Price Transparency Hospital negotiated rates

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

CITIZENS MEMORIAL HOSPITAL

Bolivar, MO · CCN 260195 · Rates published

9,718 distinct procedures filed
23 distinct payers
341,268 rate rows
2026-05-16 last MRF observed
Data quality

229,766 of 341,268 rate rows are consumer-grade (67.3%)

111,502 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 92,612
per-diem day rate — not a per-procedure price 13,091
exceeds 10× this hospital's gross charge — excluded from medians 5,799
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/70a2f3e86bcb0aa7bc3459a5555265ca/charges/mrf
Found on page https://www.citizensmemorial.com/patients-and-visitors/pricing-transparency.html
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-19
Content fingerprint 49912e34663fd79d… · 62,374,761 bytes · first seen 2026-05-16

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
018
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $357,606.81 $488,133.30 $357,606.81 —
001
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $232,072.45 $316,778.89 $232,072.45 —
927
CPT 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $176,808.45 $241,343.53 $176,808.45 —
003
CPT 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 10 $175,770.83 $239,927.18 $175,770.83 —
004
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $114,706.65 $156,574.58 $114,706.65 —
007
CPT 		Lung Transplant 10 $107,243.62 $146,387.54 $107,243.62 —
014
CPT 		Allogeneic Bone Marrow Transplant 10 $99,523.02 $135,848.92 $99,523.02 —
002
CPT 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $93,841.27 $128,093.33 $93,841.27 —
209
CPT 		Complex Aortic Arch Procedures 10 $93,733.63 $127,946.40 $93,733.63 —
426
CPT 		Non-hypovolemic Sodium Disorders 10 $91,269.12 $124,582.35 $91,269.12 —
212
CPT 		Concomitant Aortic And Mitral Valve Procedures 10 $90,050.95 $122,919.55 $90,050.95 —
005
CPT 		Liver Transplant With Mcc Or Intestinal Transplant 10 $85,383.65 $116,548.68 $85,383.65 —
215
CPT 		Other Heart Assist System Implant 10 $82,456.24 $112,552.77 $82,456.24 —
216
CPT 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 10 $81,013.64 $110,583.62 $81,013.64 —
429
CPT 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $74,610.60 $101,843.47 $74,610.60 —
850
CPT 		Acute Leukemia With Other Procedures 10 $71,711.33 $97,885.97 $71,711.33 —
231
CPT 		Coronary Bypass With Ptca With Mcc 10 $69,809.96 $95,290.60 $69,809.96 —
456
CPT 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $69,590.52 $94,991.06 $69,590.52 —
020
CPT 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $65,163.37 $88,948.00 $65,163.37 —
219
CPT 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $63,585.79 $86,794.60 $63,585.79 —
233
CPT 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $63,311.67 $86,420.43 $63,311.67 —
957
CPT 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $63,102.16 $86,134.45 $63,102.16 —
427
CPT 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $59,778.90 $81,598.20 $59,778.90 —
010
CPT 		Pancreas Transplant 10 $59,423.64 $81,113.27 $59,423.64 —
928
CPT 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 $59,398.79 $81,079.35 $59,398.79 —
019
CPT 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $59,083.28 $80,648.68 $59,083.28 —
275
CPT 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $59,048.50 $80,601.20 $59,048.50 —
870
CPT 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $57,238.23 $78,130.18 $57,238.23 —
268
CPT 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $56,957.48 $77,746.96 $56,957.48 —
955
CPT 		Craniotomy For Multiple Significant Trauma 10 $55,741.81 $76,087.57 $55,741.81 —
317
CPT 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $55,372.48 $75,583.44 $55,372.48 —
447
CPT 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $55,331.88 $75,528.02 $55,331.88 —
218
CPT 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath Without Complication/… 10 $54,451.59 $74,326.42 $54,451.59 —
217
CPT 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 10 $54,451.59 $74,326.42 $54,451.59 —
573
CPT 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $54,253.68 $74,056.27 $54,253.68 —
207
CPT 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $53,287.24 $72,737.08 $53,287.24 —
266
CPT 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $50,750.71 $69,274.72 $50,750.71 —
969
CPT 		HIV With Extensive O.r. Procedures With Mcc 10 $50,691.91 $69,194.46 $50,691.91 —
232
CPT 		Coronary Bypass With Ptca Without Mcc 10 $50,205.79 $68,530.90 $50,205.79 —
028
CPT 		Spinal Procedures With Mcc 10 $49,756.13 $67,917.12 $49,756.13 —
276
CPT 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 $49,742.06 $67,897.91 $49,742.06 —
457
CPT 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $49,381.82 $67,406.18 $49,381.82 —
790
CPT 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 $49,219.50 $67,184.62 $49,219.50 —
