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Hospital

SPECIALISTS HOSPITAL SHREVEPORT

Shreveport, LA · CCN 190278 · Rates published

588 distinct procedures filed
12 distinct payers
8,522 rate rows
2026-06-03 last MRF observed
Data quality

8,455 of 8,522 rate rows are consumer-grade (99.2%)

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

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 55
placeholder amount (≤ $0.02) — excluded from medians 5
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
exceeds 10× this hospital's gross charge — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://specialistshospitalshreveport.slicedhealth.io/pricer/208810573_specialists-hospital-shreveport_standardcharges.csv
Found on page https://specialistshospitalshreveport.slicedhealth.io/home
Discovered viaCMS hospital list
Last fetch success · 2026-10-28
Content fingerprint 21c7a1e4a544c08b… · 2,538,637 bytes · first seen 2026-10-28

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
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $71,637.80 $87,574.46 $84,850.74 nat. median
$93,276
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $58,562.40 $71,590.28 $67,558.86 nat. median
$78,049
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $46,920.90 $57,531.87 $57,359.00 nat. median
$63,648
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 3 $38,760.15 $47,382.79 $46,489.14 nat. median
$55,167
0.8× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $36,543.00 $44,672.41 $44,583.21 nat. median
$50,573
0.9× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 $37,486.15 $45,825.38 $44,311.05 nat. median
$51,241
0.9× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 3 $27,121.90 $34,975.80 $33,155.48 nat. median
$40,320
0.8× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 3 $27,565.20 $33,697.40 $33,076.35 nat. median
$39,085
0.8× median
63685
CPT 		Insrt/redo Spine N Generator 4 $1,300.00 $50,379.54 $32,598.53 nat. median
$20,965
1.6× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 $26,133.25 $31,946.89 $31,688.82 nat. median
$36,900
0.9× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 $25,097.80 $30,681.10 $30,554.01 nat. median
$35,867
0.9× median
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 $24,292.45 $29,696.59 $29,030.40 nat. median
$34,449
0.8× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 3 $22,922.90 $28,022.36 $27,744.12 nat. median
$32,637
0.9× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 3 $22,175.40 $27,189.27 $27,108.57 nat. median
$31,897
0.8× median
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 3 $20,997.60 $25,668.76 $24,996.60 nat. median
$30,039
0.8× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 $19,715.80 $26,476.47 $24,101.81 nat. median
$29,471
0.8× median
464
MS_DRG 		Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 3 $20,245.55 $24,749.41 $23,883.66 nat. median
$28,658
0.8× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 3 $19,149.65 $23,467.32 $23,409.71 nat. median
$28,251
0.8× median
62360
CPT 		Impltj/rpl Ithcl/edrl Drug Nfs Subq Rsvr 4 $1,300.00 $34,936.70 $22,606.10 nat. median
$13,878
1.6× median
62362
CPT 		Implant Or Replace Of Device For Intrath 4 $1,300.00 $32,840.50 $21,249.73 nat. median
$16,427
1.3× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 3 $17,862.00 $21,835.61 $21,248.73 nat. median
$25,674
0.8× median
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 $17,290.00 $23,196.78 $21,136.36 nat. median
$26,460
0.8× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 $18,017.35 $22,025.52 $20,640.42 nat. median
$25,356
0.8× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 $16,484.65 $20,151.85 $19,448.10 nat. median
$23,542
0.8× median
62361
CPT 		Implant Spine Infusion Pump 4 $1,300.00 $29,696.20 $19,215.19 nat. median
$16,404
1.2× median
473
MS_DRG 		Cervical Spinal Fusion Without Cc/mcc 3 $15,868.45 $19,398.57 $19,175.94 nat. median
$23,500
0.8× median
30
MS_DRG 		Spinal Procedures Without Cc/mcc 3 $14,268.80 $18,025.74 $17,443.06 nat. median
$21,270
0.8× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 $13,765.05 $17,075.61 $16,827.24 nat. median
$20,545
0.8× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 3 $13,614.25 $16,806.69 $16,642.90 nat. median
$20,302
0.8× median
519
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Cc 3 $13,001.30 $15,972.39 $15,893.59 nat. median
$19,479
0.8× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 3 $12,968.80 $16,338.51 $15,853.86 nat. median
$19,324
0.8× median
941
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 3 $13,180.05 $16,112.10 $15,829.83 nat. median
$19,029
0.8× median
63655
CPT 		Laminectomy For Implantation Of Neurosti 4 $1,300.00 $26,152.72 $15,383.95 nat. median
$18,196
0.8× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 3 $12,537.85 $15,327.04 $15,272.55 nat. median
$18,826
0.8× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 3 $13,042.25 $15,943.65 $15,271.74 nat. median
