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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

ST JOSEPH'S MEDICAL CENTER

Yonkers, NY · CCN 330006 · Rates published

1,268 distinct procedures filed
19 distinct payers
47,820 rate rows
2025-05-07 last MRF observed · ⚠ 15 mo old
Data quality

43,513 of 47,820 rate rows are consumer-grade (91.0%)

4,307 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,937
per-diem day rate — not a per-procedure price 259
exceeds 10× this hospital's gross charge — excluded from medians 84
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 25
placeholder amount (≤ $0.02) — excluded from medians 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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://sthpiprd.blob.core.windows.net/machine-readable-files/100287/131740127_st-joseph's-hospital,-yonkers_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/StJosephsMedicalCenter/100287
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-02

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
870
MS_DRG 		Septicemia Or Severe Sepsis W/mv>96 Hours Or Peripheral Extracorporeal Membrane… 14 $18,012.00 $73,004.00 $73,004.00 nat. median
$65,958
1.1× median
207
MS_DRG 		Respiratory System Diagnosis w/Ventilator Support <= 96 Hours 14 $37,749.00 $78,199.00 $71,009.00 nat. median
$62,218
1.1× median
853
MS_DRG 		Infectious & Parasitic Diseases W/or Procedure W/major Comorbid Conditions Or Co… 14 $13,718.00 $79,991.00 $53,681.00 nat. median
$47,707
1.1× median
207
APR_DRG 		Respiratory System Diagnosis w/Ventilator Support <= 96 Hours 9 $29,616.00 $71,009.00 $48,126.18 nat. median
$10,705
outlier · 4.5×
870
APR_DRG 		Septicemia Or Severe Sepsis W/mv>96 Hours Or Peripheral Extracorporeal Membrane… 9 $22,423.00 $73,004.00 $36,437.32 nat. median
$61,821
0.6× median
853
APR_DRG 		Infectious & Parasitic Diseases W/or Procedure W/major Comorbid Conditions Or Co… 9 $21,367.00 $53,681.00 $34,721.04 nat. median
$37,722
0.9× median
300
APR_DRG 		Lower Extremity Arterial Procedures; Peripheral Vascular Disorders With Cc 9 $13,405.00 $63,800.17 $28,356.00 nat. median
$24,161
1.2× median
417
MS_DRG 		Laparoscopic Cholecystectomy 13 $9,342.00 $46,444.00 $27,420.00 nat. median
$23,528
1.2× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 14 $12,432.00 $31,503.00 $24,629.00 nat. median
$16,167
1.5× median
67
APR_DRG 		Cva & Precerebral Occlusion W/infarction 9 $16,961.00 $54,743.36 $24,330.00 nat. median
$24,330
1.0× median
854
MS_DRG 		Infectious & Parasitic Diseases Including HIV With O.r. Procedures With Cc 14 $13,718.00 $79,991.00 $24,068.00 nat. median
$20,254
1.2× median
682
APR_DRG 		Renal Failure W/major Comorbid Conditions Or Complications (mcc) 9 $18,146.00 $52,960.05 $23,538.00 nat. median
$10,487
outlier · 2.2×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv>96 Hours W/major Comorbid Conditions Or Compl… 14 $18,012.00 $38,740.00 $23,044.00 nat. median
$19,136
1.2× median
470
MS_DRG 		Major Joint Replacement Or Reattachment Of Lower Extremity Without Major Comorbid Co… 14 $20,185.00 $63,349.00 $22,572.00 nat. median
$19,883
1.1× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc Or With Cc; Alcoholic Liver Disease 14 $5,898.00 $37,552.00 $22,326.00 nat. median
$19,576
1.1× median
417
APR_DRG 		Laparoscopic Cholecystectomy 9 $9,342.00 $31,902.00 $21,019.52 nat. median
$21,020
1.0× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 12 $825.00 $20,945.00 $20,945.00 nat. median
$16,012
1.3× median
896
APR_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 9 $9,747.00 $21,929.92 $20,945.00 nat. median
$10,920
1.9× median
100
MS_DRG 		Seizures With Mcc & Without Mcc 14 $5,907.00 $32,403.00 $20,850.00 nat. median
$19,081
1.1× median
951
MS_DRG 		Signs, Symptoms & Other Factors Influencing Health Status 14 $4,954.00 $24,917.00 $20,393.00 nat. median
$6,472
outlier · 3.2×
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc & Without Cc/mcc 14 $6,986.00 $43,749.00 $19,923.00 nat. median
$16,783
1.2× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 14 $5,542.00 $30,910.00 $19,352.00 nat. median
$16,480
1.2× median
668
MS_DRG 		Transurethral Procedures With Mcc Or With Cc Or Without Cc/mcc; Urethral & Trans… 13 $7,533.00 $36,194.00 $19,058.00 nat. median
$28,242
0.7× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 12 $9,109.00 $101,195.00 $19,014.00 nat. median
$14,657
1.3× median
470
APR_DRG 		Major Joint Replacement Or Reattachment Of Lower Extremity Without Major Comorbid Co… 9 $14,867.00 $33,451.67 $18,719.50 nat. median
$11,885
1.6× median
177
APR_DRG 		Respiratory Infections And Inflammations With Mcc 9 $12,709.00 $28,595.21 $18,669.00 nat. median
$22,259
0.8× median
917
MS_DRG 		Poisoning & Toxic Effects Of Drugs W/major Comorbid Conditions Or Complications… 13 $850.00 $25,301.00 $18,519.00 nat. median
$15,188
1.2× median
854
APR_DRG 		Infectious & Parasitic Diseases Including HIV With O.r. Procedures With Cc 9 $12,638.00 $28,434.71 $18,353.00 nat. median
$16,429
1.1× median
682
MS_DRG 		Renal Failure W/major Comorbid Conditions Or Complications (mcc) 14 $9,016.00 $39,981.00 $18,146.00 nat. median
$15,088
1.2× median
637
APR_DRG 		Diabetes With Mcc 10 $8,046.00 $18,103.50 $17,500.00 nat. median
$11,848
1.5× median
637
MS_DRG 		Diabetes With Mcc 14 $2,276.00 $28,923.00 $17,500.00 nat. median
$14,602
1.2× median
917
APR_DRG 		Poisoning & Toxic Effects Of Drugs W/major Comorbid Conditions Or Complications… 9 $825.00 $36,238.37 $17,312.50 nat. median
$2,031
outlier · 8.5×
871
APR_DRG 		Septicemia Or Severe Sepsis Without Mv>96 Hours W/major Comorbid Conditions Or Compl… 9 $11,450.00 $25,763.51 $17,247.00 nat. median
$15,176
1.1× median
811
MS_DRG 		Red Blood Cell Disorders W/major Comorbid Conditions Or Complications (mcc) 14 $6,496.00 $29,810.00 $17,144.00 nat. median
$14,291
1.2× median
698
APR_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 9 $14,635.00 $32,928.75 $16,993.50 nat. median
$13,530
1.3× median
291
MS_DRG 		Heart Failure & Shock W/major Comorbid Conditions Or Complications (mcc) Or Peri… 14 $13,511.00 $34,964.00 $16,993.00 nat. median
$13,359
1.3× median
67
MS_DRG 		Cva & Precerebral Occlusion W/infarction 14 $13,452.00 $41,400.00 $16,961.00 nat. median
