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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

SOUTH TEXAS HEALTH SYSTEM

Edinburg, TX · CCN 450119 · Rates published

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You selected 29916 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

10,112 distinct procedures filed
24 distinct payers
1,979,434 rate rows
2026-05-08 last MRF observed
Data quality

1,978,635 of 1,979,434 rate rows are consumer-grade (100.0%)

799 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
per-diem day rate — not a per-procedure price 431
placeholder amount (≤ $0.02) — excluded from medians 158
exceeds 10× this hospital's gross charge — excluded from medians 122
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 88
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/233069260_south-texas-health-system-mcallen_standardcharges.csv
Found on page https://www.southtexashealthsystem.com/patients-visitors/pricing-guide
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-02
Content fingerprint a5adc5dac5fee61b… · 159,214,594 bytes · first seen 2026-11-02

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
773
OTHER 		10 $3,710,000.00 $3,895,500.00 $3,784,200.00 nat. median
$3,641,050
1.0× median
9138
OTHER 		10 $3,710,000.00 $3,895,500.00 $3,784,200.00 nat. median
$3,758,972
1.0× median
9141
OTHER 		10 $2,403,458.75 $3,244,669.31 $2,452,008.62 nat. median
$2,588,981
0.9× median
9194
OTHER 		10 $565,623.84 $763,592.18 $577,049.44 nat. median
$577,862
1.0× median
9498
OTHER 		10 $551,318.34 $744,279.76 $562,454.97 nat. median
$587,650
1.0× median
9422
OTHER 		10 $528,312.43 $713,221.78 $538,984.34 nat. median
$563,449
1.0× median
9413
OTHER 		10 $516,485.97 $697,256.06 $526,918.98 nat. median
$562,201
0.9× median
9035
OTHER 		10 $489,517.15 $660,848.15 $499,405.40 nat. median
$533,230
0.9× median
9391
OTHER 		10 $488,051.51 $658,869.54 $497,910.15 nat. median
$492,768
1.0× median
583-4
OTHER 		5 $336,982.75 $343,526.10 $336,982.75 nat. median
$243,100
1.4× median
007-4
OTHER 		5 $327,817.13 $334,182.51 $327,817.13 nat. median
$131,227
outlier · 2.5×
18
OTHER 		11 $283,807.94 $773,112.40 $298,643.56 nat. median
$380,401
0.8× median
583-3
OTHER 		5 $285,344.61 $290,885.28 $285,344.61 nat. median
$240,006
1.2× median
002-4
OTHER 		5 $274,493.43 $279,823.40 $274,493.43 nat. median
$176,034
1.6× median
1
OTHER 		11 $211,980.74 $577,450.15 $223,061.70 nat. median
$232,664
1.0× median
588-4
OTHER 		5 $213,304.55 $217,446.39 $213,304.55 nat. median
$241,995
0.9× median
161-4
OTHER 		5 $207,133.35 $211,155.36 $207,133.35 nat. median
$160,594
1.3× median
009-4
OTHER 		5 $194,051.33 $197,819.32 $194,051.33 nat. median
$98,526
2.0× median
927
OTHER 		11 $1.54 $486,317.40 $182,132.33 nat. median
$2
outlier · 107770.6×
3
OTHER 		11 $161,283.65 $439,347.80 $169,714.51 nat. median
$202,158
0.8× median
630-4
OTHER 		5 $158,712.80 $161,794.61 $158,712.80 nat. median
$195,063
0.8× median
609-4
OTHER 		5 $157,306.33 $160,360.82 $157,306.33 nat. median
$168,174
0.9× median
1908
OTHER 		10 $152,500.50 $205,875.67 $155,581.01 nat. median
$155,551
1.0× median
1907
OTHER 		10 $152,500.50 $205,875.67 $155,581.01 nat. median
$155,551
1.0× median
583-2
OTHER 		5 $142,180.70 $144,941.49 $142,180.70 nat. median
$178,334
