Hospital

ASCENSION BORGESS ALLEGAN HOSPITAL

Allegan, MI · CCN 231328 · Rates published

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You selected 29806 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

16,046 distinct procedures filed

29 distinct payers

291,912 rate rows

2026-01-01 last MRF observed

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

Source MRF file	https://www.beaconhealthsystem.org/wp-content/uploads/2026/03/381359180-Beacon-Allegan-Hospital-Standard-Charges.csv
Found on page	https://www.beaconhealthsystem.org/hospital-chargemaster/
Discovered via	CMS hospital list
Last fetch	success · 2026-11-05
Content fingerprint	9656a81a94a98a93… · 74,143,857 bytes · first seen 2026-10-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
0100T OTHER		5	$77,913.19	$77,913.19	$77,913.19	nat. median $5,122 outlier · 15.2×
366035 CDM		24	$22,096.75	$78,916.95	$62,738.97	nat. median $62,739 1.0× median
220489 CDM		28	$18,645.40	$66,590.70	$51,940.75	nat. median $1,432 outlier · 36.3×
220216 CDM		28	$18,645.40	$66,590.70	$51,940.75	nat. median $13 outlier · 4122.3×
220523 CDM		28	$13,142.92	$46,939.00	$36,612.42	nat. median $35,674 1.0× median
220577 CDM		28	$10,376.18	$37,057.80	$28,905.08	nat. median $1,934 outlier · 14.9×
300038 CDM		28	$7,000.00	$25,000.00	$19,500.00	nat. median $300 outlier · 65.0×
220261 CDM		28	$6,670.85	$23,824.45	$18,583.07	nat. median $8 outlier · 2359.8×
220463 CDM		28	$6,670.85	$23,824.45	$18,583.07	nat. median $18,583 1.0× median
220488 CDM		28	$6,571.96	$23,471.28	$18,307.60	nat. median $1,364 outlier · 13.4×
220347 CDM		28	$6,571.96	$23,471.28	$18,307.60	nat. median $3,940 outlier · 4.6×
220283 CDM		28	$6,435.82	$22,985.08	$17,928.36	nat. median $248 outlier · 72.2×
220535 CDM		28	$6,318.74	$22,566.93	$17,602.21	nat. median $347 outlier · 50.7×
220379 CDM		28	$5,928.05	$21,171.60	$16,513.85	nat. median $4,524 outlier · 3.7×
220475 CDM		28	$5,928.05	$21,171.60	$16,513.85	nat. median $11,221 1.5× median
220281 CDM		28	$5,363.40	$19,155.00	$14,940.90	nat. median $2,224 outlier · 6.7×
220462 CDM		28	$5,363.40	$19,155.00	$14,940.90	nat. median $8 outlier · 1811.0×
220378 CDM		28	$5,275.29	$18,840.33	$14,695.46	nat. median $752 outlier · 19.5×
220215 CDM		28	$5,250.99	$18,753.53	$14,627.75	nat. median $2,710 outlier · 5.4×
220490 CDM		28	$5,250.99	$18,753.53	$14,627.75	nat. median $320 outlier · 45.7×
220097 CDM		28	$5,228.77	$18,674.18	$14,565.86	nat. median $329 outlier · 44.3×
220206 CDM		28	$5,197.50	$18,562.50	$14,478.75	nat. median $118 outlier · 123.2×
0424T OTHER		5	$14,048.80	$14,048.80	$14,048.80	nat. median $22,408 0.6× median
0312T OTHER		5	$14,048.80	$14,048.80	$14,048.80	nat. median $18,042 0.8× median
220521 CDM		28	$4,828.82	$17,245.80	$13,451.72	nat. median $22,442 0.6× median
220391 CDM		28	$4,828.82	$17,245.80	$13,451.72	nat. median $63 outlier · 214.4×
366094 CDM		24	$4,627.27	$16,525.95	$13,138.13	nat. median $113 outlier · 116.1×
366117 CDM		24	$4,627.27	$16,525.95	$13,138.13	nat. median $13,138 1.0× median
366034 CDM		24	$4,627.27	$16,525.95	$13,138.13	nat. median $1,471 outlier · 8.9×
220264 CDM		28	$4,606.32	$16,451.13	$12,831.88	nat. median $115 outlier · 111.6×
220294 CDM		28	$4,603.61	$16,441.45	$12,824.33	nat. median $629 outlier · 20.4×
220209 CDM		28	$4,528.23	$16,172.25	$12,614.35	nat. median $86 outlier · 146.0×
220324 CDM		28	$4,505.07	$16,089.55	$12,549.85	nat. median $8,527 1.5× median
220229 CDM		28	$4,361.74	$15,577.65	$12,150.57	nat. median $7 outlier · 1813.5×
220102 CDM		28	$4,350.05	$15,535.88	$12,117.99	nat. median $115 outlier · 105.4×
81416 CPT	Exome Sequence Analysis	6	$810.98	$12,000.00	$12,000.00	nat. median $12,000 1.0× median
220501 CDM		28	$4,226.25	$15,093.75	$11,773.13	nat. median $8 outlier · 1401.6×
220179 CDM		28	$4,226.25	$15,093.75	$11,773.13	nat. median $2,087 outlier · 5.6×
