Hospital

FAIRFIELD MEMORIAL HOSPITAL 1

Fairfield, IL · CCN 141311 · Rates published

2,961 distinct procedures filed

27 distinct payers

257,156 rate rows

2026-03-24 last MRF observed

Data quality

256,416 of 257,156 rate rows are consumer-grade (99.7%)

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

Excluded — reason	Rows
percent-of-charges filed in the dollar field — excluded from medians	410
placeholder amount (≤ $0.02) — excluded from medians	218
exceeds 10× this hospital's gross charge — excluded from medians	112

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

Source MRF file	https://www.fairfieldmemorial.org/getmedia/3148410c-77f7-4131-9705-df34dd772692/370661202_fairfield-memorial-hospital_standardcharges.csv
Found on page	https://www.fairfieldmemorial.org/pay-my-bill/price-transparency
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-17
Content fingerprint	0d2ca8fe378c9c39… · 70,422,362 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
63685 HCPCS	Insrt/redo Spine N G	27	$12,851.07	$89,999.99	$64,999.99	nat. median $21,347 outlier · 3.0×
42104 HCPCS	Excision Lesion Mout	27	$1,725.57	$74,066.40	$53,492.40	nat. median $3,137 outlier · 17.1×
58554 HCPCS	Laparo-vag Hyst W/t/	27	$3,963.31	$35,060.40	$25,321.40	nat. median $9,792 outlier · 2.6×
53440 HCPCS	Male Sling Procedure	27	$3,893.66	$34,031.70	$24,578.45	nat. median $11,297 outlier · 2.2×
57425 HCPCS	Laparoscopy Surg Col	27	$3,773.30	$33,761.70	$24,383.45	nat. median $9,808 outlier · 2.5×
44020 HCPCS	Explore Small Intest	27	$2,599.56	$32,950.80	$23,797.80	nat. median $2,841 outlier · 8.4×
58573 HCPCS	Tlh W/t/o Uterus Ove	27	$3,963.31	$31,432.50	$22,701.25	nat. median $10,006 outlier · 2.3×
43282 HCPCS	Lap Paraesoph Her Rp	27	$4,369.73	$31,432.50	$22,701.25	nat. median $10,411 outlier · 2.2×
64590 HCPCS	Insrt/redo Pn/gastr	27	$371.38	$81,354.60	$21,694.56	nat. median $18,332 1.2× median
22514 HCPCS	Initial Lumbar Verte	27	$3,360.71	$28,967.40	$20,920.90	nat. median $8,289 outlier · 2.5×
22513 HCPCS	Initial Thoracic Ver	27	$3,360.71	$28,967.40	$20,920.90	nat. median $8,289 outlier · 2.5×
27080 HCPCS	Removal Of Tail Bone	27	$2,831.19	$27,566.10	$19,908.85	nat. median $3,519 outlier · 5.7×
58210 HCPCS	Radical Abdominal Hy	27	$3,963.31	$26,293.50	$18,989.75	nat. median $4,160 outlier · 4.6×
58200 HCPCS	Total Abdominal Hyst	27	$3,963.31	$26,292.60	$18,989.10	nat. median $3,769 outlier · 5.0×
57282 HCPCS	Colpopexy Extraperit	27	$1,659.06	$26,109.00	$18,856.50	nat. median $7,200 outlier · 2.6×
58940 HCPCS	Removal Of Ovary(s)	27	$1,582.86	$26,109.00	$18,856.50	nat. median $2,198 outlier · 8.6×
43820 HCPCS	Fusion Of Stomach An	27	$2,413.32	$25,178.40	$18,184.40	nat. median $2,944 outlier · 6.2×
43825 HCPCS	Fusion Of Stomach An	27	$2,212.30	$25,178.40	$18,184.40	nat. median $2,983 outlier · 6.1×
54405 HCPCS	Insert Multi-comp Pe	27	$1,885.42	$66,023.10	$17,606.16	nat. median $18,900 0.9× median
54401 HCPCS	Insert Self-contd Pr	27	$1,517.76	$66,023.10	$17,606.16	nat. median $18,800 0.9× median
62350 HCPCS	Implant Spinal Canal	27	$3,360.71	$24,331.50	$17,572.75	nat. median $6,404 outlier · 2.7×
44950 HCPCS	Excision Procedures On The Appendix	27	$2,599.56	$24,256.80	$17,518.80	nat. median $6,086 outlier · 2.9×
63650 HCPCS	Percutaneous Implant	27	$4,164.37	$24,239.70	$17,506.45	nat. median $7,241 outlier · 2.4×
64555 HCPCS	Percutaneous Implant	27	$4,164.37	$24,239.70	$17,506.45	nat. median $6,885 outlier · 2.5×
44188 HCPCS	Lap Colostomy	27	$2,599.56	$19,792.80	$14,294.80	nat. median $3,039 outlier · 4.7×
58550 HCPCS	Lapara-asst Vag Hyst	27	$3,963.31	$19,688.40	$14,219.40	nat. median $6,199 outlier · 2.3×
60200 HCPCS	Remove Thyroid Lesio	27	$2,941.28	$19,472.40	$14,063.40	nat. median $5,834 outlier · 2.4×
60540 HCPCS	Explore Adrenal Glan	27	$2,489.37	$19,466.10	$14,058.85	nat. median $3,469 outlier · 4.1×
60520 HCPCS	Removal Of Thymus Gl	27	$3,439.16	$19,465.20	$14,058.20	nat. median $6,340 outlier · 2.2×
60240 HCPCS	Total Or Complete Th	27	$2,941.28	$19,423.80	$14,028.30	nat. median $6,083 outlier · 2.3×
49617 HCPCS	Repair Abd Hernia >	27	$2,938.34	$18,751.50	$13,542.75	nat. median $3,998 outlier · 3.4×
47579 HCPCS	Laparscope Proc Bili	27	$1,508.57	$18,751.50	$13,542.75	nat. median $6,625 outlier · 2.0×
49324 HCPCS	Lap Insert Tunnel Lp	27	$2,489.37	$18,751.50	$13,542.75	nat. median $6,010 outlier · 2.3×
49323 HCPCS	Laparo Drain Lymphoc	27	$2,489.37	$18,751.50	$13,542.75	nat. median $6,138 outlier · 2.2×
44238 HCPCS	Lap Procedure Intest	27	$1,403.81	$18,751.50	$13,542.75	nat. median $6,688 outlier · 2.0×
38542 HCPCS	Explore Dep Node(s)	27	$2,164.33	$18,751.50	$13,542.75	nat. median $5,732 outlier · 2.4×
49329 HCPCS	Lap Proc Abdomen/per	27	$2,489.37	$18,331.20	$13,239.20	nat. median $6,428 outlier · 2.1×
49255 HCPCS	Removal Of Omentum	27	$2,489.37	$18,331.20	$13,239.20	nat. median $4,002 outlier · 3.3×
