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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

WINNER REGIONAL HEALTHCARE CENTER - CAH

Winner, SD · CCN 431334 · Rates published

2,141 distinct procedures filed
2 distinct payers
14,134 rate rows
2026-05-07 last MRF observed
Data quality

13,252 of 14,134 rate rows are consumer-grade (93.8%)

882 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
professional (physician) fee — not the facility price 851
percent-of-charges filed in the dollar field — excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8029/460274380_winner-regional-healthcare-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/WinnerRegionalHealthCenter/8029
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 98344800a73054e8… · 7,513,865 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
J3357
HCPCS 		Ustekinumab Soln Prefilled Syringe 90 Mg/ml 2 $21,603.04 $34,204.82 $30,604.31 nat. median
$14,292
outlier · 2.1×
64590
CPT 		Surg 64590 Ins Repl Periph Sacr Gastric Neurostim Pulse Gen Receiver 2 $13,200.00 $20,900.00 $18,700.00 nat. median
$18,334
1.0× median
J3380
HCPCS 		Vedolizumab For IV Solution 300 Mg 2 $10,338.00 $16,368.50 $14,645.50 nat. median
$280
outlier · 52.3×
J1930
HCPCS 		Lanreotide Acetate Extended Release Inj 120 Mg/0.5ml 2 $9,891.42 $15,661.42 $14,012.85 nat. median
$5,873
outlier · 2.4×
J9022
HCPCS 		Atezolizumab IV Soln 1200 Mg/20ml 2 $9,809.02 $15,530.94 $13,896.11 nat. median
$6,911
outlier · 2.0×
27446
CPT 		Arthrp Knee Condyle&plateau Medial/lat Cmprt 2 $9,432.60 $14,934.95 $13,362.85 nat. median
$12,483
1.1× median
23472
CPT 		Arthroplasty Glenohumeral Joint Total Shldr 2 $4,611.60 $29,446.20 $12,949.65 nat. median
$16,400
0.8× median
C1767
HCPCS 		Stim Neuro Scrl Non-rechg F15 2 $9,060.00 $14,345.00 $12,835.00 nat. median
$22,481
0.6× median
C1820
HCPCS 		Stim Snm R20 Rechg 2 $8,496.00 $13,452.00 $12,036.00 nat. median
$22,013
0.5× median
49592
CPT 		Surg 49592 Rpr Aa Hernia 1st < 3 Cm Incarc/strangulated 2 $8,400.00 $13,300.00 $11,900.00 nat. median
$5,742
outlier · 2.1×
J3101
HCPCS 		Tenecteplase For IV Soln Kit 50 Mg 2 $7,482.51 $13,002.01 $11,631.26 nat. median
$5,957
2.0× median
25405
CPT 		Surg 25405 Rpr Nonunion Malunion Radius Ulna Wautograft (inc Obtain Graft 2 $8,164.20 $12,926.65 $11,565.95 nat. median
$7,223
1.6× median
J2356
HCPCS 		Tezepelumab-ekko Subcutaneous Soln Pref Syr 210 Mg/1.91ml 2 $7,530.79 $11,923.74 $10,668.61 nat. median
$66
outlier · 162.1×
49000
CPT 		Surg 49000 Exploratory Laparotomy Celiotomy W/wo Biopsy Separate Proc 2 $6,999.00 $11,081.75 $9,915.25 nat. median
$2,550
outlier · 3.9×
27130
CPT 		Arthroplasty Acetabular Proximal Femoral Prosthetic Replace Wwo Autog 2 $5,667.60 $16,793.15 $9,789.95 nat. median
$13,100
0.7× median
J9271
HCPCS 		Pembrolizumab IV Soln 100 Mg/4ml (25 Mg/ml) 2 $4,757.70 $18,479.95 $9,602.29 nat. median
$736
outlier · 13.0×
27428
CPT 		Surg 27428 Ligous Reconstruct (augment) Knee Intra-articular (open) 2 $6,568.80 $10,400.60 $9,305.80 nat. median
$11,739
0.8× median
J1932
HCPCS 		Lanreotide Acetate Extended Release Inj 120 Mg/0.5ml 2 $6,378.18 $10,098.79 $9,035.76 nat. median
$80
outlier · 112.3×
31254
CPT 		Surg 31254 Nasal/sinus Ndsc W/partial Ethmoidectomy 2 $6,225.00 $9,856.25 $8,818.75 nat. median
$6,432
1.4× median
36473
CPT 		Surg 36473 Endovenous Abl Mechanochemical 1st Vein 2 $6,110.40 $9,674.80 $8,656.40 nat. median
$3,471
outlier · 2.5×
J0517
HCPCS 		Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml 2 $5,933.06 $9,394.01 $8,405.17 nat. median
$914
outlier · 9.2×
J9299
HCPCS 		Nivolumab IV Soln 240 Mg/24ml 2 $5,909.98 $9,357.47 $8,372.47 nat. median
$2,944
outlier · 2.8×
33210
CPT 		Ed 33210 Insert/replace Lead Temporary Single Chamber 2 $5,613.00 $8,887.25 $7,951.75 nat. median
$8,289
1.0× median
27792
CPT 		Surg 27792 Open Tx Distal Fibular Fracture Lat Malleolus 2 $5,602.20 $8,870.15 $7,936.45 nat. median
$6,844
1.2× median
24341
CPT 		Ed 24341 Rpr Ten Mus Arm Elbow 2 $5,365.80 $8,495.85 $7,601.55 nat. median
$7,079
1.1× median
59150
CPT 		Surg 59150 Laps Tx Ectopic Preg Without Salping&/oophorectomy 2 $5,220.00 $8,265.00 $7,395.00 nat. median
$6,032
1.2× median
27447
CPT 		Arthroplasty Knee Condyle & Plateau Medial & Lat Compartments Wwo Pat 2 $5,105.40 $8,083.55 $7,232.65 nat. median
$12,649
0.6× median
J1162
HCPCS 		Digoxin Immune Fab For Inj 40 Mg 2 $4,999.63 $7,916.07 $7,082.80 nat. median
$7,308
1.0× median
Q5127
HCPCS 		Pegfilgrastim-fpgk Soln Prefilled Syringe 6 Mg/0.6ml 2 $4,973.50 $7,874.70 $7,045.79 nat. median
$418
outlier · 16.8×
26785
CPT 		Surg 26785 Open Tx Interphalangeal Joint Dislocation 2 $4,791.60 $7,586.70 $6,788.10 nat. median
$3,501
1.9× median
36482
CPT 		Surg 36482 Endoven Ablti Ther Chem Adhesive 1st Vein 2 $4,755.00 $7,528.75 $6,736.25 nat. median
$6,305
1.1× median
52332
CPT 		Surg 52332 Cystoscopy W Insert Ureteral Stent 2 $4,738.80 $7,503.10 $6,713.30 nat. median
$3,601
1.9× median
52441
CPT 		Surg 52441 Cystourethroscopy W Impl Perm 2 $4,650.00 $7,362.50 $6,587.50 nat. median
$1,769
outlier · 3.7×
52356
CPT 		Surg 52356 Cysto/uretero W Lithotripsy W Stent Insertion 2 $4,650.00 $7,362.50 $6,587.50 nat. median
$5,513
1.2× median
35207
