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

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Hospital

WELLSPAN SURGERY AND REHABILITATION HOSPITAL

York, PA · CCN 390327 · Rates published

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You selected 93306 (CPT)

Ultrasound of Heart With Blood Flow, Rate, Direction and Valve Function

This hospital’s price: $876 across 31 payers · range $123-$4,446

Source: https://edge.sitecorecloud.io/269a6006063e-wellspanxmcef9f-production4406-c241/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/232899911_wellspan-surgery-and-rehabilitation-hospital_standardcharges.csv · observed 2026-01-01

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.

1,250 distinct procedures filed
31 distinct payers
72,973 rate rows
2026-01-01 last MRF observed
Data quality

69,629 of 72,973 rate rows are consumer-grade (95.4%)

3,344 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 2,261
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 550
per-diem day rate — not a per-procedure price 501
exceeds 10× this hospital's gross charge — excluded from medians 16
placeholder amount (≤ $0.02) — excluded from medians 11
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/269a6006063e-wellspanxmcef9f-production4406-c241/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/232899911_wellspan-surgery-and-rehabilitation-hospital_standardcharges.csv
Found on page https://www.wellspan.org/Patient-Resources/Billing-and-Insurance/Cost-Estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-03
Content fingerprint f43d0c48bdac40bd… · 28,174,927 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
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $46,674.22 $244,339.27 $50,408.16 nat. median
$63,648
0.8× median
56
MS_DRG 		Degenerative Nervous System Disorders With McC 14 $15,020.76 $73,660.74 $44,291.15 nat. median
$21,152
outlier · 2.1×
556
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC 14 $5,370.52 $73,660.74 $44,196.44 nat. median
$8,636
outlier · 5.1×
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without McC 14 $6,664.97 $72,196.51 $43,317.91 nat. median
$10,491
outlier · 4.1×
519
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Cc 15 $12,932.95 $72,196.51 $43,317.91 nat. median
$19,488
outlier · 2.2×
92
MS_DRG 		Other Disorders Of Nervous System With Cc 14 $6,614.54 $70,027.63 $42,016.58 nat. median
$10,613
outlier · 4.0×
C1822
HCPCS 		Kit Neuromuscular Senza Ipg Ipg3000 Sterile Latex Free Disposable 17 $12,435.00 $48,247.80 $39,896.45 nat. median
$31,540
1.3× median
C1767
HCPCS 		Generator Pulse Sentiva Programmable Epilepsy 17 $11,000.00 $77,838.62 $39,441.60 nat. median
$23,881
1.7× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $36,350.88 $189,475.65 $39,258.95 nat. median
$50,590
0.8× median
91
MS_DRG 		Other Disorders Of Nervous System With McC 14 $11,355.28 $57,334.43 $34,474.38 nat. median
$17,070
outlier · 2.0×
APR299 SOI 2
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $34,315.88 $78,436.31 $34,315.88 nat. median
$37,363
0.9× median
59
MS_DRG 		Multiple Sclerosis And Cerebellar Ataxia With Cc 14 $8,023.44 $56,484.33 $33,963.22 nat. median
$12,349
outlier · 2.8×
72
MS_DRG 		Other Cerebrovascular Disorders Without Cc/McC 14 $4,889.46 $56,600.69 $33,960.41 nat. median
$8,129
outlier · 4.2×
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 14 $7,281.17 $56,306.55 $33,856.32 nat. median
$11,478
outlier · 2.9×
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With McC 14 $12,058.12 $58,444.10 $33,856.32 nat. median
$18,115
1.9× median
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC 14 $5,197.88 $56,306.55 $33,783.93 nat. median
$8,661
outlier · 3.9×
536
MS_DRG 		Fractures Of Hip And Pelvis Without McC 14 $5,221.80 $56,306.55 $33,783.93 nat. median
$8,438
outlier · 4.0×
947
MS_DRG 		Signs And Symptoms With McC 14 $8,207.72 $56,002.71 $33,673.63 nat. median
$12,113
outlier · 2.8×
C1772
HCPCS 		Pump Infusion Synchromed Iii 20ml 17 $10,034.27 $38,939.37 $32,196.60 nat. median
$10,849
outlier · 3.0×
948
MS_DRG 		Signs And Symptoms Without McC 14 $5,175.89 $53,319.91 $31,991.95 nat. median
$7,971
outlier · 4.0×
510
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 15 $19,530.03 $94,659.45 $31,451.26 nat. median
$27,749
1.1× median
63685
CPT 		Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 22 $970.00 $146,967.43 $30,975.91 nat. median
$21,040
1.5× median
64568
CPT 		Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 22 $970.00 $146,967.43 $30,975.91 nat. median
$27,679
1.1× median
63655
CPT 		Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine 22 $970.00 $146,967.43 $30,975.91 nat. median
$18,228
1.7× median
APR303 SOI 1
OTHER 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 $30,301.84 $69,261.35 $30,301.84 nat. median
$36,665
0.8× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without McC 18 $27,420.28 $140,532.08 $29,613.90 nat. median
$39,085
0.8× median
470
MS_DRG 		Major Joint Replacement Or Reattachment Of Lower Extremity 19 $12,471.93 $135,713.05 $29,421.11 nat. median
$18,831
1.6× median
APR912 SOI 3
OTHER 		Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 $29,149.40 $66,627.19 $29,149.40 nat. median
$35,271
0.8× median
APR299 SOI 1
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $28,543.39 $65,242.03 $28,543.39 nat. median
