Hospital

GOOD SHEPHERD MEDICAL CENTER

Hermiston, OR · CCN 381325 · Rates published

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You selected 93306 (CPT)

Echo Tte W/Doppler and Bubble

This hospital’s price: $2,830 across 10 payers · range $1,126-$3,562

Source: https://www.gshealth.org/wp-content/uploads/930425580_good-shepherd_standardcharges.csv · observed 2026-03-19

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

19,378 distinct procedures filed

10 distinct payers

289,448 rate rows

2026-03-19 last MRF observed

Data quality

77,641 of 289,448 rate rows are consumer-grade (26.8%)

211,807 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	201,763
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	6,955
per-diem day rate — not a per-procedure price	3,089

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

Source MRF file	https://www.gshealth.org/wp-content/uploads/930425580_good-shepherd_standardcharges.csv
Found on page	https://www.gshealth.org/price-transparency
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-10-11
Content fingerprint	40094ee6d3fbafe1… · 84,724,243 bytes · first seen 2026-05-17

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
686T OTHER	Hgs Histotripsy Of Malignant Hepatocellular Tissue (Liver)	10	$19,425.74	$49,876.90	$47,251.80	nat. median $17,919 outlier · 2.6×
37242 CPT	An Vasc Embolize/Occlude Artery	10	$18,545.14	$47,615.90	$45,109.80	nat. median $16,878 outlier · 2.7×
689T OTHER	Hgs Quan US Tiss Charac I&r Without Dx US Same Anat	10	$12,950.37	$33,250.95	$31,500.90	nat. median $157 outlier · 200.5×
37241 CPT	An Vasc Embolize/Occlude Venous	10	$11,642.42	$29,892.70	$28,319.40	nat. median $12,180 outlier · 2.3×
37243 CPT	An Vasc Embolize/Occlude Organ	10	$11,635.02	$29,873.70	$28,301.40	nat. median $12,456 outlier · 2.3×
57283 CPT	Pr Repr Vaginal Prolapse,Uterosacral	10	$8,494.46	$21,810.10	$20,662.20	nat. median $7,090 outlier · 2.9×
64561 CPT	Hgs Percutaneous Implantation Of Neurostimulator Electrode Array; Sacral	10	$7,233.13	$18,571.55	$17,594.10	nat. median $6,594 outlier · 2.7×
73223 CPT	Mr Elbow Unilateral With/Without Contrast	10	$5,053.09	$13,762.65	$12,632.44	nat. median $1,158 outlier · 10.9×
72156 CPT	Mr Spine Cervical With/Without Contrast	10	$4,411.88	$11,327.80	$10,731.60	nat. median $1,103 outlier · 9.7×
70551 CPT	Mr Brain Without Contrast	10	$4,373.77	$11,229.95	$10,638.90	nat. median $784 outlier · 13.6×
73723 CPT	Mr Lower Extremity Ankle Unilateral With/Without Cont	10	$4,118.47	$10,893.65	$10,169.10	nat. median $1,192 outlier · 8.5×
47536 CPT	An Exchange Biliary DRG Cath S&i	10	$4,105.15	$10,540.25	$9,985.50	nat. median $3,927 outlier · 2.5×
65780 CPT	Hgs Ocular Surface Reconstruction Amniotic Membrane	10	$4,089.24	$10,499.40	$9,946.80	nat. median $4,148 outlier · 2.4×
70546 CPT	MRA Head With/Without Contrast	10	$4,045.95	$10,388.25	$9,841.50	nat. median $1,070 outlier · 9.2×
72158 CPT	Mr Spine Lumbar With/Without Contrast	10	$4,011.17	$10,298.95	$9,756.90	nat. median $1,093 outlier · 8.9×
74183 CPT	Mr Abdomen With/Without Contrast	10	$4,011.17	$10,298.95	$9,756.90	nat. median $1,100 outlier · 8.9×
73720 CPT	Mr Extremity Non-joint Lower Unilateral With/Without Contrast	10	$3,941.24	$10,579.20	$9,752.40	nat. median $1,129 outlier · 8.6×
81416 CPT	Exome Sequence Analysis	10	$9,600.00	$9,600.00	$9,600.00	nat. median $12,000 0.8× median
72157 CPT	Mr Spine Thoracic With/Without Contrast	10	$3,910.90	$10,041.50	$9,513.00	nat. median $1,105 outlier · 8.6×
70543 CPT	Mr Orbit Face & Neck With/Without Contrast	10	$3,816.55	$9,799.25	$9,283.50	nat. median $1,083 outlier · 8.6×
869T OTHER	Njx B1 Sub Matrl B1&/Sft Tissue Hw Fixj Agmntj	10	$3,783.62	$9,714.70	$9,203.40	nat. median $4,342 outlier · 2.1×
47125 CPT	Hepatectomy Rescj Total Left Lobectomy	10	$3,764.75	$9,666.25	$9,157.50	nat. median $4,025 outlier · 2.3×
70553 CPT	Mr Brain With/Without Contrast	10	$3,745.51	$9,616.85	$9,110.70	nat. median $1,133 outlier · 8.0×
421T OTHER	Hgs Pr Transurethral Waterjet Ablation Prostate Compl	10	$3,718.13	$9,546.55	$9,044.10	nat. median $9,107 1.0× median
50694 CPT	An Plmt Uret Stent Perc Wo Sep Neph Cath New Access Inc S&i	10	$3,687.05	$9,466.75	$8,968.50	nat. median $4,338 outlier · 2.1×
50695 CPT	An Plmt Uret Stent Perc W/Sep Neph Cath New Access Inc S&i	10	$3,687.05	$9,466.75	$8,968.50	nat. median $4,461 outlier · 2.0×
50693 CPT	An Plmt Uret Stent Perc Exist Access Inc S&i	10	$3,687.05	$9,466.75	$8,968.50	nat. median $4,216 outlier · 2.1×
71552 CPT	Mr Chest With/Without Contrast	10	$3,678.54	$9,444.90	$8,947.80	nat. median $1,097 outlier · 8.2×
72149 CPT	Mr Spine Lumbar With Contrast	10	$3,526.10	$9,053.50	$8,577.00	nat. median $978 outlier · 8.8×
72198 CPT	MRA Pelvis With Contrast	10	$3,184.59	$8,176.65	$7,746.30	nat. median $1,128 outlier · 6.9×
73221 CPT	Mr Elbow Unilateral Without Contrast	10	$2,983.31	$9,957.90	$7,659.85	nat. median $844 outlier · 9.1×
22513 CPT	Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulation	10	$251.23	$16,110.10	$7,631.10	nat. median $8,347 0.9× median
71550 CPT	Mr Chest Without Contrast	10	$3,128.35	$8,032.25	$7,609.50	nat. median $820 outlier · 9.3×
74170 CPT	Abdomen CT With/Without Contrast	10	$3,116.14	$8,000.90	$7,579.80	nat. median $710 outlier · 10.7×
73721 CPT	Lower Extremity Joint Without Contrast	10	$3,063.97	$8,104.45	$7,565.40	nat. median $856 outlier · 8.8×
71555 CPT	MRA Chest With Contrast	10	$2,994.78	$10,388.25	$7,527.42	nat. median $1,143 outlier · 6.6×
73722 CPT	Mr Lower Extremity Ankle Unilateral With Cont	10	$3,020.68	$8,104.45	$7,507.25	nat. median $1,279 outlier · 5.9×
74174 CPT	CTA Abd/Pelvis With/WO Contrast	10	$3,046.21	$7,821.35	$7,409.70	nat. median $988 outlier · 7.5×
73218 CPT	Mr Brachial Plexus Unilateral Without Contrast	10	$2,942.61	$8,031.30	$7,371.54	nat. median $864 outlier · 8.5×
70552 CPT	Mr Brain With Contrast	10	$3,024.01	$7,764.35	$7,355.70	nat. median $962 outlier · 7.6×
72148 CPT	Mr Cine Motion Lumbar	10	$2,922.26	$11,327.80	$7,345.14	nat. median $805 outlier · 9.1×
74177 CPT	CT Abd & Pelvis W/Contrast	10	$2,995.52	$7,691.20	$7,286.40	nat. median $974 outlier · 7.5×
70545 CPT	MRA Head With Contrast	10	$2,994.78	$7,689.30	$7,284.60	nat. median $889 outlier · 8.2×
74182 CPT	Mr Abdomen With Contrast	10	$2,994.78	$7,689.30	$7,284.60	nat. median $971 outlier · 7.5×
70542 CPT	Mr Orbit Face & Neck With Contrast	10	$2,994.78	$7,689.30	$7,284.60	nat. median $923 outlier · 7.9×
78452 CPT	Nm Myocard Perf Spect Mult W/Ef&Wm	10	$2,937.43	$7,542.05	$7,145.10	nat. median $1,816 outlier · 3.9×
72142 CPT	Mr Spine Cervical With Contrast	10	$2,923.37	$7,505.95	$7,110.90	nat. median $975 outlier · 7.3×
70547 CPT	MRA Neck Without Contrast	10	$2,880.08	$7,394.80	$7,005.60	nat. median $761 outlier · 9.2×
70549 CPT	MRA Neck With/Without Contrast	10	$2,880.08	$7,394.80	$7,005.60	nat. median $1,055 outlier · 6.6×
44208 CPT	Laps Colectmy Prtl W/Colopxtstmy Lw Anast W/Clst	10	$2,857.88	$7,337.80	$6,951.60	nat. median $4,027 1.7× median