60210 HCPCS	Partial Thyroid Exci	27	$2,941.28	$18,331.20	$13,239.20	nat. median $6,006 outlier · 2.2×
51992 HCPCS	Laparo Sling Operati	27	$1,951.18	$18,331.20	$13,239.20	nat. median $6,062 outlier · 2.2×
60225 HCPCS	Total Thyroid Lobect	27	$2,941.28	$18,331.20	$13,239.20	nat. median $6,010 outlier · 2.2×
60280 HCPCS	Remove Thyroid Duct	27	$2,941.28	$18,331.20	$13,239.20	nat. median $6,019 outlier · 2.2×
49321 HCPCS	Lap Biopsy	27	$2,489.37	$18,331.20	$13,239.20	nat. median $5,702 outlier · 2.3×
43774 HCPCS	Lap Rmvl Gastr Adj A	27	$3,423.56	$18,331.20	$13,239.20	nat. median $4,650 outlier · 2.8×
47600 HCPCS	Cholecystectomy With	27	$3,692.51	$18,331.20	$13,239.20	nat. median $2,752 outlier · 4.8×
49322 HCPCS	Lap Aspiration	27	$2,489.37	$18,331.20	$13,239.20	nat. median $5,642 outlier · 2.3×
44147 HCPCS	Partial Colectomy Wi	27	$1,403.81	$18,331.20	$13,239.20	nat. median $3,351 outlier · 4.0×
38100 HCPCS	Removal Of Spleen To	27	$2,489.37	$18,331.20	$13,239.20	nat. median $2,652 outlier · 5.0×
58670 HCPCS	Laparoscopy Tubal Ca	27	$2,885.13	$18,331.20	$13,239.20	nat. median $5,656 outlier · 2.3×
44979 HCPCS	Laparascope Proc App	27	$1,403.81	$18,331.20	$13,239.20	nat. median $6,574 outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 2,961 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

63685	HCPCS	Insrt/redo Spine N G	54	27	$99,999.99	$79,999.99 20% off	$12,851.07	$89,999.99	$64,999.99	2026-03-24
42104	HCPCS	Excision Lesion Mout	54	27	$82,296.00	$65,836.80	$1,725.57	$74,066.40	$53,492.40	2026-03-24
58554	HCPCS	Laparo-vag Hyst W/t/	54	27	$38,956.00	$31,164.80 20% off	$3,963.31	$35,060.40	$25,321.40	2026-03-24
53440	HCPCS	Male Sling Procedure	54	27	$37,813.00	$30,250.40	$3,893.66	$34,031.70	$24,578.45	2026-03-24
57425	HCPCS	Laparoscopy Surg Col	54	27	$37,513.00	$30,010.40	$3,773.30	$33,761.70	$24,383.45	2026-03-24
44020	HCPCS	Explore Small Intest	54	27	$36,612.00	$29,289.60 20% off	$2,599.56	$32,950.80	$23,797.80	2026-03-24
58573	HCPCS	Tlh W/t/o Uterus Ove	54	27	$34,925.00	$27,940.00 20% off	$3,963.31	$31,432.50	$22,701.25	2026-03-24
43282	HCPCS	Lap Paraesoph Her Rp	54	27	$34,925.00	$27,940.00 20% off	$4,369.73	$31,432.50	$22,701.25	2026-03-24
64590	HCPCS	Insrt/redo Pn/gastr	84	27	$90,394.00	$72,315.20 20% off	$371.38	$81,354.60	$21,694.56	2026-03-24
22513	HCPCS	Initial Thoracic Ver	54	27	$32,186.00	$25,748.80 20% off	$3,360.71	$28,967.40	$20,920.90	2026-03-24
22514	HCPCS	Initial Lumbar Verte	54	27	$32,186.00	$25,748.80 20% off	$3,360.71	$28,967.40	$20,920.90	2026-03-24
27080	HCPCS	Removal Of Tail Bone	54	27	$30,629.00	$24,503.20 20% off	$2,831.19	$27,566.10	$19,908.85	2026-03-24
58210	HCPCS	Radical Abdominal Hy	54	27	$29,215.00	$23,372.00 20% off	$3,963.31	$26,293.50	$18,989.75	2026-03-24
58200	HCPCS	Total Abdominal Hyst	54	27	$29,214.00	$23,371.20 20% off	$3,963.31	$26,292.60	$18,989.10	2026-03-24
57282	HCPCS	Colpopexy Extraperit	54	27	$29,010.00	$23,208.00 20% off	$1,659.06	$26,109.00	$18,856.50	2026-03-24
58940	HCPCS	Removal Of Ovary(s)	54	27	$29,010.00	$23,208.00 20% off	$1,582.86	$26,109.00	$18,856.50	2026-03-24
43825	HCPCS	Fusion Of Stomach An	54	27	$27,976.00	$22,380.80 20% off	$2,212.30	$25,178.40	$18,184.40	2026-03-24
43820	HCPCS	Fusion Of Stomach An	54	27	$27,976.00	$22,380.80 20% off	$2,413.32	$25,178.40	$18,184.40	2026-03-24
54401	HCPCS	Insert Self-contd Pr	84	27	$73,359.00	$58,687.20 20% off	$1,517.76	$66,023.10	$17,606.16	2026-03-24
54405	HCPCS	Insert Multi-comp Pe	84	27	$73,359.00	$58,687.20 20% off	$1,885.42	$66,023.10	$17,606.16	2026-03-24
62350	HCPCS	Implant Spinal Canal	54	27	$27,035.00	$21,628.00 20% off	$3,360.71	$24,331.50	$17,572.75	2026-03-24
44950	HCPCS	Excision Procedures On The Appendix	54	27	$26,952.00	$21,561.60 20% off	$2,599.56	$24,256.80	$17,518.80	2026-03-24
64555	HCPCS	Percutaneous Implant	54	27	$26,933.00	$21,546.40	$4,164.37	$24,239.70	$17,506.45	2026-03-24
63650	HCPCS	Percutaneous Implant	54	27	$26,933.00	$21,546.40	$4,164.37	$24,239.70	$17,506.45	2026-03-24
44188	HCPCS	Lap Colostomy	54	27	$21,992.00	$17,593.60 20% off	$2,599.56	$19,792.80	$14,294.80	2026-03-24
58550	HCPCS	Lapara-asst Vag Hyst	54	27	$21,876.00	$17,500.80 20% off	$3,963.31	$19,688.40	$14,219.40	2026-03-24
60200	HCPCS	Remove Thyroid Lesio	54	27	$21,636.00	$17,308.80 20% off	$2,941.28	$19,472.40	$14,063.40	2026-03-24
60540	HCPCS	Explore Adrenal Glan	54	27	$21,629.00	$17,303.20	$2,489.37	$19,466.10	$14,058.85	2026-03-24
60520	HCPCS	Removal Of Thymus Gl	54	27	$21,628.00	$17,302.40	$3,439.16	$19,465.20	$14,058.20	2026-03-24
60240	HCPCS	Total Or Complete Th	54	27	$21,582.00	$17,265.60 20% off	$2,941.28	$19,423.80	$14,028.30	2026-03-24
47579	HCPCS	Laparscope Proc Bili	54	27	$20,835.00	$16,668.00 20% off	$1,508.57	$18,751.50	$13,542.75	2026-03-24
38542	HCPCS	Explore Dep Node(s)	54	27	$20,835.00	$16,668.00 20% off	$2,164.33	$18,751.50	$13,542.75	2026-03-24
49324	HCPCS	Lap Insert Tunnel Lp	54	27	$20,835.00	$16,668.00 20% off	$2,489.37	$18,751.50	$13,542.75	2026-03-24
