Price Transparencybeta 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

MONUMENT HEALTH SPEARFISH HOSPITAL

Spearfish, SD · CCN 430048 · Rates published

2,705 distinct procedures filed
33 distinct payers
253,166 rate rows
2025-07-01 last MRF observed · ⚠ 12 mo old
Data quality

101,778 of 253,166 rate rows are consumer-grade (40.2%)

151,388 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 116,802
placeholder amount (≤ $0.02) — excluded from medians 32,252
exceeds 10× this hospital's gross charge — excluded from medians 1,712
template filing: same amount across many unrelated codes — excluded 390
per-diem day rate — not a per-procedure price 164
exceeds 3× this hospital's gross charge for a DRG stay — excluded 48
percent-of-charges filed in the dollar field — excluded from medians 20

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://monument.health/wp-content/uploads/2025/02/460360899_Monument-Health-Network-Inc-Spearfish-Hospital_standardcharges.csv
Found on page https://monument.health/price-transparency-cost-estimate
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint f0b0526d59911904… · 111,028,546 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
J7330
HCPCS 		1 Membrane Maci Implant 8 $60,665.00 $127,193.28 $72,798.00 nat. median
$76,329
1.0× median
230
APR_DRG 		Major Small Bowel Procedures 2 $62,372.70 $62,372.70 $62,372.70 nat. median
$27,615
outlier · 2.3×
362
APR_DRG 		Mastectomy Procedures 2 $59,948.60 $59,948.60 $59,948.60 nat. median
$19,434
outlier · 3.1×
23474
CPT 		Revis Shoulder Arthrplsty Humeral&Glenoid Compnt 28 $28,831.00 $56,492.47 $56,492.47 nat. median
$8,467
outlier · 6.7×
325
APR_DRG 		Non-elective Or Complex Knee Joint Replacement 2 $53,625.00 $53,625.00 $53,625.00 nat. median
$34,635
1.5× median
40814
CPT 		Excis Mouth Mucosa/Sub,Complx Repr 33 $5,531.00 $52,621.32 $52,621.32 nat. median
$3,320
outlier · 15.8×
40818
CPT 		Excise Oral Mucosa For Graft 33 $5,529.00 $52,620.32 $52,620.32 nat. median
$756
outlier · 69.6×
64582
CPT 		Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor 33 $5,853.00 $54,884.00 $52,358.35 nat. median
$28,316
1.8× median
220
APR_DRG 		Major Stomach, Esophageal And Duodenal Procedures 2 $49,145.89 $49,145.89 $49,145.89 nat. median
$31,284
1.6× median
850
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 $45,314.00 $45,314.00 $45,314.00 nat. median
$21,556
outlier · 2.1×
323
APR_DRG 		Non-elective Or Complex Hip Joint Replacement 2 $44,701.00 $44,701.00 $44,701.00 nat. median
$25,863
1.7× median
324
APR_DRG 		Elective Hip Joint Replacement 2 $41,344.00 $41,344.00 $41,344.00 nat. median
$19,823
outlier · 2.1×
26045
CPT 		Release Palm Contract,Open,Partial 31 $5,476.00 $41,001.18 $41,001.18 nat. median
$3,450
outlier · 11.9×
261
APR_DRG 		Major Biliary Tract Procedures 2 $40,230.00 $40,230.00 $40,230.00 nat. median
$10,621
outlier · 3.8×
27416
CPT 		Osteochondral Knee Autograft 33 $5,477.00 $39,835.73 $39,835.73 nat. median
$7,086
outlier · 5.6×
229
APR_DRG 		Other Digestive System And Abdominal Procedures 2 $39,780.14 $39,780.14 $39,780.14 nat. median
$21,265
1.9× median
326
APR_DRG 		Elective Knee Joint Replacement 2 $39,299.00 $39,299.00 $39,299.00 nat. median
$18,508
outlier · 2.1×
23472
CPT 		Reconstr Total Shoulder Implant 33 $5,479.00 $39,158.43 $39,158.43 nat. median
$16,400
outlier · 2.4×
23120
CPT 		Partial Removal, Clavicle 33 $5,476.00 $39,148.62 $39,148.62 nat. median
$3,601
outlier · 10.9×
27405
CPT 		Repair Collat Ligamt/Capsule,Knee 33 $5,477.00 $39,068.81 $39,068.81 nat. median
$7,051
outlier · 5.5×
27415
CPT 		Osteochondral Knee Allograft 31 $5,478.00 $38,745.22 $38,745.22 nat. median
$12,082
outlier · 3.2×
313
APR_DRG 		Knee And Lower Leg Procedures Except Foot 2 $37,718.00 $37,718.00 $37,718.00 nat. median
$22,095
1.7× median
23412
CPT 		Repair Rotator Cuff,Chronic 33 $5,477.00 $37,533.72 $37,533.72 nat. median
$6,999
outlier · 5.4×
20985
CPT 		Cptr-asst Surgical Navigation Image-less 26 $37,441.64 $37,441.64 $37,441.64 nat. median
$761
outlier · 49.2×
43644
CPT 		Lap Gastric Bypass/roux-en-y 28 $12,239.00 $37,146.39 $37,146.39 nat. median
$5,564
outlier · 6.7×
320
APR_DRG 		Other Musculoskeletal System And Connective Tissue Procedures 2 $36,291.08 $36,291.08 $36,291.08 nat. median
$17,538
outlier · 2.1×
60271
CPT 		Thyroidectomy=Substernal,Transcerv 31 $5,532.00 $36,217.56 $36,217.56 nat. median
$6,319
outlier · 5.7×
29883
CPT 		Knee Scope,Med+Lat Menis Repair 33 $5,476.00 $36,015.69 $36,015.69 nat. median
$3,972
outlier · 9.1×
23430
CPT 		Repair Biceps Long Tendon 33 $5,477.00 $35,857.78 $35,857.78 nat. median
$6,990
outlier · 5.1×
23410
CPT 		Repair Rotator Cuff,Acute 33 $5,477.00 $35,857.78 $35,857.78 nat. median
$6,989
outlier · 5.1×
23630
CPT 		Open Rx Gr Tuberosity Fx 31 $5,477.00 $35,857.78 $35,857.78 nat. median
$7,011
outlier · 5.1×
231
APR_DRG 		Major Large Bowel Procedures 2 $35,314.00 $35,314.00 $35,314.00 nat. median
$14,578
outlier · 2.4×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 5 $35,094.46 $62,111.50 $35,094.46 nat. median
$52,746
0.7× median
23130
CPT 		Partial Removal/Repair,Acromion 31 $5,476.00 $34,861.12 $34,861.12 nat. median
$3,828
outlier · 9.1×
27447
CPT 		Total Knee Arthroplasty 33 $5,478.00 $34,805.04 $34,805.04 nat. median
$12,649
outlier · 2.8×
224
APR_DRG 		Peritoneal Adhesiolysis 2 $33,432.00 $33,432.00 $33,432.00 nat. median