$32,154
0.9× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 $25,995.86 $135,231.58 $28,075.53 nat. median
$36,896
0.8× median
565
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 14 $6,300.30 $45,601.20 $27,419.35 nat. median
$10,106
outlier · 2.7×
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 15 $15,109.99 $73,236.11 $26,911.20 nat. median
$21,612
1.2× median
APR850 SOI 3
OTHER 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 $26,563.07 $60,715.59 $26,563.07 nat. median
$29,367
0.9× median
70
MS_DRG 		Other Cerebrovascular Disorders With McC 14 $10,764.31 $52,173.17 $26,226.01 nat. median
$16,327
1.6× median
APR304 SOI 2
OTHER 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 $25,867.36 $59,125.39 $25,867.36 nat. median
$28,165
0.9× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 18 $23,739.93 $122,221.26 $25,639.12 nat. median
$33,682
0.8× median
945
MS_DRG 		Rehabilitation With Cc/McC 14 $10,012.98 $48,531.58 $25,114.32 nat. median
$14,842
1.7× median
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 17 $23,461.25 $113,713.56 $24,745.75 nat. median
$32,127
0.8× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 18 $22,802.38 $117,884.49 $24,626.57 nat. median
$32,654
0.8× median
57
MS_DRG 		Degenerative Nervous System Disorders Without McC 14 $8,377.12 $40,602.81 $23,431.22 nat. median
$12,550
1.9× median
941
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 14 $13,110.76 $63,546.09 $23,244.64 nat. median
$19,036
1.2× median
93
MS_DRG 		Other Disorders Of Nervous System Without Cc/McC 14 $5,148.74 $38,238.03 $22,991.97 nat. median
$8,475
outlier · 2.7×
C1820
HCPCS 		Generator Pulse Wavewriter Alpha 32 17 $2,951.00 $57,534.58 $22,748.72 nat. median
$22,969
1.0× median
61885
CPT 		Insertion Of Brain Neurostimulator Pulse Device With Connection To Single Electr… 22 $970.00 $103,421.62 $21,797.88 nat. median
$19,858
1.1× median
64590
CPT 		Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Gener… 22 $970.00 $103,421.62 $21,797.88 nat. median
$17,881
1.2× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 18 $20,139.11 $101,501.13 $21,750.24 nat. median
$28,673
0.8× median
APR300 SOI 1
OTHER 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $21,474.65 $49,084.91 $21,474.65 nat. median
$23,741
0.9× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 19 $19,612.15 $112,515.15 $21,181.12 nat. median
$29,492
0.7× median
71
MS_DRG 		Other Cerebrovascular Disorders With Cc 14 $6,633.94 $34,530.60 $20,762.76 nat. median
$10,562
2.0× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 18 $19,048.97 $99,711.35 $20,572.89 nat. median
$28,262
0.7× median

Other procedures at this hospital

Browse this hospital's 1,250 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 18 — — $46,674.22 $244,339.27 $50,408.16 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With McC 14 14 — — $15,020.76 $73,660.74 $44,291.15 2026-01-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC 14 14 — — $5,370.52 $73,660.74 $44,196.44 2026-01-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 15 15 — — $12,932.95 $72,196.51 $43,317.91 2026-01-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without McC 14 14 — — $6,664.97 $72,196.51 $43,317.91 2026-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 14 14 — — $6,614.54 $70,027.63 $42,016.58 2026-01-01
C1822 HCPCS Kit Neuromuscular Senza Ipg Ipg3000 Sterile Latex Free Disposable 28 17 $49,740.00 $39,792.00 20% off $12,435.00 $48,247.80 $39,896.45 2026-01-01
C1767 HCPCS Generator Pulse Sentiva Programmable Epilepsy 56 17 $62,123.00 $49,698.40 20% off $11,000.00 $77,838.62 $39,441.60 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 17 — — $36,350.88 $189,475.65 $39,258.95 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With McC 14 14 — — $11,355.28 $57,334.43 $34,474.38 2026-01-01
APR299 SOI 2 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $34,315.88 $78,436.31 $34,315.88 2026-01-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 14 14 — — $8,023.44 $56,484.33 $33,963.22 2026-01-01
72 MS_DRG Other Cerebrovascular Disorders Without Cc/McC 14 14 — — $4,889.46 $56,600.69 $33,960.41 2026-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 14 14 — — $12,058.12 $58,444.10 $33,856.32 2026-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 14 14 — — $7,281.17 $56,306.55 $33,856.32 2026-01-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC 14 14 — — $5,197.88 $56,306.55 $33,783.93 2026-01-01
536 MS_DRG Fractures Of Hip And Pelvis Without McC 14 14 — — $5,221.80 $56,306.55 $33,783.93 2026-01-01
947 MS_DRG Signs And Symptoms With McC 14 14 — — $8,207.72 $56,002.71 $33,673.63 2026-01-01
C1772 HCPCS Pump Infusion Synchromed Iii 20ml 56 17 $40,140.37 $32,112.29 20% off $10,034.27 $38,939.37 $32,196.60 2026-01-01
948 MS_DRG Signs And Symptoms Without McC 14 14 — — $5,175.89 $53,319.91 $31,991.95 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 15 15 — — $19,530.03 $94,659.45 $31,451.26 2026-01-01
63685 CPT Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 28 22 — — $970.00 $146,967.43 $30,975.91 2026-01-01
64568 CPT Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 28 22 — — $970.00 $146,967.43 $30,975.91 2026-01-01
63655 CPT Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine 28 22 — — $970.00 $146,967.43 $30,975.91 2026-01-01
