Hospital

MIDWEST MEDICAL CENTER

Galena, IL · CCN 141302 · Rates published

5,633 distinct procedures filed

11 distinct payers

142,476 rate rows

2026-11-02 last MRF observed

Data quality

138,329 of 142,476 rate rows are consumer-grade (97.1%)

4,147 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	4,132
per-diem day rate — not a per-procedure price	14
exceeds 10× this hospital's gross charge — excluded from medians	1

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

Source MRF file	https://www.midwestmedicalcenter.org/content/pdfs/204560540_midwest-medical-center_standardcharges.csv
Found on page	https://www.midwestmedicalcenter.org/patients-visitors/standard-charges
Discovered via	Discovered by HANK
Last fetch	success · 2026-11-03
Content fingerprint	59bf763f385f8679… · 13,839,546 bytes · first seen 2026-11-03

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
27870 CPT	17027870 Fusion Of Ankle Joint Open Ed Charge	10	$13,783.93	$25,502.37	$21,475.68	nat. median $10,862 2.0× median
26350 CPT	17026350 Repair Finger/hand Tendon Ed Charge	10	$4,562.19	$7,617.01	$6,414.32	nat. median $3,392 1.9× median
26727 CPT	17026727 Treat Finger Fracture, Each Ed Charge	10	$4,230.57	$7,063.35	$5,948.08	nat. median $3,553 1.7× median
45108 CPT	18045108 Pf Removal Anorectal Lesion Ed Charge	10	$385.57	$6,815.49	$5,739.36	nat. median $2,866 outlier · 2.0×
20650 CPT	18020650 Pf Insert And Remove Bone Pin Ed Charge	10	$161.90	$6,031.55	$5,079.20	nat. median $3,490 1.5× median
31515 CPT	18031515 Pf Laryngoscopy For Aspiration Ed Charge	10	$112.01	$5,850.95	$4,927.12	nat. median $545 outlier · 9.0×
23931 CPT	18023931 Remove Shoulder Fb Ed Charge	10	$164.35	$5,848.48	$4,925.04	nat. median $1,745 outlier · 2.8×
74178 CPT	CT Abdomen +Pelvis With + Without Cont	10	$3,040.11	$5,428.77	$4,571.60	nat. median $1,023 outlier · 4.5×
27301 CPT	18027301 Drain Thigh/knee Lesion Ed Charge	10	$522.35	$5,303.94	$4,466.48	nat. median $2,919 1.5× median
42104 CPT	18042104 ER Pf Excision Lesion Mouth Roof Ed Charge	10	$137.13	$4,570.26	$3,848.64	nat. median $3,106 1.2× median
95805 CPT	Sleep Study First	10	$2,733.13	$4,563.23	$3,842.72	nat. median $1,232 outlier · 3.1×
74177 CPT	CT Abdomen +Pelvis With Cont	10	$2,496.36	$6,784.71	$3,824.31	nat. median $970 outlier · 3.9×
27257 CPT	18027257 ER Prof Treat Hip Dislocation Ed Charge	10	$372.31	$4,388.62	$3,695.68	nat. median $1,857 2.0× median
27552 CPT	18027552 ER Prof Treat Knee Dislocation Ed Charge	10	$654.25	$4,353.56	$3,666.16	nat. median $2,007 1.8× median
27502 CPT	17027502 Closed Treatment Of Femoral Shaft Fracture With Manipulation Ed Charge	10	$348.98	$5,994.50	$3,590.24	nat. median $1,993 1.8× median
71260 CPT	CT Chest +Abdomen With Cont	10	$1,377.84	$4,654.24	$3,429.44	nat. median $647 outlier · 5.3×
13160 CPT	13160 Secondary Closure Surg Wound/dehsn Extsv/complic	10	$2,421.95	$4,436.65	$3,405.20	nat. median $2,718 1.3× median
74174 CPT	CT Angio Abdomen +Pelvis With Cont	10	$2,162.90	$3,862.32	$3,252.48	nat. median $980 outlier · 3.3×
90376 CPT	Rabies Immune Globulin, Heat-treated (rig-ht)	3	$2,806.05	$3,554.33	$3,180.19	nat. median $619 outlier · 5.1×
26765 CPT	26765 Open Tx Distal Phalangeal Fracture, Each	10	$871.68	$7,771.45	$3,075.67	nat. median $3,480 0.9× median
20103 CPT	18020103 Pf Explore Wound Extremity Ed Charge	10	$354.16	$3,642.97	$3,067.76	nat. median $1,609 1.9× median
74176 CPT	CT Abdomen +Pelvis Without Cont	10	$1,990.11	$5,159.93	$3,048.75	nat. median $691 outlier · 4.4×
28575 CPT	Treat Foot Dislocation	10	$348.98	$3,597.36	$3,029.36	nat. median $3,244 0.9× median
72159 CPT	MRA Spinal Canal +Contents	10	$1,885.89	$3,908.87	$2,889.09	nat. median $1,083 outlier · 2.7×
95811 CPT	Sleep Study W/cpap	10	$234.65	$4,472.79	$2,876.16	nat. median $1,887 1.5× median
72158 CPT	MRI Spine Lumbar With + Without Cont	10	$2,238.65	$3,367.66	$2,835.92	nat. median $1,083 outlier · 2.6×
72156 CPT	MRI Spine Cervical With + Without Cont	10	$2,084.17	$3,362.91	$2,831.92	nat. median $1,096 outlier · 2.6×
72157 CPT	MRI Spine Thoracic With + Without Cont	10	$1,958.02	$3,343.91	$2,815.92	nat. median $1,099 outlier · 2.6×
71275 CPT	CT Angio Chest	10	$1,786.16	$3,323.86	$2,799.04	nat. median $753 outlier · 3.7×
70496 CPT	CT Angio Head	10	$1,775.31	$3,323.86	$2,799.04	nat. median $741 outlier · 3.8×
70498 CPT	CT Angio Neck	10	$1,558.14	$3,323.86	$2,799.04	nat. median $735 outlier · 3.8×
75635 CPT	CT Angio Abdomen Aorta +Iliofemoral	10	$1,728.01	$3,323.86	$2,799.04	nat. median $725 outlier · 3.9×
70553 CPT	MRI Brain With + Without Cont	10	$2,117.24	$3,305.34	$2,783.44	nat. median $1,122 outlier · 2.5×
30420 CPT	30420 Reconstruction Of Nose	8	$980.85	$7,333.52	$2,783.30	nat. median $6,174 outlier · 0.5×
71555 CPT	MRA Chest With Cont	10	$1,844.28	$3,293.36	$2,773.36	nat. median $1,139 outlier · 2.4×
71552 CPT	MRI Chest With + Without Cont	10	$1,844.28	$3,293.36	$2,773.36	nat. median $1,089 outlier · 2.5×
71270 CPT	CT Chest With + Without Cont	10	$1,529.25	$8,201.25	$2,772.67	nat. median $678 outlier · 4.1×