$18,768
0.8× median
902
MS_DRG 		Wound Debridements For Injuries With Cc 3 $12,444.25 $15,370.56 $15,212.62 nat. median
$18,442
0.8× median
479
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 3 $12,082.85 $14,770.82 $14,383.98 nat. median
$17,771
0.8× median
496
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 $11,725.35 $15,981.30 $14,333.79 nat. median
$18,309
0.8× median
465
MS_DRG 		Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 3 $11,854.05 $14,491.12 $14,062.41 nat. median
$17,564
0.8× median
29907
CPT 		Arthroscopy Subtalar Joint With Arthrode 4 $1,300.00 $21,511.21 $13,919.02 nat. median
$11,345
1.2× median
42
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 3 $11,230.05 $14,236.56 $13,728.30 nat. median
$16,988
0.8× median
29889
CPT 		Arthrs Aided Pst Cruciate Ligm Rpr/agmnt 4 $1,300.00 $21,080.98 $13,640.63 nat. median
$11,544
1.2× median
512
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 3 $10,760.10 $13,153.81 $13,023.18 nat. median
$16,066
0.8× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 3 $10,601.50 $12,959.93 $12,849.84 nat. median
$15,989
0.8× median
487
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 3 $10,180.30 $12,799.62 $12,445.03 nat. median
$15,496
0.8× median
517
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 3 $9,988.55 $12,210.62 $12,090.87 nat. median
$15,178
0.8× median
29856
CPT 		Arthritis Aid Tibial Fx Prox Uni-bi Cond 4 $1,300.00 $18,284.52 $11,831.16 nat. median
$10,933
1.1× median
520
MS_DRG 		Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 3 $9,710.35 $11,870.53 $11,608.92 nat. median
$14,806
0.8× median
502
MS_DRG 		Soft Tissue Procedures Without Cc/mcc 3 $8,748.35 $11,317.32 $10,694.52 nat. median
$13,544
0.8× median
858
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 3 $9,053.85 $11,067.98 $10,436.04 nat. median
$13,558
0.8× median

Other procedures at this hospital

Browse this hospital's 588 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
             
0360 RC — 225 4 $3,153.00 $2,178.40 31% off $55.00 $51,000.00 $2,013.13 2026-06-03
0710 RC — 64 4 $3,675.00 $2,441.25 34% off $262.50 $6,247.50 $2,310.00 2026-06-03
15271 CPT Skin Sub Graft Trnk/arm/leg 5 4 $3,921.08 $3,136.86 20% off $1,300.00 $3,332.92 $2,156.59 2026-06-03
15852 CPT Wound Vac Dressing Change - Dr Or Pt 5 4 $1,220.50 $976.40 20% off $610.25 $1,300.00 $976.40 2026-06-03
20610 CPT Drain/inject, Joint/bursa 5 4 $611.75 $489.40 20% off $305.88 $1,300.00 $489.40 2026-06-03
20985 CPT Comp Asst Musckel Surg Naviga W/ct/mri 5 4 $1,072.45 $857.96 20% off $536.23 $1,300.00 $857.96 2026-06-03
22526 CPT C-arm 1-5 Minutes Intradiscal 9 4 $2,428.76 $1,943.01 $1,214.38 $5,035.23 $2,064.45 2026-06-03
23655 CPT Clsd Tx Shoulder Disclc With Manipulation 5 4 $3,425.43 $2,740.34 20% off $1,300.00 $2,911.62 $1,883.99 2026-06-03
23700 CPT Fixation Of Shoulder 5 4 $3,285.60 $2,628.48 20% off $1,300.00 $2,792.76 $1,807.08 2026-06-03
27266 CPT Clsd Tx Of Post Hip Arthroplasty Disloca 5 4 $3,307.35 $2,645.88 $1,300.00 $2,811.25 $1,819.04 2026-06-03
27415 CPT Osteochondral Knee Allograft 5 4 $10,625.00 $8,500.00 20% off $100.00 $9,031.25 $5,312.50 2026-06-03
27570 CPT Fixation Of Knee Joint 5 4 $3,172.35 $2,537.88 $1,300.00 $2,696.50 $1,744.79 2026-06-03
28008 CPT Incision Of Foot Fascia 5 4 $5,621.13 $4,496.90 20% off $1,300.00 $4,777.96 $3,091.62 2026-06-03
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 — $27,108.57 $22,175.40 $27,189.27 $27,108.57 2026-06-03
29805 CPT Dx Innervue Arthroscopy Shoulder 5 4 $4,430.75 $3,544.60 20% off $1,300.00 $3,766.14 $2,436.91 2026-06-03
29806 CPT Shoulder Arthroscopy/surgery 5 4 $13,175.08 $10,540.06 20% off $1,300.00 $11,198.82 $7,246.29 2026-06-03
29819 CPT Shoulder Arthroscopy Removal Foreign Bod 5 4 $5,025.93 $4,020.74 20% off $1,300.00 $4,272.04 $2,764.26 2026-06-03
29823 CPT Shoulder Arthroscopy With Ext Debridemen 5 4 $4,430.75 $3,544.60 20% off $1,300.00 $3,766.14 $2,436.91 2026-06-03
29825 CPT Shoulder Arthroscopy Lysis And Resection 5 4 $5,621.13 $4,496.90 20% off $1,300.00 $4,777.96 $3,091.62 2026-06-03
29827 CPT Arthroscopy Rotator Cuff Repr 5 4 $10,652.20 $8,521.76 20% off $1,300.00 $9,054.37 $5,858.71 2026-06-03
29828 CPT Biceps Tenodesis 5 4 $9,390.75 $7,512.60 $1,300.00 $7,982.14 $5,164.91 2026-06-03
29830 CPT Arthoscopy Elbow Diagnostic +- Synovial 5 4 $2,975.88 $2,380.70 20% off $1,300.00 $2,529.50 $1,636.73 2026-06-03
29834 CPT Arthroscopy Elbow Surgical W/removal Loo 5 4 $5,025.93 $4,020.74 20% off $1,300.00 $4,272.04 $2,764.26 2026-06-03
29835 CPT Arthroscopy Elbo Sx Synovectomy Partial 5 4 $5,025.93 $4,020.74 20% off $1,300.00 $4,272.04 $2,764.26 2026-06-03
29837 CPT Elbow Arthroscopy/surgery 5 4 $5,025.93 $4,020.74 20% off $1,300.00 $4,272.04 $2,764.26 2026-06-03
29838 CPT Elbow Arthroscopy With Extensive Debride 5 4 $5,025.93 $4,020.74 20% off $1,300.00 $4,272.04 $2,764.26 2026-06-03
29840 CPT Arthroscopy Wrist Diag+synocial Bx Spx 5 4 $2,975.88 $2,380.70 20% off $1,300.00 $2,529.50 $1,636.73 2026-06-03