APR303 SOI 1 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $30,301.84 $69,261.35 $30,301.84 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without McC 23 18 — — $27,420.28 $140,532.08 $29,613.90 2026-01-01
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity 24 19 — — $12,471.93 $135,713.05 $29,421.11 2026-01-01
APR912 SOI 3 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $29,149.40 $66,627.19 $29,149.40 2026-01-01
APR299 SOI 1 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $28,543.39 $65,242.03 $28,543.39 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 23 18 — — $25,995.86 $135,231.58 $28,075.53 2026-01-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 14 14 — — $6,300.30 $45,601.20 $27,419.35 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 15 15 — — $15,109.99 $73,236.11 $26,911.20 2026-01-01
APR850 SOI 3 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $26,563.07 $60,715.59 $26,563.07 2026-01-01
70 MS_DRG Other Cerebrovascular Disorders With McC 14 14 — — $10,764.31 $52,173.17 $26,226.01 2026-01-01
APR304 SOI 2 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $25,867.36 $59,125.39 $25,867.36 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 23 18 — — $23,739.93 $122,221.26 $25,639.12 2026-01-01
945 MS_DRG Rehabilitation With Cc/McC 14 14 — — $10,012.98 $48,531.58 $25,114.32 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 18 17 — — $23,461.25 $113,713.56 $24,745.75 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 18 — — $22,802.38 $117,884.49 $24,626.57 2026-01-01
57 MS_DRG Degenerative Nervous System Disorders Without McC 14 14 — — $8,377.12 $40,602.81 $23,431.22 2026-01-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 14 14 — — $13,110.76 $63,546.09 $23,244.64 2026-01-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/McC 14 14 — — $5,148.74 $38,238.03 $22,991.97 2026-01-01
C1820 HCPCS Generator Pulse Wavewriter Alpha 32 168 17 $38,490.00 $30,792.00 20% off $2,951.00 $57,534.58 $22,748.72 2026-01-01
61885 CPT Insertion Of Brain Neurostimulator Pulse Device With Connection To Single Electr… 28 22 — — $970.00 $103,421.62 $21,797.88 2026-01-01
64590 CPT Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Gener… 28 22 — — $970.00 $103,421.62 $21,797.88 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 18 — — $20,139.11 $101,501.13 $21,750.24 2026-01-01
APR300 SOI 1 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $21,474.65 $49,084.91 $21,474.65 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 24 19 — — $19,612.15 $112,515.15 $21,181.12 2026-01-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 14 14 — — $6,633.94 $34,530.60 $20,762.76 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 23 18 — — $19,048.97 $99,711.35 $20,572.89 2026-01-01
APR313 SOI 3 OTHER Knee And Lower Leg Procedures Except Foot 7 7 — — $20,491.34 $46,837.34 $20,491.34 2026-01-01
APR325 SOI 2 OTHER Non-elective Or Complex Knee Joint Replacement 7 7 — — $19,626.49 $44,860.55 $19,626.49 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 23 18 — — $17,922.62 $87,699.18 $19,356.43 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 23 18 — — $17,768.09 $90,280.59 $19,189.54 2026-01-01
APR304 SOI 1 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $18,986.24 $43,397.12 $18,986.24 2026-01-01
20936 CPT Harvest Of Bone From Same Spine Incision For Graft 29 23 — — $970.00 $118,617.68 $18,773.31 2026-01-01
23472 CPT Prosthetic Repair Of Shoulder Joint, Total Shoulder 28 22 — — $970.00 $88,691.18 $18,733.25 2026-01-01
22633 CPT Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 28 22 — — $970.00 $146,235.86 $18,733.25 2026-01-01
22630 CPT Arthrodesis, Posterior Interbody Technique, Including Laminectomy And/or Discect… 27 21 — — $970.00 $88,691.18 $18,693.19 2026-01-01
27702 CPT Reconstruction Of Ankle Joint With Prosthesis 27 21 — — $970.00 $88,691.18 $18,693.19 2026-01-01
20930 CPT Placement Of Fragmented Bone Graft Or Material To Spine To Promote Bone Growth 29 23 — — $970.00 $99,589.86 $18,693.19 2026-01-01
21931 CPT Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More 28 22 — — $970.00 $88,691.18 $18,693.19 2026-01-01
28705 CPT Fusion Of All Bones Of Ankle And Hindfoot 28 22 — — $970.00 $88,691.18 $18,693.19 2026-01-01
22612 CPT Fusion Of Spine In Lower Back 29 23 — — $970.00 $99,589.86 $18,693.19 2026-01-01
APR059 SOI 4 OTHER Anoxic And Other Severe Brain Damage 7 7 — — $18,107.70 $41,389.03 $18,107.70 2026-01-01
62362 CPT Insertion Of Programmable Spinal Canal Drug Infusion Pump 28 22 — — $970.00 $85,238.40 $17,965.46 2026-01-01
APR850 SOI 2 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $17,756.42 $40,586.10 $17,756.42 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 23 18 — — $16,397.98 $79,478.84 $17,709.82 2026-01-01
APR321 SOI 2 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $17,599.61 $40,227.68 $17,599.61 2026-01-01
105000020 LOCAL Operative Session Level 6 Initial 30 Minutes 20 10 $19,295.00 $15,436.00 20% off $10,833.56 $18,716.15 $17,296.04 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 23 18 — — $15,900.76 $77,068.87 $17,172.82 2026-01-01
473 MS_DRG Cervical Spinal Fusion 23 18 — — $15,785.02 $76,507.90 $17,047.82 2026-01-01