49617	HCPCS	Repair Abd Hernia >	54	27	$20,835.00	$16,668.00 20% off	$2,938.34	$18,751.50	$13,542.75	2026-03-24
49323	HCPCS	Laparo Drain Lymphoc	54	27	$20,835.00	$16,668.00 20% off	$2,489.37	$18,751.50	$13,542.75	2026-03-24
44238	HCPCS	Lap Procedure Intest	54	27	$20,835.00	$16,668.00 20% off	$1,403.81	$18,751.50	$13,542.75	2026-03-24
44147	HCPCS	Partial Colectomy Wi	54	27	$20,368.00	$16,294.40 20% off	$1,403.81	$18,331.20	$13,239.20	2026-03-24
49329	HCPCS	Lap Proc Abdomen/per	54	27	$20,368.00	$16,294.40 20% off	$2,489.37	$18,331.20	$13,239.20	2026-03-24
60210	HCPCS	Partial Thyroid Exci	54	27	$20,368.00	$16,294.40 20% off	$2,941.28	$18,331.20	$13,239.20	2026-03-24
38100	HCPCS	Removal Of Spleen To	54	27	$20,368.00	$16,294.40 20% off	$2,489.37	$18,331.20	$13,239.20	2026-03-24
51992	HCPCS	Laparo Sling Operati	54	27	$20,368.00	$16,294.40 20% off	$1,951.18	$18,331.20	$13,239.20	2026-03-24
44310	HCPCS	Ileostomy/jejunostom	54	27	$20,368.00	$16,294.40 20% off	$1,403.81	$18,331.20	$13,239.20	2026-03-24
44979	HCPCS	Laparascope Proc App	54	27	$20,368.00	$16,294.40 20% off	$1,403.81	$18,331.20	$13,239.20	2026-03-24
43774	HCPCS	Lap Rmvl Gastr Adj A	54	27	$20,368.00	$16,294.40 20% off	$3,423.56	$18,331.20	$13,239.20	2026-03-24
44180	HCPCS	Lap Enterolysis	54	27	$20,368.00	$16,294.40 20% off	$2,599.56	$18,331.20	$13,239.20	2026-03-24
45400	HCPCS	Laparoscopic Proc	54	27	$20,368.00	$16,294.40 20% off	$1,532.04	$18,331.20	$13,239.20	2026-03-24
58671	HCPCS	Laparoscopy Tubal Bl	54	27	$20,368.00	$16,294.40 20% off	$2,885.13	$18,331.20	$13,239.20	2026-03-24
58670	HCPCS	Laparoscopy Tubal Ca	54	27	$20,368.00	$16,294.40 20% off	$2,885.13	$18,331.20	$13,239.20	2026-03-24
47605	HCPCS	Cholecystectomy With	54	27	$20,368.00	$16,294.40 20% off	$3,692.51	$18,331.20	$13,239.20	2026-03-24
49321	HCPCS	Lap Biopsy	54	27	$20,368.00	$16,294.40 20% off	$2,489.37	$18,331.20	$13,239.20	2026-03-24
47600	HCPCS	Cholecystectomy With	54	27	$20,368.00	$16,294.40 20% off	$3,692.51	$18,331.20	$13,239.20	2026-03-24
49322	HCPCS	Lap Aspiration	54	27	$20,368.00	$16,294.40 20% off	$2,489.37	$18,331.20	$13,239.20	2026-03-24
60225	HCPCS	Total Thyroid Lobect	54	27	$20,368.00	$16,294.40 20% off	$2,941.28	$18,331.20	$13,239.20	2026-03-24
60280	HCPCS	Remove Thyroid Duct	54	27	$20,368.00	$16,294.40 20% off	$2,941.28	$18,331.20	$13,239.20	2026-03-24
49255	HCPCS	Removal Of Omentum	54	27	$20,368.00	$16,294.40 20% off	$2,489.37	$18,331.20	$13,239.20	2026-03-24
24366	HCPCS	Reconstruct Head Of Radius	84	27	$54,873.00	$43,898.40 20% off	$1,566.12	$49,385.70	$13,169.52	2026-03-24
57288	HCPCS	Repair Bladder Defec	54	27	$20,258.00	$16,206.40 20% off	$1,951.18	$18,232.20	$13,167.70	2026-03-24
42420	HCPCS	Excision Of The Parotid Gland Or A Tumor	54	27	$20,138.00	$16,110.40 20% off	$2,990.82	$18,124.20	$13,089.70	2026-03-24
42415	HCPCS	Excision Of A Parotid Tumor Or Gland In	54	27	$20,138.00	$16,110.40 20% off	$2,990.82	$18,124.20	$13,089.70	2026-03-24
43130	HCPCS	Removal Of Esophagus	54	27	$20,138.00	$16,110.40 20% off	$2,413.32	$18,124.20	$13,089.70	2026-03-24
60260	HCPCS	Repeat Thyroid Surge	54	27	$20,138.00	$16,110.40 20% off	$2,941.28	$18,124.20	$13,089.70	2026-03-24
42410	HCPCS	Excision Of A Parotid Tumor Or Gland In	54	27	$20,138.00	$16,110.40 20% off	$2,255.64	$18,124.20	$13,089.70	2026-03-24
60252	HCPCS	Total Or Subtotal Th	54	27	$20,138.00	$16,110.40 20% off	$2,941.28	$18,124.20	$13,089.70	2026-03-24
60271	HCPCS	Removal Of Thyroid	54	27	$20,138.00	$16,110.40 20% off	$2,941.28	$18,124.20	$13,089.70	2026-03-24
42426	HCPCS	Excision Of The Paro	54	27	$20,138.00	$16,110.40 20% off	$2,990.82	$18,124.20	$13,089.70	2026-03-24
43635	HCPCS	Vagotomy	54	27	$19,929.00	$15,943.20	$2,413.32	$17,936.10	$12,953.85	2026-03-24
58925	HCPCS	Removal Of Ovarian C	54	27	$19,793.00	$15,834.40 20% off	$2,885.13	$17,813.70	$12,865.45	2026-03-24
43610	HCPCS	Excision Of Stomach	54	27	$19,548.00	$15,638.40 20% off	$2,212.30	$17,593.20	$12,706.20	2026-03-24
57280	HCPCS	Suspension Of Vagina	54	27	$19,385.00	$15,508.00 20% off	$3,773.30	$17,446.50	$12,600.25	2026-03-24
58570	HCPCS	Tlh Uterus 250 G Or	54	27	$19,239.00	$15,391.20	$3,963.31	$17,315.10	$12,505.35	2026-03-24
58660	HCPCS	Laparoscopy Lysis	54	27	$19,238.00	$15,390.40 20% off	$2,885.13	$17,314.20	$12,504.70	2026-03-24
42440	HCPCS	Excise Submaxillary	54	27	$18,987.00	$15,189.60 20% off	$2,255.64	$17,088.30	$12,341.55	2026-03-24
57240	HCPCS	Anterior Colporrhaph	54	27	$18,632.00	$14,905.60 20% off	$1,951.18	$16,768.80	$12,110.80	2026-03-24
57250	HCPCS	Repair Rectum & Vagi	54	27	$18,632.00	$14,905.60 20% off	$979.48	$16,768.80	$12,110.80	2026-03-24
57260	HCPCS	Cmbn Ant Pst Colprhy	54	27	$18,632.00	$14,905.60 20% off	$1,951.18	$16,768.80	$12,110.80	2026-03-24
58150	HCPCS	Total Hysterectomy	54	27	$18,632.00	$14,905.60 20% off	$3,963.31	$16,768.80	$12,110.80	2026-03-24
19305	HCPCS	Mast Radical	54	27	$18,565.00	$14,852.00 20% off	$4,455.60	$16,708.50	$12,067.25	2026-03-24
