Hospital

MARGARET MARY COMMUNITY HOSPITAL INC

Batesville, IN · CCN 151329 · Rates published

Your selected procedure

You selected 29806 (CPT)

Shoulder arthroscopy/surgery 29806

This hospital’s price: $1,172 across 4 payers · range $957-$1,340

Source: https://www.mmhealth.org/wp-content/uploads/356067049_Margaret-Mary-Health_standardcharges.csv · observed 2026-05-09

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.

9,607 distinct procedures filed

10 distinct payers

86,615 rate rows

2026-05-09 last MRF observed

Data quality

77,068 of 86,615 rate rows are consumer-grade (89.0%)

9,547 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	9,493
per-diem day rate — not a per-procedure price	33
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	18
exceeds 10× this hospital's gross charge — excluded from medians	3

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

Source MRF file	https://www.mmhealth.org/wp-content/uploads/356067049_Margaret-Mary-Health_standardcharges.csv
Found on page	https://www.mmhealth.org/for-patients/bill-payment/price-transparency/
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-21
Content fingerprint	313f9cb19574543d… · 6,526,784 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
98247379 OTHER	Laparoscopic Procedures On The Liver (47379)	2	$5,882.45	$5,882.45	$5,882.45	nat. median $5,882 1.0× median
36055874 OTHER	Transperineal Placement Of Biodegradable Material, Peri-pros	10	$3,346.60	$5,476.39	$5,476.39	nat. median $5,476 1.0× median
40478816 OTHER	PET With CT Scan Whole Body	10	$777.75	$5,282.11	$5,282.11	nat. median $3,244 1.6× median
40478815 OTHER	PET CT Skull To Midthigh With Psma	10	$777.75	$5,282.11	$5,071.36	nat. median $4,149 1.2× median
35951102 OTHER	Aspiration Bladder Insert Suprapubic Catheter	7	$4,695.72	$4,695.72	$4,695.72	nat. median $4,696 1.0× median
36166982 OTHER	Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx Wo Ecp (66982)	10	$1,106.60	$4,336.73	$4,336.73	nat. median $4,337 1.0× median
36166984 OTHER	Cataract Removal With Insertion Of Intraocular Lens Mac	10	$1,106.60	$4,301.99	$4,301.99	nat. median $4,302 1.0× median
500505 OTHER	Rdt Int Mod Radiotherapy Imrt Ifc 77301	10	$1,066.66	$4,226.22	$4,226.22	nat. median $1,067 outlier · 4.0×
500612 OTHER	Rdt Sbrt Delivery Ifc 77373	10	$999.65	$4,108.87	$4,108.87	nat. median $4,109 1.0× median
36153854 OTHER	Transurethral Destruction Of Prostate Tissue; Radiofrequency	10	$1,106.60	$4,051.61	$4,051.61	nat. median $4,052 1.0× median
36047490 OTHER	CT Cholecystostomy Percutaneous	10	$582.98	$3,412.99	$3,412.99	nat. median $3,413 1.0× median
98249190 OTHER	Open Exc/dstrj Intra-abdl Tumor/cyst >30 Cm(49190)	6	$2,553.78	$3,575.29	$3,346.44	nat. median $3,346 1.0× median
35049406 OTHER	CT Drainage Subdiaphragm/Subphrenic	10	$1,236.62	$3,113.39	$3,113.39	nat. median $3,113 1.0× median
36038505 OTHER	Mmch US Biopsy Lymph Node (38505)	10	$318.54	$3,083.45	$3,083.45	nat. median $3,083 1.0× median
36166991 OTHER	Extracap Cata Removal W/insert Of Intraocular Lens (66991)	7	$3,022.34	$3,022.34	$3,022.34	nat. median $3,022 1.0× median
98244238 OTHER	Unlisted Laparoscopy Procedure, Intestine (44238)	2	$2,976.94	$2,976.94	$2,976.94	nat. median $2,977 1.0× median
36115110 OTHER	Wc Epiderm Autogrft 1st100sqcm	10	$443.28	$2,867.25	$2,867.25	nat. median $2,867 1.0× median
1035071 OTHER	Room/bed: Special Care Isolation	6	$2,858.11	$2,858.11	$2,858.11	nat. median $2,858 1.0× median
34078452 OTHER	Nm Myocardial Spect Multi Rest/Stress	10	$280.83	$2,815.52	$2,815.52	nat. median $2,816 1.0× median
103507 OTHER	Room/bed: Special Care Unit	6	$2,786.26	$2,786.26	$2,786.26	nat. median $2,786 1.0× median
40219083 OTHER	US Breast Biopsy Bil	10	$702.08	$2,755.91	$2,755.91	nat. median $2,756 1.0× median
36138222 OTHER	Diagnostic Bone Marrow Bx Aspir Tech 38222	10	$1,106.60	$2,736.05	$2,736.05	nat. median $2,016 1.4× median
98249189 OTHER	Open Exc/dstrj Intra-abdl Tumor/cst 20.1-30 Cm(49189)	6	$2,069.24	$2,896.94	$2,711.81	nat. median $2,712 1.0× median
36065820 OTHER	Goniotomy (65820)	10	$582.98	$2,667.50	$2,667.50	nat. median $2,668 1.0× median
101709T OTHER	Room/bed: Telemetry	6	$2,660.39	$2,660.39	$2,660.39	nat. median $2,660 1.0× median
1030511 OTHER	Room/bed: Swing Bed Isolation	6	$2,612.20	$2,612.20	$2,612.20	nat. median $2,612 1.0× median
36055876 OTHER	Prostate Fiducial Marker Insertion	10	$582.98	$2,569.11	$2,569.11	nat. median $2,569 1.0× median
1017091 OTHER	Room/bed: Swing Bed	6	$2,567.57	$2,567.57	$2,567.57	nat. median $2,568 1.0× median
61477049 OTHER	MRI Breast With + Without Contrast Bilat	7	$2,563.05	$2,563.05	$2,563.05	nat. median $2,015 1.3× median
59618 CPT	Assisted C-section With Ante And Postpartum Care Post Vaginal Delivery Attempt Pre…	6	$2,227.51	$3,310.99	$2,542.36	nat. median $3,609 0.7× median
59510 CPT	Routine Obstetric Care Including Antepartum Care Cesarean Delivery And Postpartu…	6	$2,173.38	$3,278.98	$2,517.79	nat. median $3,682 0.7× median
61474183 OTHER	MRI Abdomen With + Without Contrast	10	$283.55	$2,438.84	$2,438.84	nat. median $1,244 2.0× median
61470543 OTHER	MRI Face Neck Orbit With + Without Contrast(70543)	7	$2,417.00	$2,417.00	$2,417.00	nat. median $2,417 1.0× median
103333 OTHER	Room/bed: Nursery Special Care	6	$2,402.49	$2,402.49	$2,402.49	nat. median $2,402 1.0× median
103051 OTHER	Room/bed: Isolation	6	$2,397.60	$2,397.60	$2,397.60	nat. median $1,270 1.9× median
59610 CPT	Routine OB Care Antepartum/Vaginal Delivery After Cesarean/Postpartum Charge 596…	6	$2,040.39	$3,089.31	$2,372.15	nat. median $3,348 0.7× median
61471552 OTHER	MRI Chest With + Without Contrast	10	$334.33	$2,352.27	$2,352.27	nat. median $518 outlier · 4.5×
101154 OTHER	Room/bed: Private	6	$2,348.03	$2,348.03	$2,348.03	nat. median $59 outlier · 39.5×
103358 OTHER	Room/bed: Nursery Newborn	6	$2,348.03	$2,348.03	$2,348.03	nat. median $773 outlier · 3.0×
101709LD OTHER	Room/bed: Labor/Delivery	6	$2,348.03	$2,348.03	$2,348.03	nat. median $2,348 1.0× median
101709 OTHER	Room/bed: Semi-private	6	$2,348.03	$2,348.03	$2,348.03	nat. median $1,615 1.5× median
98249188 OTHER	Open Exc/dstrj Intra-abdl Tumor/cst 10.1-20 Cm(49188)	6	$1,779.28	$2,490.99	$2,332.04	nat. median $2,332 1.0× median
27134 CPT	Revise Hip Joint Replacement Both Componts 27134	6	$1,702.84	$3,469.16	$2,298.84	nat. median $9,571 outlier · 0.2×
59400 CPT	Routine OB Care Antepartum/Vaginal Delivery/Postpartum 59400	6	$1,943.62	$2,972.05	$2,282.11	nat. median $3,202 0.7× median
40219084 OTHER	Mmch US Biopsy Each Addl Lesion Lt	7	$2,237.50	$2,237.50	$2,237.50	nat. median $2,238 1.0× median
300MicroassaySNP OTHER	Microassay Snp Constitutional (81229)	10	$1,160.00	$2,206.94	$2,206.94	nat. median $2,207 1.0× median
61473220 OTHER	MRI Ue Non Joint With + Without Contrast Bilat	10	$282.31	$2,197.83	$2,197.83	nat. median $518 outlier · 4.2×
4751380 OTHER	Microarray SNP(performed At Chmc)	10	$1,160.00	$2,122.07	$2,122.07	nat. median $2,122 1.0× median
27487 CPT	Revise/replace Knee Joint Femoral/tibial Comp 27487	6	$1,571.02	$3,188.76	$2,120.88	nat. median $12,322 outlier · 0.2×
36019000 OTHER	US Breast Cyst Aspiration Bilat	7	$2,120.27	$2,120.27	$2,120.27	nat. median $2,120 1.0× median

