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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

PHILLIPS COUNTY HOSPITAL

Phillipsburg, KS · CCN 171353 · Rates published

Your selected procedure

You selected 29806 (HCPCS)

Repair of shoulder joint capsule using an endoscope

This hospital’s price: $5,432 across 6 payers · range $4,346-$8,930

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPCHSPHILLIPSBURGKS&type=CDMWithoutLabel&fileType=CSV · observed 2026-03-09

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.

2,173 distinct procedures filed
9 distinct payers
21,079 rate rows
2026-03-09 last MRF observed
Data quality

21,000 of 21,079 rate rows are consumer-grade (99.6%)

79 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 31
exceeds 10× this hospital's gross charge — excluded from medians 28
per-diem day rate — not a per-procedure price 17
placeholder amount (≤ $0.02) — excluded from medians 2
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPCHSPHILLIPSBURGKS&type=CDMWithoutLabel&fileType=CSV
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-11-06
Content fingerprint ca5cdc53917bb360… · 9,663,758 bytes · first seen 2026-07-17

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
C1776
HCPCS 		Joint Device (implantable) 5 $24,523.20 $30,654.00 $30,654.00 nat. median
$3,394
outlier · 9.0×
28740
HCPCS 		Fusion Of Foot In Midfoot Region 7 $651.98 $18,915.00 $15,132.00 nat. median
$6,870
outlier · 2.2×
149
MS_DRG 		Dysequilibrium 3 $2,477.60 $12,950.00 $12,103.50 nat. median
$7,940
1.5× median
27766
HCPCS 		Treatment Of Inside Portion Of Broken Shin Bone At Ankle 6 $1,353.51 $15,251.00 $11,871.54 nat. median
$6,997
1.7× median
28725
HCPCS 		Fusion Of Foot Below Ankle 6 $1,798.20 $16,083.53 $9,975.15 nat. median
$10,575
0.9× median
28737
HCPCS 		Fusion Of Upper Part Of Foot And Lengthening Of Tendon 6 $1,224.72 $16,083.53 $9,913.58 nat. median
$11,361
0.9× median
964
MS_DRG 		Other Multiple Significant Trauma With Cc 3 $4,987.80 $11,988.05 $9,250.00 nat. median
$14,933
0.6× median
27822
HCPCS 		Treatment Of 3 Broken Lower Leg Bones At Ankle 6 $1,998.27 $11,200.00 $8,929.66 nat. median
$7,111
1.3× median
28750
HCPCS 		Fusion Of Big Toe At Joint With Foot 6 $1,305.72 $10,971.00 $8,886.51 nat. median
$7,000
1.3× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 6 $208.95 $9,650.75 $8,733.93 nat. median
$3,824
outlier · 2.3×
602
MS_DRG 		Cellulitis With Mcc 3 $5,550.00 $10,692.80 $8,635.60 nat. median
$14,007
0.6× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 3 $4,987.80 $11,100.00 $8,612.50 nat. median
$11,506
0.7× median
Q4197
HCPCS 		Puraply Xt, Per Square Centimeter 5 $6,800.00 $8,500.00 $8,500.00 nat. median
$210
outlier · 40.5×
Q4196
HCPCS 		Puraply Am, Per Square Centimeter 5 $1,440.00 $10,260.00 $8,208.00 nat. median
$312
outlier · 26.3×
29888
HCPCS 		Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 6 $6,322.40 $8,929.66 $7,903.00 nat. median
$7,346
1.1× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 3 $6,943.80 $8,646.93 $7,400.00 nat. median
$10,456
0.7× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 3 $3,194.80 $8,025.85 $7,400.00 nat. median
$8,173
0.9× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 3 $4,629.20 $18,470.10 $7,400.00 nat. median
$12,858
0.6× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 $5,550.00 $11,051.40 $7,295.33 nat. median
$19,223
outlier · 0.4×
28755
HCPCS 		Fusion Of Big Toe Between Toe Joints 6 $796.23 $8,975.00 $7,269.75 nat. median
$6,233
1.2× median
379
MS_DRG 		Gastrointestinal Hemorrhage Without Cc/mcc 3 $2,640.60 $7,400.00 $7,192.40 nat. median
$6,966
1.0× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 3 $5,550.00 $9,326.73 $7,172.00 nat. median
$18,625
outlier · 0.4×
29889
HCPCS 		Repair Of Posterior Cruciate Ligament Of Knee Using An Endoscope 6 $3,839.01 $7,903.00 $7,152.22 nat. median
$11,550
0.6× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 3 $5,550.00 $8,625.85 $6,683.00 nat. median
$15,375
outlier · 0.4×
27726
HCPCS 		Repair Of Nonhealed Broken Outer Lower Leg Bone With Placement Of Stabilizing De… 6 $1,997.46 $8,929.66 $6,597.45 nat. median
$7,267
0.9× median
27814
HCPCS 		Treatment Of Both Broken Lower Leg Bones At Ankle 6 $1,769.85 $8,929.66 $6,597.45 nat. median
$7,144
0.9× median
27792
HCPCS 		Treatment Of Broken Outer Lower Leg Bone At Ankle 6 $242.07 $8,929.66 $6,597.45 nat. median
$6,936
1.0× median
28118
HCPCS 		Removal Of Heel Bone 6 $979.29 $8,402.00 $6,539.75 nat. median
$3,411
1.9× median
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 6 $5.01 $7,202.12 $6,517.92 nat. median
$1,573
outlier · 4.1×
44960
HCPCS 		Removal Of Ruptured Infected Appendix 6 $242.07 $7,943.00 $6,394.11 nat. median
$2,568
outlier · 2.5×
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 3 $5,550.00 $13,353.90 $6,128.80 nat. median
$11,057
0.6× median
28485
HCPCS 		Treatment Of Broken Midportion Of Foot 6 $1,035.18 $7,981.47 $5,841.72 nat. median
$7,175
0.8× median
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 3 $3,700.00 $9,528.40 $5,835.40 nat. median
$8,839
0.7× median
26615
HCPCS 		Treatment Of Broken Midhand Bone 6 $1,146.96 $7,382.00 $5,745.89 nat. median
$3,818
1.5× median
20205
HCPCS 		Deep Biopsy Of Muscle 6 $242.07 $8,100.00 $5,603.40 nat. median
$2,955
1.9× median
192
MS_DRG 		Chronic Obstructive Pulmonary Disease Without Cc/mcc 3 $5,550.00 $6,065.47 $5,574.60 nat. median
$7,109
0.8× median
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 3 $3,325.20 $7,997.50 $5,550.00 nat. median
$8,431
0.7× median
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 3 $3,651.20 $7,041.68 $5,550.00 nat. median
$8,103
0.7× median
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 3 $5,183.40 $6,514.10 $5,550.00 nat. median
$13,725
outlier · 0.4×
69
MS_DRG 		Transient Ischemia Without Thrombolytic 3 $4,238.00 $6,045.00 $5,550.00 nat. median
$8,413
0.7× median
309
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Cc 3 $3,162.20 $8,218.18 $5,550.00 nat. median
$7,899
0.7× median
176
MS_DRG 		Pulmonary Embolism Without Mcc 3 $2,803.60 $9,591.10 $5,550.00 nat. median
$8,582
0.6× median
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 3 $3,683.80 $7,035.63 $5,550.00 nat. median
$8,373
0.7× median
683
MS_DRG 		Renal Failure With Cc 3 $3,944.60 $6,839.66 $5,550.00 nat. median
$9,102
0.6× median
292
MS_DRG 		Heart Failure And Shock With Cc 3 $4,857.40 $12,233.93 $5,550.00 nat. median
$8,945
0.6× median
948
MS_DRG 		Signs And Symptoms Without Mcc 3 $4,564.00 $6,359.46 $5,550.00 nat. median
$7,968
0.7× median
310
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 3 $2,445.00 $6,619.38 $5,550.00 nat. median
$6,284
0.9× median
293
MS_DRG 		Heart Failure And Shock Without Cc/mcc 3 $2,510.20 $7,726.88 $5,550.00 nat. median
$6,357
0.9× median
603
MS_DRG 		Cellulitis Without Mcc 3 $4,368.40 $7,755.93 $5,550.00 nat. median
$8,977
0.6× median
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 3 $3,260.00 $8,937.80 $5,550.00 nat. median
$9,304
0.6× median

