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

GREENE COUNTY GENERAL HOSPITAL

Linton, IN · CCN 151317 · Rates published

5,866 distinct procedures filed
7 distinct payers
153,560 rate rows
2025-01-09 last MRF observed · ⚠ 21 mo old
Data quality

136,782 of 153,560 rate rows are consumer-grade (89.1%)

16,778 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 9,816
professional (physician) fee — not the facility price 6,914
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24
per-diem day rate — not a per-procedure price 24

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.greenecountyhospital.com/_files/ugd/ef7254_87a305cd6faa4e42a0c219dbc9cb9cfd.csv?dn=3111149074_Greene-County-General-Hospital_standardcharges.csv
Found on page https://www.greenecountyhospital.com/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 58e664e33bb904f3… · 20,664,467 bytes · first seen 2026-05-15

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
33210
CPT 		Insert/replace Temp Transvenous Pacemakr 5 $10,076.62 $10,076.62 $10,076.62 nat. median
$8,289
1.2× median
1401492
CDM 		Kyphopack Tray First Fracture Kpt 2005 5 $9,599.00 $9,599.00 $9,599.00 nat. median
$9,599
1.0× median
1401493
CDM 		Kyphopak Tray First Fracture Kpt1505 5 $9,599.00 $9,599.00 $9,599.00 nat. median
$9,599
1.0× median
35207
CPT 		Repair Blood Vessel Hand, Finger 5 $8,295.34 $8,295.34 $8,295.34 nat. median
$3,508
outlier · 2.4×
81162
CPT 		Brca1 And Brca2 Comprehensive 485030 7 $1,824.88 $7,327.85 $7,327.85 nat. median
$1,825
outlier · 4.0×
C1052
HCPCS 		Hemo-7 Hemospray Endoscopic 5 $7,271.35 $7,271.35 $7,271.35 nat. median
$3,247
outlier · 2.2×
1404654
CDM 		Lcp Proximal Humerus Plate 5 $6,513.77 $6,513.77 $6,513.77 nat. median
$6,514
1.0× median
1404653
CDM 		Lcp Proximal Humerus Plate 5 $6,315.64 $6,315.64 $6,315.64 nat. median
$6,316
1.0× median
1404784
CDM 		Arthrex Speed Bridge Kit 5 $5,981.33 $5,981.33 $5,981.33 nat. median
$5,981
1.0× median
35206
CPT 		Repair Blood Vessel Upper Extremity 5 $5,750.95 $5,750.95 $5,750.95 nat. median
$3,659
1.6× median
27487
CPT 		Rev-rep Knee Joint Femoral ENT Tib Comp 5 $5,205.34 $5,205.34 $5,205.34 nat. median
$11,908
outlier · 0.4×
29888
CPT 		Arthroscopically Aided Acl Repair 5 $5,053.73 $5,053.73 $5,053.73 nat. median
$7,336
0.7× median
600011
CDM 		Cataract Surgery With Ecp 5 $4,945.75 $4,945.75 $4,945.75 nat. median
$729
outlier · 6.8×
38500
CPT 		Biopsy Or Exc Of Lymph Node(s) Open Sup 5 $2,096.60 $4,869.84 $4,869.84 nat. median
$3,682
1.3× median
0210
RC 		1 $4,763.25 $4,763.25 $4,763.25 nat. median
$3,854
1.2× median
0110
RC 		1 $4,696.88 $4,696.88 $4,696.88 nat. median
$961
outlier · 4.9×
27447
CPT 		Total Knee Arthroplasty 5 $4,667.48 $4,667.48 $4,667.48 nat. median
$12,739
outlier · 0.4×
33300
CPT 		Repair Of Cardiac Wound 5 $4,646.68 $4,646.68 $4,646.68 nat. median
$4,128
1.1× median
81211
CPT 		Brca 1 And 2 Sequencing 5 $4,481.91 $4,481.91 $4,481.91 nat. median
$1,691
outlier · 2.7×
600009
CDM 		Cataract Surgery 5 $4,471.86 $4,471.86 $4,471.86 nat. median
$944
outlier · 4.7×
3210839
CDM 		Orbactiv (oritavancin) Inj:1200 Mg 5 $4,360.51 $4,360.51 $4,360.51 nat. median
$1,954
outlier · 2.2×
81229
CPT 		Chromosomal Microarray Pediatric 510002 7 $1,160.00 $4,324.49 $4,324.49 nat. median
$1,323
outlier · 3.3×
1408576
CDM 		Large Oval Hernia Patch 5.4x7.0 5 $4,321.08 $4,321.08 $4,321.08 nat. median
$4,321
1.0× median
43848
CPT 		Revision Open Gastric Restrictive Proc 5 $4,316.53 $4,316.53 $4,316.53 nat. median
$3,911
1.1× median
81408
CPT 		Marfan Syndrome Sequencing 45869 5 $4,252.23 $4,252.23 $4,252.23 nat. median
$938
outlier · 4.5×
81420
CPT 		Nipt For Fetal Aneuploidy Screening 7 $759.05 $4,233.59 $4,233.59 nat. median
$786
outlier · 5.4×
28715
CPT 		Arthrodesis Triple 5 $4,162.36 $4,162.36 $4,162.36 nat. median
$11,408
outlier · 0.4×
28750
CPT 		Arthrodesis Great Toe 5 $4,069.88 $4,069.88 $4,069.88 nat. median
$6,992
0.6× median
38232
CPT 		Bone Marrow Harvesting Autologous 4 $4,037.71 $4,037.71 $4,037.71 nat. median
$4,752
0.8× median
29883
CPT 		Arthroscopy Knee With Meniscus Repair 5 $4,008.20 $4,008.20 $4,008.20 nat. median
$3,870
1.0× median
1406117
CDM 		Ventralight St Mesh With Echo 6x8 Inch 5 $3,966.95 $3,966.95 $3,966.95 nat. median
$3,967
1.0× median
23472
CPT 		Reconstruct Shoulder Joint 5 $3,956.12 $3,956.12 $3,956.12 nat. median
$16,677
outlier · 0.2×
59409
CPT 		Vaginal Delivery 5 $3,891.82 $3,891.82 $3,891.82 nat. median
$3,148
1.2× median
57200
CPT 		Suture Of Vagina Injury (non-ob) 5 $3,891.82 $3,891.82 $3,891.82 nat. median
$3,163
1.2× median
57135
CPT 		Excision Of Vaginal Cyst Or Tumor 5 $3,891.82 $3,891.82 $3,891.82 nat. median
$3,184
1.2× median
23474
CPT 		Revise Reconstruct Shou Humeral And Glen 5 $3,817.26 $3,817.26 $3,817.26 nat. median
$8,876
outlier · 0.4×
46922
CPT 		Destruction Lesion Anus 5 $1,212.94 $3,793.78 $3,793.78 nat. median
$2,671
1.4× median
81223
CPT 		Cftr Gene Sequencing 482449 5 $3,771.73 $3,771.73 $3,771.73 nat. median