APR058 SOI 4 OTHER Other Disorders Of Nervous System 7 7 — — $17,001.13 $38,859.73 $17,001.13 2026-01-01
Q4104 HCPCS Matrix Wound 5cmx5cm Integra 25 Cm2 Bilayer Sterile Disposable 41 13 $17,152.44 $13,721.95 20% off $51.00 $22,749.75 $15,951.77 2026-01-01
APR325 SOI 1 OTHER Non-elective Or Complex Knee Joint Replacement 7 7 — — $15,845.95 $36,219.31 $15,845.95 2026-01-01
APR040 SOI 3 OTHER Spinal Disorders And Injuries 7 7 — — $15,533.02 $35,504.03 $15,533.02 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/McC 23 18 — — $14,193.78 $68,795.37 $15,329.28 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 23 18 — — $13,846.57 $67,112.47 $14,954.30 2026-01-01
APR860 SOI 3 OTHER Rehabilitation 7 7 — — $14,868.12 $33,984.27 $14,868.12 2026-01-01
APR322 SOI 2 OTHER Shoulder And Elbow Joint Replacement 7 7 — — $14,719.52 $33,644.63 $14,719.52 2026-01-01
APR351 SOI 4 OTHER Other Musculoskeletal System And Connective Tissue Diagnoses 7 7 — — $14,648.31 $33,481.85 $14,648.31 2026-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 23 18 — — $13,445.04 $65,166.32 $14,520.64 2026-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 23 18 — — $13,436.63 $65,125.58 $14,511.56 2026-01-01
APR313 SOI 2 OTHER Knee And Lower Leg Procedures Except Foot 7 7 — — $14,427.13 $32,976.31 $14,427.13 2026-01-01
935 MS_DRG Non-extensive Burns 22 17 — — $13,319.60 $64,558.34 $14,385.17 2026-01-01
105000016 LOCAL Operative Session Level 5 Initial 30 Minutes 20 10 $15,727.00 $12,581.60 20% off $8,830.24 $15,255.19 $14,097.68 2026-01-01
APR315 SOI 2 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 7 7 — — $14,048.46 $32,110.77 $14,048.46 2026-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC 23 18 — — $12,973.68 $62,881.70 $14,011.57 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 23 18 — — $12,900.62 $62,527.57 $13,932.67 2026-01-01
Q4166 HCPCS Matrix Tissue 15x10cm Cytal Porcine Bladder 3 Layer Wound 20 10 $15,367.90 $12,294.32 20% off $66.72 $14,906.86 $13,600.59 2026-01-01
C1778 HCPCS Kit Neurostimulator 50cm Surpass Lead Sterile Latex Free 168 17 $23,439.36 $18,751.49 $2,949.58 $30,669.21 $13,490.17 2026-01-01
902 MS_DRG Wound Debridements For Injuries With Cc 23 18 — — $12,378.82 $59,998.52 $13,369.13 2026-01-01
APR023 SOI 1 OTHER Spinal Procedures 7 7 — — $13,252.78 $30,292.06 $13,252.78 2026-01-01
22551 CPT Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne… 31 25 — — $970.00 $68,837.29 $13,134.97 2026-01-01
Q4125 HCPCS Graft Soft Tissue 70x40x2mm Dermis Decellularized Latex Free 19 9 $14,650.53 $11,720.42 20% off $8,225.83 $14,211.01 $13,132.74 2026-01-01
20931 CPT Graft Of Donor Bone To Spine 30 24 — — $970.00 $62,676.09 $13,106.94 2026-01-01
27827 CPT Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
27828 CPT Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
25810 CPT Fusion Of Wrist Joint With Graft From Hip Or Other Bone 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
27709 CPT Incision Or Partial Removal Of Shin And Outer Lower Leg Bones 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
27691 CPT Transfer Of Deep Tendon Of Foot With Muscle Rerouting 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
27685 CPT Lengthening Or Shortening Of Tendon Of Leg Or Ankle 28 22 — — $840.00 $62,053.85 $13,078.92 2026-01-01
23615 CPT Open Treatment Of Proximal Humeral (surgical Or Anatomical Neck) Fracture, Inclu… 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
27870 CPT Fusion Of Ankle Joint, Open Procedure 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
28300 CPT Incision Or Partial Removal Of Heel Bone 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
29889 CPT Repair Of Posterior Cruciate Ligament Of Knee Using An Endoscope 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
27447 CPT Replacement Of Knee Joint, Both Sides Of Knee 29 23 — — $970.00 $62,053.85 $13,078.92 2026-01-01
27871 CPT Fusion Of Lower Leg Bone At Knee Or Ankle Joint 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
27446 CPT Replacement Of Knee Joint On Side Of Knee 29 23 — — $970.00 $62,053.85 $13,078.92 2026-01-01
28750 CPT Fusion Of Big Toe At Joint With Foot 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
27130 CPT Replacement Of Thigh Bone And Hip Joint With Prosthesis 29 23 — — $970.00 $62,053.85 $13,078.92 2026-01-01
29825 CPT Arthroscopy, Shoulder, Surgical; With Lysis And Resection Of Adhesions, With Or … 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
20985 CPT Computer-assisted Surgery For Muscle And Bone Procedure 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
24666 CPT Treatment Of Broken Forearm Bone On Thumb Side At Elbow With Prosthesis 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
28735 CPT Fusion Of Multiple Foot Joints With Bone Incision To Correct A Foot Deformity 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
24546 CPT Treatment Of Broken Upper Arm Bone At Elbow With Extension 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
28725 CPT Fusion Of Foot Below Ankle 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
28715 CPT Fusion Of 3 Bones Of Ankle 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
24545 CPT Treatment Of Upper Arm Bone Broken At Elbow 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
28320 CPT Repair Of Nonhealed Broken Midfoot Bone 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
