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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

SAME DAY SURGERY CENTER LLC

Rapid City, SD · CCN 430093 · Rates published

Your selected procedure

You selected 29806 (HCPCS)

Repair of shoulder joint capsule using an endoscope

This hospital’s price: $13,237 across 6 payers · range $6,672-$33,765

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSDSCRAPIDCITYSD&type=CDMWithoutLabel&fileType=CSV · observed 2026-09-10

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.

1,712 distinct procedures filed
7 distinct payers
11,035 rate rows
2026-09-10 last MRF observed
Data quality

10,989 of 11,035 rate rows are consumer-grade (99.6%)

46 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 36
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
percent-of-charges filed in the dollar field — excluded from medians 3
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSDSCRAPIDCITYSD&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.samedaysurgerycenter.org/financial-services/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-07
Content fingerprint f6a49c82e41afe6d… · 3,951,167 bytes · first seen 2026-09-11

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
64582
HCPCS 		Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 6 $28,373.49 $58,153.49 $44,529.53 nat. median
$28,080
1.6× median
64568
HCPCS 		Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 6 $37,330.15 $60,026.64 $44,529.53 nat. median
$27,270
1.6× median
69930
HCPCS 		Insertion Of Cochlear Device 7 $26,536.01 $80,745.30 $32,222.30 nat. median
$29,126
1.1× median
L8614
HCPCS 		Cochlear Device, Includes All Internal And External Components 6 $21,391.54 $34,754.11 $30,442.50 nat. median
$22,134
1.4× median
69716
HCPCS 		Implantation Of Cochlear Stimulating System Into Mastoid Bone Of Skull With Magn… 6 $11,805.12 $76,428.66 $29,961.47 nat. median
$12,034
outlier · 2.5×
63685
HCPCS 		Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 6 $20,611.16 $58,913.44 $26,700.67 nat. median
$20,965
1.3× median
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 5 $13,637.43 $42,002.33 $26,189.69 nat. median
$23,834
1.1× median
23472
HCPCS 		Prosthetic Repair Of Shoulder Joint, Total Shoulder 6 $16,122.24 $66,186.56 $25,946.38 nat. median
$16,538
1.6× median
36836
HCPCS 		Creation Of Opening Between Artery And Vein In Arm With Single Access To Both Bl… 6 $16,855.83 $64,029.93 $25,100.93 nat. median
$17,625
1.4× median
55867
HCPCS 		Simple Surgical Subtotal Removal Of Prostate Using Laparoscope 6 $9,774.09 $60,983.73 $23,906.77 nat. median
$10,229
outlier · 2.3×
50544
HCPCS 		Repair Of Kidney Using An Endoscope 6 $9,774.09 $60,983.73 $23,906.77 nat. median
$10,329
outlier · 2.3×
55866
HCPCS 		Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope 6 $9,774.09 $60,983.71 $23,906.76 nat. median
$10,505
outlier · 2.3×
52284
HCPCS 		Drug Delivery Using A Drug-coated Balloon For Male Treatment Of Urethral Strictu… 6 $4,930.14 $60,982.50 $23,906.29 nat. median
$5,418
outlier · 4.4×
69729
HCPCS 		Implantation Of Cochlear Stimulating System Outside Mastoid Bone Of Skull With M… 6 $11,805.12 $55,584.48 $21,790.16 nat. median
$12,216
1.8× median
69730
HCPCS 		Replacement Of Cochlear Stimulating System Outside Mastoid Bone Of Skull With Ma… 6 $11,805.12 $55,584.48 $21,790.16 nat. median
$12,165
1.8× median
27446
HCPCS 		Replacement Of Knee Joint On Side Of Knee 6 $11,805.12 $55,350.18 $21,698.31 nat. median
$12,374
1.8× median
27758
HCPCS 		Treatment Broken Middle Part Of Shin Bone With Plate Or Screws 6 $11,805.12 $55,350.18 $21,698.31 nat. median
$10,384
outlier · 2.1×
27447
HCPCS 		Replacement Of Knee Joint, Both Sides Of Knee 6 $11,805.12 $55,350.18 $21,698.31 nat. median
$12,793
1.7× median
57425
HCPCS 		Surgical Repair Of Vaginal Defect Using An Endoscope 6 $9,774.09 $52,176.63 $20,454.22 nat. median
$9,845
outlier · 2.1×
38573
HCPCS 		Removal Of Lymph Nodes Of Both Sides Of Pelvis With Biopsy And Washing Of Abdome… 6 $9,774.09 $52,176.61 $20,454.21 nat. median
$10,146
outlier · 2.0×
38571
HCPCS 		Removal Of Lymph Nodes Of Both Sides Of Pelvis Using An Endoscope 6 $9,774.09 $52,176.61 $20,454.21 nat. median
$9,941
outlier · 2.1×
38572
HCPCS 		Removal Of Lymph Nodes Of Both Sides Of Pelvis And Abdominal Lymph Node Biopsy U… 6 $9,774.09 $52,176.61 $20,454.21 nat. median
$9,909
outlier · 2.1×
64590
HCPCS 		Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Gener… 7 $17,214.47 $35,150.54 $20,165.52 nat. median
$17,808
1.1× median
38720
HCPCS 		Removal Of Lymph Nodes Of Neck 6 $6,105.59 $48,491.62 $19,009.63 nat. median
$6,521
outlier · 2.9×
L8627
HCPCS 		Cochlear Implant, External Speech Processor, Component, Replacement 6 $7,779.39 $22,899.10 $18,858.09 nat. median
$8,785
outlier · 2.1×
23473
HCPCS 		Revision Of Total Shoulder Repair 6 $11,805.12 $47,961.08 $18,801.65 nat. median
$12,718
1.5× median
69714
HCPCS 		Implantation Of Cochlear Stimulating System Into Skull With Attachment Through S… 7 $10,000.00 $48,521.49 $18,679.63 nat. median
$12,286
1.5× median
43282
HCPCS 		Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh US… 6 $9,774.09 $45,786.61 $17,949.21 nat. median
$10,368
1.7× median
43281
HCPCS 		Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 6 $9,774.09 $45,786.61 $17,949.21 nat. median
$10,147
1.8× median
43280
HCPCS 		Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 6 $9,774.09 $45,786.61 $17,949.21 nat. median
$10,135
1.8× median
50545
HCPCS 		Removal Of Kidney And Lymph Nodes Using An Endoscope 6 $1,004.28 $24,336.23 $17,607.98 nat. median
$3,632
outlier · 4.8×
24666
HCPCS 		Treatment Of Broken Forearm Bone On Thumb Side At Elbow With Prosthesis 6 $11,805.12 $44,149.36 $17,307.38 nat. median
$10,720
1.6× median
24575
HCPCS 		Treatment Of Broken Outer Part Of Upper Arm Bone At Elbow 6 $11,805.12 $44,149.36 $17,307.38 nat. median
