Hospital

SHERIDAN COMMUNITY HOSPITAL

Sheridan, MI · CCN 231312 · Rates published

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You selected 93306 (HCPCS)

ECHO W SPECTRAL & COLOR DOPPLER

This hospital’s price: $963 across 11 payers · range $172-$1,608

Source: https://sheridanhospital.com/wp-content/uploads/2025/08/381369796_sheridan-community-hospital_standardcharges.csv · observed 2025-08-05

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.

2,266 distinct procedures filed

11 distinct payers

50,759 rate rows

2025-08-05 last MRF observed · ⚠ 14 mo old

Data quality

48,727 of 50,759 rate rows are consumer-grade (96.0%)

2,032 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	1,300
placeholder amount (≤ $0.02) — excluded from medians	723
per-diem day rate — not a per-procedure price	8
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://sheridanhospital.com/wp-content/uploads/2025/08/381369796_sheridan-community-hospital_standardcharges.csv
Found on page	https://www.sheridanhospital.com/patient-portal/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-20
Content fingerprint	dc0a69111182fbf9… · 52,127,207 bytes · first seen 2026-05-08

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
L8679 HCPCS	Wavewriter Alpha 32ipg Kit	5	$24,972.95	$82,092.60	$45,431.57	nat. median $11,015 outlier · 4.1×
D6104 HCPCS	Bone Graft Kit Med 7510400	5	$16,097.77	$27,673.20	$16,573.17	nat. median $528 outlier · 31.4×
C1763 HCPCS	Amnion Membrance4.8vm 45um Actishieldcf	5	$13,901.89	$23,212.80	$13,901.89	nat. median $2,299 outlier · 6.0×
V2790 HCPCS	Amnion Membrance4x8cm 200um Actishield	5	$4,249.48	$50,544.00	$13,452.90	nat. median $1,805 outlier · 7.5×
L8687 HCPCS	Biobrace 40x60 Reinforced Implant	5	$6,245.67	$20,245.95	$11,276.92	nat. median $14,605 0.8× median
C1734 HCPCS	Augment Bone Graft 3.0cc Abg Usa (refrig	5	$1,412.72	$56,493.45	$10,339.64	nat. median $2,565 outlier · 4.0×
J3101 HCPCS	Nf-tenecteplase (tnkase) 50mg Kit	11	$124.31	$16,052.40	$9,613.60	nat. median $3,820 outlier · 2.5×
63017 HCPCS	Laminectomy With Exploration And Or Decomp	11	$1,225.71	$15,657.30	$9,376.98	nat. median $7,394 1.3× median
C9757 HCPCS	Hemilaminotomy With Decomp Of Nerve	10	$8,473.08	$14,148.00	$9,302.71	nat. median $13,517 0.7× median
C1889 HCPCS	Prochondrix Cr 1mm Thick 20mm	5	$22.10	$108,307.80	$8,702.69	nat. median $2,369 outlier · 3.7×
S2150 HCPCS	Stem Standard L 40	5	$8,072.06	$13,478.40	$8,072.06	nat. median $2,843 outlier · 2.8×
63042 HCPCS	Laminotomy With Decompression Of Nerve Roo	11	$1,237.98	$13,254.30	$7,937.85	nat. median $7,502 1.1× median
63056 HCPCS	Transpedicular Approach With Decompression	11	$1,429.69	$12,636.00	$7,567.56	nat. median $7,518 1.0× median
Q4196 HCPCS	Puraply Am (6x9)	6	$103.58	$21,607.20	$7,278.30	nat. median $312 outlier · 23.4×
C1776 HCPCS	K Wire Salvation 2.4x250 Mid Foot	5	$249.02	$57,270.60	$6,747.58	nat. median $3,394 2.0× median
C1769 HCPCS	Superior Plate Decreas-6hole Bridge Lft	5	$6,624.31	$11,061.00	$6,624.31	nat. median $191 outlier · 34.7×
J2505 HCPCS	Nf-pegfilgrastim (neulasta) 6mg/0.6ml S	11	$68.79	$10,103.40	$6,050.81	nat. median $6,278 1.0× median
15274 HCPCS	App High Cost Graft Legs, Each Add'l 100	6	$47.63	$10,187.10	$6,042.53	nat. median $797 outlier · 7.6×
22633 HCPCS	Pro Fee Arthrd Cmbn 1ntrspc Lumbar	11	$1,735.25	$8,354.00	$5,803.35	nat. median $17,500 outlier · 0.3×
C9361 HCPCS	Neuromend 4mm Id X 2.5cm Length	5	$5,561.94	$9,287.10	$5,561.94	nat. median $1,444 outlier · 3.9×
22554 HCPCS	Anterior Interbody Includin Minimal Disc	11	$1,211.21	$6,620.00	$5,298.65	nat. median $12,288 outlier · 0.4×
L8606 HCPCS	Bulkamid Urethral Bulking System	5	$5,269.26	$8,798.40	$5,269.26	nat. median $1,031 outlier · 5.1×
63055 HCPCS	Transpedicular Approach With Decompressi	11	$1,569.53	$5,987.70	$5,164.92	nat. median $7,358 0.7× median
63030 HCPCS	Disectomy Lami With Decomp Of Nerve	11	$876.16	$22,572.00	$5,164.92	nat. median $7,614 0.7× median
22612 HCPCS	Pro Fee Arthrd Pst Tq 1ntrspc Lumbar	11	$1,508.55	$8,192.00	$5,045.19	nat. median $15,365 outlier · 0.3×
C1777 HCPCS	Triathlon Cr Fem Comp-cem 5510-f-401	5	$2,018.02	$9,266.40	$4,851.00	nat. median $5,531 0.9× median
22551 HCPCS	Arthrd Ant Ntrbdy Cervical	11	$1,632.72	$8,239.00	$4,480.64	nat. median $12,536 outlier · 0.4×
22856 HCPCS	Single Level Cervical Disc Arthroplasty	11	$1,554.70	$5,544.00	$4,437.42	nat. median $16,840 outlier · 0.3×
15120 HCPCS	Pro Fee Split Thk autogrft,F/H/FT 1st100	11	$742.02	$10,594.80	$4,373.91	nat. median $3,640 1.2× median
63057 HCPCS	Each Addtl Segment Thoracic Or Lumbar	6	$309.59	$7,269.30	$4,353.50	nat. median $2,137 outlier · 2.0×
22630 HCPCS	Arthrodesis, Posterior Interbody Techniq	11	$1,506.17	$5,357.00	$4,287.74	nat. median $16,946 outlier · 0.3×
49614 HCPCS	Profee Rpr Aa Hrn Rcr <3 Ncr/strn	11	$546.63	$5,074.20	$4,218.24	nat. median $5,973 0.7× median
58662 HCPCS	Laparoscopy Excise Lesions	11	$672.36	$9,150.30	$4,218.24	nat. median $6,074 0.7× median
15273 HCPCS	App High Cost Graft Legs, 1st 100 Sq Cm	11	$209.65	$10,187.10	$4,057.59	nat. median $3,108 1.3× median
J1437 HCPCS	Ferric Deriso (monoferric) 1000mg/10ml	11	$13.70	$6,743.92	$4,038.86	nat. median $46 outlier · 88.6×
20930 HCPCS	Placement Of Osteopr. Material	5	$2,760.76	$4,794.30	$4,032.04	nat. median $2,404 1.7× median
L7499 HCPCS	Reverse Liner 40+0 R (550040100)	5	$3,846.84	$6,679.80	$4,000.46	nat. median $1,569 outlier · 2.5×
63035 HCPCS	Each Addition Interspace Cervical Or Lum	6	$222.18	$6,343.20	$3,798.87	nat. median $2,552 1.5× median
27745 HCPCS	Reinforce Tibia	11	$693.24	$6,134.40	$3,758.00	nat. median $6,961 0.5× median
63044 HCPCS	Each Additional Lumbar Interspace	5	$3,675.44	$6,137.10	$3,675.44	nat. median $4,609 0.8× median
20936 HCPCS	Autograft For Spine Surgery	5	$2,452.99	$4,259.70	$3,582.55	nat. median $3,962 0.9× median
23472 HCPCS	Arthroplasty Total Shoulder LT,Left Side (used To Identify Procedures Performed…	11	$1,361.61	$4,438.20	$3,552.34	nat. median $16,660 outlier · 0.2×
63047 HCPCS	Pro Fee Lam Facetec & Foramot Lumbar	11	$1,061.34	$11,998.80	$3,549.54	nat. median $7,508 outlier · 0.5×
27365 HCPCS	Resect Femur/knee Tumor	11	$1,936.88	$5,829.92	$3,491.48	nat. median $4,430 0.8× median
A2001 HCPCS	Axiofill 500 Mg Pcm-0500	5	$3,423.73	$5,716.80	$3,423.73	nat. median $504 outlier · 6.8×
Q4186 HCPCS	Epifix 18mm Disc	6	$155.16	$27,819.00	$3,400.55	nat. median $448 outlier · 7.6×
Q4101 HCPCS	Apligraf Disk	5	$3,345.03	$5,585.40	$3,345.03	nat. median $119 outlier · 28.2×
69990 HCPCS	Microsurgical Techniques Requiring Use	6	$210.46	$5,356.80	$3,208.13	nat. median $1,199 outlier · 2.7×
28445 HCPCS	Treat Ankle Fracture	11	$985.25	$5,062.02	$3,207.00	nat. median $7,058 outlier · 0.5×
C5274 HCPCS	Appl Low Cost Graft Leg Ea Add 100 Sq Cm	5	$2,145.22	$5,160.60	$3,090.63	nat. median $1,322 outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 2,266 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

