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

PENDER COMMUNITY HOSPITAL

Pender, NE · CCN 281349 · Rates published

2,370 distinct procedures filed
4 distinct payers
11,930 rate rows
2025-06-17 last MRF observed · ⚠ 16 mo old
Data quality

11,930 of 11,930 rate rows are consumer-grade (100.0%)

Every filed rate row passes our consumer-grade checks — none are excluded from the medians.

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/TJON-1688566031190/machine-readable/470711662_pender-community-hospital_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/pender-community-ne
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-25
Content fingerprint 27906a7fc4065a61… · 2,684,158 bytes · first seen 2026-07-31

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
58150
CPT 		Total Hysterectomy 4 $15,500.00 $16,174.00 $15,879.25 nat. median
$3,499
outlier · 4.5×
27792
CPT 		Fx And/or Disl Leg/ankle Joint 4 $13,639.00 $14,232.00 $13,972.75 nat. median
$7,254
1.9× median
27650
CPT 		Rpr Prim Open/precu Achilles 4 $13,362.00 $13,943.00 $13,689.00 nat. median
$6,837
outlier · 2.0×
58605
CPT 		Ligate Fallop Tube Abd/va 4 $13,207.00 $13,781.00 $13,529.75 nat. median
$1,950
outlier · 6.9×
55869
CPT 		Lap Prostate W/bilateral Lymph 4 $12,230.00 $12,761.00 $12,528.50 nat. median
$11,101
1.1× median
27446
CPT 		Unicompartmental Knee Arthro 4 $11,925.00 $12,444.00 $12,216.75 nat. median
$12,905
0.9× median
59514
CPT 		Cesarean Delivery Only 4 $11,909.00 $12,427.00 $12,200.50 nat. median
$2,304
outlier · 5.3×
27447
CPT 		Tot Knee Arthroplasty 4 $11,386.00 $11,881.00 $11,664.25 nat. median
$12,374
0.9× median
27685
CPT 		Lengthen/shorten Ten Leg/ankle 4 $11,000.00 $11,479.00 $11,269.50 nat. median
$3,458
outlier · 3.3×
58571
CPT 		Lap Tot Hystrec 250 Gm/<w/rmvl 4 $10,966.00 $11,443.00 $11,234.50 nat. median
$10,013
1.1× median
55868
CPT 		Lap Prostate W/lymph Bx 4 $9,783.00 $10,209.00 $10,022.50 nat. median
$11,565
0.9× median
3601299
CDM 		Lsh W/t/o Ut 250 G Or Les 4 $9,681.00 $10,102.00 $9,918.00 —
27698
CPT 		Rpr Sec Dis Lig Ankle 4 $9,213.00 $9,613.00 $9,438.00 nat. median
$6,466
1.5× median
58720
CPT 		Removal Of Ovary/tube(s) 4 $8,770.00 $9,152.00 $8,984.75 nat. median
$2,980
outlier · 3.0×
23472
CPT 		Arthplasty Total Shoulder 4 $8,447.00 $8,814.00 $8,653.25 nat. median
$16,735
0.5× median
430070311
CDM 		Lanreotide 120 Mg/0.5 Ml Syr 4 $8,418.00 $8,784.00 $8,624.00 —
38571
CPT 		Laps Surg Bilateral Total Pelv 4 $8,317.00 $8,678.00 $8,520.25 nat. median
$9,567
0.9× median
58180
CPT 		Supracrvx Abd Hyst W/wo Rmvl 4 $8,271.00 $8,630.00 $8,473.25 nat. median
$3,970
outlier · 2.1×
27130
CPT 		Total Hip Arthroplasty 4 $8,270.00 $8,629.00 $8,472.25 nat. median
$12,734
0.7× median
28485
CPT 		Open Tx Of Metatar Fx 4 $8,232.00 $8,590.00 $8,433.50 nat. median
$7,199
1.2× median
52214
CPT 		Cystourethroscopy W/fulg 4 $8,158.00 $8,512.00 $8,357.25 nat. median
$3,595
outlier · 2.3×
56620
CPT 		Simple Partial Vuvectomy 4 $8,001.00 $8,349.00 $8,196.75 nat. median
$3,415
outlier · 2.4×
33285
CPT 		Insert Subcu Crd Rthm Mon 4 $7,869.00 $8,211.00 $8,061.25 nat. median
$9,474
0.9× median
430070012
CDM 		Alteplase 100 Mg/100 Ml Vial 4 $7,857.00 $8,198.00 $8,049.00 —
29888
CPT 		Arthro Aided Ant Cr Lig Rpr 4 $7,839.00 $8,180.00 $8,031.00 nat. median
$7,221
1.1× median
55530
CPT 		Revise Spermatic Cord Veins 4 $7,706.00 $8,041.00 $7,894.25 nat. median
$3,601
outlier · 2.2×
27814
CPT 		Tx Of Ankle Fracture 4 $7,705.00 $8,040.00 $7,893.50 nat. median
$7,169
1.1× median
27422
CPT 		Rec Disl Patella W Mscl Adv 4 $7,686.00 $8,020.00 $7,873.75 nat. median
$6,837
1.2× median
58611
CPT 		Ligate Fal Tube W Csectio 4 $7,665.00 $7,998.00 $7,852.00 nat. median
$756
outlier · 10.4×
3601445
CDM 		Rev Tot Kn Arth Fem&tibial Com 4 $7,600.00 $7,931.00 $7,786.00 —
25607
CPT 		Open Red W/inter Fix Wrist 4 $7,491.00 $7,816.00 $7,673.75 nat. median
$7,280
1.1× median
44238
CPT 		Unlisted Lapor Exct Rectum 4 $7,461.00 $7,786.00 $7,643.75 nat. median
$6,420
1.2× median
3601266
CDM 		Lap Inc Hernia Repair 4 $7,382.00 $7,703.00 $7,562.75 —
55866
CPT 		Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope 4 $4,778.00 $10,209.00 $7,458.38 nat. median
$10,013
0.7× median
28755
CPT 		Arthrodesis Grt Toe Int Joint 4 $7,216.00 $7,530.00 $7,392.75 nat. median
$5,227
1.4× median
64764
CPT 		Vedolizumab 300 Mg Vial 4 $7,096.00 $7,404.00 $7,269.25 nat. median
$6,998
1.0× median
52001
CPT 		Cystourethroscopy W/irrigation 4 $7,095.00 $7,404.00 $7,268.50 nat. median
$3,424
outlier · 2.1×
49595
CPT 		Int Rpr Hernia >10cm 4 $7,082.00 $7,390.00 $7,255.25 nat. median
$6,382
