 $5,904.10 2026-05-21
58558 CPT Hysteroscopy Biopsy 16 5 $1,832.00 $1,832.00 $785.00 $3,016.48 $3,008.24 2026-05-21
186 CPT Pleural Effusion With Mcc 26 5 $1,826.00 — $9,206.14 $16,762.68 $11,795.96 2026-05-21
43239 CPT Egd Biopsy Single/Multiple 18 5 $1,752.00 $1,752.00 $687.00 $2,500.00 $874.62 2026-05-21
44970 CPT Laparoscopy Appendectomy 16 5 $1,744.00 $1,744.00 $970.00 $5,567.19 $5,372.34 2026-05-21
11406 CPT Exc Tr-ext B9+Marg >4.0 Cm 16 5 $1,744.00 $1,744.00 $687.00 $2,500.00 $1,564.31 2026-05-21
66984 CPT Xcapsl Ctrc Rmvl Without Ecp 4 1 $1,744.00 $1,744.00 $1,133.60 $1,133.60 $1,133.60 2026-05-21
187 CPT Pleural Effusion With Cc 28 5 $1,658.26 — $5,909.46 $13,450.05 $7,808.50 2026-05-21
156 CPT Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 28 5 $1,655.51 — $3,888.04 $8,849.25 $5,137.48 2026-05-21
599 CPT Malignant Breast Disorders Without Cc/mcc 48 10 $1,648.26 — $175.83 $9,082.80 $4,367.54 2026-05-21
73700 CPT CT Lower Extremity Without Contrast 4 1 $1,614.00 $1,614.00 $700.00 $700.00 $700.00 2026-05-21
43235 CPT Withdrawal Of Arterial Blood 18 5 $1,607.00 $1,607.00 $513.00 $2,500.00 $874.62 2026-05-21
58 CPT Multiple Sclerosis And Cerebellar Ataxia With Mcc 20 5 $1,577.00 — $10,248.88 $14,773.55 $11,387.64 2026-05-21
297 CPT Cardiac Arrest, Unexplained With Cc 48 10 $1,566.50 — $549.29 $9,836.10 $4,729.77 2026-05-21
66761 CPT Revision Of Iris 4 1 $1,549.00 $1,549.00 $1,006.85 $1,006.85 $1,006.85 2026-05-21
49083 CPT Abd Paracentesis W/Imaging 16 5 $1,543.00 $1,543.00 $513.00 $2,500.00 $874.62 2026-05-21
915 CPT Allergic Reactions With Mcc 20 5 $1,521.00 — $10,522.32 $15,167.70 $11,691.46 2026-05-21
336 CPT Peritoneal Adhesiolysis With Cc 12 4 $1,516.24 — $12,487.40 $13,874.87 $13,874.87 2026-05-21
94002 CPT Vent Mgmt Inpat Init Day 10 3 $1,516.00 $1,516.00 $562.31 $604.64 $604.64 2026-05-21
65855 CPT Trabeculoplasty Laser Surg 4 1 $1,487.00 $1,487.00 $966.55 $966.55 $966.55 2026-05-21
349 CPT Anal And Stomal Procedures Without Cc/mcc 48 10 $1,485.67 — $5,787.87 $21,985.95 $9,904.37 2026-05-21
441 CPT Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 34 9 $1,441.00 — $607.72 $13,894.32 $607.72 2026-05-21
15271 CPT Skin Sub Graft Trnk/Arm/Leg 16 5 $1,425.00 $1,425.00 $513.00 $2,500.00 $1,759.53 2026-05-21
73200 CPT CT Upper Extremity Without Contrast 4 1 $1,422.00 $1,422.00 $700.00 $700.00 $700.00 2026-05-21
90935 CPT Hemodialysis One Evaluation 10 3 $1,417.00 $1,417.00 $627.04 $674.24 $674.24 2026-05-21
29820 CPT Sho Arthrs Srg Prtl Synvct 2 1 $1,410.00 $1,410.00 $916.50 $916.50 $916.50 2026-05-21
989 CPT Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 26 5 $1,400.00 — $6,407.70 $11,667.24 $8,210.28 2026-05-21
334 CPT Rectal Resection Without Cc/mcc 20 5 $1,375.00 — $9,520.51 $13,723.61 $10,578.33 2026-05-21
416 CPT Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 44 10 $1,375.00 — $325.11 $12,722.40 $8,252.24 2026-05-21
153 CPT Otitis Media And Uri Without Mcc 28 5 $1,372.50 — $4,358.40 $9,919.80 $5,758.99 2026-05-21
489 CPT Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 46 10 $1,369.00 — $168.99 $13,367.16 $7,912.28 2026-05-21
308 CPT Cardiac Arrhythmia And Conduction Disorders With Mcc 26 5 $1,367.00 — $7,130.74 $12,983.76 $9,136.72 2026-05-21
922 CPT Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 14 4 $1,365.00 — $10,349.72 $13,261.24 $11,499.68 2026-05-21
355 CPT Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 44 10 $1,363.13 — $624.37 $12,944.70 $8,396.43 2026-05-21
