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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

JOHNSON MEMORIAL HOSPITAL

Dawson, MN · CCN 241314 · Rates published

5,421 distinct procedures filed
35 distinct payers
66,656 rate rows
2026-05-22 last MRF observed
Data quality

58,895 of 66,656 rate rows are consumer-grade (88.4%)

7,761 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
professional (physician) fee — not the facility price 5,189
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,713
placeholder amount (≤ $0.02) — excluded from medians 675
percent-of-charges filed in the dollar field — excluded from medians 131
per-diem day rate — not a per-procedure price 48
exceeds 10× this hospital's gross charge — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://jmhsmn.org/410694689_johnson-memorial-health-services_standardcharges.csv
Found on page https://jmhsmn.org/pricing-cost-estimates/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-06-22

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
25024969
CDM 		Insertion Or Replacement Permanent Implantable Defib System, W/transvenous Lead,… 1 $35,845.60 $35,845.60 $35,845.60 nat. median
$35,846
1.0× median
25024638
CDM 		Transcatheter Implantation, Wireless Pulmonary Artery Pressure Sensor 1 $29,198.85 $29,198.85 $29,198.85 nat. median
$29,199
1.0× median
25024969
OTHER 		Insertion Or Replacement Permanent Implantable Defib System, W/transvenous Lead,… 11 $11,899.22 $26,442.72 $20,382.93 nat. median
$20,383
1.0× median
25004566
CDM 		Orif Of Hip/hip Pinning 1 $19,823.79 $19,823.79 $19,823.79 nat. median
$7,825
outlier · 2.5×
25007348
CDM 		Total Hip Arthroplasty 1 $18,639.21 $18,639.21 $18,639.21 nat. median
$8,878
outlier · 2.1×
25004828
CDM 		Arthroplasty Of Hip Or Knee 1 $17,883.76 $17,883.76 $17,883.76 nat. median
$5,752
outlier · 3.1×
25024638
OTHER 		Transcatheter Implantation, Wireless Pulmonary Artery Pressure Sensor 11 $9,692.78 $21,539.52 $16,603.38 nat. median
$16,603
1.0× median
25010170
CDM 		Total Knee 1 $15,532.51 $15,532.51 $15,532.51 nat. median
$8,870
1.8× median
25005405
CDM 		Orif Of Femur Distal Or Proximal 1 $15,415.39 $15,415.39 $15,415.39 nat. median
$5,192
outlier · 3.0×
25009605
CDM 		Partial Arthroplasty Of Knee 1 $15,173.33 $15,173.33 $15,173.33 nat. median
$2
outlier · 6402.2×
25024642
CDM 		Biventricular Pacemaker Placement 1 $14,751.69 $14,751.69 $14,751.69 nat. median
$4,286
outlier · 3.4×
25002326
CDM 		Orif Of Femur Rod 1 $14,496.94 $14,496.94 $14,496.94 nat. median
$5,610
outlier · 2.6×
25013390
CDM 		Advanced Lap Nissen Fundoplication 1 $14,190.47 $14,190.47 $14,190.47 nat. median
$14,190
1.0× median
10019
OTHER 		Alteplase 100 Mg IV Solr 11 $8,485.52 $18,856.71 $14,142.53 nat. median
$1,894
outlier · 7.5×
421256
OTHER 		Alteplase 0.81 Mg/kg IV Infusion 100 Mg Vial 11 $8,485.52 $18,856.71 $14,142.53 nat. median
$14,143
1.0× median
421254
OTHER 		Alteplase 0.09 Mg/kg IV Bolus 100 Mg Vial 11 $8,485.52 $18,856.71 $14,142.53 nat. median
$14,143
1.0× median
25005268
CDM 		Toe Fusion 1 $13,979.65 $13,979.65 $13,979.65 nat. median
$3,511
outlier · 4.0×
25002517
CDM 		Pacemaker Insertion Dual Chamber 1 $13,603.88 $13,603.88 $13,603.88 nat. median
$13,604
1.0× median
25014424
CDM 		Orif Of Radius And Ulna 1 $13,389.15 $13,389.15 $13,389.15 nat. median
$6,910
1.9× median
25002502
CDM 		Pacemaker Generator Change 1 $13,266.40 $13,266.40 $13,266.40 nat. median
$7,407
1.8× median
25007331
CDM 		Revision Of Knee Joint 1 $13,196.87 $13,196.87 $13,196.87 nat. median
$6,959
1.9× median
25013227
CDM 		Arthroplasty, Total Shoulder 1 $13,117.82 $13,117.82 $13,117.82 nat. median
$11,233
1.2× median
25023662
CDM 		Cataract Extraction With Iol And Minimally Invasive Glaucoma Istent 1 $13,037.78 $13,037.78 $13,037.78 nat. median
$13,038
1.0× median
25001958
CDM 		Lithotripsy 1 $13,032.90 $13,032.90 $13,032.90 nat. median
$1,800
outlier · 7.2×
25025185
CDM 		Resection Of Palate Or Extensive Resection Of Lesion 1 $13,029.97 $13,029.97 $13,029.97 nat. median
$2
outlier · 5474.8×
25003027
CDM 		Shoulder Arthroscopy Repair Slap Ls 1 $12,912.85 $12,912.85 $12,912.85 nat. median
$1,181
outlier · 10.9×
25009784
CDM 		Tendon Repair Patella 1 $12,911.87 $12,911.87 $12,911.87 nat. median
$5,635
outlier · 2.3×
25024939
CDM 		Insertion Implantable Loop Recorder 1 $12,859.17 $12,859.17 $12,859.17 nat. median
$5,022
outlier · 2.6×
25004485
CDM 		Colostomy/transverse Colostomy 1 $12,792.60 $12,792.60 $12,792.60 nat. median
$3,778
outlier · 3.4×
25009135
CDM 		Lap Assisted Vaginal Hysterectomy 1 $12,718.62 $12,718.62 $12,718.62 nat. median
$7,124
1.8× median
25003326
CDM 		Transurethral Prostatectomy 1 $12,710.81 $12,710.81 $12,710.81 nat. median
$4,818
outlier · 2.6×
25002291
CDM 		Orif Of Distal Radius 1 $12,647.37 $12,647.37 $12,647.37 nat. median
$10,170
1.2× median
20982
CPT 		Image Guide Bone Radiofrequency Ablation 1 $12,318.80 $12,318.80 $12,318.80 nat. median
$10,779
1.1× median
25002965
CDM 		Shoulder Arthroscopy Capsulorrhaphy 1 $12,312.17 $12,312.17 $12,312.17 nat. median
$8,388
1.5× median
25005431
CDM 		Orif Ulna Or Radius, Distal Or Proximal 1 $12,270.62 $12,270.62 $12,270.62 nat. median
$3,691
outlier · 3.3×
25010668
CDM 		Appendectomy Ruptured 1 $12,193.72 $12,193.72 $12,193.72 nat. median
$12,194