$15,041
1.1× median
100
APR_DRG 		Seizures With Mcc & Without Mcc 9 $12,524.00 $28,178.26 $16,687.00 nat. median
$15,895
1.0× median
193
MS_DRG 		Simple Pneumonia & Pleurisy W/major Comorbid Conditions Or Complications (mcc) 14 $6,504.00 $27,461.00 $16,190.00 nat. median
$13,455
1.2× median
885
MS_DRG 		Bipolar Disorder; Mental Diseases And Disorders Psychoses 12 $1,223.00 $101,915.00 $16,157.00 nat. median
$12,669
1.3× median
432
APR_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc Or With Cc; Alcoholic Liver Disease 9 $9,979.00 $22,451.87 $16,152.50 nat. median
$10,123
1.6× median
391
MS_DRG 		Esophagitis, Gastroenteritis & Miscellaneous Digestive Disorders With Mcc; Other… 14 $4,678.00 $22,260.00 $16,037.00 nat. median
$13,072
1.2× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids & Electrolytes W/major… 14 $5,452.00 $31,526.00 $15,843.00 nat. median
$13,243
1.2× median
918
APR_DRG 		Toxic Effects Of Non Medicinal Substances; Poisoning & Toxic Effects Of Drugs Wi… 9 $11,184.00 $34,852.52 $15,490.00 nat. median
$5,459
outlier · 2.8×
640
APR_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids & Electrolytes W/major… 9 $14,944.00 $33,624.88 $15,393.50 nat. median
$3,181
outlier · 4.8×
668
APR_DRG 		Transurethral Procedures With Mcc Or With Cc Or Without Cc/mcc; Urethral & Trans… 9 $6,798.00 $19,058.00 $15,295.50 nat. median
$15,296
1.0× median
438
APR_DRG 		Disorders Of Pancreas Except Malignancy With Mcc & Without Cc/mcc 9 $10,610.00 $23,872.21 $15,266.50 nat. median
$18,399
0.8× median
641
APR_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids & Electrolytes Without… 9 $10,690.00 $33,624.88 $14,944.00 nat. median
$6,785
outlier · 2.2×
308
MS_DRG 		Cardiac Arrhythmia & Conduction Disorders W/major Comorbid Conditions Or Complic… 13 $5,034.00 $29,564.00 $14,878.00 nat. median
$12,590
1.2× median
308
APR_DRG 		Cardiac Arrhythmia & Conduction Disorders W/major Comorbid Conditions Or Complic… 9 $8,763.00 $19,717.67 $14,878.00 nat. median
$20,255
0.7× median

Other procedures at this hospital

Browse this hospital's 1,268 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
             
870 MS_DRG Septicemia Or Severe Sepsis W/mv>96 Hours Or Peripheral Extracorporeal Membrane … 17 14 $78,324.40 — $18,012.00 $73,004.00 $73,004.00 2025-05-07
207 MS_DRG Respiratory System Diagnosis w/Ventilator Support <= 96 Hours 17 14 $236,230.50 — $37,749.00 $78,199.00 $71,009.00 2025-05-07
853 MS_DRG Infectious & Parasitic Diseases W/or Procedure W/major Comorbid Conditions Or Co… 17 14 $232,439.90 — $13,718.00 $79,991.00 $53,681.00 2025-05-07
207 APR_DRG Respiratory System Diagnosis w/Ventilator Support <= 96 Hours 16 9 $236,230.50 — $29,616.00 $71,009.00 $48,126.18 2025-05-07
870 APR_DRG Septicemia Or Severe Sepsis W/mv>96 Hours Or Peripheral Extracorporeal Membrane … 16 9 $78,324.40 — $22,423.00 $73,004.00 $36,437.32 2025-05-07
853 APR_DRG Infectious & Parasitic Diseases W/or Procedure W/major Comorbid Conditions Or Co… 16 9 $232,439.90 — $21,367.00 $53,681.00 $34,721.04 2025-05-07
300 APR_DRG Lower Extremity Arterial Procedures; Peripheral Vascular Disorders With Cc 16 9 $111,163.80 — $13,405.00 $63,800.17 $28,356.00 2025-05-07
417 MS_DRG Laparoscopic Cholecystectomy 16 13 $41,454.60 — $9,342.00 $46,444.00 $27,420.00 2025-05-07
177 MS_DRG Respiratory Infections And Inflammations With Mcc 17 14 $81,068.90 — $12,432.00 $31,503.00 $24,629.00 2025-05-07
67 APR_DRG Cva & Precerebral Occlusion W/infarction 16 9 $49,556.10 — $16,961.00 $54,743.36 $24,330.00 2025-05-07
854 MS_DRG Infectious & Parasitic Diseases Including HIV With O.r. Procedures With Cc 17 14 $170,498.90 — $13,718.00 $79,991.00 $24,068.00 2025-05-07
682 APR_DRG Renal Failure W/major Comorbid Conditions Or Complications (mcc) 16 9 $45,350.80 — $18,146.00 $52,960.05 $23,538.00 2025-05-07
871 MS_DRG Septicemia Or Severe Sepsis Without Mv>96 Hours W/major Comorbid Conditions Or Compl… 17 14 $76,467.60 — $18,012.00 $38,740.00 $23,044.00 2025-05-07
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity Without Major Comorbid Co… 17 14 $56,985.50 — $20,185.00 $63,349.00 $22,572.00 2025-05-07
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc Or With Cc; Alcoholic Liver Disease 17 14 $50,447.10 — $5,898.00 $37,552.00 $22,326.00 2025-05-07
417 APR_DRG Laparoscopic Cholecystectomy 17 9 $41,454.60 — $9,342.00 $31,902.00 $21,019.52 2025-05-07
896 APR_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 15 9 $31,344.50 — $9,747.00 $21,929.92 $20,945.00 2025-05-07
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 18 12 $31,344.50 — $825.00 $20,945.00 $20,945.00 2025-05-07
100 MS_DRG Seizures With Mcc & Without Mcc 17 14 $40,917.80 — $5,907.00 $32,403.00 $20,850.00 2025-05-07
951 MS_DRG Signs, Symptoms & Other Factors Influencing Health Status 17 14 $70,122.80 — $4,954.00 $24,917.00 $20,393.00 2025-05-07
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc & Without Cc/mcc 17 14 $36,368.20 — $6,986.00 $43,749.00 $19,923.00 2025-05-07
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 17 14 $58,887.40 — $5,542.00 $30,910.00 $19,352.00 2025-05-07
668 MS_DRG Transurethral Procedures With Mcc Or With Cc Or Without Cc/mcc; Urethral & Trans… 16 13 $27,005.00 — $7,533.00 $36,194.00 $19,058.00 2025-05-07
884 MS_DRG Organic Disturbances And Intellectual Disability 17 12 $50,055.50 — $9,109.00 $101,195.00 $19,014.00 2025-05-07
470 APR_DRG Major Joint Replacement Or Reattachment Of Lower Extremity Without Major Comorbid Co… 16 9 $56,985.50 — $14,867.00 $33,451.67 $18,719.50 2025-05-07
177 APR_DRG Respiratory Infections And Inflammations With Mcc 16 9 $81,068.90 — $12,709.00 $28,595.21 $18,669.00 2025-05-07
917 MS_DRG Poisoning & Toxic Effects Of Drugs W/major Comorbid Conditions Or Complications … 18 13 $54,849.30 — $850.00 $25,301.00 $18,519.00 2025-05-07
854 APR_DRG Infectious & Parasitic Diseases Including HIV With O.r. Procedures With Cc 16 9 $170,498.90 — $12,638.00 $28,434.71 $18,353.00 2025-05-07
682 MS_DRG Renal Failure W/major Comorbid Conditions Or Complications (mcc) 17 14 $45,350.80 — $9,016.00 $39,981.00 $18,146.00 2025-05-07
637 MS_DRG Diabetes With Mcc 17 14 $47,327.50 — $2,276.00 $28,923.00 $17,500.00 2025-05-07