30410 CPT	30410 Reconstruction Of Nose	8	$749.20	$6,473.49	$2,754.05	nat. median $6,053 outlier · 0.5×
74183 CPT	MRI Abdomen With + Without Cont	10	$1,954.38	$3,169.96	$2,669.44	nat. median $1,096 outlier · 2.4×
74185 CPT	MRA Abdomen With Cont	10	$1,524.94	$3,169.96	$2,669.44	nat. median $1,240 outlier · 2.2×
27842 CPT	17027842 Closed Treatment Of Ankle Dislocaiton, Requiriing Anesthesia Ed Charge	10	$1,885.61	$3,148.20	$2,651.12	nat. median $1,950 1.4× median
70543 CPT	MRI Face Neck Orbit With + Without Cont	10	$2,019.80	$3,146.40	$2,649.60	nat. median $1,080 outlier · 2.5×
72197 CPT	MRI Pelvis With + Without Cont	10	$1,667.76	$3,131.58	$2,637.12	nat. median $1,058 outlier · 2.5×
72198 CPT	MRA Pelvis With Cont	10	$1,753.68	$3,131.58	$2,637.12	nat. median $1,119 outlier · 2.4×
73225 CPT	MRA Elbow With Cont Lt	10	$1,739.80	$3,106.78	$2,616.24	nat. median $1,224 outlier · 2.1×
73223 CPT	MRI Elbow With + Without Cont Lt	10	$1,768.46	$3,106.78	$2,616.24	nat. median $1,166 outlier · 2.2×
24620 CPT	18024620 Pf Treat Elbow Fracture Ed Charge	10	$348.98	$3,079.90	$2,593.60	nat. median $2,000 1.3× median
73723 CPT	MRI Ankle With + Without Cont Lt	10	$2,071.36	$3,074.68	$2,589.20	nat. median $1,191 outlier · 2.2×
36556 CPT	17036556 Coll Of Blood Impantable Venous Ed Charge	10	$388.06	$3,243.87	$2,512.48	nat. median $2,477 1.0× median
73720 CPT	MRI Femur With + Without Cont Lt	10	$1,708.63	$2,980.24	$2,509.68	nat. median $1,123 outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 5,633 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

V2788	HCPCS	Presbyopia Correcting Function Of Intraocular Lens	38	10	$1,495.90	$1,361.27	$851.17	$1,421.11	$1,196.72	2026-11-02
V2787	HCPCS	Astigmatism Correcting Function Of Intraocular Lens	38	10	$919.00	$836.29	$522.91	$873.05	$735.20	2026-11-02
V2630	HCPCS	Anterior Chamber Intraocular Lens	38	10	$1,458.80	$1,327.51	$830.06	$1,385.86	$1,167.04	2026-11-02
P9035	HCPCS	Platelets Bce	114	10	$1,312.20	$1,194.10	$746.64	$1,246.59	$1,049.76	2026-11-02
J0897	HCPCS	J0897 Prolia (Denosumab) 60 Mg/ml Subcutaneous	8	3	$2,772.20	$2,522.70	$2,079.15	$2,633.59	$2,356.37	2026-11-02
G0121	HCPCS	17000121 Colonoscopy Screening Ed Charge	38	10	$1,638.20	$1,490.76	$932.14	$1,556.29	$1,310.56	2026-11-02
C1781	HCPCS	Patch Ventralex Hernia 6.4cm 2.5 Medium	380	10	$1,655.00	$1,506.05	$426.01	$2,283.80	$1,242.80	2026-11-02
99465	CPT	99465 - Newborn Resucitation	38	10	$1,332.40	$1,212.48	$758.14	$1,265.78	$1,065.92	2026-11-02
99292	CPT	99292 Critical Care Each Additional 30 Min	125	10	$878.50	$799.43	$179.99	$834.58	$702.80	2026-11-02
99291	CPT	99291 Critical Care, Evaluation And Management Of The Critically Ill - Or Critic…	125	10	$2,225.40	$2,025.11	$409.77	$2,114.13	$1,780.32	2026-11-02
99285	CPT	99285 - Fac Ed Level 5	76	10	$1,454.50	$1,323.60	$827.61	$1,381.78	$1,163.60	2026-11-02
99284	CPT	99284 - Fac Ed Level 4	76	10	$886.10	$806.35	$504.19	$841.79	$708.88	2026-11-02
95811	CPT	Sleep Study W/cpap	49	10	$3,595.20	$3,271.63	$234.65	$4,472.79	$2,876.16	2026-11-02
95810	CPT	Sleep Study / 4+ Request	49	10	$2,921.80	$2,658.84	$226.20	$4,253.53	$2,337.44	2026-11-02
95805	CPT	Sleep Study First	38	10	$4,803.40	$4,371.09	$2,733.13	$4,563.23	$3,842.72	2026-11-02
93971	CPT	US Le Veins Duplex Lt	152	10	$1,094.00	$995.54	$622.49	$1,039.30	$875.20	2026-11-02
93970	CPT	US Le Veins Duplex Bil	76	10	$1,650.10	$1,501.59	$938.91	$1,567.60	$1,320.08	2026-11-02
93880	CPT	US Carotid Duplex Bil	38	10	$1,483.00	$1,349.53	$843.83	$1,408.85	$1,186.40	2026-11-02
93306	CPT	US Echo 2d Comp With Color Flow Doppler	38	10	$2,926.60	$2,663.21	$1,665.24	$2,780.27	$2,341.28	2026-11-02
92960	CPT	18092960 Cardioversion Ed Ed Charge	49	10	$1,494.30	$1,359.81	$263.92	$1,419.59	$1,195.44	2026-11-02
90376	CPT	Rabies Immune Globulin, Heat-treated (rig-ht)	8	3	$3,741.40	$3,404.67	$2,806.05	$3,554.33	$3,180.19	2026-11-02
90375	CPT	17090375 Rabies Ig Im/sc Ed Charge	38	10	$791.60	$720.36	$450.42	$752.02	$633.28	2026-11-02
88184	CPT	Leukemia Phenotype Triage Ucl	38	10	$1,532.00	$1,394.12	$980.48	$1,455.40	$1,225.60	2026-11-02
85260	CPT	Factor X Chromogenic Activity Assay, Plasma Ucl Mayo	39	10	$826.70	$752.30	$439.80	$785.37	$661.36	2026-11-02
82657	CPT	Thiopurine Methyltransferase Ucl	39	10	$860.20	$782.78	$457.63	$817.19	$688.16	2026-11-02
82139	CPT	Amino Acids Ion Ex Qn, Plasma Ucl	78	10	$1,570.05	$1,428.74	$443.32	$1,654.81	$1,219.33	2026-11-02
77076	CPT	Xr Bone Survey Infant	39	10	$832.90	$757.94	$443.10	$791.25	$666.32	2026-11-02
77075	CPT	Xr Bone Survey Comp	39	10	$775.40	$705.61	$412.51	$736.63	$620.32	2026-11-02
76817	CPT	US Pregnant Transvaginal	39	10	$757.00	$688.87	$305.93	$719.15	$605.60	2026-11-02
76805	CPT	US Pregnant > 14 Weeks 1st Gest	39	10	$1,090.00	$991.90	$417.57	$1,035.50	$872.00	2026-11-02
76801	CPT	US Pregnant < 14 Weeks 1st Gest	39	10	$757.00	$688.87	$354.86	$719.15	$605.60	2026-11-02
76776	CPT	US Kidney Transplant Lt	78	10	$1,153.50	$1,049.68	$613.66	$1,095.83	$922.80	2026-11-02