L8679	HCPCS	Wavewriter Alpha 32ipg Kit	14	5	$91,214.00	$72,971.20 20% off	$24,972.95	$82,092.60	$45,431.57	2025-08-05
D6104	HCPCS	Bone Graft Kit Med 7510400	14	5	$29,866.00	$23,892.80 20% off	$16,097.77	$27,673.20	$16,573.17	2025-08-05
C1763	HCPCS	Amnion Membrance4.8vm 45um Actishieldcf	7	5	$25,792.00	$20,633.60 20% off	$13,901.89	$23,212.80	$13,901.89	2025-08-05
V2790	HCPCS	Amnion Membrance4x8cm 200um Actishield	35	5	$24,959.00	$19,967.20 20% off	$4,249.48	$50,544.00	$13,452.90	2025-08-05
L8687	HCPCS	Biobrace 40x60 Reinforced Implant	14	5	$22,495.50	$17,996.40	$6,245.67	$20,245.95	$11,276.92	2025-08-05
C1734	HCPCS	Augment Bone Graft 3.0cc Abg Usa (refrig	140	5	$19,183.00	$15,346.40 20% off	$1,412.72	$56,493.45	$10,339.64	2025-08-05
J3101	HCPCS	Nf-tenecteplase (tnkase) 50mg Kit	13	11	$17,836.00	$14,268.80 20% off	$124.31	$16,052.40	$9,613.60	2025-08-05
63017	HCPCS	Laminectomy With Exploration And Or Decomp	13	11	$17,397.00	$13,917.60 20% off	$1,225.71	$15,657.30	$9,376.98	2025-08-05
C9757	HCPCS	Hemilaminotomy With Decomp Of Nerve	12	10	$15,720.00	$12,576.00 20% off	$8,473.08	$14,148.00	$9,302.71	2025-08-05
C1889	HCPCS	Prochondrix Cr 1mm Thick 20mm	56	5	$16,146.00	$12,916.80 20% off	$22.10	$108,307.80	$8,702.69	2025-08-05
S2150	HCPCS	Stem Standard L 40	7	5	$14,976.00	$11,980.80 20% off	$8,072.06	$13,478.40	$8,072.06	2025-08-05
63042	HCPCS	Laminotomy With Decompression Of Nerve Roo	13	11	$14,727.00	$11,781.60 20% off	$1,237.98	$13,254.30	$7,937.85	2025-08-05
63056	HCPCS	Transpedicular Approach With Decompression	13	11	$14,040.00	$11,232.00 20% off	$1,429.69	$12,636.00	$7,567.56	2025-08-05
Q4196	HCPCS	Puraply Am (6x9)	15	6	$24,008.00	$19,206.40	$103.58	$21,607.20	$7,278.30	2025-08-05
C1776	HCPCS	K Wire Salvation 2.4x250 Mid Foot	364	5	$9,360.00	$7,488.00 20% off	$249.02	$57,270.60	$6,747.58	2025-08-05
C1769	HCPCS	Superior Plate Decreas-6hole Bridge Lft	7	5	$12,290.00	$9,832.00 20% off	$6,624.31	$11,061.00	$6,624.31	2025-08-05
J2505	HCPCS	Nf-pegfilgrastim (neulasta) 6mg/0.6ml S	13	11	$11,226.00	$8,980.80 20% off	$68.79	$10,103.40	$6,050.81	2025-08-05
15274	HCPCS	App High Cost Graft Legs, Each Add'l 100	22	6	$7,829.00	$6,263.20 20% off	$47.63	$10,187.10	$6,042.53	2025-08-05
22633	HCPCS	Pro Fee Arthrd Cmbn 1ntrspc Lumbar	33	11	$8,033.00	$6,426.40 20% off	$1,735.25	$8,354.00	$5,803.35	2025-08-05
C9361	HCPCS	Neuromend 4mm Id X 2.5cm Length	7	5	$10,319.00	$8,255.20	$5,561.94	$9,287.10	$5,561.94	2025-08-05
22554	HCPCS	Anterior Interbody Includin Minimal Disc	13	11	$6,620.00	$5,296.00 20% off	$1,211.21	$6,620.00	$5,298.65	2025-08-05
L8606	HCPCS	Bulkamid Urethral Bulking System	7	5	$9,776.00	$7,820.80 20% off	$5,269.26	$8,798.40	$5,269.26	2025-08-05
63030	HCPCS	Disectomy Lami With Decomp Of Nerve	35	11	$15,115.00	$12,092.00 20% off	$876.16	$22,572.00	$5,164.92	2025-08-05
63055	HCPCS	Transpedicular Approach With Decompressi	13	11	$6,653.00	$5,322.40 20% off	$1,569.53	$5,987.70	$5,164.92	2025-08-05
22612	HCPCS	Pro Fee Arthrd Pst Tq 1ntrspc Lumbar	33	11	$7,877.00	$6,301.60	$1,508.55	$8,192.00	$5,045.19	2025-08-05
C1777	HCPCS	Triathlon Cr Fem Comp-cem 5510-f-401	21	5	$9,000.00	$7,200.00 20% off	$2,018.02	$9,266.40	$4,851.00	2025-08-05
22551	HCPCS	Arthrd Ant Ntrbdy Cervical	45	11	$5,822.00	$4,657.60	$1,632.72	$8,239.00	$4,480.64	2025-08-05
22856	HCPCS	Single Level Cervical Disc Arthroplasty	25	11	$5,331.00	$4,264.80	$1,554.70	$5,544.00	$4,437.42	2025-08-05
15120	HCPCS	Pro Fee Split Thk autogrft,F/H/FT 1st100	20	11	$11,772.00	$9,417.60	$742.02	$10,594.80	$4,373.91	2025-08-05
63057	HCPCS	Each Addtl Segment Thoracic Or Lumbar	8	6	$8,077.00	$6,461.60	$309.59	$7,269.30	$4,353.50	2025-08-05
22630	HCPCS	Arthrodesis, Posterior Interbody Techniq	25	11	$5,151.00	$4,120.80	$1,506.17	$5,357.00	$4,287.74	2025-08-05
58662	HCPCS	Laparoscopy Excise Lesions	13	11	$10,167.00	$8,133.60	$672.36	$9,150.30	$4,218.24	2025-08-05
49614	HCPCS	Profee Rpr Aa Hrn Rcr <3 Ncr/strn	13	11	$5,638.00	$4,510.40 20% off	$546.63	$5,074.20	$4,218.24	2025-08-05
15273	HCPCS	App High Cost Graft Legs, 1st 100 Sq Cm	27	11	$7,829.00	$6,263.20 20% off	$209.65	$10,187.10	$4,057.59	2025-08-05
J1437	HCPCS	Ferric Deriso (monoferric) 1000mg/10ml	13	11	$7,493.25	$5,994.60	$13.70	$6,743.92	$4,038.86	2025-08-05
20930	HCPCS	Placement Of Osteopr. Material	10	5	$5,122.00	$4,097.60	$2,760.76	$4,794.30	$4,032.04	2025-08-05
L7499	HCPCS	Reverse Liner 40+0 R (550040100)	14	5	$7,422.00	$5,937.60	$3,846.84	$6,679.80	$4,000.46	2025-08-05
63035	HCPCS	Each Addition Interspace Cervical Or Lum	8	6	$7,048.00	$5,638.40 20% off	$222.18	$6,343.20	$3,798.87	2025-08-05
27745	HCPCS	Reinforce Tibia	25	11	$6,816.00	$5,452.80 20% off	$693.24	$6,134.40	$3,758.00	2025-08-05
63044	HCPCS	Each Additional Lumbar Interspace	7	5	$6,819.00	$5,455.20 20% off	$3,675.44	$6,137.10	$3,675.44	2025-08-05
20936	HCPCS	Autograft For Spine Surgery	10	5	$4,551.00	$3,640.80	$2,452.99	$4,259.70	$3,582.55	2025-08-05
23472	HCPCS	Arthroplasty Total Shoulder LT,Left Side (used To Identify Procedures Performed …	26	11	$4,438.20	$3,550.56 20% off	$1,361.61	$4,438.20	$3,552.34	2025-08-05