0414T OTHER		5	$11,427.22	$11,427.22	$11,427.22	nat. median $22,811 0.5× median
0409T OTHER		5	$11,427.22	$11,427.22	$11,427.22	nat. median $23,005 outlier · 0.5×
0408T OTHER		5	$11,427.22	$11,427.22	$11,427.22	nat. median $31,277 outlier · 0.4×
220199 CDM		28	$3,711.33	$13,254.75	$10,338.70	nat. median $226 outlier · 45.8×
220202 CDM		28	$3,704.41	$13,230.03	$10,319.42	nat. median $2,203 outlier · 4.7×
220207 CDM		28	$3,669.75	$13,106.25	$10,222.88	nat. median $806 outlier · 12.7×
212294 CDM		28	$3,614.84	$12,910.13	$10,069.90	nat. median $10,070 1.0× median
0308T OTHER		7	$9,864.69	$9,864.69	$9,864.69	nat. median $16,703 0.6× median
220447 CDM		28	$3,430.13	$12,250.45	$9,555.35	nat. median $1,626 outlier · 5.9×
220092 CDM		28	$3,430.13	$12,250.45	$9,555.35	nat. median $38 outlier · 254.8×
220100 CDM		28	$3,397.69	$12,134.60	$9,464.99	nat. median $257 outlier · 36.9×
220497 CDM		28	$3,397.69	$12,134.60	$9,464.99	nat. median $9,101 1.0× median

Other procedures at this hospital

Browse this hospital's 16,046 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

0100T	OTHER	—	5	5	—	—	$77,913.19	$77,913.19	$77,913.19	2026-01-01
366035	CDM	—	28	24	$78,916.95	$38,669.31 51% off	$22,096.75	$78,916.95	$62,738.97	2026-01-01
220489	CDM	—	33	28	$66,590.70	$32,629.44 51% off	$18,645.40	$66,590.70	$51,940.75	2026-01-01
220216	CDM	—	33	28	$66,590.70	$32,629.44 51% off	$18,645.40	$66,590.70	$51,940.75	2026-01-01
220523	CDM	—	33	28	$46,939.00	$23,000.11 51% off	$13,142.92	$46,939.00	$36,612.42	2026-01-01
220577	CDM	—	33	28	$37,057.80	$18,158.32 51% off	$10,376.18	$37,057.80	$28,905.08	2026-01-01
300038	CDM	—	33	28	$25,000.00	$12,250.00 51% off	$7,000.00	$25,000.00	$19,500.00	2026-01-01
220261	CDM	—	33	28	$23,824.45	$11,673.98 51% off	$6,670.85	$23,824.45	$18,583.07	2026-01-01
220463	CDM	—	33	28	$23,824.45	$11,673.98 51% off	$6,670.85	$23,824.45	$18,583.07	2026-01-01
220488	CDM	—	33	28	$23,471.28	$11,500.93 51% off	$6,571.96	$23,471.28	$18,307.60	2026-01-01
220347	CDM	—	33	28	$23,471.28	$11,500.93 51% off	$6,571.96	$23,471.28	$18,307.60	2026-01-01
220283	CDM	—	33	28	$22,985.08	$11,262.69 51% off	$6,435.82	$22,985.08	$17,928.36	2026-01-01
220535	CDM	—	33	28	$22,566.93	$11,057.80 51% off	$6,318.74	$22,566.93	$17,602.21	2026-01-01
220379	CDM	—	33	28	$21,171.60	$10,374.08 51% off	$5,928.05	$21,171.60	$16,513.85	2026-01-01
220475	CDM	—	33	28	$21,171.60	$10,374.08 51% off	$5,928.05	$21,171.60	$16,513.85	2026-01-01
220281	CDM	—	33	28	$19,155.00	$9,385.95 51% off	$5,363.40	$19,155.00	$14,940.90	2026-01-01
220462	CDM	—	33	28	$19,155.00	$9,385.95 51% off	$5,363.40	$19,155.00	$14,940.90	2026-01-01
220378	CDM	—	33	28	$18,840.33	$9,231.76 51% off	$5,275.29	$18,840.33	$14,695.46	2026-01-01
220215	CDM	—	33	28	$18,753.53	$9,189.23 51% off	$5,250.99	$18,753.53	$14,627.75	2026-01-01
220490	CDM	—	33	28	$18,753.53	$9,189.23 51% off	$5,250.99	$18,753.53	$14,627.75	2026-01-01
220097	CDM	—	33	28	$18,674.18	$9,150.35 51% off	$5,228.77	$18,674.18	$14,565.86	2026-01-01
220206	CDM	—	33	28	$18,562.50	$9,095.63 51% off	$5,197.50	$18,562.50	$14,478.75	2026-01-01
0424T	OTHER	—	5	5	—	—	$14,048.80	$14,048.80	$14,048.80	2026-01-01
0312T	OTHER	—	5	5	—	—	$14,048.80	$14,048.80	$14,048.80	2026-01-01
220521	CDM	—	33	28	$17,245.80	$8,450.44 51% off	$4,828.82	$17,245.80	$13,451.72	2026-01-01
220391	CDM	—	33	28	$17,245.80	$8,450.44 51% off	$4,828.82	$17,245.80	$13,451.72	2026-01-01
366094	CDM	—	28	24	$16,525.95	$8,097.72 51% off	$4,627.27	$16,525.95	$13,138.13	2026-01-01
366117	CDM	—	28	24	$16,525.95	$8,097.72 51% off	$4,627.27	$16,525.95	$13,138.13	2026-01-01
366034	CDM	—	28	24	$16,525.95	$8,097.72 51% off	$4,627.27	$16,525.95	$13,138.13	2026-01-01
220264	CDM	—	33	28	$16,451.13	$8,061.05 51% off	$4,606.32	$16,451.13	$12,831.88	2026-01-01
220294	CDM	—	33	28	$16,441.45	$8,056.31 51% off	$4,603.61	$16,441.45	$12,824.33	2026-01-01