Other procedures at this hospital

Browse this hospital's 19,378 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

686T	OTHER	Hgs Histotripsy Of Malignant Hepatocellular Tissue (Liver)	13	10	$52,502.00	$52,502.00	$19,425.74	$49,876.90	$47,251.80	2026-03-19
37242	CPT	An Vasc Embolize/Occlude Artery	13	10	$50,122.00	$50,122.00	$18,545.14	$47,615.90	$45,109.80	2026-03-19
689T	OTHER	Hgs Quan US Tiss Charac I&r Without Dx US Same Anat	13	10	$35,001.00	$35,001.00	$12,950.37	$33,250.95	$31,500.90	2026-03-19
37241	CPT	An Vasc Embolize/Occlude Venous	13	10	$31,466.00	$31,466.00	$11,642.42	$29,892.70	$28,319.40	2026-03-19
37243	CPT	An Vasc Embolize/Occlude Organ	13	10	$31,446.00	$31,446.00	$11,635.02	$29,873.70	$28,301.40	2026-03-19
57283	CPT	Pr Repr Vaginal Prolapse,Uterosacral	13	10	$22,958.00	$22,958.00	$8,494.46	$21,810.10	$20,662.20	2026-03-19
64561	CPT	Hgs Percutaneous Implantation Of Neurostimulator Electrode Array; Sacral	13	10	$19,549.00	$19,549.00	$7,233.13	$18,571.55	$17,594.10	2026-03-19
73223	CPT	Mr Elbow Unilateral With/Without Contrast	52	10	$13,962.50	$13,962.50	$5,053.09	$13,762.65	$12,632.44	2026-03-19
72156	CPT	Mr Spine Cervical With/Without Contrast	13	10	$11,924.00	$11,924.00	$4,411.88	$11,327.80	$10,731.60	2026-03-19
70551	CPT	Mr Brain Without Contrast	13	10	$11,821.00	$11,821.00	$4,373.77	$11,229.95	$10,638.90	2026-03-19
73723	CPT	Mr Lower Extremity Ankle Unilateral With/Without Cont	26	10	$11,299.00	$11,299.00	$4,118.47	$10,893.65	$10,169.10	2026-03-19
47536	CPT	An Exchange Biliary DRG Cath S&i	13	10	$11,095.00	$11,095.00	$4,105.15	$10,540.25	$9,985.50	2026-03-19
65780	CPT	Hgs Ocular Surface Reconstruction Amniotic Membrane	13	10	$11,052.00	$11,052.00	$4,089.24	$10,499.40	$9,946.80	2026-03-19
70546	CPT	MRA Head With/Without Contrast	13	10	$10,935.00	$10,935.00	$4,045.95	$10,388.25	$9,841.50	2026-03-19
72158	CPT	Mr Spine Lumbar With/Without Contrast	13	10	$10,841.00	$10,841.00	$4,011.17	$10,298.95	$9,756.90	2026-03-19
74183	CPT	Mr Abdomen With/Without Contrast	13	10	$10,841.00	$10,841.00	$4,011.17	$10,298.95	$9,756.90	2026-03-19
73720	CPT	Mr Extremity Non-joint Lower Unilateral With/Without Contrast	52	10	$10,836.00	$10,836.00	$3,941.24	$10,579.20	$9,752.40	2026-03-19
81416	CPT	Exome Sequence Analysis	13	10	—	—	$9,600.00	$9,600.00	$9,600.00	2026-03-19
72157	CPT	Mr Spine Thoracic With/Without Contrast	13	10	$10,570.00	$10,570.00	$3,910.90	$10,041.50	$9,513.00	2026-03-19
70543	CPT	Mr Orbit Face & Neck With/Without Contrast	13	10	$10,315.00	$10,315.00	$3,816.55	$9,799.25	$9,283.50	2026-03-19
869T	OTHER	Njx B1 Sub Matrl B1&/Sft Tissue Hw Fixj Agmntj	13	10	$10,226.00	$10,226.00	$3,783.62	$9,714.70	$9,203.40	2026-03-19
47125	CPT	Hepatectomy Rescj Total Left Lobectomy	13	10	$10,175.00	$10,175.00	$3,764.75	$9,666.25	$9,157.50	2026-03-19
70553	CPT	Mr Brain With/Without Contrast	13	10	$10,123.00	$10,123.00	$3,745.51	$9,616.85	$9,110.70	2026-03-19
421T	OTHER	Hgs Pr Transurethral Waterjet Ablation Prostate Compl	13	10	$10,049.00	$10,049.00	$3,718.13	$9,546.55	$9,044.10	2026-03-19
50693	CPT	An Plmt Uret Stent Perc Exist Access Inc S&i	13	10	$9,965.00	$9,965.00	$3,687.05	$9,466.75	$8,968.50	2026-03-19
50694	CPT	An Plmt Uret Stent Perc Wo Sep Neph Cath New Access Inc S&i	13	10	$9,965.00	$9,965.00	$3,687.05	$9,466.75	$8,968.50	2026-03-19
50695	CPT	An Plmt Uret Stent Perc W/Sep Neph Cath New Access Inc S&i	13	10	$9,965.00	$9,965.00	$3,687.05	$9,466.75	$8,968.50	2026-03-19
71552	CPT	Mr Chest With/Without Contrast	13	10	$9,942.00	$9,942.00	$3,678.54	$9,444.90	$8,947.80	2026-03-19
72149	CPT	Mr Spine Lumbar With Contrast	13	10	$9,530.00	$9,530.00	$3,526.10	$9,053.50	$8,577.00	2026-03-19
72198	CPT	MRA Pelvis With Contrast	13	10	$8,607.00	$8,607.00	$3,184.59	$8,176.65	$7,746.30	2026-03-19
73221	CPT	Mr Elbow Unilateral Without Contrast	39	10	$10,173.00	$10,173.00	$2,983.31	$9,957.90	$7,659.85	2026-03-19
22513	CPT	Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulation	39	10	$16,206.00	$16,206.00	$251.23	$16,110.10	$7,631.10	2026-03-19
71550	CPT	Mr Chest Without Contrast	13	10	$8,455.00	$8,455.00	$3,128.35	$8,032.25	$7,609.50	2026-03-19
74170	CPT	Abdomen CT With/Without Contrast	13	10	$8,422.00	$8,422.00	$3,116.14	$8,000.90	$7,579.80	2026-03-19
73721	CPT	Lower Extremity Joint Without Contrast	26	10	$8,406.00	$8,406.00	$3,063.97	$8,104.45	$7,565.40	2026-03-19
71555	CPT	MRA Chest With Contrast	26	10	$9,514.50	$9,514.50	$2,994.78	$10,388.25	$7,527.42	2026-03-19
73722	CPT	Mr Lower Extremity Ankle Unilateral With Cont	52	10	$8,356.00	$8,356.00	$3,020.68	$8,104.45	$7,507.25	2026-03-19
74174	CPT	CTA Abd/Pelvis With/WO Contrast	13	10	$8,233.00	$8,233.00	$3,046.21	$7,821.35	$7,409.70	2026-03-19
73218	CPT	Mr Brachial Plexus Unilateral Without Contrast	52	10	$8,089.00	$8,089.00	$2,942.61	$8,031.30	$7,371.54	2026-03-19
70552	CPT	Mr Brain With Contrast	13	10	$8,173.00	$8,173.00	$3,024.01	$7,764.35	$7,355.70	2026-03-19
72148	CPT	Mr Cine Motion Lumbar	26	10	$9,911.00	$9,911.00	$2,922.26	$11,327.80	$7,345.14	2026-03-19
