Price Transparency Hospital negotiated rates

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

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Hospital

THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY

Malone, NY · CCN 331321 · Rates published

10,067 distinct procedures filed
13 distinct payers
229,403 rate rows
2026-05-09 last MRF observed
Data quality

188,409 of 229,403 rate rows are consumer-grade (82.1%)

40,994 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 38,282
per-diem day rate — not a per-procedure price 1,524
exceeds 10× this hospital's gross charge — excluded from medians 760
template filing: same amount across many unrelated codes — excluded 269
placeholder amount (≤ $0.02) — excluded from medians 159
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.alicehyde.com/data/files/150346515_alice-hyde-medical-center_standardcharges.csv
Found on page https://www.alicehyde.com/Patients-and-Visitors/Price-Transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 2222290b456edaa5… · 12,072,548 bytes · first seen 2026-05-09

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
644
CPT 		Endocrine Disorders With Cc 7 $7,400.00 $27,001.64 $23,190.82 —
602
CPT 		Cellulitis With Mcc 7 $7,400.00 $23,614.15 $21,497.07 —
464
CPT 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 7 $7,400.00 $23,371.67 $21,375.83 —
522
CPT 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 7 $7,400.00 $21,481.18 $20,430.59 —
229
CPT 		Other Cardiothoracic Procedures Without Mcc 7 $7,400.00 $19,380.00 $19,004.19 —
811
CPT 		Red Blood Cell Disorders With Mcc 7 $7,400.00 $19,380.00 $18,676.44 —
101
CPT 		Seizures Without Mcc 7 $7,400.00 $19,380.00 $17,969.29 —
425
CPT 		Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 7 $7,400.00 $19,380.00 $16,842.71 —
558
CPT 		Tendonitis, Myositis And Bursitis Without Mcc 7 $7,400.00 $19,380.00 $15,576.33 —
314
CPT 		Other Circulatory System Diagnoses With Mcc 7 $7,400.00 $19,380.00 $15,040.15 —
178
CPT 		Respiratory Infections And Inflammations With Cc 7 $7,400.00 $19,380.00 $14,651.08 —
493
CPT 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 7 $7,400.00 $19,380.00 $14,442.89 —
690
CPT 		Kidney And Urinary Tract Infections Without Mcc 7 $7,400.00 $19,380.00 $13,944.60 —
175
CPT 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 7 $7,400.00 $19,380.00 $13,782.81 —
683
CPT 		Renal Failure With Cc 7 $7,400.00 $19,380.00 $13,660.78 —
244
CPT 		Permanent Cardiac Pacemaker Implant Without Cc/mcc 7 $7,400.00 $19,380.00 $13,541.34 —
809
CPT 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 $7,400.00 $19,380.00 $13,422.12 —
816
CPT 		Reticuloendothelial And Immunity Disorders Without Cc/mcc 7 $7,400.00 $19,380.00 $13,416.41 —
66
CPT 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 7 $7,400.00 $19,380.00 $13,240.93 —
540
CPT 		Osteomyelitis With Cc 7 $7,400.00 $19,380.00 $13,079.47 —
189
CPT 		Pulmonary Edema And Respiratory Failure 7 $7,400.00 $19,380.00 $13,035.22 —
83
CPT 		Traumatic Stupor And Coma >1 Hour With Cc 7 $7,400.00 $19,380.00 $12,959.46 —
308
CPT 		Cardiac Arrhythmia And Conduction Disorders With Mcc 7 $7,400.00 $19,380.00 $12,777.31 —
639
CPT 		Diabetes Without Cc/mcc 7 $7,400.00 $19,380.00 $12,580.11 —
638
CPT 		Diabetes With Cc 7 $7,400.00 $19,380.00 $12,494.05 —
854
CPT 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 7 $7,400.00 $19,380.00 $12,380.49 —
815
CPT 		Reticuloendothelial And Immunity Disorders With Cc 7 $7,400.00 $19,380.00 $11,857.29 —
641
CPT 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 7 $7,400.00 $19,380.00 $11,824.49 —
263
CPT 		Vein Ligation And Stripping 7 $7,400.00 $19,380.00 $11,543.74 —
871
CPT 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 $7,400.00 $19,380.00 $11,501.02 —
113
CPT 		Orbital Procedures With Cc/mcc 7 $7,400.00 $19,380.00 $11,399.38 —
190
CPT 		Chronic Obstructive Pulmonary Disease With Mcc 7 $7,400.00 $19,380.00 $11,399.38 —
281
CPT 		Acute Myocardial Infarction, Discharged Alive With Cc 7 $7,400.00 $19,380.00 $11,399.38 —
192
CPT 		Chronic Obstructive Pulmonary Disease Without Cc/mcc 7 $7,400.00 $19,380.00 $11,399.38 —
136
CPT 		Sinus And Mastoid Procedures Without Cc/mcc 7 $7,400.00 $19,380.00 $11,399.38 —
253
CPT 		Other Vascular Procedures With Cc 7 $7,400.00 $19,380.00 $11,399.38 —
283
CPT 		Acute Myocardial Infarction, Expired With Mcc 7 $7,400.00 $19,380.00 $11,399.38 —
139
CPT 		Salivary Gland Procedures 7 $7,400.00 $19,380.00 $11,399.38 —
198
CPT 		Interstitial Lung Disease Without Cc/mcc 7 $7,400.00 $19,380.00 $11,399.38 —
137
CPT 		Mouth Procedures With Cc/mcc 7 $7,400.00 $19,380.00 $11,399.38 —
241
CPT 		Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 7 $7,400.00 $19,380.00 $11,399.38 —
264
CPT 		Other Circulatory System O.r. Procedures 7 $7,400.00 $19,380.00 $11,399.38 —
311
CPT 		Angina Pectoris 7 $7,400.00 $19,380.00 $11,399.38 —
254
CPT 		Other Vascular Procedures Without Cc/mcc 7 $7,400.00 $19,380.00 $11,399.38 —
292
CPT 		Heart Failure And Shock With Cc 7 $7,400.00 $19,380.00 $11,399.38 —
204
CPT 		Respiratory Signs And Symptoms 7 $7,400.00 $19,380.00 $11,399.38 —
282
CPT 		Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 7 $7,400.00 $19,380.00 $11,399.38 —
177
CPT 		Respiratory Infections And Inflammations With Mcc 7 $7,400.00 $19,380.00 $11,399.38 —
303
CPT 		Atherosclerosis Without Mcc 7 $7,400.00 $19,380.00 $11,399.38 —
344
CPT 		Minor Small And Large Bowel Procedures With Mcc 7 $7,400.00 $19,380.00 $11,399.38 —