J1162	HCPCS	Digoxin Immune Fab 40 Mg Vial	54	27	$17,906.40	$14,325.12 20% off	$3,019.14	$16,115.76	$11,639.16	2026-03-24
44227	HCPCS	Lap Close Enterostom	54	27	$17,772.00	$14,217.60 20% off	$2,599.56	$15,994.80	$11,551.80	2026-03-24
103	HCPCS	Eyelid Reconst	38	19	$15,796.00	$12,636.80 20% off	$15.50	$14,216.40	$11,167.77	2026-03-24
72285	HCPCS	Discography Cerv/tho	54	27	$16,966.00	$13,572.80 20% off	$380.80	$15,269.40	$11,027.90	2026-03-24
45110	HCPCS	Removal Of Rectum	54	27	$16,866.00	$13,492.80 20% off	$1,532.04	$15,179.40	$10,962.90	2026-03-24
58578	HCPCS	Laparo Proc Uterus	54	27	$16,685.00	$13,348.00 20% off	$1,582.86	$15,016.50	$10,845.25	2026-03-24
58662	HCPCS	Laparoscopy Excise L	54	27	$16,327.00	$13,061.60 20% off	$2,885.13	$14,694.30	$10,612.55	2026-03-24
55866	HCPCS	Laparo Radical Prost	84	27	$43,809.00	$35,047.20 20% off	$2,997.08	$39,428.10	$10,514.16	2026-03-24
62365	HCPCS	Remove Spine Infusio	100	27	$15,004.00	$12,003.20	$3,360.71	$15,919.20	$10,500.55	2026-03-24
100	HCPCS	Salivary Galnd Biops	38	19	$14,763.00	$11,810.40 20% off	$15.50	$13,286.70	$10,437.44	2026-03-24
32900	HCPCS	Removal Of Ribs	54	27	$15,889.00	$12,711.20	$3,439.16	$14,300.10	$10,327.85	2026-03-24
36571	HCPCS	Insert Picvad Cath	54	27	$15,870.00	$12,696.00 20% off	$747.27	$14,283.00	$10,315.50	2026-03-24
36560	HCPCS	Insert Tunneled Cv C	54	27	$15,870.00	$12,696.00 20% off	$1,443.13	$14,283.00	$10,315.50	2026-03-24
19302	HCPCS	P-mastectomy W/ln Removal	54	27	$15,850.00	$12,680.00 20% off	$2,215.48	$14,265.00	$10,302.50	2026-03-24
47379	HCPCS	Laparoscope Procedure Liver	54	27	$15,358.00	$12,286.40 20% off	$1,508.57	$13,822.20	$9,982.70	2026-03-24
49595	HCPCS	Repair Of Anterior A	54	27	$15,323.00	$12,258.40 20% off	$2,938.34	$13,790.70	$9,959.95	2026-03-24
49596	HCPCS	Repair Of Anterior A	54	27	$15,323.00	$12,258.40 20% off	$2,938.34	$13,790.70	$9,959.95	2026-03-24
62287	HCPCS	Percutaneous Diskect	54	27	$15,004.00	$12,003.20	$3,360.71	$13,503.60	$9,752.60	2026-03-24
36582	HCPCS	Replace Tunneled Cvc	54	27	$14,872.00	$11,897.60 20% off	$1,443.13	$13,384.80	$9,666.80	2026-03-24
36580	HCPCS	Replace Cvad Cath	54	27	$14,872.00	$11,897.60 20% off	$747.27	$13,384.80	$9,666.80	2026-03-24
36555	HCPCS	Insert Non Tun Cvc	54	27	$14,872.00	$11,897.60 20% off	$747.27	$13,384.80	$9,666.80	2026-03-24
36576	HCPCS	Repair Tunneled Cvc	54	27	$14,872.00	$11,897.60 20% off	$501.99	$13,384.80	$9,666.80	2026-03-24
37609	HCPCS	Temporal Artery Proc	54	27	$14,872.00	$11,897.60 20% off	$1,426.50	$13,384.80	$9,666.80	2026-03-24
36590	HCPCS	Removal Tunneled Cv Cath	54	27	$14,872.00	$11,897.60 20% off	$501.99	$13,384.80	$9,666.80	2026-03-24
36581	HCPCS	Replace Tunneled Cv	54	27	$14,872.00	$11,897.60 20% off	$1,443.13	$13,384.80	$9,666.80	2026-03-24
44800	HCPCS	Excision Of Bowel Po	54	27	$14,284.00	$11,427.20	$1,403.81	$12,855.60	$9,284.60	2026-03-24
50081	HCPCS	Removal Of Kidney St	84	27	$38,681.00	$30,944.80 20% off	$2,983.44	$34,812.90	$9,283.44	2026-03-24
58180	HCPCS	Partial Hysterectomy	54	27	$13,908.00	$11,126.40 20% off	$2,803.16	$12,517.20	$9,040.20	2026-03-24
49900	HCPCS	Repair Of Abdominal	54	27	$13,877.00	$11,101.60 20% off	$2,489.37	$12,489.30	$9,020.05	2026-03-24
49614	HCPCS	Repair Of Anterior A	54	27	$13,618.00	$10,894.40 20% off	$2,938.34	$12,256.20	$8,851.70	2026-03-24
49615	HCPCS	Repair Of A Reducibl	54	27	$13,618.00	$10,894.40 20% off	$2,938.34	$12,256.20	$8,851.70	2026-03-24
49613	HCPCS	Repair Of Recurrent	54	27	$13,618.00	$10,894.40 20% off	$2,938.34	$12,256.20	$8,851.70	2026-03-24
24666	HCPCS	Treat Radius Fracture Open	84	27	$36,785.00	$29,428.00 20% off	$1,805.44	$33,106.50	$8,828.40	2026-03-24
27823	HCPCS	Surgical Procedure To Stabilize A Fractu	84	27	$36,785.00	$29,428.00 20% off	$2,237.58	$33,106.50	$8,828.40	2026-03-24
43122	HCPCS	Partial Removal Of E	54	27	$13,487.00	$10,789.60 20% off	$2,413.32	$12,138.30	$8,766.55	2026-03-24
49553	HCPCS	Rpr Fem Hernia Init	54	27	$13,299.00	$10,639.20	$2,399.82	$11,969.10	$8,644.35	2026-03-24
44799	HCPCS	Unlisted Px Small In	54	27	$13,298.00	$10,638.40 20% off	$1,403.81	$11,968.20	$8,643.70	2026-03-24
49540	HCPCS	Repair Lumbar Hernia	54	27	$13,298.00	$10,638.40 20% off	$2,938.34	$11,968.20	$8,643.70	2026-03-24
49521	HCPCS	Rerepair Ing Hernia	54	27	$13,298.00	$10,638.40 20% off	$2,399.82	$11,968.20	$8,643.70	2026-03-24
44625	HCPCS	Closure Of Large Or Small Bowel Opening	54	27	$13,298.00	$10,638.40 20% off	$1,403.81	$11,968.20	$8,643.70	2026-03-24
49525	HCPCS	Repair Ing Hernia Sl	54	27	$13,298.00	$10,638.40 20% off	$2,399.82	$11,968.20	$8,643.70	2026-03-24
44661	HCPCS	Repair Bowel-bladder	54	27	$13,298.00	$10,638.40 20% off	$1,403.81	$11,968.20	$8,643.70	2026-03-24
49520	HCPCS	Rerepair Ing Hernia	54	27	$13,295.00	$10,636.00 20% off	$2,399.82	$11,965.50	$8,641.75	2026-03-24
46947	HCPCS	Hemorrhoidopexy By S	54	27	$13,241.00	$10,592.80 20% off	$1,532.04	$11,916.90	$8,606.65	2026-03-24
