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

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Hospital

CHERRY COUNTY HOSPITAL

Valentine, NE · CCN 281344 · Rates published

2,755 distinct procedures filed
19 distinct payers
59,886 rate rows
2026-04-24 last MRF observed
Data quality

55,980 of 59,886 rate rows are consumer-grade (93.5%)

3,906 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
template filing: same amount across many unrelated codes — excluded 3,813
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 29
per-diem day rate — not a per-procedure price 23
percent-of-charges filed in the dollar field — excluded from medians 19
placeholder amount (≤ $0.02) — excluded from medians 17
exceeds 10× this hospital's gross charge — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbCCHVALENTINENE&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 36cf7bb8b32b7d20… · 25,247,710 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
A0430
HCPCS 		Ambulance Service, Conventional Air Services, Transport, One Way (fixed Wing) 14 $177.25 $16,532.24 $16,532.24 nat. median
$5,892
outlier · 2.8×
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 14 $176.90 $16,499.70 $16,499.70 nat. median
$22,481
0.7× median
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 14 $170.03 $15,858.75 $15,858.75 nat. median
$2,241
outlier · 7.1×
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 14 $163.40 $15,240.16 $15,240.16 nat. median
$232
outlier · 65.7×
J2323
HCPCS 		Injection, Natalizumab, 1 Mg 14 $139.78 $13,036.98 $13,036.98 nat. median
$197
outlier · 66.1×
J9299
HCPCS 		Injection, Nivolumab, 1 Mg 14 $125.08 $11,666.12 $11,666.12 nat. median
$2,944
outlier · 4.0×
C1762
HCPCS 		Connective Tissue, Human (includes Fascia Lata) 14 $91.88 $14,535.45 $11,505.60 nat. median
$2,935
outlier · 3.9×
23450
HCPCS 		Reattachment Of Shoulder Joint Capsule Without Bone Transfer 14 $113.44 $10,580.91 $10,580.91 nat. median
$7,002
1.5× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 14 $109.79 $14,490.83 $10,239.71 nat. median
$5,957
1.7× median
J9306
HCPCS 		Injection, Pertuzumab, 1 Mg 14 $103.58 $9,660.49 $9,660.49 nat. median
$85
outlier · 113.8×
J9271
HCPCS 		Injection, Pembrolizumab, 1 Mg 14 $92.06 $8,586.67 $8,586.67 nat. median
$736
outlier · 11.7×
SUR360050
CDM 		Operating Room Services - General Classification 14 $89.43 $8,341.52 $8,341.52 nat. median
$8,342
1.0× median
C1889
HCPCS 		Implantable/insertable Device, Not Otherwise Classified 14 $82.93 $26,005.70 $7,734.52 nat. median
$2,392
outlier · 3.2×
Q5115
HCPCS 		Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 14 $79.17 $7,384.08 $7,384.08 nat. median
$884
outlier · 8.4×
Q5111
HCPCS 		Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 14 $78.21 $7,294.40 $7,294.40 nat. median
$2,102
outlier · 3.5×
SUR360040
CDM 		Operating Room Services - General Classification 14 $76.86 $7,168.40 $7,168.40 nat. median
$7,168
1.0× median
J9308
HCPCS 		Injection, Ramucirumab, 5 Mg 14 $76.53 $7,137.70 $7,137.70 nat. median
$1,489
outlier · 4.8×
70471
HCPCS 		Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 14 $75.80 $7,069.99 $7,069.99 nat. median
$729
outlier · 9.7×
J9173
HCPCS 		Injection, Durvalumab, 10 Mg 14 $73.96 $6,898.49 $6,898.49 nat. median
$1,151
outlier · 6.0×
SUR360030
CDM 		Operating Room Services - General Classification 14 $64.05 $5,973.84 $5,973.84 nat. median
$5,974
1.0× median
27380
HCPCS 		Primary Suture Of Tendon Below Knee 16 $113.44 $10,580.91 $5,955.85 nat. median
$6,542
0.9× median
59510
HCPCS 		Cesarean Delivery With Care Before And After Delivery 16 $63.31 $5,904.58 $5,843.71 nat. median
$3,677
1.6× median
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 14 $62.42 $5,822.13 $5,822.13 nat. median
$57
outlier · 103.0×
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 14 $59.62 $5,561.01 $5,561.01 nat. median
$979
outlier · 5.7×
MMX002602
CDM 		Ligasure Laparoscopic Jaw Dev 14 $54.31 $5,065.47 $5,065.47 nat. median
$5,065
1.0× median
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 14 $53.82 $5,019.90 $5,019.90 nat. median
$1,092
outlier · 4.6×
45390
HCPCS 		Removal Of Large Bowel Tissue Using A Flexible Endoscope 14 $53.66 $5,004.91 $5,004.91 nat. median
$2,950
1.7× median
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 14 $53.44 $4,984.59 $4,984.59 nat. median
$1,094
outlier · 4.6×
74177
HCPCS 		CT Scan Of Abdomen And Pelvis With Contrast 14 $52.74 $4,919.36 $4,919.36 nat. median
$928
outlier · 5.3×
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 14 $52.30 $4,877.65 $4,877.65 nat. median
$1,102
outlier · 4.4×
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 14 $52.23 $4,871.24 $4,871.24 nat. median
$1,372
outlier · 3.6×
26952
HCPCS 		Amputation Of Finger Or Thumb With Tissue Flap 14 $51.92 $4,842.39 $4,842.39 nat. median
$3,390
1.4× median
27532
HCPCS 		Closed Treatment Of Broken Shin Bone With Traction 14 $51.92 $4,842.39 $4,842.39 nat. median
$3,337
1.5× median
26765
HCPCS 		Treatment Of Broken End Of Finger Or Thumb 14 $51.92 $4,842.39 $4,842.39 nat. median
$3,497
1.4× median
28675
HCPCS 		Treatment Of Dislocated Toe Joint 14 $51.92 $4,842.39 $4,842.39 nat. median
$3,458
1.4× median
28208
HCPCS 		Repair Of Tendon Of Top Side Of Foot 14 $51.92 $4,842.39 $4,842.39 nat. median
$3,359
1.4× median
J2781
HCPCS 		Injection, Pegcetacoplan, Intravitreal, 1 Mg 14 $51.06 $4,762.70 $4,762.70 nat. median
$182
outlier · 26.2×
72158