Other procedures at this hospital

Browse this hospital's 9,607 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

98247379	OTHER	Laparoscopic Procedures On The Liver (47379)	2	2	$10,944.10	$9,193.04	$5,882.45	$5,882.45	$5,882.45	2026-05-09
36055874	OTHER	Transperineal Placement Of Biodegradable Material, Peri-pros	10	10	$8,530.20	$7,165.37	$3,346.60	$5,476.39	$5,476.39	2026-05-09
40478816	OTHER	PET With CT Scan Whole Body	10	10	$9,986.20	$8,388.41	$777.75	$5,282.11	$5,282.11	2026-05-09
40478815	OTHER	PET CT Skull To Midthigh With Psma	20	10	$9,771.15	$8,207.76	$777.75	$5,282.11	$5,071.36	2026-05-09
35951102	OTHER	Aspiration Bladder Insert Suprapubic Catheter	7	7	$7,314.20	$6,143.93	$4,695.72	$4,695.72	$4,695.72	2026-05-09
36166982	OTHER	Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx Wo Ecp (66982)	10	10	$7,721.30	$6,485.89	$1,106.60	$4,336.73	$4,336.73	2026-05-09
36166984	OTHER	Cataract Removal With Insertion Of Intraocular Lens Mac	10	10	$7,650.40	$6,426.34	$1,106.60	$4,301.99	$4,301.99	2026-05-09
500505	OTHER	Rdt Int Mod Radiotherapy Imrt Ifc 77301	10	10	$7,536.50	$6,330.66	$1,066.66	$4,226.22	$4,226.22	2026-05-09
500612	OTHER	Rdt Sbrt Delivery Ifc 77373	10	10	$7,365.40	$6,186.94	$999.65	$4,108.87	$4,108.87	2026-05-09
36153854	OTHER	Transurethral Destruction Of Prostate Tissue; Radiofrequency	10	10	$7,139.40	$5,997.10	$1,106.60	$4,051.61	$4,051.61	2026-05-09
36047490	OTHER	CT Cholecystostomy Percutaneous	10	10	$6,370.40	$5,351.14	$582.98	$3,412.99	$3,412.99	2026-05-09
98249190	OTHER	Open Exc/dstrj Intra-abdl Tumor/cyst >30 Cm(49190)	6	6	$6,275.30	$5,271.25	$2,553.78	$3,575.29	$3,346.44	2026-05-09
35049406	OTHER	CT Drainage Subdiaphragm/Subphrenic	10	10	$5,092.00	$4,277.28	$1,236.62	$3,113.39	$3,113.39	2026-05-09
36038505	OTHER	Mmch US Biopsy Lymph Node (38505)	10	10	$5,967.70	$5,012.87	$318.54	$3,083.45	$3,083.45	2026-05-09
36166991	OTHER	Extracap Cata Removal W/insert Of Intraocular Lens (66991)	7	7	$4,707.70	$3,954.47	$3,022.34	$3,022.34	$3,022.34	2026-05-09
98244238	OTHER	Unlisted Laparoscopy Procedure, Intestine (44238)	2	2	$5,538.50	$4,652.34	$2,976.94	$2,976.94	$2,976.94	2026-05-09
36115110	OTHER	Wc Epiderm Autogrft 1st100sqcm	10	10	$5,399.20	$4,535.33	$443.28	$2,867.25	$2,867.25	2026-05-09
1035071	OTHER	Room/bed: Special Care Isolation	6	6	$3,044.40	$2,557.30	$2,858.11	$2,858.11	$2,858.11	2026-05-09
34078452	OTHER	Nm Myocardial Spect Multi Rest/Stress	10	10	$5,459.40	$4,585.90	$280.83	$2,815.52	$2,815.52	2026-05-09
103507	OTHER	Room/bed: Special Care Unit	6	6	$2,858.00	$2,400.72	$2,786.26	$2,786.26	$2,786.26	2026-05-09
40219083	OTHER	US Breast Biopsy Bil	10	10	$4,907.90	$4,122.64	$702.08	$2,755.91	$2,755.91	2026-05-09
36138222	OTHER	Diagnostic Bone Marrow Bx Aspir Tech 38222	10	10	$4,454.60	$3,741.86	$1,106.60	$2,736.05	$2,736.05	2026-05-09
98249189	OTHER	Open Exc/dstrj Intra-abdl Tumor/cst 20.1-30 Cm(49189)	6	6	$5,085.78	$4,272.06	$2,069.24	$2,896.94	$2,711.81	2026-05-09
36065820	OTHER	Goniotomy (65820)	10	10	$4,849.00	$4,073.16	$582.98	$2,667.50	$2,667.50	2026-05-09
101709T	OTHER	Room/bed: Telemetry	6	6	$2,531.50	$2,126.46	$2,660.39	$2,660.39	$2,660.39	2026-05-09
1030511	OTHER	Room/bed: Swing Bed Isolation	6	6	$2,406.50	$2,021.46	$2,612.20	$2,612.20	$2,612.20	2026-05-09
36055876	OTHER	Prostate Fiducial Marker Insertion	10	10	$4,648.20	$3,904.49	$582.98	$2,569.11	$2,569.11	2026-05-09
1017091	OTHER	Room/bed: Swing Bed	6	6	$2,290.70	$1,924.19	$2,567.57	$2,567.57	$2,567.57	2026-05-09
61477049	OTHER	MRI Breast With + Without Contrast Bilat	7	7	$3,992.30	$3,353.53	$2,563.05	$2,563.05	$2,563.05	2026-05-09
59618	CPT	Assisted C-section With Ante And Postpartum Care Post Vaginal Delivery Attempt Pre…	6	6	$3,763.30	$3,161.17	$2,227.51	$3,310.99	$2,542.36	2026-05-09
59510	CPT	Routine Obstetric Care Including Antepartum Care Cesarean Delivery And Postpartu…	6	6	$3,512.40	$2,950.42	$2,173.38	$3,278.98	$2,517.79	2026-05-09
61474183	OTHER	MRI Abdomen With + Without Contrast	10	10	$4,687.90	$3,937.84	$283.55	$2,438.84	$2,438.84	2026-05-09
61470543	OTHER	MRI Face Neck Orbit With + Without Contrast(70543)	7	7	$3,764.80	$3,162.43	$2,417.00	$2,417.00	$2,417.00	2026-05-09
103333	OTHER	Room/bed: Nursery Special Care	6	6	$1,862.50	$1,564.50	$2,402.49	$2,402.49	$2,402.49	2026-05-09
103051	OTHER	Room/bed: Isolation	6	6	$1,849.80	$1,553.83	$2,397.60	$2,397.60	$2,397.60	2026-05-09
59610	CPT	Routine OB Care Antepartum/Vaginal Delivery After Cesarean/Postpartum Charge 596…	6	6	$3,261.40	$2,739.58	$2,040.39	$3,089.31	$2,372.15	2026-05-09
61471552	OTHER	MRI Chest With + Without Contrast	10	10	$4,459.40	$3,745.90	$334.33	$2,352.27	$2,352.27	2026-05-09
101154	OTHER	Room/bed: Private	6	6	$1,721.20	$1,445.81	$2,348.03	$2,348.03	$2,348.03	2026-05-09
103358	OTHER	Room/bed: Nursery Newborn	6	6	$1,721.20	$1,445.81	$2,348.03	$2,348.03	$2,348.03	2026-05-09
101709LD	OTHER	Room/bed: Labor/Delivery	6	6	$1,721.20	$1,445.81	$2,348.03	$2,348.03	$2,348.03	2026-05-09