74177	CPT	CT Abd & Pelvis W/Contrast	13	10	$8,096.00	$8,096.00	$2,995.52	$7,691.20	$7,286.40	2026-03-19
70542	CPT	Mr Orbit Face & Neck With Contrast	13	10	$8,094.00	$8,094.00	$2,994.78	$7,689.30	$7,284.60	2026-03-19
70545	CPT	MRA Head With Contrast	13	10	$8,094.00	$8,094.00	$2,994.78	$7,689.30	$7,284.60	2026-03-19
74182	CPT	Mr Abdomen With Contrast	13	10	$8,094.00	$8,094.00	$2,994.78	$7,689.30	$7,284.60	2026-03-19
78452	CPT	Nm Myocard Perf Spect Mult W/Ef&Wm	13	10	$7,939.00	$7,939.00	$2,937.43	$7,542.05	$7,145.10	2026-03-19
72142	CPT	Mr Spine Cervical With Contrast	13	10	$7,901.00	$7,901.00	$2,923.37	$7,505.95	$7,110.90	2026-03-19
70549	CPT	MRA Neck With/Without Contrast	13	10	$7,784.00	$7,784.00	$2,880.08	$7,394.80	$7,005.60	2026-03-19
70547	CPT	MRA Neck Without Contrast	13	10	$7,784.00	$7,784.00	$2,880.08	$7,394.80	$7,005.60	2026-03-19
44208	CPT	Laps Colectmy Prtl W/Colopxtstmy Lw Anast W/Clst	13	10	$7,724.00	$7,724.00	$2,857.88	$7,337.80	$6,951.60	2026-03-19
47120	CPT	Hepatectomy Rescj Partial Lobectomy	13	10	$7,721.00	$7,721.00	$2,856.77	$7,334.95	$6,948.90	2026-03-19
73718	CPT	Mr Extremity Limited Lower Unilateral Without Contrast	39	10	$7,743.00	$7,743.00	$2,753.54	$7,802.35	$6,921.06	2026-03-19
73719	CPT	Mr Extremity Non-joint Lower Unilateral With Contrast	39	10	$7,892.00	$7,892.00	$2,753.54	$7,836.55	$6,921.06	2026-03-19
70540	CPT	Mr Orbit Face & Neck Without Contrast	13	10	$7,679.00	$7,679.00	$2,841.23	$7,295.05	$6,911.10	2026-03-19
70544	CPT	MRA Head Without Contrast	13	10	$7,670.00	$7,670.00	$2,837.90	$7,286.50	$6,903.00	2026-03-19
71275	CPT	Chest CTA With/Without Contrast	26	10	$7,653.00	$7,653.00	$2,749.47	$7,481.25	$6,881.04	2026-03-19
72141	CPT	Mr Cine Motion Cervical	26	10	$7,650.50	$7,650.50	$2,736.52	$7,509.75	$6,877.82	2026-03-19
51596	CPT	Cstc Compl W/Continent Dvrj Opn Neobldr	13	10	$7,633.00	$7,633.00	$2,824.21	$7,251.35	$6,869.70	2026-03-19
73725	CPT	MRA Extremity Lower Unilateral With Contrast	39	10	$7,892.00	$7,892.00	$2,716.54	$10,119.40	$6,866.04	2026-03-19
74178	CPT	CT Abd & Pelvis W/wo Contrast	13	10	$7,570.00	$7,570.00	$2,800.90	$7,191.50	$6,813.00	2026-03-19
58240	CPT	Pel Exntj Gynecologic Mal	13	10	$7,523.00	$7,523.00	$2,783.51	$7,146.85	$6,770.70	2026-03-19
74181	CPT	Mr Abdomen Without Contrast	13	10	$7,464.00	$7,464.00	$2,761.68	$7,090.80	$6,717.60	2026-03-19
71270	CPT	Chest CT With/Without Contrast	13	10	$7,431.00	$7,431.00	$2,749.47	$7,059.45	$6,687.90	2026-03-19
72146	CPT	Mr Spine Thoracic Without Contrast	13	10	$7,396.00	$7,396.00	$2,736.52	$7,026.20	$6,656.40	2026-03-19
70548	CPT	MRA Neck With Contrast	13	10	$7,282.00	$7,282.00	$2,694.34	$6,917.90	$6,553.80	2026-03-19
70498	CPT	Neck CTA With/With0ut Contrast	13	10	$7,273.00	$7,273.00	$2,691.01	$6,909.35	$6,545.70	2026-03-19
75635	CPT	Abdomen Aorta & Bilateral Iliofemerol CTA With/Without Contrast	13	10	$7,248.00	$7,248.00	$2,681.76	$6,885.60	$6,523.20	2026-03-19
73225	CPT	MRA Extremity Upper Unilateral Wwo	13	10	$7,248.00	$7,248.00	$2,681.76	$6,885.60	$6,523.20	2026-03-19
53850	CPT	Trurl Dstrj Prstate Tiss Microwave Thermoth	13	10	$6,950.00	$6,950.00	$2,571.50	$6,602.50	$6,255.00	2026-03-19
73702	CPT	Extremity Lower Unilateral CT With/Without Contrast	13	10	$6,944.00	$6,944.00	$2,569.28	$6,596.80	$6,249.60	2026-03-19
72194	CPT	Pelvis CT With/Without Contrast	13	10	$6,941.00	$6,941.00	$2,568.17	$6,593.95	$6,246.90	2026-03-19
36481	CPT	Prq Portal Vein Catheterization Any Method	26	10	$6,949.00	$6,949.00	$2,460.87	$6,884.65	$6,185.43	2026-03-19
70496	CPT	Head CTA With/Without Contrast	13	10	$6,858.00	$6,858.00	$2,537.46	$6,515.10	$6,172.20	2026-03-19
73206	CPT	Extremity Upper Unilateral CTA With/Without Contrast	13	10	$6,759.00	$6,759.00	$2,500.83	$6,421.05	$6,083.10	2026-03-19
52287	CPT	Cystourethroscopy Inj Chemodenervation Bladder	13	10	$6,637.00	$6,637.00	$2,455.69	$6,305.15	$5,973.30	2026-03-19
81162	CPT	Hgs Brca1&2 Seq & Full Dup/Del	13	10	$6,573.00	$6,573.00	$1,459.90	$6,244.35	$5,915.70	2026-03-19
59400	CPT	Hgs Pr Obstetrical Care	26	10	$6,482.00	$6,482.00	$2,339.88	$6,308.00	$5,829.06	2026-03-19
74175	CPT	Abdomen CTA With/Without Contrast	13	10	$6,467.00	$6,467.00	$2,392.79	$6,143.65	$5,820.30	2026-03-19
72147	CPT	Mr Spine Thoracic With Contrast	13	10	$6,455.00	$6,455.00	$2,388.35	$6,132.25	$5,809.50	2026-03-19
73202	CPT	Extremity Upper Unilateral CT With/Without Contrast	13	10	$6,442.00	$6,442.00	$2,383.54	$6,119.90	$5,797.80	2026-03-19
70470	CPT	Head CT With/Without Contrast	13	10	$6,431.00	$6,431.00	$2,379.47	$6,109.45	$5,787.90	2026-03-19
59510	CPT	Hgs Pr Routine OB Care, Cesarean, Incl Antepartum	13	10	$6,408.00	$6,408.00	$2,370.96	$6,087.60	$5,767.20	2026-03-19
43632	CPT	Gstrct Prtl Dstl W/Gastrojejunostomy	26	10	$6,450.00	$6,450.00	$2,284.01	$6,390.65	$5,740.89	2026-03-19
58565	CPT	Hysteroscopy Bi Tube Occlusion W/Perm Implnts	13	10	$6,233.00	$6,233.00	$2,306.21	$5,921.35	$5,609.70	2026-03-19
45110	CPT	Prctect Compl Cmbn Abdominoprnl W/Clst	13	10	$6,202.00	$6,202.00	$2,294.74	$5,891.90	$5,581.80	2026-03-19
31612	CPT	Hgs Tracheal Pnxr Perq W/Transtracheal Aspir&/Njx	13	10	$6,136.00	$6,136.00	$2,270.32	$5,829.20	$5,522.40	2026-03-19