45385 CPT Colonoscopy W/Lesion Removal 18 5 $1,339.00 $1,339.00 $664.95 $2,500.00 $1,138.59 2026-05-21
182 CPT Respiratory Neoplasms Without Cc/mcc 48 10 $1,282.00 — $4,738.01 $17,164.99 $8,107.82 2026-05-21
714 CPT Transurethral Prostatectomy Without Cc/mcc 46 10 $1,261.67 — $178.10 $10,351.80 $6,127.43 2026-05-21
331 CPT Major Small And Large Bowel Procedures Without Cc/mcc 32 9 $1,225.00 — $595.55 $11,019.23 $595.55 2026-05-21
29827 CPT Sho Arthrs Srg Rt8Tr Cuf Rpr 4 1 $1,223.49 $1,223.49 $718.03 $872.51 $795.27 2026-05-21
29826 CPT Sho Arthrs Srg Decompression 4 1 $1,223.49 $1,223.49 $718.03 $872.51 $795.27 2026-05-21
572 CPT Skin Debridement Without Cc/mcc 44 10 $1,193.00 — $252.04 $10,826.20 $7,022.30 2026-05-21
743 CPT Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 44 10 $1,185.00 — $180.21 $11,039.00 $7,160.33 2026-05-21
600 CPT Non-malignant Breast Disorders With Cc/mcc 46 10 $1,185.00 — $160.32 $11,075.40 $6,555.74 2026-05-21
180 CPT Respiratory Neoplasms With Mcc 32 9 $1,177.50 — $2,426.51 $11,455.52 $2,426.51 2026-05-21
36410 CPT Non-routine Bl Draw 3/> Yrs 6 1 $1,166.00 $1,166.00 $757.90 $757.90 $757.90 2026-05-21
923 CPT Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 26 5 $1,124.00 — $5,999.03 $10,923.12 $7,686.64 2026-05-21
697 CPT Urethral Stricture 24 5 $1,104.50 — $6,602.25 $10,574.45 $7,897.69 2026-05-21
435 CPT Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 1 $1,078.39 — $10,438.69 $10,438.69 $10,438.69 2026-05-21
193 CPT Simple Pneumonia And Pleurisy With Mcc 34 9 $1,066.00 — $2,139.78 $10,082.16 $2,139.78 2026-05-21
580 CPT Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 1 $1,062.00 — $10,359.80 $10,359.80 $10,359.80 2026-05-21
189 CPT Pulmonary Edema And Respiratory Failure 18 5 $1,047.00 — $7,307.50 $10,348.80 $8,119.43 2026-05-21
197 CPT Interstitial Lung Disease With Cc 44 10 $1,035.00 — $3,966.01 $9,476.25 $6,146.66 2026-05-21
62321 CPT Njx Interlaminar Crv/Thrc 16 5 $1,007.00 $1,007.00 $513.00 $1,500.00 $667.24 2026-05-21
62323 CPT Njx Interlaminar Lmbr/Sac 16 5 $1,007.00 $1,007.00 $513.00 $1,500.00 $667.24 2026-05-21
188 CPT Pleural Effusion Without Cc/mcc 26 5 $1,002.00 — $4,427.80 $8,062.20 $5,673.40 2026-05-21
45381 CPT Colonoscopy Submucous Njx 18 5 $995.42 $995.42 $607.75 $2,500.00 $1,138.59 2026-05-21
728 CPT Inflammation Of The Male Reproductive System Without Mcc 26 5 $973.00 — $4,745.72 $8,641.08 $6,080.76 2026-05-21
175 CPT Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 12 4 $932.00 — $8,321.77 $9,246.40 $9,246.40 2026-05-21
46924 CPT Destruction Anal Lesion(S) 16 5 $916.00 $916.00 $513.00 $3,000.00 $2,709.11 2026-05-21
46505 CPT Chemodenervation Anal Musc 16 5 $916.00 $916.00 $513.00 $2,500.00 $1,138.59 2026-05-21
29880 CPT Knee Arthroscopy/Surgery 2 1 $916.00 $916.00 $595.40 $595.40 $595.40 2026-05-21
29876 CPT Knee Arthroscopy/Surgery 2 1 $916.00 $916.00 $595.40 $595.40 $595.40 2026-05-21
864 CPT Fever And Inflammatory Conditions 24 5 $909.01 — $5,236.25 $8,386.60 $6,263.66 2026-05-21
388 CPT Gastrointestinal Obstruction With Mcc 2 1 $893.00 — $8,621.30 $8,621.30 $8,621.30 2026-05-21
819 CPT Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 8 1 $893.00 — $6,894.72 $8,618.40 $7,541.10 2026-05-21
201 CPT Pneumothorax Without Cc/mcc 46 10 $888.25 — $758.93 $7,625.88 $4,513.91 2026-05-21
502 CPT Soft Tissue Procedures Without Cc/mcc 4 2 $887.00 — $8,201.36 $8,839.23 $8,520.30 2026-05-21
700 CPT Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 26 5 $875.50 — $4,201.22 $7,649.64 $5,383.08 2026-05-21