63047	HCPCS	Pro Fee Lam Facetec & Foramot Lumbar	33	11	$3,549.54	$2,839.63 20% off	$1,061.34	$11,998.80	$3,549.54	2025-08-05
27365	HCPCS	Resect Femur/knee Tumor	17	11	$6,477.69	$5,182.15 20% off	$1,936.88	$5,829.92	$3,491.48	2025-08-05
A2001	HCPCS	Axiofill 500 Mg Pcm-0500	7	5	$6,352.00	$5,081.60	$3,423.73	$5,716.80	$3,423.73	2025-08-05
Q4186	HCPCS	Epifix 18mm Disc	43	6	$5,179.00	$4,143.20 20% off	$155.16	$27,819.00	$3,400.55	2025-08-05
Q4101	HCPCS	Apligraf Disk	7	5	$6,206.00	$4,964.80 20% off	$3,345.03	$5,585.40	$3,345.03	2025-08-05
69990	HCPCS	Microsurgical Techniques Requiring Use	8	6	$5,952.00	$4,761.60	$210.46	$5,356.80	$3,208.13	2025-08-05
28445	HCPCS	Treat Ankle Fracture	25	11	$5,062.02	$4,049.62	$985.25	$5,062.02	$3,207.00	2025-08-05
C5274	HCPCS	Appl Low Cost Graft Leg Ea Add 100 Sq Cm	14	5	$5,734.00	$4,587.20 20% off	$2,145.22	$5,160.60	$3,090.63	2025-08-05
C5273	HCPCS	App Low Cost Graft Leg 1st 100sq Cm	19	10	$5,734.00	$4,587.20 20% off	$1,322.53	$5,160.60	$3,080.52	2025-08-05
15276	HCPCS	App High Cost Graft Feet, 1st 25sq	22	6	$3,980.00	$3,184.00 20% off	$26.76	$4,961.70	$2,971.51	2025-08-05
15278	HCPCS	App High Cost Graft Ea Add 100sq.cm	22	6	$3,980.00	$3,184.00 20% off	$60.71	$4,961.70	$2,971.51	2025-08-05
G0460	HCPCS	Autologius Prp For Ulcers	13	11	$5,424.00	$4,339.20 20% off	$202.36	$4,881.60	$2,923.54	2025-08-05
C9359	HCPCS	Tissue 340744 Lacsr 7x14x14	14	5	$5,382.00	$4,305.60	$2,789.32	$4,843.80	$2,900.90	2025-08-05
J1602	HCPCS	Golimumab (simponi Area) 50mg/4ml Sdv	13	11	$5,335.85	$4,268.68 20% off	$7.97	$4,802.26	$2,876.03	2025-08-05
61783	HCPCS	Spinal	15	6	$5,096.00	$4,076.80	$222.99	$4,770.00	$2,856.70	2025-08-05
27447	HCPCS	Total Knee Arthroplasty	37	11	$4,070.85	$3,256.68 20% off	$1,211.14	$4,458.00	$2,769.00	2025-08-05
0278	RC	—	119	5	$4,496.00	$3,596.80	$95.40	$113,724.00	$2,726.16	2025-08-05
22840	HCPCS	Posterior Non Segmental Instrumentation	20	11	$4,959.00	$3,967.20 20% off	$720.36	$4,641.30	$2,632.32	2025-08-05
28725	HCPCS	Fusion Of Foot Bones	25	11	$3,915.00	$3,132.00 20% off	$731.97	$3,915.00	$2,602.00	2025-08-05
63267	HCPCS	Pro Fee Laminectomy For Excision Extradu	13	11	$3,245.00	$2,596.00 20% off	$1,322.75	$3,245.00	$2,597.30	2025-08-05
74177	HCPCS	CT Scan Abd Pelvis W Cont	13	11	$4,756.00	$3,804.80	$258.20	$4,280.40	$2,563.48	2025-08-05
49591	HCPCS	Profee Rpr Aa Hernia 1st < 3 Cm Reducibl	13	11	$3,831.00	$3,064.80	$326.76	$3,447.90	$2,551.51	2025-08-05
28715	HCPCS	Fusion Of Foot Bones	25	11	$3,018.00	$2,414.40 20% off	$885.57	$3,139.00	$2,512.46	2025-08-05
81432	HCPCS	.breast Ca Genotyping, Full Sequence	13	6	$3,092.00	$2,473.60 20% off	$1,277.87	$4,295.70	$2,474.84	2025-08-05
22634	HCPCS	Each Additional Interspace And Segment	27	11	$4,588.00	$3,670.40 20% off	$464.19	$4,294.80	$2,472.93	2025-08-05
22552	HCPCS	Arthrd Ant Ntrbd Cervical Ea	27	11	$4,427.00	$4,049.62	$379.89	$4,555.82	$2,467.86	2025-08-05
27645	HCPCS	Radical Resection Of Tumor Tibia LT,Left Side (used To Identify Procedures Perfo…	26	11	$3,578.00	$2,862.40 20% off	$1,666.94	$3,220.20	$2,443.57	2025-08-05
27487	HCPCS	Rev Total Knee Art Fem Tib Comp Rt	20	11	$3,593.00	$2,874.40 20% off	$1,652.88	$3,363.30	$2,443.29	2025-08-05
11047	HCPCS	Pf-debride, Bone - Each Add'l 20 Sq. Cm	15	6	$4,703.00	$3,762.40 20% off	$105.16	$4,232.70	$2,437.36	2025-08-05
28740	HCPCS	Fusion Of Foot Bones	25	11	$3,018.00	$2,414.40 20% off	$664.54	$3,018.00	$2,415.61	2025-08-05
27702	HCPCS	Arthoplasty, Ankle With Implant -ttl Ank	37	11	$3,102.00	$2,481.60 20% off	$906.68	$3,226.00	$2,406.81	2025-08-05
22842	HCPCS	Posterior Segmental Instrumentation	27	11	$4,458.00	$3,566.40 20% off	$730.38	$4,172.40	$2,402.86	2025-08-05
27486	HCPCS	Revise/replace Knee Joint	17	11	$4,433.04	$3,546.43 20% off	$1,325.52	$3,989.74	$2,389.41	2025-08-05
C1762	HCPCS	Fascia Lata (medium) 400270	7	5	$4,315.50	$3,452.40 20% off	$2,326.06	$3,883.95	$2,326.06	2025-08-05
28262	HCPCS	Revision Of Foot And Ankle	17	11	$4,278.24	$3,422.59 20% off	$1,209.74	$4,278.24	$2,305.97	2025-08-05
27130	HCPCS	Total Hip Arthroplasty LT,Left Side (used To Identify Procedures Performed On Th…	26	11	$2,881.00	$2,304.80	$1,212.67	$2,881.00	$2,305.95	2025-08-05
27625	HCPCS	Remove Ankle Joint Linning	20	11	$3,680.00	$2,944.00 20% off	$537.60	$3,312.00	$2,271.86	2025-08-05
27620	HCPCS	Explore/treat Ankle Joint	25	11	$3,084.00	$2,467.20 20% off	$423.47	$2,775.60	$2,266.00	2025-08-05
32550	HCPCS	Pleurx Cath Placement	13	11	$2,814.00	$2,251.20 20% off	$657.05	$2,551.51	$2,252.33	2025-08-05
27828	HCPCS	Open Tx Dis Tib & Fib W Inter Fix LT,Left Side (used To Identify Procedures Perf…	43	11	$2,642.00	$2,113.60 20% off	$1,241.52	$4,152.12	$2,238.00	2025-08-05
27640	HCPCS	Pro Fee Partial Removal Of Tibia	13	11	$2,790.00	$2,232.00 20% off	$780.32	$2,511.00	$2,233.12	2025-08-05
C1781	HCPCS	Partx Pro Grip Mesh Right Side	42	5	$2,867.00	$2,293.60 20% off	$1,096.86	$5,082.30	$2,230.38	2025-08-05
28100	HCPCS	Pro Fee Excision/Curettage, Bone Cyst/Be	13	11	$2,785.00	$2,228.00 20% off	$452.83	$2,506.50	$2,229.11	2025-08-05
10180	HCPCS	I&d Post Op Infection	20	11	$4,579.00	$3,663.20 20% off	$193.09	$4,121.10	$2,221.24	2025-08-05