1.0× median
25014540
CDM 		Orif Trimalleolar Ankle Fx 1 $12,102.75 $12,102.75 $12,102.75 nat. median
$12,103
1.0× median
25017262
CDM 		Repair, Hernia, Inguinal, Laparoscopic, Using Transabdominal Preperitoneal Patch 1 $11,946.58 $11,946.58 $11,946.58 nat. median
$5,076
outlier · 2.4×
130781
OTHER 		Tenecteplase 50 Mg IV Solr 11 $7,114.29 $15,809.54 $11,857.16 nat. median
$2,401
outlier · 4.9×
25010070
CDM 		Plasma Button Of Prostate Or Bladder 1 $11,473.21 $11,473.21 $11,473.21 nat. median
$2
outlier · 4841.0×
25007420
CDM 		Parotidectomy 1 $11,250.67 $11,250.67 $11,250.67 nat. median
$31
outlier · 361.3×
25001838
CDM 		Laparoscopic Ventral Hernia Repair 1 $11,211.63 $11,211.63 $11,211.63 nat. median
$3,460
outlier · 3.2×
25001202
CDM 		Repair, Hernia, Inguinal, Open 1 $11,039.54 $11,039.54 $11,039.54 nat. median
$5,500
outlier · 2.0×
115990
OTHER 		Octreotide,microspheres 30 Mg IM Ssrr 11 $6,406.44 $14,236.53 $10,973.99 nat. median
$54
outlier · 201.5×
25006386
CDM 		Hernia Repair Umbilical Laparoscopic 2 $10,069.44 $11,211.63 $10,640.53 nat. median
$3,881
outlier · 2.7×
25007348
OTHER 		Total Hip Arthroplasty 11 $8,402.68 $13,749.84 $10,598.83 nat. median
$10,599
1.0× median
25017605
CDM 		Lymphadenectomy, Supraclavicular, Cervical, Or Both Supraclavicular And Cervical 1 $10,486.44 $10,486.44 $10,486.44 nat. median
$10,486
1.0× median
25002587
CDM 		Panniculectomy/abdominoplasty 1 $10,378.11 $10,378.11 $10,378.11 nat. median
$4,971
outlier · 2.1×
25001312
CDM 		Hysterectomy Vaginal 1 $10,354.68 $10,354.68 $10,354.68 nat. median
$5,667
1.8× median
25001153
CDM 		Hernia Repair Epigastric 2 $10,069.44 $10,415.19 $10,242.32 nat. median
$2,661
outlier · 3.8×

Other procedures at this hospital

Browse this hospital's 5,421 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
25024969 CDM Insertion Or Replacement Permanent Implantable Defib System, W/transvenous Lead,… 1 1 $38,962.61 $33,118.22 $35,845.60 $35,845.60 $35,845.60 2026-05-05
25024638 CDM Transcatheter Implantation, Wireless Pulmonary Artery Pressure Sensor 1 1 $31,737.88 $26,977.20 $29,198.85 $29,198.85 $29,198.85 2026-05-05
25004566 CDM Orif Of Hip/hip Pinning 1 1 $21,547.60 $18,315.46 $19,823.79 $19,823.79 $19,823.79 2026-05-05
25007348 CDM Total Hip Arthroplasty 1 1 $20,260.01 $17,221.01 $18,639.21 $18,639.21 $18,639.21 2026-05-05
25004828 CDM Arthroplasty Of Hip Or Knee 1 1 $19,438.87 $16,523.04 $17,883.76 $17,883.76 $17,883.76 2026-05-05
25010170 CDM Total Knee 1 1 $16,883.16 $14,350.69 $15,532.51 $15,532.51 $15,532.51 2026-05-05
25005405 CDM Orif Of Femur Distal Or Proximal 1 1 $16,755.85 $14,242.47 $15,415.39 $15,415.39 $15,415.39 2026-05-05
25009605 CDM Partial Arthroplasty Of Knee 1 1 $16,492.75 $14,018.84 $15,173.33 $15,173.33 $15,173.33 2026-05-05
25024642 CDM Biventricular Pacemaker Placement 1 1 $16,034.44 $13,629.27 $14,751.69 $14,751.69 $14,751.69 2026-05-05
25002326 CDM Orif Of Femur Rod 1 1 $15,757.55 $13,393.92 $14,496.94 $14,496.94 $14,496.94 2026-05-05
25013390 CDM Advanced Lap Nissen Fundoplication 1 1 $15,424.43 $13,110.77 $14,190.47 $14,190.47 $14,190.47 2026-05-05
25005268 CDM Toe Fusion 1 1 $15,195.27 $12,915.98 $13,979.65 $13,979.65 $13,979.65 2026-05-05
25002517 CDM Pacemaker Insertion Dual Chamber 1 1 $14,786.82 $12,568.80 $13,603.88 $13,603.88 $13,603.88 2026-05-05
25014424 CDM Orif Of Radius And Ulna 1 1 $14,553.43 $12,370.42 $13,389.15 $13,389.15 $13,389.15 2026-05-05
25002502 CDM Pacemaker Generator Change 1 1 $14,420.00 $12,257.00 $13,266.40 $13,266.40 $13,266.40 2026-05-05
25007331 CDM Revision Of Knee Joint 1 1 $14,344.43 $12,192.77 $13,196.87 $13,196.87 $13,196.87 2026-05-05
25013227 CDM Arthroplasty, Total Shoulder 1 1 $14,258.50 $12,119.73 $13,117.82 $13,117.82 $13,117.82 2026-05-05
25023662 CDM Cataract Extraction With Iol And Minimally Invasive Glaucoma Istent 1 1 $14,171.50 $12,045.77 $13,037.78 $13,037.78 $13,037.78 2026-05-05
25001958 CDM Lithotripsy 1 1 $14,166.20 $12,041.27 $13,032.90 $13,032.90 $13,032.90 2026-05-05
25025185 CDM Resection Of Palate Or Extensive Resection Of Lesion 1 1 $14,163.01 $12,038.56 $13,029.97 $13,029.97 $13,029.97 2026-05-05
25003027 CDM Shoulder Arthroscopy Repair Slap Ls 1 1 $14,035.71 $11,930.35 $12,912.85 $12,912.85 $12,912.85 2026-05-05
25009784 CDM Tendon Repair Patella 1 1 $14,034.65 $11,929.45 $12,911.87 $12,911.87 $12,911.87 2026-05-05
25024939 CDM Insertion Implantable Loop Recorder 1 1 $13,977.36 $11,880.76 $12,859.17 $12,859.17 $12,859.17 2026-05-05
25004485 CDM Colostomy/transverse Colostomy 1 1 $13,905.00 $11,819.25 $12,792.60 $12,792.60 $12,792.60 2026-05-05
25009135 CDM Lap Assisted Vaginal Hysterectomy 1 1 $13,824.59 $11,750.90 $12,718.62 $12,718.62 $12,718.62 2026-05-05
25003326 CDM Transurethral Prostatectomy 1 1 $13,816.10 $11,743.68 $12,710.81 $12,710.81 $12,710.81 2026-05-05
25002291 CDM Orif Of Distal Radius 1 1 $13,747.14 $11,685.07 $12,647.37 $12,647.37 $12,647.37 2026-05-05
20982 CPT Image Guide Bone Radiofrequency Ablation 1 1 $13,390.00 $11,381.50 $12,318.80 $12,318.80 $12,318.80 2026-05-05
25002965 CDM Shoulder Arthroscopy Capsulorrhaphy 1 1 $13,382.79 $11,375.37 $12,312.17 $12,312.17 $12,312.17 2026-05-05
25005431 CDM Orif Ulna Or Radius, Distal Or Proximal 1 1 $13,337.63 $11,336.99 $12,270.62 $12,270.62 $12,270.62 2026-05-05