29844 CPT Wrist Arthroscopy Sx Synovectomey Partia 5 4 $5,025.93 $4,020.74 20% off $1,300.00 $4,272.04 $2,764.26 2026-06-03
29846 CPT Arthrs Wrst Exc Rpr Triang Fibrocart 5 4 $5,621.13 $4,496.90 20% off $1,300.00 $4,777.96 $3,091.62 2026-06-03
29847 CPT Wrist Arthroscopy/surgery 5 4 $14,016.05 $11,212.84 $1,300.00 $11,913.64 $7,708.83 2026-06-03
29848 CPT Wrist Endoscopy/surgery 5 4 $3,172.35 $2,537.88 $1,300.00 $2,696.50 $1,744.79 2026-06-03
29851 CPT Arthrs Aid Tx Spi&/fx Kne W/fixj 5 4 $3,172.35 $2,537.88 $1,300.00 $2,696.50 $1,744.79 2026-06-03
29855 CPT Arthrs Aid Tibial Fracture Proximal Unic 5 4 $11,913.65 $9,530.92 $1,300.00 $10,126.60 $6,552.51 2026-06-03
29856 CPT Arthritis Aid Tibial Fx Prox Uni-bi Cond 5 4 $21,511.20 $17,208.96 20% off $1,300.00 $18,284.52 $11,831.16 2026-06-03
29861 CPT Hip Arthroscopy W/removal Of Foreign Bod 5 4 $2,975.88 $2,380.70 20% off $1,300.00 $2,529.50 $1,636.73 2026-06-03
29862 CPT Hip Arthroscopy W/debridement Of Articul 5 4 $13,175.08 $10,540.06 20% off $1,300.00 $11,198.82 $7,246.29 2026-06-03
29866 CPT Arthroscopy Knee Osteochondral Agrft Mos 5 4 $10,652.20 $8,521.76 20% off $1,300.00 $9,054.37 $5,858.71 2026-06-03
29870 CPT Crtj Shunt Ventriculo-prtl-pleural Oth 9 4 $4,026.25 $3,221.00 20% off $1,300.00 $4,777.96 $3,091.62 2026-06-03
29871 CPT Knee Arthroscopy Infection Lavage Drain 5 4 $6,480.83 $5,184.66 20% off $1,300.00 $5,508.71 $3,564.46 2026-06-03
29873 CPT Knee Arthroscopy/surgery 5 4 $4,430.75 $3,544.60 20% off $1,300.00 $3,766.14 $2,436.91 2026-06-03
29876 CPT Knee Arthroscopy Synovectomy Two Or More 5 4 $5,025.93 $4,020.74 20% off $1,300.00 $4,272.04 $2,764.26 2026-06-03
29877 CPT Knee Arthroscopy Surgical Debridement 5 4 $10,249.52 $8,199.62 $1,300.00 $8,712.09 $5,637.24 2026-06-03
29885 CPT Arthrs Kne Drls Osteo Diss Grfg 5 4 $10,652.20 $8,521.76 20% off $1,300.00 $9,054.37 $5,858.71 2026-06-03
29886 CPT Knee Arthroscopy Drilling For Osteochond 5 4 $6,216.30 $4,973.04 20% off $1,300.00 $5,283.86 $3,418.97 2026-06-03
29889 CPT Arthrs Aided Pst Cruciate Ligm Rpr/agmnt 5 4 $24,801.15 $19,840.92 20% off $1,300.00 $21,080.98 $13,640.63 2026-06-03
29891 CPT Ankle Arthroscopy/surgery 5 4 $4,430.75 $3,544.60 20% off $1,300.00 $3,766.14 $2,436.91 2026-06-03
29892 CPT Andle Arthroscopy/surgery 5 4 $14,016.05 $11,212.84 $1,300.00 $11,913.64 $7,708.83 2026-06-03
29906 CPT Arthroscopy Subtalar Joint With Debridem 5 4 $6,613.08 $5,290.46 20% off $1,300.00 $5,621.12 $3,637.19 2026-06-03
29907 CPT Arthroscopy Subtalar Joint With Arthrode 5 4 $25,307.30 $20,245.84 20% off $1,300.00 $21,511.21 $13,919.02 2026-06-03
29914 CPT Arthroscopy Hip W/femoroplasty 5 4 $9,390.75 $7,512.60 $1,300.00 $7,982.14 $5,164.91 2026-06-03
29916 CPT Arthroscopy Hip W/labral Repair 5 4 $11,913.65 $9,530.92 $1,300.00 $10,126.60 $6,552.51 2026-06-03
29999 CPT Arthroscopy Of Joint 5 4 $537.25 $429.80 20% off $268.63 $1,300.00 $429.80 2026-06-03
30 MS_DRG Spinal Procedures Without Cc/mcc 3 3 — $17,443.06 $14,268.80 $18,025.74 $17,443.06 2026-06-03
33999 CPT Cardiac Surgery 5 4 $1,531.43 $1,225.14 20% off $100.00 $1,301.72 $842.29 2026-06-03
35045 CPT Dir Rpr Arysm&grf Insj Rdl/ur Art 5 4 $10,662.40 $8,529.92 $100.00 $9,063.04 $5,864.32 2026-06-03
35201 CPT Rep Blood Vess Direct Neck 5 4 $10,662.40 $8,529.92 $1,300.00 $9,063.04 $5,864.32 2026-06-03
35206 CPT Repair Blood Vessel Direct Upper Extremi 5 4 $6,231.85 $4,985.48 20% off $1,300.00 $5,297.07 $3,427.52 2026-06-03
35221 CPT Repair Of Blood Vessel 5 4 $6,231.85 $4,985.48 20% off $100.00 $5,297.07 $3,427.52 2026-06-03
35226 CPT Rpr Blood Vessel Direct Lower Extremity 5 4 $1,432.13 $1,145.70 20% off $716.07 $1,300.00 $1,145.70 2026-06-03
36430 CPT Transfusion,blood Or Blood Components 5 4 $937.68 $750.14 20% off $468.84 $1,300.00 $750.14 2026-06-03
36569 CPT Picc Line Placement 5 4 $2,457.43 $1,965.94 20% off $1,228.72 $2,088.82 $1,351.59 2026-06-03
36583 CPT Rplcmt Compl Tin Ctr Vad W/subw Pmp 5 4 $10,662.40 $8,529.92 $1,300.00 $9,063.04 $5,864.32 2026-06-03
36584 CPT Replacement, Cmplt, Of Picc Device 5 4 $2,457.43 $1,965.94 20% off $1,228.72 $2,088.82 $1,351.59 2026-06-03
36593 CPT Picc Line Declotting 5 4 $743.93 $595.14 20% off $371.97 $1,300.00 $595.14 2026-06-03
37609 CPT Lig/bx Temporal Art 5 4 $3,370.08 $2,696.06 20% off $1,300.00 $2,864.57 $1,853.54 2026-06-03
37618 CPT Lig Major Art Xtr 5 4 $9,384.13 $7,507.30 20% off $100.00 $7,976.51 $5,161.27 2026-06-03
37799 CPT Vascular Surgery Procedure 5 4 $1,531.43 $1,225.14 20% off $765.72 $1,301.72 $1,225.14 2026-06-03
38220 CPT Bone Marrow Aspiration Only 5 4 $2,561.25 $2,049.00 20% off $1,280.63 $2,177.06 $1,408.69 2026-06-03
38500 CPT Bx/exc Lymph Node Opn Supfc 5 4 $5,796.65 $4,637.32 20% off $1,300.00 $4,927.15 $3,188.16 2026-06-03
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — $30,681.10 $25,097.80 $30,681.10 $30,554.01 2026-06-03
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — $31,946.89 $26,133.25 $31,946.89 $31,688.82 2026-06-03