$39,321
0.9× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With McC 5 $33,002.17 $58,408.50 $33,002.17 nat. median
$48,178
0.7× median
23473
CPT 		Revis Shoulder Arthrplsty Humeral/Glenoid Compnt 31 $5,478.00 $32,789.71 $32,789.71 nat. median
$12,788
outlier · 2.6×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With McC 5 $32,497.30 $57,514.95 $32,497.30 nat. median
$48,170
0.7× median
383
APR_DRG 		Cellulitis And Other Skin Infections 2 $32,361.93 $32,361.93 $32,361.93 nat. median
$9,203
outlier · 3.5×
951
APR_DRG 		Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 $32,267.00 $32,267.00 $32,267.00 nat. median
$7,608
outlier · 4.2×
691
APR_DRG 		Lymphoma, Myeloma And Non-acute Leukemia 2 $31,829.00 $31,829.00 $31,829.00 nat. median
$21,772
1.5× median
27130
CPT 		Total Hip Arthroplasty 33 $5,478.00 $31,601.83 $31,601.83 nat. median
$13,100
outlier · 2.4×
27846
CPT 		Open Rx Ankle Dislocatn 33 $5,477.00 $31,578.08 $31,578.08 nat. median
$7,041
outlier · 4.5×
461
APR_DRG 		Kidney And Urinary Tract Malignancy 2 $31,420.98 $31,420.98 $31,420.98 nat. median
$5,729
outlier · 5.5×
27477
CPT 		Surgery To Stop Tib/Fib Growth 33 $5,477.00 $31,341.07 $31,341.07 nat. median
$7,155
outlier · 4.4×
27827
CPT 		Open Treatment Fracture Distal Tibia Only 31 $5,478.00 $31,044.60 $31,044.60 nat. median
$11,070
outlier · 2.8×
308
APR_DRG 		Hip And Femur Fracture Repair 2 $30,935.00 $30,935.00 $30,935.00 nat. median
$19,640
1.6× median
793
APR_DRG 		Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 $30,889.00 $30,889.00 $30,889.00 nat. median
$20,746
1.5× median
29888
CPT 		Knee Scope,Aid Ant Cruciate Repair 33 $5,477.00 $30,805.83 $30,805.83 nat. median
$7,307
outlier · 4.2×

Other procedures at this hospital

Browse this hospital's 2,705 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
             
C1767 HCPCS Hc Mh Pt Trial Kit 4 1 $1.00 $1.00 $0.94 $46,397.46 $23,199.20 2025-07-01
792 MS_DRG Prematurity Without Major Problems 10 4 $5,744.33 $5,744.33 $15,917.59 $15,917.59 $15,917.59 2025-07-01
634 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 2 $15,481.19 $12,544.94 $27,492.00 $27,492.00 $27,492.00 2025-07-01
27640 CPT Partial Removal Of Tibia 4 2 $13,859.83 $13,859.83 $14,968.00 $14,968.00 $14,968.00 2025-07-01
27691 CPT Xfer Single Deep Low Leg Tendon 4 2 $14,149.81 $14,149.81 $14,968.00 $14,968.00 $14,968.00 2025-07-01
547 APR_DRG Antepartum With O.r. Procedure 4 2 $14,274.66 $14,274.66 $17,902.00 $17,902.00 $17,902.00 2025-07-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With McC 14 5 $15,343.71 $15,343.71 $12,972.41 $19,132.55 $15,329.23 2025-07-01
253 APR_DRG Other And Unspecified Gastrointestinal Hemorrhage 4 2 $16,333.99 $16,333.99 $15,080.00 $15,080.00 $15,080.00 2025-07-01
244 APR_DRG Diverticulitis And Diverticulosis 4 2 $20,523.04 $17,943.15 $14,783.00 $14,783.00 $14,783.00 2025-07-01
42 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 4 2 $18,563.33 $18,563.33 $17,968.00 $17,968.00 $17,968.00 2025-07-01
347 APR_DRG Other Back And Neck Disorders, Fractures And Injuries 4 2 $18,772.70 $18,772.70 $15,748.00 $15,748.00 $15,748.00 2025-07-01
531 APR_DRG Female Reproductive System Infections 4 2 $18,817.51 $18,817.51 $14,829.00 $14,829.00 $14,829.00 2025-07-01
190 APR_DRG Acute Myocardial Infarction 4 2 $19,046.45 $19,046.45 $18,141.00 $18,141.00 $18,141.00 2025-07-01
140 APR_DRG Chronic Obstructive Pulmonary Disease 4 2 $20,534.12 $20,534.12 $14,639.00 $14,639.00 $14,639.00 2025-07-01
56 MS_DRG Degenerative Nervous System Disorders With McC 14 5 $20,749.06 $20,749.06 $16,271.07 $28,797.15 $16,271.07 2025-07-01
248 APR_DRG Major Gastrointestinal And Peritoneal Infections 4 2 $12,454.35 $20,895.10 $14,666.00 $14,666.00 $14,666.00 2025-07-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 14 5 $21,343.15 $21,343.15 $19,057.96 $33,729.50 $19,057.96 2025-07-01
134 APR_DRG Pulmonary Embolism 4 2 $21,197.10 $22,033.53 $16,395.00 $16,395.00 $16,395.00 2025-07-01
383 APR_DRG Cellulitis And Other Skin Infections 4 2 $22,153.96 $22,153.96 $32,361.93 $32,361.93 $32,361.93 2025-07-01
91 MS_DRG Other Disorders Of Nervous System With McC 14 5 $22,175.68 $22,175.68 $11,844.78 $20,963.35 $17,128.78 2025-07-01
205 MS_DRG Other Respiratory System Diagnoses With McC 14 5 $22,261.00 $22,261.00 $14,719.79 $21,709.70 $15,290.86 2025-07-01
721 APR_DRG Post-operative, Post-traumatic, Other Device Infections 4 2 $22,320.58 $22,320.58 $14,503.00 $14,503.00 $14,503.00 2025-07-01
135 APR_DRG Major Chest And Respiratory Trauma 4 2 $22,440.23 $22,440.23 $14,917.00 $14,917.00 $14,917.00 2025-07-01
282 APR_DRG Disorders Of Pancreas Except Malignancy 4 2 $81,340.90 $22,991.06 72% off $15,315.00 $15,315.00 $15,315.00 2025-07-01
30520 CPT Septoplasty/Submucous Resecj W/wo Cartilage Grf 94 33 $23,217.14 $23,217.14 $5,531.00 $14,025.80 $14,025.80 2025-07-01
49322 CPT Lap,Abdomen,Aspirate Cyst 94 33 $23,374.38 $23,374.38 $5,742.00 $14,207.58 $14,207.58 2025-07-01
137 APR_DRG Major Respiratory Infections And Inflammations 4 2 $8,523.85 $23,476.89 $18,394.00 $18,394.00 $18,394.00 2025-07-01
58661 CPT Lap,Rmv Adnexal Structure 94 33 $23,508.90 $23,508.90 $5,742.00 $14,272.82 $14,272.82 2025-07-01
27726 CPT Rfibula Nonunion/Malunion W Int Fixation 94 33 $23,529.65 $23,529.65 $5,477.00 $14,150.38 $14,150.38 2025-07-01