HCPCS 		MRI Scan Of Lower Spinal Canal Before And After Contrast 14 $50.68 $4,726.86 $4,726.86 nat. median
$1,081
outlier · 4.4×
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 14 $50.45 $4,705.47 $4,705.47 nat. median
$959
outlier · 4.9×
21320
HCPCS 		Closed Treatment Of Broken Nose Bone With Placement Of Stabilizing Device 14 $49.68 $4,633.84 $4,633.84 nat. median
$3,130
1.5× median
21325
HCPCS 		Treatment Of Broken Nose Bone 14 $49.68 $4,633.84 $4,633.84 nat. median
$3,635
1.3× median
J2778
HCPCS 		Injection, Ranibizumab, 0.1 Mg 14 $49.58 $4,624.48 $4,624.48 nat. median
$504
outlier · 9.2×
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 14 $49.50 $4,616.72 $4,616.72 nat. median
$1,065
outlier · 4.3×
70549
HCPCS 		MRI Scan Of Blood Vessels Of Neck Before And After Contrast 14 $49.44 $4,611.38 $4,611.38 nat. median
$1,051
outlier · 4.4×
78452
HCPCS 		Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 14 $49.30 $4,598.53 $4,598.53 nat. median
$1,767
outlier · 2.6×
J0177
HCPCS 		Injection, Aflibercept Hd, 1 Mg 14 $49.19 $4,588.10 $4,588.10 nat. median
$477
outlier · 9.6×
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 14 $48.74 $4,546.15 $4,546.15 nat. median
$1,122
outlier · 4.1×
74176
HCPCS 		CT Scan Of Abdomen And Pelvis Without Contrast 14 $48.16 $4,491.59 $4,491.59 nat. median
$685
outlier · 6.6×
SUR360020
CDM 		Operating Room Services - General Classification 14 $48.04 $4,480.92 $4,480.92 nat. median
$4,481
1.0× median
73223
HCPCS 		MRI Scan Of Arm Joint Before And After Contrast 14 $47.54 $4,433.87 $4,433.87 nat. median
$1,225
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 2,755 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
             
A0430 HCPCS Ambulance Service, Conventional Air Services, Transport, One Way (fixed Wing) 14 14 $17,043.55 $17,043.55 $177.25 $16,532.24 $16,532.24 2026-04-24
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 14 14 $17,010.00 $17,010.00 $176.90 $16,499.70 $16,499.70 2026-04-24
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 14 14 $16,349.23 $16,349.23 $170.03 $15,858.75 $15,858.75 2026-04-24
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 14 14 $15,711.50 $15,711.50 $163.40 $15,240.16 $15,240.16 2026-04-24
J2323 HCPCS Injection, Natalizumab, 1 Mg 14 14 $13,440.19 $13,440.19 $139.78 $13,036.98 $13,036.98 2026-04-24
J9299 HCPCS Injection, Nivolumab, 1 Mg 14 14 $12,026.93 $12,026.93 $125.08 $11,666.12 $11,666.12 2026-04-24
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 42 14 $11,985.00 $11,985.00 $91.88 $14,535.45 $11,505.60 2026-04-24
23450 HCPCS Reattachment Of Shoulder Joint Capsule Without Bone Transfer 14 14 $10,908.15 $10,908.15 $113.44 $10,580.91 $10,580.91 2026-04-24
J3101 HCPCS Injection, Tenecteplase, 1 Mg 28 14 $12,747.70 $12,747.70 $109.79 $14,490.83 $10,239.71 2026-04-24
J9306 HCPCS Injection, Pertuzumab, 1 Mg 14 14 $9,959.27 $9,959.27 $103.58 $9,660.49 $9,660.49 2026-04-24
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 14 14 $8,852.23 $8,852.23 $92.06 $8,586.67 $8,586.67 2026-04-24
SUR360050 CDM Operating Room Services - General Classification 14 14 $8,599.50 $8,599.50 $89.43 $8,341.52 $8,341.52 2026-04-24
C1889 HCPCS Implantable/insertable Device, Not Otherwise Classified 28 14 $17,391.86 $17,391.86 $82.93 $26,005.70 $7,734.52 2026-04-24
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 14 14 $7,612.45 $7,612.45 $79.17 $7,384.08 $7,384.08 2026-04-24
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 14 14 $7,520.00 $7,520.00 $78.21 $7,294.40 $7,294.40 2026-04-24
SUR360040 CDM Operating Room Services - General Classification 14 14 $7,390.10 $7,390.10 $76.86 $7,168.40 $7,168.40 2026-04-24
J9308 HCPCS Injection, Ramucirumab, 5 Mg 14 14 $7,358.46 $7,358.46 $76.53 $7,137.70 $7,137.70 2026-04-24
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 14 14 $7,288.65 $7,288.65 $75.80 $7,069.99 $7,069.99 2026-04-24
J9173 HCPCS Injection, Durvalumab, 10 Mg 14 14 $7,111.85 $7,111.85 $73.96 $6,898.49 $6,898.49 2026-04-24
SUR360030 CDM Operating Room Services - General Classification 14 14 $6,158.60 $6,158.60 $64.05 $5,973.84 $5,973.84 2026-04-24
27380 HCPCS Primary Suture Of Tendon Below Knee 25 16 $10,908.15 $10,908.15 $113.44 $10,580.91 $5,955.85 2026-04-24
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 29 16 $6,087.20 $6,087.20 $63.31 $5,904.58 $5,843.71 2026-04-24
J1306 HCPCS Injection, Inclisiran, 1 Mg 14 14 $6,002.20 $6,002.20 $62.42 $5,822.13 $5,822.13 2026-04-24
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 14 14 $5,733.00 $5,733.00 $59.62 $5,561.01 $5,561.01 2026-04-24
MMX002602 CDM Ligasure Laparoscopic Jaw Dev 14 14 $5,222.13 $5,222.13 $54.31 $5,065.47 $5,065.47 2026-04-24
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 14 14 $5,175.15 $5,175.15 $53.82 $5,019.90 $5,019.90 2026-04-24
45390 HCPCS Removal Of Large Bowel Tissue Using A Flexible Endoscope 14 14 $5,159.70 $5,159.70 $53.66 $5,004.91 $5,004.91 2026-04-24
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 14 14 $5,138.75 $5,138.75 $53.44 $4,984.59 $4,984.59 2026-04-24
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 14 14 $5,071.50 $5,071.50 $52.74 $4,919.36 $4,919.36 2026-04-24
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 14 14 $5,028.50 $5,028.50 $52.30 $4,877.65 $4,877.65 2026-04-24
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 14 14 $5,021.90 $5,021.90 $52.23 $4,871.24 $4,871.24 2026-04-24