292 CPT Heart Failure And Shock With Cc 44 10 $873.00 — $587.57 $8,136.75 $5,277.81 2026-05-21
55700 CPT Biopsy Of Prostate 16 5 $872.00 $872.00 $687.00 $2,500.00 $1,965.23 2026-05-21
52000 CPT Cystoscopy 16 5 $872.00 $872.00 $513.00 $1,500.00 $659.10 2026-05-21
920 CPT Complications Of Treatment With Cc 16 4 $850.00 — $6,131.89 $8,347.94 $6,813.21 2026-05-21
378 CPT Gastrointestinal Hemorrhage With Cc 40 10 $850.00 — $1,479.67 $8,411.49 $3,657.49 2026-05-21
369 CPT Major Esophageal Disorders With Cc 40 10 $850.00 — $1,119.78 $8,449.97 $3,490.90 2026-05-21
812 CPT Red Blood Cell Disorders Without Mcc 6 1 $836.00 — $6,845.32 $7,700.99 $7,273.15 2026-05-21
699 CPT Other Kidney And Urinary Tract Diagnoses With Cc 14 4 $816.27 — $6,054.78 $7,758.08 $6,727.53 2026-05-21
947 CPT Signs And Symptoms With Mcc 4 2 $815.00 — $7,423.75 $8,001.14 $7,712.44 2026-05-21
158 CPT Dental And Oral Diseases With Cc 20 5 $815.00 — $5,566.63 $8,024.18 $6,185.14 2026-05-21
194 CPT Simple Pneumonia And Pleurisy With Cc 44 10 $815.00 — $2,441.14 $7,810.90 $5,066.45 2026-05-21
694 CPT Urinary Stones Without Mcc 44 10 $815.00 — $306.01 $7,435.65 $4,823.05 2026-05-21
311 CPT Angina Pectoris 46 10 $815.00 — $152.35 $7,539.48 $4,462.76 2026-05-21
690 CPT Kidney And Urinary Tract Infections Without Mcc 44 10 $814.00 — $187.65 $7,665.55 $4,972.17 2026-05-21
181 CPT Respiratory Neoplasms With Cc 32 9 $803.00 — $2,121.29 $7,256.74 $2,121.29 2026-05-21
94003 CPT Vent Mgmt Inpat Subq Day 10 3 $801.00 $801.00 $562.31 $604.64 $604.64 2026-05-21
200 CPT Pneumothorax With Cc 32 9 $800.00 — $2,903.09 $7,097.91 $2,903.09 2026-05-21
439 CPT Disorders Of Pancreas Except Malignancy With Cc 40 10 $780.00 — $474.65 $7,311.96 $2,773.60 2026-05-21
689 CPT Kidney And Urinary Tract Infections With Mcc 12 4 $776.00 — $6,965.85 $7,739.82 $7,739.82 2026-05-21
389 CPT Gastrointestinal Obstruction With Cc 24 5 $776.00 — $4,723.77 $7,565.80 $5,650.64 2026-05-21
99285 CPT Emergency Dept Visit Hi Mdm 10 3 $776.00 $776.00 $576.36 $619.74 $619.74 2026-05-21
204 CPT Respiratory Signs And Symptoms 20 5 $744.00 — $4,880.96 $7,035.80 $5,423.28 2026-05-21
379 CPT Gastrointestinal Hemorrhage Without Cc/mcc 46 10 $738.59 — $484.02 $6,838.56 $4,047.88 2026-05-21
101 CPT Seizures Without Mcc 34 9 $724.26 — $5,395.21 $15,190.97 $15,190.97 2026-05-21
445 CPT Disorders Of The Biliary Tract With Cc 4 2 $704.00 — $6,446.26 $6,947.62 $6,696.94 2026-05-21
866 CPT Viral Illness Without Mcc 14 4 $698.00 — $5,443.25 $6,974.52 $6,048.06 2026-05-21
921 CPT Complications Of Treatment Without Cc/mcc 24 5 $686.50 — $4,138.94 $6,629.10 $4,951.05 2026-05-21
195 CPT Simple Pneumonia And Pleurisy Without Cc/mcc 46 10 $683.50 — $2,668.30 $6,756.48 $3,999.29 2026-05-21
281 CPT Acute Myocardial Infarction, Discharged Alive With Cc 32 9 $679.00 — $600.19 $6,017.08 $600.19 2026-05-21
176 CPT Pulmonary Embolism Without Mcc 16 4 $663.00 — $4,837.66 $6,585.97 $5,375.17 2026-05-21
125 CPT Other Disorders Of The Eye Without Mcc 16 4 $651.11 — $4,730.30 $6,439.81 $5,255.88 2026-05-21
442 CPT Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 12 4 $650.50 — $5,643.74 $6,270.81 $6,270.81 2026-05-21
440 CPT Disorders Of Pancreas Except Malignancy Without Cc/mcc 44 10 $648.00 — $953.24 $5,848.20 $3,793.37 2026-05-21
55 CPT Nervous System Neoplasms Without Mcc 2 1 $647.00 — $6,365.59 $6,365.59 $6,365.59 2026-05-21
687 CPT Kidney And Urinary Tract Neoplasms With Cc 2 1 $644.50 — $6,200.10 $6,200.10 $6,200.10 2026-05-21