CPT 		Ed 35207 Rpr Vessel Hand Finger 2 $4,633.80 $7,336.85 $6,564.55 nat. median
$3,496
1.9× median
44120
CPT 		Surg 44120 Enterectomy Resect Small Intestine Sngl Resect & Anastomosis 2 $4,500.00 $7,125.00 $6,375.00 nat. median
$3,012
outlier · 2.1×
J2506
HCPCS 		Pegfilgrastim Soln Prefill Syr/Infusion Dev 6 Mg/0.6ml 2 $4,093.66 $8,881.68 $6,140.49 nat. median
$2,076
outlier · 3.0×
27420
CPT 		Reconstruct Dislocating Patella 2 $4,296.60 $6,802.95 $6,086.85 nat. median
$6,926
0.9× median
27418
CPT 		Anterior Tibial Tubercleplasty 2 $4,296.60 $6,802.95 $6,086.85 nat. median
$6,795
0.9× median
45171
CPT 		Exc Rect Tum Transanal 2 $4,291.80 $6,795.35 $6,080.05 nat. median
$2,822
outlier · 2.2×
J1306
HCPCS 		Inclisiran Sodium Subcutaneous Soln Pref Syr 284 Mg/1.5ml 2 $4,210.75 $6,667.01 $5,965.22 nat. median
$57
outlier · 105.5×
J1437
HCPCS 		Ferric Derisomaltose (One Dose) IV Sol 1000 Mg/10ml (Fe Eq) 2 $4,092.99 $6,480.57 $5,798.40 nat. median
$42
outlier · 139.6×
59510
CPT 		Routine Obstetric Care Wantepartum Care Cesarean Delivery & Postpartu 2 $4,075.80 $6,453.35 $5,774.05 nat. median
$3,677
1.6× median
J0717
HCPCS 		Certolizumab Pegol For Inj Kit 2 X 200 Mg 2 $3,979.73 $6,301.25 $5,637.96 nat. median
$1,372
outlier · 4.1×
49418
CPT 		Surg 49418 Plcmnt Peritoneal Cath Tun W/img Guid 2 $3,900.00 $6,175.00 $5,525.00 nat. median
$4,210
1.3× median
51102
CPT 		Surg 51102 Asp Bladder W Insert Supr Cath 2 $3,859.20 $6,110.40 $5,467.20 nat. median
$2,392
outlier · 2.3×
59515
CPT 		Cesarean Delivery Only Wpostpartum Care 2 $3,807.60 $6,028.70 $5,394.10 nat. median
$2,569
outlier · 2.1×
29888
CPT 		Arthroscopically Aided Anterior Cruciate Lig Rpr Augmentatn Reconstrct 2 $3,795.00 $6,008.75 $5,376.25 nat. median
$7,307
0.7× median
13160
CPT 		Secondary Closure Surgical Wnd Dehiscence Extnsv Cmpl 2 $3,771.00 $5,970.75 $5,342.25 nat. median
$2,764
1.9× median
25260
CPT 		Ed 25260 Rpr Tend Forearm Wrist Prim 2 $3,667.20 $5,806.40 $5,195.20 nat. median
$3,485
1.5× median

Other procedures at this hospital

Browse this hospital's 2,141 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
             
J3357 HCPCS Ustekinumab Soln Prefilled Syringe 90 Mg/ml 3 2 $36,005.07 $36,005.07 $21,603.04 $34,204.82 $30,604.31 2026-05-07
64590 CPT Surg 64590 Ins Repl Periph Sacr Gastric Neurostim Pulse Gen Receiver 3 2 $22,000.00 $22,000.00 $13,200.00 $20,900.00 $18,700.00 2026-05-07
J3380 HCPCS Vedolizumab For IV Solution 300 Mg 3 2 $17,230.00 $17,230.00 $10,338.00 $16,368.50 $14,645.50 2026-05-07
J1930 HCPCS Lanreotide Acetate Extended Release Inj 120 Mg/0.5ml 3 2 $16,485.70 $16,485.70 $9,891.42 $15,661.42 $14,012.85 2026-05-07
J9022 HCPCS Atezolizumab IV Soln 1200 Mg/20ml 3 2 $16,348.36 $16,348.36 $9,809.02 $15,530.94 $13,896.11 2026-05-07
27446 CPT Arthrp Knee Condyle&plateau Medial/lat Cmprt 3 2 $15,721.00 $15,721.00 $9,432.60 $14,934.95 $13,362.85 2026-05-07
23472 CPT Arthroplasty Glenohumeral Joint Total Shldr 6 2 $19,341.00 $19,341.00 $4,611.60 $29,446.20 $12,949.65 2026-05-07
C1767 HCPCS Stim Neuro Scrl Non-rechg F15 3 2 $15,100.00 $15,100.00 $9,060.00 $14,345.00 $12,835.00 2026-05-07
C1820 HCPCS Stim Snm R20 Rechg 3 2 $14,160.00 $14,160.00 $8,496.00 $13,452.00 $12,036.00 2026-05-07
49592 CPT Surg 49592 Rpr Aa Hernia 1st < 3 Cm Incarc/strangulated 3 2 $14,000.00 $14,000.00 $8,400.00 $13,300.00 $11,900.00 2026-05-07
J3101 HCPCS Tenecteplase For IV Soln Kit 50 Mg 9 2 $13,683.84 $13,683.84 $7,482.51 $13,002.01 $11,631.26 2026-05-07
25405 CPT Surg 25405 Rpr Nonunion Malunion Radius Ulna Wautograft (inc Obtain Graft 3 2 $13,607.00 $13,607.00 $8,164.20 $12,926.65 $11,565.95 2026-05-07
J2356 HCPCS Tezepelumab-ekko Subcutaneous Soln Pref Syr 210 Mg/1.91ml 3 2 $12,551.31 $12,551.31 $7,530.79 $11,923.74 $10,668.61 2026-05-07
49000 CPT Surg 49000 Exploratory Laparotomy Celiotomy W/wo Biopsy Separate Proc 3 2 $11,665.00 $11,665.00 $6,999.00 $11,081.75 $9,915.25 2026-05-07
27130 CPT Arthroplasty Acetabular Proximal Femoral Prosthetic Replace Wwo Autog 6 2 $13,561.50 $13,561.50 $5,667.60 $16,793.15 $9,789.95 2026-05-07
J9271 HCPCS Pembrolizumab IV Soln 100 Mg/4ml (25 Mg/ml) 6 2 $13,691.04 $13,691.04 $4,757.70 $18,479.95 $9,602.29 2026-05-07
27428 CPT Surg 27428 Ligous Reconstruct (augment) Knee Intra-articular (open) 3 2 $10,948.00 $10,948.00 $6,568.80 $10,400.60 $9,305.80 2026-05-07
J1932 HCPCS Lanreotide Acetate Extended Release Inj 120 Mg/0.5ml 3 2 $10,630.30 $10,630.30 $6,378.18 $10,098.79 $9,035.76 2026-05-07
31254 CPT Surg 31254 Nasal/sinus Ndsc W/partial Ethmoidectomy 3 2 $10,375.00 $10,375.00 $6,225.00 $9,856.25 $8,818.75 2026-05-07
36473 CPT Surg 36473 Endovenous Abl Mechanochemical 1st Vein 3 2 $10,184.00 $10,184.00 $6,110.40 $9,674.80 $8,656.40 2026-05-07
J0517 HCPCS Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml 3 2 $9,888.43 $9,888.43 $5,933.06 $9,394.01 $8,405.17 2026-05-07
J9299 HCPCS Nivolumab IV Soln 240 Mg/24ml 3 2 $9,849.97 $9,849.97 $5,909.98 $9,357.47 $8,372.47 2026-05-07
33210 CPT Ed 33210 Insert/replace Lead Temporary Single Chamber 3 2 $9,355.00 $9,355.00 $5,613.00 $8,887.25 $7,951.75 2026-05-07
27792 CPT Surg 27792 Open Tx Distal Fibular Fracture Lat Malleolus 3 2 $9,337.00 $9,337.00 $5,602.20 $8,870.15 $7,936.45 2026-05-07