Other procedures at this hospital

Browse this hospital's 2,173 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
             
C1776 HCPCS Joint Device (implantable) 5 5 $30,654.00 $26,055.90 $24,523.20 $30,654.00 $30,654.00 2026-03-09
28740 HCPCS Fusion Of Foot In Midfoot Region 9 7 $18,915.00 $16,077.75 $651.98 $18,915.00 $15,132.00 2026-03-09
149 MS_DRG Dysequilibrium 3 3 $12,103.50 $10,287.98 $2,477.60 $12,950.00 $12,103.50 2026-03-09
27766 HCPCS Treatment Of Inside Portion Of Broken Shin Bone At Ankle 11 6 $15,251.00 $12,963.35 $1,353.51 $15,251.00 $11,871.54 2026-03-09
28725 HCPCS Fusion Of Foot Below Ankle 11 6 $12,315.00 $10,467.75 $1,798.20 $16,083.53 $9,975.15 2026-03-09
28737 HCPCS Fusion Of Upper Part Of Foot And Lengthening Of Tendon 10 6 $12,315.00 $10,467.75 $1,224.72 $16,083.53 $9,913.58 2026-03-09
964 MS_DRG Other Multiple Significant Trauma With Cc 3 3 $11,988.05 $10,189.84 $4,987.80 $11,988.05 $9,250.00 2026-03-09
27822 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle 11 6 $11,200.00 $9,520.00 $1,998.27 $11,200.00 $8,929.66 2026-03-09
28750 HCPCS Fusion Of Big Toe At Joint With Foot 11 6 $10,971.00 $9,325.35 $1,305.72 $10,971.00 $8,886.51 2026-03-09
J3101 HCPCS Injection, Tenecteplase, 1 Mg 6 6 $9,650.75 $8,203.14 $208.95 $9,650.75 $8,733.93 2026-03-09
602 MS_DRG Cellulitis With Mcc 3 3 $8,635.60 $7,340.26 $5,550.00 $10,692.80 $8,635.60 2026-03-09
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 3 3 $8,612.50 $7,320.63 $4,987.80 $11,100.00 $8,612.50 2026-03-09
Q4197 HCPCS Puraply Xt, Per Square Centimeter 5 5 $8,500.00 $7,225.00 $6,800.00 $8,500.00 $8,500.00 2026-03-09
Q4196 HCPCS Puraply Am, Per Square Centimeter 15 5 $8,500.00 $7,225.00 $1,440.00 $10,260.00 $8,208.00 2026-03-09
29888 HCPCS Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 6 6 $7,903.00 $6,717.55 $6,322.40 $8,929.66 $7,903.00 2026-03-09
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 3 3 $8,646.93 $7,349.89 $6,943.80 $8,646.93 $7,400.00 2026-03-09
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 3 3 $8,025.85 $6,821.97 $3,194.80 $8,025.85 $7,400.00 2026-03-09
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 3 3 $18,470.10 $15,699.59 $4,629.20 $18,470.10 $7,400.00 2026-03-09
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 3 $7,295.33 $6,201.03 $5,550.00 $11,051.40 $7,295.33 2026-03-09
28755 HCPCS Fusion Of Big Toe Between Toe Joints 11 6 $8,975.00 $7,628.75 $796.23 $8,975.00 $7,269.75 2026-03-09
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 3 3 $7,192.40 $6,113.54 $2,640.60 $7,400.00 $7,192.40 2026-03-09
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 3 3 $9,326.73 $7,927.72 $5,550.00 $9,326.73 $7,172.00 2026-03-09
29889 HCPCS Repair Of Posterior Cruciate Ligament Of Knee Using An Endoscope 6 6 $7,903.00 $6,717.55 $3,839.01 $7,903.00 $7,152.22 2026-03-09
177 MS_DRG Respiratory Infections And Inflammations With Mcc 3 3 $8,625.85 $7,331.97 $5,550.00 $8,625.85 $6,683.00 2026-03-09
27726 HCPCS Repair Of Nonhealed Broken Outer Lower Leg Bone With Placement Of Stabilizing De… 11 6 $8,145.00 $6,923.25 $1,997.46 $8,929.66 $6,597.45 2026-03-09
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 11 6 $8,145.00 $6,923.25 $1,769.85 $8,929.66 $6,597.45 2026-03-09
27792 HCPCS Treatment Of Broken Outer Lower Leg Bone At Ankle 11 6 $8,145.00 $6,923.25 $242.07 $8,929.66 $6,597.45 2026-03-09
28118 HCPCS Removal Of Heel Bone 11 6 $8,402.00 $7,141.70 $979.29 $8,402.00 $6,539.75 2026-03-09
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 6 6 $7,202.12 $6,121.80 $5.01 $7,202.12 $6,517.92 2026-03-09
44960 HCPCS Removal Of Ruptured Infected Appendix 10 6 $7,943.00 $6,751.55 $242.07 $7,943.00 $6,394.11 2026-03-09
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 3 3 $13,353.90 $11,350.82 $5,550.00 $13,353.90 $6,128.80 2026-03-09
28485 HCPCS Treatment Of Broken Midportion Of Foot 11 6 $7,212.00 $6,130.20 $1,035.18 $7,981.47 $5,841.72 2026-03-09
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 3 3 $9,528.40 $8,099.14 $3,700.00 $9,528.40 $5,835.40 2026-03-09
26615 HCPCS Treatment Of Broken Midhand Bone 11 6 $7,382.00 $6,274.70 $1,146.96 $7,382.00 $5,745.89 2026-03-09
20205 HCPCS Deep Biopsy Of Muscle 10 6 $8,100.00 $6,885.00 $242.07 $8,100.00 $5,603.40 2026-03-09
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 3 3 $6,065.47 $5,155.65 $5,550.00 $6,065.47 $5,574.60 2026-03-09
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 3 3 $7,997.50 $6,797.88 $3,325.20 $7,997.50 $5,550.00 2026-03-09
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 3 3 $7,041.68 $5,985.42 $3,651.20 $7,041.68 $5,550.00 2026-03-09
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 3 3 $6,514.10 $5,536.99 $5,183.40 $6,514.10 $5,550.00 2026-03-09
69 MS_DRG Transient Ischemia Without Thrombolytic 3 3 $6,045.00 $5,138.25 $4,238.00 $6,045.00 $5,550.00 2026-03-09
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 3 3 $8,218.18 $6,985.45 $3,162.20 $8,218.18 $5,550.00 2026-03-09
176 MS_DRG Pulmonary Embolism Without Mcc 3 3 $9,591.10 $8,152.44 $2,803.60 $9,591.10 $5,550.00 2026-03-09
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 3 3 $7,035.63 $5,980.29 $3,683.80 $7,035.63 $5,550.00 2026-03-09
683 MS_DRG Renal Failure With Cc 3 3 $6,839.66 $5,813.71 $3,944.60 $6,839.66 $5,550.00 2026-03-09
292 MS_DRG Heart Failure And Shock With Cc 3 3 $12,233.93 $10,398.84 $4,857.40 $12,233.93 $5,550.00 2026-03-09