1.1× median
3601275
CDM 		Lap; Cholecystectomy W Ch 4 $6,983.00 $7,286.00 $7,153.75 nat. median
$472
outlier · 15.2×
3601272
CDM 		Lap Vent/abd Hernia Repai 4 $6,906.00 $7,207.00 $7,075.50 —
3601335
CDM 		Fx Open Proximal Humeral 4 $6,885.00 $7,185.00 $7,053.75 —
27412
CPT 		Autologous Chondro Impl Knee 4 $6,869.00 $7,167.00 $7,036.75 nat. median
$7,614
0.9× median
15740
CPT 		Flap; Island Axial Vessel 4 $6,848.00 $7,145.00 $7,015.00 nat. median
$2,250
outlier · 3.1×
58552
CPT 		Laparo-vag Hyst Incl T/o 4 $6,837.00 $7,135.00 $7,004.50 nat. median
$10,168
0.7× median
47562
CPT 		Removal Of Gallbladder Using An Endoscope 4 $6,540.00 $7,342.00 $6,954.25 nat. median
$6,043
1.2× median
3601014
CDM 		Arthroscop Rotator Cuff Repr 4 $6,415.00 $6,694.00 $6,572.00 —
49650
CPT 		Lap Hernia Ing Repair Initial 4 $6,395.00 $6,673.00 $6,551.25 nat. median
$5,726
1.1× median
28310
CPT 		Revision Big Toe 4 $6,381.00 $6,659.00 $6,537.25 nat. median
$4,575
1.4× median
58661
CPT 		Laparscopic Ov And/or Fl Tube 4 $6,357.00 $6,634.00 $6,512.75 nat. median
$5,852
1.1× median
27702
CPT 		Arthro Ankletotal Ankle 4 $6,238.00 $6,509.00 $6,390.25 nat. median
$14,000
outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 2,370 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
             
42831 CPT Adenoidectomy >12years 4 4 $5,599.00 $4,759.00 $5,151.00 $5,375.00 $5,277.00 2025-06-17
3601467 CDM Adj Tiss Transf Other 10 Sq C 4 4 $2,721.00 $2,313.00 $2,503.00 $2,612.00 $2,564.50 2025-06-17
14000 CPT Adj Tiss Transf Trunk 10 Sq Cm 4 4 $2,659.00 $2,260.00 $2,446.00 $2,553.00 $2,506.00 2025-06-17
1201009 CDM Airborne Isolation 4 4 $3,295.00 $2,801.00 $3,031.00 $3,163.00 $3,105.25 2025-06-17
430070012 CDM Alteplase 100 Mg/100 Ml Vial 4 4 $8,540.00 $7,259.00 $7,857.00 $8,198.00 $8,049.00 2025-06-17
3601001 CDM Amputate Metatar W/toe Single 4 4 $3,464.00 $2,944.00 $3,187.00 $3,325.00 $3,264.75 2025-06-17
28825 CPT Amputation Toe Interphal Joint 4 4 $3,086.00 $2,623.00 $2,839.00 $2,963.00 $2,908.75 2025-06-17
28820 CPT Amputation Toe Metaphalangeal 8 4 $3,549.00 $3,017.00 $2,102.00 $3,407.00 $2,749.38 2025-06-17
3601004 CDM Anterior Colporrhaphy Rep 4 4 $5,170.00 $4,395.00 $4,756.00 $4,963.00 $4,872.75 2025-06-17
44950 CPT Appendectomy 4 4 $3,843.00 $3,267.00 $3,536.00 $3,689.00 $3,622.00 2025-06-17
44955 CPT Appy; Done For Indicat Pu 4 4 $4,323.00 $3,675.00 $3,977.00 $4,150.00 $4,074.50 2025-06-17
23472 CPT Arthplasty Total Shoulder 4 4 $9,181.00 $7,804.00 $8,447.00 $8,814.00 $8,653.25 2025-06-17
3601015 CDM Arthr Knee Diagn W/wo Synovia 4 4 $3,313.00 $2,816.00 $3,048.00 $3,180.00 $3,122.25 2025-06-17
3601016 CDM Arthr Knee Synovect 2/>compart 4 4 $4,322.00 $3,674.00 $3,976.00 $4,149.00 $4,073.50 2025-06-17
29824 CPT Arthr Shoulder Distal Clavicul 4 4 $4,597.00 $3,907.00 $4,229.00 $4,413.00 $4,332.50 2025-06-17
29822 CPT Arthr Shoulder Surg Debrid 1-2 4 4 $3,360.00 $2,856.00 $3,091.00 $3,226.00 $3,166.75 2025-06-17
29823 CPT Arthr Shoulder Surg Debride 3 4 4 $4,239.00 $3,603.00 $3,900.00 $4,069.00 $3,995.25 2025-06-17
3601022 CDM Arthr Shoulder, Slap Lesion 4 4 $5,674.00 $4,823.00 $5,220.00 $5,447.00 $5,347.75 2025-06-17
29888 CPT Arthro Aided Ant Cr Lig Rpr 4 4 $8,521.00 $7,243.00 $7,839.00 $8,180.00 $8,031.00 2025-06-17
27702 CPT Arthro Ankletotal Ankle 4 4 $6,780.00 $5,763.00 $6,238.00 $6,509.00 $6,390.25 2025-06-17
29806 CPT Arthro Should Caps 4 4 $6,158.00 $5,234.00 $5,665.00 $5,912.00 $5,804.00 2025-06-17
27870 CPT Arthrodesis Ankle 4 4 $3,010.00 $2,559.00 $2,769.00 $2,890.00 $2,837.00 2025-06-17
28755 CPT Arthrodesis Grt Toe Int Joint 4 4 $7,844.00 $6,667.00 $7,216.00 $7,530.00 $7,392.75 2025-06-17
3601010 CDM Arthrodesis Midtar/tarso 1 4 4 $4,765.00 $4,050.00 $4,384.00 $4,574.00 $4,491.00 2025-06-17
28730 CPT Arthrodesis Midtar/tarso 2+ 4 4 $5,828.00 $4,954.00 $5,362.00 $5,595.00 $5,493.00 2025-06-17
3601011 CDM Arthrodesis Subtala 4 4 $4,016.00 $3,414.00 $3,695.00 $3,855.00 $3,785.00 2025-06-17
3601014 CDM Arthroscop Rotator Cuff Repr 4 4 $6,973.00 $5,927.00 $6,415.00 $6,694.00 $6,572.00 2025-06-17
3601019 CDM Arthroscopy Biceps Tenodesis 4 4 $4,305.00 $3,659.00 $3,961.00 $4,133.00 $4,057.75 2025-06-17
29879 CPT Arthroscopy Knee; Abras A 4 4 $4,270.00 $3,630.00 $3,928.00 $4,099.00 $4,024.50 2025-06-17
3601018 CDM Arthroscopy Of Joint 4 4 $5,452.00 $4,634.00 $5,016.00 $5,234.00 $5,138.50 2025-06-17
3601025 CDM Arthrs Knee Drlg Osteochond If 4 4 $4,881.00 $4,149.00 $4,491.00 $4,686.00 $4,600.50 2025-06-17
3601026 CDM Arthrs Knee W/meniscec Med&lat 4 4 $4,262.00 $3,623.00 $3,921.00 $4,092.00 $4,017.00 2025-06-17