27696 CPT Repair Both Collat Ankl Ligmt,Primry 94 33 $23,529.65 $23,529.65 $5,477.00 $14,968.00 $14,150.38 2025-07-01
29898 CPT Ankle Scope,Extens Debridemnt 94 33 $23,529.65 $23,529.65 $5,476.00 $14,149.88 $14,149.88 2025-07-01
27766 CPT Open Treatment Medial Malleolus Fracture 94 33 $23,721.77 $23,721.77 $5,477.00 $14,243.56 $14,243.56 2025-07-01
58662 CPT Lap,Fulgurate/Excise Lesions 94 33 $23,738.87 $23,738.87 $5,742.00 $14,384.34 $14,384.34 2025-07-01
57461 CPT Colposcopy,Cervix W/Adj Vag,W/Loop Coniz 94 33 $23,941.48 $23,941.48 $5,798.00 $14,510.62 $14,510.62 2025-07-01
49650 CPT Lap,Inguinal Hernia Repr,Initial 94 33 $24,233.04 $24,233.04 $5,742.00 $14,624.02 $14,624.02 2025-07-01
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 44 15 $24,272.12 $24,272.12 $8,778.00 $22,815.68 $14,850.00 2025-07-01
796 MS_DRG Vaginal Delivery With Sterilization And/Or D&c With McC 14 5 $24,568.87 $24,568.87 $9,954.06 $18,454.39 $14,680.90 2025-07-01
241 APR_DRG Peptic Ulcer And Gastritis 4 2 $24,633.48 $24,633.48 $15,782.00 $15,782.00 $15,782.00 2025-07-01
43774 CPT Lap, Remove Adjust Gast Restrict Device/Port 94 33 $24,682.51 $24,682.51 $5,680.00 $14,811.02 $14,811.02 2025-07-01
15272 CPT App Skn Sub Grft T/a/L Area/100sq Cm Ea Adl 25sc 76 26 $24,858.32 $24,858.32 $15,947.37 $15,947.37 $15,947.37 2025-07-01
27635 CPT Excis Benign Lesn,Tib/Fib 94 33 $24,877.12 $24,877.12 $5,476.00 $14,803.41 $14,803.41 2025-07-01
42440 CPT Excision Submaxillary Gland 94 33 $24,895.57 $24,895.57 $5,532.00 $14,840.35 $14,840.35 2025-07-01
30469 CPT Hc Rpr Nsl Vlv Collapse Lw Nrg Subq/Sbmcsl Rmdlg 94 33 $24,921.05 $24,921.05 $4,663.00 $14,418.21 $14,418.21 2025-07-01
25609 CPT Open Rx Distal Radius Fx, Intra-articular, 3+ Frag 94 33 $25,023.57 $25,023.57 $5,477.00 $14,874.92 $14,874.92 2025-07-01
25607 CPT Open Rx Distal Radius Fx, Extra-articular 94 33 $25,060.32 $25,060.32 $5,477.00 $14,892.75 $14,892.75 2025-07-01
31591 CPT Laryngoplasty Medialization Unliateral 94 33 $25,445.46 $25,445.46 $5,532.00 $15,107.05 $15,107.05 2025-07-01
29838 CPT Elbow Arthroscop,Exten Debride 94 33 $25,458.47 $25,458.47 $5,476.00 $15,085.35 $15,085.35 2025-07-01
43653 CPT Lap,Gastrostomy,without Tube Constr 94 33 $25,458.56 $25,458.56 $5,742.00 $15,218.40 $15,218.40 2025-07-01
43870 CPT Closure Of Gastrostomy,Surgical 94 33 $25,515.30 $25,515.30 $5,680.00 $15,214.92 $15,214.92 2025-07-01
49651 CPT Lap,Inguinal Hernia Repr,Recur 94 33 $26,010.62 $26,010.62 $5,742.00 $15,486.15 $15,486.15 2025-07-01
25515 CPT Open Treatment Radial Shaft Fracture 90 31 $26,037.13 $26,037.13 $5,477.00 $15,366.51 $15,366.51 2025-07-01
27695 CPT Repair 1 Collat Ankle Ligmnt,Primary 90 31 $26,110.35 $26,110.35 $5,477.00 $15,402.01 $15,402.01 2025-07-01
52 APR_DRG Alteration In Consciousness 4 2 $26,200.35 $26,200.35 $14,440.00 $14,440.00 $14,440.00 2025-07-01
57260 CPT Cmbnd Anterpost Colporraphy W/Cysto 94 33 $26,209.36 $26,209.36 $5,799.00 $15,611.03 $15,611.03 2025-07-01
57282 CPT Revaginal Prolapse,Sacrosp Lig 94 33 $26,209.36 $26,209.36 $4,468.00 $14,945.53 $14,945.53 2025-07-01
49321 CPT Lap,Dx Surgical Abd W/Biopsy 94 33 $26,210.15 $26,210.15 $5,742.00 $15,582.92 $15,582.92 2025-07-01
57240 CPT Anterior Colporraphy Rpr Cystocele W/Cysto 94 33 $26,369.82 $26,369.82 $5,799.00 $15,688.86 $15,688.86 2025-07-01
233 APR_DRG Appendectomy With Complex Principal Diagnosis 4 2 $26,431.98 $26,431.98 $25,484.00 $25,484.00 $25,484.00 2025-07-01
51 APR_DRG Viral Meningitis 4 2 $26,601.59 $26,601.59 $16,086.14 $16,086.14 $16,086.14 2025-07-01
28202 CPT Repair/Graft Flex Foot Tendon 94 33 $26,692.99 $26,692.99 $5,477.00 $15,684.59 $15,684.59 2025-07-01
28086 CPT Synovectomy Flex Tendn Sheath,Foot 94 33 $26,692.99 $26,692.99 $5,476.00 $15,684.09 $15,684.09 2025-07-01
177 MS_DRG Respiratory Infections And Inflammations With McC 14 5 $26,761.05 $26,761.05 $12,604.37 $18,589.75 $17,695.56 2025-07-01
49654 CPT Lap, Incisional Hernia Repair,Reducible 80 28 $26,918.95 $26,918.95 $10,315.00 $18,213.19 $18,213.19 2025-07-01
49329 CPT Lap,Abd/Perit/Omentum,Unlist 94 33 $26,937.46 $26,937.46 $5,742.00 $15,935.67 $15,935.67 2025-07-01
58660 CPT Lap,Lysis Of Adhesions 94 33 $27,198.05 $27,198.05 $5,742.00 $16,062.07 $16,062.07 2025-07-01
661 APR_DRG Coagulation And Platelet Disorders 4 2 $27,277.78 $27,277.78 $24,718.00 $24,718.00 $24,718.00 2025-07-01
43275 CPT Ercp Remove Foreign Body/Stent Biliary/Panc Duct 94 33 $27,330.61 $27,330.61 $5,678.00 $16,094.34 $16,094.34 2025-07-01
44180 CPT Lap, Surg Enterolysis 94 33 $27,430.09 $27,430.09 $5,742.00 $16,174.60 $16,174.60 2025-07-01
47490 CPT Cholecystostomy Prq W/Imaging & Catheter Plmt 94 33 $27,430.09 $27,430.09 $3,419.00 $15,013.10 $15,013.10 2025-07-01
351 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 4 2 $27,457.43 $27,457.43 $16,378.00 $16,378.00 $16,378.00 2025-07-01
57120 CPT Closure Of Vagina 94 33 $27,476.67 $27,476.67 $5,799.00 $16,225.68 $16,225.68 2025-07-01
813 APR_DRG Other Complications Of Treatment 4 2 $27,511.90 $27,511.90 $17,800.00 $17,800.00 $17,800.00 2025-07-01
28299 CPT Corrj Hallux Valgus W/Sesmdc W/2 Osteot 94 33 $27,561.08 $27,561.08 $5,477.00 $16,105.62 $16,105.62 2025-07-01
28232 CPT Tx Open Tendon Flexor Toe 1 Tendon Spx 94 33 $27,561.08 $27,561.08 $5,475.00 $16,104.62 $16,104.62 2025-07-01
