Hospital

SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN

Brooklyn, NY · CCN 330350 · Rates published

2,818 distinct procedures filed

48 distinct payers

99,647 rate rows

2026-07-15 last MRF observed

Data quality

96,540 of 99,647 rate rows are consumer-grade (96.9%)

3,107 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 — reason	Rows
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	2,424
template filing: same amount across many unrelated codes — excluded	335
exceeds 10× this hospital's gross charge — excluded from medians	140
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	106
exceeds 3× this hospital's gross charge for a DRG stay — excluded	102

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.downstate.edu/patient-care/_documents/charges/364983111_suny-university-hospital-at-downstate_standardcharges.csv
Found on page	https://www.downstate.edu/patient-care/patient-family-support/insurance-billing/hospital-charges.html
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-12
Content fingerprint	d3945dc58734888c… · 3,866,333 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
11012 CPT	11012 - Deb Skin Bone At Fx Site	29	$226,379.00	$466,339.00	$285,094.00	nat. median $2,717 outlier · 104.9×
588 APR_DRG	Neonate Bwt <1500g W Major Procedure	18	$192,459.00	$583,553.00	$259,357.00	nat. median $381,876 0.7× median
J1953 HCPCS	J1953 - Levetiracetam Inj 10mg/ml Syr	29	$156,085.00	$321,533.00	$196,990.00	nat. median $14 outlier · 14070.7×
583 APR_DRG	Neonate W Ecmo	18	$142,761.00	$593,995.00	$185,723.00	nat. median $12,078 outlier · 15.4×
2 APR_DRG	Heart &/or Lung Transplant	18	$120,634.00	$806,927.00	$161,072.00	nat. median $307,240 0.5× median
841 APR_DRG	Extensive 3rd Degree Burns W Skin Graft	18	$53,505.00	$433,335.00	$150,500.00	nat. median $39,853 outlier · 3.8×
593 APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	18	$107,700.00	$403,214.00	$143,656.50	nat. median $11,491 outlier · 12.5×
Q0163 HCPCS	Q0163 - Diphenhydramine Cap 25mg	29	$108,461.00	$223,428.00	$137,301.00	nat. median $1 outlier · 109840.8×
591 APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	18	$88,624.00	$448,045.00	$128,890.00	nat. median $5,085 outlier · 25.3×
3 APR_DRG	Bone Marrow Transplant	18	$66,055.00	$518,249.00	$121,518.00	—
4 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	18	$71,668.00	$417,926.00	$119,549.00	nat. median $159,438 0.7× median
602 APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	18	$64,730.00	$349,695.00	$116,445.00	nat. median $121,245 1.0× median
161 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	18	$40,021.00	$533,755.00	$101,131.00	—
1 APR_DRG	Liver Transplant &/or Intestinal Transplant	18	$61,446.00	$404,821.00	$99,319.50	nat. median $202,979 outlier · 0.5×
J7509 HCPCS	J7509 - Methylprednisol T 1h 6mg	29	$76,795.00	$158,196.00	$97,612.00	nat. median $5 outlier · 18990.7×
607 APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	18	$60,229.00	$285,498.00	$95,056.50	nat. median $76,291 1.2× median
5 APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	18	$56,788.00	$318,889.00	$94,894.00	nat. median $153,542 0.6× median
J0282 HCPCS	J0282 - Amiodarone 150mg 50mg/ml 3ml	29	$73,953.00	$152,343.00	$94,051.00	nat. median $7 outlier · 12658.3×
J1644 HCPCS	J1644 - Heparin 1000u (20,000u/ml)	29	$73,349.00	$151,099.00	$93,293.00	nat. median $10 outlier · 9092.9×
J1642 HCPCS	J1642 - Heparin Flush 10u/ml 5ml	29	$72,783.00	$149,933.00	$92,584.00	nat. median $2 outlier · 41517.5×
603 APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	18	$51,585.00	$322,134.00	$92,281.00	nat. median $17,856 outlier · 5.2×
J7611 HCPCS	J7611 - Albuterol Inh Sol 0.5% 1mg	29	$66,024.00	$136,009.00	$84,112.00	nat. median $3 outlier · 31860.6×
J0330 HCPCS	J0330 - Succinylcho I 20mg/ml 10ml	29	$64,943.00	$133,782.00	$82,757.00	nat. median $10 outlier · 8081.7×
J7620 HCPCS	J7620 - Albut/iprat Inh 3ml(2.5mg/0.5)	29	$64,508.00	$132,885.00	$82,212.00	nat. median $5 outlier · 16778.0×
J2250 HCPCS	J2250 - Midazolam Inj 2mg/2ml	29	$63,709.00	$131,240.00	$81,211.00	nat. median $9 outlier · 8723.0×
6 APR_DRG	Pancreas Transplant	18	$50,401.00	$176,653.00	$78,513.00	nat. median $41,898 1.9× median
J3480 HCPCS	J3480 - Kcl Inj 2meq (20meq/10ml)	29	$60,137.00	$123,882.00	$76,734.00	nat. median $10 outlier · 7378.3×
J1100 HCPCS	J1100 - Dexamethasone 1mg(4mg/ml) Inj	27	$59,450.00	$105,823.00	$75,873.00	nat. median $5 outlier · 16638.8×
609 APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	18	$35,569.00	$369,180.00	$74,856.00	nat. median $243,339 outlier · 0.3×
J2710 HCPCS	J2710 - Neostigmine 0.5mg (10mg/10ml)	29	$58,454.00	$120,415.00	$74,625.00	nat. median $18 outlier · 4235.2×
303 APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	18	$44,064.00	$251,941.00	$71,823.00	nat. median $27,425 outlier · 2.6×
608 APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	18	$42,315.00	$166,097.00	$70,869.50	nat. median $53,710 1.3× median
J8540 HCPCS	J8540 - Dexamethasone (0.25mg)4mg Tab	29	$53,929.00	$111,093.00	$68,953.00	nat. median $3 outlier · 20831.7×
J2795 HCPCS	J2795 - Ropivacaine Inj 5mg/ml 30ml	29	$53,694.00	$110,610.00	$68,659.00	nat. median $17 outlier · 3971.0×
J7614 HCPCS	J7614 - Levalbuterol Inh 0.5mg(1.25mg)	29	$53,083.00	$109,350.00	$67,892.00	nat. median $4 outlier · 15360.2×
