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

HOLTON COMMUNITY HOSPITAL

Holton, KS · CCN 171319 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Replacement of knee joint, both sides of knee

This hospital’s price: $14,769 across 17 payers · range $1,056-$27,590

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHCHHOLTONKS&type=CDMWithoutLabel&fileType=CSV · observed 2026-04-23

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.

4,099 distinct procedures filed
26 distinct payers
87,738 rate rows
2026-04-23 last MRF observed
Data quality

86,953 of 87,738 rate rows are consumer-grade (99.1%)

785 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
percent-of-charges filed in the dollar field — excluded from medians 256
template filing: same amount across many unrelated codes — excluded 194
per-diem day rate — not a per-procedure price 115
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 105
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 65
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 17
exceeds 10× this hospital's gross charge — excluded from medians 17
exceeds 3× this hospital's gross charge for a DRG stay — excluded 15
placeholder amount (≤ $0.02) — 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=dbHCHHOLTONKS&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Holton_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint bccdcfbbbf55ce6b… · 35,251,726 bytes · first seen 2026-05-06

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
3602543_1
CDM 		Operating Room Services - General Classification 12 $33,125.00 $59,375.00 $47,187.50 nat. median
$47,188
1.0× median
3602540_1
CDM 		Operating Room Services - General Classification 12 $30,475.00 $54,625.00 $43,412.50 nat. median
$43,412
1.0× median
3602537_1
CDM 		Operating Room Services - General Classification 12 $27,825.00 $49,875.00 $39,637.50 nat. median
$39,638
1.0× median
3602534_1
CDM 		Operating Room Services - General Classification 12 $25,175.00 $45,125.00 $35,862.50 nat. median
$35,862
1.0× median
3602531_1
CDM 		Operating Room Services - General Classification 12 $22,525.00 $40,375.00 $32,087.50 nat. median
$32,088
1.0× median
3602528_1
CDM 		Operating Room Services - General Classification 12 $19,875.00 $35,625.00 $28,312.50 nat. median
$28,312
1.0× median
3602525_1
CDM 		Operating Room Services - General Classification 12 $17,225.00 $30,875.00 $24,537.50 nat. median
$24,538
1.0× median
3602542_1
CDM 		Operating Room Services - General Classification 12 $15,900.00 $28,500.00 $22,650.00 nat. median
$22,650
1.0× median
3602539_1
CDM 		Operating Room Services - General Classification 12 $14,628.00 $26,220.00 $20,838.00 nat. median
$20,838
1.0× median
3602522_1
CDM 		Operating Room Services - General Classification 12 $14,575.00 $26,125.00 $20,762.50 nat. median
$20,762
1.0× median
3602536_1
CDM 		Operating Room Services - General Classification 12 $13,356.00 $23,940.00 $19,026.00 nat. median
$19,026
1.0× median
C1762
HCPCS 		Connective Tissue, Human (includes Fascia Lata) 16 $11,022.62 $25,997.40 $18,457.92 nat. median
$2,933
outlier · 6.3×
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 11 $6,944.04 $21,717.69 $18,381.97 nat. median
$19,883
0.9× median
3602533_1
CDM 		Operating Room Services - General Classification 12 $12,084.00 $21,660.00 $17,214.00 nat. median
$17,214
1.0× median
3602519_1
CDM 		Operating Room Services - General Classification 12 $11,925.00 $21,375.00 $16,987.50 nat. median
$16,988
1.0× median
3602530_1
CDM 		Operating Room Services - General Classification 12 $10,812.00 $19,380.00 $15,402.00 nat. median
$15,402
1.0× median
27447
HCPCS 		Replacement Of Knee Joint, Both Sides Of Knee 17 $1,055.62 $27,590.00 $14,768.93 nat. median
$12,699
1.2× median
27130
HCPCS 		Replacement Of Thigh Bone And Hip Joint With Prosthesis 16 $1,057.63 $27,590.00 $14,768.93 nat. median
$13,040
1.1× median
27134
HCPCS 		Revision Of Thigh Bone And Hip Joint Prosthesis 16 $1,543.42 $27,130.00 $14,522.69 nat. median
$9,285
1.6× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 17 $156.63 $17,263.13 $14,328.40 nat. median
$3,475
outlier · 4.1×
3602527_1
CDM 		Operating Room Services - General Classification 12 $9,540.00 $17,100.00 $13,590.00 nat. median
$13,590
1.0× median
58571
HCPCS 		Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 17 $6,857.00 $15,932.00 $13,223.56 nat. median
$9,785
1.4× median
3602516_1
CDM 		Operating Room Services - General Classification 12 $9,275.00 $16,625.00 $13,212.50 nat. median
$13,212
1.0× median
3602524_1
CDM 		Operating Room Services - General Classification 12 $8,268.00 $14,820.00 $11,778.00 nat. median
$11,778
1.0× median
43281
HCPCS 		Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 17 $7,148.11 $13,487.00 $11,194.21 nat. median
$10,128
1.1× median
C1889
HCPCS 		Implantable/insertable Device, Not Otherwise Classified 16 $6,997.59 $13,203.00 $10,958.49 nat. median
$2,377
outlier · 4.6×
J0517
HCPCS 		Injection, Benralizumab, 1 Mg 17 $206.27 $12,542.14 $10,409.98 nat. median
$801
outlier · 13.0×
43659
HCPCS 		Other Procedure On Stomach Using An Endoscope 16 $721.00 $16,490.00 $10,063.85 nat. median
$6,481
1.6× median
3602521_1
CDM 		Operating Room Services - General Classification 12 $6,996.00 $12,540.00 $9,966.00 nat. median
$9,966
1.0× median
3602541_1
CDM 		Operating Room Services - General Classification 12 $6,890.00 $12,350.00 $9,815.00 nat. median
$9,815
1.0× median
27766
HCPCS 		Treatment Of Inside Portion Of Broken Shin Bone At Ankle 17 $528.93 $17,807.00 $9,532.09 nat. median
$7,019
1.4× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 11 $4,053.96 $27,302.99 $9,447.06 nat. median
$12,112
0.8× median
3602513_1
CDM 		Operating Room Services - General Classification 12 $6,625.00 $11,875.00 $9,437.50 nat. median
$9,438
1.0× median
43280
HCPCS 		Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 17 $5,817.28 $10,976.00 $9,110.08 nat. median
$10,017
0.9× median
3602538_1
CDM 		Operating Room Services - General Classification 12 $6,338.80 $11,362.00 $9,029.80 nat. median
$9,030