637 APR_DRG Diabetes With Mcc 18 10 $47,327.50 — $8,046.00 $18,103.50 $17,500.00 2025-05-07
917 APR_DRG Poisoning & Toxic Effects Of Drugs W/major Comorbid Conditions Or Complications … 16 9 $54,849.30 — $825.00 $36,238.37 $17,312.50 2025-05-07
871 APR_DRG Septicemia Or Severe Sepsis Without Mv>96 Hours W/major Comorbid Conditions Or Compl… 16 9 $76,467.60 — $11,450.00 $25,763.51 $17,247.00 2025-05-07
811 MS_DRG Red Blood Cell Disorders W/major Comorbid Conditions Or Complications (mcc) 17 14 $43,833.90 — $6,496.00 $29,810.00 $17,144.00 2025-05-07
698 APR_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 16 9 $58,887.40 — $14,635.00 $32,928.75 $16,993.50 2025-05-07
291 MS_DRG Heart Failure & Shock W/major Comorbid Conditions Or Complications (mcc) Or Peri… 17 14 $49,413.10 — $13,511.00 $34,964.00 $16,993.00 2025-05-07
67 MS_DRG Cva & Precerebral Occlusion W/infarction 17 14 $49,556.10 — $13,452.00 $41,400.00 $16,961.00 2025-05-07
100 APR_DRG Seizures With Mcc & Without Mcc 16 9 $40,917.80 — $12,524.00 $28,178.26 $16,687.00 2025-05-07
193 MS_DRG Simple Pneumonia & Pleurisy W/major Comorbid Conditions Or Complications (mcc) 17 14 $59,016.10 — $6,504.00 $27,461.00 $16,190.00 2025-05-07
885 MS_DRG Bipolar Disorder; Mental Diseases And Disorders Psychoses 20 12 $189,055.90 — $1,223.00 $101,915.00 $16,157.00 2025-05-07
432 APR_DRG Cirrhosis And Alcoholic Hepatitis With Mcc Or With Cc; Alcoholic Liver Disease 16 9 $50,447.10 — $9,979.00 $22,451.87 $16,152.50 2025-05-07
391 MS_DRG Esophagitis, Gastroenteritis & Miscellaneous Digestive Disorders With Mcc; Other… 17 14 $68,532.20 — $4,678.00 $22,260.00 $16,037.00 2025-05-07
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids & Electrolytes W/major … 17 14 $47,567.30 — $5,452.00 $31,526.00 $15,843.00 2025-05-07
918 APR_DRG Toxic Effects Of Non Medicinal Substances; Poisoning & Toxic Effects Of Drugs Wi… 16 9 $82,357.00 — $11,184.00 $34,852.52 $15,490.00 2025-05-07
640 APR_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids & Electrolytes W/major … 16 9 $47,567.30 — $14,944.00 $33,624.88 $15,393.50 2025-05-07
668 APR_DRG Transurethral Procedures With Mcc Or With Cc Or Without Cc/mcc; Urethral & Trans… 17 9 $27,005.00 — $6,798.00 $19,058.00 $15,295.50 2025-05-07
438 APR_DRG Disorders Of Pancreas Except Malignancy With Mcc & Without Cc/mcc 16 9 $36,368.20 — $10,610.00 $23,872.21 $15,266.50 2025-05-07
641 APR_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids & Electrolytes Without … 16 9 $38,324.00 — $10,690.00 $33,624.88 $14,944.00 2025-05-07
308 MS_DRG Cardiac Arrhythmia & Conduction Disorders W/major Comorbid Conditions Or Complic… 16 13 $34,604.90 — $5,034.00 $29,564.00 $14,878.00 2025-05-07
308 APR_DRG Cardiac Arrhythmia & Conduction Disorders W/major Comorbid Conditions Or Complic… 17 9 $34,604.90 — $8,763.00 $19,717.67 $14,878.00 2025-05-07
743 MS_DRG Uterine & Adnexa Procedures For Non Malignancy Without Comorbid Conditions (cc) Or M… 17 14 $31,733.90 — $10,869.00 $76,554.00 $14,850.00 2025-05-07
190 APR_DRG Chronic Obstructive Pulmonary Disease W/major Comorbid Conditions Or Complicatio… 16 9 $101,660.90 — $13,971.00 $32,998.73 $14,666.00 2025-05-07
690 APR_DRG Kidney & Urinary Tract Infections Without Major Comorbid Conditions Or Complications… 16 9 $48,678.30 — $10,954.00 $32,928.75 $14,635.00 2025-05-07
689 MS_DRG Kidney & Urinary Tract Infections W/major Comorbid Conditions Or Complications (… 17 14 $36,789.50 — $9,534.00 $32,994.00 $14,612.00 2025-05-07
565 MS_DRG Other Musculoskeletal System & Connective Tissue Diagnoses With Cc; Aftercare, M… 17 14 $45,419.00 — $5,402.00 $33,901.00 $14,577.00 2025-05-07
C1889 HCPCS Urolift Implant 3 3 $11,825.00 — $14,175.00 $14,175.00 $14,175.00 2025-05-07
304 MS_DRG Hypertension Without Mcc & With Mcc 18 14 $47,241.70 — $2,855.00 $27,032.00 $14,107.00 2025-05-07
343 MS_DRG Appendectomy 16 12 $38,276.70 — $9,112.00 $51,411.00 $14,046.00 2025-05-07
343 APR_DRG Appendectomy 17 10 $38,276.70 — $8,893.00 $20,010.13 $14,046.00 2025-05-07
190 MS_DRG Chronic Obstructive Pulmonary Disease W/major Comorbid Conditions Or Complicatio… 17 14 $101,660.90 — $6,329.00 $21,684.00 $13,971.00 2025-05-07
951 APR_DRG Signs, Symptoms & Other Factors Influencing Health Status 16 9 $70,122.80 — $8,583.00 $20,393.00 $13,947.10 2025-05-07
291 APR_DRG Heart Failure & Shock W/major Comorbid Conditions Or Complications (mcc) Or Peri… 16 9 $49,413.10 — $10,155.00 $22,849.34 $13,574.00 2025-05-07
300 MS_DRG Lower Extremity Arterial Procedures; Peripheral Vascular Disorders With Cc 17 14 $111,163.80 — $10,886.00 $72,815.00 $13,405.00 2025-05-07
872 MS_DRG Septicemia Or Severe Sepsis Without Mv>96 Hours Without Major Comorbid Conditions Or Com… 17 14 $44,895.40 — $8,177.00 $45,822.00 $13,373.00 2025-05-07
92 MS_DRG Other Disorders Of Nervous System With Cc 17 14 $52,234.60 — $6,815.00 $42,882.00 $13,220.00 2025-05-07
885 APR_DRG Bipolar Disorder; Mental Diseases And Disorders Psychoses 45 9 $175,582.00 — $12,524.00 $29,433.62 $13,082.00 2025-05-07
193 APR_DRG Simple Pneumonia & Pleurisy W/major Comorbid Conditions Or Complications (mcc) 16 9 $59,016.10 — $9,118.00 $20,515.50 $12,654.00 2025-05-07
389 MS_DRG Gastrointestinal Obstruction With Cc Or Without Cc/mcc; Intestinal Obstruction 17 14 $30,874.80 — $6,208.00 $32,345.00 $12,411.00 2025-05-07
202 MS_DRG Bronchitis & Asthma Without Comorbid Conditions (cc) Or Major Comorbid Conditions Or… 17 14 $36,868.70 — $5,212.00 $18,179.00 $12,309.00 2025-05-07
812 MS_DRG Red Blood Cell Disorders Without Major Comorbid Conditions Or Complications (mcc) 17 14 $43,605.10 — $6,496.00 $29,810.00 $12,020.00 2025-05-07
872 APR_DRG Septicemia Or Severe Sepsis Without Mv>96 Hours Without Major Comorbid Conditions Or Com… 16 9 $44,895.40 — $10,623.00 $23,901.75 $11,998.00 2025-05-07
683 MS_DRG Renal Failure W/comorbid Conditions (cc) 17 14 $40,806.70 — $9,016.00 $39,981.00 $11,988.00 2025-05-07
565 APR_DRG Other Musculoskeletal System & Connective Tissue Diagnoses With Cc; Aftercare, M… 16 9 $45,419.00 — $9,229.00 $20,764.33 $11,903.00 2025-05-07
603 MS_DRG Cellulitis Without Major Comorbid Conditions Or Complications (mcc) 17 14 $37,816.90 — $6,114.00 $33,815.00 $11,851.00 2025-05-07