948 MS_DRG Signs And Symptoms Without Mcc 3 3 $6,359.46 $5,405.54 $4,564.00 $6,359.46 $5,550.00 2026-03-09
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 3 3 $6,619.38 $5,626.47 $2,445.00 $6,619.38 $5,550.00 2026-03-09
293 MS_DRG Heart Failure And Shock Without Cc/mcc 3 3 $7,726.88 $6,567.84 $2,510.20 $7,726.88 $5,550.00 2026-03-09
603 MS_DRG Cellulitis Without Mcc 3 3 $7,755.93 $6,592.54 $4,368.40 $7,755.93 $5,550.00 2026-03-09
812 MS_DRG Red Blood Cell Disorders Without Mcc 3 3 $8,937.80 $7,597.13 $3,260.00 $8,937.80 $5,550.00 2026-03-09
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 3 3 $7,434.80 $6,319.58 $4,205.40 $7,434.80 $5,550.00 2026-03-09
540 MS_DRG Osteomyelitis With Cc 3 3 $14,683.15 $12,480.68 $5,509.40 $14,683.15 $5,550.00 2026-03-09
914 MS_DRG Traumatic Injury Without Mcc 3 3 $10,342.00 $8,790.70 $2,445.00 $10,342.00 $5,550.00 2026-03-09
758 MS_DRG Infections, Female Reproductive System With Cc 3 3 $7,247.15 $6,160.08 $3,292.60 $7,247.15 $5,550.00 2026-03-09
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 3 3 $6,175.56 $5,249.23 $3,716.40 $6,175.56 $5,550.00 2026-03-09
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 3 3 $10,283.73 $8,741.17 $4,433.60 $10,283.73 $5,550.00 2026-03-09
552 MS_DRG Medical Back Problems Without Mcc 3 3 $6,147.03 $5,224.97 $4,075.00 $6,147.03 $5,550.00 2026-03-09
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 3 3 $6,199.33 $5,269.43 $2,999.20 $6,199.33 $5,550.00 2026-03-09
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 3 3 $6,057.33 $5,148.73 $5,118.20 $6,057.33 $5,550.00 2026-03-09
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 3 3 $7,630.26 $6,485.72 $4,335.80 $7,630.26 $5,550.00 2026-03-09
29820 HCPCS Partial Removal Of Shoulder Joint Lining Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,345.60 $8,929.66 $5,432.00 2026-03-09
29827 HCPCS Repair Of Shoulder Rotator Cuff Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,345.60 $8,929.66 $5,432.00 2026-03-09
29867 HCPCS Repair Of Knee Cartilage And Bone With Donor Cartilage Graft Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,345.60 $16,083.53 $5,432.00 2026-03-09
29807 HCPCS Repair Of Shoulder Socket Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,345.60 $9,331.39 $5,432.00 2026-03-09
29828 HCPCS Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,345.60 $8,929.66 $5,432.00 2026-03-09
29836 HCPCS Removal Of Entire Elbow Joint Lining Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,345.60 $8,929.66 $5,432.00 2026-03-09
29866 HCPCS Repair Of Knee Cartilage And Bone With Patient-derived Healthy Cartilage Transpl… 6 6 $5,432.00 $4,617.20 $4,345.60 $8,929.66 $5,432.00 2026-03-09
29806 HCPCS Repair Of Shoulder Joint Capsule Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,345.60 $8,929.66 $5,432.00 2026-03-09
29851 HCPCS Treatment Of Broken Knee Joint With Placement Of Stabilizing Device Using An End… 6 6 $5,432.00 $4,617.20 $4,345.60 $6,224.63 $5,432.00 2026-03-09
29885 HCPCS Repair Of Knee Joint With Bone Graft Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,345.60 $8,929.66 $5,432.00 2026-03-09
29862 HCPCS Removal Or Shaving Of Hip Joint Socket Cartilage Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,345.60 $7,478.04 $5,432.00 2026-03-09
27685 HCPCS Lengthening Or Shortening Of Tendon Of Leg Or Ankle 9 7 $6,775.00 $5,758.75 $480.83 $6,775.00 $5,420.00 2026-03-09
28140 HCPCS Removal Of Foot Bone 9 7 $6,775.00 $5,758.75 $491.87 $6,775.00 $5,420.00 2026-03-09
178 MS_DRG Respiratory Infections And Inflammations With Cc 3 3 $5,886.71 $5,003.71 $3,700.00 $5,886.71 $5,248.60 2026-03-09
J2356 HCPCS Injection, Tezepelumab-ekko, 1 Mg 5 5 $5,194.58 $4,415.39 $4,155.66 $5,194.58 $5,194.58 2026-03-09
28299 HCPCS Correction Of Bunion With 2 Areas Of Realignment 11 6 $6,270.00 $5,329.50 $1,568.97 $8,929.66 $5,078.70 2026-03-09
28297 HCPCS Correction Of Bunion With Forefoot And Midfoot Bone Fusion 11 6 $6,270.00 $5,329.50 $1,503.36 $16,083.53 $5,078.70 2026-03-09
28298 HCPCS Correction Of Bunion With Alignment Correction Of Big Toe 11 6 $6,270.00 $5,329.50 $1,271.70 $8,929.66 $5,078.70 2026-03-09
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 17 6 $6,190.00 $5,261.50 $38.38 $6,190.00 $4,952.00 2026-03-09
29901 HCPCS Removal Of Dead Or Infected Finger Joint Tissue Using An Endoscope 6 6 $5,432.00 $4,617.20 $2,157.36 $5,432.00 $4,915.96 2026-03-09
29855 HCPCS Treatment Of Broken Upper Portion Of Lower Leg Bone On Side Using An Endoscope 6 6 $5,432.00 $4,617.20 $2,157.36 $5,432.00 $4,915.96 2026-03-09
29823 HCPCS Removal Of Extensive Shoulder Joint Tissue Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,055.76 $5,432.00 $4,915.96 2026-03-09
29821 HCPCS Removal Of Entire Shoulder Joint Lining Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,055.76 $5,432.00 $4,915.96 2026-03-09
29835 HCPCS Partial Removal Of Elbow Joint Lining Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,055.76 $5,432.00 $4,915.96 2026-03-09
29847 HCPCS Placement Of Internal Stabilizing Device Using An Endoscope To Treat Broken Or U… 6 6 $5,432.00 $4,617.20 $2,993.64 $5,432.00 $4,915.96 2026-03-09
29860 HCPCS Diagnostic Exam Of Hip Using An Endoscope 6 6 $5,432.00 $4,617.20 $2,157.36 $5,432.00 $4,915.96 2026-03-09
29825 HCPCS Removal Of Shoulder Scar Tissue Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,055.76 $5,432.00 $4,915.96 2026-03-09