$751
outlier · 5.0×
29806
CPT 		Arthroscopy Shoulder Capsulorrhaphy 5 $3,706.05 $3,706.05 $3,706.05 nat. median
$7,169
0.5× median
600018
CDM 		Major Sur 2 First Hour 5 $3,699.89 $3,699.89 $3,699.89 nat. median
$97
outlier · 38.0×
1400801
CDM 		Endo 65 Stapler 4mm Unv Bx/6 Nlu 5 $3,667.97 $3,667.97 $3,667.97 nat. median
$3,668
1.0× median
31530
CPT 		Laryngoscopy Direct W Fb Removal 5 $3,617.74 $3,617.74 $3,617.74 nat. median
$2,010
1.8× median
44626
CPT 		Closure Of Enterostomy W/resection Color 5 $3,576.55 $3,576.55 $3,576.55 nat. median
$3,023
1.2× median
1400089
CDM 		Syndesmosis Tight Rope 5 $3,549.28 $3,549.28 $3,549.28 nat. median
$3,549
1.0× median
29882
CPT 		Arthroscopy Knee With Meniscus Repair 5 $3,532.72 $3,532.72 $3,532.72 nat. median
$3,854
0.9× median
10180
CPT 		I&d Postop Wound Infection, Complex 5 $336.94 $3,529.80 $3,529.80 nat. median
$2,862
1.2× median
19020
CPT 		Mastotomy W Explor Abs Deep 5 $3,529.80 $3,529.80 $3,529.80 nat. median
$1,990
1.8× median
23473
CPT 		Revise Reconstruct Shoulder Joint 5 $3,470.26 $3,470.26 $3,470.26 nat. median
$12,689
outlier · 0.3×
1404619
CDM 		Ventrio Hernia Patch Med Oval 11.0x14.0 5 $3,428.20 $3,428.20 $3,428.20 nat. median
$3,428
1.0× median
46320
CPT 		Excision Thrombosed Hemorrhoid External 5 $808.61 $3,421.94 $3,421.94 nat. median
$1,319
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 5,866 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
0110 RC — 2 1 $1,755.00 $1,404.00 20% off $4,696.88 $4,696.88 $4,696.88 2025-01-09
0210 RC — 2 1 $2,927.00 $2,341.60 20% off $4,763.25 $4,763.25 $4,763.25 2025-01-09
10081 CPT I&d Pilonidal Cyst Complicated 24 5 $3,340.44 $2,672.35 20% off $728.80 $1,941.62 $1,941.62 2025-01-09
10121 CPT Incision & Removal Of Fb Subq Complicate 24 5 $5,163.64 $4,130.91 20% off $290.00 $3,001.36 $3,001.36 2025-01-09
10140 CPT I&d Hematoma,seroma Or Fluid Collect 24 5 $3,340.44 $2,672.35 20% off $416.46 $1,941.62 $1,941.62 2025-01-09
10180 CPT I&d Postop Wound Infection, Complex 24 5 $6,072.77 $4,858.22 $336.94 $3,529.80 $3,529.80 2025-01-09
11406 CPT Exc Ben Lesion Over 4cm Trk Arm Leg 24 5 $5,163.64 $4,130.91 20% off $503.22 $3,001.36 $3,001.36 2025-01-09
1400089 CDM Syndesmosis Tight Rope 22 5 $6,106.30 $4,885.04 20% off $3,549.28 $3,549.28 $3,549.28 2025-01-09
1400176 CDM Novasure V5 Combo Kit 22 5 $4,709.52 $3,767.62 $2,737.41 $2,737.41 $2,737.41 2025-01-09
1400200 CDM Lead, Medtronics 3487a 22 5 $5,124.91 $4,099.93 $2,978.85 $2,978.85 $2,978.85 2025-01-09
1400201 CDM Lead, Pisces Quad Plus Medtronic 3888 22 5 $5,545.62 $4,436.50 $3,223.39 $3,223.39 $3,223.39 2025-01-09
1400249 CDM Myosure Reach Tissue Removal 22 5 $3,954.53 $3,163.62 20% off $2,298.57 $2,298.57 $2,298.57 2025-01-09
1400360 CDM Pros Hip 1 13/16 46mm 22 5 $4,636.85 $3,709.48 20% off $2,695.16 $2,695.16 $2,695.16 2025-01-09
1400363 CDM Pros Hip 1 15/16r 49mm 22 5 $4,636.85 $3,709.48 20% off $2,695.16 $2,695.16 $2,695.16 2025-01-09
1400364 CDM Pros Hip 1 13/16n 46mm 22 5 $4,839.04 $3,871.23 20% off $2,812.68 $2,812.68 $2,812.68 2025-01-09
1400365 CDM Pros Hip 1 15/16n 49mm 22 5 $4,839.04 $3,871.23 20% off $2,812.68 $2,812.68 $2,812.68 2025-01-09
1400372 CDM Pros Mammary 175cc Saline 22 5 $4,965.06 $3,972.05 $2,885.93 $2,885.93 $2,885.93 2025-01-09
1400377 CDM Pros Mammary 320cc Saline 22 5 $4,965.06 $3,972.05 $2,885.93 $2,885.93 $2,885.93 2025-01-09
1400547 CDM Leveen Valve (shunt) 22 5 $4,034.76 $3,227.81 $2,345.20 $2,345.20 $2,345.20 2025-01-09
1400801 CDM Endo 65 Stapler 4mm Unv Bx/6 Nlu 22 5 $6,310.50 $5,048.40 20% off $3,667.97 $3,667.97 $3,667.97 2025-01-09
1400809 CDM Acu Clip Applier Bx/5 22 5 $3,250.88 $2,600.70 20% off $1,889.57 $1,889.57 $1,889.57 2025-01-09
1400952 CDM Mesh Dbl Side Composix Md Oval Bx/2 Bard 22 5 $3,254.74 $2,603.79 20% off $1,891.82 $1,891.82 $1,891.82 2025-01-09
1400953 CDM Mesh Dbl Side Composix Lg Oval Bx/2 Bard 22 5 $4,126.69 $3,301.35 20% off $2,398.64 $2,398.64 $2,398.64 2025-01-09
1400955 CDM Mesh Composix E/x 6'x8' Bx/1 Bard 22 5 $3,059.66 $2,447.73 $1,778.42 $1,778.42 $1,778.42 2025-01-09
1400971 CDM Mesh Dbl Side Composix Xl Oval Bx/1 Bard 22 5 $5,476.81 $4,381.45 $3,183.39 $3,183.39 $3,183.39 2025-01-09
1401029 CDM Nova Sure Kit Ns2013 3kt/bx 22 5 $4,343.45 $3,474.76 $2,524.62 $2,524.62 $2,524.62 2025-01-09
1401037 CDM Mesh Composix Kugel Lg Circle Bx/2 Bard 22 5 $3,306.35 $2,645.08 20% off $1,921.81 $1,921.81 $1,921.81 2025-01-09
1401484 CDM Mesh Comp Ex 7x9 Bx/1 22 5 $4,046.40 $3,237.12 20% off $2,351.97 $2,351.97 $2,351.97 2025-01-09
1401485 CDM Mesh Comp Ex 8x10 Bx/1 22 5 $5,124.91 $4,099.93 $2,978.85 $2,978.85 $2,978.85 2025-01-09
1401490 CDM Ligasure Sealer/divider 5mm 22 5 $2,960.99 $2,368.79 20% off $1,721.08 $1,721.08 $1,721.08 2025-01-09
1401491 CDM Ligasure Impact Instrument 18cm 22 5 $4,388.93 $3,511.14 20% off $2,551.06 $2,551.06 $2,551.06 2025-01-09
1401492 CDM Kyphopack Tray First Fracture Kpt 2005 22 5 $16,514.40 $13,211.52 20% off $9,599.00 $9,599.00 $9,599.00 2025-01-09