0.8× median
1906
OTHER 		10 $137,500.50 $185,625.67 $140,278.01 nat. median
$140,251
1.0× median
1905
OTHER 		10 $137,500.50 $185,625.67 $140,278.01 nat. median
$140,251
1.0× median
011-4
OTHER 		5 $135,009.88 $137,631.43 $135,009.88 nat. median
$62,526
outlier · 2.2×
200-4
OTHER 		5 $125,461.36 $127,897.51 $125,461.36 nat. median
$13,728
outlier · 9.1×
583-1
OTHER 		5 $125,192.94 $127,623.87 $125,192.94 nat. median
$161,998
0.8× median
1904
OTHER 		10 $122,500.50 $165,375.67 $124,975.01 nat. median
$120,722
1.0× median
1903
OTHER 		10 $122,500.50 $165,375.67 $124,975.01 nat. median
$120,722
1.0× median
007-3
OTHER 		5 $115,674.14 $117,920.24 $115,674.14 nat. median
$76,592
1.5× median
588-3
OTHER 		5 $114,452.24 $116,674.61 $114,452.24 nat. median
$152,652
0.7× median
588-2
OTHER 		5 $113,929.13 $116,141.35 $113,929.13 nat. median
$133,956
0.9× median
004-4
OTHER 		5 $113,634.53 $115,841.02 $113,634.53 nat. median
$100,636
1.1× median
841-4
OTHER 		5 $113,146.03 $115,343.04 $113,146.03 nat. median
$113,251
1.0× median
631-4
OTHER 		5 $112,015.97 $114,191.04 $112,015.97 nat. median
$185,076
0.6× median
4
OTHER 		11 $106,335.41 $289,665.00 $111,893.93 nat. median
$141,447
0.8× median
1901
OTHER 		10 $107,500.50 $145,125.67 $109,672.01 nat. median
$105,940
1.0× median
1902
OTHER 		10 $107,500.50 $145,125.67 $109,672.01 nat. median
$105,940
1.0× median
850-4
OTHER 		5 $109,065.03 $111,182.80 $109,065.03 nat. median
$39,886
outlier · 2.7×
591-4
OTHER 		5 $108,088.04 $110,186.83 $108,088.04 nat. median
$134,440
0.8× median
161-3
OTHER 		5 $107,960.70 $110,057.02 $107,960.70 nat. median
$123,032
0.9× median
588-1
OTHER 		5 $107,390.12 $109,475.37 $107,390.12 nat. median
$98,197
1.1× median
14
OTHER 		11 $98,597.69 $268,586.90 $103,751.73 nat. median
$109,099
1.0× median
7
OTHER 		11 $98,349.35 $267,910.40 $103,490.40 nat. median
$149,058
0.7× median
001-4
OTHER 		5 $98,328.32 $100,237.61 $98,328.32 nat. median
$120,000
0.8× median
008-4
OTHER 		5 $97,934.33 $99,835.97 $97,934.33 nat. median
$64,857
1.5× median
1599
OTHER 		10 $95,000.50 $128,250.68 $96,919.51 nat. median
$97,076
1.0× median

Other procedures at this hospital

Browse this hospital's 10,112 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
773 OTHER — 18 10 — — $3,710,000.00 $3,895,500.00 $3,784,200.00 2026-05-08
9138 OTHER — 18 10 — — $3,710,000.00 $3,895,500.00 $3,784,200.00 2026-05-08
9141 OTHER — 20 10 — — $2,403,458.75 $3,244,669.31 $2,452,008.62 2026-05-08
9194 OTHER — 20 10 — — $565,623.84 $763,592.18 $577,049.44 2026-05-08
9498 OTHER — 20 10 — — $551,318.34 $744,279.76 $562,454.97 2026-05-08
9422 OTHER — 20 10 — — $528,312.43 $713,221.78 $538,984.34 2026-05-08
9413 OTHER — 20 10 — — $516,485.97 $697,256.06 $526,918.98 2026-05-08
9035 OTHER — 20 10 — — $489,517.15 $660,848.15 $499,405.40 2026-05-08
9391 OTHER — 20 10 — — $488,051.51 $658,869.54 $497,910.15 2026-05-08
583-4 OTHER — 8 5 — — $336,982.75 $343,526.10 $336,982.75 2026-05-08
007-4 OTHER — 8 5 — — $327,817.13 $334,182.51 $327,817.13 2026-05-08
18 OTHER — 36 11 — — $283,807.94 $773,112.40 $298,643.56 2026-05-08
583-3 OTHER — 8 5 — — $285,344.61 $290,885.28 $285,344.61 2026-05-08
002-4 OTHER — 8 5 — — $274,493.43 $279,823.40 $274,493.43 2026-05-08
1 OTHER — 36 11 — — $211,980.74 $577,450.15 $223,061.70 2026-05-08