220209	CDM	—	33	28	$16,172.25	$7,924.40 51% off	$4,528.23	$16,172.25	$12,614.35	2026-01-01
220324	CDM	—	33	28	$16,089.55	$7,883.88 51% off	$4,505.07	$16,089.55	$12,549.85	2026-01-01
220229	CDM	—	33	28	$15,577.65	$7,633.05 51% off	$4,361.74	$15,577.65	$12,150.57	2026-01-01
220102	CDM	—	33	28	$15,535.88	$7,612.58 51% off	$4,350.05	$15,535.88	$12,117.99	2026-01-01
81416	CPT	Exome Sequence Analysis	6	6	—	—	$810.98	$12,000.00	$12,000.00	2026-01-01
220501	CDM	—	33	28	$15,093.75	$7,395.94 51% off	$4,226.25	$15,093.75	$11,773.13	2026-01-01
220179	CDM	—	33	28	$15,093.75	$7,395.94 51% off	$4,226.25	$15,093.75	$11,773.13	2026-01-01
0414T	OTHER	—	5	5	—	—	$11,427.22	$11,427.22	$11,427.22	2026-01-01
0409T	OTHER	—	5	5	—	—	$11,427.22	$11,427.22	$11,427.22	2026-01-01
0408T	OTHER	—	5	5	—	—	$11,427.22	$11,427.22	$11,427.22	2026-01-01
220199	CDM	—	33	28	$13,254.75	$6,494.83 51% off	$3,711.33	$13,254.75	$10,338.70	2026-01-01
220202	CDM	—	33	28	$13,230.03	$6,482.71 51% off	$3,704.41	$13,230.03	$10,319.42	2026-01-01
220207	CDM	—	33	28	$13,106.25	$6,422.06 51% off	$3,669.75	$13,106.25	$10,222.88	2026-01-01
212294	CDM	—	33	28	$12,910.13	$6,325.96 51% off	$3,614.84	$12,910.13	$10,069.90	2026-01-01
0308T	OTHER	—	7	7	—	—	$9,864.69	$9,864.69	$9,864.69	2026-01-01
220447	CDM	—	33	28	$12,250.45	$6,002.72 51% off	$3,430.13	$12,250.45	$9,555.35	2026-01-01
220092	CDM	—	33	28	$12,250.45	$6,002.72 51% off	$3,430.13	$12,250.45	$9,555.35	2026-01-01
220100	CDM	—	33	28	$12,134.60	$5,945.95 51% off	$3,397.69	$12,134.60	$9,464.99	2026-01-01
220497	CDM	—	33	28	$12,134.60	$5,945.95 51% off	$3,397.69	$12,134.60	$9,464.99	2026-01-01
220280	CDM	—	33	28	$12,058.48	$5,908.66 51% off	$3,376.37	$12,058.48	$9,405.61	2026-01-01
333210	CDM	—	29	25	$11,746.15	$5,755.61 51% off	$3,288.92	$12,333.46	$9,396.92	2026-01-01
220239	CDM	—	33	28	$11,975.50	$5,868.00 51% off	$3,353.14	$11,975.50	$9,340.89	2026-01-01
0431T	OTHER	—	5	5	—	—	$9,247.42	$9,247.42	$9,247.42	2026-01-01
0426T	OTHER	—	5	5	—	—	$9,247.42	$9,247.42	$9,247.42	2026-01-01
0268T	OTHER	—	5	5	—	—	$9,247.42	$9,247.42	$9,247.42	2026-01-01
0427T	OTHER	—	5	5	—	—	$9,247.42	$9,247.42	$9,247.42	2026-01-01
0316T	OTHER	—	5	5	—	—	$9,247.42	$9,247.42	$9,247.42	2026-01-01
220506	CDM	—	33	28	$11,744.00	$5,754.56 51% off	$3,288.32	$11,744.00	$9,160.32	2026-01-01
212850	CDM	—	33	28	$11,744.00	$5,754.56 51% off	$3,288.32	$11,744.00	$9,160.32	2026-01-01
210053	CDM	—	33	28	$11,557.78	$5,663.31 51% off	$3,236.18	$11,557.78	$9,015.07	2026-01-01
220158	CDM	—	33	28	$11,452.30	$5,611.63 51% off	$3,206.64	$11,452.30	$8,932.79	2026-01-01
0302T	OTHER	—	5	5	—	—	$8,709.04	$8,709.04	$8,709.04	2026-01-01
220590	CDM	—	33	28	$10,802.25	$5,293.10 51% off	$3,024.63	$10,802.25	$8,425.75	2026-01-01
110220	CDM	—	28	24	$10,183.05	$4,989.69 51% off	$2,851.25	$10,183.05	$8,095.52	2026-01-01
220124	CDM	—	33	28	$10,375.05	$5,083.77 51% off	$2,905.01	$10,375.05	$8,092.54	2026-01-01
220575	CDM	—	33	28	$10,246.74	$5,020.90 51% off	$2,869.09	$10,246.74	$7,992.46	2026-01-01
220380	CDM	—	33	28	$10,144.77	$4,970.94 51% off	$2,840.54	$10,144.77	$7,912.92	2026-01-01
220588	CDM	—	33	28	$9,889.53	$4,845.87 51% off	$2,769.07	$9,889.53	$7,713.83	2026-01-01
220589	CDM	—	33	28	$9,889.53	$4,845.87 51% off	$2,769.07	$9,889.53	$7,713.83	2026-01-01
0238T	OTHER	—	7	7	—	—	$7,678.13	$7,678.13	$7,678.13	2026-01-01
0387T	OTHER	—	5	5	—	—	$7,678.13	$7,678.13	$7,678.13	2026-01-01
210320	CDM	—	33	28	$9,621.87	$4,714.72 51% off	$2,694.12	$9,621.87	$7,505.06	2026-01-01
220335	CDM	—	33	28	$9,597.66	$4,702.85 51% off	$2,687.34	$9,597.66	$7,486.17	2026-01-01
220520	CDM	—	33	28	$9,597.66	$4,702.85 51% off	$2,687.34	$9,597.66	$7,486.17	2026-01-01
220551	CDM	—	33	28	$9,585.78	$4,697.03 51% off	$2,684.02	$9,585.78	$7,476.91	2026-01-01
210176	CDM	—	33	28	$9,563.28	$4,686.01 51% off	$2,677.72	$9,563.28	$7,459.36	2026-01-01