016
CPT 		Autologous Bone Marrow Transplant With Cc/mcc 10 $49,105.23 $67,028.64 $49,105.23 —
235
CPT 		Coronary Bypass Without Cardiac Catheterization With Mcc 10 $48,599.24 $66,337.96 $48,599.24 —
820
CPT 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 $48,567.77 $66,295.01 $48,567.77 —
430
CPT 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 $47,758.69 $65,190.61 $47,758.69 —
023
CPT 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 $47,453.95 $64,774.64 $47,453.95 —
213
CPT 		Endovascular Abdominal Aorta With Iliac Branch Procedures 10 $47,260.17 $64,510.13 $47,260.17 —
463
CPT 		Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 10 $47,198.90 $64,426.50 $47,198.90 —

Other procedures at this hospital

Browse this hospital's 9,718 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
             
001 CPT Heart Transplant Or Implant Of Heart Assist System With Mcc 10 10 — — $232,072.45 $316,778.89 $232,072.45 2026-05-16
002 CPT Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 10 — — $93,841.27 $128,093.33 $93,841.27 2026-05-16
003 CPT Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 10 10 — — $175,770.83 $239,927.18 $175,770.83 2026-05-16
004 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 10 — — $114,706.65 $156,574.58 $114,706.65 2026-05-16
005 CPT Liver Transplant With Mcc Or Intestinal Transplant 10 10 — — $85,383.65 $116,548.68 $85,383.65 2026-05-16
006 CPT Liver Transplant Without Mcc 10 10 — — $38,400.07 $52,416.10 $38,400.07 2026-05-16
007 CPT Lung Transplant 10 10 — — $107,243.62 $146,387.54 $107,243.62 2026-05-16
008 CPT Simultaneous Pancreas And Kidney Transplant 10 10 — — $46,412.99 $63,353.73 $46,412.99 2026-05-16
010 CPT Pancreas Transplant 10 10 — — $59,423.64 $81,113.27 $59,423.64 2026-05-16
011 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 10 — — $45,166.67 $61,652.50 $45,166.67 2026-05-16
012 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 10 — — $34,913.67 $47,657.16 $34,913.67 2026-05-16
013 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 10 10 — — $23,864.85 $32,575.52 $23,864.85 2026-05-16
014 CPT Allogeneic Bone Marrow Transplant 10 10 — — $99,523.02 $135,848.92 $99,523.02 2026-05-16
016 CPT Autologous Bone Marrow Transplant With Cc/mcc 10 10 — — $49,105.23 $67,028.64 $49,105.23 2026-05-16
017 CPT Autologous Bone Marrow Transplant Without Cc/mcc 10 10 — — $44,986.15 $61,406.09 $44,986.15 2026-05-16
018 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $357,606.81 $488,133.30 $357,606.81 2026-05-16
019 CPT Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 10 — — $59,083.28 $80,648.68 $59,083.28 2026-05-16
020 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 10 — — $65,163.37 $88,948.00 $65,163.37 2026-05-16
021 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 10 — — $43,839.19 $59,840.49 $43,839.19 2026-05-16
022 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 10 — — $26,312.78 $35,916.94 $26,312.78 2026-05-16
023 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 10 — — $47,453.95 $64,774.64 $47,453.95 2026-05-16
0238T CPT Trluml Perip Athrc Iliac Art 26 22 $25,700.50 $20,560.40 $19,568.52 $26,711.03 $23,139.78 2026-05-16
024 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 10 — — $32,395.35 $44,219.65 $32,395.35 2026-05-16
025 CPT Craniotomy And Endovascular Intracranial Procedures With Mcc 10 10 — — $37,652.30 $51,395.39 $37,652.30 2026-05-16
026 CPT Craniotomy And Endovascular Intracranial Procedures With Cc 10 10 — — $25,748.02 $35,146.05 $25,748.02 2026-05-16
027 CPT Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 19 17 — — $15,017.28 $28,518.56 $20,892.72 2026-05-16
028 CPT Spinal Procedures With Mcc 10 10 — — $49,756.13 $67,917.12 $49,756.13 2026-05-16
029 CPT Spinal Procedures With Complication Or Spinal Neurostimulators 10 10 — — $28,252.25 $38,564.32 $28,252.25 2026-05-16
030 CPT Spinal Procedures Without Complication/comorbity 19 17 — — $13,314.59 $25,113.19 $18,397.94 2026-05-16
031 CPT Ventricular Shunt Procedures With Mcc 10 10 — — $37,104.07 $50,647.06 $37,104.07 2026-05-16
032 CPT Ventricular Shunt Procedures With Cc 19 17 — — $12,995.00 $24,474.00 $17,929.67 2026-05-16
034 CPT Carotid Artery Stent Procedures With Mcc 10 10 — — $32,054.17 $43,753.94 $32,054.17 2026-05-16
035 CPT Carotid Artery Stent Procedures With Cc 19 17 — — $14,286.83 $27,057.66 $19,822.46 2026-05-16
037 CPT Extracranial Procedures With Mcc 10 10 — — $27,262.66 $37,213.53 $27,262.66 2026-05-16
040 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 10 — — $31,975.50 $43,646.56 $31,975.50 2026-05-16
041 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 19 17 — — $13,332.02 $25,148.05 $18,423.48 2026-05-16
056 CPT Degenerative Nervous System Disorders With Comorbity 19 17 — — $13,951.30 $26,386.60 $19,330.84 2026-05-16