Other procedures at this hospital

Browse this hospital's 10,067 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
47361 CPT Pr Mgmt Lvr Hemrrg Expl Wnd Dbrdmt Coagj/sutr 30 13 $8,550.00 $8,550.00 $2,011.00 $5,435.95 $3,289.39 2026-05-09
9605961201 CPT Pb - Critical Access Vag Deliv Only,prev C-sectn 29 12 $3,974.00 $3,974.00 $781.40 $12,926.53 $6,853.97 2026-05-09
9605940901 CPT Pb - Critical Access Obstetrical Care,vag Deliv Only 29 12 $2,785.00 $2,785.00 $694.58 $12,926.53 $6,810.56 2026-05-09
7205940901 CPT Hc - Vaginal Delivery Only 29 12 $4,037.00 $4,037.00 $694.58 $12,926.53 $6,810.56 2026-05-09
9605940001 CPT Pb - Critical Access Full Rout Obste Care,vaginal Deliv 29 12 $7,135.00 $7,135.00 $1,772.95 $8,223.67 $4,998.31 2026-05-09
9606471801 CPT Pb - Critical Access Revise Ulnar Nerve At Elbow 29 12 $1,710.00 $1,710.00 $402.18 $7,983.17 $4,192.68 2026-05-09
9601402101 CPT Pb - Critical Access Adj Tiss Xfer Scalp,extrem 10.1-30 Sqcm 29 12 $4,578.00 $4,578.00 $469.41 $7,540.10 $4,004.76 2026-05-09
9601404001 CPT Pb - Critical Access Adj Tiss Xfer Head,fac,hand <10 Sqcm 29 12 $1,759.00 $1,759.00 $412.83 $7,540.10 $3,976.47 2026-05-09
9602713401 CPT Pb - Critical Access Revise Total Hip Replacement 29 12 $7,094.00 $7,094.00 $1,268.04 $6,478.85 $3,897.97 2026-05-09
9602748701 CPT Pb - Critical Access Revise Knee Joint Replace,all Parts 29 12 $5,281.00 $5,281.00 $1,167.39 $6,258.86 $3,713.12 2026-05-09
9602347401 CPT Pb - Revis Shoulder Arthrplsty Humeral&glenoid Compnt 29 12 $5,099.00 $5,099.00 $1,160.17 $6,258.86 $3,709.51 2026-05-09
9602748601 CPT Pb - Critical Access Revise Knee Joint Replace,1 Part 29 12 $4,203.00 $4,203.00 $935.71 $6,258.86 $3,597.28 2026-05-09
9602725201 CPT Pb - Critical Access Closed Rx Trauma Hip Disloc,anesth 29 12 $2,314.00 $2,314.00 $506.23 $6,645.28 $3,575.76 2026-05-09
9602641801 CPT Pb - Critical Access Repair Exten Tendon,dorsum Fingr,ea 29 12 $1,684.00 $1,684.00 $426.99 $6,645.28 $3,536.14 2026-05-09
9602641001 CPT Pb - Critical Access Repair Exten Tendon,dorsum Hand,ea 29 12 $2,146.00 $2,146.00 $412.01 $6,645.28 $3,528.64 2026-05-09
9602611601 CPT Pb - Critical Access Exc Tum/vas Mal Sft Tis Hand/fngr Subfasc<1.5cm 29 12 $1,575.00 $1,575.00 $351.97 $6,703.54 $3,527.76 2026-05-09
9602726601 CPT Pb - Critical Access Closed Rx Post Hip Fix Disloc,anesth 29 12 $2,203.00 $2,203.00 $393.03 $6,645.28 $3,519.16 2026-05-09
9602713201 CPT Pb - Critical Access Conv Prev Hip Surg To Tot Hip Arthroplas 29 12 $2,409.00 $2,409.00 $1,112.83 $6,258.86 $3,514.87 2026-05-09
9602453501 CPT Pb - Critical Access Cltx Sprcndylr/transcndylr Humeral Fx W/manj 29 12 $1,821.00 $1,821.00 $383.42 $6,645.28 $3,514.35 2026-05-09
9602643201 CPT Pb - Critical Access Cltx Dstl Xtnsr Tdn Insj W/wo Percutan Pinning 29 12 $1,809.00 $1,809.00 $372.88 $6,645.28 $3,509.08 2026-05-09
9602560501 CPT Pb - Critical Access Closed Rx Dist Rad/ulna Fx,manipul 29 12 $2,328.00 $2,328.00 $345.29 $6,645.28 $3,495.28 2026-05-09
9602784201 CPT Pb - Critical Access Closed Rx Ankle Dislocatn,anesth 29 12 $2,104.00 $2,104.00 $334.37 $6,645.28 $3,489.82 2026-05-09
9604414301 CPT Pb - Critical Access Part Removal Colon W End Colostomy 29 12 $4,744.00 $4,744.00 $1,105.37 $5,584.14 $3,344.76 2026-05-09
9604414501 CPT Pb - Critical Access Part Removal Colon W Coloproctostomy 29 12 $4,996.00 $4,996.00 $1,100.04 $5,586.22 $3,343.13 2026-05-09
9604902001 CPT Pb - Critical Access Drain Abd Abscess Open 29 12 $4,832.00 $4,832.00 $1,065.08 $5,408.36 $3,236.72 2026-05-09
9604462601 CPT Pb - Critical Access Clsr Ntrstm Lg/sm Rescj & Colorectal Anastomosis 29 12 $4,570.00 $4,570.00 $1,063.00 $5,374.03 $3,218.51 2026-05-09
9604420401 CPT Pb - Critical Access Lap,surg,colectomy, Partial, W/anast 29 12 $4,387.00 $4,387.00 $1,024.45 $5,196.35 $3,110.40 2026-05-09
9602712501 CPT Pb - Critical Access Partial Hip Replacement 29 12 $4,322.00 $4,322.00 $755.09 $5,447.95 $3,101.52 2026-05-09
9602723601 CPT Pb - Critical Access Femoral Fx, Open Tx 29 12 $4,563.00 $4,563.00 $796.33 $5,311.04 $3,053.68 2026-05-09
59618 CPT Pr Routine Obstetrical Care Attempted Vbac 29 13 $10,308.00 $10,308.00 $2,184.41 $5,215.40 $3,041.00 2026-05-09
59510 CPT Pr OB Antepartum Care Cesarean Dlvr & Postpartum 29 13 $7,930.00 $7,930.00 $2,162.08 $4,883.05 $3,009.91 2026-05-09
9602750701 CPT Pb - Critical Access Open Rx Femur Fx+plate/screw 29 12 $2,282.00 $2,282.00 $646.58 $5,311.04 $2,978.81 2026-05-09
9602751401 CPT Pb - Critical Access Open Tx Femoral Fracture Distal Med/lat Condyle 29 12 $2,270.00 $2,270.00 $645.80 $5,311.04 $2,978.42 2026-05-09
7504479901 CPT Hc - Chromendoscopy 28 12 $1,887.00 $1,887.00 $1,188.49 $6,649.00 $3,626.42 2026-05-09
9605961801 CPT Pb - Critical Access Rout OB Care,c-sec,prev C-sec 23 12 $10,308.00 $10,308.00 $2,316.61 $9,207.92 $5,901.02 2026-05-09
9605951001 CPT Pb - Critical Access Full Rout Obste Care,cesarean Deliv 23 12 $7,930.00 $7,930.00 $2,293.10 $9,113.79 $5,703.44 2026-05-09
3337730101 CPT Hc - Ntsty Modul Radthx Pln Dose-vol Histos 23 12 $9,921.00 $9,921.00 $1,216.00 $5,729.11 $5,172.65 2026-05-09
3417881601 CPT Hc - PET Imaging For CT Attenuation Whole Body 23 12 $9,803.00 $9,803.00 $1,059.54 $6,468.53 $5,040.13 2026-05-09
3417881501 CPT Hc - PET Imaging CT Attenuation Skull Base Mid-thigh 23 12 $9,803.00 $9,803.00 $1,058.75 $6,468.53 $5,039.73 2026-05-09
3417881401 CPT Hc - PET Imaging CT For Attenuation Limited Area 23 12 $9,803.00 $9,803.00 $1,051.13 $6,468.53 $5,035.93 2026-05-09