24341 CPT Ed 24341 Rpr Ten Mus Arm Elbow 3 2 $8,943.00 $8,943.00 $5,365.80 $8,495.85 $7,601.55 2026-05-07
59150 CPT Surg 59150 Laps Tx Ectopic Preg Without Salping&/oophorectomy 3 2 $8,700.00 $8,700.00 $5,220.00 $8,265.00 $7,395.00 2026-05-07
27447 CPT Arthroplasty Knee Condyle & Plateau Medial & Lat Compartments Wwo Pat 3 2 $8,509.00 $8,509.00 $5,105.40 $8,083.55 $7,232.65 2026-05-07
J1162 HCPCS Digoxin Immune Fab For Inj 40 Mg 3 2 $8,332.71 $8,332.71 $4,999.63 $7,916.07 $7,082.80 2026-05-07
Q5127 HCPCS Pegfilgrastim-fpgk Soln Prefilled Syringe 6 Mg/0.6ml 3 2 $8,289.16 $8,289.16 $4,973.50 $7,874.70 $7,045.79 2026-05-07
26785 CPT Surg 26785 Open Tx Interphalangeal Joint Dislocation 3 2 $7,986.00 $7,986.00 $4,791.60 $7,586.70 $6,788.10 2026-05-07
36482 CPT Surg 36482 Endoven Ablti Ther Chem Adhesive 1st Vein 3 2 $7,925.00 $7,925.00 $4,755.00 $7,528.75 $6,736.25 2026-05-07
52332 CPT Surg 52332 Cystoscopy W Insert Ureteral Stent 3 2 $7,898.00 $7,898.00 $4,738.80 $7,503.10 $6,713.30 2026-05-07
52356 CPT Surg 52356 Cysto/uretero W Lithotripsy W Stent Insertion 3 2 $7,750.00 $7,750.00 $4,650.00 $7,362.50 $6,587.50 2026-05-07
52441 CPT Surg 52441 Cystourethroscopy W Impl Perm 3 2 $7,750.00 $7,750.00 $4,650.00 $7,362.50 $6,587.50 2026-05-07
35207 CPT Ed 35207 Rpr Vessel Hand Finger 3 2 $7,723.00 $7,723.00 $4,633.80 $7,336.85 $6,564.55 2026-05-07
44120 CPT Surg 44120 Enterectomy Resect Small Intestine Sngl Resect & Anastomosis 3 2 $7,500.00 $7,500.00 $4,500.00 $7,125.00 $6,375.00 2026-05-07
J2506 HCPCS Pegfilgrastim Soln Prefill Syr/Infusion Dev 6 Mg/0.6ml 6 2 $8,085.95 $8,085.95 $4,093.66 $8,881.68 $6,140.49 2026-05-07
27418 CPT Anterior Tibial Tubercleplasty 3 2 $7,161.00 $7,161.00 $4,296.60 $6,802.95 $6,086.85 2026-05-07
27420 CPT Reconstruct Dislocating Patella 3 2 $7,161.00 $7,161.00 $4,296.60 $6,802.95 $6,086.85 2026-05-07
45171 CPT Exc Rect Tum Transanal 3 2 $7,153.00 $7,153.00 $4,291.80 $6,795.35 $6,080.05 2026-05-07
J1306 HCPCS Inclisiran Sodium Subcutaneous Soln Pref Syr 284 Mg/1.5ml 3 2 $7,017.91 $7,017.91 $4,210.75 $6,667.01 $5,965.22 2026-05-07
J1437 HCPCS Ferric Derisomaltose (One Dose) IV Sol 1000 Mg/10ml (Fe Eq) 3 2 $6,821.65 $6,821.65 $4,092.99 $6,480.57 $5,798.40 2026-05-07
59510 CPT Routine Obstetric Care Wantepartum Care Cesarean Delivery & Postpartu 3 2 $6,793.00 $6,793.00 $4,075.80 $6,453.35 $5,774.05 2026-05-07
J0717 HCPCS Certolizumab Pegol For Inj Kit 2 X 200 Mg 3 2 $6,632.89 $6,632.89 $3,979.73 $6,301.25 $5,637.96 2026-05-07
49418 CPT Surg 49418 Plcmnt Peritoneal Cath Tun W/img Guid 3 2 $6,500.00 $6,500.00 $3,900.00 $6,175.00 $5,525.00 2026-05-07
51102 CPT Surg 51102 Asp Bladder W Insert Supr Cath 3 2 $6,432.00 $6,432.00 $3,859.20 $6,110.40 $5,467.20 2026-05-07
59515 CPT Cesarean Delivery Only Wpostpartum Care 3 2 $6,346.00 $6,346.00 $3,807.60 $6,028.70 $5,394.10 2026-05-07
29888 CPT Arthroscopically Aided Anterior Cruciate Lig Rpr Augmentatn Reconstrct 3 2 $6,325.00 $6,325.00 $3,795.00 $6,008.75 $5,376.25 2026-05-07
13160 CPT Secondary Closure Surgical Wnd Dehiscence Extnsv Cmpl 3 2 $6,285.00 $6,285.00 $3,771.00 $5,970.75 $5,342.25 2026-05-07
25260 CPT Ed 25260 Rpr Tend Forearm Wrist Prim 3 2 $6,112.00 $6,112.00 $3,667.20 $5,806.40 $5,195.20 2026-05-07
22899 CPT Ed 22899 Unlisted Proc Spine 3 2 $6,112.00 $6,112.00 $3,667.20 $5,806.40 $5,195.20 2026-05-07
J3262 HCPCS Tocilizumab IV Inj 400 Mg/20ml 3 2 $6,026.89 $6,026.89 $3,616.13 $5,725.55 $5,122.86 2026-05-07
J3111 HCPCS Romosozumab-aqqg Inj Soln Prefilled Syringe 105 Mg/1.17ml 12 2 $5,968.91 $5,968.91 $3,472.39 $5,774.34 $5,073.58 2026-05-07
59610 CPT Routine Obstetric Care Vaginal Delivery Wantepartum Postpartum Care P 3 2 $5,745.00 $5,745.00 $3,447.00 $5,457.75 $4,883.25 2026-05-07
31578 CPT Ed 31578 Laryngoscopy W Lesion Removal 3 2 $5,735.00 $5,735.00 $3,441.00 $5,448.25 $4,874.75 2026-05-07
52005 CPT Surg 52005 Surg Cystourethroscopy W/ureteral Cath 3 2 $5,709.00 $5,709.00 $3,425.40 $5,423.55 $4,852.65 2026-05-07
29898 CPT Surg 29898 Arthroscopy Ankle Surgical Debridement Extensive 3 2 $5,703.00 $5,703.00 $3,421.80 $5,417.85 $4,847.55 2026-05-07
78452 CPT Nm Myocardial Spect Mult Stdy 4 2 $5,669.00 $5,669.00 $3,401.40 $5,385.55 $4,818.65 2026-05-07
59400 CPT Routine Obstetric Care Antepartum Care Vaginal Delivery & Postpartum 3 2 $5,606.00 $5,606.00 $3,363.60 $5,325.70 $4,765.10 2026-05-07
95811 CPT Sleep Study Splt Nght 95811 4 2 $5,594.00 $5,594.00 $3,356.40 $5,314.30 $4,754.90 2026-05-07
74174 CPT CTA Abd Pelvis W Contrast+wo If Perform 3 2 $5,521.00 $5,521.00 $3,312.60 $5,244.95 $4,692.85 2026-05-07
55706 CPT Surg 55706 Bx Ndle Prostate Transperineal W Imaging Guide 3 2 $5,500.00 $5,500.00 $3,300.00 $5,225.00 $4,675.00 2026-05-07
J2997 HCPCS Alteplase For Inj 100 Mg 6 2 $7,557.40 $7,557.40 $343.67 $13,814.93 $4,634.68 2026-05-07
Q5111 HCPCS Pegfilgrastim-cbqv Soln Prefilled Syringe 6 Mg/0.6ml 9 2 $5,752.14 $5,752.14 $2,844.91 $6,502.11 $4,504.43 2026-05-07
27640 CPT Surg 27640 Partial Exc Bone Tibia 3 2 $5,250.00 $5,250.00 $3,150.00 $4,987.50 $4,462.50 2026-05-07
95810 CPT Psg 4+ Parameters 4 2 $5,124.00 $5,124.00 $3,074.40 $4,867.80 $4,355.40 2026-05-07
Q5122 HCPCS Pegfilgrastim-apgf Soln Prefilled Syringe 6 Mg/0.6ml 3 2 $5,102.49 $5,102.49 $3,061.49 $4,847.37 $4,337.12 2026-05-07