29881	HCPCS	Knee Arthroscopy Menisc Med Or Lat LT,Left Side (used To Identify Procedures Per…	26	11	$2,767.00	$2,213.60 20% off	$511.91	$2,490.30	$2,214.71	2025-08-05
28420	HCPCS	Treat/graft Heel Fracture	17	11	$4,071.66	$3,257.33	$1,217.46	$4,071.66	$2,194.62	2025-08-05
43631	HCPCS	Gastrectomy P Dist; W Gastroduodenost	13	11	$3,325.00	$2,660.00 20% off	$1,383.32	$2,992.50	$2,187.91	2025-08-05
J0630	HCPCS	Nf-calcitonin 400IU/2Ml Mdv:1ml Dc	13	11	$4,005.00	$3,204.00 20% off	$604.28	$3,604.50	$2,158.70	2025-08-05
15100	HCPCS	Pf Split Thk auTtgraft, Trnk/arm/leg 1st	20	11	$5,734.00	$4,587.20 20% off	$770.45	$5,160.60	$2,147.02	2025-08-05
15115	HCPCS	Pro Fee Epidautograft, F/h/ft, 1st100 Sq	20	11	$5,734.00	$4,587.20 20% off	$753.71	$5,160.60	$2,147.02	2025-08-05
15110	HCPCS	Pro Epide autograft,T/A/L1st100 Sq Cm	20	11	$5,734.00	$4,587.20 20% off	$770.59	$5,160.60	$2,147.02	2025-08-05
15002	HCPCS	Pro FEESurg Prep-trunk/arm/leg1st 100 Sq	20	11	$5,734.00	$4,587.20 20% off	$237.24	$5,160.60	$2,147.02	2025-08-05
15272	HCPCS	App High Cost Graft Leg Each Add'l 25cm	22	6	$3,980.00	$3,184.00 20% off	$18.05	$4,961.70	$2,145.22	2025-08-05
95811	HCPCS	Polysomnography W/cpap	13	11	$3,978.00	$3,182.40 20% off	$578.40	$3,580.20	$2,144.14	2025-08-05
63663	HCPCS	Pro Fee Revise Spine Eltrd Perq Aray	13	11	$2,671.35	$2,137.08 20% off	$486.83	$2,671.35	$2,138.15	2025-08-05
27445	HCPCS	Revision Of Knee Joint	17	11	$3,960.63	$3,168.50 20% off	$1,184.26	$3,564.57	$2,134.78	2025-08-05
27724	HCPCS	Repair/graft Of Tibia	17	11	$3,960.30	$3,168.24 20% off	$1,184.16	$3,564.27	$2,134.61	2025-08-05
C1713	HCPCS	Xbraid S Size 2 Blu/blk (term)	1,358	5	$2,846.00	$2,276.80	$54.98	$71,583.30	$2,109.39	2025-08-05
28300	HCPCS	Incision Of Heel Bones	25	11	$2,181.00	$1,744.80 20% off	$614.51	$2,699.00	$2,089.03	2025-08-05
28446	HCPCS	Osteochondral Talus Autogrft	17	11	$3,868.17	$3,094.54	$1,156.62	$3,868.17	$2,084.94	2025-08-05
20939	HCPCS	Bone Marrow Aspiration For Bone Grafting	15	6	$3,855.00	$3,084.00 20% off	$66.74	$3,608.10	$2,077.84	2025-08-05
28615	HCPCS	Pro Fee Repair Foot Dislocation	13	11	$2,589.75	$2,071.80	$774.36	$2,589.75	$2,072.84	2025-08-05
28705	HCPCS	Arthrodesis Pantalar	17	11	$3,845.04	$3,076.03 20% off	$1,149.70	$3,845.04	$2,072.47	2025-08-05
27725	HCPCS	Repair Of Lower Leg	17	11	$3,840.90	$3,072.72 20% off	$1,148.46	$3,456.81	$2,070.25	2025-08-05
27364	HCPCS	Resect Thigh/knee Tum 5 Cm/>	17	11	$4,955.79	$3,964.63 20% off	$1,481.82	$4,460.21	$2,069.26	2025-08-05
15277	HCPCS	App High Cost Graft Feet, 1st 100 Sq Cm	27	11	$3,980.00	$3,184.00 20% off	$241.27	$4,961.70	$2,062.50	2025-08-05
0360	RC	—	469	5	$3,400.00	$2,720.00 20% off	$25.33	$21,061.80	$2,048.20	2025-08-05
27488	HCPCS	Removal Of Knee Prosthesis	17	11	$3,790.41	$3,032.33	$1,133.36	$3,411.37	$2,043.04	2025-08-05
95810	HCPCS	Polysomnography	13	11	$3,750.00	$3,000.00 20% off	$552.25	$3,375.00	$2,021.25	2025-08-05
29827	HCPCS	Arthroscopy Rotator Cuff Repair LT,Left Side (used To Identify Procedures Perfor…	26	11	$2,869.50	$2,295.60 20% off	$1,006.82	$3,617.00	$2,015.90	2025-08-05
75635	HCPCS	CT CTA Run Off 3d	13	11	$3,726.00	$2,980.80	$128.71	$3,353.40	$2,008.31	2025-08-05
27691	HCPCS	Pro Fee Revision Of Lower Leg Tendon	13	11	$2,500.00	$2,000.00 20% off	$700.37	$2,500.00	$2,001.00	2025-08-05
29807	HCPCS	Arthroscopy Shoulder Rep Slap Les LT,Left Side (used To Identify Procedures Perf…	26	11	$2,737.68	$2,190.15	$974.19	$3,391.37	$1,979.80	2025-08-05
21554	HCPCS	Exc Neck Tum Deep 5 Cm/>	13	11	$2,468.00	$1,974.40	$693.42	$2,221.20	$1,975.39	2025-08-05
22846	HCPCS	Anterior Instrumentation 4-7 Vertebral	13	11	$3,570.00	$2,856.00 20% off	$724.28	$3,213.00	$1,968.64	2025-08-05
27870	HCPCS	Arthrodesis Ankle Open LT,Left Side (used To Identify Procedures Performed On Th…	26	11	$2,576.12	$2,060.90 20% off	$949.74	$3,080.25	$1,968.40	2025-08-05
J1745	HCPCS	Infliximab (remicade) 100mg Pwvl	13	11	$3,638.10	$2,910.48 20% off	$22.54	$3,274.29	$1,960.94	2025-08-05
27446	HCPCS	Arthroplasty Knee LT,Left Side (used To Identify Procedures Performed On The Lef…	43	11	$2,336.00	$1,868.80 20% off	$1,084.13	$3,625.77	$1,954.29	2025-08-05
28730	HCPCS	Arthrodesis, Midtarsal/Tarsometatarsal,	25	11	$2,329.00	$1,863.20 20% off	$680.94	$2,422.00	$1,938.57	2025-08-05
J0897	HCPCS	Prolia Subcutaneous Solution 60mg/1ml-nf	13	11	$3,583.00	$2,866.40 20% off	$21.14	$3,224.70	$1,931.24	2025-08-05
P9073	HCPCS	.bb Plt Apheresis Pathogen Reduced	12	10	$3,563.00	$2,850.40 20% off	$424.60	$3,206.70	$1,920.46	2025-08-05
28415	HCPCS	Treat Heel Fracture	17	11	$3,514.92	$2,811.94	$1,050.99	$3,514.92	$1,894.55	2025-08-05
27703	HCPCS	Reconstruction Ankle Joint	17	11	$3,512.55	$2,810.04 20% off	$1,050.29	$3,161.30	$1,893.26	2025-08-05
74174	HCPCS	CTA Abd Pelvis Aorta W 3d	13	11	$3,512.00	$2,809.60 20% off	$258.20	$3,160.80	$1,892.97	2025-08-05
27827	HCPCS	Treat Lower Leg Fracture	17	11	$3,510.60	$2,808.48 20% off	$1,049.70	$3,510.60	$1,892.21	2025-08-05
27650	HCPCS	Exc Repair Achilles Tendon	25	11	$2,156.00	$1,724.80 20% off	$619.97	$2,338.00	$1,871.34	2025-08-05
28360	HCPCS	Reconstruct Cleft Foot	17	11	$3,464.52	$2,771.62	$1,035.92	$3,464.52	$1,867.38	2025-08-05
