Price Transparencybeta 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

HAMMOND HENRY HOSPITAL

Geneseo, IL · CCN 141319 · Rates published

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You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $1,935 across 34 payers · range $673-$2,322

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHHGENESEOIL&type=CDMWithoutLabel&fileType=CSV · observed 2026-01-22

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

3,355 distinct procedures filed
35 distinct payers
152,207 rate rows
2026-01-22 last MRF observed
Data quality

143,355 of 152,207 rate rows are consumer-grade (94.2%)

8,852 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
template filing: same amount across many unrelated codes — excluded 4,088
per-diem day rate — not a per-procedure price 2,650
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,497
percent-of-charges filed in the dollar field — excluded from medians 430
exceeds 10× this hospital's gross charge — excluded from medians 169
exceeds 3× this hospital's gross charge for a DRG stay — excluded 14
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHHGENESEOIL&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/HammondHenry.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint d95d5c987410aae9… · 72,452,950 bytes · first seen 2026-05-14

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
863
MS_DRG 		Postoperative And Post-traumatic Infections Without Mcc 2 $183,298.63 $189,522.40 $186,410.52 nat. median
$10,225
outlier · 18.2×
92
MS_DRG 		Other Disorders Of Nervous System With Cc 2 $103,100.91 $106,465.11 $104,783.01 nat. median
$10,613
outlier · 9.9×
195
MS_DRG 		Simple Pneumonia And Pleurisy Without Cc/mcc 2 $94,313.50 $97,677.70 $95,995.60 nat. median
$6,821
outlier · 14.1×
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 2 $72,971.26 $75,157.99 $74,064.62 nat. median
$15,626
outlier · 4.7×
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 1 $71,124.64 $71,124.64 $71,124.64 nat. median
$12,282
outlier · 5.8×
947
MS_DRG 		Signs And Symptoms With Mcc 2 $61,617.62 $63,636.14 $62,626.88 nat. median
$12,113
outlier · 5.2×
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 $61,389.62 $63,408.14 $62,398.88 nat. median
$11,478
outlier · 5.4×
948
MS_DRG 		Signs And Symptoms Without Mcc 1 $58,217.68 $58,217.68 $58,217.68 nat. median
$7,971
outlier · 7.3×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 4 $55,308.51 $56,209.50 $55,445.14 nat. median
$32,654
1.7× median
291
MS_DRG 		Heart Failure And Shock With Mcc 1 $51,995.47 $51,995.47 $51,995.47 nat. median
$12,775
outlier · 4.1×
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 $42,653.10 $44,166.99 $43,410.04 nat. median
$8,661
outlier · 5.0×
964
MS_DRG 		Other Multiple Significant Trauma With Cc 2 $41,964.35 $43,478.24 $42,721.29 nat. median
$14,949
outlier · 2.9×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 4 $35,665.82 $37,467.80 $35,939.08 nat. median
$25,679
1.4× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 $26,861.02 $28,663.00 $27,134.28 nat. median
$25,358
1.1× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 4 $22,617.36 $37,033.20 $24,803.44 nat. median
$22,965
1.1× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 4 $22,717.03 $25,420.00 $23,126.92 nat. median
$18,831
1.2× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 $22,117.03 $24,820.00 $22,526.92 nat. median
$29,492
0.8× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 4 $17,226.02 $19,028.00 $17,499.28 nat. median
$15,991
1.1× median
3602506_1
CDM 		Operating Room Services - General Classification 31 $2,785.00 $20,874.60 $17,395.50 nat. median
$17,396
1.0× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 4 $16,434.37 $19,454.87 $16,980.89 nat. median
$20,312
0.8× median
3602505_1
CDM 		Operating Room Services - General Classification 31 $2,785.00 $16,200.00 $13,500.00 nat. median
$13,500
1.0× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 $11,952.03 $14,655.00 $12,361.92 nat. median
$23,553
0.5× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 $11,206.83 $13,909.80 $11,616.72 nat. median
$20,545
0.6× median
J9332
HCPCS 		Injection, Efgartigimod Alfa-fcab, 2mg 34 $3,832.89 $16,857.81 $11,528.05 nat. median
$112
outlier · 103.1×
603
MS_DRG 		Cellulitis Without Mcc 2 $10,514.98 $10,851.40 $10,683.19 nat. median
$8,991
1.2× median
J2353
HCPCS 		Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 34 $3,530.29 $12,173.40 $10,494.99 nat. median
$5,623
1.9× median
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 34 $3,527.68 $12,164.40 $10,491.14 nat. median
$155
outlier · 67.9×
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 34 $3,599.19 $12,411.00 $10,342.50 nat. median
$1,659
outlier · 6.2×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $10,189.00 $10,189.00 $10,189.00 nat. median
$42,662
outlier · 0.2×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 34 $3,386.48 $11,677.50 $10,185.38 nat. median
$3,787
outlier · 2.7×
3602504_1
CDM 		Operating Room Services - General Classification 31 $2,785.00 $12,169.80 $10,141.50 nat. median
$10,142
1.0× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 2 $9,653.17 $9,989.59 $9,821.38 nat. median
$18,778
0.5× median
4209996_1
CDM 		Rev - Physical Therapy 31 $90.00 $11,250.00 $8,750.00 nat. median
$8,750
1.0× median
J9312
HCPCS 		Injection, Rituximab, 10 Mg 34 $2,716.49 $9,367.20 $8,170.28 nat. median
$1,063
outlier · 7.7×
43632
HCPCS 		Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To Secon… 34 $217.27 $10,246.00 $7,684.50 nat. median
$3,244
outlier · 2.4×
32669