50544	HCPCS	Laparoscopy Pyelopla	84	27	$35,726.00	$28,580.80 20% off	$2,916.48	$32,153.40	$8,574.24	2026-03-24
50545	HCPCS	Laparo Radical Nephr	84	27	$35,725.00	$28,580.00 20% off	$2,987.16	$32,152.50	$8,574.00	2026-03-24
28805	HCPCS	Amputation Thru Metatarsal	54	27	$13,098.00	$10,478.40 20% off	$3,143.52	$11,788.20	$8,513.70	2026-03-24
26910	HCPCS	Amputate Metacarpal Bone	54	27	$13,098.00	$10,478.40 20% off	$1,465.23	$11,788.20	$8,513.70	2026-03-24
51860	HCPCS	Repair Of Bladder Wo	54	27	$12,955.00	$10,364.00 20% off	$2,761.30	$11,659.50	$8,420.75	2026-03-24
58552	HCPCS	Laparo-vag Hyst Incl	84	27	$34,925.00	$27,940.00 20% off	$2,490.54	$31,432.50	$8,382.00	2026-03-24
43800	HCPCS	Reconstruction Of Py	84	27	$34,925.00	$27,940.00 20% off	$2,212.30	$31,432.50	$8,382.00	2026-03-24
43281	HCPCS	Lap Paraesophag Hern	84	27	$34,925.00	$27,940.00 20% off	$4,036.82	$31,432.50	$8,382.00	2026-03-24
45540	HCPCS	Correct Rectal Prola	54	27	$12,721.00	$10,176.80 20% off	$1,532.04	$11,448.90	$8,268.65	2026-03-24
50780	HCPCS	Reimplant Ureter In	54	27	$12,691.00	$10,152.80 20% off	$2,761.30	$11,421.90	$8,249.15	2026-03-24
28306	HCPCS	Incision Of A Metatarsal Bone In The Foo	54	27	$12,475.00	$9,980.00 20% off	$1,455.50	$11,227.50	$8,108.75	2026-03-24
27607	HCPCS	Treat Lower Leg Bone Lesion	54	27	$12,475.00	$9,980.00 20% off	$2,130.48	$11,227.50	$8,108.75	2026-03-24
28005	HCPCS	Tx Foot Bone Lesion	54	27	$12,475.00	$9,980.00 20% off	$2,994.00	$11,227.50	$8,108.75	2026-03-24
26591	HCPCS	Repair Muscles Of Hand	54	27	$12,475.00	$9,980.00 20% off	$1,465.23	$11,227.50	$8,108.75	2026-03-24
28298	HCPCS	Bunionectomy With A Proximal Phalanx Ost	54	27	$12,474.00	$9,979.20	$2,993.76	$11,226.60	$8,108.10	2026-03-24
28296	HCPCS	Bunionectomy With A Distal Metatarsal Os	54	27	$12,474.00	$9,979.20	$2,993.76	$11,226.60	$8,108.10	2026-03-24
28645	HCPCS	Repair Toe Dislocati	54	27	$12,474.00	$9,979.20	$2,993.76	$11,226.60	$8,108.10	2026-03-24
29800	HCPCS	Jaw Arthroscopy/surgery	54	27	$12,474.00	$9,979.20	$1,456.77	$11,226.60	$8,108.10	2026-03-24
38531	HCPCS	Biopsy Or Exision Of Lymph Node(s); Open	54	27	$12,339.00	$9,871.20	$2,164.33	$11,105.10	$8,020.35	2026-03-24
37222	HCPCS	Iliac Revasc Add-on	54	27	$12,267.00	$9,813.60 20% off	$2,944.08	$11,040.30	$7,973.55	2026-03-24
46270	HCPCS	Remove Anal Fist Sub	54	27	$12,229.00	$9,783.20	$1,532.04	$11,006.10	$7,948.85	2026-03-24
21600	HCPCS	Partial Removal Of Rib	54	27	$12,194.00	$9,755.20	$1,576.89	$10,974.60	$7,926.10	2026-03-24
27888	HCPCS	Amputation Of Foot At Ankle	54	27	$12,194.00	$9,755.20	$2,926.56	$10,974.60	$7,926.10	2026-03-24
27882	HCPCS	Amputation Of Lower Leg Open	54	27	$12,194.00	$9,755.20	$2,926.56	$10,974.60	$7,926.10	2026-03-24
27884	HCPCS	Amputation Follow Up Surgery	54	27	$12,194.00	$9,755.20	$2,130.48	$10,974.60	$7,926.10	2026-03-24
27062	HCPCS	Remove Femur Lesion/bursa	54	27	$12,194.00	$9,755.20	$2,831.19	$10,974.60	$7,926.10	2026-03-24
21601	HCPCS	Surgical Removal Of A Chest Wall Tumor	54	27	$12,194.00	$9,755.20	$1,576.89	$10,974.60	$7,926.10	2026-03-24
54505	HCPCS	Biopsy Of Testis	54	27	$12,132.00	$9,705.60 20% off	$1,342.23	$10,918.80	$7,885.80	2026-03-24
54830	HCPCS	Remove Epidiymis Les	54	27	$12,132.00	$9,705.60 20% off	$1,611.52	$10,918.80	$7,885.80	2026-03-24
32550	HCPCS	Insert Pleural Cath	54	27	$11,904.00	$9,523.20	$678.50	$10,713.60	$7,737.60	2026-03-24
49418	HCPCS	Insert Tun Lp Cath P	54	27	$11,904.00	$9,523.20	$2,489.37	$10,713.60	$7,737.60	2026-03-24
46258	HCPCS	Remove In/ex Hem Grp	54	27	$11,842.00	$9,473.60	$1,532.04	$10,657.80	$7,697.30	2026-03-24
35860	HCPCS	Explore Limb Vessels	54	27	$11,703.00	$9,362.40 20% off	$2,721.39	$10,532.70	$7,606.95	2026-03-24
44345	HCPCS	Revision Of Colostom	54	27	$11,686.00	$9,348.80 20% off	$1,403.81	$10,517.40	$7,595.90	2026-03-24
55500	HCPCS	Excision Of A Hydroc	54	27	$11,682.00	$9,345.60	$1,611.52	$10,513.80	$7,593.30	2026-03-24
27137	HCPCS	Revision Of The Acetabular Component Of	84	27	$31,456.00	$25,164.80 20% off	$3,605.92	$28,310.40	$7,549.44	2026-03-24
27132	HCPCS	Conversion Of A Previous Hip Surgery To	84	27	$31,456.00	$25,164.80 20% off	$4,179.42	$28,310.40	$7,549.44	2026-03-24
14301	HCPCS	Tis Trnfr Any 30.1-60 Sq Cm	54	27	$11,558.00	$9,246.40 20% off	$1,322.37	$10,402.20	$7,512.70	2026-03-24
37718	HCPCS	Ligate Short Leg Vn	54	27	$11,440.00	$9,152.00 20% off	$1,852.39	$10,296.00	$7,436.00	2026-03-24
37722	HCPCS	Lig/str Long Leg Vn	54	27	$11,439.00	$9,151.20	$1,852.39	$10,295.10	$7,435.35	2026-03-24
37785	HCPCS	Ligate/divide/excise	54	27	$11,439.00	$9,151.20	$1,852.39	$10,295.10	$7,435.35	2026-03-24
55520	HCPCS	Removal Of Sperm Cor	54	27	$11,420.00	$9,136.00 20% off	$1,611.52	$10,278.00	$7,423.00	2026-03-24
54860	HCPCS	Epididymectomy	54	27	$11,420.00	$9,136.00 20% off	$1,611.52	$10,278.00	$7,423.00	2026-03-24
63707	HCPCS	Repair Spinal Fluid	54	27	$11,396.00	$9,116.80 20% off	$2,735.04	$10,256.40	$7,407.40	2026-03-24
54700	HCPCS	Drainage Of Scrotum	54	27	$11,345.00	$9,076.00 20% off	$1,611.52	$10,210.50	$7,374.25	2026-03-24