74178 CPT CT Abd Pelvis Wo Then W Cont 4 2 $5,094.00 $5,094.00 $3,056.40 $4,839.30 $4,329.90 2026-05-07
J1602 HCPCS Golimumab IV Soln 50 Mg/4ml 3 2 $5,065.12 $5,065.12 $3,039.07 $4,811.86 $4,305.35 2026-05-07
Q5120 HCPCS Pegfilgrastim-bmez Soln Prefilled Syringe 6 Mg/0.6ml 3 2 $5,013.31 $5,013.31 $3,007.99 $4,762.64 $4,261.31 2026-05-07
27337 CPT Surg 27337 Excison Tumor Soft Tissue Thigh/knee Subq =>3cm 3 2 $5,009.00 $5,009.00 $3,005.40 $4,758.55 $4,257.65 2026-05-07
21933 CPT Surg 21933 Exc Tumor Soft Tiss Back/flank Subfascial >=5cm 3 2 $5,009.00 $5,009.00 $3,005.40 $4,758.55 $4,257.65 2026-05-07
29870 CPT Arthroscopy Knee Dx Wwo Synovial Bx (sep Proc) 3 2 $4,946.00 $4,946.00 $2,967.60 $4,698.70 $4,204.10 2026-05-07
28003 CPT Surg 28003 I&d Subfasc Wwo Tendon Sheath Foot Mult Bursa Space 3 2 $4,900.00 $4,900.00 $2,940.00 $4,655.00 $4,165.00 2026-05-07
72157 CPT MRI T Spine Wo Then W Cont 4 2 $4,894.00 $4,894.00 $2,936.40 $4,649.30 $4,159.90 2026-05-07
30115 CPT Surg 30115 Excision Nasal Polyp Extensive 3 2 $4,865.00 $4,865.00 $2,919.00 $4,621.75 $4,135.25 2026-05-07
52000 CPT Surg 52000 Cystourethroscopy 4 2 $4,860.00 $4,860.00 $2,916.00 $4,617.00 $4,131.00 2026-05-07
46040 CPT Ed 46040 I&d Perirectal Abscess 3 2 $4,849.00 $4,849.00 $2,909.40 $4,606.55 $4,121.65 2026-05-07
72158 CPT MRI L Spine Wo Then W Cont 4 2 $4,844.00 $4,844.00 $2,906.40 $4,601.80 $4,117.40 2026-05-07
51040 CPT Tx Rm 51040 Cystostomy Cystotomy W/drainage 3 2 $4,769.00 $4,769.00 $2,861.40 $4,530.55 $4,053.65 2026-05-07
37700 CPT Surg 37700 Lig&div Long Saph Vein Saphfem Junct/interruption 3 2 $4,750.00 $4,750.00 $2,850.00 $4,512.50 $4,037.50 2026-05-07
73723 CPT MRI Lower Ext Jt Wo Then W Cont 4 2 $4,750.00 $4,750.00 $2,850.00 $4,512.50 $4,037.50 2026-05-07
70553 CPT MRI Brain Wo Then W Cont 4 2 $4,725.00 $4,725.00 $2,835.00 $4,488.75 $4,016.25 2026-05-07
74177 CPT CT Abd Pelvis W Contrast 4 2 $4,664.00 $4,664.00 $2,798.40 $4,430.80 $3,964.40 2026-05-07
26350 CPT Surg 26350 Repair Finger/hand Tendon 3 2 $4,627.00 $4,627.00 $2,776.20 $4,395.65 $3,932.95 2026-05-07
72156 CPT MRI C Spine Wo Then W Cont 4 2 $4,616.00 $4,616.00 $2,769.60 $4,385.20 $3,923.60 2026-05-07
72147 CPT MRI T Spine W Contrast 3 2 $4,616.00 $4,616.00 $2,769.60 $4,385.20 $3,923.60 2026-05-07
74183 CPT MRI Abdomen Wo Then W Cont 4 2 $4,610.00 $4,610.00 $2,766.00 $4,379.50 $3,918.50 2026-05-07
70543 CPT MRI Face Neck Orb Wo Then W Cont 3 2 $4,608.00 $4,608.00 $2,764.80 $4,377.60 $3,916.80 2026-05-07
72146 CPT MRI T Spine Wo Contrast 4 2 $4,598.00 $4,598.00 $2,758.80 $4,368.10 $3,908.30 2026-05-07
73223 CPT MRI Upper Ext Jt Wo Then W Cont 3 2 $4,557.00 $4,557.00 $2,734.20 $4,329.15 $3,873.45 2026-05-07
11008 CPT Tx Rm 11008 Removal Prosthetic Material Mesh Abdominal Wall 3 2 $4,530.00 $4,530.00 $2,718.00 $4,303.50 $3,850.50 2026-05-07
72149 CPT MRI L Spine W Contrast 3 2 $4,509.00 $4,509.00 $2,705.40 $4,283.55 $3,832.65 2026-05-07
24342 CPT Surg 24342 Reinsert Ruptured Biceps Triceps Tendon Distal Wwo Tendon Graft 3 2 $4,508.00 $4,508.00 $2,704.80 $4,282.60 $3,831.80 2026-05-07
72148 CPT MRI L Spine Wo Contrast 4 2 $4,489.00 $4,489.00 $2,693.40 $4,264.55 $3,815.65 2026-05-07
J2315 HCPCS Naltrexone For IM Extended Release Susp 380 Mg 3 2 $4,437.03 $4,437.03 $2,662.22 $4,215.18 $3,771.48 2026-05-07
42962 CPT Ctrl Oropharyngeal Hemorrhage W/sec Surg Ivntj 3 2 $4,392.00 $4,392.00 $2,635.20 $4,172.40 $3,733.20 2026-05-07
20525 CPT Ed 20525 Rem Fb Musc Tend Cplx 3 2 $4,389.00 $4,389.00 $2,633.40 $4,169.55 $3,730.65 2026-05-07
27372 CPT Ed 27372 Remove Fb Thigh Knee Deep 3 2 $4,389.00 $4,389.00 $2,633.40 $4,169.55 $3,730.65 2026-05-07
59622 CPT Cesarean Delivery After Failed Vaginal Delivery Previous Cesarean Deli 3 2 $4,378.00 $4,378.00 $2,626.80 $4,159.10 $3,721.30 2026-05-07
70549 CPT MRA Neck Wo Then W Cont 3 2 $4,371.00 $4,371.00 $2,622.60 $4,152.45 $3,715.35 2026-05-07
72197 CPT MRI Pelvis Wo Then W Cont 3 2 $4,311.00 $4,311.00 $2,586.60 $4,095.45 $3,664.35 2026-05-07
74181 CPT MRI Abdomen Wo Contrast 3 2 $4,289.00 $4,289.00 $2,573.40 $4,074.55 $3,645.65 2026-05-07
73706 CPT CTA Ext Lower W Cont +wo If Perf 3 2 $4,245.00 $4,245.00 $2,547.00 $4,032.75 $3,608.25 2026-05-07
C1886 HCPCS Cath Barrx 90 Rfa Focal Abl 6 2 $4,309.45 $4,309.45 $2,405.34 $4,379.50 $3,608.02 2026-05-07
59514 CPT Cesarean Delivery Only 3 2 $4,239.00 $4,239.00 $2,543.40 $4,027.05 $3,603.15 2026-05-07
49020 CPT Drainage Peritoneal Abscess Local Peritonitis Excl Appendiceal Ab 3 2 $4,222.00 $4,222.00 $2,533.20 $4,010.90 $3,588.70 2026-05-07
72141 CPT MRI C Spine Wo Contrast 4 2 $4,205.00 $4,205.00 $2,523.00 $3,994.75 $3,574.25 2026-05-07
73720 CPT MRI Lower Ext Wo Then W Cont 4 2 $4,200.00 $4,200.00 $2,520.00 $3,990.00 $3,570.00 2026-05-07
74176 CPT CT Abd Pelvis Wo Contrast 4 2 $4,197.00 $4,197.00 $2,518.20 $3,987.15 $3,567.45 2026-05-07
27822 CPT Open Tx Trimalleolar Ankle Fx Medial Lat Malleolus Wo Fixn Postr Lip 3 2 $4,163.00 $4,163.00 $2,497.80 $3,954.85 $3,538.55 2026-05-07
28208 CPT Ed 28208 Rpr Tendon Extns Foot 3 2 $4,158.00 $4,158.00 $2,494.80 $3,950.10 $3,534.30 2026-05-07
23065 CPT Surg 23065 Bx Soft Tissue Shldr Area Superl 3 2 $4,147.00 $4,147.00 $2,488.20 $3,939.65 $3,524.95 2026-05-07