41250 CPT Repair Laceration 2.5 Cm Or Less Mouth 5 4 $262.60 $210.08 20% off $131.30 $1,300.00 $210.08 2026-06-03
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 3 3 — $13,728.30 $11,230.05 $14,236.56 $13,728.30 2026-06-03
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — $87,574.46 $71,637.80 $87,574.46 $84,850.74 2026-06-03
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — $57,359.00 $46,920.90 $57,531.87 $57,359.00 2026-06-03
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — $44,672.41 $36,543.00 $44,672.41 $44,583.21 2026-06-03
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 — $71,590.28 $58,562.40 $71,590.28 $67,558.86 2026-06-03
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 — $45,825.38 $37,486.15 $45,825.38 $44,311.05 2026-06-03
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 — $33,697.40 $27,565.20 $33,697.40 $33,076.35 2026-06-03
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 3 — $25,668.76 $20,997.60 $25,668.76 $24,996.60 2026-06-03
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 3 3 — $47,382.79 $38,760.15 $47,382.79 $46,489.14 2026-06-03
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 3 3 — $33,155.48 $27,121.90 $34,975.80 $33,155.48 2026-06-03
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 3 — $21,136.36 $17,290.00 $23,196.78 $21,136.36 2026-06-03
464 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 3 3 — $24,749.41 $20,245.55 $24,749.41 $23,883.66 2026-06-03
465 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 3 3 — $14,491.12 $11,854.05 $14,491.12 $14,062.41 2026-06-03
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — $28,022.36 $22,922.90 $28,022.36 $27,744.12 2026-06-03
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 3 — $21,835.61 $17,862.00 $21,835.61 $21,248.73 2026-06-03
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 — $24,101.81 $19,715.80 $26,476.47 $24,101.81 2026-06-03
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 3 — $15,327.04 $12,537.85 $15,327.04 $15,272.55 2026-06-03
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 — $23,409.71 $19,149.65 $23,467.32 $23,409.71 2026-06-03
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 3 3 — $19,398.57 $15,868.45 $19,398.57 $19,175.94 2026-06-03
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 3 3 — $14,770.82 $12,082.85 $14,770.82 $14,383.98 2026-06-03
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 — $16,642.90 $13,614.25 $16,806.69 $16,642.90 2026-06-03
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 3 3 — $12,959.93 $10,601.50 $12,959.93 $12,849.84 2026-06-03
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 3 — $22,025.52 $18,017.35 $22,025.52 $20,640.42 2026-06-03
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 3 3 — $12,445.03 $10,180.30 $12,799.62 $12,445.03 2026-06-03
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 3 3 — $8,874.09 $7,259.20 $10,031.04 $8,874.09 2026-06-03
49000 CPT Expl Lapt Expl Celiotomy +-bx Spx 5 4 $5,832.30 $4,665.84 20% off $1,300.00 $4,957.46 $3,207.77 2026-06-03
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 3 — $20,151.85 $16,484.65 $20,151.85 $19,448.10 2026-06-03
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 3 3 — $15,943.65 $13,042.25 $15,943.65 $15,271.74 2026-06-03
49402 CPT Removal Peritoneal Foreign Body From Cav 5 4 $7,277.90 $5,822.32 20% off $1,300.00 $6,186.22 $4,002.85 2026-06-03
49560 CPT Repair Initial Incisional/ventral Hernia 5 4 $6,841.23 $5,472.98 20% off $1,300.00 $5,815.05 $3,762.68 2026-06-03
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — $14,333.79 $11,725.35 $15,981.30 $14,333.79 2026-06-03
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — $9,151.41 $7,486.05 $10,875.06 $9,151.41 2026-06-03
49999 CPT Unlis Px Adb Prtm&omentum 5 4 $1,858.73 $1,486.98 20% off $929.37 $1,579.92 $1,300.00 2026-06-03
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 3 3 — $10,694.52 $8,748.35 $11,317.32 $10,694.52 2026-06-03
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 3 3 — $13,153.81 $10,760.10 $13,153.81 $13,023.18 2026-06-03
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 3 3 — $12,210.62 $9,988.55 $12,210.62 $12,090.87 2026-06-03
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 — $29,696.59 $24,292.45 $29,696.59 $29,030.40 2026-06-03
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 3 3 — $15,893.59 $13,001.30 $15,972.39 $15,893.59 2026-06-03
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 3 3 — $11,870.53 $9,710.35 $11,870.53 $11,608.92 2026-06-03
52000 CPT Cystourethroscopy 5 4 $1,414.00 $1,131.20 $707.00 $1,300.00 $1,131.20 2026-06-03
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 3 — $16,827.24 $13,765.05 $17,075.61 $16,827.24 2026-06-03
552 MS_DRG Medical Back Problems Without Mcc 3 3 — $7,638.49 $6,248.45 $7,806.78 $7,638.49 2026-06-03
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 3 3 — $6,595.97 $5,395.65 $6,760.26 $6,595.97 2026-06-03
