Price Transparencybeta 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

HENDERSON COMMUNITY HOSPITAL

Henderson, NE · CCN 281308 · Rates published

1,393 distinct procedures filed
14 distinct payers
34,872 rate rows
2026-05-01 last MRF observed
Data quality

34,480 of 34,872 rate rows are consumer-grade (98.9%)

392 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
percent-of-charges filed in the dollar field — excluded from medians 288
per-diem day rate — not a per-procedure price 56
placeholder amount (≤ $0.02) — excluded from medians 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hhcsinc.org/hhc_pricetransparency/470366569_henderson-health-care-services,-inc._standardcharges.csv
Found on page https://hendersonhealthcare.org/patient-info/hospital-price/
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-01
Content fingerprint 96f921fffdda9e75… · 10,039,966 bytes · first seen 2026-06-16

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
J9274
HCPCS 		Tebentafusp-tebn Vial [100 Mcg/0.5 Ml] 14 $11,826.00 $23,178.96 $12,299.04 nat. median
$285
outlier · 43.2×
J3101
HCPCS 		Tnkase 50mg Pwd Vial IV 14 $5,358.00 $10,501.68 $5,572.32 nat. median
$498
outlier · 11.2×
J9173
HCPCS 		Durvalumab Vial [500 Mg/10 Ml] 14 $4,750.00 $9,310.00 $4,940.00 nat. median
$588
outlier · 8.4×
23472
HCPCS 		Arthroplasty, Glenohumeral, Total Shldr 14 $4,537.50 $8,893.50 $4,719.00 nat. median
$16,735
outlier · 0.3×
27447
HCPCS 		Arthroplasty, Knee; Total Knee 14 $4,207.50 $8,246.70 $4,375.80 nat. median
$12,374
outlier · 0.4×
29888
HCPCS 		Arthroscopy Acl Repair/aug/reconstruct 14 $4,140.00 $8,114.40 $4,305.60 nat. median
$7,221
0.6× median
27130
HCPCS 		Arthroplasty, Total Hip 14 $4,072.50 $7,982.10 $4,235.40 nat. median
$12,734
outlier · 0.3×
54600
HCPCS 		Reduce Testis Torsion 14 $3,651.50 $7,156.94 $3,797.56 nat. median
$3,692
1.0× median
58552
HCPCS 		Lapar Assisted Vag Hysterectomy 14 $3,625.00 $7,105.00 $3,770.00 nat. median
$10,168
outlier · 0.4×
44180
HCPCS 		Laparoscopy, Surgical, Enterolysis 14 $3,605.00 $7,065.80 $3,749.20 nat. median
$6,040
0.6× median
29882
HCPCS 		Arthroscopy, Knee Medial/lateral Meniscu 14 $3,492.50 $6,845.30 $3,632.20 nat. median
$3,592
1.0× median
78815
HCPCS 		PET Scan W/ct; Skull To Mid-thigh 14 $3,240.00 $6,350.40 $3,369.60 nat. median
$1,679
outlier · 2.0×
78816
HCPCS 		PET Scan W/ct; Whole Body 14 $3,235.00 $6,340.60 $3,364.40 nat. median
$1,696
2.0× median
29806
HCPCS 		Arthroscopy, Shoulder, Surgical 14 $3,057.50 $5,992.70 $3,179.80 nat. median
$7,073
outlier · 0.4×
47563
HCPCS 		Laps Surg Cholecystectomy With Cholangiogr 14 $3,000.00 $5,880.00 $3,120.00 nat. median
$6,246
outlier · 0.5×
44970
HCPCS 		Laparoscopy Appendectomy 14 $2,995.00 $5,870.20 $3,114.80 nat. median
$6,065
0.5× median
74174
HCPCS 		CT Angiography Abd & Pelvis W Contrast 14 $2,982.50 $5,845.70 $3,101.80 nat. median
$549
outlier · 5.7×
28208
HCPCS 		Repair Tendon Extensor Ft 1/2 Each 14 $2,925.00 $5,733.00 $3,042.00 nat. median
$3,399
0.9× median
58262
HCPCS 		Vag. Hysterectomy W/remova 14 $2,890.00 $5,664.40 $3,005.60 nat. median
$5,192
0.6× median
47562
HCPCS 		Laparoscopy Cholecystectomy 14 $2,870.00 $5,625.20 $2,984.80 nat. median
$6,043
outlier · 0.5×
74178
HCPCS 		CT Abdomen & Pelvis W & Without Contrast 14 $2,782.50 $5,453.70 $2,893.80 nat. median
$539
outlier · 5.4×
49650
HCPCS 		Lap Inguinal Hernia Repair W/mesh 14 $2,730.00 $5,350.80 $2,839.20 nat. median
$5,726
outlier · 0.5×
58260
HCPCS 		Vaginal Hysterectomy 14 $2,627.50 $5,149.90 $2,732.60 nat. median
$5,217
0.5× median
11771
HCPCS 		Excision Of Pilonidal Cyst Or Sinus 14 $2,627.50 $5,149.90 $2,732.60 nat. median
$2,968
0.9× median
29827
HCPCS 		Arthroscopy, Shoulder; W/rotator Cuff 14 $2,625.00 $5,145.00 $2,730.00 nat. median
$7,413
outlier · 0.4×
28300
HCPCS 		Osteotomy, Calcaneous W/wo Internal Fix 14 $2,545.00 $4,988.20 $2,646.80 nat. median
$6,476
outlier · 0.4×
29881
HCPCS 		Arthroscopy Meniscectomy Medial/lateral 14 $2,475.00 $4,851.00 $2,574.00 nat. median
$3,680
0.7× median
29877
HCPCS 		Arthroscopy Knee; Debride/shave Art Cart 14 $2,438.00 $4,778.48 $2,535.52 nat. median
$3,605
0.7× median
28750
HCPCS 		Arthodesis, Great Toe; Metatarsophalalng 14 $2,435.00 $4,772.60 $2,532.40 nat. median
$7,165
outlier · 0.4×
44186
HCPCS 		Laparoscopy, Sugical; Jejunostomy 14 $2,432.50 $4,767.70 $2,529.80 nat. median
$5,894
outlier · 0.4×
28296
HCPCS 		Bunionectomy W/sesamoid Distal Metatarsa 14 $2,402.50 $4,708.90 $2,498.60 nat. median
$3,714
0.7× median
23430
HCPCS 		Tenodesis Long Tendon Biceps 14 $2,365.00 $4,635.40 $2,459.60 nat. median
$6,774
outlier · 0.4×
27695
HCPCS 		Repair, Prim Ligament Ankle; Collateral 14 $2,342.50 $4,591.30 $2,436.20 nat. median
$6,613
outlier · 0.4×
74177
HCPCS 		CT Abdomen & Pelvis W Contrast 14 $2,332.50 $4,571.70 $2,425.80 nat. median
$501
outlier · 4.8×
29894
HCPCS 		Arhtoroscopy, Ankle; W/removal Loose/fb 14 $2,331.00 $4,568.76 $2,424.24 nat. median
$3,714
0.7× median
29898
HCPCS 		Arthroscopy, Ankle; Debride Extensive 14 $2,331.00 $4,568.76 $2,424.24 nat. median