1.0× median
19303
HCPCS 		Simple Complete Removal Of Breast 17 $5,757.92 $10,864.00 $9,017.12 nat. median
$6,213
1.5× median
19302
HCPCS 		Partial Removal Of Breast And Underarm Lymph Nodes 17 $5,713.93 $10,781.00 $8,948.23 nat. median
$6,521
1.4× median
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 12 $2,894.04 $30,758.16 $8,924.64 nat. median
$9,110
1.0× median
49653
HCPCS 		Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 17 $363.37 $13,374.00 $8,828.00 nat. median
$5,374
1.6× median
29807
HCPCS 		Repair Of Shoulder Socket Using An Endoscope 17 $867.25 $16,330.00 $8,741.45 nat. median
$7,107
1.2× median
49657
HCPCS 		Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia (includes Mesh Insert… 17 $484.25 $12,932.00 $8,536.00 nat. median
$6,388
1.3× median
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 17 $10.21 $10,259.28 $8,515.20 nat. median
$1,187
outlier · 7.2×
3602535_1
CDM 		Operating Room Services - General Classification 12 $5,787.60 $10,374.00 $8,244.60 nat. median
$8,245
1.0× median
57288
HCPCS 		Creation Of Sling Around Urethra In Female To Control Leakage 17 $5,232.16 $9,872.00 $8,193.76 nat. median
$5,134
1.6× median
3602518_1
CDM 		Operating Room Services - General Classification 12 $5,724.00 $10,260.00 $8,154.00 nat. median
$8,154
1.0× median
28118
HCPCS 		Removal Of Heel Bone 17 $5,199.30 $9,810.00 $8,142.30 nat. median
$3,420
outlier · 2.4×
27446
HCPCS 		Replacement Of Knee Joint On Side Of Knee 17 $866.69 $14,126.00 $7,561.65 nat. median
$12,452
0.6× median
3602532_1
CDM 		Operating Room Services - General Classification 12 $5,236.40 $9,386.00 $7,459.40 nat. median
$7,459
1.0× median
57250
HCPCS 		Repair Of Herniated Rectum Into Vaginal Wall 16 $4,758.34 $8,978.00 $7,451.74 nat. median
$4,861
1.5× median
29827
HCPCS 		Repair Of Shoulder Rotator Cuff Using An Endoscope 17 $890.57 $13,910.00 $7,446.02 nat. median
$7,177
1.0× median

Other procedures at this hospital

Browse this hospital's 4,099 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
             
3602543_1 CDM Operating Room Services - General Classification 12 12 $62,500.00 $46,875.00 25% off $33,125.00 $59,375.00 $47,187.50 2026-04-23
3602540_1 CDM Operating Room Services - General Classification 12 12 $57,500.00 $43,125.00 25% off $30,475.00 $54,625.00 $43,412.50 2026-04-23
3602537_1 CDM Operating Room Services - General Classification 12 12 $52,500.00 $39,375.00 25% off $27,825.00 $49,875.00 $39,637.50 2026-04-23
3602534_1 CDM Operating Room Services - General Classification 12 12 $47,500.00 $35,625.00 25% off $25,175.00 $45,125.00 $35,862.50 2026-04-23
3602531_1 CDM Operating Room Services - General Classification 12 12 $42,500.00 $31,875.00 25% off $22,525.00 $40,375.00 $32,087.50 2026-04-23
3602528_1 CDM Operating Room Services - General Classification 12 12 $37,500.00 $28,125.00 25% off $19,875.00 $35,625.00 $28,312.50 2026-04-23
3602525_1 CDM Operating Room Services - General Classification 12 12 $32,500.00 $24,375.00 25% off $17,225.00 $30,875.00 $24,537.50 2026-04-23
3602542_1 CDM Operating Room Services - General Classification 12 12 $30,000.00 $22,500.00 25% off $15,900.00 $28,500.00 $22,650.00 2026-04-23
3602539_1 CDM Operating Room Services - General Classification 12 12 $27,600.00 $20,700.00 25% off $14,628.00 $26,220.00 $20,838.00 2026-04-23
3602522_1 CDM Operating Room Services - General Classification 12 12 $27,500.00 $20,625.00 25% off $14,575.00 $26,125.00 $20,762.50 2026-04-23
3602536_1 CDM Operating Room Services - General Classification 12 12 $25,200.00 $18,900.00 25% off $13,356.00 $23,940.00 $19,026.00 2026-04-23
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 32 16 $23,397.40 $17,548.05 25% off $11,022.62 $25,997.40 $18,457.92 2026-04-23
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 11 11 $22,146.95 $16,610.21 25% off $6,944.04 $21,717.69 $18,381.97 2026-04-23
3602533_1 CDM Operating Room Services - General Classification 12 12 $22,800.00 $17,100.00 25% off $12,084.00 $21,660.00 $17,214.00 2026-04-23
3602519_1 CDM Operating Room Services - General Classification 12 12 $22,500.00 $16,875.00 25% off $11,925.00 $21,375.00 $16,987.50 2026-04-23
3602530_1 CDM Operating Room Services - General Classification 12 12 $20,400.00 $15,300.00 25% off $10,812.00 $19,380.00 $15,402.00 2026-04-23
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 26 16 $27,590.00 $20,692.50 25% off $1,057.63 $27,590.00 $14,768.93 2026-04-23
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 27 17 $27,590.00 $20,692.50 25% off $1,055.62 $27,590.00 $14,768.93 2026-04-23
27134 HCPCS Revision Of Thigh Bone And Hip Joint Prosthesis 26 16 $27,130.00 $20,347.50 25% off $1,543.42 $27,130.00 $14,522.69 2026-04-23
J3101 HCPCS Injection, Tenecteplase, 1 Mg 17 17 $17,263.13 $12,947.35 25% off $156.63 $17,263.13 $14,328.40 2026-04-23
3602527_1 CDM Operating Room Services - General Classification 12 12 $18,000.00 $13,500.00 25% off $9,540.00 $17,100.00 $13,590.00 2026-04-23
58571 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 17 17 $15,932.00 $11,949.00 25% off $6,857.00 $15,932.00 $13,223.56 2026-04-23
3602516_1 CDM Operating Room Services - General Classification 12 12 $17,500.00 $13,125.00 25% off $9,275.00 $16,625.00 $13,212.50 2026-04-23
3602524_1 CDM Operating Room Services - General Classification 12 12 $15,600.00 $11,700.00 25% off $8,268.00 $14,820.00 $11,778.00 2026-04-23
43281 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 17 17 $13,487.00 $10,115.25 25% off $7,148.11 $13,487.00 $11,194.21 2026-04-23
C1889 HCPCS Implantable/insertable Device, Not Otherwise Classified 16 16 $13,203.00 $9,902.25 25% off $6,997.59 $13,203.00 $10,958.49 2026-04-23
J0517 HCPCS Injection, Benralizumab, 1 Mg 17 17 $12,542.14 $9,406.61 25% off $206.27 $12,542.14 $10,409.98 2026-04-23
43659 HCPCS Other Procedure On Stomach Using An Endoscope 22 16 $16,490.00 $12,367.50 25% off $721.00 $16,490.00 $10,063.85 2026-04-23
3602521_1 CDM Operating Room Services - General Classification 12 12 $13,200.00 $9,900.00 25% off $6,996.00 $12,540.00 $9,966.00 2026-04-23
