Price Transparency Hospital negotiated rates

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

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Hospital

CIBOLA GENERAL HOSPITAL

Grants, NM · CCN 321308 · Rates published

2,081 distinct procedures filed
20 distinct payers
70,718 rate rows
2026-03-11 last MRF observed
Data quality

69,818 of 70,718 rate rows are consumer-grade (98.7%)

900 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
placeholder amount (≤ $0.02) — excluded from medians 820
per-diem day rate — not a per-procedure price 43
percent-of-charges filed in the dollar field — excluded from medians 30
exceeds 10× this hospital's gross charge — excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cibolahospital.com/wp-content/uploads/2026/03/cibola-general-hospital_standardcharges-03-2026.csv
Found on page https://cibolahospital.com/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 9848bff9deb7ec37… · 40,514,241 bytes · first seen 2026-05-13

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
27519
HCPCS 		27519 Open Treatment Of Distal Femoral Epiphyseal Separation 15 $805.57 $12,775.91 $11,356.37 nat. median
$5,202
outlier · 2.2×
Q4147
HCPCS 		Stravix 3x6 Cm 15 $5,659.23 $11,481.75 $10,206.00 nat. median
$210
outlier · 48.7×
44208
HCPCS 		44208 Laparoscopy Surgical Colectomy Partial With Anastomosis 15 $1,807.94 $6,311.02 $5,609.79 nat. median
$4,070
1.4× median
J3101
HCPCS 		Tenecteplase 50 Mg Kit 19 $103.45 $10,940.60 $5,525.00 nat. median
$5,949
0.9× median
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Inj 19 $2,833.57 $6,843.95 $5,015.42 nat. median
$7,316
0.7× median
59610
HCPCS 		59610 Routine Obstetric Care Including Antepartum Care Vaginal Delivery 10 $2,548.18 $5,169.88 $4,882.66 nat. median
$3,356
1.5× median
44143
HCPCS 		44143 Colectomy Partial With End Colostomy And Closure Of Distal 15 $1,541.45 $5,353.43 $4,758.60 nat. median
$3,062
1.6× median
59510
HCPCS 		59510 Routine Obstetric Care Including Antepartum Care Cesarean Delivery 15 $2,472.33 $5,459.10 $4,737.33 nat. median
$3,677
1.3× median
44145
HCPCS 		44145 Colectomy Partial With Coloproctostomy Low Pelvic Anastomosis Profee 15 $1,525.41 $5,304.29 $4,714.93 nat. median
$3,129
1.5× median
44626
HCPCS 		44626 Closure Of Enterostomy Large Or Small Intestine With Resection 15 $1,469.82 $5,148.56 $4,576.50 nat. median
$3,088
1.5× median
32220
HCPCS 		32220 Decortication Pulmonary Separate Procedure Total Profee 15 $1,544.15 $5,068.84 $4,505.63 nat. median
$3,284
1.4× median
44204
HCPCS 		44204 Laparoscopy Surgical Colectomy Partial With Anastomosis Profee 15 $1,421.85 $4,931.64 $4,383.68 nat. median
$3,782
1.2× median
51570
HCPCS 		51570 Cystectomy Complete Separate Procedure Profee 15 $1,302.99 $4,659.10 $4,141.42 nat. median
$3,284
1.3× median
58563
HCPCS 		58563 Hysteroscopy Surgical With Endometrial Ablation Eg Endometrial 19 $1,861.80 $5,098.50 $4,078.80 nat. median
$5,183
0.8× median
44602
HCPCS 		44602 Suture Of Small Intestine Enterorrhaphy For Perforated Ulcer 15 $1,306.91 $4,558.06 $4,051.61 nat. median
$3,844
1.1× median
C1763
HCPCS 		Bio Ant Pelvic Fl Gr 15 $672.85 $39,876.30 $4,048.13 nat. median
$2,296
1.8× median
59400
HCPCS 		59400 Routine Obstetric Care Including Antepartum Care Vaginal Delivery 15 $2,222.40 $4,508.93 $4,007.94 nat. median
$3,185
1.3× median
J0840
HCPCS 		Antivenin Crotalidae Polyvalent - Pow 19 $2,171.68 $4,895.59 $3,916.47 nat. median
$3,427
1.1× median
43840
HCPCS 		43840 Gastrorrhaphy Suture Of Perforated Duodenal Or Gastric 15 $1,283.02 $4,383.78 $3,896.70 nat. median
$3,873
1.0× median
44140
HCPCS 		44140 Colectomy Partial With Anastomosis Profee 15 $1,258.73 $4,316.11 $3,836.54 nat. median
$2,724
1.4× median
44205
HCPCS 		44205 Laparoscopy Surgical Colectomy Partial With Removal 15 $1,231.76 $4,282.74 $3,806.88 nat. median
$3,081
1.2× median
43632
HCPCS 		43632 Gastrectomy Partial Distal With Gastrojejunostomy Profee 15 $1,897.49 $4,241.95 $3,770.62 nat. median
$3,321
1.1× median
59515
HCPCS 		59515 Cesarean Delivery Only Including Postpartum Care Profee 15 $1,255.20 $4,111.25 $3,654.44 nat. median
$2,568
1.4× median
51565
HCPCS 		51565 Cystectomy Partial With Reimplantation Of Ureter S Into Bladder 15 $1,147.65 $4,108.46 $3,651.97 nat. median
$3,330
1.1× median
43633
HCPCS 		43633 Gastrectomy Partial Distal With Roux-en-y Reconstruction Profee 15 $1,795.98 $3,944.39 $3,506.12 nat. median
$3,222
1.1× median
44120
HCPCS 		44120 Enterectomy Resection Of Small Intestine Single Resection 15 $1,146.64 $3,943.46 $3,505.30 nat. median
$3,012
1.2× median
19307
HCPCS 		19307 Mastectomy Modified Radical Including Axillary Lymph Nodes 19 $1,124.70 $4,293.04 $3,434.43 nat. median
$6,934
outlier · 0.5×
44150
HCPCS 		44150 Colectomy Total Abdominal Without Proctectomy With Ileostomy 15 $1,732.87 $3,842.42 $3,415.48 nat. median
$3,298
1.0× median
58546
HCPCS 		58546 Laparoscopy Surgical Myomectomy Excision 5 Or More Intramural 19 $984.48 $3,963.44 $3,368.92 nat. median
$9,982
outlier · 0.3×
38100
HCPCS 		38100 Splenectomy Total Separate Procedure Profee 15 $1,083.08 $3,717.27 $3,304.24 nat. median
$2,652
1.2× median
44141
HCPCS 		44141 Colectomy Partial With Skin Level Cecostomy Or Colostomy Profee 15 $1,699.49 $3,691.31 $3,281.17 nat. median
$3,147
1.0× median
58558
HCPCS 		58558 Hysteroscopy Surgical With Sampling Biopsy Of Endometrium 19 $1,182.61 $3,976.83 $3,212.39 nat. median
$3,304
1.0× median
44144
HCPCS 		44144 Colectomy Partial With Resection With Colostomy Or Ileostomy 15 $1,646.40 $3,601.40 $3,201.24 nat. median
$3,063
1.0× median
27487
HCPCS 		27487 Revision Of Total Knee Arthroplasty With Or Without Allograft 15 $1,570.23 $3,582.86 $3,184.76 nat. median
$11,539
outlier · 0.3×
59410
HCPCS 		59410 Vaginal Delivery Only With Or Without Episiotomy And/or Forceps 10 $1,661.77 $3,371.50 $3,184.19 nat. median
$2,458
1.3× median
19081
HCPCS 		Mg Breast Biopsy With Stereo Guide Right 19 $781.44 $4,214.14 $3,181.46 nat. median
$2,226
1.4× median
44206
HCPCS 		44206 Laparoscopy Surgical Colectomy Partial 15 $1,610.49 $3,540.21 $3,146.86 nat. median