44146	HCPCS	Partial Colectomy Wi	54	27	$11,223.00	$8,978.40 20% off	$2,599.56	$10,100.70	$7,294.95	2026-03-24
J0480	HCPCS	Basiliximab 20mg Inj	54	27	$11,160.85	$8,928.68 20% off	$1,219.47	$10,044.77	$7,254.55	2026-03-24
19110	HCPCS	Nipple Exploration	54	27	$11,138.00	$8,910.40 20% off	$906.02	$10,024.20	$7,239.70	2026-03-24
38500	HCPCS	Biopsy Or Excision Of Superficial Axilla	54	27	$11,137.00	$8,909.60	$2,164.33	$10,023.30	$7,239.05	2026-03-24
19125	HCPCS	Excision Breast Lesion	54	27	$11,137.00	$8,909.60	$906.02	$10,023.30	$7,239.05	2026-03-24
44340	HCPCS	Enterostomy-external	54	27	$11,130.00	$8,904.00 20% off	$1,403.81	$10,017.00	$7,234.50	2026-03-24
15760	HCPCS	Composit Skin Graft	54	27	$11,130.00	$8,904.00 20% off	$1,322.37	$10,017.00	$7,234.50	2026-03-24
56515	HCPCS	Destroy Vulva Lesion	54	27	$11,130.00	$8,904.00 20% off	$1,659.06	$10,017.00	$7,234.50	2026-03-24
13160	HCPCS	Late Closure Of Wound	54	27	$11,130.00	$8,904.00 20% off	$691.66	$10,017.00	$7,234.50	2026-03-24
47785	HCPCS	Anastomosis Roux-en	54	27	$11,082.00	$8,865.60	$2,659.68	$9,973.80	$7,203.30	2026-03-24
47555	HCPCS	Bilary Endoscopy Thr	54	27	$11,082.00	$8,865.60	$2,659.68	$9,973.80	$7,203.30	2026-03-24
47999	HCPCS	Bile Tract Surgery P	54	27	$11,082.00	$8,865.60	$1,508.57	$9,973.80	$7,203.30	2026-03-24
27535	HCPCS	Open Treatment Of A Proximal Tibial Plat	84	27	$9,076.00	$7,260.80 20% off	$2,178.24	$10,287.90	$7,174.01	2026-03-24
43633	HCPCS	Removal Of Stomach P	84	27	$19,930.00	$15,944.00 20% off	$2,413.32	$17,937.00	$7,134.88	2026-03-24
15200	HCPCS	Skin Full Graft Trunk	54	27	$10,880.00	$8,704.00 20% off	$1,322.37	$9,792.00	$7,072.00	2026-03-24
74174	HCPCS	CTA Abd Pelv	54	27	$10,848.00	$8,678.40 20% off	$252.95	$9,763.20	$7,051.20	2026-03-24
59612	HCPCS	Vbac Delivery Only	54	27	$10,448.00	$8,358.40 20% off	$1,466.80	$9,403.20	$6,791.20	2026-03-24
15220	HCPCS	Skin Full Graft Sclp/arm/leg	54	27	$10,417.00	$8,333.60	$1,322.37	$9,375.30	$6,771.05	2026-03-24
43275	HCPCS	Ercp Remove Forgn Bo	54	27	$10,313.00	$8,250.40 20% off	$1,744.21	$9,281.70	$6,703.45	2026-03-24
58544	HCPCS	Lsh W/t/o Uterus Abo	84	27	$27,892.00	$22,313.60 20% off	$2,259.90	$25,102.80	$6,694.08	2026-03-24
47801	HCPCS	Placement Bile Duct	54	27	$10,237.00	$8,189.60	$2,456.88	$9,213.30	$6,654.05	2026-03-24
38570	HCPCS	Laparoscopic Procedure That Involves Lymph Node Sampling	54	27	$10,236.00	$8,188.80 20% off	$2,456.64	$9,212.40	$6,653.40	2026-03-24
38745	HCPCS	Remove Armpit Lymph	54	27	$10,236.00	$8,188.80 20% off	$1,217.47	$9,212.40	$6,653.40	2026-03-24
57522	HCPCS	Conization Of Cervix	54	27	$10,176.00	$8,140.80 20% off	$1,582.86	$9,158.40	$6,614.40	2026-03-24
60505	HCPCS	Explore Parathyroid	54	27	$10,149.00	$8,119.20 20% off	$2,435.76	$9,134.10	$6,596.85	2026-03-24
27134	HCPCS	Reverse Hip Joint Replacement	114	27	$7,735.00	$6,188.00 20% off	$716.10	$28,310.40	$6,574.75	2026-03-24
64561	HCPCS	Implant Neuroelectro	84	27	$27,309.00	$21,847.20 20% off	$705.56	$24,578.10	$6,554.16	2026-03-24
43278	HCPCS	Ercp Lesion Ablate W	54	27	$10,082.00	$8,065.60	$2,419.68	$9,073.80	$6,553.30	2026-03-24
20690	HCPCS	Apply Bone Fixation Device Uniplane	84	27	$27,170.00	$21,736.00 20% off	$1,448.94	$24,453.00	$6,520.80	2026-03-24
20102	HCPCS	Expl Pentrg Wnd Abd/flnk/bk	54	27	$9,629.00	$7,703.20 20% off	$691.66	$8,666.10	$6,258.85	2026-03-24
27487	HCPCS	Revise/replace Knee Joint	114	27	$6,944.00	$5,555.20 20% off	$688.82	$32,139.90	$6,249.60	2026-03-24
43632	HCPCS	Removal Of Stomach Partial	38	19	$8,832.00	$7,065.60	$2,413.32	$7,948.80	$6,244.22	2026-03-24
27240	HCPCS	Open Treatment Of A Femoral Fracture Wh	84	27	$25,877.00	$20,701.60 20% off	$313.26	$23,289.30	$6,210.48	2026-03-24
27756	HCPCS	Percutaneous Skeletal Fixation Of A Tibi	84	27	$25,876.00	$20,700.80 20% off	$1,330.52	$23,288.40	$6,210.24	2026-03-24
27792	HCPCS	Open Reduction Internal Fixation Of A La	84	27	$25,876.00	$20,700.80 20% off	$1,601.46	$23,288.40	$6,210.24	2026-03-24
25652	HCPCS	Treat Fracture Ulnar Styloid	84	27	$25,876.00	$20,700.80 20% off	$1,361.52	$23,288.40	$6,210.24	2026-03-24
28750	HCPCS	Fusion Of Big Toe Joint	84	27	$25,876.00	$20,700.80 20% off	$1,346.64	$23,288.40	$6,210.24	2026-03-24
25515	HCPCS	Open Treatment Of A Radial Shaft Fractur	84	27	$25,876.00	$20,700.80 20% off	$1,613.86	$23,288.40	$6,210.24	2026-03-24
25525	HCPCS	Treat Fracture Of Radius	84	27	$25,876.00	$20,700.80 20% off	$1,933.78	$23,288.40	$6,210.24	2026-03-24
57410	HCPCS	Pelvic Examination	54	27	$9,475.00	$7,580.00 20% off	$143.89	$8,527.50	$6,158.75	2026-03-24
57135	HCPCS	Remove Vagina Lesion	54	27	$9,473.00	$7,578.40 20% off	$1,659.06	$8,525.70	$6,157.45	2026-03-24
58120	HCPCS	Dilation And Curetta	54	27	$9,473.00	$7,578.40 20% off	$1,582.86	$8,525.70	$6,157.45	2026-03-24
56740	HCPCS	Remove Vagina Gland	54	27	$9,473.00	$7,578.40 20% off	$1,659.06	$8,525.70	$6,157.45	2026-03-24