101709	OTHER	Room/bed: Semi-private	6	6	$1,721.20	$1,445.81	$2,348.03	$2,348.03	$2,348.03	2026-05-09
98249188	OTHER	Open Exc/dstrj Intra-abdl Tumor/cst 10.1-20 Cm(49188)	6	6	$4,373.98	$3,674.14	$1,779.28	$2,490.99	$2,332.04	2026-05-09
27134	CPT	Revise Hip Joint Replacement Both Componts 27134	6	6	$6,790.50	$5,704.02	$1,702.84	$3,469.16	$2,298.84	2026-05-09
59400	CPT	Routine OB Care Antepartum/Vaginal Delivery/Postpartum 59400	6	6	$3,010.50	$2,528.82	$1,943.62	$2,972.05	$2,282.11	2026-05-09
40219084	OTHER	Mmch US Biopsy Each Addl Lesion Lt	14	7	$3,485.20	$2,927.57	$2,237.50	$2,237.50	$2,237.50	2026-05-09
300MicroassaySNP	OTHER	Microassay Snp Constitutional (81229)	10	10	$3,437.60	$2,887.58	$1,160.00	$2,206.94	$2,206.94	2026-05-09
61473220	OTHER	MRI Ue Non Joint With + Without Contrast Bilat	23	10	$4,197.30	$3,525.73	$282.31	$2,197.83	$2,197.83	2026-05-09
4751380	OTHER	Microarray SNP(performed At Chmc)	10	10	$3,305.40	$2,776.54	$1,160.00	$2,122.07	$2,122.07	2026-05-09
27487	CPT	Revise/replace Knee Joint Femoral/tibial Comp 27487	6	6	$6,234.10	$5,236.64	$1,571.02	$3,188.76	$2,120.88	2026-05-09
36019000	OTHER	US Breast Cyst Aspiration Bilat	7	7	$3,302.60	$2,774.18	$2,120.27	$2,120.27	$2,120.27	2026-05-09
61570546	OTHER	MRA Head With + Without Contrast	10	10	$3,933.70	$3,304.31	$361.58	$2,108.30	$2,108.30	2026-05-09
61470540	OTHER	MRI Face Neck Orbit Without Contrast	7	7	$3,278.10	$2,753.60	$2,104.54	$2,104.54	$2,104.54	2026-05-09
34178804	OTHER	Nm Tumor Loc Whole Body 2+ Days	10	10	$3,922.20	$3,294.65	$363.73	$2,103.74	$2,103.74	2026-05-09
36136573	OTHER	Inpt US Guided Picc Line Charge (36573)	10	10	$3,276.10	$2,751.92	$1,079.83	$2,103.26	$2,103.26	2026-05-09
98243251	OTHER	43251 Operative Upper Gi Endoscopy	7	7	$3,256.40	$2,735.38	$2,090.61	$2,090.61	$2,090.61	2026-05-09
Q4106	HCPCS	Q4106 Dermagraft	7	7	$3,233.60	$2,716.22	$2,075.97	$2,075.97	$2,075.97	2026-05-09
61477048	OTHER	MRI Breast With + Without Contrast Left	14	7	$3,206.95	$2,693.84	$2,017.55	$2,100.18	$2,058.86	2026-05-09
32919284	OTHER	Mmch Ma Stereotactic Localization Each A	7	7	$3,161.90	$2,656.00	$2,029.94	$2,029.94	$2,029.94	2026-05-09
61570549	OTHER	MRA Neck With + Without Contrast	10	10	$3,764.80	$3,162.43	$364.55	$2,027.03	$2,027.03	2026-05-09
27132	CPT	Total Hip Conversion Arthroplasty 27132	6	6	$5,938.40	$4,988.26	$1,498.32	$3,038.41	$2,022.74	2026-05-09
35075635	OTHER	CTA Abd Aorta With Ble Runoff	10	10	$3,876.20	$3,256.01	$208.33	$2,003.51	$2,003.51	2026-05-09
98721603	OTHER	Excision Ch Wal Tum W/rib W/medstnl Lymphadec 21603	6	6	$5,863.70	$4,925.51	$1,479.08	$2,999.99	$1,996.76	2026-05-09
36110121	OTHER	Removal Of Foreign Body From Tissue Accessed Beneath The Skin(10121)	10	10	$3,801.00	$3,192.84	$267.91	$1,996.44	$1,996.44	2026-05-09
61473720	OTHER	MRI Le Non Joint With + Without Contrast Bilat	30	10	$3,764.80	$3,162.43	$284.54	$2,408.03	$1,987.02	2026-05-09
61473723	OTHER	MRI Le Joint With + Without Contrast Bilateral	23	10	$3,764.80	$3,162.43	$262.99	$1,976.24	$1,976.24	2026-05-09
61473223	OTHER	MRI Ue Joint With + Without Contrast Bilateral	30	10	$3,764.80	$3,162.43	$262.00	$2,328.89	$1,975.75	2026-05-09
44227	CPT	Lap Close Enterostomy	6	6	$4,005.01	$3,364.21	$1,463.33	$2,152.69	$1,975.49	2026-05-09
36036573	OTHER	36573 US Guided Picc Line Charge	10	10	$3,074.80	$2,582.83	$1,079.83	$1,974.02	$1,974.02	2026-05-09
98744145	OTHER	44145 Colectomy, Partial; With Coloproctostomy (low Pelvic A	6	6	$6,086.70	$5,112.83	$1,460.58	$3,076.72	$1,971.78	2026-05-09
96045110	OTHER	45110 Proctectomy; Complete, Combined Abdominoperineal, With Colostomy ProFee	6	6	$3,652.80	$3,068.35	$1,617.55	$2,264.57	$1,963.38	2026-05-09
770721	OTHER	Mmch CT Angio Chest	10	10	$3,800.20	$3,192.17	$193.13	$1,958.66	$1,958.66	2026-05-09
98249187	OTHER	Open Exc/dstrj Intra-abdl Tumor/cst 5.1-10 Cm(49187)	6	6	$3,659.95	$3,074.36	$1,489.00	$2,084.60	$1,951.46	2026-05-09
35070498	OTHER	CT Angio Neck	10	10	$3,709.00	$3,115.56	$262.25	$1,948.54	$1,948.54	2026-05-09
35070496	OTHER	CT Angio Head	10	10	$3,709.00	$3,115.56	$250.11	$1,942.46	$1,942.46	2026-05-09
61272157	OTHER	MRI Spine Thoracic With + Without Contrast	10	10	$3,764.80	$3,162.43	$194.37	$1,941.93	$1,941.93	2026-05-09
61272156	OTHER	MRI Spine Cervical With + Without Contrast	10	10	$3,764.80	$3,162.43	$194.13	$1,941.82	$1,941.82	2026-05-09
61272158	OTHER	MRI Spine Lumbar With + Without Contrast	10	10	$3,764.80	$3,162.43	$192.89	$1,941.19	$1,941.19	2026-05-09
50390	CPT	Mmch Aspir /njx Renal Cyst/pelvis Needl	7	7	$3,001.90	$2,521.60	$1,927.22	$1,927.22	$1,927.22	2026-05-09
98744603	OTHER	44603 Suture Small Intestine	6	6	$5,821.30	$4,889.89	$1,426.34	$2,957.28	$1,925.56	2026-05-09
32949185	OTHER	CT Guided Excision And Destruction Of The Abdomen, Peritoneu	10	10	$3,340.10	$2,805.68	$572.85	$1,923.08	$1,923.08	2026-05-09