HCPCS 		Removal Of Segment Of Lung Tissue Using An Endoscope 33 $217.27 $12,046.14 $7,376.60 nat. median
$3,081
outlier · 2.4×
44150
HCPCS 		Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O… 34 $217.27 $9,361.00 $7,020.75 nat. median
$3,333
outlier · 2.1×
3602503_1
CDM 		Operating Room Services - General Classification 31 $2,442.96 $8,424.00 $7,020.00 nat. median
$7,020
1.0× median
43281
HCPCS 		Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 34 $48.00 $15,305.60 $6,564.00 nat. median
$10,128
0.6× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 $6,408.00 $6,408.00 $6,408.00 nat. median
$19,254
outlier · 0.3×
38724
HCPCS 		Removal Of Lymph Nodes, Muscle, And Tissue Of Neck 34 $217.27 $8,335.00 $6,251.25 nat. median
$3,750
1.7× median
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 34 $2,157.66 $7,440.20 $6,200.17 nat. median
$44
outlier · 141.8×
44202
HCPCS 		Partial Removal And Reconnection Of Small Bowel Using An Endoscope 34 $217.27 $9,105.31 $6,078.00 nat. median
$3,792
1.6× median
2502833_1
CDM 		Digifab 40 Mg Vial 31 $2,107.31 $7,266.60 $6,055.50 nat. median
$6,056
1.0× median
3602062_1
CDM 		Operating Room Services - General Classification 31 $2,103.92 $7,254.90 $6,045.75 nat. median
$6,046
1.0× median
489
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 4 $5,739.01 $6,640.00 $5,875.64 nat. median
$12,150
outlier · 0.5×
44227
HCPCS 		Closure Of Opening From Large Or Small Bowel To Skin Using An Endoscope 34 $217.27 $9,105.31 $5,730.75 nat. median
$3,190
1.8× median
842
MS_DRG 		Lymphoma And Non-acute Leukemia Without Cc/mcc 2 $5,493.16 $5,661.37 $5,577.26 nat. median
$10,689
0.5× median
44143
HCPCS 		Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 34 $217.27 $9,105.31 $5,574.75 nat. median
$3,003
1.9× median
J0630
HCPCS 		Injection, Calcitonin Salmon, Up To 400 Units 34 $1,879.72 $6,481.80 $5,401.50 nat. median
$1,896
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 3,355 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
             
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 2 $78,522.40 $70,670.16 $183,298.63 $189,522.40 $186,410.52 2026-01-22
92 MS_DRG Other Disorders Of Nervous System With Cc 2 2 $46,465.11 $41,818.60 $103,100.91 $106,465.11 $104,783.01 2026-01-22
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 2 2 $37,677.70 $33,909.93 $94,313.50 $97,677.70 $95,995.60 2026-01-22
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 2 $36,157.99 $32,542.19 $72,971.26 $75,157.99 $74,064.62 2026-01-22
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 $31,479.58 $28,331.62 $71,124.64 $71,124.64 $71,124.64 2026-01-22
947 MS_DRG Signs And Symptoms With Mcc 2 2 $27,636.14 $24,872.53 $61,617.62 $63,636.14 $62,626.88 2026-01-22
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 2 $27,408.14 $24,667.32 $61,389.62 $63,408.14 $62,398.88 2026-01-22
948 MS_DRG Signs And Symptoms Without Mcc 1 1 $24,467.68 $22,020.91 $58,217.68 $58,217.68 $58,217.68 2026-01-22
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 $90,645.85 $81,581.27 $55,308.51 $56,209.50 $55,445.14 2026-01-22
291 MS_DRG Heart Failure And Shock With Mcc 1 1 $21,995.47 $19,795.92 $51,995.47 $51,995.47 $51,995.47 2026-01-22
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 2 $17,166.99 $15,450.29 $42,653.10 $44,166.99 $43,410.04 2026-01-22
964 MS_DRG Other Multiple Significant Trauma With Cc 2 2 $16,478.24 $14,830.42 $41,964.35 $43,478.24 $42,721.29 2026-01-22
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 4 $75,576.68 $68,019.01 $35,665.82 $37,467.80 $35,939.08 2026-01-22
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 4 $57,771.83 $51,994.65 $26,861.02 $28,663.00 $27,134.28 2026-01-22
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 4 $205,070.30 $184,563.27 $22,617.36 $37,033.20 $24,803.44 2026-01-22
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 4 4 $54,604.28 $49,143.85 $22,717.03 $25,420.00 $23,126.92 2026-01-22
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 4 $60,278.90 $54,251.01 $22,117.03 $24,820.00 $22,526.92 2026-01-22
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 4 4 $46,321.17 $41,689.05 $17,226.02 $19,028.00 $17,499.28 2026-01-22
3602506_1 CDM Operating Room Services - General Classification 31 31 $23,194.00 $20,874.60 $2,785.00 $20,874.60 $17,395.50 2026-01-22
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 4 $58,113.68 $52,302.31 $16,434.37 $19,454.87 $16,980.89 2026-01-22
3602505_1 CDM Operating Room Services - General Classification 31 31 $18,000.00 $16,200.00 $2,785.00 $16,200.00 $13,500.00 2026-01-22
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 4 $37,685.76 $33,917.18 $11,952.03 $14,655.00 $12,361.92 2026-01-22
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 4 $49,469.13 $44,522.22 $11,206.83 $13,909.80 $11,616.72 2026-01-22
J9332 HCPCS Injection, Efgartigimod Alfa-fcab, 2mg 34 34 $14,685.41 $13,216.87 $3,832.89 $16,857.81 $11,528.05 2026-01-22
603 MS_DRG Cellulitis Without Mcc 2 2 $4,851.40 $4,366.26 $10,514.98 $10,851.40 $10,683.19 2026-01-22
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 34 34 $13,526.00 $12,173.40 $3,530.29 $12,173.40 $10,494.99 2026-01-22
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 34 34 $13,516.00 $12,164.40 $3,527.68 $12,164.40 $10,491.14 2026-01-22
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 34 34 $13,790.00 $12,411.00 $3,599.19 $12,411.00 $10,342.50 2026-01-22
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 $48,064.90 $43,258.41 $10,189.00 $10,189.00 $10,189.00 2026-01-22
J3101 HCPCS Injection, Tenecteplase, 1 Mg 34 34 $12,975.00 $11,677.50 $3,386.48 $11,677.50 $10,185.38 2026-01-22