$10,572
1.6× median
58571
HCPCS 		Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 6 $9,774.09 $44,057.67 $17,271.43 nat. median
$9,831
1.8× median
58573
HCPCS 		Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, Mor… 6 $9,774.09 $44,057.67 $17,271.43 nat. median
$9,985
1.7× median
58554
HCPCS 		Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, More… 6 $9,774.09 $44,057.67 $17,271.43 nat. median
$9,629
1.8× median
58552
HCPCS 		Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.… 6 $9,774.09 $44,057.67 $17,271.43 nat. median
$9,760
1.8× median
58570
HCPCS 		Removal Of Uterus Through Abdomen Using An Endoscope, 250.0 G Or Less 6 $9,774.09 $44,057.67 $17,271.43 nat. median
$9,534
1.8× median
58572
HCPCS 		Removal Of Uterus Through Abdomen Using An Endoscope, More Than 250.0 G 6 $9,774.09 $44,057.67 $17,271.43 nat. median
$10,222
1.7× median
27428
HCPCS 		Reconstruction Ligaments Inside Knee Joint 6 $11,805.12 $43,955.04 $17,231.20 nat. median
$11,552
1.5× median
43770
HCPCS 		Insertion Of Adjustable Stomach Reduction Device Using An Endoscope 6 $9,774.09 $42,872.34 $16,806.76 nat. median
$10,717
1.6× median
58548
HCPCS 		Removal Of Uterus, Cervix, And Lymph Nodes Of Pelvis With Biopsy Of Aortic Lymph… 6 $1,422.11 $23,093.11 $16,708.54 nat. median
$5,211
outlier · 3.2×
C9740
HCPCS 		Cystourethroscopy, With Insertion Of Transprostatic Implant; 4 Or More Implants 6 $8,704.35 $42,150.57 $16,523.82 nat. median
$9,791
1.7× median
27385
HCPCS 		Primary Suture Of Ruptured Muscle Of Thigh 6 $6,672.04 $41,844.40 $16,403.79 nat. median
$6,708
outlier · 2.4×
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 4 $16,131.72 $16,344.83 $16,312.44 nat. median
$23,547
0.7× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 4 $15,821.52 $16,030.53 $15,998.77 nat. median
$22,930
0.7× median
58920
HCPCS 		Partial Removal Of Ovaries 6 $6,818.45 $40,565.85 $15,902.58 nat. median
$7,338
outlier · 2.2×
25825
HCPCS 		Fusion Of Part Of Wrist Joint With Patient-derived Bone Graft 6 $6,672.04 $39,926.66 $15,652.00 nat. median
$7,013
outlier · 2.2×
58290
HCPCS 		Removal Of Uterus Through Vagina, More Than 250.0 G 6 $6,818.45 $39,797.67 $15,601.44 nat. median
$7,267
outlier · 2.1×
57282
HCPCS 		Repair Of Pelvic Ligaments Through Vagina 6 $6,818.45 $39,797.67 $15,601.44 nat. median
$7,125
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 1,712 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
             
64582 HCPCS Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 6 6 $53,328.78 $42,663.02 20% off $28,373.49 $58,153.49 $44,529.53 2026-09-10
64568 HCPCS Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 6 6 $53,328.78 $42,663.02 20% off $37,330.15 $60,026.64 $44,529.53 2026-09-10
69930 HCPCS Insertion Of Cochlear Device 7 7 $37,908.59 $30,326.87 20% off $26,536.01 $80,745.30 $32,222.30 2026-09-10
L8614 HCPCS Cochlear Device, Includes All Internal And External Components 15 6 $40,237.29 $32,189.83 20% off $21,391.54 $34,754.11 $30,442.50 2026-09-10
69716 HCPCS Implantation Of Cochlear Stimulating System Into Mastoid Bone Of Skull With Magn… 6 6 $35,882.00 $28,705.60 20% off $11,805.12 $76,428.66 $29,961.47 2026-09-10
63685 HCPCS Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 6 6 $29,444.52 $23,555.62 $20,611.16 $58,913.44 $26,700.67 2026-09-10
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 15 5 $48,600.00 $38,880.00 20% off $13,637.43 $42,002.33 $26,189.69 2026-09-10
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 6 6 $31,073.50 $24,858.80 20% off $16,122.24 $66,186.56 $25,946.38 2026-09-10
36836 HCPCS Creation Of Opening Between Artery And Vein In Arm With Single Access To Both Bl… 6 6 $30,061.00 $24,048.80 20% off $16,855.83 $64,029.93 $25,100.93 2026-09-10
55867 HCPCS Simple Surgical Subtotal Removal Of Prostate Using Laparoscope 6 6 $28,630.86 $22,904.69 $9,774.09 $60,983.73 $23,906.77 2026-09-10
50544 HCPCS Repair Of Kidney Using An Endoscope 6 6 $28,630.86 $22,904.69 $9,774.09 $60,983.73 $23,906.77 2026-09-10
55866 HCPCS Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope 6 6 $28,630.85 $22,904.68 $9,774.09 $60,983.71 $23,906.76 2026-09-10
52284 HCPCS Drug Delivery Using A Drug-coated Balloon For Male Treatment Of Urethral Strictu… 6 6 $28,630.28 $22,904.22 20% off $4,930.14 $60,982.50 $23,906.29 2026-09-10
69729 HCPCS Implantation Of Cochlear Stimulating System Outside Mastoid Bone Of Skull With M… 6 6 $26,096.00 $20,876.80 20% off $11,805.12 $55,584.48 $21,790.16 2026-09-10
69730 HCPCS Replacement Of Cochlear Stimulating System Outside Mastoid Bone Of Skull With Ma… 6 6 $26,096.00 $20,876.80 20% off $11,805.12 $55,584.48 $21,790.16 2026-09-10
27446 HCPCS Replacement Of Knee Joint On Side Of Knee 6 6 $25,986.00 $20,788.80 20% off $11,805.12 $55,350.18 $21,698.31 2026-09-10
27758 HCPCS Treatment Broken Middle Part Of Shin Bone With Plate Or Screws 6 6 $25,986.00 $20,788.80 20% off $11,805.12 $55,350.18 $21,698.31 2026-09-10
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 6 6 $25,986.00 $20,788.80 20% off $11,805.12 $55,350.18 $21,698.31 2026-09-10
57425 HCPCS Surgical Repair Of Vaginal Defect Using An Endoscope 6 6 $24,496.07 $19,596.86 $9,774.09 $52,176.63 $20,454.22 2026-09-10
38573 HCPCS Removal Of Lymph Nodes Of Both Sides Of Pelvis With Biopsy And Washing Of Abdome… 6 6 $24,496.06 $19,596.85 $9,774.09 $52,176.61 $20,454.21 2026-09-10
38571 HCPCS Removal Of Lymph Nodes Of Both Sides Of Pelvis Using An Endoscope 6 6 $24,496.06 $19,596.85 $9,774.09 $52,176.61 $20,454.21 2026-09-10
38572 HCPCS Removal Of Lymph Nodes Of Both Sides Of Pelvis And Abdominal Lymph Node Biopsy U… 6 6 $24,496.06 $19,596.85 $9,774.09 $52,176.61 $20,454.21 2026-09-10
64590 HCPCS Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Gener… 7 7 $24,592.10 $19,673.68 $17,214.47 $35,150.54 $20,165.52 2026-09-10