J7510 HCPCS	J7510 - Prednisolone 15mg/5ml Oral Syr	29	$52,230.00	$107,593.00	$66,824.00	nat. median $7 outlier · 9769.6×
J0461 HCPCS	J0461 - Atrop Sulf Syr 0.1mg/ml 10ml	29	$51,039.00	$105,139.00	$65,330.00	nat. median $16 outlier · 4138.7×
612 APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	18	$35,075.00	$195,956.00	$65,193.00	nat. median $55,259 1.2× median
J0133 HCPCS	J0133 - Acyclovir Inj 500mg 50mg/ml	29	$50,334.00	$103,687.00	$64,447.00	nat. median $7 outlier · 8650.6×
611 APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	18	$24,974.00	$189,946.00	$64,400.00	nat. median $76,851 0.8× median
Q0162 HCPCS	Q0162 - Ondansetron Od Tab 4mg	29	$50,049.00	$103,101.00	$64,090.00	nat. median $22 outlier · 2933.2×
J7613 HCPCS	J7613 - Albutersol In Sol 0.083%	29	$48,902.00	$100,738.00	$62,653.00	nat. median $2 outlier · 29277.1×
690 APR_DRG	Acute Leukemia	18	$13,326.00	$202,420.00	$62,314.00	nat. median $32,424 1.9× median
Q0164 HCPCS	Q0164 - Prochlorperazine Tab 5mg	29	$48,114.00	$99,115.00	$61,665.00	nat. median $3 outlier · 21713.0×
J2001 HCPCS	J2001 - Lidocaine Inj 1% Per 10 Mg	29	$48,110.00	$99,107.00	$61,660.00	nat. median $11 outlier · 5693.4×
J7512 HCPCS	J7512 - Prednisone Tab 1mg (20mg)	29	$47,959.00	$98,796.00	$61,471.00	nat. median $1 outlier · 53921.9×
99241 CPT	99241 - Office Consultation	29	$47,801.00	$98,470.00	$61,273.00	nat. median $100 outlier · 613.0×
49582 CPT	49582 - Rpr Umbil Hern Block < 5 Yr	29	$47,755.00	$98,374.00	$61,214.00	nat. median $2,252 outlier · 27.2×
630 APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	18	$34,383.00	$282,813.00	$60,902.00	nat. median $59,608 1.0× median
C1722 HCPCS	C1722 - Icd-sc # A219	29	$47,021.00	$96,862.00	$60,295.00	nat. median $19,800 outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 2,818 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

11012	CPT	11012 - Deb Skin Bone At Fx Site	29	29	$382,228.00	$382,228.00	$226,379.00	$466,339.00	$285,094.00	2026-07-15
588	APR_DRG	Neonate Bwt <1500g W Major Procedure	36	18	$228,884.50	—	$192,459.00	$583,553.00	$259,357.00	2026-07-15
J1953	HCPCS	J1953 - Levetiracetam Inj 10mg/ml Syr	29	29	$218,790.00	$218,790.00	$156,085.00	$321,533.00	$196,990.00	2026-07-15
583	APR_DRG	Neonate W Ecmo	54	18	$149,981.00	—	$142,761.00	$593,995.00	$185,723.00	2026-07-15
2	APR_DRG	Heart &/or Lung Transplant	72	18	$143,453.00	—	$120,634.00	$806,927.00	$161,072.00	2026-07-15
841	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	72	18	$111,644.00	—	$53,505.00	$433,335.00	$150,500.00	2026-07-15
593	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	72	18	$127,242.50	—	$107,700.00	$403,214.00	$143,656.50	2026-07-15
Q0163	HCPCS	Q0163 - Diphenhydramine Cap 25mg	29	29	$130,292.00	$130,292.00	$108,461.00	$223,428.00	$137,301.00	2026-07-15
591	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	72	18	$117,358.00	—	$88,624.00	$448,045.00	$128,890.00	2026-07-15
3	APR_DRG	Bone Marrow Transplant	72	18	$100,640.50	—	$66,055.00	$518,249.00	$121,518.00	2026-07-15
4	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	54	18	$103,506.00	—	$71,668.00	$417,926.00	$119,549.00	2026-07-15
602	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	72	18	$106,100.50	—	$64,730.00	$349,695.00	$116,445.00	2026-07-15
161	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	72	18	$82,055.00	—	$40,021.00	$533,755.00	$101,131.00	2026-07-15
1	APR_DRG	Liver Transplant &/or Intestinal Transplant	54	18	$85,991.00	—	$61,446.00	$404,821.00	$99,319.50	2026-07-15
J7509	HCPCS	J7509 - Methylprednisol T 1h 6mg	29	29	$69,144.00	$69,144.00	$76,795.00	$158,196.00	$97,612.00	2026-07-15
607	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	72	18	$85,448.50	—	$60,229.00	$285,498.00	$95,056.50	2026-07-15
5	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	72	18	$77,477.50	—	$56,788.00	$318,889.00	$94,894.00	2026-07-15
J0282	HCPCS	J0282 - Amiodarone 150mg 50mg/ml 3ml	29	29	$97,444.00	$97,444.00	$73,953.00	$152,343.00	$94,051.00	2026-07-15
J1644	HCPCS	J1644 - Heparin 1000u (20,000u/ml)	29	29	$87,205.00	$87,205.00	$73,349.00	$151,099.00	$93,293.00	2026-07-15
J1642	HCPCS	J1642 - Heparin Flush 10u/ml 5ml	29	29	$127,925.00	$127,925.00	$72,783.00	$149,933.00	$92,584.00	2026-07-15
603	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	72	18	$81,592.00	—	$51,585.00	$322,134.00	$92,281.00	2026-07-15
J7611	HCPCS	J7611 - Albuterol Inh Sol 0.5% 1mg	29	29	$27,863.00	$27,863.00	$66,024.00	$136,009.00	$84,112.00	2026-07-15
J0330	HCPCS	J0330 - Succinylcho I 20mg/ml 10ml	29	29	$108,848.00	$108,848.00	$64,943.00	$133,782.00	$82,757.00	2026-07-15
J7620	HCPCS	J7620 - Albut/iprat Inh 3ml(2.5mg/0.5)	29	29	$58,919.00	$58,919.00	$64,508.00	$132,885.00	$82,212.00	2026-07-15
J2250	HCPCS	J2250 - Midazolam Inj 2mg/2ml	29	29	$131,887.00	$131,887.00	$63,709.00	$131,240.00	$81,211.00	2026-07-15
6	APR_DRG	Pancreas Transplant	54	18	$75,175.00	—	$50,401.00	$176,653.00	$78,513.00	2026-07-15
J3480	HCPCS	J3480 - Kcl Inj 2meq (20meq/10ml)	29	29	$69,622.00	$69,622.00	$60,137.00	$123,882.00	$76,734.00	2026-07-15
J1100	HCPCS	J1100 - Dexamethasone 1mg(4mg/ml) Inj	27	27	$12,210.00	$12,210.00	$59,450.00	$105,823.00	$75,873.00	2026-07-15
609	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	72	18	$55,903.00	—	$35,569.00	$369,180.00	$74,856.00	2026-07-15