76770	CPT	US Renal Comp	156	10	$938.00	$853.58	$431.68	$891.10	$750.40	2026-11-02
76700	CPT	US Abdomen Comp	39	10	$968.00	$880.88	$502.89	$919.60	$774.40	2026-11-02
76498	CPT	MRI Unlisted Procedure	39	10	$2,384.20	$2,169.62	$1,268.39	$2,264.99	$1,907.36	2026-11-02
76380	CPT	CT Ltd Or Localized Fol-up	39	10	$1,238.20	$1,126.76	$686.00	$1,176.29	$990.56	2026-11-02
76376	CPT	CT 3d Reconstruction	78	10	$1,017.20	$925.65	$541.15	$966.34	$813.76	2026-11-02
76001	CPT	Xr Fluoro Over 1 Hour	38	10	$1,112.50	$1,012.38	$712.00	$1,056.88	$890.00	2026-11-02
75635	CPT	CT Angio Abdomen Aorta +Iliofemoral	39	10	$3,498.80	$3,183.91	$1,728.01	$3,323.86	$2,799.04	2026-11-02
74280	CPT	Xr Barium Enema With Air Cont	39	10	$1,638.10	$1,490.67	$541.39	$1,556.19	$1,310.48	2026-11-02
74270	CPT	Xr Barium Enema With Or Without Kub	39	10	$1,180.80	$1,074.53	$510.20	$1,121.76	$944.64	2026-11-02
74250	CPT	Xr Sb Series	39	10	$815.50	$742.11	$356.19	$774.73	$652.40	2026-11-02
74240	CPT	Xr Ugi Without Kub	39	10	$865.90	$787.97	$432.49	$822.61	$692.72	2026-11-02
74185	CPT	MRA Abdomen With Cont	78	10	$3,336.80	$3,036.49	$1,524.94	$3,169.96	$2,669.44	2026-11-02
74183	CPT	MRI Abdomen With + Without Cont	39	10	$3,336.80	$3,036.49	$1,954.38	$3,169.96	$2,669.44	2026-11-02
74182	CPT	MRI Abdomen With Cont	39	10	$2,646.70	$2,408.50	$1,408.04	$2,514.36	$2,117.36	2026-11-02
74181	CPT	MRI Abdomen Without Cont	39	10	$2,375.70	$2,161.89	$1,468.98	$2,256.91	$1,900.56	2026-11-02
74178	CPT	CT Abdomen +Pelvis With + Without Cont	78	10	$5,714.50	$5,200.19	$3,040.11	$5,428.77	$4,571.60	2026-11-02
74177	CPT	CT Abdomen +Pelvis With Cont	116	10	$4,692.40	$4,270.08	$2,496.36	$6,784.71	$3,824.31	2026-11-02
74176	CPT	CT Abdomen +Pelvis Without Cont	116	10	$3,740.80	$3,404.13	$1,990.11	$5,159.93	$3,048.75	2026-11-02
74174	CPT	CT Angio Abdomen +Pelvis With Cont	39	10	$4,065.60	$3,699.70	$2,162.90	$3,862.32	$3,252.48	2026-11-02
74170	CPT	CT Abdomen With + Without Cont	39	10	$2,896.40	$2,635.72	$1,558.25	$2,751.58	$2,317.12	2026-11-02
74160	CPT	CT Abdomen With Cont	39	10	$2,449.80	$2,229.32	$1,385.21	$2,327.31	$1,959.84	2026-11-02
74150	CPT	CT Abdomen Without Cont	39	10	$1,870.70	$1,702.34	$1,105.84	$1,777.16	$1,496.56	2026-11-02
73723	CPT	MRI Ankle With + Without Cont Lt	351	10	$3,236.50	$2,945.22	$2,071.36	$3,074.68	$2,589.20	2026-11-02
73722	CPT	MRI Toes With Cont Rt	351	10	$2,580.80	$2,348.53	$1,372.99	$2,451.86	$2,064.64	2026-11-02
73721	CPT	MRI Ankle Without Cont Lt	312	10	$2,304.70	$2,097.28	$1,475.01	$2,189.47	$1,843.76	2026-11-02
73720	CPT	MRI Femur With + Without Cont Lt	234	10	$3,137.10	$2,854.76	$1,708.63	$2,980.24	$2,509.68	2026-11-02
73719	CPT	MRI Femur With Cont Lt	195	10	$2,750.40	$2,502.86	$1,201.20	$2,612.88	$2,200.32	2026-11-02
73718	CPT	MRI Femur Without Cont Lt	234	10	$2,289.00	$2,082.99	$1,464.96	$2,174.55	$1,831.20	2026-11-02
73706	CPT	CT Angio Le Lt	78	10	$1,191.30	$1,084.08	$633.77	$1,131.73	$953.04	2026-11-02
73702	CPT	CT Le With + Without Cont Lt	39	10	$2,479.20	$2,256.07	$1,318.93	$2,355.24	$1,983.36	2026-11-02
73700	CPT	CT Le Without Cont Lt	78	10	$1,870.70	$1,702.34	$1,197.25	$1,777.16	$1,496.56	2026-11-02
73225	CPT	MRA Elbow With Cont Lt	546	10	$3,270.30	$2,975.97	$1,739.80	$3,106.78	$2,616.24	2026-11-02
73223	CPT	MRI Elbow With + Without Cont Lt	312	10	$3,270.30	$2,975.97	$1,768.46	$3,106.78	$2,616.24	2026-11-02
73222	CPT	MRI Elbow With Cont Lt	312	10	$2,617.60	$2,382.02	$1,412.08	$2,486.72	$2,094.08	2026-11-02
73221	CPT	MRI Elbow Without Cont Lt	273	10	$2,308.90	$2,101.10	$1,469.57	$2,193.45	$1,847.12	2026-11-02
73220	CPT	MRI Forearm With + Without Cont Lt	234	10	$3,134.60	$2,852.49	$1,820.89	$2,977.87	$2,507.68	2026-11-02
73219	CPT	MRI Forearm With Cont Lt	234	10	$2,633.10	$2,396.12	$1,400.81	$2,501.45	$2,106.48	2026-11-02
73218	CPT	MRI Forearm Without Cont Lt	234	10	$2,243.80	$2,041.86	$1,436.03	$2,131.61	$1,795.04	2026-11-02
73200	CPT	CT Ue Without Cont Lt	78	10	$1,870.70	$1,702.34	$1,095.29	$1,777.16	$1,496.56	2026-11-02
73040	CPT	Xr Shoulder Arthrography Lt	78	10	$1,233.30	$1,122.30	$632.13	$1,171.63	$986.64	2026-11-02
72198	CPT	MRA Pelvis With Cont	78	10	$3,296.40	$2,999.72	$1,753.68	$3,131.58	$2,637.12	2026-11-02
72197	CPT	MRI Pelvis With + Without Cont	39	10	$3,296.40	$2,999.72	$1,667.76	$3,131.58	$2,637.12	2026-11-02
72196	CPT	MRI Pelvis With Cont	39	10	$2,711.90	$2,467.83	$1,735.62	$2,576.30	$2,169.52	2026-11-02
72195	CPT	MRI Pelvis Without Cont	39	10	$2,361.60	$2,149.06	$1,408.56	$2,243.52	$1,889.28	2026-11-02
72194	CPT	CT Pelvis With + Without Cont	39	10	$2,818.60	$2,564.93	$1,401.26	$2,677.67	$2,254.88	2026-11-02
72193	CPT	CT Pelvis With Cont	39	10	$2,242.60	$2,040.77	$1,313.45	$2,130.47	$1,794.08	2026-11-02
72192	CPT	CT Pelvis Without Cont	39	10	$1,870.70	$1,702.34	$1,074.00	$1,777.16	$1,496.56	2026-11-02
72159	CPT	MRA Spinal Canal +Contents	78	10	$3,829.75	$3,485.07	$1,885.89	$3,908.87	$2,889.09	2026-11-02
72158	CPT	MRI Spine Lumbar With + Without Cont	39	10	$3,544.90	$3,225.86	$2,238.65	$3,367.66	$2,835.92	2026-11-02