28737	HCPCS	Arthrodesis, w/Tendon Lengthening/Advan	25	11	$2,226.00	$1,780.80 20% off	$645.35	$2,315.00	$1,852.93	2025-08-05
22845	HCPCS	Insert Spine Fixation Device	30	11	$2,386.00	$1,908.80 20% off	$695.05	$3,862.80	$1,830.12	2025-08-05
49203	HCPCS	Exc Abd Tum 5 Cm Or Less	13	11	$2,758.00	$2,206.40	$1,161.88	$2,482.20	$1,822.04	2025-08-05
P9037	HCPCS	.bb Plt Lr Irr Apheresis Lvds	19	10	$3,274.00	$2,619.20 20% off	$488.50	$3,036.60	$1,818.59	2025-08-05
74178	HCPCS	CT Scan Abd Pelvis W Wo C	20	11	$3,395.00	$2,716.00 20% off	$258.20	$3,055.50	$1,817.51	2025-08-05
27635	HCPCS	Pro Fee Remove Lower Leg Bone Lesion	13	11	$2,255.00	$1,804.00 20% off	$544.40	$2,255.00	$1,804.90	2025-08-05
10140	HCPCS	I&d Hematoma, Seroma,or Fluid Collection	20	11	$4,703.00	$3,762.40 20% off	$126.68	$4,232.70	$1,804.39	2025-08-05
28001	HCPCS	Pro Fee Level 3 I&d Dran Bursa Foot	20	11	$4,703.00	$3,762.40 20% off	$103.66	$4,232.70	$1,804.39	2025-08-05
11044	HCPCS	Pro Fee Debride, Bone - 1st 20 Sq. Cm	20	11	$4,703.00	$3,762.40 20% off	$242.91	$4,232.70	$1,804.39	2025-08-05
73206	HCPCS	CTA Upper Extremity	13	11	$3,342.00	$2,673.60 20% off	$128.71	$3,007.80	$1,801.34	2025-08-05
81162	HCPCS	Brca Panel (brca1, Brca2)	13	11	$4,300.00	$3,440.00 20% off	$1,319.10	$3,870.00	$1,788.38	2025-08-05
27685	HCPCS	Revision Of Lower Leg Tendon	25	11	$2,229.00	$1,783.20 20% off	$503.78	$2,229.00	$1,784.09	2025-08-05
27329	HCPCS	Resect Thigh/knee Tum < 5 Cm	17	11	$3,299.97	$2,639.98	$986.72	$2,969.97	$1,778.68	2025-08-05
27698	HCPCS	Pro Fee Repair Of Ankle Ligamnt	13	11	$2,221.00	$1,776.80 20% off	$601.87	$2,221.00	$1,777.69	2025-08-05
27727	HCPCS	Repair Of Lower Leg	17	11	$3,282.87	$2,626.30	$981.61	$2,954.58	$1,769.47	2025-08-05
27759	HCPCS	Treatment Of Tibia Fracture	17	11	$3,279.00	$2,623.20 20% off	$942.63	$3,279.00	$1,767.38	2025-08-05
P9035	HCPCS	.bb Plt Lr Apheresis Lvds	12	10	$3,274.00	$2,619.20 20% off	$352.17	$2,946.60	$1,764.69	2025-08-05
J2315	HCPCS	Vivitrol Susp ER 380mg	13	11	$3,272.00	$2,617.60 20% off	$3.07	$2,944.80	$1,763.61	2025-08-05
72158	HCPCS	MRI Lumbar Wwo Contrast	13	11	$3,260.00	$2,608.00 20% off	$258.20	$2,934.00	$1,757.14	2025-08-05
73706	HCPCS	CT CTA Lower Ext W 3d Recon	13	11	$3,255.00	$2,604.00 20% off	$128.71	$2,929.50	$1,754.44	2025-08-05
28120	HCPCS	Partial Excision, Bone; Talus/Calcaneus	25	11	$2,101.00	$1,680.80 20% off	$533.88	$2,185.00	$1,748.87	2025-08-05
24685	HCPCS	Treat Ulnar Fracture	25	11	$2,070.00	$1,656.00 20% off	$618.93	$2,173.25	$1,739.47	2025-08-05
29828	HCPCS	Arthroscopy Biceps Tenodesis LT,Left Side (used To Identify Procedures Performed…	26	11	$2,372.00	$1,897.60 20% off	$864.10	$2,913.00	$1,739.45	2025-08-05
58660	HCPCS	Laparoscopy W Lysis Of Adhesions	13	11	$2,170.00	$1,736.00 20% off	$649.16	$2,170.00	$1,736.87	2025-08-05
15271	HCPCS	App High Cost Graft Legs 1st 25cm Or Les	20	11	$5,734.00	$4,587.20 20% off	$90.56	$5,160.60	$1,733.88	2025-08-05
29891	HCPCS	Arthroscopy Ankle Ex Osteo Defect LT,Left Side (used To Identify Procedures Perf…	26	11	$2,164.00	$1,731.20 20% off	$635.71	$2,164.00	$1,732.07	2025-08-05
J1439	HCPCS	Ferric Carboxyma 750mg/15ml (injectafer)	20	11	$3,171.00	$2,536.80	$0.82	$2,914.20	$1,727.22	2025-08-05
70553	HCPCS	MRI Brain Wwo Contrast	13	11	$3,178.00	$2,542.40 20% off	$258.20	$2,860.20	$1,712.94	2025-08-05
47610	HCPCS	Cholecystectomy W Exp Of Common Duct	13	11	$2,459.00	$1,967.20 20% off	$1,195.71	$2,213.10	$1,704.40	2025-08-05
74183	HCPCS	MRI Abdomen Wwo Contrast	13	11	$3,147.72	$2,518.18	$258.20	$2,832.95	$1,696.62	2025-08-05
72197	HCPCS	MRI Pelvis Wwo Contrast	13	11	$3,146.02	$2,516.82	$258.20	$2,831.42	$1,695.70	2025-08-05
28238	HCPCS	Revision Of Foot Tendon	25	11	$2,025.00	$1,620.00 20% off	$523.69	$2,106.00	$1,685.64	2025-08-05
71275	HCPCS	CT CTA Chest Thorac Aorta 3d	13	11	$3,125.00	$2,500.00 20% off	$128.71	$2,812.50	$1,684.38	2025-08-05
J9217	HCPCS	Leuprolide Acet (lupron) 22.5mg Kit	20	11	$2,561.00	$2,048.80	$112.37	$4,173.75	$1,681.30	2025-08-05
72156	HCPCS	MRI Cervical Wwo Contrast	13	11	$3,114.48	$2,491.58 20% off	$258.20	$2,803.03	$1,678.70	2025-08-05
72157	HCPCS	MRI Thoracic Wwo Contrast	13	11	$3,107.39	$2,485.91 20% off	$258.20	$2,796.65	$1,674.88	2025-08-05
29888	HCPCS	Knee Arthroscopically Lt Ant Lig REPAIR,Left Side (used To Identify Procedures P…	26	11	$2,090.00	$1,672.00 20% off	$917.82	$2,090.00	$1,672.84	2025-08-05
44005	HCPCS	Enterolysis Freeing Of Intest Adhesion	13	11	$2,558.00	$2,046.40	$1,038.59	$2,302.20	$1,670.39	2025-08-05
29898	HCPCS	Pro Fee Ankle Arthroscopy/Surgery	13	11	$2,078.20	$1,662.56	$527.78	$2,078.20	$1,663.39	2025-08-05
27626	HCPCS	Pro Fee Remove Ankle Joint Lining	13	11	$2,078.00	$1,662.40	$577.45	$2,078.00	$1,663.23	2025-08-05
27823	HCPCS	Treatment Of Ankle Fracture	17	11	$3,080.16	$2,464.13	$920.98	$3,080.16	$1,660.21	2025-08-05
25545	HCPCS	Optx Ulnar Shft Fx Int Fixj	25	11	$1,984.00	$1,587.20 20% off	$593.20	$2,063.00	$1,651.23	2025-08-05
J0129	HCPCS	Nf-abatacept (orencia) 250mg Sdv	13	11	$3,037.50	$2,430.00 20% off	$32.17	$2,733.75	$1,637.22	2025-08-05
27726	HCPCS	Repair Fibula Nonunion	17	11	$3,028.65	$2,422.92 20% off	$905.60	$3,028.65	$1,632.44	2025-08-05