344 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 4 2 $27,822.51 $27,822.51 $17,569.00 $17,569.00 $17,569.00 2025-07-01
461 APR_DRG Kidney And Urinary Tract Malignancy 4 2 $27,875.88 $27,875.88 $31,420.98 $31,420.98 $31,420.98 2025-07-01
27698 CPT Repair Collat Ankle Ligmnt,Secondary 94 33 $27,961.38 $27,961.38 $5,477.00 $16,299.76 $16,299.76 2025-07-01
28308 CPT Osteotomy Metatarsal (Not 1st) 94 33 $27,975.63 $27,975.63 $5,476.00 $16,306.17 $16,306.17 2025-07-01
28296 CPT Corrj Hallux Valgus W/Sesmdc W/Dist Metar Osteot 90 31 $27,975.63 $27,975.63 $5,476.00 $16,306.17 $16,306.17 2025-07-01
540 APR_DRG Cesarean Section Without Sterilization 4 2 $27,997.58 $27,997.58 $18,199.03 $18,199.03 $18,199.03 2025-07-01
21013 CPT Exc Tumor Soft Tiss Face&Scalp Subfascial < 2cm 94 33 $28,228.51 $28,228.51 $4,246.00 $15,813.83 $15,813.83 2025-07-01
539 APR_DRG Cesarean Section With Sterilization 4 2 $26,660.96 $28,290.29 $17,898.00 $17,898.00 $17,898.00 2025-07-01
49585 CPT Repair Umbilical Hern,5+Y/O,Reduc 80 28 $28,428.20 $28,428.20 $9,028.00 $18,301.68 $18,301.68 2025-07-01
29836 CPT Elbow Arthroscop,Full Synovect 94 33 $28,473.11 $28,473.11 $5,477.00 $16,547.97 $16,547.97 2025-07-01
29834 CPT Elbow Arthroscop,Remv Loose Body 94 33 $28,473.11 $28,473.11 $5,476.00 $16,547.47 $16,547.47 2025-07-01
15734 CPT Muscle-skin Flap,Trunk 94 33 $28,507.12 $28,507.12 $3,619.00 $15,635.46 $15,635.46 2025-07-01
11626 CPT Excision Malignant Lesion S/n/h/f/g >4.0 Cm 90 31 $28,709.62 $28,709.62 $5,433.00 $16,640.67 $16,640.67 2025-07-01
31254 CPT Nasal/Sinus Ndsc W/Partial Ethmoidectomy 94 33 $28,889.98 $28,889.98 $4,663.00 $16,343.13 $16,343.13 2025-07-01
29825 CPT Shldr Arthroscop,Lyse Adhesns 94 33 $28,943.30 $28,943.30 $5,476.00 $16,775.49 $16,775.49 2025-07-01
519 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 4 2 $29,005.61 $29,005.61 $19,228.00 $19,228.00 $19,228.00 2025-07-01
27659 CPT Repair Flex Leg Tendon,Second,Ea 94 33 $29,051.48 $29,051.48 $5,477.00 $16,828.47 $16,828.47 2025-07-01
29805 CPT Shldr Arthroscop,Diagnostic 90 31 $29,147.94 $29,147.94 $5,476.00 $16,874.75 $16,874.75 2025-07-01
47579 CPT Lap,Biliary Tract,Unlisted 94 33 $29,312.86 $29,312.86 $3,419.00 $15,926.25 $15,926.25 2025-07-01
28234 CPT Incision Exten Foot/Toe Tendon 94 33 $29,315.39 $29,315.39 $5,475.00 $16,955.46 $16,955.46 2025-07-01
49592 CPT Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated 94 33 $29,564.29 $29,564.29 $5,742.00 $17,209.69 $17,209.69 2025-07-01
19301 CPT Mastectomy, Partial 94 33 $29,615.75 $29,615.75 $5,452.00 $17,089.64 $17,089.64 2025-07-01
29879 CPT Knee Scope,Abrasn Arthroplasty 94 33 $29,790.11 $29,790.11 $5,476.00 $17,186.19 $17,186.19 2025-07-01
58260 CPT Vaginal Hysterectomy,Uterus 250 Gms/< 94 33 $29,858.47 $29,858.47 $5,799.00 $17,380.85 $17,380.85 2025-07-01
49653 CPT Lap, Ventral Hernia Repair,Incarcerated 80 28 $29,890.29 $29,890.29 $10,315.00 $19,654.29 $19,654.29 2025-07-01
23140 CPT Excis/Curet Benign Tumr Clav/Scapula 94 33 $29,890.97 $29,890.97 $5,476.00 $17,235.12 $17,235.12 2025-07-01
31255 CPT Nasal/Sinus Ndsc W/Total Ethoidectomy 94 33 $29,907.45 $29,907.45 $5,521.00 $17,265.61 $17,265.61 2025-07-01
45 APR_DRG Cva And Precerebral Occlusion With Infarction 4 2 $29,958.71 $29,958.71 $16,451.00 $16,451.00 $16,451.00 2025-07-01
58550 CPT Lap,Vag Hyst,Uterus 250gms/< 94 33 $30,223.52 $30,223.52 $5,742.00 $17,529.40 $17,529.40 2025-07-01
58150 CPT Total Abdom Hysterectomy 80 28 $30,470.43 $30,470.43 $13,993.00 $21,003.28 $21,003.28 2025-07-01
47379 CPT Unlisted Laparoscopic Proc, Liver 90 31 $30,531.26 $30,531.26 $5,742.00 $17,678.67 $17,678.67 2025-07-01
194 APR_DRG Heart Failure 4 2 $30,586.53 $30,586.53 $16,273.00 $16,273.00 $16,273.00 2025-07-01
29873 CPT Knee Scope, W/Lateral Release 94 33 $30,596.96 $30,596.96 $5,476.00 $17,577.52 $17,577.52 2025-07-01
541 APR_DRG Vaginal Delivery With Sterilization And/Or D&c 4 2 $28,777.22 $30,752.08 $18,024.00 $18,024.00 $18,024.00 2025-07-01
342 APR_DRG Fractures And Dislocations Except Femur, Pelvis And Back 4 2 $30,765.78 $30,765.78 $16,645.00 $16,645.00 $16,645.00 2025-07-01
29856 CPT Tibial Scope/Surg/Fx Aid,Bicondylar 94 33 $30,778.18 $30,778.18 $5,478.00 $17,666.42 $17,666.42 2025-07-01
27687 CPT Gastrocnemius Recession 94 33 $30,971.76 $30,971.76 $5,476.00 $17,759.31 $17,759.31 2025-07-01
58545 CPT Lap,Myomectomy 1-4,tot Wt 250 Gms 94 33 $30,981.99 $30,981.99 $5,742.00 $17,897.28 $17,897.28 2025-07-01
49593 CPT Rpr Aa Hernia 1st 3-10 Cm Reducible 94 33 $31,275.08 $31,275.08 $5,721.00 $18,028.92 $18,028.92 2025-07-01
38525 CPT Bx/Remv,Lymph Node,Deep Axill 94 33 $31,297.61 $31,297.61 $5,303.00 $17,830.85 $17,830.85 2025-07-01
58572 CPT Laparoscopy Total Hysterectomy Uterus > 250 Gram 94 33 $31,324.68 $31,324.68 $5,743.00 $18,063.97 $18,063.97 2025-07-01
23462 CPT Repair Shldr Capsu,Ant,Coracoid Xfer 94 33 $31,377.82 $31,377.82 $5,477.00 $17,956.74 $17,956.74 2025-07-01
60220 CPT Thyroid Lobectomy,Unilat 94 33 $31,460.04 $31,460.04 $5,742.00 $18,129.12 $18,129.12 2025-07-01
27650 CPT Repair Achilles Tendon,Primary 94 33 $31,535.93 $31,535.93 $5,477.00 $18,033.42 $18,033.42 2025-07-01
28322 CPT Repair Non/Malunion Metatarsal 4 2 $31,738.32 $31,738.32 $14,054.00 $14,054.00 $14,054.00 2025-07-01
281 APR_DRG Malignancy Of Hepatobiliary System And Pancreas 4 2 $31,830.66 $31,830.66 $17,428.00 $17,428.00 $17,428.00 2025-07-01