25010668 CDM Appendectomy Ruptured 1 1 $13,254.04 $11,265.93 $12,193.72 $12,193.72 $12,193.72 2026-05-05
25014540 CDM Orif Trimalleolar Ankle Fx 1 1 $13,155.16 $11,181.89 $12,102.75 $12,102.75 $12,102.75 2026-05-05
25017262 CDM Repair, Hernia, Inguinal, Laparoscopic, Using Transabdominal Preperitoneal Patch 1 1 $12,985.42 $11,037.61 $11,946.58 $11,946.58 $11,946.58 2026-05-05
25010070 CDM Plasma Button Of Prostate Or Bladder 1 1 $12,470.88 $10,600.25 $11,473.21 $11,473.21 $11,473.21 2026-05-05
25007420 CDM Parotidectomy 1 1 $12,228.99 $10,394.64 $11,250.67 $11,250.67 $11,250.67 2026-05-05
25001838 CDM Laparoscopic Ventral Hernia Repair 1 1 $12,186.56 $10,358.58 $11,211.63 $11,211.63 $11,211.63 2026-05-05
25001202 CDM Repair, Hernia, Inguinal, Open 1 1 $11,999.50 $10,199.57 $11,039.54 $11,039.54 $11,039.54 2026-05-05
25006386 CDM Hernia Repair Umbilical Laparoscopic 2 2 $12,186.56 $10,358.58 $10,069.44 $11,211.63 $10,640.53 2026-05-05
25017605 CDM Lymphadenectomy, Supraclavicular, Cervical, Or Both Supraclavicular And Cervical 1 1 $11,398.31 $9,688.56 $10,486.44 $10,486.44 $10,486.44 2026-05-05
25002587 CDM Panniculectomy/abdominoplasty 1 1 $11,280.55 $9,588.47 $10,378.11 $10,378.11 $10,378.11 2026-05-05
25001312 CDM Hysterectomy Vaginal 1 1 $11,255.09 $9,566.83 $10,354.68 $10,354.68 $10,354.68 2026-05-05
25001153 CDM Hernia Repair Epigastric 2 2 $11,320.86 $9,622.73 $10,069.44 $10,415.19 $10,242.32 2026-05-05
25013628 CDM Dissection Radical Neck 1 1 $10,788.29 $9,170.05 $9,925.23 $9,925.23 $9,925.23 2026-05-05
25005899 CDM Glaucoma Procedure 2 2 $10,609.00 $9,017.65 $9,760.28 $10,069.44 $9,914.86 2026-05-05
25024073 CDM Reconstruction Of Dislocating Patella 1 1 $10,695.52 $9,091.19 $9,839.88 $9,839.88 $9,839.88 2026-05-05
25010163 CDM Orif Distal Fibular Fx Incl Internal Fixation When Performed 1 1 $10,513.21 $8,936.23 $9,672.15 $9,672.15 $9,672.15 2026-05-05
25002348 CDM Orif Of Hand 1 1 $10,465.83 $8,895.96 $9,628.56 $9,628.56 $9,628.56 2026-05-05
25006782 CDM Hernia Repair Inguinal With Mesh 1 1 $10,355.44 $8,802.12 $9,527.01 $9,527.01 $9,527.01 2026-05-05
25005417 CDM Orif Of Radius Proximal Or Ulna Shaft 1 1 $10,187.73 $8,659.57 $9,372.71 $9,372.71 $9,372.71 2026-05-05
25001844 CDM Laparoscopy Diagnostic 1 1 $10,130.53 $8,610.95 $9,320.09 $9,320.09 $9,320.09 2026-05-05
25011661 CDM Uvulopalatopharyngoplasty (uppp) 1 1 $9,761.34 $8,297.14 $8,980.43 $8,980.43 $8,980.43 2026-05-05
25001851 CDM Laparoscopy Oviduct Ovary Unlisted 1 1 $9,549.16 $8,116.79 $8,785.23 $8,785.23 $8,785.23 2026-05-05
25009530 CDM Lead Replacement 1 1 $9,541.73 $8,110.47 $8,778.40 $8,778.40 $8,778.40 2026-05-05
25012633 CDM Removal Prosthesis, W/total Knee Prosthesis, W/or W/out Insertion Of Spacer, Kne… 3 3 $10,170.85 $8,645.22 $4,968.00 $9,357.18 $8,689.39 2026-05-05
25011682 CDM Greater Saphenous Vein Ablation 1 1 $9,271.03 $7,880.38 $8,529.35 $8,529.35 $8,529.35 2026-05-05
25003247 CDM Thyroidectomy 1 1 $9,004.92 $7,654.18 $8,284.53 $8,284.53 $8,284.53 2026-05-05
25001662 CDM Knee Arthroscopy W Meniscus Repair 1 1 $8,776.63 $7,460.14 $8,074.50 $8,074.50 $8,074.50 2026-05-05
25000355 CDM Cholecystectomy (open) 4 4 $10,290.73 $8,747.12 $3,049.25 $9,467.47 $7,999.42 2026-05-05
25001714 CDM Laparoscopic Appendectomy 4 4 $9,460.05 $8,041.04 $3,049.25 $8,703.24 $7,999.42 2026-05-05
25001727 CDM Laparoscopic Cholecystectomy 4 4 $9,728.45 $8,269.18 $3,049.25 $8,950.18 $7,999.42 2026-05-05
25002141 CDM Mastectomy W Axillary Lymhphadnectomy 1 1 $8,104.22 $6,888.59 $7,455.88 $7,455.88 $7,455.88 2026-05-05
25019809 CDM Orif, Fracture, Metacarpal Bone 1 1 $7,896.28 $6,711.84 $7,264.58 $7,264.58 $7,264.58 2026-05-05
25023325 CDM Dupuytrens Release Fasciectomy, Multiple Areas 1 1 $7,893.10 $6,709.14 $7,261.65 $7,261.65 $7,261.65 2026-05-05
25002474 CDM Orif Of Wrist 1 1 $7,850.66 $6,673.06 $7,222.61 $7,222.61 $7,222.61 2026-05-05
25001345 CDM Hysteroscopy Biopsy W Or Wo D&c 1 1 $7,824.91 $6,651.17 $7,198.92 $7,198.92 $7,198.92 2026-05-05
25019366 CDM Revision, Arthroplasty, Knee, Using Computer-assisted Navigation 1 1 $7,779.58 $6,612.64 $7,157.21 $7,157.21 $7,157.21 2026-05-05
25001805 CDM Laparoscopic Tubal Cauterization 1 1 $7,750.94 $6,588.30 $7,130.86 $7,130.86 $7,130.86 2026-05-05
25004513 CDM Ovarian Cystectomy 4 4 $6,961.63 $5,917.39 $3,049.25 $8,236.78 $7,083.38 2026-05-05
25000514 CDM Cystourethroscopy 1 1 $7,609.84 $6,468.36 $7,001.05 $7,001.05 $7,001.05 2026-05-05
25002654 CDM Piloinidal Cystectomy 4 4 $6,442.85 $5,476.42 $3,049.25 $8,236.78 $6,844.74 2026-05-05
25009168 CDM Biopsy Or Excision Of Lymph Nodes 2 2 $8,221.46 $6,988.24 $5,456.35 $7,563.74 $6,510.05 2026-05-05
25004257 CDM Hernia Repair, Ventral Incisional Open 2 2 $8,216.67 $6,984.17 $5,456.35 $7,559.34 $6,507.85 2026-05-05
25019981 CDM Incision And Drainage, Posterior Neck 2 2 $8,075.57 $6,864.23 $5,456.35 $7,429.53 $6,442.94 2026-05-05
25000431 CDM Correction Hammertoe 1 1 $6,978.60 $5,931.81 $6,420.31 $6,420.31 $6,420.31 2026-05-05
25003373 CDM Tur Of The Bladder 1 1 $6,800.37 $5,780.31 $6,256.34 $6,256.34 $6,256.34 2026-05-05
25001995 CDM Lumpectomy 1 1 $6,789.76 $5,771.30 $6,246.58 $6,246.58 $6,246.58 2026-05-05
25010325 CDM Cystoscopy W Litholapaxy 1 1 $6,787.64 $5,769.49 $6,244.63 $6,244.63 $6,244.63 2026-05-05