4047860801 CPT Hc - Brain Imaging PET Metabolic Evaluation 23 12 $7,837.00 $7,837.00 $1,028.33 $6,468.53 $4,119.97 2026-05-09
6197155201 CPT Hc - MRI Chest Without & W/contrast Material 23 12 $6,272.00 $6,272.00 $317.25 $6,001.00 $3,159.12 2026-05-09
50633012011 CPT Digoxin Immune Fab 40 Mg IV Solution 21 13 $16,625.48 $16,625.48 $4,777.44 $17,117.57 $10,947.50 2026-05-09
00074366303 CPT Leuprolide 11.25 Mg (3 Month) Intramuscular Syringe Kit 21 13 $17,857.79 $17,857.79 $1,576.12 $8,916.43 $8,916.43 2026-05-09
00074228203 CPT Leuprolide 11.25 Mg Intramuscular Kit 21 13 $13,002.56 $13,002.56 $1,576.12 $6,706.51 $6,706.51 2026-05-09
50633011012 CPT Crotalidae Polyval Immune Fab Solution For Injection 21 13 $4,471.65 $4,471.65 $1,979.87 $7,093.88 $6,254.98 2026-05-09
58468003002 CPT Thyrotropin Alfa 0.9 Mg Intramuscular Solution 21 13 $7,449.08 $7,449.08 $2,022.37 $7,246.14 $4,634.26 2026-05-09
70720095130 CPT Goserelin 10.8 Mg Subq Implant 21 13 $10,445.99 $10,445.99 $599.34 $4,550.24 $4,550.24 2026-05-09
00074364103 CPT Leuprolide 3.75 Mg Intramuscular Syringe Kit 21 13 $5,957.47 $5,957.47 $1,576.12 $5,647.23 $3,611.68 2026-05-09
58406043504 CPT Etanercept 50 Mg/ml (0.98 Ml) Sub-q Syringe 19 11 $6,973.66 $6,973.66 $961.24 $3,404.55 $3,404.55 2026-05-09
3008799901 CPT Hc - Sterilizer Test 19 11 $5,128.00 $5,128.00 $3,179.88 $3,179.88 $3,179.88 2026-05-09
00002758901 CPT Bebtelovimab 175 Mg/2 Ml (87.5 Mg/ml) Intravenous Solution (unapp) 18 11 $7,909.43 $7,909.43 $3,116.67 $10,388.91 $6,483.74 2026-05-09
53666 CPT Neurostimulator Interstimstim Medtronic X 16 10 $11,680.00 $11,680.00 $7,242.77 $7,242.77 $7,242.77 2026-05-09
00069032401 CPT Pegfilgrastim-apgf 6 Mg/0.6 Ml Subcutaneous Syringe 15 10 $7,502.81 $7,502.81 $4,652.49 $4,652.49 $4,652.49 2026-05-09
73594931001 CPT Ferric Derisomaltose 100 Mg Iron/ml Intravenous Solution 15 10 $7,338.90 $7,338.90 $4,550.85 $4,550.85 $4,550.85 2026-05-09
3613586001 CPT Hc - Expl Po Hemrrg Thrombosis/infctj Xtr 11 5 $3,892.00 $3,892.00 $162.52 $13,179.28 $4,179.11 2026-05-09
3613520601 CPT Hc - Repair Blood Vessel Direct Upper Extremity 11 5 $4,070.00 $4,070.00 $162.52 $13,179.28 $4,179.11 2026-05-09
3612699001 CPT Hc - I&d Pelvis/hip Jt Area Deep Abscess/hematoma 11 5 $4,001.00 $4,001.00 $162.52 $13,383.33 $3,596.25 2026-05-09
3612201001 CPT Hc - I&d Deep Abscess Pst Spine Crv Thrc/cervicothr 11 5 $1,412.00 $1,412.00 $162.52 $7,011.59 $3,471.09 2026-05-09
3612201501 CPT Hc - I&d Deep Abscess Pst Spine Lumbar Sac/lumbosac 11 5 $1,398.00 $1,398.00 $162.52 $7,011.59 $3,471.09 2026-05-09
3612502801 CPT Hc - I&d Forearm&/wrist Deep Abscess/hematoma 11 5 $4,001.00 $4,001.00 $162.52 $13,383.33 $3,259.84 2026-05-09
9605235601 CPT Cysto/uretero W/lithotripsy 11 5 $1,111.00 $1,111.00 $274.51 $6,784.09 $3,192.73 2026-05-09
3612150201 CPT Hc - I&d Dp Absc/hmtma Soft Tiss Nck/thorax Prtl Ri 11 5 $4,001.00 $4,001.00 $162.52 $13,383.33 $2,946.46 2026-05-09
3612150101 CPT Hc - I&d Deep Absc/hmtma Soft Tissue Neck/thorax 11 5 $3,627.00 $3,627.00 $162.52 $11,748.69 $2,946.46 2026-05-09
00187520030 CPT Fluorouracil 0.5 % Topical Cream 10 8 $8,830.11 $8,830.11 $5,580.95 $5,580.95 $5,580.95 2026-05-09
9602744701 CPT Pb - Critical Access Total Knee Arthroplasty 10 5 $5,897.00 $5,897.00 $855.18 $54,417.24 $5,577.20 2026-05-09
9602713001 CPT Pb - Critical Access Total Hip Arthroplasty 10 5 $5,515.00 $5,515.00 $856.03 $54,417.24 $5,577.20 2026-05-09
9602982701 CPT Pb - Critical Access Shldr Arthroscop,surg,w/rotat Cuff Repr 10 5 $3,114.00 $3,114.00 $714.52 $29,579.85 $5,532.03 2026-05-09
9602980701 CPT Pb - Critical Access Shldr Arthroscop,surg,repair,slap Lesion 10 5 $2,989.00 $2,989.00 $690.84 $29,579.85 $5,532.03 2026-05-09
9602980601 CPT Pb - Critical Access Shldr Arthroscop,surg,capsulorrhaphy 10 5 $3,068.00 $3,068.00 $708.17 $29,579.85 $5,532.03 2026-05-09
9602988801 CPT Pb - Critical Access Knee Scope,aid Ant Cruciate Repair 10 5 $3,781.00 $3,781.00 $653.27 $29,579.85 $5,532.03 2026-05-09
9602723501 CPT Pb - Critical Access Percut Fix Prox/neck Femur Fx 10 5 $3,332.00 $3,332.00 $606.94 $29,579.85 $4,732.61 2026-05-09
9602782201 CPT Pb - Critical Access Open Tx Trimalleolar Ankle Fx Without Fix Pst Lip 10 5 $3,234.00 $3,234.00 $589.63 $29,579.85 $4,732.61 2026-05-09
9602560801 CPT Pb - Critical Access Open Rx Distal Radius Fx, Intra-articular, 2 Frag 10 5 $2,976.00 $2,976.00 $554.20 $29,579.85 $4,732.61 2026-05-09
9604756301 CPT Pb - Critical Access Lap,cholecystectomy/graph 10 5 $5,950.00 $5,950.00 $481.71 $23,857.08 $4,303.24 2026-05-09
9604756201 CPT Pb - Critical Access Lap,cholecystectomy 10 5 $6,163.00 $6,163.00 $442.69 $23,857.08 $4,303.24 2026-05-09
9605260101 CPT Prostatectomy (turp) 10 5 $3,395.00 $3,395.00 $484.99 $21,394.34 $4,300.02 2026-05-09
9602676501 CPT Pb - Critical Access Open Tx Distal Phalangeal Fracture Each 10 5 $1,851.00 $1,851.00 $337.65 $13,383.33 $4,243.82 2026-05-09
9602544701 CPT Pb - Critical Access Repair Intercarp/carp-metacarp Jt 10 5 $1,962.00 $1,962.00 $556.59 $13,383.33 $4,243.82 2026-05-09
9602665001 CPT Pb - Critical Access Prq Skel Fixation Carp/mtcrpl Fx Dislocate Thumb 10 5 $1,732.00 $1,732.00 $324.68 $13,383.33 $4,243.82 2026-05-09
9602672701 CPT Pb - Critical Access Percut Rx Prox/mid Fing Shft Fx 10 5 $1,703.00 $1,703.00 $319.81 $13,383.33 $4,243.82 2026-05-09
9602864501 CPT Pb - Critical Access Open Tx Metatarsophalangeal Joint Dislocation 10 5 $1,468.00 $1,468.00 $324.86 $13,383.33 $4,243.82 2026-05-09