$3,489
0.7× median
27632
HCPCS 		Excision Tumor Leg/ankle Subq 3cm+ 14 $2,315.00 $4,537.40 $2,407.60 nat. median
$3,004
0.8× median
27618
HCPCS 		Excision Tumor Leg Or Ankle Subq Tis 14 $2,280.00 $4,468.80 $2,371.20 nat. median
$1,778
1.3× median
49505
HCPCS 		Repair 1st Inguinal Hernia 14 $2,260.00 $4,429.60 $2,350.40 nat. median
$4,049
0.6× median
28086
HCPCS 		Synovectomy, Tendon Sheath, Foot; Flexor 14 $2,252.50 $4,414.90 $2,342.60 nat. median
$3,204
0.7× median
29826
HCPCS 		Arthroscopy, Shldr, Subacromial Decomp 14 $2,252.50 $4,414.90 $2,342.60 nat. median
$3,950
0.6× median
49593
HCPCS 		Repair Ant Abd Hernia 3-10cm Reducible 14 $2,252.50 $4,414.90 $2,342.60 nat. median
$6,490
outlier · 0.4×
J0897
HCPCS 		Prolia 60mg/1ml Syringe Subq 14 $1,259.50 $4,413.92 $2,342.08 nat. median
$86
outlier · 27.2×
57260
HCPCS 		Combined Anterpost Colporrhaphy With Cysto 14 $2,250.00 $4,410.00 $2,340.00 nat. median
$5,224
outlier · 0.4×
72156
HCPCS 		MRI Cervical Spine W/wo Contrast 14 $2,250.00 $4,410.00 $2,340.00 nat. median
$625
outlier · 3.7×
5726080
OTHER 		Combined Anteroposteior Colporrhaphy 14 $2,250.00 $4,410.00 $2,340.00 —
28116
HCPCS 		Ostectomy Excision Of Tarsal Coalition 14 $2,217.50 $4,346.30 $2,306.20 nat. median
$3,458
0.7× median
59510
HCPCS 		Routine OB Care W/cesarean Section 14 $2,210.00 $4,331.60 $2,298.40 nat. median
$3,349
0.7× median
95811
HCPCS 		Polysomnography W/cpap, Attended By Tech 14 $2,207.50 $4,326.70 $2,295.80 nat. median
$1,412
1.6× median
27792
HCPCS 		Orif Distal Fibular Fracture 14 $2,200.00 $4,312.00 $2,288.00 nat. median
$7,254
outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 1,393 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
             
Q5108 HCPCS Fulphila Syr [6 Mg/ 0.6 Ml] 16 14 $2,633.00 $2,633.00 $1,316.50 $2,580.34 $1,369.16 2026-05-01
Q5106 HCPCS Epoetin Alfa Epbx Vial [ 40,000 UN/mL] 16 14 $917.00 $917.00 $458.50 $898.66 $476.84 2026-05-01
P9073 HCPCS Platelets, Phersis, Pathogenreduce Ea Un 16 14 $1,895.00 $1,895.00 $947.50 $1,857.10 $985.40 2026-05-01
P9037 HCPCS Platelets, Pheresis, Leukocytes Irradiat 16 14 $1,960.00 $1,960.00 $980.00 $1,920.80 $1,019.20 2026-05-01
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced 16 14 $1,545.00 $1,545.00 $772.50 $1,514.10 $803.40 2026-05-01
L0454 HCPCS Brace Tlso 16 14 $2,667.00 $2,667.00 $1,333.50 $2,613.66 $1,386.84 2026-05-01
J9274 HCPCS Tebentafusp-tebn Vial [100 Mcg/0.5 Ml] 16 14 $23,652.00 $23,652.00 $11,826.00 $23,178.96 $12,299.04 2026-05-01
J9217 HCPCS Eligard [22.5 Mg] 16 14 $938.00 $938.00 $469.00 $919.24 $487.76 2026-05-01
J9173 HCPCS Durvalumab Vial [500 Mg/10 Ml] 16 14 $9,500.00 $9,500.00 $4,750.00 $9,310.00 $4,940.00 2026-05-01
J7307 HCPCS Nexplanon Implant [68 Mg] 16 14 $1,546.00 $1,546.00 $773.00 $1,515.08 $803.92 2026-05-01
J3111 HCPCS Romosozumab-aqqg Syr [210 Mg / 2.34 Ml] 16 14 $3,163.00 $3,163.00 $1,581.50 $3,099.74 $1,644.76 2026-05-01
J3101 HCPCS Tnkase 50mg Pwd Vial IV 16 14 $10,716.00 $10,716.00 $5,358.00 $10,501.68 $5,572.32 2026-05-01
J1745 HCPCS Infliximab Vial [100 Mg] 16 14 $1,198.00 $1,198.00 $599.00 $1,174.04 $622.96 2026-05-01
J1439 HCPCS Ferric Carboxy Vial [750 Mg/15 Ml] 16 14 $1,810.00 $1,810.00 $905.00 $1,773.80 $941.20 2026-05-01
J0897 HCPCS Prolia 60mg/1ml Syringe Subq 32 14 $3,511.50 $3,511.50 $1,259.50 $4,413.92 $2,342.08 2026-05-01
J0875 HCPCS Dalbavancin Vial [500 Mg] 16 14 $2,424.00 $2,424.00 $1,212.00 $2,375.52 $1,260.48 2026-05-01
J0717 HCPCS Certolizumab Kit [200 Mg] 16 14 $3,890.00 $3,890.00 $1,945.00 $3,812.20 $2,022.80 2026-05-01
J0248 HCPCS Remdesivir Vial [100 Mg] 16 14 $1,143.00 $1,143.00 $571.50 $1,120.14 $594.36 2026-05-01
J0129 HCPCS Orencia 250 Mg Pwvl IV 16 14 $2,767.00 $2,767.00 $1,383.50 $2,711.66 $1,438.84 2026-05-01
G0121 HCPCS Colorectal Cancer Screen/ Colonoscop 32 14 $1,700.00 $1,700.00 $600.00 $2,156.00 $1,134.00 2026-05-01
G0105 HCPCS Colorectal Cancer Screening High Risk 32 14 $1,608.50 $1,608.50 $508.50 $2,156.00 $1,048.33 2026-05-01
C1781 HCPCS Gore Hernia Plug 128 14 $1,484.50 $1,484.50 $245.00 $3,506.44 $825.74 2026-05-01
C1771 HCPCS Advantage Fit Transvagl Mid-ureth Sling 16 14 $1,934.00 $1,934.00 $967.00 $1,895.32 $1,005.68 2026-05-01
99291 HCPCS Critical Care Eval/manage 1st 30-74 Min 32 14 $1,150.00 $1,150.00 $250.00 $1,764.00 $695.00 2026-05-01
99285 HCPCS Emergency Department Visit Level V 32 14 $850.00 $850.00 $250.00 $1,176.00 $545.00 2026-05-01
95811 HCPCS Polysomnography W/cpap, Attended By Tech 16 14 $4,415.00 $4,415.00 $2,207.50 $4,326.70 $2,295.80 2026-05-01
95810 HCPCS Polysomnography >4 Parameters Of Sleep 16 14 $3,865.00 $3,865.00 $1,932.50 $3,787.70 $2,009.80 2026-05-01
93975 HCPCS Duplex Renal/abdominal, Complete Study 16 14 $1,075.00 $1,075.00 $537.50 $1,053.50 $559.00 2026-05-01
93971 HCPCS Duplex Scan Extremity Veins Limited 16 14 $1,105.00 $1,105.00 $552.50 $1,082.90 $574.60 2026-05-01
93970 HCPCS Bilateral Venous Duplex 16 14 $1,360.00 $1,360.00 $680.00 $1,332.80 $707.20 2026-05-01