28675 HCPCS Treatment Of Dislocated Toe Joint 14 14 $4,992.15 $4,992.15 $51.92 $4,842.39 $4,842.39 2026-04-24
27532 HCPCS Closed Treatment Of Broken Shin Bone With Traction 14 14 $4,992.15 $4,992.15 $51.92 $4,842.39 $4,842.39 2026-04-24
28208 HCPCS Repair Of Tendon Of Top Side Of Foot 14 14 $4,992.15 $4,992.15 $51.92 $4,842.39 $4,842.39 2026-04-24
26952 HCPCS Amputation Of Finger Or Thumb With Tissue Flap 14 14 $4,992.15 $4,992.15 $51.92 $4,842.39 $4,842.39 2026-04-24
26765 HCPCS Treatment Of Broken End Of Finger Or Thumb 14 14 $4,992.15 $4,992.15 $51.92 $4,842.39 $4,842.39 2026-04-24
J2781 HCPCS Injection, Pegcetacoplan, Intravitreal, 1 Mg 14 14 $4,910.00 $4,910.00 $51.06 $4,762.70 $4,762.70 2026-04-24
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 14 14 $4,873.05 $4,873.05 $50.68 $4,726.86 $4,726.86 2026-04-24
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 14 14 $4,851.00 $4,851.00 $50.45 $4,705.47 $4,705.47 2026-04-24
21320 HCPCS Closed Treatment Of Broken Nose Bone With Placement Of Stabilizing Device 14 14 $4,777.15 $4,777.15 $49.68 $4,633.84 $4,633.84 2026-04-24
21325 HCPCS Treatment Of Broken Nose Bone 14 14 $4,777.15 $4,777.15 $49.68 $4,633.84 $4,633.84 2026-04-24
J2778 HCPCS Injection, Ranibizumab, 0.1 Mg 14 14 $4,767.50 $4,767.50 $49.58 $4,624.48 $4,624.48 2026-04-24
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 14 14 $4,759.50 $4,759.50 $49.50 $4,616.72 $4,616.72 2026-04-24
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 14 14 $4,754.00 $4,754.00 $49.44 $4,611.38 $4,611.38 2026-04-24
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 14 14 $4,740.75 $4,740.75 $49.30 $4,598.53 $4,598.53 2026-04-24
J0177 HCPCS Injection, Aflibercept Hd, 1 Mg 14 14 $4,730.00 $4,730.00 $49.19 $4,588.10 $4,588.10 2026-04-24
70553 HCPCS MRI Scan Of Brain Before And After Contrast 14 14 $4,686.75 $4,686.75 $48.74 $4,546.15 $4,546.15 2026-04-24
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 14 14 $4,630.50 $4,630.50 $48.16 $4,491.59 $4,491.59 2026-04-24
SUR360020 CDM Operating Room Services - General Classification 14 14 $4,619.50 $4,619.50 $48.04 $4,480.92 $4,480.92 2026-04-24
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 14 14 $4,571.00 $4,571.00 $47.54 $4,433.87 $4,433.87 2026-04-24
J0178 HCPCS Injection, Aflibercept, 1 Mg 14 14 $4,452.30 $4,452.30 $46.30 $4,318.73 $4,318.73 2026-04-24
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 14 14 $4,438.70 $4,438.70 $46.16 $4,305.54 $4,305.54 2026-04-24
73219 HCPCS MRI Scan Of Arm With Contrast 14 14 $4,433.15 $4,433.15 $46.10 $4,300.16 $4,300.16 2026-04-24
72198 HCPCS MRI Scan Of Blood Vessels Of Pelvis 14 14 $4,418.85 $4,418.85 $45.96 $4,286.28 $4,286.28 2026-04-24
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 14 14 $4,417.75 $4,417.75 $45.94 $4,285.22 $4,285.22 2026-04-24
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 14 14 $4,264.50 $4,264.50 $44.35 $4,136.57 $4,136.57 2026-04-24
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 14 14 $4,238.05 $4,238.05 $44.08 $4,110.91 $4,110.91 2026-04-24
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 14 14 $4,238.05 $4,238.05 $44.08 $4,110.91 $4,110.91 2026-04-24
71550 HCPCS MRI Scan Of Chest Without Contrast 14 14 $4,235.85 $4,235.85 $44.05 $4,108.77 $4,108.77 2026-04-24
20525 HCPCS Complicated Removal Of Foreign Body In Deep Muscle Or Tendon 14 14 $4,228.10 $4,228.10 $43.97 $4,101.26 $4,101.26 2026-04-24
73702 HCPCS CT Scan Of Leg Before And After Contrast 14 14 $4,228.10 $4,228.10 $43.97 $4,101.26 $4,101.26 2026-04-24
70552 HCPCS MRI Scan Of Brain With Contrast 14 14 $4,213.80 $4,213.80 $43.82 $4,087.39 $4,087.39 2026-04-24
J9354 HCPCS Injection, Ado-trastuzumab Emtansine, 1 Mg 28 14 $5,412.84 $5,412.84 $43.32 $6,460.51 $4,040.40 2026-04-24
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 14 14 $4,164.15 $4,164.15 $43.31 $4,039.23 $4,039.23 2026-04-24
J3262 HCPCS Injection, Tocilizumab, 1 Mg 14 14 $4,155.44 $4,155.44 $43.22 $4,030.78 $4,030.78 2026-04-24
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 14 14 $4,130.00 $4,130.00 $42.95 $4,006.10 $4,006.10 2026-04-24
73720 HCPCS MRI Scan Of Leg Before And After Contrast 14 14 $4,125.60 $4,125.60 $42.91 $4,001.83 $4,001.83 2026-04-24
20816 HCPCS Reattachment Of Cutoff Finger 14 14 $4,079.25 $4,079.25 $42.42 $3,956.87 $3,956.87 2026-04-24
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 14 14 $4,074.85 $4,074.85 $42.38 $3,952.60 $3,952.60 2026-04-24
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 14 14 $4,074.85 $4,074.85 $42.38 $3,952.60 $3,952.60 2026-04-24
70551 HCPCS MRI Scan Of Brain Without Contrast 14 14 $4,072.65 $4,072.65 $42.36 $3,950.47 $3,950.47 2026-04-24
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 14 14 $4,051.70 $4,051.70 $42.14 $3,930.15 $3,930.15 2026-04-24
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 14 14 $4,051.70 $4,051.70 $42.14 $3,930.15 $3,930.15 2026-04-24
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 14 14 $4,024.15 $4,024.15 $41.85 $3,903.43 $3,903.43 2026-04-24
73222 HCPCS MRI Scan Of Arm Joint With Contrast 14 14 $4,024.15 $4,024.15 $41.85 $3,903.43 $3,903.43 2026-04-24
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 15 15 $5,407.50 $5,407.50 $1,890.26 $5,245.28 $3,894.52 2026-04-24
73722 HCPCS MRI Scan Of Leg Joint With Contrast 14 14 $4,003.20 $4,003.20 $41.63 $3,883.10 $3,883.10 2026-04-24
72196 HCPCS MRI Scan Of Pelvis With Contrast 14 14 $3,985.55 $3,985.55 $41.45 $3,865.98 $3,865.98 2026-04-24