61472197	OTHER	MRI Pelvis With + Without Contrast	10	10	$3,629.20	$3,048.53	$282.31	$1,919.46	$1,919.46	2026-05-09
35274175	OTHER	CT Angio Abdomen	10	10	$3,709.00	$3,115.56	$203.04	$1,918.93	$1,918.93	2026-05-09
35073706	OTHER	CT Angio Lower Extremity Bilat	30	10	$3,709.00	$3,115.56	$193.63	$1,996.15	$1,914.22	2026-05-09
35271275	OTHER	CT Angio Chest	10	10	$3,709.00	$3,115.56	$193.13	$1,913.97	$1,913.97	2026-05-09
98749020	OTHER	Drainage Of Peritoneal Abscess, Opn	6	6	$5,812.40	$4,882.42	$1,411.47	$2,946.41	$1,905.49	2026-05-09
49020	CPT	49020 Drainage Abd Abscess Open	6	6	$5,812.40	$4,882.42	$1,411.47	$2,946.41	$1,905.49	2026-05-09
98744661	OTHER	44661 Rpr Intest-bladder Fstla W/resect	6	6	$5,605.40	$4,708.54	$1,368.60	$2,845.18	$1,847.61	2026-05-09
98721602	OTHER	Excision Ch Wal Tum W/rib Without Medstnl Lymphadec 21602	6	6	$5,308.20	$4,458.89	$1,365.96	$2,729.29	$1,844.05	2026-05-09
27138	CPT	Assist Revise Hip Joint Replacement Femoral Comp Only 27138	6	6	$5,423.60	$4,555.82	$1,364.89	$2,773.24	$1,842.61	2026-05-09
61474182	OTHER	MRI Abdomen With Contrast	10	10	$3,479.40	$2,922.70	$263.24	$1,836.53	$1,836.53	2026-05-09
SLFLAN	OTHER	Smartlipo Flanks (muffin Top)	7	7	$2,859.98	$2,402.38	$1,836.11	$1,836.11	$1,836.11	2026-05-09
SLARMS	OTHER	Smartlipo Arms	7	7	$2,859.98	$2,402.38	$1,836.11	$1,836.11	$1,836.11	2026-05-09
SLUPAB	OTHER	Smartlipo Upper Abdomen	7	7	$2,859.98	$2,402.38	$1,836.11	$1,836.11	$1,836.11	2026-05-09
SLOTGH	OTHER	Smartlipo Outer Thigh	7	7	$2,859.98	$2,402.38	$1,836.11	$1,836.11	$1,836.11	2026-05-09
SLLABD	OTHER	Smartlipo Lower Abdomen	7	7	$2,859.98	$2,402.38	$1,836.11	$1,836.11	$1,836.11	2026-05-09
35272191	OTHER	CT Angio Pelvis	10	10	$3,530.50	$2,965.62	$207.50	$1,833.69	$1,833.69	2026-05-09
61873225	OTHER	MRA Upper Extremity With + Without Contrast Lt	10	10	$3,480.40	$2,923.54	$237.72	$1,824.26	$1,824.26	2026-05-09
35274174	OTHER	CT Angio Abdomen/Pelvis	10	10	$3,356.10	$2,819.12	$301.88	$1,795.43	$1,795.43	2026-05-09
27137	CPT	Revise Hip Joint Replacement Acetab Comp Only 27137	6	6	$5,218.80	$4,383.79	$1,314.20	$2,668.95	$1,774.17	2026-05-09
36111047	OTHER	Wc Debride Bone Ea Add 20sqcm	10	10	$3,014.60	$2,532.26	$582.98	$1,768.64	$1,768.64	2026-05-09
61570545	OTHER	Mrv Head With Contrast	10	10	$3,313.00	$2,782.92	$236.49	$1,741.62	$1,741.62	2026-05-09
98732480	OTHER	Removal Of Lung Other Than Total Pneumonectomy Single Lobe Lobectomy 32480	6	6	$5,370.90	$4,511.56	$1,286.93	$2,713.95	$1,737.36	2026-05-09
98223472	OTHER	Arthroplasty Glenohumeral Joint Total Shoulder(23472)	6	6	$3,316.65	$2,785.99	$1,298.97	$1,818.56	$1,735.68	2026-05-09
61473719	OTHER	MRI Le Non Joint With Contrast Bilateral	30	10	$3,278.10	$2,753.60	$235.25	$2,383.39	$1,723.89	2026-05-09
61473722	OTHER	MRI Le Joint With Contrast Bilateral	23	10	$3,278.10	$2,753.60	$218.40	$1,715.47	$1,715.47	2026-05-09
61473222	OTHER	MRI Ue Joint With Contrast Bilateral	23	10	$3,278.10	$2,753.60	$214.93	$1,713.73	$1,713.73	2026-05-09
27486	CPT	Revise/replace Knee Joint 1 Component 27486	6	6	$4,985.30	$4,187.65	$1,262.98	$2,553.32	$1,705.02	2026-05-09
36111044	OTHER	Wc Debride Epid-bone 1stsqcm	10	10	$3,014.60	$2,532.26	$443.28	$1,698.80	$1,698.80	2026-05-09
35274178	OTHER	CT Abdomen And Pelvis With + Without Contrast	10	10	$3,269.90	$2,746.72	$192.64	$1,698.57	$1,698.57	2026-05-09
36110005	OTHER	Fine Ndl Asp Bx W/us Gdn 1st Lesion	10	10	$2,866.40	$2,407.78	$582.98	$1,696.03	$1,696.03	2026-05-09
61272142	OTHER	MRI Spine Cervical With Contrast	10	10	$3,278.10	$2,753.60	$170.59	$1,691.57	$1,691.57	2026-05-09
61272147	OTHER	MRI Spine Thoracic With Contrast	10	10	$3,278.10	$2,753.60	$168.36	$1,690.45	$1,690.45	2026-05-09
35274177	OTHER	CT Abdomen And Pelvis With Contrast	10	10	$3,269.90	$2,746.72	$162.17	$1,683.34	$1,683.34	2026-05-09
96044626	OTHER	44626 Closure Of Enterostomy, Large Or Small Intestine; With Resection And Color	6	6	$3,131.00	$2,630.04	$1,403.03	$1,964.24	$1,682.91	2026-05-09
HR015-6	OTHER	Hair Removal, Chest Pkg 6	7	7	$2,599.98	$2,183.98	$1,669.18	$1,669.18	$1,669.18	2026-05-09
HR023-6	OTHER	Hair Removal, Legs With Feet Pkg 6	7	7	$2,599.98	$2,183.98	$1,669.18	$1,669.18	$1,669.18	2026-05-09
HR024-6	OTHER	Hair Removal, Entire Back Pkg 6	7	7	$2,599.98	$2,183.98	$1,669.18	$1,669.18	$1,669.18	2026-05-09
55845	CPT	Extensive Prostate Surgery 55845	6	6	$3,763.30	$3,161.17	$1,233.96	$2,022.77	$1,665.85	2026-05-09
96044640	OTHER	44640 Repair Bowel-skin Fistula	6	6	$4,171.10	$3,503.72	$1,232.81	$2,224.36	$1,664.29	2026-05-09
636A9596	OTHER	Mmch PET Illuccix (per Unit)	10	10	$2,590.90	$2,176.36	$1,033.20	$1,663.36	$1,663.36	2026-05-09
35049180	OTHER	CT Biopsy Abdomen	10	10	$2,589.60	$2,175.26	$1,348.03	$1,662.53	$1,662.53	2026-05-09
61570547	OTHER	MRA Neck Without Contrast	10	10	$3,136.50	$2,634.66	$241.19	$1,657.48	$1,657.48	2026-05-09
61570544	OTHER	MRA Head Without Contrast	10	10	$3,136.50	$2,634.66	$240.45	$1,657.11	$1,657.11	2026-05-09