38720 HCPCS Removal Of Lymph Nodes Of Neck 6 6 $22,766.02 $18,212.82 $6,105.59 $48,491.62 $19,009.63 2026-09-10
L8627 HCPCS Cochlear Implant, External Speech Processor, Component, Replacement 9 6 $25,537.41 $20,429.93 $7,779.39 $22,899.10 $18,858.09 2026-09-10
23473 HCPCS Revision Of Total Shoulder Repair 6 6 $22,516.94 $18,013.55 20% off $11,805.12 $47,961.08 $18,801.65 2026-09-10
69714 HCPCS Implantation Of Cochlear Stimulating System Into Skull With Attachment Through S… 7 7 $22,780.04 $18,224.03 20% off $10,000.00 $48,521.49 $18,679.63 2026-09-10
43282 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh Us… 6 6 $21,496.06 $17,196.85 $9,774.09 $45,786.61 $17,949.21 2026-09-10
43281 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 6 6 $21,496.06 $17,196.85 $9,774.09 $45,786.61 $17,949.21 2026-09-10
43280 HCPCS Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 6 6 $21,496.06 $17,196.85 $9,774.09 $45,786.61 $17,949.21 2026-09-10
50545 HCPCS Removal Of Kidney And Lymph Nodes Using An Endoscope 6 6 $28,630.86 $22,904.69 $1,004.28 $24,336.23 $17,607.98 2026-09-10
24666 HCPCS Treatment Of Broken Forearm Bone On Thumb Side At Elbow With Prosthesis 6 6 $20,727.40 $16,581.92 20% off $11,805.12 $44,149.36 $17,307.38 2026-09-10
24575 HCPCS Treatment Of Broken Outer Part Of Upper Arm Bone At Elbow 6 6 $20,727.40 $16,581.92 20% off $11,805.12 $44,149.36 $17,307.38 2026-09-10
58571 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 6 6 $20,684.35 $16,547.48 $9,774.09 $44,057.67 $17,271.43 2026-09-10
58573 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, Mor… 6 6 $20,684.35 $16,547.48 $9,774.09 $44,057.67 $17,271.43 2026-09-10
58554 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, More… 6 6 $20,684.35 $16,547.48 $9,774.09 $44,057.67 $17,271.43 2026-09-10
58552 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.… 6 6 $20,684.35 $16,547.48 $9,774.09 $44,057.67 $17,271.43 2026-09-10
58570 HCPCS Removal Of Uterus Through Abdomen Using An Endoscope, 250.0 G Or Less 6 6 $20,684.35 $16,547.48 $9,774.09 $44,057.67 $17,271.43 2026-09-10
58572 HCPCS Removal Of Uterus Through Abdomen Using An Endoscope, More Than 250.0 G 6 6 $20,684.35 $16,547.48 $9,774.09 $44,057.67 $17,271.43 2026-09-10
27428 HCPCS Reconstruction Ligaments Inside Knee Joint 6 6 $20,636.17 $16,508.94 $11,805.12 $43,955.04 $17,231.20 2026-09-10
43770 HCPCS Insertion Of Adjustable Stomach Reduction Device Using An Endoscope 6 6 $20,127.86 $16,102.29 $9,774.09 $42,872.34 $16,806.76 2026-09-10
58548 HCPCS Removal Of Uterus, Cervix, And Lymph Nodes Of Pelvis With Biopsy Of Aortic Lymph… 6 6 $27,168.36 $21,734.69 $1,422.11 $23,093.11 $16,708.54 2026-09-10
C9740 HCPCS Cystourethroscopy, With Insertion Of Transprostatic Implant; 4 Or More Implants 6 6 $19,789.00 $15,831.20 $8,704.35 $42,150.57 $16,523.82 2026-09-10
27385 HCPCS Primary Suture Of Ruptured Muscle Of Thigh 6 6 $19,645.26 $15,716.21 $6,672.04 $41,844.40 $16,403.79 2026-09-10
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 4 $47,231.16 $37,784.93 $16,131.72 $16,344.83 $16,312.44 2026-09-10
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 4 $23,431.27 $18,745.02 $15,821.52 $16,030.53 $15,998.77 2026-09-10
58920 HCPCS Partial Removal Of Ovaries 6 6 $19,045.00 $15,236.00 20% off $6,818.45 $40,565.85 $15,902.58 2026-09-10
25825 HCPCS Fusion Of Part Of Wrist Joint With Patient-derived Bone Graft 6 6 $18,744.91 $14,995.93 $6,672.04 $39,926.66 $15,652.00 2026-09-10
58290 HCPCS Removal Of Uterus Through Vagina, More Than 250.0 G 6 6 $18,684.35 $14,947.48 $6,818.45 $39,797.67 $15,601.44 2026-09-10
57282 HCPCS Repair Of Pelvic Ligaments Through Vagina 6 6 $18,684.35 $14,947.48 $6,818.45 $39,797.67 $15,601.44 2026-09-10
21145 HCPCS Reconstruction Of Midface Bones With Bone Graft, Single Piece (LeFort I) 6 6 $18,268.07 $14,614.46 $5,443.25 $38,910.99 $15,253.84 2026-09-10
19305 HCPCS Extensive Removal Of Breast, Chest Muscle, And Underarm Lymph Nodes 6 6 $24,767.20 $19,813.76 20% off $899.27 $21,052.12 $15,231.83 2026-09-10
19361 HCPCS Reconstruction Of Breast With Shoulder Muscle Tissue Graft 6 6 $24,767.20 $19,813.76 20% off $1,158.28 $21,052.12 $15,231.83 2026-09-10
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 10 5 $28,316.25 $22,653.00 20% off $262.35 $47,716.88 $15,086.82 2026-09-10
44025 HCPCS Biopsy Or Removal Of Foreign Body In Large Bowel 6 6 $24,499.50 $19,599.60 20% off $749.13 $20,824.58 $15,067.19 2026-09-10
58575 HCPCS Removal Of Uterus For Removal Of Growth Using An Endoscope 6 6 $24,496.06 $19,596.85 $1,461.30 $20,821.65 $15,065.08 2026-09-10
57426 HCPCS Revision Or Removal Of Prosthetic Vaginal Graft Using An Endoscope 6 6 $17,799.50 $14,239.60 20% off $6,818.45 $37,912.94 $14,862.58 2026-09-10
24665 HCPCS Treatment Of Broken Forearm Bone On Thumb Side At Elbow 6 6 $17,591.88 $14,073.50 20% off $6,672.04 $37,470.70 $14,689.22 2026-09-10
64912 HCPCS Repair Of Nerve Using Nerve Graft, First Strand 6 6 $17,454.17 $13,963.34 $8,069.34 $37,177.38 $14,574.23 2026-09-10
19357 HCPCS Reconstruction Of Breast Using Tissue Expander 6 6 $17,398.35 $13,918.68 $12,178.85 $37,058.49 $14,527.62 2026-09-10
28730 HCPCS Fusion Of Multiple Foot Joints 6 6 $17,228.61 $13,782.89 $11,805.12 $36,696.94 $14,385.89 2026-09-10
29867 HCPCS Repair Of Knee Cartilage And Bone With Donor Cartilage Graft Using An Endoscope 6 6 $17,228.61 $13,782.89 $11,805.12 $36,696.94 $14,385.89 2026-09-10
29889 HCPCS Repair Of Posterior Cruciate Ligament Of Knee Using An Endoscope 6 6 $17,228.61 $13,782.89 $11,805.12 $36,696.94 $14,385.89 2026-09-10
28725 HCPCS Fusion Of Foot Below Ankle 6 6 $17,228.61 $13,782.89 $11,805.12 $36,696.94 $14,385.89 2026-09-10
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 6 6 $17,228.61 $13,782.89 $11,805.12 $36,696.94 $14,385.89 2026-09-10
44140 HCPCS Partial Removal Of Large Bowel With Connection 6 6 $23,228.51 $18,582.81 $1,017.39 $19,744.23 $14,285.53 2026-09-10