9602660801 CPT Pb - Critical Access Closed Rx Metacarpal Fx,percut 10 5 $1,729.00 $1,729.00 $324.92 $13,383.33 $4,243.82 2026-05-09
9602678501 CPT Pb - Critical Access Open Tx Interphalangeal Joint Dislocation 1 10 5 $1,946.00 $1,946.00 $367.15 $13,383.33 $4,243.82 2026-05-09
9602673501 CPT Pb - Critical Access Open Tx Phalangeal Shaft Fracture Prox/middle Ea 10 5 $1,391.00 $1,391.00 $399.40 $13,383.33 $4,243.82 2026-05-09
4803321001 CPT Hc - Insj/rplcmt Temp Transvns 1chmbr Eltrd/pm Cath 10 5 $9,521.00 $9,521.00 $107.15 $35,127.02 $4,194.93 2026-05-09
9603586001 CPT Pb - Critical Access Expl Po Hemrrg Thrombosis/infctj Xtr 10 5 $8,018.00 $8,018.00 $552.70 $13,179.28 $4,072.99 2026-05-09
9604418001 CPT Pb - Critical Access Lap, Surg Enterolysis 10 5 $6,163.00 $6,163.00 $615.03 $23,857.08 $4,026.49 2026-05-09
9604497001 CPT Pb - Critical Access Lap,appendectomy 10 5 $6,163.00 $6,163.00 $403.72 $23,857.08 $4,026.49 2026-05-09
9602346601 CPT Pb - Critical Access Repair Shldr Capsu For Instability 10 5 $3,178.00 $3,178.00 $748.58 $29,579.85 $3,637.18 2026-05-09
9602312001 CPT Pb - Critical Access Partial Removal, Clavicle 10 5 $2,202.00 $2,202.00 $394.22 $13,383.33 $3,637.18 2026-05-09
9601930301 CPT Pb - Critical Access Mastectomy, Simple, Complete 10 5 $3,705.00 $3,705.00 $641.03 $26,962.68 $3,541.03 2026-05-09
9602699001 CPT Pb - Critical Access Incis/drain Pelvis/hip,deep Abscess 10 5 $2,326.00 $2,326.00 $459.75 $13,383.33 $3,499.06 2026-05-09
9602735501 CPT Pb - Critical Access Remv Benign Femur Lesion 10 5 $1,736.00 $1,736.00 $408.75 $13,383.33 $3,499.06 2026-05-09
9602654601 CPT Pb - Critical Access Rpr Non-union Mtcrpl/phalanx 10 5 $3,582.00 $3,582.00 $702.36 $29,579.85 $3,341.38 2026-05-09
9602612101 CPT Pb - Critical Access Palmar Fasciectomy 10 5 $2,176.00 $2,176.00 $402.51 $13,383.33 $3,341.38 2026-05-09
9602829201 CPT Pb - Critical Access Corrj Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base 10 5 $1,870.00 $1,870.00 $321.94 $13,383.33 $3,329.72 2026-05-09
9602829601 CPT Pb - Critical Access Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot 10 5 $2,743.00 $2,743.00 $343.05 $13,383.33 $3,329.72 2026-05-09
9602828901 CPT Pb - Critical Access Hallux Rigidus W/cheilectomy 1st Mp Jt Without Implt 10 5 $1,627.00 $1,627.00 $306.70 $13,383.33 $3,329.72 2026-05-09
9604952501 CPT Pb - Critical Access Repair Sliding Inguinal Hernia 10 5 $1,733.00 $1,733.00 $385.04 $14,304.66 $3,326.31 2026-05-09
9604950501 CPT Pb - Critical Access Repair Ing Hernia,5+y/o,reducibl 10 5 $1,574.00 $1,574.00 $350.90 $14,304.66 $3,326.31 2026-05-09
9604950701 CPT Pb - Critical Access Repair Ing Hernia,5+y/o,strang 10 5 $4,100.00 $4,100.00 $394.05 $14,304.66 $3,326.31 2026-05-09
9604955001 CPT Pb - Critical Access Repair Femoral Hernia,reducible 10 5 $1,721.00 $1,721.00 $386.90 $14,304.66 $3,326.31 2026-05-09
9604952001 CPT Pb - Critical Access Repair Recurr Inguin Hern,reducibl 10 5 $4,100.00 $4,100.00 $425.00 $14,304.66 $3,326.31 2026-05-09
9604955301 CPT Pb - Critical Access Repair Femoral Hernia,strang 10 5 $1,886.00 $1,886.00 $424.67 $14,304.66 $3,326.31 2026-05-09
9601177101 CPT Pb - Critical Access Remv Pilonidal Lesion Extens 10 5 $1,287.00 $1,287.00 $300.90 $11,748.69 $3,309.31 2026-05-09
00002850101 CPT Insulin Regular Human U-500"concentrate" 500 Unit/ml Subcutaneous Soln 10 8 $5,205.51 $5,205.51 $3,290.09 $3,290.09 $3,290.09 2026-05-09
9605855001 CPT Pb - Critical Access Lap,vag Hyst,uterus 250gms/< 10 5 $2,881.00 $2,881.00 $593.44 $23,857.08 $3,279.12 2026-05-09
9602764001 CPT Pb - Critical Access Partial Removal Of Tibia 10 5 $2,496.00 $2,496.00 $557.44 $13,383.33 $3,193.44 2026-05-09
9602507301 CPT Pb - Critical Access Exc Tumor Sft Tiss Forearm&//wrist Subfasc 3+cm 10 5 $1,577.00 $1,577.00 $358.77 $11,748.69 $3,171.74 2026-05-09
9602407301 CPT Pb - Critical Access Exc Tumor Soft Tiss Upper Arm/elbw Subfasc 5+cm 10 5 $2,958.00 $2,958.00 $463.84 $11,748.69 $3,171.74 2026-05-09
9602526001 CPT Pb - Critical Access Reforearm Tend/musc,flex,prim,ea 10 5 $2,709.00 $2,709.00 $426.27 $13,383.33 $3,171.74 2026-05-09
9602435801 CPT Pb - Critical Access Tenotomy Elbow Lateral/medial Debride Open 10 5 $1,906.00 $1,906.00 $355.79 $13,383.33 $3,171.74 2026-05-09
9602988401 CPT Pb - Critical Access Knee Scope,lysis Of Adhesns 10 5 $1,506.00 $1,506.00 $414.17 $13,383.33 $2,910.99 2026-05-09
9601710601 CPT Pb - Critical Access Destruction Cutaneous Vasc Proliferative <10cm 10 5 $1,505.00 $1,505.00 $414.17 $13,383.33 $2,910.99 2026-05-09
9602987701 CPT Pb - Critical Access Knee Scope,shave Articular Cart 10 5 $2,366.00 $2,366.00 $416.30 $13,383.33 $2,910.99 2026-05-09
9602988001 CPT Pb - Critical Access Arthrs Knee W/meniscectomy Med&lat W/shaving 10 5 $2,631.00 $2,631.00 $376.73 $13,383.33 $2,910.99 2026-05-09
9602743801 CPT Pb - Critical Access Arthroplasty Patella With Implant 9 5 $3,757.00 $3,757.00 $562.56 $17,255.57 $5,422.28 2026-05-09
9602744201 CPT Pb - Critical Access Arthroplasty Fem Condyles/tibial Plateau Knee 9 5 $3,721.00 $3,721.00 $582.80 $17,255.57 $5,422.28 2026-05-09
9602347201 CPT Pb - Critical Access Reconstr Total Shoulder Implant 9 5 $4,310.00 $4,310.00 $964.99 $24,433.73 $5,422.28 2026-05-09
9602744601 CPT Pb - Critical Access Plasty Knee,med Or Lat Compartmt 9 5 $3,552.00 $3,552.00 $769.59 $17,255.57 $5,422.28 2026-05-09
9602982801 CPT Pb - Critical Access Arthroscopy Shoulder Surgical Biceps Tenodesis 9 5 $2,663.00 $2,663.00 $613.19 $9,379.69 $5,378.37 2026-05-09
9602781401 CPT Pb - Critical Access Open Treatment Bimalleolar Ankle Fracture 9 5 $2,955.00 $2,955.00 $512.50 $9,379.69 $4,601.15 2026-05-09