3602541_1 CDM Operating Room Services - General Classification 12 12 $13,000.00 $9,750.00 25% off $6,890.00 $12,350.00 $9,815.00 2026-04-23
27766 HCPCS Treatment Of Inside Portion Of Broken Shin Bone At Ankle 27 17 $17,807.00 $13,355.25 25% off $528.93 $17,807.00 $9,532.09 2026-04-23
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 11 11 $30,336.66 $22,752.50 25% off $4,053.96 $27,302.99 $9,447.06 2026-04-23
3602513_1 CDM Operating Room Services - General Classification 12 12 $12,500.00 $9,375.00 25% off $6,625.00 $11,875.00 $9,437.50 2026-04-23
43280 HCPCS Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 17 17 $10,976.00 $8,232.00 25% off $5,817.28 $10,976.00 $9,110.08 2026-04-23
3602538_1 CDM Operating Room Services - General Classification 12 12 $11,960.00 $8,970.00 25% off $6,338.80 $11,362.00 $9,029.80 2026-04-23
19303 HCPCS Simple Complete Removal Of Breast 17 17 $10,864.00 $8,148.00 25% off $5,757.92 $10,864.00 $9,017.12 2026-04-23
19302 HCPCS Partial Removal Of Breast And Underarm Lymph Nodes 17 17 $10,781.00 $8,085.75 25% off $5,713.93 $10,781.00 $8,948.23 2026-04-23
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 12 12 $14,995.16 $11,246.37 25% off $2,894.04 $30,758.16 $8,924.64 2026-04-23
49653 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 23 17 $13,374.00 $10,030.50 25% off $363.37 $13,374.00 $8,828.00 2026-04-23
29807 HCPCS Repair Of Shoulder Socket Using An Endoscope 27 17 $16,330.00 $12,247.50 25% off $867.25 $16,330.00 $8,741.45 2026-04-23
49657 HCPCS Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia (includes Mesh Insert… 23 17 $12,932.00 $9,699.00 25% off $484.25 $12,932.00 $8,536.00 2026-04-23
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 17 17 $10,259.28 $7,694.46 25% off $10.21 $10,259.28 $8,515.20 2026-04-23
3602535_1 CDM Operating Room Services - General Classification 12 12 $10,920.00 $8,190.00 25% off $5,787.60 $10,374.00 $8,244.60 2026-04-23
57288 HCPCS Creation Of Sling Around Urethra In Female To Control Leakage 17 17 $9,872.00 $7,404.00 25% off $5,232.16 $9,872.00 $8,193.76 2026-04-23
3602518_1 CDM Operating Room Services - General Classification 12 12 $10,800.00 $8,100.00 25% off $5,724.00 $10,260.00 $8,154.00 2026-04-23
28118 HCPCS Removal Of Heel Bone 17 17 $9,810.00 $7,357.50 25% off $5,199.30 $9,810.00 $8,142.30 2026-04-23
27446 HCPCS Replacement Of Knee Joint On Side Of Knee 27 17 $14,126.00 $10,594.50 25% off $866.69 $14,126.00 $7,561.65 2026-04-23
3602532_1 CDM Operating Room Services - General Classification 12 12 $9,880.00 $7,410.00 25% off $5,236.40 $9,386.00 $7,459.40 2026-04-23
57250 HCPCS Repair Of Herniated Rectum Into Vaginal Wall 16 16 $8,978.00 $6,733.50 25% off $4,758.34 $8,978.00 $7,451.74 2026-04-23
29827 HCPCS Repair Of Shoulder Rotator Cuff Using An Endoscope 27 17 $13,910.00 $10,432.50 25% off $890.57 $13,910.00 $7,446.02 2026-04-23
27880 HCPCS Amputation Of Both Lower Leg Bones 26 16 $13,900.00 $10,425.00 25% off $684.44 $13,900.00 $7,440.67 2026-04-23
27590 HCPCS Amputation Of Thigh Through Thigh Bone 26 16 $13,900.00 $10,425.00 25% off $650.31 $13,900.00 $7,440.67 2026-04-23
389 MS_DRG Gastrointestinal Obstruction With Cc 11 11 $10,068.74 $7,551.56 25% off $2,843.28 $9,061.87 $7,423.61 2026-04-23
Q4195 HCPCS Puraply, Per Square Centimeter 32 16 $12,740.00 $9,555.00 25% off $1,240.20 $23,140.00 $7,302.10 2026-04-23
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 11 11 $14,411.23 $10,808.42 25% off $4,177.08 $12,970.11 $7,216.02 2026-04-23
49652 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 23 17 $10,811.00 $8,108.25 25% off $465.82 $10,811.00 $7,136.00 2026-04-23
49651 HCPCS Repair Of Recurrent Groin Hernia Using An Endoscope 27 17 $13,266.00 $9,949.50 25% off $445.50 $13,266.00 $7,101.29 2026-04-23
49614 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 26 16 $13,266.00 $9,949.50 25% off $360.74 $13,266.00 $7,101.29 2026-04-23
28805 HCPCS Amputation Of Foot Across Instep 27 17 $13,150.00 $9,862.50 25% off $300.00 $13,150.00 $7,039.20 2026-04-23
57282 HCPCS Repair Of Pelvic Ligaments Through Vagina 16 16 $8,452.83 $6,339.62 25% off $4,480.00 $8,452.83 $7,015.85 2026-04-23
52601 HCPCS Removal Of Prostate Gland Using An Electrocautery Knife Through Urethra With Con… 16 16 $8,451.00 $6,338.25 25% off $4,479.03 $8,451.00 $7,014.33 2026-04-23
28485 HCPCS Treatment Of Broken Midportion Of Foot 17 17 $8,420.00 $6,315.00 25% off $4,462.60 $8,420.00 $6,988.60 2026-04-23
28750 HCPCS Fusion Of Big Toe At Joint With Foot 27 17 $12,810.00 $9,607.50 25% off $496.64 $12,810.00 $6,857.19 2026-04-23
J1306 HCPCS Injection, Inclisiran, 1 Mg 16 16 $8,152.76 $6,114.57 25% off $4,320.96 $8,152.76 $6,766.79 2026-04-23
29888 HCPCS Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 27 17 $12,615.00 $9,461.25 25% off $450.00 $12,615.00 $6,752.81 2026-04-23
20827 HCPCS Reattachment Of Part Of Cutoff Thumb 26 16 $12,500.00 $9,375.00 25% off $1,495.48 $12,500.00 $6,691.25 2026-04-23
3602529_1 CDM Operating Room Services - General Classification 12 12 $8,840.00 $6,630.00 25% off $4,685.20 $8,398.00 $6,674.20 2026-04-23
42820 HCPCS Removal Of Tonsils And Adenoid Glands (younger Than 12 Years) 17 17 $7,735.00 $5,801.25 25% off $2,023.00 $7,735.00 $6,420.05 2026-04-23
28297 HCPCS Correction Of Bunion With Forefoot And Midfoot Bone Fusion 27 17 $11,970.00 $8,977.50 25% off $292.82 $11,970.00 $6,407.54 2026-04-23
29828 HCPCS Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope 27 17 $11,925.00 $8,943.75 25% off $190.70 $11,925.00 $6,383.45 2026-04-23
3602515_1 CDM Operating Room Services - General Classification 12 12 $8,400.00 $6,300.00 25% off $4,452.00 $7,980.00 $6,342.00 2026-04-23
58662 HCPCS Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope 17 17 $7,592.00 $5,694.00 25% off $4,023.76 $7,592.00 $6,301.36 2026-04-23
3602526_1 CDM Operating Room Services - General Classification 12 12 $7,800.00 $5,850.00 25% off $4,134.00 $7,410.00 $5,889.00 2026-04-23
54692 HCPCS Removal Of Congenital Malpositioned Testicle Using An Endoscope 26 16 $10,995.00 $8,246.25 25% off $435.00 $10,995.00 $5,885.62 2026-04-23