$4,052
0.8× median
49655
HCPCS 		49655 Laparoscopy Surgical Repair Incisional Hernia 10 $1,638.93 $3,325.15 $3,140.42 nat. median
$5,879
0.5× median
C1776
HCPCS 		Asymmetric Patella #35 15 $752.35 $6,272.10 $3,136.05 nat. median
$3,432
0.9× median
44005
HCPCS 		44005 Enterolysis Freeing Of Intestinal Adhesion Separate Procedure Profee 15 $1,028.67 $3,520.75 $3,129.55 nat. median
$2,702
1.2× median
49002
HCPCS 		49002 Reopening Of Recent Laparotomy Profee 15 $981.60 $3,365.01 $2,991.12 nat. median
$2,550
1.2× median
C1771
HCPCS 		Lynx System 15 $1,489.50 $5,886.00 $2,954.82 nat. median
$2,413
1.2× median
0200
RC 		14 $2,361.58 $6,867.29 $2,951.98 nat. median
$3,803
0.8× median
58552
HCPCS 		58552 Laparoscopy Surgical With Vaginal Hysterectomy 19 $878.98 $3,788.76 $2,946.93 nat. median
$9,808
outlier · 0.3×
49020
HCPCS 		49020 Drainage Of Peritoneal Abscess Or Localized Peritonitis 15 $1,496.72 $3,312.17 $2,944.15 nat. median
$2,803
1.1× median
44625
HCPCS 		44625 Closure Of Enterostomy Large Or Small Intestine 15 $935.79 $3,233.38 $2,874.11 nat. median
$2,590
1.1× median
58150
HCPCS 		58150 Total Abdominal Hysterectomy Corpus And Cervix 15 $934.91 $3,227.81 $2,869.17 nat. median
$3,280
0.9× median
58263
HCPCS 		58263 Vaginal Hysterectomy For Uterus 250 G Or Less With Removal 19 $878.89 $3,511.27 $2,852.62 nat. median
$5,441
0.5× median
J0630
HCPCS 		Calcitonin 200 Intl Units/ml Inj Sol 19 $1,578.40 $3,558.16 $2,846.53 nat. median
$1,885
1.5× median
49653
HCPCS 		49653 Laparoscopy Surgical Repair Ventral Umbilical Spigelian 10 $1,471.70 $2,985.87 $2,819.99 nat. median
$5,207
0.5× median

Other procedures at this hospital

Browse this hospital's 2,081 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
27519 HCPCS 27519 Open Treatment Of Distal Femoral Epiphyseal Separation 15 15 $14,195.46 $11,356.37 $805.57 $12,775.91 $11,356.37 2026-03-11
Q4147 HCPCS Stravix 3x6 Cm 15 15 $12,757.50 $10,206.00 20% off $5,659.23 $11,481.75 $10,206.00 2026-03-11
J3101 HCPCS Tenecteplase 50 Mg Kit 19 19 $12,156.22 $9,724.98 $103.45 $10,940.60 $5,525.00 2026-03-11
J1162 HCPCS Digoxin Immune Fab 40 Mg Inj 19 19 $7,604.39 $6,083.51 20% off $2,833.57 $6,843.95 $5,015.42 2026-03-11
44208 HCPCS 44208 Laparoscopy Surgical Colectomy Partial With Anastomosis 15 15 $7,012.24 $5,609.79 20% off $1,807.94 $6,311.02 $5,609.79 2026-03-11
74178 HCPCS CT Abdomen And Pelvis With + Without Contrast 35 20 $6,251.07 $5,000.86 $392.53 $5,625.96 $1,567.17 2026-03-11
J7169 HCPCS Coagulation Factor Xa Recombinant 200 Mg Pow 19 19 $6,180.00 $4,944.00 20% off $370.79 $5,562.00 $2,808.81 2026-03-11
90376 HCPCS Palivizumab 100 Mg/ml IM Sol 19 19 $6,119.60 $4,895.68 20% off $290.87 $5,507.64 $2,781.36 2026-03-11
C1771 HCPCS Lynx System 45 15 $6,114.00 $4,891.20 20% off $1,489.50 $5,886.00 $2,954.82 2026-03-11
44143 HCPCS 44143 Colectomy Partial With End Colostomy And Closure Of Distal 15 15 $5,948.25 $4,758.60 $1,541.45 $5,353.43 $4,758.60 2026-03-11
44145 HCPCS 44145 Colectomy Partial With Coloproctostomy Low Pelvic Anastomosis Profee 15 15 $5,893.66 $4,714.93 $1,525.41 $5,304.29 $4,714.93 2026-03-11
10180 HCPCS 10180 I And D Post-op Infection-wc Charge 38 20 $5,853.49 $4,682.79 20% off $275.28 $5,268.14 $1,569.72 2026-03-11
59610 HCPCS 59610 Routine Obstetric Care Including Antepartum Care Vaginal Delivery 10 10 $5,744.31 $4,595.45 $2,548.18 $5,169.88 $4,882.66 2026-03-11
44626 HCPCS 44626 Closure Of Enterostomy Large Or Small Intestine With Resection 15 15 $5,720.62 $4,576.50 $1,469.82 $5,148.56 $4,576.50 2026-03-11
32220 HCPCS 32220 Decortication Pulmonary Separate Procedure Total Profee 15 15 $5,632.04 $4,505.63 20% off $1,544.15 $5,068.84 $4,505.63 2026-03-11
59510 HCPCS 59510 Routine Obstetric Care Including Antepartum Care Cesarean Delivery 25 15 $5,573.33 $4,458.66 20% off $2,472.33 $5,459.10 $4,737.33 2026-03-11
44204 HCPCS 44204 Laparoscopy Surgical Colectomy Partial With Anastomosis Profee 15 15 $5,479.60 $4,383.68 20% off $1,421.85 $4,931.64 $4,383.68 2026-03-11
C1763 HCPCS Bio Ant Pelvic Fl Gr 60 15 $5,262.75 $4,210.20 20% off $672.85 $39,876.30 $4,048.13 2026-03-11
51570 HCPCS 51570 Cystectomy Complete Separate Procedure Profee 15 15 $5,176.78 $4,141.42 20% off $1,302.99 $4,659.10 $4,141.42 2026-03-11
C8914 HCPCS MRA Lower Extremity With + Without Cnt Right 30 20 $5,175.75 $4,140.60 $551.49 $4,658.18 $1,716.60 2026-03-11
58563 HCPCS 58563 Hysteroscopy Surgical With Endometrial Ablation Eg Endometrial 19 19 $5,098.50 $4,078.80 $1,861.80 $5,098.50 $4,078.80 2026-03-11
44602 HCPCS 44602 Suture Of Small Intestine Enterorrhaphy For Perforated Ulcer 15 15 $5,064.51 $4,051.61 $1,306.91 $4,558.06 $4,051.61 2026-03-11
75635 HCPCS CT Angio Abdomen Aorta + Iliofemoral 35 20 $5,045.97 $4,036.78 $408.56 $4,541.37 $1,405.83 2026-03-11
72156 HCPCS MRI Spine Cervical With + Without Contrast 35 20 $5,015.07 $4,012.06 $524.83 $4,513.56 $1,507.34 2026-03-11
45388 HCPCS 45388 Colonoscopy Flexible With Ablation Of Tumor S Polyp S 19 19 $5,012.39 $4,009.91 20% off $947.46 $4,511.15 $2,482.11 2026-03-11
59400 HCPCS 59400 Routine Obstetric Care Including Antepartum Care Vaginal Delivery 15 15 $5,009.92 $4,007.94 $2,222.40 $4,508.93 $4,007.94 2026-03-11
70553 HCPCS MRI Brain And Iac With + Without Contrast 35 20 $4,994.47 $3,995.58 $523.20 $4,495.02 $1,387.70 2026-03-11
72157 HCPCS MRI Spine Thoracic With + Without Contrast 35 20 $4,928.55 $3,942.84 20% off $526.45 $4,435.70 $1,498.28 2026-03-11
J0840 HCPCS Antivenin Crotalidae Polyvalent - Pow 19 19 $4,895.59 $3,916.47 20% off $2,171.68 $4,895.59 $3,916.47 2026-03-11
43840 HCPCS 43840 Gastrorrhaphy Suture Of Perforated Duodenal Or Gastric 15 15 $4,870.87 $3,896.70 $1,283.02 $4,383.78 $3,896.70 2026-03-11
44140 HCPCS 44140 Colectomy Partial With Anastomosis Profee 15 15 $4,795.68 $3,836.54 20% off $1,258.73 $4,316.11 $3,836.54 2026-03-11
74183 HCPCS MRI Abdomen With + Without Contrast 35 20 $4,794.65 $3,835.72 20% off $579.80 $4,315.19 $1,318.81 2026-03-11
44205 HCPCS 44205 Laparoscopy Surgical Colectomy Partial With Removal 15 15 $4,758.60 $3,806.88 20% off $1,231.76 $4,282.74 $3,806.88 2026-03-11