27412 CPT Autologous Chondro Impl Knee 4 4 $7,466.00 $6,346.00 $6,869.00 $7,167.00 $7,036.75 2025-06-17
430070344 CDM Benralizumab 30 Mg/ml Syringe 4 4 $5,024.00 $4,270.00 $4,622.00 $4,823.00 $4,735.25 2025-06-17
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 4 4 $2,810.00 $2,389.00 $2,585.00 $2,698.00 $2,648.50 2025-06-17
81162 CPT Brca1 Brca2 Gene Alys Full 4 4 $3,609.00 $3,068.00 $3,320.00 $3,465.00 $3,401.50 2025-06-17
19100 CPT Bx Breast Percut Without Image 4 4 $2,884.00 $2,451.00 $2,653.00 $2,769.00 $2,718.25 2025-06-17
64721 CPT Carpal Tunnel Release 4 4 $3,451.00 $2,933.00 $3,175.00 $3,313.00 $3,252.50 2025-06-17
50474 CPT Certolizumab 400 Mg (200 Mg/ Ml X2) Kit 4 4 $2,593.00 $2,204.00 $2,386.00 $2,489.00 $2,443.75 2025-06-17
59514 CPT Cesarean Delivery Only 4 4 $12,945.00 $11,003.00 $11,909.00 $12,427.00 $12,200.50 2025-06-17
28289 CPT Cheilectomy 1st Mp Jt Without Impl 4 4 $4,323.00 $3,675.00 $3,977.00 $4,150.00 $4,074.50 2025-06-17
54161 CPT Circum 28 Days Or Older 4 4 $4,293.00 $3,649.00 $3,950.00 $4,121.00 $4,046.00 2025-06-17
23120 CPT Claviculectomy Partial 4 4 $2,592.00 $2,203.00 $2,385.00 $2,488.00 $2,442.75 2025-06-17
44389 CPT Colonoscopy Stoma W/biopsy 4 4 $4,630.00 $3,936.00 $4,260.00 $4,445.00 $4,364.00 2025-06-17
44394 CPT Colonoscopy Thru Ex Stoma 4 4 $6,710.00 $5,704.00 $6,173.00 $6,442.00 $6,324.25 2025-06-17
G0121 HCPCS Colorec Scr (Not Hi Risk) 4 4 $2,592.00 $2,203.00 $2,385.00 $2,488.00 $2,442.75 2025-06-17
57120 CPT Colpocleisis 4 4 $5,749.00 $4,887.00 $5,289.00 $5,519.00 $5,418.50 2025-06-17
28299 CPT Correction Of Bunion 4 4 $6,242.00 $5,306.00 $5,743.00 $5,992.00 $5,883.00 2025-06-17
28292 CPT Corrj Hallux Valgus W/sesmdc 4 4 $3,568.00 $3,033.00 $3,283.00 $3,425.00 $3,363.00 2025-06-17
74176 CPT CT Abd/pel Without Contrast 4 4 $4,416.00 $3,754.00 $4,063.00 $4,239.00 $4,162.00 2025-06-17
74160 CPT CT Abdomen With Contrast 4 4 $2,863.00 $2,434.00 $2,634.00 $2,748.00 $2,698.25 2025-06-17
74170 CPT CT Abdomen With Without Contrast 4 4 $3,418.00 $2,905.00 $3,145.00 $3,281.00 $3,221.50 2025-06-17
74174 CPT CT Angio Abd/pel With Without Cont 4 4 $4,960.00 $4,216.00 $4,563.00 $4,762.00 $4,674.75 2025-06-17
75635 CPT CT Angio Abd/pel With Runoff 4 4 $2,735.00 $2,325.00 $2,516.00 $2,626.00 $2,577.75 2025-06-17
74175 CPT CT Angio Abdomen With Without Cont 4 4 $3,353.00 $2,850.00 $3,085.00 $3,219.00 $3,160.25 2025-06-17
71275 CPT CT Angio Chest With Without Contrast 4 4 $3,268.00 $2,778.00 $3,007.00 $3,137.00 $3,080.25 2025-06-17
70496 CPT CT Angio Head With Without Contrast 4 4 $2,612.00 $2,220.00 $2,403.00 $2,508.00 $2,461.75 2025-06-17
70498 CPT CT Angio Neck With Without Contrast 4 4 $2,585.00 $2,197.00 $2,378.00 $2,482.00 $2,436.50 2025-06-17
72125 CPT CT C Spine Without Contrast 4 4 $2,747.00 $2,335.00 $2,527.00 $2,637.00 $2,589.00 2025-06-17
71270 CPT CT Chest With Without Contrast 4 4 $3,131.00 $2,661.00 $2,881.00 $3,006.00 $2,951.00 2025-06-17
71250 CPT CT Chest Without Contrast 4 4 $2,671.00 $2,270.00 $2,457.00 $2,564.00 $2,517.25 2025-06-17
70470 CPT CT Head With And Without Cont 4 4 $2,763.00 $2,349.00 $2,542.00 $2,652.00 $2,604.00 2025-06-17
72132 CPT CT L Spine With Contrast 4 4 $3,177.00 $2,700.00 $2,923.00 $3,050.00 $2,994.25 2025-06-17
72133 CPT CT L Spine With Without Contrast 4 4 $2,927.00 $2,488.00 $2,693.00 $2,810.00 $2,758.75 2025-06-17
73702 CPT CT Low Ext With Without Contrast Lt 4 4 $2,911.00 $2,474.00 $2,678.00 $2,795.00 $2,743.50 2025-06-17
70488 CPT CT Maxillofacial With Without Cont 4 4 $2,655.00 $2,257.00 $2,443.00 $2,549.00 $2,502.50 2025-06-17
70491 CPT CT Neck With Contrast 4 4 $2,675.00 $2,274.00 $2,461.00 $2,568.00 $2,521.25 2025-06-17
70492 CPT CT Neck With Without Contrast 4 4 $2,888.00 $2,455.00 $2,657.00 $2,772.00 $2,722.00 2025-06-17
70481 CPT CT Orb/iac/temp With Contrast 4 4 $2,623.00 $2,230.00 $2,413.00 $2,518.00 $2,472.25 2025-06-17
70482 CPT CT Orb/iac/temp With Without Cont 4 4 $2,694.00 $2,290.00 $2,478.00 $2,586.00 $2,538.75 2025-06-17
72194 CPT CT Pelvis With Without Contrast 4 4 $3,097.00 $2,632.00 $2,849.00 $2,973.00 $2,918.75 2025-06-17
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 4 4 $4,891.00 $4,157.00 $4,500.00 $4,695.00 $4,609.75 2025-06-17
72193 CPT CT Scan Of Pelvis With Contrast 4 4 $2,797.00 $2,377.00 $2,573.00 $2,685.00 $2,636.00 2025-06-17
72129 CPT CT T Spine With Contrast 4 4 $2,603.00 $2,213.00 $2,395.00 $2,499.00 $2,453.50 2025-06-17
74178 CPT CT Urogram 8 4 $5,777.00 $4,910.00 $3,745.00 $5,546.00 $4,640.75 2025-06-17
59160 CPT Curettage Postpartum 4 4 $6,249.00 $5,312.00 $5,749.00 $5,999.00 $5,889.75 2025-06-17