3602504_1 CDM Operating Room Services - General Classification 31 31 $13,522.00 $12,169.80 $2,785.00 $12,169.80 $10,141.50 2026-01-22
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 2 2 $3,989.59 $3,590.63 $9,653.17 $9,989.59 $9,821.38 2026-01-22
4209996_1 CDM Rev - Physical Therapy 31 31 $12,500.00 $11,250.00 $90.00 $11,250.00 $8,750.00 2026-01-22
J9312 HCPCS Injection, Rituximab, 10 Mg 34 34 $10,408.00 $9,367.20 $2,716.49 $9,367.20 $8,170.28 2026-01-22
43632 HCPCS Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To Secon… 59 34 $10,246.00 $9,221.40 $217.27 $10,246.00 $7,684.50 2026-01-22
32669 HCPCS Removal Of Segment Of Lung Tissue Using An Endoscope 33 33 $9,580.00 $8,622.00 $217.27 $12,046.14 $7,376.60 2026-01-22
44150 HCPCS Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O… 59 34 $9,361.00 $8,424.90 $217.27 $9,361.00 $7,020.75 2026-01-22
3602503_1 CDM Operating Room Services - General Classification 31 31 $9,360.00 $8,424.00 $2,442.96 $8,424.00 $7,020.00 2026-01-22
43281 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 59 34 $8,752.00 $7,876.80 $48.00 $15,305.60 $6,564.00 2026-01-22
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 $38,956.51 $35,060.86 $6,408.00 $6,408.00 $6,408.00 2026-01-22
38724 HCPCS Removal Of Lymph Nodes, Muscle, And Tissue Of Neck 59 34 $8,335.00 $7,501.50 $217.27 $8,335.00 $6,251.25 2026-01-22
J1306 HCPCS Injection, Inclisiran, 1 Mg 34 34 $8,266.89 $7,440.20 $2,157.66 $7,440.20 $6,200.17 2026-01-22
44202 HCPCS Partial Removal And Reconnection Of Small Bowel Using An Endoscope 59 34 $8,104.00 $7,293.60 $217.27 $9,105.31 $6,078.00 2026-01-22
2502833_1 CDM Digifab 40 Mg Vial 31 31 $8,074.00 $7,266.60 $2,107.31 $7,266.60 $6,055.50 2026-01-22
3602062_1 CDM Operating Room Services - General Classification 31 31 $8,061.00 $7,254.90 $2,103.92 $7,254.90 $6,045.75 2026-01-22
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 4 4 $35,965.14 $32,368.63 $5,739.01 $6,640.00 $5,875.64 2026-01-22
44227 HCPCS Closure Of Opening From Large Or Small Bowel To Skin Using An Endoscope 59 34 $7,641.00 $6,876.90 $217.27 $9,105.31 $5,730.75 2026-01-22
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 2 2 $2,661.37 $2,395.23 $5,493.16 $5,661.37 $5,577.26 2026-01-22
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 59 34 $7,433.00 $6,689.70 $217.27 $9,105.31 $5,574.75 2026-01-22
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 34 34 $7,202.00 $6,481.80 $1,879.72 $6,481.80 $5,401.50 2026-01-22
47425 HCPCS Drainage Or Removal Of Bile Duct Stone With Redirection Of Bile Flow And Incisio… 59 33 $7,294.00 $6,564.60 $1,226.16 $8,190.36 $5,390.27 2026-01-22
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 59 34 $7,173.00 $6,455.70 $217.27 $9,105.31 $5,379.75 2026-01-22
312 MS_DRG Syncope And Collapse 1 1 $2,545.38 $2,290.84 $5,377.17 $5,377.17 $5,377.17 2026-01-22
598 MS_DRG Malignant Breast Disorders With Cc 2 2 $2,422.19 $2,179.97 $5,253.98 $5,422.19 $5,338.08 2026-01-22
81162 HCPCS Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 34 34 $7,167.00 $6,450.30 $1,558.82 $6,450.30 $5,335.83 2026-01-22
44603 HCPCS Suture Of Multiple Tears Or Holes In Small Bowel 59 34 $8,024.00 $7,221.60 $217.27 $8,024.00 $5,215.60 2026-01-22
48152 HCPCS Partial Removal Of Pancreas, Bile Duct, Stomach, And Small Bowel 26 26 $13,858.00 $12,472.20 $2,568.66 $13,858.00 $5,190.46 2026-01-22
21558 HCPCS Extensive Removal Of Growth Of Neck Or Front Of Chest, 5.0 Cm Or More 59 34 $6,872.00 $6,184.80 $48.00 $12,046.14 $5,154.00 2026-01-22
43501 HCPCS Suture Of Bleeding Stomach Ulcer 59 34 $6,808.00 $6,127.20 $217.27 $8,452.97 $5,106.00 2026-01-22
69 MS_DRG Transient Ischemia Without Thrombolytic 2 2 $2,164.82 $1,948.34 $4,996.61 $5,164.82 $5,080.72 2026-01-22
81408 HCPCS Molecular Pathology Procedure Level 9 Genetic Analysis 34 34 $6,822.00 $6,139.80 $1,483.79 $6,139.80 $5,078.98 2026-01-22
32100 HCPCS Incision And Exploration Of Chest Cavity 59 34 $6,715.00 $6,043.50 $217.27 $12,046.14 $5,036.25 2026-01-22
43840 HCPCS Suture Of Perforated Ulcer, Wound, Or Injury Of Stomach Or Upper Small Bowel 59 34 $6,687.00 $6,018.30 $217.27 $8,452.97 $5,015.25 2026-01-22
44602 HCPCS Suture Of Tear Of Hole In Small Bowel 59 34 $6,687.00 $6,018.30 $217.27 $9,105.31 $5,015.25 2026-01-22
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 2 2 $2,088.00 $1,879.20 $4,919.79 $5,088.00 $5,003.90 2026-01-22
43332 HCPCS Repair Of Paraesophageal Hernia Through Abdomen 59 34 $6,600.00 $5,940.00 $217.27 $15,305.60 $4,950.00 2026-01-22
44140 HCPCS Partial Removal Of Large Bowel With Connection 59 34 $7,051.00 $6,345.90 $217.27 $7,051.00 $4,917.02 2026-01-22
44130 HCPCS Creation Of Connection Between 2 Segments Of Small Bowel 59 34 $6,565.00 $5,908.50 $217.27 $6,565.00 $4,917.02 2026-01-22
44160 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 59 34 $6,507.00 $5,856.30 $217.27 $6,507.00 $4,880.25 2026-01-22
49020 HCPCS Drainage Of Abdominal Abscess Or Infection 59 33 $6,600.00 $5,940.00 $1,414.58 $8,719.36 $4,877.40 2026-01-22
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 59 34 $7,503.00 $6,752.70 $217.27 $9,105.31 $4,876.95 2026-01-22
357 MS_DRG Other Digestive System O.r. Procedures With Cc 4 4 $42,205.15 $37,984.64 $4,447.53 $7,150.50 $4,857.42 2026-01-22
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 31 31 $6,059.00 $5,453.10 $1,581.40 $6,059.00 $4,847.20 2026-01-22
43631 HCPCS Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To First… 59 34 $6,391.00 $5,751.90 $217.27 $8,452.97 $4,793.25 2026-01-22