72147 HCPCS MRI Spine Thoracic With Contrast 30 20 $4,715.34 $3,772.27 20% off $467.40 $4,243.81 $1,617.82 2026-03-11
43632 HCPCS 43632 Gastrectomy Partial Distal With Gastrojejunostomy Profee 15 15 $4,713.28 $3,770.62 20% off $1,897.49 $4,241.95 $3,770.62 2026-03-11
71552 HCPCS MRI Chest With + Without Contrast 35 20 $4,700.92 $3,760.74 $642.50 $4,230.83 $1,318.81 2026-03-11
72194 HCPCS CT Pelvis With + Without Contrast 30 20 $4,687.53 $3,750.02 20% off $361.87 $4,218.78 $1,406.78 2026-03-11
19081 HCPCS Mg Breast Biopsy With Stereo Guide Right 33 19 $4,682.38 $3,745.90 20% off $781.44 $4,214.14 $3,181.46 2026-03-11
73723 HCPCS MRI Ankle With + Without Contrast Right 50 20 $4,664.87 $3,731.90 $636.02 $4,241.95 $2,109.68 2026-03-11
77049 HCPCS MRI Breast With + Without Cont Bilat Dynamic 27 16 $4,595.86 $3,676.69 $551.49 $4,136.27 $2,068.14 2026-03-11
C8933 HCPCS MRA Spinal Contents With + Without Contrast 30 20 $4,591.74 $3,673.39 20% off $551.49 $4,132.57 $1,587.07 2026-03-11
59515 HCPCS 59515 Cesarean Delivery Only Including Postpartum Care Profee 15 15 $4,568.05 $3,654.44 20% off $1,255.20 $4,111.25 $3,654.44 2026-03-11
51565 HCPCS 51565 Cystectomy Partial With Reimplantation Of Ureter S Into Bladder 15 15 $4,564.96 $3,651.97 $1,147.65 $4,108.46 $3,651.97 2026-03-11
58558 HCPCS 58558 Hysteroscopy Surgical With Sampling Biopsy Of Endometrium 19 19 $4,418.70 $3,534.96 $1,182.61 $3,976.83 $3,212.39 2026-03-11
72127 HCPCS CT Spine Cervical With + Without Contrast 30 20 $4,404.28 $3,523.42 20% off $335.83 $3,963.85 $1,331.07 2026-03-11
43633 HCPCS 43633 Gastrectomy Partial Distal With Roux-en-y Reconstruction Profee 15 15 $4,382.65 $3,506.12 $1,795.98 $3,944.39 $3,506.12 2026-03-11
44120 HCPCS 44120 Enterectomy Resection Of Small Intestine Single Resection 15 15 $4,381.62 $3,505.30 $1,146.64 $3,943.46 $3,505.30 2026-03-11
73706 HCPCS CT Angio Lower Extremity Bilateral 60 20 $4,369.26 $3,495.41 $408.56 $4,078.80 $2,024.90 2026-03-11
19307 HCPCS 19307 Mastectomy Modified Radical Including Axillary Lymph Nodes 19 19 $4,293.04 $3,434.43 20% off $1,124.70 $4,293.04 $3,434.43 2026-03-11
44150 HCPCS 44150 Colectomy Total Abdominal Without Proctectomy With Ileostomy 15 15 $4,269.35 $3,415.48 20% off $1,732.87 $3,842.42 $3,415.48 2026-03-11
C8901 HCPCS MRA Abdomen Without Contrast 30 20 $4,248.75 $3,399.00 20% off $241.72 $3,823.88 $1,501.82 2026-03-11
C1776 HCPCS Asymmetric Patella #35 75 15 $4,210.77 $3,368.62 $752.35 $6,272.10 $3,136.05 2026-03-11
74182 HCPCS MRI Abdomen With Contrast 30 20 $4,169.44 $3,335.55 20% off $508.79 $3,752.50 $1,444.82 2026-03-11
38100 HCPCS 38100 Splenectomy Total Separate Procedure Profee 15 15 $4,130.30 $3,304.24 20% off $1,083.08 $3,717.27 $3,304.24 2026-03-11
72149 HCPCS MRI Spine Lumbar With Contrast 30 20 $4,130.30 $3,304.24 20% off $435.43 $3,717.27 $1,366.38 2026-03-11
44141 HCPCS 44141 Colectomy Partial With Skin Level Cecostomy Or Colostomy Profee 15 15 $4,101.46 $3,281.17 $1,699.49 $3,691.31 $3,281.17 2026-03-11
64624 HCPCS 64624 Destruction By Neurolytic Agent Genicular Nerve Branches 33 20 $4,063.35 $3,250.68 20% off $569.76 $3,657.02 $1,828.51 2026-03-11
72142 HCPCS MRI Spine Cervical With Contrast 30 20 $4,046.87 $3,237.50 $472.25 $3,642.18 $1,476.97 2026-03-11
70542 HCPCS MRI Neck With Contrast 30 20 $4,046.87 $3,237.50 $473.08 $3,642.18 $1,382.41 2026-03-11
44144 HCPCS 44144 Colectomy Partial With Resection With Colostomy Or Ileostomy 15 15 $4,001.55 $3,201.24 20% off $1,646.40 $3,601.40 $3,201.24 2026-03-11
27487 HCPCS 27487 Revision Of Total Knee Arthroplasty With Or Without Allograft 15 15 $3,980.95 $3,184.76 $1,570.23 $3,582.86 $3,184.76 2026-03-11
74170 HCPCS CT Abdomen With + Without Contrast 55 20 $3,965.50 $3,172.40 20% off $400.22 $3,568.95 $1,784.48 2026-03-11
70552 HCPCS MRI Brain With Contrast 30 20 $3,965.50 $3,172.40 20% off $463.38 $3,568.95 $1,411.65 2026-03-11
58546 HCPCS 58546 Laparoscopy Surgical Myomectomy Excision 5 Or More Intramural 19 19 $3,963.44 $3,170.75 20% off $984.48 $3,963.44 $3,368.92 2026-03-11
C8912 HCPCS MRA Lower Extremity With Contrast Right 30 20 $3,954.17 $3,163.34 $508.79 $3,558.75 $1,436.48 2026-03-11
19083 HCPCS US Breast Biopsy Right 33 19 $3,952.11 $3,161.69 $781.44 $3,556.90 $2,294.84 2026-03-11
44206 HCPCS 44206 Laparoscopy Surgical Colectomy Partial 15 15 $3,933.57 $3,146.86 $1,610.49 $3,540.21 $3,146.86 2026-03-11
73719 HCPCS MRI Lower Extremity With Contrast Right 30 20 $3,921.21 $3,136.97 $461.75 $3,529.09 $1,354.55 2026-03-11
44005 HCPCS 44005 Enterolysis Freeing Of Intestinal Adhesion Separate Procedure Profee 15 15 $3,911.94 $3,129.55 20% off $1,028.67 $3,520.75 $3,129.55 2026-03-11
72196 HCPCS MRI Pelvis With Contrast 30 20 $3,907.82 $3,126.26 $464.18 $3,517.04 $1,386.80 2026-03-11
C8920 HCPCS MRA Pelvis With + Without Contrast 30 20 $3,875.89 $3,100.71 20% off $551.49 $3,488.30 $1,428.28 2026-03-11
73219 HCPCS MRI Humerus With Contrast Left 30 20 $3,863.53 $3,090.82 20% off $479.30 $3,477.18 $1,343.14 2026-03-11
C8918 HCPCS MRA Pelvis With Contrast 30 20 $3,840.87 $3,072.70 $508.79 $3,456.78 $1,411.35 2026-03-11
C1781 HCPCS 3d Max Large Left Mesh 480 15 $3,815.25 $3,052.20 20% off $11.92 $11,542.50 $2,476.31 2026-03-11
59410 HCPCS 59410 Vaginal Delivery Only With Or Without Episiotomy And/or Forceps 10 10 $3,746.11 $2,996.89 $1,661.77 $3,371.50 $3,184.19 2026-03-11
49002 HCPCS 49002 Reopening Of Recent Laparotomy Profee 15 15 $3,738.90 $2,991.12 20% off $981.60 $3,365.01 $2,991.12 2026-03-11
49655 HCPCS 49655 Laparoscopy Surgical Repair Incisional Hernia 10 10 $3,694.61 $2,955.69 $1,638.93 $3,325.15 $3,140.42 2026-03-11
49020 HCPCS 49020 Drainage Of Peritoneal Abscess Or Localized Peritonitis 15 15 $3,680.19 $2,944.15 20% off $1,496.72 $3,312.17 $2,944.15 2026-03-11
73722 HCPCS MRI Ankle Arthrogram Left 50 20 $3,613.24 $2,890.59 20% off $477.93 $3,290.85 $1,634.09 2026-03-11
77047 HCPCS MRI Breast Without Contrast Bilateral 30 20 $3,602.94 $2,882.35 20% off $276.67 $3,242.65 $1,299.24 2026-03-11
44625 HCPCS 44625 Closure Of Enterostomy Large Or Small Intestine 15 15 $3,592.64 $2,874.11 20% off $935.79 $3,233.38 $2,874.11 2026-03-11