9602451601 CPT Pb - Critical Access Open Rod Fixatn Humeral Shaft Fx 9 5 $2,479.00 $2,479.00 $575.25 $17,255.57 $4,601.15 2026-05-09
9602779201 CPT Pb - Critical Access Open Tx Distal Fibular Fracture Lat Malleolus 9 5 $2,709.00 $2,709.00 $433.19 $9,379.69 $4,601.15 2026-05-09
9602752401 CPT Pb - Critical Access Open Rx Patella Fx 9 5 $2,866.00 $2,866.00 $504.97 $9,379.69 $4,601.15 2026-05-09
9602454501 CPT Pb - Critical Access Open Tx Humeral Supracondylar Fracture Without Xtn 9 5 $3,377.00 $3,377.00 $621.03 $17,255.57 $4,601.15 2026-05-09
9602848501 CPT Pb - Critical Access Open Treatment Metatarsal Fracture Each 9 5 $1,265.00 $1,265.00 $377.47 $9,379.69 $4,601.15 2026-05-09
9602782801 CPT Pb - Critical Access Open Treatment Fracture Distal Tibia & Fibula 9 5 $3,749.00 $3,749.00 $892.15 $17,255.57 $4,601.15 2026-05-09
9602468501 CPT Pb - Critical Access Open Tx Ulnar Fracture Prox End 9 5 $2,372.00 $2,372.00 $438.72 $9,379.69 $4,601.15 2026-05-09
9602776601 CPT Pb - Critical Access Open Treatment Medial Malleolus Fracture 9 5 $1,763.00 $1,763.00 $405.98 $9,379.69 $4,601.15 2026-05-09
9602782901 CPT Pb - Critical Access Open Tx Distal Tibiofibular Joint Disruption 9 5 $1,978.00 $1,978.00 $476.97 $9,379.69 $4,601.15 2026-05-09
9602551501 CPT Pb - Critical Access Open Treatment Radial Shaft Fracture 9 5 $1,987.00 $1,987.00 $449.45 $9,379.69 $4,601.15 2026-05-09
9602560701 CPT Pb - Critical Access Open Rx Distal Radius Fx, Extra-articular 9 5 $2,649.00 $2,649.00 $495.25 $9,379.69 $4,601.15 2026-05-09
9602457501 CPT Pb - Critical Access Open Tx Humeral Epicondylar Fracture 9 5 $2,669.00 $2,669.00 $490.93 $17,255.57 $4,601.15 2026-05-09
9602775801 CPT Pb - Critical Access Open Rx Tibia Shaft Fx,screws 9 5 $2,507.00 $2,507.00 $600.01 $17,255.57 $4,601.15 2026-05-09
9602782301 CPT Pb - Critical Access Open Tx Trimalleolar Ankle Fx W Fix Pst Lip 9 5 $2,240.00 $2,240.00 $662.29 $9,379.69 $4,601.15 2026-05-09
9602772001 CPT Pb - Critical Access Rnon/malunion Tibia 9 5 $2,673.00 $2,673.00 $585.42 $9,379.69 $4,601.15 2026-05-09
9602458601 CPT Pb - Critical Access Open Rx Periartic Fx/disloc Elbow 9 5 $3,130.00 $3,130.00 $726.52 $17,255.57 $4,601.15 2026-05-09
9602775901 CPT Pb - Critical Access Treat Tibial Shaft Fx, Intramed Implant 9 5 $3,819.00 $3,819.00 $666.60 $17,255.57 $4,601.15 2026-05-09
9602782701 CPT Pb - Critical Access Open Treatment Fracture Distal Tibia Only 9 5 $3,140.00 $3,140.00 $752.49 $17,255.57 $4,601.15 2026-05-09
9602661501 CPT Pb - Critical Access Open Tx Metacarpal Fracture Single Ea Bone 9 5 $1,288.00 $1,288.00 $386.55 $5,311.04 $4,243.82 2026-05-09
9602674601 CPT Pb - Critical Access Open Tx Articular Fracture Mcp/ip Joint Ea 9 5 $1,066.00 $1,066.00 $498.12 $5,311.04 $4,243.82 2026-05-09
9602852501 CPT Pb - Critical Access Open Tx Fracture Phalanx/phalanges Not Great Toe 9 5 $1,209.00 $1,209.00 $271.39 $5,311.04 $4,243.82 2026-05-09
9602847601 CPT Pb - Critical Access Percut Rx Metatarsal Fx 9 5 $902.00 $902.00 $262.23 $5,311.04 $4,243.82 2026-05-09
9604495001 CPT Pb - Critical Access Appendectomy 9 5 $2,401.00 $2,401.00 $429.98 $9,919.21 $3,914.65 2026-05-09
9602434201 CPT Pb - Critical Access Reinsert Bi/triceps Tendon,distal 9 5 $1,815.00 $1,815.00 $519.79 $9,379.69 $3,536.15 2026-05-09
9602443001 CPT Pb - Critical Access Repair Non/malunion Humerus 9 5 $3,862.00 $3,862.00 $705.04 $17,255.57 $3,536.15 2026-05-09
9602343001 CPT Pb - Critical Access Repair Biceps Long Tendon 9 5 $1,815.00 $1,815.00 $499.17 $9,379.69 $3,536.15 2026-05-09
9602544001 CPT Pb - Critical Access Repair Nonunion Scaphoid Carpal Bone 9 5 $2,335.00 $2,335.00 $514.79 $9,379.69 $3,514.17 2026-05-09
9602738501 CPT Pb - Critical Access Fix Quad/hamstr Musc Rupt,primary 9 5 $1,718.00 $1,718.00 $409.94 $9,379.69 $3,401.86 2026-05-09
9602743001 CPT Pb - Critical Access Revision Quadriceps 9 5 $2,133.00 $2,133.00 $497.93 $9,379.69 $3,401.86 2026-05-09
9602832201 CPT Pb - Critical Access Repair Non/malunion Metatarsal 9 5 $1,746.00 $1,746.00 $385.81 $9,379.69 $3,237.23 2026-05-09
9602875001 CPT Pb - Critical Access Fusion Big Toe,mt-p Jt 9 5 $2,508.00 $2,508.00 $387.73 $9,379.69 $3,237.23 2026-05-09
9602811001 CPT Pb - Critical Access Part Excis 5th Metatarsal Head 9 5 $1,040.00 $1,040.00 $194.38 $4,243.82 $3,237.23 2026-05-09
9602812201 CPT Pb - Critical Access Part Remv Othr Tarsal/metatarsal 9 5 $1,337.00 $1,337.00 $292.90 $4,243.82 $3,237.23 2026-05-09
9604965001 CPT Pb - Critical Access Lap,inguinal Hernia Repr,initial 9 5 $1,221.00 $1,221.00 $290.26 $7,565.02 $3,233.91 2026-05-09
9604965101 CPT Pb - Critical Access Lap,inguinal Hernia Repr,recur 9 5 $1,589.00 $1,589.00 $378.96 $7,565.02 $3,233.91 2026-05-09
9604932001 CPT Pb - Critical Access Lap,diagnostic Abdomen 9 5 $1,238.00 $1,238.00 $219.82 $7,565.02 $3,227.60 2026-05-09
9604932201 CPT Pb - Critical Access Lap,abdomen,aspirate Cyst 9 5 $1,406.00 $1,406.00 $251.07 $7,565.02 $3,227.60 2026-05-09
9604932101 CPT Pb - Critical Access Lap,dx Surgical Abd W/biopsy 9 5 $1,308.00 $1,308.00 $230.60 $7,565.02 $3,227.60 2026-05-09
9601177201 CPT Pb - Critical Access Excision Pilonidal Cyst/sinus Complicated 9 5 $978.00 $978.00 $389.59 $3,725.48 $3,217.39 2026-05-09
9601583901 CPT Pb - Critical Access Excision Excessive Skin & Subq Tissue Other Area 9 5 $458.00 $458.00 $493.16 $3,725.48 $3,217.39 2026-05-09
9601144601 CPT Pb - Critical Access Exc Skin Benig >4 Cm Face,facial 9 5 $514.00 $514.00 $212.96 $3,725.48 $3,217.39 2026-05-09