J2710	HCPCS	J2710 - Neostigmine 0.5mg (10mg/10ml)	29	29	$105,962.00	$105,962.00	$58,454.00	$120,415.00	$74,625.00	2026-07-15
303	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	72	18	$63,088.50	—	$44,064.00	$251,941.00	$71,823.00	2026-07-15
608	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	72	18	$64,287.00	—	$42,315.00	$166,097.00	$70,869.50	2026-07-15
J8540	HCPCS	J8540 - Dexamethasone (0.25mg)4mg Tab	29	29	$81,621.00	$81,621.00	$53,929.00	$111,093.00	$68,953.00	2026-07-15
J2795	HCPCS	J2795 - Ropivacaine Inj 5mg/ml 30ml	29	29	$60,953.00	$60,953.00	$53,694.00	$110,610.00	$68,659.00	2026-07-15
J7614	HCPCS	J7614 - Levalbuterol Inh 0.5mg(1.25mg)	29	29	$158,755.00	$158,755.00	$53,083.00	$109,350.00	$67,892.00	2026-07-15
J7510	HCPCS	J7510 - Prednisolone 15mg/5ml Oral Syr	29	29	$76,267.00	$76,267.00	$52,230.00	$107,593.00	$66,824.00	2026-07-15
J0461	HCPCS	J0461 - Atrop Sulf Syr 0.1mg/ml 10ml	29	29	$106,419.00	$106,419.00	$51,039.00	$105,139.00	$65,330.00	2026-07-15
612	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	72	18	$55,979.50	—	$35,075.00	$195,956.00	$65,193.00	2026-07-15
J0133	HCPCS	J0133 - Acyclovir Inj 500mg 50mg/ml	29	29	$87,605.00	$87,605.00	$50,334.00	$103,687.00	$64,447.00	2026-07-15
611	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	72	18	$52,935.50	—	$24,974.00	$189,946.00	$64,400.00	2026-07-15
Q0162	HCPCS	Q0162 - Ondansetron Od Tab 4mg	29	29	$73,650.00	$73,650.00	$50,049.00	$103,101.00	$64,090.00	2026-07-15
J7613	HCPCS	J7613 - Albutersol In Sol 0.083%	29	29	$46,396.00	$46,396.00	$48,902.00	$100,738.00	$62,653.00	2026-07-15
690	APR_DRG	Acute Leukemia	72	18	$45,128.50	—	$13,326.00	$202,420.00	$62,314.00	2026-07-15
Q0164	HCPCS	Q0164 - Prochlorperazine Tab 5mg	29	29	$66,309.00	$66,309.00	$48,114.00	$99,115.00	$61,665.00	2026-07-15
J2001	HCPCS	J2001 - Lidocaine Inj 1% Per 10 Mg	29	29	$57,534.00	$57,534.00	$48,110.00	$99,107.00	$61,660.00	2026-07-15
J7512	HCPCS	J7512 - Prednisone Tab 1mg (20mg)	29	29	$133,873.00	$133,873.00	$47,959.00	$98,796.00	$61,471.00	2026-07-15
99241	CPT	99241 - Office Consultation	29	29	$184,337.00	$184,337.00	$47,801.00	$98,470.00	$61,273.00	2026-07-15
49582	CPT	49582 - Rpr Umbil Hern Block < 5 Yr	29	29	$82,391.00	$82,391.00	$47,755.00	$98,374.00	$61,214.00	2026-07-15
630	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	72	18	$48,883.00	—	$34,383.00	$282,813.00	$60,902.00	2026-07-15
C1722	HCPCS	C1722 - Icd-sc # A219	29	29	$56,716.00	$56,716.00	$47,021.00	$96,862.00	$60,295.00	2026-07-15
440	APR_DRG	Kidney Transplant	72	18	$53,023.00	—	$36,948.00	$240,138.00	$58,991.50	2026-07-15
162	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	72	18	$52,514.50	—	$34,516.00	$217,026.00	$58,962.00	2026-07-15
C1882	HCPCS	C1882 - Resonate Icd G447	29	29	$48,291.00	$48,291.00	$45,687.00	$94,115.00	$58,623.00	2026-07-15
J9266	HCPCS	J9266 - Pegaspargase Inj 750u/ml 5ml	29	29	$35,443.00	$35,443.00	$44,694.00	$92,070.00	$57,379.00	2026-07-15
C1721	HCPCS	C1721 - Icd Evera # Ddmb1d4	29	29	$55,399.00	$55,399.00	$44,156.00	$90,961.00	$56,704.00	2026-07-15
54410	CPT	54410 - Remove/replace Penis Prosth	29	29	$49,214.00	$49,214.00	$43,509.00	$89,629.00	$55,894.00	2026-07-15
54405	CPT	54405 - Insert Multi-comp Penis Pros	29	29	$44,347.00	$44,347.00	$43,086.00	$88,756.00	$55,363.00	2026-07-15
C1777	HCPCS	C1777 - Plexa Dx 65/15 Ref 436909	29	29	$37,419.00	$37,419.00	$42,626.00	$87,809.00	$54,786.00	2026-07-15
304	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	72	18	$46,571.50	—	$30,568.00	$212,343.00	$54,757.00	2026-07-15
37231	CPT	37231 - Tib/per Revasc Stent & Ather	29	29	$48,383.00	$48,383.00	$42,023.00	$86,567.00	$54,030.00	2026-07-15
22551	CPT	22551 - Arthrd Ant Ntrbdy Cervical	29	29	$248,576.00	$248,576.00	$41,526.00	$85,543.00	$53,408.00	2026-07-15
64575	CPT	64575 - Opn Impltj Nea Perph Nerve	29	29	$74,938.00	$74,938.00	$41,378.00	$85,239.00	$53,223.00	2026-07-15
37244	CPT	37244 - Vasc Embolize/occlude Bleed	29	29	$49,406.00	$49,406.00	$41,179.00	$84,828.00	$52,972.00	2026-07-15
37242	CPT	37242 - Vasc Embolize/occlude Artery	29	29	$49,385.00	$49,385.00	$40,885.00	$84,222.00	$52,604.00	2026-07-15
37238	CPT	37238 - Open/perq Place Stent Same	29	29	$314,776.00	$314,776.00	$40,620.00	$83,677.00	$52,272.00	2026-07-15
613	APR_DRG	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	72	18	$46,638.00	—	$26,560.00	$119,746.00	$51,880.00	2026-07-15
165	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	72	18	$45,266.00	—	$39,216.00	$163,650.00	$51,086.50	2026-07-15
C1786	HCPCS	C1786 - Mcra Leadless Pacemaker Kit	29	29	$48,533.00	$48,533.00	$39,494.00	$81,357.00	$50,860.00	2026-07-15
130	APR_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	54	18	$43,984.00	—	$34,198.00	$140,437.00	$50,801.00	2026-07-15
50593	CPT	50593 - Perc Cryo Ablate Renal Tum	29	29	$58,174.00	$58,174.00	$39,265.00	$80,886.00	$50,574.00	2026-07-15
631	APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	72	18	$40,136.00	—	$16,232.00	$243,128.00	$50,116.00	2026-07-15
C1813	HCPCS	C1813 - Implant Penile Reservoir 125ml	29	29	$54,319.00	$54,319.00	$38,840.00	$80,009.00	$50,041.00	2026-07-15
J9312	HCPCS	J9312 - Rituximab 10mg (10mg/ml 50ml)	29	29	$55,750.00	$55,750.00	$38,775.00	$79,876.00	$49,960.00	2026-07-15