58150 HCPCS 58150 Total Abdominal Hysterectomy Corpus And Cervix 15 15 $3,586.46 $2,869.17 $934.91 $3,227.81 $2,869.17 2026-03-11
J0630 HCPCS Calcitonin 200 Intl Units/ml Inj Sol 19 19 $3,558.16 $2,846.53 $1,578.40 $3,558.16 $2,846.53 2026-03-11
58263 HCPCS 58263 Vaginal Hysterectomy For Uterus 250 G Or Less With Removal 19 19 $3,511.27 $2,809.02 $878.89 $3,511.27 $2,852.62 2026-03-11
36561 HCPCS 36561 Insertion Of Tunneled Centrally Inserted Central Venous 19 19 $3,508.18 $2,806.54 20% off $907.39 $3,508.18 $2,806.54 2026-03-11
58552 HCPCS 58552 Laparoscopy Surgical With Vaginal Hysterectomy 19 19 $3,466.98 $2,773.58 20% off $878.98 $3,788.76 $2,946.93 2026-03-11
J7296 HCPCS IUD Kyleena 19 19 $3,455.34 $2,764.27 20% off $1,532.79 $3,109.81 $2,512.03 2026-03-11
C8900 HCPCS MRA Abdomen With Contrast 30 20 $3,427.84 $2,742.27 20% off $508.79 $3,085.06 $1,319.74 2026-03-11
73221 HCPCS MRI Elbow Without Contrast Right 50 20 $3,421.66 $2,737.33 $346.93 $3,169.41 $1,555.14 2026-03-11
27511 HCPCS 27511 Open Treatment Of Femoral Supracondylar Or Trans 15 15 $3,409.30 $2,727.44 20% off $896.39 $3,068.37 $2,727.44 2026-03-11
C8919 HCPCS MRA Pelvis Without Contrast 30 20 $3,372.22 $2,697.78 $419.44 $3,035.00 $1,307.41 2026-03-11
C1889 HCPCS 11 Hole Left Inter Short 510 15 $3,348.63 $2,678.91 $4.08 $15,345.72 $2,214.82 2026-03-11
49653 HCPCS 49653 Laparoscopy Surgical Repair Ventral Umbilical Spigelian 10 10 $3,317.63 $2,654.10 20% off $1,471.70 $2,985.87 $2,819.99 2026-03-11
58562 HCPCS 58562 Hysteroscopy Removal Impacted Foreign Body Profee Charge 19 19 $3,306.30 $2,645.04 20% off $382.66 $3,234.60 $2,558.44 2026-03-11
23472 HCPCS 23472 Arthroplasty Glenohumeral Joint Total Shoulder Glenoid 19 19 $3,283.64 $2,626.91 20% off $1,293.56 $21,307.54 $2,791.09 2026-03-11
60225 HCPCS 60225 Total Thyroid Lobectomy Unilateral With Contralateral 19 19 $3,263.04 $2,610.43 20% off $846.37 $3,943.74 $2,773.58 2026-03-11
27880 HCPCS 27880 Amputation Leg Through Tibia And Fibula Profee 15 15 $3,239.35 $2,591.48 20% off $830.75 $2,915.42 $2,591.48 2026-03-11
60240 HCPCS 60240 Thyroidectomy Total Or Complete Profee 19 19 $3,232.14 $2,585.71 20% off $830.20 $3,943.74 $2,747.32 2026-03-11
44202 HCPCS 44202 Laparoscopy Surgical Enterectomy Resection Of Small 15 15 $3,199.18 $2,559.34 20% off $1,298.22 $2,879.26 $2,559.34 2026-03-11
27486 HCPCS 27486 Revision Of Total Knee Arthroplasty With Or Without 15 15 $3,195.06 $2,556.05 $1,267.44 $2,875.55 $2,556.05 2026-03-11
58545 HCPCS 58545 Laparoscopy Surgical Myomectomy Excision 1 To 4 Intramural 19 19 $3,171.37 $2,537.10 $810.06 $3,171.37 $2,695.66 2026-03-11
C9359 HCPCS Bone Cement Simplex Hv 135 15 $3,147.18 $2,517.74 20% off $90.76 $8,731.94 $1,603.80 2026-03-11
58353 HCPCS 58353 Endometrial Ablation Thermal Without Hysteroscopic Guidance Profee 19 19 $3,144.59 $2,515.67 20% off $832.38 $3,144.59 $2,672.90 2026-03-11
44960 HCPCS 44960 Appendectomy For Ruptured Appendix With Abscess 15 15 $3,137.38 $2,509.90 20% off $830.63 $2,823.64 $2,509.90 2026-03-11
C8902 HCPCS Mg Technical Repeat 45 20 $3,137.38 $2,509.90 20% off $357.13 $3,823.88 $1,911.94 2026-03-11
43501 HCPCS 43501 Gastrotomy With Suture Repair Of Bleeding Ulcer Profee 15 15 $3,119.87 $2,495.90 $1,279.68 $2,807.88 $2,495.90 2026-03-11
27280 HCPCS 27280 Arthrodesis Open Sacroiliac Joint Including Obtaining Bone 15 15 $3,119.87 $2,495.90 $1,288.41 $2,807.88 $2,495.90 2026-03-11
58550 HCPCS 58550 Laparoscopy Surgical With Vaginal Hysterectomy For Uterus 250 G Or Less 19 19 $3,110.60 $2,488.48 20% off $786.96 $5,901.38 $2,644.01 2026-03-11
0278 RC — 330 15 $3,086.25 $2,469.00 20% off $12.99 $29,929.50 $1,899.95 2026-03-11
49657 HCPCS 49657 Laparoscopy Surgical Repair Recurrent Incisional Hernia 10 10 $3,061.16 $2,448.93 $1,357.93 $2,755.04 $2,601.99 2026-03-11
J7301 HCPCS IUD Skyla 37 19 $3,034.14 $2,427.31 20% off $704.44 $2,730.73 $1,397.44 2026-03-11
49654 HCPCS 49654 Laparoscopy Surgical Repair Incisional Hernia Includes Mesh 10 10 $3,025.11 $2,420.09 $1,341.94 $2,722.60 $2,571.34 2026-03-11
35226 HCPCS 35226 Repair Blood Vessel Direct Lower Extremity Profee 19 19 $3,008.63 $2,406.90 20% off $663.50 $2,707.77 $1,334.63 2026-03-11
27828 HCPCS 27828 Open Treatment Of Fracture Of Weight Bearing Articular 19 19 $3,004.51 $2,403.61 $1,212.40 $5,296.10 $2,553.83 2026-03-11
47100 HCPCS 47100 Biopsy Of Liver Wedge Profee 15 15 $3,001.42 $2,401.14 $812.10 $2,701.28 $2,401.14 2026-03-11
51992 HCPCS 51992 Laparoscopy Surgical Sling Operation For Stress Incontinence 19 19 $2,957.13 $2,365.70 20% off $747.32 $3,788.76 $2,513.56 2026-03-11
0200 RC — 14 14 $2,951.98 $2,361.58 20% off $2,361.58 $6,867.29 $2,951.98 2026-03-11
36571 HCPCS 36571 Insertion Of Peripherally Inserted Central Venous Access 19 19 $2,936.53 $2,349.22 20% off $1,253.64 $2,936.53 $2,349.22 2026-03-11
27138 HCPCS 27138 Revision Of Total Hip Arthroplasty Femoral Component 15 15 $2,928.00 $2,342.40 $1,298.86 $2,635.20 $2,342.40 2026-03-11
27130 HCPCS 27130 Arthroplasty Acetabular And Proximal Femoral Prosthetic 19 19 $2,927.26 $2,341.81 $1,156.97 $14,280.85 $2,488.17 2026-03-11
27447 HCPCS 27447 Arthroplasty Knee Condyle And Plateau Medial And Lateral 19 19 $2,925.20 $2,340.16 20% off $1,154.23 $11,783.08 $2,486.42 2026-03-11
73702 HCPCS CT Lower Extremity W/+without Contrast Bilat 70 20 $2,900.48 $2,320.38 20% off $342.88 $4,078.80 $1,311.74 2026-03-11
59120 HCPCS 59120 Surgical Treatment Of Ectopic Pregnancy Tubal Or Ovarian 15 15 $2,889.15 $2,311.32 $745.54 $2,600.24 $2,311.32 2026-03-11
13160 HCPCS 13160 Secondary Closure Of Surgical Wound Or Dehiscence 19 19 $2,889.15 $2,311.32 $731.81 $2,889.15 $2,311.32 2026-03-11
44160 HCPCS 44160 Colectomy Partial With Removal Of Terminal Ileum With Ileocolostomy Profee 15 15 $2,864.43 $2,291.54 20% off $1,164.23 $2,577.99 $2,291.54 2026-03-11
49405 HCPCS 49405 Image-guided Fluid Collection Drainage By Catheter 19 19 $2,855.16 $2,284.13 $782.96 $2,569.64 $2,075.70 2026-03-11
J1451 HCPCS Fomepizole 1 G/ml IV Sol 19 19 $2,853.69 $2,282.95 20% off $8.36 $2,568.32 $1,297.00 2026-03-11