1401493 CDM Kyphopak Tray First Fracture Kpt1505 22 5 $16,514.40 $13,211.52 20% off $9,599.00 $9,599.00 $9,599.00 2025-01-09
1402190 CDM Greenfield Filter Femoral 12fr, 4.0 Mm 22 5 $2,868.55 $2,294.84 20% off $1,667.34 $1,667.34 $1,667.34 2025-01-09
1403055 CDM Cprp&bma Kit 22 5 $3,886.19 $3,108.95 20% off $2,258.84 $2,258.84 $2,258.84 2025-01-09
1404028 CDM Allopatch Hd Meshed Thin 5cm X 5cm 22 5 $4,971.91 $3,977.53 $2,889.92 $2,889.92 $2,889.92 2025-01-09
1404033 CDM Dbx Putty 5cc 22 5 $3,767.22 $3,013.78 $2,189.69 $2,189.69 $2,189.69 2025-01-09
14041 CPT Adj Tiss Trans 10.1 Sq Cm To 30.0 Sq Cm 22 5 $2,935.50 $2,348.40 $1,706.26 $1,706.26 $1,706.26 2025-01-09
1404164 CDM Laproscopic Hernia Repair Mesh 22 5 $2,811.07 $2,248.86 $1,633.93 $1,633.93 $1,633.93 2025-01-09
1404166 CDM 8x10 Hernia Repair Mesh 22 5 $4,647.61 $3,718.09 $2,701.41 $2,701.41 $2,701.41 2025-01-09
1404594 CDM Capsure 22 5 $3,248.25 $2,598.60 20% off $1,888.04 $1,888.04 $1,888.04 2025-01-09
1404613 CDM Ligasure Maryland Tip 22 5 $3,280.18 $2,624.14 20% off $1,906.60 $1,906.60 $1,906.60 2025-01-09
1404619 CDM Ventrio Hernia Patch Med Oval 11.0x14.0 22 5 $5,897.98 $4,718.38 20% off $3,428.20 $3,428.20 $3,428.20 2025-01-09
1404640 CDM Sorbfix 30 Shot 22 5 $3,107.92 $2,486.34 $1,806.47 $1,806.47 $1,806.47 2025-01-09
1404653 CDM Lcp Proximal Humerus Plate 22 5 $10,865.62 $8,692.50 $6,315.64 $6,315.64 $6,315.64 2025-01-09
1404654 CDM Lcp Proximal Humerus Plate 22 5 $11,206.50 $8,965.20 $6,513.77 $6,513.77 $6,513.77 2025-01-09
1404784 CDM Arthrex Speed Bridge Kit 22 5 $10,290.47 $8,232.38 $5,981.33 $5,981.33 $5,981.33 2025-01-09
1404796 CDM Arthrex Bicep Kit 22 5 $2,840.32 $2,272.26 $1,650.93 $1,650.93 $1,650.93 2025-01-09
1404803 CDM Impl Delivery System Bicep Repair 22 5 $3,448.90 $2,759.12 20% off $2,004.67 $2,004.67 $2,004.67 2025-01-09
1406117 CDM Ventralight St Mesh With Echo 6x8 Inch 22 5 $6,824.88 $5,459.90 20% off $3,966.95 $3,966.95 $3,966.95 2025-01-09
1406365 CDM Flex Hinge Toe Implant 1s 22 5 $4,512.99 $3,610.39 20% off $2,623.18 $2,623.18 $2,623.18 2025-01-09
1406366 CDM Flex Hinge Toe Implant 2s 22 5 $4,512.99 $3,610.39 20% off $2,623.18 $2,623.18 $2,623.18 2025-01-09
1406367 CDM Flex Hinge Toe Implant 3s 22 5 $4,512.99 $3,610.39 20% off $2,623.18 $2,623.18 $2,623.18 2025-01-09
1406368 CDM Flex Hinge Toe Implant 4s 22 5 $4,512.99 $3,610.39 20% off $2,623.18 $2,623.18 $2,623.18 2025-01-09
1406369 CDM Flex Hinge Toe Implant 5s 22 5 $4,512.99 $3,610.39 20% off $2,623.18 $2,623.18 $2,623.18 2025-01-09
1406370 CDM Flex Hinge Toe Implant 0s 22 5 $4,512.99 $3,610.39 20% off $2,623.18 $2,623.18 $2,623.18 2025-01-09
1408554 CDM Mesh Ventralight 4.5 22 5 $4,827.66 $3,862.13 $2,806.07 $2,806.07 $2,806.07 2025-01-09
1408574 CDM 3d Ing Mesh 22 5 $3,233.17 $2,586.54 $1,879.28 $1,879.28 $1,879.28 2025-01-09
1408575 CDM Hernia Patch 3.1x4.7 Sm Oval 22 5 $3,964.93 $3,171.94 20% off $2,304.61 $2,304.61 $2,304.61 2025-01-09
1408576 CDM Large Oval Hernia Patch 5.4x7.0 22 5 $7,434.12 $5,947.30 $4,321.08 $4,321.08 $4,321.08 2025-01-09
15220 CPT Full Thickness Graft 22 5 $3,076.61 $2,461.29 $1,788.27 $1,788.27 $1,788.27 2025-01-09
15240 CPT Full Thickness Graft 20 Sq Cm Or Less 22 5 $5,117.45 $4,093.96 $2,974.51 $2,974.51 $2,974.51 2025-01-09
15734 CPT Midface Flap Surgery Involving Trunk 22 5 $5,685.60 $4,548.48 20% off $3,304.76 $3,304.76 $3,304.76 2025-01-09
15830 CPT Exc Excessive Skin Panniculectomy 22 5 $3,819.24 $3,055.39 20% off $2,219.93 $2,219.93 $2,219.93 2025-01-09
19020 CPT Mastotomy W Explor Abs Deep 22 5 $6,072.77 $4,858.22 $3,529.80 $3,529.80 $3,529.80 2025-01-09
19120 CPT Exc Of Cyst Breast Tissue 22 5 $3,489.12 $2,791.30 $2,028.05 $2,028.05 $2,028.05 2025-01-09
19125 CPT Exc Of Breast Lesion Open Single Lesion 22 5 $3,489.12 $2,791.30 $2,028.05 $2,028.05 $2,028.05 2025-01-09
19300 CPT Mastectomy For Gynecomastia 22 5 $3,713.15 $2,970.52 20% off $2,158.26 $2,158.26 $2,158.26 2025-01-09
19303 CPT Mastectomy Simple Complete 22 5 $3,489.12 $2,791.30 $2,028.05 $2,028.05 $2,028.05 2025-01-09
19307 CPT Mastectomy Mod Rad Inc Axill Lymph Nodes 22 5 $2,956.20 $2,364.96 $1,718.29 $1,718.29 $1,718.29 2025-01-09
20103 CPT Explore Penetr Wound Extremity 24 5 $3,340.44 $2,672.35 20% off $640.17 $1,941.62 $1,941.62 2025-01-09
21315 CPT Closed Trt Nasal Fx Without Stabilization 22 5 $5,282.35 $4,225.88 20% off $3,070.36 $3,070.36 $3,070.36 2025-01-09
21933 CPT Excision Back Or Flank 5cm Or Greater 22 5 $2,800.57 $2,240.46 $1,627.83 $1,627.83 $1,627.83 2025-01-09
23410 CPT Repair Rotator Cuff Acute 22 5 $4,358.39 $3,486.71 20% off $2,533.31 $2,533.31 $2,533.31 2025-01-09
23412 CPT Repair Rotator Cuff Chronic 22 5 $3,880.73 $3,104.58 20% off $2,255.67 $2,255.67 $2,255.67 2025-01-09
23430 CPT Repair Biceps Tendon 22 5 $3,820.99 $3,056.79 20% off $2,220.95 $2,220.95 $2,220.95 2025-01-09
23472 CPT Reconstruct Shoulder Joint 22 5 $6,806.24 $5,444.99 20% off $3,956.12 $3,956.12 $3,956.12 2025-01-09