J2777 HCPCS Injection, Faricimab-svoa, 0.1 Mg 14 14 $3,947.00 $3,947.00 $41.05 $3,828.59 $3,828.59 2026-04-24
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 14 14 $3,910.60 $3,910.60 $40.67 $3,793.28 $3,793.28 2026-04-24
57824 HCPCS Repair Of Vaginal Fistula Prof 8 8 $3,835.00 $3,835.00 $1,725.75 $3,911.70 $3,719.95 2026-04-24
38222 HCPCS Biopsy And Aspiration Of Bone Marrow Sample For Diagnosis 14 14 $3,834.50 $3,834.50 $39.88 $3,719.47 $3,719.47 2026-04-24
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 14 14 $3,802.55 $3,802.55 $39.55 $3,688.47 $3,688.47 2026-04-24
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 14 14 $3,786.00 $3,786.00 $39.37 $3,672.42 $3,672.42 2026-04-24
J2782 HCPCS Injection, Avacincaptad Pegol, 0.1 Mg 14 14 $3,785.00 $3,785.00 $39.36 $3,671.45 $3,671.45 2026-04-24
27134 HCPCS Revision Of Thigh Bone And Hip Joint Prosthesis 11 11 $4,496.00 $4,496.00 $1,602.81 $4,361.12 $3,659.82 2026-04-24
J9205 HCPCS Injection, Irinotecan Liposome, 1 Mg 14 14 $3,770.55 $3,770.55 $39.21 $3,657.43 $3,657.43 2026-04-24
42892 HCPCS Partial Removal Of Wall Of Throat With Suture Repair 11 11 $4,323.90 $4,323.90 $1,108.54 $4,194.18 $3,650.09 2026-04-24
J7312 HCPCS Injection, Dexamethasone, Intravitreal Implant, 0.1 Mg 14 14 $3,755.00 $3,755.00 $39.05 $3,642.35 $3,642.35 2026-04-24
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 14 14 $3,748.50 $3,748.50 $38.98 $3,636.05 $3,636.05 2026-04-24
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 14 14 $3,738.60 $3,738.60 $38.88 $3,626.44 $3,626.44 2026-04-24
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 14 14 $3,738.60 $3,738.60 $38.88 $3,626.44 $3,626.44 2026-04-24
74181 HCPCS MRI Scan Of Abdomen Without Contrast 14 14 $3,737.50 $3,737.50 $38.87 $3,625.38 $3,625.38 2026-04-24
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 14 14 $3,736.40 $3,736.40 $38.86 $3,624.31 $3,624.31 2026-04-24
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 14 14 $3,654.80 $3,654.80 $38.01 $3,545.16 $3,545.16 2026-04-24
45110 HCPCS Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo… 11 11 $3,911.60 $3,911.60 $1,596.07 $3,794.25 $3,531.02 2026-04-24
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 14 14 $3,638.25 $3,638.25 $37.84 $3,529.10 $3,529.10 2026-04-24
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 14 14 $3,633.85 $3,633.85 $37.79 $3,524.83 $3,524.83 2026-04-24
J9023 HCPCS Injection, Avelumab, 10 Mg 14 14 $3,625.25 $3,625.25 $37.70 $3,516.49 $3,516.49 2026-04-24
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 14 14 $3,601.90 $3,601.90 $37.46 $3,493.84 $3,493.84 2026-04-24
72195 HCPCS MRI Scan Of Pelvis Without Contrast 14 14 $3,577.65 $3,577.65 $37.21 $3,470.32 $3,470.32 2026-04-24
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 14 14 $3,566.60 $3,566.60 $37.09 $3,459.60 $3,459.60 2026-04-24
45114 HCPCS Partial Removal Of Rectum Through Abdomen And Sacrum 11 11 $3,783.95 $3,783.95 $1,563.91 $3,670.43 $3,423.79 2026-04-24
71270 HCPCS CT Scan Of Chest Before And After Contrast 14 14 $3,528.00 $3,528.00 $36.69 $3,422.16 $3,422.16 2026-04-24
72132 HCPCS CT Scan Of Lower Spine With Contrast 14 14 $3,486.15 $3,486.15 $36.26 $3,381.57 $3,381.57 2026-04-24
59610 HCPCS Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli… 14 14 $3,469.75 $3,469.75 $36.09 $3,365.66 $3,365.66 2026-04-24
27487 HCPCS Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 11 11 $7,449.30 $7,449.30 $1,490.29 $7,225.82 $3,359.95 2026-04-24
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 44 16 $3,490.55 $3,490.55 $36.30 $7,092.45 $3,359.65 2026-04-24
44144 HCPCS Partial Removal Of Large Bowel With Creation Of 2 Openings From Small Or Large B… 11 11 $3,695.20 $3,695.20 $1,184.12 $3,584.34 $3,356.16 2026-04-24
23474 HCPCS Revision Of Total Shoulder Repair, Total Shoulder 11 11 $5,247.30 $5,247.30 $1,473.07 $5,089.88 $3,350.23 2026-04-24
72126 HCPCS CT Scan Of Upper Spine With Contrast 14 14 $3,381.40 $3,381.40 $35.17 $3,279.96 $3,279.96 2026-04-24
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 14 14 $3,329.55 $3,329.55 $34.63 $3,229.66 $3,229.66 2026-04-24
73220 HCPCS MRI Scan Of Arm Before And After Contrast 14 14 $3,300.90 $3,300.90 $34.33 $3,201.87 $3,201.87 2026-04-24
73218 HCPCS MRI Scan Of Arm Without Contrast 14 14 $3,300.90 $3,300.90 $34.33 $3,201.87 $3,201.87 2026-04-24
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 14 14 $3,298.70 $3,298.70 $34.31 $3,199.74 $3,199.74 2026-04-24
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 11 11 $3,502.80 $3,502.80 $1,196.72 $3,397.72 $3,154.91 2026-04-24
73718 HCPCS MRI Scan Of Leg Without Contrast 14 14 $3,236.95 $3,236.95 $33.66 $3,139.84 $3,139.84 2026-04-24
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 14 14 $3,233.65 $3,233.65 $33.63 $3,136.64 $3,136.64 2026-04-24
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 14 14 $3,225.20 $3,225.20 $33.54 $3,128.44 $3,128.44 2026-04-24
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 14 14 $3,200.60 $3,200.60 $33.29 $3,104.58 $3,104.58 2026-04-24
23473 HCPCS Revision Of Total Shoulder Repair 11 11 $5,780.70 $5,780.70 $1,368.18 $5,607.28 $3,102.22 2026-04-24
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 14 14 $3,182.95 $3,182.95 $33.10 $3,087.46 $3,087.46 2026-04-24
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 14 14 $3,158.70 $3,158.70 $32.85 $3,063.94 $3,063.94 2026-04-24