Q5107 HCPCS Bevacizumab-awwb IV Soln 400 Mg/16ml (For Infusion) 3 2 $4,126.41 $4,126.41 $2,475.85 $3,920.09 $3,507.45 2026-05-07
J0897 HCPCS Denosumab Inj Soln Prefilled Syringe 60 Mg/ml 12 2 $4,695.11 $4,695.11 $15.60 $4,841.73 $3,500.85 2026-05-07
70548 CPT MRA Neck W Contrast 3 2 $4,115.00 $4,115.00 $2,469.00 $3,909.25 $3,497.75 2026-05-07
0360 RC Abd Hysterectomy 735 2 $4,522.00 $4,522.00 $19.20 $27,150.05 $3,495.60 2026-05-07
0200 RC Intensive Care General 2 2 $4,769.00 $4,769.00 $2,861.40 $4,053.65 $3,457.53 2026-05-07
59410 CPT Vaginal Delivery Only(wwo Episiotomy & Or Forceps) Wpostpartum Care 3 2 $4,026.00 $4,026.00 $2,415.60 $3,824.70 $3,422.10 2026-05-07
31576 CPT Ed 31576 Laryngoscopy W/biopsy 3 2 $4,017.00 $4,017.00 $2,410.20 $3,816.15 $3,414.45 2026-05-07
20102 CPT Ed 20102 Explore Penetrating Wound Abdomen/back/flank 3 2 $4,017.00 $4,017.00 $2,410.20 $3,816.15 $3,414.45 2026-05-07
20101 CPT Ed 20101 Explore Penetrating Wound Chest 3 2 $4,017.00 $4,017.00 $2,410.20 $3,816.15 $3,414.45 2026-05-07
40819 CPT Exc Frenum Labial Buccal (frenumectomy Frenulectomy Frenectomy) 3 2 $4,007.00 $4,007.00 $2,404.20 $3,806.65 $3,405.95 2026-05-07
J0129 HCPCS Abatacept For IV Soln 250 Mg 3 2 $3,999.39 $3,999.39 $2,399.63 $3,799.42 $3,399.48 2026-05-07
72195 CPT MRI Pelvis Wo Contrast 3 2 $3,994.00 $3,994.00 $2,396.40 $3,794.30 $3,394.90 2026-05-07
27618 CPT Surg 27618 Exc Tumor Soft Tissue Leg Ankle Subq <3cm 3 2 $3,956.00 $3,956.00 $2,373.60 $3,758.20 $3,362.60 2026-05-07
70551 CPT MRI Brain Wo Contrast 4 2 $3,944.00 $3,944.00 $2,366.40 $3,746.80 $3,352.40 2026-05-07
70546 CPT MRA Head Wo Then W Cont 3 2 $3,893.00 $3,893.00 $2,335.80 $3,698.35 $3,309.05 2026-05-07
59812 CPT Ed 59812 Tx Incomplete Abortion 3 2 $3,889.00 $3,889.00 $2,333.40 $3,694.55 $3,305.65 2026-05-07
58120 CPT Ed 58120 D&c Diagnostic/therapeutic Non-OB 3 2 $3,889.00 $3,889.00 $2,333.40 $3,694.55 $3,305.65 2026-05-07
57200 CPT Ed 57200 Colpoaphy Injury Of Vagina 3 2 $3,889.00 $3,889.00 $2,333.40 $3,694.55 $3,305.65 2026-05-07
56440 CPT Ed 56440 Marsup Cyst Barth's Gland 3 2 $3,889.00 $3,889.00 $2,333.40 $3,694.55 $3,305.65 2026-05-07
52442 CPT Surg 52442 Cystourethroscopy Winsert Trans Wimpl Perm Ea Addl 3 2 $3,875.00 $3,875.00 $2,325.00 $3,681.25 $3,293.75 2026-05-07
69005 CPT Ed 69005 I&d Ext Ear Abscess Comp 3 2 $3,872.00 $3,872.00 $2,323.20 $3,678.40 $3,291.20 2026-05-07
23930 CPT Ed 23930 I&d Absc Arm Elbow Deep 3 2 $3,872.00 $3,872.00 $2,323.20 $3,678.40 $3,291.20 2026-05-07
27240 CPT Closed Tx Inter Per Subtrochanteric Femoral Fx Wmanip Wwo Skeletal T 3 2 $3,870.00 $3,870.00 $2,322.00 $3,676.50 $3,289.50 2026-05-07
53620 CPT Ed 53620 Dltion Urthra Str Wfilfrm 3 2 $3,851.00 $3,851.00 $2,310.60 $3,658.45 $3,273.35 2026-05-07
Q5130 HCPCS Pegfilgrastim-pbbk Soln Prefilled Syringe 6 Mg/0.6ml 3 2 $3,834.69 $3,834.69 $2,300.81 $3,642.96 $3,259.49 2026-05-07
59612 CPT Vaginal Delivery Only Previous Cesarean Delivery 3 2 $3,804.00 $3,804.00 $2,282.40 $3,613.80 $3,233.40 2026-05-07
Q5157 HCPCS Denosumab-bmwo Inj Soln Prefilled Syringe 60 Mg/ml 3 2 $3,768.63 $3,768.63 $2,261.18 $3,580.20 $3,203.34 2026-05-07
28090 CPT Surg 28090 Exc Lesn Tendon Sheath Capsule Foot 3 2 $3,750.00 $3,750.00 $2,250.00 $3,562.50 $3,187.50 2026-05-07
65270 CPT Ed 65270 Rpr Eye Wound 3 2 $3,708.00 $3,708.00 $2,224.80 $3,522.60 $3,151.80 2026-05-07
70545 CPT MRA Head W Contrast 3 2 $3,703.00 $3,703.00 $2,221.80 $3,517.85 $3,147.55 2026-05-07
Q5108 HCPCS Pegfilgrastim-jmdb Soln Prefilled Syringe 6 Mg/0.6ml 3 2 $3,675.42 $3,675.42 $2,205.25 $3,491.65 $3,124.11 2026-05-07
29882 CPT Arthroscopy Knee Surgical Wmeniscus Rpr Medial Lat 3 2 $3,667.00 $3,667.00 $2,200.20 $3,483.65 $3,116.95 2026-05-07
71275 CPT CTA Chest Wcont +wo If Perf 4 2 $3,628.00 $3,628.00 $2,176.80 $3,446.60 $3,083.80 2026-05-07
24620 CPT Ed 24620 Clsd Tx Elbow Fx 3 2 $3,620.00 $3,620.00 $2,172.00 $3,439.00 $3,077.00 2026-05-07
25690 CPT Ed 25690 Clsd Tx Lnte Dislc Wmanip 3 2 $3,620.00 $3,620.00 $2,172.00 $3,439.00 $3,077.00 2026-05-07
23625 CPT Ed 23625 Clsd Tx Gt Humeral Wmanip 3 2 $3,620.00 $3,620.00 $2,172.00 $3,439.00 $3,077.00 2026-05-07
23505 CPT Ed 23505 Clsd Tx Clvcle Fx Wmanip 3 2 $3,620.00 $3,620.00 $2,172.00 $3,439.00 $3,077.00 2026-05-07
27762 CPT Ed 27762 Clsd Tx Ankle Fx Wmanip 3 2 $3,620.00 $3,620.00 $2,172.00 $3,439.00 $3,077.00 2026-05-07
28405 CPT Ed 28405 Clsd Tx Calcaneal Fx W/manipulation 3 2 $3,620.00 $3,620.00 $2,172.00 $3,439.00 $3,077.00 2026-05-07
74170 CPT CT Abdomen Wo Then W Cont 3 2 $3,619.00 $3,619.00 $2,171.40 $3,438.05 $3,076.15 2026-05-07
70540 CPT MRI Face Neck Orb Wo Contrast 3 2 $3,611.00 $3,611.00 $2,166.60 $3,430.45 $3,069.35 2026-05-07
73220 CPT MRI Upper Ext Wo Then W Cont 3 2 $3,607.00 $3,607.00 $2,164.20 $3,426.65 $3,065.95 2026-05-07
75635 CPT CTA Abd Ao & Ext W Contrast+wo If Perform 3 2 $3,561.00 $3,561.00 $2,136.60 $3,382.95 $3,026.85 2026-05-07
J0841 HCPCS Crotalidae Immune F(ab')2 (Equine) For IV Infusion 3 2 $3,559.29 $3,559.29 $2,135.57 $3,381.33 $3,025.40 2026-05-07
59409 CPT Vaginal Delivery Only(wwo Episiotomy & Or Forceps) 4 2 $3,551.00 $3,551.00 $2,130.60 $3,373.45 $3,018.35 2026-05-07