19342	CPT	19342 - Insj/rplcmt Brst Implt Sep D	29	29	$67,992.00	$67,992.00	$38,466.00	$79,239.00	$49,572.00	2026-07-15
160	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	72	18	$42,026.50	—	$31,367.00	$229,958.00	$49,130.00	2026-07-15
910	APR_DRG	Craniotomy For Multiple Significant Trauma	54	18	$39,849.00	—	$37,480.00	$166,099.00	$49,055.00	2026-07-15
19325	CPT	19325 - Breast Augmentation W/implt	29	29	$60,529.00	$60,529.00	$37,959.00	$78,196.00	$48,937.00	2026-07-15
C1767	HCPCS	C1767 - Sentiva Nerve Generator	29	29	$112,915.00	$112,915.00	$37,431.00	$77,107.00	$48,275.00	2026-07-15
33227	CPT	33227 - Remove&replace Pm Gen Singl	29	29	$75,201.00	$75,201.00	$37,018.00	$76,256.00	$47,757.00	2026-07-15
C1785	HCPCS	C1785 - Ppm Accolade #l331	29	29	$186,953.00	$186,953.00	$36,761.00	$75,727.00	$47,435.00	2026-07-15
57289	CPT	57289 - Repair Bladder & Vagina	29	29	$48,461.00	$48,461.00	$36,721.00	$75,646.00	$47,386.00	2026-07-15
63045	CPT	63045 - Lam Facetec & Foramot Crv	29	29	$81,335.00	$81,335.00	$36,698.00	$75,597.00	$47,356.00	2026-07-15
63047	CPT	63047 - Lam Facetec & Foramot Lumbar	29	29	$46,714.00	$46,714.00	$36,686.00	$75,573.00	$47,342.00	2026-07-15
163	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Pdx	72	18	$42,375.00	—	$30,155.00	$162,965.00	$47,128.50	2026-07-15
589	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	54	18	$45,222.00	—	$1,132.00	$280,718.00	$47,031.00	2026-07-15
27335	CPT	27335 - Remove Knee Joint Lining	29	29	$35,390.00	$35,390.00	$36,401.00	$74,985.00	$46,984.00	2026-07-15
312	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	72	18	$34,847.50	—	$12,152.00	$208,183.00	$46,536.00	2026-07-15
27477	CPT	27477 - Surgery To Stop Leg Growth	29	29	$119,569.00	$119,569.00	$35,854.00	$73,859.00	$46,298.00	2026-07-15
28310	CPT	28310 - Revision Of Big Toe	29	29	$151,135.00	$151,135.00	$35,842.00	$73,834.00	$46,284.00	2026-07-15
31253	CPT	31253 - Nsl/sins Ndsc Total	29	29	$43,011.00	$43,011.00	$35,772.00	$73,690.00	$46,196.00	2026-07-15
31287	CPT	31287 - Nasal/sinus Endoscopy Surg	29	29	$53,319.00	$53,319.00	$35,611.00	$73,358.00	$45,994.00	2026-07-15
31296	CPT	31296 - Nsl/sins Ndsc Surg Frnt Sins	29	29	$46,299.00	$46,299.00	$35,488.00	$73,104.00	$45,839.00	2026-07-15
15830	CPT	15830 - Exc Skin Abd	29	29	$60,028.00	$60,028.00	$35,356.00	$72,833.00	$45,674.00	2026-07-15
C2621	HCPCS	C2621 - Pacemaker	29	29	$36,516.00	$36,516.00	$35,311.00	$72,741.00	$45,618.00	2026-07-15
31591	CPT	31591 - Laryngoplasty Medialization	29	29	$33,309.00	$33,309.00	$35,201.00	$72,513.00	$45,480.00	2026-07-15
842	APR_DRG	Burns With Skin Graft Except Extensive 3rd Degree Burns	72	18	$36,990.00	—	$21,487.00	$199,751.00	$44,848.00	2026-07-15
69670	CPT	69670 - Remove Mastoid Air Cells	29	29	$60,870.00	$60,870.00	$34,678.00	$71,437.00	$44,825.00	2026-07-15
J0585	HCPCS	J0585 - Botulinum Toxin Typa 1u(100 U)	2	2	$98,379.00	$98,379.00	$44,616.00	$44,616.00	$44,616.00	2026-07-15
21	APR_DRG	Craniotomy Except For Trauma	72	18	$36,019.50	—	$18,884.00	$167,461.00	$44,523.00	2026-07-15
21230	CPT	21230 - Rib Cartilage Graft	29	29	$41,526.00	$41,526.00	$34,411.00	$70,886.00	$44,490.00	2026-07-15
23	APR_DRG	Spinal Procedures	72	18	$33,415.50	—	$16,360.00	$186,903.00	$44,158.00	2026-07-15
42870	CPT	42870 - Excision Of Lingual Tonsil	29	29	$49,019.00	$49,019.00	$33,761.00	$69,547.00	$43,675.00	2026-07-15
37248	CPT	37248 - Trluml Balo Angiop 1st Vein	29	29	$40,664.00	$40,664.00	$33,569.00	$69,151.00	$43,435.00	2026-07-15
38129	CPT	38129 - Unlisted Laps Px Spleen	29	29	$37,442.00	$37,442.00	$33,487.00	$68,983.00	$43,332.00	2026-07-15
49329	CPT	49329 - Unlstd Laps Px Abd Pertm&omn	29	29	$43,031.00	$43,031.00	$33,315.00	$68,629.00	$43,116.00	2026-07-15
50947	CPT	50947 - Laparo New Ureter/bladder	29	29	$37,831.00	$37,831.00	$33,183.00	$68,357.00	$42,951.00	2026-07-15
298	MS_DRG	298 - Cardiac Arrest, Unexplained Without Cc/mcc	3	3	$94,113.00	$94,113.00	$34,421.00	$42,682.00	$42,682.00	2026-07-15
863	APR_DRG	Neonatal Aftercare	72	18	$32,585.00	—	$9,077.00	$122,542.00	$42,669.00	2026-07-15
181	APR_DRG	Lower Extremity Arterial Procedures #	72	18	$32,725.00	—	$14,306.00	$153,010.00	$42,040.00	2026-07-15
90	APR_DRG	Major Larynx & Trachea Procedures	72	18	$32,677.50	—	$7,563.00	$259,709.00	$42,002.00	2026-07-15
166	APR_DRG	Coronary Bypass Without Ami Or Complex Pdx	72	18	$37,398.50	—	$29,946.00	$144,100.00	$41,944.50	2026-07-15
J2597	HCPCS	J2597 - Desmopressin I 4mcg/ml	2	2	$87,360.00	$87,360.00	$41,600.00	$41,600.00	$41,600.00	2026-07-15
60240	CPT	60240 - Removal Of Thyroid	29	29	$52,529.00	$52,529.00	$31,901.00	$65,715.00	$41,344.00	2026-07-15
49594	CPT	49594 - Rpr Aa Hrn 1st 3-10 Ncr/strn	29	29	$109,296.00	$109,296.00	$31,869.00	$65,650.00	$41,304.00	2026-07-15
49592	CPT	49592 - Rpr Aa Hrn 1st < 3 Ncr/strn	29	29	$44,690.00	$44,690.00	$31,792.00	$65,492.00	$41,208.00	2026-07-15
950	APR_DRG	Extensive Procedure Unrelated To Principal Diagnosis	72	18	$31,622.00	—	$13,583.00	$187,647.00	$41,054.00	2026-07-15
621	APR_DRG	Neonate Bwt 2000-2499g W Major Anomaly	72	18	$31,205.50	—	$9,049.00	$157,071.00	$40,889.00	2026-07-15
49321	CPT	49321 - Laparoscopy Biopsy	29	29	$44,110.00	$44,110.00	$31,380.00	$64,643.00	$40,692.00	2026-07-15
32609	CPT	32609 - Thoracoscopy W/bx Pleura	29	29	$24,354.00	$24,354.00	$31,356.00	$64,593.00	$40,661.00	2026-07-15