44160 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 6 6 $23,228.51 $18,582.81 $943.80 $19,744.23 $14,285.53 2026-09-10
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 6 6 $23,228.51 $18,582.81 $920.87 $19,744.23 $14,285.53 2026-09-10
43644 HCPCS Bypass Of Stomach Using An Endoscope 6 6 $23,228.51 $18,582.81 $1,303.95 $19,744.23 $14,285.53 2026-09-10
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 6 6 $23,228.51 $18,582.81 $1,157.10 $19,744.23 $14,285.53 2026-09-10
43846 HCPCS Bypass Of Stomach For Weight Loss With Roux-en-y Connection Of Upper Bowel To Up… 6 6 $23,228.51 $18,582.81 $1,249.80 $19,744.23 $14,285.53 2026-09-10
44604 HCPCS Suture Of Tear Or Hole In Large Bowel 6 6 $23,228.51 $18,582.81 $791.95 $19,744.23 $14,285.53 2026-09-10
44205 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 6 6 $23,228.51 $18,582.81 $1,008.13 $19,744.23 $14,285.53 2026-09-10
44207 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 6 6 $23,228.51 $18,582.81 $1,357.45 $19,744.23 $14,285.53 2026-09-10
69717 HCPCS Replacement Of Cochlear Stimulating System In Skull With Attachment Through Skin… 7 7 $17,228.61 $13,782.89 $6,672.04 $36,696.94 $14,127.46 2026-09-10
25628 HCPCS Treatment Of Broken Wrist Bone Located Near Base Of Thumb 6 6 $16,602.12 $13,281.70 $6,672.04 $35,362.52 $13,862.77 2026-09-10
58950 HCPCS Removal Of Lining Of Abdomen, Ovaries, And Fallopian Tubes 6 6 $22,294.74 $17,835.79 20% off $883.60 $18,950.53 $13,711.26 2026-09-10
58954 HCPCS Removal Of Lining Of Abdomen, Uterus, Ovaries, Fallopian Tubes, And Lymph Nodes … 6 6 $22,294.74 $17,835.79 20% off $1,638.74 $18,950.53 $13,711.26 2026-09-10
58956 HCPCS Removal Of Lining Of Abdomen, Uterus, Ovaries, And Fallopian Tubes 6 6 $22,294.74 $17,835.79 20% off $1,039.48 $18,950.53 $13,711.26 2026-09-10
58951 HCPCS Removal Of Lining Of Abdomen, Uterus, Ovaries, Fallopian Tubes, And Lymph Nodes … 6 6 $22,294.74 $17,835.79 20% off $1,095.43 $18,950.53 $13,711.26 2026-09-10
58953 HCPCS Removal Of Lining Of Abdomen, Uterus, Ovaries, And Fallopian Tubes With Extensiv… 6 6 $22,294.74 $17,835.79 20% off $1,516.35 $18,950.53 $13,711.26 2026-09-10
41827 HCPCS Removal Of Growth Of Dental Bone Growth With Complex Repair 6 6 $16,268.07 $13,014.46 $5,443.25 $34,650.99 $13,583.84 2026-09-10
69706 HCPCS Dilation Of Canal Between Middle Ear And Throat (eustachian Tube) On Both Sides … 6 6 $16,268.07 $13,014.46 $5,443.25 $34,650.99 $13,583.84 2026-09-10
21196 HCPCS Reconstruction Of Jaw Bones With Insertion Of Hardware 6 6 $16,268.07 $13,014.46 $5,443.25 $34,650.99 $13,583.84 2026-09-10
40700 HCPCS Primary Plastic Repair Of Deformity Present At Birth On 1 Side Of Nose And/or Li… 6 6 $16,268.06 $13,014.45 $5,443.25 $34,650.97 $13,583.83 2026-09-10
69705 HCPCS Dilation Of Canal Between Middle Ear And Throat (eustachian Tube) On One Side Of… 6 6 $16,268.06 $13,014.45 $5,443.25 $34,650.97 $13,583.83 2026-09-10
64792 HCPCS Removal Of Growth Of Major Peripheral Nerve Or Nerve Lining, Extensive Including… 6 6 $16,015.86 $12,812.69 $3,141.13 $34,113.78 $13,373.24 2026-09-10
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 4 4 $34,335.57 $27,468.46 $13,201.98 $13,376.39 $13,349.88 2026-09-10
29888 HCPCS Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27650 HCPCS Repair Of Ruptured Achilles Tendon 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28297 HCPCS Correction Of Bunion With Forefoot And Midfoot Bone Fusion 6 6 $15,852.18 $12,681.74 20% off $11,096.53 $33,765.14 $13,236.57 2026-09-10
27829 HCPCS Treatment Of Ligament Tear At Ankle Joint 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28304 HCPCS Incision Or Partial Removal Of Foot Bone 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28300 HCPCS Incision Or Partial Removal Of Heel Bone 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27676 HCPCS Repair Of Dislocated Lower Leg Tendons By Incision Or Partial Removal Of Lower L… 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28445 HCPCS Treatment Of Broken Bone Between Foot And Ankle 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28485 HCPCS Treatment Of Broken Midportion Of Foot 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27524 HCPCS Treatment Of Broken Kneecap With Placement Of Stabilizing Device And/or Removal … 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27823 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle With Fixation Of Posterior Lip 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28740 HCPCS Fusion Of Foot In Midfoot Region 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27792 HCPCS Treatment Of Broken Outer Lower Leg Bone At Ankle 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28415 HCPCS Treatment Of Broken Heel Bone 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27720 HCPCS Repair Of Nonhealed Broken Shin Bone 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28298 HCPCS Correction Of Bunion With Alignment Correction Of Big Toe 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27784 HCPCS Treatment Of Broken Upper Or Middle Part Of Outer Lower Leg Bone 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28291 HCPCS Correction Of Rigid Deformity Of First Joint Of Big Toe Using Implant 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
26850 HCPCS Fusion Of Joint Between Finger And Hand 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27822 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28750 HCPCS Fusion Of Big Toe At Joint With Foot 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
29828 HCPCS Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28299 HCPCS Correction Of Bunion With 2 Areas Of Realignment 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27654 HCPCS Secondary Repair Of Ruptured Achilles Tendon 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28322 HCPCS Repair Of Nonhealed Broken Forefoot Bone 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