23473 CPT Revise Reconstruct Shoulder Joint 22 5 $5,970.34 $4,776.27 20% off $3,470.26 $3,470.26 $3,470.26 2025-01-09
23474 CPT Revise Reconstruct Shou Humeral And Glen 22 5 $6,567.33 $5,253.86 20% off $3,817.26 $3,817.26 $3,817.26 2025-01-09
23550 CPT Open Trt Acromioclavicular Dislocation 22 5 $3,713.15 $2,970.52 20% off $2,158.26 $2,158.26 $2,158.26 2025-01-09
23615 CPT Open Trt Pros Humeral Fx With Int Fix 22 5 $3,582.18 $2,865.74 20% off $2,082.14 $2,082.14 $2,082.14 2025-01-09
23630 CPT Open Trmnt Greater Humeral Tuber Fx 22 5 $3,038.91 $2,431.13 $1,766.36 $1,766.36 $1,766.36 2025-01-09
23655 CPT Closed Trt Disloc Shoulder With Anest 24 5 $4,783.21 $3,826.57 $728.80 $2,780.24 $2,780.24 2025-01-09
23931 CPT I&d Upper Arm Or Elbow Area, Bursa 24 5 $3,340.44 $2,672.35 20% off $863.30 $1,941.62 $1,941.62 2025-01-09
2400677 CDM US Guid Procedure With Surg Comp 22 5 $3,298.16 $2,638.53 $1,917.05 $1,917.05 $1,917.05 2025-01-09
24341 CPT Repair Tendon Or Muscle Upper Arm 22 5 $4,477.77 $3,582.22 $2,602.70 $2,602.70 $2,602.70 2025-01-09
24342 CPT Reinsertion Ruptured Biceps Or Triceps 22 5 $4,753.08 $3,802.46 20% off $2,762.72 $2,762.72 $2,762.72 2025-01-09
24359 CPT Debridement Open Tendon Repair Elbow 22 5 $4,389.55 $3,511.64 20% off $2,551.42 $2,551.42 $2,551.42 2025-01-09
24605 CPT Closed Elbow Dislocation With Anest 22 5 $4,783.21 $3,826.57 $2,780.24 $2,780.24 $2,780.24 2025-01-09
24665 CPT Open Trmnt Radial Head Fx Int Fix 22 5 $5,064.81 $4,051.85 $2,943.91 $2,943.91 $2,943.91 2025-01-09
25607 CPT Open Trmnt Dst Radial Ext Art Fx 22 5 $4,164.44 $3,331.55 20% off $2,420.57 $2,420.57 $2,420.57 2025-01-09
25609 CPT Treat Fx Radial Int Fix 3 Or More Fragme 22 5 $3,582.18 $2,865.74 20% off $2,082.14 $2,082.14 $2,082.14 2025-01-09
26160 CPT Exc Of Lesion Tendon Sheath Or Joint Cap 22 5 $2,841.10 $2,272.88 $1,651.38 $1,651.38 $1,651.38 2025-01-09
26410 CPT Repair Ext Tendon Hand, Ea Tendon 22 5 $5,457.30 $4,365.84 20% off $3,172.05 $3,172.05 $3,172.05 2025-01-09
27125 CPT Partial Hip Replacement 22 5 $5,074.86 $4,059.89 $2,949.76 $2,949.76 $2,949.76 2025-01-09
27235 CPT Treat Femoral Fx Without Fx Exposure 22 5 $4,298.70 $3,438.96 $2,498.61 $2,498.61 $2,498.61 2025-01-09
27236 CPT Treat Femoral Fx W-int Fix Dev W Fx Exp 22 5 $4,835.95 $3,868.76 $2,810.89 $2,810.89 $2,810.89 2025-01-09
27244 CPT Trt Intertrochanteric Fem Fx 22 5 $3,601.65 $2,881.32 20% off $2,093.45 $2,093.45 $2,093.45 2025-01-09
27245 CPT Treat Femoral Fx With Implant 22 5 $5,253.92 $4,203.14 $3,053.84 $3,053.84 $3,053.84 2025-01-09
27257 CPT Tx Spont Hip Disl W Mani & Anest 22 5 $4,783.21 $3,826.57 $2,780.24 $2,780.24 $2,780.24 2025-01-09
27385 CPT Repair Of Thigh Muscle 22 5 $2,985.24 $2,388.19 20% off $1,735.16 $1,735.16 $1,735.16 2025-01-09
27447 CPT Total Knee Arthroplasty 22 5 $8,030.08 $6,424.06 20% off $4,667.48 $4,667.48 $4,667.48 2025-01-09
27487 CPT Rev-rep Knee Joint Femoral ENT Tib Comp 22 5 $8,955.43 $7,164.34 20% off $5,205.34 $5,205.34 $5,205.34 2025-01-09
27503 CPT Closed Trt Supracondylar 22 5 $3,197.73 $2,558.18 20% off $1,858.67 $1,858.67 $1,858.67 2025-01-09
27514 CPT Open Trt Femoral Fx With Int Fix 22 5 $3,246.04 $2,596.83 20% off $1,886.76 $1,886.76 $1,886.76 2025-01-09
27562 CPT Closed Trt Patellar Disloc W Anest 22 5 $4,783.21 $3,826.57 $2,780.24 $2,780.24 $2,780.24 2025-01-09
27630 CPT Exc Of Lesion Tendon Sheath Or Caps Leg 22 5 $2,917.47 $2,333.98 $1,695.78 $1,695.78 $1,695.78 2025-01-09
27650 CPT Repair Ruptured Achilles Tendon 22 5 $4,561.87 $3,649.50 $2,651.58 $2,651.58 $2,651.58 2025-01-09
27654 CPT Rep Sec Achilles Tendon 22 5 $2,864.43 $2,291.54 20% off $1,664.94 $1,664.94 $1,664.94 2025-01-09
27658 CPT Repair Flexor Tendon Leg Primary Without Gra 22 5 $3,713.15 $2,970.52 20% off $2,158.26 $2,158.26 $2,158.26 2025-01-09
27695 CPT Repair Primary Dis Ligament Ankle 22 5 $4,137.51 $3,310.01 $2,404.93 $2,404.93 $2,404.93 2025-01-09
27814 CPT Open Trt Bimalleolar Ankle Fx 22 5 $2,985.24 $2,388.19 20% off $1,735.16 $1,735.16 $1,735.16 2025-01-09
27822 CPT Treatment Of Trimalleolar Fx 22 5 $3,522.60 $2,818.08 20% off $2,047.51 $2,047.51 $2,047.51 2025-01-09
27870 CPT Arthrodesis Ankle Open 22 5 $3,876.92 $3,101.54 $2,253.45 $2,253.45 $2,253.45 2025-01-09
27880 CPT Amputation Leg Thru Tibia And Fibula 22 5 $3,394.88 $2,715.90 20% off $1,973.27 $1,973.27 $1,973.27 2025-01-09
28008 CPT Fasciotomy Foot And Or Toe 22 5 $3,819.24 $3,055.39 20% off $2,219.93 $2,219.93 $2,219.93 2025-01-09
28035 CPT Release Tarsal Tunnel 22 5 $2,811.38 $2,249.10 20% off $1,634.11 $1,634.11 $1,634.11 2025-01-09
28043 CPT Exc Tumor Soft Tiss Foot/toe Subq <1.5 22 5 $5,163.64 $4,130.91 20% off $3,001.36 $3,001.36 $3,001.36 2025-01-09
28119 CPT Ostectomy Calcaneus For Spur 22 5 $3,607.06 $2,885.65 $2,096.60 $2,096.60 $2,096.60 2025-01-09
28160 CPT Hemiphalangectomy Joint Exc 22 5 $3,023.56 $2,418.85 $1,757.44 $1,757.44 $1,757.44 2025-01-09
28192 CPT Removal Fb Foot Deep 22 5 $5,163.64 $4,130.91 20% off $3,001.36 $3,001.36 $3,001.36 2025-01-09