912	APR_DRG	Musculoskeletal & Other Procedures For Multiple Significant Trauma	72	18	$32,382.50	—	$23,568.00	$175,213.00	$40,449.00	2026-07-15
C1815	HCPCS	C1815 - Ams 800 Urinary Cuff 4.5	29	29	$31,361.00	$31,361.00	$31,050.00	$63,963.00	$40,278.00	2026-07-15
C1896	HCPCS	C1896 - Emblem S-icd Lead 3501	29	29	$19,464.00	$19,464.00	$31,028.00	$63,917.00	$40,250.00	2026-07-15
36831	CPT	36831 - Open Thrombect Av Fistula	29	29	$42,214.00	$42,214.00	$31,017.00	$63,895.00	$40,237.00	2026-07-15
C1764	HCPCS	C1764 - Loop Recorders Reveal Linq	29	29	$77,046.00	$77,046.00	$30,967.00	$63,793.00	$40,174.00	2026-07-15
53400	CPT	53400 - Revise Urethra Stage 1	29	29	$24,328.00	$24,328.00	$30,658.00	$63,156.00	$39,787.00	2026-07-15
680	APR_DRG	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	72	18	$31,093.00	—	$13,798.00	$206,888.00	$39,762.00	2026-07-15
52648	CPT	52648 - Laser Surgery Of Prostate	29	29	$73,900.00	$73,900.00	$30,585.00	$63,005.00	$39,695.00	2026-07-15
52630	CPT	52630 - Remove Prostate Regrowth	29	29	$49,860.00	$49,860.00	$30,222.00	$62,257.00	$39,240.00	2026-07-15
89	APR_DRG	Major Cranial/facial Bone Procedures	72	18	$30,691.00	—	$13,593.00	$157,684.00	$39,159.00	2026-07-15
614	APR_DRG	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	54	18	$33,900.00	—	$19,885.00	$116,462.00	$39,154.50	2026-07-15
54660	CPT	54660 - Revision Of Testis	29	29	$39,820.00	$39,820.00	$29,828.00	$61,446.00	$38,746.00	2026-07-15
169	APR_DRG	Major Abdominal Vascular Procedures	72	18	$30,853.50	—	$17,779.00	$166,108.00	$38,187.00	2026-07-15
321	APR_DRG	Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp	72	18	$30,061.50	—	$16,267.00	$163,363.00	$38,055.00	2026-07-15
24	APR_DRG	Extracranial Vascular Procedures	72	18	$29,913.00	—	$14,971.00	$157,105.00	$37,929.00	2026-07-15
57320	CPT	57320 - Repair Bladder-vagina Lesion	29	29	$26,335.00	$26,335.00	$29,172.00	$60,094.00	$37,924.00	2026-07-15
91	APR_DRG	Other Major Head & Neck Procedures	72	18	$33,576.00	—	$13,306.00	$95,802.00	$37,870.00	2026-07-15
167	APR_DRG	Other Cardiothoracic & Thoracic Vascular Procedures	72	18	$33,510.50	—	$24,183.00	$153,350.00	$37,835.00	2026-07-15
170	APR_DRG	Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock	72	18	$32,573.00	—	$26,974.00	$111,291.00	$37,425.50	2026-07-15
681	APR_DRG	Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	72	18	$27,775.50	—	$9,453.00	$207,463.00	$37,371.00	2026-07-15
57120	CPT	57120 - Closure Of Vagina	29	29	$38,195.00	$38,195.00	$28,709.00	$59,140.00	$37,343.00	2026-07-15
57220	CPT	57220 - Revision Of Urethra	29	29	$29,649.00	$29,649.00	$28,577.00	$58,869.00	$37,178.00	2026-07-15
622	APR_DRG	Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond	72	18	$32,047.50	—	$19,314.00	$119,536.00	$37,060.00	2026-07-15
C1818	HCPCS	C1818 - Implant, Corneal Level 26	29	29	$20,004.00	$20,004.00	$28,476.00	$58,661.00	$37,052.00	2026-07-15
67039	CPT	67039 - Laser Treatment Of Retina	29	29	$45,375.00	$45,375.00	$28,346.00	$58,392.00	$36,888.00	2026-07-15
66930	CPT	66930 - Extraction Of Lens	29	29	$25,014.00	$25,014.00	$28,128.00	$57,944.00	$36,615.00	2026-07-15
20	APR_DRG	Craniotomy For Trauma	72	18	$29,795.00	—	$17,802.00	$154,710.00	$36,409.00	2026-07-15
C1895	HCPCS	C1895 - Ppm Lead Durata #7122-65	29	29	$19,500.00	$19,500.00	$27,724.00	$57,110.00	$36,108.00	2026-07-15
C1780	HCPCS	C1780 - Lens Alcon Pcl # Sn60wf 23.5d	29	29	$125,857.00	$125,857.00	$27,489.00	$56,627.00	$35,814.00	2026-07-15
49595	CPT	49595 - Rpr Aa Hrn 1st > 10 Rdc	29	29	$38,889.00	$38,889.00	$27,088.00	$55,800.00	$35,311.00	2026-07-15
49492	CPT	49492 - Rpr Ing Hern Premie Blocked	29	29	$43,848.00	$43,848.00	$27,080.00	$55,785.00	$35,302.00	2026-07-15
220	APR_DRG	Major Stomach, Esophageal & Duodenal Procedures	72	18	$26,969.50	—	$11,551.00	$163,907.00	$34,974.00	2026-07-15
305	APR_DRG	Amputation Of Lower Limb Except Toes	72	18	$27,231.50	—	$13,571.00	$145,732.00	$34,759.00	2026-07-15
49593	CPT	49593 - Rpr Aa Hrn 1st 3-10 Rdc	29	29	$29,424.00	$29,424.00	$26,623.00	$54,842.00	$34,728.00	2026-07-15
49591	CPT	49591 - Rpr Aa Hrn 1st < 3 Cm Rdc	29	29	$30,062.00	$30,062.00	$26,517.00	$54,626.00	$34,597.00	2026-07-15
176	APR_DRG	Cardiac Pacemaker & Defibrillator Device Replacement	72	18	$30,859.50	—	$14,286.00	$82,121.00	$34,581.00	2026-07-15
120	APR_DRG	Major Respiratory & Chest Procedures	72	18	$28,138.00	—	$17,274.00	$140,853.00	$34,578.00	2026-07-15
67420	CPT	67420 - Explore/treat Eye Socket	29	29	$32,694.00	$32,694.00	$26,473.00	$54,534.00	$34,541.00	2026-07-15
33273	CPT	33273 - Repos Prev Impltbl Subq Dfb	29	29	$34,376.00	$34,376.00	$26,396.00	$54,376.00	$34,445.00	2026-07-15
361	APR_DRG	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	72	18	$26,813.50	—	$13,223.00	$222,016.00	$34,326.00	2026-07-15
33272	CPT	33272 - Rmvl Of Subq Defibrillator	29	29	$39,147.00	$39,147.00	$26,253.00	$54,081.00	$34,265.00	2026-07-15
31653	CPT	31653 - Bronch Ebus Samplng 3/> Node	29	29	$30,785.00	$30,785.00	$26,127.00	$53,821.00	$34,107.00	2026-07-15
31629	CPT	31629 - Bronchoscopy/needle Bx Each	29	29	$29,607.00	$29,607.00	$25,903.00	$53,359.00	$33,826.00	2026-07-15
31529	CPT	31529 - Laryngoscopy And Dilation	29	29	$70,143.00	$70,143.00	$25,501.00	$52,532.00	$33,323.00	2026-07-15
43262	CPT	43262 - Endo Cholangiopancreatograph	29	29	$380,806.00	$380,806.00	$25,483.00	$52,495.00	$33,300.00	2026-07-15