52310 CPT Cysto W Rem Fb/stnt Ureth 8 4 $4,965.00 $4,220.00 $901.00 $4,766.00 $2,801.12 2025-06-17
52318 CPT Cystolitholapaxy 4 4 $4,370.00 $3,715.00 $4,020.00 $4,195.00 $4,118.75 2025-06-17
52204 CPT Cystoscopy W/biopsy(s) 4 4 $3,553.00 $3,020.00 $3,269.00 $3,411.00 $3,348.75 2025-06-17
52214 CPT Cystourethroscopy W/fulg 4 4 $8,867.00 $7,537.00 $8,158.00 $8,512.00 $8,357.25 2025-06-17
52001 CPT Cystourethroscopy W/irrigation 4 4 $7,712.00 $6,555.00 $7,095.00 $7,404.00 $7,268.50 2025-06-17
58120 CPT D&c (Not Ob) 4 4 $3,080.00 $2,618.00 $2,834.00 $2,957.00 $2,903.00 2025-06-17
430070066 CDM Denosumab 120 Mg/1.7 Ml Vial 4 4 $3,313.00 $2,816.00 $3,048.00 $3,180.00 $3,122.25 2025-06-17
3601102 CDM Diag Laparoscopy Separate Proc 4 4 $3,641.00 $3,095.00 $3,350.00 $3,495.00 $3,431.75 2025-06-17
64510 CPT Diag/ther Inj Stel Ganglion 4 4 $2,840.00 $2,414.00 $2,613.00 $2,726.00 $2,676.75 2025-06-17
76961 CPT Eflapegrastim-xnst 13.2 Mg/0.6 Ml Syringe 4 4 $4,500.00 $3,825.00 $4,140.00 $4,320.00 $4,241.25 2025-06-17
27635 CPT Exc Bone Cyst/tumor Fibula 4 4 $3,040.00 $2,584.00 $2,797.00 $2,918.00 $2,865.25 2025-06-17
15847 CPT Exc Excess Skin Abdo 4 4 $3,178.00 $2,701.00 $2,924.00 $3,051.00 $2,995.25 2025-06-17
26111 CPT Exc Hand Les Sc 1.5 Cm/> 4 4 $2,759.00 $2,345.00 $2,538.00 $2,649.00 $2,600.25 2025-06-17
11772 CPT Exc Pilonidal Cyst Complex 4 4 $4,365.00 $3,710.00 $4,016.00 $4,190.00 $4,114.00 2025-06-17
11771 CPT Exc Pilonidal Cyst Extensive 4 4 $4,526.00 $3,847.00 $4,164.00 $4,345.00 $4,265.75 2025-06-17
11770 CPT Exc Pilonidal Cyst Simple 8 4 $5,727.00 $4,868.00 $1,027.00 $5,498.00 $3,224.75 2025-06-17
23071 CPT Exc Shoulder Les Sc 3 Cm/> 8 4 $4,385.00 $3,727.00 $2,882.00 $4,210.00 $3,542.88 2025-06-17
3601173 CDM Exc Tumr Sft Ts Ft/toe 1.5cm/< 4 4 $2,708.00 $2,302.00 $2,491.00 $2,600.00 $2,552.50 2025-06-17
3601177 CDM Exc/curettage Cyst/tumor Femur 4 4 $2,985.00 $2,537.00 $2,746.00 $2,866.00 $2,813.50 2025-06-17
25111 CPT Excision Of Ganglion Wrist 4 4 $4,319.00 $3,671.00 $3,973.00 $4,146.00 $4,070.50 2025-06-17
24105 CPT Excision Olecranon Bursa 4 4 $4,695.00 $3,991.00 $4,319.00 $4,507.00 $4,424.75 2025-06-17
3601124 CDM Excision Tumor Abd Wall <3cm 4 4 $4,220.00 $3,587.00 $3,882.00 $4,051.00 $3,977.25 2025-06-17
22903 CPT Excision Tumor Abd Wall >3cm 4 4 $3,008.00 $2,557.00 $2,767.00 $2,888.00 $2,835.25 2025-06-17
15740 CPT Flap; Island Axial Vessel 4 4 $7,443.00 $6,327.00 $6,848.00 $7,145.00 $7,015.00 2025-06-17
27792 CPT Fx And/or Disl Leg/ankle Joint 4 4 $14,825.00 $12,601.00 $13,639.00 $14,232.00 $13,972.75 2025-06-17
3601335 CDM Fx Open Proximal Humeral 4 4 $7,484.00 $6,361.00 $6,885.00 $7,185.00 $7,053.75 2025-06-17
28285 CPT Hammertoe One Toe 4 4 $3,869.00 $3,289.00 $3,559.00 $3,714.00 $3,646.50 2025-06-17
49568 CPT Hernia Repair W/mesh 4 4 $3,392.00 $2,883.00 $3,121.00 $3,256.00 $3,196.75 2025-06-17
58563 CPT Hysteroscopy Endometrial Ablat 4 4 $5,517.00 $4,689.00 $5,076.00 $5,296.00 $5,199.75 2025-06-17
58558 CPT Hysteroscopy W/wo D&c 4 4 $2,961.00 $2,517.00 $2,724.00 $2,843.00 $2,790.75 2025-06-17
430070407 CDM Immune Globulin 10% (Gamunex C) 40 Gm/400 Ml 4 4 $4,537.00 $3,856.00 $4,174.00 $4,356.00 $4,276.25 2025-06-17
44206 CPT Immune Globulin 10% 40 Gm/400 Ml 8 4 $4,717.00 $4,009.00 $1,085.00 $4,528.00 $2,778.50 2025-06-17
64581 CPT Implt Neurostim Eltrd Sacral 4 4 $2,970.00 $2,525.00 $2,732.00 $2,851.00 $2,799.25 2025-06-17
28232 CPT Incision Of Toe Tendon 4 4 $3,123.00 $2,655.00 $2,873.00 $2,998.00 $2,943.50 2025-06-17
78100 CPT Inclisiran 284 Mg/1.5 Ml Syr 4 4 $3,298.00 $2,803.00 $3,034.00 $3,166.00 $3,108.25 2025-06-17
36561 CPT Ins Tunneled Cvad W Port 4 4 $5,101.00 $4,336.00 $4,693.00 $4,897.00 $4,807.75 2025-06-17
33285 CPT Insert Subcu Crd Rthm Mon 4 4 $8,553.00 $7,270.00 $7,869.00 $8,211.00 $8,061.25 2025-06-17
49595 CPT Int Rpr Hernia >10cm 4 4 $7,698.00 $6,543.00 $7,082.00 $7,390.00 $7,255.25 2025-06-17
2001001 CDM Intensive Care 4 4 $2,755.00 $2,342.00 $2,535.00 $2,645.00 $2,596.75 2025-06-17
1201008 CDM Isolation 4 4 $2,890.00 $2,457.00 $2,659.00 $2,774.00 $2,724.00 2025-06-17
3601260 CDM Knee Arthroscopy/surgery 4 4 $5,412.00 $4,600.00 $4,979.00 $5,196.00 $5,100.75 2025-06-17
3601258 CDM Knee Arthroscopy/surgery 4 4 $4,527.00 $3,848.00 $4,165.00 $4,346.00 $4,266.75 2025-06-17
7211004 CDM Labor Room 12-16hrs 4 4 $2,877.00 $2,445.00 $2,647.00 $2,762.00 $2,711.50 2025-06-17
7211005 CDM Labor Room 16-20hrs 4 4 $3,514.00 $2,987.00 $3,233.00 $3,373.00 $3,311.75 2025-06-17
7211006 CDM Labor Room 20-24hrs 4 4 $4,152.00 $3,529.00 $3,820.00 $3,986.00 $3,913.25 2025-06-17
7211007 CDM Labor Room >24hrs 4 4 $4,789.00 $4,071.00 $4,406.00 $4,597.00 $4,513.75 2025-06-17