27641	HCPCS	Pro Fee Part. Exc, Fibula	13	11	$2,013.00	$1,610.40	$619.44	$2,013.00	$1,611.21	2025-08-05
47600	HCPCS	Cholecystectomy	13	11	$2,433.00	$1,946.40	$1,020.77	$2,189.70	$1,605.23	2025-08-05
24147	HCPCS	Pf Prtl Exc Bone Olecrn Process	13	11	$1,989.15	$1,591.32 20% off	$594.77	$1,989.15	$1,592.12	2025-08-05
V2632	HCPCS	Abbott Lens Posterior	14	5	$1,291.00	$1,032.80 20% off	$695.85	$3,362.40	$1,587.80	2025-08-05
28306	HCPCS	Osteotomy, Metatarsal, W/wo Lengthe 1st	25	11	$1,906.00	$1,524.80 20% off	$439.91	$1,982.00	$1,586.39	2025-08-05
63655	HCPCS	Pro Fee Implantation Of Neuroelectrodes	13	11	$1,975.00	$1,580.00 20% off	$807.72	$1,975.00	$1,580.79	2025-08-05
23585	HCPCS	Open Tx Scapular Fx If LT,Left Side (used To Identify Procedures Performed On Th…	26	11	$1,970.00	$1,576.00 20% off	$921.79	$1,970.00	$1,576.79	2025-08-05
27448	HCPCS	Incision Of Thigh	20	11	$2,622.63	$2,098.10 20% off	$784.19	$2,360.37	$1,572.28	2025-08-05
25608	HCPCS	Fx Rad Intra Articul Orif LT,Left Side (used To Identify Procedures Performed O…	26	11	$2,046.50	$1,637.20 20% off	$784.54	$2,440.00	$1,570.35	2025-08-05
27397	HCPCS	Transplant Of Thigh Tendons	17	11	$2,898.54	$2,318.83 20% off	$866.68	$2,898.54	$1,562.32	2025-08-05
27822	HCPCS	Open Tx Ankle Fx W Intern Fixation LT,Left Side (used To Identify Procedures Per…	43	11	$2,554.00	$2,043.20 20% off	$815.66	$2,727.90	$1,551.60	2025-08-05
28122	HCPCS	Partial Removal Of Foot Bone	25	11	$1,856.00	$1,484.80 20% off	$474.07	$1,930.00	$1,544.77	2025-08-05
28309	HCPCS	Incision Of Metatarsals	17	11	$2,853.69	$2,282.95 20% off	$853.28	$2,853.69	$1,538.14	2025-08-05
38760	HCPCS	Inguinofem Lymphadenectomy Superf	13	11	$1,920.00	$1,536.00 20% off	$793.08	$1,920.00	$1,536.77	2025-08-05
28292	HCPCS	Pro Fee Correction Hallux Valgus w/Bunio	13	11	$1,918.00	$1,534.40	$524.60	$1,918.00	$1,535.17	2025-08-05
27758	HCPCS	Treatment Of Tibia Fracture	17	11	$2,832.42	$2,265.94	$846.92	$2,832.42	$1,526.67	2025-08-05
27722	HCPCS	Repair/graft Of Tibia	17	11	$2,831.70	$2,265.36	$846.70	$2,831.70	$1,526.29	2025-08-05
27360	HCPCS	Partial Removal Leg Bone(s)	17	11	$2,825.91	$2,260.73	$844.97	$2,543.32	$1,523.16	2025-08-05
27395	HCPCS	Lengthening Of Thigh Tendons	17	11	$2,790.39	$2,232.31 20% off	$834.35	$2,511.35	$1,504.02	2025-08-05
49329	HCPCS	Unlisted Laparoscopy Abd Perit Oment	8	8	$1,494.00	$1,195.20 20% off	$1,156.36	$1,494.00	$1,494.00	2025-08-05
74160	HCPCS	CT Scan Abdomen W Contras	13	11	$2,770.00	$2,216.00 20% off	$128.71	$2,493.00	$1,493.03	2025-08-05
27442	HCPCS	Arthroplasty Fem Cond Tib Plat Knee LT,Left Side (used To Identify Procedures P…	43	11	$1,747.00	$1,397.60 20% off	$825.36	$2,760.30	$1,487.81	2025-08-05
27720	HCPCS	Repair Of Tibia	17	11	$2,757.84	$2,206.27 20% off	$824.62	$2,757.84	$1,486.47	2025-08-05
54840	HCPCS	Pf- Excision Of Spermatocele W/wo Epidid	13	11	$1,902.00	$1,521.60 20% off	$301.95	$1,711.80	$1,481.07	2025-08-05
28060	HCPCS	Partial Removal Foot Fascia	37	11	$1,682.00	$1,617.00	$388.14	$1,906.00	$1,475.24	2025-08-05
27386	HCPCS	Repair/graft Of Thigh Muscle	17	11	$2,691.96	$2,153.57	$804.92	$2,691.96	$1,450.97	2025-08-05
28110	HCPCS	Part Removal Of Metatarsal	25	11	$3,152.52	$2,522.02	$318.40	$2,837.27	$1,448.00	2025-08-05
47563	HCPCS	Laparoscopic Cholecystectomy Graph	13	11	$1,809.00	$1,447.20 20% off	$686.20	$1,809.00	$1,447.92	2025-08-05
27826	HCPCS	Treat Lower Leg Fracture	17	11	$2,665.29	$2,132.23 20% off	$796.95	$2,665.29	$1,436.59	2025-08-05
29822	HCPCS	Sho Arthrs Srg Lmtd Dbrdmt	25	11	$1,713.96	$1,371.17	$512.49	$1,783.00	$1,427.11	2025-08-05
74176	HCPCS	CT Scan Abd Pelvis Wo Con	13	11	$2,624.00	$2,099.20 20% off	$167.17	$2,361.60	$1,414.34	2025-08-05
29882	HCPCS	Knee Arthro Lt Meniscus Rep Med Or LAT,Left Side (used To Identify Procedures Pe…	26	11	$2,050.50	$1,640.40 20% off	$651.37	$2,352.60	$1,412.65	2025-08-05
64718	HCPCS	Pro Fee Neuro,ulnar Nerv At Elbow, Open	13	11	$2,028.00	$1,622.40	$569.74	$1,825.20	$1,411.85	2025-08-05
J7307	HCPCS	Nexplanon	7	5	$2,617.00	$2,093.60 20% off	$1,410.56	$2,355.30	$1,410.56	2025-08-05
27441	HCPCS	Revision Of Knee Joint	17	11	$2,611.17	$2,088.94	$780.76	$2,611.17	$1,407.42	2025-08-05
49520	HCPCS	Repair Recurrent Ing Hernia Reducible	13	11	$1,757.00	$1,405.60 20% off	$604.77	$1,757.00	$1,406.30	2025-08-05
25607	HCPCS	Open Tx Distal Rad Extra Articul W If LT,Left Side (used To Identify Procedures …	26	11	$1,789.00	$1,431.20 20% off	$703.11	$2,104.00	$1,400.30	2025-08-05
27325	HCPCS	Neurectomy Hamstring	20	11	$1,790.25	$1,432.20 20% off	$535.30	$1,675.80	$1,398.75	2025-08-05
52240	HCPCS	Cystourethroscopy With Dest Large	13	11	$1,744.00	$1,395.20 20% off	$363.54	$1,744.00	$1,395.90	2025-08-05
27443	HCPCS	Revision Of Knee Joint	17	11	$2,586.87	$2,069.50	$773.50	$2,586.87	$1,394.32	2025-08-05
52601	HCPCS	Pf-trurl Electrosurg Resc Bleed Complete	13	11	$1,742.00	$1,393.60 20% off	$681.61	$1,742.00	$1,394.30	2025-08-05
J7318	HCPCS	Durolane 60mg/3ml Syringe	13	11	$2,584.88	$2,067.90 20% off	$4.83	$2,326.39	$1,393.25	2025-08-05
27357	HCPCS	Remove Femur Lesion/graft	17	11	$2,581.35	$2,065.08 20% off	$771.84	$2,581.35	$1,391.35	2025-08-05