56620	HCPCS	Partial Removal Of V	54	27	$9,473.00	$7,578.40 20% off	$1,659.06	$8,525.70	$6,157.45	2026-03-24
56440	HCPCS	Surgery For Vulva Le	54	27	$9,473.00	$7,578.40 20% off	$1,659.06	$8,525.70	$6,157.45	2026-03-24
57267	HCPCS	Insert Mesh/pelvic F	54	27	$9,473.00	$7,578.40 20% off	$2,273.52	$8,525.70	$6,157.45	2026-03-24
58600	HCPCS	Division Of Fallopia	54	27	$9,473.00	$7,578.40 20% off	$1,582.86	$8,525.70	$6,157.45	2026-03-24
57268	HCPCS	Repair Of Bowel Bulg	54	27	$9,398.00	$7,518.40 20% off	$979.48	$8,458.20	$6,108.70	2026-03-24
22900	HCPCS	Exc Abdl Tum Deep < 5 Cm	54	27	$9,286.00	$7,428.80 20% off	$1,218.74	$8,357.40	$6,035.90	2026-03-24
22901	HCPCS	Exc Abdl Tum Deep 5 Cm/>	54	27	$9,285.00	$7,428.00 20% off	$1,218.74	$8,356.50	$6,035.25	2026-03-24
19120	HCPCS	Removal Of Breast Lesion	54	27	$9,226.00	$7,380.80 20% off	$906.02	$8,303.40	$5,996.90	2026-03-24
27125	HCPCS	Partial Hip Replacement	84	27	$24,951.00	$19,960.80 20% off	$2,306.45	$22,455.90	$5,988.24	2026-03-24
45389	HCPCS	Colonoscopy W/stent	54	27	$9,171.00	$7,336.80 20% off	$1,379.79	$8,253.90	$5,961.15	2026-03-24
46280	HCPCS	Remove Anal Fist Com	54	27	$9,084.00	$7,267.20 20% off	$1,532.04	$8,175.60	$5,904.60	2026-03-24
45000	HCPCS	Drainage Of Pelvic A	54	27	$9,084.00	$7,267.20 20% off	$1,532.04	$8,175.60	$5,904.60	2026-03-24
42106	HCPCS	Excision Lesion Mout	54	27	$9,024.00	$7,219.20 20% off	$1,725.57	$8,121.60	$5,865.60	2026-03-24
0278	RC	—	138	23	$12,485.00	$9,988.00 20% off	$213.60	$21,403.80	$5,821.83	2026-03-24
66983	HCPCS	Intracapsular Catara	54	27	$8,885.00	$7,108.00 20% off	$1,162.40	$7,996.50	$5,775.25	2026-03-24
45320	HCPCS	Proctosgmdsc Rigid Ablation Lesion	54	27	$8,884.00	$7,107.20 20% off	$1,379.79	$7,995.60	$5,774.60	2026-03-24
27488	HCPCS	Removal Of Knee Prosthesis	114	27	$6,746.00	$5,396.80 20% off	$668.98	$28,320.30	$5,734.10	2026-03-24
72156	HCPCS	MRI Cervical Wo/w Co	54	27	$8,766.00	$7,012.80 20% off	$277.26	$7,889.40	$5,697.90	2026-03-24
70543	HCPCS	MRI Neck W/wo Contr	54	27	$8,766.00	$7,012.80 20% off	$277.26	$7,889.40	$5,697.90	2026-03-24
72157	HCPCS	MRI Thoracic W/wo	54	27	$8,766.00	$7,012.80 20% off	$277.26	$7,889.40	$5,697.90	2026-03-24
71552	HCPCS	MRI Chest With/without Contrast	54	27	$8,766.00	$7,012.80 20% off	$277.26	$7,889.40	$5,697.90	2026-03-24
44150	HCPCS	Total Abdominal Colectomy	114	27	$8,058.00	$6,446.40 20% off	$704.94	$18,331.20	$5,640.60	2026-03-24
70553	HCPCS	MRI Brain Wo/w Cont	54	27	$8,671.00	$6,936.80 20% off	$277.26	$7,803.90	$5,636.15	2026-03-24
72158	HCPCS	MRI Lumbar W/wo	54	27	$8,671.00	$6,936.80 20% off	$277.26	$7,803.90	$5,636.15	2026-03-24
66982	HCPCS	Cataract Surgery Com	54	27	$8,659.00	$6,927.20 20% off	$1,162.40	$7,793.10	$5,628.35	2026-03-24
44626	HCPCS	Repair Bowel Opening	84	27	$13,298.00	$10,638.40 20% off	$2,599.56	$11,968.20	$5,625.30	2026-03-24
45305	HCPCS	Proctosigmoidoscopy	54	27	$8,652.00	$6,921.60	$671.16	$7,786.80	$5,623.80	2026-03-24
46612	HCPCS	Anoscopy Remove Lesi	54	27	$8,651.00	$6,920.80 20% off	$1,379.79	$7,785.90	$5,623.15	2026-03-24
J0840	HCPCS	Crotalidae Poly Imm Fab (ovine) 1 Gm	54	27	$8,640.00	$6,912.00 20% off	$2,073.60	$7,776.00	$5,616.00	2026-03-24
49020	HCPCS	Drainage Abdom Absce	54	27	$8,521.00	$6,816.80 20% off	$2,045.04	$7,668.90	$5,538.65	2026-03-24
46285	HCPCS	Remove Anal Fist 2 S	54	27	$8,457.00	$6,765.60	$979.48	$7,611.30	$5,497.05	2026-03-24
46606	HCPCS	Anoscopy And Biopsy	54	27	$8,457.00	$6,765.60	$671.16	$7,611.30	$5,497.05	2026-03-24
46255	HCPCS	Remove In/ex Hem Gro	54	27	$8,457.00	$6,765.60	$1,532.04	$7,611.30	$5,497.05	2026-03-24
46257	HCPCS	Remove In/ex Hem Gr	54	27	$8,457.00	$6,765.60	$1,532.04	$7,611.30	$5,497.05	2026-03-24
45005	HCPCS	Drainage Of Rectal A	54	27	$8,457.00	$6,765.60	$979.48	$7,611.30	$5,497.05	2026-03-24
46080	HCPCS	Incision Of Anal Sph	54	27	$8,457.00	$6,765.60	$979.48	$7,611.30	$5,497.05	2026-03-24
45990	HCPCS	Surg Dx Exam Anorect	54	27	$8,457.00	$6,765.60	$979.48	$7,611.30	$5,497.05	2026-03-24
46945	HCPCS	Remove By Ligat Int	54	27	$8,457.00	$6,765.60	$979.48	$7,611.30	$5,497.05	2026-03-24
46060	HCPCS	Incision And Drainage Of Ischiorectal Or	54	27	$8,457.00	$6,765.60	$1,532.04	$7,611.30	$5,497.05	2026-03-24
46200	HCPCS	Removal Of Anal Fiss	54	27	$8,457.00	$6,765.60	$979.48	$7,611.30	$5,497.05	2026-03-24
46320	HCPCS	Removal Of Hemorrhoi	54	27	$8,457.00	$6,765.60	$979.48	$7,611.30	$5,497.05	2026-03-24
45100	HCPCS	Biopsy Of Rectum	54	27	$8,457.00	$6,765.60	$979.48	$7,611.30	$5,497.05	2026-03-24
42330	HCPCS	Removal Of Salivary Stone	54	27	$8,420.00	$6,736.00 20% off	$1,237.86	$7,578.00	$5,473.00	2026-03-24
42600	HCPCS	Closure Of Salivary	54	27	$8,420.00	$6,736.00 20% off	$2,020.80	$7,578.00	$5,473.00	2026-03-24
30115	HCPCS	Removal Of Nose Polyp(s)	54	27	$8,419.00	$6,735.20 20% off	$952.63	$7,577.10	$5,472.35	2026-03-24
42140	HCPCS	Excision Of Uvula	54	27	$8,419.00	$6,735.20 20% off	$1,725.57	$7,577.10	$5,472.35	2026-03-24
15734	HCPCS	Muscle-skin Graft Trunk	84	27	$10,880.00	$8,704.00 20% off	$1,322.37	$9,792.00	$5,467.20	2026-03-24