28740 CPT Fusion Foot Bone,Midtarsal,1 Jt 90 31 $31,838.33 $31,838.33 $5,477.00 $18,180.08 $18,180.08 2025-07-01
28615 CPT Open Treatment Tarsometatarsal Joint Dislocation 90 31 $31,838.33 $31,838.33 $5,477.00 $18,180.08 $18,180.08 2025-07-01
320 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 4 2 $31,922.79 $31,922.79 $36,291.08 $36,291.08 $36,291.08 2025-07-01
27386 CPT Fix Quad/Hamstr Musc Rupt,Second 94 33 $32,051.36 $32,051.36 $5,477.00 $18,283.42 $18,283.42 2025-07-01
42450 CPT Excision Sublingual Gland 94 33 $32,609.50 $32,609.50 $5,532.00 $18,581.60 $18,581.60 2025-07-01
27792 CPT Open Tx Distal Fibular Fracture Lat Malleolus 94 33 $32,684.49 $32,684.49 $5,477.00 $18,590.49 $18,590.49 2025-07-01
43772 CPT Lap, Remove Adjust Gast Restrict Device 90 31 $32,770.98 $32,770.98 $5,680.00 $18,733.92 $18,733.92 2025-07-01
60280 CPT Excis Thyroid Duct Cyst/Sinus 94 33 $32,829.52 $32,829.52 $5,742.00 $18,793.31 $18,793.31 2025-07-01
43659 CPT Lap,Stomach,Other,without Tube 94 33 $32,860.57 $32,860.57 $5,742.00 $18,808.40 $18,808.40 2025-07-01
24685 CPT Open Tx Ulnar Fracture Prox End 94 33 $32,947.07 $32,947.07 $5,477.00 $18,717.83 $18,717.83 2025-07-01
58554 CPT Lap,Vag Hyst,Uterus >250gms,salp-ooph 94 33 $33,149.73 $33,149.73 $5,743.00 $18,949.13 $18,949.13 2025-07-01
58571 CPT Laparoscopy W Tot Hysterectuterus <=250 Gram W Tube/Ovary 94 33 $33,197.41 $33,197.41 $5,743.00 $18,972.24 $18,972.24 2025-07-01
43210 CPT Egd Partial/Compl Esophagogastric Fundoplasty 94 33 $33,278.29 $33,278.29 $5,743.00 $19,011.47 $19,011.47 2025-07-01
28750 CPT Fusion Big Toe,mt-p Jt 94 33 $33,763.25 $33,763.25 $5,477.00 $19,113.68 $19,113.68 2025-07-01
49594 CPT Rpr Aa Hernia 1st 3-10 Cm Ncrc8/Strangulated 94 33 $33,770.84 $33,770.84 $5,742.00 $19,249.85 $19,249.85 2025-07-01
58291 CPT Vag Hyst,Uterus >250 Gms,Rem Tube/Ovary 94 33 $33,809.56 $33,809.56 $5,799.00 $19,297.13 $19,297.13 2025-07-01
206 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 4 2 $33,832.20 $33,832.20 $18,680.00 $18,680.00 $18,680.00 2025-07-01
24341 CPT Repair Tendon/Muscle Upper Arm/Elbow Ea 90 31 $33,853.91 $33,853.91 $5,477.00 $19,157.65 $19,157.65 2025-07-01
930 APR_DRG Multiple Significant Trauma Without O.r. Procedure 4 2 $33,901.06 $33,901.06 $16,765.00 $16,765.00 $16,765.00 2025-07-01
31267 CPT Nasal/Sinus Endoscopy,Rmv Tiss Maxill Sinus 94 33 $34,022.14 $34,022.14 $3,984.00 $18,492.73 $18,492.73 2025-07-01
380 APR_DRG Skin Ulcers 4 2 $34,143.92 $34,143.92 $19,023.00 $19,023.00 $19,023.00 2025-07-01
58552 CPT Lap,Vag Hyst,Uterus 250gms/<,salp-ooph 94 33 $34,457.53 $34,457.53 $5,743.00 $19,583.40 $19,583.40 2025-07-01
27486 CPT Revise Knee Joint Replace,1 Part 76 26 $34,469.49 $34,469.49 $23,180.99 $23,180.99 $23,180.99 2025-07-01
27334 CPT Rmv Knee Synovium,Ant/Post 94 33 $34,469.49 $34,469.49 $5,476.00 $19,455.71 $19,455.71 2025-07-01
69631 CPT Tympanoplasty 94 33 $34,564.18 $34,564.18 $5,532.00 $19,529.62 $19,529.62 2025-07-01
513 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 4 2 $34,579.16 $34,579.16 $21,275.00 $21,275.00 $21,275.00 2025-07-01
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 2 $34,641.45 $34,641.45 $45,314.00 $45,314.00 $45,314.00 2025-07-01
28735 CPT Fusion Foot Bones,Midtarsal,Osteotmy 94 33 $34,807.48 $34,807.48 $5,478.00 $19,620.62 $19,620.62 2025-07-01
23550 CPT Open Rx A-c Jt Disloc 94 33 $35,083.43 $35,083.43 $5,477.00 $19,753.96 $19,753.96 2025-07-01
29823 CPT Surgical Arthroscopy Shoulder Xtnsv Dbrdmt 3+ 94 33 $35,083.43 $35,083.43 $5,476.00 $19,753.46 $19,753.46 2025-07-01
27654 CPT Repair Achilles Tendon,Secondary 94 33 $35,104.12 $35,104.12 $5,477.00 $19,763.99 $19,763.99 2025-07-01
28119 CPT Ostectomy Calcaneus Spur W/wo Plntar Fascial Rls 94 33 $35,104.12 $35,104.12 $5,476.00 $19,763.49 $19,763.49 2025-07-01
793 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 4 2 $35,386.98 $35,386.98 $30,889.00 $30,889.00 $30,889.00 2025-07-01
43281 CPT Lap, Repair Paraesophageal Hernia, Incl Fundoplasty Without Mesh 94 33 $35,459.23 $35,459.23 $5,743.00 $20,069.24 $20,069.24 2025-07-01
64712 CPT Neuroplasty Sciatic Nerve,Open 94 33 $35,555.54 $35,555.54 $5,817.00 $20,152.93 $20,152.93 2025-07-01
27305 CPT Fasciotomy,Iliotibial,Open 94 33 $35,634.89 $35,634.89 $5,476.00 $20,020.92 $20,020.92 2025-07-01
27299 CPT Hc Pelvis/Hip Joint Surgery Unlisted 90 31 $35,634.89 $35,634.89 $5,474.00 $20,019.92 $20,019.92 2025-07-01
27822 CPT Open Tx Trimalleolar Ankle Fx Without Fix Pst Lip 90 31 $35,816.19 $35,816.19 $5,477.00 $20,109.35 $20,109.35 2025-07-01
38120 CPT Lap,Splenectomy 94 33 $35,844.40 $35,844.40 $5,743.00 $20,256.04 $20,256.04 2025-07-01
252 APR_DRG Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure 4 2 $35,895.31 $35,895.31 $18,817.00 $18,817.00 $18,817.00 2025-07-01
43611 CPT Excis Stoamch Malig 80 28 $36,195.96 $36,195.96 $11,775.00 $23,442.53 $23,442.53 2025-07-01
28415 CPT Open Treatment Calcaneal Fracture 94 33 $36,265.75 $36,265.75 $5,477.00 $20,327.38 $20,327.38 2025-07-01
143 APR_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses 4 2 $36,324.50 $36,324.50 $14,975.00 $14,975.00 $14,975.00 2025-07-01
43282 CPT Lap, Repair Paraesophageal Hernia, Incl Fundoplasty With Mesh 94 33 $36,454.74 $36,454.74 $5,743.00 $20,552.04 $20,552.04 2025-07-01