645 CPT Endocrine Disorders Without Cc/mcc 16 4 $636.00 — $4,513.21 $6,144.27 $5,014.67 2026-05-21
192 CPT Chronic Obstructive Pulmonary Disease Without Cc/mcc 44 10 $636.00 — $1,196.35 $6,097.10 $3,954.82 2026-05-21
66 CPT Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 40 10 $626.00 — $181.43 $5,878.13 $2,129.64 2026-05-21
301 CPT Peripheral Vascular Disorders Without Cc/mcc 40 10 $621.00 — $196.50 $6,068.79 $2,203.30 2026-05-21
316 CPT Other Circulatory System Diagnoses Without Cc/mcc 40 10 $615.78 — $209.82 $5,922.59 $2,159.25 2026-05-21
74 CPT Cranial And Peripheral Nerve Disorders Without Mcc 2 1 $612.00 — $6,086.81 $6,086.81 $6,086.81 2026-05-21
390 CPT Gastrointestinal Obstruction Without Cc/mcc 46 10 $607.41 — $45.56 $6,037.20 $3,573.54 2026-05-21
641 CPT Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 14 4 $604.00 — $4,634.80 $5,938.64 $5,149.78 2026-05-21
544 CPT Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 14 4 $584.50 — $4,552.36 $5,833.00 $5,058.17 2026-05-21
918 CPT Poisoning And Toxic Effects Of Drugs Without Mcc 12 4 $582.00 — $5,106.35 $5,673.72 $5,673.72 2026-05-21
206 CPT Other Respiratory System Diagnoses Without Mcc 2 1 $582.00 — $5,418.34 $5,418.34 $5,418.34 2026-05-21
309 CPT Cardiac Arrhythmia And Conduction Disorders With Cc 14 4 $582.00 — $4,417.12 $5,659.72 $4,907.91 2026-05-21
382 CPT Complicated Peptic Ulcer Without Cc/mcc 32 9 $568.00 — $1,880.20 $4,989.63 $1,880.20 2026-05-21
443 CPT Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 34 9 $543.50 — $1,287.90 $5,431.72 $1,287.90 2026-05-21
446 CPT Disorders Of The Biliary Tract Without Cc/mcc 12 4 $532.00 — $4,754.03 $5,282.25 $5,282.25 2026-05-21
558 CPT Tendonitis, Myositis And Bursitis Without Mcc 2 1 $532.00 — $5,210.15 $5,210.15 $5,210.15 2026-05-21
305 CPT Hypertension Without Mcc 12 4 $529.00 — $4,469.32 $4,965.90 $4,965.90 2026-05-21
203 CPT Bronchitis And Asthma Without Cc/mcc 12 4 $517.50 — $4,121.74 $4,579.70 $4,579.70 2026-05-21
894 CPT Alcohol, Drug Abuse Or Dependence, Left Ama 14 5 $496.50 — $3,407.60 $4,825.80 $3,786.21 2026-05-21
72 CPT Nonspecific Cerebrovascular Disorders Without Cc/mcc 2 1 $495.00 — $4,644.29 $4,644.29 $4,644.29 2026-05-21
93 CPT Other Disorders Of Nervous System Without Cc/mcc 22 7 $479.00 — $862.22 $4,593.28 $862.22 2026-05-21
951 CPT Other Factors Influencing Health Status 12 4 $395.00 — $3,499.53 $3,888.37 $3,888.37 2026-05-21
250 CPT Cochlear Device Implantation 20 6 — — $38,539.37 $38,539.37 $38,539.37 2026-05-21
97 CPT Aicd Implant 20 6 — — $32,655.22 $32,655.22 $32,655.22 2026-05-21
224 CPT Level IV Nerve Procedures 20 6 — — $31,889.37 $31,889.37 $31,889.37 2026-05-21
465 CPT Class Xiii Combined Chemotherapy And Pharmacotherapy 20 6 — — $26,721.23 $26,721.23 $26,721.23 2026-05-21
223 CPT Level Iii Nerve Procedures 20 6 — — $17,616.87 $17,616.87 $17,616.87 2026-05-21
82 CPT Traumatic Stupor And Coma >1 Hour With Mcc 20 6 — — $16,954.21 $16,954.21 $16,954.21 2026-05-21
52 CPT Spinal Disorders And Injuries With Cc/mcc 28 5 — — $11,533.63 $26,250.75 $15,240.02 2026-05-21
47 CPT Level Ii Arthroplasty 20 6 — — $12,354.55 $12,354.55 $12,354.55 2026-05-21
99 CPT Coronary Angioplasty And Related Procedures 20 6 — — $12,168.39 $12,168.39 $12,168.39 2026-05-21
86 CPT Pacemaker And Other Cardiovascular Device Insertion And Replacement 20 6 — — $11,384.22 $11,384.22 $11,384.22 2026-05-21
464 CPT Class Xii Combined Chemotherapy And Pharmacotherapy 20 6 — — $9,994.44 $9,994.44 $9,994.44 2026-05-21