J7298 HCPCS IUD Mirena 38 19 $2,817.49 $2,253.99 20% off $887.20 $3,271.48 $1,717.50 2026-03-11
27244 HCPCS 27244 Treatment Of Intertrochanteric Peritrochanteric 15 15 $2,789.24 $2,231.39 20% off $1,112.93 $2,510.32 $2,231.39 2026-03-11
58700 HCPCS 58700 Salpingectomy Complete Or Partial Unilateral Or Bilateral 15 15 $2,787.18 $2,229.74 20% off $728.48 $2,508.46 $2,229.74 2026-03-11
35840 HCPCS 35840 Exploration For Postoperative Hemorrhage Thrombosis Or Infection Abdomen 15 15 $2,749.07 $2,199.26 $1,133.74 $2,474.16 $2,199.26 2026-03-11
49000 HCPCS 49000 Exploratory Laparotomy Exploratory Celiotomy With Or Without 15 15 $2,739.80 $2,191.84 20% off $730.77 $2,465.82 $2,191.84 2026-03-11
27245 HCPCS 27245 Treatment Of Intertrochanteric Peritrochanteric Or Subtr 15 15 $2,730.53 $2,184.42 20% off $1,109.79 $2,457.48 $2,184.42 2026-03-11
29889 HCPCS 29889 Arthroscopically Aided Posterior Cruciate Ligament Repair 19 19 $2,728.47 $2,182.78 $1,119.60 $7,170.82 $2,319.20 2026-03-11
23470 HCPCS 23470 Arthroplasty Glenohumeral Joint Hemiarthroplasty Profee 19 19 $2,719.20 $2,175.36 $1,079.69 $9,606.73 $2,311.32 2026-03-11
44320 HCPCS 44320 Colostomy Or Skin Level Cecostomy Profee 15 15 $2,711.99 $2,169.59 20% off $1,125.31 $2,440.79 $2,169.59 2026-03-11
27236 HCPCS 27236 Open Treatment Of Femoral Fracture Proximal End Neck Internal 15 15 $2,709.93 $2,167.94 20% off $1,081.26 $2,438.94 $2,167.94 2026-03-11
27536 HCPCS 27536 Open Treatment Of Tibial Fracture Proximal Plateau Bicondylar 15 15 $2,692.42 $2,153.94 $1,081.50 $2,423.18 $2,153.94 2026-03-11
59614 HCPCS 59614 Vbac Care After Delivery 10 10 $2,673.88 $2,139.10 20% off $1,186.13 $2,406.49 $2,272.80 2026-03-11
J7300 HCPCS IUD Paragard 38 19 $2,662.78 $2,130.22 $887.20 $2,993.00 $1,700.00 2026-03-11
49652 HCPCS 49652 Laparoscopy Surgical Repair Ventral Umbilical 10 10 $2,654.31 $2,123.45 $1,177.45 $2,388.88 $2,256.16 2026-03-11
49560 HCPCS 49560 Repair Initial Incisional Or Ventral Hernia Reducible Profee 10 10 $2,637.83 $2,110.26 20% off $1,170.14 $2,374.05 $2,242.16 2026-03-11
27446 HCPCS 27446 Arthroplasty Knee Condyle And Plateau Medial Or Lateral Compartment Profee 19 19 $2,628.56 $2,102.85 $1,040.30 $9,606.73 $2,234.28 2026-03-11
15830 HCPCS 15830 Excision Excessive Skin And Subcutaneous Tissue 19 19 $2,624.44 $2,099.55 20% off $1,056.60 $2,624.44 $2,099.55 2026-03-11
47605 HCPCS 47605 Cholecystectomy With Cholangiography Profee 15 15 $2,607.96 $2,086.37 $1,067.54 $2,347.16 $2,086.37 2026-03-11
27125 HCPCS 27125 Hemiarthroplasty Hip Partial Eg Femoral Stem 15 15 $2,571.91 $2,057.53 $1,027.30 $2,314.72 $2,057.53 2026-03-11
57288 HCPCS 57288 Sling Operation For Stress Incontinence Eg Fascia Or Synthetic Profee 19 19 $2,566.76 $2,053.41 $659.50 $3,639.07 $2,181.75 2026-03-11
47563 HCPCS 47563 Laparoscopy Surgical Cholecystectomy With Cholangiography Profee 19 19 $2,559.55 $2,047.64 20% off $686.46 $3,788.76 $2,175.62 2026-03-11
57520 HCPCS 57520 Conization Of Cervix With Or Without Fulguration 19 19 $2,556.46 $2,045.17 $349.09 $2,556.46 $2,045.17 2026-03-11
15100 HCPCS 15100 Split-thickness Autograft Trunk Arms Legs First 100 Sq 19 19 $2,549.25 $2,039.40 $890.83 $2,549.25 $2,039.40 2026-03-11
J7307 HCPCS Etonogestrel 68 Mg Imp 57 19 $2,547.75 $2,038.20 20% off $684.92 $3,059.51 $1,545.05 2026-03-11
28415 HCPCS 28415 Open Treatment Of Calcaneal Fracture Includes Internal 19 19 $2,535.86 $2,028.69 $1,031.22 $5,296.10 $2,155.48 2026-03-11
0174 RC — 14 14 $2,534.83 $2,027.86 20% off $2,027.86 $6,867.29 $2,534.83 2026-03-11
28805 HCPCS 28805 Amputation Foot Transmetatarsal Profee 19 19 $2,532.77 $2,026.22 $644.57 $2,532.77 $2,026.22 2026-03-11
27827 HCPCS 27827 Open Treatment Of Fracture Of Weight Bearing Articular 19 19 $2,524.53 $2,019.62 20% off $1,033.59 $5,296.10 $2,145.85 2026-03-11
58662 HCPCS 58662 Laparoscopy Surgical With Fulguration Or Excision 19 19 $2,508.05 $2,006.44 20% off $647.64 $3,788.76 $2,131.84 2026-03-11
74174 HCPCS 70074 CTA Abd Pelv W 45 20 $2,474.06 $1,979.25 $643.78 $4,125.15 $1,979.25 2026-03-11
47600 HCPCS 47600 Cholecystectomy Profee 15 15 $2,472.00 $1,977.60 20% off $1,015.02 $2,224.80 $1,977.60 2026-03-11
38505 HCPCS US Biopsy Lymph Node Right 48 19 $2,453.46 $1,962.77 $632.09 $4,415.30 $1,665.41 2026-03-11
15120 HCPCS 15120 Split-thickness Autograft Face Scalp Eyelids 19 19 $2,447.28 $1,957.82 20% off $844.46 $2,447.28 $1,957.82 2026-03-11
44604 HCPCS 44604 Suture Of Large Intestine Colorrhaphy For Perf 15 15 $2,443.16 $1,954.53 $983.34 $2,198.84 $1,954.53 2026-03-11
24435 HCPCS 24435 Repair Of Nonunion Or Malunion Humerus With Iliac 19 19 $2,438.01 $1,950.41 $990.16 $7,170.82 $2,072.31 2026-03-11
29827 HCPCS 29827 Arthroscopy Shoulder Surgical With Rotator Cuff Repair Profee 19 19 $2,426.68 $1,941.34 20% off $966.35 $3,948.72 $2,062.68 2026-03-11
58660 HCPCS 58660 Laparoscopy Surgical With Lysis Of Adhesions Salpingolysis 19 19 $2,392.69 $1,914.15 20% off $629.32 $3,788.76 $2,033.79 2026-03-11
44345 HCPCS 44345 Revision Of Colostomy Complicated Reconstruction In-depth 15 15 $2,375.18 $1,900.14 20% off $986.89 $2,137.66 $1,900.14 2026-03-11
29807 HCPCS 29807 Arthroscopy Shoulder Surgical Repair Of Slap Lesion Profee 19 19 $2,341.19 $1,872.95 20% off $940.35 $3,948.72 $1,990.01 2026-03-11
29806 HCPCS 29806 Arthroscopy Shoulder Surgical Capsulorrhaphy Profee 19 19 $2,320.59 $1,856.47 20% off $961.78 $3,948.72 $1,972.50 2026-03-11
58661 HCPCS 58661 Laparoscopy Surgical With Removal Of Adnexal Structures 19 19 $2,297.93 $1,838.34 20% off $588.43 $3,788.76 $1,953.24 2026-03-11
49520 HCPCS 49520 Repair Recurrent Inguinal Hernia Any Age Reducible Profee 19 19 $2,260.85 $1,808.68 $609.03 $2,585.82 $1,921.72 2026-03-11
44025 HCPCS 44025 Colotomy For Exploration Biopsy S Or Foreign Body Removal Profee 15 15 $2,258.79 $1,807.03 20% off $925.12 $2,032.91 $1,807.03 2026-03-11
19330 HCPCS 19330 Removal Of Mammary Implant Material Profee 19 19 $2,246.43 $1,797.14 20% off $583.72 $3,613.91 $1,909.47 2026-03-11
27437 HCPCS 27437 Arthroplasty Patella Without Prosthesis Profee 19 19 $2,243.34 $1,794.67 20% off $614.66 $3,226.40 $1,906.84 2026-03-11