73706	CPT	Extremity Lower Unilateral CTA With/Without Contrast	13	10	$6,097.00	$6,097.00	$2,255.89	$5,792.15	$5,487.30	2026-03-19
32408	CPT	Biopsy Lung/Mediastinum With Imaging	13	10	$6,029.00	$6,029.00	$2,230.73	$5,727.55	$5,426.10	2026-03-19
49405	CPT	Drain Visceral Perc By Cath W Guidance	13	10	$6,029.00	$6,029.00	$2,230.73	$5,727.55	$5,426.10	2026-03-19
20206	CPT	Biopsy Muscle Percutaneous	13	10	$6,029.00	$6,029.00	$2,230.73	$5,727.55	$5,426.10	2026-03-19
49180	CPT	Biopsy Abdomen/Retroperitoneal Mass	13	10	$6,029.00	$6,029.00	$2,230.73	$5,727.55	$5,426.10	2026-03-19
20225	CPT	CT Biopsy Bone Deep	13	10	$6,029.00	$6,029.00	$2,230.73	$5,727.55	$5,426.10	2026-03-19
27138	CPT	Revj Tot Hip Arthrp Fem Only W/wo Algrft	13	10	$5,990.00	$5,990.00	$2,216.30	$5,690.50	$5,391.00	2026-03-19
72133	CPT	Spine Lumbar CT With/Without Contrast	13	10	$5,951.00	$5,951.00	$2,201.87	$5,653.45	$5,355.90	2026-03-19
70488	CPT	Facial Bones CT With/Without Contrast	13	10	$5,942.00	$5,942.00	$2,198.54	$5,644.90	$5,347.80	2026-03-19
70492	CPT	Neck Soft Tissue CT With/Without Contrast	13	10	$5,941.00	$5,941.00	$2,198.17	$5,643.95	$5,346.90	2026-03-19
44150	CPT	Colct Tot Abdl Without Prctect W/Ileost/Ileopxts	26	10	$6,007.00	$6,007.00	$2,127.13	$5,951.75	$5,346.57	2026-03-19
52647	CPT	Laser Coagulation Of Prostate For Urine Flow	13	10	$5,930.00	$5,930.00	$2,194.10	$5,633.50	$5,337.00	2026-03-19
52648	CPT	Laser Vaporization Of Prostate For Urine Flow	13	10	$5,887.00	$5,887.00	$2,178.19	$5,592.65	$5,298.30	2026-03-19
44055	CPT	Corrj Malrotation Bands&/Rdctj Volvulus	13	10	$5,863.00	$5,863.00	$2,169.31	$5,569.85	$5,276.70	2026-03-19
50830	CPT	Urinary Unidiversion	13	10	$5,849.00	$5,849.00	$2,164.13	$5,556.55	$5,264.10	2026-03-19
27762	CPT	Ankle Fracture W Manip Wwo Traction	13	10	$5,839.00	$5,839.00	$2,160.43	$5,547.05	$5,255.10	2026-03-19
72126	CPT	Spine Cervical CT With Contrast	13	10	$5,832.00	$5,832.00	$2,157.84	$5,540.40	$5,248.80	2026-03-19
55700	CPT	Hgs Prostate Needle Biopsy Any Approach	13	10	$5,822.00	$5,822.00	$2,154.14	$5,530.90	$5,239.80	2026-03-19
52281	CPT	Hgs Cysto Calibration Dilat Urtl Strix/Stenosis	13	10	$5,822.00	$5,822.00	$2,154.14	$5,530.90	$5,239.80	2026-03-19
50434	CPT	Convert Nephrostomy Cath To Nephrourtrl Cath Prq	13	10	$5,822.00	$5,822.00	$2,154.14	$5,530.90	$5,239.80	2026-03-19
52315	CPT	Hgs Cysto W/Complex Removal Stone & Stent	13	10	$5,822.00	$5,822.00	$2,154.14	$5,530.90	$5,239.80	2026-03-19
50387	CPT	An Removal & Replace External Nephroureteral Cath	13	10	$5,822.00	$5,822.00	$2,154.14	$5,530.90	$5,239.80	2026-03-19
50432	CPT	An Intro Drain/Inject Cath Ren Pelv S&i	13	10	$5,822.00	$5,822.00	$2,154.14	$5,530.90	$5,239.80	2026-03-19
50435	CPT	An Exchange Nephrostomy Cath	13	10	$5,822.00	$5,822.00	$2,154.14	$5,530.90	$5,239.80	2026-03-19
52310	CPT	Hgs Cysto W/Simple Removal Stone & Stent	13	10	$5,822.00	$5,822.00	$2,154.14	$5,530.90	$5,239.80	2026-03-19
55250	CPT	Hgs Vasectomy Uni/Bi Spx W/Postop Semen Exams	13	10	$5,822.00	$5,822.00	$2,154.14	$5,530.90	$5,239.80	2026-03-19
72132	CPT	Spine Lumbar CT With Contrast	13	10	$5,798.00	$5,798.00	$2,145.26	$5,508.10	$5,218.20	2026-03-19
44141	CPT	Colectomy Prtl W/Skin Level Cecost/Colostomy	26	10	$5,843.00	$5,843.00	$2,069.04	$5,789.30	$5,200.56	2026-03-19
27134	CPT	Revj Tot Hip Arthrp Bth W/wo Agrft/Algrft	13	10	$5,765.00	$5,765.00	$2,133.05	$5,476.75	$5,188.50	2026-03-19
44210	CPT	Laps Colectomy Tot Without Prctect W/Ileost/Ileopxts	26	10	$5,763.00	$5,763.00	$2,040.55	$5,710.45	$5,128.95	2026-03-19
24200	CPT	Remove Fb Arm Subq	13	10	$5,672.00	$5,672.00	$2,098.64	$5,388.40	$5,104.80	2026-03-19
19100	CPT	Hgs Biopsy Of Breast, Needle Core	13	10	$5,672.00	$5,672.00	$2,098.64	$5,388.40	$5,104.80	2026-03-19
58210	CPT	Rad Abdl Hysterectomy W/Bi Pelvic Lmphadenectomy	13	10	$5,668.00	$5,668.00	$2,097.16	$5,384.60	$5,101.20	2026-03-19
43644	CPT	Pr Lap Gastric Bypass/roux-en-y	13	10	$5,666.00	$5,666.00	$2,096.42	$5,382.70	$5,099.40	2026-03-19
58954	CPT	Bso W/Omentectomy Tah Debulking W/Lmphadectomy	13	10	$5,652.00	$5,652.00	$2,091.24	$5,369.40	$5,086.80	2026-03-19
72193	CPT	Pelvis CT With Contrast	13	10	$5,625.00	$5,625.00	$2,081.25	$5,343.75	$5,062.50	2026-03-19
38724	CPT	Cervical Lymphadec Modified Radical Neck Dsj	13	10	$5,624.00	$5,624.00	$2,080.88	$5,342.80	$5,061.60	2026-03-19
27781	CPT	Closed Rx Prox/Shaft Fib Fx,Manip	13	10	$5,612.00	$5,612.00	$2,076.44	$5,331.40	$5,050.80	2026-03-19
44144	CPT	Colectomy Prtl W/Colost/Ileost & Mucofistula	26	10	$5,658.00	$5,658.00	$2,003.55	$5,605.95	$5,035.95	2026-03-19
74160	CPT	Abdomen CT With Contrast	26	10	$6,215.00	$6,215.00	$1,999.48	$6,674.70	$5,025.72	2026-03-19
32557	CPT	Pleural Drainage Perc W/Cath Insert/Imaging Guidance	13	10	$5,567.00	$5,567.00	$2,059.79	$5,288.65	$5,010.30	2026-03-19
72129	CPT	Spine Thoracic CT With Contrast	13	10	$5,528.00	$5,528.00	$2,045.36	$5,251.60	$4,975.20	2026-03-19
44143	CPT	Colectomy Prtl W/End Colostomy & Clsr Dstl Sgmt	39	10	$5,717.00	$5,717.00	$1,940.65	$6,768.75	$4,973.79	2026-03-19