220456	CDM	—	33	28	$9,563.28	$4,686.01 51% off	$2,677.72	$9,563.28	$7,459.36	2026-01-01
220160	CDM	—	33	28	$9,498.24	$4,654.14 51% off	$2,659.51	$9,498.24	$7,408.63	2026-01-01
210217	CDM	—	33	28	$9,457.98	$4,634.41 51% off	$2,648.23	$9,457.98	$7,377.22	2026-01-01
220480	CDM	—	33	28	$9,439.45	$4,625.33 51% off	$2,643.05	$9,439.45	$7,362.77	2026-01-01
220267	CDM	—	33	28	$9,439.45	$4,625.33 51% off	$2,643.05	$9,439.45	$7,362.77	2026-01-01
220499	CDM	—	33	28	$9,373.23	$4,592.88 51% off	$2,624.50	$9,373.23	$7,311.12	2026-01-01
210178	CDM	—	33	28	$9,373.23	$4,592.88 51% off	$2,624.50	$9,373.23	$7,311.12	2026-01-01
63685	CPT	Ins/rplc Spi Npg/rcvr Pocket	16	12	$78,916.95	$38,669.31 51% off	$401.92	$59,187.71	$7,229.02	2026-01-01
220503	CDM	—	33	28	$9,244.89	$4,530.00 51% off	$2,588.57	$9,244.89	$7,211.01	2026-01-01
210197	CDM	—	33	28	$9,244.89	$4,530.00 51% off	$2,588.57	$9,244.89	$7,211.01	2026-01-01
220359	CDM	—	33	28	$9,224.03	$4,519.77 51% off	$2,582.73	$9,224.03	$7,194.74	2026-01-01
210198	CDM	—	33	28	$9,223.93	$4,519.73 51% off	$2,582.70	$9,223.93	$7,194.67	2026-01-01
220446	CDM	—	33	28	$9,187.83	$4,502.04 51% off	$2,572.59	$9,187.83	$7,166.51	2026-01-01
220093	CDM	—	33	28	$9,187.83	$4,502.04 51% off	$2,572.59	$9,187.83	$7,166.51	2026-01-01
220537	CDM	—	33	28	$9,172.70	$4,494.62 51% off	$2,568.36	$9,172.70	$7,154.71	2026-01-01
380440	CDM	—	28	24	$8,911.85	$4,366.81 51% off	$2,495.32	$8,911.85	$7,084.92	2026-01-01
380360	CDM	—	28	24	$8,848.25	$4,335.64 51% off	$2,477.51	$8,848.25	$7,034.36	2026-01-01
366036	CDM	—	28	24	$8,782.20	$4,303.28 51% off	$2,459.02	$8,782.20	$6,981.85	2026-01-01
210308	CDM	—	33	28	$8,915.40	$4,368.55 51% off	$2,496.31	$8,915.40	$6,954.01	2026-01-01
220454	CDM	—	33	28	$8,915.40	$4,368.55 51% off	$2,496.31	$8,915.40	$6,954.01	2026-01-01
220508	CDM	—	33	28	$8,827.83	$4,325.64 51% off	$2,471.79	$8,827.83	$6,885.71	2026-01-01
220384	CDM	—	33	28	$8,827.83	$4,325.64 51% off	$2,471.79	$8,827.83	$6,885.71	2026-01-01
335206	CDM	—	29	25	$8,547.45	$4,188.25 51% off	$2,393.29	$8,974.82	$6,837.96	2026-01-01
280623	CDM	—	33	28	$8,766.45	$4,295.56 51% off	$2,454.61	$8,766.45	$6,837.83	2026-01-01
220251	CDM	—	33	28	$8,625.75	$4,226.62 51% off	$2,415.21	$8,625.75	$6,728.09	2026-01-01
39503	CPT	Repair Of Diaphragm Hernia	11	7	—	—	$6,662.45	$6,817.33	$6,662.45	2026-01-01
0081U	OTHER	—	1	1	—	—	$6,480.00	$6,480.00	$6,480.00	2026-01-01
321320	CDM	—	29	25	$7,738.50	$3,791.87 51% off	$2,166.78	$8,125.43	$6,190.80	2026-01-01
380435	CDM	—	28	24	$7,716.90	$3,781.28 51% off	$2,160.73	$7,716.90	$6,134.94	2026-01-01
47135	CPT	Transplantation Of Liver	11	7	—	—	$6,118.58	$6,141.59	$6,118.58	2026-01-01
338893	CDM	—	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338823	CDM	—	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338819	CDM	—	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338891	CDM	—	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338898	CDM	—	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338895	CDM	—	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338813	CDM	—	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338803	CDM	—	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338831	CDM	—	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
326765	CDM	—	29	25	$7,600.40	$3,724.20 51% off	$2,128.11	$7,980.42	$6,080.32	2026-01-01
220511	CDM	—	33	28	$7,768.20	$3,806.42 51% off	$2,175.10	$7,768.20	$6,059.20	2026-01-01
220046	CDM	—	33	28	$7,768.20	$3,806.42 51% off	$2,175.10	$7,768.20	$6,059.20	2026-01-01
220313	CDM	—	33	28	$7,751.94	$3,798.45 51% off	$2,170.54	$7,751.94	$6,046.51	2026-01-01
220458	CDM	—	33	28	$7,751.94	$3,798.45 51% off	$2,170.54	$7,751.94	$6,046.51	2026-01-01
220494	CDM	—	33	28	$7,749.99	$3,797.50 51% off	$2,170.00	$7,749.99	$6,044.99	2026-01-01