588-4 OTHER — 8 5 — — $213,304.55 $217,446.39 $213,304.55 2026-05-08
161-4 OTHER — 8 5 — — $207,133.35 $211,155.36 $207,133.35 2026-05-08
009-4 OTHER — 8 5 — — $194,051.33 $197,819.32 $194,051.33 2026-05-08
927 OTHER — 56 11 — — $1.54 $486,317.40 $182,132.33 2026-05-08
3 OTHER — 36 11 — — $161,283.65 $439,347.80 $169,714.51 2026-05-08
630-4 OTHER — 8 5 — — $158,712.80 $161,794.61 $158,712.80 2026-05-08
609-4 OTHER — 8 5 — — $157,306.33 $160,360.82 $157,306.33 2026-05-08
1908 OTHER — 20 10 — — $152,500.50 $205,875.67 $155,581.01 2026-05-08
1907 OTHER — 20 10 — — $152,500.50 $205,875.67 $155,581.01 2026-05-08
583-2 OTHER — 8 5 — — $142,180.70 $144,941.49 $142,180.70 2026-05-08
1906 OTHER — 20 10 — — $137,500.50 $185,625.67 $140,278.01 2026-05-08
1905 OTHER — 20 10 — — $137,500.50 $185,625.67 $140,278.01 2026-05-08
011-4 OTHER — 8 5 — — $135,009.88 $137,631.43 $135,009.88 2026-05-08
200-4 OTHER — 8 5 — — $125,461.36 $127,897.51 $125,461.36 2026-05-08
583-1 OTHER — 8 5 — — $125,192.94 $127,623.87 $125,192.94 2026-05-08
1904 OTHER — 20 10 — — $122,500.50 $165,375.67 $124,975.01 2026-05-08
1903 OTHER — 20 10 — — $122,500.50 $165,375.67 $124,975.01 2026-05-08
007-3 OTHER — 8 5 — — $115,674.14 $117,920.24 $115,674.14 2026-05-08
588-3 OTHER — 8 5 — — $114,452.24 $116,674.61 $114,452.24 2026-05-08
588-2 OTHER — 8 5 — — $113,929.13 $116,141.35 $113,929.13 2026-05-08
004-4 OTHER — 8 5 — — $113,634.53 $115,841.02 $113,634.53 2026-05-08
841-4 OTHER — 8 5 — — $113,146.03 $115,343.04 $113,146.03 2026-05-08
631-4 OTHER — 8 5 — — $112,015.97 $114,191.04 $112,015.97 2026-05-08
4 OTHER — 36 11 — — $106,335.41 $289,665.00 $111,893.93 2026-05-08
1901 OTHER — 20 10 — — $107,500.50 $145,125.67 $109,672.01 2026-05-08
1902 OTHER — 20 10 — — $107,500.50 $145,125.67 $109,672.01 2026-05-08
850-4 OTHER — 8 5 — — $109,065.03 $111,182.80 $109,065.03 2026-05-08
591-4 OTHER — 8 5 — — $108,088.04 $110,186.83 $108,088.04 2026-05-08
161-3 OTHER — 8 5 — — $107,960.70 $110,057.02 $107,960.70 2026-05-08
588-1 OTHER — 8 5 — — $107,390.12 $109,475.37 $107,390.12 2026-05-08
14 OTHER — 36 11 — — $98,597.69 $268,586.90 $103,751.73 2026-05-08
7 OTHER — 36 11 — — $98,349.35 $267,910.40 $103,490.40 2026-05-08
001-4 OTHER — 8 5 — — $98,328.32 $100,237.61 $98,328.32 2026-05-08
008-4 OTHER — 8 5 — — $97,934.33 $99,835.97 $97,934.33 2026-05-08
1599 OTHER — 20 10 — — $95,000.50 $128,250.68 $96,919.51 2026-05-08
1585 OTHER — 20 10 — — $95,000.50 $128,250.68 $96,919.51 2026-05-08
681-4 OTHER — 8 5 — — $96,194.20 $98,062.05 $96,194.20 2026-05-08
160-4 OTHER — 8 5 — — $96,140.52 $98,007.32 $96,140.52 2026-05-08
009-3 OTHER — 8 5 — — $95,337.01 $97,188.21 $95,337.01 2026-05-08
246-4 OTHER — 8 5 — — $93,229.51 $95,039.79 $93,229.51 2026-05-08
603-4 OTHER — 8 5 — — $92,748.56 $94,549.50 $92,748.56 2026-05-08
006-4 OTHER — 8 5 — — $90,009.69 $91,757.46 $90,009.69 2026-05-08
589-1 OTHER — 8 5 — — $90,002.60 $91,750.22 $90,002.60 2026-05-08
593-4 OTHER — 8 5 — — $89,733.28 $91,475.67 $89,733.28 2026-05-08
2 OTHER — 36 11 — — $82,928.83 $225,903.85 $87,263.80 2026-05-08
589-2 OTHER — 8 5 — — $87,230.90 $88,924.71 $87,230.90 2026-05-08
1598 OTHER — 20 10 — — $85,000.50 $114,750.68 $86,717.51 2026-05-08
1584 OTHER — 20 10 — — $85,000.50 $114,750.68 $86,717.51 2026-05-08
212 OTHER — 36 11 — — $81,982.12 $223,324.95 $86,267.61 2026-05-08