81408 HCPCS Molecular Pathology Procedure Level 9 Genetic Analysis 14 14 $3,135.55 $3,135.55 $32.61 $3,041.48 $3,041.48 2026-04-24
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 11 11 $3,419.85 $3,419.85 $1,365.91 $3,317.25 $3,040.68 2026-04-24
74160 HCPCS CT Scan Of Abdomen With Contrast 14 14 $3,115.70 $3,115.70 $32.40 $3,022.23 $3,022.23 2026-04-24
72193 HCPCS CT Scan Of Pelvis With Contrast 14 14 $3,114.60 $3,114.60 $32.39 $3,021.16 $3,021.16 2026-04-24
73719 HCPCS MRI Scan Of Leg With Contrast 28 14 $3,303.65 $3,303.65 $32.10 $3,414.69 $2,994.39 2026-04-24
72129 HCPCS CT Scan Of Middle Spine With Contrast 14 14 $3,084.80 $3,084.80 $32.08 $2,992.26 $2,992.26 2026-04-24
SUR360010 CDM Operating Room Services - General Classification 14 14 $3,079.30 $3,079.30 $32.02 $2,986.92 $2,986.92 2026-04-24
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 27 14 $3,047.35 $3,047.35 $31.69 $5,911.81 $2,955.93 2026-04-24
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 11 11 $3,408.95 $3,408.95 $1,329.26 $3,306.68 $2,929.92 2026-04-24
27138 HCPCS Revision Of Thigh Bone Prosthesis 11 11 $5,070.70 $5,070.70 $1,293.67 $4,918.58 $2,923.10 2026-04-24
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 14 14 $3,006.55 $3,006.55 $31.27 $2,916.35 $2,916.35 2026-04-24
71260 HCPCS CT Scan Of Chest With Contrast 14 14 $2,976.75 $2,976.75 $30.96 $2,887.45 $2,887.45 2026-04-24
70488 HCPCS CT Scan Of Face Before And After Contrast 14 14 $2,952.50 $2,952.50 $30.71 $2,863.93 $2,863.93 2026-04-24
45254 HCPCS Repair Nonunion Radius Or Ulna 8 8 $2,903.90 $2,903.90 $1,306.76 $2,961.98 $2,816.78 2026-04-24
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 42 14 $2,911.10 $2,911.10 $1.27 $5,706.85 $2,816.49 2026-04-24
74150 HCPCS CT Scan Of Abdomen Without Contrast 14 14 $2,881.95 $2,881.95 $29.97 $2,795.49 $2,795.49 2026-04-24
24363 HCPCS Prosthetic Repair Of Elbow Joint 11 11 $5,137.45 $5,137.45 $1,235.67 $4,983.33 $2,784.90 2026-04-24
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 11 11 $4,832.75 $4,832.75 $1,235.13 $4,687.77 $2,781.13 2026-04-24
72125 HCPCS CT Scan Of Upper Spine Without Contrast 14 14 $2,866.50 $2,866.50 $29.81 $2,780.51 $2,780.51 2026-04-24
72128 HCPCS CT Scan Of Middle Spine Without Contrast 14 14 $2,842.25 $2,842.25 $29.56 $2,756.98 $2,756.98 2026-04-24
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 14 14 $2,836.75 $2,836.75 $29.50 $2,751.65 $2,751.65 2026-04-24
J9355 HCPCS Injection, Trastuzumab, Excludes Biosimilar, 10 Mg 14 14 $2,806.82 $2,806.82 $29.19 $2,722.61 $2,722.61 2026-04-24
72131 HCPCS CT Scan Of Lower Spine Without Contrast 14 14 $2,794.85 $2,794.85 $29.07 $2,711.00 $2,711.00 2026-04-24
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 19 15 $5,459.10 $5,459.10 $1,098.35 $5,734.16 $2,706.89 2026-04-24
73701 HCPCS CT Scan Of Leg With Contrast Material 14 14 $2,786.05 $2,786.05 $28.97 $2,702.47 $2,702.47 2026-04-24
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 14 14 $2,786.05 $2,786.05 $28.97 $2,702.47 $2,702.47 2026-04-24
73201 HCPCS CT Scan Of Arm With Contrast 14 14 $2,771.70 $2,771.70 $28.83 $2,688.55 $2,688.55 2026-04-24
27486 HCPCS Revision Of Component Of Total Knee Joint Prosthesis 11 11 $5,074.30 $5,074.30 $1,208.04 $4,922.07 $2,687.10 2026-04-24
73202 HCPCS CT Scan Of Arm Before And After Contrast 14 14 $2,758.85 $2,758.85 $28.69 $2,676.08 $2,676.08 2026-04-24
44640 HCPCS Closure Of Abnormal Drainage Tract From Small Bowel To Skin 11 11 $2,985.40 $2,985.40 $900.68 $2,895.84 $2,662.91 2026-04-24
70487 HCPCS CT Scan Of Face With Contrast 14 14 $2,743.05 $2,743.05 $28.53 $2,660.76 $2,660.76 2026-04-24
59515 HCPCS Cesarean Delivery With Care After Delivery 25 16 $2,739.40 $2,739.40 $28.49 $2,657.22 $2,643.52 2026-04-24
44202 HCPCS Partial Removal And Reconnection Of Small Bowel Using An Endoscope 11 11 $2,928.25 $2,928.25 $1,203.93 $2,840.40 $2,624.76 2026-04-24
EDMG03901 CDM Trauma Team Activation Wout Cc 14 14 $2,703.75 $2,703.75 $28.12 $2,622.64 $2,622.64 2026-04-24
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 14 14 $2,703.75 $2,703.75 $28.12 $2,622.64 $2,622.64 2026-04-24
29880 HCPCS Removal Of Both Knee Cartilages Using An Endoscope 15 11 $2,698.00 $2,698.00 $508.01 $5,234.07 $2,617.06 2026-04-24
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 14 14 $2,679.10 $2,679.10 $27.86 $2,598.73 $2,598.73 2026-04-24
72192 HCPCS CT Scan Of Pelvis Without Contrast 14 14 $2,679.10 $2,679.10 $27.86 $2,598.73 $2,598.73 2026-04-24
26951 HCPCS Amputation Of Finger Or Thumb With Direct Closure 25 16 $4,754.00 $4,754.00 $49.44 $4,611.38 $2,595.68 2026-04-24
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 15 15 $5,523.70 $5,523.70 $1,100.37 $5,357.99 $2,589.56 2026-04-24
71250 HCPCS CT Scan Of Chest Without Contrast 14 14 $2,646.00 $2,646.00 $27.52 $2,566.62 $2,566.62 2026-04-24
86711 HCPCS Analysis For Antibody To John Cunningham Virus 14 14 $2,646.00 $2,646.00 $27.52 $2,566.62 $2,566.62 2026-04-24
70460 HCPCS CT Scan Head Or Brain With Contrast 14 14 $2,630.60 $2,630.60 $27.36 $2,551.68 $2,551.68 2026-04-24
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 14 14 $2,629.50 $2,629.50 $27.35 $2,550.62 $2,550.62 2026-04-24
64490 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 44 16 $2,639.40 $2,639.40 $27.45 $5,120.44 $2,540.42 2026-04-24
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 14 14 $2,615.15 $2,615.15 $27.20 $2,536.70 $2,536.70 2026-04-24