25000692 CDM Endo Pubo-vag Bladder Sling W/tvt 1 1 $6,753.69 $5,740.64 $6,213.39 $6,213.39 $6,213.39 2026-05-05
25012097 CDM Release, Intrinsic Muscles Of Hand, Each Muscle 2 2 $6,332.51 $5,382.63 $5,825.91 $6,520.11 $6,173.01 2026-05-05
25010975 CDM Percutaneous Pinning Of Hand 1 1 $6,688.82 $5,685.50 $6,153.71 $6,153.71 $6,153.71 2026-05-05
25023962 CDM Removal Of Foreign Body, Complicated 2 2 $6,220.17 $5,287.14 $5,722.56 $6,520.11 $6,121.34 2026-05-05
25023121 CDM Radiofrequency Ablation, Endovenous, Same Leg, Ea Addl Vein 1 1 $6,498.27 $5,523.53 $5,978.41 $5,978.41 $5,978.41 2026-05-05
25002668 CDM Fasciotomy/fasciectomy, Plantar 1 1 $6,472.55 $5,501.67 $5,954.75 $5,954.75 $5,954.75 2026-05-05
25014193 CDM Excision, Excessive Skin And Subcutaneous Tissue 2 2 $6,978.60 $5,931.81 $5,456.35 $6,420.31 $5,938.33 2026-05-05
25003360 CDM Tubal Ligation 1 1 $6,372.83 $5,416.91 $5,863.00 $5,863.00 $5,863.00 2026-05-05
25010999 CDM Removal Implant Deep 2 2 $5,656.72 $4,808.21 $5,204.18 $6,520.11 $5,862.15 2026-05-05
25001590 CDM Knee Arthroscopy Removal Loose Or Fb 2 2 $5,634.44 $4,789.27 $5,183.68 $6,520.11 $5,851.90 2026-05-05
25024728 CDM Radical Resection Tumor, Soft Tissue Of Neck Or Anterior Thorax 1 1 $6,328.27 $5,379.03 $5,822.01 $5,822.01 $5,822.01 2026-05-05
25025062 CDM Repositioning Of Previously Implanted Transvenous Pacemaker Or Implantable Defib… 1 1 $6,298.56 $5,353.78 $5,794.68 $5,794.68 $5,794.68 2026-05-05
25010051 CDM Cystocele Repair 1 1 $6,283.71 $5,341.15 $5,781.01 $5,781.01 $5,781.01 2026-05-05
25001817 CDM Laparoscopic Tubal Clip Or Banding 2 2 $5,419.08 $4,606.22 $4,985.55 $6,520.11 $5,752.83 2026-05-05
78816 CPT Nm PET CT Top Of Head To Toes Subsequent 1 1 $6,180.00 $5,253.00 $5,685.60 $5,685.60 $5,685.60 2026-05-05
25002446 CDM Orif Of Tibial Rod 2 2 $8,441.58 $7,175.34 $3,571.14 $7,766.25 $5,668.69 2026-05-05
25009075 CDM Excision Of Submandibular Gland 1 1 $6,137.31 $5,216.71 $5,646.32 $5,646.32 $5,646.32 2026-05-05
25009990 CDM Cystourethroscopy, W/ureteroscopy And/or PYELOSCOPY;with Lithotripsy Including Ins… 2 2 $8,248.50 $7,011.22 $3,651.17 $7,588.62 $5,619.90 2026-05-05
25014187 CDM Hemorrhoidopexy, Stapling 1 1 $5,965.44 $5,070.62 $5,488.21 $5,488.21 $5,488.21 2026-05-05
25001134 CDM Hemorrhoidectomy 1 1 $5,965.44 $5,070.62 $5,488.21 $5,488.21 $5,488.21 2026-05-05
25005552 CDM Removal Of Ear Tube(s) 2 2 $4,696.60 $3,992.11 $4,320.88 $6,520.11 $5,420.49 2026-05-05
25001539 CDM Knee Arthroscopy Debridement Shaving 2 2 $7,784.74 $6,617.03 $3,651.17 $7,161.96 $5,406.57 2026-05-05
25000877 CDM Excision Tumor Soft Tissue Back Or Flank 1 1 $5,866.88 $4,986.85 $5,397.53 $5,397.53 $5,397.53 2026-05-05
25000586 CDM D & C 1 1 $5,852.99 $4,975.04 $5,384.75 $5,384.75 $5,384.75 2026-05-05
25000543 CDM Cystourethroscopy W Insert Uret Stent 2 2 $7,609.84 $6,468.36 $3,651.17 $7,001.05 $5,326.11 2026-05-05
25003051 CDM Shoulder Arthroscopy W Lysis Resect 2 2 $7,519.00 $6,391.15 $3,651.17 $6,917.48 $5,284.32 2026-05-05
25003812 CDM Hernia Repair Incisional, Includes Mesh When Used 2 2 $7,584.37 $6,446.71 $3,571.14 $6,977.62 $5,274.38 2026-05-05
25001246 CDM Repair, Hernia, Umbilical, Open 2 2 $7,584.37 $6,446.71 $3,571.14 $6,977.62 $5,274.38 2026-05-05
25011014 CDM Shoulder Arthroscopy With Biceps Tenodesis 2 2 $7,463.43 $6,343.92 $3,651.17 $6,866.36 $5,258.76 2026-05-05
25003064 CDM Shoulder Arthroscopy W Rotator Cuff 2 2 $7,463.43 $6,343.92 $3,651.17 $6,866.36 $5,258.76 2026-05-05
25010834 CDM Hemorrhoidectomy Internal Other Ligation 1 1 $5,643.99 $4,797.39 $5,192.47 $5,192.47 $5,192.47 2026-05-05
25007003 CDM Knee Arthroscopy With Meniscectomy Incl Chondroplasty, Loose Body Removal And Syno… 2 2 $7,296.87 $6,202.34 $3,651.17 $6,713.12 $5,182.15 2026-05-05
25001823 CDM Laparoscopic Tubal Ligation 1 1 $5,628.07 $4,783.86 $5,177.83 $5,177.83 $5,177.83 2026-05-05
25009569 CDM Mastectomy Partial 1 1 $5,628.07 $4,783.86 $5,177.83 $5,177.83 $5,177.83 2026-05-05
25001179 CDM Hernia Repair Implant Mesh Incis/vent 2 2 $7,363.71 $6,259.15 $3,571.14 $6,774.61 $5,172.88 2026-05-05
78815 CPT Nm PET CT Skull Base To Mid Thigh Initial Routine 1 1 $5,562.00 $4,727.70 $5,117.04 $5,117.04 $5,117.04 2026-05-05
25003208 CDM Repair Tendon/muscle, Quadriceps 2 2 $7,143.04 $6,071.58 $3,571.14 $6,571.60 $5,071.37 2026-05-05
25004608 CDM Slitting Of Prepuce, Dorsal Or Lateral 1 1 $5,443.48 $4,626.96 $5,008.00 $5,008.00 $5,008.00 2026-05-05
25002629 CDM Percutaneous Pinning Of Finger/thumb/wrist 2 2 $6,970.11 $5,924.59 $3,571.14 $6,412.50 $4,991.82 2026-05-05
25011328 CDM Excision Lipoma-neck Subfascial Large 1 1 $5,415.89 $4,603.51 $4,982.62 $4,982.62 $4,982.62 2026-05-05
25006945 CDM Arthrotomy, Knee, Incl; Joint Exploration, Biopsy Or Excision Of Loose Bodies 2 2 $6,818.40 $5,795.64 $3,651.17 $6,272.93 $4,962.05 2026-05-05
25011918 CDM Excision Cyst/lipoma Pelvis/ Hip 1 1 $5,392.05 $4,583.24 $4,960.69 $4,960.69 $4,960.69 2026-05-05
25001657 CDM Knee Arthroscopy W Meniscectomy 1 1 $5,264.19 $4,474.56 $4,843.05 $4,843.05 $4,843.05 2026-05-05
25002681 CDM Porta Cath Insertion 2 2 $6,572.28 $5,586.44 $3,571.14 $6,046.49 $4,808.81 2026-05-05
25004167 CDM Septoplasty 4 4 $5,628.07 $4,783.86 $2,030.00 $5,177.83 $4,755.62 2026-05-05
25025829 CDM Metatarsectomy 1 1 $5,157.21 $4,383.63 $4,744.63 $4,744.63 $4,744.63 2026-05-05