58563	CPT	Hysteroscopy Endometrial Ablation	13	10	$5,508.00	$5,508.00	$2,037.96	$5,232.60	$4,957.20	2026-03-19
73201	CPT	Extremity Upper Unilateral CT With Contrast	13	10	$5,446.00	$5,446.00	$2,015.02	$5,173.70	$4,901.40	2026-03-19
78816	CPT	Pet/CT Whole Body Tumor Imaging	13	10	$5,439.00	$5,439.00	$2,012.43	$5,167.05	$4,895.10	2026-03-19
78608	CPT	PET Brain Alzheimer's Fdg	13	10	$5,439.00	$5,439.00	$2,012.43	$5,167.05	$4,895.10	2026-03-19
78815	CPT	Pet/CT Skull Thigh Tumor Imaging	13	10	$5,439.00	$5,439.00	$2,012.43	$5,167.05	$4,895.10	2026-03-19
72197	CPT	Mr Pelvis Sacral Plexus With/Without Contrast	39	10	$10,522.00	$10,522.00	$583.86	$10,298.95	$4,878.45	2026-03-19
73701	CPT	Extremity Lower Unilateral CT With Contrast	13	10	$5,406.00	$5,406.00	$2,000.22	$5,135.70	$4,865.40	2026-03-19
50825	CPT	Continent Dvrj W/Int Anast Any Sgm Sm&/Lg Intstn	13	10	$5,393.00	$5,393.00	$1,995.41	$5,123.35	$4,853.70	2026-03-19
44151	CPT	Colct Tot Abdl Without Prctect W/Continent Ileost	26	10	$5,452.50	$5,452.50	$1,930.66	$5,402.65	$4,852.74	2026-03-19
77012	CPT	An CT Guidance Needle Placement S&i	39	10	$6,622.00	$6,622.00	$1,884.78	$6,911.25	$4,839.30	2026-03-19
44603	CPT	Enterorrhaphy Multiple Perforations	13	10	$5,374.00	$5,374.00	$1,988.38	$5,105.30	$4,836.60	2026-03-19
73220	CPT	Mr Brachial Plexus Unilateral With/Without Contrast	52	10	$8,101.50	$8,101.50	$741.48	$10,580.15	$4,818.40	2026-03-19
44626	CPT	Clsr Ntrstm Lg/Sm Rescj & Colorectal Anastomosis	13	10	$5,334.00	$5,334.00	$1,973.58	$5,067.30	$4,800.60	2026-03-19
55845	CPT	Prostect Retropub Rad W/wo Nrv Spar & Bi Plv Lym	13	10	$5,308.00	$5,308.00	$1,963.96	$5,042.60	$4,777.20	2026-03-19
49020	CPT	Drainage Periton Abscess/Local Peritonitis Open	13	10	$5,285.00	$5,285.00	$1,955.45	$5,020.75	$4,756.50	2026-03-19
70482	CPT	Iac/Sella/Pf CT With/Without Contrast	13	10	$5,251.00	$5,251.00	$1,942.87	$4,988.45	$4,725.90	2026-03-19
44155	CPT	Colectomy Tot Abdl W/Proctectomy W/Ileostomy	26	10	$5,297.00	$5,297.00	$1,875.90	$5,247.80	$4,715.10	2026-03-19
74176	CPT	CT Abd & Pelvis Without Contrast	13	10	$5,235.00	$5,235.00	$1,936.95	$4,973.25	$4,711.50	2026-03-19
44145	CPT	Colectomy Prtl W/Coloproctostomy	26	10	$5,293.50	$5,293.50	$1,874.42	$5,244.95	$4,711.38	2026-03-19
55812	CPT	Prostatectomy Perineal Radical W/Lymph Node Bx	13	10	$5,224.00	$5,224.00	$1,932.88	$4,962.80	$4,701.60	2026-03-19
58953	CPT	Bso W/Omentectomy Tah&Rad Debulking Dissection	13	10	$5,215.00	$5,215.00	$1,929.55	$4,954.25	$4,693.50	2026-03-19
44206	CPT	Laps Colectomy Prtl W/End Clst & Clsr Dstl Sgm	13	10	$5,181.00	$5,181.00	$1,916.97	$4,921.95	$4,662.90	2026-03-19
44661	CPT	Clsr Enteroves Fstl W/Intestine&/Bladder Rescj	13	10	$5,142.00	$5,142.00	$1,902.54	$4,884.90	$4,627.80	2026-03-19
73219	CPT	Mr Brachial Plexus Unilateral With Contrast	13	10	$5,072.00	$5,072.00	$1,876.64	$4,818.40	$4,564.80	2026-03-19
27132	CPT	Conv Prev Hip Tot Hip Arthrp W/wo Agrft/Algrft	13	10	$5,003.00	$5,003.00	$1,851.11	$4,752.85	$4,502.70	2026-03-19
11406	CPT	Exc Tr-ext B9+Marg>4.0 Cm	13	10	$4,988.00	$4,988.00	$1,845.56	$4,738.60	$4,489.20	2026-03-19
K0808	HCPCS	Dme Pos	13	10	—	—	$4,463.00	$4,463.00	$4,463.00	2026-03-19
72125	CPT	Spine Cervical CT Without Contrast	13	10	$4,938.00	$4,938.00	$1,827.06	$4,691.10	$4,444.20	2026-03-19
72191	CPT	Pelvis CTA With/Without Contrast	13	10	$4,929.00	$4,929.00	$1,823.73	$4,682.55	$4,436.10	2026-03-19
70481	CPT	Iac/Sella/Pf CT With Contrast	13	10	$4,919.00	$4,919.00	$1,820.03	$4,673.05	$4,427.10	2026-03-19
43860	CPT	Revj Gstr/Jj Anast W/Rcnstj Without Vgtmy	13	10	$4,896.00	$4,896.00	$1,811.52	$4,651.20	$4,406.40	2026-03-19
15273	CPT	Hgs High Cost Skin Sub Appl Arm/Lg Child	13	10	$4,842.00	$4,842.00	$1,791.54	$4,599.90	$4,357.80	2026-03-19
15277	CPT	Hgs High Cost Skin Sub Appl Face/Nk/Hf/Gen Child	13	10	$4,842.00	$4,842.00	$1,791.54	$4,599.90	$4,357.80	2026-03-19
27091	CPT	Rmvl Hip Prosth Comp W/Tot Hip Prosth Mma	13	10	$4,839.00	$4,839.00	$1,790.43	$4,597.05	$4,355.10	2026-03-19
27429	CPT	Ligmous Rcnstj Agmntj Kne Intra-articular Xtr	13	10	$4,830.00	$4,830.00	$1,787.10	$4,588.50	$4,347.00	2026-03-19
50543	CPT	Hgs Pr Laparoscopy Surg Partial Nephrectomy	13	10	$4,787.00	$4,787.00	$1,771.19	$4,547.65	$4,308.30	2026-03-19
43282	CPT	Laps Rpr Paraesphgl Hrna Incl Fundplsty W/Mesh	13	10	$4,743.00	$4,743.00	$1,754.91	$4,505.85	$4,268.70	2026-03-19
44146	CPT	Colectomy Prtl W/Coloproctostomy & Colostomy	13	10	$4,709.00	$4,709.00	$1,742.33	$4,473.55	$4,238.10	2026-03-19
67715	CPT	Canthotomy Separate Procedure	26	10	$4,693.00	$4,693.00	$1,696.45	$4,560.95	$4,220.46	2026-03-19
70491	CPT	Neck Soft Tissue CT With Contrast	13	10	$4,679.00	$4,679.00	$1,731.23	$4,445.05	$4,211.10	2026-03-19
44602	CPT	Enterorrhaphy Single Perforation	13	10	$4,678.00	$4,678.00	$1,730.86	$4,444.10	$4,210.20	2026-03-19
35221	CPT	Repair Blood Vessel Direct Intra-abdominal	26	10	$4,714.00	$4,714.00	$1,669.07	$4,671.15	$4,195.23	2026-03-19
55842	CPT	Prostect Retropubic Rad W/wo Nrv Spar W/Lymph Bx	13	10	$4,652.00	$4,652.00	$1,721.24	$4,419.40	$4,186.80	2026-03-19