27759 HCPCS 27759 Treatment Of Tibial Shaft Fracture With Or Without Fibular 19 19 $2,239.22 $1,791.38 $909.22 $5,296.10 $1,903.34 2026-03-11
44111 HCPCS 44111 Excision Of 1 Or More Lesions Of Small Or Large Intestine 15 15 $2,232.01 $1,785.61 $907.54 $2,008.81 $1,785.61 2026-03-11
27823 HCPCS 27823 Open Treatment Of Trimalleolar Ankle Fracture Includes Internal 19 19 $2,224.80 $1,779.84 20% off $906.14 $5,296.10 $1,891.08 2026-03-11
15740 HCPCS 15740 Flap Island Pedicle Requiring Identification And Dissection Of 19 19 $2,222.74 $1,778.19 20% off $986.01 $2,222.74 $1,778.19 2026-03-11
27514 HCPCS 27514 Open Treatment Of Femoral Fracture Distal End Medial Or Lateral 15 15 $2,202.14 $1,761.71 20% off $870.40 $1,981.93 $1,761.71 2026-03-11
27726 HCPCS 27726 Repair Of Fibula Nonunion And/or Malunion With Internal Fixation Profee 19 19 $2,179.48 $1,743.58 20% off $867.41 $3,677.76 $1,852.56 2026-03-11
27240 HCPCS 27240 Closed Treatment Of Intertrochanteric Peritrochanteric Or Sub 15 15 $2,175.36 $1,740.29 $888.71 $1,957.82 $1,740.29 2026-03-11
35201 HCPCS 35201 Repair Blood Vessel Direct Neck Profee 19 19 $2,173.30 $1,738.64 20% off $859.42 $2,879.33 $1,847.31 2026-03-11
43800 HCPCS 43800 Pyloroplasty Profee 15 15 $2,156.82 $1,725.46 $875.97 $1,941.14 $1,725.46 2026-03-11
49561 HCPCS 49561 Repair Initial Incisional Or Ventral Hernia Incarcerated Or Strangulated 10 10 $2,150.64 $1,720.51 20% off $954.02 $1,935.58 $1,828.04 2026-03-11
44970 HCPCS 44970 Laparoscopy Surgical Appendectomy Profee 19 19 $2,141.37 $1,713.10 $578.29 $3,788.76 $1,820.16 2026-03-11
60500 HCPCS 60500 Parathyroidectomy Or Exploration Of Parathyroid S Profee 19 19 $2,141.37 $1,713.10 $891.80 $3,476.75 $1,820.16 2026-03-11
57250 HCPCS 57250 Posterior Colporrhaphy Repair Of Rectocele With 19 19 $2,131.07 $1,704.86 $543.07 $2,852.62 $1,811.41 2026-03-11
44180 HCPCS 44180 Laparoscopy Surgical Enterolysis Freeing Of Intestinal 19 19 $2,125.92 $1,700.74 $869.90 $3,788.76 $1,807.03 2026-03-11
58262 HCPCS 58262 Vaginal Hysterectomy For Uterus 250 G Or Less With Removal 19 19 $2,118.71 $1,694.97 $819.21 $2,852.62 $1,800.90 2026-03-11
57240 HCPCS 57240 Anterior Colporrhaphy Repair Of Cystocele With Or Without 19 19 $2,117.68 $1,694.14 20% off $542.38 $2,852.62 $1,800.03 2026-03-11
24545 HCPCS 24545 Open Treatment Of Humeral Supracondylar Or Transc 19 19 $2,103.26 $1,682.61 $849.86 $5,296.10 $1,787.77 2026-03-11
23680 HCPCS 23680 Open Treatment Medial Malleolus Fracture Profee 19 19 $2,100.17 $1,680.14 $854.72 $3,677.76 $1,785.14 2026-03-11
21552 HCPCS 21552 Excision Tumor Soft Tissue Of Neck Or Anterior Thorax 19 19 $2,084.72 $1,667.78 $425.36 $2,084.72 $1,772.01 2026-03-11
19302 HCPCS 19302 Mastectomy Partial Eg Lumpectomy Tylectomy Quadrant 19 19 $2,057.94 $1,646.35 20% off $866.53 $3,397.24 $1,749.25 2026-03-11
29828 HCPCS 29828 Arthroscopy Shoulder Surgical Biceps Tenodesis Profee 19 19 $2,041.67 $1,633.34 $833.72 $3,948.72 $1,735.42 2026-03-11
25575 HCPCS 25575 Open Treatment Of Radial And Ulnar Shaft Fractures With 19 19 $2,041.46 $1,633.17 $832.25 $5,296.10 $1,735.24 2026-03-11
58571 HCPCS 58571 Laparoscopy Surgical With Total Hysterectomy For Uterus 250 G 19 19 $2,032.19 $1,625.75 20% off $828.63 $3,788.76 $1,727.36 2026-03-11
27758 HCPCS 27758 Open Treatment Of Tibial Shaft Fracture With Or Without Fibular 19 19 $2,030.13 $1,624.10 20% off $822.47 $3,677.76 $1,725.61 2026-03-11
27235 HCPCS 27235 Percutaneous Skeletal Fixation Of Femoral Fracture Proximal End Neck 19 19 $2,020.86 $1,616.69 $827.14 $2,569.92 $1,717.73 2026-03-11
23615 HCPCS 23615 Open Treatment Of Proximal Humeral Surgical Or Anatomical 19 19 $2,001.29 $1,601.03 20% off $812.16 $5,296.10 $1,701.10 2026-03-11
24515 HCPCS 24515 Open Treatment Of Humeral Shaft Fracture With Plate/screws With 19 19 $1,992.02 $1,593.62 $810.28 $5,296.10 $1,693.22 2026-03-11
44620 HCPCS 44620 Closure Of Enterostomy Large Or Small Intestine Profee 15 15 $1,984.81 $1,587.85 $805.07 $1,786.33 $1,587.85 2026-03-11
27822 HCPCS 27822 Open Treatment Of Trimalleolar Ankle Fracture Includes Internal 19 19 $1,975.54 $1,580.43 20% off $808.35 $3,677.76 $1,679.21 2026-03-11
24516 HCPCS 24516 Asst Imn Shaft 19 19 $1,950.82 $1,560.66 $788.09 $5,296.10 $1,658.20 2026-03-11
0351 RC — 15 15 $1,939.49 $1,551.59 20% off $860.36 $1,745.54 $1,551.59 2026-03-11
49651 HCPCS 49651 Laparoscopy Surgical Repair Recurrent Inguinal Hernia Profee 19 19 $1,937.43 $1,549.94 20% off $547.50 $3,788.76 $1,646.82 2026-03-11
59426 HCPCS 59426 Antepartum Care Only 7 Or More Visits 15 15 $1,937.43 $1,549.94 20% off $859.44 $1,743.69 $1,549.94 2026-03-11
15933 HCPCS 15933 Excision Sacral Pressure Ulcer With Primary Suture With Ostectomy Profee 19 19 $1,935.16 $1,548.13 $811.65 $1,935.16 $1,644.89 2026-03-11
23412 HCPCS 23412 Repair Of Ruptured Musculotendinous Cuff Eg Rotator Cuff Open Chronic 19 19 $1,930.22 $1,544.18 $781.00 $3,767.62 $1,640.69 2026-03-11
58260 HCPCS Vaginal Hysterectomy For Uterus 250 G Or Less 19 19 $1,916.83 $1,533.46 20% off $741.29 $2,852.62 $1,629.31 2026-03-11
44110 HCPCS 44110 Excision Of 1 Or More Lesions Of Small Or Large Intestine 15 15 $1,914.77 $1,531.82 $799.22 $1,723.29 $1,531.82 2026-03-11
10036 HCPCS US Guided Soft Tissue Loc Device Ea Addl 10 10 $1,903.44 $1,522.75 20% off $844.37 $1,713.10 $1,617.92 2026-03-11
58542 HCPCS 58542 Laparoscopy Surgical Supracervical Hysterectomy For Uterus 250 19 19 $1,899.32 $1,519.46 $733.28 $5,901.38 $1,614.42 2026-03-11
49616 HCPCS 49616 Rpr Aa Hrn Rcr 3-10 Ncr/strn 15 15 $1,898.91 $1,519.13 $797.74 $1,709.02 $1,519.13 2026-03-11
28820 HCPCS 28820 Amputation Toe Metatarsophalangeal Joint Profee 19 19 $1,886.96 $1,509.57 $286.06 $1,886.96 $1,603.92 2026-03-11
49402 HCPCS 49402 Removal Of Peritoneal Foreign Body From Peritoneal Cavity Profee 19 19 $1,883.05 $1,506.44 $802.83 $2,198.96 $1,600.59 2026-03-11
29888 HCPCS 29888 Knee Arthroscopy Assisted Acl Reconstruction Profee 19 19 $1,870.00 $1,496.00 20% off $829.53 $7,170.82 $1,589.50 2026-03-11