5 OTHER — 36 11 — — $80,142.13 $218,312.70 $84,331.44 2026-05-08
215 OTHER — 36 11 — — $79,731.24 $217,193.40 $83,899.07 2026-05-08
162-4 OTHER — 8 5 — — $83,866.45 $85,494.92 $83,866.45 2026-05-08
426 OTHER — 36 11 — — $78,832.70 $214,745.70 $82,953.55 2026-05-08
602-4 OTHER — 8 5 — — $82,490.14 $84,091.89 $82,490.14 2026-05-08
589-3 OTHER — 8 5 — — $81,820.62 $83,409.37 $81,820.62 2026-05-08
621-4 OTHER — 8 5 — — $78,333.71 $79,854.75 $78,333.71 2026-05-08
007-2 OTHER — 8 5 — — $77,720.10 $79,229.22 $77,720.10 2026-05-08
161-2 OTHER — 8 5 — — $77,606.96 $79,113.89 $77,606.96 2026-05-08
011-3 OTHER — 8 5 — — $76,719.59 $78,209.29 $76,719.59 2026-05-08
1597 OTHER — 20 10 — — $75,000.50 $101,250.68 $76,515.51 2026-05-08
1583 OTHER — 20 10 — — $75,000.50 $101,250.68 $76,515.51 2026-05-08
216 OTHER — 38 11 — — $53,686.00 $197,847.55 $76,260.89 2026-05-08
863-4 OTHER — 8 5 — — $75,529.63 $76,996.22 $75,529.63 2026-05-08
630-3 OTHER — 8 5 — — $74,804.21 $76,256.72 $74,804.21 2026-05-08
33249 CPT Insj/rplcmt Defib W/lead(s) 21 10 $256,614.00 $102,645.60 60% off $9,956.00 $205,291.20 $73,604.42 2026-05-08
161-1 OTHER — 8 5 — — $73,603.15 $75,032.34 $73,603.15 2026-05-08
440-4 OTHER — 8 5 — — $73,421.24 $74,846.90 $73,421.24 2026-05-08
005-4 OTHER — 8 5 — — $73,085.82 $74,504.96 $73,085.82 2026-05-08
004-3 OTHER — 8 5 — — $73,060.97 $74,479.63 $73,060.97 2026-05-08
850 OTHER — 36 11 — — $69,324.22 $188,843.95 $72,948.04 2026-05-08
591-3 OTHER — 8 5 — — $71,175.76 $72,557.81 $71,175.76 2026-05-08
680-4 OTHER — 8 5 — — $71,175.76 $72,557.81 $71,175.76 2026-05-08
608-4 OTHER — 8 5 — — $70,973.88 $72,352.02 $70,973.88 2026-05-08
441-4 OTHER — 8 5 — — $69,483.11 $70,832.29 $69,483.11 2026-05-08
33270 CPT Ins/rep Subq Defibrillator 15 10 $261,788.00 $104,715.20 60% off $23,041.10 $209,430.40 $68,326.67 2026-05-08
002-3 OTHER — 8 5 — — $67,607.65 $68,920.42 $67,607.65 2026-05-08
456 OTHER — 36 11 — — $63,735.02 $173,618.60 $67,066.67 2026-05-08
231 OTHER — 38 11 — — $53,686.00 $173,714.95 $66,958.91 2026-05-08
1582 OTHER — 20 10 — — $65,000.50 $87,750.68 $66,313.51 2026-05-08
1596 OTHER — 20 10 — — $65,000.50 $87,750.68 $66,313.51 2026-05-08
008-3 OTHER — 8 5 — — $66,196.30 $67,481.66 $66,196.30 2026-05-08
429 OTHER — 36 11 — — $62,767.24 $170,982.30 $66,048.30 2026-05-08
178-4 OTHER — 8 5 — — $65,078.66 $66,342.32 $65,078.66 2026-05-08
593-3 OTHER — 8 5 — — $64,089.24 $65,333.69 $64,089.24 2026-05-08
611-4 OTHER — 8 5 — — $64,015.59 $65,258.61 $64,015.59 2026-05-08
20 OTHER — 36 11 — — $60,663.86 $165,252.55 $63,834.97 2026-05-08
167-4 OTHER — 8 5 — — $63,732.52 $64,970.04 $63,732.52 2026-05-08
690-4 OTHER — 8 5 — — $63,160.17 $64,386.58 $63,160.17 2026-05-08
10 OTHER — 36 11 — — $60,000.87 $163,446.50 $63,137.32 2026-05-08
19 OTHER — 36 11 — — $59,656.95 $162,509.65 $62,775.43 2026-05-08
043-4 OTHER — 8 5 — — $62,773.28 $63,992.17 $62,773.28 2026-05-08
009-2 OTHER — 8 5 — — $62,702.73 $63,920.26 $62,702.73 2026-05-08
233 OTHER — 38 11 — — $53,686.00 $160,236.20 $61,763.49 2026-05-08
219 OTHER — 38 11 — — $53,686.00 $158,618.75 $61,140.04 2026-05-08
009-1 OTHER — 8 5 — — $60,809.09 $61,989.85 $60,809.09 2026-05-08
5244 OTHER — 20 10 — — $59,142.33 $79,842.15 $60,337.01 2026-05-08
633-4 OTHER — 8 5 — — $59,530.83 $60,686.77 $59,530.83 2026-05-08