29830 HCPCS Diagnostic Exam Of Elbow Joint Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,055.76 $5,432.00 $4,915.96 2026-03-09
29826 HCPCS Shaving Of Part Of Shoulder Bone And Repair Of Ligament Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,055.76 $5,432.00 $4,915.96 2026-03-09
29861 HCPCS Removal Of Loose Or Foreign Body In Hip Joint Using An Endoscope 6 6 $5,432.00 $4,617.20 $2,157.36 $5,432.00 $4,915.96 2026-03-09
29819 HCPCS Removal Of Loose Or Foreign Body In Shoulder Joint Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,055.76 $5,432.00 $4,915.96 2026-03-09
29856 HCPCS Treatment Of Broken Upper Portion Of Lower Leg Bone On Both Sides Using An Endos… 6 6 $5,432.00 $4,617.20 $2,157.36 $5,432.00 $4,915.96 2026-03-09
29863 HCPCS Removal Of Hip Joint Lining Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,055.76 $5,432.00 $4,915.96 2026-03-09
29824 HCPCS Partial Removal Of Collar Bone At Shoulder Using An Endoscope 6 6 $5,432.00 $4,617.20 $4,055.76 $5,432.00 $4,915.96 2026-03-09
59614 HCPCS Vaginal Delivery And Care After Delivery After Prior Cesarean Delivery 5 5 $4,910.00 $4,173.50 $3,928.00 $4,910.00 $4,910.00 2026-03-09
28810 HCPCS Amputation Of Toe And Midfoot Bone 11 6 $6,775.00 $5,758.75 $242.07 $6,775.00 $4,907.59 2026-03-09
Q4159 HCPCS Affinity, Per Square Centimeter 6 6 $5,400.00 $4,590.00 $430.92 $5,400.00 $4,887.00 2026-03-09
47600 HCPCS Removal Of Gallbladder 6 6 $4,826.00 $4,102.10 $3,860.80 $6,871.99 $4,826.00 2026-03-09
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 3 3 $4,805.75 $4,084.89 $2,282.00 $5,550.00 $4,805.75 2026-03-09
312 MS_DRG Syncope And Collapse 3 3 $4,735.00 $4,024.75 $3,846.80 $5,550.00 $4,735.00 2026-03-09
55520 HCPCS Removal Of Growth Of Sperm Cord 9 7 $5,775.00 $4,908.75 $435.00 $5,775.00 $4,620.00 2026-03-09
29887 HCPCS Repair Of Knee Joint With Bone Graft And Internal Stabilizing Device Using An En… 6 6 $4,514.00 $3,836.90 $3,611.20 $8,929.66 $4,514.00 2026-03-09
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 3 3 $4,481.00 $3,808.85 $4,107.60 $5,550.00 $4,481.00 2026-03-09
27652 HCPCS Repair Of Ruptured Achilles Tendon With Graft 11 6 $6,270.00 $5,329.50 $1,852.47 $6,270.00 $4,454.10 2026-03-09
27650 HCPCS Repair Of Ruptured Achilles Tendon 11 6 $6,270.00 $5,329.50 $1,635.39 $6,270.00 $4,454.10 2026-03-09
49507 HCPCS Repair Of Trapped Groin Hernia (5 Years Or Older) 11 6 $5,720.00 $4,862.00 $242.07 $5,720.00 $4,411.33 2026-03-09
29881 HCPCS Removal Of Knee Cartilage Using An Endoscope 6 6 $4,755.00 $4,041.75 $3,804.00 $4,755.00 $4,405.38 2026-03-09
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 3 3 $5,283.98 $4,491.38 $3,700.00 $5,283.98 $4,335.80 2026-03-09
28113 HCPCS Complete Removal Of Foot Bone At Fifth Toe Joint 11 6 $5,521.00 $4,692.85 $779.22 $5,521.00 $4,297.55 2026-03-09
29877 HCPCS Removal Or Shaving Of Knee Joint Cartilage Using An Endoscope 6 6 $4,514.00 $3,836.90 $3,611.20 $4,514.00 $4,284.88 2026-03-09
29876 HCPCS Removal Of Joint Lining From Multiple Knee Joint Compartments Using An Endoscope 6 6 $4,514.00 $3,836.90 $3,611.20 $4,514.00 $4,284.88 2026-03-09
29879 HCPCS Repair Of Knee Joint With Drilling And Or Scraping Of Joint Using An Endoscope 6 6 $4,514.00 $3,836.90 $3,611.20 $4,514.00 $4,284.88 2026-03-09
29884 HCPCS Removal Of Scar Tissue From Knee Using An Endoscope 6 6 $4,514.00 $3,836.90 $3,611.20 $4,514.00 $4,284.88 2026-03-09
29886 HCPCS Repair Of Knee Joint By Drilling Cartilage Using An Endoscope 6 6 $4,514.00 $3,836.90 $3,611.20 $4,514.00 $4,284.88 2026-03-09
29880 HCPCS Removal Of Both Knee Cartilages Using An Endoscope 6 6 $4,514.00 $3,836.90 $3,611.20 $4,514.00 $4,284.88 2026-03-09
29882 HCPCS Repair Of Inside Or Outside Knee Joint Cartilage Using An Endoscope 6 6 $4,514.00 $3,836.90 $3,611.20 $4,514.00 $4,284.88 2026-03-09
29883 HCPCS Repair Of Inside And Outside Knee Joint Cartilage Using An Endoscope 6 6 $4,514.00 $3,836.90 $3,611.20 $4,514.00 $4,284.88 2026-03-09
29892 HCPCS Removal Of Large Shin Or Ankle Bone Defect Using An Endoscope 6 6 $4,704.00 $3,998.40 $2,157.36 $4,704.00 $4,257.12 2026-03-09
28315 HCPCS Removal Of Small Bone Underlying Long Bone Of Foot At Big Toe Joint 6 6 $4,700.00 $3,995.00 $3,568.33 $4,700.00 $4,253.50 2026-03-09
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 3 3 $4,198.00 $3,568.30 $3,700.00 $4,564.00 $4,198.00 2026-03-09
66984 HCPCS Removal Of Cataract With Insertion Of Prosthetic Lens 6 6 $4,632.00 $3,937.20 $2,860.91 $4,632.00 $4,191.96 2026-03-09
Q4186 HCPCS Epifix, Per Square Centimeter 6 6 $4,576.00 $3,889.60 $188.87 $4,576.00 $4,141.28 2026-03-09
189 MS_DRG Pulmonary Edema And Respiratory Failure 3 3 $5,604.63 $4,763.93 $3,700.00 $5,604.63 $4,075.00 2026-03-09
49591 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length 8 6 $5,012.44 $4,260.57 $215.82 $5,012.44 $4,035.01 2026-03-09
28238 HCPCS Reconstruction Of Ankle Tendon With Removal Of Extra Ankle Joint Bone 11 6 $5,167.00 $4,391.95 $1,227.15 $5,167.00 $4,021.82 2026-03-09
27658 HCPCS Primary Repair Of Tendon On Back Of Leg 11 6 $5,090.00 $4,326.50 $959.85 $5,090.00 $3,962.23 2026-03-09
47562 HCPCS Removal Of Gallbladder Using An Endoscope 11 6 $4,826.00 $4,102.10 $242.07 $7,292.95 $3,909.06 2026-03-09
64718 HCPCS Release And/or Relocation Of Elbow Nerve 6 6 $4,245.00 $3,608.25 $2,479.55 $4,245.00 $3,841.72 2026-03-09
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 3 $5,135.58 $4,365.24 $3,700.00 $5,135.58 $3,781.60 2026-03-09