061 CPT Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 10 — — $22,832.20 $31,165.95 $22,832.20 2026-05-16
082 CPT Traumatic Stupor And Coma >1 Hour With Mcc 19 17 — — $13,764.62 $26,013.24 $19,057.32 2026-05-16
085 CPT Traumatic Stupor And Coma <1 Hour With Mcc 19 17 — — $13,696.42 $25,876.84 $18,957.39 2026-05-16
094 CPT Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 10 — — $29,144.96 $39,782.87 $29,144.96 2026-05-16
095 CPT Bacterial And Tuberculous Infections Of Nervous System With Cc 19 17 — — $15,335.49 $29,154.98 $21,358.96 2026-05-16
096 CPT Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 19 17 — — $15,335.49 $29,154.98 $21,358.96 2026-05-16
097 CPT Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 10 — — $29,910.16 $40,827.37 $29,910.16 2026-05-16
098 CPT Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 19 17 — — $13,810.92 $26,105.83 $19,125.15 2026-05-16
113 CPT Orbital Procedures With Cc/mcc 19 17 — — $14,090.69 $26,665.38 $19,535.08 2026-05-16
135 CPT Sinus And Mastoid Procedures With Cc/mcc 19 17 — — $13,189.15 $24,862.30 $18,214.14 2026-05-16
140 CPT Major Head And Neck Procedures With Mcc 10 10 — — $35,321.95 $48,214.46 $35,321.95 2026-05-16
141 CPT Major Head And Neck Procedures With Cc 19 17 — — $13,244.42 $24,972.83 $18,295.11 2026-05-16
143 CPT Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc 10 10 — — $31,026.46 $42,351.12 $31,026.46 2026-05-16
163 CPT Major Chest Procedures With Comorbity 10 10 — — $37,114.84 $50,661.76 $37,114.84 2026-05-16
164 CPT Major Chest Procedures With Complication 19 17 — — $15,023.51 $28,531.03 $20,901.85 2026-05-16
166 CPT Other Resp System O.r. Procedures With Comorbity 10 10 — — $30,952.77 $42,250.53 $30,952.77 2026-05-16
173 CPT Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 10 — — $24,648.26 $33,644.87 $24,648.26 2026-05-16
207 CPT Respiratory System Diagnosis With Ventilator Support >96 Hours 10 10 — — $53,287.24 $72,737.08 $53,287.24 2026-05-16
208 CPT Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 10 — — $22,762.63 $31,070.99 $22,762.63 2026-05-16
209 CPT Complex Aortic Arch Procedures 10 10 — — $93,733.63 $127,946.40 $93,733.63 2026-05-16
20982 CPT Ablate Bone Tumor(s) Perq 18 16 $884.00 $707.20 $1,598.76 $22,132.70 $22,132.70 2026-05-16
212 CPT Concomitant Aortic And Mitral Valve Procedures 10 10 — — $90,050.95 $122,919.55 $90,050.95 2026-05-16
213 CPT Endovascular Abdominal Aorta With Iliac Branch Procedures 10 10 — — $47,260.17 $64,510.13 $47,260.17 2026-05-16
215 CPT Other Heart Assist System Implant 10 10 — — $82,456.24 $112,552.77 $82,456.24 2026-05-16
216 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 10 10 — — $81,013.64 $110,583.62 $81,013.64 2026-05-16
217 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 10 10 — — $54,451.59 $74,326.42 $54,451.59 2026-05-16
218 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath Without Complication/… 10 10 — — $54,451.59 $74,326.42 $54,451.59 2026-05-16
219 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $63,585.79 $86,794.60 $63,585.79 2026-05-16
220 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $44,162.16 $60,281.35 $44,162.16 2026-05-16
221 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $41,739.07 $56,973.83 $41,739.07 2026-05-16
22533 CPT Arthrd Lat Xtrcvtry Tq Lmbr 22 18 $3,936.00 $3,148.80 $18,716.87 $25,548.53 $22,132.70 2026-05-16
22556 CPT Arthrd Ant Ntrbd Min Dsc Thc 26 22 $3,480.00 $2,784.00 20% off $18,716.87 $25,548.53 $22,132.70 2026-05-16
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 28 23 $4,899.00 $3,919.20 20% off $1,363.72 $39,536.98 $30,123.41 2026-05-16
22600 CPT Arthrd Pst Tq 1ntrspc Crv 26 22 $2,877.00 $2,301.60 20% off $18,716.87 $25,548.53 $22,132.70 2026-05-16
22610 CPT Arthrd Pst Tq 1ntrspc Thrc 26 22 $2,920.00 $2,336.00 20% off $18,716.87 $25,548.53 $22,132.70 2026-05-16
22612 CPT Fusion Of Spine In Lower Back 54 22 $5,057.00 $4,045.60 20% off $1,363.61 $25,548.53 $18,716.87 2026-05-16
22630 CPT Arthrd Pst Tq 1ntrspc Lum 25 21 $3,939.00 $3,151.20 20% off $28,964.82 $34,250.90 $34,250.90 2026-05-16
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 30 22 $4,741.00 $3,792.80 $659.21 $39,536.98 $34,250.90 2026-05-16
228 CPT Other Cardiothoracic Procedures With Comorbity 10 10 — — $40,970.57 $55,924.83 $40,970.57 2026-05-16
22802 CPT Arthrd Pst Dfrm 7-12 Vrt Sgm 26 22 $4,913.00 $3,930.40 20% off $18,716.87 $25,548.53 $22,132.70 2026-05-16
22856 CPT Tot Disc Arthrp 1ntrspc Crv 29 22 $4,256.00 $3,404.80 $4,587.00 $25,548.53 $22,132.70 2026-05-16
229 CPT Other Cardiothoracic Procedures Without Mcc 10 10 — — $26,081.75 $35,601.59 $26,081.75 2026-05-16
231 CPT Coronary Bypass With Ptca With Mcc 10 10 — — $69,809.96 $95,290.60 $69,809.96 2026-05-16
232 CPT Coronary Bypass With Ptca Without Mcc 10 10 — — $50,205.79 $68,530.90 $50,205.79 2026-05-16
233 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 10 — — $63,311.67 $86,420.43 $63,311.67 2026-05-16