24366 CPT Joint Repair (arthroplasty) Forearm Bone On The Thumb Side (radius) At The Elbow… 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
20694 CPT Removal Of External Bone Stabilizing Device Under Anesthesia 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
28297 CPT Correction Of Bunion With Midfoot And Hindfoot Bone Fusion 29 23 — — $970.00 $62,053.85 $13,078.92 2026-01-01
28730 CPT Fusion Of Multiple Foot Joints 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
24346 CPT Repair Of Ligament Of Small Finger Side Of Elbow With Tendon Graft 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
24575 CPT Treatment Of Broken Outer Part Of Upper Arm Bone At Elbow 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
28737 CPT Fusion Of Upper Part Of Foot And Lengthening Of Tendon 28 22 — — $970.00 $62,053.85 $13,078.92 2026-01-01
504 MS_DRG Foot Procedures With Cc 23 18 — — $12,085.92 $58,578.86 $13,052.79 2026-01-01
APR321 SOI 1 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $12,943.95 $29,586.17 $12,943.95 2026-01-01
APR320 SOI 2 OTHER Other Musculoskeletal System And Connective Tissue Procedures 7 7 — — $12,840.55 $29,349.84 $12,840.55 2026-01-01
APR861 SOI 4 OTHER Signs, Symptoms And Other Factors Influencing Health Status 7 7 — — $12,742.63 $29,126.02 $12,742.63 2026-01-01
63664 CPT Revision Of Spinal Neurostimulator Electrode Plate Using Fluoroscopic Guidance 29 23 — — $970.00 $60,141.58 $12,675.87 2026-01-01
APR058 SOI 3 OTHER Other Disorders Of Nervous System 7 7 — — $12,624.85 $28,856.81 $12,624.85 2026-01-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 18 — — $11,663.70 $56,532.42 $12,596.80 2026-01-01
APR324 SOI 2 OTHER Elective Hip Joint Replacement 7 7 — — $12,522.83 $28,623.60 $12,522.83 2026-01-01
505 MS_DRG Foot Procedures Without Cc/McC 23 18 — — $11,591.93 $56,184.56 $12,519.28 2026-01-01
APR711 SOI 2 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $12,432.44 $28,417.00 $12,432.44 2026-01-01
APR322 SOI 1 OTHER Shoulder And Elbow Joint Replacement 7 7 — — $12,176.34 $27,831.63 $12,176.34 2026-01-01
APR323 SOI 1 OTHER Non-elective Or Complex Hip Joint Replacement 7 7 — — $12,002.41 $27,434.08 $12,002.41 2026-01-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/McC 23 18 — — $11,082.43 $53,715.05 $11,969.02 2026-01-01
APR793 SOI 2 OTHER Moderately Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $11,629.22 $26,581.07 $11,629.22 2026-01-01
APR305 SOI 2 OTHER Amputation Of Lower Limb Except Toes 7 7 — — $11,566.91 $26,438.64 $11,566.91 2026-01-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 23 18 — — $10,627.23 $51,508.78 $11,477.41 2026-01-01
105000012 LOCAL Operative Session Level 4 Initial 30 Minutes 20 10 $12,787.00 $10,229.60 20% off $7,179.52 $12,403.39 $11,462.27 2026-01-01
APR326 SOI 2 OTHER Elective Knee Joint Replacement 7 7 — — $11,447.07 $26,164.74 $11,447.07 2026-01-01
APR850 SOI 1 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $11,287.53 $25,800.06 $11,287.53 2026-01-01
APR040 SOI 2 OTHER Spinal Disorders And Injuries 7 7 — — $11,238.91 $25,688.93 $11,238.91 2026-01-01
884 MS_DRG Organic Disturbances And Intellectual Disability 22 17 — — $10,402.87 $50,421.32 $11,235.10 2026-01-01
APR313 SOI 1 OTHER Knee And Lower Leg Procedures Except Foot 7 7 — — $10,828.74 $24,751.40 $10,828.74 2026-01-01
APR042 SOI 3 OTHER Degenerative Nervous System Disorders Except Multiple Sclerosis 7 7 — — $10,799.29 $24,684.10 $10,799.29 2026-01-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 23 18 — — $9,936.04 $48,158.64 $10,730.92 2026-01-01
22514 CPT Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device 43 26 $13,320.00 $10,656.00 20% off $1,385.26 $34,452.63 $10,683.97 2026-01-01
APR324 SOI 1 OTHER Elective Hip Joint Replacement 7 7 — — $10,276.82 $23,489.89 $10,276.82 2026-01-01
APR316 SOI 2 OTHER Hand And Wrist Procedures 7 7 — — $10,161.79 $23,226.94 $10,161.79 2026-01-01
APR326 SOI 1 OTHER Elective Knee Joint Replacement 7 7 — — $10,131.66 $23,158.07 $10,131.66 2026-01-01
APR347 SOI 3 OTHER Other Back And Neck Disorders, Fractures And Injuries 7 7 — — $9,952.94 $22,749.57 $9,952.94 2026-01-01
602 MS_DRG Cellulitis With McC 23 18 — — $9,189.88 $44,542.12 $9,925.07 2026-01-01
APR314 SOI 2 OTHER Foot And Toe Procedures 7 7 — — $9,921.44 $22,677.57 $9,921.44 2026-01-01
APR310 SOI 1 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 7 7 — — $9,787.91 $22,372.36 $9,787.91 2026-01-01
APR315 SOI 1 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 7 7 — — $9,668.76 $22,100.03 $9,668.76 2026-01-01
APR048 SOI 3 OTHER Peripheral, Cranial And Autonomic Nerve Disorders 7 7 — — $9,611.24 $21,968.55 $9,611.24 2026-01-01
105000008 LOCAL Operative Session Level 3 Initial 30 Minutes 20 10 $10,641.00 $8,512.80 20% off $5,974.60 $10,321.77 $9,538.59 2026-01-01
502 MS_DRG Soft Tissue Procedures Without Cc/McC 23 18 — — $8,702.36 $42,179.16 $9,398.55 2026-01-01
APR320 SOI 1 OTHER Other Musculoskeletal System And Connective Tissue Procedures 7 7 — — $9,192.17 $21,010.68 $9,192.17 2026-01-01
105000022 LOCAL Operative Session Level 6 Each Additional 30 Minutes 20 10 $10,230.00 $8,184.00 20% off $5,743.84 $9,923.10 $9,170.17 2026-01-01
APR052 SOI 3 OTHER Alteration In Consciousness 7 7 — — $9,143.55 $20,899.55 $9,143.55 2026-01-01