9601142601 CPT Pb - Critical Access Exc Skin Benig >4 Cm Remaindr Body 9 5 $733.00 $733.00 $181.01 $3,725.48 $3,217.39 2026-05-09
9605855201 CPT Pb - Critical Access Lap,vag Hyst,uterus 250gms/<,salp-ooph 9 5 $2,353.00 $2,353.00 $659.37 $13,496.08 $3,188.04 2026-05-09
9605857001 CPT Pb - Critical Access Laparoscopy W Tot Hysterect Uterus 250 Gram Or Less 9 5 $3,589.00 $3,589.00 $542.24 $13,496.08 $3,188.04 2026-05-09
9605857101 CPT Pb - Critical Access Laparoscopy W Tot Hysterectuterus <=250 Gram W Tube/ovary 9 5 $3,974.00 $3,974.00 $610.69 $13,496.08 $3,188.04 2026-05-09
9605857301 CPT Pb - Critical Access Laparoscopy Tot Hysterectomy Uterus >250 Gram W Tube/ovary 9 5 $3,830.00 $3,830.00 $818.23 $13,496.08 $3,188.04 2026-05-09
9602769501 CPT Pb - Critical Access Repair 1 Collat Ankle Ligmnt,primary 9 5 $1,177.00 $1,177.00 $322.11 $9,379.69 $3,104.73 2026-05-09
9602787001 CPT Pb - Critical Access Arthrodesis,ankle,open 9 5 $2,999.00 $2,999.00 $677.12 $17,255.57 $3,104.73 2026-05-09
9602765401 CPT Pb - Critical Access Repair Achilles Tendon,secondary 9 5 $1,666.00 $1,666.00 $478.51 $9,379.69 $3,104.73 2026-05-09
9602510101 CPT Pb - Critical Access Arthrotomy Wrist W/wo Explore, Drain, Fb Removal 9 5 $1,197.00 $1,197.00 $272.78 $4,243.82 $3,083.63 2026-05-09
644 CPT Endocrine Disorders With Cc 8 7 $63,230.66 $63,230.66 $7,400.00 $27,001.64 $23,190.82 2026-05-09
602 CPT Cellulitis With Mcc 8 7 $54,761.93 $54,761.93 $7,400.00 $23,614.15 $21,497.07 2026-05-09
464 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 7 $54,155.74 $54,155.74 $7,400.00 $23,371.67 $21,375.83 2026-05-09
522 CPT Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 8 7 $49,429.51 $49,429.51 $7,400.00 $21,481.18 $20,430.59 2026-05-09
229 CPT Other Cardiothoracic Procedures Without Mcc 8 7 $43,237.03 $43,237.03 $7,400.00 $19,380.00 $19,004.19 2026-05-09
811 CPT Red Blood Cell Disorders With Mcc 8 7 $42,417.65 $42,417.65 $7,400.00 $19,380.00 $18,676.44 2026-05-09
101 CPT Seizures Without Mcc 8 7 $40,649.80 $40,649.80 $7,400.00 $19,380.00 $17,969.29 2026-05-09
425 CPT Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 8 7 $37,833.34 $37,833.34 $7,400.00 $19,380.00 $16,842.71 2026-05-09
558 CPT Tendonitis, Myositis And Bursitis Without Mcc 8 7 $34,667.40 $34,667.40 $7,400.00 $19,380.00 $15,576.33 2026-05-09
314 CPT Other Circulatory System Diagnoses With Mcc 8 7 $33,326.94 $33,326.94 $7,400.00 $19,380.00 $15,040.15 2026-05-09
178 CPT Respiratory Infections And Inflammations With Cc 8 7 $32,354.26 $32,354.26 $7,400.00 $19,380.00 $14,651.08 2026-05-09
493 CPT Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 8 7 $31,833.78 $31,833.78 $7,400.00 $19,380.00 $14,442.89 2026-05-09
690 CPT Kidney And Urinary Tract Infections Without Mcc 8 7 $30,588.08 $30,588.08 $7,400.00 $19,380.00 $13,944.60 2026-05-09
175 CPT Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 8 7 $30,183.58 $30,183.58 $7,400.00 $19,380.00 $13,782.81 2026-05-09
683 CPT Renal Failure With Cc 8 7 $29,878.52 $29,878.52 $7,400.00 $19,380.00 $13,660.78 2026-05-09
244 CPT Permanent Cardiac Pacemaker Implant Without Cc/mcc 8 7 $29,579.91 $29,579.91 $7,400.00 $19,380.00 $13,541.34 2026-05-09
809 CPT Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 8 7 $29,281.86 $29,281.86 $7,400.00 $19,380.00 $13,422.12 2026-05-09
816 CPT Reticuloendothelial And Immunity Disorders Without Cc/mcc 8 7 $29,267.58 $29,267.58 $7,400.00 $19,380.00 $13,416.41 2026-05-09
66 CPT Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 8 7 $28,828.90 $28,828.90 $7,400.00 $19,380.00 $13,240.93 2026-05-09
540 CPT Osteomyelitis With Cc 8 7 $28,425.23 $28,425.23 $7,400.00 $19,380.00 $13,079.47 2026-05-09
189 CPT Pulmonary Edema And Respiratory Failure 8 7 $28,314.62 $28,314.62 $7,400.00 $19,380.00 $13,035.22 2026-05-09
83 CPT Traumatic Stupor And Coma >1 Hour With Cc 8 7 $28,125.22 $28,125.22 $7,400.00 $19,380.00 $12,959.46 2026-05-09
308 CPT Cardiac Arrhythmia And Conduction Disorders With Mcc 8 7 $27,669.84 $27,669.84 $7,400.00 $19,380.00 $12,777.31 2026-05-09
639 CPT Diabetes Without Cc/mcc 8 7 $27,176.83 $27,176.83 $7,400.00 $19,380.00 $12,580.11 2026-05-09
638 CPT Diabetes With Cc 8 7 $26,961.67 $26,961.67 $7,400.00 $19,380.00 $12,494.05 2026-05-09
854 CPT Infectious And Parasitic Diseases With O.r. Procedures With Cc 8 7 $26,677.77 $26,677.77 $7,400.00 $19,380.00 $12,380.49 2026-05-09
815 CPT Reticuloendothelial And Immunity Disorders With Cc 8 7 $25,369.79 $25,369.79 $7,400.00 $19,380.00 $11,857.29 2026-05-09
641 CPT Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 8 7 $25,287.79 $25,287.79 $7,400.00 $19,380.00 $11,824.49 2026-05-09
263 CPT Vein Ligation And Stripping 8 7 $24,585.90 $24,585.90 $7,400.00 $19,380.00 $11,543.74 2026-05-09
871 CPT Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 7 $24,479.13 $24,479.13 $7,400.00 $19,380.00 $11,501.02 2026-05-09
383 CPT Uncomplicated Peptic Ulcer With Mcc 8 7 $17,844.18 $17,844.18 $7,400.00 $19,380.00 $11,399.38 2026-05-09
710 CPT Penis Procedures Without Cc/mcc 8 7 $18,969.74 $18,969.74 $7,400.00 $19,380.00 $11,399.38 2026-05-09
70 CPT Nonspecific Cerebrovascular Disorders With Mcc 8 7 $21,433.19 $21,433.19 $7,400.00 $19,380.00 $11,399.38 2026-05-09
989 CPT Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 8 7 $12,770.40 $12,770.40 $7,400.00 $19,380.00 $11,399.38 2026-05-09
192 CPT Chronic Obstructive Pulmonary Disease Without Cc/mcc 8 7 $17,881.89 $17,881.89 $7,400.00 $19,380.00 $11,399.38 2026-05-09