61471550	OTHER	MRI Chest Without Contrast	10	10	$3,136.50	$2,634.66	$239.21	$1,656.49	$1,656.49	2026-05-09
61473218	OTHER	MRI Ue Non Joint Without Contrast Bilateral	23	10	$3,136.50	$2,634.66	$208.99	$1,641.38	$1,641.38	2026-05-09
61473718	OTHER	MRI Le Non Joint Without Contrast Bilat	23	10	$3,136.50	$2,634.66	$208.99	$1,641.38	$1,641.38	2026-05-09
61474181	OTHER	MRI Abdomen Without Contrast	10	10	$3,136.50	$2,634.66	$183.97	$1,628.87	$1,628.87	2026-05-09
27506	CPT	Treatment Of Open Thigh Fracture W/implant 27506	6	6	$4,741.30	$3,982.69	$1,205.94	$2,430.74	$1,628.02	2026-05-09
61272149	OTHER	MRI Spine Lumbar With Contrast	10	10	$3,136.50	$2,634.66	$167.37	$1,620.57	$1,620.57	2026-05-09
43840	CPT	Repair Stomach Lesion	6	6	$3,101.68	$2,605.41	$1,202.26	$1,683.16	$1,615.05	2026-05-09
36132552	OTHER	Remove Indwelling Tunnel Pleural Catheter W/cuff Tech 32552	10	10	$2,830.90	$2,377.96	$443.28	$1,608.78	$1,608.78	2026-05-09
96044143	OTHER	44143 Colectomy, Partial; With End Colostomy And Closure Of Distal Segment (hart	6	6	$2,870.10	$2,410.88	$1,454.78	$2,036.69	$1,607.84	2026-05-09
98743820	OTHER	Gastrojejunostomy Without Vagotomy (43820)	6	6	$4,132.20	$3,471.05	$1,189.51	$2,187.72	$1,605.84	2026-05-09
43501	CPT	Gastrotomy, Suture Bleeding Ulcer	6	6	$3,237.50	$2,719.50	$1,189.39	$1,740.15	$1,605.68	2026-05-09
44140	CPT	Partial Removal Of Colon, W/fusion	6	6	$3,133.50	$2,632.14	$1,186.77	$1,684.26	$1,602.14	2026-05-09
96044140	OTHER	44140 Colectomy, Partial; With Anastomosis ProFee	6	6	$3,930.70	$3,301.79	$1,186.77	$2,108.67	$1,602.14	2026-05-09
61471551	OTHER	MRI Chest With Contrast	10	10	$2,982.40	$2,505.22	$267.70	$1,595.22	$1,595.22	2026-05-09
61473219	OTHER	MRI Ue Non Joint With Contrast Bilateral	23	10	$3,009.50	$2,527.98	$234.26	$1,591.79	$1,591.79	2026-05-09
98258554	OTHER	Laparoscopy With Vaginal Hyster For Uterus > 250 G With Remova	6	6	$4,888.30	$4,106.17	$1,173.23	$2,471.05	$1,583.86	2026-05-09
36059412	OTHER	External Cephalic Version W/or Without Tocolysisa Tech (59412)	10	10	$2,954.20	$2,481.53	$267.91	$1,581.52	$1,581.52	2026-05-09
61470542	OTHER	MRI Face Neck Orbit With Contrast	10	10	$2,970.30	$2,495.05	$231.04	$1,570.96	$1,570.96	2026-05-09
59515	CPT	Cesarean Delivery Only Including Postpartum Care 59515	6	6	$3,939.70	$3,309.35	$1,162.70	$2,100.11	$1,569.64	2026-05-09
35272127	OTHER	CT Spine Cervical With + Without Contrast	10	10	$3,032.10	$2,546.96	$154.24	$1,562.85	$1,562.85	2026-05-09
27130	CPT	Charge For Total Hip Arthroplasty 27130	6	6	$4,804.50	$4,035.78	$1,154.08	$2,429.18	$1,558.01	2026-05-09
27447	CPT	Charge For Total Knee Arthroplasty 27447	6	6	$4,802.10	$4,033.76	$1,152.73	$2,427.57	$1,556.18	2026-05-09
63042	CPT	Laminotomy Single Lumbar 63042	6	6	$4,502.90	$3,782.44	$1,146.70	$2,309.22	$1,548.05	2026-05-09
98249186	OTHER	Open Exc/dstrj Intra-abdl Tumor/cst 5 Cm Or Less(49186)	6	6	$2,880.30	$2,419.45	$1,171.34	$1,639.88	$1,535.45	2026-05-09
61472196	OTHER	MRI Pelvis With Contrast	10	10	$2,890.50	$2,428.02	$235.00	$1,533.85	$1,533.85	2026-05-09
61472195	OTHER	MRI Pelvis Without Contrast	10	10	$2,903.90	$2,439.28	$211.96	$1,528.89	$1,528.89	2026-05-09
30687633	OTHER	.Pneumonia Panel	10	10	$2,686.00	$2,256.24	$416.78	$1,524.53	$1,524.53	2026-05-09
98227724	OTHER	Repair Non/mal Tibia W/iliac/oth Agrft 27724	6	6	$4,122.70	$3,463.07	$1,127.02	$2,152.81	$1,521.48	2026-05-09
98749999	OTHER	Unlisted Abdomen Surgery Procedure (49999)	2	2	$2,830.30	$2,377.45	$1,521.29	$1,521.29	$1,521.29	2026-05-09
500580	OTHER	Rdt Simple Imrt Ifc 77385	10	10	$2,557.70	$2,148.47	$507.55	$1,507.05	$1,507.05	2026-05-09
500581	OTHER	Rdt Complex Imrt Ifc 77386	10	10	$2,557.70	$2,148.47	$507.55	$1,507.05	$1,507.05	2026-05-09
23616	CPT	Treat Humerus Fracture W/prosthetic Replacemt 23616	6	6	$4,393.00	$3,690.12	$1,112.84	$2,249.92	$1,502.34	2026-05-09
SLKNEE	OTHER	Smartlipo Knees-inner	7	7	$2,339.98	$1,965.58	$1,502.27	$1,502.27	$1,502.27	2026-05-09
SLNKCH	OTHER	Smartlipo Neck/chin	7	7	$2,339.98	$1,965.58	$1,502.27	$1,502.27	$1,502.27	2026-05-09
SLINTGH	OTHER	Smartlipo Inner Thigh	7	7	$2,339.98	$1,965.58	$1,502.27	$1,502.27	$1,502.27	2026-05-09
SLBACK	OTHER	Smartlipo Back Bra Fat	7	7	$2,339.98	$1,965.58	$1,502.27	$1,502.27	$1,502.27	2026-05-09
58152	CPT	Total Abd. Hysterectomy With Or Without Removal Of Tube(s) Or Ovary(s) W/colpo-urethro…	6	6	$3,763.30	$3,161.17	$1,112.55	$2,007.03	$1,501.94	2026-05-09
96039561	OTHER	Resection Diaphragm W/complx Repair 39561	6	6	$3,679.70	$3,090.95	$1,110.81	$1,973.93	$1,499.59	2026-05-09
27244	CPT	Treat Thigh Fracture W/plate/screw Implant 27244	6	6	$4,360.60	$3,662.90	$1,106.27	$2,234.14	$1,493.47	2026-05-09
27245	CPT	Treat Thigh Fracture W/intramedullary Implant 27245	6	6	$4,358.80	$3,661.39	$1,105.06	$2,232.84	$1,491.83	2026-05-09
36162328	OTHER	CT Lumbar Puncture Diagnostic	7	7	$2,309.10	$1,939.64	$1,482.44	$1,482.44	$1,482.44	2026-05-09