29806 HCPCS Repair Of Shoulder Joint Capsule Using An Endoscope 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28615 HCPCS Treatment Of Dislocated Midfoot Bone 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28238 HCPCS Reconstruction Of Ankle Tendon With Removal Of Extra Ankle Joint Bone 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
29827 HCPCS Repair Of Shoulder Rotator Cuff Using An Endoscope 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27691 HCPCS Transfer Of Deep Tendon Of Foot With Muscle Rerouting 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27766 HCPCS Treatment Of Inside Portion Of Broken Shin Bone At Ankle 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
28755 HCPCS Fusion Of Big Toe Between Toe Joints 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
27695 HCPCS Primary Repair Of Disrupted Ankle Ligament 6 6 $15,852.18 $12,681.74 20% off $6,672.04 $33,765.14 $13,236.57 2026-09-10
43775 HCPCS Partial Removal Of Stomach For Weight Loss Using An Endoscope 6 6 $21,392.81 $17,114.25 $795.03 $18,183.89 $13,156.58 2026-09-10
64910 HCPCS Repair Of Nerve With Graft 6 6 $15,675.79 $12,540.63 20% off $8,069.34 $33,389.43 $13,089.28 2026-09-10
62230 HCPCS Insertion Or Revision Of Cerebrospinal Fluid Drainage Shunt Valve Or Tube 6 6 $15,675.79 $12,540.63 20% off $8,069.34 $33,389.43 $13,089.28 2026-09-10
42210 HCPCS Repair Of Cleft Palate With Bone Graft 6 6 $15,344.20 $12,275.36 20% off $5,443.25 $32,683.15 $12,812.40 2026-09-10
15830 HCPCS Removal Of Extra Skin And Tissue Of Abdomen 6 6 $15,218.34 $12,174.67 20% off $6,105.59 $32,415.06 $12,707.32 2026-09-10
19307 HCPCS Removal Of Breast And Underarm Lymph Nodes 6 6 $15,218.33 $12,174.66 20% off $6,105.59 $32,415.04 $12,707.31 2026-09-10
19302 HCPCS Partial Removal Of Breast And Underarm Lymph Nodes 6 6 $15,218.33 $12,174.66 20% off $6,105.59 $32,415.04 $12,707.31 2026-09-10
19303 HCPCS Simple Complete Removal Of Breast 6 6 $15,218.33 $12,174.66 20% off $6,105.59 $32,415.04 $12,707.31 2026-09-10
38555 HCPCS Removal Of Congenital Defect Of Lymph Nodes At Underarm Or Neck With Deep Neurov… 6 6 $15,218.33 $12,174.66 20% off $6,105.59 $32,415.04 $12,707.31 2026-09-10
62350 HCPCS Insertion, Revision, Or Repositioning Of Spinal Canal Tube For Medication Admini… 6 6 $15,105.77 $12,084.62 $8,069.34 $32,175.29 $12,613.31 2026-09-10
49654 HCPCS Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertion, When … 5 5 $17,849.24 $14,279.39 20% off $9,460.10 $15,171.85 $12,494.47 2026-09-10
49655 HCPCS Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertion, When … 5 5 $17,849.24 $14,279.39 20% off $9,460.10 $15,171.85 $12,494.47 2026-09-10
49656 HCPCS Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia (includes Mesh Insert… 5 5 $17,849.24 $14,279.39 20% off $9,460.10 $15,171.85 $12,494.47 2026-09-10
25440 HCPCS Repair Of Non-healed Wrist Bone, Scaphoid Or Navicular At The Base Of The Thumb 6 6 $14,954.87 $11,963.90 $6,672.04 $31,853.87 $12,487.31 2026-09-10
25320 HCPCS Reconstruction Of Wrist Joint 6 6 $14,857.01 $11,885.61 $6,672.04 $31,645.43 $12,405.60 2026-09-10
25820 HCPCS Fusion Of Part Of Wrist Joint 6 6 $14,857.01 $11,885.61 $6,672.04 $31,645.43 $12,405.60 2026-09-10
25609 HCPCS Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 6 6 $14,857.01 $11,885.61 $6,672.04 $31,645.43 $12,405.60 2026-09-10
43771 HCPCS Adjustment Of Stomach Reduction Device Using An Endoscope 6 6 $20,127.86 $16,102.29 $977.31 $17,108.68 $12,378.64 2026-09-10
58210 HCPCS Removal Of Uterus, Cervix, And Lymph Nodes Of Pelvis With Biopsy Of Lymph Nodes … 6 6 $20,127.56 $16,102.05 $1,379.61 $17,108.43 $12,378.45 2026-09-10
43645 HCPCS Bypass Of Stomach With Reconstruction Of Small Bowel Using An Endoscope 6 6 $20,126.41 $16,101.13 $1,384.45 $17,107.45 $12,377.74 2026-09-10
24538 HCPCS Placement Of Stabilizing Device To Upper Arm Broken At Elbow 6 6 $14,796.37 $11,837.10 $6,672.04 $31,516.27 $12,354.97 2026-09-10
24341 HCPCS Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
25574 HCPCS Treatment Of Broken Midpart Of Both Forearm Bones With Placement Of Stabilizing … 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
27422 HCPCS Repair Of Dislocating Kneecap With Realignment 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
25575 HCPCS Treatment Of Broken Midpart Of Both Forearm Bones With Placement Of Stabilizing … 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
27427 HCPCS Reconstruction Of Ligaments Outside Knee Joint 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
24342 HCPCS Reinsertion Of Torn Upper Arm Tendon 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
26390 HCPCS Repair Of Tendon On Underside Of Finger Or Hand With Implanted Rod 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
23550 HCPCS Treatment Of Dislocated Joint Between Collar Bone And Shoulder 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
26392 HCPCS Removal Of Synthetic Rod And Insertion Of Tendon Graft In Hand Or Finger 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
25607 HCPCS Treatment Of Broken Forearm Bone On Thumb Side Of Wrist, Above Wrist, With Place… 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
25608 HCPCS Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint… 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
27418 HCPCS Repair Of Upper End Of Shin Bone At Knee Joint 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
23515 HCPCS Treatment Of Broken Collar Bone 6 6 $14,735.73 $11,788.58 20% off $6,672.04 $31,387.10 $12,304.33 2026-09-10
69602 HCPCS Revision Of Previous Mastoid Bone Surgery 6 6 $14,684.09 $11,747.27 20% off $5,443.25 $31,277.11 $12,261.22 2026-09-10
21422 HCPCS Treatment Of Broken Roof Of Mouth Or Upper Jaw Bone 6 6 $14,684.09 $11,747.27 20% off $5,443.25 $31,277.11 $12,261.22 2026-09-10