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 12 12 $6,175.98 $4,631.99 25% off $3,637.08 $17,161.98 $5,867.18 2026-04-23
54650 HCPCS Repair Of Congenital Malpositioned Testicle 16 16 $7,033.00 $5,274.75 25% off $3,727.49 $7,033.00 $5,837.39 2026-04-23
29806 HCPCS Repair Of Shoulder Joint Capsule Using An Endoscope 27 17 $10,867.00 $8,150.25 25% off $886.54 $10,867.00 $5,817.11 2026-04-23
49650 HCPCS Repair Of Groin Hernia Using An Endoscope 27 17 $10,793.00 $8,094.75 25% off $344.18 $10,793.00 $5,777.49 2026-04-23
31238 HCPCS Control Of Bleeding Of Nose Using An Endoscope 33 17 $6,949.00 $5,211.75 25% off $3,682.97 $6,950.00 $5,768.50 2026-04-23
15830 HCPCS Removal Of Extra Skin And Tissue Of Abdomen 26 16 $10,561.00 $7,920.75 25% off $241.69 $10,561.00 $5,653.30 2026-04-23
49320 HCPCS Diagnostic Exam Of Abdomen Using An Endoscope 27 17 $10,310.00 $7,732.50 25% off $245.63 $10,310.00 $5,518.94 2026-04-23
49321 HCPCS Biopsy Of Abdomen Using An Endoscope 27 17 $10,310.00 $7,732.50 25% off $257.85 $10,310.00 $5,518.94 2026-04-23
27445 HCPCS Knee Joint Replacement Using Hinged Prosthesis 23 17 $8,358.00 $6,268.50 25% off $500.00 $8,358.00 $5,517.00 2026-04-23
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 16 16 $6,500.00 $4,875.00 25% off $3,445.00 $6,500.00 $5,395.00 2026-04-23
44005 HCPCS Release Of Intestinal Scar Tissue 17 17 $6,437.00 $4,827.75 25% off $3,411.61 $6,437.00 $5,342.71 2026-04-23
58670 HCPCS Destruction Of Fallopian Tubes Using An Endoscope 17 17 $6,437.00 $4,827.75 25% off $3,411.61 $6,437.00 $5,342.71 2026-04-23
44202 HCPCS Partial Removal And Reconnection Of Small Bowel Using An Endoscope 17 17 $6,437.00 $4,827.75 25% off $3,411.61 $6,437.00 $5,342.71 2026-04-23
44310 HCPCS Creation Of Opening From Small Bowel To Skin 16 16 $6,437.00 $4,827.75 25% off $3,411.61 $6,437.00 $5,342.71 2026-04-23
54512 HCPCS Removal Of Growth Of Testicle 26 16 $9,960.00 $7,470.00 25% off $450.00 $9,960.00 $5,331.59 2026-04-23
54326 HCPCS Repair Of Urinary Outlet At Underside Of Penis With Skin Flap 26 16 $9,960.00 $7,470.00 25% off $791.07 $9,960.00 $5,331.59 2026-04-23
55110 HCPCS Search Of Scrotum 26 16 $9,960.00 $7,470.00 25% off $309.12 $9,960.00 $5,331.59 2026-04-23
603 MS_DRG Cellulitis Without Mcc 12 12 $6,351.24 $4,763.43 25% off $3,135.24 $17,337.24 $5,271.53 2026-04-23
43327 HCPCS Repair Of Muscle At Lower Esophagus And Stomach 17 17 $6,336.00 $4,752.00 25% off $3,358.08 $6,336.00 $5,258.88 2026-04-23
43332 HCPCS Repair Of Paraesophageal Hernia Through Abdomen 17 17 $6,336.00 $4,752.00 25% off $3,358.08 $6,336.00 $5,258.88 2026-04-23
27829 HCPCS Treatment Of Ligament Tear At Ankle Joint 27 17 $9,684.00 $7,263.00 25% off $491.76 $9,684.00 $5,183.85 2026-04-23
54324 HCPCS Repair Of Urinary Outlet Of Penis With Skin Flap 26 16 $9,615.00 $7,211.25 25% off $450.00 $9,615.00 $5,146.91 2026-04-23
636878_1 CDM Xolair 150mg 12 12 $6,693.44 $5,020.08 25% off $3,547.52 $6,358.77 $5,120.49 2026-04-23
3602523_1 CDM Operating Room Services - General Classification 12 12 $6,760.00 $5,070.00 25% off $3,582.80 $6,422.00 $5,103.80 2026-04-23
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 12 12 $6,144.48 $4,608.36 25% off $4,731.84 $13,468.48 $5,099.91 2026-04-23
2780042_1 CDM Mesh Tintra E2226 Ellipse 12 12 $6,645.00 $4,983.75 25% off $3,521.85 $6,312.75 $5,083.43 2026-04-23
32550 HCPCS Insertion Of Indwelling Tube For Drainage Of Lung Fluid 16 16 $6,066.00 $4,549.50 25% off $3,214.98 $6,066.00 $5,034.78 2026-04-23
28272 HCPCS Incision Of Toe Joint Capsule 18 17 $6,033.00 $4,524.75 25% off $3,197.49 $6,033.00 $5,007.39 2026-04-23
25609 HCPCS Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 27 17 $9,323.00 $6,992.25 25% off $435.13 $9,323.00 $4,990.60 2026-04-23
Q5119 HCPCS Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 16 16 $6,008.00 $4,506.00 25% off $3,184.24 $6,008.00 $4,986.64 2026-04-23
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 16 16 $6,004.47 $4,503.35 25% off $3,182.37 $6,004.47 $4,983.71 2026-04-23
31237 HCPCS Biopsy Or Removal Of Nasal Polyp Or Tissue Using An Endoscope 17 17 $6,002.00 $4,501.50 25% off $3,181.06 $6,002.00 $4,981.66 2026-04-23
2780036_1 CDM Pro-stim Extremity 4cc Inject 12 12 $6,487.00 $4,865.25 25% off $3,438.11 $6,162.65 $4,962.56 2026-04-23
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 16 16 $5,975.40 $4,481.55 25% off $3,166.96 $5,975.40 $4,959.58 2026-04-23
47379 HCPCS Other Procedure On Liver Using An Endoscope 22 16 $8,093.00 $6,069.75 25% off $162.00 $8,093.00 $4,939.16 2026-04-23
23430 HCPCS Anchoring Of Biceps Tendon 27 17 $9,219.00 $6,914.25 25% off $634.77 $9,219.00 $4,934.93 2026-04-23
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 26 16 $9,187.50 $6,890.63 25% off $1,221.04 $9,187.50 $4,918.07 2026-04-23
25608 HCPCS Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint… 27 17 $8,969.00 $6,726.75 25% off $435.13 $8,969.00 $4,801.11 2026-04-23
23515 HCPCS Treatment Of Broken Collar Bone 27 17 $8,910.00 $6,682.50 25% off $497.93 $8,910.00 $4,769.52 2026-04-23
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 27 17 $8,829.00 $6,621.75 25% off $435.00 $8,829.00 $4,726.16 2026-04-23
49418 HCPCS Insertion Of Abdominal Tube Using Imaging Guidance With Review By Radiologist 17 17 $5,672.00 $4,254.00 25% off $3,006.16 $5,672.00 $4,707.76 2026-04-23
69610 HCPCS Repair Of Eardrum 16 16 $5,621.00 $4,215.75 25% off $2,979.13 $5,621.00 $4,665.43 2026-04-23
69620 HCPCS Repair Of Defect Or Tear Of Eardrum 16 16 $5,621.00 $4,215.75 25% off $2,979.13 $5,621.00 $4,665.43 2026-04-23
59151 HCPCS Removal Of Ovarian Or Tubal Pregnancy With Removal Of Ovary And/or Tube Using An… 27 17 $8,565.00 $6,423.75 25% off $615.11 $8,565.00 $4,584.84 2026-04-23
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 45 17 $6,725.00 $5,043.75 25% off $79.13 $6,730.00 $4,573.00 2026-04-23
3602512_1 CDM Operating Room Services - General Classification 12 12 $6,000.00 $4,500.00 25% off $3,180.00 $5,700.00 $4,530.00 2026-04-23