J2182 HCPCS Injection, Mepolizumab, 1 Mg 34 34 $6,376.00 $5,738.40 $1,664.14 $5,738.40 $4,782.00 2026-01-22
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 59 34 $6,321.00 $5,688.90 $217.27 $9,105.31 $4,740.75 2026-01-22
47420 HCPCS Incision Or Creation Of Opening Of Gallbladder With Drainage Or Removal Of Bile … 59 33 $6,414.00 $5,772.60 $1,179.25 $12,933.51 $4,739.95 2026-01-22
44346 HCPCS Revision Of Opening From Large Bowel To Skin With Repair Of Hernia 59 34 $6,201.00 $5,580.90 $217.27 $9,105.31 $4,650.75 2026-01-22
44238 HCPCS Other Procedure On Bowel Using An Endoscope 16 16 $5,958.00 $5,362.20 $45.00 $5,958.00 $4,617.45 2026-01-22
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 35 35 $7,051.00 $6,345.90 $197.94 $6,345.90 $4,583.15 2026-01-22
38100 HCPCS Removal Of Spleen 59 34 $6,067.00 $5,460.30 $217.27 $8,719.36 $4,550.25 2026-01-22
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 1 $51,733.25 $46,559.93 $4,498.00 $4,498.00 $4,498.00 2026-01-22
43280 HCPCS Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 59 34 $6,368.00 $5,731.20 $217.27 $11,991.49 $4,457.60 2026-01-22
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 34 34 $5,891.00 $5,301.90 $1,537.55 $5,301.90 $4,418.25 2026-01-22
3602502_1 CDM Operating Room Services - General Classification 31 31 $5,854.00 $5,268.60 $1,527.89 $5,268.60 $4,390.50 2026-01-22
60225 HCPCS Removal Of Thyroid Lobe On Side Of Neck And Partial Removal Of Thyroid Lobe On O… 59 33 $5,917.00 $5,325.30 $792.32 $10,302.23 $4,372.66 2026-01-22
60240 HCPCS Removal Of Thyroid 59 33 $5,882.00 $5,293.80 $779.29 $10,302.23 $4,346.80 2026-01-22
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 35 35 $6,687.00 $6,018.30 $211.34 $6,018.30 $4,346.55 2026-01-22
60500 HCPCS Removal Or Exploration Of Parathyroid Glands 59 33 $5,848.00 $5,263.20 $838.54 $10,302.23 $4,321.67 2026-01-22
44625 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 59 34 $5,731.00 $5,157.90 $217.27 $5,731.00 $4,298.25 2026-01-22
22905 HCPCS Extensive Removal Of Growth Of Soft Tissue Of Abdominal Wall, 5.0 Cm Or More 59 34 $6,137.00 $5,523.30 $48.00 $6,137.00 $4,268.80 2026-01-22
81229 HCPCS Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi… 34 34 $5,581.00 $5,022.90 $1,213.87 $5,022.90 $4,241.56 2026-01-22
38120 HCPCS Exam Of Spleen Using An Endoscope 59 34 $6,051.00 $5,445.90 $217.27 $8,719.36 $4,235.70 2026-01-22
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 35 35 $6,504.00 $5,853.60 $203.54 $5,853.60 $4,227.60 2026-01-22
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 35 35 $6,493.00 $5,843.70 $135.66 $5,843.70 $4,220.45 2026-01-22
73220 HCPCS MRI Scan Of Arm Before And After Contrast 70 35 $6,493.00 $5,843.70 $199.16 $5,843.70 $4,220.45 2026-01-22
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 70 35 $6,493.00 $5,843.70 $199.16 $5,843.70 $4,220.45 2026-01-22
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 70 35 $6,480.00 $5,832.00 $198.56 $5,832.00 $4,212.00 2026-01-22
44310 HCPCS Creation Of Opening From Small Bowel To Skin 59 34 $5,604.00 $5,043.60 $217.27 $5,604.00 $4,203.00 2026-01-22
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 35 35 $6,444.00 $5,799.60 $202.32 $5,799.60 $4,188.60 2026-01-22
71552 HCPCS MRI Scan Of Chest Before And After Contrast 35 35 $6,358.00 $5,722.20 $208.10 $5,722.20 $4,132.70 2026-01-22
44320 HCPCS Creation Of Opening From Large Bowel To Skin 59 34 $5,500.00 $4,950.00 $217.27 $9,105.31 $4,125.00 2026-01-22
19307 HCPCS Removal Of Breast And Underarm Lymph Nodes 59 34 $5,496.00 $4,946.40 $217.27 $17,230.06 $4,122.00 2026-01-22
47610 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct 59 33 $5,557.00 $5,001.30 $1,121.35 $12,933.51 $4,106.62 2026-01-22
44005 HCPCS Release Of Intestinal Scar Tissue 59 34 $5,472.00 $4,924.80 $217.27 $9,105.31 $4,104.00 2026-01-22
47605 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts 59 33 $5,442.00 $4,897.80 $1,010.40 $12,933.51 $4,021.64 2026-01-22
70553 HCPCS MRI Scan Of Brain Before And After Contrast 35 35 $6,170.00 $5,553.00 $210.72 $5,553.00 $4,010.50 2026-01-22
73720 HCPCS MRI Scan Of Leg Before And After Contrast 70 35 $6,170.00 $5,553.00 $198.56 $5,553.00 $4,010.50 2026-01-22
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 34 34 $5,038.40 $4,534.56 $1,315.02 $4,534.56 $3,955.14 2026-01-22
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 35 35 $6,074.00 $5,466.60 $211.34 $5,466.60 $3,948.10 2026-01-22
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 35 35 $6,018.00 $5,416.20 $186.16 $5,416.20 $3,911.70 2026-01-22
44050 HCPCS Repair Of Twisted Or Herniated Small Bowel 59 34 $5,211.00 $4,689.90 $217.27 $9,105.31 $3,908.25 2026-01-22
44604 HCPCS Suture Of Tear Or Hole In Large Bowel 59 34 $5,211.00 $4,689.90 $217.27 $9,105.31 $3,908.25 2026-01-22
43327 HCPCS Repair Of Muscle At Lower Esophagus And Stomach 33 33 $5,037.00 $4,533.30 $217.27 $11,991.49 $3,878.49 2026-01-22
32655 HCPCS Removal Of Air Sac Of Lung Using An Endoscope 59 34 $5,153.00 $4,637.70 $217.27 $12,046.14 $3,864.75 2026-01-22
39501 HCPCS Repair Of Muscle Tissue Separating Chest And Abdominal Cavities 33 33 $4,979.00 $4,481.10 $217.27 $15,305.60 $3,833.83 2026-01-22
44800 HCPCS Repair Of Congenital Bowel Defect 59 34 $5,107.00 $4,596.30 $217.27 $5,107.00 $3,830.25 2026-01-22
81406 HCPCS Molecular Pathology Procedure Level 7 Genetic Analysis 67 35 $5,129.00 $4,616.10 $318.63 $14,508.92 $3,790.33 2026-01-22
47600 HCPCS Removal Of Gallbladder 59 33 $5,094.00 $4,584.60 $959.79 $12,933.51 $3,764.47 2026-01-22
49000 HCPCS Exploration Of Abdominal Cavity 59 33 $4,986.00 $4,487.40 $689.66 $8,719.36 $3,684.65 2026-01-22