105000018 LOCAL Operative Session Level 5 Each Additional 30 Minutes 20 10 $10,170.00 $8,136.00 20% off $5,710.15 $9,864.90 $9,116.39 2026-01-01
APR058 SOI 2 OTHER Other Disorders Of Nervous System 7 7 — — $9,099.04 $20,797.81 $9,099.04 2026-01-01
APR951 SOI 1 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $9,073.71 $20,739.90 $9,073.71 2026-01-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC 18 17 — — $8,546.53 $41,423.89 $9,014.45 2026-01-01
Q4118 HCPCS Matrix Wound Micromatrix Ubm Particulate Powder 1000mg Sterile 23 13 $10,641.76 $8,513.41 $2.54 $10,322.51 $8,875.23 2026-01-01
APR793 SOI 1 OTHER Moderately Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $8,701.20 $19,888.46 $8,701.20 2026-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 23 18 — — $7,987.88 $38,716.20 $8,626.91 2026-01-01
APR862 SOI 3 OTHER Other Aftercare And Convalescence 7 7 — — $8,625.19 $19,714.73 $8,625.19 2026-01-01
APR862 SOI 4 OTHER Other Aftercare And Convalescence 7 7 — — $8,625.19 $19,714.73 $8,625.19 2026-01-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 18 — — $7,812.66 $37,866.91 $8,437.67 2026-01-01
APR351 SOI 3 OTHER Other Musculoskeletal System And Connective Tissue Diagnoses 7 7 — — $8,299.25 $18,969.71 $8,299.25 2026-01-01
APR040 SOI 1 OTHER Spinal Disorders And Injuries 7 7 — — $8,228.72 $18,808.50 $8,228.72 2026-01-01
C9353 HCPCS Protector Nerve 3mm Axoguard Nerve Cap Sis Matrix End Tab Bifurcation 27 16 $9,853.32 $7,882.66 $2,463.33 $9,557.72 $8,217.67 2026-01-01
APR043 SOI 1 OTHER Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 7 7 — — $8,210.91 $18,767.80 $8,210.91 2026-01-01
105000004 LOCAL Operative Session Level 2 Initial 30 Minutes 20 10 $9,120.00 $7,296.00 20% off $5,120.61 $8,846.40 $8,175.17 2026-01-01
903 MS_DRG Wound Debridements For Injuries Without Cc/McC 23 18 — — $7,562.43 $36,654.09 $8,167.42 2026-01-01
949 MS_DRG Aftercare With Cc/McC 19 18 — — $7,692.39 $37,284.01 $8,115.47 2026-01-01
572 MS_DRG Skin Debridement Without Cc/McC 23 18 — — $7,411.78 $35,923.90 $8,004.72 2026-01-01
APR861 SOI 3 OTHER Signs, Symptoms And Other Factors Influencing Health Status 7 7 — — $7,808.28 $17,847.49 $7,808.28 2026-01-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC 23 18 — — $7,221.04 $34,999.40 $7,798.72 2026-01-01
C1763 HCPCS Connector Nerve 15mm 2mm Axoguard Porcine Extracellular Matrix Coaptation Aid St… 274 17 $14,074.00 $11,259.20 $1,338.64 $18,747.00 $7,742.52 2026-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With McC 23 18 — — $7,162.20 $34,714.21 $7,735.18 2026-01-01
APR383 SOI 3 OTHER Cellulitis And Other Skin Infections 7 7 — — $7,630.93 $17,442.12 $7,630.93 2026-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 23 18 — — $6,902.27 $33,454.38 $7,454.45 2026-01-01
105000014 LOCAL Operative Session Level 4 Each Additional 30 Minutes 20 10 $8,216.00 $6,572.80 20% off $4,613.04 $7,969.52 $7,364.82 2026-01-01
29888 CPT Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 29 23 — — $970.00 $34,452.63 $7,261.49 2026-01-01
24341 CPT Repair, Tendon Or Muscle, Upper Arm Or Elbow, Each Tendon Or Muscle, Primary Or … 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29891 CPT Removal Of Shin And/or Ankle Bone Defect Using An Endoscope 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
24200 CPT Removal Of Foreign Body Of Upper Arm Or Elbow Area, Accessed Beneath The Skin 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
28755 CPT Fusion Of Big Toe Between Toe Joints 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27842 CPT Closed Treatment Of Dislocated Ankle Under Anesthesia 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
64702 CPT Release Of Finger Nerve 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
24149 CPT Radical Resection Of Capsule, Soft Tissue, And Heterotopic Bone, Elbow, With Con… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27823 CPT Treatment Of 3 Broken Lower Leg Bones At Ankle With Fixation Of Posterior Lip 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25825 CPT Arthrodesis, Wrist; With Autograft (includes Obtaining Graft) 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29882 CPT Repair Of Inside Or Outside Knee Joint Cartilage Using An Endoscope 29 23 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25820 CPT Fusion Of Part Of Wrist Joint 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27792 CPT Treatment Of Broken Outer Lower Leg Bone At Ankle 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27784 CPT Treatment Of Broken Upper Or Middle Part Of Outer Lower Leg Bone 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29892 CPT Removal Of Large Shin Or Ankle Bone Defect Using An Endoscope 27 21 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27756 CPT Placement Of Stabilizing Device For Broken Middle Part Of Shin Bone 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27726 CPT Repair Of Nonhealed Broken Outer Lower Leg Bone With Placement Of Stabilizing De… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29879 CPT Repair Of Knee Joint With Drilling And Or Scraping Of Joint Using An Endoscope 29 23 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25628 CPT Open Treatment Of Carpal Scaphoid (navicular) Fracture, Includes Internal Fixati… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27705 