27610 HCPCS Incision Of Ankle Joint For Exploration, Fluid Drainage, Or Removal Of Foreign B… 26 16 $8,421.00 $6,315.75 25% off $547.81 $8,421.00 $4,507.76 2026-04-23
19301 HCPCS Partial Removal Of Breast 27 17 $8,398.00 $6,298.50 25% off $442.80 $8,398.00 $4,495.45 2026-04-23
2780015_1 CDM Mesh Tintra E-1522 Ellipse Xb 12 12 $5,863.00 $4,397.25 25% off $3,107.39 $5,569.85 $4,485.19 2026-04-23
27487 HCPCS Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 27 17 $8,360.00 $6,270.00 25% off $1,433.29 $8,360.00 $4,475.11 2026-04-23
49654 HCPCS Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertion, When … 23 17 $6,780.00 $5,085.00 25% off $334.07 $6,780.00 $4,475.00 2026-04-23
27442 HCPCS Repair Of End Of Thigh Or Lower Leg Bone At Knee Joint With Prosthesis 27 17 $8,358.00 $6,268.50 25% off $732.55 $8,358.00 $4,474.04 2026-04-23
27443 HCPCS Knee Replacement With Repair Of End Of Thigh Or Lower Leg Bone And Removal Of Kn… 27 17 $8,358.00 $6,268.50 25% off $450.00 $8,358.00 $4,474.04 2026-04-23
27438 HCPCS Repair Of Kneecap With Prosthesis 27 17 $8,358.00 $6,268.50 25% off $711.37 $8,358.00 $4,474.04 2026-04-23
27441 HCPCS Repair Of Lower Part Of Knee Joint With Prosthesis And Removal Of Joint Lining 27 17 $8,358.00 $6,268.50 25% off $638.33 $8,358.00 $4,474.04 2026-04-23
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 18 17 $5,370.00 $4,027.50 25% off $2,846.10 $5,370.00 $4,457.10 2026-04-23
27698 HCPCS Secondary Repair Of Disrupted Collateral Ligament Of Ankle 27 17 $8,283.00 $6,212.25 25% off $549.58 $8,283.00 $4,433.89 2026-04-23
56810 HCPCS Repair Of Skin In Area Between Anus And Genitals 16 16 $5,337.00 $4,002.75 25% off $2,828.61 $5,337.00 $4,429.71 2026-04-23
49521 HCPCS Repair Of Trapped Or Strangulated Groin Hernia 27 17 $8,270.00 $6,202.50 25% off $465.00 $8,270.00 $4,426.93 2026-04-23
2780011_1 CDM Implant Femoral 12 12 $5,782.00 $4,336.50 25% off $3,064.46 $5,492.90 $4,423.23 2026-04-23
26236 HCPCS Partial Removal Of Finger Bone At End Of Finger 16 16 $5,295.50 $3,971.63 25% off $2,806.62 $5,295.50 $4,395.27 2026-04-23
21554 HCPCS Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More 27 17 $8,192.00 $6,144.00 25% off $429.81 $8,192.00 $4,385.18 2026-04-23
58563 HCPCS Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope 17 17 $5,272.00 $3,954.00 25% off $2,794.16 $5,272.00 $4,375.76 2026-04-23
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 27 17 $8,120.00 $6,090.00 25% off $300.00 $8,120.00 $4,346.64 2026-04-23
49900 HCPCS Suture Of Postsurgical Opening In Abdominal Wall 26 16 $8,120.00 $6,090.00 25% off $435.00 $8,120.00 $4,346.64 2026-04-23
3602520_1 CDM Operating Room Services - General Classification 12 12 $5,720.00 $4,290.00 25% off $3,031.60 $5,434.00 $4,318.60 2026-04-23
28295 HCPCS Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Ankle 17 17 $5,181.00 $3,885.75 25% off $2,745.93 $5,181.00 $4,300.23 2026-04-23
45990 HCPCS Diagnostic Exam Of Anus And Rectum Under Anesthesia 26 16 $8,030.00 $6,022.50 25% off $90.95 $8,030.00 $4,298.46 2026-04-23
46020 HCPCS Insertion Of Drain (seton) Into Anus 26 16 $8,030.00 $6,022.50 25% off $101.24 $8,030.00 $4,298.46 2026-04-23
15120 HCPCS Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 60 17 $5,760.00 $4,320.00 25% off $250.00 $5,775.00 $4,252.29 2026-04-23
44238 HCPCS Other Procedure On Bowel Using An Endoscope 23 17 $6,437.00 $4,827.75 25% off $197.05 $6,437.00 $4,249.00 2026-04-23
27486 HCPCS Revision Of Component Of Total Knee Joint Prosthesis 27 17 $7,801.00 $5,850.75 25% off $1,160.42 $7,801.00 $4,175.88 2026-04-23
30520 HCPCS Reshaping Of Nasal Cartilage 17 17 $5,016.00 $3,762.00 25% off $2,658.48 $5,016.00 $4,163.28 2026-04-23
15100 HCPCS Partial Thickness Self Skin Graft To Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Bod… 60 17 $5,245.00 $3,933.75 25% off $602.37 $5,620.00 $4,143.26 2026-04-23
28296 HCPCS Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Toe Area 17 17 $4,987.00 $3,740.25 25% off $2,643.11 $4,987.00 $4,139.21 2026-04-23
54520 HCPCS Simple Removal Of Testicle 26 16 $7,690.00 $5,767.50 25% off $283.10 $7,690.00 $4,116.46 2026-04-23
54600 HCPCS Repair Of Twisted Testicle 26 16 $7,690.00 $5,767.50 25% off $370.48 $7,690.00 $4,116.46 2026-04-23
59409 HCPCS Vaginal Delivery 26 16 $7,665.00 $5,748.75 25% off $644.87 $7,665.00 $4,103.07 2026-04-23
49568 HCPCS Implantation Of Mesh Or Other Prosthesis For Open Incisional Or Ventral Hernia R… 23 17 $6,095.00 $4,571.25 25% off $271.60 $6,095.00 $4,023.00 2026-04-23
25607 HCPCS Treatment Of Broken Forearm Bone On Thumb Side Of Wrist, Above Wrist, With Place… 27 17 $7,500.00 $5,625.00 25% off $531.78 $7,500.00 $4,014.75 2026-04-23
36475 HCPCS Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima… 27 17 $7,478.04 $5,608.53 25% off $224.05 $7,478.04 $4,002.99 2026-04-23
35840 HCPCS Exploration Of Abdomen For Bleeding, Blood Clot, Or Infection After Surgery 26 16 $7,432.00 $5,574.00 25% off $450.00 $7,432.00 $3,978.35 2026-04-23
49002 HCPCS Reopening Of Recent Abdominal Incision 26 16 $7,432.00 $5,574.00 25% off $604.64 $7,432.00 $3,978.35 2026-04-23
28810 HCPCS Amputation Of Toe And Midfoot Bone 27 17 $7,361.00 $5,520.75 25% off $366.63 $7,361.00 $3,940.34 2026-04-23
41520 HCPCS Repair Of Tissue Connecting Tongue To Floor Of Mouth 16 16 $4,707.00 $3,530.25 25% off $2,494.71 $4,707.00 $3,906.81 2026-04-23
15931 HCPCS Removal Of Pressure Sore Tissue Of Sacrum With Closure 16 16 $4,695.00 $3,521.25 25% off $2,488.35 $4,695.00 $3,896.85 2026-04-23
21501 HCPCS Drainage Of Deep Abscess Or Blood Accumulation In Soft Tissue Of Neck Or Chest 16 16 $4,695.00 $3,521.25 25% off $2,488.35 $4,695.00 $3,896.85 2026-04-23
27792 HCPCS Treatment Of Broken Outer Lower Leg Bone At Ankle 27 17 $7,224.00 $5,418.00 25% off $520.50 $7,224.00 $3,867.01 2026-04-23
30801 HCPCS Destruction Of Soft Tissue Of Nasal Passages 17 17 $4,650.00 $3,487.50 25% off $2,464.50 $4,650.00 $3,859.50 2026-04-23
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 27 17 $7,187.00 $5,390.25 25% off $750.58 $7,187.00 $3,847.20 2026-04-23