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 3 3 — $6,387.79 $5,225.35 $6,622.56 $6,387.79 2026-06-03
603 MS_DRG Cellulitis Without Mcc 3 3 — $6,920.17 $5,660.85 $7,134.48 $6,920.17 2026-06-03
61888 CPT Revise/remove Neuroreceiver 5 4 $14,230.68 $11,384.54 20% off $1,300.00 $12,096.08 $7,826.87 2026-06-03
62140 CPT Cranioplasty Skull Defect To 5cm 5 4 $7,314.20 $5,851.36 20% off $100.00 $6,217.07 $4,022.81 2026-06-03
62141 CPT Cranioplasty Skull Defect Larger Than 5 5 4 $5,497.65 $4,398.12 $100.00 $4,673.00 $3,023.71 2026-06-03
62230 CPT Rplcmnt/revj Csf Shunt Valve/cath Shunt 5 4 $11,568.98 $9,255.18 20% off $1,300.00 $9,833.63 $6,362.94 2026-06-03
62267 CPT Percutaneous Aspiration Within Nucleus 5 4 $1,432.13 $1,145.70 20% off $716.07 $1,300.00 $1,145.70 2026-06-03
62268 CPT Prq Aspir Spi Cord Cst/syrinx 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
62270 CPT Spi Pnxr Lmbr Dx 5 4 $1,358.45 $1,086.76 20% off $679.23 $1,300.00 $1,086.76 2026-06-03
62272 CPT Spinal Punct Ther Darain Cereb Fluid 5 4 $1,358.45 $1,086.76 20% off $679.23 $1,300.00 $1,086.76 2026-06-03
62273 CPT Injection Epidural Of Blood/clot Patch 5 4 $1,358.45 $1,086.76 20% off $679.23 $1,300.00 $1,086.76 2026-06-03
62281 CPT Treat Spinal Cord Lesion 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
62282 CPT Treat Spinal Canal Lesion 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
62290 CPT Inject For Spine Disk X-ray 5 4 $4,026.25 $3,221.00 20% off $1,300.00 $3,422.31 $2,214.44 2026-06-03
62310 CPT Inject Spine C/t 5 4 $2,196.08 $1,756.86 20% off $1,098.04 $1,866.67 $1,207.84 2026-06-03
62311 CPT Inject Spine L/s (cd) 5 4 $2,196.08 $1,756.86 20% off $1,098.04 $1,866.67 $1,207.84 2026-06-03
62321 CPT Njx Interlaminar Crv/thrc 5 4 $1,358.45 $1,086.76 20% off $679.23 $1,300.00 $1,086.76 2026-06-03
62323 CPT Njx Interlaminar Lmbr/sac 5 4 $1,358.45 $1,086.76 20% off $679.23 $1,300.00 $1,086.76 2026-06-03
62350 CPT Implant Spinal Canal Cath 5 4 $11,568.98 $9,255.18 20% off $1,300.00 $9,833.63 $6,362.94 2026-06-03
62355 CPT Remove Spinal Canal Catheter 5 4 $4,026.25 $3,221.00 20% off $1,300.00 $3,422.31 $2,214.44 2026-06-03
62360 CPT Impltj/rpl Ithcl/edrl Drug Nfs Subq Rsvr 5 4 $41,102.00 $32,881.60 20% off $1,300.00 $34,936.70 $22,606.10 2026-06-03
62361 CPT Implant Spine Infusion Pump 5 4 $34,936.70 $27,949.36 $1,300.00 $29,696.20 $19,215.19 2026-06-03
62362 CPT Implant Or Replace Of Device For Intrath 5 4 $38,635.88 $30,908.70 20% off $1,300.00 $32,840.50 $21,249.73 2026-06-03
62365 CPT Remove Spine Infusion Device 5 4 $11,568.98 $9,255.18 20% off $1,300.00 $9,833.63 $6,362.94 2026-06-03
63001 CPT Removal Of Spinal Lamina 5 4 $14,016.05 $11,212.84 $1,300.00 $11,913.64 $7,008.03 2026-06-03
63003 CPT Lam Without Offd 1/2 Vrt Seg Thrg 5 4 $14,016.05 $11,212.84 $1,300.00 $11,913.64 $7,008.03 2026-06-03
63012 CPT Laminectomy With Removal Of Abnormal Fac 5 4 $13,735.73 $10,988.58 20% off $1,300.00 $11,675.37 $6,867.87 2026-06-03
63020 CPT Neck Spine Disk Surgery 5 4 $13,735.73 $10,988.58 20% off $1,300.00 $11,675.37 $6,867.87 2026-06-03
63030 CPT Low Back Disk Surgery 5 4 $13,735.73 $10,988.58 20% off $1,300.00 $11,675.37 $6,867.87 2026-06-03
63035 CPT Spinal Disk Surgery Add-on 5 4 $9,704.10 $7,763.28 20% off $1,300.00 $8,248.49 $6,800.00 2026-06-03
63040 CPT Lamin With Decomp Single Cervical 5 4 $14,016.05 $11,212.84 $1,300.00 $11,913.64 $7,008.03 2026-06-03
63042 CPT Laminotomy W/decom Of Nerve Root 5 4 $13,735.73 $10,988.58 20% off $1,300.00 $11,675.37 $6,867.87 2026-06-03
63044 CPT Lamot W/prtl Ffd Hrna8 Reexpl 1 Ntrspc E 5 4 $14,016.05 $11,212.84 $1,300.00 $11,913.64 $7,008.03 2026-06-03
63045 CPT Laminectomy Facetectomy And Foraminotomy 5 4 $13,735.73 $10,988.58 20% off $1,300.00 $11,675.37 $6,867.87 2026-06-03
63046 CPT Laminectomy Facetectomy Foraminotomy 5 4 $14,016.05 $11,212.84 $1,300.00 $11,913.64 $7,008.03 2026-06-03
63048 CPT Remove Spinal Lamina Add-on 5 4 $9,704.10 $7,763.28 20% off $1,300.00 $8,248.49 $6,800.00 2026-06-03
63050 CPT Lamop Crv W/dcmprn Spi Cord 2/more Vrt 5 4 $14,016.05 $11,212.84 $100.00 $11,913.64 $7,708.83 2026-06-03
63051 CPT Laminoplasty Cervical With Decompression 4 3 $14,016.05 $9,110.43 35% off $7,008.03 $11,913.64 $9,460.83 2026-06-03
63056 CPT Transpedicular App Decom Spinal Cord Equ 5 4 $14,016.05 $11,212.84 $1,300.00 $11,913.64 $7,708.83 2026-06-03
63081 CPT Vertebral Corpectomy Partial Or Complete 4 3 $14,016.05 $9,110.43 35% off $7,008.03 $11,913.64 $9,460.83 2026-06-03
63082 CPT Vcrpec Ant Dcmprn Crv Ea Sgm 5 4 $9,868.58 $7,894.86 20% off $100.00 $8,388.29 $5,427.72 2026-06-03
63090 CPT Vcrpec Transplant/rpr Dcmprn Thrc Lmbr 5 4 $14,016.05 $11,212.84 $100.00 $11,913.64 $7,708.83 2026-06-03
63091 CPT Anterior Cervical Arthrodesis 5 4 $14,016.05 $11,212.84 $100.00 $11,913.64 $7,708.83 2026-06-03
63265 CPT Excise Intraspinl Lesion Crv 5 4 $14,016.05 $11,212.84 $1,300.00 $11,913.64 $7,008.03 2026-06-03
63266 CPT Excise Intrspinl Lesion Thrc 5 4 $14,016.05 $11,212.84 $1,300.00 $11,913.64 $7,008.03 2026-06-03