CPT Incision Or Partial Removal Of Shin Bone 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25609 CPT Open Treatment Of Distal Radial Intra-articular Fracture Or Epiphyseal Separatio… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25608 CPT Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27698 CPT Secondary Repair Of Disrupted Collateral Ligament Of Ankle 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27695 CPT Primary Repair Of Disrupted Ankle Ligament 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25607 CPT Open Treatment Of Distal Radial Extra-articular Fracture Or Epiphyseal Separatio… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29826 CPT Arthroscopy, Shoulder, Surgical; Decompression Of Subacromial Space With Partial… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27690 CPT Transfer Of Tendon And Muscle Rerouting At Lower Leg Or Ankle 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25575 CPT Open Treatment Of Radial And Ulnar Shaft Fractures, With Internal Fixation, When… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27687 CPT Lengthening Of Calf Muscle 28 22 — — $840.00 $34,452.63 $7,261.49 2026-01-01
25525 CPT Open Treatment Of Radial Shaft Fracture, Includes Internal Fixation, When Perfor… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25515 CPT Open Treatment Of Radial Shaft Fracture, Includes Internal Fixation, When Perfor… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27676 CPT Repair Of Dislocated Lower Leg Tendons By Incision Or Partial Removal Of Lower L… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25449 CPT Revision Of Wrist Joint Replacement With Removal Of Existing Prosthesis 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27700 CPT Reconstruction Of Ankle Joint 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
23630 CPT Open Treatment Of Greater Humeral Tuberosity Fracture, Includes Internal Fixatio… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27665 CPT Secondary Repair Of Tendon On Front Of Leg 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27659 CPT Secondary Repair Of Tendon On Back Of Leg 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27658 CPT Primary Repair Of Tendon On Back Of Leg 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27654 CPT Secondary Repair Of Ruptured Achilles Tendon 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27652 CPT Repair Of Ruptured Achilles Tendon With Graft 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27650 CPT Repair Of Ruptured Achilles Tendon 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27766 CPT Treatment Of Inside Portion Of Broken Shin Bone At Ankle 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25800 CPT Complete Fusion Of Wrist Joint 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25440 CPT Repair Of Nonunion, Scaphoid Carpal (navicular) Bone, With Or Without Radial Sty… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29806 CPT Arthroscopy, Shoulder, Surgical; Capsulorrhaphy 29 23 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27814 CPT Treatment Of Both Broken Lower Leg Bones At Ankle 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27822 CPT Treatment Of 3 Broken Lower Leg Bones At Ankle 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
23515 CPT Treatment Of Broken Collar Bone 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
63030 CPT Partial Removal Of Spine Bone With Release Of Lower Spinal Cord Or Nerves And/or… 29 23 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29820 CPT Arthroscopy, Shoulder, Surgical; Synovectomy, Partial 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27829 CPT Treatment Of Ligament Tear At Ankle Joint 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25405 CPT Repair Non-healed Fracture Of Forearm Bone With Patient-derived Bone Graft 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25390 CPT Shortening Of One Of The Forearm Bones 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29823 CPT Removal Of Extensive Shoulder Joint Tissue Using An Endoscope 29 23 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25360 CPT Incision Or Partial Removal Of Forearm Bone On Small Finger Side 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27524 CPT Treatment Of Broken Kneecap With Placement Of Stabilizing Device And/or Removal … 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29828 CPT Arthroscopy, Shoulder, Surgical; Biceps Tenodesis 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25350 CPT Incision Or Partial Removal Of Forearm Bone On Thumb Side Near Hand 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
23440 CPT Removal Or Relocation Of Biceps Tendon 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27427 CPT Reconstruction Of Ligaments Outside Knee Joint 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25320 CPT Reconstruction Of Wrist Joint 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
23430 CPT Anchoring Of Biceps Tendon 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27422 CPT Repair Of Dislocating Kneecap With Realignment 28 22 — — $860.00 $34,452.63 $7,261.49 2026-01-01