25009481 CDM Cystoscopy With Bladder Biopsy 1 1 $5,146.43 $4,374.47 $4,734.71 $4,734.71 $4,734.71 2026-05-05
25003012 CDM Shoulder Arthroscopy Distal Clavicu 2 2 $6,316.60 $5,369.11 $3,651.17 $5,811.27 $4,731.22 2026-05-05
25000520 CDM Cystourethroscopy W Fulg/bx 2 2 $6,272.04 $5,331.23 $3,651.17 $5,770.28 $4,710.73 2026-05-05
25012236 CDM Synovectomy, Extensor Tendon Sheath, Wrist 1 1 $5,100.56 $4,335.48 $4,692.52 $4,692.52 $4,692.52 2026-05-05
25011926 CDM Capsulotomy Mtp Joint 1 1 $5,062.61 $4,303.22 $4,657.61 $4,657.61 $4,657.61 2026-05-05
25007989 CDM Myringotomy With Or Without Tubes; Bilateral 1 1 $5,015.94 $4,263.55 $4,614.66 $4,614.66 $4,614.66 2026-05-05
25010760 CDM Excision Tumor Soft Tissue Back Or Flank Large 1 1 $5,011.69 $4,259.94 $4,610.76 $4,610.76 $4,610.76 2026-05-05
25001618 CDM Knee Arthroscopy Synovectomy Major 2 2 $5,881.30 $4,999.11 $3,651.17 $5,410.80 $4,530.99 2026-05-05
25011561 CDM Myringoplasty With Fat Graft 4 4 $4,672.20 $3,971.37 $2,030.00 $4,861.25 $4,474.22 2026-05-05
25003009 CDM Shoulder Arthroscopy Decm Subacro W 2 2 $5,712.95 $4,856.01 $3,651.17 $5,255.91 $4,453.54 2026-05-05
25002832 CDM Repair Ligament/tendon Lower Extremity 2 2 $5,784.03 $4,916.43 $3,571.14 $5,321.30 $4,446.22 2026-05-05
25007184 CDM Excision Tarsal Or Metatarsal Bone Except Talus Or Calcaneus 1 1 $4,647.80 $3,950.63 $4,275.98 $4,275.98 $4,275.98 2026-05-05
25011155 CDM Excision Lesion Facial Over 4 Cm 1 1 $4,623.40 $3,929.89 $4,253.53 $4,253.53 $4,253.53 2026-05-05
25003452 CDM Vasectomy 1 1 $4,607.49 $3,916.37 $4,238.89 $4,238.89 $4,238.89 2026-05-05
25003770 CDM Cystoscopic Removal Of Ureter Stent 1 1 $4,466.39 $3,796.43 $4,109.08 $4,109.08 $4,109.08 2026-05-05
25000465 CDM Cystoscopy 1 1 $4,466.39 $3,796.43 $4,109.08 $4,109.08 $4,109.08 2026-05-05
25000503 CDM Cystoscopy W Dilation 1 1 $4,466.39 $3,796.43 $4,109.08 $4,109.08 $4,109.08 2026-05-05
25024182 CDM Frenoplasty 4 4 $3,723.76 $3,165.20 $2,030.00 $4,861.25 $4,037.93 2026-05-05
25009953 CDM Cystoscopy W Transurethral Resection Of Bladder Tumor 1 1 $4,254.21 $3,616.08 $3,913.87 $3,913.87 $3,913.87 2026-05-05
25024573 CDM Relocation Of Skin Pocket For Pacemaker 1 1 $4,202.22 $3,571.89 $3,866.05 $3,866.05 $3,866.05 2026-05-05
25003850 CDM Esophageal Balloon Dilitation 1 1 $4,201.16 $3,570.99 $3,865.07 $3,865.07 $3,865.07 2026-05-05
25017739 CDM Biopsy, Muscle 3 3 $4,201.16 $3,570.99 $1,472.87 $3,943.09 $3,865.07 2026-05-05
25001429 CDM I&d Peri Rectal Abscess 3 3 $4,151.30 $3,528.61 $1,622.88 $3,910.00 $3,819.20 2026-05-05
25014992 CDM Nasal Fracture Therapeutic 1 1 $4,120.00 $3,502.00 $3,790.40 $3,790.40 $3,790.40 2026-05-05
25003791 CDM Excision Of Squamous Cell < 2 Cm 1 1 $4,098.26 $3,483.52 $3,770.40 $3,770.40 $3,770.40 2026-05-05
25001387 CDM I&d Abscess Subq Or Cutaneous 1 1 $4,060.06 $3,451.05 $3,735.26 $3,735.26 $3,735.26 2026-05-05
25000714 CDM Endometrial Ablation Wo Hysterosc Th 1 1 $4,052.64 $3,444.74 $3,728.43 $3,728.43 $3,728.43 2026-05-05
11426 CPT Excision,benign Lesion Inc Margin,except Skintag/sclp/nk/hnd/ft/genit;exc Dia Ov… 1 1 $4,034.14 $3,429.02 $3,711.41 $3,711.41 $3,711.41 2026-05-05
25000291 CDM Cataract Extraction W Iol 2 2 $5,166.58 $4,391.59 $2,662.20 $4,753.26 $3,707.73 2026-05-05
25004288 CDM Scar Revision Greater Than 4.0 Cm 1 1 $3,995.35 $3,396.05 $3,675.72 $3,675.72 $3,675.72 2026-05-05
25003986 CDM Excision Soft Tissue Bursa Extremity 3 3 $3,995.35 $3,396.05 $1,472.87 $3,943.09 $3,675.72 2026-05-05
25014539 CDM Excision Tumor, Soft Tissue Of Arm, Subq, Less Than 3 Cm 1 1 $3,977.31 $3,380.71 $3,659.13 $3,659.13 $3,659.13 2026-05-05
25005059 CDM Excision Cyst/lipoma 1 1 $3,925.33 $3,336.53 $3,611.30 $3,611.30 $3,611.30 2026-05-05
69610 CPT Tympanic Membrane Repair 1 1 $3,888.20 $3,304.97 $3,577.14 $3,577.14 $3,577.14 2026-05-05
25017726 CDM Evacuation, Hematoma 1 1 $3,848.08 $3,270.87 $3,540.23 $3,540.23 $3,540.23 2026-05-05
25009301 CDM Lymph Node Biopsy 1 1 $3,815.00 $3,242.75 $3,509.80 $3,509.80 $3,509.80 2026-05-05
25003881 CDM Hot Biopsy/polypectomy Colon 3 3 $4,613.85 $3,921.77 $2,139.00 $4,244.75 $3,504.62 2026-05-05
25001047 CDM Fistulectomy/fistulotomy 3 3 $4,864.23 $4,134.60 $2,139.00 $4,475.09 $3,504.62 2026-05-05
25003275 CDM Tonsilectomy & Adenoidectomy 3 3 $5,178.25 $4,401.51 $2,139.00 $4,763.99 $3,504.62 2026-05-05
25005067 CDM Ganglionectomy Foot 3 3 $4,567.17 $3,882.09 $2,139.00 $4,201.80 $3,504.62 2026-05-05
25004130 CDM Ganglionectomy Hand/wrist 3 3 $4,360.30 $3,706.26 $2,139.00 $4,011.48 $3,504.62 2026-05-05
25009672 CDM Vaginal Polypectomy 1 1 $3,772.56 $3,206.68 $3,470.76 $3,470.76 $3,470.76 2026-05-05
25004103 CDM Adenoidectomy < 12 Years Old 1 1 $3,744.98 $3,183.23 $3,445.38 $3,445.38 $3,445.38 2026-05-05
69424 CPT Remove Ventilating Tube (pro Cah) 1 1 $3,736.84 $3,176.31 $3,437.89 $3,437.89 $3,437.89 2026-05-05
25012430 CDM Breast Axillary Fold Excision 2 2 $4,499.28 $3,824.39 $2,662.20 $4,139.33 $3,400.76 2026-05-05
25001927 CDM Leep 2 2 $4,165.09 $3,540.33 $2,965.21 $3,831.89 $3,398.55 2026-05-05
25010901 CDM Excision Or Destruction Lesion Mouth 2 2 $4,470.63 $3,800.04 $2,662.20 $4,112.98 $3,387.59 2026-05-05
25023419 CDM Repair Nasal Valve Collapse With Implant 2 2 $4,448.35 $3,781.10 $2,662.20 $4,092.49 $3,377.34 2026-05-05
25002709 CDM Radiofrequency 1 1 $3,665.41 $3,115.60 $3,372.18 $3,372.18 $3,372.18 2026-05-05