93931 HCPCS Arterial Duplex Limited Upper 16 14 $930.00 $930.00 $465.00 $911.40 $483.60 2026-05-01
93926 HCPCS Duplex Scan Lower Ext Limited Arterial 16 14 $1,070.00 $1,070.00 $535.00 $1,048.60 $556.40 2026-05-01
93925 HCPCS Duplex Lower Ext Bilateral 16 14 $1,225.00 $1,225.00 $612.50 $1,200.50 $637.00 2026-05-01
93882 HCPCS Carotid Duplex Unilateral Or Limited 16 14 $1,205.00 $964.00 20% off $602.50 $1,180.90 $626.60 2026-05-01
93880 HCPCS Duplex Scan Extracranial Ateries Bi 16 14 $1,535.00 $1,535.00 $767.50 $1,504.30 $798.20 2026-05-01
93350 HCPCS Stress Echocariogram 16 14 $1,660.00 $1,328.00 20% off $830.00 $1,626.80 $863.20 2026-05-01
93308 HCPCS Echocardiograpy/follow Up-limited St 16 14 $1,100.00 $1,100.00 $550.00 $1,078.00 $572.00 2026-05-01
93306 HCPCS Echocardiography 2d, M-mode, Doppler 16 14 $2,320.00 $2,320.00 $1,160.00 $2,273.60 $1,206.40 2026-05-01
93017 HCPCS ECG Stress Test-test Only 16 14 $1,150.00 $1,150.00 $575.00 $1,127.00 $598.00 2026-05-01
92960 HCPCS Cardioversion, Elective;external 16 14 $1,390.00 $1,112.00 20% off $695.00 $1,362.20 $722.80 2026-05-01
92950 HCPCS Cardiopulmonary Resuscitation 32 14 $876.50 $876.50 $369.00 $994.70 $527.80 2026-05-01
90375 HCPCS Rabies Immune Globulin [300 Units/2 Ml] 16 14 $1,759.00 $1,759.00 $879.50 $1,723.82 $914.68 2026-05-01
81539 HCPCS 4kscore Prostate Oncology 16 14 $1,199.00 $1,199.00 $599.50 $1,175.02 $623.48 2026-05-01
81455 HCPCS Myeloid Malignancies Mutation Panel 16 14 $2,270.00 $2,270.00 $1,135.00 $2,224.60 $1,180.40 2026-05-01
81408 HCPCS Molecular Pathology Procedure Level 9 16 14 $2,040.00 $1,632.00 20% off $1,020.00 $1,999.20 $1,060.80 2026-05-01
81206 HCPCS Bcr/alb1 Major Quantatative 16 14 $1,232.00 $1,232.00 $616.00 $1,207.36 $640.64 2026-05-01
81163 HCPCS Brca1/2 16 14 $1,658.00 $1,326.40 $829.00 $1,624.84 $862.16 2026-05-01
78816 HCPCS PET Scan W/ct; Whole Body 16 14 $6,470.00 $6,470.00 $3,235.00 $6,340.60 $3,364.40 2026-05-01
78815 HCPCS PET Scan W/ct; Skull To Mid-thigh 16 14 $6,480.00 $6,480.00 $3,240.00 $6,350.40 $3,369.60 2026-05-01
78452 HCPCS Heart Imaging, Mulitiple Studies 16 14 $4,390.00 $4,390.00 $2,195.00 $4,302.20 $2,282.80 2026-05-01
78315 HCPCS Bone Imaging, 3 Phase Study 16 14 $2,330.00 $2,330.00 $1,165.00 $2,283.40 $1,211.60 2026-05-01
78306 HCPCS Bone Imaging, Whole Body 16 14 $1,905.00 $1,905.00 $952.50 $1,866.90 $990.60 2026-05-01
78227 HCPCS Hepatobiliary Imaging With Gbef 16 14 $1,960.00 $1,960.00 $980.00 $1,920.80 $1,019.20 2026-05-01
78226 HCPCS Hepatobiliary Imaging Without Contrst 16 14 $1,695.00 $1,695.00 $847.50 $1,661.10 $881.40 2026-05-01
77001 HCPCS Fluoroguide Vad Placement 16 14 $1,020.00 $1,020.00 $510.00 $999.60 $530.40 2026-05-01
76937 HCPCS Ultrasound Guidance For Vascular Acce 16 14 $875.00 $875.00 $437.50 $857.50 $455.00 2026-05-01
76700 HCPCS Ultrasound Abdomen Complete 16 14 $910.00 $910.00 $455.00 $891.80 $473.20 2026-05-01
74185 HCPCS MRA Abdomen W/wo Contrast 16 14 $2,830.00 $2,830.00 $1,415.00 $2,773.40 $1,471.60 2026-05-01
74183 HCPCS MRI Abdomen W & Without Contrast 16 14 $4,285.00 $4,285.00 $2,142.50 $4,199.30 $2,228.20 2026-05-01
74181 HCPCS MRI Abdomen, Without Contrast 16 14 $3,270.00 $3,270.00 $1,635.00 $3,204.60 $1,700.40 2026-05-01
74178 HCPCS CT Abdomen & Pelvis W & Without Contrast 16 14 $5,565.00 $5,565.00 $2,782.50 $5,453.70 $2,893.80 2026-05-01
74177 HCPCS CT Abdomen & Pelvis W Contrast 16 14 $4,665.00 $4,665.00 $2,332.50 $4,571.70 $2,425.80 2026-05-01
74176 HCPCS CT Abdomen & Pelvis Without Contrast 16 14 $4,020.00 $4,020.00 $2,010.00 $3,939.60 $2,090.40 2026-05-01
74175 HCPCS CTA Abdomen W/wo Contrast 16 14 $3,475.00 $3,475.00 $1,737.50 $3,405.50 $1,807.00 2026-05-01
74174 HCPCS CT Angiography Abd & Pelvis W Contrast 16 14 $5,965.00 $5,965.00 $2,982.50 $5,845.70 $3,101.80 2026-05-01
74170 HCPCS Cat Scan Abdomen W/wo Contrast 16 14 $3,215.00 $3,215.00 $1,607.50 $3,150.70 $1,671.80 2026-05-01
74160 HCPCS Cat Scan Abdomen With Contrast 16 14 $2,550.00 $2,550.00 $1,275.00 $2,499.00 $1,326.00 2026-05-01
74150 HCPCS Cat Scan Abdomen Without Contrast 16 14 $2,370.00 $2,370.00 $1,185.00 $2,322.60 $1,232.40 2026-05-01
73723 HCPCS MRI Of Lower Joint W/wout Contrast 16 14 $3,400.00 $3,400.00 $1,700.00 $3,332.00 $1,768.00 2026-05-01
73722 HCPCS MRI Lower Extremity Joint W/contrast 16 14 $2,335.00 $1,868.00 20% off $1,167.50 $2,288.30 $1,214.20 2026-05-01
73721 HCPCS MRI Lower Joints Without Contrast 16 14 $2,730.00 $2,730.00 $1,365.00 $2,675.40 $1,419.60 2026-05-01
73720 HCPCS MRI Lwr Extremity W/wo Cont Nonjoint 16 14 $3,350.00 $3,350.00 $1,675.00 $3,283.00 $1,742.00 2026-05-01
73719 HCPCS MRI Lower Extremity W/cont Nonjoint 16 14 $3,175.00 $3,175.00 $1,587.50 $3,111.50 $1,651.00 2026-05-01
73718 HCPCS MRI Lower Extremity Without Contrst Nonjoint 16 14 $2,832.00 $2,832.00 $1,416.00 $2,775.36 $1,472.64 2026-05-01
73701 HCPCS Cat Scan Lower Extremity,w Contrast 16 14 $2,505.00 $2,505.00 $1,252.50 $2,454.90 $1,302.60 2026-05-01
73700 HCPCS CT Scan Lower Extremity Without Contrast 16 14 $2,340.00 $2,340.00 $1,170.00 $2,293.20 $1,216.80 2026-05-01