58150 HCPCS Removal Of Uterus And Cervix Through Abdomen 59 33 $4,986.00 $4,487.40 $877.61 $13,882.03 $3,684.65 2026-01-22
47564 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope 59 33 $4,979.00 $4,481.10 $932.77 $8,190.36 $3,679.48 2026-01-22
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 35 35 $5,647.00 $5,082.30 $211.34 $5,082.30 $3,670.55 2026-01-22
19303 HCPCS Simple Complete Removal Of Breast 59 34 $5,228.00 $4,705.20 $217.27 $7,760.04 $3,659.60 2026-01-22
49060 HCPCS Drainage Of Abscess Behind Abdominal Cavity 59 33 $4,886.00 $4,397.40 $973.23 $8,719.36 $3,610.75 2026-01-22
49010 HCPCS Exploration Behind Abdominal Cavity 59 33 $4,863.00 $4,376.70 $827.06 $8,719.36 $3,593.76 2026-01-22
27880 HCPCS Amputation Of Both Lower Leg Bones 59 34 $4,667.00 $4,200.30 $217.27 $17,487.02 $3,500.25 2026-01-22
44620 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening 59 34 $4,655.00 $4,189.50 $217.27 $4,917.02 $3,491.25 2026-01-22
45395 HCPCS Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Using An End… 26 26 $8,996.00 $8,096.40 $1,679.89 $8,996.00 $3,406.43 2026-01-22
49618 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 55 33 $4,539.00 $4,085.10 $1,098.83 $10,291.95 $3,404.25 2026-01-22
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 59 34 $4,863.00 $4,376.70 $217.27 $9,105.31 $3,404.10 2026-01-22
47360 HCPCS Control Of Bleeding Of Wound Of Liver With Complex Suture 26 26 $9,501.00 $8,550.90 $1,673.04 $9,501.00 $3,377.79 2026-01-22
44960 HCPCS Removal Of Ruptured Infected Appendix 59 34 $4,499.00 $4,049.10 $217.27 $9,105.31 $3,374.25 2026-01-22
27590 HCPCS Amputation Of Thigh Through Thigh Bone 59 34 $4,459.00 $4,013.10 $217.27 $9,916.62 $3,344.25 2026-01-22
60220 HCPCS Removal Of Thyroid Lobe On Side Of Neck 59 33 $4,469.00 $4,022.10 $596.29 $10,302.23 $3,302.59 2026-01-22
27339 HCPCS Removal Of Growth Of Muscle Of Thigh Or Knee, 5.0 Cm Or More 59 34 $4,400.00 $3,960.00 $48.00 $4,400.00 $3,300.00 2026-01-22
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 63 35 $5,046.00 $4,541.40 $168.14 $4,541.40 $3,294.46 2026-01-22
32650 HCPCS Adhesion Of Linings Of Lung Using An Endoscope 59 34 $4,284.00 $3,855.60 $217.27 $12,046.14 $3,213.00 2026-01-22
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 34 34 $4,079.45 $3,671.51 $1,064.74 $4,271.37 $3,202.37 2026-01-22
35840 HCPCS Exploration Of Abdomen For Bleeding, Blood Clot, Or Infection After Surgery 59 34 $4,255.00 $3,829.50 $217.27 $39,158.72 $3,191.25 2026-01-22
19302 HCPCS Partial Removal Of Breast And Underarm Lymph Nodes 59 34 $4,255.00 $3,829.50 $217.27 $7,760.04 $3,191.25 2026-01-22
47100 HCPCS Partial Removal Of Liver Tissue 59 33 $4,284.00 $3,855.60 $764.46 $12,933.51 $3,165.88 2026-01-22
44207 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 26 26 $8,413.00 $7,571.70 $1,560.92 $8,413.00 $3,165.19 2026-01-22
45110 HCPCS Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo… 26 26 $8,631.00 $7,767.90 $1,560.68 $8,631.00 $3,164.72 2026-01-22
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 59 33 $4,280.00 $3,852.00 $649.04 $8,190.36 $3,162.92 2026-01-22
44144 HCPCS Partial Removal Of Large Bowel With Creation Of 2 Openings From Small Or Large B… 26 26 $7,635.00 $6,871.50 $1,556.61 $7,635.00 $3,156.47 2026-01-22
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 188 34 $5,228.00 $4,705.20 $110.62 $5,889.60 $3,136.80 2026-01-22
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 35 35 $4,807.00 $4,326.30 $128.10 $4,326.30 $3,124.55 2026-01-22
44206 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin… 26 26 $7,173.00 $6,455.70 $1,519.34 $7,173.00 $3,080.89 2026-01-22
45172 HCPCS Removal Of Growth Of Rectum Through Anus With Removal Of A Portion Of Muscle 59 34 $4,099.00 $3,689.10 $48.00 $5,366.19 $3,074.25 2026-01-22
95782 HCPCS Sleep Study In Sleep Lab (younger Than 6 Years) 94 34 $4,952.00 $4,456.80 $48.00 $5,156.10 $3,061.07 2026-01-22
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 35 35 $4,682.00 $4,213.80 $159.56 $4,213.80 $3,043.30 2026-01-22
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 34 34 $3,893.00 $3,503.70 $1,016.07 $3,503.70 $3,002.80 2026-01-22
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 188 34 $4,982.00 $4,483.80 $106.79 $5,625.00 $2,989.20 2026-01-22
74160 HCPCS CT Scan Of Abdomen With Contrast 35 35 $4,587.00 $4,128.30 $116.98 $4,128.30 $2,981.55 2026-01-22
44021 HCPCS Incision Of Small Bowel For Insertion Of Tube For Relief Of Pressure 59 34 $3,950.00 $3,555.00 $217.27 $4,917.02 $2,962.50 2026-01-22
44300 HCPCS Insertion Of Tube Into Small Bowel 59 34 $3,937.00 $3,543.30 $217.27 $4,917.02 $2,952.75 2026-01-22
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 35 35 $4,499.00 $4,049.10 $164.78 $4,049.10 $2,924.35 2026-01-22
44145 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum 26 26 $8,024.00 $7,221.60 $1,438.65 $8,024.00 $2,917.26 2026-01-22
27634 HCPCS Removal Of Growth Of Muscle Of Leg Or Ankle, 5.0 Cm Or More 59 34 $3,868.00 $3,481.20 $48.00 $7,462.30 $2,901.00 2026-01-22
43830 HCPCS Insertion Of Stomach Feeding Tube 59 34 $3,868.00 $3,481.20 $217.27 $7,748.90 $2,901.00 2026-01-22
45190 HCPCS Destruction Of Growth Of Rectum 59 34 $3,821.00 $3,438.90 $217.27 $5,366.19 $2,865.75 2026-01-22
49402 HCPCS Removal Of Foreign Body In Abdominal Cavity 33 33 $3,810.00 $3,429.00 $994.41 $8,719.36 $2,857.50 2026-01-22
49900 HCPCS Suture Of Postsurgical Opening In Abdominal Wall 59 33 $3,821.00 $3,438.90 $748.64 $8,719.36 $2,823.72 2026-01-22
49521 HCPCS Repair Of Trapped Or Strangulated Groin Hernia 59 33 $3,821.00 $3,438.90 $649.22 $8,405.69 $2,823.72 2026-01-22