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 14 14 $2,595.30 $2,595.30 $26.99 $2,517.44 $2,517.44 2026-04-24
59410 HCPCS Vaginal Delivery With Post Delivery Care 25 16 $3,043.80 $3,043.80 $31.66 $2,952.49 $2,513.17 2026-04-24
27828 HCPCS Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones 11 11 $4,322.60 $4,322.60 $1,171.16 $4,192.92 $2,512.01 2026-04-24
43249 HCPCS Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 25 16 $2,601.90 $2,601.90 $27.06 $3,582.74 $2,510.83 2026-04-24
44605 HCPCS Suture Of Tear Or Hole In Large Bowel And Creation Of Opening From Large Bowel T… 11 11 $4,474.25 $4,474.25 $1,089.64 $4,340.02 $2,475.56 2026-04-24
60502 HCPCS Removal Or Re-exploration Of Parathyroid Glands 11 11 $2,735.80 $2,735.80 $1,128.26 $2,653.73 $2,451.29 2026-04-24
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 14 14 $2,526.95 $2,526.95 $26.28 $2,451.14 $2,451.14 2026-04-24
73200 HCPCS CT Scan Of Arm Without Contrast 14 14 $2,517.05 $2,517.05 $26.18 $2,441.54 $2,441.54 2026-04-24
38220 HCPCS Aspiration Of Bone Marrow Sample For Diagnosis 14 14 $2,503.80 $2,503.80 $26.04 $2,428.69 $2,428.69 2026-04-24
32550 HCPCS Insertion Of Indwelling Tube For Drainage Of Lung Fluid 26 16 $5,670.20 $5,670.20 $58.97 $5,500.09 $2,422.61 2026-04-24
58152 HCPCS Removal Of Uterus And Cervix Through Abdomen With Repair Of Vagina 11 11 $2,940.40 $2,940.40 $1,042.64 $2,852.19 $2,409.51 2026-04-24
73700 HCPCS CT Scan Of Leg Without Contrast 14 14 $2,480.65 $2,480.65 $25.80 $2,406.23 $2,406.23 2026-04-24
20822 HCPCS Reattachment Of Part Of Cutoff Finger 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
28455 HCPCS Treatment Of Broken Foot Bone At Ankle With Manipulation 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
23675 HCPCS Closed Treatment Of Dislocated Shoulder And Broken Neck Of Upper Arm Bone With M… 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
26705 HCPCS Closed Treatment Of Dislocated Hand Joint At Base Of Finger With Manipulation Un… 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
26675 HCPCS Closed Treatment Of Dislocated Hand Bone At Wrist Joint With Manipulation Under … 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
24505 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
25624 HCPCS Closed Treatment Of Broken Wrist Bone Near Base Of Thumb With Manipulation 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
25635 HCPCS Closed Treatment Of Other Broken Wrist Bone With Manipulation 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
26742 HCPCS Closed Treatment Of Broken Finger Or Hand At Base Of Finger With Manipulation 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
26236 HCPCS Partial Removal Of Finger Bone At End Of Finger 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
27752 HCPCS Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
27510 HCPCS Closed Treatment Of Broken Thigh Bone At Knee Area With Manipulation 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
23520 HCPCS Closed Treatment Of Dislocated Joint Between Collar And Chest Bone 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
27781 HCPCS Closed Treatment Of Broken Middle Or Upper End Of Outside Lower Leg Bone With Ma… 14 14 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,397.69 2026-04-24
47612 HCPCS Removal Of Gallbladder And Creation Of Bile Duct Drainage To Bowel 11 11 $2,666.35 $2,666.35 $1,104.80 $2,586.36 $2,388.80 2026-04-24
21315 HCPCS Closed Treatment Of Broken Nose Bone With Manipulation 14 14 $2,461.90 $2,461.90 $25.60 $2,388.04 $2,388.04 2026-04-24
43659 HCPCS Other Procedure On Stomach Using An Endoscope 8 8 $2,461.90 $2,461.90 $1,107.86 $2,511.14 $2,388.04 2026-04-24
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 42 14 $2,444.00 $2,444.00 $4.75 $4,734.80 $2,364.57 2026-04-24
J0897 HCPCS Injection, Denosumab, 1 Mg 42 14 $2,442.65 $2,442.65 $0.26 $4,354.23 $2,363.26 2026-04-24
99468 HCPCS Initial Inpatient Hospital Critical Care Of Newborn Per Day (28 Days Or Younger) 14 14 $2,435.15 $2,435.15 $25.33 $2,362.10 $2,362.10 2026-04-24
59426 HCPCS Predelivery Care, 7 Or More Visits 14 14 $2,435.15 $2,435.15 $25.33 $2,362.10 $2,362.10 2026-04-24
70450 HCPCS CT Scan Head Or Brain Without Contrast 14 14 $2,431.05 $2,431.05 $25.28 $2,358.12 $2,358.12 2026-04-24
44160 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 11 11 $2,615.30 $2,615.30 $1,082.99 $2,536.84 $2,356.52 2026-04-24
27301 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee 26 16 $4,026.35 $4,026.35 $41.87 $3,905.56 $2,355.16 2026-04-24
J9055 HCPCS Injection, Cetuximab, 10 Mg 42 14 $2,441.40 $2,441.40 $13.97 $2,394.78 $2,343.74 2026-04-24
29889 HCPCS Repair Of Posterior Cruciate Ligament Of Knee Using An Endoscope 11 11 $4,496.00 $4,496.00 $1,074.18 $4,361.12 $2,334.56 2026-04-24
27502 HCPCS Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation 25 16 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,311.22 2026-04-24
27488 HCPCS Removal Of Total Knee Joint Prosthesis 11 11 $4,367.20 $4,367.20 $787.31 $4,236.18 $2,294.13 2026-04-24
42420 HCPCS Removal Of Growth Of Saliva Gland Or Saliva Gland With Release Of Facial Nerve 11 11 $2,838.00 $2,838.00 $991.42 $2,752.86 $2,293.79 2026-04-24
23470 HCPCS Partial Replacement Of Shoulder Joint 11 11 $3,584.40 $3,584.40 $1,033.36 $3,476.87 $2,293.15 2026-04-24
27236 HCPCS Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device… 11 11 $3,853.25 $3,853.25 $1,033.62 $3,737.65 $2,283.25 2026-04-24