30469 HCPCS Repair Of Collapsed Nasal Valve 6 6 $14,684.00 $11,747.20 $5,443.25 $31,276.92 $12,261.14 2026-09-10
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 4 $38,319.39 $30,655.51 20% off $12,109.68 $12,269.66 $12,245.35 2026-09-10
36583 HCPCS Replacement Of Tunneled Central Venous Tube With Pump 6 6 $14,398.78 $11,519.02 20% off $5,116.51 $30,669.40 $12,022.98 2026-09-10
49540 HCPCS Repair Of Abdominal Muscle Hernia 6 6 $14,333.41 $11,466.73 $5,558.82 $30,530.16 $11,968.40 2026-09-10
49592 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 6 6 $14,333.00 $11,466.40 20% off $5,558.82 $30,529.29 $11,968.06 2026-09-10
49614 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 6 6 $14,333.00 $11,466.40 20% off $5,558.82 $30,529.29 $11,968.06 2026-09-10
49594 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length 6 6 $14,333.00 $11,466.40 20% off $5,558.82 $30,529.29 $11,968.06 2026-09-10
30125 HCPCS Removal Of Growth Under Nasal Bone Or Cartilage 6 6 $14,284.24 $11,427.39 20% off $5,443.25 $30,425.43 $11,927.34 2026-09-10
30460 HCPCS Revision Of Congenital Nasal Defect To Lengthen Tip Of Nose 6 6 $14,284.24 $11,427.39 20% off $5,443.25 $30,425.43 $11,927.34 2026-09-10
30462 HCPCS Revision Of Congenital Nasal Defect With Lengthening Of Tip Of Nose 6 6 $14,284.24 $11,427.39 20% off $5,443.25 $30,425.43 $11,927.34 2026-09-10
58672 HCPCS Repair Of Uterine Tube Tissue Near Ovary Using An Endoscope 6 6 $14,211.15 $11,368.92 20% off $5,558.82 $30,269.75 $11,866.31 2026-09-10
64581 HCPCS Insertion Of Sacral Nerve Neurostimulator Electrode 7 7 $16,941.87 $13,553.50 $5,859.93 $14,400.59 $11,778.15 2026-09-10
21230 HCPCS Harvest Of Rib Cartilage For Grafting 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
31551 HCPCS Repair Of Narrowed Voice Box With Graft (younger Than 12 Years) 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
21142 HCPCS Repair Of Midface Bones, 2 Bones 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
21046 HCPCS Removal Of Growth Or Cyst Of Lower Jaw Bone Through Mouth 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
60260 HCPCS Removal Of Remaining Thyroid Tissue From Prior Operation 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
31552 HCPCS Repair Of Narrowed Voice Box With Graft (12 Years Or Older) 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
21030 HCPCS Removal Of Growth Or Cyst Of Jaw Or Upper Cheek 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69633 HCPCS Repair Of Eardrum, Ear Canal, And Bones With Insertion Of Prosthesis 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
30450 HCPCS Revision To Reshape Nasal Bones And Tip Of Nose After Previous Repair 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
30420 HCPCS Reshaping Of Bony Cartilage Dividing Nasal Passages 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69530 HCPCS Extensive Removal Of Bones Around Inner Ear And Mastoid Bone 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
30410 HCPCS Reshaping Of Bone, Cartilage, And/or Tip Of Nose 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
60500 HCPCS Removal Or Exploration Of Parathyroid Glands 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69631 HCPCS Repair Of Eardrum And Ear Canal With Opening To Ear Bones 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69660 HCPCS Incision Or Removal Of Middle Ear Bone 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
60520 HCPCS Removal Of Thymus Gland Through Neck 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69140 HCPCS Removal Of Bony Growths Of Ear Canal 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69632 HCPCS Repair Of Eardrum, Ear Canal, And Bones 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
30400 HCPCS Reshaping Of Tip Of Nose 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
60502 HCPCS Removal Or Re-exploration Of Parathyroid Glands 6 6 $13,986.64 $11,189.31 20% off $5,443.25 $29,791.54 $11,678.84 2026-09-10
43180 HCPCS Removal Of Defect In Wall Of Esophagus Using A Rigid Endoscope 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
43030 HCPCS Incision Of Muscle At Upper Esophagus 6 6 $13,986.64 $11,189.31 20% off $5,443.25 $29,791.54 $11,678.84 2026-09-10
42450 HCPCS Removal Of Saliva Gland Under Tongue 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
42815 HCPCS Removal Of Congenital Cyst Or Abnormal Drainage Tract Of Neck And/or Throat 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
43130 HCPCS Removal Of Defect In Wall Of Esophagus Through Neck 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
42425 HCPCS Removal Of Growth Of Saliva Gland Or Saliva Gland, And Facial Nerve 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
42420 HCPCS Removal Of Growth Of Saliva Gland Or Saliva Gland With Release Of Facial Nerve 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
42410 HCPCS Removal Of Growth Of Saliva Gland Or Saliva Gland, Lateral Lobe 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
42440 HCPCS Removal Of Saliva Gland Under Floor Of Mouth 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
42415 HCPCS Removal Of Growth Of Saliva Gland With Release Of Facial Nerve 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
60252 HCPCS Removal Of Thyroid And Surrounding Lymph Nodes With Limited Neck Removal 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69120 HCPCS Removal Of Entire Ear 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69641 HCPCS Complex Repair Of Eardrum And Ear Canal With Removal Of Mastoid Bone 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
21047 HCPCS Removal Of Growth Or Cyst Of Part Of Lower Jaw Bone 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
42107 HCPCS Removal Of Growth Of Roof Of Mouth With Local Tissue Graft 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