63267 CPT Excise Intraspinal Lesion 5 4 $14,016.05 $11,212.84 $1,300.00 $11,913.64 $7,008.03 2026-06-03
63271 CPT Excision Laminectory Other Herniated Dis 5 4 $14,016.05 $11,212.84 $100.00 $11,913.64 $7,008.03 2026-06-03
63272 CPT Lam Exc Ispi Les Ot/th Neo Idrl Lmbr 5 4 $14,016.05 $11,212.84 $100.00 $11,913.64 $7,008.03 2026-06-03
63281 CPT Lam Bx/exc Ispi Neo Idrl Xmed Thrc 5 4 $14,016.05 $11,212.84 $100.00 $11,913.64 $7,008.03 2026-06-03
63282 CPT Lam Bx/exc Ispi Neo Idrl Xmed Lmbr 5 4 $14,016.05 $11,212.84 $100.00 $11,913.64 $7,008.03 2026-06-03
63290 CPT Bx/exc Xdrl/idrl Lsn Any Lvl 5 4 $14,016.05 $11,212.84 $100.00 $11,913.64 $7,008.03 2026-06-03
63650 CPT Implant Neuroelectrodes 5 4 $10,143.15 $8,114.52 $1,300.00 $8,621.68 $5,578.73 2026-06-03
63655 CPT Laminectomy For Implantation Of Neurosti 5 4 $30,767.90 $24,614.32 20% off $1,300.00 $26,152.72 $15,383.95 2026-06-03
63661 CPT Removal Of Spinal Neurostimulator Electr 5 4 $4,026.25 $3,221.00 20% off $1,300.00 $3,422.31 $2,214.44 2026-06-03
63662 CPT Rmvl Spinal Nstim Eltrd Plate Paddle Flo 5 4 $7,198.45 $5,758.76 $1,300.00 $6,118.68 $3,959.15 2026-06-03
63663 CPT Revj Incl Rplcmt Nstim Eltrd Prq Ra Flou 5 4 $15,139.03 $12,111.22 20% off $1,300.00 $12,868.18 $8,326.47 2026-06-03
63685 CPT Insrt/redo Spine N Generator 5 4 $59,270.05 $47,416.04 20% off $1,300.00 $50,379.54 $32,598.53 2026-06-03
63688 CPT Revise Remove Neuroreceiver 5 4 $7,198.45 $5,758.76 $1,300.00 $6,118.68 $3,959.15 2026-06-03
63709 CPT Repair Of Dural Cerebrospinal Fluid Leak 5 4 $7,198.45 $5,758.76 $100.00 $6,118.68 $3,959.15 2026-06-03
63710 CPT Graft Repair Of Spine Defect 5 4 $11,568.98 $9,255.18 20% off $100.00 $9,833.63 $6,362.94 2026-06-03
63741 CPT Crtj Shunt Lmbr Sarach-prtl-pleural Prq 5 4 $11,568.98 $9,255.18 20% off $1,300.00 $9,833.63 $6,362.94 2026-06-03
63744 CPT Rpl Irrigation/revj Lubos Shunt 5 4 $11,568.98 $9,255.18 20% off $1,300.00 $9,833.63 $6,362.94 2026-06-03
64400 CPT N Block Inj Trigeminal 5 4 $611.75 $489.40 20% off $305.88 $1,300.00 $489.40 2026-06-03
64405 CPT Nblock Inj, Occipital 5 4 $611.75 $489.40 20% off $305.88 $1,300.00 $489.40 2026-06-03
64413 CPT Njx Anes Crv Plexus 5 4 $1,358.45 $1,086.76 20% off $679.23 $1,154.68 $747.15 2026-06-03
64417 CPT Injection Anesthetic Agent Axillary Nerv 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64420 CPT Njx Anes Intercostal Nerve 5 4 $1,358.45 $1,086.76 20% off $679.23 $1,300.00 $1,086.76 2026-06-03
64421 CPT Nblock Injection Intercost Mlt 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64425 CPT Nblock Inj, Ilio-ing/hypogi 5 4 $1,358.45 $1,086.76 20% off $679.23 $1,300.00 $1,086.76 2026-06-03
64445 CPT Injection Anesthetic Agent Sciatic Nerve 5 4 $1,358.45 $1,086.76 20% off $679.23 $1,300.00 $1,086.76 2026-06-03
64447 CPT Njx Anes Fem Nerve 1 5 4 $1,358.45 $1,086.76 20% off $100.00 $1,154.68 $747.15 2026-06-03
64449 CPT Inject Anes Lubar Plexus Post Ont Nfs Ca 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64450 CPT Nblock, Other Peripheral 5 4 $1,358.45 $1,086.76 20% off $679.23 $1,300.00 $1,086.76 2026-06-03
64455 CPT Njx Anes And Steroid Plantar Common Digi 5 4 $611.75 $489.40 20% off $305.88 $1,300.00 $489.40 2026-06-03
64461 CPT Pvb Thoracic Single Inj Site 5 4 $1,358.45 $1,086.76 20% off $679.23 $1,300.00 $1,086.76 2026-06-03
64462 CPT Pvb Thoracic 2nd+ Inj Site 5 4 $693.74 $554.99 20% off $346.87 $1,300.00 $554.99 2026-06-03
64479 CPT Inj Foramen Epidural C/t 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64480 CPT Inj Foramen Epidural Add-on 5 4 $418.10 $334.48 20% off $209.05 $1,300.00 $334.48 2026-06-03
64483 CPT Inj Foramen Epidural L/s 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64490 CPT Inj Dx Or Therapeutic Facet Cerv Or Thor 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64491 CPT Inj Dx Or Thera Facet Cerv Or Thor 2nd L 5 4 $1,208.00 $966.40 20% off $604.00 $1,300.00 $966.40 2026-06-03
64492 CPT Inj Dx Or Thera Facet Cerv Or Thor 3rd L 5 4 $1,208.00 $966.40 20% off $604.00 $1,300.00 $966.40 2026-06-03
64493 CPT Njx Dx Or Ther Pvrt Facet Jt Lmbr Sac 1 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64494 CPT Njx Dx Or Ther Pvrt Facet Jt Lmbr Sac 2 5 4 $1,208.00 $966.40 20% off $604.00 $1,300.00 $966.40 2026-06-03
64495 CPT Njx Dx Or Ther Pvrt Facet Jt Lmbr Sac 3 5 4 $1,208.00 $966.40 20% off $604.00 $1,300.00 $966.40 2026-06-03
64510 CPT Nblock, Stellate Ganglion 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64517 CPT Njx Anes Suprior Hyposgstr Plexus 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64520 CPT Njx Anes Lmbr Thrc Pvrt Sympathetic 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64530 CPT Njx Anes Celiac ;e +- Rad Mntr 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64620 CPT Dstrj Nulyt Interc Nrv 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64633 CPT Destr Paravertebrl Nerve L/s 9 4 $3,686.80 $2,949.44 20% off $1,300.00 $3,353.87 $2,170.15 2026-06-03
64634 CPT Dst Nrolytc Agnt Prv Fct Addl 9 4 $685.62 $548.50 $342.81 $1,866.67 $1,098.04 2026-06-03