73223 HCPCS MRI Upper Ext Joint W/wo Contrast 16 14 $3,785.00 $3,785.00 $1,892.50 $3,709.30 $1,968.20 2026-05-01
73221 HCPCS MRI Any Up Extremity Joint Wo Contrast 16 14 $2,705.00 $2,705.00 $1,352.50 $2,650.90 $1,406.60 2026-05-01
73220 HCPCS MRI Upper Extremity W/wo Cont Non-joint 16 14 $3,300.00 $3,300.00 $1,650.00 $3,234.00 $1,716.00 2026-05-01
73218 HCPCS MRI Upper Extremity W/o, Non-joint 16 14 $2,855.00 $2,855.00 $1,427.50 $2,797.90 $1,484.60 2026-05-01
73201 HCPCS CT Scan Upper Extremity W Contrast 16 14 $2,300.00 $2,300.00 $1,150.00 $2,254.00 $1,196.00 2026-05-01
73200 HCPCS CT Scan Upper Extremity Wo Cont 16 14 $2,165.00 $2,165.00 $1,082.50 $2,121.70 $1,125.80 2026-05-01
72197 HCPCS MRI Pelvis With/without Contrast 16 14 $4,100.00 $4,100.00 $2,050.00 $4,018.00 $2,132.00 2026-05-01
72195 HCPCS MRI Pelvis Without Contrast 16 14 $3,195.00 $3,195.00 $1,597.50 $3,131.10 $1,661.40 2026-05-01
72193 HCPCS Cat Scan Pelvis With Contrast 16 14 $2,450.00 $2,450.00 $1,225.00 $2,401.00 $1,274.00 2026-05-01
72192 HCPCS Cat Scan Pelvis Without Contrast 16 14 $2,370.00 $2,370.00 $1,185.00 $2,322.60 $1,232.40 2026-05-01
72191 HCPCS CT Angiogram Pelvis W/contrast 16 14 $2,400.00 $2,400.00 $1,200.00 $2,352.00 $1,248.00 2026-05-01
72158 HCPCS MRI Lumbar Spine W/wo Contrast 16 14 $4,300.00 $4,300.00 $2,150.00 $4,214.00 $2,236.00 2026-05-01
72157 HCPCS MRI Thoracic Spine W/wout Contrast 16 14 $4,330.00 $4,330.00 $2,165.00 $4,243.40 $2,251.60 2026-05-01
72156 HCPCS MRI Cervical Spine W/wo Contrast 16 14 $4,500.00 $4,500.00 $2,250.00 $4,410.00 $2,340.00 2026-05-01
72149 HCPCS MRI Lumbar Spine With Contrast 16 14 $3,505.00 $3,505.00 $1,752.50 $3,434.90 $1,822.60 2026-05-01
72148 HCPCS MRI Lumbar Spne Without Contrast 16 14 $3,350.00 $3,350.00 $1,675.00 $3,283.00 $1,742.00 2026-05-01
72147 HCPCS MRI Thoracic Spine With Contrast 16 14 $3,505.00 $2,804.00 20% off $1,752.50 $3,434.90 $1,822.60 2026-05-01
72146 HCPCS MRI Thoracic Spine Without Contrast 16 14 $3,600.00 $3,600.00 $1,800.00 $3,528.00 $1,872.00 2026-05-01
72142 HCPCS MRI Cervical Spine W/contrast 16 14 $3,540.00 $2,832.00 20% off $1,770.00 $3,469.20 $1,840.80 2026-05-01
72141 HCPCS MRI Cervical Spine Without Contrast 16 14 $3,555.00 $3,555.00 $1,777.50 $3,483.90 $1,848.60 2026-05-01
72132 HCPCS Cat Scan Lumbar Spine With Contrast 16 14 $2,130.00 $1,704.00 20% off $1,065.00 $2,087.40 $1,107.60 2026-05-01
72131 HCPCS Cat Scan Lumber Spine Without Contrast 16 14 $2,440.00 $2,440.00 $1,220.00 $2,391.20 $1,268.80 2026-05-01
72128 HCPCS Cat Scan Thoracic Spine Without Contrast 16 14 $2,450.00 $2,450.00 $1,225.00 $2,401.00 $1,274.00 2026-05-01
72125 HCPCS Cat Scan C-spine Without Contrast 16 14 $2,510.00 $2,510.00 $1,255.00 $2,459.80 $1,305.20 2026-05-01
71275 HCPCS CT Angiography Chest W/contract/noncontr 16 14 $3,505.00 $3,505.00 $1,752.50 $3,434.90 $1,822.60 2026-05-01
71271 HCPCS Low Dose CT Lung Screening 16 14 $1,900.00 $1,900.00 $950.00 $1,862.00 $988.00 2026-05-01
71270 HCPCS Cat Scan Thorax W/wo Contrast 16 14 $2,730.00 $2,730.00 $1,365.00 $2,675.40 $1,419.60 2026-05-01
71260 HCPCS Cat Scan Chest W/contrast 16 14 $2,630.00 $2,630.00 $1,315.00 $2,577.40 $1,367.60 2026-05-01
71250 HCPCS Cat Scan Chest Without Contrast 16 14 $2,410.00 $2,410.00 $1,205.00 $2,361.80 $1,253.20 2026-05-01
70553 HCPCS MRI Brain W & Without Contrast 16 14 $4,150.00 $4,150.00 $2,075.00 $4,067.00 $2,158.00 2026-05-01
70552 HCPCS MRI Brain With Contrast 16 14 $3,805.00 $3,044.00 20% off $1,902.50 $3,728.90 $1,978.60 2026-05-01
70551 HCPCS MRI Brain Without Contrast 16 14 $3,666.00 $3,666.00 $1,833.00 $3,592.68 $1,906.32 2026-05-01
70549 HCPCS MRA Neck W & Without Contrast Material 16 14 $3,700.00 $3,700.00 $1,850.00 $3,626.00 $1,924.00 2026-05-01
70546 HCPCS MRA Of The Head W/wo Contrst 16 14 $4,050.00 $4,050.00 $2,025.00 $3,969.00 $2,106.00 2026-05-01
70544 HCPCS MRA Head Without Contrast 16 14 $3,500.00 $3,500.00 $1,750.00 $3,430.00 $1,820.00 2026-05-01
70543 HCPCS MRI Orbit,face,neck Without & W Contrast 16 14 $3,600.00 $3,600.00 $1,800.00 $3,528.00 $1,872.00 2026-05-01
70498 HCPCS CT Angiography Neck 16 14 $3,100.00 $3,100.00 $1,550.00 $3,038.00 $1,612.00 2026-05-01
70496 HCPCS CT Angiography Head 16 14 $3,150.00 $3,150.00 $1,575.00 $3,087.00 $1,638.00 2026-05-01
70492 HCPCS Cat Scan Neck W & Without Constrast 16 14 $2,780.00 $2,780.00 $1,390.00 $2,724.40 $1,445.60 2026-05-01
70491 HCPCS Cat Scan Neck With Contrast 16 14 $2,575.00 $2,575.00 $1,287.50 $2,523.50 $1,339.00 2026-05-01
70490 HCPCS Cat Scan Neck Without Contrast 16 14 $2,100.00 $2,100.00 $1,050.00 $2,058.00 $1,092.00 2026-05-01
70488 HCPCS Cat Scan Maxillofacial Area, W/wo Co 16 14 $2,900.00 $2,900.00 $1,450.00 $2,842.00 $1,508.00 2026-05-01
70486 HCPCS Cat Scan Maxillofacial Without Contrast 16 14 $1,935.00 $1,935.00 $967.50 $1,896.30 $1,006.20 2026-05-01
70470 HCPCS Cat Scan Head W/wo Contrast 16 14 $2,575.00 $2,575.00 $1,287.50 $2,523.50 $1,339.00 2026-05-01
70460 HCPCS Cat Scan Head With Contrast 16 14 $2,115.00 $1,692.00 20% off $1,057.50 $2,072.70 $1,099.80 2026-05-01