28208 CPT Repair Tendon Extensor Foot 22 5 $3,023.56 $2,418.85 $1,757.44 $1,757.44 $1,757.44 2025-01-09
28262 CPT Capsulotomy Ext With Tendon Lengthening 22 5 $3,500.97 $2,800.78 $2,034.93 $2,034.93 $2,034.93 2025-01-09
28292 CPT Correction Hallux Valgus 22 5 $3,713.15 $2,970.52 20% off $2,158.26 $2,158.26 $2,158.26 2025-01-09
28296 CPT Correction Hallux Valgus Metatarsal Oste 22 5 $4,137.51 $3,310.01 $2,404.93 $2,404.93 $2,404.93 2025-01-09
28299 CPT Correction Hallux Valgus W.dbl Osteotomy 22 5 $4,031.42 $3,225.14 $2,343.26 $2,343.26 $2,343.26 2025-01-09
28322 CPT Repair Nonunion Matatarsal W/wo Bone Gra 22 5 $3,129.65 $2,503.72 20% off $1,819.11 $1,819.11 $1,819.11 2025-01-09
28715 CPT Arthrodesis Triple 22 5 $7,161.07 $5,728.86 $4,162.36 $4,162.36 $4,162.36 2025-01-09
28725 CPT Arthrodisis Subtalar 22 5 $2,994.21 $2,395.37 $1,740.38 $1,740.38 $1,740.38 2025-01-09
28730 CPT Arthrodesis Midtarsal Or Tarsometatarsal 22 5 $2,809.84 $2,247.87 20% off $1,633.21 $1,633.21 $1,633.21 2025-01-09
28740 CPT Arthrodesis Midtarsal Or Tarsometatarsal 22 5 $5,304.50 $4,243.60 $3,083.24 $3,083.24 $3,083.24 2025-01-09
28750 CPT Arthrodesis Great Toe 22 5 $7,001.94 $5,601.55 20% off $4,069.88 $4,069.88 $4,069.88 2025-01-09
28825 CPT Amputation Interphalangeal Joint 22 5 $3,394.88 $2,715.90 20% off $1,973.27 $1,973.27 $1,973.27 2025-01-09
29806 CPT Arthroscopy Shoulder Capsulorrhaphy 22 5 $6,376.00 $5,100.80 20% off $3,706.05 $3,706.05 $3,706.05 2025-01-09
29807 CPT Arthroscopy Rep Of Slap Lesion 22 5 $3,880.73 $3,104.58 20% off $2,255.67 $2,255.67 $2,255.67 2025-01-09
29819 CPT Arthroscopy Shoulder With Rem Of Fb 22 5 $3,939.28 $3,151.42 20% off $2,289.70 $2,289.70 $2,289.70 2025-01-09
29822 CPT Shoulder Arthroscopy-surgery Lmtd 22 5 $3,462.86 $2,770.29 $2,012.78 $2,012.78 $2,012.78 2025-01-09
29823 CPT Shoulder Arthroscopy-surgery Ext 22 5 $3,403.17 $2,722.54 $1,978.09 $1,978.09 $1,978.09 2025-01-09
29824 CPT Shoulder Arthroscopy Mumford Proc 22 5 $2,985.24 $2,388.19 20% off $1,735.16 $1,735.16 $1,735.16 2025-01-09
29825 CPT Shoulder Arth With Lysis And Res Of Adhe 22 5 $4,000.21 $3,200.17 $2,325.11 $2,325.11 $2,325.11 2025-01-09
29826 CPT Shoulder Decomp Subacromial Space 22 5 $3,582.18 $2,865.74 20% off $2,082.14 $2,082.14 $2,082.14 2025-01-09
29827 CPT Arthroscopic Rotator Cuff Repair 22 5 $5,373.30 $4,298.64 $3,123.22 $3,123.22 $3,123.22 2025-01-09
29828 CPT Arthroscopy Biceps Tenodesis 22 5 $3,880.73 $3,104.58 20% off $2,255.67 $2,255.67 $2,255.67 2025-01-09
29873 CPT Knee Arthroscopy/drainage With Lat Relea 22 5 $3,641.92 $2,913.54 $2,116.86 $2,116.86 $2,116.86 2025-01-09
29875 CPT Arthroscopy Synovectomy Limited 22 5 $3,477.84 $2,782.27 20% off $2,021.49 $2,021.49 $2,021.49 2025-01-09
29876 CPT Arthroscopy Synovectomy Major 22 5 $4,347.32 $3,477.86 $2,526.88 $2,526.88 $2,526.88 2025-01-09
29877 CPT Knee Arth/drain With Chondroplasty 22 5 $3,104.57 $2,483.66 $1,804.53 $1,804.53 $1,804.53 2025-01-09
29880 CPT Knee Arth/drain With Chondro And Menis 22 5 $4,358.39 $3,486.71 20% off $2,533.31 $2,533.31 $2,533.31 2025-01-09
29881 CPT Knee Arth/drain With Chondro Or Menis 22 5 $3,582.18 $2,865.74 20% off $2,082.14 $2,082.14 $2,082.14 2025-01-09
29882 CPT Arthroscopy Knee With Meniscus Repair 22 5 $6,077.82 $4,862.26 $3,532.72 $3,532.72 $3,532.72 2025-01-09
29883 CPT Arthroscopy Knee With Meniscus Repair 22 5 $6,895.85 $5,516.68 20% off $4,008.20 $4,008.20 $4,008.20 2025-01-09
29884 CPT Knee Arth/drain With Chondro With Adhesi 22 5 $4,059.95 $3,247.96 $2,359.84 $2,359.84 $2,359.84 2025-01-09
29887 CPT Arthroscopy Knee Drilling For Lesion 22 5 $4,561.87 $3,649.50 $2,651.58 $2,651.58 $2,651.58 2025-01-09
29888 CPT Arthroscopically Aided Acl Repair 22 5 $8,694.59 $6,955.67 20% off $5,053.73 $5,053.73 $5,053.73 2025-01-09
29897 CPT Arthroscopy Ankle Debridement Ltd 22 5 $2,811.38 $2,249.10 20% off $1,634.11 $1,634.11 $1,634.11 2025-01-09
29898 CPT Arthroscopy Ankle Debridement Extensive 22 5 $3,925.33 $3,140.26 20% off $2,281.59 $2,281.59 $2,281.59 2025-01-09
29916 CPT Hip Arthro With Labral Repair 22 5 $4,059.95 $3,247.96 $2,359.84 $2,359.84 $2,359.84 2025-01-09
31530 CPT Laryngoscopy Direct W Fb Removal 22 5 $6,224.08 $4,979.26 20% off $3,617.74 $3,617.74 $3,617.74 2025-01-09
31635 CPT Bronchoscopy W Fb Removal 22 5 $3,516.57 $2,813.26 $2,044.01 $2,044.01 $2,044.01 2025-01-09
3204119 CDM Gamimune 20g (immuneglobulin Iv10%):20gm 22 5 $4,911.55 $3,929.24 20% off $2,854.84 $2,854.84 $2,854.84 2025-01-09
3207223 CDM Nitropress (sod Nitroprusside):50mg/2ml 22 5 $4,079.57 $3,263.66 $2,371.24 $2,371.24 $2,371.24 2025-01-09
3207461 CDM Gamimune N 10% (ivig): 10 Gm/100 Ml 22 5 $4,740.78 $3,792.62 20% off $2,755.57 $2,755.57 $2,755.57 2025-01-09
3208155 CDM Nf-novolog Mix 70/30 Injection 22 5 $4,014.83 $3,211.86 20% off $2,333.61 $2,333.61 $2,333.61 2025-01-09
3208160 CDM Nf-exelon Td Patch ER 4.6mg/24hr 22 5 $4,628.61 $3,702.89 $2,690.37 $2,690.37 $2,690.37 2025-01-09