310 CPT Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 8 7 $13,923.43 $13,923.43 $7,400.00 $19,380.00 $11,399.38 2026-05-09
283 CPT Acute Myocardial Infarction, Expired With Mcc 8 7 $23,496.85 $23,496.85 $7,400.00 $19,380.00 $11,399.38 2026-05-09
313 CPT Chest Pain 8 7 $4,792.92 $4,792.92 $7,400.00 $19,380.00 $11,399.38 2026-05-09
249 CPT Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 8 7 $13,486.28 $13,486.28 $7,400.00 $19,380.00 $11,399.38 2026-05-09
770 CPT Abortion With D&c, Aspiration Curettage Or Hysterotomy 8 7 $18,700.01 $18,700.01 $7,400.00 $19,380.00 $11,399.38 2026-05-09
391 CPT Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 8 7 $12,079.81 $12,079.81 $7,400.00 $19,380.00 $11,399.38 2026-05-09
311 CPT Angina Pectoris 8 7 $21,162.76 $21,162.76 $7,400.00 $19,380.00 $11,399.38 2026-05-09
241 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 8 7 $19,395.26 $19,395.26 $7,400.00 $19,380.00 $11,399.38 2026-05-09
264 CPT Other Circulatory System O.r. Procedures 8 7 $20,456.50 $20,456.50 $7,400.00 $19,380.00 $11,399.38 2026-05-09
439 CPT Disorders Of Pancreas Except Malignancy With Cc 8 7 $23,709.64 $23,709.64 $7,400.00 $19,380.00 $11,399.38 2026-05-09
812 CPT Red Blood Cell Disorders Without Mcc 8 7 $9,095.18 $9,095.18 $7,400.00 $19,380.00 $11,399.38 2026-05-09
948 CPT Signs And Symptoms Without Mcc 8 7 $21,093.56 $21,093.56 $7,400.00 $19,380.00 $11,399.38 2026-05-09
552 CPT Medical Back Problems Without Mcc 8 7 $16,691.27 $16,691.27 $7,400.00 $19,380.00 $11,399.38 2026-05-09
438 CPT Disorders Of Pancreas Except Malignancy With Mcc 8 7 $13,982.01 $13,982.01 $7,400.00 $19,380.00 $11,399.38 2026-05-09
857 CPT Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 8 7 $20,570.32 $20,570.32 $7,400.00 $19,380.00 $11,399.38 2026-05-09
344 CPT Minor Small And Large Bowel Procedures With Mcc 8 7 $18,928.35 $18,928.35 $7,400.00 $19,380.00 $11,399.38 2026-05-09
291 CPT Heart Failure And Shock With Mcc 8 7 $20,028.02 $20,028.02 $7,400.00 $19,380.00 $11,399.38 2026-05-09
292 CPT Heart Failure And Shock With Cc 8 7 $17,660.26 $17,660.26 $7,400.00 $19,380.00 $11,399.38 2026-05-09
420 CPT Hepatobiliary Diagnostic Procedures With Mcc 8 7 $19,261.81 $19,261.81 $7,400.00 $19,380.00 $11,399.38 2026-05-09
194 CPT Simple Pneumonia And Pleurisy With Cc 8 7 $20,676.22 $20,676.22 $7,400.00 $19,380.00 $11,399.38 2026-05-09
645 CPT Endocrine Disorders Without Cc/mcc 8 7 $17,511.04 $17,511.04 $7,400.00 $19,380.00 $11,399.38 2026-05-09
58 CPT Multiple Sclerosis And Cerebellar Ataxia With Mcc 8 7 $13,941.44 $13,941.44 $7,400.00 $19,380.00 $11,399.38 2026-05-09
436 CPT Malignancy Of Hepatobiliary System Or Pancreas With Cc 8 7 $9,837.65 $9,837.65 $7,400.00 $19,380.00 $11,399.38 2026-05-09
388 CPT Gastrointestinal Obstruction With Mcc 8 7 $14,598.02 $14,598.02 $7,400.00 $19,380.00 $11,399.38 2026-05-09
140 CPT Major Head And Neck Procedures With Mcc 8 7 $15,285.94 $15,285.94 $7,400.00 $19,380.00 $11,399.38 2026-05-09
141 CPT Major Head And Neck Procedures With Cc 8 7 $19,097.42 $19,097.42 $7,400.00 $19,380.00 $11,399.38 2026-05-09
640 CPT Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 8 7 $16,395.54 $16,395.54 $7,400.00 $19,380.00 $11,399.38 2026-05-09
65 CPT Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 8 7 $22,525.42 $22,525.42 $7,400.00 $19,380.00 $11,399.38 2026-05-09
663 CPT Minor Bladder Procedures With Cc 8 7 $14,693.32 $14,693.32 $7,400.00 $19,380.00 $11,399.38 2026-05-09
713 CPT Transurethral Prostatectomy With Cc/mcc 8 7 $17,547.72 $17,547.72 $7,400.00 $19,380.00 $11,399.38 2026-05-09
463 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 7 $15,875.82 $15,875.82 $7,400.00 $19,380.00 $11,399.38 2026-05-09
93 CPT Other Disorders Of Nervous System Without Cc/mcc 8 7 $10,739.95 $10,739.95 $7,400.00 $19,380.00 $11,399.38 2026-05-09
422 CPT Hepatobiliary Diagnostic Procedures Without Cc/mcc 8 7 $4,442.76 $4,442.76 $7,400.00 $19,380.00 $11,399.38 2026-05-09
57 CPT Degenerative Nervous System Disorders Without Mcc 8 7 $14,939.44 $14,939.44 $7,400.00 $19,380.00 $11,399.38 2026-05-09
179 CPT Respiratory Infections And Inflammations Without Cc/mcc 8 7 $14,417.27 $14,417.27 $7,400.00 $19,380.00 $11,399.38 2026-05-09
280 CPT Acute Myocardial Infarction, Discharged Alive With Mcc 8 7 $18,984.61 $18,984.61 $7,400.00 $19,380.00 $11,399.38 2026-05-09
917 CPT Poisoning And Toxic Effects Of Drugs With Mcc 8 7 $17,898.86 $17,898.86 $7,400.00 $19,380.00 $11,399.38 2026-05-09
682 CPT Renal Failure With Mcc 8 7 $18,401.34 $18,401.34 $7,400.00 $19,380.00 $11,399.38 2026-05-09
441 CPT Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 8 7 $14,177.69 $14,177.69 $7,400.00 $19,380.00 $11,399.38 2026-05-09
64 CPT Intracranial Hemorrhage Or Cerebral Infarction With Mcc 8 7 $18,629.58 $18,629.58 $7,400.00 $19,380.00 $11,399.38 2026-05-09
137 CPT Mouth Procedures With Cc/mcc 8 7 $15,372.51 $15,372.51 $7,400.00 $19,380.00 $11,399.38 2026-05-09
442 CPT Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 8 7 $21,033.16 $21,033.16 $7,400.00 $19,380.00 $11,399.38 2026-05-09
603 CPT Cellulitis Without Mcc 8 7 $19,255.62 $19,255.62 $7,400.00 $19,380.00 $11,399.38 2026-05-09
330 CPT Major Small And Large Bowel Procedures With Cc 8 7 $18,581.11 $18,581.11 $7,400.00 $19,380.00 $11,399.38 2026-05-09
445 CPT Disorders Of The Biliary Tract With Cc 8 7 $12,549.09 $12,549.09 $7,400.00 $19,380.00 $11,399.38 2026-05-09
643 CPT Endocrine Disorders With Mcc 8 7 $20,418.29 $20,418.29 $7,400.00 $19,380.00 $11,399.38 2026-05-09