72131	CPT	Spine Lumbar CT Without Contrast	13	10	$4,603.00	$4,603.00	$1,703.11	$4,372.85	$4,142.70	2026-03-19
50236	CPT	Nephrectomy Tot Ureterec&Bldr Cuff Separ Incisn	13	10	$4,595.00	$4,595.00	$1,700.15	$4,365.25	$4,135.50	2026-03-19
70460	CPT	Head CT With Contrast	13	10	$4,587.00	$4,587.00	$1,697.19	$4,357.65	$4,128.30	2026-03-19
73222	CPT	Mr Elbow Unilateral With Contrast	26	10	$7,882.00	$7,882.00	$1,544.75	$11,009.55	$4,127.09	2026-03-19
21320	CPT	Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization	26	10	$5,351.00	$5,351.00	$1,641.32	$5,952.70	$4,125.48	2026-03-19
43631	CPT	Gstrct Prtl Dstl W/Gastroduodenostomy	26	10	$4,620.50	$4,620.50	$1,636.14	$4,578.05	$4,112.46	2026-03-19
44320	CPT	Colostomy/Skin Level Cecostomy	26	10	$4,619.50	$4,619.50	$1,635.77	$4,577.10	$4,111.53	2026-03-19
72128	CPT	Spine Thoracic CT Without Contrast	13	10	$4,561.00	$4,561.00	$1,687.57	$4,332.95	$4,104.90	2026-03-19
47350	CPT	Mgmt Lvr Hemrrg Smpl Sutr Lvr Wnd/Inj	13	10	$4,559.00	$4,559.00	$1,686.83	$4,331.05	$4,103.10	2026-03-19
51960	CPT	Enterocystoplasty W/Intestinal Anastomosis	13	10	$4,528.00	$4,528.00	$1,675.36	$4,301.60	$4,075.20	2026-03-19
47900	CPT	Hgs Pr Suture Extrahepatic Bile Duct Pre-exist Injury	13	10	$4,527.00	$4,527.00	$1,674.99	$4,300.65	$4,074.30	2026-03-19
78227	CPT	Nm Hepatobiliary Gi With Pharm, W/wo Quant	13	10	$4,514.00	$4,514.00	$1,670.18	$4,288.30	$4,062.60	2026-03-19
58951	CPT	Rescj Prim Prtl Mal W/Bso & Omntc Tah & Lmphad	13	10	$4,469.00	$4,469.00	$1,653.53	$4,245.55	$4,022.10	2026-03-19
23473	CPT	Revis Shoulder Arthrplsty Humeral/Glenoid Compnt	13	10	$4,418.00	$4,418.00	$1,634.66	$4,197.10	$3,976.20	2026-03-19
74185	CPT	MRA Abdomen With Contrast	39	10	$7,529.00	$7,529.00	$1,039.70	$8,359.05	$3,959.55	2026-03-19
78226	CPT	Nm Hepatobiliary Gi	13	10	$4,387.00	$4,387.00	$1,623.19	$4,167.65	$3,948.30	2026-03-19
44202	CPT	Laps Enterect Rescj 1 Small Intest Rescj & Ana	26	10	$4,425.00	$4,425.00	$1,566.95	$4,384.25	$3,938.55	2026-03-19
50405	CPT	Pyeloplasty Complicated	13	10	$4,373.00	$4,373.00	$1,618.01	$4,154.35	$3,935.70	2026-03-19
43501	CPT	Gastrotomy W/Suture Repair Bleeding Ulcer	26	10	$4,416.00	$4,416.00	$1,563.62	$4,375.70	$3,930.18	2026-03-19
50545	CPT	Laparoscopy Radical Nephrectomy	13	10	$4,357.00	$4,357.00	$1,612.09	$4,139.15	$3,921.30	2026-03-19
36571	CPT	Insj Prph Ctr Vad W/Subq Port Age 5 Yr/>	26	10	$4,368.00	$4,368.00	$1,546.60	$4,328.20	$3,887.40	2026-03-19
27487	CPT	Revj Tot Knee Arthrp Fem&Entire Tibial Compone	39	10	$4,388.00	$4,388.00	$1,543.64	$4,542.90	$3,879.96	2026-03-19
50240	CPT	Nephrectomy Partial	13	10	$4,301.00	$4,301.00	$1,591.37	$4,085.95	$3,870.90	2026-03-19
50820	CPT	Ureteroileal Conduit W/Intestine Anastomosis	13	10	$4,294.00	$4,294.00	$1,588.78	$4,079.30	$3,864.60	2026-03-19
37617	CPT	Ligation Major Artery Abdomen	26	10	$4,337.50	$4,337.50	$1,535.87	$4,297.80	$3,860.43	2026-03-19
71260	CPT	Chest CT With Contrast	26	10	$4,915.50	$4,915.50	$1,533.65	$5,401.70	$3,854.85	2026-03-19
43840	CPT	Gastrorrhaphy Sutr Prf8 Duol/Gstr Ulcer Wnd/Inj	39	10	$4,300.00	$4,300.00	$1,533.28	$4,289.25	$3,853.92	2026-03-19
71250	CPT	Chest CT Without Contrast	13	10	$4,268.00	$4,268.00	$1,579.16	$4,054.60	$3,841.20	2026-03-19
73700	CPT	Extremity Lower Unilateral CT Without Contrast	13	10	$4,268.00	$4,268.00	$1,579.16	$4,054.60	$3,841.20	2026-03-19
44207	CPT	Laps Colectomy Prtl W/Colopxtstmy Lw Anast	13	10	$4,258.00	$4,258.00	$1,575.46	$4,045.10	$3,832.20	2026-03-19
81415	CPT	Exome Sequence Analysis	13	10	—	—	$3,824.00	$3,824.00	$3,824.00	2026-03-19
29868	CPT	Arthroscopy Knee Meniscal Trnsplj Med/Lat	26	10	$4,294.50	$4,294.50	$1,520.70	$4,255.05	$3,822.30	2026-03-19
78305	CPT	Nm Bone Imaging Multiple Area Without	13	10	$4,246.00	$4,246.00	$1,571.02	$4,033.70	$3,821.40	2026-03-19
58200	CPT	Tot Abd Hyst W/Paraortic & Pelvic Lymph Node Sam	13	10	$4,232.00	$4,232.00	$1,565.84	$4,020.40	$3,808.80	2026-03-19
50234	CPT	Nephrectomy W/Tot Ureterect&Bldr Cuff Same Inc	13	10	$4,222.00	$4,222.00	$1,562.14	$4,010.90	$3,799.80	2026-03-19
51565	CPT	Cstc Prtl W/Rimpltj Urtr In Bldr Urtroneocstost	13	10	$4,217.00	$4,217.00	$1,560.29	$4,006.15	$3,795.30	2026-03-19
58554	CPT	Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar	13	10	$4,214.00	$4,214.00	$1,559.18	$4,003.30	$3,792.60	2026-03-19
24370	CPT	Revis Elbow Arthrplsty Humeral/Ulna Compnt	13	10	$4,214.00	$4,214.00	$1,559.18	$4,003.30	$3,792.60	2026-03-19
78195	CPT	Lymphatic Sentinel Node Imaging	13	10	$4,211.00	$4,211.00	$1,558.07	$4,000.45	$3,789.90	2026-03-19
47612	CPT	Cholecystectomy Expl Duct Choledochoenterostomy	13	10	$4,210.00	$4,210.00	$1,557.70	$3,999.50	$3,789.00	2026-03-19
43771	CPT	Hgs Pr Laps Gastric Restrictive Px Revision Device	13	10	$4,201.00	$4,201.00	$1,554.37	$3,990.95	$3,780.90	2026-03-19
55840	CPT	Prostatectomy Retropubic W/wo Nerve Sparing	13	10	$4,191.00	$4,191.00	$1,550.67	$3,981.45	$3,771.90	2026-03-19
45307	CPT	Proctosgmdsc Rigid W/Rmvl Foreign Body	13	10	$4,186.00	$4,186.00	$1,548.82	$3,976.70	$3,767.40	2026-03-19