64635 CPT Destr Paravertebrl Nerve C/t 9 4 $3,368.12 $2,694.50 $1,300.00 $3,422.31 $2,214.44 2026-06-03
64636 CPT Dst Nrolytc Addl Im/sa 5 4 $2,801.96 $2,241.57 $1,300.00 $2,381.67 $1,541.08 2026-06-03
64640 CPT Dstrj Nultyoth Prph Nrv/branch 5 4 $1,680.45 $1,344.36 20% off $840.23 $1,428.38 $1,300.00 2026-06-03
64702 CPT Neurp Dgtal 1/bth Sm Dgt 5 4 $3,422.33 $2,737.86 20% off $1,300.00 $2,908.98 $1,882.28 2026-06-03
64704 CPT Revise Hand/foot Nerve 5 4 $4,026.25 $3,221.00 20% off $1,300.00 $3,422.31 $2,214.44 2026-06-03
64708 CPT Revise Arm/leg Nerve 5 4 $3,422.33 $2,737.86 20% off $1,300.00 $2,908.98 $1,882.28 2026-06-03
64718 CPT Revise Ulnar Nerve At Elbow 5 4 $3,059.95 $2,447.96 $1,300.00 $2,600.96 $1,682.97 2026-06-03
64719 CPT Revise Ulnar Nerve At Wrist 5 4 $4,026.25 $3,221.00 20% off $1,300.00 $3,422.31 $2,214.44 2026-06-03
64721 CPT Carpal Tunnel Surgery 5 4 $3,784.68 $3,027.74 20% off $1,300.00 $3,216.98 $2,081.57 2026-06-03
64722 CPT Relieve Pressure On Nerve Or Nerves 5 4 $4,026.25 $3,221.00 20% off $1,300.00 $3,422.31 $2,214.44 2026-06-03
64727 CPT Internal Nerve Revision 5 4 $3,952.93 $3,162.34 20% off $1,300.00 $3,359.99 $2,174.11 2026-06-03
64772 CPT Transxj/alvsn Oth Spi Nrv Xdrl 5 4 $3,784.68 $3,027.74 20% off $1,300.00 $3,216.98 $2,081.57 2026-06-03
64776 CPT Remove Digit Nerve Lesion 5 4 $3,952.93 $3,162.34 20% off $1,300.00 $3,359.99 $2,174.11 2026-06-03
64778 CPT Excision Of Neuroma Digital Nerve Each 5 4 $3,952.93 $3,162.34 20% off $1,300.00 $3,359.99 $2,174.11 2026-06-03
64782 CPT Remove Limb Nerve Lesion 5 4 $3,422.33 $2,737.86 20% off $1,300.00 $2,908.98 $1,882.28 2026-06-03
64783 CPT Exc Neuroma Hd/ft Ea Nrv Xcp Sm Dgt 5 4 $5,534.10 $4,427.28 20% off $1,300.00 $4,703.99 $3,043.76 2026-06-03
64784 CPT Exc Neuroma M Pr Nrv Xcp Sciatic 5 4 $3,059.95 $2,447.96 $1,300.00 $2,600.96 $1,682.97 2026-06-03
64787 CPT Implant Nerve End 5 4 $3,952.93 $3,162.34 20% off $1,300.00 $3,359.99 $2,174.11 2026-06-03
64788 CPT Exc Neurofibroma Neurolemmoma Cutan Nrv 5 4 $3,422.33 $2,737.86 20% off $1,300.00 $2,908.98 $1,882.28 2026-06-03
64790 CPT Exc Nerofibroma/lemmoma Major Periph Nrv 5 4 $4,026.25 $3,221.00 20% off $1,300.00 $3,422.31 $2,214.44 2026-06-03
64795 CPT Biopsy Of Nerve 5 4 $4,026.25 $3,221.00 20% off $1,300.00 $3,422.31 $2,214.44 2026-06-03
64820 CPT Sympth Dgtal Arts Ea Dgt 5 4 $1,811.83 $1,449.46 20% off $100.00 $1,540.06 $996.51 2026-06-03
64831 CPT Repair Of Digit Nerve 5 4 $9,833.63 $7,866.90 20% off $1,300.00 $8,358.59 $5,408.50 2026-06-03
64832 CPT Sutr Dgtal Nrv Hd/ft E Dgtl Nrv 5 4 $7,087.18 $5,669.74 20% off $1,300.00 $6,024.10 $3,897.95 2026-06-03
64834 CPT Sut 1 Nv Hn/ft Cm Sens Nv 5 4 $8,792.43 $7,033.94 20% off $1,300.00 $7,473.57 $4,835.84 2026-06-03
64835 CPT Suture 1 Nerve Med Motor Thenar 5 4 $11,568.98 $9,255.18 20% off $1,300.00 $9,833.63 $6,362.94 2026-06-03
64836 CPT Suture 1 Nerve Ulnar Motor 5 4 $7,751.23 $6,200.98 20% off $1,300.00 $6,588.55 $4,263.18 2026-06-03
64837 CPT Sutr Eac Nrv Hand Foot 5 4 $9,922.05 $7,937.64 $1,300.00 $8,433.74 $5,457.13 2026-06-03
64857 CPT Suture Of Major Peripheral Nerve Arm/leg 5 4 $8,792.43 $7,033.94 20% off $1,300.00 $7,473.57 $4,835.84 2026-06-03
64896 CPT Nerve Graft Hand/foot >4 Cm 5 4 $11,568.98 $9,255.18 20% off $1,300.00 $9,833.63 $6,362.94 2026-06-03
64910 CPT Nerve Repair W/conduit Ea Nerve 5 4 $11,568.98 $9,255.18 20% off $1,300.00 $9,833.63 $6,362.94 2026-06-03
64911 CPT Nerve Repair With Autogenous Vein Graft 5 4 $11,568.98 $9,255.18 20% off $1,300.00 $9,833.63 $6,362.94 2026-06-03
64999 CPT Nervous System Surgery 5 4 $611.75 $489.40 20% off $305.88 $1,300.00 $489.40 2026-06-03
70540 CPT MRI Of Brain Without Contrast 5 4 $580.78 $406.55 30% off $290.39 $750.00 $493.66 2026-06-03
71046 CPT Xray Dx Chest 2 Views 5 4 $300.00 $210.00 30% off $150.00 $700.00 $210.00 2026-06-03
71250 CPT CT Scan Of Thorax (chest) Without Contrast 5 4 $286.15 $200.31 30% off $143.08 $700.00 $243.23 2026-06-03
71260 CPT CT Scan Of Thorax(chest) With Contrast 5 4 $631.85 $442.30 30% off $315.93 $700.00 $537.07 2026-06-03
72070 CPT Xray Dx Spinethoracic A 5 4 $286.15 $200.31 30% off $143.08 $700.00 $200.31 2026-06-03
72082 CPT X-ray Scoli Evaluation 2-3 View 5 4 $286.15 $200.31 30% off $143.08 $700.00 $200.31 2026-06-03
72100 CPT Xray Dx Spine Lumbosacral 5 4 $286.15 $200.31 30% off $143.08 $700.00 $200.31 2026-06-03
72127 CPT CT Neck Spine Without And With Dye 5 4 $631.85 $442.30 30% off $315.93 $700.00 $442.30 2026-06-03
72128 CPT CT Thoracic Spine Without Dye 5 4 $748.86 $524.20 30% off $374.43 $700.00 $524.20 2026-06-03
72132 CPT CT Lumbar Spine With Dye 5 4 $1,140.93 $798.65 30% off $570.47 $969.79 $700.00 2026-06-03
72141 CPT MRI Cervical Spine 5 4 $580.78 $406.55 30% off $290.39 $750.00 $493.66 2026-06-03
72146 CPT MRI Thoracic Spine 5 4 $580.78 $406.55 30% off $290.39 $750.00 $493.66 2026-06-03
72148 CPT MRI Lumbar Spine Without 5 4 $580.78 $406.55 30% off $290.39 $750.00 $493.66 2026-06-03