31257 CPT Nasal/Sinus Ndsc Total With Sphenoidotomy 94 33 $36,460.56 $36,460.56 $5,521.00 $20,443.88 $20,443.88 2025-07-01
31276 CPT Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus 94 33 $36,460.56 $36,460.56 $3,984.00 $19,675.38 $19,675.38 2025-07-01
720 APR_DRG Septicemia And Disseminated Infections 4 2 $17,921.10 $36,514.44 $17,088.00 $17,088.00 $17,088.00 2025-07-01
49659 CPT Lap,Hernia Repair Proc,Unlist 94 33 $36,839.76 $36,839.76 $5,742.00 $20,738.28 $20,738.28 2025-07-01
49595 CPT Rpr Aa Hernia 1st > 10 Cm Reducible 90 31 $36,839.76 $36,839.76 $5,721.00 $20,727.78 $20,727.78 2025-07-01
43279 CPT Lap, Esophagomyotomy W Fundoplasty 80 28 $36,863.24 $36,863.24 $12,239.00 $23,998.18 $23,998.18 2025-07-01
28238 CPT Reconst Post Tib Tend,Excis Acc Tar Nav 94 33 $37,084.32 $37,084.32 $5,477.00 $20,724.40 $20,724.40 2025-07-01
28300 CPT Osteotomy Heel Bone 94 33 $37,084.32 $37,084.32 $5,477.00 $20,724.40 $20,724.40 2025-07-01
60500 CPT Explore Parathyroid Glands 94 33 $37,224.26 $37,224.26 $5,532.00 $20,819.76 $20,819.76 2025-07-01
23515 CPT Open Treatment Clavicular Fracture Internal Fx 94 33 $37,373.23 $37,373.23 $5,477.00 $20,864.51 $20,864.51 2025-07-01
691 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 4 2 $37,468.27 $37,468.27 $31,829.00 $31,829.00 $31,829.00 2025-07-01
60240 CPT Thyroidectomy 94 33 $37,571.13 $37,571.13 $5,742.00 $21,092.99 $21,092.99 2025-07-01
19303 CPT Mastectomy, Simple, Complete 94 33 $37,806.30 $37,806.30 $5,454.00 $21,063.06 $21,063.06 2025-07-01
31259 CPT Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl 94 33 $37,917.67 $37,917.67 $5,521.00 $21,150.56 $21,150.56 2025-07-01
29821 CPT Shldr Arthroscop,Full Synovect 94 33 $38,041.95 $38,041.95 $5,476.00 $21,188.35 $21,188.35 2025-07-01
28270 CPT Capsulotomy Metatarsophalangeal Joint, W/wo Tenorrhaphy, Ea Joint 94 33 $38,139.50 $38,139.50 $5,476.00 $21,235.66 $21,235.66 2025-07-01
29824 CPT Shldr Arthroscop,Surg,Dis Claviculectomy 94 33 $38,147.35 $38,147.35 $5,476.00 $21,239.47 $21,239.47 2025-07-01
11044 CPT Debridement Bone Muscle &/Fascia 20 Sq Cm/< 94 33 $38,190.44 $38,190.44 $4,311.00 $20,677.87 $20,677.87 2025-07-01
58262 CPT Vag Hyst,Rmv Tube/Ovary 94 33 $38,209.11 $38,209.11 $5,799.00 $21,430.92 $21,430.92 2025-07-01
51860 CPT Repair Bladder Wound/Inj,Simple 94 33 $38,209.11 $38,209.11 $5,758.00 $21,410.42 $21,410.42 2025-07-01
31253 CPT Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl 94 33 $38,328.06 $38,328.06 $5,521.00 $21,349.60 $21,349.60 2025-07-01
223 APR_DRG Other Small And Large Bowel Procedures 4 2 $38,460.59 $38,460.59 $26,429.00 $26,429.00 $26,429.00 2025-07-01
20900 CPT Remv Bone For Graft Minor 94 33 $38,886.35 $38,886.35 $3,619.00 $20,669.38 $20,669.38 2025-07-01
786 MS_DRG Cesarean Section Without Sterilization With McC 14 5 $39,090.16 $39,090.16 $10,499.75 $18,582.85 $15,184.35 2025-07-01
29826 CPT Shldr Arthroscop,Part Acromioplas 80 28 $39,272.77 $39,272.77 $5,637.00 $21,865.80 $21,865.80 2025-07-01
29827 CPT Shldr Arthroscop,Surg,W/Rotat Cuff Repr 94 33 $39,657.17 $39,657.17 $5,477.00 $21,972.24 $21,972.24 2025-07-01
43648 CPT Lap Revise/Remove Gastric Neurostim Antrum 94 33 $39,710.83 $39,710.83 $5,743.00 $22,131.25 $22,131.25 2025-07-01
23485 CPT Osteotomy Clavicle W Bone Graft 90 31 $39,975.73 $39,975.73 $5,478.00 $22,127.22 $22,127.22 2025-07-01
29828 CPT Arthroscopy Shoulder Surgical Biceps Tenodesis 94 33 $40,072.66 $40,072.66 $5,477.00 $22,173.74 $22,173.74 2025-07-01
29806 CPT Shldr Arthroscop,Surg,Capsulorrhaphy 94 33 $40,107.19 $40,107.19 $5,477.00 $22,190.49 $22,190.49 2025-07-01
27814 CPT Open Treatment Bimalleolar Ankle Fracture 94 33 $41,025.38 $41,025.38 $5,477.00 $22,635.81 $22,635.81 2025-07-01
27829 CPT Open Tx Distal Tibiofibular Joint Disruption 94 33 $41,635.75 $41,635.75 $5,477.00 $22,931.84 $22,931.84 2025-07-01
28304 CPT Osteotomy Midtarsal Bones 94 33 $41,740.64 $41,740.64 $5,477.00 $22,982.71 $22,982.71 2025-07-01
29807 CPT Shldr Arthroscop,Surg,Repair,Slap Lesion 90 31 $41,876.58 $41,876.58 $5,477.00 $23,048.65 $23,048.65 2025-07-01
517 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses 4 2 $42,691.69 $42,691.69 $18,313.00 $18,313.00 $18,313.00 2025-07-01
283 APR_DRG Other Disorders Of The Liver 4 2 $42,711.36 $42,711.36 $14,644.00 $14,644.00 $14,644.00 2025-07-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With McC 14 5 $43,150.53 $43,150.53 $14,723.95 $26,059.00 $14,723.95 2025-07-01
57250 CPT Post Colporrhaphy,Rectum/Vagina 94 33 $43,258.37 $43,258.37 $4,386.00 $23,173.31 $23,173.31 2025-07-01
58573 CPT Laparoscopy Tot Hysterectomy Uterus >250 Gram W Tube/Ovary 94 33 $44,412.46 $44,412.46 $5,743.00 $24,411.55 $24,411.55 2025-07-01
29874 CPT Knee Scope,Remv Loose Body 94 33 $45,273.07 $45,273.07 $5,476.00 $24,695.44 $24,695.44 2025-07-01
64415 CPT Single Nerve Block Injection Arm Nerve 96 33 $45,301.06 $45,301.06 $2,262.58 $23,320.02 $23,320.02 2025-07-01
28730 CPT Fusion Foot Bones,Midtarsal,Multi 94 33 $45,411.06 $45,411.06 $5,478.00 $24,763.37 $24,763.37 2025-07-01
28298 CPT Corrj Hallux Valgus W/Sesmdc W/Prox Phlnx Osteot 94 33 $45,411.06 $45,411.06 $5,477.00 $24,762.87 $24,762.87 2025-07-01
30420 CPT Reconstr Nose+Maj Septal Repair 94 33 $45,456.69 $45,456.69 $5,532.00 $24,812.49 $24,812.49 2025-07-01
27409 CPT Repair Collat & Cruciate Lig,Knee 94 33 $45,897.29 $45,897.29 $5,477.00 $24,998.67 $24,998.67 2025-07-01