72157	CPT	MRI Spine Thoracic With + Without Cont	39	10	$3,519.90	$3,203.11	$1,958.02	$3,343.91	$2,815.92	2026-11-02
72156	CPT	MRI Spine Cervical With + Without Cont	39	10	$3,539.90	$3,221.31	$2,084.17	$3,362.91	$2,831.92	2026-11-02
72149	CPT	MRI Spine Lumbar With Cont	39	10	$2,768.70	$2,519.52	$1,472.95	$2,630.26	$2,214.96	2026-11-02
72148	CPT	MRI Spine Lumbar Without Cont	39	10	$2,467.00	$2,244.97	$1,535.77	$2,343.65	$1,973.60	2026-11-02
72147	CPT	MRI Spine Thoracic With Cont	39	10	$2,614.50	$2,379.20	$1,390.91	$2,483.78	$2,091.60	2026-11-02
72146	CPT	MRI Spine Thoracic Without Cont	39	10	$2,454.90	$2,233.96	$1,552.48	$2,332.16	$1,963.92	2026-11-02
72142	CPT	MRI Spine Cervical With Cont	39	10	$2,712.70	$2,468.56	$1,443.16	$2,577.07	$2,170.16	2026-11-02
72141	CPT	MRI Spine Cervical Without Cont	39	10	$2,450.80	$2,230.23	$1,488.26	$2,328.26	$1,960.64	2026-11-02
72131	CPT	CT Spine Lumbar Without Cont	39	10	$2,120.40	$1,929.56	$1,320.55	$2,014.38	$1,696.32	2026-11-02
72128	CPT	CT Spine Thoracic Without Cont	39	10	$2,120.40	$1,929.56	$1,357.06	$2,014.38	$1,696.32	2026-11-02
72125	CPT	CT Spine Cervical Without Cont	39	10	$2,120.40	$1,929.56	$1,272.99	$2,014.38	$1,696.32	2026-11-02
71555	CPT	MRA Chest With Cont	78	10	$3,466.70	$3,154.70	$1,844.28	$3,293.36	$2,773.36	2026-11-02
71552	CPT	MRI Chest With + Without Cont	39	10	$3,466.70	$3,154.70	$1,844.28	$3,293.36	$2,773.36	2026-11-02
71551	CPT	MRI Chest With Cont	39	10	$2,711.90	$2,467.83	$1,442.73	$2,576.30	$2,169.52	2026-11-02
71550	CPT	MRI Chest Without Cont	39	10	$2,357.90	$2,145.69	$1,254.40	$2,240.01	$1,886.32	2026-11-02
71275	CPT	CT Angio Chest	78	10	$3,498.80	$3,183.91	$1,786.16	$3,323.86	$2,799.04	2026-11-02
71270	CPT	CT Chest With + Without Cont	78	10	$5,775.75	$5,255.93	$1,529.25	$8,201.25	$2,772.67	2026-11-02
71260	CPT	CT Chest +Abdomen With Cont	117	10	$4,899.20	$4,458.27	$1,377.84	$4,654.24	$3,429.44	2026-11-02
71250	CPT	CT Chest Thin Section Ild Request	78	10	$3,006.30	$2,735.73	$1,148.39	$3,744.43	$1,967.55	2026-11-02
70553	CPT	MRI Brain With + Without Cont	39	10	$3,479.30	$3,166.16	$2,117.24	$3,305.34	$2,783.44	2026-11-02
70552	CPT	MRI Brain With Cont	39	10	$2,734.10	$2,488.03	$1,628.21	$2,597.39	$2,187.28	2026-11-02
70551	CPT	MRI Brain Without Cont	39	10	$2,373.50	$2,159.89	$1,370.11	$2,254.82	$1,898.80	2026-11-02
70549	CPT	MRA Neck With + Without Cont	39	10	$3,117.20	$2,836.65	$1,995.01	$2,961.34	$2,493.76	2026-11-02
70548	CPT	MRA Neck With Cont	39	10	$2,812.20	$2,559.10	$1,496.09	$2,671.59	$2,249.76	2026-11-02
70547	CPT	MRA Neck Without Cont	39	10	$2,134.60	$1,942.49	$1,366.14	$2,027.87	$1,707.68	2026-11-02
70546	CPT	MRA Head With + Without Cont	39	10	$3,070.00	$2,793.70	$1,633.24	$2,916.50	$2,456.00	2026-11-02
70545	CPT	MRA Head With Cont	39	10	$2,373.00	$2,159.43	$1,286.79	$2,254.35	$1,898.40	2026-11-02
70544	CPT	MRA Head Without Cont	39	10	$2,179.60	$1,983.44	$1,394.94	$2,070.62	$1,743.68	2026-11-02
70543	CPT	MRI Face Neck Orbit With + Without Cont	78	10	$3,312.00	$3,013.92	$2,019.80	$3,146.40	$2,649.60	2026-11-02
70542	CPT	MRI Face Neck Orbit With Cont	78	10	$2,767.10	$2,518.06	$1,471.78	$2,628.74	$2,213.68	2026-11-02
70540	CPT	MRI Face Neck Orbit Without Cont	78	10	$2,352.80	$2,141.05	$1,266.00	$2,235.16	$1,882.24	2026-11-02
70498	CPT	CT Angio Neck	39	10	$3,498.80	$3,183.91	$1,558.14	$3,323.86	$2,799.04	2026-11-02
70496	CPT	CT Angio Head	39	10	$3,498.80	$3,183.91	$1,775.31	$3,323.86	$2,799.04	2026-11-02
70492	CPT	CT Soft Tissue Neck With + Without Cont	39	10	$2,896.40	$2,635.72	$1,717.96	$2,751.58	$2,317.12	2026-11-02
70491	CPT	CT Soft Tissue Neck With Cont	39	10	$2,449.80	$2,229.32	$1,365.25	$2,327.31	$1,959.84	2026-11-02
70490	CPT	CT Soft Tissue Neck Without Contrast	39	10	$1,870.70	$1,702.34	$927.15	$1,777.16	$1,496.56	2026-11-02
70488	CPT	CT Sinus Or Facial With + Without Cont	39	10	$2,229.10	$2,028.48	$1,156.58	$2,117.64	$1,783.28	2026-11-02
70487	CPT	CT Maxillofacial With Cont	39	10	$1,993.20	$1,813.81	$1,275.65	$1,893.54	$1,594.56	2026-11-02
70486	CPT	CT Maxillofacial Without Cont	117	10	$1,644.10	$1,496.13	$897.23	$1,671.05	$1,315.28	2026-11-02
70482	CPT	CT Orbit Sella Etc. Or Iac With + Without Cont	39	10	$2,740.10	$2,493.49	$1,434.99	$2,603.09	$2,192.08	2026-11-02
70481	CPT	CT Orbit Sella Etc. Or Iac With Cont	39	10	$2,241.40	$2,039.67	$1,434.50	$2,494.20	$1,793.12	2026-11-02
70480	CPT	CT Iac Without Cont	78	10	$2,090.90	$1,902.72	$1,043.16	$1,986.36	$1,672.72	2026-11-02
70470	CPT	CT Head Or Brain With + Without Cont	39	10	$2,740.10	$2,493.49	$1,283.98	$2,603.09	$2,192.08	2026-11-02
70460	CPT	CT Head Or Brain With Cont	39	10	$2,242.20	$2,040.40	$1,435.01	$2,130.09	$1,793.76	2026-11-02
70450	CPT	CT Head Or Brain Without Cont	39	10	$1,870.70	$1,702.34	$912.70	$1,777.16	$1,496.56	2026-11-02
70336	CPT	MRI Tmj	39	10	$2,243.80	$2,041.86	$1,193.70	$2,131.61	$1,795.04	2026-11-02
69610	CPT	69610 Repair Of Eardrum	27	8	$958.20	$871.96	$160.75	$4,298.65	$728.65	2026-11-02
69145	CPT	69145 Excision Soft Tissue Lesion, External Auditory Canal	27	8	$947.00	$861.77	$90.10	$6,438.44	$796.90	2026-11-02