234 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 10 — — $45,237.90 $61,749.73 $45,237.90 2026-05-16
235 CPT Coronary Bypass Without Cardiac Catheterization With Mcc 10 10 — — $48,599.24 $66,337.96 $48,599.24 2026-05-16
236 CPT Coronary Bypass Without Cardiac Catheterization Without Mcc 10 10 — — $34,688.43 $47,349.71 $34,688.43 2026-05-16
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 22 18 $3,196.00 $2,556.80 $18,716.87 $25,548.53 $22,132.70 2026-05-16
239 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 10 — — $40,757.75 $55,634.33 $40,757.75 2026-05-16
240 CPT Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication 10 10 — — $23,605.64 $32,221.70 $23,605.64 2026-05-16
242 CPT Permanent Cardiac Pacemaker Implant With Mcc 10 10 — — $26,440.32 $36,091.04 $26,440.32 2026-05-16
245 CPT Aicd Generator Procedures 10 10 — — $37,782.30 $51,572.84 $37,782.30 2026-05-16
250 CPT Percutaneous Cardiovasc Proc Without Coronary Artery Stent With Comorbity 19 17 — — $13,251.38 $24,986.75 $18,305.31 2026-05-16
252 CPT Other Vascular Procedures With Mcc 10 10 — — $28,887.43 $39,431.34 $28,887.43 2026-05-16
253 CPT Other Vascular Procedures With Complication 19 17 — — $15,428.17 $29,340.35 $21,494.76 2026-05-16
255 CPT Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 10 10 — — $22,337.81 $30,491.11 $22,337.81 2026-05-16
258 CPT Cardiac Pacemaker Device Replacement With Mcc 10 10 — — $26,020.46 $35,517.93 $26,020.46 2026-05-16
260 CPT Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 10 — — $26,937.19 $36,769.26 $26,937.19 2026-05-16
263 CPT Vein Ligation And Stripping 10 10 — — $25,319.04 $34,560.49 $25,319.04 2026-05-16
264 CPT Other Circulatory System O.r. Procedures 10 10 — — $27,664.28 $37,761.74 $27,664.28 2026-05-16
265 CPT Aicd Lead Procedures 10 10 — — $29,963.15 $40,899.70 $29,963.15 2026-05-16
266 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 10 — — $50,750.71 $69,274.72 $50,750.71 2026-05-16
267 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 10 — — $39,425.28 $53,815.51 $39,425.28 2026-05-16
268 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 10 — — $56,957.48 $77,746.96 $56,957.48 2026-05-16
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 10 — — $34,973.30 $47,738.55 $34,973.30 2026-05-16
270 CPT Other Major Cardiovascular Procedures With Comorbity 10 10 — — $43,694.28 $59,642.69 $43,694.28 2026-05-16
271 CPT Other Major Cardiovascular Procedures With Complication 10 10 — — $29,450.54 $40,199.99 $29,450.54 2026-05-16
272 CPT Other Major Cardiovascular Procedures Without Cc/mcc 19 17 — — $15,187.42 $28,858.83 $21,142.00 2026-05-16
27278 CPT Arthrd Si Jt Plmt Iartic Dev 16 15 $833.00 $666.40 20% off $22,132.70 $22,132.70 $22,132.70 2026-05-16
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 16 15 $1,261.00 $1,008.80 20% off $22,132.70 $22,132.70 $22,132.70 2026-05-16
27280 CPT Arthr Si Jt Opn B1grf Instrm 51 22 $3,639.00 $2,911.20 20% off $18,716.87 $25,548.53 $22,132.70 2026-05-16
27295 CPT Amputation Of Leg At Hip 26 22 $2,955.00 $2,364.00 20% off $18,716.87 $25,548.53 $22,132.70 2026-05-16
273 CPT Percutaneous And Other Intracardiac Procedures With Mcc 10 10 — — $34,164.21 $46,634.15 $34,164.21 2026-05-16
274 CPT Percutaneous And Other Intracardiac Procedures Without Mcc 10 10 — — $27,259.33 $37,208.99 $27,259.33 2026-05-16
275 CPT Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 10 — — $59,048.50 $80,601.20 $59,048.50 2026-05-16
276 CPT Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 10 — — $49,742.06 $67,897.91 $49,742.06 2026-05-16
277 CPT Cardiac Defibrillator Implant Without Mcc 10 10 — — $38,246.88 $52,206.99 $38,246.88 2026-05-16
278 CPT Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 10 — — $46,095.00 $62,919.68 $46,095.00 2026-05-16
279 CPT Hepatic Coma And Other Major Acute Liver Disorders 10 10 — — $29,865.45 $40,766.34 $29,865.45 2026-05-16
286 CPT Circulatory Disorders Except Ami; With Card Cath With Comorbity 19 17 — — $13,402.22 $25,288.43 $18,526.32 2026-05-16
288 CPT Acute And Subacute Endocarditis With Mcc 10 10 — — $22,410.68 $30,590.58 $22,410.68 2026-05-16
317 CPT Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 10 — — $55,372.48 $75,583.44 $55,372.48 2026-05-16
318 CPT Percutaneous Coronary Atherectomy Without Intraluminal Device 19 17 — — $14,448.14 $27,380.28 $20,058.81 2026-05-16
319 CPT Other Endovascular Cardiac Valve Procedures With Mcc 10 10 — — $36,958.31 $50,448.09 $36,958.31 2026-05-16
320 CPT Other Endovascular Cardiac Valve Procedures Without Mcc 19 17 — — $14,360.50 $27,205.00 $19,930.40 2026-05-16
321 CPT Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 10 10 — — $22,531.58 $30,755.61 $22,531.58 2026-05-16
323 CPT Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 10 — — $35,836.21 $48,916.43 $35,836.21 2026-05-16