148 CPT Level IV Laparoscopy 20 6 — — $9,558.95 $9,558.95 $9,558.95 2026-05-21
87 CPT Traumatic Stupor And Coma <1 Hour Without Cc/mcc 20 6 — — $8,239.69 $8,239.69 $8,239.69 2026-05-21
216 CPT Level Ii Revision Or Removal Of Neurological Device 20 6 — — $7,552.16 $7,552.16 $7,552.16 2026-05-21
96 CPT Atrial And Ventricular Recording And Pacing 20 6 — — $7,390.62 $7,390.62 $7,390.62 2026-05-21
22 CPT Level Iii Breast Procedures 20 6 — — $7,354.79 $7,354.79 $7,354.79 2026-05-21
79 CPT Level I Peripheral Vascular And Transcatheter Procedures 20 6 — — $7,002.87 $7,002.87 $7,002.87 2026-05-21
85 CPT Level Ii Peripheral Vascular And Transcatheter Procedures 20 6 — — $7,002.87 $7,002.87 $7,002.87 2026-05-21
218 CPT Level Ii Nerve Procedures 20 6 — — $6,938.75 $6,938.75 $6,938.75 2026-05-21
38 CPT Level Ii Arthroscopy 20 6 — — $6,933.40 $6,933.40 $6,933.40 2026-05-21
167 CPT Level Ii Urethra And Prostate Procedures 20 6 — — $6,736.03 $6,736.03 $6,736.03 2026-05-21
147 CPT Level Iii Laparoscopy 20 6 — — $6,547.23 $6,547.23 $6,547.23 2026-05-21
144 CPT Level Ii Gastrointestinal Procedures 20 6 — — $6,450.34 $6,450.34 $6,450.34 2026-05-21
346 CPT Radiosurgery 20 6 — — $6,434.14 $6,434.14 $6,434.14 2026-05-21
43 CPT Open Or Percutaneous Treatment Of Fractures 20 6 — — $6,343.02 $6,343.02 $6,343.02 2026-05-21
221 CPT Laminotomy And Laminectomy 20 6 — — $6,286.17 $6,286.17 $6,286.17 2026-05-21
463 CPT Class Xi Combined Chemotherapy And Pharmacotherapy 20 6 — — $6,274.78 $6,274.78 $6,274.78 2026-05-21
36 CPT Level Ii Foot Procedures 20 6 — — $6,210.83 $6,210.83 $6,210.83 2026-05-21
32 CPT Level Iii Musculoskeletal Procedures Excluding Hand And Foot 20 6 — — $5,808.80 $5,808.80 $5,808.80 2026-05-21
89 CPT Level Ii Cardiothoracic Procedures W Or Without Vascular Device 20 6 — — $5,634.20 $5,634.20 $5,634.20 2026-05-21
198 CPT Level Iii Female Reproductive Procedures 20 6 — — $5,582.78 $5,582.78 $5,582.78 2026-05-21
215 CPT Level I Revision Or Removal Of Neurological Device 20 6 — — $5,575.16 $5,575.16 $5,575.16 2026-05-21
255 CPT Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 6 — — $5,562.72 $5,562.72 $5,562.72 2026-05-21
146 CPT Level Ii Laparoscopy 20 6 — — $5,221.58 $5,221.58 $5,221.58 2026-05-21
165 CPT Level Iii Bladder And Kidney Procedures 20 6 — — $5,137.04 $5,137.04 $5,137.04 2026-05-21
482 CPT Hip And Femur Procedures Except Major Joint Without Cc/mcc 20 6 — — $5,070.28 $5,070.28 $5,070.28 2026-05-21
462 CPT Class X Combined Chemotherapy And Pharmacotherapy 20 6 — — $4,556.48 $4,556.48 $4,556.48 2026-05-21
11 CPT Level Iii Excision And Biopsy Of Skin And Soft Tissue 20 6 — — $4,449.25 $4,449.25 $4,449.25 2026-05-21
88 CPT Level I Cardiothoracic Procedures W Or Without Vascular Device 20 6 — — $4,409.65 $4,409.65 $4,409.65 2026-05-21
238 CPT Level Ii Posterior Segment Eye Procedures 20 6 — — $4,194.49 $4,194.49 $4,194.49 2026-05-21
63 CPT Level Ii Endoscopy Of The Upper Airway 20 6 — — $4,156.12 $4,156.12 $4,156.12 2026-05-21
184 CPT Destruction Or Resection Of Prostate 20 6 — — $4,151.39 $4,151.39 $4,151.39 2026-05-21
145 CPT Level I Laparoscopy 20 6 — — $4,111.96 $4,111.96 $4,111.96 2026-05-21
31 CPT Level Ii Musculoskeletal Procedures Excluding Hand And Foot 20 6 — — $4,071.93 $4,071.93 $4,071.93 2026-05-21
348 CPT Anal And Stomal Procedures With Cc 20 6 — — $4,039.60 $4,039.60 $4,039.60 2026-05-21
21 CPT Level Ii Breast Procedures 20 6 — — $3,993.78 $3,993.78 $3,993.78 2026-05-21
45 CPT Bunion Procedures 20 6 — — $3,985.20 $3,985.20 $3,985.20 2026-05-21