27381	HCPCS	Repair/graft Of Kneecap Tendon	17	11	$2,580.99	$2,064.79 20% off	$771.74	$2,580.99	$1,391.15	2025-08-05
27792	HCPCS	Open Tx Dis Fib Fx W Inter Fix Rt	25	11	$2,136.00	$1,708.80 20% off	$607.00	$2,136.00	$1,381.00	2025-08-05
24342	HCPCS	Reinsert Ruptrd Bic/tric Tendon LT,Left Side (used To Identify Procedures Perfor…	26	11	$1,711.00	$1,368.80 20% off	$732.86	$1,711.00	$1,369.48	2025-08-05
27440	HCPCS	Revision Of Knee Joint	17	11	$2,529.09	$2,023.27 20% off	$756.22	$2,529.09	$1,363.18	2025-08-05
J7325	HCPCS	Hyaluronate & Der (synvisc-one) 48mg/6ml	13	11	$2,521.40	$2,017.12 20% off	$6.57	$2,269.26	$1,359.03	2025-08-05
27848	HCPCS	Treat Ankle Dislocation	17	11	$2,512.53	$2,010.02 20% off	$751.27	$2,512.53	$1,354.25	2025-08-05
29894	HCPCS	Pro Fee Ankle Arthroscopy/Surgery	13	11	$1,691.00	$1,352.80 20% off	$477.53	$1,691.00	$1,353.48	2025-08-05
20680	HCPCS	Removal Of Implant; Deep Buried	33	11	$1,405.00	$1,124.00 20% off	$454.26	$1,718.00	$1,351.00	2025-08-05
27438	HCPCS	Arthroplasty Kneecap W Implant LT,Left Side (used To Identify Procedures Perform…	26	11	$1,687.00	$1,349.60 20% off	$796.44	$1,687.00	$1,350.27	2025-08-05
99291	HCPCS	Obs Critical Care	27	11	$2,493.00	$1,994.40	$230.03	$2,615.40	$1,343.73	2025-08-05
27630	HCPCS	Pro Fee Excision Lesion, Tendon	13	11	$1,676.50	$1,341.20 20% off	$389.12	$1,676.50	$1,341.87	2025-08-05
49563	HCPCS	Rep Init Inci Ventral Hernia Reducible	3	3	$1,676.00	$1,340.80 20% off	$1,297.22	$1,508.40	$1,341.47	2025-08-05
29824	HCPCS	Arthroscopy Dist Claviculectomy LT,Left Side (used To Identify Procedures Perfor…	26	11	$1,790.50	$1,432.40	$639.84	$2,170.00	$1,340.45	2025-08-05
44960	HCPCS	Appy For Rupt Appendix W Peritonitis	13	11	$2,042.00	$1,633.60 20% off	$836.09	$1,837.80	$1,336.94	2025-08-05
49593	HCPCS	Pro Fee- Rep. Anterior Abd. Heria 3-10cm	13	11	$1,665.00	$1,332.00 20% off	$548.27	$1,665.00	$1,332.67	2025-08-05
25447	HCPCS	Arthroplasty Wrist Joints LT,Left Side (used To Identify Procedures Performed On…	26	11	$1,661.00	$1,328.80 20% off	$755.82	$1,661.00	$1,329.46	2025-08-05
27675	HCPCS	Pro Fee Repair, Dislocating Per Tendons	13	11	$1,661.00	$1,328.80 20% off	$468.24	$1,661.00	$1,329.46	2025-08-05
27742	HCPCS	Repair Of Leg Epiphyses	17	11	$2,462.76	$1,970.21	$736.39	$2,345.85	$1,327.43	2025-08-05
28735	HCPCS	Fusion Of Foot Bones	17	11	$2,455.44	$1,964.35 20% off	$734.20	$2,455.44	$1,323.48	2025-08-05
15260	HCPCS	Full Thick Grft Een Lips 20sqcm	13	11	$1,758.00	$1,406.40	$900.46	$1,582.20	$1,322.53	2025-08-05
13160	HCPCS	Sec Clsr Surg Wnd/dehsn Xtn	17	11	$2,500.00	$2,000.00 20% off	$747.62	$2,250.00	$1,322.53	2025-08-05
G0465	HCPCS	Autologius Prp For Diabetic Foot Ulcers	17	11	$3,980.00	$3,184.00 20% off	$96.84	$3,582.00	$1,322.53	2025-08-05
60210	HCPCS	Partial Thyroid Lobectomy Unilateral	13	11	$1,652.00	$1,321.60 20% off	$670.63	$1,652.00	$1,322.26	2025-08-05
23410	HCPCS	Open Repair Rotator Cuff Acute LT,Left Side (used To Identify Procedures Perform…	26	11	$1,650.00	$1,320.00 20% off	$774.80	$1,650.00	$1,320.66	2025-08-05
24341	HCPCS	Repair Ua/elbow Tendon/muscle	13	11	$1,638.00	$1,310.40	$708.24	$1,638.00	$1,311.06	2025-08-05
27335	HCPCS	Remove Knee Joint Lining	17	11	$2,427.66	$1,942.13	$725.89	$2,427.66	$1,308.51	2025-08-05
27326	HCPCS	Neurectomy Popliteal	20	11	$1,659.00	$1,327.20 20% off	$496.06	$1,552.50	$1,305.96	2025-08-05
49653	HCPCS	Pf- Lap Vent/abd Hern Proc Comp	13	11	$1,623.00	$1,298.40	$914.45	$1,623.00	$1,299.05	2025-08-05
27814	HCPCS	Treatment Of Ankle Fracture	17	11	$2,408.97	$1,927.18	$720.30	$2,408.97	$1,298.43	2025-08-05
27832	HCPCS	Treat Lower Leg Dislocation	17	11	$2,405.58	$1,924.46 20% off	$719.29	$2,405.58	$1,296.61	2025-08-05
28035	HCPCS	Decompression Of Tibia Nerve	20	11	$1,646.00	$1,316.80 20% off	$391.24	$1,540.80	$1,295.73	2025-08-05
27339	HCPCS	Exe Thigh/knee Tum Dep 5cm/>	17	11	$2,397.18	$1,917.74 20% off	$716.77	$2,157.46	$1,292.08	2025-08-05
15240	HCPCS	Full Thick Grft Face Genit HF20sqcm	13	11	$1,614.00	$1,291.20 20% off	$847.27	$1,452.60	$1,291.85	2025-08-05
28322	HCPCS	Repair Of Metatarsals	17	11	$2,396.31	$1,917.05	$625.05	$2,396.31	$1,291.61	2025-08-05
72191	HCPCS	CT CTA Pelvis Renal 3d Recon	13	11	$2,389.00	$1,911.20 20% off	$128.71	$2,150.10	$1,287.67	2025-08-05
28307	HCPCS	Incision Of Metatarsal	17	11	$2,379.78	$1,903.82 20% off	$563.92	$2,379.78	$1,282.70	2025-08-05
53854	HCPCS	Minor Procedure Rezum Procedure	26	11	$2,195.50	$1,756.40	$409.92	$2,911.50	$1,281.67	2025-08-05
27654	HCPCS	Repair Of Achilles Tendon	43	11	$2,260.68	$1,808.54 20% off	$675.96	$2,321.00	$1,279.80	2025-08-05
27637	HCPCS	Remove/graft Leg Bone Lesion	17	11	$2,369.19	$1,895.35 20% off	$708.41	$2,369.19	$1,276.99	2025-08-05
28750	HCPCS	Fusion Of Big Toe Joint	17	11	$2,365.47	$1,892.38	$619.77	$2,365.47	$1,274.99	2025-08-05
26356	HCPCS	Repair Finger/hand Tendon Left Thumb FA,Left Hand, Thumb	13	11	$1,588.00	$1,270.40	$748.57	$1,588.00	$1,271.04	2025-08-05
28072	HCPCS	Pro Fee Syno Metatarsophalangel Joint Ea	13	11	$1,588.00	$1,270.40	$351.34	$1,588.00	$1,271.04	2025-08-05
28124	HCPCS	Pro Fee Part. Exc, Bone: Phalanx Toe	13	11	$1,588.00	$1,270.40	$361.54	$1,588.00	$1,271.04	2025-08-05