27810 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation 14 14 $2,353.85 $2,353.85 $24.48 $2,283.23 $2,283.23 2026-04-24
44320 HCPCS Creation Of Opening From Large Bowel To Skin 11 11 $2,519.15 $2,519.15 $799.90 $2,443.58 $2,282.06 2026-04-24
60650 HCPCS Removal Or Exploration Of Adrenal Gland Through Abdomen Using An Endoscope 11 11 $3,692.45 $3,692.45 $1,036.50 $3,581.68 $2,279.97 2026-04-24
58943 HCPCS Removal Of Ovaries For Ovarian Cancer 11 11 $2,487.50 $2,487.50 $1,062.06 $2,412.88 $2,253.46 2026-04-24
25446 HCPCS Arthroplasty Or Replacement Of The Entire Wrist Joint 11 11 $3,536.85 $3,536.85 $1,002.21 $3,430.74 $2,250.37 2026-04-24
81445 HCPCS Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 5-50 Genes Ass… 14 14 $2,303.15 $2,303.15 $23.95 $2,234.06 $2,234.06 2026-04-24
28825 HCPCS Amputation Of Toe At Toe Joint 26 16 $4,754.00 $4,754.00 $49.44 $4,611.38 $2,232.70 2026-04-24
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 42 14 $2,307.33 $2,307.33 $12.70 $4,091.16 $2,232.34 2026-04-24
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 14 14 $2,298.75 $2,298.75 $23.91 $2,229.79 $2,229.79 2026-04-24
58146 HCPCS Removal Of 5 Or More Growths Of Uterus Through Abdomen 11 11 $2,595.80 $2,595.80 $970.64 $2,517.93 $2,220.40 2026-04-24
78226 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System 14 14 $2,283.30 $2,283.30 $23.75 $2,214.80 $2,214.80 2026-04-24
27446 HCPCS Replacement Of Knee Joint On Side Of Knee 11 11 $3,853.25 $3,853.25 $992.76 $3,737.65 $2,213.94 2026-04-24
38221 HCPCS Biopsy Of Bone Marrow 14 14 $2,270.05 $2,270.05 $23.61 $2,201.95 $2,201.95 2026-04-24
27552 HCPCS Closed Treatment Of Dislocated Knee Under Anesthesia 25 16 $2,471.85 $2,471.85 $25.71 $2,397.69 $2,181.34 2026-04-24
27599 HCPCS Other Procedure On Thigh Or Knee 8 8 $2,248.00 $2,248.00 $1,011.60 $2,292.96 $2,180.56 2026-04-24
25505 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 14 14 $2,241.40 $2,241.40 $23.31 $2,174.16 $2,174.16 2026-04-24
27125 HCPCS Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis 11 11 $4,110.30 $4,110.30 $982.05 $3,986.99 $2,164.55 2026-04-24
28415 HCPCS Treatment Of Broken Heel Bone 11 11 $3,982.40 $3,982.40 $642.45 $3,862.93 $2,152.58 2026-04-24
93350 HCPCS Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report 14 14 $2,212.30 $2,212.30 $23.01 $2,145.93 $2,145.93 2026-04-24
39502 HCPCS Lapro Hiat Hernia Rp 8 8 $2,199.00 $2,199.00 $989.55 $2,242.98 $2,133.03 2026-04-24
23466 HCPCS Repair And Tightening Of Shoulder Joint Capsule 11 11 $3,789.90 $3,789.90 $984.44 $3,676.20 $2,130.87 2026-04-24
Q4165 HCPCS Keramatrix Or Kerasorb, Per Square Centimeter 14 14 $2,196.15 $2,196.15 $22.84 $2,130.27 $2,130.27 2026-04-24
70486 HCPCS CT Scan Of Face Without Contrast 14 14 $2,195.10 $2,195.10 $22.83 $2,129.25 $2,129.25 2026-04-24
59409 HCPCS Vaginal Delivery 25 16 $3,043.80 $3,043.80 $31.66 $2,952.49 $2,128.18 2026-04-24
27428 HCPCS Reconstruction Ligaments Inside Knee Joint 11 11 $3,661.20 $3,661.20 $987.62 $3,551.36 $2,126.32 2026-04-24
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 11 11 $3,596.65 $3,596.65 $1,003.39 $3,488.75 $2,106.29 2026-04-24
64483 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 47 16 $2,180.75 $2,180.75 $22.68 $4,228.52 $2,093.52 2026-04-24
78306 HCPCS Nuclear Medicine Study Of Bone And/or Joint Whole Body 14 14 $2,157.60 $2,157.60 $22.44 $2,092.87 $2,092.87 2026-04-24
64493 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le… 48 16 $2,639.40 $2,639.40 $27.45 $5,120.44 $2,088.03 2026-04-24
49060 HCPCS Drainage Of Abscess Behind Abdominal Cavity 11 11 $2,359.75 $2,359.75 $755.82 $2,288.96 $2,085.83 2026-04-24
24160 HCPCS Removal Of Elbow Joint Prosthesis 11 11 $4,203.85 $4,203.85 $673.93 $4,077.73 $2,071.96 2026-04-24
Q4161 HCPCS Bio-connekt Wound Matrix, Per Square Centimeter 28 14 $2,136.48 $2,136.48 $22.15 $2,078.76 $2,066.00 2026-04-24
MMX002601 CDM Ligasure Curved Impact Device 14 14 $2,125.20 $2,125.20 $22.10 $2,061.44 $2,061.44 2026-04-24
REG007220 CDM Labor Room/delivery - Delivery Room 14 14 $2,116.80 $2,116.80 $22.01 $2,053.30 $2,053.30 2026-04-24
C1776 HCPCS Joint Device (implantable) 420 14 $2,930.80 $2,930.80 $2.54 $11,494.50 $2,044.56 2026-04-24
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 14 14 $2,103.07 $2,103.07 $21.87 $2,039.98 $2,039.98 2026-04-24
44615 HCPCS Release Of Small Bowel Obstruction 11 11 $2,275.50 $2,275.50 $933.01 $2,207.24 $2,038.07 2026-04-24
58267 HCPCS Removal Of Uterus With Repair For Incontinence, 250.0 G Or Less 11 11 $2,352.45 $2,352.45 $899.42 $2,281.88 $2,035.77 2026-04-24
J2357 HCPCS Injection, Omalizumab, 5 Mg 28 14 $3,701.62 $3,701.62 $21.81 $5,146.82 $2,034.33 2026-04-24
29827 HCPCS Repair Of Shoulder Rotator Cuff Using An Endoscope 11 11 $4,110.30 $4,110.30 $928.94 $3,986.99 $2,034.13 2026-04-24
29806 HCPCS Repair Of Shoulder Joint Capsule Using An Endoscope 11 11 $3,789.90 $3,789.90 $925.09 $3,676.20 $2,022.71 2026-04-24
47600 HCPCS Removal Of Gallbladder 11 11 $2,231.75 $2,231.75 $942.08 $2,164.80 $2,019.50 2026-04-24
24430 HCPCS Repair Of Nonhealed Broken Upper Arm Bone 11 11 $3,789.90 $3,789.90 $921.39 $3,676.20 $2,016.20 2026-04-24
88237 HCPCS Tissue Culture For Tumor Disorders Of Bone Marrow And Blood Cells 14 14 $2,071.60 $2,071.60 $21.54 $2,009.45 $2,009.45 2026-04-24
44604 HCPCS Suture Of Tear Or Hole In Large Bowel 11 11 $2,237.80 $2,237.80 $910.78 $2,170.67 $2,007.40 2026-04-24