324 CPT Non-elective Or Complex Hip Joint Replacement 10 10 — — $26,094.16 $35,618.53 $26,094.16 2026-05-16
325 CPT Coronary Intravascular Lithotripsy Without Intraluminal Device 10 10 — — $26,586.06 $36,289.97 $26,586.06 2026-05-16
326 CPT Stomach, Esophageal And Duodenal Procedures With Mcc 10 10 — — $41,301.82 $56,376.98 $41,301.82 2026-05-16
327 CPT Stomach; Esophageal & Duodenal Proc With Complication 19 17 — — $14,572.48 $27,628.95 $20,240.99 2026-05-16
329 CPT Major Small & Large Bowel Procedures With Comorbity 10 10 — — $38,064.68 $51,958.29 $38,064.68 2026-05-16
330 CPT Major Small & Large Bowel Procedures With Complication 19 17 — — $14,320.17 $27,124.35 $19,871.32 2026-05-16
332 CPT Rectal Resection With Mcc 10 10 — — $29,983.86 $40,927.97 $29,983.86 2026-05-16
33230 CPT Insrt Pulse Gen W/dual Leads 26 22 $33,617.75 $26,894.20 20% off $23,744.41 $32,411.12 $28,077.76 2026-05-16
33240 CPT Insrt Pulse Gen W/singl Lead 26 22 $35,298.75 $28,239.00 20% off $23,744.41 $32,411.12 $28,077.76 2026-05-16
33249 CPT Insj/rplcmt Defib W/lead(s) 27 23 $30,542.50 $24,434.00 20% off $33,506.76 $45,736.73 $39,621.75 2026-05-16
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 27 22 $42,885.00 $34,308.00 20% off $5,182.00 $32,411.12 $28,077.76 2026-05-16
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 17 15 $990.00 $792.00 20% off $5,182.00 $28,077.76 $18,796.56 2026-05-16
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 26 22 $48,954.25 $39,163.40 20% off $33,506.76 $45,736.73 $39,621.75 2026-05-16
333 CPT Rectal Resection With Cc 19 17 — — $14,046.39 $26,576.77 $19,470.16 2026-05-16
335 CPT Peritoneal Adhesiolysis With Mcc 10 10 — — $29,571.45 $40,365.03 $29,571.45 2026-05-16
344 CPT Minor Small And Large Bowel Procedures With Mcc 19 17 — — $15,355.83 $29,195.67 $21,388.77 2026-05-16
347 CPT Anal And Stomal Procedures With Mcc 19 17 — — $13,814.40 $26,112.79 $19,130.25 2026-05-16
350 CPT Inguinal And Femoral Hernia Procedures With Mcc 19 17 — — $14,842.07 $28,168.14 $20,636.00 2026-05-16
353 CPT Hernia Procedures Except Inguinal And Femoral With Mcc 10 10 — — $24,032.13 $32,803.86 $24,032.13 2026-05-16
356 CPT Other Digestive System O.r. Procedures With Comorbity 10 10 — — $36,377.79 $49,655.68 $36,377.79 2026-05-16
357 CPT Other Digestive System O.r. Procedures With Cc 19 17 — — $13,963.24 $26,410.48 $19,348.34 2026-05-16
359 CPT Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 10 — — $28,475.84 $38,869.52 $28,475.84 2026-05-16
360 CPT Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 19 17 — — $14,405.31 $27,294.61 $19,996.05 2026-05-16
374 CPT Digestive Malignancy With Mcc 19 17 — — $13,033.32 $24,550.64 $17,985.82 2026-05-16
397 CPT Appendix Procedures With Mcc 19 17 — — $14,308.73 $27,101.46 $19,854.55 2026-05-16
402 CPT Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 10 — — $33,294.68 $45,447.24 $33,294.68 2026-05-16
405 CPT Pancreas, Liver And Shunt Procedures With Mcc 10 10 — — $45,302.50 $61,837.91 $45,302.50 2026-05-16
406 CPT Pancreas, Liver And Shunt Procedures With Cc 10 10 — — $24,017.23 $32,783.52 $24,017.23 2026-05-16
407 CPT Pancreas, Liver And Shunt Procedures Without Cc/mcc 19 17 — — $13,436.06 $25,356.12 $18,575.91 2026-05-16
408 CPT Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 10 — — $29,527.58 $40,305.15 $29,527.58 2026-05-16
409 CPT Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 17 — — $13,225.49 $24,934.97 $18,267.38 2026-05-16
411 CPT Cholecystectomy With C.d.e. With Mcc 10 10 — — $27,355.40 $37,340.12 $27,355.40 2026-05-16
414 CPT Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 10 — — $29,502.71 $40,271.20 $29,502.71 2026-05-16
417 CPT Laparoscopic Cholecystectomy Without C.d.e. With Mcc 19 17 — — $14,266.42 $27,016.83 $19,792.55 2026-05-16
420 CPT Hepatobiliary Diagnostic Procedures With Comorbity 10 10 — — $28,214.98 $38,513.45 $28,214.98 2026-05-16
423 CPT Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 10 — — $34,391.95 $46,945.01 $34,391.95 2026-05-16
424 CPT Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 19 17 — — $13,278.26 $25,040.52 $18,344.70 2026-05-16
426 CPT Non-hypovolemic Sodium Disorders 10 10 — — $91,269.12 $124,582.35 $91,269.12 2026-05-16
427 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 10 — — $59,778.90 $81,598.20 $59,778.90 2026-05-16
428 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 10 — — $46,557.10 $63,550.44 $46,557.10 2026-05-16
429 CPT Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 10 — — $74,610.60 $101,843.47 $74,610.60 2026-05-16
430 CPT Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 10 — — $47,758.69 $65,190.61 $47,758.69 2026-05-16
447 CPT Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 10 — — $55,331.88 $75,528.02 $55,331.88 2026-05-16
448 CPT Multiple Level Spinal Fusion Except Cervical Without Mcc 10 10 — — $35,119.06 $47,937.52 $35,119.06 2026-05-16