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 44 17 $5,718.00 $4,288.50 25% off $410.79 $5,718.00 $3,831.12 2026-04-23
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 27 17 $7,150.00 $5,362.50 25% off $651.79 $7,150.00 $3,827.40 2026-04-23
38900 HCPCS Imaging Of Lymph Nodes During Surgery 27 17 $7,146.00 $5,359.50 25% off $79.27 $7,146.00 $3,825.25 2026-04-23
38792 HCPCS Injection Of Radioactive Material For X-ray Identification Of Lymph Node 27 17 $7,127.00 $5,345.25 25% off $25.84 $7,127.00 $3,815.08 2026-04-23
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 26 16 $7,097.00 $5,322.75 25% off $876.69 $7,097.00 $3,799.02 2026-04-23
26037 HCPCS Incision Of Tissue Of Hand To Release Pressure 26 16 $7,076.00 $5,307.00 25% off $480.89 $7,076.00 $3,787.78 2026-04-23
11771 HCPCS Extensive Removal Of Cyst Of Tailbone 17 17 $4,560.00 $3,420.00 25% off $2,416.80 $4,560.00 $3,784.80 2026-04-23
3602546_1 CDM Operating Room Services - General Classification 12 12 $5,000.00 $3,750.00 25% off $2,650.00 $4,750.00 $3,775.00 2026-04-23
54640 HCPCS Repositioning And Suture Of Misplaced Testicle 26 16 $7,033.00 $5,274.75 25% off $366.14 $7,033.00 $3,764.76 2026-04-23
55040 HCPCS Removal Of Fluid Collection In Testicle And Sperm Reservoir 26 16 $7,033.00 $5,274.75 25% off $292.27 $7,033.00 $3,764.76 2026-04-23
28292 HCPCS Correction Of Bunion 17 17 $4,501.00 $3,375.75 25% off $2,385.53 $4,501.00 $3,735.83 2026-04-23
29893 HCPCS Repair Of Fibrous Tissue Of Arch Of Foot Using An Endoscope 17 17 $4,490.00 $3,367.50 25% off $2,379.70 $4,490.00 $3,726.70 2026-04-23
44955 HCPCS Removal Of Appendix During Other Major Procedure 27 17 $6,960.00 $5,220.00 25% off $65.14 $6,960.00 $3,725.69 2026-04-23
52310 HCPCS Simple Removal Of Foreign Body, Stone, Or Stent In Urethra Or Bladder Using An E… 29 17 $6,942.00 $5,206.50 25% off $125.66 $6,942.00 $3,716.05 2026-04-23
54304 HCPCS Repair Of Curved Penis And Urinary Outlet 26 16 $6,792.00 $5,094.00 25% off $350.00 $6,792.00 $3,635.76 2026-04-23
54840 HCPCS Removal Of Fluid Accumulation In Sperm Reservoir 26 16 $6,792.00 $5,094.00 25% off $277.60 $6,792.00 $3,635.76 2026-04-23
28126 HCPCS Removal Of Toe Bone At Foot 17 17 $4,360.00 $3,270.00 25% off $2,310.80 $4,360.00 $3,618.80 2026-04-23
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 17 17 $4,351.60 $3,263.70 25% off $28.74 $4,351.60 $3,611.83 2026-04-23
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 27 17 $6,681.00 $5,010.75 25% off $1,186.41 $6,681.00 $3,611.75 2026-04-23
49520 HCPCS Repair Of Groin Hernia That Is Not Trapped 27 17 $6,728.00 $5,046.00 25% off $510.29 $6,728.00 $3,601.50 2026-04-23
27524 HCPCS Treatment Of Broken Kneecap With Placement Of Stabilizing Device And/or Removal … 27 17 $6,710.00 $5,032.50 25% off $641.63 $6,710.00 $3,591.86 2026-04-23
27650 HCPCS Repair Of Ruptured Achilles Tendon 27 17 $6,681.00 $5,010.75 25% off $573.76 $6,681.00 $3,576.34 2026-04-23
24342 HCPCS Reinsertion Of Torn Upper Arm Tendon 27 17 $6,681.00 $5,010.75 25% off $653.13 $6,681.00 $3,576.34 2026-04-23
24358 HCPCS Incision Of Elbow Tendon With Removal Of Tissue 27 17 $6,681.00 $5,010.75 25% off $395.72 $6,681.00 $3,576.34 2026-04-23
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 12 12 $4,196.85 $3,147.64 25% off $3,034.80 $11,520.85 $3,555.72 2026-04-23
44160 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 26 16 $6,642.00 $4,981.50 25% off $957.77 $6,642.00 $3,555.46 2026-04-23
38525 HCPCS Biopsy Or Removal Of Deep Lymph Nodes Of Underarm 27 17 $6,610.00 $4,957.50 25% off $336.90 $6,610.00 $3,538.33 2026-04-23
28092 HCPCS Removal Of Growth Of Tendon Covering Or Joint Capsule Of Toes 17 17 $4,260.00 $3,195.00 25% off $2,257.80 $4,260.00 $3,535.80 2026-04-23
3602517_1 CDM Operating Room Services - General Classification 12 12 $4,680.00 $3,510.00 25% off $2,480.40 $4,446.00 $3,533.40 2026-04-23
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 11 11 $3,906.30 $2,929.73 25% off $2,262.60 $6,574.95 $3,515.67 2026-04-23
44207 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 27 17 $6,437.00 $4,827.75 25% off $1,505.81 $6,437.00 $3,479.84 2026-04-23
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 27 17 $6,437.00 $4,827.75 25% off $1,273.43 $6,437.00 $3,479.84 2026-04-23
49596 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 26 16 $6,500.00 $4,875.00 25% off $646.50 $6,500.00 $3,479.45 2026-04-23
49594 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length 26 16 $6,500.00 $4,875.00 25% off $470.59 $6,500.00 $3,479.45 2026-04-23
67917 HCPCS Extensive Repair Of Turning-outward Eyelid Defect 15 15 $4,191.00 $3,143.25 25% off $2,221.23 $4,191.00 $3,478.53 2026-04-23
67904 HCPCS Repair Of Tendon Of Upper Eyelid 15 15 $4,191.00 $3,143.25 25% off $2,221.23 $4,191.00 $3,478.53 2026-04-23
21556 HCPCS Removal Of Growth Of Muscle Of Neck Or Front Of Chest, Less Than 5.0 Cm 17 17 $4,180.00 $3,135.00 25% off $2,215.40 $4,180.00 $3,469.40 2026-04-23
42821 HCPCS Removal Of Tonsils And Adenoid Glands (12 Years Or Older) 17 17 $4,178.00 $3,133.50 25% off $1,992.00 $4,178.00 $3,467.74 2026-04-23
44145 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum 26 16 $6,437.00 $4,827.75 25% off $1,351.72 $6,437.00 $3,462.78 2026-04-23
44140 HCPCS Partial Removal Of Large Bowel With Connection 26 16 $6,437.00 $4,827.75 25% off $1,078.77 $6,437.00 $3,462.78 2026-04-23
28113 HCPCS Complete Removal Of Foot Bone At Fifth Toe Joint 27 17 $6,450.00 $4,837.50 25% off $350.00 $6,450.00 $3,452.69 2026-04-23
28820 HCPCS Amputation Of Toe At Joint Between Forefoot And Toes 27 17 $6,448.00 $4,836.00 25% off $151.50 $6,448.00 $3,451.61 2026-04-23
45400 HCPCS Repair Of Rectal Prolapse Using An Endoscope 26 16 $6,440.00 $4,830.00 25% off $933.18 $6,440.00 $3,447.33 2026-04-23
44205 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 27 17 $6,437.00 $4,827.75 25% off $1,116.34 $6,437.00 $3,445.73 2026-04-23
14001 HCPCS Repair Of Wound Of Trunk By Transferring Skin, 10.1-30.0 Sq Cm 27 17 $6,432.00 $4,824.00 25% off $549.77 $6,432.00 $3,443.05 2026-04-23