67930	CPT	18067930 Repaid Eyelid Wound Ed Charge	139	10	$2,397.90	$2,182.09	$158.86	$3,545.23	$1,678.53	2026-11-02
67700	CPT	Blepharotomy Drainage Abscess Eyelid	11	5	$1,065.40	$969.51	$512.02	$1,012.13	$830.98	2026-11-02
64640	CPT	Destruction By Neurolyic Agent	11	5	$878.20	$799.16	$445.68	$834.29	$702.56	2026-11-02
64418	CPT	64418 Mmc Inj. Suprascapular	39	10	$1,393.30	$1,267.90	$468.18	$1,323.63	$1,114.64	2026-11-02
62273	CPT	18062273 Pf Inject Epidural Patch Ed Charge	101	10	$2,130.80	$1,939.03	$114.80	$2,024.26	$1,704.64	2026-11-02
62270	CPT	18062270 Lumbar Puncture Ed Charge	39	10	$1,268.90	$1,154.70	$468.18	$1,205.45	$1,015.12	2026-11-02
61050	CPT	18061050 Spinal Tap Ed Charge	101	10	$1,091.80	$993.54	$83.74	$1,037.21	$873.44	2026-11-02
59430	CPT	Postpartum Care	11	5	$760.20	$691.78	$440.26	$731.18	$608.16	2026-11-02
59414	CPT	18059414 Dlivery Of Placenta Ed Ed Charge	101	10	$2,435.30	$2,216.12	$93.51	$3,074.14	$1,948.24	2026-11-02
59409	CPT	17059409 Vaginal Delivery Olny Ed Ed Charge	39	10	$2,435.30	$2,216.12	$1,385.69	$4,245.75	$1,948.24	2026-11-02
55250	CPT	Vasectomy Unilateral O	27	8	$947.40	$862.13	$232.39	$2,456.51	$677.30	2026-11-02
54700	CPT	18054700 I & D Scrotum Ed Charge	101	10	$2,858.50	$2,601.24	$217.73	$4,871.59	$2,286.80	2026-11-02
49083	CPT	US Abdomen Paracentesis	39	10	$1,246.90	$1,134.68	$663.35	$1,184.56	$997.52	2026-11-02
46608	CPT	18046608 Anoscopy W/fb Removal Ed Ed Charge	101	10	$1,114.60	$1,014.29	$86.19	$1,769.61	$891.68	2026-11-02
46320	CPT	18046320 Pf Removal Of Hemorrhoid Clot Ed Charge	112	10	$2,541.20	$2,312.49	$115.85	$4,714.76	$2,071.08	2026-11-02
46250	CPT	Hemorrhoidectomy Exter	11	5	$2,254.60	$2,051.69	$849.96	$2,141.87	$1,389.44	2026-11-02
46050	CPT	18046050 I & D Perianal Abscess Ed Ed Charge	112	10	$1,397.50	$1,271.72	$102.93	$1,327.63	$1,049.61	2026-11-02
45384	CPT	17045384 Lesion Removal Colonoscopy Ed Charge	39	10	$1,840.30	$1,674.67	$1,047.13	$1,815.34	$1,472.24	2026-11-02
45380	CPT	17045380 Colonoscopy And Biopsy Ed Charge	39	10	$1,840.30	$1,674.67	$1,047.13	$1,815.34	$1,472.24	2026-11-02
45378	CPT	17045378 Colonoscopy Ed Charge	39	10	$1,638.20	$1,490.76	$932.14	$1,815.34	$1,310.56	2026-11-02
45108	CPT	18045108 Pf Removal Anorectal Lesion Ed Charge	101	10	$7,174.20	$6,528.52	$385.57	$6,815.49	$5,739.36	2026-11-02
45005	CPT	18045005 Drainage Of Rectal Abscess Ed Charge	101	10	$1,397.50	$1,271.72	$168.53	$2,637.31	$1,118.00	2026-11-02
43241	CPT	18043241 Pf Upper Gi Endoscopy W/tube Ed Charge	101	10	$2,617.30	$2,381.74	$144.11	$2,486.43	$2,093.84	2026-11-02
43220	CPT	43220 Esophagoscopy Balloon <30mm	27	8	$2,378.00	$2,163.98	$120.03	$5,110.05	$1,964.30	2026-11-02
43215	CPT	43215 Esophagoscopy Flex Remove Fb	27	8	$1,005.50	$915.00	$143.41	$3,547.30	$785.20	2026-11-02
43202	CPT	43202 Esophagoscopy Flex Biopsy	27	8	$864.70	$786.88	$104.33	$2,597.20	$707.20	2026-11-02
42440	CPT	42440 Excise Submaxillary Gland	27	8	$3,716.00	$3,381.56	$420.81	$7,060.49	$783.90	2026-11-02
42408	CPT	42408 Excision Of Sublingual	11	5	$1,572.90	$1,431.34	$960.43	$1,550.65	$1,258.32	2026-11-02
42145	CPT	42145 Repair Palate Pharynx/uvula	27	8	$1,797.50	$1,635.72	$359.30	$7,001.88	$1,316.25	2026-11-02
42104	CPT	18042104 ER Pf Excision Lesion Mouth Roof Ed Charge	101	10	$4,810.80	$4,377.83	$137.13	$4,570.26	$3,848.64	2026-11-02
41112	CPT	41112 Excision Of Tongue Lesion	27	8	$836.10	$760.85	$248.44	$4,646.45	$653.90	2026-11-02
36625	CPT	18036625 Insertion Catheter, Artery Ed Charge	99	10	$1,233.70	$1,122.67	$107.47	$1,172.02	$986.96	2026-11-02
36590	CPT	Removal Of Tunneled Central Venous Access	11	5	$1,130.40	$1,028.66	$393.22	$1,073.88	$640.99	2026-11-02
36556	CPT	17036556 Coll Of Blood Impantable Venous Ed Charge	89	10	$3,140.60	$2,857.95	$388.06	$3,243.87	$2,512.48	2026-11-02
36430	CPT	18036430 Blood Transfusion Service Ed Charge	117	10	$1,041.80	$948.04	$592.78	$989.71	$833.44	2026-11-02
32551	CPT	17032551 Insertion Of Chest Tube Ed Charge	39	10	$1,523.30	$1,386.20	$810.40	$1,447.13	$1,218.64	2026-11-02
32422	CPT	17032422 Thoracentesis W Tube Insert Ed Charge	38	10	$1,628.40	$1,481.84	$926.56	$1,546.98	$1,302.72	2026-11-02
32421	CPT	17032000 Thoracentesis Ed Charge	38	10	$1,570.00	$1,428.70	$893.33	$1,491.50	$1,256.00	2026-11-02
32020	CPT	Tube Thoracostomy W/or	8	3	$2,633.40	$2,396.39	$1,975.05	$2,501.73	$2,238.39	2026-11-02
31625	CPT	31625 Bronchoscopy W/biopsy(s)	27	8	$1,433.00	$1,304.03	$158.41	$2,097.22	$684.45	2026-11-02
31624	CPT	31624 Bronchoscopy Rigid Fle	11	5	$3,057.80	$2,782.60	$453.32	$2,904.91	$728.31	2026-11-02
31605	CPT	18031605 Cricothyroidotomy Ed Ed Charge	101	10	$953.60	$867.78	$339.51	$1,563.28	$762.88	2026-11-02
31515	CPT	18031515 Pf Laryngoscopy For Aspiration Ed Charge	101	10	$6,158.90	$5,604.60	$112.01	$5,850.95	$4,927.12	2026-11-02
31500	CPT	Intubation Charge	39	10	$865.40	$787.51	$492.41	$822.13	$692.32	2026-11-02
30801	CPT	Cautery/ablation Any M	11	5	$956.40	$870.32	$392.11	$908.58	$639.07	2026-11-02
30520	CPT	30520 Repair Of Nasal Septum	27	8	$1,373.60	$1,249.98	$417.60	$4,215.72	$1,285.70	2026-11-02