220195	CDM	—	33	28	$7,749.99	$3,797.50 51% off	$2,170.00	$7,749.99	$6,044.99	2026-01-01
338877	CDM	—	34	29	$7,672.40	$3,759.48 51% off	$2,148.27	$8,056.02	$5,984.47	2026-01-01
380382	CDM	—	28	24	$7,410.75	$3,631.27 51% off	$2,075.01	$7,410.75	$5,891.55	2026-01-01
220484	CDM	—	33	28	$7,418.97	$3,635.30 51% off	$2,077.31	$7,418.97	$5,786.80	2026-01-01
220400	CDM	—	33	28	$7,418.97	$3,635.30 51% off	$2,077.31	$7,418.97	$5,786.80	2026-01-01
43116	CPT	Partial Removal Of Esophagus	11	7	—	—	$5,706.28	$5,718.58	$5,718.58	2026-01-01
220156	CDM	—	33	28	$7,305.54	$3,579.71 51% off	$2,045.55	$7,305.54	$5,698.32	2026-01-01
220467	CDM	—	33	28	$7,305.54	$3,579.71 51% off	$2,045.55	$7,305.54	$5,698.32	2026-01-01
33935	CPT	Transplantation Heart/lung	11	7	—	—	$5,649.30	$5,654.50	$5,654.50	2026-01-01
49605	CPT	Repair Umbilical Lesion	11	7	—	—	$5,650.62	$5,672.40	$5,650.62	2026-01-01
311012	CDM	—	29	25	$7,026.45	$3,442.96 51% off	$1,967.41	$7,377.77	$5,621.16	2026-01-01
338811	CDM	—	34	29	$7,185.70	$3,520.99 51% off	$2,012.00	$7,544.98	$5,604.85	2026-01-01
32854	CPT	Lung Transplant With Bypass	11	7	—	—	$5,552.22	$5,579.76	$5,579.76	2026-01-01
33945	CPT	Transplantation Of Heart	11	7	—	—	$5,546.91	$5,565.83	$5,565.83	2026-01-01
220441	CDM	—	33	28	$7,132.98	$3,495.16 51% off	$1,997.23	$7,132.98	$5,563.72	2026-01-01
380431	CDM	—	28	24	$6,996.05	$3,428.06 51% off	$1,958.89	$6,996.05	$5,561.86	2026-01-01
220482	CDM	—	33	28	$7,104.00	$3,480.96 51% off	$1,989.12	$7,104.00	$5,541.12	2026-01-01
220213	CDM	—	33	28	$7,104.00	$3,480.96 51% off	$1,989.12	$7,104.00	$5,541.12	2026-01-01
338809	CDM	—	34	29	$7,083.80	$3,471.06 51% off	$1,983.46	$7,437.99	$5,525.36	2026-01-01
220041	CDM	—	33	28	$7,068.81	$3,463.72 51% off	$1,979.27	$7,068.81	$5,513.67	2026-01-01
310180	CDM	—	29	25	$6,821.25	$3,342.41 51% off	$1,909.95	$7,162.31	$5,457.00	2026-01-01
220516	CDM	—	33	28	$6,980.28	$3,420.34 51% off	$1,954.48	$6,980.28	$5,444.62	2026-01-01
220399	CDM	—	33	28	$6,980.28	$3,420.34 51% off	$1,954.48	$6,980.28	$5,444.62	2026-01-01
380438	CDM	—	28	24	$6,821.25	$3,342.41 51% off	$1,909.95	$6,821.25	$5,422.90	2026-01-01
47142	CPT	Partial Removal Donor Liver	11	7	—	—	$5,367.22	$5,377.77	$5,367.22	2026-01-01
338879	CDM	—	34	29	$6,833.85	$3,348.59 51% off	$1,913.48	$7,175.54	$5,330.40	2026-01-01
338807	CDM	—	34	29	$6,833.80	$3,348.56 51% off	$1,913.46	$7,175.49	$5,330.36	2026-01-01
32853	CPT	Lung Transplant Double	11	7	—	—	$5,226.88	$5,259.39	$5,259.39	2026-01-01
61698	CPT	Brain Aneurysm Repr Complx	11	7	—	—	$5,248.09	$5,407.08	$5,248.09	2026-01-01
364831	CDM	—	29	25	$6,489.95	$3,180.08 51% off	$1,817.19	$6,814.45	$5,191.96	2026-01-01
43123	CPT	Partial Removal Of Esophagus	11	7	—	—	$5,155.99	$5,180.49	$5,180.49	2026-01-01
337790	CDM	—	29	25	$6,466.00	$3,168.34 51% off	$1,810.48	$6,789.30	$5,172.80	2026-01-01
69930	CPT	Implant Cochlear Device	16	12	—	—	$1,344.31	$16,536.76	$5,145.46	2026-01-01
43108	CPT	Removal Of Esophagus	11	7	—	—	$5,095.82	$5,119.45	$5,119.45	2026-01-01
61686	CPT	Intracranial Vessel Surgery	11	7	—	—	$5,118.96	$5,255.22	$5,118.96	2026-01-01
300615	CDM	—	28	24	$6,393.45	$3,132.79 51% off	$1,790.17	$6,393.45	$5,082.80	2026-01-01
0234T	OTHER	—	7	7	—	—	$5,065.60	$5,065.60	$5,065.60	2026-01-01
0237T	OTHER	—	7	7	—	—	$5,065.60	$5,065.60	$5,065.60	2026-01-01
0236T	OTHER	—	7	7	—	—	$5,065.60	$5,065.60	$5,065.60	2026-01-01
0398T	OTHER	—	5	5	—	—	$5,064.60	$5,064.60	$5,064.60	2026-01-01
20602	CDM	—	29	24	$6,337.80	$3,105.52 51% off	$1,774.58	$6,337.80	$5,006.86	2026-01-01
43113	CPT	Removal Of Esophagus	11	7	—	—	$4,970.77	$4,998.12	$4,998.12	2026-01-01
220474	CDM	—	33	28	$6,324.87	$3,099.19 51% off	$1,770.96	$6,324.87	$4,933.40	2026-01-01
220231	CDM	—	33	28	$6,324.87	$3,099.19 51% off	$1,770.96	$6,324.87	$4,933.40	2026-01-01
220295	CDM	—	33	28	$6,322.62	$3,098.08 51% off	$1,770.33	$6,322.62	$4,931.64	2026-01-01