27025 HCPCS Incision Of Connective Tissue Of Hip Or Thigh 59 34 $3,753.00 $3,377.70 $217.27 $9,916.62 $2,814.75 2026-01-22
49596 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 55 33 $3,745.00 $3,370.50 $909.59 $10,291.95 $2,808.75 2026-01-22
60210 HCPCS Partial Removal Of Thyroid Lobe On Side Of Neck 59 33 $3,741.00 $3,366.90 $605.08 $10,302.23 $2,764.60 2026-01-22
21933 HCPCS Removal Of Growth Of Muscle Of Back Or Lower Sides, 5.0 Cm Or More 59 34 $3,677.00 $3,309.30 $48.00 $4,268.80 $2,757.75 2026-01-22
74150 HCPCS CT Scan Of Abdomen Without Contrast 35 35 $4,212.00 $3,790.80 $109.80 $3,790.80 $2,737.80 2026-01-22
28805 HCPCS Amputation Of Foot Across Instep 59 34 $3,648.00 $3,283.20 $217.27 $12,999.12 $2,736.00 2026-01-22
58925 HCPCS Removal Of Cysts Of Ovaries 69 33 $3,648.00 $3,283.20 $652.40 $10,105.57 $2,736.00 2026-01-22
58558 HCPCS Biopsy Of Lining Of Uterus And/or Removal Of Polyp Using An Endoscope 33 33 $3,648.00 $3,283.20 $217.27 $5,544.18 $2,736.00 2026-01-22
44661 HCPCS Closure Of Abnormal Drainage Tract From Small Bowel To Urinary Bladder With Rese… 26 26 $6,480.00 $5,832.00 $1,345.51 $6,480.00 $2,728.39 2026-01-22
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 35 35 $4,196.00 $3,776.40 $166.14 $3,776.40 $2,727.40 2026-01-22
70552 HCPCS MRI Scan Of Brain With Contrast 35 35 $4,172.00 $3,754.80 $163.44 $3,754.80 $2,711.80 2026-01-22
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 35 35 $4,172.00 $3,754.80 $164.06 $3,754.80 $2,711.80 2026-01-22
23073 HCPCS Removal Of Growth Of Muscle Of Shoulder, 5.0 Cm Or More 59 34 $3,597.00 $3,237.30 $48.00 $4,268.80 $2,697.75 2026-01-22
58720 HCPCS Removal Of Uterine Tubes And Ovaries 59 33 $3,648.00 $3,283.20 $652.38 $10,105.57 $2,695.87 2026-01-22
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 35 35 $4,134.00 $3,720.60 $164.06 $3,720.60 $2,687.10 2026-01-22
24073 HCPCS Removal Of Growth Of Muscle Of Upper Arm Or Elbow, 5.0 Cm Or More 59 34 $3,561.00 $3,204.90 $48.00 $4,052.95 $2,670.75 2026-01-22
21554 HCPCS Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More 59 34 $3,543.00 $3,188.70 $48.00 $5,523.28 $2,657.25 2026-01-22
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 34 34 $3,508.16 $3,157.34 $915.63 $3,157.34 $2,631.12 2026-01-22
3602501_1 CDM Operating Room Services - General Classification 31 31 $3,506.00 $3,155.40 $915.07 $3,155.40 $2,629.50 2026-01-22
43772 HCPCS Removal Of Stomach Reduction Device Using An Endoscope 59 34 $3,501.00 $3,150.90 $217.27 $11,991.49 $2,625.75 2026-01-22
35860 HCPCS Exploration Of Arm Or Leg For Bleeding, Blood Clot, Or Infection After Surgery 59 34 $3,496.00 $3,146.40 $217.27 $9,532.04 $2,622.00 2026-01-22
73219 HCPCS MRI Scan Of Arm With Contrast 70 35 $4,025.00 $3,622.50 $149.28 $3,622.50 $2,616.25 2026-01-22
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 35 35 $4,013.00 $3,611.70 $166.32 $3,611.70 $2,608.45 2026-01-22
43500 HCPCS Exploration Of Stomach Or Removal Of Foreign Body In Stomach 33 33 $3,358.00 $3,022.20 $217.27 $7,748.90 $2,585.66 2026-01-22
3602061_1 CDM Operating Room Services - General Classification 31 31 $3,444.00 $3,099.60 $898.88 $3,099.60 $2,583.00 2026-01-22
73719 HCPCS MRI Scan Of Leg With Contrast 70 35 $3,964.00 $3,567.60 $148.06 $3,567.60 $2,576.60 2026-01-22
72196 HCPCS MRI Scan Of Pelvis With Contrast 35 35 $3,953.00 $3,557.70 $158.88 $3,557.70 $2,569.45 2026-01-22
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 59 34 $3,648.00 $3,283.20 $217.27 $5,054.76 $2,553.60 2026-01-22
44970 HCPCS Removal Of Appendix Using An Endoscope 59 34 $3,648.00 $3,283.20 $217.27 $9,105.31 $2,553.60 2026-01-22
95805 HCPCS Sleep Study, Multiple Trials 94 34 $4,312.00 $3,880.80 $51.52 $4,524.30 $2,550.35 2026-01-22
43774 HCPCS Removal Of Stomach Reduction Device And Port Using An Endoscope 59 33 $3,439.00 $3,095.10 $865.42 $11,991.49 $2,541.42 2026-01-22
C1776 HCPCS Joint Device (implantable) 496 31 $3,951.50 $3,556.35 $63.42 $11,687.00 $2,530.03 2026-01-22
11008 HCPCS Removal Of Infected Artificial Material Or Mesh From Abdomen 59 34 $3,891.00 $3,501.90 $217.27 $3,891.00 $2,529.15 2026-01-22
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 35 35 $3,891.00 $3,501.90 $220.16 $3,501.90 $2,529.15 2026-01-22
26951 HCPCS Amputation Of Finger Or Thumb With Direct Closure 59 34 $3,612.00 $3,250.80 $217.27 $3,612.00 $2,528.40 2026-01-22
49622 HCPCS Repair Of Entrapped Hernia Next To Stoma 55 33 $3,359.00 $3,023.10 $821.82 $10,291.95 $2,519.25 2026-01-22
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 35 35 $3,842.00 $3,457.80 $136.26 $3,457.80 $2,497.30 2026-01-22
73718 HCPCS MRI Scan Of Leg Without Contrast 70 35 $3,836.00 $3,452.40 $124.16 $3,452.40 $2,493.40 2026-01-22
49520 HCPCS Repair Of Groin Hernia That Is Not Trapped 59 33 $3,358.00 $3,022.20 $575.28 $8,405.69 $2,481.56 2026-01-22
44950 HCPCS Removal Of Appendix 59 34 $3,301.00 $2,970.90 $217.27 $9,105.31 $2,475.75 2026-01-22
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 35 35 $3,807.00 $3,426.30 $110.48 $3,426.30 $2,474.55 2026-01-22
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 35 35 $3,788.00 $3,409.20 $136.88 $3,409.20 $2,462.20 2026-01-22
48545 HCPCS Suture Of Pancreatic Injury 26 26 $6,923.00 $6,230.70 $1,207.87 $6,923.00 $2,436.37 2026-01-22
Q4100 HCPCS Skin Substitute, Not Otherwise Specified 31 31 $3,040.00 $2,736.00 $793.44 $3,040.00 $2,432.00 2026-01-22
49617 HCPCS Repair Of Recurrent Sliding Hernia Of Abdomen, More Than 10 Cm In Length 55 33 $3,236.00 $2,912.40 $783.22 $10,291.95 $2,427.00 2026-01-22