98249618	OTHER	Repair Of Ant Abd Hernia Recurrent >10 Cm, Incar(49618)	6	6	$2,951.10	$2,478.92	$1,094.19	$1,586.21	$1,477.16	2026-05-09
58294	CPT	Vaginal Hysterectomy For Uterus Greater Than 250 G With Repair Of Enterocele 582…	6	6	$3,119.98	$2,620.78	$1,093.39	$1,676.98	$1,476.08	2026-05-09
36119082RT	OTHER	Mmch Stereo Each Add Lesion Rt	7	7	$2,282.10	$1,916.96	$1,465.11	$1,465.11	$1,465.11	2026-05-09
36119081	OTHER	Ma Stereo Biopsy 1st Lesion Bil	21	7	$2,282.10	$1,916.96	$1,465.11	$2,930.03	$1,465.11	2026-05-09
36119082LT	OTHER	Mmch Stereo Each Add Lesion Lt	7	7	$2,282.10	$1,916.96	$1,465.11	$1,465.11	$1,465.11	2026-05-09
27488	CPT	Removal Of Knee Prosthesis 27488	6	6	$4,256.70	$3,575.63	$1,082.50	$2,182.21	$1,461.38	2026-05-09
50715	CPT	Release Of Ureter 50715	6	6	$2,810.06	$2,360.45	$1,083.90	$1,517.46	$1,459.74	2026-05-09
23470	CPT	Reconstruct Glenohumeral Shoulder Joint 23470	6	6	$4,254.50	$3,573.78	$1,079.75	$2,179.99	$1,457.66	2026-05-09
36128010	OTHER	Wc Incision Of Toe Tendon	10	10	$2,636.30	$2,214.49	$329.12	$1,456.35	$1,456.35	2026-05-09
27236	CPT	Treat Open Femoral Fracture 27236	6	6	$4,236.60	$3,558.74	$1,075.49	$2,170.95	$1,451.91	2026-05-09
27536	CPT	Treat Open Tibial Knee Fracture Without Int Fix 27536	6	6	$4,211.50	$3,537.66	$1,071.64	$2,159.36	$1,446.72	2026-05-09
16508	CPT	Large Quick Coupling	7	7	$2,240.70	$1,882.19	$1,438.53	$1,438.53	$1,438.53	2026-05-09
44320	CPT	Colostomy	6	6	$2,819.42	$2,368.31	$1,065.56	$1,515.43	$1,438.51	2026-05-09
98244320	OTHER	Colostomy/skin Level Cecostomy	6	6	$4,087.00	$3,433.08	$1,065.56	$2,108.32	$1,438.51	2026-05-09
44346	CPT	Revision Of Colostomy/hernia Repair	6	6	$2,839.18	$2,384.91	$1,051.18	$1,526.06	$1,419.09	2026-05-09
36036569	OTHER	36569 Picc Insertion Without Imaging Charge	10	10	$2,562.30	$2,152.33	$318.54	$1,414.80	$1,414.80	2026-05-09
44125	CPT	Enterectomy, Resc Sm Intest,enterostomy	6	6	$2,848.54	$2,392.77	$1,042.11	$1,531.09	$1,406.85	2026-05-09
8761	OTHER	Head Femoral 12/14 32mm	10	10	$2,725.03	$2,289.03	$134.40	$1,402.46	$1,402.46	2026-05-09
5614	OTHER	Stem Conquest Frct Sz-9 125mm	10	10	$2,717.00	$2,282.28	$134.40	$1,398.53	$1,398.53	2026-05-09
5623	OTHER	Stem Conquest Frct Sz-18 150mm	10	10	$2,717.00	$2,282.28	$134.40	$1,398.53	$1,398.53	2026-05-09
58290	CPT	Vaginal Hysterectomy For Uterus Greater Than 250 G 58290	6	6	$3,261.40	$2,739.58	$1,034.24	$1,753.01	$1,396.22	2026-05-09
27446	CPT	Revision Of Knee Joint 27446	6	6	$4,107.80	$3,450.55	$1,034.11	$2,100.61	$1,396.05	2026-05-09
19929	CPT	Altrx Neut 36idx64od	10	10	$2,706.87	$2,273.77	$134.40	$1,393.57	$1,393.57	2026-05-09
19196	CPT	Altrx Neut 28idx46od	10	10	$2,706.87	$2,273.77	$134.40	$1,393.57	$1,393.57	2026-05-09
18934	CPT	Altrx Neut 32idx52od	10	10	$2,706.87	$2,273.77	$134.40	$1,393.57	$1,393.57	2026-05-09
18912	CPT	Altrx Neut 36idx58od	10	10	$2,706.87	$2,273.77	$134.40	$1,393.57	$1,393.57	2026-05-09
18870	CPT	Altrx Neut 32idx500d	10	10	$2,706.87	$2,273.77	$134.40	$1,393.57	$1,393.57	2026-05-09
18679	CPT	Altrx Neut 32idx48od	10	10	$2,706.87	$2,273.77	$134.40	$1,393.57	$1,393.57	2026-05-09
18372	CPT	Altrx Neut 32idx540d	10	10	$2,706.87	$2,273.77	$134.40	$1,393.57	$1,393.57	2026-05-09
18325	CPT	Altrx Neut 36idx60od	10	10	$2,706.87	$2,273.77	$134.40	$1,393.57	$1,393.57	2026-05-09
18774	CPT	Altrx Neut 32idx56od	10	10	$2,706.87	$2,273.77	$134.40	$1,393.57	$1,393.57	2026-05-09
18455	CPT	Implant Package X-small Toemate	10	10	$2,700.33	$2,268.28	$134.40	$1,390.36	$1,390.36	2026-05-09
14227	CPT	12mm Cann Fixation Nail Left	10	10	$2,695.42	$2,264.15	$134.40	$1,387.95	$1,387.95	2026-05-09
6684	OTHER	Rod Ttrach 11 X 130 400mm Rght	10	10	$2,695.42	$2,264.15	$134.40	$1,387.95	$1,387.95	2026-05-09
7552	OTHER	Nail Troch Fix Left Lg 400-130	10	10	$2,695.42	$2,264.15	$134.40	$1,387.95	$1,387.95	2026-05-09
17423	CPT	G7 Dual Mobility Liner 38mm C	10	10	$2,695.34	$2,264.09	$134.40	$1,387.91	$1,387.91	2026-05-09
17205	CPT	G7 Dual Mobility Liner 44 Mm F	10	10	$2,695.34	$2,264.09	$134.40	$1,387.91	$1,387.91	2026-05-09
20692	CPT	Apply Multiplane Bone Fixation Device 20692	6	6	$3,993.60	$3,354.62	$1,027.62	$2,053.34	$1,387.29	2026-05-09
7521	OTHER	Nail Tibial Ex 9mm X 315mm	10	10	$2,691.11	$2,260.53	$134.40	$1,385.85	$1,385.85	2026-05-09
20007	CPT	Univers Revers Suture Cup 36 Neutra	10	10	$2,682.98	$2,253.70	$134.40	$1,381.86	$1,381.86	2026-05-09
27125	CPT	Partial Hip Replacement 27125	6	6	$4,016.70	$3,374.03	$1,020.43	$2,058.66	$1,377.58	2026-05-09
98727495	OTHER	Prophylactic Trtmnt W Or Without Methylmethacrylate Femur 27495	6	6	$3,992.70	$3,353.87	$1,019.27	$2,048.82	$1,376.01	2026-05-09
28415	CPT	Treat Heel Fracture 28415	6	6	$2,673.82	$2,246.01	$1,018.88	$1,437.18	$1,375.49	2026-05-09
17496	CPT	Vanguard Cr Ilok Fem - Left 55	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17297	CPT	Vanguard Cr Ilok Fem-lt 70	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
183113	OTHER	Van Ps Open Intl Fem-rt 72.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