638 MS_DRG Diabetes W/comorbid Conditions (cc) 17 14 $38,005.00 — $5,756.00 $28,923.00 $11,791.00 2025-05-07
743 APR_DRG Uterine & Adnexa Procedures For Non Malignancy Without Comorbid Conditions (cc) Or M… 16 9 $31,733.90 — $8,698.00 $19,570.68 $11,774.00 2025-05-07
563 MS_DRG Fractures & Dislocations Except Femur, Pelvis & Back 17 14 $45,852.40 — $9,092.00 $33,495.00 $11,637.00 2025-05-07
312 MS_DRG Syncope & Collapse 17 14 $38,452.70 — $5,066.00 $25,807.00 $11,549.00 2025-05-07
391 APR_DRG Esophagitis, Gastroenteritis & Miscellaneous Digestive Disorders With Mcc; Other… 16 9 $68,532.20 — $7,100.00 $16,037.00 $11,537.90 2025-05-07
897 MS_DRG Alcohol/Drug Abuse Or Dependence Without Rehab With Mcc 21 12 $31,606.30 — $825.00 $12,996.22 $11,534.00 2025-05-07
194 MS_DRG Simple Pneumonia & Pleurisy W/comorbid Conditions (cc) 17 14 $55,331.10 — $6,504.00 $27,461.00 $11,418.00 2025-05-07
689 APR_DRG Kidney & Urinary Tract Infections W/major Comorbid Conditions Or Complications (… 16 9 $36,789.50 — $8,111.00 $18,250.83 $11,361.50 2025-05-07
683 APR_DRG Renal Failure W/comorbid Conditions (cc) 16 9 $40,806.70 — $10,585.00 $23,816.70 $11,286.50 2025-05-07
918 MS_DRG Toxic Effects Of Non Medicinal Substances; Poisoning & Toxic Effects Of Drugs Wi… 17 14 $82,357.00 — $8,633.00 $23,109.00 $11,184.00 2025-05-07
690 MS_DRG Kidney & Urinary Tract Infections Without Major Comorbid Conditions Or Complications… 17 14 $48,678.30 — $5,542.00 $30,910.00 $10,954.00 2025-05-07
304 APR_DRG Hypertension Without Mcc & With Mcc 16 9 $47,241.70 — $7,744.00 $17,422.92 $10,925.50 2025-05-07
389 APR_DRG Gastrointestinal Obstruction With Cc Or Without Cc/mcc; Intestinal Obstruction 16 9 $30,874.80 — $9,018.00 $20,289.89 $10,714.50 2025-05-07
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids & Electrolytes Without … 17 14 $38,324.00 — $5,452.00 $31,526.00 $10,690.00 2025-05-07
603 APR_DRG Cellulitis Without Major Comorbid Conditions Or Complications (mcc) 16 9 $37,816.90 — $9,410.00 $21,172.50 $10,630.50 2025-05-07
313 MS_DRG Chest Pain 19 15 $31,128.90 — $4,167.00 $23,338.00 $10,203.00 2025-05-07
563 APR_DRG Fractures & Dislocations Except Femur, Pelvis & Back 16 9 $45,852.40 — $8,631.00 $19,419.75 $10,134.00 2025-05-07
811 APR_DRG Red Blood Cell Disorders W/major Comorbid Conditions Or Complications (mcc) 16 9 $43,833.90 — $6,228.00 $17,144.00 $10,120.90 2025-05-07
194 APR_DRG Simple Pneumonia & Pleurisy W/comorbid Conditions (cc) 16 9 $55,331.10 — $8,676.00 $19,522.01 $10,047.00 2025-05-07
202 APR_DRG Bronchitis & Asthma Without Comorbid Conditions (cc) Or Major Comorbid Conditions Or… 16 9 $36,868.70 — $7,782.00 $17,509.91 $10,045.50 2025-05-07
92 APR_DRG Other Disorders Of Nervous System With Cc 16 9 $52,234.60 — $6,750.00 $15,188.15 $9,985.00 2025-05-07
638 APR_DRG Diabetes W/comorbid Conditions (cc) 16 9 $38,005.00 — $8,046.00 $18,103.50 $9,918.50 2025-05-07
379 APR_DRG Peptic Ulcer & Gastritis 16 9 $31,100.30 — $9,270.00 $22,084.40 $9,815.00 2025-05-07
312 APR_DRG Syncope & Collapse 16 9 $38,452.70 — $7,260.00 $16,335.54 $9,404.50 2025-05-07
379 MS_DRG Peptic Ulcer & Gastritis 17 14 $31,100.30 — $6,691.00 $39,609.00 $9,270.00 2025-05-07
812 APR_DRG Red Blood Cell Disorders Without Major Comorbid Conditions Or Complications (mcc) 16 9 $43,605.10 — $6,228.00 $14,013.79 $9,124.00 2025-05-07
897 APR_DRG Cocaine Abuse & Dependence 31 9 $29,711.00 — $4,869.00 $20,435.40 $9,082.00 2025-05-07
894 APR_DRG Alcohol/Drug Abuse Or Dependence, Left Ama 15 9 $19,103.70 — $6,776.00 $15,246.65 $8,625.00 2025-05-07
894 MS_DRG Alcohol/Drug Abuse Or Dependence, Left Ama 18 12 $19,103.70 — $825.00 $8,625.00 $8,625.00 2025-05-07
313 APR_DRG Chest Pain 14 8 $31,128.90 — $6,237.00 $14,033.30 $8,220.00 2025-05-07
29888 CPT Arthroscopically Aided Anterior Cruciate Ligament Repair/augmentation Or Reconst… 38 17 $11,738.00 $7,935.57 32% off $1,716.00 $12,830.14 $7,935.57 2025-05-07
29827 CPT Arthroscopy, Shoulder, Surgical With Rotator Cuff Repair 38 17 $11,366.00 $7,935.57 30% off $2,150.00 $12,830.14 $7,935.57 2025-05-07
37229 CPT Revascularization, Endovascular, Open Or Percutaneous, Tibial/eroneal Artery, Un… 38 17 $33,244.00 $20,607.97 38% off $2,121.00 $33,317.86 $7,156.15 2025-05-07
37227 CPT Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery… 38 17 $45,737.00 $20,607.97 55% off $296.00 $33,317.86 $7,156.15 2025-05-07
19318 CPT Repair And/or Reconstruction Procedures On The Breast Reduction Of Large Breas… 38 17 $11,950.00 $7,130.00 40% off $2,121.00 $11,527.04 $7,130.00 2025-05-07
884 APR_DRG Organic Disturbances And Intellectual Disability 16 9 $50,055.50 — $6,910.00 $15,548.13 $6,910.00 2025-05-07
53451 CPT Periurethral Transperineal Adjustable Balloon Continence Device; Bilateral Inser… 38 17 $34,761.00 $14,430.08 58% off $1,491.00 $23,329.64 $6,799.73 2025-05-07
47562 CPT Removal Of Gallbladder Using An Endoscope 38 17 $7,975.00 $6,253.02 22% off $1,301.00 $10,109.40 $6,253.02 2025-05-07
23420 CPT Repair, Revision, And/or Reconstruction Procedures On The Shoulder 38 17 $6,284.00 $7,935.57 $2,150.00 $12,830.14 $6,146.12 2025-05-07
15830 CPT Excision, Excessive Skin And Subcutaneous Tissue (includes Lipectomy) Abd (abd… 38 17 $24,903.00 $7,130.00 71% off $1,716.00 $11,527.04 $6,075.28 2025-05-07
49650 CPT Laparoscopic Repair Initial Inguinal Hernia Lap Ing Hernia Repair 38 17 $9,633.00 $6,253.02 35% off $2,121.00 $10,109.40 $6,067.36 2025-05-07
49592 CPT Repair Of Anterior Abdominal Hernia(s); Epigastric, Incisional, Ventral, Spigeli… 38 17 $10,869.00 $6,253.02 42% off $2,121.00 $10,109.40 $6,067.36 2025-05-07
36902 CPT Balloon Agioplasty Of The Peripheral Dialysis Segment Performed From Direct Punc… 38 17 $15,210.00 $6,256.92 59% off $2,150.00 $10,116.04 $5,978.36 2025-05-07
28291 CPT Hallux Rigidus W/cheilectomy, Debridement And EAsular Release First Metatarsopha… 38 17 $10,767.00 $7,935.57 26% off $1,716.00 $12,830.14 $5,648.58 2025-05-07
28299 CPT Correction Hallux Valgus (bunionectomy) W/or Without Sesamoidectomy; When Performed … 38 17 $6,887.00 $7,935.57 $2,150.00 $12,830.14 $5,648.58 2025-05-07
52648 CPT Vesical Neck And Prostate Surgical Procedures Laser Surgery Of Prostate 38 17 $8,736.00 $5,641.21 35% off $2,150.00 $9,120.04 $5,641.21 2025-05-07