70450 HCPCS Cat Scan Head Without Contrast 16 14 $2,125.00 $2,125.00 $1,062.50 $2,082.50 $1,105.00 2026-05-01
69436 HCPCS Tympanostomy Unilateral W Gen Anesthesia 16 14 $2,140.00 $2,140.00 $1,070.00 $2,097.20 $1,112.80 2026-05-01
64721 HCPCS Neuroplasty/transposition Median Nerve 16 14 $3,225.00 $3,225.00 $1,612.50 $3,160.50 $1,677.00 2026-05-01
64718 HCPCS Transposition;ulnar Nerve At Elbow 16 14 $3,225.00 $3,225.00 $1,612.50 $3,160.50 $1,677.00 2026-05-01
64561 HCPCS Percut Implant Neurostim; Sacral Nerve 16 14 $3,000.00 $3,000.00 $1,500.00 $2,940.00 $1,560.00 2026-05-01
64483 HCPCS Inj Anes/ster Transforaminal Epi W/image 16 14 $1,900.00 $1,900.00 $950.00 $1,862.00 $988.00 2026-05-01
64447 HCPCS Inj Anes/steroid Femoral Nerve 16 14 $900.00 $900.00 $450.00 $882.00 $468.00 2026-05-01
64415 HCPCS Inj Anes/steroid Brach Plexus W/imaging 16 14 $950.00 $950.00 $475.00 $931.00 $494.00 2026-05-01
62326 HCPCS Njx Lmbr/sac Incl Indewelling 16 14 $1,110.00 $1,110.00 $555.00 $1,087.80 $577.20 2026-05-01
62322 HCPCS Njx Interlaminar Lmbr/sac 16 14 $1,080.00 $1,080.00 $540.00 $1,058.40 $561.60 2026-05-01
59515 HCPCS C-section With Postpartum Care 16 14 $2,448.00 $1,958.40 $1,224.00 $2,399.04 $1,272.96 2026-05-01
59514 HCPCS Cesarean Delivery - Assist 32 14 $1,495.00 $1,196.00 20% off $395.00 $2,156.00 $937.10 2026-05-01
59510 HCPCS Routine OB Care W/cesarean Section 16 14 $4,420.00 $4,420.00 $2,210.00 $4,331.60 $2,298.40 2026-05-01
59426 HCPCS Antepartum Care Only 7/> Visits 16 14 $2,000.00 $1,600.00 20% off $1,000.00 $1,960.00 $1,040.00 2026-05-01
59425 HCPCS Antepartum Care 4-6 Visits 16 14 $1,010.00 $808.00 20% off $505.00 $989.80 $525.20 2026-05-01
59410 HCPCS Vaginal Delivery Only With Postpartum Ca 16 14 $1,900.00 $1,520.00 20% off $950.00 $1,862.00 $988.00 2026-05-01
59409 HCPCS Vaginal Delivery Only 16 14 $1,450.00 $1,160.00 20% off $725.00 $1,421.00 $754.00 2026-05-01
59400 HCPCS Routine OB Care 16 14 $4,300.00 $3,440.00 20% off $2,150.00 $4,214.00 $2,236.00 2026-05-01
59300 HCPCS Episiotomy/vaginal Repair By Oth Attend 16 14 $2,000.00 $2,000.00 $1,000.00 $1,960.00 $1,040.00 2026-05-01
58563 HCPCS Hysteroscopy With Endometrial Ablation 16 14 $3,500.00 $3,500.00 $1,750.00 $3,430.00 $1,820.00 2026-05-01
5855280 OTHER Assist Lapar Assisted Vag Hysterectomy 16 14 $890.00 $890.00 $445.00 $872.20 $462.80 2026-05-01
58552 HCPCS Lapar Assisted Vag Hysterectomy 16 14 $7,250.00 $7,250.00 $3,625.00 $7,105.00 $3,770.00 2026-05-01
58262 HCPCS Vag. Hysterectomy W/remova 16 14 $5,780.00 $5,780.00 $2,890.00 $5,664.40 $3,005.60 2026-05-01
58260 HCPCS Vaginal Hysterectomy 16 14 $5,255.00 $5,255.00 $2,627.50 $5,149.90 $2,732.60 2026-05-01
58120 HCPCS D And C (non Ob) 16 14 $3,100.00 $3,100.00 $1,550.00 $3,038.00 $1,612.00 2026-05-01
57288 HCPCS Sling Operation For Stress Incontinence 16 14 $3,405.00 $3,405.00 $1,702.50 $3,336.90 $1,770.60 2026-05-01
5726080 OTHER Combined Anteroposteior Colporrhaphy 16 14 $4,500.00 $4,500.00 $2,250.00 $4,410.00 $2,340.00 2026-05-01
57260 HCPCS Combined Anterpost Colporrhaphy With Cysto 16 14 $4,500.00 $4,500.00 $2,250.00 $4,410.00 $2,340.00 2026-05-01
55250 HCPCS Vasectomy 16 14 $2,310.00 $2,310.00 $1,155.00 $2,263.80 $1,201.20 2026-05-01
54600 HCPCS Reduce Testis Torsion 16 14 $7,303.00 $7,303.00 $3,651.50 $7,156.94 $3,797.56 2026-05-01
52332 HCPCS Cystourethroscopy, W/insert Stent 16 14 $3,510.00 $3,510.00 $1,755.00 $3,439.80 $1,825.20 2026-05-01
52310 HCPCS Cystourethroscopy W/removal Stent 16 14 $1,950.00 $1,950.00 $975.00 $1,911.00 $1,014.00 2026-05-01
52281 HCPCS Cystourethroscopy W/dilation 16 14 $2,240.00 $2,240.00 $1,120.00 $2,195.20 $1,164.80 2026-05-01
52224 HCPCS Cystourehtoscopy With Fulguration Minor 16 14 $2,550.00 $2,550.00 $1,275.00 $2,499.00 $1,326.00 2026-05-01
52000 HCPCS Cystourethroscopy 16 14 $1,755.00 $1,755.00 $877.50 $1,719.90 $912.60 2026-05-01
51102 HCPCS Drain Bladder W Cath Insertion 16 14 $3,980.00 $3,980.00 $1,990.00 $3,900.40 $2,069.60 2026-05-01
49651 HCPCS Laparoscopic Repr Recur Inguinal Hernia 16 14 $3,855.00 $3,855.00 $1,927.50 $3,777.90 $2,004.60 2026-05-01
49650 HCPCS Lap Inguinal Hernia Repair W/mesh 16 14 $5,460.00 $5,460.00 $2,730.00 $5,350.80 $2,839.20 2026-05-01
49615 HCPCS Repair Recur Abd Hernia, 3-10 Cm Reduc 16 14 $4,110.00 $4,110.00 $2,055.00 $4,027.80 $2,137.20 2026-05-01
49593 HCPCS Repair Ant Abd Hernia 3-10cm Reducible 16 14 $4,505.00 $4,505.00 $2,252.50 $4,414.90 $2,342.60 2026-05-01
49591 HCPCS Repair Abd Hernia Any Approach W/mesh 16 14 $3,780.00 $3,780.00 $1,890.00 $3,704.40 $1,965.60 2026-05-01
49505 HCPCS Repair 1st Inguinal Hernia 16 14 $4,520.00 $4,520.00 $2,260.00 $4,429.60 $2,350.40 2026-05-01
49422 HCPCS Removal Tunneled Intraperitoneal Cath 16 14 $2,080.00 $2,080.00 $1,040.00 $2,038.40 $1,081.60 2026-05-01
47563 HCPCS Laps Surg Cholecystectomy With Cholangiogr 16 14 $6,000.00 $6,000.00 $3,000.00 $5,880.00 $3,120.00 2026-05-01
47562 HCPCS Laparoscopy Cholecystectomy 16 14 $5,740.00 $5,740.00 $2,870.00 $5,625.20 $2,984.80 2026-05-01