3702510_1 CDM Anesthesia Up To 6 Hrs 12 12 $4,500.00 $3,375.00 25% off $2,385.00 $4,275.00 $3,442.50 2026-04-23
J0897 HCPCS Injection, Denosumab, 1 Mg 17 17 $4,140.00 $3,105.00 25% off $23.90 $4,140.00 $3,436.20 2026-04-23
42826 HCPCS Removal Of Tonsils (12 Years Or Older) 17 17 $4,140.00 $3,105.00 25% off $1,944.00 $4,140.00 $3,436.20 2026-04-23
44625 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 26 16 $6,375.00 $4,781.25 25% off $774.30 $6,375.00 $3,412.54 2026-04-23
2780004_1 CDM Mesh Composix Kugel Lg/oval 12 12 $4,428.00 $3,321.00 25% off $2,346.84 $4,206.60 $3,387.42 2026-04-23
C1776 HCPCS Joint Device (implantable) 592 16 $5,070.00 $3,802.50 25% off $95.40 $20,800.00 $3,380.00 2026-04-23
43633 HCPCS Removal Of Lower Portion Of Stomach With Reattachment Of Upper Portion Of Remain… 26 16 $6,275.00 $4,706.25 25% off $1,182.99 $6,275.00 $3,359.01 2026-04-23
29822 HCPCS Limited Removal Of Abnormal Shoulder Joint Tissue Using Endoscope 27 17 $6,250.00 $4,687.50 25% off $441.68 $6,250.00 $3,345.63 2026-04-23
2780030_1 CDM Plate Mpj Med 35mm 12 12 $4,373.00 $3,279.75 25% off $2,317.69 $4,154.35 $3,345.35 2026-04-23
14000 HCPCS Repair Of Wound Of Trunk By Transferring Skin, 10.0 Sq Cm Or Less 27 17 $6,244.00 $4,683.00 25% off $300.00 $6,244.00 $3,342.41 2026-04-23
54700 HCPCS Incision And Drainage Of Sperm Reservoir, Testis, And/or Scrotal Area 16 16 $3,975.00 $2,981.25 25% off $2,106.75 $3,975.00 $3,299.25 2026-04-23
51040 HCPCS Incision Of Bladder With Drainage 26 16 $6,150.00 $4,612.50 25% off $239.19 $6,150.00 $3,292.10 2026-04-23
58558 HCPCS Biopsy Of Lining Of Uterus And/or Removal Of Polyp Using An Endoscope 17 17 $3,950.00 $2,962.50 25% off $2,093.50 $3,950.00 $3,278.50 2026-04-23
25515 HCPCS Treatment Of Broken Midpart Of Forearm Bone On Thumb Side 27 17 $6,119.00 $4,589.25 25% off $577.35 $6,119.00 $3,275.50 2026-04-23
Q4145 HCPCS Epifix, Injectable, 1 Mg 49 17 $3,938.00 $2,953.50 25% off $25.32 $6,140.00 $3,254.20 2026-04-23
66982 HCPCS Complex Removal Of Cataract With Insertion Of Prosthetic Lens 16 16 $3,910.00 $2,932.50 25% off $2,072.30 $3,910.00 $3,245.30 2026-04-23
Q4187 HCPCS Epicord, Per Square Centimeter 32 16 $4,888.50 $3,666.38 25% off $1,461.21 $7,020.00 $3,238.80 2026-04-23
44188 HCPCS Creation Of Large Bowel Opening Using An Endoscope 26 16 $6,008.00 $4,506.00 25% off $954.26 $6,008.00 $3,216.08 2026-04-23
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 17 17 $3,854.00 $2,890.50 25% off $835.00 $3,854.00 $3,198.82 2026-04-23
15734 HCPCS Creation Of Muscle Graft To Trunk 26 16 $5,935.00 $4,451.25 25% off $1,257.48 $5,935.00 $3,192.74 2026-04-23
28825 HCPCS Amputation Of Toe At Toe Joint 27 17 $5,945.00 $4,458.75 25% off $146.74 $5,945.00 $3,182.36 2026-04-23
3702509_1 CDM Anesthesia Up To 5.5 Hrs 12 12 $4,150.00 $3,112.50 25% off $2,199.50 $3,942.50 $3,174.75 2026-04-23
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 45 17 $4,522.00 $3,391.50 25% off $69.81 $4,525.00 $3,165.40 2026-04-23
49592 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 26 16 $5,890.00 $4,417.50 25% off $300.02 $5,890.00 $3,152.92 2026-04-23
49591 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length 26 16 $5,889.00 $4,416.75 25% off $215.82 $5,889.00 $3,152.38 2026-04-23
49507 HCPCS Repair Of Trapped Groin Hernia (5 Years Or Older) 27 17 $5,878.00 $4,408.50 25% off $508.54 $5,878.00 $3,146.49 2026-04-23
49593 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, 3-10 Cm In Length 26 16 $5,831.00 $4,373.25 25% off $361.61 $5,831.00 $3,121.33 2026-04-23
29826 HCPCS Shaving Of Part Of Shoulder Bone And Repair Of Ligament Using An Endoscope 27 17 $5,768.00 $4,326.00 25% off $135.11 $5,768.00 $3,087.61 2026-04-23
27535 HCPCS Treatment Of Broken Side Of Upper End Of Shin Bone 27 17 $5,760.00 $4,320.00 25% off $742.21 $5,760.00 $3,083.33 2026-04-23
29876 HCPCS Removal Of Joint Lining From Multiple Knee Joint Compartments Using An Endoscope 27 17 $5,759.00 $4,319.25 25% off $532.82 $5,759.00 $3,082.79 2026-04-23
29879 HCPCS Repair Of Knee Joint With Drilling And Or Scraping Of Joint Using An Endoscope 27 17 $5,759.00 $4,319.25 25% off $540.68 $5,759.00 $3,082.79 2026-04-23
29880 HCPCS Removal Of Both Knee Cartilages Using An Endoscope 27 17 $5,759.00 $4,319.25 25% off $485.38 $5,759.00 $3,082.79 2026-04-23
29877 HCPCS Removal Or Shaving Of Knee Joint Cartilage Using An Endoscope 27 17 $5,759.00 $4,319.25 25% off $468.34 $5,759.00 $3,082.79 2026-04-23
24685 HCPCS Treatment Of Broken Forearm Bone On Small Finger Side At Elbow 27 17 $5,759.00 $4,319.25 25% off $566.38 $5,759.00 $3,082.79 2026-04-23
29881 HCPCS Removal Of Knee Cartilage Using An Endoscope 27 17 $5,759.00 $4,319.25 25% off $469.46 $5,759.00 $3,082.79 2026-04-23
30140 HCPCS Removal Of Nasal Air Passage Under Lining Tissue 17 17 $3,677.00 $2,757.75 25% off $1,948.81 $3,677.00 $3,051.91 2026-04-23
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 27 17 $5,680.00 $4,260.00 25% off $159.32 $5,680.00 $3,040.50 2026-04-23
2780010_1 CDM Implant Medial Tibial Tray 12 12 $3,965.00 $2,973.75 25% off $2,101.45 $3,766.75 $3,033.22 2026-04-23
27437 HCPCS Repair Of Kneecap 27 17 $5,666.00 $4,249.50 25% off $504.18 $5,666.00 $3,033.01 2026-04-23
27440 HCPCS Repair Of Lower Part Of Knee Joint 27 17 $5,666.00 $4,249.50 25% off $450.00 $5,666.00 $3,033.01 2026-04-23
27422 HCPCS Repair Of Dislocating Kneecap With Realignment 27 17 $5,666.00 $4,249.50 25% off $350.00 $5,666.00 $3,033.01 2026-04-23
49587 HCPCS Repair Umbilical Hernia, Age 5 Years Or Older; Incarcerated Or Strangulated 23 17 $4,577.00 $3,432.75 25% off $227.15 $4,577.00 $3,021.00 2026-04-23
70553 HCPCS MRI Scan Of Brain Before And After Contrast 16 16 $3,633.00 $2,724.75 25% off $521.00 $3,633.00 $3,015.39 2026-04-23
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 15 15 $3,604.00 $2,703.00 25% off $1,910.12 $3,604.00 $2,991.32 2026-04-23
52224 HCPCS Destruction Of Growth Of Bladder And Urethra Using An Endoscope, Less Than 0.5 C… 44 17 $4,389.00 $3,291.75 25% off $164.94 $5,000.00 $2,984.65 2026-04-23
2704498_1 CDM Putty 10cc 12 12 $3,900.00 $2,925.00 25% off $2,067.00 $3,705.00 $2,983.50 2026-04-23