52601 CPT Vesical Neck And Prostate Surgical Procedures Prostatecomy (turp) 38 17 $8,718.00 $5,641.21 35% off $2,121.00 $9,120.04 $5,641.21 2025-05-07
52356 CPT Cystourethroscopy, W/ureteroscopy And/or Pyelosclopy W/lithotripsy Including Ins… 38 17 $7,076.00 $5,641.21 20% off $2,150.00 $9,120.04 $5,641.21 2025-05-07
19325 CPT Repair And/or Reconstruction Procedures On The Breast; Breast Augmentation With … 38 17 $23,029.00 $10,564.25 54% off $1,919.26 $17,079.74 $5,574.00 2025-05-07
43276 CPT Endoscopic Retrograde Cholangiopancreatography (ercp) With Removal And Exchange … 38 17 $6,570.00 $6,287.29 $1,659.21 $10,164.18 $5,122.15 2025-05-07
58563 CPT Hysteroscopy, Surgical With Endometrial Ablation 38 17 $12,862.00 $5,560.74 57% off $1,775.09 $8,990.56 $4,777.34 2025-05-07
58561 CPT Laparoscopic/Hysteroscopy Procedures On The Corpus Uteri W/removal Of Leiomyomat… 38 17 $12,002.00 $5,560.74 54% off $1,494.01 $8,990.56 $4,758.87 2025-05-07
57288 CPT Repair Procedures On The Vagina Repair Bladder Defect (includes Repair Of Slin… 38 17 $9,359.00 $5,560.74 41% off $1,267.89 $8,990.56 $4,758.87 2025-05-07
52353 CPT Under Ureter And Pelvis Transurethral Surgical Procedures 38 17 $9,161.00 $5,641.21 38% off $1,673.83 $9,120.04 $4,605.50 2025-05-07
49505 CPT Repair Of Groin Hernia Patient Age 5 Years Or Older 38 17 $9,410.00 $4,249.25 55% off $2,121.00 $6,869.08 $4,249.25 2025-05-07
49507 CPT Repair Inguinal Hernia, Age 5 Years Or Older; Hernia Is Incarcerated/trapped/str… 57 17 $10,211.00 $4,249.25 58% off $2,121.00 $6,869.08 $4,249.25 2025-05-07
19370 CPT Repair And/or Reconstruction Procedures Of The Breast 38 17 $12,859.00 $4,124.33 68% off $2,121.00 $6,668.22 $4,124.33 2025-05-07
19330 CPT Removal Of Ruptured Breast Implant, Including Implant Contents (eg. Saline, Sili… 38 17 $10,429.00 $4,124.33 60% off $1,114.00 $6,668.22 $4,124.33 2025-05-07
19301 CPT Oncologic Resection With Attention To Margins (lumpectomy Or Partial Mastectomy)… 38 17 $16,199.00 $4,124.33 75% off $1,716.00 $6,668.22 $4,124.33 2025-05-07
19125 CPT Excision Breast Lesion Identified By Preoperative Placement Of Radiological Mark… 38 17 $16,490.00 $4,124.33 75% off $1,716.00 $6,668.22 $4,124.33 2025-05-07
19120 CPT Removal Of 1 Or More Breast Growth, Open Procedure 38 17 $6,085.00 $4,124.33 32% off $1,716.00 $6,668.22 $4,124.33 2025-05-07
52354 CPT Cystrouethroscopy With Ureteroscopy And/or Pyeloscopy 38 17 $6,709.00 $5,641.21 $1,775.09 $9,120.04 $3,993.95 2025-05-07
38510 CPT Excision Procedures On The Lymph Nodes And Lymphatic Channels Biopsy/removal Lym… 38 17 $6,470.00 $4,124.33 36% off $1,491.00 $6,668.22 $3,972.49 2025-05-07
43274 CPT Endoscopic Retrograde Cholangiopancreatography (ercp); With Placement Of Endosco… 38 17 $6,504.00 $6,287.29 $1,716.00 $10,164.18 $3,958.94 2025-05-07
24358 CPT Tenotomy, Elbow, Lateral Or Medial 38 17 $6,300.00 $3,571.10 43% off $2,257.65 $5,773.48 $3,914.14 2025-05-07
52500 CPT Vesical Neck And Prostate Surgical Procedures 38 17 $6,801.00 $3,845.18 43% off $1,716.00 $6,216.70 $3,845.18 2025-05-07
52351 CPT Cystourethroscopy, W/ureteroscopy And/or Pyelosclopy Diagnostic 38 17 $6,585.00 $3,845.18 42% off $1,716.00 $6,216.70 $3,845.18 2025-05-07
52344 CPT Cystourethroscopy With Ureteroscopy 38 17 $5,722.00 $3,845.18 33% off $1,716.00 $6,216.70 $3,845.18 2025-05-07
52341 CPT Ureter And Pelvis Transurethral Surgical Procedures Cystourthroscopy With Trea… 38 17 $6,030.00 $3,845.18 36% off $1,716.00 $6,216.70 $3,845.18 2025-05-07
52317 CPT Litholapaxy Crushing Or Fragmentation Of Calculus By Any Means In Bladder And … 38 17 $6,896.00 $3,845.18 44% off $1,114.00 $6,535.00 $3,845.18 2025-05-07
52332 CPT Ureter And Pelvis Transurethral Surgical Procedures Cystoscopy And Treatment 38 17 $6,716.00 $3,845.18 43% off $1,491.00 $6,216.70 $3,845.18 2025-05-07
52235 CPT Cystourethroscopy, With Fulguration And/or Resection Of Medium Bladder Tumor(s) … 38 17 $7,204.00 $3,845.18 47% off $1,716.00 $6,535.00 $3,845.18 2025-05-07
52234 CPT Cystourethroscopy, With Fulguration And/or Resection Of Small Bladder Tumor(s) 0… 38 17 $6,345.00 $3,845.18 39% off $1,491.00 $6,535.00 $3,845.18 2025-05-07
52224 CPT Cystourethroscopy With Fulguration (including Cryosurgery Or Laser Surgery) Or T… 38 17 $4,118.00 $3,845.18 $1,491.00 $6,216.70 $3,845.18 2025-05-07
52318 CPT Litholapaxy Crushing Or Fragmentation Of Calculus By Any Means In Bladder And … 38 17 $5,772.00 $3,845.18 33% off $1,491.00 $6,535.00 $3,845.18 2025-05-07
52352 CPT Cystourethroscopy, W/ureteroscopy And/or Pyelosclopy W/removal Or Manipulation O… 38 17 $6,735.00 $3,845.18 43% off $1,977.26 $6,216.70 $3,845.18 2025-05-07
43262 CPT Endoscopic Retrograde Cholangiopancreatography (ercp); With Sphincterotmy/papill… 38 17 $5,047.00 $3,911.85 22% off $1,491.00 $6,324.60 $3,761.27 2025-05-07
58558 CPT Hysteroscopy, Surgical W/sampling (biopsy) Of Endometrium And/or Polypectomy W/o… 38 17 $11,440.00 $3,392.08 70% off $1,719.28 $6,535.00 $3,718.32 2025-05-07
50590 CPT Lithotripsy Procedures On The Kidney Fragmenting Of Kidney Stone 38 17 $9,006.00 $3,785.63 58% off $1,775.09 $7,686.00 $3,596.35 2025-05-07
36556 CPT Cvp Catheter Place Perc >age 5 38 17 $6,468.00 $3,574.00 45% off $383.41 $5,903.92 $3,574.00 2025-05-07
75625 CPT Contrast Aortaogram, Abdominal 38 17 $8,483.00 $3,573.87 58% off $50.50 $5,903.92 $3,573.87 2025-05-07
75630 CPT Xray Aorta Leg Arteries 38 17 $10,179.00 $3,573.87 65% off $75.75 $5,903.92 $3,573.87 2025-05-07
75710 CPT Artery Xrays Arm/leg 38 17 $8,483.00 $3,573.87 58% off $35.35 $5,903.92 $3,573.87 2025-05-07
37766 CPT Ligation Procedures On Arteries And Veins 38 17 $6,081.00 $3,573.87 41% off $1,716.00 $6,452.87 $3,573.87 2025-05-07
36821 CPT Arteriovenous Anastomosis, Open For Hemodialysis Access/intravascular Cannulatio… 38 17 $6,644.00 $3,573.87 46% off $1,716.00 $6,817.86 $3,573.87 2025-05-07
36595 CPT Declot By Mechanical Removal 38 17 $7,601.00 $3,573.87 53% off $1,058.55 $5,903.92 $3,573.87 2025-05-07
75825 CPT Xray Vena Cavogram Infer 38 17 $8,483.00 $3,573.87 58% off $40.40 $5,903.92 $3,573.87 2025-05-07
28308 CPT Osteotomy With A Bunionette; Incision Of Metatarsal 38 17 $12,206.00 $3,571.10 71% off $1,491.00 $5,773.48 $3,571.10 2025-05-07