46614 HCPCS Anoscopy; Control Of Bleeding 16 14 $3,130.00 $3,130.00 $1,565.00 $3,067.40 $1,627.60 2026-05-01
46260 HCPCS Hemorrhoidectomy Inter/exter 2+ Columns 16 14 $4,075.00 $4,075.00 $2,037.50 $3,993.50 $2,119.00 2026-05-01
46221 HCPCS Hemorrhoidectomy, Simple Ligature 32 14 $825.00 $825.00 $350.00 $931.00 $494.00 2026-05-01
46040 HCPCS I&d Ischiorectal/perirectal Abscess (sp) 16 14 $2,415.00 $2,415.00 $1,207.50 $2,366.70 $1,255.80 2026-05-01
45388 HCPCS Colonoscopy W/ablation Of Lesion 32 14 $1,843.50 $1,843.50 $728.50 $2,185.40 $1,159.60 2026-05-01
45385 HCPCS Colonoscopy W/tumor Removal, Snare 32 14 $2,025.00 $2,025.00 $775.00 $2,450.00 $1,300.00 2026-05-01
45384 HCPCS Colonoscopy W/tumor Removal Hotbxforceps 32 14 $1,985.00 $1,985.00 $735.00 $2,450.00 $1,300.00 2026-05-01
45381 HCPCS Colonoscopy W/submucosal Inj Any Substnc 16 14 $2,630.00 $2,630.00 $1,315.00 $2,577.40 $1,367.60 2026-05-01
45380 HCPCS Colonoscopy W/biopsy 32 14 $1,965.00 $1,965.00 $815.00 $2,254.00 $1,196.00 2026-05-01
45378 HCPCS Diagnostic Colonoscopy 32 14 $1,700.00 $1,700.00 $600.00 $2,156.00 $1,134.00 2026-05-01
45331 HCPCS Sigmoid, Flex W/biopsy 16 14 $1,950.00 $1,950.00 $975.00 $1,911.00 $1,014.00 2026-05-01
44970 HCPCS Laparoscopy Appendectomy 16 14 $5,990.00 $5,990.00 $2,995.00 $5,870.20 $3,114.80 2026-05-01
44186 HCPCS Laparoscopy, Sugical; Jejunostomy 16 14 $4,865.00 $4,865.00 $2,432.50 $4,767.70 $2,529.80 2026-05-01
44180 HCPCS Laparoscopy, Surgical, Enterolysis 16 14 $7,210.00 $7,210.00 $3,605.00 $7,065.80 $3,749.20 2026-05-01
43251 HCPCS Endoscopy With Removal By Snare Tech 32 14 $2,045.50 $2,045.50 $550.50 $2,930.20 $1,286.99 2026-05-01
43250 HCPCS Upper Gi Endoscopy With Removal Hot Forcep 16 14 $2,525.00 $2,525.00 $1,262.50 $2,474.50 $1,313.00 2026-05-01
43249 HCPCS Balloon Dilation Of Esophagus(<30mm) 32 14 $2,212.50 $2,212.50 $900.00 $2,572.50 $1,365.00 2026-05-01
43247 HCPCS Upper Endoscopy W/removal Fb 32 14 $1,683.00 $1,683.00 $550.00 $2,220.68 $1,105.50 2026-05-01
43246 HCPCS Upper Gi Endoscopy; With Placement Percuta 16 14 $2,000.00 $2,000.00 $1,000.00 $1,960.00 $1,040.00 2026-05-01
43239 HCPCS Upper Gi Endoscopy, Biopsy 32 14 $1,915.00 $1,915.00 $550.00 $2,675.40 $1,221.50 2026-05-01
43235 HCPCS Upper Gi Endoscopy, Diagnostic 32 14 $1,392.00 $1,392.00 $367.00 $2,009.00 $872.16 2026-05-01
42975 HCPCS Drug Induced Sleep Endoscopy 16 14 $2,035.00 $2,035.00 $1,017.50 $1,994.30 $1,058.20 2026-05-01
42830 HCPCS Adenoidectomy Age<12 16 14 $2,370.00 $2,370.00 $1,185.00 $2,322.60 $1,232.40 2026-05-01
42825 HCPCS Tonsillectomy Primary/secondary Under 12 16 14 $2,675.00 $2,675.00 $1,337.50 $2,621.50 $1,391.00 2026-05-01
42821 HCPCS Tonsillectomy And Adenoid. Over Age 12 16 14 $3,410.00 $3,410.00 $1,705.00 $3,341.80 $1,773.20 2026-05-01
42820 HCPCS Tonsillectomy Adenoidectomy Under Age 12 16 14 $3,165.00 $3,165.00 $1,582.50 $3,101.70 $1,645.80 2026-05-01
38500 HCPCS Biopsy/excision Lymph Node, Open Sprf 16 14 $3,300.00 $3,300.00 $1,650.00 $3,234.00 $1,716.00 2026-05-01
36590 HCPCS Removal Of Implated Port 16 14 $2,100.00 $2,100.00 $1,050.00 $2,058.00 $1,092.00 2026-05-01
36569 HCPCS Picc Line Insertion 16 14 $2,320.00 $2,320.00 $1,160.00 $2,273.60 $1,206.40 2026-05-01
36561 HCPCS Insertion Of Tunneled Central Vad 16 14 $3,655.00 $3,655.00 $1,827.50 $3,581.90 $1,900.60 2026-05-01
36430 HCPCS Blood Administration - 1 Units 80 14 $1,110.00 $1,110.00 $442.50 $1,313.20 $670.00 2026-05-01
32551 HCPCS Tube Thoracostomy, Open 16 14 $1,357.00 $1,357.00 $678.50 $1,329.86 $705.64 2026-05-01
31267 HCPCS Maxillary Antrostomy; Rmvl Tissue 16 14 $2,875.00 $2,875.00 $1,437.50 $2,817.50 $1,495.00 2026-05-01
31254 HCPCS Nsl/sins Endoscopy Ethmoidectomy Partial 16 14 $2,350.00 $2,350.00 $1,175.00 $2,303.00 $1,222.00 2026-05-01
30520 HCPCS Septoplasty 16 14 $3,300.00 $3,300.00 $1,650.00 $3,234.00 $1,716.00 2026-05-01
30140 HCPCS Resection Inferior Turbinate 16 14 $2,925.00 $2,925.00 $1,462.50 $2,866.50 $1,521.00 2026-05-01
30100 HCPCS Biopsy, Intranasal 16 14 $1,230.00 $1,230.00 $615.00 $1,205.40 $639.60 2026-05-01
29898 HCPCS Arthroscopy, Ankle; Debride Extensive 16 14 $4,662.00 $4,662.00 $2,331.00 $4,568.76 $2,424.24 2026-05-01
29894 HCPCS Arhtoroscopy, Ankle; W/removal Loose/fb 16 14 $4,662.00 $4,662.00 $2,331.00 $4,568.76 $2,424.24 2026-05-01
29888 HCPCS Arthroscopy Acl Repair/aug/reconstruct 16 14 $8,280.00 $8,280.00 $4,140.00 $8,114.40 $4,305.60 2026-05-01
29882 HCPCS Arthroscopy, Knee Medial/lateral Meniscu 16 14 $6,985.00 $6,985.00 $3,492.50 $6,845.30 $3,632.20 2026-05-01
29881 HCPCS Arthroscopy Meniscectomy Medial/lateral 16 14 $4,950.00 $4,950.00 $2,475.00 $4,851.00 $2,574.00 2026-05-01
29877 HCPCS Arthroscopy Knee; Debride/shave Art Cart 16 14 $4,876.00 $4,876.00 $2,438.00 $4,778.48 $2,535.52 2026-05-01
29875 HCPCS Arthroscopy; Knee; Synovectomy Limited 16 14 $3,080.00 $3,080.00 $1,540.00 $3,018.40 $1,601.60 2026-05-01
29870 HCPCS Arthroscopy; Knee; Diag W/wo Synovial Bx 16 14 $2,765.00 $2,765.00 $1,382.50 $2,709.70 $1,437.80 2026-05-01