303-4 OTHER — 8 5 — — $59,167.90 $60,316.79 $59,167.90 2026-05-08
957 OTHER — 36 11 — — $56,171.89 $153,016.10 $59,108.18 2026-05-08
591-2 OTHER — 8 5 — — $58,766.81 $59,907.91 $58,766.81 2026-05-08
607-4 OTHER — 8 5 — — $58,191.80 $59,321.73 $58,191.80 2026-05-08
006-3 OTHER — 8 5 — — $58,167.84 $59,297.31 $58,167.84 2026-05-08
1643 OTHER — 20 10 — — $56,824.55 $76,713.14 $57,972.40 2026-05-08
9273 OTHER — 20 10 — — $55,536.50 $74,974.27 $56,658.34 2026-05-08
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 8 2 — — $20,854.81 $75,158.70 $56,519.34 2026-05-08
427 OTHER — 36 11 — — $53,451.42 $145,605.35 $56,245.51 2026-05-08
1595 OTHER — 20 10 — — $55,000.50 $74,250.68 $56,111.51 2026-05-08
1581 OTHER — 20 10 — — $55,000.50 $74,250.68 $56,111.51 2026-05-08
220-4 OTHER — 8 5 — — $55,451.61 $56,528.34 $55,451.61 2026-05-08
613-4 OTHER — 8 5 — — $55,149.46 $56,220.32 $55,149.46 2026-05-08
870 OTHER — 36 11 — — $52,351.19 $142,608.25 $55,087.76 2026-05-08
447-4 OTHER — 8 5 — — $55,020.34 $56,088.70 $55,020.34 2026-05-08
002-2 OTHER — 8 5 — — $54,311.34 $55,365.93 $54,311.34 2026-05-08
023-4 OTHER — 8 5 — — $54,205.30 $55,257.83 $54,205.30 2026-05-08
955 OTHER — 36 11 — — $51,386.42 $139,980.15 $54,072.57 2026-05-08
910-4 OTHER — 8 5 — — $54,009.19 $55,057.91 $54,009.19 2026-05-08
011-2 OTHER — 8 5 — — $53,315.27 $54,350.52 $53,315.27 2026-05-08
602-3 OTHER — 8 5 — — $53,313.05 $54,348.25 $53,313.05 2026-05-08
447 OTHER — 36 11 — — $50,456.27 $137,446.35 $53,093.79 2026-05-08
268 OTHER — 36 11 — — $50,177.07 $136,685.80 $52,799.99 2026-05-08
005-3 OTHER — 8 5 — — $52,648.41 $53,670.71 $52,648.41 2026-05-08
006-2 OTHER — 8 5 — — $52,612.03 $53,633.62 $52,612.03 2026-05-08
950-4 OTHER — 8 5 — — $52,405.72 $53,423.30 $52,405.72 2026-05-08
006-1 OTHER — 8 5 — — $51,932.75 $52,941.15 $51,932.75 2026-05-08
928 OTHER — 56 11 — — $1.66 $136,917.45 $51,277.40 2026-05-08
217 OTHER — 38 11 — — $48,598.97 $132,386.95 $51,249.89 2026-05-08
207 OTHER — 36 11 — — $48,668.96 $132,577.60 $51,213.06 2026-05-08
007-1 OTHER — 8 5 — — $51,033.85 $52,024.79 $51,033.85 2026-05-08
001-3 OTHER — 8 5 — — $50,661.15 $51,644.86 $50,661.15 2026-05-08
609-3 OTHER — 8 5 — — $50,601.25 $51,583.80 $50,601.25 2026-05-08
026-4 OTHER — 8 5 — — $50,570.64 $51,552.59 $50,570.64 2026-05-08
593-2 OTHER — 8 5 — — $50,352.35 $51,330.06 $50,352.35 2026-05-08
969 OTHER — 36 11 — — $47,593.56 $129,648.15 $50,081.44 2026-05-08
303-3 OTHER — 8 5 — — $50,053.75 $51,025.67 $50,053.75 2026-05-08
182-4 OTHER — 8 5 — — $50,013.37 $50,984.51 $50,013.37 2026-05-08
163-4 OTHER — 8 5 — — $49,983.65 $50,954.20 $49,983.65 2026-05-08
792-4 OTHER — 8 5 — — $49,165.49 $50,120.16 $49,165.49 2026-05-08
304-4 OTHER — 8 5 — — $49,153.51 $50,107.95 $49,153.51 2026-05-08
276 OTHER — 36 11 — — $46,616.00 $126,985.20 $49,052.78 2026-05-08
205-4 OTHER — 8 5 — — $49,014.64 $49,966.38 $49,014.64 2026-05-08
69930 CPT Implant Cochlear Device 10 3 — — $7,398.00 $82,770.80 $49,000.31 2026-05-08
317 OTHER — 36 11 — — $46,555.80 $126,821.20 $48,989.43 2026-05-08
695-4 OTHER — 8 5 — — $48,951.64 $49,902.15 $48,951.64 2026-05-08
841-3 OTHER — 8 5 — — $48,901.50 $49,851.04 $48,901.50 2026-05-08
573 OTHER — 36 11 — — $46,343.58 $126,243.10 $48,766.12 2026-05-08
461 OTHER — 36 11 — — $46,181.78 $125,802.35 $48,595.86 2026-05-08