28420 HCPCS Treatment Of Broken Heel Bone With Graft 5 5 $3,743.00 $3,181.55 $3,031.83 $3,839.01 $3,743.00 2026-03-09
J2182 HCPCS Injection, Mepolizumab, 1 Mg 6 6 $4,122.66 $3,504.26 $38.95 $4,122.66 $3,731.01 2026-03-09
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 3 3 $8,212.85 $6,980.92 $3,488.20 $8,212.85 $3,700.00 2026-03-09
101 MS_DRG Seizures Without Mcc 3 3 $2,542.50 $2,161.13 $2,542.50 $4,596.60 $3,700.00 2026-03-09
23120 HCPCS Partial Removal Of Collar Bone 6 6 $3,660.00 $3,111.00 $2,928.00 $3,880.42 $3,660.00 2026-03-09
28705 HCPCS Fusion Of All Bones Of Ankle And Hindfoot 5 5 $3,598.00 $3,058.30 $2,865.37 $3,598.00 $3,598.00 2026-03-09
27828 HCPCS Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones 5 5 $3,555.00 $3,021.75 $2,879.55 $16,083.53 $3,555.00 2026-03-09
29897 HCPCS Removal Of Limited Dead Or Infected Tissue Using An Endoscope 6 6 $3,520.00 $2,992.00 $2,816.00 $4,293.51 $3,520.00 2026-03-09
29895 HCPCS Partial Removal Of Ankle Joint Lining Using An Endoscope 6 6 $3,520.00 $2,992.00 $2,816.00 $4,185.44 $3,520.00 2026-03-09
29894 HCPCS Removal Of Loose Or Foreign Body In Ankle Using An Endoscope 6 6 $3,520.00 $2,992.00 $2,816.00 $4,314.72 $3,520.00 2026-03-09
C1713 HCPCS Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 25 5 $4,092.00 $3,478.20 $1,700.80 $8,100.00 $3,520.00 2026-03-09
29898 HCPCS Removal Of Extensive Dead Or Infected Tissue Using An Endoscope 6 6 $3,520.00 $2,992.00 $2,816.00 $4,983.50 $3,520.00 2026-03-09
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 11 6 $4,334.00 $3,683.90 $242.07 $4,334.00 $3,510.54 2026-03-09
305 MS_DRG Hypertension Without Mcc 3 3 $3,337.00 $2,836.45 $3,337.00 $3,700.00 $3,488.20 2026-03-09
28296 HCPCS Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Toe Area 11 6 $4,272.00 $3,631.20 $1,379.43 $4,272.00 $3,324.92 2026-03-09
28291 HCPCS Correction Of Rigid Deformity Of First Joint Of Big Toe Using Implant 11 6 $6,300.00 $5,355.00 $1,492.02 $6,300.00 $3,322.90 2026-03-09
Q4101 HCPCS Apligraf, Per Square Centimeter 10 5 $3,825.00 $3,251.25 $2,040.00 $5,100.00 $3,315.00 2026-03-09
684 MS_DRG Renal Failure Without Cc/mcc 3 3 $3,298.00 $2,803.30 $2,608.00 $3,700.00 $3,298.00 2026-03-09
29893 HCPCS Repair Of Fibrous Tissue Of Arch Of Foot Using An Endoscope 6 6 $3,520.00 $2,992.00 $2,816.00 $3,520.00 $3,256.82 2026-03-09
29846 HCPCS Removal Or Repair Of Wrist Cartilage Using An Endoscope 6 6 $3,520.00 $2,992.00 $2,816.00 $3,520.00 $3,256.82 2026-03-09
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 5 5 $3,250.00 $2,762.50 $2,600.00 $3,250.00 $3,250.00 2026-03-09
28122 HCPCS Partial Removal Of Foot Or Heel Bone 9 7 $3,950.00 $3,357.50 $494.73 $3,950.00 $3,199.50 2026-03-09
J2357 HCPCS Injection, Omalizumab, 5 Mg 6 6 $3,526.49 $2,997.52 $51.61 $3,526.49 $3,191.47 2026-03-09
28288 HCPCS Removal Of Foot Bone Spur 9 7 $3,892.00 $3,308.20 $368.29 $4,055.76 $3,152.52 2026-03-09
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 18 6 $3,873.00 $3,292.05 $38.38 $4,163.00 $3,117.77 2026-03-09
28715 HCPCS Fusion Of 3 Bones Of Ankle 5 5 $3,073.00 $2,612.05 $2,489.13 $3,073.00 $3,073.00 2026-03-09
28060 HCPCS Partial Removal Of Connective Tissue At Sole Of Foot 9 7 $3,811.00 $3,239.35 $372.62 $3,811.00 $3,048.80 2026-03-09
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 5 5 $3,042.00 $2,585.70 $2,464.02 $16,083.53 $3,042.00 2026-03-09
27870 HCPCS Fusion Of Ankle Joint, Open Procedure 5 5 $3,008.00 $2,556.80 $2,436.48 $15,674.77 $3,008.00 2026-03-09
639 MS_DRG Diabetes Without Cc/mcc 3 3 $3,005.30 $2,554.51 $2,575.40 $3,700.00 $3,005.30 2026-03-09
28292 HCPCS Correction Of Bunion 11 6 $3,855.00 $3,276.75 $1,202.04 $3,855.00 $3,000.71 2026-03-09
29999 HCPCS Other Procedure On Joint Using An Endoscope 6 6 $2,990.00 $2,541.50 $2,392.00 $3,456.22 $2,990.00 2026-03-09
28035 HCPCS Release Of Nerve Between Tissue And Ankle Bone 11 6 $3,829.00 $3,254.65 $1,032.75 $3,829.00 $2,980.51 2026-03-09
28415 HCPCS Treatment Of Broken Heel Bone 5 5 $2,970.00 $2,524.50 $2,405.70 $15,970.12 $2,970.00 2026-03-09
29848 HCPCS Release Of Wrist Ligament Using An Endoscope 6 6 $3,181.00 $2,703.85 $2,544.80 $3,181.00 $2,943.39 2026-03-09
20680 HCPCS Removal Of Deep Implant From Bone 11 6 $3,618.00 $3,075.30 $976.80 $3,618.00 $2,894.40 2026-03-09
28008 HCPCS Incision Of Connective Tissue Of Foot And/or Toe 11 6 $3,600.00 $3,060.00 $536.00 $3,600.00 $2,880.00 2026-03-09
28090 HCPCS Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot 11 6 $3,682.00 $3,129.70 $242.07 $3,682.00 $2,865.37 2026-03-09
27620 HCPCS Incision And Exploration Of Ankle Joint 11 6 $3,681.00 $3,128.85 $1,189.89 $3,681.00 $2,865.37 2026-03-09
28108 HCPCS Removal Of Cyst Or Growth Of Toe Bone 11 6 $3,682.00 $3,129.70 $638.28 $3,682.00 $2,865.37 2026-03-09
29838 HCPCS Removal Of Extensive Damaged Tissue From Elbow Joint Using An Endoscope 6 6 $2,865.00 $2,435.25 $2,292.00 $4,055.76 $2,865.00 2026-03-09
28110 HCPCS Removal Of Bunion At Fifth Toe Joint 11 6 $3,658.00 $3,109.30 $737.10 $3,658.00 $2,847.19 2026-03-09
27823 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle With Fixation Of Posterior Lip 6 6 $2,830.00 $2,405.50 $2,264.00 $8,929.66 $2,830.00 2026-03-09
28445 HCPCS Treatment Of Broken Bone Between Foot And Ankle 11 6 $6,270.00 $5,329.50 $2,157.36 $6,270.00 $2,820.00 2026-03-09