72192 CPT CT Pelvis Without Dye 5 4 $286.15 $200.31 30% off $143.08 $700.00 $243.23 2026-06-03
72295 CPT C-arm Discogram 1st Level 10 4 $4,026.25 $2,818.38 30% off $700.00 $3,422.31 $2,214.44 2026-06-03
73040 CPT Radex Sho Arthg Rs&i 5 4 $1,140.93 $798.65 30% off $570.47 $969.79 $700.00 2026-06-03
73200 CPT CT Right Upper Extremity Without Contrast 5 4 $286.15 $200.31 30% off $143.08 $700.00 $243.23 2026-06-03
73201 CPT CT Left Upper Extremity Without Contrast 5 4 $631.85 $442.30 30% off $315.93 $700.00 $537.07 2026-06-03
73202 CPT CT Left Upper Extremity Without & W/contras 5 4 $631.85 $442.30 30% off $315.93 $700.00 $537.07 2026-06-03
73221 CPT MRI Upper Joint Extremity 5 4 $580.78 $406.55 30% off $290.39 $750.00 $493.66 2026-06-03
73530 CPT Xray Dx Lt Hip Opertve Ovr 10 4 $382.50 $226.50 41% off $117.50 $450.50 $232.38 2026-06-03
73700 CPT CT Right Lower Extremity Without Contrast 5 4 $286.15 $200.31 30% off $143.08 $700.00 $243.23 2026-06-03
73701 CPT CT Right Lower Extremity W/contrast 5 4 $631.85 $442.30 30% off $315.93 $700.00 $537.07 2026-06-03
73702 CPT CT Of Knee Without Contrast 5 4 $631.85 $442.30 30% off $315.93 $700.00 $537.07 2026-06-03
73721 CPT MRI Lower Joint Extremity 5 4 $580.78 $406.55 30% off $290.39 $750.00 $493.66 2026-06-03
74176 CPT CT Abd & Pelv Without Contrast 5 4 $580.78 $406.55 30% off $290.39 $700.00 $406.55 2026-06-03
74177 CPT CT Abd & Pelv W Contrast 5 4 $631.85 $442.30 30% off $315.93 $700.00 $442.30 2026-06-03
74178 CPT CT Abd & Pelv W & Without Contrast 5 4 $631.85 $442.30 30% off $315.93 $700.00 $442.30 2026-06-03
75820 CPT Venogram 5 4 $1,531.43 $1,072.00 30% off $700.00 $1,301.72 $842.29 2026-06-03
76000 CPT C-arm Or 5.01-10 Minutes 5 4 $580.78 $406.55 30% off $290.39 $700.00 $406.55 2026-06-03
76882 CPT US Extremity Non-vasc Real-time Img Lmtd 5 4 $326.00 $228.20 30% off $163.00 $700.00 $228.20 2026-06-03
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 3 3 — $11,067.98 $9,053.85 $11,067.98 $10,436.04 2026-06-03
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 3 3 — $7,929.31 $6,486.35 $8,099.19 $7,929.31 2026-06-03
86328 CPT Rapid Sars-cov-2 5 4 $289.16 $202.41 30% off $144.58 $400.00 $202.41 2026-06-03
86870 CPT Ab Id Std Com Panel 5 4 $538.58 $377.01 30% off $89.18 $457.79 $296.22 2026-06-03
902 MS_DRG Wound Debridements For Injuries With Cc 3 3 — $15,212.62 $12,444.25 $15,370.56 $15,212.62 2026-06-03
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 3 3 — $9,293.64 $7,602.40 $9,874.71 $9,293.64 2026-06-03
908 MS_DRG Other O.r. Procedures For Injuries With Cc 3 3 — $15,853.86 $12,968.80 $16,338.51 $15,853.86 2026-06-03
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 3 3 — $10,430.71 $8,532.55 $10,430.71 $10,273.23 2026-06-03
921 MS_DRG Complications Of Treatment Without Cc/mcc 3 3 — $5,470.03 $4,474.60 $5,570.37 $5,470.03 2026-06-03
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 3 3 — $6,327.40 $5,175.95 $6,393.33 $6,327.40 2026-06-03
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 3 3 — $16,112.10 $13,180.05 $16,112.10 $15,829.83 2026-06-03
948 MS_DRG Signs And Symptoms Without Mcc 3 3 — $6,360.77 $5,203.25 $6,435.45 $6,360.77 2026-06-03
951 MS_DRG Other Factors Influencing Health Status 3 3 — $4,417.98 $3,614.00 $4,592.70 $4,417.98 2026-06-03
95940 CPT Ionm In Or 15 Min 5 4 $477.30 $381.84 20% off $238.65 $405.71 $262.52 2026-06-03
95941 CPT Ionm In Or Per Hour 5 4 $477.30 $381.84 20% off $238.65 $405.71 $262.52 2026-06-03
97545 CPT Pt Work Conditioning Initial 2 Hours 5 4 $403.62 $322.90 $85.00 $343.08 $252.42 2026-06-03
97597 CPT Debridement Open Wound 20 Sq Cm< 6 4 $422.38 $337.90 20% off $85.00 $359.02 $232.31 2026-06-03
97605 CPT Wound Vac Placement - Less Than 50cm 5 4 $422.38 $337.90 20% off $211.19 $359.02 $232.31 2026-06-03
97606 CPT Wound Vac Placement - Greater Than 50cm 5 4 $777.00 $621.60 20% off $388.50 $660.45 $427.35 2026-06-03
C1713 HCPCS Achilles Speedbridge 4.75x19.1 - Arthrex 339 4 $513.24 $375.00 27% off $22.20 $10,869.38 $321.30 2026-06-03
C1729 HCPCS Chest Tube Tray 20 Fr 5 4 $594.16 $475.33 $297.08 $505.04 $326.79 2026-06-03
C1762 HCPCS Btb Quad/hemi Graft 10mm 20 4 $1,665.62 $1,125.00 32% off $110.08 $1,912.50 $896.07 2026-06-03
C1897 HCPCS Neurostimulator Lead Test Kit 5 4 $1,596.84 $1,277.47 20% off $590.83 $1,357.31 $926.17 2026-06-03
C9250 HCPCS Tisseel Fibrin Sealant 4 3 $514.74 $334.58 35% off $257.37 $437.53 $355.17 2026-06-03
C9290 HCPCS Bupivacaine Liposome 1.3% 20ml 4 3 $2,152.86 $1,399.36 35% off $1,076.43 $1,829.93 $1,453.18 2026-06-03
J2274 HCPCS Morphine 1mg/ml Pca 50ml 4 3 $374.28 $243.28 35% off $187.14 $318.14 $252.63 2026-06-03
J7799 HCPCS Advair 250/50mcg Inhaler 8 3 $1,513.33 $840.51 44% off $279.48 $2,097.54 $854.48 2026-06-03
P9016 HCPCS Red Blood Cells - Leukocytes Reduced 10 4 $779.34 $455.67 42% off $220.00 $950.88 $466.67 2026-06-03
P9034 HCPCS Platelets, Pheresis 10 4 $1,957.53 $1,113.48 43% off $449.07 $2,564.38 $1,135.93 2026-06-03
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