220460	CDM	—	33	28	$6,304.80	$3,089.35 51% off	$1,765.34	$6,304.80	$4,917.74	2026-01-01
220440	CDM	—	33	28	$6,304.80	$3,089.35 51% off	$1,765.34	$6,304.80	$4,917.74	2026-01-01
0304T	OTHER	—	5	5	—	—	$4,889.64	$4,889.64	$4,889.64	2026-01-01
300039	CDM	—	33	28	$6,250.00	$3,062.50 51% off	$1,750.00	$6,250.00	$4,875.00	2026-01-01
47141	CPT	Partial Removal Donor Liver	11	7	—	—	$4,869.94	$4,871.93	$4,869.94	2026-01-01
33916	CPT	Surgery Of Great Vessel	11	7	—	—	$4,814.31	$4,862.72	$4,862.72	2026-01-01
220185	CDM	—	33	28	$6,210.00	$3,042.90 51% off	$1,738.80	$6,210.00	$4,843.80	2026-01-01
61697	CPT	Brain Aneurysm Repr Complx	11	7	—	—	$4,800.88	$4,841.81	$4,841.81	2026-01-01
46748	CPT	Repair Of Cloacal Anomaly	11	7	—	—	$4,810.72	$4,829.87	$4,810.72	2026-01-01
61576	CPT	Skull Base/brainstem Surgery	11	7	—	—	$4,718.92	$4,800.51	$4,800.51	2026-01-01
120383	CDM	—	29	24	$6,070.70	$2,974.64 51% off	$1,699.80	$6,070.70	$4,795.85	2026-01-01
61682	CPT	Intracranial Vessel Surgery	11	7	—	—	$4,795.52	$4,847.45	$4,795.52	2026-01-01
81415	CPT	Exome Sequence Analysis	6	6	—	—	$950.00	$4,780.00	$4,780.00	2026-01-01
0036U	OTHER	—	3	3	—	—	$3,346.00	$4,780.00	$4,780.00	2026-01-01
220123	CDM	—	33	28	$6,089.40	$2,983.81 51% off	$1,705.03	$6,089.40	$4,749.73	2026-01-01
33249	CPT	Insj/rplcmt Defib W/lead(s)	16	12	—	—	$1,038.52	$15,856.43	$4,748.30	2026-01-01
220151	CDM	—	33	28	$6,082.20	$2,980.28 51% off	$1,703.02	$6,082.20	$4,744.12	2026-01-01
33305	CPT	Repair Of Heart Wound	11	7	—	—	$4,680.77	$4,715.63	$4,715.63	2026-01-01
380380	CDM	—	28	24	$5,891.35	$2,886.76 51% off	$1,649.58	$5,891.35	$4,683.62	2026-01-01
338817	CDM	—	34	29	$5,995.30	$2,937.70 51% off	$1,678.68	$6,295.06	$4,676.33	2026-01-01
364550	CDM	—	33	28	$5,953.00	$2,916.97 51% off	$1,666.84	$5,953.00	$4,643.34	2026-01-01
61702	CPT	Inner Skull Vessel Surgery	11	7	—	—	$4,581.57	$4,633.21	$4,633.21	2026-01-01
360052	CDM	—	33	28	$5,913.00	$2,897.37 51% off	$1,655.64	$5,913.00	$4,612.14	2026-01-01
360925	CDM	—	33	28	$5,812.50	$2,848.13 51% off	$1,627.50	$5,812.50	$4,533.75	2026-01-01
326370	CDM	—	29	25	$5,661.75	$2,774.26 51% off	$1,585.29	$5,944.84	$4,529.40	2026-01-01
326350	CDM	—	29	25	$5,661.75	$2,774.26 51% off	$1,585.29	$5,944.84	$4,529.40	2026-01-01
20808	CPT	Replantation Hand Complete	11	7	—	—	$4,459.28	$4,506.54	$4,506.54	2026-01-01
327658	CDM	—	29	25	$5,633.15	$2,760.24 51% off	$1,577.28	$5,914.81	$4,506.52	2026-01-01
359409	CDM	—	29	25	$5,620.60	$2,754.09 51% off	$1,573.77	$5,901.63	$4,496.48	2026-01-01
20601	CDM	—	29	24	$5,679.45	$2,782.93 51% off	$1,590.25	$5,679.45	$4,486.77	2026-01-01
20801	CDM	—	29	24	$5,634.30	$2,760.81 51% off	$1,577.60	$5,634.30	$4,451.10	2026-01-01
360613	CDM	—	33	28	$5,700.00	$2,793.00 51% off	$1,596.00	$5,700.00	$4,446.00	2026-01-01
46746	CPT	Repair Of Cloacal Anomaly	11	7	—	—	$4,435.65	$4,448.26	$4,435.65	2026-01-01
220376	CDM	—	33	28	$5,670.27	$2,778.43 51% off	$1,587.68	$5,670.27	$4,422.81	2026-01-01
220487	CDM	—	33	28	$5,670.27	$2,778.43 51% off	$1,587.68	$5,670.27	$4,422.81	2026-01-01
364478	CDM	—	33	28	$5,625.00	$2,756.25 51% off	$1,575.00	$5,625.00	$4,387.50	2026-01-01
364493	CDM	—	33	28	$5,625.00	$2,756.25 51% off	$1,575.00	$5,625.00	$4,387.50	2026-01-01
364464	CDM	—	33	28	$5,625.00	$2,756.25 51% off	$1,575.00	$5,625.00	$4,387.50	2026-01-01
364502	CDM	—	33	28	$5,625.00	$2,756.25 51% off	$1,575.00	$5,625.00	$4,387.50	2026-01-01
43124	CPT	Removal Of Esophagus	11	7	—	—	$4,340.95	$4,373.23	$4,373.23	2026-01-01
364492	CDM	—	33	28	$5,531.25	$2,710.31 51% off	$1,548.75	$5,531.25	$4,314.38	2026-01-01
364463	CDM	—	33	28	$5,531.25	$2,710.31 51% off	$1,548.75	$5,531.25	$4,314.38	2026-01-01
364501	CDM	—	33	28	$5,531.25	$2,710.31 51% off	$1,548.75	$5,531.25	$4,314.38	2026-01-01
212409	CDM	—	33	28	$5,520.48	$2,705.04 51% off	$1,545.73	$5,520.48	$4,305.97	2026-01-01
200055	CDM	—	29	24	$5,444.45	$2,667.78 51% off	$1,524.45	$5,444.45	$4,301.12	2026-01-01