140 CPT Level Ii Hernia Repair 20 6 — — $3,967.24 $3,967.24 $3,967.24 2026-05-21
236 CPT Level Iii Anterior Segment Eye Procedures 20 6 — — $3,879.63 $3,879.63 $3,879.63 2026-05-21
280 CPT Acute Myocardial Infarction, Discharged Alive With Mcc 20 6 — — $3,786.77 $3,786.77 $3,786.77 2026-05-21
254 CPT Level Iii Facial And ENT Procedures 20 6 — — $3,773.89 $3,773.89 $3,773.89 2026-05-21
114 CPT Level Ii Blood And Blood Product Exchange 20 6 — — $3,659.65 $3,659.65 $3,659.65 2026-05-21
160 CPT Extracorporeal Shock Wave Lithotripsy 20 6 — — $3,644.41 $3,644.41 $3,644.41 2026-05-21
46 CPT Level I Arthroplasty 20 6 — — $3,500.56 $3,500.56 $3,500.56 2026-05-21
485 CPT Corneal Tissue Processing 20 6 — — $3,451.76 $3,451.76 $3,451.76 2026-05-21
84 CPT Diagnostic Cardiac Catheterization 20 6 — — $3,447.82 $3,447.82 $3,447.82 2026-05-21
115 CPT Deep Lymph Structure And Thyroid Procedures 20 6 — — $3,424.96 $3,424.96 $3,424.96 2026-05-21
91 CPT Other Disorders Of Nervous System With Mcc 20 6 — — $3,413.48 $3,413.48 $3,413.48 2026-05-21
183 CPT Other Penile Procedures 20 6 — — $3,385.53 $3,385.53 $3,385.53 2026-05-21
139 CPT Level I Hernia Repair 20 6 — — $3,301.87 $3,301.87 $3,301.87 2026-05-21
164 CPT Level Ii Bladder And Kidney Procedures 20 6 — — $3,267.44 $3,267.44 $3,267.44 2026-05-21
138 CPT Ercp And Miscellaneous Gi Endoscopy Procedures 20 6 — — $3,232.92 $3,232.92 $3,232.92 2026-05-21
253 CPT Level Ii Facial And ENT Procedures 20 6 — — $3,184.65 $3,184.65 $3,184.65 2026-05-21
461 CPT Class Ix Combined Chemotherapy And Pharmacotherapy 20 6 — — $3,068.14 $3,068.14 $3,068.14 2026-05-21
237 CPT Level I Posterior Segment Eye Procedures 20 6 — — $3,010.14 $3,010.14 $3,010.14 2026-05-21
235 CPT Level Ii Anterior Segment Eye Procedures 20 6 — — $2,972.91 $2,972.91 $2,972.91 2026-05-21
78 CPT Level I Vascular Ligation, Repair And Reconstruction 20 6 — — $2,915.35 $2,915.35 $2,915.35 2026-05-21
37 CPT Level I Arthroscopy 20 6 — — $2,905.54 $2,905.54 $2,905.54 2026-05-21
142 CPT Level Ii Anal And Rectal Procedures 20 6 — — $2,803.83 $2,803.83 $2,803.83 2026-05-21
363 CPT Level Iii Dental Restoration 20 6 — — $2,769.40 $2,769.40 $2,769.40 2026-05-21
239 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 6 — — $2,695.72 $2,695.72 $2,695.72 2026-05-21
34 CPT Level Ii Hand Procedures 20 6 — — $2,693.88 $2,693.88 $2,693.88 2026-05-21
35 CPT Level I Foot Procedures 20 6 — — $2,670.58 $2,670.58 $2,670.58 2026-05-21
342 CPT Level I Afterloading Brachytherapy 20 6 — — $2,585.95 $2,585.95 $2,585.95 2026-05-21
256 CPT Tonsil And Adenoid Procedures 20 6 — — $2,550.39 $2,550.39 $2,550.39 2026-05-21
30 CPT Level I Musculoskeletal Procedures Excluding Hand And Foot 20 6 — — $2,519.11 $2,519.11 $2,519.11 2026-05-21
362 CPT Level Ii Dental Restorations 20 6 — — $2,517.62 $2,517.62 $2,517.62 2026-05-21
15 CPT Level IV Skin Repair 20 6 — — $2,480.39 $2,480.39 $2,480.39 2026-05-21
64 CPT Intracranial Hemorrhage Or Cerebral Infarction With Mcc 20 6 — — $2,449.99 $2,449.99 $2,449.99 2026-05-21
83 CPT Placement Of Transvenous Catheters 20 6 — — $2,408.81 $2,408.81 $2,408.81 2026-05-21
143 CPT Level I Gastrointestinal Procedures 20 6 — — $2,382.45 $2,382.45 $2,382.45 2026-05-21
361 CPT Level I Dental Restorations 20 6 — — $2,324.45 $2,324.45 $2,324.45 2026-05-21
241 CPT Level Ii Repair And Plastic Procedures Of Eye 20 6 — — $2,296.94 $2,296.94 $2,296.94 2026-05-21
233 CPT Cataract Procedures 20 6 — — $2,296.85 $2,296.85 $2,296.85 2026-05-21