22902 HCPCS Removal Of Growth Of Soft Tissue Of Abdominal Wall, Less Than 3.0 Cm 6 6 $3,100.00 $2,635.00 $2,356.33 $3,100.00 $2,805.50 2026-03-09
28300 HCPCS Incision Or Partial Removal Of Heel Bone 5 5 $2,770.00 $2,354.50 $2,243.70 $15,184.34 $2,770.00 2026-03-09
29875 HCPCS Partial Removal Of Knee Joint Lining Using An Endoscope 6 6 $2,755.00 $2,341.75 $2,204.00 $4,055.76 $2,755.00 2026-03-09
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 3 3 $2,726.45 $2,317.48 $1,850.00 $4,857.40 $2,726.45 2026-03-09
44970 HCPCS Removal Of Appendix Using An Endoscope 14 6 $1,087.00 $923.95 $242.07 $7,292.95 $2,702.70 2026-03-09
29805 HCPCS Diagnostic Exam Of Shoulder Using An Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $4,055.76 $2,689.00 2026-03-09
29870 HCPCS Diagnostic Exam Of Knee Using An Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $4,055.76 $2,689.00 2026-03-09
29874 HCPCS Removal Of Loose Or Foreign Body In Knee Joint Using An Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $4,055.76 $2,689.00 2026-03-09
29837 HCPCS Removal Of Elbow Joint Tissue Using An Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $4,055.76 $2,689.00 2026-03-09
29822 HCPCS Limited Removal Of Abnormal Shoulder Joint Tissue Using Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $4,167.26 $2,689.00 2026-03-09
29871 HCPCS Exam, Washing, And Drainage Of Infected Knee Joint Using An Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $4,055.76 $2,689.00 2026-03-09
29834 HCPCS Removal Of Loose Or Foreign Body In Elbow Joint Using An Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $4,055.76 $2,689.00 2026-03-09
29873 HCPCS Release Of Ligaments At Outer Side Of Knee Joint Using An Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $4,055.76 $2,689.00 2026-03-09
12036 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.… 6 6 $2,838.00 $2,412.30 $2,204.83 $2,838.00 $2,568.39 2026-03-09
27347 HCPCS Removal Of Growth Of Knee Cartilage Or Capsule 6 6 $2,550.00 $2,167.50 $2,040.00 $2,865.37 $2,550.00 2026-03-09
28476 HCPCS Placement Of Stabilizing Device For Broken Foot Bone With Manipulation 18 6 $3,174.00 $2,697.90 $38.38 $3,174.00 $2,539.20 2026-03-09
25000 HCPCS Incision Or The Tendon Covering On The Top Side Of The Wrist 6 6 $2,785.00 $2,367.25 $2,165.44 $2,785.00 $2,520.43 2026-03-09
28285 HCPCS Correction Of Toe Joint Deformity 11 6 $3,095.00 $2,630.75 $242.07 $4,055.76 $2,506.95 2026-03-09
28820 HCPCS Amputation Of Toe At Joint Between Forefoot And Toes 12 6 $700.00 $595.00 $242.07 $5,935.00 $2,499.28 2026-03-09
27355 HCPCS Removal Of Cyst Or Growth Of Thigh Bone 6 6 $2,755.00 $2,341.75 $1,077.67 $2,755.00 $2,493.28 2026-03-09
46270 HCPCS Repair Of Abnormal Anal Drainage Tract 11 6 $3,041.46 $2,585.24 $242.07 $3,427.99 $2,463.58 2026-03-09
29843 HCPCS Diagnostic Exam, Washing, And Drainage Of Infected Wrist Using An Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $2,689.00 $2,433.55 2026-03-09
29845 HCPCS Removal Of Entire Wrist Joint Lining Using An Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $2,689.00 $2,433.55 2026-03-09
29844 HCPCS Partial Removal Of Wrist Joint Lining Using An Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $2,689.00 $2,433.55 2026-03-09
29840 HCPCS Diagnostic Exam Of Wrist Using An Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $2,689.00 $2,433.55 2026-03-09
29900 HCPCS Biopsy Of Lining Of Joint Of Finger Using An Endoscope 6 6 $2,689.00 $2,285.65 $2,151.20 $2,689.00 $2,433.55 2026-03-09
29850 HCPCS Treatment Of Broken Knee Joint Using An Endoscope 6 6 $2,686.00 $2,283.10 $2,148.80 $2,686.00 $2,430.83 2026-03-09
27826 HCPCS Treatment Of Broken Outer Lower Leg Bone At Lower Weight Bearing Joint 5 5 $2,358.00 $2,004.30 $1,909.98 $4,499.55 $2,358.00 2026-03-09
46040 HCPCS Drainage Of Deep Abscess In Rectum 21 6 $2,883.00 $2,450.55 $242.07 $3,216.00 $2,329.06 2026-03-09
25111 HCPCS Removal Of First Cyst Of Wrist 6 6 $2,329.00 $1,979.65 $1,863.20 $2,330.07 $2,329.00 2026-03-09
28304 HCPCS Incision Or Partial Removal Of Foot Bone 5 5 $2,243.00 $1,906.55 $1,816.83 $14,036.98 $2,243.00 2026-03-09
28295 HCPCS Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Ankle 5 5 $2,232.00 $1,897.20 $1,807.92 $3,454.20 $2,232.00 2026-03-09
29891 HCPCS Removal Of Shin And/or Ankle Bone Defect Using An Endoscope 11 6 $2,850.00 $2,422.50 $1,791.72 $2,850.00 $2,212.00 2026-03-09
47610 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct 5 5 $2,200.00 $1,870.00 $242.07 $6,871.99 $2,200.00 2026-03-09
28308 HCPCS Incision Or Partial Removal Of Foot Bone (other Than Big Toe) To Straighten Toe 11 6 $2,850.00 $2,422.50 $871.56 $2,850.00 $2,157.36 2026-03-09
28302 HCPCS Incision Or Partial Removal Of Ankle Bone 5 5 $2,149.00 $1,826.65 $1,740.69 $2,157.36 $2,149.00 2026-03-09
26160 HCPCS Removal Of Growth Of Tendon Finger Or Hand 19 6 $2,670.00 $2,269.50 $242.07 $3,200.00 $2,136.00 2026-03-09
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 6 6 $2,353.00 $2,000.05 $1,704.15 $2,353.00 $2,129.47 2026-03-09
21931 HCPCS Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More 11 6 $2,900.00 $2,465.00 $242.07 $2,900.00 $2,084.64 2026-03-09
11406 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm 22 6 $2,669.00 $2,268.65 $38.38 $2,869.00 $2,077.57 2026-03-09
28735 HCPCS Fusion Of Multiple Foot Joints With Bone Incision To Correct A Foot Deformity 5 5 $2,075.00 $1,763.75 $1,680.75 $16,083.53 $2,075.00 2026-03-09