430070311 CDM Lanreotide 120 Mg/0.5 Ml Syr 4 4 $9,150.00 $7,778.00 $8,418.00 $8,784.00 $8,624.00 2025-06-17
49650 CPT Lap Hernia Ing Repair Initial 4 4 $6,951.00 $5,908.00 $6,395.00 $6,673.00 $6,551.25 2025-06-17
3601266 CDM Lap Inc Hernia Repair 4 4 $8,024.00 $6,820.00 $7,382.00 $7,703.00 $7,562.75 2025-06-17
49651 CPT Lap Ing Hernia Repair Recur 4 4 $6,694.00 $5,690.00 $6,158.00 $6,426.00 $6,308.75 2025-06-17
55869 CPT Lap Prostate W/bilateral Lymph 4 4 $13,293.00 $11,299.00 $12,230.00 $12,761.00 $12,528.50 2025-06-17
55868 CPT Lap Prostate W/lymph Bx 4 4 $10,634.00 $9,039.00 $9,783.00 $10,209.00 $10,022.50 2025-06-17
58571 CPT Lap Tot Hystrec 250 Gm/<w/rmvl 4 4 $11,920.00 $10,132.00 $10,966.00 $11,443.00 $11,234.50 2025-06-17
58573 CPT Lap Tot Hystrec >250 Gm W/rmvl 4 4 $3,572.00 $3,036.00 $3,286.00 $3,429.00 $3,366.50 2025-06-17
3601272 CDM Lap Vent/abd Hernia Repai 4 4 $7,507.00 $6,381.00 $6,906.00 $7,207.00 $7,075.50 2025-06-17
3601275 CDM Lap; Cholecystectomy W Ch 4 4 $7,590.00 $6,452.00 $6,983.00 $7,286.00 $7,153.75 2025-06-17
58552 CPT Laparo-vag Hyst Incl T/o 4 4 $7,432.00 $6,317.00 $6,837.00 $7,135.00 $7,004.50 2025-06-17
58570 CPT Laparos W/tot Hyst 250gm/< 4 4 $3,775.00 $3,209.00 $3,473.00 $3,624.00 $3,558.00 2025-06-17
50544 CPT Laparoscopic Pyeloplasty 4 4 $6,031.00 $5,126.00 $5,549.00 $5,790.00 $5,684.25 2025-06-17
58660 CPT Laparoscopy Lysis 4 4 $6,183.00 $5,256.00 $5,688.00 $5,936.00 $5,827.50 2025-06-17
58670 CPT Laparoscopy, Tubal Cauterys 4 4 $3,712.00 $3,155.00 $3,415.00 $3,564.00 $3,498.50 2025-06-17
44970 CPT Laparoscopy; Appendectomy 4 4 $6,544.00 $5,562.00 $6,020.00 $6,282.00 $6,167.50 2025-06-17
58661 CPT Laparscopic Ov And/or Fl Tube 4 4 $6,910.00 $5,874.00 $6,357.00 $6,634.00 $6,512.75 2025-06-17
38571 CPT Laps Surg Bilateral Total Pelv 4 4 $9,040.00 $7,684.00 $8,317.00 $8,678.00 $8,520.25 2025-06-17
27685 CPT Lengthen/shorten Ten Leg/ankle 4 4 $11,957.00 $10,163.00 $11,000.00 $11,479.00 $11,269.50 2025-06-17
74347 CPT Leuprolide 45 Mg Syringe 4 4 $6,548.00 $5,566.00 $6,024.00 $6,286.00 $6,171.50 2025-06-17
58600 CPT Ligate Fal Tube Abd Or Va 4 4 $6,260.00 $5,321.00 $5,759.00 $6,010.00 $5,900.00 2025-06-17
58611 CPT Ligate Fal Tube W Csectio 4 4 $8,331.00 $7,081.00 $7,665.00 $7,998.00 $7,852.00 2025-06-17
58605 CPT Ligate Fallop Tube Abd/va 4 4 $14,355.00 $12,202.00 $13,207.00 $13,781.00 $13,529.75 2025-06-17
52317 CPT Litholapaxy Simp/sm <2.5cm 4 4 $2,882.00 $2,450.00 $2,651.00 $2,767.00 $2,716.25 2025-06-17
3601299 CDM Lsh W/t/o Ut 250 G Or Les 4 4 $10,523.00 $8,945.00 $9,681.00 $10,102.00 $9,918.00 2025-06-17
19300 CPT Mastectomy Gynecomastia 4 4 $2,598.00 $2,208.00 $2,390.00 $2,494.00 $2,448.50 2025-06-17
19301 CPT Mastectomy Partial 4 4 $3,584.00 $3,046.00 $3,297.00 $3,441.00 $3,378.00 2025-06-17
81408 CPT Molecular Path Proc Level 9 4 4 $3,774.00 $3,208.00 $3,472.00 $3,623.00 $3,557.00 2025-06-17
74185 CPT MRA Abdomen With Or Without Conrast 4 4 $4,116.00 $3,499.00 $3,787.00 $3,951.00 $3,879.25 2025-06-17
70546 CPT MRA Head With Without Contrast 8 4 $3,910.00 $3,324.00 $3,242.00 $3,754.00 $3,503.38 2025-06-17
70545 CPT MRA Head With Contrast 8 4 $3,187.00 $2,709.00 $2,256.00 $3,060.00 $2,657.50 2025-06-17
70544 CPT MRA Head Without Contrast 4 4 $2,762.00 $2,348.00 $2,541.00 $2,652.00 $2,603.25 2025-06-17
70548 CPT MRA Neck With Contrast 4 4 $3,651.00 $3,103.00 $3,359.00 $3,505.00 $3,441.00 2025-06-17
70549 CPT MRA Neck With Without Contrast 4 4 $4,275.00 $3,634.00 $3,933.00 $4,104.00 $4,029.00 2025-06-17
70547 CPT MRA Neck Without Contrast 4 4 $3,533.00 $3,003.00 $3,250.00 $3,392.00 $3,329.75 2025-06-17
74181 CPT MRI Abdomen Without Contrast 4 4 $3,878.00 $3,296.00 $3,568.00 $3,723.00 $3,655.00 2025-06-17
70552 CPT MRI Brain With Contrast 4 4 $3,913.00 $3,326.00 $3,600.00 $3,756.00 $3,687.75 2025-06-17
70551 CPT MRI Brain Without Contrast 4 4 $3,957.00 $3,363.00 $3,640.00 $3,799.00 $3,729.50 2025-06-17
72156 CPT MRI C Spine With & Without Contrast 4 4 $4,473.00 $3,802.00 $4,115.00 $4,294.00 $4,215.75 2025-06-17
72142 CPT MRI C Spine With Contrast 4 4 $3,669.00 $3,119.00 $3,375.00 $3,522.00 $3,458.00 2025-06-17
72141 CPT MRI Cervical Spine Without 4 4 $3,710.00 $3,154.00 $3,413.00 $3,562.00 $3,496.75 2025-06-17
71552 CPT MRI Chest W & Wo Contrast 4 4 $3,432.00 $2,917.00 $3,157.00 $3,295.00 $3,234.50 2025-06-17
71550 CPT MRI Chest Without Contrast 4 4 $3,416.00 $2,904.00 $3,143.00 $3,279.00 $3,219.50 2025-06-17
74183 CPT MRI Enterography 8 4 $4,507.00 $3,831.00 $4,145.00 $4,327.00 $4,247.12 2025-06-17
73223 CPT MRI Joint Up Ext With & Without Rt 8 4 $4,453.00 $3,785.00 $4,095.00 $4,275.00 $4,196.00 2025-06-17