29827 HCPCS Arthroscopy, Shoulder; W/rotator Cuff 16 14 $5,250.00 $5,250.00 $2,625.00 $5,145.00 $2,730.00 2026-05-01
29826 HCPCS Arthroscopy, Shldr, Subacromial Decomp 16 14 $4,505.00 $4,505.00 $2,252.50 $4,414.90 $2,342.60 2026-05-01
29825 HCPCS Arthroscopy Shoulder W/lysis Adhesions 16 14 $2,930.00 $2,930.00 $1,465.00 $2,871.40 $1,523.60 2026-05-01
29824 HCPCS Arthroscopy, Shldr, Distl Claviculectomy 16 14 $2,500.00 $2,500.00 $1,250.00 $2,450.00 $1,300.00 2026-05-01
29823 HCPCS Arthroscopy, Shldr; Debride Extensive 16 14 $2,265.00 $2,265.00 $1,132.50 $2,219.70 $1,177.80 2026-05-01
29822 HCPCS Arthroscopy, Shldr; Debride 1-2 Struct 16 14 $4,400.00 $4,400.00 $2,200.00 $4,312.00 $2,288.00 2026-05-01
29806 HCPCS Arthroscopy, Shoulder, Surgical 16 14 $6,115.00 $6,115.00 $3,057.50 $5,992.70 $3,179.80 2026-05-01
28825 HCPCS Amputation Toe Interphalangeal Joint 16 14 $3,355.00 $3,355.00 $1,677.50 $3,287.90 $1,744.60 2026-05-01
28820 HCPCS Amputation Toe Metatarsophalangeal Joint 16 14 $3,300.00 $3,300.00 $1,650.00 $3,234.00 $1,716.00 2026-05-01
28755 HCPCS Arthrodesis, Great Toe; Interphal Joint 16 14 $2,895.00 $2,895.00 $1,447.50 $2,837.10 $1,505.40 2026-05-01
28750 HCPCS Arthodesis, Great Toe; Metatarsophalalng 16 14 $4,870.00 $4,870.00 $2,435.00 $4,772.60 $2,532.40 2026-05-01
28315 HCPCS Sesamoidectomy First Toe Spx 16 14 $3,540.00 $3,540.00 $1,770.00 $3,469.20 $1,840.80 2026-05-01
28300 HCPCS Osteotomy, Calcaneous W/wo Internal Fix 16 14 $5,090.00 $5,090.00 $2,545.00 $4,988.20 $2,646.80 2026-05-01
28297 HCPCS Correction, Hallux Valgus, Bunion W/sesa 16 14 $4,230.00 $4,230.00 $2,115.00 $4,145.40 $2,199.60 2026-05-01
28296 HCPCS Bunionectomy W/sesamoid Distal Metatarsa 16 14 $4,805.00 $3,844.00 20% off $2,402.50 $4,708.90 $2,498.60 2026-05-01
28285 HCPCS Hammertoe Deformity Correction 16 14 $2,500.00 $2,500.00 $1,250.00 $2,450.00 $1,300.00 2026-05-01
28270 HCPCS Capsulotomy Mtpj W/wo Tenorrhaphy Ea Joi 16 14 $2,000.00 $2,000.00 $1,000.00 $1,960.00 $1,040.00 2026-05-01
28208 HCPCS Repair Tendon Extensor Ft 1/2 Each 16 14 $5,850.00 $4,680.00 20% off $2,925.00 $5,733.00 $3,042.00 2026-05-01
28190 HCPCS Removal Foreign Body, Foot, Subq 32 14 $815.00 $769.00 $230.00 $1,146.60 $517.90 2026-05-01
28160 HCPCS Hemiphalangectomy, Toe, Proximal End Ea 16 14 $3,915.00 $3,915.00 $1,957.50 $3,836.70 $2,035.80 2026-05-01
28150 HCPCS Phalangectomy, Toe, Each Toe 16 14 $4,200.00 $4,200.00 $2,100.00 $4,116.00 $2,184.00 2026-05-01
28124 HCPCS Partial Excision Bone, Phalanx Of Toe 16 14 $3,211.00 $3,211.00 $1,605.50 $3,146.78 $1,669.72 2026-05-01
28122 HCPCS Partial Excision Bone Tarsal/meta Assist 48 14 $3,255.00 $2,604.00 20% off $350.00 $4,517.80 $1,692.60 2026-05-01
28120 HCPCS Partial Excision Bone; Talus/calcaneus 16 14 $3,425.00 $3,425.00 $1,712.50 $3,356.50 $1,781.00 2026-05-01
28116 HCPCS Ostectomy Excision Of Tarsal Coalition 16 14 $4,435.00 $4,435.00 $2,217.50 $4,346.30 $2,306.20 2026-05-01
28090 HCPCS Excision Lesion Tendon/sheath/capsule Ft 16 14 $2,941.00 $2,941.00 $1,470.50 $2,882.18 $1,529.32 2026-05-01
28086 HCPCS Synovectomy, Tendon Sheath, Foot; Flexor 16 14 $4,505.00 $4,505.00 $2,252.50 $4,414.90 $2,342.60 2026-05-01
28080 HCPCS Excision Interdigit Neuroma, Single, Ea 16 14 $2,110.00 $1,688.00 20% off $1,055.00 $2,067.80 $1,097.20 2026-05-01
28062 HCPCS Assist Fasciectomy, Plantar Fascia 32 14 $1,967.50 $1,574.00 20% off $550.00 $2,778.30 $1,247.75 2026-05-01
28043 HCPCS Excision Tumor Soft Tissue Foot/toe <1.5 16 14 $2,710.00 $2,710.00 $1,355.00 $2,655.80 $1,409.20 2026-05-01
28039 HCPCS Excision Soft Tissue Mass Ft/toe 1.5cm > 16 14 $2,890.00 $2,890.00 $1,445.00 $2,832.20 $1,502.80 2026-05-01
28011 HCPCS Tenotomy Percutaneous Toe, Multiple 32 14 $885.00 $708.00 20% off $292.50 $1,161.30 $582.90 2026-05-01
27829 HCPCS Open Tx Distal Tf Joint, Interanal Fix 16 14 $4,156.00 $4,156.00 $2,078.00 $4,072.88 $2,161.12 2026-05-01
2781830 OTHER Closed Tx Trimalleolar Ankle Fx W/mani 16 14 $1,010.00 $1,010.00 $505.00 $989.80 $525.20 2026-05-01
27818 HCPCS Closed Tx Trimalleolar Ankle Fx 32 14 $917.50 $817.50 $417.50 $980.00 $520.00 2026-05-01
27810 HCPCS Closed Treat Ankle Fx With Manipulation 16 14 $1,000.00 $800.00 20% off $500.00 $980.00 $520.00 2026-05-01
27792 HCPCS Orif Distal Fibular Fracture 16 14 $4,400.00 $4,400.00 $2,200.00 $4,312.00 $2,288.00 2026-05-01
27788 HCPCS Closed Treat. Distal Fib. Frac/w Man 32 14 $1,015.50 $812.40 20% off $307.50 $1,387.68 $655.35 2026-05-01
27698 HCPCS Repair, 2ndary, Ligamt Ankle Collateral 16 14 $3,337.00 $3,337.00 $1,668.50 $3,270.26 $1,735.24 2026-05-01
27695 HCPCS Repair, Prim Ligament Ankle; Collateral 16 14 $4,685.00 $4,685.00 $2,342.50 $4,591.30 $2,436.20 2026-05-01
27691 HCPCS Transfer/transplant Single Tendon 32 14 $2,570.00 $2,056.00 20% off $407.50 $4,238.50 $1,480.60 2026-05-01
27687 HCPCS Gastrocnemius Recession 16 14 $3,505.00 $3,505.00 $1,752.50 $3,434.90 $1,822.60 2026-05-01
27680 HCPCS Tenolysis, Flex/extens Tendon Leg/ankle 16 14 $3,555.00 $3,555.00 $1,777.50 $3,483.90 $1,848.60 2026-05-01