450 CPT Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 10 — — $44,135.65 $60,245.16 $44,135.65 2026-05-16
451 CPT Single Level Spinal Fusion Except Cervical Without Mcc 10 10 — — $26,751.69 $36,516.06 $26,751.69 2026-05-16
456 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $69,590.52 $94,991.06 $69,590.52 2026-05-16
457 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $49,381.82 $67,406.18 $49,381.82 2026-05-16
458 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $34,554.27 $47,166.58 $34,554.27 2026-05-16
461 CPT Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 10 — — $45,737.25 $62,431.35 $45,737.25 2026-05-16
462 CPT Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 17 — — $15,792.17 $30,068.33 $22,028.08 2026-05-16
463 CPT Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 10 10 — — $47,198.90 $64,426.50 $47,198.90 2026-05-16
464 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 10 — — $25,793.55 $35,208.20 $25,793.55 2026-05-16
466 CPT Revision Of Hip Or Knee Replacement With Comorbity 10 10 — — $43,107.13 $58,841.23 $43,107.13 2026-05-16
467 CPT Revision Of Hip Or Knee Replacement With Complication 10 10 — — $29,204.59 $39,864.27 $29,204.59 2026-05-16
468 CPT Revision Of Hip Or Knee Replacement Without Cc/mcc 10 10 — — $22,756.83 $31,063.07 $22,756.83 2026-05-16
469 CPT Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 10 10 — — $25,118.63 $34,286.93 $25,118.63 2026-05-16
471 CPT Cervical Spinal Fusion With Comorbity 10 10 — — $39,987.60 $54,583.07 $39,987.60 2026-05-16
472 CPT Cervical Spinal Fusion With Complication 10 10 — — $24,397.35 $33,302.38 $24,397.35 2026-05-16
473 CPT Cervical Spinal Fusion Without Complication/comorbity 19 17 — — $14,556.09 $27,596.18 $20,216.98 2026-05-16
474 CPT Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 10 — — $35,550.50 $48,526.43 $35,550.50 2026-05-16
475 CPT Amputation For Musculoskeletal Sys & Conn Tissue Dis With Complication 19 17 — — $13,715.34 $25,914.68 $18,985.11 2026-05-16
477 CPT Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity 10 10 — — $28,608.35 $39,050.40 $28,608.35 2026-05-16
478 CPT Biopsies Of Musculoskeletal System And Connective Tissue With Cc 19 17 — — $14,657.26 $27,798.53 $20,365.22 2026-05-16
480 CPT Hip & Femur Procedures Except Major Joint With Comorbity 10 10 — — $24,117.45 $32,920.32 $24,117.45 2026-05-16
483 CPT Major Joint/limb Reattachment Procedure Of Upper Extremities 10 10 — — $22,954.75 $31,333.23 $22,954.75 2026-05-16
485 CPT Knee Procedures With Pdx Of Infection With Comorbity 10 10 — — $26,724.37 $36,478.77 $26,724.37 2026-05-16
492 CPT Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 10 — — $30,405.38 $41,503.34 $30,405.38 2026-05-16
493 CPT Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 19 17 — — $15,091.89 $28,667.78 $21,002.04 2026-05-16
495 CPT Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 10 — — $30,025.26 $40,984.48 $30,025.26 2026-05-16
498 CPT Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 10 10 — — $24,982.83 $34,101.56 $24,982.83 2026-05-16
500 CPT Soft Tissue Procedures With Mcc 10 10 — — $26,208.44 $35,774.52 $26,208.44 2026-05-16
503 CPT Foot Procedures With Mcc 10 10 — — $23,113.75 $31,550.27 $23,113.75 2026-05-16
510 CPT Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 10 — — $25,013.46 $34,143.37 $25,013.46 2026-05-16
515 CPT Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 10 — — $26,391.46 $36,024.34 $26,391.46 2026-05-16
518 CPT Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 10 — — $30,949.45 $42,246.00 $30,949.45 2026-05-16
521 CPT Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 10 — — $23,768.79 $32,444.40 $23,768.79 2026-05-16
53445 CPT Insert Uro/ves Nck Sphincter 17 15 $1,371.00 $1,096.80 20% off $5,182.00 $26,162.31 $26,162.31 2026-05-16
53447 CPT Remove/replace Ur Sphincter 17 15 $1,459.00 $1,167.20 $5,182.00 $26,162.31 $26,162.31 2026-05-16
54405 CPT Insert Multi-comp Penis Pros 17 15 $1,472.00 $1,177.60 20% off $5,182.00 $26,162.31 $26,162.31 2026-05-16
54410 CPT Remove/replace Penis Prosth 16 15 $1,550.00 $1,240.00 20% off $26,162.31 $26,162.31 $26,162.31 2026-05-16
54417 CPT Remv/replc Penis Pros Compl 16 15 $1,616.00 $1,292.80 20% off $26,162.31 $26,162.31 $26,162.31 2026-05-16
545 CPT Connective Tissue Disorders With Mcc 19 17 — — $14,784.42 $28,052.84 $20,551.53 2026-05-16
570 CPT Skin Debridement With Mcc 10 10 — — $24,355.93 $33,245.84 $24,355.93 2026-05-16
573 CPT Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 10 — — $54,253.68 $74,056.27 $54,253.68 2026-05-16
574 CPT Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 10 — — $28,747.47 $39,240.30 $28,747.47 2026-05-16
576 CPT Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 10 — — $40,587.99 $55,402.61 $40,587.99 2026-05-16
577 CPT Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 17 — — $15,739.60 $29,963.20 $21,951.06 2026-05-16