850	APR_DRG	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	72	18	$25,156.00	—	$11,576.00	$176,371.00	$33,273.00	2026-07-15
444	APR_DRG	Renal Dialysis Access Device Procedure Only	72	18	$25,590.00	—	$9,794.00	$143,052.00	$33,225.00	2026-07-15
15734	CPT	15734 - Muscle-skin Graft Trunk	29	29	$35,460.00	$35,460.00	$25,420.00	$52,364.00	$33,221.00	2026-07-15
182	APR_DRG	Other Peripheral Vascular Procedures #	72	18	$27,452.50	—	$14,958.00	$145,043.00	$33,136.00	2026-07-15
44340	CPT	44340 - Revision Of Colostomy	29	29	$30,995.00	$30,995.00	$25,315.00	$52,150.00	$33,090.00	2026-07-15
15769	CPT	15769 - Grfg Autol Soft Tiss Dir Exc	29	29	$103,810.00	$103,810.00	$25,310.00	$52,139.00	$33,083.00	2026-07-15
15771	CPT	15771 - Grfg Autol Fat Lipo 50 Cc/<	29	29	$50,033.00	$50,033.00	$25,294.00	$52,106.00	$33,064.00	2026-07-15
15876	CPT	15876 - Suction Lipectomy Head&neck	29	29	$33,492.00	$33,492.00	$25,187.00	$51,885.00	$32,929.00	2026-07-15
49	APR_DRG	Bacterial & Tuberculous Infections Of Nervous System	72	18	$29,239.00	—	$11,613.00	$138,001.00	$32,895.00	2026-07-15
15273	CPT	15273 - Skin Sub Grft T/arm/lg Child	29	29	$29,166.00	$29,166.00	$24,961.00	$51,419.00	$32,646.00	2026-07-15
441	APR_DRG	Major Bladder Procedures	72	18	$27,617.00	—	$12,765.00	$156,405.00	$32,352.00	2026-07-15
740	APR_DRG	Mental Illness Diagnosis W O.r. Procedure	18	18	$31,101.00	—	$30,168.00	$69,978.00	$32,345.00	2026-07-15
260	APR_DRG	Major Pancreas, Liver & Shunt Procedures	72	18	$26,401.50	—	$14,554.00	$171,742.00	$32,326.00	2026-07-15
54328	CPT	54328 - Revise Penis/urethra	29	29	$29,003.00	$29,003.00	$24,623.00	$50,723.00	$32,222.00	2026-07-15
54360	CPT	54360 - Penis Plastic Surgery	29	29	$32,004.00	$32,004.00	$24,610.00	$50,697.00	$32,206.00	2026-07-15
54437	CPT	54437 - Repair Corporeal Tear	29	29	$162,457.00	$162,457.00	$24,604.00	$50,684.00	$32,198.00	2026-07-15
221	APR_DRG	Major Small & Large Bowel Procedures	72	18	$25,613.00	—	$14,821.00	$152,820.00	$31,876.00	2026-07-15
401	APR_DRG	Pituitary & Adrenal Procedures	72	18	$24,624.50	—	$12,333.00	$161,594.00	$31,850.00	2026-07-15
261	APR_DRG	Major Biliary Tract Procedures	72	18	$26,159.50	—	$13,941.00	$142,004.00	$31,742.00	2026-07-15
54300	CPT	54300 - Revision Of Penis	29	29	$29,817.00	$29,817.00	$24,191.00	$49,833.00	$31,681.00	2026-07-15
54440	CPT	54440 - Repair Of Penis	29	29	$39,907.00	$39,907.00	$24,184.00	$49,818.00	$31,671.00	2026-07-15
53460	CPT	53460 - Revision Of Urethra	29	29	$41,997.00	$41,997.00	$24,026.00	$49,494.00	$31,475.00	2026-07-15
55150	CPT	55150 - Removal Of Scrotum	29	29	$43,069.00	$43,069.00	$23,944.00	$49,324.00	$31,371.00	2026-07-15
53450	CPT	53450 - Revision Of Urethra	29	29	$14,836.00	$14,836.00	$23,737.00	$48,897.00	$31,111.00	2026-07-15
52344	CPT	52344 - Cysto/uretero Stricture Tx	29	29	$32,166.00	$32,166.00	$23,709.00	$48,840.00	$31,077.00	2026-07-15
54860	CPT	54860 - Removal Of Epididymis	29	29	$24,210.00	$24,210.00	$23,700.00	$48,823.00	$31,066.00	2026-07-15
309	APR_DRG	Other Significant Hip And Femur Surgery	72	18	$25,164.00	—	$12,416.00	$132,858.00	$31,059.00	2026-07-15
52640	CPT	52640 - Relieve Bladder Contracture	29	29	$28,147.00	$28,147.00	$23,686.00	$48,792.00	$31,047.00	2026-07-15
33264	CPT	33264 - Rmvl & Rplcmt Dfb Gen Mlt Ld	42	42	$76,964.00	$76,964.00	$449.00	$48,573.00	$30,786.00	2026-07-15
33270	CPT	33270 - Ins/rep Subq Defibrillator	42	42	$76,964.00	$76,964.00	$660.00	$48,573.00	$30,786.00	2026-07-15
55175	CPT	55175 - Revision Of Scrotum	29	29	$45,470.00	$45,470.00	$23,452.00	$48,311.00	$30,755.00	2026-07-15
53260	CPT	53260 - Treatment Of Urethra Lesion	25	25	$3,900.00	$3,900.00	$23,439.00	$36,040.00	$30,739.00	2026-07-15
625	APR_DRG	Neonate Bwt 2000-2499g W Other Significant Condition	54	18	$26,592.00	—	$15,949.00	$76,182.00	$30,714.00	2026-07-15
171	APR_DRG	Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	72	18	$26,373.00	—	$17,345.00	$137,916.00	$30,710.00	2026-07-15
483	APR_DRG	Testes & Scrotal Procedures	72	18	$22,932.50	—	$6,298.00	$98,931.00	$30,671.00	2026-07-15
53605	CPT	53605 - Dilate Urethra Stricture	29	29	$28,696.00	$28,696.00	$23,326.00	$48,051.00	$30,596.00	2026-07-15
710	APR_DRG	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	72	18	$23,853.50	—	$10,806.00	$146,162.00	$30,583.00	2026-07-15
37212	CPT	37212 - Thrombolytic Venous Therapy	29	29	$33,887.00	$33,887.00	$23,255.00	$47,904.00	$30,507.00	2026-07-15
911	APR_DRG	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	54	18	$26,344.00	—	$18,657.00	$150,091.00	$30,427.00	2026-07-15
75833	CPT	75833 - Vein X-ray Kidneys	29	29	$48,043.00	$48,043.00	$23,144.00	$47,677.00	$30,369.00	2026-07-15
405	APR_DRG	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	72	18	$23,838.50	—	$11,623.00	$193,979.00	$30,270.00	2026-07-15
447	APR_DRG	Other Kidney, Urinary Tract & Related Procedures	72	18	$21,756.50	—	$11,931.00	$176,461.00	$30,119.00	2026-07-15
322	APR_DRG	Shoulder & Elbow Joint Replacement #	72	18	$23,995.00	—	$15,755.00	$79,052.00	$30,049.00	2026-07-15
27625	CPT	27625 - Remove Ankle Joint Lining	29	29	$31,376.00	$31,376.00	$22,888.00	$47,149.00	$30,048.00	2026-07-15
27331	CPT	27331 - Explore/treat Knee Joint	29	29	$43,856.00	$43,856.00	$22,877.00	$47,125.00	$30,033.00	2026-07-15
99000	CPT	99000 - Specimen Handling Office-lab	2	2	$72,711.00	$72,711.00	$30,032.00	$30,032.00	$30,032.00	2026-07-15