25012850 CDM Frenulectomy 1 1 $3,660.62 $3,111.53 $3,367.77 $3,367.77 $3,367.77 2026-05-05
25000482 CDM Cystoscopy W Spc Insertion 1 1 $3,492.48 $2,968.61 $3,213.08 $3,213.08 $3,213.08 2026-05-05
78452 CPT Myocardial Perfusion Scan Spect Multiple 6 6 $4,371.32 $3,715.62 $2,225.71 $4,021.61 $3,212.82 2026-05-05
25022885 CDM Arthrotomy W Loose Body Rmvl, Metacarpoplalaneal Jt, Ea 2 2 $3,713.15 $3,156.18 $2,965.21 $3,416.10 $3,190.65 2026-05-05
25003288 CDM Tonsillectomy 1 1 $3,444.74 $2,928.03 $3,169.16 $3,169.16 $3,169.16 2026-05-05
25002742 CDM Removal Foreign Body 2 2 $3,590.09 $3,051.58 $2,965.21 $3,302.88 $3,134.05 2026-05-05
25006849 CDM Submucous Resection Inferior Turbinate 3 3 $3,660.11 $3,111.09 $1,512.08 $3,367.30 $3,071.29 2026-05-05
25003349 CDM Trigger Finger Release 3 3 $3,264.39 $2,774.73 $1,512.08 $3,071.29 $3,003.24 2026-05-05
25024969 OTHER Insertion Or Replacement Permanent Implantable Defib System, W/transvenous Lead,… 14 11 $36,726.00 $31,217.10 $11,899.22 $26,442.72 $20,382.93 2026-05-06
25024638 OTHER Transcatheter Implantation, Wireless Pulmonary Artery Pressure Sensor 14 11 $29,916.00 $25,428.60 $9,692.78 $21,539.52 $16,603.38 2026-05-06
421256 OTHER Alteplase 0.81 Mg/kg IV Infusion 100 Mg Vial 15 11 $26,189.87 $22,261.39 $8,485.52 $18,856.71 $14,142.53 2026-05-06
10019 OTHER Alteplase 100 Mg IV Solr 15 11 $26,189.87 $22,261.39 $8,485.52 $18,856.71 $14,142.53 2026-05-06
421254 OTHER Alteplase 0.09 Mg/kg IV Bolus 100 Mg Vial 15 11 $26,189.87 $22,261.39 $8,485.52 $18,856.71 $14,142.53 2026-05-06
130781 OTHER Tenecteplase 50 Mg IV Solr 15 11 $21,957.70 $18,664.04 $7,114.29 $15,809.54 $11,857.16 2026-05-06
115990 OTHER Octreotide,microspheres 30 Mg IM Ssrr 14 11 $19,772.96 $16,807.02 $6,406.44 $14,236.53 $10,973.99 2026-05-06
25007348 OTHER Total Hip Arthroplasty 14 11 $19,097.00 $16,232.45 $8,402.68 $13,749.84 $10,598.83 2026-05-06
25004828 OTHER Arthroplasty Of Hip Or Knee 14 11 $18,323.00 $15,574.55 $8,062.12 $13,192.56 $10,169.26 2026-05-06
12476 OTHER Leuprolide (3 Month) 22.5 Mg IM Sykt 14 11 $17,380.61 $14,773.52 $5,631.32 $12,514.04 $9,646.24 2026-05-06
87262 OTHER Certolizumab Pegol 400 Mg/2 Ml (200 Mg/ml X 2) Subq Sykt 14 11 $16,072.07 $13,661.26 $5,207.35 $11,571.89 $8,920.00 2026-05-06
25010170 OTHER Total Knee 14 11 $15,914.00 $13,526.90 $7,002.16 $11,458.08 $8,832.27 2026-05-06
25005405 OTHER Orif Of Femur Distal Or Proximal 14 11 $15,794.00 $13,424.90 $6,949.36 $11,371.68 $8,765.67 2026-05-06
25009605 OTHER Partial Arthroplasty Of Knee 14 11 $15,546.00 $13,214.10 $6,840.24 $11,193.12 $8,628.03 2026-05-06
25024642 OTHER Biventricular Pacemaker Placement 14 11 $15,114.00 $12,846.90 $6,650.16 $10,882.08 $8,388.27 2026-05-06
25002326 OTHER Orif Of Femur Rod 14 11 $14,853.00 $12,625.05 $6,535.32 $10,694.16 $8,243.41 2026-05-06
25005268 OTHER Toe Fusion 14 11 $14,323.00 $12,174.55 $4,640.65 $10,312.56 $7,949.26 2026-05-06
18931 OTHER Rituximab 10 Mg/ml IV Conc 14 11 $13,980.01 $11,883.01 $4,529.52 $10,065.61 $7,758.91 2026-05-06
25002517 OTHER Pacemaker Insertion Dual Chamber 14 11 $13,938.00 $11,847.30 $6,132.72 $10,035.36 $7,735.59 2026-05-06
25014424 OTHER Orif Of Radius And Ulna 14 11 $13,718.00 $11,660.30 $6,035.92 $9,876.96 $7,613.49 2026-05-06
25007331 OTHER Revision Of Knee Joint 14 11 $13,521.00 $11,492.85 $5,949.24 $9,735.12 $7,504.16 2026-05-06
25013227 OTHER Arthroplasty, Total Shoulder 14 11 $13,440.00 $11,424.00 $5,913.60 $9,676.80 $7,459.20 2026-05-06
25023662 OTHER Cataract Extraction With Iol And Minimally Invasive Glaucoma Istent 14 11 $13,358.00 $11,354.30 $4,327.99 $9,617.76 $7,413.69 2026-05-06
25001958 OTHER Lithotripsy 14 11 $13,353.00 $11,350.05 $5,875.32 $9,614.16 $7,410.91 2026-05-06
25025185 OTHER Resection Of Palate Or Extensive Resection Of Lesion 14 11 $13,350.00 $11,347.50 $4,325.40 $9,612.00 $7,409.25 2026-05-06
25003027 OTHER Shoulder Arthroscopy Repair Slap Ls 14 11 $13,230.00 $11,245.50 $5,821.20 $9,525.60 $7,342.65 2026-05-06
25024939 OTHER Insertion Implantable Loop Recorder 14 11 $13,175.00 $11,198.75 $5,797.00 $9,486.00 $7,312.12 2026-05-06
25009135 OTHER Lap Assisted Vaginal Hysterectomy 14 11 $13,031.00 $11,076.35 $5,733.64 $9,382.32 $7,232.20 2026-05-06
25003326 OTHER Transurethral Prostratectomy 14 11 $13,023.00 $11,069.55 $5,730.12 $9,376.56 $7,227.76 2026-05-06
25002291 OTHER Orif Of Distal Radius 14 11 $12,958.00 $11,014.30 $5,701.52 $9,329.76 $7,191.69 2026-05-06
25017262 OTHER Repair, Hernia, Inguinal, Laparoscopic, Using Transabdominal Preperitoneal Patch 14 11 $12,240.00 $10,404.00 $5,385.60 $8,812.80 $6,793.20 2026-05-06
25007420 OTHER Parotidectomy 14 11 $11,527.00 $9,797.95 $5,071.88 $8,299.44 $6,397.49 2026-05-06
25006386 OTHER Hernia Repair Umbilical Laparoscopic 14 11 $11,487.00 $9,763.95 $5,054.28 $8,270.64 $6,375.28 2026-05-06
25001838 OTHER Laparoscopic Ventral Hernia Repair 14 11 $11,487.00 $9,763.95 $5,054.28 $8,270.64 $6,375.28 2026-05-06
25017605 OTHER Lymphadenectomy, Supraclavicular, Cervical, Or Both Supraclavicular And Cervical 14 11 $10,744.00 $9,132.40 $4,727.36 $7,735.68 $5,962.92 2026-05-06
25001153 OTHER Hernia Repair Epigastric 14 11 $10,671.00 $9,070.35 $4,695.24 $7,683.12 $5,922.41 2026-05-06
25002587 OTHER Panniculectomy/abdominoplasty 14 11 $10,633.00 $9,038.05 $4,678.52 $7,655.76 $5,901.32 2026-05-06