73200	CPT	Extremity Upper Unilateral CT Without Contrast	13	10	$4,178.00	$4,178.00	$1,545.86	$3,969.10	$3,760.20	2026-03-19
23474	CPT	Revis Shoulder Arthrplsty Humeral&Glenoid Compnt	13	10	$4,174.00	$4,174.00	$1,544.38	$3,965.30	$3,756.60	2026-03-19
44130	CPT	Enteroenterost Anast Int W/wo Cutan Ntrstm Spx	26	10	$4,193.00	$4,193.00	$1,484.81	$4,154.35	$3,732.09	2026-03-19
95810	CPT	Complex 13 Ch Psg Adult	13	10	$4,134.00	$4,134.00	$1,529.58	$3,927.30	$3,720.60	2026-03-19
58573	CPT	Hgs Pr Laparoscopy Tot Hysterectomy Uterus >250 Gram W Tube/Ovary	26	10	$4,115.50	$4,115.50	$1,472.60	$4,038.45	$3,699.89	2026-03-19
49406	CPT	Drain Peritoneal/Retroperit Perc By Cath W Guidance	26	10	$5,001.00	$5,001.00	$1,470.01	$5,727.55	$3,694.89	2026-03-19
78472	CPT	Nm Cardiac Blood Pool Wall Motion Ejection Fraction	13	10	$4,088.00	$4,088.00	$1,512.56	$3,883.60	$3,679.20	2026-03-19
78306	CPT	Nm Bone Imaging Whole Body	13	10	$4,067.00	$4,067.00	$1,504.79	$3,863.65	$3,660.30	2026-03-19
23472	CPT	Arthroplasty Glenohumeral Joint Total Shoulder	13	10	$4,052.00	$4,052.00	$1,499.24	$3,849.40	$3,646.80	2026-03-19
38222	CPT	CT Bone Marrow Biopsy & Aspiration	39	10	$4,172.00	$4,172.00	$79.18	$7,715.90	$3,629.64	2026-03-19
73115	CPT	Arthrography Wrist Injection Procedure	13	10	$4,032.00	$4,032.00	$1,491.84	$3,830.40	$3,628.80	2026-03-19
73580	CPT	Arthrogram Knee Unilateral	13	10	$4,032.00	$4,032.00	$1,491.84	$3,830.40	$3,628.80	2026-03-19
28299	CPT	Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy	13	10	$4,026.00	$4,026.00	$1,489.62	$3,824.70	$3,623.40	2026-03-19
41008	CPT	Drainage Of Mouth Lesion Submandibulr Space	26	10	$5,080.00	$5,080.00	$1,440.78	$5,952.70	$3,621.42	2026-03-19
74740	CPT	Hysterosalpingogram	13	10	$4,022.00	$4,022.00	$1,488.14	$3,820.90	$3,619.80	2026-03-19
70450	CPT	Head CT Limited Without Contrast	26	10	$4,015.00	$4,015.00	$1,463.72	$3,870.30	$3,613.50	2026-03-19
95808	CPT	Hgs Polysomnography Sleeping Stage With 1-3 Parameters	13	10	$4,011.00	$4,011.00	$1,484.07	$3,810.45	$3,609.90	2026-03-19
50230	CPT	Nephrectomy W/Prtl Ureterect Open Rib Rescj Rad	13	10	$4,010.00	$4,010.00	$1,483.70	$3,809.50	$3,609.00	2026-03-19
27828	CPT	Open Treatment Fracture Distal Tibia & Fibula	13	10	$4,000.00	$4,000.00	$1,480.00	$3,800.00	$3,600.00	2026-03-19
38115	CPT	Rpr Rptd Spleen Splenorrhaphy W/wo Prtl Splenect	26	10	$4,044.00	$4,044.00	$1,431.90	$4,007.10	$3,599.10	2026-03-19
58152	CPT	Tot Abd Hyst W/wo Rmvl Tube Ovary W/Colpurethrxy	13	10	$3,987.00	$3,987.00	$1,475.19	$3,787.65	$3,588.30	2026-03-19
50782	CPT	Ureteroneocystostomy Anast Duplicate Ureter Bldr	13	10	$3,987.00	$3,987.00	$1,475.19	$3,787.65	$3,588.30	2026-03-19
47010	CPT	Hgs Pr Hepatotomy Open Drainage Abscess/Cyst 1/2 Stages	13	10	$3,981.00	$3,981.00	$1,472.97	$3,781.95	$3,582.90	2026-03-19
19307	CPT	Mast Modf Rad W/Ax Lymph Nod W/wo Pect/Alis Min	13	10	$3,980.00	$3,980.00	$1,472.60	$3,781.00	$3,582.00	2026-03-19
49418	CPT	Insert Tunneled Ip Cath Perc	26	10	$5,123.50	$5,123.50	$1,423.02	$6,080.95	$3,576.78	2026-03-19
25023	CPT	Dcmprn Fasct F/Arm&/Wrst Flxr/Xtnsr W/Dbrdmt	13	10	$3,959.00	$3,959.00	$1,464.83	$3,761.05	$3,563.10	2026-03-19
49203	CPT	Excision/Destruction Open Abdominal Tumor 5 Cm/<	13	10	$3,959.00	$3,959.00	$1,464.83	$3,761.05	$3,563.10	2026-03-19
24363	CPT	Arthrp Elbow W/Distal Hum&Prox Ur Prostc Rplcm	13	10	$3,956.00	$3,956.00	$1,463.72	$3,758.20	$3,560.40	2026-03-19
50715	CPT	Ureterolysis W/Worpsg Ureter Retroperit Fibrosis	13	10	$3,955.00	$3,955.00	$1,463.35	$3,757.25	$3,559.50	2026-03-19
72195	CPT	Mr Pelvis Sacral Plexus Without Contrast	52	10	$7,356.00	$7,356.00	$709.29	$7,503.10	$3,554.10	2026-03-19
78803	CPT	Nm Bone Imaging Spect	13	10	$3,933.00	$3,933.00	$1,455.21	$3,736.35	$3,539.70	2026-03-19
78831	CPT	Nm Bone Img Mult Area W/Spect	13	10	$3,933.00	$3,933.00	$1,455.21	$3,736.35	$3,539.70	2026-03-19
15830	CPT	Exc Excsv Skn Abd Infraumbilical Panniculectomy	13	10	$3,929.00	$3,929.00	$1,453.73	$3,732.55	$3,536.10	2026-03-19
93970	CPT	Vascular Venous Bilateral/Mapping Ultrasound	13	10	$3,928.00	$3,928.00	$1,453.36	$3,731.60	$3,535.20	2026-03-19
78315	CPT	Nm Bone Imaging 3 Phase Without Spect	13	10	$3,928.00	$3,928.00	$1,453.36	$3,731.60	$3,535.20	2026-03-19
50546	CPT	Laparoscopy Nephrectomy W/Partial Ureterect	13	10	$3,910.00	$3,910.00	$1,446.70	$3,714.50	$3,519.00	2026-03-19
70486	CPT	Facial Bones Sinuses CT Without Contrast	13	10	$3,895.00	$3,895.00	$1,441.15	$3,700.25	$3,505.50	2026-03-19
798	MS_DRG	Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc	1	1	—	—	$3,500.00	$3,500.00	$3,500.00	2026-03-19
807	MS_DRG	Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc	1	1	—	—	$3,500.00	$3,500.00	$3,500.00	2026-03-19
70490	CPT	Neck Soft Tissue CT Without Contrast	13	10	$3,879.00	$3,879.00	$1,435.23	$3,685.05	$3,491.10	2026-03-19
25320	CPT	Capsl-rhphy/rcnstj Wrst Opn Carpl Ins	13	10	$3,868.00	$3,868.00	$1,431.16	$3,674.60	$3,481.20	2026-03-19
27472	CPT	Rpr Non/Mal Femur Dstl H/n W/Iliac/Autog Bone	13	10	$3,854.00	$3,854.00	$1,425.98	$3,661.30	$3,468.60	2026-03-19
44120	CPT	Entrc Rescj Small Intestine 1 Rescj & Anast	39	10	$3,870.00	$3,870.00	$1,379.73	$3,861.75	$3,467.97	2026-03-19