3210839 CDM Orbactiv (oritavancin) Inj:1200 Mg 22 5 $7,501.95 $6,001.56 $4,360.51 $4,360.51 $4,360.51 2025-01-09
32110 CPT Thoracotomy With Cont Of Trau Hemorrhage 22 5 $4,919.64 $3,935.71 20% off $2,859.53 $2,859.53 $2,859.53 2025-01-09
3214710 CDM Remdesivir Inj Soln:100 Mg/20 Ml 22 5 $2,843.52 $2,274.82 $1,652.79 $1,652.79 $1,652.79 2025-01-09
33020 CPT Pericardiotomy Rem Of Clot 22 5 $3,013.36 $2,410.69 $1,751.51 $1,751.51 $1,751.51 2025-01-09
33210 CPT Insert/replace Temp Transvenous Pacemakr 22 5 $17,336.13 $13,868.90 20% off $10,076.62 $10,076.62 $10,076.62 2025-01-09
33300 CPT Repair Of Cardiac Wound 22 5 $7,994.29 $6,395.43 20% off $4,646.68 $4,646.68 $4,646.68 2025-01-09
35206 CPT Repair Blood Vessel Upper Extremity 22 5 $9,894.12 $7,915.30 $5,750.95 $5,750.95 $5,750.95 2025-01-09
35207 CPT Repair Blood Vessel Hand, Finger 22 5 $14,271.57 $11,417.26 $8,295.34 $8,295.34 $8,295.34 2025-01-09
36573 CPT Insertion Picc Line By Crna With Fluoro 22 5 $3,207.78 $2,566.22 20% off $1,864.52 $1,864.52 $1,864.52 2025-01-09
36590 CPT Removal Tunneled Cen Ven Catheter 24 5 $3,619.05 $2,895.24 20% off $707.55 $2,103.57 $2,103.57 2025-01-09
38232 CPT Bone Marrow Harvesting Autologous 8 4 $583.49 $466.79 20% off $4,037.71 $4,037.71 $4,037.71 2025-01-09
38500 CPT Biopsy Or Exc Of Lymph Node(s) Open Sup 24 5 $8,378.22 $6,702.58 $2,096.60 $4,869.84 $4,869.84 2025-01-09
38525 CPT Bx Or Exc Of Lymph Node -s Open Deep Axi 22 5 $3,607.06 $2,885.65 $2,096.60 $2,096.60 $2,096.60 2025-01-09
43215 CPT Esophagoscopy W Removal Of Fb 22 5 $4,266.82 $3,413.46 $2,480.08 $2,480.08 $2,480.08 2025-01-09
43280 CPT Lap Esophagogastric Fundoplasty 22 5 $4,047.90 $3,238.32 20% off $2,352.84 $2,352.84 $2,352.84 2025-01-09
43281 CPT Lap Rep Of Paraesophageal Hernia 22 5 $3,500.97 $2,800.78 $2,034.93 $2,034.93 $2,034.93 2025-01-09
43848 CPT Revision Open Gastric Restrictive Proc 22 5 $7,426.30 $5,941.04 20% off $4,316.53 $4,316.53 $4,316.53 2025-01-09
44120 CPT Enterectomy Small Intestine Single 22 5 $3,104.57 $2,483.66 $1,804.53 $1,804.53 $1,804.53 2025-01-09
44140 CPT Colectomy Partial 22 5 $3,188.05 $2,550.44 20% off $1,853.05 $1,853.05 $1,853.05 2025-01-09
44141 CPT Colectomy Partial With Skin Level Colost 22 5 $4,031.42 $3,225.14 $2,343.26 $2,343.26 $2,343.26 2025-01-09
44143 CPT Colectomy With End Colostomy And Closure 22 5 $3,770.52 $3,016.42 $2,191.61 $2,191.61 $2,191.61 2025-01-09
44144 CPT Colectomy With Resection With Colostomy 22 5 $4,137.51 $3,310.01 $2,404.93 $2,404.93 $2,404.93 2025-01-09
44160 CPT Colectomy Partial Rem Ileum Ileocolostom 22 5 $3,394.88 $2,715.90 20% off $1,973.27 $1,973.27 $1,973.27 2025-01-09
44204 CPT Colectomy Partial With Anastomosis 22 5 $4,179.22 $3,343.38 $2,429.16 $2,429.16 $2,429.16 2025-01-09
44625 CPT Suture Small Int With Resection And Anas 22 5 $3,925.33 $3,140.26 20% off $2,281.59 $2,281.59 $2,281.59 2025-01-09
44626 CPT Closure Of Enterostomy W/resection Color 22 5 $6,153.22 $4,922.58 $3,576.55 $3,576.55 $3,576.55 2025-01-09
45110 CPT Proctectomy 22 5 $4,057.47 $3,245.98 $2,358.40 $2,358.40 $2,358.40 2025-01-09
45915 CPT Rem Fecal Impaction Under Anesthesia 22 5 $5,887.22 $4,709.78 $3,421.94 $3,421.94 $3,421.94 2025-01-09
46040 CPT I&d Perirectal Abs 24 5 $5,887.22 $4,709.78 $719.64 $3,421.94 $3,421.94 2025-01-09
46260 CPT Hemorrhoidectomy Int And Ext 2 Or More C 22 5 $3,014.14 $2,411.31 20% off $1,751.96 $1,751.96 $1,751.96 2025-01-09
46320 CPT Excision Thrombosed Hemorrhoid External 24 5 $5,887.22 $4,709.78 $808.61 $3,421.94 $3,421.94 2025-01-09
46922 CPT Destruction Lesion Anus 24 5 $6,526.95 $5,221.56 $1,212.94 $3,793.78 $3,793.78 2025-01-09
47563 CPT Lap Cholecystectomy With Cholangiography 30 7 $2,757.56 $2,206.05 $2,117.24 $3,648.49 $2,117.24 2025-01-09
49020 CPT Drainage Of Peritoneal Abscess 22 5 $3,130.11 $2,504.09 $1,819.37 $1,819.37 $1,819.37 2025-01-09
49203 CPT Exc Open Intra Abd Tumors 22 5 $3,182.70 $2,546.16 20% off $1,849.94 $1,849.94 $1,849.94 2025-01-09
49324 CPT Lap With Ins Of Tunneled Intraperi Cath 22 5 $2,840.32 $2,272.26 $1,650.93 $1,650.93 $1,650.93 2025-01-09
49561 CPT Rep Init Inc Or Ventral Hernia Incar Or 22 5 $2,813.80 $2,251.04 20% off $1,635.52 $1,635.52 $1,635.52 2025-01-09
49614 CPT Rep Of Ant Abd Hernia Less Than 3 Cm 22 5 $4,243.60 $3,394.88 20% off $2,466.59 $2,466.59 $2,466.59 2025-01-09
49615 CPT Repair Ant Abd Hernia 3cm To 10cm Reduci 22 5 $4,349.69 $3,479.75 20% off $2,528.25 $2,528.25 $2,528.25 2025-01-09
49616 CPT Repair Of Anterior Abd Hernia 22 5 $4,455.78 $3,564.62 20% off $2,589.92 $2,589.92 $2,589.92 2025-01-09
49618 CPT Repair Ant Abd Hernia Greater Than 10cm 22 5 $4,031.42 $3,225.14 $2,343.26 $2,343.26 $2,343.26 2025-01-09
49621 CPT Repair Parastomal Hernia 22 5 $2,804.69 $2,243.75 20% off $1,630.22 $1,630.22 $1,630.22 2025-01-09
49650 CPT Laparoscopy Surgical Rep Inguinal Hernia 22 5 $3,601.65 $2,881.32 20% off $2,093.45 $2,093.45 $2,093.45 2025-01-09
49651 CPT Lap Repair Recurrent Ing Hernia 22 5 $3,593.82 $2,875.06 $2,088.90 $2,088.90 $2,088.90 2025-01-09