27418 CPT Repair Of Upper End Of Shin Bone At Knee Joint 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27405 CPT Primary Repair Of Torn Ligament Or Joint Capsule At Outside Part Of Knee 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29827 CPT Arthroscopy, Shoulder, Surgical; With Rotator Cuff Repair 29 23 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27385 CPT Primary Suture Of Ruptured Muscle Of Thigh 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27381 CPT Secondary Suture Of Tendon Below Knee 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
27380 CPT Primary Suture Of Tendon Below Knee 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25263 CPT Secondary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25260 CPT Primary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
25135 CPT Removal Of Cyst Or Growth Of Wrist Bone With Self Bone Graft 28 22 — — $868.75 $34,452.63 $7,261.49 2026-01-01
26852 CPT Fusion Of Finger Joint At Hand With Self Bone Graft 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
26841 CPT Fusion Of Thumb At Wrist 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29807 CPT Arthroscopy, Shoulder, Surgical; Repair Of Slap Lesion 29 23 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29916 CPT Repair Of Hip Joint Socket Cartilage Using An Endoscope 29 23 — — $970.00 $34,452.63 $7,261.49 2026-01-01
26546 CPT Repair Of Nonhealed Hand Or Finger Bone 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
24685 CPT Treatment Of Broken Forearm Bone On Small Finger Side At Elbow 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
24665 CPT Treatment Of Broken Forearm Bone On Thumb Side At Elbow 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
26536 CPT Replacement Of Finger Joint With Prosthesis 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
63045 CPT Laminectomy, Facetectomy And Foraminotomy (unilateral Or Bilateral With Decompre… 29 23 — — $970.00 $53,821.97 $7,261.49 2026-01-01
26531 CPT Repair Of Joint Between Hand And Finger Bones With Prosthesis 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
24615 CPT Treatment Of Dislocated Elbow 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
28740 CPT Fusion Of Foot In Midfoot Region 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
26494 CPT Transfer Of Tendon In Palm To Thumb 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29914 CPT Reshaping Of Thigh Bone At Hip Joint Using An Endoscope 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
63047 CPT Laminectomy, Facetectomy And Foraminotomy (unilateral Or Bilateral With Decompre… 29 23 — — $970.00 $99,589.86 $7,261.49 2026-01-01
28485 CPT Treatment Of Broken Midportion Of Foot 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29862 CPT Removal Or Shaving Of Hip Joint Socket Cartilage Using An Endoscope 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
28445 CPT Treatment Of Broken Bone Between Foot And Ankle 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
28415 CPT Treatment Of Broken Heel Bone 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
28322 CPT Repair Of Nonhealed Broken Forefoot Bone 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
24359 CPT Incision And Repair Of Elbow Tendon With Removal Of Tissue Or Bone 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29847 CPT Placement Of Internal Stabilizing Device Using An Endoscope To Treat Broken Or U… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
28310 CPT Incision Or Partial Removal Of Big Toe Bone At First Toe Bone Level To Straighte… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
28308 CPT Incision Or Partial Removal Of Foot Bone (other Than Big Toe) To Straighten Toe 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
28306 CPT Incision Or Partial Removal Of Big Toe Bone To Straighten Toe 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
26390 CPT Repair Of Tendon On Underside Of Finger Or Hand With Implanted Rod 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
28298 CPT Correction Of Bunion With Alignment Correction Of Big Toe 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
26358 CPT Secondary Repair Of Finger Tendon On Underside Of Hand With A Graft In Zone 2 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
20690 CPT Placement Of Single Direction External Bone Stabilizing Device To Arm Or Leg 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
26356 CPT Primary Repair Of Finger Tendon On Underside Of The Hand Without A Graft In Zone… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
63267 CPT Removal Of Growth Of Lower Spine Bone Outside Spine Membrane 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
24345 CPT Repair Of Ligament Of Small Finger Side Of Elbow 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
28202 CPT Secondary Repair Of Tendon On Sole Of Foot With Graft 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29915 CPT Reshaping Of Hip Socket Using An Endoscope 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
24344 CPT Repair Of Ligament Of Thumb Side Of Elbow With Tendon Graft 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
29824 CPT Arthroscopy, Shoulder, Surgical; Distal Claviculectomy Including Distal Articula… 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
28118 CPT Removal Of Heel Bone 28 22 — — $970.00 $34,452.63 $7,261.49 2026-01-01
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