30420	CPT	30420 Reconstruction Of Nose	27	8	$3,859.90	$3,512.51	$980.85	$7,333.52	$2,783.30	2026-11-02
30410	CPT	30410 Reconstruction Of Nose	27	8	$3,406.90	$3,100.28	$749.20	$6,473.49	$2,754.05	2026-11-02
30117	CPT	30117 Excision Or Destruction (eg, Laser), Intranasal Lesion; Internal Approach	27	8	$1,337.50	$1,217.13	$109.30	$4,447.23	$1,716.95	2026-11-02
28575	CPT	Treat Foot Dislocation	39	10	$3,786.70	$3,445.90	$348.98	$3,597.36	$3,029.36	2026-11-02
28485	CPT	Open Treatment Metatarsal Fx	11	5	$2,212.90	$2,013.74	$978.85	$2,102.26	$1,578.48	2026-11-02
28470	CPT	Closed Treatment Of Metatarsal Fracture; Without Manipulation	11	5	$970.90	$883.52	$381.12	$922.36	$618.92	2026-11-02
28193	CPT	Removal Of Foreign Body Foot Complicated	11	5	$1,652.60	$1,503.87	$932.60	$1,569.97	$1,322.08	2026-11-02
28192	CPT	18028192 Removal Of Fb Foot Deep Ed Ed Charge	112	10	$2,061.70	$1,876.15	$317.18	$3,126.61	$1,649.36	2026-11-02
27870	CPT	17027870 Fusion Of Ankle Joint Open Ed Charge	39	10	$26,844.60	$24,428.59	$13,783.93	$25,502.37	$21,475.68	2026-11-02
27842	CPT	17027842 Closed Treatment Of Ankle Dislocaiton, Requiriing Anesthesia Ed Charge	39	10	$3,313.90	$3,015.65	$1,885.61	$3,148.20	$2,651.12	2026-11-02
27824	CPT	Closed Treatment Of Fracture Of Weight Bearing Articular Portion Of Distal Tibia	11	5	$1,180.40	$1,074.16	$555.63	$1,121.38	$909.66	2026-11-02
27818	CPT	18027818 Treatment Of Ankle Fracture Ed Charge	101	10	$1,357.60	$1,235.42	$348.98	$1,289.72	$1,086.08	2026-11-02
27808	CPT	27808 Closed Treatment Of Bimalleolar Ankle Fracture; Without Manipulation	27	8	$833.20	$758.21	$208.05	$1,282.60	$648.70	2026-11-02
27786	CPT	27786 Closed Treatment Of Distal Fibular Fracture (lateral Malleolus); Without M…	16	8	$850.90	$774.32	$152.60	$897.19	$607.75	2026-11-02
27780	CPT	Closed Treatment Of Proximal Fibula	11	5	$1,042.00	$948.22	$537.98	$989.90	$833.60	2026-11-02
27767	CPT	Closed Treatment Of Posterior Malleolus	11	5	$1,230.40	$1,119.66	$507.95	$1,168.88	$830.98	2026-11-02
27750	CPT	Clsd Treatment Of Tibial Shaft Fx	11	5	$1,401.60	$1,275.46	$605.13	$1,331.52	$991.23	2026-11-02
27603	CPT	18027603 Drain Lower Leg Lesion Ed Charge	101	10	$2,345.60	$2,134.50	$403.36	$3,624.78	$1,876.48	2026-11-02
27552	CPT	18027552 ER Prof Treat Knee Dislocation Ed Charge	101	10	$4,582.70	$4,170.26	$654.25	$4,353.56	$3,666.16	2026-11-02
27520	CPT	Closed Treatment Of Patellar Fracture, Without Manipulation	39	10	$916.80	$834.29	$348.98	$870.96	$733.44	2026-11-02
27502	CPT	17027502 Closed Treatment Of Femoral Shaft Fracture With Manipulation Ed Charge	78	10	$5,044.60	$4,590.59	$348.98	$5,994.50	$3,590.24	2026-11-02
27501	CPT	27501 Treatment Of Thigh Fracture	11	5	$1,773.00	$1,613.43	$879.51	$1,684.35	$1,418.40	2026-11-02
27372	CPT	Removal Of Foreign Body, Deep, Thigh	11	5	$1,927.40	$1,753.93	$1,045.19	$1,831.03	$1,541.92	2026-11-02
27337	CPT	27337 - Exc Thigh/Knee Greater Than 3 Cm	27	8	$1,077.80	$980.80	$233.88	$4,141.15	$805.35	2026-11-02
27327	CPT	Excision Tumor Soft Tissue Of Thigh Or K	11	5	$1,856.80	$1,689.69	$873.57	$1,763.96	$1,434.54	2026-11-02
27324	CPT	Biopsy Soft Tissue Of Thigh Or Knee Area	11	5	$1,648.40	$1,500.04	$700.30	$1,565.98	$1,156.27	2026-11-02
27301	CPT	18027301 Drain Thigh/knee Lesion Ed Charge	101	10	$5,583.10	$5,080.62	$522.35	$5,303.94	$4,466.48	2026-11-02
27257	CPT	18027257 ER Prof Treat Hip Dislocation Ed Charge	101	10	$4,619.60	$4,203.84	$372.31	$4,388.62	$3,695.68	2026-11-02
27252	CPT	18027252 Treat Hip Dislocation Ed Charge	39	10	$1,890.70	$1,720.54	$1,075.81	$3,021.53	$1,512.56	2026-11-02
26765	CPT	26765 Open Tx Distal Phalangeal Fracture, Each	50	10	$3,927.40	$3,573.93	$871.68	$7,771.45	$3,075.67	2026-11-02
26740	CPT	Closecd Tx Articular Fx Involving Metacarpophalangeal/interphalangeal Joint With…	11	5	$925.30	$842.02	$404.32	$879.03	$661.14	2026-11-02
26727	CPT	17026727 Treat Finger Fracture, Each Ed Charge	39	10	$7,435.10	$6,765.94	$4,230.57	$7,063.35	$5,948.08	2026-11-02
26600	CPT	Closed Treatment Of Metacarpal Fracture, Single; Without Manipulation, Each Bone	11	5	$973.70	$886.07	$522.35	$925.01	$778.96	2026-11-02
26350	CPT	17026350 Repair Finger/hand Tendon Ed Charge	39	10	$8,017.90	$7,296.29	$4,562.19	$7,617.01	$6,414.32	2026-11-02
26160	CPT	Excision Of Lesion Of Tendon	11	5	$2,330.60	$2,120.85	$1,065.93	$2,214.07	$1,744.48	2026-11-02
26115	CPT	Excis Tumor Vascular Less Than 1.5cm	11	5	$2,020.50	$1,838.65	$964.22	$1,919.47	$1,577.52	2026-11-02
26075	CPT	18026075 Explore/treat Finger Joint Ed Charge	112	10	$2,108.10	$1,918.37	$348.58	$3,344.34	$1,635.63	2026-11-02
26070	CPT	18026070 Explore/trmt Hand Ed Charge	101	10	$2,108.10	$1,918.37	$333.93	$3,344.34	$1,686.48	2026-11-02
26011	CPT	17026011 Drainage Of Finger Abscess Ed Charge	78	10	$1,686.05	$1,534.31	$842.23	$2,309.10	$1,229.73	2026-11-02
25630	CPT	Closed Treatment Of Carpal Bone Fx	11	5	$1,059.40	$964.05	$533.56	$1,006.43	$847.52	2026-11-02
25624	CPT	Closed Treatment Of Carpal Scaphoid	11	5	$1,913.60	$1,741.38	$850.96	$1,817.92	$1,396.16	2026-11-02