14 CPT Level Iii Skin Repair 20 6 — — $2,241.66 $2,241.66 $2,241.66 2026-05-21
460 CPT Spinal Fusion Except Cervical Without Mcc 20 6 — — $2,121.99 $2,121.99 $2,121.99 2026-05-21
199 CPT Dilation And Curettage 20 6 — — $2,082.92 $2,082.92 $2,082.92 2026-05-21
166 CPT Other Respiratory System O.r. Procedures With Mcc 20 6 — — $2,070.04 $2,070.04 $2,070.04 2026-05-21
444 CPT Disorders Of The Biliary Tract With Mcc 20 6 — — $2,020.90 $2,020.90 $2,020.90 2026-05-21
141 CPT Level I Anal And Rectal Procedures 20 6 — — $1,982.52 $1,982.52 $1,982.52 2026-05-21
345 CPT Hyperthermic Therapies 20 6 — — $1,980.68 $1,980.68 $1,980.68 2026-05-21
234 CPT Level I Anterior Segment Eye Procedures 20 6 — — $1,864.87 $1,864.87 $1,864.87 2026-05-21
196 CPT Level I Female Reproductive Procedures 20 6 — — $1,825.45 $1,825.45 $1,825.45 2026-05-21
10 CPT Level Ii Excision And Biopsy Of Skin And Soft Tissue 20 6 — — $1,823.96 $1,823.96 $1,823.96 2026-05-21
252 CPT Level I Facial And ENT Procedures 20 6 — — $1,811.08 $1,811.08 $1,811.08 2026-05-21
20 CPT Level I Breast Procedures 20 6 — — $1,744.50 $1,744.50 $1,744.50 2026-05-21
290 CPT PET Scans 20 6 — — $1,731.53 $1,731.53 $1,731.53 2026-05-21
381 CPT Complicated Peptic Ulcer With Cc 20 6 — — $1,709.28 $1,709.28 $1,709.28 2026-05-21
8 CPT Level Iii Skin Debridement And Destruction 20 6 — — $1,694.48 $1,694.48 $1,694.48 2026-05-21
48 CPT Hand And Foot Tenotomy 20 6 — — $1,689.92 $1,689.92 $1,689.92 2026-05-21
344 CPT Minor Small And Large Bowel Procedures With Mcc 20 6 — — $1,646.99 $1,646.99 $1,646.99 2026-05-21
33 CPT Level I Hand Procedures 20 6 — — $1,640.60 $1,640.60 $1,640.60 2026-05-21
185 CPT Prostate Needle And Punch Biopsy 20 6 — — $1,634.11 $1,634.11 $1,634.11 2026-05-21
450 CPT Observation 20 6 — — $1,616.07 $1,616.07 $1,616.07 2026-05-21
163 CPT Level I Bladder And Kidney Procedures 20 6 — — $1,536.08 $1,536.08 $1,536.08 2026-05-21
135 CPT Therapeutic Upper Gi Endoscopy Or Intubation 20 6 — — $1,528.81 $1,528.81 $1,528.81 2026-05-21
217 CPT Level I Nerve Procedures 20 6 — — $1,514.18 $1,514.18 $1,514.18 2026-05-21
4 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 6 — — $1,483.17 $1,483.17 $1,483.17 2026-05-21
44 CPT Bone Or Joint Manipulation Under Anesthesia 20 6 — — $1,436.04 $1,436.04 $1,436.04 2026-05-21
352 CPT Inguinal And Femoral Hernia Procedures Without Cc/mcc 20 6 — — $1,394.51 $1,394.51 $1,394.51 2026-05-21
168 CPT Hemodialysis 20 6 — — $1,342.47 $1,342.47 $1,342.47 2026-05-21
169 CPT Peritoneal Dialysis 20 6 — — $1,333.45 $1,333.45 $1,333.45 2026-05-21
332 CPT Level Iii Diagnostic Nuclear Medicine 20 6 — — $1,303.93 $1,303.93 $1,303.93 2026-05-21
90 CPT Secondary Varicose Veins And Vascular Injection 20 6 — — $1,241.99 $1,241.99 $1,241.99 2026-05-21
137 CPT Mouth Procedures With Cc/mcc 20 6 — — $1,181.63 $1,181.63 $1,181.63 2026-05-21
7 CPT Level Ii Skin Debridement And Destruction 20 6 — — $1,180.49 $1,180.49 $1,180.49 2026-05-21
343 CPT Radiation Treatment Delivery 20 6 — — $1,165.86 $1,165.86 $1,165.86 2026-05-21
310 CPT Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 20 6 — — $1,137.13 $1,137.13 $1,137.13 2026-05-21
220 CPT Level Ii Nervous System Injections, Stimulations Or Cranial Tap 20 6 — — $1,128.72 $1,128.72 $1,128.72 2026-05-21
133 CPT Proctosigmoidoscopy With Excision Or Biopsy 20 6 — — $1,126.09 $1,126.09 $1,126.09 2026-05-21
370 CPT Major Esophageal Disorders Without Cc/mcc 20 6 — — $1,119.78 $1,119.78 $1,119.78 2026-05-21