27138	HCPCS	Revise Hip Joint Replacement	114	27	$6,046.00	$4,836.80 20% off	$599.54	$28,310.40	$5,441.40	2026-03-24
72197	HCPCS	MRI Pelvis W/w0 Contrast	54	27	$8,349.00	$6,679.20 20% off	$277.26	$7,514.10	$5,426.85	2026-03-24
19020	HCPCS	Incision Of Breast Lesion	54	27	$8,341.00	$6,672.80 20% off	$906.02	$7,506.90	$5,421.65	2026-03-24
40812	HCPCS	Excise/repair Moth L	54	27	$8,230.00	$6,584.00 20% off	$1,237.86	$7,407.00	$5,349.50	2026-03-24
41110	HCPCS	Excision Of Tongue L	54	27	$8,230.00	$6,584.00 20% off	$952.63	$7,407.00	$5,349.50	2026-03-24
66984	HCPCS	Extracapsular Catara	54	27	$8,217.00	$6,573.60	$1,162.40	$7,395.30	$5,341.05	2026-03-24
38724	HCPCS	Removal Of Lymph Nod	84	27	$19,941.00	$15,952.80 20% off	$2,164.33	$17,946.90	$5,338.80	2026-03-24
44141	HCPCS	Partial Colectomy Wi	84	27	$7,529.00	$6,023.20 20% off	$1,806.96	$6,776.10	$5,264.62	2026-03-24
49659	HCPCS	Laparao Proc Hernia	84	27	$21,876.00	$17,500.80 20% off	$2,938.34	$19,688.40	$5,250.24	2026-03-24
27337	HCPCS	Excision Of Femur	54	27	$8,051.00	$6,440.80 20% off	$1,218.74	$7,245.90	$5,233.15	2026-03-24
30310	HCPCS	Remove Nasal Foreign Body	54	27	$8,019.00	$6,415.20 20% off	$952.63	$7,217.10	$5,212.35	2026-03-24
14021	HCPCS	Tis Trnfr S/a/l 10.1-30 Sqcm	54	27	$8,013.00	$6,410.40 20% off	$1,322.37	$7,211.70	$5,208.45	2026-03-24
27248	HCPCS	Treat Thigh Fracture	84	27	$21,682.00	$17,345.60 20% off	$1,365.24	$19,513.80	$5,203.68	2026-03-24
26236	HCPCS	Partial Excision Of A Bone In The Distal	54	27	$7,956.00	$6,364.80 20% off	$888.51	$7,160.40	$5,171.40	2026-03-24
28124	HCPCS	Partial Removal Of Toe	54	27	$7,956.00	$6,364.80 20% off	$1,455.50	$7,160.40	$5,171.40	2026-03-24
23472	HCPCS	Arthroplasty Total Shoulder	114	27	$5,737.00	$4,589.60	$542.50	$49,386.60	$5,163.30	2026-03-24
58700	HCPCS	Removal Of Fallopian	54	27	$7,925.00	$6,340.00 20% off	$1,902.00	$7,132.50	$5,151.25	2026-03-24
27486	HCPCS	Repair/replace Knee Joint	114	27	$5,651.00	$4,520.80	$523.28	$33,317.10	$5,085.90	2026-03-24
28043	HCPCS	Exc Foot/toe Turn Sc < 1.5 Cm	54	27	$7,733.00	$6,186.40 20% off	$1,218.74	$6,959.70	$5,026.45	2026-03-24
28039	HCPCS	Exc Foot/toe Turn Sc 1.5 Cm/>	54	27	$7,733.00	$6,186.40 20% off	$1,455.50	$6,959.70	$5,026.45	2026-03-24
20205	HCPCS	Deep Muscle Biopsy	54	27	$7,733.00	$6,186.40 20% off	$1,218.74	$6,959.70	$5,026.45	2026-03-24
20200	HCPCS	Muscle Biopsy	54	27	$7,733.00	$6,186.40 20% off	$1,218.74	$6,959.70	$5,026.45	2026-03-24
24076	HCPCS	Ex Arm/elbow Turn Deep <5cm	54	27	$7,733.00	$6,186.40 20% off	$1,218.74	$6,959.70	$5,026.45	2026-03-24
51595	HCPCS	Cosurgeon - Remove Bladder/revise Tract	68	19	$5,581.00	$4,464.80	$2,761.30	$7,442.10	$5,022.90	2026-03-24
44143	HCPCS	Partial Colectomy Wi	84	27	$7,529.00	$6,023.20 20% off	$1,806.96	$6,776.10	$4,993.78	2026-03-24
27598	HCPCS	Amputate Lower Leg At Knee	84	27	$18,099.00	$14,479.20	$1,845.12	$16,289.10	$4,992.53	2026-03-24
52290	HCPCS	Urethra And Bladder	54	27	$7,669.00	$6,135.20 20% off	$1,060.42	$6,902.10	$4,984.85	2026-03-24
54161	HCPCS	Circum 28 Days Or Ol	54	27	$7,668.00	$6,134.40 20% off	$1,342.23	$6,901.20	$4,984.20	2026-03-24
21554	HCPCS	Exc Neck Tum Deep 5 Cm/>	54	27	$7,649.00	$6,119.20 20% off	$1,576.89	$6,884.10	$4,971.85	2026-03-24
21012	HCPCS	Exc Face Les Sbq 2cm/>	54	27	$7,649.00	$6,119.20 20% off	$1,218.74	$6,884.10	$4,971.85	2026-03-24
25076	HCPCS	Exc Forearm Deep < 3 Cm	54	27	$7,649.00	$6,119.20 20% off	$1,157.11	$6,884.10	$4,971.85	2026-03-24
49402	HCPCS	Remove Foreign Body	54	27	$7,608.00	$6,086.40 20% off	$1,825.92	$6,847.20	$4,945.20	2026-03-24
28108	HCPCS	Removal Of Toe Lesions	54	27	$7,577.00	$6,061.60	$1,455.50	$6,819.30	$4,925.05	2026-03-24
22999	HCPCS	Abdomen Surgery Procedure	54	27	$7,577.00	$6,061.60	$313.26	$6,819.30	$4,925.05	2026-03-24
19307	HCPCS	Mast Mod Rad	84	27	$18,565.00	$14,852.00 20% off	$3,083.26	$16,708.50	$4,919.17	2026-03-24
74178	HCPCS	CT Abd/pelvis With/wo Contrast	338	27	$7,523.00	$6,018.40 20% off	$207.03	$7,800.30	$4,902.34	2026-03-24
64788	HCPCS	Remove Skin Nerve Le	54	27	$7,531.00	$6,024.80 20% off	$916.98	$6,777.90	$4,895.15	2026-03-24
44204	HCPCS	Laparo Partial Colec	54	27	$7,529.00	$6,023.20 20% off	$1,806.96	$6,776.10	$4,893.85	2026-03-24
44145	HCPCS	Partial Colectomy Wi	54	27	$7,529.00	$6,023.20 20% off	$1,806.96	$6,776.10	$4,893.85	2026-03-24
44205	HCPCS	Lap Colectromy Part	54	27	$7,529.00	$6,023.20 20% off	$1,403.81	$6,776.10	$4,893.85	2026-03-24
44144	HCPCS	Partial Colectomy Wi	54	27	$7,529.00	$6,023.20 20% off	$1,403.81	$6,776.10	$4,893.85	2026-03-24
49651	HCPCS	Lap Ing Hernia Repai	84	27	$20,369.00	$16,295.20	$1,406.16	$18,332.10	$4,888.56	2026-03-24
47564	HCPCS	Lap Chole Explore	84	27	$20,368.00	$16,294.40 20% off	$2,338.34	$18,331.20	$4,888.32	2026-03-24
44160	HCPCS	Partial Colectomy Wi	84	27	$20,368.00	$16,294.40 20% off	$533.20	$18,331.20	$4,888.32	2026-03-24

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