73722 HCPCS MRI Scan Of Leg Joint With Contrast 70 35 $3,686.00 $3,317.40 $149.88 $3,317.40 $2,395.90 2026-01-22
49651 HCPCS Repair Of Recurrent Groin Hernia Using An Endoscope 59 33 $3,242.00 $2,917.80 $515.40 $8,405.69 $2,395.84 2026-01-22
49553 HCPCS Repair Of Trapped Femoral Groin Hernia 59 33 $3,242.00 $2,917.80 $574.86 $8,405.69 $2,395.84 2026-01-22
61154 HCPCS Burr Hole With Removal And/or Drainage Of Blood Accumulation Outside Or Below Br… 26 26 $7,294.00 $6,564.60 $1,237.30 $7,294.00 $2,393.57 2026-01-22
49507 HCPCS Repair Of Trapped Groin Hernia (5 Years Or Older) 59 33 $3,358.00 $3,022.20 $535.35 $8,405.69 $2,389.50 2026-01-22
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 35 35 $3,648.00 $3,283.20 $165.66 $3,283.20 $2,371.20 2026-01-22
73222 HCPCS MRI Scan Of Arm Joint With Contrast 70 35 $3,648.00 $3,283.20 $149.88 $3,283.20 $2,371.20 2026-01-22
38570 HCPCS Biopsy And Removal Of Lymph Nodes Of Abdominal Cavity Using An Endoscope 59 34 $3,149.00 $2,834.10 $217.27 $8,719.36 $2,361.75 2026-01-22
49616 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, 3-10 Cm In Length 55 33 $3,143.00 $2,828.70 $760.43 $10,291.95 $2,357.25 2026-01-22
49495 HCPCS Repair Of Groin Hernia In Full Term Infant Younger Than 6 Months Or Preterm Infa… 33 33 $3,126.00 $2,813.40 $815.89 $8,405.69 $2,344.50 2026-01-22
37722 HCPCS Tying, Incision, And Stripping Of Long Leg Vein 33 33 $3,126.00 $2,813.40 $217.27 $6,488.25 $2,344.50 2026-01-22
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 34 34 $3,112.34 $2,801.11 $812.32 $2,801.11 $2,334.26 2026-01-22
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 35 35 $3,563.00 $3,206.70 $110.48 $3,206.70 $2,315.95 2026-01-22
22901 HCPCS Removal Of Growth Of Muscle Of Abdomen, 5.0 Cm Or More 59 34 $3,086.00 $2,777.40 $48.00 $4,268.80 $2,314.50 2026-01-22
27301 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee 36 26 $3,019.00 $2,717.10 $443.93 $3,126.00 $2,304.38 2026-01-22
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 34 34 $3,071.00 $2,763.90 $801.53 $2,763.90 $2,303.25 2026-01-22
2000001_1 CDM Intensive Care Unit - General Classification 16 16 $2,789.00 $2,510.10 $1,394.50 $2,510.10 $2,300.93 2026-01-22
13160 HCPCS Extensive Or Complicated Repair Of Surface Wound Reopening 59 34 $3,283.00 $2,954.70 $217.27 $3,283.00 $2,298.10 2026-01-22
19301 HCPCS Partial Removal Of Breast 59 34 $3,283.00 $2,954.70 $217.27 $7,760.04 $2,298.10 2026-01-22
70551 HCPCS MRI Scan Of Brain Without Contrast 35 35 $3,526.00 $3,173.40 $135.66 $3,173.40 $2,291.90 2026-01-22
49999 HCPCS Other Procedure On Abdomen 48 34 $3,040.00 $2,736.00 $45.00 $3,040.00 $2,280.00 2026-01-22
49500 HCPCS Repair Of Groin Hernia (6 Months To Younger Than 5 Years) 33 33 $3,034.00 $2,730.60 $791.87 $8,405.69 $2,275.50 2026-01-22
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 35 35 $3,496.00 $3,146.40 $136.26 $3,146.40 $2,272.40 2026-01-22
42440 HCPCS Removal Of Saliva Gland Under Floor Of Mouth 59 34 $3,237.00 $2,913.30 $217.27 $7,900.68 $2,265.90 2026-01-22
26113 HCPCS Removal Of Growth Of Muscle Of Hand Or Finger, 1.5 Cm Or More 59 34 $3,016.00 $2,714.40 $48.00 $3,112.13 $2,262.00 2026-01-22
21932 HCPCS Removal Of Growth Of Muscle Of Back Or Lower Sides, Less Than 5.0 Cm 59 34 $3,016.00 $2,714.40 $48.00 $4,268.80 $2,262.00 2026-01-22
27345 HCPCS Removal Of Cyst Of Back Of Knee 59 34 $3,011.00 $2,709.90 $217.27 $7,462.30 $2,258.25 2026-01-22
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 70 35 $3,472.00 $3,124.80 $125.98 $3,124.80 $2,256.80 2026-01-22
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 35 35 $3,467.00 $3,120.30 $166.92 $3,120.30 $2,253.55 2026-01-22
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 70 35 $3,465.00 $3,118.50 $125.38 $3,118.50 $2,252.25 2026-01-22
60252 HCPCS Removal Of Thyroid And Surrounding Lymph Nodes With Limited Neck Removal 26 26 $7,866.00 $7,079.40 $1,108.11 $7,866.00 $2,246.99 2026-01-22
47562 HCPCS Removal Of Gallbladder Using An Endoscope 59 33 $3,040.00 $2,736.00 $598.14 $8,190.36 $2,246.56 2026-01-22
58661 HCPCS Removal Of Ovaries And/or Tubes Using An Endoscope 59 33 $3,040.00 $2,736.00 $552.24 $10,105.57 $2,246.56 2026-01-22
38531 HCPCS Biopsy Or Removal Of Lymph Nodes Of Groin 59 34 $2,988.00 $2,689.20 $48.00 $7,580.85 $2,241.00 2026-01-22
88120 HCPCS Cell Examination Of Urine, Manual 35 35 $2,977.00 $2,679.30 $352.55 $5,954.00 $2,232.75 2026-01-22
71270 HCPCS CT Scan Of Chest Before And After Contrast 35 35 $3,430.00 $3,087.00 $115.04 $3,087.00 $2,229.50 2026-01-22
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 35 35 $3,430.00 $3,087.00 $167.54 $3,087.00 $2,229.50 2026-01-22
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 35 35 $3,425.00 $3,082.50 $203.54 $3,082.50 $2,226.25 2026-01-22
43611 HCPCS Removal Of Malignant Growth Of Stomach 26 26 $6,570.00 $5,913.00 $1,093.01 $6,570.00 $2,214.44 2026-01-22
72195 HCPCS MRI Scan Of Pelvis Without Contrast 35 35 $3,405.00 $3,064.50 $133.28 $3,064.50 $2,213.25 2026-01-22
47010 HCPCS Drainage Of Abscess Or Cyst Of Liver 26 26 $6,870.00 $6,183.00 $1,083.63 $6,870.00 $2,190.52 2026-01-22
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 35 35 $3,369.00 $3,032.10 $160.22 $3,032.10 $2,189.85 2026-01-22
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 35 35 $3,369.00 $3,032.10 $160.22 $3,032.10 $2,189.85 2026-01-22
25028 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Forearm Or Wrist 59 34 $3,126.00 $2,813.40 $217.27 $4,052.95 $2,188.20 2026-01-22
73218 HCPCS MRI Scan Of Arm Without Contrast 70 35 $3,356.00 $3,020.40 $125.38 $3,020.40 $2,181.40 2026-01-22
71550 HCPCS MRI Scan Of Chest Without Contrast 35 35 $3,356.00 $3,020.40 $132.66 $3,020.40 $2,181.40 2026-01-22