59409 HCPCS 59409 Vaginal Delivery Only With Or Without Episiotomy And/or Forceps Profee 14 14 $1,869.45 $1,495.56 20% off $829.29 $1,869.45 $1,605.22 2026-03-11
25447 HCPCS 25447 Arthroplasty Interposition Intercarpal Or Carpometacarpal Joints Profee 19 19 $1,869.45 $1,495.56 20% off $729.08 $3,226.40 $1,589.03 2026-03-11
36558 HCPCS 36558 Insertion Of Tunneled Centrally Inserted Central Venous Catheter 14 14 $1,865.33 $1,492.26 20% off $827.46 $2,049.23 $1,613.51 2026-03-11
25608 HCPCS 25608 Open Treatment Of Distal Radial Intra-articular Fracture 19 19 $1,862.24 $1,489.79 20% off $758.32 $5,296.10 $1,582.90 2026-03-11
49505 HCPCS 49505 Repair Initial Inguinal Hernia Age 5 Years Or Older Reducible Profee 19 19 $1,852.97 $1,482.38 $506.82 $2,585.82 $1,575.02 2026-03-11
27540 HCPCS 27540 Open Treatment Of Intercondylar Spine S And/or Tuberosity 15 15 $1,842.67 $1,474.14 $751.90 $1,658.40 $1,474.14 2026-03-11
46040 HCPCS 46040 Incision And Drainage Of Ischiorectal And/or Perirectal 19 19 $1,835.46 $1,468.37 $603.87 $1,938.89 $1,560.14 2026-03-11
57120 HCPCS 57120 Colpocleisis Le Fort Type Profee 19 19 $1,828.25 $1,462.60 20% off $469.30 $2,852.62 $1,554.01 2026-03-11
27381 HCPCS 27381 Suture Infrapatellar Tendon Secondary Reconstruction 19 19 $1,824.13 $1,459.30 20% off $760.75 $1,824.13 $1,550.51 2026-03-11
27590 HCPCS 27590 Amputation Thigh Through Femur Any Level Profee 15 15 $1,822.07 $1,457.66 $728.69 $1,639.86 $1,457.66 2026-03-11
28296 HCPCS 28296 Correction Hallux Valgus. 19 19 $1,821.86 $1,457.49 $808.18 $2,552.27 $1,548.58 2026-03-11
25400 HCPCS 25400 Repair Of Nonunion Or Malunion Radius Or Ulna 19 19 $1,816.92 $1,453.54 $726.96 $3,767.62 $1,544.38 2026-03-11
49900 HCPCS 49900 Suture Abd Wall For Evisceration/ Dehisce 15 15 $1,816.92 $1,453.54 $796.24 $1,635.23 $1,453.54 2026-03-11
38510 HCPCS 38510 Biopsy Or Excision Of Lymph Node S Open Deep Cervical Node S Profee 19 19 $1,804.56 $1,443.65 $535.63 $1,991.00 $1,533.88 2026-03-11
28825 HCPCS 28825 Amputation Toe Interphalangeal Joint Profee 19 19 $1,801.47 $1,441.18 $278.76 $1,801.47 $1,531.25 2026-03-11
35206 HCPCS 35206 Repair Blood Vessel Direct Upper Extremity Profee 19 19 $1,799.41 $1,439.53 $731.12 $2,879.33 $1,529.50 2026-03-11
59151 HCPCS 59151 Laparoscopic Treatment Of Ectopic Pregnancy With Salp 19 19 $1,794.26 $1,435.41 $705.37 $3,788.76 $1,525.12 2026-03-11
49255 HCPCS 49255 Omentectomy Epiploectomy Resection Of Omentum Separate Procedure Profee 15 15 $1,790.14 $1,432.11 20% off $750.54 $1,611.13 $1,432.11 2026-03-11
49565 HCPCS 49565 Repair Recurrent Incisional Or Ventral Hernia Reducible Profee 10 10 $1,771.60 $1,417.28 20% off $785.88 $1,594.44 $1,505.86 2026-03-11
50387 HCPCS 50387 Removal And Replacement Of Externally Accessible Nephr 19 19 $1,767.48 $1,413.98 20% off $483.12 $1,767.48 $1,413.98 2026-03-11
49595 HCPCS 49595 Repair Of Anterior Abdominal Hernia S Ie Epigastric Inc 19 19 $1,765.42 $1,412.34 $716.55 $4,250.32 $1,500.61 2026-03-11
11005 HCPCS 11005 Debridement Of Skin Subcutaneous Tissue Muscle And Fascia 15 15 $1,760.27 $1,408.22 $706.44 $1,584.24 $1,408.22 2026-03-11
24538 HCPCS 24538 Percutaneous Skeletal Fixation Of Supracondylar Or Transcondylar 14 14 $1,758.21 $1,406.57 $779.94 $2,090.50 $1,520.85 2026-03-11
26370 HCPCS 26370 Repair Or Advancement Of Profundus Tendon With Intact 19 19 $1,758.21 $1,406.57 $729.20 $2,284.06 $1,494.48 2026-03-11
58925 HCPCS 58925 Ovarian Cystectomy Unilateral Or Bilateral Profee 19 19 $1,756.15 $1,404.92 20% off $696.60 $2,852.62 $1,492.73 2026-03-11
46255 HCPCS 46255 Hemorrhoidectomy Internal And External Single Column/group Profee 19 19 $1,751.00 $1,400.80 20% off $554.68 $1,938.89 $1,488.35 2026-03-11
28725 HCPCS 28725 Arthrodesis Subtalar Profee 19 19 $1,746.88 $1,397.50 20% off $716.50 $4,248.66 $1,484.85 2026-03-11
64708 HCPCS 64708 Neuroplasty Major Peripheral Nerve Arm Or Leg Open Other Than Specified 19 19 $1,733.49 $1,386.79 20% off $450.99 $1,733.49 $1,473.47 2026-03-11
27814 HCPCS 27814 Open Treatment Of Bimalleolar Ankle Fracture 19 19 $1,731.43 $1,385.14 20% off $703.19 $3,677.76 $1,471.72 2026-03-11
27252 HCPCS 27252 Closed Treatment Of Hip Dislocation Traumatic Requiring Anesthesia Profee 14 14 $1,714.95 $1,371.96 20% off $760.75 $1,714.95 $1,457.71 2026-03-11
49594 HCPCS 49594 Rpr Aa Hrn 1st 3-10 Ncr/strn. 19 19 $1,710.83 $1,368.66 20% off $694.84 $6,254.58 $1,454.21 2026-03-11
27524 HCPCS 27524 Open Treatment Of Patellar Fracture With Internal 19 19 $1,706.71 $1,365.37 $694.61 $3,677.76 $1,450.70 2026-03-11
46924 HCPCS 46924 Destruction Of Lesion S Anus Eg Condyloma Papilloma 19 19 $1,699.50 $1,359.60 20% off $581.67 $1,720.09 $1,444.58 2026-03-11
51860 HCPCS 51860 Cystorrhaphy Suture Of Bladder Wound Injury Or Rupture Simple Profee 19 19 $1,688.17 $1,350.54 $678.38 $2,064.43 $1,434.94 2026-03-11
49587 HCPCS 49587 Repair Umbilical Hernia Age 5 Years Or Older 10 10 $1,686.11 $1,348.89 $747.96 $1,517.50 $1,433.19 2026-03-11
28298 HCPCS 28298 Correction Hallux Valgus Bunionectomy With Sesamoidectomy 19 19 $1,678.90 $1,343.12 20% off $744.76 $2,552.27 $1,427.07 2026-03-11
24341 HCPCS 24341 Repair Tendon Or Muscle Upper Arm Or Elbow Each Tendon 19 19 $1,676.84 $1,341.47 20% off $692.33 $3,767.62 $1,425.31 2026-03-11
23430 HCPCS 23430 Repair Biceps Tendon. 19 19 $1,669.63 $1,335.70 20% off $684.98 $3,767.62 $1,419.19 2026-03-11
24900 HCPCS 24900 Amputation Arm Through Humerus With Primary Closure Profee 15 15 $1,669.63 $1,335.70 20% off $707.90 $1,502.67 $1,335.70 2026-03-11
46060 HCPCS 46060 Incision And Drainage Of Ischiorectal Or Intramural 19 19 $1,665.51 $1,332.41 $479.45 $1,938.89 $1,415.68 2026-03-11
25607 HCPCS 25607 Open Treatment Of Distal Radial Extra-articular Fracture 19 19 $1,663.45 $1,330.76 20% off $683.20 $5,296.10 $1,413.93 2026-03-11
21554 HCPCS 21554 Excision Tumor Soft Tissue Of Neck Or Anterior Thorax 19 19 $1,663.45 $1,330.76 20% off $676.96 $1,891.79 $1,413.93 2026-03-11
55400 HCPCS 55400 Vasovasostomy Vasovasorrhaphy Profee 10 10 $1,662.42 $1,329.94 $737.45 $1,496.18 $1,413.06 2026-03-11
26350 HCPCS 26350 Repair Or Advancement Flexor Tendon Not In Zone 2 Digital 19 19 $1,654.18 $1,323.34 20% off $705.57 $2,284.06 $1,406.05 2026-03-11