25001312 OTHER Hysterectomy Vaginal 14 11 $10,609.00 $9,017.65 $4,667.96 $7,638.48 $5,887.99 2026-05-06
143436 OTHER Tezepelumab-ekko 210 Mg/1.91 Ml (110 Mg/ml) Subq Syrg 14 11 $10,572.52 $8,986.64 $3,425.50 $7,612.21 $5,867.75 2026-05-06
25002502 OTHER Pacemaker Generator Change 14 11 $10,444.00 $8,877.40 $4,595.36 $7,519.68 $5,796.42 2026-05-06
25013628 OTHER Dissection Radical Neck 14 11 $10,169.00 $8,643.65 $4,474.36 $7,321.68 $5,643.80 2026-05-06
33015982 OTHER Image Guide Bone Radiofrequency Ablation 14 11 $10,121.00 $8,602.85 $4,453.24 $7,287.12 $5,617.16 2026-05-06
25005899 OTHER Glaucoma Procedure 14 11 $10,000.00 $8,500.00 $4,400.00 $7,200.00 $5,550.00 2026-05-06
25006782 OTHER Hernia Repair Inguinal With Mesh 14 11 $9,761.00 $8,296.85 $4,294.84 $7,027.92 $5,417.35 2026-05-06
25000355 OTHER Cholecystectomy (open) 14 11 $9,700.00 $8,245.00 $4,268.00 $6,984.00 $5,383.50 2026-05-06
25012633 OTHER Removal Prosthesis, W/total Knee Prosthesis, W/or W/out Insertion Of Spacer, Kne… 14 11 $9,587.00 $8,148.95 $3,106.19 $6,902.64 $5,320.78 2026-05-06
25001844 OTHER Laparoscopy Diagnostic 14 11 $9,549.00 $8,116.65 $3,093.88 $6,875.28 $5,299.69 2026-05-06
81026227 OTHER Revision Of Total Hip Arthroplasty; Both Components, With Or Without Autograft O… 14 11 $9,414.00 $8,001.90 $3,050.14 $6,778.08 $5,224.77 2026-05-06
25011661 OTHER Uvulopalatopharyngoplasty (uppp) 14 11 $9,201.00 $7,820.85 $4,048.44 $6,624.72 $5,106.56 2026-05-06
25001727 OTHER Laparoscopic Cholecystectomy 14 11 $9,170.00 $7,794.50 $4,034.80 $6,602.40 $5,089.35 2026-05-06
81009739 OTHER Excision, Excessive Skin And Subcutaneous Tissue; Abdomen, Infraumbilical Pannic… 14 11 $9,094.00 $7,729.90 $2,946.46 $6,547.68 $5,047.17 2026-05-06
25001851 OTHER Laparoscopy Oviduct Ovary Unlisted 14 11 $9,001.00 $7,650.85 $3,960.44 $6,480.72 $4,995.56 2026-05-06
25009530 OTHER Lead Replacement 14 11 $8,994.00 $7,644.90 $3,957.36 $6,475.68 $4,991.67 2026-05-06
25001714 OTHER Laparoscopic Appendectomy 14 11 $8,917.00 $7,579.45 $3,923.48 $6,420.24 $4,948.93 2026-05-06
25003247 OTHER Thyroidectomy 14 11 $8,488.00 $7,214.80 $3,734.72 $6,111.36 $4,710.84 2026-05-06
81018423 OTHER Open Tx Distal Radial Intra-articular Fx; 3 Or More Fragments (pro Cah) 14 11 $8,434.00 $7,168.90 $2,732.62 $6,072.48 $4,680.87 2026-05-06
94140 OTHER Denosumab 120 Mg/1.7 Ml (70 Mg/ml) Subq Soln 14 11 $8,211.68 $6,979.93 $2,660.58 $5,912.41 $4,557.49 2026-05-06
111782 OTHER Hum Prothrombin Cplx(pcc)4fact 1,000 Unit (800-1240 Unit) IV Solr 14 11 $8,189.04 $6,960.68 $2,653.25 $5,896.11 $4,544.91 2026-05-06
112496 OTHER Dantrolene 250 Mg IV Susr 14 11 $8,038.38 $6,832.62 $2,604.44 $5,787.63 $4,461.31 2026-05-06
25002446 OTHER Orif Of Tibial Rod 14 11 $7,957.00 $6,763.45 $3,501.08 $5,729.04 $4,416.14 2026-05-06
25009990 OTHER Cystourethroscopy, W/ureteroscopy And/or PYELOSCOPY;with Lithotripsy Including Ins… 14 11 $7,775.00 $6,608.75 $3,421.00 $5,598.00 $4,315.12 2026-05-06
25004257 OTHER Hernia Repair, Ventral Incisional Open 14 11 $7,745.00 $6,583.25 $3,407.80 $5,576.40 $4,298.48 2026-05-06
25002141 OTHER Mastectomy W Axillary Lymhphadnectomy 14 11 $7,639.00 $6,493.15 $2,475.04 $5,500.08 $4,239.65 2026-05-06
25019981 OTHER Incision And Drainage, Posterior Neck 14 11 $7,612.00 $6,470.20 $3,349.28 $5,480.64 $4,224.66 2026-05-06
25002474 OTHER Orif Of Wrist 14 11 $7,400.00 $6,290.00 $2,397.60 $5,328.00 $4,107.00 2026-05-06
25019366 OTHER Revision, Arthroplasty, Knee, Using Computer-assisted Navigation 14 11 $7,333.00 $6,233.05 $2,375.89 $5,279.76 $4,069.82 2026-05-06
25001805 OTHER Laparoscopic Tubal Cauterization 14 11 $7,306.00 $6,210.10 $2,367.14 $5,260.32 $4,054.83 2026-05-06
25000543 OTHER Cystourethroscopy W Insert Uret Stent 14 11 $7,173.00 $6,097.05 $2,324.05 $5,164.56 $3,981.02 2026-05-06
25000514 OTHER Cystourethroscopy 14 11 $7,173.00 $6,097.05 $3,156.12 $5,164.56 $3,981.02 2026-05-06
25003812 OTHER Hernia Repair Incisional, Includes Mesh When Used 14 11 $7,149.00 $6,076.65 $3,145.56 $5,147.28 $3,967.69 2026-05-06
25001246 OTHER Repair, Hernia, Umbilical, Open 14 11 $7,149.00 $6,076.65 $3,145.56 $5,147.28 $3,967.69 2026-05-06
25011014 OTHER Shoulder Arthroscopy With Biceps Tenodesis 14 11 $7,035.00 $5,979.75 $2,279.34 $5,065.20 $3,904.43 2026-05-06
25003064 OTHER Shoulder Arthroscopy W Rotator Cuff 14 11 $7,035.00 $5,979.75 $3,095.40 $5,065.20 $3,904.43 2026-05-06
81026173 OTHER Revision Of Total Hip Arthroplasty; Femoral Component Only, With Or Without Allo… 14 11 $6,987.00 $5,938.95 $2,263.79 $5,030.64 $3,877.78 2026-05-06
25001179 OTHER Hernia Repair Implant Mesh Incis/vent 14 11 $6,941.00 $5,899.85 $2,248.88 $4,997.52 $3,852.26 2026-05-06
25007003 OTHER Knee Arthroscopy With Meniscectomy Incl Chondroplasty, Loose Body Removal And Syno… 14 11 $6,878.00 $5,846.30 $2,228.47 $4,952.16 $3,817.29 2026-05-06
68031474 OTHER Labyrinthectomy; Transcanal (pbb) 14 11 $6,809.00 $5,787.65 $2,206.12 $4,902.48 $3,778.99 2026-05-06
81006031 OTHER Excision Of Submandibular (submaxillary) Gland (pro Cah) 14 11 $6,809.00 $5,787.65 $2,206.12 $4,902.48 $3,778.99 2026-05-06
25003208 OTHER Repair Tendon/muscle, Quadriceps 14 11 $6,733.00 $5,723.05 $2,962.52 $4,847.76 $3,736.82 2026-05-06
81007523 OTHER Partial Removal Of Thyroid (pro Cah) 14 11 $6,646.00 $5,649.10 $2,153.30 $4,785.12 $3,688.53 2026-05-06