27638	HCPCS	Remove/graft Leg Bone Lesion	17	11	$2,355.60	$1,884.48	$704.35	$2,355.60	$1,269.67	2025-08-05
J0585	HCPCS	Onabotulinumtox (botox ) 100 Units Pwvl	13	11	$2,351.45	$1,881.16	$4.70	$2,116.30	$1,267.43	2025-08-05
73720	HCPCS	MRI Le (non-joint) Wwo Contrast	13	11	$2,349.98	$1,879.98 20% off	$258.20	$2,114.98	$1,266.64	2025-08-05
27356	HCPCS	Remove Femur Lesion/graft	17	11	$2,347.98	$1,878.38 20% off	$702.06	$2,347.98	$1,265.56	2025-08-05
28760	HCPCS	Fusion Of Big Toe Joint	17	11	$2,341.44	$1,873.15 20% off	$615.82	$2,341.44	$1,262.03	2025-08-05
27880	HCPCS	Amputation Of Lower Leg LT,Left Side (used To Identify Procedures Performed On T…	26	11	$1,858.00	$1,486.40	$850.26	$1,672.20	$1,261.23	2025-08-05
26490	HCPCS	Opponensplasty Sup Tendon Each LT,Left Side (used To Identify Procedures Perform…	26	11	$1,575.00	$1,260.00 20% off	$773.92	$1,575.00	$1,260.63	2025-08-05
28270	HCPCS	Capsulotomy; Metatarsophalangeal Joint	25	11	$1,514.00	$1,211.20 20% off	$360.85	$1,575.00	$1,260.63	2025-08-05
29855	HCPCS	Tibial Fx Arthroscopically W If LT,Left Side (used To Identify Procedures Perfo…	26	11	$1,572.00	$1,257.60 20% off	$737.95	$1,572.00	$1,258.23	2025-08-05
27829	HCPCS	Open Tx Distal Tibiofibular Joint LT,Left Side (used To Identify Procedures Perf…	43	11	$2,047.00	$1,637.60 20% off	$659.08	$2,204.22	$1,257.30	2025-08-05
26123	HCPCS	Fasciectomy Prt Palmar Release Rt 4th F8,Right Hand, Fourth Digit	13	11	$1,567.00	$1,253.60 20% off	$792.82	$1,567.00	$1,254.23	2025-08-05
49505	HCPCS	Repair Initial Inguinal Hernia 5>	13	11	$1,567.00	$1,253.60 20% off	$499.30	$1,567.00	$1,254.23	2025-08-05
47562	HCPCS	Laparoscopic Cholecystectomy	13	11	$1,567.00	$1,253.60 20% off	$630.60	$1,567.00	$1,254.23	2025-08-05
70543	HCPCS	MRI Orbit Neck Face Wwo Contrast	13	11	$2,325.68	$1,860.54 20% off	$258.20	$2,093.11	$1,253.54	2025-08-05
27659	HCPCS	Repair Of Leg Tendon Each	25	11	$1,488.00	$1,190.40	$444.84	$1,561.50	$1,249.82	2025-08-05
64708	HCPCS	Revise Arm/leg Nerve	20	11	$1,584.00	$1,267.20 20% off	$473.49	$1,482.30	$1,246.92	2025-08-05
27634	HCPCS	Exc Leg/ankle Tum Dep 5 Cm/>	13	11	$1,556.00	$1,244.80 20% off	$634.18	$1,556.00	$1,245.42	2025-08-05
29823	HCPCS	Arthroscopy Shoulder Debrid Extens LT,Left Side (used To Identify Procedures Per…	26	11	$1,738.00	$1,390.40	$560.11	$2,167.00	$1,243.55	2025-08-05
28118	HCPCS	Removal Of Heel Bone	25	11	$1,261.00	$1,008.80 20% off	$458.79	$1,604.00	$1,241.50	2025-08-05
81500	HCPCS	Roma(tm) (ovarian Malignancy Algorithm)	8	6	$2,290.00	$1,832.00 20% off	$255.29	$2,061.00	$1,234.31	2025-08-05
28200	HCPCS	Pro Fee Repair Of Foot Tendon	13	11	$1,540.37	$1,232.30	$352.64	$1,540.37	$1,232.91	2025-08-05
27846	HCPCS	Treat Ankle Dislocation	17	11	$2,286.81	$1,829.45	$683.78	$2,286.81	$1,232.60	2025-08-05
C1787	HCPCS	Patient Programmer	7	5	$2,278.00	$1,822.40	$1,227.84	$2,050.20	$1,227.84	2025-08-05
29880	HCPCS	Knee Arthroscopy Menisc Med & Lat LT,Left Side (used To Identify Procedures Perf…	26	11	$2,226.00	$1,780.80	$531.49	$2,844.90	$1,226.45	2025-08-05
27392	HCPCS	Incision Of Thigh Tendons	17	11	$2,262.63	$1,810.10 20% off	$676.54	$2,262.63	$1,219.56	2025-08-05
29879	HCPCS	Knee Arthroscopy Lt Abrasion ARTHROPLAST,Left Side (used To Identify Procedures …	26	11	$1,520.00	$1,216.00 20% off	$626.54	$1,520.00	$1,216.61	2025-08-05
27700	HCPCS	Revision Of Ankle Joint	17	11	$2,254.50	$1,803.60 20% off	$674.11	$2,254.50	$1,215.18	2025-08-05
14060	HCPCS	Att E/n/e/l; D 10 Sq Cm	13	11	$1,514.00	$1,211.20 20% off	$706.47	$1,362.60	$1,211.81	2025-08-05
27740	HCPCS	Repair Of Leg Epiphyses	17	11	$2,246.01	$1,796.81	$671.57	$2,246.01	$1,210.60	2025-08-05
27784	HCPCS	Open Tx Prox Fibula/shaft Fx W If LT,Left Side (used To Identify Procedures Perf…	43	11	$1,316.00	$1,052.80 20% off	$671.20	$2,244.78	$1,209.94	2025-08-05
0964	RC	—	124	4	$1,582.00	$1,265.60 20% off	$169.25	$2,972.70	$1,209.45	2025-08-05
70496	HCPCS	CT CTA Head Circle Of Willis 3d	13	11	$2,236.00	$1,788.80 20% off	$128.71	$2,012.40	$1,205.20	2025-08-05
74175	HCPCS	CT CTA Abd Renal 3d Recon	13	11	$2,236.00	$1,788.80 20% off	$128.71	$2,012.40	$1,205.20	2025-08-05
27425	HCPCS	Lat Retinacular Release, Open	25	11	$1,442.22	$1,153.78	$431.24	$1,500.00	$1,200.60	2025-08-05
23430	HCPCS	Flexor-plasty Elbow LT,Left Side (used To Identify Procedures Performed On The L…	26	11	$1,497.00	$1,197.60 20% off	$703.28	$1,497.00	$1,198.20	2025-08-05
28308	HCPCS	Pro Fee Incision Of Metatarsal	13	11	$1,495.00	$1,196.00 20% off	$418.20	$1,495.00	$1,196.60	2025-08-05
22901	HCPCS	Exc Abdl Tum Deep 5cm/>	13	11	$1,492.00	$1,193.60 20% off	$634.97	$1,492.00	$1,194.20	2025-08-05
27658	HCPCS	Repair Of Leg Tendon Each	25	11	$1,189.00	$951.20	$349.14	$1,630.00	$1,189.00	2025-08-05
28260	HCPCS	Release Of Midfoot Joint	17	11	$2,205.00	$1,764.00 20% off	$581.21	$2,205.00	$1,188.50	2025-08-05
70551	HCPCS	MRI Brain Wo Contrast	13	11	$2,200.00	$1,760.00 20% off	$174.76	$1,980.00	$1,185.80	2025-08-05
72148	HCPCS	MRI Lumbar Wo Contrast	13	11	$2,195.34	$1,756.27 20% off	$173.00	$1,975.81	$1,183.29	2025-08-05

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