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 — reason	Rows
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 via	CMS 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.

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	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
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
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
25004513	CDM	Ovarian Cystectomy	4	4	$6,961.63	$5,917.39	$3,049.25	$8,236.78	$7,083.38	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
25004167	CDM	Septoplasty	4	4	$5,628.07	$4,783.86	$2,030.00	$5,177.83	$4,755.62	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
25024182	CDM	Frenoplasty	4	4	$3,723.76	$3,165.20	$2,030.00	$4,861.25	$4,037.93	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
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
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
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
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
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
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
25005899	CDM	Glaucoma Procedure	2	2	$10,609.00	$9,017.65	$9,760.28	$10,069.44	$9,914.86	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
25000514	CDM	Cystourethroscopy	1	1	$7,609.84	$6,468.36	$7,001.05	$7,001.05	$7,001.05	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
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
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
25003360	CDM	Tubal Ligation	1	1	$6,372.83	$5,416.91	$5,863.00	$5,863.00	$5,863.00	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
25003288	CDM	Tonsillectomy	1	1	$3,444.74	$2,928.03	$3,169.16	$3,169.16	$3,169.16	2026-05-05

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