26554	CPT	Double Transfer Toe-hand	11	7	—	—	$4,280.84	$4,300.00	$4,300.00	2026-01-01
61520	CPT	Removal Of Brain Lesion	11	7	—	—	$4,241.49	$4,298.76	$4,298.76	2026-01-01
43288	CPT	Esphg Thrsc Moblj	8	4	—	—	$4,288.43	$4,302.76	$4,288.43	2026-01-01
366090	CDM	—	29	24	$5,413.20	$2,652.47 51% off	$1,515.70	$5,413.20	$4,276.43	2026-01-01
366089	CDM	—	29	24	$5,413.20	$2,652.47 51% off	$1,515.70	$5,413.20	$4,276.43	2026-01-01
61886	CPT	Implant Neurostim Arrays	16	12	—	—	$954.01	$14,048.80	$4,230.05	2026-01-01
220451	CDM	—	33	28	$5,418.63	$2,655.13 51% off	$1,517.22	$5,418.63	$4,226.53	2026-01-01
220371	CDM	—	33	28	$5,418.63	$2,655.13 51% off	$1,517.22	$5,418.63	$4,226.53	2026-01-01
61692	CPT	Intracranial Vessel Surgery	11	7	—	—	$4,151.45	$4,225.09	$4,225.09	2026-01-01
117030	CDM	—	29	24	$5,316.25	$2,604.96 51% off	$1,488.55	$5,316.25	$4,199.84	2026-01-01
117022	CDM	—	29	24	$5,316.25	$2,604.96 51% off	$1,488.55	$5,316.25	$4,199.84	2026-01-01
207003	CDM	—	29	24	$5,315.95	$2,604.82 51% off	$1,488.47	$5,315.95	$4,199.60	2026-01-01
380399	CDM	—	28	24	$5,258.45	$2,576.64 51% off	$1,472.37	$5,258.45	$4,180.47	2026-01-01
220192	CDM	—	33	28	$5,358.00	$2,625.42 51% off	$1,500.24	$5,358.00	$4,179.24	2026-01-01
33877	CPT	Thoracoabdominal Graft	11	7	—	—	$4,142.65	$4,176.91	$4,176.91	2026-01-01
43118	CPT	Partial Removal Of Esophagus	11	7	—	—	$4,144.06	$4,176.56	$4,176.56	2026-01-01
220214	CDM	—	33	28	$5,328.00	$2,610.72 51% off	$1,491.84	$5,328.00	$4,155.84	2026-01-01
220481	CDM	—	33	28	$5,328.00	$2,610.72 51% off	$1,491.84	$5,328.00	$4,155.84	2026-01-01
43287	CPT	Esphg Dstl 2/3 W/laps Moblj	8	4	—	—	$4,095.08	$4,110.62	$4,110.62	2026-01-01
32852	CPT	Lung Transplant With Bypass	11	7	—	—	$4,049.60	$4,106.24	$4,106.24	2026-01-01
61526	CPT	Removal Of Brain Lesion	11	7	—	—	$3,788.91	$4,100.88	$4,100.88	2026-01-01
200767	CDM	—	33	28	$5,239.10	$2,567.16 51% off	$1,466.95	$5,239.10	$4,086.50	2026-01-01
200766	CDM	—	33	28	$5,239.10	$2,567.16 51% off	$1,466.95	$5,239.10	$4,086.50	2026-01-01
20603	CDM	—	29	24	$5,162.85	$2,529.80 51% off	$1,445.60	$5,162.85	$4,078.65	2026-01-01
47140	CPT	Partial Removal Donor Liver	11	7	—	—	$4,065.63	$4,077.67	$4,077.67	2026-01-01
220477	CDM	—	33	28	$5,210.43	$2,553.11 51% off	$1,458.92	$5,210.43	$4,064.14	2026-01-01
220235	CDM	—	33	28	$5,210.43	$2,553.11 51% off	$1,458.92	$5,210.43	$4,064.14	2026-01-01
32445	CPT	Removal Of Lung Extrapleural	11	7	—	—	$4,016.01	$4,052.76	$4,052.76	2026-01-01
335226	CDM	—	29	25	$5,040.25	$2,469.72 51% off	$1,411.27	$5,292.26	$4,032.20	2026-01-01
46744	CPT	Repair Of Cloacal Anomaly	11	7	—	—	$4,024.30	$4,029.95	$4,024.30	2026-01-01
33783	CPT	Nikaidoh Proc W/ostia Implt	11	7	—	—	$3,983.60	$4,024.17	$4,024.17	2026-01-01
81425	CPT	Genome Sequence Analysis	4	4	—	—	$950.00	$5,031.20	$4,010.90	2026-01-01
207012	CDM	—	33	28	$5,142.05	$2,519.60 51% off	$1,439.77	$5,142.05	$4,010.80	2026-01-01
207013	CDM	—	33	28	$5,142.05	$2,519.60 51% off	$1,439.77	$5,142.05	$4,010.80	2026-01-01
43112	CPT	Esphg Tot W/thrcm	11	7	—	—	$3,972.53	$4,009.96	$4,009.96	2026-01-01
331530	CDM	—	29	25	$4,961.45	$2,431.11 51% off	$1,389.21	$5,209.52	$3,969.16	2026-01-01
33622	CPT	Redo Compl Cardiac Anomaly	11	7	—	—	$3,918.60	$3,959.29	$3,959.29	2026-01-01
220464	CDM	—	33	28	$5,063.38	$2,481.06 51% off	$1,417.75	$5,063.38	$3,949.44	2026-01-01
211724	CDM	—	33	28	$5,063.38	$2,481.06 51% off	$1,417.75	$5,063.38	$3,949.44	2026-01-01
220070	CDM	—	33	28	$5,037.00	$2,468.13 51% off	$1,410.36	$5,037.00	$3,928.86	2026-01-01
61700	CPT	Brain Aneurysm Repr Simple	11	7	—	—	$3,862.11	$3,923.17	$3,923.17	2026-01-01
47122	CPT	Extensive Removal Of Liver	11	7	—	—	$3,918.54	$3,920.67	$3,918.54	2026-01-01
33440	CPT	Rplcmt A-valve Tlcj Autol Pv	2	2	—	—	$3,911.23	$3,911.23	$3,911.23	2026-01-01
33858	CPT	As-aort Grf F/aortic Dsj	2	2	—	—	$3,875.58	$3,875.58	$3,875.58	2026-01-01