49653 CPT Lap Repair Hernia Incarcerated Or Stran 22 5 $3,343.43 $2,674.74 20% off $1,943.36 $1,943.36 $1,943.36 2025-01-09
49654 CPT Lap Repair Inc Hernia 22 5 $2,813.80 $2,251.04 20% off $1,635.52 $1,635.52 $1,635.52 2025-01-09
49655 CPT Lap Rep Inc Hernia Incarcerated Or Stran 22 5 $4,164.44 $3,331.55 20% off $2,420.57 $2,420.57 $2,420.57 2025-01-09
50220 CPT Nephrectomy Open Approach 22 5 $2,956.20 $2,364.96 $1,718.29 $1,718.29 $1,718.29 2025-01-09
52204 CPT Cystourethroscopy With Bx 22 5 $3,130.11 $2,504.09 $1,819.37 $1,819.37 $1,819.37 2025-01-09
55100 CPT Drainage Of Scrotal Wall Abscess 24 5 $3,340.44 $2,672.35 20% off $225.58 $1,941.62 $1,941.62 2025-01-09
57135 CPT Excision Of Vaginal Cyst Or Tumor 22 5 $6,695.61 $5,356.49 $3,891.82 $3,891.82 $3,891.82 2025-01-09
57200 CPT Suture Of Vagina Injury (non-ob) 22 5 $6,695.61 $5,356.49 $3,891.82 $3,891.82 $3,891.82 2025-01-09
58150 CPT Total Abdominal Hysterectomy 22 5 $4,031.42 $3,225.14 $2,343.26 $2,343.26 $2,343.26 2025-01-09
59409 CPT Vaginal Delivery 22 5 $6,695.61 $5,356.49 $3,891.82 $3,891.82 $3,891.82 2025-01-09
600001 CDM Major Sur 1st Hr 22 5 $5,634.51 $4,507.61 $3,275.05 $3,275.05 $3,275.05 2025-01-09
600009 CDM Cataract Surgery 22 5 $7,693.53 $6,154.82 20% off $4,471.86 $4,471.86 $4,471.86 2025-01-09
600011 CDM Cataract Surgery With Ecp 22 5 $8,508.83 $6,807.06 20% off $4,945.75 $4,945.75 $4,945.75 2025-01-09
600016 CDM Major Sur 1 First Hour 22 5 $5,634.51 $4,507.61 $3,275.05 $3,275.05 $3,275.05 2025-01-09
600018 CDM Major Sur 2 First Hour 22 5 $6,365.40 $5,092.32 20% off $3,699.89 $3,699.89 $3,699.89 2025-01-09
60220 CPT Total Thyroid Lobectomy Unilateral 22 5 $4,347.32 $3,477.86 $2,526.88 $2,526.88 $2,526.88 2025-01-09
62302 CPT CT Cervical Myelogram Via Inj 30 7 $4,243.60 $3,394.88 20% off $614.04 $2,322.73 $2,322.73 2025-01-09
62303 CPT CT Thoracic Myelogram Via Inj 30 7 $4,243.60 $3,394.88 20% off $614.04 $2,322.73 $2,322.73 2025-01-09
62304 CPT CT Lumbar Myelogram Via Inj 30 7 $4,243.60 $3,394.88 20% off $614.04 $2,322.73 $2,322.73 2025-01-09
62305 CPT CT Myelogram Via Inj 2 Or More Regions 30 7 $4,774.05 $3,819.24 20% off $614.04 $2,574.69 $2,574.69 2025-01-09
64489 CPT Tap Block Abdominal Continuous Inf 22 5 $3,168.94 $2,535.15 20% off $1,841.94 $1,841.94 $1,841.94 2025-01-09
64713 CPT Neuroplasty Brachial Plexus 22 5 $2,898.26 $2,318.61 $1,684.61 $1,684.61 $1,684.61 2025-01-09
64718 CPT Revise Ulnar Nerve At Elbow 22 5 $3,044.88 $2,435.90 20% off $1,769.83 $1,769.83 $1,769.83 2025-01-09
64772 CPT Transection Or Avul Oth Spinal Nerve 22 5 $2,917.47 $2,333.98 $1,695.78 $1,695.78 $1,695.78 2025-01-09
64784 CPT Exc Of Neuroma Major Peripheral Nerve 22 5 $2,970.52 $2,376.42 $1,726.61 $1,726.61 $1,726.61 2025-01-09
64788 CPT Exc Of Neurofibroma 22 5 $2,898.26 $2,318.61 $1,684.61 $1,684.61 $1,684.61 2025-01-09
70482 CPT CT Orbit Fossa Sella W Wo 30 7 $3,448.74 $2,758.99 20% off $174.80 $1,725.55 $1,725.55 2025-01-09
70496 CPT CTA Head With & Without Contrast 30 7 $3,484.07 $2,787.26 $250.11 $1,779.98 $1,779.98 2025-01-09
70498 CPT CTA Carotid With & Without Contrast 30 7 $3,484.07 $2,787.26 $262.25 $1,786.06 $1,786.06 2025-01-09
70540 CPT MRI Orbit Face &or Neck Without Contrast 22 5 $3,192.43 $2,553.94 20% off $1,855.60 $1,855.60 $1,855.60 2025-01-09
70542 CPT MRI Orbit Face &or Neck With Dye 30 7 $3,990.52 $3,192.42 $231.04 $2,011.02 $2,011.02 2025-01-09
70543 CPT MRI Orbit Face &or Neck With& Without Contrast 22 5 $4,389.49 $3,511.59 20% off $2,551.39 $2,551.39 $2,551.39 2025-01-09
70544 CPT MRA Brain Without Contrast 30 7 $3,192.43 $2,553.94 20% off $240.45 $1,636.62 $1,636.62 2025-01-09
70545 CPT MRA Brain With Dye 30 7 $3,990.52 $3,192.42 $236.49 $2,013.74 $2,013.74 2025-01-09
70546 CPT MRA Brain With& Without Contrast 30 7 $4,256.47 $3,405.18 $361.58 $2,202.61 $2,202.61 2025-01-09
70547 CPT MRA Neck Without Contrast 30 7 $3,192.43 $2,553.94 20% off $241.19 $1,636.99 $1,636.99 2025-01-09
70548 CPT MRA Neck With Dye 30 7 $3,325.35 $2,660.28 $255.31 $1,707.19 $1,707.19 2025-01-09
70549 CPT MRA Neck With& Without Contrast 30 7 $3,940.47 $3,152.38 $364.55 $2,053.99 $2,053.99 2025-01-09
71275 CPT CTA Chest 30 7 $3,484.07 $2,787.26 $193.13 $1,751.49 $1,751.49 2025-01-09
71550 CPT MRI Chest Without Contrast 30 7 $3,192.43 $2,553.94 20% off $239.21 $1,636.01 $1,636.01 2025-01-09
71551 CPT MRI Chest With Dye 30 7 $3,990.52 $3,192.42 $267.70 $2,029.35 $2,029.35 2025-01-09
71552 CPT MRI Chest With& Without Contrast 30 7 $4,256.47 $3,405.18 $334.33 $2,188.99 $2,188.99 2025-01-09
71555 CPT MRA Chest W Or Without Contrast 30 7 $4,123.50 $3,298.80 $226.58 $2,071.95 $2,071.95 2025-01-09
72158 CPT MRI Lumbar Spine WITH&without Contrast 30 7 $3,724.42 $2,979.54 $192.89 $1,865.54 $1,865.54 2025-01-09
72195 CPT MRI Pelvis Without Contrast 30 7 $3,192.43 $2,553.94 20% off $211.96 $1,622.38 $1,622.38 2025-01-09
72196 CPT MRI Pelvis With Dye 30 7 $3,192.43 $2,553.94 20% off $235.00 $1,633.90 $1,633.90 2025-01-09