579 CPT Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 10 — — $26,818.78 $36,607.63 $26,818.78 2026-05-16
584 CPT Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 19 17 — — $13,043.30 $24,570.59 $18,000.43 2026-05-16
614 CPT Adrenal And Pituitary Procedures With Cc/mcc 19 17 — — $13,297.67 $25,079.35 $18,373.15 2026-05-16
616 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 10 — — $28,879.97 $39,421.16 $28,879.97 2026-05-16
619 CPT O.r. Procedures For Obesity With Mcc 10 10 — — $23,911.23 $32,638.83 $23,911.23 2026-05-16
622 CPT Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 10 — — $29,474.57 $40,232.79 $29,474.57 2026-05-16
625 CPT Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 10 — — $25,010.14 $34,138.84 $25,010.14 2026-05-16
628 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 10 — — $30,862.50 $42,127.31 $30,862.50 2026-05-16
629 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 19 17 — — $13,232.95 $24,949.91 $18,278.32 2026-05-16
63655 CPT Implant Neuroelectrodes 25 21 $2,589.00 $2,071.20 20% off $20,709.10 $24,488.51 $24,488.51 2026-05-16
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 19 15 $1,208.00 $966.40 20% off $5,182.00 $38,951.25 $38,951.25 2026-05-16
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 17 15 $290.00 $232.00 20% off $5,182.00 $24,488.51 $24,488.51 2026-05-16
650 CPT Kidney Transplant With Hemodialysis With Mcc 10 10 — — $38,933.39 $53,144.08 $38,933.39 2026-05-16
651 CPT Kidney Transplant With Hemodialysis Without Mcc 10 10 — — $30,688.58 $41,889.91 $30,688.58 2026-05-16
652 CPT Kidney Transplant 10 10 — — $26,744.24 $36,505.89 $26,744.24 2026-05-16
653 CPT Major Bladder Procedures With Mcc 10 10 — — $43,032.60 $58,739.50 $43,032.60 2026-05-16
654 CPT Major Bladder Procedures With Cc 10 10 — — $23,181.65 $31,642.95 $23,181.65 2026-05-16
656 CPT Kidney And Ureter Procedures For Neoplasm With Mcc 10 10 — — $26,365.78 $35,989.29 $26,365.78 2026-05-16
659 CPT Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 17 — — $15,119.02 $28,722.04 $21,041.79 2026-05-16
662 CPT Minor Bladder Procedures With Mcc 10 10 — — $25,353.00 $34,606.84 $25,353.00 2026-05-16
665 CPT Prostatectomy With Comorbity 10 10 — — $25,847.39 $35,281.69 $25,847.39 2026-05-16
668 CPT Transurethral Procedures With Mcc 10 10 — — $24,181.21 $33,007.35 $24,181.21 2026-05-16
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 10 10 — — $34,794.43 $47,494.40 $34,794.43 2026-05-16
674 CPT Other Kidney And Urinary Tract Procedures With Cc 19 17 — — $14,028.45 $26,540.91 $19,443.89 2026-05-16
709 CPT Penis Procedures With Cc/mcc 19 17 — — $13,971.20 $26,426.40 $19,360.00 2026-05-16
715 CPT Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 19 17 — — $13,524.17 $25,532.35 $18,705.02 2026-05-16
736 CPT Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 10 — — $29,601.27 $40,405.73 $29,601.27 2026-05-16
739 CPT Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 10 — — $29,670.00 $40,499.55 $29,670.00 2026-05-16
749 CPT Other Female Reproductive System O.r. Procedures With Cc/mcc 19 17 — — $15,269.92 $29,023.84 $21,262.89 2026-05-16
790 CPT Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 10 — — $49,219.50 $67,184.62 $49,219.50 2026-05-16
791 CPT Prematurity With Major Problems 10 10 — — $33,613.52 $45,882.45 $33,613.52 2026-05-16
792 CPT Prematurity Without Major Problems 19 17 — — $14,600.74 $27,685.48 $20,282.40 2026-05-16
793 CPT Full Term Neonate With Major Problems 10 10 — — $34,529.43 $47,132.67 $34,529.43 2026-05-16
799 CPT Splenic Procedures With Mcc 10 10 — — $37,504.88 $51,194.16 $37,504.88 2026-05-16
800 CPT Splenectomy With Complication 10 10 — — $23,265.29 $31,757.12 $23,265.29 2026-05-16
802 CPT Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 10 — — $32,993.26 $45,035.80 $32,993.26 2026-05-16
808 CPT Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Comorbity 19 17 — — $13,377.82 $25,239.63 $18,490.57 2026-05-16
817 CPT Other Antepartum Diagnoses With O.r. Procedure With Comorbity 19 17 — — $13,744.70 $25,973.41 $19,028.14 2026-05-16
820 CPT Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 10 — — $48,567.77 $66,295.01 $48,567.77 2026-05-16
821 CPT Lymphoma And Leukemia With Major O.r. Procedures With Cc 19 17 — — $13,530.65 $25,545.29 $18,714.50 2026-05-16
823 CPT Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 10 — — $37,967.80 $51,826.05 $37,967.80 2026-05-16
824 CPT Lymphoma And Non-acute Leukemia With Other Procedures With Cc 19 17 — — $13,665.07 $25,814.13 $18,911.45 2026-05-16
826 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 10 — — $38,737.96 $52,877.32 $38,737.96 2026-05-16
827 CPT Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Complication 19 17 — — $13,892.07 $26,268.13 $19,244.05 2026-05-16
829 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 10 — — $26,168.71 $35,720.29 $26,168.71 2026-05-16