28730 HCPCS Fusion Of Multiple Foot Joints 5 5 $2,068.00 $1,757.80 $1,675.08 $16,083.53 $2,068.00 2026-03-09
11444 HCPCS Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3… 6 6 $2,200.00 $1,870.00 $1,760.00 $2,200.00 $2,059.50 2026-03-09
60252 HCPCS Removal Of Thyroid And Surrounding Lymph Nodes With Limited Neck Removal 11 6 $2,050.00 $1,742.50 $242.07 $7,394.58 $2,050.00 2026-03-09
42826 HCPCS Removal Of Tonsils (12 Years Or Older) 11 6 $2,527.00 $2,147.95 $242.07 $4,053.84 $2,046.87 2026-03-09
28080 HCPCS Removal Of Fibrous Nerve Growth From Between Toes 11 6 $2,610.00 $2,218.50 $899.10 $2,610.00 $2,031.11 2026-03-09
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 9 7 $2,500.00 $2,125.00 $244.23 $2,500.00 $2,000.00 2026-03-09
74021 HCPCS X-ray Of Abdomen, Minimum Of 3 Views 6 6 $2,193.50 $1,864.48 $149.60 $2,193.50 $1,985.12 2026-03-09
J0897 HCPCS Injection, Denosumab, 1 Mg 6 6 $2,180.89 $1,853.76 $35.58 $2,180.89 $1,973.70 2026-03-09
28615 HCPCS Treatment Of Dislocated Midfoot Bone 5 5 $1,947.00 $1,654.95 $1,577.07 $2,895.67 $1,947.00 2026-03-09
28309 HCPCS Incision Or Partial Removal Of Multiple Foot Bones To Straighten Toes 5 5 $1,947.00 $1,654.95 $1,577.07 $2,157.36 $1,947.00 2026-03-09
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 17 6 $1,972.00 $1,676.20 $1,532.17 $2,116.00 $1,942.00 2026-03-09
13152 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm 6 6 $2,130.00 $1,810.50 $1,618.02 $2,130.00 $1,927.65 2026-03-09
46261 HCPCS Removal Of Multiple Hemorrhoid Groups And Chronic Tear In Anus 6 6 $1,900.00 $1,615.00 $1,520.00 $3,427.99 $1,900.00 2026-03-09
27687 HCPCS Lengthening Of Calf Muscle 11 6 $3,680.00 $3,128.00 $1,032.75 $3,680.00 $1,898.65 2026-03-09
46260 HCPCS Removal Of Multiple Hemorrhoid Groups 14 6 $824.00 $700.40 $242.07 $3,693.00 $1,889.20 2026-03-09
36584 HCPCS Replacement Of Peripherally Inserted Central Venous Tube (picc) With Review By R… 6 6 $2,075.00 $1,763.75 $1,440.26 $2,075.00 $1,877.88 2026-03-09
28555 HCPCS Treatment Of Dislocated Midfoot Or Hindfoot Bones 5 5 $1,877.00 $1,595.45 $1,520.37 $2,895.67 $1,877.00 2026-03-09
43249 HCPCS Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 11 6 $1,865.00 $1,585.25 $242.07 $2,371.24 $1,865.00 2026-03-09
15847 HCPCS Extensive Removal Of Extra Skin And Tissue Of Abdomen 5 5 $1,858.50 $1,579.73 $1,486.80 $1,858.50 $1,858.50 2026-03-09
12035 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.… 20 7 $2,345.00 $1,993.25 $224.00 $2,345.00 $1,850.03 2026-03-09
885 MS_DRG Psychoses 3 3 $1,836.75 $1,561.24 $1,836.75 $2,999.20 $1,850.00 2026-03-09
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 3 3 $1,671.00 $1,420.35 $1,671.00 $3,423.00 $1,850.00 2026-03-09
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 12 6 $1,985.50 $1,687.67 $1,476.80 $2,125.00 $1,846.00 2026-03-09
27871 HCPCS Fusion Of Lower Leg Bone At Knee Or Ankle Joint 5 5 $1,824.00 $1,550.40 $1,477.44 $10,239.40 $1,824.00 2026-03-09
26115 HCPCS Removal (less Than 1.5 Centimeters) Tissue Beneath The Skin Growth Of Hand Or Fi… 6 6 $2,000.00 $1,700.00 $1,199.88 $2,000.00 $1,810.00 2026-03-09
26040 HCPCS Release Of Tissue Of Palm 6 6 $1,810.00 $1,538.50 $1,448.00 $2,000.51 $1,810.00 2026-03-09
J0875 HCPCS Injection, Dalbavancin, 5 Mg 6 6 $1,961.86 $1,667.58 $20.31 $1,961.86 $1,775.48 2026-03-09
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 9 7 $2,200.00 $1,870.00 $235.16 $2,200.00 $1,760.00 2026-03-09
28760 HCPCS Fusion Of Big Toe Between Toe Joints With Tendon Transfer 5 5 $1,759.00 $1,495.15 $1,424.79 $8,929.66 $1,759.00 2026-03-09
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 15 7 $1,750.00 $1,487.50 $259.84 $3,500.00 $1,750.00 2026-03-09
28307 HCPCS Incision Or Partial Removal Of Big Toe Bone With Self Bone Graft To Straighten T… 5 5 $1,738.00 $1,477.30 $1,407.78 $2,157.36 $1,738.00 2026-03-09
11770 HCPCS Simple Removal Of Cyst Of Tailbone 11 6 $2,400.00 $2,040.00 $242.07 $2,400.00 $1,714.98 2026-03-09
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 11 6 $2,100.00 $1,785.00 $242.07 $4,411.33 $1,701.00 2026-03-09
46221 HCPCS Removal Of External Hemorrhoids By Rubber Banding 19 6 $2,100.00 $1,785.00 $242.07 $2,254.00 $1,680.00 2026-03-09
11644 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3.1-… 19 6 $2,100.00 $1,785.00 $242.07 $2,250.00 $1,680.00 2026-03-09
C1781 HCPCS Mesh (implantable) 50 5 $1,778.00 $1,511.30 $160.00 $8,632.00 $1,680.00 2026-03-09
11470 HCPCS Removal Of Skin And Tissue Of Anus Or Navel For Inflamed Sweat Glands With Simpl… 6 6 $1,660.00 $1,411.00 $1,328.00 $3,084.55 $1,660.00 2026-03-09
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 11 6 $1,500.00 $1,275.00 $1,200.00 $4,858.60 $1,651.90 2026-03-09
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 11 6 $1,500.00 $1,275.00 $1,200.00 $4,858.60 $1,651.90 2026-03-09
15240 HCPCS Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen… 8 5 $1,680.00 $1,428.00 $242.07 $3,312.80 $1,640.00 2026-03-09
28465 HCPCS Treatment Of Broken Hind Portion Of Foot 5 5 $1,629.00 $1,384.65 $1,319.49 $2,157.36 $1,629.00 2026-03-09
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 12 6 $1,826.00 $1,552.10 $1,300.00 $2,027.00 $1,625.00 2026-03-09
10121 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex 17 6 $1,953.00 $1,660.05 $224.00 $2,025.30 $1,620.00 2026-03-09
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 11 6 $1,609.00 $1,367.65 $1,249.77 $1,726.00 $1,609.00 2026-03-09