389 CPT Gastrointestinal Obstruction With Cc 8 7 $16,416.71 $16,416.71 $7,400.00 $19,380.00 $11,399.38 2026-05-09
195 CPT Simple Pneumonia And Pleurisy Without Cc/mcc 8 7 $21,677.60 $21,677.60 $7,400.00 $19,380.00 $11,399.38 2026-05-09
385 CPT Inflammatory Bowel Disease With Mcc 8 7 $18,768.87 $18,768.87 $7,400.00 $19,380.00 $11,399.38 2026-05-09
191 CPT Chronic Obstructive Pulmonary Disease With Cc 8 7 $12,050.48 $12,050.48 $7,400.00 $19,380.00 $11,399.38 2026-05-09
684 CPT Renal Failure Without Cc/mcc 8 7 $8,719.13 $8,719.13 $7,400.00 $19,380.00 $11,399.38 2026-05-09
204 CPT Respiratory Signs And Symptoms 8 7 $9,050.29 $9,050.29 $7,400.00 $19,380.00 $11,399.38 2026-05-09
660 CPT Kidney And Ureter Procedures For Non-neoplasm With Cc 8 7 $21,082.90 $21,082.90 $7,400.00 $19,380.00 $11,399.38 2026-05-09
539 CPT Osteomyelitis With Mcc 8 7 $12,149.10 $12,149.10 $7,400.00 $19,380.00 $11,399.38 2026-05-09
563 CPT Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 8 7 $9,878.52 $9,878.52 $7,400.00 $19,380.00 $11,399.38 2026-05-09
951 CPT Other Factors Influencing Health Status 8 7 $9,730.23 $9,730.23 $7,400.00 $19,380.00 $11,399.38 2026-05-09
862 CPT Postoperative And Post-traumatic Infections With Mcc 8 7 $11,503.81 $11,503.81 $7,400.00 $19,380.00 $11,399.38 2026-05-09
392 CPT Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 8 7 $20,088.93 $20,088.93 $7,400.00 $19,380.00 $11,399.38 2026-05-09
387 CPT Inflammatory Bowel Disease Without Cc/mcc 8 7 $17,518.35 $17,518.35 $7,400.00 $19,380.00 $11,399.38 2026-05-09
282 CPT Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 8 7 $16,783.50 $16,783.50 $7,400.00 $19,380.00 $11,399.38 2026-05-09
253 CPT Other Vascular Procedures With Cc 8 7 $21,262.29 $21,262.29 $7,400.00 $19,380.00 $11,399.38 2026-05-09
872 CPT Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 8 7 $19,455.81 $19,455.81 $7,400.00 $19,380.00 $11,399.38 2026-05-09
378 CPT Gastrointestinal Hemorrhage With Cc 8 7 $16,767.53 $16,767.53 $7,400.00 $19,380.00 $11,399.38 2026-05-09
281 CPT Acute Myocardial Infarction, Discharged Alive With Cc 8 7 $18,010.94 $18,010.94 $7,400.00 $19,380.00 $11,399.38 2026-05-09
303 CPT Atherosclerosis Without Mcc 8 7 $24,059.48 $24,059.48 $7,400.00 $19,380.00 $11,399.38 2026-05-09
139 CPT Salivary Gland Procedures 8 7 $12,250.79 $12,250.79 $7,400.00 $19,380.00 $11,399.38 2026-05-09
469 CPT Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 7 $9,868.48 $9,868.48 $7,400.00 $19,380.00 $11,399.38 2026-05-09
113 CPT Orbital Procedures With Cc/mcc 8 7 $14,014.93 $14,014.93 $7,400.00 $19,380.00 $11,399.38 2026-05-09
393 CPT Other Digestive System Diagnoses With Mcc 8 7 $7,614.98 $7,614.98 $7,400.00 $19,380.00 $11,399.38 2026-05-09
724 CPT Malignancy, Male Reproductive System Without Cc/mcc 8 7 $5,629.70 $5,629.70 $7,400.00 $19,380.00 $11,399.38 2026-05-09
193 CPT Simple Pneumonia And Pleurisy With Mcc 8 7 $21,031.65 $21,031.65 $7,400.00 $19,380.00 $11,399.38 2026-05-09
351 CPT Inguinal And Femoral Hernia Procedures With Cc 8 7 $9,843.30 $9,843.30 $7,400.00 $19,380.00 $11,399.38 2026-05-09
190 CPT Chronic Obstructive Pulmonary Disease With Mcc 8 7 $22,323.74 $22,323.74 $7,400.00 $19,380.00 $11,399.38 2026-05-09
564 CPT Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 8 7 $5,889.93 $5,889.93 $7,400.00 $19,380.00 $11,399.38 2026-05-09
92 CPT Other Disorders Of Nervous System With Cc 8 7 $18,357.45 $18,357.45 $7,400.00 $19,380.00 $11,399.38 2026-05-09
689 CPT Kidney And Urinary Tract Infections With Mcc 8 7 $20,742.50 $20,742.50 $7,400.00 $19,380.00 $11,399.38 2026-05-09
884 CPT Organic Disturbances And Intellectual Disability 8 7 $18,426.58 $18,426.58 $7,400.00 $19,380.00 $11,399.38 2026-05-09
698 CPT Other Kidney And Urinary Tract Diagnoses With Mcc 8 7 $6,037.49 $6,037.49 $7,400.00 $19,380.00 $11,399.38 2026-05-09
198 CPT Interstitial Lung Disease Without Cc/mcc 8 7 $10,809.89 $10,809.89 $7,400.00 $19,380.00 $11,399.38 2026-05-09
136 CPT Sinus And Mastoid Procedures Without Cc/mcc 8 7 $15,677.61 $15,677.61 $7,400.00 $19,380.00 $11,399.38 2026-05-09
372 CPT Major Gastrointestinal Disorders And Peritoneal Infections With Cc 8 7 $9,034.05 $9,034.05 $7,400.00 $19,380.00 $11,399.38 2026-05-09
947 CPT Signs And Symptoms With Mcc 8 7 $18,859.50 $18,859.50 $7,400.00 $19,380.00 $11,399.38 2026-05-09
138 CPT Mouth Procedures Without Cc/mcc 8 7 $8,598.43 $8,598.43 $7,400.00 $19,380.00 $11,399.38 2026-05-09
201 CPT Pneumothorax Without Cc/mcc 8 7 $8,935.09 $8,935.09 $7,400.00 $19,380.00 $11,399.38 2026-05-09
254 CPT Other Vascular Procedures Without Cc/mcc 8 7 $13,927.25 $13,927.25 $7,400.00 $19,380.00 $11,399.38 2026-05-09
176 CPT Pulmonary Embolism Without Mcc 8 7 $8,577.11 $8,577.11 $7,400.00 $19,380.00 $11,399.38 2026-05-09
536 CPT Fractures Of Hip And Pelvis Without Mcc 8 7 $9,807.17 $9,807.17 $7,400.00 $19,380.00 $11,399.38 2026-05-09
309 CPT Cardiac Arrhythmia And Conduction Disorders With Cc 8 7 $18,412.31 $18,412.31 $7,400.00 $19,380.00 $11,399.38 2026-05-09
199 CPT Pneumothorax With Mcc 8 7 $12,688.13 $12,688.13 $7,400.00 $19,380.00 $11,399.38 2026-05-09
177 CPT Respiratory Infections And Inflammations With Mcc 8 7 $22,369.90 $22,369.90 $7,400.00 $19,380.00 $11,399.38 2026-05-09
349 CPT Anal And Stomal Procedures Without Cc/mcc 8 7 $18,828.40 $18,828.40 $7,400.00 $19,380.00 $11,399.38 2026-05-09
390 CPT Gastrointestinal Obstruction Without Cc/mcc 8 7 $23,593.83 $23,593.83 $7,400.00 $19,380.00 $11,399.38 2026-05-09
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