21720	CPT	21720 - Revision Of Neck Muscle	29	29	$34,674.00	$34,674.00	$22,772.00	$46,911.00	$29,903.00	2026-07-15
25230	CPT	25230 - Partial Removal Of Radius	29	29	$23,753.00	$23,753.00	$22,677.00	$46,714.00	$29,783.00	2026-07-15
33249	CPT	33249 - Insj/rplcmt Defib W/lead(s)	44	44	$76,964.00	$76,964.00	$1,018.00	$48,573.00	$29,708.50	2026-07-15
28645	CPT	28645 - Repair Toe Dislocation	29	29	$22,271.00	$22,271.00	$22,541.00	$46,434.00	$29,613.00	2026-07-15
313	APR_DRG	Knee & Lower Leg Procedures Except Foot	72	18	$23,796.50	—	$11,927.00	$149,652.00	$29,549.00	2026-07-15
711	APR_DRG	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	72	18	$22,916.50	—	$11,548.00	$139,583.00	$29,548.00	2026-07-15
28344	CPT	28344 - Repair Extra Toe(s)	29	29	$34,242.00	$34,242.00	$22,427.00	$46,200.00	$29,470.00	2026-07-15
31611	CPT	31611 - Surgery/speech Prosthesis	29	29	$61,193.00	$61,193.00	$22,415.00	$46,174.00	$29,454.00	2026-07-15
21337	CPT	21337 - Closed Tx Septal&nose Fx	29	29	$64,317.00	$64,317.00	$22,368.00	$46,078.00	$29,396.00	2026-07-15
42808	CPT	42808 - Excise Pharynx Lesion	29	29	$36,759.00	$36,759.00	$22,354.00	$46,049.00	$29,378.00	2026-07-15
264	APR_DRG	Other Hepatobiliary, Pancreas & Abdominal Procedures	72	18	$22,450.00	—	$13,299.00	$142,328.00	$29,359.00	2026-07-15
42104	CPT	42104 - Excision Lesion Mouth Roof	29	29	$34,795.00	$34,795.00	$22,287.00	$45,911.00	$29,295.00	2026-07-15
121	APR_DRG	Other Respiratory & Chest Procedures	72	18	$22,976.50	—	$12,050.00	$140,073.00	$29,227.00	2026-07-15
58805	CPT	58805 - Drainage Of Ovarian Cyst(s)	29	29	$38,821.00	$38,821.00	$22,229.00	$45,791.00	$29,221.00	2026-07-15
59160	CPT	59160 - D & C After Delivery	29	29	$23,766.00	$23,766.00	$22,193.00	$45,717.00	$29,176.00	2026-07-15
27328	CPT	27328 - Exc Thigh/knee Tum Deep <5cm	29	29	$64,628.00	$64,628.00	$22,163.00	$45,656.00	$29,139.00	2026-07-15
23076	CPT	23076 - Exc Shoulder Tum Deep < 5 Cm	29	29	$26,818.00	$26,818.00	$22,031.00	$45,384.00	$28,974.00	2026-07-15
442	APR_DRG	Kidney & Urinary Tract Procedures For Malignancy	72	18	$22,370.00	—	$12,901.00	$147,446.00	$28,940.00	2026-07-15
692	APR_DRG	Radiotherapy	72	18	$20,991.50	—	$5,941.00	$72,237.00	$28,612.00	2026-07-15
11772	CPT	11772 - Remove Pilonidal Cyst Compl	29	29	$12,870.00	$12,870.00	$21,724.00	$44,752.00	$28,589.00	2026-07-15
362	APR_DRG	Mastectomy Procedures	72	18	$23,555.00	—	$13,596.00	$67,150.00	$28,555.00	2026-07-15
27047	CPT	27047 - Exc Hip/pelvis Les Sc < 3 Cm	29	29	$42,420.00	$42,420.00	$21,669.00	$44,638.00	$28,520.00	2026-07-15
11971	CPT	11971 - Rmvl Tis Xpndr Wo Insj Implt	29	29	$36,573.00	$36,573.00	$21,642.00	$44,582.00	$28,486.00	2026-07-15
308	APR_DRG	Hip And Femur Fracture Repair	72	18	$23,559.50	—	$13,315.00	$133,406.00	$28,220.00	2026-07-15
262	APR_DRG	Cholecystectomy Except Laparoscopic	72	18	$22,316.00	—	$13,097.00	$139,993.00	$28,131.00	2026-07-15
11626	CPT	11626 - Exc S/n/h/f/g Mal+mrg >4 Cm	29	29	$27,837.00	$27,837.00	$21,324.00	$43,928.00	$28,088.00	2026-07-15
J0712	HCPCS	J0712 - Ceftaroline 10mg (400mg Vl)	2	2	$12,808.00	$12,808.00	$28,060.00	$28,060.00	$28,060.00	2026-07-15
11451	CPT	11451 - Removal Sweat Gland Lesion	29	29	$29,607.00	$29,607.00	$21,280.00	$43,836.00	$28,032.00	2026-07-15
11450	CPT	11450 - Removal Sweat Gland Lesion	29	29	$29,102.00	$29,102.00	$21,268.00	$43,812.00	$28,017.00	2026-07-15
951	APR_DRG	Moderately Extensive Procedure Unrelated To Principal Diagnosis	72	18	$21,082.50	—	$9,183.00	$145,115.00	$27,872.00	2026-07-15
20240	CPT	20240 - Bone Biopsy Open Superficial	29	29	$26,327.00	$26,327.00	$21,071.00	$43,407.00	$27,771.00	2026-07-15
45560	CPT	45560 - Repair Of Rectocele	29	29	$31,130.00	$31,130.00	$21,070.00	$43,405.00	$27,770.00	2026-07-15
46750	CPT	46750 - Repair Of Anal Sphincter	29	29	$34,982.00	$34,982.00	$21,051.00	$43,365.00	$27,746.00	2026-07-15
45349	CPT	45349 - Sigmoidoscopy W/resection	29	29	$29,544.00	$29,544.00	$21,050.00	$43,363.00	$27,744.00	2026-07-15
302	APR_DRG	Knee Joint Replacement	72	18	$24,123.50	—	$17,677.00	$125,867.00	$27,685.00	2026-07-15
46754	CPT	46754 - Removal Of Suture From Anus	29	29	$30,646.00	$30,646.00	$20,979.00	$43,217.00	$27,655.00	2026-07-15
45320	CPT	45320 - Proctosigmoidoscopy Ablate	29	29	$28,963.00	$28,963.00	$20,932.00	$43,120.00	$27,597.00	2026-07-15
177	APR_DRG	Cardiac Pacemaker & Defibrillator Revision Except Device Replacement	72	18	$22,754.50	—	$13,900.00	$146,491.00	$27,551.00	2026-07-15
791	APR_DRG	O.r. Procedure For Other Complications Of Treatment	72	18	$21,056.50	—	$8,454.00	$152,876.00	$27,484.00	2026-07-15
C1778	HCPCS	C1778 - Stimulator Lead # Sc-231650e	29	29	$23,519.00	$23,519.00	$20,831.00	$42,913.00	$27,470.00	2026-07-15
22	APR_DRG	Ventricular Shunt Procedures	72	18	$22,108.00	—	$12,709.00	$124,589.00	$27,463.00	2026-07-15
26	APR_DRG	Other Nervous System & Related Procedures	72	18	$22,942.50	—	$12,230.00	$145,133.00	$27,426.00	2026-07-15
315	APR_DRG	Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement	72	18	$20,819.00	—	$8,062.00	$118,712.00	$27,424.00	2026-07-15
223	APR_DRG	Other Small & Large Bowel Procedures	72	18	$21,763.50	—	$11,733.00	$129,006.00	$27,343.00	2026-07-15
C1900	HCPCS	C1900 - Pacemaker Lead 1458q-86	29	29	$25,647.00	$25,647.00	$20,689.00	$42,620.00	$27,292.00	2026-07-15