28296 CPT Correction Hallux Valgus W/or Without Sesamoidectomy Bunionectomy With Distal Met… 38 17 $8,217.00 $3,571.10 57% off $1,716.00 $5,773.48 $3,571.10 2025-05-07
28292 CPT Correction Hallux Valgus (bunionectomy) W/or Without Sesamoidectomy; W/resection Of … 38 17 $6,826.00 $3,571.10 48% off $1,491.00 $5,773.48 $3,571.10 2025-05-07
28285 CPT Repair, Revision, And/or Reconstruction Procedures On The Foot And Toes Repai… 38 17 $6,046.00 $3,571.10 41% off $1,716.00 $5,773.48 $3,571.10 2025-05-07
26615 CPT Fracture And/or Dislocation Procedures On The Hand And Fingers Treat Metacarpal… 38 17 $8,720.00 $3,571.10 59% off $2,121.00 $7,918.72 $3,571.10 2025-05-07
26608 CPT Fracture And/or Dislocation Procedures On The Hand And Fingers Percutaneous Skel… 38 17 $6,742.00 $3,571.10 47% off $1,999.00 $7,918.72 $3,571.10 2025-05-07
28525 CPT Open Treatment Of Fracture, Phalanx Or Phalanges, Other Than Great Toe, Includes… 38 17 $7,387.00 $3,571.10 52% off $1,716.00 $7,918.72 $3,571.10 2025-05-07
24359 CPT Repair, Revision, And/or Reconstruction Procedures On The Humerus (upper Arm) An… 38 17 $6,271.00 $3,571.10 43% off $1,716.00 $5,773.48 $3,571.10 2025-05-07
29898 CPT Arthroscopy, Ankle, Surgical Procedure; Uses Fiber Optic Viewing Camera & Small … 38 17 $7,300.00 $3,571.10 51% off $1,716.00 $6,535.00 $3,571.10 2025-05-07
29881 CPT Removal Of One Knee Cartilage Using An Endoscope 38 17 $6,126.00 $3,571.10 42% off $1,301.00 $5,773.48 $3,571.10 2025-05-07
29880 CPT Arthroscopy, Knee, Surgical W/meniscectomy (medial And Lateral Including Any Men… 38 17 $6,776.00 $3,571.10 47% off $2,121.00 $6,535.00 $3,571.10 2025-05-07
29846 CPT Arthroscopy, Wrist, Surgical 38 17 $7,151.00 $3,571.10 50% off $1,716.00 $6,535.00 $3,571.10 2025-05-07
29826 CPT Arthroscopy, Shoulder, Surgical; Deompression Of Subocromial Space With Partial … 38 17 $9,664.00 $3,571.10 63% off $1,290.00 $7,467.25 $3,571.10 2025-05-07
29823 CPT Arthroscopy, Shoulder, Surgical 38 17 $7,995.00 $3,571.10 55% off $1,716.00 $6,535.00 $3,571.10 2025-05-07
29822 CPT Athroscopy, Shoulder, Surgical; Debridement, Limited, 1 Or 2 Discrete Structures 38 17 $8,598.00 $3,571.10 58% off $1,716.00 $6,643.60 $3,571.10 2025-05-07
55040 CPT Excision Procedures On The Tunica Vaginalis Removal Of Hydrocele 38 17 $6,493.00 $4,249.25 35% off $1,201.75 $6,869.08 $3,544.50 2025-05-07
55530 CPT Excision Of Varicocele Or Ligation Of Spermatic Veins For Varicocele (open Ingui… 38 17 $6,034.00 $3,845.18 36% off $1,201.75 $6,216.70 $3,488.59 2025-05-07
54360 CPT Repair Procedures On The Penis 38 17 $6,685.00 $3,845.18 42% off $1,201.75 $6,216.70 $3,488.59 2025-05-07
54300 CPT Plastic Operation Of Penis Or Straightening Of Chordee With Or Without Mobilizat… 38 17 $6,020.00 $3,845.18 36% off $1,201.75 $6,216.70 $3,488.59 2025-05-07
52334 CPT Cystourethroscopy With Insertion Of Ureteral Guide Wire Through Kidney To Establ… 38 17 $5,674.00 $3,845.18 32% off $1,374.85 $6,216.70 $3,488.59 2025-05-07
58562 CPT Hysteroscopy, Surgical With Removal Of Impacted Foreign Body 38 17 $11,320.00 $3,392.08 70% off $1,716.00 $6,535.00 $3,392.08 2025-05-07
57461 CPT Colposcopy Of The Cervix Including Upper/adjacent Vagina W/loop Electrode Coniza… 38 17 $7,697.00 $3,392.08 56% off $1,716.00 $5,484.64 $3,392.08 2025-05-07
57460 CPT Colposcopy Of The Cervix Including Upper/adjacent Vagina W/loop Electrode Biopsy… 38 17 $8,520.00 $3,392.08 60% off $1,491.00 $5,484.64 $3,392.08 2025-05-07
65426 CPT Excision Or Transposition Of Pterygium Removal Of Eye Lesion 38 17 $8,056.00 $2,536.43 69% off $1,999.00 $7,866.34 $3,214.68 2025-05-07
J2997 HCPCS Activase, 100mg 74 16 $6,318.54 — $73.78 $11,542.72 $3,111.78 2025-05-07
11446 CPT Excision Other Benign Lesion Including Margins Except Skin Tag (unless Listed El… 38 17 $7,194.00 $3,099.13 57% off $1,491.00 $28,428.84 $3,099.13 2025-05-07
27337 CPT Excision Procedures On The Femur (thigh Region) And Knee Joint 38 17 $6,681.00 $3,099.13 54% off $1,348.32 $5,009.88 $3,099.13 2025-05-07
11426 CPT Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed Elsewh… 38 17 $5,535.00 $3,099.13 44% off $1,716.00 $28,428.84 $3,099.13 2025-05-07
24071 CPT Excision Procedures On The Humerus (upper Arm) And Elbow 38 17 $6,123.00 $3,099.13 49% off $1,348.32 $5,009.88 $3,099.13 2025-05-07
21933 CPT Excision, Tumor, Soft Tissue Of Back Or Flank, Subfascial (eg, Intramuscular) 38 17 $6,577.00 $3,099.13 53% off $1,348.32 $5,009.88 $3,099.13 2025-05-07
21552 CPT Excision Procedures On The Neck (soft Tissues) And Thorax 38 17 $6,183.00 $3,099.13 50% off $1,716.00 $5,009.88 $3,099.13 2025-05-07
20680 CPT Removal Of Support Implant; Deep (buried,wire, Pin, Screw, Metal Band, Nail, Rod… 38 17 $5,419.00 $3,099.13 43% off $1,716.00 $5,009.88 $3,099.13 2025-05-07
11771 CPT Excision Of Pilonidal Cyst Or Sinus 38 17 $6,316.00 $3,099.13 51% off $1,716.00 $28,428.84 $3,099.13 2025-05-07
15839 CPT Other Repair (closure) Proceudres On The Integumentary System 38 17 $6,377.00 $3,099.13 51% off $1,716.00 $5,615.57 $3,099.13 2025-05-07
46946 CPT Excision Procedures On The Anus 38 17 $7,087.00 $3,082.59 57% off $1,367.18 $4,983.32 $3,082.59 2025-05-07
46270 CPT Surgical Treatment Of Anal Fistula (fisulectomy/fistulotomy) 38 17 $5,928.00 $3,082.59 48% off $1,716.00 $4,984.98 $3,082.59 2025-05-07
46260 CPT Hemorrhoidectomy, Internal And External, 2 Or More Columns/groups Remove In/ex… 38 17 $7,154.00 $3,082.59 57% off $1,716.00 $4,920.24 $3,082.59 2025-05-07
A9584 HCPCS Nm Iodine I 123 Loflupane 38 17 $5,827.00 — $2,615.68 $2,665.44 $2,640.56 2025-05-07
66984 CPT Removal Of Cataract With Insertion Of Lens 38 17 $4,782.00 $2,590.68 46% off $1,999.00 $5,525.24 $2,590.68 2025-05-07
15822 CPT Blepharoplasty, Upper Eyelid 38 17 $18,789.00 $2,070.51 89% off $1,716.00 $5,615.57 $2,495.81 2025-05-07
55700 CPT Biopsy Of Prostate 38 17 $10,043.00 $2,225.30 78% off $1,491.00 $5,404.48 $2,401.99 2025-05-07
25075 CPT Excision Tumor, Soft Tissue Of Forearm And/or Wrist Area, Subcutaneous 38 17 $5,614.00 $1,799.01 68% off $1,491.00 $5,392.94 $2,338.71 2025-05-07
11406 CPT Excision Benign Lesions/procedures On The Skin Trunk, Arms, Or Legs Diameter > 4… 38 17 $7,597.00 $1,799.00 76% off $1,491.00 $5,615.57 $2,338.71 2025-05-07