25622	CPT	Clsd Treatment Carpal Scaphoid Fx	11	5	$1,230.40	$1,119.66	$534.85	$1,168.88	$875.12	2026-11-02
25560	CPT	Closed Treatment Of Radial And Ulnar Sha	11	5	$1,018.40	$926.74	$502.96	$967.48	$814.72	2026-11-02
25505	CPT	18025505 Pf Treat Fx Of Radius Ed Charge	101	10	$1,824.60	$1,660.39	$348.98	$1,733.37	$1,459.68	2026-11-02
25075	CPT	Excision Tumor Soft Tissue Of Forearm	11	5	$1,821.00	$1,657.11	$912.01	$1,729.95	$1,456.80	2026-11-02
25073	CPT	25073 Excision Tumor Soft Tissue	11	5	$2,525.20	$2,297.93	$923.96	$2,398.94	$1,517.06	2026-11-02
25028	CPT	18025028 Drainage Of Forearm Lestion Ed Charge	101	10	$2,723.30	$2,478.20	$686.70	$4,320.80	$2,178.64	2026-11-02
25001	CPT	18025001 Incision, Flexor Tendon Ed Charge	101	10	$2,723.30	$2,478.20	$355.91	$4,320.80	$2,178.64	2026-11-02
25000	CPT	Incision,extensor Tendon Sheath,wrist	11	5	$1,865.50	$1,697.61	$596.25	$1,772.22	$974.91	2026-11-02
24670	CPT	Closed Treastment Of Ulnar Fracture	11	5	$1,022.10	$930.11	$509.06	$971.00	$817.68	2026-11-02
24620	CPT	18024620 Pf Treat Elbow Fracture Ed Charge	101	10	$3,242.00	$2,950.22	$348.98	$3,079.90	$2,593.60	2026-11-02
24605	CPT	18024605 Elbow Disclocation Ed Charge	101	10	$1,890.70	$1,720.54	$494.44	$3,021.53	$1,512.56	2026-11-02
24560	CPT	24560 Clsd Tx Humeral Epicondylar	11	5	$1,332.00	$1,212.12	$579.75	$1,265.40	$950.92	2026-11-02
24530	CPT	Closed Treatment Of Supracondylar	11	5	$1,535.50	$1,397.31	$665.17	$1,458.72	$1,090.06	2026-11-02
24071	CPT	Excision , Tumor Soft Tissue Of Upper Ar	11	5	$1,632.10	$1,485.21	$697.32	$1,550.49	$1,150.51	2026-11-02
23931	CPT	18023931 Remove Shoulder Fb Ed Charge	101	10	$6,156.30	$5,602.23	$164.35	$5,848.48	$4,925.04	2026-11-02
23930	CPT	18023930 Drainage Of Arm Lesion Ed Charge	101	10	$2,345.60	$2,134.50	$222.62	$3,624.78	$1,876.48	2026-11-02
23655	CPT	17023655 Treat Shoulder Dislocation Ed Charge	39	10	$1,890.70	$1,720.54	$1,075.81	$3,021.53	$1,512.56	2026-11-02
23620	CPT	Closed Treatment Of Greater Humeral	11	5	$1,091.60	$993.36	$469.94	$1,037.02	$769.57	2026-11-02
23570	CPT	Closed Treatment Of Scapular Fracture; Without Manipulation	11	5	$818.10	$744.47	$408.26	$777.20	$654.48	2026-11-02
23525	CPT	18023525 ER Pf Treat Clavicle Dislocation Ed Charge	101	10	$1,383.60	$1,259.08	$348.98	$1,314.42	$1,106.88	2026-11-02
23075	CPT	Excision Tumor Soft Tissue Of Shoulder	11	5	$1,105.90	$1,006.37	$884.72	$1,477.72	$995.31	2026-11-02
21931	CPT	Excision Tumor Soft Tissue Back Or Flank	11	5	$1,895.20	$1,724.63	$805.12	$1,800.44	$1,331.87	2026-11-02
21930	CPT	Excision Tumor Soft Tissue Back Flank	11	5	$1,736.20	$1,579.94	$870.57	$1,649.39	$1,388.96	2026-11-02
21920	CPT	Biopsy Soft Tissue Of Back Or Flank	11	5	$1,054.20	$959.32	$460.06	$1,001.49	$747.50	2026-11-02
21556	CPT	Excision Tumor Soft Tissue Neck	11	5	$1,820.00	$1,656.20	$913.64	$1,729.00	$1,456.00	2026-11-02
21555	CPT	Excise Tumor, Soft Tissue Of Neck Or Thorax; Subcutaneous Charge	11	5	$1,358.70	$1,236.42	$756.26	$1,290.77	$1,086.96	2026-11-02
21552	CPT	Excis,tumor,of Neck Subcut 3cm Or Greate	11	5	$1,834.90	$1,669.76	$765.51	$1,743.15	$1,264.70	2026-11-02
21390	CPT	21390 Open Treatment Orbit Periorbital Floor Blowout Fracture	27	8	$3,507.40	$3,191.73	$819.64	$6,664.15	$1,526.85	2026-11-02
21365	CPT	21365 Opn Tx Complx Malar Fx	27	8	$4,452.00	$4,051.32	$689.50	$8,458.70	$2,076.10	2026-11-02
21360	CPT	21360 Opn Tx Dprsd Malar Fracture	27	8	$2,797.60	$2,545.82	$526.54	$5,315.44	$980.85	2026-11-02
21335	CPT	21335 Open Treatment Of Nasal Fracture	27	8	$2,193.00	$1,995.63	$571.60	$4,166.51	$1,373.45	2026-11-02
21330	CPT	21330 Open Tx Nose Fx W/skele Fixj	27	8	$1,541.50	$1,402.77	$424.45	$2,928.76	$1,023.75	2026-11-02
21325	CPT	21325 Open Tx Nose Fx Uncomplicatd	27	8	$1,922.10	$1,749.11	$337.10	$3,651.80	$854.75	2026-11-02
21315	CPT	21315 Clsd Tmt Nasl Bone Fx Without Stab Ed Charge Glns	66	10	$2,251.40	$2,048.77	$157.02	$2,138.83	$1,575.98	2026-11-02
21011	CPT	Excision Tumor Soft Tissue	11	5	$1,420.30	$1,292.47	$644.95	$1,349.29	$1,053.60	2026-11-02
20650	CPT	18020650 Pf Insert And Remove Bone Pin Ed Charge	101	10	$6,349.00	$5,777.59	$161.90	$6,031.55	$5,079.20	2026-11-02
20103	CPT	18020103 Pf Explore Wound Extremity Ed Charge	101	10	$3,834.70	$3,489.58	$354.16	$3,642.97	$3,067.76	2026-11-02
20005	CPT	18020005 I & D Abcess Subfacial Ed Charge	92	10	$2,358.60	$2,146.33	$1,342.04	$2,240.67	$1,886.88	2026-11-02
19120	CPT	Excision Of Cyst Fibroadenoma Or Other	27	8	$1,011.20	$920.19	$240.00	$1,601.04	$960.64	2026-11-02
19083	CPT	US Breast Biopsy Lt	116	10	$2,258.80	$2,055.51	$107.27	$3,425.89	$1,694.10	2026-11-02
15260	CPT	Full Thick Gft Nose/lips; 20 S	27	8	$3,621.90	$3,295.93	$332.72	$5,734.68	$1,894.75	2026-11-02
15240	CPT	Full Thick Gft Chin/ax/ft; 20	27	8	$3,506.30	$3,190.73	$308.96	$5,551.61	$1,769.95	2026-11-02
15002	CPT	15002 Surgical Prep/creation Of Recipient Site By Excision Of Open Wounds, First…	27	8	$2,636.30	$2,399.03	$87.85	$4,173.92	$679.25	2026-11-02