55866	CPT	Hgs Pr Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot	13	10	$3,847.00	$3,847.00	$1,423.39	$3,654.65	$3,462.30	2026-03-19
72196	CPT	Mr Pelvis With Contrast	39	10	$6,506.00	$6,506.00	$583.86	$7,301.70	$3,458.70	2026-03-19
27447	CPT	Arthrp Kne Condyle&Platu Medial&Lat Compartments	39	10	$4,715.00	$4,715.00	$1,341.25	$4,881.10	$3,443.75	2026-03-19
27724	CPT	Rpr Non/Mal Tibia W/Iliac/Oth Agrft	13	10	$3,812.00	$3,812.00	$1,410.44	$3,621.40	$3,430.80	2026-03-19
52441	CPT	Hgs Pr Cysto Insertion Transprostatic Implant Single	13	10	$3,801.00	$3,801.00	$1,406.37	$3,610.95	$3,420.90	2026-03-19
27137	CPT	Revj Tot Hip Arthrp Actblr W/wo Agrft/Algrft	26	10	$3,842.00	$3,842.00	$1,360.49	$3,806.65	$3,419.61	2026-03-19
99468	CPT	1st Inpatient Critical Care Pr Day Age 28 Days/<	13	10	$3,790.00	$3,790.00	$1,402.30	$3,600.50	$3,411.00	2026-03-19
78451	CPT	Nm Myocard Perf Spect Sngl W/Ef&Wm	13	10	$3,765.00	$3,765.00	$1,393.05	$3,576.75	$3,388.50	2026-03-19
24565	CPT	Cltx Humeral Epicondylar Fx Medial/Lat W/Mnpj	26	10	$4,736.50	$4,736.50	$1,344.58	$5,547.05	$3,379.62	2026-03-19
24505	CPT	Cltx Humeral Shft Fx W/Mnpj W/wo Skeletal Tracj	26	10	$4,736.50	$4,736.50	$1,344.58	$5,547.05	$3,379.62	2026-03-19
44346	CPT	Revj Colostomy W/Rpr Paraclst Hernia Spx	26	10	$3,794.00	$3,794.00	$1,343.47	$3,759.15	$3,376.83	2026-03-19
47605	CPT	Cholecystectomy W/Cholangiography	13	10	$3,743.00	$3,743.00	$1,384.91	$3,555.85	$3,368.70	2026-03-19
45400	CPT	Laparoscopy Proctopexy Prolapse	13	10	$3,743.00	$3,743.00	$1,384.91	$3,555.85	$3,368.70	2026-03-19
70487	CPT	Facial Bones CT With Contrast	13	10	$3,740.00	$3,740.00	$1,383.80	$3,553.00	$3,366.00	2026-03-19
47564	CPT	Laps Surg Cholecstc W/Expl Common Duct	13	10	$3,711.00	$3,711.00	$1,373.07	$3,525.45	$3,339.90	2026-03-19
70480	CPT	Iac/Sella/Pf CT Without Contrast	26	10	$3,709.50	$3,709.50	$1,352.35	$3,575.80	$3,338.55	2026-03-19
49618	CPT	Rpr Aa Hernia Recr > 10 Cm Ncrc8/Strangulated	13	10	$3,708.00	$3,708.00	$1,371.96	$3,522.60	$3,337.20	2026-03-19
58572	CPT	Laparoscopy Total Hysterectomy Uterus >250 Gm	13	10	$3,703.00	$3,703.00	$1,370.11	$3,517.85	$3,332.70	2026-03-19
29827	CPT	Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr	26	10	$3,740.00	$3,740.00	$1,324.60	$3,705.00	$3,329.40	2026-03-19
50760	CPT	Ureteroureterostomy	13	10	$3,699.00	$3,699.00	$1,368.63	$3,514.05	$3,329.10	2026-03-19
27580	CPT	Arthrodesis Knee Any Technique	26	10	$3,738.50	$3,738.50	$1,323.86	$3,704.05	$3,327.54	2026-03-19
58146	CPT	Myomectomy 5/> Myomas &/>250 Gm Abdomina	13	10	$3,695.00	$3,695.00	$1,367.15	$3,510.25	$3,325.50	2026-03-19
48120	CPT	Excision Lesion Pancreas	13	10	$3,690.00	$3,690.00	$1,365.30	$3,505.50	$3,321.00	2026-03-19
58956	CPT	Bso W/Tot Omentectomy & Hysterectomy Malignanc	26	10	$3,982.00	$3,982.00	$1,317.57	$4,182.85	$3,311.73	2026-03-19
73085	CPT	Arthrogram Elbow Unilateral	13	10	$3,677.00	$3,677.00	$1,360.49	$3,493.15	$3,309.30	2026-03-19
27488	CPT	Hgs Pr Rmvl Prosth Tot Knee Prosth Mma W/wo Insj Spacer	26	10	$3,670.00	$3,670.00	$1,354.94	$3,494.10	$3,303.00	2026-03-19
58290	CPT	Vaginal Hysterectomy Uterus > 250 Gm	13	10	$3,667.00	$3,667.00	$1,356.79	$3,483.65	$3,300.30	2026-03-19
29807	CPT	Surgical Arthroscopy Shoulder Repair Slap Lesion	26	10	$3,706.00	$3,706.00	$1,312.39	$3,671.75	$3,298.71	2026-03-19
36582	CPT	Rplcmt Compl Tun Ctr Vad W/Subq Port	26	10	$3,696.00	$3,696.00	$1,308.69	$3,662.25	$3,289.41	2026-03-19
45111	CPT	Prctect Prtl Rescj Rectum Tabdl Appr	13	10	$3,643.00	$3,643.00	$1,347.91	$3,460.85	$3,278.70	2026-03-19
48545	CPT	Pancreatorrhaphy Injury	13	10	$3,635.00	$3,635.00	$1,344.95	$3,453.25	$3,271.50	2026-03-19
58553	CPT	Laps W/Vaginal Hysterectomy > 250 Grams	13	10	$3,633.00	$3,633.00	$1,344.21	$3,451.35	$3,269.70	2026-03-19
50400	CPT	Pyeloplasty Simple	13	10	$3,632.00	$3,632.00	$1,343.84	$3,450.40	$3,268.80	2026-03-19
38100	CPT	Splenectomy Total Separate Procedure	26	10	$3,669.50	$3,669.50	$1,299.44	$3,635.65	$3,266.16	2026-03-19
58943	CPT	Oophorectomy Prtl/Tot Uni/Bi Ovarian Malignancy	13	10	$3,629.00	$3,629.00	$1,342.73	$3,447.55	$3,266.10	2026-03-19
24675	CPT	Closed Tx Ulnar Fracture Proximal End W/Mnpj	26	10	$4,383.00	$4,383.00	$1,297.22	$4,997.00	$3,260.58	2026-03-19
43775	CPT	Hgs Pr Lap, Gast Restrict Proc, Longitudinal Gastrectomy	13	10	$3,607.00	$3,607.00	$1,334.59	$3,426.65	$3,246.30	2026-03-19
36475	CPT	Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein	13	10	$3,596.00	$3,596.00	$1,330.52	$3,416.20	$3,236.40	2026-03-19
28435	CPT	Closed Tx Talus Fracture W/Manipulation	26	10	$4,501.00	$4,501.00	$1,285.38	$5,251.60	$3,230.82	2026-03-19
27558	CPT	Open Tx Knee Dislocation W/Repair/Reconstruction	13	10	$3,583.00	$3,583.00	$1,325.71	$3,403.85	$3,224.70	2026-03-19
44615	CPT	Intstinal Stricturoplasty W/wo Dilat Obstrcj	13	10	$3,582.00	$3,582.00	$1,325.34	$3,402.90	$3,223.80	2026-03-19
45562	CPT	Expl Rpr & Presacral DRG Rectal Injury	13	10	$3,564.00	$3,564.00	$1,318.68	$3,385.80	$3,207.60	2026-03-19

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