25609 HCPCS Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 11 11 $3,789.90 $3,789.90 $923.72 $3,676.20 $2,006.79 2026-04-24
44345 HCPCS Complicated Reconstruction Of Opening From Large Bowel To Skin 11 11 $2,199.00 $2,199.00 $831.40 $2,133.03 $2,001.80 2026-04-24
26418 HCPCS Repair Of Tendon On Top Side Of Finger 25 16 $2,353.85 $2,353.85 $24.48 $2,283.23 $1,993.69 2026-04-24
44310 HCPCS Creation Of Opening From Small Bowel To Skin 11 11 $2,320.45 $2,320.45 $910.50 $2,250.84 $1,987.33 2026-04-24
29888 HCPCS Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 11 11 $3,837.50 $3,837.50 $847.30 $3,722.38 $1,986.34 2026-04-24
49002 HCPCS Reopening Of Recent Abdominal Incision 11 11 $2,167.10 $2,167.10 $850.29 $2,102.09 $1,981.63 2026-04-24
25449 HCPCS Revision Of Wrist Joint Replacement With Removal Of Existing Prosthesis 11 11 $3,853.25 $3,853.25 $629.85 $3,737.65 $1,979.58 2026-04-24
29807 HCPCS Repair Of Shoulder Socket Using An Endoscope 11 11 $4,431.55 $4,431.55 $905.17 $4,298.60 $1,976.94 2026-04-24
27870 HCPCS Fusion Of Ankle Joint, Open Procedure 11 11 $3,661.20 $3,661.20 $888.39 $3,551.36 $1,972.16 2026-04-24
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 14 14 $2,027.75 $2,027.75 $21.09 $1,966.92 $1,966.92 2026-04-24
REG001040 CDM Intensive Care Unit - General Classification 11 11 $2,026.20 $2,026.20 $1,945.15 $1,965.41 $1,965.41 2026-04-24
45386 HCPCS Balloon Dilation Of Large Bowel Using A Flexible Endoscope 25 16 $3,583.15 $3,583.15 $37.26 $3,475.66 $1,956.40 2026-04-24
J7318 HCPCS Hyaluronan Or Derivative, Durolane, For Intra-articular Injection, 1 Mg 14 14 $2,012.00 $2,012.00 $20.92 $1,951.64 $1,951.64 2026-04-24
26410 HCPCS Repair Of Tendon On Top Of Hand 25 16 $2,471.85 $2,471.85 $25.71 $2,397.69 $1,932.29 2026-04-24
49659 HCPCS Other Repair Of Hernia Using An Endoscope 8 8 $1,982.30 $1,982.30 $892.04 $2,021.95 $1,922.83 2026-04-24
28200 HCPCS Repair Of Tendon On Sole Of Foot 26 16 $4,754.00 $4,754.00 $49.44 $4,611.38 $1,920.92 2026-04-24
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 14 14 $1,976.15 $1,976.15 $20.55 $1,916.87 $1,916.87 2026-04-24
58263 HCPCS Removal Of Uterus, Tubes, And/or Ovaries With Repair Of Herniated Bowel Through … 11 11 $2,218.25 $2,218.25 $839.93 $2,151.70 $1,910.09 2026-04-24
49061 HCPCS Drain Retro Abs/Perc 8 8 $1,969.00 $1,969.00 $886.05 $2,008.38 $1,909.93 2026-04-24
27266 HCPCS Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia 57 16 $2,167.20 $2,167.20 $17.55 $4,204.37 $1,901.44 2026-04-24
49021 HCPCS Drn Perioneal Abs Pe 8 8 $1,956.75 $1,956.75 $880.54 $1,995.89 $1,898.05 2026-04-24
49040 HCPCS Drainage Of Abscess Of Diaphragm 11 11 $2,103.95 $2,103.95 $881.79 $2,040.83 $1,893.18 2026-04-24
90378 HCPCS Respiratory Syncytial Virus Antibody For Injection Into Tissue Or Muscle 14 14 $1,948.15 $1,948.15 $20.26 $1,889.71 $1,889.71 2026-04-24
25320 HCPCS Reconstruction Of Wrist Joint 11 11 $3,581.95 $3,581.95 $886.43 $3,474.49 $1,888.60 2026-04-24
49566 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Incarcerated Or Strangulated 10 10 $1,976.15 $1,976.15 $889.27 $2,015.67 $1,882.71 2026-04-24
54405 HCPCS Insertion Of Multicomponent Inflatable Penile Implant 11 11 $2,039.65 $2,039.65 $709.78 $2,080.44 $1,876.66 2026-04-24
17999 HCPCS Other Procedure On Skin, Mucous Membrane, And Tissue 8 8 $1,927.55 $1,927.55 $867.40 $1,966.10 $1,869.72 2026-04-24
25260 HCPCS Primary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist 39 16 $1,923.90 $1,923.90 $20.01 $4,842.39 $1,866.18 2026-04-24
58551 HCPCS Removal Leiomyoma 8 8 $1,917.85 $1,917.85 $863.03 $1,956.21 $1,860.31 2026-04-24
J7301 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (skyla), 13.5 Mg 14 14 $1,913.45 $1,913.45 $19.90 $1,856.05 $1,856.05 2026-04-24
44020 HCPCS Incision Of Small Bowel For Exploration, Biopsy, Or Removal Of Foreign Body 11 11 $2,045.55 $2,045.55 $852.62 $1,984.18 $1,841.80 2026-04-24
27726 HCPCS Repair Of Nonhealed Broken Outer Lower Leg Bone With Placement Of Stabilizing De… 11 11 $3,404.00 $3,404.00 $833.10 $3,301.88 $1,838.05 2026-04-24
27457 HCPCS Incision Or Partial Removal Of Upper Portion Of Lower Leg Bone To Repair Deformi… 11 11 $3,211.85 $3,211.85 $834.29 $3,115.49 $1,833.77 2026-04-24
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 14 14 $1,889.70 $1,889.70 $19.65 $1,833.01 $1,833.01 2026-04-24
56307 HCPCS Laparoscopy,Sur;W/Re 8 8 $1,880.15 $1,880.15 $846.07 $1,917.75 $1,823.75 2026-04-24
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 42 14 $1,899.40 $1,899.40 $19.00 $2,228.19 $1,823.42 2026-04-24
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 14 14 $1,866.38 $1,866.38 $19.41 $1,810.39 $1,810.39 2026-04-24
19303 HCPCS Simple Complete Removal Of Breast 11 11 $2,020.05 $2,020.05 $718.03 $1,959.45 $1,805.66 2026-04-24
64425 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Lower Abdomen And Groin Nerve 44 16 $1,874.25 $1,874.25 $19.49 $3,636.05 $1,803.97 2026-04-24
REG001010 CDM Room & Board - Private (one Bed) - General Classification 11 11 $1,852.20 $1,852.20 $1,778.11 $1,796.63 $1,796.63 2026-04-24
58262 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less 11 11 $2,058.95 $2,058.95 $784.14 $1,997.18 $1,777.62 2026-04-24
44979 HCPCS Other Procedure On Appendix Using An Endoscope 8 8 $1,828.95 $1,828.95 $823.03 $1,865.53 $1,774.08 2026-04-24
J9280 HCPCS Injection, Mitomycin, 5 Mg 14 14 $1,827.65 $1,827.65 $19.01 $1,772.82 $1,772.82 2026-04-24
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