232 OTHER — 38 11 — — $45,971.06 $125,228.35 $48,478.64 2026-05-08
28 OTHER — 36 11 — — $45,751.32 $124,629.75 $48,142.90 2026-05-08
005-2 OTHER — 8 5 — — $48,079.80 $49,013.39 $48,079.80 2026-05-08
651-4 OTHER — 8 5 — — $47,918.74 $48,849.20 $47,918.74 2026-05-08
17 OTHER — 36 11 — — $45,423.21 $123,735.95 $47,797.64 2026-05-08
16 OTHER — 36 11 — — $45,423.21 $123,735.95 $47,797.64 2026-05-08
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 15 10 $187,006.00 $74,802.40 60% off $9,956.00 $149,604.80 $47,778.31 2026-05-08
33231 CPT Insrt Pulse Gen W/mult Leads 15 10 $161,322.00 $64,528.80 60% off $9,956.00 $129,057.60 $47,778.31 2026-05-08
004-2 OTHER — 8 5 — — $47,769.22 $48,696.78 $47,769.22 2026-05-08
266 OTHER — 36 11 — — $45,083.81 $122,811.40 $47,440.49 2026-05-08
614-4 OTHER — 8 5 — — $47,267.41 $48,185.23 $47,267.41 2026-05-08
218 OTHER — 38 11 — — $44,771.50 $121,960.65 $47,213.64 2026-05-08
162-3 OTHER — 8 5 — — $47,187.11 $48,103.36 $47,187.11 2026-05-08
021-4 OTHER — 8 5 — — $47,075.30 $47,989.38 $47,075.30 2026-05-08
230-4 OTHER — 8 5 — — $46,905.37 $47,816.15 $46,905.37 2026-05-08
022-4 OTHER — 8 5 — — $46,720.35 $47,627.54 $46,720.35 2026-05-08
235 OTHER — 38 11 — — $44,281.59 $120,626.10 $46,697.01 2026-05-08
442-4 OTHER — 8 5 — — $46,464.35 $47,366.57 $46,464.35 2026-05-08
952-4 OTHER — 8 5 — — $46,179.06 $47,075.74 $46,179.06 2026-05-08
1142 OTHER — 20 10 — — $45,261.80 $61,103.42 $46,176.08 2026-05-08
1594 OTHER — 20 10 — — $45,000.50 $60,750.68 $45,909.51 2026-05-08
1580 OTHER — 20 10 — — $45,000.50 $60,750.68 $45,909.51 2026-05-08
911-4 OTHER — 8 5 — — $45,757.11 $46,645.60 $45,757.11 2026-05-08
457 OTHER — 36 11 — — $43,191.89 $117,657.70 $45,449.68 2026-05-08
23 OTHER — 36 11 — — $42,933.77 $116,954.55 $45,178.07 2026-05-08
440-3 OTHER — 8 5 — — $44,937.19 $45,809.75 $44,937.19 2026-05-08
315-4 OTHER — 8 5 — — $44,934.08 $45,806.59 $44,934.08 2026-05-08
169-4 OTHER — 8 5 — — $44,781.45 $45,651.00 $44,781.45 2026-05-08
820 OTHER — 56 11 — — $23.52 $119,357.15 $44,700.83 2026-05-08
120-4 OTHER — 8 5 — — $44,599.54 $45,465.55 $44,599.54 2026-05-08
483-4 OTHER — 8 5 — — $44,430.06 $45,292.77 $44,430.06 2026-05-08
653 OTHER — 36 11 — — $41,951.69 $114,279.30 $44,144.65 2026-05-08
089-4 OTHER — 8 5 — — $43,953.54 $44,807.01 $43,953.54 2026-05-08
912-4 OTHER — 8 5 — — $43,895.42 $44,747.75 $43,895.42 2026-05-08
130-4 OTHER — 8 5 — — $43,884.32 $44,736.45 $43,884.32 2026-05-08
21 OTHER — 36 11 — — $41,595.73 $113,309.65 $43,770.08 2026-05-08
428 OTHER — 36 11 — — $41,421.14 $112,834.05 $43,586.37 2026-05-08
165-4 OTHER — 8 5 — — $43,230.78 $44,070.21 $43,230.78 2026-05-08
61886 CPT Implant Neurostim Arrays 10 3 — — $3,793.00 $72,796.85 $43,095.74 2026-05-08
64568 CPT Opn Impltj Crnl Nrv Nea&pg 10 3 — — $9,956.00 $72,796.85 $43,095.74 2026-05-08
8 OTHER — 36 11 — — $40,947.04 $111,542.55 $43,087.48 2026-05-08
405 OTHER — 36 11 — — $40,853.72 $111,288.35 $42,989.29 2026-05-08
463 OTHER — 36 11 — — $40,645.26 $110,720.50 $42,769.93 2026-05-08
11 OTHER — 36 11 — — $40,606.88 $110,615.95 $42,729.54 2026-05-08
576 OTHER — 36 11 — — $40,602.37 $110,603.65 $42,724.79 2026-05-08
834 OTHER — 56 11 — — $128.07 $113,309.65 $42,435.97 2026-05-08
591-1 OTHER — 8 5 — — $42,371.36 $43,194.11 $42,371.36 2026-05-08