73222 CPT MRI Joint Up Ext With Cont Lt 4 4 $3,476.00 $2,955.00 $3,198.00 $3,337.00 $3,276.00 2025-06-17
72158 CPT MRI L Spine With Without Contrast 4 4 $4,317.00 $3,669.00 $3,972.00 $4,144.00 $4,068.75 2025-06-17
73723 CPT MRI Low Ext Joint With & Without Rt 8 4 $3,624.00 $3,080.00 $3,333.00 $3,479.00 $3,415.25 2025-06-17
73722 CPT MRI Low Ext Joint With Cont Lt 4 4 $3,222.00 $2,739.00 $2,964.00 $3,093.00 $3,036.75 2025-06-17
73720 CPT MRI Low Ext With Without Cont Rt 8 4 $3,562.00 $3,028.00 $3,276.00 $3,420.00 $3,356.75 2025-06-17
73718 CPT MRI Low Ext Without Contrast Lt 4 4 $3,215.00 $2,733.00 $2,958.00 $3,086.00 $3,030.00 2025-06-17
72149 CPT MRI Lumbar Spine With Contrast 4 4 $3,644.00 $3,097.00 $3,352.00 $3,498.00 $3,434.25 2025-06-17
70540 CPT MRI Orbit, Face, Neck Without 4 4 $3,459.00 $2,940.00 $3,182.00 $3,321.00 $3,260.00 2025-06-17
70543 CPT MRI Orbt/face/ Neck Without With Contrast 4 4 $3,832.00 $3,257.00 $3,525.00 $3,679.00 $3,611.50 2025-06-17
72197 CPT MRI Pelvis With & Without Contrast 4 4 $4,330.00 $3,681.00 $3,984.00 $4,157.00 $4,081.25 2025-06-17
72196 CPT MRI Pelvis With Contrast 4 4 $3,651.00 $3,103.00 $3,359.00 $3,505.00 $3,441.00 2025-06-17
72195 CPT MRI Pelvis Without Contrast 4 4 $3,460.00 $2,941.00 $3,183.00 $3,322.00 $3,261.00 2025-06-17
70553 CPT MRI Scan 4 4 $4,386.00 $3,728.00 $4,035.00 $4,211.00 $4,134.00 2025-06-17
73721 CPT MRI Scan Of Leg Joint 8 4 $2,843.00 $2,417.00 $2,571.00 $2,729.00 $2,656.75 2025-06-17
72148 CPT MRI Scan Of Lower Spinal Canal 4 4 $3,546.00 $3,014.00 $3,262.00 $3,404.00 $3,342.00 2025-06-17
72157 CPT MRI T Spine With & Without Contrast 4 4 $4,465.00 $3,795.00 $4,108.00 $4,286.00 $4,208.25 2025-06-17
72146 CPT MRI T Spine Without Contrast 4 4 $3,716.00 $3,159.00 $3,419.00 $3,567.00 $3,502.25 2025-06-17
70336 CPT MRI Temporomandibular Joi 4 4 $2,720.00 $2,312.00 $2,502.00 $2,611.00 $2,563.50 2025-06-17
72147 CPT MRI Th Spine With Contrast 4 4 $3,875.00 $3,294.00 $3,565.00 $3,720.00 $3,652.25 2025-06-17
73220 CPT MRI Up Ext With Without Contrast Lt 4 4 $3,709.00 $3,153.00 $3,412.00 $3,561.00 $3,495.75 2025-06-17
73218 CPT MRI Up Ext Without Contrast Lt 4 4 $2,989.00 $2,541.00 $2,750.00 $2,869.00 $2,817.25 2025-06-17
74182 CPT MRI Whole Body Stir 8 4 $4,740.00 $4,029.00 $1,503.00 $4,550.00 $3,003.75 2025-06-17
78451 CPT Myocardial Perfrest 4 4 $3,708.00 $3,152.00 $3,411.00 $3,560.00 $3,495.00 2025-06-17
78452 CPT Myocardial Perfusion Stre 4 4 $4,367.00 $3,712.00 $4,018.00 $4,192.00 $4,116.00 2025-06-17
3601316 CDM Myringoplasty 4 4 $3,336.00 $2,836.00 $3,069.00 $3,203.00 $3,144.25 2025-06-17
430070351 CDM Natalizumab 300 Mg/15 Ml Vial 4 4 $6,397.00 $5,437.00 $5,885.00 $6,141.00 $6,029.00 2025-06-17
1201011 CDM OB Airborn Isolation 4 4 $3,295.00 $2,801.00 $3,031.00 $3,163.00 $3,105.25 2025-06-17
1201010 CDM OB Isolation 4 4 $2,890.00 $2,457.00 $2,659.00 $2,774.00 $2,724.00 2025-06-17
59400 CPT Obstetric Care, Planned Vaginal Delivery 4 4 $3,288.00 $2,795.00 $3,025.00 $3,156.00 $3,099.00 2025-06-17
25607 CPT Open Red W/inter Fix Wrist 4 4 $8,142.00 $6,921.00 $7,491.00 $7,816.00 $7,673.75 2025-06-17
28485 CPT Open Tx Of Metatar Fx 4 4 $8,948.00 $7,606.00 $8,232.00 $8,590.00 $8,433.50 2025-06-17
54440 CPT Operation Of Penis For Injury 4 4 $5,878.00 $4,996.00 $5,408.00 $5,643.00 $5,540.00 2025-06-17
28119 CPT Ostec Calc Spur W/wo Plnt Fasc 4 4 $3,233.00 $2,748.00 $2,974.00 $3,104.00 $3,047.00 2025-06-17
28112 CPT Ostectomy Other Metatarsal 4 4 $3,953.00 $3,360.00 $3,637.00 $3,795.00 $3,725.75 2025-06-17
28308 CPT Osteot W/wo Lng/st/cor Mt Xcp1 4 4 $3,315.00 $2,818.00 $3,050.00 $3,182.00 $3,124.25 2025-06-17
28304 CPT Osteotomy Of Tarsal Bones 4 4 $3,199.00 $2,719.00 $2,943.00 $3,071.00 $3,015.00 2025-06-17
430070404 CDM Paliperidone 234 Mg/1.5 Ml Syr 4 4 $3,361.00 $2,857.00 $3,092.00 $3,227.00 $3,167.75 2025-06-17
28122 CPT Partial Removal Of Foot Bone 4 4 $4,206.00 $3,575.00 $3,870.00 $4,038.00 $3,964.50 2025-06-17
56700 CPT Partial Removal Of Hymen 4 4 $3,525.00 $2,996.00 $3,243.00 $3,384.00 $3,322.50 2025-06-17
28124 CPT Partial Removal Of Toe 4 4 $3,128.00 $2,659.00 $2,878.00 $3,003.00 $2,948.25 2025-06-17
430070215 CDM Pegfilgrastim 6 Mg/0.6 Ml Syr 4 4 $4,553.00 $3,870.00 $4,189.00 $4,371.00 $4,291.25 2025-06-17
54300 CPT Penis Straightening Chordee 4 4 $2,669.00 $2,269.00 $2,455.00 $2,562.00 $2,515.50 2025-06-17
95811 CPT Polysomnography W/cpap 4 4 $4,888.00 $4,155.00 $4,497.00 $4,692.00 $4,607.00 2025-06-17
64561 CPT Prq Implt Neurostim Sac With Img 4 4 $3,393.00 $2,884.00 $3,122.00 $3,257.00 $3,197.75 2025-06-17