15110 HCPCS Outer Layer Self Skin Graft Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body Area… 11 6 $2,230.00 $1,895.50 $38.38 $2,230.00 $1,600.00 2026-03-09
49000 HCPCS Exploration Of Abdominal Cavity 6 6 $1,765.00 $1,500.25 $1,202.00 $1,765.00 $1,597.33 2026-03-09
J7300 HCPCS Intrauterine Copper Contraceptive 6 6 $1,625.00 $1,381.25 $1,300.00 $1,625.00 $1,587.19 2026-03-09
46200 HCPCS Removal Of Chronic Tear Of Anus 9 7 $1,950.00 $1,657.50 $220.50 $3,427.99 $1,579.50 2026-03-09
43251 HCPCS Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 13 6 $735.00 $624.75 $242.07 $2,371.24 $1,560.00 2026-03-09
28305 HCPCS Incision Or Partial Removal Of Foot Bone With Bone Graft 5 5 $1,558.00 $1,324.30 $1,261.98 $2,157.36 $1,558.00 2026-03-09
28320 HCPCS Repair Of Nonhealed Broken Midfoot Bone 5 5 $1,558.00 $1,324.30 $1,261.98 $3,839.01 $1,558.00 2026-03-09
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 6 6 $1,720.00 $1,462.00 $826.38 $1,720.00 $1,556.60 2026-03-09
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 6 6 $1,720.00 $1,462.00 $826.38 $1,720.00 $1,556.60 2026-03-09
12034 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 21 6 $1,993.00 $1,694.05 $242.07 $2,138.00 $1,548.33 2026-03-09
25076 HCPCS Removal Of Growth Of Muscle Of Forearm Or Wrist, Less Than 3.0 Cm 6 6 $1,525.00 $1,296.25 $1,220.00 $1,538.23 $1,525.00 2026-03-09
A4648 HCPCS Tissue Marker, Implantable, Any Type, Each 5 5 $1,520.00 $1,292.00 $1,216.00 $1,520.00 $1,520.00 2026-03-09
64495 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Third And… 15 7 $1,520.00 $1,292.00 $66.55 $3,042.00 $1,520.00 2026-03-09
45379 HCPCS Removal Of Foreign Bodies In Large Bowel Using A Flexible Endoscope 6 6 $1,553.00 $1,320.05 $1,242.40 $1,553.00 $1,513.42 2026-03-09
25565 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation 12 6 $1,315.00 $1,117.75 $242.07 $2,125.00 $1,507.50 2026-03-09
45380 HCPCS Biopsy Of Large Bowel Using A Flexible Endoscope 9 7 $1,883.00 $1,600.55 $391.05 $1,883.00 $1,506.40 2026-03-09
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 6 6 $1,500.00 $1,275.00 $1,200.00 $1,651.17 $1,500.00 2026-03-09
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 17 6 $1,601.00 $1,360.85 $1,159.64 $1,610.00 $1,493.00 2026-03-09
P9037 HCPCS Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit 5 5 $1,490.00 $1,266.50 $1,192.00 $1,490.00 $1,490.00 2026-03-09
L0464 HCPCS Tlso, Triplanar Control, Modular Segmented Spinal System, Four Rigid Plastic She… 6 6 $1,484.90 $1,262.17 $1,187.92 $1,622.35 $1,484.90 2026-03-09
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 6 6 $1,484.83 $1,262.11 $1,187.86 $2,189.78 $1,484.83 2026-03-09
11450 HCPCS Removal Of Skin And Tissue Of Underarms For Inflamed Sweat Glands With Simple Or… 14 6 $688.00 $584.80 $242.07 $3,084.55 $1,483.20 2026-03-09
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 6 6 $1,638.00 $1,392.30 $1,186.59 $1,638.00 $1,482.39 2026-03-09
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 6 6 $1,636.67 $1,391.17 $14.78 $1,636.67 $1,481.18 2026-03-09
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 18 6 $1,828.00 $1,553.80 $242.07 $1,941.80 $1,480.68 2026-03-09
45385 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 11 6 $2,053.00 $1,745.05 $242.07 $2,053.00 $1,473.85 2026-03-09
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 16 6 $1,579.00 $1,342.15 $1,143.85 $1,590.00 $1,472.50 2026-03-09
45378 HCPCS Diagnostic Exam Of Large Bowel Using A Flexible Endoscope 9 7 $1,824.00 $1,550.40 $225.00 $1,824.00 $1,459.20 2026-03-09
26080 HCPCS Incision Of Finger Joint For Exploration, Fluid Drainage, Or Removal Of Foreign … 6 6 $1,450.00 $1,232.50 $1,160.00 $2,000.51 $1,450.00 2026-03-09
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 6 6 $1,600.00 $1,360.00 $1,158.71 $1,600.00 $1,448.00 2026-03-09
J7301 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (skyla), 13.5 Mg 6 6 $1,500.00 $1,275.00 $1,200.00 $1,500.00 $1,437.74 2026-03-09
52000 HCPCS Diagnostic Exam Of Bladder And Urethra Using An Endoscope 6 6 $1,556.00 $1,322.60 $38.38 $1,556.00 $1,408.18 2026-03-09
28208 HCPCS Repair Of Tendon Of Top Side Of Foot 12 6 $2,295.50 $1,951.18 $728.80 $3,680.00 $1,402.45 2026-03-09
P9053 HCPCS Platelets, Pheresis, Leukocytes Reduced, Cmv-negative, Irradiated, Each Unit 5 5 $1,400.00 $1,190.00 $1,120.00 $1,400.00 $1,400.00 2026-03-09
20240 HCPCS Biopsy Of Surface Bone 10 6 $2,371.00 $2,015.35 $432.54 $2,371.00 $1,387.24 2026-03-09
26055 HCPCS Incision Of Tendon Covering Of Finger 11 6 $1,674.00 $1,422.90 $242.07 $2,000.51 $1,355.94 2026-03-09
11442 HCPCS Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1… 19 6 $1,693.00 $1,439.05 $242.07 $1,745.00 $1,354.40 2026-03-09
64505 HCPCS Injection Of Anesthetic Agent, Trigeminal Nerve Bundle 6 6 $1,496.40 $1,271.94 $983.74 $1,496.40 $1,354.24 2026-03-09
19101 HCPCS Biopsy Of Breast Through Incision 6 6 $1,350.00 $1,147.50 $1,080.00 $4,786.60 $1,350.00 2026-03-09
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 6 6 $1,472.50 $1,251.63 $222.53 $1,472.50 $1,332.62 2026-03-09
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 18 6 $1,472.50 $1,251.63 $222.53 $1,472.50 $1,332.62 2026-03-09
45381 HCPCS Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope 11 6 $1,635.00 $1,389.75 $364.50 $1,635.00 $1,324.35 2026-03-09
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