72197 CPT MRI Male Pelvis With & Without Contrast 30 7 $4,256.47 $3,405.18 $282.31 $2,162.97 $2,162.97 2025-01-09
72198 CPT MRA Pelvis With Or Without Contrast 30 7 $4,123.50 $3,298.80 $230.54 $2,073.93 $2,073.93 2025-01-09
73218 CPT MRI Upper Ext Without Contrast 30 7 $3,192.43 $2,553.94 20% off $208.99 $1,620.89 $1,620.89 2025-01-09
73219 CPT MRI Upper Ext With 30 7 $3,990.52 $3,192.42 $234.26 $2,012.62 $2,012.62 2025-01-09
73220 CPT MRI Upper Ext With& Without Contrast 30 7 $4,522.52 $3,618.02 $282.31 $2,289.35 $2,289.35 2025-01-09
73222 CPT MRI Joint Upper Ext With Dye 30 7 $3,990.52 $3,192.42 $214.93 $2,002.96 $2,002.96 2025-01-09
73223 CPT MRI Joint Upper Ext With& Without Contrast 30 7 $4,623.82 $3,699.06 $262.00 $2,327.31 $2,327.31 2025-01-09
73225 CPT MRA Upper Extremity 30 7 $4,123.50 $3,298.80 $237.72 $2,077.52 $2,077.52 2025-01-09
73706 CPT CTA Lower Ext With & Without Cont Left 30 7 $3,484.07 $2,787.26 $193.63 $1,751.74 $1,751.74 2025-01-09
73718 CPT MRI Lower Ext Without Contrast 30 7 $3,192.43 $2,553.94 20% off $208.99 $1,620.89 $1,620.89 2025-01-09
73719 CPT MRI Lower Ext With Dye 30 7 $3,990.52 $3,192.42 $235.25 $2,013.12 $2,013.12 2025-01-09
73720 CPT MRI Lower Ext With& Without Contrast 30 7 $4,522.52 $3,618.02 $284.54 $2,290.47 $2,290.47 2025-01-09
73722 CPT MRI Joint Lower Ext With Dye 30 7 $3,990.52 $3,192.42 $218.40 $2,004.69 $2,004.69 2025-01-09
73723 CPT MRI Joint Lower Ext With& Without Contrast 30 7 $4,522.52 $3,618.02 $262.99 $2,279.69 $2,279.69 2025-01-09
73725 CPT MRA Lower Ext 30 7 $4,123.50 $3,298.80 $230.54 $2,073.93 $2,073.93 2025-01-09
74174 CPT CTA Abdomen And Pelvis W& Without 30 7 $5,320.56 $4,256.45 $301.88 $2,678.20 $2,678.20 2025-01-09
74182 CPT MRI Abdomen With Dye 30 7 $4,123.50 $3,298.80 $263.24 $2,090.28 $2,090.28 2025-01-09
74183 CPT MRI Abdomen With& Without Contrast With Mrcp 30 7 $4,256.47 $3,405.18 $283.55 $2,163.59 $2,163.59 2025-01-09
74185 CPT MRA Abdomen With Or Without Contrast 30 7 $4,123.50 $3,298.80 $231.04 $2,074.18 $2,074.18 2025-01-09
75635 CPT CTA Abd Aorta Runoff 30 7 $3,707.48 $2,965.98 20% off $208.33 $1,865.21 $1,865.21 2025-01-09
78582 CPT Nm Perfusion/aerosol Lung Scan 30 7 $4,177.68 $3,342.14 20% off $199.91 $2,084.35 $2,084.35 2025-01-09
78807 CPT Nm Loc Abscess Spect 22 5 $2,930.40 $2,344.32 $1,703.30 $1,703.30 $1,703.30 2025-01-09
800001 CDM Delivery Room 22 5 $3,910.03 $3,128.02 20% off $2,272.70 $2,272.70 $2,272.70 2025-01-09
81162 CPT Brca1 And Brca2 Comprehensive 485030 30 7 $13,506.13 $10,804.90 20% off $1,824.88 $7,327.85 $7,327.85 2025-01-09
81211 CPT Brca 1 And 2 Sequencing 22 5 $7,710.83 $6,168.66 20% off $4,481.91 $4,481.91 $4,481.91 2025-01-09
81220 CPT Cystic Fibrosis Full-gene Carrier 482632 30 7 $4,455.78 $3,564.62 20% off $556.60 $2,394.80 $2,394.80 2025-01-09
81223 CPT Cftr Gene Sequencing 482449 22 5 $6,489.00 $5,191.20 20% off $3,771.73 $3,771.73 $3,771.73 2025-01-09
81229 CPT Chromosomal Microarray Pediatric 510002 30 7 $7,883.15 $6,306.52 $1,160.00 $4,324.49 $4,324.49 2025-01-09
81277 CPT Chromosomal Microarray Analysis 510146 30 7 $5,651.40 $4,521.12 $1,160.00 $3,264.41 $3,264.41 2025-01-09
81408 CPT Marfan Syndrome Sequencing 45869 22 5 $7,315.67 $5,852.54 $4,252.23 $4,252.23 $4,252.23 2025-01-09
81420 CPT Nipt For Fetal Aneuploidy Screening 30 7 $8,113.82 $6,491.06 $759.05 $4,233.59 $4,233.59 2025-01-09
81490 CPT Vectra 504965 22 5 $5,565.65 $4,452.52 $3,235.03 $3,235.03 $3,235.03 2025-01-09
81503 CPT Ova1 22 5 $3,179.09 $2,543.27 20% off $1,847.84 $1,847.84 $1,847.84 2025-01-09
87507 CPT Gi Panel By Pcr 30 7 $3,483.76 $2,787.01 $416.78 $1,863.17 $1,863.17 2025-01-09
88189 CPT Acute Leukemia Panel 22 5 $3,139.54 $2,511.63 20% off $1,824.86 $1,824.86 $1,824.86 2025-01-09
90375 CPT Rabies Immune Globulin:150 Units/ml-10ml 30 7 $3,388.90 $2,711.12 20% off $714.52 $1,966.98 $1,966.98 2025-01-09
93312 CPT Transesophageal Echo 22 5 $2,896.41 $2,317.13 $1,683.53 $1,683.53 $1,683.53 2025-01-09
99285 CPT Emergency Room Level 5 44 5 $3,059.35 $2,447.48 20% off $1,778.24 $1,778.24 $1,778.24 2025-01-09
A9569 HCPCS Technetium Wbc 22 5 $3,703.15 $2,962.52 20% off $2,152.45 $2,152.45 $2,152.45 2025-01-09
C1052 HCPCS Hemo-7 Hemospray Endoscopic 22 5 $12,509.86 $10,007.89 $7,271.35 $7,271.35 $7,271.35 2025-01-09
J1454 HCPCS Akynzeo Sdv:235-0.25 Mg 30 7 $3,762.74 $3,010.19 20% off $717.34 $2,145.97 $2,145.97 2025-01-09
J2597 HCPCS Desmopressin Inj:4 Mcg/ml-10 Ml 22 5 $3,912.86 $3,130.29 $2,274.34 $2,274.34 $2,274.34 2025-01-09
J3240 HCPCS Thyrogen (thyrotropin Alfa):1.1 Mg 30 7 $3,710.52 $2,968.42 $2,076.10 $2,156.74 $2,156.74 2025-01-09
J3315 HCPCS Trelstar (triptorelin Pam) Inj. 22.5 Mg 30 7 $2,827.91 $2,262.33 $905.13 $1,643.72 $1,643.72 2025-01-09
J9015 HCPCS Proleukin (aldesleukin): 22 Miu Sdv 22 5 $4,447.28 $3,557.82 20% off $2,584.97 $2,584.97 $2,584.97 2025-01-09
P9052 HCPCS Bb Platelets (pheresed Hla$$) 22 5 $4,854.08 $3,883.26 20% off $2,821.43 $2,821.43 $2,821.43 2025-01-09
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