31030 HCPCS Creation Of Window Into Nasal Sinus 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
31032 HCPCS Removal Of Nasal Sinus Polyp 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
30150 HCPCS Partial Removal Of Nose 6 6 $13,986.64 $11,189.31 20% off $5,443.25 $29,791.54 $11,678.84 2026-09-10
31553 HCPCS Repair Of Narrowed Voice Box With Graft And Placement Of Indwelling Stent (young… 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69310 HCPCS Reconstruction Of Ear Canal 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
30465 HCPCS Repair Of Nasal Passage 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
30580 HCPCS Repair Of Abnormal Drainage Tract Between Nasal Sinuses 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69661 HCPCS Incision Or Removal Of Ear Bone With Drilling 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69662 HCPCS Revision Of Operation Of Ear Bone 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
30600 HCPCS Repair Of Abnormal Drainage Tract Between Mouth And Nasal Cavity 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
31554 HCPCS Repair Of Narrowed Voice Box With Graft And Placement Of Indwelling Stent (12 Ye… 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69635 HCPCS Repair Of Eardrum And Ear Canal With Incision Of Middle Ear Bone 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
30160 HCPCS Removal Of Nose 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
31591 HCPCS Repair Of Side Of Voice Box By Moving Vocal Cord To Middle 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
69643 HCPCS Repair Of Eardrum And Ear Canal With Removal Of Middle Ear Bone 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
21235 HCPCS Obtaining Ear Cartilage For Grafting 6 6 $13,986.63 $11,189.30 20% off $5,443.25 $29,791.52 $11,678.84 2026-09-10
21034 HCPCS Removal Of Growth Of Upper Jaw Or Upper Cheek Bone 6 6 $13,986.64 $11,189.31 20% off $5,443.25 $29,791.54 $11,678.84 2026-09-10
54660 HCPCS Insertion Of Testicular Implant 6 6 $13,979.96 $11,183.97 $4,930.14 $29,777.31 $11,673.27 2026-09-10
44970 HCPCS Removal Of Appendix Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
58541 HCPCS Partial Removal Of Uterus With Retention Of Cervix Using An Endoscope, 250.0 G O… 6 6 $13,916.21 $11,132.97 $9,741.35 $29,641.53 $11,620.03 2026-09-10
58545 HCPCS Removal Of Growth Of Uterus Using An Endoscope, 250.0 G Or Less 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
49324 HCPCS Insertion Of Abdominal Cavity Tube Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
58662 HCPCS Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
59150 HCPCS Removal Of Ovarian Or Tubal Pregnancy Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
58660 HCPCS Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
49650 HCPCS Repair Of Groin Hernia Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
58661 HCPCS Removal Of Ovaries And/or Tubes Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
60281 HCPCS Removal Of Recurrent Cyst Of Thyroid Or Drainage Of Thyroid Gland Duct 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
44186 HCPCS Creation Of Opening From Small Bowel To Skin With Insertion Of A Tube For Decomp… 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
59151 HCPCS Removal Of Ovarian Or Tubal Pregnancy With Removal Of Ovary And/or Tube Using An… 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
60280 HCPCS Removal Of Cyst Of Thyroid Or Drainage Of Thyroid Gland Duct 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
58670 HCPCS Destruction Of Fallopian Tubes Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
60220 HCPCS Removal Of Thyroid Lobe On Side Of Neck 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
58671 HCPCS Blockage Of Uterine Tubes By Device Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
43773 HCPCS Replacement Of Stomach Reduction Device Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
58550 HCPCS Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
49320 HCPCS Diagnostic Exam Of Abdomen Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
49321 HCPCS Biopsy Of Abdomen Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
49322 HCPCS Aspiration Of Abdominal Cavity Or Cyst Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
60225 HCPCS Removal Of Thyroid Lobe On Side Of Neck And Partial Removal Of Thyroid Lobe On O… 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
38745 HCPCS Removal Of Lymph Nodes Of Underarm 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
60240 HCPCS Removal Of Thyroid 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
60210 HCPCS Partial Removal Of Thyroid Lobe On Side Of Neck 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
38570 HCPCS Biopsy And Removal Of Lymph Nodes Of Abdominal Cavity Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
49651 HCPCS Repair Of Recurrent Groin Hernia Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
47564 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope 6 6 $13,916.21 $11,132.97 $9,741.35 $29,641.53 $11,620.03 2026-09-10
47562 HCPCS Removal Of Gallbladder Using An Endoscope 6 6 $13,916.21 $11,132.97 $5,558.82 $29,641.53 $11,620.03 2026-09-10
63663 HCPCS Revision Of Spinal Neurostimulator Electrode Array Using Fluoroscopic Guidance 6 6 $16,941.87 $13,553.50 $5,859.93 $14,400.59 $11,403.51 2026-09-10
63650 HCPCS Insertion Of Spinal Neurostimulator Electrode Array Through Skin 6 6 $16,941.87 $13,553.50 $5,859.93 $14,400.59 $11,371.51 2026-09-10
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 $69,082.14 $55,265.71 20% off $11,245.08 $11,393.63 $11,371.06 2026-09-10
69501 HCPCS Incision Of Mastoid Bone 6 6 $13,478.03 $10,782.42 20% off $5,443.25 $28,708.20 $11,254.15 2026-09-10
69601 HCPCS Revision Of Operation Of Middle Ear Bones And Removal Of Remaining Bones 6 6 $13,478.03 $10,782.42 20% off $5,443.25 $28,708.20 $11,254.15 2026-09-10