27752 CPT Closed Treat Tibial Shaft Fx Wmanip Wwo Skeletal Traction 6 2 $3,542.25 $3,542.25 $2,078.70 $3,439.00 $3,010.91 2026-05-07
J9312 HCPCS Rituximab IV Soln 100 Mg/10ml 6 2 $4,380.31 $4,380.31 $1,218.91 $6,392.65 $2,983.70 2026-05-07
73218 CPT MRI Up Ext Wo Cont 4 2 $3,501.00 $3,501.00 $2,100.60 $3,325.95 $2,975.85 2026-05-07
36571 CPT Surg 36571 Insert Pva Wport >5 3 2 $3,500.00 $3,500.00 $2,100.00 $3,325.00 $2,975.00 2026-05-07
71550 CPT MRI Chest Wo Contrast 3 2 $3,476.00 $3,476.00 $2,085.60 $3,302.20 $2,954.60 2026-05-07
45905 CPT Anal Sphincter Dilation 3 2 $3,473.00 $3,473.00 $2,083.80 $3,299.35 $2,952.05 2026-05-07
23605 CPT Closed Treat Proximal Humeral Fx Wmanip Wwo Skeletal Traction 3 2 $3,454.00 $3,454.00 $2,072.40 $3,281.30 $2,935.90 2026-05-07
70496 CPT CTA Head W Cont Wo If Perf 4 2 $3,441.00 $3,441.00 $2,064.60 $3,268.95 $2,924.85 2026-05-07
70552 CPT MRI Brain W Contrast 3 2 $3,429.00 $3,429.00 $2,057.40 $3,257.55 $2,914.65 2026-05-07
95805 CPT Multiple Sleep Latency 95805 3 2 $3,422.00 $3,422.00 $2,053.20 $3,250.90 $2,908.70 2026-05-07
71270 CPT CT Thorax Diagnostic Wo Then W Contrast 3 2 $3,413.00 $3,413.00 $2,047.80 $3,242.35 $2,901.05 2026-05-07
29823 CPT Arthroscopy Shldr Surgical Debridement Extensive 3 Or More Discrete Structures 3 2 $3,407.00 $3,407.00 $2,044.20 $3,236.65 $2,895.95 2026-05-07
72142 CPT MRI C Spine W Contrast 3 2 $3,384.00 $3,384.00 $2,030.40 $3,214.80 $2,876.40 2026-05-07
74160 CPT CT Abdomen W Contrast 3 2 $3,367.00 $3,367.00 $2,020.20 $3,198.65 $2,861.95 2026-05-07
25215 CPT Carpectomy All Bones Proximal Row 3 2 $3,365.00 $3,365.00 $2,019.00 $3,196.75 $2,860.25 2026-05-07
45331 CPT Flex Sig Wbx 3 2 $3,364.00 $3,364.00 $2,018.40 $3,195.80 $2,859.40 2026-05-07
J9202 HCPCS Goserelin Acetate Implant 3.6 Mg 4 2 $3,362.74 $3,362.74 $2,017.64 $3,194.60 $2,858.33 2026-05-07
22901 CPT Surg 22901 Exc Tumor Abdomin Wall 5cm+ 3 2 $3,355.00 $3,355.00 $2,013.00 $3,187.25 $2,851.75 2026-05-07
70490 CPT CT Soft Tissue Neck Wo Con 3 2 $3,332.00 $3,332.00 $1,999.20 $3,165.40 $2,832.20 2026-05-07
73202 CPT CT Ext Upper Wwo Contrast 3 2 $3,308.00 $3,308.00 $1,984.80 $3,142.60 $2,811.80 2026-05-07
52281 CPT Ed 52281 Cyste Wclib Dil Urth Sten 3 2 $3,299.00 $3,299.00 $1,979.40 $3,134.05 $2,804.15 2026-05-07
29827 CPT Arthroscopy Shldr Surgical Wrotator Cuff Rpr 3 2 $3,284.00 $3,284.00 $1,970.40 $3,119.80 $2,791.40 2026-05-07
73701 CPT CT Ext Lower W Cont 4 2 $3,261.00 $3,261.00 $1,956.60 $3,097.95 $2,771.85 2026-05-07
26410 CPT Ed 26410 Rpr Hand Tendor 3 2 $3,243.00 $3,243.00 $1,945.80 $3,080.85 $2,756.55 2026-05-07
26432 CPT Ed 26432 Rpr Tendon Distal Extn Clsd 3 2 $3,243.00 $3,243.00 $1,945.80 $3,080.85 $2,756.55 2026-05-07
26418 CPT Ed 26418 Rpr Ext Tendon Finger Each 3 2 $3,243.00 $3,243.00 $1,945.80 $3,080.85 $2,756.55 2026-05-07
73718 CPT MRI Lower Ext Wo Contrast 4 2 $3,234.00 $3,234.00 $1,940.40 $3,072.30 $2,748.90 2026-05-07
99468 CPT Init Inpt Neonate Cc <28 Days 3 2 $3,229.00 $3,229.00 $1,937.40 $3,067.55 $2,744.65 2026-05-07
10121 CPT Ed 10121 Inc&remv Fb Compl 3 2 $3,207.00 $3,207.00 $1,924.20 $3,046.65 $2,725.95 2026-05-07
28192 CPT Ed 28192 Remove Fb Foot Deep 3 2 $3,207.00 $3,207.00 $1,924.20 $3,046.65 $2,725.95 2026-05-07
72131 CPT CT Lumbar Spine Wo Cont 4 2 $3,204.00 $3,204.00 $1,922.40 $3,043.80 $2,723.40 2026-05-07
73221 CPT MRI Upper Ext Jt Wo Contrast 4 2 $3,184.00 $3,184.00 $1,910.40 $3,024.80 $2,706.40 2026-05-07
21315 CPT Ed 21315 Clsd Tx Nsl Bone Fx W Manip Wo Stab 3 2 $3,175.00 $3,175.00 $1,905.00 $3,016.25 $2,698.75 2026-05-07
Q5112 HCPCS Trastuzumab-dttb For IV Soln 150 Mg 6 2 $3,774.41 $3,774.41 $1,485.17 $4,819.84 $2,697.82 2026-05-07
72196 CPT MRI Pelvis W Contrast 3 2 $3,165.00 $3,165.00 $1,899.00 $3,006.75 $2,690.25 2026-05-07
27829 CPT Open Treat Distal Tibiofibular Joint Disruption Wwo Int Ext Fix 3 2 $3,150.00 $3,150.00 $1,890.00 $2,992.50 $2,677.50 2026-05-07
C1771 HCPCS Sling GYN Altis Sgl Incision 6 2 $3,216.05 $3,216.05 $1,783.74 $3,286.24 $2,675.61 2026-05-07
73721 CPT MRI Lower Ext Jt Wo Contrast 4 2 $3,147.00 $3,147.00 $1,888.20 $2,989.65 $2,674.95 2026-05-07
70498 CPT CT Angio Neck W Con+wo If Perf 4 2 $3,146.00 $3,146.00 $1,887.60 $2,988.70 $2,674.10 2026-05-07
74175 CPT CTA Abd Wcont +wo If Perf 3 2 $3,146.00 $3,146.00 $1,887.60 $2,988.70 $2,674.10 2026-05-07
93975 CPT Duplex Abd Pelvis Retroperitoneal Cmpl 4 2 $3,137.00 $3,137.00 $1,882.20 $2,980.15 $2,666.45 2026-05-07
72128 CPT CT Thoracic Spine Wo Cont 4 2 $3,135.00 $3,135.00 $1,881.00 $2,978.25 $2,664.75 2026-05-07
72191 CPT CTA Pelvis Wcont +wo If Perf 3 2 $3,087.00 $3,087.00 $1,852.20 $2,932.65 $2,623.95 2026-05-07
71250 CPT CT Thorax Diagnostic Wo Contrast 4 2 $3,079.00 $3,079.00 $1,847.40 $2,925.05 $2,617.15 2026-05-07
70470 CPT CT Head Wo Then W Contrast 3 2 $3,070.00 $3,070.00 $1,842.00 $2,916.50 $2,609.50 2026-05-07
27385 CPT Suture Quadriceps Hamstring Muscle Rupture Prime 3 2 $3,069.00 $3,069.00 $1,841.40 $2,915.55 $2,608.65 2026-05-07
29824 CPT Arthroscopy Shldr Surgical Distal Claviculectomy Warticular Surface 3 2 $3,041.00 $3,041.00 $1,824.60 $2,888.95 $2,584.85 2026-05-07
44899 CPT Surg 44899 Laparoscopic Meckels Diverticulectomy 3 2 $3,029.00 $3,029.00 $1,817.40 $2,877.55 $2,574.65 2026-05-07