18920	CPT	Van Ps Open Intl Fem-lt 57.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
18970	CPT	Vngd Ps Open Intl Fem Rt 70	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
19002	CPT	Vngd Ps Open Intl Fem Rt 60	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
19169	CPT	Van Ps Open Intl Fem-lt 60	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
18810	CPT	Van Ps Open Intl Fem-rt 65	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
18858	CPT	Van Ps Open Intl Fem-lt 70	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
18892	CPT	'van Ps Open Intl Fem Lt 62.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
18638	CPT	Van Ps Open Intl Fem-lt 67.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
18618	CPT	Vanguard Cm Ilok Fem Right 75mm	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
18503	CPT	Van Ps Open Intl Fem-rt 62.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
18074	CPT	Vanguard Cr Ilok Fem-left 75	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17768	CPT	Vanguard Cr Ilok Fem-lt 60	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17725	CPT	Vanguard Cr Ilok Fem Left 57.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17814	CPT	Vanguard Cr Ilok Fem-rt 57.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17494	CPT	Vanguard Cr Ilok Fem - Left 65	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17477	CPT	Vanguard Cr Ilok Fem Right 60	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17286	CPT	Vanguard Cr Ilok Fem-rt 70	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17254	CPT	Vanguard Cr Ilok Fem-left 72.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17219	CPT	Vanguard Cr Ilok Fem-rt 65	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17187	CPT	Vanguard Cr Ilok Fem-rt 72.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17122	CPT	Vngd Cr Intlk Femoral 55mm Rt	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17191	CPT	Vanguard Cr Ilok Fem-rt 67.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17236	CPT	Vanguard Cr Ilok Fem-rt 62.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17100	CPT	Vanguard Cr Ilok Fem-lt 67.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
17058	CPT	Vanguard Cr Ilok Fem-lt 62.5	10	10	$2,669.63	$2,242.49	$134.40	$1,375.32	$1,375.32	2026-05-09
98219305	OTHER	Mast Rad W/pectoral Muscles Axillary Lymph Nodes (19305)	6	6	$3,534.20	$2,968.73	$1,016.72	$1,870.80	$1,372.58	2026-05-09
59135	CPT	Surgical Tx Of Ectopic Pregnancyinterstitialuterine Pregnancy Req Total Hysterec…	2	2	$2,547.98	$2,140.30	$1,369.54	$1,369.54	$1,369.54	2026-05-09
14054	CPT	Clavicle Plate 8-hole Lg Rt	10	10	$2,657.61	$2,232.39	$134.40	$1,369.43	$1,369.43	2026-05-09
17414	CPT	Smart Toe Dip Implant 13mm	10	10	$2,652.27	$2,227.91	$134.40	$1,366.81	$1,366.81	2026-05-09
98227827	OTHER	Open Trtmnt Of Fracture Of Weight Bearing Articular Surface Of Distal Tibia W In…	6	6	$3,783.30	$3,177.97	$1,012.41	$1,964.66	$1,366.75	2026-05-09
98127827	OTHER	Open Tx Of Fx Of Weight Bearing Articular Surface Portion Of	6	6	$2,848.00	$2,392.32	$1,012.41	$1,530.80	$1,366.75	2026-05-09
98721601	OTHER	Excision Chest Wall Tumor Include Ribs 21601	6	6	$3,944.50	$3,313.38	$1,011.10	$2,026.15	$1,364.99	2026-05-09
14372	CPT	Psn Asf Cr 12mm Ve L 3-11ef	10	10	$2,646.26	$2,222.86	$134.40	$1,363.87	$1,363.87	2026-05-09
15387	CPT	Persona Knee System 13mm Left	10	10	$2,646.26	$2,222.86	$134.40	$1,363.87	$1,363.87	2026-05-09
15288	CPT	Psn Asf Cr 14mm Ve L 3-9 Cd	10	10	$2,646.26	$2,222.86	$134.40	$1,363.87	$1,363.87	2026-05-09
15076	CPT	Persona Knee System 12mm Left	10	10	$2,646.26	$2,222.86	$134.40	$1,363.87	$1,363.87	2026-05-09
14637	CPT	Psn Asf Cr 13mm Ve L 3-11ef	10	10	$2,646.26	$2,222.86	$134.40	$1,363.87	$1,363.87	2026-05-09
98243332	OTHER	Transab Esoph Hiat Hern Rpr	6	6	$2,805.30	$2,356.45	$1,009.09	$1,507.85	$1,362.28	2026-05-09
98758553	OTHER	Laparoscopy Surgical With Vaginal Hysterectomy For Uterus Greater Than 250 Grams…	6	6	$3,903.50	$3,278.94	$1,006.68	$2,008.14	$1,359.01	2026-05-09
12290	CPT	Lgn High Flex Xlpe Sz 1-2 15mm	10	10	$2,625.72	$2,205.60	$134.40	$1,353.81	$1,353.81	2026-05-09
10722	CPT	Lgn Ps Hi Flex Xlpe Sz 3-4 13m	10	10	$2,625.72	$2,205.60	$134.40	$1,353.81	$1,353.81	2026-05-09
15282	CPT	Legion Size 1-2 12mm	10	10	$2,625.72	$2,205.60	$134.40	$1,353.81	$1,353.81	2026-05-09
18150	CPT	G7 Dual Mobility Liner 46mm G	10	10	$2,625.57	$2,205.48	$134.40	$1,353.73	$1,353.73	2026-05-09
17637	CPT	G7 Dual Mobility Liner 42mm E	10	10	$2,625.57	$2,205.48	$134.40	$1,353.73	$1,353.73	2026-05-09
17500	CPT	G7 Dual Mobility Liner 40mm D	10	10	$2,625.57	$2,205.48	$134.40	$1,353.73	$1,353.73	2026-05-09
17335	CPT	G7 Dual Mobility Liner 46mm G	10	10	$2,625.57	$2,205.48	$134.40	$1,353.73	$1,353.73	2026-05-09
17200	CPT	G7 Dual Mobility Liner	10	10	$2,625.57	$2,205.48	$134.40	$1,353.73	$1,353.73	2026-05-09