234 OTHER — 38 11 — — $40,037.20 $109,064.10 $42,221.11 2026-05-08
260-4 OTHER — 8 5 — — $42,140.20 $42,958.46 $42,140.20 2026-05-08
002-1 OTHER — 8 5 — — $42,067.88 $42,884.73 $42,067.88 2026-05-08
220 OTHER — 38 11 — — $39,860.35 $108,582.35 $42,034.61 2026-05-08
178-3 OTHER — 8 5 — — $41,646.83 $42,455.50 $41,646.83 2026-05-08
121-4 OTHER — 8 5 — — $41,622.87 $42,431.08 $41,622.87 2026-05-08
631-3 OTHER — 8 5 — — $41,470.68 $42,275.94 $41,470.68 2026-05-08
625-4 OTHER — 8 5 — — $41,135.70 $41,934.45 $41,135.70 2026-05-08
612-4 OTHER — 8 5 — — $41,017.24 $41,813.69 $41,017.24 2026-05-08
160-3 OTHER — 8 5 — — $40,628.13 $41,417.02 $40,628.13 2026-05-08
224-4 OTHER — 8 5 — — $40,563.35 $41,350.99 $40,563.35 2026-05-08
466 OTHER — 36 11 — — $38,339.45 $104,439.30 $40,343.58 2026-05-08
602-2 OTHER — 8 5 — — $40,280.72 $41,062.87 $40,280.72 2026-05-08
326 OTHER — 36 11 — — $38,222.05 $104,119.50 $40,220.04 2026-05-08
361-4 OTHER — 8 5 — — $40,168.03 $40,947.99 $40,168.03 2026-05-08
54417 CPT Remv/replc Penis Pros Compl 6 1 — — $26,009.46 $43,934.90 $40,068.63 2026-05-08
54411 CPT Remov/replc Penis Pros Comp 6 1 — — $26,009.46 $43,934.90 $40,068.63 2026-05-08
091-4 OTHER — 8 5 — — $39,951.95 $40,727.72 $39,951.95 2026-05-08
239 OTHER — 36 11 — — $37,905.23 $103,256.45 $39,886.66 2026-05-08
837 OTHER — 36 11 — — $37,681.72 $102,647.60 $39,651.47 2026-05-08
853 OTHER — 36 11 — — $37,637.32 $102,526.65 $39,604.75 2026-05-08
228 OTHER — 38 11 — — $37,501.86 $102,157.65 $39,547.47 2026-05-08
020-4 OTHER — 8 5 — — $39,544.21 $40,312.06 $39,544.21 2026-05-08
005-1 OTHER — 8 5 — — $39,275.34 $40,037.96 $39,275.34 2026-05-08
004-1 OTHER — 8 5 — — $39,199.91 $39,961.07 $39,199.91 2026-05-08
001-2 OTHER — 8 5 — — $38,912.40 $39,667.98 $38,912.40 2026-05-08
181-4 OTHER — 8 5 — — $38,896.43 $39,651.70 $38,896.43 2026-05-08
227-4 OTHER — 8 5 — — $38,777.52 $39,530.48 $38,777.52 2026-05-08
245 OTHER — 36 11 — — $36,775.65 $100,179.40 $38,698.04 2026-05-08
660-4 OTHER — 8 5 — — $38,650.19 $39,400.67 $38,650.19 2026-05-08
623-4 OTHER — 8 5 — — $38,642.20 $39,392.53 $38,642.20 2026-05-08
842-4 OTHER — 8 5 — — $38,598.72 $39,348.21 $38,598.72 2026-05-08
6 OTHER — 36 11 — — $36,492.69 $99,408.60 $38,400.29 2026-05-08
981 OTHER — 36 11 — — $35,775.51 $97,454.95 $37,645.61 2026-05-08
183-4 OTHER — 8 5 — — $37,614.63 $38,345.01 $37,614.63 2026-05-08
001-1 OTHER — 8 5 — — $37,451.35 $38,178.56 $37,451.35 2026-05-08
267 OTHER — 36 11 — — $35,405.25 $96,446.35 $37,256.01 2026-05-08
823 OTHER — 36 11 — — $35,215.61 $95,929.75 $37,056.45 2026-05-08
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 15 10 $176,421.00 $70,568.40 60% off $9,956.00 $141,136.80 $37,048.41 2026-05-08
261-4 OTHER — 8 5 — — $37,017.87 $37,736.67 $37,017.87 2026-05-08
607-3 OTHER — 8 5 — — $36,885.66 $37,601.88 $36,885.66 2026-05-08
277 OTHER — 36 11 — — $35,007.91 $95,363.95 $36,837.89 2026-05-08
183-3 OTHER — 8 5 — — $36,690.88 $37,403.32 $36,690.88 2026-05-08
826 OTHER — 56 11 — — $87.14 $97,897.75 $36,664.01 2026-05-08
951-4 OTHER — 8 5 — — $36,547.12 $37,256.78 $36,547.12 2026-05-08
799 OTHER — 56 11 — — $7.69 $97,473.40 $36,505.08 2026-05-08
163 OTHER — 36 11 — — $34,686.57 $94,488.60 $36,499.75 2026-05-08
650 OTHER — 36 11 — — $34,672.27 $94,449.65 $36,484.71 2026-05-08