72127 CPT CT Cerv Spine Wo Then W Cont 3 2 $3,026.00 $3,026.00 $1,815.60 $2,874.70 $2,572.10 2026-05-07
0232T CPT Tx Rm 0232t Njx Pltlt Plasma W/img Harvest/preparation 3 2 $3,022.00 $3,022.00 $1,813.20 $2,870.90 $2,568.70 2026-05-07
73200 CPT CT Ext Upper Wo Cont 3 2 $3,019.00 $3,019.00 $1,811.40 $2,868.05 $2,566.15 2026-05-07
72133 CPT CT Lumbar Spine Wo Then Wcon 3 2 $3,017.00 $3,017.00 $1,810.20 $2,866.15 $2,564.45 2026-05-07
43247 CPT Egd Wrem Fb 3 2 $3,007.00 $3,007.00 $1,804.20 $2,856.65 $2,555.95 2026-05-07
0801 RC Acute Ip Dialysis 3 2 $3,006.00 $3,006.00 $1,803.60 $2,855.70 $2,555.10 2026-05-07
43246 CPT Egd Place Perc Gast Tube 4 2 $3,005.00 $3,005.00 $1,803.00 $2,854.75 $2,554.25 2026-05-07
74185 CPT MRA Abdomen W Contrast 9 2 $3,293.00 $3,293.00 $1,606.80 $3,517.85 $2,544.10 2026-05-07
93303 CPT Echo Congenitl Comp 3 2 $2,987.00 $2,987.00 $1,792.20 $2,837.65 $2,538.95 2026-05-07
93306 CPT Echo (2d) Complete W Doppler & Color 4 2 $2,987.00 $2,987.00 $1,792.20 $2,837.65 $2,538.95 2026-05-07
69205 CPT Tx Rm 69205 Remove Tube Ventilating With Anes 3 2 $2,981.00 $2,981.00 $1,788.60 $2,831.95 $2,533.85 2026-05-07
72130 CPT CT Thor Spine Wo Then W Cont 3 2 $2,969.00 $2,969.00 $1,781.40 $2,820.55 $2,523.65 2026-05-07
43255 CPT Egd Wcontr Bleed 3 2 $2,967.00 $2,967.00 $1,780.20 $2,818.65 $2,521.95 2026-05-07
70547 CPT MRA Neck Wo Contrast 3 2 $2,938.00 $2,938.00 $1,762.80 $2,791.10 $2,497.30 2026-05-07
70544 CPT MRA Head Wo Contrast 3 2 $2,938.00 $2,938.00 $1,762.80 $2,791.10 $2,497.30 2026-05-07
70491 CPT CT Soft Tissue Neck W Contrast 4 2 $2,924.00 $2,924.00 $1,754.40 $2,777.80 $2,485.40 2026-05-07
27842 CPT Ed 27842 Cld Tx Ankle Disloc W Anes 3 2 $2,920.00 $2,920.00 $1,752.00 $2,774.00 $2,482.00 2026-05-07
26775 CPT Ed 26775 Clsd Tx Disloc Ip Jnt W Manip W Anes 3 2 $2,920.00 $2,920.00 $1,752.00 $2,774.00 $2,482.00 2026-05-07
72125 CPT CT Cervical Spine Wo Contrast 4 2 $2,911.00 $2,911.00 $1,746.60 $2,765.45 $2,474.35 2026-05-07
27552 CPT Ed 27552 Clsd Tx Knee Disloc W Anes 3 2 $2,906.00 $2,906.00 $1,743.60 $2,760.70 $2,470.10 2026-05-07
27562 CPT Closed Treat Patellar Dislocation Requiring Anes 3 2 $2,906.00 $2,906.00 $1,743.60 $2,760.70 $2,470.10 2026-05-07
73700 CPT CT Ext Lower Wo Cont 3 2 $2,905.00 $2,905.00 $1,743.00 $2,759.75 $2,469.25 2026-05-07
73201 CPT CT Ext Upper W Cont 3 2 $2,904.00 $2,904.00 $1,742.40 $2,758.80 $2,468.40 2026-05-07
57415 CPT Surg 57415 Remvl Impacted Vag Fb Spx W/anes Oth/thn Local 3 2 $2,900.00 $2,900.00 $1,740.00 $2,755.00 $2,465.00 2026-05-07
74150 CPT CT Abdomen Wo Contrast 3 2 $2,893.00 $2,893.00 $1,735.80 $2,748.35 $2,459.05 2026-05-07
58662 CPT Laparoscpy Surgical Wfulguration Exc Lesns Of Ovary Pelvic Viscera Pe 4 2 $2,890.00 $2,890.00 $1,734.00 $2,745.50 $2,456.50 2026-05-07
43249 CPT Egd Wballoon Dil 4 2 $2,879.00 $2,879.00 $1,727.40 $2,735.05 $2,447.15 2026-05-07
11426 CPT Exc Bengn Skn Les Wmarg No Skin Tag Sclp Nck Hnd Ft Gen Dia > 4.0cm 3 2 $2,874.00 $2,874.00 $1,724.40 $2,730.30 $2,442.90 2026-05-07
45385 CPT Colon Wrem Tumor Snare 4 2 $2,873.00 $2,873.00 $1,723.80 $2,729.35 $2,442.05 2026-05-07
C1768 HCPCS Graft Goreringed 5mmx30cmx40cm 3 2 $2,867.50 $2,867.50 $1,720.50 $2,724.13 $2,437.38 2026-05-07
J1950 HCPCS Leuprolide Acetate (3 Month) For Inj Kit 11.25 Mg 9 2 $2,855.48 $2,855.48 $811.20 $8,242.69 $2,427.16 2026-05-07
J7168 HCPCS Prothrombin Complex Conc Human For Inj Kit 500 Unit 3 2 $2,855.01 $2,855.01 $1,713.01 $2,712.26 $2,426.76 2026-05-07
C1888 HCPCS Cath Rfa Clsrfast 6fr 8x100cm 6 2 $3,054.35 $3,054.35 $1,602.11 $3,266.58 $2,403.17 2026-05-07
70460 CPT CT Head W Contrast 3 2 $2,822.00 $2,822.00 $1,693.20 $2,680.90 $2,398.70 2026-05-07
J9355 HCPCS Trastuzumab For IV Soln 150 Mg 3 2 $2,805.05 $2,805.05 $1,683.03 $2,664.80 $2,384.29 2026-05-07
45346 CPT Sigmoidoscopy Wablation Tumor Polyp Les 3 2 $2,805.00 $2,805.00 $1,683.00 $2,664.75 $2,384.25 2026-05-07
23120 CPT Claviculectomy Partial 3 2 $2,802.00 $2,802.00 $1,681.20 $2,661.90 $2,381.70 2026-05-07
29828 CPT Arthroscopy Biceps Tenodesis 3 2 $2,798.00 $2,798.00 $1,678.80 $2,658.10 $2,378.30 2026-05-07
72129 CPT CT Thoracic Spine W Contrast 3 2 $2,775.00 $2,775.00 $1,665.00 $2,636.25 $2,358.75 2026-05-07
71260 CPT CT Thorax Diagnostic With Contrast 4 2 $2,757.00 $2,757.00 $1,654.20 $2,619.15 $2,343.45 2026-05-07
36556 CPT Surg 36556 Ins Nt Cent Cva >5 3 2 $2,752.00 $2,752.00 $1,651.20 $2,614.40 $2,339.20 2026-05-07
J7297 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, 52 Mg 3 2 $2,743.00 $2,743.00 $1,645.80 $2,605.85 $2,331.55 2026-05-07
J1569 HCPCS Immune Globulin (Human) IV Or Subcutaneous Soln 30 Gm/300ml 18 2 $3,164.75 $3,164.75 $952.16 $4,995.20 $2,330.57 2026-05-07
72194 CPT CT Pelvis Wo Then W Cont 3 2 $2,730.00 $2,730.00 $1,638.00 $2,593.50 $2,320.50 2026-05-07
C1787 HCPCS Remote Ctrl Pt Axon 3 2 $2,728.00 $2,728.00 $1,636.80 $2,591.60 $2,318.80 2026-05-07
72126 CPT CT Cervical Spine W Contrast 3 2 $2,725.00 $2,725.00 $1,635.00 $2,588.75 $2,316.25 2026-05-07
45384 CPT Colon Wrem Tumor 4 2 $2,715.00 $2,715.00 $1,629.00 $2,579.25 $2,307.75 2026-05-07
45393 CPT Colonoscopy Flex W Decomp Incl Decomp TB 3 2 $2,713.00 $2,713.00 $1,627.80 $2,577.35 $2,306.05 2026-05-07
21554 CPT Surg 21554 Exc Tumr Soft Tiss Subfac 5cm+ 3 2 $2,710.00 $2,710.00 $1,626.00 $2,574.50 $2,303.50 2026-05-07