19065	CPT	Z Nail Cpm 10mmx34cm 130l	10	10	$2,624.90	$2,204.92	$134.40	$1,353.40	$1,353.40	2026-05-09
38100	CPT	Splenectomy Total 38100	6	6	$2,571.50	$2,160.06	$1,016.54	$1,423.16	$1,351.84	2026-05-09
7433	OTHER	Fem Hd Oxinium 12/14 36mm +0	10	10	$2,609.55	$2,192.02	$134.40	$1,345.88	$1,345.88	2026-05-09
7473	OTHER	Oxinium Fem Hd 12/14 36 Mm L/+8	10	10	$2,609.55	$2,192.02	$134.40	$1,345.88	$1,345.88	2026-05-09
6903	OTHER	Fem Head Ox 12/14 Tpr 32mm	10	10	$2,609.55	$2,192.02	$134.40	$1,345.88	$1,345.88	2026-05-09
7517	OTHER	Femoral Ox Hd 12/14 36mm +4	10	10	$2,609.55	$2,192.02	$134.40	$1,345.88	$1,345.88	2026-05-09
11269	CPT	Head Oxinium Modular 44mm	10	10	$2,609.55	$2,192.02	$134.40	$1,345.88	$1,345.88	2026-05-09
11135	CPT	Head Oxinium Modular 40mm	10	10	$2,609.55	$2,192.02	$134.40	$1,345.88	$1,345.88	2026-05-09
8170	OTHER	Fem Hd Oxinium 12/14 36mm -3	10	10	$2,609.55	$2,192.02	$134.40	$1,345.88	$1,345.88	2026-05-09
6271	OTHER	Head Oxinium +4mm	10	10	$2,609.55	$2,192.02	$134.40	$1,345.88	$1,345.88	2026-05-09
16673	CPT	Oxinium Fem Head 12/14 28mm +0	10	10	$2,609.55	$2,192.02	$134.40	$1,345.88	$1,345.88	2026-05-09
98227122	OTHER	Acetabuloplast, Resection, Femoral Head (27122)	6	6	$3,000.00	$2,520.00	$994.51	$1,612.50	$1,342.59	2026-05-09
96047564	OTHER	47564 Laparoscopy, Surgical; Cholecystectomy With Exploration Of Common Duct Pro	6	6	$2,609.20	$2,191.73	$991.64	$1,402.44	$1,338.72	2026-05-09
18508	CPT	10mm Ti Cann Tibial Nail -ex W/prox 330mm	10	10	$2,592.86	$2,178.00	$134.40	$1,337.70	$1,337.70	2026-05-09
HR014-6	OTHER	Hair Removal, Arms W/hands Pkg 6	7	7	$2,079.98	$1,747.18	$1,335.35	$1,335.35	$1,335.35	2026-05-09
36164454	OTHER	Injection Aa and/STRD Genicular Nrv Branches W/img Tech (64454)	7	7	$2,078.94	$1,746.31	$1,334.68	$1,334.68	$1,334.68	2026-05-09
J92172	OTHER	Lupron Depot 22.5 Mg, (j9217)	7	7	$2,076.08	$1,743.91	$1,332.85	$1,332.85	$1,332.85	2026-05-09
35170488	OTHER	CT Maxillofacial With + Without Contrast	10	10	$2,556.80	$2,147.71	$159.20	$1,332.43	$1,332.43	2026-05-09
96044160	OTHER	44160 Colectomy, Partial, With Removal Of Terminal Ileum With Ileocolostomy ProF	6	6	$2,478.70	$2,082.11	$1,099.50	$1,539.30	$1,332.30	2026-05-09
96044602	OTHER	44602 Suture Of Small Intestine (enterorrhaphy) For Perforated Ulcer, Diverticul	6	6	$1,695.90	$1,424.56	$1,123.80	$1,732.05	$1,329.97	2026-05-09
15795	CPT	Tissue Expander 354-9215	10	10	$2,562.83	$2,152.78	$134.40	$1,322.98	$1,322.98	2026-05-09
17565	CPT	Breast Tissue Expander 9214	10	10	$2,562.83	$2,152.78	$134.40	$1,322.98	$1,322.98	2026-05-09
17535	CPT	Tissue Expander 354-9216	10	10	$2,562.83	$2,152.78	$134.40	$1,322.98	$1,322.98	2026-05-09
17566	CPT	Breast Tissue Expander 9213	10	10	$2,562.83	$2,152.78	$134.40	$1,322.98	$1,322.98	2026-05-09
63047	CPT	Remove Spine Lamina 1 Lmbr 63047	6	6	$3,811.50	$3,201.66	$979.46	$1,959.07	$1,322.27	2026-05-09
17599	CPT	Stagraft Dbm Putty 5cc	10	10	$2,556.15	$2,147.17	$134.40	$1,319.71	$1,319.71	2026-05-09
14357	CPT	3.5 Plate Prox Hum 6-hole Rght	10	10	$2,549.74	$2,141.78	$134.40	$1,316.58	$1,316.58	2026-05-09
15170	CPT	6 X 8 Echo Ventrlght Mesh	10	10	$2,529.45	$2,124.74	$134.40	$1,306.63	$1,306.63	2026-05-09
36149083	OTHER	CT Paracentesis	10	10	$2,327.50	$1,955.10	$329.12	$1,305.04	$1,305.04	2026-05-09
96043840	OTHER	43840 Gastrorrhaphy, Suture Of Perforated Duodenal Or Gastric Ulcer, Wound, Or I	6	6	$2,283.10	$1,917.80	$1,202.26	$1,683.16	$1,304.88	2026-05-09
96044005	OTHER	44005 Enterolysis (freeing Of Intestinal Adhesion) (separate Procedure) ProFee	6	6	$3,202.80	$2,690.35	$964.99	$1,717.17	$1,302.74	2026-05-09
44005	CPT	Freeing Of Bowel Adhesion	6	6	$2,553.18	$2,144.67	$964.99	$1,372.34	$1,302.74	2026-05-09
29827	CPT	Arthroscop Rotator Cuff Repr 29827	6	6	$3,769.90	$3,166.72	$964.87	$1,935.73	$1,302.57	2026-05-09
17854	CPT	4 Peg Mod Glen Lt Aug Sz 5	10	10	$2,519.44	$2,116.33	$134.40	$1,301.72	$1,301.72	2026-05-09
58267	CPT	Vag. Hysterectomyuterus 250 G Or Less With Colpo-urethrocystopexy With Without Endosco…	6	6	$3,119.98	$2,620.78	$961.91	$1,676.98	$1,298.58	2026-05-09
25609	CPT	Treat Fx Radial 3+ Frag 25609	6	6	$3,722.30	$3,126.73	$959.97	$1,914.93	$1,295.96	2026-05-09
15680	CPT	Biocleanse Semitendinou Tendon	10	10	$2,502.75	$2,102.31	$134.40	$1,293.55	$1,293.55	2026-05-09
18008	CPT	Dxtend Humeral Spacer +9mm	10	10	$2,502.75	$2,102.31	$134.40	$1,293.55	$1,293.55	2026-05-09
13776	CPT	Semitendinosus Tendon Bioclean	10	10	$2,502.75	$2,102.31	$134.40	$1,293.55	$1,293.55	2026-05-09
29806	CPT	Shoulder Arthroscopy/surgery 29806	6	6	$3,753.40	$3,152.86	$956.85	$1,925.36	$1,291.75	2026-05-09
15071	CPT	Tissue Expander 750cc	10	10	$2,496.08	$2,096.71	$134.40	$1,290.28	$1,290.28	2026-05-09
19427	CPT	K-less T-rope W/drv Syn Repr, Ti	10	10	$2,495.41	$2,096.14	$134.40	$1,289.95	$1,289.95	2026-05-09
18782	CPT	K-less T-rope W/drv Syn Repr Ss	10	10	$2,495.41	$2,096.14	$134.40	$1,289.95	$1,289.95	2026-05-09

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