31051 HCPCS Removal Of Nasal Polyps 6 6 $13,478.03 $10,782.42 20% off $5,443.25 $28,708.20 $11,254.15 2026-09-10
30468 HCPCS Repair Of Collapsed Nostril Using Implant In Side Of Nose 6 6 $13,478.03 $10,782.42 20% off $5,443.25 $28,708.20 $11,254.15 2026-09-10
21386 HCPCS Treatment Of Broken Floor Of Eye Bone Through Eye Area 6 6 $13,478.03 $10,782.42 20% off $5,443.25 $28,708.20 $11,254.15 2026-09-10
69502 HCPCS Removal Of Middle Ear (mastoid) Bone 6 6 $13,478.03 $10,782.42 20% off $5,443.25 $28,708.20 $11,254.15 2026-09-10
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 4 4 $32,703.07 $26,162.45 20% off $11,107.14 $11,253.87 $11,231.57 2026-09-10
49325 HCPCS Revision Of Abdominal Cavity Tube Using An Endoscope 6 6 $13,410.16 $10,728.13 $5,558.82 $28,563.64 $11,197.49 2026-09-10
64561 HCPCS Insertion Of Sacral Nerve Neurostimulator Electrode Array 7 7 $16,941.87 $13,553.50 $5,859.93 $14,400.59 $11,098.13 2026-09-10
36818 HCPCS Relocation Of Major Upper Arm Vein With Connection To Arm Artery For Hemodialysi… 6 6 $13,118.52 $10,494.82 $5,116.51 $27,942.45 $10,953.97 2026-09-10
36819 HCPCS Relocation Of Upper Arm Surface Vein With Connection To Arm Artery For Hemodialy… 6 6 $13,118.52 $10,494.82 $5,116.51 $27,942.45 $10,953.97 2026-09-10
36830 HCPCS Creation Of Artery-vein Connection Using Tube Graft For Hemodialysis 6 6 $13,118.51 $10,494.81 $5,116.51 $27,942.43 $10,953.95 2026-09-10
36831 HCPCS Removal Of Blood Clot From Hemodialysis Graft 6 6 $13,118.51 $10,494.81 $5,116.51 $27,942.43 $10,953.95 2026-09-10
36820 HCPCS Relocation Of Forearm Vein With Connection To Arm Artery For Hemodialysis 6 6 $13,118.51 $10,494.81 $5,116.51 $27,942.43 $10,953.95 2026-09-10
36832 HCPCS Revision Of Hemodialysis Graft 6 6 $13,118.51 $10,494.81 $5,116.51 $27,942.43 $10,953.95 2026-09-10
0714T OTHER Transperineal Laser Destruction Of Benign Prostatic Enlargement Using Imaging Gu… 6 6 $12,931.00 $10,344.80 20% off $4,930.14 $27,543.03 $10,797.39 2026-09-10
44208 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Openin… 6 6 $17,503.08 $14,002.46 20% off $1,487.84 $14,877.62 $10,764.40 2026-09-10
45400 HCPCS Repair Of Rectal Prolapse Using An Endoscope 6 6 $17,503.08 $14,002.46 20% off $872.94 $14,877.62 $10,764.40 2026-09-10
44187 HCPCS Creation Of Opening From Small Bowel To Skin Using An Endoscope 6 6 $17,503.08 $14,002.46 20% off $854.40 $14,877.62 $10,764.40 2026-09-10
44202 HCPCS Partial Removal And Reconnection Of Small Bowel Using An Endoscope 6 6 $17,503.08 $14,002.46 20% off $1,048.46 $14,877.62 $10,764.40 2026-09-10
21685 HCPCS Repositioning Of Bone And Muscles In Neck 6 6 $12,853.91 $10,283.13 $5,443.25 $27,378.83 $10,733.01 2026-09-10
21462 HCPCS Treatment Of Broken Lower Jaw Bone With Placement Of Stabilizing Device To Teeth 6 6 $12,853.91 $10,283.13 $5,443.25 $27,378.83 $10,733.01 2026-09-10
21407 HCPCS Treatment Of Broken Eye Bone With Implant 6 6 $12,853.91 $10,283.13 $5,443.25 $27,378.83 $10,733.01 2026-09-10
21406 HCPCS Treatment Of Broken Eye Bone 6 6 $12,853.91 $10,283.13 $5,443.25 $27,378.83 $10,733.01 2026-09-10
21390 HCPCS Treatment Of Broken Floor Of Eye Bone Through Eye Area With Implant 6 6 $12,853.91 $10,283.13 $5,443.25 $27,378.83 $10,733.01 2026-09-10
21387 HCPCS Treatment Of Broken Floor Of Eye Bone Through Cheek And Eye Area 6 6 $12,853.91 $10,283.13 $5,443.25 $27,378.83 $10,733.01 2026-09-10
21385 HCPCS Treatment Of Broken Floor Of Eye Bone Through Cheek 6 6 $12,853.91 $10,283.13 $5,443.25 $27,378.83 $10,733.01 2026-09-10
21365 HCPCS Treatment Of Complicated Broken Cheek Bone With Placement Of Internal Stabilizin… 6 6 $12,853.91 $10,283.13 $5,443.25 $27,378.83 $10,733.01 2026-09-10
21356 HCPCS Treatment Of Depressed Broken Upper Portion Of Cheek Bone 6 6 $12,853.91 $10,283.13 $5,443.25 $27,378.83 $10,733.01 2026-09-10
21346 HCPCS Treatment Of Broken Nose And Upper Jaw Bones With Placement Of Stabilizing Devic… 6 6 $12,853.91 $10,283.13 $5,443.25 $27,378.83 $10,733.01 2026-09-10
44620 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening 6 6 $17,326.77 $13,861.42 $662.89 $14,727.75 $10,655.97 2026-09-10
15847 HCPCS Extensive Removal Of Extra Skin And Tissue Of Abdomen 5 5 $15,218.33 $12,174.66 20% off $8,065.71 $12,935.58 $10,652.83 2026-09-10
57284 HCPCS Repair Of Vaginal Wall Defect Through Abdomen 6 6 $12,747.00 $10,197.60 20% off $4,599.72 $27,151.11 $10,643.75 2026-09-10
44625 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 6 6 $17,159.31 $13,727.45 $770.74 $14,585.41 $10,552.98 2026-09-10
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 4 4 $37,452.06 $29,961.65 $10,241.88 $10,377.18 $10,356.62 2026-09-10
57260 HCPCS Plastic Repair Of Vagina And Tissue Separating Vagina, Rectum, And Bladder 6 6 $12,384.60 $9,907.68 20% off $4,599.72 $26,379.20 $10,341.14 2026-09-10
56634 HCPCS Complete Removal Of External Female Genitals And Lymph Nodes On Side Of Groin 6 6 $16,702.82 $13,362.26 $1,012.92 $14,197.40 $10,272.23 2026-09-10
56632 HCPCS Partial Removal Of External Female Genitals And Lymph Nodes On Both Sides Of Gro… 6 6 $16,702.82 $13,362.26 $1,111.02 $14,197.40 $10,272.23 2026-09-10
56633 HCPCS Complete Removal Of Female Genitals 6 6 $16,702.82 $13,362.26 $951.96 $14,197.40 $10,272.23 2026-09-10
56637 HCPCS Complete Removal Of External Female Genitals And Lymph Nodes On Both Sides Of Gr… 6 6 $16,702.82 $13,362.26 $1,177.43 $14,197.40 $10,272.23 2026-09-10
56631 HCPCS Partial Removal Of External Female Genitals And Lymph Nodes On Side Of Groin 6 6 $16,702.82 $13,362.26 $917.78 $14,197.40 $10,272.23 2026-09-10
23430 HCPCS Anchoring Of Biceps Tendon 6 6 $12,212.84 $9,770.27 20% off $6,672.04 $26,013.35 $10,197.72 2026-09-10
52353 HCPCS Crushing Of Stone Of Ureter Using An Endoscope 6 6 $12,138.23 $9,710.58 20% off $4,930.14 $25,854.43 $10,135.42 2026-09-10
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