81007402 OTHER Lap With Removal Adnexal Structures (pro Cah) 14 11 $6,646.00 $5,649.10 $2,153.30 $4,785.12 $3,688.53 2026-05-06
81002280 OTHER Laparoscopy; W/fulguration Of Oviducts (pro Cah) 14 11 $6,646.00 $5,649.10 $2,153.30 $4,785.12 $3,688.53 2026-05-06
81006457 OTHER Laparoscopy, Surgical, Appendectomy (pro Cah) 14 11 $6,646.00 $5,649.10 $2,153.30 $4,785.12 $3,688.53 2026-05-06
81007413 OTHER Laparoscopy,w Fulg Or Excision Of Lesions:ovary,pelvic Viscera, Or Peritoneal Su… 14 11 $6,646.00 $5,649.10 $2,153.30 $4,785.12 $3,688.53 2026-05-06
81002291 OTHER Laparoscopy; W/occlusion Of Oviducts By Device (pro Cah) 14 11 $6,646.00 $5,649.10 $2,153.30 $4,785.12 $3,688.53 2026-05-06
81009992 OTHER Laparoscopy,abd,peritoneum,omentum,diag,surg With Or Without Brushing Or Washing (pro … 14 11 $6,646.00 $5,649.10 $2,153.30 $4,785.12 $3,688.53 2026-05-06
81029029 OTHER Revision Of Total Hip Arthroplasty; Acetabular Component Only, With Or W/out Autog… 14 11 $6,628.00 $5,633.80 $2,147.47 $4,772.16 $3,678.54 2026-05-06
25000431 OTHER Correction Hammertoe 14 11 $6,578.00 $5,591.30 $2,894.32 $4,736.16 $3,650.79 2026-05-06
25014193 OTHER Excision, Excessive Skin And Subcutaneous Tissue 14 11 $6,578.00 $5,591.30 $2,894.32 $4,736.16 $3,650.79 2026-05-06
25002629 OTHER Percutaneous Pinning Of Finger/thumb/wrist 14 11 $6,570.00 $5,584.50 $2,890.80 $4,730.40 $3,646.35 2026-05-06
25004513 OTHER Ovarian Cystectomy 14 11 $6,562.00 $5,577.70 $2,887.28 $4,724.64 $3,641.91 2026-05-06
25006945 OTHER Arthrotomy, Knee, Incl; Joint Exploration, Biopsy Or Excision Of Loose Bodies 14 11 $6,427.00 $5,462.95 $2,827.88 $4,627.44 $3,566.98 2026-05-06
25010325 OTHER Cystoscopy W Litholapaxy 14 11 $6,398.00 $5,438.30 $2,072.95 $4,606.56 $3,550.89 2026-05-06
25000692 OTHER Endo Pubo-vag Bladder Sling W/tvt 14 11 $6,366.00 $5,411.10 $2,801.04 $4,583.52 $3,533.13 2026-05-06
81026252 OTHER Cervical Lymphadenectomy (modified Radical Neck Dissection) (pro Cah) 14 11 $6,201.00 $5,270.85 $2,009.12 $4,464.72 $3,441.56 2026-05-06
25002681 OTHER Porta Cath Insertion 14 11 $6,195.00 $5,265.75 $2,725.80 $4,460.40 $3,438.23 2026-05-06
81022361 OTHER Arthroplasty, Acetabular & Proximal Femoral Prosthetic Replcmt W Or Without Autograf… 14 11 $6,122.00 $5,203.70 $1,983.53 $4,407.84 $3,397.71 2026-05-06
25002668 OTHER Fasciotomy/fasciectomy, Plantar 14 11 $6,101.00 $5,185.85 $2,684.44 $4,392.72 $3,386.06 2026-05-06
25002654 OTHER Piloinidal Cystectomy 14 11 $6,073.00 $5,162.05 $2,672.12 $4,372.56 $3,370.52 2026-05-06
25003360 OTHER Tubal Ligation 14 11 $6,007.00 $5,105.95 $2,643.08 $4,325.04 $3,333.89 2026-05-06
25012097 OTHER Release, Intrinsic Muscles Of Hand, Each Muscle 14 11 $5,969.00 $5,073.65 $2,626.36 $4,297.68 $3,312.80 2026-05-06
25024728 OTHER Radical Resection Tumor, Soft Tissue Of Neck Or Anterior Thorax 14 11 $5,965.00 $5,070.25 $2,624.60 $4,294.80 $3,310.57 2026-05-06
25003012 OTHER Shoulder Arthroscopy Distal Clavicu 14 11 $5,954.00 $5,060.90 $1,929.10 $4,286.88 $3,304.47 2026-05-06
25025062 OTHER Repositioning Of Previously Implanted Transvenous Pacemaker Or Implantable Defib… 14 11 $5,937.00 $5,046.45 $2,612.28 $4,274.64 $3,295.03 2026-05-06
25010051 OTHER Cystocele Repair 14 11 $5,923.00 $5,034.55 $2,606.12 $4,264.56 $3,287.27 2026-05-06
25000520 OTHER Cystourethroscopy W Fulg/bx 14 11 $5,912.00 $5,025.20 $2,601.28 $4,256.64 $3,281.16 2026-05-06
81007295 OTHER Anterior Colporrhaphy, Repair Cystocele W Or Without Repair Urethrocele, W/cysto, Wh… 14 11 $5,910.00 $5,023.50 $1,914.84 $4,255.20 $3,280.05 2026-05-06
81007355 OTHER Vaginal Hysterectomy, For Uterus 250 G Or Less (pro Cah) 14 11 $5,910.00 $5,023.50 $1,914.84 $4,255.20 $3,280.05 2026-05-06
81007456 OTHER Ovarian Cystectomy (pro Cah) 14 11 $5,910.00 $5,023.50 $1,914.84 $4,255.20 $3,280.05 2026-05-06
25009075 OTHER Excision Of Submandibular Gland 14 11 $5,785.00 $4,917.25 $2,545.40 $4,165.20 $3,210.68 2026-05-06
143631 OTHER Bebtelovimab 175 Mg/2 Ml (87.5 Mg/ml) IV Soln 14 11 $5,770.80 $4,905.18 $1,869.74 $4,154.98 $3,202.80 2026-05-06
81028917 OTHER Removal Prosthesis, W/total Knee Prosthesis, Methylmethacrylate W/or W/out Inser… 14 11 $5,665.00 $4,815.25 $1,835.46 $4,078.80 $3,144.07 2026-05-06
25014187 OTHER Hemorrhoidopexy, Stapling 14 11 $5,623.00 $4,779.55 $1,821.85 $4,048.56 $3,120.77 2026-05-06
25001134 OTHER Hemorrhoidectomy 14 11 $5,623.00 $4,779.55 $2,474.12 $4,048.56 $3,120.77 2026-05-06
25005431 OTHER Orif Ulna Or Radius, Distal Or Proximal 14 11 $5,571.00 $4,735.35 $2,451.24 $4,011.12 $3,091.90 2026-05-06
81022860 OTHER Open Tx Of Femoral Fx, Proximal End, Neck, Internal Fixation Or Prosthetic Repla… 14 11 $5,568.00 $4,732.80 $1,804.03 $4,008.96 $3,090.24 2026-05-06
25000586 OTHER D & C 14 11 $5,517.00 $4,689.45 $2,427.48 $3,972.24 $3,061.93 2026-05-06
81029114 OTHER Radical Resection Of Tumor, Soft Tissue Of Neck Or Anterior Thorax; 5 Cm Or Grea… 14 11 $5,514.00 $4,686.90 $1,786.54 $3,970.08 $3,060.27 2026-05-06
25002832 OTHER Repair Ligament/tendon Lower Extremity 14 11 $5,452.00 $4,634.20 $2,398.88 $3,925.44 $3,025.86 2026-05-06
81021397 OTHER Arthroplasty, Glenohumeral Joint; Total Shoulder (pro Cah) 14 11 $5,423.40 $4,609.89 $1,757.18 $3,904.85 $3,009.99 2026-05-06
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