221 OTHER — 38 11 — — $34,561.64 $94,148.30 $36,446.87 2026-05-08
329 OTHER — 36 11 — — $34,556.38 $94,133.95 $36,362.76 2026-05-08
37227 CPT Fem/popl Revasc Stnt & Ather 102 11 $172,277.00 $68,910.80 60% off $9,688.25 $163,775.20 $36,343.13 2026-05-08
303-2 OTHER — 8 5 — — $36,316.41 $37,021.58 $36,316.41 2026-05-08
050-4 OTHER — 8 5 — — $35,949.48 $36,647.53 $35,949.48 2026-05-08
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 15 10 $171,001.00 $68,400.40 60% off $9,956.00 $136,800.80 $35,910.21 2026-05-08
178-2 OTHER — 8 5 — — $35,744.06 $36,438.12 $35,744.06 2026-05-08
1579 OTHER — 20 10 — — $35,000.50 $47,250.68 $35,707.51 2026-05-08
1593 OTHER — 20 10 — — $35,000.50 $47,250.68 $35,707.51 2026-05-08
710-4 OTHER — 8 5 — — $35,683.27 $36,376.15 $35,683.27 2026-05-08
474 OTHER — 36 11 — — $33,749.64 $91,936.35 $35,513.85 2026-05-08
25 OTHER — 36 11 — — $33,656.32 $91,682.15 $35,415.65 2026-05-08
603-3 OTHER — 8 5 — — $35,370.03 $36,056.83 $35,370.03 2026-05-08
162-2 OTHER — 8 5 — — $35,235.15 $35,919.33 $35,235.15 2026-05-08
223-4 OTHER — 8 5 — — $34,828.74 $35,505.02 $34,828.74 2026-05-08
319 OTHER — 36 11 — — $33,058.05 $90,052.40 $34,786.10 2026-05-08
856 OTHER — 56 11 — — $24,228.42 $92,487.80 $34,637.91 2026-05-08
691-4 OTHER — 8 5 — — $34,614.44 $35,286.56 $34,614.44 2026-05-08
008-2 OTHER — 8 5 — — $34,458.70 $35,127.81 $34,458.70 2026-05-08
933 OTHER — 36 11 — — $32,562.12 $88,701.45 $34,264.25 2026-05-08
694-4 OTHER — 8 5 — — $34,263.93 $34,929.25 $34,263.93 2026-05-08
723-4 OTHER — 8 5 — — $34,217.34 $34,881.76 $34,217.34 2026-05-08
458 OTHER — 36 11 — — $32,495.14 $88,519.00 $34,193.78 2026-05-08
901 OTHER — 56 11 — — $5.09 $90,825.25 $34,015.26 2026-05-08
33230 CPT Insrt Pulse Gen W/dual Leads 15 10 $161,322.00 $64,528.80 60% off $9,956.00 $129,057.60 $33,877.62 2026-05-08
092-4 OTHER — 8 5 — — $33,849.53 $34,506.80 $33,849.53 2026-05-08
356 OTHER — 36 11 — — $32,101.55 $87,446.85 $33,779.61 2026-05-08
323 OTHER — 36 11 — — $32,054.14 $87,317.70 $33,729.72 2026-05-08
33240 CPT Insrt Pulse Gen W/singl Lead 15 10 $149,494.00 $59,797.60 60% off $9,956.00 $119,595.20 $33,615.08 2026-05-08
140 OTHER — 36 11 — — $31,826.87 $86,698.60 $33,490.57 2026-05-08
163-3 OTHER — 8 5 — — $33,475.50 $34,125.51 $33,475.50 2026-05-08
166-4 OTHER — 8 5 — — $33,409.39 $34,058.12 $33,409.39 2026-05-08
31 OTHER — 36 11 — — $31,536.39 $85,907.30 $33,184.90 2026-05-08
673 OTHER — 36 11 — — $31,528.86 $85,886.80 $33,176.99 2026-05-08
661-4 OTHER — 8 5 — — $33,105.91 $33,748.75 $33,105.91 2026-05-08
54416 CPT Remv/repl Penis Contain Pros 8 2 — — $3,793.00 $43,934.90 $33,039.04 2026-05-08
54401 CPT Insert Self-contd Prosthesis 8 2 — — $3,793.00 $43,934.90 $33,039.04 2026-05-08
54405 CPT Insert Multi-comp Penis Pros 8 2 — — $3,793.00 $43,934.90 $33,039.04 2026-05-08
54400 CPT Insert Semi-rigid Prosthesis 8 2 — — $3,793.00 $43,934.90 $33,039.04 2026-05-08
54410 CPT Remove/replace Penis Prosth 8 2 — — $3,793.00 $43,934.90 $33,039.04 2026-05-08
269 OTHER — 36 11 — — $31,311.38 $85,294.35 $32,948.13 2026-05-08
178-1 OTHER — 8 5 — — $32,766.05 $33,402.28 $32,766.05 2026-05-08
5232 OTHER — 20 10 — — $32,061.58 $43,283.13 $32,709.22 2026-05-08
092-3 OTHER — 8 5 — — $32,648.92 $33,282.88 $32,648.92 2026-05-08
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