224	APR_DRG	Peritoneal Adhesiolysis	72	18	$21,867.00	—	$11,982.00	$128,777.00	$27,276.00	2026-07-15
66920	CPT	66920 - Extraction Of Lens	29	29	$21,710.00	$21,710.00	$20,647.00	$42,532.00	$27,239.00	2026-07-15
514	APR_DRG	Female Reproductive System Reconstructive Procedures	36	18	$21,169.00	—	$9,912.00	$72,270.00	$27,073.50	2026-07-15
510	APR_DRG	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	72	18	$20,891.00	—	$11,210.00	$148,218.00	$27,045.00	2026-07-15
65235	CPT	65235 - Remove Foreign Body From Eye	29	29	$45,719.00	$45,719.00	$20,344.00	$41,909.00	$26,859.00	2026-07-15
317	APR_DRG	Tendon, Muscle & Other Soft Tissue Procedures	72	18	$20,775.50	—	$8,971.00	$146,107.00	$26,803.00	2026-07-15
651	APR_DRG	Other Procedures Of Blood & Blood-forming Organs	72	18	$20,494.50	—	$10,381.00	$87,227.00	$26,796.00	2026-07-15
229	APR_DRG	Other Digestive System & Abdominal Procedures	72	18	$20,997.00	—	$10,182.00	$133,823.00	$26,781.00	2026-07-15
67903	CPT	67903 - Repair Eyelid Defect	29	29	$73,780.00	$73,780.00	$20,125.00	$41,458.00	$26,585.00	2026-07-15
67900	CPT	67900 - Repair Brow Defect	29	29	$26,080.00	$26,080.00	$19,987.00	$41,174.00	$26,412.00	2026-07-15
67911	CPT	67911 - Revise Eyelid Defect	29	29	$27,200.00	$27,200.00	$19,981.00	$41,161.00	$26,404.00	2026-07-15
67909	CPT	67909 - Revise Eyelid Defect	29	29	$28,824.00	$28,824.00	$19,980.00	$41,158.00	$26,403.00	2026-07-15
67935	CPT	67935 - Repair Eyelid Wound	29	29	$76,898.00	$76,898.00	$19,907.00	$41,008.00	$26,311.00	2026-07-15
67923	CPT	67923 - Repair Eyelid Defect	29	29	$28,275.00	$28,275.00	$19,874.00	$40,940.00	$26,270.00	2026-07-15
68320	CPT	68320 - Revise/graft Eyelid Lining	29	29	$18,962.00	$18,962.00	$19,864.00	$40,920.00	$26,258.00	2026-07-15
511	APR_DRG	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	72	18	$21,038.00	—	$12,770.00	$143,989.00	$26,250.00	2026-07-15
131	APR_DRG	Cystic Fibrosis - Pulmonary Disease	72	18	$22,011.50	—	$13,758.00	$63,214.00	$26,244.00	2026-07-15
67808	CPT	67808 - Remove Eyelid Lesion(s)	29	29	$29,817.00	$29,817.00	$19,847.00	$40,885.00	$26,236.00	2026-07-15
68100	CPT	68100 - Biopsy Of Eyelid Lining	29	29	$25,808.00	$25,808.00	$19,820.00	$40,828.00	$26,202.00	2026-07-15
310	APR_DRG	Intervertebral Disc Excision & Decompression	72	18	$19,359.00	—	$8,593.00	$158,229.00	$26,158.00	2026-07-15
52260	CPT	52260 - Cystoscopy And Treatment	29	29	$36,632.00	$36,632.00	$19,764.00	$40,714.00	$26,133.00	2026-07-15
301	APR_DRG	Hip Joint Replacement	72	18	$22,892.00	—	$18,398.00	$139,995.00	$26,072.00	2026-07-15
53020	CPT	53020 - Incision Of Urethra	29	29	$28,804.00	$28,804.00	$19,670.00	$40,520.00	$26,014.00	2026-07-15
44376	CPT	44376 - Small Bowel Endoscopy	29	29	$35,450.00	$35,450.00	$19,649.00	$40,476.00	$25,988.00	2026-07-15
43244	CPT	43244 - Egd Varices Ligation	29	29	$41,723.00	$41,723.00	$19,582.00	$40,338.00	$25,904.00	2026-07-15
14061	CPT	14061 - Tis Trnfr E/n/e/l10.1-30sqcm	29	29	$32,371.00	$32,371.00	$19,558.00	$40,290.00	$25,874.00	2026-07-15
320	APR_DRG	Other Musculoskeletal System & Connective Tissue Procedures	72	18	$21,289.50	—	$10,223.00	$115,711.00	$25,848.00	2026-07-15
691	APR_DRG	Lymphoma, Myeloma & Non-acute Leukemia	72	18	$20,539.50	—	$10,196.00	$146,449.00	$25,826.00	2026-07-15
174	APR_DRG	Percutaneous Coronary Intervention W Ami	72	18	$22,862.00	—	$17,596.00	$88,543.00	$25,761.00	2026-07-15
15200	CPT	15200 - Skin Full Graft Trunk	29	29	$20,849.00	$20,849.00	$19,439.00	$40,045.00	$25,725.00	2026-07-15
14000	CPT	14000 - Tis Trnfr Trunk 10 Sq Cm/<	29	29	$28,109.00	$28,109.00	$19,426.00	$40,017.00	$25,708.00	2026-07-15
15773	CPT	15773 - Grfg Autol Fat Lipo 25 Cc/<	29	29	$30,037.00	$30,037.00	$19,412.00	$39,988.00	$25,691.00	2026-07-15
15820	CPT	15820 - Revision Of Lower Eyelid	29	29	$25,294.00	$25,294.00	$19,375.00	$39,912.00	$25,644.00	2026-07-15
15822	CPT	15822 - Revision Of Upper Eyelid	29	29	$41,055.00	$41,055.00	$19,364.00	$39,890.00	$25,631.00	2026-07-15
623	APR_DRG	Neonate Bwt 2000-2499g W Congenital/perinatal Infection	54	18	$22,182.00	—	$14,505.00	$72,270.00	$25,620.00	2026-07-15
54065	CPT	54065 - Destruction Penis Lesion(s)	29	29	$30,489.00	$30,489.00	$19,323.00	$39,804.00	$25,579.00	2026-07-15
31241	CPT	31241 - Nsl/sins Ndsc W/artery Lig	29	29	$26,583.00	$26,583.00	$19,318.00	$39,796.00	$25,574.00	2026-07-15
31622	CPT	31622 - Dx Bronchoscope/wash	29	29	$20,814.00	$20,814.00	$19,222.00	$39,597.00	$25,453.00	2026-07-15
29999	CPT	29999 - Unlisted Px Arthroscopy	29	29	$43,650.00	$43,650.00	$19,009.00	$39,159.00	$25,186.00	2026-07-15
27041	CPT	27041 - Biopsy Of Soft Tissues	29	29	$38,086.00	$38,086.00	$19,001.00	$39,142.00	$25,176.00	2026-07-15
48102	CPT	48102 - Needle Biopsy Pancreas	29	29	$33,074.00	$33,074.00	$18,998.00	$39,135.00	$25,172.00	2026-07-15
952	APR_DRG	Nonextensive Procedure Unrelated To Principal Diagnosis	72	18	$18,706.50	—	$7,825.00	$137,171.00	$25,118.00	2026-07-15
32408	CPT	32408 - Core Ndl Bx Lng/med Perq	29	29	$34,611.00	$34,611.00	$18,920.00	$38,975.00	$25,075.00	2026-07-15
19081	CPT	19081 - Bx Breast 1st Lesion Strtctc	29	29	$46,921.00	$46,921.00	$18,880.00	$38,892.00	$25,024.00	2026-07-15
19083	CPT	19083 - Bx Breast 1st Lesion US Imag	29	29	$37,131.00	$37,131.00	$18,836.00	$38,803.00	$24,970.00	2026-07-15

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