30930 CPT Theraputic Fracture Infer Turbinate 94 33 $45,902.17 $45,902.17 $5,531.00 $25,028.06 $25,028.06 2025-07-01
28297 CPT Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf 94 33 $46,601.43 $46,601.43 $5,478.00 $25,340.69 $25,340.69 2025-07-01
29877 CPT Knee Scope,Shave Articular Cart 94 33 $46,773.87 $46,773.87 $5,476.00 $25,423.33 $25,423.33 2025-07-01
43775 CPT Lap, Gast Restrict Proc, Longitudinal Gastrectomy 80 28 $46,892.24 $46,892.24 $10,704.00 $28,094.76 $28,094.76 2025-07-01
69645 CPT Tympanoplas/Mastoidec,Radical/Comple 94 33 $46,938.16 $46,938.16 $5,532.00 $25,530.99 $25,530.99 2025-07-01
28725 CPT Fusion Foot Bones,Subtalar 90 31 $47,211.40 $47,211.40 $5,478.00 $25,636.53 $25,636.53 2025-07-01
224 APR_DRG Peritoneal Adhesiolysis 4 2 $47,437.96 $47,437.96 $33,432.00 $33,432.00 $33,432.00 2025-07-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 44 15 $48,299.85 $48,299.85 $10,168.00 $45,402.00 $28,797.81 2025-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 14 5 $48,602.84 $48,602.84 $14,632.98 $25,898.00 $14,632.98 2025-07-01
263 APR_DRG Cholecystectomy 4 2 $56,588.80 $48,964.91 $25,304.00 $25,304.00 $25,304.00 2025-07-01
229 APR_DRG Other Digestive System And Abdominal Procedures 4 2 $49,621.90 $49,621.90 $39,780.14 $39,780.14 $39,780.14 2025-07-01
951 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 2 $49,651.84 $49,651.84 $32,267.00 $32,267.00 $32,267.00 2025-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 5 $49,651.84 $49,651.84 $15,908.49 $28,155.45 $15,908.49 2025-07-01
57288 CPT Sling Oper Stres Incontinence 90 31 $49,672.66 $49,672.66 $5,799.00 $26,990.74 $26,990.74 2025-07-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/McC 14 5 $49,716.66 $49,716.66 $10,354.20 $18,325.25 $14,973.20 2025-07-01
325 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 2 $50,023.25 $50,023.25 $53,625.00 $53,625.00 $53,625.00 2025-07-01
27566 CPT Open Rx Kneecap Dislocatn 94 33 $50,196.90 $50,196.90 $5,477.00 $27,084.01 $27,084.01 2025-07-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/McC 14 5 $50,599.03 $50,599.03 $10,727.82 $18,986.50 $15,513.38 2025-07-01
694 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 4 2 $51,670.55 $51,670.55 $15,036.00 $15,036.00 $15,036.00 2025-07-01
69643 CPT Tympanoplas/Mastoidec,Intact Wall 94 33 $51,711.90 $51,711.90 $5,532.00 $27,846.27 $27,846.27 2025-07-01
15769 CPT Grafting Of Autologous Soft Tiss By Direct Exc 94 33 $51,711.90 $51,711.90 $3,619.00 $26,889.77 $26,889.77 2025-07-01
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 2 $51,827.52 $51,827.52 $49,145.89 $49,145.89 $49,145.89 2025-07-01
27427 CPT Ligmt Revision,knee,extra-artic 94 33 $51,974.66 $51,974.66 $5,477.00 $27,946.21 $27,946.21 2025-07-01
27418 CPT Repair Anter Tibial Tubercle 94 33 $51,974.66 $51,974.66 $5,477.00 $27,946.21 $27,946.21 2025-07-01
308 APR_DRG Hip And Femur Fracture Repair 4 2 $59,397.00 $53,592.56 $30,935.00 $30,935.00 $30,935.00 2025-07-01
403 APR_DRG Procedures For Obesity 4 2 $57,174.64 $53,683.49 $28,243.00 $28,243.00 $28,243.00 2025-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 14 5 $55,053.13 $55,053.13 $19,109.94 $33,821.50 $19,109.94 2025-07-01
20985 CPT Cptr-asst Surgical Navigation Image-less 76 26 $55,521.72 $55,521.72 $37,441.64 $37,441.64 $37,441.64 2025-07-01
231 APR_DRG Major Large Bowel Procedures 4 2 $60,330.91 $55,579.69 $35,314.00 $35,314.00 $35,314.00 2025-07-01
29882 CPT Knee Scope,Med Or Lat Menis Repair 94 33 $56,610.85 $56,610.85 $5,476.00 $30,194.26 $30,194.26 2025-07-01
28309 CPT Osteotomy Metatarsals,Multiple 90 31 $56,828.70 $56,828.70 $5,477.00 $30,300.42 $30,300.42 2025-07-01
620 MS_DRG O.r. Procedures For Obesity With Cc 14 5 $57,258.13 $57,258.13 $10,376.94 $18,365.50 $15,006.00 2025-07-01
24515 CPT Open Fixatn Mid Humerus Fracture 90 31 $57,706.70 $57,706.70 $5,478.00 $30,726.74 $30,726.74 2025-07-01
23615 CPT Open Treatment Prox Humeral Fracture 94 33 $57,706.70 $57,706.70 $5,478.00 $30,726.74 $30,726.74 2025-07-01
29888 CPT Knee Scope,Aid Ant Cruciate Repair 94 33 $57,870.76 $57,870.76 $5,477.00 $30,805.83 $30,805.83 2025-07-01
27827 CPT Open Treatment Fracture Distal Tibia Only 90 31 $58,362.07 $58,362.07 $5,478.00 $31,044.60 $31,044.60 2025-07-01
27477 CPT Surgery To Stop Tib/Fib Growth 94 33 $58,974.40 $58,974.40 $5,477.00 $31,341.07 $31,341.07 2025-07-01
323 APR_DRG Non-elective Or Complex Hip Joint Replacement 4 2 $58,985.77 $58,985.77 $44,701.00 $44,701.00 $44,701.00 2025-07-01
230 APR_DRG Major Small Bowel Procedures 4 2 $59,245.71 $59,245.71 $62,372.70 $62,372.70 $62,372.70 2025-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 14 5 $59,245.71 $59,245.71 $15,358.78 $27,182.55 $22,210.73 2025-07-01
27846 CPT Open Rx Ankle Dislocatn 94 33 $59,463.06 $59,463.06 $5,477.00 $31,578.08 $31,578.08 2025-07-01
27130 CPT Total Hip Arthroplasty 94 33 $59,510.96 $59,510.96 $5,478.00 $31,601.83 $31,601.83 2025-07-01
227 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 4 2 $59,541.04 $59,541.04 $29,379.00 $29,379.00 $29,379.00 2025-07-01
23473 CPT Revis Shoulder Arthrplsty Humeral/Glenoid Compnt 90 31 $61,960.23 $61,960.23 $5,478.00 $32,789.71 $32,789.71 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 14 5 $62,522.91 $62,522.91 $29,837.11 $52,806.85 $29,837.11 2025-07-01