70336 CPT MRI Temporomandibular Joint 3 2 $2,708.00 $2,708.00 $1,624.80 $2,572.60 $2,301.80 2026-05-07
78582 CPT Nm Pulm Ventilation And Perfusion Img 3 2 $2,685.00 $2,685.00 $1,611.00 $2,550.75 $2,282.25 2026-05-07
70492 CPT CT Sft Tisue Neck Wwo Then W 3 2 $2,680.00 $2,680.00 $1,608.00 $2,546.00 $2,278.00 2026-05-07
J7165 HCPCS Prothrombin Complex Concentrate Human-lans For Inj 500 Unit 3 2 $2,666.01 $2,666.01 $1,599.61 $2,532.71 $2,266.11 2026-05-07
J9035 HCPCS Bevacizumab IV Soln 100 Mg/4ml (For Infusion) 6 2 $3,238.21 $3,238.21 $980.77 $4,599.72 $2,228.99 2026-05-07
73725 CPT MRA Lower Ext W Contrast 3 2 $2,601.00 $2,601.00 $1,560.60 $2,470.95 $2,210.85 2026-05-07
20205 CPT Surg 20205 Bx Muscle Deep 3 2 $2,548.00 $2,548.00 $1,528.80 $2,420.60 $2,165.80 2026-05-07
26951 CPT Ed 26951 Amp Fingr Thmb Wneurectmy 3 2 $2,547.00 $2,547.00 $1,528.20 $2,419.65 $2,164.95 2026-05-07
70482 CPT CT Orbit Sella Fossa Ear Wo Then W Contrast 3 2 $2,539.00 $2,539.00 $1,523.40 $2,412.05 $2,158.15 2026-05-07
78803 CPT Nm Rp Loc Tum Spect Sgl Area/acq Sgl Day 3 2 $2,528.00 $2,528.00 $1,516.80 $2,401.60 $2,148.80 2026-05-07
15274 CPT Tx Rm 15274 Skn Sub Grft T A L Child Add 3 2 $2,525.00 $2,525.00 $1,515.00 $2,398.75 $2,146.25 2026-05-07
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, 52 Mg 3 2 $2,520.00 $2,520.00 $1,512.00 $2,394.00 $2,142.00 2026-05-07
45309 CPT Surg 45309 Proctosigmoidoscopy Rigid Wremvl Sngl Lesn Snare 3 2 $2,500.00 $2,500.00 $1,500.00 $2,375.00 $2,125.00 2026-05-07
20103 CPT Ed 20103 Explor Wnd Extremity 6 2 $2,488.50 $2,488.50 $1,485.00 $2,376.90 $2,115.22 2026-05-07
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, 19.5 Mg 3 2 $2,487.00 $2,487.00 $1,492.20 $2,362.65 $2,113.95 2026-05-07
29891 CPT Arthroscpy Ankle Surgical Exc Osteochondral Defect Talus Tibia Wdrill 3 2 $2,481.00 $2,481.00 $1,488.60 $2,356.95 $2,108.85 2026-05-07
70480 CPT CT Orbit Sella Fossa Ear Wo Contrast 3 2 $2,479.00 $2,479.00 $1,487.40 $2,355.05 $2,107.15 2026-05-07
26011 CPT Ed 26011 Drn Finger Abscess Compl 3 2 $2,475.00 $2,475.00 $1,485.00 $2,351.25 $2,103.75 2026-05-07
10081 CPT Incision & Drainage Pilonidal Cyst Cmpl 3 2 $2,475.00 $2,475.00 $1,485.00 $2,351.25 $2,103.75 2026-05-07
73702 CPT CT Ext Lower Wo Then W Cont 3 2 $2,469.00 $2,469.00 $1,481.40 $2,345.55 $2,098.65 2026-05-07
72132 CPT CT Lumbar Spine W Cont 3 2 $2,468.00 $2,468.00 $1,480.80 $2,344.60 $2,097.80 2026-05-07
43235 CPT Egd Diag 3 2 $2,465.00 $2,465.00 $1,479.00 $2,341.75 $2,095.25 2026-05-07
70488 CPT CT Maxillofacial Wo W Cont 3 2 $2,459.00 $2,459.00 $1,475.40 $2,336.05 $2,090.15 2026-05-07
0120 RC Semi Private Room 6 2 $2,500.00 $2,500.00 $1,444.80 $4,053.65 $2,085.90 2026-05-07
45338 CPT Flex Sig Rem Tum Wsnare 3 2 $2,414.00 $2,414.00 $1,448.40 $2,293.30 $2,051.90 2026-05-07
72193 CPT CT Pelvis W Contrast 3 2 $2,409.00 $2,409.00 $1,445.40 $2,288.55 $2,047.65 2026-05-07
28002 CPT Surg 28002 I&d Subfasc Wwo Tendon Sheath Foot Single Bursa Space 3 2 $2,400.00 $2,400.00 $1,440.00 $2,280.00 $2,040.00 2026-05-07
29822 CPT Arthroscopy Shldr Surgical Debridement Ltd 1 Or 2 Discrete Structures 3 2 $2,372.00 $2,372.00 $1,423.20 $2,253.40 $2,016.20 2026-05-07
36569 CPT Surg 36569 Insertion Picc Without Img Gdn 5 Yr/> 3 2 $2,368.00 $2,368.00 $1,420.80 $2,249.60 $2,012.80 2026-05-07
24685 CPT Surg 24685 Open Tx Ulnar Fx Proximal End(olecranon Process) Wwo Int Ext F 3 2 $2,359.00 $2,359.00 $1,415.40 $2,241.05 $2,005.15 2026-05-07
70450 CPT CT Head Wo Contrast 4 2 $2,353.00 $2,353.00 $1,411.80 $2,235.35 $2,000.05 2026-05-07
J0585 HCPCS OnabotulinumtoxinA For Inj 100 Unit 3 2 $2,330.01 $2,330.01 $1,398.01 $2,213.51 $1,980.51 2026-05-07
59426 CPT Antepartum Care Only 7+ Visits 3 2 $2,319.00 $2,319.00 $1,391.40 $2,203.05 $1,971.15 2026-05-07
0689 RC Trauma Activation Full 3 2 $2,300.00 $2,300.00 $1,380.00 $2,185.00 $1,955.00 2026-05-07
G0390 HCPCS Trauma Activation Full W Ccare 3 2 $2,300.00 $2,300.00 $1,380.00 $2,185.00 $1,955.00 2026-05-07
70481 CPT CT Orbit Sella Fossa Ear W Contrast 3 2 $2,293.00 $2,293.00 $1,375.80 $2,178.35 $1,949.05 2026-05-07
J1439 HCPCS Ferric Carboxymaltose IV Soln 750 Mg/15ml (Fe Equivalent) 4 2 $2,242.56 $2,242.56 $1,345.54 $2,130.43 $1,906.18 2026-05-07
72192 CPT CT Pelvis Wo Contrast 3 2 $2,224.00 $2,224.00 $1,334.40 $2,112.80 $1,890.40 2026-05-07
J1745 HCPCS Infliximab For IV Inj 100 Mg 6 2 $2,629.22 $2,629.22 $1,059.43 $3,318.09 $1,886.53 2026-05-07
75710 CPT S&i Extremity Uni 3 2 $2,219.00 $2,219.00 $1,331.40 $2,108.05 $1,886.15 2026-05-07
J0248 HCPCS Remdesivir For IV Soln 100 Mg 3 2 $2,208.51 $2,208.51 $1,325.11 $2,098.08 $1,877.23 2026-05-07
15277 CPT Tx Rm 15277 Skn Sub Grft F N Hf G Child 3 2 $2,200.00 $2,200.00 $1,320.00 $2,090.00 $1,870.00 2026-05-07
15275 CPT Tx Rm 15275 Skin Sub Graft Face Nk Hf G 4 2 $2,200.00 $2,200.00 $1,320.00 $2,090.00 $1,870.00 2026-05-07
27825 CPT Closed Tx Fx Wt Bearing Articular Portion Distal Tibia Wskeletal Trac 3 2 $2,190.00 $2,190.00 $1,314.00 $2,080.50 $1,861.50 2026-05-07
Q5126 HCPCS Bevacizumab-maly IV Soln 100 Mg/4ml (For Infusion) 6 2 $2,641.04 $2,641.04 $933.82 $3,539.42 $1,856.99 2026-05-07
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