134 CPT Diagnostic Upper Gi Endoscopy Or Intubation 20 6 — — $1,107.60 $1,107.60 $1,107.60 2026-05-21
222 CPT Sleep Studies 20 6 — — $1,085.88 $1,085.88 $1,085.88 2026-05-21
477 CPT Level Ii Therapeutic Radiation Treatment Preparation 20 6 — — $1,077.47 $1,077.47 $1,077.47 2026-05-21
136 CPT Diagnostic Lower Gastrointestinal Endoscopy 20 6 — — $1,061.78 $1,061.78 $1,061.78 2026-05-21
67 CPT Ventilation Assistance And Management 20 6 — — $1,036.38 $1,036.38 $1,036.38 2026-05-21
368 CPT Level Ii Oral And Maxillofacial Surgery 20 6 — — $1,017.98 $1,017.98 $1,017.98 2026-05-21
367 CPT Level I Oral And Maxillofacial Surgery 20 6 — — $979.08 $979.08 $979.08 2026-05-21
61 CPT Needle And Catheter Biopsy, Aspiration, Lavage And Intubation 20 6 — — $979.00 $979.00 $979.00 2026-05-21
131 CPT Esophageal Dilation Without Endoscopy 20 6 — — $978.03 $978.03 $978.03 2026-05-21
149 CPT Dysequilibrium 20 6 — — $960.42 $960.42 $960.42 2026-05-21
92 CPT Other Disorders Of Nervous System With Cc 20 6 — — $955.87 $955.87 $955.87 2026-05-21
95 CPT Thrombolysis 20 6 — — $947.63 $947.63 $947.63 2026-05-21
113 CPT Level I Blood And Blood Product Exchange 20 6 — — $939.40 $939.40 $939.40 2026-05-21
132 CPT Anoscopy With Biopsy And Diagnostic Proctosigmoidoscopy 20 6 — — $928.27 $928.27 $928.27 2026-05-21
9 CPT Level I Excision And Biopsy Of Skin And Soft Tissue 20 6 — — $911.98 $911.98 $911.98 2026-05-21
2 CPT Superficial Needle Biopsy And Aspiration 20 6 — — $860.82 $860.82 $860.82 2026-05-21
240 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 6 — — $858.28 $858.28 $858.28 2026-05-21
284 CPT Myelography 20 6 — — $857.05 $857.05 $857.05 2026-05-21
481 CPT Hip And Femur Procedures Except Major Joint With Cc 20 6 — — $856.79 $856.79 $856.79 2026-05-21
130 CPT Alimentary Tests And Simple Tube Placement 20 6 — — $852.14 $852.14 $852.14 2026-05-21
327 CPT Intensive Outpatient Psychiatric Treatment 20 6 — — $843.47 $843.47 $843.47 2026-05-21
42 CPT Closed Treatment Fx & Dislocation Exc Finger, Toe & Trunk 20 6 — — $816.58 $816.58 $816.58 2026-05-21
41 CPT Closed Treatment Fx & Dislocation Of Finger, Toe & Trunk 20 6 — — $803.52 $803.52 $803.52 2026-05-21
232 CPT Laser Eye Procedures 20 6 — — $774.88 $774.88 $774.88 2026-05-21
270 CPT Occupational Therapy 20 6 — — $760.77 $760.77 $760.77 2026-05-21
219 CPT Spinal Tap 20 6 — — $731.16 $731.16 $731.16 2026-05-21
13 CPT Level Ii Skin Repair 20 6 — — $701.20 $701.20 $701.20 2026-05-21
347 CPT High Energy Neutron Radiation Treatment Delivery 20 6 — — $694.37 $694.37 $694.37 2026-05-21
110 CPT Pharmacotherapy By Extended Infusion 20 6 — — $692.18 $692.18 $692.18 2026-05-21
212 CPT Electroconvulsive Therapy 20 6 — — $686.04 $686.04 $686.04 2026-05-21
329 CPT Major Small And Large Bowel Procedures With Mcc 20 6 — — $685.78 $685.78 $685.78 2026-05-21
94 CPT Cardiac Rehabilitation 20 6 — — $682.01 $682.01 $682.01 2026-05-21
295 CPT MRI- Chest 20 6 — — $673.95 $673.95 $673.95 2026-05-21
455 CPT Implanted Tissue Of Any Type 20 6 — — $653.89 $653.89 $653.89 2026-05-21
210 CPT Extended EEG Studies 20 6 — — $648.99 $648.99 $648.99 2026-05-21
283 CPT Magnetic Resonance Angiography - Other Sites 20 6 — — $633.92 $633.92 $633.92 2026-05-21
214 CPT Level I Nervous System Injections, Stimulations Or Cranial Tap 20 6 — — $622.35 $622.35 $622.35 2026-05-21
G0379 CPT Direct Refer Hospital Observ 10 3 — — $576.36 $619.74 $619.74 2026-05-21
484 CPT Therapeutic Radiology Treatment Planning 20 6 — — $605.27 $605.27 $605.27 2026-05-21
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