834 CPT Acute Leukemia With Mcc 10 10 — — $45,463.15 $62,057.20 $45,463.15 2026-05-16
837 CPT Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 10 — — $39,785.52 $54,307.23 $39,785.52 2026-05-16
840 CPT Lymphoma And Non-acute Leukemia With Mcc 10 10 — — $26,788.95 $36,566.92 $26,788.95 2026-05-16
846 CPT Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 19 17 — — $15,410.66 $29,305.31 $21,469.09 2026-05-16
849 CPT Radiotherapy 10 10 — — $22,438.01 $30,627.88 $22,438.01 2026-05-16
850 CPT Acute Leukemia With Other Procedures 10 10 — — $71,711.33 $97,885.97 $71,711.33 2026-05-16
853 CPT Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 10 10 — — $40,897.69 $55,825.35 $40,897.69 2026-05-16
856 CPT Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 10 10 — — $37,668.84 $51,417.97 $37,668.84 2026-05-16
857 CPT Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 19 17 — — $13,047.27 $24,578.54 $18,006.26 2026-05-16
870 CPT Septicemia Or Severe Sepsis With Mv >96 Hours 10 10 — — $57,238.23 $78,130.18 $57,238.23 2026-05-16
876 CPT O.r. Procedures With Principal Diagnosis Of Mental Illness 10 10 — — $32,006.14 $43,688.38 $32,006.14 2026-05-16
901 CPT Wound Debridements For Injuries With Mcc 10 10 — — $34,753.02 $47,437.87 $34,753.02 2026-05-16
904 CPT Skin Grafts For Injuries With Cc/mcc 10 10 — — $30,417.80 $41,520.30 $30,417.80 2026-05-16
907 CPT Other O.r. Procedures For Injuries With Comorbity 10 10 — — $31,794.13 $43,398.99 $31,794.13 2026-05-16
927 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 10 — — $176,808.45 $241,343.53 $176,808.45 2026-05-16
928 CPT Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 10 — — $59,398.79 $81,079.35 $59,398.79 2026-05-16
929 CPT Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 10 — — $26,672.19 $36,407.54 $26,672.19 2026-05-16
92933 CPT Removal Of Plaque; Insertion Of Stent And Balloon Dilation Of Single Coronary Ar… 68 22 $32,561.25 $26,049.00 20% off $19,568.52 $26,711.03 $23,139.78 2026-05-16
933 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 10 — — $32,248.78 $44,019.58 $32,248.78 2026-05-16
934 CPT Full Thickness Burn Without Skin Graft Or Inhalation Injury 19 17 — — $13,391.25 $25,266.50 $18,510.26 2026-05-16
939 CPT O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 10 — — $30,048.45 $41,016.13 $30,048.45 2026-05-16
940 CPT O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 19 17 — — $14,020.00 $26,524.00 $19,431.50 2026-05-16
955 CPT Craniotomy For Multiple Significant Trauma 10 10 — — $55,741.81 $76,087.57 $55,741.81 2026-05-16
956 CPT Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma 10 10 — — $31,162.29 $42,536.53 $31,162.29 2026-05-16
957 CPT Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 10 — — $63,102.16 $86,134.45 $63,102.16 2026-05-16
958 CPT Other O.r. Procedures For Multiple Significant Trauma With Cc 10 10 — — $34,896.28 $47,633.42 $34,896.28 2026-05-16
959 CPT Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 10 10 — — $24,380.77 $33,279.75 $24,380.77 2026-05-16
963 CPT Other Multiple Significant Trauma With Mcc 10 10 — — $22,639.23 $30,902.55 $22,639.23 2026-05-16
969 CPT HIV With Extensive O.r. Procedures With Mcc 10 10 — — $50,691.91 $69,194.46 $50,691.91 2026-05-16
970 CPT HIV With Extensive O.r. Procedures Without Mcc 19 17 — — $15,664.43 $29,812.87 $21,840.93 2026-05-16
974 CPT HIV With Major Related Condition With Comorbity 10 10 — — $23,899.63 $32,622.99 $23,899.63 2026-05-16
981 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 10 10 — — $38,853.89 $53,035.56 $38,853.89 2026-05-16
982 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 19 17 — — $14,653.30 $27,790.59 $20,359.41 2026-05-16
987 CPT Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 10 — — $28,391.38 $38,754.23 $28,391.38 2026-05-16
C9602 CPT Percutaneous Transluminal Coronary Atherectomy; With Drug Eluting Intracoronary … 26 22 $32,561.25 $26,049.00 20% off $19,568.52 $26,711.03 $23,139.78 2026-05-16
C9607 CPT Percutaneous Transluminal Revascularization Of Chronic Total Occlusion; Coronary… 78 22 $28,412.00 $22,729.60 20% off $17,841.55 $26,711.03 $23,139.78 2026-05-16
C9765 CPT Revascularization; Endovascular; Open Or Percutaneous; Lower Extremity Artery(ie… 78 22 $20,629.00 $16,503.20 $19,568.52 $26,711.03 $23,139.78 2026-05-16
C9766 CPT Revasc Intra Lithotrip-ather 26 22 $20,629.00 $16,503.20 $19,568.52 $26,711.03 $23,139.78 2026-05-16
C9767 CPT Revasc Lithotrip-stent-ather 26 22 $20,629.00 $16,503.20 $19,568.52 $26,711.03 $23,139.78 2026-05-16
C9773 CPT Revasc Lithotr-stent Tib/per 26 22 $20,629.00 $16,503.20 $19,568.52 $26,711.03 $23,139.78 2026-05-16
C9774 CPT Revasc Lithotr-ather Tib/per 26 22 $20,629.00 $16,503.20 $19,568.52 $26,711.03 $23,139.78 2026-05-16
C9775 CPT Revasc Lith-sten-ath Tib/per 26 22 $20,629.00 $16,503.20 $19,568.52 $26,711.03 $23,139.78 2026-05-16
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