0047U	OTHER	—	3	3	—	—	$2,314.35	$3,873.00	$3,873.00	2026-01-01
81541	CPT	Onc Prostate Mrna 46 Genes	6	6	—	—	$2,314.35	$3,873.00	$3,873.00	2026-01-01
81522	CPT	Onc Breast Mrna 12 Genes	3	3	—	—	$3,873.00	$3,873.00	$3,873.00	2026-01-01
81521	CPT	Onc Breast Mrna 70 Genes	6	6	—	—	$2,711.10	$3,873.00	$3,873.00	2026-01-01
0045U	OTHER	—	3	3	—	—	$2,711.10	$3,873.00	$3,873.00	2026-01-01
77425	CPT	Io Rad Tx Deliver By Elctrns	5	5	—	—	$3,872.78	$3,872.78	$3,872.78	2026-01-01
77424	CPT	Io Rad Tx Delivery By X-ray	5	5	—	—	$3,872.78	$3,872.78	$3,872.78	2026-01-01
77371	CPT	Srs Multisource	5	5	—	—	$3,872.78	$3,872.78	$3,872.78	2026-01-01
200255	CDM	—	33	28	$4,945.50	$2,423.30 51% off	$1,384.74	$4,945.50	$3,857.49	2026-01-01
33411	CPT	Replacement Of Aortic Valve	11	7	—	—	$3,828.61	$3,849.34	$3,849.34	2026-01-01
26556	CPT	Toe Joint Transfer	11	7	—	—	$3,809.32	$3,824.71	$3,824.71	2026-01-01
354001	CDM	—	29	25	$4,775.25	$2,339.87 51% off	$1,337.07	$5,014.01	$3,820.20	2026-01-01
280624	CDM	—	33	28	$4,866.75	$2,384.71 51% off	$1,362.69	$4,866.75	$3,796.07	2026-01-01
61616	CPT	Resect/excise Lesion Skull	11	7	—	—	$3,737.51	$3,787.50	$3,787.50	2026-01-01
47130	CPT	Partial Removal Of Liver	11	7	—	—	$3,777.57	$3,785.19	$3,785.19	2026-01-01
380407	CDM	—	28	24	$4,756.95	$2,330.91 51% off	$1,331.95	$4,756.95	$3,781.77	2026-01-01
338825	CDM	—	34	29	$4,839.20	$2,371.21 51% off	$1,354.98	$5,081.16	$3,774.58	2026-01-01
32851	CPT	Lung Transplant Single	11	7	—	—	$3,725.63	$3,772.69	$3,772.69	2026-01-01
61613	CPT	Remove Aneurysm Sinus	11	7	—	—	$3,713.90	$3,772.31	$3,772.31	2026-01-01
210142	CDM	—	33	28	$4,836.00	$2,369.64 51% off	$1,354.08	$4,836.00	$3,772.08	2026-01-01
111732	CDM	—	29	24	$4,767.20	$2,335.93 51% off	$1,334.82	$4,767.20	$3,766.09	2026-01-01
111730	CDM	—	29	24	$4,767.20	$2,335.93 51% off	$1,334.82	$4,767.20	$3,766.09	2026-01-01
312047	CDM	—	29	25	$4,694.35	$2,300.23 51% off	$1,314.42	$4,929.07	$3,755.48	2026-01-01
366076	CDM	—	28	24	$4,707.15	$2,306.50 51% off	$1,318.00	$4,707.15	$3,742.18	2026-01-01
366029	CDM	—	28	24	$4,707.15	$2,306.50 51% off	$1,318.00	$4,707.15	$3,742.18	2026-01-01
366033	CDM	—	28	24	$4,707.15	$2,306.50 51% off	$1,318.00	$4,707.15	$3,742.18	2026-01-01
366078	CDM	—	28	24	$4,707.15	$2,306.50 51% off	$1,318.00	$4,707.15	$3,742.18	2026-01-01
366084	CDM	—	28	24	$4,707.15	$2,306.50 51% off	$1,318.00	$4,707.15	$3,742.18	2026-01-01
366028	CDM	—	28	24	$4,707.15	$2,306.50 51% off	$1,318.00	$4,707.15	$3,742.18	2026-01-01
200340	CDM	—	33	28	$4,789.25	$2,346.73 51% off	$1,340.99	$4,789.25	$3,735.61	2026-01-01
207016	CDM	—	33	28	$4,789.25	$2,346.73 51% off	$1,340.99	$4,789.25	$3,735.61	2026-01-01
33413	CPT	Replacement Of Aortic Valve	11	7	—	—	$3,680.46	$3,735.34	$3,735.34	2026-01-01
200530	CDM	—	29	24	$4,727.50	$2,316.48 51% off	$1,323.70	$4,727.50	$3,734.72	2026-01-01
380322	CDM	—	28	24	$4,695.25	$2,300.67 51% off	$1,314.67	$4,695.25	$3,732.72	2026-01-01
380323	CDM	—	28	24	$4,695.25	$2,300.67 51% off	$1,314.67	$4,695.25	$3,732.72	2026-01-01
380362	CDM	—	28	24	$4,694.35	$2,300.23 51% off	$1,314.42	$4,694.35	$3,732.01	2026-01-01
380358	CDM	—	28	24	$4,694.35	$2,300.23 51% off	$1,314.42	$4,694.35	$3,732.01	2026-01-01
380356	CDM	—	28	24	$4,694.35	$2,300.23 51% off	$1,314.42	$4,694.35	$3,732.01	2026-01-01
33871	CPT	Transvrs A-arch Grf Hypthrm	2	2	—	—	$3,726.34	$3,726.34	$3,726.34	2026-01-01
43117	CPT	Partial Removal Of Esophagus	11	7	—	—	$3,700.45	$3,725.36	$3,725.36	2026-01-01
20805	CPT	Replant Forearm Complete	11	7	—	—	$3,685.26	$3,725.35	$3,725.35	2026-01-01
33782	CPT	Nikaidoh Proc	11	7	—	—	$3,683.32	$3,725.14	$3,725.14	2026-01-01
357200	CDM	—	29	25	$4,653.00	$2,279.97 51% off	$1,302.84	$4,885.65	$3,722.40	2026-01-01
121335	CDM	—	33	28	$4,770.15	$2,337.37 51% off	$1,335.64	$4,770.15	$3,720.72	2026-01-01

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