24575 HCPCS 24575 Open Treatment Of Humeral Epicondylar Fracture Medial 19 19 $1,652.12 $1,321.70 $681.73 $5,296.10 $1,404.30 2026-03-11
28120 HCPCS 28120 Partial Excision Craterization Saucerization Sequestrectomy 19 19 $1,652.12 $1,321.70 $658.60 $1,766.89 $1,404.30 2026-03-11
27691 HCPCS 27691 Transfer Or Transplant Of Single Tendon With Muscle 19 19 $1,649.65 $1,319.72 20% off $689.18 $3,767.62 $1,402.20 2026-03-11
28238 HCPCS 28238 Reconstruction Advancement Posterior Tibial Tendon 19 19 $1,641.82 $1,313.46 $659.02 $4,248.66 $1,395.55 2026-03-11
27345 HCPCS 27345 Excision Of Synovial Cyst Of Popliteal Space Eg Baker's Cyst Profee 19 19 $1,641.82 $1,313.46 $457.83 $1,780.73 $1,395.55 2026-03-11
46260 HCPCS 46260 Hemorrhoidectomy Internal And External 2 Or More Columns/groups Profee 19 19 $1,638.73 $1,310.98 20% off $470.72 $1,938.89 $1,392.92 2026-03-11
49592 HCPCS 49592 Repair Aa Hernia Initial <3cm Incarcerated 19 19 $1,634.61 $1,307.69 $443.98 $6,254.58 $1,389.42 2026-03-11
19125 HCPCS 19125 Excision Of Breast Lesion Identified By Preoperative Placement 19 19 $1,634.61 $1,307.69 $616.26 $2,002.09 $1,389.42 2026-03-11
59425 HCPCS 59425 Antepartum Care Only 4-6 Visits 15 15 $1,634.61 $1,307.69 $725.11 $1,471.15 $1,307.69 2026-03-11
29875 HCPCS 29875 Arthroscopy Knee Surgical Synovectomy Limited Eg Plica Or Shelf 19 19 $1,628.12 $1,302.50 $464.79 $2,420.12 $1,383.90 2026-03-11
23515 HCPCS 23515 Open Treatment Of Clavicular Fracture Includes Internal Fixation 19 19 $1,627.40 $1,301.92 20% off $667.28 $5,296.10 $1,383.29 2026-03-11
28730 HCPCS 28730 Arthrodesis Midtarsal Or Tarsometatarsal Multiple Or Transverse Profee 19 19 $1,624.31 $1,299.45 $666.35 $4,248.66 $1,380.66 2026-03-11
43830 HCPCS 43830 Gastrostomy Open Without Construction Of Gastric Tube Eg 19 19 $1,622.25 $1,297.80 20% off $674.68 $1,963.15 $1,378.91 2026-03-11
27602 HCPCS 27602 Decompression Fasciotomy Leg Anterior And/or Lateral And Poster 19 19 $1,621.22 $1,296.98 $446.01 $1,780.73 $1,378.04 2026-03-11
21933 HCPCS 21933 Profee-exc Back Tum Deep 5cm/> 19 19 $1,618.13 $1,294.50 20% off $697.10 $1,891.79 $1,375.41 2026-03-11
46280 HCPCS 46280 Surgical Treatment Of Anal Fistula Fistulectomy/fistulotomy 19 19 $1,618.13 $1,294.50 20% off $470.86 $1,938.89 $1,375.41 2026-03-11
26608 HCPCS 26608 Percutaneous Skeletal Fixation Of Metacarpal Fracture Each Bone Profee 19 19 $1,618.13 $1,294.50 20% off $450.89 $2,090.50 $1,375.41 2026-03-11
60220 HCPCS 60220 Total Thyroid Lobectomy Unilateral With Or Without Isthmusectomy Profee 19 19 $1,610.92 $1,288.74 $637.60 $3,943.74 $1,369.28 2026-03-11
27043 HCPCS 27043 Excision Tumor Soft Tissue Of Pelvis And Hip Area Subc 19 19 $1,610.92 $1,288.74 $450.50 $1,891.79 $1,369.28 2026-03-11
24605 HCPCS 24605 Treatment Of Closed Elbow Dislocation Requiring Anesthesia Profee 19 19 $1,610.92 $1,288.74 $466.15 $1,610.92 $1,288.74 2026-03-11
26727 HCPCS 26727 Percutaneous Skeletal Fixation Of Unstable Phalangeal Shaft 19 19 $1,594.44 $1,275.55 20% off $443.50 $2,090.50 $1,355.27 2026-03-11
22902 HCPCS 22902 Excision Tumor Soft Tissue Of Abdominal Wall Subcutaneous Less Than 3 Cm 19 19 $1,590.32 $1,272.26 $496.54 $1,590.32 $1,351.77 2026-03-11
23605 HCPCS 23605 Closed Treatment Of Proximal Humeral Surgical Or Anatomical Neck 19 19 $1,584.14 $1,267.31 20% off $514.28 $1,584.14 $1,346.52 2026-03-11
27695 HCPCS 27695 Repair Primary Disrupted Ligament Ankle Collateral Profee 19 19 $1,581.05 $1,264.84 20% off $455.22 $2,569.92 $1,343.89 2026-03-11
49585 HCPCS 49585 Repair Umbilical Hernia Age 5 Years Or Older Reducible Profee 10 10 $1,576.93 $1,261.54 20% off $699.53 $1,419.24 $1,340.39 2026-03-11
20525 HCPCS 20525 Removal Of Foreign Body In Muscle Or Tendon Sheath Deep Or Complicated 19 19 $1,576.93 $1,261.54 20% off $471.58 $1,891.79 $1,340.39 2026-03-11
27829 HCPCS 27829 Open Treatment Of Distal Tibiofibular Joint Syndesmosis Disruption 19 19 $1,565.81 $1,252.65 $656.41 $3,677.76 $1,330.94 2026-03-11
57010 HCPCS 57010 Colpotomy With Drainage Of Pelvic Abscess Profee 19 19 $1,563.54 $1,250.83 20% off $404.18 $1,621.40 $1,329.01 2026-03-11
29882 HCPCS 29882 Arthroscopy Knee Surgical With Meniscus Repair Medial Or Lateral Profee 19 19 $1,563.54 $1,250.83 20% off $632.27 $2,420.12 $1,329.01 2026-03-11
29891 HCPCS 29891 Arthroscopy Ankle Surgical Excision Of Osteochondral Defect Of Talus 19 19 $1,560.37 $1,248.30 $622.37 $3,948.72 $1,326.31 2026-03-11
27327 HCPCS 27327 Exc Thigh/knee Les Sc<3 Cm 19 19 $1,556.74 $1,245.39 20% off $513.61 $1,891.79 $1,323.23 2026-03-11
24073 HCPCS 24073 Excision Tumor Soft Tissue Upper Arm Or Elbow Subfascial 5 Cm Or Greater 19 19 $1,552.21 $1,241.77 $647.83 $1,891.79 $1,319.38 2026-03-11
27097 HCPCS 27097 Release Or Recession Hamstring Proximal Profee 19 19 $1,545.00 $1,236.00 20% off $633.79 $2,569.92 $1,313.25 2026-03-11
46200 HCPCS 46200 Fissurectomy Including Sphincterotomy When Performed Profee 19 19 $1,539.85 $1,231.88 $502.08 $1,938.89 $1,308.87 2026-03-11
26951 HCPCS 26951 Amputation Finger Or Thumb Primary Or Secondary Any Joint 19 19 $1,538.82 $1,231.06 $668.79 $1,538.82 $1,308.00 2026-03-11
49650 HCPCS 49650 Laparoscopy Surgical Repair Initial Inguinal Hernia Profee 19 19 $1,529.55 $1,223.64 $421.63 $3,788.76 $1,300.12 2026-03-11
29824 HCPCS 29824 Arthroscopy Shoulder Surgical Distal Claviculectomy Including 19 19 $1,527.49 $1,221.99 20% off $626.91 $2,420.12 $1,298.37 2026-03-11
47562 HCPCS 47562 Laparoscopy Surgical Cholecystectomy Profee 19 19 $1,522.34 $1,217.87 20% off $633.13 $3,788.76 $1,293.99 2026-03-11
19301 HCPCS 19301 Mastectomy Partial Eg Lumpectomy Tylectomy Quadrantectomy 19 19 $1,522.34 $1,217.87 20% off $631.59 $2,002.09 $1,293.99 2026-03-11
27301 HCPCS 27301 Incision And Drainage Deep Abscess Bursa Or Hematoma Thigh 19 19 $1,520.28 $1,216.22 20% off $674.40 $1,569.72 $1,292.24 2026-03-11
38531 HCPCS 38531 Open Biopsy/excision Inguinofemoral Lymph Node 19 19 $1,516.16 $1,212.93 $430.32 $3,379.21 $1,288.74 2026-03-11
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