14301	CPT	Adjacent Tissue Transfer Or Rearrangement, Any Area; Defect 30.1 Sq Cm To 60.0 S…	27	8	$4,817.70	$4,384.11	$496.65	$7,628.02	$2,068.95	2026-11-02
14061	CPT	Adjacent Tissue Xfer/rearrangement,eyelids,nose,ears Or Lips Defect 10.1cm-30cm …	27	8	$3,625.30	$3,299.02	$405.20	$5,740.09	$1,885.00	2026-11-02
14060	CPT	Adj Tissue Xfer/rearrangement,eyelids,nose,ears Or Lips Defect <10cm Tech Chg	27	8	$3,275.50	$2,980.70	$299.29	$5,186.34	$1,455.35	2026-11-02
14041	CPT	Adj Tissue Xfer/rearrangement,forehead,cheek,chin,mouth,hands/ft 10.1cm-30.0cm T…	27	8	$3,519.60	$3,202.84	$375.10	$5,572.89	$1,749.80	2026-11-02
14040	CPT	Adjacent Tissue Transfer Or Rearrangement Forehead Cheeks Chin Mouth Ect Defe…	27	8	$3,250.10	$2,957.59	$277.07	$5,146.06	$1,439.10	2026-11-02
14021	CPT	Adj Tissue Xfer/rearrangement,scalp,arms Or Legs Defect 10.1cm-30.0cm Tech Chg	27	8	$3,411.40	$3,104.37	$328.07	$5,401.23	$1,641.90	2026-11-02
14020	CPT	Adj Tissue Xfer/rearrangement,scalp,arms Or Legs Defect <10cm Tech Chg	50	8	$3,147.80	$2,864.50	$244.40	$4,983.98	$1,420.00	2026-11-02
13160	CPT	13160 Secondary Closure Surg Wound/dehsn Extsv/complic	39	10	$4,256.50	$3,873.41	$2,421.95	$4,436.65	$3,405.20	2026-11-02
13152	CPT	Repair Complex Eyelid, Nose, Ear, Lip 02.6 Cm To 07.5 Cm Charge	27	8	$1,391.70	$1,266.45	$205.55	$2,203.53	$967.20	2026-11-02
13151	CPT	Repair Complex Eyelid, Nose, Ear, Lip 01.1 Cm To 02.5 Cm Charge	27	8	$1,265.30	$1,151.42	$160.83	$2,003.27	$821.60	2026-11-02
13131	CPT	18013131 Pf Complex Repair F/c/c/m/n/ax/g/h/f Ed Charge	112	10	$976.10	$888.25	$246.35	$1,511.83	$780.88	2026-11-02
13120	CPT	13120 Complex Repair Scalp/arm/leg; 1.1-2.5 Cm.	27	8	$1,155.60	$1,051.60	$114.98	$1,829.80	$691.60	2026-11-02
12057	CPT	12057 Repair, Intermediate, Face, Ears, Etc; Over 30.0 Cm	66	10	$835.40	$760.21	$305.68	$1,859.24	$680.85	2026-11-02
12056	CPT	Layer Closure Of Wounds Of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 20.1 Cm…	27	8	$978.50	$890.43	$219.60	$1,659.08	$1,014.87	2026-11-02
12055	CPT	Layer Closure Of Wounds Of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 12.6 Cm…	27	8	$1,025.30	$933.02	$169.40	$1,623.27	$974.03	2026-11-02
12037	CPT	12037 Ed Imtermediate Closure Wounds Over 30.0cm Mmc	66	10	$2,570.70	$2,339.34	$261.12	$4,478.87	$1,928.03	2026-11-02
12036	CPT	18012036 Pf Intmd Wnd Repair Strext Ed Charge	128	10	$954.20	$868.32	$194.50	$2,003.27	$763.36	2026-11-02
11646	CPT	Excision Malignant Lesion Including Mar	11	5	$1,446.20	$1,316.04	$883.95	$1,434.54	$1,156.96	2026-11-02
11644	CPT	11644 Excision Malignant Les	11	5	$3,521.20	$3,204.29	$680.97	$3,345.14	$1,104.45	2026-11-02
11643	CPT	11643 Excision Malignant Les	27	8	$1,764.40	$1,605.60	$230.64	$1,702.97	$607.10	2026-11-02
11626	CPT	Excision Malignant Lesion Including Margins, Trunk, Arms Or Legs; Excised Diamet…	11	5	$1,191.50	$1,084.27	$709.59	$1,155.31	$953.20	2026-11-02
11624	CPT	Excision Malignant Lesion 3.1-4.0cm	11	5	$1,232.00	$1,121.12	$589.95	$1,170.40	$955.72	2026-11-02
11623	CPT	11623 Excision Malignant Les	11	5	$1,359.30	$1,236.96	$520.31	$1,291.34	$841.53	2026-11-02
11622	CPT	11622 Excision Malignant Les	11	5	$1,120.90	$1,020.02	$445.50	$1,064.86	$719.67	2026-11-02
11606	CPT	11606 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excise…	11	5	$1,577.20	$1,435.25	$778.13	$1,498.34	$1,261.76	2026-11-02
11604	CPT	11604 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excise…	11	5	$765.60	$696.70	$545.79	$884.71	$612.48	2026-11-02
11446	CPT	Remove Other Benign Lesion w/Margins , Face/Ears/Eyelids/Nose/Lips; Diam 4.0+ Cm…	27	8	$2,709.10	$2,465.28	$146.37	$4,289.44	$744.90	2026-11-02
11443	CPT	11443 Exc Face-mm B9+Marg 2.1-3 Cm	11	5	$1,214.90	$1,105.56	$399.30	$1,154.15	$647.70	2026-11-02
11426	CPT	Remove Lesion, Scalp/Neck/Hand/Foot >4.0 Cm Charge	27	8	$842.30	$766.49	$127.48	$3,923.78	$646.10	2026-11-02
11424	CPT	11424 Exc H-f-nk-sp B9+marg 3.1-4 Cm	11	5	$957.10	$870.96	$410.61	$909.25	$666.89	2026-11-02
11406	CPT	Excision Benign Lesion Including Margins	11	5	$860.90	$783.42	$553.61	$905.82	$688.72	2026-11-02
11404	CPT	11404 Exc Tr-ext B9+Marg 3.1-4.0 Cm	11	5	$1,001.00	$910.91	$392.01	$950.95	$639.07	2026-11-02
10180	CPT	18010180 I & D Wound Script Ed Charge	101	10	$2,345.60	$2,134.50	$182.14	$3,624.78	$1,876.48	2026-11-02
10140	CPT	18010140 Drainage Of Hematoma/fluid Ed Charge	139	10	$1,480.20	$1,346.98	$41.50	$2,309.10	$1,184.16	2026-11-02
10121	CPT	Incision & Removal Of Foreign Body	11	5	$1,107.60	$1,007.92	$471.53	$1,052.22	$765.73	2026-11-02
10080	CPT	10080 Incision & Drainage Pilonidal Cyst Simple Glns	50	10	$1,419.00	$1,291.29	$297.96	$1,348.05	$1,064.25	2026-11-02
10022	CPT	US Breast Cyst Asp Lt	76	10	$1,328.80	$1,209.21	$756.09	$1,262.36	$1,063.04	2026-11-02
0278	RC	—	19,342	10	$1,178.40	$1,072.34	$7.28	$9,347.81	$936.45	2026-11-02
0164	RC	—	17	8	$1,923.40	$1,750.29	$1,094.41	$1,827.23	$1,538.72	2026-11-02
0129	RC	—	34	8	$857.15	$780.00	$475.29	$835.05	$668.24	2026-11-02
0120	RC	—	51	8	$2,071.70	$1,885.25	$154.48	$2,393.62	$1,625.65	2026-11-02

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