326 APR_DRG Elective Knee Joint Replacement 4 2 $62,909.10 $62,909.10 $39,299.00 $39,299.00 $39,299.00 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 14 5 $63,000.72 $63,000.72 $33,002.17 $58,408.50 $33,002.17 2025-07-01
43644 CPT Lap Gastric Bypass/roux-en-y 80 28 $63,973.00 $63,973.00 $12,239.00 $37,146.39 $37,146.39 2025-07-01
362 APR_DRG Mastectomy Procedures 4 2 $64,761.60 $64,761.60 $59,948.60 $59,948.60 $59,948.60 2025-07-01
27447 CPT Total Knee Arthroplasty 94 33 $66,115.56 $66,115.56 $5,478.00 $34,805.04 $34,805.04 2025-07-01
23130 CPT Partial Removal/Repair,Acromion 90 31 $66,233.23 $66,233.23 $5,476.00 $34,861.12 $34,861.12 2025-07-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 14 5 $66,520.41 $66,520.41 $12,251.55 $21,683.25 $17,717.13 2025-07-01
23410 CPT Repair Rotator Cuff,Acute 94 33 $68,287.18 $68,287.18 $5,477.00 $35,857.78 $35,857.78 2025-07-01
23430 CPT Repair Biceps Long Tendon 94 33 $68,287.18 $68,287.18 $5,477.00 $35,857.78 $35,857.78 2025-07-01
23630 CPT Open Rx Gr Tuberosity Fx 90 31 $68,287.18 $68,287.18 $5,477.00 $35,857.78 $35,857.78 2025-07-01
29883 CPT Knee Scope,Med+Lat Menis Repair 94 33 $68,613.81 $68,613.81 $5,476.00 $36,015.69 $36,015.69 2025-07-01
60271 CPT Thyroidectomy=Substernal,Transcerv 90 31 $68,972.26 $68,972.26 $5,532.00 $36,217.56 $36,217.56 2025-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 14 5 $69,710.59 $69,710.59 $15,777.24 $27,923.15 $15,777.24 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 14 5 $70,062.43 $70,062.43 $32,497.30 $57,514.95 $32,497.30 2025-07-01
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 2 $70,062.43 $70,062.43 $24,482.00 $24,482.00 $24,482.00 2025-07-01
324 APR_DRG Elective Hip Joint Replacement 4 2 $71,583.79 $71,583.79 $41,344.00 $41,344.00 $41,344.00 2025-07-01
23412 CPT Repair Rotator Cuff,Chronic 94 33 $71,742.74 $71,742.74 $5,477.00 $37,533.72 $37,533.72 2025-07-01
317 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 4 2 $73,822.01 $73,822.01 $26,548.00 $26,548.00 $26,548.00 2025-07-01
27415 CPT Osteochondral Knee Allograft 90 31 $74,239.65 $74,239.65 $5,478.00 $38,745.22 $38,745.22 2025-07-01
27405 CPT Repair Collat Ligamt/Capsule,Knee 94 33 $74,907.86 $74,907.86 $5,477.00 $39,068.81 $39,068.81 2025-07-01
23120 CPT Partial Removal, Clavicle 94 33 $75,073.46 $75,073.46 $5,476.00 $39,148.62 $39,148.62 2025-07-01
23472 CPT Reconstr Total Shoulder Implant 94 33 $75,090.59 $75,090.59 $5,479.00 $39,158.43 $39,158.43 2025-07-01
222 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 4 2 $76,034.07 $76,034.07 $21,649.00 $21,649.00 $21,649.00 2025-07-01
27416 CPT Osteochondral Knee Autograft 94 33 $76,489.12 $76,489.12 $5,477.00 $39,835.73 $39,835.73 2025-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 14 5 $77,983.26 $77,983.26 $17,045.60 $30,167.95 $17,045.60 2025-07-01
26045 CPT Release Palm Contract,Open,Partial 90 31 $78,893.19 $78,893.19 $5,476.00 $41,001.18 $41,001.18 2025-07-01
29889 CPT Knee Scope,Aid Post Cruc Repair 4 2 $82,538.09 $82,538.09 $14,620.00 $14,620.00 $14,620.00 2025-07-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 5 $86,586.60 $86,586.60 $16,557.62 $29,304.30 $16,557.62 2025-07-01
23474 CPT Revis Shoulder Arthrplsty Humeral&Glenoid Compnt 80 28 $86,756.57 $86,756.57 $28,831.00 $56,492.47 $56,492.47 2025-07-01
619 MS_DRG O.r. Procedures For Obesity With McC 14 5 $86,936.63 $86,936.63 $17,716.17 $31,354.75 $17,716.17 2025-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 14 5 $90,365.28 $90,365.28 $29,315.34 $51,883.40 $29,315.34 2025-07-01
711 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 2 $90,399.05 $90,399.05 $25,770.00 $25,770.00 $25,770.00 2025-07-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 14 5 $92,828.61 $92,828.61 $18,939.05 $33,519.05 $18,939.05 2025-07-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC 14 5 $94,325.38 $94,325.38 $18,608.31 $32,933.70 $26,910.35 2025-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 5 $94,619.68 $94,619.68 $22,256.16 $39,389.80 $22,256.16 2025-07-01
261 APR_DRG Major Biliary Tract Procedures 4 2 $100,203.64 $100,203.64 $40,230.00 $40,230.00 $40,230.00 2025-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 5 $100,203.64 $100,203.64 $22,750.64 $40,264.95 $22,750.64 2025-07-01
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor 94 33 $101,921.34 $101,921.34 $5,853.00 $54,884.00 $52,358.35 2025-07-01
40814 CPT Excis Mouth Mucosa/Sub,Complx Repr 94 33 $102,795.49 $102,795.49 $5,531.00 $52,621.32 $52,621.32 2025-07-01
40818 CPT Excise Oral Mucosa For Graft 94 33 $102,795.49 $102,795.49 $5,529.00 $52,620.32 $52,620.32 2025-07-01
314 APR_DRG Foot And Toe Procedures 4 2 $102,799.90 $102,799.90 $27,652.00 $27,652.00 $27,652.00 2025-07-01
313 APR_DRG Knee And Lower Leg Procedures Except Foot 4 2 $113,045.40 $113,045.40 $37,718.00 $37,718.00 $37,718.00 2025-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 5 $113,045.40 $113,045.40 $35,094.46 $62,111.50 $35,094.46 2025-07-01
J7330 HCPCS 1 Membrane Maci Implant 46 8 $135,312.00 $135,312.00 $60,665.00 $127,193.28 $72,798.00 2025-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 14 5 $136,189.66 $136,189.66 $23,074.88 $40,838.80 $23,074.88 2025-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 5 $157,451.54 $157,451.54 $26,704.54 $47,262.70 $26,704.54 2025-07-01
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