78582 CPT Pulmonary Ventila & Perfu 4 4 $2,592.00 $2,203.00 $2,385.00 $2,488.00 $2,442.75 2025-06-17
27422 CPT Rec Disl Patella W Mscl Adv 4 4 $8,354.00 $7,101.00 $7,686.00 $8,020.00 $7,873.75 2025-06-17
57250 CPT Rectocele Repair 4 4 $4,740.00 $4,029.00 $4,361.00 $4,550.00 $4,467.50 2025-06-17
28270 CPT Release Of Foot Contractu 4 4 $3,158.00 $2,684.00 $2,905.00 $3,032.00 $2,976.50 2025-06-17
28272 CPT Release Of Toe Joint Ea 8 4 $4,680.00 $3,978.00 $451.00 $4,493.00 $2,436.50 2025-06-17
41113 CPT Rem Lesion W Cl Post 1/3 4 4 $3,674.00 $3,123.00 $3,380.00 $3,527.00 $3,462.75 2025-06-17
69424 CPT Rem Ventil Tube Under Ane 4 4 $2,852.00 $2,424.00 $2,624.00 $2,738.00 $2,688.00 2025-06-17
42830 CPT Removal Of Adenoids 1' <1 4 4 $3,418.00 $2,905.00 $3,145.00 $3,281.00 $3,221.50 2025-06-17
47562 CPT Removal Of Gallbladder Using An Endoscope 8 4 $7,648.00 $6,501.00 $6,540.00 $7,342.00 $6,954.25 2025-06-17
20680 CPT Removal Of Implant Deep 4 4 $4,610.00 $3,919.00 $4,241.00 $4,426.00 $4,345.00 2025-06-17
20670 CPT Removal Of Implant Superficial 4 4 $3,892.00 $3,308.00 $3,581.00 $3,736.00 $3,668.00 2025-06-17
29881 CPT Removal Of One Knee Cartilage Using An Endoscope 8 4 $5,547.00 $4,715.00 $4,820.00 $5,325.00 $5,082.88 2025-06-17
19120 CPT Removal Of One Or More Breast Growth, Open Procedure 8 4 $4,730.00 $4,021.00 $1,776.00 $4,541.00 $3,138.75 2025-06-17
58720 CPT Removal Of Ovary/tube(s) 4 4 $9,533.00 $8,103.00 $8,770.00 $9,152.00 $8,984.75 2025-06-17
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 4 4 $3,283.00 $2,791.00 $3,020.00 $3,152.00 $3,094.25 2025-06-17
3601407 CDM Removal Of Tonsils <12 Yr 4 4 $2,993.00 $2,544.00 $2,754.00 $2,873.00 $2,820.75 2025-06-17
42826 CPT Removal Of Tonsils > 12yrs 4 4 $4,437.00 $3,771.00 $4,082.00 $4,260.00 $4,182.00 2025-06-17
42820 CPT Removal Of Tonsils And Adenoid Glands, Patient Younger Than Age 12 8 4 $5,136.00 $4,366.00 $3,950.00 $4,931.00 $4,443.38 2025-06-17
69145 CPT Remove Ear Canal Lesion(s 4 4 $5,616.00 $4,774.00 $5,167.00 $5,391.00 $5,293.00 2025-06-17
46260 CPT Remove In/ex Hem Groups 2 4 4 $4,922.00 $4,184.00 $4,528.00 $4,725.00 $4,639.00 2025-06-17
26160 CPT Remove Tendon Sheath Lesion 4 4 $4,719.00 $4,011.00 $4,341.00 $4,530.00 $4,447.50 2025-06-17
3601419 CDM Rep Init Inci/ Ventral He 4 4 $4,471.00 $3,800.00 $4,113.00 $4,292.00 $4,213.75 2025-06-17
35226 CPT Repair Bld Vessel Direct; 4 4 $2,823.00 $2,400.00 $2,597.00 $2,710.00 $2,660.75 2025-06-17
69610 CPT Repair Of Eardrum 4 4 $3,207.00 $2,726.00 $2,950.00 $3,079.00 $3,022.75 2025-06-17
49505 CPT Repair Of Groin Hernia Patient Age 5 Years Or Older 8 4 $6,735.00 $5,725.00 $5,575.00 $6,466.00 $6,029.62 2025-06-17
55060 CPT Repair Of Hydrocele 4 4 $5,598.00 $4,758.00 $5,150.00 $5,374.00 $5,276.00 2025-06-17
49520 CPT Rerepair Ing Hernia Reduc 4 4 $6,414.00 $5,452.00 $5,901.00 $6,157.00 $6,045.00 2025-06-17
28296 CPT Resection Of Proximal Phalanx 4 4 $3,973.00 $3,377.00 $3,655.00 $3,814.00 $3,744.50 2025-06-17
3601445 CDM Rev Tot Kn Arth Fem&tibial Com 4 4 $8,261.00 $7,022.00 $7,600.00 $7,931.00 $7,786.00 2025-06-17
55530 CPT Revise Spermatic Cord Veins 4 4 $8,376.00 $7,120.00 $7,706.00 $8,041.00 $7,894.25 2025-06-17
28310 CPT Revision Big Toe 4 4 $6,936.00 $5,896.00 $6,381.00 $6,659.00 $6,537.25 2025-06-17
430070387 CDM Rituximab 500 Mg/50 Ml Vial 4 4 $4,698.00 $3,993.00 $4,322.00 $4,510.00 $4,427.75 2025-06-17
430070394 CDM Romosozumab-aqqg 210mg/2.34ml 4 4 $2,629.00 $2,235.00 $2,419.00 $2,524.00 $2,478.00 2025-06-17
3601450 CDM Rpr 1st Fem Hrna Any Age Reduc 4 4 $5,513.00 $4,686.00 $5,072.00 $5,292.00 $5,195.75 2025-06-17
49593 CPT Rpr Aa Hernia 1st 3-10cm Red 4 4 $6,285.00 $5,342.00 $5,782.00 $6,034.00 $5,923.75 2025-06-17
49592 CPT Rpr Aa Hernia 1st <3 Cm 4 4 $4,333.00 $3,683.00 $3,986.00 $4,160.00 $4,083.75 2025-06-17
49591 CPT Rpr Aa Hernia 1st <3cm Reduc 4 4 $4,150.00 $3,528.00 $3,818.00 $3,984.00 $3,911.50 2025-06-17
49613 CPT Rpr Aa Hernia Recr < 3 Cm Redu 4 4 $3,739.00 $3,178.00 $3,440.00 $3,589.00 $3,524.00 2025-06-17
28200 CPT Rpr Flxr Tndn Foot 4 4 $6,259.00 $5,320.00 $5,758.00 $6,009.00 $5,899.00 2025-06-17
28208 CPT Rpr Of Ext Tendon Foot 4 4 $4,680.00 $3,978.00 $4,306.00 $4,493.00 $4,411.00 2025-06-17
54360 CPT Rpr Penis Correct Angulation 4 4 $2,990.00 $2,542.00 $2,751.00 $2,870.00 $2,818.25 2025-06-17
27652 CPT Rpr Pri Open/prq Rupt Ach W/gr 4 4 $3,150.00 $2,678.00 $2,898.00 $3,024.00 $2,969.00 2025-06-17
27650 CPT Rpr Prim Open/precu Achilles 4 4 $14,524.00 $12,345.00 $13,362.00 $13,943.00 $13,689.00 2025-06-17
27698 CPT Rpr Sec Dis Lig Ankle 4 4 $10,014.00 $8,512.00 $9,213.00 $9,613.00 $9,438.00 2025-06-17