19084 CPT Br Bx Pl Loc Dv Add Les 31 17 $364.00 $1,919.00 $185.18 $2,284.17 $2,284.17 2025-05-07
C1876 HCPCS Abbott Vascular Supera Stent 41 17 $5,469.00 — $203.00 $2,260.00 $2,260.00 2025-05-07
25000 CPT Under Incision Procedures On The Forearm And Wrist 38 17 $5,943.00 $1,720.99 71% off $1,716.00 $5,392.94 $2,237.29 2025-05-07
52315 CPT Complex Removal Of An Encrusted Stent 38 17 $4,905.00 $2,225.30 55% off $1,491.00 $4,448.84 $2,225.30 2025-05-07
52310 CPT Cystourethroscopy With Removal Of Foreign Body, Calculus, Or Ureteral Stent From… 38 17 $5,463.00 $2,225.30 59% off $1,491.00 $4,448.84 $2,225.30 2025-05-07
52287 CPT Cystourethroscopy With Injection(s) For Chemodenervation Of The Bladder 38 17 $5,178.00 $2,225.30 57% off $1,491.00 $4,448.84 $2,225.30 2025-05-07
52281 CPT Cystourethroscopy With Calibration And/or Dilation Of Urethral Stricture Or Sten… 38 17 $4,905.00 $2,225.30 55% off $1,491.00 $4,448.84 $2,225.30 2025-05-07
52276 CPT Cystourethroscopy With Direct Vision Internal Urethrotomy 38 17 $5,660.00 $2,225.30 61% off $1,267.89 $3,957.00 $2,225.30 2025-05-07
52275 CPT Cystoureshtroscopy With Internal Urethrotomy; Male 38 17 $5,173.00 $2,225.30 57% off $1,267.89 $3,957.00 $2,225.30 2025-05-07
52204 CPT Urethra And Bladder Transurethral Surgical Procedures Cystourethroscopy With B… 38 17 $5,644.00 $2,225.30 61% off $1,491.00 $4,448.84 $2,225.30 2025-05-07
51040 CPT Cystotomy With Drainage 38 17 $4,982.00 $2,225.30 55% off $1,977.26 $4,448.84 $2,225.30 2025-05-07
J0630 HCPCS Calcitonin/200iu/v 38 17 $2,207.45 — $1,103.73 $3,863.04 $2,222.90 2025-05-07
64721 CPT Neuroplasty And/or Transposition Carpal Tunnel Surgery 38 17 $5,580.00 $2,156.48 61% off $1,491.00 $3,957.00 $2,156.48 2025-05-07
43255 CPT Esophagogastroduodenoscopy Procedure To View The Esophagus, Stomach, And Duode… 38 17 $4,776.00 $2,089.39 56% off $1,040.55 $3,690.70 $2,089.39 2025-05-07
43251 CPT Esophagogastroduodenoscopy Flexible, Transoral; Snare Lesion Removal 38 17 $5,227.00 $2,089.39 60% off $1,040.55 $3,957.00 $2,089.39 2025-05-07
49440 CPT Insert Gas Tube/inj/doc/rep 38 17 $7,816.00 $2,089.00 73% off $569.00 $3,957.00 $2,089.00 2025-05-07
43246 CPT Egd W/perc Gastr Tube 38 17 $6,513.00 $2,089.00 68% off $569.00 $3,957.00 $2,089.00 2025-05-07
20670 CPT Removal Of Implant Support; Deep (eg: Buried Wire, Pin, Screw, Metal Band, Nail,… 38 17 $6,024.00 $1,799.01 70% off $1,114.00 $4,685.94 $2,082.64 2025-05-07
15275 CPT Skin Sub App Hfd1st25sqcm Hi 38 17 $13,882.00 $2,071.00 85% off $1,491.00 $4,005.38 $2,071.00 2025-05-07
15273 CPT Skin Sub App Tal1st100sqcm Hi 38 17 $24,356.00 $2,071.00 91% off $1,491.00 $7,262.13 $2,071.00 2025-05-07
15271 CPT Skin Sub App Tal1st25sqcm Hi 38 17 $13,882.00 $2,071.00 85% off $1,491.00 $4,005.38 $2,071.00 2025-05-07
15002 CPT Surgical Prep T/a/l/<100sqcm 38 17 $13,882.00 $2,071.00 85% off $1,491.00 $3,957.00 $2,071.00 2025-05-07
15100 CPT Split Thickness Autograft From The Trunk, Arms, Or Legs 38 17 $6,241.00 $2,070.51 67% off $1,491.00 $4,005.38 $2,070.51 2025-05-07
14060 CPT Adjacent Tissue Transfer Or Rearrangement (procedures On The Integumentary Syste… 38 17 $5,743.00 $2,070.51 64% off $1,716.00 $4,005.38 $2,070.51 2025-05-07
13160 CPT Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated 38 17 $13,770.00 $2,070.51 85% off $1,491.00 $18,370.57 $2,070.51 2025-05-07
Q4160 HCPCS Nushield 3x4 Cm 21 11 $4,901.00 — $93.83 $2,434.92 $2,025.00 2025-05-07
28090 CPT Excision Of Lesion, Tendon, Tendon Sheath, Or EAsule (including Synovectomy) Eg:… 38 17 $6,315.00 $1,720.99 73% off $1,716.00 $4,471.43 $1,987.30 2025-05-07
21931 CPT Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaneous 3 Cm/> 38 17 $6,395.00 $1,799.01 72% off $1,348.32 $3,957.00 $1,971.70 2025-05-07
19282 CPT Breast Needle Ea Add'l Lesion 19 11 $1,130.00 $1,809.19 $195.00 $4,318.34 $1,919.26 2025-05-07
19083 CPT Biopsy Breast 1st Lesion With Placement Of Breast Localization Device(s) (clip, … 38 17 $4,566.00 $1,799.01 61% off $1,491.00 $4,318.34 $1,919.26 2025-05-07
11443 CPT Excision Or Other Benign Lesion Including Margins Except Skin Tag (unless Listed… 38 17 $6,181.00 $1,799.01 71% off $250.00 $17,489.05 $1,799.01 2025-05-07
27618 CPT Excision Procedures On The Leg (tibia And Fibula) And Ankle Joint 38 17 $5,953.00 $1,799.01 70% off $1,348.32 $3,957.00 $1,799.01 2025-05-07
50200 CPT Excision Procedures On The Kidney 38 17 $4,443.00 $1,799.01 60% off $1,114.00 $3,433.15 $1,799.01 2025-05-07
11423 CPT Excision Benign Lesions/procedures On The Skin Scalp, Neck, Hands, Feet, Genital… 38 17 $7,747.00 $1,799.01 77% off $1,114.00 $17,489.05 $1,799.01 2025-05-07
47000 CPT Incision Procedures On The Liver Needle Biopsy Of Liver 38 17 $9,532.00 $1,799.01 81% off $807.93 $3,957.00 $1,799.01 2025-05-07
23071 CPT Excision Procedures On The Shoulder 38 17 $6,573.00 $1,799.01 73% off $1,348.32 $3,957.00 $1,799.01 2025-05-07
11422 CPT Excision Benign Lesions/procedures On The Skin Scalp, Neck, Hands, Feet, Genital… 38 17 $4,268.00 $1,799.01 58% off $1,114.00 $17,489.05 $1,799.01 2025-05-07
21012 CPT Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous 38 17 $5,708.00 $1,799.01 68% off $1,114.00 $3,957.00 $1,799.01 2025-05-07
11404 CPT Excision Benign Lesions/procedures On The Skin Trunk, Arms, Or Legs Diameter 3.1… 38 17 $6,157.00 $1,799.01 71% off $1,114.00 $17,489.05 $1,799.01 2025-05-07
32408 CPT Removal Of Core Tissue Samples From A Lung Or The Mediastinum 38 17 $4,875.00 $1,799.01 63% off $569.00 $3,767.20 $1,799.01 2025-05-07
19281 CPT Breast Needle Localization 38 17 $2,259.00 $1,799.01 20% off $281.00 $4,318.34 $1,799.01 2025-05-07
11444 CPT Exc Face Mm B9+marg 3.1 4cm 38 17 $7,197.00 $1,799.00 75% off $569.00 $3,957.00 $1,799.00 2025-05-07
11044 CPT Debride Bone 1st 20sqcm 38 17 $12,025.00 $1,799.00 85% off $1,114.00 $4,417.72 $1,799.00 2025-05-07
38505 CPT Excision Procedures On The Lymph Nodes And Lymphatic Channels Biopsy/excision … 38 17 $4,037.00 $1,799.00 55% off $1,114.00 $3,454.63 $1,799.00 2025-05-07
20220 CPT Biopsy Bone Superficial 38 17 $12,025.00 $1,799.00 85% off $188.00 $3,957.00 $1,799.00 2025-05-07