57511 HCPCS Destruction Of Cervix Using Freezing 31 16 $5,621.00 $4,215.75 25% off $147.87 $5,621.00 $2,979.13 2026-04-23
49585 HCPCS Repair Umbilical Hernia, Age 5 Years Or Older; Reducible 23 17 $4,506.00 $3,379.50 25% off $435.00 $4,506.00 $2,974.00 2026-04-23
Q4196 HCPCS Puraply Am, Per Square Centimeter 96 16 $4,550.00 $3,412.50 25% off $620.10 $33,280.00 $2,961.40 2026-04-23
27030 HCPCS Incision And Drainage Of Hip Joint 26 16 $5,524.00 $4,143.00 25% off $783.11 $5,524.00 $2,957.00 2026-04-23
29823 HCPCS Removal Of Extensive Shoulder Joint Tissue Using An Endoscope 27 17 $5,487.00 $4,115.25 25% off $509.26 $5,487.00 $2,937.19 2026-04-23
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 12 12 $2,939.55 $2,204.66 25% off $2,439.83 $6,930.20 $2,926.88 2026-04-23
36482 HCPCS Chemical Destruction Of First Incompetent Vein Of Arm Or Leg Using Imaging Guida… 27 17 $5,466.00 $4,099.50 25% off $144.34 $5,466.00 $2,925.95 2026-04-23
56700 HCPCS Partial Removal Of Hymen 17 17 $3,510.00 $2,632.50 25% off $1,860.30 $3,510.00 $2,913.30 2026-04-23
23120 HCPCS Partial Removal Of Collar Bone 27 17 $5,433.00 $4,074.75 25% off $483.26 $5,433.00 $2,908.28 2026-04-23
3702508_1 CDM Anesthesia Up To 5 Hrs 12 12 $3,800.00 $2,850.00 25% off $2,014.00 $3,610.00 $2,907.00 2026-04-23
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 16 16 $3,472.00 $2,604.00 25% off $1,840.16 $3,472.00 $2,881.76 2026-04-23
52332 HCPCS Insertion Of Stent In Ureter Using An Endoscope 27 17 $5,301.00 $3,975.75 25% off $130.22 $5,301.00 $2,837.63 2026-04-23
41899 HCPCS Other Procedure On Teeth And Gums 23 17 $5,000.00 $3,750.00 25% off $207.83 $5,000.00 $2,831.00 2026-04-23
29824 HCPCS Partial Removal Of Collar Bone At Shoulder Using An Endoscope 27 17 $5,160.00 $3,870.00 25% off $561.59 $5,160.00 $2,762.15 2026-04-23
52235 HCPCS Destruction And/or Removal Of Growth Of Bladder And Urethra Using An Endoscope, … 28 17 $5,159.00 $3,869.25 25% off $237.99 $5,159.00 $2,761.61 2026-04-23
52001 HCPCS Irrigation And Removal Of Multiple Blood Clots From Bladder And Urethra Using An… 44 17 $3,994.00 $2,995.50 25% off $236.48 $3,995.00 $2,756.20 2026-04-23
3602514_1 CDM Operating Room Services - General Classification 12 12 $3,640.00 $2,730.00 25% off $1,929.20 $3,458.00 $2,748.20 2026-04-23
52234 HCPCS Destruction And/or Removal Of Growth Of Bladder And Urethra Using An Endoscope, … 28 17 $5,020.00 $3,765.00 25% off $202.78 $5,020.00 $2,700.51 2026-04-23
25000 HCPCS Incision Or The Tendon Covering On The Top Side Of The Wrist 17 17 $3,248.00 $2,436.00 25% off $1,721.44 $3,248.00 $2,695.84 2026-04-23
2780016_1 CDM Mesh Tintra C-12 Circle Xb 12 12 $3,523.00 $2,642.25 25% off $1,867.19 $3,346.85 $2,695.10 2026-04-23
49322 HCPCS Aspiration Of Abdominal Cavity Or Cyst Using An Endoscope 27 17 $5,020.00 $3,765.00 25% off $281.67 $5,020.00 $2,687.21 2026-04-23
28124 HCPCS Partial Removal Of Toe Bone 17 17 $3,236.00 $2,427.00 25% off $1,715.08 $3,236.00 $2,685.88 2026-04-23
2700033_1 CDM Novasure 12 12 $3,494.00 $2,620.50 25% off $1,851.82 $3,319.30 $2,672.91 2026-04-23
2780003_1 CDM Mesh Composix Kugel Md/oval 12 12 $3,494.00 $2,620.50 25% off $1,851.82 $3,319.30 $2,672.91 2026-04-23
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 44 17 $3,696.00 $2,772.00 25% off $72.46 $3,960.00 $2,666.40 2026-04-23
45915 HCPCS Removal Of Impacted Stool Or Foreign Body In Rectum Under Anesthesia 26 16 $4,980.00 $3,735.00 25% off $200.00 $4,980.00 $2,665.79 2026-04-23
28289 HCPCS Correction Of Rigid Deformity Of First Joint Of Big Toe 27 17 $4,980.00 $3,735.00 25% off $147.19 $4,980.00 $2,665.79 2026-04-23
54161 HCPCS Removal Of Foreskin (older Than 28 Days) 44 17 $3,710.00 $2,782.50 25% off $168.43 $4,090.00 $2,660.50 2026-04-23
28308 HCPCS Incision Or Partial Removal Of Foot Bone (other Than Big Toe) To Straighten Toe 17 17 $3,205.00 $2,403.75 25% off $1,698.65 $3,205.00 $2,660.15 2026-04-23
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 16 16 $3,200.00 $2,400.00 25% off $1,687.28 $3,200.00 $2,656.00 2026-04-23
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 17 17 $3,196.15 $2,397.11 25% off $66.39 $3,196.15 $2,652.80 2026-04-23
49565 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Reducible 23 17 $4,007.00 $3,005.25 25% off $542.54 $4,007.00 $2,645.00 2026-04-23
3702507_1 CDM Anesthesia Up To 4.5 Hrs 12 12 $3,450.00 $2,587.50 25% off $1,828.50 $3,277.50 $2,639.25 2026-04-23
24105 HCPCS Removal Of Fluid-filled Sac Of Elbow 44 17 $3,822.00 $2,866.50 25% off $279.26 $3,885.00 $2,615.40 2026-04-23
29825 HCPCS Removal Of Shoulder Scar Tissue Using An Endoscope 27 17 $4,870.00 $3,652.50 25% off $449.89 $4,870.00 $2,606.91 2026-04-23
19300 HCPCS Removal Of Extra Breast Tissue In Male 27 17 $4,868.00 $3,651.00 25% off $111.52 $4,868.00 $2,605.84 2026-04-23
42830 HCPCS Primary Removal Of Adenoids (younger Than 12 Years) 17 17 $3,133.00 $2,349.75 25% off $1,660.49 $3,133.00 $2,600.39 2026-04-23
26951 HCPCS Amputation Of Finger Or Thumb With Direct Closure 17 17 $3,115.00 $2,336.25 25% off $1,650.95 $3,115.00 $2,585.45 2026-04-23
2780014_1 CDM Sling Single-incision Adjust 12 12 $3,367.00 $2,525.25 25% off $1,784.51 $3,198.65 $2,575.76 2026-04-23
2700047_1 CDM Grafix Core 5x5cm 12 12 $3,350.00 $2,512.50 25% off $1,775.50 $3,182.50 $2,562.75 2026-04-23
Q4106 HCPCS Dermagraft, Per Square Centimeter 16 16 $3,055.00 $2,291.25 25% off $1,619.15 $3,055.00 $2,535.65 2026-04-23
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 27 17 $4,709.00 $3,531.75 25% off $276.57 $4,709.00 $2,520.73 2026-04-23
37609 HCPCS Tying Or Biopsy Of Artery On Side Of Skull 26 16 $4,695.00 $3,521.25 25% off $170.83 $4,695.00 $2,513.23 2026-04-23
28008 HCPCS Incision Of Connective Tissue Of Foot And/or Toe 17 17 $3,025.00 $2,268.75 25% off $1,603.25 $3,025.00 $2,510.75 2026-04-23
15115 HCPCS Outer Layer Self Skin Graft Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around E… 26 16 $4,647.00 $3,485.25 25% off $598.24 $4,647.00 $2,487.54 2026-04-23
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