3601453 CDM Rpr Umbil Hern Block 5+ Y 4 4 $5,261.00 $4,472.00 $4,840.00 $5,051.00 $4,958.50 2025-06-17
27687 CPT Rpr/revis/recon Ankle Jnt 4 4 $4,929.00 $4,190.00 $4,535.00 $4,732.00 $4,645.75 2025-06-17
28300 CPT Rpr/revis/recon Of Foot/toes 4 4 $5,580.00 $4,743.00 $5,134.00 $5,357.00 $5,259.25 2025-06-17
27691 CPT Rpr/rvisn/recons Of Tib/fib 4 4 $4,202.00 $3,572.00 $3,866.00 $4,034.00 $3,960.50 2025-06-17
30520 CPT Septoplasty 4 4 $4,261.00 $3,622.00 $3,920.00 $4,091.00 $4,016.00 2025-06-17
29826 CPT Shaving Of Shoulder Bone Using Endoscope 8 4 $5,145.00 $4,373.00 $4,024.00 $4,939.00 $4,485.75 2025-06-17
45335 CPT Sigmoidoscopy With Submucous Inj 4 4 $3,820.00 $3,247.00 $3,514.00 $3,667.00 $3,600.25 2025-06-17
45331 CPT Sigmoidoscopy, Flex W/biopsy 4 4 $3,151.00 $2,678.00 $2,899.00 $3,025.00 $2,969.75 2025-06-17
56620 CPT Simple Partial Vuvectomy 4 4 $8,697.00 $7,392.00 $8,001.00 $8,349.00 $8,196.75 2025-06-17
95810 CPT Sleep Study 4 4 $4,297.00 $3,652.00 $3,953.00 $4,125.00 $4,049.75 2025-06-17
54840 CPT Spermatocelectomy W/orw/o Epid 4 4 $2,931.00 $2,491.00 $2,697.00 $2,814.00 $2,762.50 2025-06-17
30140 CPT Submuc Rescj Inf Turb Prtl/com 4 4 $2,673.00 $2,272.00 $2,459.00 $2,566.00 $2,519.25 2025-06-17
58180 CPT Supracrvx Abd Hyst W/wo Rmvl 4 4 $8,990.00 $7,642.00 $8,271.00 $8,630.00 $8,473.25 2025-06-17
3601474 CDM Surg Tx Incompl Abortion 4 4 $4,640.00 $3,944.00 $4,269.00 $4,454.00 $4,373.25 2025-06-17
55866 CPT Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope 8 4 $10,634.00 $9,039.00 $4,778.00 $10,209.00 $7,458.38 2025-06-17
28750 CPT Surgical Rpr Metatar/big Toe 4 4 $6,611.00 $5,619.00 $6,082.00 $6,347.00 $6,230.75 2025-06-17
1201013 CDM Swb Airborne Isolation 4 4 $3,460.00 $2,941.00 $3,183.00 $3,322.00 $3,261.00 2025-06-17
1201012 CDM Swb Isolation 4 4 $3,035.00 $2,580.00 $2,792.00 $2,914.00 $2,860.50 2025-06-17
42821 CPT T & A; Age 12 Or More 4 4 $4,233.00 $3,598.00 $3,894.00 $4,064.00 $3,989.50 2025-06-17
93312 CPT Tee 4 4 $2,625.00 $2,231.00 $2,415.00 $2,520.00 $2,474.25 2025-06-17
50242 CPT Tenecteplase 50 Mg/10 Ml Vial 20 4 $18,776.00 $15,960.00 $1,274.00 $18,025.00 $6,117.95 2025-06-17
430070405 CDM Tezepelumab-ekko 210 Mg/1.91ml 4 4 $4,369.00 $3,714.00 $4,019.00 $4,194.00 $4,117.75 2025-06-17
58353 CPT Thermal Endometr Ablation 8 4 $6,166.00 $5,241.00 $1,705.00 $5,919.00 $3,779.00 2025-06-17
27447 CPT Tot Knee Arthroplasty 4 4 $12,376.00 $10,520.00 $11,386.00 $11,881.00 $11,664.25 2025-06-17
27130 CPT Total Hip Arthroplasty 4 4 $8,989.00 $7,641.00 $8,270.00 $8,629.00 $8,472.25 2025-06-17
58150 CPT Total Hysterectomy 4 4 $16,848.00 $14,321.00 $15,500.00 $16,174.00 $15,879.25 2025-06-17
52235 CPT Transurethral Res Of Blad Tum 4 4 $2,818.00 $2,395.00 $2,593.00 $2,705.00 $2,656.00 2025-06-17
52601 CPT Transurethral Res Of Prostate 4 4 $5,358.00 $4,554.00 $4,929.00 $5,144.00 $5,050.00 2025-06-17
26055 CPT Trigger Finger Release 4 4 $3,123.00 $2,655.00 $2,873.00 $2,998.00 $2,943.50 2025-06-17
59820 CPT Tx Missed Abor 1st Trimester 4 4 $2,709.00 $2,303.00 $2,492.00 $2,601.00 $2,553.25 2025-06-17
27814 CPT Tx Of Ankle Fracture 4 4 $8,375.00 $7,119.00 $7,705.00 $8,040.00 $7,893.50 2025-06-17
69436 CPT Tympanostomy G Anes Bilat 4 4 $3,149.00 $2,677.00 $2,897.00 $3,023.00 $2,968.00 2025-06-17
64718 CPT Ulnar Nerve At Elbow 4 4 $3,773.00 $3,207.00 $3,471.00 $3,622.00 $3,556.00 2025-06-17
3601454 CDM Umbil Hernia 4 4 $4,499.00 $3,824.00 $4,139.00 $4,319.00 $4,240.25 2025-06-17
27446 CPT Unicompartmental Knee Arthro 4 4 $12,962.00 $11,018.00 $11,925.00 $12,444.00 $12,216.75 2025-06-17
44238 CPT Unlisted Lapor Exct Rectum 4 4 $8,110.00 $6,894.00 $7,461.00 $7,786.00 $7,643.75 2025-06-17
73221 CPT Upper Extr Jt Without Contrast Lt 4 4 $2,838.00 $2,412.00 $2,611.00 $2,724.00 $2,674.75 2025-06-17
52332 CPT Ureteral Stent Placement 4 4 $6,674.00 $5,673.00 $6,140.00 $6,407.00 $6,290.25 2025-06-17
52441 CPT Urolift Initial 8 4 $3,913.00 $3,326.00 $2,677.00 $3,756.00 $3,215.25 2025-06-17
52442 CPT Urolifteach Additional 8 4 $3,657.00 $3,108.00 $1,642.00 $3,511.00 $2,564.62 2025-06-17
58262 CPT Vag Hyst Incl T/o =<250gm 4 4 $5,907.00 $5,021.00 $5,434.00 $5,671.00 $5,567.50 2025-06-17
64764 CPT Vedolizumab 300 Mg Vial 4 4 $7,713.00 $6,556.00 $7,096.00 $7,404.00 $7,269.25 2025-06-17
94003 CPT Vent Mgmt Ip Subq Day 4 4 $2,666.00 $2,266.00 $2,453.00 $2,559.00 $2,512.75 2025-06-17
3601456 CDM Ventral Hernia 4 4 $5,009.00 $4,258.00 $4,608.00 $4,809.00 $4,721.00 2025-06-17
3601292 CDM Wound Dehiscence Complicated 4 4 $3,226.00 $2,742.00 $2,968.00 $3,097.00 $3,040.50 2025-06-17
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