32551 CPT Chest Tube Insertion 38 17 $3,082.00 $1,785.00 42% off $174.00 $2,900.15 $1,785.00 2025-05-07
36901 CPT Dialysis Circuit Procedures; Diagnostic Fistulagram W/assessment Of Circuit From… 38 17 $18,070.00 $1,784.97 90% off $250.00 $3,957.00 $1,784.97 2025-05-07
36569 CPT Picc >/= 5 Years Old 38 17 $3,331.00 $1,784.97 46% off $112.00 $2,900.15 $1,784.97 2025-05-07
75820 CPT Xray Venogram Uni Ext 38 17 $3,508.00 $1,784.97 49% off $40.40 $2,900.15 $1,784.97 2025-05-07
C1762 HCPCS Putty Tissue Allograft 3 3 $4,188.00 — $1,730.50 $1,730.50 $1,730.50 2025-05-07
25605 CPT Treat Fx Radius/ulna 38 17 $7,123.00 $1,721.00 76% off $692.95 $3,957.00 $1,721.00 2025-05-07
26160 CPT Removal Of Lesion, Cyst, Mucous Cyst Of Gangliion Cyst On A Tendon Sheath Or Joi… 38 17 $6,487.00 $1,720.99 73% off $1,568.66 $3,957.00 $1,720.99 2025-05-07
26055 CPT Incision Procedures On The Hand And Fingers Incise Finger Tendon (trigger Fing… 38 17 $5,726.00 $1,720.99 70% off $1,491.00 $3,957.00 $1,720.99 2025-05-07
25111 CPT Excision Of Ganglion, Wrist (dorsal Or Volar) Removal Of Wrist Tendon Lesion 38 17 $6,323.00 $1,720.99 73% off $1,568.66 $3,957.00 $1,720.99 2025-05-07
J0875 HCPCS Dalbavancin 500mg 36 16 $1,620.00 — $15.16 $2,835.00 $1,631.34 2025-05-07
78452 CPT Nm Myoperf Spe Str&rst Or Redi 38 17 $4,558.00 $1,592.33 65% off $241.13 $2,695.11 $1,592.33 2025-05-07
43239 CPT Biopsy Of The Esophagus, Stomach, And/or Upper Small Bowel Using An Endoscope 38 17 $5,162.00 $990.36 81% off $990.36 $5,536.01 $1,546.45 2025-05-07
C1880 HCPCS Argon Vena Cava Filter 38 17 $3,705.00 — $1,531.00 $1,531.00 $1,531.00 2025-05-07
67840 CPT Excision And Destruction Procedures On The Eyelids; Remove Eyelid Lesion 38 17 $6,270.00 $1,046.91 83% off $569.00 $3,957.00 $1,483.70 2025-05-07
Q4196 HCPCS Puraply Am 1 Sq Cm 19 11 $532.00 — $109.02 $2,434.92 $1,474.30 2025-05-07
Q4101 HCPCS Apligraf 44cm 12 11 $196.00 — $30.51 $1,474.30 $1,474.30 2025-05-07
43235 CPT Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Using An Endosco… 38 17 $4,565.00 $990.36 78% off $990.36 $5,536.01 $1,451.45 2025-05-07
C1789 HCPCS Mentor Mammary Saline Implant 38 17 $3,493.00 — $1,443.00 $1,443.00 $1,443.00 2025-05-07
L8610 HCPCS Amniotic Membrane Katena 38 17 $2,101.00 — $463.49 $2,355.40 $1,409.44 2025-05-07
11201 CPT Remove Skin Tags Add On 38 17 $1,401.00 — $185.18 $2,559.00 $1,404.50 2025-05-07
52000 CPT Cystourethroscopy Procedures On The Bladder (separate Procedures) 38 17 $4,597.00 $750.22 84% off $750.22 $6,535.00 $1,348.73 2025-05-07
45398 CPT Colonoscopy, Flexible, Proximal To Splenic Flexure Colonoscopy w/Band Ligation 38 17 $4,534.00 $1,299.17 71% off $1,004.13 $3,503.70 $1,299.17 2025-05-07
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 38 17 $5,438.00 $1,299.17 76% off $1,004.13 $3,957.00 $1,299.17 2025-05-07
45384 CPT Colonoscopy, Flexible, Proximal To Splenic Flexure Endoscopy Procedures On The… 38 17 $5,925.00 $1,299.17 78% off $1,004.13 $3,957.00 $1,299.17 2025-05-07
45380 CPT Biopsy Of Large Bowel Using An Endoscope 38 17 $4,914.00 $1,299.17 74% off $1,004.13 $3,796.95 $1,299.17 2025-05-07
45350 CPT Endoscopic Procedures On The Rectum; With Band Ligation 38 17 $4,316.00 $1,299.17 70% off $1,004.13 $3,335.40 $1,299.17 2025-05-07
Q4158 HCPCS Kerecis Marigen 19cm 40 17 $4,116.00 — $162.76 $2,434.92 $1,298.84 2025-05-07
41899 CPT Dental Surgical Procedures 38 17 $5,288.00 $249.33 95% off $249.33 $3,957.00 $1,202.00 2025-05-07
99291 CPT Critical Care (30 74 Min) 38 17 $8,050.00 $921.00 89% off $568.00 $2,422.05 $1,076.47 2025-05-07
G0121 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For … 38 17 $4,268.00 $997.00 77% off $569.00 $3,298.00 $1,004.13 2025-05-07
G0105 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual At High Risk 38 17 $4,235.00 $997.00 76% off $569.00 $3,272.50 $1,004.13 2025-05-07
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 38 17 $4,275.00 $997.00 77% off $997.00 $3,303.10 $1,004.13 2025-05-07
45331 CPT Endoscopy Procedures On The Rectum 38 17 $6,300.00 $997.00 84% off $997.00 $3,957.00 $1,004.13 2025-05-07
49083 CPT US Abdomen, Paracentesis 38 17 $1,848.00 $990.00 46% off $353.00 $1,817.84 $990.00 2025-05-07
15004 CPT Surgical Prep H/ft/d/<100sqcm 38 17 $1,463.00 $697.00 52% off $471.54 $3,847.68 $966.86 2025-05-07
88333 CPT Intra Op Touch Prep/surg Spec 23 15 $3,417.00 $931.58 73% off $43.84 $1,351.56 $931.58 2025-05-07
11043 CPT Debride Muscle 1st 20 Sqcm 38 17 $5,287.00 $697.00 87% off $697.00 $3,713.65 $916.43 2025-05-07
36245 CPT Sel Cath Art 1st Abd/pel/le 38 17 $1,552.00 $334.22 78% off $269.00 $1,491.00 $880.00 2025-05-07
57505 CPT Endocervical Curettage 38 17 $2,660.00 $844.00 68% off $763.08 $3,132.00 $844.00 2025-05-07
28190 CPT Remov Fx Body Sub Q 38 17 $5,614.00 $779.00 86% off $779.00 $3,957.00 $838.69 2025-05-07
13152 CPT Cmplx Rpr E/n/e/l 2.6 7.5cm 38 17 $2,682.00 $697.00 74% off $471.54 $2,150.00 $838.69 2025-05-07
13121 CPT Complx Rpr S/a/l 2.6 7.5cm 38 17 $2,529.00 $697.00 72% off $471.54 $2,150.00 $838.69 2025-05-07
11442 CPT Excision, Other Benign Lesion Including Margins, Except Skin Tag (unless Listed … 38 17 $5,855.00 $778.57 87% off $778.57 $9,553.20 $838.69 2025-05-07
11403 CPT Excision Benign Lesions/procedures On The Skin Trunk, Arms, Or Legs Diameter 2.1… 38 17 $4,650.00 $779.00 83% off $779.00 $3,592.95 $838.69 2025-05-07
11402 CPT Excision Benign Lesions/procedures On The Skin Trunk, Arms, Or Legs Diameter 1.1… 38 17 $5,528.00 $779.00 86% off $779.00 $3,957.00 $838.69 2025-05-07
11976 CPT Removal Of Implantable Contraceptive EAsules That Have Been Previously Implanted… 38 17 $5,006.00 $778.57 84% off $250.00 $3,868.35 $838.69 2025-05-07
11400 CPT Exc Begn Les, Les .5c 38 17 $3,245.00 $779.00 76% off $569.00 $2,279.70 $838.69 2025-05-07
11042 CPT Debride Skin Subq 1st 20sqcm 38 17 $3,414.00 $446.00 87% off $446.00 $2,398.70 $814.64 2025-05-07
36010 CPT Intro Cath Sup/inf Vena Cava 38 17 $835.00 $334.00 60% off $139.00 $1,290.00 $812.11 2025-05-07
32554 CPT US Thoracentesis, Surgical 38 17 $1,865.00 $694.00 63% off $653.00 $1,817.84 $807.93 2025-05-07
88309 CPT Gross & Micro; Level Vi 38 17 $593.00 $931.58 $50.00 $1,351.56 $806.90 2025-05-07
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