45171 HCPCS Removal Of Growth Of Rectum Through Anus 59 34 $2,907.00 $2,616.30 $48.00 $5,366.19 $2,180.25 2026-01-22
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 35 35 $3,345.00 $3,010.50 $123.54 $3,010.50 $2,174.25 2026-01-22
19083 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth 70 35 $2,876.00 $2,588.40 $270.78 $3,173.46 $2,157.00 2026-01-22
74181 HCPCS MRI Scan Of Abdomen Without Contrast 35 35 $3,314.00 $2,982.60 $132.66 $2,982.60 $2,154.10 2026-01-22
25076 HCPCS Removal Of Growth Of Muscle Of Forearm Or Wrist, Less Than 3.0 Cm 59 34 $3,070.00 $2,763.00 $217.27 $4,052.95 $2,149.00 2026-01-22
00770 HCPCS Anesthesia For Procedure On Large Blood Vessels In Abdomen 17 17 $2,820.00 $2,538.00 $45.00 $2,820.00 $2,115.00 2026-01-22
44125 HCPCS Partial Removal Of Small Bowel With Creation Of Opening To Skin 26 26 $5,958.00 $5,362.20 $1,044.77 $5,958.00 $2,114.73 2026-01-22
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 34 34 $2,700.00 $2,430.00 $704.70 $2,430.00 $2,089.27 2026-01-22
J0897 HCPCS Injection, Denosumab, 1 Mg 34 34 $2,660.00 $2,394.00 $694.26 $2,394.00 $2,088.10 2026-01-22
11772 HCPCS Complicated Removal Of Cyst Of Tailbone 59 34 $2,980.00 $2,682.00 $217.27 $4,264.35 $2,086.00 2026-01-22
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 35 35 $3,200.00 $2,880.00 $165.66 $2,880.00 $2,080.00 2026-01-22
46262 HCPCS Removal Of Multiple Hemorrhoid Groups With Removal Of Abnormal Drainage Tract Fr… 59 33 $2,814.00 $2,532.60 $539.53 $5,366.19 $2,079.55 2026-01-22
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 34 34 $2,645.00 $2,380.50 $690.35 $2,380.50 $2,076.32 2026-01-22
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 70 35 $3,186.00 $2,867.40 $174.54 $2,867.40 $2,070.90 2026-01-22
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 70 35 $3,186.00 $2,867.40 $165.66 $2,867.40 $2,070.90 2026-01-22
47300 HCPCS Creation Of Tract To Drain Abscess Or Cyst Of Liver 26 26 $5,745.00 $5,170.50 $1,015.94 $5,745.00 $2,053.84 2026-01-22
49594 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length 55 33 $2,733.00 $2,459.70 $662.44 $10,291.95 $2,049.75 2026-01-22
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 34 34 $2,724.00 $2,451.60 $710.96 $2,451.60 $2,043.00 2026-01-22
49621 HCPCS Repair Of Sliding Hernia Next To Stoma 55 33 $2,722.00 $2,449.80 $658.22 $10,291.95 $2,041.50 2026-01-22
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 59 33 $2,738.00 $2,464.20 $477.80 $8,405.69 $2,023.38 2026-01-22
48120 HCPCS Removal Of Growth Of Pancreas 26 26 $5,655.00 $5,089.50 $1,001.15 $5,655.00 $2,017.43 2026-01-22
43270 HCPCS Destruction Of Polyp Or Growth Of Esophagus, Stomach, And/or Upper Small Bowel U… 59 34 $2,686.00 $2,417.40 $48.00 $4,783.41 $2,014.50 2026-01-22
49595 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, More Than 10 Cm In Length 55 33 $2,685.00 $2,416.50 $682.17 $10,291.95 $2,013.75 2026-01-22
J0740 HCPCS Injection, Cidofovir, 375 Mg 34 34 $2,666.00 $2,399.40 $695.83 $2,399.40 $1,999.50 2026-01-22
15830 HCPCS Removal Of Extra Skin And Tissue Of Abdomen 26 26 $7,805.00 $7,024.50 $985.97 $7,805.00 $1,999.32 2026-01-22
49550 HCPCS Repair Of Femoral Groin Hernia 59 33 $2,700.00 $2,430.00 $526.77 $8,405.69 $1,995.30 2026-01-22
93350 HCPCS Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report 34 34 $2,656.00 $2,390.40 $693.22 $2,390.40 $1,992.00 2026-01-22
48510 HCPCS Insertion Of Drain From Cyst Of Pancreas Into Abdominal Cavity 26 26 $5,411.00 $4,869.90 $989.05 $5,411.00 $1,990.95 2026-01-22
44340 HCPCS Simple Revision Of Superficial Scar Tissue From Surgically Created Opening Of La… 59 34 $2,779.00 $2,501.10 $217.27 $4,917.02 $1,988.00 2026-01-22
27630 HCPCS Removal Of Growth Of Leg And/or Ankle Tendon Lining Or Capsule 59 34 $2,676.00 $2,408.40 $217.27 $7,462.30 $1,988.00 2026-01-22
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 35 35 $3,053.00 $2,747.70 $116.98 $2,747.70 $1,984.45 2026-01-22
32550 HCPCS Insertion Of Indwelling Tube For Drainage Of Lung Fluid 34 34 $2,461.00 $2,214.90 $642.32 $4,089.00 $1,968.80 2026-01-22
58700 HCPCS Removal Of Uterine Tubes 59 33 $2,663.00 $2,396.70 $681.92 $10,105.57 $1,967.96 2026-01-22
49557 HCPCS Repair Of Trapped Recurrent Femoral Groin Hernia 59 33 $2,652.00 $2,386.80 $656.22 $8,405.69 $1,959.83 2026-01-22
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 59 34 $2,779.00 $2,501.10 $215.24 $5,054.76 $1,945.30 2026-01-22
49322 HCPCS Aspiration Of Abdominal Cavity Or Cyst Using An Endoscope 59 33 $2,630.00 $2,367.00 $335.09 $8,719.36 $1,943.57 2026-01-22
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 34 34 $2,580.00 $2,322.00 $673.38 $2,322.00 $1,935.00 2026-01-22
C1788 HCPCS Port, Indwelling (implantable) 31 31 $2,417.00 $2,175.30 $630.84 $2,417.00 $1,933.60 2026-01-22
13132 HCPCS Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 59 34 $2,968.00 $2,671.20 $217.27 $2,968.00 $1,929.20 2026-01-22
77012 HCPCS Review By Radiologist Of CT Guidance For Needle Placement 35 35 $2,968.00 $2,671.20 $134.98 $2,671.20 $1,929.20 2026-01-22
J1451 HCPCS Injection, Fomepizole, 15 Mg 34 34 $2,568.00 $2,311.20 $449.00 $2,311.20 $1,926.00 2026-01-22
46275 HCPCS Repair Of Abnormal Drainage Tract In Anal Sphincter 59 33 $2,571.00 $2,313.90 $382.34 $5,366.19 $1,899.97 2026-01-22
49321 HCPCS Biopsy Of Abdomen Using An Endoscope 59 33 $2,571.00 $2,313.90 $309.10 $8,719.36 $1,899.97 2026-01-22
71260 HCPCS CT Scan Of Chest With Contrast 35 35 $2,918.00 $2,626.20 $107.80 $2,626.20 $1,896.70 2026-01-22
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