27659 HCPCS Repair, Flexor Tendon, Leg 2nd W/without Gft 16 14 $4,170.00 $4,170.00 $2,085.00 $4,086.60 $2,168.40 2026-05-01
27658 HCPCS Repair Flexor Tendon, Leg Without Grt Each 16 14 $3,840.00 $3,840.00 $1,920.00 $3,763.20 $1,996.80 2026-05-01
27650 HCPCS Repair Primary Ruptured Achilles Tendon 16 14 $3,585.00 $3,585.00 $1,792.50 $3,513.30 $1,864.20 2026-05-01
27632 HCPCS Excision Tumor Leg/ankle Subq 3cm+ 16 14 $4,630.00 $4,630.00 $2,315.00 $4,537.40 $2,407.60 2026-05-01
27618 HCPCS Excision Tumor Leg Or Ankle Subq Tis 16 14 $4,560.00 $4,560.00 $2,280.00 $4,468.80 $2,371.20 2026-05-01
27610 HCPCS Arthrotomy Ankle, Expl, Drain, Remove Fb 16 14 $3,695.00 $3,695.00 $1,847.50 $3,621.10 $1,921.40 2026-05-01
27447 HCPCS Arthroplasty, Knee; Total Knee 16 14 $8,415.00 $8,415.00 $4,207.50 $8,246.70 $4,375.80 2026-05-01
27385 HCPCS Suture Quad/ham Muscle Rupture Primary 16 14 $3,455.00 $3,455.00 $1,727.50 $3,385.90 $1,796.60 2026-05-01
27347 HCPCS Excision Lesion Menicus/capsule Knee 16 14 $2,720.00 $2,720.00 $1,360.00 $2,665.60 $1,414.40 2026-05-01
27337 HCPCS Excision Tumor Soft Tiss Thigh/knee >3cm 32 14 $2,065.00 $1,855.00 $1,015.00 $2,058.00 $1,092.00 2026-05-01
27266 HCPCS Clsd Tx Post Hip Arthroplasty Dis W/anes 32 14 $1,050.00 $940.00 $500.00 $1,078.00 $572.00 2026-05-01
27130 HCPCS Arthroplasty, Total Hip 16 14 $8,145.00 $8,145.00 $4,072.50 $7,982.10 $4,235.40 2026-05-01
27096 HCPCS Inj Si Joint Anes/steroid With Imaging 16 14 $1,150.00 $1,150.00 $575.00 $1,127.00 $598.00 2026-05-01
27045 HCPCS Excise Tumor Softtis Pel/hip 5cmgreater 16 14 $3,000.00 $3,000.00 $1,500.00 $2,940.00 $1,560.00 2026-05-01
26951 HCPCS Amputation Finger/thumb W/directclosure 16 14 $2,205.00 $1,764.00 20% off $1,102.50 $2,160.90 $1,146.60 2026-05-01
26535 HCPCS Arthroplasty Interphalangeal Joint Ea 16 14 $2,840.00 $2,272.00 20% off $1,420.00 $2,783.20 $1,476.80 2026-05-01
26418 HCPCS Repair Extensor Tendon 32 14 $1,112.50 $890.00 20% off $362.50 $1,470.00 $730.25 2026-05-01
26160 HCPCS Excision Lesion Tendon/joint Hnd/ft 16 14 $2,415.00 $1,932.00 20% off $1,207.50 $2,366.70 $1,255.80 2026-05-01
26055 HCPCS Tendon Sheath Incision,trigger Finger 16 14 $2,505.00 $2,505.00 $1,252.50 $2,454.90 $1,302.60 2026-05-01
25605 HCPCS Fracture Radius Distal W/manipulatio 35 14 $1,400.00 $1,120.00 20% off $617.50 $1,372.00 $728.00 2026-05-01
25565 HCPCS Closed Radial/ulnar Shft Fx W/manip 16 14 $1,060.00 $1,060.00 $530.00 $1,038.80 $551.20 2026-05-01
25505 HCPCS Closed Tx Radial Shaft Fx W/manipulation 19 14 $1,000.00 $800.00 20% off $500.00 $980.00 $520.00 2026-05-01
25111 HCPCS Excision Ganglion, Wrist, Prmary 16 14 $2,480.00 $1,984.00 20% off $1,240.00 $2,430.40 $1,289.60 2026-05-01
24075 HCPCS Excision Tumor Soft Uparm/elbow <3cm 16 14 $1,200.00 $1,200.00 $600.00 $1,176.00 $624.00 2026-05-01
23605 HCPCS Closed Tx Proximal Humeral Fx W/man 32 14 $712.50 $620.00 $250.00 $906.50 $472.50 2026-05-01
23472 HCPCS Arthroplasty, Glenohumeral, Total Shldr 16 14 $9,075.00 $9,075.00 $4,537.50 $8,893.50 $4,719.00 2026-05-01
23430 HCPCS Tenodesis Long Tendon Biceps 16 14 $4,730.00 $4,730.00 $2,365.00 $4,635.40 $2,459.60 2026-05-01
23073 HCPCS Excision Tumor Soft Tiss Shoulder 5cm < 16 14 $3,326.00 $3,326.00 $1,663.00 $3,259.48 $1,729.52 2026-05-01
23071 HCPCS Excision Tumor Soft Tis Shldr 3cm > 16 14 $1,425.00 $1,425.00 $712.50 $1,396.50 $741.00 2026-05-01
21931 HCPCS Excision Tumor, Soft Tissue Of Back 3 Cm 16 14 $2,300.00 $2,300.00 $1,150.00 $2,254.00 $1,196.00 2026-05-01
20900 HCPCS Bone Graft Any Donor Site, Minor/small 16 14 $3,510.00 $3,510.00 $1,755.00 $3,439.80 $1,825.20 2026-05-01
20680 HCPCS Removal Of Implant; Deep 16 14 $2,525.00 $2,525.00 $1,262.50 $2,474.50 $1,313.00 2026-05-01
19120 HCPCS Removal Of Breast Lesion 16 14 $2,325.00 $2,325.00 $1,162.50 $2,278.50 $1,209.00 2026-05-01
19020 HCPCS Mastotomy Explor/drain Abscess; Deep 16 14 $3,565.00 $3,565.00 $1,782.50 $3,493.70 $1,853.80 2026-05-01
14021 HCPCS Adjacent Tissue S/a/l 10.1-30 Sqcm 16 14 $1,600.00 $1,600.00 $800.00 $1,568.00 $832.00 2026-05-01
12055 HCPCS Repair/intermediate F/e/e 12.6-20 Cm 32 14 $737.50 $737.50 $262.50 $931.00 $493.75 2026-05-01
11771 HCPCS Excision Of Pilonidal Cyst Or Sinus 16 14 $5,255.00 $5,255.00 $2,627.50 $5,149.90 $2,732.60 2026-05-01
10005 HCPCS Fine Needle Asp Biopsy; U/s Guide 1 Les 16 14 $1,250.00 $1,250.00 $625.00 $1,225.00 $650.00 2026-05-01
0722 RC — 16 14 $2,230.00 $1,784.00 20% off $1,115.00 $2,185.40 $1,159.60 2026-05-01
0721 RC — 32 14 $1,005.00 $804.00 20% off $112.50 $1,749.30 $556.50 2026-05-01
0370 RC — 256 14 $1,392.50 $1,392.50 $260.00 $3,136.00 $978.08 2026-05-01
0278 RC — 1,040 14 $1,768.00 $1,768.00 $10.00 $8,387.82 $1,125.80 2026-05-01
0173 RC — 8 7 $965.00 $772.00 20% off $501.80 $945.70 $911.92 2026-05-01
0120 RC — 24 7 $1,100.00 $1,100.00 $85.80 $1,450.40 $880.06 2026-05-01
0112 RC — 8 7 $1,470.00 $1,176.00 20% off $764.40 $1,440.60 $1,389.15 2026-05-01
0110 RC — 16 7 $1,567.50 $1,567.50 $644.80 $1,857.10 $1,215.20 2026-05-01
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